ꯍꯥꯔꯠ ꯁꯔꯖꯔꯤꯒꯤꯗꯃꯛꯇꯥ ꯆꯦꯁ꯭ꯠ ꯍꯥꯡꯗꯣꯀꯄꯥ (Sternotomy): ꯅꯍꯥꯛꯅꯥ ꯈꯪꯖꯤꯅꯒꯗꯕꯥ ꯋꯥꯐꯃꯁꯤꯡ꯫

ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯍꯥꯔꯇꯀꯤ ꯁꯔꯖꯔꯤ ꯇꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯏ ꯍꯥꯌꯅꯥ ꯍꯥꯌꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯑꯃꯁꯨꯡ ꯃꯁꯤꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡ ꯍꯥꯝꯕꯥ ꯌꯥꯎꯏ ꯍꯥꯌꯅꯥ ꯍꯥꯌꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯅꯍꯥꯛꯅꯥ ꯈꯔꯥ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯑꯃꯁꯨꯡ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯐꯥꯎꯔꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯗꯨ ꯅꯣꯔꯃꯦꯂꯅꯤ꯫ ꯀꯅꯥꯒꯨꯝꯕꯥ ꯑꯃꯠꯇꯅꯥ ꯁꯔꯖꯔꯤ ꯇꯧꯕꯥ ꯄꯥꯃꯗꯦ꯫ ꯑꯗꯨꯕꯨ ꯃꯁꯤ ꯍꯥꯔꯠ ꯁꯔꯖꯔꯤꯁꯤꯡꯅꯥ ꯌꯥꯝꯅꯥ ꯀꯃꯟ ꯑꯣꯏꯅꯥ ꯑꯃꯁꯨꯡ ꯃꯥꯌ ꯄꯥꯛꯅꯥ ꯇꯧꯕꯥ ꯊꯕꯛ ꯑꯃꯅꯤ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯂꯥꯡꯇꯛꯅꯕꯒꯤ ꯃꯔꯝ ꯑꯃꯠꯇꯥ ꯂꯩꯇꯦ꯫ ꯑꯥꯔꯇꯤꯀꯜ ꯑꯁꯤꯗꯥ ꯑꯩꯈꯣꯌꯅꯥ ꯁ꯭ꯇꯦꯔꯅꯣꯇꯣꯃꯤ ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ, ꯀꯔꯤꯒꯤꯗꯃꯛꯇꯥ ꯇꯧꯕꯅꯣ, ꯀꯔꯝꯅꯥ ꯇꯧꯕꯒꯦ ꯑꯃꯁꯨꯡ ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯀꯔꯤ ꯈꯪꯒꯗꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯈꯪꯖꯤꯅꯒꯅꯤ꯫

ꯁ꯭ꯇꯦꯔꯅꯣꯇꯣꯃꯤ ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ, ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ?

ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯁ꯭ꯇꯦꯔꯅꯣꯇꯣꯃꯤ ꯍꯥꯌꯕꯁꯤ ꯁꯔꯖꯔꯤꯒꯤ ꯄꯥꯟꯗꯃꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯒꯤ ꯃꯔꯛꯇꯥ ꯂꯩꯕꯥ ꯐ꯭ꯂꯦꯠ ꯕꯣꯟ, ꯁ꯭ꯇꯦꯅꯝ (sternum) ꯑꯗꯨ ꯑꯅꯤ ꯊꯣꯛꯅꯥ ꯀꯥꯄꯁꯤꯅꯕꯥ ꯁꯔꯖꯤꯀꯦꯜ ꯄ꯭ꯔꯣꯁꯤꯗ꯭ꯌꯨꯑꯣꯔꯅꯤ꯫ ꯃꯤꯑꯣꯏ ꯈꯔꯅꯥ ꯃꯁꯤꯕꯨ "ꯃꯦꯗꯤꯌꯝ ꯁ꯭ꯇꯦꯔꯅꯣꯇꯣꯃꯤ" ꯍꯥꯌꯅꯥꯁꯨ ꯀꯧꯏ꯫

ꯈꯟꯊꯕꯤꯌꯨ, ꯁ꯭ꯇꯦꯔꯅꯝ ꯑꯃꯁꯨꯡ ꯔꯤꯕꯁ ꯑꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯈꯣꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯂꯩꯕꯥ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯑꯣꯔꯒꯥꯅꯁꯤꯡ, ꯍꯥꯌꯕꯗꯤ ꯍꯥꯔꯠ ꯑꯃꯁꯨꯡ ꯂꯪꯁ ꯑꯁꯤ ꯉꯥꯀꯊꯣꯛꯅꯕꯥ ꯂꯩ꯫ ꯃꯁꯤ ꯁꯦꯐꯇꯤ ꯀꯦꯖ ꯑꯃꯒꯨꯝꯕꯅꯤ꯫ ꯑꯗꯨꯅꯥ, ꯅꯍꯥꯛꯀꯤ ꯊꯝꯃꯣꯌꯗꯥ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯑꯃꯥ ꯂꯩꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯅꯥ ꯃꯗꯨ ꯁꯔꯖꯤꯀꯦꯜ ꯑꯣꯏꯅꯥ ꯐꯤꯛꯁ ꯇꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯃꯇꯃꯗꯥ, ꯁꯔꯖꯔꯤ ꯑꯗꯨꯅꯥ ꯊꯝꯃꯣꯌꯗꯥ ꯌꯧꯔꯀꯄꯒꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯥ ꯑꯃꯁꯨꯡ ꯂꯥꯌꯕꯥ ꯄꯥꯝꯕꯩꯗꯤ ꯁ꯭ꯇꯦꯔꯅꯝ ꯑꯁꯤ ꯃꯔꯛꯇꯥ ꯆꯦꯟꯊꯔꯒꯥ ꯃꯥꯌꯀꯩ ꯑꯅꯤꯃꯛꯇꯥ ꯂꯝꯕꯤ ꯑꯃꯥ ꯁꯦꯝꯕꯅꯤ꯫

"ꯃꯤꯅꯤ ꯁ꯭ꯇꯦꯔꯅꯣꯇꯣꯃꯤ" ꯀꯧꯕꯥ ꯃꯦꯊꯗ ꯑꯃꯁꯨ ꯂꯩ ꯃꯗꯨꯗꯥ ꯁ꯭ꯇꯦꯔꯅꯝ ꯄꯨꯝꯅꯃꯛ ꯀꯀꯊꯠꯄꯥ ꯌꯥꯗꯦ, ꯑꯗꯨꯕꯨ ꯑꯄꯤꯀꯄꯥ ꯏꯅꯁꯤꯁꯟ ꯑꯃꯥ ꯁꯦꯝꯃꯤ꯫ ꯃꯁꯤꯗꯥ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯏꯟꯆꯤ 2-3 ꯐꯥꯎꯕꯒꯤ ꯑꯄꯤꯀꯄꯥ ꯏꯅꯁꯤꯁꯟ ꯑꯃꯥ ꯁꯦꯝꯃꯤ꯫

ꯃꯁꯤꯒꯤꯗꯃꯛꯇꯥ ꯑꯣꯄꯟ ꯍꯥꯔꯠ ꯁꯔꯖꯔꯤ ꯑꯁꯤ ꯀꯔꯤꯅꯣ? ꯃꯁꯤ ꯑꯆꯧꯕꯥ ꯁꯔꯖꯔꯤ ꯑꯃꯅꯤ ꯍꯥꯌꯕꯔꯥ?

ꯃꯁꯤ ꯃꯤꯑꯣꯏ ꯀꯌꯥꯗꯥ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯊꯣꯀꯍꯜꯂꯤꯕꯥ ꯋꯥꯐꯝ ꯑꯃꯅꯤ꯫ ꯁ꯭ꯇꯦꯔꯅꯣꯇꯣꯃꯤ ꯍꯥꯌꯕꯁꯤ ꯑꯣꯄꯟ ꯍꯥꯔꯠ ꯁꯔꯖꯔꯤꯒꯤ ꯂꯝꯕꯤ ꯍꯥꯡꯗꯣꯀꯄꯥ ꯊꯧꯑꯣꯡ ꯑꯃꯅꯤ . ꯃꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯌꯨꯃꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯃꯥ ꯁꯦꯃꯗꯣꯀꯄꯥ ꯄꯥꯝꯂꯕꯗꯤ ꯑꯍꯥꯅꯕꯗꯥ ꯊꯣꯡ ꯍꯥꯡꯗꯣꯀꯄꯥ ꯇꯥꯏ꯫ ꯃꯗꯨꯃꯛ ꯑꯣꯏꯔꯤ꯫ ꯁ꯭ꯇꯦꯔꯅꯣꯇꯣꯃꯤ ꯍꯥꯌꯕꯁꯤ ꯊꯝꯃꯣꯌꯗꯥ ꯌꯧꯕꯥ ꯉꯝꯅꯕꯥ "ꯊꯣꯡ ꯍꯥꯡꯗꯣꯀꯄꯥ" ꯄ꯭ꯔꯣꯁꯤꯗ꯭ꯌꯨꯑꯣꯔ ꯑꯃꯅꯤ꯫ ꯑꯣꯄꯟ ꯍꯥꯔꯠ ꯁꯔꯖꯔꯤ ꯍꯥꯌꯕꯁꯤ ꯃꯅꯨꯡꯗꯒꯤ ꯍꯥꯔꯠ ꯔꯤꯄꯦꯌꯥꯔ ꯇꯧꯕꯥ ꯄ꯭ꯔꯣꯁꯤꯗ꯭ꯌꯨꯑꯣꯔ ꯑꯃꯅꯤ꯫

ꯍꯣꯌ, ꯃꯁꯤ ꯑꯆꯧꯕꯥ ꯁꯔꯖꯔꯤꯅꯤ ꯍꯥꯌꯅꯥ ꯂꯧꯅꯩ . ꯃꯔꯃꯗꯤ ꯁꯔꯨ ꯑꯗꯨ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯐꯒꯠꯂꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯀꯀꯊꯠꯂꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯆꯦꯅꯕꯥ ꯉꯝꯕꯗꯥ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯊꯥ ꯑꯅꯤ ꯆꯪꯏ꯫ ꯑꯃꯁꯨꯡ ꯃꯁꯤ ꯑꯣꯄꯟ-ꯍꯥꯔꯠ ꯁꯔꯖꯔꯤꯒꯨꯝꯕꯥ ꯑꯇꯣꯞꯄꯥ ꯑꯆꯧꯕꯥ ꯁꯔꯖꯔꯤ ꯑꯃꯒꯤ ꯁꯔꯨꯛ ꯑꯃꯥ ꯑꯣꯏꯅꯥ ꯇꯧꯕꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯑꯅꯤ ꯑꯁꯤ ꯄꯨꯟꯅꯥ ꯆꯠꯃꯤꯟꯅꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯑꯆꯧꯕꯥ ꯁꯔꯖꯔꯤ ꯑꯃꯅꯤ꯫

ꯀꯔꯤꯒꯤꯗꯃꯛꯇꯥ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯃꯈꯂꯒꯤ ꯁꯔꯖꯔꯤ ꯑꯁꯤ ꯇꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯔꯤꯕꯅꯣ?

ꯗꯣꯛꯇꯔ ꯑꯃꯅꯥ ꯃꯁꯤꯒꯤ ꯃꯦꯊꯗ ꯑꯁꯤ ꯁ꯭ꯇꯦꯅꯝ ꯑꯃꯁꯨꯡ ꯔꯤꯕꯅꯁꯤꯡꯅꯥ ꯉꯥꯀꯊꯣꯀꯄꯥ ꯑꯣꯔꯒꯥꯅꯁꯤꯡꯗꯥ ꯌꯧꯍꯅꯕꯗꯥ ꯁꯤꯖꯤꯟꯅꯩ꯫ ꯃꯔꯨꯑꯣꯏꯅꯥ: ꯱.

• ꯍꯥꯔꯠ: ​​ꯍꯥꯔꯠ ꯚꯜꯌꯨꯁꯤꯡ ꯔꯤꯄꯦꯌꯥꯔ ꯇꯧꯕꯥ ꯑꯃꯁꯨꯡ ꯀꯣꯔꯣꯅꯥꯔꯤ ꯑꯥꯔꯇꯦꯔꯤ ꯕꯥꯏꯄꯥꯁ ꯁꯔꯖꯔꯤ ꯇꯧꯕꯒꯨꯝꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡꯒꯤꯗꯃꯛ꯫
• ꯑꯦꯑꯣꯔꯇꯥ: ꯍꯥꯔꯇꯇꯒꯤ ꯊꯣꯀꯄꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯜ ꯑꯣꯏꯔꯤꯕꯥ ꯑꯦꯑꯣꯔꯇꯥꯒꯤ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯃꯁꯤꯡꯒꯤꯗꯃꯛ꯫
• ꯄꯂꯃꯣꯅꯥꯔꯤ ꯑꯥꯔꯇꯦꯔꯤꯁꯤꯡ (Pulmonary arteries) : ꯍꯥꯔꯇꯇꯒꯤ ꯂꯪꯁꯇꯥ ꯏ ꯄꯨꯕꯥ ꯉꯝꯕꯥ ꯑꯥꯔꯇꯦꯔꯤꯁꯤꯡ꯫

ꯁ꯭ꯇꯦꯔꯅꯣꯇꯣꯃꯤ (sternotomy) ꯍꯥꯌꯕꯁꯤ ꯂꯥꯌꯅꯥ ꯑꯃꯍꯦꯛꯇꯒꯤ ꯂꯥꯏꯌꯦꯡ ꯑꯃꯅꯤ꯫ ꯃꯁꯤ ꯁꯔꯖꯔꯤꯅꯥ ꯃꯍꯥꯛꯀꯤ ꯊꯕꯛ ꯍꯦꯟꯅꯥ ꯐꯖꯅꯥ ꯄꯥꯡꯊꯣꯀꯄꯥ ꯉꯝꯅꯕꯥ ꯑꯣꯔꯒꯥꯅꯁꯤꯡꯒꯤꯗꯃꯛꯇꯥ ꯃꯐꯝ ꯑꯃꯥ ꯄꯤꯅꯕꯥ ꯇꯧꯕꯥ ꯊꯧꯑꯣꯡ ꯑꯃꯅꯤ꯫ ꯑꯃꯦꯔꯤꯀꯥꯒꯨꯝꯕꯥ ꯂꯩꯕꯥꯛ ꯑꯃꯗꯥ ꯆꯍꯤ ꯈꯨꯗꯤꯡꯒꯤ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯁꯔꯖꯔꯤ ꯷꯰꯰,꯰꯰꯰ ꯍꯦꯟꯅꯥ ꯄꯥꯡꯊꯣꯀꯏ꯫ ꯃꯁꯤ ꯑꯗꯨꯒꯨꯝꯕꯥ ꯀꯃꯟ ꯑꯣꯏ꯫

ꯁꯔꯖꯔꯤꯒꯤ ꯃꯃꯥꯡꯗꯥ ꯀꯔꯤ ꯊꯣꯀꯏ?

ꯅꯍꯥꯛꯀꯤ ꯁꯔꯖꯔꯤꯒꯤ ꯃꯃꯥꯡꯗꯥ, ꯃꯦꯗꯤꯀꯦꯜ ꯇꯤꯃꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯏꯅꯁ꯭ꯠꯔꯛꯁꯟ ꯈꯔꯥ ꯄꯤꯒꯅꯤ, ꯃꯈꯣꯌ ꯑꯗꯨꯗꯤ:

• ꯃꯈꯣꯌꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯂꯗꯥ ꯂꯥꯀꯄꯥ ꯃꯃꯥꯡꯗꯥ ꯑꯐꯕꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯁꯦꯡꯅꯥ ꯂꯥꯛꯅꯕꯥ ꯍꯥꯌꯔꯤ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯍꯦꯌꯥꯔ ꯂꯩꯔꯕꯗꯤ ꯃꯈꯣꯌꯗꯨ ꯆꯦꯀꯁꯤꯟꯅꯥ ꯂꯧꯊꯣꯛꯀꯅꯤ꯫
• ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯏꯅꯐꯦꯛꯁꯟ ꯂꯩꯍꯟꯗꯅꯕꯥ ꯑꯦꯟꯇꯤꯕꯥꯏꯑꯣꯇꯤꯀꯁꯤꯡ ꯄꯤꯒꯅꯤ꯫
• ꯁꯔꯖꯔꯤ ꯄꯥꯡꯊꯣꯛꯀꯗꯕꯥ ꯆꯦꯁ꯭ꯠ ꯑꯦꯔꯤꯌꯥ ꯑꯗꯨ ꯑꯦꯟꯇꯤꯁꯦꯞꯇꯤꯛ ꯁꯣꯜꯌꯨꯁꯅꯁꯤꯡꯅꯥ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯁꯦꯡꯗꯣꯀꯏ꯫

ꯃꯇꯧ ꯀꯔꯝꯅꯥ ꯁꯔꯖꯔꯤ ꯑꯁꯤ ꯈꯣꯡꯊꯥꯡ ꯈꯨꯗꯤꯡꯒꯤ ꯄꯥꯡꯊꯣꯛꯀꯗꯒꯦ꯫

ꯃꯁꯤ ꯑꯗꯣꯃꯗꯥ ꯈꯔꯥ ꯂꯥꯡꯇꯛꯅꯕꯥ ꯐꯥꯑꯣꯔꯀꯄꯥ ꯌꯥꯏ, ꯑꯗꯨꯕꯨ ꯅꯤꯡꯁꯤꯡꯕꯤꯌꯨ , ꯃꯁꯤ ꯄꯨꯝꯅꯃꯛ ꯑꯁꯤ ꯑꯗꯣꯃꯗꯥ ꯑꯦꯅꯥꯁ꯭ꯇꯦꯁꯤꯌꯥ ꯄꯤꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯇꯧꯏ ꯑꯃꯁꯨꯡ ꯌꯥꯝꯅꯥ ꯋꯥꯅꯥ ꯇꯨꯝꯂꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯇꯧꯏ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯅꯉꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯃꯠꯇꯥ ꯐꯥꯑꯣꯔꯔꯣꯏ꯫

1. ꯑꯍꯥꯅꯕꯗꯥ, ꯁꯔꯖꯔꯤꯅꯥ ꯈꯣꯡꯗꯥ ꯏꯅꯁꯤꯁꯟ ꯑꯃꯥ ꯁꯦꯝꯃꯤ, ꯃꯗꯨ ꯅꯍꯥꯛꯀꯤ ꯁꯣꯔꯣꯛ ꯕ꯭ꯂꯦꯗꯁꯤꯡꯒꯤ ꯃꯔꯛꯇꯥ ꯍꯧꯗꯨꯅꯥ ꯁ꯭ꯇꯦꯅꯃꯒꯤ ꯃꯊꯛꯇꯥ ꯆꯦꯟꯊꯔꯀꯏ꯫

2. ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ, "ꯁ꯭ꯇꯦꯔꯅꯦꯜ ꯁꯣ" ꯀꯧꯕꯥ ꯑꯈꯟꯅꯕꯥ ꯃꯦꯗꯤꯀꯦꯜ ꯏꯅꯁ꯭ꯠꯔꯨꯃꯦꯟꯇ ꯑꯃꯥ ꯁꯤꯖꯤꯟꯅꯗꯨꯅꯥ ꯁ꯭ꯇꯦꯔꯅꯝ ꯑꯗꯨ ꯃꯊꯛꯇꯒꯤ ꯃꯈꯥ ꯐꯥꯑꯣꯕꯥ ꯅꯤꯡꯊꯤꯅꯥ ꯂꯥꯏꯟ ꯑꯃꯗꯥ ꯀꯥꯄꯁꯤꯜꯂꯤ꯫

3. ꯀꯀꯊꯠꯂꯕꯥ ꯁꯔꯨꯒꯤ ꯁꯔꯨꯛ ꯑꯅꯤ ꯑꯁꯤ ꯅꯥꯀꯜ ꯑꯃꯗꯥ ꯊꯝꯃꯤ, ꯑꯃꯁꯨꯡ ꯊꯝꯃꯣꯌꯗꯥ ꯆꯠꯄꯥ ꯌꯥꯅꯕꯥ "ꯔꯤꯠꯔꯦꯛꯇꯔ" ꯀꯧꯕꯥ ꯈꯨꯠꯂꯥꯌ ꯑꯃꯥ ꯍꯥꯄꯆꯤꯜꯂꯤ꯫

4. ꯃꯊꯪꯗꯥ, ꯍꯥꯔꯇꯀꯤ ꯑꯀꯣꯌꯕꯗꯥ ꯂꯩꯕꯥ ꯄ꯭ꯔꯣꯇꯦꯛꯇꯤꯚ ꯃꯦꯝꯕ꯭ꯔꯦꯟ, ꯄꯦꯔꯤꯀꯥꯔꯗꯤꯌꯝ ꯑꯁꯤ ꯍꯥꯡꯗꯣꯀꯏ꯫

꯵.ꯍꯧꯖꯤꯛ ꯁꯔꯖꯔꯤꯅꯥ ꯊꯝꯃꯣꯌ ꯃꯌꯦꯛ ꯁꯦꯡꯅꯥ ꯎꯕꯥ ꯉꯝꯂꯦ꯫ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯃꯈꯣꯌꯅꯥ ꯄꯥꯡꯊꯣꯀꯄꯥ ꯄꯥꯝꯂꯤꯕꯥ ꯑꯆꯧꯕꯥ ꯁꯔꯖꯔꯤ (ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯕꯥꯏꯄꯥꯁ ꯁꯔꯖꯔꯤ) ꯑꯗꯨ ꯄꯥꯡꯊꯣꯀꯏ꯫

6. ꯃꯔꯨꯑꯣꯏꯕꯥ ꯁꯔꯖꯔꯤ꯫ ꯃꯁꯤ ꯁꯣꯀꯄꯥ ꯌꯥꯕꯥ ꯄꯣꯠꯁꯛ ꯑꯃꯥ ꯇꯤꯡꯕꯒꯥ ꯃꯥꯟꯅꯩ꯫

7. ꯑꯔꯣꯏꯕꯗꯥ, ꯆꯦꯁ꯭ꯠ ꯇꯤꯁꯨ ꯑꯃꯁꯨꯡ ꯈꯣꯡ ꯑꯗꯨ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯁꯦꯃꯖꯤꯜꯂꯤ, ꯑꯃꯁꯨꯡ ꯑꯁꯣꯀꯄꯥ ꯑꯗꯨꯗꯥ ꯑꯦꯟꯇꯤꯕꯥꯏꯑꯣꯇꯤꯛ ꯃꯍꯤ ꯑꯃꯥ ꯊꯥꯏ꯫

ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯀꯔꯤ ꯑꯥꯁꯥ ꯇꯧꯕꯥ ꯌꯥꯕꯒꯦ?

ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ, ꯅꯍꯥꯛꯅꯥ ꯏꯟꯇꯦꯟꯁꯤꯚ ꯀꯦꯌꯔ ꯌꯨꯅꯤꯠ (ICU)ꯗꯥ ꯅꯨꯃꯤꯠ ꯑꯃꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯅꯤ ꯂꯩꯒꯅꯤ, ꯑꯃꯁꯨꯡ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯔꯦꯒꯨꯂꯥꯔ ꯋꯥꯔꯗ ꯑꯃꯗꯥ ꯇ꯭ꯔꯥꯟꯁꯐꯔ ꯇꯧꯒꯅꯤ꯫

• ꯑꯅꯥꯕꯥ: ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯅꯥꯕꯥ ꯈꯔꯥ ꯊꯦꯡꯅꯔꯀꯄꯥ ꯌꯥꯏ, ꯑꯗꯨꯕꯨ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯃꯗꯨ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯅꯕꯥ ꯄꯦꯟ ꯀꯤꯂꯔꯁꯤꯡ ꯄꯤꯒꯅꯤ꯫ ꯑꯌꯥꯝꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯅꯥ ꯄꯦꯔꯥꯁꯤꯇꯥꯃꯣꯂꯒꯨꯝꯕꯥ ꯑꯣꯚꯔ-ꯗꯤ-ꯀꯎꯟꯇꯔ ꯄꯦꯏꯅꯀꯤꯂꯥꯔꯁꯤꯡꯅꯥ ꯑꯅꯥꯕꯥ ꯑꯗꯨ ꯃꯦꯅꯦꯖ ꯇꯧꯕꯥ ꯉꯝꯃꯤ꯫
• ꯆꯦꯁ꯭ꯠ ꯇꯤꯎꯕꯁꯤꯡ: ꯑꯁꯣꯀꯄꯥ ꯑꯗꯨꯗꯒꯤ ꯑꯍꯦꯅꯕꯥ ꯐ꯭ꯂꯨꯏꯗ ꯑꯃꯁꯨꯡ ꯏ ꯂꯧꯊꯣꯛꯅꯕꯥ ꯇꯤꯎꯕ ꯑꯃꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯃꯗꯒꯤ ꯍꯦꯅꯕꯥ ꯆꯦꯡꯗꯥ ꯊꯝꯕꯥ ꯌꯥꯏ꯫ ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯅꯨꯃꯤꯠ ꯈꯔꯅꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯂꯧꯊꯣꯛꯂꯒꯅꯤ꯫
• ꯅꯨꯄꯤꯁꯤꯡꯒꯤ ꯑꯈꯟꯅꯕꯥ ꯄꯥꯎꯇꯥꯛ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯎꯅꯁꯥ ꯑꯗꯨ ꯌꯥꯝꯅꯥ ꯆꯥꯎꯔꯕꯗꯤ, ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯂꯗꯒꯤ ꯊꯣꯛꯂꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯅꯨꯃꯤꯠ ꯈꯨꯗꯤꯡꯒꯤ ꯄꯨꯡ 24 ꯐꯥꯎꯕꯥ ꯌꯥꯝꯅꯥ ꯐꯖꯅꯥ ꯁꯄꯣꯔꯠ ꯇꯧꯕꯥ ꯕ꯭ꯔꯦ ꯑꯃꯥ ꯁꯤꯖꯤꯟꯅꯅꯕꯥ ꯄꯥꯎꯇꯥꯛ ꯄꯤꯔꯤ, ꯃꯗꯨꯅꯥ ꯑꯁꯣꯀꯄꯥ ꯑꯗꯨꯗꯥ ꯂꯩꯔꯤꯕꯥ ꯑꯔꯨꯝꯕꯥ ꯑꯃꯁꯨꯡ ꯄ꯭ꯔꯦꯁꯔ ꯑꯗꯨ ꯍꯟꯊꯍꯅꯒꯅꯤ꯫

ꯁꯔꯖꯔꯤ ꯑꯁꯤꯒꯤ ꯀꯥꯟꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯈꯨꯗꯣꯡꯊꯤꯕꯁꯤꯡ ꯀꯔꯤꯅꯣ?

ꯁꯔꯖꯔꯤ ꯑꯃꯍꯦꯛꯇꯒꯨꯝꯅꯥ ꯃꯁꯤꯒꯤꯁꯨ ꯀꯥꯟꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯑꯄꯤꯀꯄꯥ ꯈꯨꯗꯣꯡꯊꯤꯕꯥ ꯂꯩ꯫

ꯐꯒꯠꯂꯀꯄꯗꯥ ꯃꯇꯝ ꯀꯌꯥ ꯆꯪꯕꯒꯦ? ꯌꯨꯃꯗꯥ ꯃꯇꯧ ꯀꯔꯝꯅꯥ ꯏꯁꯥꯕꯨ ꯌꯦꯡꯁꯤꯅꯕꯤꯒꯅꯤ?

ꯁ꯭ꯇꯦꯔꯅꯝ ꯑꯗꯨ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯐꯒꯠꯂꯀꯄꯗꯥ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯅꯨꯃꯤꯠ 8 ꯆꯪꯏ꯫ ꯃꯇꯝ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯃꯊꯛ ꯊꯪꯕꯥ ꯁꯔꯨꯛꯇꯥ ꯆꯠꯊꯣꯛ-ꯆꯠꯁꯤꯟ ꯇꯧꯕꯗꯥ ꯂꯤꯃꯤꯠ ꯂꯩꯍꯅꯒꯗꯕꯅꯤ꯫ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯤ ꯏꯅꯁ꯭ꯠꯔꯛꯁꯅꯁꯤꯡ ꯑꯗꯨ ꯆꯨꯝꯅꯥ ꯏꯅꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫

• ꯑꯔꯨꯝꯕꯥ ꯂꯧꯊꯣꯀꯎ: ꯄꯥꯎꯟꯗ 10 (ꯆꯥꯎꯔꯥꯛꯅꯥ ꯀꯤꯂꯣꯒ꯭ꯔꯥꯝ 4.5)ꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯂꯨꯝꯕꯥ ꯄꯣꯠꯁꯛ ꯑꯃꯠꯇꯥ ꯂꯧꯊꯣꯀꯎ꯫ ꯏꯆꯝ ꯆꯝꯕꯥ ꯋꯥꯍꯟꯊꯣꯛ ꯑꯃꯗꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯃꯗꯨ ꯁꯉ꯭ꯒꯣꯝ ꯂꯤꯇꯔ ꯴ꯒꯤ ꯑꯔꯨꯝꯕꯥ ꯑꯗꯨꯒꯥ ꯃꯥꯟꯅꯩ꯫
• ꯈꯨꯠ ꯑꯅꯤꯃꯛ ꯁꯤꯖꯤꯟꯅꯧ: ꯄꯣꯠꯁꯛ ꯑꯃꯥ ꯊꯥꯡꯒꯠꯄꯥ ꯃꯇꯃꯗꯥ, ꯃꯗꯨ ꯆꯞ ꯃꯥꯟꯅꯅꯥ ꯋꯥꯡꯈꯠꯍꯟꯅꯕꯥ ꯈꯨꯠ ꯑꯅꯤꯃꯛ ꯁꯤꯖꯤꯟꯅꯧ꯫ ꯈꯨꯠ ꯑꯃꯈꯛꯇꯪꯅꯥ ꯑꯔꯨꯝꯕꯥ ꯑꯗꯨ ꯂꯧꯊꯣꯀꯎ꯫
• ꯅꯍꯥꯛꯀꯤ ꯈꯨꯠꯁꯥ ꯑꯗꯨ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡꯒꯥ ꯅꯛꯅꯅꯥ ꯊꯝꯃꯨ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯄꯣꯠꯁꯛ ꯑꯃꯥ ꯂꯧꯊꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯨꯠꯁꯥ ꯑꯗꯨ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡꯒꯥ ꯅꯛꯅꯅꯥ ꯊꯝꯃꯨ꯫

ꯗ꯭ꯔꯥꯏꯚꯤꯡꯒꯤ ꯃꯇꯥꯡꯗꯥ꯫

ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯊꯥ ꯑꯃꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯒꯥꯔꯤ ꯊꯧꯕꯥ ꯌꯥꯒꯅꯤ꯫ ꯑꯗꯨꯕꯨ ꯃꯗꯨꯒꯤ ꯃꯃꯥꯡꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯑꯌꯥꯕꯥ ꯁꯣꯌꯗꯅꯥ ꯂꯧꯒꯗꯕꯅꯤ꯫ ꯅꯍꯥꯛꯀꯤ ꯁ꯭ꯇꯦꯅꯝ ꯑꯗꯨ ꯐꯒꯠꯂꯛꯠꯔꯤꯐꯥꯎꯕꯥ, ꯒꯥꯔꯤ ꯑꯃꯗꯥ ꯆꯠꯄꯥ ꯃꯇꯃꯗꯥ ꯃꯃꯥꯡꯒꯤ ꯄꯦꯁꯦꯟꯖꯔꯒꯤ ꯁꯤꯠ ꯑꯗꯨꯗꯥ ꯐꯃꯗꯨꯅꯥ ꯂꯩꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯩ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯁꯤꯠ ꯕꯦꯜꯇ ꯑꯗꯨꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯆꯦꯅꯁꯤꯜꯂꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯐꯥꯎꯔꯕꯁꯨ, ꯁꯤꯠ ꯕꯦꯜꯇ ꯑꯃꯥ ꯁꯣꯌꯗꯅꯥ ꯁꯤꯖꯤꯟꯅꯧ ꯃꯔꯃꯗꯤ ꯃꯁꯤꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯑꯦꯛꯁꯤꯗꯦꯟꯇ ꯑꯃꯥ ꯊꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯉꯥꯀꯊꯣꯛꯀꯅꯤ꯫

ꯗꯣꯛꯇꯔ ꯑꯃꯒꯥ ꯎꯅꯕꯒꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯥ ꯃꯇꯃꯁꯤꯡ ꯀꯔꯤꯅꯣ?

ꯅꯍꯥꯛꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯐꯣꯂꯣ-ꯑꯞ ꯑꯦꯄꯣꯏꯟꯇꯃꯦꯟꯇꯁꯤꯡ ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯂꯩꯒꯅꯤ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯍꯦꯛꯇꯕꯨ ꯊꯦꯡꯅꯔꯕꯗꯤ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯈꯨꯗꯛꯇꯥ ꯈꯪꯍꯅꯒꯗꯕꯅꯤ꯫

ꯅꯍꯥꯛꯀꯤ ꯍꯥꯔꯠ ꯁꯔꯖꯔꯤꯒꯤꯗꯃꯛꯇꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯥ ꯑꯦꯞꯔꯣꯆ ꯈꯅꯕꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯑꯀꯛꯅꯕꯥ ꯐꯤꯚꯝ ꯑꯗꯨꯗꯥ ꯌꯨꯝꯐꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯂꯧꯒꯗꯕꯥ ꯋꯥꯔꯦꯞ ꯑꯃꯅꯤ꯫ ꯑꯌꯥꯝꯕꯥ ꯀꯦꯁꯁꯤꯡꯗꯗꯤ, ꯁ꯭ꯇꯦꯔꯅꯣꯇꯣꯃꯤ (sternotomy) ꯍꯥꯌꯕꯁꯤ ꯍꯥꯔꯇꯇꯥ ꯑꯦꯛꯁꯦꯁ ꯇꯧꯅꯕꯒꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯥ ꯄꯥꯝꯕꯩꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯍꯪ ꯑꯃꯠꯇꯥ ꯍꯪꯂꯕꯗꯤ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯍꯪꯕꯗꯥ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯂꯩꯔꯣꯏꯗꯕꯅꯤ꯫