ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯀꯄꯨ ‘ꯁꯦꯟꯠꯔꯦꯜ ꯂꯥꯏꯟ’ ꯑꯃꯥ ꯍꯥꯄꯆꯤꯟꯅꯕꯥ ꯃꯊꯧ ꯇꯥꯏ ꯍꯥꯌꯅꯥ ꯍꯥꯌꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯅꯍꯥꯛꯅꯥ ꯈꯔꯥ ꯂꯥꯡꯇꯛꯅꯕꯥ ꯄꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯑꯩꯈꯣꯌꯅꯥ ‘ꯂꯥꯏꯟ’ ꯍꯥꯌꯕꯥ ꯋꯥꯍꯩ ꯑꯁꯤ ꯇꯥꯕꯥ ꯃꯇꯃꯗꯥ, ꯑꯩꯈꯣꯌꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯅꯣꯔꯃꯦꯜ ꯁꯦꯂꯟ ꯄꯤꯕꯥ ꯀꯦꯟꯌꯨꯜ ꯑꯃꯥ ꯈꯅꯖꯩ꯫ ꯑꯗꯨꯕꯨ ꯃꯁꯤ ꯈꯔꯥ ꯇꯣꯉꯥꯅꯕꯥ ꯋꯥꯐꯝ ꯑꯃꯅꯤ, ꯑꯈꯟꯅꯕꯥ ꯋꯥꯐꯝ ꯑꯃꯅꯤ꯫ ꯑꯗꯨꯕꯨ ꯂꯥꯡꯇꯛꯅꯕꯒꯤ ꯃꯔꯝ ꯑꯃꯠꯇꯥ ꯂꯩꯇꯦ꯫ ꯃꯁꯤꯅꯥ ꯇꯁꯦꯡꯅꯥ ꯑꯗꯣꯃꯗꯥ ꯈꯨꯗꯣꯡꯆꯥꯕꯥ ꯀꯌꯥ ꯑꯃꯥ ꯄꯤꯔꯤ꯫ ꯉꯁꯤꯗꯤ ꯁꯦꯟꯠꯔꯦꯜ ꯂꯥꯏꯟ, ꯅꯠꯔꯒꯥ ꯁꯤ.ꯚꯤ.ꯁꯤ.
ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯁꯦꯟꯠꯔꯦꯜ ꯂꯥꯏꯟ (CVC) ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ?
ꯁꯦꯟꯠꯔꯦꯜ ꯂꯥꯏꯟ ꯅꯠꯠꯔꯒꯥ ꯁꯦꯟꯠꯔꯦꯜ ꯚꯦꯅꯁ ꯀꯦꯇꯦꯇꯔ (CVC) ꯍꯥꯌꯕꯁꯤ ꯇꯣꯉꯥꯟ-ꯇꯣꯉꯥꯅꯕꯥ ꯃꯦꯗꯤꯀꯦꯜ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ ꯂꯥꯌꯦꯡꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯂꯤꯕꯥ ꯑꯈꯟꯅꯕꯥ ꯈꯨꯠꯂꯥꯏ ꯑꯃꯅꯤ꯫ ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯂꯨꯕꯥ, ꯐ꯭ꯂꯦꯛꯁꯤꯕꯜ, ꯂꯝꯕꯥ ꯇꯨꯕ ꯑꯃꯅꯥ ꯁꯦꯝꯕꯅꯤ꯫ ꯃꯁꯤꯒꯤ ꯇꯤꯎꯕ ꯑꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯂꯩꯕꯥ ꯚꯦꯅꯝ ꯑꯃꯗꯥ ꯊꯥꯏ꯫ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯇꯤꯎꯕ ꯑꯗꯨꯅꯥ ꯚꯦꯅꯝ ꯑꯗꯨꯒꯤ ꯃꯈꯥ ꯊꯪꯕꯥ ꯁꯔꯨꯛ ꯑꯗꯨ ꯅꯍꯥꯛꯀꯤ ꯍꯥꯔꯇꯇꯥ ꯏ ꯄꯨꯕꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯜ (vena cava) ꯑꯗꯨꯗꯥ ꯂꯩꯕꯥ ꯐꯥꯎꯕꯥ ꯆꯠꯂꯤ꯫
ꯇꯤꯎꯕ ꯑꯁꯤꯒꯤ ꯑꯇꯣꯞꯄꯥ ꯃꯔꯣꯜ ꯑꯗꯨ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯆꯦꯟꯊꯔꯀꯄꯥ ꯌꯥꯏ, ꯃꯍꯧꯁꯥꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯒꯤ ꯑꯔꯥꯞꯄꯥ ꯃꯐꯃꯗꯥ ꯂꯩꯕꯥ ꯌꯥꯏ꯫ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯆꯦꯟꯊꯔꯀꯄꯥ ꯁꯔꯨꯛ ꯑꯗꯨꯕꯨ ‘ꯍꯕ’ ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ ꯃꯁꯤ ꯑꯗꯣꯝꯅꯥ ꯎꯕꯥ ꯐꯪꯂꯤꯕꯥ ꯑꯃꯁꯨꯡ ꯐꯥꯑꯣꯔꯤꯕꯥ ꯑꯗꯨꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯑꯇꯣꯞꯄꯥ ꯃꯔꯣꯜ ꯑꯗꯨ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯒꯤ ꯃꯈꯥꯗꯥ ꯂꯩ꯫ ꯃꯁꯤꯕꯨ ‘ꯄꯣꯔꯠ’ ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ ꯑꯗꯨꯗꯒꯤ ꯅꯍꯥꯛꯅꯥ ꯃꯗꯨ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯒꯤ ꯃꯈꯥꯗꯥ ꯂꯩꯕꯥ ꯑꯄꯤꯀꯄꯥ ꯄꯣꯠꯁꯛ ꯑꯃꯒꯨꯝꯅꯥ ꯐꯥꯎꯕꯥ ꯌꯥꯏ, ꯑꯗꯨꯕꯨ ꯃꯗꯨ ꯌꯥꯝꯅꯥ ꯎꯕꯥ ꯐꯪꯗꯦ꯫ ꯃꯁꯤꯒꯤ ‘ꯍꯕ’ ꯅꯠꯠꯔꯒꯥ ‘ꯄꯣꯔꯠ’ ꯑꯁꯤ ꯑꯗꯣꯃꯗꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛ ꯄꯤꯕꯥ ꯑꯃꯁꯨꯡ ꯏ ꯂꯧꯕꯅꯆꯤꯡꯕꯥ ꯊꯕꯀꯁꯤꯡꯗꯥ ꯁꯤꯖꯤꯟꯅꯩ꯫
ꯃꯁꯤꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯀꯥꯟꯅꯕꯗꯤ ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯕ꯭ꯂꯗꯁ꯭ꯠꯔꯤꯝ ꯑꯗꯨ ꯍꯟꯖꯤꯟ ꯍꯟꯖꯤꯟ ꯅꯤꯗꯜ ꯊꯥꯕꯥ ꯃꯊꯧ ꯇꯥꯗꯅꯥ ꯐꯖꯅꯥ ꯑꯦꯛꯁꯦꯁ ꯇꯧꯕꯥ ꯉꯝꯃꯤ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯃꯁꯤ ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛ ꯂꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯥ, ꯁꯦꯂꯟ ꯂꯧꯕꯥ, ꯏ ꯂꯧꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯏ ꯄꯤꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯗꯥ ꯌꯥꯝꯅꯥ ꯀꯥꯟꯅꯩ꯫
ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯀꯦꯟꯌꯨꯜ (Peripheral IV) ꯑꯃꯁꯨꯡ ꯁꯦꯟꯠꯔꯦꯜ ꯂꯥꯏꯟ ꯑꯃꯒꯤ ꯃꯔꯛꯇꯥ ꯀꯔꯤ ꯈꯦꯠꯅꯕꯥ ꯂꯩꯕꯒꯦ?
ꯑꯩꯈꯣꯌ ꯄꯨꯝꯅꯃꯛꯅꯥ ꯈꯉꯏ ꯃꯗꯨꯗꯤ ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯀꯦꯟꯌꯨꯜ (`(ꯄꯦꯔꯤꯐꯦꯔꯦꯜ IV)`) ꯑꯃꯁꯨꯡ ꯁꯦꯟꯠꯔꯦꯜ ꯂꯥꯏꯟ ꯑꯁꯤ ꯑꯅꯤꯃꯛ ꯂꯥꯌꯦꯡꯕꯗꯥ ꯁꯤꯖꯤꯟꯅꯩ꯫ ꯑꯗꯨꯕꯨ ꯑꯅꯤꯁꯤꯒꯤ ꯃꯔꯛꯇꯥ ꯃꯔꯨ ꯑꯣꯏꯕꯥ ꯈꯦꯟꯅꯕꯥ ꯑꯍꯨꯝ ꯂꯩ꯫ ꯃꯈꯣꯌꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯤꯅꯣ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯁꯤ꯫
| ꯑꯍꯣꯡꯕꯥ ꯑꯁꯤꯒꯤ ꯃꯔꯝ꯫ | ꯁꯦꯟꯠꯔꯦꯜ ꯂꯥꯏꯟ (ꯁꯦꯟꯠꯔꯦꯜ ꯂꯥꯏꯟ/ꯁꯤ.ꯚꯤ.ꯁꯤ.) | ꯅꯣꯔꯃꯦꯜ ꯀꯦꯟꯌꯨꯜ (ꯄꯦꯔꯤꯐꯦꯔꯦꯜ IV) . |
|---|---|---|
| ꯍꯀꯆꯥꯡꯗꯥ ꯆꯪꯂꯀꯄꯥ ꯚꯦꯅꯝ꯫ | ꯈꯣꯡ, ꯈꯣꯡ, ꯑꯃꯁꯨꯡ ꯈꯣꯡꯎꯞ (groin)ꯒꯨꯝꯕꯥ ꯃꯐꯃꯁꯤꯡꯗꯥ꯫ꯃꯁꯤ ꯑꯆꯧꯕꯥ, ꯌꯥꯝꯅꯥ ꯂꯨꯕꯥ ꯚꯦꯅꯝ ꯑꯃꯗꯥ ꯏꯅꯖꯦꯀꯁꯟ ꯇꯧꯏ꯫ | ꯃꯁꯤ ꯈꯨꯠ ꯅꯠꯠꯔꯒꯥ ꯈꯨꯠꯁꯥꯒꯤ ꯃꯊꯛꯇꯥ ꯂꯩꯕꯥ ꯈꯣꯡꯒꯥ ꯅꯛꯅꯕꯥ ꯑꯄꯤꯀꯄꯥ ꯚꯦꯅꯝ ꯑꯃꯗꯥ ꯏꯅꯖꯦꯀꯁꯟ ꯇꯧꯏ꯫ |
| ꯆꯥꯎꯕꯒꯤ ꯆꯥꯡ | ꯂꯝꯕꯥ, ꯑꯀꯅꯕꯥ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯃꯇꯝ ꯑꯃꯗꯥ ꯍꯤꯗꯥꯛ ꯃꯈꯜ ꯀꯌꯥ ꯄꯤꯕꯥ ꯉꯝꯕꯥ ꯇꯤꯎꯕ ꯑꯃꯗꯒꯤ ꯍꯦꯟꯅꯥ (`(ꯗꯕꯜ/ꯇ꯭ꯔꯤꯄꯜ ꯂꯨꯃꯦꯟ)`) ꯂꯩ꯫ | ꯃꯁꯤ ꯀꯨꯏꯅꯥ, ꯂꯨꯝꯕꯥ ꯑꯃꯁꯨꯡ ꯇꯨꯕ ꯑꯃꯥ ꯂꯩ꯫ |
| ꯃꯁꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯊꯝꯕꯥ ꯌꯥꯕꯥ ꯃꯇꯝ꯫ | ꯃꯁꯤ ꯅꯨꯃꯤꯠ ꯀꯌꯥꯅꯤ, ꯊꯥ ꯀꯌꯥ, ꯃꯁꯤꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯁꯥꯡꯅꯥ ꯂꯩꯕꯥ ꯌꯥꯏ꯫ | ꯃꯍꯧꯁꯥꯅꯥ ꯃꯁꯤ ꯅꯨꯃꯤꯠ ꯈꯔꯅꯤ ꯈꯛꯇꯃꯛ ꯆꯠꯂꯤ . ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯃꯁꯤ ꯍꯣꯡꯗꯣꯀꯄꯥ ꯃꯊꯧ ꯇꯥꯏ꯫ |
ꯁꯦꯟꯠꯔꯦꯜ ꯂꯥꯏꯟ ꯑꯃꯥ ꯀꯅꯥꯅꯥ ꯃꯊꯧ ꯇꯥꯔꯤꯕꯒꯦ?
ꯃꯁꯤꯅꯥ ꯃꯈꯜ ꯀꯌꯥꯒꯤ ꯍꯀꯁꯦꯂꯒꯤ ꯐꯤꯚꯃꯁꯤꯡ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫ ꯈꯨꯗꯝ ꯑꯣꯏꯅ:
- ꯀꯦꯟꯁꯔꯅꯥ ꯅꯥꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯒꯤꯗꯃꯛ ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯀꯦꯃꯣꯊꯦꯔꯥꯄꯤ ꯂꯧꯕꯥ꯫
- ꯀꯤꯗꯅꯤꯒꯤ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯃꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯕ꯭ꯂꯗ ꯁꯨꯡꯗꯣꯀꯄꯥ (`(ꯍꯦꯃꯣꯗꯥꯏꯑꯦꯂꯥꯏꯁꯤꯁ)`) ꯇꯧꯔꯤꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯒꯤꯗꯃꯛ꯫
- ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯏꯅꯠꯔꯥꯚꯦꯅꯁ ꯑꯦꯟꯇꯤꯕꯥꯏꯑꯣꯇꯤꯛ ꯂꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯁꯤꯡꯒꯤꯗꯃꯛ꯫
- ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯕ꯭ꯂꯗ ꯇꯦꯁ꯭ꯠ ꯇꯧꯅꯕꯒꯤꯗꯃꯛ ꯏ ꯂꯧꯊꯣꯀꯄꯥ ꯃꯊꯧ ꯇꯥꯕꯁꯤꯡꯒꯤꯗꯃꯛ꯫
- ꯑꯦꯃꯔꯖꯦꯟꯁꯤ (ꯍꯥꯏꯄꯣꯚꯣꯂꯦꯃꯤꯛ ꯁꯣꯛ) ꯑꯃꯥ ꯂꯥꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯈꯨꯗꯛꯇꯥ ꯁꯦꯂꯟ ꯅꯠꯠꯔꯒꯥ ꯏ ꯄꯤꯌꯨ꯫
- ꯏ ꯅꯠꯠꯔꯒꯥ ꯄ꯭ꯂꯦꯇꯂꯦꯠ ꯗꯣꯅꯦꯁꯟ ꯂꯧꯕꯥ꯫
- ꯗꯥꯏꯖꯦꯁ꯭ꯇꯤꯚ ꯁꯤꯁ꯭ꯇꯦꯝ ꯑꯁꯤ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯊꯕꯛ ꯇꯧꯗꯕꯥ ꯃꯇꯃꯗꯥ, ꯚꯦꯅꯝ ꯑꯃꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯍꯀꯊꯦꯡꯅꯅꯥ ꯅ꯭ꯌꯨꯠꯔꯤꯁꯟ ꯄꯤꯌꯨ꯫
- ꯌꯨꯃꯗꯒꯤ ꯏꯅꯠꯔꯥꯚꯦꯅꯁ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛ ꯂꯧꯕꯥ ꯉꯝꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯁꯤꯡꯒꯤꯗꯃꯛ꯫
ꯀꯔꯤ ꯃꯈꯂꯒꯤ ꯁꯦꯟꯠꯔꯦꯜ ꯂꯥꯏꯅꯁꯤꯡ ꯂꯩꯔꯤꯕꯒꯦ?
ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯔꯀꯥꯔ ꯑꯣꯏꯕꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯅꯥ ꯂꯥꯏꯌꯦꯡ ꯂꯧꯕꯥ ꯄꯥꯝꯂꯤꯕꯥ ꯃꯇꯝ ꯑꯗꯨꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ ꯅꯍꯥꯛꯀꯤꯗꯃꯛꯇꯥ ꯆꯨꯅꯕꯥ ꯃꯈꯜ ꯑꯗꯨ ꯈꯅꯒꯅꯤ꯫ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯈꯜ ꯀꯌꯥ ꯂꯩ꯫
- ꯅꯟ-ꯇꯅꯦꯜ ꯁꯤ.ꯚꯤ.ꯁꯤ.: ꯃꯁꯤ ꯑꯇꯦꯅꯕꯥ ꯃꯇꯃꯒꯤ ꯑꯣꯏꯅꯥ ꯁꯤꯖꯤꯟꯅꯕꯗꯥ ꯆꯨꯝꯃꯤ (ꯅꯨꯃꯤꯠ ꯑꯅꯤꯗꯒꯤ ꯇꯥꯅꯥ)꯫ ꯃꯁꯤ ꯍꯀꯊꯦꯡꯅꯅꯥ ꯚꯦꯅꯝ ꯑꯃꯗꯥ, ꯍꯥꯌꯕꯗꯤ ꯈꯣꯡ ꯅꯠꯠꯔꯒꯥ ꯈꯣꯡꯗꯥ ꯊꯥꯏ꯫
- ꯄꯤ.ꯑꯥꯏ.ꯁꯤ.ꯁꯤ.ꯒꯤ ꯂꯥꯏꯟ (ꯄꯦꯔꯤꯐꯦꯔꯦꯜ ꯑꯣꯏꯅꯥ ꯏꯅꯁꯥꯔꯇꯦꯗ ꯁꯦꯟꯠꯔꯦꯜ ꯀꯦꯇꯦꯒꯣꯔꯤ): ꯃꯁꯤ ꯑꯌꯥꯝꯕꯅꯥ ꯑꯇꯦꯅꯕꯥ ꯃꯇꯃꯒꯤ ꯑꯣꯏꯅꯥ ꯁꯤꯖꯤꯟꯅꯕꯗꯁꯨ ꯁꯤꯖꯤꯟꯅꯩ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯃꯁꯤ ꯈꯣꯡ ꯅꯠꯠꯔꯒꯥ ꯈꯣꯡꯄꯥꯛ ꯑꯗꯨꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯅꯠꯇꯅꯥ ꯃꯊꯛꯀꯤ ꯃꯈꯨꯠꯀꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯊꯥꯏ꯫ ꯃꯐꯃꯗꯨꯗꯒꯤ ꯇꯤꯎꯕ ꯑꯗꯨ ꯊꯃꯖꯤꯜꯂꯤ ꯑꯃꯁꯨꯡ ꯊꯝꯃꯣꯌꯒꯤ ꯃꯅꯥꯛꯇꯥ ꯂꯩꯕꯥ ꯑꯆꯧꯕꯥ ꯚꯦꯅꯝ ꯑꯃꯗꯥ ꯊꯤꯡꯖꯤꯜꯂꯤ꯫
- ꯇꯅꯦꯜ ꯇꯧꯔꯕꯥ ꯁꯤ.ꯚꯤ.ꯁꯤ.: ꯃꯁꯤ ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯁꯤꯖꯤꯟꯅꯕꯗꯥ (ꯅꯨꯃꯤꯠ ꯑꯅꯤꯗꯒꯤ ꯍꯦꯟꯅꯥ) ꯆꯨꯝꯃꯤ꯫ ꯃꯐꯝ ꯑꯁꯤꯗꯥ, ꯇꯤꯎꯕ ꯑꯗꯨ ꯚꯦꯅꯝ ꯑꯗꯨꯗꯥ ꯌꯥꯎꯔꯤꯕꯥ ꯃꯐꯝ ꯑꯃꯁꯨꯡ ꯃꯗꯨ ꯈꯣꯡꯗꯒꯤ ꯊꯣꯀꯄꯥ ꯃꯐꯝ ꯑꯗꯨꯒꯤ ꯃꯔꯛꯇꯥ ꯑꯄꯤꯀꯄꯥ ꯑꯔꯥꯞꯄꯥ ꯑꯃꯥ ꯂꯩ꯫ ꯃꯇꯝ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯇꯤꯎꯕ ꯑꯁꯤ ꯈꯣꯡꯒꯤ ꯃꯈꯥꯗꯥ ꯂꯩ .ꯃꯁꯤ ꯇꯅꯦꯜ ꯑꯃꯒꯨꯝꯅꯥ ꯆꯠꯂꯤ꯫ ꯃꯁꯤꯅꯥ ꯏꯅꯐꯦꯛꯁꯅꯒꯤ ꯔꯤꯁ꯭ꯛ ꯍꯟꯊꯍꯜꯂꯤ꯫ ꯕ꯭ꯔꯣꯚꯤꯌꯥꯛ®, ꯍꯤꯀꯃꯦꯟ® ꯑꯁꯤ ꯃꯈꯜ ꯑꯁꯤꯒꯤ ꯃꯤꯌꯥꯝꯅꯥ ꯄꯥꯝꯅꯕꯥ ꯕ꯭ꯔꯥꯟꯗꯁꯤꯡꯅꯤ꯫
- ꯁꯕꯛꯌꯨꯇꯦꯅꯤꯌꯝ (ꯏꯃꯞꯂꯥꯟꯇ ꯇꯧꯔꯕꯥ) ꯄꯣꯔꯠ: ꯃꯁꯤ ꯊꯥ ꯑꯍꯨꯃꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯁꯥꯡꯅꯥ ꯆꯠꯄꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯥ ꯑꯣꯄꯁꯅꯅꯤ . ꯃꯐꯝ ꯑꯁꯤꯗꯥ, ꯇꯤꯎꯕꯀꯤ ꯁꯔꯨꯛ ꯑꯃꯠꯇꯥ ꯈꯣꯡꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯎꯕꯥ ꯐꯪꯗꯦ꯫ ꯗꯤꯚꯥꯏꯁ ꯄꯨꯝꯅꯃꯛ ꯑꯁꯤ ꯑꯄꯤꯀꯄꯥ ꯏꯅꯁꯤꯁꯟ ꯑꯃꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯈꯣꯡꯒꯤ ꯃꯈꯥꯗꯥ ꯊꯥꯏ꯫ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛ ꯃꯊꯧ ꯇꯥꯕꯥ ꯃꯇꯃꯗꯥ, ꯈꯣꯡꯒꯤ ꯃꯈꯥꯗꯥ ꯂꯩꯕꯥ ‘ꯄꯣꯔꯠ’ ꯑꯗꯨꯗꯥ ꯑꯈꯟꯅꯕꯥ ꯅꯤꯜ ꯑꯃꯥ ꯊꯥꯗꯨꯅꯥ ꯍꯤꯗꯥꯛ ꯑꯗꯨ ꯄꯤ꯫ ꯃꯁꯤꯕꯨ ``ꯄꯣꯔꯠ-ꯑꯦ-ꯀꯦꯊ'' ꯍꯥꯌꯅꯥꯁꯨ ꯀꯧꯏ꯫
ꯃꯁꯤ ꯏꯅꯁ꯭ꯇꯣꯜ ꯇꯧꯕꯒꯤ ꯊꯧꯑꯣꯡ ꯑꯁꯤ ꯀꯔꯤꯅꯣ?
ꯃꯁꯤ ꯑꯆꯧꯕꯥ ꯑꯣꯄꯔꯦꯁꯟ ꯑꯃꯅꯤ, ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯂꯥꯡꯇꯛꯅꯒꯅꯨ꯫ ꯃꯁꯤꯒꯤꯗꯃꯛꯇꯥ ꯑꯈꯟꯅꯕꯥ ꯇ꯭ꯔꯦꯅꯤꯡ ꯂꯧꯔꯕꯥ ꯗꯣꯛꯇꯔ ꯑꯃꯅꯥ ꯄꯥꯡꯊꯣꯀꯏ꯫
1. ꯑꯍꯥꯅꯕꯗꯥ, ꯂꯥꯏꯟ ꯑꯗꯨ ꯊꯥꯗꯣꯛꯀꯗꯕꯥ ꯃꯐꯝ ꯑꯗꯨ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯁꯦꯡꯗꯣꯀꯎ꯫
2. ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ, ꯃꯐꯝ ꯑꯗꯨ ꯅꯍꯥꯛꯅꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯑꯃꯠꯇꯥ ꯊꯣꯀꯍꯟꯗꯅꯕꯥ ꯅꯣꯡꯃꯩ ꯀꯥꯞꯂꯛꯀꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯊꯧ ꯇꯥꯔꯕꯗꯤ, ꯅꯍꯥꯀꯄꯨ ꯋꯥꯈꯜ ꯇꯥꯍꯟꯗꯅꯕꯥ ꯃꯌꯥꯏ ꯑꯣꯏꯕꯥ ꯁꯦꯗꯦꯇꯤꯚ ꯑꯃꯥ ꯄꯤꯕꯥ ꯌꯥꯏ꯫
3. ꯃꯊꯪꯗꯥ, ꯗꯣꯛꯇꯔꯅꯥ ꯋꯥꯍꯪ ꯍꯪꯂꯤꯕꯥ ꯚꯦꯅꯝ ꯑꯗꯨꯗꯥ ꯆꯪꯅꯕꯥ ꯅꯤꯗꯜ ꯑꯃꯥ ꯁꯤꯖꯤꯟꯅꯩ꯫ ꯚꯦꯅꯝ ꯑꯗꯨ ꯑꯆꯨꯝꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯈꯪꯗꯣꯛꯅꯕꯒꯤꯗꯃꯛ ꯑꯂꯠꯔꯥꯁꯥꯎꯟꯗ ꯃꯦꯁꯤꯟ ꯑꯃꯁꯨ ꯁꯤꯖꯤꯟꯅꯕꯥ ꯌꯥꯏ꯫
4. ꯌꯥꯝꯅꯥ ꯐꯖꯕꯥ ꯋꯥꯏꯔꯞ (`(ꯒꯥꯏꯗꯋꯥꯏꯔ)`) ꯑꯃꯥ ꯅꯤꯗꯜ ꯑꯗꯨꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯁꯨꯡ ꯚꯦꯅꯝ ꯑꯗꯨꯗꯥ ꯆꯦꯜꯂꯤ꯫
5. ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ, ꯅꯤꯗꯜ ꯑꯗꯨ ꯂꯧꯊꯣꯀꯏ, ꯂꯥꯏꯟ ꯑꯗꯨ ꯊꯥꯗꯣꯛꯀꯗꯕꯥ ꯃꯐꯝ ꯑꯃꯥ ꯁꯦꯝꯅꯕꯥ ꯑꯄꯤꯀꯄꯥ ꯗꯤꯚꯥꯏꯁ ꯑꯃꯥ (ꯗꯤꯂꯦꯇꯔ) ꯊꯥꯗꯣꯀꯏ, ꯑꯃꯁꯨꯡ ꯁꯦꯟꯠꯔꯦꯜ ꯂꯥꯏꯟ ꯇꯨꯕ ꯑꯗꯨ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯋꯥꯌꯥꯔꯒꯤ ꯃꯊꯛꯇꯥ ꯑꯃꯁꯨꯡ ꯚꯦꯅꯝ ꯑꯗꯨꯗꯥ ꯊꯥꯏ꯫
6. ꯇꯤꯎꯕꯀꯤ ꯇꯤꯞ ꯑꯗꯨ ꯍꯥꯔꯇꯀꯤ ꯃꯅꯥꯛꯇꯥ ꯂꯩꯕꯥ ꯑꯆꯨꯝꯕꯥ ꯃꯐꯃꯗꯥ ꯂꯩꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ, ꯋꯥꯏꯔꯞ ꯑꯗꯨ ꯂꯧꯊꯣꯀꯏ꯫
7. ꯑꯔꯣꯏꯕꯗꯥ, ꯂꯥꯏꯟ ꯑꯗꯨꯒꯤ ꯑꯁꯣꯀꯄꯥ ꯁꯔꯨꯛ ꯑꯗꯨ ꯈꯣꯡꯗꯥ ꯆꯦꯟꯊꯔꯀꯄꯥ ꯌꯥꯗꯅꯕꯥ ꯑꯄꯤꯀꯄꯥ ꯐꯤꯅꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯈꯟꯅꯕꯥ ꯄ꯭ꯂꯥꯁ꯭ꯇꯔ ꯑꯃꯅꯥ ꯆꯦꯠꯅꯥ ꯊꯃꯖꯤꯜꯂꯤ, ꯑꯃꯁꯨꯡ ꯃꯗꯨ ꯁꯦꯡꯅꯥ ꯊꯝꯅꯕꯒꯤꯗꯃꯛ ꯕꯦꯟꯗꯦꯖ ꯑꯃꯥ ꯊꯥꯏ꯫
ꯊꯧꯑꯣꯡ ꯄꯨꯝꯅꯃꯛ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯗꯣꯝꯅꯥ ꯑꯋꯥꯕꯥ ꯑꯃꯠꯇꯥ ꯐꯥꯑꯣꯗꯅꯕꯥ ꯑꯩꯈꯣꯌꯅꯥ ꯆꯦꯀꯁꯤꯟ ꯊꯧꯔꯥꯡ ꯈꯨꯗꯤꯡꯃꯛ ꯂꯧꯈꯠꯂꯤ, ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯂꯥꯡꯇꯛꯅꯕꯒꯤ ꯃꯔꯝ ꯑꯃꯠꯇꯥ ꯂꯩꯇꯦ꯫
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯇꯅꯦꯜ ꯇꯧꯔꯕꯥ ꯁꯤ.ꯚꯤ.ꯁꯤ. ꯅꯠꯠꯔꯒꯥ ꯄꯣꯔꯠ ꯑꯃꯥ ꯊꯝꯂꯕꯗꯤ, ꯕꯦꯁꯤꯛ ꯁ꯭ꯇꯦꯄꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯊꯛꯇꯥ, ꯇꯨꯕ ꯑꯗꯨ ꯈꯣꯡꯒꯤ ꯃꯈꯥꯗꯥ ꯄꯥꯁ ꯇꯧꯅꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯄꯣꯔꯠ ꯑꯗꯨ ꯊꯝꯅꯕꯥ ꯑꯄꯤꯀꯄꯥ ꯏꯅꯁꯤꯁꯟ ꯑꯃꯥ ꯁꯦꯝꯕꯥ ꯃꯊꯧ ꯇꯥꯒꯅꯤ꯫
ꯑꯣꯏꯊꯣꯀꯄꯥ ꯌꯥꯕꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ (ꯔꯤꯁ꯭ꯀꯁꯤꯡ) ꯑꯁꯤ ꯀꯔꯤꯅꯣ?
ꯃꯦꯗꯤꯀꯦꯜ ꯄ꯭ꯔꯣꯁꯤꯗ꯭ꯌꯨꯑꯣꯔ ꯑꯃꯍꯦꯛꯇꯒꯥ ꯃꯥꯟꯅꯅꯥ, ꯑꯄꯤꯀꯄꯥ ꯔꯤꯁ꯭ꯛ ꯈꯔꯗꯤ ꯂꯩ꯫ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯑꯃꯗꯤ ꯏꯅꯐꯦꯛꯁꯅꯒꯤ ꯔꯤꯁ꯭ꯛ ꯑꯁꯤꯅꯤ . ꯃꯁꯤꯅꯥ ꯂꯥꯏꯅꯥ (a.k.a. ꯀꯦꯇꯦꯒꯣꯔꯤꯒꯥ ꯃꯔꯤ ꯂꯩꯅꯕꯥ ꯕ꯭ꯂꯗꯁ꯭ꯠꯔꯤꯝ ꯏꯅꯐꯦꯛꯁꯟ - CRBSI)ꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯏꯗꯥ ꯖꯔꯃꯁꯤꯡ ꯆꯪꯂꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯔꯝ ꯑꯁꯤꯅꯥ ꯂꯥꯏꯟ ꯑꯁꯤ ꯊꯥꯗꯣꯀꯈꯤꯕꯥ ꯃꯐꯝ ꯑꯗꯨ ꯌꯥꯝꯅꯥ ꯁꯦꯡꯅꯥ ꯊꯝꯕꯥ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫
ꯃꯁꯤꯒꯤ ꯃꯊꯛꯇꯥ, ꯌꯥꯝꯅꯥ ꯇꯣꯏꯅꯥ, ꯏ ꯊꯣꯀꯄꯥ, ꯂꯪꯁꯀꯤ ꯑꯃꯥꯡ-ꯑꯇꯥ (ꯅ꯭ꯌꯨꯃꯣꯊꯣꯔꯦꯛꯁ), ꯅꯠꯠꯔꯒꯥ ꯏ ꯊꯣꯀꯄꯥ (thrombosis) ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯕꯨ ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯊꯣꯀꯍꯟꯗꯅꯕꯥ ꯆꯦꯀꯁꯤꯟ ꯊꯧꯔꯥꯡ ꯈꯨꯗꯤꯡꯃꯛ ꯂꯧꯈꯠꯂꯤ꯫
ꯀꯗꯥꯏꯗꯥ ꯌꯥꯔꯤꯕꯃꯈꯩ ꯊꯨꯅꯥ ꯗꯣꯛꯇꯔꯒꯥ ꯇꯥꯟꯅꯒꯗꯒꯦ?
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯁꯦꯟꯠꯔꯦꯜ ꯂꯥꯏꯟ ꯑꯃꯥ ꯂꯩꯔꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯏꯅꯐꯦꯛꯁꯅꯒꯤ ꯈꯨꯗꯃꯁꯤꯡꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯌꯥꯝꯅꯥ ꯆꯦꯀꯁꯤꯅꯒꯗꯕꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯍꯦꯛꯇꯥ ꯂꯩꯔꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯈꯨꯗꯛꯇꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯐꯣꯟ ꯇꯧꯒꯗꯕꯅꯤ .
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯥꯏꯍꯧ ꯍꯧꯔꯕꯗꯤ .
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯂꯥꯏꯟ ꯑꯗꯨ ꯊꯃꯈꯤꯕꯥ ꯃꯐꯝ ꯑꯗꯨꯗꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ, ꯂꯥꯎꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯁꯣꯀꯄꯥ ꯂꯩꯔꯕꯗꯤ꯫
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯐꯝ ꯑꯗꯨꯗꯥ ꯂꯩꯔꯤꯕꯥ ꯈꯣꯡ ꯑꯗꯨ ꯊꯨꯒꯥꯌꯕꯗꯥ ꯅꯨꯡꯉꯥꯏꯕꯥ ꯐꯥꯎꯔꯕꯗꯤ꯫
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯂꯥꯏꯟ ꯑꯗꯨ ꯊꯥꯗꯣꯀꯈꯤꯕꯥ ꯃꯐꯝ ꯑꯗꯨꯗꯒꯤ ꯌꯦꯜꯂꯣ ꯅꯠꯠꯔꯒꯥ ꯒ꯭ꯔꯤꯟ ꯄꯨꯁꯒꯨꯝꯕꯥ ꯐ꯭ꯂꯨꯏꯗ ꯑꯃꯥ ꯊꯣꯛꯂꯛꯂꯕꯗꯤ꯫
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯂꯥꯏꯟ ꯑꯗꯨꯒꯤ ꯁꯔꯨꯛ ꯑꯗꯨ ꯍꯥꯟꯅꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯁꯥꯡꯅꯥ ꯎꯕꯥ ꯐꯪꯂꯕꯗꯤ (ꯃꯅꯨꯡꯗꯒꯤ ꯂꯥꯀꯄꯥ ꯌꯥꯏ)꯫
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯄꯣꯠꯁꯛ ꯑꯃꯥ ꯎꯔꯕꯗꯤ, ꯊꯦꯡꯊꯕꯥ ꯂꯩꯇꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯈꯪꯍꯜꯂꯨ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯦꯃꯔꯖꯦꯟꯁꯤ ꯑꯣꯏꯔꯕꯗꯤ, ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯅꯀꯄꯥ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯂꯒꯤ ꯏꯃꯔꯖꯦꯟꯁꯤ ꯇ꯭ꯔꯤꯇꯃꯦꯟꯇ ꯌꯨꯅꯤꯠ (ETU)ꯗꯥ ꯆꯠꯂꯨ꯫
ꯇꯦꯛ-ꯍꯣꯝ ꯃꯦꯁꯦꯖ ꯇꯧꯕꯥ꯫
- ꯁꯦꯟꯠꯔꯦꯜ ꯂꯥꯏꯟ (CVC) ꯍꯥꯌꯕꯁꯤ ꯑꯈꯟꯅꯕꯥ ꯇꯨꯕ ꯑꯃꯅꯤ, ꯃꯁꯤꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯂꯥꯌꯦꯡꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ ꯑꯃꯁꯨꯡ ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯅꯤꯗꯜ ꯁ꯭ꯇꯤꯛ ꯁꯤꯖꯤꯟꯅꯕꯗꯒꯤ ꯉꯥꯀꯊꯣꯀꯏ꯫
- ꯑꯗꯣꯃꯒꯤ ꯗꯔꯀꯥꯔ ꯑꯣꯏꯕꯁꯤꯡꯒꯤ ꯃꯇꯨꯡ ꯏꯟꯅꯥ ꯇꯣꯉꯥꯟ ꯇꯣꯉꯥꯅꯕꯥ ꯃꯈꯂꯒꯤ ꯁꯦꯟꯠꯔꯦꯜ ꯂꯥꯏꯅꯁꯤꯡ ꯂꯩꯔꯤ꯫ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯛꯀꯤꯗꯃꯛꯇꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯥ ꯑꯗꯨ ꯈꯅꯒꯅꯤ꯫
- ꯃꯁꯤ ꯏꯅꯁꯥꯔꯠ ꯇꯧꯈꯤꯕꯥ ꯑꯁꯤ ꯑꯋꯥꯕꯥ ꯅꯠꯇꯦ꯫ ꯑꯗꯣꯝꯅꯥ ꯑꯋꯥꯕꯥ ꯑꯃꯠꯇꯥ ꯐꯥꯑꯣꯗꯅꯕꯥ ꯑꯩꯈꯣꯌꯅꯥ ꯃꯇꯝ ꯄꯨꯝꯅꯃꯛꯇꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯈꯣꯡꯊꯥꯡꯁꯤꯡ ꯂꯧꯈꯠꯂꯤ꯫
- ꯃꯔꯨꯑꯣꯏꯕꯥ ꯔꯤꯁ꯭ꯛ ꯑꯁꯤ ꯏꯅꯐꯦꯛꯁꯅꯅꯤ, ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯂꯥꯏꯟ ꯑꯗꯨ ꯊꯥꯗꯣꯔꯀꯄꯥ ꯃꯐꯝ ꯑꯗꯨ ꯌꯥꯝꯅꯥ ꯁꯦꯡꯅꯥ ꯊꯝꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯊꯧꯗꯥꯡꯅꯤ꯫
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯏꯅꯐꯦꯛꯁꯅꯒꯤ ꯈꯨꯗꯃꯁꯤꯡ ꯍꯥꯌꯕꯗꯤ ꯂꯥꯏꯍꯧ, ꯑꯅꯥꯕꯥ, ꯂꯥꯎꯕꯥ, ꯅꯠꯠꯔꯒꯥ ꯁꯣꯛ-ꯄꯅꯕꯥ ꯎꯔꯕꯗꯤ, ꯈꯨꯗꯛꯇꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯈꯪꯍꯅꯕꯤꯌꯨ꯫
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