ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯑꯅꯥꯕꯥ ꯂꯩꯕ꯭ꯔꯥ? ꯄꯨꯁꯀꯤ ꯈꯣꯃꯖꯤꯅꯕꯥ ꯑꯃꯥ ꯂꯩꯕꯔꯥ? ꯃꯁꯤꯒꯤ ꯑꯦꯝꯄꯥꯋꯔꯃꯦꯟꯇ ꯑꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯈꯉꯂꯁꯤ!

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯃꯇꯃꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡ ꯑꯗꯨ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯁꯣꯟꯊꯔꯀꯄꯥ ꯌꯥꯏ ꯅꯠꯠꯔꯒꯥ ꯈꯣꯡꯗꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯄꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯂꯩꯕꯥ ꯀꯣꯛ ꯆꯤꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯉꯃꯗꯕꯥ ꯐꯥꯎꯕ꯭ꯔꯥ? ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯀꯃꯟ ꯀꯣꯜꯗ ꯅꯠꯠꯔꯒꯥ ꯑꯇꯩ ꯑꯄꯤꯀꯄꯥ ꯑꯅꯥꯕꯥ ꯑꯃꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯕꯨ ꯑꯩꯒꯤ ꯏꯔꯩꯕꯥꯀꯆꯥ, ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ, ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯂꯪꯁꯇꯥ ꯑꯀꯅꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯥ ꯂꯥꯀꯄꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯅꯥ, ꯉꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯒꯗꯧꯔꯤꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤꯒꯤ ꯃꯃꯤꯡꯗꯤ ꯑꯦꯝꯄꯥꯏꯃꯥ .

ꯑꯦꯝꯄꯥꯋꯔ ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ? ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯂꯧꯁꯤꯅꯁꯤ!

ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯑꯦꯝꯄꯥꯋꯔ (empyema) ꯍꯥꯌꯕꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯂꯪꯁꯀꯤ ꯑꯀꯣꯌꯕꯗꯥ ꯂꯩꯕꯥ ꯄ꯭ꯂꯨꯔꯦꯜ ꯁ꯭ꯄꯦꯁꯇꯥ ( pus) ꯁꯦꯃꯒꯠꯂꯀꯄꯅꯤ꯫ ꯍꯧꯖꯤꯛ ꯑꯗꯣꯝꯅꯥ ꯃꯁꯤꯒꯤ ꯄ꯭ꯂꯨꯔꯦꯜ ꯁ꯭ꯄꯦꯁ ꯑꯁꯤ ꯀꯔꯤꯅꯣ ꯍꯥꯌꯅꯥ ꯈꯅꯕꯤꯔꯃꯒꯅꯤ꯫ ꯅꯍꯥꯛꯀꯤ ꯂꯪꯁ ꯑꯗꯨ ꯕꯦꯂꯨꯟ ꯑꯅꯤꯒꯨꯝꯅꯥ ꯈꯅꯕꯤꯌꯨ꯫ ꯕꯦꯂꯨꯟ ꯑꯅꯤ ꯑꯁꯤ ꯑꯄꯤꯀꯄꯥ ꯁꯦꯛ ꯃꯈꯂꯒꯤ ꯀꯚꯔ ꯑꯃꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯂꯩ꯫ ꯂꯪꯁ ꯑꯃꯁꯨꯡ ꯃꯄꯥꯟꯗꯥ ꯂꯩꯕꯥ ꯀꯚꯔꯤꯡꯒꯤ ꯃꯔꯛꯇꯥ ꯂꯩꯕꯥ ꯌꯥꯝꯅꯥ ꯄꯤꯀꯄꯥ ꯃꯐꯝ ꯑꯗꯨꯕꯨ ꯄ꯭ꯂꯨꯔꯦꯜ ꯁ꯭ꯄꯦꯁ ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯅꯥ, ꯃꯐꯃꯗꯨꯗꯥ ꯐ꯭ꯂꯨꯏꯗꯀꯤ ꯆꯥꯡ ꯌꯥꯝꯅꯥ ꯅꯦꯝꯃꯤ, ꯃꯗꯨꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯃꯇꯃꯗꯥ ꯑꯃꯒꯥ ꯑꯃꯒꯥ ꯁꯣꯛꯅ-ꯁꯝꯅꯗꯅꯥ ꯂꯪꯁꯁꯤꯡ ꯑꯗꯨ ꯐꯖꯅꯥ ꯂꯥꯞꯅꯥ ꯆꯠꯄꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫

ꯃꯔꯝ ꯑꯗꯨꯅꯥ, ꯄ꯭ꯂꯨꯔꯦꯜ ꯁ꯭ꯄꯦꯁ ꯑꯁꯤꯗꯥ ꯄꯨꯁ (pus) ꯊꯨꯒꯥꯌꯕꯥ ꯃꯇꯃꯗꯥ, ꯑꯩꯈꯣꯌꯅꯥ ꯃꯁꯤꯕꯨ ꯑꯦꯝꯄꯥꯋꯔ ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ ꯑꯩꯈꯣꯌꯅꯥ `ꯄꯨꯁ` ꯍꯥꯌꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯑꯗꯣꯝꯅꯥ ꯈꯉꯕꯤꯔꯤꯕꯥ ꯑꯗꯨꯅꯤ, ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯃꯐꯝ ꯑꯃꯗꯥ ꯑꯁꯣꯀꯄꯥ ꯑꯃꯥ ꯂꯩꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯃꯗꯨ ꯄꯣꯠꯁꯛ ꯑꯃꯥ ꯑꯣꯏꯔꯀꯏ, ꯑꯃꯁꯨꯡ ꯌꯦꯜꯂꯣ, ꯋꯥꯏꯇꯦꯞ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯒ꯭ꯔꯤꯟ ꯅꯠꯔꯒꯥ ꯄꯤꯉ꯭ꯛ ꯑꯣꯏꯕꯥ ꯑꯀꯅꯕꯥ ꯂꯤꯛꯌꯨꯏꯗ ꯑꯃꯥ ꯊꯣꯔꯀꯏ, ꯅꯠꯇꯦ? ꯃꯁꯤꯅꯤ꯫ ꯄꯨꯁ ꯀꯧꯕꯥ ꯄꯣꯠꯁꯛ ꯑꯁꯤꯗꯥ ꯋꯥꯏꯇꯦꯞ ꯕ꯭ꯂꯗ ꯁꯦꯂꯁꯤꯡ , ꯁꯤꯕꯥ ꯌꯥꯕꯥ ꯇꯤꯁꯨꯁꯤꯡ, ꯑꯃꯁꯨꯡ ꯏꯅꯐꯦꯛꯁꯟ ꯊꯣꯀꯍꯅꯕꯥ ꯕꯦꯛꯇꯦꯔꯤꯌꯥꯒꯨꯝꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ ꯌꯥꯎꯏ꯫ ꯃꯁꯤꯒꯤ ꯄꯨꯁ ꯑꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯅꯥ ꯏꯅꯐꯦꯛꯁꯟ ꯑꯃꯒꯥ ꯂꯥꯟꯊꯦꯡꯅꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯊꯣꯀꯏ꯫

ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯋꯥꯐꯃꯗꯤ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯦꯝꯄꯥꯋꯔꯒꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯑꯃꯁꯨꯡ ꯊꯨꯅꯥ ꯂꯥꯌꯦꯡꯗ꯭ꯔꯕꯗꯤ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯍꯦꯟꯅꯥ ꯁꯣꯀꯆꯤꯜꯂꯀꯄꯥ ꯌꯥꯏ ꯑꯃꯁꯨꯡ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯄꯨꯟꯁꯤꯗꯥ ꯈꯨꯗꯣꯡꯊꯤꯕꯥ ꯊꯣꯀꯍꯅꯕꯁꯨ ꯌꯥꯏ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯆꯦꯀꯁꯤꯅꯕꯥ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨ ꯑꯣꯏ꯫

ꯃꯁꯤꯕꯨ ꯑꯇꯣꯞꯄꯥ ꯃꯃꯤꯡꯁꯤꯡ ꯍꯥꯌꯅꯥ ꯀꯧꯏ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯃꯁꯤꯕꯨ `ꯄꯥꯌꯣꯊꯣꯔꯦꯛꯁ` ꯅꯠꯠꯔꯒꯥ `ꯄꯨꯔꯨꯂꯦꯟꯇ ꯄ꯭ꯂꯦꯎꯔꯥꯏꯇꯤꯁ` ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ ꯑꯗꯨꯕꯨ ꯑꯌꯥꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯑꯦꯝꯄꯥꯋꯔꯒꯤ ꯃꯃꯤꯡ ꯑꯁꯤ ꯁꯤꯖꯤꯟꯅꯩ꯫

ꯑꯦꯝꯄꯥꯋꯔꯃꯦꯟꯇ ꯑꯁꯤ ꯁꯤ.ꯑꯣ.ꯄꯤ.ꯗꯤ.

ꯃꯁꯤ ꯃꯤꯑꯣꯏ ꯀꯌꯥꯅꯥ ꯍꯪꯂꯀꯄꯥ ꯋꯥꯍꯪ ꯑꯃꯅꯤ꯫ ꯅꯠꯇꯦ, ꯑꯦꯝꯄꯥꯋꯔ ꯑꯁꯤ ꯁꯤ.ꯑꯣ.ꯄꯤ.ꯗꯤ.(ꯀ꯭ꯔꯣꯅꯤꯛ ꯑꯣꯕꯁ꯭ꯠꯔꯀꯆꯔ ꯄꯂꯃꯣꯅꯥꯔꯤ ꯗꯤꯖꯤꯖ) ꯀꯧꯕꯥ ꯂꯥꯌꯅꯥ ꯑꯃꯅꯤ꯫ ꯁꯤ.ꯑꯣ.ꯄꯤ.ꯗꯤ.ꯅꯥ ꯇꯣꯉꯥꯟ-ꯇꯣꯉꯥꯅꯕꯥ ꯀ꯭ꯔꯣꯅꯤꯛ ꯂꯪꯁꯀꯤ ꯂꯥꯌꯅꯥꯁꯤꯡ, ꯍꯥꯌꯕꯗꯤ ꯀ꯭ꯔꯣꯅꯤꯛ ꯕ꯭ꯔꯣꯉ꯭ꯀꯏꯇꯤꯁ ( ꯑꯦꯌꯔꯋꯦꯖꯒꯤ ꯀ꯭ꯔꯣꯅꯤꯛ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯁꯟ) ꯑꯃꯁꯨꯡ ꯑꯦꯝꯐꯥꯏꯁꯦꯃꯥ (ꯂꯪꯁꯇꯥ ꯂꯩꯕꯥ ꯑꯦꯌꯔ ꯁꯦꯀꯁꯤꯡꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯅꯕꯥ) ꯑꯁꯤꯅꯆꯤꯡꯕꯥ ꯌꯥꯎꯕꯥ ꯖꯦꯅꯦꯔꯦꯜ ꯇꯔꯝ ꯑꯃꯅꯤ꯫

ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯅꯣꯠ ꯇꯧꯒꯗꯕꯥ ꯋꯥꯐꯝ ꯑꯃꯥ ꯂꯩꯔꯤ꯫ ꯁꯤ.ꯑꯣ.ꯄꯤ.ꯗꯤ.ꯅꯥ ꯅꯥꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯅꯥ ꯍꯀꯁꯦꯜ ꯐꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯑꯦꯝꯄꯥꯋꯔꯒꯨꯝꯕꯥ ꯏꯅꯐꯦꯛꯁꯟ ꯑꯃꯥ ꯂꯥꯀꯄꯒꯤ ꯔꯤꯁ꯭ꯛ ꯍꯦꯟꯅꯥ ꯂꯩ꯫ ꯃꯁꯤꯅꯥ ꯇꯥꯀꯄꯗꯤ ꯁꯤ.ꯑꯣ.ꯄꯤ.ꯗꯤ.ꯒꯤ ꯑꯅꯥꯕꯁꯤꯡꯅꯥ ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯑꯈꯟꯅꯅꯥ ꯆꯦꯀꯁꯤꯅꯕꯥ ꯃꯊꯧ ꯇꯥꯏ꯫

ꯀꯅꯥꯅꯥ ꯑꯦꯝꯄꯥꯋꯔꯃꯦꯟꯇꯀꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯔꯤꯁ꯭ꯛ ꯂꯩꯕꯒꯦ?

ꯀꯅꯥꯒꯨꯝꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯠꯇꯅꯥ ꯑꯦꯝꯄꯥꯋꯔ ꯇꯧꯕꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯃꯤꯑꯣꯏ ꯈꯔꯗꯤ ꯍꯦꯟꯅꯥ ꯔꯤꯁ꯭ꯛ ꯂꯩ꯫ ꯃꯈꯣꯌ ꯀꯅꯥꯅꯣ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯁꯤ:

• ꯅꯍꯥꯛꯅꯥ ꯃꯃꯥꯡꯗꯥ ꯅ꯭ꯌꯨꯃꯣꯅꯤꯌꯥ ꯂꯩꯈ꯭ꯔꯦ꯫ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯅ꯭ꯌꯨꯃꯣꯅꯤꯌꯥ ꯂꯥꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯍꯧꯖꯤꯛꯀꯤ ꯑꯣꯏꯅꯥ ꯂꯩꯔꯕꯗꯤ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯆꯍꯤ 70ꯒꯤ ꯃꯊꯛꯇꯥ ꯂꯩꯔꯕꯗꯤ꯫ ꯅꯍꯥꯛꯅꯥ ꯆꯍꯤ ꯌꯥꯃꯈꯠꯂꯀꯄꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯏꯝꯝꯌꯨꯅꯤꯇꯤ ꯍꯟꯊꯔꯀꯏ, ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯃꯈꯂꯒꯤ ꯏꯅꯐꯦꯛꯁꯅꯁꯤꯡ ꯑꯁꯤ ꯂꯥꯀꯄꯒꯤ ꯆꯥꯡ ꯍꯦꯅꯒꯠꯂꯀꯏ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯍꯟꯗꯛꯇꯥ ꯆꯦꯁ꯭ꯠ ꯁꯔꯖꯔꯤ ꯇꯧꯈ꯭ꯔꯕꯗꯤ, ꯍꯥꯔꯠ ꯁꯔꯖꯔꯤ ꯅꯠꯠꯔꯒꯥ ꯂꯪꯁꯀꯤ ꯁꯔꯖꯔꯤ ꯑꯃꯥ ꯇꯧ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯗꯥꯏꯑꯦꯕꯦꯇꯤꯖ ꯂꯩꯔꯕꯗꯤ . ꯗꯥꯏꯑꯦꯕꯦꯇꯤꯖꯅꯥ ꯏꯝꯝꯌꯨꯟ ꯁꯤꯁ꯭ꯇꯦꯃꯁꯨ ꯁꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯃꯥꯡꯗꯥ ꯍꯥꯌꯈꯤꯕꯒꯨꯝꯅꯥ ꯁꯤ.ꯑꯣ.ꯄꯤ.ꯗꯤ .
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯕ꯭ꯔꯣꯉ꯭ꯀꯤꯑꯦꯛꯇꯁꯤꯁ (bronchiectasis) ꯂꯩꯔꯕꯗꯤ, ꯂꯪꯁꯇꯥ ꯂꯩꯕꯥ ꯑꯦꯌꯔꯋꯦ (airways) ꯑꯗꯨ ꯃꯇꯝ ꯆꯨꯞꯄꯒꯤ ꯑꯣꯏꯅꯥ ꯄꯥꯀꯊꯣꯛ-ꯆꯥꯎꯊꯣꯛꯂꯕꯥ ꯑꯃꯁꯨꯡ ꯃꯈꯣꯌꯒꯤ ꯋꯥꯂꯁꯤꯡ ꯑꯗꯨ ꯁꯣꯟꯊꯔꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯁꯣꯀꯍꯜꯂꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫ ꯃꯁꯤꯅꯥ ꯃ꯭ꯌꯨꯀꯁ ꯑꯃꯁꯨꯡ ꯑꯇꯩ ꯄꯣꯠꯁꯀꯁꯤꯡ ꯁꯦꯃꯒꯠꯂꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯏꯅꯐꯦꯛꯁꯟ ꯊꯣꯀꯍꯅꯕꯥ ꯍꯦꯟꯅꯥ ꯂꯥꯌꯍꯜꯂꯤ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯏ ꯊꯣꯀꯄꯥ ꯂꯩꯔꯕꯗꯤ, ꯃꯔꯨꯑꯣꯏꯅꯥ ꯂꯪꯁꯇꯥ꯫
• ꯃꯤꯑꯣꯏ ꯈꯔꯅꯥ ꯚꯦꯅꯝ ꯑꯃꯗꯥ ꯗ꯭ꯔꯒ ꯏꯅꯖꯦꯀꯁꯟ ꯇꯧꯏ (IV ꯗ꯭ꯔꯒ ꯁꯤꯖꯤꯟꯅꯕꯥ)꯫ ꯍꯥꯌꯔꯤꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡ ꯑꯁꯤꯁꯨ ꯍꯦꯟꯅꯥ ꯔꯤꯁ꯭ꯛ ꯂꯩ ꯃꯔꯃꯗꯤ ꯖꯔꯃꯁꯤꯡ ꯑꯁꯤ ꯑꯁꯪꯕꯥ ꯅꯤꯗꯂꯁꯤꯡꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯍꯀꯆꯥꯡꯗꯥ ꯆꯪꯂꯀꯄꯥ ꯌꯥꯏ꯫

ꯑꯦꯝꯄꯥꯋꯔꯃꯦꯟꯇ ꯑꯁꯤ ꯀꯌꯥ ꯌꯥꯝꯅꯥ ꯀꯃꯟ ꯑꯣꯏꯕꯒꯦ?

ꯇꯁꯦꯡꯕꯗꯤ, ꯑꯦꯝꯄꯥꯋꯔꯃꯦꯟꯇ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫ ꯍꯥꯌꯕꯗꯤ ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯇꯣꯏꯅꯥ ꯊꯣꯀꯄꯥ ꯂꯥꯌꯅꯥ ꯑꯃꯅꯤ꯫ ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯌꯨꯅꯥꯏꯇꯦꯗ ꯁ꯭ꯇꯦꯇꯁꯒꯨꯝꯕꯥ ꯂꯩꯕꯥꯛ ꯑꯃꯗꯥ ꯆꯍꯤ ꯑꯃꯗꯥ ꯑꯦꯝꯄꯥꯋꯔꯃꯦꯟꯇꯀꯤ ꯀꯦꯁ 32,000 ꯈꯛꯇꯃꯛ ꯔꯤꯄꯣꯔꯠ ꯇꯧꯏ꯫ ꯍꯥꯌꯕꯗꯤ ꯃꯁꯤ ꯑꯗꯨꯛꯀꯤ ꯃꯇꯤꯛ ꯀꯃꯟ ꯑꯣꯏꯗꯦ꯫ ꯑꯗꯨꯕꯨ ꯃꯁꯤ ꯀꯃꯟ ꯑꯣꯏꯗ꯭ꯔꯕꯁꯨ, ꯃꯁꯤ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯊꯣꯛꯂꯕꯗꯤ ꯌꯥꯝꯅꯥ ꯂꯨꯅꯥ ꯂꯧꯒꯗꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫

ꯑꯦꯝꯄꯥꯋꯔꯃꯦꯟꯇꯀꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ? ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤꯒꯤꯗꯃꯛ ꯆꯦꯀꯁꯤꯅꯕꯤꯌꯨ!

ꯑꯦꯝꯄꯥꯋꯔꯃꯦꯟꯇꯀꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯈꯔꯥ ꯃꯌꯦꯛ ꯁꯦꯡꯗꯦ꯫ ꯍꯥꯌꯕꯗꯤ, ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯑꯇꯩ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯂꯥꯌꯅꯥꯁꯤꯡꯗꯁꯨ ꯎꯕꯥ ꯐꯪꯏ, ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯁꯤ ꯑꯦꯝꯄꯥꯋꯔꯅꯤ ꯍꯥꯌꯅꯥ ꯈꯜꯂꯨꯕꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯕꯨ ꯋꯥꯐꯃꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯗꯤ ꯅꯠꯠꯔꯒꯥ ꯑꯃꯗꯒꯤ ꯍꯦꯅꯕꯥ ꯋꯥꯐꯃꯁꯤꯡ ꯌꯦꯡꯁꯤꯜꯂꯨ:

• ꯈꯣꯡꯗꯥ ꯑꯅꯥꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ (chest pain or discomfort): ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯀꯣꯛ ꯆꯤꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯑꯅꯥꯕꯥ ꯑꯁꯤ ꯍꯦꯟꯅꯥ ꯁꯣꯀꯆꯤꯜꯂꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯤꯑꯣꯏ ꯈꯔꯗꯗꯤ ꯃꯈꯣꯌꯒꯤ ꯃꯀꯣꯛ ꯑꯗꯨ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯁꯣꯟꯊꯔꯀꯄꯒꯨꯝꯅꯥ ꯐꯥꯎꯕꯁꯨ ꯌꯥꯏ꯫
• ꯂꯥꯏꯍꯧ: ꯍꯀꯆꯥꯡꯗꯥ ꯑꯁꯥꯕꯥ ꯏꯁꯤꯡ ꯊꯨꯃꯖꯤꯅꯕꯥ ꯐꯥꯎꯏ, ꯑꯃꯁꯨꯡ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯍꯀꯆꯥꯡꯅꯥ ꯏꯪꯊꯕꯥ ꯑꯃꯁꯨꯡ ꯆꯤꯀꯄꯥ ꯐꯥꯎꯏ꯫
• ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ: ꯅꯍꯥꯛꯅꯥ ꯈꯔꯥ ꯋꯥꯈꯜ ꯇꯥꯕꯥ ꯃꯇꯃꯗꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯗꯥ ꯑꯋꯥꯕꯥ ꯃꯥꯌꯣꯛꯅꯔꯀꯄꯥ ꯌꯥꯏ, ꯅꯠꯠꯔꯒꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯦꯡꯗꯅꯥ ꯂꯩꯕꯥ ꯃꯇꯃꯗꯁꯨ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ ꯌꯥꯏ꯫
• ꯀꯣꯛ ꯆꯤꯀꯄꯥ: ꯃꯁꯤ ꯁꯨꯡꯕꯥ ꯀꯣꯛ ꯆꯤꯀꯄꯥ ꯌꯥꯏ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯑꯀꯅꯕꯥ, ꯃꯆꯨ ꯁꯪꯂꯕꯥ ꯈꯣꯡꯎꯄꯀꯥ ꯂꯣꯌꯅꯅꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫
• ꯌꯥꯝꯅꯥ ꯋꯥꯅꯥ ꯋꯥꯈꯜ ꯇꯥꯕꯥ (`ꯐꯦꯇꯤꯒꯦꯁꯟ`): ꯅꯍꯥꯛꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯃꯠꯇꯥ ꯇꯧꯕꯥ ꯉꯃꯗꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯐꯥꯎꯔꯀꯄꯥ ꯌꯥꯏ, ꯑꯃꯁꯨꯡ ꯃꯇꯝ ꯄꯨꯝꯅꯃꯛꯇꯥ ꯇꯨꯝꯕꯥ ꯌꯥꯗꯕꯥ ꯐꯥꯎꯕꯥ ꯌꯥꯏ꯫
• ꯃꯌꯦꯛ ꯁꯦꯡꯗꯕꯥ ꯑꯔꯨꯝꯕꯥ ꯍꯟꯊꯕꯥ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯗꯥꯏꯠ ꯅꯠꯠꯔꯒꯥ ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯇꯧꯗꯅꯥ ꯁꯨꯞꯅꯒꯤ ꯑꯔꯨꯝꯕꯥ ꯍꯟꯊꯍꯅꯕꯥ ꯇꯥꯔꯕꯗꯤ, ꯃꯗꯨꯁꯨ ꯄꯨꯛꯅꯤꯡ ꯆꯪꯒꯗꯕꯥ ꯈꯨꯗꯝ ꯑꯃꯅꯤ꯫
• ꯃꯤꯑꯣꯏ ꯈꯔꯗꯗꯤ ꯅꯨꯃꯤꯗꯥꯡꯒꯤ ꯈꯣꯡꯖꯦꯜ ꯌꯥꯡꯁꯤꯅꯕꯁꯨ ꯌꯥꯏ꯫

ꯅꯍꯥꯛꯅꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯅꯤ ꯂꯩꯔꯀꯄꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯑꯦꯝꯄꯥꯋꯔꯃꯦꯟꯇꯀꯤ ꯑꯀꯤꯕꯥ ꯂꯩꯔꯣꯏꯗꯕꯅꯤ꯫ ꯑꯗꯨꯕꯨ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯈꯣꯌꯅꯥ ꯂꯦꯞꯄꯥ ꯂꯩꯇꯅꯥ ꯅꯠꯠꯔꯒꯥ ꯍꯦꯟꯅꯥ ꯐꯠꯆꯤꯜꯂꯛꯂꯕꯗꯤ, ꯁꯣꯌꯗꯅꯥ ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯄꯥꯎꯇꯥꯛ ꯂꯧꯕꯤꯌꯨ꯫

ꯑꯦꯝꯄꯥꯋꯔꯃꯦꯟꯇꯀꯤ ꯃꯔꯃꯁꯤꯡ ꯀꯔꯤꯅꯣ?

ꯃꯍꯧꯁꯥꯅꯥ, ꯑꯦꯝꯄꯥꯋꯔꯃꯦꯟꯇ ꯑꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯂꯪꯁꯇꯥ ꯏꯅꯐꯦꯛꯁꯟ ꯑꯃꯥ ꯑꯩꯅꯥ ꯃꯃꯥꯡꯗꯥ ꯄꯅꯈꯤꯕꯥ ꯄ꯭ꯂꯨꯔꯥꯜ ꯁ꯭ꯄꯦꯁꯇꯥ ꯁꯟꯗꯣꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯊꯣꯀꯏ꯫ ꯃꯁꯤ ꯂꯪꯁꯀꯤ ꯃꯅꯨꯡꯗꯒꯤ ꯖꯔꯝ ꯈꯔꯅꯥ ꯂꯥꯄꯊꯣꯛꯅꯥ ꯂꯩꯕꯥ ꯑꯃꯁꯨꯡ ꯂꯪꯁꯀꯤ ꯑꯀꯣꯌꯕꯗꯥ ꯂꯩꯕꯥ ꯃꯐꯝ ꯑꯗꯨꯗꯥ ꯆꯪꯁꯤꯜꯂꯀꯄꯒꯨꯝꯅꯥ ꯈꯅꯕꯤꯌꯨ꯫

ꯃꯁꯤꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯑꯃꯁꯨꯡ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯃꯔꯃꯗꯤ ꯅ꯭ꯌꯨꯃꯣꯅꯤꯌꯥꯅꯤ . ꯅ꯭ꯌꯨꯃꯣꯅꯤꯌꯥ ꯍꯥꯌꯕꯁꯤ ꯕꯦꯛꯇꯦꯔꯤꯌꯥ, ꯚꯥꯏꯔꯁ ꯅꯠꯠꯔꯒꯥ ꯐꯉ꯭ꯒꯦꯂꯁꯤꯡꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯂꯪꯁꯀꯤ ꯏꯅꯐꯦꯛꯁꯟ ꯑꯃꯅꯤ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯑꯌꯥꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯑꯦꯝꯄꯥꯋꯔꯃꯦꯟꯇꯇꯥ ꯂꯥꯀꯄꯥ ꯏꯅꯐꯦꯛꯁꯟ ꯑꯗꯨꯅꯤ꯫

ꯅ꯭ꯌꯨꯃꯣꯅꯤꯌꯥꯒꯤ ꯃꯊꯛꯇꯥ ꯑꯇꯣꯞꯄꯥ ꯑꯣꯏꯊꯣꯀꯄꯥ ꯌꯥꯕꯥ ꯃꯔꯝ ꯀꯌꯥ ꯂꯩ:

• ꯇ꯭ꯌꯨꯕꯔꯀꯨꯂꯣꯁꯤꯁ (TB): ꯇ꯭ꯌꯨꯕꯔꯀꯨꯂꯣꯁꯤꯁ ꯍꯥꯌꯕꯁꯤ ꯂꯪꯁꯇꯥ ꯁꯣꯀꯍꯜꯂꯤꯕꯥ ꯕꯦꯛꯇꯦꯔꯤꯌꯥꯒꯤ ꯏꯅꯐꯦꯛꯁꯟ ꯑꯃꯅꯤ꯫
• ꯂꯪꯁ ꯑꯦꯕꯁꯦꯁ (Lung abscess): ꯃꯁꯤ ꯂꯪꯁꯀꯤ ꯃꯅꯨꯡꯗꯥ ꯁꯦꯝꯕꯥ ꯄꯣꯠꯁꯛ ꯑꯃꯅꯥ ꯊꯜꯂꯕꯥ ꯀꯦꯚꯤꯇꯤ ꯅꯠꯠꯔꯒꯥ ꯑꯦꯕꯁꯦꯁ ꯑꯃꯅꯤ꯫ ꯃꯁꯤꯁꯨ ꯏꯅꯐꯦꯛꯁꯟ ꯑꯃꯅꯥ ꯊꯣꯀꯍꯅꯕꯅꯤ꯫
• ꯆꯦꯁ꯭ꯠ ꯁꯔꯖꯔꯤ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯏꯅꯐꯦꯛꯁꯟ ꯑꯃꯥ ꯂꯥꯀꯄꯥ ꯌꯥꯏ ꯑꯃꯁꯨꯡ ꯑꯦꯝꯄꯥꯋꯔꯃꯦꯟꯇ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫
• ꯈꯣꯡꯗꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯅꯠꯠꯔꯒꯥ ꯁꯣꯛ-ꯄꯅꯕꯥ (chest injuries or trauma): ꯈꯣꯡꯗꯥ ꯁꯣꯀꯄꯥ, ꯍꯥꯌꯕꯗꯤ ꯑꯦꯛꯁꯤꯗꯦꯟꯇ ꯑꯃꯅꯥ ꯂꯪꯁ ꯅꯠꯠꯔꯒꯥ ꯄ꯭ꯂꯨꯔꯥꯜ ꯁ꯭ꯄꯦꯁꯇꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ ꯑꯃꯁꯨꯡ ꯏꯅꯐꯦꯛꯁꯟ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯑꯦꯕꯗꯣꯃꯤꯅꯦꯜ ꯀꯦꯚꯤꯇꯤ (stomach)ꯗꯥ ꯏꯅꯐꯦꯛꯁꯟ ꯑꯃꯥ ꯂꯥꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯗꯥꯏꯑꯦꯐ꯭ꯔꯥꯃꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯄ꯭ꯂꯨꯔꯦꯜ ꯁ꯭ꯄꯦꯁꯇꯥ ꯁꯟꯗꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ ꯃꯁꯤ ꯈꯔꯥ ꯊꯦꯡꯅꯩ꯫

ꯑꯦꯝꯄꯥꯋꯔꯃꯦꯟꯇ ꯑꯁꯤ ꯀꯌꯥ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯊꯣꯀꯍꯅꯕꯒꯦ?

ꯃꯍꯧꯁꯥꯅꯥ ꯕꯦꯛꯇꯦꯔꯤꯌꯥꯒꯨꯝꯕꯥ ꯖꯔꯝ ꯑꯃꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯂꯪꯁꯇꯥ ꯆꯪꯂꯀꯄꯗꯥ ꯑꯃꯁꯨꯡ ꯑꯦꯝꯄꯥꯋꯔꯃꯦꯟꯇ ꯑꯃꯥ ꯑꯣꯏꯅꯥ ꯁꯦꯃꯒꯠꯂꯀꯄꯗꯥ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯅꯨꯃꯤꯠ 4ꯗꯒꯤ 6 ꯐꯥꯎꯕꯥ ꯆꯪꯏ꯫ ꯃꯁꯤꯅꯥ ꯇꯥꯀꯄꯗꯤ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅ꯭ꯌꯨꯃꯣꯅꯤꯌꯥꯒꯨꯝꯕꯥ ꯄꯣꯠꯁꯛ ꯑꯃꯥ ꯂꯥꯛꯂꯕꯗꯤ ꯑꯃꯁꯨꯡ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯂꯥꯌꯦꯡꯗ꯭ꯔꯕꯗꯤ, ꯑꯦꯝꯄꯥꯋꯔ ꯀꯧꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯅꯨꯃꯤꯠ ꯈꯔꯅꯤ ꯈꯛꯇꯗꯥ ꯅꯠꯇꯅꯥ ꯅꯨꯃꯤꯠ ꯈꯔꯅꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯂꯥꯀꯄꯥ ꯌꯥꯏ꯫

ꯑꯦꯝꯄꯥꯋꯔꯃꯦꯟꯇ ꯑꯁꯤ ꯂꯧꯅꯒꯅꯕꯥ ꯂꯥꯌꯅꯥ ꯂꯩꯕ꯭ꯔꯥ?

ꯃꯁꯤꯁꯨ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯋꯥꯍꯪ ꯑꯃꯅꯤ꯫ ꯅꯠꯇꯦ, ꯑꯦꯝꯄꯥꯋꯔꯃꯦꯟꯇ ꯑꯁꯤ ꯃꯤꯑꯣꯏ ꯑꯃꯗꯒꯤ ꯃꯤꯑꯣꯏ ꯑꯃꯗꯥ ꯍꯀꯊꯦꯡꯅꯅꯥ ꯁꯟꯗꯣꯀꯄꯥ ꯅꯠꯇꯦ꯫ ꯍꯥꯌꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯑꯦꯝꯄꯥꯋꯔꯃꯦꯟꯇ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯒꯤ ꯃꯅꯥꯛꯇꯥ ꯂꯩꯕꯈꯛꯇꯗꯥ ꯑꯦꯝꯄꯥꯋꯔ ꯇꯧꯔꯣꯏ꯫

ꯑꯗꯨꯕꯨ, ꯃꯁꯤ ꯅꯤꯡꯁꯤꯡꯕꯤꯌꯨ: ꯑꯦꯝꯄꯥꯋꯔꯃꯦꯟꯇꯀꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯔꯃꯁꯤꯡꯗꯤ ꯅ꯭ꯌꯨꯃꯣꯅꯤꯌꯥ ꯑꯃꯁꯨꯡ ꯇ꯭ꯌꯨꯕꯔꯀꯨꯂꯣꯁꯤꯁꯒꯨꯝꯕꯥ ꯏꯅꯐꯦꯛꯁꯅꯁꯤꯡꯅꯤ꯫ ꯑꯟꯗꯔꯂꯥꯏꯟ ꯏꯅꯐꯦꯛꯁꯅꯁꯤꯡ ꯑꯁꯤ ꯂꯧꯅꯒꯅꯕꯥ ꯌꯥꯏ꯫ ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯅ꯭ꯌꯨꯃꯣꯅꯤꯌꯥꯅꯥ ꯅꯥꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯅꯥ ꯀꯣꯛ ꯆꯤꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯆꯤꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯖꯔꯃꯁꯤꯡ ꯑꯁꯤ ꯅꯨꯡꯁꯤꯠꯇꯥ ꯊꯥꯗꯣꯛꯇꯨꯅꯥ ꯑꯇꯣꯞꯄꯁꯤꯡꯗꯥ ꯁꯟꯗꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯦꯝꯄꯥꯋꯔꯃꯦꯟꯇ ꯑꯗꯨ ꯊꯣꯀꯍꯅꯈꯤꯕꯥ ꯑꯟꯗꯔꯂꯥꯏꯟ ꯗꯤꯖꯤꯖ ꯑꯗꯨ ꯂꯧꯅꯒꯅꯕꯥ ꯑꯣꯏꯔꯕꯗꯤ, ꯃꯗꯨꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯆꯦꯀꯁꯤꯅꯒꯗꯕꯅꯤ꯫

ꯑꯦꯝꯄꯥꯋꯔꯃꯦꯟꯇ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯈꯪꯗꯣꯀꯄꯒꯦ? ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯀꯔꯤ ꯇꯧꯔꯤꯕꯒꯦ?

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯦꯝꯄꯥꯋꯔꯃꯦꯟꯇꯀꯤ ꯂꯥꯏꯑꯣꯡ ꯂꯩꯔꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯁꯣꯌꯗꯅꯥ ꯗꯣꯛꯇꯔ ꯑꯃꯒꯥ ꯇꯥꯟꯅꯒꯗꯕꯅꯤ꯫ ꯗꯣꯛꯇꯔ ꯑꯃꯅꯥ ꯃꯁꯤ ꯑꯦꯝꯄꯥꯋꯔ ꯅꯠꯠꯔꯒꯥ ꯑꯇꯩ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯃꯠꯇꯥ ꯁꯣꯌꯗꯅꯥ ꯈꯪꯕꯥ ꯉꯝꯃꯤ꯫ ꯃꯈꯣꯌꯅꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯃꯇꯧ ꯀꯔꯝꯅꯥ ꯈꯪꯗꯣꯀꯄꯒꯦ ꯍꯥꯌꯕꯁꯤꯅꯤ:

1. ꯃꯈꯣꯌꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯃꯦꯗꯤꯀꯦꯜ ꯍꯤꯁ꯭ꯇꯔꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯍꯪꯏ: ꯃꯈꯣꯌꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯋꯥꯍꯪ ꯀꯌꯥ ꯍꯪꯏ, ꯃꯈꯣꯌ ꯑꯗꯨꯗꯤ ꯅꯍꯥꯛꯅꯥ ꯀꯔꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯂꯩꯕꯒꯦ, ꯃꯇꯝ ꯀꯌꯥꯒꯤ ꯃꯃꯥꯡꯗꯒꯤ ꯂꯩꯔꯛꯂꯤꯕꯅꯣ, ꯅꯍꯥꯛꯅꯥ ꯃꯃꯥꯡꯗꯥ ꯑꯅꯥꯕꯥ ꯑꯃꯠꯇꯥ ꯂꯩꯈꯤꯕ꯭ꯔꯥ, ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯅꯥ ꯀꯔꯤ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ ꯁꯤꯖꯤꯟꯅꯔꯤꯕꯒꯦ ꯍꯥꯌꯕꯗꯨꯅꯤ꯫

2. ꯐꯤꯖꯤꯀꯦꯜ ꯑꯦꯀꯖꯥꯃꯤꯅꯦꯁꯟ ꯑꯃꯥ ꯄꯥꯡꯊꯣꯀꯏ:ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯁ꯭ꯇꯦꯊꯣꯁ꯭ꯀꯣꯞ ꯑꯃꯥ ꯊꯃꯒꯅꯤ, ꯇꯥꯒꯅꯤ, ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯇꯦꯞ ꯇꯧꯒꯅꯤ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯒꯤ ꯃꯑꯣꯡ ꯑꯗꯨ ꯌꯦꯡꯒꯅꯤ꯫

3. ꯐ꯭ꯂꯨꯏꯗꯀꯤ ꯁꯦꯝꯄꯜ ꯑꯃꯥ ꯂꯧꯕꯥ: ꯃꯁꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯈꯣꯡꯊꯥꯡꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯄ꯭ꯂꯨꯔꯥꯜ ꯁ꯭ꯄꯦꯁꯇꯥ ꯐ꯭ꯂꯨꯏꯗ (ꯄꯨꯁ)ꯒꯤ ꯆꯤꯡꯅꯕꯥ ꯂꯩꯔꯕꯗꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯐ꯭ꯂꯨꯏꯗ ꯈꯔꯗꯤ ꯂꯧꯊꯣꯛꯇꯨꯅꯥ ꯇꯦꯁ꯭ꯠ ꯇꯧꯅꯕꯥ ꯂꯦꯕꯇꯥ ꯊꯥꯒꯅꯤ꯫ ꯃꯁꯤꯕꯨ ꯊꯣꯔꯥꯁꯦꯟꯇꯦꯁꯤꯁ ꯍꯥꯌꯅꯥ ꯀꯧꯏ . ꯃꯁꯤ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯍꯤꯗꯥꯛ ꯑꯃꯅꯥ ꯇꯧꯏ, ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯃꯁꯤꯅꯥ ꯌꯥꯝꯅꯥ ꯁꯣꯀꯍꯜꯂꯣꯏ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯑꯦꯝꯄꯥꯋꯔꯃꯦꯟꯇ ꯂꯩꯔꯦ ꯍꯥꯌꯅꯥ ꯆꯤꯡꯅꯔꯕꯗꯤ, ꯃꯈꯣꯌꯅꯥ ꯃꯁꯤ ꯀꯅꯐꯥꯔꯝ ꯇꯧꯅꯕꯥ ꯑꯍꯦꯅꯕꯥ ꯇꯦꯁ꯭ꯠ ꯀꯌꯥ ꯑꯃꯥ ꯑꯣꯔꯗꯔ ꯇꯧꯒꯅꯤ꯫

ꯑꯦꯝꯄꯥꯋꯔꯃꯦꯟꯇ ꯈꯪꯗꯣꯛꯅꯕꯥ ꯑꯍꯦꯅꯕꯥ ꯇꯦꯁ꯭ꯇꯁꯤꯡ꯫

• ꯏꯃꯦꯖꯤꯡ ꯇꯦꯁ꯭ꯇꯁꯤꯡ: ꯱.
• ꯆꯦꯁ꯭ꯠ ꯑꯦꯛꯁ-ꯔꯦ: ꯃꯁꯤꯅꯥ ꯄ꯭ꯂꯨꯔꯦꯜ ꯁ꯭ꯄꯦꯁꯇꯥ ꯐ꯭ꯂꯨꯏꯗ ꯂꯩꯕ꯭ꯔꯥ ꯑꯃꯁꯨꯡ ꯀꯌꯥꯝ ꯌꯥꯝꯅꯥ ꯐ꯭ꯂꯨꯏꯗ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯒꯤ ꯑꯀꯛꯅꯕꯥ ꯋꯥꯈꯜꯂꯣꯟ ꯑꯃꯥ ꯄꯤꯕꯥ ꯉꯝꯃꯤ꯫
• ꯁꯤ.ꯇꯤ.ꯁ꯭ꯀꯦꯟ: ꯃꯁꯤꯅꯥ ꯑꯦꯛꯁ-ꯔꯦꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯃꯌꯦꯛ ꯁꯦꯡꯕꯥ, ꯑꯀꯨꯞꯄꯥ ꯏꯃꯦꯖꯁꯤꯡ ꯄꯤ꯫ ꯃꯁꯤꯅꯥ ꯐ꯭ꯂꯨꯏꯗꯀꯤ ꯃꯐꯝ ꯑꯃꯁꯨꯡ ꯆꯥꯡ, ꯑꯃꯁꯨꯡ ꯂꯪꯁꯇꯥ ꯑꯇꯣꯞꯄꯥ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯑꯃꯠꯇꯥ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯎꯠꯄꯥ ꯉꯝꯃꯤ꯫
• ꯑꯂꯠꯔꯥꯁꯥꯎꯟꯗ ꯁ꯭ꯀꯦꯟ: ꯃꯁꯤ ꯄ꯭ꯂꯨꯔꯥꯜ ꯁ꯭ꯄꯦꯁꯇꯥ ꯐ꯭ꯂꯨꯏꯗꯀꯤ ꯆꯥꯡ ꯌꯦꯡꯕꯗꯁꯨ ꯁꯤꯖꯤꯟꯅꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯅꯥ ꯃꯔꯨꯑꯣꯏꯅꯥ ꯐ꯭ꯂꯨꯏꯗꯀꯤ ꯁꯦꯝꯄꯜ ꯑꯃꯥ ꯂꯧꯕꯥ ꯃꯇꯃꯗꯥ ꯅꯤꯗꯜ ꯑꯗꯨ ꯀꯗꯥꯏꯗꯥ ꯊꯃꯒꯗꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯂꯦꯄꯊꯣꯀꯄꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ (ꯊꯣꯔꯥꯁꯦꯟꯇꯦꯁꯤꯁ)꯫

ꯏꯃꯦꯖꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯐ꯭ꯂꯨꯏꯗ ꯁꯦꯝꯄꯜ ꯑꯗꯨ ꯇꯣꯉꯥꯟ ꯇꯣꯉꯥꯅꯕꯥ ꯇꯦꯁ꯭ꯇꯁꯤꯡꯒꯤꯗꯃꯛ ꯂꯦꯕꯇꯥ ꯊꯥꯏ꯫ ꯃꯈꯣꯌꯅꯥ ꯃꯗꯨꯗꯥ ꯄꯣꯠꯁꯛ ꯑꯃꯥ ꯂꯩꯕ꯭ꯔꯥ ꯑꯃꯁꯨꯡ ꯃꯁꯤꯗꯥ ꯀꯔꯤ ꯃꯈꯂꯒꯤ ꯖꯔꯃꯁꯤꯡ ꯂꯩꯕꯒꯦ (ꯀꯂꯆꯔꯁꯤꯡ) ꯑꯁꯤꯅꯆꯤꯡꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ ꯌꯦꯡꯏ꯫

• ꯕ꯭ꯂꯗ ꯇꯦꯁ꯭ꯠ ꯇꯧꯕꯥ: ꯱.
• ꯅꯍꯥꯛꯅꯥ ꯏꯅꯐꯦꯛꯁꯟ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯅꯕꯒꯤꯗꯃꯛ ꯕ꯭ꯂꯗ ꯇꯦꯁ꯭ꯠ ꯇꯧꯏ꯫
• ꯋꯥꯏꯠ ꯕ꯭ꯂꯗ ꯁꯦꯜ ꯀꯥꯎꯟꯇ (WBC) ꯑꯁꯤ ꯆꯦꯛ ꯇꯧꯏ꯫ ꯃꯁꯤꯒꯤ ꯃꯁꯤꯡ ꯑꯁꯤ ꯃꯍꯧꯁꯥꯅꯥ ꯏꯅꯐꯦꯛꯁꯟ ꯂꯩꯕꯥ ꯃꯇꯃꯗꯥ ꯍꯦꯅꯒꯠꯂꯀꯏ꯫
• ꯁꯤ-ꯔꯤꯑꯦꯛꯇꯤꯕ ꯄ꯭ꯔꯣꯇꯤꯟ (ꯁꯤ.ꯑꯥꯔ.ꯄꯤ.) ꯀꯧꯕꯥ ꯇꯦꯁ꯭ꯠ ꯑꯃꯥ ꯇꯧꯏ꯫ ꯃꯁꯤꯅꯥ ꯍꯀꯆꯥꯡꯗꯥ ꯏꯅꯐꯦꯛꯁꯟ ꯅꯠꯠꯔꯒꯥ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯁꯟ ꯑꯃꯥ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯈꯪꯗꯣꯀꯄꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯕꯁꯨ ꯌꯥꯏ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯏꯗꯥ ꯖꯔꯝ ꯑꯃꯥ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯅꯕꯒꯤꯗꯃꯛ ꯕ꯭ꯂꯗ ꯀꯂꯆꯔ ꯑꯃꯥ ꯄꯥꯡꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫

ꯇꯦꯁ꯭ꯠ ꯄꯨꯝꯅꯃꯛ ꯑꯁꯤꯗꯒꯤ ꯐꯪꯂꯀꯄꯥ ꯏꯅꯐꯣꯔꯃꯦꯁꯟ ꯑꯗꯨꯗꯥ ꯌꯨꯝꯐꯝ ꯑꯣꯏꯔꯒꯥ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯑꯦꯝꯄꯥꯋꯔꯃꯦꯟꯇ ꯂꯩꯕ꯭ꯔꯥ ꯑꯃꯁꯨꯡ ꯃꯁꯤꯒꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯀꯔꯤꯅꯣ ꯍꯥꯌꯕꯗꯨ ꯆꯨꯝꯅꯥ ꯂꯦꯄꯀꯅꯤ꯫

ꯑꯦꯝꯄꯥꯋꯔꯃꯦꯟꯇ ꯑꯁꯤ ꯂꯥꯌꯦꯡꯕꯥ ꯉꯃꯒꯗ꯭ꯔꯥ? ꯂꯥꯏꯌꯦꯡꯕꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?

ꯍꯣꯌ, ꯅꯨꯡꯉꯥꯏꯕꯥ ꯄꯥꯎ ꯑꯃꯗꯤ ꯑꯦꯝꯄꯥꯋꯔꯃꯦꯟꯇ ꯑꯁꯤ ꯂꯥꯌꯦꯡꯕꯥ ꯌꯥꯏ . ꯑꯗꯨꯕꯨ ꯃꯁꯤ ꯇꯣꯌꯅꯥ ꯈꯉꯗꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯂꯥꯌꯦꯡꯕꯥ ꯃꯊꯧ ꯇꯥꯏ꯫ ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯄꯥꯟꯗꯝ ꯑꯅꯤ ꯂꯩ:

1. ꯄ꯭ꯂꯨꯔꯥꯜ ꯁ꯭ꯄꯦꯁꯇꯒꯤ ꯄꯨꯁ ꯂꯧꯊꯣꯀꯄꯥ꯫

2. ꯏꯅꯐꯦꯛꯁꯟ ꯊꯣꯀꯍꯅꯕꯥ ꯖꯔꯃꯁꯤꯡ ꯍꯥꯠꯅꯕꯥ ꯂꯥꯏꯌꯦꯡ (ꯃꯁꯤ ꯃꯍꯧꯁꯥꯅꯥ ꯑꯦꯟꯇꯤꯕꯥꯏꯑꯣꯇꯤꯀꯁꯤꯡꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯇꯧꯏ)꯫

ꯍꯧꯖꯤꯛ ꯃꯁꯤꯒꯤ ꯄꯨꯁ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯂꯧꯊꯣꯛꯀꯗꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯁꯤ:

• ꯊꯣꯔꯥꯁꯦꯟꯇꯦꯁꯤꯁ: ꯱.ꯑꯦꯝꯄꯥꯋꯔꯃꯦꯟꯇꯀꯤ ꯑꯍꯥꯅꯕꯥ ꯁ꯭ꯇꯦꯖꯁꯤꯡꯗꯥ, ꯅꯠꯠꯔꯒꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯄꯁꯀꯤ ꯆꯥꯡ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯅꯦꯝꯂꯕꯗꯤ, ꯗꯣꯛꯇꯔꯅꯥ ꯆꯦꯁ꯭ꯠ (chest)ꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯅꯤꯗꯜ ꯑꯃꯁꯨꯡ ꯇꯤꯎꯕ (catheter) ꯑꯃꯥ ꯄ꯭ꯂꯨꯔꯦꯜ ꯁ꯭ꯄꯦꯁꯇꯥ ꯊꯥꯗꯨꯅꯥ ꯄꯨꯁ (pus) ꯈꯔꯗꯤ ꯊꯨꯒꯥꯌꯕꯥ ꯌꯥꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯑꯄꯤꯀꯄꯥ ꯇꯤꯎꯕ (ꯆꯦꯁ꯭ꯠ ꯇꯤꯎꯕ ꯅꯠꯠꯔꯒꯥ ꯗ꯭ꯔꯦꯅꯦꯖ ꯇꯤꯎꯕ) ꯑꯃꯅꯥ ꯅꯨꯃꯤꯠ ꯀꯌꯥꯅꯤ ꯃꯐꯝ ꯆꯥꯅꯥ ꯊꯃꯗꯨꯅꯥ, ꯃꯗꯨ ꯃꯈꯥ ꯇꯥꯅꯥ ꯏꯁꯤꯡ ꯇꯨꯡꯁꯤꯅꯕꯥ ꯌꯥꯏ꯫
• ꯐꯥꯏꯕ꯭ꯔꯤꯅꯣꯂꯥꯏꯇꯤꯛ ꯊꯦꯔꯥꯄꯤ (fibrinolytic therapy): ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯃꯍꯤꯛ-ꯃꯇꯥꯏꯁꯤꯡ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯂꯨꯕꯥ ꯑꯃꯁꯨꯡ ꯏꯪꯊꯕꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯗꯒꯤ ꯃꯗꯨ ꯇ꯭ꯌꯨꯕꯀꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯐꯖꯅꯥ ꯊꯣꯀꯄꯥ ꯉꯃꯗꯦ꯫ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯀꯦꯁꯁꯤꯡ ꯑꯁꯤꯗꯥ ꯗꯣꯛꯇꯔꯅꯥ ꯆꯦꯁ꯭ꯠ ꯇꯤꯎꯕꯀꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯄ꯭ꯂꯨꯔꯥꯜ ꯁ꯭ꯄꯦꯁꯇꯥ ꯍꯤꯗꯥꯛ ꯑꯃꯥ ꯏꯅꯖꯦꯀꯁꯟ ꯇꯧꯕꯥ ꯌꯥꯏ꯫ ꯍꯤꯗꯥꯛ ꯑꯁꯤꯅꯥ ꯑꯀꯪꯕꯥ ꯄꯣꯠꯁꯛ ꯈꯔꯗꯤ ꯁꯣꯀꯍꯟꯗꯨꯅꯥ ꯊꯕꯛ ꯇꯧꯏ꯫ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯐꯖꯅꯥ ꯂꯧꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫
• ꯂꯦꯟꯕ:

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯦꯝꯄꯥꯋꯔꯃꯦꯟꯇ ꯑꯗꯨ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯑꯣꯏꯔꯕꯗꯤ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯄꯣꯠꯁꯛ ꯑꯗꯨ ꯃꯐꯝ ꯀꯌꯥꯗꯥ ꯁꯟꯗꯣꯀꯈ꯭ꯔꯕꯗꯤ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯗꯨ ꯐꯤꯕꯔꯒꯤ ꯇꯤꯁꯨ ꯁꯦꯝꯂꯕꯗꯤ, ꯅꯠꯠꯔꯒꯥ ꯑꯇꯩ ꯂꯥꯏꯌꯦꯡꯁꯤꯡꯅꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯗ꯭ꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯁꯔꯖꯔꯤ ꯇꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯏ꯫ ꯁꯔꯖꯔꯤꯒꯤ ꯃꯈꯜ ꯀꯌꯥ ꯂꯩ:

• ꯚꯤꯗꯤꯑꯣ-ꯑꯦꯁꯤꯁ꯭ꯇꯦꯗ ꯊꯣꯔꯥꯁꯤꯛ ꯁꯔꯖꯔꯤ (VATS): ꯃꯁꯤꯗꯥ ꯈꯣꯡꯗꯥ ꯑꯄꯤꯀꯄꯥ ꯏꯅꯁꯤꯁꯟ ꯀꯌꯥ ꯑꯃꯥ ꯁꯦꯝꯕꯥ, ꯀꯦꯃꯦꯔꯥ ꯑꯃꯁꯨꯡ ꯑꯈꯟꯅꯕꯥ ꯏꯅꯁ꯭ꯠꯔꯨꯃꯦꯟꯇꯁꯤꯡ ꯍꯥꯄꯆꯤꯅꯕꯥ, ꯑꯃꯁꯨꯡ ꯄ꯭ꯂꯨꯔꯥꯜ ꯁ꯭ꯄꯦꯁ ꯁꯦꯡꯗꯣꯀꯄꯥ, ꯄꯨꯁ ꯑꯃꯁꯨꯡ ꯑꯀꯅꯕꯥ ꯃꯤꯠꯌꯦꯡꯁꯤꯡ ꯂꯧꯊꯣꯀꯄꯥ ꯑꯁꯤ ꯌꯥꯎꯏ꯫ ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯄꯤꯀꯄꯥ ꯏꯅꯁꯤꯁꯟ ꯑꯃꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯇꯧꯏ, ꯃꯗꯨꯅꯥ ꯌꯥꯡꯅꯥ ꯐꯒꯠꯂꯀꯄꯥ ꯉꯃꯍꯜꯂꯤ꯫
• ꯊꯣꯔꯥꯀꯣꯇꯣꯃꯤ ꯑꯃꯁꯨꯡ ꯗꯤꯀꯣꯔꯇꯤꯀꯦꯁꯟ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯗꯨ VATS ꯂꯥꯏꯌꯦꯡꯕꯗꯥ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯑꯣꯏꯔꯕꯗꯤ, ꯊꯣꯔꯥꯀꯣꯇꯣꯃꯤ (ꯆꯦꯁ꯭ꯠ ꯍꯥꯡꯗꯣꯀꯄꯥ) ꯑꯃꯥ ꯄꯥꯡꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯅꯥ ꯗꯣꯛꯇꯔꯅꯥ ꯂꯪꯁ ꯑꯗꯨ ꯍꯀꯊꯦꯡꯅꯅꯥ ꯌꯦꯡꯕꯥ ꯌꯥꯍꯜꯂꯤ ꯑꯃꯁꯨꯡ ꯑꯀꯅꯕꯥ, ꯀꯟꯠꯔꯤꯕ꯭ꯌꯨꯠ ꯇꯧꯔꯕꯥ ꯃꯦꯝꯕ꯭ꯔꯦꯟ (ꯗꯤꯀꯣꯔꯇꯤꯀꯦꯁꯟ ꯍꯥꯌꯅꯥ ꯀꯧꯕꯥ) ꯑꯃꯁꯨꯡ ꯄꯨꯁ ꯑꯃꯠꯇꯥ ꯂꯧꯊꯣꯀꯄꯥ ꯉꯃꯍꯜꯂꯤ꯫

ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯦꯝꯄꯥꯋꯔꯃꯦꯟꯇꯀꯤ ꯃꯑꯣꯡ-ꯃꯇꯧ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯖꯦꯅꯦꯔꯦꯜ ꯍꯦꯂꯊ ꯑꯁꯤꯅꯆꯤꯡꯕꯥ ꯐꯦꯛꯇꯔ ꯀꯌꯥ ꯈꯟꯅꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯅꯍꯥꯛꯀꯤꯗꯃꯛꯇꯥ ꯀꯔꯝꯕꯥ ꯂꯥꯏꯌꯦꯡ ꯑꯗꯨ ꯆꯨꯝꯃꯤ ꯍꯥꯌꯕꯗꯨ ꯂꯦꯄꯀꯅꯤ꯫

ꯑꯦꯝꯄꯥꯋꯔꯃꯦꯟꯇꯀꯤ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯤꯅꯣ?

ꯏꯅꯐꯦꯛꯁꯟ ꯑꯗꯨ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯂꯧꯊꯣꯛꯅꯕꯥ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯑꯦꯟꯇꯤꯕꯥꯏꯑꯣꯇꯤꯀꯁꯤꯡ ꯄꯤꯒꯅꯤ . ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯏꯅꯠꯔꯥꯚꯦꯅꯁ ꯑꯣꯏꯅꯥ (IV), ꯅꯠꯠꯔꯒꯥ ꯍꯤꯗꯥꯛ ꯅꯠꯠꯔꯒꯥ ꯀꯦꯄꯆꯔ ꯑꯣꯏꯅꯥ ꯄꯤꯕꯥ ꯌꯥꯏ꯫ ꯃꯈꯣꯌꯗꯨ ꯑꯍꯥꯅꯕꯗꯥ IV ꯄꯤꯕꯥ ꯌꯥꯏ ꯑꯃꯁꯨꯡ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯃꯤꯠꯀꯤ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡꯗꯥ ꯍꯣꯡꯗꯣꯀꯄꯥ ꯌꯥꯏ꯫

ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯌꯥꯝꯅꯥ ꯁꯤꯖꯤꯟꯅꯕꯥ ꯑꯦꯟꯇꯤꯕꯥꯏꯑꯣꯇꯤꯛ ꯈꯔꯗꯤ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯁꯤꯡꯁꯤꯅꯤ:

• `ꯑꯦꯃꯣꯛꯁꯤꯁꯤꯂꯤꯟ-ꯀ꯭ꯂꯥꯚꯨꯂꯦꯅꯦꯠ`꯫
• `ꯄꯥꯏꯄꯦꯔꯥꯁꯤꯂꯤꯟ-ꯇꯥꯖꯣꯕꯦꯛꯇꯦꯝ`꯫
• `ꯏꯃꯤꯄꯦꯅꯦꯝ`꯫
• `ꯃꯦꯔꯣꯄꯦꯅꯦꯝ`꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ `ꯀ꯭ꯂꯤꯟꯗꯥꯃꯥꯏꯁꯤꯟ` ꯅꯠꯠꯔꯒꯥ `ꯃꯦꯠꯔꯣꯅꯤꯗꯥꯖꯣꯜ`ꯒꯨꯝꯕꯥ ꯍꯤꯗꯥꯀꯁꯤꯡꯁꯨ ꯍꯥꯄꯆꯤꯅꯕꯥ ꯌꯥꯏ꯫

ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯈꯨꯗꯝ ꯈꯛꯇꯅꯤ꯫ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯛ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯏꯅꯐꯦꯛꯁꯟ ꯑꯗꯨꯒꯤꯗꯃꯛꯇꯥ ꯆꯨꯅꯕꯥ ꯑꯦꯟꯇꯤꯕꯥꯏꯑꯣꯇꯤꯛ ꯑꯃꯁꯨꯡ ꯗꯣꯖ ꯑꯗꯨ ꯂꯦꯄꯀꯅꯤ꯫ ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯄꯥꯎꯇꯥꯛ ꯌꯥꯑꯣꯗꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯄꯥꯝꯂꯤꯕꯥ ꯑꯦꯟꯇꯤꯕꯥꯏꯑꯣꯇꯤꯛ ꯑꯃꯠꯇꯥ ꯀꯩꯗꯧꯉꯩꯗꯥ ꯂꯧꯔꯣꯏꯗꯕꯅꯤ꯫

ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯑꯩꯍꯥꯛ ꯀꯌꯥ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯐꯒꯠꯂꯛꯀꯅꯤ?

ꯃꯁꯤꯁꯨ ꯃꯤꯑꯣꯏ ꯑꯃꯗꯒꯤ ꯃꯤꯑꯣꯏ ꯑꯃꯗꯥ ꯈꯦꯠꯅꯕꯥ ꯌꯥꯕꯥ ꯋꯥꯐꯝ ꯑꯃꯅꯤ꯫

• ꯑꯦꯟꯇꯤꯕꯥꯏꯑꯣꯇꯤꯀꯁꯤꯡ ꯑꯁꯤ ꯃꯍꯧꯁꯥꯅꯥ ꯅꯨꯃꯤꯠ ꯑꯅꯤꯗꯒꯤ ꯶ ꯐꯥꯎꯕꯥ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯍꯦꯟꯅꯥ ꯁꯥꯡꯅꯥ ꯂꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯏ꯫ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯋꯥꯐꯃꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯈꯔꯥ ꯍꯦꯟꯅꯥ ꯐꯒꯠꯂꯛꯂꯕꯁꯨ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯄꯤꯕꯥ ꯃꯄꯨꯡꯐꯥꯕꯥ ꯃꯇꯝ ꯑꯗꯨꯗꯥ ꯍꯤꯗꯥꯛ ꯑꯗꯨ ꯆꯞ ꯃꯥꯟꯅꯅꯥ ꯂꯧꯕꯅꯤ꯫ ꯅꯠꯠꯔꯕꯗꯤ, ꯏꯅꯐꯦꯛꯁꯟ ꯑꯗꯨ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯂꯥꯀꯁꯤꯅꯕꯥ ꯉꯃꯗꯕꯥ ꯑꯃꯁꯨꯡ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯂꯥꯀꯄꯥ ꯌꯥꯏ, ꯃꯗꯨꯅꯥ ꯂꯥꯏꯌꯦꯡꯕꯗꯥ ꯍꯦꯟꯅꯥ ꯂꯨꯕꯥ ꯑꯣꯏꯔꯀꯄꯥ ꯌꯥꯏ, ꯑꯃꯁꯨꯡ ꯅꯉꯣꯟꯗꯥ ꯄꯤꯈꯤꯕꯥ ꯍꯤꯗꯥꯛ ꯑꯗꯨꯅꯥ ꯊꯕꯛ ꯇꯧꯕꯥ ꯉꯃꯗꯕꯥ ꯌꯥꯏ꯫
• ꯊꯣꯔꯥꯁꯦꯟꯇꯦꯁꯤꯁ ( ꯅꯤꯗꯜ ꯑꯃꯅꯥ ꯄꯨꯁꯤꯜꯂꯀꯄꯥ) ꯑꯃꯒꯤ ꯃꯇꯨꯡꯗꯥ, ꯅꯤꯗꯜ ꯏꯅꯁꯥꯔꯁ ꯇꯧꯔꯕꯥ ꯃꯐꯝ ꯑꯗꯨꯗꯥ ꯅꯨꯃꯤꯠ ꯈꯔꯅꯤ ꯅꯠꯠꯔꯒꯥ ꯅꯨꯃꯤꯠ ꯈꯔꯅꯤꯒꯤ ꯑꯣꯏꯅꯥ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯈꯔꯥ ꯂꯩꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯒꯤꯗꯃꯛꯇꯥ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯄꯦꯟ ꯀꯤꯂꯔꯁꯤꯡ ꯄꯤꯒꯅꯤ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯆꯦꯁ꯭ꯠ ꯇꯤꯎꯕ ꯑꯃꯥ ꯂꯩꯔꯕꯗꯤ, ꯃꯗꯨ ꯂꯧꯊꯣꯛꯂꯕꯥ ꯐꯥꯎꯕꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯈꯔꯥ ꯐꯥꯎꯕꯥ ꯌꯥꯏ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯦꯖꯔ ꯁꯔꯖꯔꯤ (VATS ꯅꯠꯠꯔꯒꯥ Thoracotomy) ꯇꯧꯔꯕꯗꯤ, ꯃꯄꯨꯡꯐꯥꯅꯥ ꯐꯒꯠꯂꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯅꯣꯔꯃꯦꯜ ꯑꯦꯛꯇꯤꯚꯤꯇꯤꯁꯤꯡ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯍꯧꯕꯗꯥ ꯅꯨꯃꯤꯠ ꯃꯔꯤꯗꯒꯤ 6 ꯐꯥꯎꯕꯥ, ꯅꯠꯠꯔꯒꯥ ꯃꯁꯤꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯁꯥꯡꯅꯥ ꯆꯪꯂꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯇꯝ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯇꯥꯀꯄꯤꯔꯀꯄꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ ꯅꯨꯡꯉꯥꯏꯅꯥ ꯂꯩꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯁꯥꯖꯦꯜ ꯇꯧꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫

ꯅꯍꯥꯛꯅꯥ ꯃꯇꯧ ꯀꯔꯝꯅꯥ ꯑꯦꯝꯄꯥꯋꯔꯃꯦꯟꯇ ꯗꯤꯚꯦꯂꯄꯃꯦꯟꯇ ꯊꯤꯡꯒꯗꯒꯦ?

"ꯄ꯭ꯔꯤꯚꯦꯟꯁꯟ ꯑꯁꯤ ꯂꯥꯌꯦꯡꯕꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯐꯩ꯫" ꯑꯦꯝꯄꯥꯋꯔꯃꯦꯟꯇ ꯗꯤꯚꯦꯂꯄꯃꯦꯟꯇ ꯊꯤꯡꯅꯕꯒꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯥ ꯑꯃꯁꯨꯡ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯄꯥꯝꯕꯩꯗꯤ ꯂꯪꯁꯀꯤ ꯏꯅꯐꯦꯛꯁꯟ ꯑꯃꯍꯦꯛꯇꯕꯨ, ꯃꯔꯨꯑꯣꯏꯅꯥ ꯅ꯭ꯌꯨꯃꯣꯅꯤꯌꯥ, ꯈꯨꯗꯛꯇꯥ ꯑꯃꯁꯨꯡ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯂꯥꯏꯌꯦꯡꯕꯅꯤ꯫

• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯅ꯭ꯌꯨꯃꯣꯅꯤꯌꯥꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ (ꯀꯣꯛ, ꯈꯣꯡ ꯍꯥꯝꯕꯥ, ꯂꯥꯏꯍꯧ, ꯈꯣꯡꯗꯥ ꯑꯅꯥꯕꯥ, ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ) ꯂꯩꯔꯕꯗꯤ, ꯃꯗꯨ ꯌꯦꯡꯁꯤꯅꯕꯤꯒꯅꯨ, ꯈꯨꯗꯛꯇꯥ ꯗꯣꯛꯇꯔꯒꯥ ꯇꯥꯟꯅꯧ, ꯑꯃꯁꯨꯡ ꯍꯤꯗꯥꯛ ꯑꯗꯨ ꯄꯤꯔꯤꯕꯥ ꯃꯇꯨꯡꯏꯟꯅꯥ ꯆꯞ ꯃꯥꯟꯅꯅꯥ ꯂꯧꯒꯗꯕꯅꯤ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯩꯈꯨ ꯊꯥꯗꯣꯀꯄꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯥ ꯑꯣꯏꯔꯕꯗꯤ, ꯃꯩꯈꯨ ꯊꯥꯗꯣꯀꯄꯥ ꯍꯥꯌꯕꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯂꯪꯁ ꯑꯗꯨ ꯍꯀꯁꯦꯜ ꯐꯅꯥ ꯊꯝꯅꯕꯒꯤ ꯑꯆꯧꯕꯥ ꯃꯑꯣꯡ ꯑꯃꯅꯤ꯫
• ꯑꯐꯕꯥ ꯍꯥꯏꯖꯤꯅꯒꯤ ꯍꯩꯅꯕꯤꯁꯤꯡ, ꯍꯥꯌꯕꯗꯤ ꯅꯍꯥꯛꯀꯤ ꯈꯨꯠ ꯍꯥꯃꯗꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯃꯤ ꯌꯥꯝꯅꯥ ꯇꯤꯅꯕꯥ ꯃꯐꯃꯁꯤꯡꯗꯥ ꯆꯦꯀꯁꯤꯅꯕꯅꯆꯤꯡꯕꯥ ꯑꯁꯤꯁꯨ ꯃꯔꯨꯑꯣꯏ꯫
• ꯃꯤꯑꯣꯏ ꯈꯔꯗꯥ (ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯑꯍꯜ ꯑꯣꯏꯔꯕꯥ, ꯑꯇꯩ ꯑꯅꯥꯕꯥ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡ) ꯅ꯭ꯌꯨꯃꯣꯅꯤꯌꯥꯒꯤ ꯇꯤꯀꯥꯁꯤꯡ ꯐꯪꯂꯤ꯫ ꯃꯈꯣꯌꯒꯤ ꯃꯔꯃꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯍꯪꯕꯤꯌꯨ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯩꯅꯥ ꯑꯦꯝꯄꯥꯋꯔꯃꯦꯟꯇ ꯂꯩꯔꯕꯗꯤ ꯑꯩꯅꯥ ꯀꯔꯤ ꯑꯥꯁꯥ ꯇꯧꯕꯥ ꯌꯥꯕꯒꯦ?

ꯑꯩꯈꯣꯌꯅꯥ ꯍꯥꯟꯅꯅꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯈ꯭ꯔꯦ ꯃꯗꯨꯗꯤ ꯃꯇꯧ ꯀꯔꯝꯅꯥ ꯑꯦꯝꯄꯥꯋꯔꯃꯦꯟꯇ ꯑꯁꯤ ꯀꯃꯟ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ ꯍꯥꯌꯕꯁꯤꯅꯤ꯫ ꯑꯌꯥꯝꯕꯥ ꯀꯦꯁꯁꯤꯡꯗꯗꯤ , ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯁꯤ ꯇꯣꯏꯅꯥ ꯈꯪꯗꯣꯛꯂꯕꯥ ꯑꯃꯁꯨꯡ ꯂꯥꯏꯌꯦꯡꯂꯕꯗꯤ, ꯍꯥꯌꯕꯗꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯍꯧꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯃꯁꯤ ꯍꯦꯟꯅꯥ ꯐꯠꯆꯤꯜꯂꯛꯠꯔꯤꯉꯩꯗꯥ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯐꯍꯅꯕꯥ ꯉꯝꯃꯤ꯫

ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯂꯥꯏꯌꯦꯡꯗ꯭ꯔꯕꯗꯤ, ꯅꯠꯠꯔꯒꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯗꯥꯏꯑꯦꯕꯦꯇꯤꯖ, ꯍꯥꯔꯇꯀꯤ ꯂꯥꯌꯅꯥ, ꯅꯠꯠꯔꯒꯥ ꯀꯤꯗꯅꯤꯒꯤ ꯂꯥꯌꯅꯥ ꯑꯁꯤꯅꯆꯤꯡꯕꯥ ꯑꯇꯩ ꯂꯣꯡ-ꯇꯔꯝ ꯃꯦꯗꯤꯀꯦꯜ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ (ꯀꯣꯃꯣꯔꯕꯤꯗꯤꯇꯤꯁꯤꯡ) ꯂꯩꯔꯕꯗꯤ, ꯃꯁꯤꯅꯥ ꯑꯦꯝꯄꯥꯋꯔꯃꯦꯟꯇ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯒꯤ 5% ꯑꯃꯁꯨꯡ 30%ꯒꯤ ꯃꯔꯛꯇꯥ ꯁꯤꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯅꯥ ꯄꯨꯟꯁꯤꯗꯥ ꯈꯨꯗꯣꯡꯊꯤꯕꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ ꯍꯥꯌꯕꯅꯤ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯏꯝꯝꯌꯨꯟ ꯁꯤꯁ꯭ꯇꯦꯝ ꯁꯣꯟꯊꯔꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯗꯥ (ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, HIV ꯏꯅꯐꯦꯛꯁꯟ ꯂꯩꯔꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡ, ꯀꯦꯟꯁꯔꯅꯥ ꯅꯥꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡ, ꯑꯣꯔꯒꯥꯟ ꯇ꯭ꯔꯥꯟꯁꯞꯂꯥꯟꯇ ꯇꯧꯔꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯗꯥ) ꯑꯦꯝꯄꯥꯏꯃꯥ ꯂꯥꯛꯂꯕꯗꯤ, ꯁꯤꯕꯒꯤ ꯆꯥꯡ ꯑꯁꯤ 40% ꯐꯥꯎꯕꯥ ꯍꯦꯅꯕꯥ ꯌꯥꯏ꯫ ꯍꯥꯌꯕꯗꯤ ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯈꯨꯗꯣꯡꯊꯤꯅꯤꯡꯉꯥꯏ ꯑꯣꯏ ꯍꯥꯌꯕꯅꯤ꯫

ꯃꯔꯝ ꯑꯗꯨꯅꯥ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯦꯝꯄꯥꯋꯔꯃꯦꯟꯇꯀꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯂꯩꯔꯕꯗꯤ, ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯥ ꯊꯕꯛ ꯑꯗꯨꯗꯤ ꯃꯇꯝ ꯃꯥꯡꯍꯟꯗꯅꯥ ꯗꯣꯛꯇꯔ ꯑꯃꯒꯥ ꯇꯥꯟꯅꯕꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯗꯣꯛꯇꯔꯅꯥ ꯑꯦꯟꯇꯤꯕꯥꯏꯑꯣꯇꯤꯛ ꯄꯤꯔꯕꯗꯤ, ꯏꯅꯐꯦꯛꯁꯟ ꯑꯗꯨ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯂꯣꯌꯁꯤꯜꯂꯕꯥ ꯑꯃꯁꯨꯡ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯂꯥꯀꯄꯥ ꯌꯥꯗꯅꯕꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛꯀꯤ ꯃꯄꯨꯡꯐꯥꯕꯥ ꯀꯣꯔꯁ ꯑꯗꯨ ꯁꯣꯌꯗꯅꯥ ꯂꯧꯒꯗꯕꯅꯤ꯫

ꯗꯣꯛꯇꯔꯗꯥ ꯀꯔꯤ ꯋꯥꯍꯪ ꯍꯪꯒꯗꯒꯦ?

ꯅꯍꯥꯛꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯆꯠꯄꯥ ꯃꯇꯃꯗꯥ, ꯅꯍꯥꯛꯀꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯗꯨꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯃꯌꯦꯛ ꯁꯦꯡꯅꯥ ꯈꯪꯅꯕꯒꯤꯗꯃꯛ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯋꯥꯍꯪꯁꯤꯡ ꯑꯁꯤ ꯍꯪꯕꯁꯤ ꯑꯐꯕꯥ ꯋꯥꯈꯜꯂꯣꯟ ꯑꯃꯅꯤ:

• "ꯗꯣꯛꯇꯔ, ꯑꯩꯕꯨ ꯑꯦꯝꯄꯥꯋꯔ ꯇꯧꯔꯦ ꯍꯥꯌꯅꯥ ꯅꯉꯅꯥ ꯃꯇꯧ ꯀꯔꯝꯅꯥ ꯇꯁꯦꯡꯅꯥ ꯂꯣꯏꯁꯤꯅꯈꯤꯕꯒꯦ? ꯀꯔꯤ ꯇꯦꯁ꯭ꯇꯁꯤꯡꯅꯥ ꯀꯅꯐꯥꯔꯝ ꯇꯧꯈꯤꯕꯒꯦ?"
• "ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯩꯅꯥ ꯑꯦꯝꯄꯥꯋꯔ ꯇꯧꯗ꯭ꯔꯕꯗꯤ, ꯑꯇꯣꯞꯄꯥ ꯀꯔꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯕꯒꯦ?"
• "ꯑꯩꯍꯥꯛ ꯀꯔꯝꯅꯥ ꯑꯦꯝꯄꯥꯋꯔ ꯑꯣꯏꯈꯤꯕꯒꯦ? ꯃꯁꯤꯒꯤ ꯑꯀꯛꯅꯕꯥ ꯃꯔꯝ ꯑꯃꯥ ꯂꯩꯕꯔꯥ?"
• "ꯑꯩꯒꯤ ꯑꯦꯝꯄꯥꯋꯔ ꯑꯁꯤ ꯀꯌꯥ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯅꯣ? ꯃꯁꯤ ꯀꯔꯤ ꯁ꯭ꯇꯦꯖꯅꯣ?"
• "ꯑꯩꯒꯤꯗꯃꯛꯇꯗꯤ ꯑꯗꯣꯝꯅꯥ ꯀꯔꯤ ꯃꯈꯂꯒꯤ ꯂꯥꯌꯦꯡ ꯔꯤꯀꯃꯦꯟꯗ ꯇꯧꯔꯤꯕꯒꯦ? ꯃꯁꯤꯒꯤꯗꯃꯛꯇꯥ ꯀꯔꯤ ꯑꯦꯛꯁꯄꯦꯛꯇꯦꯁꯟ ꯂꯩꯔꯤꯕꯒꯦ?"
• "ꯑꯩꯅꯥ ꯑꯦꯟꯇꯤꯕꯥꯏꯑꯣꯇꯤꯀꯁꯤꯡ ꯑꯁꯤ ꯀꯌꯥ ꯌꯥꯝꯅꯥ ꯂꯧꯒꯗꯒꯦ, ꯅꯣꯡꯃꯗꯥ ꯀꯌꯥ ꯌꯥꯝꯅꯥ ꯂꯧꯒꯗꯒꯦ, ꯆꯥꯗ꯭ꯔꯤꯉꯩ ꯃꯃꯥꯡꯗꯥ ꯅꯠꯠꯔꯒꯥ ꯆꯥꯗ꯭ꯔꯤꯉꯩꯗꯥ?"
• "ꯍꯤꯗꯥꯀꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯁꯥꯏꯗ ꯏꯐꯦꯛꯇ ꯑꯃꯠꯇꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯕ꯭ꯔꯥ? ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯣꯏꯔꯒꯗꯤ ꯑꯩꯅꯥ ꯀꯔꯤ ꯇꯧꯒꯗꯒꯦ?"
• "ꯑꯩꯅꯥ ꯑꯦꯟꯇꯤꯕꯥꯏꯑꯣꯇꯤꯀꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯊꯃꯒꯗꯒꯦ? (ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯔꯦꯐ꯭ꯔꯤꯖꯔꯦꯇꯔꯗꯥ ꯅꯠꯠꯔꯒꯥ ꯔꯨꯝ ꯇꯦꯝꯄꯦꯔꯦꯆꯔꯗꯥ?)"
• "ꯑꯩꯅꯥ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯂꯥꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯎꯠꯄꯥ ꯃꯊꯧ ꯇꯥꯕꯔꯥ (`ꯐꯣꯂꯣ-ꯑꯞ ꯑꯦꯄꯣꯏꯟꯇꯃꯦꯟꯇꯁꯤꯡ`)? ꯃꯗꯨ ꯀꯗꯥꯌꯗꯅꯣ?"
• "ꯃꯇꯝ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯩꯅꯥ ꯆꯥꯅꯕꯥ, ꯊꯛꯅꯕꯥ, ꯑꯃꯁꯨꯡ ꯅꯨꯃꯤꯠ ꯈꯨꯗꯤꯡꯒꯤ ꯊꯕꯛ ꯊꯧꯔꯃꯁꯤꯡꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯆꯦꯀꯁꯤꯅꯒꯗꯕꯥ ꯑꯈꯟꯅꯕꯥ ꯋꯥꯐꯝ ꯑꯃꯥ ꯂꯩꯕꯔꯥ?"

ꯋꯥꯍꯪꯁꯤꯡ ꯑꯁꯤ ꯍꯪꯕꯗꯥ ꯑꯀꯤꯕꯥ ꯂꯩꯔꯣꯏꯗꯕꯅꯤ꯫ ꯅꯍꯥꯛꯀꯤ ꯑꯅꯥꯕꯥ ꯑꯗꯨ ꯑꯐꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯈꯪꯖꯤꯅꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯐꯒꯠꯂꯀꯄꯒꯤꯗꯃꯛ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫

ꯑꯦꯝꯄꯥꯋꯔ ꯑꯃꯁꯨꯡ ꯅ꯭ꯌꯨꯃꯣꯅꯤꯌꯥꯒꯤ ꯃꯔꯛꯇꯥ ꯀꯔꯤ ꯈꯦꯠꯅꯕꯥ ꯂꯩꯕꯒꯦ?

ꯍꯥꯌꯔꯤꯕꯥ ꯑꯅꯤꯃꯛ ꯑꯁꯤ ꯂꯪꯁꯀꯤ ꯏꯅꯐꯦꯛꯁꯟ ꯑꯣꯏꯔꯕꯁꯨ, ꯈꯔꯥ ꯈꯦꯠꯅꯕꯥ ꯂꯩ꯫

• ꯅ꯭ꯌꯨꯃꯣꯅꯤꯌꯥ ꯍꯥꯌꯕꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯂꯪꯁ ꯑꯃꯗꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯅꯤꯃꯛꯇꯥ, ꯅꯠꯠꯔꯒꯥ ꯂꯪꯁꯀꯤ ꯇꯤꯁꯨ ꯃꯁꯥꯃꯛꯀꯤ ꯏꯅꯐꯦꯛꯁꯟ ꯑꯃꯅꯤ . ꯃꯁꯤ ꯕꯦꯛꯇꯦꯔꯤꯌꯥ, ꯚꯥꯏꯔꯁ ꯅꯠꯠꯔꯒꯥ ꯐꯉ꯭ꯒꯦꯂꯁꯤꯡꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯅ꯭ꯌꯨꯃꯣꯅꯤꯌꯥ ꯂꯩꯔꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯏꯅꯐꯦꯛꯁꯟ ꯂꯩꯔꯕꯥ ꯃ꯭ꯌꯨꯀꯁ (mucus) ꯁꯣꯀꯄꯥ ꯌꯥꯏ꯫
• ꯑꯦꯝꯄꯥꯋꯔꯃꯦꯟꯇ ꯍꯥꯌꯕꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯂꯪꯁꯀꯤ ꯑꯀꯣꯌꯕꯗꯥ ꯂꯩꯕꯥ ꯄ꯭ꯂꯨꯔꯦꯜ ꯁ꯭ꯄꯦꯁꯇꯥ ꯂꯩꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡꯒꯤ ꯈꯣꯃꯖꯤꯅꯕꯥ ꯑꯃꯅꯤ . ꯃꯁꯤ ꯑꯌꯥꯝꯕꯗꯤ ꯅ꯭ꯌꯨꯃꯣꯅꯤꯌꯥ (ꯃꯗꯨꯗꯤ ꯅ꯭ꯌꯨꯃꯣꯅꯤꯌꯥꯒꯤ ꯀꯃꯞꯂꯤꯀꯦꯁꯟ ꯑꯃꯥ ꯑꯣꯏꯅꯥ) ꯊꯣꯀꯍꯅꯕꯥ ꯕꯦꯛꯇꯦꯔꯤꯌꯥꯅꯥ ꯊꯣꯀꯍꯅꯕꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯦꯝꯄꯥꯌꯥꯔꯗ (empiema) ꯂꯩꯔꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯃꯗꯨ ꯀꯣꯛ ꯅꯣꯟꯖꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯄꯣꯃꯈꯠꯄꯥ ꯑꯗꯨ ꯊꯣꯛꯂꯛꯂꯣꯏ꯫ ꯄꯣꯃꯈꯠꯄꯥ ꯑꯗꯨ ꯑꯦꯟꯇꯤꯕꯥꯏꯑꯣꯇꯤꯀꯁꯤꯡꯅꯥ ꯂꯥꯏꯌꯦꯡꯕꯥ ꯃꯊꯧ ꯇꯥꯒꯅꯤ, ꯅꯠꯠꯔꯒꯥ ꯗꯣꯛꯇꯔ ꯑꯃꯅꯥ ꯃꯗꯨ ꯅꯤꯜ ꯅꯠꯠꯔꯒꯥ ꯁꯔꯖꯔꯤ ꯑꯃꯅꯥ ꯏꯁꯤꯡ ꯇꯨꯡꯁꯤꯅꯕꯥ ꯃꯊꯧ ꯇꯥꯒꯅꯤ꯫

ꯑꯦꯝꯄꯥꯋꯔ ꯑꯃꯁꯨꯡ ꯂꯪꯁ ꯑꯦꯕꯁꯦꯁꯀꯤ ꯃꯔꯛꯇꯥ ꯀꯔꯤ ꯈꯦꯠꯅꯕꯥ ꯂꯩꯕꯒꯦ?

ꯃꯁꯤ ꯑꯅꯤꯃꯛꯇꯥ ꯄꯨꯁ ꯈꯣꯃꯖꯤꯜꯂꯕꯁꯨ ꯃꯐꯝ ꯑꯅꯤꯗꯥ ꯂꯩ꯫

• ꯂꯪꯁ ꯑꯦꯕꯁꯦꯁ ꯍꯥꯌꯕꯁꯤ ꯂꯪꯁꯀꯤ ꯇꯤꯁꯨꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯁꯦꯝꯕꯥ ꯑꯁꯤꯕꯥ ꯇꯤꯁꯨ ꯑꯃꯁꯨꯡ ꯄꯁꯀꯤ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯑꯃꯅꯤ . ꯃꯁꯤꯒꯤ ꯑꯦꯕꯁꯦꯁ ꯑꯁꯤ ꯃꯐꯝ ꯑꯃꯗꯥ ꯂꯩ ꯑꯃꯁꯨꯡ ꯆꯠꯊꯣꯛ-ꯆꯠꯁꯤꯟ ꯇꯧꯗꯦ꯫
• ꯑꯦꯝꯄꯥꯏꯃꯥ ꯍꯥꯌꯕꯁꯤ ꯂꯪꯁꯀꯤ ꯃꯄꯥꯟꯗꯥ ꯂꯩꯕꯥ ꯄ꯭ꯂꯨꯔꯥꯜ ꯁ꯭ꯄꯦꯁꯇꯥ ꯂꯩꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ (pus) ꯈꯣꯃꯖꯤꯅꯕꯥ ꯑꯃꯅꯤ꯫ ꯃꯁꯤꯒꯤ ꯄꯨꯁ ꯑꯁꯤ ꯃꯐꯝ ꯑꯃꯗꯥ ꯀꯟꯁꯦꯟꯠꯔꯦꯠ ꯇꯧꯕꯥ ꯌꯥꯏ ꯅꯠꯠꯔꯒꯥ ꯄ꯭ꯂꯨꯔꯦꯜ ꯁ꯭ꯄꯦꯁ ꯄꯨꯝꯅꯃꯛꯇꯥ ꯁꯟꯗꯣꯀꯄꯥ ꯌꯥꯏ꯫

ꯑꯦꯝꯄꯥꯋꯔ ꯑꯃꯁꯨꯡ ꯄ꯭ꯂꯦꯎꯔꯦꯜ ꯏꯐ꯭ꯌꯨꯖꯅꯒꯤ ꯃꯔꯛꯇꯥ ꯀꯔꯤ ꯈꯦꯠꯅꯕꯥ ꯂꯩꯕꯒꯦ?

ꯍꯥꯌꯔꯤꯕꯥ ꯑꯅꯤ ꯑꯁꯤ ꯂꯥꯡꯇꯛꯅꯕꯥ ꯄꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫

• ꯄ꯭ꯂꯨꯔꯥꯜ ꯏꯐ꯭ꯌꯨꯖꯟ ꯑꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯂꯪꯁ ꯑꯃꯁꯨꯡ ꯄ꯭ꯂꯨꯔꯥꯜ ꯁ꯭ꯄꯦꯁꯀꯤ ꯃꯔꯛꯇꯥ ꯂꯩꯕꯥ ꯑꯄꯤꯀꯄꯥ ꯃꯦꯝꯕ꯭ꯔꯦꯅꯁꯤꯡꯒꯤ ꯃꯔꯛꯇꯥ ꯑꯍꯦꯅꯕꯥ ꯐ꯭ꯂꯨꯏꯗ ꯑꯣꯏ꯫ꯃꯁꯤ ꯑꯦꯛꯌꯨꯃꯨꯂꯦꯠ ꯇꯧꯕꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯑꯣꯏꯔꯤ꯫ ꯃꯤꯑꯣꯏ ꯈꯔꯅꯥ ꯃꯁꯤꯕꯨ ‘ꯂꯪꯁꯇꯥ ꯐ꯭ꯂꯨꯏꯗ’ ꯍꯥꯌꯅꯥꯁꯨ ꯀꯧꯏ꯫ ꯃꯁꯤꯒꯤ ꯐ꯭ꯂꯨꯏꯗ ꯑꯁꯤ ꯇꯣꯉꯥꯟ-ꯇꯣꯉꯥꯅꯕꯥ ꯃꯔꯃꯁꯤꯡ (ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯍꯥꯔꯇꯀꯤ ꯂꯥꯌꯅꯥ, ꯀꯤꯗꯅꯤꯒꯤ ꯂꯥꯌꯅꯥ, ꯀꯦꯟꯁꯔ)ꯅꯥ ꯊꯨꯒꯥꯌꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯒꯤ ꯐ꯭ꯂꯨꯏꯗ ꯑꯁꯤ ꯄꯨꯁ ꯑꯣꯏꯕꯥ ꯌꯥꯏ ꯅꯠꯠꯔꯒꯥ ꯑꯣꯏꯗꯕꯥ ꯌꯥꯏ꯫
• ꯑꯦꯝꯄꯥꯏꯃꯥ ꯍꯥꯌꯕꯁꯤ ꯃꯔꯨꯑꯣꯏꯅꯥ ꯄ꯭ꯂꯨꯔꯥꯜ ꯁ꯭ꯄꯦꯁꯇꯥ ꯂꯩꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ (pus) ꯄꯨꯊꯣꯀꯄꯅꯤ꯫ ꯍꯥꯌꯕꯗꯤ, ꯄ꯭ꯂꯨꯔꯥꯜ ꯏꯐ꯭ꯌꯨꯁꯟ ꯄꯨꯝꯅꯃꯛ ꯑꯦꯝꯄꯥꯌꯥꯔꯗ ꯑꯣꯏꯗꯦ, ꯑꯗꯨꯕꯨ ꯑꯦꯝꯄꯤꯌꯥꯔꯗꯤ ꯄꯨꯁ (infected) ꯌꯥꯎꯕꯥ ꯄ꯭ꯂꯨꯔꯥꯜ ꯏꯐ꯭ꯌꯨꯖꯅꯁꯤꯡꯅꯤ꯫

ꯑꯦꯝꯄꯥꯋꯔ ꯑꯃꯁꯨꯡ ꯄꯦꯔꯥꯞꯌꯨꯃꯣꯅꯤꯛ ꯏꯐ꯭ꯌꯨꯖꯅꯒꯤ ꯃꯔꯛꯇꯥ ꯀꯔꯤ ꯈꯦꯠꯅꯕꯥ ꯂꯩꯕꯒꯦ?

ꯃꯁꯤ ꯈꯔꯥ ꯁꯟꯗꯣꯛꯅꯥ ꯇꯥꯀꯆꯁꯤ꯫

• ꯄꯦꯔꯥꯞꯅꯤꯎꯃꯣꯅꯤꯛ ꯏꯐ꯭ꯌꯨꯖꯟ ꯑꯁꯤ ꯄ꯭ꯂꯨꯔꯥꯜ ꯏꯐ꯭ꯌꯨꯁꯅꯒꯤ ꯃꯈꯜ ꯑꯃꯅꯤ꯫ ꯃꯁꯤ ꯅ꯭ꯌꯨꯃꯣꯅꯤꯌꯥꯒꯤ ꯃꯍꯩ ꯑꯣꯏꯅꯥ ꯊꯣꯀꯏ . ꯃꯁꯤꯅꯥ ꯇꯥꯀꯄꯗꯤ ꯅ꯭ꯌꯨꯃꯣꯅꯤꯌꯥꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯄ꯭ꯂꯨꯔꯥꯜ ꯁ꯭ꯄꯦꯁꯇꯥ ꯐ꯭ꯂꯨꯏꯗ ꯊꯨꯃꯖꯤꯜꯂꯤ ꯍꯥꯌꯕꯅꯤ꯫ ꯐ꯭ꯂꯨꯏꯗ ꯑꯁꯤ ꯑꯍꯥꯅꯕꯗꯥ ꯁꯨꯞꯅꯒꯤ ꯐ꯭ꯂꯨꯏꯗ (ꯄꯨꯁ ꯌꯥꯎꯗꯕꯥ) ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯄꯦꯔꯥꯞꯌꯨꯃꯣꯅꯤꯛ ꯏꯐ꯭ꯌꯨꯖꯟ ꯑꯁꯤ ꯕꯦꯛꯇꯦꯔꯤꯌꯥꯅꯥ ꯏꯅꯐꯦꯛꯇ ꯇꯧꯔꯕꯗꯤ ꯑꯃꯁꯨꯡ ꯃꯗꯨꯗꯥ ꯄꯁ ꯁꯦꯝꯂꯕꯗꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯃꯁꯤꯕꯨ `ꯑꯦꯝꯄꯥꯏꯃꯥ` ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ ꯍꯥꯌꯕꯗꯤ ꯄꯦꯔꯥꯞꯅꯤꯎꯃꯣꯅꯤꯛ ꯏꯐ꯭ꯌꯨꯖꯟ ꯑꯃꯅꯥ ꯑꯦꯝꯄꯥꯋꯔꯃꯦꯟꯇ ꯑꯃꯥ ꯑꯣꯏꯅꯥ ꯁꯦꯃꯒꯠꯄꯥ ꯌꯥꯏ꯫

ꯑꯔꯣꯏꯕꯗꯥ, ꯅꯤꯡꯁꯤꯡꯒꯗꯕꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯋꯥꯐꯃꯁꯤꯡ (ꯇꯦꯛ-ꯍꯣꯝ ꯃꯦꯁꯦꯖ)

ꯑꯗꯨꯅꯥ ꯑꯩꯍꯥꯛꯀꯤ ꯏꯆꯤꯜ-ꯏꯅꯥꯑꯣ, ꯑꯩꯍꯥꯛꯅꯥ ꯑꯥꯁꯥ ꯇꯧꯔꯤ ꯃꯗꯨꯗꯤ ꯍꯧꯖꯤꯛꯇꯤ ꯑꯗꯣꯝꯅꯥ ꯑꯦꯝꯄꯥꯋꯔꯃꯦꯟꯇꯀꯤ ꯃꯇꯥꯡꯗꯥ ꯍꯦꯟꯅꯥ ꯂꯧꯁꯤꯡ ꯂꯩꯔꯦ꯫ ꯍꯥꯌꯔꯤꯕꯥ ꯋꯥꯐꯃꯁꯤꯡ ꯑꯁꯤ ꯋꯥꯈꯂꯗꯥ ꯊꯝꯃꯨ:

• ꯑꯦꯝꯄꯥꯋꯔꯃꯦꯟꯇ ꯍꯥꯌꯕꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯂꯪꯁꯀꯤ ꯑꯀꯣꯌꯕꯗꯥ ꯂꯩꯕꯥ ꯄ꯭ꯂꯨꯔꯥꯜ ꯁ꯭ꯄꯦꯁꯇꯥ ꯄꯣꯃꯈꯠꯂꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯃꯊꯧ ꯇꯥꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫
• ꯃꯁꯤꯅꯥ ꯃꯍꯧꯁꯥꯅꯥ ꯈꯣꯡ ꯑꯃꯁꯨꯡ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯗꯥ ꯁꯣꯀꯍꯜꯂꯤꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ (ꯆꯦꯁ꯭ꯠ ꯁꯣꯀꯄꯥ, ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ, ꯂꯥꯏꯍꯧ, ꯀꯣꯛ ꯆꯤꯀꯄꯥ) ꯊꯣꯀꯍꯜꯂꯤ꯫
• ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ ꯍꯥꯌꯔꯕꯁꯨ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯗꯣꯛꯇꯔ ꯑꯃꯅꯥ ꯑꯦꯝꯄꯥꯋꯔꯃꯦꯟꯇ ꯑꯗꯨ ꯇꯣꯏꯅꯥ ꯈꯪꯂꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯐꯒꯠꯂꯀꯄꯒꯤ ꯆꯥꯡ ꯌꯥꯝꯅꯥ ꯋꯥꯡꯏ꯫

ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯗꯤ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯂꯥꯏꯌꯦꯡꯗꯅꯥ ꯊꯃꯖꯤꯜꯂꯕꯗꯤ, ꯅꯠꯠꯔꯒꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯇꯩ ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ, ꯍꯥꯌꯕꯗꯤ ꯗꯥꯏꯑꯦꯕꯦꯇꯤꯖ ꯂꯩꯔꯕꯗꯤ, ꯑꯦꯝꯄꯥꯋꯔꯅꯥ ꯁꯤꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯗꯥ ꯑꯋꯥꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯇꯩ ꯑꯀꯤꯕꯥ ꯄꯣꯀꯍꯅꯕꯥ ꯌꯥꯕꯥ ꯆꯦꯁ꯭ꯇꯀꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯂꯩꯔꯕꯗꯤ, ꯃꯈꯣꯌꯗꯨ ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯅꯥ ꯂꯧꯔꯣꯏꯗꯕꯅꯤ, ꯑꯃꯁꯨꯡ ꯁꯣꯌꯗꯅꯥ ꯈꯨꯗꯛꯇꯥ ꯗꯣꯛꯇꯔ ꯑꯃꯒꯥ ꯇꯥꯟꯅꯧ꯫

ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯑꯦꯝꯄꯥꯋꯔꯃꯦꯟꯇ ꯅꯠꯠꯔꯒꯥ ꯑꯇꯩ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯃꯠꯇꯥ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯈꯪꯗꯣꯀꯄꯥ ꯉꯃꯒꯅꯤ, ꯃꯔꯝ ꯑꯗꯨ ꯈꯪꯗꯣꯀꯄꯥ ꯉꯃꯒꯅꯤ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯀꯄꯨ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯏꯐꯦꯛꯇꯤꯚ ꯑꯣꯏꯕꯥ, ꯃꯇꯤꯛ ꯆꯥꯕꯥ ꯂꯥꯏꯌꯦꯡ ꯄꯤꯕꯥ ꯉꯃꯒꯅꯤ꯫ ꯅꯤꯡꯁꯤꯡꯕꯤꯌꯨ, ꯉꯟꯅꯥ ꯂꯥꯌꯦꯡꯕꯥ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯤ ꯏꯅꯁ꯭ꯠꯔꯛꯁꯅꯁꯤꯡ ꯉꯥꯛꯅꯥ ꯆꯠꯄꯥ ꯑꯁꯤꯅꯥ ꯍꯀꯆꯥꯡ ꯐꯅꯥ ꯂꯩꯅꯕꯒꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯥ ꯄꯥꯝꯕꯩꯅꯤ!

` ꯑꯦꯝꯄꯥꯏꯃꯥ, ꯄ꯭ꯂꯨꯔꯥꯜ ꯁ꯭ꯄꯦꯁ, ꯄꯨꯁ, ꯅ꯭ꯌꯨꯃꯣꯅꯤꯌꯥ, ꯂꯪꯁ ꯏꯅꯐꯦꯛꯁꯟ, ꯈꯣꯡꯗꯥ ꯁꯣꯀꯄꯥ, ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ꯫