Lu lagnu- heat stroke -prevention, diagnosis and treatment लु लाग्नु also loo disease nepali
Recently, Lu, commonly known as heat stroke has been seen very commonly in Nepal and India during summertime. In this article we will discuss regarding pathophysiology, symptoms, and treatment of lu.
What is lu lagnu? लु लाग्नु meaning of lu in nepali, loo meaning लु लाग्नु भनेको के हो?
Heat stroke is a range of diseases in which our body is not able to cope with heat and temperature of the environment especially occurring in summertime in the hot, humid climates, like the region of Nepal and India.
It may cause edema, cramps, rashes, spasm and tetany to syncope, neurological disturbance and death. It is associated with increasedbody temperature more than 40° centigrade.
लु लाग्नु भनेको अत्यधिक गर्मीका कारणले शरीरले सहन नसकेर देखिने लक्षण हो जसमा ज्यान सुनिने, दुख्ने, मासु बाउँडिने, बेहोस हुने र मानसिक समस्या आउने सम्म हुन सक्छ। यो प्राय शरीरको तापक्रम ४०° भन्दा बढी भएर हुन्छ।
Causes of loo disease or lu disease: Hyperthermia लु लाग्नुका कारण
लु लाग्नुको कारण वातावरणको तापक्रम लामो समय सम्म अत्यधिक भएर हो। प्राय तराई तथा गर्मी हुने ठाउँ हरुमा यो हुने गर्दछ।
अर्कोथरी हिट स्ट्रोक अत्यधिक कडा शारीरिक काम गर्नाले हुने गर्दछ।
यो दुवै थरीले प्राय बच्चा र वृद्धाहरुलाई बढी असार गर्दछ। यसले ज्यान जाने खतरा हुन्छ।
Both exertional and non exertional heat stroke affect young and old individuals more. Both are associated with high morbidity and mortality rates.
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| A hot humid sunmy day |
Pathophysiology of lu disease, loo diasease
Heat stroke is defined as temperature more tha. 40°C or 104°F associated with neurological dysfunction. Anhidrosis, that is lack of sweating is key feature of geat stroke.
लु लाग्नु लाई शरीरको तापक्रम ४०° से वा १०४° फ भन्दा बढी भएर मानसिक समस्या भएको अवस्थालाई बुझिन्छ। यसमा पसिना नआउनु मुख्य चिन्ह हो।
अत्यधिक गर्मी मौसममा शरीर चिस्याउन पसिना आउने गर्दछ।तर शरीरको कशमाट भन्दा बढी गर्मी भयो भने शरीरले तापक्रम नियन्त्रण गर्न सक्दैन र ।वातावरण सँगै शरीर पनि तातिदैं जान्छ सो को कारणले लक्षणहरू देखिन्छ।
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| How to prevent under 2 years age children from lu |
Meaning of lu lagnu, lu disease or loo disease
लु लाग्नु भनेको अत्यधिक गर्मीले शरीरको तापक्रम सामान्य भन्दा बढी हुनु हो। यो ज्वरो हैन। किन भने यो बाह्य तापक्रमले गर्दा शरीरको तापक्रम बढेको हो र शरीरको तापक्रम नियन्त्रण गर्ने क्षमता असफल भएको अवस्था हो।
Lu is due to excessive external heat and is not fever. In lu body has lost ability to control temperature.
What are symptoms of loo, lu symptoms, heatstroke symptoms
It can be seen in warm climates and more commonly in people who have excessive hard ore exercises. गर्मी मौसम या अत्यधिक व्यायाम, शारीरिक काम गरेर तलका लक्षण देखिन सक्छ:
- मासु देख्ने Myelgia
- पेट दुख्ने abdominal pain
- वाकवाकी nausea
- वान्ता हुने vomiting
- पखाला diarrhea
- टाउको दुख्ने headache
- रिंगटा लाग्ने diazziness
- श्वास फेर्न गाह्रो हुने, गति बढ्ने difficulty breathing, increased respiratory rate
- कमजोरी महसुस हुने weakness, tiredness
- बेहोस हुने fainting, loss of consciousness
- ढल्ने falling
- होस् नहुने, दिमागले राम्ररी काम नगर्ने memory losss, disorientation, inability to think properly
- मुटुको गति बढ्ने increased heart rate
- थकान feeling of tiredness
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| To do and not to do of lu |
EHS प्राय खेलकुद, व्यायाम गर्ने स्वस्थ वयस्कहरु मा देखिन्छ भने classical NEHS बच्चा र वृद्धालाई बढी देखिन्छ।
EHS is commonly seen in atheletes while classical NEHS is seen in young and old individuals.
पुरानो रोग, पानीको कम सेवन, संक्रमण, मोटोपना, निद्राको कमी जस्ता कारणले लु लाग्ने सम्भावना बढाउँछ।
Chronic illnesses, dehydration, infection, obesity, sleep oack etc rise hance of lu or heat stroke.
How to prevent lu, loo prevention
- Staying in cold environment as far as possible.
- Drinking plenty of water
- Taking bathe time to time
- Eat fruits containing water like cucumber, watermelon etc
- Do not go outside during daytime
- Do not drink alcohol
- Do not drink caffeine containing drinks
लु लाग्नु भनेको अत्यधिक गर्मीले शरीरको तापक्रम सामान्य भन्दा बढी हुनु हो। यो ज्वरो हैन। किन भने यो बाह्य तापक्रमले गर्दा शरीरको तापक्रम बढेको हो र शरीरको तापक्रम नियन्त्रण गर्ने क्षमता असफल भएको अवस्था हो।
Read top lecture class: MI class
Treatment of Lu, heat stroke treatment
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| Desert |
लु लागेको संका लागेमा तलका जाँच हरु हर्न सकिन्छ:
- ए बि जि ABG
- सुगर sugar
- सोडियम sodium
- पोटासियम potassium
- क्यल्सियम calcium
- म्याग्नेसियम magnessium
- कलेजोको जाँच Liver function tests
- सि के Creatinine kinase CK
- युरिया urea
- क्रिएटिनिन creatinine
- मुत्र परीक्षण urine analysis
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| Effects of lu |
Complications of heat stroke, loo complications
There i actual medical treatment except cooling the patient. Some medications used are benzodiazepine, and IV fluids. Diuretics like mannitol may also be needed with large volume infusion to prevent volume overload. Antipyretics and analgesics have no role in heat stroke. The complication include
- Short term morbidity
- Hospitalization
- Infection
- Renal failure
- Neurological deficit
- Permanent disability
- Growth retardation
- Death
BMI calculator here
The organs mainly affected by heat are
- Brain
- Liver
- Kidney
- Lungs
- Muscle
- Heart
- Blood vessels
- Skin
- Sensory organs
Heat stroke death in nepal: epidemiology
Every year a sigificant number of children and old age peole die in teria region of nepal due to heat stroke or loo. Many adults are also impacted.
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| sweating boy due to heat |
MOHP: MOHP
Dr Health RX: Dr Health Rx
— Ministry of Health & Population, Nepal (@mohpnep) June 9, 2023
Some images have been taken from MOHP website for awareness purpose.