Pediatric Gastrointestinal Issues in LDS (August 27, 2020) E3 Summit
1:02:16-1:04:22
Q:
This is another one specifically from a Marfan patient but I'm going to guess it's got cross, cross applicability again, so he says can severe constipation issues especially chronic ones lead to a permanent stretching of the colon because of lack of elasticity in connective tissue? How would this affect or hinder the return of normal motility?
またまたMarfan患者さんからの質問ですが、他の結合組織疾患の方にも当てはまると思います。重度の便秘、特に慢性化しているような便秘の場合、結合組織疾患では組織に弾力がないことから、大腸腸が伸びたまま戻らなくなる可能性はないのでしょうか？
A:
So, so yes, it can, you can get some distension of the colon especially the rectum that does can take sort of the longer the problem goes on and the older you are when you address it the less likely it is to sort of come back to a shape and and sort of what I always tell people sort of that does make it more difficult to empty that rectum completely.
その可能性はあります。特に直腸が伸びてしまう可能性があります。便秘が長く続くほど、そして、高齢であればあるほど、元の腸の形状に戻りづらくなる可能性があります。患者さんには、直腸の中身を完全に空にすることができなくなるんですよ、とお伝えしています。
You know it's sort of like, you know, trying to trying to do a bench press with your arms stretched way, way out right it's, it's really hard to generate any force in that situation.
例えて言うと、ベンチプレスで腕が完全に伸び切った状態では、力が出ないのと同じ状態です。
Those are the situations where a stimulant can be really, really useful as well as some pelvic floor physical therapy to provide some strength to help that rectum empty out all the time.
こうなった場合には、腸を刺激するタイプの下剤が有効ですし、骨盤底理学療法も効果があります。これらは直腸を空にしやすくしてくれます。
In addition you do want to use a little bit of a stool softener as well so that the stool that is in the rectum isn't sort of great big hard balls of stool that are keeping that rectum distended and keeping the problem going on.
これらの他に、便を柔らかくする薬も少し追加したほうがいいでしょう。直腸を膨らませている固くて巨大なボールのような便を柔らかくし、問題を解消できます。
So it's, it's it it's more of a problem so I guess that would fall into sort of a little bit of a motility issue but what it really does is creates a problem where you're not capable of emptying that rectum and so it is sort of, a sort of a full court press in terms of some stool softeners, some stimulants and some pelvic floor physical therapy are all going to be needed in that situation to try to help, be able to empty that rectum out every time you have a bowel movement.
つまり問題は、腸が動けず、中身を空にできなくなるということですので、便を柔らかくする薬や腸を刺激するような薬、骨盤底理学療法を行うことで、排便の度に腸を空にできるようになるのです。
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。
