{"id":3947,"date":"2026-04-01T00:00:16","date_gmt":"2026-03-31T15:00:16","guid":{"rendered":"http:\/\/kinshukai.or.jp\/hanwakinen\/wp\/?page_id=3947"},"modified":"2026-04-04T10:55:56","modified_gmt":"2026-04-04T01:55:56","slug":"spinal","status":"publish","type":"page","link":"https:\/\/kinshukai.or.jp\/hanwakinen\/departments\/spinal","title":{"rendered":"\u810a\u690e\u30fb\u810a\u9ac4\u30bb\u30f3\u30bf\u30fc\uff08\u810a\u690e\u810a\u9ac4\u5916\u79d1\uff09"},"content":{"rendered":"<h2 class=\"headH2 btm30\">\u810a\u690e\u30fb\u810a\u9ac4\u30bb\u30f3\u30bf\u30fc\u9577\u6328\u62f6<\/h2>\r\n<div class=\"textPhotoBox03\">\r\n<div class=\"photoBox\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/kinshukai.or.jp\/hanwakinen\/wp\/wp-content\/uploads\/2023\/04\/nishi-300x200.jpg\" alt=\"\" width=\"800\" height=\"534\" class=\"alignnone wp-image-6075\" srcset=\"https:\/\/kinshukai.or.jp\/hanwakinen\/wp\/wp-content\/uploads\/2023\/04\/nishi-300x200.jpg 300w, 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decoding=\"async\" src=\"\/hanwakinen\/wp\/wp-content\/uploads\/2022\/09\/sekitui02.jpg\" alt=\"\u810a\u690e\u810a\u9ac4\u30bb\u30f3\u30bf\u30fc\" \/><\/div>\r\n<\/div>\r\n<h3 class=\"headH3 btm30\">\u5bfe\u8c61\u75be\u60a3<\/h3>\r\n<p>\u810a\u9ac4\u795e\u7d4c\u3084\u672b\u68a2\u795e\u7d4c\u306e\u5727\u8feb\u304c\u539f\u56e0\u3067\u56db\u80a2\u306e\u75db\u307f\u3084\u3057\u3073\u308c\u3001\u7b4b\u529b\u4f4e\u4e0b\u3092\u4f34\u3046\u981a\u690e\u30fb\u80f8\u690e\u30fb\u8170\u690e\u306e\u75be\u60a3\u3084\u5916\u50b7\u3001\u624b\u6839\u7ba1\u75c7\u5019\u7fa4\u306a\u3069\u306e\u672b\u68a2\u795e\u7d4c\u969c\u5bb3\u3092\u6cbb\u7642\u5bfe\u8c61\u3068\u3057\u3066\u3044\u307e\u3059\u3002\u810a\u690e\u5916\u50b7\u3084\u810a\u9ac4\u8840\u7ba1\u969c\u5bb3\u306a\u3069\u7dca\u6025\u3067\u6cbb\u7642\u3092\u8981\u3059\u308b\u75c5\u614b\u306b\u3082\u5bfe\u5fdc\u3057\u3066\u3044\u307e\u3059\u3002<br \/>\r\n\u601d\u6625\u671f\u5074\u5f4e\u75c7\u3084\u5148\u5929\u6027\u306e\u810a\u690e\u5947\u5f62\u306a\u3069\u810a\u690e\u5f62\u614b\u7570\u5e38\u304c\u4e3b\u4f53\u306e\u75be\u60a3\u306f\u6cbb\u7642\u3092\u884c\u3063\u3066\u304a\u308a\u307e\u305b\u3093\u306e\u3067\u3001\u6574\u5f62\u5916\u79d1\u306e\u810a\u690e\u5c02\u9580\u533b\u3092\u3054\u7d39\u4ecb\u3057\u3066\u3044\u307e\u3059\u3002<br \/>\r\n<strong>\uff11\uff09\u810a\u690e\u5909\u6027\u75be\u60a3<\/strong><br \/>\r\n\u3000\u810a\u67f1\u7ba1\u72ed\u7a84\u75c7\u3084\u5909\u5f62\u6027\u810a\u690e\u75c7\u3001\u3059\u3079\u308a\u75c7\u306a\u3069\u52a0\u9f62\u306b\u4f34\u3044\u9032\u884c\u3057\u3084\u3059\u3044\u75be\u60a3\u3084\u6bd4\u8f03\u7684\u82e5\u3044\u65b9\u306b\u591a\u3044\u690e\u9593\u677f\u30d8\u30eb\u30cb\u30a2\u3084\u5206\u96e2\u75c7\u306a\u3069\u306e\u75be\u60a3\u306e\u6cbb\u7642\u3092\u884c\u3063\u3066\u3044\u307e\u3059\u3002<br \/>\r\n\u5f8c\u7e26\u9771\u5e2f\u9aa8\u5316\u75c7\uff08OPLL\uff09\u3084\u9ec4\u8272\u976d\u5e2f\u9aa8\u5316\u75c7\u306a\u3069\u306e\u7279\u5b9a\u75be\u60a3\uff08\u96e3\u75c5\uff09\u306e\u6cbb\u7642\u3082\u884c\u3063\u3066\u3044\u307e\u3059\u3002<br \/>\r\n<strong>\uff12\uff09\u810a\u9ac4\u75be\u60a3<\/strong><br \/>\r\n\u3000\u810a\u9ac4\u816b\u760d\u3001\u810a\u9ac4\u7a7a\u6d1e\u75c7\u3001\u304f\u3082\u819c\u56a2\u80de\u306a\u3069\u306e\u810a\u9ac4\u75be\u60a3\u306e\u624b\u8853\u306f\u4ee5\u524d\u304b\u3089\u8133\u795e\u7d4c\u5916\u79d1\u533b\u304c\u4e3b\u4f53\u3067\u624b\u8853\u3092\u884c\u3063\u3066\u304d\u307e\u3057\u305f\u3002\u810a\u9ac4\u3084\u99ac\u5c3e\u795e\u7d4c\u306b\u5fae\u7d30\u306a\u624b\u8853\u64cd\u4f5c\u3092\u5fc5\u8981\u3068\u3059\u308b\u305f\u3081\u3001\u8133\u306e\u624b\u8853\u3068\u540c\u69d8\u306b\u624b\u8853\u7528\u9855\u5fae\u93e1\u3092\u7528\u3044\u305f\u30de\u30a4\u30af\u30ed\u30b5\u30fc\u30b8\u30a7\u30ea\u30fc\u3092\u884c\u3063\u3066\u3044\u307e\u3059\u3002<br \/>\r\n<strong>\uff13\uff09\u810a\u690e\u810a\u9ac4\u5916\u50b7<\/strong><br \/>\r\n\u3000\u9aa8\u7c97\u9b06\u75c7\u304c\u539f\u56e0\u3067\u80f8\u690e\u30fb\u8170\u690e\u306b\u751f\u3058\u308b\u3053\u3068\u304c\u591a\u3044\u690e\u4f53\u9aa8\u6298\uff08\u5727\u8feb\u9aa8\u6298\uff09\u3001\u5f37\u3044\u5916\u50b7\u3067\u751f\u3058\u3084\u3059\u3044\u981a\u690e\u306e\u9aa8\u6298\u3001\u9aa8\u6298\u3092\u4f34\u308f\u306a\u3044\u810a\u9ac4\u640d\u50b7\u306a\u3069\u306b\u3064\u3044\u3066\u3082\u6cbb\u7642\u3092\u884c\u3063\u3066\u3044\u307e\u3059\u304c\u3001\u810a\u690e\u4ee5\u5916\u306e\u81d3\u5668\u306b\u3082\u640d\u50b7\u306e\u3042\u308b\u591a\u767a\u5916\u50b7\u306b\u306f\u5bfe\u5fdc\u3067\u304d\u306a\u3044\u5834\u5408\u304c\u3042\u308a\u307e\u3059\u3002<br \/>\r\n<strong>\uff14\uff09\u5316\u81bf\u6027\u810a\u690e\u708e\u30fb\u786c\u819c\u5916\u81bf\u760d\u306a\u3069\u306e\u810a\u690e\u611f\u67d3\u75c7<\/strong><br \/>\r\n\u3000\u6cbb\u7642\u304c\u96e3\u3057\u3044\u810a\u690e\u611f\u67d3\u75c7\u306b\u5bfe\u3057\u3066\u3082\u6cbb\u7642\u3092\u884c\u3063\u3066\u3044\u307e\u3059\u304c\u3001\u4ed6\u81d3\u5668\u306b\u611f\u67d3\u6e90\u304c\u3042\u308b\u5834\u5408\u3084\u4ed6\u9662\u3067\u884c\u308f\u308c\u305f\u810a\u690e\u624b\u8853\u304c\u539f\u56e0\u306e\u611f\u67d3\u306b\u306f\u5bfe\u5fdc\u3067\u304d\u306a\u3044\u5834\u5408\u304c\u3042\u308a\u307e\u3059\u3002<br \/>\r\n<strong>\uff15\uff09\u810a\u9ac4\u8840\u7ba1\u969c\u5bb3\uff08\u810a\u9ac4\u786c\u819c\u52d5\u9759\u8108\u763b\u3001\u7279\u767a\u6027\u786c\u819c\u5916\u8840\u816b\u306a\u3069\uff09<\/strong><br \/>\r\n<strong>\uff16\uff09\u672b\u68a2\u795e\u7d4c\u969c\u5bb3<\/strong><br \/>\r\n\u3000\u624b\u6839\u7ba1\u75c7\u5019\u7fa4\u306a\u3069\u306e\u672b\u68a2\u795e\u7d4c\u969c\u5bb3\u306e\u6cbb\u7642\u3082\u884c\u3063\u3066\u3044\u307e\u3059\u3002<\/p>\r\n<div class=\"subContactBox\">\r\n<p 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\/>\r\n<br \/>\r\n<\/p>\r\n<h4 class=\"headH4\">\u8170\u690e\u690e\u9593\u677f\u30d8\u30eb\u30cb\u30a2\u306b\u5bfe\u3059\u308b\u690e\u9593\u677f\u5185\u9175\u7d20\u6ce8\u5165\u7642\u6cd5<\/h4>\r\n<p>&nbsp;<\/p>\r\n<p>\u3000\u8170\u690e\u690e\u9593\u677f\u30d8\u30eb\u30cb\u30a2\u306b\u5bfe\u3057\u3066\u306f\u624b\u8853\u4ee5\u5916\u306e\u6cbb\u7642\u6cd5\u3068\u3057\u3066\u690e\u9593\u677f\u5185\u30b3\u30f3\u30c9\u30ea\u30a2\u30fc\u30bc\u6ce8\u5165\u7642\u6cd5\u3082\u884c\u3063\u3066\u3044\u307e\u3059\u3002\u5c40\u6240\u9ebb\u9154\u3092\u884c\u3044\u3001\u30ec\u30f3\u30c8\u30b2\u30f3\u3092\u898b\u306a\u304c\u3089\u690e\u9593\u677f\u306b\u6ce8\u5c04\u91dd\u3092\u523a\u3057\u3066\u30b3\u30f3\u30c9\u30ea\u30a2\u30fc\u30bc\uff08\u5546\u54c1\u540d\uff1a\u30d8\u30eb\u30cb\u30b3\u30a2\u3001\u79d1\u7814\u88fd\u85ac\uff09\u3092\u6ce8\u5165\u3057\u3066\u690e\u9593\u677f\u30d8\u30eb\u30cb\u30a2\u3092\u9000\u7e2e\u3055\u305b\u308b\u6cbb\u7642\u3067\u3059\u3002\u30a2\u30ec\u30eb\u30ae\u30fc\u53cd\u5fdc\u304c\u5371\u60e7\u3055\u308c\u308b\u305f\u3081\u3001\u8907\u6570\u56de\u306e\u6cbb\u7642\u306f\u8a8d\u3081\u3089\u308c\u3066\u3044\u307e\u305b\u3093\u3002<\/p>\r\n<h3 class=\"headH3\">\u533b\u5e2b\u7d39\u4ecb<\/h3>\r\n<div class=\"docIntro top40\">\r\n<ul class=\"row pl-0\">\r\n\t<li class=\"col-md-6\">\r\n<div class=\"docIntro__inner\">\r\n<div class=\"IntroBox\">\r\n<h3 class=\"title_docName pb-2\">\u526f\u90e8\u9577\uff0f\u30bb\u30f3\u30bf\u30fc\u9577<strong><\/strong><\/h3>\r\n<h3 class=\"title_docName pb-2\"><strong>\u897f \u9ebb\u54c9<\/strong>\u5e73\u621022\u5e74\u5352<strong><\/strong><\/h3>\r\n<\/div>\r\n<\/div>\r\n<\/li>\r\n\t<li class=\"col-md-6\">\r\n<div class=\"docIntro__inner\">\r\n<div class=\"IntroBox\">\r\n<h3 class=\"title_docName pb-2\">\u90e8\u9577<strong>\u8c37\u8107 \u6d69\u4e00<\/strong>\u662d\u548c57\u5e74\u5352<\/h3>\r\n<\/div>\r\n<\/div>\r\n<\/li>\r\n<\/ul>\r\n<\/div>\r\n<div class=\"docIntro top40\">\r\n<ul class=\"row pl-0\">\r\n\t<li class=\"col-md-6\">\r\n<div class=\"docIntro__inner\">\r\n<div class=\"IntroBox\">\r\n<h3 class=\"title_docName pb-2\">\u533b\u54e1<strong><span>\u5c71\u672c \u6681\u5927<\/span><\/strong>\u5e73\u621029\u5e74\u5352<\/h3>\r\n<\/div>\r\n<\/div>\r\n<\/li>\r\n\t<li class=\"col-md-6\">\r\n<div class=\"docIntro__inner\">\r\n<div class=\"IntroBox\">\r\n<h3 class=\"title_docName pb-2\">\u533b\u54e1<br \/>\r\n<strong><span>\u5185\u7530\u3000\u840c\u3005<\/span><\/strong><span>\u5e73\u621031\u5e74\u5352<\/span><\/h3>\r\n<\/div>\r\n<\/div>\r\n<\/li>\r\n<\/ul>\r\n<\/div>\r\n<div class=\"docIntro top40\">\r\n<ul class=\"row pl-0\">\r\n\t<li class=\"col-md-6\">\r\n<div class=\"docIntro__inner\">\r\n<div class=\"IntroBox\">\r\n<h3 class=\"title_docName pb-2\">\u533b\u54e1<strong><\/strong><\/h3>\r\n<h3 class=\"title_docName pb-2\"><strong><span>\u5e73\u4e95\u3000\u4fe1\u767b<\/span><\/strong><strong><\/strong>\u4ee4\u548c3\u5e74\u5352<\/h3>\r\n<\/div>\r\n<\/div>\r\n<\/li>\r\n\t<li class=\"col-md-6\">\r\n<div class=\"docIntro__inner\">\r\n<div class=\"IntroBox\">\r\n<h3 class=\"title_docName pb-2\">\u533b\u54e1<strong>\u5927\u6cb3\u5185\u3000\u5eb7\u6210<\/strong>\u4ee4\u548c4\u5e74\u5352<\/h3>\r\n<\/div>\r\n<\/div>\r\n<\/li>\r\n<\/ul>\r\n<\/div>\r\n<div class=\"docIntro top40\"><\/div>\r\n<h3 class=\"headH3\">\u5f53\u9662\u3067\u884c\u3063\u3066\u3044\u308b\u4ee3\u8868\u7684\u306a\u624b\u8853<\/h3>\r\n<p>&nbsp;<\/p>\r\n<p><strong>1\uff09\u3000\u8170\u690e\u690e\u9593\u677f\u30d8\u30eb\u30cb\u30a2\u30fb\u8170\u90e8\u810a\u67f1\u7ba1\u72ed\u7a84\u75c7\u306b\u5bfe\u3059\u308b\u9855\u5fae\u93e1\u4e0b\u624b\u8853<\/strong><br \/>\r\n\u3000\uff11\u690e\u9593\u3067\u3042\u308c\u30703-4cm\u306e\u76ae\u819a\u5207\u958b\u3067\u884c\u3044\u307e\u3059\u3002\u8170\u690e\u306b\u5c0f\u958b\u7a93\u3092\u884c\u3044\u3001\u795e\u7d4c\u6839\u306e\u5727\u8feb\u3092\u53d6\u308a\u9664\u304d\u307e\u3059\u3002\u810a\u67f1\u7ba1\u72ed\u7a84\u75c7\u3067\u306f\u7247\u5074\u306e\u958b\u7a93\u304b\u3089\u53cd\u5bfe\u5074\u306e\u5727\u8feb\u3092\u53d6\u308a\u9664\u304f\u3053\u3068\u3082\u3067\u304d\u307e\u3059\u3002<br \/>\r\n<img decoding=\"async\" src=\"\/hanwakinen\/wp\/wp-content\/uploads\/2022\/09\/sekizui01.png\" alt=\"\u8170\u690e\u690e\u9593\u677f\u30d8\u30eb\u30cb\u30a2\u30fb\u8170\u90e8\u810a\u67f1\u7ba1\u72ed\u7a84\u75c7\u306b\u5bfe\u3059\u308b\u9855\u5fae\u93e1\u4e0b\u624b\u8853\" class=\"aligncenter\" \/><br \/>\r\n<br \/>\r\n\u3000\u5348\u524d\u4e2d\u306e\u624b\u8853\u3067\u3042\u308c\u3070\u7d4c\u904e\u306b\u3088\u3063\u3066\u306f\u5915\u65b9\u304b\u3089\u5ea7\u3063\u3066\u98df\u4e8b\u304c\u3067\u304d\u307e\u3059\u3002\u901a\u5e38\u306f\u624b\u8853\u7fcc\u65e5\u3088\u308a\u6b69\u884c\u304c\u3067\u304d\u3001\uff11\u9031\u9593\u7a0b\u5ea6\u3067\u9000\u9662\u53ef\u80fd\u306a\u72b6\u614b\u306b\u306a\u308a\u307e\u3059\u3002\u82e5\u3044\u65b9\u3067\u306f\u6570\u65e5\u3067\u9000\u9662\u3055\u308c\u308b\u65b9\u3082\u304a\u3089\u308c\u307e\u3059\u3002<br \/>\r\n<br \/>\r\n<br \/>\r\n<strong>2\uff09\u3000\u981a\u690e\u75c7\u30fb\u981a\u90e8\u810a\u67f1\u7ba1\u72ed\u7a84\u75c7\u30fb\u981a\u690e\u690e\u9593\u677f\u30d8\u30eb\u30cb\u30a2\u306b\u5bfe\u3059\u308b\u624b\u8853<\/strong><\/p>\r\n<p>\u3000\u981a\u690e\u75c7\u3084\u690e\u9593\u677f\u30d8\u30eb\u30cb\u30a2\u3001\u5f8c\u7e26\u9771\u5e2f\u9aa8\u5316\u75c7\u306b\u5bfe\u3057\u3066\u306f\u3001\u75c5\u72b6\u306b\u5408\u308f\u305b\u3066\u981a\u690e\u5f8c\u65b9\u304b\u3089\u306e\u690e\u5f13\u5f62\u6210\u8853\u3001\u3042\u308b\u3044\u306f\u981a\u690e\u524d\u65b9\u304b\u3089\u690e\u4f53\u9593\u56fa\u5b9a\u8853\u3092\u884c\u3044\u307e\u3059\u3002\u524d\u65b9\u56fa\u5b9a\u8853\u306f\u624b\u8853\u7528\u9855\u5fae\u93e1\u3092\u7528\u3044\u3066\u3001\u690e\u5f13\u5f62\u6210\u8853\u306f\u9855\u5fae\u93e1\u3042\u308b\u3044\u306f\u30eb\u30fc\u30da\u306a\u3069\u3092\u7528\u3044\u3066\u624b\u8853\u3092\u884c\u3063\u3066\u3044\u307e\u3059\u3002<\/p>\r\n<img decoding=\"async\" src=\"\/hanwakinen\/wp\/wp-content\/uploads\/2022\/09\/sekizui02.png\" width=\"80%\" alt=\"\u981a\u690e\u75c7\u30fb\u981a\u90e8\u810a\u67f1\u7ba1\u72ed\u7a84\u75c7\u30fb\u981a\u690e\u690e\u9593\u677f\u30d8\u30eb\u30cb\u30a2\u306b\u5bfe\u3059\u308b\u624b\u8853\" \/>\r\n<p>&nbsp;<\/p>\r\n<img decoding=\"async\" src=\"\/hanwakinen\/wp\/wp-content\/uploads\/2022\/09\/sekizui03.png\" width=\"80%\" alt=\"\u981a\u690e\u75c7\u30fb\u981a\u90e8\u810a\u67f1\u7ba1\u72ed\u7a84\u75c7\u30fb\u981a\u690e\u690e\u9593\u677f\u30d8\u30eb\u30cb\u30a2\u306b\u5bfe\u3059\u308b\u624b\u8853\" \/>\r\n<p>\u3000\u624b\u8853\u7fcc\u65e5\u304b\u3089\u30ea\u30cf\u30d3\u30ea\u30c6\u30fc\u30b7\u30e7\u30f3\u3092\u884c\u3044\u3001\u6b69\u884c\u306b\u554f\u984c\u304c\u306a\u3051\u308c\u3070\uff11\u2212\uff12\u9031\u9593\u3067\u9000\u9662\u53ef\u80fd\u3067\u3059\u3002<br \/>\r\n<br \/>\r\n<strong>3\uff09\u3000Full-endoscopic spine surgery\uff08FESS)\uff08\u6ce8\u6c34\u4e0b\u5185\u8996\u93e1\u4e0b\u624b\u8853\uff09<\/strong><br \/>\r\n\u30001cm\u7a0b\u5ea6\u306e\u5c0f\u3055\u3044\u76ae\u819a\u5207\u958b\u304b\u3089\u5185\u8996\u93e1\u3092\u633f\u5165\u3057\u3066\u3001\u8853\u91ce\u306b\u6ce8\u6c34\u3057\u306a\u304c\u3089\u795e\u7d4c\u306e\u5727\u8feb\u3092\u53d6\u308a\u9664\u304f\u624b\u8853\u3067\u3059\u3002\u7b4b\u8089\u3092\u307b\u3068\u3093\u3069\u5265\u304c\u3055\u305a\u306b\u884c\u3046\u624b\u8853\u3067\u3042\u308a\u3001\u51fa\u8840\u91cf\u306f\u5c11\u306a\u304f\u3001\u6570\u65e5\u9593\u306e\u5165\u9662\u3067\u3082\u884c\u3048\u308b\u624b\u8853\u3067\u3059\u3002\u5c40\u6240\u9ebb\u9154\u3067\u884c\u3063\u3066\u3044\u308b\u65bd\u8a2d\u3082\u3042\u308a\u307e\u3059\u304c\u3001\u5f53\u9662\u3067\u306f\u60a3\u8005\u3055\u3093\u306e\u82e6\u75db\u3092\u8003\u3048\u3066\u5168\u8eab\u9ebb\u9154\u3067\u884c\u3063\u3066\u3044\u307e\u3059\u3002\u30d4\u30f3\u30dd\u30a4\u30f3\u30c8\u3067\u795e\u7d4c\u306e\u5727\u8feb\u3092\u53d6\u308a\u9664\u3051\u3070\u826f\u3044\u5834\u5408\u306b\u6700\u3082\u52b9\u679c\u7684\u3068\u8003\u3048\u3066\u3044\u307e\u3059\u3002<br \/>\r\n<img decoding=\"async\" src=\"\/hanwakinen\/wp\/wp-content\/uploads\/2022\/09\/sekizui04.png\" width=\"80%\" alt=\"Full-endoscopic spine surgery\uff08FESS)\" \/><br \/>\r\n<br \/>\r\n<strong>4\uff09\u3000\u9aa8\u7c97\u9b06\u75c7\u6027\u690e\u4f53\u9aa8\u6298\uff08\u5727\u8feb\u9aa8\u6298\uff09\u306b\u5bfe\u3059\u308b\u30d0\u30eb\u30fc\u30f3\u690e\u4f53\u5f62\u6210\u8853<\/strong><br \/>\r\n\u3000\u3000\u5727\u8feb\u9aa8\u6298\u306e\u75db\u307f\u3092\u8efd\u6e1b\u3055\u305b\u308b\u624b\u8853\u3067\u3042\u308a\u3001\u4fdd\u5b58\u7684\u6cbb\u7642\u3067\u75db\u307f\u304c\u8efd\u6e1b\u3057\u306a\u3044\u5834\u5408\u3084\u65e9\u671f\u306e\u96e2\u5e8a\u304c\u5fc5\u8981\u306a\u5834\u5408\u306b\u306f\u6709\u52b9\u306a\u6cbb\u7642\u6cd5\u3067\u3059\u3002\u5168\u8eab\u9ebb\u9154\u3092\u884c\u3044\u3001\u9aa8\u6298\u306b\u3088\u308a\u3067\u304d\u305f\u9aa8\u306e\u9699\u9593\u3092\u98a8\u8239\u3067\u5e83\u3052\u3066\u9aa8\u30bb\u30e1\u30f3\u30c8\u3092\u6ce8\u5165\u3057\u3066\u9aa8\u6298\u90e8\u3092\u5b89\u5b9a\u5316\u3055\u305b\u307e\u3059\u3002\u8853\u5f8c\u6570\u6642\u9593\u3067\u30b3\u30eb\u30bb\u30c3\u30c8\u3092\u88c5\u7740\u3057\u3066\u96e2\u5e8a\u304c\u53ef\u80fd\u3067\u3059\u3002\u8853\u5f8c\u306b\u75db\u307f\u304c\u8efd\u6e1b\u3057\u3066\u3082\u9aa8\u7c97\u9b06\u75c7\u306e\u6cbb\u7642\u3092\u7d99\u7d9a\u3059\u308b\u5fc5\u8981\u304c\u3042\u308a\u307e\u3059\u3002<br \/>\r\n<br \/>\r\n<\/p>\r\n<img decoding=\"async\" src=\"\/hanwakinen\/wp\/wp-content\/uploads\/2022\/09\/sekizui05.png\" width=\"80%\" alt=\"\u9aa8\u7c97\u9b06\u75c7\u6027\u690e\u4f53\u9aa8\u6298\uff08\u5727\u8feb\u9aa8\u6298\uff09\u306b\u5bfe\u3059\u308b\u30d0\u30eb\u30fc\u30f3\u690e\u4f53\u5f62\u6210\u8853\" \/>\r\n<p>&nbsp;<\/p>\r\n<img decoding=\"async\" src=\"\/hanwakinen\/wp\/wp-content\/uploads\/2022\/09\/sekizui06.png\" width=\"80%\" alt=\"\u9aa8\u7c97\u9b06\u75c7\u6027\u690e\u4f53\u9aa8\u6298\uff08\u5727\u8feb\u9aa8\u6298\uff09\u306b\u5bfe\u3059\u308b\u30d0\u30eb\u30fc\u30f3\u690e\u4f53\u5f62\u6210\u8853\" \/>\r\n<p>&nbsp;<\/p>\r\n<strong>5\uff09\u3000\u810a\u690e\u56fa\u5b9a\u8853<\/strong><br \/>\r\n<p>\u3000\u8170\u690e\u3059\u3079\u308a\u75c7\u3084\u5074\u5f4e\u306a\u3069\u306e\u810a\u690e\u5909\u5f62\u306b\u3088\u308b\u795e\u7d4c\u306e\u5727\u8feb\u304c\u3042\u308a\u3001\u3053\u308c\u3092\u662f\u6b63\u3057\u306a\u3044\u3068\u795e\u7d4c\u306e\u5727\u8feb\u304c\u53d6\u308a\u9664\u3051\u306a\u3044\u5834\u5408\u3084\u9aa8\u6298\u306b\u3088\u308a\u795e\u7d4c\u969c\u5bb3\u304c\u5371\u60e7\u3055\u308c\u308b\u810a\u690e\u5916\u50b7\u306a\u3069\u306b\u5bfe\u3057\u3066\u306f\u30a4\u30f3\u30b9\u30c8\u30a5\u30eb\u30e1\u30f3\u30c8\u3092\u7528\u3044\u305f\u810a\u690e\u56fa\u5b9a\u8853\u3092\u884c\u3044\u307e\u3059\u3002\u80f8\u690e\u3084\u8170\u690e\u3067\u306f\u3001\u810a\u690e\u306e\u5074\u65b9\u304b\u3089\u5074\u5f4e\u306a\u3069\u306e\u5909\u5f62\u3092\u77ef\u6b63\u3059\u308b\u7279\u6b8a\u306a\u624b\u8853\u3084\u30ec\u30f3\u30c8\u30b2\u30f3\u3092\u898b\u306a\u304c\u3089\u7b4b\u8089\u3092\u307b\u3068\u3093\u3069\u5265\u304c\u305a\u306b\u810a\u690e\u306b\u30b9\u30af\u30ea\u30e5\u30fc\u306a\u3069\u306e\u30a4\u30f3\u30b9\u30c8\u30a5\u30eb\u30e1\u30f3\u30c8\u3092\u8a2d\u7f6e\u3059\u308b\u4f4e\u4fb5\u8972\u624b\u8853\u3082\u884c\u3063\u3066\u3044\u307e\u3059\u3002<br \/>\r\n\u3000\u591a\u304f\u306e\u624b\u8853\u3067\u306f\u624b\u8853\u7fcc\u65e5\u3088\u308a\u72b6\u614b\u306b\u5408\u308f\u305b\u3066\u96e2\u5e8a\u304c\u3067\u304d\u307e\u3059\u3002\u901a\u5e38\u306e\u810a\u690e\u5909\u6027\u75be\u60a3\u3067\u306f\u8853\u5f8c\uff12\u9031\u9593\u304f\u3089\u3044\u3067\u9000\u9662\u3055\u308c\u308b\u3053\u3068\u304c\u591a\u3044\u3067\u3059\u3002<br \/>\r\n<br \/>\r\n<\/p>\r\n<img loading=\"lazy\" decoding=\"async\" src=\"\/hanwakinen\/wp\/wp-content\/uploads\/2022\/09\/sekizui07.png\" alt=\"\u9aa8\u7c97\u9b06\u75c7\u6027\u690e\u4f53\u9aa8\u6298\uff08\u5727\u8feb\u9aa8\u6298\uff09\u306b\u5bfe\u3059\u308b\u30d0\u30eb\u30fc\u30f3\u690e\u4f53\u5f62\u6210\u8853\" width=\"623\" height=\"238\" class=\"\" \/><br \/>\r\n<br \/>\r\n<img decoding=\"async\" src=\"\/hanwakinen\/wp\/wp-content\/uploads\/2022\/09\/sekizui08.png\" alt=\"\u810a\u690e\u56fa\u5b9a\u8853\" width=\"80%\" \/> <br 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