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NEDOL<\/span><\/h1>\n

DIALYSE<\/span><\/h1>\n

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header_text_shadow_style__hover_enabled=\u00a0\u00bbnone\u00a0\u00bb header_text_shadow_color__hover=\u00a0\u00bbrgba(0,0,0,0.4)\u00a0\u00bb header_text_shadow_color__hover_enabled=\u00a0\u00bbrgba(0,0,0,0.4)\u00a0\u00bb header_6_letter_spacing__hover=\u00a0\u00bb0px\u00a0\u00bb header_6_letter_spacing__hover_enabled=\u00a0\u00bb0px\u00a0\u00bb header_6_line_height__hover=\u00a0\u00bb1em\u00a0\u00bb header_6_line_height__hover_enabled=\u00a0\u00bb1em\u00a0\u00bb header_6_font_size__hover=\u00a0\u00bb14px\u00a0\u00bb header_6_font_size__hover_enabled=\u00a0\u00bb14px\u00a0\u00bb header_6_text_shadow_style__hover=\u00a0\u00bbnone\u00a0\u00bb header_6_text_shadow_style__hover_enabled=\u00a0\u00bbnone\u00a0\u00bb header_6_text_shadow_color__hover=\u00a0\u00bbrgba(0,0,0,0.4)\u00a0\u00bb header_6_text_shadow_color__hover_enabled=\u00a0\u00bbrgba(0,0,0,0.4)\u00a0\u00bb]<\/p>\n

La dialyse<\/h2>\n
    \n
  • Il s\u2019agit du traitement de substitution r\u00e9nale le plus r\u00e9pandu.<\/li>\n
  • On commence la dialyse en cas d\u2019insuffisance r\u00e9nale trop avanc\u00e9e (filtration r\u00e9nale inf\u00e9rieure \u00e0 15 ml\/min) sauf en cas de greffe r\u00e9nale pr\u00e9emptive (sans passage par la dialyse) qui reste une situation exceptionnelle.<\/li>\n
  • Il existe 2 techniques de dialyse: l\u2019h\u00e9modialyse et la dialyse p\u00e9riton\u00e9ale.<\/li>\n<\/ul>\n

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header_6_font_size__hover_enabled=\u00a0\u00bb14px\u00a0\u00bb header_6_text_shadow_style__hover=\u00a0\u00bbnone\u00a0\u00bb header_6_text_shadow_style__hover_enabled=\u00a0\u00bbnone\u00a0\u00bb header_6_text_shadow_color__hover=\u00a0\u00bbrgba(0,0,0,0.4)\u00a0\u00bb header_6_text_shadow_color__hover_enabled=\u00a0\u00bbrgba(0,0,0,0.4)\u00a0\u00bb]<\/p>\n

    L\u2019h\u00e9modialyse<\/h2>\n
    \n

    Cette technique consiste \u00e0 faire passer le sang du patient dans un filtre semi-perm\u00e9able appel\u00e9 dialyseur en m\u00eame temps qu\u2019un liquide ultra pur passe en contrecourant de l\u2019autre c\u00f4t\u00e9 de la membrane. Ceci permet d\u2019\u00e9purer le sang des toxines accumul\u00e9es, ainsi que de l\u2019exc\u00e8s d\u2019eau et de sel , gr\u00e2ce au gradient de concentration et \u00e0 la diff\u00e9rence de pression appliqu\u00e9e dans le filtre.<\/p>\n<\/div>\n

    \n

    G\u00e9n\u00e9ralement ce mode de traitement dure en moyenne 4h (entre 3 et 5h) 3 fois par semaine, o\u00f9 on fait passer entre 200 \u00e0 500 ml de sang par minute dans ce syst\u00e8me. Il est \u00e9vident que pour obtenir une telle quantit\u00e9 de sang il faut un acc\u00e8s vasculaire de pr\u00e9f\u00e9rence une fistule art\u00e9rio-veineuse de l\u2019avant-bras le cas \u00e9ch\u00e9ant on fait la dialyse par un cath\u00e9ter pos\u00e9 dans une grosse veine centrale.<\/p>\n<\/div>\n

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    La dialyse p\u00e9riton\u00e9ale<\/h2>\n
    \n

    Dans ce type de substitution r\u00e9nale, on utilise le p\u00e9ritoine, cette membrane fine riche en vaisseaux qui enveloppe les intestins et la paroi abdominale de l\u2019int\u00e9rieur, comme filtre.<\/p>\n

    Pour effectuer ce traitement, un cath\u00e9ter est ins\u00e9r\u00e9 dans la cavit\u00e9 abdominale par les chirurgiens. Via ce cath\u00e9ter, un liquide sp\u00e9cifique, le dialysat (en moyenne 2 L), est administr\u00e9. On le laisse diffuser un certain laps de temps afin que l\u2019\u00e9change entre le dialysat et les petits vaisseaux se fasse via la membrane p\u00e9riton\u00e9ale.<\/p>\n

    G\u00e9n\u00e9ralement, ce liquide est chang\u00e9 apr\u00e8s 4h (temps de stase) par le patient qui apprend \u00e0 effectuer 4 \u00e9changes journaliers lui-m\u00eame, de mani\u00e8re autonome, \u00e0 domicile.<\/p>\n

    Dans certain cas, des \u00e9changes peuvent \u00eatre effectu\u00e9s durant la nuit (chaque nuit) \u00e0 l\u2019aide d\u2019une machine \u00e0 laquelle le cath\u00e9ter est connect\u00e9, et ce pendant environ 9h. Durant cette p\u00e9riode, la machine \u00e9limine une partie de ce liquide sursatur\u00e9 par les toxines et le remplace par un liquide propre afin de maintenir le gradient de concentration: cette technique s\u2019appelle la dialyse p\u00e9riton\u00e9ale automatis\u00e9e (DPA).<\/p>\n

    La DP et la DPA doivent \u00eatre effectu\u00e9es 7 jours sur 7.<\/p>\n<\/div>\n

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    <\/h3>\n

    Syst\u00e8mes complets de traitement des eaux pour les unit\u00e9s de dialyse.<\/h2>\n

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     <\/p>\n

     <\/p>\n

     <\/p>\n

     <\/p>\n

    [\/et_pb_text][et_pb_text _builder_version=\u00a0\u00bb4.9.3″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb]<\/p>\n

    NEDOL<\/span><\/h1>\n

    Rue de Lausanne 51 <\/span><\/p>\n

    1020 Renens\u00a0<\/span><\/p>\n

    T\u00e9l\u00e9phone: 021 632 51 90<\/span><\/p>\n

    [\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"

    NEDOL DIALYSELa dialyse Il s\u2019agit du traitement de substitution r\u00e9nale le plus r\u00e9pandu. On commence la dialyse en cas d\u2019insuffisance r\u00e9nale trop avanc\u00e9e (filtration r\u00e9nale inf\u00e9rieure \u00e0 15 ml\/min) sauf en cas de greffe r\u00e9nale pr\u00e9emptive (sans passage par la dialyse) qui reste une situation exceptionnelle. Il existe 2 techniques de dialyse: l\u2019h\u00e9modialyse et la […]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"class_list":["post-23","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/nedol.ch\/index.php\/wp-json\/wp\/v2\/pages\/23","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/nedol.ch\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/nedol.ch\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/nedol.ch\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/nedol.ch\/index.php\/wp-json\/wp\/v2\/comments?post=23"}],"version-history":[{"count":33,"href":"https:\/\/nedol.ch\/index.php\/wp-json\/wp\/v2\/pages\/23\/revisions"}],"predecessor-version":[{"id":537,"href":"https:\/\/nedol.ch\/index.php\/wp-json\/wp\/v2\/pages\/23\/revisions\/537"}],"wp:attachment":[{"href":"https:\/\/nedol.ch\/index.php\/wp-json\/wp\/v2\/media?parent=23"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}