Comme je prévois partir en Afrique de l'Ouest entre 4 à 6 mois, je me pose la question à savoir quelle quantité d'anti-palu je devrais amener?? Si je pars de mi-octobre à mi-avril, est-ce qu'il y a des périodes moins à risques pour le palu où je n, aurais pas besoin de prendre de Malarone? Les pays visités seront le Mali, Burkina Faso, Sénégal, Ghana.
Merci!
"Et il n'est rien de plus beau que l'instant qui précède le voyage, l'instant où l'horizon de demain vient nous rendre visite et nous dire ses promesses." Milan Kundera
bonjour à toutes les personnes qui doivent voyager !
Surtout ne faites pas l'impasse du traitement anti-paludéen !!!! surtout ps ! il en va pas la suite d'une crise de palu qui peut être importante : la neuro-palu !
Lorsque je vois certaines questions concernant ce traitement à faire ou pas suivant la période ou le pays, n'hésitez et ne jouez pas quand même avec votre santé.
Que vous alliez en Afrique en Asie ou Amérique du Sud, prenez un traitement !!!! Que se soit en saison des pluies ou hors saison des pluies, prenez toujours un traitement !
Pour celles et ceux qui partent plus de 3 mois : prenez votre traitement au maximum pendant 1 mois puis tous les 2 ou 3 mois reprenez un traitement pendant 1 mois (sinon + vous auriez d'autres problèmes de santé du au traitement prolongé !). Certains africains prennent du sirop traitement préventif cela ne les empêchent malheureusement pas d'avoir des crises de palu ! mais le mieux serait la prévention de la où l'on vit pendant son séjour !
Moustiquaire, produits à mettre sur la peau, et dans les chambres ou la maison le soir surtout !
Mais je vous en prie ne faites pas l'impasse du traitement !
Voyez avec un centre spécialisé (en France : Pasteur ou autres spécialisés dans les maladies tropicales) pour les bonnes consignes à suivre.
J'ai connu trop de personnes qui ont fait des crises de palu et cela n'est pas beau à voir surtout pour le neuro-palu !
Car un bon voyage ou séjour prolongé commence par garder la santé !
Même si l'on fait ces voyages ou séjours en dehors de la saison des pluies..... n'oubliez pas non plus les autres précautions d'hygiène concernant le choléra et la fièvre thypoïde...
Bon courage à tous !
Tout d'abord, et c'est important, sauf s'il y a des médecins spécialistes en maladies tropicales qui passent, ceci ne vous dispense pas de passer voir votre centre de médecine tropicale à Montréal !
Si la première réponse donnée est juste, c'est à dire qu'on ne rigole pas avec le palu, seul un médecin super spécialisé (donc pas un médecin généraliste) pourra vous conseiller une démarche précise.
Il est certain qu'à partir d'une certaine durée de séjour, on vous déconseillera l'usage de médicaments préventifs car ils sont tous super agressifs (c'est ce qui fait leur efficacité d'ailleurs).
En plus du coût en ce qui concerne la Malarone...
On peut envisager de prendre des médicaments en cas de crise. Cependant, c'est très dépendant de votre séjour, des conditions de vie, etc...
En tout cas, consultez !!!
Dans tous ces pays, le paludisme est présent toute l'année.
Mais il est (encore) plus virulent pendant la saison des pluies : juin - septembre.
D'accord avec la nécessité d'avoir un avis médical.
Mais sur la période concernée je ne prendrais personnellement pas de traitement.
Par contre, vigilance face à tout signe avant-coureur,
signe d'une crise à venir.
Les effets secondaires des traitements sont désastreux,
et le palu n'est, somme toute, pas si fréquent que ça à cette saison,
pour peu que l'on évite les marigots, et que l'on promène sa moustiquaire.
Il est vraiment dommage que des personnes comme vous dites cela pour les traitements !
En 1996, nous avons un bénévole qui n'a pas suivi comme il faut et n'a pas fait attention, et il a eu un neuro-palu ! Il nous a prévenu trops tard et n'a pas suivi nos directives pour se faire soigner ! Lorsqu'il est rentré en urgence il était dans un état physique !!!!!
Vraiment c'est de l'inconscience de dire cela.
Il faut toujours faire attention c'est vrai mais il suffit d'une seul piqure pour être malade à vie !
salutations
Les pays que cette personne pense visiter sont le Mali, le Burkina, le Sénégal et le Ghana.
Pour ce qui est des trois premiers, à la période concernée (octobre - avril),
je persiste sur le fait qu'un traitement anti palu n'est ni utile, ni recommandé,
étant donné la durée du séjour envisagé.
En ce qui concerne le Ghana, touché par des variantes "cérébrales" plus graves du palu,
un traitement peut effectivement être recommandé, selon la période.
J'ai vécu plus de 40 ans en Afrique de l'ouest, ce qui me donne une petite expérience. J'ai toujours pris de la Nivaquine ne préventif, et je n'ai jamais fais de crise de palu, et je ne crois pas être complètement gaga...
Le problème est qu'un traitement préventif valable pour une personne, ne l'est pas forcément pour une autre, surtout sur un autre site. Il est indispensable à mon avis de prendre un traitement préventif, mais pas n'importe quoi, ni en n'importe quelle quantité, comme je l'ai vu déja prescrire !
N'oubliez-pas que le plus dangereux en Afrique n'est ni le lion, ni le serpent, mais le moustique !
Bon voyage
Merci pour les conseils!
En fait je compte prendre de la Malarone, j'ai déjà 66 pilule en réserve de mon dernier voyage, mais je ne veux pas en prendre trop longtemps...si je pars 6 mois, est-ce préférable de faire une pause?
"Et il n'est rien de plus beau que l'instant qui précède le voyage, l'instant où l'horizon de demain vient nous rendre visite et nous dire ses promesses." Milan Kundera
Bonjour
La Malarone, dans cette indication, se prend 3 mois maximum.
Il faut aller discuter avec votre médecin ou en clinique voyage d'un autre choix de traitement
D'autre part, avez-vous pensé au risque méningite ?
Ici au Québec les anti-palu disponibles et conseillées pour les régions où je vais sont seulement Malarone et Lariam, et il n'est pas question que je prenne le Lariam connaissant ses effets secondaires. J'avais pris Malarone à mon dernier voyage et je n'avais aucune réaction à ce médicament. Pour ce qui est de la méningite, je suis déjà vaccinée, en fait tous mes vaccins sont à jour. Mais on m'avait aussi conseillé de prendre le vaccin Ducoral pour le choréla, est-ce que certains le connaisse et l'on déjà pris?
"Et il n'est rien de plus beau que l'instant qui précède le voyage, l'instant où l'horizon de demain vient nous rendre visite et nous dire ses promesses." Milan Kundera
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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.
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