Domande Frequenti di Medicina Subacquea

[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]If thyroid hormone levels are within the normal range, pharmacological treatment should not interfere with diving. It is important that adverse effects such as tachycardia, arrhythmia, tremor, excitability and headache do not occur while taking Eutirox. In the case of thyroid disease, hormone replacement or suppressive therapy is not a contraindication as long as there are no organic or functional complications and thyroid hormone levels are stable within normal limits. In the case of moderate hypothyroidism, Eutirox normally restores hormone levels to normal limits, so it is difficult to imagine that there could be a significant increase in susceptibility to oxygen, as could theoretically be the case with manifest
hyperthyroidism. However, it would be advisable for the patient to be assessed by a doctor specialising in diving and hyperbaric medicine as to his suitability for diving.

RELATED ALERT DIVER ARTICLES:

Medications and Fitness to Dive[/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]If thyroid hormone levels are within the normal range, pharmacological treatment should not interfere with diving. It is important that adverse effects such as tachycardia, arrhythmia, tremor, excitability and headache do not occur while taking Eutirox. In the case of thyroid disease, hormone replacement or suppressive therapy is not a contraindication as long as there are no organic or functional complications and thyroid hormone levels are stable within normal limits. In the case of moderate hypothyroidism, Eutirox normally restores hormone levels to normal limits, so it is difficult to imagine that there could be a significant increase in susceptibility to oxygen, as could theoretically be the case with manifest
hyperthyroidism. However, it would be advisable for the patient to be assessed by a doctor specialising in diving and hyperbaric medicine as to his suitability for diving.

RELATED ALERT DIVER ARTICLES:

Medications and Fitness to Dive[/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]Las mutaciones genéticas que describes, cuando se presentan en heterocigosidad, no representan una contraindicación absoluta para el buceo, pero pueden presentar contraindicaciones relativas.

En condiciones de estrés descompresivo significativo con grandes cantidades de burbujas de gas circulantes (deshidratación, estrés, ejercicio, debilidad), la resistencia al estrés descompresivo puede reducirse y los eventos hematológicos adversos pueden exacerbarse, con un mayor riesgo de agregación plaquetaria, activación leucocitaria y desencadenamiento de la cascada de coagulación. Su situación clínica es decisiva y es importante la opinión del hematólogo sobre el riesgo intrínseco de trombosis, en la vida normal y en condiciones de esfuerzo físico. Si el riesgo trombótico en la vida normal se considera bajo, es posible bucear, respetando perfiles de inmersión que produzcan pocas burbujas, por ejemplo, no superar los 30 m y los tiempos típicos de buceo recreativo, y utilizando mezclas enriquecidas (Nitrox) para reducir aún más el riesgo de descompresión y la acumulación de gas inerte (nitrógeno). Se recomienda un certificado de aptitud para el buceo expedido por un especialista en medicina hiperbárica y buceo para realizar actividades de buceo.[/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]The genetic mutations you describe, when in heterozygosity, do not represent an absolute contraindication for diving, but may present relative contraindications.

Under conditions of significant decompression stress with large amounts of circulating gas bubbles (dehydration, stress, exercise, debilitation), resistance to decompression stress may be reduced and haematological adverse events may be exacerbated, with an increased risk of platelet aggregation, leukocyte activation and triggering of the coagulation cascade. Your clinical situation is decisive and the haematologist’s opinion on the intrinsic risk of thrombosis, in normal life and under conditions of physical exertion, is important. If the thrombotic risk in normal life is considered low, diving may be possible, respecting low bubble-producing dive profiles, e.g. not exceeding 30m and typical recreational diving times, and using enriched mixtures (Nitrox) to further reduce the risk of decompression and inert gas (nitrogen) accumulation. A ‘Fit-To-Dive’ certificate issued by a diving and hyperbaric medicine specialist is recommended for diving activities.[/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]The genetic mutations you describe, when in heterozygosity, do not represent an absolute contraindication for diving, but may present relative contraindications.

Under conditions of significant decompression stress with large amounts of circulating gas bubbles (dehydration, stress, exercise, debilitation), resistance to decompression stress may be reduced and haematological adverse events may be exacerbated, with an increased risk of platelet aggregation, leukocyte activation and triggering of the coagulation cascade. Your clinical situation is decisive and the haematologist’s opinion on the intrinsic risk of thrombosis, in normal life and under conditions of physical exertion, is important. If the thrombotic risk in normal life is considered low, diving may be possible, respecting low bubble-producing dive profiles, e.g. not exceeding 30m and typical recreational diving times, and using enriched mixtures (Nitrox) to further reduce the risk of decompression and inert gas (nitrogen) accumulation. A ‘Fit-To-Dive’ certificate issued by a diving and hyperbaric medicine specialist is recommended for diving activities.[/vc_column_text][/vc_column][/vc_row]