Decompression sickness happens because of injuries that happen as a result of the decrease in surrounding pressure that may be in the air or in water. More often, it is seen in deep-sea divers, though it can also happen in higher altitudes as well. In pressurized aircrafts decompression sickness is rare. Extra oxygen and nitrogen are required during scuba dive in compressed air.
Our body utilizes the oxygen, but the nitrogen present in the blood remains dissolved during diving. The surrounding water pressure decreases when we swim near the surface of the water after a deep dive. If this thing happens more often and the body does not get sufficient time to clear nitrogen from the blood, it will lead to Decompression sickness. Hence, it will separate the blood and leads to the formation of bubbles in tissue and blood. These nitrogen bubbles cause decompression sickness. The condition is also called as bends because severe pain in joints and bones can be seen during this.
The workings of decompression sickness can easily understand by observing the opening of carbonated drinks. When we open the bottle, the surrounding pressure of the beverage in the container decreases, which leads to the exhaustion of the gas from the liquid in the form of bubbles. Nitrogen bubbles can damage the blood vessels and can restrict the normal blood flow.
There are various factors that increase the risk of decompression sickness like some defects in heart muscles that may be the patent foramen ovale, ventricular septal defect, or atrial septal defect. This happens because the bubbles produce increased pressure in the lungs, and the blood and the bubbles from the vein can flow more rapidly through the heart-opening. Without getting sufficient oxygen, the blood can be circulated into arteries. The opening present in the heart can permit the big air bubbles to move inside the artery. This air bubble can also lead to stroke. A person older than 30 has chances of being affected by this. Low cardiovascular fitness can increase the chances of decompression sickness. More body fat narrows down the wall of blood vessels.
Frequent use of alcohol and tobacco, insomnia, and fatigue, diving in cold water are some of the factors that lead to DCS. A person suffering from asthma has thin-walled air pockets in their lungs known as bullae. When a person exhales, the pockets could not be emptied soon. When they return to the surface water after deep diving, the air inside the bullae increases. In the worst condition when the bullae rupture, it can collapse the lungs and permits the large air bubble to move into the artery.
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