ꯕ꯭ꯔꯦꯁ꯭ꯠ ꯀꯦꯟꯁꯔꯒꯥ ꯂꯥꯟꯊꯦꯡꯅꯕꯥ ꯑꯁꯤ ꯇꯁꯦꯡꯅꯥ ꯁꯤꯡꯅꯕꯥ ꯑꯃꯅꯤ꯫ ꯈꯣꯉꯆꯠ ꯑꯗꯨꯒꯤ ꯃꯅꯨꯡꯗꯥ, ꯅꯍꯥꯛꯅꯥ ꯃꯦꯁ꯭ꯇꯦꯛꯇꯣꯃꯤ ꯅꯠꯠꯔꯒꯥ ꯂꯝꯄꯦꯛꯇꯣꯃꯤ ꯇꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯏ꯫ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ "ꯍꯧꯖꯤꯛ ꯑꯩ ꯀꯔꯝꯅꯥ ꯎꯒꯅꯤ?" ꯅꯍꯥꯀꯄꯨ ꯁꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯕꯨ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯂꯩꯔꯣꯏꯗꯕꯅꯤ꯫ ꯉꯁꯤ ꯃꯦꯗꯤꯀꯦꯜ ꯁꯥꯏꯟꯁ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯆꯥꯎꯈꯠꯂꯦ꯫ ꯑꯗꯣꯃꯗꯥ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯃꯍꯧꯁꯥꯒꯤ ꯑꯣꯏꯕꯥ ꯃꯤꯠꯌꯦꯡ ꯑꯃꯥ ꯄꯤꯅꯕꯒꯤ ꯇꯣꯉꯥꯟ ꯇꯣꯉꯥꯅꯕꯥ ꯃꯑꯣꯡꯁꯤꯡ ꯂꯩꯔꯤ꯫ ꯉꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯑꯈꯟꯅꯕꯥ ꯄꯥꯝꯕꯩ ꯑꯃꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯔꯤ꯫
ꯗꯤ.ꯑꯥꯏ.ꯏ.ꯄꯤ.ꯒꯤ ꯐ꯭ꯂꯦꯞ ꯁꯔꯖꯔꯤ ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ? ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯂꯧꯁꯤꯅꯁꯤ꯫
ꯑꯣꯀꯦ, ꯃꯤꯡ ꯑꯁꯤ ꯈꯔꯥ ꯍꯦꯟꯅꯥ ꯂꯨꯝꯅꯥ ꯂꯧꯕꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯕꯨ ꯃꯁꯤ ꯏꯆꯝ ꯆꯝꯅꯥ ꯊꯃꯁꯤ꯫ ꯗꯤ.ꯑꯥꯏ.ꯏ.ꯄꯤ.ꯒꯤ ꯐ꯭ꯂꯦꯞ ꯁꯔꯖꯔꯤ ꯑꯁꯤ ꯕ꯭ꯔꯦꯁ꯭ꯠ ꯔꯤꯀꯟꯁꯠꯔꯛꯁꯟ ꯁꯔꯖꯔꯤ ꯃꯈꯜ ꯑꯃꯅꯤ꯫
ꯅꯍꯥꯛꯀꯤ ꯏꯁꯥꯒꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯑꯄꯤꯀꯄꯥ ꯁꯔꯨꯛ ꯑꯃꯥ ꯂꯧꯗꯨꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯎꯅꯁꯥ ꯑꯗꯨ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯁꯦꯃꯒꯠꯅꯕꯥ ꯁꯤꯖꯤꯟꯅꯅꯕꯥ ꯈꯅꯕꯤꯌꯨ꯫ ꯃꯐꯝ ꯑꯁꯤꯗꯥ ꯃꯗꯨ ꯑꯣꯏꯔꯤ꯫ ꯃꯐꯝ ꯑꯁꯤꯗꯥ, ꯁꯔꯖꯔꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯃꯈꯥ ꯊꯪꯕꯥ ꯁꯔꯨꯛ ꯑꯗꯨꯗꯒꯤ ꯈꯣꯡ, ꯐꯦꯠ ꯑꯃꯁꯨꯡ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯂꯁꯤꯡꯒꯤ ꯁꯔꯨꯛ ꯑꯃꯥ ꯂꯧꯊꯣꯛꯇꯨꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯎꯅꯁꯥ ꯑꯗꯨ ꯍꯥꯟꯅꯅꯥ ꯂꯩꯔꯝꯕꯥ ꯃꯐꯝ ꯑꯗꯨꯗꯥ ꯑꯅꯧꯕꯥ ꯕ꯭ꯔꯦꯁ꯭ꯠ ꯑꯃꯥ ꯁꯦꯝꯅꯕꯥ ꯁꯤꯖꯤꯟꯅꯩ꯫
ꯃꯐꯝ ꯑꯁꯤꯗꯥ ꯁꯤꯖꯤꯟꯅꯔꯤꯕꯥ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯜ ꯑꯁꯤꯕꯨ `DIEP (ꯗꯤꯞ ꯏꯅꯐꯦꯔꯤꯌꯔ ꯑꯦꯄꯤꯒꯦꯁ꯭ꯠꯔꯤꯛ ꯄꯔꯐꯣꯔꯦꯇꯔ ꯑꯥꯔꯇꯦꯔꯤ)` ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ ꯃꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯌꯥꯝꯅꯥ ꯈꯟꯊꯕꯥ ꯃꯊꯧ ꯇꯥꯗꯦ꯫ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯋꯥꯐꯃꯗꯤ ꯃꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯏꯁꯥꯒꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯁꯔꯨꯛ ꯑꯃꯅꯤ꯫
ꯃꯁꯤ ꯀꯔꯤꯒꯤꯗꯃꯛ ꯑꯈꯟꯅꯕꯥ ꯑꯣꯏꯔꯤꯕꯅꯣ?
ꯁꯔꯖꯔꯤ ꯑꯁꯤꯒꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯆꯥꯎꯕꯥ ꯑꯃꯁꯨꯡ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯀꯥꯟꯅꯕꯁꯤꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯗꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯂꯩꯔꯤꯕꯥ ꯃꯁꯜ ꯑꯃꯠꯇꯥ ꯁꯣꯀꯍꯟꯗꯅꯥ ꯅꯠꯠꯔꯒꯥ ꯂꯧꯊꯣꯛꯇꯨꯅꯥ ꯈꯣꯡ ꯑꯃꯁꯨꯡ ꯐꯦꯠꯀꯤ ꯃꯐꯝ ꯑꯁꯤ ꯈꯛꯇꯃꯛ ꯂꯧꯊꯣꯀꯏ .
ꯑꯔꯤꯕꯥ `TRAM (transverse rectus abdominal muscle) flap` ꯁꯔꯖꯔꯤꯗꯥ, ꯇꯤꯁ꯭ꯌꯨ ꯑꯁꯤ ꯁ꯭ꯇꯣꯃꯥꯛ ꯃꯁꯂꯒꯤ ꯁꯔꯨꯛ ꯑꯃꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯂꯧꯈꯤ꯫ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯁ꯭ꯇꯣꯃꯥꯛ ꯃꯁꯜ ꯑꯗꯨ ꯁꯣꯟꯊꯔꯀꯏ, ꯑꯃꯁꯨꯡ ꯔꯤꯀꯣꯚꯔꯤꯒꯤ ꯃꯇꯝ ꯑꯗꯨ ꯍꯦꯟꯅꯥ ꯁꯥꯡꯏ꯫ ꯑꯗꯨꯕꯨ ꯗꯤ.ꯑꯥꯏ.ꯏ.ꯄꯤ.ꯒꯤ ꯐ꯭ꯂꯦꯞ ꯁꯔꯖꯔꯤꯒꯥ ꯂꯣꯌꯅꯅꯥ, ꯑꯗꯨꯒꯨꯝꯕꯥ ꯁꯃꯁ꯭ꯌꯥ ꯑꯗꯨ ꯊꯣꯛꯇꯦ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯊꯨꯅꯥ ꯐꯒꯠꯂꯀꯄꯥ ꯌꯥꯏ ꯑꯃꯁꯨꯡ ꯈꯣꯡꯒꯤ ꯄꯥꯉ꯭ꯒꯜ ꯑꯗꯨ ꯊꯝꯕꯥ ꯌꯥꯏ꯫ ``ꯇꯨꯃꯤ ꯇꯛ`` ꯑꯃꯒꯨꯝꯅꯥ, ꯈꯣꯡꯎꯞ ꯑꯁꯤ ꯐ꯭ꯂꯦꯠ ꯑꯣꯏꯔꯀꯏ, ꯃꯁꯤꯅꯥ ꯑꯍꯦꯅꯕꯥ ꯀꯥꯟꯅꯕꯥ ꯑꯃꯅꯤ!
ꯁꯔꯖꯔꯤ ꯑꯁꯤ ꯀꯅꯥꯒꯤꯗꯃꯛꯇꯥ ꯆꯨꯝꯃꯤ ꯑꯃꯁꯨꯡ ꯀꯔꯤꯒꯤꯗꯃꯛꯇꯥ ꯀꯅꯥꯒꯨꯝꯕꯥ ꯑꯃꯅꯥ ꯃꯁꯤ ꯈꯅꯒꯅꯤ?
ꯕ꯭ꯔꯦꯁ꯭ꯠ ꯀꯦꯟꯁꯔ ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯕ꯭ꯔꯦꯁ꯭ꯠ ꯑꯃꯥ ꯔꯤꯀꯟꯁꯠꯔꯛꯁꯟ ꯇꯧꯕꯥ ꯄꯥꯝꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯅꯥ ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯈꯟꯅꯔꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯒꯤ ꯁꯔꯖꯔꯤ꯫
ꯕ꯭ꯔꯦꯁ꯭ꯠ ꯔꯤꯀꯟꯁꯠꯔꯛꯁꯟ ꯑꯁꯤ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯄꯔꯁꯣꯅꯦꯜ ꯑꯣꯏꯕꯥ ꯋꯥꯔꯦꯞ ꯑꯃꯅꯤ꯫ ꯀꯅꯥꯒꯨꯝꯕꯥ ꯑꯃꯠꯇꯅꯥ ꯑꯗꯣꯃꯕꯨ ꯃꯗꯨ ꯇꯧꯅꯕꯥ ꯕꯥꯙ꯭ꯌ ꯇꯧꯗ꯭ꯔꯤ꯫ ꯃꯤꯑꯣꯏ ꯈꯔꯅꯥ ꯋꯥꯔꯦꯞ ꯑꯁꯤ ꯃꯔꯃꯁꯤꯡꯅꯥ ꯂꯧꯏ:
- ꯕꯦꯂꯦꯟꯁ ꯑꯣꯏꯕꯥ ꯃꯑꯣꯡ ꯑꯃꯥ ꯐꯪꯕꯥ: ꯕ꯭ꯔꯦꯁ꯭ꯠ ꯑꯃꯥ ꯂꯧꯊꯣꯀꯄꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡ ꯑꯗꯨ ꯕꯦꯂꯦꯟꯁ ꯂꯩꯇꯕꯒꯨꯝꯅꯥ ꯐꯥꯎꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯒꯤ ꯁꯔꯖꯔꯤ ꯑꯁꯤꯅꯥ ꯃꯑꯣꯡ ꯃꯇꯧ ꯑꯗꯨ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯁꯦꯃꯒꯠꯄꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯕꯥ ꯉꯃꯒꯅꯤ꯫
- ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯄꯣꯠ-ꯆꯩ ꯂꯩꯌꯨ: ꯃꯁꯤ ꯄꯣꯠ-ꯆꯩ ꯁꯥꯕꯥ ꯃꯇꯃꯗꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯍꯟꯗꯅꯕꯥ ꯑꯐꯕꯥ ꯁꯣꯂꯨꯁꯟ ꯑꯃꯅꯤ꯫
- ꯃꯁꯥꯅꯥ ꯃꯁꯥꯕꯨ ꯊꯥꯖꯕꯥ ꯍꯦꯅꯒꯠꯍꯅꯕꯥ:ꯃꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯃꯑꯣꯡ ꯃꯇꯧꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯍꯟꯊꯍꯅꯕꯗꯥ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯏꯁꯥꯒꯤ ꯊꯥꯖꯕꯥ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯁꯦꯃꯒꯠꯄꯗꯥ ꯑꯆꯧꯕꯥ ꯃꯇꯦꯡ ꯑꯃꯅꯤ꯫
ꯅꯤꯡꯁꯤꯡꯕꯤꯌꯨ, ꯃꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡꯅꯤ, ꯅꯍꯥꯛꯀꯤ ꯋꯥꯔꯦꯄꯅꯤ꯫ ꯑꯗꯣꯃꯗꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯆꯨꯅꯕꯥ ꯑꯗꯨ ꯈꯅꯕꯒꯤ ꯍꯛ ꯄꯨꯝꯅꯃꯛ ꯂꯩ꯫
ꯃꯤꯄꯨꯝ ꯈꯨꯗꯤꯡꯃꯛꯅꯥ ꯃꯁꯤꯒꯤ ꯁꯔꯖꯔꯤ ꯑꯁꯤ ꯇꯧꯕꯥ ꯉꯃꯒꯗ꯭ꯔꯥ?
ꯇꯁꯦꯡꯕꯗꯤ ꯗꯤ.ꯑꯥꯏ.ꯏ.ꯄꯤ.ꯒꯤ ꯐ꯭ꯂꯦꯞ ꯁꯔꯖꯔꯤ ꯑꯁꯤ ꯃꯤꯄꯨꯝ ꯈꯨꯗꯤꯡꯃꯛꯀꯤꯗꯃꯛ ꯆꯨꯃꯗꯦ꯫ ꯃꯁꯤ ꯑꯣꯏꯊꯣꯀꯄꯥ ꯉꯃꯗꯕꯥ ꯀꯦꯁ ꯈꯔꯗꯤ ꯂꯩ꯫ ꯀꯦꯁꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯁꯤ꯫
| ꯁꯔꯖꯔꯤ ꯑꯁꯤ ꯃꯇꯤꯛ ꯆꯥꯗꯕꯥ ꯃꯇꯃꯗꯥ꯫ | ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯁꯟꯗꯣꯛꯅꯥ ꯇꯥꯀꯏ꯫ |
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| ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯃꯥꯡꯗꯥ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯃꯈꯂꯒꯤ ꯁꯔꯖꯔꯤ ꯇꯧꯈ꯭ꯔꯕꯗꯤ꯫ | ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯇꯣꯞꯄꯥ ꯕ꯭ꯔꯦꯁ꯭ꯠ ꯑꯗꯨ ꯔꯤꯀꯟꯁꯠꯔꯛꯁꯟ ꯇꯧꯗ꯭ꯔꯤꯉꯩꯗꯥ DIEP ꯅꯠꯠꯔꯒꯥ TRAM ꯐ꯭ꯂꯦꯞ ꯁꯔꯖꯔꯤ ꯑꯃꯥ ꯇꯧꯈ꯭ꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯇꯤꯁꯨ ꯑꯗꯨ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯂꯧꯊꯣꯀꯄꯥ ꯌꯥꯔꯣꯏ ꯃꯔꯃꯗꯤ ꯁꯔꯨꯛ ꯑꯗꯨ ꯑꯃꯨꯀꯈꯛꯇꯪ ꯁꯤꯖꯤꯟꯅꯕꯥ ꯌꯥꯏ꯫ |
| ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯈꯥ ꯊꯪꯕꯥ ꯁꯔꯨꯛꯇꯥ ꯐꯦꯠ ꯃꯔꯥꯡ ꯀꯥꯌꯅꯥ ꯂꯩꯠꯔꯕꯗꯤ꯫ | ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯌꯥꯝꯅꯥ ꯂꯨꯕꯥ ꯑꯣꯏꯔꯕꯗꯤ, ꯅꯠꯠꯔꯒꯥ ꯃꯃꯥꯡꯗꯥ ꯇꯨꯝꯐꯝ ꯀꯥ (ꯑꯦꯕꯗꯣꯃꯤꯅꯣꯞꯂꯥꯁ꯭ꯇꯤ ꯅꯠꯠꯔꯒꯥ ꯂꯥꯏꯄꯣꯛ ꯁꯣꯀꯄꯥ) ꯂꯩꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯕ꯭ꯔꯦꯁ꯭ꯠ ꯑꯃꯥ ꯁꯦꯝꯅꯕꯥ ꯐꯦꯠ ꯑꯃꯁꯨꯡ ꯈꯣꯡ ꯃꯔꯥꯡ ꯀꯥꯌꯅꯥ ꯂꯩꯇꯕꯥ ꯌꯥꯏ꯫ |
| ꯀꯔꯤꯒꯨꯝꯕꯥ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯂꯁꯤꯡꯗꯥ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯑꯃꯥ ꯂꯩꯔꯕꯗꯤ꯫ | ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯁꯔꯖꯔꯤ ꯑꯁꯤꯒꯤꯗꯃꯛꯇꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯂꯁꯤꯡ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯄꯤꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯃꯈꯣꯌꯒꯤ ꯃꯐꯝ ꯑꯗꯨ ꯇꯣꯉꯥꯅꯕꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ ꯉꯁꯤ ꯐꯪꯂꯤꯕꯥ ꯑꯅꯧꯕꯥ ꯇꯦꯛꯅꯣꯂꯣꯖꯤ ꯑꯁꯤꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯀꯦꯁꯁꯤꯡ ꯑꯁꯤꯗꯁꯨ ꯁꯔꯖꯔꯤ ꯑꯁꯤ ꯄꯥꯡꯊꯣꯛꯅꯕꯒꯤ ꯄꯥꯝꯕꯩ ꯂꯩꯔꯦ꯫ |
| ꯃꯃꯥꯡꯒꯤ ꯑꯇꯣꯞꯄꯥ ꯑꯦꯕꯗꯣꯃꯤꯅꯦꯜ ꯁꯔꯖꯔꯤꯁꯤꯡ꯫ | ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯀꯣꯂꯣꯁ꯭ꯇꯣꯃꯤꯒꯨꯝꯕꯥ ꯑꯆꯧꯕꯥ ꯁꯔꯖꯔꯤ ꯑꯃꯥ ꯇꯧꯈ꯭ꯔꯕꯗꯤ, ꯃꯁꯤ ꯑꯣꯏꯊꯣꯀꯄꯥ ꯉꯃꯗꯕꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯃꯍꯧꯁꯥꯅꯥ ꯃꯁꯤ ꯁꯔꯖꯔꯤ ꯑꯁꯤ ꯇꯧꯕꯗꯥ ꯑꯀꯥꯌꯕꯥ ꯑꯃꯠꯇꯥ ꯑꯣꯏꯗꯦ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯁꯤ-ꯁꯦꯛꯁꯟ ꯅꯠꯠꯔꯒꯥ ꯑꯣꯄꯟ ꯍꯥꯏꯁ꯭ꯇꯦꯔꯦꯛꯇꯣꯃꯤ ꯇꯧꯔꯕꯁꯨ꯫ |
ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯥ ꯋꯥꯔꯦꯞ ꯂꯧꯕꯥ ꯉꯃꯒꯅꯤ꯫ ꯃꯍꯥꯛꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯌꯦꯡꯁꯤꯅꯒꯅꯤ ꯑꯃꯁꯨꯡ ꯁꯔꯖꯔꯤ ꯑꯁꯤ ꯅꯍꯥꯛꯀꯤꯗꯃꯛꯇꯥ ꯆꯨꯝꯃꯤ ꯅꯠꯠꯔꯒꯥ ꯆꯨꯃꯗꯕꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯑꯆꯨꯝꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯈꯪꯍꯜꯂꯛꯀꯅꯤ꯫
ꯁꯔꯖꯔꯤꯒꯤ ꯃꯃꯥꯡꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯀꯔꯤ ꯇꯧꯒꯗꯒꯦ?
ꯃꯁꯤ ꯑꯆꯧꯕꯥ ꯁꯔꯖꯔꯤ ꯑꯃꯅꯤ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯍꯥꯟꯅꯥ ꯌꯥꯝꯅꯥ ꯁꯦꯝ-ꯁꯥꯕꯥ ꯃꯊꯧ ꯇꯥꯏ꯫ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯃꯊꯧ ꯇꯥꯕꯥ ꯏꯅꯁ꯭ꯠꯔꯛꯁꯟ ꯄꯨꯝꯅꯃꯛ ꯄꯤꯒꯅꯤ꯫ ꯃꯈꯣꯌꯅꯥ ꯃꯍꯧꯁꯥꯅꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯊꯕꯀꯁꯤꯡ ꯑꯁꯤ ꯇꯧꯅꯕꯥ ꯍꯥꯌꯒꯅꯤ:
- ꯍꯀꯁꯦꯂꯒꯤ ꯇꯦꯁ꯭ꯇꯁꯤꯡ: ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡ ꯑꯗꯨ ꯁꯔꯖꯔꯤꯒꯤꯗꯃꯛꯇꯥ ꯐꯤꯠ ꯑꯣꯏꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯅꯕꯒꯤꯗꯃꯛ ꯅꯍꯥꯛꯅꯥ ꯕ꯭ꯂꯗ ꯇꯦꯁ꯭ꯇꯒꯨꯝꯕꯥ ꯇꯦꯁ꯭ꯠ ꯀꯌꯥ ꯑꯃꯥ ꯇꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯏ꯫
- ꯑꯦꯛꯁꯔꯁꯥꯏꯖ: ꯁꯔꯖꯔꯤꯒꯤ ꯃꯃꯥꯡꯗꯥ ꯅꯨꯃꯤꯠ ꯈꯔꯅꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯂꯥꯏꯠ ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯇꯧꯕꯅꯥ ꯃꯁꯂꯁꯤꯡ ꯃꯄꯥꯉ꯭ꯒꯜ ꯀꯅꯈꯠꯍꯅꯕꯗꯥ ꯑꯃꯁꯨꯡ ꯍꯥꯔꯇꯀꯤ ꯍꯀꯁꯦꯜ ꯐꯅꯥ ꯊꯝꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫
- ꯃꯩꯈꯨ ꯊꯥꯗꯣꯀꯄꯥ ꯊꯤꯡꯖꯤꯜꯂꯨ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯩꯈꯨ ꯊꯥꯗꯣꯀꯄꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯥ ꯑꯣꯏꯔꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯁꯔꯖꯔꯤꯒꯤ ꯃꯃꯥꯡꯗꯥ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯊꯤꯡꯖꯤꯅꯒꯗꯕꯅꯤ꯫ ꯅꯤꯀꯣꯇꯤꯟ ꯌꯥꯎꯕꯥ ꯄꯣꯠꯁꯛ ꯑꯃꯠꯇꯥ ꯁꯤꯖꯤꯟꯅꯔꯣꯏꯗꯕꯅꯤ꯫ ꯃꯩꯈꯨ ꯁꯤꯖꯤꯟꯅꯕꯅꯥ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯂꯁꯤꯡ ꯁꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ ꯑꯃꯁꯨꯡ ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯐꯒꯠꯂꯀꯄꯗꯥ ꯑꯀꯥꯌꯕꯥ ꯄꯤꯕꯥ ꯌꯥꯏ꯫
- ꯍꯤꯗꯥꯛ ꯈꯔꯗꯤ ꯊꯤꯡꯖꯤꯜꯂꯨ: ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯁꯔꯖꯔꯤꯒꯤ ꯃꯃꯥꯡꯗꯥ ꯏ ꯊꯤꯡꯖꯤꯅꯕꯥ ꯍꯤꯗꯥꯀꯁꯤꯡ, ꯍꯥꯌꯕꯗꯤ ꯑꯦꯁ꯭ꯄꯤꯔꯤꯟ ꯑꯃꯁꯨꯡ ꯅꯟ-ꯁ꯭ꯇꯦꯔꯣꯏꯗ ꯑꯦꯟꯇꯤ-ꯏꯅꯐ꯭ꯂꯦꯃꯦꯇꯔꯤ ꯗ꯭ꯔꯒꯁꯤꯡ (NSAIDs) ꯂꯧꯕꯥ ꯂꯦꯄꯍꯟꯅꯕꯥ ꯍꯥꯌꯔꯀꯄꯥ ꯌꯥꯏ꯫ ꯅꯍꯥꯛꯅꯥ ꯂꯧꯔꯤꯕꯥ ꯑꯇꯩ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯁꯣꯌꯗꯅꯥ ꯈꯪꯍꯅꯕꯤꯌꯨ꯫
ꯁꯔꯖꯔꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯀꯔꯤ ꯊꯣꯀꯏ?
ꯃꯁꯤꯒꯤ ꯁꯔꯖꯔꯤ ꯑꯁꯤ ꯃꯍꯧꯁꯥꯅꯥ ꯄꯨꯡ 6 ꯑꯃꯁꯨꯡ 8ꯒꯤ ꯃꯔꯛꯇꯥ ꯆꯪꯏ꯫ ꯃꯁꯤ ꯈꯔꯥ ꯍꯦꯟꯅꯥ ꯂꯨꯝꯂꯕꯥ ꯁꯔꯖꯔꯤ ꯑꯃꯅꯤ꯫ ꯈꯣꯡꯊꯥꯡ ꯈꯨꯗꯤꯡꯒꯤ ꯀꯔꯤ ꯑꯣꯏꯔꯤꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯁꯤ꯫
1. ꯑꯦꯅꯥꯁ꯭ꯇꯦꯁꯤꯌꯥ: ꯑꯍꯥꯅꯕꯗꯥ, ꯅꯍꯥꯛ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯑꯦꯅꯥꯁ꯭ꯇꯦꯁꯤꯁ ꯇꯧꯒꯅꯤ꯫ ꯃꯁꯤꯅꯥ ꯇꯥꯀꯄꯗꯤ ꯑꯣꯄꯔꯦꯁꯅꯒꯤ ꯃꯇꯃꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯃꯠꯇꯥ ꯐꯥꯑꯣꯔꯣꯏ, ꯅꯍꯥꯛꯅꯥ ꯃꯄꯨꯡ ꯐꯥꯅꯥ ꯇꯨꯝꯕꯥ ꯌꯥꯏ꯫
2. ꯏꯅꯁꯤꯁꯟ: ꯃꯊꯪꯗꯥ, ꯁꯔꯖꯔꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯃꯈꯥ ꯊꯪꯕꯥ ꯁꯔꯨꯛꯇꯥ, ꯅꯍꯥꯛꯀꯤ ꯍꯤꯄꯐꯝ (hip bones)ꯒꯤ ꯃꯔꯛꯇꯥ ꯁꯥꯡꯅꯥ, ꯍꯣꯔꯥꯏꯖꯣꯟꯇꯦꯜ ꯏꯅꯁꯤꯁꯟ ꯑꯃꯥ ꯇꯧꯒꯅꯤ꯫ ꯃꯁꯤꯒꯤ ꯏꯅꯁꯤꯁꯟ ꯑꯁꯤ ꯃꯍꯧꯁꯥꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯟꯗꯔꯋꯦꯌꯔꯅꯥ ꯂꯣꯠꯄꯥ ꯃꯑꯣꯡꯗꯥ ꯁꯦꯝꯕꯅꯤ꯫
3. ꯇꯤꯁꯨ ꯂꯧꯊꯣꯀꯄꯥ: ꯈꯣꯡ, ꯐꯦꯠ ꯑꯃꯁꯨꯡ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯂꯁꯤꯡ ꯌꯥꯎꯕꯥ ꯐ꯭ꯂꯦꯞ ꯑꯃꯥ ꯃꯁꯂꯁꯤꯡꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯟꯗꯅꯥ ꯏꯅꯁꯤꯁꯟ ꯑꯗꯨꯗꯒꯤ ꯆꯦꯀꯁꯤꯟꯅꯥ ꯂꯧꯊꯣꯀꯏ꯫
4. ꯇꯤꯁꯨ ꯇ꯭ꯔꯥꯟꯁꯐꯔ: ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ, ꯅꯍꯥꯛꯀꯤ ꯎꯅꯁꯥ ꯑꯗꯨ ꯂꯧꯊꯣꯀꯈꯤꯕꯥ ꯃꯐꯝ ꯑꯗꯨꯗꯥ ꯏꯅꯁꯤꯁꯟ ꯑꯃꯥ ꯁꯦꯝꯃꯤ, ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯒꯤ ꯇꯤꯁꯨ ꯑꯗꯨ ꯃꯐꯃꯗꯨꯗꯥ ꯇ꯭ꯔꯥꯟꯁꯐꯔ ꯇꯧꯏ꯫ ꯃꯁꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯑꯃꯁꯨꯡ ꯑꯔꯨꯕꯥ ꯁꯔꯨꯛ ꯑꯃꯅꯤ꯫ ꯃꯥꯏꯛꯔꯣꯁ꯭ꯀꯣꯞ ꯑꯃꯒꯤ ꯃꯈꯥꯗꯥ, ꯌꯥꯝꯅꯥ ꯂꯨꯅꯥ, ꯇꯤꯁꯨ ꯑꯗꯨꯗꯥ ꯂꯩꯔꯤꯕꯥ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯂꯁꯤꯡ ꯑꯗꯨ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯂꯩꯕꯥ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯂꯁꯤꯡꯒꯥ ꯁꯝꯅꯩ꯫ ꯃꯁꯤꯕꯨ `ꯃꯥꯏꯛꯔꯣꯚꯦꯁꯀꯨꯂꯥꯔ ꯁꯔꯖꯔꯤ` ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫
5. ꯕ꯭ꯔꯦꯁ꯭ꯠ ꯁꯦꯄꯤꯡ: ꯏꯒꯤ ꯁꯞꯂꯥꯏ ꯑꯁꯤ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯁꯝꯅꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ, ꯗꯣꯛꯇꯔꯅꯥ ꯇꯤꯁꯨ ꯁꯦꯛꯁꯟ ꯑꯗꯨ ꯁꯤꯖꯤꯟꯅꯗꯨꯅꯥ ꯃꯍꯧꯁꯥꯒꯤ ꯑꯣꯏꯕꯥ ꯕ꯭ꯔꯦꯁ꯭ꯠ ꯃꯑꯣꯡ ꯑꯃꯥ ꯁꯦꯝꯃꯤ꯫
6. ꯏꯁꯤꯡ ꯇꯨꯡꯁꯤꯅꯕꯥ (drain placement): ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ, ꯑꯁꯣꯛ-ꯑꯄꯅꯁꯤꯡꯗꯥ ꯌꯥꯎꯔꯤꯕꯥ ꯐ꯭ꯂꯨꯏꯗ ꯑꯃꯍꯦꯛꯇꯕꯨ ꯊꯨꯒꯥꯌꯅꯕꯥ, ꯈꯣꯡ ꯑꯃꯁꯨꯡ ꯈꯣꯡꯗꯥ ꯂꯩꯕꯥ ꯏꯅꯁꯤꯁꯅꯁꯤꯡꯗꯥ ꯑꯄꯤꯀꯄꯥ ꯇꯤꯎꯕꯁꯤꯡ (drains) ꯊꯝꯃꯤ꯫ ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯅꯨꯃꯤꯠ ꯈꯔꯅꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯂꯧꯊꯣꯀꯏ꯫
꯷.ꯀ꯭ꯂꯣꯖꯔ ꯇꯧꯕꯥ: ꯱.ꯑꯔꯣꯏꯕꯗꯥ, ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡ ꯑꯃꯁꯨꯡ ꯈꯣꯡꯗꯥ ꯂꯩꯔꯤꯕꯥ ꯏꯅꯁꯤꯁꯅꯁꯤꯡ ꯑꯗꯨ ꯇꯔꯨ-ꯇꯅꯥꯟꯅꯥ ꯊꯃꯖꯤꯜꯂꯤ꯫ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯂꯩꯔꯤꯕꯥ ꯈꯣꯡ ꯑꯗꯨ ꯆꯦꯟꯊꯔꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯁꯦꯃꯖꯤꯟ-ꯁꯥꯖꯤꯅꯕꯒꯥ ꯂꯣꯌꯅꯅꯥ, ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯄꯥꯛ ꯑꯗꯨꯁꯨ ꯃꯍꯧꯁꯥꯒꯤ ꯑꯣꯏꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯊꯃꯖꯤꯜꯂꯤ꯫
ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯀꯔꯤ ꯑꯥꯁꯥ ꯇꯧꯕꯥ ꯌꯥꯕꯒꯦ?
ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ, ꯅꯍꯥꯛꯅꯥ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯅꯨꯃꯤꯠ ꯑꯅꯤꯗꯒꯤ ꯃꯉꯥ ꯐꯥꯎꯕꯥ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯂꯗꯥ ꯂꯩꯕꯥ ꯃꯊꯧ ꯇꯥꯒꯅꯤ꯫ ꯅꯍꯥꯛꯅꯥ ꯌꯨꯃꯗꯥ ꯆꯠꯂꯕꯥ ꯃꯇꯨꯡꯗꯥ, ꯐꯒꯠꯂꯀꯄꯗꯥ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯅꯨꯃꯤꯠ 6 ꯗꯒꯤ 8 ꯐꯥꯎꯕꯥ ꯆꯪꯒꯅꯤ꯫ ꯃꯇꯝ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯋꯥꯐꯃꯁꯤꯡ ꯑꯁꯤ ꯊꯦꯡꯅꯔꯀꯄꯥ ꯌꯥꯏ:
- ꯑꯅꯥꯕꯥ ꯑꯃꯁꯨꯡ ꯑꯁꯣꯛ-ꯑꯄꯟ : ꯑꯍꯥꯅꯕꯥ ꯅꯨꯃꯤꯠ ꯑꯅꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡ ꯑꯃꯁꯨꯡ ꯈꯣꯡꯗꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯑꯃꯁꯨꯡ ꯁꯣꯟꯊꯕꯥ ꯈꯔꯥ ꯊꯦꯡꯅꯔꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯒꯤꯗꯃꯛꯇꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯄꯦꯟ ꯀꯤꯂꯔꯁꯤꯡ ꯄꯤꯒꯅꯤ꯫
- ꯁꯣꯛ-ꯄꯅꯕꯥ: ꯁꯔꯖꯤꯀꯦꯜ ꯑꯦꯔꯤꯌꯥ ꯑꯗꯨ ꯁꯣꯟꯊꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯒꯤ ꯁꯣꯛ-ꯄꯅꯕꯥ ꯑꯁꯤ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯍꯟꯊꯔꯛꯀꯅꯤ꯫
- ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ (numbness): ꯅꯍꯥꯛꯀꯤ ꯅꯧꯅꯥ ꯁꯦꯃꯒꯠꯄꯥ ꯎꯅꯁꯥ ꯑꯃꯁꯨꯡ ꯈꯣꯡꯗꯥ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯁꯣꯀꯄꯥ (tingling sensation) ꯑꯃꯥ ꯐꯥꯑꯣꯒꯅꯤ꯫ ꯃꯁꯤꯒꯤ ꯁꯦꯟꯁꯟ ꯑꯁꯤ ꯍꯜꯂꯀꯄꯗꯥ ꯆꯍꯤ ꯑꯃꯥ ꯐꯥꯎꯕꯥ ꯆꯪꯂꯝꯕꯥ ꯌꯥꯏ꯫
- ꯑꯊꯤꯡꯕꯁꯤꯡ: ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯑꯔꯨꯝꯕꯥ ꯂꯧꯊꯣꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯨꯠꯁꯥ ꯑꯗꯨ ꯃꯊꯛꯇꯥ ꯊꯥꯡꯒꯠꯄꯒꯨꯝꯕꯥ ꯑꯀꯅꯕꯥ ꯊꯕꯛ-ꯊꯧꯔꯃꯁꯤꯡ ꯑꯗꯨ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯊꯥ ꯑꯃꯒꯥ ꯃꯈꯥꯌꯒꯤ ꯑꯣꯏꯅꯥ ꯇꯧꯔꯣꯏꯗꯕꯅꯤ ꯍꯥꯌꯅꯥ ꯄꯥꯎꯇꯥꯛ ꯄꯤꯒꯅꯤ꯫
ꯅꯍꯥꯀꯄꯨ ꯑꯈꯟꯅꯕꯥ ꯒꯥꯔꯃꯦꯟꯇ (ꯀꯝꯞꯔꯦꯁꯟ ꯒꯥꯔꯃꯦꯟꯇ) ꯑꯃꯥ ꯁꯤꯖꯤꯟꯅꯅꯕꯥ ꯍꯥꯌꯒꯅꯤ꯫ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯜ ꯑꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯁꯣꯛ-ꯑꯄꯅꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯗ꯭ꯔꯦꯅꯁꯤꯡ ꯑꯗꯨ ꯌꯨꯃꯗꯥ ꯀꯔꯝꯅꯥ ꯌꯦꯡꯁꯤꯅꯒꯗꯒꯦ ꯍꯥꯌꯕꯒꯤ ꯑꯀꯨꯞꯄꯥ ꯏꯅꯁ꯭ꯠꯔꯛꯁꯅꯁꯤꯡꯁꯨ ꯄꯤꯒꯅꯤ꯫
ꯁꯔꯖꯔꯤ ꯑꯁꯤꯒꯤ ꯀꯥꯟꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯈꯨꯗꯣꯡꯊꯤꯕꯁꯤꯡ ꯀꯔꯤꯅꯣ?
ꯁꯔꯖꯔꯤ ꯑꯃꯍꯦꯛꯇꯒꯨꯝꯅꯥ, ꯗꯤ.ꯑꯥꯏ.ꯏ.ꯄꯤ.ꯒꯤ ꯐ꯭ꯂꯦꯞ ꯁꯔꯖꯔꯤꯒꯤ ꯀꯥꯟꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯔꯤꯁ꯭ꯛ ꯑꯅꯤꯃꯛ ꯂꯩ꯫ ꯋꯥꯔꯦꯞ ꯑꯃꯥ ꯂꯧꯗ꯭ꯔꯤꯉꯩꯗꯥ ꯑꯅꯤꯁꯤꯒꯤ ꯃꯔꯃꯗꯥ ꯈꯪꯖꯤꯅꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫
| ꯀꯥꯟꯅꯕꯁꯤꯡ | ꯔꯤꯁ꯭ꯀꯁꯤꯡ꯫ |
|---|---|
| ꯃꯍꯧꯁꯥꯒꯤ ꯑꯣꯏꯕꯥ ꯃꯤꯠꯌꯦꯡ ꯑꯃꯁꯨꯡ ꯐꯤꯚꯝ: ꯃꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯏꯁꯥꯒꯤ ꯇꯤꯁꯨ ꯑꯣꯏꯕꯅꯥ, ꯑꯅꯧꯕꯥ ꯕ꯭ꯔꯦꯁ꯭ꯠ ꯑꯗꯨ ꯌꯥꯝꯅꯥ ꯃꯍꯧꯁꯥꯒꯤ ꯑꯣꯏꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯎꯕꯥ ꯑꯃꯁꯨꯡ ꯐꯥꯎꯏ꯫ | ꯇꯤꯁꯨ ꯁꯤꯕꯥ (Necrosis): ꯀꯔꯤꯒꯨꯝꯕꯥ ꯀꯅꯦꯛꯇ ꯇꯧꯔꯕꯥ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯂꯁꯤꯡ ꯑꯗꯨ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯏꯁꯤꯡ ꯇꯨꯡꯁꯤꯅꯕꯥ ꯉꯃꯗ꯭ꯔꯕꯗꯤ, ꯇꯤꯁꯨ ꯑꯗꯨ ꯁꯤꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯒꯤ ꯀꯦꯁ ꯑꯁꯤꯗꯥ, ꯃꯐꯝ ꯑꯗꯨ ꯁꯔꯖꯤꯀꯦꯜ ꯑꯣꯏꯅꯥ ꯂꯧꯊꯣꯀꯄꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯇꯣꯏꯅꯥ ꯊꯣꯀꯏ꯫ |
| ꯃꯁꯂꯁꯤꯡꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯄꯥ ꯂꯩꯇꯦ: ꯅꯍꯥꯛꯀꯤ ꯑꯦꯕꯗꯣꯃꯤꯅꯦꯜ ꯃꯁꯂꯁꯤꯡ ꯑꯗꯨ ꯁꯣꯀꯍꯟꯗꯕꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯄꯥꯉ꯭ꯒꯜ ꯑꯗꯨ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯂꯩꯔꯤ꯫ ꯅꯍꯥꯛꯅꯥ ꯊꯨꯅꯥ ꯐꯒꯠꯂꯀꯄꯁꯨ ꯌꯥꯏ꯫ | ꯍꯔꯅꯤꯌꯥ (Hernia): ꯑꯦꯕꯗꯣꯃꯤꯅꯦꯜ ꯋꯥꯜ (abdominal wall)ꯗꯥ ꯁꯣꯟꯊꯕꯥ (weakness) ꯑꯃꯥ ꯑꯣꯏꯅꯥ, ꯃꯗꯨꯅꯥ ꯏꯟꯇꯦꯁ꯭ꯇꯥꯏꯅꯒꯤ ꯁꯔꯨꯛ ꯑꯃꯥ ꯂꯥꯀꯁꯤꯅꯕꯥ ꯉꯃꯍꯜꯂꯤ꯫ ꯃꯁꯤꯁꯨ ꯑꯆꯝꯕꯥ ꯋꯥꯐꯝꯅꯤ꯫ |
| ꯃꯇꯝ ꯆꯨꯞꯄꯒꯤ ꯑꯣꯏꯅꯥ ꯐꯂꯁꯤꯡ: ꯃꯁꯤ ꯃꯇꯝ ꯆꯨꯞꯄꯒꯤ ꯑꯣꯏꯅꯥ ꯁꯣꯂꯨꯁꯟ ꯑꯃꯅꯤ꯫ ꯏꯃꯞꯂꯥꯟꯇꯁꯤꯡꯒꯥ ꯃꯥꯟꯅꯗꯅꯥ, ꯃꯁꯤꯅꯥ ꯑꯔꯨꯝꯕꯥ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯍꯟꯊꯔꯀꯄꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯁꯣꯀꯄꯥ, ꯂꯦꯡ-ꯑꯣꯠꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯁꯤꯠꯄꯥ ꯌꯥꯔꯣꯏ꯫ | ꯂꯪꯁ (lumps): ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯁ꯭ꯀꯥꯔ ꯇꯤꯁꯨꯁꯤꯡ ꯑꯁꯤ ꯕ꯭ꯔꯦꯁ꯭ꯇꯀꯤ ꯃꯅꯨꯡꯗꯥ ꯁꯦꯃꯒꯠꯂꯀꯄꯥ ꯌꯥꯏ ꯑꯃꯁꯨꯡ ꯂꯝꯐꯃꯁꯤꯡꯒꯨꯝꯅꯥ ꯐꯥꯎꯕꯥ ꯌꯥꯏ꯫ ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯑꯌꯥꯝꯕꯅꯥ ꯃꯁꯥ ꯃꯊꯟꯇꯥ ꯆꯠꯂꯤ꯫ |
| ꯋꯥꯈꯜ ꯇꯥꯕꯥ ꯉꯝꯕꯥ: ꯀꯦꯁ ꯈꯔꯗꯗꯤ, ꯈꯣꯡꯗꯒꯤ ꯂꯧꯊꯣꯀꯄꯥ ꯇꯤꯁꯨꯁꯤꯡꯗꯒꯤ ꯂꯥꯀꯄꯥ ꯅꯔꯚꯁꯤꯡ ꯑꯁꯤ ꯆꯦꯛꯁꯤꯟꯅꯥ ꯌꯦꯡꯁꯤꯜꯂꯤꯕꯥ ꯅꯔꯚꯁꯤꯡꯒꯥ ꯁꯝꯅꯍꯅꯕꯥ ꯌꯥꯏ, ꯃꯗꯨꯅꯥ ꯕ꯭ꯔꯦꯁ꯭ꯇꯇꯥ ꯁꯦꯟꯁꯟ ꯈꯔꯥ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯄꯨꯔꯀꯄꯥ ꯌꯥꯏ꯫ | ꯖꯦꯅꯦꯔꯦꯜ ꯁꯔꯖꯤꯀꯦꯂꯒꯤ ꯔꯤꯁ꯭ꯀꯁꯤꯡ: ꯁꯔꯖꯔꯤ ꯑꯃꯍꯦꯛꯇꯒꯤ ꯔꯤꯁ꯭ꯀꯁꯤꯡ, ꯍꯥꯌꯕꯗꯤ ꯏ ꯊꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯏꯅꯐꯦꯛꯁꯟ ꯑꯁꯤꯁꯨ ꯃꯐꯃꯁꯤꯗꯥ ꯂꯩ꯫ |
ꯀꯔꯤ ꯃꯇꯃꯗꯥ ꯗꯣꯛꯇꯔꯗꯥ ꯀꯧꯒꯗꯒꯦ?
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯌꯨꯃꯗꯥ ꯂꯩꯔꯤꯉꯩꯗꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯍꯦꯛꯇꯥ ꯂꯩꯔꯕꯗꯤ, ꯈꯨꯗꯛꯇꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯀꯧꯕꯤꯌꯨ:
- ꯂꯥꯏꯍꯧ ꯍꯧꯕ
- ꯁꯥꯊꯤꯕꯥ ꯑꯅꯥꯕꯥ꯫
- ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ (dyspnea) .
- ꯑꯁꯣꯛ-ꯑꯄꯅꯁꯤꯡꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯏ ꯊꯣꯀꯄꯥ꯫
- ꯑꯁꯣꯛ-ꯑꯄꯅꯁꯤꯡꯗꯒꯤ ꯄꯣꯃꯈꯠꯄꯥ (pus-like, foul-smelling fluid) (ꯏꯅꯐꯦꯛꯁꯅꯒꯤ ꯈꯨꯗꯃꯁꯤꯡ)
ꯇꯦꯛ-ꯍꯣꯝ ꯃꯦꯁꯦꯖ ꯇꯧꯕꯥ꯫
- ꯗꯤ.ꯑꯥꯏ.ꯏ.ꯄꯤ.ꯒꯤ ꯐ꯭ꯂꯦꯞ ꯁꯔꯖꯔꯤ ꯑꯁꯤ ꯕ꯭ꯔꯦꯁ꯭ꯠ ꯀꯦꯟꯁꯔ ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯏꯁꯥꯒꯤ ꯈꯣꯡ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯃꯈꯥ ꯊꯪꯕꯥ ꯁꯔꯨꯛꯇꯥ ꯂꯩꯕꯥ ꯐꯦꯠ ꯁꯤꯖꯤꯟꯅꯗꯨꯅꯥ ꯕ꯭ꯔꯦꯁ꯭ꯠ ꯑꯃꯥ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯁꯦꯃꯒꯠꯄꯒꯤ ꯃꯑꯣꯡ ꯑꯃꯅꯤ꯫
- ꯅꯍꯥꯛꯀꯤ ꯑꯦꯕꯗꯣꯃꯤꯅꯦꯜ ꯃꯁꯂꯁꯤꯡꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯑꯃꯠꯇꯥ ꯂꯩꯇꯦ, ꯃꯁꯤꯅꯥ ꯁꯔꯖꯔꯤ ꯑꯁꯤꯒꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯆꯥꯎꯕꯥ ꯀꯥꯟꯅꯕꯁꯤꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯅꯤ꯫
- ꯃꯁꯤꯒꯤ ꯐꯜ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯍꯧꯁꯥꯒꯤ ꯑꯣꯏꯕꯥ ꯑꯃꯁꯨꯡ ꯃꯇꯝ ꯆꯨꯞꯄꯒꯤ ꯑꯣꯏꯕꯥ ꯊꯣꯀꯏ꯫
- ꯃꯁꯤ ꯋꯥꯟ ꯁꯥꯏꯖ ꯐꯤꯠ ꯑꯣꯜ ꯁꯔꯖꯔꯤ ꯅꯠꯇꯦ꯫ ꯃꯁꯤ ꯅꯍꯥꯛꯀꯤꯗꯃꯛꯇꯥ ꯆꯨꯝꯃꯤ ꯍꯥꯌꯕꯁꯤ ꯈꯪꯅꯕꯒꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯗꯨ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯤ꯫
- ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯐꯒꯠꯂꯀꯄꯗꯥ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯅꯨꯃꯤꯠ 6-8 ꯆꯪꯏ꯫ ꯃꯇꯝ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯗꯣꯛꯇꯔꯒꯤ ꯏꯅꯁ꯭ꯠꯔꯛꯁꯅꯁꯤꯡ ꯑꯗꯨ ꯆꯨꯝꯅꯥ ꯉꯥꯛꯅꯥ ꯆꯠꯄꯥ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫
- ꯕ꯭ꯔꯦꯁ꯭ꯠ ꯔꯤꯀꯟꯁꯠꯔꯛꯁꯟ ꯑꯁꯤ ꯂꯅꯥꯏꯒꯤ ꯑꯣꯏꯕꯥ ꯋꯥꯔꯦꯞ ꯑꯃꯅꯤ꯫ ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯑꯃꯨꯛꯇꯪ ꯋꯥꯔꯤ ꯁꯥꯟꯅꯧ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤꯗꯃꯛꯇꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯥ ꯑꯗꯨ ꯈꯜꯂꯨ꯫
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