Maarten Vasbinder anogara kuIsaan. Basa rake ndere general practitioner, basa raainyanya kudzidzira kuSpain. PaThailandblog anopindura mibvunzo kubva kuvaverengi vanogara muThailand uye anonyora nezvechokwadi chezvekurapa.
Iwe une mubvunzo kuna Maarten uye unogara muThailand here? Tumira izvi kumupepeti: www.thailandblog.nl/contact/ Zvakakosha kuti upe ruzivo rwakakwana se:
- Zera
- Zvichemo)
- Nhoroondo
- Kushandiswa kwemishonga, kusanganisira kuwedzera, nezvimwewo.
- Kusvuta, doro
- kufuta
- Optional: mhedzisiro yerabhoritari uye kumwe bvunzo
- Zvinogoneka BP
Unogona kutumira mafoto ku [email inodzivirirwa] zvese zvinogona kuitwa zvisingazivikanwe, zvakavanzika zvako zvinovimbiswa.
Cherechedzo: Sarudzo yekupindura inovharwa nekusarudzika kudzivirira kuvhiringika nemazano asina kutsigirwa nemishonga nevaverengi vane vavariro yakanaka.
Wadiwa Martin,
Ndichangobva kuverenga nyaya yaM. maererano nekurwadza kwenzeve mushure mekunyura. Ndakatanga kunyura pachangu neSSI (scuba school international) ndokubva ndachinjira kuPADI, kwandakatora kudzidziswa kwekudzikinura makore maviri apfuura ndokupasa bvunzo. Hapana chikoro chekudhiraivha chakanangana nemusoro we "erache".
Muchidzidzo chekutanga che "mvura yakazaruka", dingindira re "pressure" rinokurukurwa, asi harina kubatana nekurwadziwa kwenzeve. Zvinonzi iwe unofanirwa "kuenzanisa" kubvisa mutsauko wepakati pakati penzeve yemukati neyekunze. Vanhu vazhinji vanovhara mhino dzavo kwekanguva voita sevanofuridza zvine simba. Ini ndiri mumwe wevane rombo rakanaka vanogona kuburitsa urume ndisina kubata mhino dzangu.
Ku (zvikuru) kutsanangura kurwadza kwenzeve, ndinoda kudzokera kune "kudzvinyirira". Kana iyo diver ine musoro wayo pamusoro pemvura, kumanikidzwa kwenzeve yemukati uye kunze kwenzeve kwakafanana, kureva kumanikidzwa kwemhepo kweinenge 1 bar. Panzvimbo yegungwa, iyo dzvinyiriro inogona kusiyana zvishoma zvichienderana nenzvimbo yekumanikidza iri pamusoro penzvimbo yekunyura, i.e. low-pressure area kana high-pressure area. Zvisinei, pachezvayo iyi tsinhiro shoma shoma haina kukosha maererano nenzeve.
Chinonyanya kukosha ndechekusiyana kwekumanikidzwa kana wapinda pasi. Pakutanga vanongobata nzeve yekunze. Panguva yekudzidziswa kwake, diver M. zvichida haana kuita chibatanidzo pakati pekunzwa uye kudzvinyirira kusiyanisa pasi pemvura.
Panguva yekunyura, kudzvanywa kwenzeve yekunze kunowedzera ne1 bar pamamita gumi ekudzika kwakadzika. Saka pakudzika kwemamita gumi une 10 bar pressure, pa 10 metres une 2 bar uye... pa 20 metres une 3 bar pressure.
Saka iwe unoona kuti kudzvanywa kwakasiyana kwakakura panguva yekutanga 10 metres yekudzika, uko kudzvanywa kunowedzera ne100%, kureva kubva pa1 bar kuenda ku2 bar. Iwo ekutanga 10 metres ingori nzvimbo yekunyura yenovice diver. Nekumanikidza kuwedzera kwe100% panzeve yekunze uye ..% panzeve yemukati, kuenzana munzvimbo iyi yekunyura kwakakosha zvakanyanya. Kana uchinge wapfuura iyo 10m kudzika, clearance inongoitika zvishoma nezvishoma, nekuti kudzvanywa kwakasiyana hakuchisiri kwakanyanya.
Kudzokera kune diver M.'s earache: kana iwe ukadzima nzeve uye uchiri kurwadziwa nenzeve, ndinofunga pane zvikonzero zviviri zveizvi:
1) iwe uri pakati pevarombo vashoma vanoda kubhadhara zvakanyanya kujekesa kana
2) sewekutanga wakakwira nekudzika zvakanyanya munzvimbo yemamita gumi (= wakaita yakawandisa yo-yo)
The novice diver inobhadhara zvakanyanya kuzvinhu kusvika pa50th dive, saka kutarisisa kushoma kunobhadharwa kune kudzika kwakadzika. Misiyano yedzvinyiriro inomuka panguva yeyo-yoing munzvimbo yegumi-mamita inogona kukonzeresa kuruma kwakanyanya munzeve, nekuti iyo novice diver haiyeuke kujekesa zvakare munguva mushure mekutanga kubvumidzwa. Munguva iyoyo yo-yo zvakakosha kuenzana zvakare uye zvakare kubvisa iyo misiyano mikuru yekumanikidza. Zvinosiririsa kuti izvi hazvina kutaurwa mumashoko akawanda kudaro muSSI nePADI kosi mabhuku, unofanira kuverenga pakati pemitsetse.
Isu hatishandisi mushonga wemhino, nekuti kurwadza kwenzeve kazhinji hakunei neyakavharwa Eustachian chubhu, asi kutadza kujekesa nenguva. Nenzira, iwe unoita kuenzana kusati kwanyanya kumanikidza kunze. Paunenge uchinge wanzwa kurwadziwa, yatove kunonoka uye zvinokanganisa yako yese dive.
Isu tinoshandisa madonhwe munzeve atinozviita isu kupfavisa tambo. Ndiko musanganiswa wevhiniga nekukwesha doro. Dr Maarten vanogona kukwanisa kutaura zvakawanda nezve reshiyo yekusanganisa.
Kwaziwai.
Rene (BE)
*****
Wadiwa Rene,
Auditory tuba, kana Eustachian chubhu, inobatanidza nasopharynx kusvika pakati kwenzeve uye inovimbisa kuti kumanikidza kwemativi ese eeardrum kunoramba kwakaenzana. Iyo chubhu yakaita sehwamanda (tuba) uye ine chikamu chakamanikana kwazvo pakati. Musuwo wemhino unovharika nyore kana uchitonhora.
Kunze kwemuto, kuchenesa hakuna chinhu kunze kwekuwedzera kana kuderedza kudzvinyirira mukati meeardrum, kuitira kuti kusiyana kwepakati mukati nekunze kunoswedera kune mumwe. Kana iyo Eustachian chubhu yakavharwa, unogona kuita chero chaunoda, asi pasina kubudirira. Vanhu vanotambura neizvi zvakawanda vanobatsirwa kubva pakudonha kwemhino, asi ndizvo zvakaitawo vamwe, uye zvechokwadi vanotanga.
Donhwe remumhino rinokwesha chubhu nechinhu chakafanana neadrenaline. Madonhwe emunyu, ayo anowanzoshandiswa, haaiti chinhu. Mundege ndiyo imwe nzira. Pane kudzvinyirira kwakashata ipapo, kuitira kuti eardrum inosundirwa kunze. Kumedza kazhinji kunobatsira. Kuzamura uye kusimudza mhino dzako zviri nani. Uyewo chimiro chekuenzanisa.
Kurwadza kwenzeve kana kunyura nekubhururuka kunokonzerwa nekudzvanyirira kusiyana. Dura renzeve rinonzwa zvakanyanya uye rinorwadza kana rikaiswa mukati kana kubuda kunze. Kudonha kwemhino kunogonawo kubatsira mundege.
Ivhiniga pamwe nedoro inodzivirira zvirwere zvekunze kwenzeve (otitis externa) uye haina chekuita nekuita kuti eardrum ishanduke. Vhiniga chete inokwana. Donhwe rimwe chete usati wanyura uye wapedza kudhivha, omesa nzeve nechikanyisa chinotonhora uyezve imwe donhwe revhiniga. Doro rinogona kutokuvadza tambo yenzeve. Donhwe remhino revhiniga rakasanganiswa ne polyethylene glycol rinoshanda zvakanaka kune otitis kunze, asi usazvidurura iwe pachako, nokuti madonhwe anofanira kunge asina mbereko.
Otitis externa inorwadza zvikuru, asi rombo rakanaka kurapa. Mishonga inorwisa mabhakitiriya hainyanyi kukosha. Zvisinei, nzeve inoda kucheneswa, izvo zvinogona kurwadza. Usambozviita iwe pachako.
Mukuita kwangu ndakaona zvingangoita 25 zviitiko zve otitis externa mumakore makumi maviri nemashanu. Kamwe chete chiremba weENT akabatanidzwa, hapana chaaigona kuita nezvazvo, uye kanokwana gumi nemaviri chete maantibioti akashandiswa. Takagadzira donho redu, iro richiri kushandiswa nanhasi.
Usambofa wakaenda kudhivha kana kushambira neanonzi magrommets (machubhu mueardrum), zvisinei kuti vanachiremba vanoti chii. Hapana dambudziko mumvura inotonhora, asi matambudziko makuru anogona kuitika mumvura inodziya kupfuura 25 degrees.
Chirwere chemukati nzeve chinokonzerwa nemvura yakasviba kubva kunze chakaoma zvikuru kurapa. Earplugs hainawo kukurudzirwa, nokuti inopa pfungwa yenhema yekuchengeteka. Earplugs anogara achidonhedza uye kuseri kweplug nzvimbo inonakidza inogadzirwa kune zvese zvinokura nekutumbuka uye zvinodakadza mugero wenzeve.
Diving inoratidzika kwandiri seyakanakisa tsananguro yekuenzana. "Edza kubvisa mutsauko wekumanikidza pakati pemukati nekunze kweeardrum." Zviripachena iyo tekinoroji yakakosha, asi zvakatonyanya kukosha ndeye inoshanda nemazvo Eustachian chubhu. Chubhu yangu haishande nemazvo, ndicho chimwe chezvikonzero zvinoita kuti ndisanyure. Chimwe chikonzero ndechekuti handisi kuzoedza kuva nani pane hove iri kunze kwemvura. Mwanakomana wangu, kune rumwe rutivi, murayiridzi wokunyura mubako, chiitwa chandagara ndichitevera nokutya nokudedera. Sezvineiwo, iye zvino anoshandisa uropi hwake zvakare.
Ndaigara ndichiongorora vapfuri muSpain. Kunyatsoongorora ENT kwakakosha, kunyanya kune vanotanga. Kana chimwe chinhu chisina kunaka, chikoro chakanaka chekudhivha hachizovagamuchire sevadzidzi.
A tonsil hombe iri musimboti atova contraindication.
Wako akatendeka
Dr. Maarten