ꯅꯍꯥꯛꯀꯤ ꯊꯝꯃꯣꯌ ꯑꯗꯨ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯑꯃꯁꯨꯡ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯌꯥꯡꯅꯥ ꯆꯦꯜꯂꯀꯄꯥ ꯎꯈꯤꯕ꯭ꯔꯥ? ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯄꯣꯠꯁꯛ ꯑꯃꯅꯥ ꯍꯨꯔꯥꯅꯕꯥ ꯌꯥꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯑꯣꯏꯅꯥ ꯑꯦꯠꯔꯤꯌꯥꯜ ꯐꯥꯏꯕ꯭ꯔꯤꯂꯦꯁꯟ ꯍꯥꯌꯅꯥ ꯈꯪꯅꯩ꯫ ꯃꯁꯤ ꯍꯤꯗꯥꯛ ꯂꯥꯡꯊꯛꯅꯥ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯥ ꯉꯃꯗꯕꯥ ꯃꯇꯃꯗꯥ, ꯑꯩꯈꯣꯌꯅꯥ ꯈꯔꯥ ꯍꯦꯟꯅꯥ ꯂꯨꯝꯂꯕꯥ ꯑꯗꯨꯕꯨ ꯌꯥꯝꯅꯥ ꯏꯐꯦꯛꯇꯤꯕ ꯑꯣꯏꯕꯥ ꯂꯥꯌꯦꯡꯕꯒꯤ ꯃꯑꯣꯡ ꯑꯃꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯔꯤ, ꯃꯁꯤ ꯁꯣꯂꯨꯁꯟ ꯑꯃꯥ ꯑꯣꯏꯅꯥ ꯁꯤꯖꯤꯟꯅꯩ꯫ ꯃꯗꯨꯗꯤ ꯃꯦꯖꯔ ꯄ꯭ꯔꯣꯁꯤꯖꯔꯅꯤ꯫
ꯃꯁꯤꯒꯤ ꯃꯦꯖꯔ ꯄ꯭ꯔꯣꯁꯤꯖꯔ ꯑꯁꯤ ꯀꯔꯤꯅꯣ?
ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯃꯁꯤ ꯃꯦꯖꯔ ꯑꯃꯒꯨꯝꯕꯅꯤ꯫ ꯅꯍꯥꯛꯅꯥ ꯑꯉꯥꯡ ꯑꯣꯏꯔꯤꯉꯩꯗꯥ ꯃꯦꯖꯔꯁꯤꯡꯒꯥ ꯁꯥꯟꯅꯔꯝꯕꯥ ꯌꯥꯏ, ꯃꯐꯝ ꯑꯗꯨꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯊꯣꯡ ꯑꯃꯗꯒꯤ ꯆꯪꯂꯀꯏ ꯑꯃꯁꯨꯡ ꯊꯣꯛꯂꯛꯅꯕꯒꯤꯗꯃꯛ ꯑꯆꯨꯝꯕꯥ ꯂꯝꯕꯤ ꯑꯃꯈꯛꯇꯃꯛ ꯂꯧꯒꯗꯕꯅꯤ꯫ ꯃꯁꯤꯒꯤ ꯁꯔꯖꯔꯤ ꯑꯁꯤꯁꯨ ꯃꯁꯤꯒꯥ ꯃꯥꯟꯅꯩ꯫
ꯑꯩꯈꯣꯌꯒꯤ ꯍꯥꯔꯇꯀꯤ ꯈꯣꯡꯖꯦꯜ ꯑꯁꯤ ꯏꯂꯦꯛꯠꯔꯤꯀꯦꯜ ꯁꯤꯒꯅꯦꯂꯁꯤꯡꯅꯥ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯏ꯫ ꯑꯦꯠꯔꯤꯌꯥꯜ ꯐꯤꯕꯔ (atrial fibrilation)ꯗꯥ, ꯍꯥꯔꯇꯀꯤ ꯃꯊꯛꯀꯤ ꯆꯦꯝꯕꯔ ꯑꯅꯤꯗꯥ ꯂꯩꯕꯥ ꯏꯂꯦꯛꯠꯔꯤꯀꯦꯜ ꯁꯤꯒꯅꯦꯂꯁꯤꯡ, ꯃꯈꯣꯌꯗꯨ ꯑꯦꯠꯔꯤꯌꯥꯜ (atria) ꯍꯥꯌꯅꯥ ꯀꯧꯏ, ꯃꯈꯣꯌꯗꯨ ꯂꯦꯡ-ꯑꯣꯠꯄꯗꯥ ꯁꯣꯀꯍꯟꯗꯨꯅꯥ ꯑꯔꯥꯅꯕꯥ ꯁꯤꯒꯅꯦꯂꯁꯤꯡ ꯊꯥꯕꯥ ꯍꯧꯏ꯫ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯍꯥꯔꯠ ꯑꯗꯨ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯁꯣꯀꯄꯥ ꯍꯧꯏ꯫
ꯃꯦꯖ ꯄ꯭ꯔꯣꯁꯤꯖꯔꯗꯥ, ꯁꯔꯖꯔꯤꯅꯥ ꯍꯥꯔꯇꯀꯤ ꯑꯦꯠꯔꯤꯌꯥꯁꯤꯡꯗꯥ ꯌꯥꯝꯅꯥ ꯂꯨꯕꯥ, ꯄ꯭ꯂꯥꯟ ꯇꯧꯔꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯁ꯭ꯀꯥꯔ ꯇꯤꯁꯨ ꯁꯦꯝꯃꯤ꯫ ꯃꯁꯤꯒꯤ ꯁ꯭ꯀꯥꯔ ꯇꯤꯁꯨ ꯑꯁꯤꯅꯥ ꯕꯦꯔꯤꯌꯥꯔ ꯑꯃꯥ ꯑꯣꯏꯅꯥ ꯊꯕꯛ ꯇꯧꯏ, ꯃꯗꯨꯅꯥ ꯑꯔꯥꯅꯕꯥ ꯏꯂꯦꯛꯠꯔꯤꯀꯦꯜ ꯁꯤꯒꯅꯦꯂꯁꯤꯡꯕꯨ ꯍꯥꯔꯠ ꯄꯨꯝꯅꯃꯛꯇꯥ ꯆꯠꯄꯥ ꯊꯤꯡꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯃꯁꯤꯅꯥ ꯍꯥꯔꯠ ꯑꯗꯨ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯁꯣꯀꯍꯟꯅꯕꯒꯤꯗꯃꯛ ꯃꯊꯧ ꯇꯥꯕꯥ ꯑꯆꯨꯝꯕꯥ ꯁꯤꯒꯅꯦꯜ ꯈꯛꯇꯒꯤ ꯂꯝꯕꯤ ꯑꯃꯥ ꯊꯃꯍꯜꯂꯤ꯫ ꯑꯗꯨꯒꯨꯝꯕꯥ ꯃꯦꯖꯔ ꯑꯗꯨꯗꯥ ꯑꯆꯨꯝꯕꯥ ꯂꯝꯕꯤ ꯑꯃꯈꯛꯇꯃꯛ ꯂꯩꯕꯒꯨꯝꯅꯥ꯫ ꯃꯁꯤꯅꯥ ꯍꯥꯔꯠ ꯑꯗꯨ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯅꯥ ꯁꯣꯀꯄꯥ ꯉꯃꯍꯜꯂꯤ꯫
ꯃꯁꯤꯒꯤ ꯁ꯭ꯀꯥꯔ ꯇꯤꯁ꯭ꯌꯨ ꯑꯁꯤ ꯁꯦꯝꯅꯕꯒꯤꯗꯃꯛꯇꯥ ꯄꯥꯝꯕꯩ ꯑꯅꯤ ꯁꯤꯖꯤꯟꯅꯩ:
- ꯀ꯭ꯔꯥꯏꯑꯣꯑꯦꯕꯂꯦꯁꯟ: ꯑꯀꯅꯕꯥ ꯀꯣꯜꯗ (freezing) ꯁꯤꯖꯤꯟꯅꯗꯨꯅꯥ ꯇꯤꯁꯨꯁꯤꯡ ꯏꯅꯑꯦꯛꯇꯤꯚꯦꯠ ꯇꯧꯕꯥ꯫
- ꯔꯦꯗꯤꯑꯣꯐ꯭ꯔꯤꯛꯕꯦꯟꯁꯤ ꯑꯦꯕꯂꯦꯁꯟ: ꯑꯋꯥꯡꯕꯥ ꯍꯤꯠ (ꯔꯦꯗꯤꯑꯣ ꯋꯦꯕ) ꯁꯤꯖꯤꯟꯅꯗꯨꯅꯥ ꯇꯤꯁꯨꯁꯤꯡ ꯍꯤꯠ ꯇꯧꯕꯥ꯫
ꯃꯁꯤꯒꯤ ꯁꯔꯖꯔꯤ ꯑꯁꯤ ꯇꯣꯉꯥꯅꯕꯥ ꯁꯔꯖꯔꯤ ꯑꯃꯥ ꯑꯣꯏꯅꯥ ꯇꯧꯕꯥ ꯌꯥꯏ, ꯅꯠꯠꯔꯒꯥ ꯃꯁꯤ ꯕꯥꯏꯄꯥꯁ ꯁꯔꯖꯔꯤ ꯅꯠꯠꯔꯒꯥ ꯍꯥꯔꯠ ꯚꯜꯌꯨ ꯁꯔꯖꯔꯤꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯇꯧꯕꯥ ꯌꯥꯏ꯫
ꯀꯔꯤꯒꯤꯗꯃꯛ ꯃꯁꯤꯒꯤ ꯃꯦꯖꯔ ꯄ꯭ꯔꯣꯁꯤꯖꯔ ꯑꯁꯤ ꯇꯧꯔꯤꯕꯅꯣ?
ꯃꯁꯤꯒꯤ ꯁꯔꯖꯔꯤ ꯑꯁꯤ ꯃꯤꯄꯨꯝ ꯈꯨꯗꯤꯡꯃꯛꯀꯤ ꯑꯣꯏꯅꯥ ꯔꯦꯀꯃꯦꯟꯗ ꯇꯧꯗꯦ꯫ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯂꯥꯏꯌꯦꯡ ꯑꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯄꯥꯎꯇꯥꯛ ꯄꯤꯕꯥ ꯌꯥꯕꯥ ꯐꯤꯚꯝ ꯀꯌꯥ ꯂꯩ:
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯦꯠꯔꯤꯌꯥꯜ ꯐꯤꯕꯔꯒꯤꯗꯃꯛꯇꯥ ꯄꯤꯔꯤꯕꯥ ꯍꯤꯗꯥꯀꯁꯤꯡ ꯑꯗꯨ ꯅꯍꯥꯛꯀꯤꯗꯃꯛꯇꯥ ꯊꯕꯛ ꯇꯧꯗ꯭ꯔꯕꯗꯤ ꯅꯠꯠꯔꯒꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯈꯣꯌꯗꯨ ꯂꯧꯕꯗꯥ ꯊꯤꯡꯕꯥ ꯁꯥꯏꯗ ꯏꯐꯦꯛꯇꯁꯤꯡ ꯂꯩꯔꯕꯗꯤ꯫
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯏ ꯊꯣꯀꯄꯥ ꯌꯥꯕꯥ ꯑꯃꯁꯨꯡ ꯁ꯭ꯠꯔꯣꯀꯒꯨꯝꯕꯥ ꯑꯀꯅꯕꯥ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ ꯂꯥꯀꯄꯥ ꯑꯣꯏꯔꯕꯗꯤ .
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯇꯣꯞꯄꯥ ꯍꯥꯔꯠ ꯁꯔꯖꯔꯤ (ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯕꯥꯏꯄꯥꯁ, ꯚꯜꯌꯨ ꯔꯤꯞꯂꯦꯁꯃꯦꯟꯇ) ꯄꯥꯡꯊꯣꯛꯂꯤꯕꯥ ꯑꯣꯏꯔꯕꯗꯤ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯅꯥ ꯑꯦꯠꯔꯤꯌꯥꯜ ꯐꯤꯕꯔꯁꯨ ꯂꯩꯔꯕꯗꯤ꯫
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯃꯥꯡꯒꯤ ꯂꯥꯏꯌꯦꯡꯁꯤꯡ ꯍꯥꯌꯕꯗꯤ `(ꯀꯦꯇꯦꯇꯔ ꯑꯦꯕꯂꯦꯁꯟ)` ꯑꯁꯤ ꯃꯥꯌ ꯄꯥꯀꯄꯥ ꯉꯃꯗ꯭ꯔꯕꯗꯤ꯫
ꯑꯦꯠꯔꯤꯌꯥꯜ ꯐꯤꯕꯔ (Atrial Fibrillation) ꯍꯥꯌꯕꯁꯤ ꯑꯆꯝꯕꯥ ꯋꯥꯐꯝ ꯑꯃꯅꯤ꯫ ꯃꯁꯤꯅꯥ ꯁ꯭ꯠꯔꯣꯀꯀꯤ ꯔꯤꯁ꯭ꯛ ꯑꯁꯤ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯁꯔꯨꯛ ꯃꯉꯥ ꯍꯦꯅꯒꯠꯍꯜꯂꯤ꯫ ꯃꯁꯤꯅꯥ ꯍꯥꯔꯠ ꯐꯦꯜ ꯑꯣꯏꯍꯅꯕꯁꯨ ꯌꯥꯏ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯃꯁꯤꯒꯤꯗꯃꯛꯇꯥ ꯃꯇꯤꯛ ꯆꯥꯕꯥ ꯂꯥꯏꯌꯦꯡ ꯂꯧꯕꯥ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫
ꯁꯔꯖꯔꯤꯒꯤ ꯃꯃꯥꯡ ꯑꯃꯁꯨꯡ ꯃꯅꯨꯡꯗꯥ ꯀꯔꯤ ꯊꯣꯀꯏ?
ꯃꯁꯤ ꯑꯆꯧꯕꯥ ꯁꯔꯖꯔꯤ ꯑꯃꯅꯤ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯃꯁꯤ ꯍꯧꯗ꯭ꯔꯤꯉꯩꯗꯥ ꯅꯍꯥꯀꯄꯨ ꯆꯦꯀꯁꯤꯟꯅꯥ ꯌꯦꯡꯁꯤꯅꯒꯅꯤ꯫
| ꯁꯔꯖꯔꯤꯒꯤ ꯃꯃꯥꯡꯗꯥ ꯁꯦꯝ-ꯁꯥꯕꯥ꯫ | |
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| ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯇꯧꯕꯥ꯫ |
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| ꯄꯥꯎꯇꯥꯛ | ꯁꯔꯖꯔꯤꯒꯤ ꯃꯃꯥꯡꯗꯥ ꯀꯔꯤ ꯆꯥꯒꯗꯒꯦ ꯑꯃꯁꯨꯡ ꯊꯛꯀꯗꯒꯦ ꯑꯃꯁꯨꯡ ꯀꯔꯤ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ ꯂꯧꯒꯗꯒꯦ/ꯊꯀꯄꯥ ꯂꯦꯄꯀꯗꯒꯦ ꯍꯥꯌꯕꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯄꯥꯎꯇꯥꯛ ꯄꯤꯒꯅꯤ꯫ |
| ꯗꯣꯛꯇꯔꯒꯤ ꯑꯦꯄꯣꯏꯟꯇꯃꯦꯟꯇ ꯇꯧꯕꯥ꯫ | ꯅꯍꯥꯛꯀꯤ ꯁꯔꯖꯔꯤ, ꯀꯥꯔꯗꯤꯑꯣꯂꯣꯖꯤꯁ꯭ꯠ ꯑꯃꯁꯨꯡ ꯑꯦꯅꯥꯁ꯭ꯇꯦꯁꯤꯑꯣꯂꯣꯖꯤꯁ꯭ꯇꯀꯥ ꯎꯅꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯋꯥꯔꯤ ꯁꯥꯟꯅꯕꯒꯤ ꯈꯨꯗꯣꯡꯆꯥꯕꯥ ꯐꯪꯒꯅꯤ꯫ |
ꯁꯔꯖꯔꯤꯒꯤ ꯃꯑꯣꯡ ꯑꯅꯤ꯫
ꯁꯔꯖꯔꯤꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯄꯥꯝꯕꯩ ꯑꯅꯤ ꯂꯩ꯫ ꯅꯍꯥꯛꯀꯤ ꯃꯦꯗꯤꯀꯦꯜ ꯇꯤꯃꯅꯥ ꯅꯍꯥꯛꯀꯤꯗꯃꯛꯇꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯥ ꯃꯦꯊꯗ ꯑꯗꯨ ꯂꯦꯄꯀꯅꯤ꯫
1. ꯑꯣꯄꯟ ꯁꯔꯖꯔꯤ (Sternotomy Method): ꯃꯁꯤꯒꯤ ꯃꯦꯊꯗ ꯑꯁꯤꯗꯥ, ꯁꯔꯖꯔꯤ ꯑꯁꯤ ꯆꯦꯁ꯭ꯠ ꯕꯣꯅꯒꯤ ꯃꯔꯛꯇꯥ ꯏꯟꯆꯤ 6-8 ꯐꯥꯎꯕꯥ ꯏꯅꯁꯤꯁꯟ ꯇꯧꯗꯨꯅꯥ ꯄꯥꯡꯊꯣꯀꯏ꯫
2. ꯃꯤꯅꯤꯃꯝ ꯏꯅꯚꯦꯁꯤꯚ ꯁꯔꯖꯔꯤ (ꯊꯣꯔꯥꯀꯣꯁ꯭ꯀꯣꯄꯤꯛ ꯃꯦꯊꯗ): ꯃꯦꯊꯗ ꯑꯁꯤꯗꯥ, ꯈꯣꯡꯗꯥ ꯑꯆꯧꯕꯥ ꯏꯅꯁꯤꯁꯟ ꯑꯃꯥ ꯄꯤꯕꯒꯤ ꯃꯍꯨꯠꯇꯥ, ꯔꯤꯕ ꯑꯃꯁꯨꯡ ꯀꯦꯃꯦꯔꯥ ꯑꯃꯒꯤ ꯃꯔꯛꯇꯥ ꯑꯄꯤꯀꯄꯥ ꯏꯅꯁꯤꯁꯟ ꯀꯌꯥ ꯑꯃꯥ ꯁꯦꯝꯃꯤ ꯑꯃꯁꯨꯡ ꯃꯌꯦꯛ ꯁꯦꯡꯕꯥ ꯏꯅꯁ꯭ꯠꯔꯨꯃꯦꯟꯇꯁꯤꯡ ꯊꯥꯏ꯫ ꯃꯁꯤꯒꯤ ꯃꯦꯊꯗ ꯑꯁꯤꯗꯥ ꯐꯒꯠꯂꯀꯄꯒꯤ ꯃꯇꯝ ꯑꯁꯤ ꯍꯦꯟꯅꯥ ꯀꯨꯏꯔꯦ꯫
ꯂꯦꯐꯠ ꯑꯦꯠꯔꯤꯌꯥꯜ ꯑꯦꯄꯦꯟꯗꯤꯛꯁ ꯂꯧꯊꯣꯀꯄꯥ꯫
ꯁꯔꯖꯔꯤ ꯑꯁꯤꯒꯤ ꯑꯇꯣꯞꯄꯥ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯁꯔꯨꯛ ꯑꯃꯗꯤ ꯂꯦꯐꯠ ꯑꯦꯠꯔꯤꯌꯥꯜ ꯑꯦꯄꯦꯟꯗꯤꯛꯁ ꯀꯧꯕꯥ ꯑꯄꯤꯀꯄꯥ ꯁꯔꯨꯛ ꯑꯃꯥ ꯊꯤꯡꯖꯤꯅꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯂꯧꯊꯣꯀꯄꯅꯤ ꯫ ꯃꯁꯤ ꯊꯝꯃꯣꯌꯒꯤ ꯂꯦꯃꯍꯧꯔꯤꯕꯥ ꯑꯦꯠꯔꯤꯌꯥꯃꯗꯥ ꯆꯦꯅꯕꯥ ꯑꯄꯤꯀꯄꯥ, ꯀꯥꯡꯈꯜ ꯃꯑꯣꯡꯒꯤ ꯄꯥꯎꯆꯦ ꯑꯃꯅꯤ꯫
ꯑꯦꯠꯔꯤꯌꯥꯜ ꯐꯤꯕꯔꯅꯥ ꯅꯥꯕꯥ ꯑꯅꯥꯕꯁꯤꯡꯗꯥ ꯁ꯭ꯠꯔꯣꯛ ꯊꯣꯀꯍꯅꯕꯥ ꯏꯒꯤ ꯈꯣꯡꯖꯦꯂꯒꯤ 90%ꯗꯤ ꯑꯄꯤꯀꯄꯥ ꯁꯦꯛ ꯑꯁꯤꯗꯥ ꯁꯦꯝꯃꯤ꯫ꯃꯁꯤ ꯐꯪꯂꯦ꯫ ꯍꯥꯔꯠ ꯑꯁꯤ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯁꯣꯛꯅ-ꯁꯝꯅꯗꯕꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯃꯐꯝ ꯑꯁꯤꯗꯥ ꯏ ꯊꯨꯃꯖꯤꯜꯂꯤ ꯑꯃꯁꯨꯡ ꯏꯁꯤꯡ ꯊꯨꯃꯖꯤꯜꯂꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯕ꯭ꯂꯗ ꯀ꯭ꯂꯣꯠ ꯑꯁꯤ ꯆꯦꯟꯊꯈꯤꯗꯨꯅꯥ ꯕ꯭ꯔꯦꯅꯗꯥ ꯆꯠꯂꯕꯗꯤ ꯁ꯭ꯠꯔꯣꯛ ꯑꯃꯥ ꯊꯣꯀꯏ꯫ ꯑꯗꯨꯅꯥ, ꯃꯦꯖ ꯄ꯭ꯔꯣꯁꯤꯖꯔꯒꯤ ꯃꯅꯨꯡꯗꯥ, ꯃꯐꯝ ꯑꯁꯤ ꯁ꯭ꯇꯤꯆ, ꯁ꯭ꯇꯦꯄꯂꯁꯤꯡ ꯅꯠꯠꯔꯒꯥ ꯑꯈꯟꯅꯕꯥ ꯗꯤꯚꯥꯏꯁ ꯑꯃꯅꯥ ꯊꯤꯡꯖꯤꯜꯂꯤ꯫ ꯃꯁꯤꯅꯥ ꯁ꯭ꯠꯔꯣꯀꯀꯤ ꯔꯤꯁ꯭ꯛ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯍꯟꯊꯍꯅꯕꯥ ꯉꯝꯃꯤ꯫
ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯀꯔꯤ ꯑꯣꯏꯒꯅꯤ?
ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ, ꯅꯍꯥꯀꯄꯨ ꯅꯨꯃꯤꯠ ꯑꯃꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯅꯤꯒꯤ ꯑꯣꯏꯅꯥ ꯑꯣꯕꯖꯥꯔꯚꯦꯁꯅꯒꯤꯗꯃꯛꯇꯥ ꯏꯟꯇꯦꯟꯁꯤꯚ ꯀꯦꯌꯔ ꯌꯨꯅꯤꯠ (ICU)ꯗꯥ ꯊꯃꯒꯅꯤ, ꯑꯃꯁꯨꯡ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯔꯦꯒꯨꯂꯥꯔ ꯋꯥꯔꯗ ꯑꯃꯗꯥ ꯇ꯭ꯔꯥꯟꯁꯐꯔ ꯇꯧꯒꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯤꯅꯤꯃꯝ ꯏꯅꯚꯦꯁꯤꯚ ꯁꯔꯖꯔꯤ (ꯊꯣꯔꯥꯀꯣꯁ꯭ꯀꯣꯄꯤꯛ) ꯇꯧꯔꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯅꯨꯃꯤꯠ 4ꯅꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯌꯨꯃꯗꯥ ꯆꯠꯄꯥ ꯉꯃꯒꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯣꯄꯟ ꯁꯔꯖꯔꯤ ꯇꯧꯔꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯅꯨꯃꯤꯠ ꯑꯃꯥ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯂꯗꯥ ꯂꯩꯒꯅꯤ꯫
ꯅꯍꯥꯛꯅꯥ ꯌꯨꯃꯗꯥ ꯆꯠꯂꯕꯥ ꯃꯇꯨꯡꯗꯁꯨ ꯊꯥ ꯀꯌꯥꯒꯤ ꯑꯣꯏꯅꯥ ꯍꯤꯗꯥꯛ ꯃꯈꯜ ꯀꯌꯥ ꯑꯃꯥ ꯂꯧꯕꯥ ꯇꯥꯒꯅꯤ꯫
- ꯕ꯭ꯂꯗ ꯊꯤꯅꯔꯁꯤꯡ (ꯑꯦꯟꯇꯤꯀꯣꯑꯦꯒꯨꯂꯦꯟꯇꯁꯤꯡ): ꯅꯍꯥꯛꯅꯥ ꯏ ꯊꯣꯀꯄꯥ ꯊꯤꯡꯅꯕꯥ ꯌꯥꯃꯗ꯭ꯔꯕꯗꯥ ꯊꯥ 3ꯒꯤ ꯑꯣꯏꯅꯥ `ꯋꯥꯔꯐꯦꯔꯤꯟ` ꯅꯠꯠꯔꯒꯥ `ꯑꯦꯄꯤꯛꯁꯥꯕꯟ`ꯒꯨꯝꯕꯥ ꯍꯤꯗꯥꯀꯁꯤꯡ ꯂꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯏ꯫ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯃꯈꯣꯌꯗꯨ ꯃꯈꯥ ꯇꯥꯅꯥ ꯂꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯂꯦꯄꯀꯅꯤ꯫
- ꯍꯥꯔꯠ ꯔꯦꯠ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ: ꯍꯥꯔꯠ ꯔꯤꯀꯣꯚꯔꯤꯒꯤ ꯑꯍꯥꯅꯕꯥ ꯁ꯭ꯇꯦꯖꯁꯤꯡꯗꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯕꯥ ꯍꯥꯔꯇꯀꯤ ꯂꯥꯌꯅꯥꯁꯤꯡ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯅꯕꯥ꯫
- ꯗꯥꯏꯑꯦꯕꯦꯇꯤꯖ: ꯍꯀꯆꯥꯡꯗꯥ ꯃꯊꯧ ꯇꯥꯗꯕꯥ ꯐ꯭ꯂꯨꯏꯗ ꯑꯦꯛꯌꯨꯃꯨꯂꯦꯁꯟ ꯍꯟꯊꯍꯅꯕꯥ꯫
ꯁꯔꯖꯔꯤ ꯑꯁꯤꯒꯤ ꯀꯥꯟꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯈꯨꯗꯣꯡꯊꯤꯕꯁꯤꯡ ꯀꯔꯤꯅꯣ?
| ꯀꯥꯟꯅꯕꯁꯤꯡ꯫ | ꯔꯤꯁ꯭ꯀꯁꯤꯡ/ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ꯫ |
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ꯐꯒꯠꯂꯀꯄꯗꯥ ꯃꯇꯝ ꯀꯌꯥ ꯆꯪꯕꯒꯦ ꯑꯃꯁꯨꯡ ꯀꯗꯥꯏꯗꯥ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯗꯣꯛꯇꯔꯒꯥ ꯎꯅꯒꯗꯒꯦ?
ꯃꯍꯧꯁꯥꯒꯨꯝꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯅꯣꯔꯃꯦꯜ ꯑꯦꯛꯇꯤꯚꯤꯇꯤꯁꯤꯡꯗꯥ ꯍꯜꯂꯀꯎ꯫ꯃꯁꯤ ꯅꯨꯃꯤꯠ ꯳ꯗꯒꯤ ꯶ ꯐꯥꯑꯣꯕꯒꯤ ꯃꯔꯛꯇꯥ ꯆꯪꯕꯥ ꯌꯥꯏ . ꯀꯔꯤꯒꯨꯝꯕꯥ ꯁꯔꯖꯔꯤ ꯑꯗꯨ ꯃꯤꯅꯤꯃꯝ ꯏꯅꯚꯦꯁꯤꯚ ꯃꯦꯊꯗ ꯑꯃꯥ ꯁꯤꯖꯤꯟꯅꯗꯨꯅꯥ ꯄꯥꯡꯊꯣꯀꯈꯤꯕꯥ ꯑꯣꯏꯔꯕꯗꯤ, ꯐꯒꯠꯂꯀꯄꯒꯤ ꯃꯇꯝ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯀꯨꯏꯅꯥ ꯂꯩ꯫
ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ, ꯅꯍꯥꯛꯅꯥ ꯁꯦꯗ꯭ꯌꯨꯜ ꯇꯧꯔꯕꯥ ꯁꯦꯗ꯭ꯌꯨꯜ ꯑꯃꯗꯥ ꯗꯣꯛꯇꯔꯒꯥ ꯇꯥꯟꯅꯒꯗꯕꯅꯤ꯫
- ꯍꯣꯁ꯭ꯄꯤꯇꯥꯂꯗꯒꯤ ꯊꯣꯔꯀꯄꯥ ꯅꯨꯃꯤꯠ ꯑꯃꯥ ꯂꯣꯏꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ꯫
- ꯍꯣꯁ꯭ꯄꯤꯇꯥꯂꯗꯒꯤ ꯊꯣꯔꯀꯄꯥ ꯊꯥ ꯑꯃꯒꯤ ꯃꯇꯨꯡꯗꯥ (ꯀꯥꯔꯗꯤꯑꯣꯂꯣꯖꯤꯁ꯭ꯠ)꯫
- ꯊꯥ ꯳, ꯶, ꯑꯃꯁꯨꯡ ꯱꯲ꯗꯥ ꯏ.ꯁꯤ.ꯖꯤ.
- ꯊꯥ 6 ꯑꯃꯁꯨꯡ 12ꯗꯥ `ꯍꯣꯜꯇꯔ ꯃꯣꯅꯤꯇꯔ` (ꯄꯨꯡ 24ꯒꯤ ꯑꯣꯏꯅꯥ ꯍꯥꯔꯇꯀꯤ ꯈꯣꯡꯖꯦꯜ ꯌꯦꯡꯁꯤꯜꯂꯤꯕꯥ ꯗꯤꯚꯥꯏꯁ ꯑꯃꯥ) ꯇꯦꯁ꯭ꯠ ꯑꯃꯥ꯫
ꯇꯦꯁ꯭ꯠ ꯑꯃꯁꯨꯡ ꯑꯦꯄꯣꯏꯟꯇꯃꯦꯟꯇ ꯄꯨꯝꯅꯃꯛ ꯑꯁꯤꯗꯥ ꯁꯔꯨꯛ ꯌꯥꯕꯥ ꯑꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯌꯥꯏꯐꯅꯕꯥ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫
ꯇꯦꯛ-ꯍꯣꯝ ꯃꯦꯁꯦꯖ ꯇꯧꯕꯥ꯫
- ꯃꯦꯖ ꯄ꯭ꯔꯣꯁꯤꯖꯔ ꯑꯁꯤ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡꯅꯥ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯗꯕꯥ ꯑꯦꯠꯔꯤꯌꯥꯜ ꯐꯥꯏꯕ꯭ꯔꯤꯂꯦꯁꯅꯒꯤꯗꯃꯛꯇꯥ ꯌꯥꯝꯅꯥ ꯃꯥꯌꯄꯥꯀꯄꯥ ꯁꯔꯖꯔꯤ ꯑꯃꯅꯤ꯫
- ꯃꯁꯤꯅꯥ ꯍꯥꯔꯇꯀꯤ ꯑꯁꯣꯌꯕꯥ ꯏꯂꯦꯛꯠꯔꯤꯀꯦꯜ ꯁꯤꯒꯅꯦꯂꯁꯤꯡ ꯊꯤꯡꯅꯕꯥ ꯁ꯭ꯀꯥꯔ ꯇꯤꯁꯨꯒꯤ ꯄꯦꯇꯔꯟ ꯑꯃꯥ ꯁꯦꯝꯃꯤ, ꯃꯗꯨꯅꯥ ꯅꯣꯔꯃꯦꯜ ꯍꯥꯔꯇꯀꯤ ꯈꯣꯡꯖꯦꯜ ꯑꯗꯨ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯄꯨꯔꯀꯏ꯫
- ꯃꯦꯊꯗ ꯑꯅꯤ ꯂꯩ, ꯑꯣꯄꯟ ꯁꯔꯖꯔꯤ ꯑꯃꯁꯨꯡ ꯃꯤꯅꯤꯃꯝ ꯏꯅꯚꯦꯁꯤꯚ, ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯛꯀꯤꯗꯃꯛꯇꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯥ ꯃꯦꯊꯗ ꯑꯗꯨ ꯂꯦꯄꯀꯅꯤ꯫
- ꯁꯔꯖꯔꯤ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯄꯥꯡꯊꯣꯀꯄꯥ `ꯂꯦꯐꯠ ꯑꯦꯠꯔꯤꯌꯥꯜ ꯑꯦꯄꯦꯟꯗꯤꯛꯁ` ꯊꯤꯡꯕꯅꯥ ꯁ꯭ꯠꯔꯣꯀꯀꯤ ꯔꯤꯁ꯭ꯛ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯍꯟꯊꯍꯅꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫
- ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯐꯒꯠꯂꯀꯄꯗꯥ ꯃꯇꯝ ꯆꯪꯏ, ꯑꯃꯁꯨꯡ ꯗꯣꯛꯇꯔꯅꯥ ꯄꯤꯕꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ (ꯃꯔꯨꯑꯣꯏꯅꯥ ꯕ꯭ꯂꯗ ꯊꯤꯅꯔꯁꯤꯡ) ꯑꯗꯨ ꯆꯞ ꯆꯥꯅꯥ ꯂꯧꯕꯥ ꯑꯃꯁꯨꯡ ꯂꯦꯞꯂꯕꯥ ꯇꯥꯡꯁꯤꯡꯗꯥ ꯗꯣꯛꯇꯔꯒꯥ ꯎꯅꯕꯥ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫











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