Тут я из EXCEL данные выдрал, а вот как график переслать-не знаю

Да,я внимательно слежу за всеми сообщениями на тему пересадки в Пакистане.Для меня это будет,пожалуй,единственный шанс пересадить почку,так как в Канаде придется ждать лет 5-10.Хотя,когда подойдет время,сначала,конечно,придется попробовать диализ.В моей ситуации,как мне сказали в нефроцентре-я смогу выбрать любой-ГД или ПД,домашний или стационарный.Меня,пока что,из всех 5-ти видов,больше привлекает домашний ГД-и режим щадящий,и можно выбирать в течение дня удобное для ГД время. А потом-посмотрю-может ГД понравится-тогда буду спокойно ждать пкресадки в Канаде...

я смогу выбрать любой-ГД или ПД

Training

After your access is ready for use, you'll have about 6 weeks of training. Your training nurse will teach you and your partner how to:

* Set up a treatment room
* Care for your access and place the needles
* Figure out how much fluid to remove
* Run and care for the dialysis machine
* Store and order your supplies
* Keep treatment logs
* Take your blood pressure
* Follow your diet and fluid limits (which are much more liberal than the diet and fluid limits for in-center hemo)
* Recognize and report any problems

A nurse will be on call if you need help. Some programs monitor NHHD patients remotely, using a computer and telephone line. Others have found that this is not needed, or use other types of alarms to wake you up in case of a problem.
Time

Nocturnal home hemodialysis takes about 6-8 hours each night that treatment is done. Since the machine is in your home, you can decide when to start and finish the treatments.

It takes time to set up the machine for each run and to clean it afterward. For most machines used today, it takes about 45 minutes to set the machine up before dialysis, and about 30 minutes to clean it up after a treatment. To learn about HHD machines, visit our section on dialysis equipment.

Once you're trained and stable for 2 months, you'll have monthly clinic visits to check your lab tests and treatment logs. You'll also need to allow time to check your supply levels, order supplies each month, and receive the shipment. Your machine may need maintenance sometimes, too.
Space needed

You will need a place where a chair, dialysis machine and water treatment tanks (depending on the machine) can be placed with access to water and a drain. You'll also need space to store dialyzers, bottles of dialysate, bleach and disinfectant, syringes, needles, medications, blood tubes, water test kits, and all other equipment and supplies. At this time, you can plan on needing about the space of a standard clothes closet.
Helper tasks

Since your blood is going outside your body during a treatment, it's safest to have someone on hand in case you run into a problem, and most clinics will require it. A helper may place one or both of your needles, fetch things you can't reach when you're hooked up to the machine, give you medications or saline, or even call 911 if necessary.

Most often, a family member or friend trains to be a helper, although some people have hired dialysis nurses or technicians. Medicare does not pay for home hemodialysis helpers. A few clinics pay for them, but this is very rare. In most cases people have paid out-of-pocket for a helper. Some have also offered free rent in a spare room in exchange for a helper, or even traded helping tasks with another HHD patient.

If you are working, you may also be able to write off the cost of a helper as a medical deduction on your taxes. If you are working and getting Social Security disability income, you may be able to submit proof of home helper payment to Social Security as an "impairment-related work expense." Doing this allows you to earn more and still keep a disability check.
NHHD pluses

Some of the benefits of NHHD include:

* You can dialyze at night and keep your days free. NHHD is a work-friendly treatment.
* With 24 to 45 hours of dialysis—instead of about 14 hours with in-center HD—people report sleeping and eating better, and having a better libido and more energy.
* Since you are sleeping during most of the dialysis time, NHHD only takes an hour and a quarter out of each dialysis day for set-up and clean-up.
* The slow, gentle treatment is easier on your heart, with less cramping and ups and downs than in-center HD.
* The dialysis diet and fluids may be near-normal with more treatment. You may also need fewer drugs, or lower doses of some drugs. Some people need phosphorus supplements instead of binders.
* Because you or a partner are the only ones putting needles in your access, a fistula (if you use one) is likely to last longer with fewer problems or trips to the hospital.
* You'll save time not having to travel to and from the clinic three times a week.
* Research shows that the more you know about your treatment and the more you do for yourself, the longer you are likely to live.

NHHD minuses

Some of the negatives to NHHD include:

* Needing a partner to be there for each treatment can put stress on your relationship, or cost you money to hire someone.
* Training can take about 6 weeks, and you may need to take time off work to do it.
* You and a partner will need to learn to keep your cool and deal with problems that may arise.
* If you use a fistula for access, two needle sticks are needed for each treatment, and you or your partner will need to learn to place them. (You can use medication to numb the sites so it doesn't hurt.)
* If you dialyze with a catheter, you'll need to take care to avoid infection, and your activities (swimming, tub baths, etc.) may be limited.
* Machine alarms or noises may disturb your sleep. Records kept by the Lynchberg NHHD program suggest that people who dialyze with a catheter can expect about 1.7 alarms each night. People who dialyze with a fistula only have an alarm about every 10 days.
* It can be hard on you to travel and get in-center HD when you are used to more-frequent treatments. You may find that you don't feel as well. This may change if more centers offer short daily treatments to travelers.

Who is best suited for NHHD?

The most important factor in whether you are suited for NHHD is how much you want to do it. As long as you or a partner can pass the training and learn to place your needles or connect to a catheter, you should be able to do NHHD. Each program that offers NHHD has its own screening methods to be sure that people understand what they are getting into and are willing to commit to the training and the treatment.

Follow your diet and fluid limits (which are much more liberal than the diet and fluid limits for in-center hemo)

поликистоз является противопоказанием для ПД

а как же поликистоз? я где-то читал, что поликистоз является противопоказанием для ПД?