{"id":11383231,"date":"2013-05-15T00:00:00","date_gmt":"2013-05-14T22:00:00","guid":{"rendered":"https:\/\/alertdiver.eu\/non-classifiee\/le-reflux-gastrique-en-plongee-un-probleme-emergeant\/"},"modified":"2013-05-15T00:00:00","modified_gmt":"2013-05-14T22:00:00","slug":"le-reflux-gastrique-en-plongee-un-probleme-emergeant","status":"publish","type":"post","link":"https:\/\/alertdiver.eu\/fr_FR\/articles\/le-reflux-gastrique-en-plongee-un-probleme-emergeant\/","title":{"rendered":"Le reflux gastrique en plong\u00e9e: un probl\u00e8me \u00e9mergeant?"},"content":{"rendered":"

Au cours des dix derni\u00e8res ann\u00e9es, parall\u00e8lement \u00e0 l’\u00e9volution des modes de vie, l’on a pu observer une augmentation du nombre de personnes souffrant de reflux gastrique (ou reflux gastro-\u0153sophagien<\/em>), une affection bien connue du point de vue clinique.<\/p>\n

Ce que l’on conna\u00eet moins, toutefois, est l’effet de l’acide chlorhydrique produit par l’estomac sur les oreilles, le nez, la gorge et les voies a\u00e9riennes en g\u00e9n\u00e9ral.<\/p>\n

La premi\u00e8re corr\u00e9lation entre le reflux gastrique et les probl\u00e8mes ORL remonte \u00e0 1903, lorsque le Dr L.A. Coffin \u00e9mit l’hypoth\u00e8se que l’inhalation de mati\u00e8re acide provenant de l’estomac \u00e9tait li\u00e9e \u00e0 la s\u00e9cheresse dans la gorge et \u00e0 la rhinorrh\u00e9e* (ou \u00e9coulement nasal) constat\u00e9es chez des patients souffrants de probl\u00e8mes nasaux et laryngiens.<\/p>\n

Un si\u00e8cle plus tard, d’autres \u00e9tudes se sont pench\u00e9es sur cette corr\u00e9lation, et nous en savons \u00e0 pr\u00e9sent plus sur le reflux laryngopharyng\u00e9, la cause de la g\u00eane subie et les diff\u00e9rentes maladies touchant le larynx, le pharynx, la cavit\u00e9 buccale, la bouche, les bronches, les oreilles, le nez et les sinus.<\/p>\n

En 2002, un chercheur allemand publia une d\u00e9couverte surprenante dans un magazine reconnu : chez 80 % des enfants qui avaient subi une ablation des v\u00e9g\u00e9tations ad\u00e9no\u00efdes dans la clinique o\u00f9 il travaillait, une enzyme digestive gastrique \u00e9tait pr\u00e9sente dans l’oreille moyenne. Cette enzyme n’a pu arriver \u00e0 l’oreille moyenne que par le rhinopharynx et la trompe d’Eustache.<\/p>\n

En d’autres mots, cela pourrait revenir \u00e0 dire que 80 % des enfants ayant souffert d’infections de l’oreille durant la petite enfance pr\u00e9sentaient des troubles du fonctionnement des conduits auditifs, qui \u00e9taient \u00e0 l’origine du reflux. Cette th\u00e8se est soutenue par d’autres \u00e9tudes scientifiques, qui ont d\u00e9montr\u00e9 le m\u00e9canisme selon lequel l’acide chlorhydrique et l’enzyme pepsine associ\u00e9e au reflux provoquent l’inflammation, le gonflement et l’ulc\u00e9ration des membranes muqueuses respiratoires. <\/p>\n

Suite \u00e0 ces hypoth\u00e8ses, nous nous sommes pos\u00e9 la question suivante : est-il possible que le reflux gastrique soit \u00e9galement \u00e0 l’origine des probl\u00e8mes d’\u00e9quilibrage chez les plongeurs ?<\/p>\n

Parmi les patients qui nous ont consult\u00e9s pour des probl\u00e8mes d’\u00e9quilibrage en plong\u00e9e, nous avons constat\u00e9 qu’un grand nombre de ceux qui ne pr\u00e9sentaient aucun signe de pathologie ORL ou qui avaient subi une intervention chirurgicale pour corriger un probl\u00e8me nasal (sans r\u00e9sultat significatif) se plaignaient de « br\u00fblures » \u00e0 l’estomac en d\u00e9but de plong\u00e9e, et d’une augmentation de cette sensation lors de l’\u00e9quilibrage.<\/p>\n

D\u00e8s lors, en 2009, nous avons commenc\u00e9 \u00e0 associer l’inhalation d’acide chlorhydrique avec les probl\u00e8mes d’\u00e9quilibrage rencontr\u00e9s en plong\u00e9e, et sommes d\u00e9sormais en mesure de r\u00e9pondre \u00e0 la question pos\u00e9e plus haut par un « oui » \u00e9tay\u00e9 par de nombreux essais.<\/p>\n

Les positions adopt\u00e9es par les plongeurs (en particulier en plong\u00e9e libre, mais \u00e9galement avec un scaphandre autonome) entra\u00eenent une accumulation de mati\u00e8re gastrique autour du sphincter ainsi que l’inhalation d’acide, qui provoquent \u00e0 leur tour l’inflammation des voies digestives et le blocage de la trompe d’Eustache. Lors de la descente en profondeur, la position « t\u00eate vers le bas » engendre un reflux gastrique dans les voies respiratoires sup\u00e9rieures et perturbe les man\u0153uvres d’\u00e9quilibrage dans l’oreille moyenne.<\/p>\n

La difficult\u00e9 \u00e0 \u00e9quilibrer l’oreille moyenne demeure l’un des probl\u00e8mes les plus couramment rencontr\u00e9s en plong\u00e9e aujourd’hui, et il s’agit certainement du plus handicapant. Par cons\u00e9quent, il est important de poursuivre les recherches dans cette direction, en vue d’am\u00e9liorer la s\u00e9curit\u00e9 de la plong\u00e9e et le plaisir que l’on en tire.<\/p>\n

Le reflux n’\u00e9tant actuellement pas reconnu parmi les classifications des troubles li\u00e9s \u00e0 l’\u00e9quilibrage en plong\u00e9e, notre objectif consiste \u00e0 d\u00e9montrer qu’il se produit une r\u00e9duction du PH dans les voies respiratoires sup\u00e9rieures des plongeurs, en utilisant un syst\u00e8me de mesure du PH dans le rhinopharynx pendant une plong\u00e9e. Cette mesure sera ensuite compar\u00e9e \u00e0 une mesure prise avant la plong\u00e9e, lorsque le plongeur \u00e9tait en position debout (normale).<\/p>\n

Nous esp\u00e9rons, et sommes convaincus, que les donn\u00e9es que nous recueillerons confirmeront notre th\u00e9orie.<\/p>\n

Remarque<\/strong><\/p>\n

*La rhinorrh\u00e9e, ou \u00e9coulement nasal, fait r\u00e9f\u00e9rence \u00e0 l’accumulation de liquides (mucus) provenant de la cavit\u00e9 nasale ou des sinus. En cas d’\u00e9coulement nasal ant\u00e9rieur, les liquides s’accumulent dans les narines, tandis qu’en cas d’\u00e9coulement nasal post\u00e9rieur, les liquides traversent la cavit\u00e9 nasale et sont aval\u00e9s ou recrach\u00e9s par la bouche.<\/p>\n","protected":false},"excerpt":{"rendered":"

Au cours des dix derni\u00e8res ann\u00e9es, parall\u00e8lement \u00e0 l’\u00e9volution des modes de vie, l’on a pu observer une augmentation du nombre de personnes souffrant de…<\/p>\n","protected":false},"author":1,"featured_media":11374675,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[386],"tags":[],"authors":[],"class_list":["post-11383231","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-articles"],"acf":[],"yoast_head":"\nLe reflux gastrique en plong\u00e9e: un probl\u00e8me \u00e9mergeant? - Alert Diver<\/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:\/\/alertdiver.eu\/fr_FR\/articles\/le-reflux-gastrique-en-plongee-un-probleme-emergeant\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Le reflux gastrique en plong\u00e9e: un probl\u00e8me \u00e9mergeant? 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