ꯄꯤ.ꯏ.ꯖꯤ.ꯒꯤ ꯇꯤꯎꯕ ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ? (ꯄꯔꯛꯌꯨꯇꯦꯅꯤꯌꯝ ꯑꯦꯟꯗꯣꯁ꯭ꯀꯣꯄꯤꯛ ꯒꯦꯁ꯭ꯠꯔꯣꯁ꯭ꯇꯣꯃꯤ) - ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯂꯧꯁꯤ꯫

ꯅꯍꯥꯛꯀꯤ ꯏꯃꯨꯡꯒꯤ ꯀꯅꯥꯒꯨꯝꯕꯥ ꯑꯃꯅꯥ, ꯌꯥꯑꯣꯔꯃꯒꯗꯕꯗꯤ ꯑꯍꯜ ꯑꯣꯏꯔꯕꯥ ꯃꯃꯥ, ꯃꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯅꯥꯕꯥ ꯑꯃꯅꯥ ꯁꯣꯀꯍꯜꯂꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯅꯥ ꯆꯥꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯊꯛꯅꯕꯥ ꯏꯁꯤꯡ ꯂꯧꯕꯗꯥ ꯑꯋꯥꯕꯥ ꯃꯥꯌꯣꯛꯅꯔꯀꯄꯥ ꯌꯥꯏ, ꯑꯃꯁꯨꯡ ꯗꯣꯛꯇꯔꯅꯥ ꯍꯥꯌꯈꯤ, "ꯅꯍꯥꯛꯅꯥ ꯐꯤꯗꯤꯡ ꯇꯨꯕ ꯑꯃꯥ ꯊꯝꯕꯥ ꯃꯊꯧ ꯇꯥꯏ"? ꯃꯗꯨ ꯇꯥꯕꯗꯥ ꯈꯔꯥ ꯂꯥꯡꯇꯛꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯐꯥꯎꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯅꯣꯔꯃꯦꯂꯅꯤ꯫ "ꯄꯤ.ꯏ.ꯖꯤ. ꯇꯨꯕ"ꯒꯨꯝꯕꯥ ꯋꯥꯍꯩꯁꯤꯡ ꯇꯥꯕꯥ ꯃꯇꯃꯗꯥ ꯃꯁꯤꯅꯥ ꯀꯔꯤ ꯇꯧꯔꯤꯕꯒꯦ ꯍꯥꯌꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯈꯅꯕꯤꯔꯃꯒꯅꯤ꯫ ꯋꯥꯒꯅꯨ. ꯉꯁꯤꯗꯤ ꯄꯤ.ꯏ.ꯖꯤ.ꯇꯨꯕ ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ, ꯀꯅꯥꯅꯥ ꯃꯊꯧ ꯇꯥꯔꯤꯕꯒꯦ ꯑꯃꯁꯨꯡ ꯃꯁꯤꯒꯤ ꯊꯧꯑꯣꯡ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯊꯕꯛ ꯇꯧꯕꯒꯦ ꯍꯥꯌꯕꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯁꯤ꯫

ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯃꯁꯤꯒꯤ ꯄꯤ.ꯏ.ꯖꯤ.

ꯄꯤ.ꯏ.ꯖꯤ.ꯇꯨꯕ ꯍꯥꯌꯕꯁꯤ ꯃꯤꯠꯅꯥ ꯆꯥꯕꯗꯥ ꯑꯋꯥꯕꯥ ꯃꯥꯌꯣꯛꯅꯔꯤꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯗꯥ ꯍꯀꯊꯦꯡꯅꯅꯥ ꯃꯆꯤꯟꯖꯥꯛ ꯄꯤꯅꯕꯥ ꯈꯣꯡꯗꯥ ꯑꯄꯤꯀꯄꯥ ꯏꯅꯁꯤꯁꯟ ꯑꯃꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯊꯥꯕꯥ ꯑꯈꯟꯅꯕꯥ ꯇꯤꯎꯕ ꯑꯃꯅꯤ꯫ ꯃꯤꯡ ꯑꯁꯤ ꯈꯔꯥ ꯍꯦꯟꯅꯥ ꯂꯨꯝꯂꯕꯁꯨ, ꯃꯁꯤꯕꯨ ꯊꯨꯒꯥꯏꯔꯁꯤ꯫

• ꯄꯔꯛꯌꯨꯇꯦꯅꯤꯌꯝ: ꯃꯁꯤꯒꯤ ꯑꯔꯊꯗꯤ "ꯈꯣꯡꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ" ꯍꯥꯌꯕꯅꯤ꯫
• ꯑꯦꯟꯗꯣꯁ꯭ꯀꯣꯄꯤꯛ: ꯃꯁꯤꯅꯥ ꯀꯦꯃꯦꯔꯥ ꯑꯃꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯐ꯭ꯂꯦꯛꯁꯤꯕꯜ ꯇꯨꯕ (ꯑꯦꯟꯗꯣꯁ꯭ꯀꯣꯞ) ꯑꯃꯥ ꯁꯤꯖꯤꯟꯅꯕꯅꯤ꯫
• ꯒꯦꯁ꯭ꯠꯔꯣꯁ꯭ꯇꯣꯃꯤ: ꯃꯁꯤꯅꯥ ꯁ꯭ꯇꯣꯃꯥꯛ (`Gastro`)ꯗꯥ ꯑꯄꯤꯀꯄꯥ ꯑꯣꯄꯅꯤꯡ (`stomy`) ꯑꯃꯥ ꯁꯦꯝꯕꯥ ꯍꯥꯌꯕꯁꯤꯅꯤ꯫

ꯑꯗꯨꯅꯥ ꯋꯥꯍꯩ ꯑꯍꯨꯝ ꯑꯁꯤ ꯄꯨꯟꯅꯥ ꯌꯥꯑꯣꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯏꯆꯝ ꯆꯝꯕꯥ ꯑꯔꯊꯗꯤ "ꯈꯣꯡꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ, ꯀꯦꯃꯦꯔꯥꯒꯤ ꯃꯇꯦꯡꯅꯥ, ꯈꯣꯡꯗꯥ ꯍꯥꯡꯗꯣꯀꯄꯥ ꯑꯃꯥ ꯁꯦꯝꯕꯥ, ꯑꯃꯁꯨꯡ ꯇꯨꯕ ꯑꯃꯥ ꯍꯥꯄꯆꯤꯅꯕꯥ" ꯍꯥꯌꯕꯁꯤꯅꯤ꯫ ꯃꯤꯑꯣꯏ ꯈꯔꯅꯥ ꯇꯨꯕ ꯑꯁꯤꯕꯨ ꯖꯤ-ꯇꯨꯕ ꯍꯥꯌꯅꯥꯁꯨ ꯀꯧꯏ꯫ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛꯇꯥ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯂꯤꯛꯕꯤꯗ ꯅ꯭ꯌꯨꯠꯔꯤꯁꯟ ꯄꯤꯕꯒꯤ ꯃꯑꯣꯡ ꯑꯁꯤꯕꯨ `(ꯑꯦꯟꯇꯦꯔꯦꯜ ꯅ꯭ꯌꯨꯠꯔꯤꯁꯟ)` ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫

ꯄꯤ.ꯏ.ꯖꯤ.ꯒꯤ ꯇꯨꯕ ꯑꯃꯥ ꯀꯅꯥꯅꯥ ꯃꯊꯧ ꯇꯥꯕꯒꯦ?

ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯔꯃꯗꯤ ꯂꯧꯅꯒꯅꯕꯥ ꯑꯋꯥꯕꯥ ꯑꯁꯤꯅꯤ . ꯃꯦꯗꯤꯁꯤꯅꯗꯥ ꯑꯩꯈꯣꯌꯅꯥ ꯃꯁꯤꯕꯨ ``ꯗꯤꯁꯐꯦꯖꯤꯌꯥ`` ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ ꯆꯥꯅꯕꯥ ꯆꯤꯟꯖꯥꯛ ꯊꯀꯄꯥ ꯑꯁꯤ ꯑꯩꯈꯣꯌꯒꯤꯗꯃꯛꯇꯗꯤ ꯌꯥꯝꯅꯥ ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯕꯥ ꯋꯥꯐꯝ ꯑꯃꯥ ꯑꯣꯏꯔꯕꯁꯨ, ꯃꯁꯤ ꯕ꯭ꯔꯦꯟ, ꯅꯔꯚ ꯑꯃꯁꯨꯡ ꯃꯁꯜ ꯀꯌꯥ ꯌꯥꯎꯕꯥ ꯀꯝꯞꯂꯦꯛꯁ ꯑꯣꯏꯕꯥ ꯊꯧꯑꯣꯡ ꯑꯃꯅꯤ꯫ ꯊꯧꯑꯣꯡ ꯑꯁꯤ ꯊꯤꯡꯖꯤꯅꯈꯤꯕꯥ ꯃꯇꯝ ꯑꯃꯠꯇꯗꯥ, ꯐꯤꯖꯤꯀꯦꯜ ꯇꯤꯎꯕ ꯑꯃꯒꯤ ꯃꯊꯧ ꯇꯥꯕꯥ ꯂꯥꯀꯄꯥ ꯌꯥꯏ꯫ ꯈꯅꯕꯤꯌꯨ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯊꯀꯄꯥ ꯉꯃꯗ꯭ꯔꯕꯗꯤ, ꯆꯤꯟꯖꯥꯛ ꯑꯃꯁꯨꯡ ꯊꯛꯅꯕꯥ ꯏꯁꯤꯡ ꯑꯁꯤ ꯂꯪꯁꯇꯥ ꯆꯪꯂꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯅ꯭ꯌꯨꯃꯣꯅꯤꯌꯥ (`Aspiration Pneumonia`) ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫

ꯄꯤ.ꯏ.ꯖꯤ.ꯒꯤ ꯇꯨꯕ ꯑꯃꯥ ꯊꯝꯅꯕꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯔꯃꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯅꯕꯒꯤꯗꯃꯛ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯇꯦꯕꯜ ꯑꯁꯤ ꯌꯦꯡꯁꯤ꯫

ꯁꯔꯖꯔꯤ ꯑꯁꯤꯒꯤ ꯃꯃꯥꯡꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯀꯔꯤ ꯈꯪꯖꯤꯅꯒꯗꯒꯦ?

ꯃꯁꯤ ꯑꯆꯧꯕꯥ ꯁꯔꯖꯔꯤ ꯑꯃꯅꯤ, ꯑꯗꯨꯕꯨ ꯃꯁꯤ ꯑꯄꯤꯀꯄꯥ ꯄ꯭ꯔꯣꯁꯤꯗ꯭ꯌꯨꯑꯣꯔ ꯑꯃꯅꯤ꯫ ꯑꯗꯨꯕꯨ ꯃꯗꯨꯒꯤ ꯃꯃꯥꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯄꯦꯁꯦꯟꯇ ꯑꯗꯨꯒꯤ ꯍꯀꯁꯦꯂꯒꯤ ꯐꯤꯚꯃꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯑꯃꯨꯛꯇꯪ ꯋꯥꯔꯤ ꯁꯥꯒꯗꯕꯅꯤ꯫

• ꯍꯥꯔꯇꯀꯤ ꯂꯥꯌꯅꯥ ꯑꯃꯁꯨꯡ ꯗꯥꯏꯑꯦꯕꯦꯇꯤꯖꯒꯨꯝꯕꯥ ꯍꯧꯖꯤꯛ ꯂꯩꯔꯤꯕꯥ ꯑꯅꯥꯕꯥ ꯑꯃꯍꯦꯛꯇꯕꯨ ꯁꯣꯌꯗꯅꯥ ꯄꯅꯕꯤꯌꯨ꯫
• ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯕ꯭ꯂꯗ ꯊꯤꯅꯔꯁꯤꯡ (ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ `ꯋꯥꯔꯐꯦꯔꯤꯟ`, `ꯑꯦꯁ꯭ꯄꯤꯔꯤꯟ`, `ꯀ꯭ꯂꯣꯄꯤꯗꯣꯒ꯭ꯔꯦꯜ`) ꯅꯠꯠꯔꯒꯥ ``NSAIDs`` ꯀꯦꯇꯦꯒꯣꯔꯤꯗꯥ ꯌꯥꯎꯕꯥ ꯄꯦꯏꯅꯀꯤꯂꯥꯔꯁꯤꯡ (ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, `ꯏꯕꯨꯞꯔꯣꯐꯦꯟ`) ꯂꯧꯔꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯈꯪꯍꯅꯒꯗꯕꯅꯤ꯫ ꯃꯈꯣꯌꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯁꯔꯖꯔꯤꯒꯤ ꯅꯨꯃꯤꯠ ꯈꯔꯅꯤꯒꯤ ꯃꯃꯥꯡꯗꯥ ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯂꯧꯕꯥ ꯂꯦꯄꯍꯟꯅꯕꯥ ꯍꯥꯌꯒꯅꯤ꯫ ꯃꯁꯤꯒꯤ ꯃꯔꯃꯗꯤ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯏ ꯊꯣꯀꯄꯒꯤ ꯔꯤꯁ꯭ꯛ ꯍꯦꯅꯒꯠꯍꯜꯂꯤ꯫
• ꯑꯦꯂꯥꯔꯖꯤ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯍꯤꯗꯥꯛ ꯑꯃꯍꯦꯛꯇꯒꯤ ꯑꯦꯂꯥꯔꯖꯤ ꯂꯩꯔꯕꯗꯤ, ꯆꯥꯅꯕꯤꯗꯨꯅꯥ ꯃꯗꯨ ꯄꯅꯕꯤꯌꯨ꯫

ꯁꯔꯖꯔꯤꯒꯤ ꯃꯃꯥꯡꯗꯥ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯄꯨꯡ 8 ꯐꯥꯎꯕꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯃꯠꯇꯥ ꯆꯥꯔꯣꯏꯗꯕꯅꯤ ꯅꯠꯠꯔꯒꯥ ꯊꯛꯂꯣꯏꯗꯕꯅꯤ꯫ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯂꯗꯒꯤ ꯌꯨꯃꯗꯥ ꯌꯧꯅꯕꯥ ꯒꯥꯔꯤ ꯑꯃꯥ ꯊꯧꯔꯥꯡ ꯇꯧꯕꯁꯨ ꯃꯔꯨ ꯑꯣꯏ꯫

ꯄꯤ.ꯏ.ꯖꯤ.ꯒꯤ ꯇꯤꯎꯕ ꯑꯃꯥ ꯊꯥꯕꯥ ꯃꯇꯃꯗꯥ ꯇꯁꯦꯡꯅꯥ ꯀꯔꯤ ꯊꯣꯀꯏ?

ꯃꯁꯤꯒꯤ ꯊꯧꯑꯣꯡ ꯑꯁꯤ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯃꯤꯅꯠ 20-30 ꯆꯪꯏ꯫ ꯃꯇꯝ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯅꯥꯕꯥ ꯑꯗꯨ ꯅꯨꯡꯉꯥꯏꯅꯥ ꯂꯩꯅꯕꯥ ꯗꯔꯀꯥꯔ ꯑꯣꯏꯕꯥ ꯈꯣꯡꯊꯥꯡꯁꯤꯡ ꯂꯧꯈꯠꯂꯤ꯫

꯱.ꯑꯦꯅꯥꯁ꯭ꯇꯦꯁꯤꯌꯥ : ꯱.ꯑꯍꯥꯅꯕꯗꯥ, ꯄꯦꯁꯦꯟꯇ ꯑꯗꯨꯕꯨ ꯏꯅꯠꯔꯥꯚꯦꯅꯁ ꯑꯦꯅꯥꯁ꯭ꯇꯦꯁꯤꯌꯥꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯂꯥꯏꯅꯥ ꯇꯨꯝꯕꯥ ꯉꯃꯍꯜꯂꯤ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯑꯅꯥꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯑꯃꯠꯇꯥ ꯂꯩꯇꯦ꯫ ꯏꯅꯐꯦꯛꯁꯟ ꯊꯤꯡꯅꯕꯥ ꯃꯇꯝ ꯑꯁꯤꯗꯥ ꯑꯦꯟꯇꯤꯕꯥꯏꯑꯣꯇꯤꯀꯁꯤꯡꯁꯨ ꯄꯤꯔꯤ꯫

2. ꯂꯣꯀꯦꯜ ꯑꯦꯅꯥꯁ꯭ꯇꯦꯁꯤꯌꯥ (local anesthesia): ꯇꯤꯎꯕ ꯑꯗꯨ ꯊꯥꯗꯣꯛꯀꯗꯧꯔꯤꯕꯥ ꯈꯣꯡꯒꯤ ꯑꯀꯣꯌꯕꯗꯥ ꯂꯩꯕꯥ ꯃꯐꯝ ꯑꯗꯨ ꯁꯣꯟꯊꯍꯟꯅꯕꯥ ꯑꯄꯤꯀꯄꯥ ꯏꯅꯖꯦꯀꯁꯟ (ꯂꯣꯀꯦꯜ ꯑꯦꯅꯥꯁ꯭ꯇꯦꯇꯤꯛ) ꯑꯃꯥ ꯄꯤ꯫

3. ꯑꯦꯟꯗꯣꯁ꯭ꯀꯣꯞ ꯍꯥꯄꯆꯤꯅꯕꯥ: ꯍꯧꯖꯤꯛ ꯗꯣꯛꯇꯔꯅꯥ ꯃꯤꯠꯀꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯑꯃꯁꯨꯡ ꯈꯣꯡꯗꯥ ꯀꯦꯃꯦꯔꯥ ꯑꯃꯥ ꯊꯥꯗꯨꯅꯥ ꯑꯄꯤꯀꯄꯥ ꯇꯨꯕ (ꯑꯦꯟꯗꯣꯁ꯭ꯀꯣꯞ) ꯑꯃꯥ ꯍꯥꯄꯀꯅꯤ꯫ ꯃꯁꯤꯅꯥ ꯁ꯭ꯇꯣꯃꯥꯀꯀꯤ ꯃꯅꯨꯡꯒꯤ ꯁꯔꯨꯛ ꯑꯗꯨ ꯃꯌꯦꯛ ꯁꯦꯡꯅꯥ ꯎꯕꯥ ꯉꯃꯍꯜꯂꯤ꯫

4. ꯏꯅꯁꯤꯁꯟ ꯑꯃꯁꯨꯡ ꯇꯨꯕ ꯏꯅꯁꯥꯔꯁꯟ: ꯑꯦꯟꯗꯣꯁ꯭ꯀꯣꯄꯇꯒꯤ ꯂꯥꯀꯄꯥ ꯃꯉꯥꯜ ꯑꯁꯤ ꯈꯣꯡꯒꯤ ꯈꯣꯡꯖꯦꯂꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯎꯕꯥ ꯐꯪꯏ꯫ ꯃꯉꯥꯜ ꯑꯗꯨ ꯌꯦꯡꯂꯒꯥ ꯗꯣꯛꯇꯔꯅꯥ ꯈꯣꯡꯗꯥ ꯑꯄꯤꯀꯄꯥ ꯏꯅꯁꯤꯁꯟ ꯑꯃꯥ ꯇꯧꯏ, ꯆꯞ ꯃꯥꯟꯅꯕꯥ ꯃꯐꯝ ꯑꯗꯨꯗꯥ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯁꯦꯟꯇꯤꯃꯤꯇꯔ ꯑꯃꯥ꯫ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ, ꯏꯅꯁꯤꯁꯟ ꯑꯗꯨꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ, ꯄꯤ.ꯏ.ꯖꯤ.

ꯑꯌꯥꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯅꯍꯥꯛꯅꯥ ꯅꯨꯃꯤꯠ ꯑꯗꯨꯃꯛꯇꯗꯥ ꯅꯠꯠꯔꯒꯥ ꯃꯊꯪꯒꯤ ꯑꯌꯨꯛꯇꯥ ꯌꯨꯃꯗꯥ ꯆꯠꯄꯥ ꯌꯥꯏ꯫

ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯀꯔꯤ ꯑꯥꯁꯥ ꯇꯧꯒꯗꯒꯦ?

ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯑꯅꯥꯕꯥ ꯈꯔꯥ ꯐꯥꯎꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯅꯣꯔꯃꯦꯂꯅꯤ꯫ ꯅꯍꯥꯛꯅꯥ ꯏꯅꯁꯤꯁꯟ ꯇꯧꯈꯤꯕꯥ ꯃꯐꯝ ꯑꯗꯨꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯅꯠꯠꯔꯒꯥ ꯃꯄꯨꯡꯐꯥꯕꯥ ꯐꯤꯚꯝ ꯑꯃꯥ ꯐꯥꯎꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯒꯤ ꯑꯅꯥꯕꯥ ꯑꯁꯤ ꯄꯨꯡ 24-48ꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯍꯟꯊꯔꯛꯀꯅꯤ꯫

• ꯑꯁꯣꯀꯄꯥ: ꯏꯅꯁꯤꯁꯟ ꯑꯗꯨꯒꯤ ꯃꯊꯛꯇꯥ ꯑꯄꯤꯀꯄꯥ ꯕꯦꯟꯗꯦꯖ ꯑꯃꯥ ꯊꯃꯒꯅꯤ꯫ ꯑꯍꯥꯅꯕꯥ ꯅꯨꯃꯤꯠ ꯑꯅꯤꯗꯥ ꯐ꯭ꯂꯨꯏꯗ ꯈꯔꯥ ꯊꯣꯀꯄꯁꯤ ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏ꯫ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯅꯨꯃꯤꯠ ꯑꯅꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯕꯦꯟꯗꯦꯖ ꯑꯗꯨ ꯂꯧꯊꯣꯛꯅꯕꯥ ꯗꯣꯛꯇꯔꯅꯥ ꯄꯥꯎꯇꯥꯛ ꯄꯤꯒꯅꯤ꯫
• ꯅ꯭ꯌꯨꯠꯔꯤꯁꯟ: ꯇꯤꯎꯕ ꯑꯗꯨ ꯊꯥꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯊꯨꯅꯥ ꯂꯤꯛꯌꯨꯏꯗ ꯐꯤꯗꯁꯤꯡ ꯍꯧꯒꯅꯤ꯫ ꯗꯥꯏꯑꯦꯇꯤꯁꯤꯌꯟ ꯑꯃꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯃꯁꯤ ꯀꯔꯝꯅꯥ ꯇꯧꯒꯗꯒꯦ, ꯀꯔꯤ ꯃꯈꯂꯒꯤ ꯅ꯭ꯌꯨꯠꯔꯤꯁꯅꯦꯜ ꯐ꯭ꯂꯨꯏꯗ ꯄꯤꯒꯗꯒꯦ ꯑꯃꯁꯨꯡ ꯅꯣꯡꯃꯗꯥ ꯀꯌꯥ ꯌꯥꯝꯅꯥ ꯄꯤꯒꯗꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯇꯥꯀꯄꯤꯒꯅꯤ꯫
• ꯇꯤꯎꯕꯀꯤ ꯃꯑꯣꯡ-ꯃꯇꯧ: ꯍꯣꯌ, ꯇꯤꯎꯕꯀꯤ ꯁꯔꯨꯛ ꯑꯃꯥ ꯍꯀꯆꯥꯡꯒꯤ ꯃꯄꯥꯟꯗꯥ ꯂꯩ꯫ ꯃꯍꯧꯁꯥꯅꯥ ꯃꯁꯤ ꯄꯦꯟꯁꯤꯂꯒꯤ ꯑꯁꯥꯡꯕꯥ ꯑꯃꯁꯨꯡ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯏꯟꯆꯤ 6-12 ꯐꯥꯎꯕꯥ ꯁꯥꯡꯕꯥ ꯇꯨꯕ ꯑꯃꯅꯤ꯫ ꯇꯤꯎꯕ ꯑꯗꯨ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯆꯪꯂꯀꯄꯥ ꯊꯤꯡꯅꯕꯥ ꯈꯣꯡꯒꯤ ꯃꯊꯛꯇꯥ ꯑꯄꯤꯀꯄꯥ ꯗꯤꯁ꯭ꯀꯒꯨꯝꯕꯥ ꯁꯔꯨꯛ (`ꯃꯄꯥꯅꯒꯤ ꯕꯝꯄꯔ`) ꯑꯃꯥ ꯂꯩ, ꯇꯨꯕ ꯑꯗꯨꯒꯤ ꯃꯊꯛꯇꯥ ꯑꯄꯤꯀꯄꯥ ꯀꯦꯞ ꯑꯃꯅꯥ ꯀꯨꯄꯁꯤꯜꯂꯤ꯫ ꯃꯁꯤꯅꯥ ꯁ꯭ꯇꯣꯃꯥꯛ ꯑꯦꯁꯤꯗ ꯊꯣꯀꯄꯥ ꯊꯤꯡꯏ꯫ ꯃꯁꯤꯒꯤ ꯀꯦꯞ ꯑꯁꯤ ꯆꯥꯅꯕꯥ, ꯏꯁꯤꯡ ꯅꯠꯠꯔꯒꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛ ꯄꯤꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯃꯇꯃꯗꯥ ꯍꯥꯡꯗꯣꯀꯄꯥ ꯌꯥꯏ꯫

ꯔꯤꯁ꯭ꯛ ꯑꯃꯁꯨꯡ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ ꯂꯩꯕ꯭ꯔꯥ?

ꯃꯦꯗꯤꯀꯦꯜ ꯄ꯭ꯔꯣꯁꯤꯗ꯭ꯌꯨꯑꯣꯔ ꯑꯃꯍꯦꯛꯇꯒꯥ ꯃꯥꯟꯅꯅꯥ, ꯑꯄꯤꯀꯄꯥ ꯔꯤꯁ꯭ꯀꯁꯤꯡ ꯂꯩ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯅꯦꯝꯃꯤ꯫ ꯇꯤꯎꯕ ꯑꯗꯨ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯁꯦꯡꯗꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯌꯦꯡꯁꯤꯅꯕꯅꯥ ꯔꯤꯁ꯭ꯀꯁꯤꯡ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯍꯟꯊꯍꯅꯕꯥ ꯉꯝꯃꯤ꯫

ꯄꯤ.ꯏ.ꯖꯤ.ꯒꯤ ꯇꯤꯎꯕ ꯑꯃꯥ ꯀꯔꯝꯅꯥ ꯌꯦꯡꯁꯤꯅꯒꯅꯤ?

ꯇꯤꯎꯕꯀꯤ ꯑꯀꯣꯌꯕꯗꯥ ꯂꯩꯕꯥ ꯈꯣꯡ ꯑꯗꯨ ꯅꯨꯃꯤꯠ ꯈꯨꯗꯤꯡꯒꯤ ꯁꯦꯡꯅꯥ ꯊꯝꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫

• ꯑꯍꯥꯅꯕꯗꯥ, ꯅꯍꯥꯛꯀꯤ ꯈꯨꯠꯁꯥ ꯑꯗꯨ ꯁꯥꯄꯣꯟꯅꯥ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯁꯦꯡꯗꯣꯀꯎ꯫
• ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ, ꯑꯁꯦꯡꯕꯥ ꯐꯤ ꯅꯠꯠꯔꯒꯥ ꯒꯣꯖꯒꯤ ꯁꯔꯨꯛ ꯑꯃꯥ ꯁꯥꯄꯣꯟ ꯏꯁꯤꯡꯗꯥ ꯌꯥꯟꯁꯤꯟꯅꯧ ꯑꯃꯁꯨꯡ ꯇ꯭ꯌꯨꯕꯀꯤ ꯑꯀꯣꯌꯕꯗꯥ ꯂꯩꯕꯥ ꯈꯣꯡ ꯑꯗꯨ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯁꯦꯡꯗꯣꯀꯎ꯫
• ꯁꯥꯄꯣꯟ ꯑꯗꯨ ꯂꯧꯊꯣꯛꯅꯕꯥ ꯑꯁꯦꯡꯕꯥ ꯏꯁꯤꯡꯅꯥ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯁꯦꯡꯗꯣꯀꯎ꯫
• ꯑꯔꯣꯏꯕꯗꯥ, ꯃꯗꯨ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯁꯨꯃꯗꯣꯀꯎ꯫ ꯗꯣꯛꯇꯔꯒꯤ ꯄꯥꯎꯇꯥꯛ ꯌꯥꯎꯗꯅꯥ ꯀ꯭ꯔꯤꯝ ꯅꯠꯠꯔꯒꯥ ꯄꯥꯎꯗꯔ ꯑꯃꯠꯇꯥ ꯁꯤꯖꯤꯟꯅꯔꯣꯏꯗꯕꯅꯤ꯫

ꯌꯥꯝꯅꯥ ꯇꯣꯏꯅꯥ ꯍꯪꯂꯀꯄꯥ ꯋꯥꯍꯪ ꯈꯔꯗꯤ꯫

ꯄꯤ.ꯏ.ꯖꯤ.ꯒꯤ ꯇꯤꯎꯕ ꯂꯩꯕꯥ ꯀꯅꯥꯒꯨꯝꯕꯥ ꯑꯃꯅꯥ ꯃꯤꯠꯅꯥ ꯆꯥꯕꯥ ꯑꯃꯁꯨꯡ ꯊꯀꯄꯥ ꯌꯥꯕ꯭ꯔꯥ?

ꯃꯁꯤ ꯇꯨꯕ ꯑꯗꯨ ꯊꯥꯗꯣꯀꯄꯒꯤ ꯃꯔꯝ ꯑꯣꯏꯔꯤꯕꯥ ꯑꯟꯗꯔꯂꯥꯏꯟ ꯃꯦꯗꯤꯀꯦꯜ ꯀꯟꯗꯤꯁꯟ ꯑꯗꯨꯒꯤ ꯃꯈꯥ ꯄꯣꯜꯂꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯇꯨꯕ ꯑꯗꯨ ꯂꯧꯊꯣꯀꯄꯗꯥ ꯑꯋꯥꯕꯥ ꯑꯣꯏꯕꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯊꯥꯗꯣꯀꯈꯤꯕꯥ ꯑꯣꯏꯔꯕꯗꯤ, ꯃꯤꯠꯅꯥ ꯊꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯊꯛꯅꯕꯥ ꯏꯁꯤꯡ ꯄꯤꯕꯗꯥ ꯑꯊꯤꯡꯕꯥ ꯂꯩꯒꯅꯤ, ꯃꯔꯃꯗꯤ ꯃꯁꯤꯅꯥ ꯆꯤꯟꯖꯥꯛ ꯑꯗꯨ ꯂꯪꯁꯇꯥ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯆꯪꯂꯀꯄꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯃꯤꯑꯣꯏ ꯈꯔꯗꯤ ꯃꯈꯣꯌꯒꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯃꯤꯠꯅꯥ ꯑꯄꯤꯀꯄꯥ ꯃꯆꯤꯟꯖꯥꯀꯁꯤꯡ ꯆꯥꯕꯥ ꯌꯥꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯁꯣꯌꯗꯅꯥ ꯈꯪꯗꯣꯛꯅꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯍꯪꯕꯤꯌꯨ꯫

ꯇꯤꯎꯕ ꯑꯁꯤ ꯀꯌꯥꯝ ꯁꯥꯡꯅꯥ ꯊꯃꯒꯗꯒꯦ?

ꯄꯤ.ꯏ.ꯖꯤ.ꯒꯤ ꯇꯨꯕ ꯑꯃꯥ ꯊꯥ ꯀꯌꯥ ꯅꯠꯠꯔꯒꯥ ꯆꯍꯤ ꯀꯌꯥ ꯐꯥꯑꯣꯕꯥ ꯁꯤꯖꯤꯟꯅꯕꯥ ꯌꯥꯏ꯫ ꯃꯇꯃꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ ꯇꯤꯎꯕ ꯑꯗꯨ ꯃꯆꯨ ꯁꯪꯂꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯕ꯭ꯂꯣꯛ ꯇꯧꯕꯥ ꯌꯥꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯇꯤꯎꯕ ꯑꯗꯨꯅꯥ ꯃꯆꯨ ꯍꯣꯡꯂꯛꯂꯕꯗꯤ, ꯐ꯭ꯂꯨꯏꯗ ꯂꯤꯛ ꯑꯣꯏꯔꯕꯗꯤ ꯅꯠꯠꯔꯒꯥ ꯂꯝꯂꯛꯀꯤ ꯑꯣꯏꯅꯥ ꯎꯔꯕꯗꯤ ꯃꯗꯨ ꯃꯍꯨꯠ ꯁꯤꯅꯕꯒꯤ ꯃꯇꯝ ꯑꯣꯏꯔꯦ꯫ ꯑꯅꯧꯕꯥ ꯇꯤꯎꯕ ꯑꯃꯥ ꯍꯥꯄꯆꯤꯅꯕꯥ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯂꯥꯏ, ꯑꯃꯁꯨꯡ ꯑꯦꯅꯥꯁ꯭ꯇꯦꯁꯤꯌꯥ ꯅꯠꯠꯔꯒꯥ ꯁꯔꯖꯔꯤꯒꯤ ꯃꯊꯧ ꯇꯥꯗꯦ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯄꯦꯁꯦꯟꯇ ꯑꯗꯨꯒꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯗꯨ ꯐꯒꯠꯂꯛꯂꯕꯗꯤ ꯑꯃꯁꯨꯡ ꯃꯈꯣꯌꯅꯥ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯊꯀꯄꯥ ꯉꯝꯂꯕꯗꯤ ꯇꯤꯎꯕ ꯑꯗꯨ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯂꯧꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯅꯨꯃꯤꯠ ꯈꯔꯅꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯃꯁꯥ ꯃꯊꯟꯇꯥ ꯊꯤꯡꯖꯤꯅꯒꯅꯤ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯇ꯭ꯌꯨꯕ ꯑꯗꯨ ꯈꯪꯍꯧꯗꯅꯥ ꯂꯥꯀꯄꯥ ꯇꯥꯔꯕꯗꯤ ꯅꯍꯥꯛꯅꯥ ꯀꯔꯤ ꯇꯧꯒꯗꯒꯦ?

ꯃꯁꯤ ꯏꯃꯔꯖꯦꯟꯁꯤ ꯑꯃꯅꯤ꯫ ꯅꯍꯥꯛꯅꯥ ꯈꯨꯗꯛꯇꯥ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯜ ꯑꯃꯗꯥ, ꯏꯃꯔꯖꯦꯟꯁꯤ ꯇ꯭ꯔꯤꯇꯃꯦꯟꯇ ꯌꯨꯅꯤꯠ (ETU)ꯗꯥ ꯆꯠꯄꯥ ꯃꯊꯧ ꯇꯥꯏ꯫ ꯃꯔꯃꯗꯤ ꯁ꯭ꯇꯣꯃꯥꯛ ꯑꯃꯁꯨꯡ ꯈꯣꯡꯗꯥ ꯂꯩꯕꯥ ꯍꯨꯔꯥꯅꯕꯥ ꯑꯗꯨ ꯄꯨꯡ ꯈꯔꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯊꯤꯡꯖꯤꯅꯕꯥ ꯍꯧꯔꯒꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯗꯨ ꯑꯣꯏꯔꯕꯗꯤ ꯑꯅꯧꯕꯥ ꯇꯨꯕ ꯑꯃꯥ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯊꯝꯕꯗꯥ ꯑꯋꯥꯕꯥ ꯑꯣꯏꯒꯅꯤ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯇꯨꯕ ꯑꯗꯨ ꯊꯣꯛꯂꯕꯗꯤ ꯄꯨꯡ ꯲꯴ꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯃꯇꯦꯡ ꯂꯧꯕꯥ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ .