è»æ°Žãšç¡¬æ°Žã®éããšã¯ïŒ ã¡ãªãããšãã¡ãªããã䜿ãåããã玹ä»

çãããæ®æ®µãã飲ãã§ãããæ°Žã¯ããã®ç¡¬åºŠã«ãã£ãŠãè»æ°Žããšã硬氎ãã«åããããŸããçš®é¡ã«ãã£ãŠå³ãç°ãªãã®ããã®åé¡ã«ãããã®ã§ããã§ã¯ãå
·äœçã«è»æ°Žãšç¡¬æ°Žã§ã¯ãã©ã®ãããªéããããã®ã§ããããã
ä»åã¯æ¥æ¬ã®ãæ°Žãæµ·å€ã®ãæ°Žã«ã€ããŠè§Šããªãã解説ããŸãã
âŒãã®èšäºã®ãã€ã³ã
ãæ°Žã®ã硬床ãã«ããè»æ°Žãšç¡¬æ°Žã®éãããããããã®ã¡ãªããã»ãã¡ãªãããæçã飲ã¿ç©ãžã®äžæãªäœ¿ãåãã«ã€ããŠè§£èª¬ããŠããŸãã
è»æ°Žãšç¡¬æ°Žã®éã
- å®çŸ©ïŒãæ°Ž1Lãããã®ã«ã«ã·ãŠã ãšãã°ãã·ãŠã ã®å«æéïŒç¡¬åºŠïŒã§æ±ºãŸããŸããWHOã®åºæºã§ã¯120mg/Læªæºããè»æ°Žãã120mg/L以äžãã硬氎ããšåŒã³ãŸãã
- å°åæ§ïŒæ¥æ¬ã®ãæ°Žã¯ã»ãšãã©ããè»æ°Žãã§ãããæ¬§ç±³çã¯å°å±€ã®é¢ä¿ã§ã硬氎ããå€ãåŸåã«ãããŸãã
ããããã®ç¹åŸŽãšãããã
- è»æ°ŽïŒå£åœããããŸãããã§æ¥æ¬æçïŒç¹ã«ã ããåé£ïŒã«ããããã§ããèµ€ã¡ããã®ãã«ã¯äœãããèãžã®åºæ¿ãæãããæ¹ã«ãããããã§ãã
- 硬氎ïŒããã©ã«è£çµŠã«åªããŠãããéååŸãèæçäžå¿ã®é£çæŽ»ã®æ¹ã«é©ããŠããŸããç ®èŸŒã¿æçïŒç°æ±ãåºãããïŒããäžéšã®ãŠã€ã¹ããŒã»ã³ãŒããŒã«ãåããŸãã
æçã»é£²ã¿ç©ã®äœ¿ãåã
- åé£ã»çœç±³ïŒçŽ æã®å³ã掻ããããµã£ããä»äžãããè»æ°ŽããåããŠããŸãã
- æŽé£ã»ã³ãŒããŒïŒããŒãã·ãã¥ãŒçã¯ã硬氎ãã§ãã³ãŒããŒãç¡¬æ°Žã§æ·¹ãããšæžã¿ãæãããããã€ã«ããªå³ããã«ãªããŸãã
ç®æ¬¡
- 1.è»æ°Žãšç¡¬æ°Žã®éãã¯ïŒ
- 2.äžçäžã®ãæ°Žã¯è»æ°ŽïŒç¡¬æ°ŽïŒ
- 2-1.æµ·å€ã®ãæ°Ž
- 2-2.æ¥æ¬ã®ãæ°Ž
- 3.硬氎ã®ç¹åŸŽ
- 3-1.硬氎ã¯ãããªæ¹ã«ãããã
- 4.è»æ°Žã®ç¹åŸŽ
- 4-1.è»æ°Žã¯ãããªæ¹ã«ãããã
- 5.é£åã§äžæã«äœ¿ãåããã«ã¯
- 5-1.æç
- 5-2.ã³ãŒããŒã»ãè¶
- 5-3.ã¢ã«ã³ãŒã«
è»æ°Žãšç¡¬æ°Žã®éãã¯ïŒ

è»æ°Žãšç¡¬æ°Žã®éãã¯ãåçŽã«ã¯ãæ°Žã®ã硬床ãã®éãã§ãã 硬床ãšããã®ã¯ããæ°Ž1âãããã®ã«ã«ã·ãŠã ããã°ãã·ãŠã ã®å«æéã§ãWHOïŒäžçä¿å¥æ©é¢ïŒãå®ããåºæºã§ã¯ç¡¬åºŠ120mg/âæªæºãè»æ°Žã120mg/â以äžã硬氎ãšãããŠããŸãã
WHO(äžçä¿å¥æ©æ§)ã«ããæ°Žã®ç¡¬åºŠã®åºæºå€
| çš®é¡ | 硬床 | |
|---|---|---|
| è»æ°Ž | è»æ°Ž | 0ïœ60mg/âæªæº |
| äžç¡¬æ°Ž | 60ïœ120mg/âæªæº | |
| 硬氎 | 硬氎 | 120ïœ180mg/âæªæº |
| è¶ ç¡¬æ°Ž | 180mg/âä»¥äž | |
- 硬床ã®èšç®åŒïŒã«ã«ã·ãŠã (mg/â)Ã2.5+ãã°ãã·ãŠã (mg/â)Ã4.1
äžçäžã®ãæ°Žã¯è»æ°ŽïŒç¡¬æ°ŽïŒ

äžçäžã®ãæ°Žã¯ãããã14åç«æ¹ããã¡ãŒãã«åãããšèšãããŠããŸãã ãã®ãã¡ã®å€§éšåãå ããçŽ97.5ïŒ ãæµ·æ°Žã§ãæ·¡æ°Žã¯çŽ2.5%ãããªãã®ã§ãããããããã®æ·¡æ°Žã®ã»ãšãã©ã¯å極ãšåæ¥µã®æ°·ãæ°·æ²³ã§ã人éãå©çšããããæ²³å·ãæ¹ã®ãæ°Žã¯å°çäžã«ããã0.01%ãå°äžæ°Žãå«ããŠãçŽ0.8%ãããããŸãããâ»1
ãã®0.8%ã®ãæ°Žããå«ãŸããæåã«ãã£ãŠç¡¬æ°Žãšè»æ°Žã«åããããŸãã ã§ã¯ãäžçäž»èŠéœåžã®ãæ°Žã¯ç¡¬æ°Žãšè»æ°Žã®ã©ã¡ããªã®ã§ããããã
æµ·å€ã®ãæ°Ž
ã·ãããŒããµã³ãã©ã³ã·ã¹ã³çã¯æ¥æ¬ãšåãããã«è»æ°Žã®ãæ°ŽãæµããŠãããšãããããããã§ãããæµ·å€ã¯ç¡¬æ°Žãå€ããäžã§ããšãŒãããïŒæ¬§ç±³ïŒã¯ç¹ã«ç¡¬æ°Žãå€ãã§ãã
é·ãæéããããŠå°å±€ãéãããšã§ããæ°Žã®äžã«ããã©ã«æåãæº¶ãã硬床ãé«ããªãã®ã§ãããã£ãå°åã¯ç¡¬æ°Žãå€ããªããŸãã
äžçã®äž»èŠéŠéœã§ã¯ããã³ãã³ããããªããã©ããå京çã®éŠéœã硬氎ã§ããâ»1
ãŸããã¢ã¡ãªã«ã®ããã«åœåãåºãåœã¯ãã©ã¹ãã¬ã¹ã§ã¯ç¡¬æ°Žããã¥ãŒãšãŒã¯ã§ã¯è»æ°Žãšéœåžã«ãã£ãŠãæ°Žã®ç¡¬åºŠãç°ãªãã®ãé¢çœãã§ããã
æ¥æ¬ã®ãæ°Ž
æ¥æ¬ã¯å€§éžã®æ²³å·ã«æ¯ã¹ãŠå°ããçããå°åœ¢ãæ¥å³»ã§ãããã©ã«çå°å±€ã®æåããæ°Žã«æº¶ãã ãåã«æµããŠããŸãããã硬床100mg/â以äžã®è»æ°Žãã»ãšãã©ã§ãã ãããããããªæ¥æ¬ã§ãäŸå€ããããããäžéšã§ã¯ãããŸããå µåº«çã®å®®æ°Žãæ²çžçé£èŠåžã®ãæ°Žã¯ç¡¬æ°Žã§ããâ»1
硬氎ã®ç¹åŸŽ

ãæ°Žã«å«ãŸããã«ã«ã·ãŠã ãšãã°ãã·ãŠã ã®éã«ãã£ãŠã硬氎ãšè»æ°Žã«åããããšãã§ããŸããWHOïŒäžçä¿å¥æ©æ§ïŒã®ãé£²ææ°Žæ°Žè³ªã¬ã€ãã©ã€ã³ãã§ã¯ã硬床60mg/â以äž120mg/âæªæºãäžçšåºŠã®ç¡¬æ°Žã120mg/â以äž180mg/âæªæºã硬氎ã180mg/â以äžãéåžžã«ç¡¬æ°ŽïŒè¶ 硬氎ïŒãšåé¡ããŠããŸãã
硬氎ã«ã¯ã«ã«ã·ãŠã ããã°ãã·ãŠã ãšãã£ãããã©ã«ãè±å¯ã«å«ãŸããŠããã®ã§ãæè»œã«ããã©ã«ãè£çµŠã§ããŸãããããèè§Šããã¶ã©ã¶ã©ãšããŠãå°ãèŠãæããã®ãç¹åŸŽã§ããæ¥æ¬äººã¯é£²ã¿æ £ããŠããªãã®ã§ãèŠå³ããã£ãŠé£²ã¿ã«ãããšæããæ¹ããããããããŸããã
ãŸããè»æ°Žã«èŠªããã§ããæ¥æ¬äººã¯ã硬氎ã飲ããšèè žã«è² æ ããããããšããããŸããå èãæªçºéãªèµ€ã¡ããã«ã硬氎ã¯åããŸãããæäººã§ããè ¹ãå£ããŠããŸãå¯èœæ§ãããããããããªã硬床ã®é«ããæ°Žã飲ãã®ã¯é¿ãã硬床ã®äœããã®ããåŸã ã«æ £ãããŠãããŸãããã
ãããŠã硬氎ã§ã¯ãã£ããã䜿ã£ãŠã泡ç«ããªããšããçŸè±¡ãèµ·ãããŸãããããã硬床ãé¢ä¿ããŠããŠãæ±ããèœãšãåã«ãã£ããã®æåãšç¡¬æ°Žã«å«ãŸããã«ã«ã·ãŠã ããã°ãã·ãŠã ãçµã³ã€ãããŒããŒããšãã£ãããã«ã¹ã®ãããªãã®ã«ãªã£ãŠããŸãããã§ããâ»1
硬氎ã¯ãããªæ¹ã«ãããã
æ¥æ¬ã§ã¯æ®æ®µã»ãšãã©ã®æ¹ãè»æ°Žã飲ãã§ããŸãããäžèšã®ãããªæ¹ã«ã¯ç¡¬æ°Žãããããã§ãã
- èé¡ãããé£ã¹ãæ¹ã«
èé¡ãå€ãé£ç掻ã®å Žåãã¿ã³ãã¯è³ªã¯è±å¯ã«æããäžæ¹ã§ãããã©ã«ãäžè¶³ããã¡ã«ãªããŸãã硬氎ã飲ãããšã§ããã©ã«æåãè£ãããšãã§ããŸãã
- ã³ãŒããŒãçŽ è¶ãé£²ãæ¹ã«
ã³ãŒããŒãçŽ è¶ãããé£²ãæ¹ã¯ã硬氎ã§å ¥ããŠã¿ãã®ãããããã§ããæ¬æ¥ã®å³ãããæ°Žã®åæ§ãåºããããæžã¿ãåºã«ããå³ããã€ã«ãã«ãªããŸãã
- éåãããæ¹ã«
éåããããšæ±ãšäžç·ã«ããã©ã«åã倱ãããŠããŸããŸããè»æ°Žãããç¡¬æ°Žã®æ¹ããæµãåºãããã©ã«åãè£çµŠããããšãã§ããŸãã
è»æ°Žã®ç¹åŸŽ

è»æ°Žãšã¯WHOã®ç€ºãåºæºã§ã¯ç¡¬åºŠ120mg/âæªæºã®ãæ°Žã®ããšã§ãããã©ã«ãå°ãªãåãå£åœãããæããããŸãããã§ããæ¥æ¬ã®ãæ°Žã¯ã»ãšãã©ãè»æ°Žã«ãªããŸãã èãžã®åºæ¿ãå°ãªããèµ€ã¡ãããåã©ãã§ãå®å¿ããŠé£²ãã ãè§Šãããã§ãããæ°Žã§ãããŸããæŽå€ã®æ³¡ç«ã¡ãè¯ããšããç¹åŸŽããããŸããâ»2
ããã©ã«åãå°ãªãããæšå³æåãæœåºããããããåºæ±ã䜿ã£ãåé£ã«ãšãŠãé©ããŠããŸããããããªããã硬床100mg/â以äžã®è»æ°Žã¯éå±ã®è é£ãé«ãããšãèšãããŠããŸããâ»3
è»æ°Žã¯ãããªæ¹ã«ãããã
è»æ°ŽãåããŠããã®ã¯ã以äžã®ãããªæ¹ã§ãã
- åé£ãããé£ã¹ãæ¹ã«
è»æ°Žã¯ãæ°Žèªäœã«éå³ããªããçŽ ææ¬æ¥ã®å³ãåŒãåºããŠãããŸããããã©ã«ãå°ãªãããã«é£æã®æšå³æåãæŽ»ããããåºæ±ããããããå³åæ±ãç ®ç©çã®åé£ãããããä»äžãããŸãããŸãããç±³ãæ°Žåããã£ããåžåããã®ã§ããµã£ãããšããçãäžããã«ãªããŸãã
- ãæ°Žã«ãããããæ±ããæ¹ã«
è»æ°Žãé£²ã¿æ £ããŠããæ¥æ¬ã§ã¯ãç¬ç¹ãªå³ã®ãã硬氎ãããè»æ°Žããããããšæããæ¹ãå€ãã§ããæ¥é ã®é£²ææ°ŽãšããŠãæ°Žã飲ãã§ããããããããæ°Žã«ãã ãããããšããæ¹ã«ã¯è»æ°ŽãããããããŸãã
é£åã§äžæã«äœ¿ãåããã«ã¯

æç
ãæçã®éã硬氎ãšè»æ°Žã®ããããã®ç¹åŸŽã掻ãããŠäžæã«äœ¿ãåãããšããããããããããã©ã«åããã£ããè£çµŠã§ããããã«ãªããŸãã
ãã©ãã©ãšããåºãã®ãã¯ããé©ããããšãªã¢ããã£ãŒãã³ãããŒãã·ãã¥ãŒçã®ç ®èŸŒã¿æçã«ã¯ç¡¬æ°ŽãåããŠããŸãã
äžæ¹ã§ãæšå³æåãæŽ»ãããåé£ãçœç±³ã«ã¯è»æ°ŽãåããŠããã®ã§ããæçã®å 容ã«ãã£ãŠäœ¿ãåããŠã¿ãŸãããã
ã³ãŒããŒã»ãè¶
ã³ãŒããŒããè¶ã硬氎ã§å ¥ãããšãæ°Žã®ç¹åŸŽãåºããããã³ãŒããŒããè¶ã®æžã¿ããŸãããã«ãªããŸãã硬氎ã®ç£å°ã硬床ã«ãã£ãŠãå€åããã®ã§ããããããšè©ŠããŠã¿ãã®ãããã§ããã
ã¢ã«ã³ãŒã«
æ¥æ¬ç£ãŠã€ã¹ããŒã¯è»æ°Žä»èŸŒã¿ãªã®ã§ã軜ããŸããããªç¹åŸŽããããŸããã¹ã³ãããŠã€ã¹ããŒãé€ããæ¬§ç±³ç£ã¯åºæ¬çã«ç¡¬æ°Žä»èŸŒã¿ã®ãã®ãå€ãããæ°Žã®ç¹åŸŽããŠã€ã¹ããŒã«ãåæ ããåæ§çã§å°ãã¯ã»ã®ããå³ããã«ãªã£ãŠããŸãã
æ°Žå²ãã«ãããªããŠã€ã¹ããŒã®ä»èŸŒã¿æ°Žãšåããã®ã«ãããšèª¿åãä¿ãããããããã§ãã
çŒé
ãå²ãå Žåãã1çªçžæ§ãè¯ãã®ã¯ãã®çŒé
ãäœã£ããæ°Žãªã®ã§ãè»æ°ŽãåããŠãããšèšããã§ãããã
ãã®ããã«ãè»æ°Žãšç¡¬æ°Žã䜿ãåããããšã§ãå³ã颚å³ãããªãéããŸãã®ã§ãäžæã«äž¡æ¹ã掻çšããŠã¿ãŠãã ãããã
ä»åã®èšäºã§ã¯ç¡¬æ°Žãšè»æ°Žã®éãããæµ·å€ã®ãæ°Žã®ç¡¬åºŠã®éãããäŒãããŸããããã®ããã«ã硬氎ã«ãè»æ°Žã«ãããããã®è¯ãããããŸãããæ¥æ¬äººã®å Žåã䜿ããããã§ããã°è»æ°Žã®æ¹ãè¯ããããããŸããã
ãã¬ãã¢ã ãŠã©ãŒã¿ãŒã®è»æ°Žã®å€©ç¶æ°Žã¯ãå³éžãããæ¡æ°Žå°ã®ãæ°Žã§ããããã®éèŠãªèŠçŽ ãšèšãããæº¶åé žçŽ ãæãªããªããéå ç±åŠçãããããªã£ãŠããŸãããŸããæ±²ã¿äžããåæ°Žã¯äžå¯§ã«ãã£ã«ã¿ãŒã§é€èåŠçããŠããŸãã
æµ·ã«å²ãŸããæ²³å·ãããããããæ¥æ¬ã ããããããããæ°Žã«é¢å¿ãæã£ãŠããã ããã幞ãã§ãã

åèæç®
- â»1 ãŒãããçè§£ããæ°Žã®åºæ¬ïŒç£ä¿®åè³è£å€ªé/2013ïŒ
- â»2 æ°Žéæ°Žã¯ã©ã£ã¡ïŒæå€ãšç¥ããªãè»æ°Žãšç¡¬æ°ŽïŒå·åŽåžäžäžæ°Žéå±ïŒ
- â»3 æ°Žã®ç¡¬åºŠïŒæ±äº¬éœæ°Žéå±ïŒ
ãã®èšäºã¯é¢çœãã£ãã§ããïŒ
å€©ç¶æ°Žæ¬æ¥ã®ãã¬ãã¢ã ãªããããããã¬ãã¢ã ãŠã©ãŒã¿ãŒãã®å€©ç¶æ°Žã£ãŠã©ããªãæ°ŽïŒ
ã·ã§ã¢No.1ã®å€©ç¶æ°ŽãŠã©ãŒã¿ãŒãµãŒããŒã¯ããã¬ãã¢ã ãŠã©ãŒã¿ãŒã
è±å¯ãªãã¶ã€ã³ã§æ¥çã·ã§ã¢No.1ã®ãã¬ãã¢ã ãŠã©ãŒã¿ãŒã§ã¯ãéå ç±ã®ãã ããã®å€©ç¶æ°Žããèªå® ã«ãå±ãããããŸãã







