¡ÖIJ±ê¡×¤Ë¤Ê¤ê¤ä¤¹¤¤¿Í¤ÎÆÃħ¤Ï¤´Â¸ÃΤǤ¹¤«¡© ¸¶°ø¡¦¾É¾õ¤òÊ»¤»¤Æ°å»Õ¤¬²òÀâ
´Æ½¤°å»Õ¡§
Âçºä µ®»Ë¡Ê°å»Õ¡Ë
µþÅÔÉÜΩ°å²ÊÂç³Ø´¶È¡£µþÅÔÉÜΩ°å²ÊÂç³ØÂç³Ø±¡°å³Ø¸¦µæ²Ê½¤Î»¡£¸½ºß¤Ï°½Éô»ÔΩɱ¡ ÆâʬÈ硦ÅüÇ¢ÉÂÆâ²ÊÉôĹ¡¢µþÅÔÉÜΩ°å²ÊÂç³ØÂç³Ø±¡°å³Ø¸¦µæ²Ê ÆâʬÈ硦ÅüǢɡ¦Âå¼ÕÆâ²Ê³Ø¹ÖºÂ µÒ°÷¹Ö»Õ¤ò̳¤á¤ë¡£°å³ØÇî»Î¡£ÆüËÜÆâ²Ê³Ø²ñÁí¹çÆâ²ÊÀìÌç°å¡¢ÆüËÜÅüǢɳزñÅüÇ¢ÉÂÀìÌç°å¡£
IJ±ê¤Î³µÍ×
IJ±ê¤Ï¡¢½½Æó»ØIJ¡¢¾®Ä²¡¢ÂçIJ¤Î¤¤¤º¤ì¤«¤ÎÉô°Ì¤Ë±ê¾É¤¬µ¯¤¤ë¤â¤Î¤Ç¡¢Ìó2½µ´Ö°ÊÆâ¤Ë±ê¾É¤¬¼ý¤Þ¤ëµÞÀIJ±ê¤È¡¢¤½¤ì°Ê¾å³¤¯ËýÀIJ±ê¤ËʬÎव¤ì¤Þ¤¹¡£
µÞÀIJ±ê¤Ï¼ç¤Ë¥¦¥¤¥ë¥¹¤äºÙ¶Ý¡¢´óÀ¸Ãî¤Ê¤É¤Î´¶À÷¤Ë¤è¤Ã¤Æ°ú¤µ¯¤³¤µ¤ì¤Þ¤¹¡£¾É¾õ¤È¤·¤Æ¤Ï¡¢Ê¢ÄË¡¢²¼Î¡¡¢ÅǤµ¤¡¢ÓÒÅÇ¡¢È¯Ç®¤Ê¤É¤¬°ìÈÌŪ¤Ç¤¹¡£
°ìÊý¡¢ËýÀIJ±ê¤Ïȯ¾É¤¬¤æ¤ë¤ä¤«¤Ç¤¹¤¬¡¢¸¶°øÉÔÌÀ¤Î¼À´µ¤äÆñ¼£À¼À´µ¤Î¤â¤Î¤â¾¯¤Ê¤¯¤¢¤ê¤Þ¤»¤ó¡£
IJ±ê¤Ï¿¤¯¤Î¾ì¹ç¤Ï¿åʬÊäµë¤ä¹³¶ÝÌô¡¢ÄÃÄËÌô¤Ê¤É¤Ë¤è¤ëÂоÉÎÅË¡¤Ç¼£Ìþ¤·¤Þ¤¹¤¬¡¢Ã¦¿å¾É¾õ¤«¤é½ÅÆƲ½¤¹¤ë¤³¤È¤â¤¢¤ê¤Þ¤¹ (»²¹Íʸ¸¥ 1) ¡£Æä˴¶À÷ÀIJ±ê¤ÎͽËɤˤϼêÀö¤¤¤ä¿©ºà¤ÎŬÀڤʽèÍý¡¢´µ¼Ô¤È¤ÎÇ»¸ü¤ÊÀÜ¿¨¤òÈò¤±¤ë¤³¤È¤¬½ÅÍפǤ¹ (»²¹Íʸ¸¥ 2) ¡£
IJ±ê¤Î¸¶°ø
IJ±ê¤Î¸¶°ø¤Ï¿´ô¤Ë¤ï¤¿¤ê¡¢¼ç¤Ë´¶À÷À¤ÈÈó´¶À÷À¤ÎÍ×°ø¤Ëʬ¤±¤é¤ì¤Þ¤¹¡£
´¶À÷ÀIJ±ê¤Ï¡¢¥¦¥¤¥ë¥¹¡¢ºÙ¶Ý¤Ë¤è¤ë¤â¤Î¤¬°ìÈÌŪ¤Ç¤¹¡£
¥¦¥¤¥ë¥¹ÀIJ±ê¤Ï¥Î¥í¥¦¥¤¥ë¥¹¤ä¥í¥¿¥¦¥¤¥ë¥¹¤¬¼ç¤Ê¸¶°ø¤Ç¡¢ÆäËÅßµ¨¤Ëή¹Ô¤·¤Þ¤¹¡£ÀøÉú´ü´Ö¤Ï 1~3Æü ¤Ç¡¢Â¿¤¯¤Ï¼«Á³¤Ë¼£Ìþ¤·¤Þ¤¹¡£
ºÙ¶ÝÀIJ±ê¤Ç¤Ï¡¢ÂçIJ¶Ý¡¢¥µ¥ë¥â¥Í¥é¶Ý¡¢¥«¥ó¥Ô¥í¥Ð¥¯¥¿ー¡¢ÀÖΡ¶Ý¡¢¥³¥ì¥é¶Ý¡¢¥Á¥Õ¥¹¶Ý¡¦¥Ñ¥é¥Á¥Õ¥¹¶Ý¡¢²«¿§¥Ö¥É¥¦µå¶Ý¤Ê¤É¤¬¸¶°ø¤È¤Ê¤ê¤Þ¤¹¡£É¸¶ÂçIJ¶Ý¤ÏÁÈ¿¥¿·ÆþÀ¸ÂçIJ¶Ý¡¢ÆÇÁǸ¶ÀÂçIJ¶Ý¡¢É¸¶ÂçIJ¶Ý¡¢Ä²´É½Ð·ìÀÂçIJ¶Ý¡¢Ä²´É¶Å½¸ÀÂçIJ¶Ý¤Î 5¼ïÎà ¤¬¤¢¤ê¡¢ÆäËIJ´É½Ð·ìÀÂçIJ¶Ý¤Î O157 ¤¬ÃΤé¤ì¤Æ¤¤¤Þ¤¹¡£
´¶À÷·ÐÏ©¤ÈÀøÉú´ü´Ö¤Ï¤½¤ì¤¾¤ì°Ê²¼¤Î¤è¤¦¤Ë¤Ê¤ê¤Þ¤¹¡£
²ÈÃܤ䴶À÷¼Ô¤ÎʵÊؤˤè¤ê±øÀ÷¤µ¤ì¤¿¿©Éʤä°æ¸Í¿å¤«¤é¤Î·Ð¸ý´¶À÷¤¬ËؤɤǤ¹¡£ÀøÉú´ü´Ö¤Ï 2~14Æü ¤Ç¤¹¡£¥µ¥ë¥â¥Í¥é¶Ý¡§
±øÀ÷¤µ¤ì¤¿Æ°Êª»ôÎÁ¤«¤é²ÈÃÜ¡¦·Ü¤Ë´¶À÷¤·¡¢¿©Æù¤äÍñ¤«¤é¤Î·Ð¸ý´¶À÷¤¬µ¯¤³¤ê¤Þ¤¹¡£¥ß¥É¥ê¥¬¥á¤Ê¤É¤Î¥Ú¥Ã¥È¤«¤é´¶À÷¤¹¤ë¤³¤È¤â¤¢¤ê¤Þ¤¹¡£ 8~48»þ´Ö ¤Çȯ¾É¤·¤Þ¤¹¡£¥«¥ó¥Ô¥í¥Ð¥¯¥¿ー¡§
µí¡¢ÆÚ¡¢·Ü¤Ê¤É¤Î²ÈÃܤä¥Ú¥Ã¥È¤ÎIJ´É¤Ë¸ºß¤·¡¢ÆùÎà¤äµíÆý¤«¤é´¶À÷¤·¤Þ¤¹¡£Æä˷ÜÆù¤«¤é¤¬Â¿¤¤¤Ç¤¹¡£ÀøÉú´ü´Ö¤Ï 3~7Æü ¤Ç¤¹¡£ÀÖΡ¶Ý¡§
ÆüËܤˤª¤±¤ëȯ¾É¼Ô¤ÏÅìÆ¥¸¥¢¼þÊդʤɤ㤳°¤Ë¤Æ±øÀ÷°ûÎÁ¿å¤ä¿©Éʤ«¤é´¶À÷¤·¤¿¿Í¤¬ËؤɤǤ¹¡£ÀøÉú´ü´Ö¤Ï 1~3Æü ¤Ç¤¹¡£¥³¥ì¥é¶Ý¡§
¥³¥ì¥é¶Ý¤Ë±øÀ÷¤µ¤ì¤¿¿©Êª¤ä°ûÎÁ¿å¤Î·Ð¸ýÀݼè¤Ë¤è¤ê´¶À÷¤·¤Þ¤¹¡£ÀøÉú´ü´Ö¤Ï1~5Æü¤Ç¤¹¡£¥Á¥Õ¥¹¶Ý¡¦¥Ñ¥é¥Á¥Õ¥¹¶Ý¡§
¥Á¥Õ¥¹¶Ý¡¦¥Ñ¥é¥Á¥Õ¥¹¶Ý¤Ë±øÀ÷¤µ¤ì¤¿¿©Êª¤ä°ûÎÁ¿å¤Î·Ð¸ýÀݼè¤Ë¤è¤ê´¶À÷¤·¤Þ¤¹¡£ÀøÉú´ü´Ö¤Ï 1~2½µ´Ö ¤Ç¤¹¡£²«¿§¥Ö¥É¥¦µå¶Ý¡§
²«¿§¥Ö¥É¥¦µå¶Ý¤Ë±øÀ÷¤µ¤ì¤¿¿©Êª¤ä°ûÎÁ¿å¤Î·Ð¸ýÀݼè¤Ë¤è¤ê´¶À÷¤·¤Þ¤¹¡£ÀøÉú´ü´Ö¤Ï 2~5»þ´Ö ¤È¡¢¤«¤Ê¤êȯ¾É¤¬Áᤤ¤Ç¤¹¡£
Èó´¶À÷ÀIJ±ê¤Ë¤Ï¡¢ÌôºÞÀIJ±ê¡¢Êü¼ÍÀþIJ±ê¡¢½Û´ÄÉÔÁ´¤Ë¤è¤ëµõ·ìÀIJ±ê¡¢¥¢¥ì¥ë¥®ーÀ¤Î°ßIJ¾É¤Ê¤É¤¬¤¢¤ê¤Þ¤¹¡£
ÌôºÞÀIJ±ê¤Ï¡¢ÆÃÄê¤ÎÌôºÞ¤¬¸¶°ø¤ÇIJ¤ÎÇ´Ëì¤Ë±ê¾É¤¬À¸¤¸¤ë¼À´µ¤Ç¤¹¡£Æä˹³¶ÝÌô¤äÈó¥¹¥Æ¥í¥¤¥ÉÀ¹³±ê¾ÉÌô (NSAIDs) ¤¬´ØÍ¿¤¹¤ë¤³¤È¤¬Â¿¤¯¸«¤é¤ì¤Þ¤¹¡£
¹³¶ÝÌô¤Ë¤è¤ëIJ±ê¤Ï¡¢Ä²Æâ¤ÎÀµ¾ï¤ÊºÙ¶ÝÁѤ¬Íð¤ì¤ë¤³¤È¤Çµ¯¤³¤ê¡¢¤³¤ì¤Ë¤è¤êͳ²¤ÊºÙ¶Ý¤¬Áý¿£¤·¡¢Ä²Ç´Ëì¤Ë±ê¾É¤ò°ú¤µ¯¤³¤·¤Þ¤¹¡£Æäˡ¢¥¯¥í¥¹¥È¥ê¥¸¥¦¥à¡¦¥Ç¥£¥Õ¥£¥·¥ë (C. difficile) ´¶À÷¤¬¸¶°ø¤È¤Ê¤ë¤³¤È¤¬Â¿¤¯¡¢¤³¤Î¾ì¹ç¡¢µ¶ËìÀIJ±ê¤òµ¯¤³¤¹¤³¤È¤¬¤¢¤ê¤Þ¤¹¡£NSAIDs ¤Ê¤É¤Ë¤è¤ëIJ±ê¤Ï¡¢ÌôºÞ¤¬Ä¾ÀÜIJǴËì¤ËºîÍѤ·¤Æ¾ã³²¤ò°ú¤µ¯¤³¤¹¤³¤È¤¬¸¶°ø¤Ç¤¹¡£¥Ú¥Ë¥·¥ê¥ó¤Ê¤É¤Î¹³¶ÝÌô¡¢²½³ØÎÅË¡Ìô¤äÌȱÖÍÞÀ©ºÞ¤âľÀܽý³²¤Ë¤è¤ëIJ±ê¤Î¸¶°ø¤È¤Ê¤ê¤Þ¤¹¡£
Êü¼ÍÀþIJ±ê¤Ï¡¢¤¬¤ó¼£ÎŤǻÈÍѤµ¤ì¤ëÊü¼ÍÀþÎÅË¡¤Ë¤è¤Ã¤Æ°ú¤µ¯¤³¤µ¤ì¤ëIJ¤Î±ê¾É¤Ç¤¹¡£ÆäËÊ¢Éô¤ä¹üÈפؤÎÊü¼ÍÀþ¾È¼Í¤¬¸¶°ø¤È¤Ê¤ê¤Þ¤¹¡£
¤Þ¤¿¡¢²áÉÒÀIJ¾É¸õ·² (IBS) ¤ä¥¯¥íー¥óÉ¡¢ÄÙáçÀÂçIJ±ê¤Ê¤É¤Î±ê¾ÉÀIJ¼À´µ (IBD) ¤Ê¤É¤âIJ±ê¤ò°ú¤µ¯¤³¤·¤Þ¤¹¡£
¤³¤ì¤é¤ÏËýÀŪ¤ÊÊ¢Äˤ䲼Ρ¤ò°ú¤µ¯¤³¤·¡¢ËýÀIJ±ê¤È¸Æ¤Ð¤ì¤Þ¤¹ (»²¹Íʸ¸¥ 1) ¡£
IJ±ê¤ÎÁ°Ãû¤ä½é´ü¾É¾õ¤Ë¤Ä¤¤¤Æ
´¶À÷ÀIJ±ê¤Î¼ç¤Ê¾É¾õ¤ÏÊ¢ÄË¡¢²¼Î¡¡¢ÅǤµ¤¡¢ÓÒÅÇ¡¢È¯Ç®¤Ç¤¹¡£ºÙ¶ÝÀIJ±ê¤Ï¸¶°ø¶Ý¤Ë¤è¤Ã¤Æ¾É¾õ¤¬°Û¤Ê¤ê¡¢¤½¤ì¤¾¤ì°Ê²¼¤Î¤è¤¦¤Ê¾É¾õ¤òÄ褷¤Þ¤¹¡£
IJ´É½Ð·ìÀÂçIJ¶Ý O157¡§·ã¤·¤¤Ê¢ÄˤȿåÍÏÀ²¼Î¡¤Çȯ¾É¤·¡¢¤½¤Î¸å¤Ë·ìÊؤâÄ褷¤Þ¤¹¡£Ìó10¡ó ¤Ïȯ¾É 1½µ´Ö¸å ¤ËÍÏ·ìÀÇ¢ÆǾɾɸõ·²¤ò³ȯ¤·¤ÆµÞÀ¿ÕÉÔÁ´¡¢·ì¾®Èĸº¾¯¡¢ÍÏ·ìÀÉϷ졢Ǿ¾É¤òÀ¸¤¸¤ë¤³¤È¤¬¤¢¤ê¡¢½ÅÆƤʷвá¤òé¤ë¤È»à¤Ë»ê¤ë¾ì¹ç¤â¤¢¤ê¤Þ¤¹¡£¥µ¥ë¥â¥Í¥é¶Ý¡§
ŵ·¿Åª¤Ê´¶À÷ÀIJ±ê¤Î¾É¾õ¤ÈƱ¤¸¤Ç¡¢Ê¢ÄË¡¢²¼Î¡¡¢ÅǤµ¤¡¢ÓÒÅÇ¡¢È¯Ç®¤òÄ褷¤Þ¤¹¡£¥«¥ó¥Ô¥í¥Ð¥¯¥¿ー¡§
¿åÍÏÀ²¼Î¡¡¢È¯Ç®¡¢Ê¢Äˤ¬¸«¤é¤ì¡¢1½µ´Ö ÄøÅÙ³¤¤Þ¤¹¡£ÂоÉÎÅË¡¤Ç¾É¾õ¤¬²þÁ±¤¹¤ë¤³¤È¤¬Â¿¤¤¤Ç¤¹¤¬¡¢¶Ý·ì¾É¤ä¿ñËì±ê¡¢Ê¢Ëì±ê¤òÀ¸¤¸¤ë¤³¤È¤â¤¢¤ê¤Þ¤¹¡£ÀÖΡ¶Ý¡§
ȯǮ¡¢Ê¢ÄË¡¢Å¥¾õ~¿åÍͤÎÊØ¡¢¥Æ¥Í¥¹¥à¥¹ (ÊذդϤ¢¤Ã¤Æ¤âÇÓÊؤ·¤è¤¦¤È¤¹¤ë¤È½Ð¤Ê¤¤) ¤¬¸«¤é¤ì¡¢¸å¤ËÇ¿Ç´À¤Î·ìÊؤ¬¸«¤é¤ì¤Þ¤¹¡£¥³¥ì¥é¶Ý¡§
¡ÖÊƤΤȤ®½ÁÍ͡פȸÀ¤ï¤ì¤ë¤è¤¦¤Ê¿åÍÍÀ¤Î²¼Î¡¤òÀ¸¤¸¤Þ¤¹¡£È¯Ç®¤Ï¤Ê¤¯¡¢Ã¦¿å¤¬¸²Ãø¤Ëɽ¤ì¤Þ¤¹¡£¥Á¥Õ¥¹¶Ý¡¦¥Ñ¥é¥Á¥Õ¥¹¶Ý¡§
¹âÇ®¤Çȯ¾É¤·¤Þ¤¹¡£ç£¼ð¤äÁ´¿È¤Ë ¿ômm ¤ÎÀÖ¤¤ÈÃÅÀ¤â¸«¤é¤ì¤ë¤³¤È¤¬¤¢¤ê¤Þ¤¹¡£¿Ê¹Ô¤¹¤ë¤ÈIJ½Ð·ì¤äIJÀü¹¦¤òÀ¸¤¸¤ë¤³¤È¤â¤¢¤ê¤Þ¤¹¡£²«¿§¥Ö¥É¥¦µå¶Ý¡§
·ã¤·¤¤ÅǤµ¤¤äÓÒÅÇ¡¢¶¯¤¤Ê¢ÄË¡¢²¼Î¡¤òÀ¸¤¸¤Þ¤¹¡£¤Þ¤ì¤ËȯǮ¤ä¥·¥ç¥Ã¥¯¾É¾õ¤òȼ¤¦¤³¤È¤â¤¢¤ê¤Þ¤¹¤¬¡¢Ä̾ï¤Ï 1Æü ¤« 2Æü´Ö ¤Ç¼£¤ê¤Þ¤¹¡£
ÌôºÞÀIJ±ê¤Ç¤ÏÌôºÞÉþÍѸå¿ôÆü¤Ç¿åÍÍÀ¤Î²¼Î¡¤äÊ¢ÄË¡¢·ìÊؤòȯ¾É¤·¤Þ¤¹¡£ÄÙáç¤äIJ¤Î¶¹ºõ¤ò¤ª¤³¤¹¤³¤È¤â¤¢¤ê¡¢½Å¾É²½¤¹¤ë¤ÈIJÀü¹¦¤äÇÔ·ì¾É¤Î¥ê¥¹¥¯¤¬¹â¤Þ¤ê¤Þ¤¹¡£
Êü¼ÍÀþIJ±ê¤ÏµÞÀ·¿¤ÈËýÀ·¿¤Ëʬ¤«¤ì¤Þ¤¹¡£µÞÀ·¿¤Ç¤Ï¡¢Êü¼ÍÀþ¼£ÎÅÃæ¤äľ¸å (¾È¼Í¸å 3¤«·î°ÊÆâ) ¤ËIJǴËì¤ÎȯÀÖ¤äÉâ¼ð¡¢½Ð·ì¤¬¸½¤ì¡¢ËýÀ·¿¤Ï6¤«·î~25ǯ¤ï¤¿¤Ã¤Æ¸«¤é¤ì¡¢·ì´É¾ã³²¤Ë¤è¤ëÄÙáç¤ä¶¹ºõ¡¦áñ¹¦·ÁÀ®¤¬¸«¤é¤ì¤Þ¤¹¡£
¤Þ¤¿¡¢ËýÀIJ±ê¤Ç¤ÏÊ¢Äˤ䲼Ρ¤¬¤æ¤ë¤ä¤«¤Ëȯ¾É¤·Ä¹´ü´Ö»ý³¤·¤Þ¤¹ (»²¹Íʸ¸¥ 1) ¡£
IJ±ê¤Î¸¡ºº¡¦¿ÇÃÇ
IJ±ê¤Î¿ÇÃǤÏÉÂÎò¤È¾É¾õ¡¢¸¡ºº·ë²Ì¤òÁí¹çŪ¤Ëɾ²Á¤·¤Æ¹Ô¤ï¤ì¤Þ¤¹¡£¤µ¤é¤Ë¤Ï¡¢ÉÂÎò¤È¾É¾õ¤Î¤ß¤Ç¿ÇÃǤ¬¤Ä¤±¤é¤ì¤ë¤³¤È¤â¤¢¤ê¤Þ¤¹¡£
Î㤨¤ÐµÞÀ¥¦¥¤¥ë¥¹À°ßIJ±ê¤Î¿ÇÃǤϡ¢ 1½µ´Ö °ÊÆâ¤ËµÞ®¤Ëȯ¾É¤¹¤ëÆÃħŪ¤Ê²¼Î¡¾É¡Ê1Æü 3²ó °Ê¾å¤Þ¤¿¤Ï 1Æü 200g °Ê¾å¤ÎÊءˤÎÉÂÎò¤¬¤¢¤ê¡¢ÅǤµ¤¡¢ÓÒÅÇ¡¢È¯Ç®¤Ê¤É¤Î¾É¾õ¤È·ÚÅÙ¤ÇÊ¢ÉôÁ´ÂΤ˹¤¬¤ëÊ¢Éô°µÄˤ¬¸«¤é¤ì¤ì¤Ð¿ÇÃǤµ¤ì¤Þ¤¹ (»²¹Íʸ¸¥ 3) ¡£
IJ±ê¤Î¼£ÎÅ
´¶À÷ÀIJ±ê¤Î¤¦¤Á¡¢¥¦¥¤¥ë¥¹ÀIJ±ê¤Ï¼«Á³¤Ë¼£Ìþ¤¹¤ë¤³¤È¤¬Â¿¤¤¤Ç¤¹¡£°ìÊý¡¢ºÙ¶ÝÀIJ±ê¤Ï¸¶°ø¶Ý¤Ë¤è¤Ã¤Æ»ÈÍѤ¹¤ë¹³¶ÝÌô¤¬°Û¤Ê¤ê¤Þ¤¹¡£¤½¤ì¤¾¤ì°Ê²¼¤Î¤è¤¦¤Ë¤Ê¤Ã¤Æ¤¤¤Þ¤¹¡£
IJ´É½Ð·ìÀÂçIJ¶Ý O157¡§¤Þ¤º½½Ê¬¤Ê¿åʬÊäµë¤ò¹Ô¤¤¤Þ¤¹¡£ÍÏ·ìÀÇ¢ÆǾɾɸõ·²¤òȯ¾É¤·¤¿¾ì¹ç¤ÏÆ©ÀϤʤɤò¹Ô¤¦¤³¤È¤â¤¢¤ê¤Þ¤¹¡£¥µ¥ë¥â¥Í¥é¶Ý¡§
¥Ë¥åー¥¥Î¥í¥ó·Ï¹³¶ÝÌô¤¬Í¸ú¤Ç¤¹¡£¥«¥ó¥Ô¥í¥Ð¥¯¥¿ー¡§
¥Þ¥¯¥í¥é¥¤¥É·Ï¹³¶ÝÌô¤¢¤ë¤¤¤Ï¥Û¥¹¥Û¥Þ¥¤¥·¥ó¤òÍѤ¤¤Þ¤¹¡£ÀÖΡ¶Ý¡§
¥Ë¥åー¥¥Î¥í¥ó·Ï¹³¶ÝÌô¤Þ¤¿¤Ï¥Û¥¹¥Û¥Þ¥¤¥·¥ó¤òÍѤ¤¤Þ¤¹¡£¥³¥ì¥é¶Ý¡§
æ¿å¤¬¶¯¤¤¤¿¤áÊä±Õ¤ò¹Ô¤¤¡¢¹³¶ÝÌô¤È¤·¤Æ¤Ï¥Æ¥È¥é¥µ¥¤¥¯¥ê¥ó·Ï¤Þ¤¿¤Ï¥Ë¥åー¥¥Î¥í¥ó·Ï¤òÍѤ¤¤Þ¤¹¡£¥Á¥Õ¥¹¶Ý¡¦¥Ñ¥é¥Á¥Õ¥¹¶Ý¡§
¥¯¥í¥é¥à¥Õ¥§¥Ë¥³ー¥ë¤¬Âè°ìÁªÂòÌô¤Ç¡¢ÂÑÀ¶Ý¤ËÂФ·¤Æ¤Ï¥Ë¥åー¥¥Î¥í¥ó·Ï¹³¶ÝÌô¤òÍѤ¤¤Þ¤¹¡£²«¿§¥Ö¥É¥¦µå¶Ý¡§
Êä±Õ¤ÈÂоÉÎÅË¡¤¬Ãæ¿´¤Ë¤Ê¤ê¤Þ¤¹¡£
ÌôºÞÀIJ±ê¤Î¼£ÎŤˤϡ¢¸¶°øÌôºÞ¤ÎÃæ»ß¤äÊѹ¹¤¬´ðËܤȤʤê¤Þ¤¹¡£C. difficile ¤Ë¤è¤ëµ¶ËìÀIJ±ê¤ËÂФ¹¤ë¥Ð¥ó¥³¥Þ¥¤¥·¥ó¤Ê¤É¡¢¾õ¶·¤Ë±þ¤¸¤Æ¹³¶ÝÌô¤¬»ÈÍѤµ¤ì¤ë¤³¤È¤â¤¢¤ê¤Þ¤¹¡£
Êü¼ÍÀþIJ±ê¤Î¼£ÎŤˤϡ¢·Ú¾É¤Ç¤¢¤ì¤ÐÊü¼ÍÀþ¾È¼Í¤òÃæÃǤ¹¤ë¤³¤È¤Ç¿¤¯¤Ï²þÁ±¤·¤Þ¤¹¡£
ÄÙáç·ÁÀ®¤Ê¤É¤¬µ¯¤¤Æ¤¤¤ë¾ì¹ç¤Ï 5-ASA À½ºÞ¤ä¥¹¥Æ¥í¥¤¥É¤Ë¤è¤ëÌôʪÎÅË¡¤â¹Ô¤¤¤Þ¤¹¡£
¤µ¤é¤Ë¶¹ºõ¤äÀü¹¦¤Ê¤É¤¬À¸¤¸¤¿¾ì¹ç¤Ï³°²ÊŪ¼£ÎŤ¬É¬ÍפȤʤ뤳¤È¤â¤¢¤ê¤Þ¤¹ (»²¹Íʸ¸¥ 1) ¡£
IJ±ê¤Ë¤Ê¤ê¤ä¤¹¤¤¿Í¡¦Í½ËɤÎÊýË¡
´¶À÷ÀIJ±ê¤ÎͽËɤˤϰìÈÌŪ¤Ê¿©ÃæÆǤؤδ¶À÷Âкö¤È¤·¤Æ¼êÀö¤¤¤ä¿©ºà¤ÎŬÀڤʽèÍý¤¬½ÅÍפȤʤ뾡¢´¶À÷¸»¤ËÀÜ¿¨¤·¤¿¿Í¤¬È¯¾É¤¹¤ë¤¿¤á¡¢È¯¾É¼Ô¤È¤ÎÇ»¸ü¤ÊÀÜ¿¨¤òÈò¤±¤ë¤³¤È¤¬É¬ÍפǤ¹¡£
¤½¤·¤Æ¡¢ÌôºÞÀIJ±ê¤Ï¹³¶ÝÌô¤ä NSAIDs (Èó¥¹¥Æ¥í¥¤¥ÉÀ¹³±ê¾ÉÌô) ¤òÉþÍѤ·¤Æ¤¤¤ë¿Í¤Ëµ¯¤³¤ê¤ä¤¹¤¤¤Ç¤¹¡£¤Þ¤¿¡¢Êü¼ÍÀþIJ±ê¤ÏÊü¼ÍÀþ¼£ÎŤò¼õ¤±¤Æ¤¤¤ë¿Í¤Ëµ¯¤³¤ë²ÄǽÀ¤¬¤¢¤ëIJ±ê¤Ç¤¹¡£¤½¤Î¤¿¤á¡¢¤³¤ì¤é¤Ë³ºÅö¤¹¤ë¿Í¤Çµ¤¤Ë¤Ê¤ë¾É¾õ¤¬¤¢¤ë¾ì¹ç¤Ï¤«¤«¤ê¤Ä¤±°å¤ËÁêÃ̤·¤Þ¤·¤ç¤¦ (»²¹Íʸ¸¥ 1) ¡£
»²¹Íʸ¸¥
ÌðºêµÁͺ et al.¡ÖÆâ²ÊÕÜÂè11ÈÇ¡×(Ä«ÁÒ½ñŹ¡¢2017ǯ) 953-957¥Úー¥¸
¹ñΩ´¶À÷¾É¸¦µæ½ê¡Ö´¶À÷À°ßIJ±ê¤È¤Ï¡× (IDWR 2003ǯ Âè11¹æ¡¢ºÇ½ª¹¹¿· 2012ǯ¡¢ºÇ½ª±ÜÍ÷Æü 2024ǯ 8·î 25Æü)
UpToDate. ¡ÈAcute viral gastroenteritis in adults.¡É (Last updated: March 24, 2023)