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\u3000\u52a0\u9f62\u306b\u3088\u308a\u514d\u75ab\u529b\u304c\u4f4e\u4e0b\u3057\u3001\u80ba\u3084\u6c17\u9053\u306e\u9632\u5fa1\u6a5f\u80fd\u3082\u5f31\u307e\u308b\u305f\u3081\u3001\u80ba\u708e\u7403\u83cc\u306b\u3088\u308b\u80ba\u708e\u3084\u6557\u8840\u75c7\u306e\u5371\u967a\u304c\u9ad8\u307e\u308a\u307e\u3059\u3002<br><\/li>\n\n\n\n<li><strong>\u6162\u6027\u75be\u60a3\u3092\u6301\u3064\u4eba<\/strong><strong><br><\/strong> \u3000\u5fc3\u81d3\u3001\u80ba\u3001\u809d\u81d3\u3001\u814e\u81d3\u306a\u3069\u306b\u6162\u6027\u7684\u306a\u75be\u60a3\u304c\u3042\u308b\u5834\u5408\u3084\u3001\u7cd6\u5c3f\u75c5\u3001\u304c\u3093\u306a\u3069\u306e\u6cbb\u7642\u4e2d\u306e\u4eba\u3082\u514d\u75ab\u529b\u304c\u4e0b\u304c\u308a\u3084\u3059\u304f\u3001\u91cd\u75c7\u5316\u306e\u30ea\u30b9\u30af\u304c\u9ad8\u3044\u3068\u3055\u308c\u3066\u3044\u307e\u3059\u3002<br><\/li>\n\n\n\n<li><strong>\u514d\u75ab\u6291\u5236\u72b6\u614b\u306e\u4eba<\/strong><strong><br><\/strong> \u3000\u30b9\u30c6\u30ed\u30a4\u30c9\u6cbb\u7642\u4e2d\u3084\u81d3\u5668\u79fb\u690d\u5f8c\u3001\u81ea\u5df1\u514d\u75ab\u75be\u60a3\u306a\u3069\u3067\u514d\u75ab\u3092\u6291\u3048\u308b\u85ac\u3092\u4f7f\u7528\u3057\u3066\u3044\u308b\u4eba\u3082\u6ce8\u610f\u304c\u5fc5\u8981\u3067\u3059\u3002<br><\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>\u5b63\u7bc0\u6027\u3068\u96c6\u56e3\u751f\u6d3b\u3067\u306e\u6ce8\u610f\u70b9<\/strong><\/h3>\n\n\n\n<p>\u80ba\u708e\u7403\u83cc\u306f\u4e00\u5e74\u3092\u901a\u3057\u3066\u307f\u3089\u308c\u307e\u3059\u304c\u3001<strong>\u51ac\u304b\u3089\u6625\u306b\u304b\u3051\u3066\u306e\u4e7e\u71e5\u671f<\/strong>\u306b\u5897\u3048\u308b\u50be\u5411\u304c\u3042\u308a\u307e\u3059\u3002<br>\u4fdd\u80b2\u5712\u3084\u5b66\u6821\u3067\u306f\u3001\u54b3\u3084\u9f3b\u6c34\u304c\u3042\u308b\u3068\u304d\u306b\u30de\u30b9\u30af\u3092\u7740\u7528\u3057\u3001\u9f3b\u3092\u304b\u3093\u3060\u30c6\u30a3\u30c3\u30b7\u30e5\u306f\u3059\u3050\u306b\u6368\u3066\u308b\u3001\u624b\u3092\u3053\u307e\u3081\u306b\u6d17\u3046\u306a\u3069\u306e\u57fa\u672c\u7684\u306a\u885b\u751f\u7fd2\u6163\u3092\u5fb9\u5e95\u3059\u308b\u3053\u3068\u304c\u5927\u5207\u3067\u3059\u3002<\/p>\n\n\n\n<p>\u307e\u305f\u3001\u5bb6\u5ead\u5185\u3067\u306f\u5144\u5f1f\u59c9\u59b9\u3084\u7956\u7236\u6bcd\u3078\u306e\u611f\u67d3\u3092\u9632\u3050\u305f\u3081\u3001<strong>\u30bf\u30aa\u30eb\u3084\u98df\u5668\u3092\u5171\u6709\u3057\u306a\u3044<\/strong>\u3001<strong>\u3053\u307e\u3081\u306b\u63db\u6c17\u3092\u3059\u308b<\/strong>\u306a\u3069\u3001\u8eab\u8fd1\u306a\u74b0\u5883\u304b\u3089\u306e\u5bfe\u7b56\u3082\u52b9\u679c\u7684\u3067\u3059\u3002<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>3. \u80ba\u708e\u7403\u83cc\u304c\u5f15\u304d\u8d77\u3053\u3059\u4e3b\u306a\u75c5\u6c17<\/strong><\/h2>\n\n\n\n<p>\u80ba\u708e\u7403\u83cc\u306f\u3001\u3055\u307e\u3056\u307e\u306a\u90e8\u4f4d\u306b\u611f\u67d3\u3092\u8d77\u3053\u3059\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>\u2460 \u80ba\u708e<\/strong><\/h3>\n\n\n\n<p>\u6700\u3082\u591a\u3044\u611f\u67d3\u75c7\u3067\u3059\u3002\u9ad8\u71b1\u30fb\u54b3\u30fb\u547c\u5438\u56f0\u96e3\u306a\u3069\u3092\u8d77\u3053\u3057\u307e\u3059\u3002<br>X\u7dda\u691c\u67fb\u3067\u80ba\u306e\u4e00\u90e8\u304c\u767d\u304f\u3046\u3064\u308a\u3001\u6297\u83cc\u85ac\u306b\u3088\u308b\u6cbb\u7642\u304c\u5fc5\u8981\u3067\u3059\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>\u2461 \u4e2d\u8033\u708e<\/strong><\/h3>\n\n\n\n<p>\u4e73\u5e7c\u5150\u3067\u975e\u5e38\u306b\u591a\u304f\u3001\u8033\u306e\u75db\u307f\u3084\u767a\u71b1\u3092\u4f34\u3044\u307e\u3059\u3002<br>\u7e70\u308a\u8fd4\u3059\u3068\u8074\u529b\u306b\u5f71\u97ff\u3059\u308b\u3053\u3068\u3082\u3042\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>\u2462 \u526f\u9f3b\u8154\u708e<\/strong><\/h3>\n\n\n\n<p>\u9f3b\u3065\u307e\u308a\u3084\u81bf\u306e\u3088\u3046\u306a\u9f3b\u6c34\u304c\u7d9a\u304d\u307e\u3059\u3002\u6162\u6027\u5316\u3059\u308b\u3068\u982d\u75db\u3084\u96c6\u4e2d\u529b\u4f4e\u4e0b\u3092\u62db\u304f\u3053\u3068\u3082\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>\u2463 \u9ac4\u819c\u708e<\/strong><\/h3>\n\n\n\n<p>\u8133\u3084\u810a\u9ac4\u3092\u5305\u3080\u819c\u306b\u611f\u67d3\u304c\u5e83\u304c\u308b\u75c5\u6c17\u3067\u3001\u547d\u306b\u95a2\u308f\u308b\u3053\u3068\u3082\u3042\u308a\u307e\u3059\u3002<br>\u5f37\u3044\u982d\u75db\u3001\u5614\u5410\u3001\u610f\u8b58\u969c\u5bb3\u3001\u3051\u3044\u308c\u3093\u306a\u3069\u3092\u4f34\u3044\u3001\u7dca\u6025\u6cbb\u7642\u304c\u5fc5\u8981\u3067\u3059\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>\u2464 \u6557\u8840\u75c7<\/strong><\/h3>\n\n\n\n<p>\u8840\u6db2\u4e2d\u306b\u83cc\u304c\u5e83\u304c\u308b\u72b6\u614b\u3067\u3001\u9ad8\u71b1\u30fb\u610f\u8b58\u4f4e\u4e0b\u30fb\u624b\u8db3\u306e\u51b7\u611f\u306a\u3069\u3092\u5f15\u304d\u8d77\u3053\u3057\u307e\u3059\u3002<br>\u91cd\u75c7\u5316\u3059\u308b\u3068\u30b7\u30e7\u30c3\u30af\u72b6\u614b\u306b\u9665\u308b\u3053\u3068\u304c\u3042\u308a\u3001\u96c6\u4e2d\u6cbb\u7642\u304c\u5fc5\u8981\u306b\u306a\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>4. \u8a3a\u65ad\u3068\u6cbb\u7642\u306e\u6d41\u308c<\/strong><\/h2>\n\n\n\n<p>\u80ba\u708e\u7403\u83cc\u611f\u67d3\u75c7\u304c\u7591\u308f\u308c\u308b\u5834\u5408\u3001\u533b\u5e2b\u306f\u75c7\u72b6\u306e\u78ba\u8a8d\u3068\u3068\u3082\u306b\u3001\u80f8\u90e8\u30ec\u30f3\u30c8\u30b2\u30f3\u3001\u8840\u6db2\u691c\u67fb\u3001\u5580\u75f0\u691c\u67fb\u306a\u3069\u3092\u884c\u3044\u307e\u3059\u3002<br>\u91cd\u75c7\u306e\u5834\u5408\u306f\u3001\u9ac4\u6db2\u691c\u67fb\u3084\u8840\u6db2\u57f9\u990a\u3067\u83cc\u306e\u7279\u5b9a\u3092\u884c\u3046\u3053\u3068\u3082\u3042\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>\u6cbb\u7642\u6cd5<\/strong><\/h3>\n\n\n\n<p>\u4e3b\u306b\u6297\u83cc\u85ac\uff08\u6297\u751f\u7269\u8cea\uff09\u3092\u4f7f\u7528\u3057\u307e\u3059\u3002<br>\u30da\u30cb\u30b7\u30ea\u30f3\u7cfb\u3001\u30bb\u30d5\u30a7\u30e0\u7cfb\u3001\u30de\u30af\u30ed\u30e9\u30a4\u30c9\u7cfb\u306a\u3069\u3001\u75c7\u72b6\u306e\u91cd\u3055\u3084\u8010\u6027\u83cc\u306e\u6709\u7121\u306b\u5fdc\u3058\u3066\u4f7f\u3044\u5206\u3051\u3089\u308c\u307e\u3059\u3002<\/p>\n\n\n\n<p>\u305f\u3060\u3057\u3001\u8fd1\u5e74\u3067\u306f\u6297\u83cc\u85ac\u304c\u52b9\u304d\u306b\u304f\u3044\u300c\u8010\u6027\u80ba\u708e\u7403\u83cc\u300d\u304c\u5897\u52a0\u3057\u3066\u304a\u308a\u3001\u9069\u5207\u306a\u85ac\u306e\u9078\u629e\u304c\u91cd\u8981\u3067\u3059\u3002<br>\u533b\u5e2b\u306e\u6307\u793a\u3069\u304a\u308a\u306b\u304d\u3061\u3093\u3068\u670d\u7528\u3092\u7d9a\u3051\u308b\u3053\u3068\u304c\u3001\u6cbb\u7642\u6210\u529f\u306e\u30ab\u30ae\u306b\u306a\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>5. \u80ba\u708e\u7403\u83cc\u30ef\u30af\u30c1\u30f3\u306b\u3088\u308b\u4e88\u9632<\/strong><\/h2>\n\n\n\n<p>\u80ba\u708e\u7403\u83cc\u611f\u67d3\u75c7\u3092\u9632\u3050\u6700\u3082\u52b9\u679c\u7684\u306a\u65b9\u6cd5\u304c<strong>\u30ef\u30af\u30c1\u30f3\u63a5\u7a2e<\/strong>\u3067\u3059\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>\u5c0f\u5150\u5411\u3051\u30ef\u30af\u30c1\u30f3\uff1aPCV13\uff0813\u4fa1\u80ba\u708e\u7403\u83cc\u30ef\u30af\u30c1\u30f3\uff09<\/strong><\/h3>\n\n\n\n<p>13\u7a2e\u985e\u306e\u578b\u306b\u5bfe\u5fdc\u3057\u3066\u304a\u308a\u3001\u65e5\u672c\u3067\u306f\u751f\u5f8c2\u304b\u6708\u304b\u3089\u5b9a\u671f\u63a5\u7a2e\u3068\u3057\u3066\u63a5\u7a2e\u304c\u59cb\u307e\u308a\u307e\u3059\u3002<br>\u63a5\u7a2e\u30b9\u30b1\u30b8\u30e5\u30fc\u30eb\u306f\u4ee5\u4e0b\u306e\u901a\u308a\u3067\u3059\u3002<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u521d\u56de\uff1a\u751f\u5f8c2\u30fb3\u30fb4\u304b\u6708\u306e3\u56de<br><\/li>\n\n\n\n<li>\u8ffd\u52a0\uff1a12\u301c15\u304b\u6708\u30671\u56de<br>\u3053\u306e\u30ef\u30af\u30c1\u30f3\u306b\u3088\u308a\u3001\u9ac4\u819c\u708e\u3084\u6557\u8840\u75c7\u306a\u3069\u306e\u91cd\u75c7\u4f8b\u304c\u5927\u5e45\u306b\u6e1b\u5c11\u3057\u307e\u3057\u305f\u3002<br><\/li>\n<\/ul>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-full\"><img decoding=\"async\" width=\"640\" height=\"425\" src=\"https:\/\/www.hiro-clinic.or.jp\/pediatrics\/wp-content\/uploads\/2025\/12\/31336852_s.webp\" alt=\"\" class=\"wp-image-1830\" srcset=\"https:\/\/www.hiro-clinic.or.jp\/pediatrics\/wp-content\/uploads\/2025\/12\/31336852_s.webp 640w, https:\/\/www.hiro-clinic.or.jp\/pediatrics\/wp-content\/uploads\/2025\/12\/31336852_s-300x199.webp 300w\" sizes=\"(max-width: 640px) 100vw, 640px\" \/><\/figure><\/div>\n\n\n<h3 class=\"wp-block-heading\"><strong>\u9ad8\u9f62\u8005\u5411\u3051\u30ef\u30af\u30c1\u30f3\uff1aPPV23\uff0823\u4fa1\u80ba\u708e\u7403\u83cc\u30ef\u30af\u30c1\u30f3\uff09<\/strong><\/h3>\n\n\n\n<p>23\u7a2e\u985e\u306e\u578b\u306b\u5bfe\u5fdc\u3057\u3001\u6210\u4eba\u3084\u9ad8\u9f62\u8005\u306e\u80ba\u708e\u4e88\u9632\u306b\u52b9\u679c\u304c\u3042\u308a\u307e\u3059\u3002<br>1\u56de\u306e\u63a5\u7a2e\u3067\u7d045\u5e74\u7a0b\u5ea6\u52b9\u679c\u304c\u6301\u7d9a\u3057\u3001\u518d\u63a5\u7a2e\u304c\u63a8\u5968\u3055\u308c\u308b\u3053\u3068\u3082\u3042\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>\u30ef\u30af\u30c1\u30f3\u306e\u52b9\u679c<\/strong><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u80ba\u708e\u7403\u83cc\u306b\u3088\u308b\u91cd\u75c7\u611f\u67d3\u75c7\u306e\u767a\u75c7\u3092\u9632\u3050<br><\/li>\n\n\n\n<li>\u4fdd\u83cc\u7387\u3092\u6e1b\u3089\u3057\u3001\u5bb6\u5ead\u5185\u611f\u67d3\u3092\u6291\u3048\u308b<br><\/li>\n\n\n\n<li>\u96c6\u56e3\u514d\u75ab\u306e\u5f62\u6210\u306b\u8ca2\u732e<br><\/li>\n<\/ul>\n\n\n\n<p>\u526f\u53cd\u5fdc\u3068\u3057\u3066\u306f\u3001\u6ce8\u5c04\u90e8\u4f4d\u306e\u816b\u308c\u3084\u8efd\u3044\u767a\u71b1\u306a\u3069\u304c\u4e00\u6642\u7684\u306b\u898b\u3089\u308c\u307e\u3059\u304c\u3001\u3044\u305a\u308c\u3082\u81ea\u7136\u306b\u6cbb\u307e\u308b\u3053\u3068\u304c\u307b\u3068\u3093\u3069\u3067\u3059\u3002<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>6. 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