ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯈꯔꯥ ꯏꯅꯐꯦꯛꯁꯟ ꯂꯩꯔꯕꯥ ꯑꯁꯣꯀꯄꯥ ꯑꯃꯥ ꯂꯩꯕ꯭ꯔꯥ? ꯅꯠꯠꯔꯒꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯄꯤꯀꯄꯥ ꯂꯪꯁ ꯏꯅꯐꯦꯛꯁꯟ ꯅꯠꯠꯔꯒꯥ ꯌꯨꯔꯤꯅꯔꯤ ꯇ꯭ꯔꯦꯛꯇ ꯏꯅꯐꯦꯛꯁꯟꯒꯨꯝꯕꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯃꯒꯥ ꯂꯥꯟꯊꯦꯡꯅꯔꯤꯕ꯭ꯔꯥ? ꯃꯍꯧꯁꯥꯅꯥ ꯑꯩꯈꯣꯌꯅꯥ ꯈꯜꯂꯤ ꯃꯗꯨꯗꯤ ꯄꯣꯠꯁꯤꯡ ꯑꯁꯤ ꯈꯔꯥ ꯅꯨꯡꯉꯥꯏꯅꯥ ꯑꯃꯁꯨꯡ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛ ꯈꯔꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯂꯣꯏꯁꯤꯅꯒꯅꯤ꯫ ꯑꯗꯨꯕꯨ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯊꯥꯖꯗꯅꯥ, ꯑꯁꯤꯒꯨꯝꯕꯥ ꯑꯄꯤꯀꯄꯥ ꯏꯅꯐꯦꯛꯁꯟ ꯑꯁꯤ ꯍꯀꯆꯥꯡ ꯄꯨꯝꯕꯥ ꯁꯣꯀꯍꯜꯂꯤꯕꯥ ꯑꯃꯁꯨꯡ ꯄꯨꯟꯁꯤ ꯃꯥꯡꯍꯅꯕꯥ ꯌꯥꯕꯥ ꯑꯀꯅꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯥ ꯑꯣꯏꯔꯀꯄꯥ ꯌꯥꯏ꯫ ꯈꯨꯗꯣꯡꯊꯤꯅꯤꯉꯥꯏ ꯑꯣꯏꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯗꯨꯕꯨ "ꯁꯦꯄꯁꯤꯁ" ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫
ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯁꯦꯄꯁꯤꯁ ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ?
ꯑꯩꯈꯣꯌꯒꯤ ꯂꯩꯕꯥꯛ ꯑꯁꯤꯕꯨ ꯉꯥꯀꯊꯣꯛꯂꯤꯕꯥ ꯂꯥꯟꯃꯤ ꯑꯃꯥ ꯂꯩꯔꯤ ꯍꯥꯌꯅꯥ ꯈꯅꯕꯤꯌꯨ꯫ ꯃꯄꯥꯟꯗꯒꯤ ꯌꯦꯛꯅꯕꯥ ꯑꯃꯥ ꯂꯥꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯂꯥꯟꯃꯤ ꯑꯁꯤꯅꯥ ꯆꯠꯇꯨꯅꯥ ꯌꯦꯛꯅꯕꯥ ꯑꯗꯨꯒꯥ ꯂꯥꯟꯊꯦꯡꯅꯔꯤ, ꯃꯈꯣꯌꯕꯨ ꯃꯥꯏꯊꯤꯕꯥ ꯄꯤꯗꯨꯅꯥ ꯂꯩꯕꯥꯛ ꯑꯁꯤꯕꯨ ꯀꯅꯕꯤꯔꯤ꯫ ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯏꯝꯝꯌꯨꯟ ꯁꯤꯁ꯭ꯇꯦꯝ ꯑꯁꯤ ꯂꯥꯟꯃꯤ ꯑꯁꯤꯒꯥ ꯃꯥꯟꯅꯩ꯫ ꯕꯦꯛꯇꯦꯔꯤꯌꯥ ꯅꯠꯠꯔꯒꯥ ꯚꯥꯏꯔꯁꯒꯨꯝꯕꯥ ꯖꯔꯝ ꯑꯃꯅꯥ ꯍꯀꯆꯥꯡꯗꯥ ꯆꯪꯂꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯏꯝꯝꯌꯨꯟ ꯁꯤꯁ꯭ꯇꯦꯝ ꯑꯁꯤ ꯑꯦꯛꯇꯤꯚ ꯑꯣꯏꯔꯀꯏ ꯑꯃꯁꯨꯡ ꯖꯔꯝ ꯑꯗꯨꯒꯥ ꯂꯥꯟꯊꯦꯡꯅꯗꯨꯅꯥ ꯑꯩꯈꯣꯌꯕꯨ ꯂꯥꯌꯅꯥꯁꯤꯡꯗꯒꯤ ꯀꯅꯕꯤꯔꯤ꯫
ꯑꯗꯨꯕꯨ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯈꯉꯍꯧꯗꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯃꯥ ꯑꯁꯣꯌꯕꯥ ꯊꯣꯛꯂꯕꯗꯤ, ꯑꯩꯈꯣꯌꯒꯤ ꯏꯁꯥꯒꯤ ꯂꯥꯟꯃꯤꯅꯥ ꯌꯦꯛꯅꯕꯒꯥ ꯂꯥꯟꯊꯦꯡꯅꯕꯥ ꯂꯦꯄꯈ꯭ꯔꯕꯗꯤ, ꯑꯩꯈꯣꯌꯒꯤ ꯏꯁꯥꯒꯤ ꯂꯩꯕꯥꯛ ꯑꯁꯤꯒꯤ ꯌꯨꯝ-ꯀꯩ ꯑꯃꯁꯨꯡ ꯁꯍꯔꯁꯤꯡ ꯃꯥꯡꯍꯟ ꯇꯥꯀꯍꯅꯕꯥ ꯍꯧꯔꯒꯗꯤ ꯀꯔꯝꯕꯥ ꯃꯈꯂꯒꯤ ꯃꯥꯡꯍꯟ ꯇꯥꯀꯍꯅꯒꯗꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯈꯟꯗꯨꯅꯥ ꯌꯦꯡꯕꯤꯌꯨ?
ꯁꯦꯄꯁꯤꯁ ꯑꯁꯤ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯃꯈꯂꯒꯤ ꯋꯥꯐꯝ ꯑꯃꯅꯤ꯫
ꯏꯅꯐꯦꯛꯁꯟ ꯑꯃꯥ ꯊꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯏꯝꯝꯌꯨꯟ ꯁꯤꯁ꯭ꯇꯦꯝ ꯑꯁꯤ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯗꯅꯥ ꯂꯩꯔꯀꯏ꯫ ꯃꯁꯤꯅꯥ ꯏꯅꯐꯦꯛꯁꯟ ꯊꯦꯡꯅꯕꯥ ꯊꯤꯡꯏ ꯑꯃꯁꯨꯡ ꯑꯩꯈꯣꯌꯒꯤ ꯏꯁꯥꯒꯤ ꯍꯀꯆꯥꯡ ꯐꯕꯥ ꯇꯤꯁꯨꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯑꯣꯔꯒꯥꯅꯁꯤꯡꯗꯥ ꯑꯦꯇꯦꯛ ꯇꯧꯕꯥ ꯍꯧꯏ꯫ ꯃꯁꯤꯅꯥ ꯍꯀꯆꯥꯡ ꯄꯨꯝꯕꯗꯥ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯁꯟ ꯊꯣꯀꯍꯜꯂꯤ꯫
ꯃꯇꯝ ꯑꯗꯨꯃꯛꯇꯗꯥ, ꯕ꯭ꯂꯗ ꯀ꯭ꯂꯣꯇꯤꯡ ꯁꯤꯁ꯭ꯇꯦꯃꯗꯥ ꯑꯦꯕꯅꯣꯔꯃꯦꯜ ꯆꯦꯟ ꯔꯤꯑꯦꯛꯁꯟ ꯑꯃꯥ ꯍꯧꯔꯀꯏ, ꯑꯃꯁꯨꯡ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯂꯁꯤꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯃꯊꯧ ꯇꯥꯗꯅꯥ ꯕ꯭ꯂꯗ ꯀ꯭ꯂꯣꯇꯁꯤꯡ ꯁꯦꯝꯕꯥ ꯍꯧꯏ꯫ ꯃꯁꯤꯅꯥ ꯕ꯭ꯔꯦꯟ, ꯍꯥꯔꯠ, ꯀꯤꯗꯅꯤ ꯑꯃꯁꯨꯡ ꯂꯪꯁꯒꯨꯝꯕꯥ ꯑꯆꯧꯕꯥ ꯑꯣꯔꯒꯥꯅꯁꯤꯡꯗꯥ ꯏ ꯆꯦꯅꯕꯥ ꯍꯟꯊꯍꯜꯂꯤ꯫ ꯍꯥꯌꯔꯤꯕꯥ ꯑꯣꯔꯒꯥꯅꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯑꯣꯛꯁꯤꯖꯦꯟ ꯑꯃꯁꯨꯡ ꯅ꯭ꯌꯨꯠꯔꯤꯁꯟ ꯋꯥꯠꯄꯥ ꯃꯇꯃꯗꯥ, ꯃꯈꯣꯌ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯅꯥ ꯁꯣꯀꯍꯅꯕꯥ, ꯃꯊꯧ ꯇꯧꯗꯕꯥ ꯑꯃꯁꯨꯡ ꯑꯔꯣꯌꯕꯗꯥ ꯁꯤꯕꯥ ꯐꯥꯎꯕꯥ ꯌꯥꯏ꯫
ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯅꯤꯡꯁꯤꯡꯕꯤꯌꯨ, ꯁꯦꯄꯁꯤꯁ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ, ꯄꯨꯟꯁꯤ ꯃꯥꯡꯍꯅꯕꯥ ꯌꯥꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ ꯑꯃꯁꯨꯡ ꯃꯁꯤꯅꯥ ꯑꯦꯃꯔꯖꯦꯟꯁꯤ ꯃꯦꯗꯤꯀꯦꯜ ꯑꯦꯇꯦꯟꯁꯟ ꯃꯊꯧ ꯇꯥꯏ꯫ ꯃꯁꯤ ꯅꯍꯥꯛꯅꯥ ꯌꯨꯃꯗꯥ ꯂꯩꯗꯨꯅꯥ ꯅꯣꯔꯃꯦꯜ ꯐ꯭ꯂꯨꯒꯨꯝꯅꯥ ꯐꯒꯠꯂꯀꯄꯥ ꯌꯥꯕꯥ ꯄꯣꯠꯁꯛ ꯑꯃꯅꯤ꯫
ꯁꯦꯄꯁꯤꯁꯀꯤ ꯁ꯭ꯇꯦꯖꯁꯤꯡ ꯂꯩꯕ꯭ꯔꯥ?
ꯃꯃꯥꯡꯗꯥ ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯁꯦꯄꯁꯤꯁ ꯑꯁꯤ ꯁ꯭ꯇꯦꯖ ꯑꯍꯨꯃꯗꯥ ꯈꯥꯌꯗꯣꯀꯈꯤ: ꯁꯦꯄꯁꯤꯁ, ꯁꯥꯊꯤꯕꯥ ꯁꯦꯄꯁꯤꯁ ꯑꯃꯁꯨꯡ ꯁꯦꯄꯇꯤꯛ ꯁꯣꯛ꯫
ꯑꯗꯨꯕꯨ ꯍꯧꯖꯤꯛꯇꯤ, ꯑꯩꯈꯣꯌꯅꯥ ꯃꯁꯤ ꯄ꯭ꯔꯣꯒ꯭ꯔꯦꯁꯤꯚ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯥ ꯑꯣꯏꯅꯥ ꯎꯔꯤ꯫ ꯍꯥꯌꯕꯗꯤ, ꯃꯁꯤ ꯏꯆꯝ ꯆꯝꯕꯥ ꯏꯅꯐꯦꯛꯁꯟ ꯑꯃꯗꯒꯤ ꯍꯧꯔꯀꯄꯥ ꯌꯥꯏ, ꯕꯦꯛꯇꯦꯔꯤꯌꯥꯗꯥ ꯄ꯭ꯔꯣꯒ꯭ꯔꯦꯁ ꯇꯧꯕꯥ ꯌꯥꯏ, ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯁꯦꯄꯁꯤꯁ, ꯑꯃꯁꯨꯡ ꯑꯔꯣꯏꯕꯗꯥ ꯁꯦꯄꯇꯤꯛ ꯁꯣꯛ (septic shock) ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ, ꯃꯗꯨꯅꯥ ꯑꯣꯔꯒꯥꯟ ꯁꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯁꯤꯍꯅꯕꯥ ꯌꯥꯏ꯫
ꯀꯅꯥꯅꯥ ꯁꯦꯄꯁꯤꯁ ꯂꯥꯀꯄꯒꯤ ꯔꯤꯁ꯭ꯛ ꯍꯦꯟꯅꯥ ꯂꯩꯕꯒꯦ?
ꯁꯦꯄꯁꯤꯁꯅꯥ ꯀꯅꯥꯒꯨꯝꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯠꯇꯗꯥ ꯁꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ ꯑꯗꯨꯕꯨ ꯃꯤꯑꯣꯏ ꯈꯔꯗꯤ ꯍꯦꯟꯅꯥ ꯔꯤꯁ꯭ꯛ ꯂꯩ꯫ ꯃꯁꯤ ꯃꯔꯨꯑꯣꯏꯅꯥ ꯏꯅꯐꯦꯛꯁꯟ ꯅꯠꯠꯔꯒꯥ ꯏꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯏꯅꯐꯦꯛꯁꯟ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯗꯥ ꯌꯥꯝꯅꯥ ꯆꯨꯝꯃꯤ꯫ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡ ꯑꯁꯤꯁꯨ ꯍꯦꯟꯅꯥ ꯔꯤꯁ꯭ꯛ ꯂꯩ:
| ꯔꯤꯁ꯭ꯛ ꯒ꯭ꯔꯨꯞ꯫ | ꯋꯥꯔꯣꯜ |
|---|---|
| ꯆꯍꯤ | ꯆꯍꯤ ꯶꯵ꯒꯤ ꯃꯊꯛꯇꯥ ꯂꯩꯕꯥ ꯑꯍꯂꯁꯤꯡꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯅꯧꯅꯥ ꯄꯣꯀꯄꯥ ꯑꯉꯥꯡꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯅꯍꯥ ꯑꯣꯏꯔꯤꯕꯥ ꯑꯉꯥꯡꯁꯤꯡꯁꯨ꯫ |
| ꯃꯤꯔꯣꯜꯂꯤꯕꯤ ꯃꯃꯥꯁꯤꯡ꯫ | ꯃꯤꯔꯣꯜꯂꯤꯉꯩ ꯃꯇꯃꯗꯥ ꯏꯝꯝꯌꯨꯅꯤꯇꯤꯗꯥ ꯑꯍꯣꯡꯕꯥ ꯂꯥꯀꯄꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯔꯤꯁ꯭ꯛ ꯑꯁꯤ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ ꯌꯥꯏ꯫ |
| ꯑꯇꯣꯞꯄꯥ ꯑꯅꯥꯕꯥ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡ꯫ | ꯗꯥꯏꯑꯦꯕꯦꯇꯤꯖ, ꯑꯣꯕꯦꯁꯤꯇꯤ, ꯀꯦꯟꯁꯔ, ꯑꯃꯁꯨꯡ ꯀꯤꯗꯅꯤꯒꯤ ꯂꯥꯌꯅꯥ ꯑꯁꯤꯅꯆꯤꯡꯕꯥ ꯀ꯭ꯔꯣꯅꯤꯛ ꯂꯥꯌꯅꯥꯅꯥ ꯅꯥꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯗꯥ ꯍꯦꯟꯅꯥ ꯔꯤꯁ꯭ꯛ ꯂꯩ꯫ |
| ꯏꯝꯝꯌꯨꯅꯤꯇꯤ ꯋꯥꯠꯄꯥ ꯃꯤꯑꯣꯏꯁꯤꯡ꯫ | HIV ꯅꯠꯠꯔꯒꯥ ꯀꯦꯟꯁꯔ ꯂꯥꯌꯦꯡꯕꯒꯨꯝꯕꯥ ꯀꯟꯗꯤꯁꯅꯁꯤꯡꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯏꯝꯝꯌꯨꯟ ꯁꯤꯁ꯭ꯇꯦꯝ ꯁꯣꯟꯊꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡ꯫ |
| ꯍꯣꯁ꯭ꯄꯤꯇꯥꯂꯗꯥ ꯂꯥꯌꯦꯡꯂꯤꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡ꯫ | ꯑꯇꯣꯞꯄꯥ ꯃꯔꯃꯁꯤꯡꯅꯥ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯂꯗꯥ ꯂꯥꯌꯦꯡꯂꯤꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯁꯨ ꯈꯨꯗꯣꯡꯊꯤꯕꯥ ꯅꯪꯂꯤ꯫ |
| ꯑꯀꯅꯕꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯄꯥ꯫ | ꯑꯆꯧꯕꯥ ꯃꯩꯅꯥ ꯆꯥꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯇꯩ ꯁꯥꯊꯤꯕꯥ ꯑꯁꯣꯛ-ꯑꯄꯅꯁꯤꯡ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡ꯫ |
| ꯃꯦꯗꯤꯀꯦꯜ ꯗꯤꯚꯥꯏꯁꯁꯤꯡ ꯁꯤꯖꯤꯟꯅꯔꯤꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡ꯫ | ꯀꯦꯇꯦꯇꯔ, ꯏꯟꯠꯔꯥꯚꯦꯅꯁ (IV) ꯂꯥꯏꯅꯁꯤꯡ ꯅꯠꯠꯔꯒꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯒꯤ ꯃꯦꯁꯤꯟ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯗꯥ ꯏꯅꯐꯦꯛꯁꯟ ꯂꯥꯀꯄꯒꯤ ꯔꯤꯁ꯭ꯛ ꯍꯦꯟꯅꯥ ꯂꯩ꯫ |
ꯁꯦꯄꯁꯤꯁꯀꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?
ꯁꯦꯄꯁꯤꯁꯅꯥ ꯍꯀꯆꯥꯡꯒꯤ ꯃꯐꯝ ꯀꯌꯥꯗꯥ ꯁꯣꯀꯍꯅꯕꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯂꯥꯏꯑꯣꯡ ꯀꯌꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯗꯤ ꯃꯇꯝ ꯑꯃꯗꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯈꯪꯖꯤꯅꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ, ꯃꯔꯃꯗꯤ ꯉꯟꯅꯥ ꯈꯪꯗꯣꯀꯄꯅꯥ ꯄꯨꯟꯁꯤ ꯀꯅꯕꯥ ꯉꯝꯃꯤ꯫
- ꯂꯥꯏꯍꯧ ꯅꯠꯠꯔꯒꯥ ꯍꯀꯆꯥꯡꯒꯤ ꯇꯦꯝꯄꯦꯔꯦꯆꯔ ꯅꯦꯝꯕꯥ : ꯍꯀꯆꯥꯡꯗꯥ ꯂꯥꯏꯍꯧ ꯍꯧꯕꯥ ꯌꯥꯏ꯫ ꯑꯃꯁꯨꯡ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯍꯀꯆꯥꯡꯒꯤ ꯇꯦꯝꯄꯦꯔꯦꯆꯔ ꯑꯁꯤ ꯅꯣꯔꯃꯦꯂꯗꯒꯤ ꯌꯥꯝꯅꯥ ꯍꯟꯊꯕꯥ ꯌꯥꯏ (ꯍꯥꯏꯄꯣꯊꯔꯃꯤꯌꯥ)꯫
- ꯁꯣꯛ-ꯄꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯅꯣꯡꯖꯨ-ꯅꯨꯡꯁꯥ ꯈꯥꯛꯇꯅꯥ ꯂꯩꯕꯥ: ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯁꯣꯀꯄꯥ ꯌꯥꯏ꯫
- ꯍꯥꯔꯠ ꯄꯦꯂꯄꯤꯇꯦꯁꯟ (hart palpitations) : ꯍꯥꯔꯠ ꯑꯗꯨꯅꯥ ꯋꯥꯈꯜ ꯇꯥꯕꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯌꯥꯡꯅꯥ ꯆꯦꯅꯕꯥ ꯍꯧꯏ꯫
- ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯒꯤ ꯆꯥꯡ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ: ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ ꯍꯧꯔꯀꯏ, ꯑꯃꯁꯨꯡ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ (breathing rate) ꯐꯥꯎꯕꯥ ꯌꯥꯏ꯫
- ꯋꯥꯈꯜ ꯆꯔꯥꯡꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ (confusion and agitation): ꯋꯥꯈꯜ ꯃꯥꯡꯈꯤꯕꯥ, ꯋꯥꯈꯜ ꯃꯥꯡꯈꯤꯕꯥ, ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯐꯥꯎꯕꯥ꯫ ꯋꯥ ꯉꯥꯡꯕꯁꯨ ꯁꯣꯀꯄꯥ ꯌꯥꯏ꯫
- ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ ꯅꯦꯝꯕꯥ : ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ (BP) ꯑꯁꯤ ꯈꯪꯍꯧꯗꯅꯥ ꯍꯟꯊꯔꯀꯄꯥ ꯌꯥꯏ꯫
- ꯁꯥꯊꯤꯕꯥ ꯑꯅꯥꯕꯥ: ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯌꯥꯝꯅꯥ ꯋꯥꯅꯥ ꯑꯅꯥꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯐꯥꯎꯕꯥ ꯌꯥꯏ꯫
- ꯈꯣꯡꯗꯥ ꯑꯍꯣꯡꯕꯥ ꯂꯥꯀꯄꯥ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯈꯣꯡꯗꯥ ꯂꯥꯎꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯃꯆꯨ ꯁꯪꯂꯕꯥ ꯃꯐꯃꯁꯤꯡ (sepsis rash) ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯈꯣꯡ ꯑꯗꯨ ꯏꯁꯤꯡ ꯊꯨꯃꯖꯤꯅꯕꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯋꯥꯔꯝ ꯅꯠꯠꯔꯒꯥ ꯀ꯭ꯂꯦꯝ ꯇꯧꯕꯁꯨ ꯌꯥꯏ꯫
- ꯌꯨꯔꯤꯟ ꯍꯟꯊꯔꯀꯄꯥ: ꯅꯍꯥꯛꯅꯥ ꯌꯨꯔꯤꯅꯒꯤ ꯆꯥꯡ ꯑꯁꯤ ꯅꯣꯔꯃꯦꯂꯗꯒꯤ ꯌꯥꯝꯅꯥ ꯍꯟꯊꯩ꯫
- ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯐꯥꯎꯕꯥ: ꯌꯥꯝꯅꯥ ꯋꯥꯅꯥ ꯑꯃꯁꯨꯡ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯐꯥꯎꯕꯥ꯫
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛ ꯅꯠꯠꯔꯒꯥ ꯅꯍꯥꯛꯅꯥ ꯈꯪꯂꯤꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯅꯥ ꯏꯅꯐꯦꯛꯁꯟ ꯂꯩꯔꯕꯗꯤ ꯑꯃꯁꯨꯡ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯗꯤ ꯈꯪꯍꯧꯗꯅꯥ ꯂꯥꯛꯀꯗꯧꯔꯤꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯃꯗꯒꯤ ꯍꯦꯅꯕꯥ ꯂꯩꯔꯕꯗꯤ, ꯊꯦꯡꯊꯕꯥ ꯂꯩꯇꯅꯥ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯜ ꯑꯃꯒꯤ ꯏꯃꯔꯖꯦꯟꯁꯤ ꯗꯤꯄꯥꯔꯇꯃꯦꯟꯇ (ETU)ꯗꯥ ꯆꯠꯂꯨ꯫ ꯃꯁꯤ ꯌꯨꯃꯗꯥ ꯉꯥꯏꯗꯨꯅꯥ ꯂꯩꯕꯥ ꯐꯤꯚꯝ ꯅꯠꯇꯦ꯫
ꯁꯦꯄꯁꯤꯁꯀꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯔꯃꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?
ꯁꯦꯄꯁꯤꯁꯀꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯔꯃꯗꯤ ꯕꯦꯛꯇꯦꯔꯤꯌꯥ ꯏꯅꯐꯦꯛꯁꯅꯅꯤ . ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯐꯉ꯭ꯒꯦꯜ, ꯄꯦꯔꯥꯁꯥꯏꯠ ꯑꯃꯁꯨꯡ ꯚꯥꯏꯔꯁ ꯏꯅꯐꯦꯛꯁꯅꯁꯤꯡꯅꯁꯨ ꯁꯦꯄꯁꯤꯁ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯋꯥꯐꯃꯗꯤ ꯏꯅꯐꯦꯛꯁꯟ ꯑꯁꯤ ꯀꯗꯥꯏꯗꯥ ꯂꯩꯔꯕꯁꯨ, ꯍꯀꯆꯥꯡꯅꯥ ꯃꯁꯤꯒꯤ ꯔꯦꯁꯄꯣꯟꯁ ꯑꯁꯤ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯗꯕꯥ ꯆꯦꯟ ꯔꯤꯑꯦꯛꯁꯟ ꯑꯃꯅꯤ ꯑꯃꯁꯨꯡ ꯃꯁꯤꯅꯥ ꯁꯦꯄꯁꯤꯁ ꯊꯣꯀꯍꯜꯂꯤ꯫
ꯏꯅꯐꯦꯛꯁꯟ ꯍꯧꯔꯀꯄꯥ ꯌꯥꯕꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯃꯐꯃꯁꯤꯡꯗꯤ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯁꯤꯡꯁꯤꯅꯤ:
ꯔꯦꯁ꯭ꯄꯤꯔꯦꯇꯔꯤ ꯁꯤꯁ꯭ꯇꯦꯝ꯫
- ꯂꯪꯁꯀꯤ ꯏꯅꯐꯦꯛꯁꯅꯁꯤꯡ, ꯃꯔꯨꯑꯣꯏꯅꯥ ꯅ꯭ꯌꯨꯃꯣꯅꯤꯌꯥꯒꯨꯝꯕꯥ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ꯫
ꯌꯨꯔꯤꯅꯔꯤ ꯁꯤꯁ꯭ꯇꯦꯝ꯫
- ꯌꯨꯔꯤꯅꯔꯤ ꯇ꯭ꯔꯦꯛꯇꯀꯤ ꯏꯅꯐꯦꯛꯁꯅꯁꯤꯡ꯫ ꯃꯁꯤꯒꯤ ꯔꯤꯁ꯭ꯛ ꯑꯁꯤ ꯃꯔꯨꯑꯣꯏꯅꯥ ꯌꯨꯔꯤꯅꯔꯤ ꯀꯦꯇꯦꯒꯣꯔꯤ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯗꯥ ꯌꯥꯝꯅꯥ ꯋꯥꯡꯏ꯫
ꯒꯦꯁ꯭ꯠꯔꯣꯏꯟꯇꯦꯁ꯭ꯇꯥꯏꯅꯦꯜ ꯁꯤꯁ꯭ꯇꯦꯝ꯫
- ꯑꯦꯄꯦꯟꯗꯤꯁꯥꯏꯇꯤꯁ ꯂꯩꯕꯥ꯫
- ꯏꯟꯇꯦꯁ꯭ꯇꯥꯏꯅꯒꯤ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯃꯁꯤꯡ꯫
- ꯑꯦꯕꯗꯣꯃꯤꯅꯦꯜ ꯀꯦꯚꯤꯇꯤꯗꯥ ꯏꯅꯐꯦꯛꯁꯅꯁꯤꯡ (Peritonitis)꯫
- ꯂꯤꯚꯔ ꯅꯠꯠꯔꯒꯥ ꯒꯥꯂꯕ꯭ꯂꯦꯗꯔꯒꯤ ꯏꯅꯐꯦꯛꯁꯅꯁꯤꯡ꯫
ꯁꯦꯟꯠꯔꯦꯜ ꯅꯔꯚꯁ ꯁꯤꯁ꯭ꯇꯦꯝ꯫
- ꯕ꯭ꯔꯦꯟ ꯅꯠꯠꯔꯒꯥ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗꯀꯤ ꯏꯅꯐꯦꯛꯁꯅꯁꯤꯡ (ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯃꯦꯅꯤꯅꯖꯥꯏꯇꯤꯁ)꯫
ꯎꯅꯁꯥ
- ꯕꯦꯛꯇꯦꯔꯤꯌꯥ ꯑꯁꯤ ꯑꯁꯣꯛ-ꯑꯄꯟ, ꯀꯀꯊꯠꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯁꯦꯂꯟ ꯀꯦꯟꯌꯨꯂꯁꯤꯡꯒꯨꯝꯕꯥ ꯏꯅꯁꯥꯔꯁꯟ ꯁꯥꯏꯠꯁꯤꯡꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯍꯀꯆꯥꯡꯗꯥ ꯆꯪꯂꯀꯏ꯫
- ꯁꯦꯂꯨꯂꯥꯏꯇꯤꯁꯒꯨꯝꯕꯥ ꯈꯣꯡꯒꯤ ꯏꯅꯐꯦꯛꯁꯅꯁꯤꯡ꯫
ꯁꯦꯄꯁꯤꯁ ꯑꯁꯤ ꯂꯧꯅꯒꯅꯕꯥ ꯂꯥꯌꯅꯥ ꯂꯩꯕ꯭ꯔꯥ?
ꯅꯠꯇꯦ ꯁꯦꯄꯁꯤꯁ ꯃꯁꯥꯃꯛ ꯂꯧꯅꯒꯅꯕꯥ ꯂꯥꯌꯅꯥ ꯅꯠꯇꯦ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯁꯦꯄꯁꯤꯁ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯒꯥ ꯁꯣꯛꯅ-ꯁꯝꯅꯔꯕꯗꯤ ꯅꯠꯠꯔꯒꯥ ꯃꯅꯥꯛ ꯅꯀꯄꯗꯥ ꯂꯩꯔꯕꯗꯤ ꯅꯍꯥꯛꯅꯥ ꯁꯦꯄꯁꯤꯁ ꯂꯥꯛꯂꯣꯏ꯫
ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯁꯦꯄꯁꯤꯁ ꯊꯣꯀꯍꯜꯂꯤꯕꯥ ꯏꯅꯐꯦꯛꯁꯟ ꯑꯁꯤ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯂꯧꯅꯒꯅꯕꯥ ꯌꯥꯏ꯫ ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯁꯤ ꯅ꯭ꯌꯨꯃꯣꯅꯤꯌꯥꯒꯨꯝꯕꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯒꯤ ꯏꯅꯐꯦꯛꯁꯟ ꯑꯣꯏꯔꯕꯗꯤ, ꯏꯅꯐꯦꯛꯁꯟ ꯑꯗꯨ ꯊꯣꯀꯍꯜꯂꯤꯕꯥ ꯖꯔꯃꯁꯤꯡ ꯑꯗꯨ ꯑꯇꯣꯞꯄꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯗꯥ ꯁꯟꯗꯣꯀꯄꯥ ꯌꯥꯏ꯫
ꯅꯍꯥꯛꯅꯥ ꯁꯦꯄꯁꯤꯁ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯗꯣꯛꯇꯔ ꯑꯃꯅꯥ ꯀꯔꯝꯅꯥ ꯁꯣꯌꯗꯅꯥ ꯈꯪꯒꯅꯤ?
ꯁꯦꯄꯁꯤꯁ ꯈꯉꯗꯣꯛꯅꯕꯥ ꯗꯤꯐꯤꯅꯤꯇꯤꯕ ꯇꯦꯁ꯭ꯠ ꯑꯃꯠꯇꯥ ꯂꯩꯇꯦ, ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯄꯦꯁꯦꯟꯇꯁꯤꯡꯒꯤ ꯑꯦꯀꯖꯥꯃꯤꯅꯦꯁꯟ, ꯂꯦꯕꯣꯔꯦꯇꯔꯤ ꯇꯦꯁ꯭ꯠ ꯑꯃꯁꯨꯡ ꯑꯦꯛꯁ-ꯔꯦꯗꯒꯤ ꯏꯅꯐꯣꯔꯃꯦꯁꯅꯁꯤꯡꯒꯤ ꯀꯝꯕꯤꯅꯦꯁꯟ ꯑꯃꯥ ꯁꯤꯖꯤꯟꯅꯗꯨꯅꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯀꯅꯐꯔꯝ ꯇꯧꯏ꯫
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯗꯣꯛꯇꯔ ꯑꯃꯅꯥ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯂꯗꯥ ꯑꯦꯗꯃꯤꯁꯟ ꯇꯧꯕꯥ ꯃꯇꯃꯗꯥ ꯁꯦꯄꯁꯤꯁꯀꯤ ꯆꯤꯡꯅꯕꯥ ꯂꯩꯔꯕꯗꯤ ꯃꯈꯣꯌꯅꯥ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯑꯦꯁꯦꯁꯃꯦꯟꯇ ꯑꯃꯥ ꯄꯥꯡꯊꯣꯛꯀꯅꯤ꯫ ꯃꯁꯤ ``(qSOFA)`` ꯀꯧꯕꯥ ꯃꯦꯊꯗ ꯑꯃꯥ ꯁꯤꯖꯤꯟꯅꯗꯨꯅꯥ ꯇꯧꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯏꯅꯐꯦꯛꯁꯟ ꯂꯩꯔꯀꯄꯒꯤ ꯆꯤꯡꯅꯕꯥ ꯂꯩꯔꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯅꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯅꯤ ꯅꯠꯠꯔꯒꯥ ꯃꯁꯤꯗꯒꯤ ꯍꯦꯅꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯂꯩꯔꯕꯗꯤ ꯁꯦꯄꯁꯤꯁ ꯍꯥꯌꯅꯥ ꯆꯤꯡꯅꯒꯅꯤ:
- ꯂꯣ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ: ꯁꯤꯁ꯭ꯇꯣꯂꯤꯛ ꯄ꯭ꯔꯦꯁꯔ (ꯃꯊꯛꯀꯤ ꯃꯁꯤꯡ) ꯑꯁꯤ 100 mmHgꯗꯒꯤ ꯍꯦꯜꯂꯤ꯫
- ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯒꯤ ꯆꯥꯡ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ: ꯃꯤꯅꯠ ꯑꯃꯗꯥ 22ꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ꯫
- ꯋꯥꯈꯜ ꯋꯥꯕꯥ/ ꯋꯥꯈꯜ ꯋꯥꯕꯥ (confusion/consciousness): ꯄꯦꯁꯦꯟꯇ ꯑꯗꯨꯒꯤ ꯀꯟꯁꯆꯤꯌꯟꯁꯀꯤ ꯊꯥꯛ ꯑꯗꯨ ꯌꯦꯡꯁꯤꯜꯂꯤꯕꯥ ꯒ꯭ꯂꯥꯁꯒꯣ ꯀꯣꯃꯥ ꯁ꯭ꯀꯦꯂꯗꯥ ꯁ꯭ꯀꯣꯔ 15 ꯅꯠꯠꯔꯒꯥ ꯃꯁꯤꯗꯒꯤ ꯍꯦꯅꯕꯥ꯫
ꯑꯍꯥꯅꯕꯥ ꯑꯀꯤꯕꯥ ꯑꯁꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ, ꯏꯅꯐꯦꯛꯁꯟ ꯑꯁꯤ ꯀꯔꯤꯅꯣ ꯑꯃꯁꯨꯡ ꯑꯣꯔꯒꯥꯟ ꯑꯃꯠꯇꯥ ꯁꯣꯀꯈꯤꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯆꯨꯝꯅꯥ ꯈꯉꯗꯣꯛꯅꯕꯥ ꯑꯍꯦꯅꯕꯥ ꯇꯦꯁ꯭ꯠ ꯀꯌꯥ ꯑꯃꯥ ꯄꯥꯡꯊꯣꯀꯏ꯫
- ꯕ꯭ꯂꯗ ꯇꯦꯁ꯭ꯠ: ꯃꯄꯨꯡꯐꯥꯕꯥ ꯕ꯭ꯂꯗ ꯀꯥꯎꯟꯇ (CBC), ꯕ꯭ꯂꯗ ꯀꯂꯆꯔ, ꯂꯤꯚꯔ ꯑꯃꯁꯨꯡ ꯀꯤꯗꯅꯤꯒꯤ ꯐꯉ꯭ꯀꯁꯟ, ꯑꯃꯁꯨꯡ ꯕ꯭ꯂꯗ ꯀ꯭ꯂꯣꯇꯤꯡ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯃꯁꯤꯡ꯫
- ꯕ꯭ꯂꯗ ꯑꯣꯛꯁꯤꯖꯦꯅꯒꯤ ꯆꯥꯡ: ꯏꯗꯥ ꯑꯣꯛꯁꯤꯖꯦꯟ ꯀꯌꯥ ꯂꯩꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯁꯤꯟꯅꯕꯥ ꯀ꯭ꯂꯤꯄꯒꯨꯝꯕꯥ ꯈꯨꯠꯂꯥꯏ ꯑꯃꯥ ꯐꯤꯉ꯭ꯒꯔꯗꯥ ꯊꯥꯏ꯫
- ꯌꯨꯔꯤꯟ ꯇꯦꯁ꯭ꯇꯁꯤꯡ: ꯌꯨꯔꯤꯅꯔꯤ ꯇ꯭ꯔꯦꯛꯇꯀꯤ ꯏꯅꯐꯦꯛꯁꯅꯁꯤꯡ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯆꯦꯛ ꯇꯧ꯫
- ꯑꯇꯣꯞꯄꯥ ꯁ꯭ꯀꯦꯅꯁꯤꯡ: ꯆꯦꯁ꯭ꯠ ꯑꯦꯛꯁ-ꯔꯦ ꯅꯠꯠꯔꯒꯥ ꯁꯤ.ꯇꯤ.
ꯁꯦꯄꯁꯤꯁ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯂꯥꯏꯌꯦꯡꯕꯒꯦ?
ꯁꯦꯄꯁꯤꯁꯀꯤ ꯂꯥꯏꯌꯦꯡ ꯈꯨꯗꯛꯇꯥ ꯍꯧꯒꯗꯕꯅꯤ . ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯗꯥꯏꯑꯦꯒ꯭ꯅꯣꯁꯤꯁ ꯇꯧꯔꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯊꯕꯛ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯍꯧꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯄꯨꯟꯁꯤ ꯑꯃꯥ ꯀꯟꯅꯕꯒꯤ ꯆꯥꯡ ꯍꯦꯅꯒꯠꯂꯀꯏ꯫
ꯃꯍꯧꯁꯥꯅꯥ, ꯁꯦꯄꯁꯤꯁꯅꯥ ꯅꯥꯕꯥ ꯑꯅꯥꯕꯥ ꯑꯃꯕꯨ ꯑꯈꯟꯅꯕꯥ ꯂꯥꯏꯌꯦꯡꯅꯕꯒꯤꯗꯃꯛ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯂꯒꯤ ꯏꯟꯇꯦꯟꯁꯤꯚ ꯀꯦꯌꯔ ꯌꯨꯅꯤꯠ (ICU) ꯗꯥ ꯑꯦꯗꯃꯤꯠ ꯇꯧꯏ꯫
- ꯑꯦꯟꯇꯤꯕꯥꯏꯑꯣꯇꯤꯀꯁꯤꯡ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯁꯤ ꯕꯦꯛꯇꯦꯔꯤꯌꯥ ꯏꯅꯐꯦꯛꯁꯟ ꯑꯣꯏꯔꯕꯗꯤ, ꯃꯇꯤꯛ ꯆꯥꯕꯥ ꯑꯀꯅꯕꯥ ꯑꯦꯟꯇꯤꯕꯥꯏꯑꯣꯇꯤꯀꯁꯤꯡ ꯈꯨꯗꯛꯇꯥ ꯚꯦꯅꯝ (ꯏꯟꯠꯔꯥꯚꯦꯅꯁ - IV)ꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯍꯧꯒꯅꯤ꯫
- ꯏꯟꯠꯔꯥꯚꯦꯅꯁ ꯐ꯭ꯂꯨꯏꯗ (IV ꯐ꯭ꯂꯨꯏꯗ): ꯑꯣꯔꯒꯥꯅꯁꯤꯡꯗꯥ ꯑꯐꯕꯥ ꯏ ꯆꯦꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯕꯤ.ꯄꯤ.
- ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯅꯕꯥ ꯍꯤꯗꯥꯀꯁꯤꯡ (Vasopressors): ꯀꯔꯤꯒꯨꯝꯕꯥ ꯁꯦꯂꯟ ꯄꯤꯔꯕꯁꯨ BP ꯑꯁꯤ ꯃꯇꯤꯛ ꯆꯥꯕꯥ ꯂꯦꯚꯦꯂꯗꯥ ꯄꯨꯔꯀꯄꯥ ꯉꯃꯗ꯭ꯔꯕꯗꯤ, ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯂꯁꯤꯡ ꯀꯟꯁ꯭ꯠꯔꯤꯛꯇ ꯇꯧꯗꯨꯅꯥ BP ꯍꯦꯅꯒꯠꯍꯅꯕꯥ ꯚꯦꯁꯣꯞꯔꯦꯁꯔ ꯍꯤꯗꯥꯀꯁꯤꯡ ꯄꯤ꯫
- ꯑꯣꯔꯒꯥꯟ ꯁꯄꯣꯔꯠ (Organ support): ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯣꯔꯒꯥꯟ ꯑꯃꯅꯥ ꯁꯣꯀꯍꯜꯂꯕꯗꯤ ꯃꯗꯨꯕꯨ ꯁꯄꯣꯔꯇꯤꯚ ꯀꯦꯌꯔ ꯄꯤ꯫ ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯀꯤꯗꯅꯤꯁꯤꯡ ꯑꯗꯨ ꯁꯣꯟꯊꯔꯕꯗꯤ, ꯗꯥꯏꯑꯦꯂꯥꯏꯁꯤꯁ ꯇꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ ꯑꯣꯏꯔꯕꯗꯤ, ꯃꯦꯀꯥꯅꯤꯀꯦꯜ ꯚꯦꯟꯇꯤꯂꯦꯁꯟ ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯏ꯫
- ꯁꯔꯖꯔꯤ꯫
ꯅꯍꯥꯛꯅꯥ ꯁꯦꯄꯁꯤꯁꯇꯒꯤ ꯐꯒꯠꯂꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯀꯔꯤ ꯑꯣꯏꯒꯅꯤ?
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯂꯥꯌꯅꯥ ꯑꯁꯤ ꯈꯪꯗꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯊꯨꯅꯥ ꯂꯥꯏꯌꯦꯡꯂꯕꯗꯤ, ꯁꯦꯄꯁꯤꯁꯅꯥ ꯅꯥꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯌꯥꯝꯕꯗꯤ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯐꯒꯠꯂꯛꯀꯅꯤ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯗꯨ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯑꯣꯏꯔꯕꯗꯤ, ꯃꯔꯨꯑꯣꯏꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯁꯦꯞꯇꯤꯛ ꯁꯣꯛ (septic shock) ꯐꯥꯎꯕꯥ ꯍꯦꯅꯒꯠꯂꯛꯂꯕꯗꯤ, ꯂꯥꯏꯌꯦꯡꯕꯗꯁꯨ ꯄꯨꯟꯁꯤ ꯀꯅꯕꯥ ꯉꯃꯗꯕꯥ ꯌꯥꯏ꯫ ꯁꯦꯄꯇꯤꯛ ꯁꯣꯀꯇꯥ, ꯄꯨꯡ 12ꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯁꯤꯕꯥ ꯌꯥꯏ꯫
ꯁꯦꯄꯁꯤꯁ ꯑꯁꯤ ꯄꯨꯟꯁꯤ ꯀꯅꯕꯥ ꯉꯝꯂꯕꯁꯨ, ꯃꯤꯑꯣꯏ ꯈꯔꯗꯗꯤ ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯁꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫
- ꯇꯨꯝꯕꯥ ꯌꯥꯗꯕꯥ, ꯅꯨꯃꯤꯠꯀꯤ ꯃꯉꯥꯜ ꯊꯣꯀꯄꯥ꯫
- ꯄꯦꯅꯤꯛ ꯑꯦꯇꯦꯀꯁꯤꯡ꯫
- ꯁꯔꯨ ꯇꯥꯡ ꯑꯃꯁꯨꯡ ꯃꯁꯂꯁꯤꯡꯗꯥ ꯑꯅꯥꯕꯥ ꯂꯩꯕꯥ꯫
- ꯋꯥꯈꯜ ꯈꯅꯕꯥ, ꯅꯤꯡꯁꯤꯡꯕꯥ ꯑꯃꯁꯨꯡ ꯋꯥꯔꯦꯞ ꯂꯧꯕꯥ ꯉꯝꯕꯥ ꯍꯟꯊꯔꯀꯄꯥ꯫
- ꯑꯣꯔꯒꯥꯟ ꯑꯃꯒꯤ ꯊꯕꯛ ꯊꯧꯔꯃꯁꯤꯡꯗꯥ ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯁꯣꯀꯍꯜꯂꯀꯄꯥ꯫
ꯃꯁꯤꯗꯁꯨ ꯅꯠꯇꯅꯥ, ꯁꯦꯄꯁꯤꯁ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯅꯥꯔꯀꯄꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯅꯥ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯂꯥꯀꯄꯒꯤ ꯔꯤꯁ꯭ꯛ ꯂꯩ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯅꯧꯕꯥ ꯏꯅꯐꯦꯛꯁꯟ ꯑꯃꯥ ꯂꯥꯛꯂꯕꯗꯤ ꯈꯨꯗꯛꯇꯥ ꯂꯥꯏꯌꯦꯡ ꯂꯧꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫
ꯐꯒꯠꯂꯀꯄꯒꯤ ꯈꯣꯉꯆꯠ... ꯃꯌꯨꯃꯗꯥ ꯍꯜꯂꯛꯂꯕꯥ ꯃꯇꯨꯡꯗꯥ꯫
ꯅꯍꯥꯛꯅꯥ ꯁꯦꯄꯁꯤꯁꯇꯒꯤ ꯐꯒꯠꯂꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯌꯨꯃꯗꯥ ꯍꯜꯂꯛꯂꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡ ꯑꯃꯁꯨꯡ ꯋꯥꯈꯜ ꯑꯗꯨ ꯐꯒꯠꯂꯀꯄꯒꯤ ꯃꯇꯝ ꯄꯤꯕꯥ ꯃꯊꯧ ꯇꯥꯏ꯫ ꯑꯍꯥꯅꯕꯗꯥ, ꯅꯍꯥꯛꯅꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯑꯁꯣꯛ-ꯑꯄꯅꯁꯤꯡ ꯑꯁꯤ ꯊꯦꯡꯅꯔꯀꯄꯥ ꯌꯥꯏ:
ꯍꯀꯆꯥꯡꯒꯤ ꯑꯋꯥꯕꯁꯤꯡ: ꯱.
- ꯑꯀꯅꯕꯥ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯑꯃꯁꯨꯡ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ꯫
- ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ꯫
- ꯍꯀꯆꯥꯡ ꯁꯣꯀꯄꯥ꯫
- ꯈꯣꯡꯅꯥ ꯆꯠꯄꯗꯥ ꯑꯋꯥꯕꯥ, ꯊꯕꯛ ꯄꯥꯡꯊꯣꯀꯄꯗꯥ ꯑꯋꯥꯕꯥ, ꯑꯃꯁꯨꯡ ꯇꯨꯝꯕꯥ ꯌꯥꯗꯕꯒꯤ ꯁꯃꯁ꯭ꯌꯥ꯫
- ꯆꯥꯛ ꯆꯥꯕꯥ ꯋꯥꯠꯄꯥ ꯑꯃꯁꯨꯡ ꯑꯔꯨꯝꯕꯥ ꯍꯟꯊꯕꯥ꯫
- ꯈꯣꯡ ꯍꯥꯝꯕꯥ, ꯈꯣꯡ ꯍꯥꯝꯕꯥ, ꯅꯥꯀꯣꯡ ꯁꯣꯀꯄꯥ, ꯑꯃꯁꯨꯡ ꯈꯣꯡ ꯍꯥꯝꯕꯥ꯫
ꯃꯦꯟꯇꯦꯜ ꯑꯃꯁꯨꯡ ꯏꯃꯣꯁꯅꯦꯜ ꯑꯣꯏꯕꯥ ꯑꯋꯥꯕꯁꯤꯡ: 1.1.
- ꯃꯁꯥ ꯃꯊꯟꯇꯥ ꯂꯩꯖꯕꯥ ꯌꯥꯕꯥ꯫
- ꯐ꯭ꯂꯦꯁꯕꯦꯀꯁꯤꯡ꯫
- ꯄꯨꯛꯅꯤꯡ ꯆꯪꯕꯗꯥ ꯑꯋꯥꯕꯥ꯫
- ꯑꯦꯟꯁꯤꯇꯤ ꯑꯃꯁꯨꯡ ꯗꯤꯞꯔꯦꯁꯟ꯫
- ꯊꯨꯅꯥ ꯑꯁꯥꯑꯣꯕꯥ, ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ꯫
- ꯆꯃꯝꯅꯕ.
ꯃꯇꯝ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯌꯥꯔꯤꯕꯃꯈꯩ ꯅꯨꯡꯉꯥꯏꯅꯥ ꯂꯩꯌꯨ꯫ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯤ ꯏꯅꯁ꯭ꯠꯔꯛꯁꯅꯁꯤꯡ ꯏꯅꯒꯗꯕꯅꯤ꯫ ꯑꯍꯥꯅꯕꯗꯥ, ꯂꯨ-ꯅꯥꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯄꯣꯠ-ꯆꯩ ꯌꯣꯅꯕꯥ ꯑꯁꯤꯅꯆꯤꯡꯕꯥ ꯑꯄꯤꯀꯄꯥ ꯄꯥꯟꯗꯃꯁꯤꯡ ꯊꯝꯅꯕꯥ ꯍꯣꯠꯅꯧ, ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯃꯈꯣꯌꯗꯨꯗꯥ ꯊꯕꯛ ꯇꯧ꯫ ꯏꯃꯨꯡ-ꯃꯅꯨꯡ ꯑꯃꯁꯨꯡ ꯃꯔꯨꯞ-ꯃꯄꯥꯡꯁꯤꯡꯒꯥ ꯅꯍꯥꯛꯀꯤ ꯐꯤꯚꯃꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯕꯤꯌꯨ꯫ ꯈꯣꯡꯆꯠ ꯑꯁꯤ ꯃꯇꯝ ꯈꯔꯥ ꯆꯪꯂꯒꯅꯤ ꯑꯗꯨꯕꯨ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯑꯗꯣꯝ ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯅꯥ ꯍꯜꯂꯛꯂꯒꯅꯤ꯫
ꯁꯦꯄꯁꯤꯁꯇꯒꯤ ꯃꯇꯧ ꯀꯔꯝꯅꯥ ꯉꯥꯀꯊꯣꯛꯀꯗꯒꯦ?
ꯁꯦꯄꯁꯤꯁꯇꯒꯤ ꯂꯥꯄꯊꯣꯛꯅꯕꯒꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯥ ꯄꯥꯝꯕꯩꯗꯤ ꯏꯅꯐꯦꯛꯁꯅꯁꯤꯡ ꯊꯣꯀꯍꯟꯗꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯏꯅꯐꯦꯛꯁꯟ ꯊꯣꯛꯂꯕꯗꯤ ꯈꯨꯗꯛꯇꯥ ꯂꯥꯏꯌꯦꯡ ꯂꯧꯕꯅꯤ꯫
- ꯑꯐꯕꯥ ꯍꯥꯏꯖꯤꯟ: ꯅꯍꯥꯛꯀꯤ ꯈꯨꯠꯁꯥꯁꯤꯡ ꯑꯗꯨ ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯁꯥꯄꯣꯟ ꯑꯃꯁꯨꯡ ꯏꯁꯤꯡꯅꯥ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯁꯦꯡꯗꯣꯀꯎ꯫
- ꯑꯁꯣꯛ-ꯑꯄꯅꯁꯤꯡ ꯁꯦꯡꯅꯥ ꯊꯝꯕꯥ: ꯀꯀꯊꯠꯄꯥ ꯑꯃꯁꯨꯡ ꯀꯨꯄꯁꯤꯅꯕꯥ ꯌꯥꯕꯥ ꯑꯁꯣꯛ-ꯑꯄꯅꯁꯤꯡ ꯑꯗꯨ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯁꯦꯡꯗꯣꯀꯎ ꯑꯃꯁꯨꯡ ꯃꯈꯣꯌꯗꯨ ꯐꯒꯠꯂꯛꯠꯔꯤꯕꯐꯥꯎꯕꯥ ꯊꯤꯡꯖꯤꯜꯂꯨ꯫
- ꯇꯤꯀꯥ ꯊꯥꯕꯥ: ꯃꯊꯧ ꯇꯥꯕꯥ ꯇꯤꯀꯥ ꯄꯨꯝꯅꯃꯛ ꯃꯇꯝ ꯆꯥꯅꯥ ꯂꯧꯕꯥ꯫
- ꯀ꯭ꯔꯣꯅꯤꯛ ꯗꯤꯖꯤꯖ ꯃꯦꯅꯦꯖꯃꯦꯟꯇ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯗꯥꯏꯑꯦꯕꯦꯇꯤꯖꯒꯨꯝꯕꯥ ꯂꯥꯌꯅꯥꯁꯤꯡ ꯂꯩꯔꯕꯗꯤ ꯃꯗꯨ ꯐꯖꯅꯥ ꯃꯦꯅꯦꯖ ꯇꯧ꯫
- ꯈꯨꯗꯛꯇꯥ ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯄꯥꯎꯇꯥꯛ ꯂꯧꯕꯤꯌꯨ:
- ꯁꯦꯄꯁꯤꯁ ꯑꯁꯤ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯏꯅꯐꯦꯛꯁꯟ ꯑꯃꯅꯤ꯫ ꯃꯁꯤ ꯏꯅꯐꯦꯛꯁꯟ ꯑꯃꯗꯥ ꯍꯀꯆꯥꯡꯅꯥ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯗꯕꯥ, ꯄꯨꯟꯁꯤ ꯃꯥꯡꯍꯅꯕꯥ ꯌꯥꯕꯥ ꯔꯦꯁꯄꯣꯟꯁꯅꯤ꯫
- ꯂꯥꯏꯑꯣꯡꯁꯤꯡ, ꯍꯥꯔꯇꯀꯤ ꯈꯣꯡꯖꯦꯜ ꯌꯥꯡꯅꯥ ꯆꯦꯅꯕꯥ, ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ, ꯋꯥꯈꯜ ꯆꯔꯥꯡꯅꯕꯥ, ꯑꯃꯁꯨꯡ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯑꯅꯥꯕꯥ ꯑꯁꯤꯅꯆꯤꯡꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡꯒꯤꯗꯃꯛ ꯃꯇꯝ ꯄꯨꯝꯅꯃꯛꯇꯥ ꯆꯦꯀꯁꯤꯅꯒꯗꯕꯅꯤ꯫
- ꯑꯍꯜ ꯑꯣꯏꯔꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡ, ꯅꯍꯥ ꯑꯣꯏꯔꯤꯕꯥ ꯑꯉꯥꯡꯁꯤꯡ, ꯃꯤꯔꯣꯜꯂꯤꯕꯤ ꯃꯃꯥꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯀ꯭ꯔꯣꯅꯤꯛ ꯂꯥꯌꯅꯥꯅꯥ ꯅꯥꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡ ꯑꯁꯤ ꯍꯦꯟꯅꯥ ꯔꯤꯁ꯭ꯛ ꯂꯩ꯫
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯏꯅꯐꯦꯛꯁꯟ ꯑꯃꯥ ꯍꯦꯟꯅꯥ ꯐꯠꯆꯤꯜꯂꯛꯂꯤꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯅꯍꯥꯛꯅꯥ ꯁꯦꯄꯁꯤꯁꯀꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯂꯥꯀꯄꯥ ꯇꯥꯔꯕꯗꯤ, ꯃꯇꯝ ꯃꯥꯡꯍꯅꯒꯅꯨ ꯑꯃꯁꯨꯡ ꯈꯨꯗꯛꯇꯥ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯜ ꯑꯃꯒꯤ ꯏꯃꯔꯖꯦꯟꯁꯤ ꯗꯤꯄꯥꯔꯇꯃꯦꯟꯇ (ETU)ꯗꯥ ꯆꯠꯂꯨ꯫ ꯊꯨꯅꯥ ꯂꯥꯌꯦꯡꯕꯅꯥ ꯄꯨꯟꯁꯤ ꯀꯅꯕꯥ ꯉꯃꯒꯅꯤ꯫
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯏꯅꯐꯦꯛꯁꯟ ꯑꯃꯥ ꯂꯩꯔꯦ ꯍꯥꯌꯅꯥ ꯆꯤꯡꯅꯔꯕꯗꯤ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯗꯨ ꯂꯥꯀꯁꯤꯜꯂꯛꯠꯔꯕꯗꯤ, ꯅꯠꯠꯔꯒꯥ ꯍꯦꯟꯅꯥ ꯐꯠꯆꯤꯜꯂꯛꯂꯤꯕꯥ ꯑꯣꯏꯔꯕꯗꯤ, ꯊꯦꯡꯊꯕꯥ ꯂꯩꯇꯅꯥ ꯗꯣꯛꯇꯔ ꯑꯃꯗꯥ ꯇꯥꯀꯄꯤꯌꯨ꯫ ꯑꯄꯤꯀꯄꯥ ꯏꯁꯨ ꯑꯃꯥ ꯑꯣꯏꯅꯥ ꯂꯧꯅꯒꯅꯕꯥ ꯏꯅꯐꯦꯛꯁꯟ ꯑꯃꯅꯥ ꯄꯨꯟꯁꯤ ꯃꯥꯡꯍꯅꯕꯥ ꯌꯥꯏ꯫
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