ꯅꯉꯁꯨ ꯇꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯅꯣꯡꯃꯩ ꯀꯥꯞꯂꯤꯕꯔꯥ? ꯃꯁꯤ ꯁ꯭ꯂꯤꯞ ꯑꯦꯄꯅꯤꯌꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯕ꯭ꯔꯥ?

ꯅꯍꯥꯛꯀꯤ ꯌꯨꯃꯗꯥ ꯀꯅꯥꯒꯨꯝꯕꯥ ꯑꯃꯅꯥ, ꯅꯍꯥꯛꯀꯤ ꯃꯄꯨꯔꯣꯏꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯃꯄꯥ ꯑꯣꯏꯔꯕꯁꯨ, ꯈꯉꯍꯧꯗꯅꯥ ꯑꯌꯨꯛꯇꯥ ꯌꯥꯝꯅꯥ ꯋꯥꯅꯥ ꯅꯣꯀꯄꯥ, ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯃꯇꯝ ꯈꯔꯥ ꯂꯦꯞꯂꯒꯥ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯍꯧꯔꯀꯄꯥ, ꯃꯈꯣꯌꯅꯥ ꯊꯋꯥꯏ ꯌꯥꯑꯣꯅꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯍꯧꯔꯀꯄꯥ ꯇꯥꯕꯔꯥ? ꯅꯠꯔꯒꯥ ꯅꯨꯃꯤꯠ ꯆꯨꯞꯄꯥ ꯃꯔꯝ ꯑꯃꯠꯇꯥ ꯂꯩꯇꯅꯥ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯑꯃꯁꯨꯡ ꯇꯨꯝꯕꯥ ꯌꯥꯗꯕꯥ ꯐꯥꯑꯣꯔꯤꯕꯔꯥ? ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯉꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯋꯥꯔꯤ ꯁꯥꯔꯤꯕꯥ ꯁ꯭ꯂꯤꯞ ꯑꯦꯄꯅꯤꯌꯥ ꯀꯧꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯒꯤ ꯂꯥꯏꯑꯣꯡ ꯑꯣꯏꯕꯥ ꯌꯥꯏ ꯫ ꯃꯤꯑꯣꯏ ꯀꯌꯥꯅꯥ ꯃꯁꯤ ꯅꯣꯔꯃꯦꯜ ꯁ꯭ꯅꯣꯔꯤꯡ ꯈꯛꯇꯅꯤ ꯍꯥꯌꯅꯥ ꯈꯜꯂꯕꯁꯨ, ꯃꯁꯤ ꯂꯥꯏꯌꯦꯡꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯝꯅꯥ ꯍꯦꯟꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫ ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯑꯀꯨꯞꯄꯥ ꯃꯔꯣꯂꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯁꯤ꯫

ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯁ꯭ꯂꯤꯞ ꯑꯦꯄꯅꯤꯌꯥ ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ?

ꯁ꯭ꯂꯤꯞ ꯑꯦꯄꯅꯤꯌꯥ ꯍꯥꯌꯕꯁꯤ ꯅꯍꯥꯛꯅꯥ ꯇꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ ꯑꯗꯨ ꯃꯤꯀꯨꯞ ꯑꯃꯒꯤ ꯑꯣꯏꯅꯥ ꯂꯦꯄꯈꯤꯕꯥ, ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯍꯧꯔꯀꯄꯥ ꯍꯥꯌꯕꯁꯤꯅꯤ꯫ ꯃꯁꯤ ꯅꯨꯃꯤꯠ ꯑꯃꯗꯥ ꯀꯌꯥ ꯌꯥꯝꯅꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯏ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯂꯤꯁꯤꯡ ꯀꯌꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯅꯍꯥꯛꯅꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯂꯦꯄꯈꯤꯕꯥ ꯈꯨꯗꯤꯡꯗꯥ, ꯅꯍꯥꯛꯀꯤ ꯕ꯭ꯔꯦꯅꯗꯥ ꯑꯣꯛꯁꯤꯖꯦꯟ ꯍꯟꯊꯔꯀꯏ꯫ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯕ꯭ꯔꯦꯅꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯃꯇꯝ ꯈꯔꯒꯤ ꯑꯣꯏꯅꯥ ꯋꯥꯈꯜ ꯇꯥꯍꯟꯗꯨꯅꯥ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯍꯥꯌꯔꯀꯏ꯫ ꯃꯁꯤꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯌꯥꯝꯅꯥ ꯂꯨꯅꯥ ꯇꯨꯝꯕꯥ ꯉꯃꯍꯟꯗꯦ . ꯃꯁꯤꯒꯤ ꯃꯍꯩꯗꯤ ꯅꯨꯃꯤꯗꯥꯡꯗꯥ ꯇꯨꯝꯕꯥ ꯌꯥꯗꯕꯥ, ꯋꯥꯈꯜ ꯋꯥꯕꯥ, ꯄꯨꯛꯅꯤꯡ ꯆꯪꯕꯥ ꯉꯃꯗꯕꯥ, ꯑꯃꯁꯨꯡ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯂꯥꯌꯦꯡꯗ꯭ꯔꯕꯗꯤ ꯍꯥꯏ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ ꯑꯃꯁꯨꯡ ꯍꯥꯔꯇꯀꯤ ꯂꯥꯌꯅꯥꯒꯨꯝꯕꯥ ꯑꯀꯅꯕꯥ ꯍꯀꯁꯦꯂꯒꯤ ꯁꯃꯁ꯭ꯌꯥꯁꯤꯡ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ .

ꯁ꯭ꯂꯤꯞ ꯑꯦꯄꯅꯤꯌꯥꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯈꯜ ꯑꯍꯨꯝ ꯂꯩ:

ꯁ꯭ꯂꯤꯞ ꯑꯦꯄꯅꯤꯌꯥ ꯑꯁꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯈꯜ ꯑꯍꯨꯃꯗꯥ ꯈꯥꯌꯗꯣꯀꯄꯥ ꯌꯥꯏ꯫

1. ꯑꯣꯕꯁ꯭ꯠꯔꯀꯆꯔ ꯁ꯭ꯂꯤꯞ ꯑꯦꯄꯅꯤꯌꯥ (OSA): ꯃꯁꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯃꯈꯂꯅꯤ꯫ ꯃꯐꯃꯁꯤꯗꯥ ꯊꯣꯛꯂꯤꯕꯥ ꯑꯁꯤꯗꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯇꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯀꯣꯛꯇꯥ ꯂꯩꯕꯥ ꯇꯔꯨ-ꯇꯅꯥꯅꯕꯥ ꯇꯤꯁꯨ ꯑꯗꯨ ꯔꯤꯂꯥꯛꯁ ꯇꯧꯏ, ꯃꯗꯨꯅꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯑꯦꯌꯔꯋꯦ (airway) ꯑꯗꯨ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯅꯠꯠꯔꯒꯥ ꯁꯔꯨꯛ ꯈꯔꯗꯤ ꯊꯤꯡꯏ꯫ ꯃꯁꯤ ꯃꯔꯛꯇꯥ ꯆꯦꯟꯊꯔꯀꯄꯥ ꯏꯁꯤꯡꯒꯤ ꯄꯥꯏꯞ ꯑꯃꯒꯨꯝꯅꯥ ꯏꯁꯤꯡ ꯇꯨꯡꯁꯤꯅꯕꯥ ꯊꯤꯡꯏ꯫ ꯃꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯗꯥ ꯑꯋꯥꯕꯥ ꯄꯤ, ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯅꯥ ꯈꯪꯍꯧꯗꯅꯥ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯐꯥꯎꯔꯀꯏ꯫

2. ꯁꯦꯟꯠꯔꯦꯜ ꯁ꯭ꯂꯤꯞ ꯑꯦꯄꯅꯤꯌꯥ (CSA): ꯃꯁꯤ ꯈꯔꯥ ꯇꯣꯉꯥꯜꯂꯤ꯫ ꯑꯦꯌꯔꯋꯦ (ꯁ꯭ꯕꯔ ꯍꯣꯟꯅꯕꯥ ꯎꯇꯣꯡ)ꯗꯥ ꯑꯀꯥꯌꯕꯥ ꯑꯃꯠꯇꯥ ꯂꯩꯇꯦ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯕ꯭ꯔꯦꯅꯗꯒꯤ ꯆꯦꯁ꯭ꯠ ꯃꯁꯂꯁꯤꯡꯗꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯁꯤꯒꯅꯦꯜ ꯑꯗꯨꯗꯤ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯆꯠꯄꯥ ꯉꯃꯗ꯭ꯔꯤ꯫ ꯃꯁꯤꯅꯥ ꯇꯥꯀꯄꯗꯤ ꯕ꯭ꯔꯦꯅꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯗꯥ “ꯀꯃꯥꯟꯗ” ꯇꯧꯕꯥ ꯀꯥꯎꯊꯣꯀꯏ꯫ ꯃꯁꯤ ꯍꯥꯔꯇꯀꯤ ꯂꯥꯌꯅꯥ ꯑꯃꯁꯨꯡ ꯅꯔꯚ ꯁꯤꯁ꯭ꯇꯦꯃꯒꯤ ꯂꯥꯌꯅꯥ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯗꯥ ꯍꯦꯟꯅꯥ ꯀꯃꯟ ꯑꯣꯏ꯫

3. ꯀꯃꯞꯂꯦꯛꯁ ꯁ꯭ꯂꯤꯞ ꯑꯦꯄꯅꯤꯌꯥ ꯁꯤꯟꯗꯣꯝ: ꯃꯁꯤꯗꯥ ꯃꯊꯛꯇꯥ ꯄꯅꯈ꯭ꯔꯤꯕꯥ ꯃꯈꯜ ꯑꯅꯤꯃꯛꯀꯤ ꯃꯑꯣꯡ-ꯃꯇꯧ ꯂꯩ꯫ ꯍꯥꯌꯕꯗꯤ, ꯑꯦꯌꯔꯋꯦ (airway) ꯕ꯭ꯂꯣꯛ ꯇꯧꯕꯥ ꯑꯃꯁꯨꯡ ꯕ꯭ꯔꯦꯅꯗꯒꯤ ꯁꯤꯒꯅꯦꯂꯁꯤꯡ ꯂꯥꯀꯄꯥ ꯑꯅꯤꯃꯛ ꯂꯩꯕꯥ ꯌꯥꯏ꯫

ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤꯒꯤꯗꯃꯛꯇꯥ ꯀꯅꯥꯅꯥ ꯍꯦꯟꯅꯥ ꯔꯤꯁ꯭ꯛ ꯂꯩꯕꯒꯦ?

ꯀꯅꯥꯒꯨꯝꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯗꯥ ꯁ꯭ꯂꯤꯞ ꯑꯦꯄꯅꯤꯌꯥ ꯂꯥꯀꯄꯥ ꯌꯥꯏ ꯑꯗꯨꯕꯨ ꯃꯤꯑꯣꯏ ꯈꯔꯗꯤ ꯍꯦꯟꯅꯥ ꯔꯤꯁ꯭ꯛ ꯂꯩ꯫

• ꯍꯀꯆꯥꯡꯒꯤ ꯑꯔꯨꯝꯕꯥ ꯍꯦꯟꯅꯥ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯒꯤ ꯑꯣꯏꯅꯗꯤ (Obesity): ꯑꯣꯕꯦꯁꯤꯇꯤꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯀꯣꯛꯇꯥ ꯐꯦꯠ ꯂꯩꯕꯥ꯫ꯃꯁꯤꯅꯥ ꯁꯦꯃꯒꯠꯄꯥ ꯉꯝꯃꯤ ꯑꯃꯁꯨꯡ ꯑꯦꯌꯔꯋꯦ (airways) ꯑꯗꯨ ꯀꯨꯄꯁꯤꯅꯕꯥ ꯉꯝꯃꯤ꯫
• ꯑꯀꯅꯕꯥ ꯈꯣꯡꯎꯞ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯒꯤ ꯑꯣꯏꯅꯗꯤ: ꯈꯣꯡꯒꯤ ꯁꯔꯛꯌꯨꯏꯐꯦꯔꯦꯟꯁ ꯍꯦꯅꯒꯠꯂꯀꯄꯁꯨ ꯔꯤꯁ꯭ꯛ ꯐꯦꯛꯇꯔ ꯑꯃꯅꯤ꯫
• ꯅꯨꯄꯥꯁꯤꯡꯒꯤ ꯑꯣꯏꯅꯗꯤ: ꯅꯨꯄꯥꯁꯤꯡꯅꯥ ꯅꯨꯄꯤꯁꯤꯡꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯂꯥꯀꯄꯒꯤ ꯔꯤꯁ꯭ꯛ ꯍꯦꯟꯅꯥ ꯂꯩ꯫
• ꯆꯍꯤ ꯌꯥꯃꯈꯠꯂꯀꯄꯥ : ꯆꯍꯤ ꯌꯥꯃꯈꯠꯂꯀꯄꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯀꯣꯛ ꯆꯤꯀꯄꯒꯤ ꯃꯁꯂꯁꯤꯡ ꯁꯣꯟꯊꯔꯀꯏ꯫
• ꯏꯃꯨꯡꯒꯤ ꯍꯤꯁ꯭ꯇꯔꯤ : ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯏꯃꯨꯡꯒꯤ ꯃꯤꯑꯣꯏ ꯑꯃꯗꯥ ꯁ꯭ꯂꯤꯞ ꯑꯦꯄꯅꯤꯌꯥ ꯂꯩꯔꯕꯗꯤ ꯅꯍꯥꯀꯁꯨ ꯃꯁꯤ ꯂꯥꯀꯄꯒꯤ ꯆꯥꯡ ꯍꯦꯜꯂꯤ꯫
• ꯊꯛꯅꯕꯥ ꯏꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯌꯨ ꯊꯀꯄꯥ: ꯃꯁꯤꯅꯥ ꯑꯦꯌꯔꯋꯦ (ꯁ꯭ꯕꯔ ꯍꯣꯟꯅꯕꯥ ꯎꯇꯣꯡ)ꯗꯥ ꯁꯣꯛ-ꯄꯅꯕꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ ꯑꯃꯁꯨꯡ ꯀꯟꯗꯤꯁꯟ ꯑꯗꯨ ꯍꯦꯟꯅꯥ ꯐꯠꯆꯤꯜꯂꯛꯇꯕꯥ ꯌꯥꯏ꯫
• ꯅꯥꯀꯣꯡ ꯁꯣꯟꯊꯕꯥ (nasal congestion): ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯅꯥꯀꯣꯡ ꯁꯣꯀꯄꯥ (allergy)ꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ, ꯃꯗꯨꯁꯨ ꯅꯍꯥꯀꯄꯨ ꯁꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫
• ꯑꯇꯣꯞꯄꯥ ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ: ꯗꯥꯏꯑꯦꯕꯦꯇꯤꯖ, ꯍꯥꯏ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ, ꯍꯥꯔꯇꯀꯤ ꯂꯥꯌꯅꯥ, ꯑꯃꯁꯨꯡ ꯄꯤ.ꯁꯤ.ꯑꯣ.ꯑꯦꯁ.(Polycystic Ovarian Syndrome)ꯒꯨꯝꯕꯥ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯗꯥ ꯍꯦꯟꯅꯥ ꯔꯤꯁ꯭ꯛ ꯂꯩ꯫

ꯑꯗꯣꯃꯗꯁꯨ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯂꯩꯕ꯭ꯔꯥ?

ꯑꯌꯥꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯅꯍꯥꯛꯅꯥ ꯇꯨꯝꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯗꯨꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯅꯠꯇꯅꯥ, ꯈꯨꯗꯃꯁꯤꯡ ꯑꯁꯤ ꯑꯍꯥꯅꯕꯥ ꯑꯣꯏꯅꯥ ꯎꯕꯥ ꯐꯪꯏ꯫

ꯑꯉꯥꯡꯁꯤꯡꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯇꯣꯉꯥꯟ-ꯇꯣꯉꯥꯅꯕꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯉꯥꯡꯁꯤꯡꯅꯥ ꯁ꯭ꯂꯤꯞ ꯑꯦꯄꯅꯤꯌꯥ ꯂꯩꯔꯕꯗꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯈꯔꯥ ꯇꯣꯉꯥꯜꯂꯤ꯫

• ꯁ꯭ꯀꯨꯂꯗꯥ ꯄꯨꯛꯅꯤꯡ ꯆꯪꯕꯥ ꯉꯃꯗꯕꯥ ꯑꯃꯁꯨꯡ ꯍꯥꯏꯄꯔꯑꯦꯛꯇꯤꯚꯤꯇꯤ ꯂꯩꯕꯥ꯫
• ꯂꯔꯅꯤꯡ ꯗꯤꯁꯑꯦꯕꯤꯂꯤꯇꯤꯁꯤꯡ꯫
• ꯕꯦꯗꯋꯦꯇꯤꯡ ꯇꯧꯕꯥ꯫
• ꯑꯆꯝꯕꯥ ꯄꯣꯖꯤꯁꯟ ꯑꯃꯗꯥ ꯇꯨꯝꯕꯥ (ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯈꯨꯎ ꯑꯃꯁꯨꯡ ꯈꯨꯠꯁꯥ ꯑꯗꯨ ꯐ꯭ꯂꯣꯔꯗꯥ ꯊꯝꯕꯥ)꯫
• ꯑꯀꯅꯕꯥ ꯈꯣꯟꯖꯦꯜ ꯊꯣꯀꯄꯥ꯫

ꯃꯁꯤ ꯀꯔꯝꯅꯥ ꯈꯪꯗꯣꯀꯄꯒꯦ?

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯂꯩꯔꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯇꯧꯒꯗꯕꯥ ꯑꯍꯥꯅꯕꯥ ꯊꯕꯛ ꯑꯗꯨꯗꯤ ꯗꯣꯛꯇꯔ ꯑꯃꯒꯥ ꯇꯥꯟꯅꯕꯅꯤ . ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯇꯨꯝꯕꯥ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡꯒꯤ ꯃꯔꯃꯗꯥ ꯍꯪꯒꯅꯤ꯫ ꯅꯍꯥꯛꯅꯥ ꯇꯨꯝꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯗꯨꯗꯒꯤ ꯏꯅꯐꯣꯔꯃꯦꯁꯟ ꯂꯧꯕꯥ ꯍꯥꯌꯕꯁꯤꯁꯨ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫

ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ, ꯃꯈꯣꯌꯅꯥ ꯗꯥꯏꯑꯦꯒ꯭ꯅꯣꯁꯤꯁ ꯑꯗꯨ ꯀꯅꯐꯥꯔꯝ ꯇꯧꯅꯕꯥ ꯁ꯭ꯂꯤꯞ ꯁ꯭ꯇꯗꯤ ꯑꯃꯥ ꯑꯣꯔꯗꯔ ꯇꯧꯒꯅꯤ꯫ ꯃꯁꯤ ꯃꯑꯣꯡ ꯑꯅꯤꯗꯥ ꯇꯧꯕꯥ ꯌꯥꯏ꯫

1. ꯍꯣꯝ ꯁ꯭ꯂꯤꯞ ꯑꯦꯄꯅꯤꯌꯥ ꯇꯦꯁ꯭ꯠ: ꯃꯁꯤꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯌꯨꯃꯗꯥ ꯄꯨꯔꯀꯄꯥ ꯌꯥꯕꯥ ꯑꯄꯤꯀꯄꯥ ꯗꯤꯚꯥꯏꯁ ꯑꯃꯥ ꯄꯤꯕꯥ ꯌꯥꯎꯏ꯫ ꯅꯍꯥꯛꯅꯥ ꯅꯨꯃꯤꯗꯥꯡ ꯇꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯁꯣꯜꯂꯤ꯫ ꯃꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ, ꯑꯣꯛꯁꯤꯖꯦꯅꯒꯤ ꯆꯥꯡ, ꯑꯃꯁꯨꯡ ꯍꯥꯔꯇꯀꯤ ꯔꯦꯠ ꯑꯁꯤꯅꯆꯤꯡꯕꯥ ꯋꯥꯐꯃꯁꯤꯡ ꯔꯦꯀꯣꯔꯗ ꯇꯧꯏ꯫

2. ꯄꯣꯂꯤꯁꯣꯃꯅꯣꯒ꯭ꯔꯥꯝ (PSG): ꯃꯁꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯑꯆꯨꯝꯕꯥ ꯇꯦꯁ꯭ꯇꯅꯤ꯫ ꯃꯁꯤꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯜ ꯅꯠꯠꯔꯒꯥ ꯁ꯭ꯂꯤꯞ ꯂꯦꯕ ꯑꯃꯗꯥ ꯅꯨꯃꯤꯠ ꯆꯨꯞꯄꯥ ꯂꯩꯕꯥ ꯃꯊꯧ ꯇꯥꯏ꯫ ꯃꯐꯝ ꯑꯗꯨꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯕ꯭ꯔꯦꯅꯒꯤ ꯊꯕꯛ ꯊꯧꯔꯃꯁꯤꯡ, ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ, ꯍꯥꯔꯇꯀꯤ ꯔꯦꯠ ꯑꯃꯁꯨꯡ ꯈꯣꯡꯒꯤ ꯈꯣꯡꯖꯦꯜ ꯌꯦꯡꯁꯤꯟꯅꯕꯥ ꯁꯦꯟꯁꯔꯁꯤꯡ ꯌꯥꯎꯍꯜꯂꯤ꯫

ꯇꯦꯁ꯭ꯠ ꯑꯁꯤꯒꯤ ꯔꯤꯖꯜꯇꯇꯥ ꯌꯨꯝꯐꯝ ꯑꯣꯏꯗꯨꯅꯥ, ꯅꯍꯥꯛꯀꯤ ꯁ꯭ꯂꯤꯞ ꯑꯦꯄꯅꯤꯌꯥ ꯑꯁꯤ ꯃꯌꯥꯏ ꯑꯣꯏꯕꯥ, ꯃꯌꯥꯏ ꯑꯣꯏꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯍꯥꯌꯅꯥ ꯀ꯭ꯂꯥꯁꯤꯐꯥꯏ ꯇꯧꯒꯅꯤ .

ꯁ꯭ꯂꯤꯞ ꯑꯦꯄꯅꯤꯌꯥꯒꯤ ꯂꯥꯏꯌꯦꯡꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?

ꯅꯨꯡꯉꯥꯏꯕꯥ ꯄꯥꯎ ꯑꯃꯗꯤ ꯁ꯭ꯂꯤꯞ ꯑꯦꯄꯅꯤꯌꯥ ꯑꯁꯤ ꯃꯦꯅꯦꯖ ꯇꯧꯕꯥ ꯌꯥꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫ ꯂꯥꯏꯌꯦꯡ ꯑꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯗꯨꯒꯤ ꯃꯈꯥ ꯄꯣꯜꯂꯤ꯫

• ꯑꯔꯨꯝꯕꯥ ꯍꯟꯊꯕꯥ: ꯑꯔꯨꯝꯕꯥ ꯍꯟꯊꯍꯅꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯅꯤ꯫ ꯀꯤꯂꯣꯒ꯭ꯔꯥꯝ ꯈꯔꯈꯛꯇꯃꯛ ꯍꯟꯊꯍꯅꯕꯗꯁꯨ ꯑꯆꯧꯕꯥ ꯑꯍꯣꯡꯕꯥ ꯑꯃꯥ ꯄꯨꯔꯀꯄꯥ ꯌꯥꯏ꯫
• ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯇꯧꯕꯥ: ꯅꯨꯃꯤꯠ ꯈꯨꯗꯤꯡꯒꯤ ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯇꯧꯕꯥ꯫
• ꯃꯩꯈꯨ ꯊꯥꯗꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯌꯨ ꯊꯀꯄꯥ ꯂꯦꯄꯀꯅꯨ꯫
• ꯅꯍꯥꯛꯀꯤ ꯇꯨꯝꯕꯥ ꯄꯣꯖꯤꯁꯟ ꯍꯣꯡꯗꯣꯀꯄꯥ: ꯅꯍꯥꯛꯀꯤ ꯅꯥꯀꯜ ꯑꯃꯗꯥ ꯇꯨꯝꯕꯒꯤ ꯃꯍꯨꯠꯇꯥ, ꯅꯍꯥꯛꯀꯤ ꯅꯥꯀꯂꯗꯥ ꯇꯨꯝꯕꯥ ꯍꯣꯠꯅꯧ꯫
• ꯅꯍꯥꯛꯀꯤ ꯃꯀꯣꯛ ꯑꯗꯨ ꯋꯥꯡꯈꯠꯍꯟꯗꯨꯅꯥ ꯊꯝꯕꯥ: ꯅꯍꯥꯛꯀꯤ ꯃꯀꯣꯛ ꯑꯗꯨ ꯇꯔꯨ-ꯇꯅꯥꯟꯅꯥ ꯊꯃꯗꯨꯅꯥ ꯇꯨꯝꯃꯨ꯫

ꯃꯌꯥꯏ ꯑꯣꯏꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯁꯥꯊꯤꯕꯥ ꯀꯦꯁꯁꯤꯡꯗꯥ ꯗꯣꯛꯇꯔꯅꯥ ꯑꯈꯟꯅꯕꯥ ꯗꯤꯚꯥꯏꯁ ꯑꯃꯥ ꯁꯤꯖꯤꯟꯅꯅꯕꯥ ꯄꯥꯎꯇꯥꯛ ꯄꯤꯕꯥ ꯌꯥꯏ꯫

• ꯁꯤ.ꯄꯤ.ꯑꯦ.ꯄꯤ.(ꯀꯟꯇꯤꯟꯌꯨꯑꯣꯁ ꯄꯣꯖꯤꯇꯤꯕ ꯑꯦꯌꯔꯋꯦ ꯄ꯭ꯔꯦꯁꯔ) ꯃꯦꯁꯤꯟ: ꯃꯁꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯑꯃꯁꯨꯡ ꯏꯐꯦꯛꯇꯤꯕ ꯑꯣꯏꯕꯥ ꯂꯥꯏꯌꯦꯡꯅꯤ꯫ ꯃꯁꯤ ꯑꯄꯤꯀꯄꯥ ꯃꯦꯁꯤꯟ ꯑꯃꯅꯤ꯫ ꯅꯍꯥꯛꯅꯥ ꯃꯗꯨꯒꯥ ꯁꯝꯅꯕꯥ ꯇꯨꯕ ꯑꯃꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯂꯥꯀꯄꯥ ꯃꯥꯁ꯭ꯛ ꯑꯃꯥ ꯊꯃꯗꯨꯅꯥ ꯇꯨꯝꯃꯤ꯫ ꯃꯁꯤꯒꯤ ꯃꯦꯁꯤꯟ ꯑꯁꯤꯅꯥ ꯇꯞꯅꯥ ꯑꯃꯁꯨꯡ ꯂꯦꯞꯇꯅꯥ ꯅꯨꯡꯁꯤꯠꯄꯨ ꯑꯦꯌꯔꯋꯦꯗꯥ ꯊꯥꯏ, ꯃꯗꯨ ꯍꯥꯡꯗꯣꯛꯇꯨꯅꯥ ꯊꯝꯃꯤ ꯑꯃꯁꯨꯡ ꯑꯀꯥꯌꯕꯥ ꯄꯤꯗꯦ꯫ ꯑꯍꯥꯅꯕꯗꯥ ꯁꯤꯖꯤꯟꯅꯕꯗꯥ ꯈꯔꯥ ꯑꯋꯥꯕꯥ ꯑꯣꯏꯔꯀꯄꯥ ꯌꯥꯏ ꯑꯗꯨꯕꯨ ꯃꯇꯝ ꯈꯔꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯃꯁꯤꯅꯥ ꯄꯤꯔꯤꯕꯥ ꯔꯤꯂꯤꯐ ꯑꯁꯤꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯅꯨꯡꯁꯤꯕꯥ ꯂꯥꯛꯀꯅꯤ꯫
• ꯑꯣꯔꯦꯜ ꯑꯦꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ: ꯗꯦꯟꯇꯤꯁ꯭ꯠ ꯑꯃꯅꯥ ꯁꯦꯝꯕꯥ ꯑꯃꯁꯨꯡ ꯃꯤꯠꯇꯥ ꯊꯝꯕꯥ ꯈꯨꯠꯂꯥꯌꯁꯤꯡꯁꯨ ꯂꯩ꯫ ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯇꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯈꯣꯡ ꯑꯃꯁꯨꯡ ꯈꯣꯡꯎꯞ ꯑꯗꯨ ꯃꯃꯥꯡꯂꯣꯃꯗꯥ ꯊꯝꯅꯕꯥ, ꯑꯦꯌꯔꯋꯦ (airway) ꯑꯗꯨ ꯍꯥꯡꯗꯣꯛꯇꯨꯅꯥ ꯊꯝꯕꯗꯥ ꯁꯤꯖꯤꯟꯅꯩ꯫
• ꯁꯔꯖꯔꯤ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯇꯣꯞꯄꯥ ꯂꯥꯏꯌꯦꯡ ꯑꯃꯠꯇꯥ ꯃꯥꯌꯄꯥꯛꯠꯔꯕꯗꯤ ꯁꯔꯖꯔꯤ ꯑꯁꯤ ꯈꯟꯅꯩ꯫ ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯀꯣꯛꯇꯥ ꯑꯍꯦꯅꯕꯥ ꯇꯤꯁꯨ ꯂꯧꯊꯣꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯈꯣꯡꯗꯥ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯄꯣꯖꯤꯁꯟ ꯇꯧꯕꯥ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯂꯥꯏꯌꯦꯡꯗꯅꯥ ꯊꯃꯖꯤꯜꯂꯕꯗꯤ ꯀꯔꯤ ꯑꯣꯏꯒꯅꯤ?

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯁ꯭ꯂꯤꯞ ꯑꯦꯄꯅꯤꯌꯥ ꯑꯁꯤ ꯂꯥꯏꯌꯦꯡꯗꯅꯥ ꯂꯩꯔꯕꯗꯤ, ꯃꯁꯤꯅꯥ ꯍꯀꯁꯦꯂꯒꯤ ꯑꯆꯧꯕꯥ ꯁꯃꯁ꯭ꯌꯥꯁꯤꯡ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫

• ꯍꯥꯏ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ ꯂꯩꯕꯥ꯫
• ꯍꯥꯔꯠ ꯑꯦꯇꯦꯛ ꯑꯃꯁꯨꯡ ꯁ꯭ꯠꯔꯣꯛ꯫
• ꯇꯥꯏꯞ 2 ꯗꯥꯏꯑꯦꯕꯦꯇꯤꯖ ꯂꯩꯕꯥ꯫
• ꯃꯦꯇꯥꯕꯣꯂꯤꯛ ꯁꯤꯟꯗ꯭ꯔꯣꯝ ꯂꯩꯕꯥ꯫
• ꯒꯥꯔꯤꯒꯤ ꯑꯦꯛꯁꯤꯗꯦꯟꯇ: ꯅꯨꯃꯤꯗꯥꯡꯒꯤ ꯃꯇꯃꯗꯥ ꯇꯨꯝꯕꯥ ꯌꯥꯗꯕꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯗ꯭ꯔꯥꯏꯚꯤꯡ ꯇꯧꯔꯤꯉꯩꯗꯥ ꯇꯨꯝꯕꯥ ꯑꯃꯁꯨꯡ ꯑꯦꯛꯁꯤꯗꯦꯟꯇ ꯊꯣꯀꯍꯅꯕꯒꯤ ꯔꯤꯁ꯭ꯛ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯋꯥꯡꯏ꯫
• ꯃꯦꯟꯇꯦꯜ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯃꯁꯤꯡ: ꯃꯦꯃꯣꯔꯤ ꯂꯣꯁ, ꯗꯤꯞꯔꯦꯁꯟ꯫

ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯆꯤꯡꯅꯕꯥ ꯂꯩꯔꯕꯗꯤ ꯃꯗꯨ ꯌꯦꯡꯁꯤꯜꯂꯣꯏꯗꯕꯅꯤ꯫ ꯁꯣꯌꯗꯅꯥ ꯗꯣꯛꯇꯔ ꯑꯃꯒꯥ ꯇꯥꯟꯅꯕꯤꯌꯨ ꯑꯃꯁꯨꯡ ꯄꯥꯎꯇꯥꯛ ꯂꯧꯕꯤꯌꯨ꯫

ꯁ꯭ꯂꯤꯞ ꯑꯦꯄꯅꯤꯌꯥ, ꯁ꯭ꯂꯤꯞ ꯑꯦꯄꯅꯤꯌꯥ, ꯅꯣꯡꯃꯩ ꯀꯥꯞꯄꯥ, ꯁꯤ.ꯄꯤ.ꯑꯦ.ꯄꯤ., ꯇꯨꯝꯕꯥ ꯉꯃꯗꯕꯥ, ꯅꯨꯃꯤꯗꯥꯡꯗꯥ ꯇꯨꯝꯕꯥ ꯌꯥꯗꯕꯥ, ꯑꯦꯄꯅꯤꯌꯥ꯫