ꯆꯦꯁ꯭ꯠ ꯀꯟꯖꯦꯁꯅꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯗꯥ ꯑꯋꯥꯕꯥ ꯃꯥꯌꯣꯛꯅꯔꯤꯕ꯭ꯔꯥ? ꯆꯦꯁ꯭ꯠ ꯐꯤꯖꯤꯑꯣꯊꯦꯔꯥꯄꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯁꯤ!

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯑꯩꯈꯣꯌꯅꯥ ꯀꯣꯛ ꯆꯤꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯊꯝꯃꯣꯌ ꯁꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯂꯨꯕꯥ ꯐꯥꯑꯣꯏ, ꯅꯠꯇꯦ? ꯃꯁꯤ ꯑꯌꯥꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯂꯪꯁꯀꯤ ꯀꯟꯗꯤꯁꯟ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯅꯥ, ꯃꯔꯨꯑꯣꯏꯅꯥ ꯂꯪꯁꯀꯥ ꯃꯔꯤ ꯂꯩꯅꯕꯥ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯅꯥ ꯊꯦꯡꯅꯔꯤꯕꯥ ꯋꯥꯐꯝ ꯑꯃꯅꯤ꯫ ꯑꯗꯨꯅꯥ ꯉꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯑꯈꯟꯅꯕꯥ ꯐꯤꯖꯤꯑꯣꯊꯦꯔꯥꯄꯤ ꯂꯥꯌꯦꯡꯕꯒꯤ ꯃꯑꯣꯡ ꯑꯃꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯔꯤ ꯃꯗꯨꯅꯥ ꯂꯪꯁ ꯑꯃꯁꯨꯡ ꯑꯦꯌꯔꯋꯦꯖꯗꯥ ꯆꯦꯟꯊꯔꯀꯄꯥ ꯑꯀꯅꯕꯥ ꯃ꯭ꯌꯨꯀꯁ ꯑꯗꯨ ꯂꯧꯊꯣꯀꯄꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ ꯑꯃꯁꯨꯡ ꯃꯈꯣꯌꯕꯨ ꯐꯖꯅꯥ ꯀꯣꯀꯍꯅꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫

ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯆꯦꯁ꯭ꯠ ꯐꯤꯖꯤꯑꯣꯊꯦꯔꯥꯄꯤ ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ?

ꯆꯦꯁ꯭ꯠ ꯐꯤꯖꯤꯑꯣꯊꯦꯔꯥꯄꯤ (ꯆꯦꯁ꯭ꯠ ꯄꯤ.ꯇꯤ.) ꯑꯁꯤ ꯑꯈꯟꯅꯕꯥ ꯂꯥꯏꯌꯦꯡ ꯑꯃꯅꯤ ꯃꯗꯨꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯆꯦꯁ꯭ꯇꯇꯥ ꯃ꯭ꯌꯨꯀꯁ ꯂꯧꯊꯣꯀꯄꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ ꯑꯃꯁꯨꯡ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯗꯥ ꯂꯥꯌꯍꯜꯂꯤ꯫ ꯃꯁꯤꯗꯥ ꯇ꯭ꯔꯦꯟ ꯇꯧꯔꯕꯥ ꯍꯦꯂꯊ ꯋꯥꯔꯀꯔ ꯑꯃꯅꯥ – ꯑꯌꯥꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯔꯦꯁ꯭ꯄꯤꯔꯦꯇꯔꯤ ꯊꯦꯔꯥꯄꯤꯁ꯭ꯠ ꯅꯠꯠꯔꯒꯥ ꯐꯤꯖꯤꯑꯣꯊꯦꯔꯥꯄꯤꯁ꯭ꯠ ꯑꯃꯅꯥ – ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡ ꯑꯃꯁꯨꯡ ꯈꯣꯡꯗꯥ ꯔꯤꯗꯝ ꯑꯣꯏꯅꯥ ꯈꯣꯟꯖꯦꯜ ꯊꯣꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯊꯨꯃꯖꯤꯅꯕꯥ ꯌꯥꯎꯏ꯫ ꯃꯁꯤꯕꯨ ꯑꯀꯅꯕꯥ ꯈꯣꯡꯎꯞ ꯑꯃꯥ ꯑꯣꯏꯅꯥ ꯈꯅꯕꯤꯌꯨ, ꯑꯗꯨꯕꯨ ꯑꯁꯨꯛ ꯌꯥꯝꯅꯥ ꯑꯋꯥꯕꯥ ꯑꯣꯏꯍꯜꯂꯣꯏꯗꯕꯅꯤ꯫ ꯇꯦꯞ ꯇꯧꯕꯗꯒꯤ ꯂꯥꯀꯄꯥ ꯁꯣꯛ-ꯄꯅꯕꯥ ꯑꯗꯨꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯂꯪꯁꯇꯥ ꯆꯦꯟꯊꯈꯤꯕꯥ ꯃ꯭ꯌꯨꯀꯁ ꯑꯗꯨ ꯂꯧꯊꯣꯀꯏ꯫ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯗꯨ ꯐꯖꯅꯥ ꯀꯣꯛ ꯆꯤꯀꯄꯥ ꯌꯥꯏ꯫

ꯀꯦꯁ ꯈꯔꯗꯗꯤ, ꯏꯃꯨꯡꯒꯤ ꯃꯤꯑꯣꯏ ꯑꯃꯥ ꯅꯠꯠꯔꯒꯥ ꯃꯔꯨꯞ ꯑꯃꯕꯨ ꯂꯥꯏꯌꯦꯡ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯄꯥꯡꯊꯣꯛꯀꯗꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯇ꯭ꯔꯦꯟ ꯇꯧꯕꯥ ꯌꯥꯏ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯌꯨꯃꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯕꯥ ꯌꯥꯏ꯫

ꯃꯁꯤꯒꯤ ꯂꯥꯏꯌꯦꯡ ꯑꯁꯤ ꯀꯔꯤ ꯀꯟꯗꯤꯁꯅꯁꯤꯡꯗꯥ ꯁꯤꯖꯤꯟꯅꯕꯒꯦ?

ꯃꯦꯗꯤꯀꯦꯜ ꯀꯟꯗꯤꯁꯟ ꯈꯔꯗꯗꯤ, ꯑꯩꯈꯣꯌꯒꯤ ꯂꯪꯁ ꯑꯁꯤꯅꯥ ꯅꯣꯔꯃꯦꯂꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯂꯨꯝꯕꯥ, ꯍꯦꯟꯅꯥ ꯂꯨꯝꯕꯥ ꯃ꯭ꯌꯨꯀꯁ ꯑꯃꯥ ꯄꯨꯊꯣꯀꯏ꯫ ꯃꯁꯤꯒꯤ ꯃ꯭ꯌꯨꯀꯁ ꯑꯁꯤ ꯀꯣꯛ ꯅꯣꯟꯖꯕꯥ ꯑꯃꯁꯨꯡ ꯂꯧꯊꯣꯀꯄꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯂꯨꯏ꯫ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯀꯦꯁꯁꯤꯡ ꯑꯁꯤꯗꯥ ꯆꯦꯁ꯭ꯠ ꯐꯤꯖꯤꯑꯣꯊꯦꯔꯥꯄꯤ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯀꯥꯟꯅꯩ꯫ ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯂꯥꯏꯌꯦꯡ ꯑꯁꯤ ꯔꯤꯀꯃꯦꯟꯗ ꯇꯧꯔꯤꯕꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯦꯗꯤꯀꯦꯜ ꯀꯟꯗꯤꯁꯟ ꯈꯔꯗꯤ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤ:

• ꯁꯤꯁ꯭ꯇꯤꯛ ꯐꯥꯏꯕ꯭ꯔꯣꯁꯤꯁ (cystic fibrosis) : ꯃꯁꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯃꯔꯨꯑꯣꯏꯅꯥ ꯂꯪꯁ ꯑꯃꯁꯨꯡ ꯗꯥꯏꯖꯦꯁ꯭ꯇꯤꯚ ꯁꯤꯁ꯭ꯇꯦꯃꯗꯥ ꯌꯥꯝꯅꯥ ꯂꯨꯕꯥ, ꯂꯦꯡ-ꯑꯣꯠꯄꯥ ꯃ꯭ꯌꯨꯀꯁ ꯊꯣꯀꯍꯜꯂꯤꯕꯥ ꯖꯦꯅꯦꯇꯤꯛ ꯂꯥꯌꯅꯥ ꯑꯃꯅꯤ꯫
• ꯁꯤ.ꯑꯣ.ꯄꯤ.ꯗꯤ.(ꯀ꯭ꯔꯣꯅꯤꯛ ꯑꯣꯕꯁ꯭ꯠꯔꯀꯆꯔ ꯄꯂꯃꯣꯅꯥꯔꯤ ꯗꯤꯖꯤꯖ): ꯃꯁꯤ ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯅꯥꯔꯀꯄꯥ ꯂꯪꯁꯀꯤ ꯂꯥꯌꯅꯥ ꯑꯃꯅꯤ꯫ ꯃꯁꯤ ꯃꯔꯨꯑꯣꯏꯅꯥ ꯃꯩꯈꯨ ꯊꯥꯗꯣꯀꯄꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯒꯤ ꯃꯔꯛꯇꯥ ꯌꯥꯝꯅꯥ ꯀꯃꯟ ꯑꯣꯏ꯫ ꯃꯁꯤꯅꯥ ꯃ꯭ꯌꯨꯀꯁ ꯕꯤꯜꯗꯑꯞ ꯑꯃꯁꯨꯡ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯗꯥ ꯑꯋꯥꯕꯥ ꯄꯤꯕꯁꯨ ꯊꯣꯀꯍꯜꯂꯤ꯫
• ꯕ꯭ꯔꯣꯉ꯭ꯀꯤꯑꯦꯛꯇꯁꯤꯁ (bronchiectasis): ꯃꯁꯤ ꯂꯪꯁꯇꯥ ꯂꯩꯕꯥ ꯑꯦꯌꯔꯋꯦ (airways) ꯑꯗꯨ ꯃꯇꯝ ꯆꯨꯞꯄꯒꯤ ꯑꯣꯏꯅꯥ ꯄꯥꯀꯊꯣꯛ-ꯆꯥꯎꯊꯣꯀꯍꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯃꯥꯡ-ꯇꯥꯛꯅꯤꯡꯉꯥꯏ ꯑꯣꯏꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫
• ꯅ꯭ꯌꯨꯃꯣꯅꯤꯌꯥ: ꯂꯪꯁꯇꯥ ꯖꯔꯝ ꯑꯃꯥ ꯆꯪꯂꯀꯄꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯏꯅꯐꯦꯛꯁꯟ ꯑꯃꯅꯤ꯫ ꯃꯁꯤꯅꯥ ꯃ꯭ꯌꯨꯀꯁ (mucus) ꯁꯦꯃꯒꯠꯄꯁꯨ ꯊꯣꯀꯍꯜꯂꯤ꯫
• ꯅ꯭ꯌꯨꯔꯣꯃꯁꯀꯨꯂꯥꯔ ꯗꯤꯁꯑꯣꯔꯗꯔꯁꯤꯡ: ꯅꯔꯚ ꯑꯃꯁꯨꯡ ꯃꯁꯂꯁꯤꯡ ꯁꯣꯟꯊꯍꯜꯂꯤꯕꯥ ꯂꯥꯌꯅꯥꯁꯤꯡꯅꯥ ꯀꯣꯛ ꯅꯣꯟꯖꯕꯗꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯄꯥꯉ꯭ꯒꯜ ꯑꯗꯨ ꯃꯥꯡꯍꯅꯕꯥ ꯉꯝꯃꯤ, ꯃꯗꯨꯅꯥ ꯂꯪꯁꯇꯒꯤ ꯃ꯭ꯌꯨꯀꯁ ꯂꯧꯊꯣꯀꯄꯗꯥ ꯑꯋꯥꯕꯥ ꯑꯣꯏꯍꯜꯂꯤ꯫
• ꯑꯦꯇꯦꯂꯦꯛꯇꯦꯁꯤꯁ (Atelectasis): ꯂꯪꯁꯀꯤ ꯁꯔꯨꯛ ꯑꯃꯥ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯅꯠꯠꯔꯒꯥ ꯁꯔꯨꯛ ꯈꯔꯗꯤ ꯁꯣꯀꯍꯜꯂꯀꯄꯥ꯫

ꯑꯌꯥꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯆꯦꯁ꯭ꯠ ꯄꯤ.ꯇꯤ.ꯒꯤ ꯂꯥꯏꯌꯦꯡ ꯑꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯔꯤꯀꯃꯦꯟꯗ ꯇꯧꯔꯕꯥ ꯄꯂꯃꯣꯅꯥꯔꯤ ꯔꯤꯍꯦꯕꯤꯂꯤꯇꯦꯁꯟ ꯄ꯭ꯂꯥꯟ ꯑꯃꯒꯤ ꯁꯔꯨꯛ ꯑꯃꯥ ꯑꯣꯏꯅꯥ ꯄꯥꯡꯊꯣꯀꯏ꯫

ꯃꯁꯤꯒꯤ ꯆꯦꯁ꯭ꯠ ꯐꯤꯖꯤꯑꯣꯊꯦꯔꯥꯄꯤ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯊꯕꯛ ꯇꯧꯕꯒꯦ?

ꯃꯁꯤꯒꯤ ꯂꯥꯌꯦꯡ ꯑꯁꯤꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯄꯥꯝꯕꯩ ꯑꯅꯤ ꯂꯩ꯫ ꯃꯈꯣꯌꯁꯤꯡ ꯑꯗꯨꯗꯤ ꯄꯔꯀꯁꯟ ꯑꯃꯁꯨꯡ ꯚꯥꯏꯕ꯭ꯔꯦꯁꯅꯅꯤ꯫ ꯇ꯭ꯔꯦꯟ ꯇꯧꯔꯕꯥ ꯗꯣꯛꯇꯔ ꯅꯠꯠꯔꯒꯥ ꯊꯦꯔꯥꯄꯤꯁ꯭ꯠ ꯑꯃꯅꯥ ꯃꯁꯤꯒꯤꯗꯃꯛꯇꯥ ꯃꯈꯣꯌꯒꯤ ꯃꯈꯨꯠꯁꯤꯡ ꯁꯤꯖꯤꯟꯅꯕꯥ ꯌꯥꯏ, ꯅꯠꯠꯔꯒꯥ ꯃꯈꯣꯌꯅꯥ ꯆꯦꯁ꯭ꯠ ꯑꯃꯁꯨꯡ ꯕꯦꯛ ꯚꯥꯏꯕ꯭ꯔꯦꯠ ꯇꯧꯕꯥ ꯑꯀꯛꯅꯕꯥ ꯗꯤꯚꯥꯏꯁꯁꯤꯡ ꯁꯤꯖꯤꯟꯅꯕꯥ ꯌꯥꯏ꯫ ꯃꯦꯊꯗ ꯑꯅꯤ ꯑꯁꯤ ꯃꯍꯧꯁꯥꯅꯥ ꯑꯈꯟꯅꯕꯥ ꯍꯀꯆꯥꯡꯒꯤ ꯄꯣꯖꯤꯁꯅꯁꯤꯡ (ꯄꯣꯁ꯭ꯇꯨꯔꯦꯜ ꯗ꯭ꯔꯦꯅꯦꯖ)ꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯄꯨꯟꯁꯤꯟꯅꯩ, ꯃꯗꯨꯅꯥ ꯃ꯭ꯌꯨꯀꯁ ꯑꯁꯤ ꯒ꯭ꯔꯦꯚꯤꯇꯤꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯍꯦꯟꯅꯥ ꯐꯖꯅꯥ ꯆꯦꯅꯕꯥ ꯉꯃꯍꯜꯂꯤ꯫

ꯂꯥꯏꯌꯦꯡ ꯑꯁꯤꯒꯤ ꯃꯃꯥꯡꯗꯥ ꯑꯩꯅꯥ ꯀꯔꯝꯅꯥ ꯁꯦꯝ-ꯁꯥꯒꯗꯒꯦ?

ꯂꯥꯏꯌꯦꯡ ꯑꯁꯤ ꯍꯧꯗ꯭ꯔꯤꯉꯩꯗꯥ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔ ꯅꯠꯠꯔꯒꯥ ꯊꯦꯔꯥꯄꯤꯁ꯭ꯠ ꯑꯗꯨꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯃꯊꯧ ꯇꯥꯕꯥ ꯄꯥꯎꯇꯥꯛ ꯄꯤꯒꯅꯤ꯫ ꯃꯈꯣꯌꯅꯥ ꯃꯍꯧꯁꯥꯅꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯋꯥꯐꯃꯁꯤꯡ ꯑꯁꯤ ꯔꯤꯀꯃꯦꯟꯗ ꯇꯧꯕꯥ ꯌꯥꯏ:

• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯏꯅꯍꯦꯂꯔ ꯑꯃꯥ, ꯃꯔꯨꯑꯣꯏꯅꯥ ꯕ꯭ꯔꯣꯉ꯭ꯀꯣꯗꯤꯂꯦꯇꯔ ꯑꯃꯥ ꯄꯤꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯂꯥꯏꯌꯦꯡꯒꯤ ꯃꯤꯅꯠ 15-30ꯒꯤ ꯃꯃꯥꯡꯗꯥ ꯁꯤꯖꯤꯟꯅꯅꯕꯥ ꯍꯥꯌꯔꯀꯄꯥ ꯌꯥꯏ . ꯃꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯦꯌꯔꯋꯦ (airways) ꯑꯗꯨ ꯈꯔꯥ ꯍꯥꯡꯗꯣꯀꯄꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯒꯅꯤ ꯑꯃꯁꯨꯡ ꯃ꯭ꯌꯨꯀꯁ ꯑꯗꯨ ꯍꯦꯟꯅꯥ ꯂꯥꯌꯊꯣꯀꯍꯅꯒꯅꯤ꯫
• ꯂꯥꯏꯌꯦꯡ ꯑꯁꯤ ꯄꯥꯡꯊꯣꯛꯂꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯌꯥꯃꯗ꯭ꯔꯕꯗꯥ ꯄꯨꯡ ꯑꯃꯥ ꯃꯈꯥꯌ ꯉꯥꯏꯌꯨ꯫ ꯃꯄꯨꯡꯐꯥꯕꯥ ꯈꯣꯡꯗꯥ ꯃꯁꯤ ꯇꯧꯕꯅꯥ ꯈꯣꯝꯂꯥꯡ ꯄꯤꯊꯀꯄꯒꯤ ꯔꯤꯁ꯭ꯛ ꯍꯦꯅꯒꯠꯍꯜꯂꯤ꯫

ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯃꯇꯃꯗꯥ ꯀꯔꯤ ꯊꯣꯀꯏ?

ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯃꯇꯃꯗꯥ, ꯅꯍꯥꯀꯄꯨ ꯃꯇꯦꯡ ꯄꯥꯡꯂꯤꯕꯥ ꯊꯦꯔꯥꯄꯤꯁ꯭ꯠ ꯑꯗꯨꯅꯥ ꯁ꯭ꯇꯦꯄꯁꯤꯡ ꯑꯁꯤ ꯏꯅꯒꯅꯤ:

1. ꯅꯨꯡꯉꯥꯏꯕꯥ ꯄꯣꯖꯤꯁꯟ ꯑꯃꯗꯥ ꯂꯩꯌꯨ: ꯑꯍꯥꯅꯕꯗꯥ, ꯅꯍꯥꯛꯀꯤꯗꯃꯛꯇꯥ ꯅꯨꯡꯉꯥꯏꯕꯥ ꯄꯣꯖꯤꯁꯟ ꯑꯃꯥ ꯊꯤꯌꯨ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯅꯥ ꯃ꯭ꯌꯨꯀꯁ ꯊꯨꯒꯥꯌꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫ ꯃꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯅꯥꯀꯂꯗꯥ ꯂꯦꯡꯗꯅꯥ ꯂꯩꯕꯥ, ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯂꯦꯡ-ꯑꯣꯠꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯐꯃꯗꯨꯅꯥ ꯂꯩꯕꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫ ꯅꯨꯡꯉꯥꯏꯅꯕꯥ ꯇꯥꯎꯅꯒꯨꯝꯕꯥ ꯄꯣꯠꯁꯛ ꯑꯃꯁꯨ ꯁꯤꯖꯤꯟꯅꯕꯥ ꯌꯥꯏ꯫

2. ꯇꯦꯞ ꯅꯠꯠꯔꯒꯥ ꯚꯥꯏꯕ꯭ꯔꯦꯁꯟ: ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ, ꯃꯃꯥꯡꯗꯥ ꯄꯅꯈ꯭ꯔꯤꯕꯥ ꯃꯇꯨꯡꯏꯟꯅꯥ, ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡ ꯅꯠꯠꯔꯒꯥ ꯈꯣꯡ ꯑꯗꯨ ꯇꯦꯞ (percussion) ꯅꯠꯠꯔꯒꯥ ꯚꯥꯏꯕ꯭ꯔꯦꯁꯟ (vibration) ꯑꯣꯏꯒꯅꯤ꯫ ꯃꯇꯝ ꯑꯁꯤꯗꯥ ꯅꯍꯥꯀꯄꯨ ꯃꯇꯧ ꯀꯔꯝꯅꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯒꯗꯒꯦ ꯑꯃꯁꯨꯡ ꯁ꯭ꯕꯔ ꯍꯣꯅꯒꯗꯒꯦ ꯍꯥꯌꯕꯒꯤ ꯃꯇꯥꯡꯗꯁꯨ ꯇꯥꯀꯄꯤꯒꯅꯤ꯫

3. ꯃ꯭ꯌꯨꯀꯁ ꯂꯧꯊꯣꯀꯄꯥ: ꯑꯔꯣꯏꯕꯗꯥ, ꯂꯨꯄꯊꯣꯛꯂꯕꯥ ꯃ꯭ꯌꯨꯀꯁ ꯑꯗꯨ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯀꯣꯛ ꯅꯣꯟꯖꯔꯦ ꯍꯥꯌꯅꯥ ꯍꯥꯌꯅꯩ꯫

ꯅꯍꯥꯛꯀꯤ ꯂꯪꯁꯀꯤ ꯇꯣꯉꯥꯟ-ꯇꯣꯉꯥꯅꯕꯥ ꯃꯐꯃꯁꯤꯡꯗꯒꯤ ꯃ꯭ꯌꯨꯀꯁ ꯀ꯭ꯂꯤꯌꯥꯔ ꯇꯧꯅꯕꯥ ꯇꯣꯉꯥꯟ-ꯇꯣꯉꯥꯅꯕꯥ ꯍꯀꯆꯥꯡꯒꯤ ꯄꯣꯖꯤꯁꯅꯁꯤꯡꯗꯥ ꯍꯣꯡꯗꯣꯛ-ꯍꯣꯡꯖꯤꯟ ꯇꯧꯗꯨꯅꯥ ꯁ꯭ꯇꯦꯄꯁꯤꯡ ꯑꯁꯤꯁꯨ ꯍꯟꯖꯤꯟ ꯍꯟꯖꯤꯟ ꯇꯧꯕꯥ ꯌꯥꯏ꯫

ꯆꯦꯁ꯭ꯠ ꯐꯤꯖꯤꯑꯣꯊꯦꯔꯥꯄꯤꯒꯤ ꯀꯥꯟꯅꯕꯁꯤꯡ ꯀꯔꯤꯅꯣ?

ꯂꯥꯏꯌꯦꯡ ꯑꯁꯤ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯇꯧꯕꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯀꯥꯟꯅꯕꯥ ꯀꯌꯥ ꯐꯪꯒꯅꯤ, ꯃꯈꯣꯌ ꯑꯗꯨꯗꯤ:

• ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯑꯁꯤ ꯃꯁꯛ ꯊꯣꯛꯅꯥ ꯂꯥꯌꯕꯥ ꯑꯣꯏꯔꯀꯏ .
• ꯅꯍꯥꯛꯅꯥ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯂꯗꯥ ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯂꯥꯌꯦꯡꯕꯒꯤ ꯃꯊꯧ ꯇꯥꯕꯥ ꯃꯇꯝ ꯍꯟꯊꯍꯅꯕꯥ꯫
• ꯂꯪꯁꯀꯤ ꯏꯅꯐꯦꯛꯁꯟ ꯑꯃꯁꯨꯡ ꯍꯦꯟꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯍꯟꯊꯔꯀꯄꯥ꯫
• ꯄꯨꯟꯁꯤꯒꯤ ꯃꯒꯨꯟ ꯍꯦꯅꯒꯠꯍꯅꯕꯥ꯫
• ꯈꯣꯡꯅꯥ ꯆꯠꯄꯥ, ꯁꯥꯖꯦꯜ ꯇꯧꯕꯥ ꯑꯃꯁꯨꯡ ꯅꯣꯡꯃꯒꯤ ꯑꯣꯏꯕꯥ ꯊꯕꯀꯁꯤꯡ ꯄꯥꯡꯊꯣꯀꯄꯥ ꯉꯝꯕꯥ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ꯫

ꯃꯁꯤꯗꯥ ꯔꯤꯁ꯭ꯛ ꯂꯩꯕ꯭ꯔꯥ?

ꯂꯥꯏꯌꯦꯡ ꯑꯃꯍꯦꯛꯇꯒꯥ ꯃꯥꯟꯅꯅꯥ, ꯆꯦꯁ꯭ꯠ ꯐꯤꯖꯤꯑꯣꯊꯦꯔꯥꯄꯤꯗꯥ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯊꯣꯀꯄꯥ ꯔꯤꯁ꯭ꯛ ꯈꯔꯗꯤ ꯂꯩ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯄꯥꯡꯊꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯑꯃꯁꯨꯡ ꯇ꯭ꯔꯦꯟ ꯇꯧꯔꯕꯥ ꯄ꯭ꯔꯣꯐꯦꯁꯅꯦꯜ ꯑꯃꯒꯤ ꯌꯦꯡꯁꯤꯅꯕꯒꯤ ꯃꯈꯥꯗꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯕꯒꯤ ꯑꯣꯏꯊꯣꯀꯄꯥ ꯌꯥꯝꯅꯥ ꯅꯦꯝꯃꯤ꯫

• ꯔꯤꯕꯟ, ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗ ꯅꯠꯠꯔꯒꯥ ꯃꯁꯂꯁꯤꯡꯗꯥ ꯑꯁꯣꯀꯄꯥ ꯑꯃꯥ꯫
• ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ꯫
• ꯈꯣꯡ ꯍꯥꯝꯕꯥ꯫
• ꯑꯦꯌꯔꯋꯦ (ꯁ꯭ꯕꯔ ꯍꯣꯟꯅꯕꯥ ꯎꯇꯣꯡ)ꯗꯥ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯃ꯭ꯌꯨꯀꯁ ꯑꯦꯁ꯭ꯄꯤꯔꯦꯁꯟ ꯇꯧꯕꯥ꯫
• ꯍꯀꯆꯥꯡꯒꯤ ꯇꯤꯁꯨꯁꯤꯡꯗꯥ ꯑꯣꯛꯁꯤꯖꯦꯟ ꯁꯞꯂꯥꯏ ꯍꯟꯊꯔꯀꯄꯥ (ꯍꯥꯌꯄꯣꯛꯁꯤꯌꯥ)꯫
• ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ ꯅꯦꯝꯕꯥ (ꯍꯥꯏꯄꯣꯇꯦꯟꯁꯟ)꯫
• ꯂꯪꯁꯇꯒꯤ ꯏ ꯊꯣꯀꯄꯥ (pulmonary hemorrhage)꯫
• ꯁ꯭ꯀꯨꯂꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯄ꯭ꯔꯦꯁꯔ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ (ꯏꯟꯠꯔꯥꯛꯔꯦꯅꯤꯑꯦꯜ ꯄ꯭ꯔꯦꯁꯔ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ)꯫
• ꯈꯪꯍꯧꯗꯅꯥ ꯑꯦꯌꯔꯋꯦ (airways) ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯁꯣꯀꯄꯥ (bronchospasm)꯫
• ꯍꯥꯔꯠ ꯔꯦꯠ ꯑꯦꯕꯅꯣꯔꯃꯦꯂꯤꯇꯤꯁꯤꯡ (dysrhythmia)꯫

ꯅꯍꯥꯛꯅꯥ ꯀꯗꯥꯏꯗꯥ ꯆꯦꯁ꯭ꯠ ꯐꯤꯖꯤꯑꯣꯊꯦꯔꯥꯄꯤ ꯇꯧꯒꯗꯒꯦ?

ꯑꯀꯛꯅꯕꯥ ꯃꯦꯗꯤꯀꯦꯜ ꯀꯟꯗꯤꯁꯟ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯅꯥ ꯂꯥꯏꯌꯦꯡ ꯑꯁꯤꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯔꯤꯁ꯭ꯛ ꯂꯩꯕꯥ ꯌꯥꯏ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯥ ꯂꯩꯔꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯃꯃꯥꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯁꯣꯌꯗꯅꯥ ꯋꯥꯔꯤ ꯁꯥꯒꯗꯕꯅꯤ꯫

• ꯍꯟꯗꯛꯇꯥ ꯆꯦꯁ꯭ꯠ, ꯕꯦꯛ ꯅꯠꯠꯔꯒꯥ ꯂꯪꯁꯇꯥ (ꯈꯣꯡꯗꯥ ꯑꯁꯣꯀꯄꯥ ꯑꯃꯥ ꯌꯥꯎꯅꯥ) ꯑꯁꯣꯀꯄꯥ ꯑꯃꯥ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯍꯟꯗꯛꯇꯥ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯑꯦꯅꯥꯁ꯭ꯇꯦꯁꯤꯌꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯦꯄꯤꯗ꯭ꯌꯨꯔꯜ ꯑꯃꯥ ꯂꯩꯔꯕꯗꯤ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯣꯁ꯭ꯇꯤꯑꯣꯄꯣꯔꯣꯁꯤꯁ ꯂꯩꯔꯕꯗꯤ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯏ ꯊꯣꯀꯄꯒꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯥ ꯂꯩꯔꯕꯗꯤ (ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯏ ꯊꯣꯛꯂꯕꯗꯤ) ꯅꯠꯠꯔꯒꯥ ꯏ ꯊꯣꯀꯄꯒꯤ ꯔꯤꯁ꯭ꯛ ꯌꯥꯝꯅꯥ ꯂꯩꯔꯕꯗꯤ꯫
• ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔꯒꯥ ꯃꯔꯤ ꯂꯩꯅꯕꯥ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯆꯦꯛꯁꯤꯟꯅꯥ ꯌꯦꯡꯂꯕꯗꯤ꯫

ꯃꯁꯤꯒꯤ ꯂꯥꯏꯌꯦꯡ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯍꯦꯟꯅꯥ ꯂꯥꯌꯕꯥ ꯑꯃꯁꯨꯡ ꯍꯦꯟꯅꯥ ꯅꯨꯡꯉꯥꯏꯕꯥ ꯑꯣꯏꯍꯅꯒꯅꯤ?

ꯃꯁꯤꯒꯤ ꯂꯥꯏꯌꯦꯡ ꯑꯁꯤꯅꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯑꯃꯠꯇꯥ ꯊꯣꯀꯍꯜꯂꯣꯏꯗꯕꯅꯤ, ꯑꯗꯨꯕꯨ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯈꯔꯥ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯐꯥꯎꯕꯥ ꯌꯥꯏ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯋꯥꯐꯃꯁꯤꯡ ꯑꯁꯤ ꯋꯥꯈꯂꯗꯥ ꯊꯝꯃꯨ꯫

• ꯅꯍꯥꯛꯀꯤ ꯋꯥꯈꯜꯂꯣꯟ ꯑꯗꯨ ꯐꯣꯡꯗꯣꯀꯎ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯂꯤꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯗꯨꯅꯥ ꯌꯥꯝꯅꯥ ꯀꯟꯅꯥ ꯇꯦꯞ ꯇꯧꯔꯀꯄꯥ, ꯅꯠꯠꯔꯒꯥ ꯃ꯭ꯌꯨꯀꯁ ꯑꯗꯨ ꯂꯧꯊꯣꯛꯅꯕꯥ ꯀꯟꯅꯥ ꯍꯣꯠꯅꯗꯕꯥ ꯑꯣꯏꯔꯕꯗꯤ, ꯃꯈꯣꯌꯗꯥ ꯍꯥꯌꯕꯗꯥ ꯂꯥꯡꯇꯛꯅꯒꯅꯨ꯫
• ꯁꯥꯐꯕꯥ ꯃꯐꯃꯁꯤꯡ: ꯀꯩꯗꯧꯉꯩꯗꯥ ꯔꯤꯕꯅꯒꯤ ꯃꯈꯥꯗꯥ, ꯍꯥꯌꯕꯗꯤ ꯈꯣꯡ ꯅꯠꯠꯔꯒꯥ ꯃꯈꯥ ꯊꯪꯕꯥ ꯁꯔꯨꯛꯇꯥ ꯇꯦꯞ ꯇꯧꯔꯣꯏꯗꯕꯅꯤ ꯅꯠꯠꯔꯒꯥ ꯁꯣꯀꯍꯜꯂꯣꯏꯗꯕꯅꯤ꯫ ꯃꯁꯤꯅꯥ ꯀꯤꯗꯅꯤꯒꯨꯝꯕꯥ ꯃꯅꯨꯡꯒꯤ ꯑꯣꯏꯕꯥ ꯑꯣꯔꯒꯥꯅꯁꯤꯡꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫
• ꯃꯁꯤ ꯅꯨꯡꯉꯥꯏꯕꯥ ꯑꯣꯏꯍꯅꯕꯤꯌꯨ: ꯅꯍꯥꯛꯀꯤꯗꯃꯛꯇꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯅꯨꯡꯉꯥꯏꯕꯥ ꯂꯝꯕꯤ ꯑꯗꯨ ꯊꯤꯕꯤꯌꯨ꯫ ꯅꯍꯥꯛꯅꯥ ꯄꯥꯝꯂꯤꯕꯥ ꯄꯣꯠꯁꯛ ꯑꯃꯥ ꯁꯣꯀꯄꯥ, ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯎꯞ ꯑꯗꯨ ꯁꯦꯃꯖꯤꯅꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯅꯍꯥꯛꯀꯤ ꯏꯁꯥꯒꯤ ꯇꯥꯎꯟ ꯁꯤꯖꯤꯟꯅꯕꯗꯨ ꯑꯣꯏꯔꯕꯁꯨ ꯌꯥꯏ꯫
• ꯑꯍꯣꯡꯕꯁꯤꯡ ꯔꯤꯄꯣꯔꯠ ꯇꯧꯕꯥ: ꯂꯥꯏꯌꯦꯡ ꯍꯧꯗ꯭ꯔꯤꯉꯩꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯁꯦꯂꯗꯥ ꯑꯍꯣꯡꯕꯥ ꯑꯃꯥ ꯂꯥꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯃꯇꯝ ꯄꯨꯝꯅꯃꯛꯇꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯈꯪꯍꯜꯂꯨ꯫

ꯂꯪꯁꯀꯤ ꯂꯥꯌꯅꯥ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏ ꯀꯌꯥꯒꯤ ꯑꯣꯏꯅꯗꯤ, ꯆꯦꯁ꯭ꯠ ꯐꯤꯖꯤꯑꯣꯊꯦꯔꯥꯄꯤ ꯑꯁꯤ ꯃꯈꯣꯌꯒꯤ ꯅꯨꯡꯇꯤꯒꯤ ꯍꯀꯁꯦꯂꯒꯤ ꯊꯧꯑꯣꯡꯒꯤ ꯁꯔꯨꯛ ꯑꯃꯅꯤ, ꯃꯈꯣꯌꯒꯤ ꯍꯥꯀꯆꯥꯡ ꯁꯦꯡꯗꯣꯀꯄꯒꯨꯝꯅꯥ꯫ ꯇꯤ.ꯚꯤ.ꯒꯤ ꯊꯧꯔꯝ ꯑꯃꯥ ꯌꯦꯡꯕꯥ, ꯂꯥꯏꯔꯤꯛ ꯑꯃꯥ ꯄꯥꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯏꯁꯩ ꯑꯃꯥ ꯇꯥꯕꯅꯥ ꯂꯥꯏꯌꯦꯡꯕꯗꯥ ꯍꯦꯟꯅꯥ ꯅꯨꯡꯉꯥꯏꯍꯅꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡ ꯑꯗꯨ ꯅꯍꯥꯛꯅꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯈꯪꯏ꯫ ꯑꯗꯨꯅꯥ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯈꯔꯥ ꯅꯍꯥꯀꯄꯨ ꯁꯣꯀꯍꯜꯂꯤ ꯍꯥꯌꯅꯥ ꯈꯜꯂꯕꯗꯤ, ꯑꯩꯈꯣꯌꯗꯥ ꯍꯥꯌꯕꯤꯌꯨ꯫