I-Altitude Sickness | Amathiphu Okusindisa Impilo KwabaTrekkers

I-Altitude Sickness: I-Acute Mountain Sickness (AMS) ingakhula kunoma yikuphi ukuphakama ngaphezu kwamamitha angu-2,000 phakathi Uhambo lwaseNepali. Izimpawu zokuqala wubuhlungu bekhanda, ukukhathala okukhulu, nokungathandi ukudla. Abanye abantu baphelelwa umoya lapho bephumule.

I-AMS iwumphumela woketshezi olunqwabelana ezingxenyeni ezithile zomzimba. Lapho kungangeni khona: ebuchosheni, emaphashini, noma kokubili; lapho kuvela izimpawu ezithambile, kukhomba ukuthi kufanele uhlale kuleyo ndawo kuze kube yilapho izimpawu ziphela.

Ungalokothi ukhuphuke nganoma yiziphi izimpawu ze-AMS! Ngokuvamile, phakathi nosuku olulodwa noma ezimbili, uzozizwa uphilile futhi ungaqhubeka nohambo lwakho.

Uma uphumule endaweni efanayo futhi izimpawu zakho ziba zimbi, ukwehla ngenxa yokugula kwe-Altitude kuyadingeka. Izimpawu eziya ziba zimbi kakhulu ze-AMS zihlanganisa ukukhathala okwandayo, ikhanda elibuhlungu elibuhlungu, ukuhlanza nokulahlekelwa ukusebenzisana.

Kunezimpawu ze-High-Altitude Cerebral Edema (HACE). Uma izimpawu eziqhubekayo zinganakwa, i-HACE ingaholela ekuqulekeni nasekufeni phakathi namahora ayi-12. Ukwenyuka kokuphefumula, ukukhwehlela, nokukhathala kuyizimpawu ze-high-altitude pulmonary edema (HAPE), engabulala ngokushesha uma indiva.

Amacebiso Ama-5 Abalulekile Okugwema Ukugula Kwe-Altitude

1. Phuza amalitha ama-5 Amanzi ngosuku

Ukuphuza amanzi kunenzuzo nsuku zonke futhi ngaso sonke isikhathi. Kodwa-ke, ukuphuza Amanzi amaningi ngesikhathi sohambo kungabonakala kubalulekile futhi kuvimbele ukugula kokuphakama kwendawo.

2. Ungalambi umzimba wakho; esikhundleni salokho, yidlani kakhulu. 

Ngenxa yokushintsha kwesimo sezulu nendawo ezungezile, ungase ungadingi ukudla kakhulu. Kodwa-ke, ukuze uzigcine uphephile ekuguleni kwe-altitude, kufanele udle kakhulu ukuze umzimba wakho ungantuli izakhamzimba.

3. Zinike isikhathi sokujwayela

Udinga ukuthatha isikhathi sakho futhi uhlole izifunda ezithile ukuze ulungise ukuphakama nesimo sezulu. Le ndlela iyona engcono kakhulu yokuthuthukisa umuzwa wakho wokuhamba futhi uzisindise ekuguleni kokuphakama kolwandle.

4. Ungazijahi ukufeza izinhloso zakho

Siyaqonda ukuthi unamaphupho nezinhloso okufanele uzifeze. Nokho, kungasiza uma ungafaki konke engozini, kuhlanganise nokuphila kwakho, ukuze uzifeze. Udinga ijubane, ukubekezela, nokubekezela; ngaphezu kwakho konke, uyazidinga.

5. Lalela umzimba wakho

Ngezinye izikhathi, unamandla amahle engqondo, kodwa umzimba wakho awulaleli. Ngakho ungalalela futhi unakekele umzimba wakho. Uma uzizwa ungakhululekile, tshela umqondisi wakho, futhi uzokusiza ukuthi uhambe ohambweni.

Ukuvimbela Ukugula Kwe-Altitude:

Ukuba nohambo olunengqondo kubalulekile ukuze ugweme ukugula kokuphakama kwendawo. Ngaphezulu kuka-10,000 ft (3,000 m), kunconywa ukuthi umuntu angagibeli ngaphezu kuka-1,000ft (300m) nsuku zonke.

Uma isimo sezwe singenzeki lokhu, umuntu kufanele abe nezinsuku ezimbili zokuphumula. Isibonelo, kunconywa izinsuku ezimbili zokuphumula e-Namche Bazaar, lapho u-2,000ft (600m) utholwa ngosuku olungu-1 ukusuka e-Phakding ezinhlwini eziningi zohambo. Ukuvumelana nezimo ngezinsuku ezengeziwe ezingu-1-2 ezakhelwe ohlelweni lwakho kuzokuvumela ukuba uphumule lapho ungazizwa kahle futhi kusize ukugwema ukugula kokuphakama. Kuyasiza futhi `ukukhuphukela phezulu` kanye `nokulala phansi.`

Sebenzisa i-Diamox, evimba i-enzyme ezinso futhi yenza igazi libe ne-asidi, okuhunyushwa ubuchopho njengophawu lokuphefumula okwengeziwe. Ngakho-ke, i-Diamox ithuthukisa ukusabela komzimba ekuphakameni ngokwandisa izinga nokujula kokuphefumula futhi isebenza njenge-diuretic emnene. Imiphumela engemihle yomuthi ukushoshozela kweminwe nezinzwane kanye nokushoshozela emlonyeni.

Umthamo we-prophylactic we-Diamox uhhafu noma ithebhulethi eyodwa engu-250mg kabili ngosuku. I-Diamox ngeke ifihle izimpawu zokugula kokuphakama uma kwenzeka. Qala ukuthatha i-Diamox ngosuku olungaphambi kokukhuphukela ku-10,000 ft (3,000m), uqhubeke ngokukhuphuka kwakho uye ezindaweni eziphakeme, futhi ume lapho uqala ukwehla.

Elinye isu lokuvimbela, elifana ne-Gingko Biloba, okwakucatshangwa ukuthi liwusizo ekuvimbeleni ukugula kokuphakama, alitholakalanga liwusizo ezifundweni eziningana. I-Salmeterol (Serevent) inhaler esetshenziselwa ukwelapha isifuba somoya ingasiza ekuvimbeleni FUTHI futhi ingasetshenziswa ngendlela yokuvimbela abantu abangenwa yi-HAPE. Kubantu abangezwani ne-sulfa kanye nokukhuphuka ngokushesha, kungenzeka ukusebenzisa i-dexamethasone.

Ukwelashwa kwe-Altitude Sickness:

Ukuze uthole izimpawu ezithambile zokugula kokuphakama eNepal, umuntu angahlala endaweni efanayo ukuze abone ukuthi izimpawu zizoxazululeka yini futhi zikhuphuke lapho izimpawu sezixazululekile ngokuphelele. I-Diamox ingasetshenziswa futhi ukwelapha izimpawu ezithambile nezimaphakathi. Uma izimpawu ziqhubeka noma ziba zimbi kakhulu kulokhu ukuphakama, ukwehla kuyadingeka.

Ngezimpawu ezinzima ze-HACE noma i-HAPE, ukwehla kufanele kuqale ngokushesha noma nini lapho kungenzeka. Ukukhishwa kwendiza enophephela emhlane kungase kubaluleke ukuze kwehle ngaphandle uma ukwelashwa kwezokwelapha kuthuthukiswa ngokushesha futhi ukuhamba phansi kunengqondo. Ukuzikhandla ngokomzimba, ngisho noma kungokokwehla, kungaba yingozi ezigulini ezine-HAPE. Iziguli ze-HAPE ezinzima kufanele zehliselwe phansi uma indiza enophephela emhlane ukuphuma akunakwenzeka ekuhambeni kwakho kwe-Nepal.