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Les données disponibles semblent montrer que le jeûne du ramadan est sans danger en cas de maladie chronique contrôlée {...}" /> <meta property="og:url" content="https://www.sida-info-service.org/vih-et-ramadan-2023/" /> <meta property="og:site_name" content="Sida Info Service" /> <meta property="article:tag" content="PVVIH" /> <meta property="article:tag" content="ramadan" /> <meta property="article:tag" content="VIH" /> <meta property="article:section" content="À la une" /> <meta property="article:published_time" content="2023-03-24T08:16:30+00:00" /> <meta property="article:modified_time" content="2023-03-28T11:16:47+00:00" /> <meta property="og:updated_time" content="2023-03-28T11:16:47+00:00" /> <meta property="og:image" content="https://www.sida-info-service.org/wp-content/uploads/2023/03/Ramadan-SIS.jpg" /> <meta property="og:image:secure_url" content="https://www.sida-info-service.org/wp-content/uploads/2023/03/Ramadan-SIS.jpg" /> <meta property="og:image:width" content="800" /> <meta property="og:image:height" content="400" /> <meta name="twitter:card" content="summary" /> <meta name="twitter:description" content="Les données sur les effets du jeûne du ramadan sur la santé des patients porteurs de maladie chronique sont controversées. Les études scientifiques sont peu nombreuses. 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class="site-main" role="main"> <div class="container"> <div class="breadcrumb">  <span property="itemListElement" typeof="ListItem"><a property="item" typeof="WebPage" title="Retour à l'accueil" href="https://www.sida-info-service.org" class="home"><span property="name">Accueil</span></a><meta property="position" content="1"></span> > <span property="itemListElement" typeof="ListItem"><a property="item" typeof="WebPage" title="Se rendre à la catégorie Dossiers." href="https://www.sida-info-service.org/categorie/dossiers/" class="taxonomy category"><span property="name">Dossiers</span></a><meta property="position" content="2"></span> > <span property="itemListElement" typeof="ListItem"><a property="item" typeof="WebPage" title="Se rendre à la catégorie Santé." href="https://www.sida-info-service.org/categorie/dossiers/sis-sante/" class="taxonomy category"><span property="name">Santé</span></a><meta property="position" content="3"></span> > <span property="itemListElement" typeof="ListItem"><span property="name">VIH et Ramadan 2023</span><meta property="position" content="4"></span> </div> <div class="col-md-8 col-sx-12"> <div class="content_global"> <article id="post-2352071" class="post-2352071 post type-post status-publish format-standard has-post-thumbnail hentry category-a-la-une category-actu category-sis-sante category-traitements tag-pvvih tag-ramadan tag-vih"> <header class="entry-header"> <div class="barre_action pull-right">  </div> <div class="entry-footer"> <div class="col-md-12 no-padding article-header"> <div class="col-md-4 col-sm-12 col-sx-12 text-left no-padding-left publish"><span>Publié le : </span>24 mars 2023</div> <div class="col-md-4 col-sm-12 col-sx-12 text-left update-for"><span>Mise à jour le : </span> 28 mars 2023 </div> <div class="col-md-4 col-sm-12 col-sx-12 text-right action_size no-padding-right"> <ul> <li> <a href="#" onclick="changeFontSize(1);return false;" title="Agrandir les caractères">A+</a> </li> <li> <a href="#" onclick="changeFontSize(-1);return false;" title="Rétrécir les caractères">A-</a> </li> <li> <a href="#" onclick="resetFontSize(); return false;" title="Taille normale des caractères">A</a> </li> </ul> </div> </div> <div class="tagged text-center"> <a href="https://www.sida-info-service.org/tag/pvvih/" rel="tag">PVVIH</a> <a href="https://www.sida-info-service.org/tag/ramadan/" rel="tag">ramadan</a> <a href="https://www.sida-info-service.org/tag/vih/" rel="tag">VIH</a> </div> </div> <h1 class="entry-title">VIH et Ramadan 2023</h1>  </header> <div class="entry-content"> <div class="picture_une"> <img width="800" height="400" src="https://www.sida-info-service.org/wp-content/uploads/2023/03/Ramadan-SIS.jpg" class="attachment-800x400 size-800x400 wp-post-image" alt="Ramadan 2023" srcset="https://www.sida-info-service.org/wp-content/uploads/2023/03/Ramadan-SIS.jpg 800w, https://www.sida-info-service.org/wp-content/uploads/2023/03/Ramadan-SIS-300x150.jpg 300w, https://www.sida-info-service.org/wp-content/uploads/2023/03/Ramadan-SIS-768x384.jpg 768w" sizes="(max-width: 800px) 100vw, 800px" /> </div> <div id="pl-2352071" class="panel-layout" ><div id="pg-2352071-0" class="panel-grid panel-no-style" ><div id="pgc-2352071-0-0" class="panel-grid-cell" ><div id="panel-2352071-0-0-0" class="so-panel widget widget_sow-editor panel-first-child panel-last-child" data-index="0" ><div class="so-widget-sow-editor so-widget-sow-editor-base" > <div class="siteorigin-widget-tinymce textwidget"> <p style="text-align: center;">Recommandations pour les musulmans séropositifs au VIH qui souhaitent faire le ramadan</p> <h2>Le ramadan 2023 a débuté jeudi 23 mars</h2> <p>Le jeûne constitue un des cinq piliers de la religion musulmane. Le Coran établit que des personnes pour lesquelles le jeûne peut constituer un risque pour leur santé sont exemptées du jeûne du ramadan. Il s’agit par exemple des personnes malades (maladies aiguës ou chroniques) et les femmes enceintes ou allaitantes. Malgré cela, du fait de l’importance spirituelle et culturelle du ramadan, de nombreux patients musulmans malades maintiennent leur intention de jeûne.</p> <p>Les données sur les effets du jeûne du ramadan sur la santé des patients porteurs de maladie chronique sont controversées. Les études scientifiques sont peu nombreuses. Les données disponibles semblent montrer que le jeûne du ramadan est sans danger en cas de maladie chronique contrôlée : hypertension artérielle, insuffisance cardiaque stable, mais devrait être déconseillé aux patients avec une maladie instable comme un infarctus récent ou une décompensation cardiaque récente. L’effet du jeûne du ramadan le plus étudié est celui sur le diabète, qui entraîne un risque accru de complications.</p> <h2>Infection par le VIH</h2> <p>Concernant l’infection par le VIH, il n’y a pas de risque à pratiquer le jeûne en cas d’infection stabilisée sous traitement mais le jeûne devrait être déconseillé en cas de découverte récente de séropositivité ou de tout phénomène intercurrent qui rendrait l’infection instable.</p> <p>Il est recommandé de respecter des règles diététiques pendant la période de jeûne. En 2023 le jeûne se déroule à une période où les journées sont longues. Il est donc important de boire et de manger équilibré pendant les moments où il est possible de s’alimenter (entre le coucher du soleil et l’aube).</p> <h2>Comment prendre votre traitement ?</h2> <p>En 2023, durant tout le mois du ramadan, le délai est d’environ 8 heures à 9 heures entre le moment de la rupture du jeûne aux alentours de 20h-21h, et le début du jeûne aux alentours de 6 h-5h.</p> <p>• Si votre traitement est prescrit en 1 fois, vous prenez donc vos médicaments toutes les 24 heures.</p> <p>Pour vous adapter aux horaires du ramadan vous devez décaler votre prise quotidienne pour la prendre pendant la période où vous pouvez manger. Rapprochez-vous de votre médecin ou de Sida Info Service pour faire ce décalage dans de bonnes conditions.</p> <p>• Si votre traitement est prescrit en 2 prises par jour, avec 12 heures d’intervalle, ou en 3 prises par jour, avec 8 heures d’intervalle :</p> <p>Le délai entre le <em>ftour</em> et le <em>s’hour</em> est largement inférieur aux 12 heures nécessaires entre 2 prises de traitement et aux 8 heures d’écart nécessaires à 3 prises. Les horaires du ramadan 2023 ne sont donc pas compatibles avec un traitement en 2 ou 3 prises quotidiennes.</p> <h2>Pendant un repas ou à jeun ?</h2> <p>• <strong>Pendant ou en dehors des repas ?</strong></p> <p>Les médicaments n’ont aucune efficacité ou au mieux une efficacité réduite si les recommandations concernant le moment de la prise ne sont pas respectées. Soyez vigilants à cette consigne si vous êtes dans cette situation.</p> <p>• <strong>Prise des médicaments à jeun :</strong></p> <p>Vous pouvez prendre vos médicaments 2 heures après le repas du <em>ftour</em> et ne pas manger à nouveau pendant 2 heures. Vous pouvez aussi les prendre 2 heures avant le repas du <em>s’hour</em> si aucun aliment n’a été consommé dans les 2 heures précédentes.</p> <h2>Séropositif sans traitement</h2> <p>Toutes les personnes VIH + devraient être traitées selon les recommandations des experts.</p> <p>Cependant, si vous êtes est en attente de traitement parce que vous avez une bonne immunité et un taux de CD4 supérieur à 500 CD4 ou que vous faites partie des <em>HIV</em> <em>controlers</em>, vous pouvez pratiquer le jeûne dans la mesure où vous prenez un repas correct et équilibré avant et après le coucher du soleil. Les apports énergétiques journaliers sont ainsi garantis.</p> <p>L’avis du médecin traitant est recommandé, celui-ci pouvant envisager une surveillance pour vérifier que tout va bien.</p> <p>Si vous êtes séropositif et que vous refusez de prendre un traitement ou bien que vous êtes en rupture de suivi, vous ne devez pas faire le ramadan avant d’avoir fait le point avec votre médecin traitant.</p> <h2>Séropositif ayant présenté une maladie opportuniste</h2> <p>Si vous avez le VIH, que vous avez déclenché une maladie opportuniste et que votre niveau de CD4 est inférieur à 200, le ramadan est contre-indiqué car le jeûne risquerait de vous affaiblir.</p> <p>La question se pose moins si vous avez été en phase sida il y a longtemps et que votre immunité actuelle est correcte. L’avis de votre médecin est nécessaire pour pouvoir prendre la décision la plus adaptée à votre situation.</p> <h2>Et si on ne peut pas faire le jeûne pour raison médicale ?</h2> <p>Le jeûne n’est pas une obligation quand il met en jeu le pronostic vital. Au contraire : dans ce cas il est totalement interdit. Le Coran prévoit les cas de maladies et les différencie en deux catégories :</p> <p>1. Maladie aiguë : le croyant ne fait pas le ramadan pendant la période de la maladie et « rattrape » les jours non faits en dehors de la période du ramadan.</p> <p>2. Maladie chronique, personne âgée : le croyant est « dispensé » de manière définitive du ramadan. Dans ce cas il lui est recommandé de « nourrir » un pauvre sous forme d’aumône (<em>Fidyah</em>), s’il en a les moyens.</p> <p><strong>Docteur Radia Djebbar, Coordinatrice Médicale à Sida Info Service</strong></p> </div> </div></div></div></div></div> </div> </article> <nav class="navigation post-navigation" role="navigation"> <h2 class="screen-reader-text">Navigation de l’article</h2> <div class="nav-links"><div class="nav-previous"><a href="https://www.sida-info-service.org/sida-info-service-repond-aussi-aux-detenus/" rel="prev">Sida Info Service répond aussi aux détenus</a></div><div class="nav-next"><a href="https://www.sida-info-service.org/sidaction-3-911-394-euros-de-promesses-de-dons/" rel="next">Sidaction : 3 911 394 euros de promesses de dons</a></div></div> </nav> </div> <div class="col-md-12"> <div class="row"> <div class="col-md-6 col-sm-12 col-sx-12 lire-egalement no-padding-left"> <div class="content_global block"> <div class="titre">A lire également</div> <div 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