耳鼻咽喉科![このページを印刷する - 耳鼻咽喉科](/files/000000817.gif)
耳鼻咽喉科について
耳鼻咽喉科は、首より上で脳・眼・歯・頸椎を除く幅広い疾患の治療を担当しております。聴覚、嗅覚、味覚、平衡覚などの感覚器、また呼吸、嚥下、発声など生命維持や生活の質向上に不可欠な器官を扱っています。対象年齢は新生児、小児、成人、高齢者と全ての年代にわたります。
治療対象となる症状:難聴、耳鳴、耳だれ、めまい、鼻閉、鼻汁、鼻出血、嗅覚障害、咽頭痛、咽喉頭異常感症、味覚障害、口や鼻のできもの、嚥下困難、発声障害、いびき、無呼吸、顔面麻痺、頸部腫瘤など
主な対象疾患:滲出性中耳炎、真珠腫性中耳炎、急性中耳炎、突発性難聴、メニエール病、良性発作性頭位めまい症、顔面神経麻痺、アレルギー性鼻炎、慢性副鼻腔炎、急性扁桃炎、急性喉頭蓋炎、声帯ポリープ、嚥下障害、頸部リンパ節腫脹、唾液腺腫瘍、頭頸部領域の癌など
地域の中核病院として、耳鼻咽喉科のどの分野においても標準的な治療を提供できるよう努力しています。耳鼻咽喉科のほとんどの疾患に対応可能ですが、さらに高度の医療を必要とすると判断した場合は、速やかに高知大学病院や高知医療センター、高知赤十字病院などに紹介させていただく連携も図っています。
治療対象となる症状:難聴、耳鳴、耳だれ、めまい、鼻閉、鼻汁、鼻出血、嗅覚障害、咽頭痛、咽喉頭異常感症、味覚障害、口や鼻のできもの、嚥下困難、発声障害、いびき、無呼吸、顔面麻痺、頸部腫瘤など
主な対象疾患:滲出性中耳炎、真珠腫性中耳炎、急性中耳炎、突発性難聴、メニエール病、良性発作性頭位めまい症、顔面神経麻痺、アレルギー性鼻炎、慢性副鼻腔炎、急性扁桃炎、急性喉頭蓋炎、声帯ポリープ、嚥下障害、頸部リンパ節腫脹、唾液腺腫瘍、頭頸部領域の癌など
地域の中核病院として、耳鼻咽喉科のどの分野においても標準的な治療を提供できるよう努力しています。耳鼻咽喉科のほとんどの疾患に対応可能ですが、さらに高度の医療を必要とすると判断した場合は、速やかに高知大学病院や高知医療センター、高知赤十字病院などに紹介させていただく連携も図っています。
診療内容
耳科:難聴、中耳炎、顔面神経麻痺、めまいなどの診断と治療
慢性中耳炎
難聴や耳漏を反復する場合、慢性中耳炎の可能性があります。鼓膜の穿孔(穴)があれば、手術により穿孔を閉鎖することが出来ます。鼓膜穿孔の大きさなどによって、鼓室形成術1型あるいは鼓膜形成術(接着術)などの手術治療を行っています。![慢性中耳炎](data:image/png;base64,/9j/4AAQSkZJRgABAgAAZABkAAD/7AARRHVja3kAAQAEAAAAUAAA/+4ADkFkb2JlAGTAAAAAAf/bAIQAAgICAgICAgICAgMCAgIDBAMCAgMEBQQEBAQEBQYFBQUFBQUGBgcHCAcHBgkJCgoJCQwMDAwMDAwMDAwMDAwMDAEDAwMFBAUJBgYJDQsJCw0PDg4ODg8PDAwMDAwPDwwMDAwMDA8MDAwMDAwMDAwMDAwMDAwMDAwMDAwMDAwMDAwM/8AAEQgAbwHMAwERAAIRAQMRAf/EAaIAAAAHAQEBAQEAAAAAAAAAAAQFAwIGAQAHCAkKCwEAAgIDAQEBAQEAAAAAAAAAAQACAwQFBgcICQoLEAACAQMDAgQCBgcDBAIGAnMBAgMRBAAFIRIxQVEGE2EicYEUMpGhBxWxQiPBUtHhMxZi8CRygvElQzRTkqKyY3PCNUQnk6OzNhdUZHTD0uIIJoMJChgZhJRFRqS0VtNVKBry4/PE1OT0ZXWFlaW1xdXl9WZ2hpamtsbW5vY3R1dnd4eXp7fH1+f3OEhYaHiImKi4yNjo+Ck5SVlpeYmZqbnJ2en5KjpKWmp6ipqqusra6voRAAICAQIDBQUEBQYECAMDbQEAAhEDBCESMUEFURNhIgZxgZEyobHwFMHR4SNCFVJicvEzJDRDghaSUyWiY7LCB3PSNeJEgxdUkwgJChgZJjZFGidkdFU38qOzwygp0+PzhJSktMTU5PRldYWVpbXF1eX1RlZmdoaWprbG1ub2R1dnd4eXp7fH1+f3OEhYaHiImKi4yNjo+DlJWWl5iZmpucnZ6fkqOkpaanqKmqq6ytrq+v/aAAwDAQACEQMRAD8AiX/OYf8AznF/zkh+Vf8AzkJ+ZnkbyP5+/RHl3QL63ttI0xtPtJjEj2kEprJJGzHdm75ZiFtJL5Vb/n5f/wA5gruv5oRnejV0uxr9H7nMqWMAMeIoST/n5n/zmJyPH81So8P0XYf9Usr4Aysq3/RSX/nL9vtfms3blxsLHavf/eb+OTOLHw3I02mBkQAN3rvkT/nLT/nPz8wHhbSvP1zbWVwaR6jeWNjDGfcAwcj9AzQ6r2g0mmPCd3e6T2a1epreg+wvIvnb/nLzUvqzeZvz5u5ZLhjWLT9N05F22K+o8DN19s5jWe1xB/dh6WHspjhH94Xu1t5z/OfTJVjvvzO1jUp+Ib6uUs0qOlarbgb5pz7V57bI+z+jj0V7nz3+dcot4F886jaz3Dn0yiwVVT3J9EjH/RTqZbDm2nsTQkVSzV7T/nIO8spH0L8+PMVhfqtZQ8NhcQqT0PE21fuOZ+H2o1ERvG3WajsXSDk+UvzC13/n4x5SM97oX5wf4qsLZeYhgt7KK5YHpSF7Yg/Q2bvS+1MJgDJGi6rP2GKuBfE+v/8AOd//ADmloF/LpusfmpqumahZsy3lnPZWUUqFdjUG2rQeOdJpNRp8/qEtnndVo8mHfhN97HZv+fh3/OXi0I/Oa/YEVqIbJhQ+622ZBwRErB2aRnJjRG6Xt/z8T/5y7LEj859Tp/kwWQH42+XAx7mnhk3Z/wDPxX/nMBpER/zj1DizAEvBZ1+ilsRhiIk8mUIkSfov+d//ADlR+fPlj/nBX/nHH819B/MC607z5511Sa38yeYlihd7hONwQrIY+IA9MdFGY0h66cp+b0v/AD8P/wCcuJHLN+d+qpXosdvbqAO23o5lERHRgYk8kK//AD8G/wCcvCGP/K8dZ4mv+6bbp/yJwCUBuQscciUVB/z8C/5y49Ov/K79ZlPTj6VsP+ZWWThjmOIMqjxcLJvL3/Obn/OaPma+Sw0b82vMF7dyHiY4re1IAPdm9L4fpzU5+0NPgHrO7uND2JPPP0RL6e8ofmD/AM5u6zxl8w/n7rGlW7Lz9C3FtPLTwJEPFfvOctrPbHDisRG713Z/sN4krzHZ75oWt/8AOQckXO//ADr833YQEyO9zBEGI6FQkCmn05zk/bLU9zuj7Kdl4jQCre/mT+dFo4tx+aXmV5gQFIu1Y0Pj8GYn+jTUEubj9kezskeKlC/86/n7JGDF+bfmyCoBrDdxf8bRNmdD2uzuOfZHs2ZqnlXmXzZ/zlnxkm8t/wDOQvmSKYj/AHlvvQKnfoCkKkZs9F7YWf3jrNZ7B6WAvESS+XfOf/OQ/wDzm/5IEja5+bXmgWiMQt/bTxyQ/Syxkj6c6/Sdv6XVioUCObx+u9lc+n9VbPJZv+c3f+cqoWPL89PM4l/kadenbfgBvm6wSGTlReazYxfALBS1v+c6f+csAT/yHPzQAP8Al4j/AOqWJMR0R4UgtH/Odv8AzlYPtfnl5of2+sJ/CMZA8J6MoxI5vvr/AJwB/wCcnPzz/NLzh+ctl54/MvW/MdroX5aavqelw3k4YW95C0fpzxgKKMtTQ5CQAZvz1b/nNz/nKSjf8h283d/+P0f80DLLiOjiShIlQj/5zd/5ylDbfnt5tPt9bOPHHuZRxytEj/nNv/nKZqV/PTzctTxB+ucRX5lWw8Ue5s8OSJh/5zL/AOcorp0Rvz083F5PsKL5yzb02CrkJ54YRxSqmwYJyoRBke4PfvJXn3/nODzukNzbfm55s02ymYf6Re6nKlV7lY1o335zOs9psEJemnrOzvZDLqQJZDwx7n135M8of85G3Co/mT/nJXzrK7Al4bS8MafF2DOGY5otT7V5v8nTuI+yGjx/Xu9u0zyd5+gjT1/zx/MG4DikrPrUvIEeHFQM1p9p9ZI2S3fyJoICoxRF55E89XBK2f56/mJbyU2b9NSNT/YuKH6cI9ptWOrinsbQk0Y7PGfO35a/85I2STXPlT/nJnzkzkH07bUL9yhoKgcoqEfdmx03tVP/ACjGXszpcn92KfFvn3zl/wA5xeRY3n1X81POE1lEx5X9hqs88fH335D6Rm90ntNpssgJbOn7Q9kM2L1QlY7nhE3/ADl3/wA5LxNJC353+b1dSV4/paYNtt0PfOh4I5KnjNh53wDCxMGJSm6/5zA/5yWVQP8AleHnQtXo2qykf8LTMjij3OP4ckD/ANDf/wDOSh+1+dvnMn/J1e4X8AceOPc1zxy72QeU/wDnLT/nIi78y6Fb3X51ec5oLjVLCKeF9YuSrI9wispBO4INDgMo9zEQNh+gP/Pzr89vzd/Lb89fLejeRvzK8yeVNHufJunXdxp+lahLbRSXEkkytIyod2ITrlcBblvzcf8A5y2/5yLkpy/O/wA6NTpy1m7P/EXXLIkRaM0SeSh/0NX/AM5EXDlG/OnzlQdGGs3m/wDyVyXGGnwyj7b/AJyi/wCciJEZP+V0ec0blwNdYvQQ3gQZMhKWOHNZYchkBjBL6i/KSH/nOD81I7a+0j80POWl6JM4H6Z1TW722hYeKRktJJ/sQB75iZ+0YwHpAdzi7JlKIMy/QTyx/wA45fm/b2Sz+a/+cjPzC128n4vJBaazdWNuh/aUESM7D55ps+s1Mvodrg0Gnj9TP4/y081aWPTi/MDzTcOB/fXOuX8x/wCGmNfuzQZtRro36neYNNo/9TDBtctvzFtJTB/jjXAP91ctSvKEfMSDNd/K2ugfqd5g0miI/u3nGuWXn99PvOX5i+b7K7YAJNZ+YNQSg/yV9UjMrH23ra5scvYOhzH6Hzx5g0P/AJyBuyyeUfz686i83P6O1LV7tkYe0glqD9GbvT+1E6EZVbqNZ7GacAygKfKfnn8y/wDnJ7yLcNb+YfzM8628ZYql6ut38kLFdjRhMOP0jOg0HbWLLKtreR1Ps7n054+cXlj/APORX54lpC/5v+cm4b1GtX9KH5TZsoykZcUeTpMoo8JCmf8AnI788oiDF+cXnEk/s/pq/wBv+S2XyFmyN2kY+5FD/nJH89HPH/lcPnU17HW77/qvkeEMowIN2+9v+VsfmZ/0IB/if/lYnmH/ABF/ytz6h+nf0nefW/q/6P5fV/rHq+pxrvStMqocfwbujwb/AJ+Hkr/zl5+cKD9q9szX3+o2+/45iQlwszC3wVMsqnjy5bkk5f4xlsAkYx1Kd+XfLer+Z9RtNJ0i2a8vrt+KRrU8fdj2HzzE1euhpxZcrQ6Gernwx5d79Fvyc/5xs0jSJoL/AMxxRazrvAFreX4reFhQhVWnxH555x2n7Q5dQTGO276l2b2Dh0wBn6n35p9lZ6dYSmeNUa2iVY+KqiqaUACqBSmclqMs5byLvIHgPpGz1jypHp9hBEWliEsQ5JQ8uXIAgrQZDHMxHN1+tPi80x1G8tEMk0lzHd39xQQ2sNTJUD4V6bb98jIEmyWnFjEo1ypPdA+sQRtd6zp7wTvT0vTPPkv+V4Zfp5CBuW7hanD0jJOptTvpy0djZhAwoAWK/gKZmfmL+mLjjDAfWW4dM8x3/wDvTIlsoFKgVLD5nLoQJ9Ra8mXHHaIeW/mn/wA4x+TfzY0qeDzHp8c1+IZFt9UgREnjd9+asBWozb6UzjUonk4cs8Jekh+Kf/ORf/OKnnH8lr2S+4Sav5RuJxHaa6qfFHVQFScJUL/rZ1nZXbIlLw57Om1/Y3GOOD44urI27H1FLNsTQ9K9s6DPcZencOghAAVLYoVJByHGoK/ED/q7/wAMGOZBsrIAcn65f85COZP+fZH/ADiWx7a7Ov3LejCZXK2L8hGbcUFen6hhyTMtw2CXDHvRcQadSoHE7KnIU5E5RxfzuTbjJybRFnufVP5Of843a752hh1fX45dK0eRlMNsV/fzqdyRuOI265zXbftNHSx8PGL83suxPZiWQ+JlFHufqR+W35MaFoGnW8Ok6TDZJFDxjiRR6kjAbln+0a55jrtbl1WTjJL6Dhji0ceGMd3tmj+XLSfSEjtrBra/t7jjcSA/A0a/slaVrmJCpcxu4eXVT4iSdnqFp5Tc6ZLLFbvNOIyUiHStOmbTweKNgOlnq4nJuXlej+QNWm1afUNVhW1Kuf8AR23HHtTpmoGnl4m4p32bXxhiEcZ5s8OiW9SkNqARtUiozPNwHJ1mLVZIGyWMXnlLm3qSwCg60FMBETzDnQ7SLz/zL+Xlve2dwphAiYbQOqujeNVOQEsmL1YTw97mY9ZjyenILBfn7+cH/OLlvqUN7q3lSIaVqan1H0ssFtrgjrxrurH7s67sD2myxPDN03bnsnp9VHixGj7n5067omp6De3OnanZyWl5buUlt5RRxQ0rTuPfPRcWpjmAMTb5lqtDk0kuDIK7vNj7qygVG/hmUCYblw8kenV+nf8Az68JPnv8/QRSv5Sa3/xKLCcltJhT8uJKiRxXox/XkCbYEU3GSGJAqabDIkkMomjb0fyH+X2v/mBq0Ol6JaCTkyi5v3B9KBD1Yt0zX67tGGlhZ3Pc7zsrsnLr5ekVHvfql+S//OMWgeU44LmSy/S2sOAsup3Kq/Fv+K1IIAzz3tDtrNqpGtg+ndn9maTQQANGQ5nvfY9p5RfTYkVo6el9kKAOvyzRyxSI3O7mZdXjkaGwTmzstY9UC0qqoRXn/DJY4zi4WSeMvQbKC/VUNyOLU3AFR9+V5RMydXmyxBoMqSzEiI5H7wdaZLGCJAlwJ5Sgp7CNqrMvINsK+OZE4xl0bcWYjkxvVPKOnXtrNDcW6yRzCjROAyU+RzGlDg+nYuZj1Er33D4J/PP/AJxD8r+avrmq+XozoOtkH0ZLdFEDsP5026nrvm77L7ezaUgE2F1WiwayNSjR735Meevy380eSdaudG1+yNnPC37mVqiOZd9426HPSdHrBqocUOfc8H2r2Zk0UuXFHveZuCCKCta/MUNN8yhIunIE9wyLyd8Pmvy74nVdPb/p4TJAlfDfpt/z90PL/nIHyaw2r5G0yo/57XOWRnTU/KbrkZzJOzEypknlny5q/mTU7HSdFspb7UtRk9K0to1qWJ71rsB3J6ZTmyjENy5+n0Rzjbm/Xr/nGX/nDjQNCksvMPn6GHzBrnEPaW70ls4COwRwebj+Y/dnNT7ROWVVT0+k7Php4979cvKXlTS7C3tlgtoxDGgoAoAU+AA6fIZnabF1Ju3D1WejQFPQTYt6bDiJYl+yKUzNkDAbOJxRlzYdqOnrIZI44z0PED7QOafUYfEt2GGYDyDXPL8rlknQuFrwr45yur0soHYu70mqES8f1WJ7Nniu7YPb14hwKED8cwsc5XRd5hn4nI08l8x2UNpJ+kLFpFXkSrqaHK8gINguxwm9i8t1O5sdfiubLWbOO5SUFJBMiuJFPYhl/VkcefJE3E0XYnSY5xqQsPif81/+cb1Ed75i8hQyyCNjJfaMpHwRgVPpjuPbOy7E9op7Qk8F297M4wfED4suoJLaThIvpuJDG0TGjIymhDA9M72GqjOIIN2+d58RxzIIqlZE5mgbiTsMv49mkREoGXJ+hX1p/wDom77/APK7Otf+1Xyyni9VtPRKP+fiqhf+cuvzgYfa+s2TV9zZWwzCb3xJpWmXWr6hb2FnCZrm7cRxqPEnqfYZHJqhggS24NFPVzEI/F+mX5MfltpvkrRaR2ZfUr0q2pam6AEN/vsN/KM8w7Y7VnkmQ+tdj9lYtJhEa3fRuk3JguYBC/pc9mI6bHrTOWnnL0fhCnqzsLu3mvXANtAKwqSFEjMOJJ8evTKZT4mMcQe1eUbBrjT7YtDHEXiSkka1I2pxoemw6jMjGLDz3aEuAvYdI8mJwI+pQID8XqsPiPvXrmzx6GUgC6LP2lwigzJfKenQ2sSJcqJFYesD1HLsMvh2aC4cNYQeIou38vWNuzHgjtXZqZscOjjDm05tWZ8lG9sQ8iRoqgR7mg/ZyWXGOjEZDw7oi0tlA4+mEVtuXzzM08CBs408newrz5+X2i+bNDv9E1GziurW8RkuIJFDKyuKbhtsmcABsc3N0+qJ2PJ/PL/zll/zi3q35Ja42rabbzXfkbVZCtjePQm3nYCkUhGwWv2c6LsntKUax5Ny6rtfs8ZCckHxVLbNG6oyAKxCvsK0Ox3zdaiuMEOjwCoEF+qn/OQZK/8APsn/AJxMA6f4huQfkBeYofkzBbl2AAqCBt9GW449S3QqMb6nZ9f/APOP/wCSreYLqLzHrtuTYBeOm2Uq19Wm5lI7AHpnEe0XboxA448yH0b2V9narPP3v1X8neXraytY7VERGj48AB0FOgzzbJkyZd5Pc6jOICoB7Tolm5eOO2hKPAaerU7V65Wdy8/nzyv1PQtM0kW5kYL8U27N3JyUBRt1+TUPQdBb0FaKdCCe4650OimJB1OfgkbC3VLWI3CyJDyJ61FMOfBEyFJw5TEVaDvLRGjAjt1V6b0FMhn04puGcsM1FvSR1K1bsKZqZOZjmwfUUmZSWSqmvEZC9qdjgIkXmGv6Yl5FJHJCqhuslKtmIcM4m4u4wZzj5vij89/yFh832El5ZIkOv26sbG6C09cU2icjx6VzoexO2smiyAZDduP2t2Ti7TxGUR6g/LDWtKvNIvp7G/t2tbm2dop7ZxukiGjAk756zp8/5iHiA7F8j1mjOlmYT+r9D9Hv+fYQH/KwPz3p+1+UuuV+hosvcGT8vniUytsaEEmnjgtn4NvSfy1/LnUvzB8y2+h6ZGYxcfFeXTCsdvbmlWY+PgMwO0taNJi4y7fsfsn83m4Ty5v12/Ln8uPLn5faNZafaxIUiiRTKsY5yyU+J3PU18M8z1+tnmmZXs+udn6fFgxiGIPbNN8/W2ig2kFpzofhFOma7xgG3L2WJ72y+w/MFpCGmtUkRtwCe2WwzVuXX5OygOT0rQ/OegzyRVRV5UDoR0Pzy+OpgXTavR5IPWYP0dfIrRFVRxUDGQEzbopxlE7q0enyI1R0PXBwUss4qkJdWxSRleKi0qreJwFGObHNRULGStRT3zHyuZDIxK6t4riFkmXkvFuvvlBrq5uPLw7l8z/m9+S2gfmfo+o6RfRxw3UKMdK1AKDJC5HY9aZm9k9s5tDl5+l2Gbw9ThIkH4e/mN+Xet/l55n1Xy5rVsYLuykPpSEfDNFX4JF+Yz1bs/Wx1ePji+Y63s06PIR0O4Yr5VBXzX5dr9r9K6eD/wBJCZnuDLk/Tn/n7hGp/P7yfUdPI2l/8nrrC4r8s7DS7rVby207T4nnvbyRY7a3QVLsxpTIZMwxRJLdp9P40xEc36zf846/khYeQNLtdR1KCO48wXis9/flamIEV9GJuwA65xmt10s86D6L2Z2dHTws8339Ya/aJZWMNq6R/VJxz4ncDp/HNZlz8BcyWm2L3/y95nt0MTmUNESBuaA++bXS9o8NW83q9HxF67Z6vZTIESUN6gqiA9SffOgjqxOLpc2AxTP6nEE5ug5yd+9D2y0YQRaMeYhhHmDR1+ORE2Armi1mmBJdhgzm3gfnDTIGtZ5JIyQF3oO++cvmhwSel0WoL5s1RYJ0lhDcFiDKqnvTMSW70mnN7vEteh+rzGRE+JD8AHjmMTwl3+EcQpjY1oNFJHKWsb0g/vv2XFKEEdN8swY5g2Nk5sMJiju+N/zq/K21vxd+Z9Ctwl5EpfUbCFdmHeTO47D1sjUD0eE9p/Z2MsfiRD5Ltx++Qdq0zshk9QD5XlwGiegffv8A8rn9P9j/AJXX0/7dGWfxON0Q/wDz8VUr/wA5d/m/UUrPpzL/ANINvmvyA1bkRHFMRYn+Q/kRYI4/Mt2gS5uD6tgXHxRRCtQB/lVzlu1u0RAAPoXYnZxxgmub6ustRKT/AFa2jlNSeBrs9OvLOF1oGeWz3WlhwjdnekjVbqap01jGtKKHrQ+NMwJYZdzljNEDm+htO0m/v9FjWWFECAFo/wCYruKYDjMQ6yepAkX0f5FsPTtrGKYBGhQVI3Brv/HMjRk3uHmu0Z8RfQtgkLwoVHLioqR7DOs024eZmNyvvGg+H4fiG4+eDKQCwIsIXixHqFqk9F8Mp8RjwISVpWkUqhNOuEZN14UZav8ADI7sCR+x3zNxTYyhs2UjcswHX7QOZ2OQa+Eh5L+bf5b+WvzH8q6t5Y8yWMd7p2rQei6NSsbgHhKv+UrUP0ZZKYtvwxI3fzD/AJtfllqn5Vee9b8na0ggudJuXQPSiXETDlHMtdyGG22bzFqPGiB3Ou1Gn4JGXe+//wA/kE3/AD7L/wCcW2YU4+ZroH2/3v8A6ZlE7OEBu/OH8svJsvmvzLDYAFtPtXW51HiNwqNsAffvmp7S1nhYyL5vTezfY/8AKGoF8ov1Y8q21vpEFpFaRiCOFESKL2UABRnlOqy3lJL7LHSeH6ByAe46FqkkzRHhQxsGDDxBwxy267Npeb6q0c2d7DbXZ05LO6dF9VoqhJAB1p2OSyUTyeL1MTCZFspXgFMNRUmpIHTIHk4x3TO2vIrdKJQyfz5Zp+0BiFFo8ApffX/RuYap3p2yOTtISkGyGApPf6v6cTfGBWlDXDn1HFHm5mPTsIuNSjkYmZwXHfwzX8TmjGx3Vb4eg3Bga9KYYlyMGGyxRIDdD1G2Y7UPtkty7GFR5t3flmPVYhC4oEFScJj6baparwjsX5lf85jfkKujW0fnvQLUxBCIPMccYJ5lzxSc+Gxoc7r2b7WoDGXmu2uzBqMZyDmm3/Psa3MP5kfnolPhf8ptc9MewaEZ6JPIKBfOYwOO4nvfmgkRkm9JI+byP6YQDckmlMhqOHFETczQzlKXhgXZfrB+QH5WReR/K9t6sKtrGrKtzqtwOqlgCkK+yg55b272l+Zy0OT7N2L2dHRacbbl9JXtnIYIraEfE4qW8M0JunbRmApab5elmmSMKZmbrMB0yueEzFBcupjjFkvTLf8ALyRbZHjVlZupI6ZdjwmEd3WZO0YkbFJr/QLixlYwTtA8e5cDY0yJNMsWWOXmyjyX5y1G3ujp13MOHSN5DQr7iuSx5Tbg9odmxmOKL6R0jV0vIozIC8vVKd/fMqJt5LLg8I0nKTIxUXUZfc8WHbLGljuq2SFnZR8BNRlWQOXglQef6jZyIHmElOOxH6s10xu7GEgRTDJ6iVmeSijc09sS7DHj9L5M/wCcufyNg/MXyePOGg2yHzBoEMlzsKmeBFJaI/ic6HsHtT8rmEehdVr9GM+MxL8eNDthF5p0FXH1eaPUbRirftP9YjJUfIZ6kRGYGSJ2L5vqycGx6Gn6V/8AP2sj/lffkkqxUyeRtMPJe1J7jxyWMfvLXHDji+Wf+cavJENxqi+Zb62jleGQQ6Ssi1pSvKT785ztrtMCfCHtuwOxCB4hD9XtK08a3DbaFY+la1WIzyrs0pJ3VRmhw4xmk7/LM6c8RevaT+QN3bzxR2eopeJNEZGjid6qaHqpP68zMvYnFOw1ZfaGPh0QHa/5U8y+V7VpYbhglmlZEP2tvAHNDrdLkwT2RptRh1A9Tx3V/wA+/O3lGeykh00bMV9OdWXmB3GYw7RyYqu3dYPZvBqRZL07y3/znHpB+qWfmbytexOKCa7t5EdF8Tw651um7dBiAe50Wt9hZYrlA2+qPLf5t/l359tbaXSdbgV7gD/RrllhlDH9nixFc2cNbhz7PM5uyNThJsbBvzT5Q+uW7/VeJWRSQ3Xr8sw+0OzIzjcV0euljlwyD5S1jyHdaZPcyXR2PMqKfPOL1WnyYzRD1+l7SiaAeE+YNAkdWZI2HBjyanTKY7Reh0+rDxPWtLELyLNRgvXsw8MuxzdhHJx8nnWpQSwFJCxuLdhR1I6r4HM/CTEiQLDVjjjwd743/N7ylZeXvMtvf6COWk62pure3A/uHBpLEPau4z0DsrUCUQHxv2p7OlpswI5dX0x9ZP8A0T140+P/AJXV9j2/QvL9W+bjq8syD/nO7y/N5k/5zb/MjR46lrm60z1ADT92LCFnNfYKcwdTIYsBkXN7L0ss+oFdGdeUNJTTNPhhdg0UY9OKm1FUUG2eXarN48yej7LpMcccBGt3oHlyxV57rigPE8lYiux6gZqpYzZpzp+gPp38vfJtzqNi+rwxN9WkVk6fD8J4kZfiBnG6dNqtZHDLhu7eyxpZWOlNDNEFkB4UHjk44gY2Q4OTISbDOLW907TLmEQzlQoVGj7EgCoOZWDSxBtwcgMnu/l57S+tY3SRQGCnippQn2zeYNMa5vPZ58Mij7jRLiruzNJGx+AjcY5+z5SFgtMNQL3YjfPc2VwEcNHGOpPfNJnhLFzDmQEZ8ipxatFyNZBTxOUxzgbtnglaNQhWQ8ZAUObHBMEXbGeIgKNxrEYRhFICw675lxzANccUj0YNqOuO7ekSJT39sjk1IG7nYtKZAB+V/wDz8Q8gQa5ZeWPzPtLYre6Tx0fXpOI+OGRiYGJ8VcUrm17J1gB4T12cXtDTek10SX/nICOn/PtH/nF9a8UHme75n/uIU/HOmmOE08pKXDIvCvyA8oPpfluPVXhUXWp/vp2I+LgCeK5572/ruPIYjo+z+x+g/K4RkJ3k+n9Du72WRY3sKW6tTmBVlI6E08c4jKJF6+eQA1e5e5+XIwzQtGrUShlA60qK5LDcnVasmFvrHQdStorOCAPzLoAvLwpmdIU8ZqcRlIlOFkkiJdQOKbAZUTTicFFBTXTxc3FVeTck9Bmo1QJNhywAWN3s0hT1PVNG3PtmvkJmQ6N0IBJzIb08BKT2Fe+brCDOPNviQFC30R2kmaRtkNOVa1x4WUsgC+40YGL4V5BjTJjZjDUIq08uqsas0dSfDbL4Qtx8uoPensWiERBo04sTQ1GZOPFUaLiy1FjdgP5meRLfzX5U17RLq2WSLVrGa1lFB1dCFYE9KGhzM0shhkKHVuw6gyHAer87v+cA/Lt75R/O38//AC/qMXp3ulflh5ks7qL+V4ZIQfvG+ep6TL+ZxAjag8D2tp/B1JjfPd8P/wDOPHkqLzX+YlmLy3EtjpPLUpomFQxBAQH/AGe+art3UnBho72732T0Ay6gk9H6+6Jp0doluzx0UbmmwzzSQqe/Xd9Rz5Kj7k3uY45J2CCiykKp8B4ZItIO1vpD8n/JVhfRyzX8Adlpt4ZsuzsHiSIeU7b7QMfSHtXmHytax26xWsYh9UUoBuMytfoTAWC89ptdIbkvKk8jTPdCC4gM9sSxjYjffrXNMNNIu2j2gQLBeE/mZpeoaLq1nZ6docbwzxsRIynkSGp1GUzhKMuGnoOzdR4+OzJX8r+fbvSIoLTWbO5hdHBgfjyVF7tyG9PniM/hyESGjV6DxQZRI2e9aX5o026hSdLmO7gmKqtxCee7Gm9OlMzBkBdJPRTjzZPcQwTxOkEod13de4rk+DjcMzOMsE1WyLRXMKkc2BKe5AzCzYDEufpcvEQXjOpSPDLNEwPMAqR4Hxyo4y9HhmJClTSb5bi0GmSqJQyvHMrCoZXFCCPDc5D6CJdWGfTEb3zfij+eX5fxfl5+ex0hbYpp9zqlnqGmCnwhbmdBt7Kds9W7A1JyYBGRfOfaDR8Ga+hfWf8Az9esnvP+cg/IFogLtN5H0xKL13nuM30yMcSS67s3H4mQY2GflTpa6RaafChVEhVUFBTenXPO+0YE5SSeb7bpcIw6YDq+0PJ9xJY6jY3svJAHTlIvUUPY9sxsGc4S6vV4RngYjYv0W/LfVtLmYywmD1mQE8W+Kg8a9c7PsrWY8m8pPnXaemyRjsFfz/eaXHK+o3MEF4IYmk9Kcfu+IoSWPTMDtfJhEr5s+yhlnUX51/mV5w0jz5r4+t24nt9N5pb6fpkJYqCehKjOS1GWGU+kX7n0rs7HLSgXKvexXyjoXlnzPrZ8uW2iSQakpHCK5URtuf8AKIJx0g8WfAA52q1mXHjOTisPWfOP/OPer6O1lPpgia8BVjFGeJj32KsKbjN1n7Ny4QJRdBj9oMWUETT3SPzm/ML8ob230Lz4n6a0gRK6Vo06RE8QQw3P2cvhrsuIVNwc3ZOLWAzxbPqTSda8n/mlocOqaDcxXIlTkVJCyK1N0ZeoOZ2YYtVjHCN6eWnHNo5kSBp4d5w8lTW813GkLGNqmqjpnJarQZMcvJ6PQ9oicQ+SfOflZ7ae7luA3HbgCN6ZieEQ9XodVEvn/W4zal4yA1pSrKBVqZsME+MCHc7biB3eH/mh5aF15fupIFEqxL9ZsJaVNQPiUfMVzqeyp+FliC8h7UaX8xp5y6hOuH/WBH1evxf8ropy9/8AD/T787G93xy+nnT6K/5yQ0J9R/5zn/OK9ZecVjDYKpPUNJYw/wAM5Tt/WHHhIey9ltKJ5LRWraXDp0D+jurBGV69CVFV+jPP8MuIEvpXDwyAZP8Al4vLVIHkHOF1ImHYEdMRzbNT9L6i8qfmhH5fiufJc9nGsTSOdPvV+EVb4uLfTl/HPHiIp5rP2eJ5BIlkx1H6zbPJcQuBK6uNvAg0HzzWjVTMal3t0sMAaD0bTdKGpK17BSZSA3pkbiu5zpOz48YdRqpcBep6RaGOyoqvbTRAAODvRc3kBWzossbNsssfNeqWBjWe3+s2g+FZKUPvXM/DIA7uGdOcmwZPO2leZbOU2oWO64/3bbVODXaCGWFgNOGcsc6LwbXo73S7mW1miELICyr1qvsc887Q08sciA9Zp5RlAFjFrqTyc19ThToD1zE0+WXJv4Yy2Y5qmtvZzlbd2lmk2CDfMg5Zhy8enimOjJduglnUerLUsDv32zK0+Qy2LRqYjHuHkX/OTHk//GP5O+ddIiiBuhZNcW4PX1rX96D+GbXDlOOYrvddMccS+NfzntW1D/n29/zitbFfiuPNk8bp4MWvgR9Bzu9RL0CXk8jpMQy5xHzY35HjWxtLS1jjIAVEjT9noAds8s7RnxZpHzffdBp/C08R5Ps3yF5Uhks0JhRbq9+FlYbkHpmF4XEK73U6/WHHK+57L5a/Llo7u+DqYo4JxEqsvHtU/MZdg7NIdPn7XEw9J07ygkltG/xJ9XlZeS9wDtmfDswydPqO0ACzy28mT3FrxVuMhFQx7/Rmxh2FxRddPtAWxjW/LLQRPE3MyR9WpQHNPqeyPDG7maXXiReftpFw0cigVKn4QfDNHl0okdujtpZgeSAi0aWeUKoMTRdGGwwRhwsfETFLKROcdBzrUfPK6YTyJ9a2q+mkci1JOX4oW4pzUni6QXKbEBtqDNjjxOJk1BTF9PMaemg+R75leExGRj2raY720yvUih+XhkTjrduw5Kk+Ivym8qHQP+cuv+cgLjgscPmL8o9V1FI1FKvKIYpB98dfpzvPZ7Nx4yHQ+0keGcJd74e/5w78uhNN13zA8dWvtQS1jkPaKFAWUf7Js0ntHqOKYg9v7IaUDAcr9EZraOOwBlIjWlUbORkLN9zvccvEkYqWiWp1I+nFQiKQEsdzT2wRFs9SeCL6D8u+ctM8q29vHNM3qg0lAHUe+ZuHWx07y2r7MnqbkOr0a0/Me21do3gs5JoOQBJBDb/62ZB7Ujm2dJPsmWJ6hpslpfQJNCP3hqrIRTjWmbXSQjN1OeUoGkh83+W7W6s4bmS1R5LOTlzIBIUjcZLWaKIHEGzRazJCRF7Pmvzt5Uh5fWLaJjKGohUUABFKZzGfDZt7Ds3XE7F4bZ6XrnlTVpLvS3aNQC09ruUZep26DMQRMDs9BI480Ke++V/Nq6jHFqCsYpCAs1u+9D0IzP087eY1mi8Mlk+vODb/AF2325A5HVcw4em9MqeNeZwOUV9wKQyRkOwFakZjz73pdKxPyzOs9zeMpKFD8PIUNPEZGMeKJczVbRfEf/Ob3l5JPM35bea4YwC13DZXM478Jo5Er9IzsPZbVGU+F43t3AJYPEZx/wA/H7Jrz/nKL8upCocW/kKwloelRNOF/XnZavLUXR+zmDj1Dz/yjaRQweutfUtVDIhOzE9qZwuslxSfXrqIi+x/y40s6/psLTMsQMgEu1T/AGZhVxOg12bwTsjNZ8yaj+XOqzy6H61xawfu5JpnAUEdab75XG8H0lyNNpcerx+oPMdd/N/zR54drBpLuTRrp6XYtyF5U/Y37fLMfNqjlFAu003ZODTgSAFvrT8oPJ2l6XpcOqNpfoWlxGZJ7m5VOVVFKeJzc9j6UYt5PH9vauUsvDAvG9c8rN5g886xrXluB4JbO+LW+oQrRkZSAKEDplUI1llOHe7jDnEdMI5OofQy6z+YN/otvZ3NnDdX8NEl1hm4clAqfhI67Zuhrs8obh5kaPTiZlbwnzF+XmtebdZuZtTnn1TULlk5SykcI0UgKiBeg3Oc9PJlz5KL0Gl1uLT4aipwflz50/KyaHzLohlitY153SRkmKqmgDr03GZ0ceo0vq6NeTX6fXx4JjcPq7yprll540eCeakeoRRj6zHTZmpvmzhmGqjwnm8nqcUtPk9P0vIPzN8q20sVzKsAaTrLF7DuMwNTphF2mh1E+98C/mF5be1muGtqRGRKkZgaaFTe60mTixAl4/p1tHqdtqGg3iFZ+DC2ruvSpAPyzdQyeHIFo12Hxcch5Jd+hT/0Jn+gvRf1v+V/fV+Fd6forj+rOu8c+FxeT4v+XH5vg/pPrf8APiyjb/nK789LsFRKbnRYhXrT9GRGucn7UvbeyAHg2hrTSYdRj+qXToplU+mzUpypTOGgNqe0kervLWjzaJqDWtwSWjIETLtyUHZvcZl6eJGxcXNO00v7M3Os3jep8bEMm9KMPDwzcYcXEN3AnloPoXyTqM0FhFYaswu7eKnpXDfFKtOgLdxlOfTAiqdZlnvYew6TM2lzK9lOHsrihMnKoUncg+G+YekyT08/JxNRkExT2/R9St7i3WOdV9VlHQCtSM7fSyjkAPe6DNjkCSml7bxva0iWu1BTNqcAEbcSMyJc2G3K6jp04urBz8ABZamn3ZjC4nfk5JqY82K+avMcGqW5MyiO/gHFnO2aPtoRyQNDdzuz4yjLd4XN5haC+ZRInEEgkEdfDODjAwk9ZDBxC6TPTp3vZ2nliCll+AAV+45eDbZkHBF6fpCAxV4g0Xwza6MCnRamZkgfOlvby6TewXKqIri3lR6gb8kIOZGT6g14OT89fzbt0j/5wS/5xhso46xp+YWoRKKdAk+ogfqzuMx/waPuDpey4j+Uqra3j+jTTafDHMp2RlIr7HrnmupP1Drb7nCjiA8n23+UvnK21HUNEcqrvbNCJoSfgdU2JHepzH0Q4ckTLkC8l2tpZGEq50+5df8AMXlC9SJrAzRXCEGZYkKGtBs9c6jV9o6QxqI3eG0unzgkSTTSvNPlpUWEhrZKDiZeNCe/44NJ2np632cfPpc/Ea3eh6Pf6fegNAQwPRtqH5Z1Gl1GPNH0l1+bHPH9SY3ekWl7HJzjDKwINQMGXSRn0cbHqTB5frvk5Y3rpp41FOFOuc/2j2SKBiHbaTX8R3Lz5II5TKWjEclmTHPGooTTvnODCASCHcnLxDZLJVt1lZl+I/sjxzSyx7ttoqGWEFSUoFIqcuwRoop6JYpDNFHIoFKdds3uniKdbn2R4sVY8qAjrXNjDED0cfxEl1LT1ZHAFQe1Mlm09gbMo5afKNpp6Wf/ADkLr96qAPe/k35pR5ANz6E9sRU/7M5tvZqPDOYau2piWOF9789/+cToFi/LWzYAc7rUbtyvcfEtDnMe0J/wovoHs2f8D2732Jd87rTkjKmlDGp/yh/HOfxEkF2uMiOQlJfK08trrFtFz9JZHIkBNKU8csgaLZrI8UE7mu7m+1O84yqpZjHHI26rQ9d8x8kDKRceEhHGB1ejeXLvQ/L8xln1H9JXcyiOKeZzQOdyyoDtlmIRwniLqtRCeXatntXkDzFfaROtvqV295ptzMZIriQ1ZC/QD/JzZdn64wyb8nmu19EJj0830Be3UF5aywHjIJlB5ilCCNs67NqI5sWzyscMsc6eRaharNcNaNEGETUkUjv2rnKzB4+F32ny8IYlf+ShOsly9mC0lVbiP2ffK8mhkRbnY+0OE1byrWNKi0K5SS1hMQqFnEfTbpsPDNaYnHJ2mHL4vPdN9P1r63atbympDcKN4dQae+ZcTxDdqzYeGQISDV7Zls57aR1MYasIPWp7DK5Yy5GHOeJ54bUR3YjR/TEw48lNOm/bKhEg07wy44W+Wf8AnMG3VvJflQF+TJ5m05Q5NSAZN9/fOg9mNtXTzvbg/wADkyf/AJz/AI1b/nJXymxofS/LvTgtfe6mG2dt2qaGzo/Y8Xk+Lx3y4zJHspPwCvz7ZxGY831GX1Ptb8ipoLiDVLatZFiEnAdSQKdMGj3u3lu3hTGPz1sJVttKVFItrq9VZ+Ip9obdPHLMsBwuT2Jk2slNfI35UX0U6GzKyWbQLcMVIHBxvTNfDQ+Jk2NANuv7YERwvo/Xfq+kaLb3M2py80iIlt9ghIHRabZma6RxwoF5/TyOWd1afflVHpt/pc0sEJQ3DFmlZQpqx6++bnsHHHw7Lgds5ZmYAevX2miKwHRVU7yVpWopm/y4R4dh1OPKeKi1omgWNujXjxiSaQji9AQPDKtDp4kE0F1WYiOxRv5iaQs/kq+t7QJG1yrLPBQHknKtfnXMntTS3gcfs/UHx4viD8jPNSXPmXz35QR2TUfKFxE6ux2dJhy4+/E7Zouz9MfDNcwXou2ZfT5h7x52CXmmPfJSrJ+9p2oKGv05ka2IGNwdBI8T4H89WYupZeRoGUgE/POYjsXu9FM0HzPJbnTtaSVKlYmqxHSnvmxjyDk55GkbyP8AyoCtTT/oYn1fT7U/QlaUzsq/wS/J8tofyh8Xvf5+Xip/zl1+d9oWoVfRJGXxrpsQqM5r2pieHi6U9B7GZRPHwDmh5J29FXi5KyCqmm9adjnn0MwIt7vw+jPvJmn22qWayXUsrX8KcFkaQlSQeR2zP0+aNbut1YONA+ZiNM1FdRReMU1Eoelc6LBmiA6jJdMz8oazJcuI1PqxSsCjr1Vh1G/hmVDFxkl1051b668reU7rVrAzxRFh6YMiHoQNwTTvmRHskZRYdJPViMt00sb+fSrxrKYVIY0LdTQ70zDxZZYJ8J6OZOIywsPVNNvo76FWEaq6qdgeozq9LnGWNPP5onHJJddlSG2laoBNRt2PvlWrO1Bv0po2XyF+YGrzWvrytKfQcEbEDpnO6qBA3ei0sRlPpfOdl54gutTVJajixjBHegNCa5yushwyp7XR4LxPb/KXmeS4k9KUAWwKj1O465jAkODr8W1B9EaNdQOFSPcSAcW7Zs9JlAeZzRMRRYv+YF466ZfJcSBLW0t5ZXkHUBFLH9WXzycUwPNOnGz4Q/Ma8XUf+cEP+cXrtWCJc/mLetCW8Hn1GlaZ3+qhwaYeQDoeycgl2lfmWI6T5etda0sW6t6FzCtDNWnxVI3zynNqIeOQX3CMuGITDyyuu+StctbO9Z4IGcNb34qY5Pi6Bh3HgcnLNHkHHzShOJfpb5G1Cy1NYG1FPUaSnKam+4HUZm9nyhx/vBbwHaWKcJExL17U/JWlavZv9VcRFByjencCubvU9k4c8DOOzo8Gty4p1J5louv6n5X1pbOeYy21tIUam9aGlaZz+n1ObR5KuxbstVp46iHE+mvL+tw6zAJoplavVBne6DWjUDZ5HV6fwtinV1YpJHz3Rl3Vh1rm4nASjRcPETE28E86WU2m38OoIPgb93clRQMGPUj2zhO2NP4JsPUaOfiimG+jHLMaOOLiqUzlqBdqRTntmRwqbg/aycBRYxlbKtLluUQgmsYGy5u9LjJDrtQzO1uVZBU7AfEM2uOQcSWEje1936aRPLtRV5EHwGZoohpAN0+MX1eC7/5yU1fR0YVs/wAlPNV1Oo6gXFzAEJ+YjOZXYgHFOTHtiJMYR8355/8AOJ8gu/yuhhgqJLXUrwOx6j41YD8c5D2jHDqAe99B9mMoOk4eoL7e0qxlu7CVJDwdo/hI7OO4+eaLFGgXaZZ1N51N6tleGR5D9YichwdqHoPwyPFTsQOKDEPNut3ml/UrmNnSG4n4u6/zHx+eJHFVJxaeJFlNPLDnUb+2ubiWQo7q9A2yivTfI5MXQtWoMYwID7A0uZfqsFrEPWlkoYCT0UU/rmRCAAeLyxkZEl7Tpt7dWMUEMkfqxyRgiUkkp7ZnYcs4nfk87nxcUyWUxWcU4jn+yxFDJ/MfHNzjwRy7hxzLgTO6h9C0I2krTkCP1ZspYYjHThxnI5LfNnnr0LKa5k48nYMYF7cj1rnGa+Hhzex7NlxUHzho3mJkvb2GQCO4tJCQpPUE/a+QzG02TienyaO4W9LvtVWfSxcBA54UJ9/HM8nZ1mPCBN5m16qXkRkkDUJLU7HMacN+J3Zh6aD5H/5y71m2k8o+U7ZbhTPP5nsfTXxCOCT8vizeeycDPU8Q5PNe0f7nRG3oP/OfEgP/ADk35GgY0M/5c2Df8DdTZ2naceKNvP8AsfkAyEPKdOhMJjKSoUoOVK7/AIZw2bckPqsY8RfTX5ReZYtIv4qEBZ3W3kFNzzOx8KZXp5+Gd3Qdt6WUxs+wNf8Ay/tPOXljVdKAX17i2+taTdqKstzF8SAE9iRQ5tfA4o1bymHWnDkAfEsH5v3nlu/isJLx7eW3ZoZrYCpZweLKadCCDmtnhy4ySC9kOzYamEZMln893Xm5nLyyRxQiNLe24t6crM27liKDjTtmDk45C5Mzo4abYPojyP5ltF02C3s7oSpB8EjoaH1F3ObLR6zwQI28/rtHxS4qfUOlSLqujBJT6qFQWB70ptnZ6afiYebyOp9GTYJno17Z2cDW9wRBbwtwiL/Oo/XktLqY47BDXnwynHZC/mHdXdv5cnvbBRdKKxsh6Jz3B2y3tLUXgsBj2ZAHOAej8xPyRe80/wD5yQ85RNG8i+YrKSe5CglVMMiKK1/1s1fYWXiEuLZ6vt3FWKM/g+xtfmNlHeaZMVf6wW4qDUqCMx+0NTCUuEOq0Ed7fD3nKGRbm4WRhJFCzEqdgBXxzQzhwG3t9FyDwG4FmuuILo8bearSOegUGm+Z+H1gByM/IlIvrVl/yoP619YX6h/0MTx+sUPGn6I9Pwzt/BP5bh8nyrxx+fvzZ3/zlFrK6X/znd+ZlrI4RNT0/TEIPeVLCBxT/Y1zSdvYPEwEuz9j83DmMWbafdxXUMPAdF+JT1zymPMh9QJ3Zr5SvPqlxIK0UPyofuy/GaYarBxxZF5z0z9KaMtzEKpusi9gT0Yewza6TUcZp0OXHWzyHyfrOrabqQspj++gl4hhUAiv2hv0OdRhsQt1maAFv0P/AC8/NSDStOSzum48gEkfl/MP7M2Wl7QhigbeZzaCWWWyIk1601Ge8uywZgTJAysO5r+Oc/qsglMzHV2enxmMeE9E70LzjDbkM0iK67FC3bM3Q63hLi6rSWhPPnmhLjQLyezuY4ZhVgK9duxrm7zHihbjaTDc6fmz+Zfn+6gs2hluXcFzVeYJBr45z2ryXQet0Ol4ZF495R1u41fVi0bFljl5SA9M1XaenqPE9LoZUKfcPkNYpIInIUryHMHvmlLha99K6MLSOGOVZOLKNlrtmy0cLFvL6rm8K/5yi84W3kv8n/PWtzTBZ301rS0TuZrqkSgf8Ec2GDDxaiI7y4ksnh4pS7nxZ+al8+n/APPtD/nFy/QM7W3nOa45KaH4Zr5mofoOd9qY8eMR8nm+y83DrOLzZt+XdxpepaRZXh/eLqNvFPGAdiJByFaeFc8W7UwVqZ0+54JmeKJ8nrhsYTCbWa0F3ZMatE24XxZT2Oaw55YufJpluWZaF5x1PQI44hdsdKCiIXMg/eQkdA/0d822k1niCxydbrNEJsn8x/8AOSdt5Kt9P0yC+TzDqurr+7jjloIY6kVfbxGbca/LHEeHd0+PsOOXJZ2Qel/mrqGrzx3l6dPmQrzkh9PffoA3Kv0nNbHU5ZH1Bz59mY4jhD6C/KvzxBfX4hjItXlf/eYvQH5Z0HY2tqVPM9qdnVG31dLd87cMrmjjf5jO83mAXiZCpEPIvPlzELZUmkHAhhQ++c327IRG70PZTwOw123SaO2klpLC7JyJ2IB2zg+Ld6SeLZmst7HIYvS2NB8QNa1y2J3cXhplmm28zxr8dAw3zotFydXqE5MElspIJI6tXNiYcO7jifFslWu6yltYT8juIzRQaEnMfNqOCBcnBp+KQfmp+T3nZvN//OaP/OQJRVNpof5VazpNq4bkCtrHByoa0pzZs6TsHHenM+91HbU6zRg+H/8AnDDzvHbah5j8p3L9XXUbdexBJSQD5VBznfarTCERkew9kc3GJx7n6jaTfwLEJGk4o32DnHxlsPN6SWM5Aa72JeaLGC4lkv4CSzMA6J3Pjlcx1c/RZK9JYxqej2+taHcafMAZePwH9pW/ZI98ccrsORly8MtlX8tdFnjmS3uow/Fgjq3+TvXACTKi6vW5vSX06VstP1C1a3k9NzEeUVfs0p298y9gXnYeu3p+m60ktkyvIHcAH5U8Mt8cAV1dLqNOeI0yfTdZMsKvG3KOP7a9q+2bPSZJCN9HAOnN7so/SsU8XTYilPfNzjy8cXGni4JPBvzIsWe3la2YSyyBmZa0IB7ZzvaeK5PR9kGyHwzdm50/zMHlUxrPyjep2oDShzW6bHw2+g4hxQp6Raas13Yx2qvs4P2em2Xg2HW5sHBJj2pRhLqKUScYhs3vTrmNqZ8Idhp5iqL88P8AnKrzPa3vnryV5ZtpAVsJre7uFB25yTxqoH0Z3nsppBEcYeM9tNXGGPw+99F/8/ItQOn/APOUn5UOZfRjl8jWEMj9NpJbjr9IGdJr8VweQ9mc/BqeFIdA9K4tIWIBf0058egbiK/ec4DPCpF9mjOo2zzS57rSp1uIpKQcldh2JXpmvnYLjSj4+z9Kvya83WnmPQLZVlT69aIFaM7Vpvtm37MmZc3zjtnSy0+S354f85SeTNO/Lv8AOm88ySrIvlTzHYPrVtbqCIUuzWOWFSKb+p8QHvm61WCMgHfdidpTlj4b5JP+V/nBXsbS1t7z1471UEKsKhnBJVVJrvvvmhzYKPC9Bnnxx4nq1ve3nlzUJxCrwTXMga7gJoVZhSgpUCpzV/lZCa1HJB9eeQfO0trYWcF1dCVpQCyM26hvbbpnQabVSxARPV5HtHRxJsM/8wai1gkFxMqzWd/uihviDdjmdq8nhQ4nAw4eI08v81/m7N5c02606USag+or6dvCCAFp0rXvmsPbE+DhLn6bscnKJB89/kPYX+r/AJra15mnk9GOBAjxdSPVbkQSPAAYOx9RkyTkJbB2ntFKMdMMfWw+tNd0aGfUZbt7gyKrMatQdvlmdm7PEpcVvJYMvAHw9+bgitdTukjdXtzXmn+1mHnwCIp7PszMZQBfGvnXXLfTdJ1S8lk4LaJKfV7gHcD5VzP7OwcRAT2rqTiwyl5MJ/SVx/0JX9d9T4/+V2+tXt6n6D51+/O34PTw+T5D+a/eeJ5so/5+D6zN5f8A+c0/POsRcuVjLo8rAGhKfo23DD6QSMw9dhGXCQA5PZ3aH5XVQN1fN7D5F1601fTbTUbcs8V7EkkbA1AVh/A541rtKcGYk8i+6aeYzYxkHV6ppr8X/dqxBJPKmY8W2RekaXdi5i+oTsBG44n1D8ND89ss0szEupzY3n+reWW06/nuYXW89EgxzxN+xWvEgeGb7FqyBVuFPDxdFC483Cxid4rhkC0BikBBoPY/Tlhy8QYDAIdE10j81GhsiElVlk+2XHxDj0Ar0yPibU1nTRu2rj8ypo63FrKJGO8rM5FB3AAO+DiPRfysTzeXeafz11q0huLZZEvoZwQLWWgVB0rt8WbPBkykUSaa/wAjAGwKfKOu+abnXLt2MjFmkotqAWFT2AzJ8IQHFJtxCRlwh9J+QvLkWh2FtPPEpvb8erK4IIUHOP7T1kjl4L2L0mm0/DG3015QuvqgJB/cED01J771zGgXD1Yt7lp15OwhZG+BV5MtevjXM3FKUeRee1MY9z8zv+fif5vSM+g/lbYMEMipqvmDi1TRD/o6bHvuxGdh2BpSZccujy3aOpABiOqP/OqYr/z64/5xlkQbr5quytO49S/H6s6vI81p5cOYSYZ/ziz5qXzB5Xh0g3PHUfLkqwXER+ImBifTZR4Dpnlftbo5xn4kNh5Pt3s72jDPp/DJsh+gWm208VqTJJzDipQr8VSK0zhMuU8O7fLODIqMlql5FLbzMFc1CsRVGB7HtlOn1pxyrk2QnbwnzV+WS+ZL+1ig1RdC8w29Usbmfa0lQklUdgaqR1rnZ9m6vHljwE0U5tvWBswi6sfzQ8i3bW2r6VLdxQGkd/aMLiKRB0NYwdvnmwz6GMd7Tp9TinsRu9Y8h+c/NtxqOnSaVpt8buG4heRURhxHMVJqKAUzFx4xiygxLDXQxyxkUH6cXn5kR6QLVZ50ljkt1eY81qrkbg0OdhLtiOKAAL5yeyTkmaDwfz9+aEd86QwXcfIH4akUp75zPaOt8c83e9ndjnHuQ8PufMxNzDEZOLTFyspPidjXOc1OSuT0+LRgjcPWPKfmGSWSO3uZzI1FVWB2oO+YeLUS4ubqtfpABsH0ho2qwmOOIcSQOpIrnVaLVgDm8bnwS4mSG5WRGJIdAN++dLgzRybnk4mSBOwfKf8Azkr+ZGneQvInmTzFLdR250qwle2QmhkuGBWJFA6ksRmtyn8zqBjhyd3oojDjJlzp+XP/AD7e1i71v87fzu1W8kkurvUPyw8x3NzM5D1lkkhLkEV7+OehafEMOGMBs8Rrcni5pS5vgr8ovP58hefNL1mR2Fm07W2pgHf0J6ByPltmD252d4+nobmnZ+zfaR02qAJ2k/bfy7qrXNpCwPr28iRyQyA1BR1DAgfI545OMsMjCT7LkEaEo8iGTSr6rFraStB8cTdD8sBJaQKSj054S1yIiFr8S060yyAoW2ykCKTjRtR+oTNdxLWvUCnL8fDLoVduBqMHGKV/MHm8C9jureRzcmMBgxABHf4Rlkpi2nD2ezjyT51F8Pqckgad2AWjVIHvgw5BKdEOJruz+Dd9JaTHbpYBYJFBnNXqR8JzqcGIcGzyGaRjPdbqVzNaoDA7emK71PWmTyxnGOwppAhOTwTzh5huW5o1wYySa18O++aKZnL6nptBgjEbPmfzXeQPLUOHm+IoQd/ozGmCOT1OlEhTLNDsZ7fRVv5/gIX90OmxyURs1amXHNhHmHXbWz0u91C8nEdtao0skhagAQEnc/jhxQGWYjVt0QMUDOXR+Mvmnzjc+d/zTg1uZ6rNrFvHbR1qFijmQKAPA9c9U7N0nhYABs+Ne0XaH53UmQ5R2foN/wA/aLhrb8/Py+ljk9OaLyHpbxEGhDLPOcz+HiBBdbpshxZBMGix/wDKDzdb+YvLljeRlGuTGq3qVB3QUbbxzzztTSzjlJHJ9s7KzjVacbvfdMuYGBE9sbm2P2oPH5eGa2NHYuRlicQ2L178tvODeUdQjjErR2Urho5yd46/st/XJYshhPbk6ftTTDPC6svcP+cgPK0P51flDdw6XZR6p5s0Mi+0GxFeUwFDLHGy93XcDxAzs8QjnxgdQ8VpDPSZiTyL8ufy01yy8r6xLpGverpv1ecmKylDK8E8ZqFZWoVIpvmt1uEY3s9NqvGjs/Qr8tl0fzo9/wCY761e3tUCT6jK3ERNxFUNT2PemY+jAMuIjZwNblyYRwgsqurq21/zFIvlpyum6dHH9ZuuACIBvJv7gbZVn0/jZrjsAsBwYbnuSyXzb+YOhT+UOFrefV9b0xTDaPxWsjE/BUN2OTz6oTjwHm06Ps+csl9Hw554/P2z87apLo1to7aVcCSO30crRpXnVaPVou7N0HhmPl04MRQp6HR4jpZEyL65/wCce/KWp+VPL4v9XZv0jqyia5MhKkk+7eAzP0WlOKNl5vtjWw1GQgcnsWva8LWwuLi4iBWFXJPPr4Zmkumw4uKT85fzE8ype3V7ICUBdm4s24X3zUGMp5iOj2mggMcBb4F/OHznEdPbRl4tJqTEyKDX90pruPelDnX9naYAg08x7Ta4HFKALPOCf9CKerzWv/K660r/ANqDpm76vnNbMg/5+Wr/ANZc/mUpO/1fSHHhT6hAP4ZThkBEiTZKAMjL5MB/5xy/MUQ8/JepXYEocyaMzH7SdWjr4jsM4P2m7JnkAnjqg+m+yPbAlDwsh3D750i+R0jZWqCM4KHOi9/lxmIvoy60uQxrUgA7+OGj0cKcbRlwJ5uLjrSrKvRvCuGBmDbXDGAd3knnLy5q12ks9oqoCKcSSN9/bM/HqoxG7VPAZcny95gvdc8u3jWt0XTlVlCuaNTw6ZvtL4WYCubhTw5IpP8A4y1JoaCR46n4jyrt4Zl5tJHHG7DijJK6pjc8t9f3XNFlUSn95zJPxZPT5ccObkR02bINmbeXPLUEd1Dc3vK6nDclgUGgr4nMTX6sGwDs7PR6M4t5c31D5Z069niR5y0VvCoWOHcmg6dc5PJEZJ31dpLMKoPcPL1oZWjb4hHHTko/hlscJdRrJcItP/zD/M7Qvyo8k6r5m12YJa2EZa2h/buJ2FI4FG25NM2Og0082URAea1eUCJmTs/n18+eeda/MTzZr/m3Xrp59T167luJWY1VVP2I1B+yqjagz1DT6PwYRp831uY5cpI5B+n/AOelYv8An1n/AM4xMnQeZ7mv/BX+XTjbQfJ+dn5OfmZe/lz5ws9cgkJtZWWLU4mPw+g7gFqdypNc0/a/Z8dTpjEfXu9J7PdpS0sxxnYl++nkn8wtJ8yaRaX7LbXK6jbq8M8VCsg4ijr8x1zx/U6TgkYyG76VlxGYGTGdk9vLCyKpLBwiLAllJPf6M0Oq0sYmwyhko0w+/sIrmKTZJJkUtISK0A8K0y3TTjd3uHY4soI4T1eR63ea9ZoTpc5e0B+KCQsQfZdzTNx+emQKOzlY9DDmXnF7+avmDRrox3H1ixlcBRGjnt0p45usOI5v4vtbJaSFIGX82NfuzInrS8pCKuzmh+84cujnAc2vHocZNxDItB8wahqReWeYyL/u2prx+RzT5OKJ5uTkwACopjJr88uo1Un04l4Q17DMTNGWX6XLxacRju9U8s+YWhkgdy7iL4qg5qpSOKW7gavScQL6S8r+cI7yJJEYxOOzeAzZ6fUEjZ4nWaXw5bhm915ye1txEJAWlHwhdya5tI9pTxgQG5Pc6+GjEjxdH4Wf850/85CL588zJ+X+hXBOjeWrqU6zcRP8F3eqSu3isQqPnnons12fQ8bIObou2O0BCPhx5sn/AOfXU5H5rfnHtQ/8qn18tTueUJrnY6kiZHDyeUxyoG35kyzJ67MKqQ5JPvXIRN7T5N0quMo8w/UD/nEf86Ytf0uDyBrFyf07piEaTLI289ou4WpO5TPOPansg4z40B6brzfUfZ3tyGph4Mz6wPg+9LO7iKc6khlrnG8BA3em4rTOzlguo2jNRXpXLsZsNe930U5tPeEH0pwW/ZUilcmI7sznjVdUo1PRYdYjNa21/EoAlPwhvnk5Q4meHPSTaYuq+XruKsSoAf8AelTUfSeuXYYxiLPNhqZeJsHvPln8yEhWAXUxcV+MLvv9JGbDDq5RIp5nV9kmYJ2RHnf/AJyDsdI0WWCYW1nbxsa3ctAXoOidycy8naM5jhAcbSdgnisviLzX/wA5D6Vr1tf2ulaZqOoa5NMFsrqqrAyN1BiXk1fA1zDljyCPqq3qMGg8OQj0ZL5F0nVNRt4dT8yRejPMFkEBJbgo347gb+OUcPSXNzc044okB6frmrcbKa1gZURkAWMfsgCm2UTnR4erg44k+s8n5r/85V/nANPsP+Vc6FdkXkwrrkiU+GNt1j5A9T1PtnV+zvZJlPxZ8g857U9uQxYvCxn1EPhHyzJy806Az1LPqVmCfcTJneT5+nk+YwlEA31fpx/z92/8n15Cb/vw9P8A+T8+CO0rYSlYfCP5OfmS/lDWFsbgs2nX8oBqaCMnavXp45qu1tKMkTKIev8AZntk4ZjFI8y/TvyzrljqNktxbtVXQEAUI+jfOCx4ZCZt9Oyg5IgsgS+oJVlqySArt77DMeB33Y+FY3epeSPzG1PypJHG11PIkjqlpMrV4CnevT2za6PVZMZ8nUavsuOQEhl/mX8v/IP5sX1z5iNnZ6P+Y4RVj1CZA1neMDUG4jXYNt9oZujmjmG/N0OOM9JLfkxrU/L35p+WGg07UvLs2tWMkQht5tIKyWqy1qjfAQQo78hmNLTzhA07H85ps5HT3smb8wNL/K3yddacdAuNS80agjyeYL1YpGVpJBQKPh24LtQZRHjhCgN+qcWklqMu0hwDzfM9pceavzF1b1vL2lX9sZnAdZo3jgTiKBiXp4+GY0NLKUuJ6Ker0+lhwncvc/yk/wCcetD8m64/mXzdx1nXnkM9qV/3ntHkHx8FPUmu7Zm8vg8j2l2lLPYhsH1quq2Sp9XhK+lEKIngPbMvFk4vS6AwI3PN4V+bHnHTorN9KhuGLvX62UIqq07b4Zmnb6DCQeIh+Yn5l+fLfT1v3a8VFiQ1JNaitAPnktLpTKfE7zV6vHp8PGeT4T1rXJtc1W4v5iSsppboeqqBQD6epztNPg4YPkHamu/NZ+KN8L7F4n/oRDn2/wCV18vo/wAPVyXCbcW9mQf8/MZC3/OXX5ljp/o2kJUe1hA38cwm98EWWoT6VcxX1tdta3cDq1rcDqkgOx2/HKsuIZNpckw1OXBMSx/F+jP5I/nNp/m+1i03ULlbbzHYKqT2rnj66jYyR1/HPPe3uxDiyeJHk+x9g+0MNZgGMn1PrKGeN1SWKQFa1pnJl3dMxsHEtuoB3G4P8MEwSNmCzUbN7iI807UFMolimUgvIPMv5f6XrrO17alpFDLFKv2lr4VzI0MskJWWygXmEH5RaZYXwmuLd50Q1iiJ2Phy2zZartQmPDbEaaJ3ZfN5RsJWi42KxBR2UDfxzCOvm3Y4RgybR/LdvbseFtuf2uI/pkTqJzYzluz21tpopvRjt+SVpsNvnjhhITsuPklUbZvq2v8Alv8ALPy/N5k816jBp9jbx+o88hoBX7Kqtakk7AZtNLpZZ50HSa/XCEd34w/85Ff85C+YPzq8wtExNh5T0d3TQtKXbvvPL/M7Dsegz0rsjsqOmxgz+p847U7SlkmYw5Pmk+HSu335t8sr5cnUxjwg2/XD87yD/wA+sP8AnGQMevmi7A+h78ZUwfkhGXBBPwlagDxFe+EQB3PJvwyIOz7G/wCcZv8AnIEeRdWt/Lnm29kPll2rbSvU/VZCfhp/kE9fDOV9oOxIZrljD2/s97RCA8LMeewfs15Y87aNqUEMyeg8Eqf6PdJ+8EiEAgih26755pq9BwHhL1hxccePG9FvvyvuL/RU8wKHSC8+KH06UPzHWmYOf2fnHHxhwcfa9ZOGXMPHdc8qxWzQrHBxkp/pCHpy7GnauaOOQwPCeb0eLUyyAEPDfNvlWw1C4lhuodhThMuxBHUAjNtodRkwcy7XHIyYTY/l3pRm5etPIsRqVLVFPpGZw7W8c1fJyN8fxeh6Z5ds7fT5o7dfq7CtOlG375EzEw1mRJYNMFhvWVZOfsAa7YMewLnjkznQ7tUiJLCrClPDNLqMJzS2aM0bZVYecptJglCTJyQ0ihqeR96U/jmRp9NOIdZl02OXN8g/85Hf85b3Wm6LqXknypdM/mHUY/R1PV4HI+pR1oyIyn7bDao6Z6D7L+zM7483vfO+3+2MenuOJ+WdzeTXMstxM5klnkaSV3YsxZtySxJJz00QjjHDHkHzvLM5ZeJLmX6bf8+s6P8Amp+chI/8pRr4/GEYWp+YU9RPOB0EjAfecUcaceXte1Ty9q1prGk3b2F9YyCa2uIjQqw7fI9xkMmmx6iJhPk5Ol1s9PkE4l+vH5Cfn7pP5laXBYalPHYeb7KLjf6czcTclRvLECdwe+eZdudhy08zPo+ydidtYtdhAP1PpK1vzDI7swKP9nj2zmhJ3ZxEjdOo70XECqZAzpSjV3yRls4px0WQWV5DRUv0WSID4mHWnucRmHVpngkfpakfRuRuI5JIYISS1V5hh9OWxzCkDBMCilt7LoMlJFVVD9SpK099sP5gRNhJwTIp5x5k8keS/NELPqb6hOIq+j6Nz6YDdydj2y8ajbiIbcGDJE7Ma0PyToOkLJFoVhFbljRryQ+rKaeLnJx7T8QOdKPCPVzeiQhdJgRXmDtxqW3c1Yb7V3ys5bLinHKfq7nx3/zkF/zkLp3lS1utG0O8F35mmRoxDH/x68gQWcg9d+mdH2R2OdSRM8nTds9uYdDiIH1Ho/KvVNRvNWvJ76/nkubq4cvLcSks7E+JOd9gxRxx4Y8nx/UaieoyGczuUf5W/wCUn8ud/wDcpZ/8nky5ofp9/wA/d/8AyfXkNew8hacf+S8+KvyjjB3IqCCCGHbJwETsUx4gbHR9U/k5+cc2ktb6Fqk3FCRFb3Lk0Ir0O/XOZ7U7JN3B9K9nPaOJAxZS++fLmu2WsW6tyRFl+wWavb2zmMun4A9xIMmit2JEMsnONjVaHpToRmJDJRa5bhmflrXpNGS5sJw7Ws55fpFQTcxeJTswHhmxw5qdVqNGMm71jR/O2sCWOHRtbh1XjC0oDOLaYIvZoZyoLf6pzJmJgXGTqMnZ8B0XX3502wDWd96QuG4h4mQCTkQa8gQMxhq8wNFhh7OkD6Sx2P8ANDSraVnj9O0c/aVSBX365P8AN5O5yP5MlLmVe4/N/RIoHkn1RSZyqiNd3UjsN98zI+oAlxJdmSvZ5/5x/Og2Nux0+cNBOnEymqyAHrUVyQBvZtw9n8JuXJ8h+ffzZJ+syC+UxKtXlYty3HStczcWinlczNqMWCL4Q88ecbnzFOyRMxsVY8hTdt6750uk7P8ADgLfOu2O0555yjE+liFuefxdOIJAHyzaQNCnmhGi+56/9YEc+/8AyurjT/wX+OR/ibOjL/8An5faKf8AnLf8xSCAWtdHPzP1CIfwzCxgFyH57zWR+EddztmVPHGuSg0qafNqek6hDdabJJb3tsQ8E4JUofEHMfNp8eaPDMAhu0uonppceI0X3p+U/wDzkXYGC10Pz/ILK94cINeUkwSFe8+37tvcdc4DtX2Xq5YXvuzfbKEiIZti+6fKuq2Gp2dteWF0l7ZT0Md3DIsiGvaq/wAc5HJpJ4/TOwXq46oTHHA2D0elLbRyoEFHDCoY75EYyEHNfPZL7/QTSqbMRUD3xnjoc0wzb82Lv5bu3dqxk1H2qdDmCMVTs7uWdTwi+aHTQJYpVS5haVR0kH6st8Ilj+ZEmU2Gh0+IokagVINNh75k4MUpHhAcPPqYw3Mnjv5k/wDOQP5bflcl1Cb+DXtdhBEeg2bcmMvZZHXZBXrXN7p+xckyHQa7t7Hjxn1Py0/Of85vPP5zawt95guBa6TB/wAcrQbUn6vCvQV/nbbqRnd9ndkwwQ4uHfvfPdZ27LPkoHZ4TLZyNIzENU9Sc3GO5R9TRLJjB50sFi9dwcthAXyYGcT1frZ+elqf+iW3/OMSKPs+aLon2+K/zHkBx0h+TosWNaqSQSOnvmTOA5UwujzpDrDLG5EZAJbo3So6VyAxRO1MDw3xXuH03+UP5+eZPy0dNNaWTXfLjuHksX2mhJI5GByT9x2zmO2OwI5STAUXtuxfak4QITJIfrn+T3/OTGi+bNIbT9K16K6tnVT+iLxzHeQVAqAhO5B8M4nV6PU6ceGbIemlm0etIyRIEg9d8zTi5jtbq0kquxuJ235GmwI9s43W6ECV1Rd3oTUebz7zDodigtprS7E6zqGnQ7GNj9oZGOCQc/TauV8nnepWiWxk+pTsaoeRrvt2y6OmB+kB20c/H9QSKbVwU9JT6ZWPdyagt8sn+UyHk2CALBrq+RLhZJGHMEjY7HbM7Fpzk2iG8zoMR1r8xNJ8tB31HUI9MSvxMd3IHXio3OZ2n9mc2eVgU6/W9qYNNHiySHk+TPzN/wCcgNZ1/wCs6L5SluNL0+Sok1Z6meRfBB+wDna9m+zuPGP3kQfe+adue1vjkw08qPeHyhPBNNIz3EjyyOxZmkJLEk1JNfHO1hjEYgAPns8olImUrPVR/R1e3H3OHww1nJAcjb9NP+fX1pJB+af5xFSaH8p/MNWXpWsFMjKICBliX5oTWD+tN8B+229PfJ8AayYnqsXT5CRxUqfHHgC3EeabaZPqui3UN7p97PY3lqwktru3qJYyD1U1GVajTw1EeHILHm5mn7RnpzeM0X3b+VX/ADla8a2+i/mJbSI8aBF8xxCqn3ljFaE+Izg+2PZLczxbA8gOj3/Y3ttGYGPMdx1PV9oaF5r0jW7VdR0HU7fUbTs9tIrUr4ilc4bJ2VqMR33D32DVafUj0S3LKV1pzHwMnAOKHkK18RgGlrm5Bjwo2z9KcP6s/Ko/dpWin6MgYcJocmsz96rHbQAyByAQPgXtjCO/JeMeaTiJYDNGpG+9AcvIyEUG6MmDeZPO2h+ULRrrWdVttOgQ8v3r0ZvZVHU5dp+zcueNCNNWp1WDCLyyfGP5r/8AOUV/qlvd6R5Ft5LSBybd9eduMpB6mNO1R0bOw7J9lCCJZeXm+ddse22PETj053O23R8P6hDqN/dSX12z3E0zFpJWJZ2Y7kknfO9w6eGEcMBQeA1GvlqJ8eQ2UCdNlclmBVj1rXfJ+HFpOeJ6J55bsOHmHy4ePxDVbOpp29dBXEwC+NE7U/T3/n7ZYib8+PJDFa8fIemitP8Ai+4wRiCl+UC2TAuvE8ajbD4YSJECl4snUgqCpBqCPHJGIOxWMjHkXuH5ffmzrXlJo7DU0lvtLDgNL9qWMn59QM0Ou7GBGwe07H9spYCIag8XmX3X5B/NTQ/MsYNndx3XpkJ6bfDKCevwHfON1nZWSBHCHv8AT9p6bUx4hKnulqlrNG0iSE+puBXevhTKI4zj+plLLf07pdqWm+rGDbMElBqATRwfGuZHhjnbDY82BeYtO8yUDLF9c9ACsxNW2Boa+2WY4UebZj4I8njWovrhlci1kLdCeR65mY4RPNZzSOWXXHiIlTgrNxDsaMhX3PTM3HiE9gHDzZpQFvNPMfm620lLi2uNSe5uYlPC1Ri1T4cqkZtNL2dR4iHRa/tuGOBsvn7zDrmq6/cP9YlMdrQcLNTsP9bxObWGHg5Pnup7UyajLXEaY2LSRQUXlxbqANjmZGcq3Lg5SRIgI+HTW5UVDQg1AHthid2g77vtv6qf+hEeFfg/5XVy9qfoDJfxJ6Pr/wD5zq/5x4vfP3/OSHnTzGn5tflV5RgvLfTVGkeZvOOm6XqKelZxpWW0uZVdA1KrUbjfMLGacmnx83/OIM5Hx/8AOQ35CLXoZPzB0Y/dSXMiU9uRWlaL/nDsKlJP+cj/AMgWbxPn/R/+quQ4vJaXH/nECQA0/wCci/yBPh/zv2j0/wCTuAGBHVZCNi6t6p+XH/OKX5zadKtx5B/5yB/KV7Ja1h0fzvYXcJP+UqM6ke2aLWYdHkNTMR52He6LPq8e8BIj3Evs3yN+Wn/OQemQpB5j8yflJr6xk8bq180w28jEU+0qo6knua5o83ZuiPLLD/TD9bvMPaerjzxTP+af1PbNJ8gebnDfprWPI1s//Ffma0lFfaoU5rZ9laf/AFXH/pg2jtLKTfh5P9KUfL+XuvR8203zD5Mneh5ovmG0U/SeTbfRmIex9OT/AH2P/Tx/W5UO08nXFk/0h/U83138vvzZlSYaFqf5YQ3LVEct95tgAU9qpHEa/fmfg7I0g55of6YfrcfN2nqP4cWT/Sl87edP+cbv+covNFrePqX5+fll5c0wrSezsPMsFtbD/jJIUDnbxbOj0mi7PhEfvIk+8free1Ws1c5HihIDzBfKU3/OF8byTrc/85RfkJFP6p+sGTz7p5f1O5ar8q/PN1Dw4xrHToM2PHKV5Cbbh/5wtsU5V/5ym/IB69P+d70/b/h8yMc51uNmMY6YfSd1Cf8A5wv08ytX/nKP8ge3/TeaZ4f5TVyZmOgYTx4Cbkd1Ff8AnC6xBFP+coP+cfvCp/MDTz170DYYz35FAx4AfSd36Gfmd/zjza61/wA4K/kf+W9x+dX5Y6VB5d1+4uE8+ah5mtYNAvOTXdEs74t6czjnuoPY+GUSPrttfAB/5wo0jk/P/nK//nH4uWJct55sK1+iTbMiU/Irw4T9Z3Xn/nCvRyhX/oa3/nH8bU5Dzxp//NeR4z3FHh6XqVBf+cJtKr/61l/zj/07+eNP/hJkJzydzfeERqHJOtE/5wmlGoWraD/zlp+Rq6gsgMA0/wA7WjTFu3Dg5auYuXwZCs1Wz0gEAfDMjv03fYflP/nGz/nI/wAvW4ST/nI38rNfs2K1iv8AWfW+EdaShRSo9s5rV9m9mzJ4ssQfMj9b1XZvaWsw1WKch/VP6nqtj+TXnXm7a1+Y/wCVr867WnmZVCn2DxjNBk7F0R/y+P8A04/W9Vi7fzjlp8v+kP6laT8kL1zWT81vy3gUndT5it2/EgZjw7D0oO2fH/px+t2I9o81b6bN/wAq5fqYHc/84/aiXkNl+cn5TFizH9/5ohXqfBFObXT9k6OI3zQ/0w/W4eb2h1v8Omy/6SX6nnGv/wDOLn5gaoZFt/8AnJX8l9FjZ68YvMCs4H+U7Gv3DNro9DooH05IH3EfrdBrO2e1coqWDJH/ADZfqeE67/zhHZSXzy+YP+cxfyQF8/20u/Nlqkg+iWUfqzqMUoRFYw8drxlyb6kzA6WCPvSI/wDOEHlOu/8AzmL+QNf8vzdZV/CbDKUj0dZDHhB2K4f84PeTWZfX/wCcxvyBB/Z/53C0r/yey0TPc1nFp75q3/Qjfkg9P+cy/wAg09/8XWh/5nY8Z7kxx4RyL7H/AOcKf+cYfLP5Z+fPzA1TTP8AnI38qPzGm1fyLqulz6b5W1+3vbq1in4Vu50SV+EMdPialB44JSZ1Do+N3/5wZ/L31Xr/AM5ofkGDzNa+a7KvXuDcYeM9y8Gn6lVP/ODH5eMKN/zmr+Qajx/xTY/9V8ePyXgwD6SsP/OCn5aH7f8Azm1+Qle3/O02P/VfDxnuWsasv/OCv5bBRT/nN38gwvYHzJYH8frOAS/nDZjwYAbB3Zr5R/5wfsbe5STyd/zmp+Tr3KNWumeZIZCfH4Ip2HT2zVarHpskvWQB7w9BosuoxgHCJmXSgSHvmkf84sfmJp9Evf8AnK38pdTgDfAbi/UyU7/Esq5pNV2d2fL/ACsR7yP1vSabtntbH/kMh/zZfqeiad/zjxrsEgZ/+cgvyluNtwuqEfh6hzXjsjs7/Vof6YfrdoPaLtGvVpcl/wBSX6kzn/5x/wDMBB+p/n5+VEZPQvqTPT6OYyX8k9nDlmhf9YfrRL2h7QIr8tk/0kv1MB1//nFv8x9VilWL/nK78r9JhNSRBeKux7FmkObDTaHRR/ykT8R+t1Wp7U7Ryf5LIP8ANl+p85eYP+cG9AmnaTzd/wA5u/k+lw5+Iah5gt1Yf6okuUA+7N7pY6eB/d0fiHl+0JarIbzGY94IYm//ADgj+VHOtx/znH+RoSuwPmKyO3v/AKYBmdkJkR0dJCGm79/euP8Azgj+S52H/Oc35FL7jX7D/styfGe4s6xrD/zgf+T/APuv/nOb8jGHf/nYbEfqvMPGe5axo/S/+cE/yjg1LTriP/nOL8kZ5YLiGRLePzDZFnZJlYKo+ubkkUHvg4z3LUH2n/znJ/zjD+X35t/mh5f1/wA1f85Mfl1+U15ZeWLLT4NB8zarbWl3NFFJKy3SJLcxExuWIBpTbrkYypL4nf8A5wN/I/b1v+c7vyVH8vLXNPP677JcR7lXL/zgb+SfH93/AM52/ksU/ZprtgB+F9jxHuVtv+cDvyb4n1f+c7PyXCd+Wu2BH432XTykjcFnk8HojtI/5wQ/KdLyM6J/znb+ThvwQYja61YNLX/JC39TmHM4j9QDk6SWWG+PiPusvo7yx/ziLqWkJH9X/wCczPy01iBf2ZZYHBHsyXozS6nS6WZ3nEfEPSabtPXwHpxTP+af1PU4f+cb9DMCxaj/AM5Jfl01wPszQXlvHv8AJrk5g/kdN/qkfmP1u2Hbesr/ABfJ/pT+pp/+cbdK4Oif85Lfl0IiBVmvICaA9z9Ypj+R0/TJH5j9bCfbWsI2wZP9Kf1MV1f/AJxi8s3Xqm1/5yg/KqxmfblJe27hT48ReKK5fDR6cfxx+Ycafaut/wBRyf6U/qeLeYf+cJfLmpu8utf85yflfZQMSXijvrOBAD163/bNrhxYYgUQXT6rXdpTu8cgP6p/U8yb/nAr8hEeXn/znt+TjMzVl9XV9LLA+9dSzZQmQOWzzuWB4ryE35rR/wA4G/kB/wCx5/kv/wBxbSv+8lk/E8iiIgD6eaYR/wDOCH5DCNQP+c8PybIpsRqum0/DVBkDPyYSFndWg/5wQ/IFF+L/AJzu/J8jx/S2nHf5HVKYRM3yLHhHe+g/+hRvyf8A+hbv8C/9Deflr/hv/Hn6Z/x39e0/9G/WP0X9W+oep+kPT9T0/wB7TnypvSmS8Q3yKeHbm//Z)
難聴や耳漏を反復する場合、慢性中耳炎の可能性があります。鼓膜の穿孔(穴)があれば、手術により穿孔を閉鎖することが出来ます。鼓膜穿孔の大きさなどによって、鼓室形成術1型あるいは鼓膜形成術(接着術)などの手術治療を行っています。
真珠腫性中耳炎
真珠腫性中耳炎とは鼓膜の周りの一部が陷凹して袋状になって中にかすが溜まってしまった状態を言います。時間がたつと真珠腫は徐々に大きくなり、まわりの骨を溶かしさらに大きくなる性質があります。ここに感染が加わるとなかなか治らない耳漏がおこったりします。真珠腫は放っておくとだんだん大きくなり、大きくなってからでは色々な合併症をおこす可能性が高くなります。真珠腫性中耳炎に対しては処置を行い、必要があれば手術を提案します。
![真珠腫性中耳炎](data:image/png;base64,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)
良性発作性頭位めまい症
良性発作性頭位めまい症はめまいを引き起こす代表的な耳の病気です。じっとしている時はめまいは起こりませんが、寝起きや寝返り、洗濯物を干そうと上を向いた時や靴を履こうと下を向いた時などに数秒から数分のめまい発作が誘発されます。当科では眼振検査によって良性発作性頭位めまい症を診断し、可能な場合は耳石置換法という理学療法を行っています。
メニエール病
メニエール病の原因は内リンパ水腫であり、内耳の内リンパ腔が水ぶくれになることによって発症するといわれています。症状は反復する難聴や耳鳴などを伴う回転性めまいで、発作持続時間は1時間以上のものが半数以上です。メニエール病はめまい発作を繰り返すことにより次第に難聴が進行することがあります。そのためメニエール病の治療の目的はめまい発作を制御して内耳障害の進行を防ぐことになります。保存的治療としては内リンパ水腫を治療するため、利尿作用のある薬など数種類を使っています。急速に難聴が進む場合にはステロイドを使うこともあります。
メニエール病
メニエール病の原因は内リンパ水腫であり、内耳の内リンパ腔が水ぶくれになることによって発症するといわれています。症状は反復する難聴や耳鳴などを伴う回転性めまいで、発作持続時間は1時間以上のものが半数以上です。メニエール病はめまい発作を繰り返すことにより次第に難聴が進行することがあります。そのためメニエール病の治療の目的はめまい発作を制御して内耳障害の進行を防ぐことになります。保存的治療としては内リンパ水腫を治療するため、利尿作用のある薬など数種類を使っています。急速に難聴が進む場合にはステロイドを使うこともあります。
鼻科:アレルギー性鼻炎、慢性副鼻腔炎、鼻中隔弯曲症、嗅覚障害などの診断と治療
アレルギー性鼻炎
花粉症や通年性アレルギー性鼻炎の治療として、抗アレルギー剤や点鼻薬による治療を行っています。スギ花粉症やダニアレルギーを認める患者さんには舌下免疫療法(スギ舌下錠、ダニ舌下錠)の導入も積極的に行っています(月1回の受診が3年間必要なので、ご希望があればかかりつけの開業医様に紹介することもできます)。重症のアレルギー性鼻炎の患者さんには、内視鏡下に後鼻神経切断術(経鼻腔的翼突管神経切除術)を行い、鼻汁分泌を抑制させます。薬の効きにくい高度な鼻閉に対しては、粘膜下下鼻甲介切除術や鼻中隔矯正術などの通気度改善手術も内視鏡下に行っています 。
慢性副鼻腔炎(ちくのう)
黄色くて臭いのある鼻水が続いたり、鼻づまりや嗅覚障害を認める場合、慢性副鼻腔炎の可能性があります。治療としてまずは抗菌薬や去痰剤、抗アレルギー剤などによる保存的な治療を行います。保存的治療では治りにくい場合に手術加療を相談しますが、以前のように歯茎を切る必要はなくなり、現在は内視鏡を鼻の穴から挿入しモニターで見ながら低侵襲の手術が行えるようになっています。好酸球性副鼻腔炎の患者さんが以前と比べて多くなり手術加療が必要な患者さんは多くなっている印象です。ちくのうが治りにくい場合はお気軽にご相談ください。
花粉症や通年性アレルギー性鼻炎の治療として、抗アレルギー剤や点鼻薬による治療を行っています。スギ花粉症やダニアレルギーを認める患者さんには舌下免疫療法(スギ舌下錠、ダニ舌下錠)の導入も積極的に行っています(月1回の受診が3年間必要なので、ご希望があればかかりつけの開業医様に紹介することもできます)。重症のアレルギー性鼻炎の患者さんには、内視鏡下に後鼻神経切断術(経鼻腔的翼突管神経切除術)を行い、鼻汁分泌を抑制させます。薬の効きにくい高度な鼻閉に対しては、粘膜下下鼻甲介切除術や鼻中隔矯正術などの通気度改善手術も内視鏡下に行っています 。
慢性副鼻腔炎(ちくのう)
黄色くて臭いのある鼻水が続いたり、鼻づまりや嗅覚障害を認める場合、慢性副鼻腔炎の可能性があります。治療としてまずは抗菌薬や去痰剤、抗アレルギー剤などによる保存的な治療を行います。保存的治療では治りにくい場合に手術加療を相談しますが、以前のように歯茎を切る必要はなくなり、現在は内視鏡を鼻の穴から挿入しモニターで見ながら低侵襲の手術が行えるようになっています。好酸球性副鼻腔炎の患者さんが以前と比べて多くなり手術加療が必要な患者さんは多くなっている印象です。ちくのうが治りにくい場合はお気軽にご相談ください。
口腔咽頭科:扁桃炎、アデノイド、いびき、睡眠時無呼吸症候群などの診断と治療
睡眠時無呼吸症候群、アデノイド増殖症、口蓋扁桃肥大
睡眠中の頻回の無呼吸や低呼吸、いびきを認める場合に疑われます。日中の眠気や集中力低下の原因となります。一時的とはいえ全身が低酸素状態になるため、体への負担も大きな病気です。簡易睡眠検査(機器を持ち帰り自宅で就寝時に検査が可能)や終夜睡眠ポリグラフィー検査(一泊入院の詳しい検査)で診断します。一般的に言われている睡眠時無呼吸は「閉塞性」をさしており、鼻や咽頭が狭いことに起因すると言われています。鼻の通りが悪い場合は前述の投薬治療や通気度改善手術を行うことがあります。アデノイド増殖や扁桃腺の肥大によって咽頭が物理的に狭い場合はアデノイド切除術や扁桃摘出術を行っています。肥満の影響が考えられる場合は食事指導を行っています。
急性扁桃炎、扁桃周囲膿瘍
咽頭痛、嚥下痛を来し、ひどい場合は開口障害や嚥下困難が起こることもあります。抗菌薬の点滴治療などを行っています。急性炎症を何度も繰り返す慢性扁桃炎の患者さんには手術加療もお勧めしています。
睡眠中の頻回の無呼吸や低呼吸、いびきを認める場合に疑われます。日中の眠気や集中力低下の原因となります。一時的とはいえ全身が低酸素状態になるため、体への負担も大きな病気です。簡易睡眠検査(機器を持ち帰り自宅で就寝時に検査が可能)や終夜睡眠ポリグラフィー検査(一泊入院の詳しい検査)で診断します。一般的に言われている睡眠時無呼吸は「閉塞性」をさしており、鼻や咽頭が狭いことに起因すると言われています。鼻の通りが悪い場合は前述の投薬治療や通気度改善手術を行うことがあります。アデノイド増殖や扁桃腺の肥大によって咽頭が物理的に狭い場合はアデノイド切除術や扁桃摘出術を行っています。肥満の影響が考えられる場合は食事指導を行っています。
急性扁桃炎、扁桃周囲膿瘍
咽頭痛、嚥下痛を来し、ひどい場合は開口障害や嚥下困難が起こることもあります。抗菌薬の点滴治療などを行っています。急性炎症を何度も繰り返す慢性扁桃炎の患者さんには手術加療もお勧めしています。
摂食・嚥下障害などの診断と治療
摂食・嚥下障害
むせ込みや原因不明の発熱、繰り返す肺炎の原因となっている可能性があります。耳鼻咽喉科で行う内視鏡検査は手軽に、いつでも、どこでも、繰り返し施行できる利点があります。当科では咽喉頭内視鏡による嚥下機能評価を行った上で摂食・嚥下指導を行っています。![摂食・嚥下障害](data:image/png;base64,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)
むせ込みや原因不明の発熱、繰り返す肺炎の原因となっている可能性があります。耳鼻咽喉科で行う内視鏡検査は手軽に、いつでも、どこでも、繰り返し施行できる利点があります。当科では咽喉頭内視鏡による嚥下機能評価を行った上で摂食・嚥下指導を行っています。
喉頭科:急性喉頭蓋炎、声帯ポリープ、喉頭腫瘍、喉頭麻痺などの診断と治療
急性喉頭蓋炎
喉頭蓋は食物が喉頭・気管の方に入らないようにするふたのような部分です。この部分が炎症で腫れると呼吸困難や窒息のおそれが出てきます。入院して抗生物質やステロイド薬などの早急な治療を行います。気道狭窄があれば速やかに気道確保術を行うことがあります。
声帯ポリープ
声帯にポリープがあると声帯がきれいに閉じず、声嗄れが起こります。音声治療などの保存的治療では改善しない場合は、顕微鏡下の手術でポリープを切除します。
喉頭蓋は食物が喉頭・気管の方に入らないようにするふたのような部分です。この部分が炎症で腫れると呼吸困難や窒息のおそれが出てきます。入院して抗生物質やステロイド薬などの早急な治療を行います。気道狭窄があれば速やかに気道確保術を行うことがあります。
声帯ポリープ
頭頸部外科:耳下腺腫瘍、顎下腺腫瘍、頭頸部腫瘍などの診断と治療
頭頸部腫瘍
頭頸部腫瘍の主な発生部位は口腔、咽頭、喉頭、鼻・副鼻腔、唾液腺、甲状腺、リンパ節などです。耳下腺や顎下腺、口腔や鼻腔の良性腫瘍に対する手術加療を積極的に行っています。また悪性腫瘍と診断した場合は、手術治療、放射線治療、抗癌剤治療などの中から最適と思われる治療を提案します。
2023年1月~12月 主要手術実績(手術患者数329人 のべ手術件数405件)
咽頭手術 260件 |
口蓋扁桃手術(摘出) 194件 アデノイド切除術 38件 扁桃周囲腫瘍切開術 8件 咽頭異物摘出術(複雑なもの) 6件 咽後膿瘍切開術 5件 咽頭異物摘出術(簡単なもの) 5件 中咽頭腫瘍摘出術(経口腔によるもの) 2件 下咽頭腫瘍摘出術(経口腔によるもの) 1件 上咽頭腫瘍摘出術(経鼻腔によるもの) 1件 |
鼻副鼻腔手術 196件 |
鼻腔粘膜焼灼術 46件 内視鏡下鼻腔手術1型(下鼻甲介手術) 43件 内視鏡下鼻・副鼻腔手術4型(汎副鼻腔手術) 39件 鼻中隔矯正術 28件 内視鏡下鼻・副鼻腔手術3型(選択的(複数洞)副鼻腔手術) 19件 経鼻腔的翼突管神経切除術 6件 鼻骨骨折徒手整復術 5件 鼻内異物摘出術 4件 内視鏡下鼻中隔手術2型(粘膜手術) 2件 鼻茸摘出術 2件 内視鏡下鼻・副鼻腔手術1型(副鼻腔自然口開窓術) 1件 内視鏡下鼻・副鼻腔手術2型(副鼻腔単洞手術) 1件 |
耳科手術 59件 |
鼓膜切開術 20件 鼓膜(排液、換気)チューブ挿入術 19件 外耳道異物除去術(複雑なもの) 10件 鼓膜穿孔閉鎖術(一連につき) 6件 外耳道異物除去術(単純なもの) 3件 先天性耳瘻管摘出術 1件 |
口腔手術 9件 |
舌小帯形成手術 3件 口唇腫瘍摘出術(粘液嚢胞摘出術) 3件 舌腫瘍摘出術(その他のもの) 1件 口腔底膿瘍切開術 1件 頬粘膜腫瘍摘出術 1件 |
頚部手術 3件 |
頸嚢摘出術 2件 リンパ節摘出術(長径3センチメートル以上) 1件 |
唾液腺手術 18件 |
顎下腺摘出術 6件 唾石摘出術(一連につき)(表在性のもの) 5件 耳下腺腫瘍摘出術(耳下腺浅葉摘出術) 5件 耳下腺腫瘍摘出術(耳下腺深葉摘出術) 1件 唾石摘出術(一連につき)(深在性のもの) 1件 |
喉頭手術 17件 |
喉頭腫瘍摘出術(直達鏡によるもの) 12件 喉頭蓋嚢腫摘出術 3件 喉頭異物摘出術(直達鏡によるもの) 1件 気管切開術 1件 |
悪性腫瘍手術 1件 |
舌悪性腫瘍手術(切除) 1件 |