Altitude Sickness | Mazano Anoponesa Upenyu kune VaTrekkers

Altitude Sickness: Acute Mountain Sickness (AMS) inogona kukura chero pakakwirira pamusoro pe2,000 metres panguva. Nepali trekking. Zviratidzo zvekutanga kutemwa nemusoro, kuneta kwakanyanya, uye kurasikirwa nechido. Vamwe vanhu vanofema pakuzorora.

AMS mhedzisiro yemvura inoungana munhengo dzemuviri. Kwaisiri kwayo: muuropi, mumapapu, kana zvese; kana zviratidzo zvinyoro zvikatanga, zvinoratidza kuti unofanira kugara pakakwirira kusvika zviratidzo zvapera.

Usambofa wakakwira uine chero zviratidzo zveAMS! Kazhinji, mukati mezuva rimwe kana maviri, uchanzwa zvakanaka uye unogona kuenderera mberi nerwendo rwako.

Kana iwe uchizorora panzvimbo imwe chete uye zviratidzo zvako zvinowedzera, kuburukira kuAltitude chirwere kunodiwa. Zviratidzo zviri kuramba zvichiwedzera zveAMS zvinosanganisira kuneta kuri kuwedzera, musoro wakakomba, kurutsa, uye kutadza kushanda zvakanaka.

Pane zviratidzo zveHigh-Altitude Cerebral Edema (HACE). Kana zviratidzo zvinofambira mberi zvikafuratirwa, HACE inogona kukonzera kufenda uye kufa mukati memaawa gumi nemaviri. Kuwedzera kupfupika kwekufema, kukosora, uye kuneta zviratidzo zvepamusoro-soro pulmonary edema (HAPE), iyo inogona kukurumidza kuuraya kana ikasateererwa.

5 Mazano Makuru Ekunzvenga Kurwara Kwepamusoro

1. Inwa marita mashanu eMvura pazuva

Kunwa mvura kunobatsira mazuva ese uye nguva dzese. Nekudaro, kunwa yakawanda yeMvura panguva yekufamba kunogona kuratidza kwakakosha uye kudzivirira kukwira kwehurwere.

2. Usafe nenzara muviri wako; pachinzvimbo, mudye muchiwedzera. 

Nekuda kwekuchinja kwemamiriro ekunze uye nharaunda, ungasazofanira kudya zvakawanda. Nekudaro, kuti uzvichengetedze kubva kuhurwere hwepamusoro, unofanirwa kudya zvakanyanya kuti muviri wako urege kushaya chikafu.

3. Tora nguva yeAcclimatization

Iwe unofanirwa kutora nguva yako uye kuongorora mamwe matunhu kuti agadzirise kune yakakwirira uye mamiriro ekunze. Iyi nzira ndiyo yakanakisa yekuvandudza ruzivo rwako rwekufamba uye uzviponese kubva kuhurwere hwepamusoro.

4. Usamhanyire kuzadzisa zvinangwa zvako

Isu tinonzwisisa kuti une zviroto uye zvinangwa zvekuzadzisa. Zvisinei, zvingabatsira kana ukasaisa pangozi zvose, kusanganisira upenyu hwako, kuti uzviwane. Unoda kukurumidza, kutsungirira, uye kutsungirira; kupfuura zvose, unoda iwe pachako.

5. Teerera kumutumbi wako

Dzimwe nguva, une simba repfungwa rakanaka, asi muviri wako hauteerere. Saka unogona kuteerera uye kutarisira muviri wako. Paunenge uchinzwa kusagadzikana, udza mutungamiri wako, uye ivo vachakubatsira iwe kufamba nerwendo.

Kudzivirirwa kweChirwere cheAltitude:

Kuva nerwendo rune musoro kwakakosha pakudzivirira kurwara kwepamusoro. Pamusoro pe10,000 ft (3,000 m), zvinokurudzirwa kuti munhu akwire kwete kupfuura 1,000ft (300m) zuva nezuva.

Kana nzvimbo yacho yakaita zvokuti hazvibviri, munhu anofanira kuva nemazuva maviri ekuzorora. Semuenzaniso, mazuva maviri ekuzorora anokurudzirwa kuNamche Bazaar, uko 2,000ft (600m) inowanikwa muzuva rimwe kubva kuPhakding kune dzakawanda mafambiro. Kuve nekuchinjika ne 1-1 mamwe mazuva akavakirwa muhurongwa hwako zvinokutendera iwe kuzorora kana usiri kunzwa zvakanaka uye kubatsira kudzivirira kukwira kwehurwere. Zvinobatsira zvakare `kukwira kumusoro` uye `kurara zvishoma.`

Shandisa Diamox, iyo inovhara enzyme muitsvo uye inoita kuti ropa rive acidic, rinodudzirwa nehuropi sechiratidzo chekufema zvakanyanya. Naizvozvo, Diamox inokwidziridza mhinduro yemuviri kune yakakwirira nekuwedzera mwero uye kudzika kwekufema uye inoita seyakapfava diuretic. Zvikonzero zvemushonga kurira kweminwe uye zvigunwe uye kurira kwemuromo.

A prophylactic dose yeDiamox hafu kana imwe 250mg piritsi kaviri pazuva. Diamox haizovharidzi zviratidzo zvehurwere hwepamusoro kana zvichizoitika. Tanga kutora Diamox zuva risati rasvika ku10,000 ft (3,000m), pfuurira kuburikidza nekukwira kwako kusvika kune yakakwirira, uye mira paunotanga kuburuka.

Imwe nzira yekudzivirira, yakadai seGingko Biloba, iyo yaimbofungidzirwa kuti inobatsira pakudzivirira chirwere chepamusoro, haina kuwanikwa inobatsira mune zvidzidzo zvakawanda. Salmeterol (Serevent) inhaler inoshandiswa kurapa asima inogona kubatsira kudzivirira ZVAKARE uye inogona kushandiswa prophylactically nevanhu vane HAPE-vanobatwa. Kune vanhu vasingawirirani nesarufa uye vanongoerekana vakwira, zvinokwanisika kushandisa dexamethasone.

Kurapa kweAltitude Sickness:

Kune zviratidzo zvakapfava zvehurwere hwepamusoro muNepal kufamba, munhu anogona kugara pakakwirira kuti aone kana zviratidzo zvichagadzirisa uye kukwira kana zviratidzo zvagadziriswa zvachose. Diamox inogona zvakare kushandiswa kurapa zvinyoro kusvika pakati nepakati zviratidzo. Kana zviratidzo zvikaramba zviripo kana kuwedzera pakukwira uku, kudzika kunodiwa.

Kune zviratidzo zvakakomba zveHACE kana HAPE, kudzika kunofanirwa kutanga nekukurumidza pese pazvinogoneka. Helicopter evacuation inogona kuva yakakosha pakuderera kunze kwekunge kurapwa kwekurapa kwakakurumidza kuvandudzwa uye kufamba pasi kunonzwisisika. Kushanda nesimba kwemuviri, kunyangwe kuri kwekudzika, kunogona kukanganisa varwere vane HAPE. Varwere vakanyanya HAPE vanofanira kutakurwa pasi kana ndege yeherikoputa kubuda hakugoneki kune yako Nepal trekking.