Sukelluslääketieteestä yleiset UKK

[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]Inflammatory bowel disease (IBD) can result from ulcerative colitis or Crohn’s disease. The major symptoms are diarrhoea, which can be bloody; abdominal pain; nausea; and vomiting, often with fever and weight loss. Commonly, IBD usually occurs in divers aged 20 to 40 years who experience the following:

• Intermittent disease with long periods of normal bowel functioning.
• Complications including anaemia, electrolyte disturbances, dehydration, poor absorption of fluids, liver disease, and generalized fatigue.

Drug treatment often involves corticosteroids.

Fitness and Diving: Someone with symptomatic IBD should not dive until treatment has caused remission and they no longer need medication. A person experiencing no significant complications from IBD or its treatment and who has adequate cardiovascular fitness could consider diving.

Basic therapy for active IBD includes corticosteroids to treat active disease, salicylates, and immunosuppressants to maintain remission. Biologic Drugs have also been used in the treatment of chronic inflammatory bowel disease over the past 10 years, representing a major step forward in both disease management and patient compliance in ulcerative colitis and Crohn’s disease. In particular, IBD patients who are refractory to conventional therapy or dependent on steroid therapy have found new hope for a better quality of life with these new treatments. Monthly or bimonthly administration of the drug and optimal results in remission of disease symptoms have increased patient compliance. Salicylates and corticosteroids have been the first line of treatment for years because they control pain and inflammation. Unfortunately, they do not alter the natural history of the disease and are characterized by side effects in long-term therapy.[/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]Inflammatory bowel disease (IBD) can result from ulcerative colitis or Crohn’s disease. The major symptoms are diarrhoea, which can be bloody; abdominal pain; nausea; and vomiting, often with fever and weight loss. Commonly, IBD usually occurs in divers aged 20 to 40 years who experience the following:

• Intermittent disease with long periods of normal bowel functioning.
• Complications including anaemia, electrolyte disturbances, dehydration, poor absorption of fluids, liver disease, and generalized fatigue.

Drug treatment often involves corticosteroids.

Fitness and Diving: Someone with symptomatic IBD should not dive until treatment has caused remission and they no longer need medication. A person experiencing no significant complications from IBD or its treatment and who has adequate cardiovascular fitness could consider diving.

Basic therapy for active IBD includes corticosteroids to treat active disease, salicylates, and immunosuppressants to maintain remission. Biologic Drugs have also been used in the treatment of chronic inflammatory bowel disease over the past 10 years, representing a major step forward in both disease management and patient compliance in ulcerative colitis and Crohn’s disease. In particular, IBD patients who are refractory to conventional therapy or dependent on steroid therapy have found new hope for a better quality of life with these new treatments. Monthly or bimonthly administration of the drug and optimal results in remission of disease symptoms have increased patient compliance. Salicylates and corticosteroids have been the first line of treatment for years because they control pain and inflammation. Unfortunately, they do not alter the natural history of the disease and are characterized by side effects in long-term therapy.[/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]Existe un riesgo reconocido de hemorragia incontrolada en personas que están siendo tratadas con medicamentos anticoagulantes como Coumadin. Sin embargo, muchas personas que toman anticoagulantes, incluidos los buceadores, han ajustado cuidadosamente sus tiempos de protrombina y, con un comportamiento adecuado, pueden no correr un riesgo excesivo. Algunos médicos consideran que el buceo es un riesgo innecesario para sus pacientes que toman anticoagulantes y les desaconsejan practicarlo, pero DAN no tiene constancia de ningún dato que indique que los buceadores deportivos corran un mayor riesgo de sufrir complicaciones.

Algunos médicos con formación en medicina del buceo pueden estar dispuestos a recomendar el buceo recreativo a estos pacientes siempre que:

• El trastorno subyacente o la necesidad de anticoagulantes no aumenta el riesgo de que el paciente sufra un accidente, una enfermedad o una lesión durante la inmersión.
• El paciente comprende los riesgos y modifica sus prácticas de buceo para reducir el riesgo de barotrauma en los oídos, los senos paranasales y los pulmones, así como de lesiones físicas. Esto incluye evitar la compensación forzada; la compensación debe ser fácil para estas personas.
• El paciente bucea de forma conservadora, planificando perfiles cortos y poco profundos para reducir el riesgo de enfermedad por descompresión.
• El paciente debe evitar bucear en circunstancias en las que el acceso a atención médica adecuada sea limitado.

Los médicos de DAN están disponibles para consultarle a usted o a su médico; no dude en llamarnos.

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]There is a well-recognized risk for uncontrolled bleeding in people who are being treated with anticoagulant medications such as Coumadin. However, many people who take anticoagulants — including divers — have carefully adjusted their prothrombin times and with appropriate behaviors may not be at undue risk. Some physicians believe diving is an unnecessary risk for their patients who are taking anticoagulants and will advise against diving, but DAN is unaware of any data indicating that sport divers face an increased risk of complications.

Some physicians trained in dive medicine may be willing to endorse recreational diving for these patients provided:

• the underlying disorder or need for anticoagulants does not put the patient at increased risk of an accident, illness or injury while diving.
• the patient understands the risks and modifies his or her dive practices to reduce the risk of ear, sinus and lung barotrauma as well as physical injury. This includes avoiding forceful equalization — equalization must come easily for these people.
• the patient dives conservatively, planning short, shallow profiles to reduce the risk of decompression illness.
• the patient avoids diving in circumstances in which access to appropriate medical care is limited.

DAN medics are available for consultation with you or your doctor; don’t hesitate to give us a call.

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]There is a well-recognized risk for uncontrolled bleeding in people who are being treated with anticoagulant medications such as Coumadin. However, many people who take anticoagulants — including divers — have carefully adjusted their prothrombin times and with appropriate behaviors may not be at undue risk. Some physicians believe diving is an unnecessary risk for their patients who are taking anticoagulants and will advise against diving, but DAN is unaware of any data indicating that sport divers face an increased risk of complications.

Some physicians trained in dive medicine may be willing to endorse recreational diving for these patients provided:

• the underlying disorder or need for anticoagulants does not put the patient at increased risk of an accident, illness or injury while diving.
• the patient understands the risks and modifies his or her dive practices to reduce the risk of ear, sinus and lung barotrauma as well as physical injury. This includes avoiding forceful equalization — equalization must come easily for these people.
• the patient dives conservatively, planning short, shallow profiles to reduce the risk of decompression illness.
• the patient avoids diving in circumstances in which access to appropriate medical care is limited.

DAN medics are available for consultation with you or your doctor; don’t hesitate to give us a call.

RELATED ALERT DIVER ARTICLES:

Medications and Fitness to Dive[/vc_column_text][/vc_column][/vc_row]