ꯑꯦꯅꯤꯎꯔꯤꯖꯝ ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯏꯆꯝ ꯆꯝꯕꯥ ꯋꯥꯍꯟꯊꯣꯛ ꯑꯃꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯁꯤ꯫

‘ꯑꯦꯅꯤꯎꯔꯤꯖꯝ’ ꯍꯥꯌꯕꯥ ꯋꯥꯍꯩ ꯑꯁꯤ ꯑꯗꯣꯝꯅꯥ ꯇꯥꯕꯤꯔꯝꯂꯒꯅꯤ? ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯄꯅꯈ꯭ꯔꯕꯁꯨ, ꯅꯠꯠꯔꯒꯥ ꯅꯍꯥꯛꯀꯤ ꯏꯃꯨꯡꯒꯤ ꯃꯤꯑꯣꯏ ꯑꯃꯗꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯂꯩꯔꯝꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤ ꯈꯔꯥ ꯂꯥꯡꯇꯛꯅꯔꯕꯁꯨ, ꯃꯁꯤ ꯈꯉꯖꯤꯅꯕꯥ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫ ꯉꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯑꯦꯅꯤꯎꯔꯤꯖꯝ ꯑꯃꯒꯤꯗꯃꯛ ꯇ꯭ꯔꯦꯗꯤꯁ꯭ꯅꯦꯜ ꯑꯣꯄꯟ ꯁꯔꯖꯔꯤ, ꯍꯥꯌꯕꯗꯤ ‘ꯇ꯭ꯔꯦꯗꯤꯁ꯭ꯅꯦꯜ ꯑꯣꯄꯟ ꯁꯔꯖꯔꯤ’ꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯒꯅꯤ꯫

ꯑꯦꯅꯤꯎꯔꯤꯖꯝ ꯁꯔꯖꯔꯤ ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ?

ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯑꯦꯅꯤꯎꯔꯤꯖꯝ ꯁꯔꯖꯔꯤ ꯍꯥꯌꯕꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯜ ꯑꯣꯏꯔꯤꯕꯥ ꯑꯦꯑꯣꯔꯇꯥꯗꯥ ꯂꯩꯕꯥ ꯑꯦꯅꯤꯎꯔꯤꯖꯝ ꯑꯃꯒꯤ ꯂꯥꯏꯌꯦꯡ ꯑꯃꯅꯤ꯫ ꯑꯦꯑꯣꯔꯇꯥ ꯑꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯂꯩꯕꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯏꯁꯤꯡꯒꯤ ꯄꯥꯏꯄꯒꯨꯝꯅꯥ ꯑꯣꯏ꯫ ꯃꯁꯤꯒꯤ ꯋꯥꯜ ꯑꯃꯅꯥ ꯕꯦꯂꯨꯅꯒꯨꯝꯅꯥ ꯁꯣꯟꯊꯔꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯁꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯑꯩꯈꯣꯌꯅꯥ ꯃꯁꯤꯕꯨ ``ꯑꯦꯑꯣꯔꯇꯤꯛ ꯑꯦꯅꯤꯎꯔꯤꯖꯝ`` ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯈꯨꯗꯣꯡꯊꯤꯅꯤꯉꯥꯏ ꯑꯣꯏ, ꯃꯔꯃꯗꯤ ꯕꯣꯜ ꯑꯗꯨ ꯁꯣꯀꯄꯥ (rupture) ꯅꯠꯠꯔꯒꯥ ꯁꯣꯀꯄꯥ (dissection) ꯌꯥꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯗꯨ ꯑꯣꯏꯔꯕꯗꯤ ꯄꯨꯟꯁꯤꯗꯥ ꯈꯨꯗꯣꯡꯊꯤꯕꯥ ꯐꯥꯑꯣꯕꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫

ꯑꯗꯨꯅꯥ ꯑꯣꯄꯔꯦꯁꯟ ꯑꯁꯤꯗꯥ ꯁꯔꯖꯔꯤ ꯑꯃꯅꯥ ꯑꯦꯑꯣꯔꯇꯥꯒꯤ ꯑꯁꯣꯀꯄꯥ, ꯁꯣꯀꯄꯥ ꯁꯔꯨꯛ ꯑꯗꯨ ꯂꯧꯊꯣꯀꯏ ꯑꯃꯁꯨꯡ ꯃꯗꯨꯒꯤ ꯃꯍꯨꯠꯇꯥ ꯑꯥꯔꯇꯤꯐꯤꯁꯤꯑꯦꯜ ꯇꯤꯁ꯭ꯌꯨꯅꯥ ꯁꯦꯝꯕꯥ ꯇꯨꯕꯒꯨꯝꯕꯥ ꯁ꯭ꯠꯔꯀꯆꯔ ꯑꯃꯅꯥ ꯃꯍꯨꯠ ꯁꯤꯜꯂꯤ꯫ ꯃꯁꯤꯕꯨ ꯑꯩꯈꯣꯌꯅꯥ ꯒ꯭ꯔꯥꯐ ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ ꯃꯁꯤꯒꯤ ꯒ꯭ꯔꯥꯐꯠ ꯑꯁꯤꯅꯥ ꯑꯅꯧꯕꯥ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯜ ꯑꯃꯒꯨꯝꯅꯥ ꯊꯕꯛ ꯇꯧꯏ, ꯃꯁꯤꯅꯥ ꯏ ꯑꯁꯤ ꯁꯥꯐꯅꯥ ꯑꯃꯁꯨꯡ ꯑꯊꯤꯡꯕꯥ ꯂꯩꯇꯅꯥ ꯆꯦꯅꯕꯥ ꯌꯥꯍꯜꯂꯤ꯫

ꯃꯁꯤ ꯑꯆꯧꯕꯥ ꯑꯣꯄꯔꯦꯁꯟ ꯑꯃꯅꯤ꯫ ꯁꯔꯖꯔꯤ ꯑꯗꯨꯅꯥ ꯑꯦꯅꯤꯎꯔꯤꯖꯝ ꯑꯗꯨ ꯑꯦꯛꯁꯦꯁ ꯇꯧꯅꯕꯒꯤꯗꯃꯛ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡ ꯅꯠꯠꯔꯒꯥ ꯈꯣꯡꯗꯥ ꯑꯆꯧꯕꯥ ꯏꯅꯁꯤꯁꯟ ꯑꯃꯥ ꯁꯦꯃꯒꯗꯕꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯂꯩꯔꯕꯗꯤ, ꯑꯩꯈꯣꯌꯅꯥ ꯃꯁꯤꯕꯨ `(ꯊꯣꯔꯥꯁꯤꯛ ꯑꯦꯑꯣꯔꯇꯤꯛ ꯑꯦꯅꯤꯎꯔꯤꯖꯝ)` ꯍꯥꯌꯅꯥ ꯀꯧꯏ, ꯑꯃꯁꯨꯡ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯈꯔꯥ ꯍꯦꯟꯅꯥ ꯅꯦꯝꯂꯕꯗꯤ, ꯑꯩꯈꯣꯌꯅꯥ ꯃꯁꯤꯕꯨ `(ꯑꯦꯕꯗꯣꯃꯤꯅꯦꯜ ꯑꯦꯑꯣꯔꯇꯤꯛ ꯑꯦꯅꯤꯎꯔꯤꯖꯝ)` ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫

ꯁꯔꯖꯔꯤ ꯑꯁꯤ ꯀꯅꯥꯅꯥ ꯇꯁꯦꯡꯅꯥ ꯃꯊꯧ ꯇꯥꯔꯤꯕꯅꯣ?

ꯃꯁꯤꯒꯤ ꯁꯔꯖꯔꯤ ꯑꯁꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯁꯔꯨꯛ ꯑꯅꯤꯗꯥ ꯃꯊꯧ ꯇꯥꯏ꯫ ꯑꯃꯅꯥ ꯑꯦꯃꯔꯖꯦꯟꯁꯤ ꯑꯣꯏꯅꯥ ꯇꯧꯏ, ꯑꯃꯁꯨꯡ ꯑꯇꯣꯞꯄꯥ ꯑꯃꯅꯥ ꯔꯤꯁ꯭ꯛ ꯑꯃꯥ ꯂꯥꯀꯄꯥ ꯃꯃꯥꯡꯗꯥ ꯄ꯭ꯂꯥꯟ ꯇꯧꯗꯨꯅꯥ ꯄꯥꯡꯊꯣꯀꯏ꯫

1. ꯑꯦꯃꯔꯖꯦꯟꯁꯤ ꯑꯃꯥ ꯑꯣꯏꯅꯥ (ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯦꯅꯤꯎꯔꯤꯖꯝ ꯑꯗꯨ ꯊꯨꯒꯥꯌꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯁꯣꯀꯍꯜꯂꯕꯗꯤ)

ꯃꯁꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯈꯨꯗꯣꯡꯊꯤꯅꯤꯡꯉꯥꯏ ꯑꯣꯏꯕꯥ ꯐꯤꯚꯃꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯦꯅꯤꯎꯔꯤꯖꯝ ꯑꯗꯨ ꯁꯣꯀꯍꯜꯂꯕꯗꯤ, ꯃꯁꯤ ꯄꯨꯟꯁꯤ ꯅꯠꯠꯔꯒꯥ ꯁꯤꯕꯒꯤ ꯐꯤꯚꯝ ꯑꯃꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯈꯪꯍꯧꯗꯅꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯊꯦꯡꯅꯔꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯈꯨꯗꯛꯇꯥ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯜ ꯑꯃꯒꯤ ꯏꯃꯔꯖꯦꯟꯁꯤ ꯗꯤꯄꯥꯔꯇꯃꯦꯟꯇ (ETU)ꯗꯥ ꯆꯠꯀꯗꯕꯅꯤ .

2. ꯔꯤꯁ꯭ꯛ ꯑꯃꯥ ꯂꯥꯀꯄꯥ ꯃꯃꯥꯡꯗꯥ (ꯄ꯭ꯂꯥꯟ ꯇꯧꯔꯕꯥ ꯁꯔꯖꯔꯤ ꯑꯃꯥ ꯑꯣꯏꯅꯥ)

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯑꯦꯅꯤꯎꯔꯤꯖꯝ ꯑꯃꯥ ꯂꯩꯔꯦ ꯍꯥꯌꯕꯥ ꯈꯪꯂꯕꯗꯤ, ꯃꯍꯥꯛꯅꯥ ꯃꯗꯨ ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯌꯦꯡꯁꯤꯅꯒꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯁꯤꯡꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯍꯦꯛꯇꯅꯥ ꯊꯣꯛꯂꯕꯗꯤ, ꯑꯦꯅꯤꯎꯔꯤꯖꯝ ꯑꯗꯨ ꯊꯨꯒꯥꯌꯕꯒꯤ ꯔꯤꯁ꯭ꯛ ꯑꯁꯤ ꯍꯦꯟꯅꯥ ꯋꯥꯡꯏ꯫ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯀꯦꯁꯁꯤꯡꯗꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯁꯔꯖꯔꯤ ꯇꯧꯅꯕꯥ ꯋꯥꯔꯦꯞ ꯂꯧꯕꯥ ꯌꯥꯏ꯫

• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡ, ꯈꯣꯡ, ꯈꯣꯡ, ꯈꯣꯡ, ꯅꯠꯠꯔꯒꯥ ꯅꯨꯡꯒꯤ ꯑꯣꯏꯕꯥ ꯈꯣꯡꯗꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯂꯩꯔꯕꯗꯤ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯗꯨ ꯈꯣꯡꯗꯥ ꯁꯣꯀꯄꯥ ꯌꯥꯕꯥ ꯑꯣꯏꯔꯕꯗꯤ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯀꯣꯛ ꯆꯤꯀꯄꯥ, ꯈꯣꯟꯖꯦꯜ ꯊꯣꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ ꯂꯩꯔꯕꯗꯤ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯦꯅꯤꯎꯔꯤꯖꯝ ꯑꯗꯨ ꯁꯦꯟꯇꯤꯃꯤꯇꯔ 5ꯗꯒꯤ ꯍꯦꯜꯂꯕꯗꯤ .
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯦꯅꯤꯎꯔꯤꯖꯝ ꯑꯗꯨ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯍꯦꯅꯒꯠꯂꯛꯂꯕꯗꯤ (ꯆꯍꯤ ꯑꯃꯗꯥ ꯁꯦꯟꯇꯤꯃꯤꯇꯔ 1ꯗꯒꯤ ꯍꯦꯟꯅꯥ)꯫

ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯥ ꯋꯥꯔꯦꯞ ꯂꯧꯅꯕꯒꯤꯗꯃꯛ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯄꯨꯅꯕꯥ ꯍꯀꯁꯦꯜ, ꯑꯦꯅꯤꯎꯔꯤꯖꯃꯒꯤ ꯁꯥꯏꯖ ꯑꯃꯁꯨꯡ ꯃꯁꯤꯒꯤ ꯃꯐꯝ ꯑꯁꯤꯅꯆꯤꯡꯕꯥ ꯐꯦꯛꯇꯔ ꯀꯌꯥ ꯈꯟꯅꯒꯅꯤ꯫ ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯥꯔꯐꯦꯟ ꯁꯤꯟꯗ꯭ꯔꯣꯃꯒꯨꯝꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯥ ꯂꯩꯔꯕꯗꯤ, ꯑꯄꯤꯀꯄꯥ ꯑꯦꯅꯤꯎꯔꯤꯖꯝ ꯑꯃꯁꯨ ꯈꯨꯗꯣꯡꯊꯤꯅꯤꯉꯥꯏ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯑꯊꯨꯕꯥ ꯃꯇꯃꯗꯥ ꯁꯔꯖꯔꯤ ꯇꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯏ꯫

ꯁꯔꯖꯔꯤꯒꯤ ꯃꯃꯥꯡꯗꯥ ꯀꯔꯤ ꯊꯣꯀꯏ?

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯄ꯭ꯂꯥꯟ ꯇꯧꯔꯕꯥ ꯁꯔꯖꯔꯤ ꯑꯃꯥ ꯑꯣꯏꯔꯕꯗꯤ, ꯁꯦꯝ-ꯁꯥꯕꯥ ꯑꯁꯤ ꯅꯨꯃꯤꯠ ꯀꯌꯥꯅꯤꯒꯤ ꯃꯃꯥꯡꯗꯥ ꯍꯧꯏ꯫

• ꯃꯦꯗꯤꯀꯦꯜ ꯇꯦꯁ꯭ꯇꯁꯤꯡ: ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯌꯦꯡꯁꯤꯅꯒꯅꯤ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡ ꯑꯗꯨ ꯁꯔꯖꯔꯤꯒꯤꯗꯃꯛꯇꯥ ꯁꯦꯝ-ꯁꯥꯔꯦ ꯍꯥꯌꯕꯥ ꯌꯦꯡꯅꯕꯥ ꯇꯦꯁ꯭ꯠ ꯀꯌꯥ ꯑꯃꯥ ꯄꯥꯡꯊꯣꯛꯀꯅꯤ꯫
• ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯕꯥ: ꯅꯍꯥꯛꯅꯥ ꯂꯧꯔꯤꯕꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛ ꯄꯨꯝꯅꯃꯛ (ꯑꯣꯚꯔ-ꯗꯤ-ꯀꯎꯟꯇꯔ, ꯍꯔꯕꯦꯜ, ꯚꯤꯇꯥꯃꯤꯅꯁꯤꯡ)ꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯈꯪꯍꯅꯒꯗꯕꯅꯤ꯫ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛ ꯈꯔꯗꯤ ꯁꯔꯖꯔꯤꯒꯤ ꯃꯃꯥꯡꯗꯥ ꯃꯈꯣꯌꯗꯨ ꯂꯧꯕꯥ ꯂꯦꯄꯍꯅꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯏ꯫
• ꯑꯇꯣꯞꯄꯥ ꯂꯥꯌꯅꯥꯁꯤꯡ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯥ : ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯍꯥꯏ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔꯒꯨꯝꯕꯥ ꯂꯥꯌꯅꯥꯁꯤꯡ ꯂꯩꯔꯕꯗꯤ ꯃꯈꯣꯌꯗꯨ ꯁꯔꯖꯔꯤ ꯇꯧꯗ꯭ꯔꯤꯉꯩꯗꯥ ꯐꯖꯅꯥ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯏ꯫
• ꯃꯩꯈꯨ ꯊꯥꯗꯣꯀꯄꯥ ꯊꯤꯡꯕꯥ: ꯁꯔꯖꯔꯤꯒꯤ ꯃꯃꯥꯡꯗꯥ ꯌꯥꯃꯗ꯭ꯔꯕꯗꯥ ꯊꯥ ꯑꯃꯒꯤ ꯃꯃꯥꯡꯗꯥ ꯃꯩꯈꯨ ꯊꯥꯗꯣꯀꯄꯥ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯂꯦꯄꯍꯅꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫
• ꯑꯅꯥꯕꯁꯤꯡ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯅꯥꯕꯥ ꯑꯃꯥ ꯍꯦꯛꯇꯥ ꯂꯩꯔꯕꯗꯤ, ꯍꯥꯌꯕꯗꯤ ꯀꯣꯜꯗ ꯅꯠꯠꯔꯒꯥ ꯐꯤꯕꯔ ꯑꯁꯤꯅꯆꯤꯡꯕꯥ ꯂꯩꯔꯕꯗꯤ, ꯃꯗꯨꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯈꯪꯍꯜꯂꯨ꯫

ꯗꯣꯛꯇꯔꯅꯥ ꯑꯗꯣꯃꯗꯥ ꯑꯈꯟꯅꯕꯥ ꯏꯅꯁ꯭ꯠꯔꯛꯁꯟ ꯈꯔꯥ ꯄꯤꯒꯅꯤ, ꯃꯗꯨꯗꯤ ꯁꯔꯖꯔꯤꯒꯤ ꯃꯃꯥꯡꯒꯤ ꯅꯨꯃꯤꯠꯇꯥ ꯅꯨꯃꯤꯗꯥꯡꯋꯥꯏꯔꯃꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯏꯁꯤꯡ ꯊꯀꯄꯥ ꯌꯥꯗꯕꯅꯤ꯫

ꯁꯔꯖꯔꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯀꯔꯤ ꯊꯣꯀꯏ?

ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯃꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯃꯠꯇꯥ ꯐꯥꯎꯔꯣꯏ꯫ ꯅꯍꯥꯀꯄꯨ ꯖꯦꯅꯦꯔꯦꯜ ꯑꯦꯅꯥꯁ꯭ꯇꯦꯁꯤꯌꯥꯒꯤ ꯃꯈꯥꯗꯥ ꯇꯨꯝꯕꯥ ꯌꯥꯍꯅꯒꯅꯤ꯫ ꯁꯔꯖꯔꯤ ꯑꯁꯤ ꯃꯍꯧꯁꯥꯅꯥ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯄꯨꯡ 3-4 ꯐꯥꯎꯕꯥ ꯆꯪꯏ꯫ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯈꯣꯡꯊꯥꯡꯁꯤꯡ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤ꯫

1. ꯏꯅꯁꯤꯁꯟ: ꯁꯔꯖꯔꯤꯅꯥ ꯑꯦꯅꯤꯎꯔꯤꯖꯝ ꯑꯗꯨ ꯌꯧꯅꯕꯥ ꯆꯦꯁ꯭ꯠ ꯅꯠꯠꯔꯒꯥ ꯑꯦꯕꯗꯣꯃꯦꯅꯗꯥ ꯁꯥꯡꯅꯥ ꯏꯅꯁꯤꯁꯟ ꯇꯧꯏ꯫

2. ꯀ꯭ꯂꯦꯝꯄꯤꯡ: ꯑꯈꯟꯅꯕꯥ ꯗꯤꯚꯥꯏꯁꯁꯤꯡꯅꯥ ꯑꯦꯅꯤꯎꯔꯤꯖꯃꯒꯤ ꯃꯊꯛꯇꯥ ꯑꯃꯁꯨꯡ ꯃꯈꯥꯗꯥ ꯂꯩꯕꯥ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯂꯁꯤꯡ ꯃꯇꯝ ꯈꯔꯒꯤ ꯑꯣꯏꯅꯥ ꯊꯤꯡꯖꯤꯜꯂꯤ꯫ ꯃꯇꯝ ꯑꯁꯤꯗꯥ ꯍꯥꯔꯠ-ꯂꯪꯁ ꯃꯦꯁꯤꯟ ꯑꯃꯥ ꯁꯤꯖꯤꯟꯅꯗꯨꯅꯥ ꯍꯀꯆꯥꯡꯒꯤ ꯑꯇꯩ ꯃꯐꯃꯁꯤꯡꯗꯥ ꯏ ꯊꯥꯗꯣꯀꯄꯥ ꯌꯥꯏ꯫

3. ꯒ꯭ꯔꯥꯐꯠ ꯏꯅꯁꯥꯔꯁꯟ: ꯁꯣꯀꯄꯥ, ꯑꯁꯣꯀꯄꯥ ꯁꯔꯨꯛ ꯑꯗꯨ ꯂꯧꯊꯣꯀꯏ ꯑꯃꯁꯨꯡ ꯃꯗꯨꯒꯤ ꯃꯍꯨꯠꯇꯥ ꯑꯥꯔꯇꯤꯐꯤꯁꯤꯑꯦꯜ ꯇꯤꯎꯕ ꯑꯃꯅꯥ ꯃꯍꯨꯠ ꯁꯤꯜꯂꯤ, ꯃꯗꯨꯕꯨ ``ꯒ꯭ꯔꯥꯐ꯭ꯠ'' ꯍꯥꯌꯅꯥ ꯀꯧꯏ, ꯃꯗꯨ ꯁꯨꯃꯍꯠꯄꯥ ꯑꯃꯁꯨꯡ ꯐꯤꯛꯁ ꯇꯧꯏ꯫

4. ꯊꯤꯡꯖꯤꯅꯕꯥ: ꯑꯔꯣꯏꯕꯗꯥ, ꯏꯅꯁꯤꯁꯟ ꯑꯗꯨ ꯁ꯭ꯇꯤꯆ ꯅꯠꯠꯔꯒꯥ ꯁ꯭ꯇꯦꯄꯂꯁꯤꯡꯅꯥ ꯊꯤꯡꯖꯤꯜꯂꯤ꯫

ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯀꯔꯤ ꯑꯣꯏꯒꯅꯤ?

ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ, ꯅꯍꯥꯀꯄꯨ ꯏꯟꯇꯦꯟꯁꯤꯚ ꯀꯦꯌꯔ ꯌꯨꯅꯤꯠ (ICU)ꯗꯥ ꯇ꯭ꯔꯥꯟꯁꯐꯔ ꯇꯧꯒꯅꯤ꯫ ꯃꯐꯝ ꯑꯗꯨꯗꯥ ꯅꯈꯣꯌꯕꯨ ꯅꯨꯃꯤꯠ ꯀꯌꯥꯅꯤ ꯃꯣꯅꯤꯇꯔ ꯇꯧꯒꯅꯤ꯫ ꯑꯄꯨꯅꯕꯥ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯂꯗꯥ ꯂꯩꯕꯒꯤ ꯃꯇꯝ ꯑꯁꯤ ꯅꯨꯃꯤꯠ 3 ꯑꯃꯁꯨꯡ 10ꯒꯤ ꯃꯔꯛꯇꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯂꯗꯥ, ꯅꯍꯥꯛꯅꯥ:

• ꯌꯨꯔꯤꯅꯔꯤ ꯀꯦꯇꯦꯒꯣꯔꯤ ꯑꯃꯥ ꯊꯥꯏ꯫
• ꯅꯥꯀꯣꯡꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯇꯤꯎꯕ ꯑꯃꯥ ꯊꯥꯏ꯫
• ꯏ ꯊꯣꯀꯄꯥ ꯊꯤꯡꯅꯕꯥ ꯑꯦꯟꯇꯤ-ꯀꯣꯒꯨꯂꯦꯟꯇꯁꯤꯡ ꯄꯤꯔꯤ꯫
• ꯃꯈꯣꯌꯅꯥ ꯈꯣꯡꯗꯥ ꯏ ꯊꯣꯀꯄꯥ ꯊꯤꯡꯅꯕꯥ ꯑꯈꯟꯅꯕꯥ ꯁꯣꯀꯁꯤꯡ ꯁꯤꯖꯤꯟꯅꯅꯕꯥ ꯄꯥꯎꯇꯥꯛ ꯄꯤꯕꯥ ꯌꯥꯏ꯫
• ꯄꯦꯏꯅꯀꯤꯂꯔꯁꯤꯡ ꯄꯤꯔꯤ꯫

ꯅꯍꯥꯛꯅꯥ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯆꯠꯄꯥ ꯍꯧꯒꯗꯕꯅꯤ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯄꯥꯉ꯭ꯒꯜ ꯑꯗꯨ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯐꯪꯍꯅꯒꯗꯕꯅꯤ꯫ ꯑꯗꯨꯕꯨ ꯅꯤꯡꯁꯤꯡꯕꯤꯌꯨ, ꯃꯁꯤ ꯑꯆꯧꯕꯥ ꯁꯔꯖꯔꯤ ꯑꯃꯅꯤ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡ ꯑꯗꯨ ꯐꯒꯠꯂꯀꯄꯒꯤ ꯃꯇꯝ ꯄꯤꯕꯥ ꯃꯊꯧ ꯇꯥꯏ꯫ ꯀꯅꯥꯒꯨꯝꯕꯥ ꯑꯃꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯌꯨꯃꯗꯥ ꯄꯨꯔꯛꯅꯕꯥ ꯊꯧꯔꯥꯡ ꯇꯧꯕꯤꯌꯨ꯫ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯑꯌꯥꯕꯥ ꯄꯤꯗ꯭ꯔꯤꯐꯥꯎꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯒꯥꯔꯤ ꯊꯧꯕꯥ ꯌꯥꯔꯣꯏ꯫

ꯔꯤꯀꯣꯚꯔꯤꯒꯤ ꯃꯇꯝ ꯑꯃꯁꯨꯡ ꯆꯦꯀꯁꯤꯅꯒꯗꯕꯥ ꯋꯥꯐꯃꯁꯤꯡ꯫

ꯃꯍꯧꯁꯥꯅꯥ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯐꯒꯠꯂꯀꯄꯗꯥ ꯅꯨꯃꯤꯠ 4-6ꯅꯤ ꯆꯪꯏ, ꯑꯗꯨꯕꯨ ꯈꯔꯗꯤ ꯊꯥ 2-3 ꯐꯥꯎꯕꯥ ꯆꯪꯂꯕꯁꯨ ꯌꯥꯏ꯫

ꯐꯒꯠꯂꯀꯄꯒꯤ ꯃꯇꯃꯗꯥ ꯉꯥꯛꯅꯥ ꯆꯠꯀꯗꯕꯥ ꯑꯊꯤꯡꯕꯁꯤꯡ꯫

• ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯍꯥꯌꯔꯛꯠꯔꯤꯐꯥꯎꯕꯥ ꯒꯥꯔꯤ ꯊꯧꯒꯅꯨ꯫
• ꯏꯅꯁꯤꯁꯟ ꯑꯗꯨ ꯐꯒꯠꯂꯛꯠꯔꯤꯐꯥꯎꯕꯥ ꯏꯁꯤꯡꯒꯤ ꯇꯕ ꯑꯃꯗꯥ ꯂꯨꯄꯊꯣꯛꯂꯣꯏꯗꯕꯅꯤ꯫ ꯅꯍꯥꯛꯅꯥ ꯁꯣꯔꯣꯛ ꯑꯃꯥ ꯂꯧꯕꯥ ꯌꯥꯏ꯫
• ꯀꯤꯂꯣꯒ꯭ꯔꯥꯝ 4.5 (10 lbs)ꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯂꯨꯝꯕꯥ ꯑꯔꯨꯝꯕꯥ ꯂꯧꯊꯣꯀꯎ꯫
• ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ (breath out of breaks) ꯌꯥꯝꯅꯥ ꯀꯟꯅꯥ ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯇꯧꯒꯅꯨ꯫

ꯏꯅꯁꯤꯁꯅꯒꯤ ꯑꯁꯣꯀꯄꯥ ꯑꯗꯨ ꯌꯦꯡꯁꯤꯅꯕꯥ꯫

ꯅꯍꯥꯛꯅꯥ ꯀꯣꯛ ꯆꯤꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯈꯣꯝꯂꯥꯡ ꯏꯅꯕꯤꯕꯥ ꯃꯇꯃꯗꯥ, ꯏꯅꯁꯤꯁꯟ ꯑꯗꯨꯒꯤ ꯃꯊꯛꯇꯥ ꯊꯥꯎꯃꯩ ꯑꯃꯥ ꯊꯝꯃꯨ ꯑꯃꯁꯨꯡ ꯃꯗꯨ ꯊꯤꯡꯖꯤꯜꯂꯨ꯫ ꯃꯁꯤꯅꯥ ꯑꯅꯥꯕꯥ ꯑꯗꯨ ꯍꯟꯊꯍꯅꯒꯅꯤ ꯑꯃꯁꯨꯡ ꯑꯁꯣꯀꯄꯥ ꯑꯗꯨ ꯉꯥꯀꯊꯣꯛꯀꯅꯤ꯫ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯍꯥꯌꯔꯀꯄꯒꯨꯝꯅꯥ ꯑꯁꯣꯀꯄꯥ ꯑꯗꯨ ꯁꯦꯡꯅꯥ ꯊꯝꯃꯨ꯫

ꯈꯨꯗꯛꯇꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯇꯥꯟꯅꯒꯗꯕꯥ ꯃꯇꯃꯗꯥ꯫

ꯅꯍꯥꯛꯀꯤ ꯔꯤꯀꯣꯚꯔꯤꯒꯤ ꯃꯇꯃꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡ ꯑꯗꯨ ꯌꯥꯝꯅꯥ ꯀꯨꯞꯅꯥ ꯌꯦꯡꯁꯤꯅꯕꯤꯌꯨ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯍꯦꯛꯇꯕꯨ ꯊꯦꯡꯅꯔꯕꯗꯤ, ꯈꯨꯗꯛꯇꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯀꯧꯕꯤꯌꯨ꯫