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Illustration by Ann
Geisinger
L'aspetto oscuro dell'abbronzatura
Come gustarti un giorno in pieno sole senza scottarti.
By Sam
Shelanski, M.D.
E' impossibile per i subacquei evitare i raggi del sole. Scottarti tra un immersione e l'altra è considerato parte del divertimento durante una vacanza tropicale. Infatti, prendere un pò di sole è una cosa positiva.
La luce del sole è ottima per la vitamina D, una vitamina considerata essenziale. Il trucco consiste nell'avere sotto controllo i raggi ultravioletti (UVA) riducendo al minimo i danni causati dal sole.
Sun Smarts
Il processo di abbronzatura è la prima linea di protezione messa in atto dal tuo corpo prima dell'espozizione eccessiva. Quando il tuo corpo è esposto ad un livello di radiazione UVA troppo elevato, speciali celle pigmentate chiamate melanociti si scuriscono nel tentativo di creare uno schermo protettivo per difendere la tua pelle da danni causati in seguito ad una eccessiva esposizione. Più scura diventa la cella, più grande è il livello di danno per la tua pelle. Scottature si evidenziano quando un'eccessiva radiazione UVA oltreppassa queste protezioni.
Oltre a praticare solamente immersioni notturne, ci sono poche cose che i subacquei possono fare per limitare l'esposizione ai raggi UVA:
- Avitare le ore più pericolose di esposizione: L'orario compreso tra le 10 a.m. e le 3
p.m., quando il sole è più alto nel cielo, sono presenti i più forti raggi UVA
i quali causano i maggiori danni. Limita la tua espo during
these hours as much as possible. Keep in mind that sand, water and
pavement are excellent reflectors of UV rays, and can burn you where you
least expect it (like the bottom of your chin) and even cause damage
while you're under a beach umbrella or boat cover.
- Cover up: Light-colored clothing with a tight
weave provides the best protection from the sun. Hats help shield the
face; for maximum protection they should also cover the back of the
neck.
- Use sunscreen: OK, this one seems obvious,
but many divers don't use the right sunscreen, enough of it, or apply it
properly.
In
order to be truly effective, sunscreens need to be applied before you go out
into the sun, and reapplied at least every two hours. Use lotion more
frequently if you are sweating or have been in the water, and make sure that
all exposed skin is protected, including the nose, back of the neck, and tips
of the ears. The lips have no natural protection against sun damage, so use
lip balm with SPF protection.
The
American Academy of Dermatologists recommends that everyone use a
broad-spectrum sunscreen with an SPF of at least 15. For help choosing the
right sunscreen, see Sun Screening.
- Protect your eyes: UV rays can also burn the
retinas and lead to cataracts. Make sure that your sunglasses screen out
at least 98 percent of UVA and UVB rays. Some cheap sunglasses don't and
they make matters worse by dilating the pupil and letting more radiation
in. Get a pair of stylish wraparound sunglasses or a pair with side
shades to maximize protection of the eye and lid.
Risky Business
Overexposure
to sunlight is the single greatest risk factor for skin cancers. Fortunately,
it's also the easiest to control. There are many risk factors for skin cancer
over which we have little or no control. They include:
- Skin color: Pale-skinned Caucasians, particularly
those with red or blond hair, are as much as 20 times more likely to get
skin cancer than dark-skinned African-Americans.
- Hereditary factors: People with a family history
of skin cancer are at greater risk, as are those of Northern European
descent.
- Gender: Men are two to three times more likely
than women to have certain types of skin cancers.
- Environmental factors: People with a history of
radiation exposure, such as from cancer radiotherapy or UV treatments
for psoriasis, have an increased risk of developing skin cancers. So do
workers with industrial exposure to arsenic, coal, tar, paraffin and
certain oils.
- Previous skin injuries: People who have suffered
severe burns or have had chronic inflammation of the skin due to
infection are also at a higher risk of developing skin cancers on or
near the affected area.
- Reduced immunity: People whose immune systems
are compromised, either through genetics, chemotherapies or HIV, are at
increased risk of skin cancers.
- Medications: Medications, including many common
antibiotics, increase skin sensitivity to sunlight.
People in high-risk
categories should be especially careful about managing sun exposure and
should never try to tan. Not only are they more likely to get burned, they
are far more likely to suffer long-term effects from sun damage.
Sun Screening: Choosing
and Using the Right SPF
Determined
not to burn on your next tropical dive vacation? Good. A bottle of sunscreen,
applied often, will go a long way toward avoiding painful sunburns and
long-term skin damage. Here's what to look for:
- A high SPF: The most important factor in choosing
sunscreen is the SPF, or sun protection factor number. SPF is a
measurement that helps you figure out how long you can stay in the sun
without getting burned. Take the amount of time you could stay in the
sun without protection, then multiply it by the SPF number. In other
words, if you would normally burn in 10 minutes of direct sun, using an
SPF 4 sunscreen would extend that time to 40 minutes. An SPF 15
sunscreen would give you 150 minutes.
- But not too high. The American Academy of
Dermatologists recommends that everyone use sunscreen with an SPF of at
least 15. While manufacturers market sunscreens with SPFs of 30, 45 and
higher, the general consensus is that these preparations probably don't
provide significantly greater short-term protection than properly used
SPF 15 lotions.
- Never mix. Remember that you can't mix sunscreens
to get more protection (SPF 4 and SPF 2 do not make SPF 6) and, if you
have already spent your 40 minutes in the sun with SPF 4 lotion,
applying another layer doesn't get you more time. Nor does applying a
higher SPF lotion - you're done for the day.
- Broad spectrum protection: Sunlight contains two types
of UV rays: UVA and UVB. Most sunburn is caused by UVB rays, and SPF
measures protection only against UVB.
UVA rays, which also
damage the skin and can lead to cancer, are blocked to varying degrees by
ingredients such as benzophenone, oxybenzone, sulisobenzone, titanium
dioxide, zinc oxide and avobenzone. Only when a sunscreen includes one or
more of these ingredients can it be labeled "broad spectrum" under
FDA rules.
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