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Facteurs immunologiques
Immunosuppresseurs
Immunosuppresseurs : Questions médicales fréquentes
Termes MeSH sélectionnés :
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"name": "Comment diagnostiquer une nécessité d'immunosuppresseurs ?",
"position": 1,
"acceptedAnswer": {
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"text": "Le diagnostic repose sur l'évaluation clinique et des tests sanguins pour évaluer l'auto-immunité."
}
},
{
"@type": "Question",
"name": "Quels tests sont utilisés pour évaluer l'immunité ?",
"position": 2,
"acceptedAnswer": {
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"text": "Des tests comme le dosage des anticorps et des lymphocytes T sont couramment utilisés."
}
},
{
"@type": "Question",
"name": "Quels signes indiquent un besoin d'immunosuppresseurs ?",
"position": 3,
"acceptedAnswer": {
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"text": "Des signes comme des inflammations chroniques ou des éruptions cutanées peuvent indiquer ce besoin."
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"@type": "Question",
"name": "Comment évaluer le risque de rejet d'organe ?",
"position": 4,
"acceptedAnswer": {
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"text": "L'évaluation se fait par des tests de compatibilité et des marqueurs immunologiques."
}
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{
"@type": "Question",
"name": "Quels symptômes nécessitent un traitement immunosuppresseur ?",
"position": 5,
"acceptedAnswer": {
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"text": "Des symptômes comme la fatigue extrême ou des douleurs articulaires peuvent nécessiter un traitement."
}
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{
"@type": "Question",
"name": "Quels sont les effets secondaires des immunosuppresseurs ?",
"position": 6,
"acceptedAnswer": {
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"text": "Les effets secondaires incluent infections, fatigue, et troubles gastro-intestinaux."
}
},
{
"@type": "Question",
"name": "Comment reconnaître une infection due à l'immunosuppression ?",
"position": 7,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des signes comme fièvre, frissons ou douleurs inhabituelles peuvent indiquer une infection."
}
},
{
"@type": "Question",
"name": "Quels symptômes d'allergie peuvent survenir ?",
"position": 8,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des éruptions cutanées, démangeaisons ou gonflements peuvent être des signes d'allergie."
}
},
{
"@type": "Question",
"name": "Les immunosuppresseurs causent-ils des troubles digestifs ?",
"position": 9,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, des nausées, vomissements ou diarrhées peuvent survenir avec certains immunosuppresseurs."
}
},
{
"@type": "Question",
"name": "Quels signes indiquent une réaction indésirable ?",
"position": 10,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des symptômes comme des douleurs abdominales ou des saignements peuvent signaler une réaction."
}
},
{
"@type": "Question",
"name": "Comment prévenir les infections sous immunosuppression ?",
"position": 11,
"acceptedAnswer": {
"@type": "Answer",
"text": "Il est essentiel de se faire vacciner et d'éviter les contacts avec des personnes malades."
}
},
{
"@type": "Question",
"name": "Quelles précautions alimentaires prendre ?",
"position": 12,
"acceptedAnswer": {
"@type": "Answer",
"text": "Évitez les aliments crus et assurez-vous que les aliments sont bien cuits pour prévenir les infections."
}
},
{
"@type": "Question",
"name": "Comment gérer le stress pendant le traitement ?",
"position": 13,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des techniques de relaxation et un soutien psychologique peuvent aider à gérer le stress."
}
},
{
"@type": "Question",
"name": "Quels examens de suivi sont nécessaires ?",
"position": 14,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des examens réguliers de la fonction rénale et des tests sanguins sont nécessaires pour le suivi."
}
},
{
"@type": "Question",
"name": "Comment éviter les interactions médicamenteuses ?",
"position": 15,
"acceptedAnswer": {
"@type": "Answer",
"text": "Informez toujours votre médecin de tous les médicaments que vous prenez pour éviter les interactions."
}
},
{
"@type": "Question",
"name": "Quels types d'immunosuppresseurs existent ?",
"position": 16,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les principaux types incluent les corticostéroïdes, les inhibiteurs de calcineurine et les agents biologiques."
}
},
{
"@type": "Question",
"name": "Comment sont administrés les immunosuppresseurs ?",
"position": 17,
"acceptedAnswer": {
"@type": "Answer",
"text": "Ils peuvent être administrés par voie orale, intraveineuse ou sous-cutanée selon le médicament."
}
},
{
"@type": "Question",
"name": "Quelle est la durée du traitement immunosuppresseur ?",
"position": 18,
"acceptedAnswer": {
"@type": "Answer",
"text": "La durée varie selon la maladie, allant de quelques mois à plusieurs années."
}
},
{
"@type": "Question",
"name": "Comment ajuster la posologie des immunosuppresseurs ?",
"position": 19,
"acceptedAnswer": {
"@type": "Answer",
"text": "La posologie est ajustée en fonction des résultats des tests sanguins et de la réponse clinique."
}
},
{
"@type": "Question",
"name": "Quels sont les traitements alternatifs aux immunosuppresseurs ?",
"position": 20,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des traitements alternatifs incluent des thérapies biologiques et des médicaments anti-inflammatoires."
}
},
{
"@type": "Question",
"name": "Quelles sont les complications possibles des immunosuppresseurs ?",
"position": 21,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les complications incluent des infections graves, des cancers et des troubles métaboliques."
}
},
{
"@type": "Question",
"name": "Comment reconnaître une infection grave ?",
"position": 22,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des symptômes comme une forte fièvre, des frissons ou une confusion peuvent indiquer une infection grave."
}
},
{
"@type": "Question",
"name": "Les immunosuppresseurs augmentent-ils le risque de cancer ?",
"position": 23,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, l'utilisation prolongée d'immunosuppresseurs peut augmenter le risque de certains cancers."
}
},
{
"@type": "Question",
"name": "Quels troubles métaboliques peuvent survenir ?",
"position": 24,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des troubles comme le diabète ou l'hypertension peuvent survenir avec certains immunosuppresseurs."
}
},
{
"@type": "Question",
"name": "Comment gérer les complications liées aux immunosuppresseurs ?",
"position": 25,
"acceptedAnswer": {
"@type": "Answer",
"text": "La gestion implique un suivi régulier, des ajustements de traitement et une surveillance des symptômes."
}
},
{
"@type": "Question",
"name": "Quels facteurs augmentent le besoin d'immunosuppresseurs ?",
"position": 26,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des antécédents de maladies auto-immunes ou de transplantation augmentent ce besoin."
}
},
{
"@type": "Question",
"name": "Comment l'âge influence-t-il le traitement ?",
"position": 27,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les personnes âgées peuvent avoir un risque accru d'effets secondaires et nécessiter des ajustements."
}
},
{
"@type": "Question",
"name": "Le mode de vie affecte-t-il l'immunosuppression ?",
"position": 28,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, un mode de vie sain peut réduire les risques d'infections et améliorer la réponse au traitement."
}
},
{
"@type": "Question",
"name": "Quels médicaments augmentent le risque d'interactions ?",
"position": 29,
"acceptedAnswer": {
"@type": "Answer",
"text": "Certains antibiotiques et antifongiques peuvent interagir avec les immunosuppresseurs."
}
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"@type": "Question",
"name": "Les antécédents familiaux influencent-ils le traitement ?",
"position": 30,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, des antécédents familiaux de maladies auto-immunes peuvent augmenter le risque de développer des maladies similaires."
}
}
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To use objective quantification of polysomnographic (PSG) parameters in premature infants to define the severity and nature of obstructions (partial hypopnea vs. total obstruction), along with the imp...
Retrospective comparison of PSG features in 207 infants (<12 months) referred for sleep disordered breathing. Our study groups included term (> = 37 weeks GA, n = 162) and premature (<37 weeks GA, n =...
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Sleep disordered breathing (SDB) is common in patients with neuromuscular diseases, including spinal muscular atrophy (SMA). While polysomnography (PSG) findings have been described in natural history...
We conducted a cross-sectional cohort study of children with SMA followed at the University of Florida Center for neuromuscular and rare diseases and had a diagnostic or split night PSG after SMA trea...
Eight children were included in the cohort (four female), aged 5-250 days at diagnosis. Five children had two survival motor neuron 2 (SMN2) copies, two had three SMN2 copies and one subject had four ...
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Of subjects enrolled in the study, 93 had previously documented AF and 178 of 186 had an ECG that could be analyzed by either method. In subjects with known history of AF, automated analysis using SRA...
Sleep studies provide a valuable source of ECG recordings that can be easily subjected to software-based analysis in order to identify manifest AF and automatically assess the risk of PAF. For optimal...
Snoring was monitored in patients with obstructive sleep apnea (OSA) using the LEOSound-Monitor and simultaneously polysomnographic (PSG) recording. In obstructive apneas snoring is normally apparent ...
In 40 patients with OSA (AHI > 15/h) simultaneous polysomnographic recordings were performed amongst long-term respiratory sound monitoring using the LEOSound monitor. Patients' average age was 57±11 ...
3778 obstructive apnea episodes were monitored. LEOSound identified snoring in 1921 (51,0%), polysomnography in 2229 (58,8%) obstructive apneas. Only in one patient there was a higher difference in sn...
In nearly 60% of obstructive apnea events we found snoring during apnea-terminating hyperpnoea. LEOSound is a good diagnostic tool to monitor snoring. It is necessary to clarify why only 60% of all ob...
Polysomnography (PSG) utilizes abbreviated electroencephalogram (EEG) to stage sleep. The aim of this study was to determine whether epileptiform abnormalities on this limited EEG coverage correlated ...
A six-year retrospective chart review was performed assessing children with abnormalities on EEG during PSG. Children who underwent subsequent rEEG were included; children with a prior diagnosis of se...
A total of 67 children met inclusion criteria. Average age was six years, and 43 (64%) were male. rEEG was normal in 16 (24%). Epileptiform abnormalities were focal in 36 (54%), generalized in eight (...
Children with no history of seizures found to have abnormal EEG during PSG are likely to have an abnormal rEEG. Additionally, they have an increased risk for developing seizures....
This study determined if using alternative sleep onset (SO) definitions impacted accelerometer-derived sleep estimates compared with polysomnography (PSG). Nineteen participants (48%F) completed a 48 ...
Polysomnography (PSG) is the gold standard for the diagnosis of obstructive sleep apnoea (OSA). Home sleep apnoea testing with peripheral arterial tonometry (PAT) is a recommended diagnostic alternati...
Retrospective monocentric cohort study. Patients with a PAT AHI ≥ 5/h followed by an in-hospital PSG within three months were included. All patients with a PAT AHI ≥ 5/h but a PSG AHI < 5/h were class...
A total of 940 patients, 66% male with an average age of 55 ± 0.4 years and BMI of 31 ± 0.2 kg/m...
Concordance between PAT and PSG diagnosis of sleep apnoea is good, particularly in moderate and severe OSA. Predictors for discordant results between PAT and PSG were age, sex and BMI. MACE risk is si...
Intervals of low-quality photoplethysmogram (PPG) signals might lead to significant inaccuracies in estimation of pulse arrival time (PAT) during polysomnography (PSG) studies. While PSG is considered...