Yu na pɔsin we de klaym mawnten? Lɛ wi lan bɔt di High-Altitude Cerebral Edema (HACE)!

Yu dɔn ɛva wɔnda wetin kin apin to wi bɔdi we wi klaym ay mawnten, dat na we wi go fa fawe pas di si? Sɔntɛnde, wi kin go na ay ples fɔ si fayn fayn tin dɛn fɔ si ɛn si nyu tin dɛn. Bɔt if wi nɔ pripia fayn, tin dɛn kin apin we denja we wi bɔdi nɔ ebul fɔ bia di ayt. Wan pan dɛn kayn siriɔs tin ya na HACE (High-Altitude Cerebral Edema) .

Wetin na HACE (High-Altitude Cerebral Edema)?

Fɔ tɔk am simpul wan, HACE na wan sik we yu bren kin swel we yu de ay . Dis na denja sik we kin ivin mek pɔsin in layf de pan denja. Tink bɔt am, wi bɔdi dɔn yus to di ɔksijɛn we de na di say we wi kin liv insay. We wi bren nɔ ebul fɔ sɔlv dis ɔksijɛn we nɔ de, i kin bigin fɔ swel we i de ansa. Wi ed tan lɛk bɔks we tayt, so we di bren swel, nɔto inof ples fɔ am, ɛn di prɛshɔn we de insay di ed kin go ɔp. Dis prɛshɔn de pwɛl di bren ɛn wi bɔdi kin bigin fɔ wok fayn fayn wan. Dɛn kɔl dis HACE. Dis kɔndishɔn kin afɛkt pipul dɛn we de klaym mawnten, pipul dɛn we kin go na say dɛn we gɛt mawnten, ɔ ɛnibɔdi we kin go na say dɛn we rili ay pas di si.

Wetin na di men tin we kin mek pɔsin gɛt HACE?

Di men tin we kin mek pɔsin gɛt HACE na wan sik we dɛn kɔl haypoksia . Hypoxia na we wi bɔdi tisu dɛn, mɔ di bren, nɔ de gɛt inof ɔksijɛn . We wi go na ay ay ples, di briz we de de nɔ kin gɛt bɔku ɔksijɛn, so wi bɔdi nɔ kin gɛt di ɔksijɛn we i nid. Bikɔs wi bɔdi nɔ yus to dis lɔw ɔksijɛn lɛvɛl, di wok we impɔtant ɔgan dɛn lɛk di bren de du kin bigin fɔ pwɛl. Dis na di praymar sayɛns kɔz fɔ HACE.

Wetin na di sayn dɛm fɔ HACE? Aw fɔ no am?

Di sayn dɛm fɔ HACE nɔ kin kam wantɛm wantɛm. Dɛn kin bigin fɔ fil saful ɛn afta dat dɛn kin rili bad. So i impɔtant fɔ no bɔt dɛn sik ya, mɔ if yu na pɔsin we de klaym mawnten.

Di Simptom dɛn we De Fɔs Fɔs

Dis na sɔm pan de sayn dɛm wae de sho se yu gɛt HACE kɔndishɔn kwik kwik wan:

• Ed pen: Dis kin difrɛn smɔl frɔm nɔmal ed pen, ɛn i kin ivin tranga.
• Taya ɛn taya: Fɔ fil taya pasmak ivin we yu nɔ du ɛni wok.
• Diziz ɛn spinning sensation (Vertigo): Yu kin fil diziz ivin we yu tinap.
• Nɔs ɛn vɔmit: Na filin fɔ mek yu bɛlɛ de tɔn, sɔntɛm yu kin ivin vɔmit.
• Drowsiness: Fɔ fil lɛk se yu de slip ɔltɛm.
• Kɔnfyushɔn: Nɔ ebul fɔ tink klia wan, nɔ ɔndastand wetin de apin, i nɔ kin izi fɔ disayd fɔ du sɔntin.

If yu ɔ pɔrsin wae yu de wit gɛt dɛn sik ya na ay ay ples, na so i biNɔ tek am layt , bikɔs dis kin bi di biginin fɔ HACE.

Sivεr Simptom dεm - If dεn tin ya apin, yu nid εp kwik kwik wan!

As di fɔs sayn dɛm de kɔntinyu ɛn de sik de wɔs, dɛn sayn ya kin kam. If yu notis dɛn tin ya , i impɔtant fɔ go to dɔktɔ wantɛm wantɛm :

• Siriv ed pen: pen we yu nɔ go ebul fɔ bia.
• Lɔs fɔ balans (Ataxia): I nɔ ebul fɔ waka fayn, i kin stɛdi we dɛn aks am fɔ waka stret, lɛk pɔsin we dɔn chak.
• Wik pasmak: I de lɔs ɔl di layf na di bɔdi.
• Slurred speech: Slurred speech , we min se wɔd dɛn nɔ de kɔmɔt klia wan.
• Altered mental status: Fɔgɛt usai yu de ɛn ustɛm na, fɔ biev strenj, si ɔ yɛri tin dɛm wae nɔr rial.
• Nɔbɔdi nɔ kin no natin.
• Di sik dɛn we kin mek pɔsin sik.

Impɔtant: Bɔrku tɛm, pipul dɛm wae gɛt HACE nɔr kin no se dɛn sik. Dɛn kin tink se, "A jɔs taya, a go fayn insay smɔl tɛm." So, if yu de waka wit grup ɛn yu notis se yu padi in biev ɔ tɔk chenj wantɛm wantɛm (fɔ ɛgzampul, pɔsin we bin fayn kin bigin fɔ tɔk bad bɔt in wɔd wantɛm wantɛm, ɔ i tan lɛk se i gɛt prɔblɛm fɔ waka), nɔ ignore am . Mek dɛn kam dɔŋ na say we sef kwik kwik wan ɛn go to dɔktɔ wantɛm wantɛm. Nɔ klaym ay pas dat fɔ ɛni rizin.

Udat de pan ay risk fɔ gɛt HACE?

Dis sik wae dɛn kɔl HACE kin afɛkt ɛnibɔdi. I nɔ mata aw yu gɛt ɛkspiriɛns fɔ klaym ɔ aw yu ol. Bɔt sɔm pipul dɛn kin gɛt smɔl prɔblɛm:

• Fɔ di wan dɛn we bin dɔn gɛt sik we dɛn kɔl altitud bifo: If yu bin dɔn gɛt ed we de at ɛn vɔmit bifo tɛm we yu de klaym mawnten, smɔl chans de fɔ mek yu gɛt HACE bak.
• Fɔ di wan dɛn we de du ɛksɛsayz tranga wan: We yu de ɛksesaiz tranga wan na ay ay ples, yu bɔdi nid mɔ ɔksijɛn. Bɔt bikɔs ɔksijɛn nɔ bɔku, dat kin mek di prɔblɛm bɔku.
• Fɔ di wan dɛn we kin kɔmɔt na say we nɔ gɛt bɛtɛ ples wantɛm wantɛm to ples we rili ay: Di prɔblɛm kin bigin we di bɔdi nɔ gɛt tɛm fɔ ajɔst to di chenj. I bɛtɛ fɔ mek yu go ɔp sloslo.

HACE kin afɛkt pipul dɛm wae nɔr dɔn yus fɔ de na ay ay ples, dat min se dɛn nɔr ɛva spɛn tɛm na dis kayn say. Di wan dɛn we gɛt HACE nɔ rich 1% pan di pipul dɛn we de travul go na di ayt bitwin 4,000 ɛn 5,000 mita (2.5 to 3 mayl) ɔp di si lɛvɛl. Dis kin mek i bi di kayn sik wae nɔr kin pasmak fɔ ayt.

Wetin na di prɔblɛm dɛn we pɔsin kin gɛt we i gɛt HACE? Aw i denja?

HACE min se if dɛn nɔ pe atɛnshɔn to am, i kin ivin mek pɔsin day.Wan siriɔs kɔndishɔn. Kɔmplikɛshɔn kin apin insay 24 awa frɔm di tɛm we di sik bigin. Di prɔblɛm we denja pas ɔl na di bren hεnia . dis kin apin we di prεshכn we de insay di ed (intrakranial prεshכn) de inkrεs tumכs, we de mek di pat dεm na di bren bulge εn kכt di bכdi we de go na di bren. Dis kin mek yu bren pwɛl bad bad wan, yu kin kɔma, ɛn i sɔri fɔ no se yu kin day. Na dat mek i rili impɔtant fɔ du sɔntin jɔs afta yu notis di sayn dɛm fɔ HACE.

Ɛnitin de we HACE kin du fɔ lɔng tɛm?

Sɔntɛnde, di ɔksijɛn we nɔ de (hypoxia) we HACE kin mek kin gɛt ɛfɛkt fɔ lɔng tɛm. Dis min se sɔm prɔblɛm dɛn kin stil de ivin afta di sik dɔn dɔn. Fɔ ɛgzampul:

• Di mɛmori we yu nɔ ebul fɔ mɛmba.
• Di we aw pɔsin kin ɔndastand sɔntin.
• Di chenj dɛn we de apin to yu pɔsin.
• Yu nɔ de si fayn igen.
• I nɔ izi fɔ tɔk ɛn swɛla.

Bɔt, di bɛst tin na dat, if dɛn no ɛn trit HACE kwik, di risk fɔ dɛn kayn lɔng tɛm ifɛkt ya kin smɔl pasmak. Na dat mek dɛn kin tɔk ɔltɛm se ivin if yu gɛt smɔl sik na ay ay ples, nɔ ignore am.

Aw dɔktɔ dɛn kin no se i gɛt HACE?

If yu sik na ay ay ples ɛn go to dɔktɔ, dɛn go tray fɔ no se yu gɛt HACE kwik kwik wan, bikɔs tritmɛnt nid fɔ bigin kwik kwik wan. De men tin wae dɛn kin du fɔ no bɔt de sik na:

• Nyurolɔjik ɛgzamin: Dis go chɛk yu balans, aw yu de wach, ɛn aw yu de tɔk.
• Aks bɔt de sik, mɛdikal histri, ɛn travul histri: Dɛn go aks yu bɔt aw yu de fil, if yu bin dɔn gɛt ɛni sik bifo, ɛn aw yu dɔn travul ay. If yu dɔn go na ay ay ples rili impɔtant fɔ no if yu gɛt HACE.

Sɔntɛnde, dɛn kin du dɛn tɛst ya fɔ kɔnfirm di diagnosis (dɛn nɔ kin nid ɔltɛm):

• Blɔd tɛst: Tin dɛn lɛk fɔ chɛk di nɔmba fɔ di wayt blɔd sɛl dɛn we de na di blɔd ɛn fɔ chɛk di sɔl lɛvɛl.
• MRI (Magnetic Resonance Imaging) ɔ CT scan (Computed Tomography scan) tɛst: Dɛn tin ya kin ɛp fɔ si if swɛlin de na di bren ɔ ɛni ɔda prɔblɛm.

Wetin na di tritmɛnt dɛm fɔ HACE?

Di fɔs ɛn impɔtant tin fɔ trit HACE na fɔ no di bɔt di prɔblɛm wantɛm wantɛm . Dis na di bɛst we fɔ sev pipul dɛn layf. Apat frɔm dat, dɛn kin yuz dɛn tritmɛnt ya:

• Dɔn at le 1000 mita (lɛk af mayl): If i pɔsibul, go wit pɔsin fɔ ɛp yu. Nɔ tray tranga wan we yu de go.
• supliment כksijεn כ yus pכtabl haypabarrik chεmba: dεn kin gi כksijεn to di bכdi kwik kwik wan.
• Fɔ gi mɛrɛsin:
• Dexamethasone, na wan kɔtikosterɔyd drɔg: Dis kin mek di bren nɔ swel.
• Acetazolamide: Dis mɛrɛsin de ɛp bak fɔ ridyus di swel na di bren ɛn ɛp yu fɔ ajɔst to di ayt.

Di dɔktɔ go disayd di tritmɛnt we go fit yu pas ɔl bay di sik we yu gɛt.

Aw lɔng e kin tek fɔ wɛl afta dɛn dɔn trit am?

Wae yu dɔn bigin fɔ trit yu, yu fɔ bigin fɔ fil fayn insay sɔm dez to sɔm wiks. I dipen pan aw yu sik siriɔs. Bɔt fɔ bɔku pipul dɛn, i nɔ kin tek sɔm wiks, i kin jɔs tek sɔm dez.

Wetin pɔsin we gɛt HACE fɔ ɛkspɛkt?

HACE na wan mɛdikal imejensi. So, fɔ no di sik kwik kwik wan ɛn fɔ trit am kwik na di bɛst we fɔ mek yu nɔ gɛt prɔblɛm dɛn. I kin apin pan ɔl tu di wan dɛn we gɛt ɛkspiriɛns fɔ klaym ɛn di wan dɛn we de klaym fɔ ɛnjɔy dɛnsɛf.

Imajin, yu de plan fɔ klaym go ɔp wan mawnten. Dɔn, ivin if yu gɛt smɔl prɔblɛm, yu go tink se, ‘Wi dɔn lɛf smɔl fɔ go ɔp naw, na smɔl mɔ nɔmɔ lɛf, a go ebul fɔ sɔlv dis.’ Dat na di tin we denja pas ɔl. Bikɔs if yu kɔntinyu lɛk dis, di HACE kɔndishɔn go wɔs. If dɛn nɔ trit am, i kin mek pɔsin in layf de pan denja.

So, if yu ɔ ɛnibɔdi na yu grup bigin fɔ fil taya, diziz, ɔ gɛt ed we de at, nɔ shek fɔ stɔp fɔ klaym ɛn kam dɔŋ sef wan. Di simptom dɛm fɔ HACE kin wɔs insay sɔm awa. Na dat mek i impɔtant fɔ no di sayn dɛm fɔ HACE bifo yu bigin fɔ klaym.

Yu tink se dɛn kin ebul fɔ stɔp HACE? If na so i bi, aw?

Yɛs, di bɛst we fɔ mek yu nɔ gɛt HACE na fɔ mek yu bɔdi ajɔst to di ayt . Dɛn kɔl dis ‘aklimatayzeshɔn’. Fɔ tɔk am simpul wan, na fɔ alaw yu bɔdi fɔ ajɔst smɔl smɔl to di chenj dɛn we de na di ɔksijɛn lɛvɛl. Altitude sik lɛk HACE kin apin we yu go wantɛm wantɛm na altitude we yu bɔdi nɔ rɛdi fɔ.

Yu kin aklimatiz yusɛf bay we yu de klaym sloslo ɛn smɔl smɔl. Fɔ ɛgzampul, if yu de ɔp 2,500 mita (lɛk 1.7 mayl) ɔp di si, na fɔ klaym 300-500 mita nɔmɔ fɔ wan de. Dat min se yu go klaym da ayt de wan de, de de fɔ wan nɛt, dɔn yu go klaym ay smɔl di nɛks de. Dis kin gi yu bɔdi tɛm fɔ ajɔst to di nyu say we yu de. Dis kin bi prɔblɛm fɔ sɔm pipul dɛn, bikɔs i kin tek smɔl tɛm. Bɔt, i bɛtɛ fɔ mek yu sef.

Ustɛm yu fɔ go to dɔktɔ wantɛm wantɛm?

HACE na wan mɛdikal imejensi. If yu fil sik, diziz, ɔ taya we yu de na ay ay ples, go wantɛm wantɛm na say we sef ɛn kɔl di imejensi mɛdikal savis dɛm. Na Sri Lanka, yu kin kɔl 1990 (Suvaseriya). If yu de na ɔda kɔntri, kɔl di imejensi nɔmba fɔ da kɔntri de (e.g. 911). Nɔ west tɛm.

Wetin na di impɔtant kwɛstyɔn dɛn we wi fɔ aks di dɔktɔ?

If yu gɛt HACE, ɔ yu sɔspɛkt am, i fayn fɔ aks yu dɔktɔ kwɛstyɔn dɛn lɛk dɛn wan ya:

• "A gɛt HACE ɔ ɔda kayn altitude sik?"
• "Aw a go pripia mi bɔdi bifo a go na ay ay ples?"
• "A go gɛt lɔng tɛm ifɛkt frɔm HACE?"
• "If a bin gɛt HACE, a go ebul fɔ klaym mawnten dɛn bak?"

Di ansa to dɛn kwɛstyɔn ya go rili ɛp yu.

Wetin na di difrɛns bitwin AMS ɛn HACE?

Bɔku pipul dɛn kin aks if AMS (Acute Mountain Sickness) ɛn HACE na tu difrɛn tin ɔ na wan tin.

HACE (High-Altitude Cerebral Edema) na wan kayn AMS (Acute Mountain Sickness) we nɔ kin bɔku ɛn we kin rili bad. Sɔntɛnde dɛn kin kɔl HACE ‘let AMS’ ɔ ‘let stej AMS’.

AMS na wan sik we kin apin we yu go ɔp wantɛm wantɛm na ay ay ples. E kin mek yu gɛt sɔm kayn sik lɛk ed we de at, nɔs, yu ed nɔr de shayn, ɛn yu nɔr kin ebul fɔ blo fayn.

Dɛn tu tin ya kin apin we wi bɔdi nɔ kin gɛt inof ɔksijɛn na ay ay ples. Fɔ tɔk am simpul wan, AMS tan lɛk wɔnin sayn we, if dɛn nɔ tek tɛm, i kin mek pɔsin gɛt wan bad bad sik we dɛn kɔl HACE.

Fɔ dɔn, di tin we impɔtant pas ɔl fɔ tɛl yu! (Mɛsej we dɛn kin tek go na os)

Fɔ klaym go ɔp mawnten ɛn si am, na rili fayn ɛkspiriɛns. Bɔt, we yu de klaym, lisin to yu bɔdi. Ivin if di gol impɔtant to yu dat yu tink se, ‘A nɔ go ebul fɔ stɔp dis, a jɔs de fa smɔl,’ nɔ ignore di signal dɛn we yu bɔdi de gi yu. If yu fil di smɔl smɔl sayn dɛm fɔ HACE (High-Altitude Cerebral Edema), go wantɛm wantɛm na say we sef, dat na, we de dɔŋ. If dɛn nɔ trit HACE, i kin mek pɔsin in layf de pan denja insay sɔm awa. So nɔ delay. Tek kia of yusɛf ɛn di ɔda pipul dɛn we de klaym wit yu. Tek akshɔn jɔs lɛk aw yu bigin fɔ gɛt di sayn dɛn we de na di ay ay ples. Yu layf valyu!

` HACE, ay ayt, sεribral εdima, כksijεn dεprivεshכn, ed pen, mכunt klaym, ayt sik, haypoksia, aklimatayzεshכn