Tlang lawn mi i ni em? High-Altitude Cerebral Edema (HACE) chungchang hi i zir dawn teh ang!

Tlâng sang tak kan lawn hian, chu chu tuifinriat atanga hla taka kan kal hian kan taksaah eng nge thleng thin tih i ngaihtuah ngai em? A châng chuan hmun sâng tak takah kan kal a, hmuhnawm tak tak enin thil thar kan tawng ṭhin. Amaherawhchu, inbuatsaihna mumal lova kan kal chuan kan taksain a san zawng a tuar theih loh hunah dinhmun hlauhawm tak tak a lo chhuak thei a ni. Chutiang natna khirh tak pakhat chu HACE (High-Altitude Cerebral Edema) tih a ni.

HACE (High-Altitude Cerebral Edema) tih hi eng nge ni?

A awlsam zawngin, HACE hi hmun sang takah i thluak a lo hring chhuak thin . Hei hi dinhmun hlauhawm tak a ni a, nunna atana hlauhawm pawh a ni thei. Ngaihtuah teh, kan taksa hian kan chenna hmun pangngaia oxygen awm zat hi a thiam tawh a, mahse, tuipui atanga hmun sang tak tak, entirnan kilometre 4-5 (mile 2.5-3 vel) thlenga kan kal thut chuan chuta boruak chuan oxygen a nei tlem hle. Kan thluak hian he oxygen tlakchhamna hi a tuar thei lo a nih chuan a chhanna atan a lo hring chhuak tan thin. Kan lu hi bawm tight ang mai a ni a, chuvangin thluak a lo hring chuan a tan hmun a awm lo va, lu chhunga pressure a sang chho zel bawk. He pressure hian thluak a tichhia a, kan taksa pawh a thawk tha lo tan thin. Hei hi HACE an ti a. Hetiang dinhmun hian tlang lawntute, tlangram hmuna kalte emaw, tuifinriat atanga nasa taka sang zawka kalte emaw a nghawng thei a ni.

HACE awm chhan ber chu eng nge ni?

HACE thlentu ber chu hypoxia an tih hi a ni . Hypoxia chu kan taksa tissue te, a bik takin thluak te hian oxygen an dawn tlem hian a ni . Hmun sang takah kan kal chuan chuta boruak chu oxygen a tlem avangin kan taksain oxygen a mamawh ang zat a dawng lo. Kan taksa hian he oxygen level hniam tak hi a hman thiam loh avangin thluak ang chi taksa peng pawimawh tak takte hnathawh chu a chhe tan ta a ni. Hei hi scientific lama HACE thlentu ber a ni.

HACE natna lan chhuah dan chu engte nge ni? Engtin nge kan hriat theih ang?

HACE symptoms hi a lo lang nghal lo. An bul tanna chu a nalh lo hle a, chutah chuan an na zual sauh sauh thin. Chuvangin heng symptoms te hi hriat a pawimawh a, a bik takin tlang lawn i nih chuan.

A hmaa a lan chhuah dan

Hengte hi HACE natna hriat hmasakna chhinchhiahna thenkhat chu an ni:

• Lu na: Hei hi lu na pangngai nen chuan a danglam deuh thei a, a na thei hial a ni.
• Chauhna leh hahna: Hna thawk lo pawhin chau lutuk anga inhriatna.
• Luak chhuak leh spinning sensation (Vertigo): Ding lai pawhin i luak chhuak thei.
• Nausea leh vomiting: Pum natna, luak chhuak pawh a ni thei.
• Mutthilh: Mut theih reng reng.
• Buaina: Ngaihtuah chiang thei lo, thil thleng hrethiam lo, thutlukna siam harsa.

Nangmah emaw, i bula awm tu emaw hian hmun sang takah heng symptoms hi i tawng a nih chuan a niDon't take it lightly , a chhan chu hei hi HACE bul tanna a ni thei.

Severe Symptoms - Hengte hi a lo awm a nih chuan tanpuina i mamawh nghal!

A tir lama natna lan chhuah dan a awm reng a, a natna a zual zel chuan a hnuaia chhinchhiahna te hi a lo lang thei a ni. Hengte hi i hriat chuan damdawi lam thurawn lak nghal a pawimawh : .

• Lu na na tak: tuar theih loh natna.
• Loss of balance (Ataxia): Kal \ha thei lo, kal dik tura tih a nih chuan a tlu thei lo, zu rui ang maiin.
• Chak lohna nasa tak: Taksa chhunga nunna zawng zawng hloh.
• Slurred speech: Slurred speech , thumal a chhuak chiang lo tihna a ni.
• Altered mental status: I awmna hmun leh eng hun nge tih theihnghilh, mak tak maia awm, thil tak tak ni lo hmuh leh hriat.
• Thil hriatna hloh.
• Seizures a awm thin.

Pawimawh: Vawi tam tak chu HACE vei te hian an damlo tih an hre lo. "Ka chau mai mai a, rei vak lo hnuah ka dam leh tawh ang," tiin an ngaihtuah mai thei. Chuvângin, pâwl pakhat nêna hiking i kal a, i ṭhianpa nungchang emaw, thusawi emaw a inthlâk danglam thut i hmuh chuan (entir nân, mi ṭha tak chuan a thusawi chu a slur nghal ṭan a, a nih loh leh kea kal harsatna nei ang maiin a lang a nih chuan), chu chu ngaihthah suh A rang thei ang bera hmun him lamah hruai thla la, damdawi lam pan nghal rawh. Eng vang pawhin sang zawkah chuan chho suh.

Tute nge HACE vei theihna chance sang zawk?

He dinhmun, HACE tia koh hian tu pawh a nghawng thei a ni. Engtiang chiahin climber tawnhriat ngah i nih leh kum engzat nge i nih pawh a pawimawh lo. Mahse, mi thenkhat chu risk sang deuhah an awm a:

• Tun hmaa altitude sickness nei tawhte tan: Tlang lawn laiin lu na leh luak chhuak i lo tawh a nih chuan HACE i vei theihna chance a tlem hle.
• Exercise hahthlak tak tak hmang thinte tan: Hmun sang takah nasa taka exercise i tih hian i taksa hian oxygen a mamawh tam zawk thin. Mahse oxygen a tlem avangin a hlauhawmna a sang hle.
• Hmun hniam atanga hmun sang takah kal thut thinte tan: Buaina hi taksain a inthlak danglamna nena insiamrem hun a neih loh atang hian a intan thin. Zawi zawiin han chhoh a tha ber.

HACE hian hmun sang taka awm thiam lote a nghawng tlangpui a, chutiang boruakah chuan hun an hmang ngai lo tihna a ni. HACE vei hi tuifinriat atanga meter 4,000 leh 5,000 (mile 2.5 atanga 3) inkar hmuna kal zinga 1% aia tlem an ni. Hei hian altitude sickness awm tam lo ber a siam a ni.

HACE avanga harsatna awm thei te chu engte nge ni? Engtiang chiahin nge a hlauhawm?

HACE tih awmzia chu ngaihthah a nih chuan thihna thlengin a thlen thei tihna a ni.A dinhmun pawi tak a ni. A lan chhuah tirh atanga darkar 24 chhungin harsatna a awm thei. Complication hlauhawm ber chu thluak herniation a ni . Hei hi lu chhunga pressure (intracranial pressure) a san lutuk a, thluak hmun thenkhat a bulh a, thluaka thisen kalna tur a tihtawp chuan a thleng thin. Hei hian thluak a tichhe nasa thei a, coma a thlen thei a, vanduaithlak takin thihna a thlen thei bawk. Chuvangin HACE symptoms i hriat veleh hmalak a pawimawh hle.

HACE hian hun rei tak chhung nghawng a nei em?

HACE avanga oxygen tlakchhamna (hypoxia) hian a chang chuan hun rei tak chhung nghawng a nei thei bawk. Chumi awmzia chu natna a reh hnuah pawh harsatna thenkhat chu a la awm reng thei tihna a ni. Entir nan:

• Hriatrengna hloh.
• Thil hriatna lama harsatna (cognitive impairment) a awm.
• I mizia a inthlak danglam thin.
• Mit hmuhna hloh.
• Thusawi leh ei harsa.

Mahse, a tha ber chu, HACE hi hriatchhuah leh enkawl hmasak a nih chuan chutiang hun rei tak chhunga nghawng a neih theihna chu a hniam zawk hle. Chuvang chuan hmun sang takah natna tenau i nei a nih pawhin ngaihthah suh tih hi an sawi fo thin.

Doctor-te hian engtin nge HACE hi an hriat theih?

Hmun sang takah i damlo a, doctor i pan chuan a rang thei ang bera HACE i nei tih hriatchhuah an tum ang, a chhan chu enkawlna hi a rang thei ang bera tan a ngai a ni. He natna hriat theihna tura an thil tih berte chu:

• Neurological examination: Hei hian i balance, alertness leh speech a enfiah ang.
• Symptoms te, medical history te, leh travel history te zawhna: I rilru put hmang te, a hmaa natna i neih tawh leh neih loh te, leh i zinna sang zia te an zawt ang che. HACE hriatchhuah nan hmun sang takah i kal tawh em tih hi a pawimawh hle.

A châng chuan, a hnuaia test te hi a natna hriat chian nan tih theih a ni (hengte hi a ngai reng reng lo):

• Thisen test: Thisen a thisen var awm zat enfiah leh chi level enfiah ang chi thil.
• MRI (Magnetic Resonance Imaging) emaw CT scan (Computed Tomography scan) test: Hengte hian thluaka hliam emaw, harsatna dang emaw a awm em tih hriat nan a pui thin.

HACE enkawlna tur engte nge ni?

HACE enkawlna atana hmalakna hmasa ber leh pawimawh ber chu harsatna bulpui ber hriat nghal hi a ni . Hei hi nunna chhanhimna tha ber a ni. Tin, a hnuaia enkawlna te hi hman a ni bawk.

• Metre 1000 (mile chanve vel) tal chhuk rawh: A theih chuan puitu tur mi pakhat nen kal rawh. Kal lai hian thahnemngai lutuk suh.
• Supplemental oxygen emaw portable hyperbaric chamber hmanga: Hengte hian taksaah oxygen a pe rang thei hle.
• Damdawi pek dan:
• Dexamethasone, corticosteroid damdawi: Hei hian thluak natna a tiziaawm a.
• Acetazolamide: He damdawi hian thluaka swelling a tihziaawm bakah altitude a insiamrem theih nan a pui bawk.

Doctor chuan i dinhmun a zirin enkawlna dik ber a ruat ang.

Enkawl hnua dam leh theih nan eng chen nge a duh?

Enkawl i tan tirh chuan ni engemaw zat atanga kar tlemte chhungin i dam tan tur a ni. I dinhmun a nasat danah a innghat. Mahse mi tam zawk tan chuan kar tam a daih lo, ni tlemte chauh a ngai.

HACE vei chuan eng nge a beisei ang?

HACE hi medical emergency a ni a. Chuvangin, a hmaa hriatchhuah leh enkawl vat hi harsatna awm thei laka invenna tha ber a ni. Climber tawnhriat ngah leh intihhlimna atana climber-ah te pawh a awm thei.

Ngaihtuah teh, tlang chhip thlenga lawn i tum a ni. Tichuan, harsatna tlem i nei a nih pawhin, ‘Tunlai hian a chung lam kan thleng tawh dawn a, tlemte chauh a la awm a, hei hi ka tuar thei ang,’ tiin i ngaihtuah mai thei. Chu chu thil hlauhawm ber a ni. A chhan chu hetianga i kal zel chuan HACE condition a zual zel dawn a ni. Enkawl loh chuan nunna atana hlauhawm a ni thei.

Chuvangin, nangmah emaw, i group-a mi tu emaw pawhin i chau tan a, i lu a na tan a, lu na i neih tan chuan, chhoh chu bansanin him takin chhuk hreh suh. HACE symptoms hi darkar tlemte chhungin a na zual thei. Chuvangin HACE symptoms te hi i lawn tan hmain i hriat chian a pawimawh hle.

HACE hi ven theih a ni em? A nih chuan engtin nge?

Ni e, HACE laka invenna tha ber chu i taksa chu altitude-a acclimatize hi a ni . Hei hi ‘acclimatization’ an ti a. A awlsam zawngin, i taksa chu oxygen level inthlak danglamna nena zawi zawiin a insiamrem theihna tura phalsak hi a ni. HACE ang chi altitude sickness hi i taksa inpeih lohna hmuna i kal nghal mai hian a lo awm thin.

Zawi zawiin leh zawi zawiin i chhoh chuan i in acclimatize thei ang. Entirnan, tuipui atanga meter 2,500 (mile 1.7 vel) a sangah i awm a nih chuan ni khatah meter 300-500 (mile khat vel) chauh lawn tur a ni. Chumi awmzia chu ni khat chu chu hmun sang takah chuan i chho a, chutah chuan zan khat i riak a, a tuk zingah chuan tlem i chho leh ta tihna a ni. Hei hian i taksa chu boruak thar nena insiamrem turin hun a pe a ni. Hei hi mi thenkhat tan chuan harsatna a ni thei a, a rei deuh avangin. Mahse, i himna atan a tha ber.

Engtikah nge damdawi lam thurawn i lak nghal ang?

HACE hi medical emergency a ni a. Hmun sang taka i awm laiin i natna, i luak chhuak emaw, i chau emaw i tih chuan hmun him lamah kal nghal la, emergency medical services te chu biak rawh. Sri Lanka-ah chuan 1990 (Suvaseriya) ah i call thei. Ram dangah i awm a nih chuan chu ram emergency number (e.g. 911) chu call rawh. Hun khawhral suh.

Doctor hnena zawh tur pawimawhte chu engte nge ni?

HACE i vei a nih chuan, emaw, i rinhlelh chuan, i doctor hnenah hetiang zawhna hi zawh a tha ang:

• "HACE nge altitude sickness chi dang ka nei em?"
• "Hmun sangah ka kal hmain engtin nge ka taksa ka buatsaih ang?"
• "HACE atang hian hun rei tak chhung nghawng ka nei dawn em ni?"
• "HACE nei ila chuan tlang ka lawn leh thei ang em?"

Heng zawhnate chhanna hi i tan a tangkai hle ang.

AMS leh HACE hi eng nge an danglamna?

Mi tam tak chuan AMS (Acute Mountain Sickness) leh HACE hi thil hrang hrang pahnih nge thil pakhat a ni tih an zawt thin.

HACE (High-Altitude Cerebral Edema) hi AMS (Acute Mountain Sickness) natna hmuh tur awm lo leh na tak a ni. HACE hi ‘late AMS’ emaw ‘late stage AMS’ emaw an ti \hin.

AMS hi hmun sang taka i chhoh thut avanga lo awm thin a ni. Lu na, lu na, lu na, thawk harsa tih ang chi symptoms a thlen thei.

Heng pahnih hi kan taksain hmun sang takah oxygen a hmuh tlem vang a ni. A awlsam zawngin, AMS hi vaukhânna chhinchhiahna ang a ni a, ngaihthah a nih chuan HACE tih hming pu dinhmun hlauhawm tak a thlen thei a ni.

A tawp berah chuan i hnena sawi tur pawimawh ber chu! (In lama hruai tur thuchah)

Tlang chhip thlenga lawn leh tawn chu thil mawi tak a ni tak zet a ni. Mahse, i lawn lai chuan i taksa chu ngaithla rawh. Goal chu i tan a pawimawh em em a, ‘Hei hi ka titawp thei lo, tlem chauh ka hlat zawk’ tih i ngaihtuah pawhin, i taksain signal a pek che hi ngaihthah suh. HACE (High-Altitude Cerebral Edema) chhinchhiahna tlemte pawh i neih chuan hmun him, chu chu a hniam zawkah kal nghal rawh. HACE hi enkawl a nih loh chuan darkar tlemte chhungin nunna atana hlauhawm a ni thei. Chuvangin tikhawtlai suh. Nangmah leh i bula chho tur midangte chu enkawl rawh. High altitude symptoms i neih tan veleh hma la rawh. I nunna hi a hlu a ni!

` HACE, hmun sang, thluaka edema, oxygen tlakchham, lu na, tlang lawn, hmun sang atanga natna, hypoxia, acclimatization