{"id":22182,"date":"2022-06-14T15:00:36","date_gmt":"2022-06-14T19:00:36","guid":{"rendered":"https:\/\/world.dan.org\/?post_type=dan_alert_diver&p=22182"},"modified":"2023-05-18T16:27:59","modified_gmt":"2023-05-18T20:27:59","slug":"bells-palsy-and-surgery","status":"publish","type":"dan_alert_diver","link":"https:\/\/world.dan.org\/id\/alert-diver\/article\/bells-palsy-and-surgery\/","title":{"rendered":"Bell's Palsy dan Pembedahan"},"content":{"rendered":"
\n
\"komplikasi<\/figure>\n<\/div>\n\n\n

I have developed Bell\u2019s palsy. Due to its internal effects, are there any reasons I should not dive? I understand the risks of its external effects \u2014 such as not being able to blink in a mask-clearing situation and not having full control of the regulator in my mouth \u2014 but could diving cause anything to happen internally that would worsen the condition? <\/span><\/strong><\/p>\n\n\n\n

There is no evidence suggesting that diving worsens the effects of Bell\u2019s palsy, and no studies show adverse effects. The main concern is that facial droop, eye twitching or inability to close your eye, facial numbness or paralysis, drooling, pain around your jaw or behind the ear, and a headache could all accompany Bell\u2019s palsy. These symptoms compromise dive safety by not allowing you to securely close your mouth around a regulator, increasing the risk of aspirating seawater, and causing eye irritation. Anything that diverts your attention from diving is a safety risk.\u00a0Signs and symptoms of Bell\u2019s palsy can also mimic a stroke or decompression sickness, making it very difficult for a physician to make an accurate diagnosis should something happen while diving.<\/p>\n\n\n\n

Salah satu pertimbangannya adalah menerapkan perilaku konservatif seperti menyelam jauh di dalam batas tanpa dekompresi, menyelam dengan nitrox udara yang diperkaya sambil mengatur komputer Anda ke udara, memperpanjang waktu berhenti, dan membatasi diri Anda pada satu atau dua kali penyelaman per hari dengan satu hari istirahat di antara hari penyelaman. Pendekatan ini dapat bermanfaat untuk menurunkan tekanan dekompresi Anda. <\/p>\n\n\n\n

Asalkan semua gejala Anda teratasi, menyelam seharusnya tidak menjadi masalah. Jika Anda mengalami gejala lanjutan, sekecil apa pun, Anda harus menunda menyelam sampai Anda benar-benar tidak menunjukkan gejala. <\/p>\n\n\n\n

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

<\/div>\n\n\n
\n
\"dekongestan<\/figure>\n<\/div>\n\n\n

Saya menyelam menggunakan nitrox dan bertanya-tanya apakah saya dapat menggunakan Sudafed dan Claritin dengan aman saat menyelam. <\/span><\/strong><\/p>\n\n\n\n

There are two significant issues with using Sudafed (pseudoephedrine) while diving.\u00a0Research shows a theoretical risk of oxygen toxicity with Sudafed while diving with higher partial pressures of oxygen. Pseudoephedrine was not tested specifically, but it is a sympathomimetic \u2014 a drug that produces effects similar to those the sympathetic nervous system produces \u2014 so we might infer from other drugs in that category that it has a similar effect. In addition, our current understanding of the mechanisms that cause oxygen convulsions would predict that sympathomimetic drugs might enhance susceptibility to oxygen convulsions.<\/p>\n\n\n\n

Berdasarkan temuan dari penelitian tersebut, kami dapat mengatakan bahwa mungkin ada peningkatan risiko toksisitas oksigen, tetapi hal ini tidak mungkin terjadi pada penyelaman rekreasi.<\/p>\n\n\n\n

Masalah lain dengan Sudafed adalah waktu paruh yang relatif singkat, yang berarti efeknya cepat hilang, dan hidung tersumbat Anda dapat kembali secara tiba-tiba saat obat habis. Pergeseran yang cepat ini dapat menciptakan kondisi untuk pemerasan balik. Kesulitannya adalah sulit untuk menyamakannya jika masalah terjadi selama pendakian Anda. Jika sesak napas Anda kembali saat menyelam, ada kemungkinan kembalinya Anda ke permukaan dapat menyebabkan cedera barotrauma yang signifikan. <\/p>\n\n\n\n

Sudafed adalah dekongestan, sedangkan Claritin (loratadine) adalah antihistamin dan mungkin tidak memberikan manfaat penyeimbangan yang sama. Claritin-D adalah kombinasi dari kedua obat tersebut dan dapat memberikan manfaat penyeimbangan dalam sediaan yang lebih tahan lama dengan kecenderungan yang lebih kecil untuk luntur. Anda mungkin ingin berbicara dengan dokter Anda tentang pilihan alternatif untuk mengatasi hidung tersumbat. Jika Anda selalu memerlukan dekongestan untuk mengatasi masalah penyeimbangan, Anda mungkin ingin berkonsultasi dengan dokter spesialis telinga, hidung, dan tenggorokan. <\/p>\n\n\n\n

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

<\/div>\n\n\n\n

Saat berada di kapal pesiar, saya memesan wisata menyelam melalui salah satu vendor yang direkomendasikan. Saat kami selesai menyelam, kapal pesiar meninggalkan pelabuhan tanpa saya. Kami baru saja menyelesaikan penyelaman hingga kedalaman maksimum 55 kaki selama 50 menit di udara, interval permukaan 45 menit, dan penyelaman kedua hingga kedalaman maksimum 43 kaki selama 50 menit. Vendor dan perusahaan pelayaran bertanggung jawab atas kecelakaan tersebut dan memesankan saya penerbangan untuk bertemu dengan kapal di pelabuhan berikutnya. Empat jam berlalu dari akhir penyelaman hingga keberangkatan penerbangan saya. Saya tidak merasakan sakit atau gejala apa pun selama penerbangan, dan saya masih merasa baik-baik saja. Setelah mendengar cerita saya, instruktur selam setempat mengatakan kepada saya bahwa saya seharusnya tidak terbang tanpa interval permukaan yang lebih lama. Haruskah saya khawatir tentang penyakit dekompresi (DCS)? <\/span> <\/strong><\/p>\n\n\n\n

DAN memiliki rekomendasi yang mapan untuk terbang yang aman setelah menyelam berdasarkan Lokakarya Terbang Setelah Menyelam Rekreasi tahun 2002. Berdasarkan profil penyelaman Anda, interval permukaan minimum yang direkomendasikan sebelum terbang seharusnya 18 jam.<\/p>\n\n\n\n

Dive tables and computer algorithms are based on theoretical models and designed for the masses. It is practically impossible to create a model to determine an individual\u2019s risk and the factors that would make someone susceptible to DCS. Many things determine a person\u2019s decompression stress. The shallow dives and short bottom times may have helped in your situation, but nothing guarantees a repeat outcome under the same circumstances in the future.  <\/p>\n\n\n\n

Saat muncul ke permukaan, nitrogen dari penyelaman Anda mulai meninggalkan jaringan tubuh Anda. Sebagian besar gas inert dihilangkan 24 jam setelah menyelam, yang merupakan salah satu alasan Anda dapat terbang 18 jam setelah aktivitas menyelam. Jarang sekali seseorang mengalami DCS lebih dari 24 jam setelah menyelam.<\/p>\n\n\n\n

Karena Anda telah terbang pulang tanpa mengalami gejala dalam penerbangan, dan Anda masih bebas dari gejala beberapa hari kemudian, maka dapat dikatakan bahwa Anda tidak akan mengalami DCS. <\/p>\n\n\n\n

\u2014 Robert Soncini, NR-P, DMT<\/em><\/p>\n\n\n\n

<\/div>\n\n\n
\n
\"fusi<\/figure>\n<\/div>\n\n\n

Saya dijadwalkan untuk menjalani fusi serviks dan diskektomi. Kapan saya dapat menyelam lagi setelah operasi?<\/span><\/strong><\/p>\n\n\n\n

There are several considerations to discuss with your surgeon. After surgery, the minimum benchmarks to meet are to be released by your physician for full and unrestricted activity, including contact sports, and then add an additional convalescent period equal to at least half of your healing time. If your doctor releases you for unrestricted activity after eight weeks, for example, your total waiting period would be 12 weeks. That extra time will help you regain the physical fitness and aerobic capacity you lose from atrophy during your recuperation. Once you\u2019re back into a regular exercise routine after the waiting period, you can discuss a return to diving with your doctor. <\/p>\n\n\n\n

Diving typically requires you to perform certain physical demands that you may want to discuss with your orthopedic surgeon. You need to be able to carry weights around and walk while fully geared. Your dive preparation might require significant weight on your shoulders. Boarding a boat after diving means you need to climb a ladder fully geared. Shore dives could pose an additional risk, with the difficulty of navigating surge and uneven surfaces such as river rocks and iron shore. If you are in a leadership position, you\u2019ll also need to be ready to help others with their gear and keep them safe by whatever means necessary,\u00a0so your physician will need to feel comfortable that you will be up to the task.<\/p>\n\n\n\n

Terdapat peningkatan risiko DCS tulang belakang pada orang yang pernah mengalami cedera tulang belakang, termasuk pembedahan. Menambahkan perilaku konservatif sebanyak mungkin saat menyelam akan membantu mengurangi risiko ini, tetapi tidak ada yang dapat menghilangkannya. Perilaku seperti menyelam dengan nitrox saat menggunakan meja udara, membatasi jumlah penyelaman per hari, membatasi jumlah hari penyelaman berturut-turut, dan meningkatkan waktu berhenti dan interval permukaan adalah perubahan yang mudah dilakukan.<\/p>\n\n\n\n

\u2014 Lana P. Sorrell, MBA, EMT, DMT<\/em><\/p>\n\n\n\n

<\/div>\n\n\n
\n
\"vertigo<\/figure>\n<\/div>\n\n\n

I was recently diagnosed with benign paroxysmal positional vertigo (BPPV). I\u2019m seeing a physical therapist to\u00a0resolve the vertigo and move the otoliths (crystals) out of my inner-ear canals. If my symptoms are resolved, and I am not experiencing vertigo, do you know of any pressure-related issues concerning BPPV that I should be aware of while diving?<\/span><\/strong><\/p>\n\n\n\n

with BPPV, diving is not recommended for anyone with this condition.\u00a0Certain head and neck movements while on deck, entering and leaving the water, and during the dive may provoke another episode and result in serious injury. It\u2019s a good idea to consider the risk of incapacitation from a sudden onset of vertigo, the danger of which increases exponentially in the underwater environment.<\/p>\n\n\n\n

Selain itu, gejala BPPV dapat menyerupai gejala yang terlihat pada kondisi medis serius seperti DCS dan menyebabkan diagnosis yang tidak tepat atau salah atas kondisi yang mendasarinya, yang dapat mengakibatkan pengobatan yang tidak tepat. Gejala BPPV dapat melemahkan atau melumpuhkan, sehingga penyelam perlu mempertimbangkan risiko terhadap diri sendiri dan orang lain di sekitarnya jika memerlukan bantuan. <\/p>\n\n\n\n

Sebelum menyelam, dokter yang terlatih dalam bidang kedokteran selam harus mengevaluasi kondisi Anda dan menjelaskan risikonya dengan hati-hati.<\/p>\n\n\n\n

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

\u00a9 Alert Diver<\/em> \u2014 Q2 2022<\/p>","protected":false},"excerpt":{"rendered":"

SPESIALIS INFORMASI MEDIS DAN\u00ae dan para peneliti menjawab pertanyaan pengobatan selam Anda. \"Saya menderita Bell's palsy. Karena efek internalnya, apakah ada alasan saya tidak boleh menyelam? Saya memahami risiko efek eksternalnya - tetapi apakah menyelam dapat menyebabkan ...\"<\/p>","protected":false},"featured_media":22183,"template":"","dan_alert_diver_categories":[90],"dan_alert_diver_issues":[479],"class_list":["post-22182","dan_alert_diver","type-dan_alert_diver","status-publish","has-post-thumbnail","hentry","dan_alert_diver_categories-dan-mission","dan_alert_diver_issues-q2-2022"],"acf":[],"yoast_head":"\nBell\u2019s Palsy and Surgery - DAN World<\/title>\n<meta name=\"description\" content=\"DAN\u00ae MEDICAL INFORMATION SPECIALISTS 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\/id\/alert-diver\/article\/bells-palsy-and-surgery\/\" \/>\n<meta property=\"og:locale\" content=\"id_ID\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Bell\u2019s Palsy and Surgery\" \/>\n<meta property=\"og:description\" content=\"DAN\u00ae MEDICAL INFORMATION SPECIALISTS and researchers answer your dive medicine questions. \u201cI have developed Bell\u2019s palsy. 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