High-Altitude Pulmonary Edema (HAPE) chungchang hi i zir chiang ang u!

Nuwara Eliya ang hmun sang takah i kal lai emaw, tlang lian tak i lawn lai emaw khan thawk hah tlem deuh, i rilru a tight tihna mai mai i nei tawh em? A châng chuan heng thilte hi thil pangngaiah i ngai chung pawhin, dinhmun pawi takah a chang thei a ni. Vawiin hian hetiang dinhmun hlauhawm tak, mahse ven theih loh chungchang hi kan sawi dawn a ni. Hei hi ‘High-Altitude Pulmonary Edema’ emaw, a tawi zawngin HAPE emaw an ti a.

HAPE (High-Altitude Pulmonary Edema) tih hi eng nge ni? A awlsam zawngin...

A awlsam zawngin HAPE chu hmun sang takah i kal a, i lung chu tuiin a khat a ni. Hei hi altitude sickness na ber a ni a, tlang natna tia hriat bawk a ni. Chutiang a nih chuan thawk a harsa hle a, a chang chuan lungah tui a lo awm avangin thisen a chhuak thei bawk. Hei hian taksa peng dang zawng zawng leh taksa peng hrang hrangte oxygen a hloh phah a ni.

HAPE hi hmun hniam atanga hmun sang takah i kal nghal vat a, i taksain oxygen level hniam takah a insiamrem theih nan hun a nei tlem a ni. Zanah a intan tlangpui a, hmun sang zawka a insawn atanga ni hnih atanga ni li chhungin a intan thin.

HAPE hi feet 8,200 (meter 2,500) aia sangah a awm fo thin. Hetiang hmun sang thleng tur hian khawvela tlang sang ber i lawn a ngai lo. Ram thenkhat phei chuan he hmun sang takah hian ski resort an nei bawk. Khawvela khawpui mihring tamna ber eng emaw zat chu he hmun sang takah hian an awm a ni.

A pawimawh ber chu HAPE hi nunna atana hlauhawm thei dinhmun a ni. HAPE symptoms i neih chuan doctor pan nghal tur a ni a, a rang thei ang bera hmun hniam zawkah i kal tur a ni.

HAPE hi chi hnih a awm a, chungte chu:

HAPE chi hrang hrang awm tih i en ang u. A tlangpuiin chi hnih a awm a:

1. Classic HAPE: Hei hi a tam ber chi a ni. Hetiang dinhmun hi hmun hniam taka awm tlangpui mi pakhatin feet 8,200 aia sangah a kal nghal a, chu chu an taksa chu a insiamrem theihna hun pe lovin a chhoh vat chuan a thleng thei a ni. Ni khat emaw ni hnih emaw chhungin Colombo atanga Nuwara Eliya aia sang zawk tlang lawn tum i ni ang tih han ngaihtuah teh.

2. Re-entry HAPE: Hei hi a danglam deuh. Hei hi hmun sang zawka cheng mi pakhatin hmun sang zawka hun engemaw chen a kal a, chutah chuan a hmun sang ber pangngaiah a insiamrem leh loh chuan a thleng fo thin. Mi pakhatin hmun hniam zawk atanga a chho ang bawkin HAPE an nei thei bawk.

HAPE hi engtiang chiahin nge a awm?

Zirchianna atanga a lan dan chuan ni khat emaw ni hnih emaw chhunga feet 14,800 (meter 4,500) a sangah chuan mi 6% vel chuan an tawng tawh a niHAPE a lo thleng thin. HAPE i neih tawh chuan i neih leh theihna a sang zawk hle. Chumi awmzia chu chutiang bawka rate (ni 1-2 chhunga metre 4,500) i chhoh chuan HAPE nei tawh zinga 60% vel chuan an nei leh dawn tihna a ni.

HAPE natna lan chhuahna chu engte nge ni?

Tunah chuan HAPE symptoms hi han en ila. Hengte hi fimkhur a pawimawh hle.

• Khuh: Khuh hring (dry cough) atanga tan a ni thei a, chutah chuan khuh pink, frothy phlegm neia khuh thlengin a kal thei.
• Thâwk harsa (dyspnea): A tirah chuan hna rit tak thawh emaw, kea kal emaw chauhvin hah leh thawk harsa i ti thei. Nakinah chuan ding reng chung pawhin thawk a harsa ta hle.
• Tachycardia: Heart rate a sang chho zel.
• Thâwk chakna sang (tachypnea): Thâwk i thawk ṭan nghal vat.
• Khua a hniam.
• Vun, hmui, kut zungtang blue discoloration (cyanosis): Hei hian taksain oxygen a dawng tlem tihna a ni.

Heng symptoms bakah hian altitude sickness chi dang, high-altitude cerebral edema an tih pawh i nei thei a, chu chu thluak tuiin a khat thinna a ni.

Eng thilin nge HAPE hi a thlen?

Altitude-a kan chhoh zel chuan boruak pressure leh oxygen level chu tuipui level-a a awm aiin a hniam chho zel a. I taksa hian heng oxygen level hniam zawkte hi zawi zawiin a insiamrem thei a, mahse hun a duh a ni. Altitude i sang lutuk thut chuan i thisen, chuta tang chuan i tissue leh organ te hian oxygen a hmu tlem hle ang. Hei hian a ti na thei che a, nunna pawh a tichhe thei bawk.

I lung hmun thenkhatin oxygen a hmuh tlem chuan i lung chhunga thisen kalna kawngte chu a inzawm khawm thin. Hei hi i lung hmun dang hnathawk tha tak takte hnena thisen nawr luh tumna a ni. Hei hian thisen kalna kawnga pressure a tisang a, chu chuan tui a chhuah tir thin. He tui hi i lungah a pungkhawm a, thawk a harsa hle. A tawpah chuan i lungah thisen a luang lut thei a, thisen -tinged mucus i khuh thei bawk.

Tute nge HAPE vei theihna chance sang zawk?

Engtiang taka taksa tha pawh ni ila, HAPE lakah a venghim lo che tih hre reng ang che. Risk factor lian ber chu i san chak lutuk hi a ni a, eng ang pawhin hrisel leh chak pawh ni ila. Hetiang dinhmun hi mipaah ​​pawh hmuh tur a tam zawk.

Risk factor dangte chu:

• Tun hmaa HAPE lo siam tawh.
• Lung chhunga thisen sang awm tawh, pulmonary hypertension tia hriat.
• Thinlung insiam danah hian inthlak danglamna engemaw zat a awm a, entirnan, intracardiac shunt leh thisen kalna kawng dik lo a awm.
• Khua a vawt hle.
• Thluak lam natna nei.

Engtin nge HAPE i neih leh neih loh i hriat theih ang?

Doctor chuan i symptoms a zirin HAPE i neih leh neih loh a rel ang. I thawk dan, thisen sang, thisen oxygen level, leh heart rate te an enfiah ang. Damdawi lam pan i nih chuan chest X-ray hmangin i lung chhunga tui awm leh awm loh enfiah theih a ni. Test leh scan dang pawh tih theih a ni a, chu chuan condition dang a awm lo.

HAPE hi engtin nge enkawl a nih?

HAPE enkawlna hmasa ber chu supplemental oxygen a ni. Tin, a rang thei ang bera hmun hniam zawk i thlen a ngai bawk. Hei hian a tlem berah feet 1,000 (meter 300) thlenga chhuk tihna a ni a, a tha ber chu feet 3,300 (meter 1,000) thlenga chhuk tihna a ni. I tlak theih nan emergency medical help i mamawh mai thei. In lum la, tui tam tak in rawh.

I chhuk hnuah emaw, chhuk i nghah lai emaw chuan doctor chuan hyperbaric therapy tih damdawi a pe thei che a ni. Hei hi portable hyperbaric chamber-ah tih theih a ni a, chu chu Gamow Bag® ang chi a ni. A châng chuan doctor-te chuan damdawi nifedipine emaw phosphodiesterase (PDE) inhibitor (sildenafil emaw tadalafil emaw ang chi) an hmang ṭhin. Mahse, heng damdawi te hi i chhuk thei a, oxygen i pe thei a nih chuan hman tlem a ni tlangpui.

HAPE a lo awm chuan eng nge thleng ang?

Enkawl nghal loh chuan HAPE hi thihna thlen thei a ni. Emergency medical attention i pan nghal tur a ni a, damdawi lam enkawlna tur hmun hniam zawka hruai i nih beisei tur a ni. I dam tawh chuan i doctor chuan i zinkawng chhunzawm a him leh him loh a hrilh ang che. A tlangpuiin, a let leh nghal a tha lo, a chhan chu recurrence rate a san vang a ni.

HAPE symptoms hi a reh kim theih nan kar hnih vel a ngai thei.

Enkawl loh a nih chuan HAPE vei zinga 50% chu an thi dawn a, chuvangin hei hi ngaihthah suh.

Engtikah nge damdawi lam thurawn i lak ang?

Altitude sickness symptom hmasa ber i hmuh veleh doctor thurawn i la nghal tur a ni. I natna lan chhuah dan chu i bula zin mi hnenah hrilh la, a hnuah i sawi thei lo mai thei. HAPE symptoms i neih chuan tanpuina zawng nghal rawh.

Doctor hnenah eng nge ka zawh ang?

I doctor hnenah hetiang zawhna hi zawh hi a \angkai thei ang:

• Eng chen nge ka dam leh theih nan a la ngai ang?
• Nakin lawkah engtin nge him taka hmun sang ka thlen theih ang?
• Ka zinkawng hi ka chhunzawm thei ang em?
• Engtikah nge ka hmuh leh ang che?

HAPE hi ven theih a ni em? Ni e, hei hi a ni!

Zawi zawiin chhoh hi altitude sickness venna tha ber a ni a, HAPE pawh a tel. Altitude sickness symptoms i neih tan chuan, chhoh zel chu bansan la, altitude-ah chuan acclimate la, a nih loh leh i dam hma loh chuan chhuk rawh. I symptoms a zual hma chu nghak suh.

Hmun sang taka kal huna HAPE vei theihna tihziaawmna tur tips dang thenkhat chu hetiang hi a ni:

• I zinna tur chu uluk takin ruahman la, ni khata i san duh zat tur kaihhruaina chu zawm rawh.
• Flight-a hmun sang takah rang taka kal a ngai a nih chuan chu pawh chu ngaihtuah ve teh. Kea i chhoh loh pawhin i taksa chu altitude-ah i acclimate a ngai a ni.
• I taksa a insiamrem theih nan chawlh ni ruahman rawh. Ni thum danah ni khat emaw ni hnih emaw chawlh lak a tha.
• Altitude-in a nghawng thei hriselna lama harsatna i neih chuan i doctor nen sawiho rawh.
• HAPE vei hlauhawm i nih chuan i doctor hnenah invenna damdawi emaw, invenna emaw ei chungchang zawt rawh. A châng chuan doctor-te chuan HAPE enkawlna atana damdawi an pek ang chiah hi a venna atan an pe ṭhin.

Thil lian tak tihhlawhtlin tumin kan insiam hian thil tum thleng thuai tura hmanhmawh hi thil awmdan pangngai a ni. Mahse hmun sang taka i awm lai chuan tlan chak hi a hlauhawm thei hle. Khawvela tlang sang ber scale tum emaw, weekend hike-a kal mai mai emaw pawh nise, hmun sang takah insiamrem turin hun tam tak pe la, him taka chhoh theihna tur kaihhruaina zawm rawh.

Mahni chauhin zin ngai suh. I zinpui turte chu biak fo la, an rilru put hmang en rawh. I hrisel loh chuan damdawi lam thurawn lak dan tur hre reng ang che. Engtiang chiahin taksaah pawh fit mah la, engtikah nge ṭanpuina dang i mamawh theih tih i hre ngai lo.

Take-Home Thuchah a ni

Okay, chuvangin kan sawi tawh atanga thu pawimawh ber berte kha i hriat nawn tir leh ang u:

• HAPE hi dinhmun hlauhawm tak a ni a, hmun sang takah chuan lungte tuiin a khat a ni.
• Up rang lutuk hi risk factor ber a ni.
• Khuh, thawk harsa, heart rate sang, leh vun sen tih ang chi symptom i neih chuan rinhlelh tur a ni.
• Enkawlna ber chu a lan chhuah veleh chhuk a, oxygen lak hi a ni.
• I pumpelh tur tha ber chu zawi zawiin chho la, i taksa chu insiamrem theihna hun pe rawh.
• A bik takin hriselna lama harsatna dang i neih emaw, a hmaa HAPE i lo neih tawh emaw a nih chuan, i zin hmain doctor nena inbiak hmasak phawt a tha.

Hmun sang taka kal chu thil mak tak a ni thei tih hre reng ang che. Mahse him taka tih tur chuan heng thilte hi hriat chian a pawimawh hle. I himna chu i kutah a awm!

`HAPE, tlang natna, lung natna, altitude sickness, thawk harsa, oxygen, tlang lawn