ʡAdvanced Care Dental Office åץǥʡnaomi

ϤޤơAdvenced Care dentai Office ޥ׸ʡʱnaomiȸǤˤΡֻŻפǤɤֻŻפ򤹤뤿˻ʱƻޤä顣ʡ

ñո

naomi֥γ͡Ϥ褦ޤѸʱnaomiǤ

Ǥ

ᵯ顢򹯥ץȤ͵ȤλäƤޤ
ˤʤޤȤǤ¬򤷤Ƥޤ

ʿ23ǯٻʼĴˤȣаʾΣ%ϻ¡
⤽ǯʤǤ

ơï⤬ΤäƤ¡
¤ϻ¶ݤǤˤäư͡ΤȿˤǽŪˤϻʻ٤ƤˤϤƻȴƤޤµǤ

ȤǤäƤޤǶǤϻ¤Ȥ˱ƶڤܤµȤơȤȤδطܤƤޤٱ䡢Ǿɡ¡¡Ǣ¡ǥˤϹ찵᥿ܤȤطȸƤꡢȤ˱ƶڤܤµʤΤǤ

Ū˻¤ΥåƤޤ

¤ϣФ᤮ƤʤͤµȻפäƤ⾯ʤޤ󤬡¤ϣ塢夫餹Ǥ˻¤ϻϤޤäƤޤ

㤤ˤȱϤ⤤ΤǡƱٶݿƤɾФˤϤʤ⤢ޤ

Υåפ˿Ǥäƣ塢λˤϿϰޤ󤬡åפο夬äѤˤʤäư롢줬ȹͤФ狼䤹Ȼפޤ

¤Silent Disease(ۤµ)ȸƤФޤ
¤ݤΤϡ¤νˤϾɾФˤоɾʤǤߤ롢ưǿߤФȤäɾФˤϡ٤ϤƤޤäƤƴ˼٤Ȥ⾯ʤޤ

¤ϺٶݤˤäưµǤ顢ȸȤʤٶݤĴ٤ڤǤ
ξнޤ᤿Υ꡼˥Ԥޤ

¤ͽɤڤʤΤŬڤʥץ顼ȥᥤƥʥŪʻΥ꡼˥󥰡ˤǤ

ơäʤΤǤŪˤʤޤnaomiήʱƻֺȤƾ񤤤Ƥߤޤ

ϻ¤θץ顼ʺٶݡˤȤΤΤλ¤ǤΤϲƤޤǤǤϤĤץ顼ʺٶݡˤȤʤäΤǤ礦

1960ǯ̤ޤ

1965ǯLoeϻ˥ץ顼夵¸Ū˻򵯤ޤǥץ顼뤳Ȥˤɤʤʤ뤳Ȥ򼨤ޤץ顼¤ľܤθǤ뤳ȤΤǤץ顼ȥ뤳ŤǤϺǤפʽˡǤꡢץ顼ȥʤƼŤϤꤨʤȯɽΤǤ

θ1980ǯꡢ1988ǯSocransky餬ﲼץ顼Microbial complexȤǰȯɽޤred complexȤP.gingivalis,B.forsythus,T.denticola,ΩϤȤA.actinomycetemcomitansǤȿ˲˴Ϳ¸ٶݤȤƼΤǤ

red cpmplex1
 
A.actinomycetemGreen Complexޤ

ޤλ¶ݤβ륫ץȸääΥȯޤ
Υ¬ꤹǻ¤ɤȽǤǽǤΥθˤʤäƤ⾯ʤޤ

屡Ǥʸ¬ˤѤƻ¶ݤνФȯ򸡺ޤ٤ι⤤PCRˡˤñոˤꡢݤ¶ݤԤʳŪʥǡȤ˼ŤԤäƤޤ

 ˤʤϰٸƤߤƤϤǤ礦

ͤΤ象ԤƤޤ



꥿˥ե˿åդޤ
ʻʱKimΥ֥
ʥAkiΥ֥



ޥ׸ʰDr.IritaniΥ֥
    Υȥ꡼ϤƤʥ֥åޡɲ mixiå

naomi֥γ͡ФϡnaomiǤ

ɤ⽩ᤤƤѤܡʤȤʤ᤯κ

ʤȤʤΤǤ˻ɤ뤳Ȥ¿äơߤnaomiǤ

ʤΤǤɤ餽ë֤ɤ᤯ޤǹԤäƤޤä餷̣ǤդäƤޤä褦ʤΤǤʾС

naomiƻޤäǤɤȤʤޤޤޤȼʥꥸʥϩ椯Ȥˤޤ

ơnaomiԤäƤñոΤȤäȻפޤ

ñոnaomiϤ⤦θ5ǯ᤯ԤäƤޤϤ᤿ϡͤλФ١UPŪäΤǤ¤ͽɤˤʤƤϤʤʤΤˤʤäƤƤޤ

ΰ֤Ť޷ѤäƤƤޤŤʷȤˤǤ͡

ΥꥹΤΤñոԤäƤޤۤɤä褦ϴͤΥ١UPŪäǤ

Ȥnaomi׻뤷ƤΤϻ¤ñոǤ

¤ȤΤ϶µǤ

silent diseaseۤµˤȸƤФ뤳µ40аʾ80ƤȸƤޤ

¤ȤȡǯµǡïǤǯȤä顢¤ˤʤäơʤʤΤϻʤȤǧƤΤܤǤλ¤ΰ֤ŤǤϤʤǤ礦

ߤǤϻ¤θϺٶݤȤϤä狼äƤꡢٶݤ򥳥ȥ뤹뤳ȤǡʤγΨǻ¤ȯɤޤ뤳ȤǤޤʤٶݤˤäƤΰ¤⤢ޤƤޤȤ櫓ǤϤޤ󤫤餭Ȥθޤ礦

¤ΤͿƶϻפäƤʾ礭ΤǤ

¶ݤϱɤ򵯤Τǡɤ̤äȤӽФƹԤޤ

ƿ¡˽夤ƿ¡˱ɤ򵯤ꡢȤäƷɤͤޤ餻Ǿɤޤ

Ǣ¤򰭲⤷ޤ

ǥؤǤϡỺ򵯤ꡢ̤ϻޤ줿ꡦ

˶µǤ

٤¤Τȡɸޤ٤ΤȤˤʤٶݤ䥦륹ϸΤǤ顢¤ɤȸäۤ褤Ȼפޤ

¤ݤ¶ݤˤ봶ɤǤäʤΤϡɤʤΤǤϻ¤ϺٶݤǤϤʤ¿ҼȸƤФƤޤ

ٶݤϤ󡢻Τ졢ñդμȱϡ转ʱ졦͡ʰҤؤäƤޤ

ȤԤλƳϡȻ᤭ɡ᤭¿ҤΣĤǤ

᤭᤭᤭

ɤʤΤˡٶݤؤΥץϺޤDzʤҤ᤭äȤǤ͡ʾС˻ʰؤ⤷ƺٶݤꤵƤΤˡκٶݤ˥ץ褦Ȥʤʤ

κٶݤؤΥץñոͭǤٶݤμ򤭤ꤹ뤳ȤǤޤĤޤٶݳŪ˿ǤǤ褦ˤʤäƤޤ

ơñոΥåȤ¿ͲƤޤ

ٶݤμĴ٤ˡľܺٶݤοĴ٤ˡñݤγưĴ٤ˡݤλζĴ٤ˡ͡ʺٶݤФȱ֤뤫ɤˤĴ٤ˡʤɤʤɡ

ñո͡Ǥ

¤ȯ˴ŤơŪˤθȤȡͭͽɡͽɤǤΤǤϤʤȡnaomiϹͤƤޤ

褯㤢θ¤Υꥹ⤤Ȥ狼ääơɤΡɤ뤳Ȥϰʻ᤭нˤǤ硩ȸʰŽԤޤ

äơ

ǺǤʤƼŤȤΤϡ̱ˡΰǤŤȤƤϤʤΤnaomiϹͤޤ

ͤƤΤñոǤñոвäƤ뤳Ȥ狼äΤǡ

¶ݤθ椬ʤǡݤꤵƤƤޤ顢˴ŤͭñոѤ롣

ơ¤Ǥ顢ñոѤ뤳Ȥǡٶݤ򥳥ȥ뤷ȼͽɤˤĤʤ줿ȹͤƤޤ

η򹯤ǽϡȥƥ饤դθɤĤޤ褯뤳ȡ˭뤳ȤǤ顣

ޤޤٶݤθˤƤϡ׾ŪʥǡʤΤǤ

ʽ˽񤤤Ƥ뤳Ȥȡ׾Υǡ㤦

㤨Сʹλ¤θݤǤA.aݡAggregatibacter actinomycetemcomitansˤϻ´ͤ10ȸ줤ޤA.aݤݶݤƤơɾФƤ봵ͤϳΤ10󤰤餤ǤA.aݤΤݼԤƤ봵ͤϤä¿ΤǤ

򸫤롢ǤǤϡٶݤ¸ߤϤ狼ޤ

ݶݤƤ뤳ȤŪˤɤΤ褦ʤȤˤĤʤΤˤĤƤϸǡʤ

ΤȱϤؤäƤ¡ǯäˤäȱϤ㲼ƤäݶݤƤ뤳ȤɤΤ褦ʤȤƤΤޤϲѲʤΤ

äϤޤޤٶݤθ򤷤ƤȤϤޤޤʤ

naomiϻʼͽɤץꥹ򾯤Ǥ⸺餹Τͽɡ狼äƤμȵѻȤäơͤĤȤͽɤΥץʱΤȤnaomiô

Ȥ櫓ǡ᤭Τϡ⤦QʤͽɤܻؤơʤǤ

naomiͽɥDr.IritaniOfficeؤɤ


ѥŴλDr.IritaniOfficeϤ

ôAko֥Ϥ

naomiٶ֥Ϥ

Sachi֥Ϥ

    Υȥ꡼ϤƤʥ֥åޡɲ mixiå

ʱnaomi֥γ͡ФϡnaomiǤ

䤤ޤñոˤĤƤäȻפޤ

ñո¤θȤʤٶݤĴ٤븡Ǥ

ǶηȤơٶݳؤȱֳؤ١ˡ¤θ椬ʤƤƤꡢΣĤΥġ뤬ñոǤ

Ǥ顢ñոѤˡȤΤϡ˳ΩƤޤ󡣴Ϣز񤫤ñոˤ뼣Żؿˤ䥬ɥ饤ϤޤФƤʤȻפޤ

Ԥʸȯɽʤɤξ򻲹ͤˡŤƤΤȻפޤ

ñոǸȡʻʰ屡HPФƤޤΤǡ줾ˤͤˤƤߤƤϤǤ礦

ǺΤǤ

ٶݳؤȱֳؤˤĤƤϤȤƤΥ֥ǡ䤬񤭤ƤǤϤޤ

ñոˤĤƤΤϤ٤ˤƤȻפޤޤ󡦡򤤤ȹǤ


naomi屡ϤǤ

http://www.k3.dion.ne.jp/~iritani/index.htm

 

 

    Υȥ꡼ϤƤʥ֥åޡɲ mixiå

ΥڡΥȥåץ