2012年11月11日星期日

10 fantastic guidelines for successful elevation acclimatization


To create sure that you return from hiking in the Himalayas in Nepal with a lot of happy and memorable reminiscences, it is vital that you are aware of the elevation acclimatization required by one's human system in mountain conditions. By monitoring a tried and tested elevation acclimatization program about which I’ll tell you below, you will succeed in avoiding elevation illness which can not only provide you with distressing moments, but could also power you to change your hiking plans.

This elevation acclimatization program during hiking relates to all the most well-known hiking tracks in Tibet: the The tallest mountain Platform camping travel, Gokyo travel, Annapurna Routine travel, etc. Here are my 10 fantastic guidelines for successful elevation acclimatization:




1st elevation acclimatization rule: improve elevation progressively and adhere to a set going up the regime

The most essential precondition and best way of avoiding elevation illness while hiking in Nepal is to improve elevation progressively and consistently. In Nepal a safe elevation to which you can go up quickly and straight away is: 2,700 – 3000 meters. The most well-known mountain air-ports in Nepal are located in this elevation range: Lukla and Jomsom. On the day of your appearance, you must definitely invest the evening at the same elevation.

Thereafter you must adhere to a set going up the regime: 300 – 400 elevation meters a day. Accordingly, every instantaneously remain must be at an elevation of 300 – 400 meters greater than your past instantaneously housing. Having risen a total of 1,000 elevation meters, you must spend one whole day to elevation acclimatization and remain instantaneously at the same elevation. You should invest the day of elevation acclimatization doing a little hiking leading up to a brief remain at a greater elevation (300 – 400 m) before coming back and staying instantaneously at the past elevation. In Nepal, you will not discover it possible to adhere to exactly this going up the program on all hiking tracks in the Himalayas, therefore elevation acclimatization periods are independently organized for each hiking path.

2nd elevation acclimatization rule: eat many liquids while trekking

In the hills, environmental stress drops as the elevation above sea level improves and this impacts your human body. Therefore, when hiking in the hills it’s very essential to eat a lot of liquids by consuming many tea, juice, broth and water that is clean. You should consume at least 3 -4 ltrs of liquid a day. You can buy a liter of water in bottles in teahouses along all the most well-known hiking tracks in Nepal. You should prevent consuming too much black tea while hiking, as well as giving coffee a miss on challenging periods, because these beverages can generate a pounding center and create extra stress on your center.

3rd elevation acclimatization rule: prevent liquor, cigarette smoking and using getting to rest tablets

When hiking in the hills, particularly during your climb you must flatly prevent the use of addict beverages and sedative drugs or rest aids. Like cigarette smoking, sedative drugs synthetically decrease the circulation of fresh air to the mind, particularly in mountain conditions in which the focus of fresh air is already reduced. In turn, liquor has the increased effect of starving the river or dehydrating it which is a in the same way unwanted procedure when hiking in the Himalayas in Nepal.

4th elevation acclimatization rule: use precautionary drugs while trekking
Mountain medication has discovered a variety of therapeutic items that enhance the elevation acclimatization procedure and decrease the adverse responses of elevation acclimatization in the hills such as insomnia. These items are commonly used by trekkers on well-known hiking tracks in Nepal like the The tallest mountain Platform Camp travel, Gokyo travel, Annapurna Routine travel, etc.


Of all the therapeutic items use to aid elevation acclimatization and cure elevation illness the most well-known is Diamox, whose active material is Acetazolamide. On the The tallest mountain Platform Camp travel Diamox is commonly on sale without prescribed in Kathmandu, Lukla and Namche Bazaar. One remove of Diamox contains 10 x 250 mg pills and in Nepal you can buy it for 150 – 200 rupees.

Possible alternative names (trademarks) for Acetazolamide include: Acetamox, Acetazolam, Ak-Zol, Apo-Acetazolamide, Atenezol, Cidamex, Dazamide, Defiltran, Dehydratin, Diacarb, Diakarb, Diamox, Didoc, Diluran, Diuramid, Diureticum-Holzinger, Diuriwas, Diutazol, Donmox, Duiramid, Edemox, Eumicton, Fonurit, Glaupax, Glupax, Natrionex, Nephramid, Nephramide, Phonurit, Storzolamide, and Vetamox.

Before hiking it is recommended to begin using Diamox 24 time before your climb and once you have started hiking you should use Diamox twice a day in amounts of 125 – 250 mg based on your bodyweight in the late day and in the evening. Kids should be applied a Diamox amount of 2.5 mg per kg of bodyweight twice a day. It’s essential to take Diamox before going to bed, because it improves the level of breathing during rest, thus improving the body provide of fresh air. Diamox is an efficient means of avoiding lung oedema.

It’s true that Diamox can cause some adverse responses of which the most common are mild prickling of the hands and fingers, blurry perspective, etc. Diamox can also generate hypersensitive reactions; therefore it is suggested that you seek advice from your doctor before use. According to some sources, you should quit taking Diamox on the second or third day after attaining the maximum height on your hiking path, while others say that it is not suggested to use Diamox for longer than 3 -5 periods in a row. Based on my own encounter during the The tallest mountain Platform Camp travel, I would recommend beginning to think about using Diamox upon attaining Namche Bazaar (3,440 m).

In traditional therapeutic practises, Acetazolamide is also used to cure epilepsy and glaucoma.

Ginkgo biloba extract

Studies of the potency of Ginkgo biloba draw out during the elevation acclimatization procedure and of its impact in mountain conditions are still continuing, but tests have shown that it is efficient in helping to decrease warning symptoms and symptoms of elevation illness during hiking. Ginkgo biloba functions as an anti-oxidant, decreasing stress and the provide of fresh air to the mind.

It is suggested that you begin using Ginkgo biloba draw out at least five periods before going up the in amounts of 80 – 120 mg twice a day and that you continue using it in the hills.

Ginkgo biloba draw out is a organic product created from ginseng and may be used for prophylactic requirements to enhance the performing of the mind and not just in mountain conditions. It can be bought in drug stores as a supplement without prescribed.

Garlic soup

One of the best organic dishes for helping elevation acclimatization that is often suggested by hiking books in Nepal is beans and the well-known beans broth provided in Nepal’s hiking resorts and teahouses. At first it is likely to flavor quite unusual, but as you get used to it – you will begin to get a flavor for it. Garlic broth is also accessible along the The tallest mountain Platform Camp travel path.

5th elevation acclimatization rule: prevent overexertion from holding far too hefty rucksacks while trekking

Bearing in mind the physical stress and changes in mountain conditions, while hiking you would be well advised to prevent overexertion and keep the holding of your hefty luggage to bearers. This does not cost much and you can a hire a Sherpa to bring your luggage on almost any level of the The tallest mountain Platform Camp travel beginning from Lukla right through to Pheriche or Dingboche. If you still plan to bring your own rucksack; properly its bodyweight should not exceed: 10 -12 kg.

6th elevation acclimatization rule: do not go hiking alone

You should always take a information with you when hiking in the hills. Altitude illness symptoms can generate anxiety or crazy behavior so you must have somebody together with you who can help you whenever they want you end up in trouble. Typically, elevation illness symptoms get more intense in the evening due to problems acclimatizing to the new elevation achieved during the day. If warning symptoms and symptoms of elevation illness power you to leave and come down in the evening, you simply must have your information with you at all times!

7th elevation acclimatization rule: do not go up greater even if you are only being affected by mild warning symptoms and symptoms of elevation sickness

If, after attaining a new elevation on your hiking path, you begin to encounter mild warning symptoms and symptoms of elevation illness, you must not go up greater under any circumstances! You must remain at your current elevation and observe your symptoms. Usually elevation illness symptoms begin to appear 6 -12 time after attaining a new elevation. Symptoms begin showing in the form of a mild frustration which may vanish in a few time, or, on the contrary, get more intense, combined with anxiety, hunger reduction and sensation sick. Trying to get to rest you encounter crazy dreams and mild hallucinations.

During this period, even though you have lost your hunger, it’s very essential to consume a lot of liquids and to eat, if you have not already done so. Garlic broth is suggested as well as Diamox or some frustration pills which liquefy blood vessels and enhance blood vessels flow: Paracetamol, Pain killers, Tylenol or Ibumetin.

A real example of insufficient elevation acclimatization was that which I personally experienced during my The tallest mountain Platform Camp travel. The first elevation acclimatization day (a rest day usually occurs at Namche Bazaar, but we missed it and next day ongoing going up the to remain instantaneously at Khumjung (3870 m) which is 400 m greater than Namche Bazaar. We completed that daily hiking at about 16:00 and ceased at a Khumjung teahouse. Gradually I began to experience a mild all-encompassing stress at the top of my head which left me sensation as if I was wearing a diving cap.

Gradually the pain increased more powerful in my temple, but at about 22:00 when I was getting ready to get to rest, I was get over by a sensation of alarm that I’d never sensed before and a minor case of sensation sick. It was as if I was brief of air. I took some Diamox, consumed a lot of liquids and advancing to the teahouse’s big bedroom to rest, because it was chilly there. I fought with insomnia and problems for another few some time to only dropped off towards day. The next day I ate morning meal and sensed a lot better again. We ongoing hiking because the organized elevation program along the path preferred the ongoing elevation acclimatization procedure.
It was an error to go up greater without a full daily elevation acclimatization at Namche Bazaar.


8th elevation acclimatization rule: come down immediately if your elevation illness symptoms get worse

If the usual pain relievers used to cure complications (Aspirin, Tylenol, Ibumetin, etc.) do not help and your frustration does not complete, this indicates that the elevation illness is getting more intense. In the event that upon attaining a new elevation along the hiking path the warning symptoms and symptoms of elevation illness do not complete and get worse; the most beneficial treatment is to come down without wait to a reduced elevation. You must come down without wait even in the evening. You must be combined with your information and take everything with you that you need for the journey. Under no conditions should you come down alone. At the Himalayas Khumbu region Machermo HRA Medical Point, I heard a story about a a trekker who passed away in the evening after falling into a gulley from a filter or icy mountain path while being affected by elevation illness leading to a decrease in balance and sense of confusion.

In such conditions you should decrease your elevation to at least the elevation at which you created your past instantaneously remain where you did not notice any symptoms and symptoms of elevation illness and, if possible; come down even reduced. You will experience the benefits after decreasing your elevation by 500 – 1,000 elevation meters. You should use drugs, extra fresh air and your pressure bag or Gamow Bag if you have them available.

9th rule: never keep anybody alone with symptoms and symptoms of elevation sickness

Never keep a person showing symptoms and symptoms of elevation illness alone. He could begin to encounter quickly difficult elevation illness symptoms and it may be necessary to quickly leave him to a reduced place.

10th acclimatization rule: dress cordially when hiking and do not overexert yourself

You should keep warm at all periods when hiking and prevent your human body from chilling, particularly during the first level of elevation acclimatization. Check to create sure that your outfits is always dry. In the hills the air is dry and it’s usually breezy.




As sweating disappears, it increasingly calme down one's human body, reducing bloodstream and decreasing the provide of fresh air and blood vessels attaining your organs, thus creating favorable conditions for elevation illness to get more intense. Special technical outfits has been developed for hiking in the hills, which guarantees that one's human body inhales and gets rid of sweating as effectively as possible.

By monitoring all of these guidelines, hiking in Nepal, especially the The tallest mountain Platform Camp travel will be a fun encounter and you will arrive home with fantastic reminiscences and opinions of your energy and energy in Nepal and the Himalayas.

If you have any specific questions about elevation acclimatization along Nepal’s hiking tracks, please you can write to me and I’ll get back to you as soon as I can.

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