ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯏꯟꯇꯦꯁ꯭ꯇꯥꯏꯅꯁꯤꯡꯗꯥ ꯁꯥꯊꯤꯕꯥ ꯏꯅꯐꯦꯛꯁꯟ, ꯕ꯭ꯂꯣꯀꯦꯖ ꯅꯠꯠꯔꯒꯥ ꯀꯦꯟꯁꯔ ꯑꯃꯥ ꯂꯩꯔꯕꯗꯤ ꯑꯃꯁꯨꯡ ꯑꯆꯧꯕꯥ ꯁꯔꯖꯔꯤ ꯑꯃꯥ ꯃꯊꯧ ꯇꯥꯔꯕꯗꯤ ꯀꯔꯤ ꯇꯧꯒꯅꯤ? ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯄꯨꯟꯁꯤ ꯀꯟꯅꯕꯒꯤ ꯑꯣꯄꯔꯦꯁꯟ ꯑꯃꯥ ꯄꯥꯡꯊꯣꯀꯄꯥ ꯃꯊꯧ ꯇꯥꯏ꯫ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯀꯦꯁꯁꯤꯡ ꯑꯁꯤꯗꯥ ꯁꯤꯖꯤꯟꯅꯔꯤꯕꯥ ꯑꯈꯟꯅꯕꯥ ꯊꯧꯑꯣꯡ ꯑꯃꯕꯨ ꯍꯥꯔꯇꯃꯦꯅꯒꯤ ꯊꯧꯑꯣꯡ ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ ꯃꯤꯡ ꯑꯁꯤ ꯈꯔꯥ ꯂꯥꯡꯇꯛꯅꯔꯀꯄꯥ ꯌꯥꯏ, ꯑꯗꯨꯕꯨ ꯇꯁꯦꯡꯅꯥ ꯀꯔꯤ ꯊꯣꯛꯂꯤꯕꯅꯣ, ꯀꯔꯤꯒꯤ ꯇꯧꯔꯤꯕꯅꯣ, ꯑꯃꯁꯨꯡ ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯀꯔꯤ ꯊꯣꯛꯂꯤꯕꯅꯣ ꯍꯥꯌꯕꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯃꯌꯦꯛ ꯁꯦꯡꯅꯥ ꯑꯃꯁꯨꯡ ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯋꯥꯔꯤ ꯁꯥꯁꯤ꯫
ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯃꯁꯤꯒꯤ ꯍꯥꯔꯇꯃꯦꯟ ꯄ꯭ꯔꯣꯁꯤꯖꯔ ꯑꯁꯤ ꯀꯔꯤꯅꯣ?
ꯍꯥꯔꯇꯃꯦꯟ ꯄ꯭ꯔꯣꯁꯤꯗ꯭ꯌꯨꯑꯣꯔ ꯍꯥꯌꯕꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯑꯆꯧꯕꯥ ꯏꯟꯇꯦꯁ꯭ꯇꯥꯏꯟ (ꯀꯣꯂꯣꯟ)ꯗꯥ ꯄꯥꯡꯊꯣꯀꯄꯥ ꯁꯔꯖꯔꯤ ꯑꯃꯅꯤ꯫ ꯃꯔꯨꯑꯣꯏꯅꯥ, ꯃꯁꯤꯗꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯑꯆꯧꯕꯥ ꯏꯟꯇꯦꯁ꯭ꯇꯥꯏꯅꯒꯤ ꯂꯥꯌꯅꯥ ꯂꯩꯕꯥ ꯁꯔꯨꯛ, ꯃꯔꯨꯑꯣꯏꯅꯥ ꯐꯤꯁ ꯊꯣꯀꯄꯥ ꯑꯔꯣꯏꯕꯥ ꯁꯔꯨꯛ, ꯍꯥꯌꯕꯗꯤ ꯁꯤꯒꯃꯣꯏꯗ ꯀꯣꯂꯣꯟ, ꯑꯃꯁꯨꯡ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯔꯦꯛꯇꯃꯒꯤ ꯃꯊꯛ ꯊꯪꯕꯥ ꯁꯔꯨꯛ ꯑꯗꯨ ꯀꯀꯊꯕꯥ ꯑꯃꯁꯨꯡ ꯂꯧꯊꯣꯀꯄꯥ ꯌꯥꯎꯏ꯫
ꯍꯧꯖꯤꯛ ꯈꯅꯕꯤꯌꯨ ꯃꯗꯨꯗꯤ ꯏꯟꯇꯦꯁ꯭ꯇꯤꯅꯒꯤ ꯂꯥꯌꯅꯥ ꯂꯩꯕꯥ ꯁꯔꯨꯛ ꯑꯗꯨ ꯂꯧꯊꯣꯛꯂꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯂꯦꯃꯍꯧꯔꯤꯕꯥ ꯍꯀꯆꯥꯡ ꯐꯕꯥ ꯁꯔꯨꯛ ꯑꯅꯤ ꯑꯗꯨ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯁꯝꯅꯍꯅꯕꯥ ꯃꯊꯧ ꯇꯥꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯁꯥꯊꯤꯕꯥ ꯏꯅꯐꯦꯛꯁꯟ, ꯁꯣꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯇꯩ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ ꯂꯩꯕꯥ ꯃꯇꯃꯗꯥ ꯁꯔꯨꯛ ꯑꯅꯤꯗꯨ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯁꯝꯅꯍꯅꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯈꯨꯗꯣꯡꯊꯤꯅꯤꯉꯥꯏ ꯑꯣꯏ꯫ ꯃꯁꯤ ꯇꯧꯕꯅꯥ ꯏꯅꯐꯦꯛꯁꯟ ꯑꯗꯨ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯁꯟꯗꯣꯀꯄꯥ ꯌꯥꯏ, ꯃꯁꯤꯅꯥ ꯑꯆꯧꯕꯥ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯑꯃꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫
ꯃꯔꯝ ꯑꯁꯤꯅꯥ ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯏꯟꯇꯦꯁ꯭ꯇꯥꯏꯅꯒꯤ ꯂꯦꯃꯍꯧꯔꯤꯕꯥ ꯁꯔꯨꯛ ꯑꯅꯤ ꯑꯁꯤ ꯐꯒꯠꯂꯀꯄꯒꯤ ꯃꯇꯝ ꯄꯤꯔꯤ꯫
1. ꯃꯈꯨꯠ (rectal stump)ꯒꯥ ꯁꯝꯅꯕꯥ ꯏꯟꯇꯦꯁ꯭ꯇꯥꯏꯅꯒꯤ ꯑꯔꯣꯏꯕꯥ ꯑꯗꯨ ꯃꯇꯝ ꯈꯔꯒꯤ ꯑꯣꯏꯅꯥ ꯊꯤꯡꯖꯤꯜꯂꯤ꯫
2. ꯃꯊꯛꯇꯥ ꯂꯩꯕꯥ ꯑꯆꯧꯕꯥ ꯏꯟꯇꯦꯁ꯭ꯇꯥꯏꯅꯒꯤ ꯍꯀꯁꯦꯜ ꯐꯕꯥ ꯑꯔꯣꯏꯕꯥ ꯑꯗꯨ ꯑꯦꯕꯗꯣꯃꯤꯅꯦꯜ ꯋꯥꯂꯗꯥ ꯁꯦꯝꯕꯥ ꯑꯄꯤꯀꯄꯥ ꯑꯍꯥꯡꯕꯥ ꯃꯐꯝ (stoma) ꯑꯃꯗꯥ ꯆꯦꯜꯂꯤ꯫
ꯃꯁꯤꯗꯥ ꯈꯣꯡꯗꯥ ꯑꯅꯧꯕꯥ ꯑꯍꯥꯡꯕꯥ ꯃꯐꯝ ꯑꯁꯤꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯁ꯭ꯇꯣꯜ ꯑꯗꯨ ꯊꯣꯀꯏ꯫ ꯃꯁꯤꯕꯨ ꯀꯣꯂꯣꯁ꯭ꯇꯣꯃꯤ ꯍꯥꯌꯅꯥ ꯀꯧꯏ . ꯁ꯭ꯇꯣꯜ ꯑꯁꯤ ꯈꯣꯃꯖꯤꯟꯅꯕꯒꯤꯗꯃꯛ, ꯑꯈꯟꯅꯕꯥ ꯕꯦꯒ ꯑꯃꯥ (ꯀꯣꯂꯣꯁ꯭ꯇꯣꯃꯤ ꯕꯦꯒ) ꯑꯃꯥ ꯍꯥꯡꯗꯣꯀꯄꯥ ꯃꯐꯝ ꯑꯗꯨꯒꯤ ꯃꯄꯥꯟꯗꯥ ꯊꯝꯃꯤ꯫
ꯃꯁꯤ ꯑꯆꯧꯕꯥ ꯑꯍꯣꯡꯕꯥ ꯑꯃꯥ ꯑꯣꯏꯅꯥ ꯁꯣꯅꯕꯥ ꯌꯥꯏ, ꯑꯗꯨꯕꯨ ꯅꯤꯡꯁꯤꯡꯕꯤꯌꯨ, ꯃꯁꯤ ꯑꯌꯥꯝꯕꯅꯥ ꯃꯇꯝ ꯈꯔꯒꯤ ꯑꯣꯏꯕꯥ ꯁꯣꯂꯨꯁꯟ ꯑꯃꯅꯤ . ꯕꯣꯋꯦꯜ ꯑꯗꯨ ꯐꯖꯅꯥ ꯐꯒꯠꯂꯛꯂꯕꯥ ꯃꯇꯨꯡꯗꯥ (ꯆꯥꯎꯔꯥꯛꯅꯥ ꯊꯥ 6-12 ꯐꯥꯎꯕꯥ) ꯑꯇꯣꯞꯄꯥ ꯁꯔꯖꯔꯤ ꯑꯃꯅꯥ ꯕ꯭ꯂꯣꯛ ꯇꯧꯔꯕꯥ ꯕꯣꯋꯦꯂꯒꯤ ꯁꯔꯨꯛ ꯑꯅꯤꯗꯨ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯁꯝꯅꯍꯟꯗꯨꯅꯥ ꯀꯣꯂꯣꯁ꯭ꯇꯣꯃꯤ ꯑꯗꯨ ꯊꯤꯡꯖꯤꯅꯕꯥ ꯌꯥꯏ꯫
ꯀꯔꯤꯒꯤꯗꯃꯛꯇꯥ ꯅꯍꯥꯛꯅꯥ ꯁꯔꯖꯔꯤ ꯑꯁꯤ ꯃꯊꯧ ꯇꯥꯔꯤꯕꯅꯣ?
ꯍꯥꯔꯇꯃꯦꯟ ꯄ꯭ꯔꯣꯁꯤꯗ꯭ꯌꯨꯑꯣꯔ ꯑꯃꯥ ꯄꯥꯡꯊꯣꯀꯄꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯔꯝ ꯀꯌꯥ ꯂꯩ꯫ ꯏꯟꯇꯦꯁ꯭ꯇꯥꯏꯅꯒꯤ ꯁꯔꯨꯛ ꯑꯃꯥ ꯂꯧꯊꯣꯀꯄꯒꯤ ꯑꯃꯁꯨꯡ ꯀꯣꯂꯣꯁ꯭ꯇꯣꯃꯤ ꯊꯝꯅꯕꯒꯤ ꯇꯣꯉꯥꯟ-ꯇꯣꯉꯥꯅꯕꯥ ꯃꯔꯃꯁꯤꯡ ꯂꯩ꯫
ꯀꯔꯤꯒꯤꯗꯃꯛꯇꯥ ꯏꯟꯇꯦꯁ꯭ꯇꯥꯏꯅꯒꯤ ꯁꯔꯨꯛ ꯑꯃꯥ ꯂꯧꯊꯣꯀꯄꯒꯦ?
- ꯑꯣꯕꯁ꯭ꯠꯔꯥꯀꯁꯟ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯏꯟꯇꯦꯁ꯭ꯇꯥꯏꯅꯒꯤ ꯃꯐꯝ ꯑꯃꯗꯥ ꯕ꯭ꯂꯣꯀꯦꯖ ꯑꯃꯥ ꯂꯩꯔꯕꯗꯤ ꯃꯗꯨꯅꯥ ꯁ꯭ꯇꯣꯜ ꯑꯗꯨ ꯆꯠꯄꯥ ꯉꯃꯍꯟꯗꯕꯥ꯫
- ꯄꯣꯃꯈꯠꯄꯥ (perforation): ꯀꯔꯤꯒꯨꯝꯕꯥ ꯏꯟꯇꯦꯁ꯭ꯇꯥꯏꯅꯒꯤ ꯋꯥꯂꯗꯥ ꯍꯨꯔꯥꯅꯕꯥ ꯑꯃꯥ ꯁꯦꯝꯂꯕꯗꯤ ꯑꯃꯁꯨꯡ ꯁ꯭ꯇꯣꯜ ꯑꯗꯨ ꯑꯦꯕꯗꯣꯃꯤꯅꯦꯜ ꯀꯦꯚꯤꯇꯤꯗꯥ ꯂꯤꯛ ꯑꯣꯏꯔꯕꯗꯤ, ꯃꯁꯤꯅꯥ ꯑꯦꯕꯗꯣꯃꯤꯅꯦꯜ ꯀꯦꯚꯤꯇꯤ ꯄꯨꯝꯅꯃꯛꯇꯥ ꯏꯅꯐꯦꯛꯁꯟ ꯁꯟꯗꯣꯀꯄꯥ ꯌꯥꯏ (ꯄꯦꯔꯤꯇꯣꯅꯥꯏꯇꯤꯁ)꯫
- ꯀꯟꯠꯔꯣꯜ ꯇꯧꯗꯕꯥ ꯏꯅꯐꯦꯛꯁꯟ ꯅꯠꯠꯔꯒꯥ ꯂꯥꯌꯅꯥ ꯑꯃꯥ: ꯏꯅꯐꯦꯛꯁꯟ ꯈꯔꯗꯤ (ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯀꯃꯞꯂꯤꯀꯦꯇꯦꯗ ꯗꯥꯏꯚꯔꯇꯤꯛꯌꯨꯂꯥꯏꯇꯤꯁ) ꯅꯠꯠꯔꯒꯥ ꯀꯦꯟꯁꯔꯒꯨꯝꯕꯥ ꯂꯥꯌꯅꯥꯁꯤꯡꯅꯥ ꯃꯈꯥ ꯇꯥꯅꯥ ꯁꯟꯗꯣꯀꯄꯥ ꯊꯤꯡꯅꯕꯥ ꯂꯥꯌꯅꯥ ꯂꯩꯕꯥ ꯁꯔꯨꯛ ꯑꯗꯨ ꯂꯧꯊꯣꯀꯄꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯏ꯫
ꯀꯔꯤꯒꯤꯗꯃꯛꯇꯥ ꯀꯣꯂꯣꯁ꯭ꯇꯣꯃꯤ ꯑꯃꯥ ꯊꯝꯂꯤꯕꯅꯣ?
ꯃꯊꯛꯇꯥ ꯄꯅꯈ꯭ꯔꯤꯕꯥ ꯃꯇꯨꯡ ꯏꯟꯅꯥ, ꯏꯃꯔꯖꯦꯟꯁꯤ ꯑꯃꯗꯥ ꯁꯔꯖꯔꯤ ꯇꯧꯕꯥ ꯃꯇꯃꯗꯥ ꯑꯅꯥꯕꯥ ꯑꯗꯨꯒꯤ ꯍꯀꯆꯥꯡ ꯁꯣꯟꯊꯔꯀꯏ ꯑꯃꯁꯨꯡ ꯏꯅꯐꯦꯛꯁꯅꯒꯤ ꯔꯤꯁ꯭ꯛ ꯌꯥꯝꯅꯥ ꯋꯥꯡꯏ꯫ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯐꯤꯚꯝ ꯑꯁꯤꯗꯥ, ꯏꯟꯇꯦꯁ꯭ꯇꯥꯏꯅꯒꯤ ꯁꯔꯨꯛ ꯑꯅꯤ (ꯑꯦꯅꯥꯁ꯭ꯇꯣꯃꯣꯁꯤꯁ) ꯁꯝꯅꯍꯅꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯈꯨꯗꯣꯡꯊꯤꯅꯤꯉꯥꯏ ꯑꯣꯏ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯗꯣꯛꯇꯔꯁꯤꯡꯒꯤ ꯑꯍꯥꯅꯕꯥ ꯄꯥꯟꯗꯃꯗꯤ ꯑꯅꯥꯕꯥ ꯑꯗꯨꯒꯤ ꯄꯨꯟꯁꯤ ꯀꯟꯅꯕꯅꯤ꯫ ꯀꯣꯂꯣꯁ꯭ꯇꯣꯃꯤ ꯑꯃꯅꯥ ꯏꯟꯇꯦꯁ꯭ꯇꯥꯏꯟ ꯑꯗꯨ ꯐꯒꯠꯂꯀꯄꯒꯤ ꯃꯇꯝ ꯄꯤ, ꯑꯃꯁꯨꯡ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯅꯣꯔꯃꯦꯂꯁꯤ ꯍꯟꯖꯤꯅꯍꯟꯅꯕꯥ ꯍꯦꯟꯅꯥ ꯃꯇꯤꯛ ꯆꯥꯕꯥ, ꯔꯤꯁ꯭ꯛ ꯂꯩꯕꯥ, ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯑꯣꯄꯔꯦꯁꯟ ꯇꯧꯕꯥ ꯌꯥꯍꯜꯂꯤ꯫
| ꯍꯥꯔꯇꯝꯌꯥꯅꯒꯤ ꯁꯔꯖꯔꯤ ꯊꯣꯀꯍꯜꯂꯤꯕꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯦꯗꯤꯀꯦꯜ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ꯫ | |
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| ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯃꯔꯃꯁꯤꯡ꯫ |
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| ꯑꯇꯣꯞꯄꯥ ꯃꯔꯃꯁꯤꯡ꯫ | |
ꯁꯔꯖꯔꯤ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯄꯥꯡꯊꯣꯛꯀꯅꯤ ꯑꯃꯁꯨꯡ ꯊꯧꯑꯣꯡ꯫
ꯃꯁꯤꯒꯤ ꯁꯔꯖꯔꯤ ꯑꯁꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯑꯣꯡ ꯑꯅꯤꯗꯥ ꯇꯧꯕꯥ ꯌꯥꯏ:
1. ꯑꯣꯄꯟ ꯁꯔꯖꯔꯤ: ꯁꯔꯖꯔꯤ ꯑꯁꯤ ꯈꯣꯡꯗꯥ ꯑꯆꯧꯕꯥ ꯏꯅꯁꯤꯁꯟ ꯑꯃꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯑꯦꯕꯗꯣꯃꯤꯅꯦꯜ ꯀꯦꯚꯤꯇꯤ ꯍꯥꯡꯗꯣꯛꯇꯨꯅꯥ ꯄꯥꯡꯊꯣꯀꯏ꯫ ꯃꯁꯤꯒꯤ ꯃꯦꯊꯗ ꯑꯁꯤ ꯑꯌꯥꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯑꯦꯃꯔꯖꯦꯟꯁꯤ ꯑꯃꯁꯨꯡ ꯀꯃꯞꯂꯦꯛꯁ ꯑꯣꯏꯕꯥ ꯀꯦꯁꯁꯤꯡꯗꯥ ꯁꯤꯖꯤꯟꯅꯩ꯫
2. ꯂꯦꯄꯔꯣꯁ꯭ꯀꯣꯄꯤꯛ ꯁꯔꯖꯔꯤ: ꯁꯔꯖꯔꯤ ꯑꯁꯤ ꯀꯦꯃꯦꯔꯥ ꯑꯃꯁꯨꯡ ꯑꯈꯟꯅꯕꯥ ꯏꯅꯁ꯭ꯠꯔꯨꯃꯦꯟꯇꯁꯤꯡ ꯁꯤꯖꯤꯟꯅꯗꯨꯅꯥ ꯈꯣꯡꯗꯥ ꯑꯄꯤꯀꯄꯥ ꯏꯅꯁꯤꯁꯟ ꯀꯌꯥꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯄꯥꯡꯊꯣꯀꯏ꯫ ꯐꯒꯠꯂꯀꯄꯥ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯐꯒꯠꯂꯕꯁꯨ, ꯃꯁꯤꯒꯤ ꯄꯥꯝꯕꯩ ꯑꯁꯤ ꯑꯅꯥꯕꯥ ꯄꯨꯝꯅꯃꯛꯀꯤꯗꯃꯛ ꯆꯨꯃꯗꯦ꯫
ꯁꯔꯖꯔꯤꯒꯤ ꯃꯃꯥꯡꯗꯥ꯫
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯁꯔꯖꯔꯤꯒꯤꯗꯃꯛꯇꯥ ꯁꯦꯝ-ꯁꯥꯗꯨꯅꯥ ꯂꯩꯔꯕꯗꯤ, ꯅꯍꯥꯀꯄꯨ ꯄꯨꯡ 6-12 ꯔꯣꯝ ꯔꯣꯖꯥ ꯇꯧꯅꯕꯥ ꯍꯥꯌꯒꯅꯤ꯫ ꯅꯍꯥꯛꯀꯤ ꯏꯟꯇꯦꯁ꯭ꯇꯥꯏꯅꯁꯤꯡ ꯑꯗꯨ ꯁꯦꯡꯗꯣꯛꯅꯕꯥ ꯑꯈꯟꯅꯕꯥ ꯂꯤꯛꯌꯨꯏꯗ (ꯕꯣꯋꯦꯜ ꯄ꯭ꯔꯦꯄꯥꯔꯦꯁꯟ) ꯑꯃꯁꯨ ꯄꯤꯕꯥ ꯌꯥꯏ꯫ ꯅꯍꯥꯛꯅꯥ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯂꯗꯥ ꯑꯦꯗꯃꯤꯠ ꯇꯧꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ, ꯅꯍꯥꯛꯀꯤ ꯈꯨꯠꯁꯥꯗꯥ ꯂꯩꯕꯥ ꯚꯦꯅꯝ ꯑꯃꯗꯥ ꯁꯦꯂꯥꯏꯟ ꯀꯦꯟꯌꯨꯜ ꯑꯃꯥ ꯊꯥꯒꯅꯤ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯀꯄꯨ ꯐ꯭ꯂꯨꯏꯗ ꯑꯃꯁꯨꯡ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ ꯄꯤꯒꯅꯤ꯫
ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯃꯗꯥ꯫
ꯁꯔꯖꯔꯤ ꯑꯁꯤ ꯖꯦꯅꯦꯔꯦꯜ ꯑꯦꯅꯥꯁ꯭ꯇꯦꯁꯤꯌꯥꯒꯤ ꯃꯈꯥꯗꯥ ꯄꯥꯡꯊꯣꯀꯏ꯫ ꯁꯔꯖꯔꯤꯅꯥ ꯏꯟꯇꯦꯁ꯭ꯇꯥꯏꯅꯒꯤ ꯂꯥꯌꯅꯥ ꯂꯩꯕꯥ ꯁꯔꯨꯛ ꯑꯗꯨ ꯂꯧꯊꯣꯀꯏ, ꯔꯦꯛꯇꯃꯒꯤ ꯑꯔꯣꯏꯕꯥ ꯑꯗꯨ ꯊꯤꯡꯖꯤꯜꯂꯤ ꯑꯃꯁꯨꯡ ꯑꯇꯣꯞꯄꯥ ꯃꯔꯣꯜ ꯑꯗꯨ ꯈꯣꯡꯗꯥ ꯆꯦꯠꯁꯤꯂꯍꯜꯂꯤ꯫ꯁ꯭ꯇꯣꯃꯥ ꯑꯁꯤ ꯑꯍꯥꯡꯕꯥ ꯃꯐꯃꯗꯥ ꯆꯦꯜꯂꯤ꯫ ꯑꯔꯣꯏꯕꯗꯥ, ꯀꯣꯂꯣꯁ꯭ꯇꯣꯃꯤ ꯕꯦꯒ ꯑꯗꯨ ꯊꯥꯗꯣꯀꯏ ꯑꯃꯁꯨꯡ ꯁꯔꯖꯤꯀꯦꯂꯒꯤ ꯑꯁꯣꯛ-ꯑꯄꯅꯁꯤꯡ ꯑꯗꯨ ꯁꯨꯃꯗꯣꯀꯏ꯫ ꯃꯁꯤꯒꯤ ꯊꯧꯑꯣꯡ ꯄꯨꯝꯅꯃꯛ ꯑꯁꯤ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯄꯨꯡ ꯑꯅꯤꯗꯒꯤ ꯃꯔꯤ ꯐꯥꯑꯣꯕꯥ ꯆꯪꯕꯥ ꯌꯥꯏ꯫
ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ꯫
ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ, ꯑꯍꯥꯅꯕꯗꯥ ꯅꯍꯥꯀꯄꯨ ꯔꯤꯀꯣꯚꯔꯤ ꯔꯨꯃꯗꯥ ꯄꯨꯔꯛꯀꯅꯤ ꯑꯃꯁꯨꯡ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯗꯨ ꯂꯦꯡꯗꯅꯥ ꯂꯩꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯋꯥꯔꯗꯇꯥ ꯇ꯭ꯔꯥꯟꯁꯐꯔ ꯇꯧꯒꯅꯤ꯫ ꯅꯍꯥꯛꯅꯥ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯅꯨꯃꯤꯠ 7-10ꯅꯤ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯂꯗꯥ ꯂꯩꯕꯥ ꯃꯊꯧ ꯇꯥꯒꯅꯤ꯫
- ꯑꯍꯥꯅꯕꯥ ꯅꯨꯃꯤꯠꯁꯤꯡꯗꯥ ꯄꯦꯅꯀꯤꯂꯔꯁꯤꯡ, ꯑꯦꯟꯇꯤꯕꯥꯏꯑꯣꯇꯤꯛ, ꯑꯃꯁꯨꯡ ꯐ꯭ꯂꯨꯏꯗꯁꯤꯡ ꯑꯁꯤ ꯁꯦꯂꯅꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯄꯤꯒꯅꯤ꯫
- ꯏꯟꯇꯦꯁ꯭ꯇꯥꯏꯅꯁꯤꯡ ꯑꯗꯨ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯊꯕꯛ ꯇꯧꯕꯗꯥ ꯅꯨꯃꯤꯠ ꯀꯌꯥ ꯆꯪꯂꯝꯕꯥ ꯌꯥꯏ꯫
- ꯑꯍꯥꯅꯕꯗꯥ ꯃꯈꯣꯌꯗꯥ ꯂꯤꯛꯌꯨꯏꯗ ꯐꯨꯗ ꯄꯤ ꯑꯃꯁꯨꯡ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯁꯣꯂꯤꯗ ꯐꯨꯗꯁꯤꯡꯗꯥ ꯌꯥꯑꯣꯍꯜꯂꯤ꯫
- ꯑꯈꯟꯅꯅꯥ ꯇ꯭ꯔꯦꯟ ꯇꯧꯔꯕꯥ ꯅꯔꯁ ꯑꯃꯅꯥ ꯅꯍꯥꯛ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯏꯃꯨꯡ-ꯃꯅꯨꯡꯗꯥ ꯀꯣꯂꯣꯁ꯭ꯇꯣꯃꯤ ꯕꯦꯒ ꯑꯗꯨ ꯀꯔꯝꯅꯥ ꯁꯦꯡꯗꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯍꯣꯡꯗꯣꯛ-ꯍꯣꯡꯖꯤꯟ ꯇꯧꯒꯗꯒꯦ, ꯑꯃꯁꯨꯡ ꯁ꯭ꯇꯣꯃꯥ (stoma care) ꯑꯗꯨ ꯀꯔꯝꯅꯥ ꯌꯦꯡꯁꯤꯅꯒꯗꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯇꯥꯀꯄꯤꯒꯅꯤ꯫
ꯑꯣꯏꯊꯣꯀꯄꯥ ꯌꯥꯕꯥ ꯔꯤꯁ꯭ꯛ ꯑꯃꯁꯨꯡ ꯁꯥꯏꯗ ꯏꯐꯦꯛꯇꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?
ꯁꯔꯖꯔꯤ ꯑꯃꯍꯦꯛꯇꯒꯥ ꯃꯥꯟꯅꯅꯥ, ꯃꯁꯤꯗꯥ ꯔꯤꯁ꯭ꯛ ꯈꯔꯗꯤ ꯂꯩ, ꯑꯗꯨꯕꯨ ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯁꯥꯐꯕꯥ ꯄ꯭ꯔꯣꯁꯤꯗ꯭ꯌꯨꯑꯣꯔ ꯑꯃꯅꯤ ꯍꯥꯌꯅꯥ ꯂꯧꯅꯩ꯫
- ꯑꯣꯏꯊꯣꯀꯄꯥ ꯌꯥꯕꯥ ꯔꯤꯁ꯭ꯀꯁꯤꯡ: ꯑꯁꯣꯀꯄꯥ ꯏꯅꯐꯦꯛꯁꯟ, ꯂꯪꯁ ꯏꯅꯐꯦꯛꯁꯟ (ꯅ꯭ꯌꯨꯃꯣꯅꯤꯌꯥ), ꯃꯅꯨꯡꯗꯥ ꯏ ꯊꯣꯀꯄꯥ, ꯏꯟꯇꯦꯁ꯭ꯇꯥꯏꯅꯒꯤ ꯂꯤꯛ ꯑꯣꯏꯕꯥ, ꯑꯀꯣꯌꯕꯗꯥ ꯂꯩꯕꯥ ꯑꯣꯔꯒꯥꯅꯁꯤꯡꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯄꯥ, ꯍꯔꯅꯤꯌꯥ ꯁꯦꯝꯕꯥ꯫
- ꯑꯣꯏꯊꯣꯀꯄꯥ ꯌꯥꯕꯥ ꯁꯥꯏꯗ ꯏꯐꯦꯛꯇꯁꯤꯡ:
- ꯃꯇꯝ ꯈꯔꯒꯤ ꯑꯣꯏꯕꯥ ꯏꯂꯤꯌꯁ: ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯏꯟꯇꯦꯁ꯭ꯇꯥꯏꯅꯁꯤꯡꯅꯥ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯊꯕꯛ ꯍꯧꯕꯗꯥ ꯃꯇꯝ ꯈꯔꯥ ꯆꯪꯏ꯫
- ꯑꯦꯅꯥꯜ ꯗꯤꯁꯆꯥꯔꯖ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯕꯣꯋꯦꯜ ꯃꯨꯚꯃꯦꯟꯇ ꯂꯩꯠꯔꯕꯁꯨ, ꯃꯇꯝ ꯃꯇꯃꯒꯤ ꯑꯣꯏꯅꯥ ꯔꯦꯛꯇꯃꯒꯤ ꯂꯦꯃꯍꯧꯔꯤꯕꯥ ꯁꯔꯨꯛ ꯑꯗꯨꯗꯒꯤ ꯃ꯭ꯌꯨꯀꯁꯒꯨꯝꯕꯥ ꯐ꯭ꯂꯨꯏꯗ ꯑꯃꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯁꯤ ꯅꯣꯔꯃꯦꯂꯅꯤ꯫
- ꯁꯦꯛꯁꯨꯑꯦꯜ ꯗꯤꯁꯐꯉ꯭ꯀꯁꯟ: ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ, ꯁꯔꯖꯔꯤꯅꯥ ꯁꯦꯛꯁꯨꯑꯦꯜ ꯐꯉ꯭ꯀꯁꯅꯗꯥ ꯌꯥꯎꯔꯤꯕꯥ ꯅꯔꯚꯁꯤꯡꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯂꯩꯔꯕꯗꯤ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯇꯥꯟꯅꯧ꯫
ꯐꯒꯠꯂꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯐꯒꯠꯂꯀꯄꯥ꯫
ꯃꯄꯨꯡꯐꯥꯅꯥ ꯐꯒꯠꯂꯀꯄꯗꯥ ꯃꯇꯝ ꯈꯔꯥ ꯆꯪꯏ꯫
- ꯅꯨꯃꯤꯠ 4-6ꯅꯤ: ꯑꯅꯥꯕꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ ꯁꯤꯖꯤꯟꯅꯕꯥ ꯍꯟꯊꯍꯅꯕꯥ, ꯅꯣꯔꯃꯦꯜ ꯗꯥꯏꯠ ꯑꯃꯗꯥ ꯍꯟꯖꯤꯅꯍꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯂꯥꯏꯅꯥ ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯇꯧꯕꯥ ꯍꯧꯕꯥ꯫
- ꯊꯥ 3-6: ꯀꯣꯂꯣꯁ꯭ꯇꯣꯃꯤ ꯕꯦꯒ ꯑꯃꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯄꯨꯟꯁꯤꯗꯥ ꯁꯤꯖꯤꯟꯅꯕꯥ, ꯍꯀꯆꯥꯡ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯐꯒꯠꯂꯀꯄꯥ ꯐꯥꯎꯕꯥ꯫
ꯀꯣꯂꯣꯁ꯭ꯇꯣꯃꯤ ꯑꯃꯥ ꯔꯤꯚꯔꯁ ꯇꯧꯕꯥ ꯌꯥꯕ꯭ꯔꯥ? (ꯔꯤꯚꯥꯔꯁ ꯇꯧꯕꯥ) ꯴.
ꯃꯁꯤ ꯃꯤꯑꯣꯏ ꯀꯌꯥꯒꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯆꯥꯎꯕꯥ ꯈꯨꯗꯣꯡꯆꯥꯗꯕꯅꯤ꯫ ꯍꯣꯌ, ꯑꯌꯥꯝꯕꯥ ꯀꯦꯁꯁꯤꯡꯗꯗꯤ ꯃꯁꯤ ꯔꯤꯚꯔꯁ ꯇꯧꯕꯥ ꯌꯥꯏ꯫
ꯅꯍꯥꯛꯀꯤ ꯑꯍꯥꯅꯕꯥ ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯊꯥ 6-12ꯒꯤ ꯃꯇꯨꯡꯗꯥ, ꯅꯍꯥꯛꯀꯤ ꯁꯔꯖꯔꯤ ꯑꯗꯨꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯁꯦꯜ ꯑꯗꯨ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯌꯦꯡꯁꯤꯅꯒꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯍꯀꯁꯦꯜ ꯐꯅꯥ ꯂꯩꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯕꯣꯋꯦꯜ ꯑꯗꯨ ꯐꯖꯅꯥ ꯐꯒꯠꯂꯛꯂꯕꯗꯤ, ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯅꯥ ꯑꯇꯣꯞꯄꯥ ꯁꯔꯖꯔꯤ ꯑꯃꯥ ꯇꯧꯕꯥ ꯉꯝꯂꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯔꯤꯚꯔꯁ ꯁꯔꯖꯔꯤ ꯇꯧꯕꯥ ꯌꯥꯏ .
ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯀꯦꯟꯁꯔ ꯑꯗꯨ ꯍꯀꯆꯥꯡ ꯄꯨꯝꯕꯗꯥ ꯁꯟꯗꯣꯀꯈ꯭ꯔꯕꯗꯤ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯁꯥꯊꯤꯕꯥ ꯁꯤꯁ꯭ꯇꯦꯃꯤꯛ ꯂꯥꯌꯅꯥ ꯂꯩꯔꯕꯗꯤ ꯅꯠꯠꯔꯒꯥ ꯄꯦꯁꯦꯟꯇ ꯑꯗꯨ ꯌꯥꯝꯅꯥ ꯋꯥꯅꯥ ꯊꯣꯛꯂꯕꯗꯤ, ꯗꯣꯛꯇꯔꯅꯥ ꯑꯅꯤꯁꯨꯕꯥ ꯁꯔꯖꯔꯤ ꯇꯧꯅꯕꯥ ꯄꯥꯎꯇꯥꯛ ꯄꯤꯗꯕꯥ ꯌꯥꯏ꯫ ꯋꯥꯐꯝ ꯄꯨꯝꯅꯃꯛ ꯑꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯑꯃꯨꯛꯇꯪ ꯋꯥꯔꯤ ꯁꯥꯕꯥ ꯌꯥꯏ꯫
ꯇꯦꯛ-ꯍꯣꯝ ꯃꯦꯁꯦꯖ ꯇꯧꯕꯥ꯫
- ꯍꯥꯔꯇꯝꯌꯥꯟ ꯄ꯭ꯔꯣꯁꯤꯗ꯭ꯌꯨꯑꯣꯔ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯄꯨꯟꯁꯤ ꯀꯟꯅꯕꯒꯤ ꯁꯔꯖꯔꯤ ꯑꯃꯅꯤ, ꯃꯁꯤ ꯑꯌꯥꯝꯕꯅꯥ ꯑꯦꯃꯔꯖꯦꯟꯁꯤ ꯑꯃꯗꯥ ꯄꯥꯡꯊꯣꯀꯏ꯫
- ꯃꯁꯤꯒꯤ ꯁꯔꯖꯔꯤ ꯑꯁꯤꯅꯥ ꯈꯣꯡꯗꯥ ꯃꯇꯝ ꯈꯔꯒꯤ ꯑꯣꯏꯕꯥ ꯑꯍꯥꯡꯕꯥ ꯃꯐꯝ ꯑꯃꯥ ꯁꯦꯃꯒꯠꯇꯨꯅꯥ ꯁ꯭ꯇꯣꯜ ꯆꯠꯅꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯕꯨ ꯀꯣꯂꯣꯁ꯭ꯇꯣꯃꯤ ꯍꯥꯌꯅꯥ ꯀꯧꯏ , ꯑꯃꯁꯨꯡ ꯃꯁꯤꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯍꯤꯡꯅꯕꯥ ꯇꯃꯒꯗꯕꯅꯤ꯫
- ꯑꯌꯥꯝꯕꯥ ꯄꯦꯁꯦꯟꯇꯁꯤꯡꯒꯤ ꯑꯣꯏꯅꯗꯤ, ꯀꯣꯂꯣꯁ꯭ꯇꯣꯃꯤ ꯑꯁꯤ ꯃꯇꯝ ꯈꯔꯒꯤ ꯑꯣꯏꯕꯥ ꯑꯣꯏ ꯑꯃꯁꯨꯡ ꯊꯥ 6-12ꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯑꯇꯣꯞꯄꯥ ꯁꯔꯖꯔꯤ ꯑꯃꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯂꯥꯀꯄꯥ ꯌꯥꯏ꯫
- ꯍꯤꯡꯕꯒꯤ ꯊꯧꯑꯣꯡ ꯑꯁꯤ ꯃꯇꯝ ꯆꯪꯏ꯫ ꯑꯍꯣꯡꯕꯥ ꯑꯁꯤꯒꯥ ꯆꯨꯁꯤꯟꯅꯅꯕꯥ ꯅꯍꯥꯛ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯏꯃꯨꯡ-ꯃꯅꯨꯡꯅꯥ ꯐꯤꯖꯤꯀꯦꯜ ꯑꯃꯁꯨꯡ ꯃꯦꯟꯇꯦꯜ ꯑꯅꯤꯃꯛꯇꯥ ꯁꯄꯣꯔꯠ ꯃꯊꯧ ꯇꯥꯒꯅꯤ꯫
- ꯅꯍꯥꯛꯅꯥ ꯂꯩꯔꯤꯕꯥ ꯋꯥꯍꯪꯁꯤꯡ ꯅꯠꯠꯔꯒꯥ ꯑꯀꯤꯕꯥ ꯑꯃꯍꯦꯛꯇꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯑꯃꯨꯛꯇꯪ ꯋꯥꯔꯤ ꯁꯥꯅꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫
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