ꯊꯣꯡꯅꯥꯎꯒꯤ ꯑꯅꯥꯕꯁꯤꯡꯒꯤꯗꯃꯛ ꯑꯈꯟꯅꯕꯥ ꯏꯅꯖꯦꯀꯁꯟ (Femoral Nerve Block)ꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯄꯨꯝꯅꯃꯛ ꯈꯉꯁꯤ

ꯅꯍꯥꯛꯀꯤ ꯍꯤꯄꯐꯝ ꯅꯠꯠꯔꯒꯥ ꯈꯣꯡꯗꯥ ꯁꯔꯖꯔꯤ ꯇꯧꯕꯥ ꯍꯧꯔꯕ꯭ꯔꯥ? ꯅꯠꯠꯔꯒꯥ ꯈꯣꯡ ꯁꯣꯀꯄꯥ ꯌꯥꯕꯥ ꯑꯦꯛꯁꯤꯗꯦꯟꯇ ꯑꯃꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯌꯥꯝꯅꯥ ꯋꯥꯅꯥ ꯑꯋꯥꯕꯥ ꯃꯥꯌꯣꯛꯅꯔꯤꯕ꯭ꯔꯥ? ꯑꯗꯨꯗꯒꯤ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯀꯄꯨ "ꯐꯦꯃꯣꯔꯦꯜ ꯅꯔꯚ ꯕ꯭ꯂꯣꯛ" ꯑꯃꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯍꯥꯌꯔꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯃꯤꯡ ꯑꯁꯤ ꯈꯔꯥ ꯂꯥꯡꯇꯛꯅꯔꯕꯁꯨ, ꯃꯁꯤ ꯇꯁꯦꯡꯕꯗꯤ ꯄꯦꯟ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯒꯤ ꯌꯥꯝꯅꯥ ꯀꯥꯟꯅꯔꯕꯥ ꯑꯃꯁꯨꯡ ꯁꯥꯐꯕꯥ ꯄꯥꯝꯕꯩ ꯑꯃꯅꯤ꯫ ꯉꯁꯤꯗꯤ ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯁꯨꯞꯅꯇꯒꯤ ꯋꯥꯔꯤ ꯁꯥꯁꯤ꯫

ꯐꯦꯃꯣꯔꯦꯜ ꯅꯔꯚ ꯕ꯭ꯂꯣꯛ ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ?

ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯐꯦꯃꯣꯔꯦꯜ ꯅꯔꯚ ꯕ꯭ꯂꯣꯛ ꯍꯥꯌꯕꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯂꯩꯕꯥ ꯑꯆꯧꯕꯥ ꯅꯔꯚ ꯑꯃꯒꯤ ꯃꯅꯥꯛꯇꯥ ꯂꯩꯕꯥ ꯑꯅꯥꯕꯥ ꯊꯤꯡꯅꯕꯥ ꯗ꯭ꯔꯒ ꯑꯃꯒꯤ ꯏꯅꯖꯦꯀꯁꯟ ꯑꯃꯅꯤ꯫ ꯑꯩꯈꯣꯌꯅꯥ ꯅꯔꯚ ꯑꯁꯤꯕꯨ ‘ꯐꯦꯃꯣꯔꯦꯜ ꯅꯔꯚ’ ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ ꯃꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯂꯩꯕꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯆꯥꯎꯕꯥ ꯅꯔꯚꯁꯤꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯅꯤ꯫ ꯑꯩꯈꯣꯌꯒꯤ ꯌꯨꯃꯁꯤꯡꯗꯥ ꯂꯩꯕꯥ ꯏꯂꯦꯛꯠꯔꯤꯀꯦꯜ ꯋꯥꯌꯥꯔꯁꯤꯡꯒꯥ ꯃꯥꯟꯅꯅꯥ, ꯅꯔꯚ ꯑꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯒꯤ ꯅꯍꯥꯛꯀꯤ ꯕ꯭ꯔꯦꯅꯗꯥ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯄꯥꯎꯖꯦꯂꯁꯤꯡ ꯄꯨꯗꯨꯅꯥ ꯆꯠꯂꯤ꯫

ꯃꯁꯤꯒꯤ ꯅꯔꯚ ꯑꯁꯤꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯊꯕꯛ ꯑꯅꯤ ꯂꯩ:

1. ꯃꯣꯇꯣꯔ ꯐꯉ꯭ꯀꯁꯟ: ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡ, ꯈꯣꯡ, ꯈꯣꯡ ꯑꯃꯁꯨꯡ ꯈꯣꯡꯗꯥ ꯆꯠꯄꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫

2. ꯁꯦꯟꯁꯔꯤ ꯐꯉ꯭ꯀꯁꯟ (sensory function): ꯁꯣꯛ-ꯄꯅꯕꯥ, ꯑꯁꯣꯛ-ꯑꯄꯟ, ꯑꯁꯥꯕꯥ, ꯑꯃꯁꯨꯡ ꯀꯣꯜꯗꯒꯨꯝꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ ꯐꯥꯎꯕꯥ ꯉꯝꯕꯥ꯫

ꯍꯧꯖꯤꯛ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯔꯚ ꯑꯁꯤꯒꯤ ꯃꯅꯥꯛꯇꯥ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯍꯤꯗꯥꯛ ꯑꯃꯥ ꯏꯅꯖꯦꯀꯁꯟ ꯇꯧꯔꯦ ꯍꯥꯌꯅꯥ ꯈꯅꯕꯤꯌꯨ꯫ ꯊꯣꯛꯂꯤꯕꯥ ꯑꯁꯤ, ꯏꯂꯦꯛꯠꯔꯤꯀꯦꯜ ꯁꯨꯏꯆ ꯑꯃꯥ ꯑꯣꯐ ꯇꯧꯕꯒꯨꯝꯅꯥ, ꯅꯔꯚ ꯑꯗꯨꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯕ꯭ꯔꯦꯅꯗꯥ ꯆꯠꯂꯤꯕꯥ ꯄꯦꯟ ꯁꯤꯒꯅꯦꯂꯁꯤꯡ ꯑꯗꯨ ꯃꯇꯝ ꯈꯔꯒꯤ ꯑꯣꯏꯅꯥ ꯊꯤꯡꯖꯤꯜꯂꯤ꯫ ꯃꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ ``ꯑꯦꯅꯥꯂꯖꯦꯁꯤꯌꯥ'' ꯅꯠꯠꯔꯒꯥ ``ꯔꯤꯖꯅꯦꯜ ꯑꯦꯅꯥꯁ꯭ꯇꯦꯁꯤꯌꯥ'' ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ ꯃꯁꯤꯗꯁꯨ ꯅꯠꯇꯅꯥ, ꯃꯐꯝ ꯑꯗꯨꯗꯥ ꯂꯩꯔꯤꯕꯥ ꯃꯁꯂꯁꯤꯡ ꯑꯗꯨ ꯃꯇꯝ ꯈꯔꯒꯤ ꯑꯣꯏꯅꯥ ꯁꯣꯟꯊꯔꯀꯄꯥ ꯌꯥꯏ꯫

ꯃꯁꯤꯒꯤ ꯚꯦꯛꯁꯤꯟ ꯑꯁꯤ ꯀꯗꯥꯏꯗꯥ ꯄꯤꯔꯤꯕꯅꯣ?

ꯁꯣꯠ ꯑꯁꯤ ꯃꯍꯧꯁꯥꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯃꯊꯛ ꯊꯪꯕꯥ ꯁꯔꯨꯛꯇꯥ, ꯅꯍꯥꯛꯀꯤ ꯄꯦꯂꯚꯤꯁꯀꯤ ꯃꯅꯥꯛꯇꯥ ꯄꯤ꯫ ꯅꯍꯥꯛꯀꯤ ꯐꯦꯃꯣꯔꯦꯜ ꯅꯔꯚ ꯑꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯃꯈꯥ ꯊꯪꯕꯥ ꯁꯔꯨꯛꯇꯥ (`ꯂꯝꯕꯔ ꯄ꯭ꯂꯦꯛꯁꯁ`) ꯍꯧꯔꯀꯄꯥ ꯅꯔꯚꯁꯤꯡꯒꯤ ꯀꯥꯡꯂꯨꯞ ꯑꯃꯗꯒꯤ ꯂꯥꯀꯏ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯅꯔꯚꯅꯥ ꯂꯧꯊꯣꯀꯄꯥ ꯂꯝꯕꯤ ꯑꯗꯨꯗꯥ ꯑꯆꯨꯝꯕꯥ ꯃꯐꯝ ꯑꯗꯨ ꯊꯤꯗꯨꯅꯥ ꯁꯣꯠ ꯑꯁꯤ ꯄꯤꯒꯅꯤ꯫

ꯐꯦꯃꯣꯔꯦꯜ ꯅꯔꯚ ꯕ꯭ꯂꯣꯛ ꯑꯃꯒꯤ ꯀꯥꯟꯅꯕꯁꯤꯡ ꯀꯔꯤꯅꯣ?

ꯃꯁꯤꯒꯤ ꯄꯥꯝꯕꯩ ꯑꯁꯤ ꯃꯔꯨꯑꯣꯏꯅꯥ ꯐꯤꯚꯝ ꯑꯅꯤꯗꯥ ꯁꯤꯖꯤꯟꯅꯩ꯫ ꯑꯃꯅꯥ ꯁꯔꯖꯔꯤꯒꯤꯗꯃꯛꯇꯥ ꯅꯝꯕꯤꯡ ꯑꯦꯖꯦꯟꯇ ꯑꯃꯥ ꯑꯣꯏꯅꯥ, ꯑꯃꯁꯨꯡ ꯑꯇꯣꯞꯄꯥ ꯑꯃꯅꯥ ꯑꯦꯛꯁꯤꯗꯦꯟꯇ ꯑꯃꯥ ꯊꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯑꯅꯥꯕꯥ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯅꯤ꯫

ꯀꯅꯥꯒꯨꯝꯕꯥ ꯑꯃꯅꯥ ꯁꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯃꯈꯣꯌꯒꯤ ꯍꯤꯄꯐꯝ ꯑꯗꯨ ꯁꯣꯀꯍꯜꯂꯀꯄꯥ ꯌꯥꯏ ꯍꯥꯌꯅꯥ ꯈꯅꯕꯤꯌꯨ꯫ ꯃꯈꯣꯌꯕꯨ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯂꯒꯤ ꯏꯃꯔꯖꯦꯟꯁꯤ ꯗꯤꯄꯥꯔꯇꯃꯦꯟꯇ (ꯏ.ꯇꯤ.ꯌꯨ.)ꯗꯥ ꯄꯨꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯃꯈꯣꯌꯅꯥ ꯑꯦꯛꯁ-ꯔꯦ ꯂꯧꯏ, ꯑꯃꯁꯨꯡ ꯃꯈꯣꯌꯒꯤ ꯈꯣꯡ ꯊꯥꯡꯖꯤꯅꯕꯗꯁꯨ ꯌꯥꯝꯅꯥ ꯋꯥꯅꯥ ꯑꯋꯥꯕꯥ ꯊꯣꯀꯍꯜꯂꯤ꯫ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯀꯦꯁꯁꯤꯡ ꯑꯁꯤꯗꯥ ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯃꯁꯤꯒꯤ ꯅꯔꯚ ꯕ꯭ꯂꯣꯛ ꯑꯁꯤ ꯁꯤꯖꯤꯟꯅꯗꯨꯅꯥ ꯑꯅꯥꯕꯥ ꯑꯗꯨ ꯌꯦꯡꯁꯤꯅꯕꯗꯥ ꯍꯦꯟꯅꯥ ꯂꯥꯌꯕꯥ ꯑꯃꯁꯨꯡ ꯁꯣꯀꯄꯥ ꯁꯔꯨ ꯑꯗꯨ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯁꯦꯃꯗꯣꯀꯄꯥ ꯉꯃꯍꯜꯂꯤ꯫

ꯃꯁꯤꯒꯤꯗꯃꯛꯇꯥ ꯑꯗꯣꯝꯅꯥ ꯃꯇꯧ ꯀꯔꯝꯅꯥ ꯁꯦꯝ ꯁꯥꯒꯗꯒꯦ?

ꯃꯁꯤꯒꯤꯗꯃꯛꯇꯥ ꯅꯍꯥꯛꯅꯥ ꯁꯦꯝ-ꯁꯥꯕꯒꯤ ꯃꯑꯣꯡ ꯑꯁꯤ ꯅꯍꯥꯀꯄꯨ ꯅꯔꯚ ꯕ꯭ꯂꯣꯛ ꯑꯁꯤ ꯄꯤꯕꯒꯤ ꯃꯔꯝ ꯑꯗꯨꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ ꯈꯔꯥ ꯈꯦꯠꯅꯩ꯫

• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯦꯃꯔꯖꯦꯟꯁꯤ ꯑꯣꯏꯔꯕꯗꯤ: ꯅꯍꯥꯛꯅꯥ ꯑꯈꯟꯅꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯃꯠꯇꯥ ꯁꯦꯝ-ꯁꯥꯕꯒꯤ ꯃꯊꯧ ꯇꯥꯗꯦ꯫ ꯏ.ꯇꯤ.ꯌꯨ.ꯗꯥ ꯂꯩꯕꯥ ꯃꯦꯗꯤꯀꯦꯜ ꯇꯤꯃꯅꯥ ꯑꯗꯣꯃꯒꯤ ꯗꯔꯀꯥꯔ ꯑꯣꯏꯕꯥ ꯈꯨꯗꯤꯡꯃꯛ ꯌꯦꯡꯁꯤꯅꯒꯅꯤ꯫
• ꯄ꯭ꯂꯥꯟ ꯇꯧꯔꯕꯥ ꯁꯔꯖꯔꯤꯒꯤꯗꯃꯛ: ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯑꯀꯛꯅꯕꯥ ꯏꯅꯁ꯭ꯠꯔꯛꯁꯅꯁꯤꯡ ꯄꯤꯒꯅꯤ꯫ ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯅꯍꯥꯛꯅꯥ ꯁꯔꯖꯔꯤ ꯇꯧꯗ꯭ꯔꯤꯉꯩꯒꯤ ꯃꯃꯥꯡꯗꯥ ꯄꯨꯡ ꯀꯌꯥ ꯔꯣꯖꯥ (ꯏꯁꯤꯡ ꯅꯠꯇꯕꯥ ꯑꯇꯩ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯃꯠꯇꯥ ꯆꯥꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯊꯀꯄꯥ ꯌꯥꯗꯅꯕꯥ) ꯍꯥꯌꯔꯀꯄꯥ ꯌꯥꯏ꯫ ꯑꯀꯛꯅꯕꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ ꯃꯇꯝ ꯈꯔꯒꯤ ꯑꯣꯏꯅꯥ ꯊꯤꯡꯅꯕꯥ ꯍꯥꯌꯕꯁꯨ ꯌꯥꯏ꯫ ꯅꯍꯥꯛꯅꯥ ꯏꯅꯁ꯭ꯠꯔꯛꯁꯅꯁꯤꯡ ꯑꯁꯤ ꯆꯨꯝꯅꯥ ꯏꯅꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫

ꯃꯁꯤꯒꯤ ꯅꯔꯚ ꯕ꯭ꯂꯣꯛ ꯑꯁꯤ ꯄꯤꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯀꯔꯤ ꯊꯣꯀꯏ?

ꯃꯁꯤꯒꯤ ꯊꯧꯑꯣꯡ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯊꯣꯀꯄꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯑꯩꯍꯥꯛꯅꯥ ꯑꯗꯣꯃꯗꯥ ꯈꯔꯥ ꯐꯣꯡꯗꯣꯀꯆꯒꯅꯤ꯫

1. ꯑꯍꯥꯅꯕꯗꯥ ꯅꯍꯥꯀꯄꯨ ꯐꯃꯨꯡ ꯑꯃꯗꯥ ꯅꯨꯡꯉꯥꯏꯅꯥ ꯂꯩꯅꯕꯥ ꯁꯦꯃꯒꯅꯤ꯫

2. ꯅꯍꯥꯛꯀꯤ ꯑꯀꯤꯕꯥ ꯑꯃꯁꯨꯡ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯍꯟꯊꯍꯟꯅꯕꯥ, ꯑꯃꯁꯨꯡ ꯅꯍꯥꯀꯄꯨ ꯅꯨꯡꯉꯥꯏꯅꯥ ꯂꯩꯍꯅꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯅꯕꯥ, ꯅꯍꯥꯛꯀꯤ ꯈꯨꯠꯁꯥꯗꯥ ꯂꯩꯕꯥ ꯁꯦꯂꯟ ꯀꯦꯟꯌꯨꯂꯥ (`IV ꯂꯥꯏꯟ`)ꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯁꯦꯗꯦꯇꯤꯚ ꯍꯤꯗꯥꯛ (`ꯁꯦꯗꯦꯇꯤꯚ`)ꯒꯤ ꯑꯄꯤꯀꯄꯥ ꯃꯁꯤꯡ ꯑꯃꯥ ꯄꯤꯕꯥ ꯌꯥꯏ꯫

꯳.ꯃꯇꯝ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯃꯦꯗꯤꯀꯦꯜ ꯇꯤꯃꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯁꯦꯜ ꯌꯦꯡꯁꯤꯅꯒꯅꯤ꯫ ꯃꯈꯣꯌꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯕ꯭ꯂꯗ ꯑꯣꯛꯁꯤꯖꯦꯟ ꯂꯦꯚꯦꯜ (ꯄꯂꯁ ꯑꯣꯛꯁꯤꯃꯤꯇꯔ), ꯍꯥꯔꯠ ꯔꯦꯠ (EKG), ꯑꯃꯁꯨꯡ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔꯒꯨꯝꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ ꯑꯁꯤ ꯃꯈꯥ ꯇꯥꯅꯥ ꯂꯦꯄꯀꯅꯤ꯫

4. ꯃꯊꯪꯗꯥ ꯗꯣꯛꯇꯔꯅꯥ ꯐꯦꯃꯣꯔꯦꯜ ꯅꯔꯚꯀꯤ ꯑꯀꯛꯅꯕꯥ ꯃꯐꯝ ꯑꯗꯨ ꯈꯪꯗꯣꯛꯀꯅꯤ꯫ ꯃꯁꯤ ꯑꯌꯥꯝꯕꯅꯥ ꯑꯂꯠꯔꯥꯁꯥꯎꯟꯗ ꯃꯦꯁꯤꯟ ꯁꯤꯖꯤꯟꯅꯗꯨꯅꯥ ꯇꯧꯏ . ꯕꯦꯕꯤ ꯁ꯭ꯀꯦꯅꯒꯨꯝꯅꯥ, ꯃꯦꯁꯤꯟ ꯑꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯂꯩꯕꯥ ꯅꯔꯚ ꯑꯗꯨ ꯃꯌꯦꯛ ꯁꯦꯡꯅꯥ ꯎꯕꯥ ꯉꯝꯃꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯅꯔꯚ ꯁ꯭ꯇꯤꯝꯌꯨꯂꯦꯇꯔ ꯑꯃꯥ ꯁꯤꯖꯤꯟꯅꯩ꯫ꯃꯈꯣꯌꯅꯥ ꯁ꯭ꯇꯤꯝꯌꯨꯂꯦꯇꯔ ꯀꯧꯕꯥ ꯈꯨꯠꯂꯥꯏ ꯑꯃꯁꯨ ꯁꯤꯖꯤꯟꯅꯩ꯫ ꯃꯐꯝ ꯑꯁꯤꯗꯥ ꯊꯣꯛꯂꯤꯕꯥ ꯑꯁꯤꯗꯤ ꯌꯥꯝꯅꯥ ꯑꯄꯤꯀꯄꯥ ꯏꯂꯦꯛꯠꯔꯤꯀꯦꯜ ꯁꯤꯒꯅꯦꯂꯁꯤꯡ ꯑꯁꯤ ꯑꯄꯤꯀꯄꯥ ꯅꯤꯗꯜ ꯑꯃꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯅꯔꯚꯇꯥ ꯊꯥꯏ꯫ ꯑꯗꯨꯗꯒꯤ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯂꯩꯔꯤꯕꯥ ꯃꯁꯂꯁꯤꯡ ꯑꯗꯨ ꯈꯔꯥ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯁꯣꯟꯊꯔꯀꯏ꯫ ꯃꯗꯨꯅꯥ ꯗꯣꯛꯇꯔꯅꯥ ꯃꯁꯤ ꯑꯆꯨꯝꯕꯥ ꯅꯔꯚꯅꯤ ꯍꯥꯌꯕꯥ ꯀꯅꯐꯥꯔꯝ ꯇꯧꯕꯥ ꯌꯥꯍꯜꯂꯤ꯫

5. ꯑꯆꯨꯝꯕꯥ ꯃꯐꯝ ꯑꯗꯨ ꯐꯪꯂꯕꯥ ꯃꯇꯨꯡꯗꯥ, ꯑꯍꯥꯅꯕꯗꯥ ꯍꯤꯗꯥꯛ ꯈꯔꯥ ꯄꯤꯗꯨꯅꯥ ꯅꯔꯚ ꯕ꯭ꯂꯣꯛ ꯅꯤꯗꯜ ꯑꯗꯨ ꯊꯥꯗꯣꯛꯀꯗꯕꯥ ꯃꯐꯝ ꯑꯗꯨ ꯁꯣꯀꯍꯜꯂꯤ꯫ ꯃꯁꯤꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯑꯋꯥꯕꯥ ꯀꯌꯥ ꯐꯥꯎꯕꯥ ꯊꯤꯡꯒꯅꯤ꯫ ꯃꯁꯤ ꯈꯔꯥ ꯁꯣꯀꯄꯥ ꯌꯥꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯐꯥꯎꯕꯥ ꯌꯥꯏ꯫

6. ꯑꯔꯣꯏꯕꯗꯥ, ꯃꯔꯨꯑꯣꯏꯕꯥ ꯑꯦꯅꯥꯁ꯭ꯇꯦꯇꯤꯛ ꯑꯗꯨ ꯅꯔꯚꯀꯤ ꯃꯅꯥꯛꯇꯥ ꯏꯅꯖꯦꯀꯁꯟ ꯇꯧꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯃꯁꯤ ꯁꯨꯞꯅꯒꯤ ꯏꯅꯖꯦꯀꯁꯟ ꯑꯃꯈꯛꯇꯅꯥ ꯇꯧꯏ꯫ ꯑꯗꯨꯕꯨ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯑꯅꯥꯕꯥ ꯑꯗꯨ ꯃꯈꯥ ꯇꯥꯅꯥ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯥ ꯄꯥꯝꯂꯕꯗꯤ, ꯃꯐꯝ ꯑꯗꯨꯗꯥ ꯀꯦꯇꯦꯒꯣꯔꯤ ꯀꯧꯕꯥ ꯌꯥꯝꯅꯥ ꯂꯨꯕꯥ, ꯐ꯭ꯂꯦꯛꯁꯤꯕꯜ ꯑꯣꯏꯕꯥ ꯇꯤꯎꯕ ꯑꯃꯥ ꯊꯥꯗꯨꯅꯥ ꯄ꯭ꯂꯥꯁ꯭ꯇꯔ ꯑꯃꯅꯥ ꯈꯣꯡꯗꯥ ꯇꯦꯞ ꯇꯧꯏ꯫ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯇꯤꯎꯕ ꯑꯗꯨꯅꯥ ꯍꯤꯗꯥꯛ ꯑꯗꯨ ꯍꯀꯆꯥꯡꯗꯥ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯃꯈꯥ ꯇꯥꯅꯥ ꯌꯧꯍꯅꯕꯥ ꯉꯝꯃꯤ꯫

ꯃꯁꯤꯒꯤ ꯀꯥꯟꯅꯕꯁꯤꯡ ꯀꯔꯤꯅꯣ?

ꯐꯦꯃꯣꯔꯦꯜ ꯅꯔꯚ ꯕ꯭ꯂꯣꯛ ꯑꯃꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯀꯥꯟꯅꯕꯗꯤ ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯏꯐꯦꯛꯇꯤꯚ ꯑꯣꯏꯅꯥ ꯑꯅꯥꯕꯥ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯗꯥ ꯁꯤꯖꯤꯟꯅꯕꯥ ꯌꯥꯏ꯫

ꯃꯁꯤꯒꯤ ꯃꯊꯛꯇꯥ ꯑꯇꯣꯞꯄꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯀꯥꯟꯅꯕꯥ ꯑꯃꯁꯨ ꯂꯩꯔꯤ꯫ ꯍꯥꯌꯕꯗꯤ, ꯃꯁꯤꯅꯥ `ꯑꯣꯄꯤꯑꯣꯏꯗ` ꯀꯥꯡꯂꯨꯄꯇꯥ ꯑꯀꯅꯕꯥ ꯄꯦꯟ ꯀꯤꯂꯔꯁꯤꯡ (ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯃꯣꯔꯐꯤꯟ, ꯇ꯭ꯔꯥꯃꯥꯗꯣꯜ) ꯁꯤꯖꯤꯟꯅꯕꯥ ꯍꯟꯊꯍꯅꯕꯥ ꯉꯝꯃꯤ꯫ `ꯑꯣꯄꯤꯑꯣꯏꯗ` ꯗ꯭ꯔꯒꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯅꯁꯥꯒꯤ ꯔꯤꯁ꯭ꯛ ꯂꯩꯕꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯑꯃꯁꯨꯡ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ, ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ, ꯑꯃꯁꯨꯡ ꯈꯣꯡ ꯍꯥꯝꯕꯥ ꯑꯁꯤꯅꯆꯤꯡꯕꯥ ꯁꯥꯏꯗ ꯏꯐꯦꯛꯇꯁꯤꯡ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ, ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯃꯈꯣꯌ ꯑꯁꯤ ꯁꯤꯖꯤꯟꯅꯕꯥ ꯍꯟꯊꯍꯅꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯐꯩ꯫ ꯅꯔꯚ ꯕ꯭ꯂꯣꯛ ꯑꯁꯤꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ, ꯅꯍꯥꯛꯅꯥ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯂꯗꯒꯤ ꯌꯨꯃꯗꯥ ꯊꯨꯅꯥ ꯌꯥꯡꯅꯥ ꯆꯠꯄꯥ ꯌꯥꯕꯁꯨ ꯌꯥꯏ꯫

ꯔꯤꯁ꯭ꯛ ꯑꯃꯁꯨꯡ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ ꯂꯩꯕ꯭ꯔꯥ?

ꯃꯦꯗꯤꯀꯦꯜ ꯇ꯭ꯔꯤꯠꯃꯦꯟꯇ ꯑꯃꯍꯦꯛꯇꯒꯥ ꯃꯥꯟꯅꯅꯥ, ꯌꯥꯝꯅꯥ ꯅꯦꯝꯕꯥ ꯔꯤꯁ꯭ꯛ ꯂꯩ꯫ ꯑꯗꯨꯕꯨ ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯊꯦꯡꯅꯩ꯫ ꯍꯥꯌꯕꯗꯤ ꯃꯈꯣꯌ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯇꯣꯏꯅꯥ ꯊꯣꯛꯇꯦ ꯍꯥꯌꯕꯅꯤ꯫ ꯑꯗꯨꯕꯨ ꯆꯦꯀꯁꯤꯟꯅꯥ ꯂꯩꯕꯥ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫

• ꯅꯔꯚ ꯃꯥꯡ-ꯇꯥꯀꯄꯥ: ꯃꯁꯤ ꯃꯇꯝ ꯈꯔꯒꯤ ꯑꯣꯏꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯃꯇꯝ ꯆꯨꯞꯄꯒꯤ ꯑꯣꯏꯅꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫
• ꯗ꯭ꯔꯒ ꯑꯗꯨꯗꯥ ꯑꯦꯂꯥꯔꯖꯤꯒꯤ ꯔꯤꯑꯦꯛꯁꯟ ꯂꯩꯕꯥ꯫
• ꯍꯦꯃꯥꯇꯣꯃꯥ (Hematoma): ꯅꯤꯜ ꯑꯗꯨꯅꯥ ꯆꯉꯁꯤꯜꯂꯀꯄꯥ ꯃꯐꯃꯗꯨꯒꯤ ꯃꯈꯥꯗꯥ ꯏꯒꯤ ꯆꯥꯡ ꯈꯔꯥ ꯊꯨꯒꯥꯌ꯫
• ꯃꯍꯤꯛ ꯄꯛꯄ.
• ꯂꯣꯀꯦꯜ ꯑꯦꯅꯥꯁ꯭ꯇꯦꯇꯤꯛ ꯁꯤꯁ꯭ꯇꯦꯃꯤꯛ ꯇꯣꯛꯁꯤꯁꯤꯇꯤ: ꯃꯁꯤ ꯂꯣꯀꯦꯜ ꯑꯦꯅꯥꯁ꯭ꯇꯦꯇꯤꯀꯁꯤꯡꯗꯥ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯊꯣꯀꯄꯥ ꯑꯗꯨꯕꯨ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯔꯤꯑꯦꯛꯁꯟ ꯑꯃꯅꯤ꯫ ꯑꯗꯨꯕꯨ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯂꯩꯔꯣꯏꯗꯕꯅꯤ, ꯅꯍꯥꯛꯀꯤ ꯃꯦꯗꯤꯀꯦꯜ ꯇꯤꯃꯅꯥ ꯃꯇꯝ ꯑꯃꯠꯇꯗꯥ ꯂꯥꯌꯦꯡꯅꯕꯥ ꯁꯦꯝ ꯁꯥꯗꯨꯅꯥ ꯂꯩꯔꯤ꯫

ꯃꯁꯤꯒꯤ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯑꯁꯤ ꯀꯌꯥ ꯀꯨꯏꯅꯥ ꯂꯩꯒꯅꯤ?

ꯃꯁꯤꯒꯤ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯑꯁꯤꯒꯤ ꯃꯇꯝ ꯑꯁꯤ ꯃꯤꯑꯣꯏ ꯑꯃꯗꯒꯤ ꯃꯤꯑꯣꯏ ꯑꯃꯗꯥ ꯈꯦꯠꯅꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯗꯥ ꯁꯣꯀꯍꯜꯂꯤꯕꯥ ꯐꯦꯛꯇꯔ ꯀꯌꯥ ꯂꯩ꯫ ꯃꯇꯝ ꯑꯁꯤ ꯁꯤꯖꯤꯟꯅꯔꯤꯕꯥ ꯗ꯭ꯔꯒꯀꯤ ꯃꯈꯜ, ꯃꯁꯤꯒꯤ ꯆꯥꯡ, ꯑꯃꯁꯨꯡ ꯃꯁꯤꯒꯤ ꯀꯟꯁꯦꯟꯠꯔꯦꯁꯟ ꯑꯁꯤꯅꯆꯤꯡꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡꯅꯥ ꯂꯦꯞꯄꯤ꯫ ꯃꯍꯧꯁꯥꯅꯥ ꯃꯁꯤ ꯄꯨꯡ ꯈꯔꯗꯒꯤ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯄꯨꯡ 24 ꯐꯥꯎꯕꯥ ꯆꯠꯄꯥ ꯌꯥꯏ꯫ ꯅꯍꯥꯛꯀꯤ ꯀꯟꯗꯤꯁꯅꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ, ꯅꯍꯥꯛꯅꯥ ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯍꯦꯟꯅꯥ ꯏꯅꯐꯣꯔꯃꯦꯁꯟ ꯄꯤꯅꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯍꯪꯂꯀꯄꯥ ꯌꯥꯏ꯫

ꯀꯔꯤ ꯃꯇꯃꯗꯥ ꯗꯣꯛꯇꯔꯗꯥ ꯀꯧꯒꯗꯒꯦ?

ꯍꯣꯁ꯭ꯄꯤꯇꯥꯂꯗꯒꯤ ꯌꯨꯃꯗꯥ ꯆꯠꯂꯕꯥ ꯃꯇꯨꯡꯗꯥ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯅꯔꯚ ꯕ꯭ꯂꯣꯀꯀꯥ ꯃꯔꯤ ꯂꯩꯅꯕꯥ ꯑꯅꯧꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯅꯠꯠꯔꯒꯥ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯃꯁꯤꯡ ꯂꯩꯔꯕꯗꯤ , ꯈꯨꯗꯛꯇꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯀꯧ꯫

ꯍꯥꯌꯔꯤꯕꯥ ꯋꯥꯐꯃꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯃꯔꯨꯑꯣꯏꯅꯥ ꯆꯦꯀꯁꯤꯅꯕꯤꯌꯨ:

• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯏꯅꯖꯦꯀꯁꯟ ꯇꯧꯔꯤꯕꯥ ꯃꯐꯝ ꯑꯗꯨꯗꯥ ꯁꯣꯛ-ꯄꯅꯕꯥ, ꯂꯦꯡ-ꯑꯣꯠꯄꯒꯤ ꯃꯑꯣꯡ ꯂꯩꯔꯕꯗꯤ (ꯃꯈꯣꯌꯁꯤꯡ ꯑꯁꯤ ꯏꯅꯐꯦꯛꯁꯅꯒꯤ ꯈꯨꯗꯃꯁꯤꯡ ꯑꯣꯏꯕꯥ ꯌꯥꯏ)꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯂꯦꯡ-ꯑꯣꯠꯄꯗꯥ ꯋꯥꯕꯥ, ꯁꯣꯟꯊꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯂꯩꯔꯕꯗꯤ, ꯍꯥꯌꯕꯗꯤ ꯃꯩꯅꯥ ꯆꯥꯀꯄꯥ .

ꯐꯦꯃꯣꯔꯦꯜ ꯅꯔꯚ ꯕ꯭ꯂꯣꯛ ꯑꯁꯤ ꯑꯅꯥꯕꯥ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯅꯕꯒꯤ ꯌꯥꯝꯅꯥ ꯐꯕꯥ ꯑꯃꯁꯨꯡ ꯁꯥꯐꯕꯥ ꯃꯑꯣꯡ ꯑꯃꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯍꯧꯖꯤꯀꯁꯨ ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯆꯤꯡꯅꯕꯥ ꯂꯩꯔꯕꯗꯤ, ꯃꯗꯨꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯑꯃꯨꯛꯇꯪ ꯋꯥꯔꯤ ꯁꯥꯕꯤꯌꯨ꯫ ꯃꯍꯥꯛꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯋꯥꯍꯪ ꯄꯨꯝꯅꯃꯛꯀꯤ ꯄꯥꯎꯈꯨꯝ ꯄꯤꯒꯅꯤ꯫