ꯅꯍꯥꯛꯅꯥ ꯑꯌꯨꯛ-ꯅꯨꯡꯊꯤꯂꯗꯥ ꯇꯨꯝꯕꯥ ꯃꯇꯃꯗꯁꯨ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ ꯂꯩꯕ꯭ꯔꯥ? ꯁ꯭ꯂꯤꯞ ꯑꯦꯄꯅꯤꯌꯥꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯁꯤ!

ꯅꯍꯥꯀꯁꯨ ꯑꯌꯨꯛꯇꯥ ꯇꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯈꯉꯍꯧꯗꯅꯥ ꯊꯋꯥꯏ ꯌꯥꯑꯣꯕꯥ ꯐꯥꯑꯣꯕ꯭ꯔꯥ? ꯅꯠꯠꯔꯒꯥ ꯅꯍꯥꯛꯅꯥ ꯇꯨꯝꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯗꯨꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯅꯨꯃꯤꯗꯥꯡꯗꯥ ꯃꯇꯝ ꯈꯔꯒꯤ ꯑꯣꯏꯅꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯂꯦꯄꯇꯨꯅꯥ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯍꯧꯔꯦ ꯍꯥꯌꯅꯥ ꯍꯥꯌꯔꯤꯕꯔꯥ? ꯅꯠꯔꯒꯥ ꯑꯌꯨꯛꯇꯥ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯍꯧꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯐꯥꯑꯣꯕ꯭ꯔꯥ? ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯔꯦꯟꯗꯝ ꯑꯣꯏꯕꯥ ꯋꯥꯐꯃꯁꯤꯡ ꯈꯛꯇꯃꯛ ꯅꯠꯇꯦ, ꯃꯁꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯁ꯭ꯂꯤꯞ ꯑꯦꯄꯅꯤꯌꯥ ꯀꯧꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯥ ꯂꯩꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯑꯀꯨꯞꯄꯥ ꯃꯔꯣꯂꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯁꯤ, ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ꯫

ꯁ꯭ꯂꯤꯞ ꯑꯦꯄꯅꯤꯌꯥ ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ?

ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯁ꯭ꯂꯤꯞ ꯑꯦꯄꯅꯤꯌꯥ ꯍꯥꯌꯕꯁꯤ ꯅꯍꯥꯛꯅꯥ ꯇꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯃꯇꯝ ꯈꯔꯒꯤ ꯑꯣꯏꯅꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯂꯦꯄꯍꯅꯕꯥ ꯍꯥꯌꯕꯁꯤꯅꯤ꯫ ꯃꯁꯤꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯔꯝ ꯑꯅꯤ ꯂꯩ꯫ ꯑꯃꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯦꯌꯔꯋꯦ (ꯑꯣꯕꯁ꯭ꯠꯔꯀꯆꯔ ꯁ꯭ꯂꯤꯞ ꯑꯦꯄꯅꯤꯌꯥ) . ꯑꯇꯣꯞꯄꯥ ꯑꯃꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯕ꯭ꯔꯦꯅꯅꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ (central sleep apnea) .

ꯍꯧꯖꯤꯛ ꯈꯟꯊꯕꯤꯌꯨ, ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯑꯣꯛꯁꯤꯖꯦꯟ ꯐꯪꯗꯕꯥ ꯃꯇꯃꯗꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯑꯉꯀꯄꯥ ꯁꯦꯐꯇꯤ ꯃꯦꯀꯥꯅꯤꯖꯝ ꯑꯃꯥ ꯂꯩ꯫ ꯃꯁꯤꯅꯥ ꯑꯩꯈꯣꯌꯕꯨ ꯃꯄꯨꯡ ꯐꯥꯅꯥ ꯋꯥꯈꯜ ꯇꯥꯍꯜꯂꯣꯏꯗꯕꯁꯨ, ꯃꯁꯤꯅꯥ ꯑꯩꯈꯣꯌꯕꯨ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯍꯧꯕꯥ ꯉꯝꯅꯕꯥ ꯃꯇꯤꯛ ꯆꯥꯅꯥ ꯋꯥꯈꯜ ꯇꯥꯍꯅꯕꯈꯛꯇꯅꯤ꯫ ꯃꯁꯤꯅꯥ ꯄꯨꯟꯁꯤ ꯀꯟꯅꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯂꯕꯁꯨ, ꯃꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯇꯨꯝꯕꯥ ꯌꯥꯗꯕꯒꯤ ꯆꯌꯣꯜ ꯑꯗꯨ ꯁꯣꯀꯍꯜꯂꯤ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯑꯐꯕꯥ, ꯅꯨꯡꯉꯥꯏꯅꯥ ꯇꯨꯝꯕꯥ ꯉꯃꯗꯦ . ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯁꯤ ꯃꯈꯥ ꯆꯠꯊꯔꯕꯗꯤ, ꯃꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯊꯝꯃꯣꯌꯗꯥ ꯄ꯭ꯔꯦꯁꯔ ꯄꯤꯕꯁꯨ ꯌꯥꯏ , ꯃꯗꯨ ꯂꯥꯏꯌꯦꯡꯗ꯭ꯔꯕꯗꯤ ꯄꯨꯟꯁꯤ ꯃꯥꯡꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯈꯪꯖꯤꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯊꯧ ꯇꯥꯔꯕꯗꯤ ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯄꯥꯎꯇꯥꯛ ꯂꯧꯕꯥ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫

ꯁ꯭ꯂꯤꯞ ꯑꯦꯄꯅꯤꯌꯥꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯈꯂꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?

ꯁ꯭ꯂꯤꯞ ꯑꯦꯄꯅꯤꯌꯥꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯈꯜ ꯑꯍꯨꯝ ꯑꯁꯤ ꯀꯔꯤꯅꯣ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯁꯤ꯫

ꯁ꯭ꯂꯤꯞ ꯑꯦꯄꯅꯤꯌꯥ (ꯑꯣꯕꯁ꯭ꯠꯔꯥꯀꯇꯤꯚ ꯁ꯭ꯂꯤꯞ ꯑꯦꯄꯅꯤꯌꯥ - ꯑꯣ.ꯑꯦꯁ.ꯑꯦ.) 1.

ꯃꯁꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯃꯈꯂꯅꯤ꯫ ꯊꯣꯛꯂꯤꯕꯥ ꯑꯁꯤ ꯅꯍꯥꯛꯅꯥ ꯇꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯀꯣꯛꯇꯥ ꯂꯩꯕꯥ ꯃꯁꯂꯁꯤꯡ ꯑꯗꯨ ꯔꯤꯂꯥꯛꯁ ꯇꯧꯏ . ꯑꯀꯣꯌꯕꯗꯥ ꯂꯩꯕꯥ ꯇꯤꯁꯨꯁꯤꯡꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯅꯨꯡꯁꯤꯠꯀꯤ ꯈꯣꯡꯖꯦꯂꯗꯥ ꯄ꯭ꯔꯦꯁꯔ ꯄꯤꯗꯨꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯦꯌꯔꯋꯦ (airway) ꯊꯤꯡꯏ꯫ ꯃꯁꯤ ꯅꯉꯅꯥ ꯄꯥꯏꯞ ꯑꯃꯗꯥ ꯆꯦꯟꯊꯔꯀꯄꯒꯨꯝꯕꯅꯤ꯫ ꯃꯗꯨꯗꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ ꯍꯧꯔꯀꯏ, ꯑꯃꯁꯨꯡ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯁꯦꯀꯦꯟꯗ ꯈꯔꯒꯤ ꯑꯣꯏꯅꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯂꯦꯄꯍꯅꯕꯥ ꯌꯥꯏ꯫

ꯁꯦꯟꯠꯔꯦꯜ ꯁ꯭ꯂꯤꯞ ꯑꯦꯄꯅꯤꯌꯥ (ꯁꯤ.ꯑꯦꯁ.ꯑꯦ.) ꯑꯁꯤ ꯲.

ꯃꯈꯜ ꯑꯁꯤꯗꯥ, ꯅꯍꯥꯛꯅꯥ ꯇꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯅꯍꯥꯛꯀꯤ ꯕ꯭ꯔꯦꯅꯅꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯗꯥ ꯌꯥꯎꯔꯤꯕꯥ ꯃꯁꯂꯁꯤꯡꯗꯥ ꯑꯆꯨꯝꯕꯥ ꯁꯤꯒꯅꯦꯂꯁꯤꯡ ꯊꯥꯕꯥ ꯉꯃꯗꯦ . ꯍꯥꯌꯕꯗꯤ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯔꯤꯕꯥ ꯁꯦꯟꯇꯔ ꯑꯁꯤꯗꯥ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯑꯃꯥ ꯂꯩꯔꯤ꯫ ꯃꯐꯝ ꯑꯁꯤꯗꯥ, ꯑꯦꯌꯔꯋꯦꯗꯥ ꯑꯀꯥꯌꯕꯥ ꯑꯃꯠꯇꯥ ꯂꯩꯇꯦ, ꯑꯗꯨꯕꯨ ꯕ꯭ꯔꯦꯅꯗꯒꯤ "ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ" ꯍꯥꯌꯕꯁꯤꯗꯤ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯆꯠꯄꯥ ꯉꯃꯗꯦ꯫

3. ꯃꯤꯛꯁ/ꯀꯝꯞꯂꯦꯛꯁ ꯁ꯭ꯂꯤꯞ ꯑꯦꯄꯅꯤꯌꯥ꯫

ꯃꯁꯤꯒꯤ ꯀꯦꯁ ꯑꯁꯤꯗꯥ ꯃꯃꯥꯡꯗꯥ ꯄꯅꯈꯤꯕꯥ ꯑꯣ.ꯑꯦꯁ.ꯑꯦ. ꯑꯃꯁꯨꯡ ꯁꯤ.ꯑꯦꯁ.ꯑꯦ.ꯒꯤ ꯃꯈꯜ ꯑꯅꯤꯃꯛꯀꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯄꯨꯟꯅꯥ ꯎꯕꯥ ꯐꯪꯏ . ꯍꯥꯌꯕꯗꯤ ꯑꯦꯌꯔꯋꯦ (airway) ꯊꯤꯡꯖꯤꯜꯂꯤ, ꯑꯃꯁꯨꯡ ꯕ꯭ꯔꯦꯅꯗꯒꯤ ꯂꯥꯀꯄꯥ ꯁꯤꯒꯅꯦꯂꯁꯤꯡꯗꯁꯨ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯈꯔꯥ ꯂꯩꯕꯥ ꯌꯥꯏ꯫

ꯁ꯭ꯂꯤꯞ ꯑꯦꯄꯅꯤꯌꯥ ꯀꯧꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯀꯌꯥꯝ ꯀꯃꯟ ꯑꯣꯏꯕꯒꯦ?

ꯇꯁꯦꯡꯕꯗꯤ ꯃꯁꯤ ꯅꯍꯥꯛꯅꯥ ꯈꯜꯂꯤꯕꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫ ꯊꯤꯖꯤꯅꯕꯒꯤ ꯊꯕꯛ ꯑꯃꯅꯥ ꯃꯥꯂꯦꯝ ꯁꯤꯅꯕꯥ ꯊꯨꯡꯅꯥ ꯆꯍꯤ ꯳꯰ꯗꯒꯤ ꯶꯹ ꯐꯥꯑꯣꯕꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯂꯩꯕꯥ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯃꯤꯑꯣꯏ ꯕꯤꯂꯤꯌꯟ ꯑꯃꯥ ꯑꯣꯕꯁ꯭ꯠꯔꯀꯆꯔ ꯁ꯭ꯂꯤꯞ ꯑꯦꯄꯅꯤꯌꯥ (ꯑꯣ.ꯑꯦꯁ.ꯑꯦ.) . ꯁꯦꯟꯠꯔꯦꯜ ꯁ꯭ꯂꯤꯞ ꯑꯦꯄꯅꯤꯌꯥ (CSA) ꯀꯧꯕꯥ ꯃꯈꯜ ꯑꯁꯤ ꯑꯣ.ꯑꯦꯁ.ꯑꯦ.ꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯀꯃꯟ ꯑꯣꯏꯔꯕꯁꯨ, ꯃꯁꯤꯁꯨ ꯑꯆꯝꯕꯥ ꯊꯧꯑꯣꯡ ꯑꯃꯅꯤ꯫

ꯁ꯭ꯂꯤꯞ ꯑꯦꯄꯅꯤꯌꯥꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯁ꯭ꯂꯤꯞ ꯑꯦꯄꯅꯤꯌꯥ ꯂꯩꯔꯦ ꯍꯥꯌꯅꯥ ꯆꯤꯡꯅꯔꯕꯗꯤ, ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯄꯨꯛꯅꯤꯡ ꯆꯪꯕꯤꯌꯨ꯫

ꯀꯌꯥꯅꯥ ꯎꯕꯥ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ:

• ꯅꯨꯃꯤꯗꯥꯡꯒꯤ ꯃꯇꯃꯗꯥ ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯋꯥꯈꯜ ꯇꯥꯕꯥ꯫
• ꯇꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯃꯇꯝ ꯈꯔꯒꯤ ꯑꯣꯏꯅꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯂꯦꯄꯍꯅꯕꯥ (ꯃꯁꯤ ꯑꯌꯥꯝꯕꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯇꯨꯝꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯗꯨꯗꯥ ꯎꯕꯥ ꯐꯪꯏ)꯫
• ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯒꯤ ꯃꯑꯣꯡ-ꯃꯇꯧꯗꯥ ꯑꯦꯕꯅꯣꯔꯃꯦꯂꯤꯇꯤꯁꯤꯡ (ꯈꯨꯗꯛꯇꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ, ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯌꯥꯝꯅꯥ ꯂꯨꯕꯥ, ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯁꯦꯡꯗꯣꯀꯄꯥ, ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯊꯤꯡꯖꯤꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯍꯧꯕꯥ)꯫
• ꯑꯀꯅꯕꯥ ꯈꯣꯟꯖꯦꯜ ꯊꯣꯀꯄꯥ .
• ꯑꯌꯨꯛꯇꯥ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯍꯧꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ, ꯅꯍꯥꯛꯅꯥ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯐꯥꯎꯕꯥ .
• ꯅꯨꯃꯤꯗꯥꯡꯒꯤ ꯃꯇꯃꯗꯥ ꯌꯥꯝꯅꯥ ꯋꯥꯅꯥ ꯋꯥꯈꯜ ꯋꯥꯕꯥ, ꯇꯨꯝꯕꯥ ꯌꯥꯗꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯍꯧꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯌꯥꯝꯅꯥ ꯋꯥꯅꯥ .

ꯑꯇꯣꯞꯄꯥ ꯃꯤꯑꯣꯏ ꯈꯔꯗꯁꯨ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯊꯦꯡꯅꯔꯀꯄꯥ ꯌꯥꯏ:

• ꯍꯦꯗ-ꯑꯦꯛ , ꯃꯔꯨꯑꯣꯏꯅꯥ ꯑꯌꯨꯛ-ꯅꯨꯡꯊꯤꯂꯗꯥ꯫
• ꯅꯥꯏꯇꯣꯝ ꯂꯩꯕꯥ .
• ꯃꯨꯗ ꯍꯣꯡꯂꯀꯄꯥ (ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯑꯃꯁꯨꯡ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ)꯫
• ꯑꯌꯨꯛꯇꯥ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯐꯥꯎꯕꯥ꯫
• ꯁꯦꯛꯁꯨꯑꯦꯜ ꯗꯤꯁꯐꯉ꯭ꯀꯁꯅꯒꯨꯝꯕꯥ ꯁꯃꯁ꯭ꯌꯥꯁꯤꯡ .

ꯃꯔꯨꯑꯣꯏꯕꯥ: ꯑꯉꯥꯡꯁꯤꯡꯗꯥ ꯁ꯭ꯂꯤꯞ ꯑꯦꯄꯅꯤꯌꯥ ꯂꯩꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯈꯔꯥ ꯇꯣꯉꯥꯅꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯎꯕꯥ ꯐꯪꯏ . ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯉꯥꯡ ꯑꯗꯨꯒꯤ ꯇꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯑꯆꯝꯕꯥ ꯄꯣꯠꯁꯛ ꯑꯃꯥ ꯎꯔꯕꯗꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯇꯥꯟꯅꯕꯁꯤ ꯑꯐꯕꯥ ꯋꯥꯈꯜꯂꯣꯟ ꯑꯃꯅꯤ꯫

ꯁ꯭ꯂꯤꯞ ꯑꯦꯄꯅꯤꯌꯥꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯔꯃꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?

ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯁ꯭ꯂꯤꯞ ꯑꯦꯄꯅꯤꯌꯥꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯔꯝ ꯑꯅꯤ ꯂꯩ:

• ꯅꯍꯥꯛꯅꯥ ꯇꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯃꯊꯛꯀꯤ ꯑꯦꯌꯔꯋꯦ (over airway)ꯗꯥ ꯑꯀꯥꯌꯕꯥ ꯑꯃꯥ ꯊꯣꯀꯄꯥ꯫
• ꯅꯍꯥꯛꯅꯥ ꯇꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯕ꯭ꯔꯦꯅꯅꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯒꯤ ꯃꯑꯣꯡ-ꯃꯇꯧ ꯑꯗꯨꯗꯥ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯑꯃꯥ ꯂꯩ꯫

ꯁ꯭ꯂꯤꯞ ꯑꯦꯄꯅꯤꯌꯥ ꯂꯥꯀꯄꯒꯤ ꯔꯤꯁ꯭ꯛ ꯂꯩꯕꯥ ꯀꯅꯥꯅꯣ?

ꯃꯁꯤꯒꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯀꯅꯥꯒꯨꯝꯕꯥ ꯑꯃꯠꯇꯗꯥ ꯂꯥꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯅꯥ ꯑꯉꯥꯡꯁꯤꯡ, ꯑꯍꯂꯁꯤꯡ, ꯀꯅꯥꯒꯨꯝꯕꯥ ꯑꯃꯠꯇꯗꯥ ꯁꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯃꯤꯑꯣꯏ ꯈꯔꯗꯤ ꯃꯁꯤ ꯂꯥꯀꯄꯒꯤ ꯔꯤꯁ꯭ꯛ ꯈꯔꯥ ꯍꯦꯟꯅꯥ ꯋꯥꯡꯏ꯫

ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯔꯤꯁ꯭ꯛ ꯐꯦꯛꯇꯔ ꯈꯔꯗꯤ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤ:

• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯏꯃꯨꯡ ꯑꯗꯨꯒꯤ ꯀꯅꯥꯒꯨꯝꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯅꯥ ꯁ꯭ꯂꯤꯞ ꯑꯦꯄꯅꯤꯌꯥ ꯂꯩꯔꯕꯗꯤ (ꯃꯁꯤ ꯍꯦꯔꯤꯇꯦꯖ ꯑꯣꯏꯕꯥ ꯌꯥꯏ)꯫
• ꯍꯥꯔꯇꯀꯤ ꯂꯥꯌꯅꯥ, ꯁ꯭ꯠꯔꯣꯛ ꯅꯠꯠꯔꯒꯥ ꯍꯥꯏ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯒꯤꯗꯃꯛ .
• ꯑꯆꯧꯕꯥ ꯇꯣꯅꯁꯤꯜ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯒꯤꯗꯃꯛ .
• ꯑꯣꯕꯦꯁꯤꯇꯤ ꯍꯥꯌꯕꯁꯤ ꯑꯔꯨꯝꯕꯥ ꯍꯦꯅꯕꯥ ꯍꯥꯌꯕꯁꯤꯅꯤ꯫

ꯃꯁꯤꯒꯤ ꯔꯤꯁ꯭ꯛ ꯑꯁꯤꯁꯨ ꯅꯍꯥꯛꯅꯥ ꯆꯍꯤ ꯌꯥꯃꯈꯠꯂꯀꯄꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯍꯦꯅꯒꯠꯂꯀꯏ . ꯅꯨꯄꯥꯁꯤꯡꯅꯥ ꯆꯍꯤ 50 ꯁꯨꯗ꯭ꯔꯤꯉꯩꯗꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯂꯥꯀꯄꯒꯤ ꯆꯥꯡ ꯍꯦꯜꯂꯤ꯫

ꯃꯁꯤꯗꯁꯨ ꯅꯠꯇꯅꯥ, ꯑꯣꯕꯦꯁꯤꯇꯤꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯁ꯭ꯂꯤꯞ ꯑꯦꯄꯅꯤꯌꯥꯒꯤ ꯔꯤꯁ꯭ꯛ ꯍꯦꯅꯒꯠꯂꯕꯁꯨ, ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯁꯥꯏꯖ ꯑꯃꯍꯦꯛꯇꯒꯤ ꯃꯤꯑꯣꯏꯁꯤꯡꯗꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯏ ꯍꯥꯌꯕꯁꯤꯁꯨ ꯅꯤꯡꯁꯤꯡꯕꯤꯌꯨ .

ꯁ꯭ꯂꯤꯞ ꯑꯦꯄꯅꯤꯌꯥꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯕꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?

ꯁ꯭ꯂꯤꯞ ꯑꯦꯄꯅꯤꯌꯥ ꯍꯥꯌꯕꯁꯤ ꯁꯨꯞꯅꯒꯤ ꯁ꯭ꯂꯤꯞ ꯗꯤꯁꯑꯣꯔꯗꯔ ꯑꯃꯈꯛꯇꯗꯒꯤ ꯍꯦꯜꯂꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯂꯥꯏꯌꯦꯡꯗ꯭ꯔꯕꯗꯤ, ꯃꯁꯤꯅꯥ ꯁꯥꯊꯤꯕꯥ, ꯄꯨꯟꯁꯤꯕꯨ ꯈꯨꯗꯣꯡꯊꯤꯍꯅꯕꯥ ꯌꯥꯕꯥ, ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ .

• ꯅꯨꯃꯤꯗꯥꯡꯗꯥ ꯌꯥꯝꯅꯥ ꯇꯨꯝꯕꯥ ꯅꯠꯠꯔꯒꯥ "ꯃꯥꯏꯛꯔꯣꯁ꯭ꯂꯤꯞ" ꯍꯥꯌꯕꯁꯤ ꯅꯍꯥꯛꯅꯥ ꯅꯨꯃꯤꯗꯥꯡꯒꯤ ꯃꯇꯃꯗꯥ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯇꯨꯝꯕꯥ ꯉꯃꯗꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫ ꯃꯁꯤꯃꯁꯤ ꯗ꯭ꯔꯥꯏꯚꯤꯡ ꯅꯠꯠꯔꯒꯥ ꯃꯦꯁꯤꯅꯔꯤ ꯑꯣꯄꯔꯦꯠ ꯇꯧꯕꯥ ꯃꯇꯃꯗꯥ ꯌꯥꯝꯅꯥ ꯈꯨꯗꯣꯡꯊꯤꯅꯤꯉꯥꯏ ꯑꯣꯏ꯫
• ꯍꯥꯔꯇꯀꯤ ꯔꯤꯗꯝ ꯑꯥꯏꯔꯦꯒꯨꯂꯦꯇꯔꯤ, ꯍꯥꯌꯕꯗꯤ ꯑꯦꯔꯤꯊ꯭ꯃꯤꯌꯥ (ꯑꯦꯠꯔꯤꯌꯥꯜ ꯐꯤꯕꯔ ꯅꯠꯠꯔꯒꯥ ꯂꯦꯐꯠ ꯑꯦꯠꯔꯤꯌꯥꯜ ꯑꯦꯄꯦꯟꯗꯤꯛꯁꯒꯨꯝꯕꯥ)꯫
• ꯍꯥꯏ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ .
• ꯍꯥꯔꯠ ꯗꯦꯃꯦꯖ ꯑꯃꯁꯨꯡ ꯍꯥꯔꯠ ꯐꯦꯜ ꯑꯣꯏꯕꯥ .
• ꯈꯉꯍꯧꯗꯅꯥ ꯀꯥꯔꯗꯤꯌꯦꯛ ꯁꯤꯕꯥ .

ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯁ꯭ꯂꯤꯞ ꯑꯦꯄꯅꯤꯌꯥꯒꯤ ꯂꯥꯏꯑꯣꯡ ꯂꯩꯔꯕꯗꯤ ꯃꯗꯨ ꯌꯦꯡꯊꯤꯒꯅꯨ꯫

ꯁ꯭ꯂꯤꯞ ꯑꯦꯄꯅꯤꯌꯥ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯈꯪꯗꯣꯛꯀꯅꯤ?

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯁ꯭ꯂꯤꯞ ꯑꯦꯄꯅꯤꯌꯥ ꯂꯩꯔꯦ ꯍꯥꯌꯅꯥ ꯆꯤꯡꯅꯔꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯑꯍꯥꯅꯕꯗꯥ ꯗꯣꯛꯇꯔ ꯑꯃꯒꯥ ꯇꯥꯟꯅꯒꯗꯕꯅꯤ . ꯃꯍꯥꯛꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯃꯦꯗꯤꯀꯦꯜ ꯍꯤꯁ꯭ꯇꯔꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯍꯪꯒꯅꯤ꯫ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯁ꯭ꯂꯤꯞ ꯑꯦꯄꯅꯤꯌꯥ ꯂꯩꯔꯦ ꯍꯥꯌꯅꯥ ꯆꯤꯡꯅꯔꯕꯗꯤ, ꯃꯈꯣꯌꯅꯥ ꯗꯥꯏꯑꯦꯒ꯭ꯅꯣꯁꯤꯁ ꯑꯗꯨ ꯀꯅꯐꯥꯔꯝ ꯇꯧꯅꯕꯥ ꯇꯦꯁ꯭ꯠ ꯀꯌꯥ ꯇꯧꯅꯕꯥ ꯔꯤꯀꯃꯦꯟꯗ ꯇꯧꯒꯅꯤ꯫

ꯃꯁꯤꯒꯤꯗꯃꯛꯇꯥ ꯀꯔꯤ ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯇꯧꯔꯤꯕꯒꯦ?

ꯑꯌꯥꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯄꯥꯡꯊꯣꯀꯄꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯇꯦꯁ꯭ꯠ ꯑꯅꯤ ꯂꯩ:

• ꯄꯣꯂꯤꯁꯣꯃꯅꯣꯒ꯭ꯔꯥꯝ: ꯃꯁꯤ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯜ ꯑꯃꯗꯥ ꯅꯨꯃꯤꯠ ꯆꯨꯞꯄꯥ ꯄꯥꯡꯊꯣꯀꯄꯥ ꯇꯦꯁ꯭ꯠ ꯑꯃꯅꯤ . ꯁꯦꯟꯁꯔ ꯀꯌꯥ ꯑꯃꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯌꯥꯎꯍꯜꯂꯤ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯅꯥ ꯇꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯥꯔꯇꯀꯤ ꯔꯦꯠ, ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ, ꯕ꯭ꯂꯗ ꯑꯣꯛꯁꯤꯖꯦꯅꯒꯤ ꯆꯥꯡ ꯑꯃꯁꯨꯡ ꯕ꯭ꯔꯦꯟ ꯋꯦꯕꯁꯤꯡ ꯌꯦꯡꯁꯤꯜꯂꯤ꯫
• ꯍꯣꯝ ꯁ꯭ꯂꯤꯞ ꯑꯦꯄꯅꯤꯌꯥ ꯇꯦꯁ꯭ꯠ ꯇꯧꯕꯥ: ꯃꯁꯤ ꯌꯨꯃꯗꯥ ꯇꯧꯕꯥ ꯌꯥꯕꯥ ꯇꯦꯁ꯭ꯠ ꯑꯃꯅꯤ . ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯃꯁꯤꯅꯥ ꯕ꯭ꯔꯦꯟ ꯋꯦꯕꯁꯤꯡ ꯌꯦꯡꯁꯤꯅꯗꯦ꯫ ꯃꯁꯤꯗꯁꯨ ꯅꯠꯇꯅꯥ, ꯇꯦꯁ꯭ꯠ ꯑꯁꯤꯅꯥ `ꯁꯦꯟꯠꯔꯦꯜ ꯁ꯭ꯂꯤꯞ ꯑꯦꯄꯅꯤꯌꯥ`ꯒꯨꯝꯕꯥ ꯁ꯭ꯂꯤꯞ ꯑꯦꯄꯅꯤꯌꯥ ꯃꯈꯜ ꯈꯔꯗꯤ ꯈꯪꯗꯣꯀꯄꯥ ꯉꯃꯗꯕꯥ ꯌꯥꯏ꯫

ꯊꯨꯅꯥ ꯌꯥꯡꯅꯥ ꯄꯥꯎꯇꯥꯛ ꯑꯃꯥ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯅꯠꯠꯔꯒꯥ ꯅꯍꯥꯛꯀꯤ ꯏꯃꯨꯡꯒꯤ ꯃꯤꯑꯣꯏ ꯑꯃꯅꯥ ꯁ꯭ꯂꯤꯞ ꯑꯦꯄꯅꯤꯌꯥ ꯂꯩꯔꯦ ꯍꯥꯌꯅꯥ ꯆꯤꯡꯅꯔꯕꯗꯤ, ꯇꯨꯝꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯗꯨꯒꯤ ꯑꯄꯤꯀꯄꯥ ꯚꯤꯗꯤꯑꯣ ꯅꯠꯠꯔꯒꯥ ꯑꯣꯗꯤꯑꯣ ꯔꯦꯀꯣꯔꯗꯤꯡ ꯑꯃꯥ ꯔꯦꯀꯣꯔꯗ ꯇꯧ , ꯃꯔꯨꯑꯣꯏꯅꯥ ꯃꯈꯣꯌꯒꯤ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯒꯤ ꯈꯣꯟꯖꯦꯜ ꯑꯗꯨ ꯔꯦꯀꯣꯔꯗ ꯇꯧ꯫ ꯅꯍꯥꯛꯅꯥ ꯃꯈꯣꯌꯒꯤ ꯃꯃꯥꯌꯒꯤ ꯃꯃꯥꯡꯗꯥ ꯇꯤꯁꯨ ꯑꯃꯥ ꯊꯃꯗꯨꯅꯥ ꯅꯨꯡꯁꯤꯠꯅꯥ ꯀꯔꯝꯅꯥ ꯆꯠꯊꯣꯛ-ꯆꯠꯁꯤꯟ ꯇꯧꯕꯒꯦ ꯍꯥꯌꯕꯗꯨꯁꯨ ꯔꯦꯀꯣꯔꯗ ꯇꯧꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯎꯠꯄꯅꯥ ꯗꯥꯏꯑꯦꯒ꯭ꯅꯣꯁꯤꯁ ꯑꯗꯨ ꯌꯥꯡꯅꯥ ꯄꯥꯡꯊꯣꯀꯄꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫

ꯁ꯭ꯂꯤꯞ ꯑꯦꯄꯅꯤꯌꯥꯒꯤ ꯃꯑꯣꯡ-ꯃꯇꯧ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯂꯦꯄꯀꯅꯤ?

ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯑꯦ.ꯑꯩꯆ.ꯑꯥꯏ.(ꯑꯦꯄꯅꯤꯌꯥ/ꯍꯥꯏꯄꯣꯄꯅꯤꯌꯥ ꯏꯟꯗꯦꯛꯁ) ꯀꯧꯕꯥ ꯏꯟꯗꯦꯛꯁ ꯑꯃꯥ ꯁꯤꯖꯤꯟꯅꯗꯨꯅꯥ ꯁ꯭ꯂꯤꯞ ꯑꯦꯄꯅꯤꯌꯥꯒꯤ ꯆꯥꯡ ꯑꯗꯨ ꯂꯦꯄꯊꯣꯀꯏ꯫ AHI ꯑꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯂꯦꯄꯈꯤꯕꯥ (apnea) ꯑꯃꯁꯨꯡ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯁꯣꯀꯄꯥ (hypopnea) ꯒꯤ ꯃꯁꯤꯡ ꯑꯗꯨ ꯇꯨꯝꯕꯥ ꯄꯨꯡ ꯑꯃꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯂꯦꯄꯊꯣꯀꯏ꯫

ꯁ꯭ꯂꯤꯞ ꯑꯦꯄꯅꯤꯌꯥꯒꯤ ꯁꯦꯚꯤꯔꯤꯇꯤ ꯑꯁꯤ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯁꯤꯡꯁꯤꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ ꯀ꯭ꯂꯥꯁꯤꯐꯥꯏ ꯇꯧꯏ:

• ꯃꯥꯏꯜꯗ ꯁ꯭ꯂꯤꯞ ꯑꯦꯄꯅꯤꯌꯥ: ꯄꯨꯡ ꯑꯃꯗꯥ AHIꯒꯤ ꯊꯧꯗꯣꯛ 5-14 ꯊꯣꯀꯏ꯫
• ꯃꯌꯥꯏ ꯑꯣꯏꯕꯥ ꯁ꯭ꯂꯤꯞ ꯑꯦꯄꯅꯤꯌꯥ: ꯄꯨꯡ ꯑꯃꯗꯥ ꯑꯦ.ꯑꯩꯆ.ꯑꯥꯏ.
• ꯁꯥꯊꯤꯕꯥ ꯁ꯭ꯂꯤꯞ ꯑꯦꯄꯅꯤꯌꯥ: ꯄꯨꯡ ꯑꯃꯗꯥ AHI 30 ꯅꯠꯠꯔꯒꯥ ꯃꯁꯤꯗꯒꯤ ꯍꯦꯅꯕꯥ ꯊꯧꯗꯣꯀꯁꯤꯡ꯫

ꯁ꯭ꯂꯤꯞ ꯑꯦꯄꯅꯤꯌꯥꯅꯥ ꯀꯔꯤ ꯑꯣꯔꯒꯥꯅꯁꯤꯡꯗꯥ ꯁꯣꯀꯍꯅꯕꯒꯦ?

ꯁ꯭ꯂꯤꯞ ꯑꯦꯄꯅꯤꯌꯥ ꯍꯥꯌꯕꯁꯤ ꯑꯣꯔꯒꯥꯟ ꯑꯃꯈꯛꯇꯗꯥ ꯁꯣꯀꯍꯅꯕꯥ ꯌꯥꯕꯥ ꯄꯣꯠꯁꯛ ꯑꯃꯅꯤ꯫ ꯇꯁꯦꯡꯕꯗꯤ ꯃꯁꯤꯅꯥ ꯍꯀꯆꯥꯡꯒꯤ ꯃꯁꯤꯡ ꯌꯥꯝꯂꯕꯥ ꯁꯤꯁ꯭ꯇꯦꯃꯁꯤꯡꯗꯥ ꯁꯣꯀꯍꯜꯂꯤ . ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯀꯃꯟ ꯑꯣꯏꯅꯥ ꯁꯣꯀꯍꯜꯂꯤꯕꯁꯤꯡꯗꯤ ꯅꯍꯥꯛꯀꯤ ꯁꯔꯛꯌꯨꯂꯦꯇꯔꯤ ꯁꯤꯁ꯭ꯇꯦꯝ (ꯍꯥꯔꯠ) ꯑꯃꯁꯨꯡ ꯅꯔꯚꯁ ꯁꯤꯁ꯭ꯇꯦꯝ (ꯕ꯭ꯔꯦꯟ) ꯑꯁꯤꯅꯤ꯫

ꯁ꯭ꯂꯤꯞ ꯑꯦꯄꯅꯤꯌꯥꯒꯤ ꯂꯥꯏꯌꯦꯡꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?

ꯅꯍꯥꯛꯅꯥ ꯂꯩꯔꯤꯕꯥ ꯁ꯭ꯂꯤꯞ ꯑꯦꯄꯅꯤꯌꯥꯒꯤ ꯃꯈꯜ ꯑꯃꯁꯨꯡ ꯃꯁꯤꯒꯤ ꯁꯣꯀꯍꯜꯂꯕꯥ ꯃꯑꯣꯡꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯇꯣꯉꯥꯟ-ꯇꯣꯉꯥꯅꯕꯥ ꯂꯥꯏꯌꯦꯡꯁꯤꯡ ꯔꯤꯀꯃꯦꯟꯗ ꯇꯧꯕꯥ ꯌꯥꯏ꯫

ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯂꯥꯏꯌꯦꯡꯒꯤ ꯃꯑꯣꯡ ꯈꯔꯗꯤ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤ:

• CPAP (Continuous Positive Airway Pressure) ꯃꯦꯁꯤꯅꯒꯨꯝꯕꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯒꯤ ꯈꯨꯠꯂꯥꯏ ꯑꯃꯥ ꯁꯤꯖꯤꯟꯅꯕꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯇꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯦꯌꯔꯋꯦ ꯑꯗꯨ ꯍꯥꯡꯗꯣꯛꯇꯨꯅꯥ ꯊꯝꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫
• ꯁ꯭ꯂꯤꯞ ꯑꯦꯄꯅꯤꯌꯥ (ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯗꯥꯏꯑꯦꯕꯦꯇꯤꯖ, ꯍꯥꯏ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ) ꯊꯣꯀꯍꯅꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯔꯤꯁ꯭ꯛ ꯍꯦꯅꯒꯠꯍꯅꯕꯥ ꯑꯇꯩ ꯑꯟꯗꯔꯂꯥꯏꯟ ꯃꯦꯗꯤꯀꯦꯜ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯥ꯫
• ꯅꯍꯥꯛꯀꯤ ꯑꯦꯌꯔꯋꯦ (ꯁ꯭ꯕꯔ ꯍꯣꯟꯅꯕꯥ ꯎꯇꯣꯡ)ꯗꯥ ꯄ꯭ꯔꯦꯁꯔ ꯄꯤꯗꯅꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯇꯨꯝꯕꯥ ꯄꯣꯖꯤꯁꯟ ꯑꯗꯨ ꯍꯣꯡꯗꯣꯀꯄꯥ (ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯇꯨꯝꯕꯥ ꯌꯥꯗꯕꯥ)꯫
• ꯑꯦꯌꯔꯋꯦ (ꯁ꯭ꯕꯔ ꯍꯣꯟꯅꯕꯥ ꯎꯇꯣꯡ) ꯍꯥꯡꯗꯣꯛꯇꯨꯅꯥ ꯊꯝꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯅꯕꯥ ꯑꯣꯔꯦꯜ ꯑꯦꯞꯂꯥꯏꯑꯦꯟꯁ/ ꯃꯥꯎꯊꯄꯤꯁ ꯑꯃꯥ ꯁꯤꯖꯤꯟꯅꯕꯥ꯫
• ꯅꯍꯥꯛꯅꯥ ꯇꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡ ꯑꯃꯁꯨꯡ ꯃꯊꯛ ꯊꯪꯕꯥ ꯁꯔꯨꯛꯇꯥ ꯂꯩꯕꯥ ꯃꯁꯂꯁꯤꯡꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯦꯌꯔꯋꯦ ꯑꯗꯨ ꯊꯤꯡꯅꯕꯥ ꯅ꯭ꯌꯨꯔꯣꯃꯁꯀꯨꯂꯥꯔ ꯏꯂꯦꯛꯠꯔꯤꯀꯦꯜ ꯁ꯭ꯇꯤꯝꯌꯨꯂꯦꯁꯟ (NMES) ꯗꯤꯚꯥꯏꯁ ꯑꯃꯥ ꯁꯤꯖꯤꯟꯅꯕꯥ꯫
• ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛ ꯂꯧꯕꯥ (ꯃꯁꯤ ꯃꯤꯄꯨꯝ ꯈꯨꯗꯤꯡꯃꯛꯀꯤ ꯑꯣꯏꯗꯦ, ꯑꯗꯨꯕꯨ ꯑꯈꯟꯅꯕꯥ ꯀꯦꯁ ꯈꯔꯗꯗꯤ)꯫
• ꯁꯔꯖꯔꯤ ꯇꯧꯔꯤ .

ꯅꯍꯥꯛꯅꯥ ꯁ꯭ꯂꯤꯞ ꯑꯦꯄꯅꯤꯌꯥꯒꯤꯗꯃꯛꯇꯥ ꯁꯔꯖꯔꯤ ꯇꯧꯔꯤꯕ꯭ꯔꯥ?

ꯍꯣꯌ, ꯀꯦꯁ ꯈꯔꯗꯗꯤ, ꯅꯥꯀꯣꯡ, ꯃꯤꯠ ꯑꯃꯁꯨꯡ ꯀꯣꯛꯇꯥ ꯄꯥꯡꯊꯣꯀꯄꯥ ꯁꯔꯖꯔꯤꯅꯥ ꯇꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯑꯦꯌꯔꯋꯦ (airway obstruction) ꯊꯤꯡꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫

• ꯈꯣꯡꯒꯤ ꯁꯔꯖꯔꯤ: ꯈꯣꯡꯒꯤ ꯄꯣꯖꯤꯁꯟ ꯍꯣꯡꯗꯣꯛꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯇꯔꯨ-ꯇꯅꯥꯅꯕꯥ ꯇꯤꯁꯨꯁꯤꯡꯗꯒꯤ ꯑꯦꯌꯔꯋꯦꯗꯥ ꯄ꯭ꯔꯦꯁꯔ ꯍꯟꯊꯍꯟꯅꯕꯥ ꯁꯤꯖꯤꯟꯅꯕꯥ ꯌꯥꯕꯥ ꯇꯣꯉꯥꯟ-ꯇꯣꯉꯥꯅꯕꯥ ꯁꯔꯖꯤꯀꯦꯜ ꯄ꯭ꯔꯣꯁꯤꯗ꯭ꯌꯨꯑꯣꯔ ꯂꯩ꯫
• ꯅꯥꯀꯣꯡꯒꯤ ꯁꯔꯖꯔꯤ: ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯁꯔꯖꯔꯤ ꯑꯃꯗꯤ ꯁꯦꯞꯇꯣꯞꯂꯥꯁ꯭ꯇꯤ . ꯃꯁꯤꯗꯥ ꯅꯥꯀꯣꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯂꯩꯕꯥ ꯇꯔꯨ-ꯇꯅꯥꯅꯕꯥ ꯇꯤꯁꯨ (ꯅꯥꯀꯣꯡ ꯑꯅꯤꯗꯨ ꯇꯣꯈꯥꯌꯍꯜꯂꯤꯕꯥ ꯋꯥꯜ) ꯑꯗꯨ ꯁꯦꯡꯗꯣꯀꯄꯥ ꯌꯥꯎꯏ, ꯃꯗꯨꯅꯥ ꯅꯥꯀꯣꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯅꯨꯡꯁꯤꯠ ꯍꯦꯟꯅꯥ ꯆꯦꯠꯁꯤꯂꯍꯜꯂꯤ꯫

ꯁ꯭ꯂꯤꯞ ꯑꯦꯄꯅꯤꯌꯥ ꯑꯁꯤ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯐꯍꯅꯕꯥ ꯉꯃꯒꯗ꯭ꯔꯥ?

ꯁ꯭ꯂꯤꯞ ꯑꯦꯄꯅꯤꯌꯥ ꯃꯈꯜ ꯈꯨꯗꯤꯡꯃꯛ ꯃꯄꯨꯡ ꯐꯥꯅꯥ ꯂꯥꯌꯦꯡꯕꯥ ꯉꯃꯗꯦ . ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯑꯣꯕꯁ꯭ꯠꯔꯀꯆꯔ ꯁ꯭ꯂꯤꯞ ꯑꯦꯄꯅꯤꯌꯥ (OSA) ꯑꯁꯤ ꯑꯔꯨꯝꯕꯥ ꯍꯟꯊꯍꯟꯗꯨꯅꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯀꯛꯅꯕꯥ ꯁꯔꯖꯔꯤꯁꯤꯡ ꯇꯧꯗꯨꯅꯥ ꯐꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯅꯍꯥꯛꯀꯤ ꯀꯟꯗꯤꯁꯅꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ, ꯃꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤꯗꯃꯛꯇꯥ ꯀꯔꯝꯅꯥ ꯊꯕꯛ ꯇꯧꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯍꯦꯟꯅꯥ ꯈꯪꯍꯅꯕꯥ ꯌꯥꯏ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯁ꯭ꯂꯤꯞ ꯑꯦꯄꯅꯤꯌꯥ ꯂꯩꯔꯕꯗꯤ ꯀꯔꯤ ꯑꯥꯁꯥ ꯇꯧꯒꯗꯒꯦ?

ꯁ꯭ꯂꯤꯞ ꯑꯦꯄꯅꯤꯌꯥ ꯍꯥꯌꯕꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯇꯨꯝꯕꯥ ꯌꯥꯝꯅꯥ ꯁꯣꯀꯍꯅꯕꯥ ꯌꯥꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯌꯨꯛꯇꯥ ꯃꯇꯤꯛ ꯆꯥꯅꯥ ꯇꯨꯝꯕꯥ ꯉꯃꯗ꯭ꯔꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯅꯨꯃꯤꯗꯥꯡꯗꯥ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯊꯕꯛ ꯇꯧꯕꯥ ꯉꯃꯗꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯑꯦꯛꯁꯤꯗꯦꯟꯇꯀꯤ ꯈꯨꯗꯣꯡꯊꯤꯕꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ , ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯊꯕꯛ, ꯅꯨꯡꯉꯥꯏꯕꯥ ꯑꯃꯁꯨꯡ ꯈꯨꯟꯅꯥꯏꯒꯤ ꯃꯔꯤꯁꯤꯡꯗꯥ ꯑꯀꯥꯌꯕꯥ ꯄꯤꯕꯥ ꯌꯥꯏ꯫

ꯃꯁꯤꯗꯁꯨ ꯅꯠꯇꯅꯥ, ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤꯅꯥ ꯄꯨꯟꯁꯤꯗꯥ ꯈꯨꯗꯣꯡꯊꯤꯕꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯕꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ . ꯗꯣꯛꯇꯔ ꯑꯃꯅꯥ ꯅꯍꯥꯛꯀꯤꯗꯃꯛꯇꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯥ ꯂꯥꯏꯌꯦꯡ ꯊꯤꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯕꯥ ꯌꯥꯏ꯫ ꯅꯍꯥꯛꯀꯤꯗꯃꯛꯇꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯥ ꯊꯕꯛ ꯑꯗꯨ ꯈꯪꯗꯣꯛꯅꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯇꯣꯉꯥꯟ-ꯇꯣꯉꯥꯅꯕꯥ ꯂꯥꯏꯌꯦꯡ ꯑꯃꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯅꯤ, ꯅꯠꯠꯔꯒꯥ ꯃꯈꯣꯌꯒꯤ ꯀꯝꯕꯤꯅꯦꯁꯟ ꯑꯃꯥ ꯍꯣꯠꯅꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯏ꯫

ꯁ꯭ꯂꯤꯞ ꯑꯦꯄꯅꯤꯌꯥ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯒꯤ ꯄꯨꯟꯁꯤ ꯃꯍꯤꯡꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯀꯔꯤ ꯍꯥꯌꯒꯅꯤ?

ꯁ꯭ꯂꯤꯞ ꯑꯦꯄꯅꯤꯌꯥꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ꯫ꯀꯔꯤꯒꯨꯝꯕꯥ ꯂꯥꯏꯌꯦꯡꯗꯅꯥ ꯊꯃꯗ꯭ꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯄꯨꯟꯁꯤꯒꯤ ꯃꯇꯝ ꯀꯨꯏꯅꯥ ꯆꯠꯄꯥ ꯌꯥꯏ꯫ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯃꯦꯅꯦꯖ ꯇꯧꯅꯕꯥ ꯗꯣꯛꯇꯔ ꯑꯃꯅꯥ ꯅꯍꯥꯛꯀꯥ ꯂꯣꯌꯅꯅꯥ ꯊꯕꯛ ꯇꯧꯃꯤꯟꯅꯒꯅꯤ ꯑꯃꯁꯨꯡ ꯔꯤꯁ꯭ꯛ ꯑꯗꯨ ꯊꯤꯡꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯒꯅꯤ꯫

ꯅꯍꯥꯛꯀꯤ ꯄꯨꯟꯁꯤ ꯃꯍꯤꯡ ꯑꯗꯨ ꯂꯦꯄꯊꯣꯛꯂꯤꯕꯥ ꯐꯦꯛꯇꯔ ꯀꯌꯥ ꯂꯩ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ, ꯅꯍꯥꯛꯀꯤ ꯐꯤꯚꯃꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯕꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯗꯨꯗꯤ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯤ꯫ ꯃꯔꯃꯗꯤ ꯁ꯭ꯇꯦꯇꯤꯁ꯭ꯇꯤꯛꯁ ꯑꯁꯤ ꯑꯗꯣꯃꯗꯥ ꯆꯠꯅꯔꯀꯄꯥ ꯌꯥꯏ ꯅꯠꯔꯒꯥ ꯆꯠꯅꯗꯕꯥ ꯌꯥꯏ꯫

ꯁ꯭ꯂꯤꯞ ꯑꯦꯄꯅꯤꯌꯥ ꯊꯤꯡꯅꯕꯒꯤ ꯄꯥꯝꯕꯩꯁꯤꯡ ꯀꯔꯤꯅꯣ?

ꯁ꯭ꯂꯤꯞ ꯑꯦꯄꯅꯤꯌꯥꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯂꯤꯕꯥ ꯐꯦꯛꯇꯔ ꯄꯨꯝꯅꯃꯛ ꯑꯩꯈꯣꯌꯅꯥ ꯊꯤꯡꯕꯥ ꯉꯃꯗꯦ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯑꯩꯈꯣꯌꯒꯤ ꯔꯤꯁ꯭ꯛ ꯍꯟꯊꯍꯟꯅꯕꯥ ꯑꯩꯈꯣꯌꯅꯥ ꯇꯧꯕꯥ ꯌꯥꯕꯥ ꯊꯕꯛ ꯀꯌꯥ ꯂꯩꯔꯤ :

• ꯅꯍꯥꯛꯀꯤꯗꯃꯛꯇꯥ ꯍꯀꯁꯦꯜ ꯐꯕꯥ ꯑꯔꯨꯝꯕꯥ ꯑꯃꯥ ꯊꯝꯕꯥ꯫
• ꯃꯆꯤ ꯑꯣꯏꯕꯥ ꯆꯤꯟꯖꯥꯛ ꯆꯥꯕꯥ ꯑꯃꯁꯨꯡ ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯍꯀꯆꯥꯡ ꯁꯥꯖꯦꯜ ꯇꯧꯕꯥ .
• ꯑꯐꯕꯥ ꯇꯨꯝꯕꯥ ꯍꯩꯅꯕꯤꯁꯤꯡ ꯁꯦꯃꯒꯠꯄꯥ (ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯂꯦꯞꯂꯕꯥ ꯃꯇꯃꯗꯥ ꯇꯨꯝꯕꯥ, ꯇꯨꯝꯕꯥ ꯃꯃꯥꯡꯗꯥ ꯏꯂꯦꯛꯠꯔꯣꯅꯤꯛ ꯗꯤꯚꯥꯏꯁꯁꯤꯡ ꯁꯤꯖꯤꯟꯅꯕꯥ ꯂꯦꯄꯍꯅꯕꯥ)꯫
• ꯃꯃꯥꯡꯗꯥ ꯂꯩꯔꯝꯕꯥ ꯑꯇꯩ ꯍꯀꯁꯦꯂꯒꯤ ꯐꯤꯚꯃꯁꯤꯡ (ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯍꯥꯏ ꯀꯣꯂꯦꯁ꯭ꯇꯦꯔꯣꯜ, ꯍꯥꯏ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ, ꯇꯥꯏꯞ 2 ꯗꯥꯏꯑꯦꯕꯦꯇꯤꯖ) ꯃꯦꯅꯦꯖ ꯇꯧꯕꯥ꯫
• ꯆꯍꯤ ꯑꯃꯗꯥ ꯌꯥꯃꯗ꯭ꯔꯕꯗꯥ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯃꯦꯗꯤꯀꯦꯜ ꯆꯦꯛ-ꯑꯞ ꯇꯧꯕꯥ .
• ꯃꯩꯈꯨ ꯊꯥꯗꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯌꯨ ꯊꯀꯄꯥ .

ꯑꯩꯅꯥ ꯃꯇꯧ ꯀꯔꯝꯅꯥ ꯏꯁꯥꯕꯨ ꯌꯦꯡꯁꯤꯅꯕꯤꯒꯅꯤ? ꯐꯤꯚꯝ ꯑꯁꯤ ꯑꯩꯅꯥ ꯀꯔꯝꯅꯥ ꯃꯦꯅꯦꯖ ꯇꯧꯒꯅꯤ?

ꯅꯍꯥꯛꯀꯤ ꯁ꯭ꯂꯤꯞ ꯑꯦꯄꯅꯤꯌꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯗꯨ ꯃꯦꯅꯦꯖ ꯇꯧꯅꯕꯒꯤꯗꯃꯛ ꯅꯍꯥꯛꯅꯥ ꯂꯧꯈꯠꯄꯥ ꯌꯥꯕꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯈꯣꯡꯊꯥꯡ ꯀꯌꯥ ꯂꯩ:

• ꯌꯥꯔꯤꯕꯃꯈꯩ ꯄꯨꯟꯁꯤ ꯃꯍꯤꯡꯗꯥ ꯑꯍꯣꯡꯕꯥ ꯄꯨꯔꯀꯄꯥ꯫ ꯅꯍꯥꯛꯀꯤ ꯗꯥꯏꯠ ꯑꯃꯁꯨꯡ ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯔꯨꯇꯤꯅꯗꯥ ꯑꯍꯣꯡꯕꯥ ꯄꯨꯔꯀꯄꯥ ꯍꯥꯌꯕꯁꯤ ꯁꯤꯡꯅꯕꯥ ꯑꯃꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯋꯥꯐꯃꯁꯤꯡ ꯑꯁꯤ ꯑꯔꯨꯕꯥ ꯑꯣꯏꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯕꯗꯥ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯂꯩꯔꯣꯏꯗꯕꯅꯤ꯫ ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯃꯁꯤꯡꯅꯤ, ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯃꯈꯣꯌꯕꯨ ꯍꯦꯟꯅꯥ ꯂꯥꯌꯊꯣꯀꯍꯟꯅꯕꯥ ꯁꯖꯦꯁꯅꯁꯤꯡ ꯄꯤꯕꯥ ꯌꯥꯏ꯫
• ꯅꯍꯥꯛꯀꯤ ꯂꯥꯏꯌꯦꯡꯒꯤ ꯄ꯭ꯂꯥꯟ ꯑꯗꯨ ꯆꯞ ꯆꯥꯅꯥ ꯏꯅꯒꯗꯕꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯄꯤꯔꯤꯕꯥ ꯂꯥꯏꯌꯦꯡꯒꯤ ꯄ꯭ꯂꯥꯟ ꯑꯗꯨ ꯆꯨꯝꯅꯥ ꯏꯅꯔꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯑꯐꯕꯥ ꯐꯂꯁꯤꯡ ꯐꯪꯒꯅꯤ꯫ ꯃꯁꯤꯅꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡꯒꯤ ꯔꯤꯁ꯭ꯀꯁꯨ ꯍꯟꯊꯍꯅꯒꯅꯤ꯫
• ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯅꯍꯥꯛꯅꯥ ꯀꯔꯝꯅꯥ ꯐꯤꯜ ꯇꯧꯔꯤꯕꯒꯦ ꯍꯥꯌꯕꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯕꯤꯌꯨ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯔꯝ ꯑꯃꯍꯦꯛꯇꯗꯒꯤ ꯅꯍꯥꯛꯀꯤ ꯂꯥꯏꯌꯦꯡꯒꯤ ꯄ꯭ꯂꯥꯟ ꯑꯗꯨ ꯏꯅꯕꯗꯥ ꯑꯋꯥꯕꯥ ꯃꯥꯌꯣꯛꯅꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯈꯪꯍꯜꯂꯨ꯫ ꯅꯍꯥꯛꯀꯤ PAP ꯃꯥꯁ꯭ꯛ ꯑꯗꯨ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯐꯤꯠ ꯇꯧꯗꯕꯥ ꯌꯥꯏ, ꯅꯠꯠꯔꯒꯥ ꯅꯍꯥꯛꯅꯥ ꯍꯤꯗꯥꯛ ꯑꯃꯗꯒꯤ ꯁꯥꯏꯗ ꯏꯐꯦꯛꯇ ꯑꯃꯥ ꯂꯥꯀꯄꯥ ꯌꯥꯏ꯫ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯃꯇꯦꯡ ꯄꯥꯡꯕꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯅꯥ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯗꯣꯃꯒꯤ ꯋꯥꯍꯪ ꯅꯠꯔꯒꯥ ꯑꯋꯥꯕꯥ ꯑꯃꯥ ꯂꯩꯔꯕꯗꯤ ꯃꯈꯣꯌꯗꯥ ꯈꯉꯍꯅꯕꯤꯌꯨ꯫
• ꯐꯣꯂꯣ-ꯑꯞ ꯚꯤꯖꯤꯇꯁꯤꯡ ꯑꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯔꯦꯀꯃꯦꯟꯗ ꯇꯧꯏ꯫ ꯚꯤꯖꯤꯇꯁꯤꯡ ꯑꯁꯤ ꯃꯔꯨꯑꯣꯏꯅꯥ ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯑꯍꯥꯅꯕꯥ ꯇꯥꯉ꯭ꯀꯀꯁꯤꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯂꯥꯏꯌꯦꯡ ꯑꯗꯨ ꯊꯕꯛ ꯑꯣꯏꯅꯥ ꯄꯥꯡꯊꯣꯛꯂꯤꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯁꯣꯌꯗꯅꯥ ꯈꯪꯗꯣꯛꯅꯕꯥ ꯃꯔꯨꯑꯣꯏ꯫

ꯑꯩꯅꯥ ꯀꯗꯥꯏꯗꯥ ꯏꯃꯔꯖꯦꯟꯁꯤ ꯇ꯭ꯔꯤꯇꯃꯦꯟꯇ ꯌꯨꯅꯤꯠ (ETU) ꯑꯃꯗꯥ ꯆꯠꯀꯗꯒꯦ ?

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯍꯦꯛꯇꯕꯨ ꯊꯦꯡꯅꯔꯕꯗꯤ, ꯈꯨꯗꯛꯇꯥ ꯏꯃꯔꯖꯦꯟꯁꯤ ꯔꯨꯝ ꯑꯃꯗꯥ ꯆꯠꯂꯨ :

• ꯍꯥꯔꯠ ꯑꯦꯇꯦꯛ ꯑꯃꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ: ꯈꯣꯡꯗꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ (ꯈꯨꯠꯂꯥꯏ ꯄꯥꯌꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯁꯣꯟꯊꯔꯀꯄꯒꯨꯝꯕꯥ), ꯀꯣꯜꯗ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ (cold sweat), ꯈꯣꯡ-ꯈꯨꯠ ꯁꯣꯟꯊꯕꯥ, ꯑꯃꯁꯨꯡ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯗꯥ ꯋꯥꯕꯥ꯫
• ꯁ꯭ꯠꯔꯣꯛ ꯑꯃꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ:ꯍꯀꯆꯥꯡꯒꯤ ꯅꯥꯀꯜ ꯑꯃꯗꯥ ꯈꯪꯍꯧꯗꯅꯥ ꯋꯥꯈꯜ ꯆꯔꯥꯡꯅꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯁꯣꯟꯊꯕꯥ, ꯋꯥꯈꯜ ꯆꯔꯥꯡꯅꯕꯥ, ꯃꯤꯠ ꯎꯗꯕꯥ, ꯈꯣꯡꯅꯥ ꯆꯠꯄꯗꯥ ꯑꯋꯥꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯃꯤꯠ ꯎꯗꯕꯥ꯫
• ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯗꯥ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯑꯋꯥꯕꯥ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯂꯪꯁꯇꯥ ꯅꯨꯡꯁꯤꯠ ꯃꯔꯥꯡ ꯀꯥꯌꯅꯥ ꯐꯪꯗꯕꯥ ꯑꯣꯏꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯁꯣꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯃꯇꯃꯗꯥ ꯍꯨꯏꯒꯤ ꯈꯣꯟꯖꯦꯜ ꯑꯃꯥ ꯊꯣꯛꯂꯕꯗꯤ꯫

ꯑꯩꯅꯥ ꯗꯣꯛꯇꯔꯗꯥ ꯀꯔꯤ ꯋꯥꯍꯪ ꯍꯪꯒꯗꯒꯦ?

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯍꯟꯗꯛꯇꯥ ꯁ꯭ꯂꯤꯞ ꯑꯦꯄꯅꯤꯌꯥ ꯂꯩꯔꯦ ꯍꯥꯌꯅꯥ ꯈꯪꯂꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯋꯥꯍꯪꯁꯤꯡ ꯑꯁꯤ ꯍꯪꯕꯤꯔꯀꯄꯥ ꯌꯥꯏ:

• ꯑꯩꯉꯣꯟꯗꯥ ꯀꯔꯤ ꯃꯈꯂꯒꯤ ꯂꯥꯌꯦꯡꯕꯒꯤ ꯔꯤꯀꯃꯦꯟꯗ ꯇꯧꯔꯤꯕꯒꯦ?
• ꯂꯥꯏꯌꯦꯡ ꯑꯁꯤꯒꯤ ꯁꯥꯏꯗ ꯏꯐꯦꯛꯇ ꯑꯃꯠꯇꯥ ꯂꯩꯕ꯭ꯔꯥ?
• ꯑꯩꯅꯥ ꯃꯇꯧ ꯀꯔꯝꯅꯥ ꯑꯩꯒꯤ ꯅꯥꯀꯂꯗꯥ ꯇꯨꯝꯕꯥ ꯌꯥꯗꯕꯒꯦ?
• ꯄꯤ.ꯑꯦ.ꯄꯤ.ꯒꯤ ꯃꯦꯁꯤꯟ ꯃꯥꯁ꯭ꯛ ꯑꯁꯤ ꯈꯔꯥ ꯍꯦꯟꯅꯥ ꯂꯥꯌꯅꯥ ꯊꯝꯅꯕꯥ ꯑꯩꯅꯥ ꯀꯔꯤ ꯇꯧꯒꯗꯒꯦ?

ꯅꯍꯥꯛꯅꯥ ꯇꯨꯝꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯅꯥ ꯑꯌꯨꯛꯇꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯆꯝꯕꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯒꯤ ꯃꯑꯣꯡ-ꯃꯇꯧ ꯑꯗꯨ ꯈꯪꯍꯜꯂꯛꯠꯔꯤꯕꯐꯥꯎꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯁ꯭ꯂꯤꯞ ꯑꯦꯄꯅꯤꯌꯥ ꯂꯩꯔꯦ ꯍꯥꯌꯕꯥ ꯈꯪꯕꯁꯨ ꯌꯥꯏ꯫ ꯃꯗꯨꯒꯤ ꯃꯍꯨꯠꯇꯥ, ꯅꯍꯥꯛꯅꯥ ꯈꯅꯕꯤꯔꯃꯒꯅꯤ, "ꯀꯔꯤꯒꯤ ꯑꯩꯅꯥ ꯅꯨꯃꯤꯠ ꯈꯨꯗꯤꯡꯒꯤ ꯐꯖꯅꯥ ꯇꯨꯝꯕꯥ ꯉꯃꯗ꯭ꯔꯤꯕꯅꯣ?" ꯁ꯭ꯂꯤꯞ ꯑꯦꯄꯅꯤꯌꯥ ꯑꯁꯤ ꯀꯃꯟ ꯑꯣꯏꯕꯥ, ꯑꯗꯨꯕꯨ ꯃꯦꯅꯦꯖ ꯇꯧꯕꯥ ꯌꯥꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ .

ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯛꯀꯤꯗꯃꯛꯇꯥ ꯑꯆꯨꯝꯕꯥ ꯂꯥꯏꯌꯦꯡ ꯑꯗꯨ ꯊꯤꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯅꯕꯥ ꯃꯈꯜ ꯀꯌꯥꯒꯤ ꯂꯥꯏꯌꯦꯡꯁꯤꯡ ꯄꯤꯕꯥ ꯌꯥꯏ꯫ ꯂꯥꯏꯌꯦꯡꯕꯁꯤꯡ ꯑꯁꯤ ꯃꯤꯑꯣꯏ ꯑꯃꯗꯒꯤ ꯃꯤꯑꯣꯏ ꯑꯃꯗꯥ ꯈꯦꯠꯅꯕꯥ ꯌꯥꯏ꯫ ꯅꯍꯥꯛꯀꯤ ꯇꯨꯝꯕꯒꯤ ꯍꯩꯅꯕꯤꯁꯤꯡ ꯍꯣꯡꯗꯣꯀꯄꯥ ꯍꯥꯌꯕꯁꯤ ꯁꯤꯡꯅꯕꯥ ꯑꯃꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ, ꯑꯗꯨꯕꯨ ꯑꯄꯤꯀꯄꯥ ꯍꯧꯔꯀꯎ, ꯃꯇꯝ ꯑꯃꯗꯥ ꯑꯍꯣꯡꯕꯥ ꯑꯃꯥ ꯄꯨꯔꯀꯎ, ꯑꯃꯁꯨꯡ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯃꯊꯪꯒꯤ ꯑꯃꯗꯥ ꯆꯪꯁꯤꯜꯂꯨ꯫ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯗꯨꯒꯤ ꯑꯀꯛꯅꯕꯥ ꯑꯇꯩ ꯔꯤꯀꯃꯦꯟꯗꯦꯁꯅꯁꯤꯡꯁꯨ ꯄꯤꯕꯥ ꯌꯥꯏ ꯃꯗꯨꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯅꯨꯃꯤꯠ ꯈꯨꯗꯤꯡꯒꯤ ꯑꯐꯕꯥ ꯇꯨꯝꯕꯥ ꯉꯃꯍꯜꯂꯤ꯫

ꯑꯔꯣꯏꯕꯗꯥ, ꯅꯤꯡꯁꯤꯡꯒꯗꯕꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯋꯥꯐꯃꯁꯤꯡ꯫

ꯑꯗꯨꯅꯥ, ꯑꯩꯈꯣꯌꯅꯥ ꯈꯟꯅꯈꯤꯕꯁꯤꯡ ꯑꯗꯨꯗꯒꯤ, ꯅꯍꯥꯛꯅꯥ ꯁ꯭ꯂꯤꯞ ꯑꯦꯄꯅꯤꯌꯥ ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ, ꯃꯁꯤꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯀꯔꯝꯅꯥ ꯁꯣꯀꯍꯅꯕꯒꯦ, ꯑꯃꯁꯨꯡ ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯀꯔꯤ ꯇꯧꯕꯥ ꯌꯥꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯈꯪꯖꯤꯅꯒꯗꯕꯅꯤ꯫

ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯂꯩꯔꯣꯏ , ꯃꯁꯤ ꯃꯦꯅꯦꯖ ꯇꯧꯕꯥ ꯌꯥꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯋꯥꯐꯃꯗꯤ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯂꯩꯔꯕꯗꯤ ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯄꯥꯎꯇꯥꯛ ꯂꯧꯕꯅꯤ , ꯃꯗꯨ ꯌꯦꯡꯊꯤꯅꯕꯒꯤ ꯃꯍꯨꯠꯇꯥ꯫ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯅꯤꯡꯊꯤꯅꯥ ꯇꯨꯝꯕꯥ ꯌꯥꯒꯅꯤ ꯑꯃꯁꯨꯡ ꯍꯀꯆꯥꯡ ꯐꯕꯥ ꯄꯨꯟꯁꯤ ꯑꯃꯥ ꯍꯤꯡꯕꯥ ꯉꯃꯒꯅꯤ꯫ ꯑꯗꯣꯝ ꯈꯛꯇꯒꯤ ꯅꯠꯇꯦ, ꯈꯣꯡꯆꯠ ꯑꯁꯤꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯅꯕꯥ ꯗꯣꯛꯇꯔꯁꯤꯡꯁꯨ ꯂꯩꯔꯤ꯫

` ꯁ꯭ꯂꯤꯞ ꯑꯦꯄꯅꯤꯌꯥ, ꯁ꯭ꯂꯤꯞ ꯑꯦꯄꯅꯤꯌꯥ, ꯅꯣꯡꯃꯩ ꯀꯥꯞꯄꯥ, ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯂꯦꯄꯈꯤꯕꯥ, ꯁꯤ.ꯄꯤ.ꯑꯦ.ꯄꯤ., ꯇꯨꯝꯕꯥ ꯌꯥꯗꯕꯥ, ꯅꯨꯃꯤꯗꯥꯡꯗꯥ ꯇꯨꯝꯕꯥ ꯌꯥꯗꯕꯥ꯫