{"id":30400,"date":"2025-06-06T08:45:36","date_gmt":"2025-06-06T12:45:36","guid":{"rendered":"https:\/\/world.dan.org\/?post_type=dan_alert_diver&#038;p=30400"},"modified":"2025-06-06T08:45:48","modified_gmt":"2025-06-06T12:45:48","slug":"mcas-and-dcs-risk","status":"publish","type":"dan_alert_diver","link":"https:\/\/world.dan.org\/es\/alert-diver\/article\/mcas-and-dcs-risk\/","title":{"rendered":"El SAM y el riesgo de EDC"},"content":{"rendered":"<h3 class=\"wp-block-heading\" id=\"h-i-have-been-diagnosed-with-mast-cell-activation-syndrome-mcas-will-that-increase-my-risk-of-decompression-sickness-dcs-if-i-dive\"><strong>Me han diagnosticado s\u00edndrome de activaci\u00f3n mastocitaria (SAM). \u00bfEs posible que esto aumente mi riesgo de sufrir una enfermedad por descompresi\u00f3n (EDC) si buceo?<\/strong><\/h3>\n\n\n\n<p>Con el SAM, los mastocitos liberan cantidades excesivas de histamina y otras sustancias qu\u00edmicas, lo que provoca s\u00edntomas como inflamaci\u00f3n, ronchas y reacciones al\u00e9rgicas sist\u00e9micas. Si bien no hay evidencia directa que vincule el SAM con un mayor riesgo de EDC, algunos factores asociados podr\u00edan influir en ese riesgo.<\/p>\n\n\n\n<p>El SAM desencadena una inflamaci\u00f3n cr\u00f3nica, que es un presunto factor en el desarrollo de la EDC. Un estado inflamatorio existente puede exacerbar el impacto fisiol\u00f3gico de las burbujas de nitr\u00f3geno, lo que aumenta el riesgo de s\u00edntomas de EDC. Asimismo, se debe considerar c\u00f3mo los efectos secundarios de los medicamentos utilizados para tratar el SAM pueden interferir con el buceo.<\/p>\n\n\n\n<p>El SAM tambi\u00e9n puede causar reacciones al\u00e9rgicas sist\u00e9micas desencadenadas por factores ambientales comunes como fr\u00edo, nuevos alimentos, presi\u00f3n, estr\u00e9s, vibraci\u00f3n, luz solar o ejercicio. Estas reacciones podr\u00edan provocar mareos, baja presi\u00f3n arterial, tos, n\u00e1useas, v\u00f3mitos, enrojecimiento de los ojos, inflamaci\u00f3n de las v\u00edas a\u00e9reas, dolor abdominal, s\u00edncope, sibilancia, leves cambios en el estado mental subjetivo, congesti\u00f3n, trastorno gastrointestinal, sarpullido, dolor articular y fatiga. La mayor\u00eda de estas reacciones podr\u00edan ocultar o imitar s\u00edntomas de la EDC, dificultando el diagn\u00f3stico y el tratamiento.&nbsp;<\/p>\n\n\n\n<p>Antes de bucear, las personas con SAM deben consultar a un m\u00e9dico familiarizado con su afecci\u00f3n y un especialista en medicina de buceo, quienes pueden evaluar los riesgos individuales y recomendar estrategias para reducir el riesgo de EDC, como evitar disparadores conocidos, controlar la inflamaci\u00f3n y adherir a perfiles de buceo conservadores. Tener un manejo adecuado tanto del SAM como de los riesgos del buceo es clave para garantizar una experiencia segura.&nbsp;<\/p>\n\n\n\n<p class=\"has-text-align-right\"><em>\u2014 Shannon Sunset AEMT, NCPT<\/em><\/p>\n\n\n\n<div style=\"height:30px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<hr class=\"wp-block-separator has-text-color has-dan-light-gray-color has-alpha-channel-opacity has-dan-light-gray-background-color has-background is-style-wide\"\/>\n\n\n\n<div style=\"height:30px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-i-was-recently-diagnosed-with-addison-s-disease-can-i-still-dive\"><strong>Recientemente me diagnosticaron la enfermedad de Addison. \u00bfPuedo seguir buceando?<\/strong><\/h3>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-vertically-aligned-center is-layout-flow wp-block-column-is-layout-flow\">\n<p>Cada caso de enfermedad de Addison, o insuficiencia suprarrenal primaria, es sumamente diferente y requiere una evaluaci\u00f3n individual para obtener una autorizaci\u00f3n m\u00e9dica para la pr\u00e1ctica de buceo. Tiene una variedad de causas \u2014incluso enfermedades autoinmunes, infecciones y c\u00e1ncer\u2014 y a menudo la causa de la enfermedad de Addison puede suponer una prohibici\u00f3n para el buceo.<\/p>\n\n\n\n<p>La mayor\u00eda de las preocupaciones relacionadas con la insuficiencia suprarrenal y el buceo tienen que ver con los desaf\u00edos f\u00edsicos y fisiol\u00f3gicos resultantes, como una reducci\u00f3n de la tolerancia al ejercicio o la posibilidad de perder el conocimiento debido a la hipotensi\u00f3n postural. S\u00edntomas como presi\u00f3n arterial baja y niveles de az\u00facar en sangre bajos al estar en el agua resultan problem\u00e1ticos \u2014m\u00e1s a\u00fan si se presentan condiciones de buceo inesperadas como olas y aguas revueltas\u2014.<\/p>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"450\" height=\"300\" src=\"https:\/\/world.dan.org\/wp-content\/uploads\/2025\/06\/Q2_87_MedLine-450x300-1.webp\" alt=\" Addison\u2019s disease\" class=\"wp-image-30402\" srcset=\"https:\/\/world.dan.org\/wp-content\/uploads\/2025\/06\/Q2_87_MedLine-450x300-1.webp 450w, https:\/\/world.dan.org\/wp-content\/uploads\/2025\/06\/Q2_87_MedLine-450x300-1-360x240.webp 360w, https:\/\/world.dan.org\/wp-content\/uploads\/2025\/06\/Q2_87_MedLine-450x300-1-18x12.webp 18w\" sizes=\"auto, (max-width: 450px) 100vw, 450px\" \/><\/figure>\n<\/div>\n<\/div>\n\n\n\n<p>Otros s\u00edntomas posibles, como fatiga extrema o dolor muscular y articular, pueden ser similares a los s\u00edntomas de la EDC, lo que dificulta llegar a un diagn\u00f3stico correcto. Los medicamentos utilizados para tratar la enfermedad de Addison tambi\u00e9n pueden suponer consideraciones adicionales.<\/p>\n\n\n\n<p>DAN recomienda que los individuos con la enfermedad de Addison se abstengan de bucear hasta que hayan sido evaluados y autorizados para bucear por un m\u00e9dico experto en medicina de buceo o, como m\u00ednimo, su m\u00e9dico tratante en colaboraci\u00f3n con un m\u00e9dico experto en medicina de buceo. El departamento m\u00e9dico de DAN puede tener una consulta con el m\u00e9dico tratante sobre los problemas y riesgos para que puedan tomar una decisi\u00f3n adecuada en relaci\u00f3n con su salud y el buceo.<\/p>\n\n\n\n<p>Si es autorizado para bucear, debe tener un plan de acci\u00f3n de emergencia y un kit m\u00e9dico bien completo que incluya los medicamentos necesarios para evitar y tratar una crisis suprarrenal.<\/p>\n\n\n\n<p class=\"has-text-align-right\"><em>\u2014 Leandra Lynn, AEMT<\/em><\/p>\n\n\n\n<div style=\"height:30px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<hr class=\"wp-block-separator has-text-color has-dan-light-gray-color has-alpha-channel-opacity has-dan-light-gray-background-color has-background is-style-wide\"\/>\n\n\n\n<p class=\"has-small-font-size\">\u00a9&nbsp;<em>Alert Diver<\/em>&nbsp;\u2013 Q2 2025<\/p>\n\n\n\n<p><\/p>","protected":false},"excerpt":{"rendered":"<p>I have been diagnosed with mast cell activation syndrome (MCAS). Will that increase my risk of decompression sickness (DCS) if I dive? With MCAS, mast cells release excessive amounts of [&hellip;]<\/p>\n","protected":false},"featured_media":30401,"template":"","dan_alert_diver_categories":[80],"dan_alert_diver_issues":[509],"class_list":["post-30400","dan_alert_diver","type-dan_alert_diver","status-publish","has-post-thumbnail","hentry","dan_alert_diver_categories-from-the-medical-line","dan_alert_diver_issues-q2-2025"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.0 (Yoast SEO v27.3) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>MCAS and DCS Risk - DAN World<\/title>\n<meta name=\"description\" content=\"DAN Medics and Researchers Answer Your Dive Medicine Questions\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/world.dan.org\/es\/alert-diver\/article\/mcas-and-dcs-risk\/\" \/>\n<meta property=\"og:locale\" content=\"es_MX\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"MCAS and DCS Risk\" \/>\n<meta property=\"og:description\" content=\"DAN Medics and Researchers Answer Your Dive Medicine Questions\" \/>\n<meta property=\"og:url\" content=\"https:\/\/world.dan.org\/es\/alert-diver\/article\/mcas-and-dcs-risk\/\" \/>\n<meta property=\"og:site_name\" content=\"DAN World\" \/>\n<meta property=\"article:modified_time\" content=\"2025-06-06T12:45:48+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/world.dan.org\/wp-content\/uploads\/2025\/06\/Q2_86_MedLine-1200x600-1.webp\" \/>\n\t<meta property=\"og:image:width\" content=\"1200\" \/>\n\t<meta property=\"og:image:height\" content=\"600\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/webp\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:description\" content=\"DAN Medics and Researchers Answer Your Dive Medicine Questions\" \/>\n<meta name=\"twitter:label1\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"3 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/world.dan.org\\\/alert-diver\\\/article\\\/mcas-and-dcs-risk\\\/\",\"url\":\"https:\\\/\\\/world.dan.org\\\/alert-diver\\\/article\\\/mcas-and-dcs-risk\\\/\",\"name\":\"MCAS and DCS Risk - 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