{"id":883,"date":"2013-04-15T04:19:38","date_gmt":"2013-04-15T04:19:38","guid":{"rendered":"http:\/\/bizimkokpit.com\/?p=883"},"modified":"2015-08-18T05:06:08","modified_gmt":"2015-08-18T05:06:08","slug":"ucucular-icin-fitness","status":"publish","type":"post","link":"https:\/\/bizimkokpit.com\/index.php\/2013\/04\/15\/ucucular-icin-fitness\/","title":{"rendered":"U\u00e7u\u00e7ular i\u00e7in Fitness"},"content":{"rendered":"

\"fff2\"<\/a><\/p>\n

Bir u\u00e7a\u011f\u0131n \u00a0u\u00e7mas\u0131 i\u00e7in t\u00fcm haz\u0131rl\u0131klar yap\u0131ld\u0131 peki ya pilotlar u\u00e7u\u015f g\u00f6revi i\u00e7in haz\u0131rlar m\u0131?
\nU\u00e7u\u015f g\u00f6revi s\u0131ras\u0131nda g\u00fcvenli bir u\u00e7u\u015f i\u00e7in bir pilotun sa\u011fl\u0131kl\u0131, fit ve zihinsel olarak haz\u0131r olmas\u0131 gerekmektedir. A\u015fa\u011f\u0131daki fakt\u00f6rlerin performans\u0131n\u0131 ve u\u00e7u\u015f emniyetini riske ataca\u011f\u0131n\u0131n fark\u0131nda olmal\u0131d\u0131r:
\n1. \u00a0 \u00a0 \u00a0Yorgunluk
\n2. \u00a0 \u00a0 \u00a0Stres
\n3. \u00a0 \u00a0 \u00a0Alkol
\n4. \u00a0 \u00a0 \u00a0Sigara
\n5. \u00a0 \u00a0 \u00a0Beslenme bozuklu\u011fu
\n6. \u00a0 \u00a0 \u00a0D\u00fczensiz egzersiz
\n7. \u00a0 \u00a0 \u00a0T\u0131bbi hastal\u0131klar\u0131: diyabet, hipertansiyon, kanser, A\u0130DS\u2026
\n8. \u00a0 \u00a0 \u00a0\u0130la\u00e7 kullan\u0131m\u0131\u2026<\/p>\n

Bu risklerin fark\u0131nda olmayan, ya\u015fam tarzlar\u0131n\u0131 buna g\u00f6re d\u00fczenlenlemeyen, ufak bir rahats\u0131zl\u0131\u011f\u0131 bile \u00f6nemsemeyen pilotlar yolcular ve u\u00e7ak i\u00e7in ger\u00e7ek tehlike olu\u015fturur. Bu risk \u00e7oklu kokpit ekibi durumlar\u0131nda daha azd\u0131r. Ancak bu durum k\u00f6t\u00fc hava ko\u015fullar\u0131nda, gece g\u00f6r\u00fc\u015f\u00fcn\u00fc etkileyen olumsuzluklarda ve g\u00f6rsel i\u015fitsel ill\u00fczyonlarda risk te\u015fkil eder.
\nU\u00e7ucu ve u\u00e7ucu adaylar\u0131n\u0131n lisanslar\u0131n\u0131n verdi\u011fi yetkileri emniyetle kullanabilmeleri i\u00e7in:
\n\u2022 \u00a0 \u00a0 \u00a0 \u00a0Ba\u015flang\u0131\u00e7ta ve belirli periyotlarla sa\u011fl\u0131k muayenelerinden ge\u00e7meleri gerekiyor.
\n\u2022 \u00a0 \u00a0 \u00a0 Do\u011fu\u015ftan veya sonradan herhangi bir anormallik, aktif, akut, kronik bir hastal\u0131k, yetersizlik, yaralanma, sekel bulunmamal\u0131d\u0131r.
\n\u2022 \u00a0 \u00a0 \u00a0Sa\u011fl\u0131k muayene ba\u015fvurular\u0131nda vermi\u015f olduklar\u0131 sa\u011fl\u0131k bilgilerinin do\u011fru olmas\u0131ndan sorumludurlar. Do\u011fru olmayan ve ya yan\u0131lt\u0131c\u0131 beyanlarda lisans durdurulur.
\n\u2022 \u00a0 \u00a0 \u00a0A\u015fa\u011f\u0131daki durumlardan herhangi birisi mevcut ise AMS, AMC, AME\u2019ye ba\u015fvurmal\u0131d\u0131r<\/p>\n

\u00b7 \u00a0 \u00a0 \u00a0 \u00a0 12 saatten fazla hastane ve klinik giri\u015fi,
\n\u00b7 \u00a0 \u00a0 \u00a0 \u00a0 Ameliyat, invazif i\u015flem,
\n\u00b7 \u00a0 \u00a0 \u00a0 \u00a0 D\u00fczenli ila\u00e7 kullan\u0131m\u0131na ba\u015flama
\n\u00b7 \u00a0 \u00a0 \u00a0 \u00a0 B\u00fcy\u00fck yaralanmalar, travmalar
\n\u00b7 \u00a0 \u00a0 \u00a0 \u00a0 Yeni bir hastal\u0131k tan\u0131s\u0131 konulmas\u0131
\n\u00d6nemeli baz\u0131 durumlardan bahsedersek;
\nKALP HASTALIKLARI
\nKoroner arter hastal\u0131\u011f\u0131 olan ki\u015filer erken evrelerinde te\u015fhis edilmelidir. E\u011fer te\u015fhis edilmesse g\u00f6\u011f\u00fcs a\u011fr\u0131s\u0131 ve enfakt\u00fcsle sonu\u00e7lan\u0131p \u00f6l\u00fcmc\u00fcl durumlara yol a\u00e7abilir.
\nKKH n\u0131n risk fakt\u00f6rler; ailesel, sigara, hipertansiyon, hiperlipidemi, egzersiz yetersizli\u011fi, kilo, stres, \u015feker y\u00fcksekli\u011fi. Pilot bu risk fakt\u00f6rlerini bilmeli ona g\u00f6re ya\u015fam tarz\u0131 s\u00fcrmeli ve \u00f6nlemini hekim yard\u0131m\u0131yla almal\u0131d\u0131r..
\nD\u0130YABET
\n\u0130nsan v\u00fccudu enerji elde etmek i\u00e7in glukoza gereksinim duyar ve biz bunu g\u0131dalarla al\u0131r\u0131z. Glukozun seviyesi pankreas taraf\u0131ndan reg\u00fcle edilir. Pankreas\u0131m\u0131z insulini kan dola\u015f\u0131m\u0131na \u015fekerin sa\u011fl\u0131kl\u0131 seviyede kalabilmesi i\u00e7in salg\u0131lar. E\u011fer pankreas \u00e7ok fazla insulin salg\u0131larsa hipoglisemi, az insulin salg\u0131larsa diabet olu\u015fur.
\nD\u00fc\u015f\u00fck kan \u015fekeri ayn\u0131 zamanda yeterli yememek sonucunda da olabilir (atlanm\u0131\u015f \u00f6\u011f\u00fcnler yeterli s\u0131v\u0131 almamak) Ve bu hipoglisemi bay\u0131lma titreme sinirlilik ve ya so\u011fuk terlemeye neden olur.
\nY\u00fcksek kan \u015fekeri e\u011fer tedavi edilmez ise b\u00f6brek tahribat\u0131, k\u00f6rl\u00fck, kalp krizine sebep olur. \u00a0Pilotlar i\u00e7in kan \u015fekerlerini normal seviyede tutmak i\u00e7in d\u00fczenli yemek ve i\u00e7mek \u00f6nemlidir. \u0130yi bir kahvalt\u0131, \u00f6\u011fle yeme\u011fi, ak\u015fam yeme\u011fi, \u00f6\u011f\u00fcn aras\u0131 sandvi\u00e7ler yeteri s\u0131v\u0131 al\u0131m\u0131 d\u00fc\u015f\u00fck kan \u015fekerini engeller ve pilotu u\u00e7maya fit hale getirir.
\nDiyabeti kontrol alt\u0131nda tutmak i\u00e7in:
\n\u00b7 \u00a0 \u00a0 \u00a0 \u00a0 D\u00fczenli t\u0131bbi kontrol
\n\u00b7 \u00a0 \u00a0 \u00a0 \u00a0 D\u00fczenli egzersiz
\n\u00b7 \u00a0 \u00a0 \u00a0 \u00a0 D\u00fczenli yemek i\u00e7mek
\n\u00b7 \u00a0 \u00a0 \u00a0 \u00a0 Diyet \u00f6nemlidir<\/p>\n

HASTALIK
\nE\u011fer pilot hastal\u0131\u011f\u0131ndan dolay\u0131 u\u00e7a\u011f\u0131 u\u00e7urmakta u\u00e7u\u015f emniyeti a\u00e7\u0131s\u0131ndan s\u0131k\u0131nt\u0131 ya\u015fayacaksa kesinlikle u\u00e7u\u015f hekimine ba\u015fvurmal\u0131 u\u00e7abilir onay\u0131 ald\u0131ktan sonra u\u00e7mal\u0131d\u0131r.<\/p>\n

Bo\u011faz a\u011fr\u0131s\u0131, ishal, ba\u015f a\u011fr\u0131s\u0131, nezle, alerjik rinit gibi hastal\u0131klar durumunda kendi ba\u015f\u0131na ila\u00e7 almamal\u0131d\u0131r. \u0130la\u00e7lar yan etkilerinden dolay\u0131 hem v\u00fccuduna zarar verebilir hem de u\u00e7u\u015f g\u00fcvenli\u011fini riske atabilir. \u0130la\u00e7lar\u0131n kullan\u0131m\u0131 s\u0131ras\u0131nda ki doz a\u015f\u0131m\u0131 v\u00fccuda ve beyne yapt\u0131\u011f\u0131 muhtemelen bilinmeyen yan etkilerin dolay\u0131 fazla ila\u00e7 kullan\u0131m\u0131ndan ve hekime dan\u0131\u015f\u0131lmadan almaktan ka\u00e7\u0131n\u0131lmal\u0131d\u0131r.
\nRuh sa\u011fl\u0131\u011f\u0131 ve ya psikiatrik problemler bir pilotun u\u00e7a\u011f\u0131 g\u00fcvenli bir \u015fekilde u\u00e7urmas\u0131na engel olabilir ve e\u011fer pilot bu konuda tedavi g\u00f6rm\u00fc\u015f ise tekrar u\u00e7abilmesi i\u00e7in tekrar sa\u011fl\u0131k muayenesi gerekir.
\nGEBEL\u0130K
\nBayan pilotlar u\u00e7maya devam etmek isteyebilirler. E\u011fer annenin ve \u00e7ocu\u011fun sa\u011fl\u0131\u011f\u0131 iyi ise bayan pilotun u\u00e7mamas\u0131 i\u00e7in sebep yoktur. Her \u015feyin d\u00fczenli ve devam etti\u011fini g\u00f6stermek i\u00e7in d\u00fczenli kontrollere gerek vard\u0131r.
\n\u2022 \u00a0 \u00a0 \u00a0Gebelik muayenesinde annenin ve \u00e7ocu\u011fun sa\u011fl\u0131\u011f\u0131 iyi ise normal bir seyir g\u00f6steriyorsa 26. gebelik haftas\u0131n\u0131n sonuna kadar S\u0131n\u0131f 1 i\u00e7in OML ile S\u0131n\u0131f 2 i\u00e7in k\u0131s\u0131tlamadan u\u00e7u\u015fa elveri\u015flilik karar\u0131 verilir.
\n\u2022 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a026. hafta sonras\u0131 ayl\u0131k yap\u0131lacak Kad\u0131n do\u011fum muayenesi ile de\u011ferlendirme raporu gerekir.
\n\u2022 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0Hamilelik semptomlar\u0131n\u0131n pilotun do\u011fru karar verme ve hareketlerini engelleyece\u011fi unutulmamal\u0131d\u0131r. Kad\u0131ndan kad\u0131na hamilelik semptomlar\u0131 de\u011fi\u015fmesine ra\u011fmen Hamilelik semptomlar\u0131 pilotun do\u011fru karar vermesini ve hareketlerini engelleyebilir. Hamilelik s\u00fcreci ilerledik\u00e7e anneyi ve \u00e7ocu\u011fu i\u00e7ine alan risk artmaktad\u0131r.<\/p>\n

KANSER
\nKanser, v\u00fccuttaki h\u00fccrelerin anormal b\u00fcy\u00fcmesi t\u00fcmor geli\u015fmesi ve bazan \u00f6l\u00fcme sebep vermesidir. Baz\u0131 kanserlerde pilot u\u00e7abilir, baz\u0131 tedaviler u\u00e7u\u015f ile uyumlu olabilir. Ancak AME ve tedavi eden doktor taraf\u0131ndan u\u00e7abilir onay\u0131 al\u0131nd\u0131ktan sonra u\u00e7ulabilir.<\/p>\n

ALKOL
\nAlkol ya\u011fda \u00e7\u00f6z\u00fcn\u00fcr olmas\u0131ndan ve beynin fazla miktarda ya\u011f kapsad\u0131\u011f\u0131 i\u00e7in alkol \u00e7ok kolay beyne gider.
\nAlkol insanda:
\n\u00a7 \u00a0Refleks yava\u015flamas\u0131
\n\u00a7 \u00a0Kas koordinasyon bozuklu\u011fu
\n\u00a7 \u00a0Yarg\u0131 ve karar gecikmesi
\n\u00a7 \u00a0Hipoksi
\n\u00a7 \u00a0Vertigo
\n\u00a7 \u00a0G kuvvetlerine tolerans azalmas\u0131<\/p>\n

Ve bu etkiler normal yol trafi\u011fi ve havac\u0131l\u0131kta y\u0131k\u0131c\u0131 oldu\u011fu kan\u0131tlan\u0131\u015ft\u0131r. A\u00c7IK\u00c7ASI alkol ve u\u00e7u\u015f bir arada olmaz. Kural koyucular son alkol al\u0131m\u0131ndan en az 24 saat koymu\u015ftur.
\n\u0130la\u00e7 ve uyu\u015fturucular
\nU\u00e7u\u015f personelinin u\u00e7u\u015f tabibinden izinsiz kendi ba\u015f\u0131na ila\u00e7 almas\u0131na izin verilmez.
\nU\u00e7u\u015f emniyetini riske atan ila\u00e7 yan etkileri:
\n\u2022 \u00a0 \u00a0 \u00a0 \u00a0Uyan\u0131kl\u0131k d\u00fczeyinin, motor fonksiyonlar\u0131n ve reaksiyon zaman\u0131n\u0131n azalmas\u0131.
\n\u2022 \u00a0 \u00a0 \u00a0 \u00a0G\u00f6rsel ve i\u015fitsel hal\u00fcsinasyonlar.
\n\u2022 \u00a0 \u00a0 \u00a0 \u00a0Alg\u0131da gecikme.<\/p>\n

Amfetamin LSD, maruanna, eroin kokain ve di\u011ferleri gibi Ruh hali ve bilinci etkileyen ila\u00e7lar olas\u0131 beyin hasarlar\u0131nda radikal etki olu\u015ftururlar. Dolay\u0131s\u0131yla bunlar\u0131n kullan\u0131m\u0131 pilotlar i\u00e7in kesinlikle yasaklanm\u0131\u015ft\u0131r.
\nTek doz aspirin, parasetamol gibi a\u011fr\u0131 kesiciler, antiasitler, topikal preparatlar, nazal dekonjestanlar e\u011fer pilotta yan etkisi yok ise kullan\u0131labilir. Di\u011fer ila\u00e7 kullan\u0131mlar\u0131 i\u00e7in AME ba\u015fvurunuz.
\nJet lag den kurtulmak i\u00e7in baz\u0131 uyku ila\u00e7lar\u0131 kullanmak istiyorsan\u0131z AME ba\u015fvurun.
\n\u00b7 \u00a0 \u00a0 \u00a0 \u00a0 Antidepresanlar,
\n\u00b7 \u00a0 \u00a0 \u00a0 \u00a0 Anksiyete ila\u00e7lar\u0131,
\n\u00b7 \u00a0 \u00a0 \u00a0 \u00a0 Kuvvetli a\u011fr\u0131kesiciler kesinlikle kullan\u0131lmaz
\nE\u011fer ilaca ihtiya\u00e7 oldu\u011funu d\u00fc\u015f\u00fcn\u00fcyorsan\u0131z her zaman AME ye ba\u015fvurun.<\/p>\n

S\u0130GARA
\nSigara yol a\u00e7t\u0131\u011f\u0131 hastal\u0131klar a\u00e7\u0131s\u0131ndan pilotun sa\u011fl\u0131\u011f\u0131 i\u00e7in \u00f6nemlidir. Havac\u0131l\u0131ktaki tehlikeyle direk ba\u011fl\u0131 olmasa da sigara ileriki ya\u015fam\u0131n\u0131zda hastal\u0131klar\u0131 art\u0131r\u0131r.
\nKalp ve damar hastal\u0131klar\u0131, akci\u011fer kanseri, kronik akci\u011fer hastal\u0131klar\u0131, ast\u0131m, larinks kanseri, G\u0130S kanserleri\u2026
\nHipemik hipoksi yol a\u00e7abilir; artan karbonmonoksit d\u00fczeyi alyuvarlar\u0131n oksijen ta\u015f\u0131ma kapasitesini azalt\u0131r. Oksijen d\u00fczeyi 4000 ft yukar\u0131da u\u00e7anlar gibidir. \u00a0U\u00e7u\u015ftan \u00f6nce i\u00e7ilen 1-2 sigara 10.000 ft.\u2019e \u00e7\u0131k\u0131ld\u0131\u011f\u0131nda sanki 15.000 ft. \u00a0irtifaya \u00e7\u0131k\u0131lm\u0131\u015f gibi hipoksi etkileri yarat\u0131r
\nBuna ba\u011fl\u0131 olarak periferik g\u00f6rme ve karanl\u0131k adaptasyonu azal\u0131r (en az %20).<\/p>\n

BESLENME
\nG\u00fc\u00e7 i\u00e7in: PROTE\u0130N
\nDayan\u0131kl\u0131l\u0131k i\u00e7in: KARBONH\u0130DRAT
\nU\u00e7u\u015f \u00f6ncesi KARBONH\u0130DRAT tercih etmelidir.
\nDENGES\u0130Z BESLENME -YETERS\u0130Z EGZERS\u0130Z
\n\u00b7 \u00a0 \u00a0 \u00a0 \u00a0 Obesite
\n\u00b7 \u00a0 \u00a0 \u00a0 \u00a0 Diabet
\n\u00b7 \u00a0 \u00a0 \u00a0 \u00a0 Hipertansiyon
\n\u00b7 \u00a0 \u00a0 \u00a0 \u00a0 Kalp ve damar hastal\u0131klar\u0131
\n\u00b7 \u00a0 \u00a0 \u00a0 \u00a0 G ve Hipoksi tolerans\u0131 d\u00fc\u015fer.
\nDEH\u0130DRATASYON (SUSUZLUK) ; dikkat ve koordinasyon azalmas\u0131na yol a\u00e7ar<\/p>\n

SPOR<\/p>\n

\"1391365_1422503001314802_558426887_a\"<\/a><\/p>\n

D\u00dcZENL\u0130 EGZERS\u0130Z:
\n\u2022 \u00a0 \u00a0 \u00a0Oksijen kullan\u0131m\u0131n\u0131 art\u0131r\u0131r.
\n\u2022 \u00a0 \u00a0 \u00a0V\u00fccut ya\u011flar\u0131n\u0131 azalt\u0131r.
\n\u2022 \u00a0 \u00a0 \u00a0Kan dola\u015f\u0131m\u0131n\u0131 art\u0131r\u0131r.
\n\u2022 \u00a0 \u00a0 \u00a0Damarlar\u0131 a\u00e7ar.<\/p>\n

U\u00c7UCULAR KEYF\u0130 SPOR DE\u011e\u0130L B\u0130L\u0130N\u00c7L\u0130 SPOR YAPMALIDIRLAR.<\/p>\n

\u00d6ZET<\/p>\n

\u00b7 \u00a0 \u00a0 \u00a0 \u00a0 Fit, sa\u011fl\u0131kl\u0131, zihinde olan,<\/p>\n

\u00b7 \u00a0 \u00a0 \u00a0 \u00a0 Sa\u011fl\u0131k muayenelerini ihmal etmeyen,<\/p>\n

\u00b7 \u00a0 \u00a0 \u00a0 \u00a0 U\u00e7u\u015f Hekimine dan\u0131\u015fmadan ila\u00e7 almayan,<\/p>\n

\u00b7 \u00a0 \u00a0 \u00a0 \u00a0 Sa\u011fl\u0131kl\u0131 ve d\u00fczenli beslenen,<\/p>\n

\u00b7 \u00a0 \u00a0 \u00a0 \u00a0 U\u00e7u\u015ftan 24 saat \u00f6nce alkol kullanmayan,<\/p>\n

\u00b7 \u00a0 \u00a0 \u00a0 \u00a0 U\u00e7u\u015f emniyetini riske atmama bilincinde olan pilot art\u0131k u\u00e7u\u015fa haz\u0131rd\u0131r..<\/p>\n

Dr. Vedia \u0130LKKUTLU<\/p>\n","protected":false},"excerpt":{"rendered":"

Bir u\u00e7a\u011f\u0131n \u00a0u\u00e7mas\u0131 i\u00e7in t\u00fcm haz\u0131rl\u0131klar yap\u0131ld\u0131 peki ya pilotlar u\u00e7u\u015f g\u00f6revi i\u00e7in haz\u0131rlar m\u0131? U\u00e7u\u015f g\u00f6revi s\u0131ras\u0131nda g\u00fcvenli bir u\u00e7u\u015f i\u00e7in bir pilotun sa\u011fl\u0131kl\u0131, fit ve zihinsel olarak haz\u0131r olmas\u0131 gerekmektedir. A\u015fa\u011f\u0131daki fakt\u00f6rlerin performans\u0131n\u0131 ve u\u00e7u\u015f emniyetini riske ataca\u011f\u0131n\u0131n fark\u0131nda olmal\u0131d\u0131r: 1. \u00a0 \u00a0 \u00a0Yorgunluk 2. \u00a0 \u00a0 \u00a0Stres 3. \u00a0 \u00a0 \u00a0Alkol 4.<\/p>\n","protected":false},"author":1,"featured_media":1300,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[80],"tags":[],"class_list":["post-883","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-saglik"],"_links":{"self":[{"href":"https:\/\/bizimkokpit.com\/index.php\/wp-json\/wp\/v2\/posts\/883","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/bizimkokpit.com\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/bizimkokpit.com\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/bizimkokpit.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/bizimkokpit.com\/index.php\/wp-json\/wp\/v2\/comments?post=883"}],"version-history":[{"count":5,"href":"https:\/\/bizimkokpit.com\/index.php\/wp-json\/wp\/v2\/posts\/883\/revisions"}],"predecessor-version":[{"id":1345,"href":"https:\/\/bizimkokpit.com\/index.php\/wp-json\/wp\/v2\/posts\/883\/revisions\/1345"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/bizimkokpit.com\/index.php\/wp-json\/wp\/v2\/media\/1300"}],"wp:attachment":[{"href":"https:\/\/bizimkokpit.com\/index.php\/wp-json\/wp\/v2\/media?parent=883"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/bizimkokpit.com\/index.php\/wp-json\/wp\/v2\/categories?post=883"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/bizimkokpit.com\/index.php\/wp-json\/wp\/v2\/tags?post=883"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}