Peritoneal dialysisPPeritoneal dialysisPeritoneal dialysisEnglishNephrologyChild (0-12 years);Teen (13-18 years)KidneysCardiovascular systemNon-drug treatmentCaregivers Adult (19+)NA2014-07-30T04:00:00ZElizabeth Piva, RN;Susan Ackerman, RN;SickKids Home Dialysis Program10.000000000000048.0000000000000915.000000000000Health (A-Z) - ProcedureHealth A-Z<p>Learn what is involved in peritoneal dialysis and how it can benefit your child.</p><p>Peritoneal dialysis (PD) is a type of dialysis that occurs inside the body. It uses the peritoneal membrane, a thin lining around the abdomen (tummy), to filter the blood. The lining is semi-permeable, meaning that it allows some small particles to pass through it. In this way, it removes waste products and unwanted fluid from the blood.</p> <p>Before your child can start peritoneal dialysis, they will have surgery (an operation) to insert a peritoneal dialysis catheter, or tube, into the space inside the peritoneal membrane. This space is called the peritoneal cavity.</p><h2>Key points</h2> <ul> <li>Peritoneal dialysis cleans the blood using the peritoneal membrane, a thin lining around the abdomen, and a machine called a cycler.</li> <li>Before peritoneal dialysis, your child will need surgery to insert a catheter (tube) into the space inside the peritoneal membrane.</li> <li>Peritoneal dialysis allows more independence and flexibility in caring for your child, requires fewer absences from school and lets your child eat a wider range of food than with in-hospital hemodialysis.</li> <li>Before your child can start peritoneal dialysis, they must have a healthy abdominal wall.</li> <li>You must be physically able to operate the equipment and commit time to training, performing the dialysis properly and solving any problems that might occur at home.</li> </ul><h2>What happens during peritoneal dialysis?</h2> <p>Your child will usually be offered automated peritoneal dialysis (APD). This uses a machine called a cycler, which automatically starts the dialysis.</p> <p>Automated peritoneal dialysis involves three main phases:</p> <ul> <li>fill</li> <li>dwell</li> <li>drain</li> </ul> <h3>Fill</h3> <p>The peritoneal dialysis catheter fills the peritoneal cavity with a sterile dialysis solution called dialysate. This solution contains glucose (sugar).</p> <h3>Dwell</h3> <p>The solution stays in the peritoneal cavity for a short time.</p> <h3>Drain</h3> <p>Any waste products and unwanted fluid from the blood are filtered across the peritoneal membrane into the dialysis solution. The wastes and fluids then drain from the abdomen.</p> <figure> <img src="https://assets.aboutkidshealth.ca/akhassets/IMD_Hemodialysis_peritoneal_schematic_EN.jpg" alt="" /> <figcaption class="asset-image-caption">Simple illustration of peritoneal hemodialysis</figcaption> </figure> <h2>How peritoneal dialysis works</h2> <p>Like hemodialysis, peritoneal dialysis works on two principles:</p> <ul> <li>osmosis</li> <li>diffusion</li> </ul> <p>Osmosis is the ability of water to pass through the wall of the semi-permeable membrane. The higher the concentration of glucose in the dialysis solution, the greater the amount of fluid that will move through the membrane.</p> <p>Diffusion is the natural movement of particles from an area with many particles to an area with fewer particles. During peritoneal dialysis, waste products, which are highly concentrated in the blood, will filter across the peritoneal membrane into the dialysis solution, an area with no waste products.</p><h2>Things to consider when deciding about peritoneal dialysis</h2> <p>To help you decide if peritoneal dialysis (PD) is suitable for your child, please consider the following points.</p> <h3>Your child's suitability for peritoneal dialysis</h3> <ul> <li>Your child must have a healthy abdominal wall. PD cannot be done if any defects have been diagnosed.</li> </ul> <h3>Your ability and time to perform peritoneal dialysis</h3> <ul> <li>As a caregiver, you must be able to understand and read English.</li> <li>You must be physically able to perform the therapy. This includes having the fine motor skills (for example being able to control the small muscles in your hands) to safely operate the equipment and handle the tubing.</li> <li>You and your child (if they are old enough) must attend and complete training.</li> <li>You and your child must attend the peritoneal dialysis clinic every month or as needed.</li> <li>You must stick to the treatment plan and be flexible to deal with any health care issues that occur.</li> <li>You will need to be committed to dialysis long-term, actively involved in decisions about your child's health and able to solve problems as they happen.</li> <li>You will need to have a reliable back-up person to help with dialysis if you are not available.</li> </ul> <h3>Your home's suitability for peritoneal dialysis</h3> <ul> <li>Your home must be suitable for storing and using the equipment and supplies.</li> </ul> <h2>How peritoneal dialysis is done at home</h2> <p>Peritoneal dialysis can be done safely and easily in the home. You and your child will be supported and guided by the home dialysis team.</p> <p>Most peritoneal dialysis treatments will happen at night while your child is sleeping. The three phases of fill, dwell and drain continue through the night based on the dialysis instructions that are programmed into the cycler.</p><h2>Are all homes suitable for peritoneal dialysis?</h2> <p>Before you can start this dialysis, someone will visit you or ask you questions to check if your home is suitable for storing and using the dialysis equipment and supplies.</p> <p>If it is suitable, a small, portable machine and all the supplies you need will be delivered to your home. Your provincial health plan will cover the costs.</p>
Dialyse péritonéaleDDialyse péritonéalePeritoneal dialysisFrenchNephrologyChild (0-12 years);Teen (13-18 years)KidneysCardiovascular systemNon-drug treatmentCaregivers Adult (19+)NA2014-07-30T04:00:00ZElizabeth Piva, RN;Susan Ackerman, RN;SickKids Home Dialysis Program10.000000000000048.0000000000000915.000000000000Health (A-Z) - ProcedureHealth A-ZDécouvrez en quoi consiste la dialyse péritonéale ainsi que ses avantages possibles pour votre enfant.<p>​​La dialyse péritonéale (DP) est un type de dialyse opérée à l’intérieur du corps. Elle utilise la membrane péritonéale, une paroi fine autour de l’abdomen (ventre), pour filtrer le sang. La paroi est semi-perméable. Autrement dit, certaines particules de petite taille peuvent la traverser. Ainsi, la paroi élimine du sang les déchets et le liquide superflu.</p> <p>Avant que votre enfant puisse commencer la dialyse péritonéale, il devra être opéré (inte​​rvention chirurgicale) pour insérer un cathéter – ou tube – de dialyse péritonéale dans l’espace délimité par la membrane péritonéale. Cet espace s’appelle la cavité péritonéale.</p><h2>À retenir</h2> <ul><li>La dialyse péritonéale nettoie le sang en utilisant la membrane péritonéale, une paroi fine autour de l’abdomen, ainsi qu’un appareil appelé cycleur.</li> <li>Avant la dialyse péritonéale, votre enfant devra être opéré pour insérer un cathéter (tube) dans l’espace délimité par la membrane péritonéale.</li> <li>La dialyse péritonéale permet plus d’autonomie et de souplesse dans les soins de l’enfant, exige moins de journées d’absence de l’école et permet à l’enfant d’avoir une alimentation plus variée que s’il était sous hémodialyse à l’hôpital;</li> <li>Pour que l’enfant puisse commencer la dialyse péritonéale, sa paroi abdominale doit être saine.</li> <li>Vous devez être physiquement à même de faire fonctionner l’équipement et prendre l’engagement de consacrer le temps nécessaire à suivre la formation, à effectuer correctement la dialyse et à résoudre les problèmes qui pourraient survenir à la maison.</li></ul><h2>Que se passe-t-il pendant la dialyse péritonéale?</h2> <p>En général, on propose à l’enfant une dialyse péritonéale automatisée (DPA). Cette technique fait appel à un appareil appelé cycleur qui commence automatiquement la dialyse.</p> <p>La dialyse péritonéale automatisée se déroule en trois phases principales :</p> <ul><li>remplissage;</li> <li>stase;</li> <li>drainage.</li></ul> <h3>Remplissage</h3> <p>Le cathéter de dialyse péritonéale remplit la cavité péritonéale avec une solution stérile de dialyse qu’on appelle dialysat. Cette solution contient du glucose (sucre).</p> <h3>Stase</h3> <p>La solution reste un moment dans la cavité péritonéale.</p> <h3>Drainage</h3> <p>Les impuretés et le liquide superflu du sang traversent le filtre de la membrane péritonéale pour aboutir dans la solution de dialyse. Ils sont ensuite drainés de l’abdomen.</p> <figure> <img src="https://assets.aboutkidshealth.ca/akhassets/IMD_Hemodialysis_peritoneal_schematic_FR.jpg" alt="" /> <figcaption class="asset-image-caption">Simple illustration of peritoneal hemodialysis</figcaption> </figure> <h2>Comment fonctionne la dialyse péritonéale?</h2> <p>Comme l’hémodialyse, la dialyse péritonéale repose sur deux principes :</p> <ul><li>l’osmose;</li> <li>la diffusion.</li></ul> <p>L’osmose est la capacité de l’eau de traverser la paroi de la membrane semi-perméable. Plus la concentration de glucose dans la solution de dialyse est élevée, plus grande est la quantité de liquide qui traverse la membrane.</p> <p>La diffusion est le mouvement naturel des particules d’une zone riche en particules vers une zone qui en contient peu. Pendant la dialyse péritonéale, les impuretés, présentes en forte concentration dans le sang, traversent le filtre de la membrane péritonéale et aboutissent dans la solution de dialyse, une zone sans impuretés.</p> <h2>Éléments à considérer avant d'opter pour la dialyse péritonéale</h2> <p>Avant de décider si la dialyse péritonéale (DP) convient à votre enfant, veuillez considérer les éléments suivants.</p> <h3>Le caractère adéquat de la dialyse péritonéale pour votre enfant</h3> <ul><li>La paroi abdominale de votre enfant doit être saine. La DP ne peut pas être réalisée si des anomalies ont été diagnostiquées.</li></ul> <h3>Votre capacité et le temps dont vous disposez pour effectuer la dialyse péritonéale</h3> <ul><li>En tant que fournisseur de soins, vous devez comprendre et lire l’anglais.</li> <li>Vous devez être à même physiquement de pratiquer la thérapie. Vous devez entre autres avoir la motricité fine (par exemple être capable de contrôler les petits muscles des mains) pour faire fonctionner l’équipement et manipuler la tubulure sans risque.</li> <li>Vous et votre enfant (s’il est assez grand) devez suivre et achever une formation.</li> <li>Vous et votre enfant devez aller à la clinique de dialyse péritonéale chaque mois ou selon les besoins.</li> <li>Vous devez respecter le plan de traitement et faire preuve de souplesse pour prendre en charge tout problème de santé qui surviendrait.</li> <li>Vous devrez prendre l’engagement d’effectuer la dialyse à long terme, participer activement à la prise de décisions concernant la santé de votre enfant et pouvoir résoudre sans tarder les problèmes qui surviennent.</li> <li>Vous devrez avoir un remplaçant fiable pour effectuer la dialyse si vous n’êtes pas disponible.</li></ul> <h3>Le caractère adéquat de votre logement pour la dialyse péritonéale</h3> <ul><li>Votre logement doit être adéquat pour ranger et faire fonctionner l’équipement et les fournitures.</li></ul> <h2>Réalisation de la dialyse péritonéale à domicile</h2> <p>La dialyse péritonéale peut être effectuée sans risque et facilement à domicile. Vous et votre enfant recevrez de l’aide et des conseils de l’équipe de dialyse à domicile.</p> <p>La plupart des séances de dialyse péritonéale ont lieu la nuit, quand l’enfant dort. Les trois phases – remplissage, stase et drainage – se répètent toute la nuit, conformément aux instructions de dialyse programmées dans le cycleur.</p><h2>Tous les logements se prêtent-ils à la dialyse péritonéale?</h2> <p>Avant que vous puissiez commencer cette dialyse, quelqu’un vous rendra visite ou vous posera des questions pour vérifier si votre logement est adéquat pour le rangement et l’utilisation de l’équipement et des fournitures de dialyse.</p> <p>S’il est adéquat, un petit appareil portatif et toutes les fournitures dont vous aurez besoin vous seront livrés à domicile. Les frais seront pris en charge par votre assurance-maladie provinciale.</p>

 

 

Peritoneal dialysis42.0000000000000Peritoneal dialysisPeritoneal dialysisPEnglishNephrologyChild (0-12 years);Teen (13-18 years)KidneysCardiovascular systemNon-drug treatmentCaregivers Adult (19+)NA2014-07-30T04:00:00ZElizabeth Piva, RN;Susan Ackerman, RN;SickKids Home Dialysis Program10.000000000000048.0000000000000915.000000000000Health (A-Z) - ProcedureHealth A-Z<p>Learn what is involved in peritoneal dialysis and how it can benefit your child.</p><p>Peritoneal dialysis (PD) is a type of dialysis that occurs inside the body. It uses the peritoneal membrane, a thin lining around the abdomen (tummy), to filter the blood. The lining is semi-permeable, meaning that it allows some small particles to pass through it. In this way, it removes waste products and unwanted fluid from the blood.</p> <p>Before your child can start peritoneal dialysis, they will have surgery (an operation) to insert a peritoneal dialysis catheter, or tube, into the space inside the peritoneal membrane. This space is called the peritoneal cavity.</p><h2>Benefits of peritoneal dialysis</h2> <p>Peritoneal dialysis is a gentle type of dialysis that can be done safely at home. It is simple to learn and is supported in most communities.</p> <p>In particular, peritoneal dialysis:</p> <ul> <li>offers independence and control over your child's health care, as you perform the therapy</li> <li>allows more flexibility to work around your child's daily routine and any hobbies or family time</li> <li>is done through a portable machine that can be used inside or outside the home, for example on vacation (once there is a power outlet nearby)</li> <li>allows your child to eat and drink a wider range of food than if they were on <a href="/Article?contentid=43&language=English">in-hospital hemodialysis</a></li> <li>requires fewer trips to the hospital, which minimizes travel time and any transportation costs</li> <li>allows your child to attend school more often than if they were receiving in-hospital hemodialysis</li> <li>can be done on children of all ages, including babies</li> <li>helps your child feel more secure during treatment</li> </ul><h2>Key points</h2> <ul> <li>Peritoneal dialysis cleans the blood using the peritoneal membrane, a thin lining around the abdomen, and a machine called a cycler.</li> <li>Before peritoneal dialysis, your child will need surgery to insert a catheter (tube) into the space inside the peritoneal membrane.</li> <li>Peritoneal dialysis allows more independence and flexibility in caring for your child, requires fewer absences from school and lets your child eat a wider range of food than with in-hospital hemodialysis.</li> <li>Before your child can start peritoneal dialysis, they must have a healthy abdominal wall.</li> <li>You must be physically able to operate the equipment and commit time to training, performing the dialysis properly and solving any problems that might occur at home.</li> </ul><h2>What happens during peritoneal dialysis?</h2> <p>Your child will usually be offered automated peritoneal dialysis (APD). This uses a machine called a cycler, which automatically starts the dialysis.</p> <p>Automated peritoneal dialysis involves three main phases:</p> <ul> <li>fill</li> <li>dwell</li> <li>drain</li> </ul> <h3>Fill</h3> <p>The peritoneal dialysis catheter fills the peritoneal cavity with a sterile dialysis solution called dialysate. This solution contains glucose (sugar).</p> <h3>Dwell</h3> <p>The solution stays in the peritoneal cavity for a short time.</p> <h3>Drain</h3> <p>Any waste products and unwanted fluid from the blood are filtered across the peritoneal membrane into the dialysis solution. The wastes and fluids then drain from the abdomen.</p> <figure> <img src="https://assets.aboutkidshealth.ca/akhassets/IMD_Hemodialysis_peritoneal_schematic_EN.jpg" alt="" /> <figcaption class="asset-image-caption">Simple illustration of peritoneal hemodialysis</figcaption> </figure> <h2>How peritoneal dialysis works</h2> <p>Like hemodialysis, peritoneal dialysis works on two principles:</p> <ul> <li>osmosis</li> <li>diffusion</li> </ul> <p>Osmosis is the ability of water to pass through the wall of the semi-permeable membrane. The higher the concentration of glucose in the dialysis solution, the greater the amount of fluid that will move through the membrane.</p> <p>Diffusion is the natural movement of particles from an area with many particles to an area with fewer particles. During peritoneal dialysis, waste products, which are highly concentrated in the blood, will filter across the peritoneal membrane into the dialysis solution, an area with no waste products.</p><h2>Things to consider when deciding about peritoneal dialysis</h2> <p>To help you decide if peritoneal dialysis (PD) is suitable for your child, please consider the following points.</p> <h3>Your child's suitability for peritoneal dialysis</h3> <ul> <li>Your child must have a healthy abdominal wall. PD cannot be done if any defects have been diagnosed.</li> </ul> <h3>Your ability and time to perform peritoneal dialysis</h3> <ul> <li>As a caregiver, you must be able to understand and read English.</li> <li>You must be physically able to perform the therapy. This includes having the fine motor skills (for example being able to control the small muscles in your hands) to safely operate the equipment and handle the tubing.</li> <li>You and your child (if they are old enough) must attend and complete training.</li> <li>You and your child must attend the peritoneal dialysis clinic every month or as needed.</li> <li>You must stick to the treatment plan and be flexible to deal with any health care issues that occur.</li> <li>You will need to be committed to dialysis long-term, actively involved in decisions about your child's health and able to solve problems as they happen.</li> <li>You will need to have a reliable back-up person to help with dialysis if you are not available.</li> </ul> <h3>Your home's suitability for peritoneal dialysis</h3> <ul> <li>Your home must be suitable for storing and using the equipment and supplies.</li> </ul> <h2>How peritoneal dialysis is done at home</h2> <p>Peritoneal dialysis can be done safely and easily in the home. You and your child will be supported and guided by the home dialysis team.</p> <p>Most peritoneal dialysis treatments will happen at night while your child is sleeping. The three phases of fill, dwell and drain continue through the night based on the dialysis instructions that are programmed into the cycler.</p><h2>Are all homes suitable for peritoneal dialysis?</h2> <p>Before you can start this dialysis, someone will visit you or ask you questions to check if your home is suitable for storing and using the dialysis equipment and supplies.</p> <p>If it is suitable, a small, portable machine and all the supplies you need will be delivered to your home. Your provincial health plan will cover the costs.</p>Peritoneal dialysisFalse

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