ꯅꯍꯥꯛꯀꯤ ꯊꯝꯃꯣꯌꯗꯥ ꯏꯒꯤ ꯈꯣꯡꯖꯦꯜ ꯌꯥꯡꯕꯥ ꯑꯃꯁꯨꯡ ꯊꯣꯀꯄꯥ ꯊꯤꯡꯂꯤꯕꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯃꯠꯇꯥ ꯂꯩꯕ꯭ꯔꯥ? ꯃꯁꯤ (Obstructive Shock) ꯑꯣꯏꯕꯥ ꯌꯥꯏ!

ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡ ꯄꯨꯝꯅꯃꯛꯇꯥ ꯏ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯆꯠꯊꯣꯛ-ꯆꯠꯁꯤꯟ ꯇꯧꯗꯕꯥ ꯃꯇꯃꯗꯥ, ꯍꯥꯌꯕꯗꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯑꯣꯔꯒꯥꯅꯁꯤꯡꯅꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯑꯣꯛꯁꯤꯖꯦꯅꯒꯤ ꯆꯥꯡ ꯐꯪꯗꯕꯥ ꯃꯇꯃꯗꯥ, ꯑꯩꯈꯣꯌꯅꯥ ꯃꯍꯧꯁꯥꯅꯥ ꯃꯁꯤꯕꯨ ‘ꯁꯣꯛ’ ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ ꯃꯁꯤ ꯈꯉꯍꯧꯗꯅꯥ ꯊꯣꯀꯏ꯫ ꯉꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯑꯈꯟꯅꯕꯥ, ꯑꯗꯨꯕꯨ ꯈꯔꯥ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯊꯣꯀꯄꯥ ꯃꯈꯂꯒꯤ ‘ꯁꯣꯛ’ ꯑꯃꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯔꯤ꯫ ꯃꯁꯤꯕꯨ `(Obstructive Shock)' ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯀꯦꯁ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯊꯣꯛꯂꯤꯕꯥ ꯑꯁꯤ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯄꯣꯠꯁꯛ ꯑꯃꯅꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯊꯝꯃꯣꯌꯗꯥ ꯏ ꯆꯦꯅꯕꯥ ꯊꯤꯡꯏ ꯑꯃꯁꯨꯡ ꯊꯝꯃꯣꯌꯗꯒꯤ ꯏ ꯄꯝꯄ ꯇꯧꯕꯥ ꯊꯤꯡꯏ, ꯍꯥꯌꯕꯗꯤ `ꯑꯊꯤꯡꯕꯥ' ꯑꯃꯥ ꯊꯣꯀꯏ꯫ ꯑꯊꯤꯡꯕꯥ ꯑꯁꯤꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯍꯥꯔꯇꯅꯥ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯊꯕꯛ ꯇꯧꯕꯥ ꯉꯃꯗꯦ, ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ ꯈꯪꯍꯧꯗꯅꯥ ꯍꯟꯊꯔꯀꯄꯥ ꯌꯥꯏ, ꯑꯃꯁꯨꯡ ꯍꯀꯆꯥꯡꯗꯥ ꯑꯣꯛꯁꯤꯖꯦꯟ ꯋꯥꯠꯄꯥ ꯌꯥꯏ꯫ ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯈꯨꯗꯛꯀꯤ ꯑꯣꯏꯕꯥ ꯐꯤꯚꯝ ꯑꯃꯅꯤ , ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯑꯊꯨꯕꯥ ꯃꯇꯃꯗꯥ ꯂꯥꯏꯌꯦꯡꯕꯥ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨ ꯑꯣꯏ꯫

ꯑꯗꯨꯅꯥ ꯃꯁꯤ `(Obstructive Shock)` ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ? ꯑꯩꯈꯣꯌꯅꯥ ꯃꯁꯤ ꯈꯔꯥ ꯍꯦꯟꯅꯥ ꯁꯟꯗꯣꯛꯅꯥ ꯇꯥꯀꯄꯤꯒꯗ꯭ꯔꯥ?

ꯈꯅꯕꯤꯌꯨ, ꯑꯩꯈꯣꯌꯒꯤ ꯊꯝꯃꯣꯌ ꯑꯁꯤ ꯏꯁꯤꯡꯒꯤ ꯄꯝꯄ ꯑꯃꯒꯨꯝꯕꯅꯤ꯫ ꯃꯁꯤꯒꯤ ꯄꯝꯄ ꯑꯁꯤꯅꯥ ꯍꯀꯆꯥꯡ ꯄꯨꯝꯕꯗꯥ ꯏ ꯊꯥꯏ꯫ ꯍꯧꯖꯤꯛ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯄꯝꯄ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯆꯪꯂꯀꯄꯥ ꯏꯁꯤꯡ ꯑꯗꯨ ꯄꯥꯏꯄꯇꯥ ꯊꯤꯡꯖꯤꯜꯂꯕꯗꯤ, ꯅꯠꯠꯔꯒꯥ ꯄꯝꯄ ꯑꯗꯨꯗꯒꯤ ꯊꯣꯀꯄꯥ ꯄꯥꯏꯞ ꯑꯗꯨ ꯊꯤꯡꯖꯤꯜꯂꯕꯗꯤ ꯀꯔꯤ ꯑꯣꯏꯒꯅꯤ? ꯏꯁꯤꯡ ꯑꯗꯨ ꯃꯇꯤꯛ ꯆꯥꯅꯥ ꯆꯦꯜꯂꯔꯣꯏ, ꯅꯠꯇꯦ? `(Obstructive Shock)`ꯗꯥ ꯊꯣꯀꯄꯗꯨꯅꯤ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯄꯣꯠꯁꯛ ꯑꯃꯅꯥ ꯍꯥꯔꯇꯀꯥ ꯁꯝꯅꯍꯜꯂꯤꯕꯥ ꯑꯆꯧꯕꯥ ꯏꯒꯤ ꯈꯣꯡꯖꯦꯜ (`ꯑꯆꯧꯕꯥ ꯚꯦꯁꯦꯂꯁꯤꯡ` ꯍꯥꯌꯅꯥ ꯀꯧꯕꯥ)ꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯏꯒꯤ ꯈꯣꯡꯖꯦꯜ ꯊꯤꯡꯏ꯫ ꯃꯁꯤꯅꯥ ꯍꯥꯔꯇꯄꯨ ꯏ ꯃꯔꯥꯡ ꯀꯥꯌꯅꯥ ꯐꯪꯍꯅꯕꯥ ꯉꯃꯍꯟꯗꯦ, ꯑꯃꯁꯨꯡ ꯃꯁꯤꯅꯥ ꯃꯗꯨꯁꯨ ꯄꯝꯄ ꯇꯧꯕꯥ ꯉꯃꯗꯦ꯫ ꯃꯁꯤꯒꯤ ꯃꯍꯩꯗꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯂꯩꯔꯤꯕꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯑꯣꯔꯒꯥꯅꯁꯤꯡ, ꯕ꯭ꯔꯦꯟ, ꯀꯤꯗꯅꯤ ꯑꯃꯁꯨꯡ ꯂꯪꯁꯇꯥ ꯑꯣꯛꯁꯤꯖꯦꯟ ꯃꯔꯥꯡ ꯀꯥꯌꯅꯥ ꯐꯪꯗꯦ꯫ ꯃꯁꯤ ꯄꯨꯟꯁꯤ ꯃꯥꯡꯍꯅꯕꯥ ꯌꯥꯕꯥ ꯏꯃꯔꯖꯦꯟꯁꯤ ꯑꯃꯅꯤ꯫

`(ꯀꯥꯔꯗꯤꯑꯣꯖꯦꯅꯤꯛ ꯁꯣꯛ)` ꯑꯃꯁꯨꯡ `(ꯑꯣꯕꯁ꯭ꯠꯔꯀꯆꯔ ꯁꯣꯛ)`ꯒꯤ ꯃꯔꯛꯇꯥ ꯀꯔꯤ ꯈꯦꯠꯅꯕꯥ ꯂꯩꯕꯒꯦ?

ꯍꯥꯌꯔꯤꯕꯥ ꯑꯅꯤꯃꯛ ꯑꯁꯤ ꯃꯦꯗꯤꯀꯦꯜ ꯏꯃꯔꯖꯦꯟꯁꯤꯅꯤ, ꯑꯗꯨꯕꯨ ꯃꯈꯣꯌ ꯑꯁꯤ ꯃꯔꯝ ꯑꯅꯤꯗꯒꯤ ꯊꯣꯀꯏ꯫

ꯀꯥꯔꯗꯤꯑꯣꯖꯦꯅꯤꯛ ꯁꯣꯛ ꯑꯁꯤ ꯍꯥꯔꯇꯀꯤ ꯃꯁꯜ ꯑꯗꯨ ꯍꯥꯔꯠ ꯑꯦꯇꯦꯛ (hart attaque)ꯒꯨꯝꯕꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯑꯃꯁꯨꯡ ꯍꯥꯔꯇꯅꯥ ꯍꯀꯆꯥꯡꯗꯥ ꯏ ꯃꯔꯥꯡ ꯀꯥꯌꯅꯥ ꯄꯨꯊꯣꯀꯄꯥ ꯉꯃꯗꯕꯥ ꯃꯇꯃꯗꯥ ꯊꯣꯀꯏ꯫ ꯊꯝꯃꯣꯌ ꯁꯣꯟꯊꯔꯀꯏ꯫

ꯑꯗꯨꯕꯨ `(Obstructive Shock)`ꯗꯥ ꯍꯥꯔꯇꯀꯤ ꯃꯁꯜ ꯑꯁꯤ ꯑꯌꯥꯝꯕꯅꯥ ꯐꯖꯅꯥ ꯂꯩꯕꯥ ꯌꯥꯏ꯫ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯑꯁꯤ ꯊꯝꯃꯣꯌꯗꯥ ꯅꯠꯇꯦ, ꯑꯗꯨꯕꯨ ꯊꯝꯃꯣꯌꯒꯤ ꯊꯕꯛꯇꯥ ꯑꯀꯥꯌꯕꯥ ꯄꯤꯔꯤꯕꯥ ꯑꯇꯣꯞꯄꯥ ꯄꯣꯠꯁꯛ ꯑꯃꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯂꯥꯀꯏ꯫ ꯍꯥꯌꯔꯤꯕꯥ ꯋꯥꯐꯃꯁꯤꯡ ꯑꯁꯤ ꯈꯟꯊꯕꯤꯌꯨ:

• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯂꯪꯁꯇꯥ ꯆꯠꯂꯤꯕꯥ ꯑꯆꯧꯕꯥ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯜ (pulmonary artery) ꯑꯃꯗꯥ ꯑꯆꯧꯕꯥ ꯕ꯭ꯂꯗ ꯀ꯭ꯂꯣꯠ ꯑꯃꯥ ꯂꯩꯔꯕꯗꯤ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯍꯥꯔꯠ ꯑꯗꯨ ꯍꯥꯔꯇꯀꯤ ꯑꯀꯣꯌꯕꯗꯥ ꯐ꯭ꯂꯨꯏꯗꯅꯥ ꯊꯜꯂꯕꯥ ꯁꯦꯛ ꯑꯃꯅꯥ ꯁꯣꯀꯍꯜꯂꯕꯗꯤ (pericardial tamponade)꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯂꯪꯁꯇꯥ ꯑꯁꯣꯀꯄꯥ ꯑꯃꯥ ꯂꯩꯔꯕꯗꯤ ꯑꯃꯁꯨꯡ ꯆꯦꯁ꯭ꯠ ꯀꯦꯚꯤꯇꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯂꯩꯕꯥ ꯄ꯭ꯔꯦꯁꯔ ꯑꯗꯨ ꯌꯥꯝꯅꯥ ꯍꯦꯅꯒꯠꯂꯛꯂꯕꯗꯤ, ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ``ꯇꯦꯟꯁꯟ ꯅ꯭ꯌꯨꯃꯣꯊꯣꯔꯦꯛꯁ'' ꯀꯧꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯗꯥ꯫

ꯑꯣꯕꯁ꯭ꯠꯔꯀꯆꯔ ꯁꯣꯛ ꯍꯥꯌꯕꯁꯤ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯃꯄꯥꯅꯒꯤ ꯃꯔꯝ ꯑꯃꯅꯥ ꯍꯥꯔꯠ ꯑꯁꯤ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯊꯕꯛ ꯇꯧꯕꯥ ꯉꯃꯗꯕꯥ ꯃꯇꯃꯗꯥ ꯑꯣꯏ꯫

ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤꯕꯨ ``ꯑꯣꯕꯁ꯭ꯠꯔꯀꯆꯔ ꯁꯣꯛ'' ꯍꯥꯌꯅꯥ ꯀꯧꯕꯥ ꯀꯌꯥ ꯌꯥꯝꯅꯥ ꯀꯃꯟ ꯑꯣꯏꯕꯒꯦ? ꯃꯁꯤꯅꯥ ꯍꯀꯆꯥꯡꯗꯥ ꯀꯔꯝꯅꯥ ꯁꯣꯀꯍꯅꯕꯒꯦ?

ꯑꯣꯕꯁ꯭ꯠꯔꯀꯆꯔ ꯁꯣꯛ ꯑꯁꯤ ꯇꯁꯦꯡꯕꯗꯤ ꯑꯇꯩ ꯃꯈꯂꯒꯤ ꯁꯣꯀꯁꯤꯡꯒꯥ ꯆꯥꯡꯗꯝꯅꯕꯗꯥ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯊꯣꯀꯄꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫ ꯃꯍꯧꯁꯥꯅꯥ ꯃꯁꯤꯅꯥ ꯁꯣꯀꯍꯜꯂꯕꯥ ꯑꯅꯥꯕꯁꯤꯡꯒꯤ 1% ꯅꯠꯠꯔꯒꯥ 2% ꯈꯛꯇꯗꯥ ꯁꯣꯀꯍꯜꯂꯤ꯫ ꯅꯨꯡꯉꯥꯏꯕꯥ ꯄꯥꯎ ꯑꯃꯗꯤ ꯃꯁꯤ ꯑꯇꯣꯞꯄꯥ ꯃꯈꯂꯒꯤ ꯁꯣꯀꯄꯁꯤꯡꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯐꯒꯠꯂꯀꯄꯒꯤ ꯑꯣꯏꯊꯣꯀꯄꯥ ꯂꯩ, ꯑꯗꯨꯕꯨ ꯈꯨꯗꯛꯇꯥ ꯂꯥꯏꯌꯦꯡꯂꯕꯈꯛꯇꯅꯤ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯊꯨꯅꯥ ꯂꯥꯌꯦꯡꯗ꯭ꯔꯕꯗꯤ, ꯑꯣꯕꯁ꯭ꯠꯔꯀꯆꯔ ꯁꯣꯛ ꯑꯁꯤꯅꯥ ꯍꯀꯆꯥꯡꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯑꯣꯔꯒꯥꯅꯁꯤꯡꯗꯥ ꯑꯣꯛꯁꯤꯖꯦꯟ ꯑꯃꯁꯨꯡ ꯅ꯭ꯌꯨꯠꯔꯤꯑꯦꯟꯇꯁꯤꯡ ꯊꯤꯡꯏ꯫ ꯃꯁꯤꯅꯥ ꯑꯣꯔꯒꯥꯅꯁꯤꯡ ꯃꯥꯡꯍꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯁꯤꯕꯥ ꯐꯥꯎꯕꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯊꯦꯡꯊꯕꯥ ꯂꯩꯇꯅꯥ ꯂꯥꯏꯌꯦꯡ ꯂꯧꯕꯥ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫

`(Obstructive Shock)`ꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯤꯅꯣ?

ꯃꯁꯤꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ``ꯀꯥꯔꯗꯤꯑꯣꯖꯦꯅꯤꯛ ꯁꯣꯛ''ꯒꯥ ꯈꯔꯥ ꯃꯥꯟꯅꯔꯝꯕꯥ ꯌꯥꯏ꯫

• ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯒꯤ ꯆꯥꯡ ꯑꯁꯤ ꯃꯍꯧꯁꯥꯗꯒꯤ ꯍꯦꯅꯒꯠꯂꯀꯏ꯫
• ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ ꯌꯥꯝꯅꯥ ꯍꯟꯊꯕꯥ (ꯍꯥꯌꯄꯣꯇꯦꯟꯁꯟ)꯫
• ꯍꯥꯔꯇꯀꯤ ꯔꯦꯠ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯍꯦꯅꯒꯠꯂꯀꯏ (`Tachycardia`)꯫ ꯍꯧꯖꯤꯛ ꯂꯥꯟꯊꯦꯡꯅꯔꯀꯄꯒꯨꯝ꯫
• ꯋꯥꯈꯜ ꯍꯣꯡꯂꯀꯄꯥ, ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯑꯃꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫
• ꯄꯨꯊꯣꯀꯄꯥ ꯌꯨꯔꯤꯅꯒꯤ ꯆꯥꯡ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯍꯟꯊꯔꯀꯏ, ꯅꯠꯠꯔꯒꯥ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯂꯩꯇꯦ꯫
• ꯈꯣꯡꯗꯥ ꯏꯪꯊꯕꯥ ꯑꯃꯁꯨꯡ ꯏꯪꯊꯕꯥ ꯐꯥꯎꯏ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯈꯣꯡꯒꯤ ꯃꯈꯥꯗꯥ ꯅꯨꯡꯁꯤꯠ ꯁꯤꯠꯄꯥ ꯌꯥꯏ (`Subcutaneous emphysema`)꯫ ꯃꯁꯤꯅꯥ ꯇꯥꯀꯄꯗꯤ ꯃꯁꯤꯅꯥ ꯈꯣꯡꯒꯤ ꯃꯈꯥꯗꯥ ꯑꯄꯤꯀꯄꯥ ꯕꯨꯕꯂꯁꯤꯡꯒꯨꯝꯅꯥ ꯐꯥꯎꯏ꯫
• ꯅꯍꯥꯛꯅꯥ ꯆꯦꯁ꯭ꯠ ꯅꯠꯠꯔꯒꯥ ꯁ꯭ꯇꯣꯃꯥꯛ ꯁꯣꯀꯄꯥ ꯌꯥꯏ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯃꯗꯒꯤ ꯍꯦꯅꯕꯥ ꯂꯩꯔꯕꯗꯤ, ꯈꯨꯗꯛꯇꯥ ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯄꯥꯎꯇꯥꯛ ꯂꯧꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫

`(Obstructive Shock)`ꯒꯤ ꯃꯔꯃꯁꯤꯡ ꯀꯔꯤꯅꯣ?

`(Obstructive Shock)`ꯒꯤ ꯃꯔꯝ ꯀꯌꯥ ꯂꯩ꯫ ꯃꯔꯨ ꯑꯣꯏꯕꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯁꯤ:

• `(ꯇꯦꯟꯁꯟ ꯅ꯭ꯌꯨꯃꯣꯊꯣꯔꯦꯛꯁ)` (ꯂꯪꯁꯀꯤ ꯀꯣꯂꯥꯞꯁ): ꯃꯁꯤ ꯂꯪꯁꯇꯥ ꯅꯨꯡꯁꯤꯠꯅꯥ ꯆꯪꯂꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯊꯣꯀꯏ ꯑꯃꯁꯨꯡ ꯃꯗꯨ ꯂꯪꯁꯀꯤ ꯃꯅꯨꯡꯗꯥ ꯆꯦꯟꯊꯈꯤꯗꯨꯅꯥ ꯂꯪꯁꯀꯤ ꯃꯅꯨꯡꯗꯥ ꯆꯦꯟꯊꯈꯤ꯫ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯂꯪꯁ ꯑꯗꯨ ꯀꯨꯄꯁꯤꯜꯂꯤ, ꯃꯗꯨꯅꯥ ꯆꯦꯁ꯭ꯇꯀꯤ ꯃꯅꯨꯡꯗꯥ ꯄ꯭ꯔꯦꯁꯔ ꯀꯌꯥ ꯊꯣꯀꯍꯜꯂꯤ ꯑꯃꯁꯨꯡ ꯍꯥꯔꯠ ꯑꯗꯨ ꯁꯣꯀꯄꯥ ꯍꯧꯔꯀꯏ꯫
• ꯚꯦꯅꯥ ꯀꯥꯚꯥ ꯀꯝꯞꯔꯦꯁꯟ ꯁꯤꯟꯗ꯭ꯔꯣꯝ: ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯆꯥꯎꯕꯥ ꯚꯦꯅꯝ (vena cava) ꯀꯝꯞꯔꯦꯁꯟ ꯇꯧꯕꯥ꯫ ꯃꯁꯤ ꯑꯌꯥꯝꯕꯗꯤ ꯃꯤꯔꯣꯜꯂꯤꯉꯩꯒꯤ ꯑꯔꯣꯏꯕꯗꯥ, ꯑꯉꯥꯡ ꯑꯗꯨꯒꯤ ꯑꯔꯨꯝꯕꯥ ꯑꯗꯨꯅꯥ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯜ ꯑꯁꯤꯕꯨ ꯁꯣꯀꯍꯜꯂꯕꯥ ꯃꯇꯃꯗꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫
• ꯄꯂꯃꯣꯅꯥꯔꯤ (ꯂꯪꯁ) ꯀꯝꯞꯔꯦꯁꯟ ꯁꯤꯟꯗ꯭ꯔꯣꯝ: ꯄꯂꯃꯣꯅꯥꯔꯤ ꯀꯝꯞꯔꯦꯁꯟ ꯁꯤꯟꯗ꯭ꯔꯣꯝ꯫
• `(ꯍꯥꯏ-ꯄꯤ.ꯏ.ꯏ.ꯄꯤ. ꯚꯦꯟꯇꯤꯂꯦꯁꯟ)`: ꯚꯦꯟꯇꯤꯂꯦꯇꯔ ꯑꯃꯒꯥ ꯁꯝꯅꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯒꯤꯗꯃꯛ ꯂꯪꯁꯇꯥ ꯄ꯭ꯔꯦꯁꯔ ꯌꯥꯝꯅꯥ ꯋꯥꯡꯅꯥ ꯊꯣꯀꯄꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫
• ꯇꯤꯎꯃꯔꯁꯤꯡ: ꯆꯦꯁ꯭ꯠ ꯀꯦꯚꯤꯇꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯊꯣꯀꯄꯥ ꯇꯤꯎꯃꯔ ꯃꯈꯜ ꯈꯔꯗꯗꯤ ꯍꯥꯔꯠ ꯅꯠꯠꯔꯒꯥ ꯑꯆꯧꯕꯥ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯂꯁꯤꯡꯗꯁꯨ ꯑꯀꯥꯌꯕꯥ ꯄꯤꯕꯥ ꯌꯥꯏ꯫
• ꯄꯂꯃꯣꯅꯥꯔꯤ ꯑꯥꯔꯇꯦꯔꯤꯗꯥ ꯊ꯭ꯔꯣꯝꯕꯣꯏꯝꯕꯣꯂꯤꯖꯝ (thromboembolism) : ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯈꯨꯗꯣꯡꯊꯤꯅꯤꯉꯥꯏ ꯑꯣꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯂꯦꯡ-ꯑꯣꯠꯄꯒꯨꯝꯕꯥ ꯃꯐꯝ ꯑꯃꯗꯥ ꯁꯦꯝꯕꯥ ꯏꯒꯤ ꯈꯣꯡꯖꯦꯜ (blood clot) ꯑꯃꯥ ꯆꯦꯟꯊꯔꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯂꯪꯁꯇꯥ ꯂꯩꯕꯥ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯜ ꯑꯃꯗꯥ ꯆꯦꯟꯊꯈꯤꯕꯥ ꯇꯥꯔꯕꯗꯤ, ꯃꯁꯤꯅꯥ ꯍꯥꯔꯇꯇꯒꯤ ꯂꯪꯁꯇꯥ ꯏ ꯆꯦꯅꯕꯥ ꯊꯤꯡꯏ꯫
• ꯄꯦꯔꯤꯀꯥꯔꯗꯤꯌꯥꯜ ꯇꯦꯝꯄꯣꯅꯦꯗ (pericardial tamponade): ꯍꯥꯔꯇꯀꯤ ꯑꯀꯣꯌꯕꯗꯥ ꯂꯩꯕꯥ ꯑꯄꯤꯀꯄꯥ ꯁꯦꯛ (pericardium) ꯑꯗꯨꯅꯥ ꯐ꯭ꯂꯨꯏꯗꯅꯥ ꯊꯨꯃꯖꯤꯜꯂꯤ, ꯃꯗꯨꯅꯥ ꯍꯥꯔꯠ ꯑꯗꯨ ꯀꯝꯞꯔꯦꯁꯟ ꯇꯧꯏ꯫ ꯃꯁꯤꯅꯥ ꯍꯥꯔꯠ ꯑꯗꯨ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯀꯟꯠꯔꯦꯛꯇ ꯇꯧꯕꯥ ꯑꯃꯁꯨꯡ ꯄꯥꯀꯊꯣꯛ-ꯆꯥꯎꯊꯣꯀꯍꯅꯕꯥ ꯉꯃꯍꯟꯗꯦ꯫
• ꯑꯦꯑꯣꯔꯇꯤꯛ ꯗꯤꯁꯦꯛꯁꯟ: ꯍꯥꯔꯇꯇꯒꯤ ꯊꯣꯀꯄꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯆꯥꯎꯕꯥ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯜ ꯑꯣꯏꯔꯤꯕꯥ ꯑꯦꯑꯣꯔꯇꯥ (aorta)ꯗꯥ ꯊꯣꯀꯄꯥ ꯑꯁꯣꯀꯄꯥ ꯑꯃꯥ꯫
• ꯑꯦꯑꯣꯔꯇꯤꯛ ꯁ꯭ꯇꯦꯅꯣꯁꯤꯁ (aortic stenosis): ꯍꯥꯔꯇꯇꯥ ꯂꯩꯕꯥ ꯑꯦꯑꯣꯔꯇꯤꯛ ꯚꯜꯌꯨ (aortic valve) ꯑꯗꯨ ꯁꯣꯟꯊꯕꯥ꯫ ꯃꯁꯤꯅꯥ ꯊꯝꯃꯣꯌꯗꯒꯤ ꯏ ꯊꯣꯀꯄꯥ ꯉꯃꯍꯟꯗꯦ꯫
• ꯍꯥꯏꯄꯔꯠꯔꯣꯐꯤꯛ ꯀꯥꯔꯗꯤꯑꯣꯃꯥꯌꯣꯄꯦꯊꯤ (Hypertrophic cardiomyopathy) : ꯍꯥꯔꯇꯀꯤ ꯃꯁꯜ ꯑꯗꯨ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯌꯥꯡꯅꯥ ꯄꯥꯌꯈꯠꯄꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯏꯒꯤ ꯈꯣꯡꯖꯦꯜ ꯊꯤꯡꯖꯤꯅꯕꯥ꯫
• ꯀꯟꯁꯠꯔꯛꯇꯤꯚ ꯄꯦꯔꯤꯀꯥꯔꯗꯤꯇꯤꯁ (constrictive pericarditis) : ꯍꯥꯔꯇꯀꯤ ꯑꯀꯣꯌꯕꯗꯥ ꯂꯩꯕꯥ ꯁꯦꯛ ꯑꯗꯨ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯁꯣꯀꯆꯤꯜꯂꯀꯏ, ꯃꯗꯨꯅꯥ ꯍꯥꯔꯠ ꯑꯗꯨ ꯅꯤꯡꯊꯤꯅꯥ ꯊꯕꯛ ꯇꯧꯕꯗꯥ ꯑꯋꯥꯕꯥ ꯑꯣꯏꯍꯜꯂꯤ꯫

ꯃꯔꯨꯑꯣꯏꯕꯥ: ꯃꯔꯝ ꯄꯨꯝꯅꯃꯛ ꯑꯁꯤ ꯑꯦꯃꯔꯖꯦꯟꯁꯤꯅꯤ, ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯂꯩꯔꯕꯗꯤ ꯈꯨꯗꯛꯇꯥ ꯗꯣꯛꯇꯔ ꯑꯃꯒꯥ ꯇꯥꯟꯅꯧ꯫

`(Obstructive Shock)` ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯈꯉꯒꯅꯤ?

ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯑꯍꯥꯅꯕꯗꯥ ꯅꯍꯥꯀꯄꯨ ꯌꯦꯡꯁꯤꯅꯒꯅꯤ꯫ ꯃꯈꯣꯌꯅꯥ ꯁ꯭ꯇꯦꯊꯣꯁ꯭ꯀꯣꯞ ꯑꯃꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯊꯝꯃꯣꯌ ꯑꯃꯁꯨꯡ ꯂꯪꯁꯀꯤ ꯋꯥꯐꯃꯁꯤꯡ ꯇꯥꯒꯅꯤ꯫ ꯑꯣꯕꯁ꯭ꯠꯔꯀꯆꯔ ꯁꯣꯛ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯐꯒꯠꯂꯀꯄꯥ ꯌꯥꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ, ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯊꯨꯅꯥ ꯗꯥꯏꯑꯦꯒ꯭ꯅꯣꯁꯤꯁ ꯑꯃꯥ ꯂꯧꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫

ꯂꯥꯌꯅꯥ ꯑꯁꯤ ꯑꯆꯨꯝꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯈꯪꯗꯣꯛꯅꯕꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯑꯁꯤ ꯄꯥꯡꯊꯣꯀꯄꯥ ꯌꯥꯏ:

• ꯑꯂꯠꯔꯥꯁꯥꯎꯟꯗ: ꯃꯁꯤꯅꯥ ꯍꯥꯔꯠ, ꯑꯆꯧꯕꯥ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯂꯁꯤꯡ, ꯑꯃꯁꯨꯡ ꯂꯪꯁꯀꯤ ꯑꯀꯣꯌꯕꯗꯥ ꯐ꯭ꯂꯨꯏꯗ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯕꯥ ꯌꯥꯏ꯫
• ꯏꯀꯣꯀꯥꯔꯗꯤꯑꯣꯒ꯭ꯔꯥꯐ (Echo): ꯃꯁꯤ ꯍꯥꯔꯇꯀꯤ ꯑꯂꯠꯔꯥꯁꯥꯎꯟꯗ ꯑꯃꯒꯨꯝꯅꯥ ꯑꯣꯏ꯫ ꯃꯁꯤꯅꯥ ꯍꯥꯔꯇꯀꯤ ꯐꯉ꯭ꯀꯁꯟ, ꯚꯜꯌꯨꯁꯤꯡꯒꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯁꯨꯡ ꯍꯥꯔꯇꯀꯤ ꯑꯀꯣꯌꯕꯗꯥ ꯐ꯭ꯂꯨꯏꯗ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯌꯥꯝꯅꯥ ꯃꯌꯦꯛ ꯁꯦꯡꯅꯥ ꯎꯕꯥ ꯉꯝꯃꯤ꯫
• ꯀꯝꯞꯌꯨꯇꯔ ꯇꯣꯃꯣꯒ꯭ꯔꯥꯐꯤ (CT) ꯁ꯭ꯀꯦꯟ: ꯃꯁꯤꯅꯥ ꯆꯦꯁ꯭ꯠ ꯀꯦꯚꯤꯇꯤꯒꯤ ꯑꯀꯨꯞꯄꯥ ꯃꯔꯣꯂꯁꯤꯡ ꯂꯧꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯅꯥ ꯏ ꯊꯣꯀꯄꯥ, ꯇꯤꯎꯃꯔ, ꯑꯃꯁꯨꯡ ꯑꯦꯑꯣꯔꯇꯤꯛ ꯗꯤꯁꯦꯛꯁꯟ ꯑꯁꯤꯅꯆꯤꯡꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ ꯈꯪꯗꯣꯀꯄꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫
• ꯏꯂꯦꯛꯠꯔꯣꯀꯥꯔꯗꯤꯑꯣꯒ꯭ꯔꯥꯐ (ECG ꯅꯠꯠꯔꯒꯥ EKG): ꯃꯁꯤꯅꯥ ꯍꯥꯔꯇꯀꯤ ꯏꯂꯦꯛꯠꯔꯤꯀꯦꯜ ꯑꯦꯛꯇꯤꯚꯤꯇꯤ ꯑꯗꯨ ꯇꯦꯁ꯭ꯠ ꯇꯧꯏ꯫ ꯃꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯊꯝꯃꯣꯌꯗꯥ ꯑꯁꯣꯀꯄꯥ ꯑꯃꯥ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯈꯪꯗꯣꯀꯄꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫

ꯑꯣꯕꯁ꯭ꯠꯔꯀꯆꯔ ꯁꯣꯛ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯂꯥꯏꯌꯦꯡꯕꯒꯦ?

ꯑꯍꯥꯅꯕꯗꯥ, ꯅꯍꯥꯀꯄꯨ IV ꯐ꯭ꯂꯨꯏꯗ (ꯁꯦꯂꯥꯏꯟ - IV ꯀ꯭ꯔꯤꯁ꯭ꯇꯦꯂꯣꯏꯗ ꯐ꯭ꯂꯨꯏꯗꯒꯨꯝꯕꯥ) ꯄꯤꯒꯅꯤ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ ꯑꯃꯁꯨꯡ ꯑꯣꯛꯁꯤꯖꯦꯅꯒꯤ ꯆꯥꯡ ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯌꯦꯡꯁꯤꯅꯒꯅꯤ꯫ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ, ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯋꯥꯐꯃꯗꯤ ꯑꯣꯕꯁ꯭ꯠꯔꯀꯆꯔ ꯁꯣꯀꯄꯒꯤ ꯃꯔꯝ ꯑꯗꯨ ꯈꯪꯗꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯃꯔꯝ ꯑꯗꯨ ꯂꯥꯏꯌꯦꯡꯕꯅꯤ꯫

ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯃꯑꯣꯡ-ꯃꯇꯧꯁꯤꯡ ꯑꯁꯤ ꯃꯔꯃꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ ꯈꯦꯠꯅꯩ꯫ ꯈꯨꯗꯝ ꯈꯔꯥ ꯌꯦꯡꯁꯤ:

• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯏ ꯊꯣꯀꯄꯥ (embolism) ꯂꯩꯔꯕꯗꯤ, ꯃꯗꯨ ꯁꯔꯖꯤꯀꯦꯜ ꯑꯣꯏꯅꯥ ꯅꯠꯠꯔꯒꯥ ꯀꯦꯟꯌꯨꯜ (catheter) ꯑꯃꯥ ꯍꯥꯄꯆꯤꯟꯗꯨꯅꯥ ꯂꯧꯊꯣꯀꯏ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯀꯨꯞꯄꯥ ꯑꯦꯑꯣꯔꯇꯤꯛ ꯚꯜꯌꯨ ꯑꯃꯥ ꯑꯣꯏꯔꯕꯗꯤ ꯃꯗꯨ ꯃꯍꯨꯠ ꯁꯤꯅꯒꯅꯤ꯫
• ꯍꯥꯔꯠ ꯃꯁꯜ ꯁꯣꯟꯊꯔꯀꯄꯥ (ꯍꯥꯌꯄꯔꯠꯔꯣꯐꯤꯛ ꯀꯥꯔꯗꯤꯑꯣꯃꯥꯌꯣꯄꯦꯊꯤ)ꯒꯤ ꯀꯦꯁꯁꯤꯡꯗꯥ, ꯁꯔꯖꯔꯤꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯅꯠꯠꯔꯒꯥ ꯌꯨ ꯁꯤꯖꯤꯟꯅꯗꯨꯅꯥ ꯑꯈꯟꯅꯕꯥ ꯃꯦꯊꯗ ꯑꯃꯅꯥ (ꯀꯦꯇꯦꯇꯔꯗꯥ ꯌꯨꯝꯐꯝ ꯑꯣꯏꯕꯥ ꯑꯂꯀꯣꯍꯣꯜ ꯑꯦꯕꯂꯦꯁꯟ) ꯊꯤꯡꯕꯥ ꯌꯥꯏ꯫
• ꯃꯈꯣꯌꯅꯥ ꯅꯉꯣꯟꯗꯥ ꯏ ꯊꯣꯀꯄꯥ ꯌꯥꯕꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ ꯄꯤ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯍꯥꯔꯇꯀꯤ ꯑꯀꯣꯌꯕꯗꯥ ꯐ꯭ꯂꯨꯏꯗ ꯂꯩꯔꯕꯗꯤ (ꯄꯦꯔꯤꯀꯥꯔꯗꯤꯑꯦꯜ ꯇꯦꯝꯄꯣꯅꯦꯗ) ꯅꯠꯠꯔꯒꯥ ꯇꯦꯟꯁꯟ ꯅ꯭ꯌꯨꯃꯣꯊꯣꯔꯥꯛꯁ ꯑꯃꯥ ꯂꯩꯔꯕꯗꯤ, ꯐ꯭ꯂꯨꯏꯗ ꯅꯠꯠꯔꯒꯥ ꯑꯦꯌꯔ ꯑꯗꯨ ꯂꯧꯊꯣꯛꯀꯅꯤ (ꯑꯄꯤꯀꯄꯥ ꯇꯤꯎꯕ ꯑꯃꯥ ꯁꯤꯖꯤꯟꯅꯗꯨꯅꯥ ꯑꯣꯏꯔꯕꯁꯨ)꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯚꯦꯟꯇꯤꯂꯦꯇꯔ ꯑꯃꯗꯥ ꯂꯩꯔꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯃꯁꯤꯒꯤ ꯁꯦꯇꯤꯡꯁꯤꯡ ꯍꯣꯡꯗꯣꯀꯄꯥ ꯌꯥꯏ꯫
• ``ꯚꯦꯅꯥ ꯀꯥꯚꯥ ꯀꯝꯞꯔꯦꯁꯟ ꯁꯤꯟꯗꯣꯝ''ꯒꯨꯝꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯗꯥ, ꯍꯀꯆꯥꯡꯒꯤ ꯄꯣꯖꯤꯁꯟ ꯑꯁꯤ ꯍꯣꯡꯏ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯂꯪꯁꯇꯥ ꯄ꯭ꯔꯦꯁꯔ ꯑꯗꯨ ꯋꯥꯡꯈꯠꯂꯕꯗꯤ, ꯄ꯭ꯔꯦꯁꯔ ꯑꯗꯨ ꯅꯤꯗꯜ ꯅꯠꯠꯔꯒꯥ ꯇꯤꯎꯕ ꯑꯃꯅꯥ ꯍꯟꯊꯍꯜꯂꯤ꯫

ꯀꯔꯤ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ ꯁꯤꯖꯤꯟꯅꯕꯒꯦ?

ꯃꯔꯝ ꯑꯗꯨ ꯂꯥꯏꯌꯦꯡ ꯆꯠꯊꯔꯤꯉꯩꯗꯥ, ꯅꯍꯥꯛꯀꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯗꯨ ꯁ꯭ꯇꯦꯕꯜ ꯑꯣꯏꯍꯟꯅꯕꯥ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯍꯤꯗꯥꯀꯁꯤꯡ ꯑꯁꯤ ꯄꯤꯕꯥ ꯌꯥꯏ:

• `IV` ꯁꯦꯂꯥꯏꯟ (`IV ꯀ꯭ꯔꯤꯁ꯭ꯇꯦꯂꯣꯏꯗ ꯐ꯭ꯂꯨꯏꯗ`)ꯒꯨꯝꯕꯥ ꯐ꯭ꯂꯨꯏꯗꯁꯤꯡ꯫
• ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ ꯍꯦꯅꯒꯠꯍꯟꯅꯕꯥ ꯍꯤꯗꯥꯀꯁꯤꯡ: `(ꯅꯣꯔꯦꯄꯤꯅꯦꯐ꯭ꯔꯤꯟ (ꯂꯦꯚꯣꯐꯦꯗ®))`, `(ꯚꯦꯁꯣꯞꯔꯦꯁꯤꯟ (ꯚꯦꯁꯣꯁ꯭ꯠꯔꯤꯛꯇ®))`, `(ꯐꯦꯅꯤꯂꯦꯐ꯭ꯔꯤꯟ (ꯚꯥꯖꯀꯨꯂꯦꯞ® ꯅꯠꯠꯔꯒꯥ ꯕꯥꯏꯑꯣꯔꯐꯦꯟ®))`꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯕ꯭ꯂꯗ ꯀꯥꯎꯟꯇ ꯅꯦꯝꯅꯥ ꯂꯩꯔꯕꯗꯤ, ꯅꯍꯥꯀꯄꯨ ꯏ ꯅꯠꯠꯔꯒꯥ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯗꯛꯇꯁꯤꯡ (ꯔꯦꯗ ꯕ꯭ꯂꯗ ꯁꯦꯂꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯄ꯭ꯂꯥꯖꯃꯥꯒꯨꯝꯕꯥ) ꯄꯤꯒꯅꯤ꯫

ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯑꯩꯍꯥꯛ ꯀꯌꯥ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯐꯒꯠꯂꯛꯀꯅꯤ?

ꯑꯣꯕꯁ꯭ꯠꯔꯀꯆꯔ ꯁꯣꯀꯄꯒꯤ ꯃꯔꯝ ꯀꯌꯥ ꯊꯨꯅꯥ ꯂꯥꯌꯦꯡꯕꯥ ꯃꯊꯧ ꯇꯥꯏ , ꯃꯔꯃꯗꯤ ꯃꯁꯤꯅꯥ ꯍꯤꯡꯕꯒꯤ ꯆꯥꯡ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯋꯥꯡꯕꯥ ꯃꯇꯃꯅꯤ꯫ ꯅꯨꯡꯉꯥꯏꯕꯥ ꯋꯥꯐꯝ ꯑꯃꯅꯥ ꯂꯥꯌꯦꯡꯁꯤꯡ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯊꯕꯛ ꯑꯣꯏꯅꯥ ꯄꯥꯡꯊꯣꯀꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯃꯔꯝ ꯑꯗꯨ ꯂꯥꯌꯦꯡꯂꯕꯥ ꯃꯇꯨꯡꯗꯁꯨ, ꯍꯀꯆꯥꯡꯅꯥ ꯑꯣꯕꯁ꯭ꯠꯔꯀꯆꯔ ꯁꯣꯀꯄꯒꯤ ꯏꯐꯦꯛꯇꯁꯤꯡꯗꯒꯤ ꯐꯒꯠꯂꯀꯄꯗꯥ ꯃꯇꯝ ꯆꯪꯏ꯫ ꯑꯗꯣꯝꯅꯥ ꯁꯨꯞꯅꯇꯒꯤ ꯂꯥꯟꯊꯦꯡꯅꯗꯨꯅꯥ ꯑꯗꯣꯃꯒꯤ ꯊꯕꯛ ꯑꯗꯨ ꯇꯧꯕꯥ ꯉꯝꯂꯣꯏ꯫

`(ꯑꯣꯕꯁ꯭ꯠꯔꯀꯆꯔ ꯁꯣꯛ)`ꯒꯤ ꯑꯥꯎꯇꯂꯨꯛ ꯑꯁꯤ ꯀꯔꯤꯅꯣ?

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯂꯥꯏꯌꯦꯡꯗ꯭ꯔꯕꯗꯤ, ``ꯑꯣꯕꯁ꯭ꯠꯔꯀꯆꯔ ꯁꯣꯛ`` ꯍꯥꯌꯕꯁꯤ ꯃꯤꯑꯣꯏ ꯀꯌꯥꯗꯥ ꯁꯤꯍꯅꯕꯥ ꯌꯥꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫ ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯐꯒꯠꯂꯀꯄꯥ ꯑꯁꯤ ꯐꯦꯛꯇꯔ ꯀꯌꯥꯒꯤ ꯃꯈꯥ ꯄꯣꯜꯂꯤ, ꯃꯈꯣꯌ ꯑꯗꯨꯗꯤ:

• `(Obstructive Shock)`ꯒꯤ ꯃꯔꯝ ꯀꯔꯤꯅꯣ?
• ꯂꯥꯏꯌꯦꯡꯕꯗꯥ ꯃꯇꯝ ꯀꯌꯥ ꯆꯪꯈꯤꯕꯒꯦ?
• ꯑꯇꯣꯞꯄꯥ ꯀꯔꯤ ꯑꯅꯥꯕꯥ ꯂꯩꯕꯒꯦ?
• ꯑꯗꯣꯃꯒꯤꯗꯃꯛꯇꯥ ꯂꯥꯌꯦꯡ ꯑꯁꯤ ꯀꯌꯥ ꯌꯥꯝꯅꯥ ꯃꯥꯌ ꯄꯥꯀꯈꯤꯕꯒꯦ?

ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯃꯃꯥꯡꯗꯥ ꯍꯥꯌꯈꯤꯕꯒꯨꯝꯅꯥ, ``ꯑꯣꯕꯁ꯭ꯠꯔꯀꯆꯔ ꯁꯣꯛ``ꯗꯒꯤ ꯐꯒꯠꯂꯀꯄꯒꯤ ꯆꯥꯡ ꯑꯁꯤ ``ꯁꯦꯞꯇꯤꯛ ꯁꯣꯛ``ꯒꯨꯝꯕꯥ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ``ꯁꯣꯛ`` ꯃꯈꯂꯁꯤꯡꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯋꯥꯡꯏ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯑꯥꯁꯥ ꯂꯩꯔꯤ꯫

ꯑꯩꯅꯥ ꯏꯁꯥꯕꯨ ꯀꯔꯝꯅꯥ ꯌꯦꯡꯁꯤꯅꯕꯤꯒꯅꯤ?

ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯂꯗꯒꯤ ꯗꯤꯁꯆꯥꯔꯖ ꯇꯧꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ, ꯅꯍꯥꯛꯅꯥ ꯃꯈꯣꯌꯒꯤ ꯏꯅꯁ꯭ꯠꯔꯛꯁꯅꯁꯤꯡ ꯑꯗꯨ ꯆꯨꯝꯅꯥ ꯏꯅꯒꯗꯕꯅꯤ꯫

• ꯊꯕꯛꯇꯥ ꯍꯜꯂꯛꯠꯔꯤꯉꯩꯒꯤ ꯃꯃꯥꯡꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯌꯨꯃꯗꯥ ꯃꯇꯝ ꯈꯔꯥ ꯂꯦꯞꯄꯥ ꯃꯊꯧ ꯇꯥꯒꯅꯤ꯫
• ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯄꯤꯕꯥ ꯍꯤꯗꯥꯛ ꯑꯗꯨ ꯃꯇꯝ ꯆꯥꯅꯥ ꯂꯧꯒꯗꯕꯅꯤ . ꯑꯄꯥꯝꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯍꯤꯗꯥꯛ ꯑꯃꯠꯇꯥ ꯊꯀꯄꯥ ꯂꯦꯄꯀꯅꯨ꯫
• ꯐꯣꯂꯣ-ꯑꯞ ꯑꯦꯄꯣꯏꯟꯇꯃꯦꯟꯇꯁꯤꯡꯗꯥ ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯆꯠꯂꯨ .

ꯑꯩꯅꯥ ꯀꯗꯥꯌꯗꯥ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯗꯣꯛꯇꯔꯒꯥ ꯎꯅꯒꯗꯒꯦ? ꯑꯦꯃꯔꯖꯦꯟꯁꯤ ꯑꯃꯗꯥ ꯑꯩꯅꯥ ꯀꯔꯤ ꯇꯧꯒꯗꯒꯦ?

ꯍꯧꯖꯤꯛꯇꯤ ꯅꯍꯥꯛꯀꯤ `(Obstructive Shock)` ꯒꯤ ꯃꯔꯝ ꯀꯔꯤꯅꯣ ꯍꯥꯌꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯈꯉꯂꯦ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯑꯗꯨꯒꯥ ꯃꯔꯤ ꯂꯩꯅꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯗꯨ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯂꯥꯛꯂꯕꯗꯤ ꯆꯦꯀꯁꯤꯅꯒꯗꯕꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯎꯕꯥ ꯐꯪꯂꯕꯗꯤ, ꯅꯠꯠꯔꯒꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯏꯃꯨꯡꯒꯤ ꯃꯤꯑꯣꯏ ꯑꯃꯅꯥ ꯅꯍꯥꯛꯇꯥ ꯑꯍꯣꯡꯕꯥ ꯑꯁꯤ ꯎꯔꯕꯗꯤ, ꯈꯨꯗꯛꯇꯥ 1990 (ꯋꯥꯏꯟꯗ) ꯑꯦꯝꯕꯨꯂꯦꯟꯁ ꯁꯔꯚꯤꯁꯇꯥ ꯀꯜ ꯇꯧꯕꯤꯌꯨ, ꯅꯠꯠꯔꯒꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯅꯀꯄꯥ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯂꯒꯤ ꯏꯃꯔꯖꯦꯟꯁꯤ ꯔꯨꯃꯗꯥ ꯆꯠꯄꯤꯌꯨ꯫ ꯃꯇꯝ ꯑꯁꯤ ꯇꯉꯥꯏꯐꯗꯕꯥ ꯑꯃꯅꯤ꯫

ꯑꯩꯒꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯀꯔꯤ ꯋꯥꯍꯪ ꯍꯪꯒꯗꯒꯦ?

ꯑꯗꯣꯝꯅꯥ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯋꯥꯍꯪꯁꯤꯡ ꯑꯁꯤ ꯍꯪꯕꯤꯔꯀꯄꯥ ꯌꯥꯏ:

• ꯅꯍꯥꯛꯅꯥ ꯄꯤꯔꯀꯄꯥ ꯍꯤꯗꯥꯛ ꯑꯗꯨ ꯀꯌꯥꯝ ꯁꯥꯡꯅꯥ ꯂꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯒꯦ?
• ꯑꯩꯉꯣꯟꯗꯥ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯂꯥꯀꯄꯒꯤ ꯆꯥꯡ ꯀꯔꯤꯅꯣ?
• ꯃꯁꯤꯅꯥ ꯑꯩꯒꯤ ꯄꯨꯟꯁꯤꯒꯤ ꯃꯒꯨꯅꯗꯥ ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯁꯥꯐꯨ ꯄꯤꯒꯗ꯭ꯔꯥ?
• ꯑꯩꯒꯤ ꯗꯥꯏꯠ ꯑꯃꯁꯨꯡ ꯑꯦꯛꯁꯔꯁꯥꯏꯖꯗꯥ ꯀꯔꯤ ꯑꯍꯣꯡꯕꯥ ꯄꯨꯔꯛꯀꯗꯒꯦ?

ꯑꯔꯣꯏꯕꯗꯥ, ꯀꯔꯤ ꯅꯤꯡꯁꯤꯡꯒꯗꯒꯦ (ꯇꯦꯛ-ꯍꯣꯝ ꯃꯦꯁꯦꯖ)

ꯑꯣꯕꯁ꯭ꯠꯔꯀꯆꯔ ꯁꯣꯛ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯇꯣꯏꯅꯥ ꯊꯣꯀꯄꯥ ꯑꯗꯨꯕꯨ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ ꯑꯃꯁꯨꯡ ꯃꯁꯤꯅꯥ ꯑꯦꯃꯔꯖꯦꯟꯁꯤ ꯂꯥꯏꯌꯦꯡ ꯃꯊꯧ ꯇꯥꯏ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯗꯨ ꯈꯪꯖꯤꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯑꯊꯨꯕꯥ ꯃꯇꯃꯗꯥ ꯂꯥꯏꯌꯦꯡ ꯂꯧꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫ ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯑꯣꯕꯁ꯭ꯠꯔꯀꯆꯔ ꯁꯣꯀꯄꯒꯤ ꯃꯔꯝ ꯈꯪꯗꯣꯛꯂꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯃꯈꯣꯌꯅꯥ ꯃꯇꯤꯛ ꯆꯥꯕꯥ ꯂꯥꯏꯌꯦꯡ ꯍꯧꯔꯒꯅꯤ꯫

ꯅꯤꯡꯁꯤꯡꯕꯤꯌꯨ, ꯃꯤꯑꯣꯏ ꯑꯌꯥꯝꯕꯅꯥ ꯑꯣꯕꯁ꯭ꯠꯔꯀꯆꯔ ꯁꯣꯛꯅꯕꯗꯒꯤ ꯐꯒꯠꯂꯀꯄꯥ ꯌꯥꯏ, ꯑꯗꯨꯕꯨ ꯃꯁꯤꯗꯥ ꯃꯇꯝ ꯆꯪꯏ꯫ ꯑꯁꯥꯑꯣꯕꯥ ꯂꯩꯌꯨ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯤ ꯏꯅꯁ꯭ꯠꯔꯛꯁꯅꯁꯤꯡ ꯏꯅꯒꯗꯕꯅꯤ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯅꯁꯥꯕꯨ ꯌꯦꯡꯁꯤꯅꯕꯤꯌꯨ꯫ ꯅꯍꯥꯛ ꯈꯛꯇꯅꯥ ꯅꯠꯇꯦ, ꯑꯃꯁꯨꯡ ꯅꯍꯥꯀꯄꯨ ꯃꯇꯦꯡ ꯄꯥꯡꯕꯥ ꯉꯝꯕꯥ ꯗꯣꯛꯇꯔꯁꯤꯡ, ꯅꯔꯁꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯅꯨꯡꯁꯤꯖꯔꯕꯁꯤꯡꯁꯨ ꯂꯩꯔꯤ꯫

` ꯑꯣꯕꯁ꯭ꯠꯔꯀꯆꯔ ꯁꯣꯛ, ꯁꯣꯀꯄꯥ, ꯍꯥꯔꯇꯀꯤ ꯂꯥꯌꯅꯥ, ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ, ꯑꯣꯛꯁꯤꯖꯦꯟ, ꯑꯣꯕꯁ꯭ꯠꯔꯀꯆꯔ, ꯑꯦꯃꯔꯖꯦꯟꯁꯤ ꯇ꯭ꯔꯤꯠꯃꯦꯟꯇ, ꯂꯪꯁ, ꯍꯥꯔꯠ꯫