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]Die von Ihnen beschriebenen genetischen Mutationen stellen bei Heterozygotie keine absolute Kontraindikation für das Tauchen dar, können aber relative Kontraindikationen darstellen.

Unter Bedingungen erheblicher Dekompressionsbelastung mit großen Mengen zirkulierender Gasblasen (Dehydrierung, Stress, Bewegung, Schwächung) kann die Widerstandsfähigkeit gegen Dekompressionsbelastung verringert sein und hämatologische unerwünschte Ereignisse können sich verschlimmern, wobei das Risiko einer Thrombozytenaggregation, Leukozytenaktivierung und Auslösung der Gerinnungskaskade erhöht ist. Ihre klinische Situation ist entscheidend und die Meinung des Hämatologen zum intrinsischen Thromboserisiko im Alltag und unter körperlicher Anstrengung ist wichtig. Wenn das Thromboserisiko im Alltag als gering eingestuft wird, kann Tauchen möglich sein, wenn Tauchprofile mit geringer Blasenbildung eingehalten werden, z. B. nicht tiefer als 30 m und typische Freizeittauchzeiten, und wenn angereicherte Gemische (Nitrox) verwendet werden, um das Risiko einer Dekompression und einer Inertgasansammlung (Stickstoff) weiter zu reduzieren. Für Tauchaktivitäten wird ein „Fit-To-Dive“-Zertifikat empfohlen, das von einem Facharzt für Tauch- und Überdruckmedizin ausgestellt wird.[/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]

[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]