ꯑꯩꯈꯣꯌꯅꯥ ꯑꯦꯛꯁꯇꯨꯕꯦꯁꯅꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯃꯄꯨꯡ ꯐꯥꯅꯥ ꯈꯉꯂꯕ꯭ꯔꯥ?

ꯅꯍꯥꯛꯅꯥ ꯏꯟꯇꯦꯟꯁꯤꯚ ꯀꯦꯌꯔ ꯌꯨꯅꯤꯠ (ICU)ꯗꯥ ꯂꯩꯕꯥ ꯀꯅꯥꯒꯨꯝꯕꯥ ꯑꯃꯗꯥ ꯆꯠꯈꯤꯕꯥ ꯂꯩꯕ꯭ꯔꯥ? ꯅꯠꯠꯔꯒꯥ ꯅꯍꯥꯛꯅꯥ ꯁꯔꯖꯔꯤꯒꯤꯗꯃꯛꯇꯥ ꯁꯦꯝ-ꯁꯥꯕꯥ ꯃꯇꯃꯗꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯒꯤ ꯊꯧꯑꯣꯡꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯗꯣꯛꯇꯔ ꯑꯃꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯈꯪꯍꯅꯈꯤꯕ꯭ꯔꯥ? ꯑꯁꯤꯒꯨꯝꯕꯥ ꯃꯇꯝ ꯑꯁꯤꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯇꯥꯕꯥ ꯋꯥꯐꯝ ꯑꯃꯗꯤ ꯃꯈꯣꯌꯅꯥ "ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯒꯤ ꯇ꯭ꯌꯨꯕ" ꯑꯃꯥ ꯊꯝꯂꯤ ꯍꯥꯌꯕꯁꯤꯅꯤ꯫ ꯑꯗꯨꯅꯥ, ꯇꯨꯕ ꯑꯁꯤ ꯊꯝꯕꯒꯨꯝꯅꯥ, ꯃꯁꯤ ꯂꯧꯊꯣꯀꯄꯥ ꯑꯁꯤꯁꯨ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ, ꯊꯧꯔꯥꯡ ꯇꯧꯔꯕꯥ ꯊꯧꯑꯣꯡ ꯑꯃꯅꯤ꯫ ꯃꯦꯗꯤꯁꯤꯅꯗꯥ, ꯇꯨꯕ ꯑꯗꯨ ꯂꯧꯊꯣꯀꯄꯥ ꯍꯥꯌꯕꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ "ꯑꯦꯛꯁꯠꯌꯨꯕꯦꯁꯟ" ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ ꯉꯁꯤꯗꯤ ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ, ꯑꯗꯣꯝꯅꯥ ꯈꯉꯕꯤꯕꯥ ꯌꯥꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯁꯤ꯫

ꯑꯍꯥꯅꯕꯗꯥ, ꯏꯅꯇꯨꯕꯦꯁꯟ ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ?

ꯑꯩꯈꯣꯌꯅꯥ ꯑꯦꯛꯁꯇꯨꯕꯦꯁꯅꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯗ꯭ꯔꯤꯉꯩ ꯃꯃꯥꯡꯗꯥ, ꯏꯅꯇꯨꯕꯦꯁꯅꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯁꯟꯗꯣꯛꯅꯥ ꯌꯦꯡꯁꯤ꯫ ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯃꯁꯤ ꯃꯔꯝ ꯈꯔꯗꯒꯤ ꯅꯍꯥꯛꯅꯥ ꯃꯁꯥꯅꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯗꯥ ꯑꯋꯥꯕꯥ ꯃꯥꯌꯣꯛꯅꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯄꯨꯟꯁꯤ ꯀꯟꯅꯕꯥ ꯃꯦꯗꯤꯀꯦꯜ ꯇꯤꯃꯅꯥ ꯇꯧꯕꯥ ꯊꯕꯛ ꯑꯃꯅꯤ꯫ ꯃꯈꯣꯌꯅꯥ ꯑꯦꯟꯗꯣꯠꯔꯥꯀꯤꯑꯦꯜ ꯇꯤꯎꯕ (ETT) ꯍꯥꯌꯅꯥ ꯀꯧꯕꯥ ꯐ꯭ꯂꯦꯛꯁꯤꯕꯜ ꯄ꯭ꯂꯥꯁ꯭ꯇꯤꯛ ꯇꯤꯎꯕ ꯑꯃꯥ ꯅꯍꯥꯛꯀꯤ ꯃꯤꯠꯀꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯅꯨꯡꯁꯤꯠꯀꯤ ꯈꯣꯡꯖꯦꯜ (ꯃꯦꯟ ꯑꯦꯌꯔꯋꯦ)ꯗꯥ ꯊꯥꯏ꯫

ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯑꯁꯤꯒꯨꯝꯅꯥ ꯈꯟꯊꯕꯤꯌꯨ: ꯑꯩꯈꯣꯌꯒꯤ ꯂꯪꯁ ꯑꯁꯤ ꯒꯥꯔꯤ ꯑꯃꯒꯤ ꯏꯟꯖꯤꯅꯒꯨꯝꯅꯥ ꯑꯣꯏ꯫ ꯃꯈꯣꯌꯅꯥ ꯊꯕꯛ ꯇꯧꯅꯕꯒꯤꯗꯃꯛ ꯀꯟꯁꯇꯦꯟꯇ ꯑꯦꯌꯔ (ꯑꯣꯛꯁꯤꯖꯦꯟ) ꯃꯊꯧ ꯇꯥꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯇ꯭ꯔꯥꯐꯤꯛ ꯖ꯭ꯌꯥꯝ ꯂꯩꯔꯕꯗꯤ ꯒꯥꯔꯤ ꯑꯃꯅꯥ ꯆꯠꯊꯣꯛ-ꯆꯠꯁꯤꯟ ꯇꯧꯗꯕꯒꯨꯝꯅꯥ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯦꯌꯔꯋꯦ ꯑꯗꯨ ꯊꯤꯡꯖꯤꯜꯂꯕꯗꯤ ꯅꯠꯠꯔꯒꯥ ꯅꯍꯥꯛꯀꯤ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ ꯑꯣꯏꯔꯕꯗꯤ, ꯑꯣꯛꯁꯤꯖꯦꯟ ꯑꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯂꯪꯁꯇꯥ ꯌꯧꯔꯛꯂꯣꯏ꯫ ꯃꯇꯝ ꯑꯗꯨꯗꯥ ꯇꯤꯎꯕ ꯑꯁꯤ ꯊꯥꯗꯣꯀꯏ, ꯑꯃꯁꯨꯡ ꯃꯁꯤꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯃꯦꯁꯤꯟ ꯑꯃꯥ, ꯚꯦꯟꯇꯤꯂꯦꯇꯔ ꯑꯃꯥ ꯁꯝꯅꯍꯜꯂꯤ, ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯅꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯑꯣꯛꯁꯤꯖꯦꯅꯒꯤ ꯆꯥꯡ ꯑꯗꯨ ꯄꯤꯔꯤ꯫ ꯃꯁꯤꯕꯨ ꯏꯅꯇꯨꯕꯦꯁꯟ ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫

ꯍꯧꯖꯤꯛꯇꯤ ꯑꯗꯣꯝꯅꯥ ꯑꯦꯛꯁꯇꯨꯕꯦꯁꯟ ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ ꯍꯥꯌꯕꯥ ꯈꯉꯂꯝꯂꯒꯅꯤ꯫ ꯍꯥꯌꯕꯗꯤ ꯃꯦꯗꯤꯀꯦꯜ ꯇꯤꯃꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯃꯐꯝ ꯑꯗꯨꯗꯥ ꯂꯩꯔꯝꯕꯥ ꯇꯨꯕ ꯑꯗꯨ ꯆꯦꯀꯁꯤꯟꯅꯥ ꯂꯧꯊꯣꯀꯄꯒꯤ ꯊꯧꯑꯣꯡ ꯑꯁꯤꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯁꯥꯅꯥ ꯃꯁꯥꯕꯨ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯐꯖꯅꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯉꯃꯒꯅꯤ ꯍꯥꯌꯅꯥ ꯊꯥꯖꯕꯥ ꯊꯝꯂꯤ, ꯃꯇꯦꯡ ꯑꯃꯠꯇꯥ ꯌꯥꯑꯣꯗꯅꯥ꯫

ꯀꯔꯤ ꯀꯦꯁꯁꯤꯡꯗꯥ ꯑꯦꯛꯁꯇꯨꯕꯦꯁꯟ ꯄꯥꯡꯊꯣꯀꯄꯒꯦ?

ꯃꯁꯤ ꯃꯤꯄꯨꯝ ꯈꯨꯗꯤꯡꯃꯛꯇꯥ ꯃꯇꯝ ꯑꯃꯗꯥ ꯅꯠꯠꯔꯒꯥ ꯆꯞ ꯃꯥꯟꯅꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯊꯣꯛꯇꯦ꯫ ꯃꯁꯤ ꯅꯍꯥꯀꯄꯨ ꯇꯤꯎꯕꯇꯥ ꯊꯃꯈꯤꯕꯒꯤ ꯃꯔꯝ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯁꯦꯜ ꯑꯗꯨ ꯀꯌꯥꯝ ꯇꯪꯗꯨ ꯂꯩꯇꯥꯕꯒꯦ ꯍꯥꯌꯕꯗꯨꯒꯤ ꯃꯈꯥ ꯄꯣꯜꯂꯤ꯫

ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ꯫

ꯑꯆꯧꯕꯥ ꯁꯔꯖꯔꯤ ꯑꯃꯥ ꯇꯧꯕꯥ ꯃꯇꯃꯗꯥ, ꯅꯍꯥꯀꯄꯨ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯇꯨꯝꯕꯥ ꯉꯃꯍꯜꯂꯤ꯫ ꯑꯩꯈꯣꯌꯅꯥ ꯃꯁꯤꯕꯨ ꯖꯦꯅꯦꯔꯦꯜ ꯑꯦꯅꯥꯁ꯭ꯇꯦꯁꯤꯌꯥ ꯍꯥꯌꯅꯥ ꯀꯧꯏ . ꯍꯥꯌꯔꯤꯕꯥ ꯑꯦꯅꯥꯁ꯭ꯇꯦꯇꯤꯛ ꯗ꯭ꯔꯒꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯔꯤꯕꯥ ꯃꯁꯂꯁꯤꯡ ꯑꯗꯨ ꯃꯇꯝ ꯈꯔꯒꯤ ꯑꯣꯏꯅꯥ ꯗꯤꯁꯑꯦꯕꯜ ꯇꯧꯏ꯫ ꯃꯇꯝ ꯑꯗꯨꯗꯥ ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯒꯤ ꯇ꯭ꯌꯨꯕ ꯑꯁꯤ ꯊꯥꯗꯨꯅꯥ ꯁꯔꯖꯔꯤ ꯄꯨꯝꯅꯃꯛꯇꯥ ꯑꯗꯣꯝꯅꯥ ꯑꯆꯨꯝꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯑꯣꯛꯁꯤꯖꯦꯟ ꯐꯪꯍꯅꯕꯥ ꯉꯃꯍꯜꯂꯤ꯫

ꯁꯔꯖꯔꯤ ꯑꯁꯤ ꯃꯥꯌ ꯄꯥꯛꯅꯥ ꯂꯣꯏꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ, ꯃꯦꯗꯤꯀꯦꯜ ꯇꯤꯃꯅꯥ ꯑꯦꯅꯥꯁ꯭ꯇꯦꯇꯤꯛ ꯑꯁꯤꯒꯤ ꯏꯐꯦꯛꯇꯁꯤꯡ ꯑꯗꯨ ꯁꯣꯀꯍꯜꯂꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯇꯨꯕ ꯑꯗꯨ ꯂꯧꯊꯣꯛꯀꯅꯤ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯅꯥ ꯃꯁꯥꯅꯥ ꯃꯁꯥꯕꯨ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯉꯝꯂꯒꯅꯤ꯫ ꯑꯌꯥꯝꯕꯥ ꯀꯦꯁꯁꯤꯡꯗꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯋꯥꯈꯜ ꯇꯥꯕꯥ ꯍꯧꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯇꯤꯎꯕ ꯑꯗꯨ ꯂꯧꯊꯣꯀꯈ꯭ꯔꯕꯅꯤ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯅꯈꯣꯌꯅꯥ ꯃꯁꯤ ꯅꯤꯡꯁꯤꯡꯕꯥ ꯐꯥꯑꯣꯕꯥ ꯉꯃꯗꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯒꯤ ꯀꯦꯁ ꯑꯁꯤꯗꯥ, ꯇꯤꯎꯕ ꯑꯗꯨ ꯄꯨꯡ ꯑꯃꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯅꯤ ꯐꯥꯎꯕꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯃꯐꯝ ꯑꯗꯨꯗꯥ ꯂꯩꯔꯝꯕꯥ ꯌꯥꯏ꯫

ꯑꯅꯥꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯦꯛꯁꯤꯗꯦꯟꯇꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ꯫

ꯃꯤꯑꯣꯏ ꯑꯃꯕꯨ ꯑꯦꯛꯁꯤꯗꯦꯟꯇ ꯑꯃꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯉꯃꯗꯕꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ, ꯁꯥꯊꯤꯕꯥ ꯏꯅꯐꯦꯛꯁꯟ (ꯅ꯭ꯌꯨꯃꯣꯅꯤꯌꯥꯒꯨꯝꯕꯥ), ꯅꯠꯠꯔꯒꯥ ꯑꯇꯣꯞꯄꯥ ꯁꯥꯊꯤꯕꯥ ꯑꯅꯥꯕꯥ ꯑꯃꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯏꯅꯇꯨꯕꯦꯁꯟ ꯇꯧꯕꯥ ꯃꯇꯃꯗꯥ, ꯇꯤꯎꯕ ꯑꯗꯨ ꯂꯧꯊꯣꯀꯄꯒꯤ ꯊꯧꯑꯣꯡ ꯑꯁꯤ ꯈꯔꯥ ꯇꯣꯉꯥꯜꯂꯤ꯫ ꯃꯤꯑꯣꯏ ꯑꯁꯤ ꯃꯍꯧꯁꯥꯅꯥ ꯏꯟꯇꯦꯟꯁꯤꯚ ꯀꯦꯌꯔ ꯌꯨꯅꯤꯠ (ICU)ꯗꯥ ꯂꯩ꯫

ꯇꯨꯕ ꯑꯗꯨ ꯂꯧꯊꯣꯛꯠꯔꯤꯉꯩ ꯃꯃꯥꯡꯗꯥ ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯁꯥ ꯃꯊꯟꯇꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯉꯝꯅꯕꯥ ꯁꯣꯌꯗꯅꯥ ꯌꯦꯡꯁꯤꯅꯕꯥ ꯃꯊꯧ ꯇꯥꯏ꯫ ꯃꯁꯤꯒꯤꯗꯃꯛꯇꯥ ꯃꯈꯣꯌꯅꯥ ꯑꯈꯟꯅꯕꯥ ꯇꯦꯁ꯭ꯠ ꯑꯃꯥ ꯇꯧꯒꯅꯤ꯫ ꯃꯁꯤꯕꯨ ꯁ꯭ꯄꯣꯟꯗꯦꯟꯁ ꯕ꯭ꯔꯦꯊꯤꯡ ꯇꯦꯁ꯭ꯠ (ꯑꯦꯁ.ꯕꯤ.ꯇꯤ.) ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯍꯥꯅꯕꯥ ꯑꯣꯏꯅꯥ ꯇꯦꯁ꯭ꯠ ꯑꯁꯤ ꯄꯥꯁ ꯇꯧꯕꯥ ꯉꯃꯗꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯕꯨ "ꯈꯨꯠꯂꯥꯏ ꯄꯥꯌꯕꯥ ꯉꯃꯗꯕꯥ" ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ ꯃꯁꯤ ꯅꯣꯔꯃꯦꯂꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯁꯤ ꯑꯣꯏꯔꯕꯗꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯛ ꯈꯔꯥ ꯐꯒꯠꯂꯛꯠꯔꯤꯕꯐꯥꯎꯕꯥ ꯉꯥꯏꯗꯨꯅꯥ ꯂꯩꯒꯅꯤ ꯑꯃꯁꯨꯡ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯅꯨꯃꯤꯠ ꯑꯃꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯅꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯇꯦꯁ꯭ꯠ ꯑꯁꯤ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯇꯧꯒꯅꯤ꯫

ꯏꯅꯇꯨꯕꯦꯁꯅꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯔꯃꯁꯤꯡ ꯀꯔꯤꯅꯣ?

ꯑꯦꯛꯁꯇꯨꯕꯦꯁꯟ ꯑꯃꯥ ꯄꯥꯡꯊꯣꯛꯅꯕꯒꯤꯗꯃꯛ, ꯑꯍꯥꯅꯕꯗꯥ ꯏꯅꯇꯨꯕꯦꯁꯟ ꯑꯃꯥ ꯄꯥꯡꯊꯣꯛꯀꯗꯕꯅꯤ꯫ ꯃꯁꯤꯒꯤ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯃꯔꯝ ꯈꯔꯗꯤ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤ꯫ ꯃꯈꯣꯌꯁꯤꯡ ꯑꯁꯤ ꯃꯌꯦꯛ ꯁꯦꯡꯅꯥ ꯈꯉꯅꯅꯕꯥ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯇꯦꯕꯜ ꯑꯃꯗꯥ ꯊꯃꯁꯤ꯫

ꯑꯦꯛꯁꯇꯨꯕꯦꯁꯅꯒꯤ ꯊꯧꯑꯣꯡꯗꯥ ꯌꯥꯎꯔꯤꯕꯥ ꯈꯣꯡꯊꯥꯡꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?

ꯑꯣꯀꯦ, ꯍꯧꯖꯤꯛ ꯗꯣꯛꯇꯔ ꯑꯃꯅꯥ ꯅꯠꯔꯒꯥ ꯇ꯭ꯔꯦꯟ ꯇꯧꯔꯕꯥ ꯅꯔꯁ ꯑꯃꯅꯥ ꯃꯇꯧ ꯀꯔꯝꯅꯥ ꯇꯨꯕ ꯑꯁꯤ ꯂꯧꯊꯣꯛꯀꯅꯤ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯁꯤ꯫ ꯃꯁꯤ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯄꯨꯊꯣꯀꯄꯥ ꯌꯥꯕꯥ ꯋꯥꯐꯝ ꯅꯠꯇꯦ꯫ ꯃꯁꯤꯗꯥ ꯈꯣꯡꯊꯥꯡ ꯈꯔꯥ ꯂꯧꯈꯠꯂꯤ꯫

1. ꯑꯅꯥꯕꯥ ꯑꯗꯨ ꯁꯦꯝ-ꯁꯥꯕꯥ: ꯑꯍꯥꯅꯕꯗꯥ, ꯐꯃꯨꯡꯒꯤ ꯃꯀꯣꯛ ꯑꯗꯨ ꯋꯥꯡꯅꯥ ꯊꯥꯡꯒꯠꯀꯅꯤ꯫ ꯅꯍꯥꯀꯄꯨ ꯐꯃꯐꯝ ꯑꯃꯗꯥ ꯄꯨꯔꯛꯀꯅꯤ꯫ ꯃꯁꯤꯅꯥ ꯂꯪꯁꯇꯥ ꯅꯨꯡꯁꯤꯠ ꯁꯤꯠꯄꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯒꯅꯤ ꯑꯃꯁꯨꯡ ꯇꯤꯎꯕ ꯑꯗꯨ ꯂꯧꯊꯣꯛꯂꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯂꯪꯁꯇꯥ ꯆꯦꯟꯊꯔꯀꯄꯒꯤ ꯔꯤꯁ꯭ꯛ ꯍꯟꯊꯍꯅꯒꯅꯤ꯫

2. ꯁꯛꯁꯟ (suctioning): ꯃꯊꯪꯗꯥ, ꯑꯈꯟꯅꯕꯥ ꯗꯤꯚꯥꯏꯁ (ꯁꯛꯁꯟ ꯗꯤꯚꯥꯏꯁ) ꯑꯃꯥ ꯁꯤꯖꯤꯟꯅꯗꯨꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯃꯤꯠ, ꯀꯣꯛ ꯑꯃꯁꯨꯡ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯒꯤ ꯇꯤꯎꯕꯇꯥ ꯂꯩꯕꯥ ꯃ꯭ꯌꯨꯀꯁ, ꯂꯦꯡ-ꯑꯣꯠꯄꯒꯤ ꯃꯑꯣꯡ ꯑꯃꯁꯨꯡ ꯑꯇꯩ ꯑꯄꯥꯝꯕꯥ ꯄꯣꯠꯁꯛ ꯄꯨꯝꯅꯃꯛ ꯂꯧꯊꯣꯀꯏ꯫ ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ, ꯃꯔꯃꯗꯤ ꯅꯠꯠꯔꯕꯗꯤ, ꯇꯤꯎꯕ ꯑꯗꯨ ꯂꯧꯊꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ ꯑꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯂꯪꯁꯇꯥ ꯆꯪꯂꯀꯄꯥ ꯌꯥꯏ꯫

3. ꯇꯤꯎꯕ ꯑꯗꯨ ꯊꯥꯗꯣꯀꯄꯥ: ꯇꯤꯎꯕ ꯑꯗꯨ ꯅꯍꯥꯛꯀꯤ ꯃꯥꯌꯗꯥ ꯊꯝꯂꯤꯕꯥ ꯁ꯭ꯠꯔꯞ ꯅꯠꯠꯔꯒꯥ ꯇꯦꯞ ꯑꯗꯨ ꯆꯦꯀꯁꯤꯟꯅꯥ ꯂꯧꯊꯣꯀꯎ꯫

4. ꯚꯦꯟꯇꯤꯂꯦꯇꯔꯗꯒꯤ ꯇꯣꯈꯥꯌꯕꯥ: ꯇꯨꯕ ꯑꯗꯨ ꯁꯝꯅꯔꯤꯕꯥ ꯚꯦꯟꯇꯤꯂꯦꯇꯔ ꯑꯗꯨꯗꯒꯤ ꯇꯣꯈꯥꯌꯅꯥ ꯊꯃꯖꯤꯜꯂꯤ꯫

꯵.ꯇꯨꯕ ꯂꯧꯊꯣꯀꯄꯥ: ꯍꯧꯖꯤꯛ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯁꯔꯨꯛ ꯑꯣꯏꯔꯦ꯫ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯀꯄꯨ "ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯂꯣꯛ ꯈꯨꯕꯥ" ꯍꯥꯌꯅꯥ ꯍꯥꯌ꯫ꯅꯍꯥꯛꯅꯥ ꯀꯣꯛ ꯆꯤꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯃꯇꯃꯗꯥ, ꯃꯈꯣꯌꯅꯥ ꯇꯤꯎꯕ ꯑꯗꯨ ꯊꯨꯅꯥ, ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯌꯥꯡꯅꯥ ꯆꯦꯜꯂꯤ꯫ ꯃꯈꯣꯌꯅꯥ ꯃꯁꯤ ꯅꯍꯥꯛꯅꯥ ꯀꯣꯛ ꯅꯣꯟꯖꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯇꯧꯏ, ꯃꯗꯨꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯚꯣꯀꯦꯜ ꯀꯣꯔꯗꯁꯤꯡ ꯍꯥꯡꯗꯣꯀꯏ, ꯃꯗꯨꯅꯥ ꯇꯤꯎꯕ ꯑꯗꯨ ꯍꯦꯟꯅꯥ ꯐꯖꯅꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯍꯜꯂꯤ꯫ ꯑꯃꯁꯨꯡ ꯀꯣꯛ ꯆꯤꯀꯄꯥ ꯑꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯀꯣꯛꯇꯥ ꯂꯩꯕꯥ ꯄꯣꯠꯁꯛ ꯑꯃꯠꯇꯥ ꯂꯧꯊꯣꯀꯏ꯫

ꯇꯤꯎꯕ ꯑꯗꯨ ꯂꯧꯊꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯋꯥꯈꯜ ꯇꯥꯔꯤꯕ꯭ꯔꯥ?

ꯃꯁꯤ ꯃꯤꯑꯣꯏ ꯀꯌꯥ ꯑꯃꯅꯥ ꯍꯪꯂꯀꯄꯥ ꯋꯥꯍꯪ ꯑꯃꯅꯤ꯫ ꯃꯁꯤꯒꯤ ꯄꯥꯎꯈꯨꯃꯗꯤ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯍꯣꯌ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯅꯠꯇꯦ꯫

• ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ: ꯑꯌꯥꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯋꯥꯈꯜ ꯇꯥꯕꯥ ꯍꯧꯗ꯭ꯔꯤꯉꯩꯗꯥ, ꯅꯍꯥꯛꯅꯥ ꯍꯧꯖꯤꯀꯁꯨ ꯑꯦꯅꯥꯁ꯭ꯇꯦꯁꯤꯌꯥꯒꯤ ꯃꯈꯥꯗꯥ ꯂꯩꯔꯤꯉꯩꯗꯥ ꯇꯤꯎꯕ ꯑꯗꯨ ꯂꯧꯊꯣꯀꯏ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯍꯧꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯂꯧꯊꯣꯀꯏ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯏꯟꯇꯦꯟꯁꯤꯚ ꯀꯦꯌꯔ ꯌꯨꯅꯤꯠ (ICU)ꯗꯥ ꯂꯩꯔꯕꯗꯤ: ꯅꯍꯥꯛꯅꯥ ꯋꯥꯈꯜ ꯇꯥꯗꯅꯥ ꯂꯩꯔꯤꯉꯩꯗꯥ ꯇꯤꯎꯕ ꯑꯗꯨ ꯂꯧꯊꯣꯛꯀꯅꯤ, ꯃꯔꯃꯗꯤ ꯅꯍꯥꯛꯅꯥ ꯋꯥꯈꯜ ꯇꯥꯕꯥ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯀꯄꯨ ꯍꯥꯌꯔꯀꯄꯥ ꯑꯗꯨ ꯇꯥꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ (ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, "ꯀꯣꯛ" ꯍꯥꯌꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯀꯣꯛ ꯆꯤꯀꯄꯥ)꯫

ꯑꯦꯛꯁꯇꯨꯕꯦꯁꯅꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯀꯔꯤ ꯊꯣꯀꯏ?

ꯇꯨꯕ ꯑꯗꯨ ꯂꯧꯊꯣꯀꯄꯅꯥ ꯊꯕꯛ ꯑꯗꯨ ꯄꯥꯡꯊꯣꯛꯂꯦ ꯍꯥꯌꯕꯗꯤ ꯅꯠꯇꯦ꯫ ꯃꯊꯪꯒꯤ ꯄꯨꯡ ꯈꯔꯥ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫ ꯃꯦꯗꯤꯀꯦꯜ ꯇꯤꯃꯅꯥ ꯑꯗꯣꯃꯕꯨ ꯌꯥꯝꯅꯥ ꯀꯨꯞꯅꯥ ꯌꯦꯡꯁꯤꯅꯒꯅꯤ꯫

• ꯑꯣꯛꯁꯤꯖꯦꯟ: ꯑꯌꯥꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯇꯤꯎꯕ ꯑꯗꯨ ꯂꯧꯊꯣꯛꯂꯕꯥ ꯃꯇꯨꯡꯗꯥ, ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡꯅꯥ ꯑꯅꯧꯕꯥ ꯐꯤꯚꯝ ꯑꯗꯨꯗꯥ ꯆꯨꯁꯤꯟꯅꯍꯅꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯅꯕꯥ ꯅꯥꯀꯣꯡꯒꯤ ꯀꯦꯟꯌꯨꯜ ꯅꯠꯠꯔꯒꯥ ꯑꯣꯛꯁꯤꯖꯦꯟ ꯃꯥꯁ꯭ꯛ ꯑꯃꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯑꯣꯛꯁꯤꯖꯦꯟ ꯈꯔꯥ ꯄꯤꯒꯅꯤ꯫
• ꯌꯦꯡꯁꯤꯅꯕꯥ: ꯅꯍꯥꯛꯀꯤ ꯕ꯭ꯂꯗ ꯑꯣꯛꯁꯤꯖꯦꯅꯒꯤ ꯆꯥꯡ (ꯄꯂꯁ ꯑꯣꯛꯁꯤꯃꯤꯇꯔ ꯑꯃꯒꯥ ꯂꯣꯌꯅꯅꯥ), ꯍꯥꯔꯇꯀꯤ ꯔꯦꯠ ꯑꯃꯁꯨꯡ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ ꯑꯁꯤ ꯂꯦꯞꯇꯅꯥ ꯌꯦꯡꯁꯤꯜꯂꯤ꯫
• ꯀꯣꯛ ꯆꯤꯀꯄꯥ: ꯇꯤꯎꯕꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯀꯣꯛꯇꯥ ꯃ꯭ꯌꯨꯀꯁ (mucus) ꯂꯥꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯃꯗꯨ ꯁꯦꯡꯗꯣꯛꯅꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯀꯣꯛ ꯅꯣꯟꯖꯅꯕꯥ ꯄꯥꯎꯇꯥꯛ ꯄꯤꯒꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯊꯧ ꯇꯥꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯀꯣꯛ ꯑꯗꯨ ꯁꯦꯡꯗꯣꯛꯅꯕꯥ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯁꯣꯀꯄꯥ ꯃꯊꯧ ꯇꯥꯕꯁꯨ ꯌꯥꯏ꯫

ꯑꯦꯛꯁꯇꯨꯕꯦꯁꯅꯒꯤ ꯃꯇꯃꯗꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯕꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ ꯂꯩꯕ꯭ꯔꯥ?

ꯃꯦꯗꯤꯀꯦꯜ ꯄ꯭ꯔꯣꯁꯤꯗ꯭ꯌꯨꯑꯣꯔ ꯑꯃꯍꯦꯛꯇꯒꯥ ꯃꯥꯟꯅꯅꯥ, ꯑꯦꯛꯁꯇꯨꯕꯦꯁꯟꯗꯥ ꯌꯥꯎꯔꯤꯕꯥ ꯑꯄꯤꯀꯄꯥ ꯔꯤꯁ꯭ꯛ ꯈꯔꯗꯤ ꯂꯩ꯫ ꯑꯗꯨꯕꯨ ꯅꯤꯡꯁꯤꯡꯕꯤꯌꯨ, ꯃꯦꯗꯤꯀꯦꯜ ꯇꯤꯝ ꯑꯁꯤ ꯄꯨꯝꯅꯃꯛ ꯑꯁꯤꯒꯤꯗꯃꯛ ꯁꯦꯝ ꯁꯥꯗꯨꯅꯥ ꯂꯩꯔꯤ꯫

ꯑꯦꯛꯁꯇꯨꯕꯦꯁꯅꯒꯤ ꯀꯥꯟꯅꯕꯁꯤꯡ ꯀꯔꯤꯅꯣ?

• ꯐꯒꯠꯂꯀꯄꯒꯤ ꯈꯨꯗꯝ ꯑꯃꯥ: ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯆꯥꯎꯕꯥ ꯀꯥꯟꯅꯕꯗꯤ ꯅꯍꯥꯛꯅꯥ ꯃꯁꯥ ꯃꯊꯟꯇꯥ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯉꯝꯕꯅꯤ꯫ ꯃꯁꯤꯅꯥ ꯇꯥꯀꯄꯗꯤ ꯅꯍꯥꯛꯀꯤ ꯂꯪꯁ ꯑꯃꯁꯨꯡ ꯍꯀꯆꯥꯡ ꯑꯗꯨ ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯅꯥ ꯍꯟꯖꯤꯜꯂꯛꯂꯤ꯫
• ꯋꯥ ꯉꯥꯡꯕꯥ ꯉꯝꯕꯥ: ꯇꯤꯎꯕ ꯑꯗꯨ ꯃꯐꯃꯗꯨꯗꯥ ꯂꯩꯔꯤꯉꯩꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯋꯥ ꯉꯥꯡꯕꯥ ꯉꯃꯗꯦ꯫ ꯃꯁꯤ ꯂꯧꯊꯣꯛꯂꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯑꯇꯦꯅꯕꯥ ꯃꯇꯃꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯋꯥ ꯉꯥꯡꯕꯥ ꯉꯝꯂꯒꯅꯤ꯫ ꯑꯍꯥꯅꯕꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯀꯣꯛꯇꯥ ꯁꯣꯀꯄꯥ ꯌꯥꯏ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯟꯖꯦꯜ ꯑꯗꯨ ꯈꯔꯥ ꯍꯣꯡꯂꯛꯂꯕꯁꯨ, ꯃꯁꯤ ꯅꯨꯃꯤꯠ ꯈꯔꯅꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯂꯣꯏꯁꯤꯅꯒꯅꯤ꯫ (ꯅꯨꯃꯤꯠ ꯈꯔꯅꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯆꯠꯈꯤꯒꯅꯤ)꯫
• ꯆꯥꯕꯥ ꯑꯃꯁꯨꯡ ꯊꯀꯄꯥ ꯉꯝꯕꯥ: ꯃꯇꯧ ꯑꯁꯨꯝꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯇꯤꯎꯕ ꯑꯗꯨ ꯃꯐꯃꯗꯨꯗꯥ ꯂꯩꯔꯤꯉꯩꯗꯥ ꯃꯤꯠꯅꯥ ꯆꯥꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯊꯀꯄꯥ ꯌꯥꯗꯦ꯫ ꯇꯤꯎꯕ ꯑꯗꯨ ꯂꯧꯊꯣꯀꯈ꯭ꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯂꯦꯡ-ꯑꯣꯠꯄꯒꯤ ꯊꯧꯑꯣꯡ (gag reflex) ꯑꯗꯨ ꯀꯅꯐꯥꯔꯝ ꯇꯧꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ, ꯅꯍꯥꯛꯅꯥ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯆꯥꯕꯥ ꯍꯧꯕꯥ ꯌꯥꯏ꯫
• ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯊꯣꯀꯄꯥ ꯔꯤꯁ꯭ꯀꯁꯤꯡ ꯊꯤꯡꯕꯥ: ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯒꯤ ꯇꯤꯎꯕ ꯑꯃꯥ ꯃꯐꯃꯗꯨꯗꯥ ꯂꯩꯕꯒꯥ ꯃꯔꯤ ꯂꯩꯅꯕꯥ ꯔꯤꯁ꯭ꯛ ꯈꯔꯗꯤ ꯂꯩ (ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯚꯣꯀꯦꯜ ꯀꯣꯔꯗ ꯗꯤꯁꯐꯉ꯭ꯀꯁꯟ, ꯅ꯭ꯌꯨꯃꯣꯅꯤꯌꯥ, ꯇ꯭ꯔꯦꯀꯤꯑꯣꯃꯦꯂꯦꯁꯤꯌꯥ )꯫ ꯑꯦꯛꯁꯇꯨꯕꯦꯁꯟ ꯍꯥꯌꯕꯁꯤ ꯅꯍꯥꯛꯅꯥ ꯔꯤꯁ꯭ꯀꯁꯤꯡ ꯑꯗꯨꯗꯒꯤ ꯐ꯭ꯔꯤ ꯑꯣꯏꯔꯦ ꯍꯥꯌꯕꯅꯤ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛ ꯅꯠꯠꯔꯒꯥ ꯅꯍꯥꯛꯀꯤ ꯏꯃꯨꯡꯒꯤ ꯃꯤꯑꯣꯏ ꯑꯃꯅꯥ ꯄ꯭ꯔꯣꯁꯤꯗ꯭ꯌꯨꯑꯣꯔ ꯑꯁꯤ ꯆꯠꯄꯥ ꯇꯥꯔꯕꯗꯤ, ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯂꯩꯔꯣꯏꯗꯕꯅꯤ꯫ ꯅꯍꯥꯛꯅꯥ ꯍꯪꯂꯀꯄꯥ ꯋꯥꯍꯪꯁꯤꯡ ꯅꯠꯠꯔꯒꯥ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯑꯃꯍꯦꯛꯇꯕꯨ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯍꯪꯕꯤꯌꯨ꯫ ꯃꯈꯣꯌꯅꯥ ꯑꯗꯣꯃꯗꯥ ꯋꯥꯐꯝ ꯈꯨꯗꯤꯡꯃꯛ ꯈꯉꯍꯅꯒꯅꯤ꯫