ꯅꯍꯥꯛꯀꯤ ꯏꯁꯣꯐꯦꯒꯁ ꯑꯗꯨ ꯁꯣꯀꯄꯥ ꯌꯥꯕ꯭ꯔꯥ? (Esophageal Rupture) ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯅꯤ, ꯑꯀꯨꯞꯄꯥ ꯃꯔꯣꯂꯁꯤꯡ ꯑꯗꯨ ꯈꯉꯂꯁꯤ!

ꯅꯍꯥꯛꯅꯥ ꯈꯪꯍꯧꯗꯅꯥ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯆꯦꯛꯁꯤꯟ-ꯊꯧꯔꯥꯡ, ꯂꯧꯅꯒꯅꯕꯥ ꯂꯥꯌꯅꯥ ꯑꯃꯁꯨꯡ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ ꯊꯦꯡꯅꯈꯤꯕ꯭ꯔꯥ? ꯑꯁꯤꯒꯨꯝꯕꯥ ꯃꯇꯝ ꯑꯁꯤꯗꯥ ꯑꯩꯈꯣꯌꯅꯥ ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯈꯟꯊꯕꯥ ꯐꯥꯑꯣꯕꯥ ꯉꯃꯗꯦ ꯑꯗꯨꯕꯨ ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯈꯨꯗꯣꯡꯊꯤꯅꯤꯡꯉꯥꯏ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫ ꯉꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯒꯗꯧꯔꯤꯕꯥ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯑꯀꯅꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯗꯤ ꯏꯁꯣꯐꯦꯖꯤꯌꯜ ꯔꯄꯆꯔ, ꯅꯠꯔꯒꯥ `(ꯏꯁꯣꯐꯦꯖꯤꯑꯦꯜ ꯔꯄꯆꯔ)`ꯅꯤ꯫ ꯃꯁꯤ ꯈꯪꯖꯤꯅꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ, ꯃꯔꯃꯗꯤ ꯈꯨꯗꯛꯇꯥ ꯂꯥꯏꯌꯦꯡꯕꯅꯥ ꯄꯨꯟꯁꯤ ꯑꯃꯥ ꯐꯥꯎꯕꯥ ꯀꯅꯕꯥ ꯉꯝꯃꯤ꯫

ꯏꯁꯣꯐꯦꯖꯤꯌꯜ ꯔꯄꯆꯔ ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ? ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ...

ꯏꯁꯣꯐꯦꯒꯁ (esophagus) ꯍꯥꯌꯕꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯆꯥꯔꯤꯕꯥ ꯑꯃꯁꯨꯡ ꯊꯀꯄꯥ ꯆꯤꯟꯖꯥꯀꯁꯤꯡ ꯑꯗꯨ ꯑꯩꯈꯣꯌꯒꯤ ꯅꯥꯀꯣꯡꯗꯒꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯈꯣꯡꯗꯥ ꯄꯨꯗꯨꯅꯥ ꯆꯠꯂꯤꯕꯥ ꯇꯤꯎꯕꯅꯤ꯫ ꯃꯁꯤ ꯏꯁꯤꯡꯒꯤ ꯄꯥꯏꯞ ꯑꯃꯒꯨꯝꯅꯥ ꯈꯅꯕꯤꯌꯨ꯫ ꯑꯗꯨꯅꯥ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯏꯁꯣꯐꯦꯒꯁ ꯑꯁꯤꯒꯤ ꯋꯥꯜ ꯑꯗꯨꯒꯤ ꯃꯐꯝ ꯑꯃꯍꯦꯛꯇꯗꯥ ꯍꯨꯔꯥꯅꯕꯥ ꯑꯃꯥ ꯂꯩꯔꯕꯗꯤ, ꯏꯁꯤꯡ ꯇꯨꯡꯁꯤꯅꯕꯥ ꯑꯃꯥ ꯅꯠꯠꯔꯒꯥ ꯁꯣꯀꯄꯥ ꯑꯃꯥ ꯂꯩꯔꯕꯗꯤ , ꯃꯗꯨ ꯑꯩꯈꯣꯌꯅꯥ ꯏꯁꯣꯐꯦꯖꯤꯑꯦꯜ ꯔꯄꯆꯔ ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫

ꯍꯧꯖꯤꯛ ꯅꯍꯥꯛꯅꯥ ꯈꯅꯕꯤꯔꯃꯒꯅꯤ, "ꯑꯗꯨꯗꯤ ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯑꯁꯨꯛ ꯆꯥꯎꯕꯥ ꯀꯔꯤ ꯂꯩꯔꯤꯕꯒꯦ?" ꯅꯠꯇꯦ, ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ . ꯃꯁꯤ ꯈꯟꯊꯕꯤꯌꯨ, ꯑꯩꯈꯣꯌꯒꯤ ꯇ꯭ꯔꯦꯀꯤꯑꯣ ꯑꯁꯤ ꯆꯦꯁ꯭ꯇꯀꯤ ꯃꯅꯨꯡꯗꯥ, ꯂꯪꯁꯀꯤ ꯃꯔꯛꯇꯥ ꯂꯩ꯫ ꯑꯩꯈꯣꯌꯅꯥ ꯆꯥꯕꯥ ꯑꯃꯁꯨꯡ ꯊꯀꯄꯥ ꯆꯤꯟꯖꯥꯀꯁꯤꯡ ꯈꯛꯇꯥ ꯅꯠꯇꯅꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯗꯥꯏꯖꯦꯁ꯭ꯇꯤꯕ ꯁꯤꯁ꯭ꯇꯦꯃꯒꯥ ꯃꯔꯤ ꯂꯩꯅꯕꯥ ꯖꯔꯃꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯀꯦꯃꯤꯀꯦꯂꯁꯤꯡꯁꯨ ꯇ꯭ꯔꯦꯀꯤꯌꯥ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯆꯠꯂꯤ꯫ ꯑꯗꯨꯅꯥ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯇ꯭ꯔꯦꯀꯤꯌꯥꯗꯥ ꯍꯨꯔꯥꯅꯕꯥ ꯑꯃꯥ ꯂꯩꯔꯕꯗꯤ, ꯄꯣꯠꯁꯛ ꯄꯨꯝꯅꯃꯛ ꯑꯁꯤ ꯈꯣꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ, ꯂꯪꯁꯇꯥ ꯅꯠꯠꯔꯒꯥ ꯏꯗꯥ ꯊꯨꯒꯥꯌꯕꯥ ꯌꯥꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯗꯨ ꯑꯣꯏꯔꯕꯗꯤ , ꯁꯥꯊꯤꯕꯥ ꯏꯅꯐꯦꯛꯁꯅꯁꯤꯡ ꯊꯣꯀꯄꯥ ꯌꯥꯏ, ꯃꯗꯨꯅꯥ ꯄꯨꯟꯁꯤꯗꯥ ꯈꯨꯗꯣꯡꯊꯤꯕꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫

ꯃꯔꯝ ꯑꯁꯤꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤꯒꯤ ꯆꯤꯡꯅꯕꯥ ꯂꯩꯔꯕꯗꯤ ꯌꯥꯔꯤꯕꯃꯈꯩ ꯊꯨꯅꯥ, ꯄꯨꯡ 24ꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯃꯇꯦꯡ ꯂꯧꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯃꯁꯤ ``ꯑꯦꯟꯗꯣꯁ꯭ꯀꯣꯄꯤ'' ꯅꯠꯠꯔꯒꯥ ꯁꯔꯖꯔꯤꯒꯨꯝꯕꯥ ꯄ꯭ꯔꯣꯁꯤꯗ꯭ꯌꯨꯑꯣꯔ ꯑꯃꯅꯥ ꯂꯥꯏꯌꯦꯡꯕꯥ ꯌꯥꯏ꯫

ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯀꯌꯥꯝ ꯀꯃꯟ ꯑꯣꯏꯕꯒꯦ?

ꯇꯁꯦꯡꯕꯗꯤ, ꯂꯦꯡ-ꯑꯣꯠꯄꯒꯤ ꯃꯑꯣꯡ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯊꯣꯀꯄꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫ ꯍꯥꯌꯕꯗꯤ ꯃꯤꯄꯨꯝ ꯈꯨꯗꯤꯡꯃꯛꯅꯥ ꯐꯪꯂꯤꯕꯥ ꯄꯣꯠꯁꯛ ꯑꯃꯠꯇꯥ ꯅꯠꯇꯦ꯫ ꯑꯗꯨꯕꯨ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯀꯅꯥꯒꯨꯝꯕꯥ ꯑꯃꯅꯥ ꯐꯪꯂꯕꯗꯤ ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯂꯨꯕꯥ ꯑꯃꯅꯤ, ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯃꯁꯤꯕꯨ ꯈꯉꯕꯥ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫

ꯂꯦꯡ-ꯑꯣꯠꯄꯒꯤ ꯃꯑꯣꯡ ꯑꯃꯁꯨꯡ ꯑꯇꯩ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯔꯛꯇꯥ ꯀꯔꯤ ꯈꯦꯠꯅꯕꯥ ꯂꯩꯕꯒꯦ?

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯃꯤꯑꯣꯏꯕꯅꯥ ꯃꯁꯤꯒꯥ ꯃꯥꯟꯅꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯂꯩꯕꯥ ꯑꯇꯩ ꯀꯟꯗꯤꯁꯅꯁꯤꯡꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯂꯥꯟꯅꯥ ꯂꯧꯅꯩ꯫ ꯃꯈꯣꯌꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯁꯤ꯫

ꯏꯁꯣꯐꯦꯖꯤꯑꯦꯜ ꯔꯄꯆꯔ ꯑꯃꯁꯨꯡ ꯃꯦꯂꯣꯔꯤ-ꯋꯦꯏꯁ ꯇꯤꯌꯥꯔ꯫

``ꯃꯦꯂꯣꯔꯤ-ꯋꯦꯏꯁ ꯇꯤꯌꯥꯔ`` ꯍꯥꯌꯕꯁꯤ ꯏꯁꯣꯐꯦꯒꯁꯀꯤ ꯂꯥꯏꯅꯤꯡꯗꯥ ꯂꯩꯕꯥ ꯇꯤꯌꯥꯔ ꯅꯠꯠꯔꯒꯥ ꯑꯦꯕꯔꯦꯁꯟ ꯑꯃꯈꯛꯇꯅꯤ꯫ ꯃꯁꯤꯅꯥ ꯏꯁꯣꯐꯦꯒꯁ ꯋꯥꯜ (esophagus wall) ꯄꯨꯝꯅꯃꯛꯇꯥ ꯆꯠꯄꯥ ꯉꯃꯗꯦ , ꯍꯥꯌꯕꯗꯤ ꯃꯁꯤꯅꯥ ꯍꯨꯔꯥꯅꯕꯥ ꯑꯃꯥ ꯁꯦꯃꯗꯦ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯏꯁꯣꯐꯦꯒꯁ (ruptured esophagus) ꯑꯃꯗꯥ, ꯋꯥꯜ ꯑꯗꯨ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯁꯣꯀꯏ꯫

ꯏꯁꯣꯐꯦꯖꯤꯌꯜ ꯔꯄꯆꯔ ꯑꯃꯁꯨꯡ ꯏꯁꯣꯐꯦꯖꯤꯑꯦꯜ ꯚꯦꯔꯤꯁ ꯔꯄꯆꯔ꯫

ꯃꯁꯤ ꯏꯎꯔꯦꯊ꯭ꯔꯥꯗꯥ ꯂꯩꯕꯥ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯂꯁꯤꯡ (blood vessels) ꯁꯣꯟꯊꯔꯀꯄꯥ, ꯂꯦꯡ-ꯑꯣꯠꯄꯥ ꯑꯃꯁꯨꯡ ꯄꯣꯃꯈꯠꯂꯀꯄꯥ ꯃꯇꯃꯅꯤ꯫ ꯃꯁꯤꯅꯥ ꯏ ꯌꯥꯝꯅꯥ ꯊꯣꯀꯍꯜꯂꯀꯄꯥ ꯌꯥꯏ , ꯑꯗꯨꯕꯨ ꯃꯁꯤꯅꯥ ꯏꯎꯔꯦꯊ꯭ꯔꯥ ꯃꯁꯥꯃꯛ ꯁꯣꯀꯍꯜꯂꯦ ꯍꯥꯌꯕꯗꯤ ꯅꯠꯇꯦ꯫ ꯏꯎꯔꯦꯊ꯭ꯔꯥꯒꯤ ꯋꯥꯜ ꯑꯗꯨ ꯁꯣꯀꯍꯜꯂꯣꯏ꯫

ꯃꯁꯤꯒꯤ ꯇꯤꯌꯥꯔ ꯗꯛꯇ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯊꯣꯀꯄꯒꯦ?

ꯑꯌꯥꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯏꯁꯣꯐꯦꯒꯁꯇꯥ ꯁꯣꯀꯄꯥ ꯑꯁꯤ ꯏꯁꯣꯐꯦꯒꯁꯇꯥ ꯃꯑꯣꯡ ꯑꯃꯗꯥ ꯁꯣꯀꯍꯜꯂꯕꯥ ꯃꯇꯃꯗꯥ ꯊꯣꯀꯏ . ꯃꯁꯤꯒꯤ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯑꯁꯤ ꯃꯄꯥꯅꯒꯤ ꯅꯠꯠꯔꯒꯥ ꯃꯅꯨꯡꯒꯤ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯈꯔꯗꯤ ꯈꯪꯍꯧꯗꯅꯥ, ꯑꯦꯛꯁꯤꯗꯦꯟꯇ ꯑꯃꯗꯒꯤ ꯊꯣꯀꯄꯥ ꯌꯥꯏ, ꯑꯗꯨꯒꯥ ꯑꯇꯩ ꯈꯔꯗꯤ ꯃꯇꯃꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯂꯥꯀꯄꯥ ꯌꯥꯏ꯫

ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ, ꯏꯁꯣꯐꯦꯒꯁ (esophagus) ꯑꯁꯤ ꯈꯪꯍꯧꯗꯅꯥ ꯄ꯭ꯔꯦꯁꯔ ꯌꯥꯝꯅꯥ ꯄꯤꯕꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯁꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯕꯨ ``Boerhaave's syndrome'' ꯍꯥꯌꯅꯥꯁꯨ ꯀꯧꯏ꯫ꯃꯁꯤ ꯑꯌꯥꯝꯕꯗꯤ ꯌꯥꯝꯅꯥ ꯍꯦꯟꯅꯥ, ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯋꯥꯈꯜ ꯇꯥꯕꯥ ꯃꯇꯃꯗꯥ ꯊꯣꯀꯏ꯫

ꯀꯣꯛ ꯆꯤꯀꯄꯒꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯃꯔꯝ ꯀꯔꯤꯅꯣ?

ꯑꯌꯥꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯏꯁꯣꯐꯦꯖꯤꯑꯦꯜ ꯔꯄꯆꯔꯁꯤꯡ ꯑꯁꯤ ꯃꯦꯗꯤꯀꯦꯜ ꯇ꯭ꯔꯤꯠꯃꯦꯟꯇꯀꯤ ꯃꯇꯃꯗꯥ ꯊꯣꯀꯄꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ (`ꯏꯌꯥꯠꯔꯣꯖꯦꯅꯤꯛ ꯔꯄꯆꯔ`)ꯅꯥ ꯊꯣꯀꯍꯅꯕꯅꯤ꯫ ꯃꯁꯤ ꯃꯔꯨꯑꯣꯏꯅꯥ ꯏꯁꯣꯐꯦꯒꯁꯇꯥ ``ꯑꯦꯟꯗꯣꯁ꯭ꯀꯣꯞ`` ꯑꯃꯥ ꯍꯥꯄꯆꯤꯅꯕꯥ ꯌꯥꯕꯥ ꯂꯥꯏꯌꯦꯡꯁꯤꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫ ``ꯑꯦꯟꯗꯣꯁ꯭ꯀꯣꯞ`` ꯍꯥꯌꯕꯁꯤ ꯀꯦꯃꯦꯔꯥ ꯑꯃꯥ ꯌꯥꯎꯕꯥ ꯑꯄꯤꯀꯄꯥ ꯇꯨꯕ ꯑꯃꯅꯤ꯫ ꯃꯁꯤ ꯃꯤꯠꯀꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯊꯥꯗꯣꯀꯏ ꯑꯃꯁꯨꯡ ꯏꯁꯣꯐꯦꯒꯁ ꯌꯦꯡꯁꯤꯟꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯂꯥꯌꯦꯡꯕꯗꯥ ꯁꯤꯖꯤꯟꯅꯩ꯫

ꯑꯇꯣꯞꯄꯥ ꯃꯔꯃꯁꯤꯡ ꯂꯩꯕꯔꯥ?

ꯍꯣꯌ, ꯑꯇꯣꯞꯄꯥ ꯃꯔꯝ ꯀꯌꯥ ꯑꯃꯁꯨ ꯂꯩꯔꯤ:

• ꯏꯁꯣꯐꯦꯒꯁꯇꯥ ꯁꯔꯖꯔꯤ ꯇꯧꯕꯥ, ꯃꯔꯨꯑꯣꯏꯅꯥ ꯅꯤꯁꯦꯟ ꯐꯟꯗꯣꯞꯂꯤꯀꯦꯁꯟ ꯑꯃꯁꯨꯡ ꯃꯥꯌꯣꯇꯣꯃꯤ꯫
• ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯁ꯭ꯠꯔꯦꯅꯤꯡ (excessive straining): ꯂꯦꯞꯇꯅꯥ ꯋꯥꯈꯜ ꯇꯥꯗꯕꯥ, ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯅꯥ ꯁꯣꯀꯄꯥ, ꯋꯥꯈꯜ ꯆꯔꯥꯡꯅꯕꯥ, ꯅꯠꯠꯔꯒꯥ ꯑꯉꯥꯡ ꯄꯣꯀꯄꯥ ꯑꯁꯤꯅꯆꯤꯡꯕꯥ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯅꯥ ꯁꯣꯀꯍꯅꯕꯥ ꯌꯥꯕꯥ ꯐꯤꯚꯃꯁꯤꯡ꯫
• ꯃꯄꯥꯟ ꯂꯩꯕꯥꯛꯀꯤ ꯄꯣꯠꯁꯛ ꯑꯃꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯀꯅꯕꯥ ꯀꯦꯃꯤꯀꯦꯜ ꯑꯃꯥ ꯊꯀꯄꯥ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯅꯍꯥ ꯑꯣꯏꯔꯤꯕꯥ ꯑꯉꯥꯡꯁꯤꯡꯅꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ, ꯅꯠꯠꯔꯒꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯀꯅꯥꯒꯨꯝꯕꯥ ꯑꯃꯅꯥ ꯑꯦꯁꯤꯗꯒꯨꯝꯕꯥ ꯑꯀꯅꯕꯥ ꯄꯣꯠꯁꯛ ꯑꯃꯥ ꯊꯀꯄꯥ ꯌꯥꯏ꯫
• ꯏꯁꯣꯐꯦꯒꯁꯀꯤ ꯃꯄꯥꯟꯗꯥ ꯂꯩꯕꯥ ꯑꯁꯣꯛ-ꯑꯄꯅꯁꯤꯡ: ꯁꯣꯛ-ꯄꯅꯕꯥ, ꯒꯨꯂꯤ ꯊꯥꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯒꯥꯔꯤꯒꯤ ꯑꯦꯛꯁꯤꯗꯦꯟꯇ ꯑꯃꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯑꯁꯣꯛ-ꯑꯄꯅꯒꯨꯝꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ꯫
• ꯀ꯭ꯔꯣꯅꯤꯛ ꯑꯦꯁꯤꯗ ꯔꯤꯐ꯭ꯂꯛꯁ (GERD): ꯏꯁꯣꯐꯦꯒꯁꯇꯥ ꯁ꯭ꯇꯣꯃꯥꯛ ꯑꯦꯁꯤꯗ ꯔꯤꯐ꯭ꯂꯛꯁ ꯇꯧꯕꯅꯥ ꯑꯂꯁꯔꯁꯤꯡ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ, ꯃꯗꯨꯅꯥ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯍꯦꯟꯅꯥ ꯂꯨꯝꯅꯥ ꯂꯧꯕꯥ ꯑꯃꯁꯨꯡ ꯏꯁꯣꯐꯦꯒꯁꯇꯥ ꯄꯣꯃꯈꯠꯄꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫
• ꯇꯤꯎꯃꯔ ꯅꯠꯠꯔꯒꯥ ꯏꯎꯔꯦꯊ꯭ꯔꯥꯗꯥ ꯆꯦꯟꯊꯔꯀꯄꯥ ꯃꯄꯥꯅꯒꯤ ꯄꯣꯠꯁꯛ ꯑꯃꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯄ꯭ꯔꯦꯁꯔ: ꯃꯁꯤꯅꯥ ꯏꯎꯔꯦꯊ꯭ꯔꯥꯗꯥ ꯇꯤꯁꯨ ꯁꯤꯍꯅꯕꯥ (necrosis) ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫

ꯃꯁꯤꯒꯤꯗꯃꯛꯇꯥ ꯀꯅꯥꯅꯥ ꯔꯤꯁ꯭ꯛ ꯍꯦꯅꯒꯠꯂꯛꯂꯤꯕꯅꯣ?

ꯑꯩꯈꯣꯌꯒꯤ ꯏꯎꯔꯦꯊ꯭ꯔꯥ ꯑꯁꯤ ꯑꯇꯩ ꯑꯣꯔꯒꯥꯅꯁꯤꯡꯗꯒꯤ ꯈꯔꯥ ꯈꯦꯠꯅꯩ꯫ ꯍꯥꯌꯕꯗꯤ ꯑꯇꯩ ꯑꯣꯔꯒꯥꯅꯁꯤꯡꯒꯥ ꯃꯥꯟꯅꯗꯕꯥ ꯃꯑꯣꯡꯗꯥ , ꯏꯎꯔꯦꯊ꯭ꯔꯥꯒꯤ ꯃꯄꯥꯟꯗꯥ ꯉꯥꯀꯊꯣꯛꯅꯕꯥ ꯀꯚꯔ (ꯁꯦꯔꯣꯁꯥꯜ ꯂꯦꯌꯔ) ꯑꯃꯥ ꯂꯩꯇꯦ꯫ ꯃꯁꯤꯅꯥ ꯏꯎꯔꯦꯊ꯭ꯔꯥꯕꯨ ꯍꯦꯟꯅꯥ ꯁꯣꯀꯍꯜꯂꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯏꯎꯔꯦꯊ꯭ꯔꯥꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯏꯅꯐꯦꯛꯁꯟ, ꯁꯣꯛ-ꯄꯅꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯂꯩꯔꯕꯗꯤ ꯔꯤꯁ꯭ꯛ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯋꯥꯡꯏ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯃꯥꯡꯗꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯍꯦꯛꯇꯕꯨ ꯊꯦꯡꯅꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯔꯤꯁ꯭ꯛ ꯑꯁꯤ ꯔꯄꯆꯔ ꯑꯣꯏꯕꯥ ꯎꯚꯨꯂꯥ ꯑꯃꯥ ꯂꯥꯀꯄꯒꯤ ꯔꯤꯁ꯭ꯛ ꯑꯁꯤ ꯈꯔꯥ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ ꯌꯥꯏ:

• ꯀ꯭ꯔꯣꯅꯤꯛ ꯒꯦꯁ꯭ꯠꯔꯥꯏꯇꯤꯁ (`ꯀ꯭ꯔꯣꯅꯤꯛ ꯑꯦꯁꯤꯗ ꯔꯤꯐ꯭ꯂꯛꯁ / ꯖꯤ.ꯏ.ꯑꯥꯔ.ꯗꯤ.`)꯫
• ꯏꯑꯣꯁꯤꯅꯣꯐꯤꯂꯤꯛ ꯏꯁꯣꯐꯦꯖꯤꯇꯤꯁ (ꯏꯁꯣꯐꯦꯒꯁꯇꯥ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯁꯟ ꯊꯣꯀꯍꯅꯕꯥ ꯀꯟꯗꯤꯁꯟ)꯫
• ꯏꯁꯣꯐꯦꯖꯤꯑꯦꯜ ꯗꯤꯚꯥꯔꯇꯤꯀꯨꯂꯝ (ꯏꯁꯣꯐꯦꯖꯤꯌꯜ ꯗꯤꯚꯥꯔꯇꯤꯀꯨꯂꯝ (esophageal diverticulum) (ꯏꯁꯣꯐꯦꯒꯁꯀꯤ ꯋꯥꯂꯗꯥ ꯑꯄꯤꯀꯄꯥ ꯄꯥꯎꯆꯦꯒꯨꯝꯕꯥ ꯄꯣꯠꯁꯛ ꯑꯃꯥ)꯫
• ꯏꯁꯣꯐꯦꯖꯤꯑꯦꯜ ꯀꯦꯟꯁꯔ ꯂꯩꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯏꯁꯣꯐꯦꯖꯤꯌꯜ ꯊꯦꯔꯥꯄꯤ ꯂꯩꯕꯥ꯫
• ꯌꯨ ꯌꯥꯝꯅꯥ ꯊꯀꯄꯥ꯫
• ꯃꯃꯥꯡꯗꯥ ꯊ꯭ꯔꯣꯠ ꯁꯔꯖꯔꯤ ꯇꯧꯈꯤꯕꯥ꯫

ꯃꯁꯤꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯤꯅꯣ? ꯑꯀꯛꯅꯅꯥ ꯈꯉꯂꯁꯤ!

ꯂꯦꯡ-ꯑꯣꯠꯄꯒꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡꯗꯤ:

• ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯆꯦꯛꯁꯤꯟ-ꯊꯧꯔꯥꯡ (chest pain) - ꯃꯁꯤꯅꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯂꯥꯏꯑꯣꯡꯅꯤ꯫
• ꯂꯧꯅꯒꯅꯕꯥ ꯑꯋꯥꯕꯥ .
• ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ .
• ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯍꯥꯔꯠ ꯔꯦꯠ꯫
• ꯀꯣꯛ ꯉꯥꯎꯕ .
• ꯏ ꯊꯣꯀꯄꯥ .
• ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ ꯅꯦꯝꯕꯥ .
• ꯂꯥꯏꯍꯧ ꯍꯧꯕ .

ꯑꯌꯥꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯇꯤꯟ-ꯀꯥꯡ ꯑꯁꯤ ꯈꯣꯡꯒꯤ ꯃꯌꯥꯏ ꯅꯠꯠꯔꯒꯥ ꯃꯈꯥ ꯊꯪꯕꯥ ꯁꯔꯨꯛꯇꯥ ꯊꯣꯀꯏ꯫ ꯃꯁꯤꯒꯤ ꯀꯦꯁ ꯑꯁꯤꯗꯥ, ꯑꯅꯥꯕꯥ ꯑꯗꯨ ꯆꯦꯛꯁꯤꯟꯅꯥ ꯌꯦꯡꯁꯤꯜꯂꯤ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯇꯤꯟ-ꯀꯥꯡ ꯑꯗꯨ ꯀꯣꯛꯀꯤ ꯃꯊꯛ ꯅꯠꯠꯔꯒꯥ ꯌꯥꯝꯅꯥ ꯃꯈꯥ ꯊꯪꯕꯥ ꯁꯔꯨꯛꯇꯥ ꯊꯣꯛꯂꯕꯗꯤ, ꯑꯁꯣꯀꯄꯥ ꯑꯗꯨ ꯈꯣꯡ, ꯃꯊꯛ ꯊꯪꯕꯥ ꯁꯔꯨꯛꯇꯥ ꯅꯠꯠꯔꯒꯥ ꯔꯥꯏꯠ ꯁꯣꯜꯗꯔ ꯕ꯭ꯂꯦꯗꯇꯥ ꯐꯥꯎꯕꯥ ꯌꯥꯏ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯃꯗꯒꯤ ꯍꯦꯅꯕꯥ ꯂꯩꯔꯕꯗꯤ, ꯃꯈꯣꯌꯗꯨ ꯌꯦꯡꯁꯤꯅꯕꯤꯒꯅꯨ꯫ ꯃꯔꯨꯑꯣꯏꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯈꯪꯍꯧꯗꯅꯥ, ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯆꯦꯛꯁꯤꯟ-ꯊꯧꯔꯥꯡꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯂꯥꯀꯄꯥ ꯑꯣꯏꯔꯕꯗꯤ ꯈꯨꯗꯛꯇꯥ ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯃꯇꯦꯡ ꯂꯧꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫

ꯃꯁꯤꯅꯥ ꯀꯔꯤ ꯈꯨꯗꯣꯡꯊꯤꯅꯤꯉꯥꯏ ꯑꯣꯏꯕꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯕꯒꯦ?

ꯁ꯭ꯇꯣꯃꯥꯀꯀꯤ ꯃꯅꯨꯡꯗꯥ ꯂꯩꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯖꯔꯃꯁꯤꯡ ꯑꯗꯨ ꯏꯁꯣꯐꯦꯒꯁꯀꯤ ꯍꯣꯜ ꯑꯗꯨꯗꯒꯤ ꯂꯤꯛ ꯑꯣꯏꯕꯥ ꯃꯇꯃꯗꯥ, ꯃꯈꯜ ꯈꯨꯗꯤꯡꯃꯛꯀꯤ ꯈꯨꯗꯣꯡꯊꯤꯅꯤꯉꯥꯏ ꯑꯣꯏꯕꯥ ꯐꯤꯚꯃꯁꯤꯡ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯈꯅꯕꯤꯌꯨ, ꯃꯁꯤ ꯑꯁꯪꯕꯥ ꯏꯁꯤꯡꯒꯤ ꯇꯦꯉ꯭ꯛ ꯑꯃꯒꯨꯝꯕꯅꯤ, ꯃꯗꯨꯗꯥ ꯍꯨꯔꯥꯅꯕꯥ ꯑꯃꯥ ꯂꯩ ꯑꯃꯁꯨꯡ ꯃꯐꯝ ꯄꯨꯝꯅꯃꯛꯇꯥ ꯏꯁꯤꯡ ꯆꯦꯟꯊꯔꯀꯏ꯫

• ꯆꯦꯁ꯭ꯇꯀꯤ ꯂꯥꯏꯅꯤꯡꯒꯤ ꯀꯦꯃꯤꯀꯦꯜ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯁꯟ (pleurisy) ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫
• ꯐ꯭ꯂꯨꯏꯗ ꯑꯁꯤ ꯆꯦꯁ꯭ꯠ ꯀꯦꯚꯤꯇꯤ (pleural effusion)ꯒꯤ ꯃꯅꯨꯡꯗꯥ (pleural effusion) ꯊꯨꯄꯆꯤꯜꯂꯤ, ꯑꯃꯁꯨꯡ ꯃꯁꯤꯅꯥ ꯁꯣꯀꯍꯅꯕꯥ ꯐꯥꯎꯕꯥ ꯌꯥꯏ꯫
• ꯂꯪꯁꯀꯤ ꯃꯔꯛꯇꯥ ꯂꯩꯕꯥ ꯃꯐꯝ (`ꯃꯦꯗꯤꯌꯥꯁ꯭ꯇꯤꯅꯝ`) (`ꯃꯦꯗꯤꯌꯥꯁ꯭ꯇꯤꯅꯦꯜ ꯑꯦꯝꯐꯥꯏꯁꯦꯃꯥ`)ꯗꯥ ꯅꯨꯡꯁꯤꯠ ꯁꯤꯠꯄꯥ ꯌꯥꯏ꯫
• ꯃꯁꯤꯒꯤ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯁꯟ ꯑꯁꯤꯅꯥ ꯆꯦꯁ꯭ꯠ ꯀꯦꯚꯤꯇꯤꯗꯥ ꯅꯠꯠꯔꯒꯥ ꯂꯪꯁꯀꯤ ꯃꯔꯛꯇꯥ ꯇꯤꯁꯨ ꯁꯤꯍꯅꯕꯥ (necrosis) ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫
• ꯏꯗꯥ ꯕꯦꯛꯇꯦꯔꯤꯌꯥ ꯏꯅꯐꯦꯛꯁꯟ (`ꯁꯦꯞꯇꯤꯁꯦꯃꯤꯌꯥ`) ꯑꯃꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫
• ``ꯁꯦꯞꯇꯤꯁꯦꯃꯤꯌꯥ'' ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯑꯣꯏꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯃꯁꯤꯅꯥ ``ꯁꯦꯄꯁꯤꯁ'' ꯀꯧꯕꯥ ꯄꯨꯟꯁꯤꯕꯨ ꯈꯨꯗꯣꯡꯊꯤꯍꯅꯕꯥ ꯌꯥꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ, ꯃꯗꯨꯅꯥ ꯑꯔꯣꯏꯕꯗꯥ ``ꯁꯦꯞꯇꯤꯛ ꯁꯣꯛ'' ꯑꯃꯁꯨꯡ ꯑꯣꯔꯒꯥꯟ ꯐꯦꯜ ꯑꯣꯏꯍꯅꯕꯥ ꯌꯥꯏ꯫

ꯃꯁꯤ ꯄꯨꯝꯅꯃꯛ ꯑꯁꯤꯅꯥ ꯁꯣꯀꯍꯜꯂꯕꯥ ꯂꯦꯡ-ꯑꯣꯠꯄꯒꯤ ꯃꯑꯣꯡ ꯑꯁꯤ ꯀꯌꯥ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯎꯠꯂꯤ꯫

ꯅꯍꯥꯛꯀꯤ ꯏꯁꯣꯐꯦꯒꯁ ꯑꯗꯨ ꯁꯣꯀꯍꯜꯂꯕꯗꯤ ꯅꯍꯥꯛꯅꯥ ꯀꯔꯝꯅꯥ ꯁꯣꯌꯗꯅꯥ ꯈꯪꯒꯅꯤ? ꯀꯗꯥꯏꯗꯥ ꯗꯣꯛꯇꯔꯒꯥ ꯇꯥꯟꯅꯒꯗꯒꯦ?

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯂꯩꯔꯦ ꯍꯥꯌꯕꯒꯤ ꯆꯤꯡꯅꯕꯥ ꯂꯩꯔꯕꯗꯤ, ꯈꯨꯗꯛꯇꯥ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯂꯒꯤ ꯏꯃꯔꯖꯦꯟꯁꯤ ꯔꯨꯝ (ER) ꯑꯃꯗꯥ ꯆꯠꯂꯨ꯫ ꯁꯥꯊꯤꯕꯥ ꯑꯅꯥꯕꯥ, ꯂꯧꯅꯒꯅꯕꯥ ꯂꯥꯌꯅꯥ, ꯑꯃꯁꯨꯡ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ ꯑꯁꯤ ꯄꯨꯝꯅꯃꯛ ꯑꯁꯤ ꯑꯦꯃꯔꯖꯦꯟꯁꯤ ꯑꯃꯒꯤ ꯈꯨꯗꯃꯁꯤꯡꯅꯤ꯫ ꯅꯍꯥꯛꯀꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯝꯅꯥ ꯍꯧꯈꯤꯕꯒꯦ ꯑꯃꯁꯨꯡ ꯃꯇꯝ ꯑꯗꯨꯗꯥ ꯀꯔꯤ ꯊꯣꯀꯈꯤꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯁꯣꯌꯗꯅꯥ ꯈꯪꯍꯅꯕꯤꯌꯨ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯑꯦꯛꯁꯤꯗꯦꯟꯇ ꯑꯃꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯍꯧꯔꯛꯂꯕꯗꯤ, ꯃꯊꯧ ꯇꯥꯗꯕꯥ ꯄꯣꯠꯁꯛ ꯑꯃꯥ ꯊꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯌꯥꯝꯅꯥ ꯋꯥꯅꯥ ꯊꯣꯛꯂꯛꯂꯕꯗꯤ, ꯃꯁꯤ ꯏꯁꯣꯐꯦꯒꯁ (esophagus) ꯁꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯗꯣꯛꯇꯔꯅꯥ ꯃꯁꯤꯒꯤ ꯄ꯭ꯔꯃꯥꯟ ꯊꯤꯒꯅꯤ꯫

ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯃꯁꯤ ꯀꯔꯝꯅꯥ ꯂꯥꯌꯦꯡꯒꯅꯤ?

ꯗꯣꯛꯇꯔꯅꯥ ꯏꯁꯣꯐꯦꯒꯁꯇꯥ ꯏꯁꯤꯡ ꯁꯣꯀꯄꯥ ꯌꯥꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯁꯤꯟꯅꯕꯥ ꯇꯦꯁ꯭ꯠ ꯀꯌꯥ ꯑꯃꯥ ꯇꯧꯅꯕꯥ ꯑꯣꯔꯗꯔ ꯇꯧꯒꯅꯤ꯫

• ꯑꯍꯥꯅꯕꯗꯥ, ꯆꯦꯁ꯭ꯠ ꯑꯦꯛꯁ-ꯔꯦ ꯑꯁꯤ ꯃꯍꯧꯁꯥꯅꯥ ꯆꯦꯁ꯭ꯠ ꯀꯦꯚꯤꯇꯤꯗꯥ ꯐ꯭ꯂꯨꯏꯗ ꯂꯤꯛ ꯅꯠꯠꯔꯒꯥ ꯑꯦꯌꯔ ꯕꯕꯂꯁꯤꯡ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯁꯤꯟꯅꯕꯥ ꯄꯥꯡꯊꯣꯀꯏ꯫
• ꯃꯁꯤ ꯀꯅꯐꯥꯔꯝ ꯇꯧꯅꯕꯥ, ꯅꯍꯥꯀꯄꯨ ꯏꯁꯣꯐꯦꯒꯣꯒ꯭ꯔꯥꯝ ꯀꯧꯕꯥ ꯑꯇꯣꯞꯄꯥ ꯁꯦꯟꯁꯤꯇꯤꯚ ꯑꯦꯛꯁ-ꯔꯦ ꯇꯦꯁ꯭ꯠ ꯑꯃꯥ ꯇꯧꯅꯕꯥ ꯍꯥꯌꯔꯀꯄꯥ ꯌꯥꯏ꯫ ꯇꯦꯁ꯭ꯠ ꯑꯁꯤꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯆꯨꯒꯤ ꯂꯤꯛꯌꯨꯏꯗ (ꯀꯟꯠꯔꯁ꯭ꯠ ꯗꯥꯏ) ꯑꯃꯥ ꯊꯀꯏ ꯑꯃꯁꯨꯡ ꯑꯦꯛꯁ-ꯔꯦ ꯂꯧꯏ꯫ ꯃꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯏꯁꯣꯐꯦꯒꯁꯀꯤ ꯃꯅꯨꯡꯗꯥ ꯂꯩꯕꯥ ꯃꯐꯝ ꯑꯗꯨ ꯃꯌꯦꯛ ꯁꯦꯡꯅꯥ ꯎꯕꯥ ꯉꯃꯍꯜꯂꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯆꯨꯒꯤ ꯂꯤꯛꯌꯨꯏꯗ ꯑꯁꯤ ꯍꯣꯜ ꯑꯗꯨꯗꯒꯤ ꯂꯤꯛ ꯑꯣꯏꯔꯕꯗꯤ, ꯃꯁꯤ ꯑꯦꯛꯁ-ꯔꯦꯗꯥ ꯃꯌꯦꯛ ꯁꯦꯡꯅꯥ ꯎꯕꯥ ꯐꯪꯒꯅꯤ꯫ ꯃꯁꯤꯅꯥ ꯍꯣꯜ ꯑꯗꯨ ꯀꯗꯥꯏꯗꯥ ꯂꯩꯕꯒꯦ ꯑꯃꯁꯨꯡ ꯀꯌꯥꯝ ꯌꯥꯡꯅꯥ ꯂꯤꯛ ꯑꯣꯏꯕꯒꯦ ꯍꯥꯌꯕꯗꯨꯁꯨ ꯈꯪꯍꯅꯕꯥ ꯉꯝꯃꯤ꯫
• ꯀꯔꯤꯒꯨꯝꯕ ꯃꯇꯝꯗꯁꯤ.ꯇꯤ.ꯁ꯭ꯀꯦꯟ ꯇꯧꯕꯁꯨ ꯔꯦꯀꯃꯦꯟꯗ ꯇꯧꯕꯥ ꯌꯥꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯊꯛꯀꯤ ꯅꯠꯠꯔꯒꯥ ꯃꯈꯥ ꯊꯪꯕꯥ ꯏꯁꯣꯐꯦꯒꯁꯇꯥ ꯏꯁꯤꯡ ꯊꯨꯃꯖꯤꯅꯕꯥ ꯆꯤꯡꯅꯕꯥ ꯂꯩꯔꯕꯗꯤ ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫ ꯁꯤ.ꯇꯤ.ꯁ꯭ꯀꯦꯟ ꯑꯃꯅꯥ ꯈꯣꯡ ꯅꯠꯠꯔꯒꯥ ꯈꯣꯡꯗꯥ ꯐ꯭ꯂꯨꯏꯗ ꯌꯥꯎꯕꯥ ꯃꯐꯃꯁꯤꯡ ꯈꯪꯗꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯃꯈꯣꯌꯗꯨ ꯂꯧꯊꯣꯀꯄꯥ ꯃꯊꯧ ꯇꯥꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯈꯪꯗꯣꯀꯄꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫

ꯃꯁꯤꯒꯤ ꯂꯥꯏꯌꯦꯡ ꯑꯁꯤ ꯀꯔꯤꯅꯣ?

ꯃꯁꯤꯒꯤꯗꯃꯛꯇꯥ ꯁ꯭ꯇꯦꯟꯗꯔꯗ ꯑꯣꯏꯕꯥ ꯂꯥꯏꯌꯦꯡ ꯀꯌꯥ ꯂꯩ:

• ꯏꯅꯠꯔꯥꯚꯦꯅꯁ ꯐ꯭ꯂꯨꯏꯗ (IV ꯐ꯭ꯂꯨꯏꯗ): ꯏ ꯊꯣꯀꯄꯥ, ꯈꯣꯡ ꯍꯥꯝꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯊꯀꯄꯥ ꯉꯃꯗꯕꯗꯒꯤ ꯃꯥꯡꯈꯤꯕꯥ ꯐ꯭ꯂꯨꯏꯗꯁꯤꯡꯒꯤ ꯃꯍꯨꯠ ꯁꯤꯅꯕꯥ꯫
• IV ꯑꯦꯟꯇꯤꯕꯥꯏꯑꯣꯇꯤꯛ ꯑꯃꯁꯨꯡ/ꯅꯠꯠꯔꯒꯥ ꯑꯦꯟꯇꯤꯐꯉ꯭ꯒꯦꯂꯁꯤꯡ: ꯏꯅꯐꯦꯛꯁꯟ ꯑꯃꯍꯦꯛꯇꯕꯨ ꯊꯤꯡꯅꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯍꯧꯖꯤꯛ ꯂꯩꯔꯤꯕꯥ ꯏꯅꯐꯦꯛꯁꯟ ꯑꯃꯥ ꯂꯥꯏꯌꯦꯡꯅꯕꯥ꯫
• IV ꯅ꯭ꯌꯨꯠꯔꯤꯁꯟ ꯅꯠꯠꯔꯒꯥ ꯇꯤꯎꯕ ꯐꯤꯗꯤꯡ: ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯃꯇꯃꯗꯥ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯅꯥ ꯐꯒꯠꯂꯛꯠꯔꯤꯐꯥꯎꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯆꯤꯟꯖꯥꯛ ꯑꯗꯨ ꯃꯤꯠꯅꯥ ꯊꯀꯄꯥ ꯉꯃꯂꯣꯏ꯫
• ꯄꯔꯛꯌꯨꯇꯦꯅꯤꯌꯝ ꯐ꯭ꯂꯨꯏꯗ ꯗ꯭ꯔꯦꯅꯦꯖ (percutaneous fluid drainage): ꯃꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯀꯦꯚꯤꯇꯤꯁꯤꯡꯗꯥ ꯌꯥꯎꯔꯤꯕꯥ ꯏꯅꯐꯦꯛꯁꯟ ꯂꯩꯔꯕꯥ ꯐ꯭ꯂꯨꯏꯗ ꯑꯗꯨ ꯂꯧꯊꯣꯛꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯗꯤꯁꯏꯅꯐꯦꯛꯇ ꯇꯧꯕꯗꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯏ꯫ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯌꯥꯔꯤꯕꯃꯈꯩ ꯊꯨꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯅꯤꯗꯜ ꯅꯠꯠꯔꯒꯥ ꯇꯤꯎꯕ ꯑꯃꯥ ꯊꯥꯗꯨꯅꯥ ꯐ꯭ꯂꯨꯏꯗ ꯑꯁꯤ ꯂꯧꯊꯣꯛꯅꯕꯥ ꯍꯣꯠꯅꯒꯅꯤ꯫
• ꯑꯦꯟꯗꯣꯁ꯭ꯀꯣꯄꯤꯛ ꯂꯥꯏꯌꯦꯡ: ꯑꯄꯤꯀꯄꯥ, ꯑꯄꯤꯀꯄꯥ ꯑꯁꯣꯀꯄꯥ ꯈꯔꯗꯤ ꯑꯦꯟꯗꯣꯁ꯭ꯀꯣꯞ ꯁꯤꯖꯤꯟꯅꯗꯨꯅꯥ ꯁꯔꯖꯔꯤ ꯇꯧꯗꯅꯥ ꯂꯥꯏꯌꯦꯡꯕꯥ ꯌꯥꯏ꯫ ꯑꯦꯟꯗꯣꯁ꯭ꯀꯣꯞ ꯍꯥꯌꯕꯁꯤ ꯀꯦꯃꯦꯔꯥ ꯑꯃꯥ ꯌꯥꯎꯕꯥ ꯁꯥꯡꯕꯥ ꯇꯨꯕ ꯑꯃꯅꯤ꯫ ꯃꯁꯤ ꯀꯣꯛ ꯑꯗꯨꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯏꯁꯣꯐꯦꯒꯁꯇꯥ ꯊꯥꯗꯣꯀꯏ ꯑꯃꯁꯨꯡ ꯃꯗꯨ ꯀ꯭ꯂꯤꯞ, ꯁꯨꯇꯔ, ꯚꯦꯛꯌꯨꯝ ꯁ꯭ꯄꯣꯟꯖ ꯅꯠꯠꯔꯒꯥ ꯁ꯭ꯇꯦꯟꯇ ꯑꯃꯅꯥ ꯔꯤꯄꯦꯌꯥꯔ ꯇꯧꯕꯥ ꯌꯥꯏ꯫
• ꯁꯔꯖꯔꯤ: ꯃꯤꯑꯣꯏ ꯈꯔꯗꯤ ꯃꯤꯠꯀꯨꯞ ꯑꯗꯨ ꯍꯀꯊꯦꯡꯅꯅꯥ ꯔꯤꯄꯦꯌꯥꯔ ꯇꯧꯅꯕꯥ ꯁꯔꯖꯔꯤ ꯃꯊꯧ ꯇꯥꯏ꯫ ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯃꯗꯥ ꯁꯔꯖꯔꯤꯅꯥ ꯑꯍꯦꯅꯕꯥ ꯐ꯭ꯂꯨꯏꯗ ꯑꯃꯁꯨꯡ ꯑꯁꯤꯕꯥ ꯇꯤꯁꯨ ꯂꯧꯊꯣꯀꯏ꯫ ꯅꯍꯥꯛꯀꯤ ꯀꯟꯗꯤꯁꯅꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ, ꯅꯍꯥꯛꯀꯤ ꯁꯔꯖꯔꯤ ꯑꯗꯨꯅꯥ ꯚꯤꯗꯤꯑꯣ-ꯑꯦꯁꯤꯁ꯭ꯇꯦꯗ ꯊꯣꯔꯥꯀꯣꯁ꯭ꯀꯣꯄꯤꯛ ꯁꯔꯖꯔꯤ (VATS) ꯒꯨꯝꯕꯥ ꯃꯤꯅꯤꯃꯝ ꯏꯅꯚꯦꯁꯤꯚ ꯄ꯭ꯔꯣꯁꯤꯗ꯭ꯌꯨꯑꯣꯔ ꯑꯃꯥ ꯁꯤꯖꯤꯟꯅꯕꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯑꯦꯃꯔꯖꯦꯟꯁꯤ ꯈꯔꯗꯗꯤ, ꯑꯣꯄꯟ ꯁꯔꯖꯔꯤ ꯑꯃꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯅꯥ ꯑꯁꯣꯀꯄꯥ ꯃꯐꯝ ꯑꯗꯨꯗꯥ ꯌꯥꯡꯅꯥ ꯑꯃꯁꯨꯡ ꯍꯦꯟꯅꯥ ꯐꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯌꯧꯕꯥ ꯉꯃꯍꯜꯂꯤ꯫

ꯐꯤꯚꯝ ꯑꯁꯤꯗꯒꯤ ꯅꯥꯟꯊꯣꯀꯄꯥ ꯉꯃꯒꯗ꯭ꯔꯥ? ꯐꯒꯠꯂꯀꯄꯒꯤ ꯑꯣꯏꯊꯣꯀꯄꯥ ꯀꯔꯤ ꯂꯩꯕꯒꯦ?

ꯍꯣꯌ, ꯁꯣꯀꯍꯜꯂꯕꯥ ꯂꯦꯡ-ꯑꯣꯠꯄꯒꯤ ꯃꯑꯣꯡ ꯑꯁꯤ ꯂꯥꯏꯌꯦꯡꯕꯥ ꯉꯝꯃꯤ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯅꯍꯥꯛꯀꯤ ꯄ꯭ꯔꯣꯒ꯭ꯅꯣꯁꯤꯁ ꯑꯁꯤ ꯅꯍꯥꯛꯅꯥ ꯀꯌꯥ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯂꯥꯏꯌꯦꯡ ꯆꯠꯊꯕꯒꯦ ꯍꯥꯌꯕꯗꯨꯒꯤ ꯃꯈꯥ ꯄꯣꯜꯂꯤ꯫ ꯏꯅꯐꯦꯛꯁꯟ ꯑꯗꯨ ꯆꯦꯁ꯭ꯠ ꯀꯦꯚꯤꯇꯤꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯑꯃꯁꯨꯡ ꯏꯒꯤ ꯈꯣꯡꯖꯦꯂꯗꯥ ꯁꯟꯗꯣꯀꯄꯗꯥ ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯆꯪꯂꯕꯗꯤ ꯅꯍꯥꯛꯀꯤ ꯔꯤꯁ꯭ꯛ ꯑꯗꯨ ꯍꯦꯟꯅꯥ ꯋꯥꯡꯏ꯫

ꯔꯄꯆꯔꯒꯤ ꯑꯍꯥꯅꯕꯥ ꯄꯨꯡ 24ꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯂꯥꯏꯌꯦꯡ ꯂꯧꯔꯤꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯅꯥ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯐꯒꯠꯂꯀꯄꯒꯤ ꯆꯥꯡ ꯋꯥꯡꯏ꯫ ꯀꯥꯡꯂꯨꯞ ꯑꯁꯤꯗꯥ ꯍꯤꯡꯕꯒꯤ ꯆꯥꯡ ꯑꯁꯤ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯸꯵%ꯅꯤ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯂꯥꯏꯌꯦꯡꯗꯅꯥ ꯄꯨꯡ 48 ꯁꯨꯔꯕꯗꯤ, ꯃꯗꯨꯒꯤ ꯆꯥꯡ ꯑꯗꯨ 50%ꯗꯥ ꯍꯟꯊꯔꯀꯏ꯫

ꯃꯁꯤꯅꯥ ꯉꯟꯅꯥ ꯂꯥꯌꯦꯡꯕꯥ ꯑꯁꯤ ꯀꯌꯥ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯎꯠꯄꯥ ꯉꯃꯗ꯭ꯔꯤꯕꯔꯥ?

ꯑꯔꯣꯏꯕꯥ ꯇꯦꯛ-ꯍꯣꯝ ꯃꯦꯁꯦꯖ꯫

ꯂꯦꯡ-ꯑꯣꯠꯄꯒꯤ ꯃꯑꯣꯡ (ruptured larynx) ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯑꯗꯨꯕꯨ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯊꯣꯀꯄꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯊꯣꯛꯂꯕꯗꯤ, ꯃꯗꯨ ꯈꯨꯗꯛꯇꯥ ꯈꯪꯖꯤꯅꯕꯗꯥ ꯑꯋꯥꯕꯥ ꯑꯣꯏꯔꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯀꯩꯗꯧꯉꯩꯗꯥ ꯆꯦꯛꯀꯤ ꯑꯅꯥꯕꯥ ꯑꯁꯤ ꯌꯦꯡꯁꯤꯅꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫

ꯑꯩꯈꯣꯌꯒꯤ ꯏꯁꯣꯐꯦꯒꯁ ꯑꯁꯤ ꯂꯦꯡ-ꯑꯣꯠꯄꯗꯥ ꯋꯥꯕꯥ ꯑꯃꯁꯨꯡ ꯐꯖꯅꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯏ꯫ ꯃꯁꯤ ꯊꯥꯖꯗꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯃꯗꯨ ꯑꯣꯏꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯑꯋꯥꯕꯥ ꯑꯁꯤ ꯀꯗꯥꯌꯗꯒꯤ ꯂꯥꯀꯄꯅꯣ ꯅꯠꯔꯒꯥ ꯃꯁꯤꯒꯤ ꯑꯔꯊ ꯀꯔꯤꯅꯣ ꯍꯥꯌꯕꯗꯨ ꯅꯍꯥꯛꯅꯥ ꯈꯉꯕꯥ ꯉꯃꯗꯕꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, "ꯃꯁꯤ ꯁꯨꯞꯅꯇꯒꯤ ꯆꯠꯈꯤꯒꯅꯤ" ꯍꯥꯌꯅꯥ ꯈꯟꯗꯨꯅꯥ ꯂꯩꯔꯣꯏꯗꯕꯅꯤ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯈꯪꯍꯧꯗꯅꯥ, ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯆꯦꯛꯁꯤꯟ-ꯊꯧꯔꯥꯡꯒꯤ ꯑꯅꯥꯕꯥ ꯂꯩꯔꯕꯗꯤ, ꯅꯠꯠꯔꯒꯥ ꯅꯍꯥꯛꯀꯤ ꯀꯣꯛ ꯅꯠꯠꯔꯒꯥ ꯃꯊꯛ ꯊꯪꯕꯥ ꯁꯔꯨꯛꯇꯥ ꯑꯅꯥꯕꯥ ꯂꯩꯔꯕꯗꯤ, ꯈꯨꯗꯛꯇꯥ ꯏꯃꯔꯖꯦꯟꯁꯤ ꯔꯨꯃꯗꯥ ꯆꯠꯂꯨ꯫ ꯑꯄꯤꯀꯄꯥ ꯄꯉ꯭ꯀꯆꯔ ꯑꯃꯅꯥ ꯐꯥꯑꯣꯕꯥ ꯏꯅꯐꯦꯛꯁꯟ ꯑꯃꯁꯨꯡ ꯑꯩꯈꯣꯌꯅꯥ ꯃꯃꯥꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯈꯤꯕꯥ ꯈꯨꯗꯣꯡꯊꯤꯅꯤꯡꯉꯥꯏ ꯑꯣꯏꯕꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯟ ꯄꯨꯝꯅꯃꯛ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯅꯍꯥꯛꯀꯤ ꯄꯨꯟꯁꯤ ꯑꯁꯤ ꯃꯃꯜ ꯌꯥꯝꯃꯤ, ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯗꯨꯗꯥ ꯄꯨꯛꯅꯤꯡ ꯆꯪꯕꯤꯌꯨ ꯑꯃꯁꯨꯡ ꯌꯥꯔꯤꯕꯃꯈꯩ ꯊꯨꯅꯥ ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯃꯇꯦꯡ ꯂꯧꯕꯤꯌꯨ꯫

ꯏꯁꯣꯐꯦꯖꯤꯌꯜ ꯔꯨꯄꯆꯔ, ꯆꯦꯁ꯭ꯠ ꯄꯦꯏꯟ, ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ, ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ, ꯕꯣꯔꯍꯥꯚ ꯁꯤꯟꯗꯣꯝ, ꯏꯃꯔꯖꯦꯟꯁꯤ ꯂꯥꯏꯌꯦꯡ꯫