Nuwara Eliya, Haggala, Horton Plains ang hmun sang takah i kal nghal vat a, lu na, chak lohna emaw, luak chhuak emaw i nei nghal em? Khaw lum leh zinkawng hah vang a ni tih i ngaihtuah mai thei. Mahse a takah chuan a chhan chu tunlaia kan sawi mek ‘Altitude Sickness’ tia koh dinhmun hi a ni thei. Mi tam takin hei hi hre lo mah se, hmun sâng lama kan kal huna kan fimkhur tur thil a ni. Chuvangin, vawiinah hian engkim hi awlsam leh chiang takin sawi ila.
A awlsam zawngin, Altitude Sickness hi eng nge ni?
Ngaihtuah teh, tuipui kam hnaihah kan cheng tlangpui. Heta boruak hian oxygen a nei tam hle. Mahse tlâng kan chhoh zêl chuan, a nih loh leh hmun sâng tak takah chuan boruak chu a thim zual sauh sauh a. Chumi awmzia chu thawk zat inang mah ila, kan taksa hian oxygen a hmu tlem zawk tihna a ni.
Altitude sickness hi hmun sang zawka kan chhoh thut a, kan taksain oxygen level hniam takah a insiamrem theih loh avanga lo awm thin a ni. He inthlak danglamna hi kan taksa hian a insiamrem theih nan hun rei tak a mamawh a ni. He harsatna hi chu hun pe lovin kan chhoh chak lutuk chuan a lo awm thin.
Altitude Sickness chi hrang hrangte chu engte nge ni?
He dinhmun hi a inang vek lo. A nasat dan azirin chi thum ah then theih a ni. Hei hi hriat a pawimawh hle a, a chhan chu case thenkhatah chuan emergency treatment a ngai thin.
| Condition hming | Hrilhfiahna awlsam tak |
|---|---|
| Tlang natna hlauhawm tak (AMS) . | Hei hi natna chi hrang hrang zingah chuan a tam ber leh a nasat loh ber a ni. Lu na leh hahna ang chi symptoms a thlen tlangpui. |
| Hmun sang tak atanga lungphu chawl (HAPE) . | Hei hi tlem a hlauhawm zawk a ni. Heta thil thleng chu a san zawng avang hian lung hi tuiin a khat a ni. Hei hi emergency medical treatment mamawhna a ni. Thihna hi chi dang aiin a thleng rang zawk hial a ni. |
| Hmun sang tak atanga thluak Edema (HACE) . | Hei hi case na ber leh hlauhawm ber a ni. Heta thil thleng hi a sanna avang hian thluak a lo hring chhuak thin. Hei hi nunna atana hlauhawm tak a ni bawk a, emergency medical treatment a ngai a ni. |
Hetiang dinhmun hi engtiang chiahin nge a awm?
Hei hi a takah chuan i ngaihtuah aiin a tam zawk. A bik takin hmun sang lama insiamrem loteah a awm fo thin. Tuipui atanga feet 8,000 (meter 2,438) hnuai lamah a awm tlem hle. Mahse, rang taka feet 11,000 (meter 3,352) a sangah chuan AMS hi eng emaw chen a nei thei a ni.
Hei hi eng symptoms nge ni?
A natna hi a nasat dan azirin symptoms a inang lo. A tlangpuiin AMS symptoms hi altitude sickness ni hmasa berah a lang tan thin. Hriselna nasa zawk, HAPE emaw HACE emaw ang chi symptoms te hi ni hnih atanga ni nga vel a ni thei.
| Symptom chi hrang hrang | Hrilhfiahna |
|---|---|
| General (AMS) natna lan chhuah dan | |
| Lu na | Hei hi a langsar ber leh a lan chhuah hmasak ber a ni. |
| Nausea leh luak chhuak | Natna hriat emaw, natna emaw. |
| Chaw chakna | Ei duhna zawng zawng ka hloh vek. |
| Chawlh lai pawhin chau tih hriat | Engmah i tih loh lai pawha chau lutuk tih hriat. |
| Mu thei lo | Zanah chuan muhil lovin ka toss leh turn thin. |
| Luak chhuak thei | Luak chhuak emaw vertigo emaw . |
| Damdawi lam pan vat ngai hlauhawm chhinchhiahna (HAPE leh HACE) . | |
| Chawlh lai pawhin thawk harsa | Hei hi HAPE condition-a thil pawimawh tak a ni. |
| Chest tightness emaw a na emaw | I rilru a inzawm khawm ang maia inhriatna. |
| Kal harsa, staggering (Ataxia) . | Zu rui ang maia kal chu thil theih a ni lo. Hei hi HACE chhinchhiahna hlauhawm tak a ni. |
| Buaina leh tawng harsa | Eng thil nge ka tih leh khawiah nge ka awm tih pawh ka hre thei lo. Ka thusawi lai hian ka tawng chhuak thin. |
| Thil hriatna hloh | Zawi zawiin ka hriatna a hloh chho zel a. |
Hetiang dinhmun thlentu risk factors te hi engte nge ni?
Altitude sickness thlentu ber chu i taksa insiamrem theihna hun pe lovin hmun sang takah kal thuai hi a ni. Chu bakah chuan risk factor dang engemaw zat a awm bawk.
- Height of the climb: A san zawng a san poh leh he natna hi a vei theihna a sang zawk.
- The rate of ascent: Hei hi a pawimawh ber a ni. Khawpui a\anga motor-a i tlan chhuak ang maiin han mitthla teh. Tichuan i taksa chuan inthlak danglamna chu a thiam theih nan hun a nei ta a ni. Mahse ram sang takah i thlawk thut a nih chuan i taksa hian inthlak danglamna chu a thiam hun a nei lo. Chuvangin a risk a sang zawk hle. Feet 8,000 aia sang i kal tlangpui a nih chuan ni khatah feet 1,640 (meter 500) aia sang lo chhoh loh a tha ber.
- Zu leh ruihhlo thenkhat hman: Zu in leh sedatives hman hian he hlauhawmna hi nasa takin a tipung a ni.
- Altitude sickness i neih tawh chuan: Hetiang dinhmun hi i lo nei tawh a nih chuan, a bik takin HAPE emaw HACE emaw ang chi case na tak i neih chuan i vei leh theihna a sang zawk.
Taksa tha tak i nih chuan hei hi i nei lo ang tih hi ngaihdan dik lo a ni. Hei hi a dik lo. Tu pawhin an tipung thei a ni. Mahse, thisen tlakchhamna emaw, chronic obstructive pulmonary disease (COPD) ang chi natna i neih chuan, hmun sang atanga natna (altitude sickness) hian chutiang dinhmun chhinchhiahna chu a ti na zual thei a ni.
Engtin nge enkawl a nih?
Chumi atana "damdawi" awmchhun leh tha ber chu lei hnuai lam pan nghal mai hi a ni. Chu chu i nunna chhanhimna kawng tha ber a ni.
Mahse, vawi khatah a hnuai lam thlenga chhuk chu a theih reng reng lo. Hetiang hun lai leh i natna lan chhuah dan a nasat loh lai hian thil engemaw zat i tih theih a ni.
- Ding leh chawlh: I rilru hahdam loh chuan i thil tih lai kha bansan la, rei lo te chawlh hahdam rawh. Chu aia sang zawkah kal suh. I taksa chu chawlh hahdamna hun pe la, a san zawnga insiamrem rawh.
- Descending: I symptoms a nasat (luh, hahna, nausea ang chi) emaw, zawi zawiin a zual zel emaw a nih chuan i tlahniam ngei tur a ni. Rule chu i symptoms a reh hma loh chuan chhuk rawh. A tlangpuiin feet 984 (meter 300) atanga feet 3,281 (meter 1,000) thlenga chhuk a ngai dawn a ni.
- Supplemental oxygen pek: Oxygen tank atanga oxygen pek hian natna lanchhuahna a tiziaawm thei a ni.
- Damdawi: Hemi atan hian doctor-in a pek theih damdawi a awm. Entirnan, damdawi `acetazolamide`, `dexamethasone` emaw `nifedipine` te hian he natna hi a thunun thei a, a na zual loh nan a pui thei bawk. Hengte hi damdawi lam thurawn hnuaiah chauh lak tur a ni .
- Hyperbaric therapy: Hei hi tuifinriat lama tui chawitute zinga ‘the bends’ enkawlna nen a inang a ni. Hmun sang takah chuan portable pressure bag (Gamow bags) hmangin taksa hnuai lam chu artificial takin pressure siam theih a ni a, hei hian hahdamna a pe thei a ni. Hei hi damlo chu a hnuai lama hruai thlak theih a nih hma loh chuan a natna lan chhuahna a zual zel dan tur control nan tih a ni.
Altitude sickness hi ven theih a ni em?
Thu lawmawm tak chu hei hi a tam zawkah chuan ven theih a ni. Chumi chungchangah chuan thil tlemte i tih theih a awm.
1. Zawi zawiin chho rawh: Hei hi a pawimawh ber a ni. I zin tur i ruahman dawnin nitin tlem tal chhoh tum ang che. Sawi tawh angin feet 8,202 (meter 2,500) chunglam kan kal chuan ni khatah feet 984 (meter 300) leh feet 1,640 (meter 500) inkar chauh a chho ang.
2. Chawlh ni la: I chhoh chhung hian ni hnih atanga ni thum danah hmun sang inangah ni khat chawlh la. Hei hian i taksa chu hmun sang takah a insiamrem theih nan hun a pe a ni.
3. A rilru a hah lutuk chuan a rilru a buai em em a.A theih chuan mut turin tlem lo chhuk rawh: Nitin i chho thei a, zanah mut turin tlem i chhuk thei a nih chuan he natna lo awm hi nasa takin a ti tlem thei a ni.
4. Invenna damdawi: Hmun sang takah i zin a nih chuan he natna laka invenna atana damdawi (e.g., acetazolamide) hman dan tur i doctor nen inbia thei ang. Hei hi damdawi lam thurawn hnuaiah chauh tih tur a ni.
5. Zu leh zu in loh tur: Hmun sang taka i kal dawnin ni hnih atanga ni thum chhung chu zu in loh tur. Tin, meizuk i nih chuan zin hmain meizuk kha bansan a tha ber a, oxygen level a nghawng avangin.
6. Tui in tam: Dehydration hian altitude sickness symptoms a ti na zual thei. Chuvangin tui leh tui tam tak in rawh.
Engtikah nge Doctor i hmuh ang? Engtikah nge ETU-ah i kal ang?
Hmun sang takah i zin hmain doctor nen inbiakna neih hmasak phawt a tha. I hriselna dinhmun a zirin fimkhur dan tur te, a tul chuan invenna damdawi te pawh an hrilh thei che a ni.
Mahse, nangmah emaw, i bula awm tu emaw hian a hnuaia symptom na tak tak te hi a neih chuan emergency a ni. Thil tih nghal tur chu a rang thei ang bera chhuk a, Emergency Treatment Unit (ETU) hnai ber pan a ni.
Chawlh lai pawha thawk hah, rilru hahna, rilru hah, buai, emaw hriatna hloh te hi HAPE leh HACE an tih, nunna atana hlauhawm tak tak, natna khirh tak tak chhinchhiahna a ni. Chungte chu darkar tlemte chhungin thihna thlen thei a ni. Chuvangin heng symptoms te hi fimkhur hle ang che.
Altitude sickness hi ruahmanna fel tak siam a, a symptoms hriat chian chuan awlsam taka enkawl leh ven theih a ni. Chuvangin, a dawt leha tlangram emaw, hmun sang zawk emaw i pan leh hunah chuan heng tips te hi hre reng la, him takin i zinna chu nuam ti takin hmang rawh.
Take-Home Thuchah a ni
- Altitude sickness hi i taksa insiamrem theihna hun pe lovin hmun sang takah i kal rang lutuk a ni.
- A lan chhuah hmasak ber chu lu na a ni.
- Natna i neih chuan chhoh zel chu bansan rawh. Symptoms a na zual chuan chhuk nghal rawh.
- Chawlh lai pawha thawk harsa, kal harsa (staggering), emaw, buaina emaw hi chhinchhiahna hlauhawm tak a ni a, emergency medical attention a ngai a ni.
- I zin tur i ruahman dawnin zawi zawiin chho turin hun pe la, a inkar ah chawlh ni la rawh.
- Hmun sang lam pan hmain doctor nen inbia a, thurawn lak a pawimawh hle.
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