Apnée centrale du sommeil : Questions médicales fréquentes
Nom anglais: Sleep Apnea, Central
Descriptor UI:D020182
Tree Number:C10.886.425.800.750.800
Termes MeSH sélectionnés :
Long-Acting Reversible Contraception
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"description": "Comment diagnostique-t-on l'apnée centrale du sommeil ?\nQuels tests sont utilisés pour évaluer l'apnée centrale ?\nQuels symptômes indiquent une apnée centrale ?\nL'apnée centrale peut-elle être confondue avec d'autres troubles ?\nQuel rôle joue l'historique médical dans le diagnostic ?",
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"description": "Quels sont les principaux symptômes de l'apnée centrale ?\nComment la somnolence affecte-t-elle la vie quotidienne ?\nLes réveils nocturnes sont-ils fréquents ?\nY a-t-il des symptômes spécifiques chez les enfants ?\nL'apnée centrale peut-elle causer des maux de tête ?",
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"description": "Quels traitements sont disponibles pour l'apnée centrale ?\nLa thérapie CPAP est-elle efficace ?\nQuels médicaments peuvent être prescrits ?\nLa chirurgie est-elle une option pour l'apnée centrale ?\nComment la thérapie comportementale peut-elle aider ?",
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"description": "Quelles sont les complications de l'apnée centrale ?\nL'apnée centrale augmente-t-elle le risque d'accidents ?\nComment l'apnée centrale affecte-t-elle le cœur ?\nY a-t-il des effets sur la santé mentale ?\nL'apnée centrale peut-elle affecter la vie sexuelle ?",
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"description": "Quels sont les principaux facteurs de risque ?\nL'âge influence-t-il le risque d'apnée centrale ?\nLes maladies neurologiques sont-elles un facteur de risque ?\nLe sexe joue-t-il un rôle dans le risque ?\nLe tabagisme est-il un facteur de risque ?",
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"@type": "Question",
"name": "Comment diagnostique-t-on l'apnée centrale du sommeil ?",
"position": 1,
"acceptedAnswer": {
"@type": "Answer",
"text": "Le diagnostic se fait par polysomnographie, qui enregistre les activités cérébrales et respiratoires."
}
},
{
"@type": "Question",
"name": "Quels tests sont utilisés pour évaluer l'apnée centrale ?",
"position": 2,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des tests de sommeil, comme l'oxymétrie nocturne et l'évaluation clinique, sont utilisés."
}
},
{
"@type": "Question",
"name": "Quels symptômes indiquent une apnée centrale ?",
"position": 3,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les symptômes incluent des pauses respiratoires, des réveils fréquents et une somnolence diurne."
}
},
{
"@type": "Question",
"name": "L'apnée centrale peut-elle être confondue avec d'autres troubles ?",
"position": 4,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, elle peut être confondue avec l'apnée obstructive du sommeil ou d'autres troubles respiratoires."
}
},
{
"@type": "Question",
"name": "Quel rôle joue l'historique médical dans le diagnostic ?",
"position": 5,
"acceptedAnswer": {
"@type": "Answer",
"text": "L'historique médical aide à identifier des facteurs de risque et des symptômes associés à l'apnée centrale."
}
},
{
"@type": "Question",
"name": "Quels sont les principaux symptômes de l'apnée centrale ?",
"position": 6,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les principaux symptômes incluent des pauses respiratoires, des ronflements et une fatigue excessive."
}
},
{
"@type": "Question",
"name": "Comment la somnolence affecte-t-elle la vie quotidienne ?",
"position": 7,
"acceptedAnswer": {
"@type": "Answer",
"text": "La somnolence peut entraîner des difficultés de concentration, des accidents et une baisse de productivité."
}
},
{
"@type": "Question",
"name": "Les réveils nocturnes sont-ils fréquents ?",
"position": 8,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, les personnes peuvent se réveiller plusieurs fois par nuit, souvent sans s'en souvenir."
}
},
{
"@type": "Question",
"name": "Y a-t-il des symptômes spécifiques chez les enfants ?",
"position": 9,
"acceptedAnswer": {
"@type": "Answer",
"text": "Chez les enfants, les symptômes peuvent inclure des troubles de l'attention et des problèmes de comportement."
}
},
{
"@type": "Question",
"name": "L'apnée centrale peut-elle causer des maux de tête ?",
"position": 10,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, des maux de tête matinaux peuvent survenir en raison d'une oxygénation insuffisante pendant la nuit."
}
},
{
"@type": "Question",
"name": "Peut-on prévenir l'apnée centrale du sommeil ?",
"position": 11,
"acceptedAnswer": {
"@type": "Answer",
"text": "Il n'existe pas de méthode de prévention garantie, mais un mode de vie sain peut réduire les risques."
}
},
{
"@type": "Question",
"name": "Le contrôle du poids aide-t-il à prévenir l'apnée ?",
"position": 12,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, maintenir un poids santé peut réduire le risque d'apnée centrale et d'autres troubles du sommeil."
}
},
{
"@type": "Question",
"name": "L'exercice régulier peut-il aider ?",
"position": 13,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, l'exercice régulier améliore la santé globale et peut réduire les symptômes d'apnée."
}
},
{
"@type": "Question",
"name": "Fumer influence-t-il l'apnée centrale ?",
"position": 14,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, le tabagisme peut aggraver les symptômes et augmenter le risque d'apnée centrale du sommeil."
}
},
{
"@type": "Question",
"name": "L'alcool affecte-t-il le sommeil ?",
"position": 15,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, l'alcool peut détendre les muscles de la gorge, aggravant ainsi l'apnée centrale."
}
},
{
"@type": "Question",
"name": "Quels traitements sont disponibles pour l'apnée centrale ?",
"position": 16,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les traitements incluent la thérapie CPAP, les médicaments et, dans certains cas, la stimulation du nerf hypoglosse."
}
},
{
"@type": "Question",
"name": "La thérapie CPAP est-elle efficace ?",
"position": 17,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, la CPAP est très efficace pour maintenir les voies respiratoires ouvertes pendant le sommeil."
}
},
{
"@type": "Question",
"name": "Quels médicaments peuvent être prescrits ?",
"position": 18,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des médicaments comme les stimulants peuvent être prescrits pour traiter la somnolence diurne."
}
},
{
"@type": "Question",
"name": "La chirurgie est-elle une option pour l'apnée centrale ?",
"position": 19,
"acceptedAnswer": {
"@type": "Answer",
"text": "La chirurgie est rare et généralement réservée aux cas spécifiques où d'autres traitements échouent."
}
},
{
"@type": "Question",
"name": "Comment la thérapie comportementale peut-elle aider ?",
"position": 20,
"acceptedAnswer": {
"@type": "Answer",
"text": "La thérapie comportementale peut aider à modifier les habitudes de sommeil et à réduire les symptômes."
}
},
{
"@type": "Question",
"name": "Quelles sont les complications de l'apnée centrale ?",
"position": 21,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les complications incluent des problèmes cardiovasculaires, des troubles cognitifs et une qualité de vie réduite."
}
},
{
"@type": "Question",
"name": "L'apnée centrale augmente-t-elle le risque d'accidents ?",
"position": 22,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, la somnolence accrue peut augmenter le risque d'accidents de la route et au travail."
}
},
{
"@type": "Question",
"name": "Comment l'apnée centrale affecte-t-elle le cœur ?",
"position": 23,
"acceptedAnswer": {
"@type": "Answer",
"text": "Elle peut entraîner des arythmies, une hypertension et augmenter le risque d'accidents vasculaires cérébraux."
}
},
{
"@type": "Question",
"name": "Y a-t-il des effets sur la santé mentale ?",
"position": 24,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, l'apnée centrale peut contribuer à l'anxiété, à la dépression et à des troubles de l'humeur."
}
},
{
"@type": "Question",
"name": "L'apnée centrale peut-elle affecter la vie sexuelle ?",
"position": 25,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, elle peut entraîner une diminution de la libido et des problèmes relationnels en raison de la fatigue."
}
},
{
"@type": "Question",
"name": "Quels sont les principaux facteurs de risque ?",
"position": 26,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les facteurs incluent l'âge, l'obésité, les maladies cardiaques et les antécédents familiaux."
}
},
{
"@type": "Question",
"name": "L'âge influence-t-il le risque d'apnée centrale ?",
"position": 27,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, le risque augmente avec l'âge, surtout chez les personnes de plus de 65 ans."
}
},
{
"@type": "Question",
"name": "Les maladies neurologiques sont-elles un facteur de risque ?",
"position": 28,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, des conditions comme l'AVC ou la sclérose en plaques peuvent augmenter le risque d'apnée centrale."
}
},
{
"@type": "Question",
"name": "Le sexe joue-t-il un rôle dans le risque ?",
"position": 29,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, les hommes sont généralement plus à risque que les femmes, bien que les femmes soient également touchées."
}
},
{
"@type": "Question",
"name": "Le tabagisme est-il un facteur de risque ?",
"position": 30,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, le tabagisme peut aggraver les symptômes et augmenter le risque d'apnée centrale du sommeil."
}
}
]
}
]
}
Long-acting reversible contraception (LARC) initiation has been well-studied and intervened upon. Because LARC requires provider intervention for initiation and removal, it is critical to measure info...
We analyzed data from a 2017-2018 population-based, cross-sectional survey of 281 implant users and 55 intrauterine device users at two sites in Burkina Faso. We measured perceptions of access to LARC...
Thirty-eight (11%) of current LARC users reported that they were not informed on how to discontinue, 56 (17%) believed having their device removed would be difficult, and 54 (16%) believed cost would ...
Findings indicate that LARC uptake is an insufficient measure of reproductive access or choice. Future studies should include patient-centered measures that span the full duration of contraceptive use...
This paper finds that a sizable proportion of LARC users lack information about method discontinuation and perceive or experience barriers to method removal. These findings call for a reconsideration ...
To assess the occurrence of pregnancy in a cohort of women who received a copper intrauterine device (IUD), hormonal IUDs or an etonogestrel (ENG) contraceptive implant at a single-visit practice....
Prospective study conducted at the University of Campinas, Campinas, São Paulo, Brazil. We obtained data from four ongoing studies including both the date of the device placement, the first day of the...
We included 2479 device placements (413 TCu380A IUDs, 1476 hormonal IUD and 590 ENG implants). Almost half of the device placements (1113/2479; 44.9%) were performed within the first 5 days of the men...
Single-visit long-acting reversible contraception placements are a good strategy with overall very low pregnancy rates. This strategy has a potential to reduce unintended pregnancies and to reduce cos...
During COVID-19, early medical abortion (EMA) at home in Scotland was largely delivered by telemedicine. Short-acting post-abortion contraception was provided with EMA medications, but long-acting rev...
A prospective observational cohort study of patients accessing abortion via NHS Lothian (October 2020 to February 2021). Patients were offered contraception at telemedicine consultation and their choi...
944 patients had an abortion; 768 (81.4%) had EMA, 131 (13.9%) had a medical or surgical abortion in hospital. The most popular contraceptive method was the progestogen-only pill (...
During COVID-19 there was demand for post-abortion LARC but less than half of patients received this by six weeks. Provision was enhanced when in-person clinical interactions took place. Interventions...
Determine if providing basic contraceptive counseling during prenatal visits increases pregnant Hispanic women's acceptance of immediate postpartum long-acting reversible contraception (LARC)....
Respondents completed a short survey consisting of demographic information, an acculturation scale, and perceptions of immediate postpartum LARC use. After reading a brief educational excerpt on intra...
Prior to an educational intervention, 34.5% of respondents indicated that they were planning to use immediate postpartum LARC. Following the educational intervention, 74.5% of respondents indicated th...
In communities with a high proportion of Hispanic women, postpartum contraceptive counseling is crucial for patient education and family planning. When women are provided with brief, structured contra...
Long-acting reversible contraceptives (LARC), such as intrauterine devices (IUD) and implants, are highly effective. However, the uptake of LARC in Australia has been slow and the oral contraceptive p...
We used a discrete choice experiment (DCE) in which each respondent completed 12 choice tasks. We recruited a general population sample of 621 women in Australia aged 18-49 using an online survey pane...
Overall, 391 (63%) of women were currently using contraception; 49.3% were using an OC. About 22% of women were using a LARC. Women prefer products that are more effective in preventing pregnancy, hav...
Women have strong preferences for contraceptive products that are effective, safe, and recommended by their GP. The results indicate which characteristics of LARCs need to be front and centre in infor...
The authors aimed to identify factors associated with long-acting reversible contraception (LARC) usage....
The current cross-sectional study used data from the National Survey of Family Growth from 2011 to 2019. Respondents aged 15 to 44 years were included. Those with previous sterilization, infertility, ...
Of 61 543 814 women, 44 287 911 (72.0%) met inclusion criteria. The rate of LARC use was 13.4%. Factors associated with an increased likelihood of LARC usage were married/living with a partner (adjust...
Using a nationally representative sample of women in the United States, the authors identified modifiable factors associated with LARC use. Results may be used to plan interventional trials to increas...
To compare long-acting reversible contraceptive (LARC) use, pregnancy rate, and same-day LARC insertion among adolescents before and after a Kaiser Permanente Northern California quality initiative....
A 2016 Kaiser Permanente Northern California initiative aimed to increase adolescent LARC access. Interventions included patient education resources, electronic protocols, and insertion training for p...
Preintervention, 12.1% of adolescents used LARC, 13.6% used injectable, and 74.3% used pill, patch, or ring. Postintervention, the proportions were 23.0%, 11.6%, and 65.4%, respectively, with the odds...
A multifaceted quality intervention was associated with a 90% increase in LARC use and a 36% decrease in teenage pregnancy rate. Future directions may include promoting same-day insertions, targeting ...
Contraceptive providers play an essential role in shaping contraceptive decision-making and care, with the potential to constrain patients' agency. This is a particular concern given the rising hegemo...
To evaluate whether a Medicaid reimbursement program for immediate postpartum long-acting reversible contraception (LARC) is associated with an increased rate of LARC uptake....
We conducted a retrospective cohort study comparing patients who delivered at a large, urban, tertiary medical center one year before and after Missouri Medicaid coverage changed to reimburse immediat...
A total of 6,233 eligible patients delivered during the study period: 3105 before and 3128 after the change in reimbursement for immediate postpartum LARC. Patients delivering after the policy change ...
The change in Missouri Medicaid reimbursement for placement of immediate postpartum LARC had systemic impact with an increase in postpartum LARC uptake in all patients, regardless of insurance provide...
Insurance reimbursement has the power to influence hospital policy and patient care. Overall, changes to Medicaid reimbursement increased access to postpartum LARC for all patients at a large academic...
Most Australian women access contraception through general practitioners (GPs) but choose oral methods rather than long-acting reversible contraceptives (LARCS). The Australian Contraceptive ChOice pR...
ACCORd was a cluster randomised control trial conducted in 57 GP clinics in Melbourne, Australia. To explore intervention impact, fidelity checks (n=21 GPs) and interviews with 37 GPs and 40 patients ...
Doctors understood the importance of effectiveness-based contraceptive counselling (EBCC). GPs demonstrated cognitive engagement in the promotion of LARC and some appreciated the rapid referral pathwa...
GP training in EBCC and the use of rapid referral pathways were critical features of an effective sustainable model for successful uptake of LARCs in primary care....
Improving Australian women's access to and use of LARCs is sustainable with EBCC training and support for general practitioners....