{"id":655,"date":"2008-12-14T08:39:17","date_gmt":"2008-12-14T08:39:17","guid":{"rendered":"https:\/\/daivings.lv\/?p=655"},"modified":"2011-12-26T16:04:30","modified_gmt":"2011-12-26T16:04:30","slug":"dekompresijas-slimiba-ka-no-tas-izvairities-un-ko-darit-problemu-gadijuma","status":"publish","type":"post","link":"https:\/\/daivings.lv\/pl\/choroba-dekompresyjna-jak-jej-uniknac-i-co-robic-w-przypadku-problemow\/","title":{"rendered":"Choroba dekompresyjna \u2013 jak jej unikn\u0105\u0107 i co robi\u0107 w razie problem\u00f3w"},"content":{"rendered":"

Choroba dekompresyjna<\/a> Lub Choroba Cassona<\/a> \u2013 nie ma takiego nurka, kt\u00f3ry cho\u0107 troch\u0119 nie s\u0142ysza\u0142by o tej chorobie. Ju\u017c na pocz\u0105tku pierwszych szkole\u0144 z p\u0142ywania podwodnego instruktor opowiada uczniom o najniebezpieczniejszych rzeczach w nurkowaniu. \u0141\u0105cznie z chorob\u0105 dekompresyjn\u0105. Temat dekompresji i problem\u00f3w, jakie mog\u0105 si\u0119 pojawi\u0107, je\u015bli nurek nie b\u0119dzie przestrzega\u0142 zasad prawid\u0142owego wynurzania, raczej nie straci na aktualno\u015bci. R\u00f3wnie\u017c i tym razem porozmawiamy o tym, co nurek powinien wzi\u0105\u0107 pod uwag\u0119 przed, w trakcie i po nurkowaniu, aby unikn\u0105\u0107 mo\u017cliwo\u015bci nabawienia si\u0119 choroby dekompresyjnej, a tak\u017ce co zrobi\u0107, je\u015bli u nurka wyst\u0105pi kt\u00f3rykolwiek z objaw\u00f3w choroby kessona choroba.<\/strong><\/p>\n

\"\"<\/a><\/p>\n

Podczas nurkowania cia\u0142o nurka nasyca si\u0119 azotem, a gdy zaczyna si\u0119 nurkowanie, azot powoli opuszcza cia\u0142o. Zadaniem nurka jest dopilnowanie, aby praktycznie ca\u0142y azot rozpuszczony w organizmie podczas nurkowania zosta\u0142 uwolniony z organizmu i nie utworzy\u0142 p\u0119cherzyk\u00f3w, kt\u00f3re mog\u0105 doprowadzi\u0107 do choroby dekompresyjnej.
\nIlo\u015b\u0107 rozpuszczonego azotu b\u0119dzie zale\u017ce\u0107 od g\u0142\u0119boko\u015bci i czasu sp\u0119dzonego na tej g\u0142\u0119boko\u015bci. Dlatego te\u017c dla ka\u017cdej g\u0142\u0119boko\u015bci definiowane s\u0105 tzw. No Decompression Limits (NDL \u2013 No Decompression Limits), czyli czas sp\u0119dzony pod wod\u0105. Je\u015bli nurek nie przekroczy tych limit\u00f3w, to w trakcie i po nurkowaniu azot zgromadzony w tkankach nie spowoduje \u017cadnych uszkodze\u0144 organizmu. Podczas oddychania azot zostanie po prostu uwolniony z organizmu.
\nNale\u017cy zaznaczy\u0107, \u017ce je\u015bli nurek r\u00f3wnie\u017c wynurza si\u0119 powoli, zgodnie ze wszystkimi zasadami, ale wcze\u015bniej nie przestrzega\u0142 limit\u00f3w bezdekompresyjnych na danej g\u0142\u0119boko\u015bci, to zgromadzony w tkankach azot nie b\u0119dzie m\u00f3g\u0142 si\u0119 uwolni\u0107 i pozostanie zablokowany w tkankach nurka. Gdy ci\u015bnienie zewn\u0119trzne spada podczas p\u0142ywania, p\u0119cherzyki gazu pozostaj\u0105ce w mi\u0119\u015bniach, stawach, tkance t\u0142uszczowej, ko\u015bciach i nerwach rozszerzaj\u0105 si\u0119 i rozpoczynaj\u0105 mechaniczn\u0105 kompresj\u0119 oraz uszkodzenie tkanek. Jest to r\u00f3wnie\u017c choroba kesonowa lub dekompresyjna.
\nCo wi\u0119c nale\u017cy zrobi\u0107, aby unikn\u0105\u0107 choroby dekompresyjnej:<\/p>\n

1 \u2013 Wyjd\u017a powoli i nie spiesz si\u0119.
\n<\/strong>Niska pr\u0119dko\u015b\u0107 wschodu - maksymalnie 10m\/min. \u2013 pomaga usun\u0105\u0107 azot nagromadzony podczas nurkowania, zanim zacznie on przekszta\u0142ca\u0107 si\u0119 w niebezpieczne b\u0105belki.<\/p>\n

2 \u2013 Obserwuj przystanek bezpiecze\u0144stwa (przystanek bezpiecze\u0144stwa) 3min \/ 4-6m.<\/strong>
\nChocia\u017c ten ko\u0144cowy przystanek nie jest przystankiem dekompresyjnym, nadal mo\u017cna go uzna\u0107 za taki. Podczas przystanku bezpiecze\u0144stwa usuwany jest nagromadzony we krwi azot, kt\u00f3rego nie uda\u0142o si\u0119 jeszcze usun\u0105\u0107 podczas zni\u017cania.<\/p>\n

3 \u2013 Unikaj wysi\u0142ku fizycznego po nurkowaniu.<\/strong>
\nZwi\u0119kszenie szybko\u015bci kr\u0105\u017cenia krwi prowadzi do przyspieszonego zu\u017cycia azotu, przyczyniaj\u0105c si\u0119 tym samym do powstawania p\u0119cherzyk\u00f3w gazu we krwi.<\/p>\n

4 \u2013 Zako\u0144cz nurkowanie w p\u0142ytkich wodach.<\/strong>
\nCzas sp\u0119dzony na ma\u0142ej g\u0142\u0119boko\u015bci pod koniec nurkowania pomaga usun\u0105\u0107 z organizmu nurka azot nagromadzony na du\u017cej g\u0142\u0119boko\u015bci na pocz\u0105tku nurkowania.<\/p>\n

5 \u2013 Unikaj zygzakowatych profili nurkowania.<\/strong>
\nUwa\u017ca si\u0119, \u017ce powtarzaj\u0105ce si\u0119 wynurzanie i nurkowanie zwi\u0119ksza prawdopodobie\u0144stwo tworzenia si\u0119 mikrop\u0119cherzyk\u00f3w w t\u0119tniczych naczyniach krwiono\u015bnych.<\/p>\n

6 \u2013 Przed lotem lotniczym nale\u017cy zachowa\u0107 24-godzinn\u0105 przerw\u0119.<\/strong>
\nLatanie bezpo\u015brednio po nurkowaniu stwarza efekt jeszcze g\u0142\u0119bszego nurkowania, przyczyniaj\u0105c si\u0119 tym samym do powstania jeszcze wi\u0119kszej liczby p\u0119cherzyk\u00f3w.<\/p>\n

7 \u2013 Staraj si\u0119 nie zamarzn\u0105\u0107.<\/strong>
\nW przypadku odmro\u017ce\u0144 zmniejsza si\u0119 kr\u0105\u017cenie krwi, a azot opuszcza organizm znacznie wolniej ni\u017c zwykle.<\/p>\n

8 \u2013 Pij jak najwi\u0119cej p\u0142yn\u00f3w.<\/strong>
\nJe\u015bli organizm jest odwodniony, krew staje si\u0119 znacznie g\u0119stsza i przep\u0142ywa znacznie wolniej, co oznacza, \u017ce spowalnia r\u00f3wnie\u017c uwalnianie azotu. Pami\u0119taj, \u017ce alkohol, cola, kawa i herbata to leki moczop\u0119dne, kt\u00f3re sprzyjaj\u0105 odwodnieniu.<\/p>\n

9 \u2013 Ufaj, ale b\u00f3j si\u0119.<\/strong>
\nAlgorytmy komputerowe zalecaj\u0105, ale nie gwarantuj\u0105, 100% po procedurze dekompresji. Dla wi\u0119kszego bezpiecze\u0144stwa zaleca si\u0119 przestrzeganie nie jednego, a kilku przystank\u00f3w bezpiecze\u0144stwa.<\/p>\n

S\u0105 to zalecenia, kt\u00f3rych nale\u017cy przestrzega\u0107, ale je\u015bli co\u015b p\u00f3jdzie nie tak, je\u015bli podejrzewa si\u0119 chorob\u0119 dekompresyjn\u0105\u2026 Co wtedy?<\/p>\n

1 \u2013 Sprawd\u017a objawy.<\/strong>
\nMrowienie lub nawet parali\u017c, zmiany wra\u017cliwo\u015bci sk\u00f3ry, zawroty g\u0142owy, b\u00f3le staw\u00f3w (zw\u0142aszcza n\u00f3g), b\u00f3l w klatce piersiowej, niewyja\u015bnione zm\u0119czenie, problemy z oddychaniem i sercem, utrata przytomno\u015bci, wysypka sk\u00f3rna (od blador\u00f3\u017cowego do niebieskiego \u2013 \u201emarmurkowato\u015b\u0107 sk\u00f3ry\u201d, przej\u015bciowe zaburzenia widzenia lub s\u0142uchu, wymioty. Objawy pojawiaj\u0105 si\u0119 zwykle 15 minut do 12 godzin po nurkowaniu, jednak w bardzo powa\u017cnych przypadkach objawy choroby dekompresyjnej mog\u0105 pojawi\u0107 si\u0119, gdy nurek jest jeszcze pod wod\u0105. W ka\u017cdym przypadku w przypadku choroby dekompresyjnej nale\u017cy nurek mo\u017ce do\u015bwiadczy\u0107 jednego lub wi\u0119cej objaw\u00f3w jednocze\u015bnie.<\/p>\n

2 \u2013 Nie unikaj ani nie unikaj problem\u00f3w.<\/strong>
\nNie nale\u017cy spodziewa\u0107 si\u0119 poprawy i ust\u0105pienia objaw\u00f3w. Nie b\u0105d\u017a nie\u015bmia\u0142y! Nie my\u015bl: \u201eMnie to nie mo\u017ce si\u0119 przytrafi\u0107\u201d tylko dlatego, \u017ce masz certyfikat osoby niepocz\u0105tkuj\u0105cej, nurkujesz od wielu lat i \u015bledzisz stan swojego komputera nurkowego. Algorytmy miernik\u00f3w dekompresji opracowywane s\u0105 z uwzgl\u0119dnieniem \u015brednich danych statystycznych. W celu okre\u015blenia Twoich cech fizjologicznych zaleca si\u0119 wykonanie specjalnych bada\u0144 w celu okre\u015blenia indywidualnej odporno\u015bci na chorob\u0119 dekompresyjn\u0105. Zwr\u00f3\u0107 wi\u0119ksz\u0105 uwag\u0119 na swoje uczucia. I pami\u0119taj, \u017ce choroba dekompresyjna wymaga natychmiastowego leczenia. Op\u00f3\u017anianie leczenia mo\u017ce prowadzi\u0107 do powa\u017cniejszych problem\u00f3w zdrowotnych lub znacznie d\u0142u\u017cszego okresu leczenia.<\/p>\n

3 \u2013 Zg\u0142o\u015b swoje problemy zdrowotne osobie odpowiedzialnej za organizacj\u0119 nurkowa\u0144.<\/strong>
\nPoinformuj instruktora lub przewodnika nurkowego towarzysz\u0105cego grupie, kapitana \u0142odzi. Opisz swoje problemy zdrowotne.<\/p>\n

4 \u2013 Oddychaj tlenem.<\/strong>
\nPodaj poszkodowanemu tlen do oddychania (nie d\u0142u\u017cej ni\u017c 4 godziny) lub mieszanin\u0119 gaz\u00f3w zawieraj\u0105c\u0105 mo\u017cliwie najwi\u0119ksz\u0105 ilo\u015b\u0107 tlenu. Po\u0142\u00f3\u017c go na lewym boku. Post\u0119puj zgodnie ze wszystkimi instrukcjami instruktora. Nie pozwalaj ofierze na zbytnie poruszanie si\u0119.<\/p>\n

5 \u2013 Skontaktowa\u0107 si\u0119 z najbli\u017csz\u0105 s\u0142u\u017cb\u0105 pierwszej pomocy.
\n<\/strong>Nale\u017cy natychmiast skontaktowa\u0107 si\u0119 ze specjaln\u0105 s\u0142u\u017cb\u0105 pomocy medycznej, aby zapewni\u0107 jak najszybszy transport poszkodowanego do najbli\u017cszego miejsca leczenia \u2013 o\u015brodka medycznego, w kt\u00f3rym dost\u0119pna jest komora dekompresyjna.<\/p>\n

6 \u2013 Skontaktuj si\u0119 z barometrem na s\u0142u\u017cbie lub z DAN (Divers Alert Network).<\/strong>
\nCentralny DAN (https:\/\/www.diversalertnetwork.org<\/a>) infolinia czynna ca\u0142\u0105 dob\u0119. Dzwoni\u0105c do DAN, po\u0142\u0105czysz si\u0119 z biurem w USA lub we W\u0142oszech (+1-(919)-684-81-11 DAN lub +1-(919) 684-43-26 lub +39-(039)-605-7858) . Pami\u0119taj, \u017ce nurkowie, kt\u00f3rzy nie posiadaj\u0105 polisy ubezpieczeniowej DAN, b\u0119d\u0105 musieli zap\u0142aci\u0107 100% za wydatki zwi\u0105zane z ewakuacj\u0105 i leczeniem.
\nKomory powietrzne po\u0142o\u017cone najbli\u017cej \u0141otwy znajduj\u0105 si\u0119 w Rosji \u2013 w Moskwie i Sankt Petersburgu \u2013 obie komory s\u0105 w ka\u017cdej chwili gotowe na przyj\u0119cie rannych nurk\u00f3w.
\nCentrum Szkolenia Nurk\u00f3w Pa\u0144stw Ba\u0142tyckich zlokalizowane jest w Lipawie (trzeba powiedzie\u0107, \u017ce jest to baza szkolenia wojskowego).<\/p>\n

7 \u2013 Miej przy sobie komputer nurkowy.<\/strong>
\nNie zapomnij zabra\u0107 ze sob\u0105 komputera nurkowego do szpitala, komory dekompresyjnej. Wska\u017aniki komputerowe pomog\u0105 lekarzom znacznie dok\u0142adniej i poprawnie okre\u015bli\u0107 poziom choroby ofiary.<\/p>","protected":false},"excerpt":{"rendered":"

Choroba dekompresyjna czy choroba Caissona \u2013 nie ma takiego nurka, kt\u00f3ry cho\u0107 troch\u0119 nie s\u0142ysza\u0142 o tej chorobie. Ju\u017c na pocz\u0105tku pierwszych szkole\u0144 z p\u0142ywania podwodnego instruktor opowiada uczniom o najniebezpieczniejszych rzeczach w nurkowaniu. \u0141\u0105cznie z chorob\u0105 dekompresyjn\u0105. Temat [...]<\/p>","protected":false},"author":1,"featured_media":657,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[7],"tags":[64,65],"class_list":["post-655","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-veseligs-dzivesveids","tag-dekompresijas-slimiba","tag-kesona-slimiba"],"yoast_head":"\nDekompresijas slim\u012bba \u2013 k\u0101 no t\u0101s izvair\u012bties un ko dar\u012bt probl\u0113mu gad\u012bjum\u0101 - Daivings.lv<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/daivings.lv\/pl\/ua\/\u0434\u0435\u043a\u043e\u043c\u043f\u0440\u0435\u0441\u0456\u0439\u043d\u0430-\u0445\u0432\u043e\u0440\u043e\u0431\u0430-\u044f\u043a-\u0443\u043d\u0438\u043a\u043d\u0443\u0442\u0438-\u0456-\u0449\/\" \/>\n<meta property=\"og:locale\" content=\"pl_PL\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Dekompresijas slim\u012bba \u2013 k\u0101 no t\u0101s izvair\u012bties un ko dar\u012bt probl\u0113mu gad\u012bjum\u0101 - Daivings.lv\" \/>\n<meta property=\"og:description\" content=\"Dekompresijas slim\u012bba jeb Kesona slim\u012bba \u2013 nav t\u0101da daivera, kur\u0161 par \u0161o slim\u012bbu neb\u016btu dzird\u0113jis kaut vai tikai nedaudz. Jau uzs\u0101kot pirmos apm\u0101c\u012bbas kursus zem\u016bdens peld\u0113\u0161an\u0101 instruktors studentiem izst\u0101sta par b\u012bstam\u0101kaj\u0101m liet\u0101m daiving\u0101. To skait\u0101 ar\u012b par dekompresijas slim\u012bbu. 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Jau uzs\u0101kot pirmos apm\u0101c\u012bbas kursus zem\u016bdens peld\u0113\u0161an\u0101 instruktors studentiem izst\u0101sta par b\u012bstam\u0101kaj\u0101m liet\u0101m daiving\u0101. To skait\u0101 ar\u012b par dekompresijas slim\u012bbu. 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