º¸Â­¤ò¹ó»È¤·¤¿¤Î¤Í

  • 2012.07.21 Saturday
  • 06:39

¤â¤È¤â¤È­¤¬°­¤¤¡£

ÀÖ¤Á¤ã¤ó¤Î»þ¡¢¾®»ùËãáã¡Ê¥Ý¥ê¥ª¡Ë¤Ë¤«¤«¤Ã¤¿¡£
±¿Îɤ¯·Ú¤¤¤â¤Î¤À¤Ã¤¿¤Î¤Ç¡¡¤¢¤Þ¤êµ¤¤Ë¤·¤¿¤³¤È¤¬¤Ê¤¤¡£

¤·¤«¤·¡¢±¦È¾¿È¤Ë¾ã³²¤¬¤¢¤ë¡£


2ºÐ¤Ë¤Ê¤Ã¤Æ¤âÊ⤫¤Ê¤«¤Ã¤¿»ä¤ò¡¡¿´ÇÛ¤·¤¿Î¾¿Æ¤¬
ɱ¡¤ØÏ¢¤ì¤Æ¹Ô¤Ã¤¿¤é ¾®»ùËãáã¤À¤È¿ÇÃǤµ¤ì¤¿¤È¤¤¤¦¡£

¤·¤«¤·¡¢¾®¤µ¤¤º¢¤ÎËܿ͡ʼ«Ê¬¡Ë¤Ï
­¤¬ÃÙ¤¯¤Æ¤«¤±¤Ã¤³¤¬·ù¤¤¤Ê¤Î¤Ï±¿Æ°¿À·Ð¤¬
Æߤ¤¤«¤é¤À¤È»×¤Ã¤Æ¤¤¤¿¡£
¤½¤¦¤¤¤¦É÷¤Ë¿Æ¤«¤é¤â¸À¤ï¤ì¤Æ¤¤¤¿¡£

 

¤È¤¤¤¤¤Ê¤¬¤é¤â¡¢·Ú¤¤¤Ó¤Ã¤³¤ò°ú¤¤¤Æ¤¤¤¿¤è¤¦¤Ç

¾®¤µ¤¤¤È¤­ÁÄÉ㤫¤é

¡ÖÂΤòÍɤ餵¤Ê¤¤¤è¤¦Ê⤭¤Ê¤µ¤¤¡£µ¤¤ò¤Ä¤±¤Ê¤µ¤¤¡×

¤È²¿ÅÙ¤âÃí°Õ¤µ¤ì¤¿¡£

¤·¤«¤·¡¢ËÜ¿Í¡¡¤¢¤¯¤Þ¤Ç¤â̵¼«³Ð¤Ê¤Î¤Ç

¡Ö¤½¤¦¤«¤Ê¤¢¡©¡×

¤È¼õ¤±Î®¤·¤Æ¤¤¤¿¡£

 

¾¤ËÌÜΩ¤Ã¤¿½ý³²¤Ï¤Ê¤«¤Ã¤¿¤«¤é¡¡Ëº¤ì¤Æ¤¤¤¿¡£

¿Æ¤«¤é¡¢¾®»ùËãáã¤À¤È¿ÇÃǤµ¤ì¤¿¤³¤È¤Ïʹ¤¤¤Æ¤¤¤¿¤¬
±¿Æ°Ç½ÎϤ¬Í§Ã£¤ÈÈæ¤Ù¤ÆÎô¤ë¤³¤È¤È¤½¤Îɵ¤¤ò
·ë¤Ó¤Ä¤±¤Æ¹Í¤¨¤¿¤³¤È¤Ï¡¡¤Ê¤«¤Ã¤¿¡£

¤·¤«¤·¡¢¹Í¤¨¤Æ¤ß¤ë¤È¤ß¤ó¤Ê¤ÈƱ¤¸¤³¤È¤¬½ÐÍè¤Ê¤¤¤Î¤Ï
¾ã³²¤Î±Æ¶Á¤â¤¢¤Ã¤¿¤ï¤±¤Ç
¤¿¤À¤Î±¿Æ°¥ª¥ó¥Á¤È¤¤¤¦¤ï¤±¤Ç¤Ï¤Ê¤«¤Ã¤¿¤Î¤À¡£

¼«³Ð¤¬Â­¤ê¤Ê¤¤¤È¤¤¤¦¤«µ¤¤Ë¤·¤Æ¤â¤¤¤Ê¤«¤Ã¤¿¤«¤é

µ¤¤¬¤Ä¤­¤è¤¦¤â¤Ê¤«¤Ã¤¿¤Î¤À¤±¤ì¤É¡¢
±¦È¾¿È¤Ï¶ÚÎϤâ¼å¤¯ ´ØÀ᤬¹Å¤¤¤Î¤Ï³Î¤«¤À¡£


±¦Â­¤Î¶ÚÎϤ¬¼å¤¤¤Èµ¤¤¬¤Ä¤¤¤¿¤Î¤Ï¤«¤Ê¤êÂ礭¤¯¤Ê¤Ã¤Æ¤«¤é¤Ç

±¦È¾¿È¤Î´ØÀ᤬¹Å¤¤¤«¤â¤·¤ì¤Ê¤¤¤Èµ¤¤¬¤Ä¤¤¤¿¤Î¤Ï
¤Ä¤¤ºÇ¶á¤Î¤³¤È¤À¡£¥è¥¬¤Ë¹Ô¤¯¤è¤¦¤Ë¤Ê¤Ã¤Æ¡¡¼«Ê¬¤ÎÂΤÎ

¾õÂ֤˵¤¤òÇÛ¤ë¤è¤¦¤Ë¤Ê¤Ã¤Æ½é¤á¤Æ¤½¤Î¤³¤È¤ò¤Ï¤Ã¤­¤ê¤È
¼«³Ð¤¹¤ë¤è¤¦¤Ë¤Ê¤Ã¤¿¡£

Á´¤¯²æ¤Ê¤¬¤é Êò¤ì¤ë¤Û¤É¤Î̵¼«³Ð¡£

 

ÀΤ«¤é¡¡Èè¤ì¤ë¤È­¤ò°ú¤­¤º¤ë¤é¤·¤¯

ͧ㤫¤é¡¡¤Õ¤È¤·¤¿Çï»Ò¤Ë¡Ö­¤ò¤É¤¦¤«¤·¤¿¤Î¡©¡×¤È

ʹ¤«¤ì¤ë¤Î¤â´·¤ì¤Ã¤³¤Ç¡¡¤½¤Î¤¿¤Ó¤Ë

¡Ö±¦Â­¤¬¼å¤¤¤«¤é¤Í¡£²ø²æ¤·¤Æ¤¤¤ë¤ï¤±¤Ç¤Ï¤Ê¤¤¤ó¤À¤±¤É¡×

¤ÈÅú¤¨¤Æ¤¤¤¿¡£

 

¤â¤·¤«¤·¤¿¤é¡¡¤¢¤Î¤³¤í¤«¤é¡¡¤Ò¤½¤«¤Ëº£¤Î¾õ¶·¤Ï

»Ï¤Þ¤Ã¤Æ¤¤¤¿¤Î¤À¤í¤¦¤«¡©

 

¤È¤¤¤¦¤ï¤±¤Ç¡¡Â­¤¬Äˤ¤¤Î¤â¡¡Â­¤ò°ú¤­¤º¤ë¼«Ê¬¤Ë¤â

À¸¤Þ¤ì¤Æ¤«¤é¤º¤Ã¤È´·¤ì¤Ã¤³¤À¤Ã¤¿¡£

 

­¤¬¼å¤¤¤«¤é¡¡À¸¤Þ¤ì¤Æ¤«¤é¤º¤Ã¤ÈÊ⤯¤Î¤Ï·ù¤¤¤Ç

¤¹¤°Å¾¤ó¤Ç²ø²æ¤¹¤ë¤·¡¡¤½¤Î¤¿¤Ó¤Ë¡Ö¤ª¤Ã¤Á¤ç¤³¤Á¤ç¤¤¤À¤Í¡×

¤È¤¤¤ï¤ì¤Æ¡¡¤½¤ì¤¬¼«Ê¬¤ÎÀ­³Ê¤Ç¤½¤¦¤Ê¤ë¤Î¤«¡¡¾ã³²¤¬

¸¶°ø¤Î²ø²æ¤Ê¤Î¤«¡¡¹Í¤¨¤¿¤³¤È¤â¤Ê¤«¤Ã¤¿¡£

 

¤½¤¦¤½¤¦¡¢¤³¤Î´Ö¤â¡¡Å¾¤ó¤À¡£Íê¤ß¤Îº¸Â­¤ËÎϤ¬Æþ¤é¤º

ž¤ó¤Ç¤Ò¤¶¤òÂǤä¿¡£¤½¤ì¤«¤é10Æü¤¬·Ð¤Ä¤±¤ì¤É

¤Þ¤À¡¢¤Ò¤¶¤¬Äˤ¤¡£

 

º£²ó¤Î²ø²æ¤Ç¡¡¤Þ¤¿¤Þ¤¿È¯¸«¤·¤¿¤Î¤À¤¬

¤³¤ó¤Ê¤Ëº¸Â­¤¬¡¡Äˤ¯¤Æ¤â¡¡ÂνŤϺ¸¤Ç»Ù¤¨¤Æ¤¤¤ë

¤é¤·¤¤¤È¤¤¤¦¤³¤È¡£º¸¤Ë¤¤¤Ä¤âÂνŤò¤«¤±¤Æ¤¤¤ë¤Î¤Ç

²ø²æ¤ò¤·¤¿É¨¤Ï¤¹¤°¤ËÄˤ߽Ф¹¡£

¤½¤·¤Æ¡¢Î©¤Ã¤Æ¤¤¤é¤ì¤Ê¤¯¤Ê¤ë¡£

 

̤¤À¤Ë¡¡º¸Â­Íê¤ß¤ÎÀ¸³è¤ò¤·¤Æ¤¤¤ë¤È¤¤¤¦¤Î¤ò

¤·¤ß¤¸¤ß»×¤¤ÃΤ餵¤ì¤¿¡£

 

¤É¤¦¤·¤Æ¡¡Äˤ¯¤Ê¤¤±¦Â­¤ÇΩ¤¿¤Ê¤¤¤Î¤«¡©

¤â¤Á¤í¤ó¡¢Å¾¤ó¤Àľ¸å¤Ï¡¡±¦Â­¤ÇƧ¤óÄ¥¤Ã¤¿¡£

¤½¤¦¤·¤¿¤é¡¡¤¹¤°Èè¤ì¤Æ¤·¤Þ¤Ã¤¿¤¦¤¨¤Ë

¤³¤à¤éÊÖ¤ê¤Ë¤Ê¤Ã¤Æ¡¡ÂçÊѤÊÌܤˤ¢¤Ã¤¿¡£

 

¤¹¤³¤·¼£¤Ã¤Æ¤­¤Æ¤¤¤ë¤È¤¤¤¦¤³¤È¤Ê¤Î¤«

¤Þ¤¿¡¢º¸Â­½Å¿´¤ÎÀ¸³è¤ËÌá¤Ã¤Æ¤¤¤ë¤é¤·¤¤¡£

Ω¤Ã¤Æ¤¤¤ë¤Èɨ¤ÏÄˤ߽Ф¹¡£È¾Ã¼¤ÊÄˤߤǤϤʤ¤¡£

ɨ¤ÎÄˤߤ¬¡¡¤¢¤Þ¤ê¤Ë¼£¤é¤Ê¤¤¤Î¤Ç¡¡»ä¤È¤·¤Æ¤Ï

°ÛÎã¤Î®¤µ¤Ç¡¡¥Û¡¼¥à¥É¥¯¥¿¡¼¤Ø¤È¶î¤±¹þ¤ó¤À¡£

 

¿Ç»¡¤Î·ë²Ì¤Ï¡ÖÂÇËФǤ·¤ç¤¦¡£

¹ü¤Ë¤Ï°Û¾ï¤Ï¤Ê¤¤¤È»×¤ï¤ì¤Þ¤¹¡×¤È¤Î¤³¤È¡£

¸å¤ÏÆü¤Ë¤ÁÌô¤È¤¤¤¦¤³¤È¤À¤½¤¦¤À¡£Îɤ«¤Ã¤¿¡£

 

 

¤½¤ó¤Ê¤ï¤±¤Ç¡¡Äˤ¯¤Æ¤â¡¡º¸Â­¤ò»È¤Ã¤Æ¤·¤Þ¤¦¤ï¤±¤À¤«¤é

ÉáÃʤÎÀ¸³è¤Ç¡¡¤É¤ì¤À¤±»ä¤Ïº¸Â­¤ò¹ó»È¤·¤Æ¤¤¤¿¤«¡©

º¸Â­¤Ï¤­¤Ã¤È±¦Â­¤Î²¿Çܤⲿ½½Çܤ⡡¤¬¤ó¤Ð¤Ã¤Æ¤¤¤ëµ¤¤¬¤¹¤ë¡£

 

¤«¤ï¤¤¤½¤¦¤Ë¡£

¤À¤«¤é¡¡±¦Â­¤Ï¡¡ÉáÄ̤ηÁ¤ò¤·¤Æ¤¤¤ë¤Î¤Ë

º¸Â­¤Ï¡¡ÊÑ·Á¤·¤Æ¤·¤Þ¤Ã¤¿¤Î¤Í¡£


³¤¯


JUGEM¥Æ¡¼¥Þ¡§·ò¹¯

¥³¥á¥ó¥È
¤Þ¤¢¡¦¡¦¤½¤ì¤Ï¤µ¤¾¿É¤¤¤³¤È¤Ç¤·¤ç¤¦¡£¤³¤ÎºÝ¡¢ÀìÌç°å¤Ë
Å°ÄìŪ¤Ë¼£¤·¤Æ失¤¿¤é¤¤¤¤¤Ç¤¹¤Í¡£

¤ªÂç»ö¤Ë¤Í¡£
  • Linda
  • 2012/07/22 2:22 AM
Linda¤µ¤ó¡ã

¤´Ìµº»ÂÁ¤·¤Æ¤ª¤ê¤Þ¤¹¡£

­¤ÎÄˤߡ¢¤³¤³¤Þ¤Ç²æËý¤Ç¤­¤¿¤Ê¤ó¤Æ
¼«Ê¬¤Ç¤â¶Ã¤¤¤Æ¤¤¤Þ¤¹¡£

¤³¤ì¤«¤é¤Ï¡¡¤â¤¦²æËý¤¹¤ë¤Î¤Ï¤ä¤á¤Þ¤¹¡£
¤È¤¤¤¤¤Ê¤¬¤é¡¡¿©»ö¤Î»ÙÅÙ¤¹¤ë¤È¤­¤Ï¡¡ÅÓÃæ¤Ç¤ä¤á¤é¤ì¤Ê¤¤¤«¤é¡¡²æËý¤·¤Æ¤Þ¤¹¤±¤É¡£
  • Mitsuko
  • 2012/07/22 4:32 AM
ÆüËܤΥݥꥪ¤Î´µ¼Ô²ñ¤Î¤µ¤µ¤ä¤È¿½¤·¤Þ¤¹¡£

¥Ý¥¹¥È¥Ý¥ê¥ª¾É¸õ·²¤È¤¤¤¦¾É¾õ¤«¤â¤·¤ì¤Þ¤»¤ó¡£
¥Ý¥ê¥ª¤Ë·ü¤Ã¤¿¤³¤È¤¬¤¢¤ë¿Í¤Î°ìÉô¤Î¿Í¤¬¡¢¿ô½½Ç¯¸å¤Ë¾É¾õ¤¬¿Ê¤ó¤À¤ê¤¹¤ë¤³¤È¤¬¤¢¤ê¤Þ¤¹¡£

½é¤á¤ÏÂ礷¤¿¤³¤È¤¬Ìµ¤¤¤Î¤Ç¤¹¤¬¡¢ÆÍÁ³¡¢¿¼¹ï¤Ê¾õÂ֤ˤʤäÆÀä˾¤¹¤ë¤³¤È¤¬¤¢¤ê¤Þ¤¹¡£¤½¤ó¤Ê»þ¤Ë¡¢Í½¤áÁêÃÌÀè¤ò³ÎÊݤ·¤Æ¤ª¤±¤Ð¡¢°Â¿´¤Ç¤¹¤è¡£

°ìÅÙ¡¢´µ¼Ô¤Î½¸¤Þ¤ê¡ÊSupport Grop)¤ä¡¢¥ê¥Ï¥Ó¥ê¥Æ¡¼¥·¥ç¥ó¥»¥ó¥¿¡¼¤Ê¤É¤Î°åÎŵ¡´ü´Ö¤òÇÁ¤¤¤Æ¤ª¤¯¤Î¤ò¤ª´«¤á¤·¤Þ¤¹¡£

¤ª¶á¤¯¤Î°åÎŵ¡´Ø¤ä¥µ¥Ý¡¼¥È¥°¥ë¡¼¥×¤Ï¡¢¤³¤Á¤é¤Î»ñÎÁ¤Ç¸«¤Ä¤«¤ë¤È»×¤¤¤Þ¤¹¡£
http://www.post-polio.org/net/pdir.pdf
¥ª¥ì¥ó¥¸¥«¥¦¥ó¥Æ¥£¤Ë¤â¡¢¥µ¥Ý¡¼¥È¥°¥ë¡¼¥×¤¬¤¢¤ê¤Þ¤¹¤·¡¢¥À¥¦¥Ë¡¼¤ÎRancho Los Amigos National Rehabilitation Center ¤Ï¡¢ÆüËܤ«¤é¤Ç¤â¹Ô¤­¤¿¤¤¤Û¤É¤Î¥Ý¥ê¥ª¤Ë¤Ä¤¤¤Æ¤ÏºÇÀèü¤Î°åÎŵ¡´Ø¤Ç¤¹¡£
¤µ¤µ¤ä¤µ¤ó¡ã

ǯ¤ò¼è¤Ã¤ÆµÞ¤Ë¿¼¹ï¤Ê¾õ¶·¤Ë¤Ê¤ë¤³¤È¤¬¤¢¤ë¤Ê¤É¤È¤¤¤¦¤³¤È¤Ï
¹Í¤¨¤Æ¤ß¤¿¤³¤È¤â¤¢¤ê¤Þ¤»¤ó¤Ç¤·¤¿¡£

º£ÅÙ¡¡¥Û¡¼¥à¥É¥¯¥¿¡¼¤ËÁêÃ̤·¤Æ¤ß¤Þ¤¹¡£

¾ðÊ󤢤꤬¤È¤¦¤´¤¶¤¤¤Þ¤¹¡£
  • Mitsuko
  • 2012/07/22 2:18 PM
¥Ý¥¹¥È¥Ý¥ê¥ª¾É¸õ·²¤Ï¡Ö¥¦¥¤¥ê¥¹´¶À÷¾É¡×¸Î¤Ë
É°ø¤È¤·¤Æ¡Ö¥¦¥¤¥ë¥¹»ý³´¶À÷¡×¤ä¡ÖÌȱ־å¤ÎÌäÂê¡×¤ÏÈò¤±¤ÆÄ̤ì¤Ê¤¤¤Ç¤¹¡£À¤³¦¤Î¥Ý¥¹¥È¥Ý¥ê¥ª°å³Ø²ñ¤Ç¤ÏÌȱ־å¤ÎÌäÂ꤬¸ì¤é¤ì¤Æ¤¤¤Þ¤¹¡£

Êƹñ¿À·Ð²Ê³Ø°å³Ø¾ðÊ󥦥¨¥Ö¥µ¥¤¥È¤«¤é°úÍѤ·¤Þ¤·¤¿¡£
¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦¡¦

Post-polio syndrome¡¡¡ÊÀ¤³¦¤ÎPPSÉ°øÏÀ¤Ï»°ËÜÃ줬´ðËÜ¡Ë
Etiology¡¡¡§ÉÂÂ֤Ȥΰø²Ì´Ø·¸¡¡¡Ê2015ǯ¡Ë¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡
Article section 4 of 14. Previous Next
By Tarakad S Ramachandran MD and Arun Ramachandran¡¡
¡¡¡Ê¿À·ÐÆâ²Ê°å»Õ¡¡NY½£ºß½»¡¡¡¡¡¡¡¡¡¡²½³Øµ»½Ñ¼Ô¡¡¥È¥í¥ó¥Èºß½»¡¡¡¡¶¦¤Ë¥¤¥ó¥É½Ð¿È¡Ë
°åΞðÊóMedmerits¥¦¥§¥Ö¥µ¥¤¥È¡¡¡Êhttp://www.medmerits.com/index.php/article/post_polio_syndrome/P3¡Ë¤Ë·ÇºÜ
¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¿À·Ð²Ê³Ø¼Ô¡Ê°å»Õ¡Ë¸þ¤±¤ÎÊƹñ°å³Ø¾ðÊ󥦥§¥Ö¥µ¥¤¥È¡¡¡¡¡ÊÀ§Èó¤È¤â¤´¼«¿È¤Ç³Îǧ¤·¤Æ¤Û¤·¤¤¡Ë



An immune-mediated disease. ­£Ìȱֳؾå¤Î¼ÀÉ¡ʱê¾ÉÈ¿±þ¤¬ÌÀ³Î¤ËÆÃÄêPPS´µ¼Ô¤Ë¸ºß¤¹¤ë¡Ë
The strongest support for an inflammatory or immune-mediated mechanism for post-polio syndrome stems from the study of Pezeshkpour and Dalakas (Pezeshkpour and Dalakas 1988) in which inflammation in the spinal cords of seven post-polio patients was found. It consisted of both perivascular and parenchymal lymphocytic infiltrates, neuronal degeneration, and active gliosis. All changes were more prominent in three patients with new weakness. Other findings that support this hypothesis are the finding oligoclonal bands in the CSF (Dalakas et al 1986) and activated T-cells in the peripheral blood (Ginsberg et al 1989). Others have not found oligoclonal bands in post-polio syndrome patients (Cashman et al 1987a; Salazar-Grueso et al 1989); however, other histologic studies suggest an immune-mediated or viral-induced pathogenesis or at least an inflammatory mechanism. Miller (Miller 1995) examined the spinal cord from one post-polio patient and found perivascular intraparenchymal chronic inflammatory infiltrates primarily composed of B lymphocytes with rare macrophages and no T-cells. Kaminski and colleagues (Kaminski et al 1995) found inflammation in the spinal cords of 8 of 9 post-polio syndrome patients. More recent studies support an immune-mediated process with the finding of inflammatory cytokines (TNF-alpha, IFN-gamma, IL-4, IL-10) in the CSF of post-polio syndrome patien
  • ºØÆ£
  • 2015/02/07 3:23 PM
ÀÆÆ£¤µ¤ó¡ã

µ®½Å¤Ê¾ðÊó¤ò¤¢¤ê¤¬¤È¤¦¤´¤¶¤¤¤Þ¤¹¡£
¼«Ê¬¤Îɵ¤¤ò¤¢¤Þ¤ê¥·¥ê¥¢¥¹¤Ë¹Í¤¨¤¿¤³¤È¤¬¤Ê¤«¤Ã¤¿¤Î¤Ç¤¹¤¬
¥Ý¥¹¥È¥Ý¥ê¥ª¾É¸õ·²¤È¤¤¤¦¤Î¤¬¤¢¤ë¤È¤¤¤¦¤Î¤Ï
¥Û¡¼¥à¥É¥¯¥¿¡¼¤«¤éʹ¤¤¤Æ¤¤¤Þ¤·¤¿¡£

¼«Ê¬¤ÎÂΤò¤â¤¦¾¯¤·¤¤¤¿¤ï¤Ã¤¿¤Û¤¦¤¬¤¤¤¤¤Ê¤¢¤È»×¤¤¤Þ¤·¤¿¡£
¤¢¤ê¤¬¤È¤¦¤´¤¶¤¤¤Þ¤·¤¿¡£
  • mitsuko
  • 2015/02/10 3:50 AM
¥³¥á¥ó¥È¤¹¤ë








    

calendar

S M T W T F S
     12
3456789
10111213141516
17181920212223
24252627282930
31      
<< March 2024 >>

selected entries

categories

archives

recent comment

links

profile

search this site.

others

mobile

qrcode

powered

̵ÎÁ¥Ö¥í¥°ºîÀ®¥µ¡¼¥Ó¥¹ JUGEM