{"id":23559,"date":"2022-12-13T11:52:33","date_gmt":"2022-12-13T16:52:33","guid":{"rendered":"https:\/\/world.dan.org\/?post_type=dan_alert_diver&p=23559"},"modified":"2023-01-27T13:12:44","modified_gmt":"2023-01-27T18:12:44","slug":"autism-and-diving","status":"publish","type":"dan_alert_diver","link":"https:\/\/world.dan.org\/fr\/alert-diver\/article\/autism-and-diving\/","title":{"rendered":"Autisme et plong\u00e9e"},"content":{"rendered":"
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STEPHEN FRINK<\/figcaption><\/figure>\n<\/div>\n\n\n\n
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Mon fils est autiste et souhaite apprendre \u00e0 faire de la plong\u00e9e sous-marine. Son autisme posera-t-il un probl\u00e8me ?<\/span><\/strong><\/p>\n\n\n\n

Chaque personne autiste est unique et doit \u00eatre \u00e9valu\u00e9e de mani\u00e8re ind\u00e9pendante. Il n'y aura jamais de recommandation universelle.<\/p>\n\n\n\n

First, all decisions must be made by you, properly trained dive instructors, and the physicians who are most closely involved in his behavioral and physical care. For some individuals, scuba diving comes naturally, and they handle it well with the proper accommodations and qualified instructors. For others, the risks are too high, and diving should not be considered. Each case depends on the person\u2019s level of function and comorbidities.<\/p>\n\n\n\n

Pour prendre une d\u00e9cision \u00e9clair\u00e9e, vous devez tenir compte des \u00e9l\u00e9ments suivants : Pr\u00e9sente-t-il des d\u00e9s\u00e9quilibres sensoriels ? Ces d\u00e9s\u00e9quilibres peuvent entra\u00eener une hyperr\u00e9activit\u00e9 aux stimuli qui peut \u00eatre aggrav\u00e9e sous l'eau, ainsi qu'une panique et des blessures subs\u00e9quentes mettant la vie en danger.<\/p>\n\n\n\n

Peut-il prendre des d\u00e9cisions rapides et surveiller les jauges, la profondeur, la consommation d'air et la flottabilit\u00e9 ? Les recherches indiquent que de nombreuses personnes autistes pr\u00e9sentent un certain degr\u00e9 de d\u00e9ficience cognitive, ce qui peut affecter la prise de d\u00e9cision.<\/p>\n\n\n\n

Les comportements r\u00e9p\u00e9titifs tels que les tics ou le balancement peuvent pr\u00e9senter des difficult\u00e9s avec les comp\u00e9tences de base sous l'eau telles que le contr\u00f4le de la flottabilit\u00e9, ce qui peut entra\u00eener des blessures. Certaines personnes autistes ont des probl\u00e8mes de tonus musculaire et de coordination.<\/p>\n\n\n\n

Enfin, vous devez tenir compte de sa sensibilit\u00e9 aux signaux et de sa capacit\u00e9 \u00e0 comprendre la n\u00e9cessit\u00e9 d'\u00e9galiser fr\u00e9quemment ses oreilles.<\/p>\n\n\n\n

Cette liste n'est pas exhaustive. Vous souhaiterez peut-\u00eatre examiner ces informations avec des groupes sp\u00e9cialis\u00e9s dans les troubles du spectre autistique.<\/p>\n\n\n\n

If he is cleared to dive, investigate organizations that specialize in scuba diving for people with disabilities. Depending on your son\u2019s level of functioning, an adaptive scuba instructor may be a resource to consider.<\/p>\n\n\n\n

\u2014 Shannon Sunset NCPT, NREMT<\/em><\/p>\n<\/div>\n<\/div>\n\n\n\n

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Un diagnostic de syndrome d'Ehlers-Danlos hypermobile affecterait-il ma capacit\u00e9 \u00e0 plonger ?<\/span><\/strong><\/p>\n\n\n\n

Le diagnostic de syndrome d'Ehlers-Danlos (EDS) hypermobile est consid\u00e9r\u00e9 comme une contre-indication relative \u00e0 la plong\u00e9e, ce qui signifie qu'en fonction de la nature et de la gravit\u00e9 de cette affection tr\u00e8s variable, la plong\u00e9e peut \u00eatre recommand\u00e9e ou non.<\/p>\n\n\n\n

EDS is an inherited disorder that affects the connective tissues of the body and has several classifications based on symptom presentation and location, including hypermobility (or overly flexible joints), which is associated with a defect in collagen, affecting connective tissues\u2019 ability to support muscles, organs, and other tissues.<\/p>\n\n\n\n

La norme industrielle veut qu'un plongeur soit capable d'enfiler tout son \u00e9quipement, d'entrer dans l'eau, de nager, de s'auto-sauvegarder ou de secourir un bin\u00f4me si n\u00e9cessaire, de sortir de l'eau et d'enlever tout son \u00e9quipement sans aide. Ces activit\u00e9s impliquent des mouvements des principales articulations et du dos et peuvent provoquer des complications courantes, telles que des luxations ou des subluxations articulaires. Une luxation articulaire survenant au cours d'une plong\u00e9e peut vous placer dans une situation dangereuse. <\/p>\n\n\n\n

Certains sympt\u00f4mes de l'EDS hypermobile sont des douleurs articulaires (y compris la costochondrite dans la poitrine) et des ecchymoses ; ces sympt\u00f4mes imitent ceux de la maladie de d\u00e9compression et peuvent compliquer le diagnostic d'un m\u00e9decin en cas de probl\u00e8me lors d'une plong\u00e9e.<\/p>\n\n\n\n

The condition is associated with Raynaud\u2019s disease, which means the risk of spontaneous pneumothorax must be considered. Additionally, cardiovascular concerns can include valve dysfunction and vascular aneurisms that should be followed regularly by imaging.<\/p>\n\n\n\n

Parmi les autres probl\u00e8mes, citons la fragilit\u00e9 de la peau, les probl\u00e8mes de saignement, le dysfonctionnement de la m\u00e2choire, la rupture du globe (\u0153il), la cyphoscoliose (maladie pulmonaire restrictive), les probl\u00e8mes gastro-intestinaux (y compris la rupture de l'intestin) et la perte de conscience (hypotension orthostatique ou syndrome de tachycardie orthostatique posturale).<\/p>\n\n\n\n

Discutez de ces questions avec votre \u00e9quipe m\u00e9dicale avant de plonger et encouragez-la \u00e0 appeler DAN pour obtenir des conseils. <\/p>\n\n\n\n

\u2014 Anne Strysniewicz, AEMT, DMT<\/em><\/p>\n<\/div>\n<\/div>\n\n\n\n

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Je suis un plongeur certifi\u00e9 en eau libre et j'ai surv\u00e9cu \u00e0 un cancer. Pour faciliter la r\u00e9p\u00e9tition de la chimioth\u00e9rapie, les chirurgiens ont install\u00e9 un port juste sous la peau, dans la partie sup\u00e9rieure de la poitrine, sous la clavicule. J'ai termin\u00e9 ma chimioth\u00e9rapie il y a cinq mois et le cancer est en sommeil depuis plusieurs mois. Quelles sont les inqui\u00e9tudes ou les limitations que je dois prendre en compte avant de reprendre la plong\u00e9e ?<\/span><\/strong><\/p>\n\n\n\n

With regard to your port, if everything has healed and there are no complications, you should be able to return to diving if you are otherwise healthy and fit for the rigors of the sport. These ports are typically filled with fluid and are therefore noncompressible at depth, so in that regard diving should not be a concern. Several different manufacturers make the ports, however, so we recommend asking your oncologist to check with your device\u2019s manufacturer for pressure ratings or depth restrictions. <\/p>\n\n\n\n

Si vos m\u00e9decins vous ont autoris\u00e9 \u00e0 pratiquer une activit\u00e9 compl\u00e8te et sans restriction, vous devriez pouvoir reprendre la plong\u00e9e sans complication. Toutefois, \u00e9tant donn\u00e9 que vous n'avez pas \u00e9t\u00e9 dans l'eau depuis un certain temps, nous vous recommandons de suivre un programme d'exercices gradu\u00e9s et un cours de remise \u00e0 niveau pour vous aider \u00e0 vous pr\u00e9parer \u00e0 plonger en toute s\u00e9curit\u00e9.<\/p>\n\n\n\n

- Ben Strelnick, NREMT, W-EMT<\/em><\/p>\n<\/div>\n<\/div>\n\n\n\n

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J'\u00e9value un patient atteint du syndrome de Gilles de la Tourette qui souhaite obtenir l'autorisation de faire de la plong\u00e9e sous-marine. Il a des tics moteurs importants et j'ai donc besoin de conseils ou de ressources pour en discuter avec la famille.<\/span><\/strong><\/p>\n\n\n\n

Tourette syndrome is a neurological disorder that is a relative contraindication to diving. The nature and severity of the motor tics need to be considered along with any associated conditions. Even a simple tic such as coughing, throat clearing, or grunting that may involuntarily occur during ascent may result in obstruction of air flow and increase a diver\u2019s risk of pulmonary barotrauma. Also consider whether the diver will be able to hold and maintain a regulator in his mouth for the duration of the dive.<\/p>\n\n\n\n

Des tics moteurs forts et violents peuvent blesser le plongeur ou d'autres personnes ou affecter l'\u00e9quipement ou la conscience de la situation sous l'eau, ce qui peut conduire \u00e0 une situation dangereuse. Le stress, l'excitation et l'anxi\u00e9t\u00e9 ont \u00e9t\u00e9 signal\u00e9s comme aggravant la s\u00e9v\u00e9rit\u00e9 des tics. Cela peut \u00eatre particuli\u00e8rement probl\u00e9matique lors d'une remont\u00e9e d'urgence ou dans des conditions de mer difficiles.<\/p>\n\n\n\n

Ayez une conversation honn\u00eate et d\u00e9taill\u00e9e avec le candidat \u00e0 la plong\u00e9e et son syst\u00e8me de soutien, qui doit inclure sa famille, les superviseurs de plong\u00e9e et l'\u00e9quipe m\u00e9dicale. Discutez des attentes r\u00e9alistes de la plong\u00e9e et de la question de savoir si leur \u00e9tat de sant\u00e9 actuel leur permet de plonger en toute s\u00e9curit\u00e9.<\/p>\n\n\n\n

Vous avez d\u00e9j\u00e0 identifi\u00e9 des tics moteurs significatifs qui pourraient \u00eatre pr\u00e9occupants. La norme industrielle veut qu'un plongeur soit capable d'enfiler tout son \u00e9quipement en toute s\u00e9curit\u00e9, d'entrer dans l'eau, de nager, de s'auto-sauvegarder ou de secourir un bin\u00f4me si n\u00e9cessaire, de sortir de l'eau et d'enlever tout son \u00e9quipement sans aide.<\/p>\n\n\n\n

Pour plus d'informations sur la plong\u00e9e adapt\u00e9e, contactez DiveHeart (diveheart.org<\/a><\/em>) ou la Handicapped Scuba Association (hsascuba.com<\/a><\/em>). Ils peuvent avoir des connaissances suppl\u00e9mentaires ou une exp\u00e9rience de travail avec des plongeurs atteints de cette maladie.<\/p>\n\n\n\n

\u2014\u00a0Anne Strysniewicz, AEMT, DMT<\/em><\/p>\n<\/div>\n<\/div>\n\n\n\n

\u00a9 Alert Diver<\/em> - Q4 2022<\/p>","protected":false},"excerpt":{"rendered":"

My son is on the autism spectrum and wants to learn how to scuba dive. Will his autism be a problem? Everyone with autism is unique and must be evaluated independently. There will never be an all-inclusive recommendation. First, all decisions must be made by you, properly trained dive instructors, and the physicians who are [\u2026]<\/p>\n","protected":false},"featured_media":23571,"template":"","dan_alert_diver_categories":[80],"dan_alert_diver_issues":[482],"class_list":["post-23559","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-q4-2022"],"acf":[],"yoast_head":"\nAutism and Diving - DAN World<\/title>\n<meta name=\"description\" content=\"Everyone with autism is unique and must be evaluated independently.\" \/>\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\/fr\/alert-diver\/article\/autism-and-diving\/\" \/>\n<meta property=\"og:locale\" content=\"fr_CA\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Autism and Diving\" \/>\n<meta property=\"og:description\" content=\"Everyone with autism is unique and must be evaluated independently.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/world.dan.org\/fr\/alert-diver\/article\/autism-and-diving\/\" \/>\n<meta property=\"og:site_name\" content=\"DAN World\" \/>\n<meta property=\"article:modified_time\" content=\"2023-01-27T18:12:44+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/world.dan.org\/wp-content\/uploads\/2022\/12\/istock-1181919273-scaled-1.jpeg\" \/>\n\t<meta property=\"og:image:width\" content=\"2560\" \/>\n\t<meta property=\"og:image:height\" content=\"1707\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:description\" content=\"Everyone with autism is unique and must be evaluated independently.\" \/>\n<meta name=\"twitter:label1\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"6 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\\\/autism-and-diving\\\/\",\"url\":\"https:\\\/\\\/world.dan.org\\\/alert-diver\\\/article\\\/autism-and-diving\\\/\",\"name\":\"Autism and Diving - 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