ꯅꯍꯥꯛꯀꯤ ꯅꯧꯅꯥ ꯄꯣꯀꯄꯥ ꯑꯉꯥꯡ ꯑꯗꯨꯒꯤ ꯃꯈꯥ ꯊꯪꯕꯥ ꯁꯔꯨꯛꯇꯥ ꯑꯃꯁꯨꯡ ꯈꯣꯡꯄꯥꯛ ꯑꯗꯨ ꯌꯥꯝꯅꯥ ꯄꯤꯀꯄꯥ ꯑꯣꯏꯔꯀꯄꯥ ꯑꯗꯨ ꯅꯍꯥꯛꯅꯥ ꯈꯪꯂꯕ꯭ꯔꯥ? ꯃꯍꯥꯛ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯗꯥ ꯑꯋꯥꯕꯥ ꯃꯥꯌꯣꯛꯅꯔꯀꯄꯥ ꯎꯕꯔꯥ, ꯃꯔꯨꯑꯣꯏꯅꯥ ꯃꯍꯥꯛꯀꯤ ꯃꯀꯣꯀꯊꯣꯡꯕꯗꯥ ꯂꯦꯞꯄꯥ ꯃꯇꯃꯗꯥ? ꯃꯍꯥꯛ ꯁꯉ꯭ꯒꯣꯃꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯈꯔꯥ ꯁꯣꯀꯄꯥ ꯎꯕꯥ ꯐꯪꯂꯤꯕꯔꯥ? ꯃꯃꯥ ꯑꯃꯅꯥ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ ꯑꯁꯤ ꯎꯕꯗꯥ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯐꯥꯎꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯅꯣꯔꯃꯦꯂꯅꯤ꯫ ꯉꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯕꯥ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯊꯣꯀꯄꯥ ꯑꯗꯨꯕꯨ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯔꯤ꯫ ꯑꯩꯈꯣꯌꯅꯥ ꯃꯁꯤꯕꯨ ꯄꯤꯌꯔ ꯔꯣꯕꯤꯟ ꯁꯤꯟꯗꯣꯝ (PRS) ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫
ꯄꯤꯌꯔ ꯔꯣꯕꯤꯟ ꯁꯤꯟꯗ꯭ꯔꯣꯝ (PRS) ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ?
ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯄꯤꯌꯔ ꯔꯣꯕꯤꯟ ꯁꯤꯟꯗ꯭ꯔꯣꯝ (PRS) ꯍꯥꯌꯕꯁꯤ ꯑꯉꯥꯡ ꯑꯃꯅꯥ ꯃꯤꯔꯣꯜꯂꯤꯉꯩ ꯃꯇꯃꯗꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯊꯣꯀꯄꯥ ꯄꯣꯀꯄꯒꯤ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯑꯃꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯃꯁꯤꯕꯨ ꯄꯤꯌꯔ ꯔꯣꯕꯤꯟ ꯁꯤꯛꯕꯦꯟꯁ ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤꯅꯥ ꯃꯔꯨꯑꯣꯏꯅꯥ ꯑꯉꯥꯡ ꯑꯃꯒꯤ ꯃꯥꯌꯊꯣꯡꯗꯥ, ꯃꯔꯨꯑꯣꯏꯅꯥ ꯃꯤꯠ ꯑꯃꯁꯨꯡ ꯈꯣꯡꯗꯥ ꯁꯣꯀꯍꯜꯂꯤ꯫ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯃꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯑꯉꯥꯡ ꯑꯗꯨꯕꯨ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ, ꯈꯣꯝꯂꯥꯡ ꯄꯤꯊꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯕꯣꯇꯜ ꯑꯃꯗꯒꯤ ꯊꯀꯄꯗꯥ ꯑꯋꯥꯕꯥ ꯄꯤꯕꯥ ꯌꯥꯏ꯫
ꯈꯟꯊꯕꯤꯌꯨ, ꯑꯩꯈꯣꯌꯒꯤ ꯃꯥꯌꯊꯣꯡꯒꯤ ꯁꯔꯨꯀꯁꯤꯡ ꯑꯁꯤ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯁꯦꯃꯒꯠꯀꯗꯕꯅꯤ꯫ ꯃꯈꯥꯒꯤ ꯈꯣꯡ ꯑꯗꯨ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯁꯦꯝꯂꯕꯥ ꯃꯇꯨꯡꯗꯥ, ꯖꯤꯕ ꯑꯗꯨ ꯃꯁꯥꯒꯤ ꯃꯐꯝ ꯑꯗꯨꯗꯥ ꯂꯥꯀꯏ꯫ ꯑꯗꯨꯗꯒꯤ ꯃꯊꯛꯀꯤ ꯈꯣꯡꯄꯥꯛ ꯑꯗꯨ ꯁꯦꯝꯃꯤ꯫ ꯑꯗꯨꯕꯨ ꯄꯤ.ꯑꯥꯔ.ꯑꯦꯁ.ꯇꯥ ꯃꯁꯤꯒꯤ ꯑꯣꯔꯗꯔ ꯑꯁꯤ ꯁꯣꯀꯍꯜꯂꯤ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯃꯁꯤꯕꯨ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ "ꯁꯤꯀꯨꯑꯦꯟꯁ" ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫
ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯀꯃꯟ ꯑꯣꯏꯗꯦ꯫ ꯆꯥꯡꯆꯠꯇꯥ, ꯑꯉꯥꯡ 8,500ꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯑꯃꯈꯛꯇꯗꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯂꯥꯀꯄꯒꯤ ꯆꯥꯡ ꯂꯩ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯇꯥꯕꯗꯥ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯂꯩꯔꯣꯏꯗꯕꯅꯤ꯫ ꯑꯗꯨꯕꯨ ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯆꯦꯀꯁꯤꯅꯕꯥ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨ ꯑꯣꯏ꯫
ꯑꯩꯒꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯗꯥ PRS ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯑꯩꯅꯥ ꯀꯔꯝꯅꯥ ꯈꯪꯒꯅꯤ? ꯃꯔꯨꯑꯣꯏꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?
ꯑꯌꯥꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯑꯉꯥꯡ ꯑꯗꯨ ꯄꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯈꯨꯗꯃꯁꯤꯡ ꯑꯁꯤ ꯎꯕꯥ ꯐꯪꯏ꯫ ꯃꯔꯨꯑꯣꯏꯅꯥ ꯄꯤ.ꯑꯥꯔ.ꯑꯦꯁ.ꯇꯥ ꯎꯕꯥ ꯐꯪꯂꯤꯕꯥ ꯍꯀꯆꯥꯡꯒꯤ ꯑꯍꯣꯡꯕꯥ ꯑꯃꯁꯨꯡ ꯂꯥꯏꯑꯣꯡ ꯈꯔꯗꯤ ꯂꯩ꯫ ꯃꯈꯣꯌꯁꯤꯡꯗꯨ ꯇꯣꯉꯥꯟꯅꯥ ꯌꯦꯡꯁꯤ꯫
| ꯃꯒꯨꯅꯒꯤ ꯃꯑꯣꯡ ꯃꯇꯧ꯫ | ꯏꯆꯝ ꯆꯝꯕꯥ ꯃꯌꯦꯛ ꯁꯦꯡꯅꯥ ꯇꯥꯀꯄꯥ꯫ |
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| ꯑꯆꯧꯕꯥ ꯍꯀꯆꯥꯡꯒꯤ ꯈꯦꯠꯅꯕꯥ꯫ | |
| ꯑꯄꯤꯀꯄꯥ ꯃꯈꯥ ꯊꯪꯕꯥ ꯁꯔꯨꯛꯇꯥ (Micrognathia) . | ꯑꯉꯥꯡ ꯑꯗꯨꯒꯤ ꯃꯈꯥ ꯊꯪꯕꯥ ꯁꯔꯨꯛꯇꯥ (lower how and chin) ꯑꯁꯤ ꯁꯥꯏꯖꯒꯤ ꯑꯣꯏꯅꯥ ꯌꯥꯝꯅꯥ ꯄꯤꯀꯄꯥ ꯑꯣꯏ꯫ ꯃꯁꯤ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯥꯌꯒꯤ ꯄ꯭ꯔꯣꯐꯥꯏꯜ ꯑꯗꯨ ꯌꯦꯡꯂꯕꯗꯤ ꯃꯌꯦꯛ ꯁꯦꯡꯅꯥ ꯎꯕꯥ ꯐꯪꯏ꯫ |
| ꯀ꯭ꯂꯦꯐꯠ ꯄꯦꯂꯦꯠ꯫ | ꯃꯤꯠꯀꯤ ꯃꯊꯛ ꯊꯪꯕꯥ ꯁꯔꯨꯛ, ꯍꯥꯌꯕꯗꯤ ꯈꯣꯡꯄꯥꯛ ꯑꯁꯤ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯊꯤꯡꯖꯤꯜꯂꯣꯏ꯫ ꯃꯔꯛꯇꯥ ꯒꯦꯞ ꯑꯃꯥ ꯂꯩꯔꯤ꯫ ꯃꯁꯤꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯊꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯅꯥꯀꯣꯡꯗꯒꯤ ꯁꯉ꯭ꯒꯣꯝ ꯊꯣꯀꯄꯥ ꯌꯥꯍꯜꯂꯤ꯫ |
| ꯀꯣꯛꯇꯥ ꯆꯠꯄꯥ (Glossoptosis) (Glossoptosis) . | ꯃꯈꯥꯒꯤ ꯈꯣꯡꯄꯥꯛ ꯑꯁꯤ ꯑꯄꯤꯀꯄꯥ ꯑꯣꯏꯕꯅꯥ, ꯃꯤꯠꯀꯤ ꯃꯅꯨꯡꯗꯥ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯐꯤꯠ ꯑꯣꯏꯅꯥ ꯂꯩꯅꯕꯥ ꯃꯐꯝ ꯃꯔꯥꯡ ꯀꯥꯌꯅꯥ ꯂꯩꯇꯦ, ꯑꯃꯁꯨꯡ ꯖꯤꯕ ꯑꯗꯨ ꯍꯟꯖꯤꯟ ꯍꯟꯖꯤꯟ ꯆꯦꯜꯂꯤ, ꯍꯥꯌꯕꯗꯤ ꯀꯣꯛꯇꯥ ꯆꯦꯟꯊꯔꯀꯏ꯫ ꯃꯁꯤꯅꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯗꯥ ꯑꯋꯥꯕꯥ ꯄꯤꯕꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯔꯃꯅꯤ꯫ |
| ꯍꯥꯏ-ꯑꯥꯔꯆ ꯄꯦꯂꯦꯠ꯫ | ꯀ꯭ꯂꯦꯐꯠ ꯄꯦꯂꯦꯠ ꯂꯩꯇꯕꯥ ꯑꯉꯥꯡ ꯈꯔꯗꯗꯤ, ꯄꯦꯂꯦꯠ ꯑꯁꯤ ꯅꯣꯔꯃꯦꯂꯗꯒꯤ ꯌꯥꯝꯅꯥ ꯋꯥꯡꯅꯥ ꯂꯩꯕꯥ ꯌꯥꯏ, ꯍꯥꯌꯕꯗꯤ ꯑꯥꯔꯆ ꯑꯃꯒꯨꯝꯅꯥ꯫ |
| ꯄꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯍꯥꯠꯄꯥ (Natal teeth) . | ꯌꯥꯝꯅꯥ ꯇꯣꯏꯅꯥ, ꯑꯉꯥꯡ ꯈꯔꯗꯤ ꯄꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯍꯥꯀꯆꯥꯡ ꯑꯃꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯃꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯂꯩꯕꯥ ꯌꯥꯏ꯫ |
| ꯔꯤꯖꯜꯇ ꯑꯣꯏꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ꯫ | |
| ꯍꯨꯏꯁꯤꯡ (ꯁ꯭ꯠꯔꯥꯏꯗꯣꯔ ꯅꯠꯠꯔꯒꯥ ꯁ꯭ꯇꯦꯔꯇꯔ) . | ꯖꯤꯕ ꯑꯗꯨꯅꯥ ꯀꯣꯛꯇꯥ ꯆꯦꯟꯊꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯃꯁꯤꯅꯥ ꯑꯦꯌꯔꯋꯦ (airway) ꯊꯤꯡꯖꯤꯅꯕꯥ ꯌꯥꯏ ꯑꯃꯁꯨꯡ ꯅꯣꯡꯃꯩ ꯀꯥꯞꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯍꯨꯔꯥꯅꯕꯥ ꯈꯣꯟꯖꯦꯜ ꯑꯃꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯒꯤ ꯈꯣꯟꯖꯦꯜ ꯑꯁꯤ ꯃꯔꯨꯑꯣꯏꯅꯥ ꯑꯉꯥꯡ ꯑꯗꯨꯕꯨ ꯇꯨꯝꯕꯥ ꯌꯥꯅꯕꯥ ꯃꯈꯣꯌꯒꯤ ꯃꯀꯣꯀꯊꯣꯡꯕꯗꯥ ꯊꯃꯖꯤꯜꯂꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯊꯣꯀꯏ꯫ |
| ꯁꯉ꯭ꯒꯣꯝ ꯊꯀꯄꯗꯥ ꯑꯋꯥꯕꯥ꯫ | ꯂꯦꯡ-ꯑꯣꯠꯄꯒꯤ ꯃꯑꯣꯡ (cleft palate) ꯑꯃꯁꯨꯡ ꯂꯦꯡ-ꯑꯣꯠꯄꯒꯤ ꯃꯑꯣꯡ-ꯃꯇꯧ ꯑꯗꯨꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ, ꯑꯉꯥꯡ ꯑꯗꯨꯅꯥ ꯌꯦꯅꯒꯣꯟ ꯑꯗꯨꯗꯥ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯂꯦꯡ-ꯑꯣꯠꯄꯥ ꯉꯃꯗꯕꯥ ꯑꯃꯁꯨꯡ ꯁꯉ꯭ꯒꯣꯝ ꯊꯀꯄꯥ ꯉꯃꯗꯕꯥ ꯌꯥꯏ꯫ ꯁꯉ꯭ꯒꯣꯝ ꯑꯗꯨ ꯀꯣꯛꯇꯥ ꯊꯨꯒꯥꯌꯕꯁꯨ ꯌꯥꯏ꯫ |
| ꯑꯔꯨꯝꯕꯥ ꯍꯦꯅꯒꯠꯂꯀꯄꯒꯤ ꯁꯃꯁ꯭ꯌꯥ꯫ | ꯈꯣꯝꯂꯥꯡ ꯄꯤꯊꯀꯄꯗꯥ ꯑꯋꯥꯕꯥ ꯑꯣꯏꯕꯅꯥ, ꯑꯉꯥꯡ ꯑꯗꯨꯅꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯅ꯭ꯌꯨꯠꯔꯤꯁꯟ ꯐꯪꯗꯕꯥ ꯌꯥꯏ ꯑꯃꯁꯨꯡ ꯑꯔꯨꯝꯕꯥ ꯐꯅꯥ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ ꯌꯥꯏ꯫ |
ꯃꯁꯤ ꯀꯔꯤꯒꯤ ꯊꯣꯛꯂꯤꯕꯅꯣ? ꯃꯁꯤꯒꯤ ꯃꯔꯝ ꯀꯔꯤꯅꯣ?
ꯇꯁꯦꯡꯕꯗꯤ ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯃꯁꯤꯒꯤ ꯑꯆꯨꯝꯕꯥ ꯃꯔꯝ ꯑꯁꯤ ꯍꯧꯖꯤꯛ ꯐꯥꯑꯣꯕꯥ ꯊꯤꯕꯥ ꯉꯃꯗ꯭ꯔꯤ, ꯑꯗꯨꯕꯨ ꯃꯁꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯅꯥ ꯃꯤꯔꯣꯜꯂꯤꯉꯩ ꯃꯇꯃꯗꯥ ꯊꯣꯀꯄꯥ ꯖꯦꯅꯦꯇꯤꯛ ꯃ꯭ꯌꯨꯇꯦꯁꯟ ꯀꯌꯥꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ ꯍꯥꯌꯕꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯈꯉꯏ꯫
ꯃꯁꯤꯒꯤ ꯁꯤꯛꯕꯦꯟꯁ ꯑꯁꯤ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤ:
1. ꯑꯍꯥꯅꯕꯗꯥ, ꯑꯉꯥꯡ ꯑꯗꯨꯒꯤ ꯃꯈꯥ ꯊꯪꯕꯥ ꯁꯔꯨꯛ ꯑꯗꯨ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯆꯥꯎꯈꯠꯄꯥ ꯉꯃꯗꯦ꯫ ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯄꯤꯀꯄꯥ ꯍꯦꯅꯒꯠꯂꯀꯏ꯫
2. ꯃꯈꯥꯒꯤ ꯈꯣꯡꯄꯥꯛ ꯑꯁꯤ ꯑꯄꯤꯀꯄꯥ ꯑꯣꯏꯕꯅꯥ, ꯖꯤꯕ ꯑꯁꯤ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯂꯦꯡꯗꯅꯥ ꯂꯩꯅꯕꯥ ꯃꯐꯝ ꯂꯩꯇꯦ, ꯑꯃꯁꯨꯡ ꯃꯗꯨ ꯃꯊꯛꯇꯥ ꯑꯃꯁꯨꯡ ꯃꯇꯨꯡꯗꯥ (ꯀꯣꯀꯊꯛꯇꯥ) ꯆꯦꯜꯂꯤ꯫
3. ꯖꯤꯕ ꯑꯁꯤ ꯑꯁꯨꯝꯅꯥ ꯂꯥꯀꯏ ꯑꯃꯁꯨꯡ ꯃꯊꯛꯀꯤ ꯑꯦꯌꯔꯋꯦ (airway) ꯑꯗꯨ ꯊꯤꯡꯏ꯫
4. ꯃꯇꯝ ꯑꯁꯤꯗꯥ, ꯑꯉꯥꯡ ꯑꯗꯨꯒꯤ ꯃꯊꯛ ꯊꯪꯕꯥ ꯁꯔꯨꯛꯀꯤ ꯁꯔꯨꯛ ꯑꯅꯤꯗꯨ ꯊꯨꯒꯥꯌꯒꯗꯕꯅꯤ꯫ ꯑꯗꯨꯕꯨ ꯃꯊꯛꯇꯥ ꯂꯥꯀꯈꯤꯕꯥ ꯖꯤꯕ ꯑꯗꯨ ꯀ꯭ꯔꯣꯁ ꯇꯧꯔꯀꯄꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯈꯣꯟꯖꯦꯂꯒꯤ ꯁꯔꯨꯛ ꯑꯅꯤ ꯑꯁꯤ ꯑꯃꯠꯇꯥ ꯑꯣꯏꯅꯥ ꯄꯨꯟꯁꯤꯅꯕꯥ ꯉꯃꯗꯦ, ꯃꯔꯛꯇꯥ ꯒꯦꯞ ꯑꯃꯥ ꯊꯃꯗꯨꯅꯥ ꯂꯩ꯫
ꯊꯧꯗꯣꯀꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯁꯤꯔꯤꯖ ꯑꯁꯤ ꯑꯃꯒꯥ ꯑꯃꯒꯥ ꯁꯝꯅꯔꯤ, ꯗꯣꯃꯤꯅꯣꯒꯤ ꯂꯝꯕꯤ ꯑꯃꯅꯥ ꯑꯃꯒꯥ ꯑꯃꯒꯥ ꯁꯣꯛꯅ-ꯁꯝꯅꯔꯀꯄꯒꯨꯝ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯃꯁꯤꯕꯨ ꯄꯤꯌꯔ ꯔꯣꯕꯤꯟ ꯁꯤꯛꯕꯦꯟꯁ ꯍꯥꯌꯅꯥꯁꯨ ꯀꯧꯏ꯫
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯃꯁꯤ ꯍꯦꯔꯤꯇꯦꯖ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫ ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯄꯤ.ꯑꯥꯔ.ꯑꯦꯁ.ꯅꯥ ꯑꯇꯣꯞꯄꯥ ꯖꯦꯅꯦꯇꯤꯛ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ, ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ ꯁ꯭ꯇꯤꯀꯂꯔ ꯁꯤꯟꯗꯣꯃꯒꯤ ꯃꯑꯣꯡ ꯑꯃꯥ ꯑꯣꯏꯅꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫
ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯈꯨꯗꯣꯡꯊꯤꯅꯤꯉꯥꯏ ꯑꯣꯏꯕ꯭ꯔꯥ? ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ ꯊꯣꯀꯄꯥ ꯌꯥꯕ꯭ꯔꯥ?
ꯃꯁꯤ ꯇꯥꯕꯗꯥ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯐꯥꯎꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯅꯣꯔꯃꯦꯂꯅꯤ꯫ ꯄꯤ ꯑꯥꯔ ꯑꯦꯁ ꯑꯁꯤ ꯃꯌꯥꯏꯗꯒꯤ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ . ꯃꯌꯥꯏ ꯑꯣꯏꯕꯥ ꯊꯥꯛ ꯑꯃꯗꯥ, ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯈꯨꯗꯣꯡꯆꯥꯗꯕꯥ ꯑꯃꯅꯤ꯫
ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯁꯥꯊꯤꯕꯥ PRS ꯂꯩꯔꯕꯗꯤ, ꯑꯦꯌꯔꯋꯦ (airway) ꯑꯗꯨ ꯃꯈꯥ ꯇꯥꯅꯥ ꯊꯤꯡꯖꯤꯅꯕꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯄꯨꯟꯁꯤꯗꯥ ꯈꯨꯗꯣꯡꯊꯤꯅꯤꯉꯥꯏ ꯑꯣꯏꯕꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫
- ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯒꯤ ꯑꯋꯥꯕꯥ (respiratory distress): ꯑꯦꯌꯔꯋꯦ (ꯁ꯭ꯕꯔ ꯍꯣꯟꯅꯕꯥ ꯎꯇꯣꯡ) ꯃꯄꯨꯡꯐꯥꯅꯥ ꯕ꯭ꯂꯣꯛ ꯇꯧꯕꯥ꯫
- ꯕ꯭ꯂꯗ ꯑꯣꯛꯁꯤꯖꯦꯅꯒꯤ ꯆꯥꯡ ꯅꯦꯝꯕꯥ (Hypoxemia): ꯍꯀꯆꯥꯡꯗꯥ ꯑꯣꯛꯁꯤꯖꯦꯟ ꯃꯔꯥꯡ ꯀꯥꯌꯅꯥ ꯐꯪꯗꯕꯥ꯫
- ꯄꯂꯃꯣꯅꯥꯔꯤ ꯍꯥꯏꯄꯔꯇꯦꯟꯁꯟ: ꯍꯥꯔꯇꯇꯒꯤ ꯂꯪꯁꯇꯥ ꯏ ꯄꯨꯕꯥ ꯚꯦꯁꯦꯂꯁꯤꯡꯗꯥ ꯄ꯭ꯔꯦꯁꯔ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ꯫
- ꯀꯟꯖꯦꯁ꯭ꯇꯤꯚ ꯍꯥꯔꯠ ꯐꯦꯜ ꯑꯣꯏꯕꯥ (congestive heart failure): ꯍꯥꯔꯇꯀꯤ ꯐꯉ꯭ꯀꯁꯟ ꯑꯗꯨ ꯁꯣꯀꯍꯜꯂꯀꯄꯥ ꯌꯥꯕꯥ ꯁ꯭ꯠꯔꯦꯁ ꯑꯗꯨꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯁꯣꯀꯍꯜꯂꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫
ꯑꯗꯨꯕꯨ ꯋꯥꯐꯃꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯑꯀꯤꯕꯥ ꯂꯩꯔꯣꯏꯗꯕꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯗꯥ ꯁꯥꯊꯤꯕꯥ PRS ꯂꯩꯔꯕꯗꯤ, ꯗꯣꯛꯇꯔꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯂꯒꯤ ꯁ꯭ꯇꯥꯐꯁꯤꯡꯅꯥ ꯃꯍꯥꯀꯄꯨ ꯌꯥꯝꯅꯥ ꯀꯨꯞꯅꯥ ꯌꯦꯡꯁꯤꯅꯒꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯟ ꯑꯃꯥ ꯍꯦꯛꯇꯥ ꯊꯣꯛꯂꯕꯗꯤ ꯃꯈꯣꯌꯅꯥ ꯌꯥꯔꯤꯕꯃꯈꯩ ꯊꯨꯅꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯂꯥꯏꯌꯦꯡ ꯍꯧꯅꯕꯥ ꯁꯦꯝ-ꯁꯥꯗꯨꯅꯥ ꯂꯩꯒꯅꯤ꯫
ꯗꯣꯛꯇꯔꯅꯥ ꯃꯁꯤ ꯃꯇꯧ ꯀꯔꯝꯅꯥ ꯇꯁꯦꯡꯅꯥ ꯈꯉꯕꯒꯦ?
ꯑꯌꯥꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯑꯉꯥꯡ ꯄꯣꯀꯄꯥ ꯃꯇꯨꯡꯗꯥ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯂꯗꯥ ꯔꯨꯇꯤꯟ ꯆꯦꯀꯑꯞ ꯇꯧꯕꯥ ꯃꯇꯃꯗꯥ ꯄꯦꯗꯤꯑꯦꯠꯔꯤꯛ ꯑꯃꯅꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯈꯪꯗꯣꯀꯄꯥ ꯉꯝꯃꯤ꯫
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯉꯥꯡ ꯑꯗꯨꯗꯥ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯥ ꯂꯩꯔꯕꯗꯤ, ꯃꯗꯨ ꯄꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯎꯕꯥ ꯐꯪꯗꯕꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯉꯥꯡ ꯑꯗꯨꯅꯥ ꯑꯔꯨꯝꯕꯥ ꯍꯦꯅꯒꯠꯂꯛꯠꯔꯕꯗꯤ ꯅꯠꯠꯔꯒꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯗꯥ ꯑꯆꯝꯕꯥ ꯈꯣꯟꯖꯦꯜ ꯊꯣꯀꯄꯥ ꯇꯥꯔꯕꯗꯤ ꯗꯣꯛꯇꯔ ꯑꯗꯨꯅꯥ ꯆꯤꯡꯅꯕꯥ ꯂꯩꯕꯥ ꯌꯥꯏ꯫
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯆꯤꯡꯅꯕꯥ ꯂꯩꯔꯕꯗꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯑꯁꯤ ꯄꯥꯡꯊꯣꯀꯄꯥ ꯌꯥꯏ:
- ꯃꯄꯨꯡꯐꯥꯕꯥ ꯍꯀꯆꯥꯡꯒꯤ ꯑꯦꯀꯖꯥꯃꯤꯅꯦꯁꯟ ꯑꯃꯥ: ꯃꯐꯃꯁꯤꯗꯥ, ꯑꯩꯈꯣꯌꯅꯥ ꯋꯥꯔꯤ ꯁꯥꯈꯤꯕꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯂꯥꯏꯑꯣꯡ ꯑꯍꯨꯝ (ꯑꯄꯤꯀꯄꯥ ꯆꯤꯟꯖꯥꯛ, ꯂꯦꯡ-ꯑꯣꯠꯄꯒꯤ ꯃꯑꯣꯡ-ꯃꯇꯧ, ꯂꯦꯡ-ꯑꯣꯠꯄꯒꯤ ꯃꯑꯣꯡ) ꯑꯁꯤ ꯆꯦꯀꯁꯤꯟꯅꯥ ꯌꯦꯡꯁꯤꯜꯂꯤ꯫
- ꯁꯤ.ꯇꯤ.ꯁ꯭ꯀꯦꯟ (ꯀꯝꯞꯌꯨꯇꯦꯗ ꯇꯣꯃꯣꯒ꯭ꯔꯥꯐꯤ ꯁ꯭ꯀꯦꯟ) : ꯃꯁꯤꯅꯥ ꯑꯉꯥꯡ ꯑꯗꯨꯒꯤ ꯃꯃꯥꯌꯒꯤ ꯁꯔꯨ ꯇꯥꯡꯁꯤꯡꯒꯤ ꯁ꯭ꯠꯔꯀꯆꯔ ꯑꯃꯁꯨꯡ ꯄꯣꯖꯤꯁꯟ ꯑꯗꯨ ꯃꯌꯦꯛ ꯁꯦꯡꯅꯥ ꯎꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫
- ꯁ꯭ꯂꯤꯞ ꯁ꯭ꯇꯗꯤ: ꯇꯦꯁ꯭ꯠ ꯑꯁꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯗꯥ ꯑꯣꯕꯁ꯭ꯠꯔꯀꯆꯔ ꯁ꯭ꯂꯤꯞ ꯑꯦꯄꯅꯤꯌꯥ (OSA) ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯈꯪꯗꯣꯛꯅꯕꯥ ꯇꯧꯏ, ꯃꯁꯤ ꯇꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯂꯦꯄꯈꯤꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ, ꯃꯁꯤꯅꯥ ꯇꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯂꯦꯄꯈꯤꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫
ꯃꯁꯤꯒꯤ ꯂꯥꯏꯌꯦꯡꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯤꯅꯣ?
ꯂꯥꯏꯌꯦꯡ ꯑꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯗꯨꯒꯤ ꯃꯈꯥ ꯄꯣꯜꯂꯤ꯫
ꯃꯥꯏꯜꯗ ꯄꯤ.ꯑꯥꯔ.ꯑꯦꯁ
ꯑꯉꯥꯡ ꯈꯔꯒꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯑꯁꯨꯛ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯑꯣꯏꯗꯦ꯫ ꯃꯈꯣꯌꯅꯥ ꯆꯍꯤ ꯌꯥꯃꯈꯠꯂꯀꯄꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯃꯈꯣꯌꯒꯤ ꯃꯈꯥ ꯊꯪꯕꯥ ꯁꯔꯨꯛ ꯑꯗꯨꯁꯨ ꯍꯦꯅꯒꯠꯂꯀꯏ꯫ ꯃꯈꯥ ꯊꯪꯕꯥ ꯁꯔꯨꯛꯇꯥ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯖꯤꯕ ꯑꯗꯨꯅꯥ ꯂꯦꯡ-ꯑꯣꯠꯄꯒꯤ ꯃꯐꯝ ꯑꯃꯥ ꯂꯩ, ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯃꯗꯨ ꯁꯨꯞꯅꯒꯤ ꯀꯣꯛꯇꯥ ꯆꯦꯟꯊꯈꯤꯕꯥ ꯂꯦꯄꯈꯤ꯫ ꯑꯗꯨꯗꯒꯤ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯗꯥ ꯈꯨꯗꯣꯡꯆꯥꯗꯕꯥ ꯑꯗꯨꯁꯨ ꯃꯥꯡꯈꯤ꯫ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯑꯉꯥꯡꯁꯤꯡ ꯑꯁꯤ ꯁꯔꯖꯔꯤ ꯑꯃꯠꯇꯥ ꯃꯊꯧ ꯇꯥꯗꯕꯥ ꯌꯥꯏ꯫
ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯄꯥꯎꯇꯥꯛ ꯄꯤꯔꯤ:
- ꯑꯉꯥꯡ ꯑꯗꯨ ꯇꯨꯝꯕꯥ ꯌꯥꯕꯒꯤ ꯃꯑꯣꯡ: ꯑꯉꯥꯡ ꯑꯗꯨꯒꯤ ꯃꯀꯣꯛ ꯑꯗꯨ ꯅꯥꯀꯜ ꯑꯃꯗꯥ ꯊꯝꯃꯨ ꯑꯃꯁꯨꯡ ꯃꯗꯨ ꯇꯨꯝꯕꯥ ꯌꯥꯅꯕꯥ ꯃꯍꯥꯛꯀꯤ ꯃꯀꯣꯀꯊꯣꯡꯕꯗꯥ ꯊꯝꯃꯨ꯫ ꯃꯁꯤꯅꯥ ꯒ꯭ꯔꯦꯚꯤꯇꯤꯅꯥ ꯖꯤꯕ ꯑꯗꯨ ꯃꯥꯡꯂꯣꯃꯗꯥ ꯄꯨꯈꯠꯄꯥ ꯌꯥꯍꯜꯂꯤ, ꯃꯗꯨꯅꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯅꯕꯒꯤꯗꯃꯛ ꯑꯦꯌꯔꯋꯦ (airway) ꯍꯥꯡꯗꯣꯀꯏ꯫ ꯗꯣꯛꯇꯔꯒꯤ ꯄꯥꯎꯇꯥꯛ ꯌꯥꯎꯗꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨ ꯀꯩꯗꯧꯉꯩꯗꯥ ꯄꯣꯖꯤꯁꯟ ꯑꯁꯤꯗꯥ ꯇꯨꯃꯍꯜꯂꯣꯏꯗꯕꯅꯤ꯫
- ꯑꯈꯟꯅꯕꯥ ꯈꯣꯝꯂꯥꯡ ꯄꯤꯊꯀꯄꯒꯤ ꯃꯑꯣꯡ-ꯃꯇꯧꯁꯤꯡ: ꯑꯈꯟꯅꯕꯥ ꯀꯄꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯕꯣꯇꯂꯁꯤꯡ ꯁꯤꯖꯤꯟꯅꯅꯕꯥ, ꯑꯃꯁꯨꯡ ꯑꯉꯥꯡ ꯑꯗꯨꯕꯨ ꯂꯦꯡ-ꯑꯣꯠꯄꯒꯤ ꯃꯑꯣꯡ ꯑꯃꯗꯥ ꯄꯤꯖꯅꯕꯥ ꯄꯥꯎꯇꯥꯛ ꯄꯤꯔꯤ꯫
ꯁꯥꯊꯤꯕꯥ ꯄꯤ.ꯑꯥꯔ.ꯑꯦꯁ
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯉꯥꯡ ꯑꯗꯨꯅꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯗꯥ ꯌꯥꯝꯅꯥ ꯋꯥꯅꯥ ꯊꯣꯛꯂꯕꯗꯤ ꯑꯃꯁꯨꯡ ꯈꯣꯝꯂꯥꯡ ꯄꯤꯊꯀꯄꯥ ꯉꯃꯗ꯭ꯔꯕꯗꯤ ꯁꯔꯖꯔꯤ ꯇꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯏ꯫
- ꯃꯦꯟꯗꯤꯕꯨꯂꯔ ꯗꯤꯁ꯭ꯠꯔꯤꯛꯁꯟ ꯑꯣꯁ꯭ꯇꯤꯑꯣꯖꯦꯅꯦꯁꯤꯁ: ꯃꯁꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯁꯔꯖꯔꯤꯅꯤ꯫ ꯄ꯭ꯔꯣꯁꯤꯗ꯭ꯌꯨꯑꯣꯔ ꯑꯁꯤꯗꯥ ꯁꯔꯖꯔꯤꯅꯥ ꯑꯉꯥꯡ ꯑꯗꯨꯒꯤ ꯃꯈꯥ ꯊꯪꯕꯥ ꯁꯔꯨꯛꯇꯥ (lower jaw bone) ꯑꯅꯤ ꯊꯣꯛꯅꯥ ꯈꯥꯌꯗꯣꯀꯏ ꯑꯃꯁꯨꯡ ꯃꯈꯣꯌꯒꯤ ꯃꯔꯛꯇꯥ ꯑꯄꯤꯀꯄꯥ ꯈꯨꯠꯂꯥꯏ ꯑꯃꯥ ꯊꯥꯏ꯫ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯅꯨꯃꯤꯠ ꯈꯔꯅꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯗꯤꯚꯥꯏꯁ ꯑꯗꯨ ꯑꯣꯟꯊꯣꯛꯇꯨꯅꯥ ꯁꯔꯨꯒꯤ ꯁꯔꯨꯛ ꯑꯅꯤꯗꯨ ꯇꯣꯈꯥꯌꯅꯥ ꯊꯃꯖꯤꯜꯂꯤ꯫ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯃꯈꯣꯌꯒꯤ ꯃꯔꯛꯇꯥ ꯂꯩꯔꯤꯕꯥ ꯑꯔꯥꯞꯄꯥ ꯑꯗꯨ ꯑꯅꯧꯕꯥ ꯁꯔꯨ ꯑꯃꯅꯥ ꯃꯄꯨꯡ ꯐꯥꯍꯜꯂꯤ꯫ ꯃꯁꯤꯒꯤ ꯃꯑꯣꯡ ꯑꯁꯤꯅꯥ ꯃꯈꯥ ꯊꯪꯕꯥ ꯁꯔꯨꯛ ꯑꯗꯨ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯋꯥꯡꯈꯠꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯈꯣꯡ ꯑꯗꯨ ꯂꯦꯡꯗꯅꯥ ꯂꯩꯔꯀꯄꯒꯥ ꯂꯣꯌꯅꯅꯥ, ꯖꯤꯕ ꯑꯗꯨ ꯃꯃꯥꯡꯂꯣꯃꯗꯥ ꯂꯥꯀꯏ, ꯃꯗꯨꯅꯥ ꯑꯦꯌꯔꯋꯦ (airway) ꯑꯗꯨ ꯍꯥꯡꯗꯣꯀꯏ꯫
- ꯇ꯭ꯔꯦꯀꯤꯑꯣꯁ꯭ꯇꯣꯃꯤ (tracheostomy): ꯀꯔꯤꯒꯨꯝꯕꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯗꯥ ꯈꯨꯗꯣꯡꯆꯥꯗꯕꯥ ꯌꯥꯝꯅꯥ ꯂꯩꯔꯕꯗꯤ, ꯈꯣꯡꯒꯤ ꯃꯃꯥꯡꯗꯥ ꯑꯄꯤꯀꯄꯥ ꯍꯨꯔꯥꯅꯕꯥ ꯑꯃꯥ ꯁꯦꯃꯗꯨꯅꯥ, ꯑꯉꯥꯡ ꯑꯗꯨꯕꯨ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯅꯕꯥ ꯅꯨꯡꯁꯤꯠꯀꯤ ꯈꯣꯡꯖꯦꯂꯗꯥ ꯍꯀꯊꯦꯡꯅꯅꯥ ꯇꯤꯎꯕ ꯑꯃꯥ ꯊꯥꯏ꯫ ꯃꯁꯤ ꯑꯦꯃꯔꯖꯦꯟꯁꯤ ꯑꯃꯗꯥ ꯑꯉꯥꯡ ꯑꯗꯨꯒꯤ ꯄꯨꯟꯁꯤ ꯀꯅꯕꯥ ꯉꯝꯅꯕꯥ ꯇꯧꯏ꯫
- ꯖꯤꯕ-ꯂꯤꯞ ꯑꯦꯗꯖꯦꯁꯟ: ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯊꯧꯑꯣꯡ ꯑꯃꯅꯤ꯫ ꯄ꯭ꯔꯣꯁꯤꯗ꯭ꯌꯨꯑꯣꯔ ꯑꯁꯤꯗꯥ, ꯂꯦꯡ-ꯑꯣꯠꯄꯒꯤ ꯃꯀꯣꯛ ꯑꯗꯨ ꯃꯇꯝ ꯈꯔꯒꯤ ꯑꯣꯏꯅꯥ ꯃꯈꯥꯒꯤ ꯂꯤꯞ ꯑꯗꯨꯗꯥ ꯁꯨꯡꯗꯣꯛꯇꯨꯅꯥ ꯊꯝꯃꯤ꯫ ꯃꯁꯤꯅꯥ ꯖꯤꯕ ꯑꯗꯨ ꯀꯣꯛꯇꯥ ꯆꯦꯟꯊꯔꯀꯄꯥ ꯊꯤꯡꯏ꯫ ꯃꯇꯨꯡ ꯇꯥꯔꯀꯄꯗꯥ, ꯑꯉꯥꯡ ꯑꯗꯨꯒꯤ ꯃꯈꯣꯡ ꯑꯗꯨ ꯋꯥꯡꯈꯠꯂꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯁꯔꯨ ꯇꯥꯡꯁꯤꯡ ꯑꯗꯨ ꯀꯀꯊꯠꯇꯨꯅꯥ ꯂꯧꯊꯣꯀꯏ꯫
ꯃꯃꯥ-ꯃꯄꯥ ꯑꯃꯥ ꯑꯣꯏꯅꯥ ꯑꯩꯅꯥ ꯀꯔꯤ ꯇꯧꯒꯗꯒꯦ?
ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯗꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯂꯩꯔꯦ ꯍꯥꯌꯕꯥ ꯈꯪꯂꯕꯥ ꯃꯇꯃꯗꯥ, ꯅꯍꯥꯛꯅꯥ ꯈꯅꯒꯗꯕꯥ ꯋꯥꯐꯝ ꯀꯌꯥꯅꯥ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯐꯥꯎꯔꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯗꯨ ꯅꯣꯔꯃꯦꯂꯅꯤ꯫ ꯅꯍꯥꯛ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨ ꯃꯁꯥ ꯃꯊꯟꯇꯥ ꯂꯩꯖꯗꯦ ꯍꯥꯌꯕꯁꯤ ꯅꯤꯡꯁꯤꯡꯕꯤꯌꯨ꯫ ꯗꯣꯛꯇꯔꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯂꯒꯤ ꯁ꯭ꯇꯥꯐꯁꯤꯡꯅꯥ ꯑꯗꯣꯃꯒꯤ ꯃꯇꯦꯡ ꯄꯥꯡꯅꯕꯥ ꯃꯇꯝ ꯄꯨꯝꯅꯃꯛꯇꯥ ꯂꯩꯔꯤ꯫
ꯃꯈꯣꯌꯅꯥ ꯑꯗꯣꯃꯗꯥ ꯋꯥꯐꯃꯁꯤꯡ ꯑꯁꯤ ꯐꯣꯡꯗꯣꯛꯀꯅꯤ:
- ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯝꯅꯥ ꯃꯦꯅꯦꯖ ꯇꯧꯒꯗꯒꯦ: ꯅꯍꯥꯛꯅꯥ ꯁꯔꯖꯔꯤ ꯑꯃꯁꯨꯡ ꯑꯇꯩ ꯂꯥꯏꯌꯦꯡꯁꯤꯡ, ꯃꯈꯣꯌꯒꯤ ꯀꯥꯟꯅꯕꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯀꯥꯟꯅꯕꯁꯤꯡꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯈꯪꯍꯜꯂꯛꯀꯅꯤ, ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯒꯤꯗꯃꯛ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯥ ꯋꯥꯔꯦꯞ ꯂꯧꯕꯥ ꯉꯃꯒꯅꯤ꯫
- ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯕꯨ ꯌꯨꯃꯗꯥ ꯀꯔꯝꯅꯥ ꯌꯦꯡꯁꯤꯅꯕꯤꯒꯗꯒꯦ: ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯕꯨ ꯀꯔꯝꯅꯥ ꯇꯨꯃꯍꯅꯒꯗꯒꯦ, ꯃꯇꯧ ꯀꯔꯝꯅꯥ ꯈꯣꯝꯂꯥꯡ ꯄꯤꯊꯀꯒꯗꯒꯦ, ꯑꯦꯃꯔꯖꯦꯟꯁꯤ ꯑꯃꯥ ꯂꯥꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯀꯔꯤ ꯇꯧꯒꯗꯒꯦ, ꯑꯁꯤꯅꯆꯤꯡꯕꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯈꯪꯂꯃꯗ꯭ꯔꯕꯗꯤ ꯍꯟꯖꯤꯟ ꯍꯟꯖꯤꯟ ꯋꯥꯍꯪ ꯍꯪꯕꯗꯥ ꯂꯥꯡꯇꯛꯅꯒꯅꯨ꯫
- ꯁꯄꯣꯔꯠ ꯒ꯭ꯔꯨꯄꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯁꯔꯚꯤꯁꯁꯤꯡ: ꯅꯍꯥꯛꯅꯥ ꯃꯥꯟꯅꯕꯥ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯂꯩꯕꯥ ꯑꯉꯥꯡꯁꯤꯡꯒꯤ ꯑꯇꯩ ꯃꯃꯥ-ꯃꯄꯥꯁꯤꯡꯅꯥ ꯌꯥꯎꯕꯥ ꯌꯥꯕꯥ ꯁꯄꯣꯔꯠ ꯒ꯭ꯔꯨꯄꯁꯤꯡꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯏꯅꯐꯣꯔꯃꯦꯁꯟ ꯂꯧꯕꯥ ꯌꯥꯏ꯫ ꯅꯍꯥꯛꯅꯥ ꯌꯥꯔꯤꯕꯥ ꯑꯗꯨꯒꯥ ꯃꯥꯟꯅꯅꯥ ꯊꯦꯡꯅꯔꯀꯄꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯒꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯕꯅꯥ ꯑꯆꯧꯕꯥ ꯔꯤꯂꯤꯐ ꯑꯃꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫
ꯅꯍꯥꯛꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡꯒꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯋꯥꯍꯪꯁꯤꯡ ꯑꯁꯤ ꯍꯪꯒꯗꯕꯅꯤ:
- ꯑꯩꯒꯤ ꯑꯉꯥꯡꯒꯤ ꯐꯤꯚꯝ ꯑꯁꯤ ꯀꯌꯥ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯒꯦ?
- ꯃꯍꯥꯛꯀꯤ ꯄꯤ.ꯑꯥꯔ.ꯑꯦꯁ.ꯀꯤ ꯃꯊꯛꯇꯥ ꯑꯇꯣꯞꯄꯥ ꯃꯦꯗꯤꯀꯦꯜ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯠꯇꯥ ꯂꯩꯕꯔꯥ?
- ꯅꯍꯥꯛꯅꯥ ꯁꯔꯖꯔꯤ ꯇꯧꯅꯕꯥ ꯔꯤꯀꯃꯦꯟꯗ ꯇꯧꯕꯤꯒꯗ꯭ꯔꯥ? ꯀꯔꯤꯒꯤꯅꯣ?
ꯅꯤꯡꯁꯤꯡꯕꯤꯌꯨ, ꯃꯁꯤꯒꯤ ꯃꯄꯨꯡ ꯐꯥꯕꯥ ꯍꯤꯗꯥꯛ ꯑꯃꯠꯇꯥ ꯂꯩꯇꯦ, ꯃꯔꯃꯗꯤ ꯃꯁꯤ ꯏꯅꯍꯦꯔꯤꯇꯦꯗ ꯑꯣꯏꯕꯥ ꯄꯣꯠꯁꯛ ꯑꯃꯅꯤ꯫ ꯑꯗꯨꯕꯨ ꯃꯇꯤꯛ ꯆꯥꯅꯥ ꯂꯥꯏꯌꯦꯡꯕꯅꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯗꯨ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯥ ꯉꯝꯃꯤ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯅꯥ ꯑꯇꯩ ꯑꯉꯥꯡꯁꯤꯡꯒꯨꯝꯅꯥ ꯍꯀꯁꯦꯜ ꯐꯕꯥ, ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯕꯥ ꯄꯨꯟꯁꯤ ꯑꯃꯥ ꯍꯤꯡꯕꯥ ꯉꯝꯃꯤ꯫
ꯇꯦꯛ-ꯍꯣꯝ ꯃꯦꯁꯦꯖ ꯇꯧꯕꯥ꯫
- ꯄꯤꯌꯔ ꯔꯣꯕꯤꯟ ꯁꯤꯟꯗ꯭ꯔꯣꯝ (PRS) ꯍꯥꯌꯕꯁꯤ ꯑꯉꯥꯡ ꯑꯃꯒꯤ ꯃꯈꯥ ꯊꯪꯕꯥ ꯁꯔꯨꯛꯇꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯕꯥ ꯄꯣꯀꯄꯒꯤ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯑꯃꯅꯤ꯫ ꯃꯁꯤꯅꯥ ꯖꯤꯕ ꯑꯗꯨ ꯀꯣꯛꯇꯥ ꯆꯦꯟꯊꯈꯤꯗꯨꯅꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯈꯣꯝꯂꯥꯡ ꯄꯤꯊꯀꯄꯗꯥ ꯑꯋꯥꯕꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫
- ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯇꯣꯏꯅꯥ ꯊꯣꯀꯄꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ ꯑꯃꯁꯨꯡ ꯑꯌꯥꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯑꯉꯥꯡ ꯑꯗꯨ ꯄꯣꯀꯄꯥ ꯃꯇꯨꯡꯗꯥ ꯊꯨꯅꯥ ꯈꯪꯗꯣꯀꯏ꯫
- ꯂꯥꯏꯌꯦꯡ ꯑꯁꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯗꯨꯒꯤ ꯁꯥꯊꯤꯕꯒꯤ ꯃꯈꯥ ꯄꯣꯜꯂꯤ꯫ ꯑꯉꯥꯡ ꯈꯔꯗꯤ ꯆꯍꯤ ꯌꯥꯃꯈꯠꯂꯀꯄꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯐꯒꯠꯂꯀꯏ, ꯑꯗꯨꯕꯨ ꯁꯥꯊꯤꯕꯥ ꯀꯦꯁꯁꯤꯡꯗꯗꯤ ꯁꯔꯖꯔꯤ ꯇꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯏ꯫
- ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯇꯥꯕꯥ ꯃꯇꯃꯗꯥ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯐꯥꯎꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯅꯣꯔꯃꯦꯂꯅꯤ꯫ ꯑꯗꯨꯕꯨ ꯃꯇꯤꯛ ꯆꯥꯕꯥ ꯃꯦꯗꯤꯀꯦꯜ ꯇ꯭ꯔꯤꯠꯃꯦꯟꯇ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯀꯦꯌꯔꯒꯥ ꯂꯣꯌꯅꯅꯥ, ꯑꯉꯥꯡ ꯑꯌꯥꯝꯕꯅꯥ ꯅꯣꯔꯃꯦꯜ, ꯍꯀꯁꯦꯜ ꯐꯕꯥ ꯄꯨꯟꯁꯤ ꯑꯃꯥ ꯍꯤꯡꯏ꯫
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯆꯤꯡꯅꯕꯥ ꯂꯩꯔꯕꯗꯤ, ꯀꯩꯗꯧꯉꯩꯗꯥ ꯋꯥꯍꯪ ꯍꯪꯕꯗꯥ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯂꯩꯔꯣꯏꯗꯕꯅꯤ꯫ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔ ꯑꯃꯁꯨꯡ ꯃꯦꯗꯤꯀꯦꯜ ꯇꯤꯃꯅꯥ ꯃꯇꯝ ꯄꯨꯝꯅꯃꯛꯇꯥ ꯅꯍꯥꯀꯄꯨ ꯃꯇꯦꯡ ꯄꯥꯡꯅꯕꯥ ꯁꯦꯝ ꯁꯥꯗꯨꯅꯥ ꯂꯩ꯫
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