{"id":6789,"date":"2024-07-22T03:03:43","date_gmt":"2024-07-22T01:03:43","guid":{"rendered":"https:\/\/lepatriotebenin.com\/?p=6789"},"modified":"2024-07-22T03:03:43","modified_gmt":"2024-07-22T01:03:43","slug":"sante-consequences-du-paludisme-sur-la-femme-enceinte","status":"publish","type":"post","link":"https:\/\/lepatriotebenin.com\/index.php\/2024\/07\/22\/sante-consequences-du-paludisme-sur-la-femme-enceinte\/","title":{"rendered":"Sant\u00e9\u00a0: \u00a0Cons\u00e9quences du paludisme sur la femme enceinte"},"content":{"rendered":"\n

Le vendredi 17 juin 2018 vers dix-huit heures alors que je suis sur le point de finir ma permanence, que je vis entrer une jeune dame d\u2019une trentaine d\u2019ann\u00e9es dans la salle de consultation des urgences. Envelopp\u00e9e de deux pagnes, un foulard attach\u00e9 jusqu\u2019aux oreilles, grelotante et \u00e0 peine soutenant la parole, la femme se pr\u00e9sente devant moi. Derri\u00e8re elle, un homme mince avec un regard fich\u00e9 me tend un lot de carnets. Il d\u00e9clare ceci, ma femme a simplement froid et un peu de fi\u00e8vre. Et voil\u00e0 qu\u2019on me r\u00e9f\u00e8re dans ce centre s\u2019interroge-t-il ? Je prends le carnet et j\u2019ouvre ce dernier. A la premi\u00e8re page, j\u2019ai vu et lu une densit\u00e9 parasitaire \u00e9lev\u00e9e \u00e0 3000 et une h\u00e9moglobine \u00e0 6 g\/dl. Je l\u2019examine rapidement et je la pr\u00e9sente \u00e0 mes sup\u00e9rieures hi\u00e9rarchiques. La temp\u00e9rature s\u2019\u00e9l\u00e8ve \u00e0 39\u00b0C. La tension art\u00e9rielle est \u00e0 12\/7, le pouls tr\u00e8s \u00e9lev\u00e9 et la fr\u00e9quence respiratoire comprise entre 22 \u00e0 30 cycles \/minutes. Je diagnostique un paludisme grave sur grossesse. Je lui ai expliqu\u00e9 la situation du tableau dress\u00e9 devant moi et je prends cong\u00e9s de mes h\u00f4tes.<\/p>\n\n\n\n

Qu\u2019est-ce que le paludisme ?<\/strong><\/p>\n\n\n\n

Le paludisme est une maladie f\u00e9brile aigue caus\u00e9e par le parasite plasmodium. Il se transmet aux \u00eatres humains par les piqures de moustiques femelles appel\u00e9s anoph\u00e8les femelles infect\u00e9es.<\/p>\n\n\n\n

Selon l\u2019Organisation Mondiale de la Sant\u00e9 (OMS), le paludisme est une maladie provoqu\u00e9e par des genres plasmodium. Cette maladie a touch\u00e9 environ 241 millions de personnes dans le monde en 2020 et a caus\u00e9 627000 d\u00e9c\u00e8s.<\/p>\n\n\n\n

Sympt\u00f4mes ou signes cliniques du paludisme<\/strong><\/p>\n\n\n\n

La fi\u00e8vre, la diarrh\u00e9e, les maux de t\u00eate, la sueur ou le frisson, les naus\u00e9es, les vomissements, les douleurs musculaires, la courbature, les maux de ventre, l\u2019hypoglyc\u00e9mie, les \u0153d\u00e8mes pulmonaires, les probl\u00e8mes obst\u00e9tricaux, les infections concomitantes sont certains signes observ\u00e9s chez les femmes enceintes.<\/p>\n\n\n\n

 Cons\u00e9quences et facteurs du paludisme chez la femme enceinte<\/strong><\/p>\n\n\n\n

Le paludisme provoque le d\u00e9c\u00e8s de la m\u00e8re, une an\u00e9mie, une insuffisance pond\u00e9rale \u00e0 la naissance, un avortement spontan\u00e9, une mortinatalit\u00e9, un accouchement pr\u00e9matur\u00e9, l\u2019accouchement de b\u00e9b\u00e9 avec de faible poids \u00e0 la naissance et la mort. Les femmes sont \u00e0 leur premi\u00e8re grossesse sont les plus \u00e0 risque.<\/p>\n\n\n\n

Certains facteurs favorisent le paludisme notamment la temp\u00e9rature annuelle (variation de la temp\u00e9rature au cours de l\u2019ann\u00e9e), la densit\u00e9 de la v\u00e9g\u00e9tation (les for\u00eats denses classiques), le pourcentage d\u2019argile dans le sol (le type de sol \u00e0 un impact sur la pr\u00e9valence du paludisme en raccourcissant ou en prolongeant la dur\u00e9e de vie des reproductions des moustiques) et la quantit\u00e9 totale de pr\u00e9cipitation (pluie) et le paludisme infectieux potentiellement mortel.  Pr\u00e9cisons qu\u2019une densit\u00e9 de v\u00e9g\u00e9tation plus \u00e9lev\u00e9e a une transmission plus faible du paludisme. Il est utile de souligner que le paludisme peut \u00eatre transmis par le placenta et il peut affecter le f\u0153tus dans l\u2019ut\u00e9rus.<\/p>\n\n\n\n

Conseils et traitements<\/strong><\/p>\n\n\n\n

– Dormir sous moustiquaires impr\u00e9gn\u00e9s \u00e0 dur\u00e9e action,<\/p>\n\n\n\n

– D\u00e9truire les flaques d\u2019eau qui sont les facteurs de prolif\u00e9rations des moustiques<\/p>\n\n\n\n

– Avoir recours \u00e0 un traitement intermittent<\/a>[U1]<\/a>  \u00e0 raison d\u2019une prise de m\u00e9dicaments \u00e0 chaque consultation pr\u00e9natale<\/p>\n\n\n\n

– Eviter de se promener \u00e0 la tomb\u00e9e de la nuit<\/p>\n\n\n\n

– Eviter l\u2019usage des r\u00e9pulsifs cutan\u00e9s (la peau) concentr\u00e9s, trop toxiques pendant la grossesse<\/p>\n\n\n\n

–  Les sujets sains ne doivent pas aller dans les zones end\u00e9miques. Ils peuvent se faire vacciner.<\/p>\n\n\n\n

Le diagnostic et le traitement pr\u00e9coces du paludisme r\u00e9duisent l\u2019intensit\u00e9 de la maladie et permettent d\u2019\u00e9viter que l\u2019affection ne devienne mortelle. Lorsqu\u2019il y a l\u2019apparition de n\u2019importe quels signes cliniques, la femme enceinte doit se rendre imm\u00e9diatement \u00e0 l\u2019h\u00f4pital pour une meilleure prise en charge par un agent de sant\u00e9 asserment\u00e9. <\/p>\n\n\n\n

Eve Mireille AFFANOU<\/strong><\/p>\n\n\n\n

 Sage-femme dipl\u00f4m\u00e9e d\u2019Etat\/Echographiste<\/strong><\/p>\n\n\n\n

D\u00e9l\u00e9gu\u00e9e du personnel du CHU-MEL<\/strong><\/p>\n\n\n\n

\n\n\n\n

<\/a><\/p>\n\n\n\n

 [U1]<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"

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