ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯍꯧꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯀꯣꯛꯇꯥ ꯈꯔꯥ ꯇꯞꯅꯥ ꯅꯠꯠꯔꯒꯥ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯐꯥꯎꯔꯀꯄꯥ ꯌꯥꯏ꯫ ꯅꯠꯠꯔꯒꯥ ꯅꯍꯥꯛꯅꯥ ꯏꯟꯇꯦꯟꯁꯤꯚ ꯀꯦꯌꯔ ꯌꯨꯅꯤꯠ (ICU)ꯗꯥ ꯅꯍꯥꯛꯀꯥ ꯅꯛꯅꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯕꯨ ꯃꯈꯣꯌꯒꯤ ꯃꯀꯣꯛꯇꯥ ꯇꯤꯎꯕ ꯑꯃꯥ ꯊꯃꯗꯨꯅꯥ ꯎꯕꯥ ꯐꯪꯂꯕꯁꯨ ꯌꯥꯏ꯫ ꯉꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯃꯈꯣꯌꯒꯤ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯂꯤꯕꯥ ꯇꯨꯕ ꯑꯗꯨ ꯂꯧꯊꯣꯛꯅꯕꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯔꯤ꯫ ꯃꯁꯤꯕꯨ ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯋꯥꯍꯟꯊꯣꯛꯇꯥ ꯑꯦꯛꯁꯇꯨꯕꯦꯁꯟ ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯋꯥꯍꯩ ꯑꯃꯥ ꯑꯣꯏꯔꯕꯁꯨ, ꯇꯁꯦꯡꯕꯗꯤ ꯃꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯐꯒꯠꯂꯀꯄꯒꯤ ꯈꯣꯉꯆꯠꯇꯥ ꯌꯥꯝꯅꯥ ꯐꯕꯥ ꯈꯨꯗꯝ ꯑꯃꯅꯤ꯫
ꯑꯍꯥꯅꯕꯗꯥ, ꯏꯅꯇꯨꯕꯦꯁꯟ ꯑꯃꯁꯨꯡ ꯑꯦꯛꯁꯇꯨꯕꯦꯁꯟ ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ?
ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯂꯥꯏꯕꯛ ꯐꯕꯅꯤ꯫
- ꯏꯅꯇꯨꯕꯦꯁꯟ: ꯑꯅꯥꯕꯥ, ꯑꯦꯛꯁꯤꯗꯦꯟꯇ ꯅꯠꯠꯔꯒꯥ ꯑꯆꯧꯕꯥ ꯁꯔꯖꯔꯤ ꯑꯃꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯁꯥ ꯃꯊꯟꯇꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯉꯃꯗ꯭ꯔꯤ ꯍꯥꯌꯅꯥ ꯈꯅꯕꯤꯌꯨ꯫ ꯃꯇꯝ ꯑꯗꯨꯗꯥ ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯃꯤꯠꯀꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯐ꯭ꯂꯦꯛꯁꯤꯕꯜ ꯇꯨꯕ ꯑꯃꯥ ꯅꯍꯥꯛꯀꯤ ꯅꯨꯡꯁꯤꯠꯀꯤ ꯈꯣꯡꯖꯦꯂꯗꯥ ꯊꯥꯒꯅꯤ꯫ ꯃꯁꯤꯒꯤ ꯇꯨꯕ ꯑꯁꯤꯕꯨ ꯑꯦꯟꯗꯣꯠꯔꯥꯀꯤꯑꯦꯜ ꯇꯨꯕ (ETT) ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ ꯃꯁꯤꯒꯤ ꯇꯤꯎꯕ ꯑꯁꯤ ꯚꯦꯟꯇꯤꯂꯦꯇꯔ ꯑꯃꯒꯥ ꯁꯝꯅꯩ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯂꯪꯁꯇꯥ ꯑꯣꯛꯁꯤꯖꯦꯟ ꯄꯤ꯫ ꯏꯅꯇꯨꯕꯦꯁꯟ ꯍꯥꯌꯕꯁꯤ ꯇꯤꯎꯕ ꯑꯁꯤ ꯊꯥꯗꯣꯀꯄꯒꯤ ꯊꯧꯑꯣꯡꯅꯤ꯫
- ꯑꯦꯛꯁꯇꯨꯕꯦꯁꯟ: ꯅꯍꯥꯛꯀꯤ ꯍꯀꯁꯦꯜ ꯐꯒꯠꯂꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯑꯃꯁꯨꯡ ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯁꯥ ꯃꯊꯟꯇꯥ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯉꯃꯒꯅꯤ ꯍꯥꯌꯅꯥ ꯊꯥꯖꯕꯥ ꯊꯝꯂꯕꯥ ꯃꯇꯃꯗꯥ, ꯃꯇꯦꯡ ꯑꯃꯠꯇꯥ ꯌꯥꯑꯣꯗꯅꯥ, ꯃꯈꯣꯌꯅꯥ ꯃꯃꯥꯡꯗꯥ ꯊꯥꯗꯣꯀꯈꯤꯕꯥ ꯇꯤꯎꯕ (ETT) ꯑꯗꯨ ꯆꯦꯀꯁꯤꯟꯅꯥ ꯂꯧꯊꯣꯛꯀꯅꯤ꯫ ꯃꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯑꯦꯛꯁꯇꯨꯕꯦꯁꯟ ꯍꯥꯌꯅꯥ ꯀꯧꯕꯥ ꯊꯧꯑꯣꯡꯅꯤ .
ꯀꯔꯤꯒꯤꯗꯃꯛꯇꯥ ꯀꯅꯥꯒꯨꯝꯕꯥ ꯑꯃꯕꯨ ꯑꯁꯤꯒꯨꯝꯅꯥ ꯏꯅꯇꯨꯕꯦꯁꯟ ꯇꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯔꯤꯕꯅꯣ?
ꯀꯅꯥꯒꯨꯝꯕꯥ ꯑꯃꯅꯥ ꯃꯁꯥ ꯃꯊꯟꯇꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯉꯃꯗꯕꯒꯤ ꯃꯔꯝ ꯀꯌꯥ ꯂꯩ꯫ ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯑꯦꯛꯁꯇꯨꯕꯦꯁꯅꯒꯤ ꯃꯃꯥꯡꯗꯥ ꯏꯅꯇꯨꯕꯦꯁꯟ ꯇꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯕꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯔꯝ ꯈꯔꯅꯤ꯫
| ꯃꯔꯝ | ꯏꯆꯝ ꯆꯝꯕꯥ ꯄꯥꯎꯈꯨꯝ ꯑꯃꯥ꯫ |
|---|---|
| ꯂꯦꯟꯕ | ꯑꯆꯧꯕꯥ ꯁꯔꯖꯔꯤꯁꯤꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯄꯤꯕꯥ ꯖꯦꯅꯦꯔꯦꯜ ꯑꯦꯅꯥꯁ꯭ꯇꯦꯁꯤꯌꯥꯅꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯒꯤ ꯊꯧꯑꯣꯡ ꯑꯁꯤ ꯃꯇꯝ ꯈꯔꯒꯤ ꯑꯣꯏꯅꯥ ꯊꯤꯡꯏ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯇꯨꯕ ꯑꯁꯤ ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯃꯗꯥ ꯑꯩꯈꯣꯌꯕꯨ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯅꯕꯥ ꯊꯥꯏ꯫ |
| ꯔꯦꯁ꯭ꯄꯤꯔꯦꯇꯔꯤ ꯐꯦꯜ ꯑꯣꯏꯕꯥ꯫ | ꯅ꯭ꯌꯨꯃꯣꯅꯤꯌꯥꯒꯨꯝꯕꯥ ꯁꯥꯊꯤꯕꯥ ꯏꯅꯐꯦꯛꯁꯅꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯂꯪꯁꯇꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯅꯕꯅꯥ ꯍꯀꯆꯥꯡꯗꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯑꯣꯛꯁꯤꯖꯦꯟ ꯐꯪꯍꯅꯕꯥ ꯉꯃꯍꯟꯗꯕꯥ ꯌꯥꯏ꯫ |
| ꯑꯦꯌꯔꯋꯦ ꯑꯣꯕꯁ꯭ꯠꯔꯥꯀꯁꯟ ꯇꯧꯕꯥ꯫ | ꯃꯁꯤ ꯀꯣꯛꯇꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯄꯣꯠꯁꯛ ꯑꯃꯅꯥ ꯁꯣꯀꯍꯜꯂꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯁꯥꯊꯤꯕꯥ ꯑꯦꯂꯥꯔꯖꯤ ꯑꯃꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯑꯦꯌꯔꯋꯦ (airways) ꯁꯣꯀꯄꯥ ꯌꯥꯕꯥ ꯀꯦꯁꯁꯤꯡꯗꯥ ꯑꯦꯌꯔꯋꯦ ꯑꯗꯨ ꯍꯥꯡꯗꯣꯛꯇꯨꯅꯥ ꯊꯝꯅꯕꯒꯤꯗꯃꯛ ꯃꯊꯧ ꯇꯥꯏ꯫ |
| ꯆꯩꯊꯦꯡ ꯅꯪꯕ | ꯃꯀꯣꯛ , ꯈꯣꯡ ꯑꯃꯁꯨꯡ ꯈꯣꯡꯗꯥ ꯁꯥꯊꯤꯅꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯍꯅꯕꯅꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯒꯤ ꯁꯤꯁ꯭ꯇꯦꯃꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ |
| ꯀꯟꯁꯆꯤꯌꯟꯁ ꯃꯥꯡꯈꯤꯕꯥ꯫ | ꯀꯅꯥꯒꯨꯝꯕꯥ ꯑꯃꯅꯥ ꯋꯥꯈꯜ ꯃꯥꯡꯈꯤꯕꯥ ꯃꯇꯃꯗꯥ, ꯃꯈꯣꯌꯅꯥ ꯃꯈꯣꯌꯒꯤ ꯑꯦꯌꯔꯋꯦ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯥ ꯉꯃꯗꯕꯥ ꯌꯥꯏ꯫ ꯂꯪꯁ (aspiration) (aspiration) ꯑꯁꯤꯅꯆꯤꯡꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡꯒꯤ ꯔꯤꯁ꯭ꯛ ꯂꯩꯕꯁꯨ ꯌꯥꯏ꯫ |
ꯑꯦꯛꯁꯇꯨꯕꯦꯁꯟ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯄꯥꯡꯊꯣꯀꯄꯒꯦ? ꯊꯧꯑꯣꯡ ꯑꯁꯤ ꯀꯔꯤꯅꯣ?
ꯃꯁꯤ ꯇꯨꯕ ꯑꯃꯥ ꯂꯧꯊꯣꯛꯇꯨꯅꯥ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯊꯝꯕꯒꯤ ꯋꯥꯐꯝ ꯅꯠꯇꯦ, ꯃꯁꯤ ꯃꯦꯗꯤꯀꯦꯜ ꯇꯤꯃꯅꯥ ꯑꯆꯧꯕꯥ ꯊꯧꯔꯥꯡ ꯑꯃꯁꯨꯡ ꯆꯦꯀꯁꯤꯟ ꯊꯧꯔꯥꯡꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯇꯧꯏ꯫
ꯇꯨꯕ ꯑꯗꯨ ꯀꯗꯥꯏꯗꯥ ꯂꯧꯊꯣꯛꯀꯗꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯀꯔꯝꯅꯥ ꯂꯦꯄꯀꯅꯤ?
ꯃꯁꯤꯒꯤꯗꯃꯛꯇꯥ ꯃꯈꯣꯌꯅꯥ ꯑꯈꯟꯅꯕꯥ ꯇꯦꯁ꯭ꯠ ꯑꯃꯥ ꯇꯧꯏ꯫ ꯃꯁꯤꯕꯨ ꯁ꯭ꯄꯣꯟꯗꯦꯟꯁ ꯕ꯭ꯔꯦꯊꯤꯡ ꯇꯦꯁ꯭ꯠ (ꯑꯦꯁ.ꯕꯤ.ꯇꯤ.) ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯃꯁꯤꯅꯥ ꯚꯦꯟꯇꯤꯂꯦꯇꯔꯒꯤ ꯃꯇꯦꯡ ꯌꯥꯝꯅꯥ ꯅꯦꯝꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯁꯥ ꯃꯊꯟꯇꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯉꯃꯒꯗ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯇꯦꯁ꯭ꯠ ꯇꯧꯏ꯫ ꯃꯁꯤ ꯒꯥꯔꯤ ꯊꯧꯕꯥ ꯇꯝꯂꯤꯉꯩꯗꯥ ꯈꯔꯥ ‘ꯇꯦꯁ꯭ꯠ ꯗ꯭ꯔꯥꯏꯕ’ ꯇꯧꯕꯒꯥ ꯃꯥꯟꯅꯩ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯇꯦꯁ꯭ꯠ ꯑꯁꯤ ꯄꯥꯁ ꯇꯧꯔꯕꯗꯤ, ꯃꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯂꯪꯁ ꯑꯗꯨ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯊꯕꯛ ꯇꯧꯕꯥ ꯉꯝꯅꯕꯥ ꯃꯄꯥꯉ꯭ꯒꯜ ꯂꯩꯔꯦ ꯍꯥꯌꯕꯅꯤ꯫
ꯃꯈꯣꯌꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯀꯣꯛ ꯅꯣꯟꯖꯕꯒꯤ ꯇꯧꯕꯥ ꯉꯝꯕꯗꯨꯁꯨ ꯆꯦꯛ ꯇꯧꯒꯅꯤ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯀꯣꯛ ꯑꯗꯨ ꯀ꯭ꯂꯤꯌꯥꯔ ꯇꯧꯒꯅꯤ (ꯒꯦꯒ ꯔꯤꯐ꯭ꯂꯦꯛꯁ)꯫ ꯃꯁꯤ ꯅꯍꯥꯛꯅꯥ ꯆꯥꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯊꯛꯅꯕꯅꯆꯤꯡꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ ꯅꯍꯥꯛꯀꯤ ꯂꯪꯁꯇꯒꯤ ꯂꯥꯞꯅꯥ ꯊꯝꯕꯥ ꯉꯝꯅꯕꯥ ꯃꯔꯨꯑꯣꯏ꯫
ꯇꯤꯎꯕ ꯑꯗꯨ ꯂꯧꯊꯣꯛꯅꯕꯒꯤ ꯈꯣꯡꯊꯥꯡꯁꯤꯡ꯫
ꯅꯍꯥꯛꯅꯥ SBT ꯄꯥꯁ ꯇꯧꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ, ꯗꯣꯛꯇꯔ ꯅꯠꯠꯔꯒꯥ ꯇ꯭ꯔꯦꯟ ꯇꯧꯔꯕꯥ ꯅꯔꯁꯤꯡ ꯁ꯭ꯇꯥꯐ ꯑꯗꯨꯅꯥ ꯁ꯭ꯇꯦꯄꯁꯤꯡ ꯑꯁꯤ ꯏꯅꯒꯅꯤ:
1. ꯐꯃꯨꯡ ꯁꯦꯝ-ꯁꯥꯕꯥ: ꯅꯍꯥꯀꯄꯨ ꯐꯃꯨꯡꯗꯥ ꯂꯦꯡꯗꯅꯥ ꯂꯩꯕꯥ ꯄꯣꯖꯤꯁꯟ ꯑꯃꯗꯥ ꯄꯨꯔꯛꯀꯅꯤ꯫
2. ꯁꯦꯡꯗꯣꯀꯄꯥ: ꯑꯈꯟꯅꯕꯥ ꯁꯛꯁꯟ ꯗꯤꯚꯥꯏꯁ ꯑꯃꯥ ꯁꯤꯖꯤꯟꯅꯗꯨꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯃꯤꯠ, ꯀꯣꯛ ꯑꯃꯁꯨꯡ ꯇꯤꯎꯕꯀꯤ ꯃꯅꯨꯡꯗꯥ ꯂꯩꯕꯥ ꯃꯩꯁꯥ ꯑꯃꯁꯨꯡ ꯑꯀꯥꯌ-ꯑꯇꯣꯌ ꯄꯨꯝꯅꯃꯛ ꯂꯧꯊꯣꯀꯏ꯫
3. ꯇꯦꯞ ꯑꯗꯨ ꯂꯧꯊꯣꯀꯄꯥ: ꯇꯤꯎꯕ ꯑꯗꯨ ꯃꯥꯌꯗꯥ ꯊꯝꯂꯤꯕꯥ ꯄ꯭ꯂꯥꯁ꯭ꯇꯔ ꯅꯠꯠꯔꯒꯥ ꯇꯦꯞ ꯑꯗꯨ ꯂꯧꯊꯣꯀꯏ꯫
4. ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯒꯤ ꯏꯅꯁ꯭ꯠꯔꯛꯁꯅꯁꯤꯡ ꯄꯤꯕꯥ: ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯀꯄꯨ "ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯂꯣꯛ ꯈꯨꯕꯥ" ꯍꯥꯌꯅꯥ ꯍꯥꯌꯔꯤ꯫ ꯅꯍꯥꯛꯅꯥ ꯀꯣꯛ ꯆꯤꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯃꯈꯣꯌꯅꯥ ꯇꯤꯎꯕ ꯑꯗꯨ ꯊꯨꯅꯥ, ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯌꯥꯡꯅꯥ ꯂꯧꯊꯣꯀꯏ꯫
ꯃꯁꯤꯒꯤ ꯊꯧꯑꯣꯡ ꯄꯨꯝꯅꯃꯛ ꯑꯁꯤ ꯁꯦꯀꯦꯟꯗ ꯈꯔꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯆꯪꯏ꯫ ꯅꯍꯥꯛꯅꯥ ꯃꯁꯤ ꯐꯥꯑꯣꯕꯥ ꯐꯥꯑꯣꯗꯕꯥ ꯌꯥꯏ꯫
ꯑꯦꯛꯁꯇꯨꯕꯦꯁꯅꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯀꯔꯤ ꯊꯣꯀꯏ? ꯀꯔꯤ ꯑꯥꯁꯥ ꯇꯧꯒꯗꯒꯦ?
ꯇꯨꯕ ꯑꯗꯨ ꯂꯧꯊꯣꯛꯂꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯑꯍꯥꯅꯕꯥ ꯑꯣꯏꯅꯥ ꯐꯥꯑꯣꯒꯗꯕꯥ ꯋꯥꯐꯃꯗꯤ ꯑꯆꯧꯕꯥ ꯔꯤꯂꯤꯐ ꯑꯃꯅꯤ! ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯅꯍꯥꯛꯀꯤ ꯀꯣꯛꯇꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯈꯔꯥ ꯂꯩꯔꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯅꯨꯃꯤꯠ ꯈꯔꯅꯤꯒꯤ ꯑꯣꯏꯅꯥ ꯁꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯁꯤ ꯃꯄꯨꯡ ꯐꯥꯅꯥ ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏ꯫ ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯈꯣꯟꯖꯦꯜ ꯍꯧꯔꯀꯄꯗꯒꯤ ꯀꯣꯛ ꯅꯣꯟꯖꯕꯒꯨꯝꯕꯅꯤ꯫
ꯇꯨꯕ ꯑꯗꯨ ꯂꯧꯊꯣꯛꯂꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯃꯦꯗꯤꯀꯦꯜ ꯇꯤꯃꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯃꯈꯥ ꯇꯥꯅꯥ ꯌꯦꯡꯁꯤꯅꯒꯅꯤ꯫
- ꯅꯍꯥꯛꯀꯤ ꯕ꯭ꯂꯗ ꯑꯣꯛꯁꯤꯖꯦꯅꯒꯤ ꯆꯥꯡ ꯑꯗꯨ ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯌꯦꯡꯁꯤꯜꯂꯤ꯫
- ꯅꯍꯥꯛꯀꯤ ꯍꯥꯔꯇꯀꯤ ꯔꯦꯠ ꯑꯃꯁꯨꯡ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯒꯤ ꯃꯑꯣꯡ-ꯃꯇꯧ ꯑꯗꯨꯗꯥ ꯄꯨꯛꯅꯤꯡ ꯆꯪꯕꯤꯌꯨ꯫
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯑꯍꯥꯅꯕꯗꯥ ꯑꯄꯤꯀꯄꯥ ꯃꯇꯦꯡ ꯑꯃꯥ ꯑꯣꯏꯅꯥ, ꯅꯥꯀꯣꯡꯒꯤ ꯀꯦꯟꯌꯨꯜ ꯅꯠꯠꯔꯒꯥ ꯑꯣꯛꯁꯤꯖꯦꯟ ꯃꯥꯁ꯭ꯛ ꯑꯃꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯑꯣꯛꯁꯤꯖꯦꯟ ꯈꯔꯥ ꯄꯤꯕꯥ ꯌꯥꯏ꯫
ꯅꯍꯥꯛꯅꯥ ꯇꯤꯎꯕ ꯑꯗꯨ ꯂꯧꯊꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯋꯥꯈꯜ ꯇꯥꯔꯤꯕ꯭ꯔꯥ?
ꯃꯁꯤ ꯅꯍꯥꯛꯅꯥ ꯇꯨꯕꯇꯥ ꯊꯃꯈꯤꯕꯥ ꯃꯔꯝ ꯑꯗꯨꯒꯤ ꯃꯈꯥ ꯄꯣꯜꯂꯤ꯫
- ꯁꯔꯖꯔꯤꯒꯤꯗꯃꯛꯇꯥ: ꯑꯌꯥꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯇꯨꯕ ꯑꯗꯨ ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ, ꯅꯍꯥꯛꯅꯥ ꯑꯦꯅꯥꯁ꯭ꯇꯦꯁꯤꯌꯥꯗꯒꯤ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯋꯥꯈꯜ ꯇꯥꯗ꯭ꯔꯤꯉꯩꯗꯥ ꯂꯧꯊꯣꯀꯏ꯫ ꯅꯍꯥꯛꯅꯥ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯍꯧꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯇꯤꯎꯕ ꯑꯗꯨ ꯂꯣꯏꯔꯦ꯫
- ꯏꯟꯇꯦꯟꯁꯤꯚ ꯀꯦꯌꯔ ꯌꯨꯅꯤꯠ (ICU)ꯗꯥ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯅꯥꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯦꯛꯁꯤꯗꯦꯟꯇ ꯑꯃꯒꯤꯗꯃꯛ ꯂꯥꯏꯌꯦꯡꯂꯤꯕꯥ ꯑꯣꯏꯔꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯋꯥꯈꯜ ꯇꯥꯕꯥ ꯃꯇꯃꯗꯥ ꯇꯤꯎꯕ ꯑꯗꯨ ꯂꯧꯊꯣꯛꯀꯅꯤ꯫ ꯑꯗꯨꯕꯨ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯂꯩꯔꯣꯏ, ꯃꯦꯗꯤꯀꯦꯜ ꯇꯤꯃꯅꯥ ꯑꯗꯣꯃꯗꯥ ꯋꯥꯐꯝ ꯈꯨꯗꯤꯡꯃꯛ ꯈꯉꯍꯅꯒꯅꯤ ꯑꯃꯁꯨꯡ ꯑꯗꯣꯃꯕꯨ ꯅꯤꯡꯊꯤꯖꯅꯥ ꯐꯥꯑꯣꯍꯅꯒꯅꯤ꯫
ꯑꯦꯛꯁꯇꯨꯕꯦꯁꯅꯒꯤ ꯔꯤꯁ꯭ꯛ ꯑꯃꯁꯨꯡ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ ꯂꯩꯕ꯭ꯔꯥ?
ꯃꯦꯗꯤꯀꯦꯜ ꯄ꯭ꯔꯣꯁꯤꯗ꯭ꯌꯨꯑꯣꯔ ꯑꯃꯍꯦꯛꯇꯒꯥ ꯃꯥꯟꯅꯅꯥ, ꯃꯁꯤꯗꯥ ꯌꯥꯝꯅꯥ ꯑꯄꯤꯀꯄꯥ ꯔꯤꯁ꯭ꯛ ꯈꯔꯗꯤ ꯌꯥꯎꯏ꯫ ꯑꯗꯨꯕꯨ ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯇꯣꯏꯅꯥ ꯊꯣꯛꯇꯦ꯫ ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯃꯁꯤ ꯅꯤꯡꯊꯤꯅꯥ ꯈꯉꯏ, ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯃꯈꯣꯌꯅꯥ ꯃꯇꯝ ꯄꯨꯝꯅꯃꯛꯇꯥ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯐꯤꯚꯃꯁꯤꯡ ꯊꯦꯡꯅꯅꯕꯥ ꯁꯦꯝ ꯁꯥꯗꯨꯅꯥ ꯂꯩ꯫
ꯃꯔꯨꯑꯣꯏꯕꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯟ ꯑꯁꯤ ꯑꯦꯛꯁꯇꯨꯕꯦꯁꯟ ꯐꯦꯏꯂꯔꯅꯤ . ꯃꯁꯤꯅꯥ ꯇꯥꯀꯄꯗꯤ ꯇꯤꯎꯕ ꯑꯗꯨ ꯂꯧꯊꯣꯛꯂꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯉꯃꯗꯦ ꯑꯃꯁꯨꯡ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯏꯅꯇꯨꯕ ꯇꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯏ꯫
- ꯃꯁꯤ ꯃꯤꯑꯣꯏ ꯆꯥꯗꯥ ꯑꯄꯤꯀꯄꯥ ꯁꯔꯨꯛ ꯈꯔꯈꯛꯇꯗꯥ ꯊꯣꯀꯏ, ꯆꯥꯎꯔꯥꯛꯅꯥ 10%-14%, ꯃꯈꯣꯌꯒꯤ ꯇꯤꯎꯕꯁꯤꯡ ꯑꯗꯨ ꯄ꯭ꯂꯥꯟ ꯇꯧꯔꯕꯥ ꯃꯇꯨꯡꯏꯟꯅꯥ ꯂꯧꯊꯣꯀꯏ꯫
- ꯃꯁꯤꯒꯤ ꯔꯤꯁ꯭ꯛ ꯑꯁꯤ ꯆꯍꯤ 65ꯒꯤ ꯃꯊꯛꯇꯥ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯗꯥ, ꯑꯃꯁꯨꯡ ꯍꯥꯔꯇꯀꯤ ꯂꯥꯌꯅꯥ ꯅꯠꯠꯔꯒꯥ ꯀ꯭ꯔꯣꯅꯤꯛ ꯂꯪꯁꯀꯤ ꯂꯥꯌꯅꯥ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯗꯥ ꯈꯔꯥ ꯍꯦꯟꯅꯥ ꯋꯥꯡꯏ꯫
ꯑꯇꯣꯞꯄꯥ ꯑꯄꯤꯀꯄꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ:
- ꯈꯣꯟꯖꯦꯜ ꯍꯣꯡꯂꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯀꯣꯛ ꯆꯤꯀꯄꯥ: ꯃꯁꯤ ꯃꯤꯑꯣꯏ ꯀꯌꯥꯅꯥ ꯊꯦꯡꯅꯔꯤꯕꯥ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ ꯑꯃꯁꯨꯡ ꯅꯨꯃꯤꯠ ꯈꯔꯅꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯃꯁꯥ ꯃꯊꯟꯇꯥ ꯐꯒꯠꯂꯛꯀꯅꯤ꯫
- ꯁ꯭ꯠꯔꯥꯏꯗꯔ (Stridor): ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯀꯣꯛꯇꯥ ꯁꯣꯛ-ꯄꯅꯕꯥ ꯊꯣꯀꯄꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯃꯇꯃꯗꯥ ꯈꯔꯥ ꯍꯨꯔꯥꯅꯕꯥ ꯈꯣꯟꯖꯦꯜ ꯑꯃꯥ ꯇꯥꯕꯥ ꯌꯥꯏ꯫ ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯃꯁꯤ ꯀꯔꯝꯅꯥ ꯂꯥꯌꯦꯡꯒꯗꯒꯦ ꯍꯥꯌꯕꯥ ꯈꯉꯏ꯫
- ꯁꯥꯊꯤꯕꯥ ꯀꯣꯛ ꯆꯤꯀꯄꯥ: ꯇꯤꯎꯕ ꯑꯗꯨ ꯂꯧꯊꯣꯛꯂꯕꯥ ꯃꯇꯃꯗꯥ ꯊꯣꯀꯄꯥ ꯀꯣꯛ ꯆꯤꯀꯄꯥ ꯑꯁꯤꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯀꯣꯛ ꯆꯤꯀꯄꯥ (laryngospasm) ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫
ꯃꯔꯨꯑꯣꯏꯕꯥ ꯋꯥꯐꯃꯗꯤ ꯋꯥꯐꯝ ꯄꯨꯝꯅꯃꯛ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯊꯣꯀꯏ꯫ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯋꯥꯐꯝ ꯄꯨꯝꯅꯃꯛ ꯑꯁꯤꯒꯤꯗꯃꯛ ꯁꯦꯝ ꯁꯥꯗꯨꯅꯥ ꯂꯩ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯃꯊꯧ ꯇꯥꯗꯅꯥ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯂꯩꯔꯣꯏꯗꯕꯅꯤ꯫
ꯇꯦꯛ-ꯍꯣꯝ ꯃꯦꯁꯦꯖ ꯇꯧꯕꯥ꯫
- ꯑꯦꯛꯁꯇꯨꯕꯦꯁꯟ ꯑꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯔꯤꯀꯣꯚꯔꯤꯒꯤ ꯈꯣꯉꯆꯠꯇꯥ ꯌꯥꯝꯅꯥ ꯐꯕꯥ ꯑꯃꯁꯨꯡ ꯄꯣꯖꯤꯇꯤꯚ ꯑꯣꯏꯕꯥ ꯈꯣꯡꯊꯥꯡ ꯑꯃꯅꯤ꯫ ꯃꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡ ꯑꯗꯨ ꯃꯁꯥ ꯃꯊꯟꯇꯥ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯊꯕꯛ ꯇꯧꯕꯥ ꯉꯝꯅꯕꯥ ꯃꯄꯥꯉ꯭ꯒꯜ ꯂꯩ ꯍꯥꯌꯕꯅꯤ꯫
- ꯃꯁꯤ ꯗꯣꯛꯇꯔꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯇ꯭ꯔꯦꯟ ꯇꯧꯔꯕꯥ ꯁ꯭ꯇꯥꯐꯁꯤꯡꯅꯥ ꯇꯧꯏ, ꯅꯍꯥꯛꯀꯤ ꯁꯦꯐꯇꯤꯒꯤ ꯆꯥꯗꯥ ꯱꯰꯰ ꯁꯣꯌꯗꯅꯥ ꯂꯩꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ꯫
- ꯇꯤꯎꯕ ꯑꯗꯨ ꯂꯧꯊꯣꯛꯂꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯅꯨꯃꯤꯠ ꯈꯔꯅꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯀꯣꯛ ꯆꯤꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯈꯣꯟꯖꯦꯜ ꯍꯣꯡꯂꯀꯄꯥ ꯍꯥꯌꯕꯁꯤ ꯅꯣꯔꯃꯦꯂꯅꯤ꯫ ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯂꯩꯔꯣꯏꯗꯕꯅꯤ꯫
- ꯑꯦꯛꯁꯇꯨꯕꯦꯁꯅꯒꯤ ꯃꯇꯨꯡꯗꯥ, ꯅꯍꯥꯛꯅꯥ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯕꯥ, ꯆꯥꯕꯥ ꯑꯃꯁꯨꯡ ꯊꯀꯄꯥ ꯌꯥꯔꯣꯏ꯫
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