{"id":500244,"date":"2025-10-19T20:17:01","date_gmt":"2025-10-19T17:17:01","guid":{"rendered":"https:\/\/kinsta.unitedwithisrael.org\/?p=500244"},"modified":"2025-10-19T15:49:29","modified_gmt":"2025-10-19T12:49:29","slug":"le-long-chemin-de-rehabilitation-des-otages-liberes-des-geoles-du-hamas","status":"publish","type":"post","link":"https:\/\/kinsta.unitedwithisrael.org\/fr\/le-long-chemin-de-rehabilitation-des-otages-liberes-des-geoles-du-hamas\/","title":{"rendered":"Le long chemin de r\u00e9habilitation des otages lib\u00e9r\u00e9s des ge\u00f4les du Hamas"},"content":{"rendered":"

Les m\u00e9decins avertissent que les otages lib\u00e9r\u00e9s risquent de souffrir du syndrome de r\u00e9alimentation, un d\u00e9s\u00e9quilibre potentiellement mortel observ\u00e9 pour la premi\u00e8re fois apr\u00e8s l\u2019Holocauste. Cependant, ils affirment qu\u2019avec de la nourriture, de la lumi\u00e8re du soleil et des soins, leur corps et leur sommeil devraient rapidement se r\u00e9tablir. <\/strong><\/em><\/p>\n

Par Amelie Botbol, \u200b\u200bJNS<\/em><\/p>\n

\u00ab\u00a0Ils doivent r\u00e9apprendre \u00e0 vivre \u2013 c’est comme rena\u00eetre<\/em> \u00bb, a d\u00e9clar\u00e9 mercredi \u00e0 JNS Tamar Pfeffer-Gik, di\u00e9t\u00e9ticienne clinicienne au Centre m\u00e9dical Rabin-H\u00f4pital Beilinson de Petah Tikvah, au sujet des otages revenus de Gaza apr\u00e8s deux ans de captivit\u00e9 du Hamas.<\/p>\n

Cinq otages lib\u00e9r\u00e9s lundi \u2013 Evyatar David, 24\u00a0ans\u00a0; Guy Gilboa Dalal, 22\u00a0ans\u00a0; Alon Ohel, 24\u00a0ans\u00a0; Avinatan Or, 32\u00a0ans\u00a0; et Eitan Mor, 25\u00a0ans \u2013 se r\u00e9tablissent au troisi\u00e8me \u00e9tage du Centre m\u00e9dical p\u00e9diatrique Schneider du Centre m\u00e9dical Rabin. Pfeffer-Gik fait partie de l’\u00e9quipe pluridisciplinaire qui les prend en charge.<\/p>\n

\u00ab\u00a0Plusieurs h\u00e9licopt\u00e8res ont atterri juste devant nous<\/em> \u00bb, se souvient le Dr Michal Steinman, directeur des soins infirmiers \u00e0 l’h\u00f4pital Beilinson. \u00ab Le premier est arriv\u00e9 vers 12 h 30, le dernier entre 17 h et 18 h. L’unit\u00e9 \u00e9tait rest\u00e9e vide depuis quelques mois, elle a d\u00e9clar\u00e9 : \u00ab Nous \u00e9tions pr\u00e9par\u00e9s aux cas graves<\/em> \u00bb, a-t-elle d\u00e9clar\u00e9. \u00ab Nous nous attendions \u00e0 des personnes extr\u00eamement faibles et traumatis\u00e9es ; la famine laisse des traces profondes sur le corps et l\u2019esprit.<\/em> \u00bb<\/p>\n

\u00ab\u00a0Je suis soulag\u00e9e qu\u2019ils soient arriv\u00e9s dans un \u00e9tat relativement stable, coh\u00e9rents et conscients<\/em>\u00a0\u00bb, a poursuivi Steinman. \u00ab\u00a0Ils \u00e9taient encore dans les tunnels quelques heures auparavant. Maintenant, ils sont entour\u00e9s de leurs proches, de nourriture, d\u2019eau potable et de r\u00e9confort. Le changement est radical.<\/em>\u00bb<\/p>\n

L\u2019\u00e9quipe, a-t-elle ajout\u00e9, \u00ab\u00a0s\u2019efforce de faire dispara\u00eetre les couches de dommages<\/em>\u00a0\u00bb.<\/p>\n

Une famine prolong\u00e9e peut endommager les organes internes, et certains effets peuvent appara\u00eetre plus tard, a not\u00e9 Steinman. \u00ab\u00a0Ils doivent partager leurs histoires \u2013 leurs blessures et leurs maladies non trait\u00e9es \u2013 afin que nous puissions comprendre pleinement l\u2019impact de la captivit\u00e9.<\/em>\u00a0\u00bb<\/p>\n

Les premiers tests ont r\u00e9v\u00e9l\u00e9 que l’\u00e9tat des anciens captifs \u00e9tait stable, et aucun n’a n\u00e9cessit\u00e9 d’intervention chirurgicale ou d’intubation.<\/p>\n

Pfeffer-Gik a expliqu\u00e9 que la malnutrition allait bien au-del\u00e0 de la perte de poids. \u00ab Toute personne qui perd 15 \u00e0 50 % de son poids corporel souffre de malnutrition, perdant non seulement de la graisse et des muscles, mais aussi des nutriments essentiels comme le fer et les vitamines<\/em> \u00bb, a-t-elle d\u00e9clar\u00e9. \u00ab Une perte de poids forc\u00e9e et non contr\u00f4l\u00e9e entra\u00eene de graves carences.<\/em> \u00bb<\/p>\n

Elle a not\u00e9 que si le visage de certains otages parassait moins d\u00e9charn\u00e9, le gonflement pouvait rendre cette information trompeuse. \u00ab Leurs mains r\u00e9v\u00e8lent la r\u00e9alit\u00e9 : minces et fragiles. Nombre d’entre eux ont connu des cycles de famine et ont \u00e9t\u00e9 nourris avant d’\u00eatre lib\u00e9r\u00e9s<\/em> \u00bb, a-t-elle d\u00e9clar\u00e9.<\/p>\n

\u00ab Certains souffrent de graves carences en micronutriments, notamment en vitamine C, qui peuvent entra\u00eener le scorbut. Ceux qui sont priv\u00e9s de prot\u00e9ines doivent reconstruire leur masse musculaire, un processus lent<\/em> \u00bb, a-t-elle poursuivi.<\/p>\n

\u00ab S’ils commencent \u00e0 manger ou \u00e0 bouger trop vite, ils risquent de se blesser<\/em> \u00bb, a averti Pfeffer-Gik. \u00ab Nous devons restaurer avec pr\u00e9caution les macronutriments et les micronutriments.<\/em> \u00bb<\/p>\n

Chaque patient est suivi de pr\u00e8s et b\u00e9n\u00e9ficie d’un programme nutritionnel personnalis\u00e9. Le syndrome de r\u00e9alimentation, un d\u00e9s\u00e9quilibre m\u00e9tabolique potentiellement mortel observ\u00e9 pour la premi\u00e8re fois apr\u00e8s la Shoah, constitue une pr\u00e9occupation majeure. \u00ab\u00a0Lorsque les personnes affam\u00e9es recommencent \u00e0 manger, les \u00e9lectrolytes peuvent subir des variations dangereuses<\/em>\u00a0\u00bb, explique-t-elle.<\/p>\n

\u00ab\u00a0D’un point de vue gastro-intestinal, manger trop vite peut provoquer douleurs, diarrh\u00e9es et gaz. Tout doit \u00eatre progressif.<\/em>\u00bb<\/p>\n

La cuisine de l’h\u00f4pital, explique Pfeffer-Gik, s’efforce de satisfaire les demandes alimentaires de chaque ancien otage, conform\u00e9ment aux recommandations des di\u00e9t\u00e9ticiens.<\/p>\n

Steinman a constat\u00e9 que de nombreux anciens otages souffrent de troubles du sommeil apr\u00e8s des mois pass\u00e9s dans l’obscurit\u00e9 totale sous terre.<\/p>\n

\u00ab\u00a0En g\u00e9n\u00e9ral, il faut plusieurs jours, voire plusieurs semaines, pour que le cycle du sommeil se r\u00e9ajuste\u00a0<\/em>\u00bb, explique-t-elle. \u00ab\u00a0Mais ils sont jeunes, ils ont recommenc\u00e9 \u00e0 manger, ils sont expos\u00e9s au soleil et b\u00e9n\u00e9ficient d’un suivi psychologique. Une fois que leur syst\u00e8me biologique se sera stabilis\u00e9 et qu’ils commenceront \u00e0 se sentir en s\u00e9curit\u00e9, les troubles du sommeil s’att\u00e9nueront.<\/em>\u00a0\u00bb Les otages plus jeunes, a-t-elle ajout\u00e9, devraient se r\u00e9tablir plus rapidement, car ils ne souffrent g\u00e9n\u00e9ralement pas de maladies chroniques.<\/p>\n

S’agissant de l’avenir, Steinman a indiqu\u00e9 qu’il existait peu de recherches sur les effets physiques \u00e0 long terme d’une captivit\u00e9 prolong\u00e9e, compte tenu de la raret\u00e9 de ces cas. \u00ab Il existe des \u00e9tudes sur des otages afghans, ainsi qu’une \u00e9tude bien connue sur des soldats isra\u00e9liens captur\u00e9s pendant la guerre du Kippour, suivis pendant 40 ans<\/em> \u00bb, a-t-elle pr\u00e9cis\u00e9.<\/p>\n

\u00ab\u00a0Ces recherches ont montr\u00e9 que m\u00eame apr\u00e8s 25 ou 30\u00a0ans, beaucoup souffraient de probl\u00e8mes cardiaques, d’hypertension art\u00e9rielle et de diab\u00e8te. Le corps poss\u00e8de une m\u00e9moire m\u00e9tabolique\u00a0: il se souvient des traumatismes. Et comme ces otages ont endur\u00e9 de telles privations pendant si longtemps, ils risquent de souffrir de complications similaires.<\/em>\u00a0\u00bb Le soutien de l’h\u00f4pital se poursuivra \u00e0 vie, a d\u00e9clar\u00e9 Steinman. Si de nombreux otages seront bient\u00f4t admis m\u00e9dicalement \u00e0 la r\u00e9adaptation en centre de jour, leur r\u00e9tablissement psychologique doit \u00eatre suivi de pr\u00e8s.<\/p>\n

\u00ab\u00a0On ne peut dissocier la sant\u00e9 physique du bien-\u00eatre mental et \u00e9motionnel<\/em>\u00a0\u00bb, a-t-elle d\u00e9clar\u00e9. \u00ab\u00a0Ils sont incroyablement r\u00e9silients et ont fait preuve d’un instinct de survie remarquable, mais personne ne peut vivre une telle captivit\u00e9 sans en porter le poids \u00e0 vie.<\/em>\u00a0\u00bb<\/p>\n

\u00ab\u00a0On apprend \u00e0 vivre avec et \u00e0 g\u00e9rer la situation<\/em>\u00a0\u00bb, a conclu Steinman. \u00ab\u00a0Un traitement adapt\u00e9 peut les aider \u00e0 reprendre le contr\u00f4le et \u00e0 progresser vers la gu\u00e9rison.\u00a0<\/em>\u00bb<\/p>\n

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Les m\u00e9decins avertissent que les otages lib\u00e9r\u00e9s risquent de souffrir du syndrome de r\u00e9alimentation, un d\u00e9s\u00e9quilibre potentiellement mortel observ\u00e9 pour la premi\u00e8re fois apr\u00e8s l\u2019Holocauste. Cependant, ils affirment qu\u2019avec de la nourriture, de la lumi\u00e8re du soleil et des soins, leur corps et leur sommeil devraient rapidement se r\u00e9tablir. Par Amelie Botbol, \u200b\u200bJNS \u00ab\u00a0Ils doivent… Read more »<\/a><\/p>\n","protected":false},"author":4242,"featured_media":259517,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":"","_links_to":"","_links_to_target":""},"categories":[28418],"tags":[45620,48132,33267,33261,31609],"class_list":["post-500244","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-actualites-israeliennes","tag-7-octobre","tag-evyatar-david","tag-gaza-fr","tag-hamas-fr","tag-otages"],"better_featured_image":{"id":259517,"alt_text":"","caption":"Inside a smuggling tunnel. 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