{"id":3383,"date":"2022-08-29T15:44:06","date_gmt":"2022-08-29T15:44:06","guid":{"rendered":"https:\/\/hydroandme.com\/traitement\/traitement-par-derivation\/"},"modified":"2022-08-31T16:39:36","modified_gmt":"2022-08-31T16:39:36","slug":"traitement-par-derivation","status":"publish","type":"page","link":"https:\/\/hydroandme.com\/fr\/traitement\/traitement-par-derivation\/","title":{"rendered":"Traitement par d\u00e9rivation"},"content":{"rendered":"[vc_row type=”full_width_background” full_screen_row_position=”middle” column_margin=”default” column_direction=”default” column_direction_tablet=”default” column_direction_phone=”default” bg_image=”523″ bg_position=”center top” background_image_loading=”default” bg_repeat=”no-repeat” scene_position=”center” text_color=”light” text_align=”left” row_border_radius=”none” row_border_radius_applies=”bg” enable_gradient=”true” color_overlay=”#ffd937″ color_overlay_2=”rgba(255,217,55,0.18)” overlay_strength=”0.95″ gradient_direction=”left_to_right” enable_shape_divider=”true” shape_divider_position=”bottom” shape_divider_height=”100″ bg_image_animation=”none” shape_type=”curve”][vc_column column_padding=”padding-14-percent” column_padding_tablet=”inherit” column_padding_phone=”inherit” column_padding_position=”all” column_element_spacing=”default” background_color_opacity=”1″ background_hover_color_opacity=”1″ column_shadow=”none” column_border_radius=”none” column_link_target=”_self” gradient_direction=”left_to_right” overlay_strength=”0.3″ width=”1\/1″ tablet_width_inherit=”default” tablet_text_alignment=”default” phone_text_alignment=”default” bg_image_animation=”none” border_type=”simple” column_border_width=”none” column_border_style=”solid”][vc_column_text]\n

Traitement<\/strong>
\npar d\u00e9rivation<\/h1>\n[\/vc_column_text][\/vc_column][\/vc_row][vc_row type=”in_container” full_screen_row_position=”middle” column_margin=”default” column_direction=”default” column_direction_tablet=”default” column_direction_phone=”default” scene_position=”center” text_color=”dark” text_align=”left” row_border_radius=”none” row_border_radius_applies=”bg” overlay_strength=”0.3″ gradient_direction=”left_to_right” shape_divider_position=”bottom” bg_image_animation=”none”][vc_column column_padding=”no-extra-padding” column_padding_tablet=”inherit” column_padding_phone=”inherit” column_padding_position=”all” column_element_spacing=”default” background_color_opacity=”1″ background_hover_color_opacity=”1″ column_shadow=”none” column_border_radius=”none” column_link_target=”_self” gradient_direction=”left_to_right” overlay_strength=”0.3″ width=”1\/1″ tablet_width_inherit=”default” tablet_text_alignment=”default” phone_text_alignment=”default” bg_image_animation=”none” border_type=”simple” column_border_width=”none” column_border_style=”solid”][nectar_global_section id=”364″][\/vc_column][\/vc_row][vc_row type=”in_container” full_screen_row_position=”middle” column_margin=”default” column_direction=”default” column_direction_tablet=”default” column_direction_phone=”default” scene_position=”center” text_color=”dark” text_align=”left” row_border_radius=”none” row_border_radius_applies=”bg” overlay_strength=”0.3″ gradient_direction=”left_to_right” shape_divider_position=”bottom” bg_image_animation=”none”][vc_column column_padding=”no-extra-padding” column_padding_tablet=”inherit” column_padding_phone=”inherit” column_padding_position=”all” column_element_spacing=”default” background_color_opacity=”1″ background_hover_color_opacity=”1″ column_shadow=”none” column_border_radius=”none” column_link_target=”_self” gradient_direction=”left_to_right” overlay_strength=”0.3″ width=”1\/6″ tablet_width_inherit=”default” tablet_text_alignment=”default” phone_text_alignment=”default” bg_image_animation=”none” border_type=”simple” column_border_width=”none” column_border_style=”solid”][\/vc_column][vc_column column_padding=”no-extra-padding” column_padding_tablet=”inherit” column_padding_phone=”inherit” column_padding_position=”all” column_element_spacing=”default” background_color_opacity=”1″ background_hover_color_opacity=”1″ column_shadow=”none” column_border_radius=”none” column_link_target=”_self” gradient_direction=”left_to_right” overlay_strength=”0.3″ width=”2\/3″ tablet_width_inherit=”default” tablet_text_alignment=”default” phone_text_alignment=”default” bg_image_animation=”none” border_type=”simple” column_border_width=”none” column_border_style=”solid”][vc_column_text]\n

Une d\u00e9rivation est un dispositif qui \u00e9vacue l\u2019exc\u00e8s de liquide c\u00e9phalorachidien (LCR) du cerveau ou de la colonne vert\u00e9brale vers une autre partie de l\u2019organisme o\u00f9 il peut \u00eatre absorb\u00e9 en toute s\u00e9curit\u00e9. L\u2019intervention chirurgicale visant \u00e0 implanter un syst\u00e8me de d\u00e9rivation est relativement courte et r\u00e9alis\u00e9e en salle d\u2019op\u00e9ration sous anesth\u00e9sie g\u00e9n\u00e9rale par un neurochirurgien. <\/span><\/b> <\/span><\/h3>\n
Il existe trois<\/span> <\/span>types de d\u00e9rivations<\/span> : votre chirurgien choisira la mieux adapt\u00e9e \u00e0 vos besoins.<\/span><\/h5>\n[\/vc_column_text][\/vc_column][vc_column column_padding=”no-extra-padding” column_padding_tablet=”inherit” column_padding_phone=”inherit” column_padding_position=”all” column_element_spacing=”default” background_color_opacity=”1″ background_hover_color_opacity=”1″ column_shadow=”none” column_border_radius=”none” column_link_target=”_self” gradient_direction=”left_to_right” overlay_strength=”0.3″ width=”1\/6″ tablet_width_inherit=”default” tablet_text_alignment=”default” phone_text_alignment=”default” bg_image_animation=”none” border_type=”simple” column_border_width=”none” column_border_style=”solid”][\/vc_column][\/vc_row][vc_row type=”in_container” full_screen_row_position=”middle” column_margin=”default” column_direction=”default” column_direction_tablet=”default” column_direction_phone=”default” scene_position=”center” top_padding=”4%” text_color=”dark” text_align=”left” row_border_radius=”none” row_border_radius_applies=”bg” overlay_strength=”0.3″ gradient_direction=”left_to_right” shape_divider_position=”bottom” bg_image_animation=”none” shape_type=””][vc_column column_padding=”no-extra-padding” column_padding_tablet=”inherit” column_padding_phone=”inherit” column_padding_position=”all” column_element_spacing=”default” background_color_opacity=”1″ background_hover_color_opacity=”1″ column_shadow=”none” column_border_radius=”none” column_link_target=”_self” gradient_direction=”left_to_right” overlay_strength=”0.3″ width=”1\/1″ tablet_width_inherit=”default” tablet_text_alignment=”default” phone_text_alignment=”default” bg_image_animation=”none” border_type=”simple” column_border_width=”none” column_border_style=”solid”][vc_row_inner equal_height=”yes” content_placement=”middle” column_margin=”default” column_direction=”default” column_direction_tablet=”default” column_direction_phone=”default” text_align=”left”][vc_column_inner column_padding=”no-extra-padding” column_padding_tablet=”inherit” column_padding_phone=”inherit” column_padding_position=”all” column_element_spacing=”default” background_color_opacity=”1″ background_hover_color_opacity=”1″ column_shadow=”none” column_border_radius=”none” column_link_target=”_self” gradient_direction=”left_to_right” overlay_strength=”0.3″ width=”1\/3″ tablet_width_inherit=”default” bg_image_animation=”none” border_type=”simple” column_border_width=”none” column_border_style=”solid”][image_with_animation image_url=”480″ animation=”Fade In” hover_animation=”none” alignment=”center” border_radius=”none” box_shadow=”none” image_loading=”default” max_width=”100%” max_width_mobile=”default” el_class=”radius”][\/vc_column_inner][vc_column_inner column_padding=”no-extra-padding” column_padding_tablet=”inherit” column_padding_phone=”inherit” column_padding_position=”all” column_element_spacing=”default” background_color_opacity=”1″ background_hover_color_opacity=”1″ column_shadow=”none” column_border_radius=”none” column_link_target=”_self” gradient_direction=”left_to_right” overlay_strength=”0.3″ width=”2\/3″ tablet_width_inherit=”default” bg_image_animation=”none” border_type=”simple” column_border_width=”none” column_border_style=”solid”][vc_column_text]\n

D\u00e9rivation ventriculo-p\u00e9riton\u00e9ale (VP)<\/h3>\n

Pour ce <\/span>type de <\/span>d\u00e9rivation, un<\/span> <\/span>petit trou est perc\u00e9 dans le cr\u00e2ne<\/span>, <\/span>permet<\/span>tant au <\/span>neurochirurgien<\/span> de placer un <\/span>cath\u00e9ter ventriculaire ou <\/span> <\/span>un tube dans le ventricule<\/span>, qui <\/span>recueill<\/span>e<\/span> <\/span>l\u2019exc\u00e8s <\/span>de LCR et l\u2019<\/span>\u00e9vacue<\/span> du cerveau <\/span>sous le contr\u00f4le<\/span> <\/span>d\u2019une<\/span> valve de pression<\/span>. La valve est implant\u00e9e sous le cuir chevelu, normalement derri\u00e8re l\u2019oreille. Le LCR s\u2019\u00e9coule ensuite dans un autre cath\u00e9ter plac\u00e9 sous la peau jusqu\u2019\u00e0 la cavit\u00e9 abdominale, o\u00f9 il <\/span> est<\/span>r\u00e9sorb\u00e9 par la muqueuse (p\u00e9ritoine).<\/span><\/span> <\/span>[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][\/vc_column][\/vc_row][vc_row type=”in_container” full_screen_row_position=”middle” column_margin=”default” column_direction=”default” column_direction_tablet=”default” column_direction_phone=”default” scene_position=”center” text_color=”dark” text_align=”left” row_border_radius=”none” row_border_radius_applies=”bg” overlay_strength=”0.3″ gradient_direction=”left_to_right” shape_divider_position=”bottom” bg_image_animation=”none”][vc_column column_padding=”no-extra-padding” column_padding_tablet=”inherit” column_padding_phone=”inherit” column_padding_position=”all” column_element_spacing=”default” background_color_opacity=”1″ background_hover_color_opacity=”1″ column_shadow=”none” column_border_radius=”none” column_link_target=”_self” gradient_direction=”left_to_right” overlay_strength=”0.3″ width=”1\/1″ tablet_width_inherit=”default” tablet_text_alignment=”default” phone_text_alignment=”default” bg_image_animation=”none” border_type=”simple” column_border_width=”none” column_border_style=”solid”][vc_row_inner equal_height=”yes” content_placement=”middle” column_margin=”default” column_direction=”default” column_direction_tablet=”default” column_direction_phone=”default” text_align=”left”][vc_column_inner column_padding=”no-extra-padding” column_padding_tablet=”inherit” column_padding_phone=”inherit” column_padding_position=”all” column_element_spacing=”default” background_color_opacity=”1″ background_hover_color_opacity=”1″ column_shadow=”none” column_border_radius=”none” column_link_target=”_self” gradient_direction=”left_to_right” overlay_strength=”0.3″ width=”2\/3″ tablet_width_inherit=”default” bg_image_animation=”none” border_type=”simple” column_border_width=”none” column_border_style=”solid”][vc_column_text]\n

D\u00e9rivation ventriculo-atriale (VA)<\/h3>\n

Ce type de d\u00e9rivation collecte \u00e9galement le LCR du ventricule dans le cerveau <\/span>via une valve de contr\u00f4le <\/span>mais \u00e9vacue <\/span>l\u2019exc\u00e8s <\/span>de liquide dans le c\u0153ur<\/span> plut\u00f4t que dans l\u2019abdomen<\/span>. . L<\/span>e <\/span>neuro<\/span>chirurgien introdui<\/span>t<\/span> le cath\u00e9ter par une incision dans le cou et le fait pass<\/span>er<\/span> <\/span>\u00e0 <\/span>travers diff\u00e9rents vaisseaux sanguins jusqu\u2019\u00e0 <\/span>ce qu\u2019il soit <\/span>positionn\u00e9 dans l\u2019atrium droit du c\u0153ur.<\/span><\/span> <\/span>[\/vc_column_text][\/vc_column_inner][vc_column_inner column_padding=”no-extra-padding” column_padding_tablet=”inherit” column_padding_phone=”inherit” column_padding_position=”all” column_element_spacing=”default” background_color_opacity=”1″ background_hover_color_opacity=”1″ column_shadow=”none” column_border_radius=”none” column_link_target=”_self” gradient_direction=”left_to_right” overlay_strength=”0.3″ width=”1\/3″ tablet_width_inherit=”default” bg_image_animation=”none” border_type=”simple” column_border_width=”none” column_border_style=”solid”][image_with_animation image_url=”639″ animation=”Fade In” hover_animation=”none” alignment=”center” border_radius=”none” box_shadow=”none” image_loading=”default” max_width=”100%” max_width_mobile=”default” el_class=”radius”][\/vc_column_inner][\/vc_row_inner][\/vc_column][\/vc_row][vc_row type=”in_container” full_screen_row_position=”middle” column_margin=”default” column_direction=”default” column_direction_tablet=”default” column_direction_phone=”default” scene_position=”center” top_padding=”4%” text_color=”dark” text_align=”left” row_border_radius=”none” row_border_radius_applies=”bg” overlay_strength=”0.3″ gradient_direction=”left_to_right” shape_divider_position=”bottom” bg_image_animation=”none” shape_type=””][vc_column column_padding=”no-extra-padding” column_padding_tablet=”inherit” column_padding_phone=”inherit” column_padding_position=”all” column_element_spacing=”default” background_color_opacity=”1″ background_hover_color_opacity=”1″ column_shadow=”none” column_border_radius=”none” column_link_target=”_self” gradient_direction=”left_to_right” overlay_strength=”0.3″ width=”1\/1″ tablet_width_inherit=”default” tablet_text_alignment=”default” phone_text_alignment=”default” bg_image_animation=”none” border_type=”simple” column_border_width=”none” column_border_style=”solid”][vc_row_inner equal_height=”yes” content_placement=”middle” column_margin=”default” column_direction=”default” column_direction_tablet=”default” column_direction_phone=”default” text_align=”left”][vc_column_inner column_padding=”no-extra-padding” column_padding_tablet=”inherit” column_padding_phone=”inherit” column_padding_position=”all” column_element_spacing=”default” background_color_opacity=”1″ background_hover_color_opacity=”1″ column_shadow=”none” column_border_radius=”none” column_link_target=”_self” gradient_direction=”left_to_right” overlay_strength=”0.3″ width=”1\/3″ tablet_width_inherit=”default” bg_image_animation=”none” border_type=”simple” column_border_width=”none” column_border_style=”solid”][image_with_animation image_url=”638″ animation=”Fade In” hover_animation=”none” alignment=”center” border_radius=”none” box_shadow=”none” image_loading=”default” max_width=”100%” max_width_mobile=”default” el_class=”radius”][\/vc_column_inner][vc_column_inner column_padding=”no-extra-padding” column_padding_tablet=”inherit” column_padding_phone=”inherit” column_padding_position=”all” column_element_spacing=”default” background_color_opacity=”1″ background_hover_color_opacity=”1″ column_shadow=”none” column_border_radius=”none” column_link_target=”_self” gradient_direction=”left_to_right” overlay_strength=”0.3″ width=”2\/3″ tablet_width_inherit=”default” bg_image_animation=”none” border_type=”simple” column_border_width=”none” column_border_style=”solid”][vc_column_text]\n

D\u00e9rivation lombo-p\u00e9riton\u00e9ale<\/h3>\n

Dans ce type de d\u00e9rivation, <\/span>l\u2019exc\u00e8s de LCR <\/span>est pr\u00e9lev\u00e9 dans l<\/span>a colonne vert\u00e9brale plut\u00f4t que dans le cerveau.<\/span> Le<\/span>neurochirurgien<\/span> fait une <\/span>incision dans la r\u00e9gion lombaire et le cath\u00e9ter est ins\u00e9r\u00e9 entre deux vert\u00e8bres de la colonne vert\u00e9brale, dans l\u2019espace sous-arachno\u00efdien<\/span> contenant le LCR<\/span>. <\/span>La<\/span>valve et son cath\u00e9ter sont<\/span><\/span> <\/span><\/span><\/span> plac\u00e9s sous la peau entre la r\u00e9gion lombaire et l\u2019abdomen o\u00f9, <\/span>via <\/span>une autre incision, le <\/span>liquide<\/span> est \u00e9vacu\u00e9. <\/span> <\/span> <\/span>[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][\/vc_column][\/vc_row][vc_row type=”in_container” full_screen_row_position=”middle” column_margin=”default” column_direction=”default” column_direction_tablet=”default” column_direction_phone=”default” scene_position=”center” text_color=”dark” text_align=”left” row_border_radius=”none” row_border_radius_applies=”bg” overlay_strength=”0.3″ gradient_direction=”left_to_right” shape_divider_position=”bottom” bg_image_animation=”none” shape_type=””][vc_column column_padding=”no-extra-padding” column_padding_tablet=”inherit” column_padding_phone=”inherit” column_padding_position=”all” column_element_spacing=”default” background_color_opacity=”1″ background_hover_color_opacity=”1″ column_shadow=”none” column_border_radius=”none” column_link_target=”_self” gradient_direction=”left_to_right” overlay_strength=”0.3″ width=”1\/2″ tablet_width_inherit=”default” tablet_text_alignment=”default” phone_text_alignment=”default” bg_image_animation=”none” border_type=”simple” column_border_width=”none” column_border_style=”solid”][heading]Apr\u00e8s l\u2019op\u00e9ration[\/heading][vc_column_text]Vos plaies peuvent \u00eatre ferm\u00e9es par des clips m\u00e9talliques, des sutures ou des bandes de suture adh\u00e9sives (strips). Si ceux-ci ne sont pas retir\u00e9s pendant votre s\u00e9jour \u00e0 l\u2019h\u00f4pital, ils devront l\u2019\u00eatre par un infirmier \u00e0 domicile. Vous serez inform\u00e9 du moment o\u00f9 cela doit \u00eatre fait lorsque vous quitterez l\u2019h\u00f4pital. <\/strong><\/p>\n

Observez les plaies pour d\u00e9tecter tout signe d\u2019infection tel que des rougeurs ou des douleurs inhabituelles, un gonflement, de la chaleur ou un \u00e9coulement. Contactez votre service de neurochirurgie r\u00e9f\u00e9rent si vous remarquez l\u2019un de ces sympt\u00f4mes.<\/p>\n

Il peut \u00eatre n\u00e9cessaire d\u2019informer l\u2019Agence nationale des titres s\u00e9curis\u00e9s que vous \u00eates porteur d\u2019une d\u00e9rivation. Cela est d\u2019autant plus important dans le cas d\u2019une d\u00e9rivation VP. Il vous est actuellement interdit de conduire pendant six mois. Cette p\u00e9riode peut toutefois \u00eatre plus longue si vous souffrez d\u2019autres troubles m\u00e9dicaux ou d\u2019un handicap.<\/p>\n

Un rendez-vous en consultation externe vous sera envoy\u00e9 apr\u00e8s l\u2019implantation de votre d\u00e9rivation. Veuillez contacter le secr\u00e9tariat de votre neurochirurgien r\u00e9f\u00e9rent si vous ne le recevez pas.[\/vc_column_text][\/vc_column][vc_column column_padding=”no-extra-padding” column_padding_tablet=”inherit” column_padding_phone=”inherit” column_padding_position=”all” column_element_spacing=”default” background_color_opacity=”1″ background_hover_color_opacity=”1″ column_shadow=”none” column_border_radius=”none” column_link_target=”_self” gradient_direction=”left_to_right” overlay_strength=”0.3″ width=”1\/2″ tablet_width_inherit=”default” tablet_text_alignment=”default” phone_text_alignment=”default” bg_image_animation=”none” border_type=”simple” column_border_width=”none” column_border_style=”solid”][heading]Questions fr\u00e9quentes<\/span><\/span> <\/span>[\/heading][toggles style=”default”][toggle color=”Default” title=”Quels sont les signes avant-coureurs auxquels je dois faire attention ?”][vc_column_text]Surveillez les sympt\u00f4mes suivants :<\/span> <\/span><\/p>\n

    \n
  • Maux de t\u00eate<\/span> <\/span><\/li>\n
  • Naus\u00e9es et vomissements<\/span> <\/span><\/li>\n
  • Troubles de la vue<\/span> <\/span><\/li>\n
  • Somnolence ou difficult\u00e9s \u00e0 se r\u00e9veiller<\/span> <\/span><\/li>\n
  • \u00c9l\u00e9vation de la temp\u00e9rature<\/span> <\/span><\/li>\n
  • D\u00e9t\u00e9rioration de la m\u00e9moire<\/span> <\/span><\/li>\n
  • Troubles de l\u2019\u00e9quilibre ou instabilit\u00e9<\/span> <\/span><\/li>\n
  • D\u00e9t\u00e9rioration de la concentration<\/span> <\/span><\/li>\n
  • Retour des probl\u00e8mes ant\u00e9rieurs \u00e0 l\u2019implantation de la d\u00e9rivation<\/span> <\/span><\/li>\n<\/ul>\n

    Si vous pr\u00e9sentez l\u2019un de ces sympt\u00f4mes, cela peut signifier que votre d\u00e9rivation est infect\u00e9e ou obstru\u00e9e. Contactez imm\u00e9diatement votre service de neurochirurgie r\u00e9f\u00e9rent ou votre m\u00e9decin g\u00e9n\u00e9raliste. En dehors des heures d\u2019ouverture, <\/span> <\/span> rendez-vous au service des urgences le plus proche et informez le personnel que vous \u00eates porteur d\u2019une valve de d\u00e9rivation du liquide c\u00e9phalorachidien.<\/span> <\/span>[\/vc_column_text][vc_column_text][\/vc_column_text][\/toggle][toggle color=”Default” title=”Combien de temps devrai-je rester \u00e0 l\u2019h\u00f4pital ?”][vc_column_text]En <\/span>g\u00e9n\u00e9ral, <\/span>vous <\/span>pourrez sortir de l\u2019h\u00f4pital dans la journ\u00e9e suivant <\/span>votre <\/span>op\u00e9ration. <\/span>Les patients porteurs d\u2019une valve <\/span>ont besoin d\u2019une p\u00e9riode de r\u00e9cup\u00e9ration<\/span> et <\/span>s\u2019ils sont <\/span> <\/span>employ\u00e9s,<\/span><\/span><\/span> <\/span>p<\/span>eut<\/span> \u00eatre utile pour eux d\u2019 <\/span>en discuter <\/span>\u00e0 l\u2019avance <\/span>avec <\/span>leur <\/span>employeu<\/span>r<\/span>.<\/span><\/span> <\/span>[\/vc_column_text][vc_column_text][\/vc_column_text][\/toggle][toggle color=”Default” title=”La d\u00e9rivation sera-t-elle visible apr\u00e8s l\u2019op\u00e9ration ?”][vc_column_text]Si un syst\u00e8me de d\u00e9rivation VP ou VA vous a \u00e9t\u00e9 implant\u00e9, vous sentirez une<\/span> <\/span>petite <\/span>bosse sous la peau derri\u00e8re l\u2019oreille,<\/span> \u00e0 l\u2019endroit o\u00f9 se trouve la valve<\/span>. Cependant, elle <\/span>est<\/span>g\u00e9n\u00e9ralement cach\u00e9e sous les cheveux.<\/span><\/span> <\/span>[\/vc_column_text][\/toggle][\/toggles][\/vc_column][\/vc_row][vc_row type=”full_width_background” full_screen_row_position=”middle” column_margin=”default” column_direction=”default” column_direction_tablet=”default” column_direction_phone=”default” bg_color=”rgba(73,41,144,0.17)” scene_position=”center” text_color=”dark” text_align=”left” row_border_radius=”none” row_border_radius_applies=”bg” overlay_strength=”0.3″ gradient_direction=”left_to_right” shape_divider_position=”bottom” bg_image_animation=”none” shape_type=””][vc_column column_padding=”no-extra-padding” column_padding_tablet=”inherit” column_padding_phone=”inherit” column_padding_position=”all” column_element_spacing=”default” background_color_opacity=”1″ background_hover_color_opacity=”1″ column_shadow=”none” column_border_radius=”none” column_link_target=”_self” gradient_direction=”left_to_right” overlay_strength=”0.3″ width=”1\/1″ tablet_width_inherit=”default” tablet_text_alignment=”default” phone_text_alignment=”default” bg_image_animation=”none” border_type=”simple” column_border_width=”none” column_border_style=”solid”][nectar_global_section id=”1128″][\/vc_column][\/vc_row][vc_row type=”in_container” full_screen_row_position=”middle” column_margin=”default” column_direction=”default” column_direction_tablet=”default” column_direction_phone=”default” scene_position=”center” text_color=”dark” text_align=”left” row_border_radius=”none” row_border_radius_applies=”bg” overlay_strength=”0.3″ gradient_direction=”left_to_right” shape_divider_position=”bottom” bg_image_animation=”none”][vc_column column_padding=”no-extra-padding” column_padding_tablet=”inherit” column_padding_phone=”inherit” column_padding_position=”all” column_element_spacing=”default” background_color_opacity=”1″ background_hover_color_opacity=”1″ column_shadow=”none” column_border_radius=”none” column_link_target=”_self” gradient_direction=”left_to_right” overlay_strength=”0.3″ width=”1\/1″ tablet_width_inherit=”default” tablet_text_alignment=”default” phone_text_alignment=”default” bg_image_animation=”none” border_type=”simple” column_border_width=”none” column_border_style=”solid”][nectar_global_section id=”96″][\/vc_column][\/vc_row]\n","protected":false},"excerpt":{"rendered":"

    [vc_row type=”full_width_background” full_screen_row_position=”middle” column_margin=”default” column_direction=”default” column_direction_tablet=”default” column_direction_phone=”default” bg_image=”523″ bg_position=”center top” background_image_loading=”default” bg_repeat=”no-repeat” scene_position=”center” text_color=”light” text_align=”left” row_border_radius=”none” row_border_radius_applies=”bg” enable_gradient=”true” color_overlay=”#ffd937″ color_overlay_2=”rgba(255,217,55,0.18)” overlay_strength=”0.95″ gradient_direction=”left_to_right” enable_shape_divider=”true” shape_divider_position=”bottom” shape_divider_height=”100″ bg_image_animation=”none” shape_type=”curve”][vc_column column_padding=”padding-14-percent” column_padding_tablet=”inherit” column_padding_phone=”inherit”…<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":3097,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"inline_featured_image":false,"footnotes":""},"class_list":["post-3383","page","type-page","status-publish"],"yoast_head":"\nTraitement par d\u00e9rivation - 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