ꯅꯍꯥꯛꯀꯤ ꯀꯤꯗꯅꯤꯁꯤꯡ ꯑꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯁꯨꯄꯔ ꯐꯤꯜꯇꯔ ꯑꯅꯤꯒꯨꯝꯅꯥ ꯂꯩ꯫ ꯀꯤꯗꯅꯤꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯊꯕꯛ ꯑꯁꯤ ꯏꯗꯒꯤ ꯃꯊꯧ ꯇꯥꯗꯕꯥ, ꯄꯣꯠꯁꯀꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯑꯍꯦꯅꯕꯥ ꯐ꯭ꯂꯨꯏꯗꯁꯤꯡ ꯐꯤꯜꯇꯔ ꯇꯧꯕꯅꯤ꯫ ꯑꯗꯨꯕꯨ ꯑꯀꯛꯅꯕꯥ ꯃꯦꯗꯤꯀꯦꯜ ꯀꯟꯗꯤꯁꯟ ꯈꯔꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯀꯤꯗꯅꯤꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯊꯕꯛ ꯇꯧꯗꯕꯥ ꯃꯇꯃꯗꯥ ꯑꯃꯣꯠꯄꯥ ꯄꯣꯠꯂꯃꯁꯤꯡ ꯍꯀꯆꯥꯡꯗꯥ ꯄꯨꯊꯣꯛꯇꯨꯅꯥ ꯑꯆꯧꯕꯥ ꯁꯃꯁ꯭ꯌꯥꯁꯤꯡ ꯊꯣꯀꯍꯜꯂꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯗꯥ ꯍꯦꯃꯣꯗꯥꯏꯑꯦꯂꯥꯏꯁꯤꯁ ꯀꯧꯕꯥ ꯄꯨꯟꯁꯤ ꯀꯟꯅꯕꯒꯤ ꯂꯥꯌꯦꯡ ꯑꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯃꯇꯦꯡ ꯄꯥꯡꯂꯤ꯫
ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯍꯦꯃꯣꯗꯥꯏꯑꯦꯂꯥꯏꯁꯤꯁ ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ?
ꯍꯦꯃꯣꯗꯥꯏꯑꯦꯂꯥꯏꯁꯤꯁ ꯑꯁꯤ ꯗꯥꯏꯑꯦꯂꯥꯏꯁꯤꯁ ꯂꯥꯌꯦꯡꯕꯒꯤ ꯃꯈꯜ ꯑꯃꯅꯤ꯫ ꯅꯍꯥꯛꯀꯤ ꯀꯤꯗꯅꯤꯁꯤꯡꯅꯥ ꯃꯈꯣꯌꯒꯤ ꯊꯕꯛ ꯇꯧꯕꯥ ꯉꯃꯗꯕꯥ ꯃꯇꯃꯗꯥ, ꯃꯗꯨꯒꯤ ꯃꯍꯨꯠꯇꯥ ꯅꯍꯥꯛꯀꯤ ꯏ ꯑꯗꯨ ꯁꯦꯡꯗꯣꯛꯅꯕꯥ ꯃꯦꯁꯤꯟ ꯑꯃꯥ ꯁꯤꯖꯤꯟꯅꯩ꯫ ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯃꯁꯤꯅꯥ ꯑꯥꯔꯇꯤꯐꯤꯁꯤꯑꯦꯜ ꯀꯤꯗꯅꯤ ꯑꯃꯒꯨꯝꯅꯥ ꯊꯕꯛ ꯇꯧꯏ꯫
ꯄ꯭ꯔꯣꯁꯤꯗ꯭ꯌꯨꯑꯣꯔ ꯑꯁꯤꯗꯥ, ꯃꯦꯁꯤꯟ ꯑꯃꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡꯗꯒꯤ ꯏ ꯈꯔꯥ ꯂꯧꯊꯣꯀꯏ, ꯃꯗꯨ ꯁꯦꯡꯗꯣꯛꯅꯕꯥ ꯑꯈꯟꯅꯕꯥ ꯐꯤꯜꯇꯔ (ꯑꯥꯔꯇꯤꯐꯤꯁꯤꯑꯦꯜ ꯀꯤꯗꯅꯤ) ꯑꯃꯗꯥ ꯄꯥꯁ ꯇꯧꯏ, ꯑꯃꯁꯨꯡ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯑꯁꯦꯡꯕꯥ ꯏ ꯑꯗꯨ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯍꯟꯖꯤꯅꯍꯜꯂꯤ꯫ ꯃꯁꯤꯅꯥ ꯅꯥꯏꯠꯔꯣꯖꯦꯅꯒꯤ ꯑꯃꯣꯠꯄꯥ ꯄꯣꯠꯊꯣꯀꯁꯤꯡ (ꯌꯨꯔꯤꯌꯥ), ꯃꯁꯂꯁꯤꯡꯗꯒꯤ ꯂꯥꯀꯄꯥ ꯑꯃꯣꯠꯄꯁꯤꯡ (ꯀ꯭ꯔꯤꯑꯦꯇꯤꯅꯤꯟ), ꯑꯃꯁꯨꯡ ꯏꯗꯥ ꯌꯥꯎꯔꯤꯕꯥ ꯑꯦꯁꯤꯗꯁꯤꯡ ꯑꯁꯤꯅꯆꯤꯡꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ ꯂꯧꯊꯣꯀꯏ꯫
ꯃꯁꯤꯒꯤ ꯃꯦꯁꯤꯟ ꯑꯁꯤꯅꯥ ꯃꯇꯧ ꯀꯔꯝꯅꯥ ꯏ ꯁꯦꯡꯗꯣꯀꯄꯒꯦ?
ꯈꯅꯕꯤꯌꯨ, ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯑꯉꯀꯄꯥ ꯇꯦꯛꯅꯣꯂꯣꯖꯤ ꯑꯃꯅꯤ꯫ ꯍꯦꯃꯣꯗꯥꯏꯑꯦꯂꯥꯏꯁꯤꯁ ꯃꯦꯁꯤꯟ ꯑꯁꯤꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯁꯔꯨꯛ ꯑꯁꯤ ꯗꯥꯏꯑꯦꯂꯥꯏꯁꯤꯁꯅꯤ . ꯃꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ "ꯑꯥꯔꯇꯤꯐꯤꯁꯤꯑꯦꯜ ꯀꯤꯗꯅꯤ" ꯍꯥꯌꯅꯥꯁꯨ ꯀꯧꯏ꯫
ꯅꯍꯥꯛꯀꯤ ꯏ ꯑꯗꯨ ꯗꯥꯏꯑꯦꯂꯥꯏꯖꯥꯔ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯌꯥꯝꯅꯥ ꯐꯖꯅꯥ ꯃꯦꯁꯒꯨꯝꯕꯥ ꯇꯤꯎꯕ ꯂꯤꯁꯤꯡ ꯀꯌꯥꯗꯒꯤ ꯆꯠꯂꯤ꯫ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ, ꯑꯃꯣꯠꯄꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯏꯗꯥ ꯌꯥꯎꯔꯤꯕꯥ ꯑꯍꯦꯅꯕꯥ ꯏꯁꯤꯡ ꯑꯗꯨ ꯐꯤꯅꯥ ꯁꯦꯝꯕꯥ ꯃꯦꯁꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯇꯣꯉꯥꯅꯕꯥ ꯃꯐꯝ ꯑꯃꯗꯥ ꯂꯤꯛ ꯑꯣꯏ꯫ ꯍꯥꯌꯔꯤꯕꯥ ꯑꯃꯣꯠꯄꯁꯤꯡ ꯑꯁꯤ ꯈꯣꯃꯖꯤꯟꯅꯕꯥ ꯗꯥꯏꯑꯦꯂꯥꯏꯁꯦꯠ ꯀꯧꯕꯥ ꯑꯈꯟꯅꯕꯥ ꯂꯤꯛꯌꯨꯏꯗ ꯑꯃꯥ ꯁꯤꯖꯤꯟꯅꯩ꯫ ꯃꯁꯤꯒꯤ ꯂꯤꯛꯌꯨꯏꯗ ꯑꯁꯤꯗꯥ ꯏꯁꯤꯡ, ꯁꯣꯜꯇ ꯑꯃꯁꯨꯡ ꯏꯂꯦꯛꯠꯔꯣꯂꯥꯏꯠꯁꯤꯡ ꯌꯥꯎꯏ꯫
ꯁꯦꯡꯗꯣꯛꯂꯕꯥ ꯑꯃꯁꯨꯡ ꯑꯃꯣꯠꯄꯁꯤꯡꯗꯒꯤ ꯂꯧꯊꯣꯀꯈꯤꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯏ ꯑꯗꯨ ꯇꯨꯕ ꯑꯃꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯍꯜꯂꯀꯏ꯫ ꯑꯃꯣꯠꯄꯥ ꯈꯣꯃꯖꯤꯜꯂꯕꯥ ꯗꯥꯏꯑꯦꯂꯥꯏꯁꯦꯠ ꯐ꯭ꯂꯨꯏꯗ ꯑꯁꯤ ꯃꯦꯁꯤꯟ ꯑꯁꯤꯅꯥ ꯂꯧꯊꯣꯀꯏ꯫
ꯍꯦꯃꯣꯗꯥꯏꯑꯦꯂꯥꯏꯁꯤꯁ ꯂꯥꯌꯦꯡꯕꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯈꯂꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?
ꯍꯦꯃꯣꯗꯥꯏꯑꯦꯂꯥꯏꯁꯤꯁ ꯂꯥꯌꯦꯡꯕꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯑꯣꯡ ꯑꯅꯤ ꯂꯩ꯫ ꯅꯍꯥꯛꯀꯤꯗꯃꯛꯇꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯥ ꯃꯦꯊꯗ ꯑꯗꯨ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯈꯟꯅ-ꯅꯩꯅꯕꯥ ꯌꯥꯏ꯫
| ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯃꯑꯣꯡ꯫ | ꯋꯥꯔꯣꯜ |
|---|---|
| ꯏꯟ-ꯁꯦꯟꯇꯔ ꯍꯦꯃꯣꯗꯥꯏꯑꯦꯂꯥꯏꯁꯤꯁ ꯇꯧꯕꯥ꯫ | ꯃꯁꯤꯒꯤꯗꯃꯛꯇꯥ, ꯅꯍꯥꯛꯅꯥ ꯍꯦꯃꯣꯗꯥꯏꯑꯦꯂꯥꯏꯁꯤꯁꯀꯤ ꯃꯇꯥꯡꯗꯥ ꯃꯁꯛ ꯈꯪꯗꯣꯛꯂꯕꯥ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯜ ꯅꯠꯠꯔꯒꯥ ꯁꯦꯟꯇꯔ ꯑꯃꯗꯥ ꯆꯠꯄꯥ ꯃꯊꯧ ꯇꯥꯏ꯫ ꯂꯥꯏꯌꯦꯡ ꯑꯁꯤ ꯇ꯭ꯔꯦꯟ ꯇꯧꯔꯕꯥ ꯅꯔꯁ ꯅꯠꯠꯔꯒꯥ ꯇꯦꯛꯅꯤꯁꯤꯌꯟ ꯑꯃꯅꯥ ꯄꯥꯡꯊꯣꯀꯏ꯫ ꯃꯍꯧꯁꯥꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯅꯨꯃꯤꯠ ꯈꯨꯗꯤꯡꯒꯤ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯑꯍꯨꯃꯂꯛ ꯆꯠꯀꯗꯕꯅꯤ, ꯑꯃꯁꯨꯡ ꯁꯦꯁꯟ ꯈꯨꯗꯤꯡꯃꯛꯇꯥ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯄꯨꯡ 3-4 ꯆꯪꯒꯅꯤ꯫ |
| ꯌꯨꯃꯗꯥ (ꯍꯣꯝ ꯍꯦꯃꯣꯗꯥꯏꯑꯦꯂꯥꯏꯁꯤꯁ) . | ꯃꯁꯤꯒꯤ ꯂꯥꯏꯌꯦꯡ ꯑꯁꯤ ꯌꯨꯃꯗꯥ ꯄꯥꯡꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯅꯨꯃꯤꯠ ꯈꯔꯅꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯗꯣꯛꯇꯔꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯅꯔꯁꯁꯤꯡꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯀꯔꯝꯅꯥ ꯇꯧꯒꯗꯒꯦ ꯑꯃꯁꯨꯡ ꯂꯥꯀꯄꯥ ꯌꯥꯕꯥ ꯑꯄꯤꯀꯄꯥ ꯁꯃꯁ꯭ꯌꯥ ꯑꯃꯍꯦꯛꯇꯕꯨ ꯀꯔꯝꯅꯥ ꯊꯦꯡꯅꯒꯗꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯇꯥꯀꯄꯤꯒꯅꯤ꯫ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯁꯥ ꯃꯊꯟꯇꯥ ꯂꯥꯏꯌꯦꯡ ꯑꯗꯨ ꯅꯍꯥꯛꯀꯤ ꯈꯨꯗꯣꯡꯆꯥꯕꯗꯥ ꯇꯧꯕꯥ ꯌꯥꯏ꯫ |
ꯍꯣꯝ ꯍꯦꯃꯣꯗꯥꯏꯑꯦꯂꯥꯏꯁꯤꯁꯀꯤ ꯃꯈꯂꯁꯤꯡ ꯂꯩꯕ꯭ꯔꯥ?
ꯍꯣꯌ, ꯌꯨꯃꯗꯥ ꯂꯥꯌꯦꯡꯕꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯈꯜ ꯑꯍꯨꯝ ꯂꯩ꯫
1. ꯀꯟꯚꯦꯟꯁꯅꯦꯜ ꯍꯣꯝ ꯍꯦꯃꯣꯗꯥꯏꯑꯦꯂꯥꯏꯁꯤꯁ: ꯅꯨꯃꯤꯠ ꯈꯨꯗꯤꯡꯒꯤ ꯑꯍꯨꯃꯂꯛ, ꯃꯇꯝ ꯈꯨꯗꯤꯡꯒꯤ ꯄꯨꯡ 3-4꯫
2. ꯅꯣꯡꯃꯗꯥ ꯑꯇꯦꯅꯕꯥ ꯃꯇꯃꯒꯤ ꯌꯨꯃꯗꯥ ꯍꯦꯃꯣꯗꯥꯏꯑꯦꯂꯥꯏꯁꯤꯁ: ꯑꯅꯧꯕꯥ ꯇꯦꯛꯅꯣꯂꯣꯖꯤꯅꯥ ꯂꯥꯌꯦꯡꯕꯒꯤ ꯃꯇꯝ ꯀꯨꯏꯅꯥ ꯆꯠꯄꯥ ꯌꯥꯍꯜꯂꯤ꯫ ꯃꯁꯤ ꯅꯨꯃꯤꯠ ꯈꯨꯗꯤꯡꯒꯤ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯅꯨꯃꯤꯠ 5-7ꯅꯤ, ꯑꯃꯁꯨꯡ ꯁꯦꯁꯟ ꯑꯃꯗꯥ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯄꯨꯡ ꯑꯅꯤ ꯆꯪꯏ꯫
3. ꯅꯨꯃꯤꯗꯥꯡꯒꯤ ꯑꯣꯏꯕꯥ ꯌꯨꯃꯗꯥ ꯍꯦꯃꯣꯗꯥꯏꯑꯦꯂꯥꯏꯁꯤꯁ (Nocturnal home hemodialysis): ꯃꯁꯤ ꯅꯍꯥꯛꯅꯥ ꯇꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯑꯌꯨꯛꯇꯥ ꯇꯧꯏ꯫ ꯂꯥꯏꯌꯦꯡ ꯑꯁꯤ ꯃꯇꯝ ꯑꯃꯗꯥ ꯄꯨꯡ 6-8 ꯐꯥꯎꯕꯥ, ꯅꯨꯃꯤꯠ ꯈꯨꯗꯤꯡꯒꯤ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯅꯨꯃꯤꯠ 4-6ꯅꯤ ꯄꯥꯡꯊꯣꯀꯏ꯫ ꯃꯁꯤꯒꯤ ꯄꯥꯝꯕꯩ ꯑꯁꯤꯅꯥ ꯏ ꯑꯁꯤ ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯁꯦꯡꯗꯣꯀꯄꯥ ꯉꯃꯍꯜꯂꯤ, ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯍꯀꯆꯥꯡꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯐꯠꯇ-ꯍꯧꯗꯤ ꯂꯧꯊꯣꯀꯄꯥ ꯉꯝꯃꯤ꯫
ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯃꯃꯥꯡꯗꯥ ꯃꯇꯧ ꯀꯔꯝꯅꯥ ꯁꯦꯝ-ꯁꯥꯒꯗꯒꯦ?
ꯍꯦꯃꯣꯗꯥꯏꯑꯦꯂꯥꯏꯁꯤꯁ ꯍꯧꯗ꯭ꯔꯤꯉꯩꯗꯥ, ꯅꯍꯥꯛꯅꯥ ꯅꯨꯃꯤꯠ ꯈꯔꯅꯤꯒꯤ ꯃꯃꯥꯡꯗꯥ ꯅꯠꯠꯔꯒꯥ ꯊꯥ ꯈꯔꯒꯤ ꯃꯃꯥꯡꯗꯥ ꯁꯦꯝ-ꯁꯥꯕꯥ ꯈꯔꯥ ꯇꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯏ꯫ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯋꯥꯐꯃꯗꯤ ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯃꯇꯃꯗꯥ ꯐꯖꯅꯥ ꯑꯃꯁꯨꯡ ꯊꯨꯅꯥ ꯏ ꯂꯧꯊꯣꯛꯇꯨꯅꯥ ꯍꯀꯆꯥꯡꯗꯥ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯊꯝꯅꯕꯒꯤ ꯄꯥꯝꯕꯩ ꯑꯃꯥ ꯊꯤꯕꯥ ꯑꯁꯤꯅꯤ꯫ ꯃꯁꯤꯗꯥ ꯑꯄꯤꯀꯄꯥ ꯁꯔꯖꯔꯤ ꯑꯃꯥ ꯌꯥꯑꯣꯏ꯫
- ꯑꯥꯔꯇꯦꯔꯤꯑꯣꯚꯦꯅꯁ ꯐꯤꯁ꯭ꯇꯨꯂꯥ (AV fistula): ꯄ꯭ꯔꯣꯁꯤꯗ꯭ꯌꯨꯑꯣꯔ ꯑꯁꯤꯗꯥ, ꯁꯔꯖꯔꯤ ꯑꯃꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯨꯠꯁꯥꯗꯥ ꯂꯩꯕꯥ ꯑꯥꯔꯇꯦꯔꯤ ꯑꯃꯒꯥ ꯑꯃꯁꯨꯡ ꯚꯦꯅꯝ ꯑꯃꯒꯥ ꯁꯝꯅꯍꯜꯂꯤ꯫ ꯃꯁꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯆꯨꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯆꯠꯄꯥ ꯄꯥꯝꯕꯩꯅꯤ꯫
- ꯑꯥꯔꯇꯦꯔꯤꯑꯣꯚꯦꯅꯁ ꯒ꯭ꯔꯥꯐ꯭ꯠ (AV ꯒ꯭ꯔꯥꯐ꯭ꯠ): ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯥꯔꯇꯦꯔꯤ ꯑꯃꯁꯨꯡ ꯚꯦꯅꯝ ꯑꯗꯨ ꯌꯥꯝꯅꯥ ꯀꯨꯞꯄꯥ ꯑꯣꯏꯔꯕꯗꯤ, ꯁꯔꯖꯔꯤ ꯑꯗꯨꯅꯥ ꯇꯔꯨ-ꯇꯅꯥꯅꯕꯥ, ꯑꯁꯥꯕꯥ ꯇꯤꯎꯕ (graft) ꯑꯃꯥ ꯁꯤꯖꯤꯟꯅꯗꯨꯅꯥ ꯑꯅꯤꯗꯨ ꯁꯝꯅꯍꯅꯒꯅꯤ꯫
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯂꯥꯏꯌꯦꯡ ꯑꯗꯨ ꯈꯨꯗꯛꯇꯥ ꯍꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯔꯕꯗꯤ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯀꯦꯇꯦꯇꯔ ꯀꯧꯕꯥ ꯇꯔꯨ-ꯇꯅꯥꯅꯕꯥ ꯇꯤꯎꯕ ꯑꯃꯥ ꯃꯇꯝ ꯈꯔꯒꯤ ꯑꯣꯏꯅꯥ ꯈꯣꯡ, ꯈꯣꯡ ꯅꯠꯠꯔꯒꯥ ꯈꯣꯡꯗꯥ ꯑꯆꯧꯕꯥ ꯚꯦꯅꯝ ꯑꯃꯗꯥ ꯊꯥꯕꯥ ꯌꯥꯏ꯫
ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ: ꯅꯍꯥꯛꯀꯤ ꯐꯤꯁ꯭ꯇꯨꯂꯥ ꯅꯠꯠꯔꯒꯥ ꯒ꯭ꯔꯥꯐꯠ ꯁꯥꯏꯠ ꯑꯗꯨ ꯃꯤꯠꯀꯨꯞ ꯑꯃꯒꯨꯝꯅꯥ ꯂꯧꯒꯗꯕꯅꯤ꯫ ꯃꯁꯤꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯄꯨꯟꯁꯤ ꯀꯟꯅꯕꯒꯤ ꯂꯥꯌꯦꯡ ꯑꯗꯨ ꯐꯪꯍꯜꯂꯤ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯃꯐꯝ ꯑꯗꯨ ꯏꯅꯐꯦꯛꯁꯟ ꯑꯃꯁꯨꯡ ꯑꯁꯣꯛ-ꯑꯄꯅꯗꯒꯤ ꯉꯥꯀꯊꯣꯀꯄꯥ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫
ꯅꯍꯥꯛꯀꯤ ꯐꯤꯁ꯭ꯇꯨꯂꯥ/ ꯒ꯭ꯔꯥꯐꯠ ꯑꯗꯨ ꯉꯥꯀꯊꯣꯛꯅꯕꯥ, ꯍꯥꯌꯔꯤꯕꯥ ꯋꯥꯐꯃꯁꯤꯡ ꯑꯁꯤ ꯅꯤꯡꯁꯤꯡꯕꯤꯌꯨ:
- ꯐꯤꯁ꯭ꯇꯨꯂꯥ ꯂꯩꯕꯥ ꯃꯐꯝ ꯑꯗꯨꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯔꯨꯝꯕꯥ ꯑꯗꯨ ꯊꯃꯖꯤꯜꯂꯨ꯫
- ꯈꯨꯠ ꯑꯗꯨꯗꯥ ꯆꯦꯟꯊꯔꯀꯄꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ ꯅꯠꯠꯔꯒꯥ ꯖꯨꯌꯦꯂꯁꯤꯡ (ꯔꯤꯡ, ꯋꯥꯆꯤ) ꯁꯤꯖꯤꯟꯅꯒꯅꯨ꯫
- ꯃꯈꯨꯠ ꯑꯗꯨꯒꯤ ꯃꯊꯛꯇꯥ ꯕꯦꯒ ꯁ꯭ꯠꯔꯦꯞ ꯑꯃꯥ ꯁꯤꯖꯤꯟꯅꯒꯅꯨ꯫
- ꯀꯩꯗꯧꯉꯩꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ (BP) ꯑꯗꯨ ꯆꯦꯛ ꯇꯧꯔꯣꯏꯗꯕꯅꯤ ꯅꯠꯠꯔꯒꯥ ꯐꯤꯁ꯭ꯇꯨꯂꯥ ꯂꯩꯕꯥ ꯈꯨꯠꯁꯥ ꯑꯗꯨꯗꯒꯤ ꯏ ꯂꯧꯊꯣꯛꯂꯣꯏꯗꯕꯅꯤ꯫
ꯆꯥꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯊꯛꯅꯕꯥ ꯏꯁꯤꯡꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯑꯈꯟꯅꯅꯥ ꯆꯦꯀꯁꯤꯅꯕꯥ ꯃꯊꯧ ꯇꯥꯕ꯭ꯔꯥ?
ꯃꯄꯨꯡ ꯐꯥꯅꯥ ꯍꯣꯌ꯫ ꯅꯍꯥꯛꯅꯥ ꯆꯥꯔꯤꯕꯥ ꯆꯤꯟꯖꯥꯛ ꯑꯗꯨꯅꯥ ꯍꯦꯃꯣꯗꯥꯏꯑꯦꯂꯥꯏꯁꯤꯁ ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯃꯥꯌꯄꯥꯀꯄꯗꯥ ꯍꯀꯊꯦꯡꯅꯅꯥ ꯁꯣꯀꯍꯜꯂꯤ꯫ ꯆꯤꯟꯖꯥꯀꯁꯤꯡꯅꯥ ꯏꯗꯥ ꯑꯃꯣꯠꯄꯥ ꯃꯁꯤꯡ ꯍꯦꯅꯒꯠꯍꯅꯕꯥ, ꯏꯁꯤꯡ ꯇꯨꯡꯁꯤꯅꯕꯥ, BP ꯍꯦꯅꯒꯠꯍꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯍꯥꯔꯇꯀꯤ ꯔꯦꯠ ꯍꯦꯅꯒꯠꯍꯅꯕꯥ ꯌꯥꯏ꯫
ꯂꯥꯏꯌꯦꯡ ꯍꯧꯗ꯭ꯔꯤꯉꯩꯒꯤ ꯃꯃꯥꯡꯗꯥ, ꯔꯦꯅꯥꯜ ꯗꯥꯏꯑꯦꯇꯤꯁꯤꯌꯟ ꯑꯃꯅꯥ ꯅꯍꯥꯛꯀꯤꯗꯃꯛꯇꯥ ꯆꯨꯅꯕꯥ ꯗꯥꯏꯠ ꯄ꯭ꯂꯥꯟ ꯑꯃꯥ ꯁꯦꯃꯒꯅꯤ꯫ ꯃꯍꯧꯁꯥꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯑꯁꯤ ꯌꯥꯎꯕꯥ ꯆꯤꯟꯖꯥꯀꯁꯤꯡ ꯂꯤꯃꯤꯠ ꯇꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯒꯅꯤ:
| ꯂꯤꯃꯤꯠ ꯇꯧꯅꯕꯥ ꯅ꯭ꯌꯨꯠꯔꯤꯑꯦꯟꯇꯁꯤꯡ꯫ | ꯑꯣꯚꯔꯗꯣꯖꯒꯤ ꯔꯤꯁ꯭ꯛ ꯑꯃꯁꯨꯡ ꯈꯨꯗꯃꯁꯤꯡ꯫ |
|---|---|
| ꯄꯣꯇꯥꯁꯤꯌꯝ꯫ | ꯍꯥꯔꯇꯀꯤ ꯔꯦꯠ ꯑꯁꯤ ꯈꯨꯗꯣꯡꯊꯤꯅꯤꯉꯥꯏ ꯑꯣꯏꯅꯥ ꯌꯥꯡꯅꯥ ꯆꯠꯄꯥ ꯌꯥꯏ꯫ ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ: ꯕꯦꯅꯥ, ꯑꯦꯚꯣꯀꯦꯗꯣ, ꯑꯣꯔꯦꯟꯖ, ꯁꯨꯡꯕꯥ ꯃꯅꯥ-ꯃꯁꯤꯡ, ꯇꯣꯃꯦꯇꯣ꯫ |
| ꯐꯣꯁꯐꯔꯁ (ꯐꯣꯁꯐꯔꯁ)꯫ | ꯁꯔꯨ ꯇꯥꯡꯁꯤꯡ ꯑꯁꯤ ꯁꯣꯟꯊꯔꯀꯄꯥ ꯌꯥꯏ ꯑꯃꯁꯨꯡ ꯈꯣꯡ ꯍꯥꯝꯂꯀꯄꯥ ꯌꯥꯏ꯫ ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ: ꯁꯉ꯭ꯒꯣꯝ ꯑꯃꯁꯨꯡ ꯁꯉ꯭ꯒꯣꯃꯒꯤ ꯄꯣꯠꯊꯣꯀꯁꯤꯡ, ꯆꯦꯡ, ꯉꯥ, ꯀꯦꯟꯗꯜ ꯉꯥ, ꯁꯁꯦꯖ, ꯂꯦꯟꯇꯤꯜ, ꯅꯠ꯫ |
| ꯁꯣꯗꯤꯌꯝ - ꯂꯣꯟ꯫ | ꯍꯀꯆꯥꯡꯗꯥ ꯐ꯭ꯂꯨꯏꯗ ꯍꯦꯟꯅꯥ ꯃꯊꯧ ꯇꯥꯏ (ꯇꯀꯈꯥꯌꯕꯥ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ), ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯏꯁꯤꯡ ꯇꯨꯡꯁꯤꯅꯕꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯏ ꯑꯃꯁꯨꯡ BP ꯍꯦꯅꯒꯠꯂꯀꯄꯥ ꯌꯥꯏ꯫ ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ: ꯁꯣꯜꯇ, ꯆꯤꯟꯖꯥꯀꯁꯤꯡꯗꯥ ꯍꯥꯄꯆꯤꯜꯂꯕꯥ ꯁꯁ, ꯐꯥꯁ꯭ꯠ ꯐꯨꯗ, ꯀꯦꯟꯗꯜ ꯐꯨꯗ, ꯁꯣꯜꯇ ꯁ꯭ꯅꯦꯀꯁꯤꯡ꯫ |
ꯂꯥꯏꯌꯦꯡ ꯑꯗꯨꯒꯤ ꯁꯥꯏꯗ ꯏꯐꯦꯛꯇ ꯑꯃꯁꯨꯡ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?
ꯃꯦꯗꯤꯀꯦꯜ ꯇ꯭ꯔꯤꯠꯃꯦꯟꯇ ꯑꯃꯍꯦꯛꯇꯒꯥ ꯃꯥꯟꯅꯅꯥ, ꯍꯦꯃꯣꯗꯥꯏꯑꯦꯂꯥꯏꯁꯤꯁꯀꯥ ꯃꯔꯤ ꯂꯩꯅꯕꯥ ꯑꯣꯏꯊꯣꯀꯄꯥ ꯌꯥꯕꯥ ꯁꯥꯏꯗ ꯏꯐꯦꯛꯇ ꯑꯃꯁꯨꯡ ꯀꯃꯞꯂꯤꯀꯦꯁꯟ ꯈꯔꯗꯤ ꯂꯩ꯫ ꯑꯗꯨꯕꯨ ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯃꯊꯧ ꯇꯥꯗꯦ, ꯃꯔꯃꯗꯤ ꯃꯁꯤꯒꯤꯗꯃꯛꯇꯥ ꯅꯍꯥꯛꯀꯤ ꯃꯦꯗꯤꯀꯦꯜ ꯇꯤꯃꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯂꯦꯞꯇꯅꯥ ꯌꯦꯡꯁꯤꯅꯒꯅꯤ꯫
ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯑꯣꯏꯊꯣꯀꯄꯥ ꯌꯥꯕꯥ ꯁꯥꯏꯗ ꯏꯐꯦꯛꯇꯁꯤꯡ:
- ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ ꯅꯦꯝꯕꯥ (ꯍꯥꯌꯄꯣꯇꯦꯟꯁꯟ) .
- ꯅꯣꯡꯃꯩ ꯀꯥꯞꯄꯥ ꯑꯃꯁꯨꯡ ꯈꯣꯡ ꯍꯥꯝꯕꯥ꯫
- ꯃꯤꯠ ꯎꯗꯕꯥ ꯑꯃꯁꯨꯡ ꯃꯁꯥ ꯃꯎ ꯐꯕꯥ (Syncope) .
- ꯆꯦꯁ꯭ꯠ ꯅꯠꯠꯔꯒꯥ ꯀꯣꯛ ꯆꯤꯀꯄꯥ꯫
- ꯀꯣꯛ ꯆꯤꯛꯄ
- ꯈꯣꯡ ꯍꯥꯝꯕꯥ ꯌꯥꯗꯕꯥ (Pruritus) .
- ꯃꯁꯜ ꯁꯣꯟꯊꯕꯥ꯫
- ꯔꯦꯁ꯭ꯇꯂꯦꯁ ꯂꯦꯒ ꯁꯤꯟꯗ꯭ꯔꯣꯝ (ꯈꯣꯡꯗꯥ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯐꯥꯎꯕꯥ)
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯇꯣꯏꯅꯥ ꯎꯕꯥ ꯐꯪꯂꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔ ꯅꯠꯠꯔꯒꯥ ꯅꯔꯁꯀꯥ ꯇꯥꯟꯅꯧ꯫ ꯃꯈꯣꯌ ꯑꯁꯤ ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯈꯣꯡꯖꯦꯜ ꯍꯣꯡꯗꯣꯛ-ꯍꯣꯡꯖꯤꯟ ꯇꯧꯗꯨꯅꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯀꯛꯅꯕꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ ꯁꯤꯖꯤꯟꯅꯗꯨꯅꯥ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯥ ꯌꯥꯏ꯫
ꯐꯤꯁ꯭ꯇꯨꯂꯥ/ ꯒ꯭ꯔꯥꯐ꯭ꯇꯀꯥ ꯃꯔꯤ ꯂꯩꯅꯕꯥ ꯑꯣꯏꯊꯣꯀꯄꯥ ꯌꯥꯕꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ:
- ꯏꯅꯐꯦꯛꯁꯟ (ꯂꯥꯂꯍꯧꯕꯥ, ꯁꯣꯛ-ꯄꯅꯕꯥ, ꯑꯅꯥꯕꯥ, ꯂꯥꯏꯍꯧ)
- ꯏ ꯊꯣꯀꯄꯥ꯫
- ꯁ꯭ꯀꯥꯔ ꯇꯤꯁꯨꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯕ꯭ꯂꯣꯛ ꯇꯧꯕꯥ꯫
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯄꯣꯠꯁꯛ ꯑꯃꯥ ꯎꯔꯕꯗꯤ ꯈꯨꯗꯛꯇꯥ ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯄꯥꯎꯇꯥꯛ ꯂꯧꯒꯗꯕꯅꯤ꯫
ꯅꯍꯥꯛꯅꯥ ꯍꯦꯃꯣꯗꯥꯏꯑꯦꯂꯥꯏꯁꯤꯁꯀꯥ ꯂꯣꯌꯅꯅꯥ ꯀꯌꯥꯝ ꯁꯥꯡꯅꯥ ꯍꯤꯡꯕꯥ ꯌꯥꯕꯒꯦ?
ꯃꯁꯤ ꯃꯤꯑꯣꯏ ꯀꯌꯥꯒꯤ ꯈꯨꯗꯣꯡꯆꯥꯗꯕꯥ ꯑꯃꯅꯤ꯫ ꯍꯦꯃꯣꯗꯥꯏꯑꯦꯂꯥꯏꯁꯤꯁ ꯂꯥꯌꯦꯡꯂꯤꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯒꯤ ꯆꯥꯡꯆꯠꯇꯥ ꯄꯨꯟꯁꯤꯒꯤ ꯃꯇꯝ ꯑꯁꯤ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯆꯍꯤ 5-10ꯅꯤ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ ꯃꯁꯤ ꯃꯤꯑꯣꯏ ꯑꯃꯗꯒꯤ ꯃꯤꯑꯣꯏ ꯑꯃꯗꯥ ꯈꯦꯠꯅꯩ꯫ ꯑꯐꯕꯥ ꯗꯥꯏꯠ, ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯄꯥꯎꯇꯥꯛ, ꯑꯃꯁꯨꯡ ꯌꯥꯝꯅꯥ ꯐꯕꯥ ꯄꯨꯟꯁꯤ ꯃꯍꯤꯡꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯆꯍꯤ 20-30 ꯅꯠꯠꯔꯒꯥ ꯃꯁꯤꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯍꯤꯡꯂꯤꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡ ꯂꯩ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯋꯥꯐꯃꯗꯤ ꯃꯄꯥꯉ꯭ꯒꯜ ꯀꯟꯅꯥ ꯂꯩꯕꯥ ꯑꯃꯁꯨꯡ ꯂꯥꯏꯌꯦꯡ ꯑꯁꯤ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯃꯈꯥ ꯆꯠꯊꯕꯥ ꯑꯁꯤꯅꯤ꯫
ꯇꯦꯛ-ꯍꯣꯝ ꯃꯦꯁꯦꯖ ꯇꯧꯕꯥ꯫
- ꯍꯦꯃꯣꯗꯥꯏꯑꯦꯂꯥꯏꯁꯤꯁ ꯑꯁꯤ ꯑꯀꯤꯕꯥ ꯄꯣꯀꯍꯅꯕꯥ ꯌꯥꯕꯥ ꯋꯥꯐꯝ ꯑꯃꯅꯤ꯫ ꯃꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯀꯤꯗꯅꯤꯗꯥ ꯊꯕꯛ ꯇꯧꯕꯥ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯄꯨꯟꯁꯤ ꯀꯅꯕꯥ ꯉꯝꯕꯥ ꯂꯥꯏꯌꯦꯡ ꯑꯃꯅꯤ꯫
- ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔ ꯑꯃꯁꯨꯡ ꯅ꯭ꯌꯨꯠꯔꯤꯁꯅꯒꯤ ꯃꯤꯑꯣꯏ ꯑꯗꯨꯅꯥ ꯄꯤꯔꯤꯕꯥ ꯏꯅꯁ꯭ꯠꯔꯛꯁꯅꯁꯤꯡ ꯑꯗꯨ ꯆꯨꯝꯅꯥ ꯏꯅꯒꯗꯕꯅꯤ꯫ ꯗꯥꯏꯠ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯃꯔꯨꯑꯣꯏꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫
- ꯅꯍꯥꯛꯀꯤ ꯐꯤꯁ꯭ꯇꯨꯂꯥ ꯅꯠꯠꯔꯒꯥ ꯒ꯭ꯔꯥꯐꯠ ꯑꯗꯨ ꯑꯐꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯌꯦꯡꯁꯤꯜꯂꯨ꯫ ꯃꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯄꯨꯟꯁꯤꯒꯤ ꯊꯣꯉꯖꯥꯎ ꯑꯃꯒꯨꯝꯕꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯍꯣꯡꯕꯥ ꯑꯃꯥ ꯂꯥꯀꯄꯥ (ꯑꯅꯥꯕꯥ, ꯁꯣꯀꯄꯥ, ꯂꯥꯎꯕꯥ) ꯎꯔꯕꯗꯤ, ꯈꯨꯗꯛꯇꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯈꯪꯍꯜꯂꯨ꯫
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯐꯥꯎꯔꯕꯗꯤ, ꯃꯗꯨꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯏꯃꯨꯡ-ꯃꯅꯨꯡ ꯑꯃꯁꯨꯡ ꯗꯣꯛꯇꯔꯒꯥ ꯑꯃꯨꯛꯇꯪ ꯋꯥꯔꯤ ꯁꯥꯕꯤꯌꯨ꯫ ꯈꯣꯡꯆꯠ ꯑꯁꯤꯗꯥ ꯑꯗꯣꯝ ꯈꯛꯇꯒꯤ ꯅꯠꯇꯦ꯫
- ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯃꯍꯩ ꯑꯣꯏꯅꯥ ꯋꯥꯈꯜ ꯇꯥꯗꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯅꯣꯔꯃꯦꯂꯅꯤ, ꯑꯗꯨꯕꯨ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯗꯨ ꯂꯦꯡꯗꯅꯥ ꯂꯩꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯃꯦꯗꯤꯀꯦꯜ ꯇꯤꯃꯗꯥ ꯈꯪꯍꯅꯕꯤꯌꯨ꯫
💬 Comments (0)
No comments yet. Be the first to share your thoughts here.
Add Your Comment