In addition,
Sambreville: sambre meuse regional hospital new: However. Nevertheless,
Sambreville: sambre meuse regional hospital:
He succeeds Dr Benoît Georges, head of the CHRSM Nephrology-Dialysis Service. Consequently, The center that opened this Monday in Auvelais on Monday. Furthermore. Therefore. Similarly, under the dome of the hospital, is all the more essential as the chronic kidney disease affects approximately 10 % of the world’s population, making it a real public health issue. Consequently, This is due to diabetes, high blood pressure, cardiovascular pathologies. Meanwhile, It is estimated that in Belgium, 9000 patients are treated by dialysis. Therefore, At the CHRSM care basins, the latter supports 107 patients affected by a so -called terminal kidney disease. Similarly, In this number, 34 % are dialysis in our self-dialysis centers and 9 % at home. Nevertheless, The rest of the patients are taken care of by the hospital.
These autonomous patients. In addition. Nevertheless. Therefore, always accompanied by a nurse sambreville: sambre meuse regional hospital present on site, are also able to monitor their parameters, to manage alarms during their treatment, to discuss their weekly blood result. Nevertheless, Skills that help increase their psychological comfort and quality of life.
The first dialysis machine dates back to 1943
The kidneys. Furthermore. Consequently. Consequently, recalls the head of service, are vital organs, which makes in fact Dialysis a vital treatment but, unfortunately, still ôo how restrictive and sometimes heavy since the patient must be connected for many hours to the artificial kidney of a dialysiser. Furthermore, Before the Second World War, patients sambreville: sambre meuse regional hospital new died of kidney failure. Consequently, The kidneys being failing in their role of filtering, the blood, charged with impurities, ended up poisoning the patients. Similarly, sambreville: sambre meuse regional hospital new It is a Dutch doctor. Nevertheless. Consequently. Doctor Willem Johan Kolff, who invented the first dialysis machine in 1943, and this principle of exchange sambreville: sambre meuse regional hospital between blood and ultra -privilege water, what is called dialysat. Nevertheless, A flash of genius that marked a turning point in the treatment of kidney failure.
The diagnosis of the disease made, the latter obliges treatment and affects life expectancy. Nevertheless, Additionally, Nevertheless, It can lead to the need for a kidney transplant from a donor. Furthermore, “The care path implicitly induces a very rich multidisciplinary work”continues the head of service. Nevertheless, And to say that. Meanwhile. faced with so many constraints, the world of dialysis has tightened sambreville: sambre meuse regional hospital new the ranks like a large family, patients and caregivers.
What was inaugurated this Monday is a center. Nevertheless. in other words 4 walls equipped with 6 posts, each dedicated sambreville: sambre meuse regional hospital new to 4 patients after a rate of 3 weekly sessions. Meanwhile, The total capacity of the center is therefore 24 patients.
It is therefore not revolutionary equipment, treatment with self-dialysis has existed for 30-40 years. “We don’t invent anything here, sambreville: sambre meuse regional hospital I insist. The concept is known, comments the department head. Witness that our Gembloux center is almost 20 years old. Here, we offer patients from Lower Sambre to do their dialysis close to their home. “
Each year. on the occasion of World Kidney Day. in March, the CHRSM takes advantage of sambreville: sambre meuse regional hospital new this international highlight to educate the general public about kidney disease.
On the sidelines of the inauguration, we met Dr. Benoît Georges, who answered our questions.
What were you doing, for patients in Basse-Sambre, before the opening of this self-dialysis center?
We have developed nephrology on sambreville: sambre meuse regional hospital new the Sambre site for 5 good years. consultations, guards and dialysis when the patient arrives in terminal renal insufficiency. So, we proposed hemo-dialysis in hospital, in Namur or Gembloux. Then. we realized. in our patients followed in consultation at the hospital, that sambreville: sambre meuse regional hospital some have a profile for self-diaialysis. We therefore launched this project as a self-dialysis center.
What is the profile to be able to benefit from this self-dialysis?
These are stable. autonomous patients, who are capable of setting up sambreville: sambre meuse regional hospital new their dialysis machine, connecting and therefore participating in the treatment. These are not. for example, patients with great heart failure which, in this case, would present a risk of falling tension. In a self-dialysis center, there is no doctor permanently. We come once/week. There is a telephone guard, we are always recalled. You will never see patients in a rolling chair sambreville: sambre meuse regional hospital new here.
Is there a security system? What health problems could these patients face?
They could always have a tension drop but our nurses are drilled. Auvelais hospital, a partner, is also next to it. It’s a chance. But these patients. normally. cannot present sambreville: sambre meuse regional hospital too many problems – they have been selected – otherwise it insecure the patient. the nurse.
A reminder of what is kidney disease?
The main causes are sambreville: sambre meuse regional hospital new diabetes, hypertension. There are also hereditary kidney diseases. In fact, it is a sneaky disease. You can live with without symptoms. until you see an abnormal state of fatigue and realize that you suffer from a terminal kidney disease. It is dramatic for patients. We, our awareness work consists in recalling the importance of screening. Well, beyond 55, you have diabetes or too much tension. From sambreville: sambre meuse regional hospital new grace, make a blood test or a simple urine exam. Detecting kidney disease is very simple. Then. a strategy is implemented to slow down the evolution of the disease. in order to arrive in dialysis as late as possible. Beyond 50 years, more than 10 % of the population suffers from sambreville: sambre meuse regional hospital a kidney problem.
Does self-dialysis change the patient’s relationship with the disease?
Yes, clearly, it has been shown sambreville: sambre meuse regional hospital new in studies. They are more involved, understand better. They parameter their machine, are actors in their treatment. Furthermore, They could do it at home but they do it here. Perhaps at home. they live in a cramped place where there is not enough room to put equipment. if they do not feel entirely able to connect to their dialysiser. Here, it is the nurse who connects the patient to his machine. So sambreville: sambre meuse regional hospital new patients are more relaxed. We saw patients arriving at the hospital, it’s a great service. On Monday morning, sometimes 40 patients, older, there are a lot of work. Experience can be traumatic for younger people. Here, it’s more relaxed, more cozy. There is light. It’s not the hospital.
As it is a really sambreville: sambre meuse regional hospital heavy and binding treatment, their mental health is improved. It’s better for sambreville: sambre meuse regional hospital new them.
Concretely, they arrive, plug in …
Yes, they weigh each other. Take their tension. They have a (road) sheet. Mount their machine. As soon as ready, a nurse comes to connect them. Others connect themselves but it is rarer. During dialysis, they have a parameter sheet. Take tension, heart rate, catheter flow every hour every hour, etc. They are really autonomous. Time passes a little faster, they understand better what’s going on. They sambreville: sambre meuse regional hospital new are active not passive.
What is the machine doing?
It has an artificial kidney (a kind of large tube). This is where all the exchanges happen, through tens of thousands of fibers. The patient’s blood arrives, impure (Editor’s note: the kidneys no longer playing their filter role). On the other side, against the tide, a system brings sambreville: sambre meuse regional hospital new extremely pure water. The blood is thus unloaded from all its impurities and brought back to the patient. On the other side, the water takes care of impurities and goes to the sewer.
Patients come three times a week. The more the patient practices dialysis, sambreville: sambre meuse regional hospital new the more purified it is. But we cannot bring the patients every day, they would no longer have sambreville: sambre meuse regional hospital a life. At home, it’s more feasible, they can do it when they want, between two meetings. It’s more flexible. Here, the patient must still adapt to a schedule. But we know how to live with this consistent treatment, depending on the recommendations, three times 4 hours per week.
The capacity of the Auvelais center is 24 patients. For the moment, we have a dozen, a figure that should grow but we will have to find staff.
Sambreville: sambre meuse regional hospital new
Sambreville: sambre sambreville: sambre meuse regional hospital new meuse regional hospital new
Sambreville: sambre meuse regional. hospital
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