ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ, ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯁꯣꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯌꯥꯝꯅꯥ ꯂꯥꯞꯅꯥ ꯆꯠꯂꯕꯥ ꯃꯇꯨꯡꯗꯁꯨ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯐꯥꯎꯕ꯭ꯔꯥ? ꯅꯠꯠꯔꯒꯥ ꯑꯌꯥꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯃꯀꯣꯛ ꯁꯣꯀꯄꯥ ꯌꯥꯏ? ꯃꯁꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯂꯩꯕꯥ ꯃꯔꯝ ꯑꯃꯗꯤ ꯅꯍꯥꯛꯀꯤ ꯏꯗꯥ ꯑꯣꯛꯁꯤꯖꯦꯅꯒꯤ ꯆꯥꯡ ꯍꯟꯊꯔꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯋꯥꯍꯟꯊꯣꯛꯀꯤ ꯃꯇꯨꯡ ꯏꯟꯅꯥ ꯑꯩꯈꯣꯌꯅꯥ ꯃꯁꯤꯕꯨ ꯍꯥꯏꯄꯣꯛꯁꯦꯃꯤꯌꯥ ꯍꯥꯌꯅꯥ ꯀꯧꯏ . ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ, ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯃꯁꯤꯒꯤ ꯃꯈꯥꯗꯥ ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯑꯃꯁꯨꯡ ꯃꯌꯦꯛ ꯁꯦꯡꯅꯥ ꯈꯉꯂꯁꯤ꯫
ꯑꯣꯀꯦ, ꯃꯁꯤ ꯍꯥꯏꯄꯣꯛꯁꯦꯃꯤꯌꯥ ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ?
ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯍꯥꯏꯄꯣꯛꯁꯦꯃꯤꯌꯥ ꯍꯥꯌꯕꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯏꯗꯥ ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯕꯥ ꯑꯣꯛꯁꯤꯖꯦꯅꯒꯤ ꯆꯥꯡꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯅꯦꯝꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫ ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯁꯦꯜ ꯑꯃꯁꯨꯡ ꯑꯣꯔꯒꯥꯟ ꯈꯨꯗꯤꯡꯃꯛ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯊꯕꯛ ꯇꯧꯅꯕꯒꯤꯗꯃꯛ ꯑꯣꯛꯁꯤꯖꯦꯟ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ, ꯃꯗꯨꯒꯨꯝꯅꯥ ꯒꯥꯔꯤ ꯑꯃꯅꯥ ꯆꯠꯄꯗꯥ ꯒꯦꯁꯣꯂꯤꯟ ꯃꯊꯧ ꯇꯥꯕꯒꯨꯝꯅꯥ꯫
ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯑꯁꯤꯒꯨꯝꯅꯥ ꯈꯅꯕꯤꯌꯨ꯫ ꯑꯩꯈꯣꯌꯅꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯃꯇꯃꯗꯥ ꯅꯨꯡꯁꯤꯠꯇꯥ ꯂꯩꯔꯤꯕꯥ ꯑꯣꯛꯁꯤꯖꯦꯟ ꯑꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯂꯪꯁꯇꯥ ꯆꯪꯏ꯫ ꯂꯪꯁꯀꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯦꯂꯚꯤꯑꯣꯂꯤ ꯀꯧꯕꯥ ꯑꯄꯤꯀꯄꯥ ꯑꯦꯌꯔ ꯁꯦꯀꯁꯤꯡꯒꯤ ꯅꯦꯇꯋꯥꯔꯛ ꯑꯃꯥ ꯂꯩ꯫ ꯍꯥꯌꯔꯤꯕꯥ ꯑꯦꯌꯔ ꯁꯦꯀꯁꯤꯡ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯐꯖꯅꯥ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯂꯁꯤꯡ (capillaries)ꯅꯥ ꯀꯨꯄꯁꯤꯜꯂꯤ꯫ ꯑꯩꯈꯣꯌꯅꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯃꯇꯃꯗꯥ, ꯂꯪꯁꯇꯥ ꯆꯪꯂꯀꯄꯥ ꯑꯣꯛꯁꯤꯖꯦꯟ ꯑꯁꯤ ꯑꯦꯌꯔ ꯁꯦꯀꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯂꯁꯤꯡꯗꯥ ꯆꯦꯜꯂꯤ꯫ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯏꯅꯥ ꯑꯣꯛꯁꯤꯖꯦꯟ ꯑꯁꯤ ꯂꯧꯊꯣꯀꯏ ꯑꯃꯁꯨꯡ ꯍꯀꯆꯥꯡ ꯄꯨꯝꯕꯥ ꯇꯤꯁꯨꯁꯤꯡꯗꯥ ꯌꯦꯟꯊꯣꯀꯏ꯫
ꯊꯧꯑꯣꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯃꯥ ꯑꯁꯣꯌꯕꯥ ꯂꯩꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯍꯥꯏꯄꯣꯛꯁꯦꯃꯤꯌꯥ ꯊꯣꯀꯏ꯫ ꯅꯠꯠꯔꯒꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯣꯛꯁꯤꯖꯦꯟ ꯃꯔꯥꯡ ꯀꯥꯌꯅꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯉꯃꯗꯦ , ꯅꯠꯠꯔꯒꯥ ꯅꯍꯥꯛꯅꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯑꯣꯛꯁꯤꯖꯦꯟ ꯑꯗꯨ ꯅꯍꯥꯛꯀꯤ ꯏꯗꯥ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯆꯨꯃꯊꯣꯀꯄꯥ ꯉꯃꯗꯦ ꯫ ꯃꯁꯤꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯂꯪꯁꯀꯤ ꯂꯥꯌꯅꯥ ꯑꯃꯁꯨꯡ ꯍꯥꯔꯇꯀꯤ ꯂꯥꯌꯅꯥ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯅꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤꯒꯤ ꯔꯤꯁ꯭ꯛ ꯍꯦꯟꯅꯥ ꯂꯩ꯫
ꯍꯥꯏꯄꯣꯛꯁꯦꯃꯤꯌꯥ ꯑꯃꯁꯨꯡ ꯍꯥꯏꯄꯣꯛꯁꯤꯌꯥ ꯑꯁꯤ ꯇꯣꯉꯥꯅꯕꯥ ꯋꯥꯐꯝ ꯑꯅꯤꯅꯤ?
ꯍꯣꯌ, ꯃꯤꯑꯣꯏ ꯀꯌꯥꯅꯥ ꯋꯥꯍꯩ ꯑꯅꯤ ꯑꯁꯤꯕꯨ ꯂꯥꯟꯅꯥ ꯂꯧꯅꯔꯕꯁꯨ ꯈꯔꯥ ꯈꯦꯟꯅꯕꯥ ꯂꯩ꯫ ꯃꯗꯨ ꯈꯉꯕꯥ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫
- ꯍꯥꯏꯄꯣꯛꯁꯦꯃꯤꯌꯥ ꯍꯥꯌꯕꯁꯤ ꯏꯗꯥ ꯑꯣꯛꯁꯤꯖꯦꯅꯒꯤ ꯆꯥꯡ ꯍꯟꯊꯔꯀꯄꯅꯤ .
- ꯍꯥꯏꯄꯣꯛꯁꯤꯌꯥ ꯍꯥꯌꯕꯁꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯇꯤꯁꯨꯁꯤꯡꯗꯥ ꯑꯣꯛꯁꯤꯖꯦꯅꯒꯤ ꯆꯥꯡ ꯍꯟꯊꯔꯀꯄꯅꯤ .
ꯏ ꯑꯁꯤ ꯑꯣꯛꯁꯤꯖꯦꯟ ꯄꯨꯕꯥ ‘ꯗꯦꯂꯤꯚꯔꯤ ꯇ꯭ꯔꯛ’ ꯑꯃꯥ ꯑꯣꯏꯅꯥ ꯈꯅꯕꯤꯌꯨ꯫ ꯇꯤꯁ꯭ꯌꯨꯁꯤꯡ ꯑꯁꯤ ꯑꯣꯛꯁꯤꯖꯦꯟ ꯉꯥꯏꯔꯤꯕꯥ ‘ꯀꯁ꯭ꯇꯃꯔꯁꯤꯡ’ꯅꯤ꯫ ꯍꯥꯏꯄꯣꯛꯁꯦꯃꯤꯌꯥ ꯍꯥꯌꯕꯁꯤ ꯇ꯭ꯔꯛ ꯑꯗꯨꯒꯤ ꯀꯥꯔꯒꯣ (ꯑꯣꯛꯁꯤꯖꯦꯟ) ꯅꯦꯃꯊꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯑꯣꯏ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯍꯥꯏꯄꯣꯛꯁꯤꯌꯥ ꯍꯥꯌꯕꯁꯤ ꯀꯁ꯭ꯇꯃꯔ ꯑꯗꯨꯅꯥ ꯀꯥꯔꯒꯣ ꯑꯗꯨ ꯐꯪꯗꯕꯥ ꯃꯇꯃꯅꯤ꯫ ꯑꯌꯥꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯏꯗꯥ ꯑꯣꯛꯁꯤꯖꯦꯟ ꯅꯦꯃꯊꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ (Hypoxemia) ꯇꯤꯁꯨꯁꯤꯡꯗꯁꯨ ꯑꯣꯛꯁꯤꯖꯦꯟ ꯋꯥꯠꯂꯤ (Hypoxia)꯫ ꯑꯗꯨꯕꯨ ꯃꯗꯨ ꯃꯇꯝ ꯄꯨꯝꯅꯃꯛꯇꯥ ꯊꯣꯛꯇꯦ꯫
ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯤꯅꯣ?
ꯍꯥꯌꯄꯣꯛꯁꯤꯃꯤꯌꯥꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯃꯁꯤꯒꯤ ꯁꯥꯊꯤꯕꯥ ꯑꯃꯁꯨꯡ ꯃꯔꯃꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ ꯈꯦꯠꯅꯕꯥ ꯌꯥꯏ꯫ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯂꯥꯏꯑꯣꯡ ꯈꯔꯗꯤ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯇꯦꯕꯜ ꯑꯁꯤꯗꯥ ꯄꯤꯔꯤ꯫
| ꯂꯥꯏꯑꯣꯡ꯫ | ꯋꯥꯔꯣꯜ |
|---|---|
| ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ꯫ | ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ, ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ (dyspnea)꯫ |
| ꯀꯣꯛ ꯆꯤꯛꯄ | ꯃꯔꯨꯑꯣꯏꯅꯥ ꯑꯌꯨꯛ-ꯅꯨꯡꯊꯤꯂꯗꯥ ꯃꯀꯣꯛ ꯁꯣꯀꯄꯥ꯫ |
| ꯍꯥꯔꯠ ꯄꯦꯂꯄꯤꯇꯦꯁꯟ ꯂꯩꯕꯥ꯫ | ꯍꯥꯔꯠ ꯔꯦꯠ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ (tachycardia)꯫ |
| ꯀꯣꯛ ꯆꯤꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯈꯣꯡꯗꯥ ꯈꯣꯟꯖꯦꯜ ꯊꯣꯀꯄꯥ꯫ | ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯃꯇꯃꯗꯥ ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯀꯣꯛ ꯆꯤꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ꯫ |
| ꯆꯃꯝꯅꯕ | ꯕ꯭ꯔꯦꯅꯗꯥ ꯑꯣꯛꯁꯤꯖꯦꯟ ꯋꯥꯠꯄꯥ ꯃꯇꯃꯗꯥ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯑꯃꯁꯨꯡ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯊꯣꯀꯏ꯫ |
| ꯕ꯭ꯂꯨꯅꯦꯁ (ꯁꯥꯏꯅꯣꯁꯤꯁ) ꯑꯁꯤ . | ꯃꯁꯤ ꯏꯃꯔꯖꯦꯟꯁꯤ ꯑꯃꯅꯤ! ꯈꯣꯡ, ꯅꯥꯀꯣꯡ ꯑꯃꯁꯨꯡ ꯅꯥꯀꯣꯡꯒꯤ ꯕ꯭ꯂꯨ ꯗꯤꯁꯀꯂꯔ ꯑꯣꯏꯕꯥ꯫ |
ꯃꯁꯤ ꯀꯔꯤꯒꯤ ꯊꯣꯛꯂꯤꯕꯅꯣ? ꯍꯥꯌꯄꯣꯛꯁꯤꯃꯤꯌꯥꯒꯤ ꯃꯔꯃꯁꯤꯡ ꯀꯔꯤꯅꯣ?
ꯃꯁꯤꯒꯤ ꯃꯔꯝ ꯀꯌꯥ ꯂꯩꯕꯥ ꯌꯥꯏ꯫ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯔꯃꯗꯤ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯒꯤ ꯊꯧꯑꯣꯡ ꯅꯠꯠꯔꯒꯥ ꯏꯒꯤ ꯁꯔꯛꯌꯨꯂꯦꯁꯅꯗꯥ ꯁꯣꯀꯍꯜꯂꯤꯕꯥ ꯑꯟꯗꯔꯂꯥꯏꯟ ꯃꯦꯗꯤꯀꯦꯜ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫ ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯅꯍꯥꯛꯅꯥ ꯑꯋꯥꯡꯕꯥ ꯃꯐꯃꯗꯥ, ꯍꯥꯌꯕꯗꯤ ꯇꯨꯔꯦꯂꯒꯤ ꯃꯐꯝ ꯑꯃꯗꯥ ꯆꯠꯄꯥ ꯃꯇꯃꯗꯥ, ꯑꯀꯣꯌꯔꯣꯅꯗꯥ ꯑꯣꯛꯁꯤꯖꯦꯟ ꯋꯥꯠꯄꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯃꯇꯝ ꯈꯔꯒꯤ ꯑꯣꯏꯅꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫
ꯃꯈꯥꯗꯥ ꯍꯥꯏꯄꯣꯛꯁꯦꯃꯤꯌꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯕꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯦꯗꯤꯀꯦꯜ ꯀꯟꯗꯤꯁꯟ ꯈꯔꯥ ꯄꯤꯔꯤ꯫
- ꯑꯅꯥꯕꯥ ꯂꯩꯕꯥ꯫
- ꯅ꯭ꯌꯨꯃꯣꯅꯤꯌꯥ꯫
- ꯁꯤ.ꯑꯣ.ꯄꯤ.ꯗꯤ.(ꯀ꯭ꯔꯣꯅꯤꯛ ꯑꯣꯕꯁ꯭ꯠꯔꯀꯆꯔ ꯄꯂꯃꯣꯅꯥꯔꯤ ꯗꯤꯖꯤꯖ)
- ꯀꯟꯖꯦꯁ꯭ꯇꯤꯚ ꯍꯥꯔꯠ ꯐꯦꯜ ꯑꯣꯏꯕꯥ꯫
- ꯄꯂꯃꯣꯅꯥꯔꯤ ꯑꯦꯝꯕꯣꯂꯤꯖꯝ꯫
- ꯄꯂꯃꯣꯅꯥꯔꯤ ꯏꯗꯤꯃꯥ꯫
- ꯁ꯭ꯂꯤꯞ ꯑꯦꯄꯅꯤꯌꯥ꯫
- ꯑꯦꯅꯤꯃꯤꯌꯥ꯫
- ꯀꯣꯟꯖꯤꯅꯤꯑꯦꯜ ꯍꯥꯔꯠ ꯗꯤꯐꯦꯛꯇꯁꯤꯡ꯫
- ꯀꯣꯕꯤꯗ-꯱꯹ꯒꯨꯝꯕꯥ ꯁꯥꯊꯤꯕꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯒꯤ ꯏꯅꯐꯦꯛꯁꯅꯁꯤꯡ꯫
ꯑꯣꯛꯁꯤꯖꯦꯟ ꯋꯥꯠꯄꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯂꯤꯕꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯦꯀꯥꯅꯤꯖꯝ ꯵꯫
ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯃꯤꯠꯌꯦꯡꯗꯒꯤ, ꯏꯗꯥ ꯑꯣꯛꯁꯤꯖꯦꯟ ꯋꯥꯠꯄꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯂꯤꯕꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯦꯀꯥꯅꯤꯖꯝ ꯵ ꯂꯩ꯫ ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯈꯔꯥ ꯍꯦꯟꯅꯥ ꯂꯨꯝꯂꯕꯅꯤ ꯑꯗꯨꯕꯨ ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯊꯃꯁꯤ꯫
꯱.ꯚꯦꯟꯇꯤꯂꯦꯁꯟ-ꯄꯔꯐ꯭ꯌꯨꯁꯟ (V/Q) ꯃꯤꯁꯃꯦꯠ: ꯂꯪꯁ ꯑꯁꯤ ꯕꯁ ꯁ꯭ꯇꯦꯟꯗ ꯑꯃꯒꯨꯝꯅꯥ ꯈꯅꯕꯤꯌꯨ꯫ ꯑꯦꯌꯔ (ꯑꯣꯛꯁꯤꯖꯦꯟ) ꯑꯁꯤ ꯄꯦꯁꯦꯟꯖꯔꯁꯤꯡꯅꯤ꯫ ꯏ ꯑꯁꯤ ꯕꯁꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯁ꯭ꯇꯦꯟꯗ ꯑꯗꯨ ꯄꯦꯁꯦꯟꯖꯔꯁꯤꯡꯅꯥ ꯊꯜꯂꯕꯥ ꯌꯥꯏ, ꯑꯗꯨꯕꯨ ꯕꯁꯁꯤꯡꯗꯤ ꯂꯩꯇꯦ (ꯏꯒꯤ ꯈꯣꯡꯖꯦꯜ ꯅꯦꯝꯕꯥ)꯫ ꯅꯠꯔꯒꯥ ꯕꯁ ꯀꯌꯥ ꯂꯩ, ꯑꯗꯨꯕꯨ ꯄꯦꯁꯦꯟꯖꯔ ꯑꯃꯠꯇꯥ ꯂꯩꯇꯦ (ꯚꯦꯟꯇꯤꯂꯦꯁꯟ ꯅꯦꯝꯕꯥ)꯫ ꯅꯨꯡꯁꯤꯠꯀꯤ ꯈꯣꯡꯖꯦꯜ ꯑꯃꯁꯨꯡ ꯏꯒꯤ ꯈꯣꯡꯖꯦꯂꯒꯤ ꯃꯔꯛꯇꯥ ꯂꯩꯕꯥ ꯈꯦꯠꯅꯕꯥ ꯑꯁꯤꯕꯨ V/Q ꯃꯤꯁꯃꯦꯠ ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫
2. ꯗꯤꯐ꯭ꯌꯨꯁꯟ ꯏꯝꯄꯦꯌꯥꯔꯃꯦꯟꯇ: ꯍꯧꯖꯤꯛ ꯄꯦꯁꯦꯟꯖꯔꯁꯤꯡ (ꯑꯣꯛꯁꯤꯖꯦꯟ) ꯑꯗꯨ ꯁ꯭ꯇꯦꯟꯗ ꯑꯗꯨꯗꯥ ꯂꯩꯔꯤ, ꯑꯃꯁꯨꯡ ꯕꯁ (ꯏ) ꯑꯗꯨ ꯆꯠꯂꯤ ꯍꯥꯌꯅꯥ ꯈꯅꯕꯤꯌꯨ꯫ ꯑꯗꯨꯕꯨ ꯄꯦꯁꯦꯟꯖꯔꯁꯤꯡꯅꯥ ꯕꯁꯇꯥ ꯆꯦꯅꯕꯗꯥ ꯑꯊꯤꯡꯕꯥ ꯑꯃꯥ ꯂꯩꯔꯤ꯫ ꯃꯁꯤꯅꯥ ꯂꯪꯁꯇꯒꯤ ꯏꯗꯥ ꯑꯣꯛꯁꯤꯖꯦꯟ ꯂꯥꯀꯄꯗꯥ ꯑꯀꯥꯌꯕꯥ ꯄꯤꯔꯤ . ꯃꯁꯤ ꯂꯪꯁꯀꯤ ꯋꯥꯂꯁꯤꯡ (wall) ꯊꯤꯡꯖꯤꯅꯕꯒꯨꯝꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫
3. ꯍꯥꯏꯄꯣꯚꯦꯟꯇꯤꯂꯦꯁꯟ: ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ , ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ , ꯃꯁꯤꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯂꯪꯁꯇꯥ ꯑꯣꯛꯁꯤꯖꯦꯟ ꯃꯔꯥꯡ ꯀꯥꯌꯅꯥ ꯌꯧꯕꯥ ꯉꯃꯗꯦ꯫
꯴.ꯑꯦꯅꯚꯥꯏꯔꯅꯃꯦꯟꯇ ꯑꯣꯛꯁꯤꯖꯦꯟ ꯅꯦꯝꯕꯥ: ꯃꯁꯤꯒꯤ ꯑꯃꯅꯥ ꯃꯌꯦꯛ ꯁꯦꯡꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯩꯈꯣꯌꯅꯥ ꯂꯩꯔꯤꯕꯥ ꯑꯀꯣꯌꯕꯒꯤ ꯐꯤꯕꯝ ꯑꯁꯤ ꯑꯣꯛꯁꯤꯖꯦꯟ ꯌꯥꯝꯅꯥ ꯅꯦꯝꯂꯕꯗꯤ , ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ ꯑꯩꯈꯣꯌꯅꯥ ꯇꯨꯔꯦꯜ ꯑꯃꯒꯤ ꯃꯊꯛꯇꯥ ꯆꯠꯄꯥ ꯃꯇꯃꯗꯥ ꯑꯩꯈꯣꯌꯅꯥ ꯑꯣꯛꯁꯤꯖꯦꯟ ꯃꯔꯥꯡ ꯀꯥꯌꯅꯥ ꯂꯧꯕꯥ ꯉꯝꯂꯣꯏ꯫
5. ꯔꯥꯏꯠ-ꯇꯨ-ꯂꯦꯐꯠ ꯁꯟꯇꯤꯡ (right-to-left Shunting): ꯑꯩꯈꯣꯌꯒꯤ ꯊꯝꯃꯣꯌꯗꯥ ꯑꯔꯥꯞꯄꯥ ꯃꯐꯃꯗꯥ ꯑꯣꯛꯁꯤꯖꯦꯟ ꯌꯥꯝꯅꯥ ꯌꯥꯎꯕꯥ ꯏ (ꯕ꯭ꯂꯨ ꯕ꯭ꯂꯗ) ꯑꯃꯁꯨꯡ ꯂꯦꯃꯍꯧꯔꯤꯕꯥ ꯃꯐꯃꯗꯥ ꯑꯣꯛꯁꯤꯖꯦꯟ ꯌꯥꯝꯅꯥ ꯌꯥꯎꯕꯥ ꯏ (ꯂꯥꯂꯍꯧꯒꯤ ꯏ) ꯂꯩ꯫ ꯍꯥꯌꯔꯤꯕꯥ ꯑꯅꯤ ꯑꯁꯤ ꯃꯤꯛꯁ ꯇꯧꯗꯦ꯫ ꯑꯗꯨꯕꯨ ꯍꯥꯔꯇꯀꯤ ꯂꯥꯌꯅꯥ ꯈꯔꯗꯗꯤ ꯑꯣꯛꯁꯤꯖꯦꯟ ꯂꯧꯅꯕꯥ ꯂꯪꯁꯇꯥ ꯆꯠꯄꯒꯤ ꯃꯍꯨꯠꯇꯥ ꯑꯣꯛꯁꯤꯖꯦꯟ ꯅꯦꯝꯕꯥ ꯏ ꯈꯔꯗꯤ ꯍꯀꯊꯦꯡꯅꯅꯥ ꯂꯦꯃꯍꯧꯔꯤꯕꯥ ꯃꯐꯝ ꯑꯗꯨꯗꯥ ꯂꯥꯞꯅꯥ ꯆꯠꯇꯨꯅꯥ ꯍꯀꯆꯥꯡꯗꯥ ꯆꯠꯂꯤ . ꯃꯁꯤ ꯍꯥꯏꯄꯣꯛꯁꯦꯃꯤꯌꯥꯒꯤ ꯃꯔꯝ ꯑꯃꯁꯨ ꯑꯣꯏ꯫
ꯗꯣꯛꯇꯔ ꯑꯃꯅꯥ ꯃꯁꯤ ꯀꯔꯝꯅꯥ ꯐꯪꯒꯅꯤ?
ꯅꯍꯥꯛꯀꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯗꯨ ꯇꯥꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯌꯦꯡꯁꯤꯅꯒꯅꯤ꯫ ꯃꯁꯤꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯥꯔꯠ ꯑꯃꯁꯨꯡ ꯂꯪꯁꯀꯤ ꯋꯥꯐꯃꯁꯤꯡ ꯇꯥꯕꯥ, ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯎꯄꯀꯤ ꯃꯆꯨ ꯆꯦꯛ ꯇꯧꯕꯥ, ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯑꯣꯛꯁꯤꯖꯦꯅꯒꯤ ꯆꯥꯡ ꯈꯪꯗꯣꯛꯅꯕꯥ ꯇꯦꯁ꯭ꯠ ꯀꯌꯥ ꯇꯧꯕꯥ ꯑꯁꯤ ꯌꯥꯎꯏ꯫
- ꯄꯂꯁ ꯑꯣꯛꯁꯤꯃꯦꯠꯔꯤ: ꯅꯍꯥꯛꯅꯥ ꯃꯁꯤ ꯎꯕꯤꯔꯃꯒꯅꯤ꯫ ꯃꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯈꯨꯠꯁꯥꯗꯥ ꯀ꯭ꯂꯤꯞ ꯇꯧꯕꯥ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯑꯣꯛꯁꯤꯖꯦꯅꯒꯤ ꯆꯥꯡ ꯑꯗꯨ ꯂꯦꯄꯊꯣꯀꯄꯥ ꯉꯝꯕꯥ ꯗꯤꯚꯥꯏꯁ ꯑꯃꯅꯤ꯫ ꯃꯁꯤ ꯑꯋꯥꯕꯥ ꯂꯩꯇꯕꯥ ꯑꯃꯁꯨꯡ ꯌꯥꯝꯅꯥ ꯂꯥꯏꯕꯛ ꯐꯕꯅꯤ꯫ ꯍꯀꯁꯦꯜ ꯐꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯒꯤ ꯄꯂꯁ 95% ꯅꯠꯠꯔꯒꯥ ꯃꯁꯤꯗꯒꯤ ꯍꯦꯅꯕꯥ ꯑꯣꯏꯒꯗꯕꯅꯤ꯫
- ꯑꯥꯔꯇꯦꯔꯤ ꯕ꯭ꯂꯗ ꯒ꯭ꯌꯥꯁ (ABG) ꯇꯦꯁ꯭ꯠ: ꯃꯁꯤꯅꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯑꯆꯨꯝꯕꯥ ꯇꯦꯁ꯭ꯇꯅꯤ꯫ ꯏꯒꯤ ꯑꯄꯤꯀꯄꯥ ꯁꯦꯝꯄꯜ ꯑꯃꯥ ꯃꯈꯨꯠꯇꯥ ꯂꯩꯕꯥ ꯑꯥꯔꯇꯦꯔꯤ ꯑꯃꯗꯒꯤ, ꯈꯣꯡꯒꯤ ꯀ꯭ꯔꯨꯛ ꯅꯠꯠꯔꯒꯥ ꯒ꯭ꯔꯣꯏꯟꯗꯒꯤ ꯂꯧꯏ ꯑꯃꯁꯨꯡ ꯏꯒꯤ ꯑꯣꯛꯁꯤꯖꯦꯟ, ꯀꯥꯔꯕꯣꯟ ꯗꯥꯏꯑꯣꯛꯁꯥꯏꯗ ꯑꯃꯁꯨꯡ ꯑꯦꯁꯤꯗꯤꯇꯤ (pH)ꯒꯤ ꯆꯥꯡ ꯑꯗꯨ ꯂꯦꯄꯊꯣꯀꯏ꯫
- ꯃꯤꯅꯠ ꯶ꯀꯤ ꯋꯥꯛ ꯇꯦꯁ꯭ꯠ (6MWT): ꯅꯍꯥꯛꯅꯥ ꯃꯤꯅꯠ 6ꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯂꯦꯚꯦꯜ ꯒ꯭ꯔꯥꯎꯟꯗꯗꯥ ꯀꯌꯥꯝ ꯂꯥꯞꯅꯥ ꯆꯠꯄꯥ ꯌꯥꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯂꯦꯄꯊꯣꯀꯄꯥ ꯇꯦꯁ꯭ꯠ ꯑꯃꯅꯤ, ꯑꯃꯁꯨꯡ ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯇꯧꯕꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯣꯛꯁꯤꯖꯦꯅꯒꯤ ꯆꯥꯡ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯍꯣꯡꯂꯀꯄꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯁꯤꯜꯂꯤ꯫
ꯃꯁꯤ ꯀꯔꯝꯅꯥ ꯂꯥꯌꯦꯡꯕꯒꯦ?
ꯍꯥꯏꯄꯣꯛꯁꯦꯃꯤꯌꯥ ꯂꯥꯌꯦꯡꯕꯗꯥ ꯃꯔꯨ ꯑꯣꯏꯕꯥ ꯋꯥꯐꯃꯗꯤ ꯃꯁꯤꯒꯤ ꯃꯈꯥ ꯄꯣꯜꯂꯤꯕꯥ ꯃꯔꯝ ꯑꯁꯤ ꯂꯥꯌꯦꯡꯕꯅꯤ . ꯃꯁꯤꯒꯤ ꯃꯊꯛꯇꯥ, ꯕ꯭ꯂꯗ ꯑꯣꯛꯁꯤꯖꯦꯅꯒꯤ ꯆꯥꯡ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯅꯥ ꯍꯟꯖꯤꯅꯍꯟꯅꯕꯒꯤꯗꯃꯛꯇꯥ ꯂꯥꯏꯌꯦꯡꯕꯁꯨ ꯁꯤꯖꯤꯟꯅꯩ꯫
ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯋꯥꯐꯃꯗꯤ ꯏꯗꯥ ꯑꯣꯛꯁꯤꯖꯦꯅꯒꯤ ꯆꯥꯡ ꯍꯦꯅꯒꯠꯍꯅꯕꯅꯤ꯫ ꯃꯁꯤꯒꯤꯗꯃꯛꯇꯥ ꯁꯞꯂꯤꯃꯦꯟꯇꯔꯤ ꯑꯣꯛꯁꯤꯖꯦꯟ ꯄꯤ꯫
ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯃꯑꯣꯡ ꯀꯌꯥ ꯑꯃꯥ:
- ꯑꯣꯛꯁꯤꯖꯦꯟ: ꯑꯣꯛꯁꯤꯖꯦꯟ ꯑꯁꯤ ꯅꯥꯀꯣꯡꯒꯤ ꯀꯦꯟꯌꯨꯜ ꯅꯠꯠꯔꯒꯥ ꯃꯥꯁ꯭ꯛ ꯑꯃꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯄꯤ꯫ ꯃꯤꯑꯣꯏ ꯈꯔꯗꯗꯤ ꯌꯨꯃꯗꯥ ꯁꯤꯖꯤꯟꯅꯕꯥ ꯌꯥꯕꯥ ꯑꯣꯛꯁꯤꯖꯦꯟ ꯀꯟꯁꯦꯟꯠꯔꯦꯇꯔꯁꯤꯡ ꯄꯤꯔꯤ꯫
- ꯏꯅꯍꯦꯂꯔꯁꯤꯡ: ꯑꯦꯖꯃꯥ ꯅꯠꯠꯔꯒꯥ ꯁꯤ.ꯑꯣ.ꯄꯤ.ꯗꯤ.ꯒꯨꯝꯕꯥ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯗꯥ ꯑꯦꯌꯔꯋꯦ (bronchodilators) ꯅꯠꯠꯔꯒꯥ ꯁꯣꯀꯄꯥ ꯍꯟꯊꯍꯅꯕꯥ ꯉꯝꯕꯥ ꯏꯅꯍꯦꯂꯔꯁꯤꯡ (ꯁ꯭ꯇꯦꯔꯣꯏꯗꯁꯤꯡ) ꯄꯤ꯫
- ꯁꯤ.ꯄꯤ.ꯑꯦ.ꯄꯤ.ꯒꯤ ꯃꯦꯁꯤꯅꯁꯤꯡ: ꯃꯁꯤꯒꯤ ꯃꯦꯁꯤꯟ ꯑꯁꯤ ꯁ꯭ꯂꯤꯞ ꯑꯦꯄꯅꯤꯌꯥꯅꯥ ꯅꯥꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯗꯥ ꯑꯌꯨꯛꯇꯥ ꯁꯤꯖꯤꯟꯅꯅꯕꯥ ꯄꯤꯔꯤ꯫
- ꯚꯦꯟꯇꯤꯂꯦꯇꯔ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯄꯦꯁꯦꯟꯇ ꯑꯗꯨꯒꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯗꯨ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯑꯣꯏꯔꯕꯗꯤ, ꯍꯥꯌꯕꯗꯤ ꯃꯈꯣꯌ ꯃꯁꯥ ꯃꯊꯟꯇꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯗꯥ ꯈꯨꯗꯣꯡꯆꯥꯗꯕꯥ ꯂꯩꯔꯕꯗꯤ, ꯃꯈꯣꯌꯕꯨ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯂꯒꯤ ꯏꯟꯇꯦꯟꯁꯤꯚ ꯀꯦꯌꯔ ꯌꯨꯅꯤꯇꯇꯥ ꯂꯩꯕꯥ ꯑꯥꯔꯇꯤꯐꯤꯁꯤꯑꯦꯜ ꯔꯦꯁ꯭ꯄꯤꯔꯦꯁꯟ ꯃꯦꯁꯤꯟ (ꯚꯦꯟꯇꯤꯂꯦꯇꯔ) ꯑꯃꯒꯥ ꯁꯝꯅꯍꯜꯂꯤ꯫
- ꯑꯇꯩ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯂꯪꯁ ꯑꯗꯨ ꯐ꯭ꯂꯨꯏꯗꯅꯥ ꯊꯜꯂꯕꯥ ꯑꯣꯏꯔꯕꯗꯤ, ꯑꯍꯦꯅꯕꯥ ꯐ꯭ꯂꯨꯏꯗ ꯑꯗꯨ ꯂꯧꯊꯣꯛꯅꯕꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ (diuretics) ꯄꯤ꯫
ꯑꯐꯕꯥ ꯑꯣꯛꯁꯤꯖꯦꯅꯒꯤ ꯆꯥꯡ ꯊꯝꯅꯕꯒꯤꯗꯃꯛ ꯑꯩꯈꯣꯌꯅꯥ ꯀꯔꯤ ꯇꯧꯒꯗꯒꯦ?
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯍꯥꯔꯇꯀꯤ ꯂꯥꯌꯅꯥ ꯅꯠꯠꯔꯒꯥ ꯂꯪꯁꯀꯤ ꯂꯥꯌꯅꯥ ꯂꯩꯔꯕꯗꯤ, ꯍꯥꯌꯔꯤꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ ꯑꯁꯤ ꯍꯥꯏꯄꯣꯛꯁꯦꯃꯤꯌꯥꯒꯤ ꯔꯤꯁ꯭ꯛ ꯍꯟꯊꯍꯟꯅꯕꯒꯤꯗꯃꯛ ꯃꯔꯨꯑꯣꯏ꯫
- ꯅꯍꯥꯛꯀꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯗꯨ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯃꯦꯅꯦꯖ ꯇꯧ: ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯄꯤꯕꯥ ꯍꯤꯗꯥꯛ ꯑꯃꯁꯨꯡ ꯏꯅꯍꯦꯂꯔ ꯑꯗꯨ ꯃꯇꯝ ꯆꯥꯅꯥ ꯁꯤꯖꯤꯟꯅꯧ꯫ ꯀ꯭ꯂꯤꯅꯤꯀꯁꯤꯡꯗꯥ ꯁꯣꯌꯗꯅꯥ ꯆꯠꯀꯗꯕꯅꯤ꯫
- ꯃꯩꯈꯨ ꯁꯤꯖꯤꯟꯅꯕꯥ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯊꯤꯡꯖꯤꯜꯂꯨ: ꯃꯩꯈꯨ ꯁꯤꯖꯤꯟꯅꯕꯅꯥ ꯂꯪꯁꯇꯥ ꯌꯥꯝꯅꯥ ꯈꯨꯗꯣꯡꯊꯤꯅꯤꯉꯥꯏ ꯑꯣꯏ꯫ ꯃꯩꯈꯨ ꯊꯥꯗꯣꯀꯄꯥ ꯊꯤꯡꯕꯅꯥ ꯑꯣꯛꯁꯤꯖꯦꯅꯒꯤ ꯆꯥꯡ ꯍꯦꯅꯒꯠꯍꯅꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯒꯅꯤ꯫
- ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯒꯤ ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯇꯧꯕꯤꯌꯨ: ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ ꯑꯃꯁꯨꯡ ꯏꯟꯁꯦꯟꯇꯤꯚ ꯁ꯭ꯄꯥꯏꯔꯣꯃꯤꯇꯔꯒꯨꯝꯕꯥ ꯗꯤꯚꯥꯏꯁꯁꯤꯡ ꯁꯤꯖꯤꯟꯅꯕꯅꯆꯤꯡꯕꯥ ꯋꯥꯐꯃꯁꯤꯡꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯍꯪꯕꯤꯌꯨ꯫
- ꯑꯅꯧꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯈꯪꯖꯤꯅꯕꯤꯌꯨ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯅꯧꯕꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯈꯣꯡꯗꯥ ꯁꯣꯀꯄꯥ ꯂꯩꯔꯕꯗꯤ, ꯃꯗꯨ ꯌꯦꯡꯁꯤꯜꯂꯣꯏꯗꯕꯅꯤ꯫
- ꯑꯋꯥꯡꯕꯥ ꯃꯐꯃꯗꯥ ꯆꯠꯄꯥ ꯃꯇꯃꯗꯥ ꯆꯦꯀꯁꯤꯅꯒꯗꯕꯅꯤ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯍꯥꯔꯠ ꯅꯠꯠꯔꯒꯥ ꯂꯪꯁꯀꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯥ ꯂꯩꯔꯕꯗꯤ, ꯇꯨꯔꯦꯂꯒꯤ ꯃꯐꯝ ꯑꯃꯗꯥ ꯆꯠꯠꯔꯤꯉꯩꯒꯤ ꯃꯃꯥꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯇꯥꯟꯅꯧ ꯑꯃꯁꯨꯡ ꯃꯊꯧ ꯇꯥꯕꯥ ꯄꯥꯎꯇꯥꯛ ꯂꯧ꯫
ꯑꯩꯈꯣꯌꯅꯥ ꯀꯗꯥꯌꯗꯥ ꯌꯥꯔꯤꯕꯃꯈꯩ ꯊꯨꯅꯥ ꯗꯣꯛꯇꯔꯒꯥ ꯎꯅꯒꯗꯒꯦ? (ꯏ.ꯇꯤ.ꯌꯨ.ꯗꯥ ꯀꯗꯥꯏꯗꯥ ꯆꯠꯀꯗꯒꯦ)
ꯍꯥꯏꯄꯣꯛꯁꯦꯃꯤꯌꯥ ꯍꯥꯌꯕꯁꯤ ꯄꯨꯟꯁꯤ ꯃꯥꯡꯍꯅꯕꯥ ꯌꯥꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯍꯦꯛꯇꯥ ꯂꯩꯔꯕꯗꯤ, ꯈꯨꯗꯛꯇꯥ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯜ ꯑꯃꯒꯤ ꯏꯃꯔꯖꯦꯟꯁꯤ ꯗꯤꯄꯥꯔꯇꯃꯦꯟꯇ (ETU)ꯗꯥ ꯆꯠꯂꯨ꯫
- ꯈꯪꯍꯧꯗꯅꯥ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯅꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ꯫
- ꯂꯤꯞ, ꯐꯤꯉ꯭ꯒꯔꯅꯦꯜ ꯅꯠꯠꯔꯒꯥ ꯈꯣꯡꯗꯥ ꯕ꯭ꯂꯨ ꯗꯤꯁꯀꯂꯔ ꯑꯣꯏꯕꯥ (Cyanosis)꯫
- ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯆꯦꯛꯁꯤꯟ-ꯊꯧꯔꯥꯡ꯫
- ꯋꯥꯈꯜ ꯋꯥꯕꯥ, ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯋꯥꯈꯜ ꯃꯥꯡꯈꯤꯕꯥ꯫
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯍꯥꯟꯅꯅꯥ ꯑꯅꯥꯕꯥ ꯑꯃꯥ ꯂꯩꯔꯕꯗꯤ, ꯃꯁꯤꯒꯤ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯈꯪꯍꯧꯗꯅꯥ ꯍꯦꯟꯅꯥ ꯁꯣꯀꯆꯤꯜꯂꯀꯄꯥ ꯌꯥꯏ꯫
ꯇꯦꯛ-ꯍꯣꯝ ꯃꯦꯁꯦꯖ ꯇꯧꯕꯥ꯫
- ꯍꯥꯏꯄꯣꯛꯁꯦꯃꯤꯌꯥ ꯍꯥꯌꯕꯁꯤ ꯏꯗꯥ ꯑꯣꯛꯁꯤꯖꯦꯅꯒꯤ ꯆꯥꯡ ꯌꯥꯝꯅꯥ ꯅꯦꯝꯅꯥ ꯂꯩꯕꯅꯤ꯫ ꯃꯁꯤꯅꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯂꯩꯔꯤꯕꯥ ꯑꯣꯔꯒꯥꯅꯁꯤꯡꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫
- ꯃꯔꯨꯑꯣꯏꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡꯗꯤ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ, ꯍꯦꯗ-ꯑꯦꯛ, ꯍꯥꯔꯠ ꯔꯦꯠ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ, ꯑꯃꯁꯨꯡ ꯈꯣꯡ-ꯈꯨꯠ ꯁꯣꯀꯄꯥ ꯑꯁꯤꯅꯤ꯫
- ꯂꯪꯁꯀꯤ ꯂꯥꯌꯅꯥꯁꯤꯡ (ꯑꯦꯖꯃꯥ, ꯁꯤ.ꯑꯣ.ꯄꯤ.ꯗꯤ.) ꯑꯃꯁꯨꯡ ꯍꯥꯔꯇꯀꯤ ꯂꯥꯌꯅꯥ ꯑꯁꯤꯅꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯔꯃꯁꯤꯡꯅꯤ꯫
- ꯈꯣꯡꯗꯥ ꯊꯝꯂꯤꯕꯥ ꯄꯂꯁ ꯑꯣꯛꯁꯤꯃꯤꯇꯔ ꯑꯃꯅꯥ ꯑꯣꯛꯁꯤꯖꯦꯅꯒꯤ ꯆꯥꯡꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯑꯀꯛꯅꯕꯥ ꯋꯥꯈꯜꯂꯣꯟ ꯑꯃꯥ ꯄꯤꯕꯥ ꯉꯃꯒꯅꯤ, ꯑꯗꯨꯕꯨ ꯑꯆꯨꯝꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯈꯉꯗꯣꯛꯅꯕꯥ ꯃꯦꯗꯤꯀꯦꯜ ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯃꯊꯧ ꯇꯥꯏ꯫
- ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯄꯥꯝꯕꯩꯁꯤꯡꯗꯤ ꯃꯈꯥꯒꯤ ꯂꯥꯌꯅꯥ ꯑꯁꯤ ꯂꯥꯌꯦꯡꯕꯥ ꯑꯃꯁꯨꯡ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯊꯧ ꯇꯥꯔꯕꯗꯤ ꯃꯄꯥꯅꯒꯤ ꯑꯣꯛꯁꯤꯖꯦꯟ ꯄꯤꯕꯅꯤ꯫
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯗꯥ ꯁꯥꯊꯤꯕꯥ ꯑꯋꯥꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯕ꯭ꯂꯨ ꯁ꯭ꯀꯤꯟ ꯑꯃꯥ ꯊꯦꯡꯅꯔꯕꯗꯤ, ꯃꯁꯤ ꯑꯦꯃꯔꯖꯦꯟꯁꯤ ꯑꯃꯅꯤ꯫ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯜ ꯑꯃꯒꯤ ꯏꯃꯔꯖꯦꯟꯁꯤ ꯗꯤꯄꯥꯔꯇꯃꯦꯟꯇ (ETU)ꯗꯥ ꯈꯨꯗꯛꯇꯥ ꯆꯠꯂꯨ꯫
💬 Comments (0)
No comments yet. Be the first to share your thoughts here.
Add Your Comment