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\nCe sont des organes vitaux qui se trouvent devant les muscles dorsaux lombaires.<\/p>\n
Ils contiennent des structures microscopiques dont l\u2019unit\u00e9 fonctionnelle s\u2019appelle le n\u00e9phron (d\u2019o\u00f9 le nom de la sp\u00e9cialit\u00e9 = n\u00e9phrologie). Leur nombre est stable depuis la naissance en moyenne: entre 400 000 et 1 million.<\/p>\n
Les reins re\u00e7oivent 20% de d\u00e9bit cardiaque (sang circulant) pomp\u00e9 par le c\u0153ur dont 20% uniquement est filtr\u00e9 et 80% retournent \u00e0 la circulation sans filtration: le d\u00e9bit de la filtration r\u00e9nale ou glom\u00e9rulaire est de 120 ml par min (= l\u2019unit\u00e9 de mesure de la fonction r\u00e9nale normale).<\/p>\n
Ce plasma filtr\u00e9 sans traitement constitue l\u2019urine primaire (environ 180 litres par jour: 1440 min x 120 = 172 800 ml).<\/p>\n
99% de ce filtrat autrement dit urine primaire est r\u00e9absorb\u00e9 dans le syst\u00e8me de traitement des d\u00e9chets (tubules) permettant de concentrer ces d\u00e9chets dans une quantit\u00e9 entre 1 et 2L par jour qui est la diur\u00e8se normale (quantit\u00e9 d\u2019urine par jour).<\/p>\n
Les reins ont aussi une autre fonction: endocrino-hormonale (EPO, r\u00e9nine), m\u00e9tabolique (vitamine D, etc.).<\/p>\n<\/blockquote>\n<\/div>\n
[\/et_pb_text][\/et_pb_column][et_pb_column type=\u00a0\u00bb1_3″ _builder_version=\u00a0\u00bb3.25″ custom_padding=\u00a0\u00bb|||\u00a0\u00bb custom_padding__hover=\u00a0\u00bb|||\u00a0\u00bb][et_pb_text _builder_version=\u00a0\u00bb4.9.4″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb]<\/p>\n
\nLes maladies r\u00e9nales<\/strong><\/h3>\n<\/div>\n
\n\nLa plupart des maladies r\u00e9nales jusqu\u2019\u00e0 un stade avanc\u00e9 sont asymptomatiques = maladies silencieuses<\/p>\n
\n
(exception faite des calculs r\u00e9naux et des infections r\u00e9nales = py\u00e9lon\u00e9phrites et h\u00e9morragies intra-kystiques).<\/p>\n
Il s\u2019agit principalement de la baisse de la filtration r\u00e9nale, class\u00e9e en 5 stades selon la s\u00e9v\u00e9rit\u00e9 de l’insuffisance r\u00e9nale. Cette d\u00e9gradation de la filtration r\u00e9nale peut \u00eatre li\u00e9e \u00e0 une maladie purement r\u00e9nale (glom\u00e9rulon\u00e9phrite, maladie auto-immune, maladie g\u00e9n\u00e9tique, etc.) ou secondaire \u00e0 une autre maladie en particulier l\u2019HTA, le diab\u00e8te et la toxicit\u00e9 m\u00e9dicamenteuse.<\/p>\n
Il est primordial d\u2019identifier la baisse de la fonction r\u00e9nale ou les anomalies souvent biologiques qui pr\u00e9c\u00e9dent afin d\u2019identifier la cause et mettre en route le traitement qui arr\u00eate la d\u00e9gradation ou ralentit la progression vers une maladie r\u00e9nale terminale.<\/p>\n
Le traitement des maladies r\u00e9nales d\u00e9pend de la cause.<\/p>\n
Toutefois, nous avons des situations dont l\u2019\u00e9volution vers une maladie r\u00e9nale terminale est in\u00e9vitable: le diagnostic a \u00e9t\u00e9 pos\u00e9 trop tard et la substitution r\u00e9nale s\u2019impose par la transplantation r\u00e9nale (greffe) ou la dialyse.<\/p>\n<\/blockquote>\n<\/div>\n
[\/et_pb_text][\/et_pb_column][et_pb_column type=\u00a0\u00bb1_3″ _builder_version=\u00a0\u00bb3.25″ custom_padding=\u00a0\u00bb|||\u00a0\u00bb custom_padding__hover=\u00a0\u00bb|||\u00a0\u00bb][et_pb_text _builder_version=\u00a0\u00bb4.9.3″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb]<\/p>\n
\nLes sympt\u00f4mes des maladies r\u00e9nales avanc\u00e9es<\/strong><\/h3>\n<\/div>\n
\n\n\n
\n
- \n
P\u00e2leur<\/span><\/span><\/p>\n<\/li>\n<\/ul>\n<\/ul>\n
\n
\n
- \n
Frilosit\u00e9<\/span><\/span><\/p>\n<\/li>\n<\/ul>\n<\/ul>\n
\n
\n
- \n
Crampes<\/span><\/span><\/p>\n<\/li>\n<\/ul>\n<\/ul>\n
\n
\n
- \n
D\u00e9mangeaisons<\/span><\/span><\/p>\n<\/li>\n<\/ul>\n<\/ul>\n
\n
\n
- \n
Inapp\u00e9tence, changement de go\u00fbt avec d\u00e9go\u00fbt pour la viande<\/span><\/span><\/p>\n<\/li>\n<\/ul>\n<\/ul>\n
\n
\n
- \n
Naus\u00e9es matinales<\/span><\/span><\/p>\n<\/li>\n<\/ul>\n<\/ul>\n
\n
\n
- \n
Perte de poids<\/span><\/span><\/p>\n<\/li>\n<\/ul>\n<\/ul>\n
\n
- \n
\n
- \n
Fatigue excessive inexpliqu\u00e9e, difficult\u00e9 \u00e0 la concentration<\/span><\/span><\/p>\n<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n
<\/p>\n
\n
- \n
\n
- \n
Somnolence, sommeil non r\u00e9cup\u00e9rateur<\/span><\/span><\/p>\n<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/blockquote>\n<\/div>\n
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021 632 51 90\u00a0<\/span><\/a><\/span><\/h1>\n
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Les reins et leurs fonctions Ce sont des organes vitaux qui se trouvent devant les muscles dorsaux lombaires. Ils contiennent des structures microscopiques dont l\u2019unit\u00e9 fonctionnelle s\u2019appelle le n\u00e9phron (d\u2019o\u00f9 le nom de la sp\u00e9cialit\u00e9 = n\u00e9phrologie). Leur nombre est stable depuis la naissance en moyenne: entre 400 000 et 1 million. Les reins re\u00e7oivent […]<\/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-406","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/nedol.ch\/index.php\/wp-json\/wp\/v2\/pages\/406","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=406"}],"version-history":[{"count":18,"href":"https:\/\/nedol.ch\/index.php\/wp-json\/wp\/v2\/pages\/406\/revisions"}],"predecessor-version":[{"id":534,"href":"https:\/\/nedol.ch\/index.php\/wp-json\/wp\/v2\/pages\/406\/revisions\/534"}],"wp:attachment":[{"href":"https:\/\/nedol.ch\/index.php\/wp-json\/wp\/v2\/media?parent=406"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}