Kidney failure and treatmentKKidney failure and treatmentKidney failure and treatmentEnglishNephrologyChild (0-12 years);Teen (13-18 years)KidneysKidneysConditions and diseasesCaregivers Adult (19+)NA2014-07-30T04:00:00ZElizabeth Piva, RN;Susan Ackerman, RN;SickKids Home Dialysis Program7.0000000000000068.0000000000000865.000000000000Health (A-Z) - ConditionsHealth A-Z<p>Find out what happens to the body and what treatments are available when kidneys fail.</p><p>The <a href="https://pie.med.utoronto.ca/htbw/module.html?module=kidney-child">kidneys</a> are important organs in our bodies. They help to keep us healthy in many ways.</p><ul><li>They take waste products, such as urea and creatinine, away from the body.</li><li>They control the water balance in the body.</li><li>They control the balance of other substances in the body, such as sodium and potassium.</li><li>They help make red blood cells.</li><li>They help bones grow.</li></ul> <figure> <span class="asset-image-title">Kidney location</span> <img src="https://assets.aboutkidshealth.ca/akhassets/Kidneys_location_male_MED_ILL_EN.jpg" alt="" /> </figure> <p>Most people have two kidneys, one on each side of the spine, just under the rib cage. They are red-brown in colour and about the size of your child's fist.</p><h2>Key points</h2> <ul> <li>When kidneys are not working properly this can lead to a build-up of urea in the blood; build-up of other chemicals such as sodium, potassium, calcium and phosphorus in the blood; puffiness in the feet, hands and eyes; pale skin; and headache and irritability.</li> <li>Treatment for kidney failure can include kidney transplant and dialysis (hemodialysis or peritoneal dialysis).</li> </ul><h2>Treatments for kidney failure</h2> <p>Kidney failure cannot be cured, but it can be treated. Treatment options include:</p> <ul> <li>transplant</li> <li>dialysis.</li> </ul> <h3>Kidney transplant</h3> <ul> <li>This involves surgery (an operation) to place a healthy kidney from a donor into your child's body.</li> <li>A kidney can come from a living donor or a deceased donor who is a match for your child. If a child is waiting for a kidney from a deceased donor, they go on a transplant waiting list.</li> <li>When your child receives a new kidney, they will need to take medications every day to suppress, or weaken, their immune system so that they do not reject it.</li> </ul> <h3>Dialysis</h3> <p>Patients and families can choose between two types of dialysis:</p> <ul> <li>hemodialysis</li> <li>peritoneal dialysis.</li> </ul> <p>It is important to learn the facts about each type of dialysis before choosing one. You will also need to consider if you want to do the dialysis at the hospital or in the comfort of your own home. Keep in mind that your child may need to change from one kind of dialysis to another, depending on their health.</p> <p><em>Hemodialysis</em></p> <p>There are two types of hemodialysis: <a href="/article?contentid=41&language=English">home hemodialysis (HHD</a>) and <a href="/article?contentid=43&language=English">in-hospital hemodialysis</a>.</p> <p>Home hemodialysis:</p> <ul> <li>uses a vascular access (a thin tube inserted in a vein) to clean your child's blood</li> <li>is a slow, gentle treatment that improves your child's appetite and energy levels</li> <li>requires your child to take fewer medications (compared with in-hospital dialysis)</li> <li>allows your child to have a wider range of foods and drinks.</li> </ul> <p>In-hospital hemodialysis:</p> <ul> <li>is offered and monitored by qualified health-care professionals</li> <li>is done in a clean, friendly and supportive environment</li> <li>gives your child the chance to meet other patients.</li> </ul> <p><em>Peritoneal dialysis</em></p> <ul> <li>Peritoneal dialysis (PD) uses a thin tube called a catheter and the inner membrane (lining) of the abdomen to clean the blood.</li> <li>PD offers flexible, easy treatments at home, where you or your child can manage the care.</li> <li>PD may help preserve remaining kidney function.</li> </ul><h2>Finding out more about treatment options</h2> <p>You can find out more about the different treatment options on the following pages.</p> <ul> <li><a href="/Article?contentid=44&language=English">Hemodialysis</a></li> <li><a href="/Article?contentid=41&language=English">Home hemodialysis</a></li> <li><a href="/Article?contentid=43&language=English">In-hospital hemodialysis</a></li> <li><a href="/Article?contentid=42&language=English">Peritoneal dialysis</a></li> <li><a href="/Article?contentid=1109&language=English">Dialysis options: How they compare​ ​</a></li> </ul>
Insuffisance rénale et traitementIInsuffisance rénale et traitementKidney failure and treatmentFrenchNephrologyChild (0-12 years);Teen (13-18 years)KidneysKidneysConditions and diseasesCaregivers Adult (19+)NA2014-07-30T04:00:00ZElizabeth Piva, RN;Susan Ackerman, RN;SickKids Home Dialysis Program000Health (A-Z) - ConditionsHealth A-Z<p>Découvrez ce qui se passe dans l’organisme en cas d’insuffisance rénale et les traitements qui existent.</p><p>Les <a href="https://pie.med.utoronto.ca/htbw/module.html?module=kidney-child">reins</a> sont des organes importants dans le corps. Ils contribuent à la santé de plusieurs manières.</p><ul><li>Ils éliminent de l’organisme des déchets comme l’urée et la créatinine.</li><li>Ils assurent l’équilibre du bilan hydrique de l’organisme.</li><li>Ils assurent l’équilibre du bilan d’autres substances dans l’organisme, par exemple le sodium et le potassium.</li><li>Ils contribuent à la production des globules rouges.</li><li>Ils interviennent dans la croissance osseuse.</li></ul> <figure> <span class="asset-image-title">Kidney location</span> <img src="https://assets.aboutkidshealth.ca/akhassets/Kidneys_location_male_MED_ILL_FR.jpg" alt="" /> </figure> <p>La plupart des gens ont deux reins, un de chaque côté de la colonne vertébrale, juste sous la cage thoracique. Les reins sont rouge-brun et gros comme un poing d’enfant.</p><h2>À retenir</h2><ul><li>Quand les reins ne fonctionnent pas normalement, cela peut entraîner une accumulation d’urée dans le sang; l’accumulation d’autres produits chimiques comme le sodium, le potassium, le calcium et le phosphore dans le sang; un gonflement des pieds, des mains et des yeux; une pâleur du teint; ainsi que des maux de tête et de l’irritabilité. </li><li>Le traitement de l’insuffisance rénale peut comprendre une greffe de rein et de la dialyse (hémodialyse et dialyse péritonéale). </li></ul><h2>Traitements de l’insuffisance rénale</h2> <p>L’insuffisance rénale ne se guérit pas, mais elle se traite. Les options thérapeutiques sont :</p> <ul> <li>la transplantation;</li> <li>la dialyse.</li> </ul> <h3>Transplantation rénale</h3> <ul> <li>Il s’agit d’une intervention (opération) chirurgicale pour placer un rein sain d’un donneur dans le corps de l’enfant.</li> <li>Le rein peut venir d’un donneur vivant ou d’un donneur décédé compatible avec l’enfant. Si l’enfant attend un rein d’un donneur décédé, il est mis sur la liste des patients en attente d’une transplantation.</li> <li>Après avoir reçu un nouveau rein, l’enfant doit prendre des médicaments tous les jours pour inhiber ou affaiblir son système immunitaire afin de ne pas faire un rejet.</li> </ul> <h3>Dialyse<br></h3> <p>Les patients et leur famille peuvent choisir entre deux types de dialyse :</p> <ul> <li>l’hémodialyse;</li> <li>la dialyse péritonéale.</li> </ul> <p>Il est important d’avoir connaissance des faits concernant chaque type de dialyse avant de faire un choix. Vous devez également vous demander si vous voulez faire la dialyse à l’hôpital ou dans le confort de votre domicile. Gardez à l’esprit que votre enfant devra peut-être passer d’un type de dialyse à l’autre en fonction de son état de santé.</p> <p><em>Hémodialyse</em></p> <p>Il y a deux types d’hémodialyse : l’<a href="/article?contentid=41&language=French">hémodialyse à domicile</a> et l’<a href="/article?contentid=43&language=French">hémodialyse à l’hôpital</a>.</p> <p>L’hémodialyse à domicile :</p> <ul> <li>utilise un accès vasculaire (un tube fin inséré dans une veine) pour nettoyer le sang de l’enfant;</li> <li>est un traitement lent et doux qui donne à l’enfant de l’appétit et de l’énergie;</li> <li>permet à l’enfant de prendre moins de médicaments (en comparaison avec la dialyse à l’hôpital);</li> <li>permet à l’enfant de consommer une plus grande variété d’aliments et de boissons.</li> </ul> <p>L’hémodialyse à l’hôpital :</p> <ul> <li>est opérée et surveillée par des professionnels de la santé qualifiés;</li> <li>est réalisée dans un milieu propre, chaleureux et réconfortant;</li> <li>donne à l’enfant la possibilité de rencontrer d’autres patients.</li> </ul> <p><em>Dialyse péritonéale</em></p> <ul> <li>La dialyse péritonéale (DP) utilise un tube fin appelé cathéter et la membrane (paroi) interne de l’abdomen pour nettoyer le sang.</li> <li>La DP permet un traitement souple réalisé aisément à domicile, où les soins peuvent être pris en charge par vous ou par votre enfant.</li> <li>Elle peut contribuer à la préservation de la fonction rénale résiduelle.</li> </ul><h2>En savoir plus sur les options thérapeutiques</h2> <p>Vous trouverez des renseignements supplémentaires sur les différentes options thérapeutiques aux pages suivantes :</p> <ul> <li><a href="/Article?contentid=44&language=French">Hémodialyse</a></li> <li><a href="/Article?contentid=41&language=French">Hémodialyse à domicile</a></li> <li><a href="/Article?contentid=43&language=French">Hémodialyse à l’hôpital​</a></li> <li><a href="/Article?contentid=42&language=French">Dialyse péritonéale</a></li> <li><a href="/Article?contentid=1109&language=French">Dialyse : comparaison des méthodes</a></li> </ul>

 

 

Kidney failure and treatment936.000000000000Kidney failure and treatmentKidney failure and treatmentKEnglishNephrologyChild (0-12 years);Teen (13-18 years)KidneysKidneysConditions and diseasesCaregivers Adult (19+)NA2014-07-30T04:00:00ZElizabeth Piva, RN;Susan Ackerman, RN;SickKids Home Dialysis Program7.0000000000000068.0000000000000865.000000000000Health (A-Z) - ConditionsHealth A-Z<p>Find out what happens to the body and what treatments are available when kidneys fail.</p><p>The <a href="https://pie.med.utoronto.ca/htbw/module.html?module=kidney-child">kidneys</a> are important organs in our bodies. They help to keep us healthy in many ways.</p><ul><li>They take waste products, such as urea and creatinine, away from the body.</li><li>They control the water balance in the body.</li><li>They control the balance of other substances in the body, such as sodium and potassium.</li><li>They help make red blood cells.</li><li>They help bones grow.</li></ul> <figure> <span class="asset-image-title">Kidney location</span> <img src="https://assets.aboutkidshealth.ca/akhassets/Kidneys_location_male_MED_ILL_EN.jpg" alt="" /> </figure> <p>Most people have two kidneys, one on each side of the spine, just under the rib cage. They are red-brown in colour and about the size of your child's fist.</p><h2>What happens when kidneys fail?</h2> <p>When your child has kidney failure, their kidneys stop working normally. This can lead to a build-up of unwanted substances in the blood.</p> <h3>Build-up of urea</h3> <p>The body produces urea when it breaks down or uses proteins. Urea is a waste product, so healthy kidneys remove it through urine (pee). When the kidneys are not healthy, however, the urea builds up in the blood, leading to a condition known as uremia.</p> <p>If your child has uremia, they might:</p> <ul> <li>urinate (pee) very little or not urinate at all</li> <li>not be hungry</li> <li>feel tired</li> <li>feel cranky.</li> </ul> <h3>Build-up of other chemicals</h3> <p>Usually, healthy kidneys break down and remove excess sodium, <a href="/Article?contentid=1194&language=English">potassium</a>, <a href="/Article?contentid=1448&language=English">calcium</a> and phosphorus from the body. When kidneys are failing, however, these substances build up in the blood.</p> <h3>Puffiness in the feet, hands and eyes</h3> <p>This type of puffiness is called edema. It occurs when fluid builds up in the body because the kidneys make less urine.</p> <h3>Pale skin</h3> <p>Red blood cells contain hemoglobin, which carries oxygen to all parts of the body. Kidneys help make red blood cells, but when the kidneys do not work very well, they do not make the cells quickly enough. This causes your child to become pale and have less energy.</p> <h3>Headache and irritability</h3> <p>Your child might become irritable if they have a build-up of urea or if they have <a href="/Article?contentid=898&language=English">hypertension</a> (high blood pressure). Blood pressure rises either because of the extra fluid in your child's body or because of a hormone called renin. The kidneys make renin when they do not get enough oxygen from the blood.</p><h2>Key points</h2> <ul> <li>When kidneys are not working properly this can lead to a build-up of urea in the blood; build-up of other chemicals such as sodium, potassium, calcium and phosphorus in the blood; puffiness in the feet, hands and eyes; pale skin; and headache and irritability.</li> <li>Treatment for kidney failure can include kidney transplant and dialysis (hemodialysis or peritoneal dialysis).</li> </ul><h2>Treatments for kidney failure</h2> <p>Kidney failure cannot be cured, but it can be treated. Treatment options include:</p> <ul> <li>transplant</li> <li>dialysis.</li> </ul> <h3>Kidney transplant</h3> <ul> <li>This involves surgery (an operation) to place a healthy kidney from a donor into your child's body.</li> <li>A kidney can come from a living donor or a deceased donor who is a match for your child. If a child is waiting for a kidney from a deceased donor, they go on a transplant waiting list.</li> <li>When your child receives a new kidney, they will need to take medications every day to suppress, or weaken, their immune system so that they do not reject it.</li> </ul> <h3>Dialysis</h3> <p>Patients and families can choose between two types of dialysis:</p> <ul> <li>hemodialysis</li> <li>peritoneal dialysis.</li> </ul> <p>It is important to learn the facts about each type of dialysis before choosing one. You will also need to consider if you want to do the dialysis at the hospital or in the comfort of your own home. Keep in mind that your child may need to change from one kind of dialysis to another, depending on their health.</p> <p><em>Hemodialysis</em></p> <p>There are two types of hemodialysis: <a href="/article?contentid=41&language=English">home hemodialysis (HHD</a>) and <a href="/article?contentid=43&language=English">in-hospital hemodialysis</a>.</p> <p>Home hemodialysis:</p> <ul> <li>uses a vascular access (a thin tube inserted in a vein) to clean your child's blood</li> <li>is a slow, gentle treatment that improves your child's appetite and energy levels</li> <li>requires your child to take fewer medications (compared with in-hospital dialysis)</li> <li>allows your child to have a wider range of foods and drinks.</li> </ul> <p>In-hospital hemodialysis:</p> <ul> <li>is offered and monitored by qualified health-care professionals</li> <li>is done in a clean, friendly and supportive environment</li> <li>gives your child the chance to meet other patients.</li> </ul> <p><em>Peritoneal dialysis</em></p> <ul> <li>Peritoneal dialysis (PD) uses a thin tube called a catheter and the inner membrane (lining) of the abdomen to clean the blood.</li> <li>PD offers flexible, easy treatments at home, where you or your child can manage the care.</li> <li>PD may help preserve remaining kidney function.</li> </ul><h2>Choosing the treatment option that suits best</h2> <p>It is important to learn about kidney disease and how to manage it. This will help you decide what treatment matches your lifestyle.</p> <p>For extra guidance, why not try out this <a href="http://decisionaid.ohri.ca/decguide.html" target="_blank">decision-making tool from Ottawa Hospital Research Institute</a>. It is designed to guide people through any health-related or social decision and may help you choose which treatment is best for you and your child.</p> <h2>Being active members of the kidney care team</h2> <p>Remember, you and your child are the most important members of your child's nephrology (kidney care) team. The nephrology team will support and guide you to gain confidence to manage your child's kidney disease.</p> <p>Your commitment to the treatment and your positive attitude will result in better outcomes for your child's health. Staying active and encouraging a healthy lifestyle are also essential for the long-term success of your child's treatment.</p><h2>Finding out more about treatment options</h2> <p>You can find out more about the different treatment options on the following pages.</p> <ul> <li><a href="/Article?contentid=44&language=English">Hemodialysis</a></li> <li><a href="/Article?contentid=41&language=English">Home hemodialysis</a></li> <li><a href="/Article?contentid=43&language=English">In-hospital hemodialysis</a></li> <li><a href="/Article?contentid=42&language=English">Peritoneal dialysis</a></li> <li><a href="/Article?contentid=1109&language=English">Dialysis options: How they compare​ ​</a></li> </ul>https://assets.aboutkidshealth.ca/akhassets/Kidneys_location_male_MED_ILL_EN.jpgKidney failure and treatment

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