Personal Perspectives Panel: Life After Aortic Surgery
34:18-36:28
Do you, do you prescribe like PT, cardiac rehab all that afterwards so they have like, like formal exercise after surgery before they get, let on their own and you get rejections?
術後、患者さんに正しい運動をしてもらえるように、理学療法や心臓リハビリなどを受けていただくことはありますか？
I think it's everybody's different is what I usually do, okay? you know, I think if somebody's motivated and, and such and not scared, okay? some of the reasons I use, you know, cardiac rehab are one some people are not motivated so if I know that they're a slug, okay? Yeah, I'll send them to cardiac rehab because then they have to do it, okay?
基本的に患者さんによって対応を変えています。やる気があって恐怖心がない方であれば、心臓リハビリはできます。ですが、やりたがらない方もいらっしゃいますので、そうだと分かれば、無理にでも心臓リハビリを受けていただきます。必要なことですから。
And then other people, especially some people who had had an acute emergent surgery, okay? after they've been through this, you know, they're scared, I mean, you were one day, you were a normal young healthy person didn't have to worry about things and suddenly, okay? you've had cardiac surgery and so it's very, very scary and so cardiac rehab can be wonderful in an environment where you're supervised where they can guide you, you feel comfortable pushing yourself, so, so I think, you know, definitely do that.
それ以外の患者さん、特に緊急手術を受けた方の場合は恐怖心があります。健康で何の不安もない若者が突然心臓の手術を受けることになるわけですので、怖くないはずがありません。そうした方にとっては、専門家が近くで気を配りながら、指示してくれる心臓リハビリの環境では、安心して頑張ることができますので、心臓リハビリはぜひ受けていただきたいです。
PT, I use a lot of, okay? you know, especially if some, if we're a little late and the back is really tight. PT is a wonderful way to address that they loosen that up. If somebody has had a thoracic surgery, okay? absolutely everybody gets PT as soon as that wound is healed enough that, it's safe enough to begin PT. everybody should be PT. We'll get that flexibility back and such sternotomy a little less so but certainly I, I, would say probably about 30 of my patients do wind up going to PT at some point in the recovery process. I highly encourage it.
理学療法は術後の患者さんによく受けていただきます。特に、術後少し時間が経っても、腰や背中が凝っているのであれば、理学療法によりコリをほぐすことができます。胸部の手術を受けた方では皆さん、傷が治り、理学療法を始めても問題がないとなったら、すぐに受けていただきたいです。胸骨を切開した場合では、必要のない場合もありますが、これまで30名ほどの患者さんには、回復期に理学療法を受けていただいています。
So, so generally if you're not, if you're not getting yourself active again you're just gonna be tired, you're not gonna regain yourself as quickly as you might otherwise, and if you push too hard, you'll overdo it and you'll feel it, will it lead to like worsening in your aorta and medical problems in the future if you overdo it. People are asking all these kinds of questions.
術後に運動しなかったりすると、一般に疲れやすかったり、思っているよりも回復が遅れるということはわかりました。では、術後の運動を頑張りすぎた場合には、将来大動脈に悪影響が出るなどの医学的な問題が生じるのでしょうか？こうした質問も多く受けています。
Generally not. I mean, you know, because usually you stop yourself after a while, okay? The last thing to learn is you shouldn't keep doing it, all right? You know, obviously if you're out here lifting hefty weights and get your blood pressure up that's, that's a real problem,but in terms of getting out walking and being active again, you know, you just sometimes just push too much and you just have to learn and say, "Okay, listen to your body." Okay? you know, okay, I can push a little bit, I shouldn't push the exhaustion, you know, because then you're going to pay a price.
一般的にはそのようなことはありません。なぜなら、無理をした後には休まなければならないからです。頑張りすぎた患者さんは、無理をして身体に負担をかけ続けてはいけないんだということが身にしみてわかります。重いものを持ち上げて血圧が上がるのは明らかに問題ですが、外に出て散歩するなど体を動かす場合には、頑張りすぎることがあります。そんな時には「体の声に耳を傾ける」ということが大切です。もう少し頑張れるけど、この辺にしておこう、後でつらくなるから、と考えるようにしてください。
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。
