{"id":7182,"date":"2021-12-01T09:00:45","date_gmt":"2021-12-01T00:00:45","guid":{"rendered":"https:\/\/wp.meccari.jp\/?p=7182"},"modified":"2023-12-25T12:13:33","modified_gmt":"2023-12-25T03:13:33","slug":"menu_33","status":"publish","type":"post","link":"https:\/\/wp.meccari.jp\/eigocafe\/menu_33\/","title":{"rendered":"Menu 33\u3000 \u3051\u3044\u308c\u3093\u306b\u95a2\u3059\u308b\u82f1\u8a9e\u8868\u73fe"},"content":{"rendered":"<img loading=\"lazy\" decoding=\"async\" src=\"\/wp-content\/uploads\/2023\/10\/eigocafe.jpg\" alt=\"\" width=\"1100\" height=\"275\" \/>\r\n\r\n<p><span style=\"font-size: large;\">\u3053\u3093\u306b\u3061\u306f\u3002\u300c<span style=\"color: #8b4513;\"><strong>\u533b\u5b66\u82f1\u8a9e\u30ab\u30d5\u30a7<\/strong><\/span>\u300d\u306b\u3088\u3046\u3053\u305d\uff01<\/span><\/p>\r\n\r\n<p><span style=\"font-size: large;\"> \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\r\n<p><span style=\"font-size: large;\">\u672c\u65e5\u306e\u30c6\u30fc\u30de\u306f\u300c<span style=\"color: #1e90ff;\"><strong>\u3051\u3044\u308c\u3093\u306b\u95a2\u3059\u308b\u82f1\u8a9e\u8868\u73fe<\/strong><\/span>\u300d\u3002<\/span><\/p>\r\n<p><span style=\"font-size: large;\">\u533b\u5b66\u6559\u80b2\u30e2\u30c7\u30eb\u30fb\u30b3\u30a2\u30fb\u30ab\u30ea\u30ad\u30e5\u30e9\u30e0\u306e\u300c<a href=\"https:\/\/www.mext.go.jp\/component\/b_menu\/shingi\/toushin\/__icsFiles\/afieldfile\/2017\/06\/28\/1383961_01.pdf\" target=\"blank\" rel=\"noopener\"><span style=\"color: #3366ff;\"><span style=\"text-decoration: underline;\"><strong>37\u306e\u75c7\u5019\u30fb\u75c5\u614b<\/strong><\/span><\/span><\/a>\u300d\u306e\u4e2d\u3067\u3082\u3001\u300c<strong>\u3051\u3044\u308c\u3093<\/strong>\u300d\u306f\u305d\u306e\u8a3a\u65ad\u3060\u3051\u3067\u306a\u304f\u3001\u95a2\u9023\u3059\u308b\u82f1\u8a9e\u8868\u73fe\u3082\u542b\u3081\u3066\u82e6\u624b\u3068\u3057\u3066\u3044\u308b\u5b66\u751f\u3055\u3093\u304c\u591a\u3044\u3068\u3044\u3046\u5370\u8c61\u304c\u3042\u308a\u307e\u3059\u3002<\/span><\/p>\r\n<p><span style=\"font-size: large;\">\u305d\u3053\u3067\u4eca\u6708\u306f\u300c<strong>\u3051\u3044\u308c\u3093\u306b\u95a2\u3059\u308b\u82f1\u8a9e\u8868\u73fe<\/strong>\u300d\u3092\u69d8\u3005\u306a\u8996\u70b9\u304b\u3089\u3054\u7d39\u4ecb\u3057\u307e\u3059\u3002<\/span><\/p>\r\n<p><span style=\"font-size: large;\"><span style=\"color: #fe3d45;\"><strong>\u305d\u3082\u305d\u3082\u300c\u3051\u3044\u308c\u3093\u300d\u3063\u3066\u82f1\u8a9e\u3067\u4f55\u3068\u8a00\u3046\u306e\uff1f<\/strong><\/span><\/span><br \/>\r\n<span style=\"font-size: large;\">\u300c<strong>\u3051\u3044\u308c\u3093<\/strong>\u300d\u3068\u306f\u300c<strong>\u767a\u4f5c\u7684\u306b\u8d77\u3053\u308b\u4e0d\u968f\u610f\u904b\u52d5<\/strong>\u300d\u306e\u7dcf\u79f0\u3067\u3001\u533b\u5b66\u7528\u8a9e\u3067\u306f\u3042\u308a\u307e\u305b\u3093\u3002\u3067\u3059\u304b\u3089\u60a3\u8005\u3055\u3093\u304c\u300c<strong>\u3051\u3044\u308c\u3093<\/strong>\u300d\u3068\u8a00\u3063\u305f\u5834\u5408\u3001\u305d\u308c\u304c\u5177\u4f53\u7684\u306b\u3069\u306e\u3088\u3046\u306a\u52d5\u304d\u306a\u306e\u304b\u3092\u78ba\u8a8d\u3059\u308b\u5fc5\u8981\u304c\u3042\u308a\u307e\u3059\u3002<\/span><\/p>\r\n<p><span style=\"font-size: large;\">\u300c<strong>\u3051\u3044\u308c\u3093<\/strong>\u300d\u306f\u82f1\u8a9e\u3067\u306f <span style=\"background-color: #ffff33;\"><strong>convulsion<\/strong><\/span> \u3068\u306a\u308a\u3001\u65e5\u672c\u8a9e\u3068\u540c\u69d8\u306b <strong>\u201ca sudden involuntary contraction of the muscles\u201d<\/strong> \u3068\u3044\u3046\u5b9a\u7fa9\u306b\u306a\u308a\u307e\u3059\u3002\u3053\u306e\u52d5\u304d\u306f\u901a\u5e38\u3001<strong>\u8907\u6570<\/strong>\u3067\u3042\u308b\u3053\u3068\u304c\u4e00\u822c\u7684\u3067\u3059\u306e\u3067\u3001convulsion<span style=\"background-color: #ffff33;\"><strong>s<\/strong><\/span> \u306e\u3088\u3046\u306b\u8907\u6570\u5f62\u3067\u8868\u73fe\u3059\u308b\u3053\u3068\u304c\u4e00\u822c\u7684\u3067\u3059\u3002<\/span><\/p>\r\n<p><span style=\"font-size: large;\">\u305d\u3057\u3066\u3053\u306e\u300c<strong>\u3051\u3044\u308c\u3093<\/strong>\u300d\u306b\u306f\u3001 <strong>convulsions<\/strong> \u4ee5\u5916\u306b\u3082\u69d8\u3005\u306a\u82f1\u8a9e\u8868\u73fe\u304c\u4f7f\u308f\u308c\u307e\u3059\u3002<\/span><\/p>\r\n<p><span style=\"font-size: large;\">\u300c<strong>\u3051\u3044\u308c\u3093<\/strong>\u300d\u304c\u8d77\u3053\u3063\u3066\u3044\u308b\u72b6\u614b\u3092 <span style=\"background-color: #ffff33;\"><strong>fit<\/strong><\/span> \u3084 <span style=\"background-color: #ffff33;\"><strong>spell<\/strong><\/span> \u3068\u8868\u73fe\u3057\u307e\u3059\u3002\u3053\u308c\u3089 \u306f\u300c<strong>\u767a\u4f5c<\/strong>\u300d\u3068\u3044\u3046\u30a4\u30e1\u30fc\u30b8\u306e\u540d\u8a5e\u3067\u3001\u300c<strong>\u3051\u3044\u308c\u3093\u304c\u8d77\u3053\u3063\u3066\u3044\u308b\u72b6\u614b<\/strong>\u300d\u3084\u300c<strong>\u7a81\u7136\u610f\u8b58\u3092\u5931\u3063\u305f\u72b6\u614b<\/strong>\u300d\u3068\u3044\u3046\u610f\u5473\u3067\u3082\u4f7f\u308f\u308c\u3001\u5b50\u3069\u3082\u304c\u300c<strong>\u7647\u766a<\/strong>\uff08<strong>\u304b\u3093\u3057\u3083\u304f<\/strong>\uff09<strong>\u3092\u8d77\u3053\u3059<\/strong>\u300d\u3068\u3044\u3046\u52d5\u4f5c\u3082 <strong>throw a hissy fit<\/strong> \u3068\u8868\u73fe\u3055\u308c\u307e\u3059\u3002<\/span><\/p>\r\n<p><span style=\"font-size: large;\">\u8eab\u4f53\u304c\u300c<strong>\u30d3\u30af\u30c3\u3068\u52d5\u304f<\/strong>\u300d\u3084\u300c<strong>\u30ac\u30c3\u30af\u30f3\u30ac\u30c3\u30af\u30f3\u3068\u52d5\u304f<\/strong>\u300d\u69d8\u5b50\u306f\u4e00\u822c\u7684\u306b\u306f <span style=\"background-color: #ffff33;\"><strong>jerking<\/strong><\/span> \u3068\u8868\u73fe\u3055\u308c\u307e\u3059\u3002<\/span><\/p>\r\n<p><span style=\"font-size: large;\">\u3053\u306e\u3046\u3061\u300c<strong>\u30d3\u30af\u30c3\u3068\u52d5\u304f<\/strong>\u300d\u306f\u533b\u5b66\u7684\u306b\u306f <span style=\"background-color: #ffff33;\"><strong>myoclonus<\/strong><\/span> \u300c<strong>\u30df\u30aa\u30af\u30ed\u30fc\u30cc\u30b9<\/strong>\u300d\u3068\u8868\u73fe\u3055\u308c\u307e\u3059\u3002\u5177\u4f53\u7684\u306b\u306f <strong>hiccups<\/strong>\u300c<strong>\u3057\u3083\u3063\u304f\u308a\u30fb\u5403\u9006<\/strong>\uff08<strong>\u304d\u3064\u304e\u3083\u304f<\/strong>\uff09\u300d\u3084\u5165\u7720\u6642\u306b\u8eab\u4f53\u304c\u30d3\u30af\u30c3\u3068\u52d5\u304f\u300c<strong>\u5165\u7720\u6642\u30df\u30aa\u30af\u30ed\u30fc\u30cc\u30b9<\/strong>\u300d\u306a\u3069\u304c\u3053\u308c\u306b\u5f53\u305f\u308a\u307e\u3059\u3002\u3053\u306e\u300c<strong>\u5165\u7720\u6642\u30df\u30aa\u30af\u30ed\u30fc\u30cc\u30b9<\/strong>\u300d\u306f\u82f1\u8a9e\u3067\u306f <strong>hypnic\/hypnagogic jerks<\/strong> \u3084\u300c<strong>\u767a\u4f5c\u30fb\u7a81\u7136\u8d77\u3053\u308b\u4e0d\u968f\u610f\u904b\u52d5<\/strong>\u300d\u3092\u610f\u5473\u3059\u308b <strong>starts<\/strong> \u3092\u4f7f\u3063\u3066 <strong>sleep starts<\/strong> \u3068\u8868\u73fe\u3055\u308c\u307e\u3059\u3002\u3069\u3061\u3089\u3082\u5fc5\u305a\u8907\u6570\u5f62\u3067\u8868\u73fe\u3059\u308b\u306e\u3067\u3054\u6ce8\u610f\u3092\u3002<\/span><\/p>\r\n<p><span style=\"font-size: large;\">\u300c<strong>\u30ac\u30c3\u30af\u30f3\u30ac\u30c3\u30af\u30f3\u3068\u52d5\u304f<\/strong>\u300d\u69d8\u5b50\u306f\u5177\u4f53\u7684\u306b\u306f\u300c<strong>\u95a2\u7bc0\u306e\u5c48\u66f2\u3068\u4f38\u5c55\u304c\u4ea4\u4e92\u306b\u8d77\u3053\u308b\u69d8\u5b50<\/strong>\u300d\u3092\u610f\u5473\u3057\u3001\u533b\u5b66\u7684\u306b\u306f <span style=\"background-color: #ffff33;\"><strong>clonus<\/strong><\/span> \u300c<strong>\u9593\u4ee3<\/strong>\uff08<strong>\u304b\u3093\u305f\u3044<\/strong>\uff09\u300d\u3068\u8868\u73fe\u3055\u308c\u307e\u3059\u3002<\/span><\/p>\r\n<p><span style=\"font-size: large;\">\u76ee\u84cb\uff08\u307e\u3076\u305f\uff09\u3084\u306a\u3069\u304c\u300c<strong>\u30d4\u30af\u30d4\u30af\u3068\u52d5\u304f<\/strong>\u300d\u69d8\u5b50\u306f\u4e00\u822c\u7684\u306b\u306f <span style=\"background-color: #ffff33;\"><strong>twitching<\/strong><\/span> \u3068\u8868\u73fe\u3055\u308c\u3001\u533b\u5b66\u7684\u306b\u306f <span style=\"background-color: #ffff33;\"><strong>fasciculation<\/strong><\/span>\u300c<strong>\u7e4a\u7dad\u675f\u6027\u53ce\u7e2e<\/strong>\u300d\u3068\u8868\u73fe\u3055\u308c\u307e\u3059\u3002<\/span><\/p>\r\n<p><span style=\"font-size: large;\">\u307e\u305f\u4eba\u306b\u3088\u3063\u3066\u306f\u300c<strong>\u30d6\u30eb\u30d6\u30eb\u3068\u9707\u3048\u308b\u3088\u3046\u306b\u52d5\u304f<\/strong>\u300d\u69d8\u5b50\u3082\u300c<strong>\u3051\u3044\u308c\u3093<\/strong>\u300d\u3068\u8868\u73fe\u3059\u308b\u5834\u5408\u304c\u3042\u308a\u307e\u3059\u3002\u3053\u306e\u300c<strong>\u30d6\u30eb\u30d6\u30eb\u3068\u9707\u3048\u308b\u3088\u3046\u306b\u52d5\u304f<\/strong>\u300d\u69d8\u5b50\u306f\u3001\u4e00\u822c\u7684\u306b\u306f <strong>shaking<\/strong> \u3068\u547c\u3070\u308c\u3001\u533b\u5b66\u7684\u306b\u306f <span style=\"background-color: #ffff33;\"><strong>tremor<\/strong><\/span>\u300c<strong>\u632f\u6226<\/strong>\u300d\u3068\u8868\u73fe\u3055\u308c\u307e\u3059\u3002\uff08\u300c<strong>\u632f\u6226\u306b\u95a2\u3059\u308b\u82f1\u8a9e\u8868\u73fe<\/strong>\u300d\u306f<a href=\"eigocafe\/menu_09\/\" target=\"blank\" rel=\"noopener\"><span style=\"color: #3366ff;\"><span style=\"text-decoration: underline;\"><strong>\u3053\u3061\u3089<\/strong><\/span><\/span><\/a>\u3092\u3054\u89a7\u304f\u3060\u3055\u3044\u3002\uff09<\/span><\/p>\r\n<p><span style=\"font-size: large;\">\u3053\u306e\u3088\u3046\u306b\u300c<strong>\u3051\u3044\u308c\u3093<\/strong>\u300d\u306b\u306f\u69d8\u3005\u306a\u82f1\u8a9e\u8868\u73fe\u304c\u4f7f\u308f\u308c\u308b\u306e\u3067\u3059\u304c\u3001\u65e5\u672c\u8a9e\u306e\u300c<strong>\u3051\u3044\u308c\u3093<\/strong>\u300d\u306b\u76f8\u5f53\u3059\u308b\u82f1\u8a9e\u8868\u73fe\u3068\u3057\u3066\u306f <span style=\"background-color: #ffff33;\"><strong>convulsions<\/strong><\/span> \u304c\u4f7f\u308f\u308c\u308b\u3068\u3044\u3046\u3053\u3068\u3092\u307e\u305a\u306f\u62bc\u3055\u3048\u3066\u304a\u304d\u307e\u3057\u3087\u3046\u3002<\/span><\/p>\r\n<p><span style=\"font-size: large;\"><span style=\"color: #fe3d45;\"><strong>Seizure \u3068 Epilepsy \u306f\u4f55\u304c\u9055\u3046\u306e\uff1f<\/strong><\/span><br \/>\r\n\u300c<strong>\u3051\u3044\u308c\u3093<\/strong>\u300d\u304c <strong>convulsions<\/strong> \u3067\u3042\u308b\u3053\u3068\u306f\u78ba\u8a8d\u3057\u307e\u3057\u305f\u304c\u3001\u826f\u304f\u4f3c\u305f\u7528\u8a9e\u306b <strong>seizure<\/strong> \u3068 <strong>epilepsy<\/strong> \u3068\u3044\u3046\u3082\u306e\u3082\u3042\u308a\u307e\u3059\u3002\u7686\u3055\u3093\u306f\u3053\u308c\u3089\u306e\u9055\u3044\u304c\u308f\u304b\u308a\u307e\u3059\u304b\uff1f<\/span><\/p>\r\n<p><span style=\"font-size: large;\"><span style=\"background-color: #ffff33;\"><strong>seizure<\/strong><\/span> \u3068\u306f <strong>\u201ca sudden surge of electrical activity in the brain\u201d<\/strong> \u3092\u610f\u5473\u3059\u308b\u8868\u73fe\u3067\u3001\u65e5\u672c\u8a9e\u3067\u306f\u300c<strong>\u3066\u3093\u304b\u3093\u767a\u4f5c<\/strong>\u300d\u3068\u547c\u3070\u308c\u307e\u3059\u3002\u3053\u308c\u3082\u901a\u5e38\u3001<strong>\u8907\u6570<\/strong>\u3067\u3042\u308b\u3053\u3068\u304c\u4e00\u822c\u7684\u3067\u3059\u306e\u3067\u3001seizure<span style=\"background-color: #ffff33;\"><strong>s<\/strong><\/span> \u306e\u3088\u3046\u306b\u8907\u6570\u5f62\u3067\u8868\u73fe\u3059\u308b\u3053\u3068\u304c\u4e00\u822c\u7684\u3067\u3059\u3002<\/span><\/p>\r\n<p><span style=\"font-size: large;\">\u3053\u306e seizure \u306b\u95a2\u3059\u308b\u91cd\u8981\u306a\u5f62\u5bb9\u8a5e\u3068\u3057\u3066 <span style=\"background-color: #ffff33;\"><strong>ictal<\/strong><\/span> \u3068\u3044\u3046\u3082\u306e\u304c\u3042\u308a\u307e\u3059\u304c\u3001\u3053\u308c\u306f\u300c<strong>\u3066\u3093\u304b\u3093\u767a\u4f5c\u4e2d\u306e<\/strong>\u300d\u3068\u3044\u3046\u610f\u5473\u306b\u306a\u308a\u307e\u3059\u3002\u3053\u3053\u304b\u3089 <span style=\"background-color: #ffff33;\"><strong>preictal<\/strong><\/span>\u300c<strong>\u3066\u3093\u304b\u3093\u767a\u4f5c\u524d\u306e<\/strong>\u300d\u3001<span style=\"background-color: #ffff33;\"><strong>peri-ictal<\/strong><\/span>\u300c<strong>\u3066\u3093\u304b\u3093\u767a\u4f5c\u524d\u5f8c\u306e<\/strong>\u300d\u3001<span style=\"background-color: #ffff33;\"><strong>postictal<\/strong><\/span>\u300c<strong>\u3066\u3093\u304b\u3093\u767a\u4f5c\u5f8c\u306e<\/strong>\u300d\u306e\u3088\u3046\u306a\u5f62\u5bb9\u8a5e\u3082\u6d3e\u751f\u3057\u3066\u3044\u307e\u3059\u3002<\/span><\/p>\r\n<p><span style=\"font-size: large;\"><span style=\"background-color: #ffff33;\"><strong>epilepsy<\/strong><\/span> \u3068\u306f <strong>\u201ca condition characterized by recurrent unprovoked seizures\u201d<\/strong> \u3092\u610f\u5473\u3059\u308b\u8868\u73fe\u3067\u3001\u65e5\u672c\u8a9e\u3067\u306f\u300c<strong>\u3066\u3093\u304b\u3093<\/strong>\u300d\u3068\u547c\u3070\u308c\u307e\u3059\u3002<\/span><\/p>\r\n<p><span style=\"font-size: large;\">\u3053\u306e\u3088\u3046\u306b\u7d1b\u3089\u308f\u3057\u3044\u7528\u8a9e\u3067\u306f\u3042\u308a\u307e\u3059\u304c\u3001<strong>convulsions<\/strong> \u306f\u300c<strong>\u3051\u3044\u308c\u3093<\/strong>\u300d\u3001<strong>seizures<\/strong> \u306f\u300c<strong>\u3066\u3093\u304b\u3093\u767a\u4f5c<\/strong>\u300d\u3001\u305d\u3057\u3066 <strong>epilepsy<\/strong> \u306f\u300c<strong>\u3066\u3093\u304b\u3093<\/strong>\u300d\u3068\u3044\u3046\u610f\u5473\u306b\u306a\u308b\u3068\u3044\u3046\u3053\u3068\u3092\u3057\u3063\u304b\u308a\u3068\u62bc\u3055\u3048\u3066\u304a\u304d\u307e\u3057\u3087\u3046\u3002<\/span><\/p>\r\n<p><span style=\"font-size: large;\"><span style=\"color: #fe3d45;\"><strong>\u3044\u304f\u3064\u8a00\u3048\u308b\uff1fSeizures \u306e\u7a2e\u985e<\/strong><\/span><br \/>\r\n\u3067\u306f\u6b21\u306b convulsions \u306e\u539f\u56e0\u3068\u3057\u3066\u91cd\u8981\u306a <strong>seizures<\/strong> \u300c<strong>\u3066\u3093\u304b\u3093\u767a\u4f5c<\/strong>\u300d\u306e\u7a2e\u985e\u3092\u898b\u3066\u3044\u304d\u307e\u3057\u3087\u3046\u3002<\/span><\/p>\r\n<p><span style=\"font-size: large;\">\u5927\u8133\u5168\u822c\u3067\u904e\u5270\u306a\u795e\u7d4c\u306e\u8208\u596e\u304c\u8d77\u3053\u308b seizures \u3092 <strong><span style=\"background-color: #ffff33;\">generalized seizures<\/span><\/strong> \u300c<strong>\u5168\u822c\u767a\u4f5c<\/strong>\u300d\u3068\u547c\u3073\u307e\u3059\u3002\u3053\u306e generalized seizures \u306e\u767a\u4f5c\u4e2d\u3001\u60a3\u8005\u3055\u3093\u306f<strong>\u610f\u8b58\u3092\u5931\u3063\u3066\u3044\u307e\u3059\u3002<\/strong><\/span><\/p>\r\n<p><span style=\"font-size: large;\">\u3053\u306e generalized seizures \u306b\u304a\u3044\u3066\u6700\u3082\u983b\u5ea6\u304c\u591a\u3044\u306e\u304c <strong><span style=\"background-color: #ffff33;\">tonic-clonic seizures<\/span><\/strong> \u300c<strong>\u5f37\u76f4\u9593\u4ee3<\/strong>\uff08<strong>\u304d\u3087\u3046\u3061\u3087\u304f\u304b\u3093\u305f\u3044<\/strong>\uff09<strong>\u767a\u4f5c<\/strong>\u300d\u3067\u3059\u3002\u3053\u308c\u306f <span style=\"background-color: #ffff33;\"><strong>tonic seizures<\/strong><\/span> \u300c<strong>\u5f37\u76f4\u767a\u4f5c<\/strong>\u300d\u3068\u3044\u3046\u5168\u8eab\u304c\u5f37\u304f\u3053\u308f\u3070\u308b\u767a\u4f5c\u3068\u3001<span style=\"background-color: #ffff33;\"><strong>clonic seizures<\/strong><\/span> \u300c<strong>\u9593\u4ee3\u767a\u4f5c<\/strong>\u300d\u3068\u3044\u3046\u624b\u8db3\u3092\u30ac\u30c3\u30af\u30f3\u30ac\u30c3\u30af\u30f3\u3068\u52d5\u304b\u3059\u767a\u4f5c\u3092\u4ea4\u4e92\u306b\u7e70\u308a\u8fd4\u3059\u3051\u3044\u308c\u3093\u767a\u4f5c\u3067\u3001\u4ee5\u524d\u306f <strong>\u201c<span style=\"background-color: #ffff33;\">grand mal seizures<\/span>\u201d<\/strong> \u300c<strong>\u5927\u767a\u4f5c<\/strong>\u300d\u3068\u3082\u547c\u3070\u308c\u3066\u3044\u307e\u3057\u305f\u3002<\/span><\/p>\r\n<p><span style=\"font-size: large;\">\u3053\u306e tonic seizures \u3068 clonic seizures \u306f\u305d\u308c\u305e\u308c\u5358\u72ec\u306b\u73fe\u308c\u308b\u5834\u5408\u304c\u3042\u308a\u307e\u3059\u304c\u3001\u3053\u306e\u4ed6\u306b\u3082\u300c<strong>\u30d3\u30af\u30c3\u3068\u52d5\u304f<\/strong>\u300d<strong>myoclonus <\/strong>\u304c\u7a81\u7136\u8d77\u3053\u308b <span style=\"background-color: #ffff33;\"><strong>myoclonic seizures<\/strong><\/span> \u300c<strong>\u30df\u30aa\u30af\u30ed\u30cb\u30fc\u767a\u4f5c<\/strong>\u300d\u3084\u3001\u7b4b\u8089\u306e\u7dca\u5f35\u304c\u7a81\u7136\u4f4e\u4e0b\u3059\u308b\u305f\u3081 <strong>\u201cdrop seizures\u201d<\/strong> \u3068\u3082\u547c\u3070\u308c\u308b <span style=\"background-color: #ffff33;\"><strong>atonic seizures<\/strong><\/span> \u300c<strong>\u8131\u529b\u767a\u4f5c<\/strong>\u300d\u3001\u305d\u3057\u3066\u4e0d\u968f\u610f\u904b\u52d5\u306f\u73fe\u308c\u305a\u306b\u610f\u8b58\u3060\u3051\u5931\u3063\u3066\u3057\u307e\u3046 <strong>absence seizures<\/strong> \u300c<strong>\u6b20\u795e\u767a\u4f5c<\/strong>\u300d\uff08\u4ee5\u524d\u306f <strong>\u201c<span style=\"background-color: #ffff33;\">petit mal seizures<\/span>\u201d<\/strong> \u300c<strong>\u5c0f\u767a\u4f5c<\/strong>\u300d\u3068\u547c\u3070\u308c\u3066\u3044\u307e\u3057\u305f\uff09\u306a\u3069\u3082 generalized seizures \u306b\u542b\u307e\u308c\u307e\u3059\u3002<\/span><\/p>\r\n<p><span style=\"font-size: large;\">\u3053\u308c\u306b\u5bfe\u3057\u3066\u904e\u5270\u306a\u795e\u7d4c\u306e\u8208\u596e\u304c\u5927\u8133\u306e\u4e00\u90e8\u306b\u9650\u5c40\u3057\u3066\u8d77\u3053\u308b seizures \u3092 <strong>focal<\/strong>\/<strong>partial seizures<\/strong>\u300c<strong>\u90e8\u5206\u767a\u4f5c<\/strong>\u300d\u3068\u547c\u3073\u307e\u3059\u3002<\/span><\/p>\r\n<p><span style=\"font-size: large;\">\u3053\u306e\u3046\u3061\u300c<strong>\u610f\u8b58\u304c\u4fdd\u305f\u308c\u308b\u90e8\u5206\u767a\u4f5c<\/strong>\u300d<strong>focal onset seizures with awareness<\/strong> \u3092 <span style=\"background-color: #ffff33;\"><strong>simple focal<\/strong>\/<strong>partial seizures<\/strong><\/span>\u300c<strong>\u5358\u7d14\u90e8\u5206\u767a\u4f5c<\/strong>\u300d\u3068\u547c\u3073\u3001\u300c<strong>\u610f\u8b58\u3092\u5931\u3046\u90e8\u5206\u767a\u4f5c<\/strong>\u300d <strong>focal onset seizures without awareness<\/strong> \u3092 <span style=\"background-color: #ffff33;\"><strong>complex focal<\/strong>\/<strong>partial seizures<\/strong><\/span> \u300c<strong>\u8907\u96d1\u90e8\u5206\u767a\u4f5c<\/strong>\u300d\u3068\u547c\u3073\u307e\u3059\u3002\u307e\u305f\u90e8\u5206\u767a\u4f5c\u304b\u3089\u59cb\u307e\u3063\u3066\u5168\u822c\u767a\u4f5c\u306b\u9032\u5c55\u3059\u308b\u3082\u306e\u306f <span style=\"background-color: #ffff33;\"><strong>secondary generalized seizures<\/strong><\/span> \u300c<strong>\u4e8c\u6b21\u6027\u5168\u822c\u5316\u767a\u4f5c<\/strong>\u300d\u3068\u547c\u3070\u308c\u307e\u3059\u3002<\/span><\/p>\r\n<p><span style=\"font-size: large;\">\u305d\u3057\u3066 <strong>\u201ca seizure that lasts longer than 5 min\u201d<\/strong> \u300c<strong>5\u5206\u4ee5\u4e0a\u7d9a\u304f\u3066\u3093\u304b\u3093\u767a\u4f5c<\/strong>\u300d\u3001\u3082\u3057\u304f\u306f <strong>\u201cmultiple seizures occurring back to back without full recovery of consciousness in between\u201d<\/strong> \u300c<strong>\u77ed\u3044\u767a\u4f5c\u306e\u5834\u5408\u3067\u3082\u7e70\u308a\u8fd4\u3057\u8d77\u3053\u308a\u3001\u305d\u306e\u9593\u610f\u8b58\u306e\u306a\u3044\u72b6\u614b\u304c\u7d9a\u304f\u3066\u3093\u304b\u3093\u767a\u4f5c<\/strong>\u300d\u306f <span style=\"background-color: #ffff33;\"><strong>status epilepticus<\/strong><\/span> \u300c<strong>\u3066\u3093\u304b\u3093\u91cd\u7a4d\u72b6\u614b<\/strong>\u300d\u3068\u547c\u3070\u308c\u3001\u8fc5\u901f\u306a\u51e6\u7f6e\u304c\u5fc5\u8981\u3068\u306a\u308a\u307e\u3059\u3002<\/span><\/p>\r\n<p><span style=\"font-size: large;\"><span style=\"color: #fe3d45;\"><strong>\u300c\u3051\u3044\u308c\u3093\u300d\u3092\u304d\u305f\u3059\u75be\u60a3\u3092\u82f1\u8a9e\u3067\u6319\u3052\u3066\u307f\u3088\u3046\uff01<\/strong><\/span><br \/>\r\n\u305d\u308c\u3067\u306f\u3053\u3053\u3067 convulsions \u306e\u9451\u5225\u75be\u60a3\u3092\u8003\u3048\u3066\u307f\u307e\u3057\u3087\u3046\u3002<\/span><\/p>\r\n<p><span style=\"font-size: large;\">convulsions \u306e\u539f\u56e0\u306b\u306f\u69d8\u3005\u306a\u3082\u306e\u304c\u3042\u308a\u307e\u3059\u304c\u3001\u5927\u304d\u304f <span style=\"background-color: #ffff33;\"><strong>non-seizures<\/strong><\/span> \u300c<strong>\u975e\u3066\u3093\u304b\u3093\u767a\u4f5c<\/strong>\u300d\u3068 <span style=\"background-color: #ffff33;\"><strong>seizures<\/strong><\/span> \u300c<strong>\u3066\u3093\u304b\u3093\u767a\u4f5c<\/strong>\u300d\u306b\u5206\u3051\u3066\u8003\u3048\u3066\u307f\u308b\u3068\u308f\u304b\u308a\u3084\u3059\u3044\u3068\u601d\u3044\u307e\u3059\u3002<\/span><\/p>\r\n<p><span style=\"font-size: large;\"><strong>non-seizures<\/strong> \u306e\u4ee3\u8868\u4f8b\u3068\u3057\u3066\u306f <span style=\"background-color: #ffff33;\"><strong>syncope<\/strong><\/span> \u300c<strong>\u5931\u795e<\/strong>\u300d\u306b\u4f34\u3046 convulsions \u3068\u3001<span style=\"background-color: #ffff33;\"><strong>psychogenic non-epileptic seizures<\/strong> (<strong>PNES<\/strong>)<\/span> \u300c<strong>\u5fc3\u56e0\u6027\u975e\u3066\u3093\u304b\u3093<\/strong>\uff08<strong>\u6027<\/strong>\uff09<strong>\u767a\u4f5c<\/strong>\u300d\u304c\u3042\u308a\u307e\u3059\u3002<\/span><\/p>\r\n<p><span style=\"font-size: large;\"><span style=\"background-color: #ffff33;\"><strong>syncope<\/strong><\/span> \u306f\u69d8\u3005\u306a\u539f\u56e0\u3067\u8d77\u3053\u308a\u307e\u3059\u3002\u305d\u3057\u3066\u3053\u306e syncope \u306e\u767a\u97f3\u306f\u300c<strong>\u30b7\u30f3<\/strong>\u30b3\u30d4\u30a3\u300d\u306e\u3088\u3046\u306b\u306a\u308b\u306e\u3067\u6ce8\u610f\u3057\u3066\u304f\u3060\u3055\u3044\u3002<\/span><\/p>\r\n<p><span style=\"font-size: large;\"><span style=\"background-color: #ffff33;\"><strong>PNES<\/strong><\/span> \u306f\u5fc3\u56e0\u6027\u306e\u75c5\u614b\u3067\u3001\u7c21\u7565\u7684\u306b <span style=\"background-color: #ffff33;\"><strong>non-epileptic seizures<\/strong> (<strong>NES<\/strong>)<\/span> \u3068\u3082\u547c\u3070\u308c\u307e\u3059\u3002\u4ee3\u8868\u7684\u306a\u3082\u306e\u3068\u3057\u3066 <span style=\"background-color: #ffff33;\"><strong>conversion disorder<\/strong><\/span> \u300c<strong>\u8ee2\u63db\u6027\u969c\u5bb3<\/strong>\u300d\u304c\u3042\u308a\u307e\u3059\u304c\u3001\u3053\u308c\u306f\u4e0d\u5b89\u3084\u30b9\u30c8\u30ec\u30b9\u306a\u3069\u304c\u8eab\u4f53\u306e\u75c7\u72b6\u306b\u300c<strong>\u8ee2\u63db<\/strong>\u300d\u3055\u308c\u3066\u3057\u307e\u3046\u5fc3\u8eab\u75c7\u3067\u3001\u6614\u306f\u539f\u56e0\u304c\u5b50\u5bae\u306b\u3042\u308b\u3068\u8003\u3048\u3089\u308c\u305f\u3053\u3068\u304b\u3089 <strong>hysteria<\/strong> \u300c<strong>\u30d2\u30b9\u30c6\u30ea\u30fc<\/strong>\u300d\u3068\u547c\u3070\u308c\u3066\u3044\u307e\u3057\u305f\u3002<\/span><\/p>\r\n<p><span style=\"font-size: large;\">\u3053\u308c\u3089 non-seizures \u3068 seizures \u306e\u533a\u5225\u306f\u96e3\u3057\u304f\u3001\u4e01\u5be7\u306a\u75c5\u6b74\u8074\u53d6\u304c\u91cd\u8981\u3068\u306a\u308a\u307e\u3059\u3002<\/span><\/p>\r\n<p><span style=\"font-size: large;\">\u6b21\u306b seizures \u3067\u3059\u304c\u3001\u3053\u308c\u3082\u8a98\u56e0\u306e\u3042\u308b2\u6b21\u7684\u306a\u3082\u306e\u3068\u3001\u8a98\u56e0\u306e\u306a\u3044 epilepsy \u306b\u5206\u3051\u308b\u3053\u3068\u304c\u3067\u304d\u307e\u3059\u3002<\/span><\/p>\r\n<p><span style=\"font-size: large;\">\u8a98\u56e0\u306e\u3042\u308b seizures \u306e\u539f\u56e0\u3068\u3057\u3066\u306f\u69d8\u3005\u306a\u3082\u306e\u304c\u3042\u308a\u307e\u3059\u304c\u3001\u795e\u7d4c\u75c7\u72b6\u306b\u5bfe\u3057\u3066\u306f\u3069\u3093\u306a\u5834\u5408\u3067\u3082\u4e0b\u8a18\u306e4\u3064\u306e <span style=\"background-color: #ffff33;\"><strong>red flags<\/strong><\/span> \u300c<strong>\u5371\u967a\u306a\u75be\u60a3<\/strong>\u300d\u3092\u8003\u3048\u308b\u3068\u308f\u304b\u308a\u3084\u3059\u3044\u3068\u601d\u3044\u307e\u3059\u3002<br \/>\r\n<em>\u3000<\/em><strong>\u2022<\/strong> stroke \u300c\u8133\u5352\u4e2d\u300d<br \/>\r\n<em>\u3000<\/em><strong>\u2022<\/strong> meningitis \u300c\u9ac4\u819c\u708e\u300d<br \/>\r\n<em>\u3000<\/em><strong>\u2022<\/strong> intoxication\u300c\uff08\u85ac\u7269\u3084\u30a2\u30eb\u30b3\u30fc\u30eb\u306a\u3069\u306e\uff09\u4e2d\u6bd2\u300d<br \/>\r\n<em>\u3000<\/em><strong>\u2022<\/strong> metabolic conditions\u300c\u4ee3\u8b1d\u6027\u75be\u60a3\u300d<br \/>\r\n<\/span><br \/>\r\n<span style=\"font-size: large;\">\u3053\u306e\u3046\u3061 seizures \u3092\u5f15\u304d\u8d77\u3053\u3059 metabolic conditions \u3068\u3057\u3066\u306f <strong>hypoglycemia<\/strong> \uff08<strong>\u4f4e\u8840\u7cd6<\/strong>\uff09\u3001<strong>hyponatremia<\/strong> \uff08<strong>\u4f4e\u30ca\u30c8\u30ea\u30a6\u30e0\u8840\u75c7<\/strong>\uff09\u3001<strong>hypernatremia<\/strong> \uff08<strong>\u9ad8\u30ca\u30c8\u30ea\u30a6\u30e0\u8840\u75c7<\/strong>\uff09\u3001<strong>hypocalcemia<\/strong> \uff08<strong>\u4f4e\u30ab\u30eb\u30b7\u30a6\u30e0\u8840\u75c7<\/strong>\uff09\u306a\u3069\u3092\u62bc\u3055\u3048\u3066\u304a\u304f\u3068\u826f\u3044\u3067\u3057\u3087\u3046\u3002\u3053\u306e\u4ed6\u3001\u598a\u5a20\u5f8c\u671f\u306b\u8d77\u3053\u308b <span style=\"background-color: #ffff33;\"><strong>eclampsia<\/strong><\/span>\u300c<strong>\u5b50\u7647<\/strong>\uff08<strong>\u3057\u304b\u3093<\/strong>\uff09\u300d\u3082\u91cd\u8981\u3067\u3059\u306e\u3067\u899a\u3048\u3066\u304a\u304d\u307e\u3057\u3087\u3046\u3002<\/span><\/p>\r\n<p><span style=\"font-size: large;\"><span style=\"color: #fe3d45;\"><strong>Non-seizures \u3068 Seizures \u3092\u898b\u5206\u3051\u308b\u305f\u3081\u306b\u3069\u3093\u306a\u8cea\u554f\u3092\u3059\u308c\u3070\u3044\u3044\u306e\uff1f<\/strong><\/span><br \/>\r\n\u3067\u306f\u6b21\u306b\u300c<strong>\u3051\u3044\u308c\u3093<\/strong>\u300d\u3092\u4e3b\u8a34\u3068\u3057\u3066\u6765\u9662\u3057\u305f\u60a3\u8005\u3055\u3093\u306b\u533b\u7642\u9762\u63a5\u3092\u3059\u308b\u969b\u306b\u5f79\u7acb\u3064\u82f1\u8a9e\u8868\u73fe\u3092\u898b\u3066\u3044\u304d\u307e\u3057\u3087\u3046\u3002<\/span><\/p>\r\n<p><span style=\"font-size: large;\">\u5148\u307b\u3069\u8ff0\u3079\u305f\u3088\u3046\u306b\u3001non-seizures \u3068 seizures \u306e\u533a\u5225\u306f\u96e3\u3057\u3044\u306e\u3067\u3001\u4e01\u5be7\u306a\u75c5\u6b74\u8074\u53d6\u304c\u91cd\u8981\u3068\u306a\u308a\u307e\u3059\u3002<\/span><\/p>\r\n<p><span style=\"font-size: large;\">Sheldon\u3089\u304c\u4f5c\u6210\u3057\u305f <a href=\"https:\/\/www.sciencedirect.com\/science\/article\/pii\/S073510970201940X\" target=\"blank\" rel=\"noopener\"><span style=\"color: #3366ff;\"><span style=\"text-decoration: underline;\">Diagnostic Questions to Determine Whether Loss of Consciousness Is Due to Seizures or Syncope<\/span><\/span><\/a> \u306f\u3001 seizures \u3068 non-seizures \u306e\u4ee3\u8868\u683c\u3067\u3042\u308b syncope \u3092\u4e0b\u8a18\u306e9\u3064\u306e\u8cea\u554f\u306b\u3088\u3063\u3066\u7c21\u5358\u306b\u9451\u5225\u3059\u308b\u3053\u3068\u3092\u53ef\u80fd\u306b\u3057\u3066\u3044\u307e\u3059\u3002<\/span><\/p>\r\n<p><span style=\"font-size: large;\"><strong>Seizures \u3092\u7591\u308f\u305b\u308b\u9805\u76ee\u3092\u5c0b\u306d\u308b\u8cea\u554f<\/strong><br \/>\r\n<strong>\u2022<\/strong> At times do you wake with <strong>a cut tongue<\/strong> after your spells?\uff08Yes \u3067 2\u70b9\uff09<br \/>\r\n<strong>\u2022<\/strong> At times do you have a sense of <span style=\"background-color: #ffff33;\"><strong>deja vu<\/strong><\/span> or <strong><span style=\"background-color: #ffff33;\">jamais vu<\/span> before<\/strong> your spells?\uff08Yes\u30671\u70b9\uff09<br \/>\r\n<strong>\u2022<\/strong> At times is <strong>emotional stress<\/strong> associated with losing consciousness?\uff08Yes \u30671\u70b9\uff09<br \/>\r\n<strong>\u2022<\/strong> Has anyone ever noted your <strong>head turning<\/strong> during a spell? \uff08Yes \u30671\u70b9\uff09<br \/>\r\n<strong>\u2022<\/strong> Has anyone ever noted that you are <strong>unresponsive<\/strong>, have <strong>unusual posturing<\/strong> or have <strong>jerking limbs<\/strong> during your spells or have <strong>no memory of your spells<\/strong> afterwards? \uff08Yes \u30671\u70b9\uff09<br \/>\r\n<strong>\u2022<\/strong> Has anyone ever noted that you are <strong>confused<\/strong> after a spell? \uff08Yes \u30671\u70b9\uff09<br \/>\r\n<\/span><br \/>\r\n<span style=\"font-size: large;\"><strong>Syncope \u3092\u7591\u308f\u305b\u308b\u9805\u76ee\u3092\u5c0b\u306d\u308b\u8cea\u554f<\/strong><br \/>\r\n<strong>\u2022<\/strong> Have you ever had <strong>lightheaded spells<\/strong>? \uff08Yes \u3067 -2\u70b9\uff09<br \/>\r\n<strong>\u2022<\/strong> At times do you <strong>sweat<\/strong> before your spells? \uff08Yes \u3067 -2\u70b9\uff09<br \/>\r\n<strong>\u2022<\/strong> Is <strong>prolonged sitting or standing<\/strong> associated with your spells?\uff08Yes \u3067 -2\u70b9\uff09<br \/>\r\n<\/span><br \/>\r\n<span style=\"font-size: large;\">\u4e0a\u8a18\u306e\u8cea\u554f\u8868\u73fe\u3067\u3001<span style=\"background-color: #ffff33;\"><strong>deja vu<\/strong><\/span> \u3068 <span style=\"background-color: #ffff33;\"><strong>jamais vu<\/strong><\/span> \u306f\u30d5\u30e9\u30f3\u30b9\u8a9e\u306a\u306e\u3067\u308f\u304b\u308a\u306b\u304f\u3044\u3068\u601d\u3044\u307e\u3059\u304c\u3001\u524d\u8005\u306f\u300c<strong>\u898b\u305f\u3053\u3068\u306e\u306a\u3044\u3082\u306e\u3092\u898b\u305f\u3053\u3068\u304c\u3042\u308b\u3088\u3046\u306b\u611f\u3058\u308b<\/strong>\u300d\u3068\u3044\u3046\u300c<strong>\u65e2\u8996\u611f<\/strong>\u300d\u3092\u3001\u5f8c\u8005\u306f\u300c<strong>\u898b\u6163\u308c\u305f\u3082\u306e\u3092\u521d\u3081\u3066\u898b\u305f\u3088\u3046\u306b\u611f\u3058\u308b<\/strong>\u300d\u3068\u3044\u3046\u300c<strong>\u672a\u8996\u611f<\/strong>\u300d\u3092\u610f\u5473\u3057\u307e\u3059\u3002<\/span><\/p>\r\n<p><span style=\"font-size: large;\">\u4e0a\u8a189\u3064\u306e\u9805\u76ee\u306b\u5bfe\u3059\u308b<strong>\u56de\u7b54\u306e\u5408\u8a08\u70b9<\/strong>\u304c<strong>1\u70b9\u4ee5\u4e0a\u3067\u3042\u308c\u3070 seizures<\/strong> \u3068\u3001<strong>1\u70b9\u672a\u6e80\u3067\u3042\u308c\u3070 syncope<\/strong> \u3068\u8003\u3048\u3089\u308c\u307e\u3059\u3002<\/span><\/p>\r\n<p><span style=\"font-size: large;\">\u3053\u306e\u4ed6\u306b\u3082 <span style=\"background-color: #ffff33;\"><strong>urinary incontinence<\/strong><\/span>\u300c<strong>\u5c3f\u5931\u7981<\/strong>\u300d\u306f seizures \u3092\u7591\u308f\u305b\u308b\u9805\u76ee\u3067\u3059\u304c\u3001\u3053\u308c\u3092\u5c0b\u306d\u308b\u306b\u306f \u201c<strong>Did you lose control of your bladder?<\/strong>\u201d \u3084 \u201c<strong>Did you wet yourself?<\/strong>\u201d \u3068\u3044\u3063\u305f\u8cea\u554f\u8868\u73fe\u3092\u4f7f\u3046\u3068\u826f\u3044\u3067\u3057\u3087\u3046\u3002<\/span><\/p>\r\n<p><span style=\"font-size: large;\"><span style=\"color: #fe3d45;\"><strong>\u77e5\u3063\u3066\u304a\u304d\u305f\u3044 seizures \u3078\u306e\u5bfe\u51e6\u65b9\u6cd5<\/strong><\/span><br \/>\r\n\u3067\u306f\u6700\u5f8c\u306b <strong>seizures<\/strong> \u300c<strong>\u3051\u3044\u308c\u3093\u767a\u4f5c<\/strong>\u300d\u306b\u5bfe\u3059\u308b\u5bfe\u51e6\u65b9\u6cd5\u3068\u3001\u305d\u308c\u306b\u95a2\u3059\u308b\u82f1\u8a9e\u8868\u73fe\u3092\u78ba\u8a8d\u3057\u3066\u304a\u304d\u307e\u3057\u3087\u3046\u3002<\/span><\/p>\r\n<p><span style=\"font-size: large;\">\u3082\u3057\u3082\u7686\u3055\u3093\u304c generalized seizures \u3092\u8d77\u3053\u3057\u3066\u5012\u308c\u3066\u3044\u308b\u4eba\u3092\u898b\u304b\u3051\u305f\u5834\u5408\u3001\u307e\u305a\u306f\u843d\u3061\u7740\u3044\u3066<strong>\u60a3\u8005\u3055\u3093\u306e\u5b89\u5168\u78ba\u8a8d<\/strong>\u3092\u3057\u307e\u3057\u3087\u3046\u3002\u305d\u3057\u3066<strong>\u767a\u4f5c\u306e\u6642\u9593\u3092\u8a08\u6e2c<\/strong>\u3057\u3066\u304f\u3060\u3055\u3044\u30025\u5206\u4ee5\u4e0a\u7d9a\u304f\u5834\u5408\u306f <strong>status epilepticus<\/strong> \u3068\u306a\u308a\u3001\u767a\u4f5c\u304c\u53ce\u307e\u3063\u305f\u3068\u3057\u3066\u3082\u533b\u7642\u6a5f\u95a2\u3078\u306e\u53d7\u8a3a\u304c\u5fc5\u8981\u3068\u306a\u308a\u307e\u3059\u3002\u767a\u4f5c\u4e2d\u306f\u60a3\u8005\u3055\u3093\u306e\u5468\u308a\u304b\u3089\u5371\u5bb3\u304c\u53ca\u3076\u3088\u3046\u306a\u3082\u306e\u3092\u53d6\u308a\u9664\u304d\u307e\u3059\u304c\u3001\u3051\u3044\u308c\u3093\u304c\u8d77\u304d\u3066\u3044\u308b\u9593\u3001<strong>\u8eab\u4f53\u3092\u62d8\u675f\u3059\u308b\u3053\u3068\u306f\u907f\u3051\u307e\u3057\u3087\u3046\u3002<\/strong>\u307e\u305f\u820c\u3084\u53e3\u306e\u4e2d\u3092\u565b\u3080\u3053\u3068\u3092\u6291\u5236\u3059\u308b\u305f\u3081\u306b<strong>\u53e3\u306e\u4e2d\u306b\u6307\u3084\u7269\u3092\u5165\u308c\u308b\u3053\u3068\u306f\u7d76\u5bfe\u306b\u907f\u3051\u3066\u304f\u3060\u3055\u3044\u3002<\/strong>\u6307\u304c\u98df\u3044\u3061\u304e\u3089\u308c\u305f\u308a\u3001\u6b6f\u304c\u6298\u308c\u3066\u3057\u307e\u3046\u53ef\u80fd\u6027\u304c\u3042\u308a\u307e\u3059\u3002\u767a\u4f5c\u304c\u53ce\u307e\u3063\u305f\u5f8c\u306f\u8aa4\u56a5\u3092\u9632\u3050\u305f\u3081\u306b\u3082\u6a2a\u5411\u304d\u306e <strong>recovery position<\/strong> \u306b\u3057\u3066\u3042\u3052\u307e\u3057\u3087\u3046\u3002<\/span><\/p>\r\n<p><span style=\"font-size: large;\"><strong>Status epilepticus<\/strong> \u306e\u6cbb\u7642\u306b\u306f <span style=\"background-color: #ffff33;\"><strong>benzodiazepine<\/strong><\/span> \uff08\u300c\u30d9\u30f3\u30be\u30c0\u30a3<strong>\u30a2<\/strong>\u30bc\u30d4\u30f3\u300d\u306e\u3088\u3046\u306a\u767a\u97f3\u3067\u3001<span style=\"background-color: #ffff33;\"><strong>benzos<\/strong><\/span> \u3084 <span style=\"background-color: #ffff33;\"><strong>BDZs<\/strong><\/span> \u3068\u3082\u547c\u3070\u308c\u307e\u3059\uff09\u3092 <strong> intravenous<\/strong> (<strong>IV<\/strong>) \u3067\u6295\u4e0e\u3057\u307e\u3059\u3002\u3053\u306e benzos \u306b\u306f <strong>diazepam<\/strong> \uff08\u300c\u30c0\u30a3<strong>\u30a2<\/strong>\u30bc\u30d1\u30e0\u300d\u306e\u3088\u3046\u306a\u767a\u97f3\uff09\u3084 <strong>lorazepam<\/strong> \u306a\u3069\u304c\u542b\u307e\u308c\u307e\u3059\u3002<\/span><\/p>\r\n<p><span style=\"font-size: large;\"><strong>generalized seizures<\/strong> \u306e\u3046\u3061\u3001<strong>tonic-clonic seizures<\/strong> \u306b\u306f <span style=\"background-color: #ffff33;\"><strong>valproate<\/strong><\/span>\/<span style=\"background-color: #ffff33;\"><strong>valproic acid<\/strong><\/span> \u304c\u3001\u305d\u3057\u3066 <strong>absence seizures<\/strong> \u306b\u306f <span style=\"background-color: #ffff33;\"><strong>ethosuximide<\/strong><\/span> \u304c\u4f7f\u308f\u308c\u307e\u3059\u3002<\/span><\/p>\r\n<p><span style=\"font-size: large;\">\u305d\u3057\u3066 <strong>focal seizures<\/strong> \u306b\u306f <span style=\"background-color: #ffff33;\"><strong>carbamazepine<\/strong><\/span> \u304c\u4f7f\u308f\u308c\u307e\u3059\u304c\u3001\u3053\u306e\u767a\u97f3\u3082\u300c\u30ab\u30a1\u30d0<strong>\u30de<\/strong>\u30bc\u30d4\u30a3\u30f3\u300d\u306e\u3088\u3046\u306b\u306a\u308b\u306e\u3067\u6c17\u3092\u3064\u3051\u3066\u304f\u3060\u3055\u3044\u3002<\/span><\/p>\r\n<p><span style=\"font-size: large;\">\u3055\u3066\u305d\u308d\u305d\u308d\u30ab\u30c3\u30d7\u306e\u30b3\u30fc\u30d2\u30fc\u3082\u6b8b\u308a\u308f\u305a\u304b\u3067\u3059\u3002\u6700\u5f8c\u306b\u4eca\u56de\u3054\u7d39\u4ecb\u3057\u305f\u300c<strong>\u3051\u3044\u308c\u3093<\/strong>\u300d\u306b\u95a2\u3059\u308b\u82f1\u8a9e\u8868\u73fe\u306e\u8981\u70b9\u3092\u307e\u3068\u3081\u3066\u304a\u304d\u307e\u3059\u3002<\/span><br \/>\r\n<span style=\"font-size: large;\"><br \/>\r\n<strong>Convulsions<\/strong>: \u3051\u3044\u308c\u3093<br \/>\r\n<strong>Seizures<\/strong>: \u3066\u3093\u304b\u3093\u767a\u4f5c<br \/>\r\n<strong>Epilepsy<\/strong>: \u3066\u3093\u304b\u3093<br \/>\r\n<span style=\"font-size: large;\"><br \/>\r\n<strong>Seizures \u306e\u7a2e\u985e<\/strong><br \/>\r\n<strong>Generalized seizures: \u5168\u822c\u767a\u4f5c<\/strong><br \/>\r\n<em>\u3000<\/em><strong>\u2022<\/strong> Tonic-clonic seizures: \u5f37\u76f4\u9593\u4ee3\u767a\u4f5c<br \/>\r\n<em>\u3000<\/em><strong>\u2022<\/strong> Tonic seizures: \u5f37\u76f4\u767a\u4f5c<br \/>\r\n<em>\u3000<\/em><strong>\u2022<\/strong> Clonic seizures: \u9593\u4ee3\u767a\u4f5c<br \/>\r\n<em>\u3000<\/em><strong>\u2022<\/strong> Myoclonic seizures: \u30df\u30aa\u30af\u30ed\u30cb\u30fc\u767a\u4f5c<br \/>\r\n<em>\u3000<\/em><strong>\u2022<\/strong> Atonic seizures: \u8131\u529b\u767a\u4f5c<br \/>\r\n<em>\u3000<\/em><strong>\u2022<\/strong> Absence seizures: \u6b20\u795e\u767a\u4f5c<br \/>\r\n<strong>Focal<\/strong>\/<strong>partial seizures: \u90e8\u5206\u767a\u4f5c<\/strong><br \/>\r\n<em>\u3000<\/em><strong>\u2022<\/strong> Simple focal\/partial seizures: \u5358\u7d14\u90e8\u5206\u767a\u4f5c<br \/>\r\n<em>\u3000<\/em><strong>\u2022<\/strong> Complex focal\/partial seizures: \u8907\u96d1\u90e8\u5206\u767a\u4f5c<br \/>\r\n<em>\u3000<\/em><strong>\u2022<\/strong> Secondary generalized seizures: \u4e8c\u6b21\u6027\u5168\u822c\u5316\u767a\u4f5c<br \/>\r\n<strong>Status epilepticus: \u3066\u3093\u304b\u3093\u91cd\u7a4d\u72b6\u614b<\/strong><br \/>\r\n<\/span><br \/>\r\n<span style=\"font-size: large;\"><br \/>\r\n<strong>Convulsions \u306e\u9451\u5225\u75be\u60a3<\/strong><br \/>\r\n<strong>Non-seizures: \u975e\u3066\u3093\u304b\u3093\u767a\u4f5c<\/strong><br \/>\r\n<em>\u3000<\/em><strong>\u2022<\/strong> Syncope: \u5931\u795e<br \/>\r\n<em>\u3000<\/em><strong>\u2022<\/strong> Psychogenic non-epileptic seizures (PNES): \u5fc3\u56e0\u6027\u975e\u3066\u3093\u304b\u3093\uff08\u6027\uff09\u767a\u4f5c\u300d<br \/>\r\n<strong>Seizures: \u3066\u3093\u304b\u3093\u767a\u4f5c<\/strong><br \/>\r\n<em>\u3000<\/em><strong>Seizures caused by other conditions<\/strong><br \/>\r\n<em>\u3000<\/em><em>\u3000<\/em><strong>\u2022<\/strong> Stroke: \u8133\u5352\u4e2d<br \/>\r\n<em>\u3000<\/em><em>\u3000<\/em><strong>\u2022<\/strong> Meningitis: \u9ac4\u819c\u708e<br \/>\r\n<em>\u3000<\/em><em>\u3000<\/em><strong>\u2022<\/strong> Intoxication: \uff08\u85ac\u7269\u3084\u30a2\u30eb\u30b3\u30fc\u30eb\u306a\u3069\u306e\uff09\u4e2d\u6bd2<br \/>\r\n<em>\u3000<\/em><em>\u3000<\/em><strong>\u2022<\/strong> Metabolic conditions: \u4ee3\u8b1d\u6027\u75be\u60a3<br \/>\r\n<em>\u3000<\/em><em>\u3000<\/em><strong>\u2022<\/strong> Eclampsia: \u5b50\u7647<br \/>\r\n<strong>Epilepsy: \u3066\u3093\u304b\u3093<\/strong><br \/>\r\n<\/span><\/p>\r\n<p><span style=\"font-size: large;\">\u3067\u306f\u3001\u307e\u305f\u306e\u3054\u6765\u5e97\u3092\u304a\u5f85\u3061\u3057\u3066\u304a\u308a\u307e\u3059\u3002<\/span><\/p>\r\n<p><span style=\"font-size: large;\"><strong>\u5f15\u7528\u6587\u732e<\/strong><br \/>\r\n    Sheldon R, Rose S, Ritchie D, Connolly SJ, Koshman ML, Lee MA, Frenneaux M, Fisher M, Murphy W. Historical criteria that distinguish syncope from seizures. Journal of the American College of Cardiology 2002 July 3, 40 (1): 142-8<\/span><\/span><\/p>\r\n<p><span style=\"font-size: large;\">\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<a href=\"https:\/\/55auto.biz\/mec-form\/regires.php?tno=275\" target=\"_blank\" rel=\"noopener\"><span style=\"color: #3366ff; text-decoration: underline;\"><strong>\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<p style=\"text-align: right;\">\u56fd\u969b\u533b\u7642\u798f\u7949\u5927\u5b66\u533b\u5b66\u90e8 \u533b\u5b66\u6559\u80b2\u7d71\u62ec\u30bb\u30f3\u30bf\u30fc \u6559\u6388\u3000\u62bc\u5473 \u8cb4\u4e4b<\/p>","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\u3051\u3044\u308c\u3093\u306b\u95a2\u3059\u308b\u82f1\u8a9e\u8868\u73fe\u300d\u3002 \u533b\u5b66\u6559\u80b2\u30e2\u30c7\u30eb\u30fb\u30b3\u30a2\u30fb\u30ab\u30ea\u30ad\u30e5\u30e9\u30e0\u306e","protected":false},"author":15,"featured_media":6860,"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-7182","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\/7182","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\/15"}],"replies":[{"embeddable":true,"href":"https:\/\/wp.meccari.jp\/api\/wp\/v2\/comments?post=7182"}],"version-history":[{"count":1,"href":"https:\/\/wp.meccari.jp\/api\/wp\/v2\/posts\/7182\/revisions"}],"predecessor-version":[{"id":7183,"href":"https:\/\/wp.meccari.jp\/api\/wp\/v2\/posts\/7182\/revisions\/7183"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/wp.meccari.jp\/api\/wp\/v2\/media\/6860"}],"wp:attachment":[{"href":"https:\/\/wp.meccari.jp\/api\/wp\/v2\/media?parent=7182"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/wp.meccari.jp\/api\/wp\/v2\/categories?post=7182"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/wp.meccari.jp\/api\/wp\/v2\/tags?post=7182"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}