E aʻo pono kākou e pili ana i ka High-Altitude Pulmonary Edema (HAPE)!

Ua manaʻo paha ʻoe i kahi hanu pōkole iki, he manaʻo wale nō o ka ʻūlū i loko o kou umauma, ke hele ʻoe i kahi kiʻekiʻe e like me Nuwara Eliya, a i ʻole ke piʻi ʻoe i kahi mauna nui? I kekahi manawa, ʻoiai ke manaʻo nei ʻoe he mea maʻamau kēia mau mea, hiki iā lākou ke lilo i maʻi koʻikoʻi. I kēia lā, e kamaʻilio mākou e pili ana i kēlā ʻano maʻi weliweli, akā hiki ke pale ʻia. Ua kapa ʻia kēia ʻo 'High-Altitude Pulmonary Edema' a i ʻole HAPE no ka pōkole.

He aha ka HAPE (High-Altitude Pulmonary Edema)? I ka ʻōlelo maʻalahi...

, HAPE ‍ . ' ' (altitude sickness or mountain sickness) . , . , .

Hiki mai ka HAPE ke neʻe koke ʻoe mai kahi kiʻekiʻe haʻahaʻa a i kahi kiʻekiʻe a ʻaʻole lawa ka manawa o kou kino e hoʻomaʻamaʻa ai i nā pae oxygen haʻahaʻa. Hoʻomaka pinepine ia i ka pō, i loko o ʻelua a ʻehā mau lā o ka neʻe ʻana i kahi kiʻekiʻe kiʻekiʻe.

Hoʻomaka pinepine ʻia ka HAPE ma nā kiʻekiʻe o 8,200 kapuaʻi (2,500 mika) a ʻoi aku paha. ʻAʻole pono ʻoe e piʻi i ka mauna kiʻekiʻe loa o ka honua e hiki ai i kēia kiʻekiʻe. Loaʻa i kekahi mau ʻāina nā wahi hoʻomaha ski ma kēia kiʻekiʻe. Aia kekahi o nā kūlanakauhale nui loa o ka honua ma kēia kiʻekiʻe.

ʻO ka mea nui loa, he kūlana hoʻoweliweli paha ka HAPE i ke ola. Inā loaʻa iā ʻoe nā hōʻailona o HAPE, pono ʻoe e ʻimi koke i ke kōkua lapaʻau a hiki i kahi haʻahaʻa i ka hikiwawe loa.

ʻElua ʻano nui o ka HAPE:

E nānā kākou i nā ʻano HAPE. ʻElua ʻano nui:

1. HAPE Kuʻuna: ʻO kēia ke ʻano maʻamau. Hiki ke loaʻa kēia ʻano inā hele koke kekahi kanaka e noho mau ana ma kahi haʻahaʻa i kahi kiʻekiʻe ma mua o 8,200 kapuaʻi, ʻo ia hoʻi, inā piʻi wikiwiki lākou me ka ʻole o ka hāʻawi ʻana i ko lākou kino i ka manawa e hoʻomaʻamaʻa ai. E noʻonoʻo, ke hoʻāʻo nei ʻoe e piʻi i kahi mauna i ʻoi aku ka kiʻekiʻe ma mua o Nuwara Eliya mai Colombo i hoʻokahi a ʻelua paha lā.

2. Hoʻi hou ʻana mai ka HAPE: He ʻokoʻa iki kēia. Hana pinepine kēia i ka wā e hele ai kekahi e noho ana ma nā wahi kiʻekiʻe i kahi kiʻekiʻe haʻahaʻa no kekahi manawa a laila hoʻi i ko lākou kiʻekiʻe maʻamau me ka ʻole o ka hoʻomaʻamaʻa hou ʻana. E like me kekahi e piʻi ana mai kahi kiʻekiʻe haʻahaʻa, hiki iā lākou ke loaʻa iā HAPE.

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Pehea ka maʻamau o ka HAPE?

Ua ʻike ʻia ma kahi o 6% o ka poʻe e piʻi i kahi kiʻekiʻe o 14,800 kapuaʻi (4,500 mika) i loko o hoʻokahi a ʻelua paha lā e ʻikeHiki mai ka HAPE. Inā ua loaʻa iā ʻoe ka HAPE ma mua, ʻoi aku ka nui o ka loaʻa hou ʻana iā ʻoe. ʻO ke ʻano kēia inā piʻi ʻoe i ka wikiwiki like (4,500 mika i loko o 1-2 mau lā), ma kahi o 60% o ka poʻe i loaʻa iā HAPE ma mua e loaʻa hou iā lākou.

He aha nā hōʻailona o ka HAPE?

I kēia manawa, e nānā kākou i nā hōʻailona o HAPE. He mea nui loa ka ʻike ʻana i kēia mau mea.

• Kuke: Hiki ke hoʻomaka me ka kuke maloʻo, a laila holomua i ka kuke me ka huʻa ʻulaʻula.
• Paʻakikī ka hanu ʻana (dyspnea): I ka wā mua, hiki iā ʻoe ke luhi a pōkole ka hanu ke hana wale i nā hana māmā a i ʻole ka hele wāwae ʻana. Ma hope mai, lilo ia i mea paʻakikī ke hanu ʻoiai ke kū mālie wale nō.
• Tachycardia: Hoʻonui ka helu o ka puʻuwai.
• Hoʻonui ʻia ka hanu ʻana (tachypnea): Hoʻomaka ʻoe e hanu koke.
• Haʻahaʻa ke kuni.
• ʻO ke kala polū o ka ʻili, nā lehelehe, a i ʻole nā ​​​​manamana lima (cyanosis): ʻO ke ʻano kēia ʻaʻole lawa ka oxygen i ke kino.

Ma waho aʻe o kēia mau hōʻailona, ​​​​hiki ke loaʻa iā ʻoe nā hōʻailona o kekahi ʻano maʻi kiʻekiʻe, i kapa ʻia ʻo high-altitude cerebral edema, ʻo ia ke ʻano e piha ai ka lolo i ka wai.

He aha ke kumu o ka HAPE?

I ko mākou piʻi ʻana i ke kiʻekiʻe, e emi ana ke kaomi o ka ea a me nā pae oxygen i ka lewa ma mua o ko lākou kiʻekiʻe ma ke kai. Hiki i kou kino ke hoʻomaʻamaʻa mālie i kēia mau pae oxygen haʻahaʻa, akā he manawa ka lōʻihi. Inā piʻi koke ʻoe i ke kiʻekiʻe, ʻaʻole e loaʻa i kou koko, a no laila kou mau ʻiʻo a me nā ʻōpū, ka lawa o ka oxygen. Hiki i kēia ke hoʻomaʻi iā ʻoe a hiki ke hoʻoweliweli i ke ola.

Ke loaʻa ʻole ka oxygen i kahi ʻāpana o kou mau māmā, ʻūlū nā kīʻaha koko i loko o kou mau māmā. ʻO kēia ka hoʻāʻo ʻana e hoʻokuke i ke koko i nā ʻāpana ʻē aʻe o kou mau māmā e hana maikaʻi ana. Hoʻonui kēia i ke kaomi i loko o nā kīʻaha koko, e hoʻokahe ana i waho i ka wai. Hōʻiliʻili kēia wai i loko o kou mau māmā, e paʻakikī ai ka hanu ʻana. I ka hopena, hiki i ke koko ke kahe i loko o kou mau māmā, a hiki iā ʻoe ke ʻū i ka mucus i hoʻoluʻu ʻia i ke koko.

ʻO wai ka mea i ʻoi aku ka nui o ka pilikia o ka hoʻomohala ʻana i ka HAPE?

E hoʻomanaʻo, ʻaʻohe mea pehea kou olakino kino, ʻaʻole ia e pale iā ʻoe mai ka HAPE. ʻO ka mea pilikia nui loa, ʻo ia ka piʻi wikiwiki ʻana o ke kiʻekiʻe, ʻaʻohe mea pehea kou olakino a me kou ikaika. ʻIke pinepine ʻia kēia maʻi i nā kāne.

ʻO nā kumu pilikia ʻē aʻe:

• Ma hope o ka hoʻomohala mua ʻana iā HAPE.
• Ke koko kiʻekiʻe i loaʻa mua i loko o nā māmā, i ʻike ʻia ʻo ka hypertension pulmonary.
• Aia kekahi mau loli i ke ʻano o ka puʻuwai, no ka laʻana, nā shunt intracardiac a me nā ʻano ʻē o ke kīʻaha koko.
• Anuanu.
• Loaʻa nā maʻi hanu.

Pehea ʻoe e ʻike ai inā loaʻa iā ʻoe ka HAPE?

E hoʻoholo ke kauka inā loaʻa iā ʻoe ka HAPE ma muli o kāu mau hōʻailona. E nānā lākou i kou hanu ʻana, ke koko, ka pae oxygen koko, a me ka helu o ka puʻuwai. Inā lawe ʻia ʻoe i kahi hale lapaʻau, hiki ke hana ʻia kahi X-ray umauma e nānā i ka wai i loko o kou mau māmā. Hiki ke hana ʻia nā hoʻokolohua ʻē aʻe a me nā scan e kāpae i nā kūlana ʻē aʻe.

Pehea e mālama ʻia ai ka HAPE?

ʻO ka lāʻau lapaʻau mua no HAPE ka oxygen hoʻohui. Eia kekahi, pono ʻoe e piʻi i kahi kiʻekiʻe haʻahaʻa i ka wikiwiki. ʻO ia hoʻi ke iho ʻana i lalo i ka liʻiliʻi he 1,000 kapuaʻi (300 mika), a ʻoi aku ka maikaʻi o 3,300 kapuaʻi (1,000 mika). Pono paha ʻoe i ke kōkua lapaʻau ulia pōpilikia e hoʻokuʻu iā ʻoe i lalo. E noho mehana a inu i ka nui o ka wai.

Ma hope o kou iho ʻana i lalo, a i ʻole ʻoiai ʻoe e kali ana e iho i lalo, hiki i ke kauka ke hāʻawi iā ʻoe i kahi lāʻau i kapa ʻia ʻo hyperbaric therapy. Hiki ke hana ʻia kēia i loko o kahi keʻena hyperbaric lawe lima, e like me Gamow Bag®. I kekahi manawa hoʻohana nā kauka i nā lāʻau i kapa ʻia ʻo nifedipine a i ʻole phosphodiesterase (PDE) inhibitors (e like me sildenafil a i ʻole tadalafil). Eia nō naʻe, ʻaʻole hoʻohana pinepine ʻia kēia mau lāʻau inā hiki iā ʻoe ke iho i lalo a hāʻawi i ka oxygen.

He aha ka mea e hana ai inā ulu ka HAPE?

Inā ʻaʻole i mālama koke ʻia, hiki i ka HAPE ke make. Pono ʻoe e ʻimi koke i ke kōkua lapaʻau, a manaʻo e lawe ʻia i kahi kiʻekiʻe haʻahaʻa no ka mālama ʻana i ke olakino. Ke ho'ōla ʻia ʻoe, e haʻi aku kāu kauka iā ʻoe inā palekana ke hoʻomau i kāu huakaʻi. Ma ke ʻano laulā, ʻaʻole ʻōlelo ʻia e hoʻi hou i luna koke, ma muli o ka nui o ka hoʻi hou ʻana.

Hiki ke hala ma kahi o ʻelua pule no ka hoʻoholo piha ʻana o nā hōʻailona HAPE.

Inā ʻaʻole mālama ʻia, e make ana he 50% o ka poʻe i loaʻa i ka HAPE, no laila mai lawe māmā i kēia.

Āhea ʻoe e ʻimi ai i ke aʻo lapaʻau?

Pono ʻoe e ʻimi i ke kōkua lapaʻau i ka wā e ʻike ai ʻoe i nā hōʻailona mua o ka maʻi kiʻekiʻe. E haʻi i kekahi e hele pū ana me ʻoe e pili ana i kāu mau hōʻailona, ​​​​no ka mea, ʻaʻole paha ʻoe e hiki ke haʻi iā lākou ma hope. Inā loaʻa iā ʻoe nā hōʻailona o HAPE, e ʻimi koke i ke kōkua.

He aha kaʻu e nīnau aku ai i ke kauka?

He mea kōkua paha ka nīnau ʻana i kāu kauka i nā nīnau e like me kēia:

• Pehea ka lōʻihi o koʻu ola ʻana?
• Pehea e hiki ai iaʻu ke hōʻea i nā wahi kiʻekiʻe me ka palekana i ka wā e hiki mai ana?
• Hiki iaʻu ke hoʻomau i kaʻu huakaʻi?
• Āhea wau e ʻike hou ai iā ʻoe?

Hiki ke pale ʻia ka HAPE? ʻAe, eia ke ʻano!

ʻO ka piʻi mālie ʻana ke ala maikaʻi loa e pale aku ai i ka maʻi kiʻekiʻe, me ka HAPE. Inā hoʻomaka ʻoe e ʻike i nā hōʻailona o ka maʻi kiʻekiʻe, e hoʻōki i ka piʻi ʻana aʻe a hoʻomaʻamaʻa i ke kiʻekiʻe, a i ʻole e iho a hiki i kou ʻoluʻolu. Mai kali a ʻoi aku ka ʻino o kāu mau hōʻailona.

Eia kekahi mau ʻōlelo aʻoaʻo hou aʻe e hōʻemi i ka pilikia o HAPE i ka wā e hele ana i nā wahi kiʻekiʻe:

• E hoʻolālā pono i kāu huakaʻi a hahai i nā alakaʻi no ka nui o ke kiʻekiʻe āu e makemake ai e hoʻonui i kēlā me kēia lā.
• Inā pono ʻoe e hele koke i nā wahi kiʻekiʻe ma kahi mokulele, e noʻonoʻo pū i kēlā. ʻOiai inā ʻaʻole ʻoe e piʻi i luna ma ka wāwae, pono ʻoe e hoʻomaʻamaʻa i kou kino i ke kiʻekiʻe.
• E hoʻolālā i nā lā hoʻomaha e kōkua i kou kino e hoʻomaʻamaʻa. Manaʻo ʻia e hoʻomaha i hoʻokahi a ʻelua paha lā i kēlā me kēia ʻekolu lā.
• Inā loaʻa iā ʻoe kekahi mau pilikia olakino e pili ana i ke kiʻekiʻe o ka honua, e kamaʻilio me kāu kauka e pili ana i ia mea.
• Inā ʻoe i pilikia no ka HAPE, e nīnau i kāu kauka e pili ana i ka lawe ʻana i nā lāʻau pale a i ʻole prophylaxis. I kekahi manawa, kuhikuhi nā kauka i nā lāʻau like e mālama ai i ka HAPE e like me ka pale ʻana.

Ke hoʻomaka mākou e hoʻokō i kahi mea nui, he mea maʻamau ka wikiwiki e hiki koke i ka pahuhopu. Akā i kou wā ma kahi kiʻekiʻe, hiki i ka holo wikiwiki ke lilo i mea weliweli. Inā ʻoe e hoʻāʻo nei e piʻi i ka piko kiʻekiʻe loa o ka honua a i ʻole e hele wale ana no ka huakaʻi hopena pule, e hāʻawi iā ʻoe iho i ka manawa kūpono e hoʻomaʻamaʻa ai i nā wahi kiʻekiʻe a e hahai i nā alakaʻi no ka piʻi palekana.

Mai hele wale. E kamaʻilio mau me nā poʻe āu e hele pū nei a ʻike i ko lākou manaʻo. E makaʻala i ke ʻano e ʻimi ai i ka ʻōlelo aʻoaʻo lapaʻau inā ʻoe e maʻi. ʻAʻohe mea pehea kou olakino kino, ʻaʻole ʻoe e ʻike i ka wā e pono ai ʻoe i ke kōkua hou aku.

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ʻAe, e hoʻomanaʻo hou kākou iā ʻoe i nā mea nui loa mai nā mea a mākou i kamaʻilio ai:

• He kūlana weliweli ka HAPE kahi e piha ai nā māmā i ka wai ma nā wahi kiʻekiʻe.
• ʻO ka piʻi wikiwiki loa ke kumu nui o ka pilikia.
• E kānalua inā ʻike ʻoe i nā hōʻailona e like me ke kuʻi ʻana, ka paʻakikī o ka hanu ʻana, ka piʻi ʻana o ka puʻuwai, a me ka ʻili polū.
• ʻO ka lāʻau nui e hoʻōla ai, ʻo ia ke iho i lalo a lawe i ka oxygen i ka wā e ʻike ʻia ai nā hōʻailona.
• ʻO ka mea maikaʻi loa e pale aku ai, ʻo ia ke piʻi mālie i luna, e hāʻawi ana i kou kino i ka manawa e hoʻomaʻamaʻa ai.
• He manaʻo maikaʻi e kamaʻilio me ke kauka ma mua o ka huakaʻi, ʻoiai inā he mau pilikia olakino ʻē aʻe kou a i ʻole ua loaʻa mua iā ʻoe ka HAPE.

E hoʻomanaʻo, hiki i ka hele ʻana i nā wahi kiʻekiʻe ke lilo i mea kupaianaha. Akā, no ka hana palekana ʻana, he mea nui e makaʻala i kēia mau mea. Aia kou palekana ma kou mau lima!

HAPE, maʻi mauna, maʻi māmā, maʻi kiʻekiʻe, pilikia hanu, oxygen, piʻi mauna