Nuwara Eliya, Horton Plains, Piduruthalagala ang hmun sang tak takah kal leh tlang lawn hi kan ngaina vek a ni lawm ni? Mahse, a chang chuan i kal hian lu na deuh te, chak lohna te, leh luak chhuak te pawh i nei ve em? Mi tam tak chuan hei hi "khawsik vang pawh a ni mai thei" emaw, "zin kawnga hah vang pawh a ni mai thei" emaw ti mah se, a takah chuan hei hi damdawi lam atanga sawifiah theih tur dinhmun a ni. Vawiin hian he dinhmun ‘Altitude Sickness’ an tih hi kan sawi dawn a ni. Hemi chungchang hi i hriat chian chuan i tlang zinna tur chu a mawi leh him zawkin i siam thei ang.
A awlsam zawngin, Altitude Sickness hi eng nge ni?
Tuipui level-a kan awm lai, chu chu Colombo ang hmunah chuan kan thawk boruak chu bawnghnute tea thick tak ang mai a ni tih han ngaihtuah teh. Chu chuan kan taksa chu thawk khatah oxygen tling a pe a ni. Mahse kan sang chho zel a, chu chu Nuwara Eliya emaw Horton Plains ang hmuna kan kal chuan boruak chu a thim zual sauh sauh a ni. Chu chu, chu bawnghnute tea thick takah chuan tui dah ang maiin boruak chu a "thinner" ta tihna a ni. Chuvangin thawk kan lak zat inang mah ila, kan taksain oxygen a dawn zat hi a tlem zawk a ni.
Kan taksa hi a mak khawp mai. Hetiang oxygen tlakchhamnaah hian an insiamrem thei a ni. Mahse, hun rei tak a la ngai. Altitude sickness hi kan taksa insiamrem theihna hun pe lova hmun sang takah kan kal chak lutuk hian a awm thin. A awlsam zawngin taksa tan chuan "shock" ang mai a ni.
Hei hi chi hrang hrang 3 a awm a.
Altitude Sickness hian chi thum a nei a, a nasat dan azirin. Hengte hi hriat a pawimawh a, dinhmun thenkhatah chuan emergency medical treatment a ngai a ni.
| Status hming | Hrilhfiahna awlsam tak |
|---|---|
| Tlang natna hlauhawm tak (AMS) . | Hei hi a tlangpui leh a na lo ber a ni. "Hangover" ang maiin a lang. A lan chhuah dan chu lu na leh luak chhuak te a ni. Hei hi a hlauhawm lo, mahse i taksa atanga vaukhânna a ni. |
| Hmun sang tak atanga lungphu chawl (HAPE) . | Hei hi dinhmun hlauhawm tak a ni. Heta thil thleng hi chu lung chu tuiin a khat a ni . Hei hi medical emergency a ni. Enkawl vat loh chuan nunna atana hlauhawm hial a ni thei. |
| Hmun sang tak atanga thluak Edema (HACE) . | Hei hi case hlauhawm ber leh na ber a ni. Heta thil thleng hi thluak a hring chhuak a ni . Hei hi medical emergency hlauhawm tak, nunna atana hlauhawm tak a ni bawk. Inenkawl vat a ngai a ni. |
Hetiang natna lan chhuah dan hi engte nge ni?
Okay, tunah chuan he natna hian eng symptom nge a rawn thlen tih kan en ang. A tlangpuiin AMS natna lan chhuah dan hi hmun sang taka kal atanga ni khat emaw ni hnih emaw chhungin a lang thin. Mahse, HAPE leh HACE ang chi natna khirh zawk symptoms te hi ni hnih atanga ni nga vel a ni thei.
AMS dinhmun pangngaia mizia
Hengte hi a lan chhuah hmasak ber berte chu an ni:
- Lu na: Hei hi a langsar ber leh a lan chhuah hmasak ber a ni.
- Nausea leh vomiting: I ei duh lohna nen hian luak chhuak duhna i nei thei bawk.
- Anorexia: Ei duhna zawng zawng hloh.
- Chauhna nasa tak: Engmah tih loh mai mai pawha chau lutuk.
- Malaise: A tlangpuiin rilru hahna, "thil dik lo" tih ang chi.
- Insomnia: Zanah muthilh loha tossing leh turn.
- Luak chhuak: I lu a inher ang maia hriat.
Pawimawh: A chang chuan mit a inthlak danglam thei. Hei hi mit chhunga thisen kalna kawng te tak te a rupture vang a ni. Hetiang symptom hi a lo awm chuan a natna chu a na zawk thei tihna a ni.
HAPE leh HACE natna hlauhawm tak takte chhinchhiahna
Heng symptoms te hi i fimkhur hle tur a ni. Anmahni i hmuh chuan hmun hnuai lam pan nghal a, damdawi lam thurawn lak a pawimawh hle .
| Risk characteristic a ni | Awmzia |
|---|---|
| Chawlh lai pawhin thawk harsa | Hei hi HAPE (Hypertension of the Lungs) chhinchhiahna pawimawh tak a ni. Khuh pawh a awm thei a, chubakah rilru a na thei bawk. |
| Kal harsa, staggering (Ataxia) . | I balance i hloh a, zu in tawh ang maiin. Line dik takah i kal thei lo. Hei hi HACE (encephalopathy) chhinchhiahna hlauhawm tak a ni. |
| Buaina, buaina | Hun leh hmun i hre lo. Thil awlsam tak chu i hrethiam thei lo. I thusawi hian i buai thin. Hei hi HACE chhinchhiahna pawi tak a ni bawk. |
| Blue hmui leh vun | Hei hian taksain oxygen a dawn zat a tlem hle tih a tilang a ni. Inenkawl vat a ngai a ni. |
Tute nge risk sang zawk?
Hei hi a chhan ber chu a hmaa kan sawi tawh ang khan i taksa insiamremna hun pe lovin i san chak lutuk vang a ni. Mahse risk factor dang engemaw zat a awm a:
- A chhoh san zawng: I chhoh san poh leh risk a sang zawk.
- Speed of ascent: Tlâng kea lawn mi ai chuan hmun sâng takah vawi khata kal, motor emaw, thlawhna emaw pawh ni se, a hlauhawmna chu a nasa zâwk a ni.
- Zu leh damdawi thenkhat hman: Zu in, a bik takin sedatives in hian nasa takin a tipung a ni.
- Hetiang dinhmun hi i lo vei tawh a nih chuan: Altitude sickness i neih tawh chuan, a bik takin HAPE emaw HACE emaw i neih chuan i vei leh theihna a sang zawk.
Mi tam tak chuan exercise i tih tam a, i fit chuan hei hi i hmu lo ang tih an ring. Chu chu a dik lo a ni. Hetiang dinhmun hi eng ang pawhin hrisel emaw, infiammi emaw pawh ni ila a awm thei. Mahse, thawkna lama harsatna , asthma, COPD , emaw, thisen tlakchhamna emaw ang chi i neih chuan, chu chhinchhiahnate chu hmun sang taka i kal chuan a zual thei a ni. Chuvangin hetiang dinhmun nei te tan chuan hmun sang taka kal hmain an doctor nena inbiak hmasak a pawimawh hle.
Engtin nge enkawl a nih?
Chumi atana ‘damdawi’ awmchhun leh tha ber chu chhuk hi a ni. Taksain oxygen a tlakchham lai hian a tha ber chu oxygen tamna hmuna kal hi a ni.
Chu bakah chuan a dinhmun a zirin enkawlna dang a awm bawk:
1. Ding la, chawlh hahdam rawh: AMS chhinchhiahna hmasa ber i hriat chuan chhoh lehzual chu titawp nghal rawh.Ni khat emaw ni hnih emaw chhung chu i san zawng ang bawkin chawlh la. I taksa chu chutiang san zawnga insiamrem turin hun pe rawh.
2. Descending: Symptoms a nasat (luak, hah, nausea) emaw, a zual zel emaw a nih chuan chhuk nghal tur a ni. A tlangpuiin, feet 1,000 (meter 300) vel a chhuk hnuah hahdamna nasa tak a awm ṭhin .
3. Supplemental Oxygen: Oxygen cylinder atanga oxygen pek hian natna lanchhuahna a tihziaawm thuai thei.
4. Damdawi: Damdawi thenkhat hi doctor thurawn anga hman a ni. Hei hi damdawi hman tlanglawn ber chu Acetazolamide a ni . Tin, HAPE leh HACE ang chi natna khirh takah chuan Dexamethasone leh Nifedipine ang chi damdawi te pawh hman a ni bawk. Hengte hi Doctor prescription tel lo chuan ei ngai suh.
Engtin nge hei hi i pumpelh theih ang? (Invenna) 1.1.
Altitude sickness hi a tam zawkah chuan ven theih a ni. Ṭanpui tûrin thil engemaw zât i tih theih a awm a. Tlâng zin leh tur i ruahman hunah hengte hi hre reng ang che.
| Inven dan tur | Eng nge tih tur |
|---|---|
| Zawi zawiin chho rawh | Hei hi a pawimawh ber a ni. A tlangpuiin feet 8,000 aia sang kan kal hian ni khatah feet 1,000 - 1,500 (meter 300-500) aia sang chhoh loh a tha ber . Ni i tan tirh atanga i mutna altitude chu i base altitude anga ngaih a ni. |
| Chawlh Ni Lai rawh | I chhoh chhung hian a sang zawkah kal lovin, ni thum danah velin hmun sang takah ni khat chawlh la rawh. Hei hi ‘acclimatization day’ an ti a. Hei hian i taksa chu a insiamrem theih nan hun tam tak a pe a ni. |
| "Climb High, Mut hniam rawh". | Hei hi tlang lawn mite zingah chuan hmanraw lar tak a ni. A theih chuan nilengin chho la, zan lamah mu turin hmun hniam zawkah lo chhuk rawh. Hei hian i taksa chu a acclimatize theih nan a pui ang. |
| Doctor-in a tih angin damdawi ei thin ang che. | Risk sang tak i nih chuan i doctor chuan hmun sang taka i kal hma ni khatah Acetazolamide ang damdawi ei turin a fuih thei che a ni. |
| Tui tam tak in la, zu in loh tur! | Hmun sangah chuan taksaah tui a tlakchham thuai thei a, chuvangin tui tam tak in tur a ni. Hmun sang takah ni hnih hmasa tal chu zu in loh vek tur a ni. |
Engtikah nge doctor i hmuh ang?
Tlâng sang tak hmuna zin i tum a nih chuan, i kal hmain i doctor biak hmasak phawt a finthlâk . A bik takin damdawi lam harsatna dang i neih chuan thurawn bik a pe thei che a ni.
Emergency Treatment Unit (ETU)-a kal hun tur:
Nangmah emaw, i bula awm tu emaw hian a hnuaia symptom na tak tak te hi i tawn chuan emergency a ni. A hnuai lam pan la, damdawi in emergency room (ETU) ah a rang thei ang bera kal rawh.
- Chawlh lai pawhin thawk hah lutuk.
- Chest tightness emaw a na emaw.
- Kal harsa, tlu, balance hloh (ataxia).
- Buaina emaw hriatrengna hloh emaw.
- Thusawi harsa, tawngkam slurring.
- Mutthilh lutuk, hriatna tlahniam.
Hengte hi HAPE emaw HACE emaw dinhmun chhinchhiahna a ni. Chungte chu darkar tlemte chhungin nunna atana hlauhawm tak a ni thei. Chuvangin heng symptoms te hi ngaihthah ngai suh.
Take-Home Thuchah a ni
- Altitude sickness hi i taksa insiamrem theihna hun pe lovin hmun sang zawka i kal chak lutuk hian a awm thin.
- A lan chhuah tam ber leh a lan chhuah hmasak ber chu lu na hi a ni.
- Hei hi a damdawi tha ber leh hmanhmawh ber chu hmun hnuai zawka kir leh hi a ni.
- Thâwk lama harsatna i neih emaw, kal harsa i neih emaw, chawlh lai pawha i buai a nih chuan nunna atana hlauhawm emergency a ni. Damdawi lam pan nghal rawh.
- Hemi laka invenna tha ber chu tlang chhip a, kawng lakah chawlh hahdamna hun hman a, tui in tam hi a ni.
- Hmun sang tak pan hmain doctor nen inbia a, thurawn lak hmasak hi a finthlak fo.
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