Aging with Marfan and Related Conditions (VIrtual Medical Symposium Series, 5/6/19)
32:18-33:50
Now we I have to discuss mental health, problems extremely common in the general population. High rates of depression and anxiety, chronic pain is a challenge in the general population, and in the United Kingdom, there's even, I think, a new cabinet level position to deal with what are we going to do about the problem of loneliness in our aging population, so these are worldwide problems in the normal population.
メンタル疾患についてもお話ししなければなりません。一般集団では非常に一般的な問題です。うつ病や不安障害、慢性痛が高い割合でみられます。イギリスでは、高齢者の孤独の問題に対して閣僚レベルで新たな取り組みを行うようです。一般集団に関しては、こうしたメンタル疾患は世界的な問題となっています。
Now this is yielding, to some extent, science chronic pain, is an example where now I’ｍ not really skilled enough or competent enough to tell you the great detail about this, but this is a functional MRI scan and the areas that are lighting up are the pain centers, so they're people with chronic pain, who have, you know, it's, it this is the something they're imagining, their pain centers in the brain are actually active and firing when the normal person's would not be, so even when they're not facing a pain stimulus, they have, so called, central pain. So this is beginning, we're beginning to have some tools now for understanding this and hopefully treating it better.
こちらは慢性痛を持つ方々の脳をfMRIで撮影した画像です。専門外なので詳しくはお話しできないのですが、赤くなっている部分が興奮している部位で、何かを感じているということです。痛みの刺激がなくてもこのような状態です。いわゆる中枢性疼痛と呼ばれるもので、正常な方ではこうはなりません。このような症状を理解するためのツールも出てきていますので、治療に利用できるようになればいいと思っています。
What happens in our mental health situation with our patient group? Well, much of this comes from surveys of patients and they do report higher rates of depression and anxiety than the general population, much more chronic pain than the general population, high rates of disability, so this is what we're hearing from our patients. They appreciate what we've done as far as their aortas and getting timely surgery, but then they're, they still have these issues to deal with as lifelong problems.
マルファン関連疾患の方ではどうかというと、この結果の大部分は実際の患者さんから得たものです。うつ病や不安障害、慢性痛を訴える割合が一般集団よりも高くなっています。大動脈の治療や適切な時期での手術などは患者さんから評価されていますが、彼らはこうした生涯続く問題も抱えているのです。
The Marfan Foundation did not participate in the translation of these materials and does not in any way endorse them. If you are interested in this topic, please refer to our website, Marfan.org, for materials approved by our Professional Advisory Board.
The Marfan Foundation は、当翻訳には関与しておらず、翻訳内容に関してはいかなる承認も行っておりません。このトピックに興味をお持ちの方は、Marfan.orgにアクセスし、当協会の専門家から成る諮問委員会が承認した内容をご参照ください。
