Lɛ wi lan gud gud wan bɔt di High-Altitude Pulmonary Edema (HAPE)!

Yu dɔn ɛva fil se yu nɔ de blo smɔl, jɔs tan lɛk se yu chɛst tayt, we yu go na say we ay ay ples lɛk Nuwara Eliya, ɔ we yu klaym big mawnten? Sɔntɛnde, pan ɔl we yu tink se dɛn tin ya na nɔmal tin, dɛn kin tɔn to siriɔs sik. Tide, wi go tɔk bɔt dis kayn tin we denja, bɔt we pɔsin kin ebul fɔ avɔyd. Dɛn kɔl dis ‘High-Altitude Pulmonary Edema’ ɔ HAPE fɔ shɔt.

Wetin na HAPE (High-Altitude Pulmonary Edema)? Fɔ tɔk am simpul wan...

Fɔ tɔk am simpul wan, HAPE na we yu gɛt bɔku bɔku wata na yu lɔng we yu go na ay ay ples. Dis na de kayn sik wae de kam pan pɔrsin wae de ayt ɔr de sik na di mawnten. We dis kin apin, i kin rili at fɔ blo, ɛn sɔntɛnde di lɔng dɛn kin blɔd we wata de gɛda insay dɛn. Dis kin mek di ɔda pat pan di bɔdi in tisu ɛn ɔgan dɛn nɔ gɛt ɔksijɛn.

HAPE kin apin we yu muf wantɛm wantɛm frɔm say we smɔl ɛn yu bɔdi nɔ gɛt bɛtɛ tɛm fɔ aklimatiz to di lɔw ɔksijɛn lɛvɛl. Bɔku tɛm, i kin bigin na nɛt, insay tu to 4 dez afta i dɔn muf go na say we ay pasmak.

Bɔku tɛm, HAPE kin apin na say dɛn we ay 8,200 fit (2,500 mita) ɔ pas dat. Yu nɔ nid fɔ klaym di mawnten we ay pas ɔl na di wɔl fɔ rich dis ayt. Sɔm kɔntri dɛn kin ivin gɛt say dɛn fɔ ski na dis ayt. Bɔku pan di siti dɛn na di wɔl we gɛt bɔku pipul dɛn, de na dis ples we ay.

Di tin we impɔtant pas ɔl na dat HAPE na wan sik we kin mek pɔsin in layf de pan denja. If yu gɛt sayn dɛm fɔ HAPE, yu fɔ go to dɔktɔ kwik kwik wan ɛn go na say we nɔr de ɔp kwik kwik wan.

Tu men kayn HAPE de:

Lɛ wi si us kayn HAPE de. Tu kayn dɛn de mɔ:

1. Klasik HAPE: Dis na di kayn we we kɔmɔn pas ɔl. Dis sik kin apin if pɔsin we kin de na say we nɔ gɛt bɛtɛ wata, go ayt pas 8,200 fit wantɛm wantɛm, dat na if i go ɔp tumɔs kwik kwik wan we i nɔ gi in bɔdi tɛm fɔ mek i ebul fɔ ajɔst. Imajin, yu de tray fɔ klaym wan mawnten we ay fa fawe pas Nuwara Eliya we kɔmɔt na Kɔlɔmbɔ insay wan ɔ tu dez.

2. Ri-entry HAPE: Dis wan difren likl. Dis kin apin we pɔsin we de na ay ay ples go na say we smɔl fɔ sɔm tɛm ɛn afta dat i go bak na di say we dɛn kin ayt ɔltɛm ɛn i nɔ go ebul fɔ du am bak. Jɔs lɛk pɔsin we de go ɔp frɔm say we smɔl, dɛn kin gɛt HAPE bak.

Aw kɔmɔn tin fɔ HAPE?

Risach dɔn sho se lɛk 6% pan di pipul dɛn we kin go ɔp to 14,800 fit (4,500 mita) insay wan ɔ tu dez kin gɛt ɛkspiriɛnsHAPE kin apin. If yu dɔn gɛt HAPE bifo, yu go gɛt am bak. Dis min se if yu go ɔp di sem rit (4,500 mita insay 1-2 dez), lɛk 60% pan di pipul dɛn we dɔn gɛt HAPE bifo go gɛt am bak.

Wetin na di sayn dɛm fɔ HAPE?

Naw lɛ wi luk di sayn dɛm fɔ HAPE. I rili impɔtant fɔ no bɔt dɛn tin ya.

• Kɔf: I kin bigin as dray kɔf, dɔn i kin go bifo to kɔf wit pink, frothy phlegm.
• I nɔ izi fɔ blo (dyspnea): Fɔs, yu kin fil taya ɛn yu nɔ kin ebul fɔ blo fayn nɔmɔ we yu de du layt wok ɔ we yu de waka. Leta, i kin at fɔ blo ivin we yu jɔs tinap.
• Tachycardia: Di at rit de go ɔp.
• Di rit we yu de blo go ɔp (tachypnea): Yu kin bigin fɔ blo kwik kwik wan.
• Low fiva.
• Blu di kɔlɔ we di skin, lip, ɔ finga nel de chenj (cyanosis): Dis min se di bɔdi nɔ de gɛt inof ɔksijɛn.

Apat frɔm dɛn sayn ya, yu kin gɛt ɔda kayn sik bak we yu kin gɛt we yu de ayt, we dɛn kɔl high-altitude cerebral edema, we na wan sik we di bren kin ful-ɔp wit wata.

Wetin kin mek pɔsin gɛt HAPE?

As wi de go ɔp na di ayt, di prɛshɔn na di briz ɛn di ɔksijɛn lɛvɛl na di ays kin smɔl pas aw i de na di si. Yu bɔdi kin ajɔst smɔl smɔl to dɛn ɔksijɛn we de dɔŋ ya, bɔt i kin tek tɛm. If yu go ɔp kwik kwik wan wantɛm wantɛm, yu blɔd, ɛn dat mek yu tisu ɛn ɔgan dɛn, nɔ go gɛt inof ɔksijɛn. Dis kin mek yu sik ɛn i kin ivin put yu layf pan denja.

We wan pat pan yu lɔng nɔ gɛt bɛtɛ ɔksijɛn, di blɔd vesel dɛn na yu lɔng kin kɔnstrikt. Dis na fɔ tray fɔ push blɔd to ɔda pat dɛn na yu lɔng we de wok fayn. Dis kin mek di prɛshɔn we de na di blɔd vesel dɛn go ɔp, ɛn dis kin mek wata kɔmɔt. Dis wata kin gɛda na yu lɔng, ɛn dis kin mek i nɔ izi fɔ blo. As tɛm de go, blɔd kin lik insay yu lɔng, ɛn yu kin kɔf blɔd -tinged mucus.

Udat de pan ay risk fɔ gɛt HAPE?

Mɛmba se, ilɛk aw yu fit pan yu bɔdi, i nɔ de protɛkt yu frɔm HAPE. De big tin wae kin mek yu gɛt ayt kwik kwik wan, ilɛksɛf yu gɛt wɛl bɔdi ɛn strɔng. Dɛn kin si dis sik bak mɔ pan man dɛm.

Ɔda tin dɛn we kin mek pɔsin gɛt dis sik na:

• Bikɔs dɛn bin dɔn divɛlɔp HAPE bifo tɛm.
• di hεy blכd prεshכn we bin de bifo na di lכng, we dεn kכl pulmonary hypertension.
• sכm chenj dεm de na di strכkchכ fכ di at, fכ egzampl, di intrakadyak shunt dεm εn di bכdi vεsul dεm we nכ de nכmal.
• Kol weta.
• Fɔ gɛt infɛkshɔn we de mek pɔsin nɔ ebul fɔ blo fayn.

Aw yu go no if yu gɛt HAPE?

Dɔktɔ go no if yu gɛt HAPE bay di sayn dɛm we yu gɛt. Dɛn go chɛk aw yu de blo, yu blɔd prɛshɔn, ɔksijɛn lɛvɛl na yu blɔd, ɛn aw yu at de bit. If dɛn kɛr yu go na dɔktɔ, dɛn kin du ɛkstrem na yu chɛst fɔ chɛk if wata de na yu lɔng. Dɛn kin du ɔda tɛst ɛn skan dɛn bak fɔ mek dɛn nɔ no ɔda tin dɛn we de apin.

Aw dɛn kin trit HAPE?

Di fɔs tritmɛnt fɔ HAPE na sɔpɔtmɛnt ɔksijɛn. Dɔn bak, yu nid fɔ rich na di say we ayt kwik kwik wan. Dis min se yu fɔ go dɔŋ to at le 1,000 fit (300 mita), ɛn i bɛtɛ fɔ go dɔŋ 3,300 fit (1,000 mita). Yu kin nid fɔ ɛp yu kwik kwik wan fɔ mek yu go dɔŋ. Stay wam ɛn drink bɔku wata.

Afta yu dɔn go dɔŋ, ɔ we yu de wet fɔ go dɔŋ, dɔktɔ kin gi yu wan tritmɛnt we dɛn kɔl hyperbaric therapy. Dis kin bi insay wan pɔtabl haypabarik chɛmba, lɛk Gamow Bag®. Sɔntɛnde, dɔktɔ dɛn kin yuz mɛrɛsin dɛn we dɛn kɔl nifedipine ɔ phosphodiesterase (PDE) inhibitors (lɛk sildenafil ɔ tadalafil). Bɔt dɛn nɔ kin yuz dɛn mɛrɛsin ya bɔku tɛm if yu ebul fɔ go dɔŋ ɛn gi yu ɔksijɛn.

Wetin kin apin if HAPE de divɛlɔp?

If dɛn nɔ trit am wantɛm wantɛm, HAPE kin kil pɔsin. Yu fɔ go to dɔktɔ kwik kwik wan, ɛn tink se dɛn go kɛr yu go na say we smɔl fɔ mek dɛn go gi yu mɛrɛsin. We yu dɔn wɛl, yu dɔktɔ go tɛl yu if i sef fɔ kɔntinyu fɔ travul. In jɛnɛral, i nɔ fayn fɔ go bak ɔp bak wantɛm wantɛm, bikɔs ɔf di ay rikɔrɛshɔn rɛt.

I kin tek lɛk tu wiks fɔ mek di HAPE simptom dɛn dɔn fulɔp.

If dɛn nɔ trit am, 50% pan di pipul dɛn we gɛt HAPE go day, so nɔ tek dis layt.

Ustɛm yu fɔ go to dɔktɔ?

Yu fɔ go to dɔktɔ jɔs afta yu si di fɔs sayn dɛm fɔ sik we yu de si we yu de ɔp. Tɛl pɔrsin wae de travul wit yu bɔt yu sik, as yu nɔr go ebul fɔ tɛl am leta. If yu gɛt sayn dɛm fɔ HAPE, go to ɛp kwik kwik wan.

Wetin a fɔ aks di dɔktɔ?

I go fayn fɔ aks yu dɔktɔ kwɛstyɔn dɛn lɛk dɛn wan ya:

• Aw lɔng i go tek fɔ mek a wɛl?
• Aw a go ebul fɔ rich na ay ples dɛn sef wan tumara bambay?
• A go ebul fɔ kɔntinyu fɔ travul?
• Ustɛm a fɔ si yu bak?

Yu tink se dɛn go ebul fɔ stɔp HAPE? Yɛs, na so i bi!

Fɔ go ɔp smɔl smɔl na di bɛst we fɔ mek yu nɔ gɛt sik na di ayt, inklud HAPE. If yu bigin fɔ gɛt sayn dɛm fɔ sik na di ayt, stɔp fɔ go ɔp mɔ ɛn aklimat to di ayt, ɔ kam dɔŋ te yu fil fayn. Nɔ wet te yu sik dɛn de wɔs.

Na sɔm ɔda advays dɛn fɔ ridyus di risk fɔ HAPE we yu de travul go na ay ay ples:

• Plan yu trip gud gud wan ɛn fala di gaydlayn fɔ ɔmɔs ayt yu want fɔ gɛt fɔ wan de.
• If yu gɛt fɔ go ay ay ples wantɛm wantɛm we yu de flay, tink bɔt dat bak. Ivin if yu nɔ go ɔp wit fut, yu nid fɔ aklimat yu bɔdi to di ayt.
• Plan fɔ rɛst fɔ ɛp yu bɔdi fɔ ajɔst. I fayn fɔ tek wan ɔ tu dez fɔ lɛf fɔ wok ɛvri tri dez.
• If yu gɛt ɛni wɛlbɔdi prɔblɛm we kin afɛkt we yu ay, tɔk to yu dɔktɔ bɔt am.
• If yu de pan denja fɔ gɛt HAPE, aks yu dɔktɔ bɔt aw fɔ tek mɛrɛsin fɔ protɛkt yu bɔdi ɔ fɔ protɛkt yusɛf. Sɔntɛnde, dɔktɔ dɛn kin gi di sem mɛrɛsin fɔ trit HAPE lɛk fɔ mek i nɔ gɛt am.

We wi de tray fɔ du big tin, na nɔmal tin fɔ mek wi rɔsh fɔ rich di gol kwik kwik wan. Bɔt we yu de na ay ay ples, fɔ rɔsh kin denja. Ilɛksɛf yu de tray fɔ skel di ay ay ples na di wɔl ɔ jɔs de go fɔ waka na di wikɛnd, gi yusɛf bɔku tɛm fɔ aklimat to ay ay ples ɛn fala di gaydlayn fɔ sef ascent.

Nɔ ɛva travul yu wan. Ɔltɛm tɔk to di pipul dɛn we yu de travul wit ɛn si aw dɛn de fil. Yu fɔ no aw fɔ go to dɔktɔ if yu nɔ fil fayn. Ilɛk aw yu bɔdi fit, yu nɔ go ɛva no ustɛm yu go nid mɔ ɛp.

Mɛsej we dɛn kin kɛr go na os

Okay, so lɛ wi mɛmba yu bak di impɔtant pɔynt dɛn frɔm wetin wi dɔn tɔk bɔt:

• HAPE na wan denja sik we di lɔng dɛn kin ful-ɔp wit wata we i de ɔp.
• Fɔ go ɔp tumɔs kwik na di men tin we kin mek yu gɛt prɔblɛm.
• Yu fɔ sɔprayz if yu gɛt sɔm sayn dɛm lɛk fɔ kɔf, fɔ gɛt prɔblɛm fɔ blo, yu at de bit mɔ ɛn mɔ, ɛn yu skin de blu.
• Di men tritmɛnt na fɔ kam dɔŋ ɛn tek ɔksijɛn jɔs lɛk aw di sik dɔn sho.
• Di bɛst tin fɔ avɔyd na fɔ go ɔp sloslo, ɛn gi yu bɔdi tɛm fɔ ajɔst.
• I fayn fɔ tɔk to dɔktɔ bifo yu travul, mɔ if yu gɛt ɔda wɛlbɔdi prɔblɛm ɔ yu dɔn gɛt HAPE bifo.

Mɛmba se fɔ go na ay ples dɛn kin rili fayn. Bɔt fɔ du am sef wan, i impɔtant fɔ no bɔt dɛn tin ya. Yu sef de na yu an!

`HAPE, sik na mawnten, sik na di lɔng, sik na di ayt, i nɔ izi fɔ blo, ɔksijɛn, fɔ klaym mawnten