ꯏꯟꯇꯦꯟꯁꯤꯚ ꯀꯦꯌꯔ ꯌꯨꯅꯤꯠ (ICU)ꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯈꯪꯂꯤꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯕꯨ ꯚꯦꯟꯇꯤꯂꯦꯇꯔꯗꯥ ꯊꯝꯂꯦ ꯍꯥꯌꯕꯥ ꯇꯥꯕꯗꯥ ꯑꯀꯤꯕꯥ ꯑꯃꯁꯨꯡ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯀꯌꯥ ꯐꯥꯎꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯅꯣꯔꯃꯦꯂꯅꯤ꯫ ꯃꯁꯤꯒꯤ ꯑꯀꯤꯕꯥ ꯑꯁꯤ ꯃꯦꯁꯤꯟ ꯑꯁꯤꯒꯤ ꯃꯔꯃꯗꯥ ꯌꯥꯝꯅꯥ ꯈꯉꯗꯕꯅꯥ ꯍꯦꯟꯅꯥ ꯁꯣꯀꯍꯜꯂꯤ꯫ ꯃꯁꯤ ꯇꯁꯦꯡꯅꯥ ꯄꯨꯟꯁꯤ ꯑꯃꯁꯨꯡ ꯁꯤꯕꯒꯤ ꯃꯔꯛꯇꯥ ꯂꯥꯟꯊꯦꯡꯅꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯕꯥ ꯉꯝꯕꯥ ꯌꯥꯝꯅꯥ ꯃꯃꯜ ꯌꯥꯝꯂꯕꯥ ꯈꯨꯠꯂꯥꯌ ꯑꯃꯅꯤ꯫ ꯑꯗꯨꯅꯥ ꯉꯁꯤꯗꯤ ꯚꯦꯟꯇꯤꯂꯦꯇꯔ, ꯅꯠꯔꯒꯥ ꯃꯦꯗꯤꯀꯦꯜ ꯁꯥꯏꯟꯁꯇꯥ ꯃꯁꯤꯕꯨ ꯀꯧꯔꯤꯕꯥ ꯑꯁꯤ ꯀꯔꯤꯅꯣ ꯑꯃꯁꯨꯡ ꯃꯁꯤꯅꯥ ꯀꯔꯤ ꯇꯧꯔꯤꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯌꯥꯝꯅꯥ ꯏꯆꯝ ꯆꯝꯕꯥ ꯑꯃꯁꯨꯡ ꯂꯧꯁꯤꯡ ꯂꯩꯕꯥ ꯂꯣꯟꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯁꯤ꯫
ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯚꯦꯟꯇꯤꯂꯦꯇꯔ ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ?
ꯚꯦꯟꯇꯤꯂꯦꯇꯔ ꯍꯥꯌꯕꯁꯤ ꯀꯅꯥꯒꯨꯝꯕꯥ ꯑꯃꯅꯥ ꯃꯁꯥ ꯃꯊꯟꯇꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯗꯥ ꯑꯋꯥꯕꯥ ꯃꯥꯌꯣꯛꯅꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯂꯤꯕꯥ ꯃꯦꯁꯤꯟ ꯑꯃꯅꯤ꯫ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯁꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯀ꯭ꯔꯨꯆ ꯁꯤꯖꯤꯟꯅꯕꯒꯨꯝꯅꯥ ꯈꯅꯕꯤꯌꯨ꯫ ꯀ꯭ꯔꯨꯆꯁꯤꯡꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯔꯨꯝꯕꯥ ꯑꯗꯨꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯆꯠꯄꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯕꯒꯨꯝꯅꯥ, ꯚꯦꯟꯇꯤꯂꯦꯇꯔ ꯑꯃꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯂꯪꯁꯀꯤ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯒꯤ ꯊꯕꯛ ꯑꯗꯨ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯅꯠꯠꯔꯒꯥ ꯆꯥꯡ ꯈꯔꯗꯥ ꯂꯧꯏ꯫
ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯋꯥꯐꯃꯗꯤ ꯚꯦꯟꯇꯤꯂꯦꯇꯔ ꯑꯁꯤ ꯍꯤꯗꯥꯛ ꯂꯥꯡꯊꯛ ꯅꯠꯇꯦ꯫ ꯃꯁꯤ ꯂꯥꯏꯐ ꯁꯄꯣꯔꯠ ꯁꯤꯁ꯭ꯇꯦꯝ ꯑꯃꯅꯤ . ꯍꯥꯌꯕꯗꯤ ꯑꯇꯣꯞꯄꯥ ꯂꯥꯏꯌꯦꯡ ꯑꯃꯁꯨꯡ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯍꯀꯆꯥꯡ ꯐꯒꯠꯂꯛꯠꯔꯤꯐꯥꯎꯕꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯒꯤ ꯊꯧꯑꯣꯡ ꯑꯗꯨ ꯉꯥꯛꯇꯨꯅꯥ ꯊꯝꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫
ꯍꯥꯌꯔꯤꯕꯥ ꯋꯥꯐꯃꯁꯤꯡ ꯑꯁꯤ ꯃꯔꯨꯑꯣꯏꯅꯥ ꯚꯦꯟꯇꯤꯂꯦꯇꯔ ꯑꯃꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯊꯣꯀꯏ:
- ꯃꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯂꯪꯁꯇꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯑꯣꯛꯁꯤꯖꯦꯟ ꯑꯗꯨ ꯄꯤ꯫
- ꯃꯁꯤꯅꯥ ꯂꯪꯁꯇꯥ ꯊꯨꯃꯖꯤꯜꯂꯀꯄꯥ ꯃꯥꯡ-ꯇꯥꯛꯅꯤꯡꯉꯥꯏ ꯑꯣꯏꯕꯥ ꯀꯥꯔꯕꯣꯟ ꯗꯥꯏꯑꯣꯛꯁꯥꯏꯗ ꯒ꯭ꯌꯥꯁ ꯂꯧꯊꯣꯀꯄꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫
- ꯑꯦꯂꯚꯤꯑꯣꯂꯤ ꯀꯧꯕꯥ ꯂꯪꯁꯇꯥ ꯂꯩꯕꯥ ꯑꯄꯤꯀꯄꯥ ꯑꯦꯌꯔ ꯁꯦꯀꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯃꯈꯣꯌꯕꯨ ꯁꯣꯀꯍꯟꯗꯅꯥ ꯍꯥꯡꯗꯣꯛꯇꯨꯅꯥ ꯊꯝꯅꯕꯒꯤꯗꯃꯛ ꯃꯊꯧ ꯇꯥꯕꯥ ꯄ꯭ꯔꯦꯁꯔ ꯄꯤ꯫
ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯑꯅꯥꯕꯥ ꯑꯗꯨꯒꯤ ꯃꯊꯧ ꯇꯥꯕꯒꯤ ꯃꯇꯨꯡ ꯏꯟꯅꯥ ꯃꯦꯁꯤꯟ ꯑꯁꯤꯒꯤ ꯁꯦꯇꯤꯡꯁꯤꯡ ꯍꯣꯡꯗꯣꯀꯄꯥ ꯌꯥꯏ꯫
ꯏꯅꯇꯨꯕꯦꯁꯟ ꯑꯃꯁꯨꯡ ꯚꯦꯟꯇꯤꯂꯦꯁꯟ ꯑꯁꯤ ꯇꯣꯉꯥꯅꯕꯥ ꯋꯥꯐꯝ ꯑꯅꯤꯅꯤ?
ꯍꯣꯏ. ꯃꯁꯤꯗꯥ ꯃꯤꯑꯣꯏ ꯀꯌꯥ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯊꯦꯡꯅꯩ꯫ ꯑꯅꯤ ꯑꯁꯤ ꯄꯨꯟꯅꯥ ꯊꯣꯛꯂꯕꯁꯨ, ꯃꯁꯤ ꯇꯣꯉꯥꯟ ꯇꯣꯉꯥꯅꯕꯥ ꯊꯧꯑꯣꯡ ꯑꯅꯤꯅꯤ꯫
- ꯏꯅꯇꯨꯕꯦꯁꯟ (Intubation): ꯗꯣꯛꯇꯔ ꯑꯃꯅꯥ ꯑꯅꯥꯕꯥ ꯑꯗꯨꯒꯤ ꯃꯤꯠꯀꯨꯞ (trachea)ꯗꯥ ꯇꯤꯎꯕ ꯑꯃꯥ ꯍꯥꯄꯆꯤꯟꯅꯕꯒꯤ ꯊꯧꯑꯣꯡꯅꯤ꯫
- ꯃꯦꯀꯥꯅꯤꯀꯦꯜ ꯚꯦꯟꯇꯤꯂꯦꯁꯟ: ꯃꯁꯤꯅꯥ ꯃꯑꯣꯡ ꯑꯁꯤꯅꯥ ꯏꯅꯁꯥꯔꯁ ꯇꯧꯔꯕꯥ ꯇꯤꯎꯕ ꯑꯗꯨ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯂꯤꯕꯥ ꯚꯦꯟꯇꯤꯂꯦꯇꯔ ꯑꯃꯒꯥ ꯁꯝꯅꯍꯅꯕꯥ ꯍꯥꯌꯕꯁꯤꯅꯤ꯫
ꯀꯦꯁ ꯈꯔꯗꯗꯤ, ꯚꯦꯟꯇꯤꯂꯦꯇꯔ ꯑꯗꯨ ꯐꯦꯁ ꯃꯥꯁ꯭ꯛ ꯑꯃꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯁꯝꯅꯍꯅꯕꯥ ꯌꯥꯏ, ꯃꯗꯨꯒꯨꯝꯅꯥ ꯇꯨꯕ ꯑꯃꯥ ꯍꯥꯄꯆꯤꯟꯗꯦ꯫
ꯀꯔꯤ ꯚꯦꯟꯇꯤꯂꯦꯇꯔ ꯃꯦꯊꯗꯁꯤꯡ ꯂꯩꯕꯒꯦ?
ꯚꯦꯟꯇꯤꯂꯦꯇꯔꯁꯤꯡꯅꯥ ꯄꯣꯖꯤꯇꯤꯚ ꯄ꯭ꯔꯦꯁꯔ ꯁꯤꯖꯤꯟꯅꯗꯨꯅꯥ ꯂꯪꯁꯇꯥ ꯅꯨꯡꯁꯤꯠ ꯁꯤꯠꯂꯤ꯫ ꯃꯁꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯑꯣꯡ ꯑꯅꯤꯗꯥ ꯄꯥꯡꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯏꯅꯐꯣꯔꯃꯦꯁꯟ ꯑꯁꯤ ꯍꯦꯟꯅꯥ ꯂꯥꯌꯊꯣꯀꯍꯟꯅꯕꯒꯤꯗꯃꯛ, ꯑꯁꯤꯒꯨꯝꯕꯥ ꯇꯦꯕꯜ ꯑꯃꯥ ꯁꯦꯝꯂꯁꯤ꯫
| ꯚꯦꯟꯇꯤꯂꯦꯁꯅꯒꯤ ꯃꯈꯜ꯫ | ꯏꯆꯝ ꯆꯝꯕꯥ ꯃꯌꯦꯛ ꯁꯦꯡꯅꯥ ꯇꯥꯀꯄꯥ꯫ |
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| ꯏꯅꯚꯦꯁꯤꯚ ꯃꯦꯀꯥꯅꯤꯀꯦꯜ ꯚꯦꯟꯇꯤꯂꯦꯁꯟ (ꯇꯨꯕ ꯏꯅꯁꯥꯔꯠ ꯇꯧꯕꯥ) | ꯃꯁꯤꯗꯥ ꯇꯤꯎꯕ ꯑꯃꯥ ꯑꯦꯌꯔꯋꯦꯗꯥ ꯊꯥꯏ꯫ ꯇꯤꯎꯕ ꯑꯁꯤ ꯃꯤꯠꯀꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ (ꯏꯟꯇꯨꯕꯦꯁꯟ) ꯅꯠꯠꯔꯒꯥ ꯈꯣꯡꯗꯥ ꯑꯄꯤꯀꯄꯥ ꯁꯔꯖꯔꯤ ꯑꯃꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ (ꯇ꯭ꯔꯦꯀꯤꯑꯣꯁ꯭ꯇꯣꯃꯤ) ꯊꯥꯗꯨꯅꯥ ꯚꯦꯟꯇꯤꯂꯦꯇꯔ ꯑꯃꯒꯥ ꯁꯝꯅꯍꯜꯂꯤ꯫ |
| ꯅꯟ-ꯏꯅꯚꯦꯁꯤꯕ ꯚꯦꯟꯇꯤꯂꯦꯁꯟ꯫ | ꯃꯁꯤꯗꯥ ꯃꯥꯌꯒꯤ ꯃꯊꯛꯇꯥ ꯆꯦꯠꯅꯥ ꯐꯤꯠ ꯑꯣꯏꯅꯥ ꯂꯩꯕꯥ ꯃꯥꯁ꯭ꯛ ꯑꯃꯥ ꯁꯤꯖꯤꯟꯅꯕꯅꯤ꯫ ꯃꯁꯤꯒꯤ ꯃꯥꯁ꯭ꯛ ꯑꯁꯤ ꯚꯦꯟꯇꯤꯂꯦꯇꯔ ꯑꯃꯒꯥ ꯁꯝꯅꯍꯜꯂꯤ ꯃꯗꯨꯅꯥ ꯂꯪꯁꯇꯥ ꯅꯨꯡꯁꯤꯠ ꯄꯨꯁꯤꯜꯂꯀꯏ꯫ ꯌꯨꯃꯗꯥ ꯐꯥꯎꯕꯥ ꯁꯤꯖꯤꯟꯅꯕꯥ CPAP ꯅꯠꯠꯔꯒꯥ BiPAP®ꯒꯨꯝꯕꯥ ꯗꯤꯚꯥꯏꯁꯁꯤꯡ ꯑꯁꯤ ꯀꯦꯇꯦꯒꯣꯔꯤ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡ ꯆꯜꯂꯤ꯫ |
ꯚꯦꯟꯇꯤꯂꯦꯇꯔꯒꯤ ꯃꯇꯦꯡ ꯀꯅꯥꯅꯥ ꯃꯊꯧ ꯇꯥꯔꯤꯕꯒꯦ?
ꯀꯅꯥꯒꯨꯝꯕꯥ ꯑꯃꯅꯥ ꯃꯁꯥ ꯃꯊꯟꯇꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯉꯃꯗꯕꯥ ꯃꯇꯃꯗꯥ ꯚꯦꯟꯇꯤꯂꯦꯇꯔꯒꯤ ꯃꯇꯦꯡ ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯏ, ꯃꯔꯨꯑꯣꯏꯅꯥ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯀꯦꯁꯁꯤꯡ ꯑꯁꯤꯗꯥ:
- ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯃꯗꯥ: ꯖꯦꯅꯦꯔꯦꯜ ꯑꯦꯅꯥꯁ꯭ꯇꯦꯁꯤꯌꯥꯅꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯉꯝꯕꯒꯤ ꯁꯛꯇꯤ ꯍꯟꯊꯍꯜꯂꯤ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯚꯦꯟꯇꯤꯂꯦꯇꯔ ꯑꯃꯅꯥ ꯁꯔꯖꯔꯤ ꯄꯨꯝꯅꯃꯛꯇꯥ ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫
- ꯁꯥꯊꯤꯕꯥ ꯂꯪꯁꯀꯤ ꯏꯅꯐꯦꯛꯁꯟ ꯅꯠꯠꯔꯒꯥ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ: ꯅ꯭ꯌꯨꯃꯣꯅꯤꯌꯥ, ꯀꯣꯕꯤꯗ-꯱꯹, ꯑꯦꯛꯌꯨꯠ ꯔꯦꯁ꯭ꯄꯤꯔꯦꯇꯔꯤ ꯗꯤꯁ꯭ꯠꯔꯤꯁ ꯁꯤꯟꯗꯣꯝ (ARDS), ꯑꯃꯁꯨꯡ ꯀ꯭ꯔꯣꯅꯤꯛ ꯑꯣꯕꯁ꯭ꯠꯔꯀꯆꯔ ꯄꯂꯃꯣꯅꯥꯔꯤ ꯗꯤꯖꯤꯖ (COPD)ꯒꯨꯝꯕꯥ ꯀꯟꯗꯤꯁꯅꯁꯤꯡꯗꯥ꯫
- ꯑꯦꯛꯁꯤꯗꯦꯟꯇ ꯅꯠꯠꯔꯒꯥ ꯃꯦꯗꯤꯀꯦꯜ ꯑꯦꯃꯔꯖꯦꯟꯁꯤꯁꯤꯡ: ꯑꯦꯌꯔꯋꯦ (airway obstruction) ꯅꯠꯠꯔꯒꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯕꯥ ꯑꯦꯛꯁꯤꯗꯦꯟꯇ ꯑꯃꯥ ꯊꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ꯫ ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯁꯥꯊꯤꯕꯥ ꯑꯦꯂꯥꯔꯖꯤꯒꯤ ꯔꯤꯑꯦꯛꯁꯟ (anaphylaxis) ꯑꯃꯥ꯫
- ꯕ꯭ꯔꯦꯅꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯄꯥ: ꯁ꯭ꯠꯔꯣꯛ ꯅꯠꯠꯔꯒꯥ ꯀꯣꯃꯥꯒꯨꯝꯕꯥ ꯕ꯭ꯔꯦꯟ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯅꯕꯅꯥ ꯕ꯭ꯔꯦꯅꯗꯒꯤ ꯂꯪꯁꯇꯥ ꯂꯥꯀꯄꯥ ꯄꯥꯎꯖꯦꯜ ꯑꯗꯨ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯆꯠꯄꯥ ꯉꯃꯍꯟꯗꯕꯥ ꯌꯥꯏ꯫
- ꯕ꯭ꯂꯗ ꯒ꯭ꯌꯥꯁꯀꯤ ꯆꯥꯡꯗꯥ ꯏꯃꯕꯦꯂꯦꯟꯁ ꯂꯩꯇꯕꯥ: ꯏꯗꯥ ꯀꯥꯔꯕꯣꯟ ꯗꯥꯏꯑꯣꯛꯁꯥꯏꯗ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ (ꯍꯥꯏꯄꯥꯔꯀꯦꯄꯅꯤꯌꯥ) ꯅꯠꯠꯔꯒꯥ ꯑꯣꯛꯁꯤꯖꯦꯟ ꯍꯟꯊꯔꯀꯄꯥ (ꯍꯥꯏꯄꯣꯛꯁꯦꯃꯤꯌꯥ)ꯒꯨꯝꯕꯥ ꯀꯟꯗꯤꯁꯅꯁꯤꯡꯗꯥ꯫
- ꯂꯪꯁꯇꯥ ꯆꯥꯅꯕꯥ ꯆꯤꯟꯖꯥꯛ ꯅꯠꯠꯔꯒꯥ ꯌꯦꯔꯨꯝ ꯆꯉꯕꯥ ꯊꯤꯡꯅꯕꯥ: ꯋꯥꯈꯜ ꯇꯥꯗꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯒꯤ ꯃꯀꯣꯛꯇꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ (ꯁꯦꯂꯤꯚꯥ, ꯆꯤꯟꯖꯥꯛ) ꯑꯦꯁ꯭ꯄꯤꯔꯦꯁꯟ ꯇꯧꯕꯥ ꯑꯃꯁꯨꯡ ꯏꯅꯐꯦꯛꯁꯟ ꯊꯣꯀꯍꯅꯕꯥ ꯊꯤꯡꯕꯥ꯫
ꯅꯍꯥꯛꯅꯥ ꯚꯦꯟꯇꯤꯂꯦꯇꯔ ꯑꯃꯒꯥ ꯁꯝꯅꯔꯕꯥ ꯃꯇꯃꯗꯥ ꯀꯔꯤ ꯑꯣꯏꯒꯅꯤ?
ꯚꯦꯟꯇꯤꯂꯦꯇꯔ ꯑꯃꯒꯥ ꯁꯝꯅꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯕꯨ ꯌꯥꯝꯅꯥ ꯀꯨꯞꯅꯥ ꯌꯦꯡꯁꯤꯅꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯃꯈꯣꯌ ꯑꯁꯤ ꯃꯍꯧꯁꯥꯅꯥ ꯏꯟꯇꯦꯟꯁꯤꯚ ꯀꯦꯌꯔ ꯌꯨꯅꯤꯠ (ICU)ꯗꯥ ꯊꯃꯖꯤꯜꯂꯤ꯫ꯃꯐꯝ ꯑꯗꯨꯗꯥ ꯑꯈꯟꯅꯅꯥ ꯇ꯭ꯔꯦꯟ ꯇꯧꯔꯕꯥ ꯗꯣꯛꯇꯔꯁꯤꯡ, ꯅꯔꯁꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯔꯦꯁ꯭ꯄꯤꯔꯦꯇꯔꯤ ꯊꯦꯔꯥꯄꯤꯁ꯭ꯇꯁꯤꯡꯒꯤ ꯀꯥꯡꯕꯨ ꯑꯃꯅꯥ ꯑꯅꯥꯕꯥ ꯑꯗꯨ ꯌꯦꯡꯁꯤꯜꯂꯤ꯫
ꯄꯦꯁꯦꯟꯇ ꯑꯗꯨꯕꯨ ꯌꯦꯡꯁꯤꯅꯕꯥ꯫
ꯅꯍꯥꯛꯀꯤ ꯅꯨꯡꯁꯤꯖꯔꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯗꯨꯒꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯑꯇꯣꯞꯄꯥ ꯃꯦꯁꯤꯟ ꯀꯌꯥ ꯑꯃꯥ ꯌꯥꯑꯣꯔꯤ ꯍꯥꯌꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯎꯕꯥ ꯐꯪꯒꯅꯤ꯫ ꯃꯈꯣꯌꯅꯥ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ, ꯍꯥꯔꯠ ꯔꯦꯠ, ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯒꯤ ꯆꯥꯡ, ꯑꯃꯁꯨꯡ ꯕ꯭ꯂꯗ ꯑꯣꯛꯁꯤꯖꯦꯅꯒꯤ ꯆꯥꯡ ꯑꯁꯤꯅꯆꯤꯡꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ ꯂꯦꯞꯇꯅꯥ ꯌꯦꯡꯁꯤꯜꯂꯤ꯫ ꯃꯈꯣꯌꯅꯥ ꯆꯦꯁ꯭ꯠ ꯑꯦꯛꯁ-ꯔꯦ ꯑꯃꯁꯨꯡ ꯕ꯭ꯂꯗ ꯇꯦꯁ꯭ꯇꯁꯨ ꯇꯧꯏ꯫
ꯁꯛꯁꯟ ꯇꯧꯕꯥ꯫
ꯑꯦꯌꯔꯋꯦ (ꯁ꯭ꯕꯔ ꯍꯣꯟꯅꯕꯥ ꯎꯇꯣꯡ)ꯗꯥ ꯃ꯭ꯌꯨꯀꯁ (mucus) ꯁꯦꯃꯒꯠꯄꯥ ꯌꯥꯏ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯅꯔꯁꯤꯡ ꯁ꯭ꯇꯥꯐꯁꯤꯡꯅꯥ ꯑꯌꯥꯝꯕꯗꯤ ꯃꯩꯁꯥ ꯂꯧꯊꯣꯛꯅꯕꯥ ꯊꯤꯟ ꯇꯨꯕ (ꯀꯦꯇꯦꯇꯔ) ꯑꯃꯥ ꯊꯥꯏ꯫ ꯃꯇꯝ ꯑꯁꯤꯗꯥ ꯄꯦꯁꯦꯟꯇ ꯑꯗꯨꯅꯥ ꯀꯣꯛ ꯆꯤꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯁꯤ ꯅꯍꯥꯛꯅꯥ ꯌꯦꯡꯕꯗꯥ ꯈꯔꯥ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯑꯣꯏꯔꯀꯄꯥ ꯌꯥꯏ, ꯑꯗꯨꯕꯨ ꯃꯁꯤ ꯑꯦꯌꯔꯋꯦ ꯑꯗꯨ ꯁꯦꯡꯅꯥ ꯊꯝꯅꯕꯒꯤꯗꯃꯛ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫
ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛ, ꯅ꯭ꯌꯨꯠꯔꯤꯁꯟ ꯑꯃꯁꯨꯡ ꯍꯥꯏꯖꯤꯟ꯫
ꯍꯤꯗꯥꯛ ꯈꯔꯗꯤ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯒꯤ ꯇꯤꯎꯕꯀꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯂꯪꯁꯇꯥ ꯑꯦꯔꯣꯁꯣꯂꯥꯏꯖ ꯇꯧꯏ꯫ ꯃꯈꯣꯌꯅꯥ ꯆꯥꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯊꯀꯄꯥ ꯉꯃꯗꯕꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯂꯤꯛꯌꯨꯏꯗ ꯅ꯭ꯌꯨꯠꯔꯤꯁꯟ ꯑꯁꯤ ꯅꯥꯀꯣꯡꯗꯒꯤ ꯈꯣꯡꯗꯥ ꯆꯦꯟꯊꯔꯀꯄꯥ ꯇꯤꯎꯕ ꯑꯃꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯄꯤ꯫ ꯃꯊꯧ ꯇꯥꯕꯥ ꯐ꯭ꯂꯨꯏꯗꯁꯤꯡ ꯑꯁꯤ ꯁꯦꯂꯅꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯏꯅꯠꯔꯥꯚꯦꯅꯁ ꯑꯣꯏꯅꯥ ꯄꯤ꯫
ꯄꯦꯁꯦꯟꯇ ꯑꯗꯨ ꯋꯥꯈꯜ ꯇꯥꯔꯤꯕ꯭ꯔꯥ?
ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯄꯦꯁꯦꯟꯇ ꯑꯗꯨꯕꯨ ꯌꯥꯔꯤꯕꯃꯈꯩ ꯅꯨꯡꯉꯥꯏꯅꯥ, ꯅꯤꯡꯊꯤꯅꯥ ꯑꯃꯁꯨꯡ ꯆꯦꯀꯁꯤꯟꯅꯥ ꯊꯝꯅꯕꯥ ꯍꯣꯠꯅꯩ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯄꯦꯁꯦꯟꯇ ꯑꯗꯨꯒꯤ ꯀꯟꯗꯤꯁꯅꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ, ꯄꯦꯁꯦꯟꯇ ꯑꯗꯨꯕꯨ ꯅꯨꯡꯉꯥꯏꯅꯥ ꯂꯩꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯍꯀꯆꯥꯡ ꯑꯗꯨ ꯐꯒꯠꯍꯅꯕꯥ, ꯅꯠꯠꯔꯒꯥ ꯃꯈꯣꯌꯕꯨ ꯌꯥꯝꯅꯥ ꯂꯨꯅꯥ ꯇꯨꯝꯕꯥ (deep sedation) ꯇꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯄꯦꯁꯦꯟꯇ ꯑꯗꯨꯕꯨ ꯃꯈꯣꯌ ꯃꯁꯥꯃꯀꯄꯨ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯍꯟꯗꯅꯕꯥ, ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯇꯤꯎꯕ ꯑꯗꯨ ꯂꯧꯊꯣꯛꯅꯕꯥ ꯍꯣꯠꯅꯕꯗꯥ ꯊꯤꯡꯅꯕꯥ ꯊꯤꯡꯖꯤꯅꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤ ꯑꯅꯥꯕꯥ ꯑꯗꯨꯒꯤ ꯁꯦꯐꯇꯤꯒꯤꯗꯃꯛ ꯇꯧꯏ꯫
ꯃꯁꯤꯒꯤ ꯀꯥꯟꯅꯕꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯈꯨꯗꯣꯡꯊꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯤꯅꯣ?
ꯃꯦꯗꯤꯀꯦꯜ ꯇ꯭ꯔꯤꯠꯃꯦꯟꯇ ꯑꯃꯍꯦꯛꯇꯒꯨꯝꯅꯥ ꯚꯦꯟꯇꯤꯂꯦꯇꯔ ꯁꯤꯖꯤꯟꯅꯕꯅꯥ ꯀꯥꯟꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯈꯨꯗꯣꯡꯊꯤꯕꯥ ꯑꯅꯤꯃꯛ ꯂꯩ꯫
| ꯀꯥꯟꯅꯕꯁꯤꯡ꯫ | ꯔꯤꯁ꯭ꯀꯁꯤꯡ꯫ |
|---|---|
| ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯗꯥ ꯀꯟꯅꯥ ꯍꯣꯠꯅꯕꯒꯤ ꯃꯊꯧ ꯇꯥꯗꯦ꯫ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯕꯥ ꯏꯅꯐꯦꯛꯁꯟ ꯑꯃꯍꯦꯛꯇꯕꯨ ꯐꯒꯠꯍꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯂꯥꯟꯊꯦꯡꯅꯕꯗꯥ ꯃꯤꯠꯌꯦꯡ ꯊꯝꯃꯨ꯫ | ꯕꯦꯛꯇꯦꯔꯤꯌꯥꯅꯥ ꯇ꯭ꯔꯦꯀꯤꯌꯥꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯂꯪꯁꯇꯥ ꯆꯠꯄꯥ ꯌꯥꯏ ꯑꯃꯁꯨꯡ ꯏꯅꯐꯦꯛꯁꯅꯁꯤꯡ (ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯅ꯭ꯌꯨꯃꯣꯅꯤꯌꯥ) ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ |
| ꯍꯀꯆꯥꯡꯅꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯑꯣꯛꯁꯤꯖꯦꯅꯒꯤ ꯃꯄꯨꯡꯐꯥꯕꯥ ꯆꯥꯡ ꯑꯗꯨ ꯐꯪꯏ꯫ ꯀꯥꯔꯕꯣꯟ ꯗꯥꯏꯑꯣꯛꯁꯥꯏꯗ ꯑꯁꯤ ꯂꯧꯊꯣꯀꯏ꯫ | ꯃꯦꯁꯤꯟ ꯑꯗꯨꯗꯒꯤ ꯂꯥꯀꯄꯥ ꯄ꯭ꯔꯦꯁꯔ ꯑꯗꯨꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯂꯪꯁꯇꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ |
| ꯂꯪꯁꯇꯥ ꯂꯩꯕꯥ ꯑꯦꯌꯔ ꯁꯦꯀꯁꯤꯡ ꯑꯗꯨ ꯀꯨꯄꯁꯤꯅꯕꯥ ꯊꯤꯡꯏ꯫ | ꯂꯪꯁꯇꯥ ꯁꯣꯟꯊꯕꯥ ꯃꯐꯝ ꯑꯃꯅꯥ ꯂꯪꯁ ꯑꯗꯨ ꯁꯣꯟꯊꯕꯥ (ꯅ꯭ꯌꯨꯃꯣꯊꯣꯔꯦꯛꯁ) ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ |
| ꯑꯦꯌꯔꯋꯦ (airway) ꯑꯗꯨ ꯍꯥꯡꯗꯣꯛꯇꯨꯅꯥ ꯊꯝꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫ | ꯍꯥꯔꯇꯀꯤ ꯐꯉ꯭ꯀꯁꯟ ꯑꯃꯁꯨꯡ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔꯗꯥ ꯑꯀꯥꯌꯕꯥ ꯄꯤꯕꯥ ꯌꯥꯏ꯫ |
ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯀꯦꯁ ꯈꯔꯗꯗꯤ, ꯄꯦꯁꯦꯟꯇ ꯑꯗꯨꯅꯥ ꯃꯁꯥ ꯃꯊꯟꯇꯥ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯉꯃꯗꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯗꯁꯨ ꯅꯠꯇꯅꯥ, ꯑꯅꯥꯕꯥ ꯑꯃꯕꯨ ꯐꯒꯠꯂꯀꯄꯒꯤ ꯆꯥꯡ ꯂꯩꯇꯕꯥ ꯚꯦꯟꯇꯤꯂꯦꯇꯔ ꯑꯃꯗꯥ ꯊꯝꯕꯅꯥ ꯃꯊꯧ ꯇꯥꯗꯅꯥ ꯁꯤꯕꯒꯤ ꯊꯧꯑꯣꯡ ꯑꯗꯨ ꯍꯦꯟꯅꯥ ꯁꯥꯡꯗꯣꯀꯍꯅꯕꯥ ꯉꯝꯃꯤ꯫ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯁꯦꯟꯁꯤꯇꯤꯚ ꯑꯣꯏꯕꯥ ꯐꯤꯚꯃꯁꯤꯡ ꯑꯁꯤꯗꯥ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯑꯃꯨꯛꯇꯪ ꯋꯥꯔꯤ ꯁꯥꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯄꯦꯁꯦꯟꯇ ꯑꯗꯨꯒꯤꯗꯃꯛ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯥ ꯋꯥꯔꯦꯞ ꯂꯧꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫
ꯅꯍꯥꯛꯅꯥ ꯃꯁꯥꯃꯀꯄꯨ ꯚꯦꯟꯇꯤꯂꯦꯇꯔꯗꯒꯤ ꯀꯔꯝꯅꯥ ꯂꯧꯊꯣꯛꯀꯅꯤ?
ꯄꯦꯁꯦꯟꯇ ꯑꯗꯨꯒꯤ ꯐꯤꯚꯝ ꯐꯒꯠꯂꯛꯂꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯑꯃꯁꯨꯡ ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯃꯈꯣꯌ ꯃꯁꯥꯅꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯉꯃꯒꯅꯤ ꯍꯥꯌꯅꯥ ꯁꯣꯌꯗꯅꯥ ꯈꯪꯂꯕꯥ ꯃꯇꯨꯡꯗꯥ, ꯃꯈꯣꯌꯅꯥ ꯃꯈꯣꯌꯕꯨ ꯚꯦꯟꯇꯤꯂꯦꯇꯔꯗꯒꯤ ``ꯈꯣꯃꯒꯠꯄꯥ''ꯒꯤ ꯊꯧꯑꯣꯡ ꯍꯧꯏ꯫ ꯑꯍꯥꯅꯕꯗꯥ, ꯃꯈꯣꯌꯅꯥ ꯃꯦꯁꯤꯅꯗꯒꯤ ꯂꯥꯀꯄꯥ ꯁꯄꯣꯔꯠ ꯑꯗꯨ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯍꯟꯊꯍꯜꯂꯤ ꯑꯃꯁꯨꯡ ꯄꯦꯁꯦꯟꯇ ꯑꯗꯨꯅꯥ ꯃꯁꯥ ꯃꯊꯟꯇꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯉꯃꯒꯗ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯄꯨꯝꯅꯃꯛ OK ꯑꯣꯏꯔꯕꯗꯤ, ``ET ꯇꯨꯕ'' ꯑꯗꯨ ꯂꯧꯊꯣꯀꯏ꯫
ꯇꯤꯎꯕ ꯑꯗꯨ ꯂꯧꯊꯣꯛꯂꯕꯥ ꯃꯇꯨꯡꯗꯥ, ꯅꯍꯥꯛꯅꯥ ꯅꯨꯃꯤꯠ ꯈꯔꯅꯤꯒꯤ ꯑꯣꯏꯅꯥ ꯀꯣꯛ ꯆꯤꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯈꯣꯟꯖꯦꯜ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯁꯤ ꯅꯣꯔꯃꯦꯂꯅꯤ꯫
ꯇꯦꯛ-ꯍꯣꯝ ꯃꯦꯁꯦꯖ ꯇꯧꯕꯥ꯫
- ꯃꯦꯀꯥꯅꯤꯀꯦꯜ ꯚꯦꯟꯇꯤꯂꯦꯁꯟ ꯑꯁꯤ ꯂꯥꯌꯅꯥ ꯑꯃꯒꯤ ꯍꯤꯗꯥꯛ ꯅꯠꯇꯦ, ꯃꯁꯤ ꯂꯥꯏꯐ ꯁꯄꯣꯔꯠ ꯃꯦꯊꯗ ꯑꯃꯅꯤ ꯃꯗꯨꯅꯥ ꯍꯀꯆꯥꯡ ꯐꯒꯠꯂꯛꯠꯔꯤꯐꯥꯎꯕꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫
- ꯃꯁꯤ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯋꯥꯐꯝ ꯑꯃꯠꯇꯥ ꯅꯠꯇꯦ꯫ ꯏꯟꯇꯦꯟꯁꯤꯕ ꯀꯦꯌꯔ ꯌꯨꯅꯤꯠꯇꯥ ꯇ꯭ꯔꯦꯟ ꯇꯧꯔꯕꯥ ꯃꯦꯗꯤꯀꯦꯜ ꯇꯤꯃꯅꯥ ꯑꯅꯥꯕꯥ ꯑꯗꯨ ꯌꯥꯝꯅꯥ ꯅꯛꯅꯥ ꯌꯦꯡꯁꯤꯜꯂꯤ꯫
- ꯂꯥꯌꯦꯡ ꯄꯨꯝꯅꯃꯀꯒꯨꯝꯅꯥ, ꯔꯤꯁ꯭ꯛ ꯂꯩ, ꯑꯗꯨꯕꯨ ꯃꯦꯗꯤꯀꯦꯜ ꯇꯤꯃꯅꯥ ꯂꯦꯞꯇꯅꯥ ꯍꯣꯠꯅꯔꯤ ꯃꯗꯨꯗꯤ ꯔꯤꯁ꯭ꯀꯁꯤꯡ ꯑꯗꯨ ꯍꯟꯊꯍꯟꯅꯕꯥ꯫
- ꯅꯍꯥꯛꯅꯥ ꯍꯪꯂꯀꯄꯥ ꯋꯥꯍꯪꯁꯤꯡ ꯅꯠꯠꯔꯒꯥ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯑꯃꯍꯦꯛꯇꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯑꯃꯨꯛꯇꯪ ꯋꯥꯔꯤ ꯁꯥꯕꯤꯌꯨ꯫ ꯃꯈꯣꯌꯅꯥ ꯑꯗꯣꯃꯗꯥ ꯐꯤꯚꯝ ꯑꯗꯨ ꯁꯟꯗꯣꯛꯅꯥ ꯇꯥꯛꯀꯅꯤ꯫
- ꯑꯔꯣꯌꯕꯗꯥ, ꯀꯅꯥꯒꯨꯝꯕꯥ ꯑꯃꯠꯇꯅꯥ ꯍꯀꯆꯥꯡ ꯐꯅꯥ ꯂꯩꯔꯕꯁꯨ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯀꯅꯕꯥ ꯑꯅꯥꯕꯥ ꯑꯃꯥ ꯂꯥꯛꯂꯕꯗꯤ ꯃꯈꯣꯌꯅꯥ ꯂꯧꯒꯗꯕꯥ ꯂꯥꯏꯌꯦꯡꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯏꯃꯨꯡ-ꯃꯅꯨꯡꯒꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯕꯥ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫
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