ꯇꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯂꯦꯄꯈꯤꯕ꯭ꯔꯥ? ꯈꯨꯗꯣꯡꯊꯤꯅꯤꯉꯥꯏ ꯑꯣꯏꯕꯥ ꯀꯟꯗꯤꯁꯟ (Obstructive Sleep Apnea) ꯑꯁꯤꯒꯤ ꯃꯔꯃꯗꯥ ꯈꯪꯖꯤꯅꯁꯤ!

ꯅꯍꯥꯛꯀꯤ ꯃꯄꯨꯔꯣꯏꯕꯥ, ꯅꯨꯄꯤ ꯅꯠꯠꯔꯒꯥ ꯅꯍꯥꯛꯀꯤ ꯌꯨꯃꯗꯥ ꯂꯩꯕꯥ ꯀꯅꯥꯒꯨꯝꯕꯥ ꯑꯃꯅꯥ ꯑꯌꯨꯛꯇꯥ ꯌꯥꯝꯅꯥ ꯋꯥꯅꯥ ꯅꯣꯡꯃꯩ ꯀꯥꯞꯄꯤꯕ꯭ꯔꯥ? ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯅꯣꯡꯃꯩ ꯀꯥꯞꯄꯥ ꯑꯗꯨꯒꯤ ꯃꯔꯛꯇꯥ, ꯅꯍꯥꯛꯅꯥ ꯈꯪꯍꯧꯗꯅꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯂꯦꯄꯈꯤꯕ꯭ꯔꯥ, ꯑꯃꯁꯨꯡ ꯁꯦꯀꯦꯟꯗ ꯈꯔꯒꯤ ꯃꯇꯨꯡꯗꯥ, ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ ꯍꯧꯔꯀꯏ ꯑꯃꯁꯨꯡ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯍꯧꯔꯀꯄꯔꯥ? ꯃꯁꯤ ꯎꯕꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯀꯩꯗꯧꯉꯩꯗꯁꯨ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯐꯥꯑꯣꯈꯤꯕ꯭ꯔꯥ? ꯃꯁꯤ ꯇꯁꯦꯡꯅꯥ ꯂꯥꯏꯅꯥ ꯂꯧꯕꯥ ꯌꯥꯕꯥ ꯋꯥꯐꯝ ꯅꯠꯇꯦ꯫ ꯃꯁꯤ ꯉꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯔꯤꯕꯥ ꯑꯣꯕꯁ꯭ꯠꯔꯀꯆꯔ ꯁ꯭ꯂꯤꯞ ꯑꯦꯄꯅꯤꯌꯥ (OSA) ꯀꯧꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫

ꯑꯣꯕꯁ꯭ꯠꯔꯀꯆꯔ ꯁ꯭ꯂꯤꯞ ꯑꯦꯄꯅꯤꯌꯥ (OSA) ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ?

ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯃꯁꯤꯅꯥ ꯇꯥꯀꯄꯗꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯇꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯀꯣꯛꯇꯥ ꯂꯩꯕꯥ ꯃꯁꯂꯁꯤꯡ ꯑꯗꯨ ꯌꯥꯝꯅꯥ ꯔꯤꯂꯥꯛꯁ ꯇꯧꯏ, ꯃꯗꯨꯅꯥ ꯑꯦꯌꯔꯋꯦ (airway) ꯑꯗꯨ ꯀꯨꯄꯁꯤꯅꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯊꯤꯡꯖꯤꯜꯂꯤ꯫

ꯈꯟꯊꯕꯤꯌꯨ, ꯑꯩꯈꯣꯌꯅꯥ ꯇꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯃꯁꯜ ꯈꯨꯗꯤꯡꯃꯛ ꯔꯤꯂꯥꯛꯁ ꯇꯧꯏ꯫ ꯃꯗꯨ ꯅꯣꯔꯃꯦꯂꯅꯤ꯫ ꯑꯗꯨꯕꯨ ꯑꯣ.ꯑꯦꯁ.ꯑꯦ.ꯅꯥ ꯅꯥꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯗꯥ, ꯀꯣꯛꯀꯤ ꯃꯇꯨꯡꯗꯥ ꯂꯩꯕꯥ ꯇꯔꯨ-ꯇꯅꯥꯅꯕꯥ ꯇꯤꯁꯨ (longue, palate) ꯑꯁꯤꯅꯥ ꯌꯥꯝꯅꯥ ꯔꯤꯂꯥꯛꯁ ꯇꯧꯏ ꯑꯃꯁꯨꯡ ꯑꯦꯌꯔꯋꯦ (airway) ꯊꯤꯡꯏ꯫ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯑꯁꯤ ꯁꯦꯀꯦꯟꯗ ꯈꯔꯒꯤ ꯑꯣꯏꯅꯥ ꯂꯦꯄꯈꯤ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯃꯤꯅꯠ ꯑꯃꯗꯒꯤ ꯍꯦꯟꯅꯥ꯫

ꯃꯁꯤ ꯑꯣꯏꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯀꯔꯤ ꯑꯣꯏꯒꯅꯤ? ꯏꯗꯥ ꯑꯣꯛꯁꯤꯖꯦꯅꯒꯤ ꯆꯥꯡ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯍꯟꯊꯔꯀꯏ꯫ ꯃꯁꯤꯅꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯕ꯭ꯔꯦꯅꯗꯥ ꯁꯤꯒꯅꯦꯜ ꯑꯃꯥ ꯊꯥꯔꯀꯏ, "ꯈꯨꯗꯣꯡꯊꯤꯕꯥ ꯑꯃꯥ ꯂꯩꯔꯦ! ꯑꯩꯈꯣꯌꯅꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯉꯃꯗꯦ!" ꯑꯗꯨꯗꯒꯤ ꯕ꯭ꯔꯦꯅꯅꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯄꯨꯟꯁꯤ ꯀꯟꯅꯅꯕꯒꯤꯗꯃꯛ ꯑꯩꯈꯣꯌꯕꯨ ꯇꯨꯝꯕꯥ ꯌꯥꯗꯕꯗꯒꯤ ꯌꯥꯝꯅꯥ ꯋꯥꯅꯥ ꯋꯥꯈꯜ ꯇꯥꯍꯜꯂꯤ꯫ ꯆꯨꯝꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯃꯁꯤꯅꯥ ꯑꯩꯈꯣꯌꯕꯨ ꯌꯥꯝꯅꯥ ꯂꯨꯕꯥ ꯇꯨꯝꯕꯥ ꯑꯗꯨꯗꯒꯤ ꯂꯥꯏꯠ ꯇꯨꯝꯕꯥ ꯑꯃꯗꯥ ꯄꯨꯔꯀꯏ꯫ ꯃꯗꯨꯗꯥ ꯀꯣꯛꯇꯥ ꯂꯩꯕꯥ ꯃꯁꯂꯁꯤꯡ ꯑꯗꯨ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯆꯦꯠꯁꯤꯜꯂꯀꯏ ꯑꯃꯁꯨꯡ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯒꯤ ꯃꯑꯣꯡ ꯑꯗꯨ ꯍꯥꯡꯗꯣꯀꯏ꯫ ꯑꯗꯨꯗꯒꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯈꯉꯍꯧꯗꯅꯥ ꯁ꯭ꯕꯔ ꯍꯣꯜꯂꯤ꯫

ꯃꯁꯤ ꯅꯨꯃꯤꯠ ꯈꯨꯗꯤꯡꯒꯤ ꯂꯤꯁꯤꯡ ꯀꯌꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯕꯨ ꯈꯨꯗꯣꯡꯆꯥꯗꯕꯥ ꯑꯁꯤꯗꯤ ꯇꯨꯝꯂꯤꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯗꯨꯅꯥ ꯃꯁꯤ ꯅꯤꯡꯁꯤꯡꯕꯥ ꯉꯃꯗꯦ꯫ ꯃꯍꯥꯛ ꯅꯨꯃꯤꯠ ꯆꯨꯞꯄꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯗꯥ ꯃꯇꯤꯛ ꯆꯥꯅꯥ ꯂꯩꯈꯤꯗꯦ ꯍꯥꯌꯕꯥ ꯈꯉꯗꯦ꯫ ꯑꯗꯨꯕꯨ ꯃꯍꯥꯀꯄꯨ ꯂꯦꯞꯄꯥ ꯂꯩꯇꯅꯥ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯊꯨꯒꯥꯏꯔꯀꯄꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯃꯍꯥꯛ ꯀꯩꯗꯧꯉꯩꯗꯁꯨ ꯑꯐꯕꯥ, ꯅꯨꯡꯉꯥꯏꯕꯥ ꯇꯨꯝꯕꯥ ꯉꯃꯗꯦ꯫

ꯑꯣ.ꯑꯦꯁ.ꯑꯦ.ꯅꯥ ꯅꯥꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯅꯥ ꯀꯔꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯎꯠꯂꯤꯕꯒꯦ?

ꯃꯁꯤꯒꯤ ꯈꯨꯗꯃꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯈꯔꯗꯤ ꯇꯨꯝꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯗꯨꯗꯥ ꯎꯕꯥ ꯐꯪꯗꯕꯥ ꯌꯥꯏ, ꯑꯗꯨꯕꯨ ꯃꯈꯣꯌꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯇꯨꯝꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯗꯨꯗꯥ (ꯃꯈꯣꯌꯒꯤ ꯄꯥꯔꯇꯅꯔ) ꯌꯥꯝꯅꯥ ꯎꯕꯥ ꯐꯪꯏ꯫ ꯍꯥꯌꯔꯤꯕꯥ ꯈꯨꯗꯃꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯤꯅꯣ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯁꯤ꯫

ꯑꯣ.ꯑꯦꯁ.ꯑꯦ.ꯅꯥ ꯅꯥꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯒꯤ ꯅꯣꯡꯃꯩ ꯀꯥꯞꯄꯥ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯁꯣꯜꯂꯤꯕꯅꯣ?

ꯅꯍꯥꯛꯀꯤ ꯄꯥꯔꯇꯅꯔ ꯑꯗꯨ ꯇꯨꯝꯂꯤ ꯍꯥꯌꯅꯥ ꯈꯅꯕꯤꯌꯨ꯫ ꯃꯍꯥꯛ ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯌꯥꯝꯅꯥ ꯋꯥꯅꯥ ꯅꯣꯛꯅꯔꯀꯈꯤ꯫ ꯈꯉꯍꯧꯗꯅꯥ ꯈꯣꯟꯖꯦꯜ ꯑꯗꯨ ꯂꯦꯄꯈꯤ... ꯃꯄꯨꯡ ꯐꯥꯅꯥ ꯇꯞꯅꯥ ꯇꯞꯅꯥ꯫ ꯅꯉꯅꯥ ꯂꯥꯡꯇꯛꯅꯔꯤ, "ꯀꯔꯤꯒꯤ ꯈꯣꯟꯖꯦꯜ ꯑꯃꯠꯇꯥ ꯂꯩꯇꯦ? ꯃꯍꯥꯛ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯑꯩ ꯈꯉꯗꯦ꯫" ꯁꯦꯀꯦꯟꯗ ꯱꯰, ꯲꯰ꯒꯤ ꯃꯇꯨꯡꯗꯥ, ꯃꯁꯤꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯁꯥꯡꯕꯥ ꯑꯣꯏꯔꯕꯁꯨ, ꯃꯍꯥꯛꯅꯥ ꯈꯉꯍꯧꯗꯅꯥ ‘ꯍꯍ꯭ꯍ’ ꯍꯥꯌꯕꯥ ꯋꯥꯍꯩ ꯑꯃꯥ ꯊꯣꯀꯏ, ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯗꯥ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯅꯣꯀꯄꯥ ꯍꯧꯔꯀꯏ꯫ ꯃꯗꯨ ꯑꯣ.ꯑꯦꯁ.ꯑꯦ.ꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯅꯤ꯫ ꯃꯁꯤ ꯅꯨꯃꯤꯠ ꯈꯨꯗꯤꯡꯒꯤ ꯀꯌꯥꯃꯔꯨꯝ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫

ꯀꯔꯤꯒꯤꯗꯃꯛꯇꯥ ꯑꯣ.ꯑꯦꯁ.ꯑꯦ. ꯔꯤꯁ꯭ꯛ ꯐꯦꯛꯇꯔꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?

ꯑꯩꯈꯣꯌꯅꯥ ꯃꯃꯥꯡꯗꯥ ꯈꯟꯅꯈꯤꯕꯒꯨꯝꯅꯥ, ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯔꯃꯗꯤ ꯇꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯀꯣꯛꯇꯥ ꯂꯩꯕꯥ ꯃꯁꯂꯁꯤꯡ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯔꯤꯂꯥꯛꯁ ꯇꯧꯕꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯑꯦꯌꯔꯋꯦ (airway) ꯊꯤꯡꯏ꯫ ꯑꯗꯨꯕꯨ ꯃꯁꯤ ꯃꯤꯄꯨꯝ ꯈꯨꯗꯤꯡꯃꯛꯇꯥ ꯊꯣꯛꯇꯦ꯫ ꯃꯁꯤꯗꯥ ꯁꯣꯀꯍꯅꯕꯥ ꯌꯥꯕꯥ ꯑꯀꯛꯅꯕꯥ ꯔꯤꯁ꯭ꯛ ꯐꯦꯛꯇꯔ ꯀꯌꯥ ꯂꯩ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯁꯤ ꯂꯥꯏꯌꯦꯡꯗ꯭ꯔꯕꯗꯤ ꯊꯣꯀꯄꯥ ꯌꯥꯕꯥ ꯈꯨꯗꯣꯡꯊꯤꯅꯤꯉꯥꯏ ꯑꯣꯏꯕꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯩꯈꯣꯌꯅꯥ ꯃꯁꯤꯕꯨ ꯁꯨꯞꯅꯇꯒꯤ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯑꯃꯅꯤ ꯍꯥꯌꯅꯥ ꯂꯧꯔꯕꯗꯤ ꯃꯁꯤꯅꯥ ꯍꯦꯟꯅꯥ ꯆꯥꯎꯕꯥ ꯁꯃꯁ꯭ꯌꯥꯁꯤꯡ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯅꯨꯃꯤꯠ ꯈꯨꯗꯤꯡꯒꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯑꯣꯛꯁꯤꯖꯦꯟ ꯋꯥꯠꯄꯥ ꯑꯃꯁꯨꯡ ꯇꯨꯝꯕꯥ ꯌꯥꯗꯕꯥ ꯑꯅꯤꯃꯛꯅꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡ ꯄꯨꯝꯕꯥ ꯁꯣꯀꯍꯜꯂꯤ꯫

• ꯅꯨꯃꯤꯗꯥꯡꯒꯤ ꯃꯇꯃꯗꯥ ꯌꯥꯝꯅꯥ ꯋꯥꯅꯥ ꯇꯨꯝꯕꯥ: ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯈꯨꯗꯣꯡꯊꯤꯅꯤꯉꯥꯏ ꯑꯣꯏ꯫ ꯗ꯭ꯔꯥꯏꯚꯤꯡ ꯅꯠꯠꯔꯒꯥ ꯃꯦꯁꯤꯅꯔꯤ ꯑꯣꯄꯔꯦꯠ ꯇꯧꯔꯤꯉꯩꯗꯥ ꯇꯨꯝꯕꯥ ꯌꯥꯗꯕꯅꯥ ꯄꯨꯟꯁꯤ ꯃꯥꯡꯍꯅꯕꯥ ꯌꯥꯏ꯫
• ꯍꯥꯔꯇꯀꯤ ꯂꯥꯌꯅꯥ: ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯑꯣꯛꯁꯤꯖꯦꯟ ꯋꯥꯠꯄꯅꯥ ꯍꯥꯔꯇꯇꯥ ꯁ꯭ꯠꯔꯦꯁ ꯌꯥꯝꯅꯥ ꯄꯤ, ꯃꯗꯨꯅꯥ ꯍꯥꯏꯄꯔꯇꯦꯟꯁꯟ, ꯍꯥꯔꯠ ꯑꯦꯇꯦꯛ, ꯍꯥꯔꯠ ꯐꯦꯜ ꯑꯣꯏꯕꯥ, ꯑꯃꯁꯨꯡ ꯑꯦꯔꯤꯊꯃꯤꯌꯥꯒꯤ ꯔꯤꯁ꯭ꯛ ꯍꯦꯅꯒꯠꯍꯜꯂꯤ꯫
• ꯁ꯭ꯠꯔꯣꯛ: ꯑꯣ.ꯑꯦꯁ.ꯑꯦ.ꯅꯥ ꯁ꯭ꯠꯔꯣꯀꯀꯤ ꯔꯤꯁ꯭ꯛ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯍꯦꯅꯒꯠꯍꯜꯂꯤ꯫
• ꯇꯥꯏꯞ 2 ꯗꯥꯏꯑꯦꯕꯦꯇꯤꯖ: ꯑꯣ.ꯑꯦꯁ.ꯑꯦ.ꯅꯥ ꯍꯀꯆꯥꯡꯗꯥ ꯏꯅꯁꯨꯂꯤꯅꯒꯤ ꯔꯦꯁꯤꯁ꯭ꯇꯦꯟꯁ ꯍꯦꯅꯒꯠꯍꯜꯂꯤ, ꯃꯗꯨꯅꯥ ꯗꯥꯏꯑꯦꯕꯦꯇꯤꯖ ꯂꯥꯀꯄꯒꯤ ꯔꯤꯁ꯭ꯛ ꯍꯦꯅꯒꯠꯍꯜꯂꯤ꯫
• ꯈꯉꯍꯧꯗꯅꯥ ꯁꯤꯕꯥ: ꯱.ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯊꯣꯀꯄꯥ, ꯁꯥꯊꯤꯕꯥ, ꯂꯥꯏꯌꯦꯡꯗꯕꯥ OSAꯅꯥ ꯇꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯀꯥꯔꯗꯤꯌꯦꯛ ꯑꯦꯔꯦꯁ꯭ꯠ ꯇꯧꯕꯥ ꯑꯃꯁꯨꯡ ꯁꯤꯕꯥ ꯐꯥꯎꯕꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫

ꯅꯍꯥꯛꯅꯥ ꯑꯣ.ꯑꯦꯁ.ꯑꯦ.

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛ ꯅꯠꯠꯔꯒꯥ ꯅꯍꯥꯛꯀꯤ ꯏꯃꯨꯡꯒꯤ ꯃꯤꯑꯣꯏ ꯑꯃꯗꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯂꯩꯔꯕꯗꯤ, ꯑꯍꯥꯅꯕꯥ ꯊꯕꯛ ꯑꯁꯤ ꯗꯣꯛꯇꯔ ꯑꯃꯒꯥ ꯇꯥꯟꯅꯕꯅꯤ . ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯍꯪꯒꯅꯤ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯀꯣꯛ, ꯃꯤꯠ ꯑꯃꯁꯨꯡ ꯅꯥꯀꯣꯡ ꯑꯗꯨ ꯌꯦꯡꯁꯤꯅꯒꯅꯤ꯫

ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯀꯅꯐꯔꯝ ꯇꯧꯅꯕꯥ ꯃꯈꯣꯌꯅꯥ ꯁ꯭ꯂꯤꯞ ꯁ꯭ꯇꯗꯤ ꯀꯧꯕꯥ ꯑꯈꯟꯅꯕꯥ ꯇꯦꯁ꯭ꯠ ꯑꯃꯥ ꯑꯣꯔꯗꯔ ꯇꯧꯒꯅꯤ . ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯃꯔꯨ ꯑꯣꯏꯕꯥ ꯃꯑꯣꯡ ꯑꯅꯤꯗꯥ ꯇꯧꯏ꯫

꯱.ꯄꯣꯂꯤꯁꯣꯃꯅꯣꯒ꯭ꯔꯥꯝ (ꯄꯤ.ꯑꯦꯁ.ꯖꯤ.): ꯃꯁꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯑꯆꯨꯝꯕꯥ ꯄꯥꯝꯕꯩꯅꯤ꯫ ꯃꯁꯤꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯜ ꯑꯃꯗꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯈꯟꯅꯕꯥ ꯁ꯭ꯂꯤꯞ ꯁꯦꯟꯇꯔ (ꯁ꯭ꯂꯤꯞ ꯂꯦꯕ) ꯑꯃꯗꯥ ꯅꯨꯃꯤꯠ ꯆꯨꯞꯄꯥ ꯂꯩꯒꯗꯕꯅꯤ꯫ ꯃꯐꯝ ꯑꯗꯨꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯇꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯅꯍꯥꯛꯀꯤ ꯕ꯭ꯔꯦꯟ ꯋꯦꯕ, ꯍꯥꯔꯠ ꯔꯦꯠ, ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯒꯤ ꯃꯑꯣꯡ, ꯕ꯭ꯂꯗ ꯑꯣꯛꯁꯤꯖꯦꯅꯒꯤ ꯆꯥꯡ, ꯑꯃꯁꯨꯡ ꯍꯀꯆꯥꯡꯒꯤ ꯈꯣꯡꯖꯦꯜ ꯑꯁꯤ ꯃꯦꯁꯤꯅꯁꯤꯡꯗꯥ ꯌꯥꯎꯕꯥ ꯁꯦꯟꯁꯔꯁꯤꯡꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯅꯨꯃꯤꯠ ꯈꯨꯗꯤꯡꯒꯤ ꯌꯦꯡꯁꯤꯜꯂꯤ꯫

2. ꯍꯣꯝ ꯁ꯭ꯂꯤꯞ ꯑꯦꯄꯅꯤꯌꯥ ꯇꯦꯁ꯭ꯠ (HSAT): ꯃꯁꯤ ꯌꯨꯃꯗꯥ ꯇꯧꯕꯥ ꯌꯥꯕꯥ ꯏꯆꯝ ꯆꯝꯕꯥ ꯇꯦꯁ꯭ꯠ ꯑꯃꯅꯤ꯫ ꯅꯍꯥꯛꯅꯥ ꯌꯨꯃꯗꯥ ꯇꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯂꯅꯥ ꯄꯤꯕꯥ ꯑꯄꯤꯀꯄꯥ ꯈꯨꯠꯂꯥꯏ ꯑꯃꯥ ꯁꯤꯖꯤꯟꯅꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯅꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯑꯣꯛꯁꯤꯖꯦꯅꯒꯤ ꯆꯥꯡ ꯑꯁꯤꯅꯆꯤꯡꯕꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯋꯥꯐꯝ ꯈꯔꯥ ꯂꯦꯄꯊꯣꯀꯏ꯫ ꯃꯁꯤ ꯄꯤ.ꯑꯦꯁ.ꯖꯤ.ꯒꯨꯝꯅꯥ ꯑꯀꯨꯞꯄꯥ ꯃꯔꯣꯜ ꯌꯥꯑꯣꯗ꯭ꯔꯕꯁꯨ, ꯑꯌꯥꯝꯕꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯣ.ꯑꯦꯁ.ꯑꯦ.

ꯃꯁꯤꯒꯤ ꯂꯥꯏꯌꯦꯡꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯤꯅꯣ?

ꯅꯨꯡꯉꯥꯏꯕꯥ ꯋꯥꯐꯝ ꯑꯃꯅꯥ ꯑꯣ.ꯑꯦꯁ.ꯑꯦ.ꯅꯥ ꯐꯖꯅꯥ ꯃꯦꯅꯦꯖ ꯇꯧꯕꯥ ꯌꯥꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫ ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯑꯣꯄꯁꯟ ꯀꯌꯥ ꯂꯩ꯫ ꯗꯣꯛꯇꯔꯅꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯗꯨꯒꯤ ꯁꯥꯊꯤꯕꯥ ꯑꯃꯁꯨꯡ ꯄꯦꯁꯦꯟꯇ ꯑꯗꯨꯒꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯗꯨꯗꯥ ꯌꯨꯝꯐꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯥ ꯂꯥꯏꯌꯦꯡ ꯂꯦꯄꯀꯅꯤ꯫

• ꯄꯨꯟꯁꯤ ꯃꯍꯤꯡꯗꯥ ꯑꯍꯣꯡꯕꯥ ꯂꯥꯀꯄꯥ: ꯱.
• ꯑꯔꯨꯝꯕꯥ ꯍꯟꯊꯕꯥ: ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯑꯔꯨꯝꯕꯥ 5-10% ꯍꯟꯊꯍꯅꯕꯅꯥ ꯐꯥꯎꯕꯅꯥ ꯅꯍꯥꯛꯀꯤ OSAꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡꯗꯥ ꯑꯆꯧꯕꯥ ꯑꯍꯣꯡꯕꯥ ꯑꯃꯥ ꯄꯨꯔꯀꯄꯥ ꯌꯥꯏ꯫
• ꯅꯍꯥꯛꯀꯤ ꯇꯨꯝꯕꯥ ꯄꯣꯖꯤꯁꯟ ꯍꯣꯡꯗꯣꯀꯄꯥ: ꯅꯍꯥꯛꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯇꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡ ꯑꯗꯨ ꯍꯟꯖꯤꯟ ꯍꯟꯖꯤꯟ ꯂꯥꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯑꯦꯌꯔꯋꯦ ꯑꯗꯨ ꯕ꯭ꯂꯣꯛ ꯇꯧꯕꯥ ꯌꯥꯏ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯅꯥꯀꯂꯗꯥ ꯇꯨꯝꯕꯥ ꯑꯁꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯩ .
• ꯌꯨ ꯑꯃꯁꯨꯡ ꯇꯨꯝꯕꯥ ꯌꯥꯕꯥ ꯍꯤꯗꯥꯀꯁꯤꯡ ꯁꯤꯖꯤꯟꯅꯔꯣꯏꯗꯕꯅꯤ: ꯃꯈꯣꯌ ꯑꯁꯤ ꯅꯨꯃꯤꯗꯥꯡꯗꯥ ꯁꯤꯖꯤꯟꯅꯔꯣꯏꯗꯕꯅꯤ ꯃꯔꯃꯗꯤ ꯃꯈꯣꯌꯅꯥ ꯀꯣꯛ ꯆꯤꯀꯄꯒꯤ ꯃꯁꯂꯁꯤꯡ ꯍꯦꯟꯅꯥ ꯔꯤꯂꯥꯛꯁ ꯇꯧꯏ꯫

• ꯁꯤ.ꯄꯤ.ꯑꯦ.ꯄꯤ.ꯒꯤ ꯃꯦꯁꯤꯟ (ꯀꯟꯇꯤꯟꯌꯨꯑꯣꯁ ꯄꯣꯖꯤꯇꯤꯕ ꯑꯦꯌꯔꯋꯦ ꯄ꯭ꯔꯦꯁꯔ):

ꯃꯁꯤ ꯑꯣ.ꯑꯦꯁ.ꯑꯦ.ꯒꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯏꯐꯦꯛꯇꯤꯕ ꯑꯃꯁꯨꯡ ꯄꯥꯛ ꯁꯟꯅꯥ ​​ꯁꯤꯖꯤꯟꯅꯕꯥ ꯂꯥꯌꯦꯡꯅꯤ꯫. ꯃꯁꯤ ꯅꯥꯀꯣꯡꯒꯤ ꯃꯊꯛꯇꯥ ꯅꯠꯠꯔꯒꯥ ꯅꯥꯀꯣꯡ ꯑꯃꯁꯨꯡ ꯃꯤꯠ ꯑꯅꯤꯃꯛꯇꯥ ꯊꯝꯕꯥ ꯑꯄꯤꯀꯄꯥ `ꯃꯥꯁ꯭ꯛ` ꯑꯃꯥ ꯂꯩꯕꯥ ꯃꯦꯁꯤꯟ ꯑꯃꯅꯤ꯫ ꯃꯁꯤꯅꯥ ꯇꯧꯔꯤꯕꯥ ꯑꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯇꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯑꯦꯌꯔꯋꯦꯖꯁꯤꯡ ꯍꯥꯡꯗꯣꯛꯅꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯄ꯭ꯔꯦꯁꯔꯗꯥ ꯂꯦꯞꯇꯅꯥ ꯅꯨꯡꯁꯤꯠ ꯄꯤꯕꯅꯤ꯫ ꯑꯗꯨꯗꯒꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯂꯦꯄꯍꯜꯂꯣꯏ꯫ ꯑꯍꯥꯅꯕꯗꯥ ꯁꯤꯖꯤꯟꯅꯕꯗꯥ ꯈꯔꯥ ꯑꯋꯥꯕꯥ ꯑꯣꯏꯔꯕꯁꯨ, ꯃꯁꯤꯅꯥ ꯄꯤꯔꯤꯕꯥ ꯅꯨꯡꯉꯥꯏꯔꯕꯥ ꯇꯨꯝꯕꯥ ꯑꯃꯁꯨꯡ ꯅꯨꯃꯤꯗꯥꯡꯒꯤ ꯃꯇꯃꯗꯥ ꯅꯨꯡꯉꯥꯏꯕꯥ ꯐꯥꯑꯣꯕꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯃꯤꯑꯣꯏ ꯀꯌꯥꯅꯥ ꯃꯁꯤ ꯄꯥꯝꯃꯤ꯫

• ꯑꯣꯔꯦꯜ ꯑꯦꯞꯂꯥꯏꯑꯦꯟꯁꯁꯤꯡ: ꯱.

ꯃꯁꯤ ꯗꯦꯟꯇꯤꯁ꯭ꯠ ꯑꯃꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯃꯤꯠꯀꯤꯗꯃꯛ ꯃꯁꯥꯅꯥ ꯁꯦꯃꯖꯕꯥ ꯈꯨꯠꯂꯥꯌ ꯑꯃꯅꯤ꯫ ꯅꯍꯥꯛꯅꯥ ꯇꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯁꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯃꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯃꯈꯥ ꯊꯪꯕꯥ ꯁꯔꯨꯛ ꯑꯗꯨ ꯈꯔꯥ ꯃꯥꯡꯂꯣꯃꯗꯥ ꯊꯝꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ, ꯅꯍꯥꯛꯀꯤ ꯑꯦꯌꯔꯋꯦ ꯑꯗꯨ ꯍꯥꯡꯗꯣꯛꯇꯨꯅꯥ ꯊꯝꯃꯤ꯫ ꯃꯍꯧꯁꯥꯅꯥ ꯃꯁꯤ ꯃꯌꯥꯏ ꯑꯣꯏꯕꯥ ꯑꯃꯁꯨꯡ ꯃꯌꯥꯏ ꯑꯣꯏꯕꯥ ꯑꯣ.ꯑꯦꯁ.ꯑꯦ.

• ꯂꯦꯟꯕ:

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯇꯣꯞꯄꯥ ꯂꯥꯏꯌꯦꯡꯁꯤꯡ ꯃꯥꯌꯄꯥꯛꯠꯔꯕꯗꯤ ꯅꯠꯠꯔꯒꯥ ꯍꯀꯆꯥꯡꯗꯥ ꯁ꯭ꯠꯔꯀꯆꯔꯦꯜ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯑꯃꯥ ꯂꯩꯔꯕꯗꯤ ꯁꯔꯖꯔꯤ ꯇꯧꯅꯕꯥ ꯄꯥꯎꯇꯥꯛ ꯄꯤꯕꯥ ꯌꯥꯏ꯫

• ꯎꯚꯨꯂꯣꯄꯦꯂꯦꯇꯣꯐꯦꯔꯤꯉ꯭ꯒꯣꯞꯂꯥꯁ꯭ꯇꯤ (UPPP): ꯀꯣꯛꯇꯥ ꯂꯩꯕꯥ ꯑꯍꯦꯅꯕꯥ ꯇꯤꯁꯨꯁꯤꯡ ꯂꯧꯊꯣꯀꯄꯥ꯫
• ꯇꯣꯅꯁꯤꯂꯦꯛꯇꯣꯃꯤ/ꯑꯦꯗꯦꯅꯣꯏꯗꯦꯛꯇꯣꯃꯤ (Tonsillectomy/Adenoidectomy): ꯀꯔꯤꯒꯨꯝꯕꯥ ꯇꯣꯅꯁꯤꯜ ꯅꯠꯠꯔꯒꯥ ꯑꯦꯗꯦꯅꯣꯏꯗꯁꯤꯡ ꯑꯗꯨ ꯑꯆꯧꯕꯥ ꯑꯣꯏꯔꯕꯗꯤ ꯂꯧꯊꯣꯀꯄꯥ꯫
• ꯅꯔꯚ ꯁ꯭ꯇꯤꯝꯌꯨꯂꯦꯁꯟ (nerve stimulation) : ꯇꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯑꯦꯌꯔꯋꯦ (airway) ꯑꯗꯨ ꯍꯥꯡꯗꯣꯛꯇꯨꯅꯥ ꯊꯝꯂꯤꯕꯥ ꯃꯁꯂꯁꯤꯡ ꯑꯗꯨ ꯁ꯭ꯇꯤꯝꯌꯨꯜ ꯇꯧꯅꯕꯥ ꯍꯀꯆꯥꯡꯗꯥ ꯅꯔꯚ ꯁ꯭ꯇꯤꯝꯌꯨꯂꯦꯁꯟ ꯗꯤꯚꯥꯏꯁ ꯑꯃꯥ ꯊꯥꯏ꯫

ꯑꯩꯅꯥ ꯀꯗꯥꯏꯗꯥ ꯗꯣꯛꯇꯔꯒꯥ ꯎꯅꯒꯗꯒꯦ?

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛ ꯅꯠꯠꯔꯒꯥ ꯅꯍꯥꯛꯀꯤ ꯏꯃꯨꯡꯒꯤ ꯃꯤꯑꯣꯏ ꯑꯃꯗꯥ ꯑꯥꯔꯇꯤꯀꯦꯜ ꯑꯁꯤꯗꯥ ꯄꯅꯈ꯭ꯔꯤꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯍꯦꯛꯇꯥ ꯂꯩꯔꯕꯗꯤ, ꯊꯦꯡꯊꯕꯥ ꯂꯩꯇꯅꯥ ꯗꯣꯛꯇꯔ ꯑꯃꯒꯥ ꯇꯥꯟꯅꯧ . ꯃꯔꯨ ꯑꯣꯏꯅ,

• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯄꯥꯔꯇꯅꯔ ꯑꯗꯨꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯅꯣꯡꯃꯩ ꯀꯥꯞꯄꯥ ꯑꯃꯁꯨꯡ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ ꯑꯗꯨꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯀꯠꯄꯥ ꯇꯥꯔꯕꯗꯤ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯅꯨꯃꯤꯗꯥꯡꯗꯥ ꯌꯥꯝꯅꯥ ꯇꯨꯝꯕꯥ ꯑꯃꯁꯨꯡ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯐꯥꯎꯔꯕꯗꯤ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯌꯨꯛ-ꯅꯨꯡꯊꯤꯂꯗꯥ ꯃꯀꯣꯛ ꯊꯣꯡꯅꯥ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯍꯧꯔꯛꯂꯕꯗꯤ꯫

ꯈꯨꯗꯛꯀꯤ ꯑꯣꯏꯕ!

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯈꯪꯍꯧꯗꯅꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯗꯥ ꯋꯥꯕꯥ ꯑꯣꯏꯔꯕꯗꯤ, ꯅꯠꯠꯔꯒꯥ ꯍꯥꯔꯠ ꯑꯦꯇꯦꯛ ꯑꯃꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ (ꯆꯦꯁ꯭ꯠ ꯄꯦꯏꯟ, ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ) ꯅꯠꯠꯔꯒꯥ ꯄꯦꯔꯥꯂꯥꯏꯁꯤꯁꯀꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ (ꯍꯀꯆꯥꯡꯒꯤ ꯅꯥꯀꯜ ꯑꯃꯗꯥ ꯄꯥꯋꯔ ꯋꯥꯠꯄꯥ, ꯋꯥ ꯉꯥꯡꯕꯗꯥ ꯑꯋꯥꯕꯥ) ꯂꯥꯀꯄꯥ ꯇꯥꯔꯕꯗꯤ, ꯈꯨꯗꯛꯇꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯅꯀꯄꯥ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯂꯒꯤ ꯏꯃꯔꯖꯦꯟꯁꯤ ꯗꯤꯄꯥꯔꯇꯃꯦꯟꯇ (ETU)ꯗꯥ ꯆꯠꯂꯨ꯫