{"id":25618,"date":"2023-10-12T11:17:47","date_gmt":"2023-10-12T15:17:47","guid":{"rendered":"https:\/\/world.dan.org\/?post_type=dan_alert_diver&p=25618"},"modified":"2023-10-19T11:51:57","modified_gmt":"2023-10-19T15:51:57","slug":"low-platelet-count-and-diving","status":"publish","type":"dan_alert_diver","link":"https:\/\/world.dan.org\/id\/alert-diver\/article\/low-platelet-count-and-diving\/","title":{"rendered":"Jumlah Trombosit Rendah dan Menyelam"},"content":{"rendered":"
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\u00a9 ISTOCK\/ MPHILLIOS007<\/figcaption><\/figure>\n<\/div>\n\n\n\n
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Q:<\/strong> Saya didiagnosis menderita trombosit rendah. Apakah saya boleh menyelam?<\/strong><\/p>\n\n\n\n

Sebelum menyelam, Anda dan dokter Anda harus mempertimbangkan beberapa efek yang mungkin terjadi akibat jumlah trombosit yang rendah. Dalam beberapa kasus, hal ini dapat memengaruhi kemampuan tubuh untuk membeku dengan baik sebagai respons terhadap cedera. Luka dan memar adalah cedera yang umum terjadi pada hampir semua aktivitas rekreasi di luar ruangan, jadi Anda harus berhati-hati untuk menghindari luka dan goresan.<\/p>\n\n\n\n

Barotrauma telinga tengah dan sinus adalah cedera selam yang paling umum terjadi. Cedera ini biasanya dapat sembuh sendiri, karena pembekuan normal menghentikan pendarahan internal, sehingga penyelam memiliki waktu untuk mencari perawatan medis profesional. Jika penyelam mengalami masalah pembekuan, tekanan pada luka akan mengendalikan pendarahan. Namun, karena tekanan tidak mungkin dilakukan pada pendarahan internal, barotrauma telinga, hidung, dan tenggorokan biasa dapat menjadi keadaan darurat medis. <\/p>\n\n\n\n

Cedera dekompresi menambah dimensi lain pada risiko perdarahan, karena pembentukan dan pertumbuhan gelembung menyebabkan kerusakan jaringan mikroskopis melalui gangguan jaringan mekanis dan proses inflamasi normal. Koagulasi dapat mengendalikan perdarahan mikro ini, dan terapi rekompresi dapat menghentikan pertumbuhan gelembung, membersihkan gas lembam, dan meminimalkan peradangan. Namun, jika penyelam memiliki masalah pembekuan, perdarahan mikro yang disebabkan oleh gelembung dapat mengurangi keefektifan terapi rekompresi. Masalah ini dapat menjadi sangat penting pada kasus yang parah, seperti keterlibatan sumsum tulang belakang atau emboli gas arteri.<\/p>\n\n\n\n

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

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\"Dokter
\u00a9 ISTOCK\/WAVEBREAK MEDIA<\/figcaption><\/figure>\n<\/div>\n\n\n\n
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Q:<\/strong> Enam minggu yang lalu saya menjalani pengangkatan sebagian lobus bawah paru-paru kiri saya karena nodul dari melanoma stadium 4, dan sekarang saya memulai imunoterapi. Dokter bedah dan ahli paru mengatakan bahwa saya aman untuk kembali menyelam. Apakah ada informasi spesifik yang menunjukkan sebaliknya? <\/strong><\/p>\n\n\n\n

Menyelam tidak disarankan selama pengobatan kanker yang sedang berlangsung karena obat yang digunakan tidak dapat diprediksi. Anda mungkin akan berada dalam kondisi kesehatan yang lebih buruk dan lebih lemah dari biasanya selama perawatan. Selain itu, waktu enam minggu tidak cukup untuk penyembuhan menyeluruh setelah prosedur invasif. Pemulihan total dan izin dokter untuk melakukan aktivitas fisik secara penuh dan tidak terbatas diperlukan sebelum menyelam.<\/p>\n\n\n\n

Umumnya, menyelam tidak disarankan setelah operasi apa pun yang mengangkat bagian jaringan paru-paru. Perubahan struktur paru-paru dapat membuat Anda rentan terhadap pneumotoraks yang fatal. Karena barotrauma dapat terjadi dengan hiperinflasi jaringan paru-paru, paru-paru penyelam harus dapat mentolerir perubahan volume dan tekanan yang cepat. <\/p>\n\n\n\n

Jaringan fibrotik atau jaringan parut telah mengurangi kepatuhan, dan setiap kelemahan dalam struktur paru-paru dapat pecah bahkan dari sedikit tekanan yang berlebihan. Pneumotoraks bisa cukup berbahaya jika terjadi sendiri, tetapi akibatnya bisa fatal jika terjadi di dalam air. Hal ini dapat berkembang menjadi pneumotoraks tegang saat mendaki: Paru-paru yang terkena akan kolaps, dan tekanan yang meningkat di bawah air akan menekan jantung, struktur pembuluh darah, dan paru-paru yang sehat beserta jantung dan struktur pembuluh darah. <\/p>\n\n\n\n

Kami menyarankan agar penyedia layanan kesehatan Anda menghubungi kami secara langsung untuk konsultasi. AD <\/p>\n\n\n\n

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

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\"Ben
Ben Strelnick, NREMT, W-EMT<\/figcaption><\/figure>\n<\/div>\n\n\n\n
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Halaman ini didedikasikan untuk mengenang Ben Strelnick (1984-2023), kolega dan teman DAN kami yang meninggal dunia pada bulan Mei karena insiden penyelaman gua.<\/em><\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n

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\u00a9 Alert Diver<\/em> - Q3 2023<\/p>\n\n\n\n

<\/div>","protected":false},"excerpt":{"rendered":"

Sebelum menyelam, Anda dan dokter Anda harus mempertimbangkan beberapa efek yang mungkin terjadi akibat jumlah trombosit yang rendah. Dalam beberapa kasus, hal ini dapat memengaruhi kemampuan tubuh untuk membeku dengan baik sebagai respons terhadap cedera.<\/p>","protected":false},"featured_media":25621,"template":"","dan_alert_diver_categories":[80],"dan_alert_diver_issues":[487],"class_list":["post-25618","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-q3-2023"],"acf":[],"yoast_head":"\nLow Platelet Count and Diving - DAN World<\/title>\n<meta name=\"description\" content=\"Before you dive, you and your doctor should consider some possible effects of having a low platelet count. 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