Nuwara Eliya ang hmun lum takah i kal a, khaw lum karah i khur reng tawh em? A nih loh leh ruah sur ni-a i tuiah i tui a, in i thlen meuh chuan i ha a ri chhuak tawh tih i hre reng em? Hetiang hunah hian khawsik tlem a awm hi thil pangngai a ni. Mahse, he khawsik hi thunun theih loh leh hlauhawm tak a lo nih chuan hypothermia kan ti thin. Chu chu dik taka kan hriat hian keimahni bakah kan hmangaihte tan pawh nasa takin min pui dawn a ni.
Hypothermia hi eng nge ni tak tak?
A awlsam zawngin sawi ila, Hypothermia hi taksa lumna siam chhuah aia rang zawka taksa lumna a bo chuan taksa lumna tlahniam hlauhawm tak a ni. Mi hrisel taksa lum zawng chu 98.6 degree Fahrenheit (37 degree Celsius) vel a ni. Hypothermia-ah chuan he khaw lum hi 95 degree Fahrenheit (35 degree Celsius) hnuaiah a tlahniam a ni. A nasat chuan 82 degree Fahrenheit (28 degree Celsius) hnuaiah a tla thei a ni.
Hei hi a sir dang a awm a, chu chu hyperthermia kan ti a ni. Taksa lumna a sang lutuk tihna a ni. Hetiang dinhmun hi khaw lum lutuk, ni ang chi i tawrh hian a thleng fo thin.
Engtin nge taksa lumna hi a tlanchhuah theih?
Kan taksa hian boruak lum takah kan awm hian lumna a hloh chhan lian tak tak engemaw zat a awm. Kan thluak peng pakhat, hypothalamus hian kan taksa lum leh vawt tidanglamtu ‘control center’ angin hna a thawk a. Kan taksa a vawt chuan he center atang hian signal a lo chhuak a, kan taksa chu a khur tan thin. He khur hian kan taksa ruhte a tikhawlo a, lumna a siam chhuak thin. Tin, thisen kalna kawng (vasoconstriction) hmangin vun kaltlanga lumna hloh a ti tlem bawk.
Mahse khawsik laia kan awm reng chuan taksaa lumna siamtu lian ber ber, thinlung leh thin te pawh an slow thin. Thluak venhim nan taksain a 'shut down' ang mai a ni. Chumi avang chuan thawk atanga heart rate thlengin engkim a tlahniam tan thin.
| Heat dissipation hman dan | A awlsam zawngin sawifiah a ni |
|---|---|
| Radiation a ni | Heat hi vun atang hian a chhehvel boruak ah direct in a chhuak thin. Hei hi lumna chhuahna kawng tha ber a ni. |
| Kaihruaitu a ni | Thil vawt takin i taksa a khawih chuan a lum hle. Entirnan, tui lum hmanga i hmai i sil hian. |
| Convection a ni | Thli chuan taksa lumna a phur bo thin. Hei vang hian thlipui na tak a awm chuan kan vawt zawk thin. |
| A chhuahna tur hmun (Evaporation). | Thawmhnaw a lo vawt chuan taksa lumna a la bo thin. |
Hypothermia symptoms te chu engte nge ni?
Hetiang dinhmun chhinchhiahna hi a lang zauh zauh a, chuvangin hei hi hriat a pawimawh hle.
Nausen naupangte zingah natna lan chhuah dan
Nausen te tak te chungah hetiang thil hi a thleng a nih chuan naute upa zawk aiin a danglam deuh hlek a ni.
- A khawih chuan a danglam bik hle tih hriatna.
- A vun chu a sen hring hring a ni .
- Nunna nei lo leh muhil thei lo tura .
Puitlingah chuan a natna lan chhuah dan azirin
Puitlingah chuan symptoms hi a nasat dan azirin stage thum ah then theih a ni.
| Huntha | Taksa lum leh vawt (Fahrenheit) . | A lan chhuah dan ber |
|---|---|---|
| A tir lamah chuan (Mild Hypothermia) . | 90°F - 95°F inkar a ni | Khur, ha hrual, hah, che zawi, mutthilh, vun dum, ngaihtuahna seng harsa. |
| Hypothermia hniam lam (Moderate Hypothermia) a awm | 82°F - 90°F inkar a ni | A khur chu a reh zauh zauh a, thusawi laiin thu a slurring a, ngaihtuah harsa a ti a, taksa ruh a nghet lo va, vun a sen a, muhil ang maiin a awm bawk. |
| Hypothermia na tak a awm | 82°F hnuai lam a ni | Taksa nghing tihtawp vek, thawk leh heart rate nasa taka tihhniam, thisen sang tlahniam, hriatna hloh, leh thinlung lam pawh a titawp. |
Importantly , a natna a zual chuan khur hi a reh thei. Hei hi chhinchhiahna tha tak a ni lo. Taksa temperature control system a thawk tha lo tihna a ni.
Tute nge hypothermia vei theihna sang zawk?
Mi thenkhat chuan he natna hi an nei tam zawk.
- Kum upa lam leh naupang tê tê: A chhan chu an taksa lum leh vawt control mechanism a chak tawk loh vang a ni.
- Rilru natna vei te: An khawsik tih hriat a, a damdawi hmuh a harsat phah thei.
- Zu emaw ruihhlo hmangtute: Zu in hian thisen kalna kawng a tizau a, taksa atanga lumna a chhuak rang zawk.
- Zunthlum leh thyroid natna nei te.
- Mi chenna nei lo emaw, thawmhnaw lum emaw ei tur nei lo emaw.
Hetiang thil hi mi chungah a thleng a nih chuan engtin nge kan tih ang? (A hmasa ber atan) .
Hypothermia hi medical emergency a ni a , damdawi lam pan vat a ngai a ni . Chuvangin miin heng symptoms te hi a neih chuan damdawi inah hruai nghal tur a ni. Chutih lai chuan tanpuina a lo thlen hma loh chuan i tih theih tlemte a awm.
1. Mi chu fimkhur takin sawn rawh: Zawi zawiin leh fimkhur takin damlo chu khawsik atangin la chhuakin, hmun lum leh tui tlak lohna hmunah sawn rawh. Tharum takin vawt suh. Hmanhmawh taka che hian thinlung hnathawh a tichhe thei a ni.
2. Thawmhnaw hnim te phelh: Thawmhnaw hnim zawng zawng, pheikhawk, leh socks te phelh vek rawh.
3. Warm up: Damlo chu puan vawt leh thawmhnaw hmangin uluk takin khuh tur a ni. Mahni taksa lumna hmangin damlo chu i lum thei bawk.
4. Thil lum in tur pe rawh: Damlo chu a fimkhur a nih chuan in tur, soup emaw hot chocolate emaw pe thin ang che. Coffee leh zu pe suh. Taksa a vawt zual thuai ang. Hriat lohna nei lo hnenah engmah in tir suh.
5. Damdawi lam thurawn zawng nghal rawh:Damlo chu a rilru a buai a, thawk a la lo emaw, a pulse a nei lo emaw a nih chuan damdawi in emergency room (ETU)-ah hruai nghal tur a ni. Training i nih chuan CPR (cardiopulmonary resuscitation) tan tir rawh.
Damdawi inah chuan taksa chhungril lum leh vawt siam that leh nan hmanraw bik (e.g., thisen tihlum, saline lum) an hmang thin.
Engtin nge he thil lakah hian chhandam kan nih?
Hetiang dinhmun hlauhawm tak atanga tlanchhuah hi chutiang chuan a harsa lo tak zet a ni.
- Thawmhnaw layer engemaw zat ha rawh: Ni lum takah i chhuak dawn a nih chuan layer thick pakhat ha ai chuan thawmhnaw layer te tak te engemaw zat hak a tha zawk.
- I lu, kut leh beng khuh rawh: Kawrfual, kutkawr leh muffler hmang rawh. Hengte hi i taksa peng hrang hrang, lumna hloh tam berte an ni.
- Tui suh: Ruah sur kara i hnim a nih chuan a rang thei ang bera thawmhnaw vawt in thlak thin ang che.
- Tar leh naupang tête chu a bik takin enkawl rawh: thawmhnaw lum tawk an neih theih nan leh an awmna pindan chu a vawt loh nan fimkhur rawh.
- Tui lumah i tlu a nih chuan: Tuiah i tlu a nih chuan, lawng khalh lai ang chi, tui atanga chhuak vat rawh. Tuiah i awm reng a ngai a nih chuan i khup chu i rilru hnaihah dah la. Hei hi ‘heat escape lessening posture’ (HELP) an ti a. Hei hian i taksa a lum reng theih nan a pui ang.
Take-Home Thuchah a ni
- Hypothermia hi taksa lum leh vawt 95°F (35°C) hnuai lam a ni. Hei hi medical emergency a ni.
- A lan chhuah dan ber chu khur, mutthilh, tawng thiam lo, leh ngaihtuahna seng thei lo te hi a ni. When the condition is severe , a khur chu a reh thei.
- Miin heng symptoms te hi a neih chuan khawsik atangin la chhuak nghal la, thawmhnaw hnim chu phelh la, a lum theih nan blanket vawt takin tuam rawh.
- Mi chu a hriatna a awm chauhvin in tur lum pe thin ang che. Zu leh coffee pe suh.
- Damlo chu damdawi in pakhat Emergency Treatment Unit (ETU)-ah a rang thei ang bera hruai rawh. Ringhlel i neih chuan doctor nen inbia fo ang che.
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