ꯅꯍꯥꯛꯅꯥ ꯕ꯭ꯂꯣꯛ ꯇꯧꯔꯕꯥ ꯅꯥꯀꯣꯡꯒꯤ ꯁꯔꯖꯔꯤ ꯇꯧꯈꯤ ꯍꯥꯌꯅꯥ ꯈꯅꯕꯤꯌꯨ, ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯅꯥ ꯍꯧꯖꯤꯛ ꯍꯦꯟꯅꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯉꯝꯂꯒꯅꯤ ꯍꯥꯌꯅꯥ ꯈꯜꯂꯝꯃꯤ꯫ ꯑꯗꯨꯕꯨ ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯨꯡꯗꯁꯨ ꯅꯍꯥꯛꯅꯥ ꯕ꯭ꯂꯣꯛ ꯇꯧꯕꯥ ꯐꯥꯎꯏ ꯑꯃꯁꯨꯡ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯗꯥ ꯌꯥꯝꯅꯥ ꯋꯥꯅꯥ ꯊꯣꯀꯏ꯫ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯌꯦꯡꯁꯤꯅꯕꯤꯕꯥ ꯃꯇꯃꯗꯥ, ꯃꯍꯥꯛꯅꯥ ꯍꯥꯌ ꯃꯗꯨꯗꯤ ꯅꯍꯥꯛꯀꯤ ꯅꯥꯀꯣꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯕ꯭ꯂꯣꯀꯦꯖ ꯑꯃꯠꯇꯥ ꯂꯩꯇꯦ, ꯑꯃꯁꯨꯡ ꯄꯦꯁꯦꯖ ꯑꯗꯨ ꯃꯄꯨꯡ ꯐꯥꯅꯥ ꯍꯥꯡꯗꯣꯛꯂꯦ꯫ ꯃꯁꯤꯒꯤ ꯑꯆꯝꯕꯥ, ꯑꯔꯥꯅꯕꯥ ꯋꯥꯈꯜꯂꯣꯟ ꯑꯁꯤ ꯉꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯋꯥꯔꯤ ꯁꯥꯔꯤꯕꯥ ꯑꯁꯤꯅꯤ, ꯑꯦꯝꯞꯂꯤ ꯅꯣꯖ ꯁꯤꯟꯗꯣꯝ (ꯏ.ꯑꯦꯟ.ꯑꯦꯁ.)꯫ ꯃꯃꯤꯡꯅꯥ ꯇꯥꯀꯄꯒꯨꯝꯅꯥ, ‘ꯈꯨꯗꯣꯡꯆꯥꯗꯕꯥ ꯅꯥꯀꯣꯡ’ ꯀꯧꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯇꯣꯏꯅꯥ ꯊꯣꯀꯏ, ꯑꯃꯁꯨꯡ ꯃꯁꯤꯅꯥ ꯃꯤꯑꯣꯏ ꯀꯌꯥꯗꯥ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯌꯥꯝꯅꯥ ꯊꯣꯀꯍꯅꯕꯁꯨ ꯌꯥꯏ꯫
ꯃꯁꯤꯒꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤꯕꯨ ꯏꯝꯄꯦꯇꯤ ꯅꯣꯖ ꯁꯤꯟꯗ꯭ꯔꯣꯝ ꯍꯥꯌꯅꯥ ꯀꯧꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ?
ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯏꯝꯄꯦꯇꯤ ꯅꯣꯖ ꯁꯤꯟꯗ꯭ꯔꯣꯝ (ENS) ꯍꯥꯌꯕꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯅꯥꯀꯣꯡꯗꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯌꯥꯕꯥ ꯃꯐꯝ ꯀꯌꯥ ꯂꯩꯔꯕꯁꯨ, ꯅꯍꯥꯛꯅꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯉꯃꯗꯕꯒꯨꯝ ꯐꯥꯎꯕꯥ ꯍꯥꯌꯕꯁꯤꯅꯤ꯫ ꯃꯁꯤ ꯃꯍꯧꯁꯥꯅꯥ ꯅꯥꯀꯣꯡꯒꯤ ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫
ꯑꯩꯈꯣꯌꯒꯤ ꯅꯥꯀꯣꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ ‘ꯇꯔꯕꯤꯅꯦꯠ’ ꯀꯧꯕꯥ ꯑꯄꯤꯀꯄꯥ, ꯁꯦꯂꯐꯃꯒꯨꯝꯕꯥ ꯁ꯭ꯠꯔꯀꯆꯔ ꯑꯍꯨꯝ ꯂꯩ꯫ ꯃꯈꯣꯌꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯊꯕꯛ ꯑꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯅꯨꯡꯁꯤꯠ ꯑꯗꯨ ꯁꯦꯡꯗꯣꯀꯄꯥ, ꯇꯔꯨ-ꯇꯅꯥꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯅꯨꯡꯁꯤꯠ ꯁꯦꯡꯗꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯃꯗꯨ ꯂꯪꯁꯇꯥ ꯊꯥꯕꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯑꯦꯂꯥꯔꯖꯤ ꯑꯃꯁꯨꯡ ꯏꯅꯐꯦꯛꯁꯅꯒꯨꯝꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯇꯔꯕꯤꯅꯦꯠꯁꯤꯡ ꯑꯁꯤ ꯁꯣꯟꯊꯔꯀꯄꯥ ꯌꯥꯏ ꯑꯃꯁꯨꯡ ꯅꯥꯀꯣꯡ ꯁꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯒꯨꯝꯕꯥ ꯀꯦꯁ ꯑꯗꯨꯗꯥ ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯇꯔꯕꯤꯅꯦꯠꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯁꯥꯏꯖ ꯍꯟꯊꯍꯟꯅꯕꯥ ꯁꯔꯖꯔꯤ ꯑꯃꯥ ꯄꯥꯡꯊꯣꯀꯏ (Turbinate reduction surgery)꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯇꯔꯕꯥꯏꯅꯦꯇꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯁꯔꯨꯛ ꯑꯃꯥ (ꯄꯥꯔꯁꯤꯑꯦꯜ ꯇꯔꯕꯥꯏꯅꯦꯛꯇꯣꯃꯤ) ꯅꯠꯠꯔꯒꯥ ꯃꯄꯨꯡꯐꯥꯅꯥ (Complete turbinectomy) ꯂꯧꯊꯣꯀꯄꯥ ꯃꯊꯧ ꯇꯥꯏ꯫
ꯍꯥꯌꯔꯤꯕꯥ ꯁꯔꯖꯔꯤꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯑꯌꯥꯝꯕꯗꯤ ꯃꯥꯌ ꯄꯥꯀꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ , ꯀꯔꯤꯒꯨꯝꯕꯥ ꯁꯔꯖꯔꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯇꯔꯕꯤꯅꯦꯠ ꯇꯤꯁ꯭ꯌꯨꯒꯤ ꯃꯁꯤꯡ ꯌꯥꯝꯅꯥ ꯂꯧꯊꯣꯛꯂꯕꯗꯤ ꯅꯠꯠꯔꯒꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯛꯂꯕꯗꯤ ꯏ.ꯑꯦꯟ.ꯑꯦꯁ. ꯃꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯅꯥꯀꯣꯡꯒꯤ ꯂꯝꯕꯤꯁꯤꯡ ꯑꯗꯨ ꯍꯧꯖꯤꯀꯁꯨ ꯍꯥꯡꯗꯣꯛꯇꯨꯅꯥ ꯂꯩꯔꯕꯁꯨ ꯅꯍꯥꯛꯅꯥ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯐꯥꯎꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤ ꯄꯥꯖꯜ ꯑꯃꯒꯨꯝꯕꯅꯤ꯫
ꯏ.ꯑꯦꯟ.ꯑꯦꯁ.ꯀꯤ ꯃꯔꯝ ꯀꯔꯤꯅꯣ?
ꯏ.ꯑꯦꯟ.ꯑꯦꯁ.ꯀꯤ ꯑꯆꯨꯝꯕꯥ ꯃꯔꯝ ꯑꯁꯤ ꯍꯧꯖꯤꯛ ꯐꯥꯑꯣꯕꯥ ꯊꯤꯖꯤꯅꯕꯒꯤ ꯊꯕꯛ ꯆꯠꯊꯔꯤ, ꯑꯗꯨꯕꯨ ꯃꯁꯤ ꯅꯥꯀꯣꯡꯒꯤ ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯃꯗꯥ ꯇꯔꯕꯤꯅꯦꯠ ꯇꯤꯁ꯭ꯌꯨ ꯌꯥꯝꯅꯥ ꯂꯧꯊꯣꯀꯄꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯑꯣꯏꯔꯀꯄꯅꯤ ꯍꯥꯌꯅꯥ ꯊꯥꯖꯅꯔꯤ꯫
ꯈꯟꯊꯕꯤꯌꯨ, ꯑꯩꯈꯣꯌꯒꯤ ꯅꯥꯀꯣꯡ ꯑꯁꯤ ꯅꯨꯡꯁꯤꯠ ꯁꯤꯠꯄꯥ ꯌꯥꯕꯥ ꯇꯨꯕ ꯈꯛꯇꯃꯛ ꯅꯠꯇꯦ꯫ ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯀꯝꯞꯂꯦꯛꯁ ꯑꯣꯏꯕꯥ ꯁꯤꯁ꯭ꯇꯦꯝ ꯑꯃꯅꯤ꯫
- ꯅꯔꯚ ꯃꯥꯡ-ꯇꯥꯀꯄꯥ: ꯇꯔꯕꯤꯅꯦꯠꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯊꯛꯇꯥ ꯑꯦꯌꯔ ꯄ꯭ꯔꯦꯁꯔ ꯑꯃꯁꯨꯡ ꯇꯦꯝꯄꯦꯔꯦꯆꯔꯒꯨꯝꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ ꯈꯪꯗꯣꯀꯄꯥ ꯉꯝꯕꯥ ꯑꯄꯤꯀꯄꯥ ꯅꯔꯚꯁꯤꯡ ꯂꯩ꯫ ꯑꯩꯈꯣꯌꯅꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯃꯇꯃꯗꯥ, ꯅꯔꯚꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯕ꯭ꯔꯦꯅꯗꯥ "ꯍꯧꯖꯤꯛ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ" ꯍꯥꯌꯕꯥ ꯁꯤꯒꯅꯦꯜ ꯑꯗꯨ ꯊꯥꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯁꯔꯖꯔꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯅꯔꯚꯁꯤꯡ ꯑꯁꯤ ꯂꯧꯊꯣꯀꯈ꯭ꯔꯕꯗꯤ ꯅꯠꯠꯔꯒꯥ ꯁꯣꯀꯍꯜꯂꯕꯗꯤ ꯕ꯭ꯔꯦꯅꯅꯥ ꯁꯤꯒꯅꯦꯜ ꯑꯗꯨ ꯐꯪꯗꯦ꯫ ꯕ꯭ꯔꯦꯅꯅꯥ ꯃꯁꯤꯕꯨ "ꯑꯩꯅꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯉꯃꯗꯦ, ꯑꯩꯒꯤ ꯅꯥꯀꯣꯡ ꯕ꯭ꯂꯣꯛ ꯇꯧꯔꯦ" ꯍꯥꯌꯅꯥ ꯏꯟꯇꯔꯞꯔꯥꯏꯖ ꯇꯧꯏ꯫
- ꯑꯦꯌꯔꯐ꯭ꯂꯣ ꯍꯣꯡꯂꯀꯄꯥ: ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯅꯥꯀꯣꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯂꯩꯕꯥ ꯃꯐꯝ ꯑꯗꯨ ꯌꯥꯝꯅꯥ ꯆꯥꯎꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯑꯦꯌꯔꯋꯦ (airway) ꯑꯗꯨ ꯁꯨꯞꯅꯒꯤ ꯆꯦꯠꯅꯥ ꯆꯠꯂꯤ꯫ ꯃꯁꯤꯅꯥ ꯇꯔꯕꯤꯅꯦꯠꯁꯤꯡꯗꯥ ꯊꯦꯡꯅꯩ, ꯁꯣꯟꯊꯔꯀꯏ ꯑꯃꯁꯨꯡ ꯇꯔꯨ ꯇꯅꯥꯅꯕꯥ ꯇꯧꯗꯦ꯫ ꯃꯁꯤꯅꯥ ꯕ꯭ꯔꯦꯟ ꯑꯗꯨ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯉꯃꯍꯟꯗꯕꯥ ꯌꯥꯏ꯫
- ꯕꯦꯛꯇꯦꯔꯤꯌꯥꯒꯤ ꯏꯃꯕꯦꯂꯦꯟꯁ: ꯅꯥꯀꯣꯡꯒꯤ ꯂꯥꯏꯅꯤꯡꯗꯥ ꯂꯩꯕꯥ ꯃ꯭ꯌꯨꯀꯁ ꯃꯦꯝꯕ꯭ꯔꯦꯟ ꯑꯁꯤꯅꯥ ꯍꯀꯁꯦꯜ ꯐꯕꯥ ꯕꯦꯛꯇꯦꯔꯤꯌꯥ ꯉꯥꯀꯊꯣꯀꯄꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫ ꯃꯁꯤꯒꯤ ꯂꯦꯌꯔ ꯑꯁꯤ ꯁꯔꯖꯔꯤꯅꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯃꯇꯃꯗꯥ, ꯍꯀꯁꯦꯜ ꯐꯕꯥ ꯕꯦꯛꯇꯦꯔꯤꯌꯥ ꯍꯟꯊꯔꯀꯄꯥ ꯌꯥꯏ ꯑꯃꯁꯨꯡ ꯃꯥꯡ-ꯇꯥꯛꯅꯤꯡꯉꯥꯏ ꯑꯣꯏꯕꯥ ꯕꯦꯛꯇꯦꯔꯤꯌꯥ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯅꯥ ꯏꯅꯐꯦꯛꯁꯟ ꯑꯃꯁꯨꯡ ꯏ.ꯑꯦꯟ.ꯑꯦꯁ.ꯀꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡꯒꯤ ꯔꯤꯁ꯭ꯛ ꯍꯦꯅꯒꯠꯍꯅꯕꯥ ꯌꯥꯏ꯫
ꯏꯝꯄꯦꯇꯤ ꯅꯣꯖ ꯁꯤꯟꯗ꯭ꯔꯣꯝ (ENS)ꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?
ꯏ.ꯑꯦꯟ.ꯑꯦꯁ.ꯀꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯨꯡ ꯅꯨꯃꯤꯠ ꯀꯌꯥ, ꯊꯥ ꯀꯌꯥ ꯅꯠꯠꯔꯒꯥ ꯆꯍꯤ ꯀꯌꯥ ꯐꯥꯎꯕꯥ ꯂꯥꯀꯄꯥ ꯌꯥꯏ꯫ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯃꯤꯑꯣꯏ ꯑꯃꯗꯒꯤ ꯃꯤꯑꯣꯏ ꯑꯃꯗꯥ ꯈꯦꯠꯅꯕꯥ ꯌꯥꯏ꯫
| ꯂꯥꯏꯑꯣꯡꯒꯤ ꯃꯈꯜ꯫ | ꯋꯥꯔꯣꯜ |
|---|---|
| ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯒꯥ ꯃꯔꯤ ꯂꯩꯅꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ꯫ | ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯗꯥ ꯋꯥꯕꯥ, ꯅꯥꯀꯣꯡꯗꯥ ꯂꯦꯞꯄꯥ ꯂꯩꯇꯅꯥ ꯁꯣꯀꯄꯥ, ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯃꯇꯃꯗꯥ ꯅꯥꯀꯣꯡꯗꯥ ꯅꯣꯡꯃꯩ ꯀꯥꯞꯄꯥ, ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯏꯁꯤꯡꯗꯥ ꯆꯦꯟꯊꯈꯤꯕꯥ꯫ |
| ꯅꯥꯀꯣꯡ ꯑꯃꯁꯨꯡ ꯀꯣꯛꯇꯥ ꯃꯔꯤ ꯂꯩꯅꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ꯫ | ꯅꯥꯀꯣꯡ ꯑꯃꯁꯨꯡ ꯀꯣꯛꯇꯥ ꯌꯥꯝꯅꯥ ꯁꯣꯀꯄꯥ, ꯅꯥꯀꯣꯡꯗꯥ ꯏ ꯊꯣꯀꯄꯥ, ꯃ꯭ꯌꯨꯀꯁ ꯄꯨꯊꯣꯀꯄꯥ ꯍꯟꯊꯕꯥ, ꯅꯥꯀꯣꯡꯗꯥ ꯀꯨꯄꯁꯤꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯅꯥꯀꯣꯡꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯏꯁꯤꯡ ꯇꯨꯡꯁꯤꯅꯕꯥ꯫ |
| ꯑꯇꯣꯞꯄꯥ ꯍꯀꯆꯥꯡꯒꯤ ꯃꯑꯣꯡ-ꯃꯇꯧꯁꯤꯡ꯫ | ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯃꯀꯣꯛ ꯁꯣꯀꯄꯥ, ꯋꯥꯈꯜ ꯆꯔꯥꯡꯅꯕꯥ, ꯃꯄꯨꯡꯐꯥꯅꯥ ꯅꯠꯠꯔꯒꯥ ꯍꯟꯊꯔꯀꯄꯥ (anosmia), ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯍꯟꯊꯕꯥ (ageusia), ꯌꯥꯝꯅꯥ ꯋꯥꯅꯥ ꯋꯥꯈꯜ ꯇꯥꯕꯥ, ꯇꯨꯝꯕꯥ ꯉꯃꯗꯕꯥ꯫ |
ꯏ.ꯑꯦꯟ.ꯑꯦꯁ. ꯑꯃꯁꯨꯡ ꯃꯦꯟꯇꯦꯜ ꯍꯦꯜꯊꯀꯤ ꯃꯔꯛꯇꯥ ꯂꯩꯔꯤꯕꯥ ꯃꯔꯤ꯫
ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯋꯥꯐꯝ ꯑꯃꯅꯤ꯫ ꯂꯦꯞꯇꯅꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯗꯥ ꯑꯋꯥꯕꯥ ꯃꯥꯌꯣꯛꯅꯔꯤꯕꯥ ꯑꯃꯁꯨꯡ ꯊꯥꯖꯗꯕꯥ ꯍꯥꯌꯕꯁꯤꯅꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯒꯤ ꯃꯦꯟꯇꯦꯜ ꯍꯦꯜꯊꯇꯥ ꯑꯆꯧꯕꯥ ꯁꯥꯐꯨ ꯑꯃꯥ ꯄꯤꯕꯥ ꯉꯃꯒꯅꯤ . ꯏ.ꯑꯦꯟ.ꯑꯦꯁ.ꯅꯥ ꯅꯥꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯒꯤ ꯃꯔꯛꯇꯥ: ꯱.
- ꯆꯔꯥꯡꯅꯕ
- ꯋꯥꯈꯜ ꯑꯋꯥꯕ ꯈꯟꯖꯤꯟꯕ
- ꯄꯨꯛꯅꯤꯡ ꯆꯪꯕꯥ ꯉꯃꯗꯕꯥ꯫
- ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯑꯁꯥꯎꯕꯥ꯫
ꯑꯁꯤꯒꯨꯝꯕꯥ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ ꯑꯁꯤ: ꯀꯃꯟ ꯑꯣꯏ꯫ ꯁ꯭ꯇꯗꯤ ꯈꯔꯅꯥ ꯇꯥꯛꯂꯤ ꯃꯗꯨꯗꯤ ꯏ.ꯑꯦꯟ.ꯑꯦꯁ.ꯅꯥ ꯅꯥꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯒꯤ 70% ꯐꯥꯎꯕꯗꯤ ꯗꯤꯞꯔꯦꯁꯟꯅꯥ ꯅꯥꯔꯤ꯫
ꯃꯔꯨꯑꯣꯏꯕꯥ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛ ꯅꯠꯠꯔꯒꯥ ꯅꯍꯥꯛꯅꯥ ꯈꯪꯂꯤꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯅꯥ ꯃꯁꯥꯃꯀꯄꯨ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯍꯅꯕꯒꯤ ꯋꯥꯈꯜ ꯂꯥꯀꯄꯥ ꯇꯥꯔꯕꯗꯤ, ꯆꯥꯅꯕꯤꯗꯨꯅꯥ ꯈꯨꯗꯛꯇꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯇꯥꯟꯅꯧ, ꯅꯠꯠꯔꯒꯥ ꯅꯍꯥꯛꯀꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯅꯀꯄꯥ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯂꯗꯥ ꯂꯩꯕꯥ ꯏꯃꯔꯖꯦꯟꯁꯤ ꯗꯤꯄꯥꯔꯇꯃꯦꯟꯇ (ETU)ꯗꯥ ꯆꯠꯂꯨ꯫ ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯃꯇꯦꯡ ꯄꯥꯡꯕꯥ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫
ꯏ.ꯑꯦꯟ.ꯑꯦꯁ.ꯅꯥ ꯇꯁꯦꯡꯅꯥ ꯂꯥꯌꯅꯥ ꯑꯃꯥ ꯑꯣꯏꯕꯔꯥ? ꯗꯣꯛꯇꯔ ꯑꯃꯅꯥ ꯃꯁꯤ ꯀꯔꯝꯅꯥ ꯂꯥꯌꯦꯡꯒꯅꯤ?
ꯍꯣꯌ, ꯏ.ꯑꯦꯟ.ꯑꯦꯁ.ꯅꯥ ꯇꯁꯦꯡꯕꯥ, ꯑꯗꯨꯕꯨ ꯌꯥꯝꯅꯥ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯃꯦꯗꯤꯀꯦꯜ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫ ꯃꯁꯤꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯃꯁꯤ ꯂꯥꯌꯦꯡꯕꯗꯥ ꯑꯋꯥꯕꯥ ꯑꯣꯏꯔꯀꯄꯥ ꯌꯥꯏ ꯃꯔꯃꯗꯤ ꯁ꯭ꯀꯦꯟ ꯑꯃꯅꯥ ꯅꯥꯀꯣꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯕ꯭ꯂꯣꯀꯦꯖ ꯑꯃꯠꯇꯥ ꯎꯕꯥ ꯐꯪꯗꯦ꯫
ꯗꯣꯛꯇꯔ ꯑꯃꯅꯥ ꯃꯔꯨꯑꯣꯏꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯁꯔꯖꯤꯀꯦꯜ ꯍꯤꯁ꯭ꯇꯔꯤ ꯑꯗꯨ ꯏ.ꯑꯦꯟ.ꯑꯦꯁ. ꯃꯁꯤꯒꯤ ꯃꯊꯛꯇ,
- ꯑꯦꯟꯗꯣꯁ꯭ꯀꯣꯞ, ꯀꯦꯃꯦꯔꯥ ꯑꯃꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯑꯄꯤꯀꯄꯥ ꯇꯨꯕ ꯑꯃꯥ ꯁꯤꯖꯤꯟꯅꯗꯨꯅꯥ ꯅꯥꯀꯣꯡꯒꯤ ꯃꯅꯨꯡꯒꯤ ꯁꯔꯨꯛ ꯑꯗꯨ ꯌꯦꯡꯁꯤꯅꯕꯥ ꯌꯥꯏ꯫
- ꯑꯇꯣꯞꯄꯥ ꯃꯔꯃꯁꯤꯡ (ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯅꯥꯀꯣꯡꯒꯤ ꯄꯣꯂꯤꯄꯁ, ꯀꯦꯟꯁꯔ) ꯂꯥꯀꯁꯤꯟꯅꯕꯥ ꯁꯤ.ꯇꯤ. ꯅꯠꯠꯔꯒꯥ ꯑꯦꯝ.ꯑꯥꯔ.ꯑꯥꯏ.
- "ꯃꯨꯒꯥ ꯇꯦꯁ꯭ꯠ": ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯏꯆꯝ ꯆꯝꯕꯥ, ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯇꯦꯁ꯭ꯠ ꯑꯃꯅꯤ꯫ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯅꯥꯀꯣꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ, ꯍꯥꯟꯅꯅꯥ ꯇꯔꯕꯤꯅꯦꯠꯁꯤꯡ ꯂꯩꯔꯝꯕꯥ ꯃꯐꯝ ꯑꯗꯨꯗꯥ ꯁꯦꯂꯟ ꯁꯣꯜꯌꯨꯁꯟ ꯑꯃꯗꯥ ꯇꯔꯨ-ꯇꯅꯥꯅꯕꯥ ꯁꯨꯇꯤꯒꯤ ꯕꯣꯜ ꯑꯃꯥ ꯊꯝꯃꯤ꯫ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯃꯤꯅꯠ 20-30ꯒꯤ ꯃꯇꯨꯡꯗꯥ, ꯃꯈꯣꯌꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ ꯑꯃꯁꯨꯡ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ ꯑꯁꯤꯅꯆꯤꯡꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯗꯨ ꯐꯒꯠꯂꯛꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯒꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯃꯇꯝ ꯈꯔꯒꯤ ꯑꯣꯏꯅꯥ ꯐꯥꯎꯕꯥ ꯐꯒꯠꯂꯛꯂꯕꯗꯤ, ꯃꯁꯤꯅꯥ ꯅꯍꯥꯀꯄꯨ ENS ꯂꯩꯔꯦ ꯍꯥꯌꯕꯒꯤ ꯑꯀꯅꯕꯥ ꯈꯨꯗꯝ ꯑꯃꯅꯤ꯫
ꯏ.ꯑꯦꯟ.ꯑꯦꯁ.ꯀꯤ ꯂꯥꯏꯌꯦꯡꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?
ꯏ.ꯑꯦꯟ.ꯑꯦꯁ.ꯀꯤ ꯂꯥꯌꯦꯡ ꯑꯃꯠꯇꯥ ꯂꯩꯇꯦ, ꯑꯗꯨꯕꯨ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯃꯦꯅꯦꯖ ꯇꯧꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯄꯨꯟꯁꯤꯒꯤ ꯃꯒꯨꯟ ꯐꯒꯠꯍꯟꯅꯕꯥ ꯄꯥꯝꯕꯩ ꯀꯌꯥ ꯂꯩꯔꯤ .
- ꯅꯥꯀꯣꯡ ꯑꯗꯨ ꯇꯔꯨ-ꯇꯅꯥꯟꯅꯥ ꯊꯝꯃꯨ: ꯁꯦꯂꯥꯏꯟ ꯁ꯭ꯞꯔꯦ ꯅꯠꯠꯔꯒꯥ ꯖꯦꯂꯁꯤꯡ ꯁꯤꯖꯤꯟꯅꯕꯅꯥ, ꯅꯨꯃꯤꯠ ꯈꯨꯗꯤꯡꯒꯤ ꯏꯁꯤꯡ ꯃꯔꯥꯡ ꯀꯥꯌꯅꯥ ꯊꯀꯄꯅꯥ ꯑꯃꯁꯨꯡ ꯁꯣꯔꯣꯛꯇꯥ ꯍꯨꯃꯤꯗꯤꯐꯥꯏꯌꯔ ꯑꯃꯥ ꯁꯤꯖꯤꯟꯅꯕꯅꯥ ꯅꯥꯀꯣꯡ ꯁꯣꯀꯄꯥ ꯍꯟꯊꯍꯅꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫
- CPAP ꯃꯦꯁꯤꯟ: ꯃꯤꯑꯣꯏ ꯈꯔꯅꯥ ꯇꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ``CPAP'' ꯃꯦꯁꯤꯟ ꯑꯃꯥ ꯁꯤꯖꯤꯟꯅꯕꯅꯥ ꯍꯨꯃꯤꯗꯤꯇꯤ ꯑꯃꯁꯨꯡ ꯑꯦꯌꯔꯐ꯭ꯂꯣ ꯊꯝꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ ꯍꯥꯌꯅꯥ ꯈꯪꯏ꯫
- ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ: ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯅꯥꯀꯣꯡꯗꯥ ꯂꯩꯕꯥ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯂꯁꯤꯡ ꯑꯗꯨ ꯍꯦꯟꯅꯥ ꯋꯥꯡꯈꯠꯍꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯃ꯭ꯌꯨꯀꯁ ꯃꯦꯝꯕ꯭ꯔꯦꯅꯁꯤꯡ ꯁꯣꯀꯄꯥ ꯍꯟꯊꯍꯅꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯕꯥ ꯍꯤꯗꯥꯀꯁꯤꯡ ꯄꯤꯕꯥ ꯌꯥꯏ꯫
- ꯁꯔꯖꯔꯤ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯗꯨ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯑꯣꯏꯔꯕꯗꯤ, ꯂꯧꯊꯣꯀꯈꯤꯕꯥ ꯇꯔꯕꯤꯅꯦꯠꯁꯤꯡ ꯑꯗꯨ ꯏꯃꯞꯂꯥꯟꯇ ꯑꯃꯅꯥ ꯃꯍꯨꯠ ꯁꯤꯟꯅꯕꯥ ꯁꯔꯖꯔꯤ ꯇꯧꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯗꯥ ꯒꯣꯔ-ꯇꯦꯛꯁꯒꯨꯝꯕꯥ ꯁꯤꯟꯊꯦꯇꯤꯛ ꯃꯆꯥꯀꯁꯤꯡ ꯅꯠꯠꯔꯒꯥ ꯑꯦꯁꯦꯂꯨꯂꯥꯔ ꯗꯔꯃꯤꯁ ꯅꯠꯠꯔꯒꯥ ꯄ꯭ꯂꯦꯠꯂꯦꯠ-ꯔꯤꯆ ꯄ꯭ꯂꯥꯖꯃꯥ (ꯄꯤ.ꯑꯥꯔ.ꯄꯤ.)ꯒꯨꯝꯕꯥ ꯃꯤꯑꯣꯏꯕꯒꯤ ꯇꯤꯁ꯭ꯌꯨꯗꯒꯤ ꯂꯧꯊꯣꯀꯄꯥ ꯃꯆꯥꯀꯁꯤꯡ ꯁꯤꯖꯤꯟꯅꯕꯥ ꯌꯥꯑꯣꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯅꯥ ꯅꯥꯀꯣꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯂꯩꯕꯥ ꯃꯐꯝ ꯑꯗꯨ ꯍꯟꯊꯍꯟꯗꯨꯅꯥ, ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯒꯤ ꯂꯝꯕꯤ ꯑꯗꯨ ꯀꯨꯄꯁꯤꯟꯗꯨꯅꯥ ꯑꯃꯁꯨꯡ ꯕ꯭ꯔꯦꯅꯗꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯒꯤ ꯁꯦꯟꯁꯟ ꯑꯗꯨ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯄꯨꯔꯛꯅꯕꯥ ꯍꯣꯠꯅꯗꯨꯅꯥ ꯊꯕꯛ ꯇꯧꯏ꯫
ꯇꯦꯛ-ꯍꯣꯝ ꯃꯦꯁꯦꯖ ꯇꯧꯕꯥ꯫
- ꯏꯝꯄꯦꯇꯤ ꯅꯣꯖ ꯁꯤꯟꯗꯣꯝ (ENS) ꯑꯁꯤ ꯅꯥꯀꯣꯡꯒꯤ ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯕꯥ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯊꯣꯀꯄꯥ ꯑꯗꯨꯕꯨ ꯇꯁꯦꯡꯕꯥ ꯃꯦꯗꯤꯀꯦꯜ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ, ꯃꯁꯤꯗꯥ ꯅꯥꯀꯣꯡ ꯑꯗꯨ ꯏꯪꯅꯥ ꯂꯩꯕꯥ ꯃꯇꯃꯗꯁꯨ ꯕ꯭ꯂꯣꯛ ꯇꯧꯕꯥ ꯐꯥꯎꯏ꯫
- ꯃꯁꯤꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯔꯃꯗꯤ ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯃꯗꯥ ꯅꯥꯀꯣꯡꯗꯒꯤ ꯇꯔꯕꯤꯅꯦꯠ ꯇꯤꯁ꯭ꯌꯨ ꯌꯥꯝꯅꯥ ꯂꯧꯊꯣꯀꯄꯅꯤ ꯍꯥꯌꯅꯥ ꯂꯧꯅꯩ꯫
- ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ, ꯅꯥꯀꯣꯡ ꯁꯣꯀꯄꯥ, ꯑꯃꯁꯨꯡ ꯃꯍꯤꯛ-ꯃꯇꯥꯏ ꯁꯣꯀꯄꯥ ꯑꯁꯤꯅꯆꯤꯡꯕꯥ ꯍꯀꯆꯥꯡꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯂꯥꯀꯄꯥ ꯌꯥꯏ, ꯃꯁꯤꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯑꯃꯁꯨꯡ ꯋꯥꯈꯜ ꯆꯔꯥꯡꯅꯕꯥ ꯑꯁꯤꯅꯆꯤꯡꯕꯥ ꯁꯥꯏꯀꯣꯂꯣꯖꯤꯀꯦꯜ ꯏꯐꯦꯛꯇꯁꯤꯡꯁꯨ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯅꯥꯀꯣꯡꯒꯤ ꯁꯔꯖꯔꯤ ꯇꯧꯈ꯭ꯔꯕꯗꯤ ꯑꯃꯁꯨꯡ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯊꯦꯡꯅꯔꯕꯗꯤ, ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯅꯥꯀꯣꯡ, ꯅꯥꯀꯣꯡ ꯑꯃꯁꯨꯡ ꯀꯣꯛ (ENT) ꯁꯔꯖꯔꯤꯒꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯕꯥ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫
- ꯃꯄꯨꯡꯐꯥꯅꯥ ꯐꯍꯅꯕꯥ ꯉꯃꯗ꯭ꯔꯕꯁꯨ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯑꯐꯕꯥ ꯄꯨꯟꯁꯤ ꯑꯃꯥ ꯍꯤꯡꯅꯕꯥ ꯂꯥꯏꯌꯦꯡꯁꯤꯡ ꯂꯩꯔꯤ꯫
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯅꯥꯀꯣꯡꯒꯤ ꯁꯔꯖꯔꯤ ꯇꯧꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯏ.ꯑꯦꯟ.ꯑꯦꯁ.ꯀꯤ ꯔꯤꯁ꯭ꯛ ꯑꯃꯁꯨꯡ ꯌꯥꯔꯤꯕꯃꯈꯩ ꯇꯤꯁꯨꯁꯤꯡ ꯉꯥꯀꯊꯣꯀꯄꯥ ꯉꯝꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯁꯔꯖꯔꯤ ꯑꯗꯨ ꯄꯥꯡꯊꯣꯀꯄꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯗꯨ ꯈꯟꯅꯧ꯫
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