{"id":8569,"date":"2022-12-13T09:43:34","date_gmt":"2022-12-13T09:43:34","guid":{"rendered":"https:\/\/www.adacyte.com\/?p=8569"},"modified":"2024-03-05T16:45:23","modified_gmt":"2024-03-05T15:45:23","slug":"patients-ages-atteints-de-mici","status":"publish","type":"post","link":"https:\/\/www.adacyte.com\/fr\/patients-ages-atteints-de-mici\/","title":{"rendered":"La maladie inflammatoire chronique de l\u2019intestin chez les patients \u00e2g\u00e9s"},"content":{"rendered":"
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Surveiller son alimentation et rester actif physiquement sont les cl\u00e9s d\u2019un mode de vie sain. Bien que cela soit important \u00e0 tout \u00e2ge, \u00e7a l\u2019est encore plus si nous voulons vieillir en bonne sant\u00e9. En effet, c\u2019est \u00e0 ce stade de l\u2019existence, en particulier apr\u00e8s 60\u00a0ans, que des pathologies telles que les maladies inflammatoires chroniques de l\u2019intestin (MICI) peuvent faire leur apparition. Parmi les patients \u00e2g\u00e9s qui re\u00e7oivent pour la premi\u00e8re fois un diagnostic de rectocolite h\u00e9morragique1<\/sup><\/a> ou de maladie de Crohn, 65\u00a0% ont entre 60 et 69\u00a0ans, 25\u00a0% entre 70 et 79\u00a0ans et 10\u00a0% ont plus de 80\u00a0ans.2<\/sup><\/a><\/p>\n<\/div>\n\n

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Les maladies inflammatoires chroniques de l\u2019intestin s\u2019accompagnent g\u00e9n\u00e9ralement d\u2019un autre type de pathologies secondaires appel\u00e9es manifestations extra-intestinales (MEI) qui touchent la peau, les yeux ou les articulations, bien que cela soit moins fr\u00e9quent chez les patients \u00e2g\u00e9s. Il en va de m\u00eame pour les interventions chirurgicales, les r\u00e9cidives post-chirurgicales et l\u2019apparition de formes plus agressives ou plus s\u00e9v\u00e8res de MICI.<\/p>\n<\/div>\n\n

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Malnutrition, an\u00e9mie et ost\u00e9oporose chez les patients \u00e2g\u00e9s souffrant de MICI<\/h2>\n<\/div>\n\n
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Chez les personnes \u00e2g\u00e9es, notamment celles qui souffrent de MICI, avoir une alimentation3<\/sup><\/a> vari\u00e9e, compl\u00e8te et \u00e9quilibr\u00e9e est indispensable, mais ce n\u2019est pas toujours possible. Des probl\u00e8mes peuvent survenir dans le processus de mastication et de d\u00e9glutition en raison de la perte des dents et d\u2019une diminution de la salivation ou bien le processus digestif peut se d\u00e9grader en raison d\u2019une r\u00e9duction de la quantit\u00e9 et de la qualit\u00e9 des s\u00e9cr\u00e9tions digestives qui, associ\u00e9es \u00e0 une atrophie des muqueuses intestinales, entra\u00eene une absorption et une utilisation inefficaces de certains nutriments, principalement les prot\u00e9ines, les vitamines et les min\u00e9raux.<\/p>\n<\/div>\n\n

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Se pose alors un probl\u00e8me de malnutrition <\/em>en raison d\u2019un appauvrissement de l\u2019alimentation, ce qui provoque une an\u00e9mie<\/a><\/em>4<\/a><\/sup>. M\u00eame si ce n\u2019est pas la seule raison. Les patients \u00e2g\u00e9s atteints de MICI peuvent \u00e9galement souffrir d\u2019an\u00e9mie et de malnutrition caus\u00e9es par la perte de sang via le syst\u00e8me digestif. D\u2019o\u00f9 la n\u00e9cessit\u00e9 pour les patients \u00e2g\u00e9s atteints de rectocolite h\u00e9morragique et de maladie de Crohn d\u2019assurer un apport quotidien d\u2019aliments riches en fer, notamment le poisson, la viande et les \u0153ufs.<\/p>\n<\/div>\n\n

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La malnutrition chez les patients \u00e2g\u00e9s atteints de MICI est \u00e9galement l\u2019une des causes d\u2019apparition de l\u2019ost\u00e9oporose. <\/em>En effet, le manque de calcium, de phosphore, de magn\u00e9sium, de vitamine\u00a0D et d\u2019autres \u00e9l\u00e9ments n\u00e9cessaires \u00e0 la formation des os, entra\u00eene une perte de densit\u00e9 min\u00e9rale osseuse et un affaiblissement ou une fragilit\u00e9 des os, augmentant ainsi le risque de fractures.<\/p>\n<\/div>\n\n

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Afin de pr\u00e9venir l\u2019ost\u00e9oporose chez les patients de plus de 60\u00a0ans, il est recommand\u00e9 d\u2019arr\u00eater de fumer, d\u2019assurer un apport correct en calcium et en vitamine\u00a0D et de pratiquer une activit\u00e9 physique r\u00e9guli\u00e8re. Une activit\u00e9 physique mod\u00e9r\u00e9e augmente la masse osseuse et renforce les muscles. La danse, la marche, la course, l\u2019a\u00e9robic, monter les escaliers ou soulever des poids ne sont que quelques-unes des activit\u00e9s recommand\u00e9es pour la population \u00e0 risque d\u2019ost\u00e9oporose.<\/p>\n<\/div>\n\n

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Traitement des patients \u00e2g\u00e9s atteints de MICI<\/h2>\n<\/div>\n\n
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Les crit\u00e8res des professionnels de sant\u00e9, visant \u00e0 s\u00e9lectionner le traitement et \u00e0 \u00e9tablir des directives pour les patients \u00e2g\u00e9s atteints de rectocolite h\u00e9morragique ou de la maladie de Crohn, sont g\u00e9n\u00e9ralement similaires \u00e0 ceux pris en compte pour d\u00e9terminer la m\u00e9dication de tout autre groupe de la population. L\u2019efficacit\u00e9 et les r\u00e9sultats que l\u2019on peut attendre des m\u00e9dicaments sont \u00e9galement similaires.<\/p>\n<\/div>\n\n

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Cependant, lorsque les patients de plus de 60\u00a0ans pr\u00e9sentent des comorbidit\u00e9s, l\u2019impact des effets ind\u00e9sirables des m\u00e9dicaments peut \u00eatre plus important. Dans ces cas pr\u00e9cis, les m\u00e9decins sp\u00e9cialistes disposent d\u2019options de traitement telles que l\u2019aph\u00e9r\u00e8se leucocytaire (GMA)5<\/sup><\/a> dans leur arsenal th\u00e9rapeutique. Gr\u00e2ce \u00e0 ce traitement non pharmacologique, les leucocytes activ\u00e9s responsables de l\u2019inflammation intestinale sont \u00e9limin\u00e9s du sang de mani\u00e8re s\u00fbre pour le patient. Cela augmente la s\u00e9curit\u00e9 et minimise les risques pour les patients fragiles tels que les personnes \u00e2g\u00e9es.<\/p>\n<\/div>\n\n

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  1. What is ulcerative colitis? – Adacyte<\/a><\/li>\n\n\n\n
  2. https:\/\/educainflamatoria.com\/pacientes-eii-edad-avanzada\/<\/a><\/li>\n\n\n\n
  3. Cinq cl\u00e9s pour suivre un r\u00e9gime appropri\u00e9 si j\u2019ai une Rectocolite H\u00e9morragique – Adacyte<\/a><\/li>\n\n\n\n
  4. Lien entre an\u00e9mie et Maladie inflammatoire chronique de l\u2019intestin – Adacyte<\/a><\/li>\n\n\n\n
  5. Traitement de la rectocolite h\u00e9morragique chez les patients corticod\u00e9pendants et en \u00e9chec des biologiques : Adacolumn – Adacyte<\/a><\/li>\n<\/ol>\n<\/div>","protected":false},"excerpt":{"rendered":"

    Surveiller son alimentation et rester actif physiquement sont les cl\u00e9s d\u2019un mode de vie sain. Bien que cela soit important \u00e0 tout \u00e2ge, \u00e7a l\u2019est encore plus si nous voulons vieillir en bonne sant\u00e9. En effet, c\u2019est \u00e0 ce stade de l\u2019existence, en particulier apr\u00e8s 60\u00a0ans, que des pathologies telles que les maladies inflammatoires chroniques […]<\/p>\n","protected":false},"author":3,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[17],"tags":[],"class_list":["post-8569","post","type-post","status-publish","format-standard","hentry","category-patient"],"acf":[],"yoast_head":"\nLa maladie inflammatoire chronique de l\u2019intestin chez les patients \u00e2g\u00e9s - Adacyte<\/title>\n<meta name=\"description\" content=\"Les patients \u00e2g\u00e9s ayant re\u00e7u un diagnostic de MICI doivent pr\u00e9venir l\u2019an\u00e9mie, la malnutrition et l\u2019ost\u00e9oporose afin d\u2019am\u00e9liorer leur qualit\u00e9 de vie.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.adacyte.com\/fr\/patients-ages-atteints-de-mici\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"La maladie inflammatoire chronique de l\u2019intestin chez les patients \u00e2g\u00e9s - 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