ꯑꯉꯥꯡ ꯄꯣꯛꯂꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯅꯍꯥꯀꯁꯨ ꯏ ꯌꯥꯝꯅꯥ ꯊꯣꯀꯈꯤꯕ꯭ꯔꯥ? ꯄꯣꯁ꯭ꯇꯄꯥꯔꯇꯝ ꯍꯦꯃꯣꯔꯦꯖ (PPH)ꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯁꯤ꯫

ꯑꯉꯥꯡ ꯄꯣꯛꯂꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯏ ꯈꯔꯥ ꯊꯣꯀꯄꯥ ꯍꯥꯌꯕꯁꯤ ꯅꯣꯔꯃꯦꯂꯅꯤ꯫ ꯑꯗꯨꯕꯨ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯈꯜꯂꯝꯕꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯏ ꯊꯣꯀꯄꯥ ꯇꯥꯔꯕꯗꯤ ꯀꯔꯤ ꯇꯧꯒꯅꯤ? ꯃꯁꯤ ꯇꯁꯦꯡꯅꯥ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯑꯃꯁꯨꯡ ꯈꯨꯗꯣꯡꯊꯤꯅꯤꯉꯥꯏ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯄꯣꯁ꯭ꯇꯄꯥꯔꯇꯝ ꯍꯦꯃꯣꯔꯦꯖ (PPH) ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ ꯃꯁꯤ ꯖꯣꯛ ꯅꯠꯇꯦ, ꯃꯁꯤ ꯈꯨꯗꯛꯇꯥ ꯃꯦꯗꯤꯀꯦꯜ ꯑꯦꯇꯦꯟꯁꯟ ꯃꯊꯧ ꯇꯥꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫

ꯄꯣꯁ꯭ꯇꯄꯥꯔꯇꯝ ꯍꯦꯃꯣꯔꯦꯖ (PPH) ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ? ꯇꯁꯦꯡꯅꯥ ꯈꯉꯂꯁꯤ?

ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯄꯣꯁ꯭ꯇꯄꯥꯔꯇꯝ ꯍꯦꯃꯣꯔꯦꯖ (PPH) ꯍꯥꯌꯕꯁꯤ ꯑꯉꯥꯡ ꯄꯣꯀꯄꯥ ꯃꯇꯨꯡꯗꯥ ꯌꯥꯝꯅꯥ ꯋꯥꯅꯥ ꯏ ꯊꯣꯀꯄꯥ ꯍꯥꯌꯕꯁꯤꯅꯤ꯫ ꯃꯁꯤ ꯃꯍꯧꯁꯥꯅꯥ ꯄꯣꯀꯄꯥ ꯃꯇꯨꯡ ꯄꯨꯡ 24ꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯊꯣꯀꯏ꯫ ꯑꯩꯈꯣꯌꯅꯥ ꯃꯁꯤꯕꯨ ‘ꯄ꯭ꯔꯥꯏꯃꯥꯔꯤ ꯄꯤ.ꯄꯤ.ꯑꯩꯆ.’ ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ ꯑꯗꯨꯕꯨ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯑꯉꯥꯡ ꯄꯣꯀꯄꯥ ꯃꯇꯨꯡ ꯅꯨꯃꯤꯠ ꯈꯔꯅꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ, ꯅꯨꯃꯤꯠ ꯈꯔꯅꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯅꯠꯠꯔꯒꯥ ꯅꯨꯃꯤꯠ 12ꯅꯤ ꯐꯥꯎꯕꯥ ꯏ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯕꯨ ‘ꯁꯦꯀꯦꯟꯗꯔꯤ ꯅꯠꯔꯒꯥ ꯂꯦꯠ ꯄꯤ.ꯄꯤ.ꯑꯩꯆ.’ ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫

ꯃꯁꯤꯗꯥ ꯀꯔꯤ ꯊꯣꯛꯂꯤꯕꯅꯣ ꯍꯥꯌꯕꯁꯤꯗꯤ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡꯗꯒꯤ ꯏ ꯀꯌꯥ ꯑꯃꯥ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯃꯥꯡꯈꯤꯕꯁꯤꯅꯤ꯫ ꯃꯁꯤ ꯊꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯅꯍꯥꯛꯀꯤ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ ꯑꯗꯨ ꯈꯪꯍꯧꯗꯅꯥ ꯍꯟꯊꯔꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯀꯔꯤ ꯑꯣꯏꯒꯅꯤ? ꯍꯥꯔꯠ, ꯕ꯭ꯔꯦꯟ ꯑꯃꯁꯨꯡ ꯑꯇꯩ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯑꯣꯔꯒꯥꯅꯁꯤꯡꯗꯥ ꯆꯠꯂꯤꯕꯥ ꯏꯒꯤ ꯆꯥꯡ ꯍꯟꯊꯔꯀꯏ꯫ ꯃꯁꯤꯕꯨ ꯍꯥꯏꯄꯣꯚꯣꯂꯦꯃꯤꯛ ꯁꯣꯛ ꯍꯥꯌꯅꯥ ꯀꯧꯏ . ꯃꯁꯤꯅꯥ ꯄꯨꯟꯁꯤꯗꯥ ꯈꯨꯗꯣꯡꯊꯤꯕꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯗꯣꯛꯇꯔ ꯑꯃꯁꯨꯡ ꯅꯔꯁꯁꯤꯡꯅꯥ ꯏ ꯊꯣꯀꯄꯥ ꯑꯁꯤ ꯊꯨꯅꯥ ꯊꯤꯡꯕꯥ ꯃꯊꯧ ꯇꯥꯏ꯫

ꯅꯤꯡꯁꯤꯡꯕꯤꯌꯨ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯉꯥꯡ ꯑꯃꯥ ꯄꯣꯛꯂꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯏ ꯌꯥꯝꯅꯥ ꯊꯣꯀꯄꯥ ꯐꯥꯎꯔꯕꯗꯤ, ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯑꯃꯅꯤ꯫ ꯑꯗꯨꯕꯨ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯗꯤ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯍꯥꯌꯕꯁꯤꯅꯤ, ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔ ꯅꯠꯠꯔꯒꯥ ꯃꯤꯗꯋꯥꯏꯐꯇꯥ ꯈꯨꯗꯛꯇꯥ ꯈꯪꯍꯅꯕꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯇꯣꯏꯅꯥ ꯈꯪꯗꯣꯛꯂꯕꯥ ꯑꯃꯁꯨꯡ ꯊꯨꯅꯥ ꯂꯥꯏꯌꯦꯡꯂꯕꯗꯤ, ꯑꯌꯥꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯐꯒꯠꯂꯀꯄꯥ ꯌꯥꯏ꯫

ꯄꯤ.ꯄꯤ.ꯑꯩꯆ.ꯅꯥ ꯏ ꯀꯌꯥ ꯊꯣꯀꯍꯅꯕꯒꯦ?

ꯑꯌꯥꯝꯕ ꯃꯇꯝꯗ,

• ꯅꯍꯥꯛꯅꯥ ꯚꯦꯖꯤꯅꯦꯜ ꯗꯦꯂꯤꯚꯔꯤ ꯅꯠꯠꯔꯒꯥ ꯁꯤ-ꯁꯦꯛꯁꯟ ꯇꯧꯔꯕꯁꯨ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯏ ꯂꯤꯇꯔ ꯑꯃꯗꯒꯤ ꯍꯦꯟꯅꯥ (1000ml) ꯃꯥꯡꯈꯤꯕꯥ ꯇꯥꯔꯕꯗꯤ,
• ꯅꯠꯠꯔꯒꯥ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯏ ꯃꯥꯡꯈꯤꯕꯥ ꯆꯥꯡ ꯑꯗꯨꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯥꯔꯠ ꯔꯦꯠ ꯑꯃꯁꯨꯡ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔꯗꯥ ꯃꯁꯛ ꯊꯣꯀꯄꯥ ꯑꯍꯣꯡꯕꯥ ꯑꯃꯥ ꯂꯩꯔꯕꯗꯤ, ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯅꯥ ꯏ ꯌꯥꯝꯅꯥ ꯊꯣꯀꯄꯒꯤ ꯈꯨꯗꯃꯁꯤꯡ ꯎꯕꯥ ꯐꯪꯂꯕꯗꯤ, ꯃꯁꯤ ꯄꯤ.ꯄꯤ.ꯑꯩꯆ.

ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯑꯉꯥꯡ 100ꯒꯤ ꯃꯅꯨꯡꯗꯥ 1 ꯑꯃꯁꯨꯡ 5ꯒꯤ ꯃꯔꯛꯇꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯗꯨ ꯱% ꯑꯃꯁꯨꯡ ꯵%ꯒꯤ ꯃꯔꯛꯇꯥ ꯂꯩ꯫ ꯑꯗꯨꯕꯨ ꯑꯊꯨꯕꯥ ꯃꯇꯃꯗꯥ ꯂꯥꯌꯦꯡꯕꯅꯥ ꯑꯌꯥꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯄꯨꯟꯁꯤꯗꯥ ꯈꯨꯗꯣꯡꯊꯤꯕꯥ ꯊꯣꯀꯍꯜꯂꯣꯏ꯫

ꯑꯩꯅꯥ PPH ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯀꯔꯝꯅꯥ ꯈꯪꯒꯅꯤ? ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?

ꯄꯤ.ꯄꯤ.ꯑꯩꯆ.ꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯂꯥꯏꯑꯣꯡꯗꯤ ꯑꯉꯥꯡ ꯄꯣꯀꯄꯥ ꯃꯇꯨꯡꯗꯥ ꯂꯦꯡ-ꯑꯣꯠꯄꯒꯤ ꯃꯑꯣꯡ-ꯃꯇꯧ ꯑꯗꯨ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯚꯦꯖꯦꯅꯥꯏꯜ ꯕ꯭ꯂꯤꯗꯤꯡ ꯑꯁꯤꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ , ꯒꯜꯐ ꯕꯣꯜ ꯑꯃꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯆꯥꯎꯕꯥ ꯏ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯁꯤ ꯑꯣꯏꯔꯕꯗꯤ, ꯃꯁꯤ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯑꯃꯒꯤ ꯈꯨꯗꯝ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫

ꯑꯇꯣꯞꯄꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡꯗꯤ:

• ꯂꯣ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ: ꯃꯤꯠ ꯎꯗꯕꯥ, ꯃꯤꯠ ꯎꯗꯕꯥ, ꯑꯃꯁꯨꯡ ꯃꯁꯥ ꯃꯊꯟꯇꯥ ꯋꯥꯈꯜ ꯇꯥꯗꯕꯥ꯫
• ꯍꯥꯔꯠ ꯔꯦꯠ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ (Tachycardia)꯫
• ꯔꯦꯗ ꯕ꯭ꯂꯗ ꯁꯦꯜ ꯃꯁꯤꯡ ꯍꯟꯊꯔꯀꯄꯥ (ꯍꯦꯃꯥꯇꯣꯛꯔꯤꯠꯀꯤ ꯆꯥꯡ ꯍꯟꯊꯔꯀꯄꯥ)꯫
• ꯂꯦꯡ-ꯑꯣꯠꯄꯒꯤ ꯃꯑꯣꯡ (pale or clammy skin), ꯅꯍꯥꯛꯅꯥ ꯅꯣꯡꯖꯨ-ꯅꯨꯡꯁꯥ ꯈꯥꯛꯇꯅꯥ ꯊꯣꯛꯂꯀꯄꯒꯨꯝꯅꯥ ꯐꯥꯎꯕꯥ꯫
• ꯚꯦꯖꯦꯅꯥꯏꯜ ꯑꯦꯔꯤꯌꯥ ꯅꯠꯠꯔꯒꯥ ꯄꯦꯔꯤꯅꯦꯜ ꯑꯦꯔꯤꯌꯥꯗꯥ ꯑꯅꯥꯕꯥ ꯑꯃꯁꯨꯡ ꯁꯣꯀꯄꯥ꯫(ꯃꯁꯤ ꯚꯦꯅꯝ ꯑꯃꯒꯤ ꯃꯄꯥꯟꯗꯥ ꯏ ꯊꯥꯗꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯊꯣꯀꯏ)

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯉꯥꯡ ꯄꯣꯛꯂꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯑꯆꯝꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯍꯦꯛꯇꯕꯨ ꯊꯦꯡꯅꯔꯕꯗꯤ, ꯈꯨꯗꯛꯇꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯦꯂꯊꯀꯦꯌꯔ ꯄ꯭ꯔꯣꯚꯥꯏꯗꯔꯗꯥ ꯈꯪꯍꯅꯕꯤꯌꯨ . ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯅꯍꯥꯛꯅꯥ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯂꯗꯒꯤ ꯌꯨꯃꯗꯥ ꯆꯠꯈ꯭ꯔꯕꯁꯨ PPHꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯂꯦꯡꯗꯅꯥ ꯂꯩꯕꯥ ꯌꯥꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯁꯤ ꯑꯣꯏꯔꯕꯗꯤ, ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯐꯥꯎꯒꯅꯨ ꯑꯃꯁꯨꯡ ꯈꯨꯗꯛꯇꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯇꯥꯟꯅꯧ꯫

ꯀꯔꯤꯒꯤꯗꯃꯛꯇꯥ ꯄꯤ.ꯄꯤ.ꯑꯩꯆ. ꯃꯔꯃꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?

ꯄꯤ.ꯄꯤ.ꯑꯩꯆ.ꯒꯤ ꯃꯔꯝ ꯀꯌꯥ ꯂꯩ꯫

ꯅꯍꯥꯛꯅꯥ ꯈꯪꯏ, ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨ ꯃꯤꯔꯣꯜꯂꯤꯉꯩ ꯃꯇꯃꯗꯥ, ꯄ꯭ꯂꯥꯁꯦꯟꯇꯥ ꯑꯗꯨꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯏꯎꯇꯦꯔꯥꯁꯀꯤ ꯋꯥꯂꯗꯥ ꯆꯦꯟꯊꯈꯤꯗꯨꯅꯥ ꯑꯉꯥꯡ ꯑꯗꯨꯗꯥ ꯆꯥꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯑꯣꯛꯁꯤꯖꯦꯟ ꯄꯤ꯫ ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨ ꯄꯣꯀꯄꯥ ꯃꯇꯨꯡꯗꯥ, ꯅꯍꯥꯛꯀꯤ ꯏꯎꯇꯦꯔꯥꯁꯅꯥ ꯃꯈꯥ ꯇꯥꯅꯥ ꯀꯟꯠꯔꯦꯛꯇ ꯇꯧꯗꯨꯅꯥ ꯄ꯭ꯂꯥꯁꯦꯟꯇꯥ ꯑꯗꯨ ꯊꯥꯗꯣꯀꯏ꯫ ꯀꯟꯠꯔꯦꯛꯇꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯄ꯭ꯂꯥꯁꯦꯟꯇꯥꯗꯥ ꯆꯦꯟꯊꯈꯤꯕꯥ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯂꯁꯤꯡ ꯑꯗꯨ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯁꯣꯟꯊꯍꯜꯂꯤ ꯑꯃꯁꯨꯡ ꯏ ꯊꯣꯀꯄꯥ ꯊꯤꯡꯏ꯫ ꯑꯗꯨꯕꯨ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯀꯟꯠꯔꯦꯛꯇꯁꯤꯡ ꯑꯁꯤ ꯃꯄꯥꯉ꯭ꯒꯜ ꯀꯅꯈꯠꯂꯛꯠꯔꯕꯗꯤ , ꯏ ꯊꯣꯀꯄꯥ ꯂꯦꯄꯈꯤꯔꯣꯏ꯫ ꯃꯁꯤꯅꯥ ꯄꯤ.ꯄꯤ.ꯑꯩꯆ.ꯒꯤ ꯸꯰%ꯒꯤ ꯃꯔꯃꯅꯤ꯫

ꯃꯁꯤꯗꯁꯨ ꯅꯠꯇꯅꯥ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯄ꯭ꯂꯥꯁꯦꯟꯇꯥꯒꯤ ꯁꯔꯨꯀꯁꯤꯡ ꯑꯗꯨ ꯏꯎꯇꯦꯔꯥꯏꯟ ꯋꯥꯂꯗꯥ ꯂꯩꯔꯕꯗꯤ, ꯅꯠꯠꯔꯒꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯔꯤꯞꯔꯗꯛꯇꯤꯚ ꯁꯤꯁ꯭ꯇꯦꯃꯒꯤ ꯑꯣꯔꯒꯥꯅꯁꯤꯡ (ꯚꯦꯖꯤꯅꯥ, ꯁꯔꯚꯤꯛꯁ, ꯏꯎꯇꯦꯔꯥꯁ) ꯑꯗꯨ ꯄꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯁꯣꯀꯍꯜꯂꯕꯗꯤ PPH ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫

PPH ꯑꯁꯤ ꯑꯌꯥꯝꯕꯗꯤ ꯑꯉꯥꯡ ꯑꯗꯨ ꯄꯣꯀꯄꯥ ꯃꯇꯨꯡ ꯃꯤꯅꯠ 30 ꯑꯃꯁꯨꯡ 60ꯒꯤ ꯃꯔꯛꯇꯥ ꯊꯣꯀꯏ꯫

ꯄꯤ.ꯄꯤ.ꯑꯩꯆ.ꯗꯥ ꯁꯣꯀꯍꯜꯂꯤꯕꯥ "ꯐꯣꯔ ꯇꯤ"ꯁꯤꯡ꯫

ꯄꯤ.ꯄꯤ.ꯑꯩꯆ.ꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯔꯝ ꯃꯔꯤ ꯂꯩ, ꯃꯈꯣꯌꯕꯨ "ꯐꯣꯔ ꯇꯤꯁ" ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫

1. ꯇꯣꯟ (ꯏꯎꯇꯦꯔꯥꯁꯀꯤ ꯀꯟꯗꯤꯁꯟ - ꯏꯎꯇꯦꯔꯤꯟ ꯑꯦꯇꯣꯅꯤ): ꯃꯁꯤꯅꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯃꯔꯃꯅꯤ . ꯏꯎꯇꯦꯔꯥꯏꯟ ꯑꯦꯇꯣꯅꯤ ꯍꯥꯌꯕꯁꯤ ꯑꯉꯥꯡ ꯄꯣꯛꯂꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯏꯎꯇꯦꯔꯥꯁ ꯑꯗꯨ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯀꯟꯠꯔꯦꯛꯇ ꯇꯧꯗꯕꯥ, ꯑꯗꯨꯕꯨ ꯇꯔꯨ-ꯇꯅꯥꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯁꯣꯟꯊꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯑꯣꯏ꯫ ꯑꯗꯨꯗꯒꯤ ꯄ꯭ꯂꯥꯁꯦꯟꯇꯥ ꯑꯗꯨ ꯂꯩꯔꯝꯕꯥ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯂꯁꯤꯡ ꯑꯗꯨ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯁꯣꯟꯊꯔꯀꯏ, ꯑꯃꯁꯨꯡ ꯏ ꯊꯣꯀꯄꯥ ꯃꯈꯥ ꯆꯠꯊꯔꯤ꯫

2. ꯇ꯭ꯔꯥꯎꯃꯥ: ꯑꯉꯥꯡ ꯄꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯚꯦꯖꯤꯅꯦꯜ, ꯁꯔꯚꯤꯛꯁ, ꯏꯎꯇꯦꯔꯥꯁ ꯅꯠꯠꯔꯒꯥ ꯄꯦꯔꯤꯅꯤꯌꯃꯗꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯄꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯏ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯏ ꯑꯁꯤꯅꯥ ꯑꯁꯣꯀꯄꯥ ꯇꯤꯁꯨ ꯑꯗꯨꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯄꯨꯁꯤꯜꯂꯀꯄꯥ ꯌꯥꯏ ꯑꯃꯁꯨꯡ ꯄꯣꯀꯄꯥ ꯃꯇꯨꯡ ꯄꯨꯡ ꯀꯌꯥ ꯅꯠꯠꯔꯒꯥ ꯅꯨꯃꯤꯠ ꯀꯌꯥꯅꯤ ꯃꯈꯥ ꯇꯥꯅꯥ ꯏ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫

3. ꯇꯤꯁꯨ (Retained placental tissue): ꯀꯔꯤꯒꯨꯝꯕꯥ ꯄ꯭ꯂꯥꯁꯦꯟꯇꯥ ꯑꯗꯨ ꯏꯎꯇꯦꯔꯥꯏꯟ ꯋꯥꯂꯗꯒꯤ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯇꯣꯈꯥꯌꯅꯥ ꯂꯩꯠꯔꯕꯗꯤ, ꯂꯦꯃꯍꯧꯔꯤꯕꯥ ꯇꯤꯁꯨ ꯑꯗꯨꯅꯥ ꯏ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯁꯤ ꯄ꯭ꯂꯥꯁꯦꯟꯇꯥꯗꯥ ꯂꯩꯕꯥ ꯑꯦꯕꯅꯣꯔꯃꯦꯂꯤꯇꯤ ꯑꯃꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ, ꯅꯠꯠꯔꯒꯥ ꯃꯁꯤ ꯅꯣꯔꯃꯦꯜ ꯄ꯭ꯂꯥꯁꯦꯟꯇꯥ ꯑꯃꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫

4. ꯊ꯭ꯔꯣꯝꯕꯤꯟ (ꯏ ꯀꯀꯄꯒꯤ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ): ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯀꯣꯑꯦꯒꯨꯂꯦꯁꯟ ꯗꯤꯁꯑꯣꯔꯗꯔ ꯑꯃꯥ ꯂꯩꯔꯕꯗꯤ, ꯅꯠꯠꯔꯒꯥ ꯃꯤꯔꯣꯜꯂꯤꯉꯩ ꯃꯇꯃꯗꯥ ꯏ ꯊꯣꯀꯄꯒꯤ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯥ ꯂꯩꯔꯕꯗꯤ, ꯏ ꯊꯣꯀꯄꯥ ꯌꯥꯕꯒꯤ ꯆꯥꯡ ꯈꯔꯥ ꯐꯥꯎꯕꯗꯤ ꯑꯆꯧꯕꯥ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯑꯃꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫

ꯀꯅꯥꯅꯥ ꯄꯤ.ꯄꯤ.ꯑꯩꯆ.ꯒꯤ ꯔꯤꯁ꯭ꯛ ꯍꯦꯟꯅꯥ ꯂꯩꯔꯤꯕꯒꯦ?

ꯇꯁꯦꯡꯕꯗꯤ, ꯑꯉꯥꯡ ꯄꯣꯀꯄꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯍꯦꯛꯇꯗꯥ ꯄꯤ.ꯄꯤ.ꯑꯩꯆ. ꯄꯤ.ꯄꯤ.ꯑꯩꯆ.ꯒꯤ ꯔꯤꯁ꯭ꯛ ꯐꯦꯛꯇꯔ ꯀꯌꯥ ꯂꯩꯔꯕꯁꯨ, ꯄꯤ.ꯄꯤ.ꯑꯩꯆ.ꯒꯤ ꯀꯦꯁꯁꯤꯡꯒꯤ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯴꯰%ꯗꯤ ꯔꯤꯁ꯭ꯛ ꯐꯦꯛꯇꯔ ꯑꯃꯠꯇꯥ ꯌꯥꯑꯣꯗꯅꯥ ꯊꯣꯀꯏ . ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯄꯤ.ꯄꯤ.ꯑꯩꯆ. ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯑꯉꯥꯡ ꯄꯣꯛꯠꯔꯤꯉꯩ ꯃꯃꯥꯡꯗꯥ ꯔꯤꯁ꯭ꯛ ꯐꯦꯛꯇꯔꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯤꯅꯣ ꯍꯥꯌꯕꯁꯤ ꯈꯪꯕꯅꯥ ꯏ ꯌꯥꯝꯅꯥ ꯊꯣꯀꯍꯅꯕꯒꯤ ꯔꯤꯁ꯭ꯛ ꯍꯟꯊꯍꯅꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫

ꯄ꯭ꯂꯥꯁꯦꯟꯇꯦꯜ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ ꯂꯩꯕꯥ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯄ꯭ꯂꯥꯁꯦꯟꯇꯥꯒꯥ ꯃꯔꯤ ꯂꯩꯅꯕꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯍꯦꯛꯇꯕꯨ ꯂꯩꯔꯕꯗꯤ PPHꯒꯤ ꯔꯤꯁ꯭ꯛ ꯑꯁꯤ ꯍꯦꯟꯅꯥ ꯋꯥꯡꯏ:

• (ꯄ꯭ꯂꯥꯁꯦꯟꯇꯥ ꯄ꯭ꯔꯤꯚꯤꯌꯥ) ꯑꯃꯁꯨꯡ ꯑꯦꯟ.(ꯄ꯭ꯂꯥꯁꯦꯟꯇꯥ ꯑꯁꯤ ꯏꯎꯇꯦꯔꯥꯁꯇꯥ ꯍꯦꯟꯅꯥ ꯅꯦꯝꯅꯥ ꯂꯩ)
• (ꯄ꯭ꯂꯥꯁꯦꯟꯇꯦꯜ ꯑꯦꯕꯔꯨꯄꯁꯟ ) ꯑꯃꯁꯨꯡ ꯑꯦꯝ.
• (Placenta accreta) (ꯄ꯭ꯂꯥꯁꯦꯟꯇꯥ ꯑꯁꯤ ꯏꯎꯇꯦꯔꯥꯏꯅꯒꯤ ꯋꯥꯂꯗꯥ ꯆꯦꯠꯅꯥ ꯆꯦꯠꯅꯥ ꯆꯦꯅꯕꯥ)

ꯑꯉꯥꯡ ꯄꯣꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯂꯦꯕꯔꯒꯥ ꯃꯔꯤ ꯂꯩꯅꯕꯥ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯋꯥꯐꯃꯁꯤꯡ ꯑꯁꯤ ꯑꯉꯥꯡ ꯄꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯊꯣꯛꯂꯕꯗꯤ PPHꯒꯤ ꯔꯤꯁ꯭ꯛ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ ꯌꯥꯏ:

• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯖꯦꯅꯦꯔꯦꯜ ꯑꯦꯅꯥꯁ꯭ꯇꯦꯁꯤꯌꯥ ꯄꯤꯈ꯭ꯔꯕꯗꯤ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯏꯎꯇꯦꯔꯥꯏꯟ ꯀꯟꯠꯔꯦꯛꯇꯁꯤꯡ ꯊꯤꯡꯅꯕꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ (ꯇꯣꯀꯣꯂꯥꯏꯇꯤꯀꯁꯤꯡ) ꯄꯤꯈ꯭ꯔꯕꯗꯤ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯅꯥꯕꯥ ꯑꯗꯨ ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯂꯩꯔꯕꯗꯤ ꯅꯠꯠꯔꯒꯥ ꯏꯎꯇꯦꯔꯥꯏꯟ ꯀꯟꯠꯔꯦꯛꯇ ꯇꯧꯅꯕꯒꯤꯗꯃꯛ ꯁꯤꯖꯤꯟꯅꯔꯤꯕꯥ ꯍꯤꯗꯥꯛ (Oxytocin / Pitocin®) ꯑꯗꯨ ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯌꯥꯝꯅꯥ ꯄꯤꯖꯔꯕꯗꯤ꯫
• ꯑꯉꯥꯡ ꯑꯃꯥ ꯇꯣꯌꯅꯥ ꯄꯣꯀꯄꯥ (ꯂꯦꯕꯔ ꯍꯧꯔꯀꯄꯒꯤ ꯄꯨꯡ ꯑꯍꯨꯃꯗꯒꯤ ꯍꯦꯟꯅꯥ)꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯕꯥ ꯑꯉꯥꯡ ꯄꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯐꯣꯔꯁꯦꯁ ꯅꯠꯠꯔꯒꯥ ꯚꯦꯛꯌꯨꯝ ꯑꯃꯥ ꯁꯤꯖꯤꯟꯅꯔꯕꯗꯤ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯚꯦꯖꯤꯅꯦꯂꯗꯥ ꯑꯆꯧꯕꯥ ꯂꯦꯡ-ꯑꯣꯠꯄꯒꯤ ꯃꯑꯣꯡ ꯂꯩꯔꯕꯗꯤ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯉꯥꯡ ꯑꯗꯨ ꯁꯤꯖꯔꯤꯌꯥꯟ ꯁꯦꯛꯁꯅꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯄꯣꯀꯄꯥ ꯑꯣꯏꯔꯕꯗꯤ .

ꯑꯇꯣꯞꯄꯥ ꯍꯀꯁꯦꯂꯒꯤ ꯐꯤꯚꯃꯁꯤꯡ꯫

ꯑꯇꯣꯞꯄꯥ ꯍꯀꯁꯦꯂꯒꯤ ꯐꯤꯚꯃꯁꯤꯡꯅꯁꯨ ꯄꯤ.ꯄꯤ.ꯑꯩꯆ.ꯒꯤ ꯔꯤꯁ꯭ꯛ ꯍꯦꯅꯒꯠꯍꯅꯕꯥ ꯌꯥꯏ, ꯃꯈꯣꯌꯁꯤꯡ ꯑꯗꯨꯗꯤ:

• ꯏ ꯊꯣꯀꯄꯥ ꯂꯥꯌꯅꯥꯁꯤꯡ, ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ (ꯚꯣꯟ ꯋꯤꯂꯦꯕ꯭ꯔꯥꯟꯗ ꯂꯥꯌꯅꯥ) .
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯄ꯭ꯔꯤ-ꯑꯦꯛꯂꯥꯝꯄꯁꯤꯌꯥ ꯂꯥꯌꯦꯡꯅꯕꯥ ꯍꯤꯗꯥꯛ (ꯃꯦꯒ꯭ꯅꯦꯁꯤꯌꯝ ꯁꯂꯐꯦꯠ) ꯂꯧꯔꯕꯗꯤ .
• ꯕ꯭ꯂꯗ ꯀ꯭ꯂꯣꯇꯤꯡ ꯐꯦꯛꯇꯔꯁꯤꯡ ꯅꯠꯠꯔꯒꯥ ꯄ꯭ꯂꯦꯇꯂꯦꯇꯁꯤꯡꯗꯥ ꯁꯣꯀꯍꯜꯂꯤꯕꯥ ꯃꯤꯔꯣꯅꯕꯥ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ, ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ: (HELLP ꯁꯤꯟꯗ꯭ꯔꯣꯝ) , (ꯖꯦꯁ꯭ꯇꯦꯁꯅꯦꯜ ꯊ꯭ꯔꯣꯝꯕꯣꯁꯥꯏꯇꯣꯄꯦꯅꯤꯌꯥ) .
• ꯑꯦꯝꯅꯤꯑꯣꯇꯤꯛ ꯁꯦꯛ (ꯀꯣꯔꯤꯑꯣꯑꯦꯃꯅꯤꯑꯣꯅꯤꯇꯤꯁ)ꯒꯤ ꯏꯅꯐꯦꯛꯁꯟ ꯑꯃꯥ .
• ꯀꯥ ꯍꯦꯟꯅ ꯅꯣꯏꯕ.
• ꯑꯦꯗꯚꯥꯟꯁ ꯑꯣꯏꯕꯥ ꯃꯃꯥꯒꯤ ꯆꯍꯤ꯫

ꯃꯁꯤꯗꯁꯨ ꯅꯠꯇꯅꯥ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯏꯎꯇꯦꯔꯥꯁ ꯑꯗꯨ ꯍꯦꯟꯅꯥ ꯋꯥꯡꯈꯠꯂꯕꯗꯤ ꯄꯤ.ꯄꯤ.ꯑꯩꯆ. ꯃꯁꯤ ꯊꯣꯀꯄꯥ ꯌꯥꯏ:

• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯃꯥꯡꯗꯥ ꯄꯣꯀꯄꯥ ꯑꯉꯥꯡ ꯃꯉꯥ ꯅꯠꯠꯔꯒꯥ ꯃꯁꯤꯗꯒꯤ ꯍꯦꯅꯕꯥ ꯂꯩꯔꯕꯗꯤ꯫
• ꯃꯁꯤꯡ ꯌꯥꯝꯂꯕꯥ ꯄꯣꯀꯄꯗꯥ, ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ ꯇ꯭ꯔꯤꯅꯤꯇꯤ ꯑꯃꯁꯨꯡ ꯇ꯭ꯔꯤꯄꯜ ꯇꯂꯥꯛꯀꯤ ꯑꯉꯥꯡꯁꯤꯡꯗꯥ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯆꯧꯕꯥ ꯑꯉꯥꯡ ꯑꯃꯥ ꯂꯩꯔꯕꯗꯤ (ꯃꯦꯛꯔꯣꯁꯣꯃꯤꯌꯥ) .
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯦꯝꯅꯤꯑꯣꯇꯤꯛ ꯐ꯭ꯂꯨꯏꯗ (polyhydramnios) ꯌꯥꯝꯅꯥ ꯂꯩꯔꯕꯗꯤ .

ꯄꯤ.ꯄꯤ.ꯑꯩꯆ.ꯒꯤ ꯑꯣꯏꯊꯣꯀꯄꯥ ꯌꯥꯕꯥ ꯁꯥꯏꯗ ꯏꯐꯦꯛꯇꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?

ꯅꯍꯥꯛꯅꯥ ꯏ ꯌꯥꯝꯅꯥ ꯃꯥꯡꯈꯤꯕꯥ ꯃꯇꯃꯗꯥ, ꯅꯍꯥꯛꯅꯥ ꯍꯥꯔꯇꯀꯤ ꯔꯦꯠ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ, ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯒꯤ ꯆꯥꯡ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ, ꯑꯃꯁꯨꯡ ꯏꯒꯤ ꯁꯔꯛꯌꯨꯂꯦꯁꯟ ꯍꯟꯊꯔꯀꯄꯥ ꯑꯁꯤꯅꯆꯤꯡꯕꯥ ꯋꯥꯐꯃꯁꯤꯡ ꯊꯦꯡꯅꯔꯀꯄꯥ ꯌꯥꯏ꯫ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯂꯤꯚꯔ, ꯕ꯭ꯔꯦꯟ, ꯍꯥꯔꯠ, ꯑꯃꯁꯨꯡ ꯀꯤꯗꯅꯤꯒꯨꯝꯕꯥ ꯑꯣꯔꯒꯥꯅꯁꯤꯡꯗꯥ ꯏ ꯆꯦꯅꯕꯥ ꯍꯟꯊꯍꯅꯕꯥ ꯉꯝꯃꯤ, ꯃꯗꯨꯅꯥ ꯁꯣꯀꯍꯜꯂꯀꯄꯥ ꯌꯥꯏ . ꯁꯣꯛ ꯍꯥꯌꯕꯁꯤ ꯑꯣꯔꯒꯥꯅꯁꯤꯡꯅꯥ ꯏ ꯃꯔꯥꯡ ꯀꯥꯌꯅꯥ ꯐꯪꯗꯕꯥ ꯃꯇꯃꯗꯥ ꯑꯣꯏ꯫ ꯃꯁꯤꯅꯥ ꯑꯣꯔꯒꯥꯟ ꯐꯦꯜ ꯑꯣꯏꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯁꯤꯕꯥ ꯐꯥꯎꯕꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫

ꯁꯤꯖꯔꯤꯌꯥꯟ ꯁꯦꯛꯁꯟ (C-section)ꯒꯤ ꯃꯇꯨꯡꯗꯥ PPH ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯈꯪꯗꯣꯛꯀꯅꯤ?

ꯑꯌꯥꯝꯕꯥ ꯀꯦꯁꯁꯤꯡꯗꯗꯤ, ꯁꯤ-ꯁꯦꯛꯁꯟ ꯑꯃꯒꯤ ꯃꯇꯨꯡꯗꯥ PPHꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯅꯣꯔꯃꯦꯜ ꯗꯦꯂꯤꯚꯔꯤꯒꯤ ꯃꯇꯃꯒꯥ ꯃꯥꯟꯅꯩ꯫ ꯂꯥꯏꯑꯣꯡ ꯈꯔꯗꯤ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯁꯤꯡꯁꯤꯅꯤ:

• ꯍꯥꯔꯠ ꯔꯦꯠ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ꯫
• ꯀꯣꯜꯗ ꯈꯨꯠ ꯑꯃꯁꯨꯡ ꯈꯣꯡ, ꯀ꯭ꯂꯦꯝ ꯇꯧꯕꯥ꯫
• ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ꯫
• ꯈꯣꯡꯒꯤ ꯑꯇꯣꯞꯄꯥ ꯃꯐꯝ ꯑꯃꯗꯥ, ꯃꯔꯨꯑꯣꯏꯅꯥ ꯁꯔꯖꯤꯀꯦꯜ ꯑꯣꯏꯕꯥ ꯑꯁꯣꯀꯄꯥ ꯃꯐꯝ ꯑꯗꯨꯗꯥ ꯁꯣꯀꯄꯥ, ꯁꯣꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯁꯣꯀꯄꯥ꯫
• ꯚꯦꯖꯤꯅꯦꯜ ꯕ꯭ꯂꯤꯗꯤꯡ ꯑꯃꯁꯨꯡ ꯑꯆꯧꯕꯥ ꯕ꯭ꯂꯗ ꯀ꯭ꯂꯣꯇꯁꯤꯡ ꯄꯥꯁ ꯇꯧꯕꯥ꯫

ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯀꯔꯝꯅꯥ ꯄꯤ.ꯄꯤ.ꯑꯩꯆ.

ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯚꯤꯖꯨꯑꯦꯜ ꯑꯃꯁꯨꯡ ꯐꯤꯖꯤꯀꯦꯜ ꯑꯦꯀꯖꯥꯃꯤꯅꯦꯁꯅꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯄꯤ.ꯄꯤ.ꯑꯩꯆ. ꯄꯤ.ꯄꯤ.ꯑꯩꯆ.ꯒꯤ ꯔꯤꯁ꯭ꯛ ꯑꯃꯁꯨꯡ ꯏꯝꯄꯦꯛꯇ ꯑꯗꯨ ꯌꯦꯡꯁꯤꯟꯅꯕꯥ ꯂꯦꯕ ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯍꯦꯂꯊ ꯍꯤꯁ꯭ꯇꯔꯤ ꯑꯗꯨ ꯆꯦꯀꯁꯤꯟꯅꯥ ꯌꯦꯡꯁꯤꯅꯕꯁꯨ ꯃꯔꯨꯑꯣꯏ꯫

PPH ꯑꯁꯤ ꯃꯔꯨꯑꯣꯏꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯥꯡꯈꯤꯕꯥ ꯏꯒꯤ ꯆꯥꯡ ꯑꯗꯨꯅꯥ ꯈꯪꯗꯣꯀꯏ꯫ ꯃꯍꯧꯁꯥꯅꯥ ꯑꯉꯥꯡ ꯑꯗꯨ ꯄꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯏꯅꯥ ꯊꯜꯂꯕꯥ ꯄꯦꯗꯁꯤꯡ ꯅꯠꯠꯔꯒꯥ ꯁ꯭ꯄꯣꯟꯖꯁꯤꯡ ꯑꯗꯨ ꯂꯦꯄꯇꯨꯅꯥ ꯅꯠꯠꯔꯒꯥ ꯌꯦꯡꯗꯨꯅꯥ ꯏ ꯃꯥꯡꯈꯤꯕꯒꯤ ꯆꯥꯡ ꯑꯗꯨ ꯂꯦꯄꯊꯣꯀꯏ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ PPH ꯒꯤ ꯆꯤꯡꯅꯕꯥ ꯂꯩꯔꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯃꯁꯥꯃꯀꯄꯨ ꯃꯈꯥ ꯇꯥꯅꯥ ꯇꯦꯁ꯭ꯠ ꯇꯧꯅꯕꯒꯤꯗꯃꯛ ꯄꯣꯠꯁꯀꯁꯤꯡ ꯑꯁꯤ ꯁꯤꯖꯤꯟꯅꯕꯥ ꯌꯥꯏ:

• ꯅꯍꯥꯛꯀꯤ ꯄꯂꯁ ꯔꯦꯠ ꯑꯃꯁꯨꯡ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ ꯑꯗꯨ ꯃꯈꯥ ꯇꯥꯅꯥ ꯌꯦꯡꯁꯤꯅꯕꯤꯌꯨ .
• ꯏꯗꯥ ꯔꯦꯗ ꯕ꯭ꯂꯗ ꯁꯦꯂꯁꯤꯡꯒꯤ ꯆꯥꯡ (ꯍꯦꯃꯥꯇꯣꯛꯔꯤꯠ) ꯑꯃꯁꯨꯡ ꯕ꯭ꯂꯗ ꯀ꯭ꯂꯣꯇꯤꯡ ꯐꯦꯛꯇꯔꯁꯤꯡ ꯌꯦꯡꯁꯤꯜꯂꯤꯕꯥ ꯕ꯭ꯂꯗ ꯇꯦꯁ꯭ꯇꯁꯤꯡ꯫
• ꯚꯦꯖꯤꯅꯦꯜ, ꯁꯔꯚꯤꯛꯁ ꯑꯃꯁꯨꯡ ꯏꯎꯇꯦꯔꯥꯁ ꯌꯦꯡꯁꯤꯜꯂꯤꯕꯥ ꯄꯦꯂꯚꯤꯛ ꯑꯦꯀꯖꯥꯃꯤꯅꯦꯁꯟ ꯑꯃꯅꯤ꯫
• ꯑꯂꯠꯔꯥꯁꯥꯎꯟꯗ ꯁ꯭ꯀꯦꯟ ꯑꯃꯅꯥ ꯏꯎꯇꯦꯔꯥꯁꯀꯤ ꯑꯀꯨꯞꯄꯥ ꯏꯃꯦꯖ ꯑꯃꯥ ꯂꯧꯏ꯫

ꯄꯤ.ꯄꯤ.ꯑꯩꯆ.ꯕꯨ ꯀꯔꯝꯅꯥ ꯂꯥꯌꯦꯡꯕꯒꯦ?

ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯑꯌꯥꯝꯕꯅꯥ ꯄꯤ.ꯄꯤ.ꯑꯩꯆ.ꯕꯨ ꯑꯦꯃꯔꯖꯦꯟꯁꯤ ꯑꯃꯥ ꯑꯣꯏꯅꯥ ꯂꯧꯏ꯫ ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯄꯥꯟꯗꯃꯗꯤ ꯌꯥꯔꯤꯕꯃꯈꯩ ꯊꯨꯅꯥ ꯏ ꯊꯣꯀꯄꯥ ꯊꯤꯡꯕꯅꯤ꯫

ꯅꯍꯥꯛꯀꯤ ꯏ ꯊꯣꯀꯄꯒꯤ ꯃꯔꯝ ꯑꯃꯁꯨꯡ ꯏ ꯊꯣꯀꯄꯒꯤ ꯆꯥꯡꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯂꯥꯏꯌꯦꯡꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯃꯗꯒꯤ ꯍꯦꯅꯕꯥ ꯔꯤꯀꯃꯦꯟꯗ ꯇꯧꯕꯥ ꯌꯥꯏ:

• ꯏꯎꯇꯦꯔꯥꯁꯀꯤ ꯃꯁꯂꯁꯤꯡ ꯀꯟꯠꯔꯦꯛꯇ ꯇꯧꯅꯕꯥ ꯏꯎꯇꯦꯔꯤꯟ ꯃꯦꯁꯦꯖ ꯇꯧꯕꯥ꯫
• ꯏꯎꯇꯦꯔꯥꯏꯟ ꯀꯟꯠꯔꯦꯛꯇꯁꯤꯡ ꯁ꯭ꯇꯤꯝꯌꯨꯜ ꯇꯧꯕꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ ꯄꯤꯕꯥ꯫
• ꯔꯤꯇꯦꯟ ꯇꯧꯔꯕꯥ ꯄ꯭ꯂꯥꯁꯦꯟꯇꯦꯜ ꯇꯤꯁꯨꯁꯤꯡ, ꯃꯦꯟꯌꯨꯑꯦꯜ ꯑꯣꯏꯅꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯇꯩ ꯃꯦꯊꯗ ꯑꯃꯍꯦꯛꯇꯅꯥ ꯂꯧꯊꯣꯀꯄꯥ꯫
• ꯚꯦꯖꯤꯅꯦꯜ, ꯁꯔꯚꯤꯛꯁ ꯑꯃꯁꯨꯡ ꯏꯎꯇꯦꯔꯥꯁꯇꯥ ꯂꯩꯕꯥ ꯑꯀꯥꯌ-ꯑꯇꯣꯌꯁꯤꯡ ꯔꯤꯄꯦꯌꯥꯔ ꯇꯧꯕꯥ꯫
• ꯏꯎꯇꯦꯔꯥꯏꯅꯒꯤ ꯋꯥꯂꯁꯤꯡꯗꯥ ꯄ꯭ꯔꯦꯁꯔ ꯄꯤꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯏ ꯊꯣꯀꯄꯥ ꯊꯤꯡꯅꯕꯥ ꯀꯦꯇꯦꯒꯣꯔꯤ ꯑꯃꯥ ꯅꯠꯠꯔꯒꯥ ꯕꯦꯂꯨꯅꯒꯨꯝꯕꯥ ꯗꯤꯚꯥꯏꯁ ꯑꯃꯥ ꯍꯥꯄꯆꯤꯅꯕꯥ꯫
• ꯏꯎꯇꯦꯔꯥꯁꯇꯥ ꯏꯒꯤ ꯁꯞꯂꯥꯏ ꯊꯤꯡꯅꯕꯥ ꯊꯧꯑꯣꯡꯁꯤꯡ꯫
• ꯅꯍꯥꯛꯅꯥ ꯏ ꯊꯥꯗꯣꯀꯄꯥ ꯃꯊꯧ ꯇꯥꯏ .
• ꯚꯦꯅꯝ ꯑꯃꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯐ꯭ꯂꯨꯏꯗ ꯄꯤꯕꯥ (ꯏꯟꯠꯔꯥꯚꯦꯅꯁ - IV ꯐ꯭ꯂꯨꯏꯗ) , ꯃꯁꯤꯅꯥ ꯁꯦꯂꯥꯏꯅꯒꯨꯝꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ ꯍꯥꯌꯕꯅꯤ꯫
• ꯃꯥꯁ꯭ꯛ ꯑꯃꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯁꯞꯂꯤꯃꯦꯟꯇꯔꯤ ꯑꯣꯛꯁꯤꯖꯦꯟ ꯄꯤꯕꯥ꯫
• ꯑꯥꯏꯔꯟ ꯁꯞꯂꯤꯃꯦꯟꯇꯁꯤꯡ ꯄꯤꯕꯥ .

ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ, ꯅꯠꯠꯔꯒꯥ ꯑꯇꯩ ꯃꯦꯊꯗꯁꯤꯡꯅꯥ ꯃꯥꯌꯄꯥꯛꯠꯔꯕꯗꯤ, ꯗꯣꯛꯇꯔꯅꯥ ꯂꯦꯄꯔꯣꯇꯣꯃꯤ (ꯃꯔꯨꯝ ꯀꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯏ ꯊꯣꯀꯄꯒꯤ ꯍꯧꯔꯀꯐꯝ ꯈꯪꯗꯣꯛꯅꯕꯥ ꯁꯔꯖꯔꯤ) ꯅꯠꯠꯔꯒꯥ ꯍꯤꯁ꯭ꯇꯦꯔꯦꯛꯇꯣꯃꯤ (ꯏꯎꯇꯦꯔꯥꯁ ꯂꯧꯊꯣꯀꯄꯥ) ꯄꯥꯡꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫

ꯄꯤ.ꯄꯤ.ꯑꯩꯆ.ꯒꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤꯗꯒꯤ ꯐꯒꯠꯂꯀꯄꯗꯥ ꯃꯇꯝ ꯀꯌꯥ ꯆꯪꯕꯒꯦ?

ꯔꯤꯀꯣꯚꯔꯤꯒꯤ ꯃꯇꯝ ꯑꯁꯤ ꯃꯤꯑꯣꯏ ꯑꯃꯗꯒꯤ ꯃꯤꯑꯣꯏ ꯑꯃꯗꯥ ꯈꯦꯠꯅꯩ꯫ ꯃꯁꯤ ꯅꯍꯥꯛꯅꯥ ꯏ ꯀꯌꯥ ꯃꯥꯡꯈꯤꯕꯒꯦ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯀꯔꯝꯅꯥ ꯂꯥꯌꯦꯡꯈꯤꯕꯒꯦ ꯍꯥꯌꯕꯗꯨꯒꯤ ꯃꯈꯥ ꯄꯣꯜꯂꯤ꯫ ꯑꯉꯥꯡ ꯄꯣꯀꯄꯥ ꯃꯇꯨꯡꯒꯤ ꯑꯍꯥꯅꯕꯥ ꯅꯨꯃꯤꯠ ꯈꯔꯅꯤꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯏꯁꯥꯕꯨ ꯑꯐꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯌꯦꯡꯁꯤꯅꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ – ꯐꯖꯅꯥ ꯆꯥꯕꯥ, ꯏꯁꯤꯡ ꯌꯥꯝꯅꯥ ꯊꯀꯄꯥ, ꯑꯃꯁꯨꯡ ꯌꯥꯔꯤꯕꯃꯈꯩ ꯅꯨꯡꯉꯥꯏꯅꯥ ꯂꯩꯕꯥ . ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯑꯦꯅꯤꯃꯤꯌꯥ ꯂꯥꯌꯦꯡꯅꯕꯥ ꯑꯥꯏꯔꯟ ꯁꯞꯂꯤꯃꯦꯟꯇꯁꯤꯡ ꯂꯧꯕꯗꯁꯨ ꯄꯥꯎꯇꯥꯛ ꯄꯤꯕꯥ ꯌꯥꯏ꯫

ꯄꯤ.ꯄꯤ.ꯑꯩꯆ.ꯕꯨ ꯊꯤꯡꯕꯥ ꯉꯃꯒꯗ꯭ꯔꯥ? ꯑꯩꯅꯥ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯑꯉꯥꯡ ꯑꯃꯥ ꯄꯣꯀꯄꯥ ꯉꯃꯒꯗ꯭ꯔꯥ?

ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯄꯤ.ꯄꯤ.ꯑꯩꯆ.ꯗꯒꯤ ꯉꯥꯀꯊꯣꯛꯅꯕꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯥ ꯄꯥꯝꯕꯩꯗꯤ ꯄꯣꯀꯄꯥ ꯃꯃꯥꯡꯗꯥ ꯄꯤ.ꯄꯤ.ꯑꯩꯆ.ꯒꯤ ꯔꯤꯁ꯭ꯛ ꯍꯦꯟꯅꯥ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡ ꯈꯉꯗꯣꯀꯄꯅꯤ꯫ ꯅꯍꯥꯛꯀꯤ ꯃꯄꯨꯡꯐꯥꯕꯥ ꯃꯦꯗꯤꯀꯦꯜ ꯍꯤꯁ꯭ꯇꯔꯤ ꯑꯗꯨ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯁꯦꯌꯔ ꯇꯧꯗꯨꯅꯥ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨ ꯄꯣꯀꯄꯥ ꯃꯇꯨꯡꯗꯥ ꯄꯤ.ꯄꯤ.ꯑꯩꯆ.

ꯃꯍꯧꯁꯥꯅꯥ ꯑꯇꯣꯞꯄꯥ ꯑꯉꯥꯡ ꯑꯃꯥ ꯄꯣꯀꯄꯥ ꯍꯥꯌꯕꯁꯤ ꯁꯥꯐꯕꯥ ꯑꯣꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯅꯍꯥꯛꯀꯤ ꯃꯊꯪꯒꯤ ꯄꯣꯀꯄꯗꯥ PPHꯒꯤ ꯔꯤꯁ꯭ꯀꯀꯤ ꯃꯇꯥꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯇꯥꯟꯅꯧ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯔꯤꯁ꯭ꯛ ꯑꯗꯨ ꯅꯣꯔꯃꯦꯂꯗꯒꯤ ꯈꯔꯥ ꯍꯦꯟꯅꯥ ꯋꯥꯡꯂꯕꯁꯨ, ꯃꯗꯨ ꯍꯧꯖꯤꯀꯁꯨ ꯅꯦꯝꯅꯥ ꯂꯩꯕꯒꯤ ꯑꯣꯏꯊꯣꯀꯄꯥ ꯂꯩ꯫ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯔꯤꯁ꯭ꯛ ꯐꯦꯛꯇꯔꯁꯤꯡ ꯑꯗꯨ ꯌꯦꯡꯁꯤꯅꯕꯥ ꯌꯥꯏ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯃꯊꯪꯒꯤ ꯄꯣꯀꯄꯗꯥ ꯑꯈꯟꯅꯕꯥ ꯆꯦꯀꯁꯤꯟ ꯊꯧꯔꯥꯡ ꯑꯃꯥ ꯂꯧꯈꯠꯄꯥ ꯃꯊꯧ ꯇꯥꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯂꯦꯄꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫

ꯄꯤ.ꯄꯤ.ꯑꯩꯆ.ꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯅꯁꯥꯕꯨ ꯀꯔꯝꯅꯥ ꯌꯦꯡꯁꯤꯅꯕꯤꯒꯅꯤ?

ꯅꯍꯥꯛꯀꯤ ꯅꯧꯅꯥ ꯄꯣꯀꯄꯥ ꯑꯉꯥꯡ ꯑꯗꯨꯕꯨ ꯌꯦꯡꯁꯤꯅꯕꯤꯕꯥ ꯃꯇꯃꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯅꯁꯥꯕꯨ ꯌꯦꯡꯁꯤꯅꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯑꯔꯨꯕꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯕꯨ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯅꯨꯡꯉꯥꯏꯅꯥ ꯂꯩꯅꯕꯥ ꯃꯇꯝ ꯂꯧꯔꯕꯗꯤ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯏꯁꯥꯕꯨ ꯅꯤꯡꯊꯤꯖꯅꯥ ꯌꯦꯡꯁꯤꯅꯕꯤꯔꯕꯗꯤ ꯅꯍꯥꯛ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯐꯒꯠꯂꯀꯄꯥ ꯉꯃꯒꯅꯤ꯫ ꯅꯈꯣꯌꯒꯤ ꯌꯥꯏꯐ-ꯊꯧꯔꯥꯡ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫

ꯃꯈꯥꯗꯥ ꯅꯍꯥꯀꯄꯨ ꯃꯇꯦꯡ ꯄꯥꯡꯕꯥ ꯌꯥꯕꯥ ꯋꯥꯐꯝ ꯈꯔꯗꯤ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤ:

• ꯅꯨꯡꯉꯥꯏꯅꯥ ꯂꯩꯅꯕꯥ: ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡꯅꯥ ꯐꯒꯠꯂꯀꯄꯗꯥ ꯃꯇꯝ ꯃꯊꯧ ꯇꯥꯏ꯫ ꯃꯇꯦꯡ ꯄꯥꯡꯅꯕꯥ ꯍꯥꯌꯖꯕꯗꯥ ꯂꯥꯡꯇꯛꯅꯒꯅꯨ, ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯅꯥ ꯃꯊꯧ ꯇꯥꯔꯤꯕꯥ ꯑꯇꯩ ꯄꯣꯠꯁꯀꯁꯤꯡ ꯑꯗꯨ ꯂꯧꯊꯣꯀꯎ꯫
• ꯃꯆꯤ ꯑꯣꯏꯕꯥ ꯆꯤꯟꯖꯥꯛ ꯆꯥꯕꯥ: ꯂꯥꯂꯍꯧꯒꯤ ꯃꯅꯥ-ꯃꯁꯤꯡ, ꯑꯁꯪꯕꯥ ꯃꯅꯥ-ꯃꯁꯤꯡ, ꯑꯃꯁꯨꯡ ꯐꯣꯔꯇꯤꯐꯥꯏꯗ ꯕ꯭ꯔꯦꯀꯐꯥꯁ꯭ꯠ ꯁꯤꯔꯤꯑꯦꯂꯁꯤꯡꯒꯨꯝꯕꯥ ꯑꯥꯏꯔꯟ ꯌꯥꯝꯅꯥ ꯌꯥꯎꯕꯥ ꯆꯤꯟꯖꯥꯀꯁꯤꯡꯅꯥ ꯔꯦꯗ ꯕ꯭ꯂꯗ ꯁꯦꯂꯁꯤꯡ ꯁꯦꯝꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫ ꯃꯆꯤ ꯑꯣꯏꯕꯥ ꯆꯤꯟꯖꯥꯀꯁꯤꯡꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯐꯒꯠꯍꯅꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫
• ꯏꯁꯤꯡ ꯊꯀꯎ: ꯑꯉꯥꯡ ꯄꯣꯛꯂꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯏꯁꯤꯡ ꯃꯔꯥꯡ ꯀꯥꯌꯅꯥ ꯊꯀꯎ ꯃꯗꯨꯅꯥ ꯗꯤꯍꯥꯌꯗ꯭ꯔꯦꯁꯟ ꯊꯤꯡꯕꯥ ꯉꯃꯍꯜꯂꯤ꯫
• ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯤ ꯏꯅꯁ꯭ꯠꯔꯛꯁꯅꯁꯤꯡ ꯏꯅꯒꯗꯕꯅꯤ: ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯐꯒꯠꯂꯀꯄꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯅꯕꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ ꯅꯠꯠꯔꯒꯥ ꯄꯨꯟꯁꯤ ꯃꯍꯤꯡꯗꯥ ꯑꯍꯣꯡꯕꯥ ꯄꯨꯔꯀꯄꯥ ꯌꯥꯏ꯫ ꯍꯥꯌꯔꯤꯕꯥ ꯏꯅꯁ꯭ꯠꯔꯛꯁꯅꯁꯤꯡ ꯑꯗꯨ ꯆꯦꯀꯁꯤꯟꯅꯥ ꯏꯅꯒꯗꯕꯅꯤ꯫
• ꯏ ꯊꯣꯀꯄꯒꯤ ꯆꯥꯡ ꯑꯗꯨ ꯌꯦꯡꯁꯤꯜꯂꯨ: ꯁꯦꯅꯤꯇꯦꯁꯟ ꯄꯦꯗ ꯑꯃꯥ ꯁꯤꯖꯤꯟꯅꯧ꯫ ꯃꯁꯤ ꯃꯄꯨꯡ ꯐꯥꯍꯅꯕꯗꯥ ꯃꯇꯝ ꯀꯌꯥ ꯆꯪꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯕꯤꯌꯨ꯫ ꯅꯨꯃꯤꯠ ꯈꯔꯅꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯏ ꯊꯣꯀꯄꯥ ꯑꯗꯨ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯍꯟꯊꯍꯅꯒꯗꯕꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯂꯩꯠꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯇꯥꯟꯅꯧ꯫

ꯏ ꯌꯥꯝꯅꯥ ꯊꯣꯀꯄꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯑꯦꯛꯁꯄꯤꯔꯤꯑꯦꯟꯁ ꯑꯃꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫ ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯄꯣꯀꯄꯒꯤ ꯑꯦꯛꯁꯄꯔꯤꯌꯦꯟꯁ ꯑꯗꯨꯗꯒꯤ ꯏꯃꯣꯁꯅꯦꯜ ꯑꯣꯏꯅꯥ ꯐꯒꯠꯂꯀꯄꯗꯥ ꯃꯇꯝ ꯈꯔꯥ ꯆꯪꯕꯁꯤ ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏ꯫ ꯅꯍꯥꯛꯀꯤ ꯏꯃꯨꯡ-ꯃꯅꯨꯡ, ꯃꯔꯨꯞ-ꯃꯄꯥꯡꯁꯤꯡ, ꯗꯣꯛꯇꯔꯁꯤꯡ ꯅꯠꯠꯔꯒꯥ ꯑꯇꯩ ꯃꯤꯑꯣꯏꯁꯤꯡꯗꯒꯤ ꯁꯄꯣꯔꯠ ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯏ꯫ ꯅꯍꯥꯛꯅꯥ ꯀꯔꯝꯅꯥ ꯐꯥꯎꯔꯤꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯋꯥꯔꯤ ꯁꯥꯟꯅꯧ, ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯅꯥ ꯃꯊꯧ ꯇꯥꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯅꯕꯥ ꯍꯥꯌꯌꯨ꯫

ꯀꯗꯥꯏꯗꯥ ꯗꯣꯛꯇꯔꯒꯥ ꯇꯥꯟꯅꯒꯗꯒꯦ?

ꯑꯌꯥꯝꯕꯥ ꯃꯇꯃꯗꯥ, PPH ꯑꯁꯤ ꯅꯍꯥꯛꯅꯥ ꯄꯣꯀꯄꯥ ꯃꯇꯨꯡꯗꯥ ꯅꯠꯠꯔꯒꯥ ꯅꯍꯥꯛꯅꯥ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯂꯗꯥ ꯂꯩꯔꯤꯉꯩꯗꯥ ꯊꯣꯀꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯌꯨꯃꯗꯥ ꯌꯧꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯏ ꯌꯥꯝꯅꯥ ꯊꯣꯛꯂꯕꯗꯤ ꯅꯠꯠꯔꯒꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ PPHꯒꯤ ꯂꯥꯏꯑꯣꯡ ꯑꯃꯠꯇꯥ ꯂꯩꯔꯕꯗꯤ, ꯈꯨꯗꯛꯇꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯇꯥꯟꯅꯧ . ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯤ ꯑꯣꯐꯤꯁ ꯑꯗꯨ ꯊꯤꯡꯖꯤꯜꯂꯕꯗꯤ ꯅꯠꯠꯔꯒꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯈꯣꯌꯗꯥ ꯌꯧꯕꯥ ꯉꯃꯗ꯭ꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯅꯀꯄꯥ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯂꯗꯥ ꯂꯩꯕꯥ ꯏꯃꯔꯖꯦꯟꯁꯤ ꯔꯨꯃꯗꯥ ꯆꯠꯂꯨ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯉꯥꯡ ꯄꯣꯛꯂꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯏ ꯌꯥꯝꯅꯥ ꯊꯣꯀꯄꯥ ꯎꯔꯕꯗꯤ, ꯈꯨꯗꯛꯇꯥ ꯗꯣꯛꯇꯔ ꯑꯃꯒꯥ ꯇꯥꯟꯅꯧ꯫ PPHꯒꯤ ꯑꯇꯩ ꯂꯥꯏꯑꯣꯡꯁꯤꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯃꯤꯠ ꯎꯗꯕꯥ, ꯃꯁꯥ ꯃꯊꯟꯇꯥ ꯋꯥꯈꯜ ꯇꯥꯗꯕꯥ ꯑꯃꯁꯨꯡ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ ꯑꯁꯤꯅꯆꯤꯡꯕꯥ ꯌꯥꯎꯏ꯫ ꯄꯤ.ꯄꯤ.ꯑꯩꯆ.ꯅꯥ ꯈꯨꯗꯛꯇꯥ ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯃꯇꯦꯡ ꯃꯊꯧ ꯇꯥꯕꯥ ꯑꯀꯅꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛ ꯅꯠꯠꯔꯒꯥ ꯅꯍꯥꯛꯀꯤ ꯅꯨꯡꯁꯤꯖꯔꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯅꯥ PPH ꯂꯩꯔꯕꯗꯤ, ꯑꯦꯛꯁꯄꯤꯔꯤꯑꯦꯟꯁ ꯑꯗꯨꯅꯥ ꯁꯣꯀꯍꯜꯂꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯐꯥꯎꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯅꯣꯔꯃꯦꯂꯅꯤ꯫ ꯑꯗꯨꯕꯨ ꯅꯤꯡꯁꯤꯡꯕꯤꯌꯨ, ꯉꯟꯅꯥ ꯈꯪꯗꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯈꯨꯗꯛꯀꯤ ꯑꯣꯏꯕꯥ ꯂꯥꯏꯌꯦꯡꯕꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ ꯊꯤꯡꯕꯥ ꯉꯝꯃꯤ꯫ ꯃꯔꯝ ꯑꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯃꯦꯗꯤꯀꯦꯜ ꯍꯤꯁ꯭ꯇꯔꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯑꯃꯨꯛꯇꯪ ꯑꯃꯁꯨꯡ ꯄꯨꯀꯆꯦꯜ ꯁꯦꯡꯅꯥ ꯋꯥꯔꯤ ꯁꯥꯕꯥ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫ ꯃꯁꯤꯅꯥ ꯅꯍꯥꯀꯄꯨ PPHꯒꯤ ꯔꯤꯁ꯭ꯛ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯈꯪꯗꯣꯀꯄꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯒꯅꯤ꯫

ꯑꯔꯣꯏꯕꯥ ꯇꯦꯛ-ꯍꯣꯝ ꯃꯦꯁꯦꯖ꯫

• PPH (Postpartum Hemorrhage) ꯍꯥꯌꯕꯁꯤ ꯈꯨꯗꯛꯇꯥ ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯃꯇꯦꯡ ꯃꯊꯧ ꯇꯥꯕꯥ ꯑꯀꯅꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ, ꯃꯁꯤꯒꯤ ꯃꯁꯛ ꯑꯁꯤ ꯑꯉꯥꯡ ꯄꯣꯛꯂꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯏ ꯌꯥꯝꯅꯥ ꯊꯣꯀꯍꯅꯕꯅꯤ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯏ ꯌꯥꯝꯅꯥ ꯊꯣꯀꯄꯥ, ꯑꯆꯧꯕꯥ ꯏ ꯊꯣꯀꯄꯥ, ꯃꯤꯠ ꯎꯗꯕꯥ, ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ, ꯅꯠꯠꯔꯒꯥ ꯍꯥꯔꯠ ꯔꯦꯠ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ ꯑꯁꯤꯅꯆꯤꯡꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯂꯩꯔꯕꯗꯤ ꯈꯨꯗꯛꯇꯥ ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯄꯥꯎꯇꯥꯛ ꯂꯧꯕꯤꯌꯨ꯫
• ꯄꯤ.ꯄꯤ.ꯑꯩꯆ.ꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯔꯝ ꯑꯁꯤ ꯏꯎꯇꯦꯔꯥꯏꯟ ꯑꯦꯇꯣꯅꯤ (uterine atony)ꯅꯤ, ꯃꯁꯤꯅꯥ ꯏꯎꯇꯦꯔꯥꯁꯅꯥ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯀꯟꯠꯔꯦꯛꯇ ꯇꯧꯕꯥ ꯉꯃꯗꯕꯅꯤ꯫ ꯑꯇꯣꯞꯄꯥ ꯃꯔꯃꯁꯤꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ, ꯄ꯭ꯂꯥꯁꯦꯟꯇꯥ ꯔꯤꯇꯦꯏꯟ ꯇꯧꯕꯥ, ꯑꯃꯁꯨꯡ ꯏ ꯊꯣꯀꯄꯒꯤ ꯁꯃꯁ꯭ꯌꯥ ꯑꯁꯤ ꯌꯥꯎꯏ꯫
• ꯔꯤꯁ꯭ꯛ ꯐꯦꯛꯇꯔ ꯈꯔꯗꯤ ꯂꯩꯔꯕꯁꯨ, ꯄꯤ.ꯄꯤ.ꯑꯩꯆ .
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯇꯣꯏꯅꯥ ꯈꯪꯗꯣꯛꯂꯕꯥ ꯑꯃꯁꯨꯡ ꯈꯨꯗꯛꯇꯥ ꯂꯥꯏꯌꯦꯡꯂꯕꯗꯤ, ꯑꯌꯥꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯂꯥꯏꯌꯦꯡꯕꯥ ꯉꯝꯃꯤ꯫
• ꯄꯤ.ꯄꯤ.ꯑꯩꯆ.ꯒꯤ ꯑꯦꯛꯁꯄꯤꯔꯤꯑꯦꯟꯁ ꯑꯁꯤ ꯏꯃꯣꯁꯅꯦꯜ ꯑꯣꯏꯅꯥ ꯁꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯅꯍꯥꯛꯅꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯁꯄꯣꯔꯠ ꯑꯗꯨ ꯐꯪꯕꯗꯥ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯂꯩꯔꯣꯏꯗꯕꯅꯤ꯫

ꯃꯔꯨꯑꯣꯏꯅꯥ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯃꯇꯝ ꯑꯁꯤꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯁꯦꯜ ꯌꯦꯡꯁꯤꯅꯕꯥ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫ ꯅꯍꯥꯛ ꯅꯁꯥꯃꯛ ꯅꯠꯇꯦ, ꯃꯇꯦꯡ ꯄꯥꯡꯕꯤꯌꯨ꯫

` ꯄꯣꯁ꯭ꯇꯄꯥꯔꯇꯝ ꯍꯦꯃꯣꯔꯦꯖ, ꯄꯤ.ꯄꯤ.ꯑꯩꯆ., ꯑꯉꯥꯡ ꯄꯣꯀꯄꯥ, ꯏ ꯊꯣꯀꯄꯥ, ꯏꯎꯇꯦꯔꯥꯁ, ꯄ꯭ꯂꯥꯁꯦꯟꯇꯥ, ꯅꯨꯄꯤꯁꯤꯡꯒꯤ ꯍꯀꯁꯦꯜ꯫