ММ (MM)Space Travel and Health
A. Space biomedicine is a relatively new area of research both in the USA and in Europe. Its main objectives are to study the effects of space travel on the human body, identifying the most critical medical problems, and finding solutions to those problems. Space biomedicine centers are receiving increasing direct support from NASA and/or the European Space Agency (ESA).
B. This involvement of NASA and the ESA reflects growing concern that the feasibility of travel to other planets, and beyond, is no longer limited by engineering constraints but by what the human body can actually withstand. The discovery of ice on Mars, for instance, means that there is now no necessity to design and develop a spacecraft large and powerful enough to transport the vast amounts of water needed to sustain the crew throughout journeys that may last many years. Without the necessary protection and medical treatment, however, their bodies would be devastated by the unremittingly hostile environment of space.
C. The most obvious physical changes undergone by people in zero gravity are essentially harmless; in some cases, they are even amusing. The blood and other fluids are no longer dragged down towards the feet by the gravity of Earth, so they accumulate higher up in the body, creating what is sometimes called ‘fat face`, together with the contrasting ‘chicken legs’ syndrome as the lower limbs become thinner.
D. Much more serious are the unseen consequences after months or years in space. With no gravity, there is less need for a sturdy skeleton to support the body, with the result that the bones weaken, releasing calcium into the bloodstream. This extra calcium can overload the kidneys, leading ultimately to renal failure. Muscles too lose strength through lack of use. The heart becomes smaller, losing the power to pump oxygenated blood to all parts of the body, while the lungs lose the capacity to breathe fully. The digestive system becomes less efficient, a weakened immune system is increasingly unable to prevent diseases and the high levels of solar and cosmic radiation can cause various forms of cancer.
E. To make matters worse, a wide range of medical difficulties can arise in the case of an accident or serious illness when the patient is millions of kilometers from Earth. There is simply not enough room available inside a space vehicle to include all the equipment from a hospital’s casualty unit, some of which would not work properly in space anyway. Even basic things such as a drip depend on gravity to function, while standard resuscitation techniques become ineffective if sufficient weight cannot be applied. The only solution seems to be to create extremely small medical tools and ‘smart` devices that can, for example, diagnose and treat internal injuries using ultrasound. The cost of designing and producing this kind of equipment is bound to be, well, astronomical.