Titre : Mesure de la douleur

Mesure de la douleur : Questions médicales fréquentes

Termes MeSH sélectionnés :

Progestins
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"https://questionsmedicales.fr/mesh/D010147?mesh_terms=Progestins&page=2#section-prévention" }, { "@type": "MedicalWebPage", "name": "Traitements", "headline": "Traitements sur Mesure de la douleur", "description": "Quels traitements sont disponibles pour la douleur ?\nComment les opioïdes sont-ils utilisés dans le traitement de la douleur ?\nQu'est-ce que la thérapie cognitivo-comportementale ?\nLes traitements alternatifs sont-ils efficaces ?\nQuel est le rôle de la physiothérapie dans la gestion de la douleur ?", "url": "https://questionsmedicales.fr/mesh/D010147?mesh_terms=Progestins&page=2#section-traitements" }, { "@type": "MedicalWebPage", "name": "Complications", "headline": "Complications sur Mesure de la douleur", "description": "Quelles sont les complications de la douleur non traitée ?\nComment la douleur chronique affecte-t-elle la santé mentale ?\nLa douleur peut-elle entraîner des dépendances ?\nQuels sont les risques d'une mauvaise gestion de la douleur ?\nLa douleur peut-elle affecter le système immunitaire ?", "url": "https://questionsmedicales.fr/mesh/D010147?mesh_terms=Progestins&page=2#section-complications" }, { "@type": "MedicalWebPage", "name": "Facteurs de risque", "headline": "Facteurs de risque sur Mesure de la douleur", "description": "Quels sont les facteurs de risque de la douleur chronique ?\nLe mode de vie influence-t-il la douleur ?\nLes femmes sont-elles plus à risque de douleur ?\nLe stress est-il un facteur de risque pour la douleur ?\nLes maladies chroniques augmentent-elles le risque de douleur ?", "url": "https://questionsmedicales.fr/mesh/D010147?mesh_terms=Progestins&page=2#section-facteurs de risque" } ] }, { "@type": "FAQPage", "mainEntity": [ { "@type": "Question", "name": "Comment évaluer l'intensité de la douleur ?", "position": 1, "acceptedAnswer": { "@type": "Answer", "text": "L'intensité de la douleur peut être évaluée à l'aide d'échelles numériques ou visuelles." } }, { "@type": "Question", "name": "Quels outils sont utilisés pour mesurer la douleur ?", "position": 2, "acceptedAnswer": { "@type": "Answer", "text": "Des questionnaires, des échelles visuelles et des échelles numériques sont couramment utilisés." } }, { "@type": "Question", "name": "Qu'est-ce que l'échelle visuelle analogique ?", "position": 3, "acceptedAnswer": { "@type": "Answer", "text": "C'est une méthode où le patient indique son niveau de douleur sur une ligne de 0 à 10." } }, { "@type": "Question", "name": "Comment la douleur chronique est-elle diagnostiquée ?", "position": 4, "acceptedAnswer": { "@type": "Answer", "text": "Elle est diagnostiquée par l'historique médical et des évaluations de la douleur sur le long terme." } }, { "@type": "Question", "name": "Quel rôle joue l'anamnèse dans le diagnostic de la douleur ?", "position": 5, "acceptedAnswer": { "@type": "Answer", "text": "L'anamnèse aide à comprendre l'origine, la durée et les facteurs aggravants de la douleur." } }, { "@type": "Question", "name": "Quels sont les symptômes associés à la douleur ?", "position": 6, "acceptedAnswer": { "@type": "Answer", "text": "Les symptômes peuvent inclure fatigue, insomnie, anxiété et dépression, en plus de la douleur." } }, { "@type": "Question", "name": "Comment la douleur affecte-t-elle la qualité de vie ?", "position": 7, "acceptedAnswer": { "@type": "Answer", "text": "La douleur peut limiter les activités quotidiennes, affecter le sommeil et provoquer des troubles émotionnels." } }, { "@type": "Question", "name": "Quels types de douleur existent ?", "position": 8, "acceptedAnswer": { "@type": "Answer", "text": "Il existe des douleurs aiguës, chroniques, neuropathiques et somatiques, chacune ayant des caractéristiques distinctes." } }, { "@type": "Question", "name": "La douleur peut-elle être psychologique ?", "position": 9, "acceptedAnswer": { "@type": "Answer", "text": "Oui, la douleur psychologique est réelle et peut être causée par des facteurs émotionnels ou mentaux." } }, { "@type": "Question", "name": "Quels signes indiquent une douleur sévère ?", "position": 10, "acceptedAnswer": { "@type": "Answer", "text": "Des signes comme une agitation, des pleurs ou une incapacité à se concentrer peuvent indiquer une douleur sévère." } }, { "@type": "Question", "name": "Comment prévenir la douleur chronique ?", "position": 11, "acceptedAnswer": { "@type": "Answer", "text": "Un mode de vie sain, l'exercice régulier et la gestion du stress peuvent aider à prévenir la douleur chronique." } }, { "@type": "Question", "name": "Quels exercices sont recommandés pour prévenir la douleur ?", "position": 12, "acceptedAnswer": { "@type": "Answer", "text": "Des exercices d'étirement, de renforcement et d'aérobic sont recommandés pour maintenir la santé physique." } }, { "@type": "Question", "name": "Le stress peut-il provoquer de la douleur ?", "position": 13, "acceptedAnswer": { "@type": "Answer", "text": "Oui, le stress peut exacerber la douleur et contribuer à des conditions comme les maux de tête ou les douleurs musculaires." } }, { "@type": "Question", "name": "Comment l'alimentation influence-t-elle la douleur ?", "position": 14, "acceptedAnswer": { "@type": "Answer", "text": "Une alimentation équilibrée peut réduire l'inflammation et aider à gérer la douleur, surtout dans les maladies chroniques." } }, { "@type": "Question", "name": "La posture peut-elle affecter la douleur ?", "position": 15, "acceptedAnswer": { "@type": "Answer", "text": "Oui, une mauvaise posture peut entraîner des douleurs musculo-squelettiques, surtout au niveau du dos." } }, { "@type": "Question", "name": "Quels traitements sont disponibles pour la douleur ?", "position": 16, "acceptedAnswer": { "@type": "Answer", "text": "Les traitements incluent des analgésiques, des thérapies physiques et des interventions psychologiques." } }, { "@type": "Question", "name": "Comment les opioïdes sont-ils utilisés dans le traitement de la douleur ?", "position": 17, "acceptedAnswer": { "@type": "Answer", "text": "Les opioïdes sont prescrits pour des douleurs modérées à sévères, mais nécessitent une surveillance étroite." } }, { "@type": "Question", "name": "Qu'est-ce que la thérapie cognitivo-comportementale ?", "position": 18, "acceptedAnswer": { "@type": "Answer", "text": "C'est une approche psychologique qui aide à gérer la douleur en modifiant les pensées et comportements." } }, { "@type": "Question", "name": "Les traitements alternatifs sont-ils efficaces ?", "position": 19, "acceptedAnswer": { "@type": "Answer", "text": "Des traitements comme l'acupuncture et la méditation peuvent aider à réduire la douleur pour certains patients." } }, { "@type": "Question", "name": "Quel est le rôle de la physiothérapie dans la gestion de la douleur ?", "position": 20, "acceptedAnswer": { "@type": "Answer", "text": "La physiothérapie aide à améliorer la mobilité et à réduire la douleur par des exercices et des techniques manuelles." } }, { "@type": "Question", "name": "Quelles sont les complications de la douleur non traitée ?", "position": 21, "acceptedAnswer": { "@type": "Answer", "text": "La douleur non traitée peut entraîner des troubles psychologiques, une diminution de la qualité de vie et des incapacités." } }, { "@type": "Question", "name": "Comment la douleur chronique affecte-t-elle la santé mentale ?", "position": 22, "acceptedAnswer": { "@type": "Answer", "text": "Elle peut provoquer ou aggraver des troubles comme l'anxiété et la dépression, affectant le bien-être général." } }, { "@type": "Question", "name": "La douleur peut-elle entraîner des dépendances ?", "position": 23, "acceptedAnswer": { "@type": "Answer", "text": "Oui, l'utilisation prolongée d'analgésiques, en particulier les opioïdes, peut mener à une dépendance." } }, { "@type": "Question", "name": "Quels sont les risques d'une mauvaise gestion de la douleur ?", "position": 24, "acceptedAnswer": { "@type": "Answer", "text": "Une mauvaise gestion peut entraîner des complications physiques, psychologiques et une détérioration de la condition sous-jacente." } }, { "@type": "Question", "name": "La douleur peut-elle affecter le système immunitaire ?", "position": 25, "acceptedAnswer": { "@type": "Answer", "text": "Oui, la douleur chronique peut affaiblir le système immunitaire, rendant le corps plus vulnérable aux infections." } }, { "@type": "Question", "name": "Quels sont les facteurs de risque de la douleur chronique ?", "position": 26, "acceptedAnswer": { "@type": "Answer", "text": "Les facteurs incluent l'âge, les antécédents familiaux, les blessures et les conditions médicales préexistantes." } }, { "@type": "Question", "name": "Le mode de vie influence-t-il la douleur ?", "position": 27, "acceptedAnswer": { "@type": "Answer", "text": "Oui, un mode de vie sédentaire, le tabagisme et une mauvaise alimentation peuvent augmenter le risque de douleur." } }, { "@type": "Question", "name": "Les femmes sont-elles plus à risque de douleur ?", "position": 28, "acceptedAnswer": { "@type": "Answer", "text": "Oui, des études montrent que les femmes rapportent souvent des niveaux de douleur plus élevés que les hommes." } }, { "@type": "Question", "name": "Le stress est-il un facteur de risque pour la douleur ?", "position": 29, "acceptedAnswer": { "@type": "Answer", "text": "Oui, le stress chronique peut contribuer à l'apparition et à l'aggravation de la douleur." } }, { "@type": "Question", "name": "Les maladies chroniques augmentent-elles le risque de douleur ?", "position": 30, "acceptedAnswer": { "@type": "Answer", "text": "Oui, des conditions comme l'arthrite, le diabète et les maladies cardiaques sont souvent associées à la douleur." } } ] } ] }

Sources (282 au total)

Effectiveness and efficacy rates of progestin-only pills: A comprehensive literature review.

To synthesize published literature on POP effectiveness and efficacy.... We searched PubMed Central, PubMed, and the Cochrane library through March 07, 2022. We included articles written in English reporting a Pearl Index or life table rate for pregnancy. We excluded artic... We included 54 studies. Among studies at low or moderate risk of bias, the median Pearl Index rate (the failure rate during typical use) was 1.63 (range 0.00-14.20, IQR 4.03) and the median method fai... Among studies at low or moderate risk of bias, the median Pearl Index rate during typical POP use was much lower than currently estimated (7.00), while the median perfect use rate was similar to curre... Future research should investigate the possibility that POPs may be much more effective during typical use than currently believed....

Retrospective Analysis of Sugammadex Use in Adolescent Females on Progestin-Containing Contraceptives.

Sugammadex, a novel neuromuscular blockade reversal agent, functions as a steroid binder postulated to decrease hormone exposure used within progestin-containing contraceptive medications. Thus, alter... This is a retrospective observational cohort study utilizing the TriNetX electronic health record database of female subjects aged 12-21 years reported to be prescribed sugammadex. The data collected ... We included 18,686 subjects (contraceptive group, 2017 [10.8%], and no contraceptive group, 16,669 [89.2%]). Both groups had similar frequencies of pregnancy screening (contraceptive group, 54 [2.7%],... We found that sugammadex may be administered to adolescent females prescribed progestin-containing contraceptives, but positive pregnancy screens are rare. Effective counseling, use of nonhormonal con...

Progestin intrauterine devices versus copper intrauterine devices for emergency contraception.

The copper intrauterine device (Cu-IUD) is a highly effective method of contraception that can also be used for emergency contraception (EC). It is the most effective form of EC, and is more effective... To examine the safety and effectiveness of progestin-containing IUDs for emergency contraception, compared with copper-containing IUDs, or compared with dedicated oral hormonal methods.... We considered all randomized controlled trials and non-randomized studies of interventions that compared outcomes for individuals seeking a levonorgestrel IUD (LNG-IUD) for EC to a Cu-IUD or dedicated... We included studies comparing progestin IUDs with copper-containing IUDs, or oral EC methods for emergency contraception.... We systematically searched nine medical databases, two trials registries, and one gray literature site. We downloaded all titles and abstracts retrieved by electronic searching to a reference manageme... We included only one relevant study (711 women); a randomized, controlled, non-inferiority trial comparing LNG-IUDs to Cu-IUDs for EC, with a one-month follow-up. With one study, the evidence was very...

Influence of progestin-only hormonal use on hepatocellular adenomas: A retrospective cohort study.

Exogenous estrogen is associated with growth of hepatocellular adenomas (HCAs), although the influence of progestin-only agents is unknown. We therefore evaluated the association of progestin-only age... In this single-center, retrospective cohort study of reproductive-aged female patients (ages 16-45) with diagnosed HCAs between 2003 and 2021, we evaluated radiographic HCA growth during discrete peri... A total of 34 patients were included. Nineteen (55.9%) had follow-up scans during periods without hormone exposure, 7 (20.6%) during estrogen exposure, and 8 (23.5%) during progestin-only exposure. Ov... During discrete periods of progestin-only use, HCA growth overall declined, similar to declining growth during periods without exogenous hormonal exposure. This differed from discrete periods of exoge... In this small retrospective study, we observed overall decrease in HCA size during discrete periods of progestin-only contraception use, similar to that observed during periods without exogenous hormo...

Efficacy of progestin-primed ovarian stimulation in women with polycystic ovary syndrome undergoing

Polycystic ovary syndrome (PCOS) is a common endocrinopathy causing infertility in childbearing women. Progestin-primed ovarian stimulation (PPOS) protocol has recently been used for infertile women. ... NPLASY (202340059). https://inplasy.com/inplasy-2023-4-0059/....

Progestin-primed ovarian stimulation for fertility preservation in women with cancer: A comparative study.

In women scheduled for cancer treatment, oocytes cryopreservation is a well-established procedure. Random start protocols have been a substantial improvement in this setting, allowing to prevent delay... This retrospective study compares two periods (2019 and 2020), corresponding to two different ovarian stimulation regimens. In 2019, women were treated with corifollitropin, recombinant FSH and GnRH a... Overall, 124 women were selected, 46 in 2019 and 78 in 2020. The ratio between the number of mature oocytes retrieved and serum AMH in the first and second period was 4.0 [2.3-7.1] and 4.0 [2.7-6.8], ... Random start PPOS with hMG and dual trigger represents an easy and affordable ovarian stimulation protocol for fertility preservation in women with cancer, showing similar efficacy and being more frie...

The effect of progestin therapy in advanced and recurrent endometrial cancer: A systematic review and meta-analysis.

Fifteen percent of patients with endometrial cancer (EC) have advanced stage disease or develop a recurrence. Progestins have been applied as systemic treatment for decades, but there is limited evide... To review the response and toxicity of progestin therapy and stratify response to progesterone receptor (PR) expression and tumour grade.... We used the search terms 'Endometrial cancer', 'Progestins', 'Disease progression', 'Recurrence' and related terms in Pubmed, Embase and Cochrane databases.... Studies on patients with advanced stage or recurrent EC treated with progestin monotherapy were included. Studies on adjuvant therapy, with fewer than ten cases and with sarcoma histology were exclude... Evaluation for bias was performed with the Revised Cochrane RoB2 tool for randomised studies and the ROBINS-I tool for non-randomised studies. A random effects meta-analysis was performed with the ove... Twenty-six studies (1639 patients) were included. The ORR of progestin therapy was 30% (95% CI 25-36), the clinical benefit rate was 52% (95% CI 42-61). In PR-positive EC, the ORR was 55%, compared wi... Progestin therapy is a viable treatment option in patients with advanced stage and recurrent EC with low toxicity and high ORR in PR-positive disease. The role of PR expression in relation to progress...