海外マルファン情報

米国マルファン症候群患者団体The Marfan Foundationからの情報を中心に、マルファン症候群や関連疾患についての海外情報を翻訳して発信します。

妊娠・出産

大動脈解離の治療における進展 ~B型解離と妊娠・出産~

Advances in the Treatment of Aortic Dissection 29:12-31:11 What about pregnancy? This is a very common question and we presume that these females who are pregnant are at a higher risk due to the physiologic changes. The heart has to work h…

ロイス・ディーツ症候群の遺伝学 ~アレルギー・出産~

What’s in Your LDS Family Tree? Genetics, Variability, Outcomes (September 1, 2020) 28:47-29:58 In terms of variability of allergic and GI disease, this has been observed in types 1 and 2 Loeys-Dietz syndrome. It's really an unknown right …

妊婦における胸腹部動脈瘤

Marfan Syndrome Management: Back to Basic 54:40-56:43 Can we go back to the abdominal aortic aneurysm for a second? How does that affect pregnancy, what would be your recommendation for that if somebody has an aortic aneurysm, an abdominal…

妊娠とマルファン症候群:Russo医師による最新情報

はじめに マルファン女性の出産が身体や健康に及ぼす影響は? マルファン女性の妊娠はハイリスクか? 妊娠中の大動脈解離リスク因子 妊娠前にすべきこと・受診すべき診療科 妊娠中に避けるべき薬 妊娠中に服用してもよい薬 帝王切開を選択すべきか 授乳リス…

大動脈手術後の生活についてのオンライン座談会 ~術後の妊娠・出産~

Personal Perspectives Panel: Life After Aortic Surgery 38:51-40:43 I don't, I mean, I can give my personal story with it. So I was diagnosed at 16 and, you know, they always said that it would be, you know, a risk factor obviously to get p…

大動脈手術後の生活についてのオンライン座談会 ~手術後の妊娠・出産(医師の解説)~

Personal Perspectives Panel: Life After Aortic Surgery 36:33-38:49 There's something else a lot of people asked about and I'm going to go to David first and to you on this as well and we'll see if anybody else wants to comment. There are a…

遺伝カウンセラーの役割 ~症例⑦ マルファン症候群の17歳女子 着床前診断と出生前診断・出生後診断~

The Role of the Genetic Counselor - Empowerment Series - 3/14/19 35:57-37:39 So one of these options is called pre-implantation genetic diagnosis or PGD for short and this option is best for parents who wish to prevent passing their known …

遺伝カウンセラーの役割 ~症例⑦ マルファン症候群の17歳女子 両親の願い~

The Role of the Genetic Counselor - Empowerment Series - 3/14/19 34:06-35:56 So our last set of case examples. Here we'll cover how genetic counselors support their patient's emotional needs and psychosocial concerns. ご紹介する症例も残す…

妊娠中はβブロッカーを飲んだほうがいいのか?

Pregnancy Concerns in Marfan Syndrome and Loeys-Dietz Syndrome 56:54-58:28 Q:What about a woman with Marfan, who doesn't, who doesn't take beta blockers and should she start taking them during pregnancy or any other medication to slow the …

マルファン症候群女性の妊娠中の運動について

Pregnancy Concerns in Marfan Syndrome and Loeys-Dietz Syndrome 55:14-56:40 Q:What advice would you have for exercise when pregnant with Marfan syndrome? 妊娠中のマルファン症候群女性が運動するにあたってのアドバイスはありますか? A:Yeah, so …

漏斗胸は妊娠に影響するか?

Pregnancy Concerns in Marfan Syndrome and Loeys-Dietz Syndrome 54:33-55:09 Q:If you have pectus excavatum, pectus excavatum, how might that affect your experience while pregnant? Does it? 漏斗胸がある場合、妊娠に影響はありますか? A:It's s…

マルファン症候群女性に推奨される経口避妊薬はあるか?

Pregnancy Concerns in Marfan Syndrome and Loeys-Dietz Syndrome Q:Do you recommend a specific oral birth control medication or brand for women with Marfan? マルファン症候群の女性向けにおすすめの経口避妊薬はありますか? A:So in terms of oral…

マルファン症候群およびロイス・ディーツ症候群における妊娠・出産 ~まとめ~

Pregnancy Concerns in Marfan Syndrome and Loeys-Dietz Syndrome 42:24-44:04 So my summary points just from this whole thing is I hope I didn't scare people. I want to tell you that I am very supportive of women becoming pregnant. では、まと…

マルファン症候群およびロイス・ディーツ症候群における妊娠・出産 ~授乳と大動脈解離リスク~

Pregnancy Concerns in Marfan Syndrome and Loeys-Dietz Syndrome 39:42-42:22 So I'm sure that Hal Dietz has talked about the mouse model and they recently published all this data that they've had for a long time in a paper where they have lo…

マルファン症候群およびロイス・ディーツ症候群における妊娠・出産 ~出産後のケア~

Pregnancy Concerns in Marfan Syndrome and Loeys-Dietz Syndrome 38:46-39:40 So postpartum. We know that, you know, again, I talked about the highest risk times are in the third trimester or after delivery for an aortic dissection and so inp…

マルファン症候群およびロイス・ディーツ症候群における妊娠・出産 ~出産の方法・時期・場所~

Pregnancy Concerns in Marfan Syndrome and Loeys-Dietz Syndrome 36:11-38:43 So delivery recommendation sort of "How," "When," and "Where." 出産について、「方法」、「時期」、「場所」の観点で見ていきます。 So "How." It's either vaginal delive…

マルファン症候群およびロイス・ディーツ症候群における妊娠・出産 ~硬膜外麻酔~

Pregnancy Concerns in Marfan Syndrome and Loeys-Dietz Syndrome 33:23-36:04 Okay, so talking about anesthesia. So first I just want to say good anesthesia is key for safety if you have Marfan or Loeys-Dietz syndrome and I know it's sort of …

マルファン症候群およびロイス・ディーツ症候群における妊娠・出産 ~胎児のエコー検査~

Pregnancy Concerns in Marfan Syndrome and Loeys-Dietz Syndrome 31:31-33:19 And then talking about the baby. So, we want to do something called a level 2 ultrasound or that's a detailed scan where we look at all of the structures of the bab…

マルファン症候群およびロイス・ディーツ症候群における妊娠・出産 ~大動脈の保護~

Pregnancy Concerns in Marfan Syndrome and Loeys-Dietz Syndrome 29:55-31:30 So talking about protection of the aorta and then we're going to talk about how we watch the baby as well. このスライドでは、大動脈の保護と母体内の胎児の経過観察に…

マルファン症候群およびロイス・ディーツ症候群における妊娠・出産 ~遺伝子検査~

Pregnancy Concerns in Marfan Syndrome and Loeys-Dietz Syndrome 27:31-29:53 So talking about genetic testing, again, this is a really personal decision of whether to do this or not and if you, we do know, like we talked about previously, th…

マルファン症候群およびロイス・ディーツ症候群における妊娠・出産 ~チームを作る~

Pregnancy Concerns in Marfan Syndrome and Loeys-Dietz Syndrome 26:33-27:29 So assemble your team. So the next thing is that's important to do is sort of come up with a a multidisciplinary team that can be assembled by the captain of the sh…

マルファン症候群およびロイス・ディーツ症候群における妊娠・出産 ~大動脈解離以外のリスク~

Pregnancy Concerns in Marfan Syndrome and Loeys-Dietz Syndrome 24:14-26:32 So risks related to pregnancy, here's some of the things that the maternal fetal medicine specialists would talk about this, you know, that we need to consider, so …

マルファン症候群およびロイス・ディーツ症候群における妊娠・出産 ~予防的大動脈置換手術~

Pregnancy Concerns in Marfan Syndrome and Loeys-Dietz Syndrome 22:45-24:12 And then I'm going to talk a little bit about prophylactic aortic replacement before pregnancy. では、妊娠前に予防目的で行う大動脈置換手術についてお話します。 So th…

マルファン症候群およびロイス・ディーツ症候群における妊娠・出産 ~予防的大動脈置換手術~

Pregnancy Concerns in Marfan Syndrome and Loeys-Dietz Syndrome 22:45-24:12 And then I'm going to talk a little bit about prophylactic aortic replacement before pregnancy. では、妊娠前に予防目的で行う大動脈置換手術についてお話します。 So th…

マルファン症候群およびロイス・ディーツ症候群における妊娠・出産 ~妊娠前の準備~

Pregnancy Concerns in Marfan Syndrome and Loeys-Dietz Syndrome 20:18-22:44 So plan ahead. This is preconception counseling so before you get pregnant, it's important to have conversations with your doctors. ではまず、妊娠前の準備についてお…

マルファン症候群およびロイス・ディーツ症候群における妊娠・出産 ~検討すべき項目~

Pregnancy Concerns in Marfan Syndrome and Loeys-Dietz Syndrome 19:03-20:16 So again we're going to move on now and just talk more about. Yes, there's this thing that's really scary in the aortic dissection but there's a lot of things we ca…

マルファン症候群およびロイス・ディーツ症候群における妊娠・出産 ~危険因子と保護因子~

Pregnancy Concerns in Marfan Syndrome and Loeys-Dietz Syndrome 17:56-19:02 So, how do we identify women who are at highest risk for adverse or bad outcomes during or after pregnancy? では、妊娠中あるいは妊娠後に高リスクで有害転帰となる女性…

マルファン症候群およびロイス・ディーツ症候群における妊娠・出産 ~妊娠中の大動脈解離の症状~

Pregnancy Concerns in Marfan Syndrome and Loeys-Dietz Syndrome 17:20-17:51 So what are the symptoms of aortic dissection? It can be chest pain, back pain, trouble breathing, stroke like symptoms, passing out or focal neurological sign and …

マルファン症候群およびロイス・ディーツ症候群における妊娠・出産 ~妊娠中の大動脈解離~

Pregnancy Concerns in Marfan Syndrome and Loeys-Dietz Syndrome 15:17-17:17So we're going to just talk about this rare thing a little bit more. So we do know that this is a rare event. Look at all women, not just the women with Marfan or Lo…

マルファン症候群およびロイス・ディーツ症候群における妊娠・出産 ~大動脈解離の発症時期とリスク因子~

Pregnancy Concerns in Marfan Syndrome and Loeys-Dietz Syndrome 12:47-15:14 Okay, so just to talk about the timing and risk factors for aortic dissection in pregnancy, we know from previous studies just looking at large cohorts that we thin…