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type=\"text\/css\">\n\/* pjama-bullets-fix *\/\n\/* Use normal bullets and remove Google Docs \"fake bullets\" *\/\nul[class^=\"lst-kix_\"], ul[class*=\" lst-kix_\"]{\n  list-style-type: disc !important;\n  list-style-position: outside;\n}\n\/* Remove the injected \"-\" bullets *\/\nul[class^=\"lst-kix_\"] > li:before, ul[class*=\" lst-kix_\"] > li:before,\nli.li-bullet-0:before{\n  content: \"\" !important;\n  display: none !important;\n}\n<\/style>\n<p><\/head><body class=\"c5 doc-content\"><\/p>\n<p class=\"c1\"><span class=\"c4\">Comment les professionnels de sant\u00e9 peuvent-ils le mieux soutenir les enfants et les familles vivant avec l&rsquo;\u00e9nur\u00e9sie ?<br \/><\/span><span class=\"c0\"><br \/>Voici la question centrale du webinaire num\u00e9rique \u00ab Traitement de l&rsquo;\u00e9nur\u00e9sie sous plusieurs perspectives &ndash; Preuves, lignes directrices et exp\u00e9rience v\u00e9cue \u00bb, qui s&rsquo;est tenu le 22 janvier 2026.<\/span><\/p>\n<p class=\"c1\"><span class=\"c0\">Le webinaire a \u00e9t\u00e9 organis\u00e9 conjointement par la R\u00e9gion de Blekinge, Wellspect, Essity et Pjama AB, et \u00e9tait destin\u00e9 aux professionnels de sant\u00e9 travaillant avec les enfants touch\u00e9s par l&rsquo;\u00e9nur\u00e9sie, tant en soins primaires qu&rsquo;en milieu sp\u00e9cialis\u00e9.<\/span><\/p>\n<p class=\"c1\"><span class=\"c0\">L&rsquo;objectif \u00e9tait clair : renforcer la comp\u00e9tence clinique en r\u00e9unissant la recherche actuelle, l&rsquo;exp\u00e9rience clinique et les perspectives des patients et des familles&mdash;et ainsi contribuer \u00e0 des soins plus \u00e9quitables et empathiques.<\/span><\/p>\n<h2 class=\"c10\" id=\"h.6qj05n6953l5\"><span class=\"c4 c15\">De nouvelles preuves changent notre vision du traitement<\/span><\/h2>\n<p class=\"c1\"><span class=\"c0\">Le professeur Tryggve Nev\u00e9us, professeur de p\u00e9diatrie et p\u00e9diatre consultant \u00e0 l&rsquo;h\u00f4pital universitaire d&rsquo;Uppsala, a ouvert le webinaire avec un aper\u00e7u de l&rsquo;\u00e9pid\u00e9miologie, de la physiopathologie et des strat\u00e9gies de traitement fond\u00e9es sur les preuves pour l&rsquo;\u00e9nur\u00e9sie.<\/span><\/p>\n<p class=\"c1\"><span class=\"c8\">Un message cl\u00e9 \u00e9tait clair :<br \/>les recherches r\u00e9centes ont modifi\u00e9 la mani\u00e8re dont le traitement de l&rsquo;\u00e9nur\u00e9sie doit \u00eatre compris et g\u00e9r\u00e9.<\/span><\/p>\n<p class=\"c1\"><span class=\"c0\">L&rsquo;\u00e9nur\u00e9sie est courante dans toutes les cultures et ne concerne pas que les enfants&mdash;au moins 0,5 % des adultes pr\u00e9sentent des sympt\u00f4mes persistants. Malgr\u00e9 cela, il existe encore d&rsquo;importantes variations dans les pratiques d&rsquo;\u00e9valuation et de traitement au sein des syst\u00e8mes de sant\u00e9.<\/span><\/p>\n<p class=\"c1\"><span class=\"c0\">La recherche montre que l&rsquo;\u00e9nur\u00e9sie nocturne a rarement une cause unique. Elle implique souvent une combinaison de facteurs tels que :<\/span><\/p>\n<ul class=\"c3 lst-kix_5i07867vwjzu-0 start\">\n<li class=\"c1 c2 li-bullet-0\"><span class=\"c0\">la polyurie nocturne<\/span><\/li>\n<li class=\"c1 c2 li-bullet-0\"><span class=\"c0\">une hyperactivit\u00e9 du d\u00e9trusor<\/span><\/li>\n<li class=\"c1 c2 li-bullet-0\"><span class=\"c0\">des seuils d&rsquo;\u00e9veil \u00e9lev\u00e9s pendant le sommeil<br \/><\/span><\/li>\n<\/ul>\n<p class=\"c1\"><span class=\"c0\">Cela souligne l&rsquo;importance d&rsquo;un traitement individualis\u00e9, fond\u00e9 sur des preuves, plut\u00f4t que de se fier \u00e0 des conseils g\u00e9n\u00e9raux ou \u00e0 des routines de longue date.<\/span><\/p>\n<p class=\"c1 c13\"><span class=\"c0\"><\/span><\/p>\n<h2 class=\"c10\" id=\"h.abg56jg1h530\"><span class=\"c4 c15\">Aller au-del\u00e0 des \u00ab conseils bien intentionn\u00e9s \u00bb<\/span><\/h2>\n<p class=\"c1\"><span class=\"c0\">Une partie importante de la pr\u00e9sentation a port\u00e9 sur la remise en question des recommandations traditionnelles encore fr\u00e9quemment donn\u00e9es en pratique, telles que :<\/span><\/p>\n<ul class=\"c3 lst-kix_pm5ibw5w5o72-0 start\">\n<li class=\"c1 c2 li-bullet-0\"><span class=\"c0\">restreindre la consommation de liquides le soir<\/span><\/li>\n<li class=\"c1 c2 li-bullet-0\"><span class=\"c8\">r\u00e9veiller l&rsquo;enfant la nuit pour uriner<\/span><\/li>\n<li class=\"c1 c2 li-bullet-0\"><span class=\"c0\">adopter une approche \u00ab attendre et voir \u00bb<\/span><\/li>\n<\/ul>\n<p class=\"c1\"><span class=\"c0\">Selon les preuves actuelles, ces mesures ont un effet limit\u00e9 ou nul dans le traitement de l&rsquo;\u00e9nur\u00e9sie. De m\u00eame, l&rsquo;entra\u00eenement de base de la vessie manque de preuves en tant que traitement de premi\u00e8re intention&mdash;ce qui marque un changement significatif dans la pens\u00e9e clinique.<\/span><\/p>\n<p class=\"c1\"><span class=\"c0\">En revanche, des approches structur\u00e9es de traitement telles que les alarmes d&rsquo;\u00e9nur\u00e9sie et la desmopressine, lorsqu&rsquo;elles sont correctement indiqu\u00e9es, suivies et \u00e9valu\u00e9es, b\u00e9n\u00e9ficient d&rsquo;un fort soutien scientifique.<\/span><\/p>\n<p class=\"c1 c13\"><span class=\"c0\"><\/span><\/p>\n<h2 class=\"c10\" id=\"h.nlhk3blwtwtl\"><span class=\"c4\">Implications cliniques : quand la structure compte plus que l&rsquo;endurance<\/span><\/h2>\n<p class=\"c1\"><span class=\"c0\">Reconna\u00eetre l&rsquo;importance d&rsquo;une r\u00e9ponse pr\u00e9coce modifie la fa\u00e7on dont la th\u00e9rapie par alarme peut \u00eatre g\u00e9r\u00e9e en pratique.<\/span><\/p>\n<p class=\"c1\"><span class=\"c0\">Un suivi pr\u00e9coce permet aux cliniciens de :<\/span><\/p>\n<ul class=\"c3 lst-kix_27auzgaajsls-0 start\">\n<li class=\"c1 c2 li-bullet-0\"><span class=\"c0\">identifier plus rapidement les non-r\u00e9pondeurs<\/span><\/li>\n<li class=\"c1 c2 li-bullet-0\"><span class=\"c0\">ajuster les attentes avec les familles<\/span><\/li>\n<li class=\"c1 c2 li-bullet-0\"><span class=\"c0\">reconsid\u00e9rer le moment ou l&rsquo;approche du traitement<\/span><\/li>\n<li class=\"c1 c2 li-bullet-0\"><span class=\"c0\">r\u00e9duire le fardeau inutile pour l&rsquo;enfant et les aidants<br \/><\/span><\/li>\n<\/ul>\n<p class=\"c1\"><span class=\"c0\">Il est important de noter que choisir de suspendre ou d&rsquo;arr\u00eater un traitement qui ne montre aucun effet pr\u00e9coce n&rsquo;est pas un \u00e9chec. Dans de nombreux cas, cela repr\u00e9sente un meilleur soin, plus individualis\u00e9.<\/span><\/p>\n<p class=\"c1\"><span class=\"c0\">Une approche structur\u00e9e d&rsquo;\u00e9valuation pr\u00e9coce soutient la prise de d\u00e9cision clinique et aide \u00e0 s&rsquo;\u00e9loigner des strat\u00e9gies passives \u00ab attendre et voir \u00bb.<\/span><\/p>\n<h2 class=\"c10\" id=\"h.xc4glpslrhdz\"><span class=\"c4 c15\">Discussion de panel : quand les lignes directrices rencontrent la r\u00e9alit\u00e9 quotidienne<\/span><\/h2>\n<p class=\"c1\"><span class=\"c0\">Apr\u00e8s la conf\u00e9rence, une table ronde a rassembl\u00e9 trois perspectives :<\/span><\/p>\n<ul class=\"c3 lst-kix_iaowngvhxk6c-0 start\">\n<li class=\"c1 c2 li-bullet-0\"><span class=\"c0\">un parent, partageant son exp\u00e9rience v\u00e9cue ayant un enfant avec l&rsquo;\u00e9nur\u00e9sie<\/span><\/li>\n<li class=\"c1 c2 li-bullet-0\"><span class=\"c0\">une infirmi\u00e8re de district, apportant un aper\u00e7u de la pratique quotidienne en soins primaires<\/span><\/li>\n<li class=\"c1 c2 li-bullet-0\"><span class=\"c0\">le professeur Nev\u00e9us, reliant la discussion \u00e0 la recherche et aux lignes directrices<br \/><\/span><\/li>\n<\/ul>\n<p class=\"c1\"><span class=\"c0\">La conversation \u00e9tait anim\u00e9e par Jens Larsson, th\u00e9rapeute uro et du c\u00f4lon et infirmier p\u00e9diatrique, et elle se concentrait sur la mani\u00e8re dont le traitement de l&rsquo;\u00e9nur\u00e9sie est v\u00e9cu dans la vie r\u00e9elle, les d\u00e9fis du parcours de soins, et comment les professionnels de sant\u00e9 peuvent mieux soutenir les enfants et les familles.<\/span><\/p>\n<h2 class=\"c10\" id=\"h.520r9aqnxhk0\"><span class=\"c4\">Une responsabilit\u00e9 partag\u00e9e tout au long du parcours de soins<\/span><\/h2>\n<p class=\"c1\"><span class=\"c0\">Le webinaire a soulign\u00e9 la n\u00e9cessit\u00e9 de clarifier les r\u00f4les et la collaboration entre les diff\u00e9rents milieux de soins. Avec les connaissances et les outils ad\u00e9quats, les soins primaires comme les services sp\u00e9cialis\u00e9s peuvent jouer un r\u00f4le crucial dans la fourniture d&rsquo;un traitement efficace, s\u00fbr et fond\u00e9 sur des preuves&mdash;tout en r\u00e9duisant la culpabilit\u00e9, la honte et la d\u00e9tresse inutiles chez les enfants et leurs familles.<\/span><\/p>\n<h2 class=\"c10\" id=\"h.xxj3u66avef\"><span class=\"c4\">Pourquoi Pjama est impliqu\u00e9<\/span><\/h2>\n<p class=\"c1\"><span class=\"c0\">Chez Pjama AB, nous travaillons \u00e0 r\u00e9duire la stigmatisation autour de l&rsquo;\u00e9nur\u00e9sie et de l&rsquo;incontinence et \u00e0 soutenir des solutions bas\u00e9es \u00e0 la fois sur des preuves scientifiques et des besoins r\u00e9els. Participer en tant que co-organisateur \u00e0 des initiatives \u00e9ducatives comme ce webinaire est une extension naturelle de notre engagement envers les enfants, les familles et les professionnels de sant\u00e9.<\/span><\/p>\n<p class=\"c1\"><span class=\"c8\">Lorsque la recherche, l&rsquo;expertise clinique et l&rsquo;exp\u00e9rience v\u00e9cue se rejoignent, nous cr\u00e9ons de meilleures conditions pour des soins qui font r\u00e9ellement la diff\u00e9rence.<\/span><\/p>\n<p><\/body><\/html><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Comment les professionnels de sant\u00e9 peuvent-ils le mieux soutenir les enfants et les familles vivant avec l&rsquo;\u00e9nur\u00e9sie ?Voici la question centrale du webinaire num\u00e9rique \u00ab Traitement de l&rsquo;\u00e9nur\u00e9sie sous plusieurs perspectives &ndash; Preuves, lignes directrices et exp\u00e9rience v\u00e9cue \u00bb, qui s&rsquo;est tenu le 22 janvier 2026. Le webinaire a \u00e9t\u00e9 organis\u00e9 conjointement par la R\u00e9gion [&hellip;]<\/p>\n","protected":false},"author":6,"featured_media":30760,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_et_pb_use_builder":"","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"categories":[104],"tags":[],"class_list":["post-30759","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-pjama-sante"],"_links":{"self":[{"href":"https:\/\/pjama.eu\/fr\/wp-json\/wp\/v2\/posts\/30759","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/pjama.eu\/fr\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/pjama.eu\/fr\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/pjama.eu\/fr\/wp-json\/wp\/v2\/users\/6"}],"replies":[{"embeddable":true,"href":"https:\/\/pjama.eu\/fr\/wp-json\/wp\/v2\/comments?post=30759"}],"version-history":[{"count":1,"href":"https:\/\/pjama.eu\/fr\/wp-json\/wp\/v2\/posts\/30759\/revisions"}],"predecessor-version":[{"id":30761,"href":"https:\/\/pjama.eu\/fr\/wp-json\/wp\/v2\/posts\/30759\/revisions\/30761"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/pjama.eu\/fr\/wp-json\/wp\/v2\/media\/30760"}],"wp:attachment":[{"href":"https:\/\/pjama.eu\/fr\/wp-json\/wp\/v2\/media?parent=30759"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/pjama.eu\/fr\/wp-json\/wp\/v2\/categories?post=30759"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/pjama.eu\/fr\/wp-json\/wp\/v2\/tags?post=30759"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}