Khua lum deuh chu kan hlim vek a ni lawm ni? Mahse, khawsik lutuk hian i taksa tan hlauhawmna nasa tak a thlen thei a ni. Nuwara Eliya ang hmun lum takah i awm a nih chuan, emaw, vur tlakna hmuna zin i tum a nih chuan, he thu hi i tan a pawimawh hle. Vawiin hian khawsik nasa lutuk avanga vun natna Frostbite tia hriat kan sawi dawn a ni. Tui a vawt ang bawkin, i vun leh a hnuaia tissue te pawh hi a bul berah chuan a vawt thei a, chu chu a vawt hle a ni.
Frostbite hi eng nge ni? A awlsam zawngin i ti chhe vek ang u.
A awlsam zawngin sawi ila, Frostbite hi vun leh a hnuaia tissue te hliam a ni a, 0°C (32°F) hnuai lam temperature a awm avanga natna a ni. Hetiang hian han ngaihtuah teh: khaw vawt takah i awm hian i taksa peng thenkhat chu a vawt tan a, chu chu ice cube ang mai a ni.
Hetiang dinhmun hi i vei awlsam zawk a, chu chu:
- Thlasik lai hian vur a tla nasa hle.
- Thlipui nasa tak (thli lum hian taksain a hriat temperature nasa takin a tihhniam).
- Hmun sang tak tak awmna hmun.
- Khua lum laka inhumhimna mumal neih loh.
Khaw lum atana inchei pawh ni ila, frostbite i la nei thei tih hre reng ang che. A châng chuan, khaw lum lutuk hian thawmhnaw layer thuk tak takah pawh a luhchilh thei a ni.
A nasat chuan frostbite hian tissue thihna awm reng, tihdanglam theih loh a thlen thei a, hei hi damdawi lam chuan Necrosis tia hriat a ni. Chutiang laka invenna tha ber chu khaw lum lutuk karah hun i hman tlem a, i taksa lum reng reng hi a ni.
Frostbite i neih i rinhlelh chuan khaw lum atang hian chhuak la, boruak lum takah kal nghal rawh. Damdawi lam pan nghal la, damdawi in emergency department hnai ber tlawh rawh. Tissue chhiatna tihtlem nan hian hmalak vat hi a hlawk ber a ni.
Frostbite vei hi tute nge hlauhawm ber?
Khawsik nasa tak tuar apiangin frostbite an nei thei a, mahse mimal thenkhat chu an hlauhawm zawk a, chung zingah chuan:
- Naupang kum 18 hnuai lam leh puitling kum 65 chunglam.
- Khaw lum hmuna cheng emaw hnathawk emaw. (Entirnan, Nuwara Eliya ang hmun sang taka awmte emaw, vur tla ram a hnathawkte emaw.)
- Mimal chenna in mumal nei lo.
- Hriselna lama harsatna awm thei, chu chu:
- Peripheral vascular disease ( thisen kalna kawng natna) .
- Ei leh in lama harsatna (malnutrition) a awm
- Raynaud-a natna (syndrome) a ni
- Hypothyroidism a awm lo
- Arthritis ( ruh natna ) .
- Zunthlum ( natna khirh tak ) .
- Zuk leh hmuam hmangtute. ( Meizial zuk hian thisen kal dan hrisel a tichhe thei.)
Tun hma aiin tunlai hian frostbite hi a tam lo hle a, hei hi a chhan lian ber chu thermal clothing hmasawn tak tak a awm vang leh khaw lum lutuk hlauhawmzia leh venhimna lama awm dan tur hriatna a pun vang a ni.
Frostbite hi eng stage nge awm?
Frostbite symptoms hi stage lian pathum ah then a ni a, a nasat dan a inang lo vek a ni:
.
2. Needle ang maia hriatna (Superficial frostbite): Hetiang dinhmunah hian i vun hnuaia tui awm chu a vawt tan thin.
3. Numbness leh sensation hloh (Deep frostbite): Hei hi stage hlauhawm ber a ni.
A pawimawh ber chu, .second emaw third stage emaw symptoms i hmuh chuan hun rei tak chhunga chhiatna a thlen loh nan damdawi lam pan nghal tur a ni.
Frostbite hi eng ang nge a nih a, eng ang nge a nih?
Symptoms chu hliam stage leh tissue chhiatna nasat danah a innghat.
1. Frostnip (A tir lam) .
Hei hi i taksa vaukhânna chhinchhiahna a ni. Hetiang dinhmunah hian:
- I vun chu a rawng pangngai aia sen, sen, a nih loh leh a sen deuhin a lang thei.
- Vun chu a vawt hle a, chu chu tingling sensation emaw, natna tlemte emaw nen a inzawm a ni.
- Hetiang dinhmunah hian chhiatna hi hun eng emaw chen atan a ni tlangpui.
Engtin nge i tih ang?
Heng chhinchhiahnate hi i hriat veleh in chhungah emaw, hmun lum takah emaw lut nghal rawh. Tui lum (a lum ngai lo!) hmangin vun natna chu zawi zawiin lum rawh. I hring chhuak thei a, chu chu chilblains tia hriat a ni. Symptoms tenau tak nei pawhin doctor rawn la, chhiatna thuk zawk, thup zawk a awm thei a ni.
2. A chunglam atanga Frostbite
Hei hi frostbite stage hnihna a ni. Professional medical treatment neih a ngai a ni.
- I vun chu khawih chuan a lum hle mai thei a, mahse a hnuai lamah chuan i vun cell-a tui chu a vawt tak zet a ni.
- “Pins and needles” tih hriatna i nei thei.
- Vun chu a hring emaw, a hring emaw a ni thei.
- Rewarm hnuah chuan, purple emaw blue emaw, natna nei, hliam ang maia lang i hmu mai thei.
- Ni zungin a kang ang maiin vun chu a hring thei.
- Ni khat emaw ni hnih emaw hnuah chuan fluid-filled blisters a lo lang thei.
3. Deep Frostbite a awm thin
Hei hi stage pathumna leh na ber a ni.
- A hnuaia tissue thuk tak (subcutaneous tissue) te chu a freeze thin.
- I rilru a buai em em ang a, total loss of sensation i nei ang.
- A natna hmun chu a nghet lo thei a, a kal harsa emaw, a kal theih loh emaw a ni thei.
- Emergency medical care zawng nghal rawh!
- Exposure atanga ni khat emaw ni hnih emaw hnuah blister lian tak tak a lo awm thei.
- Skin cells te chu an freeze a, an thih avangin vun chu a dum ang.
- A châng chuan, khuhna khauh tak, dum (carapace) a lo awm thei a , a tâwpah chuan a mah chauhin a luang chhuak thei a; chutiang a nih loh chuan doctor chuan a chhuah theih nân operation a tih a ngai mai thei.
Frostbite hi a hlauhawm hle a, a chhan chu a tir lama rilru hahna hian hliam nasatzia a khuh bo thei a ni. Frostnip emaw frostbite emaw rinhlelhna tlemte pawh i neih chuan i healthcare provider hnenah zawhfiah hmasa phawt ang che.
Frostbite nei a, hriat loh theih a ni em?
Ni e, a theih. Frostbite vei tam tak chuan a chhiatna a thlen nasat zia an hre lo a, a chhan chu he natna hian nerve a ti ti na a, a natna chu a ti reh thei hle. Khawsik atang chuan i lo kir leh thei a, chu chu i normal vek tawh a, chutih rualin chhungril lam chhiatna a awm tawh mai thei. Hei vang hian khaw lum lutuk laiin pawn lama hun hman tlem a pawimawh hle.
Frostbite hi khawiah nge a awm tam ber?
Frostbite hi technically chuan i taksa khawi hmunah pawh a awm thei. Mahse, i ke ruhte a nghawng tam ber —layer-a i bundled up lai pawha khaw lumna hmun tam berte chu. Heng zingah hian:
- Kut leh kut zungtang
- Ke leh ke ruhte
- Hmai leh hnar
- Beng
Engtin nge ka fa hian frostbite a nei tih ka hriat theih ang?
Naupangte zingah frostbite hriatchhuah hi thil harsa tak a ni thei. Naupang tête chu puitling angin an khur lo fo a, a chhan chu an taksaah chakna an khawlkhawm tlem vang a ni. Naupang kum upa zawkte chuan inkhelhnain a ngaihtuahna a tihbuai laiin, a chhinchhiahnate chu an hre lo thei lo.
- I naute emaw, naupang tê emaw chu minute 10 aia rei lo khaw lumah a awm tawh a nih chuan, enfiah fo ang che. An vun rawng pangngai nena khaikhin chuan vun hring, sen, var, a sen hring emaw a lang tih i hmuh chuan doctor pan nghal rawh.
- I fate upa zawkte chu pawnah minute 30 aia tam khaw vawt takah an awm tawh a nih chuan , invenna thawmhnaw nen pawh, in chhungah hruai nghal rawh. Thawmhnaw vawt takah thlak la, puan in khuh la, an lum theih nan tanpui ang che. Lukewarm bath hian i fa chu a ti lum thei bawk. Tui lum hmang ngai suh; tui lum chauh hmang rawh!
Engtin nge frostbite hi a lo awm?
Frostbite hi a chhan ber chu khaw lum lutuk vang a ni . A chang chuan hun rei tak i awm chuan freezing aia sang deuh temperature-ah a thleng thei bawk . A chhan tlangpui chu:
- Freezing temperature-a awm.
- Thil hnim hring emaw, thir (ice pack ang chi) nena direct contact .
- Khaw lum laia invenna thawmhnaw mumal tak hak loh .
Hat, boots, gloves i ha a nih pawhin, thawmhnaw hmangin frostbite hi a la awm thei tih hre reng ang che.
Frostbite a lo luh chuan i vun cell chhunga tui chu a vawt a, ice crystal-ah a chang ta a ni (kan vun 60% aia tam chu tui a nih avangin). Hei hian vun cell leh tissue te a tichhia a, chutiang hmuna thisen kal chu a titawp a ni. A nasat chuan frostbite hian taksa ruh, nerve leh ruhkawr a tichhe thei a ni.
Frostbite hi eng chen nge a lo awm?
Thli lum factor -26°C (-15°F) aia hniam a nih chuan minute 30 emaw a aia rei emaw chhungin frostbite a awm thei. Khaw lum hmuna i awm emaw, hnathawh emaw i nih chuan i vun chhiatna laka ven nan pawn lama hun i hman tam lutuk kha tihtlem la.
Frostbite a awm theih nan engtiang chiahin nge a vawt a ngai?
Frostbite a lo awm theih nan chuan a tlangpuiin temperature chu 0°C (32°F) hnuai lam a ngai a ni. Thli a awm chuan "feels-like" temperature chu temperature tak tak aiin a lum zawk thei tih hre reng la, frostbite i neih theihna chu nasa takin a tipung thei a ni.
Engtin nge frostbite hi an hriat theih?
Doctor chuan taksa a enfiah ang a, frostbite nasat zia hriat nan imaging test, (X-ray) ang chi te a hmang thei bawk. Exam chhung hian doctor chuan vun rawng danglam, patch, blisters a awm leh awm loh a enfiah ang. Tin, khaw lum i tawrh chhung leh chutih laia khaw lum dan te pawh an zawt bawk ang.
I natna lan chhuah dan nasat dan azirin i vun hnuaia tissue te a chhiat leh chhiat loh enfiah nan (X-ray) an order thei bawk.
Engtin nge frostbite avanga vun chhiatna hi a awm reng em tih ka hriat theih ang?
I vun chhiatna chu a awm reng em tih doctor chuan a evaluate ang. Vunah hian blisters chiang tak a awm chuan hun eng emaw chen a chhiatna a awm tih a tilang thei. Mahse, thisen a khat blisters hi a chhe vek tawh tih chhinchhiahna a ni fo. I vun a dum emaw, i tone pangngai aia a dum deuh emaw a nih chuan tissue chhiatna nasa tak a awm tih a tilang. Chutiang hunah chuan secondary infection emaw (Gangrene) (tissue decay) emaw ven nan vun chhia chu lakchhuah nan operation neih a ngai thei.
Engtin nge frostbite hi enkawl a nih?
Frostbite enkawl dan chu hliam stage a zirin a innghat.
`Frostnip` (a hmasa ber) symptom i neih chuan:
Indoor, warm shelter-ah insawn nghal rawh. Tichuan, vun natna chu a lum theih nan hengte hi zawm rawh:
- Gloves, boots, emaw accessories, ring emaw watch ang chi, a natna hmun bula cold-soaked awm zawng zawng chu zawi zawiin la chhuak rawh.
- I thawmhnaw a hnim chuan dry-ah thlak rawh.
- A natna hmun chu tui lum (a lum lo!)-ah thun rawh. Hei hi zawi zawiin a lum chhoh dan a ni a, minute 30 tal a la ngai thei.
- A hmun chu zawi zawiin blanket hmangin khuh rawh. Thawm takin khuh suh, hei hian thisen kalna a tikhawtlai thei a, tissue chhiate chu thisen kalna a titawp thei a ni.
- Kangmei lo turin heater emaw heating pad emaw atanga direct heat chu vunah hnawih loh tur a ni.
Superficial emaw deep frostbite (second or third-degree) chhinchhiahna i neih chuan emergency medical attendance pan nghal rawh. Frostbite kan hmachhawn hian hun hi a pawimawh hle. Vun a hmin chuan natna nasa tak i nei thei.
Doctor chuan a hnuaia enkawlnate hi a ti thei ang:
- Tui lum emaw, compress lum leh hnim emaw hmangin zawi zawiin minute 30 vel i taksa lumna tisang rawh.
- Chu hmun chu sterile dressing hmangin khuh la, kut zungtang emaw ke ruh emaw chu a inzawm loh nan then hran rawh.
- A taksa peng natna hmuna thisen kal dan enfiah thin ang che. Third-degree frostbite tan chuan thisen kal dan tur tichangtlung turin (IV) pek i ni thei bawk.
- Antibiotics leh natna tidamtu (Ibuprofen (Advil®, Motrin®)) te pe thin ang che.
- I taksa rehydrate turin tui pe rawh , frostbite hian systemic dehydration a thlen thei a ni.
- Oxygen therapy pe rawh . A nasat chuan oxygen thianghlim thawk turin pressure chamber-ah dah i ni thei a, chu chu (Hyperbaric oxygen therapy) tia hriat a ni. Hei hian thisen oxygen level a tisang a, damna a ti chak hle.
Frostbite avanga operation neih a ngai em?
Frostbite na tak a awm chuan i doctor chuan i stable tawh chuan vun leh tissue thi te chu lakchhuah nan operation a tih a ngai mai thei. Surgery neih a ngai em tih thutlukna siam nan ni tam tak emaw, thla tam tak emaw pawh a ngai thei. Tissue a thi tawh emaw (Gangrene) a lo awm tawh emaw a nih chuan surgeon te chuan digit emaw limb emaw a nghawng (Amputate) a ngai mai thei.
Frostbite hi in lamah enkawl theih a ni em?
Frostnip emaw frostbite emaw i rinhlelh chuan damdawi lam pan a ngai a ni. Mahse, hmun hla takah i awm emaw, damdawi in i thleng thuai thei lo emaw a nih chuan tissue tihchhiat belh zel tur chuan heng step te hi zawm tur a ni. I ngaih pawimawh ber tur chu in lum reng tur a ni. Inhumhimna zawng la, i taksa chu a vawt leh loh nan veng rawh, hei hian chhiatna nasa zawk a thlen thei a ni. Warm up tur chuan a hnuaia mi ang hian ti rawh:
- Thawmhnaw hnim awm zawng zawng chu paih nghal la, layer vawt leh lum takin inchei rawh.
- A natna hmun chu sang takin dah la, a hring chhuak tlem thei ang.
- Frostbitten area chu tui lum takah hnim la—a tha ber chu 37°C leh 39°C (98.6°F atanga 102.2°F) inkar a ni. I vun chu a hring thei avângin, tui lumna chu dik takin i hre thei lo mai thei; a theih chuan thermometer hmang rawh u. I vun chu a nêm tawh a, sensation a lo awm leh ṭan chuan—a nih loh leh minute 30 tal hnuah—i lumna chu i titawp thei a ni.
- Frostbitten hmun chu puan thianghlim leh nem takin khuh rawh. I kut zungtang emaw, i ke ruh emaw a nghawng chuan, an inkarah pressure awm lo tur leh a inthen theih nan pakhat zelin khuh rawh. Thisen hrisel taka kal theihna turin wrap chu a lo hrisel ngei ngei tur a ni.
- Vun a hmin kim hma loh chuan a theih ang anga hmun chu sawn loh tur. Ke ruh leh ke ruhro (frostbitten toes or ke)-a kal tum suh.
- Frostbitten hmun chu rub emaw massage emaw ngai suh. Skin numb emaw frozen emaw rubbing hian tissue chhiatna nasa tak, a awm reng thei a ni.
Thawing process chhung hian natna emaw, tingling emaw engemaw zat neih hi thil pangngai a ni. I doctor thurawn angin standard over-the-counter pain reliever i ei thei bawk.
Engtin nge Frostbite lakah hian i inven theih ang?
Nirogi Lanka atanga i himna tur tips pawimawh thenkhat chu hetiang hi a ni:
- A tul lo taka inhnamhnawih loh tur: Khua a lum lutuk chuan a theih ang anga in chhungah awm rawh.
- Khualzin hun bituk:Pawn lama i chhuah a ngai a nih chuan minute 10-15 inkar chhunga exposure tihtlem tum la, boruak lum takah kir leh fo ang che.
- Layer hrang hranga inchei: I hmai, beng leh hmui ven nan thermal clothing, lukhum thuk tak, insulated mittens leh scarf rit tak ha la.
- Windproof leh waterproof gear thlang rawh: I pawn lam layer-te chuan elements laka a humhim che tih enfiah la, i lu leh i kawr chu lum tir rawh.
- Thisen kal dan tha tak enfiah rawh: I boot leh thawmhnaw kha a tight lutuk lo em tih enfiah la, hei hian thisen kal a tikhawtlai thei a ni. I circulation a kal zel theih nan active takin awm rawh.
Khua a vawt laia i zin hunah i phone chu charged leh accessible takin dah reng tur a ni. I tangkhang emaw, emergency ṭanpuina i koh a ngai emaw a nih chuan nunna chhanhimtu a ni thei. Chu bâkah, i lirtheiah car emergency kit dah la, chutah chuan first-aid kit, ei tur, tui, extra blanket, leh warm gear dah la, khaw lum a lo hlauhawm a nih chuan i inpeih reng tih enfiah rawh.
Sri Lanka ramah hian engtin nge hei hi kan tan a hman theih?
Kan boruakah hian frostbite nasa tak a awm tlem hle laiin, Nuwara Eliya leh Haggala ang chi hmun sang zawka chengte chuan thla lum zawka khaw lum nasa taka a tlahniam laiin fimkhur a ngai a ni. Invenna mumal awm lo chuan ‘frostnip’ ang chi dinhmun a awm thei. Tin, khaw lum zawka zin emaw, hnathawk emaw te chu heng himna dante hi hriattir kim vek tur a ni.
Frostbite i vei a nih chuan eng nge beisei tur?
Frostbite i neih i rinhlelh chuan in chhungah lut nghal la, i doctor biak emaw, emergency department hnai ber pan emaw rawh.
Recovery time hi exposure nasat dan leh rei zawngah a innghat vek a ni. Mild frostnip hi ni engemaw zat emaw kar tlemte emaw chhungin a dam thei a, frostbite hmasawn zawk erawh chuan thla ruk chhung a daih thei thung. Dam lai hian vun rawng a danglam emaw, a hring emaw i hmu thei. Nasat lutuk chuan vun a tichhe reng thei a, chu chu operation tih a ngai thei bawk. I healthcare provider chuan i clinical assessment a zirin hun bituk bik a pe ang che.
Frostbite hian eng harsatna nge a thlen?
Mild frostnip piah lamah, persistent frostbite hian hun rei tak chhunga harsatna a thlen thei a, chung zingah chuan:
- Neuropathy (nerve tihchhiatna) .
- Thaw hah lutuk
- Khaw lum laka sensitivity a tipung
- Frostbite-a kaihhnawih arthritis (ruh natna) .
- Vun rawng danglam emaw, hliam emaw a awm
- Nail chhiatna emaw hloh emaw
Vawikhat frostbite i tuar tawh chuan nakin lawka thil thleng tur i nei awlsam zawk tih hre reng ang che.
Harsatna lian tak takte chu:
- Gangrene (tissue necrosis) natna (tissue necrosis) a awm thin.
- Secondary bacteria atanga natna hrik kai te
- Kawng leh ke emaw digit emaw a nghawngte tan
- Tendon, muscle leh ruh te a tichhia reng a ni
Engtikah nge Doctor i hmuh ang?
Frostbite i vei nia i rinhlelh chuan tanpuina dil chu tihkhawtlai suh. Doctor ko nghal la, emergency department hnai ber pan rawh. Rapid intervention tih hian full recovery leh permanent damage inkar danglamna a kawk thei.
I doctor zawh tur zawhnate:
- Eng degree nge frostbite ka tawn?
- Hun rei tak chhunga chhiatna awm reng theihna a awm em?
- Engtin nge vun hi a dam chhung hian ka enkawl ang?
- He hliam hi surgical intervention eng emaw tal ka mamawh dawn em ni?
Frostbite leh Chilblains te hi eng nge an danglamna?
Chilblains (Pernio) hi vunah khawsik a awm hnua vunah a lo lang thin, inflamed, itchy patches a ni. Hei hi frostbite nen a danglam a, chu chu freezing temperature avanga tissue chhiatna tak tak a ni. Frostbite hi 0°C (32°F) hnuai lam temperature -ah a awm a, medical emergency a ni. Chilblains hi 1°C (33°F) aia lum lum takah a awm tlangpui a, anmahni chauhin an reh fo thin.
Frostbite leh Hypothermia hi eng nge an danglamna?
Frostbite chu vun leh tissue bikte localized freezing a ni a, windshield-a ice lo awm ang chiah a ni. Hypothermia hi i core body temperature 35°C (95°F) aia hniam a nih chuan a thleng thin. I taksa lumna pangngai chu 37°C (98.6°F) a nih laiin, hypothermia hi systemic, nunna atana hlauhawm tak a ni a, taksa pum a nghawng a, frostbite erawh chu site-specific a ni thung.
Hypothermia leh frostbite te hi a rualin i tuar thei bawk. An pahnih hian medical emergency, professional attention nghal ngai an ni.
Take-Home Thuchah hnuhnung ber
Khua lum a lo thlen chuan i lum reng tur a ni a, fimkhur dan tur dik tak la rawh. Khawsik laka nangmah leh i hmangaih tak takte invenna hi frostbite avanga hriselna atana hlauhawm lian tak takte pumpelh dan tha ber a ni. Nirogi Lanka chuan khaw lum laiin i himna leh lumna chu dah pawimawh hmasa turin a hriattir che a ni.
Minute 30 aia rei khawsik nasa tak i tawh a, frostbite i rinhlelh chuan doctor pan nghal rawh. Thil tih vat chuan chhiatna awm reng tur a veng thei tih hre reng ang che. Hrisel takin awm la, i vun enkawl rawh!
