bonjour
Dans 2 semaines nous partons pour l'Afrique Australe où nous allons rester quelques mois. Je dois me faire faire régulièrement des analyses sanguines (recherche du taux INR). Je voudrais savoir les us et coutumes dans ces pays là. En France on passe par les infirmières et laboratoires d'analyse. Qu'en est-il en particulier en Namibie et Afrique du sud. Peut-on directement aller dans les hôpitaux et pour la prise de sang et pour l'analyse?
Merci pour vos réponses
jean michel
Peut-on directement aller dans les hôpitaux et pour la prise de sang et pour l'analyse?
Je ne sais pas . Mais pour la Namibie (1 fois et 1/2 la France en étendue) je ne suis pas sûr qu' il y ait beaucoup de vrais hôpitaux en dehors de Windhoek et de Swakopmund-Walvis Bay) ... Certains s' étaient déjà inquiétés du problème en cas d' accident de voiture , souvent graves lorsqu' ils se produisent . Pour des analyses , une structure + légère peut suffire . Interroger agences voyages françaises établies sur place , ou des forumistes vivant dans ces pays sauront peut-être répondre à la question .
Sinon , ça risque d' être fortement payant , et si c' est habituel et prévu avant le départ ça ne relève pas d' une assurance voyages (remboursé par mutuelle au retour ?? ...) .
Bonjour
Pour les prises de sang , j'ai eu le probléme en inde , j'ai eu des adresses par le correspondant local
de mon assurance voyage.Il faut demander un justificatif de l'acte la SSrembourse normalement.
Bon voyage
Bonjour, Je ne connais que la Namibie, et il m'étonnerait fort que les dispensaires des villages dosent l'INR, il ne doit pas y avoir de nombreuses personnes ayant besoin de ce type de surveillance ... Il faudra sûrement se contenter de Swako et Windhoek, et espèrer que le résultat ne sera pas trop déséquilibré, et qu'il n'y aura pas besoin de contrôles rapprochés !! Je ferais aussi attention à l'alimentation qui risque peut-être d'apporter une quantité différente de vitamine K de celle que vous avez habituellement (beaucoup moins de légumes, donc moins de vitamine K, et donc surdosage de médicament et INR trop élévé).
Bonnes vacances !!
merci pour les conseils ... de spécialiste en INR!
Je ne m'attends pas, et j’espère ne pas y être obligé, à faire des tests dans les villages de "brousse" mais je pense quand même qu’il y a d'autres hopitaux que dans ces deux villes. J'ai la liste des centres hospitaliers (via Mapsource et Track 4 Africa).
Je voulais surtout savoir si comme en France il me faudra voir deux personnes (infirmière et labo) ou comme je le suppose, en allant au centre hospitalier je pourrais me faire faire les deux, prise de sang et analyse au même centre. Sans être parano, je m'inquiète quand même un peu, d'autant plus que mon taux actuel yoyote...!!
J'ai aussi laissé ma question sur un site forum Afrique du sud en Anglais http://www.4x4community.co.za/forum/
Si j'ai des réponses je vous en ferai part.
cordialement
jean michel
Il y a un hôpital à Opuwo, cela me revient ... J'avais pris des Himbas en stop, qui y allaient consulter ...
En région parisienne, on va au labo, et on y est prélevé .. la situation semble différente dans le marais poitevin :-) Apparemment, c'est votre sang qui se déplace, pas vous ???
yes....
Une jolie infirmière pour la prise de sang , le centre dont elle dépend l'envoie à un labo qui fait l'analyse et la renvoie....A ma connaissance tous les gens que je connais font pareil.....pas dans les banlieux??????
salut à vous
jm
Et bien non .... Sur Paris et banlieue, on se déplace dans le laboratoire où une jolie (ou pas) préleveuse prélève ... Le sang est traité dans le labo ou envoyé ailleurs s'il s'agit d'examens plus complexes ... Cela dit, à assez court terme, il n'y aura plus que des groupements de labos avec des plateformes techniques centralisées d'un côté, et des centres de prélèvements avec des coursiers qui apporteront sang et autres aux dites plateformes ...
En Namibie, je ne sais pas du tout comment cela peut se passer, mais je doute fort qu'un coursier fasse 3 heures de piste pour apporter un tube de sang dans un labo ...
je ne sais pas où on en est sur l'auto-surveillance des INR : voici un lien sur des articles de la haute autorité de santé !
http://www.has-sante.fr/portail/jcms/c_745452/evaluation-de-lautosurveillance-de-linr-chez-les-patients-adultes-traites-par-antivitamines-k
Merci à vous pour vos conseils. Un lien supplémentaire n’est jamais de trop. J'ai essayé de parler de cette solution d'auto analyse et là .... effectivement j'ai eu l'impression d'être dans ma cambrousse..!!
cordialement
jm
Bonjour
Le groupe privé Mediclinic a trois implantations en Namibie et est sérieux . Celle de Windhoek est plus importante.
http://www.mediclinic.co.za/hospitals/Pages/default.aspx
Dans ce genre d'hôpitaux privés, tout est en général groupé: consultations/hospitalisation , laboratoire, et pharmacie.
Présentez vous à l'accueil. En tant que "patient international" donc avec des sous, vous serez accueilli et guidé avec le sourire 😉
Par contre, je n'ai aucune idée du prix, mais je pense que cela en namibie doit rester très raisonnable pour nos critères français.
Pensez à demander à votre médecin une ordonnance en anglais (INR, c'est pratique 😉😉) et un petit mot en anglais expliquant éventuellement si besoin à son collègue local pourquoi vous prenez des AVK.
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For several years now, increased aggression has been observed in Cape fur seals.
At least 70 unprovoked attacks on humans.
It was recently confirmed that this is due to rabies.
The suspected origin is contamination in Namibia by jackals.
The contagion seems to be spreading.
Preventive vaccination (of the animals) is being considered.
Just a reminder:
Rabies affects all mammals.
Once symptoms appear—sometimes weeks or even months later—death is inevitable.
It’s the bite that transmits the disease.
There are so-called "furious" forms with aggression, but also forms without aggression.
In case of a bite, in addition to standard wound care, tetanus prevention… rabies prevention is essential.
Stay careful out there…
Seeing seals from a boat along the coast isn’t rare in these parts…
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