ꯑꯌꯥꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯃꯤꯑꯣꯏ ꯈꯔꯅꯥ ꯑꯌꯨꯛꯇꯥ ꯇꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯗꯥ ꯑꯋꯥꯕꯥ ꯃꯥꯌꯣꯛꯅꯔꯤ ꯍꯥꯌꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯈꯉꯂꯕ꯭ꯔꯥ? ꯅꯉꯅꯥ ꯇꯧꯔꯝꯕꯥ ꯌꯥꯏ꯫ ꯅꯠꯔꯒꯥ ꯅꯍꯥꯛꯅꯥ ꯈꯉꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯅꯥ ꯂꯩꯔꯝꯕꯥ ꯌꯥꯏ꯫ ꯅꯣꯡꯃꯩ ꯀꯥꯞꯄꯥ, ꯃꯇꯝ ꯈꯔꯒꯤ ꯑꯣꯏꯅꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯉꯃꯗꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯈꯪꯍꯧꯗꯅꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯗꯥ ꯑꯋꯥꯕꯥ ꯃꯥꯌꯣꯛꯅꯔꯀꯄꯥ ꯑꯁꯤ ꯄꯨꯝꯅꯃꯛ ꯑꯁꯤꯒꯤ ꯃꯔꯝ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯅꯥ ꯉꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯇꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯒꯤ ꯑꯋꯥꯕꯥ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯈꯉꯗꯣꯀꯄꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯂꯤꯕꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯥꯏꯄꯥꯀꯄꯥ ꯑꯃꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯒꯅꯤ, ꯃꯔꯨꯑꯣꯏꯅꯥ ꯑꯣꯕꯁ꯭ꯠꯔꯀꯆꯔ ꯁ꯭ꯂꯤꯞ ꯑꯦꯄꯅꯤꯌꯥꯒꯨꯝꯕꯥ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ , ꯑꯃꯁꯨꯡ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯂꯩꯔꯕꯗꯤ ꯃꯁꯤ ꯀꯌꯥ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯅꯣ ꯍꯥꯌꯕꯗꯨ ꯈꯉꯗꯣꯀꯄꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯂꯤ꯫ ꯍꯥꯌꯕꯗꯤ ꯑꯦ.ꯑꯩꯆ.ꯑꯥꯏ., ꯃꯁꯤꯅꯥ (ꯑꯦꯄꯅꯤꯌꯥ-ꯍꯥꯏꯄꯣꯄꯅꯤꯌꯥ ꯏꯟꯗꯦꯛꯁ) .
AHI (ꯑꯦꯄꯅꯤꯌꯥ-ꯍꯥꯏꯄꯣꯄꯅꯤꯌꯥ ꯏꯟꯗꯦꯛꯁ) ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ? ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ...
ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, AHI (Apnea-Hypopnea Index) ꯍꯥꯌꯕꯁꯤ ꯅꯍꯥꯛꯅꯥ ꯇꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯄꯨꯡ ꯑꯃꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯂꯦꯄꯈꯤꯕꯥ (apneas) ꯑꯃꯁꯨꯡ ꯂꯦꯡ-ꯑꯣꯠꯄꯒꯤ ꯆꯥꯡ (hypopneas) ꯑꯁꯤ ꯀꯌꯥꯝ ꯋꯥꯡꯕꯒꯦ ꯍꯥꯌꯕꯒꯤ ꯆꯥꯡꯌꯦꯡ ꯑꯃꯅꯤ꯫ ꯃꯁꯤꯅꯥ ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯑꯣꯕꯁ꯭ꯠꯔꯀꯆꯔ ꯁ꯭ꯂꯤꯞ ꯑꯦꯄꯅꯤꯌꯥ ꯀꯧꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯥ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯀꯔꯝꯅꯥ ꯑꯦꯁꯦꯁ ꯇꯧꯕꯒꯦ, ꯑꯃꯁꯨꯡ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯂꯩꯔꯕꯗꯤ ꯃꯗꯨ ꯀꯌꯥꯝ ꯁꯥꯊꯤꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯁꯤꯜꯂꯤ꯫
ꯑꯦꯄꯅꯤꯌꯥ ꯑꯃꯁꯨꯡ ꯍꯥꯏꯄꯣꯄꯅꯤꯌꯥ ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ?
ꯍꯧꯖꯤꯛꯇꯤ ꯅꯍꯥꯛꯅꯥ ꯑꯦꯄꯅꯤꯌꯥ ꯑꯃꯁꯨꯡ ꯍꯥꯏꯄꯣꯄꯅꯤꯌꯥ ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ ꯍꯥꯌꯅꯥ ꯈꯅꯕꯤꯔꯃꯒꯅꯤ꯫ ꯃꯗꯨꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯈꯔꯥ ꯍꯦꯟꯅꯥ ꯃꯌꯦꯛ ꯁꯦꯡꯅꯥ ꯋꯥꯔꯤ ꯁꯥꯁꯤ꯫
- ꯑꯦꯄꯅꯤꯌꯥ: ꯃꯁꯤ ꯅꯍꯥꯛꯅꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯂꯦꯄꯈꯤꯕꯥ ꯃꯇꯃꯅꯤ꯫ ꯑꯦꯄꯅꯤꯌꯥ ꯍꯥꯌꯕꯁꯤ ꯅꯍꯥꯛꯅꯥ ꯇꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯁꯦꯀꯦꯟꯗ 10 ꯅꯠꯠꯔꯒꯥ ꯃꯁꯤꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯂꯦꯄꯍꯅꯕꯥ ꯍꯥꯌꯕꯁꯤꯅꯤ꯫ ꯃꯇꯝ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯆꯪꯂꯀꯄꯥ ꯅꯨꯡꯁꯤꯠꯀꯤ ꯆꯥꯡ ꯍꯟꯊꯔꯀꯏ꯫ ꯅꯍꯥꯛꯀꯤ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯑꯗꯨ ꯃꯇꯝ ꯈꯔꯒꯤ ꯑꯣꯏꯅꯥ ꯊꯃꯖꯤꯜꯂꯀꯄꯒꯨꯝ ꯐꯥꯑꯣꯏ꯫
- ꯍꯥꯏꯄꯣꯄꯅꯤꯌꯥ: ꯃꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯑꯦꯌꯔꯋꯦ (airway) ꯑꯗꯨ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯕ꯭ꯂꯣꯛ ꯇꯧꯗꯕꯥ ꯃꯇꯃꯗꯥ, ꯑꯗꯨꯕꯨ ꯅꯍꯥꯛꯀꯤ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯒꯤ ꯆꯥꯡ ꯑꯗꯨꯗꯤ ꯗꯤꯒ꯭ꯔꯤ ꯈꯔꯗꯥ ꯁꯣꯀꯍꯜꯂꯀꯄꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯌꯥꯝꯅꯥ ꯍꯟꯊꯔꯀꯄꯥ ꯃꯇꯃꯅꯤ꯫ ꯃꯁꯤꯒꯤ ꯀꯦꯁ ꯑꯁꯤꯗꯥ, ꯅꯍꯥꯛꯅꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯉꯃꯗꯕꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯏꯗꯥ ꯑꯣꯛꯁꯤꯖꯦꯅꯒꯤ ꯆꯥꯡ ꯍꯟꯊꯔꯀꯏ꯫ ꯃꯁꯤ ꯏꯁꯤꯡꯒꯤ ꯄꯥꯏꯞ ꯈꯔꯥ ꯊꯨꯒꯥꯌꯕꯥ, ꯃꯗꯨꯅꯥ ꯊꯣꯀꯄꯥ ꯏꯁꯤꯡꯒꯤ ꯆꯥꯡ ꯍꯟꯊꯍꯅꯕꯒꯨꯝꯅꯥ ꯈꯅꯕꯤꯌꯨ꯫
ꯍꯧꯖꯤꯛ ꯅꯍꯥꯛꯅꯥ ꯈꯅꯕꯤꯔꯃꯒꯅꯤ, "ꯑꯗꯨꯗꯤ ꯅꯍꯥꯛꯅꯥ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯂꯦꯄꯈꯤꯕꯥ ꯃꯇꯃꯗꯥ ꯀꯔꯤ ꯑꯣꯏꯒꯅꯤ?" ꯑꯩꯈꯣꯌꯒꯤ ꯕ꯭ꯔꯦꯟ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯁ꯭ꯃꯥꯔꯠ ꯑꯣꯏ꯫ ꯃꯁꯤꯅꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯐꯤꯚꯝ, ꯍꯥꯌꯕꯗꯤ ꯍꯥꯔꯠ ꯔꯦꯠ, ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ, ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯑꯁꯤ ꯂꯦꯞꯇꯅꯥ ꯌꯦꯡꯁꯤꯜꯂꯤ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯦꯄꯅꯤꯌꯥ ꯅꯠꯠꯔꯒꯥ ꯍꯥꯏꯄꯣꯄꯅꯤꯌꯥ ꯂꯩꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯕ꯭ꯔꯦꯅꯅꯥ ꯃꯁꯤ ꯈꯪꯏ꯫ ꯑꯗꯨꯗꯒꯤ ꯕ꯭ꯔꯦꯅꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯈꯔꯥ ꯋꯥꯈꯜ ꯇꯥꯍꯟꯗꯨꯅꯥ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯉꯝꯅꯕꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯈꯔꯥ ꯇꯧꯏ꯫ ꯑꯗꯨꯕꯨ ꯃꯁꯤꯒꯤ ꯑꯋꯥꯕꯥ ꯑꯁꯤ ꯑꯌꯥꯝꯕꯅꯥ ꯌꯥꯝꯅꯥ ꯂꯨꯕꯥ ꯑꯣꯏ꯫ ꯅꯍꯥꯛꯅꯥ ꯃꯁꯤ ꯐꯥꯑꯣꯕꯥ ꯐꯥꯑꯣꯗꯕꯥ ꯌꯥꯏ꯫ ꯅꯍꯥꯛꯅꯥ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯍꯧꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯕ꯭ꯔꯦꯅꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯇꯨꯝꯕꯥ ꯌꯥꯍꯜꯂꯤ꯫ ꯑꯗꯨꯅꯥ ꯑꯦ.ꯑꯩꯆ.ꯑꯥꯏ.ꯅꯥ ꯄꯨꯡ ꯑꯃꯗꯥ ꯀꯌꯥ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ ꯑꯃꯁꯨꯡ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ ꯑꯁꯤ ꯊꯣꯀꯄꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯂꯦꯄꯊꯣꯀꯏ꯫ ꯀꯟꯗꯤꯁꯟ ꯑꯗꯨ ꯍꯦꯟꯅꯥ ꯁꯥꯊꯤꯕꯥ (Sleep Apnea) ꯑꯣꯏꯔꯕꯗꯤ, ꯃꯈꯣꯌ ꯑꯁꯤ ꯍꯦꯟꯅꯥ ꯀꯟꯅꯥ ꯊꯣꯀꯏ꯫
ꯃꯁꯤꯒꯤ ꯑꯦ.ꯑꯩꯆ.ꯑꯥꯏ.ꯒꯤ ꯚꯦꯜꯌꯨ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯂꯦꯄꯀꯅꯤ?
ꯃꯁꯤꯒꯤ ꯑꯦ.ꯑꯩꯆ.ꯑꯥꯏ.ꯒꯤ ꯚꯦꯜꯌꯨ ꯑꯁꯤ (ꯁ꯭ꯂꯤꯞ ꯁ꯭ꯇꯗꯤ) ꯅꯥ ꯐꯪꯏ꯫ꯑꯃꯅꯥ ꯇꯨꯝꯕꯥ ꯁ꯭ꯇꯗꯤꯅꯤ꯫ ꯃꯁꯤꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯒꯤ ꯃꯑꯣꯡ, ꯍꯥꯔꯇꯀꯤ ꯔꯦꯠ, ꯕ꯭ꯔꯦꯟ ꯋꯦꯕ, ꯑꯃꯁꯨꯡ ꯕ꯭ꯂꯗ ꯑꯣꯛꯁꯤꯖꯦꯅꯒꯤ ꯆꯥꯡ ꯌꯥꯎꯅꯥ, ꯅꯨꯃꯤꯗꯥꯡꯒꯤ ꯇꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡꯅꯥ ꯀꯔꯝꯅꯥ ꯊꯕꯛ ꯇꯧꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯁꯤꯟꯅꯕꯥ ꯃꯦꯁꯤꯅꯁꯤꯡ ꯁꯤꯖꯤꯟꯅꯕꯁꯤ ꯌꯥꯎꯏ꯫ ꯃꯁꯤ ꯁ꯭ꯂꯤꯞ ꯂꯦꯕ ꯑꯃꯗꯥ ꯇꯧꯕꯥ ꯌꯥꯏ , ꯅꯠꯠꯔꯒꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯌꯨꯃꯗꯥ ꯇꯧꯕꯥ ꯌꯥꯕꯥ ꯏꯆꯝ ꯆꯝꯕꯥ ꯈꯨꯠꯂꯥꯌꯁꯤꯡ ꯂꯩ (ꯍꯣꯝ ꯁ꯭ꯂꯤꯞ ꯑꯦꯄꯅꯤꯌꯥ ꯇꯦꯁ꯭ꯠ) ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯌꯨꯃꯗꯥ ꯇꯦꯁ꯭ꯠ ꯇꯧꯕꯗꯒꯤ ꯐꯪꯂꯀꯄꯥ ꯗꯦꯇꯥ ꯑꯁꯤ ꯈꯔꯥ ꯂꯤꯃꯤꯇꯦꯗ ꯑꯣꯏ ꯑꯃꯁꯨꯡ ꯑꯆꯨꯝꯕꯥ ꯑꯣꯏꯗꯕꯥ ꯌꯥꯏ ꯍꯥꯌꯕꯁꯤ ꯅꯤꯡꯁꯤꯡꯕꯥ ꯌꯥꯝꯅꯥ ꯃꯔꯨ ꯑꯣꯏ꯫
ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯗꯣꯛꯇꯔ ꯑꯗꯨꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯊꯦꯡꯅꯈꯤꯕꯥ ꯑꯦꯞꯅꯤꯌꯥ ꯑꯃꯁꯨꯡ ꯍꯥꯏꯄꯣꯄꯅꯤꯌꯥ ꯑꯦꯄꯤꯁꯣꯗꯁꯤꯡꯒꯤ ꯑꯄꯨꯅꯕꯥ ꯃꯁꯤꯡ ꯑꯗꯨ ꯅꯍꯥꯛꯅꯥ ꯇꯨꯝꯕꯥ ꯑꯄꯨꯅꯕꯥ ꯄꯨꯡꯁꯤꯡ ꯑꯗꯨꯒꯥ ꯈꯥꯌꯗꯣꯛꯇꯨꯅꯥ ꯅꯍꯥꯛꯀꯤ AHI ꯁ꯭ꯀꯣꯔ ꯑꯗꯨ ꯂꯦꯄꯊꯣꯀꯏ꯫
ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ: AHI = (ꯑꯄꯨꯅꯕꯥ ꯑꯦꯄꯅꯤꯌꯥꯒꯤ ꯊꯧꯗꯣꯀꯁꯤꯡ + ꯑꯄꯨꯅꯕꯥ ꯍꯥꯏꯄꯣꯄꯅꯤꯌꯥꯒꯤ ꯊꯧꯗꯣꯀꯁꯤꯡ) / ꯑꯄꯨꯅꯕꯥ ꯇꯨꯝꯕꯥ ꯄꯨꯡꯁꯤꯡ꯫
ꯑꯦ.ꯑꯩꯆ.ꯑꯥꯏ.ꯒꯤ ꯚꯦꯜꯌꯨ ꯁꯤꯖꯤꯟꯅꯗꯨꯅꯥ ꯁ꯭ꯂꯤꯞ ꯑꯦꯄꯅꯤꯌꯥꯒꯤ ꯆꯥꯡ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯂꯦꯄꯀꯅꯤ? - ꯑꯍꯂꯁꯤꯡꯒꯤ ꯑꯣꯏꯅꯥ꯫
ꯑꯃꯦꯔꯤꯀꯥꯟ ꯑꯦꯀꯥꯗꯦꯃꯤ ꯑꯣꯐ ꯁ꯭ꯂꯤꯞ ꯃꯦꯗꯤꯁꯤꯅꯅꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯁ꯭ꯀꯦꯜ ꯑꯁꯤ ꯁꯤꯖꯤꯟꯅꯗꯨꯅꯥ ꯑꯍꯂꯁꯤꯡꯗꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯒꯤ ꯊꯧꯗꯣꯀꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯃꯑꯣꯡ ꯑꯁꯤ ꯀ꯭ꯂꯥꯁꯤꯐꯥꯏ ꯇꯧꯏ:
- ꯃꯌꯥꯏ ꯑꯣꯏꯕꯥ ꯀꯟꯗꯤꯁꯟ: ꯄꯨꯡ ꯑꯃꯗꯥ ꯊꯧꯗꯣꯛ 5ꯗꯒꯤ 15 ꯐꯥꯎꯕꯥ ꯍꯟꯊꯕꯥ꯫
- ꯃꯌꯥꯏ ꯑꯣꯏꯕꯥ ꯀꯟꯗꯤꯁꯟ: ꯄꯨꯡ ꯑꯃꯗꯥ ꯊꯧꯔꯝ 15ꯗꯒꯤ 30 ꯐꯥꯎꯕꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯊꯣꯀꯄꯥ꯫
- ꯁꯥꯊꯤꯕꯥ: ꯄꯨꯡ ꯑꯃꯗꯥ ꯊꯧꯗꯣꯛ 30 ꯅꯠꯠꯔꯒꯥ ꯃꯁꯤꯗꯒꯤ ꯍꯦꯅꯕꯥ꯫
ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯁ꯭ꯂꯤꯞ ꯑꯦꯄꯅꯤꯌꯥꯒꯤ ꯃꯑꯣꯡ-ꯃꯇꯧ ꯑꯗꯨ ꯈꯪꯗꯣꯛꯅꯕꯥ ꯀꯦꯂꯀꯨꯂꯦꯁꯅꯁꯤꯡ ꯑꯁꯤ ꯁꯤꯖꯤꯟꯅꯒꯅꯤ꯫ ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ AHI ꯑꯗꯨ 25 ꯑꯣꯏꯔꯕꯗꯤ, ꯃꯁꯤꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯃꯌꯥꯏ ꯑꯣꯏꯕꯥ ꯁ꯭ꯂꯤꯞ ꯑꯦꯄꯅꯤꯌꯥ ꯂꯩꯔꯦ ꯍꯥꯌꯕꯅꯤ꯫
ꯑꯗꯨꯅꯥ ꯑꯍꯜ ꯑꯃꯒꯤ ꯆꯥꯡꯆꯠꯇꯥ AHI ꯚꯦꯜꯌꯨ ꯑꯁꯤ ꯀꯌꯥꯅꯣ?
ꯅꯍꯥꯛꯅꯥ ꯍꯪꯂꯀꯄꯥ ꯌꯥꯏ, "ꯑꯍꯜ ꯑꯃꯒꯤ ꯑꯣꯏꯅꯥ ꯅꯣꯔꯃꯦꯜ AHI ꯚꯦꯜꯌꯨ ꯑꯁꯤ ꯀꯔꯤꯅꯣ?" ꯑꯍꯜ ꯑꯃꯒꯤ ꯑꯣꯏꯅꯥ ꯅꯣꯔꯃꯦꯜ, ꯅꯠꯠꯔꯒꯥ ꯍꯀꯁꯦꯜ ꯐꯕꯥ, AHI ꯚꯦꯜꯌꯨ ꯑꯃꯅꯥ ꯄꯨꯡ ꯑꯃꯗꯥ ꯑꯦꯄꯅꯤꯌꯥ ꯑꯃꯁꯨꯡ ꯍꯥꯏꯄꯣꯄꯅꯤꯌꯥꯒꯤ ꯊꯧꯗꯣꯛ ꯃꯉꯥꯗꯒꯤ ꯇꯥꯅꯥ ꯂꯩ (AHI < 5)꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯚꯦꯜꯌꯨ ꯑꯗꯨ ꯔꯦꯟꯖ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯂꯩꯔꯕꯗꯤ, ꯃꯁꯤꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯁ꯭ꯂꯤꯞ ꯑꯦꯄꯅꯤꯌꯥ ꯂꯩꯔꯦ ꯍꯥꯌꯕꯅꯤ꯫
ꯅꯍꯥ ꯑꯣꯏꯔꯤꯕꯥ ꯑꯉꯥꯡꯁꯤꯡꯗꯥ AHI ꯚꯦꯜꯌꯨ ꯑꯁꯤ ꯇꯣꯉꯥꯅꯕꯔꯥ?
ꯍꯣꯌ, AHI ꯚꯦꯜꯌꯨꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯃꯈꯣꯌꯒꯤ ꯁꯦꯚꯤꯔꯤꯇꯤ ꯂꯦꯚꯦꯂꯁꯤꯡ ꯑꯁꯤ ꯅꯍꯥ ꯑꯣꯏꯔꯤꯕꯥ ꯑꯉꯥꯡꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯑꯍꯂꯁꯤꯡꯒꯤ ꯑꯣꯏꯅꯥ ꯇꯣꯉꯥꯜꯂꯤ꯫ ꯑꯉꯥꯡꯁꯤꯡꯒꯤ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯒꯤ ꯁꯤꯁ꯭ꯇꯦꯃꯁꯤꯡ ꯑꯁꯤ ꯍꯧꯖꯤꯀꯁꯨ ꯗꯤꯚꯦꯂꯞ ꯇꯧꯔꯀꯄꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ (breathing obstruction) ꯑꯁꯤꯅꯁꯨ ꯃꯁꯛ ꯊꯣꯀꯄꯥ ꯁꯥꯐꯨ ꯑꯃꯥ ꯄꯤꯕꯥ ꯌꯥꯏ꯫ ꯅꯍꯥ ꯑꯣꯏꯔꯤꯕꯥ ꯑꯉꯥꯡꯁꯤꯡꯒꯤ ꯑꯣꯏꯅꯥ ꯃꯁꯛ ꯊꯣꯀꯄꯥ AHI ꯔꯦꯟꯖ ꯑꯁꯤ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤ:
- ꯃꯌꯥꯏ ꯑꯣꯏꯕꯥ ꯀꯟꯗꯤꯁꯟ: ꯄꯨꯡ ꯑꯃꯗꯥ ꯊꯧꯗꯣꯛ 1ꯗꯒꯤ 5 ꯐꯥꯎꯕꯥ ꯍꯟꯊꯕꯥ꯫
- ꯃꯌꯥꯏ ꯑꯣꯏꯕꯥ ꯀꯟꯗꯤꯁꯟ: ꯄꯨꯡ ꯑꯃꯗꯥ ꯊꯧꯗꯣꯛ 5ꯗꯒꯤ 10 ꯐꯥꯎꯕꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯂꯩꯕꯥ꯫
- ꯁꯥꯊꯤꯕꯥ: ꯄꯨꯡ ꯑꯃꯗꯥ ꯊꯧꯗꯣꯛ 10 ꯅꯠꯠꯔꯒꯥ ꯃꯁꯤꯗꯒꯤ ꯍꯦꯅꯕꯥ꯫
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯒꯤ AHI ꯑꯃꯥ ꯅꯠꯠꯔꯒꯥ ꯃꯁꯤꯗꯒꯤ ꯍꯦꯅꯕꯥ ꯑꯣꯏꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯃꯈꯣꯌꯕꯨ ꯑꯣꯕꯁ꯭ꯠꯔꯀꯆꯔ ꯁ꯭ꯂꯤꯞ ꯑꯦꯄꯅꯤꯌꯥ ꯍꯥꯌꯅꯥ ꯈꯪꯗꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯅꯍꯥ ꯑꯣꯏꯔꯤꯕꯥ ꯑꯉꯥꯡ ꯑꯃꯒꯤ ꯅꯣꯔꯃꯦꯜ AHI ꯑꯁꯤ ꯑꯃꯗꯒꯤ ꯍꯦꯅꯕꯥ ꯑꯣꯏꯒꯗꯕꯅꯤ (AHI < 1)꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯑꯍꯜ ꯑꯣꯏꯔꯕꯥ ꯑꯉꯥꯡꯁꯤꯡꯒꯤꯗꯃꯛꯇꯗꯤ, ꯃꯁꯤꯅꯥ ꯇꯥꯀꯏ꯫ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯅꯍꯥ ꯑꯣꯏꯔꯤꯕꯥ ꯑꯉꯥꯡꯁꯤꯡ (ꯑꯦꯗꯣꯂꯁꯦꯟꯇꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯇꯤꯅꯑꯦꯖꯔꯁꯤꯡ)ꯒꯤ ꯑꯣꯏꯅꯥ ꯃꯄꯨꯡ-ꯃꯔꯩ ꯐꯥꯔꯕꯁꯤꯡꯒꯤꯗꯃꯛꯇꯁꯨ ꯆꯞ ꯃꯥꯟꯅꯕꯥ AHI ꯁ꯭ꯀꯦꯜ ꯑꯗꯨ ꯁꯤꯖꯤꯟꯅꯕꯥ ꯌꯥꯏ꯫
CPAP ꯃꯦꯁꯤꯟ ꯑꯃꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯑꯐꯕꯥ AHI ꯚꯦꯜꯌꯨ ꯑꯃꯥ ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ?
ꯁꯤ.ꯄꯤ.ꯑꯦ.ꯄꯤ.(ꯀꯟꯇꯤꯟꯌꯨꯑꯣꯁ ꯄꯣꯖꯤꯇꯤꯕ ꯑꯦꯌꯔꯋꯦ ꯄ꯭ꯔꯦꯁꯔ) ꯃꯦꯁꯤꯟ ꯑꯁꯤ ꯑꯣꯕꯁ꯭ꯠꯔꯀꯆꯔ ꯁ꯭ꯂꯤꯞ ꯑꯦꯄꯅꯤꯌꯥ ꯂꯥꯌꯦꯡꯕꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯑꯃꯁꯨꯡ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯏꯐꯦꯛꯇꯤꯕ ꯑꯣꯏꯕꯥ ꯃꯑꯣꯡꯅꯤ꯫ ꯃꯁꯤꯒꯤ ꯃꯦꯁꯤꯟ ꯑꯁꯤꯅꯥ ꯇꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯦꯌꯔꯋꯦ ꯑꯗꯨ ꯍꯥꯡꯗꯣꯛꯇꯨꯅꯥ ꯊꯝꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ, CPAP ꯃꯦꯁꯤꯟ ꯑꯁꯤ ꯁꯤꯖꯤꯟꯅꯔꯤꯕꯥ ꯑꯍꯜ ꯑꯃꯒꯤ ꯄꯥꯟꯗꯃꯗꯤ AHI ꯚꯦꯜꯌꯨ ꯑꯁꯤ ꯃꯉꯥꯒꯤ ꯃꯈꯥꯗꯥ ꯊꯝꯕꯅꯤ (AHI < 5)꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯅꯍꯥꯛ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯛꯀꯤ (ꯁ꯭ꯂꯤꯞ ꯁ꯭ꯇꯗꯤ)ꯗꯥ ꯔꯦꯀꯣꯔꯗ ꯇꯧꯔꯕꯥ ꯚꯦꯜꯌꯨ ꯑꯗꯨꯗꯒꯤ ꯀꯌꯥꯝ ꯍꯦꯟꯅꯥ ꯅꯦꯝꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯄꯨꯟꯅꯥ ꯂꯦꯄꯀꯅꯤ, ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯅꯥ ꯀꯔꯤ ꯑꯀꯛꯅꯕꯥ ꯚꯦꯜꯌꯨ ꯑꯗꯨ ꯄꯥꯟꯗꯝ ꯊꯃꯒꯗꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯂꯦꯄꯀꯅꯤ꯫
ꯑꯐꯕꯥ ꯋꯥꯐꯃꯗꯤ ꯅꯍꯥꯛꯅꯥ ꯅꯍꯥꯛꯀꯤ CPAP ꯃꯦꯁꯤꯟ ꯑꯗꯨ ꯁꯤꯖꯤꯟꯅꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯃꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ AHI ꯑꯗꯨ ꯆꯥꯡ ꯈꯔꯗꯥ ꯇ꯭ꯔꯦꯛ ꯇꯧꯕꯥ ꯉꯝꯃꯤ, ꯍꯥꯌꯕꯗꯤ ꯃꯁꯤꯅꯥ ꯔꯦꯀꯣꯔꯗ ꯇꯧꯕꯥ ꯉꯝꯃꯤ꯫ ꯑꯅꯧꯕꯥ CPAP ꯃꯦꯁꯤꯟ ꯀꯌꯥꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯗꯥ ꯑꯍꯣꯡꯕꯥ ꯂꯥꯀꯄꯥ ꯌꯥꯏ, ꯑꯃꯁꯨꯡ ꯏꯅꯐꯣꯔꯃꯦꯁꯟ ꯑꯗꯨ ꯆꯥꯎꯔꯥꯛꯅꯥ AHI ꯚꯦꯜꯌꯨ ꯑꯃꯥ ꯂꯦꯄꯊꯣꯛꯅꯕꯥ ꯁꯤꯖꯤꯟꯅꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤ ꯇꯨꯝꯕꯥ ꯁ꯭ꯇꯗꯤ ꯑꯃꯒꯨꯝꯅꯥ ꯆꯥꯗꯥ ꯱꯰꯰ ꯑꯆꯨꯝꯕꯥ ꯃꯥꯏꯄꯥꯀꯄꯥ ꯑꯃꯅꯤ꯫ ꯑꯗꯨꯕꯨ ꯃꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯁꯤ.ꯄꯤ.ꯑꯦ.ꯄꯤ.ꯒꯤ ꯂꯥꯏꯌꯦꯡ ꯑꯁꯤ ꯀꯌꯥꯝ ꯏꯐꯦꯛꯇꯤꯚ ꯑꯣꯏꯕꯒꯦ ꯑꯃꯁꯨꯡ ꯃꯁꯤꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯀꯌꯥ ꯌꯥꯝꯅꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯕꯒꯦ ꯍꯥꯌꯕꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯑꯍꯦꯅꯕꯥ ꯏꯅꯐꯣꯔꯃꯦꯁꯟ ꯂꯧꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫
ꯑꯦ.ꯑꯩꯆ.ꯑꯥꯏ.ꯒꯤ ꯈꯨꯗꯣꯡꯆꯥꯗꯕꯁꯤꯡ ꯀꯔꯤꯅꯣ? ꯄꯨꯝꯅꯃꯛ ꯍꯥꯌꯔꯤꯕꯔꯥ?
ꯑꯦ.ꯑꯩꯆ.ꯑꯥꯏ.ꯅꯥ ꯌꯥꯝꯅꯥ ꯀꯥꯟꯅꯔꯕꯥ ꯈꯨꯠꯂꯥꯏ ꯑꯃꯥ ꯑꯣꯏꯔꯕꯁꯨ, ꯃꯁꯤ ꯋꯥꯔꯦꯞ ꯂꯧꯕꯗꯥ ꯌꯨꯝꯐꯝ ꯑꯃꯥ ꯑꯣꯏꯅꯥ ꯁꯤꯖꯤꯟꯅꯕꯥ ꯌꯥꯗꯦ꯫ ꯃꯁꯤꯒꯤ ꯑꯋꯥꯠꯄꯥ ꯈꯔꯁꯨ ꯂꯩꯔꯤ꯫ ꯃꯈꯣꯌꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯤꯅꯣ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯁꯤ:
- ꯍꯥꯏꯄꯣꯄꯅꯤꯌꯥꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯇꯣꯉꯥꯟ-ꯇꯣꯉꯥꯅꯕꯥ ꯋꯥꯈꯜꯂꯣꯅꯁꯤꯡ: ꯑꯦꯄꯅꯤꯌꯥ ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ ꯍꯥꯌꯕꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯗꯣꯛꯇꯔꯁꯤꯡꯒꯤ ꯃꯔꯛꯇꯥ ꯃꯌꯦꯛ ꯁꯦꯡꯕꯥ, ꯖꯦꯅꯦꯔꯦꯜ ꯑꯣꯏꯕꯥ ꯌꯥꯅꯕꯥ ꯑꯃꯥ ꯂꯩꯔꯕꯁꯨ, ꯍꯥꯏꯄꯣꯄꯅꯤꯌꯥꯒꯤ ꯋꯥꯍꯟꯊꯣꯛ ꯑꯁꯤ ꯈꯔꯥ ꯍꯦꯟꯅꯥ ꯂꯨꯝꯃꯤ꯫ ꯃꯁꯤꯒꯤ ꯃꯔꯃꯗꯤ ꯐꯦꯛꯇꯔ ꯀꯌꯥꯅꯥ ꯃꯁꯤꯗꯥ ꯁꯣꯀꯍꯜꯂꯤ, ꯃꯈꯣꯌ ꯑꯗꯨꯗꯤ ꯑꯦꯌꯔꯐ꯭ꯂꯣ ꯀꯌꯥ ꯍꯟꯊꯍꯅꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯒꯦ, ꯏꯗꯥ ꯑꯣꯛꯁꯤꯖꯦꯅꯒꯤ ꯆꯥꯡ ꯀꯌꯥ ꯅꯦꯝꯅꯥ ꯂꯩꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯒꯦ (ꯑꯣꯛꯁꯤꯖꯦꯟ ꯗꯤꯁꯦꯆꯨꯔꯦꯁꯟ) , ꯅꯠꯠꯔꯒꯥ ꯑꯌꯨꯛꯇꯥ ꯋꯥꯈꯜ ꯋꯥꯕꯥ (arousals) . ꯑꯗꯨꯅꯥ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯋꯥꯍꯟꯊꯣꯀꯁꯤꯡꯗꯥ ꯈꯔꯥ ꯈꯦꯠꯅꯕꯥ ꯂꯩꯕꯥ ꯌꯥꯏ꯫
- ꯂꯤꯃꯤꯇꯦꯁꯅꯁꯤꯡ: AHI ꯑꯁꯤꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯇꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯊꯣꯀꯄꯥ ꯑꯦꯄꯅꯤꯌꯥ ꯑꯃꯁꯨꯡ ꯍꯥꯏꯄꯣꯄꯅꯤꯌꯥ ꯑꯦꯄꯤꯁꯣꯗꯁꯤꯡꯒꯤ ꯃꯁꯤꯡ ꯑꯗꯨ ꯈꯛꯇꯃꯛ ꯂꯦꯄꯊꯣꯀꯏ꯫ ꯃꯁꯤꯅꯥ ꯑꯍꯦꯅꯕꯥ ꯏꯅꯐꯣꯔꯃꯦꯁꯟ, ꯍꯥꯌꯕꯗꯤ ꯑꯦꯄꯤꯁꯣꯗꯁꯤꯡ ꯑꯗꯨ ꯀꯌꯥꯝ ꯁꯥꯊꯤꯕꯒꯦ, ꯅꯍꯥꯛꯀꯤ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ ꯑꯗꯨ ꯀꯌꯥꯝ ꯁꯥꯡꯅꯥ ꯂꯦꯄꯈꯤꯕꯒꯦ, ꯅꯠꯠꯔꯒꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯣꯛꯁꯤꯖꯦꯅꯒꯤ ꯆꯥꯡ ꯑꯗꯨ ꯀꯌꯥꯝ ꯅꯦꯝꯅꯥ ꯍꯟꯊꯈꯤꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯍꯀꯊꯦꯡꯅꯅꯥ ꯄꯤꯗꯦ꯫ ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯀꯅꯥꯒꯨꯝꯕꯥ ꯑꯃꯒꯤ AHI 10 ꯂꯩꯕꯥ ꯌꯥꯏ, ꯑꯗꯨꯕꯨ ꯑꯦꯄꯤꯁꯣꯗ ꯈꯨꯗꯤꯡꯃꯛ ꯁꯦꯀꯦꯟꯗ 10-15 ꯈꯛꯇꯃꯛ ꯆꯠꯄꯥ ꯌꯥꯏ꯫ ꯑꯇꯣꯞꯄꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯗꯥ AHI 10 ꯂꯩꯕꯥ ꯌꯥꯏ, ꯑꯗꯨꯕꯨ ꯃꯈꯣꯌꯒꯤ ꯑꯦꯄꯤꯁꯣꯗꯁꯤꯡ ꯑꯗꯨ ꯁꯦꯀꯦꯟꯗ 40-50 ꯐꯥꯎꯕꯥ ꯂꯩꯕꯥ ꯌꯥꯏ ꯑꯃꯁꯨꯡ ꯃꯈꯣꯌꯒꯤ ꯑꯣꯛꯁꯤꯖꯦꯅꯒꯤ ꯆꯥꯡ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯍꯟꯊꯔꯀꯄꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯅꯥ ꯑꯦ.ꯑꯩꯆ.ꯑꯥꯏ.ꯗꯥ ꯌꯦꯡꯕꯈꯛꯇꯅꯥ ꯈꯦꯠꯅꯕꯥ ꯑꯗꯨ ꯈꯉꯕꯥ ꯉꯃꯗꯦ꯫
- ꯑꯣꯏꯊꯣꯀꯄꯥ ꯌꯥꯕꯥ ꯑꯆꯨꯝꯕꯥ ꯐꯂꯁꯤꯡ: ꯏꯆꯝ ꯆꯝꯕꯥ ꯍꯣꯝ ꯁ꯭ꯂꯤꯞ ꯑꯦꯄꯅꯤꯌꯥ ꯇꯦꯁ꯭ꯠ ꯈꯔꯒꯤ ꯔꯤꯖꯜꯇꯁꯤꯡ , ꯃꯔꯨꯑꯣꯏꯅꯥ ꯌꯨꯃꯗꯥ ꯇꯧꯕꯥ ꯔꯤꯖꯜꯇꯁꯤꯡ ꯑꯁꯤ ꯁ꯭ꯂꯤꯞ ꯂꯦꯕ ꯇꯦꯁ꯭ꯠ ꯑꯃꯗꯒꯤ ꯐꯪꯂꯀꯄꯒꯨꯝꯅꯥ ꯑꯆꯨꯝꯕꯥ ꯑꯣꯏꯗꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯒꯤ ꯃꯔꯃꯗꯤ ꯗꯦꯇꯥ ꯑꯃꯁꯨꯡ ꯑꯦꯛꯌꯨꯔꯦꯁꯤꯒꯤ ꯆꯥꯡ ꯑꯁꯤ ꯍꯟꯊꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯗꯁꯨ ꯅꯠꯇꯅꯥ ꯃꯤꯑꯣꯏ ꯈꯔꯗꯤ ꯌꯨꯃꯗꯥ ꯇꯦꯁ꯭ꯠ ꯇꯧꯕꯥ ꯃꯇꯃꯗꯥ ꯐꯖꯅꯥ ꯇꯨꯝꯕꯥ ꯉꯃꯗꯕꯥ ꯌꯥꯏ꯫
ꯃꯔꯝ ꯑꯗꯨꯅꯥ, AHIꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯅꯨꯃꯤꯗꯥꯡꯗꯥ ꯇꯨꯝꯕꯥ ꯌꯥꯕꯒꯤ ꯃꯒꯨꯅꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯏꯅꯐꯣꯔꯃꯦꯁꯟ ꯄꯤꯔꯕꯁꯨ, AHI ꯑꯁꯤ ꯇꯨꯝꯕꯥ ꯌꯥꯗꯕꯒꯤ ꯗꯤꯁꯑꯣꯔꯗꯔ ꯑꯃꯥ ꯈꯪꯗꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯃꯁꯤꯒꯤ ꯁꯣꯀꯍꯜꯂꯕꯥ ꯃꯑꯣꯡ-ꯃꯇꯧ ꯑꯗꯨ ꯂꯦꯄꯊꯣꯀꯄꯗꯥ ꯐꯦꯛꯇꯔ ꯑꯃꯈꯛꯇꯅꯤ ꯍꯥꯌꯕꯁꯤ ꯅꯤꯡꯁꯤꯡꯕꯥ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫
ꯅꯍꯥꯛꯀꯤ ꯃꯦꯗꯤꯀꯦꯜ ꯇꯤꯃꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯁꯦꯂꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯈꯜ ꯇꯥꯕꯥ ꯋꯥꯔꯦꯞ ꯑꯃꯥ ꯂꯧꯅꯕꯒꯤꯗꯃꯛ ꯅꯍꯥꯛꯀꯤ AHI ꯁ꯭ꯀꯣꯔ, ꯅꯍꯥꯛꯀꯤ ꯇꯨꯝꯕꯥ ꯄꯣꯖꯤꯁꯟ (ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯅꯠꯠꯔꯒꯥ ꯅꯍꯥꯛꯀꯤ ꯅꯥꯀꯂꯗꯥ ꯇꯨꯝꯕꯥ ꯑꯣꯏꯔꯕꯁꯨ), ꯇꯣꯉꯥꯟ-ꯇꯣꯉꯥꯅꯕꯥ ꯇꯨꯝꯕꯥ ꯁ꯭ꯇꯦꯖꯁꯤꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ AHI ꯁ꯭ꯀꯣꯔ (ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, REM ꯇꯨꯝꯕꯥ), ꯑꯃꯁꯨꯡ ꯑꯇꯩ ꯇꯦꯁ꯭ꯇꯀꯤ ꯔꯤꯖꯜꯇ ꯀꯌꯥ ꯑꯃꯥ ꯂꯧꯒꯅꯤ꯫
ꯑꯗꯨꯅꯥ, ꯋꯥꯔꯤ ꯑꯁꯤꯗꯒꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯌꯨꯃꯗꯥ ꯄꯨꯔꯀꯄꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯋꯥꯐꯝ ꯀꯔꯤꯅꯣ?
ꯑꯣꯀꯦ, ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯑꯩꯈꯣꯌꯅꯥ ꯋꯥꯔꯤ ꯁꯥꯈꯤꯕꯥ ꯑꯦ.ꯑꯩꯆ.ꯑꯥꯏ.(ꯑꯦꯄꯅꯤꯌꯥ-ꯍꯥꯏꯄꯣꯄꯅꯤꯌꯥ ꯏꯟꯗꯦꯛꯁ)ꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯋꯥꯐꯃꯁꯤꯡ ꯑꯁꯤ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤ:
- AHI ꯍꯥꯌꯕꯁꯤ ꯅꯍꯥꯛꯅꯥ ꯇꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯄꯨꯡ ꯑꯃꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯂꯦꯄꯈꯤꯕꯥ (apnea) ꯑꯃꯁꯨꯡ ꯂꯦꯡ-ꯑꯣꯠꯄꯒꯤ ꯃꯑꯣꯡ (hypopnea) ꯑꯗꯨ ꯀꯌꯥꯝ ꯀꯨꯏꯅꯥ ꯂꯩꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯂꯦꯄꯊꯣꯀꯄꯥ ꯏꯟꯗꯤꯀꯦꯇꯔ ꯑꯃꯅꯤ꯫
- ꯃꯁꯤꯅꯥ ꯑꯣꯕꯁ꯭ꯠꯔꯀꯆꯔ ꯁ꯭ꯂꯤꯞ ꯑꯦꯄꯅꯤꯌꯥꯒꯨꯝꯕꯥ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ ꯈꯪꯗꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯃꯈꯣꯌꯒꯤ ꯁꯥꯊꯤꯕꯥ ꯃꯑꯣꯡ ꯑꯗꯨ ꯂꯦꯄꯊꯣꯀꯄꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫
- ꯑꯍꯜ ꯑꯃꯒꯤ ꯑꯣꯏꯅꯥ ꯆꯥꯡꯆꯠꯇꯥ AHI ꯚꯦꯜꯌꯨ ꯑꯁꯤ 5ꯗꯒꯤ ꯇꯥꯕꯥ ꯑꯣꯏꯒꯗꯕꯅꯤ, ꯑꯉꯥꯡꯁꯤꯡꯒꯤ ꯑꯣꯏꯅꯗꯤ, ꯃꯁꯤ 1ꯗꯒꯤ ꯇꯥꯕꯥ ꯑꯣꯏꯒꯗꯕꯅꯤ꯫
- AHI ꯚꯦꯜꯌꯨ ꯍꯦꯟꯅꯥ ꯋꯥꯡꯕꯥ ꯃꯇꯃꯗꯥ, ꯀꯟꯗꯤꯁꯟ (Sleep Apnea) ꯑꯁꯤ ꯍꯦꯟꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯑꯣꯏꯔꯀꯄꯥ ꯌꯥꯏ꯫
- ꯁꯤ.ꯄꯤ.ꯑꯦ.ꯄꯤ.ꯒꯤ ꯃꯦꯁꯤꯟ ꯑꯃꯥ ꯁꯤꯖꯤꯟꯅꯔꯤꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯒꯤ ꯄꯥꯟꯗꯃꯗꯤ ꯑꯦ.ꯑꯩꯆ.ꯑꯥꯏ.ꯒꯤ ꯚꯦꯜꯌꯨ ꯑꯁꯤ ꯵ꯒꯤ ꯃꯈꯥꯗꯥ ꯊꯝꯅꯕꯥ ꯍꯣꯠꯅꯕꯅꯤ꯫
- ꯑꯦ.ꯑꯩꯆ.ꯑꯥꯏ.ꯅꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯥꯏꯄꯥꯀꯄꯥ ꯑꯃꯥ ꯑꯣꯏꯔꯕꯁꯨ, ꯃꯁꯤ ꯈꯛꯇꯒꯤ ꯑꯣꯏꯕꯥ ꯅꯠꯇꯦ; ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯃꯄꯨꯡ ꯐꯥꯕꯥ ꯑꯦꯁꯦꯁꯃꯦꯟꯇ ꯑꯃꯥ ꯇꯧꯕꯗꯥ ꯑꯇꯣꯞꯄꯥ ꯐꯦꯛꯇꯔ ꯀꯌꯥ ꯑꯃꯥ ꯁꯤꯖꯤꯟꯅꯩ꯫
ꯑꯗꯨꯅꯥ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥꯁꯨ ꯑꯌꯨꯛꯇꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯗꯥ ꯑꯋꯥꯕꯥ ꯃꯥꯌꯣꯛꯅꯔꯕꯗꯤ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯅꯣꯡꯃꯩ ꯀꯥꯞꯂꯕꯗꯤ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯐꯥꯑꯣꯔꯕꯗꯤ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯅꯨꯃꯤꯗꯥꯡꯗꯥ ꯌꯥꯝꯅꯥ ꯇꯨꯝꯕꯥ ꯌꯥꯗꯕꯥ ꯑꯣꯏꯔꯕꯗꯤ, ꯁꯣꯌꯗꯅꯥ ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯄꯥꯎꯇꯥꯛ ꯂꯧꯕꯤꯌꯨ꯫ ꯃꯔꯃꯗꯤ ꯑꯐꯕꯥ ꯇꯨꯝꯕꯥ ꯑꯁꯤ ꯍꯀꯆꯥꯡ ꯐꯕꯥ ꯄꯨꯟꯁꯤ ꯑꯃꯒꯤꯗꯃꯛ ꯇꯉꯥꯏꯐꯗꯕꯥ ꯑꯃꯅꯤ! ꯃꯁꯤꯗꯁꯨ ꯅꯠꯇꯅꯥ, AHI ꯑꯁꯤ ꯈꯪꯖꯤꯅꯕꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯅꯍꯥꯛꯀꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯗꯨ ꯈꯟꯅꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯅꯍꯥꯛꯀꯤꯗꯃꯛꯇꯥ ꯌꯥꯝꯅꯥ ꯀꯥꯟꯅꯒꯅꯤ꯫
` ꯇꯨꯝꯕꯥ, ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ, ꯁ꯭ꯂꯤꯞ ꯑꯦꯄꯅꯤꯌꯥ, ꯑꯦ.ꯑꯩꯆ.ꯑꯥꯏ., ꯑꯦꯄꯅꯤꯌꯥ ꯍꯥꯏꯄꯣꯄꯅꯤꯌꯥ ꯏꯟꯗꯦꯛꯁ, ꯇꯨꯝꯕꯥ ꯌꯥꯗꯕꯥ, ꯁꯤ.ꯄꯤ.ꯑꯦ.ꯄꯤ
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