Ingabe kuphephile ukuhamba nge-scuba diving nge-asthma?
Abantu abane-asthma bangabangela ukuphila okusebenzayo, kepha kungase kudingeke bathathe izinyathelo ezikhethekile lapho behlanganyela emisebenzini ethile-kuhlanganise nokudilika kwe-scuba. I-asthma iyisifo esingapheli sesifo se-lung. Ukuvuvukala kwe-airways kungabamba umoya ngaphakathi emaphashini, okuholela ekunwetshweni kwabo ngokweqile. Kodwa-ke, kunezidakamizwa eziningi ze- asthma ezitholakalayo zokwelapha lokhu ukuvuvukala nokukhipha umoya.
Izinhlangano eziningi zezwe nezamazwe omhlaba ezishicilela iziqondiso zokwelapha nge-asthma zicindezela ukuthi abantu abane-asthma kufanele bakwazi ukuhola impilo esebenzayo, ephilile, kubandakanya iqhaza kwimidlalo nemisebenzi ehlukahlukene.
I-Asthma neScuba Diving
Ukuhamba nge-Scuba sekuyisikhathi eside kube yinto ethandwayo yokuzijabulisa, enezigidi ezingaphezu kwezigidi ezingu-5 eziqinisekisiwe e-United States kanye namakhulu ezinkulungwane zabantu abaqala ukuqinisekiswa njalo ngonyaka. Njengoba i-asthma ibonakala ku-5 kuya kwezingu-10% yabantu, abaningi balaba abahlukumezekile bane-asthma. Esikhathini esedlule, okwamanje, abantu abane-asthma bathelwa ukuthi bangasetshenziselwa ukudonsa ngenxa yezingozi eziningi zemvelo ezikhona.
Abantu abane-asthma bangase babonakale bejwayele izingozi ezivela e-scuba diving. Ama-asthmatics amaningi afakwe emoyeni emaphashini awo, angakhula ngesikhathi sokukhuphuka phezulu, okwenza ukuba umoya ophakathi kwamaphaphu uphuke (i-barotrauma). Uma i-barotrauma yenzeka emaphashini, umoya ungangena emithanjeni yegazi, okwenza ibhola elingafake engqondweni noma kwezinye izitho.
Lokhu kubizwa ngokuthi i-air embolism.
Ukuhlaselwa yisifo sofuba ngesikhathi scuba diving kubonakala sengathi, ngenxa yokuthi abantu abaningi bebhekene nezimpawu zesifo se-asthma ngesikhathi sokuvivinya umzimba, njenge-scuba diving. Ngaphezu kwalokho, scuba abahlukahlukene umoya obandayo, owomile, ocindezelekile, ongabangela izimpawu ezibuhlungu kwi-asthmatics. I-asthmatic e-scuba diving ebunzulu obukhulu ayikwazanga ukusebenzisa i-inhaler yokuphumula isikhathi eside kuze kube yilapho kuqhuma phezulu, okwakwazi ukuthi ukuhlasela kwe-asthma kubi nakakhulu ngenxa yezizathu ezingenhla.
Ukuhlonza abahlukahlukene be-scuba badinga imvume yezokwelapha ngaphambi kokuba baqinisekiswe ukuthi bayoshukela. Odokotela abaningi, kuhlanganise nami, baye besaba ukuvumela i-asthmatics ukuba iqhube idive, ikakhulukazi isekelwe ezintweni ezikhathazayo. Kodwa-ke, ukuhlolwa kwezingozi ze-scuba diving akubonanga ukuthi i-asthmatics isengozini enkulu yokulimala. Lokhu kungaba ngoba abantu abane-asthma ebalulekile bangakhetha ukungabikho isidumbu sokuhambisa ngoba umsebenzi wenza ukwanda kwezibonakaliso ze-asthma.
Izikhombandlela zeScuba Diving Uma Une-Asthma
Naphezu kwedatha engabonisi ukuthi i-asthmatics isengozini enkulu yokulimala, izikhulu eziningi zemithi yokudilika ziyancoma ukuthi i-asthmatics ilandele iziqondiso ezikhethekile:
- Abantu abane-asthma esedlule noma abakhona kufanele babone udokotela ojwayele izingozi ze-asthma ku-scuba diving ukuthola ukuhlolwa okuphelele ngokomzimba kanye ne-spirometry.
- Abahlukahlukene be-Scuba kufanele babe ne- spirometry evamile ekuphumuleni, futhi ngokuphendula inselele yokusebenza okungenziwa ehhovisi likadokotela. Labo abane-spirometry engavamile ekuphumuleni, ekuphenduleni ukuvivinya umzimba, noma labo abathola izimpawu zesifo se-asthma nge-exposure ye-cold / dry air should not dive.
- I-asthma kufanele ilawulwe ngemithi ngaphambi kokuba umuntu abambe iqhaza ekusongweni kwe-scuba.
- Umuntu akufanele aqhube umcibisholo uma ehlushwa izimpawu ze-asthma, noma uma edingekile ukusebenzisa inhaler yokuphepha ezinsukwini ezimbalwa ezedlule ngaphambi kokudonswa okuhleliwe.
Ngakho-ke, kungabonakala kungenangqondo nge-asthmatic elawulwa kahle, ene-spirometry evamile futhi ngaphandle kwesidingo sokusindiswa ngokuphindaphindiwe kwe-inhaler, ukubamba iqhaza ekusongweni kwe-scuba. Kubalulekile ukuthi i-asthmatics iqaphele ukuthi ingozi eyengeziwe ingakhuphuka ngesikhathi sokulimala, okungahle kube yingozi, futhi ukuxoxisana nalezi zingozi ngodokotela wabo.
Abahlukahlukene abathintekayo be-asthmatic scuba kumele babe nokuvakashelwa okuvamile, okuvamile okudokotela nge-spirometry eyenziwe ukuqinisekisa ukuthi i-asthma yabo ilawulwa kahle ngaphambi kokudonswa.
Kungabonakala kunengqondo ukuthi i-asthmatic isebenzise inhaler yokuphumula cishe imizuzu engama-30 ngaphambi kokushayela njengesilinganiso sokuvimbela izimpawu zesifo se-asthma, njenge-asthmatics eningi ngaphambi kokuba nezinye izinhlobo zokuzivocavoca.
Imithombo enconyiwe: Inethiwekhi Yokuxwayisa I-Dive (DAN).
Imithombo:
> I- Asthma ne > Ezemidlalo > I- Scuba Diving . I-Position Paper evela eCalifornia Thoracic Society kanye ne-American Lung Association yaseCalifornia.
> Twarog F, et al. Ikomidi elincane le-SCUBA. Ingxoxo yengozi ye-Scuba Diving kubantu ngabanye abanezifo ezithathelwanayo neziphefumulayo. J Allergy Clin Immunol. 1995; 96: 871-3.