ꯕꯤꯂꯤꯌꯔ ꯗ꯭ꯔꯦꯅꯦꯖ: ꯀꯔꯤꯒꯤꯗꯃꯛꯇꯥ ꯑꯃꯁꯨꯡ ꯀꯔꯝꯅꯥ ꯇꯧꯕꯒꯦ?

ꯅꯍꯥꯛꯀꯤ ꯃꯤꯠ ꯑꯃꯁꯨꯡ ꯈꯣꯡ ꯑꯗꯨ ꯌꯦꯔꯨꯝ ꯀꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡ ꯄꯨꯝꯕꯥ ꯌꯥꯝꯅꯥ ꯋꯥꯅꯥ ꯁꯣꯀꯄꯥ ꯌꯥꯏ? ꯍꯥꯌꯔꯤꯕꯥ ꯑꯁꯤ ꯑꯩꯈꯣꯌ ꯄꯨꯝꯅꯃꯛꯅꯥ ꯖꯟꯗꯥꯁ ꯍꯥꯌꯅꯥ ꯈꯉꯅꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡꯅꯤ꯫ ꯑꯌꯥꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯃꯁꯤꯒꯤ ꯃꯔꯝ ꯑꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯂꯤꯚꯔꯗꯒꯤ ꯂꯥꯀꯄꯥ ꯐ꯭ꯂꯨꯏꯗ ꯑꯃꯥ ꯑꯣꯏꯔꯤꯕꯥ ꯕꯥꯏꯜ ꯗꯛꯇꯇꯥ ꯕ꯭ꯂꯣꯀꯦꯖ ꯇꯧꯕꯅꯤ ꯑꯃꯁꯨꯡ ꯃꯁꯤꯅꯥ ꯍꯀꯆꯥꯡ ꯁꯣꯛꯅ-ꯁꯝꯅꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫ ꯃꯁꯤ ꯕ꯭ꯂꯣꯛ ꯇꯧꯔꯕꯥ ꯃꯇꯃꯗꯥ, ꯐ꯭ꯂꯨꯏꯗ ꯑꯗꯨꯅꯥ ꯂꯤꯚꯔꯗꯥ ꯕꯦꯛ ꯇꯧꯗꯨꯅꯥ ꯌꯦꯔꯨꯝ ꯀꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯁꯣꯀꯄꯥ ꯊꯣꯀꯍꯜꯂꯤ꯫ ꯑꯗꯨꯅꯥ, ꯑꯁꯤꯒꯨꯝꯕꯥ ꯀꯦꯁꯁꯤꯡꯗꯥ ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯁꯤꯖꯤꯟꯅꯔꯤꯕꯥ ꯑꯈꯟꯅꯕꯥ ꯂꯥꯏꯌꯦꯡꯒꯤ ꯄꯥꯝꯕꯩ ꯑꯃꯥ ꯑꯣꯏꯔꯤꯕꯥ ꯕꯤꯂꯤꯌꯔ ꯗ꯭ꯔꯦꯅꯦꯖ ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯃꯁꯤꯗꯥ ꯕ꯭ꯂꯣꯛ ꯇꯧꯔꯕꯥ ꯕꯥꯏꯜ ꯗꯛꯇ ꯑꯗꯨꯗꯥ ꯑꯄꯤꯀꯄꯥ ꯇꯤꯎꯕ ꯑꯃꯥ ꯍꯥꯄꯆꯤꯟꯗꯨꯅꯥ ꯕꯥꯏꯜ ꯑꯗꯨ ꯊꯨꯒꯥꯌꯕꯥ ꯌꯥꯍꯅꯕꯁꯤ ꯌꯥꯎꯏ꯫ ꯉꯁꯤ ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯑꯀꯨꯞꯄꯥ ꯃꯔꯣꯂꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯁꯤ꯫

ꯕꯤꯂꯤꯌꯔ ꯗ꯭ꯔꯦꯅꯦꯖ ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ? ꯃꯈꯜ ꯑꯃꯠꯇꯥ ꯂꯩꯕ꯭ꯔꯥ?

ꯕꯤꯂꯤꯌꯔ ꯗ꯭ꯔꯦꯅꯦꯖ ꯍꯥꯌꯕꯁꯤ ꯂꯤꯚꯔꯗꯒꯤ ꯑꯄꯤꯀꯄꯥ ꯏꯟꯇꯦꯁ꯭ꯇꯥꯏꯟ ꯐꯥꯎꯕꯥ ꯆꯠꯂꯤꯕꯥ ꯕꯥꯏꯜ ꯗꯛꯇꯇꯥ ꯕ꯭ꯂꯣꯀꯦꯖ ꯑꯃꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯕꯥꯏꯜ ꯆꯦꯅꯕꯥ ꯌꯥꯍꯟꯅꯕꯥ ꯐ꯭ꯂꯦꯛꯁꯤꯕꯜ, ꯊꯤꯟ ꯇꯤꯎꯕ (catheter) ꯑꯃꯥ ꯁꯤꯖꯤꯟꯅꯗꯨꯅꯥ ꯄꯥꯡꯊꯣꯀꯄꯥ ꯊꯧꯑꯣꯡ ꯑꯃꯅꯤ꯫ ꯃꯁꯤ ꯕ꯭ꯂꯣꯛ ꯇꯧꯔꯕꯥ ꯏꯁꯤꯡ ꯂꯝꯕꯤ ꯑꯃꯒꯤꯗꯃꯛ ꯑꯅꯧꯕꯥ ꯂꯝꯕꯤ ꯑꯃꯥ ꯁꯦꯝꯕꯒꯥ ꯃꯥꯟꯅꯩ꯫ ꯃꯁꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯑꯣꯡ ꯑꯅꯤꯗꯥ ꯇꯧꯏ꯫ ꯅꯍꯥꯛꯀꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯗꯨꯗꯥ ꯌꯨꯝꯐꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯛꯀꯤꯗꯃꯛꯇꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯥ ꯃꯦꯊꯗ ꯑꯗꯨ ꯂꯦꯄꯀꯅꯤ꯫

ꯁ꯭ꯇꯦꯟꯇ ꯄ꯭ꯂꯦꯁꯃꯦꯟꯇ ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ?

ꯀꯦꯁ ꯈꯔꯗꯗꯤ, ꯃꯔꯨꯑꯣꯏꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯕ꯭ꯂꯣꯀꯦꯖ ꯑꯗꯨ ꯃꯇꯝ ꯆꯨꯞꯄꯒꯤ ꯑꯣꯏꯅꯥ ꯂꯩꯔꯕꯗꯤ (ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯀꯦꯟꯁꯔꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ), ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯕꯥꯏꯜ ꯗꯛꯇꯀꯤ ꯃꯅꯨꯡꯗꯥ ꯃꯇꯝ ꯆꯨꯞꯄꯒꯤ ꯑꯣꯏꯅꯥ ꯊꯃꯖꯤꯅꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤ ꯃꯍꯧꯁꯥꯅꯥ ꯑꯍꯥꯅꯕꯥ ꯇꯤꯎꯕ ꯑꯗꯨ ꯊꯥꯗꯣꯀꯈ꯭ꯔꯕꯥ ꯃꯇꯨꯡ ꯅꯨꯃꯤꯠ ꯈꯔꯅꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯇꯧꯏ꯫

ꯀꯅꯥꯒꯨꯝꯕꯥ ꯑꯃꯅꯥ ꯀꯔꯤꯒꯤꯗꯃꯛ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯃꯈꯂꯒꯤ ꯂꯥꯌꯦꯡ ꯑꯁꯤ ꯃꯊꯧ ꯇꯥꯔꯤꯕꯅꯣ?

ꯂꯥꯏꯌꯦꯡ ꯑꯁꯤ ꯃꯊꯧ ꯇꯥꯕꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯔꯃꯗꯤ ꯕꯥꯏꯜ ꯗꯛꯇ (`stricture`) ꯑꯗꯨ ꯕ꯭ꯂꯣꯛ ꯇꯧꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯀꯨꯄꯁꯤꯅꯕꯥ ꯑꯁꯤꯅꯤ꯫ ꯃꯁꯤꯅꯥ ꯂꯤꯚꯔꯗꯥ ꯕꯥꯏꯜ ꯐ꯭ꯂꯨꯏꯗ (`ꯀꯣꯂꯦꯁ꯭ꯇꯦꯁꯤꯁ`) ꯊꯣꯀꯍꯜꯂꯤ꯫ ꯈꯅꯕꯤꯌꯨ, ꯑꯩꯈꯣꯌꯒꯤ ꯌꯨꯃꯗꯥ ꯗ꯭ꯔꯦꯟ ꯄꯥꯏꯞ ꯑꯃꯥ ꯆꯦꯟꯊꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯃꯐꯝ ꯑꯁꯤꯗꯥ ꯏꯁꯤꯡ ꯊꯨꯃꯖꯤꯜꯂꯀꯄꯒꯨꯝꯕꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯈꯔꯥ꯫ ꯕꯥꯏꯜ ꯗꯛꯇ ꯕ꯭ꯂꯣꯀꯦꯖꯒꯤ ꯃꯔꯝ ꯀꯌꯥ ꯂꯩꯕꯥ ꯌꯥꯏ:

• ꯒꯥꯂꯕ꯭ꯂꯦꯗꯔ ꯅꯠꯠꯔꯒꯥ ꯕꯥꯏꯜ ꯗꯛꯇꯁꯤꯡꯗꯥ ꯂꯩꯕꯥ ꯁ꯭ꯇꯣꯅꯁꯤꯡ (choledocholithiasis)꯫
• ꯄꯦꯅꯛꯔꯤꯑꯦꯇꯤꯁ ꯅꯠꯠꯔꯒꯥ ꯄꯦꯅꯛꯔꯤꯑꯦꯇꯤꯛ ꯀꯦꯟꯁꯔ .
• ꯕꯥꯏꯜ ꯗꯛꯇ ꯀꯦꯟꯁꯔ (ꯀꯣꯂꯦꯅꯖꯤꯑꯣꯀꯥꯔꯁꯤꯅꯣꯃꯥ)꯫
• ꯂꯤꯚꯔ ꯀꯦꯟꯁꯔ ꯅꯠꯠꯔꯒꯥ ꯒꯥꯂꯕ꯭ꯂꯦꯗꯔ ꯀꯦꯟꯁꯔ꯫
• ꯀꯦꯟꯁꯔꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯂꯤꯚꯔ ꯅꯠꯠꯔꯒꯥ ꯄꯦꯅꯛꯔꯤꯑꯦꯖꯒꯤ ꯃꯅꯥꯛꯇꯥ ꯂꯩꯕꯥ ꯂꯤꯝꯐ ꯅꯣꯗꯁꯤꯡ (limph nodes) ꯁꯣꯀꯄꯥ꯫
• ꯄꯦꯔꯥꯁꯥꯏꯠ ꯏꯅꯐꯦꯛꯁꯟ ꯈꯔꯗꯤ .
• ꯑꯇꯣꯞꯄꯥ ꯁꯔꯖꯔꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯕꯥꯏꯜ ꯗꯛꯇꯁꯤꯡꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯄꯥ꯫
• ꯕꯥꯏꯜ ꯗꯛꯇꯁꯤꯡꯒꯤ ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯊꯣꯀꯄꯥ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯇꯔꯤ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ, ꯍꯥꯌꯕꯗꯤ `ꯄ꯭ꯔꯥꯏꯃꯥꯔꯤ ꯁ꯭ꯛꯂꯦꯔꯣꯁꯤꯡ ꯀꯣꯂꯦꯅꯖꯥꯏꯇꯤꯁ`꯫

ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯃꯃꯥꯡꯗꯥ ꯃꯇꯧ ꯀꯔꯝꯅꯥ ꯁꯦꯝ-ꯁꯥꯒꯗꯒꯦ?

ꯂꯥꯏꯌꯦꯡ ꯑꯁꯤꯒꯤ ꯃꯃꯥꯡꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯇꯧꯒꯗꯕꯥ ꯊꯕꯛ ꯈꯔꯥ ꯂꯩ꯫ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯃꯌꯦꯛ ꯁꯦꯡꯕꯥ ꯏꯅꯁ꯭ꯠꯔꯛꯁꯅꯁꯤꯡ ꯄꯤꯒꯅꯤ꯫ ꯍꯥꯌꯔꯤꯕꯥ ꯏꯅꯁ꯭ꯠꯔꯛꯁꯅꯁꯤꯡ ꯑꯗꯨ ꯑꯆꯨꯝꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯉꯥꯛꯅꯥ ꯆꯠꯄꯥ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫ 1. ꯆꯥꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯊꯛꯅꯕꯥ ꯏꯁꯤꯡ: ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯌꯥꯃꯗ꯭ꯔꯕꯗꯥ ꯄꯨꯡ 6ꯒꯤ ꯃꯃꯥꯡꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯆꯥꯕꯥ, ꯊꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯃꯩꯈꯨ ꯊꯥꯗꯣꯀꯄꯥ ꯂꯦꯄꯀꯗꯕꯅꯤ꯫ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯀꯗꯥꯏꯗꯥ ꯏꯁꯤꯡꯒꯨꯝꯕꯥ ꯐ꯭ꯂꯨꯏꯗꯁꯤꯡ ꯊꯀꯄꯥ ꯌꯥꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯈꯪꯍꯅꯕꯥ ꯌꯥꯏ꯫ 2. ꯑꯦꯂꯥꯔꯖꯤ: ꯅꯍꯥꯛꯅꯥ ꯂꯩꯔꯤꯕꯥ ꯑꯦꯂꯥꯔꯖꯤ ꯑꯃꯍꯦꯛꯇꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯁꯣꯌꯗꯅꯥ ꯈꯪꯍꯅꯕꯤꯌꯨ, ꯃꯔꯨꯑꯣꯏꯅꯥ ꯑꯦꯅꯥꯁ꯭ꯇꯦꯇꯤꯛ, ꯑꯦꯛꯁ-ꯔꯦꯗꯥ ꯁꯤꯖꯤꯟꯅꯔꯤꯕꯥ ꯀꯟꯠꯔꯁ꯭ꯠ ꯗꯥꯏ, ꯅꯠꯠꯔꯒꯥ ꯄ꯭ꯂꯥꯁ꯭ꯇꯤꯛ ꯅꯠꯠꯔꯒꯥ ꯙꯥꯇꯨꯒꯤ ꯃꯇꯥꯡꯗꯥ꯫ ꯳.ꯍꯤꯗꯥꯀꯁꯤꯡ : ꯱.ꯅꯍꯥꯛꯅꯥ ꯍꯧꯖꯤꯛ ꯂꯧꯔꯤꯕꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛ ꯄꯨꯝꯅꯃꯛ (ꯚꯤꯇꯥꯃꯤꯅꯁꯤꯡ ꯌꯥꯎꯅꯥ) ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯈꯪꯍꯜꯂꯨ꯫ ꯃꯔꯨꯑꯣꯏꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯦꯁ꯭ꯄꯤꯔꯤꯟ ꯑꯃꯁꯨꯡ ꯋꯥꯔꯐꯦꯔꯤꯅꯒꯨꯝꯕꯥ ꯕ꯭ꯂꯗ ꯊꯤꯅꯔꯁꯤꯡ (ꯑꯦꯟꯇꯤꯀꯣꯑꯦꯒꯨꯂꯦꯟꯇꯁꯤꯡ) ꯂꯧꯔꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯃꯈꯣꯌꯗꯨ ꯂꯧꯕꯥ ꯂꯦꯄꯍꯅꯕꯥ ꯃꯊꯧ ꯇꯥꯕ꯭ꯔꯥ ꯑꯃꯁꯨꯡ ꯀꯗꯥꯏꯗꯥ ꯁꯤꯖꯤꯟꯅꯒꯗꯒꯦ ꯍꯥꯌꯅꯥ ꯍꯪꯕꯤꯌꯨ꯫ 4. ꯃꯤꯔꯣꯅꯕꯥ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯤꯔꯣꯜꯂꯤꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯃꯤꯔꯣꯅꯕꯥ ꯌꯥꯕꯥ ꯑꯣꯏꯔꯕꯗꯤ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯁꯣꯌꯗꯅꯥ ꯈꯪꯍꯅꯒꯗꯕꯅꯤ꯫ 5. ꯗ꯭ꯔꯥꯏꯚꯤꯡ: ꯅꯍꯥꯛꯅꯥ ꯑꯦꯅꯥꯁ꯭ꯇꯦꯁꯤꯌꯥꯒꯤ ꯃꯈꯥꯗꯥ ꯂꯩꯕꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯗ꯭ꯔꯥꯏꯚꯤꯡ ꯇꯧꯕꯥ ꯉꯃꯂꯣꯏ꯫ ꯑꯗꯨꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯌꯨꯃꯗꯥ ꯄꯨꯔꯛꯅꯕꯥ ꯀꯅꯥꯒꯨꯝꯕꯥ ꯑꯃꯕꯨ ꯄꯨꯔꯛꯅꯕꯥ ꯊꯧꯔꯥꯡ ꯇꯧꯕꯤꯌꯨ꯫

ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯃꯇꯃꯗꯥ ꯀꯔꯤ ꯊꯣꯀꯏ?

ꯃꯁꯤꯒꯤꯗꯃꯛꯇꯥ ꯈꯣꯡꯊꯥꯡꯁꯤꯡ ꯑꯁꯤ ꯅꯍꯥꯛꯅꯥ ꯂꯧꯔꯤꯕꯥ ꯄ꯭ꯔꯣꯁꯤꯗ꯭ꯌꯨꯑꯣꯔ (PTBD ꯅꯠꯠꯔꯒꯥ EBD) ꯑꯗꯨꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ ꯈꯔꯥ ꯈꯦꯠꯅꯒꯅꯤ꯫ ꯑꯗꯨꯕꯨ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯂꯩꯔꯣꯏꯗꯕꯅꯤ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯃꯃꯥꯡꯗꯥ ꯄꯨꯝꯅꯃꯛ ꯈꯪꯍꯜꯂꯛꯀꯅꯤ꯫

ꯄꯔꯛꯌꯨꯇꯦꯅꯤꯌꯝ ꯃꯦꯊꯗ (ꯄꯤ.ꯇꯤ.ꯕꯤ.ꯗꯤ.) ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯄꯥꯡꯊꯣꯛꯀꯗꯒꯦ:

• ꯑꯍꯥꯅꯕꯗꯥ, ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯂꯩꯔꯤꯕꯥ ꯈꯣꯡ ꯑꯗꯨ ꯁꯦꯡꯗꯣꯀꯏ ꯑꯃꯁꯨꯡ ꯃꯐꯝ ꯑꯗꯨ ꯂꯦꯡꯗꯅꯥ ꯂꯩꯍꯜꯂꯤ꯫
• ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯗꯣꯛꯇꯔꯅꯥ ꯂꯤꯚꯔꯗꯥ ꯂꯩꯕꯥ ꯕꯥꯏꯜ ꯗꯛꯇ ꯑꯃꯗꯥ ꯈꯣꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯄꯤꯀꯄꯥ ꯅꯤꯗꯜ ꯑꯃꯥ ꯊꯥꯏ꯫
• ꯑꯦꯛꯁ-ꯔꯦꯁꯤꯡ ꯑꯁꯤ ꯎꯕꯥ ꯐꯪꯍꯟꯅꯕꯥ ꯑꯈꯟꯅꯕꯥ ꯂꯤꯛꯌꯨꯏꯗ (ꯀꯟꯠꯔꯁ꯭ꯠ ꯗꯥꯏ) ꯑꯃꯥ ꯏꯅꯖꯦꯀꯁꯟ ꯇꯧꯏ꯫
• ꯕ꯭ꯂꯣꯀꯦꯖ ꯑꯗꯨꯒꯤ ꯑꯀꯛꯅꯕꯥ ꯃꯐꯝ ꯑꯗꯨ ꯈꯪꯗꯣꯛꯂꯕꯥ ꯃꯇꯨꯡꯗꯥ, ꯗ꯭ꯔꯦꯅꯦꯖ ꯇꯤꯎꯕ ꯑꯗꯨ ꯃꯐꯝ ꯑꯗꯨꯗꯥ ꯊꯥꯗꯣꯀꯏ ꯑꯃꯁꯨꯡ ꯕꯥꯏꯜ ꯐ꯭ꯂꯨꯏꯗ ꯑꯗꯨ ꯏꯁꯤꯡ ꯇꯨꯡꯁꯤꯅꯕꯥ ꯌꯥꯍꯜꯂꯤ꯫
• ꯇꯤꯎꯕ ꯑꯁꯤꯒꯤ ꯑꯇꯣꯞꯄꯥ ꯃꯔꯣꯜ ꯑꯗꯨ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯊꯣꯛꯂꯀꯏ ꯑꯃꯁꯨꯡ ꯃꯄꯥꯟꯗꯥ ꯂꯩꯕꯥ ꯕꯦꯒ ꯑꯃꯒꯥ ꯁꯝꯅꯩ꯫ ꯕꯦꯒ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯕꯥꯏꯜ ꯐ꯭ꯂꯨꯏꯗ ꯑꯁꯤ ꯈꯣꯃꯖꯤꯜꯂꯤ꯫ (ꯕꯦꯒ ꯑꯁꯤ ꯅꯣꯡꯃꯗꯥ ꯀꯌꯥ ꯌꯥꯝꯅꯥ ꯁꯦꯡꯗꯣꯀꯄꯥ ꯃꯊꯧ ꯇꯥꯏ꯫)

ꯑꯦꯟꯗꯣꯁ꯭ꯀꯣꯄꯤꯛ ꯄ꯭ꯔꯣꯁꯤꯖꯔ (ꯏ.ꯕꯤ.ꯗꯤ.) ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯄꯥꯡꯊꯣꯛꯀꯗꯒꯦ:

• ꯃꯁꯤꯗꯥ ꯅꯍꯥꯀꯄꯨ ꯖꯦꯅꯦꯔꯦꯜ ꯑꯦꯅꯥꯁ꯭ꯇꯦꯁꯤꯌꯥ ꯅꯠꯠꯔꯒꯥ ꯂꯥꯏꯠ ꯑꯦꯅꯥꯁ꯭ꯇꯦꯁꯤꯌꯥ ꯄꯤꯒꯅꯤ, ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯃꯠꯇꯥ ꯐꯥꯎꯔꯣꯏ꯫
• ꯅꯍꯥꯛꯀꯤ ꯀꯣꯛ ꯅꯣꯟꯖꯔꯤ꯫
• ꯗꯣꯛꯇꯔꯅꯥ ꯀꯦꯃꯦꯔꯥ (ꯑꯦꯟꯗꯣꯁ꯭ꯀꯣꯞ) ꯑꯃꯥ ꯌꯥꯎꯕꯥ ꯇꯤꯎꯕ ꯑꯃꯥ ꯃꯤꯠꯀꯤ ꯃꯅꯨꯡꯗꯥ ꯊꯥꯗꯨꯅꯥ ꯐꯨꯗ ꯄꯥꯏꯄꯀꯤ ꯃꯊꯛꯇꯥ ꯆꯦꯜꯂꯤ ꯑꯃꯁꯨꯡ ꯕꯥꯏꯜ ꯗꯛꯇꯀꯤ ꯃꯐꯝ ꯑꯗꯨꯗꯥ ꯂꯃꯖꯤꯡꯏ꯫
• ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ, ꯑꯇꯣꯞꯄꯥ ꯇꯤꯎꯕ (catheter) ꯑꯃꯅꯥ ꯇꯨꯕ ꯑꯗꯨꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯄꯥꯁ ꯇꯧꯏ ꯑꯃꯁꯨꯡ ꯕ꯭ꯂꯣꯛ ꯇꯧꯔꯕꯥ ꯗꯛꯇ ꯑꯗꯨꯗꯥ ꯄꯥꯁ ꯇꯧꯗꯨꯅꯥ ꯕꯥꯏꯜ ꯆꯦꯅꯕꯥ ꯌꯥꯍꯜꯂꯤ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯐ꯭ꯂꯦꯒꯝ ꯑꯗꯨ ꯃꯄꯥꯟꯊꯣꯡꯅꯥ ꯂꯧꯊꯣꯛꯂꯕꯗꯤ, ꯅꯥꯀꯣꯡꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯇꯤꯎꯕ ꯑꯃꯥ ꯊꯥꯗꯨꯅꯥ ꯕꯦꯒ ꯑꯃꯗꯥ ꯆꯦꯠꯁꯤꯂꯍꯜꯂꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯗꯨ ꯃꯅꯨꯡꯒꯤ ꯑꯣꯏꯅꯥ ꯂꯧꯊꯣꯀꯈ꯭ꯔꯕꯗꯤ ꯃꯅꯨꯡꯗꯥ ꯁ꯭ꯇꯦꯟꯇ ꯑꯃꯥ ꯊꯝꯃꯤ꯫

ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯔꯤꯁ꯭ꯛ ꯑꯃꯁꯨꯡ ꯀꯦꯌꯔ꯫

ꯃꯦꯗꯤꯀꯦꯜ ꯇ꯭ꯔꯤꯠꯃꯦꯟꯇ ꯑꯃꯍꯦꯛꯇꯒꯥ ꯃꯥꯟꯅꯅꯥ, ꯊꯣꯀꯄꯥ ꯌꯥꯕꯥ ꯔꯤꯁ꯭ꯛ ꯑꯃꯁꯨꯡ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ ꯂꯩ꯫

• ꯑꯣꯏꯊꯣꯀꯄꯥ ꯌꯥꯕꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ:
• ꯏꯅꯁꯥꯔꯠ ꯇꯧꯔꯕꯥ ꯇꯤꯎꯕ ꯑꯗꯨ ꯈꯨꯗꯣꯡꯊꯤꯅꯤꯉꯥꯏ ꯑꯣꯏꯅꯥ ꯂꯧꯊꯣꯀꯄꯥ, ꯇꯔꯨ-ꯇꯅꯥꯅꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯕ꯭ꯂꯣꯛ ꯇꯧꯕꯥ꯫
• ꯑꯅꯥꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ꯫
• ꯏꯅꯐꯦꯛꯁꯟ (ꯃꯁꯤ ꯊꯤꯡꯅꯕꯥ ꯗꯣꯛꯇꯔꯅꯥ ꯑꯦꯟꯇꯤꯕꯥꯏꯑꯣꯇꯤꯛ ꯄꯤꯒꯅꯤ)꯫
• ꯏ ꯊꯣꯀꯄꯥ꯫
• ꯍꯀꯆꯥꯡꯒꯤ ꯏꯂꯦꯛꯠꯔꯣꯂꯥꯏꯠ ꯀꯝꯄꯣꯖꯤꯁꯅꯗꯥ ꯑꯍꯣꯡꯕꯥ ꯂꯥꯀꯄꯥ (`ꯏꯂꯦꯛꯠꯔꯣꯂꯥꯏꯠ ꯑꯦꯕꯅꯣꯔꯃꯦꯂꯤꯇꯤꯁꯤꯡ`)꯫
• ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ, ꯂꯪꯁꯀꯤ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯃꯁꯤꯡ (`ꯅ꯭ꯌꯨꯃꯣꯊꯣꯔꯦꯛꯁ`) ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫

ꯗꯣꯛꯇꯔꯅꯥ ꯅꯉꯣꯟꯗꯥ ꯔꯤꯁ꯭ꯀꯁꯤꯡ ꯑꯁꯤ ꯃꯌꯦꯛ ꯁꯦꯡꯅꯥ ꯈꯪꯍꯜꯂꯛꯀꯅꯤ ꯑꯃꯁꯨꯡ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯑꯃꯥ ꯂꯥꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯀꯔꯤ ꯇꯧꯒꯗꯒꯦ ꯍꯥꯌꯕꯒꯤ ꯄꯥꯎꯇꯥꯛ ꯄꯤꯒꯅꯤ꯫

ꯌꯨꯃꯗꯥ ꯃꯇꯧ ꯀꯔꯝꯅꯥ ꯏꯁꯥꯕꯨ ꯌꯦꯡꯁꯤꯅꯕꯤꯒꯅꯤ?

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯃꯄꯥꯟꯗꯥ ꯇꯤꯎꯕ ꯑꯃꯁꯨꯡ ꯕꯦꯒ ꯑꯃꯥ ꯊꯥꯗꯣꯀꯈ꯭ꯔꯕꯗꯤ, ꯅꯔꯁꯤꯡ ꯁ꯭ꯇꯥꯐꯁꯤꯡꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯃꯗꯨ ꯀꯔꯝꯅꯥ ꯌꯦꯡꯁꯤꯅꯒꯗꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯇꯥꯀꯄꯤꯒꯅꯤ꯫

• ꯇꯤꯎꯕ ꯑꯗꯨ ꯂꯩꯔꯤꯕꯥ ꯃꯐꯝ ꯑꯗꯨꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯔꯨꯝꯕꯥ ꯑꯗꯨ ꯊꯃꯗꯨꯅꯥ ꯇꯨꯝꯂꯣꯏꯗꯕꯅꯤ꯫ ꯃꯁꯤꯅꯥ ꯇꯤꯎꯕ ꯑꯗꯨ ꯇꯔꯨ-ꯇꯅꯥꯟꯅꯥ ꯊꯝꯕꯥ ꯌꯥꯏ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯅꯨꯃꯤꯠ ꯈꯨꯗꯤꯡꯒꯤ ꯁꯦꯂꯥꯏꯟ ꯁꯣꯜꯌꯨꯁꯟ ꯈꯔꯥ ꯄꯤꯗꯨꯅꯥ ꯇꯤꯎꯕ ꯑꯗꯨ ꯐ꯭ꯂꯁ ꯇꯧꯅꯕꯥ ꯄꯥꯎꯇꯥꯛ ꯄꯤꯔꯕꯗꯤ, ꯃꯗꯨ ꯇꯧ꯫
• ꯕꯦꯒ ꯑꯗꯨꯗꯒꯤ ꯊꯣꯀꯄꯥ ꯐ꯭ꯂꯨꯏꯗꯀꯤ ꯆꯥꯡ ꯑꯗꯨ ꯀꯝꯄꯦꯟꯁꯦꯁꯟ ꯇꯧꯅꯕꯥ ꯏꯂꯦꯛꯠꯔꯣꯂꯥꯏꯠ ꯗ꯭ꯔꯤꯉ꯭ꯀꯁꯤꯡ ꯊꯀꯎ꯫ ꯀꯔꯤ ꯊꯛꯀꯗꯒꯦ ꯑꯃꯁꯨꯡ ꯀꯌꯥꯝ ꯊꯛꯀꯗꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯍꯪꯕꯤꯌꯨ꯫
• ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯃꯇꯨꯡ ꯄꯨꯡ 48ꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯇꯤꯎꯕ ꯑꯗꯨ ꯃꯐꯃꯗꯨꯗꯥ ꯂꯩꯔꯤꯉꯩꯗꯥ ꯄꯨꯂꯁꯤꯡ ꯅꯠꯠꯔꯒꯥ ꯁꯃꯨꯗ꯭ꯔ/ ꯇꯨꯔꯦꯂꯗꯥ ꯇꯨꯝꯕꯥ ꯆꯠꯂꯣꯏꯗꯕꯅꯤ꯫
• ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯍꯥꯌꯔꯛꯠꯔꯤꯐꯥꯎꯕꯥ ꯑꯔꯨꯝꯕꯥ ꯂꯧꯊꯣꯀꯎ꯫

ꯀꯗꯥꯏꯗꯥ ꯈꯨꯗꯛꯇꯥ ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯃꯇꯦꯡ ꯂꯧꯒꯗꯒꯦ?

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯍꯦꯛꯇꯕꯨ ꯊꯦꯡꯅꯔꯕꯗꯤ, ꯈꯨꯗꯛꯇꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯀꯜ ꯇꯧꯕꯤꯌꯨ, ꯅꯠꯠꯔꯒꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯅꯀꯄꯥ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯂꯒꯤ ꯏꯃꯔꯖꯦꯟꯁꯤ ꯗꯤꯄꯥꯔꯇꯃꯦꯟꯇ (ETU)ꯗꯥ ꯆꯠꯄꯤꯌꯨ꯫

• ꯂꯥꯏꯍꯧ ꯍꯧꯕ .
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯇꯤꯎꯕ ꯏꯅꯁꯥꯔꯁ ꯇꯧꯔꯤꯕꯥ ꯃꯐꯝ ꯑꯗꯨꯗꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ, ꯁꯣꯛ-ꯄꯅꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯂꯥꯎꯕꯥ ꯍꯦꯅꯒꯠꯂꯛꯂꯕꯗꯤ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯇꯤꯎꯕ ꯁꯥꯏꯠ ꯑꯗꯨꯗꯒꯤ ꯄꯣꯃꯈꯠꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯇꯩ ꯐ꯭ꯂꯨꯏꯗ ꯑꯃꯥ ꯊꯨꯒꯥꯌꯔꯕꯗꯤ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯁ꯭ꯇꯣꯃꯥꯛ ꯄꯦꯏꯟ ꯍꯦꯅꯒꯠꯂꯛꯂꯕꯗꯤ ꯅꯠꯠꯔꯒꯥ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯊꯣꯛꯂꯕꯗꯤ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯈꯣꯡ ꯅꯠꯠꯔꯒꯥ ꯃꯃꯤꯠ ꯑꯗꯨ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯌꯦꯔꯨꯝ ꯑꯣꯏꯔꯕꯗꯤ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯈꯣꯡ ꯍꯥꯝꯂꯕꯗꯤ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯄꯥꯏꯞ ꯑꯗꯨ ꯂꯧꯊꯣꯛꯂꯒꯥ ꯂꯥꯀꯄꯥ ꯎꯔꯕꯗꯤ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯁ꯭ꯇꯣꯜ ꯑꯗꯨ ꯄꯥꯁ ꯇꯧꯗ꯭ꯔꯕꯗꯤ ꯅꯠꯠꯔꯒꯥ ꯑꯦꯌꯔ ꯄꯥꯁ ꯇꯧꯗ꯭ꯔꯕꯗꯤ꯫

ꯕꯤꯂꯤꯌꯔ ꯗ꯭ꯔꯦꯅꯦꯖ ꯑꯁꯤ ꯕꯥꯏꯜ ꯗꯛꯇ ꯑꯣꯕꯁ꯭ꯠꯔꯥꯀꯁꯅꯒꯤ ꯌꯥꯝꯅꯥ ꯏꯐꯦꯛꯇꯤꯚ ꯑꯣꯏꯕꯥ ꯂꯥꯏꯌꯦꯡ ꯑꯃꯅꯤ꯫ ꯅꯍꯥꯛꯀꯤ ꯃꯦꯗꯤꯀꯦꯜ ꯇꯤꯃꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯗꯨꯒꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯥ ꯑꯣꯄꯁꯟ ꯑꯗꯨ ꯈꯅꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯒꯅꯤ꯫ ꯅꯍꯥꯛꯅꯥ ꯍꯪꯂꯀꯄꯥ ꯋꯥꯍꯪꯁꯤꯡ ꯅꯠꯠꯔꯒꯥ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯑꯃꯍꯦꯛꯇꯕꯨ ꯃꯈꯣꯌꯗꯥ ꯍꯪꯕꯤꯌꯨ꯫ ꯕꯤꯂꯤꯌꯔ ꯗ꯭ꯔꯦꯅꯦꯖ, ꯕꯥꯏꯜ ꯗꯛꯇ ꯑꯣꯕꯁ꯭ꯠꯔꯥꯀꯁꯟ, ꯖꯟꯗꯤꯁ, ꯄꯤ.ꯇꯤ.ꯕꯤ.ꯗꯤ., ꯏ.ꯕꯤ.ꯗꯤ., ꯂꯤꯚꯔ ꯗꯤꯖꯤꯖ, ꯒꯥꯂꯁ꯭ꯇꯣꯟ, ꯁꯤꯅꯍꯥꯂꯥ ꯃꯦꯗꯤꯀꯦꯜ ꯑꯥꯔꯇꯤꯀꯜ꯫