Makemake mākou a pau e hele i nā wahi kiʻekiʻe e like me Nuwara Eliya, Horton Plains, Piduruthalagala, a piʻi i nā mauna, ʻeā? Akā i kekahi manawa ke hele ʻoe, ke manaʻo nei ʻoe i kahi ʻeha poʻo iki, kahi manaʻo nāwaliwali, a me kahi manaʻo luaʻi? ʻOiai he nui ka poʻe e manaʻo nei he "malia paha ma muli o ke anu" a i ʻole "malia paha ma muli o ka luhi o ka huakaʻi", he ʻano maʻi kēia e hiki ke wehewehe ʻia ma ke ʻano lapaʻau. I kēia lā ke kamaʻilio nei mākou e pili ana i kēia ʻano i kapa ʻia ʻo 'Altitude Sickness'. Inā ʻike pono ʻoe i kēia, hiki iā ʻoe ke hoʻolilo i kāu huakaʻi mauna aʻe i mea nani a palekana.
I ka ʻōlelo maʻalahi, he aha ka maʻi kiʻekiʻe?
E noʻonoʻo i ka wā e noho ana mākou ma ka ʻilikai, ʻo ia hoʻi, ma kahi e like me Colombo, ʻo ka ea a mākou e hanu ai ua like ia me ke kī waiū mānoanoa. Hāʻawi kēlā i ko mākou kino i ka oxygen lawa i hoʻokahi hanu ʻana. Akā i ko mākou piʻi ʻana i luna, ʻo ia hoʻi, i kahi e like me Nuwara Eliya a i ʻole Horton Plains, e lahilahi ka lewa. ʻO ia hoʻi, e "lahilahi" ka ea me he mea lā ua hoʻohui ʻia ka wai i kēlā kī waiū mānoanoa. No laila, ʻoiai mākou e lawe ana i ka nui like o ka hanu, ʻoi aku ka liʻiliʻi o ka nui o ka oxygen i loaʻa i ko mākou kino.
He mea kupaianaha ko kākou kino. Hiki iā lākou ke hoʻomaʻamaʻa i kēia nele o ka oxygen. Akā, he manawa iki ia. Hiki mai ka maʻi kiʻekiʻe ke hele koke mākou i kahi kiʻekiʻe me ka ʻole o ka hāʻawi ʻana i ko mākou kino i ka manawa kūpono e hoʻomaʻamaʻa ai. I ka ʻōlelo maʻalahi, ua like ia me ka "haʻalulu" i ke kino.
Aia he 3 mau ʻano nui o kēia.
ʻEkolu ʻano nui o ka maʻi kiʻekiʻe, ma muli o kona koʻikoʻi. He mea nui e makaʻala i kēia mau mea, no ka mea, pono kekahi mau kūlana i ka mālama olakino ulia pōpilikia.
| Inoa kūlana | He wehewehe maʻalahi |
|---|---|
| Maʻi Mauna Koʻikoʻi (AMS) | ʻO kēia ke ʻano maʻamau a ʻaʻole hoʻi i ʻoi aku ka ʻino . Manaʻo ia e like me ka "hangover." ʻO nā hōʻailona e komo pū me ke poʻo ʻeha a me ka luaʻi. ʻAʻole kēia he mea weliweli, akā he ʻōlelo aʻo ia mai kou kino. |
| ʻO ka Edema Pulmonary Kiʻekiʻe (HAPE) | He kūlana weliweli kēia. ʻO ka mea e hana ʻia ma ʻaneʻi , ʻo ia ka piha ʻana o nā māmā i ka wai . He pilikia olakino kēia. Inā ʻaʻole e mālama koke ʻia, hiki ke hoʻoweliweli i ke ola. |
| Kiekie Kiekie Cerebral Edema (HACE) | ʻO kēia ka hihia weliweli loa a koʻikoʻi loa . ʻO ka mea e hana ʻia ma ʻaneʻi, ʻo ia ka pehu ʻana o ka lolo . He pilikia olakino weliweli loa kēia a hoʻoweliweli i ke ola. Pono ka lāʻau lapaʻau koke. |
He aha nā hōʻailona o kēia maʻi?
ʻAe, e nānā kākou i nā hōʻailona o kēia maʻi. ʻO ka maʻamau, ʻike ʻia nā hōʻailona o ka AMS i loko o hoʻokahi a ʻelua paha lā ma hope o ka hele ʻana i kahi kiʻekiʻe. Eia nō naʻe, hiki i nā hōʻailona o nā maʻi ʻoi aku ka koʻikoʻi e like me HAPE a me HACE ke hala i ʻelua a ʻelima mau lā e ʻike ʻia ai.
Nā ʻano o kahi kūlana AMS maʻamau
Eia nā hōʻailona mua maʻamau:
- ʻEha poʻo: ʻO kēia ka hōʻailona maʻamau a me ka mua.
- Ka luaʻi a me ka luaʻi ʻana: Manaʻo paha ʻoe e luaʻi me kou nalowale o ka makemake e ʻai.
- Anorexia: Ka nalowale ʻana o ka makemake a pau e ʻai.
- Luhi loa: Manaʻo nui i ka luhi ʻoiai inā ʻaʻohe hana.
- Malaise: He manaʻo nui o ka hōʻoluʻolu ʻole, e like me "ʻaʻole pololei kekahi mea."
- ʻIke ʻole: Ke huli a huli nei i ka pō me ka ʻole o ka hiamoe.
- Dizziness: Manaʻo e like me ke wili nei kou poʻo.
He mea nui: I kekahi manawa hiki ke loli ka ʻike. Hana ʻia kēia e ka haki ʻana o nā kīʻaha koko liʻiliʻi i loko o ka maka. Inā loaʻa kēia hōʻailona, ʻo ia hoʻi, ʻoi aku ka koʻikoʻi o ke kūlana.
Nā hōʻailona o nā kūlana HAPE a me HACE weliweli
Pono ʻoe e makaʻala loa i kēia mau hōʻailona. Inā ʻike ʻoe iā lākou, he mea nui e hele koke i kahi haʻahaʻa a ʻimi i ke kōkua lapaʻau .
| ʻAno pilikia | Manaʻo |
|---|---|
| Paʻakikī ka hanu ʻana i ka wā hoʻomaha | He hōʻailona koʻikoʻi kēia o ka HAPE (Hypertension of the Lungs). Hiki ke kū mai ka ʻū me ka paʻa ʻana o ka umauma. |
| Ka paʻakikī i ka hele wāwae, ke kūlou (Ataxia) | Ua nalowale kou kaulike, e like me kekahi mea i inu ʻona. ʻAʻole hiki iā ʻoe ke hele ma kahi laina pololei. He hōʻailona weliweli kēia o HACE (encephalopathy). |
| Huikau, huikau | Ua nalowale ʻoe i ka manawa a me ka wahi. ʻAʻole hiki iā ʻoe ke hoʻomaopopo i nā mea maʻalahi. Huikau ʻoe ke ʻōlelo ʻoe. He hōʻailona koʻikoʻi nō hoʻi kēia o HACE. |
| Nā lehelehe polū a me ka ʻili | He hōʻailona kēia ua haʻahaʻa loa ka nui o ka oxygen e loaʻa ana i ke kino. Pono ka lāʻau lapaʻau koke. |
ʻO wai ka mea i ʻoi aku ka nui o ka pilikia?
ʻO ke kumu nui o kēia, e like me kā mākou i kūkākūkā ai ma mua, ʻo ia kou piʻi wikiwiki ʻana i ke kiʻekiʻe me ka ʻole o ka hāʻawi ʻana i kou kino i ka manawa e hoʻomaʻamaʻa ai. Akā aia kekahi mau kumu pilikia ʻē aʻe:
- Ke kiʻekiʻe o ka piʻi ʻana: ʻO ke kiʻekiʻe o kou piʻi ʻana, ʻo ke kiʻekiʻe aʻe o ka pilikia.
- Ka wikiwiki o ka piʻi ʻana: ʻOi aku ka nui o ka pilikia no ka mea e hele i kahi kiʻekiʻe i ka manawa hoʻokahi, ma ke kaʻa a i ʻole ka mokulele, ma mua o ka mea e piʻi i ka mauna ma ka wāwae.
- Ka hoʻohana ʻana i ka waiʻona a me kekahi mau lāʻau lapaʻau: ʻO ka inu ʻana i ka waiʻona, ʻoiai nā lāʻau hoʻomaha, hoʻonui nui i ka pilikia.
- Inā ua loaʻa iā ʻoe kēia ʻano ma mua: Inā ua loaʻa iā ʻoe ka maʻi kiʻekiʻe ma mua, ʻoiai ʻo HAPE a i ʻole HACE, ʻoi aku ka nui o ka loaʻa hou ʻana iā ʻoe.
Manaʻo ka poʻe he nui inā ʻoe e hoʻoikaika kino nui a olakino, ʻaʻole ʻoe e loaʻa i kēia. He hewa kēlā. Hiki ke loaʻa kēia ʻano maʻi me ka nānā ʻole i ke olakino a i ʻole ka haʻuki. Eia nō naʻe, inā loaʻa iā ʻoe nā maʻi hanu e like me ka hānō, COPD , a i ʻole anemia , hiki ke ʻoi aku ka ʻino o kēlā mau hōʻailona ke hele ʻoe i kahi kiʻekiʻe. No laila, he mea nui loa i ka poʻe me ia mau ʻano maʻi e kamaʻilio me kā lākou kauka ma mua o ka hele ʻana i kahi kiʻekiʻe.
Pehea e mālama ʻia ai?
ʻO ka lāʻau lapaʻau wale nō a maikaʻi loa no kēia, ʻo ia ke iho i lalo. Ke nele ke kino i ka oxygen, ʻo ka mea maikaʻi loa e hana ai, ʻo ia ke hele i kahi me ka oxygen hou aku.
Ma waho aʻe o kēlā, aia kekahi mau lāʻau lapaʻau ʻē aʻe ma muli o ke kūlana:
1. E kū a hoʻomaha: Inā ʻike ʻoe i nā hōʻailona mua o AMS, e hoʻōki koke i ka piʻi ʻana i luna.E hoʻomaha no hoʻokahi a ʻelua paha lā ma ke kiʻekiʻe like me ʻoe. E hāʻawi i kou kino i ka manawa e hoʻomaʻamaʻa ai i kēlā kiʻekiʻe.
2. Iho ʻana: Inā koʻikoʻi nā hōʻailona (pīhoihoi, luhi, nausea) a i ʻole e ʻoi aku ka ʻino, e iho koke i lalo. ʻO ka maʻamau, ʻike ʻia kahi hōʻoluʻolu nui ma hope o ka iho ʻana ma kahi o 1,000 kapuaʻi (300 mika) .
3. Oxygen Pākuʻi: ʻO ka hāʻawi ʻana i ka oxygen mai kahi pahu oxygen hiki ke hōʻemi koke i nā hōʻailona.
4. Nā lāʻau lapaʻau: Hoʻohana ʻia kekahi mau lāʻau lapaʻau ma ke ʻōlelo aʻo a ke kauka. ʻO ka lāʻau lapaʻau i hoʻohana pinepine ʻia no kēia ʻo Acetazolamide . Eia kekahi, i nā hihia koʻikoʻi e like me HAPE a me HACE, hoʻohana pū ʻia nā lāʻau lapaʻau e like me Dexamethasone a me Nifedipine . Mai lawe i kēia me ke kauoha ʻole a ke kauka.
Pehea e hiki ai iā ʻoe ke pale aku i kēia? (Kāohi ʻana)
Hiki ke pale ʻia ka maʻi kiʻekiʻe. Aia kekahi mau mea hiki iā ʻoe ke hana e pale aku ai. E hoʻomanaʻo i kēia mau mea i ka wā e hoʻolālā ai i kāu huakaʻi mauna e hiki mai ana.
| Ke ʻano pale ʻana | He aha e hana ai |
|---|---|
| Piʻi mālie | ʻO kēia ka mea nui loa. Ma keʻano laulā, i ka wā e piʻi ai ma luna o 8,000 kapuaʻi, ʻoi aku ka maikaʻi o ka piʻi ʻana ma mua o 1,000 - 1,500 kapuaʻi (300-500 mika) i kēlā me kēia lā . ʻO ke kiʻekiʻe āu e hiamoe ai i ka hoʻomaka ʻana o ka lā ua manaʻo ʻia ʻo kou kiʻekiʻe kumu. |
| E hoʻomaha i nā lā | I kou piʻi ʻana, e hoʻomaha i hoʻokahi lā ma ke kiʻekiʻe like me ka ʻole e piʻi i luna, ma kahi o kēlā me kēia ʻekolu lā. Ua kapa ʻia kēia he 'lā acclimatization'. Hāʻawi kēia i kou kino i ka manawa kūpono e hoʻomaʻamaʻa ai. |
| "Piʻi i luna, hiamoe i lalo" | He ʻano hana kaulana kēia i waena o ka poʻe piʻi. Inā hiki, e piʻi i luna i ke ao a iho i lalo i kahi kiʻekiʻe haʻahaʻa e hiamoe ai i ka pō. E kōkua kēia i kou kino e hoʻomaʻamaʻa. |
| E lawe i nā lāʻau lapaʻau e like me ke kuhikuhi a kāu kauka. | Inā he kiʻekiʻe kou pilikia, hiki i kāu kauka ke aʻo aku iā ʻoe e lawe i ka lāʻau lapaʻau e like me Acetazolamide i ka lā ma mua o ka piʻi ʻana i kahi kiʻekiʻe. |
| E inu i ka wai nui, mai inu i ka waiʻona! | Hiki i ke kino ke maloʻo koke i nā wahi kiʻekiʻe, no laila e inu i ka nui o ka wai. E pale loa i ka waiʻona no nā lā ʻelua mua ma kahi kiʻekiʻe. |
Āhea ʻoe e ʻike ai i ke kauka?
Inā ʻoe e hoʻolālā ana i kahi huakaʻi i kahi mauna kiʻekiʻe, he mea naʻauao ke kamaʻilio me kāu kauka ma mua o kou hele ʻana . Hiki iā ia ke hāʻawi iā ʻoe i nā ʻōlelo aʻoaʻo kūikawā, ʻoiai inā he mau maʻi ʻē aʻe kou.
I ka manawa hea e hele ai i kahi Emergency Treatment Unit (ETU):
Inā ʻike ʻoe a i ʻole kekahi mea āu e pili ana i kekahi o kēia mau hōʻailona koʻikoʻi, he pilikia ia. E iho i lalo a i ka lumi pilikia o ka haukapila (ETU) i ka hikiwawe loa.
- Ka pōkole nui o ka hanu ʻoiai i ka wā e hoʻomaha ai.
- Ka ʻūmiʻi a i ʻole ka ʻeha o ka umauma.
- Ka paʻakikī i ka hele wāwae, ka hina ʻana, ka nalowale o ke kaulike (ataxia).
- Ka huikau a i ʻole ka nalowale o ka hoʻomanaʻo.
- Ka paʻakikī o ka ʻōlelo ʻana, ka slurring o nā huaʻōlelo.
- Ka hiamoe nui, ka emi ʻana o ka ʻike.
He mau hōʻailona kēia o HAPE a i ʻole HACE. Hiki i kēia ke hoʻoweliweli i ke ola i loko o nā hola. No laila, mai hoʻowahāwahā i kēia mau hōʻailona.
Leka Lawe-Home
- Hiki mai ka maʻi kiʻekiʻe ke neʻe wikiwiki ʻoe i kahi kiʻekiʻe me ka ʻole o ka hāʻawi ʻana i kou kino i ka manawa e hoʻomaʻamaʻa ai.
- ʻO ka hōʻailona maʻamau a me ka hōʻailona mua loa, he ʻeha poʻo.
- ʻO ka lāʻau lapaʻau maikaʻi loa a koke loa no kēia, ʻo ia ka hoʻi ʻana i kahi haʻahaʻa.
- Inā pilikia ʻoe i ka hanu ʻana, paʻakikī ke hele wāwae, a huikau paha i ka wā e hoʻomaha ai, he pilikia ia e hoʻoweliweli ana i ke ola. E ʻimi koke i ke kōkua lapaʻau.
- ʻO ke ala maikaʻi loa e pale aku ai iā ʻoe iho mai kēia, ʻo ia ke piʻi i luna, e hoʻomaha i nā lā ma ke ala, a inu i ka wai he nui.
- He mea naʻauao mau ke kamaʻilio me kāu kauka a e ʻimi i ka ʻōlelo aʻo ma mua o ka hele ʻana i nā wahi kiʻekiʻe.











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