État de mal asthmatique : Questions médicales fréquentes
Nom anglais: Status Asthmaticus
Descriptor UI:D013224
Tree Number:C20.543.480.680.095.880
Termes MeSH sélectionnés :
Hyperopia
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"description": "Comment diagnostiquer un état de mal asthmatique ?\nQuels signes indiquent un état de mal asthmatique ?\nQuels examens sont nécessaires pour le diagnostic ?\nComment évaluer la gravité de l'asthme ?\nQuel rôle joue l'historique médical dans le diagnostic ?",
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"description": "Quels traitements sont utilisés pour l'état de mal asthmatique ?\nComment administrer les bronchodilatateurs en urgence ?\nQuel est le rôle des corticostéroïdes ?\nQuand utiliser l'oxygénothérapie ?\nQuels sont les traitements de suivi après une crise ?",
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"description": "Quelles complications peuvent survenir avec l'état de mal asthmatique ?\nComment l'état de mal asthmatique affecte-t-il la qualité de vie ?\nY a-t-il un risque de décès lié à cet état ?\nComment prévenir les complications à long terme ?\nLes complications peuvent-elles affecter d'autres organes ?",
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"description": "Quels sont les principaux facteurs de risque de l'état de mal asthmatique ?\nLe stress peut-il aggraver l'asthme ?\nComment l'environnement influence-t-il l'asthme ?\nLes antécédents familiaux jouent-ils un rôle ?\nLes infections virales sont-elles un facteur de risque ?",
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"@type": "Question",
"name": "Comment diagnostiquer un état de mal asthmatique ?",
"position": 1,
"acceptedAnswer": {
"@type": "Answer",
"text": "Le diagnostic repose sur l'évaluation clinique et des tests de fonction pulmonaire."
}
},
{
"@type": "Question",
"name": "Quels signes indiquent un état de mal asthmatique ?",
"position": 2,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les signes incluent dyspnée sévère, respiration sifflante et incapacité à parler."
}
},
{
"@type": "Question",
"name": "Quels examens sont nécessaires pour le diagnostic ?",
"position": 3,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des examens comme la spirométrie et la mesure du débit expiratoire sont essentiels."
}
},
{
"@type": "Question",
"name": "Comment évaluer la gravité de l'asthme ?",
"position": 4,
"acceptedAnswer": {
"@type": "Answer",
"text": "La gravité est évaluée par les symptômes, la fonction pulmonaire et la réponse au traitement."
}
},
{
"@type": "Question",
"name": "Quel rôle joue l'historique médical dans le diagnostic ?",
"position": 5,
"acceptedAnswer": {
"@type": "Answer",
"text": "L'historique médical aide à identifier les déclencheurs et les antécédents d'exacerbations."
}
},
{
"@type": "Question",
"name": "Quels sont les symptômes principaux de l'état de mal asthmatique ?",
"position": 6,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les symptômes incluent une respiration rapide, une toux persistante et une cyanose."
}
},
{
"@type": "Question",
"name": "Comment se manifeste la dyspnée dans cet état ?",
"position": 7,
"acceptedAnswer": {
"@type": "Answer",
"text": "La dyspnée est intense et peut rendre la parole difficile ou impossible."
}
},
{
"@type": "Question",
"name": "Y a-t-il des symptômes atypiques à surveiller ?",
"position": 8,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des symptômes comme la fatigue extrême ou des douleurs thoraciques peuvent survenir."
}
},
{
"@type": "Question",
"name": "Les symptômes peuvent-ils varier selon les patients ?",
"position": 9,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, les symptômes peuvent varier en fonction de l'âge et de la sévérité de l'asthme."
}
},
{
"@type": "Question",
"name": "Quand faut-il consulter un médecin pour des symptômes ?",
"position": 10,
"acceptedAnswer": {
"@type": "Answer",
"text": "Consultez un médecin si les symptômes s'aggravent ou ne répondent pas au traitement habituel."
}
},
{
"@type": "Question",
"name": "Comment prévenir un état de mal asthmatique ?",
"position": 11,
"acceptedAnswer": {
"@type": "Answer",
"text": "Évitez les déclencheurs connus et suivez un traitement préventif régulier."
}
},
{
"@type": "Question",
"name": "Quel rôle joue l'éducation des patients ?",
"position": 12,
"acceptedAnswer": {
"@type": "Answer",
"text": "L'éducation aide les patients à reconnaître les signes d'alerte et à gérer leur asthme."
}
},
{
"@type": "Question",
"name": "Comment utiliser un plan d'action pour l'asthme ?",
"position": 13,
"acceptedAnswer": {
"@type": "Answer",
"text": "Un plan d'action décrit les étapes à suivre en cas d'aggravation des symptômes."
}
},
{
"@type": "Question",
"name": "Les vaccinations sont-elles importantes pour les asthmatiques ?",
"position": 14,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, les vaccinations contre la grippe et le pneumocoque sont recommandées."
}
},
{
"@type": "Question",
"name": "Comment gérer l'asthme en période de pollens ?",
"position": 15,
"acceptedAnswer": {
"@type": "Answer",
"text": "Restez à l'intérieur pendant les pics de pollen et utilisez des antihistaminiques si nécessaire."
}
},
{
"@type": "Question",
"name": "Quels traitements sont utilisés pour l'état de mal asthmatique ?",
"position": 16,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les traitements incluent des bronchodilatateurs, des corticostéroïdes et l'oxygénothérapie."
}
},
{
"@type": "Question",
"name": "Comment administrer les bronchodilatateurs en urgence ?",
"position": 17,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les bronchodilatateurs sont souvent administrés par inhalation ou nébulisation."
}
},
{
"@type": "Question",
"name": "Quel est le rôle des corticostéroïdes ?",
"position": 18,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les corticostéroïdes réduisent l'inflammation et améliorent la fonction pulmonaire rapidement."
}
},
{
"@type": "Question",
"name": "Quand utiliser l'oxygénothérapie ?",
"position": 19,
"acceptedAnswer": {
"@type": "Answer",
"text": "L'oxygénothérapie est utilisée lorsque la saturation en oxygène est inférieure à 92%."
}
},
{
"@type": "Question",
"name": "Quels sont les traitements de suivi après une crise ?",
"position": 20,
"acceptedAnswer": {
"@type": "Answer",
"text": "Un suivi avec des médicaments de contrôle et un plan d'action est essentiel après une crise."
}
},
{
"@type": "Question",
"name": "Quelles complications peuvent survenir avec l'état de mal asthmatique ?",
"position": 21,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les complications incluent l'insuffisance respiratoire et les infections pulmonaires."
}
},
{
"@type": "Question",
"name": "Comment l'état de mal asthmatique affecte-t-il la qualité de vie ?",
"position": 22,
"acceptedAnswer": {
"@type": "Answer",
"text": "Il peut entraîner des limitations dans les activités quotidiennes et des absences scolaires."
}
},
{
"@type": "Question",
"name": "Y a-t-il un risque de décès lié à cet état ?",
"position": 23,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, un état de mal asthmatique non traité peut être fatal, nécessitant une attention urgente."
}
},
{
"@type": "Question",
"name": "Comment prévenir les complications à long terme ?",
"position": 24,
"acceptedAnswer": {
"@type": "Answer",
"text": "Un suivi régulier et un traitement adéquat sont essentiels pour prévenir les complications."
}
},
{
"@type": "Question",
"name": "Les complications peuvent-elles affecter d'autres organes ?",
"position": 25,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, l'hypoxie peut affecter le cœur et d'autres organes, entraînant des complications systémiques."
}
},
{
"@type": "Question",
"name": "Quels sont les principaux facteurs de risque de l'état de mal asthmatique ?",
"position": 26,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les facteurs incluent l'exposition à des allergènes, le tabagisme et des infections respiratoires."
}
},
{
"@type": "Question",
"name": "Le stress peut-il aggraver l'asthme ?",
"position": 27,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, le stress émotionnel et physique peut déclencher des exacerbations d'asthme."
}
},
{
"@type": "Question",
"name": "Comment l'environnement influence-t-il l'asthme ?",
"position": 28,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des facteurs environnementaux comme la pollution et les changements climatiques peuvent aggraver l'asthme."
}
},
{
"@type": "Question",
"name": "Les antécédents familiaux jouent-ils un rôle ?",
"position": 29,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, un historique familial d'asthme augmente le risque de développer cette maladie."
}
},
{
"@type": "Question",
"name": "Les infections virales sont-elles un facteur de risque ?",
"position": 30,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, les infections virales, surtout chez les jeunes enfants, peuvent déclencher des crises."
}
}
]
}
]
}
To report the long-term clinical experience following femtosecond intrastromal lenticule implantation (FILI) for the management of moderate to high hyperopia....
Eligible patients who underwent FILI for moderate to high hyperopia from July 2013 to October 2020 were included. A donor small incision lenticule extraction lenticule, matched for refractive error, w...
Forty-two eyes of 25 patients (mean age: 27.29 ± 5.52 years) were analyzed. The mean spherical equivalent reduced significantly from +5.50 ± 1.96 to +0.66 ± 1.17 diopters (D) at last follow-up visit. ...
At 5 years of follow-up, FILI for moderate to high hyperopia showed good safety, efficacy, and reversibility. Modification of nomograms and surgical planning may be employed for further refinement of ...
To evaluate corneal densitometry after allogeneic corneal small-incision intrastromal lenticule implantation (SILI) for hyperopia....
A retrospective study. Thirty-one hyperopic eyes of 24 patients who underwent SILI were enrolled in this study. Examinations took place preoperatively and 1 week, 1 month, 3 months, and 6 months posto...
No serious intraoperative complications occurred during SILI. The mean total CD increased postoperatively compared to preoperatively (P < 0.01). However, no significant differences were found among th...
SILI resulted in an increase in CD within the surgically altered area, however such change has no significant correlation with visual outcomes....
Controversy exists regarding the influence of peripheral visual experience on the onset and progression of childhood myopia. This longitudinal, observational study evaluated the relationship between r...
Cycloplegic baseline autorefraction at horizontal retinal eccentricities of 0° and ±30° were recorded with the Shin-Nippon NVision-K 5001 while AL was measured using the Zeiss IOLMaster 700. Measureme...
Data were collected from 222 and 245 participants aged 6-7 and 12-13 years, respectively. Myopic eyes demonstrated, on average, more hyperopic RPR. Emmetropes and premyopes displayed emmetropic RPR, a...
Hyperopic RPR in the nasal retina of myopic children is indicative of increased risk for rapid axial elongation and may be a useful metric to support decision-making in myopia management....
To investigate the association between hyperopia and clinically significant depression (CSD) in middle-aged and older individuals. The effect of genetic determinants of hyperopia on incident CSD was a...
We included participants who had available data on mean spherical equivalent (MSE) and were free of depression at baseline from the UK Biobank. For the phenotypic association, hyperopia was defined as...
Over a median follow-up of 11.11 years (IQR: 10.92-11.38), hyperopia was significantly associated with incident CSD independent of genetic risk (HR 1.29, 95% CI 1.05 to 1.59) compared with emmetropia ...
Hyperopia was significantly associated with an increased risk of incident CSD. This was independent of genetic predisposition to hyperopia, emphasising the importance of regular vision screening and c...
This study aimed to evaluate the visual outcomes and corneal densitometry (CD) after allogenic lenticule intrastromal keratoplasty (AL-LIKE) and autologous lenticule intrastromal keratoplasty (AU-LIKE...
Ten subjects (14 eyes) underwent AL-LIKE and eight (8 eyes) underwent AU-LIKE. Patients were examined preoperatively and 1 day, 1 month, and 6 months postoperatively. The visual outcomes and CD for bo...
No postoperative complications were observed with either method. The efficacy index was 0.85±0.18 and 0.90±0.33 in the AL-LIKE and AU-LIKE groups, respectively. The safety indices were 1.07±0.21 and 1...
Both AL-LIKE and AU-LIKE exhibit good efficacy and safety in correcting hyperopia. However, AU-LIKE may have a smaller affected area and faster recovery time than those associated with AU-LIKE related...
To evaluate the characteristic of corrective epithelial thickness after femtosecond laser-assisted lenticule intrastromal keratoplasty (LIKE) to correct moderate-to-high hyperopia....
The prospective case series study of the LIKE procedure was performed to correct moderate-to-high hyperopia. The epithelial thickness map was generated by anterior segment optical coherence tomography...
In the 26 eyes of 13 participants who underwent the LIKE procedure for moderate-to-high hyperopia, the attempted spherical equivalence (SEQ) was +6.50 ± 1.09 diopters (D). Compared to the preoperative...
The LIKE procedure can be used to correct moderate-to-high hyperopia. This study further indicated the epithelial remodeling characteristic after the LIKE procedure: the central and paracentral cornea...
The aim of the study was to evaluate and compare the long-term visual outcomes and higher-order aberrations (HOAs) between femtosecond laser-assisted in situ keratomileusis (FS-LASIK) and small-incisi...
In this study, 16 subjects (20 eyes) underwent FS-LASIK and 7 subjects (10 eyes) underwent SMI-LIKE. Uncorrected distance visual acuity (UDVA), corrected distance visual acuity (CDVA), manifest refrac...
The efficacy indices of the FS-LASIK group and the SMI-LIKE group were 0.85 ± 0.14 and 0.87 ± 0.17, respectively. The safety indices of the FS-LASIK and SMI-LIKE groups were 0.99 ± 0.15 and 1.08 ± 0.2...
SMI-LIKE had similar safety and efficacy to FS-LASIK in the correction of moderate to high hyperopia. However, SMI-LIKE may equip better visual quality postoperatively for its lower Q value and SA cha...
Transepithelial photorefractive keratectomy (Trans PRK) is a relatively new technology for refractive surgery and has shown promising results in myopia correction. The data on hyperopia correction by ...
To compare macular retinal microcirculation in myopia, emmetropia, and hyperopia groups and investigate the relationship between macular retinal microcirculation and axial length (AL) in children....
Forty myopic, 29 emmetropic, and 34 hyperopic eyes were included. All the recruited eyes underwent optical coherence tomography angiography (OCTA) examinations. After adjusting the image size by the L...
The VD of the DCP was significantly lower in the myopia group than in the hyperopia group, whereas no significant differences in the VD of the SVP were observed among the myopia, emmetropia, and hyper...
The myopic VD of the DCP was significantly lower than the hyperopic one, and the VD of the DCP was significantly associated with AL, indicating that myopia has a lower VD of the DCP, and AL could have...
The aim of this study was to evaluate the safety, efficacy, and predictability of lenticule intrastromal keratoplasty (LIKE) for the correction of iatrogenic high hyperopia....
Three patients (4 eyes) were referred to our department because of overcorrection of myopia induced by femtosecond laser-assisted in situ keratomileusis. All eyes exhibited hyperopia (between +4.00 an...
No postoperative complications, such as interface haze and opacification, were observed in the 4 eyes during each follow-up evaluation, with an average follow-up of 9.50 months. All eyes had significa...
LIKE for the correction of iatrogenic hyperopia has good efficacy and safety. Although an extremely thin cornea after overcorrection may not be suitable for hyperopic laser enhancement, LIKE is a good...