ꯑꯗꯣꯃꯗꯥ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯃꯈꯂꯒꯤ ꯆꯦꯛꯀꯤ ꯑꯅꯥꯕꯥ ꯂꯩꯕ꯭ꯔꯥ? (ꯃꯦꯗꯤꯌꯥꯁ꯭ꯇꯤꯅꯥꯏꯇꯤꯁ) ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯈꯉꯁꯤ꯫

ꯅꯍꯥꯛꯀꯤ ꯊꯝꯃꯣꯌꯅꯥ ꯂꯩꯔꯤꯕꯥ ꯃꯐꯝ ꯑꯗꯨꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯊꯝꯃꯣꯌꯒꯤ ꯃꯔꯛꯇꯥ ꯑꯆꯝꯕꯥ ꯑꯋꯥꯕꯥ ꯑꯃꯥ, ꯑꯔꯨꯝꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯑꯃꯥ ꯐꯥꯑꯣꯈꯤꯕ꯭ꯔꯥ? ꯑꯗꯣꯝꯅꯥ ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯂꯨꯕꯥ ꯋꯥꯐꯝ ꯑꯃꯠꯇꯥ ꯅꯠꯇꯦ ꯍꯥꯌꯅꯥ ꯈꯜꯂꯨꯕꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯍꯦꯟꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯍꯀꯁꯦꯂꯒꯤ ꯐꯤꯚꯝ ꯑꯃꯒꯤ ꯈꯨꯗꯝ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯉꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯊꯝꯃꯣꯌꯗꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯕꯥ, ꯑꯗꯨꯕꯨ ꯃꯤꯑꯣꯏ ꯀꯌꯥꯅꯥ ꯈꯉꯗꯕꯥ `(Mediastinitis)` ꯀꯧꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯔꯤ꯫ ꯃꯤꯡ ꯑꯁꯤ ꯈꯔꯥ ꯍꯦꯟꯅꯥ ꯂꯨꯝꯂꯕꯁꯨ, ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯂꯧꯁꯤ꯫

ꯃꯁꯤ `(ꯃꯦꯗꯤꯌꯥꯁ꯭ꯇꯤꯅꯥꯏꯇꯤꯁ)` ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ?

ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, `(Mediastinitis)` ꯍꯥꯌꯕꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯈꯣꯡꯒꯤ ꯃꯔꯛꯇꯥ ꯂꯩꯕꯥ `(mediastinum)` ꯀꯧꯕꯥ ꯃꯐꯝ ꯑꯗꯨꯗꯥ ꯊꯣꯀꯄꯥ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯁꯟ ꯅꯠꯠꯔꯒꯥ ꯏꯅꯐꯦꯛꯁꯟ ꯑꯃꯅꯤ꯫ ꯍꯧꯖꯤꯛ ꯑꯗꯣꯝꯅꯥ `(ꯃꯦꯗꯤꯌꯥꯁ꯭ꯇꯤꯅꯝ)` ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ ꯍꯥꯌꯅꯥ ꯈꯅꯕꯤꯔꯃꯒꯅꯤ꯫ ꯈꯅꯕꯤꯌꯨ, ꯑꯩꯈꯣꯌꯒꯤ ꯆꯦꯁ꯭ꯠ ꯑꯁꯤ ꯑꯆꯧꯕꯥ ꯀꯦꯚꯤꯇꯤ ꯑꯃꯅꯤ, ꯃꯁꯤꯕꯨ ꯑꯩꯈꯣꯌꯅꯥ `(ꯊꯣꯔꯥꯁꯤꯛ ꯀꯦꯚꯤꯇꯤ)` ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ ꯃꯁꯤꯒꯤ `(ꯊꯣꯔꯥꯁꯤꯛ ꯀꯦꯚꯤꯇꯤ)` ꯑꯁꯤꯒꯤ ꯃꯥꯏꯀꯩ ꯑꯃꯔꯣꯃꯗꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯂꯪꯁ ꯂꯩꯕꯥ `(ꯄ꯭ꯂꯤꯎꯔ ꯀꯦꯚꯤꯇꯤ)` ꯂꯩ꯫ ꯆꯦꯁ꯭ꯇꯀꯤ ꯃꯔꯛꯇꯥ, ꯂꯪꯁ ꯑꯅꯤꯒꯤ ꯃꯔꯛꯇꯥ ꯂꯩꯕꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯐꯝ ꯑꯗꯨꯕꯨ `(mediastinum).` ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫

`(ꯃꯦꯗꯤꯌꯥꯁ꯭ꯇꯤꯅꯝ)`ꯒꯤ ꯁꯔꯨꯛ ꯑꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯊꯝꯃꯣꯌ , ꯐꯨꯗ ꯄꯥꯏꯄꯀꯤ ꯁꯔꯨꯛ (`(ꯏꯁꯣꯐꯦꯒꯁ)`) , ꯑꯃꯁꯨꯡ ꯊꯝꯃꯣꯌꯒꯥ ꯁꯝꯅꯕꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯏꯒꯤ ꯈꯣꯡꯖꯦꯂꯁꯤꯡꯒꯨꯝꯕꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯑꯣꯔꯒꯥꯟ ꯑꯃꯁꯨꯡ ꯁ꯭ꯠꯔꯀꯆꯔ ꯀꯌꯥ ꯂꯩꯕꯥ ꯃꯐꯃꯅꯤ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯐꯝ ꯑꯃꯗꯥ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯁꯟ ꯅꯠꯠꯔꯒꯥ ꯏꯅꯐꯦꯛꯁꯟ ꯊꯣꯛꯂꯕꯗꯤ ꯃꯁꯤ ꯀꯌꯥ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯑꯣꯏꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯅꯍꯥꯛꯅꯥ ꯈꯪꯕꯥ ꯉꯃꯒꯅꯤ꯫ ꯃꯔꯝ ꯑꯁꯤꯅꯥ ꯀꯟꯗꯤꯁꯟ `(Mediastinitis)` ꯑꯁꯤ ꯄꯨꯟꯁꯤꯗꯥ ꯈꯨꯗꯣꯡꯊꯤꯕꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫

ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ (Mediastinitis) ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ (ꯈꯨꯗꯛꯇꯥ ꯊꯣꯀꯄꯥ) ꯅꯠꯠꯔꯒꯥ ꯀ꯭ꯔꯣꯅꯤꯛ (ꯃꯇꯝ ꯃꯇꯃꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯂꯥꯀꯄꯥ) ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ `(Mediastinitis)` ꯂꯥꯛꯂꯕꯗꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯀꯔꯤ ꯑꯣꯏꯒꯅꯤ?

ꯃꯦꯗꯤꯌꯥꯁ꯭ꯇꯤꯅꯥꯏꯇꯤꯁ ꯑꯁꯤ ꯄꯨꯟꯁꯤ ꯃꯥꯡꯍꯅꯕꯥ ꯌꯥꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫ ꯃꯁꯤꯒꯤ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯁꯟ ꯑꯁꯤꯅꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯑꯣꯔꯒꯥꯅꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯆꯦꯁ꯭ꯇꯀꯤ ꯃꯅꯨꯡꯗꯥ ꯂꯩꯕꯥ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯂꯁꯤꯡꯒꯤ ꯅꯣꯔꯃꯦꯜ ꯐꯉ꯭ꯀꯁꯅꯗꯥ ꯑꯀꯥꯌꯕꯥ ꯄꯤꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯅꯥ ꯑꯀꯅꯕꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯌꯥꯔꯤꯕꯃꯈꯩ ꯊꯨꯅꯥ ꯂꯥꯏꯌꯦꯡ ꯂꯧꯕꯅꯥ ꯐꯒꯠꯂꯀꯄꯒꯤ ꯆꯥꯡ ꯍꯦꯅꯒꯠꯍꯜꯂꯤ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯄꯨꯟꯁꯤ ꯀꯅꯕꯥ ꯉꯝꯃꯤ꯫

ꯃꯦꯗꯤꯌꯥꯁ꯭ꯇꯤꯅꯤꯇꯤꯁꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯕꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯟ ꯈꯔꯗꯤ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯁꯤꯡꯁꯤꯅꯤ:

• ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯗꯥ ꯑꯋꯥꯕꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯑꯦꯌꯔꯋꯦ (airway) ꯊꯤꯡꯖꯤꯅꯕꯥ꯫
• ꯀꯟꯁꯠꯔꯛꯁꯟ ꯄꯦꯔꯤꯀꯥꯔꯗꯤꯇꯤꯁ (ꯍꯥꯔꯇꯀꯤ ꯑꯀꯣꯌꯕꯗꯥ ꯂꯩꯕꯥ ꯃꯦꯝꯕ꯭ꯔꯦꯟ ꯑꯗꯨ ꯍꯥꯔꯗ ꯑꯣꯏꯕꯥ)꯫
• ꯔꯤꯀꯣꯔꯗ ꯑꯣꯏꯕꯥ ꯅ꯭ꯌꯨꯃꯣꯅꯤꯌꯥ .
• ꯔꯥꯏꯠ-ꯁꯥꯏꯗ ꯍꯥꯔꯠ ꯐꯦꯜ ꯑꯣꯏꯕꯥ .
• ꯕ꯭ꯂꯗ ꯄꯣꯏꯖꯟ, ꯍꯥꯌꯕꯗꯤ `(ꯁꯦꯄꯁꯤꯁ)` .
• ꯏ ꯌꯥꯝꯅꯥ ꯊꯣꯀꯄꯥ .
• ꯁꯨꯄꯔꯤꯌꯔ ꯚꯦꯅꯥ ꯀꯥꯚꯥ ꯁꯤꯟꯗ꯭ꯔꯣꯝ (ꯁꯨꯄꯤꯔꯤꯌꯔ ꯚꯦꯅꯥ ꯀꯥꯚꯥꯗꯥ ꯄ꯭ꯔꯦꯁꯔ ꯄꯤꯕꯥ, ꯍꯥꯔꯇꯇꯥ ꯏ ꯄꯨꯕꯥ ꯑꯆꯧꯕꯥ ꯚꯦꯅꯝ ꯑꯃꯥ)꯫

ꯈꯟꯊꯕꯤꯌꯨ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯐꯤꯚꯝ ꯑꯃꯥ ꯂꯥꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯃꯁꯤꯅꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯁꯤꯁ꯭ꯇꯦꯝ ꯄꯨꯝꯅꯃꯛꯇꯥ ꯁꯣꯀꯍꯜꯂꯤ꯫ ꯃꯔꯝ ꯑꯁꯤꯅꯥ ꯃꯁꯤꯕꯨ ꯂꯥꯏꯅꯥ ꯂꯧꯕꯥ ꯑꯁꯤ ꯑꯐꯕꯥ ꯅꯠꯇꯦ꯫

ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯀꯌꯥꯝ ꯀꯃꯟ ꯑꯣꯏꯕꯒꯦ?

ꯗꯣꯛꯇꯔꯁꯤꯡꯒꯤ ꯃꯇꯨꯡ ꯏꯟꯅꯥ ``ꯃꯦꯗꯤꯌꯥꯁ꯭ꯇꯤꯅꯥꯏꯇꯤꯁ`` ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯊꯣꯀꯄꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ . ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯃꯁꯤꯅꯥ ꯃꯤꯑꯣꯏꯕꯒꯤ ꯃꯔꯛꯇꯥ ꯊꯣꯀꯄꯒꯤ ꯆꯥꯡ (`ꯄ꯭ꯔꯤꯚꯦꯂꯦꯟꯁ`) ꯑꯃꯁꯨꯡ ꯃꯁꯤꯅꯥ ꯀꯅꯥꯗꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯁꯣꯀꯍꯅꯕꯒꯦ ꯍꯥꯌꯕꯁꯤ ꯂꯥꯌꯅꯥ ꯑꯁꯤꯒꯤ ꯃꯑꯣꯡ-ꯃꯇꯧ (`ꯑꯦꯛꯌꯨꯠ` ꯅꯠꯠꯔꯒꯥ `ꯀ꯭ꯔꯣꯅꯤꯛ`)ꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ ꯈꯦꯠꯅꯩ꯫

ꯑꯦꯛꯌꯨꯠ ꯃꯦꯗꯤꯌꯥꯁ꯭ꯇꯤꯅꯤꯇꯤꯁ ꯑꯁꯤ ꯃꯍꯧꯁꯥꯅꯥ ꯆꯦꯁ꯭ꯠ ꯁꯔꯖꯔꯤꯒꯤ ꯀꯃꯞꯂꯤꯀꯦꯁꯟ ꯑꯃꯥ ꯑꯣꯏꯅꯥ ꯎꯕꯥ ꯐꯪꯏ, ꯃꯔꯨꯑꯣꯏꯅꯥ ꯃꯦꯗꯤꯌꯝ ꯁ꯭ꯇꯦꯔꯅꯣꯇꯣꯃꯤ ꯀꯧꯕꯥ ꯄ꯭ꯔꯣꯁꯤꯗ꯭ꯌꯨꯑꯣꯔ ꯑꯃꯅꯤ꯫ ꯃꯦꯗꯤꯌꯝ ꯁ꯭ꯇꯦꯔꯅꯣꯇꯣꯃꯤ ꯍꯥꯌꯕꯁꯤ ꯁꯔꯖꯤꯀꯦꯜ ꯄ꯭ꯔꯣꯁꯤꯗ꯭ꯌꯨꯑꯣꯔ ꯑꯃꯅꯤ, ꯃꯁꯤꯗꯥ ꯁꯔꯖꯔꯤ ꯑꯃꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯥꯔꯠ ꯅꯠꯠꯔꯒꯥ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯂꯁꯤꯡꯗꯥ ꯑꯦꯛꯁꯦꯁ ꯂꯩꯍꯟꯅꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯕ꯭ꯔꯦꯁ꯭ꯇꯕꯣꯟ (sternum) ꯑꯗꯨ ꯑꯅꯤ ꯊꯣꯛꯅꯥ ꯀꯥꯄꯁꯤꯜꯂꯤ꯫ ꯃꯁꯤꯒꯤ ꯃꯈꯜ ꯑꯁꯤꯒꯤ ꯁꯔꯖꯔꯤ ꯇꯧꯔꯤꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ 0.25% ꯑꯃꯁꯨꯡ 5%ꯒꯤ ꯃꯔꯛꯇꯥ ꯑꯦꯛꯌꯨꯠ ꯃꯦꯗꯤꯌꯥꯁ꯭ꯇꯤꯅꯤꯇꯤꯁ ꯊꯣꯀꯏ꯫ ꯃꯁꯤꯒꯤ ꯆꯥꯡ ꯑꯁꯤ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯜ ꯑꯃꯗꯒꯤ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯜ ꯑꯃꯗꯥ ꯑꯃꯁꯨꯡ ꯂꯃꯗꯝ ꯑꯃꯗꯒꯤ ꯂꯃꯗꯝ ꯑꯃꯗꯥ ꯈꯦꯠꯅꯕꯥ ꯌꯥꯏ꯫

ꯀ꯭ꯔꯣꯅꯤꯛ ꯃꯦꯗꯤꯌꯥꯁ꯭ꯇꯤꯅꯤꯇꯤꯁ ꯑꯁꯤ ꯍꯦꯟꯅꯥ ꯇꯣꯏꯅꯥ ꯊꯣꯀꯏ꯫ ꯃꯍꯧꯁꯥꯅꯥ ꯃꯁꯤ ꯍꯤꯁ꯭ꯇꯣꯞꯂꯥꯖꯃꯥ ꯀꯦꯄꯁꯨꯂꯦꯇꯝ ꯀꯧꯕꯥ ꯐꯉ꯭ꯒꯦꯜ ꯃꯈꯜ ꯑꯃꯥ ꯀꯃꯟ ꯑꯣꯏꯕꯥ (ꯑꯦꯟꯗꯦꯃꯤꯛ) ꯂꯩꯕꯥ ꯃꯐꯃꯁꯤꯡꯗꯥ ꯈꯪꯗꯣꯀꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯐꯉ꯭ꯒꯦꯜ ꯑꯁꯤꯅꯥ ꯁꯣꯀꯍꯜꯂꯕꯥ ꯃꯤꯑꯣꯏ ꯈꯨꯗꯤꯡꯃꯛꯇꯥ ꯂꯥꯌꯅꯥ ꯑꯁꯤ ꯂꯥꯀꯄꯥ ꯉꯃꯗꯦ꯫ ꯔꯤꯁꯔꯆꯔꯁꯤꯡꯅꯥ ꯍꯥꯌꯔꯤ ꯃꯗꯨꯗꯤ ꯑꯦꯛꯁꯄꯣꯖ ꯇꯧꯔꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯱%ꯗꯒꯤ ꯇꯥꯅꯥ ꯐꯉ꯭ꯒꯦꯜ ꯏꯅꯐꯦꯛꯁꯟ (ꯍꯤꯁ꯭ꯇꯣꯞꯂꯥꯖꯃꯣꯁꯤꯁ) ꯊꯣꯀꯏ꯫ ꯃꯈꯣꯌꯁꯤꯡ ꯑꯗꯨꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯌꯥꯝꯅꯥ ꯅꯦꯝꯕꯥ ꯃꯁꯤꯡ ꯈꯛꯇꯗꯥ ꯀ꯭ꯔꯣꯅꯤꯛ ꯃꯦꯗꯤꯌꯥꯁ꯭ꯇꯤꯅꯤꯇꯤꯁ ꯊꯣꯀꯏ꯫ ꯁ꯭ꯇꯗꯤꯁꯤꯡꯅꯥ ꯇꯥꯛꯂꯤ ꯃꯗꯨꯗꯤ ꯌꯨꯅꯥꯏꯇꯦꯗ ꯁ꯭ꯇꯦꯇꯁꯇꯥ ꯍꯧꯖꯤꯀꯁꯨ ꯐꯥꯏꯕ꯭ꯔꯣꯁꯤꯡ ꯃꯦꯗꯤꯌꯥꯁ꯭ꯇꯤꯅꯤꯇꯤꯁ (ꯀ꯭ꯔꯣꯅꯤꯛ ꯃꯦꯗꯤꯌꯥꯁ꯭ꯇꯤꯅꯤꯇꯤꯁꯀꯤ ꯃꯑꯣꯡ ꯑꯃꯥ) ꯂꯩꯕꯥ ꯄꯦꯁꯦꯟꯇ ꯂꯤꯁꯤꯡ ꯀꯌꯥ ꯂꯩꯔꯤ꯫

`ꯑꯦꯛꯌꯨꯠ ꯃꯦꯗꯤꯌꯥꯁ꯭ꯇꯤꯅꯤꯇꯤꯁ` ꯑꯃꯁꯨꯡ `ꯀ꯭ꯔꯣꯅꯤꯛ ꯃꯦꯗꯤꯌꯥꯁ꯭ꯇꯤꯅꯤꯇꯤꯁ`ꯒꯤ ꯃꯔꯛꯇꯥ ꯀꯔꯤ ꯈꯦꯠꯅꯕꯥ ꯂꯩꯕꯒꯦ?

`(ꯃꯦꯗꯤꯌꯥꯁ꯭ꯇꯤꯅꯥꯏꯇꯤꯁ)`ꯒꯤ ꯃꯈꯜ ꯑꯅꯤ ꯂꯩ꯫ ꯑꯃꯅꯥ `ꯑꯦꯛꯌꯨꯠ ꯃꯦꯗꯤꯌꯥꯁ꯭ꯇꯤꯅꯤꯇꯤꯁ`ꯅꯤ꯫ ꯑꯇꯣꯞꯄꯥ ꯑꯃꯅꯥ `ꯀ꯭ꯔꯣꯅꯤꯛ ꯃꯦꯗꯤꯌꯥꯁ꯭ꯇꯤꯅꯤꯇꯤꯁ` . ꯑꯅꯤꯁꯤꯒꯤ ꯃꯔꯛꯇꯥ ꯑꯆꯧꯕꯥ ꯈꯦꯟꯅꯕꯥ ꯑꯃꯥ ꯂꯩꯔꯤ꯫

ꯑꯦꯛꯌꯨꯠ ꯃꯦꯗꯤꯌꯥꯁ꯭ꯇꯤꯅꯤꯇꯤꯁ ꯍꯥꯌꯕꯁꯤ ꯈꯪꯍꯧꯗꯅꯥ ꯊꯣꯀꯄꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ, ꯑꯃꯁꯨꯡ ꯃꯁꯤꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡꯅꯤ . ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯏꯁꯣꯐꯦꯒꯁꯇꯥ ꯄꯣꯃꯈꯠꯄꯥ ꯂꯩꯔꯕꯗꯤ, ꯄꯨꯡ ꯈꯔꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯦꯛꯌꯨꯠ ꯃꯦꯗꯤꯌꯥꯁ꯭ꯇꯤꯅꯤꯇꯤꯁ ꯂꯥꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯁꯤ ꯀꯣꯛ ꯅꯠꯠꯔꯒꯥ ꯅꯥꯀꯣꯡꯗꯥ ꯏꯅꯐꯦꯛꯁꯟ ꯂꯩꯔꯀꯄꯥ ꯃꯇꯃꯗꯁꯨ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯆꯦꯁ꯭ꯠ ꯁꯔꯖꯔꯤꯒꯤ ꯀꯃꯞꯂꯤꯀꯦꯁꯟ ꯑꯃꯥ ꯑꯣꯏꯅꯥ ꯃꯍꯧꯁꯥꯅꯥ ꯑꯍꯥꯅꯕꯥ ꯊꯥꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯊꯣꯀꯏ꯫ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ, ꯃꯁꯤ ꯇꯨꯡꯗꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯏ, ꯑꯍꯥꯅꯕꯥ ꯆꯍꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯐꯥꯎꯕꯥ꯫ ꯑꯦꯛꯌꯨꯠ ꯃꯦꯗꯤꯌꯥꯁ꯭ꯇꯤꯅꯤꯇꯤꯁ ꯑꯁꯤ ꯃꯦꯗꯤꯀꯦꯜ ꯏꯃꯔꯖꯦꯟꯁꯤ ꯑꯃꯅꯤ꯫ ꯅꯍꯥꯛꯀꯤ ꯄꯨꯟꯁꯤ ꯀꯟꯅꯕꯥ ꯈꯨꯗꯛꯇꯥ ꯂꯥꯏꯌꯦꯡ ꯍꯧꯒꯗꯕꯅꯤ꯫

ꯀ꯭ꯔꯣꯅꯤꯛ ꯃꯦꯗꯤꯌꯥꯁ꯭ꯇꯤꯅꯤꯇꯤꯁ ꯑꯁꯤꯁꯨ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ, ꯑꯗꯨꯕꯨ ꯃꯁꯤ ꯊꯥ ꯀꯌꯥꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯂꯥꯀꯏ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯆꯍꯤ ꯀꯌꯥ . ꯃꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯃꯦꯗꯤꯌꯥꯁ꯭ꯇꯤꯅꯃꯗꯥ ꯁ꯭ꯀꯥꯔ ꯇꯤꯁꯨꯁꯤꯡ ꯁꯦꯃꯒꯠꯂꯀꯄꯥ ꯌꯥꯏ꯫ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤꯕꯨ ꯐꯥꯏꯕ꯭ꯔꯣꯁꯤꯡ ꯃꯦꯗꯤꯌꯥꯁ꯭ꯇꯤꯅꯤꯇꯤꯁ ꯅꯠꯠꯔꯒꯥ ꯃꯦꯗꯤꯌꯥꯁ꯭ꯇꯤꯅꯦꯜ ꯐꯥꯏꯕ꯭ꯔꯣꯁꯤꯁ ꯍꯥꯌꯅꯥ ꯀꯧꯏ . ꯀ꯭ꯔꯣꯅꯤꯛ ꯃꯦꯗꯤꯌꯥꯁ꯭ꯇꯤꯅꯤꯇꯤꯁꯀꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯔꯝ ꯑꯁꯤ ꯃꯍꯧꯁꯥꯅꯥ ꯐꯉ꯭ꯒꯦꯜ ꯏꯅꯐꯦꯛꯁꯟ ꯑꯃꯅꯤ꯫

ꯀ꯭ꯔꯣꯅꯤꯛ ꯃꯦꯗꯤꯌꯥꯁ꯭ꯇꯤꯅꯥꯏꯇꯤꯁꯅꯥ ꯅꯥꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯅꯥ ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯂꯥꯏꯑꯣꯡ ꯎꯠꯄꯥ ꯉꯃꯗꯕꯥ ꯌꯥꯏ, ꯅꯠꯠꯔꯒꯥ ꯃꯈꯣꯌꯗꯥ ꯂꯥꯏꯑꯣꯡ ꯑꯃꯠꯇꯥ ꯂꯩꯇꯕꯁꯨ ꯌꯥꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯈꯣꯌꯗꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ ꯑꯁꯤꯅꯆꯤꯡꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯂꯩꯔꯕꯗꯤ, ꯃꯈꯣꯌ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯍꯧꯔꯀꯄꯥ ꯌꯥꯏ ꯑꯃꯁꯨꯡ ꯃꯇꯃꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ ꯍꯦꯟꯅꯥ ꯐꯒꯠꯂꯀꯄꯥ ꯌꯥꯏ꯫ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯁ꯭ꯀꯥꯔ ꯇꯤꯁꯨꯁꯤꯡ ꯁꯦꯃꯒꯠꯂꯀꯄꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯊꯣꯀꯏ, ꯃꯗꯨꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯅꯨꯡꯁꯤꯠꯀꯤ ꯈꯣꯡꯖꯦꯜ (trachea) ꯅꯠꯠꯔꯒꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯥꯔꯇꯇꯥ ꯏ ꯄꯨꯕꯥ ꯑꯆꯧꯕꯥ ꯚꯦꯅꯝ ꯑꯃꯥ ꯑꯣꯏꯔꯤꯕꯥ ꯁꯨꯄꯤꯔꯤꯌꯔ ꯚꯦꯅꯝ ꯀꯥꯚꯥꯗꯥ ꯆꯦꯟꯊꯔꯀꯏ꯫ ꯂꯥꯏꯌꯦꯡ ꯑꯁꯤ ꯃꯔꯨꯑꯣꯏꯅꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯍꯟꯊꯍꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯄꯨꯟꯁꯤꯒꯤ ꯃꯒꯨꯟ ꯐꯒꯠꯍꯅꯕꯗꯥ ꯄꯥꯟꯗꯝ ꯊꯝꯂꯤ꯫

`(ꯃꯦꯗꯤꯌꯥꯁ꯭ꯇꯤꯅꯥꯏꯇꯤꯁ)`ꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯤꯅꯣ?

ꯀꯟꯗꯤꯁꯟ ꯑꯗꯨ `ꯑꯦꯛꯌꯨꯠ` ꯅꯠꯠꯔꯒꯥ `ꯀ꯭ꯔꯣꯅꯤꯛ` ꯑꯣꯏꯕꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡꯁꯨ ꯈꯦꯠꯅꯩ꯫

`ꯑꯦꯛꯌꯨꯠ ꯃꯦꯗꯤꯌꯥꯁ꯭ꯇꯤꯅꯤꯇꯤꯁ`ꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ:

• ꯈꯪꯍꯧꯗꯅꯥ, ꯁꯥꯊꯤꯕꯥ ꯆꯦꯛꯁꯤꯟ-ꯊꯧꯔꯥꯡ꯫
• ꯆꯤꯂꯁ ꯇꯧꯕꯥ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯦꯗꯤꯌꯝ ꯁ꯭ꯇꯦꯔꯅꯣꯇꯣꯃꯤ (median sternotomy) ꯇꯧꯔꯕꯗꯤ, ꯑꯁꯣꯀꯄꯥ ꯃꯐꯝ ꯑꯗꯨꯗꯒꯤ ꯄꯨꯁꯒꯨꯝꯕꯥ ꯐ꯭ꯂꯨꯏꯗ ꯑꯃꯥ ꯊꯣꯔꯀꯄꯥ ꯌꯥꯏ꯫
• ꯂꯥꯏꯍꯧ ꯍꯧꯕ.
• ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ꯫

`ꯀ꯭ꯔꯣꯅꯤꯛ ꯃꯦꯗꯤꯌꯥꯁ꯭ꯇꯤꯅꯥꯏꯇꯤꯁ`ꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ:

ꯀ꯭ꯔꯣꯅꯤꯛ ꯃꯦꯗꯤꯌꯥꯁ꯭ꯇꯤꯅꯤꯇꯤꯁꯅꯥ ꯂꯥꯏꯑꯣꯡ ꯑꯃꯠꯇꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯗꯦ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯐꯥꯏꯕ꯭ꯔꯣꯁꯤꯡ ꯃꯦꯗꯤꯌꯥꯁ꯭ꯇꯤꯅꯤꯇꯤꯁꯅꯥ ꯅꯥꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯅꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯊꯦꯡꯅꯔꯀꯄꯥ ꯌꯥꯏ:

• ꯈꯣꯡꯗꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯄꯥ꯫
• ꯂꯣꯛ ꯈꯨꯕꯥ, ꯏ ꯌꯥꯎꯕꯥ ꯐꯥꯎꯕꯥ ꯌꯥꯏ꯫
• ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ꯫
• ``ꯁꯨꯄꯤꯔꯤꯌꯔ ꯚꯦꯅꯥ ꯀꯥꯚꯥ ꯁꯤꯟꯗ꯭ꯔꯣꯝ'' (ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯃꯥꯌ, ꯈꯣꯡ, ꯈꯨꯠꯁꯥ ꯁꯣꯀꯄꯥ)ꯒꯥ ꯃꯔꯤ ꯂꯩꯅꯕꯥ ꯑꯍꯦꯅꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ꯫

`(ꯃꯦꯗꯤꯌꯥꯁ꯭ꯇꯤꯅꯥꯏꯇꯤꯁ)`ꯒꯤ ꯃꯔꯃꯁꯤꯡ ꯀꯔꯤꯅꯣ?

ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤꯒꯤ ꯃꯔꯃꯁꯤꯡꯁꯨ ꯃꯈꯜ ꯑꯗꯨꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ ꯈꯦꯠꯅꯩ꯫

`ꯑꯦꯛꯌꯨꯠ ꯃꯦꯗꯤꯌꯥꯁ꯭ꯇꯤꯅꯤꯇꯤꯁ`ꯒꯤ ꯃꯔꯃꯁꯤꯡ:

ꯑꯦꯛꯌꯨꯠ ꯃꯦꯗꯤꯌꯥꯁ꯭ꯇꯤꯅꯤꯇꯤꯁ ꯑꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯂꯩꯕꯥ ꯇꯤꯁꯨꯁꯤꯡ ꯑꯗꯨ ꯈꯪꯍꯧꯗꯅꯥ ꯏꯅꯐꯦꯛꯁꯟ ꯂꯩꯔꯕꯥ ꯃꯇꯃꯗꯥ ꯊꯣꯀꯏ꯫ ꯍꯥꯌꯔꯤꯕꯥ ꯏꯅꯐꯦꯛꯁꯅꯁꯤꯡ ꯑꯁꯤ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯁꯤꯡꯁꯤꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ:

• ꯃꯦꯗꯤꯌꯝ ꯁ꯭ꯇꯦꯔꯅꯣꯇꯣꯃꯤ ꯑꯃꯒꯤ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ: ꯁꯔꯖꯔꯤ ꯃꯈꯜ ꯑꯁꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯑꯌꯥꯝꯕꯥ ꯏꯅꯐꯦꯛꯁꯅꯁꯤꯡ ꯑꯁꯤ ꯁ꯭ꯇꯦꯐꯥꯏꯂꯣꯀꯣꯀꯁ ꯑꯣꯔꯦꯁ ꯀꯧꯕꯥ ꯕꯦꯛꯇꯦꯔꯤꯌꯥ ꯑꯃꯅꯥ ꯊꯣꯀꯍꯅꯕꯅꯤ꯫ ꯅꯍꯥꯛꯀꯤ ꯆꯦꯁ꯭ꯠ ꯇꯤꯁꯨ ꯅꯠꯠꯔꯒꯥ ꯁꯔꯖꯤꯀꯦꯂꯒꯤ ꯑꯁꯣꯀꯄꯥ ꯑꯗꯨ ꯁꯔꯖꯔꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯅꯠꯠꯔꯒꯥ ꯃꯇꯝ ꯈꯔꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯏꯅꯐꯦꯛꯁꯟ ꯂꯩꯕꯥ ꯌꯥꯏ꯫ ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯁꯣꯀꯄꯥ ꯑꯗꯨ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯐꯒꯠꯂꯛꯠꯔꯕꯗꯤ ꯅꯠꯠꯔꯒꯥ ꯑꯁꯣꯀꯄꯥ ꯑꯗꯨꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯖꯔꯃꯁꯤꯡ ꯆꯪꯂꯛꯂꯕꯗꯤ꯫
• ꯏꯁꯣꯐꯦꯖꯤꯌꯜ ꯄꯔꯐꯣꯔꯦꯁꯟ (esophageal perforation): ꯃꯁꯤ ꯃꯔꯝ ꯀꯌꯥꯒꯤ ꯃꯔꯃꯗꯒꯤ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯑꯦꯟꯗꯣꯁ꯭ꯀꯣꯄꯤꯛ ꯄ꯭ꯔꯣꯁꯤꯗ꯭ꯌꯨꯑꯣꯔꯁꯤꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ (ꯏꯁꯣꯐꯦꯒꯁꯀꯤ ꯃꯅꯨꯡꯗꯥ ꯌꯦꯡꯁꯤꯟꯅꯕꯥ ꯀꯦꯃꯦꯔꯥ ꯁꯤꯖꯤꯟꯅꯗꯨꯅꯥ ꯑꯦꯀꯖꯥꯃꯤꯅꯦꯁꯟ ꯇꯧꯕꯥ) ꯅꯠꯠꯔꯒꯥ ꯌꯥꯝꯅꯥ ꯋꯥꯅꯥ, ꯐꯣꯔꯁꯐꯨꯜ ꯑꯣꯏꯕꯥ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ( Boerhaave syndrome) ꯑꯁꯤꯅꯥ ꯏꯁꯣꯐꯦꯒꯁ ꯑꯗꯨ ꯁꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫
• ꯃꯀꯣꯛ ꯅꯠꯠꯔꯒꯥ ꯈꯣꯡꯗꯒꯤ ꯁꯟꯗꯣꯔꯀꯄꯥ ꯏꯅꯐꯦꯛꯁꯟ: ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯃꯁꯤꯕꯨ ``ꯗꯤꯁꯦꯟꯗꯤꯡ ꯅꯦꯛꯔꯣꯇꯥꯏꯖꯤꯡ ꯃꯦꯗꯤꯌꯥꯁ꯭ꯇꯤꯅꯤꯇꯤꯁ'' ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ꯃꯁꯤꯅꯥ ꯇꯥꯀꯄꯗꯤ ꯃꯊꯛꯀꯤ ꯆꯦꯡꯒꯤ ꯃꯐꯝ ꯑꯗꯨꯗꯒꯤ ꯍꯧꯔꯀꯄꯥ ꯏꯅꯐꯦꯛꯁꯟ ꯑꯃꯅꯥ ꯆꯦꯡꯗꯥ ꯆꯦꯟꯊꯈꯤꯗꯨꯅꯥ ꯃꯐꯃꯗꯨꯗꯥ ꯂꯩꯕꯥ ꯇꯤꯁꯨꯁꯤꯡꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯜꯂꯤ꯫ ꯅꯍꯥꯛꯀꯤ ꯃꯤꯠꯇꯥ ꯏꯅꯐꯦꯛꯁꯅꯁꯤꯡ (ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯈꯣꯡ ꯍꯥꯝꯂꯕꯥ) ꯑꯃꯁꯨꯡ ꯀꯣꯛꯇꯥ ꯏꯅꯐꯦꯛꯁꯅꯁꯤꯡ ꯑꯁꯤ ꯃꯑꯣꯡ ꯑꯁꯤꯅꯥ ꯁꯟꯗꯣꯀꯄꯥ ꯌꯥꯏ꯫

ꯀ꯭ꯔꯣꯅꯤꯛ ꯃꯦꯗꯤꯌꯥꯁ꯭ꯇꯤꯅꯤꯇꯤꯁꯀꯤ ꯃꯔꯃꯁꯤꯡ:

ꯀ꯭ꯔꯣꯅꯤꯛ ꯃꯦꯗꯤꯌꯥꯁ꯭ꯇꯤꯅꯤꯇꯤꯁ ꯑꯁꯤꯁꯨ ꯏꯅꯐꯦꯛꯁꯟ ꯑꯃꯅꯥ ꯊꯣꯀꯍꯜꯂꯤ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯃꯁꯤꯒꯤ ꯀꯦꯁ ꯑꯁꯤꯗꯥ, ꯅꯍꯥꯛꯀꯤ ꯇꯤꯁꯨꯁꯤꯡꯗꯥ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯁꯟ ꯑꯁꯤ ꯕꯦꯛꯇꯦꯔꯤꯌꯥꯅꯥ ꯁꯣꯀꯍꯜꯂꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯈꯨꯗꯛꯇꯥ ꯊꯣꯀꯍꯟꯗꯦ, ꯑꯗꯨꯕꯨ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯊꯣꯀꯏ꯫ ꯀ꯭ꯔꯣꯅꯤꯛ ꯃꯦꯗꯤꯌꯥꯁ꯭ꯇꯤꯅꯤꯇꯤꯁ ꯑꯁꯤ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯁꯤꯡꯁꯤꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ:

• ꯐꯉ꯭ꯒꯦꯜ ꯏꯅꯐꯦꯛꯁꯟ (ꯃꯁꯤꯅꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯃꯔꯃꯅꯤ)꯫
• ꯇ꯭ꯌꯨꯕꯔꯀꯨꯂꯣꯁꯤꯁ꯫
• ꯔꯦꯗꯤꯑꯦꯁꯟ ꯊꯦꯔꯥꯄꯤ ꯇꯧꯕꯥ꯫
• ꯁꯤꯂꯤꯀꯣꯁꯤꯁ (ꯁꯤꯂꯤꯀꯥ ꯄꯥꯔꯇꯤꯀꯦꯂꯁꯤꯡ ꯏꯅꯍꯦꯜ ꯇꯧꯕꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯂꯪꯁꯀꯤ ꯂꯥꯌꯅꯥ)꯫
• ꯁꯥꯔꯀꯣꯏꯗꯣꯁꯤꯁ (ꯍꯀꯆꯥꯡꯒꯤ ꯇꯣꯉꯥꯟ-ꯇꯣꯉꯥꯅꯕꯥ ꯑꯣꯔꯒꯥꯅꯁꯤꯡꯗꯥ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯇꯔꯤ ꯁꯦꯂꯁꯤꯡꯒꯤ ꯑꯄꯤꯀꯄꯥ ꯀ꯭ꯂꯁ꯭ꯇꯔꯁꯤꯡ ꯁꯦꯝꯕꯥ)꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯀ꯭ꯔꯣꯅꯤꯛ ꯃꯦꯗꯤꯌꯥꯁ꯭ꯇꯤꯅꯤꯇꯤꯁꯀꯤ ꯃꯌꯦꯛ ꯁꯦꯡꯕꯥ ꯃꯔꯝ ꯑꯃꯠꯇꯥ ꯐꯪꯗꯦ꯫ ꯃꯁꯤꯕꯨ ꯏꯗꯤꯑꯣꯄꯦꯊꯤꯛ ꯍꯥꯌꯅꯥ ꯀꯧꯏ .

ꯀ꯭ꯔꯣꯅꯤꯛ ꯃꯦꯗꯤꯌꯥꯁ꯭ꯇꯤꯅꯤꯇꯤꯁ ꯊꯣꯀꯍꯜꯂꯤꯕꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯐꯉ꯭ꯒꯦꯜ ꯏꯅꯐꯦꯛꯁꯟ ꯑꯁꯤ ꯍꯤꯁ꯭ꯇꯣꯞꯂꯥꯖꯃꯥ ꯀꯦꯄꯁꯨꯂꯦꯇꯃꯅꯤ꯫ ꯌꯨꯅꯥꯏꯇꯦꯗ ꯁ꯭ꯇꯦꯇꯁꯇꯥ, ꯐꯉ꯭ꯒꯦꯜ ꯑꯁꯤ ꯑꯣꯍꯤꯑꯣ ꯔꯤꯚꯔ ꯚꯦꯂꯤ ꯑꯃꯁꯨꯡ ꯃꯤꯁꯤꯁꯤꯄꯤ ꯔꯤꯚꯔ ꯚꯦꯂꯤꯗꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯀꯃꯟ ꯑꯣꯏ꯫ ꯃꯥꯂꯦꯃꯒꯤ ꯑꯇꯣꯞꯄꯥ ꯃꯐꯃꯁꯤꯡꯗꯥ, ꯃꯁꯤ ꯑꯐ꯭ꯔꯤꯀꯥ, ꯑꯦꯁꯤꯌꯥ, ꯑꯣꯁ꯭ꯠꯔꯦꯂꯤꯌꯥ, ꯁꯦꯟꯠꯔꯦꯜ ꯑꯃꯦꯔꯤꯀꯥ ꯑꯃꯁꯨꯡ ꯈꯥ-ꯅꯣꯡꯄꯣꯛ ꯑꯥꯃꯦꯔꯤꯀꯥꯒꯤ ꯃꯐꯝ ꯈꯔꯗꯥ ꯎꯕꯥ ꯐꯪꯏ꯫

ꯃꯁꯤꯒꯤ ꯐꯉ꯭ꯒꯦꯜ ꯑꯁꯤ ꯂꯩꯃꯥꯌꯗꯥ ꯂꯩ꯫ ꯃꯁꯤ ꯅꯨꯡꯁꯤꯠꯇꯥ ꯆꯦꯟꯊꯔꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯅꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯗ꯭ꯔꯤꯕꯐꯥꯎꯕꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯍꯜꯂꯣꯏꯗꯕꯅꯤ, ꯁꯣꯀꯍꯜꯂꯕꯥ ꯃꯤꯑꯣꯏ ꯈꯨꯗꯤꯡꯃꯛ ꯑꯅꯥꯕꯥ ꯂꯩꯔꯣꯏ꯫ ꯇꯁꯦꯡꯕꯗꯤ, ꯐꯉ꯭ꯒꯦꯜ ꯑꯁꯤꯅꯥ ꯁꯣꯀꯍꯜꯂꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯌꯥꯝꯕꯅꯥ ꯑꯅꯥꯕꯥ ꯑꯃꯠꯇꯥ ꯂꯩꯔꯣꯏ, ꯅꯠꯠꯔꯒꯥ ꯂꯥꯏꯑꯣꯡ ꯑꯃꯠꯇꯥ ꯂꯩꯇꯕꯥ ꯃꯌꯥꯏ ꯑꯣꯏꯕꯥ ꯏꯅꯐꯦꯛꯁꯟ ꯈꯛꯇꯃꯛ ꯂꯩꯒꯅꯤ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯅꯍꯥꯛꯀꯤ ꯏꯝꯝꯌꯨꯟ ꯁꯤꯁ꯭ꯇꯦꯃꯅꯥ ꯐꯉ꯭ꯒꯦꯜ ꯑꯁꯤ ꯁꯣꯀꯍꯜꯂꯕꯥ ꯃꯇꯨꯡꯗꯥ (ꯑꯌꯥꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯆꯍꯤ ꯀꯌꯥꯒꯤ ꯃꯇꯨꯡꯗꯥ) ꯍꯦꯟꯅꯥ ꯔꯤꯑꯦꯛꯁꯟ ꯇꯧꯔꯀꯄꯒꯤ ꯆꯥꯡ ꯌꯥꯝꯅꯥ ꯅꯦꯝꯃꯤ꯫ ꯃꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ``ꯃꯦꯗꯤꯌꯥꯁ꯭ꯇꯤꯅꯝ''ꯗꯥ ꯂꯩꯕꯥ ꯇꯤꯁꯨꯁꯤꯡꯗꯥ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯁꯟ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ, ꯃꯗꯨꯅꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫

`(ꯃꯦꯗꯤꯌꯥꯁ꯭ꯇꯤꯅꯤꯇꯤꯁ)` ꯂꯥꯀꯄꯒꯤ ꯔꯤꯁ꯭ꯛ ꯐꯦꯛꯇꯔꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯤꯅꯣ?

ꯍꯧꯖꯤꯛ ꯃꯁꯤ ꯀꯅꯥꯅꯥ ꯍꯦꯟꯅꯥ ꯆꯥꯎꯈꯠꯂꯀꯄꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯁꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯣꯄꯟ-ꯍꯥꯔꯠ ꯁꯔꯖꯔꯤꯒꯨꯝꯕꯥ `(ꯃꯦꯗꯤꯌꯝ ꯁ꯭ꯇꯦꯔꯅꯣꯇꯣꯃꯤ)`ꯒꯤ ꯃꯊꯧ ꯇꯥꯕꯥ ꯁꯔꯖꯔꯤ ꯑꯃꯥ ꯇꯧꯔꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯌꯥꯏ꯫ ꯅꯍꯥꯛꯀꯤ ꯔꯤꯁ꯭ꯀꯀꯤ ꯃꯇꯥꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯇꯥꯟꯅꯧ꯫ ꯃꯍꯧꯁꯥꯅꯥ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯍꯦꯛꯇꯕꯨ ꯂꯩꯔꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ `(ꯃꯦꯗꯤꯌꯝ ꯁ꯭ꯇꯦꯔꯅꯣꯇꯣꯃꯤ)`ꯒꯤ ꯃꯇꯨꯡꯗꯥ `ꯑꯦꯛꯌꯨꯠ ꯃꯦꯗꯤꯌꯥꯁ꯭ꯇꯤꯅꯤꯇꯤꯁ` ꯂꯥꯀꯄꯒꯤ ꯆꯥꯡ ꯍꯦꯟꯅꯥ ꯋꯥꯡꯏ:

• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯏꯝꯝꯌꯨꯟ ꯁꯤꯁ꯭ꯇꯦꯝ ꯑꯗꯨ ꯁꯣꯀꯍꯜꯂꯤꯕꯥ ꯃꯦꯗꯤꯀꯦꯜ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯥ ꯂꯩꯔꯕꯗꯤ .
• ꯀ꯭ꯔꯣꯅꯤꯛ ꯑꯣꯕꯁ꯭ꯠꯔꯀꯆꯔ ꯄꯂꯃꯣꯅꯥꯔꯤ ꯗꯤꯖꯤꯖ (ꯁꯤ.ꯑꯣ.ꯄꯤ.ꯗꯤ.) .
• ꯗꯥꯏꯕꯤꯇꯤꯖ.
• ꯀꯤꯗꯅꯤ ꯐꯦꯜ ꯑꯣꯏꯕꯥ꯫
• ꯀꯥ ꯍꯦꯟꯅ ꯅꯣꯏꯕ.
• ꯄꯦꯔꯤꯐꯦꯔꯦꯜ ꯑꯥꯔꯇꯦꯔꯤ ꯗꯤꯖꯤꯖ (PAD) (ꯈꯨꯠ ꯑꯃꯁꯨꯡ ꯈꯣꯡꯗꯥ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯂꯁꯤꯡ ꯊꯤꯡꯖꯤꯅꯕꯥ)꯫

ꯊꯛꯅꯕꯥ ꯏꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯊꯛꯅꯕꯥ ꯏꯁꯤꯡ ꯁꯤꯖꯤꯟꯅꯕꯅꯥ ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡꯒꯤ ꯔꯤꯁ꯭ꯀꯁꯨ ꯍꯦꯅꯒꯠꯍꯜꯂꯤ꯫

ꯁꯔꯖꯔꯤ ꯃꯁꯥꯃꯀꯀꯥ ꯃꯔꯤ ꯂꯩꯅꯕꯥ ꯑꯀꯛꯅꯕꯥ ꯐꯦꯛꯇꯔꯁꯤꯡꯅꯁꯨ ꯃꯦꯗꯤꯌꯥꯁ꯭ꯇꯤꯅꯤꯇꯤꯁꯀꯤ ꯔꯤꯁ꯭ꯛ ꯍꯦꯅꯒꯠꯍꯜꯂꯤ꯫ ꯃꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯌꯥꯑꯣꯔꯤ:

• ꯁꯔꯖꯔꯤ ꯑꯁꯤ ꯃꯇꯝ ꯌꯥꯝꯅꯥ ꯆꯪꯈꯤ ꯅꯠꯠꯔꯒꯥ ꯄꯦꯁꯦꯟꯇ ꯑꯗꯨ ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯀꯥꯔꯗꯤꯑꯣꯄꯂꯃꯣꯅꯥꯔꯤ ꯕꯥꯏꯄꯥꯁꯇꯥ ꯂꯩꯈꯤ꯫
• ꯔꯤꯑꯣꯄꯔꯦꯁꯟ (ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯍꯥꯟꯅꯅꯥ ꯆꯦꯁ꯭ꯠ ꯁꯔꯖꯔꯤ ꯇꯧꯈ꯭ꯔꯕꯗꯤ)꯫

ꯅꯍꯥꯛ ꯑꯁꯤ `(ꯍꯤꯁ꯭ꯇꯣꯞꯂꯥꯖꯃꯥ ꯀꯦꯄꯁꯨꯂꯦꯇꯝ)`ꯅꯤ꯫ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯐꯉ꯭ꯒꯦꯜ ꯑꯁꯤ ꯑꯦꯟꯗꯦꯃꯤꯛ ꯑꯣꯏꯕꯥ ꯃꯐꯝ ꯑꯃꯗꯥ ꯂꯩꯔꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯀ꯭ꯔꯣꯅꯤꯛ ꯃꯦꯗꯤꯌꯥꯁ꯭ꯇꯤꯅꯤꯇꯤꯁ ꯂꯥꯀꯄꯒꯤ ꯔꯤꯁ꯭ꯛ ꯍꯦꯟꯅꯥ ꯂꯩ꯫

`(ꯃꯦꯗꯤꯌꯥꯁ꯭ꯇꯤꯅꯥꯏꯇꯤꯁ)` ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯈꯪꯗꯣꯀꯄꯒꯦ?

ꯃꯍꯧꯁꯥꯅꯥ ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯐꯤꯖꯤꯀꯦꯜ ꯑꯦꯀꯖꯥꯃꯤꯅꯦꯁꯟ ꯑꯃꯁꯨꯡ ꯑꯍꯦꯅꯕꯥ ꯇꯦꯁ꯭ꯇꯁꯤꯡꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯃꯦꯗꯤꯌꯥꯁ꯭ꯇꯤꯅꯤꯇꯤꯁꯀꯤ ꯂꯥꯏꯑꯣꯡ ꯈꯪꯗꯣꯀꯏ꯫

ꯅꯍꯥꯛꯀꯤ ꯐꯤꯖꯤꯀꯦꯜ ꯑꯦꯀꯖꯥꯃꯤꯅꯦꯁꯟ ꯑꯗꯨꯒꯤ ꯃꯅꯨꯡꯗꯥ, ꯗꯣꯛꯇꯔ ꯑꯗꯨꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯑꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯍꯪꯒꯅꯤ:

• ꯅꯍꯥꯛꯀꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ꯫
• ꯅꯍꯥꯛꯀꯤ ꯃꯦꯗꯤꯀꯦꯜ ꯍꯤꯁ꯭ꯇꯔꯤ (ꯃꯃꯥꯡꯒꯤ ꯑꯅꯥꯕꯁꯤꯡ, ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ, ꯑꯁꯤꯅꯆꯤꯡꯕꯥ)꯫
• ꯍꯟꯗꯛꯇꯥ ꯑꯗꯣꯝꯅꯥ ꯇꯧꯈꯤꯕꯥ ꯁꯔꯖꯔꯤ ꯅꯠꯔꯒꯥ ꯃꯦꯗꯤꯀꯦꯜ ꯄ꯭ꯔꯣꯁꯤꯖꯔ ꯑꯃꯍꯦꯛꯇꯒꯤ ꯃꯇꯥꯡꯗꯥ .
• ꯅꯍꯥꯛꯅꯥ ꯆꯠꯈꯤꯕꯥ ꯃꯐꯃꯁꯤꯡꯒꯤ ꯃꯇꯥꯡꯗꯥ (ꯃꯔꯨꯑꯣꯏꯅꯥ `(Histoplasma capsulatum)` ꯌꯥꯝꯅꯥ ꯌꯥꯎꯕꯥ ꯃꯐꯃꯁꯤꯡ)꯫

ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯗꯥꯏꯑꯦꯒ꯭ꯅꯣꯁꯤꯁ ꯑꯗꯨ ꯀꯅꯐꯥꯔꯝ ꯇꯧꯅꯕꯥ ꯃꯈꯥ ꯇꯥꯕꯥ ꯇꯦꯁ꯭ꯇꯁꯤꯡꯁꯨ ꯑꯣꯔꯗꯔ ꯇꯧꯕꯥ ꯌꯥꯏ꯫

`(ꯃꯦꯗꯤꯌꯥꯁ꯭ꯇꯤꯅꯥꯏꯇꯤꯁ)` ꯈꯉꯗꯣꯛꯅꯕꯥ ꯀꯔꯤ ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯁꯤꯖꯤꯟꯅꯕꯒꯦ?

ꯀꯟꯠꯔꯁ꯭ꯇꯀꯥ ꯂꯣꯌꯅꯅꯥ ꯀꯝꯞꯌꯨꯇꯔ ꯇꯣꯃꯣꯒ꯭ꯔꯥꯐꯤ (ꯁꯤ.ꯇꯤ.) ꯁ꯭ꯀꯦꯟ ꯑꯁꯤ ꯃꯦꯗꯤꯌꯥꯁ꯭ꯇꯤꯅꯤꯇꯤꯁꯀꯤ ꯂꯥꯏꯑꯣꯡ ꯈꯉꯗꯣꯛꯅꯕꯒꯤ ꯁꯅꯥꯒꯤ ꯁ꯭ꯠꯌꯥꯟꯗꯥꯔꯗꯅꯤ꯫ ꯃꯁꯤꯒꯤ ꯃꯊꯛꯇꯥ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯆꯦꯁ꯭ꯠ ꯑꯦꯛꯁ-ꯔꯦ ꯅꯠꯠꯔꯒꯥ ꯅꯤꯗꯜ ꯕꯥꯏꯑꯣꯞꯁꯤ ꯑꯃꯥ ꯂꯧꯕꯥ ꯌꯥꯏ꯫

ꯃꯦꯗꯤꯌꯥꯁ꯭ꯇꯤꯅꯤꯇꯤꯁ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯂꯥꯏꯌꯦꯡꯕꯒꯦ?

ꯋꯥꯐꯝ ꯑꯁꯤꯒꯤ ꯂꯥꯏꯌꯦꯡ ꯂꯩꯕꯔꯥ? ꯍꯣꯌ, ꯂꯩꯔꯤ꯫ ꯑꯗꯨꯕꯨ ꯃꯁꯤ ꯂꯥꯌꯅꯥ ꯑꯁꯤꯒꯤ ꯃꯑꯣꯡ-ꯃꯇꯧ (`ꯑꯦꯛꯌꯨꯠ` ꯅꯠꯠꯔꯒꯥ `ꯀ꯭ꯔꯣꯅꯤꯛ` ꯑꯣꯏꯔꯕꯁꯨ) ꯑꯃꯁꯨꯡ ꯃꯔꯃꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ ꯈꯦꯠꯅꯩ꯫

ꯃꯦꯗꯤꯌꯝ ꯁ꯭ꯇꯦꯔꯅꯣꯇꯣꯃꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯑꯦꯛꯌꯨꯠ ꯃꯦꯗꯤꯌꯥꯁ꯭ꯇꯤꯅꯤꯇꯤꯁꯅꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯂꯥꯏꯌꯦꯡꯁꯤꯡ ꯑꯁꯤ ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯏ:

• ꯑꯦꯟꯇꯤꯕꯥꯏꯑꯣꯇꯤꯀꯁꯤꯡ , ꯃꯍꯧꯁꯥꯅꯥ ꯁꯦꯂꯟ ꯁꯣꯜꯌꯨꯁꯟ ꯑꯃꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯏꯅꯠꯔꯥꯚꯦꯅꯁ (IV) ꯄꯤ꯫
• ꯑꯁꯤꯕꯥ ꯇꯤꯁꯨ ꯂꯧꯊꯣꯛꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯑꯦꯛꯌꯨꯃꯨꯂꯦꯇꯦꯗ ꯐ꯭ꯂꯨꯏꯗ ꯂꯧꯊꯣꯛꯅꯕꯥ ꯁꯔꯖꯔꯤ ꯇꯧꯕꯥ꯫

ꯏꯁꯣꯐꯦꯖꯤꯌꯜ ꯇꯤꯌꯥꯔ ꯑꯃꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯑꯦꯛꯌꯨꯠ ꯃꯦꯗꯤꯌꯥꯁ꯭ꯇꯤꯅꯤꯇꯤꯁꯅꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯂꯥꯏꯌꯦꯡꯁꯤꯡ ꯑꯁꯤ ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯏ:

• ꯑꯦꯟꯇꯤꯕꯥꯏꯑꯣꯇꯤꯀꯁꯤꯡ꯫
• ꯍꯣꯜ ꯑꯗꯨ ꯔꯤꯄꯦꯌꯥꯔ ꯇꯧꯅꯕꯥ, ꯑꯁꯤꯕꯥ ꯇꯤꯁꯨꯁꯤꯡ ꯂꯧꯊꯣꯛꯅꯕꯥ ꯑꯃꯁꯨꯡ/ꯅꯠꯠꯔꯒꯥ ꯊꯣꯡ-ꯊꯥꯀꯄꯗꯥ ꯊꯤꯡꯅꯕꯥ ꯁꯔꯖꯔꯤ ꯇꯧꯕꯥ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯦꯛꯌꯨꯠ ꯃꯦꯗꯤꯌꯥꯁ꯭ꯇꯤꯅꯤꯇꯤꯁ ꯂꯩꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯃꯦꯗꯤꯀꯦꯜ ꯇꯤꯃꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯏꯟꯇꯦꯟꯁꯤꯚ ꯀꯦꯌꯔ ꯌꯨꯅꯤꯠ (ICU)ꯗꯥ ꯑꯦꯗꯃꯤꯠ ꯇꯧꯒꯅꯤ꯫ ꯃꯐꯝ ꯑꯗꯨꯗꯥ ꯃꯦꯗꯤꯀꯦꯜ ꯇꯤꯃꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯐꯒꯠꯂꯀꯄꯥ ꯑꯗꯨ ꯅꯤꯡꯊꯤꯅꯥ ꯌꯦꯡꯁꯤꯅꯒꯅꯤ꯫

ꯀ꯭ꯔꯣꯅꯤꯛ ꯃꯦꯗꯤꯌꯥꯁ꯭ꯇꯤꯅꯤꯇꯤꯁꯀꯤ ꯂꯥꯏꯌꯦꯡꯗꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯂꯥꯀꯁꯤꯟꯅꯕꯥ ꯁꯔꯖꯔꯤ ꯇꯧꯕꯥ ꯌꯥꯏ꯫ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯦꯌꯔꯋꯦ (airway) ꯍꯥꯡꯗꯣꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯂꯩꯔꯤꯕꯥ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯂꯁꯤꯡꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯏꯒꯤ ꯈꯣꯡꯖꯦꯜ ꯐꯒꯠꯍꯅꯕꯥ ꯉꯝꯕꯥ ꯄ꯭ꯔꯣꯁꯤꯗ꯭ꯌꯨꯑꯣꯔꯁꯤꯡ ꯔꯤꯀꯃꯦꯟꯗ ꯇꯧꯕꯥ ꯌꯥꯏ꯫ ꯔꯤꯁꯔꯆꯔꯁꯤꯡꯅꯥ ꯍꯧꯖꯤꯀꯁꯨ ꯀ꯭ꯔꯣꯅꯤꯛ ꯃꯦꯗꯤꯌꯥꯁ꯭ꯇꯤꯅꯤꯇꯤꯁꯅꯥ ꯅꯥꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯒꯤ ꯂꯥꯌꯦꯡꯕꯒꯤ ꯑꯣꯄꯁꯅꯁꯤꯡ ꯊꯤꯔꯤ꯫

ꯅꯍꯥꯛꯀꯤ ꯂꯥꯏꯌꯦꯡꯒꯤ ꯑꯣꯄꯁꯅꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯅꯥ ꯀꯔꯤ ꯑꯥꯁꯥ ꯇꯧꯕꯥ ꯌꯥꯕꯒꯦ ꯍꯥꯌꯕꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯇꯥꯟꯅꯧ꯫

ꯃꯦꯗꯤꯌꯥꯁ꯭ꯇꯤꯅꯤꯇꯤꯁ ꯑꯁꯤ ꯊꯤꯡꯕꯥ ꯉꯃꯒꯗ꯭ꯔꯥ?

ꯑꯁꯤꯒꯨꯝꯕꯥ ꯊꯧꯗꯣꯛ ꯑꯁꯤ ꯊꯣꯛꯂꯛꯠꯔꯤꯉꯩ ꯃꯃꯥꯡꯗꯥ ꯊꯣꯀꯍꯟꯗꯅꯕꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯩ꯫ ꯃꯦꯗꯤꯌꯥꯁ꯭ꯇꯤꯅꯥꯏꯇꯤꯁ ꯑꯁꯤ ꯃꯦꯗꯤꯀꯦꯜ ꯄ꯭ꯔꯣꯁꯤꯗ꯭ꯌꯨꯑꯣꯔꯒꯤ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯟ ꯑꯃꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯆꯦꯁ꯭ꯠ ꯁꯔꯖꯔꯤ ꯅꯠꯠꯔꯒꯥ ꯑꯦꯟꯗꯣꯁ꯭ꯀꯣꯄꯤꯛ ꯄ꯭ꯔꯣꯁꯤꯗ꯭ꯌꯨꯑꯣꯔ ꯑꯃꯥ ꯇꯧꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡꯒꯤ ꯔꯤꯁ꯭ꯛ ꯍꯟꯊꯍꯟꯅꯕꯒꯤ ꯄꯥꯝꯕꯩꯁꯤꯡꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯕꯤꯌꯨ꯫ ꯅꯍꯥꯛꯀꯤ ꯃꯦꯗꯤꯀꯦꯜ ꯇꯤꯃꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯏꯅꯐꯦꯛꯁꯅꯒꯤ ꯔꯤꯁ꯭ꯛ ꯍꯟꯊꯍꯟꯅꯕꯥ ꯀꯔꯤ ꯈꯣꯡꯊꯥꯡ ꯂꯧꯈꯠꯀꯅꯤ ꯍꯥꯌꯅꯥ ꯍꯪꯕꯤꯌꯨ꯫ ꯃꯁꯤꯗꯁꯨ ꯅꯠꯇꯅꯥ, ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯁꯣꯀꯄꯥ ꯑꯗꯨ ꯌꯨꯃꯗꯥ ꯀꯔꯝꯅꯥ ꯌꯦꯡꯁꯤꯅꯒꯗꯒꯦ ꯍꯥꯌꯕꯒꯤ ꯃꯇꯥꯡꯗꯁꯨ ꯁꯣꯌꯗꯅꯥ ꯍꯪꯕꯤꯌꯨ꯫

ꯏꯅꯐꯦꯛꯁꯅꯁꯤꯡ ꯉꯥꯀꯊꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯃꯈꯣꯌꯗꯨ ꯊꯣꯛꯂꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯂꯥꯏꯌꯦꯡꯕꯅꯥ ꯑꯦꯛꯌꯨꯠ ꯃꯦꯗꯤꯌꯥꯁ꯭ꯇꯤꯅꯤꯇꯤꯁꯀꯤ ꯔꯤꯁ꯭ꯛ ꯍꯟꯊꯍꯅꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫ ꯅꯍꯥꯛꯀꯤ ꯃꯤꯠ ꯑꯃꯁꯨꯡ ꯀꯣꯛꯇꯥ ꯏꯅꯐꯦꯛꯁꯟ ꯂꯩꯔꯀꯄꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯁꯟꯗꯣꯔꯀꯄꯥ ꯌꯥꯏ ꯑꯃꯁꯨꯡ ꯁꯥꯊꯤꯕꯥ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯃꯁꯤꯡ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯏꯅꯐꯦꯛꯁꯟ ꯃꯈꯂꯁꯤꯡ ꯑꯁꯤ ꯊꯤꯡꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯅꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯇꯧꯕꯥ ꯌꯥꯕꯥ ꯊꯕꯛ ꯈꯔꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤ:

• ꯍꯥꯀꯆꯥꯡꯒꯤ ꯏꯅꯐꯦꯛꯁꯅꯁꯤꯡ ꯊꯤꯡꯅꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯥꯀꯆꯥꯡ ꯑꯃꯁꯨꯡ ꯈꯣꯡꯎꯞ (`(oral hygiene)`) ꯑꯗꯨ ꯑꯐꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯌꯦꯡꯁꯤꯜꯂꯨ꯫
• ꯅꯍꯥꯛꯀꯤ ꯍꯥꯀꯆꯥꯡ ꯁꯦꯡꯗꯣꯛꯅꯕꯥ ꯊꯥ ꯶ ꯈꯨꯗꯤꯡꯒꯤ ꯗꯦꯟꯇꯤꯁ꯭ꯠ ꯑꯃꯒꯥ ꯇꯥꯟꯅꯧ , ꯅꯠꯠꯔꯒꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯦꯟꯇꯤꯁ꯭ꯇꯀꯤ ꯏꯅꯁ꯭ꯠꯔꯛꯁꯅꯁꯤꯡ ꯏꯅꯒꯗꯕꯅꯤ꯫
• ꯅꯍꯥꯛꯀꯤ ꯑꯄꯨꯅꯕꯥ ꯍꯀꯁꯦꯜ ꯑꯗꯨ ꯌꯦꯡꯁꯤꯟꯅꯕꯥ ꯆꯍꯤ ꯑꯃꯗꯥ ꯑꯃꯨꯛꯇꯪ ꯗꯣꯛꯇꯔ ꯑꯃꯒꯥ ꯇꯥꯟꯅꯗꯨꯅꯥ ꯆꯦꯀꯑꯞ ꯇꯧ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯏꯅꯐꯦꯛꯁꯟ ꯑꯃꯒꯤ ꯂꯥꯏꯑꯣꯡ ꯂꯩꯔꯕꯗꯤ, ꯈꯨꯗꯛꯇꯥ ꯗꯣꯛꯇꯔ ꯑꯃꯒꯥ ꯇꯥꯟꯅꯧ , ꯑꯃꯁꯨꯡ ꯏꯅꯐꯦꯛꯁꯟ ꯑꯗꯨ ꯄꯤꯔꯤꯕꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ ꯑꯗꯨ ꯆꯞ ꯃꯥꯟꯅꯅꯥ ꯂꯥꯏꯌꯦꯡꯅꯕꯥ ꯄꯤꯌꯨ꯫

ꯃꯦꯗꯤꯌꯥꯁ꯭ꯇꯤꯅꯤꯇꯤꯁꯅꯥ ꯁꯤꯍꯅꯕꯥ ꯌꯥꯕ꯭ꯔꯥ?

ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯂꯨꯕꯥ ꯋꯥꯐꯝ ꯑꯃꯅꯤ꯫ ꯍꯣꯌ, ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤꯅꯥ ꯄꯨꯟꯁꯤꯗꯥ ꯈꯨꯗꯣꯡꯊꯤꯕꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ, ꯍꯥꯌꯕꯗꯤ ꯃꯁꯤꯅꯥ ꯁꯤꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯉꯟꯅꯥ ꯈꯪꯗꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯂꯥꯏꯌꯦꯡꯕꯅꯥ ꯄꯨꯟꯁꯤ ꯀꯟꯅꯕꯒꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯥ ꯄꯥꯝꯕꯩꯅꯤ꯫ ꯃꯦꯗꯤꯌꯥꯁ꯭ꯇꯤꯅꯤꯇꯤꯁꯀꯤ ꯁꯤꯕꯒꯤ ꯆꯥꯡꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯔꯤꯁꯔꯆꯔꯁꯤꯡꯅꯥ ꯀꯔꯤ ꯈꯉꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯁꯤ:

• ꯃꯦꯗꯤꯌꯝ ꯁ꯭ꯇꯦꯔꯅꯣꯇꯣꯃꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯑꯦꯛꯌꯨꯠ ꯃꯦꯗꯤꯌꯥꯁ꯭ꯇꯤꯅꯤꯇꯤꯁꯅꯥ ꯅꯥꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯒꯤ ꯁꯤꯕꯒꯤ ꯆꯥꯡ ꯑꯁꯤ 1% ꯑꯃꯁꯨꯡ 14%ꯒꯤ ꯃꯔꯛꯇꯥ ꯂꯩ꯫ ꯃꯁꯤ ꯍꯥꯟꯅꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯐꯩ (꯱꯲%ꯗꯒꯤ ꯵꯰%)꯫ ꯃꯁꯤꯒꯤ ꯃꯔꯃꯗꯤ ꯁꯔꯖꯤꯀꯦꯜ ꯃꯦꯅꯦꯖꯃꯦꯟꯇꯗꯥ ꯑꯍꯣꯡꯕꯥ ꯂꯥꯀꯄꯅꯥ ꯑꯣꯏꯔꯤ꯫ ꯀꯔꯤꯒꯤꯗꯃꯛꯇꯥ ꯔꯦꯟꯖꯁꯤꯡ ꯑꯁꯤ ꯑꯁꯨꯛ ꯄꯥꯛ ꯆꯥꯎꯕꯅꯣ ꯍꯥꯌꯅꯥ ꯑꯗꯣꯝꯅꯥ ꯈꯅꯕꯤꯔꯃꯒꯅꯤ꯫ ꯃꯁꯤꯒꯤ ꯃꯔꯃꯗꯤ ꯇꯣꯉꯥꯟ-ꯇꯣꯉꯥꯅꯕꯥ ꯔꯤꯁꯔꯆ ꯁ꯭ꯇꯗꯤꯁꯤꯡꯅꯥ ꯁꯤꯕꯒꯤ ꯆꯥꯡ ꯊꯤꯖꯤꯟꯅꯕꯥ ꯇꯣꯉꯥꯟ-ꯇꯣꯉꯥꯅꯕꯥ ꯃꯤꯁꯤꯡ ꯀꯥꯡꯂꯨꯄꯁꯤꯡ ꯁꯤꯖꯤꯟꯅꯩ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ, ꯅꯍꯥꯛꯀꯤ ꯐꯜ ꯑꯗꯨ ꯅꯍꯥꯛꯀꯤ ꯁꯔꯖꯔꯤ ꯑꯗꯨ ꯀꯗꯥꯏꯗꯥ ꯇꯧꯕꯒꯦ, ꯅꯍꯥꯛꯀꯤ ꯆꯍꯤ, ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯑꯄꯨꯅꯕꯥ ꯍꯀꯁꯦꯜ ꯑꯁꯤꯅꯆꯤꯡꯕꯥ ꯐꯦꯛꯇꯔ ꯀꯌꯥꯒꯤ ꯃꯈꯥ ꯄꯣꯜꯂꯤ꯫
• ꯏꯁꯣꯐꯦꯖꯤꯌꯜ ꯇꯤꯌꯥꯔ ꯑꯃꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯑꯦꯛꯌꯨꯠ ꯃꯦꯗꯤꯌꯥꯁ꯭ꯇꯤꯅꯤꯇꯤꯁꯅꯥ ꯅꯥꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯒꯤ ꯁꯤꯕꯒꯤ ꯆꯥꯡ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯈꯦꯠꯅꯩ꯫ ꯃꯁꯤ ꯅꯍꯥꯛꯅꯥ ꯀꯌꯥ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯂꯥꯏꯌꯦꯡꯕꯒꯦ ꯍꯥꯌꯕꯗꯨꯒꯤ ꯃꯈꯥ ꯄꯣꯜꯂꯤ꯫ ꯃꯤꯠ ꯎꯗꯕꯥ ꯃꯇꯨꯡ ꯄꯨꯡ 24ꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯂꯥꯏꯌꯦꯡꯂꯤꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯒꯤ 10%ꯗꯒꯤ ꯇꯥꯅꯥ ꯁꯤꯔꯤ꯫ ꯃꯁꯤꯡ ꯑꯗꯨ ꯄꯨꯡ ꯲꯴ꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯂꯥꯌꯦꯡꯂꯤꯕꯁꯤꯡꯒꯤ ꯃꯔꯛꯇꯥ ꯳꯰%ꯗꯒꯤ ꯴꯰% ꯐꯥꯑꯣꯕꯥ ꯍꯦꯅꯒꯠꯂꯀꯏ꯫ ꯆꯍꯤ ꯌꯥꯃꯈꯠꯂꯀꯄꯅꯥ ꯍꯦꯟꯅꯥ ꯐꯠꯇꯕꯥ ꯐꯜ ꯑꯃꯥ ꯂꯥꯀꯄꯒꯤ ꯔꯤꯁ꯭ꯀꯁꯨ ꯍꯦꯅꯒꯠꯍꯜꯂꯤ꯫
• ``ꯗꯤꯁꯦꯟꯗꯤꯡ ꯅꯦꯛꯔꯣꯇꯥꯏꯖꯤꯡ ꯃꯦꯗꯤꯌꯥꯁ꯭ꯇꯤꯅꯤꯇꯤꯁ'' ꯂꯥꯀꯄꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯗꯥ ``ꯁꯦꯄꯁꯤꯁ'' (ꯕ꯭ꯂꯗ ꯄꯣꯏꯖꯟ) ꯑꯃꯁꯨꯡ ꯑꯣꯔꯒꯥꯟ ꯐꯦꯜ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯁꯤꯕꯒꯤ ꯆꯥꯡ ꯑꯁꯤ ꯱꯱% ꯑꯃꯁꯨꯡ ꯴꯰%ꯒꯤ ꯃꯔꯛꯇꯥ ꯂꯩꯔꯤ .

ꯍꯥꯌꯔꯤꯕꯥ ꯁ꯭ꯇꯦꯇꯤꯁ꯭ꯇꯤꯀꯦꯂꯁꯤꯡ ꯑꯁꯤ ꯈꯔꯥ ꯂꯥꯡꯇꯛꯅꯔꯕꯁꯨ, ꯑꯥꯁꯥꯒꯤ ꯃꯔꯝ ꯀꯌꯥ ꯂꯩꯔꯤ꯫`(Mediastinitis)`ꯒꯤ ꯃꯔꯃꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯈꯪꯖꯤꯅꯕꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯊꯧ ꯇꯥꯔꯕꯗꯤ ꯀꯗꯥꯏꯗꯥ ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯃꯇꯦꯡ ꯂꯧꯒꯗꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯈꯪꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯒꯅꯤ꯫ ꯃꯁꯤꯗꯁꯨ ꯅꯠꯇꯅꯥ ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯂꯃꯗꯥ ꯑꯍꯣꯡꯕꯥ ꯂꯥꯀꯄꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯁꯔꯖꯔꯤꯁꯤꯡ ꯑꯁꯤ ꯍꯦꯟꯅꯥ ꯁꯥꯐꯕꯥ ꯑꯣꯏꯔꯛꯂꯤ ꯑꯃꯁꯨꯡ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡꯁꯨ ꯂꯥꯌꯦꯡꯂꯤ꯫

ꯀꯗꯥꯏꯗꯥ ꯗꯣꯛꯇꯔꯒꯥ ꯇꯥꯟꯅꯒꯗꯒꯦ?

`ꯑꯦꯛꯌꯨꯠ ꯃꯦꯗꯤꯌꯥꯁ꯭ꯇꯤꯅꯤꯇꯤꯁ` ꯍꯥꯌꯕꯁꯤ ꯈꯪꯍꯧꯗꯅꯥ ꯂꯥꯀꯄꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ (ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯈꯪꯍꯧꯗꯅꯥ, ꯁꯥꯊꯤꯅꯥ ꯁꯣꯀꯄꯥ, ꯂꯥꯏꯍꯧ, ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ) ꯂꯥꯀꯄꯥ ꯇꯥꯔꯕꯗꯤ, ꯈꯨꯗꯛꯇꯥ 911ꯗꯥ ꯅꯠꯠꯔꯒꯥ ꯅꯍꯥꯛꯀꯤ ꯂꯣꯀꯦꯜ ꯑꯦꯃꯔꯖꯦꯟꯁꯤ ꯅꯝꯕꯔꯗꯥ ꯀꯣꯜ ꯇꯧꯕꯤꯌꯨ, ꯅꯠꯠꯔꯒꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯅꯀꯄꯥ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯂꯗꯥ ꯆꯠꯄꯤꯌꯨ꯫ ꯅꯍꯥꯛꯅꯥ ꯂꯥꯏꯌꯦꯡ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯐꯪꯂꯕꯗꯤ ꯅꯍꯥꯛꯀꯤ ꯔꯤꯀꯣꯚꯔꯤꯒꯤ ꯐꯜ ꯑꯗꯨ ꯍꯦꯟꯅꯥ ꯐꯩ꯫

ꯃꯁꯤꯗꯁꯨ ꯅꯠꯇꯅꯥ, ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯀꯦꯁꯁꯤꯡ ꯑꯁꯤꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯗꯣꯛꯇꯔ ꯑꯃꯒꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯒꯗꯕꯅꯤ:

• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯣꯄꯟ-ꯍꯥꯔꯠ ꯁꯔꯖꯔꯤ ꯅꯠꯠꯔꯒꯥ ꯅꯍꯥꯛꯀꯤ ꯃꯦꯗꯤꯌꯥꯁ꯭ꯇꯤꯅꯤꯇꯤꯁꯀꯤ ꯔꯤꯁ꯭ꯛ ꯍꯦꯅꯒꯠꯍꯅꯕꯥ ꯌꯥꯕꯥ ꯑꯇꯣꯞꯄꯥ ꯃꯦꯗꯤꯀꯦꯜ ꯄ꯭ꯔꯣꯁꯤꯗ꯭ꯌꯨꯑꯣꯔ ꯑꯃꯥ ꯄꯥꯡꯊꯣꯛꯀꯗꯧꯔꯤꯕꯥ ꯑꯣꯏꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯔꯤꯁ꯭ꯛ ꯑꯗꯨ ꯀꯔꯝꯅꯥ ꯍꯟꯊꯍꯅꯒꯗꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯍꯪꯕꯤꯌꯨ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯀ꯭ꯔꯣꯅꯤꯛ ꯃꯦꯗꯤꯌꯥꯁ꯭ꯇꯤꯅꯤꯇꯤꯁꯀꯤ ꯂꯥꯏꯑꯣꯡ ꯂꯩꯔꯕꯗꯤ ꯅꯠꯠꯔꯒꯥ ꯅꯍꯥꯛꯀꯤ ꯔꯤꯁ꯭ꯀꯀꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯈꯜ ꯇꯥꯔꯕꯗꯤ꯫

ꯑꯔꯣꯏꯕꯗꯥ, ꯇꯦꯛ-ꯍꯣꯝ ꯃꯦꯁꯦꯖ꯫

ꯍꯧꯖꯤꯛꯇꯤ ꯅꯍꯥꯛꯅꯥ ꯈꯪꯂꯝꯂꯒꯅꯤ ꯃꯗꯨꯗꯤ `(ꯃꯦꯗꯤꯌꯥꯁ꯭ꯇꯤꯅꯥꯏꯇꯤꯁ)` ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯄꯨꯟꯁꯤꯕꯨ ꯈꯨꯗꯣꯡꯊꯤꯍꯅꯕꯥ ꯌꯥꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫ ꯑꯗꯨꯕꯨ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯐꯥꯑꯣꯒꯅꯨ꯫ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯋꯥꯐꯃꯗꯤ ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯆꯦꯀꯁꯤꯅꯕꯅꯤ꯫

ꯅꯤꯡꯁꯤꯡꯕ:

* ꯆꯦꯁ꯭ꯠ ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯃꯔꯨꯑꯣꯏꯅꯥ ꯍꯥꯔꯇꯀꯤ ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯑꯁꯣꯀꯄꯥ ꯑꯗꯨ ꯌꯦꯡꯁꯤꯅꯕꯤꯌꯨ꯫ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯤ ꯏꯅꯁ꯭ꯠꯔꯛꯁꯅꯁꯤꯡ ꯑꯗꯨ ꯆꯞ ꯆꯥꯅꯥ ꯏꯅꯒꯗꯕꯅꯤ꯫

* ꯃꯤꯠ ꯑꯃꯁꯨꯡ ꯀꯣꯛꯇꯥ ꯏꯅꯐꯦꯛꯁꯅꯁꯤꯡ ꯌꯦꯡꯁꯤꯜꯂꯣꯏꯗꯕꯅꯤ꯫ ꯃꯈꯣꯌ ꯁꯟꯗꯣꯔꯀꯄꯥ ꯌꯥꯏ ꯑꯃꯁꯨꯡ ꯁꯥꯊꯤꯕꯥ ꯐꯤꯚꯃꯁꯤꯡ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫

* ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯈꯪꯍꯧꯗꯅꯥ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯆꯦꯛꯁꯤꯟ-ꯊꯧꯔꯥꯡ, ꯂꯥꯏꯍꯧ, ꯅꯠꯠꯔꯒꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ ꯊꯦꯡꯅꯔꯕꯗꯤ , ꯈꯨꯗꯛꯇꯥ ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯃꯇꯦꯡ ꯂꯧꯒꯗꯕꯅꯤ꯫

* ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ `(ꯍꯤꯁ꯭ꯇꯣꯞꯂꯥꯖꯃꯥ ꯀꯦꯄꯁꯨꯂꯦꯇꯝ)`ꯒꯨꯝꯕꯥ ꯐꯉ꯭ꯒꯦꯜ ꯌꯥꯝꯅꯥ ꯊꯣꯀꯄꯥ ꯃꯐꯃꯁꯤꯡꯗꯥ ꯂꯩꯔꯕꯗꯤ ꯃꯗꯨꯁꯨ ꯈꯪꯖꯤꯅꯕꯤꯌꯨ꯫

* ꯂꯥꯌꯅꯥ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯈꯉꯗꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯂꯥꯏꯌꯦꯡꯕꯥ ꯃꯇꯃꯗꯥ ꯐꯒꯠꯂꯀꯄꯒꯤ ꯆꯥꯡ ꯍꯦꯅꯒꯠꯂꯀꯏ꯫ ꯃꯦꯗꯤꯀꯦꯜ ꯁꯥꯏꯟꯁꯀꯤ ꯆꯥꯎꯈꯠꯂꯀꯄꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯍꯧꯖꯤꯛꯇꯤ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯐꯤꯚꯃꯁꯤꯡ ꯑꯁꯤ ꯃꯥꯌ ꯄꯥꯛꯅꯥ ꯊꯦꯡꯅꯕꯥ ꯉꯝꯂꯦ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯨꯡꯁꯤꯖꯔꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯗꯥ ꯃꯦꯗꯤꯌꯥꯁ꯭ꯇꯤꯅꯤꯇꯤꯁ ꯂꯩꯔꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯑꯃꯁꯨꯡ ꯃꯇꯦꯡ ꯄꯥꯡꯗꯕꯥ ꯐꯥꯎꯕꯥ ꯌꯥꯏ꯫ ꯂꯥꯌꯅꯥ ꯑꯁꯤꯒꯤ ꯃꯔꯃꯗꯥ ꯈꯪꯖꯤꯅꯕꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯒꯤ ꯋꯥꯈꯜ ꯑꯃꯥ ꯐꯥꯑꯣꯍꯅꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫ ꯃꯁꯤꯒꯤ ꯂꯧꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯅꯨꯡꯁꯤꯖꯔꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯗꯨꯒꯤ ꯃꯦꯗꯤꯀꯦꯜ ꯇꯤꯃꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯊꯣꯛꯂꯤꯕꯥ ꯊꯧꯗꯣꯀꯁꯤꯡꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯒꯅꯤ꯫ ꯃꯈꯣꯌꯅꯥ ꯐꯒꯠꯂꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯈꯣꯌꯕꯨ ꯀꯔꯝꯅꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯒꯗꯒꯦ ꯍꯥꯌꯅꯥ ꯍꯪꯕꯤꯌꯨ꯫

` ꯃꯦꯗꯤꯌꯥꯁ꯭ꯇꯤꯅꯥꯏꯇꯤꯁ, ꯆꯦꯁ꯭ꯠ ꯄꯦꯏꯟ, ꯆꯦꯁ꯭ꯠ ꯏꯅꯐꯦꯛꯁꯟ, ꯍꯥꯔꯠ ꯁꯔꯖꯔꯤꯒꯤ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ, ꯏꯁꯣꯐꯦꯖꯤꯌꯜ ꯄꯔꯐꯣꯔꯦꯁꯟ, ꯐꯉ꯭ꯒꯦꯜ ꯏꯅꯐꯦꯛꯁꯟ, ꯃꯦꯗꯤꯌꯥꯁ꯭ꯇꯤꯅꯝ꯫