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เตรียมร่างกายให้พร้อมสำหรับการบิน โดย ไทยแอร์เวย์

27/03/2014 21:21 (อ่าน: 2814)


It is recommended for international passengers to seek the medical examination and advise for vaccination,safety precaution, information on the cultural changes at destination and duration of the trip.

Be fit on board with TG

General service

Pretravelling medical examinations

It is recommended for international passengers to seek the medical examination and advise for vaccination,safety precaution, information on the cultural changes at destination and duration of the trip.

Whilst traveling

Air travel may have physical or psychological effects : stress, abdominal distension, ear pain, sinus congestion, leg swelling, body ache, airsickness, jet lack and in rare case deep vein thrombosis.

Some recommendations to keep good form during flight :
• Avoid heavy meal before and during flight
• Breath deeply, be relax because the stress will increase gastric acidity and abdominal discomfort
• Keep hydrated by drinking water or fruit juice throughout the flight, avoid alcohol and caffeinated drinks because of its diuretic effect
• Use moisturizer to prevent skin dryness
• Wear loose fitting cloths, take off shoes and move around in the cabin
• Stretching and moving the body as recommended for in-flight exercises
• Consult the doctor for appropriate treatment to prevent airsickness, keep eyes fixed on a non-moving object during turbulence
• For personnel hygiene wash hands regularly

Well controlled diabetes can travel by adjusting the treatment and meal to time zones, diabetic is provided if demanded. Patients with insulin should inform the company before departure and carry on the medical certificate written in english for syringes and needles on board.

Some health hazards from pressure changes during flght :
• Otitis and sinusitis
Passengers with nasal allergy or chronic sinusitis are more prone to have ear and sinus problems because of low humidity in cabin, the change in cabin pressure during ascent and descent aggravate nasal congestion. Especially during descent, Eustachian tube trends to collapse in the middle ear, resulting in the characteristic “pop” sensation, difficulty hearing and pain. To avoid ear blockage :

o Keep hydrated by drinking throughout the flight
o Use nasal decongestant spray or normal saline spray, decongestants 30 minutes before departure to prevent nasal swelling
o To prevent blockage, accomplish frequent swallowing, chewing or gentle Vasalva maneuver (holding nose and generating pressure against a close mouth until ear pop)

• Jet lag
Transmeridian flight through a number of time zones rapidly in long-haul flight cause sleeping difficulties from biological clock and circadian rhythm disorder. The main symptoms are sleeping difficulty, tiredness, dizziness, constipation and decrease mental and physical performances. Old aged passengers, passengers traveling night flight and eastward are more sensitive to jet lag. To re-synchronize easily the internal biological clock, some tricks can be used :
o Avoid drinking alcohol and caffeinated drinks, melatonin or short action hypnotics can be used (melatonin is contra-indicated in children, people taking warfarine or who have epilepsy)
o Going to bed one hour earlier and awakening one hour earlier three days before traveling eastward and later if traveling westward
o Natural light exposure during day at the new destination will help resynchronization

• Deep vein thrombosis (DVT)

Economy class syndrome is a condition in which the thrombus develops in deep veins due to long distance flight, variation of cabin atmosphere (decrease in humidity and hypoxia), immobility and dehydration. The dangerous sequel to DVT is pulmonary embolism. Symptoms of DVT can come late after flight by aching or soreness in the calf, sweliing in the calf or ankles and slight fever or feeling unwell.

People with the following risk factors should be aware of DVT :
o People over 40
o Past history of venous thrombosis
o Recent surgery especially abdominal, pelvic or leg surgery
o Prolonged immobilization
o Coagulation problems or increase blood viscosity
o Pregnancy or recent delivery
o Cancer
o Cardiovascular diseases
o Estrogen hormone therapy or oral contraception
o Cigarettes smokers
o Varicose vein
o Obesity

Safety precaution to avoid DVT :
o Wear loose fitting and comfortable clothing
o Wear graduated compression stocking
o Keep hydrated by drinking lots of water throughout the flight
o Leave the underneath of the front seat free to be able to move the legs
o Walk oftenly in the cabin
o Exercise as recommended in the aircraft
o High risk passengers should consult the treating doctor before trip for prevention with low molecular weight heparine or aspirin

On board Medical Assistance

TG likes every airlines has some capability to render medical care inflight. Cabin crews are well and regularly trained for first aid and cardiopulmonary resuscitation, they also may ask for assistance from on board medical doctor. The medical equipments available are as follow :

• First- aid kit can be used by the cabin crews
• Medical kits (one white and one black) are available for on board medical doctor or when use of defibrillator
• Automatic external defibrillator (AED)
• Wheelchair on board for long distance flight