ꯅꯍꯥꯛ ꯅꯠꯠꯔꯒꯥ ꯅꯍꯥꯛꯅꯥ ꯈꯪꯂꯤꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯅꯥ ꯑꯆꯧꯕꯥ ꯏꯟꯇꯦꯁ꯭ꯇꯥꯏꯅꯒꯤ ꯁꯔꯖꯔꯤ ꯑꯃꯥ ꯇꯧꯕꯥ ꯇꯥꯈꯤ ꯍꯥꯌꯅꯥ ꯈꯅꯕꯤꯌꯨ꯫ ꯅꯠꯠꯔꯒꯥ ꯅꯍꯥꯛꯅꯥ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯏꯟꯇꯦꯁ꯭ꯇꯥꯏꯅꯒꯤ ꯗꯤꯁꯑꯣꯔꯗꯔ ꯑꯃꯥ ꯂꯩꯔꯀꯄꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯤꯠꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯃꯠꯇꯥ ꯆꯥꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯊꯀꯄꯥ ꯉꯃꯗ꯭ꯔꯤ ꯍꯥꯌꯕꯁꯤꯅꯤ꯫ ꯍꯀꯆꯥꯡꯗꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯅ꯭ꯌꯨꯠꯔꯤꯁꯟ ꯑꯃꯁꯨꯡ ꯏꯅꯔꯖꯤ ꯑꯗꯨ ꯀꯔꯝꯅꯥ ꯄꯤꯒꯅꯤ? ꯃꯗꯨꯗꯤ ꯑꯩꯈꯣꯌꯅꯥ ‘ꯏꯟꯠꯔꯥꯚꯦꯅꯁ ꯅ꯭ꯌꯨꯠꯔꯤꯁꯟ’ ꯀꯧꯕꯥ ꯑꯈꯟꯅꯕꯥ ꯄꯥꯝꯕꯩ ꯑꯁꯤ ꯁꯤꯖꯤꯟꯅꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ꯫ ꯃꯁꯤ ꯃꯍꯧꯁꯥꯒꯤ ꯁꯦꯂꯟ ꯁꯣꯜꯌꯨꯁꯅꯗꯒꯤ ꯌꯥꯝꯅꯥ ꯇꯣꯉꯥꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯀꯝꯞꯂꯦꯛꯁ ꯑꯣꯏꯕꯥ ꯋꯥꯐꯝ ꯑꯃꯅꯤ꯫ ꯑꯀꯨꯞꯄꯥ ꯃꯔꯣꯂꯁꯤꯡ ꯑꯗꯨ ꯌꯦꯡꯁꯤ꯫
ꯄꯦꯔꯦꯟꯇꯦꯜ ꯅ꯭ꯌꯨꯠꯔꯤꯁꯟ ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ?
ꯃꯤꯡ ꯑꯁꯤ ꯈꯔꯥ ꯑꯆꯝꯕꯥ ꯋꯥꯐꯝ ꯑꯣꯏꯔꯕꯁꯨ ꯃꯗꯨꯒꯤ ꯑꯔꯊꯗꯤ ꯌꯥꯝꯅꯥ ꯂꯥꯏꯕꯛ ꯐꯕꯅꯤ꯫ "ꯄꯦꯔꯦꯟꯇꯦꯔꯦꯜ" ꯍꯥꯌꯕꯥ ꯋꯥꯍꯩ ꯑꯁꯤꯒꯤ ꯑꯔꯊꯗꯤ "ꯗꯥꯏꯖꯦꯁ꯭ꯇꯤꯚ ꯁꯤꯁ꯭ꯇꯦꯃꯒꯤ ꯃꯄꯥꯟꯗꯥ" ꯍꯥꯌꯕꯅꯤ꯫ ꯍꯥꯌꯕꯗꯤ ꯄꯦꯔꯦꯟꯇꯔꯦꯜ ꯅ꯭ꯌꯨꯠꯔꯤꯁꯟ ꯍꯥꯌꯕꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯃꯤꯠꯀꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯆꯥꯔꯤꯕꯥ ꯆꯤꯟꯖꯥꯛ ꯑꯁꯤ ꯈꯣꯡꯗꯥ ꯆꯪꯁꯤꯜꯂꯀꯄꯥ, ꯏꯟꯇꯦꯁ꯭ꯇꯥꯏꯅꯁꯤꯡꯅꯥ ꯁꯣꯀꯍꯜꯂꯕꯥ, ꯑꯃꯁꯨꯡ ꯍꯀꯆꯥꯡꯗꯥ ꯁꯣꯀꯍꯟꯗ꯭ꯔꯤꯉꯩ ꯃꯃꯥꯡꯗꯥ ꯂꯤꯚꯔꯗꯥ ꯍꯣꯡꯂꯀꯄꯥ ꯍꯥꯌꯕꯁꯤꯅꯤ꯫ ꯃꯁꯤꯕꯨ ꯄꯦꯔꯦꯟꯇꯔꯦꯜ ꯅ꯭ꯌꯨꯠꯔꯤꯁꯟ ꯍꯥꯌꯅꯥ ꯀꯧꯏ, ꯑꯃꯁꯨꯡ ꯍꯀꯆꯥꯡꯅꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯅ꯭ꯌꯨꯠꯔꯤꯑꯦꯟꯇ ꯄꯨꯝꯅꯃꯛ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯜ ꯑꯃꯗꯥ ꯍꯀꯊꯦꯡꯅꯅꯥ ꯄꯤ꯫
ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯃꯁꯤꯅꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯏꯟꯇꯦꯁ꯭ꯇꯤꯅꯦꯜ ꯁꯤꯁ꯭ꯇꯦꯝ ꯄꯨꯝꯅꯃꯀꯄꯨ ꯂꯥꯟꯊꯣꯛꯇꯨꯅꯥ, ꯃꯤꯠꯇꯒꯤ ꯍꯧꯔꯒꯥ ꯃꯆꯤꯟꯖꯥꯛꯇꯥ ꯂꯣꯏꯁꯤꯜꯂꯤ, ꯑꯃꯁꯨꯡ ꯅ꯭ꯌꯨꯠꯔꯤꯑꯦꯟꯇ ꯄꯨꯝꯅꯃꯛ ꯍꯀꯊꯦꯡꯅꯅꯥ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯜ ꯑꯃꯗꯥ ꯌꯧꯍꯅꯕꯅꯤ꯫
ꯃꯤꯑꯣꯏ ꯈꯔꯅꯥ ꯃꯁꯤ ꯅꯨꯃꯤꯠ ꯈꯔꯅꯤ ꯈꯛꯇꯃꯛ ꯂꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯏ, ꯑꯗꯨꯒꯥ ꯑꯇꯩ ꯈꯔꯅꯥ ꯅꯨꯃꯤꯠ ꯀꯌꯥꯅꯤ, ꯊꯥ ꯀꯌꯥ ꯅꯠꯠꯔꯒꯥ ꯄꯨꯟꯁꯤ ꯆꯨꯞꯄꯒꯤ ꯑꯣꯏꯅꯥ ꯂꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯏ꯫
ꯃꯁꯤꯒꯤ ꯄꯥꯝꯕꯩ ꯑꯁꯤꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯈꯂꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯤꯅꯣ?
ꯃꯁꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯑꯣꯡ ꯑꯅꯤꯗꯥ ꯀ꯭ꯂꯥꯁꯤꯐꯥꯏ ꯇꯧꯕꯥ ꯌꯥꯏ꯫ ꯑꯃꯅꯥ ꯄꯤꯔꯤꯕꯥ ꯅ꯭ꯌꯨꯠꯔꯤꯁꯅꯒꯤ ꯆꯥꯡ ꯑꯗꯨꯗꯥ ꯌꯨꯝꯐꯝ ꯑꯣꯏ, ꯑꯗꯨꯒꯥ ꯑꯇꯣꯞꯄꯥ ꯑꯃꯅꯥ ꯅ꯭ꯌꯨꯠꯔꯤꯁꯟ ꯑꯗꯨ ꯄꯤꯔꯤꯕꯥ ꯚꯦꯅꯝ ꯑꯗꯨꯗꯥ ꯌꯨꯝꯐꯝ ꯑꯣꯏ꯫
| ꯄꯤꯔꯤꯕꯥ ꯅ꯭ꯌꯨꯠꯔꯤꯁꯅꯒꯤ ꯆꯥꯡꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ ꯀ꯭ꯂꯥꯁꯤꯐꯤꯀꯦꯁꯟ ꯇꯧꯕꯥ꯫ | |
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| ꯃꯈꯜ | ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ... |
| ꯑꯄꯨꯅꯕꯥ ꯄꯦꯔꯦꯟꯇꯦꯜ ꯅ꯭ꯌꯨꯠꯔꯤꯁꯟ (ꯇꯤ.ꯄꯤ.ꯑꯦꯟ.) | ꯃꯁꯤ ꯃꯈꯣꯌꯒꯤ ꯏꯟꯇꯦꯁ꯭ꯇꯤꯅꯦꯜ ꯁꯤꯁ꯭ꯇꯦꯝ ꯑꯁꯤ ꯃꯄꯨꯡ ꯐꯥꯅꯥ ꯁꯤꯖꯤꯟꯅꯕꯥ ꯉꯃꯗꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯗꯥ ꯄꯤꯔꯤ . ꯃꯁꯤꯅꯥ ꯍꯀꯆꯥꯡꯗꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯅ꯭ꯌꯨꯠꯔꯤꯁꯅꯒꯤ ꯆꯥꯗꯥ ꯱꯰꯰ ꯄꯤ꯫ |
| ꯄꯥꯔꯁꯤꯑꯦꯜ ꯄꯦꯔꯦꯟꯇꯦꯜ ꯅ꯭ꯌꯨꯠꯔꯤꯁꯟ (ꯄꯤ.ꯄꯤ.ꯑꯦꯟ.) | ꯃꯁꯤ ꯃꯤꯠꯅꯥ ꯈꯔꯥ ꯆꯥꯕꯥ ꯉꯝꯕꯥ, ꯑꯗꯨꯕꯨ ꯍꯀꯆꯥꯡꯒꯤꯗꯃꯛ ꯃꯇꯤꯛ ꯆꯥꯗꯕꯥ, ꯑꯃꯁꯨꯡ ꯃꯆꯤ ꯑꯣꯏꯕꯥ ꯆꯤꯟꯖꯥꯛ ꯆꯥꯗꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯗꯥ ꯄꯤꯕꯅꯤ꯫ ꯃꯁꯤ ꯑꯍꯦꯅꯕꯥ ꯅ꯭ꯌꯨꯠꯔꯤꯁꯟ ꯑꯣꯏꯅꯥ ꯄꯤꯔꯤ꯫ |
| ꯄꯤꯖꯔꯤꯕꯥ ꯚꯦꯅꯃꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ ꯀ꯭ꯂꯥꯁꯤꯐꯤꯀꯦꯁꯟ ꯇꯧꯕꯥ꯫ | |
| ꯁꯦꯟꯠꯔꯦꯜ ꯄꯦꯔꯦꯟꯇꯦꯜ ꯅ꯭ꯌꯨꯠꯔꯤꯁꯟ (ꯁꯤ.ꯄꯤ.ꯑꯦꯟ.) | ꯃꯁꯤ ꯊꯝꯃꯣꯌꯗꯥ ꯍꯀꯊꯦꯡꯅꯅꯥ ꯆꯠꯂꯤꯕꯥ ꯈꯣꯡ ꯅꯠꯠꯔꯒꯥ ꯈꯣꯡꯗꯥ ꯑꯆꯧꯕꯥ ꯚꯦꯅꯝ ꯑꯃꯗꯥ ꯄꯤ꯫ ꯃꯁꯤꯅꯥ ꯀꯦꯂꯣꯔꯤ ꯍꯦꯟꯅꯥ ꯑꯃꯁꯨꯡ ꯍꯦꯟꯅꯥ ꯀꯟꯁꯦꯟꯠꯔꯦꯇꯦꯗ ꯅ꯭ꯌꯨꯠꯔꯤꯁꯟ ꯄꯤꯕꯥ ꯉꯃꯍꯜꯂꯤ꯫ ꯃꯁꯤ ꯇꯤ.ꯄꯤ.ꯑꯦꯟ.ꯗꯥ ꯄꯤꯕꯗꯥ ꯁꯤꯖꯤꯟꯅꯔꯤꯕꯥ ꯃꯦꯊꯗꯅꯤ꯫ |
| ꯄꯦꯔꯤꯐꯦꯔꯦꯜ ꯄꯦꯔꯦꯟꯇꯦꯜ ꯅ꯭ꯌꯨꯠꯔꯤꯁꯟ (ꯄꯤ.ꯄꯤ.ꯑꯦꯟ.) | ꯃꯁꯤ ꯈꯨꯠ, ꯈꯣꯡ ꯅꯠꯠꯔꯒꯥ ꯈꯣꯡꯗꯥ ꯑꯄꯤꯀꯄꯥ ꯚꯦꯅꯝ ꯑꯃꯗꯥ ꯄꯤ꯫ ꯃꯁꯤ ꯁꯣꯔꯠ-ꯇꯔꯝ, ꯄꯥꯔꯁꯤꯑꯦꯜ ꯅ꯭ꯌꯨꯠꯔꯤꯁꯟ (PPN) ꯄꯤꯕꯗꯥ ꯁꯤꯖꯤꯟꯅꯩ꯫ ꯃꯁꯤ ꯄꯤꯕꯗꯥ ꯂꯥꯏ, ꯑꯗꯨꯕꯨ ꯃꯁꯤꯅꯥ ꯀꯦꯂꯣꯔꯤꯒꯤ ꯆꯥꯡ ꯌꯥꯝꯅꯥ ꯄꯤꯗꯦ꯫ |
ꯃꯁꯤꯒꯤ ꯅ꯭ꯌꯨꯠꯔꯤꯁꯅꯦꯜ ꯂꯤꯛꯌꯨꯏꯗ ꯑꯁꯤꯗꯥ ꯀꯔꯤ ꯌꯥꯎꯕꯒꯦ?
ꯃꯁꯤ ꯁꯦꯂꯒꯤ ꯕꯣꯇꯜ ꯑꯃꯈꯛꯇꯃꯛ ꯅꯠꯇꯦ꯫ ꯃꯁꯤ ꯑꯅꯥꯕꯥ ꯑꯗꯨꯒꯤꯗꯃꯛ ꯑꯈꯟꯅꯅꯥ ꯁꯦꯝꯕꯥ ꯅ꯭ꯌꯨꯠꯔꯤꯁꯅꯦꯜ ‘ꯀꯣꯛꯇꯦꯜ’ ꯑꯃꯒꯨꯝꯅꯥ ꯑꯣꯏ꯫ ꯃꯁꯤꯒꯤ ꯂꯤꯛꯌꯨꯏꯗ ꯑꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯆꯍꯤ, ꯑꯔꯨꯝꯕꯥ, ꯃꯦꯗꯤꯀꯦꯜ ꯀꯟꯗꯤꯁꯟ, ꯑꯃꯁꯨꯡ ꯏꯒꯤ ꯔꯤꯄꯣꯔꯇꯁꯤꯡꯒꯨꯝꯕꯥ ꯐꯦꯛꯇꯔ ꯀꯌꯥ ꯌꯦꯡꯂꯒꯥ, ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡꯅꯥ ꯃꯊꯧ ꯇꯥꯔꯤꯕꯥ ꯑꯗꯨ ꯑꯆꯨꯝꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯂꯦꯄꯊꯣꯛꯇꯨꯅꯥ ꯁꯦꯝꯕꯅꯤ꯫
ꯃꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯃꯔꯨꯑꯣꯏꯅꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯌꯥꯑꯣꯔꯤ:
- ꯏꯁꯤꯡ
- ꯀꯥꯔꯕꯣꯟ ꯍꯥꯏꯗ꯭ꯔꯦꯠꯁꯤꯡ (ꯑꯦꯅꯔꯖꯤꯒꯤꯗꯃꯛꯇꯥ) .
- ꯄ꯭ꯔꯣꯇꯤꯅꯁꯤꯡ (ꯍꯀꯆꯥꯡ ꯒ꯭ꯔꯣꯊ ꯑꯃꯁꯨꯡ ꯁꯦꯜ ꯔꯤꯄꯦꯌꯥꯔ ꯇꯧꯅꯕꯒꯤꯗꯃꯛ)
- ꯐꯦꯇꯁꯤꯡ/ ꯂꯤꯄꯤꯗꯁꯤꯡ (ꯍꯦꯟꯅꯥ ꯑꯦꯅꯔꯖꯤꯒꯤꯗꯃꯛ)
- ꯚꯤꯇꯥꯃꯤꯅꯁꯤꯡ꯫
- ꯃꯤꯅꯔꯦꯜ ꯁꯣꯜꯇꯁꯤꯡ (ꯏꯂꯦꯛꯠꯔꯣꯂꯥꯏꯠꯁꯤꯡ) .
ꯃꯁꯤꯒꯤ ꯁꯣꯂꯨꯁꯟ ꯑꯁꯤ ꯑꯁꯨꯛ ꯃꯄꯨꯡ ꯐꯥꯕꯅꯤ ꯃꯗꯨꯗꯤ ꯃꯤꯑꯣꯏ ꯑꯃꯅꯥ ꯃꯁꯤ ꯈꯛꯇꯗꯥ ꯄꯨꯟꯁꯤ ꯆꯨꯞꯄꯥ ꯍꯤꯡꯕꯥ ꯉꯝꯃꯤ ꯃꯗꯨꯗꯤ ꯃꯤꯠꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯃꯠꯇꯥ ꯆꯥꯗꯅꯥ꯫
ꯀꯔꯤ ꯀꯦꯁꯁꯤꯡꯗꯥ ꯏꯟꯠꯔꯥꯚꯦꯅꯁ ꯅ꯭ꯌꯨꯠꯔꯤꯁꯟ ꯄꯤꯕꯒꯦ?
ꯃꯁꯤ ꯑꯅꯥꯕꯥ ꯑꯗꯨꯕꯨ ꯑꯇꯣꯞꯄꯥ ꯃꯑꯣꯡ ꯑꯃꯠꯇꯗꯥ ꯄꯤꯖꯕꯥ ꯉꯃꯗꯕꯥ ꯑꯀꯅꯕꯥ ꯀꯦꯁꯁꯤꯡꯗꯈꯛꯇꯗꯥ ꯁꯤꯖꯤꯟꯅꯩ꯫
ꯇꯣꯇꯦꯜ ꯄꯦꯔꯦꯟꯇꯦꯜ ꯅ꯭ꯌꯨꯠꯔꯤꯁꯟ (TPN) ꯃꯊꯧ ꯇꯥꯕꯥ ꯐꯤꯚꯃꯁꯤꯡ꯫
- ꯏꯟꯇꯦꯁ꯭ꯇꯥꯏꯅꯒꯤ ꯑꯆꯧꯕꯥ ꯁꯔꯨꯛ ꯑꯃꯥ ꯂꯧꯊꯣꯛꯅꯕꯥ ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ꯫
- ꯀꯦꯟꯁꯔꯒꯤ ꯀꯦꯃꯣꯊꯦꯔꯥꯄꯤꯒꯤ ꯁꯥꯊꯤꯕꯥ ꯁꯥꯏꯗ ꯏꯐꯦꯛꯇꯁꯤꯡ꯫
- ꯏꯟꯇꯦꯁ꯭ꯇꯥꯏꯅꯒꯤ ꯑꯣꯕꯁ꯭ꯠꯔꯥꯀꯁꯟ (intestinal obstruction)꯫
- ꯏꯟꯇꯦꯁ꯭ꯇꯥꯏꯅꯁꯤꯡꯗꯥ ꯏꯒꯤ ꯈꯣꯡꯖꯦꯜ ꯍꯟꯊꯔꯀꯄꯥ (Intestinal ischemia)
- ꯏꯅꯐ꯭ꯂꯦꯃꯦꯇꯔꯤ ꯕꯣꯋꯦꯜ ꯗꯤꯖꯤꯖꯁꯤꯡ, ꯍꯥꯌꯕꯗꯤ ꯁꯥꯊꯤꯕꯥ ꯀ꯭ꯔꯣꯅꯤꯛ ꯗꯤꯖꯤꯖ꯫
- ꯃꯇꯝ ꯆꯥꯗꯅꯥ ꯄꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯍꯅꯕꯥ ꯑꯉꯥꯡꯁꯤꯡ꯫
- ꯁꯥꯊꯤꯕꯥ, ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯂꯩꯕꯥ ꯗꯥꯏꯔꯤꯌꯥ꯫
- ꯏꯟꯇꯦꯁ꯭ꯇꯥꯏꯅꯒꯤ ꯁꯤꯁ꯭ꯇꯦꯃꯒꯤꯗꯃꯛꯇꯥ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯔꯦꯁ꯭ꯠ ꯇꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯑꯇꯩ ꯁꯥꯊꯤꯕꯥ ꯃꯦꯗꯤꯀꯦꯜ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ꯫
ꯄꯥꯔꯁꯤꯑꯦꯜ ꯅ꯭ꯌꯨꯠꯔꯤꯁꯟ (PPN) ꯃꯊꯧ ꯇꯥꯕꯥ ꯐꯤꯚꯃꯁꯤꯡ꯫
ꯃꯍꯧꯁꯥꯅꯥ ꯄꯤ.ꯄꯤ.ꯑꯦꯟ.ꯅꯥ ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯂꯗꯥ ꯂꯩꯕꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯃꯆꯤ ꯑꯣꯏꯕꯥ ꯆꯤꯟꯖꯥꯛ ꯆꯥꯗꯕꯥ ꯑꯅꯥꯕꯁꯤꯡꯗꯥ ꯑꯍꯦꯅꯕꯥ ꯄꯥꯉ꯭ꯒꯜ ꯄꯤꯅꯕꯒꯤꯗꯃꯛ ꯄꯤ꯫
ꯀꯦꯇꯦꯒꯣꯔꯤ ꯏꯅꯁꯥꯔꯁ ꯇꯧꯕꯥ ꯑꯃꯁꯨꯡ ꯂꯥꯏꯌꯦꯡꯕꯥ꯫
ꯃꯁꯤ ꯅꯍꯥꯛꯅꯥ ꯈꯨꯠꯇꯥ ꯊꯝꯂꯤꯕꯥ ꯀꯦꯟꯌꯨꯜ ꯑꯃꯈꯛꯇꯃꯛ ꯅꯠꯇꯦ꯫ ꯃꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯑꯆꯧꯕꯥ ꯚꯦꯅꯝ ꯑꯃꯗꯥ ꯀꯦꯇꯦꯒꯣꯔꯤ ꯀꯧꯕꯥ ꯑꯈꯟꯅꯕꯥ ꯇꯤꯎꯕ ꯑꯃꯥ ꯊꯥꯕꯥ ꯃꯊꯧ ꯇꯥꯏ꯫ ꯃꯁꯤ ꯑꯄꯤꯀꯄꯥ ꯑꯣꯄꯔꯦꯁꯟ ꯑꯃꯒꯨꯝꯕꯅꯤ꯫ ꯑꯗꯨꯕꯨ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯐꯥꯑꯣꯒꯅꯨ, ꯅꯍꯥꯛꯅꯥ ꯑꯦꯅꯥꯁ꯭ꯇꯦꯇꯤꯛ (ꯅ꯭ꯌꯨꯝ) ꯇꯧꯒꯅꯤ ꯑꯃꯁꯨꯡ ꯃꯁꯤ ꯇꯧꯔꯦ꯫ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯁꯦꯡꯗꯣꯛꯀꯅꯤ ꯑꯃꯁꯨꯡ ꯑꯂꯠꯔꯥꯁꯥꯎꯟꯗ ꯅꯠꯠꯔꯒꯥ ꯑꯦꯛꯁ-ꯔꯦꯒꯤ ꯃꯇꯦꯡꯅꯥ ꯀꯦꯇꯦꯇꯔ ꯑꯗꯨ ꯍꯀꯊꯦꯡꯅꯅꯥ ꯚꯦꯅꯝ ꯑꯗꯨꯗꯥ ꯍꯥꯄꯀꯅꯤ꯫
ꯀꯦꯇꯦꯒꯣꯔꯤꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯈꯜ ꯑꯍꯨꯝ ꯂꯩ:
- ꯃꯄꯥꯅꯒꯤ “ꯇꯅꯦꯜ” ꯀꯦꯇꯦꯒꯣꯔꯤ (external “tnelled” catheter: ꯃꯁꯤ ꯈꯣꯡꯒꯤ ꯃꯈꯥꯗꯥ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯌꯥꯡꯅꯥ ꯄꯥꯌꯈꯠꯄꯥ ꯑꯃꯁꯨꯡ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯇꯣꯉꯥꯅꯕꯥ ꯃꯐꯝ ꯑꯃꯗꯥ ꯊꯣꯀꯄꯥ ꯇꯤꯎꯕ ꯑꯃꯅꯤ꯫
- ꯃꯄꯨꯡꯐꯥꯅꯥ ꯏꯃꯞꯂꯥꯟꯇ ꯇꯧꯔꯕꯥ ꯀꯦꯇꯦꯒꯣꯔꯤ: ꯃꯁꯤ ꯈꯣꯡꯒꯤ ꯃꯈꯥꯗꯥ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯂꯣꯠꯁꯤꯜꯂꯤ꯫ ꯈꯣꯡꯒꯤ ꯃꯈꯥꯗꯥ ꯑꯄꯤꯀꯄꯥ ꯄꯣꯔꯠ ꯑꯃꯈꯛꯇꯃꯛ ꯂꯩ, ꯃꯗꯨꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯍꯤꯗꯥꯛ ꯑꯗꯨ ꯏꯅꯖꯦꯀꯁꯟ ꯇꯧꯏ꯫
- ꯄꯤ.ꯑꯥꯏ.ꯁꯤ.ꯁꯤ. ꯃꯁꯤ ꯑꯇꯦꯅꯕꯥ ꯃꯇꯃꯒꯤ ꯂꯥꯏꯌꯦꯡ (ꯅꯨꯃꯤꯠ 6ꯗꯒꯤ ꯇꯥꯗꯅꯥ)ꯗꯥ ꯁꯤꯖꯤꯟꯅꯩ꯫
ꯃꯁꯤꯒꯤ ꯅ꯭ꯌꯨꯠꯔꯤꯑꯦꯟꯇ ꯁꯣꯜꯌꯨꯁꯟ ꯑꯁꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯌꯧꯕꯗꯥ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯄꯨꯡ 10-12 ꯆꯪꯏ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯃꯤꯑꯣꯏ ꯀꯌꯥꯅꯥ ꯇꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯅꯨꯃꯤꯗꯥꯡꯗꯥ ꯁꯤꯖꯤꯟꯅꯩ꯫ ꯃꯁꯤꯒꯤ ꯂꯥꯏꯌꯦꯡ ꯑꯁꯤ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯂꯗꯥ, ꯅꯠꯠꯔꯒꯥ ꯌꯨꯃꯗꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯇ꯭ꯔꯦꯅꯤꯡꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯄꯥꯡꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯏꯅꯐꯦꯛꯁꯟ ꯊꯣꯀꯍꯟꯗꯅꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯁꯦꯡꯅꯥ ꯃꯦꯅꯦꯖ ꯇꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯏ .
ꯑꯣꯏꯊꯣꯀꯄꯥ ꯌꯥꯕꯥ ꯔꯤꯁ꯭ꯛ ꯑꯃꯁꯨꯡ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ ꯀꯔꯤꯅꯣ?
ꯃꯁꯤꯒꯤ ꯊꯧꯑꯣꯡ ꯑꯁꯤꯅꯥ ꯄꯨꯟꯁꯤ ꯀꯅꯕꯥ ꯉꯝꯂꯕꯁꯨ, ꯃꯁꯤꯅꯥ ꯔꯤꯁ꯭ꯛ ꯑꯃꯁꯨꯡ ꯀꯃꯞꯂꯤꯀꯦꯁꯟ ꯈꯔꯗꯤ ꯄꯨꯔꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯔꯝ ꯑꯁꯤꯅꯥ ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯃꯁꯤ ꯑꯀꯅꯕꯥ ꯀꯦꯁ ꯈꯛꯇꯗꯥ ꯁꯤꯖꯤꯟꯅꯩ ꯑꯃꯁꯨꯡ ꯑꯅꯥꯕꯥ ꯑꯗꯨ ꯃꯈꯥ ꯇꯥꯅꯥ ꯌꯦꯡꯁꯤꯜꯂꯤ꯫
| ꯀꯃꯞꯂꯤꯀꯦꯁꯟ ꯂꯩꯕꯥ꯫ | ꯏꯆꯝ ꯆꯝꯕꯥ ꯃꯌꯦꯛ ꯁꯦꯡꯅꯥ ꯇꯥꯀꯄꯥ꯫ |
|---|---|
| ꯃꯍꯤꯛ ꯄꯛꯄ | ꯕꯦꯛꯇꯦꯔꯤꯌꯥꯅꯥ ꯀꯦꯇꯦꯒꯣꯔꯤꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯏꯗꯥ ꯆꯪꯂꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯅꯥ ꯁꯟꯗꯣꯀꯄꯥ ꯌꯥꯏ ꯑꯃꯁꯨꯡ ꯁꯦꯄꯁꯤꯁ ꯀꯧꯕꯥ ꯄꯨꯟꯁꯤ ꯃꯥꯡꯍꯅꯕꯥ ꯌꯥꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯑꯃꯁꯨꯡ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯁꯥꯊꯤꯕꯥ ꯔꯤꯁ꯭ꯀꯅꯤ . |
| ꯏ ꯊꯣꯀꯄꯥ꯫ | ꯀꯦꯇꯦꯒꯣꯔꯤ ꯑꯗꯨꯅꯥ ꯚꯦꯅꯝ ꯑꯗꯨꯒꯥ ꯁꯝꯅꯔꯤꯕꯥ ꯃꯐꯃꯗꯥ ꯏ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫ |
| ꯂꯤꯚꯔꯒꯤ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯂꯩꯕꯥ꯫ | ꯃꯇꯝ ꯁꯥꯡꯅꯥ TPN ꯂꯧꯕꯅꯥ ꯂꯤꯚꯔꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯕꯨ ꯄꯦꯔꯦꯟꯇꯔꯦꯜ ꯅ꯭ꯌꯨꯠꯔꯤꯁꯟ-ꯑꯦꯁꯣꯁꯤꯑꯦꯠ ꯂꯤꯚꯔ ꯗꯤꯖꯤꯖ (PNALD) ꯍꯥꯌꯅꯥꯁꯨ ꯀꯧꯏ꯫ |
| ꯕ꯭ꯂꯗ ꯁꯨꯒꯔ ꯏꯃꯕꯦꯂꯦꯟꯁ ꯂꯩꯕꯥ꯫ | ꯆꯤꯅꯤꯒꯤ ꯆꯥꯡ ꯑꯁꯤ ꯈꯪꯍꯧꯗꯅꯥ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ (Hyperglycemia) ꯅꯠꯠꯔꯒꯥ ꯍꯟꯊꯕꯥ (Hypoglycemia) ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤ ꯏꯅꯁꯨꯂꯤꯟ ꯄꯤꯗꯨꯅꯥ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯏ꯫ |
| ꯁꯔꯨ ꯇꯥꯡꯁꯤꯡ ꯊꯤꯡꯖꯤꯅꯕꯥ꯫ | ꯂꯣꯡ ꯇꯔꯃꯗꯥ, ꯀꯦꯂꯁꯤꯌꯝ ꯑꯃꯁꯨꯡ ꯚꯤꯇꯥꯃꯤꯟ Dꯒꯨꯝꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡꯗꯥ ꯑꯍꯣꯡꯕꯥ ꯂꯥꯀꯄꯅꯥ ꯁꯔꯨ ꯇꯥꯡꯁꯤꯡ (Osteoporosis) ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ |
| ꯒꯥꯂꯕ꯭ꯂꯦꯗꯔꯒꯤ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯃꯁꯤꯡ꯫ | ꯗꯥꯏꯖꯦꯁ꯭ꯇꯤꯚ ꯁꯤꯁ꯭ꯇꯦꯃꯅꯥ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯊꯕꯛ ꯇꯧꯗꯕꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯒꯥꯂꯕ꯭ꯂꯦꯗꯔꯗꯥ ꯂꯩꯕꯥ ꯕꯥꯏꯜ (biil) ꯊꯨꯒꯥꯌꯗꯨꯅꯥ ꯁ꯭ꯇꯣꯟ (stones) ꯁꯦꯝꯕꯥ ꯌꯥꯏ꯫ |
ꯃꯇꯧ ꯀꯔꯝꯅꯥ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯃꯤꯠꯅꯥ ꯆꯥꯕꯥ ꯌꯥꯒꯅꯤ?
ꯏꯟꯇꯦꯁ꯭ꯇꯥꯏꯅꯒꯤ ꯁꯤꯁ꯭ꯇꯦꯝ ꯑꯁꯤꯅꯥ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯊꯕꯛ ꯇꯧꯕꯥ ꯍꯧꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯑꯅꯥꯕꯥ ꯑꯗꯨꯕꯨ ꯌꯥꯔꯤꯕꯃꯈꯩ ꯊꯨꯅꯥ ꯑꯣꯔꯦꯜ ꯐꯤꯗꯤꯡꯗꯥ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯄꯤꯅꯕꯥ ꯍꯣꯠꯅꯩ, ꯃꯔꯃꯗꯤ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯈꯣꯌ ꯑꯁꯤ ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯁꯤꯖꯤꯟꯅꯗ꯭ꯔꯕꯗꯤ ꯏꯟꯇꯦꯁ꯭ꯇꯥꯏꯅꯁꯤꯡ ꯑꯁꯤ "ꯂꯦꯡꯗꯕꯥ" ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫
ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯐꯖꯅꯥ ꯄꯥꯡꯊꯣꯀꯏ꯫
ꯃꯈꯣꯌꯅꯥ ꯍꯧꯖꯤꯛ ꯍꯧꯖꯤꯀꯃꯛ ꯆꯦꯡ ꯆꯥꯕꯥ ꯍꯧꯗꯦ꯫ ꯃꯈꯣꯌ ꯑꯁꯤ ‘ꯀ꯭ꯂꯤꯌꯥꯔ ꯂꯤꯛꯌꯨꯏꯗ ꯗꯥꯏꯠ’ ꯑꯃꯗꯒꯤ ꯍꯧꯏ꯫ ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯑꯀꯪꯕꯥ ꯏꯁꯤꯡ, ꯂꯣꯏꯕꯥ ꯅꯥꯏꯗꯕꯥ ꯄꯣꯠꯆꯩ, ꯑꯃꯁꯨꯡ ꯏꯁꯤꯡꯒꯨꯝꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯍꯀꯆꯥꯡꯅꯥ ꯃꯁꯤ ꯊꯦꯡꯅꯕꯥ ꯉꯝꯂꯕꯗꯤ, ꯃꯈꯣꯌꯅꯥ ꯃꯄꯨꯡꯐꯥꯕꯥ ꯂꯤꯛꯌꯨꯏꯗ ꯗꯥꯏꯇꯇꯥ ꯆꯪꯁꯤꯜꯂꯤ꯫ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯈꯛꯇꯗꯥ ꯃꯈꯣꯌ ꯑꯁꯤ ꯑꯀꯅꯕꯥ ꯆꯤꯟꯖꯥꯀꯁꯤꯡꯗꯥ ꯌꯥꯎꯍꯜꯂꯤ꯫
ꯃꯇꯝ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯃꯦꯗꯤꯀꯦꯜ ꯇꯤꯃꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯅ꯭ꯌꯨꯠꯔꯤꯁꯅꯒꯤ ꯆꯥꯡ ꯑꯗꯨ ꯅꯤꯡꯊꯤꯅꯥ ꯌꯦꯡꯁꯤꯜꯂꯤ꯫
ꯇꯦꯛ-ꯍꯣꯝ ꯃꯦꯁꯦꯖ ꯇꯧꯕꯥ꯫
- ꯄꯦꯔꯦꯟꯇꯦꯜ ꯅ꯭ꯌꯨꯠꯔꯤꯁꯟ ꯑꯁꯤ ꯃꯤꯠꯅꯥ ꯆꯥꯕꯥ ꯉꯃꯗꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯒꯤ ꯄꯨꯟꯁꯤ ꯀꯅꯕꯥ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯂꯥꯏꯌꯦꯡ ꯑꯃꯅꯤ꯫
- ꯃꯁꯤꯗꯥ ꯍꯀꯆꯥꯡꯅꯥ ꯃꯊꯧ ꯇꯥꯔꯤꯕꯥ ꯅ꯭ꯌꯨꯠꯔꯤꯑꯦꯟꯇ ꯄꯨꯝꯅꯃꯛ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯜ ꯑꯃꯗꯥ ꯍꯀꯊꯦꯡꯅꯅꯥ ꯌꯧꯍꯜꯂꯤ꯫
- ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯈꯜ ꯑꯅꯤ ꯂꯩ: TPN (ꯑꯄꯨꯅꯕꯥ ꯄꯦꯔꯦꯟꯇꯦꯜ ꯅ꯭ꯌꯨꯠꯔꯤꯁꯟ) ꯑꯃꯁꯨꯡ PPN (ꯄꯥꯔꯁꯤꯑꯦꯜ ꯄꯦꯔꯦꯟꯇꯦꯜ ꯅ꯭ꯌꯨꯠꯔꯤꯁꯟ)꯫
- ꯃꯁꯤꯒꯤ ꯄꯥꯝꯕꯩ ꯑꯁꯤꯅꯥ ꯏꯅꯐꯦꯛꯁꯟ, ꯏ ꯊꯣꯀꯄꯥ, ꯑꯃꯁꯨꯡ ꯂꯤꯚꯔꯒꯤ ꯁꯃꯁ꯭ꯌꯥꯒꯨꯝꯕꯥ ꯔꯤꯁ꯭ꯀꯁꯤꯡ ꯄꯨꯔꯀꯄꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯃꯁꯤ ꯗꯣꯛꯇꯔꯁꯤꯡꯒꯤ ꯑꯀꯅꯕꯥ ꯌꯦꯡꯁꯤꯅꯕꯒꯤ ꯃꯈꯥꯗꯥ ꯈꯛꯇꯃꯛ ꯇꯧꯏ꯫
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛ ꯅꯠꯠꯔꯒꯥ ꯅꯍꯥꯛꯅꯥ ꯈꯪꯂꯤꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯅꯥ ꯂꯥꯏꯌꯦꯡ ꯑꯁꯤ ꯄꯤꯈ꯭ꯔꯕꯗꯤ, ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯐꯥꯎꯒꯅꯨ꯫ ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯍꯪꯕꯤꯌꯨ ꯑꯃꯁꯨꯡ ꯃꯗꯨ ꯐꯖꯅꯥ ꯈꯪꯖꯤꯅꯕꯤꯌꯨ꯫ ꯃꯍꯥꯛꯀꯤ ꯏꯅꯁ꯭ꯠꯔꯛꯁꯅꯁꯤꯡ ꯑꯗꯨ ꯆꯞ ꯆꯥꯅꯥ ꯏꯅꯒꯗꯕꯅꯤ꯫
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