{"id":64615,"date":"2015-02-09T00:00:00","date_gmt":"2015-02-09T00:00:00","guid":{"rendered":"http:\/\/kentyasam.com.tr\/wp\/?p=64615"},"modified":"2015-02-09T00:00:00","modified_gmt":"2015-02-09T00:00:00","slug":"dagcilikta-ilk-kural-once-guvenlik","status":"publish","type":"post","link":"https:\/\/kentyasam.com.tr\/wp\/2015\/02\/09\/dagcilikta-ilk-kural-once-guvenlik\/","title":{"rendered":"Da\u011fc\u0131l\u0131kta ilk kural: \u00d6nce g\u00fcvenlik"},"content":{"rendered":"\u00d6demi\u015f Bozda\u011f\u0092da ya\u015fanan kabus dolu 24 saat, ak\u0131llara da\u011fc\u0131l\u0131k sporunu yapanlar\u0131n yeterince g\u00fcvenlik \u00f6nlemi al\u0131p almad\u0131\u011f\u0131n\u0131 getirdi.\r
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Her konuda oldu\u011fu gibi da\u011f t\u0131rman\u0131\u015flar\u0131nda ve da\u011fc\u0131l\u0131kta \u00f6n haz\u0131rl\u0131k \u00e7ok \u00f6nemlidir. Gerek y\u00fcr\u00fcy\u00fc\u015f \u00f6ncesi ve gerekse t\u0131rman\u0131\u015f \u00f6ncesinde planlama \u015fartt\u0131r. \r
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Bu s\u0131rada hava ko\u015fullar\u0131, g\u00fczergah \u015fartlar\u0131, kullan\u0131lacak malzemeler g\u00f6zden ge\u00e7irilmelidir. Da\u011f t\u0131rman\u0131\u015flar\u0131 s\u0131ras\u0131nda mola verilecek yerler, mola s\u00fcresi belirlenmelidir.\r
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Ara\u00e7 trafi\u011finde kurallar nas\u0131l net ise, da\u011fc\u0131l\u0131kta da her kural son derece nettir. Net olmal\u0131d\u0131r. Aksi durumda sonu\u00e7lar insan ya\u015fam\u0131n\u0131 olumsuz etkileyecek buyutlara ula\u015fabilir. \r
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Y\u00fcksek ortamlara \u00e7\u0131k\u0131ld\u0131k\u00e7a hava bas\u0131nc\u0131yla birlikte havadaki oksijen seviyesi d\u00fc\u015fer. Buna ba\u011fl\u0131 olarak her nefes ald\u0131\u011f\u0131m\u0131zda akci\u011ferlerimize giden oksijen miktar\u0131 azal\u0131r. \r
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Artan hareketle birlikte v\u00fccudun oksijen ihtiyac\u0131 artar ve solunum h\u0131zlan\u0131r. T\u00fcm bunlara ve \u00e7evre farkl\u0131l\u0131klar\u0131na v\u00fccudun uyum sa\u011flamas\u0131na aklimatizasyon denir. \r
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Da\u011fc\u0131l\u0131kta s\u0131k\u00e7a g\u00f6r\u00fclen hastal\u0131klar ve acil durumlar \u015funlard\u0131r:\r
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1. Akut da\u011f hastal\u0131\u011f\u0131 (ADH) <\/b>\r
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Nedenleri: <\/b>\r
– Y\u00fcksek irtifaya h\u0131zl\u0131 \u00e7\u0131k\u0131\u015f\r
– Ki\u015fisel duyarl\u0131l\u0131k\r
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Belirtiler: <\/b>\r
– Egzersiz s\u0131ras\u0131nda solunum s\u0131k\u0131nt\u0131s\u0131\r
– Ba\u015f a\u011fr\u0131s\u0131\r
– Bulant\u0131, kusma\r
– \u0130\u015ftahs\u0131zl\u0131k \r
– Huzursuzluk\r
– Ki\u015filik de\u011fi\u015fiklikleri\r
– Uykusuzluk\r
– T\u0131rmanma performans\u0131nda d\u00fc\u015fme\r
– \u0130drar yapamama\r
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\u0130lkyard\u0131m: <\/b>\r
– Belirtiler ortadan kaybolana kadar daha y\u00fckse\u011fe \u00e7\u0131kmay\u0131n.\r
– Yorucu olmayan egzersizler yap\u0131n.\r
– Bol bol su i\u00e7in\r
– Asetezolamid (Diamox\u00ae) hastal\u0131\u011f\u0131n ilerlemesini genellikle durdurur.\r
– Ba\u015f a\u011fr\u0131s\u0131 varsa Aspirin\u00ae veya parasetamol i\u00e7eren bir ba\u015fka ila\u00e7 al\u0131nabilir.\r
– Bulant\u0131 kusma varsa bulant\u0131 giderici ila\u00e7 al\u0131nabilir. Hem a\u011fr\u0131 kesiciler, hem de bulant\u0131 gidericiler hastal\u0131\u011f\u0131 tedavi etmek i\u00e7in de\u011fil sadece belirtileri hafifletmek i\u00e7indir ancak hastal\u0131\u011f\u0131n ilerledi\u011fini gizleyebilirler, bu nedenle \u00e7ok fazla \u015fikayet yoksa kullanmamakta yarar vard\u0131r.\r
– Uykusuzluk i\u00e7in kesinlikle uyku ilac\u0131 kullanmay\u0131n! \u00c7\u00fcnk\u00fc hastal\u0131\u011f\u0131n ilerleyip ilerlemedi\u011fi bu \u015fekilde fark edilmeyebilir.\r
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\u00d6nlemler: <\/b>\r
– Yava\u015f \u00e7\u0131k\u0131\u015f yap\u0131n, genellikle g\u00fcnde 300 m\u0092den daha fazla y\u00fckselmeyin.\r
– Daha \u00f6nceden duyarl\u0131 oldu\u011fu bilinen ki\u015filer asetezolamid (Diamox\u00ae) kullanabilirler. Bu \u015fekilde akut da\u011f hastal\u0131\u011f\u0131 geli\u015fmesi \u00f6nlenir.\r
– Karbonhidrattan zengin, ya\u011fdan fakir yiyecekler yiyin.\r
– Bol bol su i\u00e7in.\r
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2. Y\u00fcksek irtifa akci\u011fer \u00f6demi (Y\u0130A\u00d6) <\/b>\r
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Akut da\u011f hastal\u0131\u011f\u0131 \u0131n daha ilerlemi\u015f \u015feklidir. E\u011fer akut da\u011f hastal\u0131\u011f\u0131 tedavi edilmezse ilerler ve akci\u011ferlerde su toplan\u0131r. Y\u00fczde 2\u0092den daha az s\u0131kl\u0131kla g\u00f6r\u00fclmektedir. Genellikle sa\u011fl\u0131kl\u0131 ve kondisyonu iyi olan ki\u015filerde g\u00f6r\u00fcl\u00fcr. \u00c7\u00fcnk\u00fc bu ki\u015filer daha fazla efor harcamakta ve daha k\u0131sa s\u00fcrelerde y\u00fckseklere \u00e7\u0131kmaktad\u0131rlar. Bazen y\u00fcksek irtifa beyin \u00f6demi ile birlikte g\u00f6r\u00fcl\u00fcr.\r
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Nedenleri: <\/b>\r
– Y\u00fcksek irtifaya h\u0131zl\u0131 \u00e7\u0131k\u0131\u015f\r
– Ki\u015fisel duyarl\u0131l\u0131k\r
\r
Belirtiler: <\/b>\r
Akut da\u011f hastal\u0131\u011f\u0131 belirtileri bunda da vard\u0131r. Ayr\u0131ca;\r
– A\u015f\u0131r\u0131 nefes a\u00e7l\u0131\u011f\u0131,\r
– Solunum say\u0131s\u0131nda artma,\r
– Nab\u0131z say\u0131s\u0131nda artma,\r
– Kesik kesik \u00f6ks\u00fcrme,\r
– \u00d6ks\u00fcrmekle k\u00f6p\u00fckl\u00fc balgam gelmesi,\r
– Kanl\u0131 balgam gelmesi,\r
– Tedavi edilmezse koma ve \u00f6l\u00fcm.\r
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\u0130lkyard\u0131m: <\/b>\r
– Hastaya varsa hemen oksijen vermeye ba\u015flay\u0131n.\r
– Gamow\u00ae \u00e7antas\u0131 varsa hastay\u0131 i\u00e7ine koyun. Bu \u015fekilde hasta \u00fczerindeki bas\u0131nc\u0131 artt\u0131rm\u0131\u015f oluruz ve hafif bir akci\u011fer \u00f6demi varsa bu \u015fekilde d\u00fczelebilir.\r
– Hastay\u0131 daha fazla y\u00fckseklere \u00e7\u0131karmay\u0131n ve hemen a\u015fa\u011f\u0131 rak\u0131mlara indirin.\r
– A\u011f\u0131z yoluyla bir kaps\u00fcl Nidilat\u00ae (nifedipine) verilebilir, fakat bunu vermek i\u00e7in hastan\u0131n tansiyonunun d\u00fc\u015f\u00fck olmamas\u0131 gerekmektedir.\r
– Asetezolamid (Diamox\u00ae) hastal\u0131\u011f\u0131n ilerlemesini genellikle durdurur.\r
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\u00d6nlemler: <\/b>\r
– Yava\u015f \u00e7\u0131k\u0131\u015f yap\u0131n, genellikle g\u00fcnde 300 m\u0092den daha fazla y\u00fckselmeyin.\r
– Belirtiler ortaya \u00e7\u0131kt\u0131\u011f\u0131 anda hemen a\u015fa\u011f\u0131 rak\u0131mlara inilmelidir.\r
– Daha \u00f6nceden duyarl\u0131 oldu\u011fu bilinen ki\u015filer asetezolamid (Diamox\u00ae) kullanabilirler. Bu \u015fekilde y\u00fcksek irtifa akci\u011fer \u00f6demi geli\u015fmesi \u00f6nlenebilir.\r
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3. Y\u00fcksek irtifa beyin \u00f6demi (Y\u0130B\u00d6) <\/b>\r
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Akut da\u011f hastal\u0131\u011f\u0131n\u0131n daha ilerlemi\u015f \u015feklidir, beyine su toplanmas\u0131 nedeni ile beynin \u015fi\u015fmesidir ve y\u00fcksek irtifa akci\u011fer \u00f6demi ile beraber g\u00f6r\u00fcl\u00fcr. Tedavi edilmedi\u011fi takdirde \u00f6l\u00fcmle sonu\u00e7lanabilir.\r
\r
Nedenleri: <\/b>\r
– Y\u00fcksek irtifaya h\u0131zl\u0131 \u00e7\u0131k\u0131\u015f\r
– Ki\u015fisel duyarl\u0131l\u0131k\r
\r
Belirtiler: <\/b>\r
Akut da\u011f hastal\u0131\u011f\u0131 belirtileri bunda da vard\u0131r. \r
Ayr\u0131ca;\r
– Uyku hali\r
– Davran\u0131\u015flar\u0131n\u0131 kontrol edememe\r
– Alkol alm\u0131\u015f gibi davran\u0131\u015flar\r
– \u015eiddetli ba\u015f a\u011fr\u0131s\u0131\r
– Bulant\u0131, kusma\r
– Tedavi edilmezse koma ve \u00f6l\u00fcm ger\u00e7ekle\u015fir.\r
\r
\u0130lkyard\u0131m: <\/b>\r
– Hastaya varsa hemen oksijen sa\u011flay\u0131n.\r
– Gamow\u00ae \u00e7antas\u0131 varsa hastay\u0131 i\u00e7ine koyun. Bu \u015fekilde hasta \u00fczerindeki bas\u0131nc\u0131 artt\u0131rm\u0131\u015f olursunuz . Fakat tedaviye al\u0131nan cevap y\u00fcksek irtifa akci\u011fer \u00f6deminden daha azd\u0131r. \r
– Hastay\u0131 daha fazla y\u00fckseklere \u00e7\u0131karmay\u0131n ve hemen a\u015fa\u011f\u0131 rak\u0131mlara indirin.\r
– Deksametazon (Dekort\u00ae) kas i\u00e7ine ve ya a\u011f\u0131z yoluyla kullan\u0131labilir.\r
– Asetezolamid (Diamox\u00ae) hastal\u0131\u011f\u0131n ilerlemesini genellikle durdurur.\r
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\u00d6nlemler: <\/b>\r
– Yava\u015f \u00e7\u0131k\u0131\u015f yap\u0131n, genellikle g\u00fcnde 300 metreden daha fazla y\u00fckselmeyin.\r
– Belirtiler ortaya \u00e7\u0131kt\u0131\u011f\u0131 anda hemen a\u015fa\u011f\u0131 rak\u0131mlara inilmelidir.\r
– Daha \u00f6nceden benzer yak\u0131nmalar\u0131 oldu\u011fu bilinen ki\u015filer asetezolamid (Diamox\u00ae) ve deksametazon (Dekort\u00ae) kullanabilirler. Bu \u015fekilde y\u00fcksek irtifa beyin \u00f6demi geli\u015fmesi \u00f6nlenebilir.\r
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4. Kar k\u00f6rl\u00fc\u011f\u00fc<\/b>\r
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Y\u00fcksek irtifalarda ultraviyole (UV) \u0131\u015f\u0131nlar\u0131 atmosferde daha fazla bulunmakta ve v\u00fccuda zarar\u0131 varmektedir, ayr\u0131ca her 300 metrede radyasyon ortalama y\u00fczde 5 artmaktad\u0131r. Y\u00fckseklerde karlardan da yans\u0131yan bu zararl\u0131 \u0131\u015f\u0131nlar\u0131n artmas\u0131na ba\u011fl\u0131 olarak g\u00f6z\u00fcn d\u0131\u015f k\u0131sm\u0131nda yan\u0131klar olu\u015fmaktad\u0131r. Bunlara kar k\u00f6rl\u00fc\u011f\u00fc denilmektedir.\r
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Nedenleri: <\/b>\r
– Y\u00fcksek irtifada g\u00f6z\u00fc koruyucu g\u00fcne\u015f g\u00f6zl\u00fcklerinin kullan\u0131lmamas\u0131\r
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Belirtiler: <\/b>\r
– G\u00f6zde a\u011fr\u0131\r
– G\u00f6ze yabanc\u0131 cisim ka\u00e7m\u0131\u015f hissi\r
– G\u00f6zde sulanma\r
– G\u00f6zde k\u0131zarma\r
– G\u00f6z kapaklar\u0131nda \u015fi\u015flik\r
– I\u015f\u0131\u011fa bakamama\r
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\u0130lkyard\u0131m: <\/b> \r
– \u015eiddetli a\u011fr\u0131 varsa a\u011fr\u0131 kesiciler kullan\u0131labilir.\r
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\u00d6nlemler: <\/b>\r
– Kar k\u00f6rl\u00fc\u011f\u00fcn\u00fc \u00f6nlemek tedavi etmekten \u00e7ok daha kolayd\u0131r. Bunun i\u00e7in y\u00fcksek irtifalarda UV filtreli polarize camlar\u0131 olan g\u00fcne\u015f g\u00f6zl\u00fckleri kullan\u0131lmal\u0131d\u0131r.\r
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5. Y\u00fcksek irtifaya ba\u011fl\u0131 faranjit ve bron\u015fit<\/b>\r
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Y\u00fcksek irtifada so\u011fuk ve kuru havan\u0131n etkisi ile bo\u011faz ve akci\u011ferlerde farenjit ve bron\u015fit geli\u015febilir. Geli\u015fen bu hastal\u0131klar mikrobik de\u011fildir. Tamamen so\u011fuk havan\u0131n tahri\u015f edici etkisine ba\u011fl\u0131d\u0131r.\r
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Nedenleri: <\/b>\r
– Kuru ve so\u011fuk havan\u0131n solunmas\u0131\r
– V\u00fccudun susuz kalmas\u0131\r
– Nefesimizi \u0131s\u0131tacak balaklava ve benzeri malzemenin kullan\u0131lmamas\u0131.\r
\r
Belirtiler: <\/b>\r
– Bo\u011faz a\u011fr\u0131s\u0131\r
– \u00d6ks\u00fcr\u00fck\r
– Balgam\r
– Nefes darl\u0131\u011f\u0131\r
\r
\u0130lkyard\u0131m:<\/b>\r
– \u015eiddetli a\u011fr\u0131 varsa a\u011fr\u0131 kesiciler kullan\u0131labilir.\r
– Nemli hava solutulur.\r
– Bo\u011faz pastilleri kullan\u0131labilir.\r
– Faranjit ve bron\u015fit iltihabi nitelikte olmad\u0131\u011f\u0131 i\u00e7in antibiyotik kullan\u0131lmas\u0131na gerek yoktur.\r
\r
\u00d6nlemler:\r
<\/b>– \u015eeker gibi a\u011f\u0131z salg\u0131s\u0131n\u0131 artt\u0131r\u0131c\u0131 g\u0131dalar yemek.\r
– Nefesi \u0131s\u0131tmak i\u00e7in balaklava kullanmak.\r
\r
Dikkat ! <\/b>\r
٭ \u0130lkyard\u0131m uygulamalar\u0131 ila\u00e7s\u0131z uygulamalard\u0131r. Ancak, da\u011f ile ilgili acil olgularda baz\u0131 ila\u00e7lar ya\u015fam kurtar\u0131c\u0131 oldu\u011fundan bu konuda e\u011fitimli ve deneyimli da\u011fc\u0131lar taraf\u0131ndan kullan\u0131labilir.

Related Images:<\/h3>","protected":false},"excerpt":{"rendered":"

\u00d6demi\u015f Bozda\u011f\u0092da ya\u015fanan kabus dolu 24 saat, ak\u0131llara da\u011fc\u0131l\u0131k sporunu yapanlar\u0131n yeterince g\u00fcvenlik \u00f6nlemi al\u0131p almad\u0131\u011f\u0131n\u0131 getirdi. Her konuda oldu\u011fu gibi da\u011f t\u0131rman\u0131\u015flar\u0131nda ve da\u011fc\u0131l\u0131kta […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"ngg_post_thumbnail":0,"footnotes":""},"categories":[60],"tags":[],"_links":{"self":[{"href":"https:\/\/kentyasam.com.tr\/wp\/wp-json\/wp\/v2\/posts\/64615"}],"collection":[{"href":"https:\/\/kentyasam.com.tr\/wp\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/kentyasam.com.tr\/wp\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/kentyasam.com.tr\/wp\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/kentyasam.com.tr\/wp\/wp-json\/wp\/v2\/comments?post=64615"}],"version-history":[{"count":0,"href":"https:\/\/kentyasam.com.tr\/wp\/wp-json\/wp\/v2\/posts\/64615\/revisions"}],"wp:attachment":[{"href":"https:\/\/kentyasam.com.tr\/wp\/wp-json\/wp\/v2\/media?parent=64615"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/kentyasam.com.tr\/wp\/wp-json\/wp\/v2\/categories?post=64615"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/kentyasam.com.tr\/wp\/wp-json\/wp\/v2\/tags?post=64615"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}