{"id":3193,"date":"2016-03-17T10:26:41","date_gmt":"2016-03-17T09:26:41","guid":{"rendered":"http:\/\/8a.pl\/8academy\/?p=3193"},"modified":"2024-05-20T00:14:03","modified_gmt":"2024-05-19T22:14:03","slug":"choroby-wysokosciowe","status":"publish","type":"post","link":"https:\/\/8a.pl\/8academy\/choroby-wysokosciowe\/","title":{"rendered":"Choroby wysoko\u015bciowe"},"content":{"rendered":"<p>Ostra choroba g\u00f3rska (ang. Acute Mountain Sickness \u2013 skr\u00f3t <b>AMS<\/b>), wysoko\u015bciowy obrz\u0119k p\u0142uc (ang. High Altitude Pulmonary Edema \u2013 skr\u00f3t <b>HAPE<\/b>) i wysoko\u015bciowy obrz\u0119k m\u00f3zgu (ang. High Altitude Cerebral Edema \u2013 skr\u00f3t <b>HACE<\/b>) to najpowa\u017cniejsze i najcz\u0119\u015bciej wyst\u0119puj\u0105ce choroby wysoko\u015bciowe (czyli bezpo\u015brednio zwi\u0105zane z przebywaniem na du\u017cej wysoko\u015bci i z coraz mniejsz\u0105 dost\u0119pno\u015bci\u0105 tlenu).<\/p>\n<p><span style=\"font-weight: 400;\">Przyjmuje si\u0119, \u017ce do wysoko\u015bci 5000 &#8211; 6000 metr\u00f3w objawy choroby wysoko\u015bciowej s\u0105 zwi\u0105zane z nieprawid\u0142owym przebiegiem aklimatyzacji. U 70% uczestnik\u00f3w wypraw g\u00f3rskich, u kt\u00f3rych stwierdzono objawy choroby wysoko\u015bciowej, mia\u0142y miejsce b\u0142\u0119dy pope\u0142nione w procesie aklimatyzacji. Uznaje si\u0119, \u017ce z\u0142otym standardem, kt\u00f3ry mo\u017ce nas uchroni\u0107 przed chorob\u0105 wysoko\u015bciow\u0105 jest profilaktyka pierwotna. Do jej element\u00f3w mo\u017cemy zaliczy\u0107: zachowawczy profil wej\u015bcia na wysoko\u015b\u0107, powolne zdobywanie wysoko\u015bci (szczeg\u00f3lnie w pierwszym etapie), \u00a0odpowiednie nawadnianie i od\u017cywianie, a tak\u017ce wczesne rozpoznawanie objaw\u00f3w choroby wysoko\u015bciowej oraz podj\u0119cie leczenia od razu po rozpoznaniu choroby i jego kontynuacja po ust\u0105pieniu objaw\u00f3w (w ostrych przypadkach po zako\u0144czeniu wyprawy).<\/span><\/p>\n<h2 style=\"text-align: center;\"><b>Choroby wysoko\u015bciowe &#8211; czynniki ryzyka<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">Sytuacje podwy\u017cszaj\u0105ce ryzyko wyst\u0105pienia AMS, HAPE, HAC to:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">ignorowanie potrzeby aklimatyzacji,<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">nieprawid\u0142owa aklimatyzacja lub szybkie zdobywanie wysoko\u015bci np. kiedy do wysoko po\u0142o\u017conej bazy wyprawy (BC) docieramy w agresywny, szybki spos\u00f3b transportem ko\u0142owym lub lotniczym,<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">miejsca oboz\u00f3w na niekt\u00f3rych drogach s\u0105 oddalone od siebie w zakresie 1000 m r\u00f3\u017cnicy wysoko\u015bci (zaleca si\u0119 wtedy zastosowanie\u00a0\u201etaktyki\u00a0jojo\u201d czyli odst\u0105pienie od nocowania w takim obozie po pierwszym wyj\u015bciu i powr\u00f3t na nocleg do ni\u017cszej po\u0142o\u017conego biwaku,<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">zignorowanie wczesnych \u00a0objaw\u00f3w choroby wysoko\u015bciowej,<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">odwodnienie,<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">utkni\u0119cie (zespo\u0142u\/wspinacza) na du\u017cej wysoko\u015bci, przyk\u0142adem takiej sytuacji jest tragedia na ramieniu K2 w 1986 roku,<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">przebyte wcze\u015bniej AMS, HAPE, HACE,<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">u os\u00f3b w starszym wieku (&lt; 65 lat) wyst\u0119puje trzykrotnie zwi\u0119kszone ryzyko wyst\u0105pienia HAPE, jednocze\u015bnie nie stwierdzono zwi\u0119kszenia ryzyka dla AMS i HACE.<\/span><\/li>\n<\/ul>\n<div id=\"lightbox-3408\" data-for=\"single-gallery-3408\" class=\"gallery-lightbox hidden-lightbox\"><div class=\"lightbox-images single-gallery\"><a class=\"close-lightbox\"><svg x=\"0px\" y=\"0px\" width=\"18px\" height=\"18px\" viewBox=\"0 0 18 18\">\r\n        <line fill=\"none\" stroke=\"#303133\" stroke-width=\"3\" stroke-linecap=\"round\" stroke-linejoin=\"round\" stroke-meterlimit=\"10\" x1=\"9\" y1=\"9\" x2=\"16\" y2=\"16\" class=\"reverse middle-right\" \/>\r\n        <line fill=\"none\" stroke=\"#303133\" stroke-width=\"3\" stroke-linecap=\"round\" stroke-linejoin=\"round\" stroke-meterlimit=\"10\" x1=\"2\" y1=\"2\" x2=\"9\" y2=\"9\" class=\"middle-left\" \/>\r\n        <line fill=\"none\" stroke=\"#303133\" stroke-width=\"3\" stroke-linecap=\"round\" stroke-linejoin=\"round\" stroke-meterlimit=\"10\" x1=\"9\" y1=\"9\" x2=\"16\" y2=\"2\" class=\"reverse last-line\"\/>\r\n        <line fill=\"none\" stroke=\"#303133\" stroke-width=\"3\" stroke-linecap=\"round\" stroke-linejoin=\"round\" stroke-meterlimit=\"10\"  x1=\"2\" y1=\"16\" x2=\"9\" y2=\"9\" class=\"first-line\"\/>\r\n<\/svg><\/a><a class=\"nav prev\"><svg width=\"8.031\" height=\"14\" viewBox=\"0 0 8.031 14\">\r\n  <path fill=\"#161b1b\" d=\"M7.736,7.694 L1.494,13.731 C1.149,14.065 0.590,14.065 0.246,13.731 C-0.099,13.398 -0.099,12.857 0.246,12.524 L5.979,6.978 L0.246,1.432 C-0.099,1.098 -0.099,0.558 0.246,0.224 C0.590,-0.109 1.149,-0.109 1.494,0.224 L7.736,6.262 C7.938,6.458 8.007,6.723 7.972,6.978 C8.007,7.233 7.938,7.498 7.736,7.694 Z\" \/>\r\n<\/svg>\r\n<\/a><a class=\"nav next\"><svg width=\"8.031\" height=\"14\" viewBox=\"0 0 8.031 14\">\r\n  <path fill=\"#161b1b\" d=\"M7.736,7.694 L1.494,13.731 C1.149,14.065 0.590,14.065 0.246,13.731 C-0.099,13.398 -0.099,12.857 0.246,12.524 L5.979,6.978 L0.246,1.432 C-0.099,1.098 -0.099,0.558 0.246,0.224 C0.590,-0.109 1.149,-0.109 1.494,0.224 L7.736,6.262 C7.938,6.458 8.007,6.723 7.972,6.978 C8.007,7.233 7.938,7.498 7.736,7.694 Z\" \/>\r\n<\/svg>\r\n<\/a><ul><li><img class=\"owl-lazy\" data-src=\"https:\/\/8a.pl\/8academy\/wp-content\/uploads\/2016\/03\/0193.jpg\" \/><div class=\"description text-center\"><p>Himalaje, ob\u00f3z bazowy- miejsce odpoczynku i aklimatyzacji (fot. Jarek Botor)<\/p><\/div><\/li><li><img class=\"owl-lazy\" data-src=\"https:\/\/8a.pl\/8academy\/wp-content\/uploads\/2016\/03\/0196.jpg\" \/><div class=\"description text-center\"><p>Himalaje, ob\u00f3z bazowy- miejsce odpoczynku i aklimatyzacji (fot. Jarek Botor)<\/p><\/div><\/li><li><img class=\"owl-lazy\" data-src=\"https:\/\/8a.pl\/8academy\/wp-content\/uploads\/2016\/03\/0203.jpg\" \/><div class=\"description text-center\"><p>Himalaje, ob\u00f3z bazowy- miejsce odpoczynku i aklimatyzacji (fot. Jarek Botor)<\/p><\/div><\/li><li><img class=\"owl-lazy\" data-src=\"https:\/\/8a.pl\/8academy\/wp-content\/uploads\/2016\/03\/0206.jpg\" \/><div class=\"description text-center\"><p>Himalaje, ob\u00f3z bazowy- miejsce odpoczynku i aklimatyzacji (fot. Jarek Botor)<\/p><\/div><\/li><li><img class=\"owl-lazy\" data-src=\"https:\/\/8a.pl\/8academy\/wp-content\/uploads\/2016\/03\/0212-1024x685.jpg\" \/><div class=\"description text-center\"><p>Himalaje, ob\u00f3z bazowy- miejsce odpoczynku i aklimatyzacji (fot. Jarek Botor)<\/p><\/div><\/li><li><img class=\"owl-lazy\" data-src=\"https:\/\/8a.pl\/8academy\/wp-content\/uploads\/2016\/03\/0215.jpg\" \/><div class=\"description text-center\"><p>Himalaje, ob\u00f3z bazowy- miejsce odpoczynku i aklimatyzacji (fot. Jarek Botor)<\/p><\/div><\/li><\/ul><\/div><\/div><div class=\"single-gallery single-gallery-carousel single-gallery-hidden\" id=\"single-gallery-3408\"><div class=\"single-gallery-hover\"><div class=\"single-gallery-mode\"><a class=\"mode slide active\"><svg x=\"0px\" y=\"0px\" width=\"24px\" height=\"24px\" viewBox=\"0 0 24 24\">\r\n<style type=\"text\/css\">\r\n\t.st0{;stroke-width:3;stroke-linecap:round;stroke-linejoin:round;stroke-miterlimit:10;}\r\n<\/style>\r\n<line fill=\"none\" stroke=\"#ffffff\" stroke-width=\"3\" x1=\"2\" y1=\"22.5\" x2=\"22\" y2=\"22.5\"\/>\r\n<path fill=\"none\" stroke=\"#ffffff\" stroke-width=\"3\" d=\"M18.1,12.8l-2.7-4.2l-2.9,4L9,6.9l-7.5,8.6c0,1.1,0.9,2,2,2h17c1.1,0,2-0.9,2-2v-12c0-1.1-0.9-2-2-2h-17\r\n\tc-1.1,0-2,0.9-2,2V7\"\/>\r\n<\/svg>\r\n<\/a><a class=\"mode thumb\"><svg x=\"0px\" y=\"0px\" width=\"24px\" height=\"24px\" viewBox=\"0 0 24 24\">\r\n<path fill=\"none\" stroke=\"#ffffff\" stroke-width=\"3\" d=\"M20.5,9.5h-4c-1.1,0-2-0.9-2-2v-4c0-1.1,0.9-2,2-2h4c1.1,0,2,0.9,2,2v4C22.5,8.6,21.6,9.5,20.5,9.5z\"\/>\r\n<path fill=\"none\" stroke=\"#ffffff\" stroke-width=\"3\" d=\"M7.5,9.5h-4c-1.1,0-2-0.9-2-2v-4c0-1.1,0.9-2,2-2h4c1.1,0,2,0.9,2,2v4C9.5,8.6,8.6,9.5,7.5,9.5z\"\/>\r\n<path fill=\"none\" stroke=\"#ffffff\" stroke-width=\"3\" d=\"M19,22.5h-2.5c-1.1,0-2-0.9-2-2v-4c0-1.1,0.9-2,2-2h4c1.1,0,2,0.9,2,2V19\"\/>\r\n<path fill=\"none\" stroke=\"#ffffff\" stroke-width=\"3\" d=\"M7.5,22.5h-4c-1.1,0-2-0.9-2-2v-4c0-1.1,0.9-2,2-2h4c1.1,0,2,0.9,2,2v4C9.5,21.6,8.6,22.5,7.5,22.5z\"\/>\r\n<\/svg><\/a><\/div><div class=\"single-gallery-thumbnails\"><div class=\"single-gallery-thumbnails-wrapper\"><a class=\"active\" style=\"background-image: url(https:\/\/8a.pl\/8academy\/wp-content\/uploads\/2016\/03\/0193-150x150.jpg)\"><\/a><a style=\"background-image: url(https:\/\/8a.pl\/8academy\/wp-content\/uploads\/2016\/03\/0196-150x150.jpg)\"><\/a><a style=\"background-image: url(https:\/\/8a.pl\/8academy\/wp-content\/uploads\/2016\/03\/0203-150x150.jpg)\"><\/a><a style=\"background-image: url(https:\/\/8a.pl\/8academy\/wp-content\/uploads\/2016\/03\/0206-150x150.jpg)\"><\/a><a style=\"background-image: url(https:\/\/8a.pl\/8academy\/wp-content\/uploads\/2016\/03\/0212-150x150.jpg)\"><\/a><a style=\"background-image: url(https:\/\/8a.pl\/8academy\/wp-content\/uploads\/2016\/03\/0215-150x150.jpg)\"><\/a><\/div><\/div><\/div><a class=\"nav prev\"><svg width=\"8.031\" height=\"14\" viewBox=\"0 0 8.031 14\">\r\n  <path fill=\"#161b1b\" d=\"M7.736,7.694 L1.494,13.731 C1.149,14.065 0.590,14.065 0.246,13.731 C-0.099,13.398 -0.099,12.857 0.246,12.524 L5.979,6.978 L0.246,1.432 C-0.099,1.098 -0.099,0.558 0.246,0.224 C0.590,-0.109 1.149,-0.109 1.494,0.224 L7.736,6.262 C7.938,6.458 8.007,6.723 7.972,6.978 C8.007,7.233 7.938,7.498 7.736,7.694 Z\" \/>\r\n<\/svg>\r\n<\/a><a class=\"nav next\"><svg width=\"8.031\" height=\"14\" viewBox=\"0 0 8.031 14\">\r\n  <path fill=\"#161b1b\" d=\"M7.736,7.694 L1.494,13.731 C1.149,14.065 0.590,14.065 0.246,13.731 C-0.099,13.398 -0.099,12.857 0.246,12.524 L5.979,6.978 L0.246,1.432 C-0.099,1.098 -0.099,0.558 0.246,0.224 C0.590,-0.109 1.149,-0.109 1.494,0.224 L7.736,6.262 C7.938,6.458 8.007,6.723 7.972,6.978 C8.007,7.233 7.938,7.498 7.736,7.694 Z\" \/>\r\n<\/svg>\r\n<\/a><ul><li><img decoding=\"async\" src=\"https:\/\/8a.pl\/8academy\/wp-content\/uploads\/2016\/03\/0193.jpg\" \/><div class=\"description text-center\"><p>Himalaje, ob\u00f3z bazowy- miejsce odpoczynku i aklimatyzacji (fot. Jarek Botor)<\/p><div class=\"social-image\"><\/div><div class=\"mobile-nav\"><span class=\"counter\"><\/span><a class=\"nav prev\"><svg width=\"8.031\" height=\"14\" viewBox=\"0 0 8.031 14\">\r\n  <path fill=\"#161b1b\" d=\"M7.736,7.694 L1.494,13.731 C1.149,14.065 0.590,14.065 0.246,13.731 C-0.099,13.398 -0.099,12.857 0.246,12.524 L5.979,6.978 L0.246,1.432 C-0.099,1.098 -0.099,0.558 0.246,0.224 C0.590,-0.109 1.149,-0.109 1.494,0.224 L7.736,6.262 C7.938,6.458 8.007,6.723 7.972,6.978 C8.007,7.233 7.938,7.498 7.736,7.694 Z\" \/>\r\n<\/svg>\r\n<\/a><a class=\"nav next\"><svg width=\"8.031\" height=\"14\" viewBox=\"0 0 8.031 14\">\r\n  <path fill=\"#161b1b\" d=\"M7.736,7.694 L1.494,13.731 C1.149,14.065 0.590,14.065 0.246,13.731 C-0.099,13.398 -0.099,12.857 0.246,12.524 L5.979,6.978 L0.246,1.432 C-0.099,1.098 -0.099,0.558 0.246,0.224 C0.590,-0.109 1.149,-0.109 1.494,0.224 L7.736,6.262 C7.938,6.458 8.007,6.723 7.972,6.978 C8.007,7.233 7.938,7.498 7.736,7.694 Z\" \/>\r\n<\/svg>\r\n<\/a><\/div><\/div><\/li><li><img decoding=\"async\" src=\"https:\/\/8a.pl\/8academy\/wp-content\/uploads\/2016\/03\/0196.jpg\" \/><div class=\"description text-center\"><p>Himalaje, ob\u00f3z bazowy- miejsce odpoczynku i aklimatyzacji (fot. Jarek Botor)<\/p><div class=\"social-image\"><\/div><div class=\"mobile-nav\"><span class=\"counter\"><\/span><a class=\"nav prev\"><svg width=\"8.031\" height=\"14\" viewBox=\"0 0 8.031 14\">\r\n  <path fill=\"#161b1b\" d=\"M7.736,7.694 L1.494,13.731 C1.149,14.065 0.590,14.065 0.246,13.731 C-0.099,13.398 -0.099,12.857 0.246,12.524 L5.979,6.978 L0.246,1.432 C-0.099,1.098 -0.099,0.558 0.246,0.224 C0.590,-0.109 1.149,-0.109 1.494,0.224 L7.736,6.262 C7.938,6.458 8.007,6.723 7.972,6.978 C8.007,7.233 7.938,7.498 7.736,7.694 Z\" \/>\r\n<\/svg>\r\n<\/a><a class=\"nav next\"><svg width=\"8.031\" height=\"14\" viewBox=\"0 0 8.031 14\">\r\n  <path fill=\"#161b1b\" d=\"M7.736,7.694 L1.494,13.731 C1.149,14.065 0.590,14.065 0.246,13.731 C-0.099,13.398 -0.099,12.857 0.246,12.524 L5.979,6.978 L0.246,1.432 C-0.099,1.098 -0.099,0.558 0.246,0.224 C0.590,-0.109 1.149,-0.109 1.494,0.224 L7.736,6.262 C7.938,6.458 8.007,6.723 7.972,6.978 C8.007,7.233 7.938,7.498 7.736,7.694 Z\" \/>\r\n<\/svg>\r\n<\/a><\/div><\/div><\/li><li><img decoding=\"async\" src=\"https:\/\/8a.pl\/8academy\/wp-content\/uploads\/2016\/03\/0203.jpg\" \/><div class=\"description text-center\"><p>Himalaje, ob\u00f3z bazowy- miejsce odpoczynku i aklimatyzacji (fot. Jarek Botor)<\/p><div class=\"social-image\"><\/div><div class=\"mobile-nav\"><span class=\"counter\"><\/span><a class=\"nav prev\"><svg width=\"8.031\" height=\"14\" viewBox=\"0 0 8.031 14\">\r\n  <path fill=\"#161b1b\" d=\"M7.736,7.694 L1.494,13.731 C1.149,14.065 0.590,14.065 0.246,13.731 C-0.099,13.398 -0.099,12.857 0.246,12.524 L5.979,6.978 L0.246,1.432 C-0.099,1.098 -0.099,0.558 0.246,0.224 C0.590,-0.109 1.149,-0.109 1.494,0.224 L7.736,6.262 C7.938,6.458 8.007,6.723 7.972,6.978 C8.007,7.233 7.938,7.498 7.736,7.694 Z\" \/>\r\n<\/svg>\r\n<\/a><a class=\"nav next\"><svg width=\"8.031\" height=\"14\" viewBox=\"0 0 8.031 14\">\r\n  <path fill=\"#161b1b\" d=\"M7.736,7.694 L1.494,13.731 C1.149,14.065 0.590,14.065 0.246,13.731 C-0.099,13.398 -0.099,12.857 0.246,12.524 L5.979,6.978 L0.246,1.432 C-0.099,1.098 -0.099,0.558 0.246,0.224 C0.590,-0.109 1.149,-0.109 1.494,0.224 L7.736,6.262 C7.938,6.458 8.007,6.723 7.972,6.978 C8.007,7.233 7.938,7.498 7.736,7.694 Z\" \/>\r\n<\/svg>\r\n<\/a><\/div><\/div><\/li><li><img decoding=\"async\" src=\"https:\/\/8a.pl\/8academy\/wp-content\/uploads\/2016\/03\/0206.jpg\" \/><div class=\"description text-center\"><p>Himalaje, ob\u00f3z bazowy- miejsce odpoczynku i aklimatyzacji (fot. Jarek Botor)<\/p><div class=\"social-image\"><\/div><div class=\"mobile-nav\"><span class=\"counter\"><\/span><a class=\"nav prev\"><svg width=\"8.031\" height=\"14\" viewBox=\"0 0 8.031 14\">\r\n  <path fill=\"#161b1b\" d=\"M7.736,7.694 L1.494,13.731 C1.149,14.065 0.590,14.065 0.246,13.731 C-0.099,13.398 -0.099,12.857 0.246,12.524 L5.979,6.978 L0.246,1.432 C-0.099,1.098 -0.099,0.558 0.246,0.224 C0.590,-0.109 1.149,-0.109 1.494,0.224 L7.736,6.262 C7.938,6.458 8.007,6.723 7.972,6.978 C8.007,7.233 7.938,7.498 7.736,7.694 Z\" \/>\r\n<\/svg>\r\n<\/a><a class=\"nav next\"><svg width=\"8.031\" height=\"14\" viewBox=\"0 0 8.031 14\">\r\n  <path fill=\"#161b1b\" d=\"M7.736,7.694 L1.494,13.731 C1.149,14.065 0.590,14.065 0.246,13.731 C-0.099,13.398 -0.099,12.857 0.246,12.524 L5.979,6.978 L0.246,1.432 C-0.099,1.098 -0.099,0.558 0.246,0.224 C0.590,-0.109 1.149,-0.109 1.494,0.224 L7.736,6.262 C7.938,6.458 8.007,6.723 7.972,6.978 C8.007,7.233 7.938,7.498 7.736,7.694 Z\" \/>\r\n<\/svg>\r\n<\/a><\/div><\/div><\/li><li><img decoding=\"async\" src=\"https:\/\/8a.pl\/8academy\/wp-content\/uploads\/2016\/03\/0212-1024x685.jpg\" \/><div class=\"description text-center\"><p>Himalaje, ob\u00f3z bazowy- miejsce odpoczynku i aklimatyzacji (fot. Jarek Botor)<\/p><div class=\"social-image\"><\/div><div class=\"mobile-nav\"><span class=\"counter\"><\/span><a class=\"nav prev\"><svg width=\"8.031\" height=\"14\" viewBox=\"0 0 8.031 14\">\r\n  <path fill=\"#161b1b\" d=\"M7.736,7.694 L1.494,13.731 C1.149,14.065 0.590,14.065 0.246,13.731 C-0.099,13.398 -0.099,12.857 0.246,12.524 L5.979,6.978 L0.246,1.432 C-0.099,1.098 -0.099,0.558 0.246,0.224 C0.590,-0.109 1.149,-0.109 1.494,0.224 L7.736,6.262 C7.938,6.458 8.007,6.723 7.972,6.978 C8.007,7.233 7.938,7.498 7.736,7.694 Z\" \/>\r\n<\/svg>\r\n<\/a><a class=\"nav next\"><svg width=\"8.031\" height=\"14\" viewBox=\"0 0 8.031 14\">\r\n  <path fill=\"#161b1b\" d=\"M7.736,7.694 L1.494,13.731 C1.149,14.065 0.590,14.065 0.246,13.731 C-0.099,13.398 -0.099,12.857 0.246,12.524 L5.979,6.978 L0.246,1.432 C-0.099,1.098 -0.099,0.558 0.246,0.224 C0.590,-0.109 1.149,-0.109 1.494,0.224 L7.736,6.262 C7.938,6.458 8.007,6.723 7.972,6.978 C8.007,7.233 7.938,7.498 7.736,7.694 Z\" \/>\r\n<\/svg>\r\n<\/a><\/div><\/div><\/li><li><img decoding=\"async\" src=\"https:\/\/8a.pl\/8academy\/wp-content\/uploads\/2016\/03\/0215.jpg\" \/><div class=\"description text-center\"><p>Himalaje, ob\u00f3z bazowy- miejsce odpoczynku i aklimatyzacji (fot. Jarek Botor)<\/p><div class=\"social-image\"><\/div><div class=\"mobile-nav\"><span class=\"counter\"><\/span><a class=\"nav prev\"><svg width=\"8.031\" height=\"14\" viewBox=\"0 0 8.031 14\">\r\n  <path fill=\"#161b1b\" d=\"M7.736,7.694 L1.494,13.731 C1.149,14.065 0.590,14.065 0.246,13.731 C-0.099,13.398 -0.099,12.857 0.246,12.524 L5.979,6.978 L0.246,1.432 C-0.099,1.098 -0.099,0.558 0.246,0.224 C0.590,-0.109 1.149,-0.109 1.494,0.224 L7.736,6.262 C7.938,6.458 8.007,6.723 7.972,6.978 C8.007,7.233 7.938,7.498 7.736,7.694 Z\" \/>\r\n<\/svg>\r\n<\/a><a class=\"nav next\"><svg width=\"8.031\" height=\"14\" viewBox=\"0 0 8.031 14\">\r\n  <path fill=\"#161b1b\" d=\"M7.736,7.694 L1.494,13.731 C1.149,14.065 0.590,14.065 0.246,13.731 C-0.099,13.398 -0.099,12.857 0.246,12.524 L5.979,6.978 L0.246,1.432 C-0.099,1.098 -0.099,0.558 0.246,0.224 C0.590,-0.109 1.149,-0.109 1.494,0.224 L7.736,6.262 C7.938,6.458 8.007,6.723 7.972,6.978 C8.007,7.233 7.938,7.498 7.736,7.694 Z\" \/>\r\n<\/svg>\r\n<\/a><\/div><\/div><\/li><\/ul><div class=\"mode-thumbnails-container\"><a class=\"col-xs-4\"><div class=\"cover-container\"><div class=\"cover\" style=\"background-image: url(https:\/\/8a.pl\/8academy\/wp-content\/uploads\/2016\/03\/0193-300x201.jpg)\"><\/div><\/div><svg x=\"0px\" y=\"0px\" width=\"24px\" height=\"24px\" viewBox=\"0 0 24 24\">\r\n<style type=\"text\/css\">\r\n\t.st0{fill:none;stroke:#303133;stroke-width:3;stroke-linecap:round;stroke-linejoin:round;stroke-miterlimit:10;}\r\n\t.st1{fill-rule:evenodd;clip-rule:evenodd;fill:none;stroke:#303133;stroke-width:3;stroke-linejoin:round;stroke-miterlimit:10;}\r\n\t\r\n\t\t.st2{fill-rule:evenodd;clip-rule:evenodd;fill:none;stroke:#303133;stroke-width:3;stroke-linecap:round;stroke-linejoin:round;stroke-miterlimit:10;}\r\n\t.st3{fill:none;stroke:#B4B5B7;stroke-width:2;stroke-linecap:round;stroke-linejoin:round;stroke-miterlimit:10;}\r\n\t\r\n\t\t.st4{fill-rule:evenodd;clip-rule:evenodd;fill:none;stroke:#303133;stroke-width:2;stroke-linecap:round;stroke-linejoin:round;stroke-miterlimit:10;}\r\n\t.st5{fill-rule:evenodd;clip-rule:evenodd;fill:#161B1B;}\r\n\t.st6{fill-rule:evenodd;clip-rule:evenodd;fill:#F26822;}\r\n\t.st7{fill:#F26822;}\r\n\t.st8{fill:none;stroke:#808285;stroke-width:6;stroke-linecap:round;stroke-linejoin:round;stroke-miterlimit:10;}\r\n\t.st9{fill:#161B1B;}\r\n\t.st10{fill:#808184;}\r\n<\/style>\r\n<g>\r\n\t<path fill=\"none\" stroke=\"#ffffff\" stroke-width=\"3\" d=\"M1.6,7.5v-4c0-1.1,0.9-2,2-2h4\"\/>\r\n\t<line fill=\"none\" stroke=\"#ffffff\" stroke-width=\"3\"  x1=\"2.9\" y1=\"2.9\" x2=\"8.1\" y2=\"8.1\"\/>\r\n<\/g>\r\n<g>\r\n\t<path fill=\"none\" stroke=\"#ffffff\" stroke-width=\"3\"  d=\"M22.5,16v4.1c0,1.1-1.3,2.4-2.4,2.4H16\"\/>\r\n\t<line fill=\"none\" stroke=\"#ffffff\" stroke-width=\"3\"  x1=\"20.8\" y1=\"20.8\" x2=\"15.6\" y2=\"15.5\"\/>\r\n<\/g>\r\n<g>\r\n\t<path fill=\"none\" stroke=\"#ffffff\" stroke-width=\"3\"  d=\"M16.5,1.5h4c1.1,0,2,0.9,2,2v4\"\/>\r\n\t<line fill=\"none\" stroke=\"#ffffff\" stroke-width=\"3\"  x1=\"21.1\" y1=\"2.8\" x2=\"15.9\" y2=\"8.1\"\/>\r\n<\/g>\r\n<g>\r\n\t<path fill=\"none\" stroke=\"#ffffff\" stroke-width=\"3\"  d=\"M8,22.5H3.9c-1.1,0-2.4-1.3-2.4-2.4V16\"\/>\r\n\t<line fill=\"none\" stroke=\"#ffffff\" stroke-width=\"3\"  x1=\"3.3\" y1=\"20.8\" x2=\"8.5\" y2=\"15.5\"\/>\r\n<\/g>\r\n<\/svg>\r\n<\/a><a class=\"col-xs-4\"><div class=\"cover-container\"><div class=\"cover\" style=\"background-image: url(https:\/\/8a.pl\/8academy\/wp-content\/uploads\/2016\/03\/0196-300x201.jpg)\"><\/div><\/div><svg x=\"0px\" y=\"0px\" width=\"24px\" height=\"24px\" viewBox=\"0 0 24 24\">\r\n<style type=\"text\/css\">\r\n\t.st0{fill:none;stroke:#303133;stroke-width:3;stroke-linecap:round;stroke-linejoin:round;stroke-miterlimit:10;}\r\n\t.st1{fill-rule:evenodd;clip-rule:evenodd;fill:none;stroke:#303133;stroke-width:3;stroke-linejoin:round;stroke-miterlimit:10;}\r\n\t\r\n\t\t.st2{fill-rule:evenodd;clip-rule:evenodd;fill:none;stroke:#303133;stroke-width:3;stroke-linecap:round;stroke-linejoin:round;stroke-miterlimit:10;}\r\n\t.st3{fill:none;stroke:#B4B5B7;stroke-width:2;stroke-linecap:round;stroke-linejoin:round;stroke-miterlimit:10;}\r\n\t\r\n\t\t.st4{fill-rule:evenodd;clip-rule:evenodd;fill:none;stroke:#303133;stroke-width:2;stroke-linecap:round;stroke-linejoin:round;stroke-miterlimit:10;}\r\n\t.st5{fill-rule:evenodd;clip-rule:evenodd;fill:#161B1B;}\r\n\t.st6{fill-rule:evenodd;clip-rule:evenodd;fill:#F26822;}\r\n\t.st7{fill:#F26822;}\r\n\t.st8{fill:none;stroke:#808285;stroke-width:6;stroke-linecap:round;stroke-linejoin:round;stroke-miterlimit:10;}\r\n\t.st9{fill:#161B1B;}\r\n\t.st10{fill:#808184;}\r\n<\/style>\r\n<g>\r\n\t<path fill=\"none\" stroke=\"#ffffff\" stroke-width=\"3\" d=\"M1.6,7.5v-4c0-1.1,0.9-2,2-2h4\"\/>\r\n\t<line fill=\"none\" stroke=\"#ffffff\" stroke-width=\"3\"  x1=\"2.9\" y1=\"2.9\" x2=\"8.1\" y2=\"8.1\"\/>\r\n<\/g>\r\n<g>\r\n\t<path fill=\"none\" stroke=\"#ffffff\" stroke-width=\"3\"  d=\"M22.5,16v4.1c0,1.1-1.3,2.4-2.4,2.4H16\"\/>\r\n\t<line fill=\"none\" stroke=\"#ffffff\" stroke-width=\"3\"  x1=\"20.8\" y1=\"20.8\" x2=\"15.6\" y2=\"15.5\"\/>\r\n<\/g>\r\n<g>\r\n\t<path fill=\"none\" stroke=\"#ffffff\" stroke-width=\"3\"  d=\"M16.5,1.5h4c1.1,0,2,0.9,2,2v4\"\/>\r\n\t<line fill=\"none\" stroke=\"#ffffff\" stroke-width=\"3\"  x1=\"21.1\" y1=\"2.8\" x2=\"15.9\" y2=\"8.1\"\/>\r\n<\/g>\r\n<g>\r\n\t<path fill=\"none\" stroke=\"#ffffff\" stroke-width=\"3\"  d=\"M8,22.5H3.9c-1.1,0-2.4-1.3-2.4-2.4V16\"\/>\r\n\t<line fill=\"none\" stroke=\"#ffffff\" stroke-width=\"3\"  x1=\"3.3\" y1=\"20.8\" x2=\"8.5\" y2=\"15.5\"\/>\r\n<\/g>\r\n<\/svg>\r\n<\/a><a class=\"col-xs-4\"><div class=\"cover-container\"><div class=\"cover\" style=\"background-image: url(https:\/\/8a.pl\/8academy\/wp-content\/uploads\/2016\/03\/0203-300x201.jpg)\"><\/div><\/div><svg x=\"0px\" y=\"0px\" width=\"24px\" height=\"24px\" viewBox=\"0 0 24 24\">\r\n<style type=\"text\/css\">\r\n\t.st0{fill:none;stroke:#303133;stroke-width:3;stroke-linecap:round;stroke-linejoin:round;stroke-miterlimit:10;}\r\n\t.st1{fill-rule:evenodd;clip-rule:evenodd;fill:none;stroke:#303133;stroke-width:3;stroke-linejoin:round;stroke-miterlimit:10;}\r\n\t\r\n\t\t.st2{fill-rule:evenodd;clip-rule:evenodd;fill:none;stroke:#303133;stroke-width:3;stroke-linecap:round;stroke-linejoin:round;stroke-miterlimit:10;}\r\n\t.st3{fill:none;stroke:#B4B5B7;stroke-width:2;stroke-linecap:round;stroke-linejoin:round;stroke-miterlimit:10;}\r\n\t\r\n\t\t.st4{fill-rule:evenodd;clip-rule:evenodd;fill:none;stroke:#303133;stroke-width:2;stroke-linecap:round;stroke-linejoin:round;stroke-miterlimit:10;}\r\n\t.st5{fill-rule:evenodd;clip-rule:evenodd;fill:#161B1B;}\r\n\t.st6{fill-rule:evenodd;clip-rule:evenodd;fill:#F26822;}\r\n\t.st7{fill:#F26822;}\r\n\t.st8{fill:none;stroke:#808285;stroke-width:6;stroke-linecap:round;stroke-linejoin:round;stroke-miterlimit:10;}\r\n\t.st9{fill:#161B1B;}\r\n\t.st10{fill:#808184;}\r\n<\/style>\r\n<g>\r\n\t<path fill=\"none\" stroke=\"#ffffff\" stroke-width=\"3\" d=\"M1.6,7.5v-4c0-1.1,0.9-2,2-2h4\"\/>\r\n\t<line fill=\"none\" stroke=\"#ffffff\" stroke-width=\"3\"  x1=\"2.9\" y1=\"2.9\" x2=\"8.1\" y2=\"8.1\"\/>\r\n<\/g>\r\n<g>\r\n\t<path fill=\"none\" stroke=\"#ffffff\" stroke-width=\"3\"  d=\"M22.5,16v4.1c0,1.1-1.3,2.4-2.4,2.4H16\"\/>\r\n\t<line fill=\"none\" stroke=\"#ffffff\" stroke-width=\"3\"  x1=\"20.8\" y1=\"20.8\" x2=\"15.6\" y2=\"15.5\"\/>\r\n<\/g>\r\n<g>\r\n\t<path fill=\"none\" stroke=\"#ffffff\" stroke-width=\"3\"  d=\"M16.5,1.5h4c1.1,0,2,0.9,2,2v4\"\/>\r\n\t<line fill=\"none\" stroke=\"#ffffff\" stroke-width=\"3\"  x1=\"21.1\" y1=\"2.8\" x2=\"15.9\" y2=\"8.1\"\/>\r\n<\/g>\r\n<g>\r\n\t<path fill=\"none\" stroke=\"#ffffff\" stroke-width=\"3\"  d=\"M8,22.5H3.9c-1.1,0-2.4-1.3-2.4-2.4V16\"\/>\r\n\t<line fill=\"none\" stroke=\"#ffffff\" stroke-width=\"3\"  x1=\"3.3\" y1=\"20.8\" x2=\"8.5\" y2=\"15.5\"\/>\r\n<\/g>\r\n<\/svg>\r\n<\/a><a class=\"col-xs-4\"><div class=\"cover-container\"><div class=\"cover\" style=\"background-image: url(https:\/\/8a.pl\/8academy\/wp-content\/uploads\/2016\/03\/0206-300x201.jpg)\"><\/div><\/div><svg x=\"0px\" y=\"0px\" width=\"24px\" height=\"24px\" viewBox=\"0 0 24 24\">\r\n<style type=\"text\/css\">\r\n\t.st0{fill:none;stroke:#303133;stroke-width:3;stroke-linecap:round;stroke-linejoin:round;stroke-miterlimit:10;}\r\n\t.st1{fill-rule:evenodd;clip-rule:evenodd;fill:none;stroke:#303133;stroke-width:3;stroke-linejoin:round;stroke-miterlimit:10;}\r\n\t\r\n\t\t.st2{fill-rule:evenodd;clip-rule:evenodd;fill:none;stroke:#303133;stroke-width:3;stroke-linecap:round;stroke-linejoin:round;stroke-miterlimit:10;}\r\n\t.st3{fill:none;stroke:#B4B5B7;stroke-width:2;stroke-linecap:round;stroke-linejoin:round;stroke-miterlimit:10;}\r\n\t\r\n\t\t.st4{fill-rule:evenodd;clip-rule:evenodd;fill:none;stroke:#303133;stroke-width:2;stroke-linecap:round;stroke-linejoin:round;stroke-miterlimit:10;}\r\n\t.st5{fill-rule:evenodd;clip-rule:evenodd;fill:#161B1B;}\r\n\t.st6{fill-rule:evenodd;clip-rule:evenodd;fill:#F26822;}\r\n\t.st7{fill:#F26822;}\r\n\t.st8{fill:none;stroke:#808285;stroke-width:6;stroke-linecap:round;stroke-linejoin:round;stroke-miterlimit:10;}\r\n\t.st9{fill:#161B1B;}\r\n\t.st10{fill:#808184;}\r\n<\/style>\r\n<g>\r\n\t<path fill=\"none\" stroke=\"#ffffff\" stroke-width=\"3\" d=\"M1.6,7.5v-4c0-1.1,0.9-2,2-2h4\"\/>\r\n\t<line fill=\"none\" stroke=\"#ffffff\" stroke-width=\"3\"  x1=\"2.9\" y1=\"2.9\" x2=\"8.1\" y2=\"8.1\"\/>\r\n<\/g>\r\n<g>\r\n\t<path fill=\"none\" stroke=\"#ffffff\" stroke-width=\"3\"  d=\"M22.5,16v4.1c0,1.1-1.3,2.4-2.4,2.4H16\"\/>\r\n\t<line fill=\"none\" stroke=\"#ffffff\" stroke-width=\"3\"  x1=\"20.8\" y1=\"20.8\" x2=\"15.6\" y2=\"15.5\"\/>\r\n<\/g>\r\n<g>\r\n\t<path fill=\"none\" stroke=\"#ffffff\" stroke-width=\"3\"  d=\"M16.5,1.5h4c1.1,0,2,0.9,2,2v4\"\/>\r\n\t<line fill=\"none\" stroke=\"#ffffff\" stroke-width=\"3\"  x1=\"21.1\" y1=\"2.8\" x2=\"15.9\" y2=\"8.1\"\/>\r\n<\/g>\r\n<g>\r\n\t<path fill=\"none\" stroke=\"#ffffff\" stroke-width=\"3\"  d=\"M8,22.5H3.9c-1.1,0-2.4-1.3-2.4-2.4V16\"\/>\r\n\t<line fill=\"none\" stroke=\"#ffffff\" stroke-width=\"3\"  x1=\"3.3\" y1=\"20.8\" x2=\"8.5\" y2=\"15.5\"\/>\r\n<\/g>\r\n<\/svg>\r\n<\/a><a class=\"col-xs-4\"><div class=\"cover-container\"><div class=\"cover\" style=\"background-image: url(https:\/\/8a.pl\/8academy\/wp-content\/uploads\/2016\/03\/0212-300x201.jpg)\"><\/div><\/div><svg x=\"0px\" y=\"0px\" width=\"24px\" height=\"24px\" viewBox=\"0 0 24 24\">\r\n<style type=\"text\/css\">\r\n\t.st0{fill:none;stroke:#303133;stroke-width:3;stroke-linecap:round;stroke-linejoin:round;stroke-miterlimit:10;}\r\n\t.st1{fill-rule:evenodd;clip-rule:evenodd;fill:none;stroke:#303133;stroke-width:3;stroke-linejoin:round;stroke-miterlimit:10;}\r\n\t\r\n\t\t.st2{fill-rule:evenodd;clip-rule:evenodd;fill:none;stroke:#303133;stroke-width:3;stroke-linecap:round;stroke-linejoin:round;stroke-miterlimit:10;}\r\n\t.st3{fill:none;stroke:#B4B5B7;stroke-width:2;stroke-linecap:round;stroke-linejoin:round;stroke-miterlimit:10;}\r\n\t\r\n\t\t.st4{fill-rule:evenodd;clip-rule:evenodd;fill:none;stroke:#303133;stroke-width:2;stroke-linecap:round;stroke-linejoin:round;stroke-miterlimit:10;}\r\n\t.st5{fill-rule:evenodd;clip-rule:evenodd;fill:#161B1B;}\r\n\t.st6{fill-rule:evenodd;clip-rule:evenodd;fill:#F26822;}\r\n\t.st7{fill:#F26822;}\r\n\t.st8{fill:none;stroke:#808285;stroke-width:6;stroke-linecap:round;stroke-linejoin:round;stroke-miterlimit:10;}\r\n\t.st9{fill:#161B1B;}\r\n\t.st10{fill:#808184;}\r\n<\/style>\r\n<g>\r\n\t<path fill=\"none\" stroke=\"#ffffff\" stroke-width=\"3\" d=\"M1.6,7.5v-4c0-1.1,0.9-2,2-2h4\"\/>\r\n\t<line fill=\"none\" stroke=\"#ffffff\" stroke-width=\"3\"  x1=\"2.9\" y1=\"2.9\" x2=\"8.1\" y2=\"8.1\"\/>\r\n<\/g>\r\n<g>\r\n\t<path fill=\"none\" stroke=\"#ffffff\" stroke-width=\"3\"  d=\"M22.5,16v4.1c0,1.1-1.3,2.4-2.4,2.4H16\"\/>\r\n\t<line fill=\"none\" stroke=\"#ffffff\" stroke-width=\"3\"  x1=\"20.8\" y1=\"20.8\" x2=\"15.6\" y2=\"15.5\"\/>\r\n<\/g>\r\n<g>\r\n\t<path fill=\"none\" stroke=\"#ffffff\" stroke-width=\"3\"  d=\"M16.5,1.5h4c1.1,0,2,0.9,2,2v4\"\/>\r\n\t<line fill=\"none\" stroke=\"#ffffff\" stroke-width=\"3\"  x1=\"21.1\" y1=\"2.8\" x2=\"15.9\" y2=\"8.1\"\/>\r\n<\/g>\r\n<g>\r\n\t<path fill=\"none\" stroke=\"#ffffff\" stroke-width=\"3\"  d=\"M8,22.5H3.9c-1.1,0-2.4-1.3-2.4-2.4V16\"\/>\r\n\t<line fill=\"none\" stroke=\"#ffffff\" stroke-width=\"3\"  x1=\"3.3\" y1=\"20.8\" x2=\"8.5\" y2=\"15.5\"\/>\r\n<\/g>\r\n<\/svg>\r\n<\/a><a class=\"col-xs-4\"><div class=\"cover-container\"><div class=\"cover\" style=\"background-image: url(https:\/\/8a.pl\/8academy\/wp-content\/uploads\/2016\/03\/0215-300x201.jpg)\"><\/div><\/div><svg x=\"0px\" y=\"0px\" width=\"24px\" height=\"24px\" viewBox=\"0 0 24 24\">\r\n<style type=\"text\/css\">\r\n\t.st0{fill:none;stroke:#303133;stroke-width:3;stroke-linecap:round;stroke-linejoin:round;stroke-miterlimit:10;}\r\n\t.st1{fill-rule:evenodd;clip-rule:evenodd;fill:none;stroke:#303133;stroke-width:3;stroke-linejoin:round;stroke-miterlimit:10;}\r\n\t\r\n\t\t.st2{fill-rule:evenodd;clip-rule:evenodd;fill:none;stroke:#303133;stroke-width:3;stroke-linecap:round;stroke-linejoin:round;stroke-miterlimit:10;}\r\n\t.st3{fill:none;stroke:#B4B5B7;stroke-width:2;stroke-linecap:round;stroke-linejoin:round;stroke-miterlimit:10;}\r\n\t\r\n\t\t.st4{fill-rule:evenodd;clip-rule:evenodd;fill:none;stroke:#303133;stroke-width:2;stroke-linecap:round;stroke-linejoin:round;stroke-miterlimit:10;}\r\n\t.st5{fill-rule:evenodd;clip-rule:evenodd;fill:#161B1B;}\r\n\t.st6{fill-rule:evenodd;clip-rule:evenodd;fill:#F26822;}\r\n\t.st7{fill:#F26822;}\r\n\t.st8{fill:none;stroke:#808285;stroke-width:6;stroke-linecap:round;stroke-linejoin:round;stroke-miterlimit:10;}\r\n\t.st9{fill:#161B1B;}\r\n\t.st10{fill:#808184;}\r\n<\/style>\r\n<g>\r\n\t<path fill=\"none\" stroke=\"#ffffff\" stroke-width=\"3\" d=\"M1.6,7.5v-4c0-1.1,0.9-2,2-2h4\"\/>\r\n\t<line fill=\"none\" stroke=\"#ffffff\" stroke-width=\"3\"  x1=\"2.9\" y1=\"2.9\" x2=\"8.1\" y2=\"8.1\"\/>\r\n<\/g>\r\n<g>\r\n\t<path fill=\"none\" stroke=\"#ffffff\" stroke-width=\"3\"  d=\"M22.5,16v4.1c0,1.1-1.3,2.4-2.4,2.4H16\"\/>\r\n\t<line fill=\"none\" stroke=\"#ffffff\" stroke-width=\"3\"  x1=\"20.8\" y1=\"20.8\" x2=\"15.6\" y2=\"15.5\"\/>\r\n<\/g>\r\n<g>\r\n\t<path fill=\"none\" stroke=\"#ffffff\" stroke-width=\"3\"  d=\"M16.5,1.5h4c1.1,0,2,0.9,2,2v4\"\/>\r\n\t<line fill=\"none\" stroke=\"#ffffff\" stroke-width=\"3\"  x1=\"21.1\" y1=\"2.8\" x2=\"15.9\" y2=\"8.1\"\/>\r\n<\/g>\r\n<g>\r\n\t<path fill=\"none\" stroke=\"#ffffff\" stroke-width=\"3\"  d=\"M8,22.5H3.9c-1.1,0-2.4-1.3-2.4-2.4V16\"\/>\r\n\t<line fill=\"none\" stroke=\"#ffffff\" stroke-width=\"3\"  x1=\"3.3\" y1=\"20.8\" x2=\"8.5\" y2=\"15.5\"\/>\r\n<\/g>\r\n<\/svg>\r\n<\/a><\/div><\/div><div class=\"preloader-box\"><div class=\"preloader\"><span><svg x=\"0px\" y=\"0px\" width=\"72px\" height=\"57px\" viewBox=\"0 0 72 57\">\r\n<path fill=\"none\" stroke=\"#606264\" stroke-width=\"6\" stroke-linecap=\"round\" stroke-linejoin=\"round\" stroke-miterlimit=\"10\" d=\"M55.3,38.9l-8.6-13.1l-9.2,12.5L26.7,19.9L3,47.5C3,50.9,5.8,54,9.3,54H63c3.5,0,6-3.3,6-6.8V9.3\r\n\tC69,5.8,66.4,3,63,3H9.3C5.8,3,3,5.8,3,9.3v11.2\"\/>\r\n<\/svg><\/span><p>Wczytuj\u0119 galeri\u0119<\/p><\/div><\/div>\n<h2 style=\"text-align: center;\"><b>Wysoko\u015b\u0107 i ramy czasowe<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">Przyjmuje si\u0119, \u017ce typowe wysoko\u015bci zwi\u0105zane z ryzykiem to:<br \/>\n<\/span><span style=\"font-weight: 400;\">&gt;ok. 2500 m dla AMS, czas &gt; 4 godz. i &lt;24 godz. od wej\u015bcia na now\u0105 wysoko\u015b\u0107;<br \/>\n<\/span><span style=\"font-weight: 400;\">&gt;ok. 3000 m dla HAPE, czas \u00a0&gt;24 godz.;<br \/>\n<\/span><span style=\"font-weight: 400;\">&gt;ok. 4000 m \u2013 5000 m dla HACE, czas &gt;24 godz.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Pocz\u0105tek wyst\u0105pienia objaw\u00f3w AMS w czasie &lt;4 godz. lub &gt;24 godz. lub HAPE &lt;24 godz. jest rzadki, ale mo\u017cliwy! Objawy na ni\u017cszych wysoko\u015bciach wyst\u0119puj\u0105 bardzo rzadko, ale mo\u017cliwe s\u0105 nawet ci\u0119\u017ckie przypadki.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Musimy si\u0119 liczy\u0107 z sytuacj\u0105, w kt\u00f3rej wi\u0119kszo\u015b\u0107 uczestnik\u00f3w wyprawy realizuje ten sam lub podobny profil zdobywania wysoko\u015bci i choroba wysoko\u015bciowa mo\u017ce dotkn\u0105\u0107 wi\u0119cej os\u00f3b ni\u017c tylko nas. Nale\u017cy zwr\u00f3ci\u0107 r\u00f3wnie\u017c uwag\u0119 na tragarzy wysoko\u015bciowych i przewodnik\u00f3w, kt\u00f3rzy r\u00f3wnie\u017c mog\u0105 cierpie\u0107 na choroby zwi\u0105zane z wysoko\u015bci\u0105.<\/span><\/p>\n<p><b>Profilaktyka chor\u00f3b wysoko\u015bciowych:<\/b><\/p>\n<ul>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">prawid\u0142owa aklimatyzacja,<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">prawid\u0142owe nawadnianie,<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">prawid\u0142owa gospodarka energetyczna,<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">stosowanie lek\u00f3w w profilaktyce wysoko\u015bciowej powinno by\u0107 ograniczone do sytuacji wyj\u0105tkowych, np. gdy ob\u00f3z bazowy (BC) osi\u0105gn\u0105\u0107 mo\u017cna tylko przy pomocy helikoptera, a wcze\u015bniejsza wst\u0119pna aklimatyzacja w innym rejonie jest niemo\u017cliwa- zaleca si\u0119 wtedy stosowanie Acetazolamidu.<\/span><\/li>\n<\/ul>\n<div id=\"attachment_3416\" style=\"width: 981px\" class=\"wp-caption alignnone\"><img fetchpriority=\"high\" decoding=\"async\" aria-describedby=\"caption-attachment-3416\" class=\"size-full wp-image-3416\" src=\"http:\/\/8a.pl\/8academy\/wp-content\/uploads\/2016\/03\/0241.jpg\" alt=\"Przed za\u0142o\u017ceniem kolejnego obozu na wi\u0119kszej wysoko\u015bci zadbaj o prawid\u0142ow\u0105 aklimatyzacj\u0119 (for. Jarek Botor)\" width=\"971\" height=\"650\" srcset=\"https:\/\/8a.pl\/8academy\/wp-content\/uploads\/2016\/03\/0241.jpg 971w, https:\/\/8a.pl\/8academy\/wp-content\/uploads\/2016\/03\/0241-300x201.jpg 300w, https:\/\/8a.pl\/8academy\/wp-content\/uploads\/2016\/03\/0241-768x514.jpg 768w\" sizes=\"(max-width: 971px) 100vw, 971px\" \/><p id=\"caption-attachment-3416\" class=\"wp-caption-text\">Przed za\u0142o\u017ceniem kolejnego obozu na wi\u0119kszej wysoko\u015bci zadbaj o prawid\u0142ow\u0105 aklimatyzacj\u0119 (for. Jarek Botor)<\/p><\/div>\n<h2 style=\"text-align: center;\"><b>AMS \u2013 ostra choroba g\u00f3rska<\/b><\/h2>\n<h3 style=\"text-align: left;\"><b>Objawy <\/b><\/h3>\n<p><span style=\"font-weight: 400;\">Do charakterystycznych objaw\u00f3w ostrej choroby g\u00f3rskiej nale\u017c\u0105: b\u00f3l g\u0142owy, zm\u0119czenie, nudno\u015bci, s\u0142aby apetyt, wymioty oraz zaburzenie snu. \u00a0Najcz\u0119\u015bciej wyst\u0119puj\u0105 b\u00f3l g\u0142owy i obni\u017cony apetyt. AMS nie stanowi bezpo\u015bredniego zagro\u017cenia naszego \u017cycie, jednak jej zlekcewa\u017cenie mo\u017ce sko\u0144czy\u0107 si\u0119 wysoko\u015bciowym obrz\u0119kiem p\u0142uc lub m\u00f3zgu, a te choroby wysoko\u015bciowe mog\u0105 ju\u017c bardzo szybko doprowadzi\u0107 do zgonu.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">AMS mo\u017cna zdiagnozowa\u0107 u\u017cywaj\u0105c skali Lake Louise AMS:<\/span><\/p>\n<table style=\"height: 168px;\" width=\"698\">\n<thead>\n<tr>\n<td style=\"text-align: center;\" colspan=\"2\"><span style=\"font-weight: 400;\">B\u00f3l g\u0142owy \u00a0\u00a0<\/span><\/td>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td style=\"text-align: left;\">brak<\/td>\n<td style=\"text-align: left;\">0<\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: left;\">lekki<\/td>\n<td style=\"text-align: left;\">1<\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: left;\">\u015bredni<\/td>\n<td style=\"text-align: left;\">2<\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: left;\">ci\u0119\u017cki, nie do zniesienia<\/td>\n<td style=\"text-align: left;\">3<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<table style=\"height: 159px;\" width=\"699\">\n<thead>\n<tr>\n<td style=\"text-align: center;\" colspan=\"2\">K\u0142opoty \u017co\u0142\u0105dkowe<\/td>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td style=\"text-align: left;\">dobry apetyt<\/td>\n<td style=\"text-align: left;\">0<\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: left;\">s\u0142aby apetyt<\/td>\n<td style=\"text-align: left;\">1<\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: left;\">nudno\u015bci, wymioty<\/td>\n<td style=\"text-align: left;\">2<\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: left;\">ci\u0119\u017ckie, nie do zniesienia<\/td>\n<td style=\"text-align: left;\">3<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<table style=\"height: 144px;\" width=\"700\">\n<thead>\n<tr>\n<td style=\"text-align: center;\" colspan=\"2\">Zm\u0119czenie\/os\u0142abienie<\/td>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td style=\"text-align: left;\">brak<\/td>\n<td style=\"text-align: left;\">0<\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: left;\">lekkie<\/td>\n<td style=\"text-align: left;\">1<\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: left;\">\u015brednie<\/td>\n<td style=\"text-align: left;\">2<\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: left;\">silne, skrajne wyczerpanie<\/td>\n<td style=\"text-align: left;\">3<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<table style=\"height: 151px;\" width=\"698\">\n<thead>\n<tr>\n<td style=\"text-align: center;\" colspan=\"2\">Zawroty g\u0142owy<\/td>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td style=\"text-align: left;\">brak<\/td>\n<td style=\"text-align: left;\">0<\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: left;\">lekkie<\/td>\n<td style=\"text-align: left;\">1<\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: left;\">\u015brednie<\/td>\n<td style=\"text-align: left;\">2<\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: left;\">ci\u0119\u017ckie, k\u0142opot z r\u00f3wnowag\u0105<\/td>\n<td style=\"text-align: left;\">3<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<table style=\"height: 153px;\" width=\"697\">\n<thead>\n<tr>\n<td style=\"text-align: center;\" colspan=\"2\">K\u0142opoty ze snem<\/td>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td style=\"text-align: left;\">dobry sen<\/td>\n<td style=\"text-align: left;\">0<\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: left;\">sen przerywany, p\u0142ytki<\/td>\n<td style=\"text-align: left;\">1<\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: left;\">cz\u0119ste wybudzenia, s\u0142aby sen<\/td>\n<td style=\"text-align: left;\">2<\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: left;\">brak snu<\/td>\n<td style=\"text-align: left;\">3<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>Je\u017celi znajdujesz si\u0119 na wysoko\u015bci i ca\u0142kowity wynik (bez oceny b\u00f3lu g\u0142owy) wynosi 3 i wi\u0119cej, oznacza to, \u017ce masz ostr\u0105 chorob\u0119 g\u00f3rsk\u0105.<\/p>\n<h3 style=\"text-align: left;\">Leczenie AMS<\/h3>\n<p>Je\u017celi boli nas g\u0142owa i <span style=\"font-weight: 400;\">objawy wskazuj\u0105 na AMS, to przede wszystkim nie wychodzimy wy\u017cej, czy to na trekkingu czy do kolejnego obozu na wyprawie. Robimy przerw\u0119 i odpoczywamy, przyjmuj\u0105c w tym czasie leki przeciwb\u00f3lowe (np. Ibuprofen 400 mg co 6 godzin) oraz Acetazolamid 250 mg co 8 godzin (preparaty Diuramid lub Diamox).<\/span><\/p>\n<div id=\"attachment_3419\" style=\"width: 981px\" class=\"wp-caption alignnone\"><img decoding=\"async\" aria-describedby=\"caption-attachment-3419\" class=\"size-full wp-image-3419\" src=\"http:\/\/8a.pl\/8academy\/wp-content\/uploads\/2016\/03\/0279.jpg\" alt=\"Odpoczynek w obozie (fot. Jarek Botor)\" width=\"971\" height=\"650\" srcset=\"https:\/\/8a.pl\/8academy\/wp-content\/uploads\/2016\/03\/0279.jpg 971w, https:\/\/8a.pl\/8academy\/wp-content\/uploads\/2016\/03\/0279-300x201.jpg 300w, https:\/\/8a.pl\/8academy\/wp-content\/uploads\/2016\/03\/0279-768x514.jpg 768w\" sizes=\"(max-width: 971px) 100vw, 971px\" \/><p id=\"caption-attachment-3419\" class=\"wp-caption-text\">Odpoczynek w obozie (fot. Jarek Botor)<\/p><\/div>\n<p><span style=\"font-weight: 400;\">Acetazolamid mi\u0119dzy innymi zwi\u0119ksza cz\u0119stotliwo\u015b\u0107 oddechu, czyli ilo\u015b\u0107 powietrza w p\u0142ucach, a co za tym idzie ilo\u015b\u0107 tlenu dostarczanego do kom\u00f3rek naszego organizmu. Acetazolamid przyspiesza aklimatyzacj\u0119, kt\u00f3rej sk\u0142adow\u0105 jest zwi\u0119kszona cz\u0119sto\u015b\u0107 i g\u0142\u0119boko\u015b\u0107 oddechu. Acetazolamid jest diuretykiem i powoduje zwi\u0119kszenie ilo\u015bci wydalanego moczu. Bardzo wa\u017cna jest prawid\u0142owa gospodarka wodno-elektrolitowa organizmu, wi\u0119c nasza apteczka musi by\u0107 wyposa\u017cona r\u00f3wnie\u017c w elektrolity. Acetazolamid mo\u017ce powodowa\u0107 uczucie mrowienia r\u0105k, ust czy n\u00f3g, dlatego zaleca si\u0119 przed wypraw\u0105 kontrolne przyj\u0119cie dawki leku, aby potem dzia\u0142a\u0144 niepo\u017c\u0105danych leku nie przypisywa\u0107 np. chorobie g\u00f3rskiej.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Alternatyw\u0105 dla os\u00f3b kt\u00f3re nie mog\u0105 stosowa\u0107 Acetazolamidu jest Deksametazon. Lek ten nie przyspiesza aklimatyzacji jak Diuramid lub Diamox, a jedynie zmniejsza dolegliwo\u015bci. Wad\u0105 Deksametazonu jest to, \u017ce mo\u017ce maskowa\u0107 objawy AMS i HAPE, kt\u00f3re mog\u0105 si\u0119 pojawi\u0107 po jego odstawieniu. <\/span><\/p>\n<p><span style=\"font-weight: 400;\">Je\u017celi w ci\u0105gu doby odpoczynku i za\u017cywania lek\u00f3w objawy AMS nie ust\u0119puj\u0105, konieczne jest zej\u015bcie ni\u017cej 500 -1000 m i tam sp\u0119dzenie kolejnej nocy. \u00a0Je\u017celi objawy nie przejd\u0105, a zej\u015bcie ni\u017cej jest niemo\u017cliwe, leczenie nale\u017cy kontynuowa\u0107, dodatkowo wzmacniaj\u0105c je przez podawanie tlenu i stosowanie worka hiperbarycznego, w mi\u0119dzy czasie organizuj\u0105c akcj\u0119 ratunkow\u0105.<\/span><\/p>\n<h2 style=\"text-align: center;\"><b>HAPE \u2013 wysokog\u00f3rski obrz\u0119k p\u0142uc<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">Obrz\u0119k p\u0142uc ko\u0144czy si\u0119 zatrzymaniem oddechu i zgonem. Jest to druga, po urazach, przyczyna \u015bmierci w g\u00f3rach wysokich. U os\u00f3b, kt\u00f3re by\u0142y dotkni\u0119te w przesz\u0142o\u015bci HAPE, a wybieraj\u0105 si\u0119 w g\u00f3ry wysokie zalecana jest powolna, spokojna aklimatyzacja z bardzo zachowawczym profilem zdobywania wysoko\u015bci.<\/span><\/p>\n<h3 style=\"text-align: left;\"><b>Objawy \u00a0<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">Nag\u0142y spadek wydolno\u015bci (objaw g\u0142\u00f3wny), duszno\u015b\u0107 nawet przy niewielkim wysi\u0142ku, k\u0142opoty z oddychaniem, wysoka cz\u0119stotliwo\u015b\u0107 oddechu (&gt;30\/min.), kaszel (w tym \u201emokry\u201d kaszel), uczucie bulgotania w p\u0142ucach, szybsze t\u0119tno, uczucie parcia\/ciasnoty w klatce piersiowej, oddech z odg\u0142osem bulgotania, zasinienie twarzy, paznokci, apatia, w ci\u0119\u017ckich przypadkach krwawa, pienista wydzielina z ust, mo\u017ce wyst\u0119powa\u0107 r\u00f3wnie\u017c umiarkowana gor\u0105czka, a do tego mo\u017cemy mie\u0107 do czynienie ze wszystkimi objawami AMS.<\/span><\/p>\n<p><b>Jak zdiagnozowa\u0107<\/b><span style=\"font-weight: 400;\">: <\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">zauwa\u017calny spadek wydolno\u015bci;<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">szybszy oddech, duszno\u015bci, problemy z oddychaniem;<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">mokry kaszel;<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">s\u0142yszalne odg\u0142osy bulgotania w p\u0142ucach (partner przyk\u0142ada ucho do plec\u00f3w i diagnozuje).<\/span><\/li>\n<\/ul>\n<div id=\"attachment_3417\" style=\"width: 980px\" class=\"wp-caption alignnone\"><img decoding=\"async\" aria-describedby=\"caption-attachment-3417\" class=\"size-full wp-image-3417\" src=\"http:\/\/8a.pl\/8academy\/wp-content\/uploads\/2016\/03\/F1050125.jpg\" alt=\"Je\u015bli odczuwasz znaczne pogorszenie samopoczucia i pierwsze objawy choroby g\u00f3rskiej, natychmiast zejd\u017a na ni\u017csz\u0105 wysoko\u015b\u0107 (fot. Jarek Botor)\" width=\"970\" height=\"650\" srcset=\"https:\/\/8a.pl\/8academy\/wp-content\/uploads\/2016\/03\/F1050125.jpg 970w, https:\/\/8a.pl\/8academy\/wp-content\/uploads\/2016\/03\/F1050125-300x201.jpg 300w, https:\/\/8a.pl\/8academy\/wp-content\/uploads\/2016\/03\/F1050125-768x515.jpg 768w\" sizes=\"(max-width: 970px) 100vw, 970px\" \/><p id=\"caption-attachment-3417\" class=\"wp-caption-text\">Je\u015bli odczuwasz znaczne pogorszenie samopoczucia i pierwsze objawy choroby g\u00f3rskiej, natychmiast zejd\u017a na ni\u017csz\u0105 wysoko\u015b\u0107 (fot. Jarek Botor)<\/p><\/div>\n<h3 style=\"text-align: left;\"><b>Leczenie HAPE<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">W przypadku wysoko\u015bciowego obrz\u0119ku p\u0142uc, czas ma fundamentalne znaczenie, dlatego natychmiast wdra\u017camy procedur\u0119 ratownicz\u0105 i leczenie. Do ratowania osoby dotkni\u0119tej HAPE mo\u017ce by\u0107 potrzebny transport pomi\u0119dzy obozami, a wi\u0119c w akcj\u0119 musz\u0105 by\u0107 zaanga\u017cowane wszystkie dost\u0119pne si\u0142y. <\/span><\/p>\n<p><span style=\"font-weight: 400;\">Natychmiast po stwierdzeniu objaw\u00f3w obrz\u0119ku p\u0142uc schodzimy\/sprowadzamy tak\u0105 osob\u0119 ni\u017cej. Obni\u017cenie r\u00f3\u017cnicy wysoko\u015bci ju\u017c nawet o 300 m mo\u017ce poprawi\u0107 stan chorego.W praktyce 500 \u2013 1000 m r\u00f3\u017cnicy w ci\u0105gu znacz\u0105co wp\u0142ywa na popraw\u0119 stanu. Je\u017celi jednak zej\u015bcie nie jest mo\u017cliwe do zrealizowania w najbli\u017cszych godzinach (np. czekamy na posi\u0142ki z bazy, ze wzgl\u0119du na za\u0142amanie pogody etc.) g\u00f3rn\u0105 cz\u0119\u015b\u0107 cia\u0142a utrzymujemy w pozycji pionowej, chronimy pacjenta przed wych\u0142odzeniem, podajemy tlen i u\u017cywamy przeno\u015bnego worka hiperbarycznego \u2013 zyskujemy w ten spos\u00f3b czas, kt\u00f3ry wykorzystujemy na zorganizowanie akcji ratunkowej (cz\u0142onkowie wyprawy\/tragarze wysoko\u015bciowi\/helikopter). <\/span><\/p>\n<p><span style=\"font-weight: 400;\">Podajemy tak\u017ce leki: Acetazolamid (250 mg = 1 tabletka co 8 godz.), Nifedypina o przed\u0142u\u017conym dzia\u0142aniu (20 mg = 1 tabletka co 12 godz.) \u2013 nale\u017cy unika\u0107 Nifedypiny o szybkim uwalnianiu, poniewa\u017c mo\u017ce powodowa\u0107 znaczne obni\u017cenie ci\u015bnienia krwi.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Mo\u017cna stosowa\u0107 tak\u017ce leki wziewne w aerozolu np. Salbutamol (raczej rzadko tego typu leki zabieramy w apteczkach osobistych czy obozowych, ale ju\u017c na wyposa\u017ceniu apteczki bazy taki lek mo\u017ce si\u0119 znale\u017a\u0107). Mo\u017cna poda\u0107 leki rozszerzaj\u0105ce naczynia (np. Tadalafil, Sildenafil czy chocia\u017cby Viagra).<\/span><\/p>\n<h2 style=\"text-align: center;\"><b>HACE \u2013 wysokog\u00f3rski obrz\u0119k m\u00f3zgu<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">Nieleczony wysoko\u015bciowy obrz\u0119k m\u00f3zgu prowadzi do utraty przytomno\u015bci, a w ci\u0119\u017ckich przypadkach bardzo szybko, nawet w przeci\u0105gu godziny od pojawienia si\u0119 objaw\u00f3w, do \u015bmierci. Przyczyny HACE s\u0105 podobne jak przy AMS &#8211; brak dostarczaj\u0105cej ilo\u015bci tlenu. Pocz\u0105tkowe objawy r\u00f3wnie\u017c mog\u0105 by\u0107 pochodn\u0105 AMS, przy czym, jak ju\u017c wspomnia\u0142em, przebieg mo\u017ce by\u0107 dramatycznie szybki.<\/span><\/p>\n<h3 style=\"text-align: left;\"><b>Objawy<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">\u015aliny b\u00f3l g\u0142owy, brak reakcji na typowe leki przeciwb\u00f3lowe, nudno\u015bci, wymioty, ataksja, zawroty g\u0142owy, problemy z utrzymaniem r\u00f3wnowagi. Bardzo czu\u0142ym i prostym testem terenowym, kt\u00f3ry r\u00f3wnie\u017c u\u0142atwia r\u00f3\u017cnicowanie w sytuacjach niejednoznacznych, np. w przypadku ch\u0119ci zamaskowania objaw\u00f3w, jest test przej\u015bcia \u201estopa za stop\u0105\u201d po linii prostej. Je\u017celi osoba nie potrafi wykona\u0107 testu podejrzewamy wysokog\u00f3rski obrz\u0119k m\u00f3zgu. Objawami s\u0105 te\u017c zmiany w stanie \u015bwiadomo\u015bci, omamy i agresja. Etap ko\u0144cowy to \u015bpi\u0105czka i \u015bmier\u0107 wskutek pora\u017cenia czynno\u015bci oddechowej.<\/span><\/p>\n<p><b>Jak zdiagnozowa\u0107<\/b><span style=\"font-weight: 400;\">:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">obserwuj\u0105c partnera, jego zachowanie i spos\u00f3b poruszania si\u0119;<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">poprzez test: naprzemienne dotykanie wskazuj\u0105cym palcem prawej i lewej r\u0119ki czubka nosa;<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">licz\u0105c od 100 do 0;<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">dokonuj\u0105c przej\u015bcia metod\u0105 pi\u0119ta-palce po prostej linii.<\/span><\/li>\n<\/ul>\n<div id=\"lightbox-3402\" data-for=\"single-gallery-3402\" class=\"gallery-lightbox hidden-lightbox\"><div class=\"lightbox-images single-gallery\"><a class=\"close-lightbox\"><svg x=\"0px\" y=\"0px\" width=\"18px\" height=\"18px\" viewBox=\"0 0 18 18\">\r\n        <line fill=\"none\" stroke=\"#303133\" stroke-width=\"3\" stroke-linecap=\"round\" stroke-linejoin=\"round\" stroke-meterlimit=\"10\" x1=\"9\" y1=\"9\" x2=\"16\" y2=\"16\" class=\"reverse middle-right\" \/>\r\n        <line fill=\"none\" stroke=\"#303133\" stroke-width=\"3\" stroke-linecap=\"round\" stroke-linejoin=\"round\" stroke-meterlimit=\"10\" x1=\"2\" y1=\"2\" x2=\"9\" y2=\"9\" class=\"middle-left\" \/>\r\n        <line fill=\"none\" stroke=\"#303133\" stroke-width=\"3\" stroke-linecap=\"round\" stroke-linejoin=\"round\" stroke-meterlimit=\"10\" x1=\"9\" y1=\"9\" x2=\"16\" y2=\"2\" class=\"reverse last-line\"\/>\r\n        <line fill=\"none\" stroke=\"#303133\" stroke-width=\"3\" stroke-linecap=\"round\" stroke-linejoin=\"round\" stroke-meterlimit=\"10\"  x1=\"2\" y1=\"16\" x2=\"9\" y2=\"9\" class=\"first-line\"\/>\r\n<\/svg><\/a><a class=\"nav prev\"><svg width=\"8.031\" height=\"14\" viewBox=\"0 0 8.031 14\">\r\n  <path fill=\"#161b1b\" d=\"M7.736,7.694 L1.494,13.731 C1.149,14.065 0.590,14.065 0.246,13.731 C-0.099,13.398 -0.099,12.857 0.246,12.524 L5.979,6.978 L0.246,1.432 C-0.099,1.098 -0.099,0.558 0.246,0.224 C0.590,-0.109 1.149,-0.109 1.494,0.224 L7.736,6.262 C7.938,6.458 8.007,6.723 7.972,6.978 C8.007,7.233 7.938,7.498 7.736,7.694 Z\" \/>\r\n<\/svg>\r\n<\/a><a class=\"nav next\"><svg width=\"8.031\" height=\"14\" viewBox=\"0 0 8.031 14\">\r\n  <path fill=\"#161b1b\" d=\"M7.736,7.694 L1.494,13.731 C1.149,14.065 0.590,14.065 0.246,13.731 C-0.099,13.398 -0.099,12.857 0.246,12.524 L5.979,6.978 L0.246,1.432 C-0.099,1.098 -0.099,0.558 0.246,0.224 C0.590,-0.109 1.149,-0.109 1.494,0.224 L7.736,6.262 C7.938,6.458 8.007,6.723 7.972,6.978 C8.007,7.233 7.938,7.498 7.736,7.694 Z\" \/>\r\n<\/svg>\r\n<\/a><ul><li><img class=\"owl-lazy\" data-src=\"https:\/\/8a.pl\/8academy\/wp-content\/uploads\/2016\/03\/0357.jpg\" \/><div class=\"description text-center\"><p>Akcja ratunkowa podczas wyprawy na Aconcague (fot. Jarek Botor)<\/p><\/div><\/li><li><img class=\"owl-lazy\" data-src=\"https:\/\/8a.pl\/8academy\/wp-content\/uploads\/2016\/03\/0360.jpg\" \/><div class=\"description text-center\"><p>Akcja ratunkowa podczas wyprawy na Aconcague (fot. Jarek Botor)<\/p><\/div><\/li><li><img class=\"owl-lazy\" data-src=\"https:\/\/8a.pl\/8academy\/wp-content\/uploads\/2016\/03\/0368.jpg\" \/><div class=\"description text-center\"><p>Akcja ratunkowa podczas wyprawy na Aconcague (fot. Jarek Botor)<\/p><\/div><\/li><li><img class=\"owl-lazy\" data-src=\"https:\/\/8a.pl\/8academy\/wp-content\/uploads\/2016\/03\/0363.jpg\" \/><div class=\"description text-center\"><p>Akcja ratunkowa podczas wyprawy na Aconcague (fot. Jarek Botor)<\/p><\/div><\/li><\/ul><\/div><\/div><div class=\"single-gallery single-gallery-carousel single-gallery-hidden\" id=\"single-gallery-3402\"><div class=\"single-gallery-hover\"><div class=\"single-gallery-mode\"><a class=\"mode slide active\"><svg x=\"0px\" y=\"0px\" width=\"24px\" height=\"24px\" viewBox=\"0 0 24 24\">\r\n<style type=\"text\/css\">\r\n\t.st0{;stroke-width:3;stroke-linecap:round;stroke-linejoin:round;stroke-miterlimit:10;}\r\n<\/style>\r\n<line fill=\"none\" stroke=\"#ffffff\" stroke-width=\"3\" x1=\"2\" y1=\"22.5\" x2=\"22\" y2=\"22.5\"\/>\r\n<path fill=\"none\" stroke=\"#ffffff\" stroke-width=\"3\" d=\"M18.1,12.8l-2.7-4.2l-2.9,4L9,6.9l-7.5,8.6c0,1.1,0.9,2,2,2h17c1.1,0,2-0.9,2-2v-12c0-1.1-0.9-2-2-2h-17\r\n\tc-1.1,0-2,0.9-2,2V7\"\/>\r\n<\/svg>\r\n<\/a><a class=\"mode thumb\"><svg x=\"0px\" y=\"0px\" width=\"24px\" height=\"24px\" viewBox=\"0 0 24 24\">\r\n<path fill=\"none\" stroke=\"#ffffff\" stroke-width=\"3\" d=\"M20.5,9.5h-4c-1.1,0-2-0.9-2-2v-4c0-1.1,0.9-2,2-2h4c1.1,0,2,0.9,2,2v4C22.5,8.6,21.6,9.5,20.5,9.5z\"\/>\r\n<path fill=\"none\" stroke=\"#ffffff\" stroke-width=\"3\" d=\"M7.5,9.5h-4c-1.1,0-2-0.9-2-2v-4c0-1.1,0.9-2,2-2h4c1.1,0,2,0.9,2,2v4C9.5,8.6,8.6,9.5,7.5,9.5z\"\/>\r\n<path fill=\"none\" stroke=\"#ffffff\" stroke-width=\"3\" d=\"M19,22.5h-2.5c-1.1,0-2-0.9-2-2v-4c0-1.1,0.9-2,2-2h4c1.1,0,2,0.9,2,2V19\"\/>\r\n<path fill=\"none\" stroke=\"#ffffff\" stroke-width=\"3\" d=\"M7.5,22.5h-4c-1.1,0-2-0.9-2-2v-4c0-1.1,0.9-2,2-2h4c1.1,0,2,0.9,2,2v4C9.5,21.6,8.6,22.5,7.5,22.5z\"\/>\r\n<\/svg><\/a><\/div><div class=\"single-gallery-thumbnails\"><div class=\"single-gallery-thumbnails-wrapper\"><a class=\"active\" style=\"background-image: url(https:\/\/8a.pl\/8academy\/wp-content\/uploads\/2016\/03\/0357-150x150.jpg)\"><\/a><a style=\"background-image: url(https:\/\/8a.pl\/8academy\/wp-content\/uploads\/2016\/03\/0360-150x150.jpg)\"><\/a><a style=\"background-image: url(https:\/\/8a.pl\/8academy\/wp-content\/uploads\/2016\/03\/0368-150x150.jpg)\"><\/a><a style=\"background-image: url(https:\/\/8a.pl\/8academy\/wp-content\/uploads\/2016\/03\/0363-150x150.jpg)\"><\/a><\/div><\/div><\/div><a class=\"nav prev\"><svg width=\"8.031\" height=\"14\" viewBox=\"0 0 8.031 14\">\r\n  <path fill=\"#161b1b\" d=\"M7.736,7.694 L1.494,13.731 C1.149,14.065 0.590,14.065 0.246,13.731 C-0.099,13.398 -0.099,12.857 0.246,12.524 L5.979,6.978 L0.246,1.432 C-0.099,1.098 -0.099,0.558 0.246,0.224 C0.590,-0.109 1.149,-0.109 1.494,0.224 L7.736,6.262 C7.938,6.458 8.007,6.723 7.972,6.978 C8.007,7.233 7.938,7.498 7.736,7.694 Z\" \/>\r\n<\/svg>\r\n<\/a><a class=\"nav next\"><svg width=\"8.031\" height=\"14\" viewBox=\"0 0 8.031 14\">\r\n  <path fill=\"#161b1b\" d=\"M7.736,7.694 L1.494,13.731 C1.149,14.065 0.590,14.065 0.246,13.731 C-0.099,13.398 -0.099,12.857 0.246,12.524 L5.979,6.978 L0.246,1.432 C-0.099,1.098 -0.099,0.558 0.246,0.224 C0.590,-0.109 1.149,-0.109 1.494,0.224 L7.736,6.262 C7.938,6.458 8.007,6.723 7.972,6.978 C8.007,7.233 7.938,7.498 7.736,7.694 Z\" \/>\r\n<\/svg>\r\n<\/a><ul><li><img decoding=\"async\" src=\"https:\/\/8a.pl\/8academy\/wp-content\/uploads\/2016\/03\/0357.jpg\" \/><div class=\"description text-center\"><p>Akcja ratunkowa podczas wyprawy na Aconcague (fot. Jarek Botor)<\/p><div class=\"social-image\"><\/div><div class=\"mobile-nav\"><span class=\"counter\"><\/span><a class=\"nav prev\"><svg width=\"8.031\" height=\"14\" viewBox=\"0 0 8.031 14\">\r\n  <path fill=\"#161b1b\" d=\"M7.736,7.694 L1.494,13.731 C1.149,14.065 0.590,14.065 0.246,13.731 C-0.099,13.398 -0.099,12.857 0.246,12.524 L5.979,6.978 L0.246,1.432 C-0.099,1.098 -0.099,0.558 0.246,0.224 C0.590,-0.109 1.149,-0.109 1.494,0.224 L7.736,6.262 C7.938,6.458 8.007,6.723 7.972,6.978 C8.007,7.233 7.938,7.498 7.736,7.694 Z\" \/>\r\n<\/svg>\r\n<\/a><a class=\"nav next\"><svg width=\"8.031\" height=\"14\" viewBox=\"0 0 8.031 14\">\r\n  <path fill=\"#161b1b\" d=\"M7.736,7.694 L1.494,13.731 C1.149,14.065 0.590,14.065 0.246,13.731 C-0.099,13.398 -0.099,12.857 0.246,12.524 L5.979,6.978 L0.246,1.432 C-0.099,1.098 -0.099,0.558 0.246,0.224 C0.590,-0.109 1.149,-0.109 1.494,0.224 L7.736,6.262 C7.938,6.458 8.007,6.723 7.972,6.978 C8.007,7.233 7.938,7.498 7.736,7.694 Z\" \/>\r\n<\/svg>\r\n<\/a><\/div><\/div><\/li><li><img decoding=\"async\" src=\"https:\/\/8a.pl\/8academy\/wp-content\/uploads\/2016\/03\/0360.jpg\" \/><div class=\"description text-center\"><p>Akcja ratunkowa podczas wyprawy na Aconcague (fot. Jarek Botor)<\/p><div class=\"social-image\"><\/div><div class=\"mobile-nav\"><span class=\"counter\"><\/span><a class=\"nav prev\"><svg width=\"8.031\" height=\"14\" viewBox=\"0 0 8.031 14\">\r\n  <path fill=\"#161b1b\" d=\"M7.736,7.694 L1.494,13.731 C1.149,14.065 0.590,14.065 0.246,13.731 C-0.099,13.398 -0.099,12.857 0.246,12.524 L5.979,6.978 L0.246,1.432 C-0.099,1.098 -0.099,0.558 0.246,0.224 C0.590,-0.109 1.149,-0.109 1.494,0.224 L7.736,6.262 C7.938,6.458 8.007,6.723 7.972,6.978 C8.007,7.233 7.938,7.498 7.736,7.694 Z\" \/>\r\n<\/svg>\r\n<\/a><a class=\"nav next\"><svg width=\"8.031\" height=\"14\" viewBox=\"0 0 8.031 14\">\r\n  <path fill=\"#161b1b\" d=\"M7.736,7.694 L1.494,13.731 C1.149,14.065 0.590,14.065 0.246,13.731 C-0.099,13.398 -0.099,12.857 0.246,12.524 L5.979,6.978 L0.246,1.432 C-0.099,1.098 -0.099,0.558 0.246,0.224 C0.590,-0.109 1.149,-0.109 1.494,0.224 L7.736,6.262 C7.938,6.458 8.007,6.723 7.972,6.978 C8.007,7.233 7.938,7.498 7.736,7.694 Z\" \/>\r\n<\/svg>\r\n<\/a><\/div><\/div><\/li><li><img decoding=\"async\" src=\"https:\/\/8a.pl\/8academy\/wp-content\/uploads\/2016\/03\/0368.jpg\" \/><div class=\"description text-center\"><p>Akcja ratunkowa podczas wyprawy na Aconcague (fot. Jarek Botor)<\/p><div class=\"social-image\"><\/div><div class=\"mobile-nav\"><span class=\"counter\"><\/span><a class=\"nav prev\"><svg width=\"8.031\" height=\"14\" viewBox=\"0 0 8.031 14\">\r\n  <path fill=\"#161b1b\" d=\"M7.736,7.694 L1.494,13.731 C1.149,14.065 0.590,14.065 0.246,13.731 C-0.099,13.398 -0.099,12.857 0.246,12.524 L5.979,6.978 L0.246,1.432 C-0.099,1.098 -0.099,0.558 0.246,0.224 C0.590,-0.109 1.149,-0.109 1.494,0.224 L7.736,6.262 C7.938,6.458 8.007,6.723 7.972,6.978 C8.007,7.233 7.938,7.498 7.736,7.694 Z\" \/>\r\n<\/svg>\r\n<\/a><a class=\"nav next\"><svg width=\"8.031\" height=\"14\" viewBox=\"0 0 8.031 14\">\r\n  <path fill=\"#161b1b\" d=\"M7.736,7.694 L1.494,13.731 C1.149,14.065 0.590,14.065 0.246,13.731 C-0.099,13.398 -0.099,12.857 0.246,12.524 L5.979,6.978 L0.246,1.432 C-0.099,1.098 -0.099,0.558 0.246,0.224 C0.590,-0.109 1.149,-0.109 1.494,0.224 L7.736,6.262 C7.938,6.458 8.007,6.723 7.972,6.978 C8.007,7.233 7.938,7.498 7.736,7.694 Z\" \/>\r\n<\/svg>\r\n<\/a><\/div><\/div><\/li><li><img decoding=\"async\" src=\"https:\/\/8a.pl\/8academy\/wp-content\/uploads\/2016\/03\/0363.jpg\" \/><div class=\"description text-center\"><p>Akcja ratunkowa podczas wyprawy na Aconcague (fot. Jarek Botor)<\/p><div class=\"social-image\"><\/div><div class=\"mobile-nav\"><span class=\"counter\"><\/span><a class=\"nav prev\"><svg width=\"8.031\" height=\"14\" viewBox=\"0 0 8.031 14\">\r\n  <path fill=\"#161b1b\" d=\"M7.736,7.694 L1.494,13.731 C1.149,14.065 0.590,14.065 0.246,13.731 C-0.099,13.398 -0.099,12.857 0.246,12.524 L5.979,6.978 L0.246,1.432 C-0.099,1.098 -0.099,0.558 0.246,0.224 C0.590,-0.109 1.149,-0.109 1.494,0.224 L7.736,6.262 C7.938,6.458 8.007,6.723 7.972,6.978 C8.007,7.233 7.938,7.498 7.736,7.694 Z\" \/>\r\n<\/svg>\r\n<\/a><a class=\"nav next\"><svg width=\"8.031\" height=\"14\" viewBox=\"0 0 8.031 14\">\r\n  <path fill=\"#161b1b\" d=\"M7.736,7.694 L1.494,13.731 C1.149,14.065 0.590,14.065 0.246,13.731 C-0.099,13.398 -0.099,12.857 0.246,12.524 L5.979,6.978 L0.246,1.432 C-0.099,1.098 -0.099,0.558 0.246,0.224 C0.590,-0.109 1.149,-0.109 1.494,0.224 L7.736,6.262 C7.938,6.458 8.007,6.723 7.972,6.978 C8.007,7.233 7.938,7.498 7.736,7.694 Z\" \/>\r\n<\/svg>\r\n<\/a><\/div><\/div><\/li><\/ul><div class=\"mode-thumbnails-container\"><a class=\"col-xs-4\"><div class=\"cover-container\"><div class=\"cover\" style=\"background-image: url(https:\/\/8a.pl\/8academy\/wp-content\/uploads\/2016\/03\/0357-300x195.jpg)\"><\/div><\/div><svg x=\"0px\" y=\"0px\" width=\"24px\" height=\"24px\" viewBox=\"0 0 24 24\">\r\n<style type=\"text\/css\">\r\n\t.st0{fill:none;stroke:#303133;stroke-width:3;stroke-linecap:round;stroke-linejoin:round;stroke-miterlimit:10;}\r\n\t.st1{fill-rule:evenodd;clip-rule:evenodd;fill:none;stroke:#303133;stroke-width:3;stroke-linejoin:round;stroke-miterlimit:10;}\r\n\t\r\n\t\t.st2{fill-rule:evenodd;clip-rule:evenodd;fill:none;stroke:#303133;stroke-width:3;stroke-linecap:round;stroke-linejoin:round;stroke-miterlimit:10;}\r\n\t.st3{fill:none;stroke:#B4B5B7;stroke-width:2;stroke-linecap:round;stroke-linejoin:round;stroke-miterlimit:10;}\r\n\t\r\n\t\t.st4{fill-rule:evenodd;clip-rule:evenodd;fill:none;stroke:#303133;stroke-width:2;stroke-linecap:round;stroke-linejoin:round;stroke-miterlimit:10;}\r\n\t.st5{fill-rule:evenodd;clip-rule:evenodd;fill:#161B1B;}\r\n\t.st6{fill-rule:evenodd;clip-rule:evenodd;fill:#F26822;}\r\n\t.st7{fill:#F26822;}\r\n\t.st8{fill:none;stroke:#808285;stroke-width:6;stroke-linecap:round;stroke-linejoin:round;stroke-miterlimit:10;}\r\n\t.st9{fill:#161B1B;}\r\n\t.st10{fill:#808184;}\r\n<\/style>\r\n<g>\r\n\t<path fill=\"none\" stroke=\"#ffffff\" stroke-width=\"3\" d=\"M1.6,7.5v-4c0-1.1,0.9-2,2-2h4\"\/>\r\n\t<line fill=\"none\" stroke=\"#ffffff\" stroke-width=\"3\"  x1=\"2.9\" y1=\"2.9\" x2=\"8.1\" y2=\"8.1\"\/>\r\n<\/g>\r\n<g>\r\n\t<path fill=\"none\" stroke=\"#ffffff\" stroke-width=\"3\"  d=\"M22.5,16v4.1c0,1.1-1.3,2.4-2.4,2.4H16\"\/>\r\n\t<line fill=\"none\" stroke=\"#ffffff\" stroke-width=\"3\"  x1=\"20.8\" y1=\"20.8\" x2=\"15.6\" y2=\"15.5\"\/>\r\n<\/g>\r\n<g>\r\n\t<path fill=\"none\" stroke=\"#ffffff\" stroke-width=\"3\"  d=\"M16.5,1.5h4c1.1,0,2,0.9,2,2v4\"\/>\r\n\t<line fill=\"none\" stroke=\"#ffffff\" stroke-width=\"3\"  x1=\"21.1\" y1=\"2.8\" x2=\"15.9\" y2=\"8.1\"\/>\r\n<\/g>\r\n<g>\r\n\t<path fill=\"none\" stroke=\"#ffffff\" stroke-width=\"3\"  d=\"M8,22.5H3.9c-1.1,0-2.4-1.3-2.4-2.4V16\"\/>\r\n\t<line fill=\"none\" stroke=\"#ffffff\" stroke-width=\"3\"  x1=\"3.3\" y1=\"20.8\" x2=\"8.5\" y2=\"15.5\"\/>\r\n<\/g>\r\n<\/svg>\r\n<\/a><a class=\"col-xs-4\"><div class=\"cover-container\"><div class=\"cover\" style=\"background-image: url(https:\/\/8a.pl\/8academy\/wp-content\/uploads\/2016\/03\/0360-300x195.jpg)\"><\/div><\/div><svg x=\"0px\" y=\"0px\" width=\"24px\" height=\"24px\" viewBox=\"0 0 24 24\">\r\n<style type=\"text\/css\">\r\n\t.st0{fill:none;stroke:#303133;stroke-width:3;stroke-linecap:round;stroke-linejoin:round;stroke-miterlimit:10;}\r\n\t.st1{fill-rule:evenodd;clip-rule:evenodd;fill:none;stroke:#303133;stroke-width:3;stroke-linejoin:round;stroke-miterlimit:10;}\r\n\t\r\n\t\t.st2{fill-rule:evenodd;clip-rule:evenodd;fill:none;stroke:#303133;stroke-width:3;stroke-linecap:round;stroke-linejoin:round;stroke-miterlimit:10;}\r\n\t.st3{fill:none;stroke:#B4B5B7;stroke-width:2;stroke-linecap:round;stroke-linejoin:round;stroke-miterlimit:10;}\r\n\t\r\n\t\t.st4{fill-rule:evenodd;clip-rule:evenodd;fill:none;stroke:#303133;stroke-width:2;stroke-linecap:round;stroke-linejoin:round;stroke-miterlimit:10;}\r\n\t.st5{fill-rule:evenodd;clip-rule:evenodd;fill:#161B1B;}\r\n\t.st6{fill-rule:evenodd;clip-rule:evenodd;fill:#F26822;}\r\n\t.st7{fill:#F26822;}\r\n\t.st8{fill:none;stroke:#808285;stroke-width:6;stroke-linecap:round;stroke-linejoin:round;stroke-miterlimit:10;}\r\n\t.st9{fill:#161B1B;}\r\n\t.st10{fill:#808184;}\r\n<\/style>\r\n<g>\r\n\t<path fill=\"none\" stroke=\"#ffffff\" stroke-width=\"3\" d=\"M1.6,7.5v-4c0-1.1,0.9-2,2-2h4\"\/>\r\n\t<line fill=\"none\" stroke=\"#ffffff\" stroke-width=\"3\"  x1=\"2.9\" y1=\"2.9\" x2=\"8.1\" y2=\"8.1\"\/>\r\n<\/g>\r\n<g>\r\n\t<path fill=\"none\" stroke=\"#ffffff\" stroke-width=\"3\"  d=\"M22.5,16v4.1c0,1.1-1.3,2.4-2.4,2.4H16\"\/>\r\n\t<line fill=\"none\" stroke=\"#ffffff\" stroke-width=\"3\"  x1=\"20.8\" y1=\"20.8\" x2=\"15.6\" y2=\"15.5\"\/>\r\n<\/g>\r\n<g>\r\n\t<path fill=\"none\" stroke=\"#ffffff\" stroke-width=\"3\"  d=\"M16.5,1.5h4c1.1,0,2,0.9,2,2v4\"\/>\r\n\t<line fill=\"none\" stroke=\"#ffffff\" stroke-width=\"3\"  x1=\"21.1\" y1=\"2.8\" x2=\"15.9\" y2=\"8.1\"\/>\r\n<\/g>\r\n<g>\r\n\t<path fill=\"none\" stroke=\"#ffffff\" stroke-width=\"3\"  d=\"M8,22.5H3.9c-1.1,0-2.4-1.3-2.4-2.4V16\"\/>\r\n\t<line fill=\"none\" stroke=\"#ffffff\" stroke-width=\"3\"  x1=\"3.3\" y1=\"20.8\" x2=\"8.5\" y2=\"15.5\"\/>\r\n<\/g>\r\n<\/svg>\r\n<\/a><a class=\"col-xs-4\"><div class=\"cover-container\"><div class=\"cover\" style=\"background-image: url(https:\/\/8a.pl\/8academy\/wp-content\/uploads\/2016\/03\/0368-300x195.jpg)\"><\/div><\/div><svg x=\"0px\" y=\"0px\" width=\"24px\" height=\"24px\" viewBox=\"0 0 24 24\">\r\n<style type=\"text\/css\">\r\n\t.st0{fill:none;stroke:#303133;stroke-width:3;stroke-linecap:round;stroke-linejoin:round;stroke-miterlimit:10;}\r\n\t.st1{fill-rule:evenodd;clip-rule:evenodd;fill:none;stroke:#303133;stroke-width:3;stroke-linejoin:round;stroke-miterlimit:10;}\r\n\t\r\n\t\t.st2{fill-rule:evenodd;clip-rule:evenodd;fill:none;stroke:#303133;stroke-width:3;stroke-linecap:round;stroke-linejoin:round;stroke-miterlimit:10;}\r\n\t.st3{fill:none;stroke:#B4B5B7;stroke-width:2;stroke-linecap:round;stroke-linejoin:round;stroke-miterlimit:10;}\r\n\t\r\n\t\t.st4{fill-rule:evenodd;clip-rule:evenodd;fill:none;stroke:#303133;stroke-width:2;stroke-linecap:round;stroke-linejoin:round;stroke-miterlimit:10;}\r\n\t.st5{fill-rule:evenodd;clip-rule:evenodd;fill:#161B1B;}\r\n\t.st6{fill-rule:evenodd;clip-rule:evenodd;fill:#F26822;}\r\n\t.st7{fill:#F26822;}\r\n\t.st8{fill:none;stroke:#808285;stroke-width:6;stroke-linecap:round;stroke-linejoin:round;stroke-miterlimit:10;}\r\n\t.st9{fill:#161B1B;}\r\n\t.st10{fill:#808184;}\r\n<\/style>\r\n<g>\r\n\t<path fill=\"none\" stroke=\"#ffffff\" stroke-width=\"3\" d=\"M1.6,7.5v-4c0-1.1,0.9-2,2-2h4\"\/>\r\n\t<line fill=\"none\" stroke=\"#ffffff\" stroke-width=\"3\"  x1=\"2.9\" y1=\"2.9\" x2=\"8.1\" y2=\"8.1\"\/>\r\n<\/g>\r\n<g>\r\n\t<path fill=\"none\" stroke=\"#ffffff\" stroke-width=\"3\"  d=\"M22.5,16v4.1c0,1.1-1.3,2.4-2.4,2.4H16\"\/>\r\n\t<line fill=\"none\" stroke=\"#ffffff\" stroke-width=\"3\"  x1=\"20.8\" y1=\"20.8\" x2=\"15.6\" y2=\"15.5\"\/>\r\n<\/g>\r\n<g>\r\n\t<path fill=\"none\" stroke=\"#ffffff\" stroke-width=\"3\"  d=\"M16.5,1.5h4c1.1,0,2,0.9,2,2v4\"\/>\r\n\t<line fill=\"none\" stroke=\"#ffffff\" stroke-width=\"3\"  x1=\"21.1\" y1=\"2.8\" x2=\"15.9\" y2=\"8.1\"\/>\r\n<\/g>\r\n<g>\r\n\t<path fill=\"none\" stroke=\"#ffffff\" stroke-width=\"3\"  d=\"M8,22.5H3.9c-1.1,0-2.4-1.3-2.4-2.4V16\"\/>\r\n\t<line fill=\"none\" stroke=\"#ffffff\" stroke-width=\"3\"  x1=\"3.3\" y1=\"20.8\" x2=\"8.5\" y2=\"15.5\"\/>\r\n<\/g>\r\n<\/svg>\r\n<\/a><a class=\"col-xs-4\"><div class=\"cover-container\"><div class=\"cover\" style=\"background-image: url(https:\/\/8a.pl\/8academy\/wp-content\/uploads\/2016\/03\/0363-300x195.jpg)\"><\/div><\/div><svg x=\"0px\" y=\"0px\" width=\"24px\" height=\"24px\" viewBox=\"0 0 24 24\">\r\n<style type=\"text\/css\">\r\n\t.st0{fill:none;stroke:#303133;stroke-width:3;stroke-linecap:round;stroke-linejoin:round;stroke-miterlimit:10;}\r\n\t.st1{fill-rule:evenodd;clip-rule:evenodd;fill:none;stroke:#303133;stroke-width:3;stroke-linejoin:round;stroke-miterlimit:10;}\r\n\t\r\n\t\t.st2{fill-rule:evenodd;clip-rule:evenodd;fill:none;stroke:#303133;stroke-width:3;stroke-linecap:round;stroke-linejoin:round;stroke-miterlimit:10;}\r\n\t.st3{fill:none;stroke:#B4B5B7;stroke-width:2;stroke-linecap:round;stroke-linejoin:round;stroke-miterlimit:10;}\r\n\t\r\n\t\t.st4{fill-rule:evenodd;clip-rule:evenodd;fill:none;stroke:#303133;stroke-width:2;stroke-linecap:round;stroke-linejoin:round;stroke-miterlimit:10;}\r\n\t.st5{fill-rule:evenodd;clip-rule:evenodd;fill:#161B1B;}\r\n\t.st6{fill-rule:evenodd;clip-rule:evenodd;fill:#F26822;}\r\n\t.st7{fill:#F26822;}\r\n\t.st8{fill:none;stroke:#808285;stroke-width:6;stroke-linecap:round;stroke-linejoin:round;stroke-miterlimit:10;}\r\n\t.st9{fill:#161B1B;}\r\n\t.st10{fill:#808184;}\r\n<\/style>\r\n<g>\r\n\t<path fill=\"none\" stroke=\"#ffffff\" stroke-width=\"3\" d=\"M1.6,7.5v-4c0-1.1,0.9-2,2-2h4\"\/>\r\n\t<line fill=\"none\" stroke=\"#ffffff\" stroke-width=\"3\"  x1=\"2.9\" y1=\"2.9\" x2=\"8.1\" y2=\"8.1\"\/>\r\n<\/g>\r\n<g>\r\n\t<path fill=\"none\" stroke=\"#ffffff\" stroke-width=\"3\"  d=\"M22.5,16v4.1c0,1.1-1.3,2.4-2.4,2.4H16\"\/>\r\n\t<line fill=\"none\" stroke=\"#ffffff\" stroke-width=\"3\"  x1=\"20.8\" y1=\"20.8\" x2=\"15.6\" y2=\"15.5\"\/>\r\n<\/g>\r\n<g>\r\n\t<path fill=\"none\" stroke=\"#ffffff\" stroke-width=\"3\"  d=\"M16.5,1.5h4c1.1,0,2,0.9,2,2v4\"\/>\r\n\t<line fill=\"none\" stroke=\"#ffffff\" stroke-width=\"3\"  x1=\"21.1\" y1=\"2.8\" x2=\"15.9\" y2=\"8.1\"\/>\r\n<\/g>\r\n<g>\r\n\t<path fill=\"none\" stroke=\"#ffffff\" stroke-width=\"3\"  d=\"M8,22.5H3.9c-1.1,0-2.4-1.3-2.4-2.4V16\"\/>\r\n\t<line fill=\"none\" stroke=\"#ffffff\" stroke-width=\"3\"  x1=\"3.3\" y1=\"20.8\" x2=\"8.5\" y2=\"15.5\"\/>\r\n<\/g>\r\n<\/svg>\r\n<\/a><\/div><\/div><div class=\"preloader-box\"><div class=\"preloader\"><span><svg x=\"0px\" y=\"0px\" width=\"72px\" height=\"57px\" viewBox=\"0 0 72 57\">\r\n<path fill=\"none\" stroke=\"#606264\" stroke-width=\"6\" stroke-linecap=\"round\" stroke-linejoin=\"round\" stroke-miterlimit=\"10\" d=\"M55.3,38.9l-8.6-13.1l-9.2,12.5L26.7,19.9L3,47.5C3,50.9,5.8,54,9.3,54H63c3.5,0,6-3.3,6-6.8V9.3\r\n\tC69,5.8,66.4,3,63,3H9.3C5.8,3,3,5.8,3,9.3v11.2\"\/>\r\n<\/svg><\/span><p>Wczytuj\u0119 galeri\u0119<\/p><\/div><\/div>\n<h3 style=\"text-align: left;\"><b>Leczenie HACE<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">Tak jak w przypadku HAPE nie ma czasu na dywagacje. Je\u017celi tylko mo\u017cna, natychmiast schodzimy ni\u017cej 500 \u2013 1000 m, zwracaj\u0105c szczeg\u00f3ln\u0105 uwag\u0119 na bezpiecze\u0144stwo pacjenta. Leczenie jest podobne jak w przypadku wysokog\u00f3rskiego obrz\u0119ku p\u0142uc, ale zamiast Nifedypiny podajemy Deksametazon \u2013 je\u015bli pacjent jest przytomny powinien otrzyma\u0107 doustnie dawk\u0119 (8 mg co 6 godz.) do pe\u0142nego ust\u0105pienia objaw\u00f3w. Deksametazon nie leczy przyczyn obrz\u0119ku m\u00f3zgu, a jedynie objawy HACE dlatego nie stanowi alternatywy dla nieschodzenia w d\u00f3\u0142. W ci\u0119\u017ckich przypadkach, podajemy do\u017cylnie lub domi\u0119\u015bniowo dawk\u0119 wst\u0119pn\u0105 (8 \u2013 10 mg). W ci\u0119\u017ckich warunkach dawk\u0119 domi\u0119\u015bniow\u0105 mo\u017cna poda\u0107 przez ubranie. W niesprzyjaj\u0105cych okoliczno\u015bciach \u0142atwiejsze do przygotowania i wykorzystania mog\u0105 by\u0107 ampu\u0142kostrzykawki fabrycznie przygotowane do u\u017cycia. Mo\u017cliwe jest r\u00f3wnie\u017c wypicie zawarto\u015bci ampu\u0142ki. Dodatkowo korzystne mo\u017ce by\u0107 zastosowanie Acetazolamidu w dawce 250 mg dwa razy dziennie. Mo\u017cna poda\u0107 tlen i stosowa\u0107 przeno\u015bny worek hiperbaryczny, w kt\u00f3rym zwi\u0119kszamy ci\u015bnienie. Je\u017celi zej\u015bcie jest niemo\u017cliwe kontynuujemy leczenie do skutku i organizujemy akcj\u0119 ratunkow\u0105 (mobilizujemy wszelkie dost\u0119pne \u015brodki). Powr\u00f3t to formy mo\u017ce trwa\u0107 do 14 dni, czasami jednak pozostaj\u0105 trwa\u0142e zaburzenia po przebytym HACE.<\/span><\/p>\n<h2 style=\"text-align: center;\"><b>Podsumowanie<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">AMS, HAPE, HACE to oczywi\u015bcie nie wszystkie choroby wysoko\u015bciowe jakie mog\u0105 nas dotkn\u0105\u0107 w zwi\u0105zku z przebywaniem\u00a0w g\u00f3rach, ale z tymi mo\u017cemy spotka\u0107 si\u0119 najcz\u0119\u015bciej i na nie jeste\u015bmy szczeg\u00f3lnie nara\u017ceni. Jak zosta\u0142o powiedziane wy\u017cej, szalenie wa\u017cn\u0105 kwesti\u0105 jest umiej\u0119tne rozpoznanie objaw\u00f3w u partnera i szybka reakcja na nie, czyli w\u0142a\u015bciwe leczenie nierzadko z organizowaniem akcji ratunkowej w\u0142\u0105cznie. Kluczow\u0105 kwesti\u0105 jest tak\u017ce w\u0142a\u015bciwa, ale przede wszystkim uczciwa ocena swojego w\u0142asnego stanu zdrowia na etapie, kiedy to jeszcze mo\u017cliwe oraz odpowiednia reakcja na niepokoj\u0105ce objawy. Ignorowanie pierwszych symptom\u00f3w choroby i celowe wchodzenie na wi\u0119ksze\u00a0wysoko\u015bci (np. przy ataku szczytowym) nara\u017ca na niebezpiecze\u0144stwo nie tylko nas samych, ale tak\u017ce i naszych wspinaczkowych partner\u00f3w.<\/span><\/p>\n<h2 style=\"text-align: center;\">Vademecum<\/h2>\n<h4 style=\"text-align: left;\">AMS- CHOROBA G\u00d3RSKA<\/h4>\n<ul>\n<li><strong>objawy<\/strong>&#8211; b\u00f3l g\u0142owy, s\u0142aby apetyt, nudno\u015bci, wymioty, zm\u0119czenie, brak snu,<\/li>\n<li><strong>zalecenia<\/strong>&#8211; przez 24 godziny zakaz wychodzenia w g\u00f3r\u0119, odpoczynek, leki przeciwb\u00f3lowe, zej\u015bcie ni\u017cej,<\/li>\n<li><strong>leki<\/strong>&#8211; przeciwb\u00f3lowo: \u00a0Ibuprofen 400 mg co 6 godzin, w przypadku transportu na du\u017ce wysoko\u015bci samolotem\/helikopterem: Acetazolamid 250 mg (Diuramid, Diamox), Deksametazon.<\/li>\n<\/ul>\n<h4 style=\"text-align: left;\">HAPE- OBRZ\u0118K P\u0141UC<\/h4>\n<ul>\n<li><strong>objawy<\/strong>&#8211; k\u0142opoty z oddychaniem, wyra\u017any spadek wydolno\u015bci, przyspieszony oddech, duszno\u015bci, wilgotny kaszel, uczucie bulgotania w p\u0142ucach, sine usta, niemo\u017cno\u015b\u0107 uspokojenia oddechu, duszno\u015bci nawet przy odpoczynku,<\/li>\n<li><strong>zalecenia<\/strong>&#8211; natychmiastowe zej\u015bcie na d\u00f3\u0142, podanie tlenu, worek hiperbaryczny, akcja ratunkowa,<\/li>\n<li>\u00a0<strong>leki<\/strong>&#8211;\u00a0Acetazolamid 250 mg = jedna tabletka co 8 godzin, Nifedypina o przed\u0142u\u017conym dzia\u0142aniu 20 mg= jedna tabletka co 12 godzin, Adalat, mo\u017cna stosowa\u0107 r\u00f3wnie\u017c leki wziewne w aerozolu np. Salbutamol oraz leki rozszerzaj\u0105ce naczynia krwiono\u015bne np. Tadalafil, Sildenafil, Viagra.<\/li>\n<\/ul>\n<h4 style=\"text-align: left;\">HACE- OBRZ\u0118K M\u00d3ZGU<\/h4>\n<ul>\n<li><strong>objawy<\/strong>-podobne do AMS, silny b\u00f3l g\u0142owy, zaburzenia zachowania, agresja, spowolnienie reakcji, wymioty, zaburzenie widzenia, dezorientacja w czasie i przestrzeni, uczucie irracjonalno\u015bci rzeczy, senno\u015b\u0107, \u015bpi\u0105czka,<\/li>\n<li><strong>rozpoznanie<\/strong>&#8211; nale\u017cy zamkn\u0105\u0107 oczy i naprzemiennie dotyka\u0107 nosa palcem wskazuj\u0105cym\u00a0prawej i lewej reki, pr\u00f3bowa\u0107 odlicza\u0107 od 100 do 0,<\/li>\n<li><strong>zalecenia<\/strong>&#8211; po podaniu lek\u00f3w natychmiast schodzi\u0107 na d\u00f3\u0142, poda\u0107 tlen , worek hiperbarycznym akcja ratunkowa,<\/li>\n<li><strong>leki<\/strong>&#8211; Deksametazon 8 mg, potem 4 mg co 6 godzin, Acetazolamid co 8 godzin.<\/li>\n<\/ul>\n<h4 style=\"text-align: left;\">UDAR M\u00d3ZGU<\/h4>\n<ul>\n<li><strong>objawy<\/strong>&#8211; opadaj\u0105cy k\u0105cik ust, zaburzenia mowy, k\u0142opoty w utrzymaniu r\u00f3wnowagi,<\/li>\n<li><strong>zalecenia<\/strong>&#8211; akcja ratunkowa,<\/li>\n<li><strong>leki<\/strong>&#8211; aspiryna, heparyna.<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>Choroba wysoko\u015bciowa mo\u017ce dotkn\u0105\u0107 ka\u017cdego, kto przekroczy wysoko\u015b\u0107 2500 metr\u00f3w. Przyczyny s\u0105 r\u00f3\u017cne i zale\u017c\u0105 r\u00f3wnie\u017c od indywidualnych predyspozycji organizmu. Pierwsze symptomy mog\u0105 wyst\u0105pi\u0107 po oko\u0142o czterech godzinach przebywania na danej wysoko\u015bci i je\u015bli maj\u0105 wyst\u0105pi\u0107, to wyst\u0105pi\u0105 w czasie nie d\u0142u\u017cszym ni\u017c jedna doba. <\/p>\n","protected":false},"author":10,"featured_media":3280,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_uf_show_specific_survey":0,"_uf_disable_surveys":false,"footnotes":""},"categories":[26071],"tags":[26086,26104,26069],"class_list":["post-3193","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-alpinizm","tag-alpinizm","tag-caloroczne","tag-poradnik"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v23.4 (Yoast SEO v25.5) - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Choroby wysoko\u015bciowe - przyczyny i zapobieganie - 8academy<\/title>\n<meta name=\"description\" content=\"Choroby wysoko\u015bciowe mog\u0105 dotkn\u0105\u0107 ka\u017cdego, kto przekroczy wysoko\u015b\u0107 2500 metr\u00f3w. Przyczyny s\u0105 zale\u017c\u0105 od indywidualnych predyspozycji organizmu...\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/8a.pl\/8academy\/choroby-wysokosciowe\/\" \/>\n<meta property=\"og:locale\" content=\"pl_PL\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Choroby wysoko\u015bciowe\" \/>\n<meta property=\"og:description\" content=\"Choroby wysoko\u015bciowe mog\u0105 dotkn\u0105\u0107 ka\u017cdego, kto przekroczy wysoko\u015b\u0107 2500 metr\u00f3w. Przyczyny s\u0105 zale\u017c\u0105 od indywidualnych predyspozycji organizmu...\" \/>\n<meta property=\"og:url\" content=\"https:\/\/8a.pl\/8academy\/choroby-wysokosciowe\/\" \/>\n<meta property=\"og:site_name\" content=\"8academy.pl - portal g\u00f3rski i wspinaczkowy dla aktywnych\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/pl-pl.facebook.com\/sklep8apl\/\" \/>\n<meta property=\"article:published_time\" content=\"2016-03-17T09:26:41+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2024-05-19T22:14:03+00:00\" \/>\n<meta property=\"og:image\" content=\"http:\/\/8a.pl\/8academy\/wp-content\/uploads\/2016\/03\/005_HI_2013B-540-0.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"1000\" \/>\n\t<meta property=\"og:image:height\" content=\"650\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"Janusz Go\u0142\u0105b\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Napisane przez\" \/>\n\t<meta name=\"twitter:data1\" content=\"Janusz Go\u0142\u0105b\" \/>\n\t<meta name=\"twitter:label2\" content=\"Szacowany czas czytania\" \/>\n\t<meta name=\"twitter:data2\" content=\"12 minut\" \/>\n<!-- \/ Yoast SEO Premium plugin. -->","yoast_head_json":{"title":"Choroby wysoko\u015bciowe - przyczyny i zapobieganie - 8academy","description":"Choroby wysoko\u015bciowe mog\u0105 dotkn\u0105\u0107 ka\u017cdego, kto przekroczy wysoko\u015b\u0107 2500 metr\u00f3w. Przyczyny s\u0105 zale\u017c\u0105 od indywidualnych predyspozycji organizmu...","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/8a.pl\/8academy\/choroby-wysokosciowe\/","og_locale":"pl_PL","og_type":"article","og_title":"Choroby wysoko\u015bciowe","og_description":"Choroby wysoko\u015bciowe mog\u0105 dotkn\u0105\u0107 ka\u017cdego, kto przekroczy wysoko\u015b\u0107 2500 metr\u00f3w. Przyczyny s\u0105 zale\u017c\u0105 od indywidualnych predyspozycji organizmu...","og_url":"https:\/\/8a.pl\/8academy\/choroby-wysokosciowe\/","og_site_name":"8academy.pl - portal g\u00f3rski i wspinaczkowy dla aktywnych","article_publisher":"https:\/\/pl-pl.facebook.com\/sklep8apl\/","article_published_time":"2016-03-17T09:26:41+00:00","article_modified_time":"2024-05-19T22:14:03+00:00","og_image":[{"width":1000,"height":650,"url":"http:\/\/8a.pl\/8academy\/wp-content\/uploads\/2016\/03\/005_HI_2013B-540-0.jpg","type":"image\/jpeg"}],"author":"Janusz Go\u0142\u0105b","twitter_card":"summary_large_image","twitter_misc":{"Napisane przez":"Janusz Go\u0142\u0105b","Szacowany czas czytania":"12 minut"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"Article","@id":"https:\/\/8a.pl\/8academy\/choroby-wysokosciowe\/#article","isPartOf":{"@id":"https:\/\/8a.pl\/8academy\/choroby-wysokosciowe\/"},"author":{"name":"Janusz Go\u0142\u0105b","@id":"https:\/\/8a.pl\/8academy\/#\/schema\/person\/1248a547d04150e8d48f07282830284c"},"headline":"Choroby wysoko\u015bciowe","datePublished":"2016-03-17T09:26:41+00:00","dateModified":"2024-05-19T22:14:03+00:00","mainEntityOfPage":{"@id":"https:\/\/8a.pl\/8academy\/choroby-wysokosciowe\/"},"wordCount":2364,"commentCount":4,"publisher":{"@id":"https:\/\/8a.pl\/8academy\/#organization"},"image":{"@id":"https:\/\/8a.pl\/8academy\/choroby-wysokosciowe\/#primaryimage"},"thumbnailUrl":"https:\/\/8a.pl\/8academy\/wp-content\/uploads\/2016\/03\/005_HI_2013B-540-0.jpg","keywords":["Alpinizm","Ca\u0142oroczne","Poradnik"],"articleSection":["Alpinizm"],"inLanguage":"pl-PL","potentialAction":[{"@type":"CommentAction","name":"Comment","target":["https:\/\/8a.pl\/8academy\/choroby-wysokosciowe\/#respond"]}]},{"@type":"WebPage","@id":"https:\/\/8a.pl\/8academy\/choroby-wysokosciowe\/","url":"https:\/\/8a.pl\/8academy\/choroby-wysokosciowe\/","name":"Choroby wysoko\u015bciowe - przyczyny i zapobieganie - 8academy","isPartOf":{"@id":"https:\/\/8a.pl\/8academy\/#website"},"primaryImageOfPage":{"@id":"https:\/\/8a.pl\/8academy\/choroby-wysokosciowe\/#primaryimage"},"image":{"@id":"https:\/\/8a.pl\/8academy\/choroby-wysokosciowe\/#primaryimage"},"thumbnailUrl":"https:\/\/8a.pl\/8academy\/wp-content\/uploads\/2016\/03\/005_HI_2013B-540-0.jpg","datePublished":"2016-03-17T09:26:41+00:00","dateModified":"2024-05-19T22:14:03+00:00","description":"Choroby wysoko\u015bciowe mog\u0105 dotkn\u0105\u0107 ka\u017cdego, kto przekroczy wysoko\u015b\u0107 2500 metr\u00f3w. Przyczyny s\u0105 zale\u017c\u0105 od indywidualnych predyspozycji organizmu...","breadcrumb":{"@id":"https:\/\/8a.pl\/8academy\/choroby-wysokosciowe\/#breadcrumb"},"inLanguage":"pl-PL","potentialAction":[{"@type":"ReadAction","target":["https:\/\/8a.pl\/8academy\/choroby-wysokosciowe\/"]}]},{"@type":"ImageObject","inLanguage":"pl-PL","@id":"https:\/\/8a.pl\/8academy\/choroby-wysokosciowe\/#primaryimage","url":"https:\/\/8a.pl\/8academy\/wp-content\/uploads\/2016\/03\/005_HI_2013B-540-0.jpg","contentUrl":"https:\/\/8a.pl\/8academy\/wp-content\/uploads\/2016\/03\/005_HI_2013B-540-0.jpg","width":1000,"height":650,"caption":"White Sail Peak, India. Photo: Chris Figenshau"},{"@type":"BreadcrumbList","@id":"https:\/\/8a.pl\/8academy\/choroby-wysokosciowe\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Strona g\u0142\u00f3wna","item":"https:\/\/8a.pl\/8academy\/"},{"@type":"ListItem","position":2,"name":"Choroby wysoko\u015bciowe"}]},{"@type":"WebSite","@id":"https:\/\/8a.pl\/8academy\/#website","url":"https:\/\/8a.pl\/8academy\/","name":"8academy.pl - portal g\u00f3rski i wspinaczkowy dla aktywnych","description":"8academy to portal g\u00f3rski o wspinaczce, trekkingu i skiturach. Znajdziesz tu porady, testy sprz\u0119tu i opisy najlepszych rejon\u00f3w. Inspirujemy zdobywc\u00f3w!","publisher":{"@id":"https:\/\/8a.pl\/8academy\/#organization"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/8a.pl\/8academy\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"pl-PL"},{"@type":"Organization","@id":"https:\/\/8a.pl\/8academy\/#organization","name":"8academy.pl - portal g\u00f3rski i wspinaczkowy dla aktywnych","url":"https:\/\/8a.pl\/8academy\/","logo":{"@type":"ImageObject","inLanguage":"pl-PL","@id":"https:\/\/8a.pl\/8academy\/#\/schema\/logo\/image\/","url":"https:\/\/8a.pl\/8academy\/wp-content\/uploads\/2015\/11\/logo.png","contentUrl":"https:\/\/8a.pl\/8academy\/wp-content\/uploads\/2015\/11\/logo.png","width":438,"height":315,"caption":"8academy.pl - portal g\u00f3rski i wspinaczkowy dla aktywnych"},"image":{"@id":"https:\/\/8a.pl\/8academy\/#\/schema\/logo\/image\/"},"sameAs":["https:\/\/pl-pl.facebook.com\/sklep8apl\/","https:\/\/www.instagram.com\/8apl\/"]},{"@type":"Person","@id":"https:\/\/8a.pl\/8academy\/#\/schema\/person\/1248a547d04150e8d48f07282830284c","name":"Janusz Go\u0142\u0105b","image":{"@type":"ImageObject","inLanguage":"pl-PL","@id":"https:\/\/8a.pl\/8academy\/#\/schema\/person\/image\/","url":"https:\/\/8a.pl\/8academy\/wp-content\/uploads\/2017\/10\/janusz_golab-min.jpg","contentUrl":"https:\/\/8a.pl\/8academy\/wp-content\/uploads\/2017\/10\/janusz_golab-min.jpg","caption":"Janusz Go\u0142\u0105b"},"description":"Polski alpinista i himalaista, pierwszy zimowy zdobywca o\u015bmiotysi\u0119cznika Gaszerbrum I (9 marca 2012 r., wraz z Adamem Bieleckim). Wspina si\u0119 od 1986 roku, jest cz\u0142onkiem Klubu Wysokog\u00f3rskiego Gliwice. Wraz z Jackiem Fluderem i Stanis\u0142awem Piecuchem stworzyli zesp\u00f3\u0142 wspinaczkowy, kt\u00f3ry zyska\u0142 przydomek \u201eDream Team\u201d. P\u00f3\u017aniej do\u0142\u0105czy\u0142 do nich Grzegorz Skorek (1978\u20132004). Ekipa ta w latach 90 XX w. i na pocz\u0105tku XXI w. dokona\u0142a serii najznakomitszych wspinaczek o charakterze alpejskim w historii polskiego alpinizmu. Pisze dla nas o: g\u00f3rach wysokich, wspinaczce, poradach g\u00f3rskich i wyprawach.","url":"https:\/\/8a.pl\/8academy\/author\/janusz-golab\/"}]}},"_links":{"self":[{"href":"https:\/\/8a.pl\/8academy\/wp-json\/wp\/v2\/posts\/3193","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/8a.pl\/8academy\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/8a.pl\/8academy\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/8a.pl\/8academy\/wp-json\/wp\/v2\/users\/10"}],"replies":[{"embeddable":true,"href":"https:\/\/8a.pl\/8academy\/wp-json\/wp\/v2\/comments?post=3193"}],"version-history":[{"count":1,"href":"https:\/\/8a.pl\/8academy\/wp-json\/wp\/v2\/posts\/3193\/revisions"}],"predecessor-version":[{"id":69395,"href":"https:\/\/8a.pl\/8academy\/wp-json\/wp\/v2\/posts\/3193\/revisions\/69395"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/8a.pl\/8academy\/wp-json\/wp\/v2\/media\/3280"}],"wp:attachment":[{"href":"https:\/\/8a.pl\/8academy\/wp-json\/wp\/v2\/media?parent=3193"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/8a.pl\/8academy\/wp-json\/wp\/v2\/categories?post=3193"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/8a.pl\/8academy\/wp-json\/wp\/v2\/tags?post=3193"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}