Często zadawane pytania z zakresu medycyny

[vc_row css_animation=”” row_type=”row” use_row_as_full_screen_section=”no” type=”full_width” angled_section=”no” text_align=”left” background_image_as_pattern=”without_pattern”][vc_column el_class=”page-text”][vc_column_text]Psoriatic arthritis is a chronic inflammatory disease of the musculoskeletal system and could itself be a contraindication to diving if not well compensated/controlled, as it makes the body susceptible to decompression stress. In addition, the use of Methotrexate could put your student at further risk because of its side effects, which include pulmonary toxicity and myelotoxicity. It is therefore imperative that you have your student’s fitness to dive assessed by a specialist in diving and hyperbaric medicine in consultation with the rheumatologist.

The clinical manifestations of the disease can also vary greatly from person to person; for example, some patients suffer more from the cutaneous manifestations of the disease (typical desquamative lesions and scabs), while others suffer from the arthritic type (joint and girdle pain). Over the course of a lifetime, the disease itself can vary, alternating between flares and periods of ‘quiescence’.

RELATED ALERT DIVER ARTICLES:

Medications and Fitness to Dive
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[vc_row css_animation=”” row_type=”row” use_row_as_full_screen_section=”no” type=”full_width” angled_section=”no” text_align=”left” background_image_as_pattern=”without_pattern”][vc_column el_class=”page-text”][vc_column_text]Los cirujanos otorrinolaringólogos (ORL) especializados en medicina del buceo difieren en sus opiniones sobre la conveniencia de bucear después de una estapedectomía, que es una cirugía para tratar la pérdida auditiva mediante la sustitución del hueso estribo del oído medio por una prótesis. Existen pocos estudios que describen casos de personas que han buceado tras someterse a una estapedectomía. Los resultados de estas muestras indican que los sujetos no corren un mayor riesgo de sufrir lesiones en comparación con los grupos de control de buceadores, siempre que puedan igualar de forma segura la presión de los oídos y los senos paranasales con los cambios de la presión ambiental. Dicho esto, las consecuencias de no igualar la presión pueden ser mayores para quienes se han sometido a una estapedectomía. La incapacidad de igualar eficazmente el espacio del oído medio, o el intento de hacerlo con demasiada fuerza, puede dislocar la prótesis del estribo. La dislocación solo puede corregirse mediante cirugía y puede provocar una pérdida auditiva permanente. Bucear después de una estapedectomía también conlleva el riesgo de que la desolación de la prótesis dañe la ventana redonda u ovalada de la cóclea. Una lesión de este tipo puede afectar de forma permanente tanto a la audición como al equilibrio. Una vez más, no es que el riesgo de lesión sea necesariamente mayor que el que corren otros buceadores, sino que las consecuencias en caso de lesión son más graves. Antes de decidir si seguir buceando o volver a hacerlo, es claramente en su interés revisar con franqueza su aptitud para bucear con un médico y hacer un análisis brutalmente honesto de los riesgos y beneficios basándose en la información disponible.[/vc_column_text][/vc_column][/vc_row]

[vc_row css_animation=”” row_type=”row” use_row_as_full_screen_section=”no” type=”full_width” angled_section=”no” text_align=”left” background_image_as_pattern=”without_pattern”][vc_column el_class=”page-text”][vc_column_text]Ear, nose and Throat (ENT) surgeons trained in diving medicine differ in their opinions regarding the wisdom of diving after a stapedectomy, which is a surgery to treat hearing loss by replacing the stapes bone in the middle ear with a prosthesis. Limited studies have described small numbers of people diving after stapedectomies. The results from these samples indicate that the subjects are not at an increased risk of injury when compared to the control groups of divers, provided they can safely equalize their ears and sinuses with the changes on ambient pressure. With that said, the consequences of failure to equalise can be greater for those who have undergone stapedectomy procedures. The inability to equalize the middle ear space effectively, or an attempt to do so too forcefully, may dislocate the prosthetic stapes. Dislocation can be corrected only in surgery and may result in permanent hearing loss. Diving after a stapedectomy also carries the risk that the desolation of the prosthesis may damage the round or oval window of the cochlea. Such an injury can permanently affect both hearing and balance. Again, it is not that the risk of injury is necessarily greater than that faced by other divers, but rather that there are greater consequences in the event of an injury. Before deciding to pursue or return to diving, it is clearly in your best interest to candidly review your fitness to dive with a doctor and make a brutally honest risk versus benefit analysis based on the information available.[/vc_column_text][/vc_column][/vc_row]

[vc_row css_animation=”” row_type=”row” use_row_as_full_screen_section=”no” type=”full_width” angled_section=”no” text_align=”left” background_image_as_pattern=”without_pattern”][vc_column el_class=”page-text”][vc_column_text]Ear, nose and Throat (ENT) surgeons trained in diving medicine differ in their opinions regarding the wisdom of diving after a stapedectomy, which is a surgery to treat hearing loss by replacing the stapes bone in the middle ear with a prosthesis. Limited studies have described small numbers of people diving after stapedectomies. The results from these samples indicate that the subjects are not at an increased risk of injury when compared to the control groups of divers, provided they can safely equalize their ears and sinuses with the changes on ambient pressure. With that said, the consequences of failure to equalise can be greater for those who have undergone stapedectomy procedures. The inability to equalize the middle ear space effectively, or an attempt to do so too forcefully, may dislocate the prosthetic stapes. Dislocation can be corrected only in surgery and may result in permanent hearing loss. Diving after a stapedectomy also carries the risk that the desolation of the prosthesis may damage the round or oval window of the cochlea. Such an injury can permanently affect both hearing and balance. Again, it is not that the risk of injury is necessarily greater than that faced by other divers, but rather that there are greater consequences in the event of an injury. Before deciding to pursue or return to diving, it is clearly in your best interest to candidly review your fitness to dive with a doctor and make a brutally honest risk versus benefit analysis based on the information available.[/vc_column_text][/vc_column][/vc_row]

[vc_row css_animation=”” row_type=”row” use_row_as_full_screen_section=”no” type=”full_width” angled_section=”no” text_align=”left” background_image_as_pattern=”without_pattern”][vc_column el_class=”page-text”][vc_column_text]Hals-Nasen-Ohren-Ärzte (HNO), die in Tauchmedizin ausgebildet sind, sind unterschiedlicher Meinung darüber, ob man nach einer Stapedektomie, einer Operation zur Behandlung von Hörverlust durch den Ersatz des Steigbügelknochens im Mittelohr durch eine Prothese, tauchen sollte. In einigen wenigen Studien wurde eine geringe Anzahl von Personen beschrieben, die nach einer Stapedektomie tauchen gingen. Die Ergebnisse dieser Stichproben deuten darauf hin, dass die Probanden im Vergleich zu den Kontrollgruppen von Tauchern keinem erhöhten Verletzungsrisiko ausgesetzt sind, vorausgesetzt, sie können ihre Ohren und Nebenhöhlen sicher an den veränderten Umgebungsdruck anpassen. Allerdings können die Folgen eines fehlgeschlagenen Druckausgleichs für Personen, die sich einer Stapedektomie unterzogen haben, größer sein. Die Unfähigkeit, den Mittelohrraum effektiv auszugleichen, oder der Versuch, dies zu gewaltsam zu tun, kann zu einer Dislokation des prothetischen Steigbügels führen. Eine Dislokation kann nur operativ korrigiert werden und zu einem dauerhaften Hörverlust führen. Das Tauchen nach einer Stapedektomie birgt auch das Risiko, dass die Verwüstung der Prothese das runde oder ovale Fenster der Cochlea beschädigt. Eine solche Verletzung kann sowohl das Gehör als auch den Gleichgewichtssinn dauerhaft beeinträchtigen. Auch hier ist das Verletzungsrisiko nicht unbedingt größer als bei anderen Tauchern, aber die Folgen einer Verletzung sind schwerwiegender. Bevor Sie sich entscheiden, mit dem Tauchen fortzufahren oder wieder damit zu beginnen, sollten Sie Ihre Tauchtauglichkeit unbedingt von einem Arzt überprüfen lassen und auf der Grundlage der verfügbaren Informationen eine schonungslose Risiko-Nutzen-Analyse durchführen.[/vc_column_text][/vc_column][/vc_row]