Néphrologie

Le rein n’est pas seulement le filtre de notre corps. Impliqué dans de nombreux équilibres, sa fonction est essentielle.

Les raisons qui poussent le rein à dysfonctionner sont multiples. Parmi elles, le diabète et l’hypertension qui touche plus d'un patient sur 2.

Treatment for Renal Insufficiency

centre de dyaliseOur doctor has prescribed dialysis which is a substitution treatment, that is to say a treatment replacing the kidneys’ usual function. For each and every one of you, the beginning of a dialysis treatment is a significant life change.

Our goal is to facilitate communication with you to ensure a quality treatment, as well as a life as balanced as possible.

Organisation

The Centre is open Monday to Saturday, from 7 am to 7:30 pm. Groups are organized according to the wishes of patients and the department’s capabilities.

  • Group 1: Mondays, Wednesdays, and Fridays in the morning
  • Group 2: Mondays, Wednesdays, and Fridays in the afternoon
  • Group 3: Tuesdays, Thursdays, and Saturdays in the morning
  • Group 4: Tuesdays, Thursdays, and Saturdays in the afternoon

In each of these groups, in order to offer you optimum medical care, a time of arrival schedule will be provided to you.

Installation

Several types of machines

When the time comes, the assistant nurse or the nurse will help you install at the place you are assigned for the session. We make available several types of machines (generators).

You may be assigned a different machine than the one used in the previous session, but this would not interfere with your treatment. Thus you should not be surprised or concerned when you are assigned a different place.

The conduct of a session

Assessing the weight gain

A hemodialysis session begins and ends with a weighing. The scales are the most reliable tools to assess the variation of weight between two sessions.

The weight gain is the amount of liquid that was not eliminated by your kidneys (water, tea, coffee, fruits, etc.). The higher it is, the more difficult the session will be to bear (risk of cramps, fatigue and hypotension).

It is recommended for the weight gain between two sessions to be less than 5% of the body weight.

The Fistula

Definition

A fistula is surgically created by connecting an artery and a vein in the arm. The vein (superficial, and easily accessible) will therefore be arterialised.

Thus, its size increases, its wall thickens and it becomes visible under the skin. And this facilitates the puncture and the pumping of a sufficient amount of blood (300 ml/ minute).

The passage of blood through the fistula is perceived upon palpation as a quiver (also called «thrill»).

The arteriovenous fistula is the preferred vascular access thanks to:

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