{"id":300,"date":"2021-04-21T17:01:00","date_gmt":"2021-04-21T15:01:00","guid":{"rendered":"https:\/\/jenefumeplus.org\/jnfp\/?p=300"},"modified":"2021-04-23T15:14:11","modified_gmt":"2021-04-23T13:14:11","slug":"16-questions-et-reponses","status":"publish","type":"post","link":"https:\/\/jenefumeplus.org\/jnfp\/index.php\/2021\/04\/21\/16-questions-et-reponses\/","title":{"rendered":"16. Questions et r\u00e9ponses"},"content":{"rendered":"\n

Retour au sommaire<\/a><\/p>\n\n\n\n

LE JEU DE LA D\u00c9FUME<\/strong><\/p>\n\n\n\n

Questions\/R\u00e9ponse<\/p>\n\n\n\n

1. Quelles sont les 3 types de d\u00e9pendances que nous avons abord\u00e9es ?<\/h3>
\n
  • La d\u00e9pendance Physique<\/li>
  • La d\u00e9pendance psychologique<\/li>
  • La d\u00e9pendance comportementale<\/li><\/ul>\n<\/div><\/div>\n\n\n\n

    2. Parmi les 3 cerveaux de Paul MacLean, lequel sait que fumer est mauvais pour notre sant\u00e9 ?<\/h3>
    \n
    • La d\u00e9pendance Physique<\/li>
    • La d\u00e9pendance psychologique<\/li>
    • La d\u00e9pendance comportementale<\/li><\/ul>\n<\/div><\/div>\n\n\n\n

      3. Combien de morts (\u00e9vitables), le tabac provoque-t-il par an dans le monde ?<\/h3>
      \n
      • Plus de 8 millions de morts chaque ann\u00e9e, soit un d\u00e9c\u00e8s toutes les 6 secondes.<\/li><\/ul>\n<\/div><\/div>\n\n\n\n

        4. Quels sont les 3 \u00e9l\u00e9ments dans la combustion du tabac qui provoquent les maladies dont meurent les fumeurs ?<\/h3>
        \n
        • Le monoxyde de carbone, les goudrons, les particules fines contenant des m\u00e9taux lourds.<\/li><\/ul>\n<\/div><\/div>\n\n\n\n

          5. Quelles sont les\u00a0m\u00e9thodes\u00a0pour d\u00e9fumer et peut-on les utiliser conjointement ?<\/h3>
          \n
          • Les substituts nicotiniques : patchs, gommes, pastilles, comprim\u00e9s, spray, inhaleurs<\/li>
          • Les M\u00e9dicaments, Var\u00e9nicline et Bupropion<\/li>
          • Le vaporisateur personnel ou plus commun\u00e9ment la vape<\/li>
          • Les TCC<\/strong> ou th\u00e9rapie cognitivo-comportementale<\/li>
          • Les m\u00e9thodes alternatives ou sans substitut : hypnose, sophrologie, acupuncture\u2026<\/li><\/ul>\n\n\n\n

            Et oui bien s\u00fbr toutes ces m\u00e9thodes sont compl\u00e9mentaires<\/p>\n<\/div><\/div>\n\n\n\n

            6. Quelle est la dur\u00e9e d\u2019efficacit\u00e9 moyenne d\u2019une pastille \u00e0 la nicotine ?<\/h3>
            \n
            • Chaque pastille a une dur\u00e9e d\u2019efficacit\u00e9 variable entre 20 et 40 min.<\/li><\/ul>\n<\/div><\/div>\n\n\n\n

              7. Quel type de mat\u00e9riel est g\u00e9n\u00e9ralement conseill\u00e9 pour la d\u00e9fume ?<\/h3>
              \n
              • On parle de la vape. Il est conseill\u00e9 en d\u00e9but de sevrage un mat\u00e9riel en tirage indirect, avec une inhalation serr\u00e9e pour permettre l\u2019utilisation des plus hauts taux en nicotine possible, avec une r\u00e9sistance de minimum 1.5 ohm et une puissance mod\u00e9r\u00e9e de 12\/13 watts maximum.<\/li><\/ul>\n<\/div><\/div>\n\n\n\n

                8. Quel acide est-il pr\u00e9f\u00e9rable d\u2019\u00e9viter dans les sels de nicotine ?<\/h3>
                \n
                • On pr\u00e9f\u00e8rera une formulation \u00e0 base d\u2019acide endog\u00e8ne (acide lactique, acide l\u00e9vulinique\u2026) en \u00e9vitant les formulations \u00e0 base de benzoates (acide benzo\u00efque), en particulier pour les personnes souffrant d\u2019affections respiratoires.<\/li><\/ul>\n<\/div><\/div>\n\n\n\n

                  9. Quelle est la diff\u00e9rence entre la nicotine des substituts et celle de la vape ?<\/h3>
                  \n
                  • Aucune, c\u2019est la m\u00eame nicotine !<\/li><\/ul>\n<\/div><\/div>\n\n\n\n

                    10. Il existe des m\u00e9thodes qui revendiquent des taux de r\u00e9ussite extraordinaires, comment appelle-t-on ceux qui les proposent ?<\/h3>
                    \n
                    • Un charlatan ou pseudo-th\u00e9rapeute.<\/li><\/ul>\n<\/div><\/div>\n\n\n\n

                      11. Sans substitut et alternatives : contradictoires ou compl\u00e9mentaires ?<\/h3>
                      \n
                      • Tout comme on peut associer diff\u00e9rents substituts nicotiniques, il en est de m\u00eame pour la d\u00e9fume sans substitut et les alternatives. Ensemble elles peuvent renforcer les chances de r\u00e9ussite.<\/li><\/ul>\n<\/div><\/div>\n\n\n\n

                        12. Que signifie TCC ?<\/h3>
                        \n
                        • Th\u00e9rapies Cognitivo-Comportementales (cognitive behavioral therapy CBT en anglais) ou Th\u00e9rapies comportementales\/cognitives et \u00e9motionnelles : visant \u00e0 instaurer et maintenir des comportements favorables \u00e0 la sant\u00e9 physique et \u00e9motionnelle.<\/li><\/ul>\n<\/div><\/div>\n\n\n\n

                          13. L\u2019arriv\u00e9e de la nicotine au cerveau est-elle plus rapide avec la cigarette, les substituts ou la vape ?<\/h3>
                          \n

                          Avec la cigarette en 7 \u00e0 10 secondes<\/p>\n<\/div><\/div>\n\n\n\n

                          14. Quelles sont les 3 situations \u00e0 haut risque associ\u00e9es \u00e0 pr\u00e8s de 75% des rechutes ?<\/h3>
                          \n

                          La recherche a d\u00e9montr\u00e9 que trois situations \u00e0 haut risque sont associ\u00e9es \u00e0 pr\u00e8s de 75% des rechutes (Marlatt 1985) :<\/p>\n\n\n\n

                          • \u00c9tats \u00e9motionnels n\u00e9gatifs,<\/li>
                          • Conflits interpersonnels<\/li>
                          • Pressions sociales.<\/li><\/ul>\n<\/div><\/div>\n\n\n\n

                            15. Quelle est la d\u00e9finition la plus pr\u00e9cise qu\u2019on puisse donner au craving ?<\/h3>
                            \n
                            • C\u2019est le \u00ab d\u00e9sir imp\u00e9rieux et parfois compulsif, de consommer une substance psycho active (ou PSA) conditionn\u00e9 par l\u2019envie d\u2019en profiter sans d\u00e9lai \u00bb.<\/li><\/ul>\n<\/div><\/div>\n\n\n\n

                              16. Qui a dit : \u00ab Les gens fument pour la nicotine mais meurent \u00e0 cause du goudron \u00bb ?<\/h3>
                              \n
                              • Le Pr Michael Russell, pionnier de la tabacologie et premier d\u00e9fenseur de la r\u00e9duction du risque tabagique.<\/li><\/ul>\n<\/div><\/div>\n\n\n\n

                                17. Qui a dit : \u00ab La rechute est la r\u00e8gle et pas l \u2018exception \u00bb ?<\/h3>
                                \n
                                • Gordon Alan Marlatt, psychologue clinicien dans le domaine des comportements de d\u00e9pendance des ann\u00e9es 1980 aux ann\u00e9es 2000.<\/li><\/ul>\n<\/div><\/div>\n\n\n\n

                                  18. Pourquoi est- il indispensable de s\u2019hydrater plus quand on vape ?<\/h3>
                                  \n
                                  • La Glyc\u00e9rine V\u00e9g\u00e9tale (VG) et le Propyl\u00e8ne Glycol ont des propri\u00e9t\u00e9s hygroscopiques, ce qui a pour effet de d\u00e9shydrater les voies a\u00e9riennes sup\u00e9rieures. Il est donc indispensable de vraiment bien s\u2019hydrater lorsque l\u2019on vape \u00e0 raison de 2 litres d\u2019eau minimum par jour. \u00ab Si tu vapes, tu t\u2019hydrates \u00bb<\/li><\/ul>\n<\/div><\/div>\n\n\n\n

                                    19. Quelles sont les diff\u00e9rences entre cigarettes industrielles\/ roul\u00e9es\/ tub\u00e9es (en terme de nicotine \u00e0 l\u2019inhalation) ?<\/h3>
                                    \n
                                    • Une cigarette industrielle correspond de 1 \u00e0 3 mg de nicotine inhal\u00e9e selon la fa\u00e7on de la fumer, cette quantit\u00e9 est doubl\u00e9e s\u2019il s\u2019agit d\u2019une cigarette tub\u00e9e\/roul\u00e9e.<\/li><\/ul>\n<\/div><\/div>\n\n\n\n

                                      20. Qui d\u00e9testait le terme rechute ? Quelle \u00ab image \u00bb pr\u00e9f\u00e9rait-il <\/h3>
                                      \n
                                      • Le Pr Robert Molimard, pionnier de la tabacologie en France. Il pr\u00e9f\u00e9rait au mot \u00ab rechute \u00bb l\u2019image du vol du canard, le canard qui doit faire plusieurs tentatives en reprenant appui sur l\u2019eau pour prendre de la vitesse et r\u00e9ussir son envol.<\/li><\/ul>\n<\/div><\/div>\n\n\n\n

                                        <\/p>\n","protected":false},"excerpt":{"rendered":"

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