Tibet: mal d'altitude et sac de couchage pour températures extrêmes?
by Spidi
This discussion is in French, the community’s main language.
Original post
Bonjour à vous,
J'ai lu dans un message que l'on pouvait combattre le mal d'altitude en prenant de l'ail.
Sous quelle forme doit-on l'emmener?
Faut-il le mâcher?
Autre inquiétude:je coucherai début octobre à Shegar (4350m)en Lodge; dois-je avoir un sac de couchage pour température extrême de - 20 ° ou un sac "normal" et de bons vêtements chauds peuvent suffire?
Merci pour vos précieux conseils; tous me seront tès utiles!
Spidi
Pour ma part, je te conseille plutôt l'aspirine. Le mal de montagne commence souvent par des maux de têtes ou par des hallucinations. Le remède est de redescendre le plus vite. Demande aussi en pharmacie, je crois qu'il existe un remède qui s'appelle Effortil, mais de toutes les manières, tu dois redescendre en altitude.
Pour éviter le mal d'altitude c'est d'être en pleine forme. Si tu as des légers maux de têtes, donc tu dois t'arrêter faire de l'acclimatation, dormir 24 h et de voir ensuite dans quel état tu te trouves. Ce n'est pas l'altitude qui est primordial, mais l'état physique. Tu peux avoir un oedeme à 1500 mètres d'altitude.
Pour le sac de couchage, je te conseillerais de prendre un sac de couchage -10 / - 20 confort.
Bon voyage
Pour éviter le mal d'altitude c'est d'être en pleine forme. Si tu as des légers maux de têtes, donc tu dois t'arrêter faire de l'acclimatation, dormir 24 h et de voir ensuite dans quel état tu te trouves. Ce n'est pas l'altitude qui est primordial, mais l'état physique. Tu peux avoir un oedeme à 1500 mètres d'altitude.
Pour le sac de couchage, je te conseillerais de prendre un sac de couchage -10 / - 20 confort.
Bon voyage
Peace & ride
Tashidelek !
prend un bon duvet, chaud, -20° minimum..nous en avons acheté un super, cest sur que si tu utilises ce genre de duvet ds les alpes, tu creves de chaud mais au tibet, il vaut mieux avoir chaud..et en plus tu prend un sac a viande... je te redirais plus tard la marque du duvet si tu veux. dans ton sac, cest comme les alpes, tu prends de tout... pour tous les temps. Ou vas tu au tibet ? cest tellement vaste... septembre est encore une belle periode mais tu peux tres bien avoir du mauvais tps...avec ces changements de tps maintenant on est plus sur de rien. Mais le tibet lorsqu'il neige ou qu'il fait mauvais, on en garde aussi de bons souvenirs et cest dans ces moments la que tu as plus de chances de rentrer en contact avec les tibetains..par experience !
a+ dorje06
prend un bon duvet, chaud, -20° minimum..nous en avons acheté un super, cest sur que si tu utilises ce genre de duvet ds les alpes, tu creves de chaud mais au tibet, il vaut mieux avoir chaud..et en plus tu prend un sac a viande... je te redirais plus tard la marque du duvet si tu veux. dans ton sac, cest comme les alpes, tu prends de tout... pour tous les temps. Ou vas tu au tibet ? cest tellement vaste... septembre est encore une belle periode mais tu peux tres bien avoir du mauvais tps...avec ces changements de tps maintenant on est plus sur de rien. Mais le tibet lorsqu'il neige ou qu'il fait mauvais, on en garde aussi de bons souvenirs et cest dans ces moments la que tu as plus de chances de rentrer en contact avec les tibetains..par experience !
a+ dorje06
Salut
je ne sais pas ou se trouve ces villes, tu peux m'éclairer ? c'est dans le tibet autonome ? je suis allée dans le kham en septembre/octobre, il faisait pas bien chaud ni beau, pas de moustiques a cette période n'est crainte !
quand pars tu ? A+ dorje06
je ne sais pas ou se trouve ces villes, tu peux m'éclairer ? c'est dans le tibet autonome ? je suis allée dans le kham en septembre/octobre, il faisait pas bien chaud ni beau, pas de moustiques a cette période n'est crainte !
quand pars tu ? A+ dorje06
salut
merci du renseignement. normallement tu devrais avoir du beau temps, c'est sec comme climat a cette saison mais les nuits peuvent etre tres froides. couvre toi bien. bon voyage dorje06
merci du renseignement. normallement tu devrais avoir du beau temps, c'est sec comme climat a cette saison mais les nuits peuvent etre tres froides. couvre toi bien. bon voyage dorje06
Bonjour,
J'ai parcouru la piste/route de katmandou à Lhassa en Octobre et je n'ai jamais vu un moustique. Concernant le sac de couchage je te conseilles un duvet - 10 ou -15° la nuit il peut geler très fort et neiger aussi. Nous avons eu de la neige à Xigatsé. La journée il peut y faire très chaud, à se balader en tee shirt, mais dès que tu passes à l'ombre d'une montagne il peut y faire très froid pour ensuite repasser au soleil, je n'ai jamais ressenti ces changements de températures ailleurs. Prends aussi fourrure polaire ou doudoune. Pour le mal d'altitude, de l'aspirine comme je l'ai lu dans un message
Bon voyage
J'ai parcouru la piste/route de katmandou à Lhassa en Octobre et je n'ai jamais vu un moustique. Concernant le sac de couchage je te conseilles un duvet - 10 ou -15° la nuit il peut geler très fort et neiger aussi. Nous avons eu de la neige à Xigatsé. La journée il peut y faire très chaud, à se balader en tee shirt, mais dès que tu passes à l'ombre d'une montagne il peut y faire très froid pour ensuite repasser au soleil, je n'ai jamais ressenti ces changements de températures ailleurs. Prends aussi fourrure polaire ou doudoune. Pour le mal d'altitude, de l'aspirine comme je l'ai lu dans un message
Bon voyage
ah oui encore une chose concernant ta premiere question... pour le mal d'altitude : il y a le DIAMOX, un medoc assez puissant et efficace, c'est un diuretique +++donc tu pisses mais le prendre 2 jours avant un col a 5000 m peut t'aider (j'en ai pris). Le seul inconvenient en plus d'être un diurétique, si tu le prends plusieurs jours (pas plus de 3 jours....) tu vas sentir des fourmillements dans les extremités, c'est dû a une perte de potassium lié au diamox... ensuite tu as l'aspirine tres efficace et sur place (j'ai testé aussi, assez efficace) la soupe à l'ail....
sinon autre remede comme dit plus haut, redescendre !!! donc en prévention : pas trop de denivellé a la fois, diamox eventuellement...
sur ce je te laisse dorje06
sinon autre remede comme dit plus haut, redescendre !!! donc en prévention : pas trop de denivellé a la fois, diamox eventuellement...
sur ce je te laisse dorje06
Le plus sage concernant le mal des montagnes, c'est :
1. de te tester avant de partir : si tu n'es jamais allé en haute montagne, c'est le moment d'aller y faire un tour et de dormir au-dessus de 3500m ;
2. d'aller consulter un médecin (voire un spécialiste de l'altitude si tu as prévu de rester longtemps très haut).
Il ne faut vraiment pas plaisanter avec le MAM, dont la venue dépend de pas mal de choses et tout d'abord de la sensibilité individuelle à l'altitude, totalement indépendante de la forme physique et de l'âge (pour info on est parti au Pérou avec un pote jeune et sportif qui a eu des mots de tête dès 2500m et qui a fait un MAM sévère à 3500m...).
Une fois sur place (et hors sensibilité élevée), la seule méthode pour limiter les sympthômes est l'acclimatation qui doit être progressive : on préconise un max de 500m de dénivelé entre 2 nuits consécutives, l'altitude à laquelle on dort devant être plus basse que l'altitude maxi atteinte pendant la journée. En cas de MAM sévère, le seul remède vraiment efficace est la redescente, pour un MAM léger les premiers maux de tête disparaissant à la prise d'aspirine. Mais il y a effecitivement des médocs style Diamox ou autre que l'on peut prendre en cas de crise (histoire de ne pas y rester si on ne peut pas descendre illico) et que certains préconisent en préventif, mais avec pas mal d'effets secondaires +ou- bien connus (sujets de longs débats sur les forum de montagne).
Bref, le MAM n'est pas un truc à prendre à la légère et même si l'ail a beaucoup de propriétés intéressantes, il vaut quand même mieux aller demander conseil à un médecin !
Des infos ici :
http://www.alpinisme.com/FR/info-montagne/mam/index.php?fic=mam
Des infos ici :
http://www.alpinisme.com/FR/info-montagne/mam/index.php?fic=mam
Salut,
Merci beaucoup pour l'info claire et précise.
Je n'ai jamais testé et il est un peu tard maintenant car je pars le 23.
On m'a conseillé 1/2 diamox en arrivant à Katmandu (j'y suis 2 jours avant de m'envoler vers Lhassa ) et de continuer à ce rythme qq jours seulement ...
Je pars avec un groupe accompagné, donc quand on me dit de "redescendre" je pense "ok" mais...comment???
On ne va pas tout faire stopper pour moi!
Je suppose que les guides sont confrontés à ce genre de difficulté et préparés à agir si nécessaire.
J'essaie de ne pas trop y penser !
Encore merci
Si tu es avec un groupe accompagné par des encadrants ayant l'habitude de trimbaler des touristes non-acclimatés, ils sauront certainement quoi faire en cas de problème. Ils auront peut-être même dans leur matos un caisson hyper-bare et des médocs, surtout si vous avez prévu de rester longtemps en altitude. Mais si ce n'est que l'affaire de quelques jours et que vous n'êtes jamais loin d'une voie de communication, il n'y a pas de problème !!
Bon voyage...
Bon voyage...
bonjour
les moustiques ne vivent pas a une altitude de + 2000 m soit donc rassurée
Fleur de Neige
L'incidence du Mal Aigu des Montagnes (MAM) est variable mais augmente très rapidement avec l'altitude. Elle est de 15 % à 2 000 mètres d'altitude, de 60 % à 4 000 m. Tous les sujets rapidement transportés en haute altitude en souffrent. Le MAM n'apparaît qu'après un délai de quelques heures en altitude. Ainsi les personnes empruntant un téléphérique le temps d'admirer le point de vue ne sont pas touchées par le MAM. Le MAM se manifeste par des maux de tête, des troubles digestifs (nausées, vomissements), une fatigue persistante au repos, une insomnie. Le MAM régresse avec l'acclimatation et disparaît immédiatement à la descente. A une altitude élevée (4 000m - 5 000m), un Œdème Pulmonaire de Haute Altitude (OPHA) peut survenir brutalement au cours des deux premières nuits. Le malade est pris de quinte de toux, crache, et s'essouffle. Bien souvent on note une fièvre à 38°5, ce qui évoque à tort un état infectieux pulmonaire. L'état peut rapidement s'aggraver avec l'apparition d'une cyanose précédent le coma.
Certains médicaments (inhibiteurs calcique) améliorent l'état du blessé et lui permettent de perdre rapidement de l'altitude. La posologie recommandée du Diamox est de 1/2 comprimé matin et soir.
A une altitude supérieure (5 000 - 5 500 m), le MAM peut se compliquer d'un Œdéme Cérébral de Haute Altitude (OCHA) qui débute par des modifications de l'humeur et du comportement, ou par des maux de tête insupportables. Les troubles de la vue, les vomissements en jet précèdent le coma qui est fatal si le malade n'est pas immédiatement redescendu à une altitude plus basse.
Le caisson hyperbare portable est un sac étanche dans le quel est placé le malade. Une pompe permet d'atteindre une pression de 220 millibars, pression limitée par l'ouverture de la soupape de sécurité. Huit coups de pompe par minute permettent de renouveler l'air dans le caisson et de laisser le malade pendant une à deux heures à l'intérieur; 220 millibars correspond à une perte d'altitude d'environ 3 000 mètres ce qui est largement suffisant pour faire disparaître les signes du MAM. Toutefois, à la sortie du caisson, le bénéfice est de courte durée (quelques heures), délai utilisé pour perdre rapidement de l'altitude.
Prévenir le MAM ou ses complications impose une acclimatation à la haute altitude prudente: nous recommandons de ne pas progresser de plus de 500 mètres de dénivelé par jour au delà d'une altitude de 3 500 mètres. Certaines personnes présentent une susceptibilité particulière à l'altitude qui se traduit par l'apparition précoce du MAM au dessus d'une altitude modérée (2 500 m). Ces personnes peuvent bénéficier d'une consultation de médecine de montagne et d'une prescription d'un traitement préventif.
Contre-indications formelles à un séjour en altitude = 2500 m: Maladie cardiaque non stabilisée Insuffisance respiratoire chronique Certaines maladies sanguines, Affections psychiatriques graves Contre-indications relatives à un séjour en altitude = 2500 m: Grossesse dans le premier et le troisième trimestre Maladie cardiaque stabilisée Bronchite chronique Enfant de moins de 18 mois Toutes les maladies nécessitant une surveillance régulière (diabète) Asthme déclenché par le froid ou l'effort
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What do you think of these last two? How do they compare in terms of value for money against the bigger companies?
Thanks in advance, everyone.
So, I’m looking for the best compromise for a 2-month health insurance plan. I’ve read the discussions on this topic, but the most recent one is from last year, and I’d love your take on the current situation. I’m familiar with the usual options like Europ Assistance and AXA, but I’ve just discovered Chapka and Heymondo (the latter seems interesting in terms of both price and coverage).
What do you think of these last two? How do they compare in terms of value for money against the bigger companies?
Thanks in advance, everyone.
Hi,
We’ve planned a 3-week trip to Bali this summer with our 7-year-old daughter. The itinerary includes Sanur, Nusa Lembongan, Sidemen, Amed, and Ubud. The more time passes, the more we read about people getting sick—some with mild to severe traveler’s diarrhea, and many ending up in the hospital. We, as parents, have been through it in Egypt with pretty bad cases, but we’d really like to avoid that for our daughter. Even though there’s no zero risk, and we’ll be careful, can any of you reassure me? Not everyone got sick, right? I’d love to hear positive feedback from parents, but not just them 😊. Thanks in advance!
Hi there...
I’m traveling with a friend for a month in November.
We booked our round-trip tickets from Paris to Phnom Penh, and yes, I know—it was a mistake. We should’ve flown out of Laos, but here we are.
But is it doable to backpack through both countries in a relaxed way?
I’ve seen that the transport takes a while...
Thanks so much for your replies.
Hi there,
I’ve started looking into getting dental implants, possibly in Costa Rica or Mexico.
Do you have any clinics to recommend or ones I should avoid?
For the next steps, I need to choose between Cuba Medika or Medigo—these are agencies that help with medical procedures. Do you have any info on either of them?
Thanks so much for your help!
Thanks so much for your help!
Hi everyone, a question for those who’ve been lucky enough to visit Raja Ampat—should you consider preventive malaria treatment given its proximity to Papua? And how was the food hygiene situation?
Thanks for your feedback! !
Hi there.
I’d like to know if all medications need to be declared at Uzbek customs.
E.g., antidepressants?
Thanks for your reply
For several years now, increased aggression has been observed in Cape fur seals.
At least 70 unprovoked attacks on humans.
It was recently confirmed that this is due to rabies.
The suspected origin is contamination in Namibia by jackals.
The contagion seems to be spreading.
Preventive vaccination (of the animals) is being considered.
Just a reminder:
Rabies affects all mammals.
Once symptoms appear—sometimes weeks or even months later—death is inevitable.
It’s the bite that transmits the disease.
There are so-called "furious" forms with aggression, but also forms without aggression.
In case of a bite, in addition to standard wound care, tetanus prevention… rabies prevention is essential.
Stay careful out there…
Seeing seals from a boat along the coast isn’t rare in these parts…
I need 2 dental implants and I'd like to get them done abroad (it's a question of price).
Thanks for helping me with my search (Turkey, Spain, Romania???)
Can you tell me if you're satisfied with the services provided by Dentist Miguel at Club Amigo in Holguin? I'd like to go there in mid-December. Is it worth the trip to get dental prosthetics done?
Thanks for getting back to me... Michelle from Quebec
Hello,
I’m looking for a dentist who can do a full lower-arch implant with a complete prosthesis. I’m in Quebec and available to travel to Cuba. Need full contact details. Thanks everyone!
Hi there,
My current plan is to get my teeth treated in Cuba, especially for dental implants. Has anyone here had experience and could refer me to a good, affordable dentist? I’d really appreciate it if you could give me an idea of the price for one implant, since I need at least 6 done. Thanks so much!
My current plan is to get my teeth treated in Cuba, especially for dental implants. Has anyone here had experience and could refer me to a good, affordable dentist? I’d really appreciate it if you could give me an idea of the price for one implant, since I need at least 6 done. Thanks so much!





