{"id":7083,"date":"2022-10-03T12:00:57","date_gmt":"2022-10-03T03:00:57","guid":{"rendered":"https:\/\/wp.meccari.jp\/?p=7083"},"modified":"2023-12-27T16:36:34","modified_gmt":"2023-12-27T07:36:34","slug":"menu_43","status":"publish","type":"post","link":"https:\/\/wp.meccari.jp\/eigocafe\/menu_43\/","title":{"rendered":"Menu 43\u3000\u8840\u6db2\u306b\u95a2\u3059\u308b\u82f1\u8a9e\u8868\u73fe"},"content":{"rendered":"

\"\"<\/p>\r\n\r\n

\u3053\u3093\u306b\u3061\u306f\u3002\u300c\u533b\u5b66\u82f1\u8a9e\u30ab\u30d5\u30a7<\/strong><\/span>\u300d\u306b\u3088\u3046\u3053\u305d\uff01<\/span><\/p>\r\n

\u3053\u3053\u306f\u300c\u30b3\u30fc\u30d2\u30fc1\u676f\u5206\u300d\u306e\u6642\u9593\u3067\u3001\u533b\u5b66\u82f1\u8a9e\u306b\u307e\u3064\u308f\u308b\u8a71\u3092\u6c17\u8efd\u306b\u697d\u3057\u3093\u3067\u3044\u305f\u3060\u304f\u30b3\u30fc\u30ca\u30fc\u3067\u3059\u3002<\/span><\/p>\r\n

\u672c\u65e5\u306e\u30c6\u30fc\u30de\u306f\u300c\u8840\u6db2\u306b\u95a2\u3059\u308b\u82f1\u8a9e\u8868\u73fe<\/strong><\/span>\u300d\u3002<\/span>
\r\n\u300c\u8ca7\u8840<\/strong>\u300d\u306f\u60a3\u8005\u3055\u3093\u304c\u8a34\u3048\u308b\u300c\u75c7\u72b6\u300d\u3067\u306f\u306a\u304f\u3001\u8840\u6db2\u691c\u67fb\u3067\u5224\u5b9a\u3067\u304d\u308b\u300c\u75c5\u614b<\/strong>\u300d\u3067\u3042\u308a\u3001\u533b\u5b66\u6559\u80b2\u30e2\u30c7\u30eb\u30fb\u30b3\u30a2\u30fb\u30ab\u30ea\u30ad\u30e5\u30e9\u30e0\u306b\u3042\u308b\u7fd2\u5f97\u3059\u3079\u304d37\u306e\u75c7\u5019\u306e1\u3064\u3068\u3057\u3066\u5b9a\u3081\u3089\u308c\u3066\u3044\u307e\u3059\u3002\u305d\u306e\u8a3a\u65ad\u306b\u306f\u300c\u8840\u6db2\u691c\u67fb<\/strong>\u300d\u304c\u5fc5\u9808\u3067\u3059\u304c\u3001\u3053\u306e\u533b\u5b66\u82f1\u8a9e\u30ab\u30d5\u30a7\u3067\u306f\u3053\u308c\u307e\u3067\u8840\u6db2<\/strong>\u3084\u8840\u6db2\u691c\u67fb<\/strong>\u306b\u95a2\u3059\u308b\u82f1\u8a9e\u8868\u73fe\u306f\u3042\u307e\u308a\u6271\u3063\u3066\u304d\u307e\u305b\u3093\u3067\u3057\u305f\u3002<\/span><\/p>\r\n

\u305d\u3053\u3067\u4eca\u6708\u306f\u8ca7\u8840\u306e\u9451\u5225\u3082\u542b\u3081\u3066\u300c\u8840\u6db2\u306b\u95a2\u3059\u308b\u82f1\u8a9e\u8868\u73fe<\/strong>\u300d\u3092\u3054\u7d39\u4ecb\u3057\u305f\u3044\u3068\u601d\u3044\u307e\u3059\u3002<\/span><\/p>\r\n

blue blood \u3063\u3066\u3069\u3093\u306a\u8840\uff1f\u77e5\u3063\u3066\u304a\u304d\u305f\u3044 blood \u3092\u4f7f\u3063\u305f\u6163\u7528\u8868\u73fe<\/strong><\/span><\/span>
\r\n\u65e5\u672c\u8a9e\u306b\u3082\u300c\u8840\u306e\u6c17\u304c\u591a\u3044<\/strong>\u300d\u3084\u300c\u8840\u3082\u6d99\u3082\u306a\u3044<\/strong>\u300d\u306a\u3069\u3001\u300c\u8840<\/strong>\u300d\u3092\u4f7f\u3063\u305f\u69d8\u3005\u306a\u6163\u7528\u8868\u73fe\u304c\u3042\u308a\u307e\u3059\u304c\u3001\u82f1\u8a9e\u306e blood<\/strong> \u306b\u3082\u6570\u591a\u304f\u306e idioms<\/strong> \u304c\u5b58\u5728\u3057\u307e\u3059\u3002<\/span><\/p>\r\n

Sylvester Stallone \u306e\u4ee3\u8868\u4f5c\u3068\u3057\u3066\u540d\u9ad8\u3044 \u300c \u30e9\u30f3\u30dc\u30fc<\/strong><\/span><\/a>\u300d \u3068\u3044\u3046\u6620\u753b\u3067\u3059\u304c\u3001\u3053\u306e\u6620\u753b\u306e\u82f1\u8a9e\u306e\u30bf\u30a4\u30c8\u30eb\u3092\u7686\u3055\u3093\u306f\u3054\u5b58\u77e5\u3067\u3059\u304b\uff1f\u300c\u3048\uff1f \u201cRambo\u201d \u3058\u3083\u306a\u3044\u306e\uff1f\u300d\u3068\u601d\u3063\u305f\u65b9\u3082\u591a\u3044\u3053\u3068\u3067\u3057\u3087\u3046\u3002\u5b9f\u306f\u3053\u306e\u6620\u753b\u306e\u82f1\u8a9e\u30bf\u30a4\u30c8\u30eb\u306f \u201c First Blood<\/strong><\/span><\/a>\u201d \u3068\u3044\u3046\u3082\u306e\u3067\u3059\u3002\u5287\u4e2d\u306e Rambo \u306e\u30bb\u30ea\u30d5\u306b \u201cThey drew first blood.<\/strong>\u201d\u300c\u3042\u3044\u3064\u3089\u304c\u5148\u306b\u624b\u3092\u51fa\u3057\u305f\u3093\u3060<\/strong>\u3002\u300d\u3068\u3044\u3046\u3082\u306e\u304c\u3042\u308a\u307e\u3059\u304c\u3001 draw blood<\/strong><\/span> \u306b\u306f\u300c\u6d41\u8840\u3055\u305b\u308b<\/strong>\/\u602a\u6211\u3092\u3055\u305b\u308b<\/strong>\/\u63a1\u8840\u3059\u308b<\/strong>\u300d\u3068\u3044\u3046\u30a4\u30e1\u30fc\u30b8\u304c\u3001\u305d\u3057\u3066 draw first blood<\/strong><\/span> \u306b\u306f\u300c\u6700\u521d\u306b\u6d41\u8840\u3055\u305b\u308b<\/strong>\/\u5148\u306b\u624b\u3092\u51fa\u3059<\/strong>\/\u5148\u306b\u75db\u624b\u3092\u8ca0\u308f\u305b\u308b<\/strong>\/\uff08\u6226\u3044\u3084\u30b9\u30dd\u30fc\u30c4\u3067\uff09\u5148\u5236\u3059\u308b<\/strong>\u300d\u3068\u3044\u3046\u30a4\u30e1\u30fc\u30b8\u304c\u3042\u308b\u306e\u3067\u3059\u3002\u9006\u306b\u82f1\u8a9e\u30bf\u30a4\u30c8\u30eb\u304c Rambo<\/strong><\/span><\/a> \u3068\u306a\u3063\u3066\u3044\u308b\u4f5c\u54c1\u304c\u65e5\u672c\u3067\u306f\u300c\u30e9\u30f3\u30dc\u30fc\/\u6700\u5f8c\u306e\u6226\u5834<\/strong><\/span><\/a> \u3068\u3057\u3066\u4e0a\u6620\u3055\u308c\u305f\u30b7\u30ea\u30fc\u30ba4\u4f5c\u76ee\u306a\u306e\u3067\u3059\u304c\u3001\u3053\u306e\u6620\u753b\u306f\u30b7\u30ea\u30fc\u30ba\u306e\u4e2d\u3067\u3082\u7279\u306b\u6fc0\u3057\u3044\u9283\u6483\u6226\u3067\u6709\u540d\u3067\u3059\u3002\u305d\u3057\u3066\u3053\u306e\u3088\u3046\u306a\u300c\u8840\u3084\u5185\u81d3\u304c\u98db\u3073\u6563\u308b\u60e8\u72b6<\/strong>\u300d\u3092\u82f1\u8a9e\u3067\u306f guts<\/strong>\u300c\u8178<\/strong>\u300d\u3092\u4f7f\u3063\u3066 blood and guts<\/strong><\/span> \u3068\u8868\u73fe\u3057\u307e\u3059\u3002\u3061\u306a\u307f\u306b\u30e9\u30f3\u30dc\u30fc\u306e\u6620\u753b\u306f\u5168\u90e8\u30675\u4f5c\u3042\u308a\u3001\u9806\u756a\u306b\u4e0b\u8a18\u306e\u3088\u3046\u306b\u306a\u3063\u3066\u3044\u307e\u3059\u3002\uff08\u300c\u300d\u306e\u4e2d\u306f\u90a6\u984c\u3067\u3059\u3002\uff09<\/span>
\r\n
\r\n\u00a0\u00a0 1.\u00a0\u00a0 First Blood<\/strong>\u300c\u30e9\u30f3\u30dc\u30fc\u300d
\r\n\u00a0\u00a0 2.\u00a0\u00a0 Rambo: First Blood Part II<\/strong>\u300c\u30e9\u30f3\u30dc\u30fc\/\u6012\u308a\u306e\u8131\u51fa\u300d
\r\n\u00a0\u00a0 3.\u00a0\u00a0 Rambo III<\/strong>\u300c\u30e9\u30f3\u30dc\u30fc3\/\u6012\u308a\u306e\u30a2\u30d5\u30ac\u30f3\u300d
\r\n\u00a0\u00a0 4.\u00a0\u00a0 Rambo<\/strong>\u300c\u30e9\u30f3\u30dc\u30fc\/\u6700\u5f8c\u306e\u6226\u5834\u300d
\r\n\u00a0\u00a0 5.\u00a0\u00a0 Rambo: Last Blood<\/strong>\u300c\u30e9\u30f3\u30dc\u30fc \u30e9\u30b9\u30c8\u30fb\u30d6\u30e9\u30c3\u30c9\u300d<\/span><\/p>\r\n

\u3053\u306e\u3088\u3046\u306b\u82f1\u8a9e\u306e\u30bf\u30a4\u30c8\u30eb\u306f\uff08\u79c1\u306e\u3088\u3046\u306a\uff09\u30d5\u30a1\u30f3\u306b\u3068\u3063\u3066\u3082\u6df7\u4e71\u3059\u308b\u540d\u79f0\u306b\u306a\u3063\u3066\u3044\u307e\u3059\u3002\u305f\u3060\u6700\u5f8c\u304c Last Blood \u3068\u306a\u3063\u3066\u304a\u308a\u3001\u898b\u4e8b\u306a\u5186\u74b0\u69cb\u9020\u3068\u3082\u306a\u3063\u3066\u3044\u308b\u308f\u3051\u3067\u3059\u3002<\/span><\/p>\r\n

\u3053\u306e\u4ed6\u306b\u3082 blood \u3092\u4f7f\u3063\u305f idioms \u306b\u306f\u69d8\u3005\u306a\u3082\u306e\u304c\u3042\u308a\u307e\u3059\u3002
\r\n<\/span>
\r\nhave bad blood<\/strong><\/span>\u300c\u308f\u3060\u304b\u307e\u308a\u304c\u3042\u308b<\/strong>\u300d\u3084 in cold blood<\/strong><\/span> \u300c\u51b7\u9177\u306b<\/strong>\u300d\u3001\u305d\u3057\u3066 new blood<\/strong><\/span> \u300c\uff08\u305d\u308c\u307e\u3067\u306e\u7d44\u7e54\u306b\u306f\u306a\u3044\u3082\u306e\u3092\u7d44\u7e54\u306b\u6301\u3061\u8fbc\u3080\uff09\u65b0\u5165\u308a<\/strong>\u300d\u3084 blood, sweats, and tears<\/strong><\/span>\u300c\u8840\u3068\u6c57\u3068\u6d99<\/strong>\u300d\u306a\u3069\u306f\u65e5\u672c\u8a9e\u306e\u767a\u60f3\u306b\u8fd1\u304f\u3066\u610f\u5473\u3082\u308f\u304b\u308a\u3084\u3059\u3044\u306e\u3067\u3059\u304c\u3001\u4e00\u898b\u3059\u308b\u3068\u610f\u5473\u304c\u308f\u304b\u308a\u306b\u304f\u3044 idioms \u3082\u5b58\u5728\u3057\u307e\u3059\u3002<\/span><\/p>\r\n

\u201cIt is like getting blood out of a stone<\/strong><\/span>.\u201d \u306f\u300c\u77f3\u304b\u3089\u8840\u6db2\u3092\u63a1\u53d6\u3059\u308b\u304f\u3089\u3044\u96e3\u3057\u3044 = \u307b\u3068\u3093\u3069\u4e0d\u53ef\u80fd\u3060<\/strong>\u300d\u3068\u3044\u3046\u610f\u5473\u306b\u306a\u308a\u307e\u3059\u3057\u3001 \u201cBlood is thicker than water<\/strong><\/span>.\u201d \u306f\u300c\u8840\u306f\u6c34\u3088\u308a\u3082\u6fc3\u3044 = \u8840\u7e01\u306f\u4f55\u3088\u308a\u3082\u91cd\u8981\u3060<\/strong>\u300d\u3068\u3044\u3046\u610f\u5473\u306b\u306a\u308a\u307e\u3059\u3002<\/span><\/p>\r\n

\u7279\u306b \u201cShe has blue blood<\/strong>.\u201d \u306e\u3088\u3046\u306b\u4f7f\u308f\u308c\u308b blue blood<\/strong><\/span> \u3068\u3044\u3046\u8868\u73fe\u306b\u306f\u5c11\u3057\u8aac\u660e\u304c\u5fc5\u8981\u3067\u3059\u3002\u3053\u308c\u306f\u300c\u9ad8\u8cb4\u306a\u8840\u7b4b<\/strong>\u300d\u3092\u610f\u5473\u3059\u308b\u306e\u3067\u3059\u304c\u3001\u305d\u306e\u8a9e\u6e90\u306f\u300c\u738b\u5bb6\u306e\u4eba\u9593\u306f\u808c\u306e\u8272\u304c\u767d\u3044\u306e\u3067\u8840\u7ba1\u304c\u9752\u304f\u6d6e\u304b\u3093\u3067\u898b\u3048\u308b<\/strong>\u300d\u3068\u3044\u3046\u3082\u306e\u3067\u3059\u3002\u307e\u305f\u7c73\u56fd\u306b \u201cBlue Bloods<\/strong><\/span><\/a>\u201d \u3068\u3044\u3046\u30bf\u30a4\u30c8\u30eb\u306e\u30c6\u30ec\u30d3\u30c9\u30e9\u30de\u304c\u3042\u308a\u307e\u3059\u3002\u3053\u308c\u306f\u300c\u4ee3\u3005\u30cb\u30e5\u30fc\u30e8\u30fc\u30af\u5e02\u8b66\u306e\u8b66\u5bdf\u5b98\u3067\u3042\u308b\u5bb6\u65cf\u306e\u7269\u8a9e<\/strong>\u300d\u306a\u306e\u3067\u3059\u304c\u3001\u3053\u306e\u30bf\u30a4\u30c8\u30eb\u306b\u306f\u8272\u3005\u306a\u610f\u5473\u304c\u542b\u307e\u308c\u3066\u3044\u307e\u3059\u3002<\/span><\/p>\r\n

\u82f1\u8a9e\u306b\u306f thin red line<\/strong> \u3068\u3044\u3046\u8868\u73fe\u304c\u3042\u308a\u307e\u3059\u304c\u3001\u3053\u308c\u306f\u6226\u4e89\u306e\u6700\u524d\u7dda\u3092\u5c11\u6570\u306e\u7cbe\u92ed\u90e8\u968a\u304c\u6b7b\u5b88\u3057\u305f\u3068\u3044\u3046\u9038\u8a71\u304b\u3089\u751f\u307e\u308c\u305f\u8868\u73fe\u3067\u3001\u300c\uff08\u8a87\u308a\u3092\u6301\u3063\u3066\u5927\u52e2\u3068\u5bfe\u5cd9\u3059\u308b\uff09\u5c11\u6570\u306e\u52c7\u8005<\/strong>\u300d\u3068\u3044\u3046\u30a4\u30e1\u30fc\u30b8\u3092\u6301\u3061\u307e\u3059\u3002\u305d\u3057\u3066\u3053\u306e thin red line\u304b\u3089\u300c\u6cbb\u5b89\u3092\u7dad\u6301\u3059\u308b\u8b66\u5bdf\u3084\uff08\u4e3b\u306b\u767d\u4eba\u306e\uff09\u8b66\u5bdf\u5b98<\/strong>\u300d\u3092\u610f\u5473\u3059\u308b thin blue line<\/strong><\/span><\/a> \u3068\u3044\u3046\u8868\u73fe\u304c\u751f\u307e\u308c\u307e\u3057\u305f\u3002\u7686\u3055\u3093\u3054\u5b58\u77e5\u306e \u201cBlack Lives Matter<\/span><\/a>\u201d \u3068\u3044\u3046\u904b\u52d5\u306b\u5bfe\u3057\u3066\u3001\u7c73\u56fd\u3067\u306f\u300c\uff08\u767d\u4eba\u306e\uff09\u8b66\u5bdf\u5b98\u306e\u547d\u3082\u91cd\u8981\u3060<\/strong>\u300d\u3068\u3044\u3046 \u201cBlue Lives Matter<\/span><\/a>\u201d \u3068\u3044\u3046\u904b\u52d5\u3082\u751f\u307e\u308c\u307e\u3057\u305f\u3002\u3064\u307e\u308ablue<\/strong> \u3068\u3044\u3046\u5358\u8a9e\u306b\u306f\u300c\uff08\u4e3b\u306b\u767d\u4eba\u306e\uff09\u8b66\u5bdf\u5b98<\/strong>\u300d\u3068\u3044\u3046\u30a4\u30e1\u30fc\u30b8\u3082\u3042\u308b\u306e\u3067\u3059\u3002\u3067\u3059\u304b\u3089\u5148\u307b\u3069\u306e \u201cBlue Bloods\u201d \u3068\u3044\u3046\u30c9\u30e9\u30de\u306e\u30bf\u30a4\u30c8\u30eb\u306b\u306f\u300c\u4ee3\u3005\u8a87\u308a\u3092\u6301\u3063\u3066\u8b66\u5bdf\u5b98\u3068\u3044\u3046\u4ed5\u4e8b\u306b\u5c31\u3044\u3066\u3044\u308b\u767d\u4eba\u540d\u5bb6\u306e\u7269\u8a9e<\/strong>\u300d\u306e\u3088\u3046\u306a\u610f\u5473\u304c\u542b\u307e\u308c\u3066\u3044\u308b\u306e\u3067\u3059\u3002<\/span><\/p>\r\n

\u3054\u60f3\u50cf\u9802\u3051\u308b\u3088\u3046\u306b\u3001\u3053\u306e blue blood \u306e\u3088\u3046\u306a\u8868\u73fe\u306f\u4f7f\u3044\u65b9\u306b\u3088\u3063\u3066\u306f microaggression<\/strong><\/span> \u300c\u7121\u610f\u8b58\u306e\u504f\u898b\u3084\u5dee\u5225\u3067\u4ed6\u4eba\u3092\u50b7\u3064\u3051\u308b\u884c\u70ba<\/strong>\u300d\u306b\u7e4b\u304c\u308b\u53ef\u80fd\u6027\u304c\u3042\u308a\u3001\u305d\u306e\u80cc\u666f\u3084\u30cb\u30e5\u30a2\u30f3\u30b9\u3092\u6b63\u3057\u304f\u7406\u89e3\u3057\u3066\u3044\u3066\u3082\u4f7f\u3044\u65b9\u304c\u975e\u5e38\u306b\u96e3\u3057\u3044\u82f1\u8a9e\u8868\u73fe\u3068\u8a00\u3048\u307e\u3059\u3002\u3067\u3059\u304b\u3089\u3053\u3046\u3044\u3063\u305f\u8868\u73fe\u306f\u300c\u610f\u5473\u306f\u308f\u304b\u308b\u304c\u81ea\u5206\u3067\u306f\u7a4d\u6975\u7684\u306b\u4f7f\u308f\u306a\u3044<\/strong>\u300d\u3088\u3046\u306b\u5fc3\u304c\u3051\u308b\u3053\u3068\u3092\u304a\u52e7\u3081\u3057\u307e\u3059\u3002<\/span><\/p>\r\n

\u300c\u63a1\u8840\u300d\u3084\u300c\u30eb\u30fc\u30c8\u78ba\u4fdd\u300d\u306e\u82f1\u8a9e\u8868\u73fe\u306f\uff1f<\/strong><\/span><\/span>
\r\n\u3067\u306f\u6b21\u306b\u300c\u63a1\u8840<\/strong>\u300d\u306b\u95a2\u3059\u308b\u82f1\u8a9e\u3092\u898b\u3066\u3044\u304d\u307e\u3057\u3087\u3046\u3002<\/span><\/p>\r\n

\u4e0a\u8ff0\u3057\u305f\u3088\u3046\u306b draw blood<\/strong><\/span> \u306b\u306f\u300c\u6d41\u8840\u3055\u305b\u308b<\/strong>\/\u602a\u6211\u3092\u3055\u305b\u308b<\/strong>\u300d\u3068\u3044\u3046\u30a4\u30e1\u30fc\u30b8\u304c\u3042\u308a\u3001\u305d\u3053\u304b\u3089\u300c\u63a1\u8840\u3059\u308b<\/strong>\u300d\u3068\u3044\u3046\u52d5\u8a5e\u3068\u3057\u3066\u3082\u4f7f\u308f\u308c\u307e\u3059\u3002\u305d\u3057\u3066\u300c\u63a1\u8840<\/strong>\u300d\u3068\u3044\u3046\u540d\u8a5e\u3068\u3057\u3066\u306f blood draw<\/strong><\/span> \u3068\u3044\u3046\u3082\u306e\u304c\u4e00\u822c\u82f1\u8a9e\u3068\u3057\u3066\u4f7f\u308f\u308c\u307e\u3059\u3002<\/span><\/p>\r\n

\u3053\u308c\u306b\u5bfe\u3057\u3066\u75c5\u9662\u5185\u3067\u624b\u6280\u3068\u3057\u3066\u306e\u300c\u63a1\u8840<\/strong>\u300d\u3068\u3057\u3066\u4f7f\u308f\u308c\u308b\u306e\u304c phlebotomy<\/strong><\/span> \u3067\u3059\u3002\u3053\u308c\u306f phleb-<\/strong> \u300c\u9759\u8108<\/strong>\u300d\u3068 -tomy<\/strong>\u300c\u5207\u958b<\/strong>\u300d\u3092\u7d44\u307f\u5408\u308f\u305b\u305f\u533b\u5b66\u82f1\u8a9e\u3067\u3001\u7c73\u56fd\u3067\u306f\u3053\u308c\u3092\u5c02\u9580\u3068\u3059\u308b phlebotomist<\/strong><\/span><\/a> \u3068\u3044\u3046\u533b\u7642\u8077\u3082\u5b58\u5728\u3057\u307e\u3059\u3002\uff08\u305d\u3057\u3066\u3053\u306e phlebotomist\u306f\u30e6\u30fc\u30e2\u30a2\u3092\u6301\u3063\u3066 \u201cvampire<\/strong>\u201d \u3068\u3082\u547c\u3070\u308c\u3066\u3044\u307e\u3059\u3002\uff09\u3053\u306e phlebotomy \u3068\u3088\u304f\u4f3c\u305f\u533b\u5b66\u7528\u8a9e\u306b venipuncture<\/strong>\u300c\u9759\u8108\u7a7f\u523a<\/strong>\u300d\u3068\u3044\u3046\u3082\u306e\u304c\u3042\u308a\u307e\u3059\u304c\u3001\u3053\u308c\u306f\u300c\u9759\u8108\u3092\u5207\u958b\u3057\u3066\u305d\u3053\u304b\u3089\u63a1\u8840\u3059\u308b\u300dphlebotomy \u3068\u306f\u7570\u306a\u308a\u3001\u5358\u306b\u300c\u9759\u8108\u306b\u91dd\u3092\u523a\u3059<\/strong>\u300d\u3068\u3044\u3046\u610f\u5473\u306b\u306a\u308a\u307e\u3059\u3002<\/span><\/p>\r\n

\u63a1\u8840\u306e\u969b\u306b\u306f\u300c\u99c6\u8840\u5e2f<\/strong>\u300d\u304c\u5fc5\u8981\u306b\u306a\u308a\u307e\u3059\u304c\u3001\u3053\u308c\u3092\u82f1\u8a9e\u3067\u306f tourniquet<\/strong><\/span>\uff08\u300c\u30bf<\/strong>\u30a1\u30cb\u30a3\u30ad\u30c3\u300d\u306e\u3088\u3046\u306b\u767a\u97f3\uff09\u3068\u547c\u3073\u307e\u3059\u3002\u305d\u3057\u3066\u91dd\u306e\u592a\u3055\u306f\u300c\u30b2\u30fc\u30b8<\/strong>\u300d\u3067\u8868\u3057\u307e\u3059\u304c\u3001\u82f1\u8a9e\u306e gauge<\/strong><\/span> \u306e\u767a\u97f3\u306f\u65e5\u672c\u8a9e\u306b\u8fd1\u3044\u300c\u30b2<\/strong>\u30a3\u30b8\u300d\u306e\u3088\u3046\u306b\u306a\u308a\u3001\u82f1\u8a9e\u570f\u3067\u306f21 gauge needles<\/strong> \u304cphlebotomy \u3067\u6700\u3082\u591a\u304f\u4f7f\u308f\u308c\u307e\u3059\u3002\uff08\u3053\u306e gauge \u306f\u300c\u30ac\u30fc\u30bc<\/strong>\u300d\u3092\u610f\u5473\u3059\u308b gauze<\/strong>\uff08\u300c\u30b4<\/strong>\u30a5\u30ba\u300d\u306e\u3088\u3046\u306b\u767a\u97f3\uff09\u3068\u30b9\u30da\u30eb\u304c\u4f3c\u3066\u3044\u308b\u306e\u3067\u6ce8\u610f\u3057\u3066\u304f\u3060\u3055\u3044\u3002\uff09\u300c\u7ffc\u72b6\u91dd<\/strong>\u300d\u306f\u82f1\u8a9e\u3067\u306f butterfly needle<\/strong><\/span> \u3068\u547c\u3070\u308c\u3001\u4e00\u822c\u7684\u306a\u6ce8\u5c04\u91dd\u3067\u3042\u308b straight needle<\/strong> \u3068\u533a\u5225\u3055\u308c\u307e\u3059\u3002<\/span><\/p>\r\n

\u63a1\u8840\u304b\u3089\u5c11\u3057\u8a71\u306f\u5909\u308f\u308a\u307e\u3059\u304c\u3001\u65e5\u672c\u3067\u300c\uff08\u9759\u8108\uff09\u30eb\u30fc\u30c8\u3092\u53d6\u308b<\/strong>\u300d\u3068\u547c\u3070\u308c\u308b\u533b\u7642\u884c\u70ba\u306f\u82f1\u8a9e\u3067\u306f starting an IV<\/strong><\/span> \u3084 starting an IV line<\/strong><\/span> \u306e\u3088\u3046\u306b\u8868\u73fe\u3057\u3001route \u3068\u3044\u3046\u5358\u8a9e\u306f\u4f7f\u3044\u307e\u305b\u3093<\/strong>\u3002\u307e\u305f\u65e5\u672c\u306e\u533b\u7642\u73fe\u5834\u3067\u306f\u300c\u7559\u7f6e\u91dd<\/strong>\u300d\u306e\u8868\u73fe\u3068\u3057\u3066\u5f53\u305f\u308a\u524d\u306e\u3088\u3046\u306b\u4f7f\u308f\u308c\u3066\u3044\u308b\u300c\u30b5\u30fc\u30d5\u30ed\u30fc<\/strong>\u300d\u3067\u3059\u304c\u3001\u3053\u308c\u306f\u82f1\u8a9e\u3067\u306f cannula<\/strong><\/span> \u3068\u306a\u308a\u3001\u300c\uff08\u30b5\u30fc\u30d5\u30ed\u30fc\u7559\u7f6e\u91dd\u3092\u4f7f\u3063\u305f<\/strong>\uff09\u30eb\u30fc\u30c8\u78ba\u4fdd<\/strong>\u300d\u306f IV cannulation<\/strong><\/span> \u3068\u306a\u308a\u307e\u3059\u3002<\/span><\/p>\r\n

\u300c\u4e2d\u5fc3\u9759\u8108\u30ab\u30c6\u30fc\u30c6\u30eb<\/strong>\u300d\u306f\u82f1\u8a9e\u3067\u306f\u305d\u306e\u307e\u307e central venous catheter (CVC)<\/strong><\/span> \u3068\u306a\u308a\u3001\u305d\u306e\u633f\u5165\u306f central line placement<\/strong><\/span> \u3068\u547c\u3070\u308c\u307e\u3059\u3002\u65e5\u672c\u3067\u306f\u300c\u4e2d\u5fc3\u9759\u8108\u6804\u990a<\/strong>\u300d\u3092 intravenous hyperalimentation (IVH) \u3068\u547c\u3093\u3067\u3044\u308b\u533b\u7642\u6a5f\u95a2\u3082\u3042\u308b\u3088\u3046\u3067\u3059\u304c\u3001\u3053\u306e IVH \u3068\u3044\u3046\u8868\u73fe\u306f\u82f1\u8a9e\u570f\u3067\u306f\u5168\u304f\u901a\u7528\u3057\u307e\u305b\u3093<\/strong>\u3002\uff08\u82f1\u8a9e\u3067 IVH \u3068\u8a00\u3048\u3070 intraventricular hemorrhage\u300c\u8133\u5ba4\u5185\u51fa\u8840\u300d\u3068\u306a\u308a\u307e\u3059\u3002\uff09\u82f1\u8a9e\u3067\u306f\u300c\u4e2d\u5fc3\u9759\u8108\u6804\u990a<\/strong>\u300d\u306f total parenteral nutrition (TPN)<\/strong><\/span> \u3068\u8868\u73fe\u3057\u307e\u3059\u3002\u3053\u306e parenteral<\/strong> \u3068\u306f para-: besides \u3068 enteral: intestine \u304b\u3089\u306a\u308b\u7528\u8a9e\u3067\u3042\u308a\u3001\u300c\u7d4c\u53e3\u4ee5\u5916\u306e<\/strong>\u300d\u3092\u610f\u5473\u3057\u307e\u3059\u3002<\/span><\/p>\r\n

\u3053\u308c\u3089\u306f\u5168\u3066\u82f1\u8a9e\u570f\u306e\u81e8\u5e8a\u73fe\u5834\u3067\u306f\u8ab0\u3082\u304c\u77e5\u3063\u3066\u3044\u308b\u300c\u57fa\u672c\u7684\u306a\u82f1\u8a9e\u8868\u73fe<\/strong>\u300d\u3068\u306a\u3063\u3066\u3044\u307e\u3059\u306e\u3067\u3001\u77e5\u3089\u306a\u304b\u3063\u305f\u65b9\u306f\u3053\u308c\u3092\u6a5f\u4f1a\u306b\u3057\u3063\u304b\u308a\u3068\u899a\u3048\u3066\u304a\u3044\u3066\u304f\u3060\u3055\u3044\u306d\u3002<\/span><\/p>\r\n

crit \u3063\u3066\u4f55\u306e\u3053\u3068\uff1f\u77e5\u3063\u3066\u304a\u304d\u305f\u3044\u8840\u6db2\u691c\u67fb\u306e\u82f1\u8a9e\u8868\u73fe<\/strong><\/span>
\r\n\u3067\u306f\u6b21\u306b\u300c\u8840\u6db2\u691c\u67fb<\/strong>\u300d\u306e\u82f1\u8a9e\u8868\u73fe\u3092\u898b\u3066\u3044\u304d\u307e\u3057\u3087\u3046\u3002
\r\n<\/span><\/p>\r\n

\u300c\u8840\u6db2\u691c\u67fb<\/strong>\u300d\u306e\u82f1\u8a9e\u8868\u73fe\u3068\u3057\u3066\u306f blood test<\/strong><\/span> \u306e\u4ed6\u306b\u3082\u3001\u5148\u307b\u3069\u7d39\u4ecb\u3057\u305f blood draw<\/strong><\/span> \u3084 blood work<\/strong><\/span> \u306e\u3088\u3046\u306a\u3082\u306e\u304c\u3042\u308a\u307e\u3059\u3002<\/span><\/p>\r\n

\u300c\u8840\u6db2\u57f9\u990a<\/strong>\u300d\u306f blood culture<\/strong><\/span> \u3068\u306a\u308a\u3001\u300c\u8840\u6db2\u5857\u6cab\u6a19\u672c<\/strong>\u300d\u306f blood smear<\/strong><\/span> \u3068\u306a\u308a\u307e\u3059\u3002\u305f\u3060\u3053\u306e smear \u306e\u767a\u97f3\u306f\u65e5\u672c\u8a9e\u306e\u300c\u30b9\u30e1\u30a2\u300d\u3068\u7570\u306a\u308a\u3001\u300c\u30b9\u30df<\/strong>\u30a3\u30a2\u300d\u306e\u3088\u3046\u306b\u306a\u308b\u306e\u3067\u6ce8\u610f\u3057\u3066\u304f\u3060\u3055\u3044\u3002<\/span><\/p>\r\n

\u8ca7\u8840\u306e\u8a3a\u65ad\u3067\u91cd\u8981\u3068\u306a\u308b\u300c\u5168\u8840\u7403\u8a08\u7b97<\/strong>\/\u8840\u7b97<\/strong>\u300d\u306f\u3001\u7c73\u56fd\u3067\u306f complete blood count (CBC)<\/strong><\/span> \u3068\u3001\u305d\u3057\u3066\u82f1\u56fd\u3067\u306f full blood count (FBC) <\/strong><\/span>\u3068\u547c\u3070\u308c\u307e\u3059\u3002<\/span><\/p>\r\n

\u7c73\u56fd\u306e\u75c5\u9662\u3067\u306f CBC \u306e\u3088\u3046\u306a lab values \u3092\u8996\u899a\u7684\u306b\u308f\u304b\u308a\u3084\u3059\u304f\u4f1d\u3048\u308b\u305f\u3081\u306b\u3001\u305d\u308c\u305e\u308c\u306e\u691c\u67fb\u7d50\u679c\u3092\u300c\u9b5a\u306e\u9aa8<\/strong>\u300d\u306e\u3088\u3046\u306a\u8868\u3092\u4f7f\u3063\u3066\u63d0\u793a\u3059\u308b fishbones<\/strong><\/span>\/lab value skeletons<\/strong><\/span> \u3068\u3044\u3046\u63d0\u793a\u65b9\u6cd5\u304c\u3042\u308a\u307e\u3059\u3002CBC \u3067\u306f white blood cells, hemoglobin, hematocrit,<\/strong> and platelets<\/strong> \u3068\u3044\u30464\u9805\u76ee\u3092\u3053\u3061\u3089<\/strong><\/a>\u306e\u3088\u3046\u306b\u63d0\u793a\u3057\u307e\u3059\u3002\u3053\u306e fishbones \u306b\u306f\u3053\u308c\u4ee5\u5916\u306b\u3082 sodium, potassium, chloride, bicarbonate, blood urea nitrogen, creatinine, and blood glucose \u306e7\u9805\u76ee\u3092\u63d0\u793a\u3059\u308b chem-7<\/strong><\/span> \u3084\u3001total\/direct bilirubin, AST, ALT, and ALK phosphate \u3068\u3044\u30465\u9805\u76ee\u3092\u63d0\u793a\u3059\u308b liver panel<\/strong><\/span> \u306a\u3069\u304c\u3042\u308a\u307e\u3059\u306e\u3067\u3001\u8208\u5473\u306e\u3042\u308b\u65b9\u306f\u3053\u3061\u3089<\/strong><\/span><\/a>\u306e\u52d5\u753b\u3092\u3054\u89a7\u304f\u3060\u3055\u3044\u3002<\/span><\/p>\r\n

\u8ca7\u8840\u3067\u306f\u3053\u306eCBC \u306e\u4e2d\u3067\u3082 hemoglobin (Hgb)<\/strong><\/span> \u3068 hematocrit (Hct)<\/strong><\/span> \u304c\u91cd\u8981\u306b\u306a\u308a\u307e\u3059\u304c\u3001\u3053\u306e\u3046\u3061 hematocrit \u306f\u63a1\u8840\u3057\u305f\u8840\u6db2\u3092 centrifuge<\/strong>\u300c\u9060\u5fc3\u5206\u96e2<\/strong>\u300d\u3057\u3001\u6c88\u6bbf\u3057\u305f\u8d64\u8840\u7403\u304c\u8840\u6db2\u5168\u4f53\u306e\u3046\u3061\u3069\u306e\u304f\u3089\u3044\u306e\u4f53\u7a4d\u3092\u5360\u3081\u308b\u306e\u304b\u3092\u8868\u3059\u308f\u3051\u3067\u3059\u304b\u3089\u3001 packed-cell volume (PCV)<\/strong><\/span> \u3068\u3082\u547c\u3070\u308c\u3066\u3044\u307e\u3059\u3002\u305d\u3057\u3066\u3053\u306e hematocrit \u306f\u81e8\u5e8a\u73fe\u5834\u3067\u306f\u77ed\u7e2e\u3057\u3066 crit<\/strong><\/span> \u3068\u3082\u547c\u3070\u308c\u307e\u3059\u3002\u65e5\u672c\u3067\u306f\u300c\u30d8\u30de\u30c8<\/strong>\u300d\u3068\u524d\u306e\u90e8\u5206\u304c\u6b8b\u308b\u306e\u306b\u5bfe\u3057\u3001\u82f1\u8a9e\u3067\u306f\u5f8c\u306e crit \u306e\u90e8\u5206\u304c\u6b8b\u308b\u308f\u3051\u3067\u3059\u3002<\/span><\/p>\r\n

koilonychia? cheilosis? \u77e5\u3063\u3066\u304a\u304d\u305f\u3044\u9244\u6b20\u4e4f\u6027\u8ca7\u8840\u306e\u6240\u898b <\/strong><\/span>
\r\n\u3067\u306f\u3053\u3053\u304b\u3089\u300c\u8ca7\u8840<\/strong>\u300d\u306b\u95a2\u3059\u308b\u82f1\u8a9e\u8868\u73fe\u3092\u898b\u3066\u3044\u304d\u307e\u3057\u3087\u3046\u3002
\r\n<\/span><\/p>\r\n

\u65e5\u672c\u3067\u306f\u300c\u8ca7\u8840<\/strong>\u300d\u306e\u82f1\u8a9e\u306f anemia<\/strong><\/span> \u3067\u8a8d\u8b58\u3055\u308c\u3066\u3044\u307e\u3059\u304c\u3001\u3053\u308c\u306f\u7c73\u56fd\u3067\u306e\u30b9\u30da\u30eb\u3067\u3059\u3002\u82f1\u56fd\u3067\u306f anaemia<\/strong><\/span> \u3068\u306a\u308a\u307e\u3059\u306e\u3067\u6ce8\u610f\u3057\u3066\u304f\u3060\u3055\u3044\u3002<\/span><\/p>\r\n

\u7686\u3055\u3093\u3054\u5b58\u77e5\u306e\u901a\u308a\u3001\u3053\u306e anemia\/anaemia \u306f hemoglobin \u306e\u4f4e\u4e0b\u304c\u5b9a\u7fa9\u3068\u306a\u308b\u306e\u3067\u3059\u304c\u3001\u65e5\u672c\u8a9e\u3067\u300c\u8ca7\u8840\u3063\u307d\u3044<\/strong>\u300d\u306e\u3088\u3046\u306b\u75c7\u72b6\u3068\u3057\u3066\u4f7f\u3046\u306e\u3068\u540c\u69d8\u306b\u3001\u82f1\u8a9e\u3067\u3082 \u201cI feel anemic\/anaemic<\/strong><\/span>.\u201d \u306e\u3088\u3046\u306b\u75c7\u72b6\u3068\u3057\u3066\u3082\u4f7f\u308f\u308c\u307e\u3059\u3002\u3064\u307e\u308a\u3053\u306e anemic \u3068\u306f\u3001\u5168\u3066\u306e\u8ca7\u8840\u306b\u5171\u901a\u3057\u305f\u75c7\u72b6\u3067\u3042\u308b fatigue<\/strong><\/span>\/low energy<\/strong><\/span> \u3084 dizziness<\/strong><\/span> \/lightheadedness<\/strong><\/span> \u306a\u3069\u304c\u5b58\u5728\u3059\u308b\u3053\u3068\u3092\u610f\u5473\u3059\u308b\u308f\u3051\u3067\u3059\u3002
\r\n<\/span><\/p>\r\n

\u3053\u306e anemia \u306e\u8a3a\u65ad\u306b\u304a\u3044\u3066\u306f CBC \u306b\u542b\u307e\u308c\u308b mean corpuscular volume (MCV) <\/strong><\/span>\u3068\u3044\u3046\u691c\u67fb\u304c\u91cd\u8981\u306b\u306a\u308a\u307e\u3059\u3002\u3053\u306e corpuscular \u3068\u306f\u300c\u30d0\u30e9\u30d0\u30e9\u306e\u5c0f\u3055\u306a\u7d30\u80de = \u8840\u7403\u3084\u30ea\u30f3\u30d1\u7403\u300d\u3068\u3044\u3046\u30a4\u30e1\u30fc\u30b8\u306e\u5358\u8a9e\u3067\u3059\u306e\u3067\u3001MCV \u3068\u306f\u300c\u5e73\u5747\u7684\u306a\u8d64\u8840\u7403\u306e\u5927\u304d\u3055<\/strong>\u300d\u3092\u610f\u5473\u3057\u307e\u3059\u3002\u305d\u3057\u3066\u7686\u3055\u3093\u3054\u5b58\u77e5\u306e\u3088\u3046\u306b\u3001\u3053\u306e MCV \u306b\u3088\u3063\u3066 anemia \u306f\u4e0b\u8a18\u306e3\u3064\u306b\u5206\u985e\u3055\u308c\u307e\u3059\u3002
\r\n<\/span>
\r\n
\r\nMCV < 80 fL or \u03bcmm3<\/sup>: microcytic<\/strong><\/span> anemia\u300c\u5c0f\u7403\u6027<\/strong>\u8ca7\u8840\u300d
\r\nMCV 80-100 fL or \u03bcmm3<\/sup>: normocytic<\/strong><\/span> anemia\u300c\u6b63\u7403\u6027<\/strong>\u8ca7\u8840\u300d
\r\nMCV > 100 fL or \u03bcmm3<\/sup>: macrocytic<\/strong><\/span> anemia\u300c\u5927\u7403\u6027<\/strong>\u8ca7\u8840\u300d
\r\n<\/span><\/p>\r\n

\u3061\u306a\u307f\u306b MCV \u306e\u5358\u4f4d\u3067\u3042\u308b fL<\/strong> \u306f femtoliters<\/strong><\/span> \u3068\u3001\u305d\u3057\u3066 \u03bcmm3<\/sup><\/strong> \u306f micro cubic millimeters<\/strong><\/span> \u3068\u8aad\u307f\u307e\u3059\u3002<\/span><\/p>\r\n

\u3053\u308c\u3089\u306e anemia \u306e\u4e2d\u3067\u6700\u3082\u591a\u3044\u306e\u304c microcytic anemia \u3067\u3042\u308b iron deficiency anemia<\/strong><\/span>\u300c\u9244\u6b20\u4e4f\u6027\u8ca7\u8840<\/strong>\u300d\u3067\u3059\u3002\u305d\u3057\u3066\u3053\u306e iron deficiency anemia \u3067\u306f\u4e0b\u8a18\u306e\u3088\u3046\u306a\u8eab\u4f53\u8a3a\u5bdf\u6240\u898b\u304c\u73fe\u308c\u307e\u3059\u3002
\r\n\u00a0\u00a0 \u2022<\/strong>\u00a0\u00a0 conjunctival pallor<\/strong><\/span>\u300c\u773c\u77bc\u7d50\u819c\u84bc\u767d<\/strong>\uff08\u3053\u308c\u306f\u8ca7\u8840\u5168\u822c\u306b\u8a8d\u3081\u3089\u308c\u308b\u6240\u898b)\u300d
\r\n\u00a0\u00a0 \u2022<\/strong>\u00a0\u00a0 koilonychia<\/strong><\/span>\/spoon nails<\/strong>\u300c\u5319\uff08\u3055\u3058\uff09\u72b6\u722a<\/strong>\u300d
\r\n\u00a0\u00a0 \u2022<\/strong>\u00a0\u00a0 glossitis<\/strong><\/span>\u300c\u820c\u708e<\/strong>\u300d
\r\n\u00a0\u00a0 \u2022<\/strong>\u00a0\u00a0 cheilosis\/angular cheilitis<\/strong><\/span>\u300c\u53e3\u89d2\u75c7\u30fb\u53e3\u89d2\u708e<\/strong>\u300d
\r\n<\/span><\/p>\r\n

\u3053\u306e\u4e2d\u3067\u3082 koilonychia<\/strong> \u3068 cheilosis\/cheilitis<\/strong> \u3068\u3044\u3046\u82f1\u8a9e\u8868\u73fe\u306f\u3001\u65e5\u672c\u306e\u533b\u5b66\u751f\u306b\u306f\u3042\u307e\u308a\u8a8d\u77e5\u3055\u308c\u3066\u3044\u306a\u3044\u306e\u3067\u3001\u3053\u308c\u3092\u6a5f\u4f1a\u306b\u662f\u975e\u899a\u3048\u3066\u304a\u3044\u3066\u304f\u3060\u3055\u3044\u306d\u3002<\/span>
\r\n
\r\n\u4e00\u5ea6\u899a\u3048\u305f\u3089\u7d76\u5bfe\u306b\u5fd8\u308c\u306a\u3044\uff01Dr. \u62bc\u5473\u5f0f \u30d3\u30bf\u30df\u30f3\u306e\u899a\u3048\u65b9<\/strong><\/span>
\r\n\u3053\u3053\u3067\u306f\u8ca7\u8840\u306e\u9451\u5225\u75be\u60a3\u306b\u3064\u3044\u3066\u5168\u3066\u8ff0\u3079\u308b\u3053\u3068\u306f\u3057\u307e\u305b\u3093\u304c\u3001\u6700\u5f8c\u306b macrocytic anemia<\/strong> \u306e\u4e00\u3064\u3067\u3042\u308bmegaloblastic anemia<\/strong><\/span>\u300c\u5de8\u8d64\u82bd\u7403\u6027\u8ca7\u8840<\/strong>\u300d\u306b\u3064\u3044\u3066\u5c11\u3057\u8aac\u660e\u3057\u307e\u3057\u3087\u3046\u3002
\r\n<\/span><\/p>\r\n

\u3053\u308c\u306f vitamin B9<\/strong> \u3067\u3042\u308b folate<\/strong>\/folic acid<\/strong>\u300c\u8449\u9178<\/strong>\u300d\u3082\u3057\u304f\u306f vitamin B12<\/strong> \u3067\u3042\u308b cobalamin<\/strong>\u300c\u30b3\u30d0\u30e9\u30df\u30f3<\/strong>\u300d\u304c\u4e0d\u8db3\u3001\u3082\u3057\u304f\u306f\u5438\u53ce\u3067\u304d\u306a\u3044\u3053\u3068\u306b\u3088\u3063\u3066\u751f\u3058\u308b\u8ca7\u8840\u3067\u3057\u305f\u306d\u3002
\r\n<\/span><\/p>\r\n

\u3053\u306e vitamin B9 \u3068B12\u306f DNA synthesis \u306b\u5fc5\u8981\u306a\u305f\u3081\u3001\u4e0d\u8db3\u3059\u308b\u3068 red blood cell macrocytosis \u304c\u751f\u3058\u3066 megaloblastic anemia \u3092\u751f\u3058\u308b\u3060\u3051\u3067\u306a\u304f\u3001hyper-segmented neutrophils<\/strong><\/span>\u300c\u904e\u5206\u8449\u597d\u4e2d\u7403<\/strong>\u300d\u3082\u751f\u3058\u307e\u3059\u3002
\r\n<\/span><\/p>\r\n

vitamin B9 \u306f vitamin B12 \u3068\u5171\u306b homocysteine \u3092methionine \u306b\u5909\u63db\u3059\u308b\u969b\u306b\u5fc5\u8981\u306b\u306a\u308b\u306e\u3067\u3001vitamin B9 \u304c\u4e0d\u8db3\u3059\u308b\u3068homocysteine \u304c\u4e0a\u6607<\/strong>\u3057\u307e\u3059\u304c\u3001vitamin B12 \u306f\u3053\u308c\u4ee5\u5916\u306b\u3082 methylmalonyl-CoA \u3092succinyl-CoA \u306b\u5909\u63db\u3059\u308b\u969b\u306b\u5fc5\u8981\u306a\u306e\u3067\u3001vitamin B12 \u304c\u4e0d\u8db3\u3059\u308b\u3068 homocysteine \u306e\u4ed6\u306b\u3082<\/strong> methylmalonyl-CoA \u306e\u524d\u99c6\u4f53\u3067\u3042\u308b methylmalonic acid \u304c\u4e0a\u6607<\/strong>\u3057\u307e\u3059\u3002\u305d\u3057\u3066\u3053\u306e vitamin B12 \u306e\u4e0d\u8db3<\/strong>\u306f neurological symptoms<\/strong><\/span> \u3082\u5f15\u304d\u8d77\u3053\u3057\u307e\u3059\u3002<\/span><\/p>\r\n

\u3053\u306e\u3088\u3046\u306b vitamin B9 \u3068 B12\u306e\u4e0d\u8db3\u306f\u81e8\u5e8a\u7684\u306b\u3082\u6975\u3081\u3066\u91cd\u8981\u306a\u306e\u3067\u3059\u304c\u3001\u7686\u3055\u3093\u306f\u305d\u3082\u305d\u3082\u5168\u3066\u306e\u30d3\u30bf\u30df\u30f3\u3092\u899a\u3048\u3066\u3044\u307e\u3059\u304b\uff1f<\/span><\/p>\r\n

vitamin<\/strong><\/span> \u306f\u7c73\u56fd\u3067\u306f\u300c\u30f4\u30a1<\/strong>\u30a4\u30bf\u30df\u30f3\u300d\u306e\u3088\u3046\u306b\u767a\u97f3\u3057\u307e\u3059\u304c\u3001\u82f1\u56fd\u3067\u306f\u65e5\u672c\u8a9e\u306e\u300c\u30d3\u30bf\u30df\u30f3\u300d\u306b\u8fd1\u3044\u300c\u30f4\u30a3<\/strong>\u30bf\u30df\u30f3\u300d\u306e\u3088\u3046\u306b\u767a\u97f3\u3057\u307e\u3059\u3002\u3053\u3053\u3067\u306f\u79c1\u304c\u5927\u5b66\u3067\u3044\u3064\u3082\u5b66\u751f\u3055\u3093\u306b\u6559\u3048\u3066\u3044\u308b 13 \u306e vitamins \u306e\u899a\u3048\u65b9\u3092\u3054\u7d39\u4ecb\u3057\u307e\u3059\u3002<\/span><\/p>\r\n

\u307e\u305a vitamin \u306f fat\/lipid soluble vitamin<\/strong><\/span>s<\/strong>\u300c\u8102\u6eb6\u6027\u30d3\u30bf\u30df\u30f3<\/strong>\u300d\u3068 water soluble vitamin<\/strong><\/span>s<\/strong>\u300c\u6c34\u6eb6\u6027\u30d3\u30bf\u30df\u30f3<\/strong>\u300d\u306b\u5206\u304b\u308c\u307e\u3059\u3002\u305d\u3057\u3066\u3053\u306e fat soluble vitamins \u306f\u7686\u3055\u3093\u3082\u3088\u304f\u4f7f\u3063\u3066\u3044\u308b\u300c\u3053\u308c\u3060\u3051<\/strong>\u300d\u3092\u610f\u5473\u3059\u308b DAKE<\/strong>\u3001\u3064\u307e\u308a vitamin D, A, K, and E<\/strong> \u3067\u899a\u3048\u307e\u3059\u3002\u305d\u3057\u3066 water soluble vitamin \u306b B \u3068C \u306e2\u7a2e\u985e\u304c\u3042\u308b<\/strong>\u3067\u3059\u304c\u3001B\u306f\u8907\u6570\u3042\u308b\u305f\u3081\u3001\u3053\u306e B \u3092\u899a\u3048\u308b\u306e\u306b\u7686\u3055\u3093\u82e6\u52b4\u3057\u3066\u3044\u308b\u3068\u601d\u3044\u307e\u3059\u3002<\/span><\/p>\r\n

\u79c1\u304c\u7d39\u4ecb\u3057\u3066\u3044\u308bvitamin B\u306e\u899a\u3048\u65b9\u306f\u300cB \u306f\u6570\u5b57\u306e 8<\/strong><\/span> \u306b\u4f3c\u3066\u3044\u3066\u3001\u5168\u90e8\u30678\u500b<\/strong><\/span>\u3042\u308a\u307e\u3059\u30021, 2, 3<\/strong><\/span> \u3068\u6765\u30664\u306f\u306a\u304f\u30015, 6, 7<\/strong><\/span> \u3068\u6765\u30668 \u306f\u3042\u308a\u307e\u305b\u3093\u30029\u306812<\/strong><\/span>\u306f\u529b\u6280\u3067\u899a\u3048\u307e\u3057\u3087\u3046\u3002\u300d\u3068\u3044\u3046\u3082\u306e\u3067\u3059\u3002\u30a4\u30e1\u30fc\u30b8\u3067\u793a\u3059\u3068\u3053\u3061\u3089<\/strong><\/a>\u306e\u3088\u3046\u306b\u306a\u308a\u307e\u3059\u3002\u500b\u4eba\u7684\u306b\u306f\u3053\u308c\u306713\u500b\u306evitamin\u3092\u5fd8\u308c\u305f\u3053\u3068\u306f\u3042\u308a\u307e\u305b\u3093\u3057\u3001\u3053\u308c\u307e\u3067\u6559\u3048\u3066\u304d\u305f\u5b66\u751f\u3055\u3093\u304b\u3089\u3082\u597d\u8a55\u3092\u9802\u3044\u3066\u304a\u308a\u307e\u3059\u3002\u4e00\u5ea6\u899a\u3048\u3066\u3057\u307e\u3048\u3070\u5fd8\u308c\u306b\u304f\u3044\u899a\u3048\u65b9\u3060\u3068\u601d\u3044\u307e\u3059\u306e\u3067\u3001\u662f\u975e\u7686\u3055\u3093\u3082\u304a\u8a66\u3057\u304f\u3060\u3055\u3044\u3002<\/span><\/p>\r\n

\u3055\u3066\u305d\u308d\u305d\u308d\u30ab\u30c3\u30d7\u306e\u30b3\u30fc\u30d2\u30fc\u3082\u6b8b\u308a\u308f\u305a\u304b\u3067\u3059\u3002
\r\n\u6700\u5f8c\u306b First Aid for USMLE Step 1<\/strong><\/span> \u3067\u7d39\u4ecb\u3055\u308c\u3066\u3044\u308b anemia \u306e\u4e3b\u306a\u9451\u5225\u75be\u60a3\u3092\u79c1\u306a\u308a\u306b\u307e\u3068\u3081\u305f\u3082\u306e\u3092\u3054\u7d39\u4ecb\u3057\u307e\u3059\u3002Post CC OSCE \u306e\u969b\u306e\u53c2\u8003\u306b\u3057\u3066\u304f\u3060\u3055\u3044\u3002
\r\n<\/span><\/p>\r\n


\r\n\u3000\u3000<\/em>\u2022 Microcytic anemia<\/strong><\/span>
\r\n\u3000\u3000\u3000\u3000<\/em>o Iron deficiency anemia<\/strong>
\r\n\u3000\u3000\u3000\u3000<\/em>o Anemia of chronic disease<\/strong>
\r\n\u3000\u3000\u3000\u3000<\/em>o Sideroblastic anemia
\r\n\u3000\u3000\u3000\u3000<\/em>o Lead poisoning
\r\n\u3000\u3000\u3000\u3000<\/em>o Thalassemia
\r\n
\r\n\u3000\u3000<\/em>\u2022 Normocytic anemia<\/strong><\/span>
\r\n\u3000\u3000\u3000\u3000<\/em>o Hemolytic anemia<\/strong>
\r\n\u3000\u3000\u3000\u3000\u3000\u3000<\/em>\u25a0 <\/span>Intrinsic<\/strong> hemolytic anemia
\r\n\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000<\/em>\u30fb Hereditary spherocytosis
\r\n\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000<\/em>\u30fb Paroxysmal nocturnal hemoglobinuria
\r\n\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000<\/em>\u30fb Sickle cell anemia
\r\n\u3000\u3000\u3000\u3000\u3000\u3000<\/em>\u25a0 <\/span>Extrinsic<\/strong> hemolytic anemia
\r\n\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000<\/em>\u30fb Autoimmune
\r\n\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000<\/em>\u30fb Micro<\/strong>angiopathic hemolytic anemia
\r\n\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000<\/em>\u30fb Macro<\/strong>angiopathic hemolytic anemia
\r\n\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000<\/em>\u30fb Infections
\r\n\u3000\u3000\u3000\u3000<\/em>o Non-hemolytic anemia<\/strong>
\r\n\u3000\u3000\u3000\u3000\u3000\u3000<\/em>\u25a0 <\/span>Aplastic anemia
\r\n\u3000\u3000\u3000\u3000\u3000\u3000<\/em>\u25a0 <\/span>Chronic kidney disease
\r\n
\r\n\u3000\u3000<\/em>\u2022 Macrocytic anemia<\/strong><\/span>
\r\n\u3000\u3000\u3000\u3000<\/em>o Megaloblastic anemia<\/strong>
\r\n\u3000\u3000\u3000\u3000\u3000\u3000<\/em>\u25a0 <\/span>Folate (B9) deficiency
\r\n\u3000\u3000\u3000\u3000\u3000\u3000<\/em>\u25a0 <\/span>B12 deficiency\/pernicious anemia
\r\n\u3000\u3000\u3000\u3000<\/em>o Non-megaloblastic anemia<\/strong>
\r\n\u3000\u3000\u3000\u3000\u3000\u3000<\/em>\u25a0 <\/span>Liver disease
\r\n\u3000\u3000\u3000\u3000\u3000\u3000<\/em>\u25a0 <\/span>Alcoholism
\r\n\u3000\u3000\u3000\u3000\u3000\u3000<\/em>\u25a0 <\/span>Diamond-Blackfan anemia
\r\n<\/span><\/span><\/p>\r\n

\u3067\u306f\u3001\u307e\u305f\u306e\u3054\u6765\u5e97\u3092\u304a\u5f85\u3061\u3057\u3066\u304a\u308a\u307e\u3059\u3002<\/span><\/p>\r\n


\r\n\u300cDr. \u62bc\u5473\u306e\u533b\u5b66\u82f1\u8a9e\u30ab\u30d5\u30a7\u300d\u3067\u306f\u7686\u3055\u3093\u304b\u3089\u6271\u3063\u3066\u6b32\u3057\u3044\u30c8\u30d4\u30c3\u30af\u3092\u52df\u96c6\u3044\u305f\u3057\u307e\u3059\u3002\u3053\u3061\u3089\u306e\u30ea\u30f3\u30af<\/strong><\/span><\/a>\u304b\u3089\u3053\u306e\u30ab\u30d5\u30a7\u3067\u6271\u3063\u3066\u6b32\u3057\u3044\u3068\u601d\u3046\u533b\u5b66\u82f1\u8a9e\u306e\u30c8\u30d4\u30c3\u30af\u3092\u3054\u81ea\u7531\u306b\u8a18\u8f09\u304f\u3060\u3055\u3044\u3002<\/span><\/p>\r\n

\u56fd\u969b\u533b\u7642\u798f\u7949\u5927\u5b66\u533b\u5b66\u90e8 \u533b\u5b66\u6559\u80b2\u7d71\u62ec\u30bb\u30f3\u30bf\u30fc \u51c6\u6559\u6388\u3000\u62bc\u5473 \u8cb4\u4e4b<\/p>\r\n\r\n\r\n","protected":false},"excerpt":{"rendered":"\u3053\u3093\u306b\u3061\u306f\u3002\u300c\u533b\u5b66\u82f1\u8a9e\u30ab\u30d5\u30a7\u300d\u306b\u3088\u3046\u3053\u305d\uff01 \u3053\u3053\u306f\u300c\u30b3\u30fc\u30d2\u30fc1\u676f\u5206\u300d\u306e\u6642\u9593\u3067\u3001\u533b\u5b66\u82f1\u8a9e\u306b\u307e\u3064\u308f\u308b\u8a71\u3092\u6c17\u8efd\u306b\u697d\u3057\u3093\u3067\u3044\u305f\u3060\u304f\u30b3\u30fc\u30ca\u30fc\u3067\u3059\u3002 \u672c\u65e5\u306e\u30c6\u30fc\u30de\u306f\u300c\u8840\u6db2\u306b\u95a2\u3059\u308b\u82f1\u8a9e\u8868\u73fe\u300d\u3002 \u300c\u8ca7\u8840\u300d\u306f\u60a3\u8005\u3055\u3093\u304c\u8a34\u3048\u308b\u300c\u75c7\u72b6\u300d\u3067\u306f\u306a","protected":false},"author":1,"featured_media":6870,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"onecolumn-960.php","format":"standard","meta":{"_acf_changed":false,"_jin_ogp_image_url":"","_jin_last_featured_id":0,"footnotes":""},"categories":[63],"tags":[],"class_list":["post-7083","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-eigocafe"],"acf":[],"_links":{"self":[{"href":"https:\/\/wp.meccari.jp\/api\/wp\/v2\/posts\/7083","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/wp.meccari.jp\/api\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/wp.meccari.jp\/api\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/wp.meccari.jp\/api\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/wp.meccari.jp\/api\/wp\/v2\/comments?post=7083"}],"version-history":[{"count":5,"href":"https:\/\/wp.meccari.jp\/api\/wp\/v2\/posts\/7083\/revisions"}],"predecessor-version":[{"id":7282,"href":"https:\/\/wp.meccari.jp\/api\/wp\/v2\/posts\/7083\/revisions\/7282"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/wp.meccari.jp\/api\/wp\/v2\/media\/6870"}],"wp:attachment":[{"href":"https:\/\/wp.meccari.jp\/api\/wp\/v2\/media?parent=7083"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/wp.meccari.jp\/api\/wp\/v2\/categories?post=7083"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/wp.meccari.jp\/api\/wp\/v2\/tags?post=7083"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}