{"id":3820,"date":"2023-04-04T11:22:57","date_gmt":"2023-04-04T15:22:57","guid":{"rendered":"https:\/\/dev-telemed.pantheonsite.io\/2023\/04\/04\/multidisciplinary-approach-for-the-better-outcomes\/"},"modified":"2023-11-10T16:40:27","modified_gmt":"2023-11-10T21:40:27","slug":"multidisciplinary-approach-for-the-better-outcomes","status":"publish","type":"post","link":"https:\/\/telemedhub.org\/fr\/2023\/04\/04\/multidisciplinary-approach-for-the-better-outcomes\/","title":{"rendered":"Une approche multidisciplinaire pour de meilleurs r\u00e9sultats"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"3820\" class=\"elementor elementor-3820 elementor-3667\">\n\t\t\t\t\t\t<section class=\"has_eae_slider elementor-section elementor-top-section elementor-element elementor-element-5cc0fec5 elementor-section-full_width elementor-section-height-default elementor-section-height-default wpr-particle-no wpr-jarallax-no wpr-parallax-no wpr-sticky-section-no\" data-id=\"5cc0fec5\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-no\">\n\t\t\t\t\t<div class=\"has_eae_slider elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-3b1e2e62\" data-id=\"3b1e2e62\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-435c6040 elementor-widget elementor-widget-heading\" data-id=\"435c6040\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Une approche multidisciplinaire pour de meilleurs r\u00e9sultats<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-cde43e elementor-widget elementor-widget-spacer\" data-id=\"cde43e\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-40dfacd9 elementor-widget elementor-widget-heading\" data-id=\"40dfacd9\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h5 class=\"elementor-heading-title elementor-size-default\">Une enfant de trois ans a \u00e9t\u00e9 amen\u00e9e dans une clinique de MSF, au Y\u00e9men. <\/h5>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-3a72628b elementor-widget elementor-widget-text-editor\" data-id=\"3a72628b\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p><span data-contrast=\"auto\">Une enfant de trois ans a \u00e9t\u00e9 amen\u00e9e dans une clinique de MSF, au Y\u00e9men. Elle pr\u00e9sentait une insuffisance pond\u00e9rale dangereuse de 6,2 kilogrammes (le poids normal pour son \u00e2ge est de 14 kilos). Dans le coma et en \u00e9tat de choc, la fillette montrait alors de multiples l\u00e9sions cutan\u00e9es. Elle avait une histoire r\u00e9cente de diarrh\u00e9e, de vomissements et d\u2019incapacit\u00e9 \u00e0 s\u2019alimenter. Ses parents ont \u00e9galement signal\u00e9 que leur fille n\u2019avait pas franchi les \u00e9tapes de son d\u00e9veloppement et n\u2019avait jamais parl\u00e9 ni march\u00e9.<\/span><\/p><p>\u00a0<\/p><p><span data-contrast=\"auto\">L\u2019enfant a \u00e9t\u00e9 imm\u00e9diatement admise \u00e0 l\u2019unit\u00e9 de soins intensifs et a commenc\u00e9 \u00e0 recevoir des antibiotiques, des solut\u00e9s intraveineux et un soutien nutritionnel, ce \u00e0 quoi elle a bien r\u00e9pondu. Toutefois, sa faiblesse, sa baisse de vigilance et l\u2019\u0153d\u00e8me de ses membres ont persist\u00e9.<\/span><\/p><p>\u00a0<\/p><p><span data-contrast=\"auto\">Soumis \u00e0 la plateforme de t\u00e9l\u00e9m\u00e9decine, le cas a \u00e9t\u00e9 re\u00e7u par une dermatologue bas\u00e9e aux \u00c9tats-Unis. Celle-ci a constat\u00e9 une desquamation de la peau sur le tronc, les extr\u00e9mit\u00e9s sup\u00e9rieures et inf\u00e9rieures, ainsi qu\u2019un \u0153d\u00e8me. Elle a alors confirm\u00e9 le diagnostic de kwashiorkor marasmique. Il s\u2019agit d\u2019une forme grave de malnutrition, caract\u00e9ris\u00e9e par une carence marqu\u00e9e en prot\u00e9ines et une insuffisance calorique.<\/span><\/p><p>\u00a0<\/p><p><span data-contrast=\"auto\">La dermatologue a recommand\u00e9 un soutien nutritionnel, tel qu\u2019une suppl\u00e9mentation en micronutriments, pour aider \u00e0 traiter les taches cutan\u00e9es caus\u00e9es par les carences en min\u00e9raux et en vitamines. Elle a en outre conseill\u00e9 la vigilance quant aux signes d\u2019une \u00e9ventuelle infection bact\u00e9rienne de la peau.<\/span><\/p><p>\u00a0<\/p><p><span data-contrast=\"auto\">Comme il est d\u2019usage pour les cas p\u00e9diatriques envoy\u00e9s en t\u00e9l\u00e9m\u00e9decine, une p\u00e9diatre a \u00e9galement \u00e9t\u00e9 affect\u00e9e au cas. La sp\u00e9cialiste a sugg\u00e9r\u00e9 la prise en charge urgente d\u2019un possible d\u00e9s\u00e9quilibre \u00e9lectrolytique, souvent observ\u00e9 chez les enfants souffrant de malnutrition. Elle a formul\u00e9 des recommandations d\u00e9taill\u00e9es pour le traitement de ce d\u00e9s\u00e9quilibre de l\u2019enfant, qui ont guid\u00e9 la strat\u00e9gie de soins de l\u2019\u00e9quipe m\u00e9dicale du projet. En raison de son an\u00e9mie, la petite fille a \u00e9galement re\u00e7u une transfusion sanguine.<\/span><\/p><p>\u00a0<\/p><p><span data-contrast=\"auto\">Apr\u00e8s ces traitements, l\u2019\u00e9tat de l\u2019enfant s\u2019est nettement am\u00e9lior\u00e9. Elle a repris pleinement connaissance, l\u2019\u0153d\u00e8me de la jambe a diminu\u00e9 et au bout de 10 jours, elle est retourn\u00e9e dans sa famille.<\/span><\/p><p>\u00a0<\/p><p><span data-contrast=\"auto\">La malnutrition s\u00e9v\u00e8re est un probl\u00e8me majeur au Y\u00e9men, exacerb\u00e9 par la guerre. Environ la moiti\u00e9 des enfants y\u00e9m\u00e9nites souffrent de malnutrition chronique. La malnutrition s\u00e9v\u00e8re est un probl\u00e8me majeur au Y\u00e9men, exacerb\u00e9 notamment par les conflits. Environ la moiti\u00e9 des enfants y\u00e9m\u00e9nites souffrent de malnutrition chronique. La bonne nouvelle, c\u2019est que si le traitement commence t\u00f4t, les enfants souffrant de malnutrition se r\u00e9tablissent g\u00e9n\u00e9ralement bien, comme en t\u00e9moigne cette enfant de trois ans qui a \u00e9t\u00e9 trait\u00e9e conjointement par l\u2019\u00e9quipe m\u00e9dicale locale et par nos sp\u00e9cialistes en t\u00e9l\u00e9m\u00e9decine.<\/span><\/p><p>\u00a0<\/p><figure class=\"wp-block-image size-full\"><\/figure><p><img fetchpriority=\"high\" decoding=\"async\" class=\"alignnone size-medium wp-image-3668\" src=\"https:\/\/dev-telemed.pantheonsite.io\/wp-content\/uploads\/2023\/04\/image-e1686326084924-167x300.png\" alt=\"\" width=\"167\" height=\"300\" srcset=\"https:\/\/telemedhub.org\/wp-content\/uploads\/2023\/04\/image-e1686326084924-167x300.png 167w, https:\/\/telemedhub.org\/wp-content\/uploads\/2023\/04\/image-e1686326084924.png 275w\" sizes=\"(max-width: 167px) 100vw, 167px\" \/><\/p><p>\u00a0<\/p><p><em><span class=\"TextRun SCXW253763781 BCX0\" lang=\"EN-US\" xml:lang=\"EN-US\" data-contrast=\"auto\"><span class=\"NormalTextRun SCXW253763781 BCX0\">Par Dre Nilza Angmo et Dr Ahmed <\/span><span class=\"NormalTextRun SpellingErrorV2Themed SCXW253763781 BCX0\">Igbin<\/span><\/span><\/em><\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Une enfant de trois ans a \u00e9t\u00e9 amen\u00e9e dans une clinique de MSF au Y\u00e9men pr\u00e9sentant une insuffisance pond\u00e9rale dangereuse.<\/p>\n","protected":false},"author":9,"featured_media":7571,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"disabled","ast-breadcrumbs-content":"","ast-featured-img":"disabled","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"set","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center 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