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loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-5659\" src=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2023\/11\/\u30b9\u30e9\u30a4\u30c93-640x360.png\" alt=\"\" width=\"640\" height=\"360\" srcset=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2023\/11\/\u30b9\u30e9\u30a4\u30c93-640x360.png 640w, https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2023\/11\/\u30b9\u30e9\u30a4\u30c93-320x180.png 320w, https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2023\/11\/\u30b9\u30e9\u30a4\u30c93-768x432.png 768w, https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2023\/11\/\u30b9\u30e9\u30a4\u30c93-1536x864.png 1536w, https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2023\/11\/\u30b9\u30e9\u30a4\u30c93.png 1920w\" sizes=\"auto, (max-width: 640px) 100vw, 640px\" 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\/>\n\u300c\u3053\u308c\u307e\u3067\u4f1a\u9577\u304c\u5909\u308f\u308b\u5ea6\u306b\u632f\u308a\u56de\u3055\u308c\u3066\u304d\u305f\u304b\u3082\u3057\u308c\u306a\u3044\u3002\u305d\u3046\u306a\u3089\u306a\u3044\u3088\u3046\u306b\u3001<\/p>\n<ul>\n<li><strong>\u81ea\u5de5\u4f1a\u3068\u3057\u3066\u306e\u30d6\u30ec\u306a\u3044\u8ef8\u3092\u4e00\u7dd2\u306b\u3064\u304f\u3063\u3066\u3044\u3053\u3046<\/strong><\/li>\n<li><strong>\u300c\u4e8b\u52d9\u5c40\u306f\uff11\uff10\uff10\u4eba\u306e\u5c0f\u3055\u306a\u6240\u5e2f\u3067\u3082\u3001\u81ea\u52d5\u8eca\u7523\u696d\uff15\uff15\uff10\u4e07\u4eba\u306e\u4ee3\u5f01\u8005<\/strong><\/li>\n<\/ul>\n<p>\u4ef2\u9593\u5168\u54e1\u306e\u60f3\u3044\u3092\u80cc\u8ca0\u3046\u899a\u609f\u3068\u81ea\u899a\u3092\u3082\u3063\u3066\u307b\u3057\u3044\u3002\u300d\u3053\u306e\uff15\u5e74\u9593\u3067\u3001\u4e8b\u52d9\u5c40\u306e\u4eba\u305f\u3061\u304c\u3044\u3061\u3070\u3093\u5909\u308f\u3063\u305f\u3068\u601d\u3044\u307e\u3059\u3002\u4eca\u56de\u306e\u30e2\u30d3\u30ea\u30c6\u30a3\u30b7\u30e7\u30fc\u304c\u305d\u306e\u8c61\u5fb4\u3060\u3068\u601d\u3044\u307e\u3059\u3002<\/p>\n<ul>\n<li><strong>\u300c\u81ea\u52d5\u8eca\u7523\u696d\u306f\u307f\u3093\u306a\u3067\u3084\u3063\u3066\u3044\u308b\u7523\u696d\u300d<\/strong><\/li>\n<li><strong>\u300c\u672a\u6765\u306f\u307f\u3093\u306a\u3067\u3064\u304f\u308b\u3082\u306e\u300d<\/strong><\/li>\n<\/ul>\n<p>\u3053\u308c\u304c\u81ea\u5de5\u4f1a\u306e\u30d6\u30ec\u306a\u3044\u8ef8\u306b\u306a\u308a\u307e\u3057\u305f\u3002\u79c1\u81ea\u8eab\u306f\u3001\u81ea\u5de5\u4f1a\u304b\u3089\u96e2\u308c\u308b\u3053\u3068\u306b\u306a\u308a\u307e\u3059\u304c\u3001\uff15\u5e74\u3068\u3044\u3046\u6642\u9593\u3092\u3044\u305f\u3060\u3044\u305f\u3053\u3068\u3067\u3001\u30e2\u30d3\u30ea\u30c6\u30a3\u7523\u696d\u3092\u652f\u3048\u308b<br \/>\n\u696d\u754c\u56e3\u4f53\u3068\u3057\u3066\u306e\u571f\u53f0\u306f\u3064\u304f\u308c\u305f\u3068\u601d\u3063\u3066\u304a\u308a\u307e\u3059\u3002<\/p>\n<p>\u4eca\u3001\u4e16\u754c\u306f\u5bfe\u7acb\u3068\u5206\u65ad\u3092\u6df1\u3081\u3066\u304a\u308a\u307e\u3059\u3002<br \/>\n\u3053\u3093\u306a\u6642\u4ee3\u3060\u304b\u3089\u3053\u305d\u3001\u4eca\u3092\u751f\u304d\u308b\u5927\u4eba\u305f\u3061\u304c\u672a\u6765\u3092\u62c5\u3046\u5b50\u4f9b\u305f\u3061\u306b\u3069\u3093\u306a\u59ff\u3092\u898b\u305b\u308b\u306e\u304b\u3001\u4f55\u3092\u4f1d\u3048\u308b\u306e\u304b\u3002\u305d\u308c\u304c\u5927\u5207\u3060\u3068\u601d\u3063\u3066\u304a\u308a\u307e\u3059\u3002<br \/>\n\u65e5\u672c\u306b\u306f\u300c\u3042\u308a\u304c\u3068\u3046\u300d\u3068\u3044\u3046\u7f8e\u3057\u3044\u8a00\u8449\u304c\u3042\u308a\u307e\u3059\u3002<br \/>\n\u79c1\u81ea\u8eab\u3001\u30e2\u30d3\u30ea\u30c6\u30a3\u7523\u696d\u306b\u95a2\u308f\u308b\u3072\u3068\u308a\u306e\u5927\u4eba\u3068\u3057\u3066\u3001\u3053\u308c\u304b\u3089\u751f\u307e\u308c\u3066\u304f\u308b\u5b50\u4f9b\u305f\u3061\u306e\u305f\u3081\u306b<\/p>\n<ul>\n<li><strong>\u300c\u3042\u308a\u304c\u3068\u3046\u300d\u3068\u8a00\u3044\u5408\u3048\u308b\u65e5\u672c<\/strong><\/li>\n<li><strong>\u300c\u4fe1\u983c\u300d\u3068\u300c\u5171\u611f\u300d\u306b\u652f\u3048\u3089\u308c\u305f\u672a\u6765<\/strong><\/li>\n<\/ul>\n<p>\u3092\u591a\u304f\u306e\u4ef2\u9593\u3068\u4e00\u7dd2\u306b\u5275\u3063\u3066\u3044\u304d\u305f\u3044\u3068\u601d\u3063\u3066\u304a\u308a\u307e\u3059\u3002<\/p>\n<p>\u4eca\u5f8c\u3068\u3082\u3001\u81ea\u5de5\u4f1a\u306e\u53d6\u308a\u7d44\u307f\u306b\u3088\u308a\u4e00\u5c64\u306e\u3054\u652f\u63f4\u3092\u304a\u9858\u3044\u3044\u305f\u3057\u307e\u3059\u3002<br \/>\n\u3042\u308a\u304c\u3068\u3046\u3054\u3056\u3044\u307e\u3057\u305f\u3002<\/p>\n<h3><span style=\"font-family: arial, helvetica, sans-serif; font-size: 12pt;\">\u25a0\u526f\u4f1a\u9577\u3000\u7247\u5c71 \u6b63\u5247\uff08\u3044\u3059\u309e\u81ea\u52d5\u8eca \u4ee3\u8868\u53d6\u7de0\u5f79\u4f1a\u9577\uff09<\/span><\/h3>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-5663 size-full\" src=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2023\/11\/\u81ea\u5de5\u4f1a13-scaled.jpg\" alt=\"\" width=\"2560\" height=\"1710\" srcset=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2023\/11\/\u81ea\u5de5\u4f1a13-scaled.jpg 2560w, https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2023\/11\/\u81ea\u5de5\u4f1a13-539x360.jpg 539w, https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2023\/11\/\u81ea\u5de5\u4f1a13-768x513.jpg 768w, https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2023\/11\/\u81ea\u5de5\u4f1a13-1536x1026.jpg 1536w, https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2023\/11\/\u81ea\u5de5\u4f1a13-2048x1368.jpg 2048w\" sizes=\"auto, (max-width: 2560px) 100vw, 2560px\" \/><\/p>\n<p>\u672c\u65e5\u306e\u81ea\u5de5\u4f1a\u7406\u4e8b\u4f1a\u306b\u3066\u3001\u65e5\u672c\u81ea\u52d5\u8eca\u5de5\u696d\u4f1a\u306e\u65b0\u3057\u3044\u4f1a\u9577\u3068\u3057\u3066\u9078\u51fa\u3055\u308c\u307e\u3057\u305f\u306e\u3067\u3001\u3072\u3068\u3053\u3068\u3054\u6328\u62f6\u3055\u305b\u3066\u3044\u305f\u3060\u304d\u307e\u3059\u3002<br \/>\n\u307e\u305a\u3001\u3053\u306e\u7acb\u5834\u306b\u5c31\u4efb\u3067\u304d\u308b\u3053\u3068\u3092\u8a87\u308a\u306b\u601d\u3046\u4e00\u65b9\u3001\uff11\uff10\uff10\u5e74\u306b\uff11\u5ea6\u3068\u8a00\u308f\u308c\u308b\u81ea\u52d5\u8eca\u7523\u696d\u306e\u5927\u5909\u9769\u306e\u771f\u3063\u305f\u3060\u4e2d\u3067\u4f1a\u9577\u306e\u300c\u305f\u3059\u304d\u300d\u3092\u53d7\u3051\u3068\u308b\u3001\u305d\u306e\u91cd\u8cac\u306b\u8eab\u306e\u5f15\u304d\u7de0\u307e\u308b\u601d\u3044\u3067\u3059\u3002\u4eca\u56de\u306e\u5c31\u4efb\u306b\u3042\u305f\u308a\u3001\uff12\uff10\uff11\uff18\u5e74\u304b\u3089\u306e\uff15\u5e74\u9593\u3001\u3055\u3089\u306b\u9061\u308b\u3068\uff12\uff10\uff11\uff12\u5e74\u304b\u3089\uff12\uff10\uff11\uff14\u5e74\u306b\u3082\uff12\u5e74\u9593\u3001\u5f37\u529b\u306a\u30ea\u30fc\u30c0\u30fc\u30b7\u30c3\u30d7\u3067\u696d\u754c\u3092\u5f15\u3063\u5f35\u3063\u3066\u3044\u305f\u3060\u304d\u307e\u3057\u305f\u8c4a\u7530\u4f1a\u9577\u306b\u6df1\u304f\u611f\u8b1d\u7533\u3057\u4e0a\u3052\u307e\u3059\u3002<br \/>\n\u306a\u304b\u3067\u3082\u8fd1\u5e74\u306e\u81ea\u5de5\u4f1a\u6539\u9769\u306e\u65ad\u884c\u3067\u306f\u591a\u304f\u306e\u5834\u9762\u3067\u5353\u8d8a\u3057\u305f\u6307\u5c0e\u529b\u3092\u767a\u63ee\u3057\u3066\u3044\u305f\u3060\u304d\u307e\u3057\u305f\u3002\u7279\u306b\u3053\u3053\uff12\u5e74\u306e\u6539\u9769\u306b\u3088\u308a\u3001\u8ab2\u984c\u89e3\u6c7a\u306b\u30c1\u30fc\u30e0\u3067\u53d6\u308a\u7d44\u3080\u4f53\u5236\u304c\u3067\u304d\u3066\u6765\u307e\u3057\u305f\u3002\u3053\u306e\u6d41\u308c\u3092\u7d76\u3084\u3059\u3053\u3068\u306a\u304f\u3001\u3053\u306e\u6539\u9769\u3092\u3055\u3089\u306b\u9032\u5316\u3055\u305b\u3001\u679c\u6562\u306b\u8ab2\u984c\u89e3\u6c7a\u3092\u56f3\u3063\u3066\u307e\u3044\u308b\u3053\u3068\u3092\u65b0\u4f53\u5236\u4e00\u540c\u3001\u304a\u8a93\u3044\u3059\u308b\u6b21\u7b2c\u3067\u3059\u3002<\/p>\n<p>\u81ea\u52d5\u8eca\u7523\u696d\u306f\u3001\u3053\u308c\u304b\u3089\u3082\u65e5\u672c\u306e\u7d4c\u6e08\u306b\u304a\u3044\u3066\u6700\u91cd\u8981\u306a\u67f1\u3068\u8a00\u3063\u3066\u3082\u904e\u8a00\u3067\u306f\u306a\u304f\u3001\u79c1\u305f\u3061\u306e\u56e3\u4f53\u306f\u3053\u306e\u696d\u754c\u3092\u652f\u3048\u308b\u4e2d\u5fc3\u7684\u306a\u5b58\u5728\u3067\u3059\u3002\u3057\u304b\u3057\u3001\u79c1\u305f\u3061\u306f\u65b0\u305f\u306a\u8ab2\u984c\u3068\u5909\u9769\u306e\u6642\u4ee3\u306b\u7acb\u305f\u3055\u308c\u3066\u3044\u307e\u3059\u3002\u81ea\u52d5\u8eca\u6280\u8853\u306e\u9032\u5316\u3001\u74b0\u5883\u3078\u306e\u5f71\u97ff\u3001\u305d\u3057\u3066\u5e02\u5834\u306e\u5909\u52d5\u306a\u3069\u3001\u79c1\u305f\u3061\u304c\u76f4\u9762\u3057\u3066\u3044\u308b\u8ab2\u984c\u306f\u591a\u5c90\u306b\u308f\u305f\u308a\u307e\u3059\u3002<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-5740 size-full\" src=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2023\/11\/231122_7_issues.png\" alt=\"\" width=\"3840\" height=\"2880\" srcset=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2023\/11\/231122_7_issues.png 3840w, https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2023\/11\/231122_7_issues-480x360.png 480w, https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2023\/11\/231122_7_issues-768x576.png 768w, https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2023\/11\/231122_7_issues-1536x1152.png 1536w, https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2023\/11\/231122_7_issues-2048x1536.png 2048w\" sizes=\"auto, (max-width: 3840px) 100vw, 3840px\" \/><br \/>\n\u305d\u306e\u4e2d\u3067\u3001\u7279\u306b\u3001\u3053\u3053\uff12\u3001\uff13\u5e74\u3067\u6ce8\u529b\u3059\u308b<a href=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2023\/11\/231122_7_issues.pdf\" target=\"_blank\" rel=\"noopener\"><strong>\u8ab2\u984c\u3092\uff17\u3064\u306b\u307e\u3068\u3081\u305f\u7d50\u679c<\/strong><\/a>\u3001\u30ab\u30fc\u30dc\u30f3\u30cb\u30e5\u30fc\u30c8\u30e9\u30eb\u5316\u3060\u3051\u3067\u306a\u304f\u3001\uff12\uff10\uff12\uff14\u5e74\u554f\u984c\u306b\u4ee3\u8868\u3055\u308c\u308b\u30c9\u30e9\u30a4\u30d0\u30fc\u4e0d\u8db3\u3001\u7269\u6d41\u52b9\u7387\u5316\u3084\u904b\u884c\u7ba1\u7406\u7b49\u3001\u5354\u8abf\u3059\u3079\u304d\u8ab2\u984c\u304c\u591a\u3044\u5546\u7528\u9818\u57df\u304c\u5f53\u9762\u306e\u30da\u30fc\u30b9\u30e1\u30fc\u30ab\u30fc\u306b\u306a\u308b\u3079\u304d\u3068\u306e\u7d50\u8ad6\u306b\u81f3\u308a\u3001\u4eca\u56de\u306e\u81ea\u5de5\u4f1a\u65b0\u4f53\u5236\u3068\u306a\u308a\u307e\u3057\u305f\u3002\u79c1\u305f\u3061\u306e\u30d3\u30b8\u30e7\u30f3\u306f\u3001\u3053\u308c\u3089\u306e\u8ab2\u984c\u306b\u679c\u6562\u306b\u7acb\u3061\u5411\u304b\u3044\u3001\u696d\u754c\u3092\u3055\u3089\u306b\u767a\u5c55\u3055\u305b\u3001\u793e\u4f1a\u306b\u8ca2\u732e\u3057\u3066\u3044\u304f\u3053\u3068\u3067\u3059\u3002<\/p>\n<p>\u307e\u305a\u7b2c\u4e00\u306b\u3001\u74b0\u5883\u3078\u306e\u8ca2\u732e\u3092\u5f37\u5316\u3057\u3001\u6301\u7d9a\u53ef\u80fd\u306a\u81ea\u52d5\u8eca\u6280\u8853\u3068\u30e2\u30d3\u30ea\u30c6\u30a3\u306e\u672a\u6765\u3092\u7bc9\u304d\u307e\u3059\u3002\u65e5\u672c\u81ea\u52d5\u8eca\u5de5\u696d\u4f1a\u3067\u306f\u3001\u5f93\u6765\u3088\u308a\u591a\u69d8\u306a\u9078\u629e\u80a2\u3001\u30de\u30eb\u30c1\u30d1\u30b9\u30a6\u30a7\u30a4\u306e\u5fc5\u8981\u6027\u3092<\/p>\n<p><strong>\u300c\u6575\u306f\u70ad\u7d20\u3067\u3042\u308a\u5185\u71c3\u6a5f\u95a2\u3067\u306f\u306a\u3044\u300d<\/strong><\/p>\n<p>\u3068\u3044\u3046\u8a00\u8449\u3067\u4e16\u754c\u306b\u8a34\u3048\u3066\u307e\u3044\u308a\u307e\u3057\u305f\u3002\u7406\u89e3\u306e\u6ce2\u306f\u7740\u5b9f\u306b\u5e83\u304c\u308a\u3064\u3064\u3042\u308a\u307e\u3059\u3002\u5730\u57df\u306e\u4e8b\u60c5\u3084\u7279\u6027\u3092\u6d3b\u304b\u3057\u305f\u30ab\u30fc\u30dc\u30f3\u30cb\u30e5\u30fc\u30c8\u30e9\u30eb\u5b9f\u73fe\u306e\u6d3b\u52d5\u306f\u591a\u304f\u306e\u4ef2\u9593\u4f5c\u308a\u306b\u3064\u306a\u304c\u3063\u3066\u304d\u3066\u304a\u308a\u3001\u4f8b\u3048\u3070\u30ab\u30fc\u30dc\u30f3\u30cb\u30e5\u30fc\u30c8\u30e9\u30eb\u71c3\u6599\u7b49\u306e\u8b70\u8ad6\u304c\u9032\u3093\u3067\u304d\u3066\u3044\u307e\u3059\u3002\u4eca\u5f8c\u306e\uff12\u5e74\u9593\u3067\u3001\u65e5\u672c\u81ea\u52d5\u8eca\u5de5\u696d\u4f1a\u306f\u4eca\u307e\u3067\u4ee5\u4e0a\u306b\u5730\u7403\u74b0\u5883\u4fdd\u8b77\u3078\u306e\u8cac\u4efb\u3092\u679c\u305f\u3057\u3001\u30a8\u30cd\u30eb\u30ae\u30fc\u52b9\u7387\u306e\u5411\u4e0a\u3001\u96fb\u52d5\u8eca\u306e\u666e\u53ca\u306a\u3069\u3001\u74b0\u5883\u3078\u306e\u8ca2\u732e\u3092\u7a4d\u6975\u7684\u306b\u9032\u3081\u3066\u307e\u3044\u308a\u307e\u3059\u3002<br \/>\n\u307e\u305f\u3001\u6211\u3005\u306e\u696d\u754c\u306f\u6025\u901f\u306b\u5909\u5316\u3057\u3066\u304a\u308a\u3001\u65b0\u3057\u3044\u30c6\u30af\u30ce\u30ed\u30b8\u30fc\u3068\u30c7\u30b8\u30bf\u30eb\u5316\u306e\u9032\u5316\u306f\u3001\u65b0\u305f\u306a\u30d3\u30b8\u30cd\u30b9\u30e2\u30c7\u30eb\u3068\u6a5f\u4f1a\u3092\u63d0\u4f9b\u3057\u3066\u3044\u307e\u3059\u3002\u79c1\u305f\u3061\u306f\u3053\u306e\u5909\u9769\u306b\u5bfe\u5fdc\u3057\u3001\u7814\u7a76\u958b\u767a\u3078\u306e\u6295\u8cc7\u3092\u5897\u52a0\u3055\u305b\u3001\u65b0\u305f\u306a\u5e02\u5834\u3078\u306e\u30a2\u30af\u30bb\u30b9\u3092\u958b\u62d3\u3059\u308b\u3053\u3068\u3067\u3001\u7af6\u4e89\u529b\u3092\u7dad\u6301\u3057\u7d9a\u3051\u307e\u3059\u3002<\/p>\n<p>\u5148\u6708\u3001\u7b2c\uff11\u56de\u30b8\u30e3\u30d1\u30f3\u30e2\u30d3\u30ea\u30c6\u30a3\u30b7\u30e7\u30fc\u304c\u958b\u50ac\u3055\u308c\u307e\u3057\u305f\u3002\uff11\uff10\uff10\u4e07\u4eba\u3092\u8d85\u3048\u308b\u5165\u5834\u8005\u6570\u3084\u3001\uff11\uff10\uff10\u793e\u3092\u8d85\u3048\u308b\u30b9\u30bf\u30fc\u30c8\u30a2\u30c3\u30d7\u4f01\u696d\u306e\u53c2\u52a0\u306a\u3069\u3001\u5f93\u6765\u306e\u30e2\u30fc\u30bf\u30fc\u30b7\u30e7\u30fc\u306e\u9818\u57df\u3092\u8d85\u3048\u305f\u78ba\u304b\u306a\u30e2\u30d3\u30ea\u30c6\u30a3\u7523\u696d\u3078\u306e\u793e\u4f1a\u306e\u671f\u5f85\u3068\u3001\u305d\u306e\u53ef\u80fd\u6027\u3092\u3057\u3063\u304b\u308a\u3068\u63b4\u3080\u3053\u3068\u304c\u51fa\u6765\u307e\u3057\u305f\u3002\u5f15\u304d\u7d9a\u304d\u3001\uff15\uff15\uff10\u4e07\u306e\u4ef2\u9593\u304b\u3089\uff18\uff15\uff10\u4e07\u306e\u4ef2\u9593\u4f5c\u308a\u306b\u5411\u3051\u3066\u9081\u9032\u3057\u3066\u307e\u3044\u308a\u307e\u3059\u3002<\/p>\n<p>\u6700\u5f8c\u306b\u3001\u5168\u7523\u696d\u306e\u7686\u3055\u307e\u306b\u611f\u8b1d\u7533\u3057\u4e0a\u3052\u307e\u3059\u3002\u7686\u3055\u307e\u306e\u3054\u5354\u529b\u3068\u3054\u652f\u6301\u304c\u306a\u3051\u308c\u3070\u3001\u79c1\u305f\u3061\u306e\u30d3\u30b8\u30e7\u30f3\u3092\u6210\u3057\u9042\u3052\u308b\u3053\u3068\u306f\u3067\u304d\u307e\u305b\u3093\u3002\u7686\u3055\u307e\u3068\u3068\u3082\u306b\u3001\u65e5\u672c\u306e\u81ea\u52d5\u8eca\u7523\u696d\u3092\u3088\u308a\u5f37\u5316\u3057\u3001\u672a\u6765\u3092\u958b\u62d3\u3057\u3066\u3044\u304f\u3053\u3068\u3092\u697d\u3057\u307f\u306b\u3057\u3066\u304a\u308a\u307e\u3059\u3002\u5fc3\u304b\u3089\u611f\u8b1d\u3057\u3001\u5171\u306b\u7d20\u6674\u3089\u3057\u3044\u672a\u6765\u3092\u7bc9\u3044\u3066\u3044\u304f\u3053\u3068\u3092\u671f\u5f85\u3057\u3066\u304a\u308a\u307e\u3059\u3002<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-5666\" src=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2023\/11\/\u81ea\u5de5\u4f1a8-scaled.jpg\" alt=\"\" width=\"2560\" height=\"1440\" srcset=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2023\/11\/\u81ea\u5de5\u4f1a8-scaled.jpg 2560w, https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2023\/11\/\u81ea\u5de5\u4f1a8-640x360.jpg 640w, https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2023\/11\/\u81ea\u5de5\u4f1a8-320x180.jpg 320w, https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2023\/11\/\u81ea\u5de5\u4f1a8-768x432.jpg 768w, https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2023\/11\/\u81ea\u5de5\u4f1a8-1536x864.jpg 1536w, https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2023\/11\/\u81ea\u5de5\u4f1a8-2048x1152.jpg 2048w\" sizes=\"auto, (max-width: 2560px) 100vw, 2560px\" \/><\/p>\n<p style=\"text-align: center;\"><span style=\"font-size: 8pt;\">(\u5de6\u4e0a\u304b\u3089)\u526f\u4f1a\u9577 \u6c38\u585a\u8aa0\u4e00(\u81ea\u5de5\u4f1a)\u3001\u5185\u7530\u8aa0(\u65e5\u7523)\u3001\u9234\u6728\u4fca\u5b8f(\u30b9\u30ba\u30ad)\u3001\u4e09\u90e8\u654f\u5b8f(\u30db\u30f3\u30c0)\u3001\u4f50\u85e4\u6052\u6cbb(\u30c8\u30e8\u30bf)\u3001<\/span><br \/>\n<span style=\"font-size: 8pt;\">\u7247\u5c71\u6b63\u5247(\u3044\u3059\u309e)\u3001\u4f1a\u9577 \u8c4a\u7530\u7ae0\u7537(\u30c8\u30e8\u30bf)\u3001\u526f\u4f1a\u9577 \u65e5\u9ad9\u7965\u535a(\u30e4\u30de\u30cf)<\/span><\/p>\n<h3><span style=\"font-family: arial, helvetica, sans-serif; font-size: 12pt;\">\u25a0\u30d5\u30a9\u30c8\u30ae\u30e3\u30e9\u30ea\u30fc<\/span><\/h3>\n\n\t\t<style type=\"text\/css\">\n\t\t\t#gallery-1 {\n\t\t\t\tmargin: auto;\n\t\t\t}\n\t\t\t#gallery-1 .gallery-item {\n\t\t\t\tfloat: left;\n\t\t\t\tmargin-top: 10px;\n\t\t\t\ttext-align: center;\n\t\t\t\twidth: 20%;\n\t\t\t}\n\t\t\t#gallery-1 img {\n\t\t\t\tborder: 2px solid #cfcfcf;\n\t\t\t}\n\t\t\t#gallery-1 .gallery-caption {\n\t\t\t\tmargin-left: 0;\n\t\t\t}\n\t\t\t\/* see gallery_shortcode() in wp-includes\/media.php *\/\n\t\t<\/style>\n\t\t<div id='gallery-1' class='gallery galleryid-5650 gallery-columns-5 gallery-size-thumbnail'><dl class='gallery-item'>\n\t\t\t<dt class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/blog.jama.or.jp\/?attachment_id=5670'><img loading=\"lazy\" decoding=\"async\" width=\"320\" height=\"180\" src=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2023\/11\/\u81ea\u5de5\u4f1a7-320x180.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2023\/11\/\u81ea\u5de5\u4f1a7-320x180.jpg 320w, https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2023\/11\/\u81ea\u5de5\u4f1a7-640x360.jpg 640w\" sizes=\"auto, (max-width: 320px) 100vw, 320px\" \/><\/a>\n\t\t\t<\/dt><\/dl><dl class='gallery-item'>\n\t\t\t<dt class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/blog.jama.or.jp\/?attachment_id=5671'><img loading=\"lazy\" decoding=\"async\" width=\"320\" height=\"180\" src=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2023\/11\/\u81ea\u5de5\u4f1a9-320x180.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2023\/11\/\u81ea\u5de5\u4f1a9-320x180.jpg 320w, https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2023\/11\/\u81ea\u5de5\u4f1a9-640x360.jpg 640w\" sizes=\"auto, (max-width: 320px) 100vw, 320px\" \/><\/a>\n\t\t\t<\/dt><\/dl><dl class='gallery-item'>\n\t\t\t<dt class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/blog.jama.or.jp\/?attachment_id=5669'><img loading=\"lazy\" decoding=\"async\" width=\"320\" height=\"180\" src=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2023\/11\/\u81ea\u5de5\u4f1a4-320x180.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2023\/11\/\u81ea\u5de5\u4f1a4-320x180.jpg 320w, https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2023\/11\/\u81ea\u5de5\u4f1a4-640x360.jpg 640w\" sizes=\"auto, (max-width: 320px) 100vw, 320px\" \/><\/a>\n\t\t\t<\/dt><\/dl><dl class='gallery-item'>\n\t\t\t<dt class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/blog.jama.or.jp\/?attachment_id=5682'><img loading=\"lazy\" decoding=\"async\" width=\"320\" height=\"180\" src=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2023\/11\/\u81ea\u5de5\u4f1a26-320x180.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2023\/11\/\u81ea\u5de5\u4f1a26-320x180.jpg 320w, https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2023\/11\/\u81ea\u5de5\u4f1a26-640x360.jpg 640w\" sizes=\"auto, (max-width: 320px) 100vw, 320px\" \/><\/a>\n\t\t\t<\/dt><\/dl><dl class='gallery-item'>\n\t\t\t<dt class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/blog.jama.or.jp\/?attachment_id=5667'><img loading=\"lazy\" decoding=\"async\" width=\"320\" height=\"180\" src=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2023\/11\/\u81ea\u5de5\u4f1a2-320x180.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2023\/11\/\u81ea\u5de5\u4f1a2-320x180.jpg 320w, https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2023\/11\/\u81ea\u5de5\u4f1a2-640x360.jpg 640w\" sizes=\"auto, (max-width: 320px) 100vw, 320px\" \/><\/a>\n\t\t\t<\/dt><\/dl><br style=\"clear: both\" \/><dl class='gallery-item'>\n\t\t\t<dt class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/blog.jama.or.jp\/?attachment_id=5668'><img loading=\"lazy\" decoding=\"async\" width=\"320\" height=\"180\" src=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2023\/11\/\u81ea\u5de5\u4f1a3-320x180.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2023\/11\/\u81ea\u5de5\u4f1a3-320x180.jpg 320w, https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2023\/11\/\u81ea\u5de5\u4f1a3-640x360.jpg 640w\" sizes=\"auto, (max-width: 320px) 100vw, 320px\" \/><\/a>\n\t\t\t<\/dt><\/dl><dl class='gallery-item'>\n\t\t\t<dt class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/blog.jama.or.jp\/?attachment_id=5672'><img loading=\"lazy\" decoding=\"async\" width=\"320\" height=\"180\" src=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2023\/11\/\u81ea\u5de5\u4f1a10-320x180.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2023\/11\/\u81ea\u5de5\u4f1a10-320x180.jpg 320w, https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2023\/11\/\u81ea\u5de5\u4f1a10-640x360.jpg 640w\" sizes=\"auto, (max-width: 320px) 100vw, 320px\" \/><\/a>\n\t\t\t<\/dt><\/dl><dl class='gallery-item'>\n\t\t\t<dt class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/blog.jama.or.jp\/?attachment_id=5673'><img loading=\"lazy\" decoding=\"async\" width=\"320\" height=\"180\" src=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2023\/11\/\u81ea\u5de5\u4f1a11-320x180.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2023\/11\/\u81ea\u5de5\u4f1a11-320x180.jpg 320w, https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2023\/11\/\u81ea\u5de5\u4f1a11-640x360.jpg 640w\" sizes=\"auto, (max-width: 320px) 100vw, 320px\" \/><\/a>\n\t\t\t<\/dt><\/dl><dl class='gallery-item'>\n\t\t\t<dt class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/blog.jama.or.jp\/?attachment_id=5674'><img loading=\"lazy\" decoding=\"async\" width=\"320\" height=\"180\" src=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2023\/11\/\u81ea\u5de5\u4f1a14-320x180.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2023\/11\/\u81ea\u5de5\u4f1a14-320x180.jpg 320w, https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2023\/11\/\u81ea\u5de5\u4f1a14-640x360.jpg 640w\" sizes=\"auto, (max-width: 320px) 100vw, 320px\" \/><\/a>\n\t\t\t<\/dt><\/dl><dl class='gallery-item'>\n\t\t\t<dt class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/blog.jama.or.jp\/?attachment_id=5675'><img loading=\"lazy\" decoding=\"async\" width=\"320\" height=\"180\" src=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2023\/11\/\u81ea\u5de5\u4f1a15-320x180.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2023\/11\/\u81ea\u5de5\u4f1a15-320x180.jpg 320w, https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2023\/11\/\u81ea\u5de5\u4f1a15-640x360.jpg 640w\" sizes=\"auto, (max-width: 320px) 100vw, 320px\" \/><\/a>\n\t\t\t<\/dt><\/dl><br style=\"clear: both\" \/><dl class='gallery-item'>\n\t\t\t<dt class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/blog.jama.or.jp\/?attachment_id=5676'><img loading=\"lazy\" decoding=\"async\" width=\"320\" height=\"180\" src=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2023\/11\/\u81ea\u5de5\u4f1a17-320x180.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2023\/11\/\u81ea\u5de5\u4f1a17-320x180.jpg 320w, https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2023\/11\/\u81ea\u5de5\u4f1a17-640x360.jpg 640w\" sizes=\"auto, (max-width: 320px) 100vw, 320px\" \/><\/a>\n\t\t\t<\/dt><\/dl><dl class='gallery-item'>\n\t\t\t<dt class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/blog.jama.or.jp\/?attachment_id=5677'><img loading=\"lazy\" decoding=\"async\" width=\"320\" height=\"180\" src=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2023\/11\/\u81ea\u5de5\u4f1a18-320x180.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2023\/11\/\u81ea\u5de5\u4f1a18-320x180.jpg 320w, https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2023\/11\/\u81ea\u5de5\u4f1a18-640x360.jpg 640w\" sizes=\"auto, (max-width: 320px) 100vw, 320px\" \/><\/a>\n\t\t\t<\/dt><\/dl><dl class='gallery-item'>\n\t\t\t<dt class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/blog.jama.or.jp\/?attachment_id=5678'><img loading=\"lazy\" decoding=\"async\" width=\"320\" height=\"180\" src=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2023\/11\/\u81ea\u5de5\u4f1a19-320x180.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2023\/11\/\u81ea\u5de5\u4f1a19-320x180.jpg 320w, https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2023\/11\/\u81ea\u5de5\u4f1a19-640x360.jpg 640w\" sizes=\"auto, (max-width: 320px) 100vw, 320px\" \/><\/a>\n\t\t\t<\/dt><\/dl><dl class='gallery-item'>\n\t\t\t<dt class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/blog.jama.or.jp\/?attachment_id=5679'><img loading=\"lazy\" decoding=\"async\" width=\"320\" height=\"180\" src=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2023\/11\/\u81ea\u5de5\u4f1a21-320x180.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2023\/11\/\u81ea\u5de5\u4f1a21-320x180.jpg 320w, https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2023\/11\/\u81ea\u5de5\u4f1a21-640x360.jpg 640w\" sizes=\"auto, (max-width: 320px) 100vw, 320px\" \/><\/a>\n\t\t\t<\/dt><\/dl><dl class='gallery-item'>\n\t\t\t<dt class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/blog.jama.or.jp\/?attachment_id=5680'><img loading=\"lazy\" decoding=\"async\" width=\"320\" height=\"180\" src=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2023\/11\/\u81ea\u5de5\u4f1a24-320x180.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2023\/11\/\u81ea\u5de5\u4f1a24-320x180.jpg 320w, https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2023\/11\/\u81ea\u5de5\u4f1a24-640x360.jpg 640w\" sizes=\"auto, (max-width: 320px) 100vw, 320px\" \/><\/a>\n\t\t\t<\/dt><\/dl><br style=\"clear: both\" \/><dl class='gallery-item'>\n\t\t\t<dt class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/blog.jama.or.jp\/?attachment_id=5681'><img loading=\"lazy\" decoding=\"async\" width=\"320\" height=\"180\" src=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2023\/11\/\u81ea\u5de5\u4f1a25-320x180.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2023\/11\/\u81ea\u5de5\u4f1a25-320x180.jpg 320w, https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2023\/11\/\u81ea\u5de5\u4f1a25-640x360.jpg 640w\" sizes=\"auto, (max-width: 320px) 100vw, 320px\" \/><\/a>\n\t\t\t<\/dt><\/dl><dl class='gallery-item'>\n\t\t\t<dt class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/blog.jama.or.jp\/?attachment_id=5683'><img loading=\"lazy\" decoding=\"async\" width=\"320\" height=\"180\" src=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2023\/11\/\u81ea\u5de5\u4f1a27-320x180.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2023\/11\/\u81ea\u5de5\u4f1a27-320x180.jpg 320w, https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2023\/11\/\u81ea\u5de5\u4f1a27-640x360.jpg 640w\" sizes=\"auto, (max-width: 320px) 100vw, 320px\" \/><\/a>\n\t\t\t<\/dt><\/dl><dl class='gallery-item'>\n\t\t\t<dt class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/blog.jama.or.jp\/?attachment_id=5684'><img loading=\"lazy\" decoding=\"async\" width=\"320\" height=\"180\" src=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2023\/11\/\u81ea\u5de5\u4f1a28-320x180.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2023\/11\/\u81ea\u5de5\u4f1a28-320x180.jpg 320w, https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2023\/11\/\u81ea\u5de5\u4f1a28-640x360.jpg 640w\" sizes=\"auto, (max-width: 320px) 100vw, 320px\" \/><\/a>\n\t\t\t<\/dt><\/dl><dl class='gallery-item'>\n\t\t\t<dt class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/blog.jama.or.jp\/?attachment_id=5685'><img loading=\"lazy\" decoding=\"async\" width=\"320\" height=\"180\" src=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2023\/11\/\u81ea\u5de5\u4f1a29-320x180.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2023\/11\/\u81ea\u5de5\u4f1a29-320x180.jpg 320w, https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2023\/11\/\u81ea\u5de5\u4f1a29-640x360.jpg 640w\" sizes=\"auto, (max-width: 320px) 100vw, 320px\" \/><\/a>\n\t\t\t<\/dt><\/dl><dl class='gallery-item'>\n\t\t\t<dt class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/blog.jama.or.jp\/?attachment_id=5686'><img loading=\"lazy\" decoding=\"async\" width=\"320\" height=\"180\" src=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2023\/11\/\u81ea\u5de5\u4f1a31-320x180.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2023\/11\/\u81ea\u5de5\u4f1a31-320x180.jpg 320w, https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2023\/11\/\u81ea\u5de5\u4f1a31-640x360.jpg 640w\" sizes=\"auto, (max-width: 320px) 100vw, 320px\" \/><\/a>\n\t\t\t<\/dt><\/dl><br style=\"clear: both\" \/><dl class='gallery-item'>\n\t\t\t<dt class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/blog.jama.or.jp\/?attachment_id=5687'><img loading=\"lazy\" decoding=\"async\" width=\"320\" height=\"180\" src=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2023\/11\/\u81ea\u5de5\u4f1a32-320x180.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2023\/11\/\u81ea\u5de5\u4f1a32-320x180.jpg 320w, https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2023\/11\/\u81ea\u5de5\u4f1a32-640x360.jpg 640w\" sizes=\"auto, (max-width: 320px) 100vw, 320px\" \/><\/a>\n\t\t\t<\/dt><\/dl><dl class='gallery-item'>\n\t\t\t<dt class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/blog.jama.or.jp\/?attachment_id=5688'><img loading=\"lazy\" decoding=\"async\" width=\"320\" height=\"180\" src=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2023\/11\/\u81ea\u5de5\u4f1a33-320x180.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2023\/11\/\u81ea\u5de5\u4f1a33-320x180.jpg 320w, https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2023\/11\/\u81ea\u5de5\u4f1a33-640x360.jpg 640w\" sizes=\"auto, (max-width: 320px) 100vw, 320px\" \/><\/a>\n\t\t\t<\/dt><\/dl><dl class='gallery-item'>\n\t\t\t<dt class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/blog.jama.or.jp\/?attachment_id=5689'><img loading=\"lazy\" decoding=\"async\" width=\"320\" height=\"180\" src=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2023\/11\/\u81ea\u5de5\u4f1a34-320x180.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2023\/11\/\u81ea\u5de5\u4f1a34-320x180.jpg 320w, https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2023\/11\/\u81ea\u5de5\u4f1a34-640x360.jpg 640w\" sizes=\"auto, (max-width: 320px) 100vw, 320px\" \/><\/a>\n\t\t\t<\/dt><\/dl><dl class='gallery-item'>\n\t\t\t<dt class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/blog.jama.or.jp\/?attachment_id=5690'><img loading=\"lazy\" decoding=\"async\" width=\"320\" height=\"180\" src=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2023\/11\/\u81ea\u5de5\u4f1a37-320x180.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2023\/11\/\u81ea\u5de5\u4f1a37-320x180.jpg 320w, https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2023\/11\/\u81ea\u5de5\u4f1a37-640x360.jpg 640w\" sizes=\"auto, (max-width: 320px) 100vw, 320px\" \/><\/a>\n\t\t\t<\/dt><\/dl><dl class='gallery-item'>\n\t\t\t<dt class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/blog.jama.or.jp\/?attachment_id=5691'><img loading=\"lazy\" decoding=\"async\" width=\"320\" height=\"180\" src=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2023\/11\/\u81ea\u5de5\u4f1a38-320x180.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2023\/11\/\u81ea\u5de5\u4f1a38-320x180.jpg 320w, https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2023\/11\/\u81ea\u5de5\u4f1a38-640x360.jpg 640w\" sizes=\"auto, (max-width: 320px) 100vw, 320px\" \/><\/a>\n\t\t\t<\/dt><\/dl><br style=\"clear: both\" \/><dl class='gallery-item'>\n\t\t\t<dt class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/blog.jama.or.jp\/?attachment_id=5692'><img loading=\"lazy\" decoding=\"async\" width=\"320\" height=\"180\" src=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2023\/11\/\u81ea\u5de5\u4f1a39-320x180.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2023\/11\/\u81ea\u5de5\u4f1a39-320x180.jpg 320w, https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2023\/11\/\u81ea\u5de5\u4f1a39-640x360.jpg 640w\" sizes=\"auto, (max-width: 320px) 100vw, 320px\" \/><\/a>\n\t\t\t<\/dt><\/dl><dl class='gallery-item'>\n\t\t\t<dt class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/blog.jama.or.jp\/?attachment_id=5693'><img loading=\"lazy\" decoding=\"async\" width=\"320\" height=\"180\" src=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2023\/11\/\u81ea\u5de5\u4f1a42-320x180.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2023\/11\/\u81ea\u5de5\u4f1a42-320x180.jpg 320w, https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2023\/11\/\u81ea\u5de5\u4f1a42-640x360.jpg 640w\" sizes=\"auto, (max-width: 320px) 100vw, 320px\" \/><\/a>\n\t\t\t<\/dt><\/dl><dl class='gallery-item'>\n\t\t\t<dt class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/blog.jama.or.jp\/?attachment_id=5694'><img loading=\"lazy\" decoding=\"async\" width=\"320\" height=\"180\" src=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2023\/11\/\u81ea\u5de5\u4f1a43-320x180.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2023\/11\/\u81ea\u5de5\u4f1a43-320x180.jpg 320w, https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2023\/11\/\u81ea\u5de5\u4f1a43-640x360.jpg 640w\" sizes=\"auto, (max-width: 320px) 100vw, 320px\" \/><\/a>\n\t\t\t<\/dt><\/dl><dl class='gallery-item'>\n\t\t\t<dt class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/blog.jama.or.jp\/?attachment_id=5695'><img loading=\"lazy\" decoding=\"async\" width=\"320\" height=\"180\" src=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2023\/11\/\u81ea\u5de5\u4f1a44-320x180.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2023\/11\/\u81ea\u5de5\u4f1a44-320x180.jpg 320w, https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2023\/11\/\u81ea\u5de5\u4f1a44-640x360.jpg 640w\" sizes=\"auto, (max-width: 320px) 100vw, 320px\" \/><\/a>\n\t\t\t<\/dt><\/dl><dl class='gallery-item'>\n\t\t\t<dt class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/blog.jama.or.jp\/?attachment_id=5696'><img loading=\"lazy\" decoding=\"async\" width=\"320\" height=\"180\" src=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2023\/11\/\u81ea\u5de5\u4f1a45-320x180.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2023\/11\/\u81ea\u5de5\u4f1a45-320x180.jpg 320w, https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2023\/11\/\u81ea\u5de5\u4f1a45-640x360.jpg 640w\" sizes=\"auto, (max-width: 320px) 100vw, 320px\" \/><\/a>\n\t\t\t<\/dt><\/dl><br style=\"clear: both\" \/><dl class='gallery-item'>\n\t\t\t<dt class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/blog.jama.or.jp\/?attachment_id=5697'><img loading=\"lazy\" decoding=\"async\" width=\"320\" height=\"180\" src=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2023\/11\/\u81ea\u5de5\u4f1a46-320x180.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2023\/11\/\u81ea\u5de5\u4f1a46-320x180.jpg 320w, https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2023\/11\/\u81ea\u5de5\u4f1a46-640x360.jpg 640w\" sizes=\"auto, (max-width: 320px) 100vw, 320px\" \/><\/a>\n\t\t\t<\/dt><\/dl><dl class='gallery-item'>\n\t\t\t<dt class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/blog.jama.or.jp\/?attachment_id=5698'><img loading=\"lazy\" decoding=\"async\" width=\"320\" height=\"180\" src=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2023\/11\/\u81ea\u5de5\u4f1a47-320x180.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2023\/11\/\u81ea\u5de5\u4f1a47-320x180.jpg 320w, https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2023\/11\/\u81ea\u5de5\u4f1a47-640x360.jpg 640w\" sizes=\"auto, (max-width: 320px) 100vw, 320px\" \/><\/a>\n\t\t\t<\/dt><\/dl><dl class='gallery-item'>\n\t\t\t<dt class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/blog.jama.or.jp\/?attachment_id=5699'><img loading=\"lazy\" decoding=\"async\" width=\"320\" height=\"180\" src=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2023\/11\/\u81ea\u5de5\u4f1a48-320x180.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2023\/11\/\u81ea\u5de5\u4f1a48-320x180.jpg 320w, https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2023\/11\/\u81ea\u5de5\u4f1a48-640x360.jpg 640w\" sizes=\"auto, (max-width: 320px) 100vw, 320px\" \/><\/a>\n\t\t\t<\/dt><\/dl><dl class='gallery-item'>\n\t\t\t<dt class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/blog.jama.or.jp\/?attachment_id=5700'><img loading=\"lazy\" decoding=\"async\" width=\"320\" height=\"180\" src=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2023\/11\/\u81ea\u5de5\u4f1a49-320x180.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2023\/11\/\u81ea\u5de5\u4f1a49-320x180.jpg 320w, https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2023\/11\/\u81ea\u5de5\u4f1a49-640x360.jpg 640w\" sizes=\"auto, (max-width: 320px) 100vw, 320px\" \/><\/a>\n\t\t\t<\/dt><\/dl><dl class='gallery-item'>\n\t\t\t<dt class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/blog.jama.or.jp\/?attachment_id=5701'><img loading=\"lazy\" decoding=\"async\" width=\"320\" height=\"180\" src=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2023\/11\/\u81ea\u5de5\u4f1a50-320x180.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2023\/11\/\u81ea\u5de5\u4f1a50-320x180.jpg 320w, https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2023\/11\/\u81ea\u5de5\u4f1a50-640x360.jpg 640w\" sizes=\"auto, (max-width: 320px) 100vw, 320px\" \/><\/a>\n\t\t\t<\/dt><\/dl><br style=\"clear: both\" \/><dl class='gallery-item'>\n\t\t\t<dt class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/blog.jama.or.jp\/?attachment_id=5702'><img loading=\"lazy\" decoding=\"async\" width=\"320\" height=\"180\" src=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2023\/11\/\u81ea\u5de5\u4f1a51-320x180.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2023\/11\/\u81ea\u5de5\u4f1a51-320x180.jpg 320w, https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2023\/11\/\u81ea\u5de5\u4f1a51-640x360.jpg 640w\" sizes=\"auto, (max-width: 320px) 100vw, 320px\" \/><\/a>\n\t\t\t<\/dt><\/dl><dl class='gallery-item'>\n\t\t\t<dt class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/blog.jama.or.jp\/?attachment_id=5703'><img loading=\"lazy\" decoding=\"async\" width=\"320\" height=\"180\" src=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2023\/11\/\u81ea\u5de5\u4f1a52-320x180.jpg\" class=\"attachment-thumbnail size-thumbnail\" alt=\"\" srcset=\"https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2023\/11\/\u81ea\u5de5\u4f1a52-320x180.jpg 320w, https:\/\/blog.jama.or.jp\/wp-content\/uploads\/2023\/11\/\u81ea\u5de5\u4f1a52-640x360.jpg 640w\" sizes=\"auto, (max-width: 320px) 100vw, 320px\" \/><\/a>\n\t\t\t<\/dt><\/dl><dl class='gallery-item'>\n\t\t\t<dt class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/blog.jama.or.jp\/?attachment_id=5704'><img loading=\"lazy\" decoding=\"async\" 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