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Nephrology and Dialysis Service

BELLINZONA AND VALLI REGIONAL HOSPITAL
nefrologia.bellinzona@eoc.ch

LOCARNO REGIONAL HOSPITAL
nefrologia.locarno@eoc.ch

LUGANO REGIONAL HOSPITAL
nefrologia.lugano@eoc.ch

MENDRISIO REGIONAL HOSPITAL
nefrologia.mendrisio@eoc.ch

Nephrology and Dialysis Service


BELLINZONA AND VALLI REGIONAL HOSPITAL
nefrologia.bellinzona@eoc.ch

LOCARNO REGIONAL HOSPITAL
nefrologia.locarno@eoc.ch

LUGANO REGIONAL HOSPITAL
nefrologia.lugano@eoc.ch

MENDRISIO REGIONAL HOSPITAL
nefrologia.mendrisio@eoc.ch

Nephrology and Dialysis Service

Kidney diseases Back

If the kidneys are not working
The kidneys are vital organs whose function is to filter the blood to clean out the toxins that accumulate in the body and to produce the hormones necessary for ensuring strong bones and healthy blood. If the kidneys stop working, there is low urine production and this leads to waste products accumulating in the body.

What are the treatments
Kidney failure, or the gradual and irreversible loss of kidney function, means that it is essential to go either for a transplant, although not all patients are suitable and there are waiting lists to be observed, or else for dialysis, which replaces the vital functions of the impaired kidneys. For more information see www.nierenstiftung.ch 

Haemodialysis and peritoneal dialysis
There are two types of kidney replacement therapy, depending on the patient’s lifestyle and requirements.
In haemodialysis, the blood is filtered by a dialysis machine, which eliminates the toxins and fluids that the kidneys are no longer able to remove. The patient goes to hospital or a dialysis centre a few times a week for treatment. Before haemodialysis can be performed, a vascular access needs to be prepared from which to draw the blood to be cleaned (arteriovenous fistula). This operation is performed by a vascular surgeon, in collaboration with an angiologist and the nephrologist in charge, and it should preferably be performed at least two months before haemodialysis is expected to start.
Home haemodialysis or limited care dialysis may also be offered.

In peritoneal dialysis, the blood is filtered inside the body after the abdomen has been filled with a special detergent solution. It can be carried out at home, and before treatment can be started, a small preparatory surgical operation is required (the peritoneal dialysis catheter needs to be placed in the abdominal cavity).
 

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