{"id":32468,"date":"2025-05-15T17:00:00","date_gmt":"2025-05-15T15:00:00","guid":{"rendered":"https:\/\/apotheke.astrea-bulletin.ch\/?p=32468"},"modified":"2025-04-30T16:41:09","modified_gmt":"2025-04-30T14:41:09","slug":"accident-vasculaire-cerebral-avc","status":"publish","type":"post","link":"https:\/\/astrea-apotheke.ch\/fr\/accident-vasculaire-cerebral-avc\/","title":{"rendered":"Accident Vasculaire C\u00e9r\u00e9bral (AVC)"},"content":{"rendered":"

Lorsque l\u2019apport sanguin \u00e0 certaines parties du cerveau est soudainement interrompu, les cellules c\u00e9r\u00e9brales ne peuvent plus \u00eatre suffisamment aliment\u00e9es en oxyg\u00e8ne et en nutriments. Elles meurent, ce qui entra\u00eene des l\u00e9sions permanentes. Les atteintes qui en r\u00e9sultent d\u00e9pendent de la zone du cerveau affect\u00e9e. La gravit\u00e9 des s\u00e9quelles est en revanche corr\u00e9l\u00e9e \u00e0 la dur\u00e9e de l\u2019interruption de l\u2019irrigation sanguine. C\u2019est pourquoi le principe \u00abTime is brain (chaque minute compte pour le cerveau)\u00bb s\u2019applique: reconna\u00eetre rapidement les sympt\u00f4mes et intervenir de mani\u00e8re d\u00e9cisive et appropri\u00e9e contribue \u00e0 pr\u00e9venir ou \u00e0 minimiser les s\u00e9quelles \u00e0 long terme.<\/p>\n<\/div>

Comment survient un AVC<\/h4>\n

En Suisse, environ 16 000 personnes sont victimes d\u2019une attaque c\u00e9r\u00e9brale chaque ann\u00e9e. Cela en fait la troisi\u00e8me cause de mortalit\u00e9 dans notre population. Environ un quart des personnes touch\u00e9es ont moins de 65 ans.<\/p>\n

La plupart des AVC ou accidents vasculaires c\u00e9r\u00e9braux peuvent \u00eatre attribu\u00e9s \u00e0 deux causes principales:<\/p>\n

Lors d\u2019un infarctus isch\u00e9mique, un vaisseau sanguin dans le cerveau est obstru\u00e9 par un caillot sanguin, appel\u00e9 thrombus. Le caillot peut se former dans un vaisseau c\u00e9r\u00e9bral ou ailleurs dans le corps, se d\u00e9tacher et \u00eatre transport\u00e9 jusqu\u2019au cerveau. Environ 85 % des attaques c\u00e9r\u00e9brales surviennent de cette mani\u00e8re.<\/p>\n

Seules 15% des AVC sont dus \u00e0 une h\u00e9morragie c\u00e9r\u00e9brale, caus\u00e9e par la rupture d\u2019un vaisseau sanguin dans le cerveau. Cela entra\u00eene des l\u00e9sions locales des tissus environnants.<\/p>\n

Signes d\u2019un AVC<\/h4>\n

Si un ou plusieurs des sympt\u00f4mes suivants sont observ\u00e9s, il s\u2019agit tr\u00e8s probablement d\u2019un AVC:<\/p>\n

    \n
  • Paralysie soudaine g\u00e9n\u00e9ralement unilat\u00e9rale, troubles sensoriels ou faiblesse, par exemple au niveau du visage, du bras ou de la jambe.<\/li>\n
  • Troubles de la parole ou difficult\u00e9s \u00e0 comprendre les mots prononc\u00e9s.<\/li>\n
  • Probl\u00e8mes de vision soudains, souvent unilat\u00e9raux, comme une c\u00e9cit\u00e9 ou une vision double.<\/li>\n
  • De forts vertiges, souvent associ\u00e9s \u00e0 une incapacit\u00e9 \u00e0 marcher.<\/li>\n
  • Maux de t\u00eate soudains, inhabituels et violents.<\/li>\n<\/ul>\n

    Ces signes sont des signaux d\u2019alarme. La personne concern\u00e9e ne doit pas se rendre chez un m\u00e9decin g\u00e9n\u00e9raliste, mais \u00eatre imm\u00e9diatement transf\u00e9r\u00e9e dans un h\u00f4pital disposant d\u2019une Stroke Unit, unit\u00e9 sp\u00e9cialis\u00e9e dans le traitement des AVC. Dans pareil cas, chaque minute compte, car la survie et le pronostic ult\u00e9rieur d\u00e9pendent du temps qui s\u2019\u00e9coule avant le traitement. Le num\u00e9ro d\u2019urgence est le 114!<\/p>\n

    Un \u00abpetit AVC\u00bb sans gravit\u00e9?<\/h4>\n

    On parle souvent de \u00abmini-AVC\u00bb pour d\u00e9signer des troubles transitoires de la circulation sanguine dans le cerveau, connus sous le nom de AIT (Accident Isch\u00e9mique Transitoire). Ils pr\u00e9sentent les m\u00eames sympt\u00f4mes qu\u2019un AVC, mais les troubles sont de courte dur\u00e9e. En tant que signe avant-coureur d\u2019un AVC imminent, ils doivent imp\u00e9rativement faire l\u2019objet d\u2019un examen m\u00e9dical en urgence. En effet, le risque qu\u2019une \u00abv\u00e9ritable\u00bb attaque c\u00e9r\u00e9brale survienne dans les jours qui suivent est tr\u00e8s \u00e9lev\u00e9.<\/p>\n

    La pr\u00e9vention est possible!<\/h4>\n

    Pour pr\u00e9venir un AVC, un mode de vie sain joue un r\u00f4le important. Cela inclut une activit\u00e9 physique r\u00e9guli\u00e8re, une alimentation \u00e9quilibr\u00e9e de type m\u00e9diterran\u00e9en, la gestion du stress. Tout comme l\u2019arr\u00eat du tabac, une consommation mod\u00e9r\u00e9e d\u2019alcool et la pr\u00e9vention du surpoids. La tension art\u00e9rielle ainsi que les taux de cholest\u00e9rol et de glyc\u00e9mie doivent \u00eatre contr\u00f4l\u00e9s r\u00e9guli\u00e8rement en pharmacie ou chez le m\u00e9decin. Si ces valeurs sont trop \u00e9lev\u00e9es, il existe un risque accru d\u2019AVC. Un traitement efficace pour ramener ces valeurs \u00e0 un niveau normal est alors crucial.<\/p>\n<\/div><\/div><\/div>

    L\u2019ath\u00e9roscl\u00e9rose, un facteur de risque majeur<\/h2>
    L\u2019ath\u00e9roscl\u00e9rose, \u00e9galement connue sous le nom de calcification vasculaire, est une maladie progressive des vaisseaux sanguins. Au cours de cette maladie des d\u00e9p\u00f4ts de graisses, de cholest\u00e9rol et d\u2019autres substances s\u2019accumulent sur les parois internes des art\u00e8res. Ces d\u00e9p\u00f4ts, \u00e9galement appel\u00e9s plaques, r\u00e9tr\u00e9cissent les vaisseaux et peuvent consid\u00e9rablement entraver la circulation sanguine. Si une de ces plaques se rompt, un caillot sanguin peut se former et atteindre le cerveau via la circulation sanguine. L\u00e0, il obstrue une art\u00e8re c\u00e9r\u00e9brale et d\u00e9clenche ainsi un accident vasculaire c\u00e9r\u00e9bral isch\u00e9mique. En outre, l\u2019ath\u00e9roscl\u00e9rose augmente le risque d\u2019hypertension art\u00e9rielle, qui, \u00e0 son tour, accro\u00eet le risque d\u2019h\u00e9morragie c\u00e9r\u00e9brale.<\/div>
    <\/div><\/div><\/div><\/div><\/div><\/div><\/div>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":4,"featured_media":32463,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[773],"tags":[1147,1072],"class_list":["post-32468","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-coeur-et-circulation-sanguine","tag-accident-vasculaire-cerebral","tag-fondation-suisse-de-cardiologie"],"acf":[],"yoast_head":"\nAccident Vasculaire C\u00e9r\u00e9bral (AVC) - Astrea Aptheke<\/title>\n<meta name=\"description\" content=\"Une attaque c\u00e9r\u00e9brale est une urgence! 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