Questions fréquemment posées sur la médecine de plongée

[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]Para saber si existe un riesgo real o solo un riesgo potencial de eventos tromboembólicos relacionados con la mutación que presenta su pareja, le recomendamos que se someta a una evaluación del riesgo tromboembólico realizada por un hematólogo. En teoría, su pareja podría ser más susceptible a la enfermedad por descompresión, por lo que le recomendamos que reduzca los riesgos tomando las medidas de precaución adecuadas en lo que respecta a los perfiles de buceo.

Las siguientes son las características de los perfiles de inmersión con menor producción de burbujas:

• No planifique inmersiones con paradas de descompresión obligatorias.
• Evite, en la medida de lo posible, las inmersiones repetitivas o, si desea bucear repetidamente, asegúrese de que los intervalos en superficie sean lo suficientemente largos (no menos de 3 horas, y mejor si son más largos).
• limite su tiempo de inmersión a no más del 70 % del tiempo sin descompresión indicado por su ordenador al alcanzar la profundidad máxima, o según lo sugerido por sus tablas de buceo.
• Realice la inmersión alcanzando primero la profundidad máxima y luego «ascendiendo», y evite permanecer en profundidades poco profundas y luego volver a sumergirse.
• Si tu ordenador de buceo permite ajustes avanzados, configura el GF High en 70.
• Si es posible, utilice mezclas de aire enriquecido (nitrox) y configure su ordenador o utilice tablas de buceo como si estuviera buceando con aire.

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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]In order to understand if there is an actual risk or only a potential risk of thromboembolic events connected to the mutation carried by your partner, we advise you to complete a thromboembolic risk evaluation carried out by a hematologist. Theoretically, your partner may be more susceptible to decompression illness, and therefore, we advise you to reduce risks by taking appropriate precautionary measures with regard to dive profiles.

The following are the characteristics of dive profiles with the lowest production of bubbles:

• do not plan dives with compulsory decompression stops
• avoid, as much as possible, repetitive dives, or if you wish to dive repetitively, make sure your surface intervals are long enough (not less than 3 hours, and best if longer)
• limit your bottom time to no more than 70% of the No-Deco time indicated by your computer upon reaching maximum depth, or as suggested by your dive tables
• perform your dive by reaching maximum depth first and then “ascending”, and avoid staying at shallow depths and then going deeper again
• if your dive computer allows advanced settings, set the GF High to 70
• if possible, use enriched air (nitrox) mixes and set your computer or use dive tables as if you were diving on air.

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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]In order to understand if there is an actual risk or only a potential risk of thromboembolic events connected to the mutation carried by your partner, we advise you to complete a thromboembolic risk evaluation carried out by a hematologist. Theoretically, your partner may be more susceptible to decompression illness, and therefore, we advise you to reduce risks by taking appropriate precautionary measures with regard to dive profiles.

The following are the characteristics of dive profiles with the lowest production of bubbles:

• do not plan dives with compulsory decompression stops
• avoid, as much as possible, repetitive dives, or if you wish to dive repetitively, make sure your surface intervals are long enough (not less than 3 hours, and best if longer)
• limit your bottom time to no more than 70% of the No-Deco time indicated by your computer upon reaching maximum depth, or as suggested by your dive tables
• perform your dive by reaching maximum depth first and then “ascending”, and avoid staying at shallow depths and then going deeper again
• if your dive computer allows advanced settings, set the GF High to 70
• if possible, use enriched air (nitrox) mixes and set your computer or use dive tables as if you were diving on air.

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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]Um zu verstehen, ob ein tatsächliches oder nur ein potenzielles Risiko für thromboembolische Ereignisse im Zusammenhang mit der Mutation Ihres Partners besteht, empfehlen wir Ihnen, eine Bewertung des thromboembolischen Risikos durch einen Hämatologen durchführen zu lassen. Theoretisch könnte Ihr Partner anfälliger für eine Dekompressionskrankheit sein, und daher empfehlen wir Ihnen, die Risiken durch geeignete Vorsichtsmaßnahmen in Bezug auf die Tauchprofile zu reduzieren.

Die folgenden Merkmale kennzeichnen Tauchprofile mit der geringsten Blasenbildung:

• keine Tauchgänge mit obligatorischen Dekompressionsstopps planen
• Vermeiden Sie so weit wie möglich wiederholte Tauchgänge, oder wenn Sie wiederholt tauchen möchten, stellen Sie sicher, dass Ihre Oberflächenintervalle lang genug sind (nicht weniger als 3 Stunden, am besten länger)
• Begrenzen Sie Ihre Grundzeit auf nicht mehr als 70 % der Nullzeit, die von Ihrem Computer bei Erreichen der maximalen Tiefe oder gemäß den Angaben in Ihren Tauchtabellen angegeben wird
• Führen Sie Ihren Tauchgang durch, indem Sie zuerst die maximale Tiefe erreichen und dann „aufsteigen“, und vermeiden Sie es, in geringer Tiefe zu bleiben und dann wieder tiefer zu gehen
• Wenn Ihr Tauchcomputer erweiterte Einstellungen zulässt, stellen Sie den GF High auf 70 ein
• Verwenden Sie nach Möglichkeit angereicherte Luftgemische (Nitrox) und stellen Sie Ihren Computer oder Ihre Tauchtabelle so ein, als würden Sie mit Luft tauchen.

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