Maʻi Altitude
Anter
- He aha nā hōʻailona?
- He aha nā ʻano o ka maʻi kiʻekiʻe?
- AMS
- HALE
- HOLE
- He aha ke kumu o ka maʻi kiʻekiʻe?
- ʻO wai ka mea e makaʻu i ka maʻi kiʻekiʻe?
- Pehea e ʻike ʻia ai ka maʻi kiʻekiʻe?
- Pehea e mālama ʻia ai ka maʻi kiʻekiʻe?
- He aha nā pilikia o ka maʻi kiʻekiʻe?
- He aha ka manaʻo lōʻihi?
- Hiki iā ʻoe ke pale i ka maʻi kiʻekiʻe?
Hōʻike Overview
Ke piʻi mauna ʻoe, piʻi wāwae, hoʻokele, a i ʻole hana i nā hana ʻē aʻe i kahi kiʻekiʻe, ʻaʻole paha lawa kou oxygen i kou kino.
Hiki i ka nele o ka oxygen ke kumu i nā maʻi kiʻekiʻe. Kū pinepine ka maʻi Altitude ma nā kiʻekiʻe o 8,000 kapuaʻi a ʻoi. ʻO ka poʻe i maʻa ʻole i kēia mau kiʻekiʻe ke maʻalahi loa. ʻO nā hōʻailona me ka headache a me ka hiamoe.
ʻAʻole pono ʻoe e lawe māmā i ka maʻi kiʻekiʻe. Hiki ke weliweli ke ʻano. ʻAʻole hiki ke wānana i ka maʻi ʻo Altitude - hiki i kēlā me kēia mea i kahi kiʻekiʻe e loaʻa iā ia.
He aha nā hōʻailona?
Hiki ke hōʻike koke ʻia a hōʻemi paha nā ʻōuli o ka maʻi kiʻekiʻe. Nā ʻōuli o ka maʻi kiʻekiʻe me:
- luhi
- ʻōlohelohe
- ʻeha poʻo
- nausea
- ka luaʻi
- kōmi puʻuwai wikiwiki
- ka hanu ʻana (me ka ʻole o ka hoʻoikaika ʻana)
ʻO nā hōʻailona koʻikoʻi ʻoi aku:
- ka hoʻoliʻiliʻi o ka ʻili (kahi hoʻololi i ka polū, hina, a me ka pale)
- huikau
- ʻūhā
- uha i ka huhū koko
- paʻa paʻa o ka umauma
- hoʻemi i ka ʻike
- hiki ʻole ke hele wāwae i ka laina pololei
- pōkole o ka hanu i ka hoʻomaha ʻana
He aha nā ʻano o ka maʻi kiʻekiʻe?
Hoʻokaʻawale ʻia ka maʻi kiʻekiʻe i ʻekolu mau hui:
AMS
ʻO ka maʻi maʻi kuʻikuʻi (AMS) ka mea i ʻike pinepine ʻia o nā maʻi kiʻekiʻe. ʻO nā ʻōuli o ka AMS he like loa me ka ʻona ʻana.
HALE
Kū mai ka edema cerebral kiʻekiʻe (HACE) inā hoʻomau ka maʻi maʻi mauna nui. ʻO HACE kahi ʻano koʻikoʻi o AMS kahi e pehu ai ka lolo a kū i ka hana maʻamau. ʻO nā ʻōuli o HACE e like me AMS koʻikoʻi. ʻO nā hōʻailona kaulana loa e like me:
- hiamoe nui loa
- huikau a me ka ukiuki
- pilikia hele wāwae
Inā ʻaʻole mālama koke ʻia, hiki i ka HACE ke hana i ka make.
HOLE
ʻO ka edema pulmonary kiʻekiʻe kiʻekiʻe (HAPE) kahi holomua o HACE, akā hiki nō ke hana iā ia iho. Kūkulu ka wai kahe i loko o nā akemāmā, e mea paʻakikī iā lākou e hana maʻamau. Nā ʻōuli o HAPE me:
- mahuahua ka hanu i ka hana
- uha nui
- nāwaliwali
Inā ʻaʻole e mālama koke ʻia ʻo HAPE e ka hōʻemi ʻana i ke kiʻekiʻe a i ʻole ka hoʻohana ʻana i ka oxygen, hiki i ka make.
He aha ke kumu o ka maʻi kiʻekiʻe?
Inā ʻaʻole acclimate kou kino i nā kiʻekiʻe kiʻekiʻe, ʻike paha ʻoe i ka maʻi kiʻekiʻe. Ke piʻi ka kiʻekiʻe, lilo ka ea i lahilahi a hoʻoliʻiliʻi oxygen. ʻO ka maʻi Altitude ka mea maʻamau ma nā kiʻekiʻe ma luna o 8,000 kapuaʻi. Iwakālua pākēneka o ka poʻe hele wāwae, nā holoholo holoholo, a me nā hoʻolaha e hele ana i kahi kiʻekiʻe ma waena o 8,000 a me 18,000 kapuaʻi e ʻike i ka maʻi kiʻekiʻe. Piʻi ka helu i 50 pakeneka ma nā kiʻekiʻe ma luna o 18,000 kapuaʻi.
ʻO wai ka mea e makaʻu i ka maʻi kiʻekiʻe?
Aia ʻoe i kahi haʻahaʻa haʻahaʻa inā ʻaʻohe āu ma mua o ka maʻi kiʻekiʻe. He haʻahaʻa hoʻi kou makaʻu inā ʻoe e hoʻonui iki i kou kiʻekiʻe. ʻO ka lawe ʻana ma mua o ʻelua mau lā e piʻi i 8,200 a i 9,800 mau kapuaʻi hiki ke kōkua i ka hoʻēmi ʻana i kou makaʻu.
Piʻi kou pilikia inā loaʻa iā ʻoe kahi mōʻaukala o ka maʻi kiʻekiʻe. Aia kekahi makaʻu nui inā piʻi piʻi wikiwiki ʻoe a piʻi i mua o 1,600 kapuaʻi i kēlā me kēia lā.
Pehea e ʻike ʻia ai ka maʻi kiʻekiʻe?
E nīnau kāu kauka iā ʻoe i nā nīnau e nānā i nā ʻōuli o ka maʻi kiʻekiʻe. E hoʻolohe hoʻi lākou i kou umauma me ka hoʻohana ʻana i ka stethoscope inā he hanu kou. Hiki ke hōʻike i ke kani ʻana a i ʻole ke kani ʻana o nā kani i kou mau māmā i loaʻa he wai i loko o lākou. Pono kēia i ka lāʻau wikiwiki. Hiki paha i kāu kauka ke hana i kahi hihi X e nānā ai i nā hōʻailona o ka hāʻule ʻana o ka wai a me ka lung.
Pehea e mālama ʻia ai ka maʻi kiʻekiʻe?
Ke iho koke nei hiki ke hōʻoluʻolu i nā ʻōuli mua o ka maʻi kiʻekiʻe. Eia nō naʻe, pono ʻoe e ʻimi i ka lāʻau lapaʻau inā loaʻa iā ʻoe nā hōʻailona kiʻekiʻe o ka maʻi mauna koʻikoʻi.
Hiki i ka lāʻau acetazolamide ke hōʻemi i nā ʻōuli o ka maʻi kiʻekiʻe a kōkua i ka hoʻomaikaʻi ʻana i ka hanu hana. Hāʻawi ʻia ʻoe i ka steroid dexamethasone.
ʻO nā ʻano lāʻau ʻē aʻe e laʻa me ka inhaler lung, ke kiʻekiʻe o ke kaomi koko (nifedipine), a me ka lāʻau hoʻomāhuahua phosphodiesterase. Kōkua kēia mau mea i ka hoʻohaʻahaʻa ʻana i ke kaomi ma nā aʻa i loko o kou mau māmā Hāʻawi kahi mīkini hanu i ke kōkua inā ʻaʻole hiki iā ʻoe ke hanu iā ʻoe iho.
He aha nā pilikia o ka maʻi kiʻekiʻe?
ʻO nā pilikia o ka maʻi kiʻekiʻe ke:
- edema pulmonary (wai i loko o nā akemāmā)
- pehu ka lolo
- koma
- make
He aha ka manaʻo lōʻihi?
E ola ka poʻe me nā maʻi ʻino o ke kiʻekiʻe inā mālama wikiwiki ʻia ia. ʻOi aku ka paʻakikī o nā kūlana kiʻekiʻe o ka maʻi kiʻekiʻe e mālama a koi aku i ka mālama ulia pōpilikia. ʻO ka poʻe i kēia pae o ka maʻi kiʻekiʻe e makaʻu i ka maʻi koma a me ka make ma muli o ka pehu ʻana o ka lolo a me ka hiki ʻole ke hanu.
Hiki iā ʻoe ke pale i ka maʻi kiʻekiʻe?
E ʻike i nā ʻōuli o ka maʻi kiʻekiʻe ma mua o kou piʻi ʻana i luna. Mai hele i kahi kiʻekiʻe kiʻekiʻe e hiamoe inā ʻike ʻoe i nā ʻōuli. E iho i lalo inā e ʻoi aku ka maikaʻi o nā ʻōuli ke hoʻomaha ʻoe. Hiki i ka noho hydrated maikaʻi ʻana ke hōʻemi i kou makaʻu no ka hoʻomohala ʻana i ka maʻi kiʻekiʻe. Eia kekahi, pono ʻoe e hōʻemi a hōʻalo paha i ka wai ʻona a me ka caffeine, no ka mea hiki i nā mea ʻelua ke hāʻawi i ka make wai.