ꯃꯤꯑꯣꯏ ꯈꯔꯒꯤ ꯑꯣꯏꯅꯗꯤ ꯇꯨꯝꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯑꯃꯁꯨꯡ ꯑꯀꯤꯕꯥ ꯄꯣꯀꯍꯅꯕꯥ ꯑꯦꯛꯁꯄꯔꯤꯌꯦꯟꯁ ꯑꯃꯅꯤ꯫ ꯇꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯈꯪꯍꯧꯗꯅꯥ ꯊꯤꯡꯖꯤꯜꯂꯤ, ꯑꯃꯁꯨꯡ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯃꯇꯝ ꯈꯔꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ ꯍꯧꯔꯀꯏ꯫ ꯑꯩꯈꯣꯌꯅꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤꯕꯨ ‘ ꯁ꯭ꯂꯤꯞ ꯑꯦꯄꯅꯤꯌꯥ ’ ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ ꯃꯁꯤꯒꯤ ꯂꯥꯏꯌꯦꯡ ꯑꯣꯏꯅꯥ ꯁꯤꯖꯤꯟꯅꯔꯤꯕꯥ ꯁꯤ.ꯄꯤ.ꯑꯦ.ꯄꯤ . ꯑꯗꯨꯕꯨ ꯉꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯈꯔꯥ ꯇꯣꯉꯥꯅꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯊꯕꯛ ꯇꯧꯕꯥ, ꯑꯃꯁꯨꯡ ꯌꯥꯝꯅꯥ ‘ꯁ꯭ꯃꯥꯔꯠ’ ꯑꯣꯏꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯊꯕꯛ ꯇꯧꯕꯥ ꯃꯦꯁꯤꯟ ꯑꯃꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯔꯤ꯫ ꯃꯗꯨ ꯑꯦ.ꯑꯦꯁ.ꯚꯤ. ꯃꯤꯡ ꯑꯁꯤ ꯅꯍꯥꯛꯀꯤꯗꯃꯛꯇꯥ ꯑꯅꯧꯕꯥ ꯑꯣꯏꯔꯝꯕꯥ ꯌꯥꯏ, ꯑꯗꯨꯕꯨ ꯃꯁꯤꯅꯥ ꯇꯨꯝꯕꯥ ꯉꯃꯗꯕꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯒꯤ ꯑꯋꯥꯕꯥ ꯈꯔꯒꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯥ ꯁꯣꯂꯨꯁꯟ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫

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ꯑꯦ.ꯑꯦꯁ.ꯚꯤ.ꯒꯤ ꯃꯦꯁꯤꯟ ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ?

ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ASV ( Adaptive-servo ventilation ) ꯑꯁꯤ ꯇꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯒꯤ ꯁꯃꯁ꯭ꯌꯥ ꯂꯥꯌꯦꯡꯕꯗꯥ ꯁꯤꯖꯤꯟꯅꯕꯥ ꯑꯈꯟꯅꯕꯥ ꯃꯦꯁꯤꯟ ꯑꯃꯅꯤ꯫ ꯁꯤ.ꯄꯤ.ꯑꯦ.ꯄꯤ.ꯒꯤ ꯃꯦꯁꯤꯟ ꯑꯃꯒꯨꯝꯅꯥ, ꯃꯁꯤ ꯇꯨꯕ ꯑꯃꯒꯥ ꯁꯝꯅꯕꯥ ꯃꯥꯁ꯭ꯛ ꯑꯃꯥ ꯊꯃꯗꯨꯅꯥ ꯇꯨꯝꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯈꯨꯠꯂꯥꯌ ꯑꯃꯅꯤ꯫ ꯃꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯦꯌꯔꯋꯦ ꯑꯗꯨ ꯍꯥꯡꯗꯣꯛꯅꯕꯥ ꯄ꯭ꯔꯦꯁꯔ ꯄꯤꯕꯥ ꯑꯦꯌꯔ ꯄꯤꯗꯨꯅꯥ ꯊꯕꯛ ꯇꯧꯏ꯫

ꯑꯗꯨꯕꯨ ꯃꯐꯝ ꯑꯁꯤꯗꯥ ꯋꯥꯐꯝ ꯑꯁꯤ ꯂꯩꯔꯤ꯫ ꯑꯦ.ꯑꯦꯁ.ꯚꯤ.ꯒꯤ ꯃꯦꯁꯤꯟ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ‘ꯁ꯭ꯃꯥꯔꯠ’ ꯃꯦꯁꯤꯟ ꯑꯃꯅꯤ꯫ ꯃꯁꯤꯅꯥ ꯂꯦꯞꯇꯅꯥ ꯑꯦꯌꯔ ꯄꯝꯄ ꯇꯧꯕꯈꯛꯇꯗꯥ ꯅꯠꯇꯅꯥ꯫ ꯃꯗꯨꯒꯤ ꯃꯍꯨꯠꯇꯥ, ꯃꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯒꯤ ꯃꯑꯣꯡ ꯑꯗꯨ ꯂꯦꯞꯇꯅꯥ ꯌꯦꯡꯁꯤꯟꯅꯕꯥ ꯑꯈꯟꯅꯕꯥ ꯁꯦꯟꯁꯔꯁꯤꯡ ꯁꯤꯖꯤꯟꯅꯩ꯫ ꯃꯦꯁꯤꯟ ꯑꯁꯤꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯀꯔꯝꯅꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯒꯦ, ꯅꯍꯥꯛꯅꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯂꯦꯄꯈꯤꯕꯥ ꯃꯇꯃꯗꯥ, ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯅꯥ ꯀꯌꯥ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯒꯦ ꯍꯥꯌꯕꯗꯨꯗꯒꯤ ꯄꯨꯝꯅꯃꯛ ꯈꯪꯏ꯫ ꯑꯗꯨꯗꯒꯤ, ꯃꯁꯤꯅꯥ ꯃꯊꯧ ꯇꯥꯕꯒꯤ ꯃꯇꯨꯡ ꯏꯟꯅꯥ, ꯃꯤꯀꯨꯞ ꯑꯗꯨꯗꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯄ꯭ꯔꯦꯁꯔ ꯑꯗꯨ ꯈꯛꯇꯃꯛ ꯄꯤꯔꯤ꯫ ꯃꯁꯤꯅꯥ ꯇꯥꯀꯄꯗꯤ ꯃꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯆꯨꯁꯤꯟꯅꯍꯅꯕꯥ ꯉꯝꯕꯥ ꯑꯦꯗꯕꯦꯛꯇꯤꯕ ꯃꯦꯁꯤꯟ ꯑꯃꯅꯤ꯫

ꯑꯦ.ꯑꯦꯁ.ꯚꯤ.ꯅꯥ ꯁꯤ.ꯄꯤ.ꯑꯦ.ꯄꯤ.ꯒꯥ ꯀꯔꯝꯅꯥ ꯈꯦꯠꯅꯕꯒꯦ?

ꯃꯦꯁꯤꯟ ꯑꯅꯤꯃꯛꯀꯤ ꯃꯔꯨ ꯑꯣꯏꯕꯥ ꯄꯥꯟꯗꯝ ꯑꯁꯤ ꯑꯃꯒꯥ ꯑꯃꯒꯥ ꯃꯥꯟꯅꯔꯕꯁꯨ ꯃꯈꯣꯌꯒꯤ ꯊꯕꯛ ꯇꯧꯕꯒꯤ ꯃꯑꯣꯡ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯇꯣꯉꯥꯜꯂꯤ꯫ ꯃꯁꯤꯒꯤ ꯈꯦꯠꯅꯕꯥ ꯑꯁꯤ ꯈꯪꯅꯕꯒꯤꯗꯃꯛ, ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯇꯦꯕꯜ ꯑꯁꯤ ꯌꯦꯡꯕꯤꯌꯨ꯫

ꯃꯒꯨꯟ ꯂꯩꯕꯥ꯫	ꯁꯤ.ꯄꯤ.ꯑꯦ.ꯄꯤ.(ꯀꯟꯇꯤꯟꯌꯨꯑꯣꯁ ꯄꯣꯖꯤꯇꯤꯕ ꯑꯦꯌꯔꯋꯦ ꯄ꯭ꯔꯦꯁꯔ) ꯃꯦꯁꯤꯟ꯫	ꯑꯦ.ꯑꯦꯁ.ꯚꯤ.(ꯑꯦꯗꯥꯞꯇꯤꯕ-ꯁꯔꯚꯣ ꯚꯦꯟꯇꯤꯂꯦꯁꯟ) ꯃꯦꯁꯤꯟ꯫
ꯑꯦꯌꯔ ꯄ꯭ꯔꯦꯁꯔ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯄꯤꯒꯗꯒꯦ꯫	ꯗꯣꯛꯇꯔ ꯑꯗꯨꯅꯥ ꯄꯤꯔꯀꯄꯒꯥ ꯃꯥꯟꯅꯅꯥ ꯂꯦꯞꯇꯅꯥ ꯄ꯭ꯔꯦꯁꯔ ꯄꯤꯗꯨꯅꯥ ꯂꯩꯒꯅꯤ꯫	ꯅꯍꯥꯛꯀꯤ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯒꯤ ꯃꯑꯣꯡ-ꯃꯇꯧ ꯑꯗꯨꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ, ꯄ꯭ꯔꯦꯁꯔ ꯑꯗꯨ ꯃꯊꯧ ꯇꯥꯕꯥ ꯃꯇꯃꯗꯥ (ꯚꯦꯔꯤꯑꯦꯕꯜ ꯄ꯭ꯔꯦꯁꯔ) ꯃꯊꯧ ꯇꯥꯕꯥ ꯆꯥꯡ ꯑꯗꯨꯗꯥ ꯍꯣꯡꯏ꯫
ꯐꯉ꯭ꯀꯁꯅꯦꯂꯤꯇꯤ ꯂꯩꯕꯥ꯫	ꯑꯦꯌꯔꯋꯦ (airway) ꯑꯁꯤ ꯐꯣꯔꯁ ꯑꯣꯏꯅꯥ ꯍꯥꯡꯗꯣꯀꯏ꯫ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ ꯃꯇꯃꯗꯁꯨ ꯅꯍꯥꯛꯅꯥ ꯄ꯭ꯔꯦꯁꯔ ꯑꯁꯤꯒꯤ ꯃꯥꯌꯣꯛꯇꯥ ꯊꯕꯛ ꯇꯧꯒꯗꯕꯅꯤ꯫	ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯑꯗꯨ ꯌꯦꯡꯁꯤꯜꯂꯤ ꯑꯃꯁꯨꯡ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯂꯦꯄꯈ꯭ꯔꯕꯗꯤ ꯅꯠꯠꯔꯒꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯂꯦꯄꯈ꯭ꯔꯕꯗꯤ ꯄ꯭ꯔꯦꯁꯔ ꯄꯤ꯫ ꯅꯣꯔꯃꯦꯜ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯒꯤ ꯃꯇꯃꯗꯥ ꯏꯟꯇꯔꯚꯦꯟꯁꯟ ꯑꯁꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯅꯦꯝꯕꯥ ꯑꯣꯏ꯫
ꯃꯔꯨꯑꯣꯏꯅꯥ ꯁꯤꯖꯤꯟꯅꯩ꯫	ꯑꯌꯥꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯑꯣꯕꯁ꯭ꯠꯔꯀꯆꯔ ꯁ꯭ꯂꯤꯞ ꯑꯦꯄꯅꯤꯌꯥ (OSA) (ꯑꯦꯌꯔꯋꯦꯒꯤ ꯑꯣꯕꯁ꯭ꯠꯔꯀꯆꯔꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯀꯟꯗꯤꯁꯟ) ꯍꯥꯌꯅꯥ ꯈꯪꯅꯩ꯫	ꯃꯔꯨꯑꯣꯏꯅꯥ ꯁꯦꯟꯠꯔꯦꯜ ꯁ꯭ꯂꯤꯞ ꯑꯦꯄꯅꯤꯌꯥ (CSA) ꯀꯧꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯒꯤꯗꯃꯛ ꯑꯃꯁꯨꯡ ꯀꯝꯞꯂꯦꯛꯁ ꯁ꯭ꯂꯤꯞ ꯑꯦꯄꯅꯤꯌꯥ ꯀꯟꯗꯤꯁꯟ ꯈꯔꯒꯤꯗꯃꯛ꯫

ꯁꯦꯟꯠꯔꯦꯜ ꯁ꯭ꯂꯤꯞ ꯑꯦꯄꯅꯤꯌꯥ (CSA) ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ? ꯑꯦ.ꯑꯦꯁ.ꯚꯤ.ꯅꯥ ꯀꯔꯝꯅꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯒꯅꯤ?

ꯁ꯭ꯂꯤꯞ ꯑꯦꯄꯅꯤꯌꯥ ꯃꯈꯜ ꯑꯅꯤ ꯂꯩ꯫ ꯑꯃꯅꯥ ꯑꯣꯕꯁ꯭ꯠꯔꯀꯆꯔ ꯁ꯭ꯂꯤꯞ ꯑꯦꯄꯅꯤꯌꯥ (OSA)'' ꯍꯥꯌꯕꯁꯤꯅꯤ, ꯃꯁꯤ ꯀꯣꯛꯇꯥ ꯂꯩꯕꯥ ꯃꯁꯂꯁꯤꯡꯅꯥ ꯁꯣꯀꯍꯜꯂꯕꯥ ꯑꯃꯁꯨꯡ ꯑꯦꯌꯔꯋꯦ (airway) ꯊꯤꯡꯖꯤꯅꯕꯅꯥ ꯊꯣꯀꯍꯅꯕꯅꯤ꯫ ꯃꯁꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯃꯈꯂꯅꯤ꯫

ꯑꯗꯨꯕꯨ ꯁꯦꯟꯠꯔꯦꯜ ꯁ꯭ꯂꯤꯞ ꯑꯦꯄꯅꯤꯌꯥ (CSA) ꯍꯥꯌꯕꯁꯤꯗꯤ ꯇꯣꯉꯥꯅꯕꯥ ꯋꯥꯐꯝ ꯑꯃꯅꯤ꯫ ꯃꯁꯤꯒꯤ ꯀꯦꯁ ꯑꯁꯤꯗꯥ, ꯅꯍꯥꯛꯀꯤ ꯂꯪꯁ ꯅꯠꯠꯔꯒꯥ ꯀꯣꯛꯇꯥ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯑꯃꯠꯇꯥ ꯂꯩꯇꯦ꯫ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯑꯗꯨ ꯅꯍꯥꯛꯀꯤ ꯕ꯭ꯔꯦꯅꯗꯥ ꯂꯩꯔꯤ! ꯑꯩꯈꯣꯌꯒꯤ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯑꯁꯤ ꯕ꯭ꯔꯦꯅꯗꯒꯤ ꯂꯥꯀꯄꯥ ꯄꯥꯎꯖꯦꯂꯁꯤꯡꯅꯥ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯏ꯫ ꯁꯤ.ꯑꯦꯁ.ꯑꯦ.ꯗꯥ ꯕ꯭ꯔꯦꯅꯅꯥ ꯍꯀꯆꯥꯡꯗꯥ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯉꯝꯅꯕꯥ ꯄꯥꯎꯖꯦꯜ ꯑꯗꯨ ꯊꯥꯗꯦ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯇꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯑꯁꯤ ꯃꯇꯝ ꯈꯔꯒꯤ ꯑꯣꯏꯅꯥ ꯂꯦꯄꯈꯤ꯫

ꯁꯤ.ꯑꯦꯁ.ꯑꯦ.ꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ:

ꯍꯥꯔꯇꯀꯤ ꯂꯥꯌꯅꯥ : ꯃꯔꯨꯑꯣꯏꯅꯥ ꯀꯟꯖꯦꯁ꯭ꯇꯤꯚ ꯍꯥꯔꯠ ꯐꯦꯜ ꯑꯣꯏꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯦꯠꯔꯤꯌꯥꯜ ꯐꯤꯕꯔ (Afib)ꯒꯨꯝꯕꯥ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ꯫
ꯍꯤꯗꯥꯛ ꯈꯔꯗꯤ: ꯄꯦꯟ ꯀꯤꯂꯥꯔ ꯑꯣꯏꯅꯥ ꯁꯤꯖꯤꯟꯅꯕꯥ ꯑꯣꯄꯤꯑꯣꯏꯗ ꯗ꯭ꯔꯒꯁꯤꯡ .
ꯆꯍꯤ: ꯆꯍꯤ 60ꯒꯤ ꯃꯊꯛꯇꯥ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯗꯥ ꯔꯤꯁ꯭ꯛ ꯑꯁꯤ ꯍꯦꯟꯅꯥ ꯋꯥꯡꯏ꯫
ꯅꯔꯚ ꯁꯤꯁ꯭ꯇꯦꯃꯒꯤ ꯂꯥꯌꯅꯥꯁꯤꯡ : ꯁ꯭ꯠꯔꯣꯀꯒꯨꯝꯕꯥ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ꯫
ꯑꯋꯥꯡꯕꯥ ꯃꯐꯃꯗꯥ ꯂꯩꯕꯥ: ꯁꯃꯨꯗ꯭ꯔꯒꯤ ꯂꯦꯚꯦꯂꯗꯒꯤ ꯐꯨꯠ 8,500ꯗꯒꯤ ꯍꯦꯅꯕꯥ ꯑꯋꯥꯡꯕꯗꯥ ꯂꯩꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯆꯠꯄꯅꯥ ꯏꯗꯥ ꯑꯣꯛꯁꯤꯖꯦꯅꯒꯤ ꯆꯥꯡ ꯅꯦꯝꯕꯥ (Hypoxia) ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫

ꯁꯤ.ꯄꯤ.ꯑꯦ.ꯄꯤ.ꯒꯤ ꯃꯦꯁꯤꯟ ꯑꯃꯅꯥ ꯁꯤ.ꯑꯦꯁ.ꯑꯦ.ꯅꯥ ꯅꯥꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯒꯤꯗꯃꯛ ꯊꯕꯛ ꯇꯧꯕꯥ ꯉꯃꯗꯕꯥ ꯌꯥꯏ, ꯃꯔꯃꯗꯤ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯑꯁꯤ ꯕ꯭ꯂꯣꯛ ꯇꯧꯔꯕꯥ ꯑꯦꯌꯔꯋꯦ (block airway) ꯑꯃꯅꯤ꯫ ꯑꯦ.ꯑꯦꯁ.ꯚꯤ.ꯒꯤ ꯃꯦꯁꯤꯟ ꯑꯁꯤ ꯆꯞ ꯃꯥꯟꯅꯕꯥ ꯃꯈꯂꯒꯤ ꯐꯤꯚꯝ ꯑꯁꯤꯒꯤꯗꯃꯛ ꯗꯤꯖꯥꯏꯟ ꯇꯧꯕꯅꯤ꯫ ꯕ꯭ꯔꯦꯅꯗꯒꯤ ꯃꯦꯁꯦꯖ ꯑꯃꯥ ꯌꯥꯎꯗꯅꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯂꯦꯄꯈꯤꯕꯥ ꯃꯇꯃꯗꯥ, ASVꯅꯥ ꯃꯗꯨ ꯈꯪꯏ ꯑꯃꯁꯨꯡ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯅꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯄ꯭ꯔꯦꯁꯔ ꯑꯗꯨ ꯄꯤ꯫

ASV ꯃꯦꯁꯤꯟ ꯑꯃꯒꯤ ꯀꯥꯟꯅꯕꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯈꯨꯗꯣꯡꯊꯤꯕꯁꯤꯡ ꯀꯔꯤꯅꯣ?

ꯀꯥꯟꯅꯕꯥ ꯈꯔꯗꯤ: ꯱.

ꯌꯥꯝꯅꯥ ꯏꯐꯦꯛꯇꯤꯚ ꯑꯣꯏꯕꯥ: ꯃꯁꯤ ꯀꯟꯗꯤꯁꯟ ꯁꯦꯟꯠꯔꯦꯜ ꯁ꯭ꯂꯤꯞ ꯑꯦꯄꯅꯤꯌꯥꯒꯤ ꯌꯥꯝꯅꯥ ꯏꯐꯦꯛꯇꯤꯚ ꯑꯣꯏꯕꯥ ꯂꯥꯏꯌꯦꯡ ꯑꯃꯅꯤ꯫
ꯍꯦꯟꯅꯥ ꯅꯨꯡꯉꯥꯏꯕꯥ: ꯂꯦꯞꯇꯅꯥ ꯑꯦꯌꯔ ꯄ꯭ꯔꯦꯁꯔ ꯂꯩꯇꯕꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯃꯁꯤ ꯃꯤꯑꯣꯏ ꯀꯌꯥꯅꯥ ꯁꯤ.ꯄꯤ.ꯑꯦ.ꯄꯤ. ꯃꯁꯤ ꯃꯤꯑꯣꯏ ꯀꯌꯥꯗꯥ ꯍꯦꯟꯅꯥ ꯃꯍꯧꯁꯥꯒꯤ ꯑꯣꯏꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯐꯥꯑꯣꯏ ꯃꯔꯃꯗꯤ ꯃꯈꯣꯌꯅꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ ꯃꯇꯃꯗꯥ ꯄ꯭ꯔꯦꯁꯔ ꯌꯥꯝꯅꯥ ꯊꯦꯡꯅꯕꯥ ꯃꯊꯧ ꯇꯥꯗꯦ꯫
ꯄꯔꯁꯣꯅꯦꯂꯥꯏꯖꯦꯁꯟ: ꯃꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯑꯀꯛꯅꯕꯥ ꯂꯥꯏꯌꯦꯡ ꯑꯃꯅꯤ꯫

ꯈꯪꯖꯤꯅꯒꯗꯕꯥ ꯑꯈꯟꯅꯕꯥ ꯔꯤꯁ꯭ꯀꯁꯤꯡ:

ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯀꯟꯖꯦꯁ꯭ꯇꯤꯚ ꯍꯥꯔꯠ ꯐꯦꯏꯜ ꯀꯧꯕꯥ ꯍꯥꯔꯇꯀꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯥ ꯂꯩꯔꯕꯗꯤ, ꯁ꯭ꯇꯗꯤ ꯈꯔꯅꯥ ASV ꯃꯦꯁꯤꯟ ꯑꯃꯥ ꯁꯤꯖꯤꯟꯅꯕꯒꯥ ꯃꯔꯤ ꯂꯩꯅꯕꯥ ꯔꯤꯁ꯭ꯛ ꯈꯔꯥ ꯂꯩꯕꯥ ꯌꯥꯏ ꯍꯥꯌꯅꯥ ꯎꯠꯂꯦ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯥ ꯂꯩꯔꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ASV ꯃꯦꯁꯤꯟ ꯑꯃꯥ ꯁꯤꯖꯤꯟꯅꯗ꯭ꯔꯤꯉꯩ ꯃꯃꯥꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯁꯣꯌꯗꯅꯥ ꯈꯟꯅꯒꯗꯕꯅꯤ ꯑꯃꯁꯨꯡ ꯃꯍꯥꯛꯀꯤ ꯄꯥꯎꯇꯥꯛ ꯈꯛꯇꯗꯥ ꯌꯨꯝꯐꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯋꯥꯔꯦꯞ ꯑꯃꯥ ꯂꯧꯒꯗꯕꯅꯤ꯫

ꯃꯦꯁꯤꯟ ꯑꯁꯤ ꯁꯤꯖꯤꯟꯅꯗ꯭ꯔꯤꯉꯩ ꯃꯃꯥꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯒꯤ ꯈꯪꯖꯤꯅꯒꯗꯕꯥ ꯋꯥꯐꯃꯁꯤꯡ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯛꯀꯤꯗꯃꯛꯇꯥ ASV ꯃꯦꯁꯤꯟ ꯑꯃꯥ ꯔꯤꯀꯃꯦꯟꯗ ꯇꯧꯔꯕꯗꯤ, ꯋꯥꯍꯪꯁꯤꯡ ꯑꯁꯤ ꯍꯪꯕꯤꯌꯨ ꯑꯃꯁꯨꯡ ꯃꯗꯨ ꯍꯧꯗ꯭ꯔꯤꯉꯩꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯊꯦꯡꯅꯔꯀꯄꯥ ꯑꯋꯥꯕꯁꯤꯡ ꯑꯗꯨ ꯂꯣꯌꯁꯤꯜꯂꯨ꯫

"ꯗꯣꯛꯇꯔ, ꯑꯩꯒꯤ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯒꯤ ꯗꯦꯇꯥ ꯑꯁꯤ ꯃꯦꯁꯤꯟ ꯑꯁꯤꯗꯥ ꯎꯕꯥ ꯐꯪꯂꯕ꯭ꯔꯥ? ꯃꯁꯤꯗꯒꯤ ꯑꯩꯅꯥ ꯀꯔꯤ ꯈꯉꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯒꯦ?"
“ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯄ꯭ꯔꯦꯁꯔ ꯁꯦꯇꯤꯡꯁꯤꯡꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯑꯩꯅꯥ ꯈꯉꯒꯗꯕꯥ ꯑꯈꯟꯅꯕꯥ ꯋꯥꯐꯝ ꯑꯃꯥ ꯂꯩꯕꯔꯥ?”
"ꯁꯦꯟꯁꯔꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯊꯕꯛ ꯇꯧꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯈꯔꯥ ꯐꯣꯡꯗꯣꯀꯄꯥ ꯉꯃꯒꯗ꯭ꯔꯥ?"
“ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯩꯍꯥꯛꯅꯥ ꯃꯃꯥꯡꯗꯥ ꯁꯤ.ꯄꯤ.ꯑꯦ.ꯄꯤ. ꯑꯃꯥ ꯁꯤꯖꯤꯟꯅꯔꯝꯂꯕꯗꯤ, ꯃꯁꯤ ꯁꯤꯖꯤꯟꯅꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯇꯣꯉꯥꯅꯕꯥ ꯐꯥꯑꯣꯒꯅꯤ?”

ꯅꯤꯡꯁꯤꯡꯕꯤꯌꯨ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯍꯪꯂꯀꯄꯥ ꯋꯥꯍꯪ ꯑꯃꯠꯇꯥ ꯍꯪꯕꯗꯥ ꯀꯩꯗꯧꯉꯩꯗꯥ ꯂꯥꯡꯇꯛꯅꯒꯅꯨ꯫ ꯅꯍꯥꯛꯀꯤ ꯂꯥꯏꯌꯦꯡꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯑꯐꯕꯥ ꯂꯧꯁꯤꯡ ꯂꯩꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫

ꯇꯦꯛ-ꯍꯣꯝ ꯃꯦꯁꯦꯖ ꯇꯧꯕꯥ꯫

ꯑꯦ.ꯑꯦꯁ.ꯚꯤ.ꯒꯤ ꯃꯦꯁꯤꯟ ꯑꯁꯤ ꯇꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯒꯤ ꯁꯃꯁ꯭ꯌꯥꯁꯤꯡ, ꯃꯔꯨꯑꯣꯏꯅꯥ ꯁꯦꯟꯠꯔꯦꯜ ꯁ꯭ꯂꯤꯞ ꯑꯦꯄꯅꯤꯌꯥ (ꯁꯤ.ꯑꯦꯁ.ꯑꯦ.) .'
ꯃꯁꯤꯅꯥ ꯁꯤ.ꯄꯤ.ꯑꯦ.ꯄꯤ.ꯒꯤ ꯃꯦꯁꯤꯟ ꯑꯃꯒꯨꯝꯅꯥ ꯂꯦꯞꯇꯅꯥ ꯅꯨꯡꯁꯤꯠ ꯄꯝꯄ ꯇꯧꯗꯦ꯫ ꯃꯗꯨꯒꯤ ꯃꯍꯨꯠꯇꯥ, ꯃꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯒꯤ ꯃꯑꯣꯡ-ꯃꯇꯧ ꯑꯗꯨꯒꯥ ꯆꯨꯁꯤꯟꯅꯩ ꯑꯃꯁꯨꯡ ꯃꯊꯧ ꯇꯥꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯈꯛꯇꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫
ꯃꯁꯤꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯃꯤꯑꯣꯏ ꯈꯔꯅꯥ ꯁꯤ.ꯄꯤ.ꯑꯦ.ꯄꯤ.ꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯁꯤꯖꯤꯟꯅꯕꯗꯥ ꯂꯥꯌꯕꯥ ꯎꯏ꯫
ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯀꯟꯖꯦꯁ꯭ꯇꯤꯚ ꯍꯥꯔꯠ ꯐꯦꯏꯂꯔꯒꯨꯝꯕꯥ ꯍꯥꯔꯇꯀꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯥ ꯂꯩꯔꯕꯗꯤ, ASV ꯃꯦꯁꯤꯟ ꯑꯃꯥ ꯁꯤꯖꯤꯟꯅꯗ꯭ꯔꯤꯉꯩꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯁꯣꯌꯗꯅꯥ ꯋꯥꯔꯤ ꯁꯥꯕꯤꯌꯨ꯫
ꯃꯁꯤ ꯋꯥꯟ-ꯁꯥꯏꯖ-ꯐꯤꯠ-ꯑꯣꯜ ꯇ꯭ꯔꯤꯠꯃꯦꯟꯇ ꯅꯠꯇꯦ꯫ ꯃꯦꯗꯤꯀꯦꯜ ꯑꯦꯀꯖꯥꯃꯤꯅꯦꯁꯟ ꯑꯃꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯛꯀꯤꯗꯃꯛꯇꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯥ ꯂꯥꯏꯌꯦꯡ ꯑꯗꯨ ꯂꯦꯄꯀꯅꯤ꯫ ꯃꯍꯥꯛꯀꯤ ꯏꯅꯁ꯭ꯠꯔꯛꯁꯅꯁꯤꯡ ꯉꯥꯛꯅꯥ ꯆꯠꯄꯥ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫