ꯊꯝꯃꯣꯌꯕꯨ ꯃꯄꯥꯉ꯭ꯒꯜ ꯀꯅꯈꯠꯍꯜꯂꯤꯕꯥ ꯑꯥꯏꯁꯣꯞꯔꯣꯇꯦꯔꯦꯅꯣꯜ ꯏꯅꯖꯦꯀꯁꯅꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯈꯪꯖꯤꯅꯒꯗꯕꯥ ꯋꯥꯐꯃꯁꯤꯡ꯫

ꯏꯟꯇꯦꯟꯁꯤꯚ ꯀꯦꯌꯔ ꯌꯨꯅꯤꯠ (ICU) ꯅꯠꯠꯔꯒꯥ ꯏꯃꯔꯖꯦꯟꯁꯤ ꯔꯨꯝ (ETU) ꯑꯃꯗꯥ ꯂꯩꯕꯥ ꯑꯅꯥꯕꯥ ꯑꯃꯗꯥ ꯗꯣꯛꯇꯔ ꯑꯃꯅꯥ ꯃꯈꯣꯌꯅꯥ "ꯊꯝꯃꯣꯌꯕꯨ ꯃꯄꯥꯉ꯭ꯒꯜ ꯀꯅꯈꯠꯍꯟꯅꯕꯥ ꯑꯈꯟꯅꯕꯥ ꯍꯤꯗꯥꯛ ꯑꯃꯥ ꯄꯤꯔꯤ" ꯍꯥꯌꯅꯥ ꯍꯥꯌꯔꯀꯄꯥ ꯇꯥꯕꯤꯕ꯭ꯔꯥ? ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯃꯔꯨꯑꯣꯏꯅꯥ ꯍꯥꯔꯇꯅꯥ ꯈꯪꯍꯧꯗꯅꯥ ꯊꯕꯛ ꯇꯧꯕꯥ ꯂꯦꯄꯈꯤꯕꯥ ꯃꯇꯃꯗꯥ, ꯃꯗꯨ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯄꯥꯉ꯭ꯒꯜ ꯄꯤꯅꯕꯒꯤꯗꯃꯛ ꯑꯈꯟꯅꯕꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ ꯁꯤꯖꯤꯟꯅꯩ꯫ ꯑꯥꯏꯁꯣꯞꯔꯣꯇꯦꯔꯦꯅꯣꯜ ꯑꯁꯤ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯑꯦꯃꯔꯖꯦꯟꯁꯤꯁꯤꯡꯗꯥ ꯁꯤꯖꯤꯟꯅꯕꯥ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯍꯤꯗꯥꯛ ꯑꯃꯅꯤ꯫ ꯃꯁꯤ ꯈꯪꯖꯤꯅꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ, ꯃꯔꯃꯗꯤ ꯃꯁꯤ ꯃꯍꯧꯁꯥꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯐꯥꯔꯃꯥꯁꯤꯗꯒꯤ ꯂꯧꯕꯥ ꯑꯃꯁꯨꯡ ꯌꯨꯃꯗꯥ ꯁꯤꯖꯤꯟꯅꯕꯥ ꯍꯤꯗꯥꯛ ꯑꯃꯅꯤ꯫ ꯉꯁꯤꯗꯤ ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯁꯨꯞꯅꯇꯒꯤ ꯋꯥꯔꯤ ꯁꯥꯁꯤ꯫

ꯑꯥꯏꯁꯣꯞꯔꯣꯇꯦꯔꯦꯅꯣꯜ ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ?

ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯑꯥꯏꯁꯣꯞꯔꯣꯇꯦꯔꯦꯅꯣꯜ ꯑꯁꯤ ꯍꯥꯔꯇꯀꯤ ꯃꯁꯂꯗꯥ ꯄꯥꯉ꯭ꯒꯜ, ꯅꯠꯠꯔꯒꯥ ꯇ꯭ꯔꯦꯛꯁꯟ ꯄꯤꯗꯨꯅꯥ ꯍꯥꯔꯇꯀꯤ ꯔꯦꯠ ꯑꯃꯁꯨꯡ ꯄꯝꯄ ꯇꯧꯕꯒꯤ ꯀꯦꯄꯥꯁꯤꯇꯤ ꯍꯦꯅꯒꯠꯍꯅꯕꯥ ꯗ꯭ꯔꯒ ꯑꯃꯅꯤ꯫ ꯃꯦꯗꯤꯁꯤꯅꯗꯥ ꯑꯩꯈꯣꯌꯅꯥ ꯗ꯭ꯔꯒꯁꯤꯡꯒꯤ ꯀ꯭ꯂꯥꯁ ꯑꯁꯤꯕꯨ ‘ꯏꯅꯣꯠꯔꯣꯞ’ ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫

ꯍꯤꯗꯥꯛ ꯑꯁꯤ ꯃꯔꯨꯑꯣꯏꯅꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯁꯤꯡꯒꯤꯗꯃꯛ ꯁꯤꯖꯤꯟꯅꯩ:

• ꯍꯥꯔꯠ ꯐꯦꯏꯂꯔ (Hart Failure): ꯍꯀꯆꯥꯡꯗꯥ ꯏ ꯃꯔꯥꯡ ꯀꯥꯌꯅꯥ ꯄꯨꯊꯣꯀꯄꯥ ꯉꯃꯗꯕꯥ ꯃꯇꯃꯗꯥ ꯍꯥꯔꯇꯀꯤ ꯐꯉ꯭ꯀꯁꯟ ꯐꯒꯠꯍꯅꯕꯥ꯫
• ꯍꯥꯔꯇꯀꯤ ꯂꯥꯌꯅꯥꯒꯤ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯃꯁꯤꯡ: ꯍꯥꯔꯇꯀꯤ ꯔꯦꯠ ꯑꯗꯨ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯍꯅꯕꯥ ꯃꯇꯃꯗꯥ (Bradycardia) ꯅꯠꯠꯔꯒꯥ ꯑꯇꯩ ꯍꯥꯔꯇꯀꯤ ꯔꯤꯗꯃꯒꯤ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯃꯁꯤꯡ ꯂꯥꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯕꯥ ꯍꯥꯔꯇꯀꯤ ꯔꯦꯠ ꯑꯗꯨ ꯔꯤꯁ꯭ꯇꯣꯔ ꯇꯧꯕꯥ꯫

ꯍꯤꯗꯥꯛ ꯑꯁꯤ ꯄꯤꯗ꯭ꯔꯤꯉꯩꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯍꯥꯌꯒꯗꯕꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯋꯥꯐꯃꯁꯤꯡ꯫

ꯍꯤꯗꯥꯛ ꯑꯁꯤ ꯄꯤꯗ꯭ꯔꯤꯉꯩ ꯃꯃꯥꯡꯗꯥ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯃꯄꯨꯡꯐꯥꯕꯥ ꯍꯀꯁꯦꯂꯒꯤ ꯍꯤꯁ꯭ꯇꯔꯤ ꯈꯪꯕꯥ ꯄꯥꯝꯂꯒꯅꯤ꯫ ꯃꯔꯃꯗꯤ ꯃꯦꯗꯤꯀꯦꯜ ꯀꯟꯗꯤꯁꯟ ꯈꯔꯗꯥ ꯍꯤꯗꯥꯛ ꯑꯁꯤ ꯁꯤꯖꯤꯟꯅꯕꯗꯥ ꯍꯦꯟꯅꯥ ꯆꯦꯀꯁꯤꯅꯕꯥ ꯃꯊꯧ ꯇꯥꯏ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯍꯦꯛꯇꯥ ꯂꯩꯔꯕꯗꯤ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯁꯣꯌꯗꯅꯥ ꯈꯪꯍꯅꯕꯤꯌꯨ:

ꯍꯤꯗꯥꯛ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯁꯤꯖꯤꯟꯅꯒꯅꯤ ꯑꯃꯁꯨꯡ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯣꯚꯔꯗꯣꯖ ꯇꯧꯔꯕꯗꯤ ꯀꯔꯤ ꯇꯧꯒꯅꯤ?

ꯑꯩꯍꯥꯛꯅꯥ ꯃꯃꯥꯡꯗꯥ ꯍꯥꯌꯈꯤꯕꯒꯨꯝꯅꯥ, ꯃꯁꯤ ꯚꯦꯅꯝ ꯑꯃꯗꯥ ꯏꯅꯖꯦꯀꯁꯟ ꯑꯣꯏꯅꯥ ꯅꯠꯠꯔꯒꯥ ꯏꯅꯐ꯭ꯌꯨꯖꯟ ꯑꯣꯏꯅꯥ, ꯁꯦꯂꯟ ꯁꯣꯜꯌꯨꯁꯅꯒꯨꯝꯅꯥ ꯄꯤꯕꯥ ꯍꯤꯗꯥꯛ ꯑꯃꯅꯤ꯫ ꯃꯁꯤ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯜ ꯅꯠꯠꯔꯒꯥ ꯀ꯭ꯂꯤꯅꯤꯛ ꯑꯃꯗꯥ ꯇ꯭ꯔꯦꯟ ꯇꯧꯔꯕꯥ ꯃꯦꯗꯤꯀꯦꯜ ꯄ꯭ꯔꯣꯐꯦꯁ꯭ꯅꯦꯜ ꯑꯃꯈꯛꯇꯅꯥ ꯇꯧꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯍꯤꯗꯥꯛ ꯑꯁꯤ ꯅꯍꯥ ꯑꯣꯏꯔꯤꯕꯥ ꯑꯉꯥꯡꯁꯤꯡꯗꯥ ꯄꯤꯔꯕꯗꯤ, ꯃꯁꯤ ꯄꯦꯗꯤꯑꯦꯠꯔꯤꯁꯤꯌꯥꯟ ꯑꯃꯅꯥ ꯑꯈꯟꯅꯕꯥ ꯌꯦꯡꯁꯤꯅꯕꯥ ꯃꯊꯧ ꯇꯥꯏ꯫

ꯃꯁꯤ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯂꯒꯤ ꯁꯦꯇꯤꯡ ꯑꯃꯗꯥ ꯄꯤꯕꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ "ꯑꯣꯚꯔꯗꯣꯖ" ꯑꯃꯥ ꯊꯣꯀꯄꯒꯤ ꯆꯥꯡ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯅꯦꯝꯃꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯁꯤ ꯑꯣꯏꯔꯒꯗꯤ ꯃꯦꯗꯤꯀꯦꯜ ꯁ꯭ꯇꯥꯐꯁꯤꯡꯅꯥ ꯗꯔꯀꯥꯔ ꯑꯣꯏꯕꯥ ꯈꯣꯡꯊꯥꯡꯁꯤꯡ ꯂꯧꯈꯠꯀꯅꯤ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯗ꯭ꯔꯒ ꯄꯣꯏꯖꯟ ꯑꯃꯍꯦꯛꯇꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯄꯥꯎꯇꯥꯛ ꯑꯃꯥ ꯂꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯔꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯀꯣꯂꯝꯕꯣ ꯅꯦꯁꯅꯦꯜ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯂꯗꯥ ꯂꯩꯕꯥ ꯅꯦꯁꯅꯦꯜ ꯄꯣꯏꯖꯅꯁ ꯏꯅꯐꯣꯔꯃꯦꯁꯟ ꯁꯦꯟꯇꯔꯗꯥ ꯐꯣꯟ ꯇꯧꯕꯥ ꯌꯥꯏ꯫ ꯑꯦꯃꯔꯖꯦꯟꯁꯤ ꯑꯃꯍꯦꯛꯇꯗꯥ, ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯅꯀꯄꯥ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯂꯒꯤ ꯏꯃꯔꯖꯦꯟꯁꯤ ꯇ꯭ꯔꯤꯇꯃꯦꯟꯇ ꯌꯨꯅꯤꯠ (ETU)ꯗꯥ ꯆꯠꯄꯥ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫

ꯑꯇꯣꯞꯄꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡꯗꯥ ꯈꯨꯗꯣꯡꯆꯥꯗꯕꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯕ꯭ꯔꯥ?

ꯍꯣꯌ, ꯑꯥꯏꯁꯣꯞꯔꯣꯇꯦꯔꯦꯅꯣꯂꯅꯥ ꯍꯤꯗꯥꯛ ꯈꯔꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯏꯟꯇꯔꯦꯛꯇ ꯇꯧꯕꯥ ꯌꯥꯏ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯧꯔꯤꯕꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛ ꯄꯨꯝꯅꯃꯛ (ꯑꯇꯣꯞꯄꯥ ꯀꯟꯗꯤꯁꯅꯁꯤꯡꯒꯤ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ, ꯚꯤꯇꯥꯃꯤꯅꯁꯤꯡ, ꯇ꯭ꯔꯦꯗꯤꯁꯅꯦꯜ ꯍꯤꯗꯥꯀꯁꯤꯡ, ꯑꯃꯁꯨꯡ ꯑꯥꯌꯨꯔꯕꯦꯗꯀꯤ ꯍꯤꯗꯥꯀꯁꯤꯡ ꯌꯥꯎꯅꯥ)ꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯈꯪꯍꯅꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫ ꯃꯁꯤꯗꯁꯨ ꯅꯠꯇꯅꯥ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯩꯈꯨ ꯊꯥꯗꯣꯀꯄꯥ, ꯌꯨ ꯊꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯇꯩ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ ꯁꯤꯖꯤꯟꯅꯔꯕꯗꯤ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯈꯪꯍꯜꯂꯨ꯫

ꯑꯣꯏꯊꯣꯀꯄꯥ ꯌꯥꯕꯥ ꯁꯥꯏꯗ ꯏꯐꯦꯛꯇꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?

ꯍꯤꯗꯥꯛ ꯑꯁꯤ ꯄꯤꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯅꯍꯥꯛꯀꯤ ꯍꯥꯔꯇꯀꯤ ꯔꯦꯠ ꯑꯃꯁꯨꯡ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ ꯑꯗꯨ ꯃꯦꯗꯤꯀꯦꯜ ꯁ꯭ꯇꯥꯐꯁꯤꯡꯅꯥ ꯅꯤꯡꯊꯤꯅꯥ ꯌꯦꯡꯁꯤꯅꯒꯅꯤ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯁꯥꯏꯗ ꯏꯐꯦꯛꯇꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯍꯦꯛꯇꯕꯨ ꯊꯦꯡꯅꯔꯕꯗꯤ ꯃꯈꯣꯌꯗꯥ ꯈꯨꯗꯛꯇꯥ ꯈꯪꯍꯅꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ:

ꯆꯥꯅꯕꯤꯗꯨꯅꯥ ꯈꯪꯖꯤꯅꯕꯤꯌꯨ ꯃꯗꯨꯗꯤ ꯂꯤꯁ꯭ꯠ ꯑꯁꯤꯗꯥ ꯑꯣꯏꯊꯣꯀꯄꯥ ꯌꯥꯕꯥ ꯁꯥꯏꯗ ꯏꯐꯦꯛꯇ ꯄꯨꯝꯅꯃꯛ ꯌꯥꯎꯗꯕꯥ ꯌꯥꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯍꯪ ꯑꯃꯠꯇꯥ ꯍꯪꯂꯕꯗꯤ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯍꯪꯕꯤꯌꯨ꯫