{"id":9471,"date":"2026-02-08T12:44:00","date_gmt":"2026-02-08T04:44:00","guid":{"rendered":"https:\/\/fotonmedix.com\/?p=9471"},"modified":"2026-02-04T17:14:57","modified_gmt":"2026-02-04T09:14:57","slug":"advanced-photobiomodulation-the-clinical-evolution-of-therapeutic-laser-treatment-for-dogs","status":"publish","type":"post","link":"https:\/\/fotonmedix.com\/ja\/advanced-photobiomodulation-the-clinical-evolution-of-therapeutic-laser-treatment-for-dogs.html","title":{"rendered":"\u30a2\u30c9\u30d0\u30f3\u30b9\u30fb\u30d5\u30a9\u30c8\u30d0\u30a4\u30aa\u30e2\u30b8\u30e5\u30ec\u30fc\u30b7\u30e7\u30f3\u72ac\u306e\u6cbb\u7642\u30ec\u30fc\u30b6\u30fc\u6cbb\u7642\u306e\u81e8\u5e8a\u7684\u9032\u5316"},"content":{"rendered":"

The landscape of veterinary medicine is currently witnessing a paradigm shift in the management of pain and tissue regeneration. For two decades, the clinical application of coherent light has moved from a misunderstood “alternative” therapy to a cornerstone of multi-modal rehabilitation. As practitioners, when we discuss \u72ac\u306e\u30ec\u30fc\u30b6\u30fc\u6cbb\u7642<\/strong>, \u79c1\u305f\u3061\u306f\u3001\u5149\u7167\u5c04\u306b\u3088\u308b\u8868\u9762\u7684\u306a\u52b9\u679c\u3092\u8d85\u3048\u3066\u3001\u8907\u96d1\u306a\u5149\u30d0\u30a4\u30aa\u30e2\u30b8\u30e5\u30ec\u30fc\u30b7\u30e7\u30f3\uff08PBM\uff09\u306e\u4e16\u754c\u3078\u3068\u9032\u3082\u3046\u3068\u3057\u3066\u3044\u308b\u3002\u3053\u308c\u306f\u3001\u7279\u5b9a\u306e\u7d30\u80de\u767a\u8272\u56e3\u306b\u5149\u5b50\u3092\u6b63\u78ba\u306b\u7167\u5c04\u3059\u308b\u3053\u3068\u3067\u3001\u6cbb\u7652\u3092\u4fc3\u9032\u3057\u3001\u708e\u75c7\u53cd\u5fdc\u3092\u8abf\u7bc0\u3059\u308b\u751f\u5316\u5b66\u7684\u4e8b\u8c61\u306e\u30ab\u30b9\u30b1\u30fc\u30c9\u3092\u5f15\u304d\u8d77\u3053\u3059\u3082\u306e\u3067\u3042\u308b\u3002.<\/p>\n\n\n\n

\u3053\u306e\u5206\u91ce\u306e\u7528\u8a9e\u306f\u5927\u304d\u304f\u9032\u5316\u3057\u3066\u3044\u308b\u3002\u4ee5\u524d\u306f \u30d9\u30c3\u30c8\u30b3\u30fc\u30eb\u30c9\u30ec\u30fc\u30b6\u30fc<\/a><\/strong> \u3057\u304b\u3057\u3001\u73fe\u4ee3\u306e\u81e8\u5e8a\u3067\u306f\u3001\u6df1\u90e8\u306e\u7b4b\u9aa8\u683c\u7cfb\u69cb\u9020\u306b\u5230\u9054\u3059\u308b\u306e\u306b\u5fc5\u8981\u306a\u653e\u5c04\u7167\u5ea6\u3092\u63d0\u4f9b\u3059\u308b\u9ad8\u51fa\u529b\u30af\u30e9\u30b94\u30b7\u30b9\u30c6\u30e0\u306b\u983c\u308b\u3053\u3068\u304c\u591a\u304f\u306a\u3063\u3066\u3044\u308b\u3002\u81e8\u5e8a\u306e\u5c02\u9580\u5bb6\u306b\u3068\u3063\u3066 \u72ac\u7528\u30b3\u30fc\u30eb\u30c9\u30ec\u30fc\u30b6\u30fc\u30de\u30b7\u30f3<\/a><\/strong> \u307e\u305f\u306f\u9ad8\u5f37\u5ea6\u30b7\u30b9\u30c6\u30e0\u3092\u4f7f\u7528\u3059\u308b\u306b\u306f\u3001\u5149\u5b50\u3068\u7d44\u7e54\u306e\u76f8\u4e92\u4f5c\u7528\u3001\u30a2\u30fc\u30f3\u30c8\u30fb\u30b7\u30e5\u30eb\u30c4\u306e\u6cd5\u5247\u3001\u304a\u3088\u3073\u72ac\u60a3\u8005\u7279\u6709\u306e\u751f\u4f53\u30a8\u30cd\u30eb\u30ae\u30fc\u5b66\u306b\u3064\u3044\u3066\u6df1\u304f\u7406\u89e3\u3059\u308b\u5fc5\u8981\u304c\u3042\u308b\u3002.<\/p>\n\n\n\n

\u30a4\u30cc\u306b\u304a\u3051\u308b\u5149\u30d0\u30a4\u30aa\u30e2\u30b8\u30e5\u30ec\u30fc\u30b7\u30e7\u30f3\u306e\u751f\u7269\u7269\u7406\u5b66\u7684\u57fa\u790e<\/h2>\n\n\n\n

\u306e\u6709\u52b9\u6027\u3092\u7406\u89e3\u3059\u308b\u3002 \u30da\u30c3\u30c8\u7528\u30bb\u30e9\u30d4\u30fc\u30ec\u30fc\u30b6\u30fc<\/a><\/strong>, one must look at the mitochondrial level. The primary target for laser photons in the visible red and near-infrared spectrum is Cytochrome c Oxidase (CcO), the terminal enzyme of the mitochondrial respiratory chain. In a state of injury, ischemia, or chronic inflammation, the production of Adenosine Triphosphate (ATP) is compromised. This is often due to the inhibitory binding of nitric oxide (NO) to CcO, which effectively “chokes” the cell’s energy production.<\/p>\n\n\n\n

When a laser delivers the correct “photon flux,” it facilitates the dissociation of nitric oxide from CcO. This displacement allows oxygen to re-bind to the enzyme, restoring the electron transport chain and significantly increasing ATP production. This surge in cellular energy is the fuel for the body\u2019s intrinsic repair mechanisms, including protein synthesis and DNA replication. Furthermore, the dissociation of NO leads to localized vasodilation, which improves the delivery of oxygen and nutrients while facilitating the removal of pro-inflammatory metabolic byproducts.<\/p>\n\n\n\n

\u30df\u30c8\u30b3\u30f3\u30c9\u30ea\u30a2\u53cd\u5fdc\u3092\u8d85\u3048\u3066, \u7363\u533b\u5b66\u7684 \u30d5\u30a9\u30c8\u30d0\u30a4\u30aa\u30e2\u30b8\u30e5\u30ec\u30fc\u30b7\u30e7\u30f3<\/a><\/strong> \u306f\u3001\u6d3b\u6027\u9178\u7d20\u7a2e\uff08ROS\uff09\u306e\u30b7\u30b0\u30ca\u30eb\u4f1d\u9054\u7d4c\u8def\u306b\u5f71\u97ff\u3092\u4e0e\u3048\u308b\u3002\u904e\u5270\u306a\u6d3b\u6027\u9178\u7d20\u304c\u9178\u5316\u30b9\u30c8\u30ec\u30b9\u3092\u5f15\u304d\u8d77\u3053\u3059\u306e\u306b\u5bfe\u3057\u3066\u3001\u4ee5\u4e0b\u306e\u3088\u3046\u306a\u6d3b\u6027\u9178\u7d20\u306e\u5236\u5fa1\u3055\u308c\u305f\u30d0\u30fc\u30b9\u30c8\u304c\u8a98\u5c0e\u3055\u308c\u308b\u3002 \u30ec\u30fc\u30b6\u30fc\u6cbb\u7642<\/a> \u306f\u4e8c\u6b21\u30e1\u30c3\u30bb\u30f3\u30b8\u30e3\u30fc\u3068\u3057\u3066\u50cd\u304f\u3002\u3053\u308c\u306b\u3088\u308a\u8ee2\u5199\u56e0\u5b50\u304c\u6d3b\u6027\u5316\u3055\u308c\u3001\u6297\u708e\u75c7\u6027\u30b5\u30a4\u30c8\u30ab\u30a4\u30f3\u3084\u3001\u640d\u50b7\u3057\u305f\u7d44\u7e54\u306e\u8840\u7ba1\u65b0\u751f\u306b\u4e0d\u53ef\u6b20\u306a\u8840\u7ba1\u5185\u76ae\u5897\u6b96\u56e0\u5b50\uff08VEGF\uff09\u306a\u3069\u306e\u6210\u9577\u56e0\u5b50\u304c\u30a2\u30c3\u30d7\u30ec\u30ae\u30e5\u30ec\u30fc\u30b7\u30e7\u30f3\u3055\u308c\u308b\u3002.<\/p>\n\n\n\n

\u6ce2\u9577\u3068\u30aa\u30d7\u30c6\u30a3\u30ab\u30eb\u30a6\u30a3\u30f3\u30c9\u30a6\u306e\u30ca\u30d3\u30b2\u30fc\u30b7\u30e7\u30f3<\/h2>\n\n\n\n

\u306e\u6210\u529f \u72ac\u306e\u30ec\u30fc\u30b6\u30fc\u6cbb\u7642<\/a><\/strong> is largely dependent on the “Optical Window” of the canine body. This window, spanning approximately 650nm to 1100nm, represents the range where the absorption of light by water, melanin, and hemoglobin is at its lowest. This allows photons to penetrate deep into the tissue without being prematurely absorbed by superficial layers.<\/p>\n\n\n\n

\u3057\u304b\u3057\u3001\u3053\u306e\u30a6\u30a3\u30f3\u30c9\u30a6\u5185\u306e\u3059\u3079\u3066\u306e\u6ce2\u9577\u304c\u7b49\u3057\u3044\u308f\u3051\u3067\u306f\u306a\u3044\u3002\u81e8\u5e8a\u306e\u5c02\u9580\u5bb6\u306f\u3001\u69d8\u3005\u306a\u30d4\u30fc\u30af\u306e\u7279\u5b9a\u306e\u5f71\u97ff\u3092\u533a\u5225\u3057\u306a\u3051\u308c\u3070\u306a\u3089\u306a\u3044\uff1a<\/p>\n\n\n\n

    \n
  1. 650nm\uff08\u53ef\u8996\u8d64\u8272\uff09\uff1a<\/strong> \u8868\u5728\u6027\u767a\u8272\u56e3\u306b\u3088\u308b\u5438\u53ce\u7387\u304c\u9ad8\u304f\u3001\u5275\u50b7\u6cbb\u7652\u3001\u76ae\u819a\u75be\u60a3\u3001\u8868\u5728\u6027\u30c8\u30ea\u30ac\u30fc\u30dd\u30a4\u30f3\u30c8\u306b\u7406\u60f3\u7684\u306a\u6ce2\u9577\u3002.<\/li>\n\n\n\n
  2. 810nm\uff08\u8fd1\u8d64\u5916\u7dda\uff09\uff1a<\/strong> This is the “ATP Peak.” It has the highest affinity for Cytochrome c Oxidase and is essential for stimulating cellular metabolism and deep tissue repair.<\/li>\n\n\n\n
  3. 915nm\uff08\u8fd1\u8d64\u5916\u7dda\uff09\uff1a<\/strong> \u3053\u306e\u6ce2\u9577\u306f\u30d8\u30e2\u30b0\u30ed\u30d3\u30f3\u306b\u5f37\u304f\u5438\u53ce\u3055\u308c\u308b\u3002\u4e3b\u306b\u5c40\u6240\u7684\u306a\u8840\u6d41\u3092\u5897\u52a0\u3055\u305b\u3001\u865a\u8840\u7b4b\u8089\u3078\u306e\u9178\u7d20\u4f9b\u7d66\u3092\u4fc3\u9032\u3059\u308b\u305f\u3081\u306b\u4f7f\u7528\u3055\u308c\u308b\u3002.<\/li>\n\n\n\n
  4. 980nm\uff08\u8fd1\u8d64\u5916\u7dda\uff09\uff1a<\/strong> \u3053\u306e\u30d4\u30fc\u30af\u306f\u9593\u8cea\u6db2\u4e2d\u306e\u6c34\u306b\u5438\u53ce\u3055\u308c\u308b\u3002\u30de\u30a4\u30eb\u30c9\u306a\u6e29\u71b1\u52b9\u679c\u3067\u30ea\u30f3\u30d1\u306e\u6d41\u308c\u3092\u4fc3\u9032\u3057\u3001\u795e\u7d4c\u4f1d\u5c0e\u901f\u5ea6\u306e\u8abf\u7bc0\u3092\u901a\u3058\u3066\u5373\u5ea7\u306b\u93ae\u75db\u52b9\u679c\u3092\u3082\u305f\u3089\u3059\u3002.<\/li>\n<\/ol>\n\n\n\n

    \u30d7\u30ed\u30d5\u30a7\u30c3\u30b7\u30e7\u30ca\u30eb \u72ac\u7528\u30b3\u30fc\u30eb\u30c9\u30ec\u30fc\u30b6\u30fc\u30de\u30b7\u30f3<\/strong> \u306f\u3001\u3053\u308c\u3089\u306e\u6ce2\u9577\u306e\u7d44\u307f\u5408\u308f\u305b\u3092\u63d0\u4f9b\u3059\u308b\u306e\u304c\u7406\u60f3\u7684\u3067\u3042\u308b\u3002\u3053\u308c\u3089\u306e\u30d4\u30fc\u30af\u3092\u540c\u671f\u3055\u305b\u308b\u3053\u3068\u3067\u3001\u81e8\u5e8a\u533b\u306f\u4e3b\u8981\u306a\u75c5\u614b\uff08810nm\uff09\u306b\u5bfe\u51e6\u3059\u308b\u3068\u540c\u6642\u306b\u3001\u6cbb\u7652\u304c\u8d77\u3053\u308b\u3079\u304d\u5fae\u5c0f\u74b0\u5883\uff08915nm\/980nm\uff09\u3092\u6539\u5584\u3059\u308b\u3053\u3068\u304c\u3067\u304d\u308b\u3002.<\/p>\n\n\n

    \n
    \"\"<\/figure>\n<\/div>\n\n\n

    \u30d1\u30ef\u30fc\u5bc6\u5ea6\u3068\u30af\u30e9\u30b94\u306e\u512a\u4f4d\u6027<\/h2>\n\n\n\n

    \u3068\u306e\u9593\u306e\u8b70\u8ad6 \u30d9\u30c3\u30c8\u30b3\u30fc\u30eb\u30c9\u30ec\u30fc\u30b6\u30fc<\/strong> (\u30af\u30e9\u30b93b)\u3068\u9ad8\u5f37\u5ea6(\u30af\u30e9\u30b94)\u306e\u30b7\u30b9\u30c6\u30e0\u306f\u3001\u3082\u306f\u3084\u610f\u898b\u306e\u554f\u984c\u3067\u306f\u306a\u304f\u3001\u7269\u7406\u5b66\u306e\u554f\u984c\u3067\u3042\u308b\u3002\u30af\u30e9\u30b93b\u306e\u30ec\u30fc\u30b6\u30fc\uff08500mW\u306b\u5236\u9650\uff09\u306f\u8868\u9762\u7684\u306a\u6cbb\u7642\u306b\u306f\u52b9\u679c\u7684\u3067\u3059\u304c\u3001\u4e2d\u578b\u72ac\u304b\u3089\u5927\u578b\u72ac\u306e\u6df1\u90e8\u306b\u3042\u308b\u69cb\u9020\u306b\u306f\u6cbb\u7642\u7528\u7dda\u91cf\u3092\u7167\u5c04\u3067\u304d\u306a\u3044\u3053\u3068\u304c\u3088\u304f\u3042\u308a\u307e\u3059\u3002\u306b\u3064\u3044\u3066\u306f \u72ac\u306e\u7b4b\u9aa8\u683c\u7cfb\u306e\u56de\u5fa9<\/strong>, \u7279\u306b\u81c0\u90e8\u3001\u8139\u811b\u3001\u810a\u67f1\u4e0b\u90e8\u3067\u306f\u3001\u653e\u5c04\u7167\u5ea6\uff08\u30d1\u30ef\u30fc\u5bc6\u5ea6\uff09\u304c\u91cd\u8981\u306a\u8981\u7d20\u3068\u306a\u308b\u3002.<\/p>\n\n\n\n

    The Inverse Square Law dictates that as light travels through tissue, it is subject to reflection, scattering, and absorption. To ensure that a therapeutic dose of 4-10 Joules\/cm\u00b2 reaches a target 5 centimeters below the skin, the power output at the surface must be significantly higher. Class 4 systems, which can deliver 15 Watts or more, allow for “Saturation Dosing.” This ensures that the “photon cloud” created within the tissue is dense enough to trigger a biological response in the deepest parts of the joint capsule or the paravertebral musculature.<\/p>\n\n\n\n

    \u3055\u3089\u306b\u3001\u30af\u30e9\u30b94\u306e\u30b7\u30b9\u30c6\u30e0\u306f\u51fa\u529b\u304c\u9ad8\u3044\u305f\u3081\u3001\u6cbb\u7642\u6642\u9593\u3092\u77ed\u7e2e\u3059\u308b\u3053\u3068\u304c\u3067\u304d\u307e\u3059\u3002\u591a\u5fd9\u306a\u52d5\u7269\u75c5\u9662\u3067\u306f\u3001\u5305\u62ec\u7684\u306a6000\u30b8\u30e5\u30fc\u30eb\u306e\u6cbb\u7642\u309240\u5206\u3067\u306f\u306a\u304f10\u5206\u3067\u884c\u3046\u80fd\u529b\u306f\u3001\u81e8\u5e8a\u52b9\u7387\u3068\u60a3\u8005\u306e\u30b3\u30f3\u30d7\u30e9\u30a4\u30a2\u30f3\u30b9\u306b\u3068\u3063\u3066\u4e0d\u53ef\u6b20\u3067\u3059\u3002.<\/p>\n\n\n\n

    \u72ac\u306e\u30ea\u30cf\u30d3\u30ea\u30c6\u30fc\u30b7\u30e7\u30f3\u306b\u304a\u3051\u308b\u81e8\u5e8a\u5fdc\u7528<\/h2>\n\n\n\n

    \u306e\u7d71\u5408 \u72ac\u306e\u30ec\u30fc\u30b6\u30fc\u6cbb\u7642<\/strong> \u30ea\u30cf\u30d3\u30ea\u30c6\u30fc\u30b7\u30e7\u30f3\u306e\u30d7\u30ed\u30c8\u30b3\u30fc\u30eb\u306b\u7d44\u307f\u5165\u308c\u308b\u3053\u3068\u3067\u3001\u975e\u4fb5\u8972\u7684\u3067\u85ac\u7269\u3092\u4f7f\u308f\u306a\u3044\u4ee3\u66ff\u7642\u6cd5\u3068\u3057\u3066\u3001\u3055\u307e\u3056\u307e\u306a\u75c7\u72b6\u3092\u7ba1\u7406\u3059\u308b\u3053\u3068\u304c\u3067\u304d\u308b\u3002\u6700\u3082\u4e00\u822c\u7684\u306a\u81e8\u5e8a\u5fdc\u7528\u306f\u4ee5\u4e0b\u306e\u901a\u308a\u3067\u3042\u308b\uff1a<\/p>\n\n\n\n

    \u5909\u5f62\u6027\u95a2\u7bc0\u75c7\u3068\u9000\u884c\u6027\u95a2\u7bc0\u75be\u60a3<\/h3>\n\n\n\n

    \u5909\u5f62\u6027\u95a2\u7bc0\u75c7\uff08OA\uff09\u3068\u306f\u3001\u6162\u6027\u7684\u3067\u4f4e\u30ec\u30d9\u30eb\u306e\u708e\u75c7\u72b6\u614b\u3067\u3042\u308b\u3002\u5909\u5f62\u6027\u95a2\u7bc0\u75c7\u306f \u30da\u30c3\u30c8\u7528\u30bb\u30e9\u30d4\u30fc\u30ec\u30fc\u30b6\u30fc<\/strong> \u95a2\u7bc0\u5185\u306e\u6ed1\u819c\u7d30\u80de\u3068\u8edf\u9aa8\u7d30\u80de\u3092\u30bf\u30fc\u30b2\u30c3\u30c8\u3068\u3059\u308b\u3002\u708e\u75c7\u6027\u30d7\u30ed\u30b9\u30bf\u30b0\u30e9\u30f3\u30b8\u30f3\uff08PGE2\uff09\u3068\u30b5\u30a4\u30c8\u30ab\u30a4\u30f3\uff08IL-1\u3001TNF-\u03b1\uff09\u306e\u30ec\u30d9\u30eb\u3092\u4f4e\u4e0b\u3055\u305b\u308b\u3053\u3068\u306b\u3088\u308a\u3001\u30ec\u30fc\u30b6\u30fc\u306f\u8edf\u9aa8\u306e\u52a3\u5316\u306e\u9032\u884c\u3092\u9045\u3089\u305b\u3001\u8457\u3057\u3044\u93ae\u75db\u52b9\u679c\u3092\u3082\u305f\u3089\u3057\u3001\u591a\u304f\u306e\u5834\u5408\u3001\u5168\u8eab\u7684\u306a\u975e\u30b9\u30c6\u30ed\u30a4\u30c9\u6027\u6297\u708e\u75c7\u85ac\u306e\u6295\u4e0e\u91cf\u3092\u6e1b\u3089\u3059\u3053\u3068\u304c\u3067\u304d\u308b\u3002.<\/p>\n\n\n\n

    \u690e\u9593\u677f\u75be\u60a3\uff08IVDD\uff09\u3068\u795e\u7d4c\u969c\u5bb3<\/h3>\n\n\n\n

    \u795e\u7d4c\u56de\u5fa9\u306f\u3001\u304a\u305d\u3089\u304fPBM\u306e\u6700\u3082\u8981\u6c42\u306e\u53b3\u3057\u3044\u5fdc\u7528\u3067\u3042\u308b\u3002\u30ec\u30fc\u30b6\u30fc\u306f\u795e\u7d4c\u6804\u990a\u56e0\u5b50\u306e\u5408\u6210\u3092\u4fc3\u9032\u3057\u3001\u8ef8\u7d22\u518d\u751f\u7387\u3092\u5411\u4e0a\u3055\u305b\u308b\u3002IVDD\u306e\u5834\u5408\u3001\u30ec\u30fc\u30b6\u30fc\u306f\u810a\u9ac4\u5468\u56f2\u306e\u708e\u75c7\u6027\u6d6e\u816b\u3092\u8efd\u6e1b\u3057\u3001\u5727\u8feb\u3055\u308c\u305f\u795e\u7d4c\u6839\u306e\u4ee3\u8b1d\u72b6\u614b\u3092\u6539\u5584\u3059\u308b\u305f\u3081\u306b\u4f7f\u7528\u3055\u308c\u308b\u3002. \u30af\u30e9\u30b94 \u52d5\u7269\u7528\u30ec\u30fc\u30b6\u30fc<\/a> \u30d7\u30ed\u30c8\u30b3\u30eb<\/strong> IVDD\u306e\u6cbb\u7642\u306b\u306f\u3001\u7f79\u60a3\u3057\u305f\u795e\u7d4c\u306e\u5168\u7d4c\u8def\u306b\u6cbf\u3063\u305f\u9ad8\u7dda\u91cf\u98fd\u548c\u304c\u5fc5\u8981\u3067\u3042\u308b\u3002.<\/p>\n\n\n\n

    \u8853\u5f8c\u306e\u56de\u5fa9\uff08CCL\u3068TPLO\uff09<\/h3>\n\n\n\n

    \u811b\u9aa8\u9ad8\u539f\u6c34\u5e73\u5316\u9aa8\u5207\u308a\u8853\uff08TPLO\uff09\u306e\u3088\u3046\u306a\u6574\u5f62\u5916\u79d1\u624b\u8853\u5f8c\u306e\u4e3b\u306a\u76ee\u6a19\u306f\u3001\u8853\u5f8c\u306e\u6d6e\u816b\u306e\u7ba1\u7406\u3068\u9aa8\u82bd\u7d30\u80de\u6d3b\u6027\u306e\u4fc3\u9032\u3067\u3042\u308b\u3002\u8853\u76f4\u5f8c\u306e\u30ec\u30fc\u30b6\u30fc\u6cbb\u7642\uff08\u7b2c1\u6bb5\u968e\uff09\u306f\u30ea\u30f3\u30d1\u6db2\u306e\u6392\u51fa\u3092\u4fc3\u9032\u3057\u3001\u7b2c2\u6bb5\u968e\u306f\u9aa8\u5185\u306e\u4e00\u6b21\u30ab\u30eb\u30b9\u5f62\u6210\u3092\u4fc3\u9032\u3059\u308b\u3053\u3068\u306b\u91cd\u70b9\u3092\u7f6e\u304f\u3002.<\/p>\n\n\n\n

    \u81e8\u5e8a\u30b1\u30fc\u30b9\u30b9\u30bf\u30c7\u30a3\u30df\u30cb\u30c1\u30e5\u30a2\u30c0\u30c3\u30af\u30b9\u30d5\u30f3\u30c9\u306b\u304a\u3051\u308b\u6025\u6027III\u5ea6IVDD\u306e\u7ba1\u7406<\/h2>\n\n\n\n

    \u6b21\u306e\u75c7\u4f8b\u306f\u3001\u624b\u8853\u9069\u5fdc\u306e\u4e4f\u3057\u3044\u60a3\u8005\u306b\u304a\u3051\u308b\u9ad8\u7528\u91cf\u5149\u30d0\u30a4\u30aa\u30e2\u30b8\u30e5\u30ec\u30fc\u30b7\u30e7\u30f3\u306e\u81e8\u5e8a\u7684\u6709\u7528\u6027\u3092\u793a\u3059\u3082\u306e\u3067\u3042\u308b\u3002.<\/p>\n\n\n\n

    \u60a3\u8005\u80cc\u666f<\/h3>\n\n\n\n