{"id":17414,"date":"2021-03-01T10:39:09","date_gmt":"2021-03-01T09:39:09","guid":{"rendered":"https:\/\/dirkvanbabylon.com\/?p=17414"},"modified":"2026-08-17T17:04:03","modified_gmt":"2026-08-17T15:04:03","slug":"addiction-stade-terminal","status":"publish","type":"post","link":"https:\/\/dirkvanbabylon.com\/fr\/addiction-et-dependance\/sortir-de-la-dependance\/addiction-stade-terminal\/","title":{"rendered":"Addiction : stade terminal"},"content":{"rendered":"<p><span style=\"font-weight: 400;\">Chaque ann\u00e9e, 7 000 \u00e0 8 000 Belges d\u00e9veloppent un cancer du poumon. En tant que m\u00e9decins g\u00e9n\u00e9ralistes, nous voyons aussi tr\u00e8s souvent ce que l\u2019on appelle le poumon du fumeur, connu sous l\u2019abr\u00e9viation officielle de BPCO, issue du terme anglais <\/span><i><span style=\"font-weight: 400;\">Chronic Obstructive Pulmonary Disease<\/span><\/i><span style=\"font-weight: 400;\">.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Chronique signifie de longue dur\u00e9e et l\u2019obstruction est ce qui se produit dans les voies respiratoires lorsqu\u2019une personne fume : un r\u00e9tr\u00e9cissement de ces petits conduits pulmonaires par lesquels l\u2019air doit passer \u00e0 chaque respiration.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">La pr\u00e9valence de la BPCO aux Pays-Bas est de 20 personnes sur 1 000 habitants, ce qui correspond \u00e0 320 000 patients atteints de BPCO. Chaque ann\u00e9e, environ 6 000 personnes meurent de la BPCO. Cela repr\u00e9sente environ 4 % du total des d\u00e9c\u00e8s chez nos voisins du Nord. Il n\u2019en va pas tr\u00e8s diff\u00e9remment en Belgique, si l\u2019on en croit le site Internet d\u2019une mutuelle. \u00c0 l\u2019heure actuelle, au moins 700 000 personnes souffrent de BPCO en Belgique. Parmi elles, 150 000 pr\u00e9sentent une forme s\u00e9v\u00e8re.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Les chances de survie en cas de BPCO s\u00e9v\u00e8re ne sont pas meilleures que celles du cancer du poumon. Pourtant, le cancer du poumon re\u00e7oit beaucoup plus d\u2019attention. En raison du vieillissement de notre population, le nombre de patients atteints de BPCO augmentera encore consid\u00e9rablement \u00e0 l\u2019avenir. En 2020, elle sera probablement la troisi\u00e8me cause de d\u00e9c\u00e8s, apr\u00e8s les maladies cardiovasculaires.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Le lien avec l\u2019addiction est \u00e9vident : continuer \u00e0 fumer alors que l\u2019on constate que cela n\u2019est pas bon pour soi. Le cancer du poumon ressemble un peu \u00e0 une loterie : il existe une possibilit\u00e9 de l\u2019attraper, mais ce n\u2019est certainement pas garanti. Dans le cas de la BPCO, en revanche, il s\u2019agit d\u2019une d\u00e9gradation progressive qui peut \u00eatre mesur\u00e9e objectivement au moyen d\u2019un examen spirom\u00e9trique. C\u2019est l\u2019appareil dans lequel vous devez souffler afin de mesurer la quantit\u00e9 d\u2019air qui entre et sort de vos poumons \u00e0 chaque respiration.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Voil\u00e0 donc ce qui est \u00e9trange : tant de morts et de souffrances sont la cons\u00e9quence d\u2019un comportement humain qui se poursuit, m\u00eame si la personne concern\u00e9e conna\u00eet parfaitement les cons\u00e9quences et les sombres perspectives.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">En tant que professionnels de sant\u00e9, nous nous retrouvons souvent impuissants face \u00e0 de telles situations. On ne peut pas recourir \u00e0 la violence pour faire cesser cela. En fin de compte, chaque individu est libre dans son comportement. Nous n\u2019avons pas mandat pour intervenir de mani\u00e8re autoritaire, mais cela reste d\u00e9concertant. Il s\u2019agit parfois des m\u00eames patients qui souffrent de BPCO et du syndrome de Korsakoff. Il y a souvent des l\u00e9sions organiques \u00e0 diff\u00e9rents niveaux, caus\u00e9es par un comportement qui s\u2019est poursuivi pendant des ann\u00e9es.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Et pourtant, ils restent en vie malgr\u00e9 tous les dommages caus\u00e9s par l\u2019alcool et la nicotine. Ce sont les survivants d\u2019un massacre qui en a emport\u00e9 beaucoup d\u2019autres. \u00c0 mesure que je vieillis en tant que m\u00e9decin g\u00e9n\u00e9raliste, ma patient\u00e8le vieillit elle aussi. Je vois ceux qui sont encore l\u00e0. Au fil des ann\u00e9es, beaucoup nous ont quitt\u00e9s. Dans le domaine de l\u2019addiction, certains sont morts tr\u00e8s jeunes.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Dans le monde de la musique, cela saute particuli\u00e8rement aux yeux : certains meurent jeunes tandis que d\u2019autres, malgr\u00e9 tout, vieillissent. Nous pouvons en apprendre beaucoup. Il s\u2019agit souvent de personnes tr\u00e8s sensibles qui poss\u00e8dent un don particulier qu\u2019elles peuvent exprimer, dans la musique par exemple, mais cela existe aussi dans d\u2019autres domaines.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Chez les musiciens, c\u2019est particuli\u00e8rement poignant, parce qu\u2019ils sont essentiellement des po\u00e8tes eux aussi. On trouve beaucoup de choses \u00e0 lire dans leurs \u00e9panchements po\u00e9tiques. Ce sont souvent des personnes spirituelles qui succombent aux cons\u00e9quences les plus n\u00e9fastes de l\u2019addiction.<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Chaque ann\u00e9e, 7 000 \u00e0 8 000 Belges d\u00e9veloppent un cancer du poumon. En tant que m\u00e9decins g\u00e9n\u00e9ralistes, nous voyons aussi tr\u00e8s souvent ce que <a href=\"https:\/\/dirkvanbabylon.com\/fr\/addiction-et-dependance\/sortir-de-la-dependance\/addiction-stade-terminal\/\" class=\"more-link\">[&#8230;]<\/a><\/p>\n","protected":false},"author":2,"featured_media":17415,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[381],"tags":[331],"class_list":["post-17414","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-sortir-de-la-dependance","tag-peter-van-breusegem","authors-peter-van-breusegem"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.2 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Addiction : stade terminal - dirk van babylon<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/dirkvanbabylon.com\/fr\/addiction-et-dependance\/sortir-de-la-dependance\/addiction-stade-terminal\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Addiction : stade terminal - dirk van babylon\" \/>\n<meta property=\"og:description\" content=\"Chaque ann\u00e9e, 7 000 \u00e0 8 000 Belges d\u00e9veloppent un cancer du poumon. 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