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。

マルファン関連疾患の慢性痛は初めにどの科を受診すればいいか?


Managing Pain

 

43:38-45:08

 

Q:
Where do you where do you start, I mean, if you, you know, what's the first doctor that you'd go to, Dr. Speed? If you have, if you have Marfan, you have, you have, a related disorder, and, you know, you have all your different specialists that you're going to, but and the pain just interferes with your quality of life. So who's the first person that you go to which of your doctors and what do you say to kind of get their attention that you really need some help?

マルファン関連疾患の慢性痛で病院にかかる場合は初めにどの科を受診すればいいのでしょうか?

 

A:
Yeah, I always think it's important to start with your primary care physician to let them know what you're experiencing, what the pain is like, and to be honest and open and hopefully have a discussion about more than just a pain scale but really how that pain is affecting your quality of life.

まずはかかりつけ医にかかることが大事だと思います。自分の症状や痛みについて、率直にお話するのがいいでしょう。単にどのくらい痛いのかということだけではなく、どのように自分の生活に影響しているかということを伝えてください。

 

And then unfortunately, kind of given so many factors in today's medical world, primary care doesn't always have time to really spend a lot of time working up the chronic pain and that's why they may be able to refer to a neurologist, if there is, psychiatrists who understand chronic pain or anesthesiologists.

残念ながら、昨今の医療の様々な状況を考えると、かかりつけ医では慢性痛に十分対応するだけの時間がないので、神経科医や慢性痛に詳しい精神科医、麻酔科医などの専門医に紹介されると思います。

 

Those are kind of some of the first specialists to go to as well as orthopedic surgeons if they think that there's something that can be operated on and then psychologists, there's a growing field of pain psychology and clinical providers who kind of understand different psychotherapy techniques whether it's cognitive behavioral therapy or acceptance commitment therapy or interpersonal relations, so those can all be strategies of people to talk to.

初めにかかる専門医はそういった医師になると思いますが、その他にも、手術が必要と判断されれば整形外科医に紹介されることもあるでしょう。また疼痛心理学といも分野が大きくなってきていますので、心理学者も選択肢に入ります。認知行動療法などに詳しい専門家も考えられますね。

 

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。