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REHABILITATION PACKAGES

Price for Rehab program and Hemodialysis Packages can be different in each patient’s case. Please contact us to get more information.

              

                  Treatment Overview
         Your doctor will design a physical rehabilitation (rehab) program for you that takes into consideration your normal level of activity, physical fitness, and extent of your injury.
           A rehab program should include:
                    • Flexibility exercises.
                    • Strengthening exercises.
                    • Endurance activities.
                    • Coordination and agility training.
           The function of muscles in the injured part should be as strong as in the uninjured part before you return to normal activities.
           The program usually includes treatment with a physical therapist at a therapy center and home treatment in your home or at a gym or health club. 
                 What To Expect After Treatment
           How quickly you recover from your injury depends on how severe the injury was, how extensive the surgery was, and how consistent you are in following the program. The rehab program usually lasts up to 1 year. People who are dedicated to their program recover faster and have fewer knee problems in the future than those that do not complete their program.
                 Why It Is Done
          Rehabilitation is needed after most injuries, whether or not you choose to have surgery. For example, rehab programs strengthen the knee and surrounding muscles, leading to better knee stability, and may also return normal range of motion and flexibility to your knee. 
                How Well It Works
           How well a rehab program works depends on whether you undergo rehab only or surgery plus a rehab program and how consistent you are in following the program.
           It is important for you and your health professional to establish what to expect from your rehab program.  This depends on your age, the extent of your injury, whether other knee injuries are present, and your overall health.
           • In rehab only, some people are able to regain enough stability in their knee to continue their normal activities and are able to avoid surgery. Other people have poor results, never regain knee stability, and either quit their activities or sport or decide to have surgery.
           • If rehab is done without surgery, there is a greater chance that the same part may be injured again.
           • Patients who have surgery and then complete rehab are more likely to return to normal life than those who do rehab alone.
           • A review of research found there was not enough evidence to determine how effective a therapist-led rehabilitation program after surgery is for an injury.
                   Risks
           Rehabilitation programs should be well supervised to ensure that the exercises are appropriate and the progression is right for you. The risks of a rehab program include progressing too quickly through the program, which may weaken the reconstructed ligament, and starting sports training too soon. For instance-if you do not complete your rehab program, you risk having an unstable knee and reinjuring your knee in the future.
                  What to Think About
           Physical rehabilitation for an injury is extensive. Some people consider it like having a second job. If you faithfully participate in a rehab program, you may be able to avoid or delay surgery by strengthening the muscles that support the injured organ. If surgery is eventually needed, you will be much better prepared for surgery and rehabilitation after surgery.

                                            

                Hemodialysis

                       Is travel possible on hemodialysis?

             There are dialysis units in St.Petersburg, Russia. They have suitable facilities for visitors who need hemodialysis treatment. However, it is necessary to plan several days in advance due to waiting list. Health Vacation office can provide more information and advise you about travel costs and arrangements.

                          What is dialysis?

         Dialysis is a treatment for people in the later stage of chronic kidney disease (kidney failure). This treatment cleans the blood and removes wastes and excess water from the body. Normally, this work is done by healthy kidneys.

         Sometimes dialysis is a temporary treatment. However, when the loss of kidney function is permanent (as in end-stage kidney failure), you must continue to have dialysis on a regular basis. The only other treatment for kidney failure is a kidney transplant.

        There are two types of dialysis: hemodialysis and peritoneal dialysis. In hemodialysis, your blood is passed through an artificial kidney machine to clean it. Peritoneal dialysis uses a filtration process similar to hemodialysis, but the blood is cleaned inside your body rather than in a machine.

                        What is hemodialysis?

        Hemodialysis means "cleaning the blood" - and that is exactly what this treatment does. Blood is circulated through a machine which contains a dialyzer (also called an artificial kidney). The dialyzer has two spaces separated by a thin membrane. Blood passes on one side of the membrane and dialysis fluid passes on the other. The wastes and excess water pass from the blood through the membrane into the dialysis fluid, which is then discarded. The cleaned blood is returned to your bloodstream.

                      How are you attached to the dialysis machine?

         You can be attached to the dialysis machine in different ways. The most common method of providing permanent access to the bloodstream for hemodialysis is an internal fistula in your arm. This involves having an artery and a vein connected surgically. When they are joined, the stronger blood flow from the artery causes the vein to become larger. Needles can be inserted in the enlarged vein to connect you to the dialysis machine.

        Another way to provide access to the bloodstream is to insert an internal graft. In this procedure an artery is surgically connected to a vein with a short piece of special tubing placed under the skin. Needles can be inserted in this graft.

        Sometimes, when it is necessary to gain access to the bloodstream quickly, or when the veins in the arms are too small to provide enough blood for hemodialysis, a central venous catheter is used. A soft tube is surgically inserted into a large vein in the neck or near the collarbone. This method is usually temporary until a permanent access site is ready.

                     Does hemodialysis hurt?

         Insertion of the needles causes pain, but only for a brief time. This can be difficult for some people. Occasionally nausea, muscle cramps or dizziness can occur due to the fast removal of extra water from your body, which may cause your blood pressure to drop.

                   How long does hemodialysis take?

         Each hemodialysis treatment normally takes four to five hours, and usually three treatments a week are needed. More frequent, shorter treatments or longer treatments may be indicated for certain patients. Only a small amount of your blood is out of the body at one time. Therefore your blood must circulate through the machine many times before it is cleaned.

                   Where can hemodialysis be done?

          Hemodialysis may be done in a hospital dialysis unit, in a clinic away from the hospital, in a self-care centre (with some assistance from the staff), or at home. Special training is needed for self-care or home hemodialysis.

                  What type of dialysis treatment is best?

         The type of dialysis treatment you receive depends on what is most appropriate for your particular needs. It may also depend on what is available in your community. Each type of dialysis has its strengths and limitations. Your healthcare team can provide information and support to help you understand all the options and answer any questions you or your family may have.

                  What about proper nutrition?

          You will need to learn appropriate food choices to meet your nutritional needs and control the build-up of food wastes and water. Your dietitian will work with you to design an individual eating plan that is healthy and enjoyable. Medications and vitamins may also be prescribed.

                  What other changes are needed with hemodialysis?

          You will need to plan your week around your hemodialysis schedule. You may have to take time off work or school before you start hemodialysis and when the treatments begin. However, once your health is more stable, you should be able to return to your normal activities. Depending on your energy level, you may have to make some adjustments in your work situation or limit your activities.

           

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