
Le changement de calendrier des compétitions africaines est devenu une habitude à la Confédération africaine de Football. Le dernier en date, le report du Championnat d’Afrique des Nations. Cette compétition, qui était initialement prévue en février, aura finalement lieu en août prochain. Même la CAN 2025 qui se tiendra en terre marocaine à partir de décembre, devait être organisé depuis 2023 par la Guinée. Comment stopper les « glissements » à la CAF ? C’est le débat du vendredi.
Pour la petite histoire, c’est à partir de 2019 que la Confédération africaine de Football a commencé à perdre la maîtrise de son calendrier annuel. Surtout quand il s’agit d’organiser la Coupe d’Afrique des Nations (CAN) ou le Championnat d’Afrique des Nations (CHAN).
Nous sommes en 2016 lorsque le président Issa Hayatou, encore à la tête de la CAF, décide d’attribuer trois CAN successives : 2019 pour le Cameroun, 2021 pour la Côte d’Ivoire et 2023 pour la Guinée. Jusque-là, tout va bien.
Mais un changement majeur au sommet interviendra un an plus tard. Le dirigeant camerounais cède le fauteuil à l’inattendu Ahmad Ahmad venu de Madagascar. C’est le début du chamboulement. « Quand Ahmad est arrivé, il a voulu marquer le coup avec une réforme inédite. Son pays, qui partageait son groupe avec le Sénégal n’avait aucune chance de terminer à la première place, synonyme de qualification à une CAN à 16. Il a donc décidé de proposer une compétition à 24 nations qui sera validée. Pourtant, les éliminatoires de la CAN 2019 avaient déjà démarré. », explique Demba Varore, journaliste à Dsports lors d’une édition spéciale sur le tirage au sort de la CAN 2025.
« Le Cameroun qui devait donc accueillir la CAN 2019 n’était plus capable. Parce qu’il fallait avoir au moins six stades qui répondent aux normes internationales. En l’espace de deux ans, c’était impossible. Finalement, l’organisation a été confiée à l’Egypte », ajoute le directeur de publication du média sénégalais.
Conséquence : Le Cameroun prend la place de la Côte d’Ivoire pour la CAN 2021, finalement reportée à 2022, et le pays des Éléphants récupère l’organisation de la CAN 2023 à la Guinée ( la compétition a eu lieu en 2024 ). Alors que la Guinée devait prendre le relais pour 2025, le pays de Sehrou Guirassy cédera logiquement la place au Maroc, faute d’infrastructures.
Il y a quelques semaines, l’Afrique de l’Est (Ouganda, Kenya, Tanzanie) devait accueillir la 8e édition du Championnat d’Afrique des Nations, mais la compétition, qui était prévue en février, a été reportée à la veille du tirage. Ce sera finalement en août. Si la compétition se tient vraiment.
« Revenir sur le couplage une fois sur deux des éliminatoires de la CAN et de la Coupe du monde »
De « glissement » en « glissement », la situation devient inquiétante à la CAF. « Il y a deux causes principales à mon avis. D’abord l’augmentation des exigences pour les pays organisateurs en termes d’infrastructures et de construction de stades qui peuvent entraîner des retards, des contretemps, des « glissements ». Ensuite, il y a une tendance à multiplier les compétitions, élargir les plateaux, avoir de plus en plus de pays qualifiés. Des éliminatoires qui s’étalent dans le temps, et donc ça surcharge le calendrier », analyse Patrick Juillard.
Selon ce journaliste sportif, consultant à Radio France internationale (RFI), ça limite un peu la possibilité d’ajuster les choses. « Je pense que ce ne serait pas mal que l’Afrique revienne à ce qui était le cas dans les années 2000 avec le couplage une fois sur deux des éliminatoires de la CAN et de la Coupe du monde. Il faudrait pour cela revenir à une CAN en année paire », propose-t-il.
« Ne plus attribuer l’organisation d’une CAN ou de CHAN à un pays pour l’aider à se doter d’infrastructures »
Selon Aboubakry Ba, ancien journaliste à la Radio télévision sénégalaise, pour que la CAF puisse maîtriser son calendrier annuel, il faut qu’elle maîtrise d’abord la question des infrastructures en Afrique. « La principale raison, elle est là, à mon avis. Que ce soit la Coupe d’Afrique des Nations, le CHAN, les compétitions U20 et 17… Tout est lié aux infrastructures. La CAN, par exemple, a atteint des standards très, très élevés et il n’y a pas aujourd’hui beaucoup de pays africains, capable de répondre à ce défi de l’organisation : 24 pays, 6 stades, 24 terrains d’entraînements… », analyse Aboubacry Ba.
« Je suis de ceux qui pensent qu’aujourd’hui, on ne doit plus attribuer l’organisation d’une CAN à un pays pour l’aider à se doter d’infrastructures, mais l’attribuer à une nation qui a déjà les infrastructures. Il faut qu’on change de paradigmes », propose le journaliste sportif.
« Les dirigeants de la CAF doivent être les premiers à défendre les intérêts du football africain »
Ibrahima Mboup, journaliste sénégalais, estime que les retards démarrent au moment d’attribuer les compétitions. « C’est ce qui est à l’origine de beaucoup de retards dans les chantiers. Le cahier des charges devient de plus en plus contraignants. Personne ne sait par exemple le pays qui va organiser la CAN 2029 ou le CHAN 2026. A ce niveau, la CAF doit faire des efforts. A titre comparatif, la FIFA attribue la Coupe du monde au moins 6 ans avant la compétition. Le pays hôte a le temps de bien se préparer et finir tous les travaux liés aux infrastructures. L’UEFA également attribue ses compétitions à temps. Pourquoi pouvons-nous pas le faire ? », s’interroge le journaliste de la RTS.
« Autre élément à prendre en compte et, c’est vraiment désolant, c’est que l’Afrique s’adapte toujours en fonction des autres compétitions. Il y a Coupe du monde des clubs, on reporte. Et cède à la pression. L’Afrique est un continent qui mérite du respect. Les dirigeants de la CAF doivent être les premiers à défendre les intérêts du football africain. A mon avis, ils ne le font pas assez comme du temps d’Issa Hayatou. Tout n’était pas rose quand il dirigeait la CAF, mais il savait dire non à la FIFA et à l’Europe », regrette Mboup.
« À force de faire des arrangements, la CAF finit par se faire prendre à son propre piège »
De son côté, le journaliste béninois, Hughes Mangni, parle d’une « infantilisation » qui est une forme de soumission totale d’une Confédération africaine aux ordres de la FIFA.
« La CAF, à force de faire des arrangements, finit par se faire prendre à son propre piège. Parmi le trio de pays retenu pour la CAN 2027, le Kenya n’a même pas joué ses matchs à domicile, il fallait attribuer cette CAN 2027 à l’Algérie qui a ses infrastructures prêtes. Les « glissements » du calendrier ne donnent pas une bonne image de la CAF qui semble être une institution incapable de planifier ses évènements », martèle Hughes Mangni.
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This before-and-after image is the outcomes of long-term HGH use (several years of injections). This female user administers HGH daily for weight loss and anti-aging advantages; nonetheless, the dosages utilized are unknown. We find the gradual tapering of T3 throughout this cycle (with steady will increase and reduces in dosage) is perfect to minimize back unwanted side effects and forestall endogenous T3 shutdown post-cycle.
Hello, I Am Dave Moffat the founder and Chief Editor of steroidsourcetalk.com and licensed Worldwide Private Trainer and Licensed Nutritionist. My ardour has all the time been bodybuilding however with 15 years’ experience in weight loss programs too, it is hard to not point out all that whenever you’re working at your health degree fullest (I hope). When Im not in the fitness center or spending time away from my family i typically take into consideration what advice would help others obtain theirs goals just like these inspired mine. The commonest protocol is to use TRT continuously somewhat than biking on and off.
E.g. A historically confirmed and efficient mass constructing cycle is 500mg of testosterone and 400mg of Deca (Nandrolone Decanoate). Nevertheless, testosterone could be ‘stacked’ with other steroids for a extra synergistic impact. Testosterone cypionate or ‘Test C’ is a mid to slow-acting ester of injectable testosterone. Similarly to Test E it was designed to offer a steady launch of testosterone into the bloodstream once injected into muscle tissue.
Lack of action towards testosterone suppression will lead to severe low testosterone symptoms like muscle loss, fats gain, and lack of libido (to name just a few). One of the more doubtless unwanted facet effects, even at decrease doses, is these adjustments to menstrual cycles I detailed earlier. However fortunately, it is momentary, and you could have to settle for it as a consequence of using SARMs. You will have the peace of thoughts of understanding your menstrual cycles will return to normal when you cease using SARMs; subsequently, this becomes extra inconvenient. A few years in the past, you’ll have been in a tiny minority of hardcore professionals. However that doesn’t mean you jump on the bandwagon without research, knowledge, or plan.
Historically regarded as a male hormone, testosterone also exists in females, albeit in smaller portions. Surprisingly, analysis has shown that testosterone ranges in girls do certainly change through the menstrual cycle. These fluctuations can have vital effects on women’s temper, libido, energy levels, and general well-being. In this text, we will discover how testosterone levels change all through the menstrual cycle and delve into the possible implications for girls’s well being and conduct. In common, a primary cycle of testosterone therapy typically lasts for roughly six to 12 months. During this time, people are typically advised to begin with a low dosage and gradually enhance it over several weeks or months. This gradual titration helps the physique regulate to the hormonal changes and minimizes the danger of potential side effects.
Since Primobolan has a very delicate nature, athletes can use it to offer their cycle an extra increase when they’re feeling flat or uninspiring. This is one purpose why Primobolan is there a Natural steroid (https://customersuccessjobz.com/employer/how-much-will-clomid-raise-testosterone/) called ‘the comeback steroid’ because its effects act totally on the central nervous system, giving you an vitality enhance whenever you need it. Stacking Primo with different compounds is the easiest way to realize most effectivity and results while additionally reducing the danger of any potential unfavorable side effects. As an additional advantage to Primo steroid, it has just lately been found that this compound has anti-estrogenic properties. It can actively inhibit estrogen production by binding on to the aromatase enzyme liable for breaking down testosterone into estrogen.
These are the outcomes of a consumer who blasted HGH for 10 days, taking megadoses of 16 IU per day. Blast and cruise is a method sometimes utilized by bodybuilders, involving long-term drug use somewhat than cycles. We frequently see endogenous T3 levels become suppressed post-cycle after taking exogenous T3. It can take roughly 3–4 weeks for pure levels to return to regular.
Some individuals could solely need one cycle to achieve their desired results, while others might require multiple cycles. It is important to seek the guidance of with a healthcare professional or an skilled steroid user to discover out the appropriate number of cycles in your specific circumstances. The suppression of pure testosterone manufacturing can result in a lower in sperm count and sperm quality. This can make it harder for individuals to conceive and should require further fertility treatments. The improve in testosterone can stimulate the sebaceous glands, resulting in elevated oil manufacturing and the development of pimples. This side impact is extra generally seen in people who’re predisposed to zits.
Males with secondary hypogonadism can normally be rendered fertile by both gonadotropin remedy or often clomiphene citrate. It would be prudent, however, to watch the man and to ensure his levels of cholesterol aren’t adversely affected by the introduction of testosterone. Testosterone could be administered orally, transdermally, or by injection to improve a hypogonadal man’s sense of well-being, sexual operate, bone density, and muscle strength. Repeat your CBC (complete blood count) after one month of enough water consumption. If nonetheless hemoglobin and hematocrit elevated, then investigate with JAK2 (Janus Kinase 2) mutation and exon 12 mutations by PCR (polymerase chain reaction) and study with echocardiography and chest x-ray for further work-up. Test results might range depending on your age, gender, health historical past, the strategy used for the take a look at, and different things.
This method was adopted and optimised by Francesco Dazzi on the RPMS and showed that DLI were at their safest and best if used for low-level disease (molecular and cytogenetic relapse). Then in 1994, Bertina reported a typical single point mutation within the gene encoding clotting factor V. This became often known as issue V Leiden, which predicts the synthesis of an element V molecule proof against down-regulation by APC. The term thrombophilia grew to become widespread and there was an unlimited and, looking back, frequently pointless increase in testing for these variants. In 1970, the Department of Well Being and Social Security in London and the Welsh workplace of the Nationwide Health Service published a memorandum on providers for hypogammaglobulinaemia. This established two centres (North Hill Park and Birmingham) which might perform the prognosis and administration of sufferers with hypogammaglobulinaemia, covering the whole UK. From 1964 to 1974 the haematologist Lucio Luzzatto was based mostly in Ibadan, Nigeria. For sufferers with thalassaemia, common blood transfusion was not the standard of care (only intermittent low intensity transfusion to assist anaemia symptoms was used) and chelation was not but a reality.
Ongoing research into the optimum administration of TRT-induced polycythemia is crucial to refine these methods further. Knowledgeable by TTT knowledge, current ES steerage is considerably more stringent in respect of the diagnosis of MH and eligibility for testosterone remedy compared with its earlier 2010 iteration [41] and is thus much closer to AUS. Professor Tom Pearson at Guys and St Thomas’ noticed that blood vessel blockages in these with myeloproliferative neoplasms increased because the packed cell volume increased. This study established that the haematocrit (the percentage quantity of pink blood cells in the blood) must be maintained beneath 0.forty five in those with polycythaemia vera, a cancerous overgrowth of pink blood cells. Dangers embody elevated hematocrit levels, which can improve the chance of blood clots, stroke, and other cardiovascular issues.
Testosterone injections, particularly when used with out medical supervision, can significantly raise testosterone and RBC ranges, growing the risk of polycythemia. This condition is more prevalent with injectable forms of testosterone in comparison with different supplementation strategies. It enhances the manufacturing of EPO, a hormone produced by the kidneys that stimulates red blood cell formation within the bone marrow. Elevated ranges of EPO result in elevated pink blood cell manufacturing, which may be particularly concerning in individuals receiving testosterone therapy. Testosterone remedy has gained traction in latest years, particularly amongst transgender individuals looking for to align their physical characteristics with their gender id. Nonetheless, this remedy is not with out dangers, some of the vital being its association with polycythemia. Polycythemia vera (PV) is a myeloproliferative neoplasm characterised by an overproduction of pink blood cells, resulting in elevated blood viscosity and a heightened risk of thrombosis (Cleveland Clinic, 2024).
First, there ought to be signs of androgen deficiency; second, there must be unequivocal biochemical evidence of low testosterone ranges; and third, there should be a optimistic response to testosterone substitute remedy. If all three of those diagnostic parts aren’t present, the practitioner should question the prognosis and consider discontinuing testosterone remedy. Polycythemia occurs when the physique produces an extreme number of red blood cells, thickening the blood and making it tougher for the heart to flow into it efficiently.
Sufferers undergoing testosterone remedy must be screened for polycythemia, notably those with risk factors corresponding to older age, a history of thrombosis, or pre-existing cardiovascular diseases. Regular monitoring of hematocrit levels is important, with tips recommending that hematocrit be kept under 54% in males and 48% in ladies to reduce the risk of thrombotic events (Cleveland Clinic, 2024). The journey to managing polycythemia successfully begins before the initiation of TRT. It is essential to determine a baseline measurement of the patient’s hemoglobin and hematocrit levels.
Polycythemia additionally will increase the danger of blood clots, because the blood turns into thicker. Defy Medical presents therapeutic phlebotomy (when appropriate) at our local clinic in Tampa, FL. Receive your therapeutic phlebotomy in a relaxing surroundings with providers you already know and belief.
In basic, a blood draw every two to 3 months is typically really helpful for TRT sufferers experiencing polycythemia. It’s important to not overdraw blood, because doing so can lead to anemia, iron deficiency, and other circumstances. If left untreated, polycythemia can result in severe well being issues, together with an elevated risk of high blood pressure, heart attacks, blood clots, and strokes. While testosterone therapy can considerably enhance the quality of life for men with low testosterone, its relationship with cardiovascular health calls for cautious consideration. Ongoing analysis and individualized remedy plans, prioritizing each efficacy and security, are essential in navigating the complexities of TRT and cardiovascular danger.
This article goals to delve into the nuances of managing polycythemia within the context of TRT. It will discover the causes, identification, and monitoring of polycythemia, alongside discussing practical methods for managing this situation. Polycythemia makes it tougher in your heart to flow into blood all through your physique, and it can result in problems such as high blood pressure or stroke.
Nevertheless, suggestions necessarily reflect the expertise, interests and commonplace operating procedures of the specialty involved and, hence these guidelines are not always in keeping with one another in key areas. As a result, mainstream physicians missing expertise in managing males presenting with symptoms potentially associated to MH may be left confused, or uncertain of what to do for one of the best. This is where an immune response is triggered in D-negative moms carrying a D-positive fetus. The fetal purple blood cells cross the placenta, prompting anti-D antibodies in the mother. The antibodies then cross the placenta again into the fetus and attack the fetal red cells leading to anaemia and demise from cardiac failure in essentially the most severe instances.
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