ꯑꯦꯛꯌꯨꯠ ꯀꯣꯔꯣꯅꯥꯔꯤ ꯁꯤꯟꯗꯣꯃꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯈꯪꯖꯤꯅꯒꯗꯕꯥ ꯋꯥꯐꯃꯁꯤꯡ!

ꯅꯍꯥꯛꯀꯤ ꯊꯝꯃꯣꯌꯗꯥ ꯈꯪꯍꯧꯗꯅꯥ ꯑꯆꯝꯕꯥ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯁꯣꯀꯄꯥ, ꯁꯣꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ ꯑꯃꯥ ꯐꯥꯑꯣꯈꯤꯕ꯭ꯔꯥ? ꯅꯠꯔꯒꯥ ꯅꯍꯥꯛꯅꯥ ꯈꯉꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯅꯥ ꯃꯗꯨ ꯇꯧꯕꯥ ꯎꯕꯤꯕ꯭ꯔꯥ? ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯌꯥꯝꯅꯥ ꯈꯨꯗꯣꯡꯊꯤꯅꯤꯉꯥꯏ ꯑꯣꯏꯕꯥ ꯍꯥꯔꯇꯀꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯒꯤ ꯈꯨꯗꯝ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫ ꯑꯦꯛꯌꯨꯠ ꯀꯣꯔꯣꯅꯥꯔꯤ ꯁꯤꯟꯗ꯭ꯔꯣꯝ (ACS) ꯍꯥꯌꯕꯁꯤ ꯈꯪꯍꯧꯗꯅꯥ ꯊꯣꯀꯄꯥ ꯀꯟꯗꯤꯁꯟ ꯀꯌꯥꯒꯤ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯃꯃꯤꯡ ꯑꯃꯅꯤ ꯑꯃꯁꯨꯡ ꯃꯁꯤ ꯍꯥꯔꯇꯇꯥ ꯏ ꯄꯤꯔꯤꯕꯥ ꯑꯥꯔꯇꯦꯔꯤꯁꯤꯡꯗꯥ ꯕ꯭ꯂꯣꯀꯦꯖ ꯇꯧꯕꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫

ꯑꯦꯛꯌꯨꯠ ꯀꯣꯔꯣꯅꯥꯔꯤ ꯁꯤꯟꯗꯣꯝ (ACS) ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ?

ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯑꯦꯛꯌꯨꯠ ꯀꯣꯔꯣꯅꯥꯔꯤ ꯁꯤꯟꯗꯣꯝ (ACS) ꯍꯥꯌꯕꯁꯤ ꯍꯥꯔꯇꯇꯥ ꯏ ꯄꯨꯔꯤꯕꯥ ꯀꯣꯔꯣꯅꯥꯔꯤ ꯑꯥꯔꯇꯦꯔꯤꯁꯤꯡ ꯑꯗꯨ ꯈꯪꯍꯧꯗꯅꯥ ꯕ꯭ꯂꯣꯛ ꯇꯧꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯊꯣꯀꯄꯥ ꯑꯦꯃꯔꯖꯦꯟꯁꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯌꯨꯃꯗꯥ ꯂꯩꯕꯥ ꯏꯁꯤꯡꯒꯤ ꯄꯝꯄ ꯑꯗꯨꯗꯥ ꯏꯁꯤꯡ ꯄꯨꯕꯥ ꯄꯥꯏꯞ ꯑꯗꯨꯗꯥ ꯈꯪꯍꯧꯗꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯄꯣꯠꯁꯛ ꯑꯃꯥ ꯊꯨꯒꯥꯌꯔꯕꯗꯤ ꯈꯅꯕꯤꯌꯨ꯫ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯏꯁꯤꯡ ꯑꯗꯨ ꯄꯝꯄ ꯑꯗꯨꯗꯥ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯆꯦꯅꯕꯥ ꯉꯃꯗꯦ꯫ ꯊꯝꯃꯣꯌꯗꯁꯨ ꯃꯁꯤꯃꯛ ꯊꯣꯀꯏ꯫ ꯃꯁꯤ ꯂꯥꯌꯅꯥ ꯑꯃꯈꯛꯇꯃꯛ ꯅꯠꯇꯦ, ꯃꯗꯨꯒꯤ ꯃꯍꯨꯠꯇꯥ ꯍꯥꯔꯇꯀꯤ ꯂꯥꯌꯅꯥ ꯃꯈꯜ ꯑꯍꯨꯃꯒꯤ ꯀꯝꯕꯤꯅꯦꯁꯟ ꯑꯃꯅꯤ꯫ ꯃꯁꯤ ꯄꯨꯝꯅꯃꯛ ꯑꯁꯤ ꯄꯨꯟꯁꯤꯗꯥ ꯈꯨꯗꯣꯡꯊꯤꯕꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ, ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯈꯨꯗꯛꯇꯥ ꯃꯦꯗꯤꯀꯦꯜ ꯑꯦꯇꯦꯟꯁꯟ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫

ꯍꯥꯔꯇꯀꯤ ꯂꯥꯌꯅꯥꯒꯤ ꯃꯈꯂꯁꯤꯡ ꯑꯁꯤ ACSꯒꯤ ꯃꯈꯥꯗꯥ ꯂꯩꯕꯒꯦ?

ꯑꯣꯀꯦ, ꯑꯗꯨꯅꯥ ꯑꯦ.ꯁꯤ.ꯑꯦꯁ.ꯀꯤ ꯃꯈꯥꯗꯥ ꯂꯩꯕꯥ ꯍꯥꯔꯇꯀꯤ ꯂꯥꯌꯅꯥꯒꯤ ꯃꯈꯂꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯤꯅꯣ? ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯈꯜ ꯑꯍꯨꯝ ꯂꯩ꯫ ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯍꯥꯔꯇꯀꯤ ꯃꯐꯝ ꯀꯗꯥꯏꯗꯥ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯜ ꯑꯗꯨ ꯕ꯭ꯂꯣꯛ ꯇꯧꯕꯒꯦ, ꯀꯌꯥꯝ ꯁꯥꯡꯅꯥ ꯕ꯭ꯂꯣꯛ ꯇꯧꯈꯤꯕꯒꯦ ꯑꯃꯁꯨꯡ ꯍꯥꯔꯇꯇꯥ ꯀꯌꯥ ꯌꯥꯝꯅꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯅꯕꯒꯦ ꯍꯥꯌꯕꯒꯤ ꯃꯇꯨꯡ ꯏꯟꯅꯥ ꯈꯦꯠꯅꯩ꯫

1. ꯑꯅꯁ꯭ꯇꯦꯕꯜ ꯑꯦꯟꯖꯤꯅꯥ: ꯃꯁꯤ ꯅꯍꯥꯛꯅꯥ ꯅꯨꯡꯉꯥꯏꯅꯥ ꯂꯩꯕꯥ ꯃꯇꯃꯗꯁꯨ ꯈꯪꯍꯧꯗꯅꯥ ꯈꯣꯡꯗꯥ ꯁꯣꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯁꯣꯀꯄꯥ ꯃꯇꯃꯅꯤ꯫ ꯀꯅꯥꯒꯨꯝꯕꯥ ꯑꯃꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯆꯦꯟꯊꯔꯀꯄꯒꯨꯝꯅꯥ ꯐꯥꯎꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤ ꯇꯁꯦꯡꯅꯥ ꯍꯥꯔꯠ ꯑꯦꯇꯦꯛ ꯑꯃꯒꯤ ꯆꯦꯀꯁꯤꯅꯋꯥ ꯑꯃꯥ ꯑꯣꯏꯔꯤ . ꯃꯃꯥꯡꯗꯥ ꯂꯩꯔꯝꯕꯥ ꯆꯦꯁ꯭ꯠ ꯄꯦꯏꯟ (ꯁ꯭ꯇꯦꯕꯜ ꯑꯦꯅꯖꯥꯏꯅꯥ) ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯑꯣꯏꯔꯀꯄꯥ ꯃꯇꯃꯗꯁꯨ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫

2. NSTEMI (Non-ST-elevation myocardial infarction): ꯃꯁꯤꯁꯨ ꯍꯥꯔꯠ ꯑꯦꯇꯦꯛ ꯃꯈꯜ ꯑꯃꯅꯤ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯃꯁꯤꯒꯤ ꯀꯦꯁ ꯑꯁꯤꯗꯥ , ꯍꯥꯔꯇꯀꯤ ꯏꯂꯦꯛꯠꯔꯤꯀꯦꯜ ꯑꯦꯛꯇꯤꯚꯤꯇꯤ ꯌꯦꯡꯁꯤꯜꯂꯤꯕꯥ ꯏ.ꯀꯦ.ꯖꯤ.(ꯏꯂꯦꯛꯠꯔꯣꯀꯥꯔꯗꯤꯑꯣꯒ꯭ꯔꯥꯝ) ꯇꯦꯁ꯭ꯠ ꯑꯁꯤꯅꯥ ꯈꯦꯠꯅꯕꯥ ꯀꯌꯥ ꯎꯠꯄꯥ ꯉꯃꯗꯦ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯕ꯭ꯂꯗ ꯇꯦꯁ꯭ꯠ ꯇꯧꯕꯅꯥ ꯍꯥꯔꯇꯀꯤ ꯃꯁꯂꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯄꯥ ꯈꯪꯗꯣꯀꯄꯥ ꯉꯝꯃꯤ꯫ ꯃꯐꯝ ꯑꯁꯤꯗꯥ ꯀꯣꯔꯣꯅꯥꯒꯤ ꯑꯥꯔꯇꯦꯔꯤ ꯑꯁꯤ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯕ꯭ꯂꯣꯛ ꯇꯧꯗꯦ, ꯅꯠꯠꯔꯒꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯕ꯭ꯂꯣꯛ ꯇꯧꯔꯕꯗꯤ, ꯃꯁꯤ ꯑꯇꯦꯅꯕꯥ ꯃꯇꯃꯒꯤ ꯑꯣꯏꯅꯥ ꯈꯛꯇꯅꯤ꯫

3. STEMI (ST-elevation myocardial infarction): ꯃꯁꯤ ꯍꯥꯔꯠ ꯑꯦꯇꯦꯀꯀꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯁꯥꯊꯤꯕꯥ ꯃꯑꯣꯡꯅꯤ . ꯃꯁꯤ ꯏ.ꯀꯦ.ꯖꯤ. ꯑꯃꯁꯨꯡ ꯕ꯭ꯂꯗ ꯇꯦꯁ꯭ꯇꯀꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯃꯌꯦꯛ ꯁꯦꯡꯅꯥ ꯈꯉꯗꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯐꯃꯁꯤꯗꯥ ꯊꯣꯛꯂꯤꯕꯁꯤ ꯍꯥꯔꯇꯇꯥ ꯏ ꯁꯞꯂꯥꯏ ꯇꯧꯔꯤꯕꯥ ꯑꯥꯔꯇꯦꯔꯤ ꯑꯃꯅꯥ ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯊꯤꯡꯖꯤꯜꯂꯤ, ꯃꯗꯨꯅꯥ ꯍꯥꯔꯇꯀꯤ ꯑꯆꯧꯕꯥ ꯃꯐꯝ ꯑꯃꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯜꯂꯤ꯫

ꯑꯦ.ꯁꯤ.ꯑꯦꯁ.ꯀꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯀꯅꯥꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯉꯃꯒꯅꯤ?

ꯍꯧꯖꯤꯛ ꯑꯗꯣꯝꯅꯥ ꯈꯅꯕꯤꯔꯃꯒꯅꯤ ꯀꯅꯥꯅꯥ ꯑꯦ.ꯁꯤ.ꯑꯦꯁ. ꯇꯁꯦꯡꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ ꯀꯅꯥꯒꯨꯝꯕꯥ ꯑꯃꯠꯇꯅꯥ ꯃꯁꯤ ꯗꯤꯕꯦꯂꯞ ꯇꯧꯕꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯑꯀꯛꯅꯕꯥ ꯔꯤꯁ꯭ꯛ ꯐꯦꯛꯇꯔꯁꯤꯡ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯅꯥ ꯃꯁꯤ ꯂꯥꯀꯄꯒꯤ ꯆꯥꯡ ꯍꯦꯜꯂꯤ꯫

ꯆꯍꯤ ꯑꯃꯁꯨꯡ ꯄꯨꯟꯁꯤ ꯃꯍꯤꯡ: ꯱.

• ꯆꯍꯤ: ꯆꯍꯤ 45ꯒꯤ ꯃꯊꯛꯇꯥ ꯂꯩꯕꯥ ꯅꯨꯄꯥꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯃꯦꯅꯣꯄꯣꯖ ꯊꯣꯀꯈꯤꯕꯥ ꯅꯨꯄꯤꯁꯤꯡꯅꯥ ꯍꯦꯟꯅꯥ ꯔꯤꯁ꯭ꯛ ꯂꯩ꯫
• ꯑꯣꯚꯔꯋꯦꯠ/ ꯑꯣꯕꯦꯁꯤꯇꯤ ꯂꯩꯕꯥ꯫
• ꯀꯣꯀꯦꯅꯒꯨꯝꯕꯥ ꯗ꯭ꯔꯒꯁꯤꯡ ꯁꯤꯖꯤꯟꯅꯕꯥ꯫
• ꯍꯀꯆꯥꯡ ꯁꯥꯖꯦꯜ ꯇꯧꯕꯥ ꯉꯃꯗꯕꯥ꯫
• ꯃꯩꯈꯨ ꯊꯥꯗꯣꯀꯄꯥ꯫
• ꯍꯀꯁꯦꯜ ꯐꯗꯕꯥ ꯗꯥꯏꯠ (ꯑꯀꯪꯕꯥ, ꯂꯣꯟ, ꯆꯤꯅꯤ ꯌꯥꯝꯅꯥ ꯌꯥꯎꯕꯥ ꯆꯤꯟꯖꯥꯀꯁꯤꯡ)꯫

ꯅꯍꯥꯛꯅꯥ ꯂꯩꯔꯤꯕꯥ ꯑꯇꯩ ꯃꯦꯗꯤꯀꯦꯜ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯏꯃꯨꯡꯒꯤ ꯍꯤꯁ꯭ꯇꯔꯤꯁꯤꯡ:

• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯀꯣꯕꯤꯗ-꯱꯹ ꯂꯥꯛꯂꯝꯂꯕꯗꯤ꯫
• ꯗꯥꯏꯕꯤꯇꯤꯖ.
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯏꯃꯨꯡꯗꯥ ꯀꯅꯥꯒꯨꯝꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯅꯥ ꯆꯦꯛꯁꯤꯟꯅꯥ ꯌꯦꯡꯁꯤꯅꯕꯥ, ꯍꯥꯔꯇꯀꯤ ꯂꯥꯌꯅꯥ, ꯅꯠꯠꯔꯒꯥ ꯁ꯭ꯠꯔꯣꯀꯒꯨꯝꯕꯥ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ ꯂꯩꯔꯕꯗꯤ꯫
• ꯕ꯭ꯂꯗ ꯀꯣꯂꯦꯁ꯭ꯇꯦꯔꯣꯂꯒꯤ ꯆꯥꯡ ꯋꯥꯡꯈꯠꯄꯥ꯫
• ꯍꯥꯏ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ (ꯍꯥꯏ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ / ꯍꯥꯏꯄꯔꯇꯦꯟꯁꯟ)꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯤꯔꯣꯜꯂꯤꯉꯩ ꯃꯇꯃꯗꯥ ꯍꯥꯏ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ, ꯄ꯭ꯔꯤ-ꯑꯦꯛꯂꯥꯝꯄꯁꯤꯌꯥ ꯅꯠꯠꯔꯒꯥ ꯗꯥꯏꯑꯦꯕꯦꯇꯤꯖ ꯂꯩꯔꯕꯗꯤ꯫

ꯑꯦ.ꯁꯤ.ꯑꯦꯁ.ꯀꯥ ꯃꯥꯟꯅꯕꯥ ꯂꯥꯏꯑꯣꯡ ꯎꯠꯄꯥ ꯑꯇꯣꯞꯄꯥ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ꯫

ꯑꯗꯨꯕꯨ ꯑꯦ.ꯁꯤ.ꯑꯦꯁ.ꯅꯥ ꯆꯦꯁ꯭ꯠ ꯄꯦꯏꯅꯒꯤ ꯃꯔꯝ ꯑꯣꯏ ꯍꯥꯌꯅꯥ ꯂꯧꯒꯅꯨ꯫ ACSꯒꯥ ꯃꯥꯟꯅꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯕꯥ ꯑꯇꯩ ꯀꯟꯗꯤꯁꯟ ꯀꯌꯥꯁꯨ ꯂꯩ꯫ ꯃꯔꯝ ꯑꯁꯤꯅꯥ ꯑꯆꯨꯝꯕꯥ ꯗꯥꯏꯒ꯭ꯅꯣꯁꯤꯁ ꯑꯃꯥ ꯂꯧꯕꯥ ꯑꯃꯁꯨꯡ ꯈꯨꯗꯛꯇꯥ ꯂꯥꯌꯦꯡꯕꯥ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ . ꯃꯥꯟꯅꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯈꯔꯗꯤ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯁꯤꯡꯁꯤꯅꯤ:

• ꯑꯦꯑꯣꯔꯇꯤꯛ ꯁ꯭ꯇꯦꯅꯣꯁꯤꯁ (aortic stenosis) ꯊꯣꯀꯄꯥ꯫
• ꯑꯅꯥꯕꯥ ꯂꯩꯕꯥ꯫
• ꯄꯂꯃꯣꯅꯥꯔꯤ ꯑꯦꯝꯕꯣꯂꯤꯖꯝ꯫
• ꯗꯥꯏꯖꯦꯁ꯭ꯇꯤꯚ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯃꯁꯤꯡ, ꯀ꯭ꯔꯣꯅꯤꯛ ꯑꯦꯁꯤꯗ ꯔꯤꯐ꯭ꯂꯛꯁ (GERD - ꯒꯦꯁ꯭ꯠꯔꯣꯏꯁꯣꯐꯦꯖꯤꯑꯦꯜ ꯔꯤꯐ꯭ꯂꯛꯁ ꯗꯤꯖꯤꯖ) ꯅꯠꯠꯔꯒꯥ ꯏꯁꯣꯐꯦꯖꯤꯌꯜ ꯁ꯭ꯄꯥꯃꯁꯤꯡ꯫
• ꯄꯦꯔꯤꯀꯥꯔꯗꯤꯇꯤꯁ ꯂꯩꯕꯥ꯫
• ꯃꯁꯜ ꯅꯠꯠꯔꯒꯥ ꯁꯔꯨꯒꯤ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯃꯁꯤꯡ꯫
• ꯔꯤꯕ ꯐ꯭ꯔꯦꯀꯆꯔ ꯂꯩꯕꯥ꯫
• ꯅ꯭ꯌꯨꯃꯣꯅꯤꯌꯥ꯫
• ꯑꯂꯁꯔꯒꯨꯝꯕꯥ ꯁ꯭ꯇꯣꯃꯥꯛ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯃꯁꯤꯡ꯫
• ꯁ꯭ꯠꯔꯦꯁ, ꯑꯦꯅꯖꯥꯏꯇꯤ ꯅꯠꯠꯔꯒꯥ ꯗꯤꯞꯔꯦꯁꯟ ꯂꯩꯕꯥ꯫

ꯑꯦ.ꯁꯤ.ꯑꯦꯁ.ꯅꯥ ꯀꯌꯥ ꯌꯥꯝꯅꯥ ꯀꯃꯟ ꯑꯣꯏꯕꯒꯦ?

ꯀꯣꯔꯣꯅꯥꯔꯤ ꯑꯥꯔꯇꯦꯔꯤ ꯗꯤꯖꯤꯖ (CAD) ꯑꯁꯤ ꯃꯥꯂꯦꯃꯗꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯍꯥꯔꯇꯀꯤ ꯂꯥꯌꯅꯥ ꯑꯃꯅꯤ ꯑꯃꯁꯨꯡ ꯃꯁꯤꯅꯥ ꯁꯤꯍꯅꯕꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯔꯝ ꯑꯃꯅꯤ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯁꯤ.ꯑꯦ.ꯗꯤ.ꯒꯥ ꯃꯔꯤ ꯂꯩꯅꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯥ ꯑꯣꯏꯔꯤꯕꯥ ꯑꯦ.ꯁꯤ.ꯑꯦꯁ.ꯅꯥ ꯆꯍꯤ ꯈꯨꯗꯤꯡꯒꯤ ꯃꯤꯑꯣꯏ ꯃꯁꯤꯡ ꯌꯥꯝꯅꯥ ꯁꯤꯍꯜꯂꯤ꯫ ꯃꯁꯤꯒꯤ ꯔꯤꯁ꯭ꯛ ꯑꯁꯤ ꯃꯔꯨꯑꯣꯏꯅꯥ ꯅꯨꯄꯥꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯑꯟꯗꯔꯂꯥꯏꯟ ꯀꯣꯔꯣꯅꯥꯒꯤ ꯍꯥꯔꯠ ꯗꯤꯖꯤꯖ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯗꯥ ꯌꯥꯝꯅꯥ ꯋꯥꯡꯏ꯫

ꯑꯦ.ꯁꯤ.ꯑꯦꯁ.ꯅꯥ ꯀꯔꯝꯅꯥ ꯊꯣꯛꯀꯗꯒꯦ?

ꯑꯣꯀꯦ, ꯍꯧꯖꯤꯛ ꯑꯦ.ꯁꯤ.ꯑꯦꯁ.ꯀꯤ ꯐꯤꯚꯝ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯊꯣꯀꯄꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯁꯤ꯫

ꯑꯩꯈꯣꯌꯒꯤ ꯊꯝꯃꯣꯌ ꯑꯁꯤ ꯃꯁꯜ ꯑꯃꯅꯤ꯫ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯊꯕꯛ ꯇꯧꯅꯕꯒꯤꯗꯃꯛ, ꯃꯁꯤꯅꯥ ꯑꯣꯛꯁꯤꯖꯦꯟ ꯌꯥꯝꯅꯥ ꯌꯥꯎꯕꯥ ꯏꯒꯤ ꯂꯦꯞꯇꯅꯥ ꯁꯞꯂꯥꯏ ꯇꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯏ꯫ ꯏ ꯑꯁꯤ ꯀꯣꯔꯣꯅꯥꯒꯤ ꯑꯥꯔꯇꯦꯔꯤꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯃꯈꯣꯌꯗꯒꯤ ꯂꯥꯀꯄꯥ ꯑꯄꯤꯀꯄꯥ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯂꯁꯤꯡꯅꯥ ꯁꯞꯂꯥꯏ ꯇꯧꯏ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯃꯇꯃꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ, ꯑꯥꯔꯇꯦꯔꯤꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯄ꯭ꯂꯦꯛ ꯁꯦꯃꯒꯠꯂꯀꯏ , ꯃꯈꯣꯌꯗꯨ ꯀꯨꯄꯁꯤꯜꯂꯤ꯫ ꯃꯁꯤꯕꯨ ꯑꯦꯊꯦꯔꯣꯁ꯭ꯀꯂꯦꯔꯣꯁꯤꯁ ꯍꯥꯌꯅꯥ ꯀꯧꯏ . ꯃꯇꯃꯒꯤ ꯃꯇꯨꯡ ꯏꯟꯅꯥ ꯏꯁꯤꯡꯒꯤ ꯄꯥꯏꯞ ꯑꯃꯗꯥ ꯃꯩꯁꯥ ꯁꯦꯃꯒꯠꯂꯀꯄꯒꯨꯝꯕꯅꯤ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯗꯤꯄꯣꯖꯤꯠ ꯇꯧꯔꯕꯥ ꯐꯦꯇꯀꯤ ꯂꯦꯌꯔ (ꯄ꯭ꯂꯦꯛ) ꯑꯁꯤ ꯈꯪꯍꯧꯗꯅꯥ ꯊꯣꯛꯂꯛꯂꯕꯗꯤ ꯅꯠꯠꯔꯒꯥ ꯁꯣꯀꯍꯜꯂꯕꯗꯤ ACS ꯑꯁꯤ ꯈꯪꯍꯧꯗꯅꯥ ꯊꯣꯀꯏ꯫

ꯃꯗꯨ ꯑꯣꯏꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯑꯁꯣꯀꯄꯥ ꯃꯐꯝ ꯑꯗꯨꯒꯤ ꯃꯊꯛꯇꯥ ꯏꯒꯤ ꯈꯣꯡꯖꯦꯜ ꯑꯃꯥ ꯁꯦꯝꯃꯤ꯫ꯕ꯭ꯂꯗ ꯀ꯭ꯂꯣꯠ ꯑꯁꯤꯅꯥ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯜ ꯑꯗꯨ ꯀꯨꯄꯁꯤꯜꯂꯤ, ꯅꯠꯠꯔꯒꯥ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯕ꯭ꯂꯣꯛ ꯇꯧꯏ꯫ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ, ꯍꯥꯔꯇꯀꯤ ꯁꯔꯨꯛ ꯑꯃꯅꯥ (ꯃꯥꯏꯑꯣꯀꯥꯔꯗꯤꯌꯝ) ꯃꯊꯧ ꯇꯥꯕꯥ ꯑꯣꯛꯁꯤꯖꯦꯟ ꯑꯗꯨ ꯐꯪꯗꯦ꯫ ꯑꯣꯛꯁꯤꯖꯦꯟ ꯋꯥꯠꯄꯥ (ischemia) ꯑꯁꯤꯅꯥ ꯍꯥꯔꯇꯀꯤ ꯃꯁꯂꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯜꯂꯤ꯫ ꯃꯗꯨ ꯃꯃꯥꯡꯗꯥ ꯄꯅꯈꯤꯕꯥ ꯑꯅꯁ꯭ꯇꯦꯕꯜ ꯑꯦꯅꯖꯥꯏꯅꯥ ꯅꯠꯠꯔꯒꯥ ꯍꯥꯔꯠ ꯑꯦꯇꯦꯛ ꯑꯗꯨ ꯊꯣꯀꯏ꯫

ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ, ꯑꯦ.ꯁꯤ.ꯑꯦꯁ.ꯅꯥ ꯑꯇꯣꯞꯄꯥ ꯃꯔꯃꯁꯤꯡꯅꯁꯨ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ:

• ꯀꯣꯔꯣꯅꯥꯔꯤ ꯑꯥꯔꯇꯦꯔꯤ ꯑꯦꯝꯕꯣꯂꯤꯖꯝ ꯍꯥꯌꯕꯁꯤ ꯏ ꯊꯣꯀꯄꯥ, ꯑꯦꯌꯔ ꯕꯕꯜ ꯅꯠꯠꯔꯒꯥ ꯐꯦꯠ ꯄꯥꯔꯇꯤꯀꯜ ꯑꯃꯅꯥ ꯀꯣꯔꯣꯅꯥꯔꯤ ꯑꯥꯔꯇꯦꯔꯤ ꯑꯃꯥ ꯊꯤꯡꯖꯤꯅꯕꯅꯤ꯫
• ꯀꯣꯔꯣꯅꯥꯔꯤ ꯑꯥꯔꯇꯦꯔꯤ ꯁ꯭ꯄꯥꯝ (coronary artery spasm) ꯂꯩꯕꯥ꯫
• ꯁ꯭ꯄꯣꯟꯗꯦꯟꯁ ꯀꯣꯔꯣꯅꯥꯔꯤ ꯑꯥꯔꯇꯦꯔꯤ ꯗꯤꯁꯦꯛꯁꯟ (SCAD)꯫

ꯑꯦ.ꯁꯤ.ꯑꯦꯁ.ꯀꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?

ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯜ ꯑꯗꯨ ꯀꯗꯥꯏꯗꯥ ꯕ꯭ꯂꯣꯛ ꯇꯧꯕꯒꯦ, ꯕ꯭ꯂꯣꯛ ꯇꯧꯕꯒꯤ ꯆꯥꯡ, ꯅꯍꯥꯛꯀꯤ ꯆꯍꯤ, ꯖꯦꯟꯗꯔ, ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯅꯥ ꯗꯥꯏꯑꯦꯕꯦꯇꯤꯖꯒꯨꯝꯕꯥ ꯑꯇꯩ ꯃꯦꯗꯤꯀꯦꯜ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ ACSꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯈꯦꯠꯅꯕꯥ ꯌꯥꯏ꯫

ꯑꯌꯥꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯅꯍꯥꯛꯅꯥ ꯅꯨꯡꯉꯥꯏꯅꯥ ꯂꯩꯕꯥ ꯃꯇꯃꯗꯁꯨ ꯆꯦꯀꯁꯤꯅꯋꯥ ꯌꯥꯎꯗꯅꯥ ꯂꯥꯀꯏ꯫ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯂꯥꯏꯑꯣꯡ ꯑꯁꯤ ꯆꯦꯡ-ꯍꯋꯥꯏ ꯅꯠꯠꯔꯒꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ (angina) ꯑꯁꯤꯅꯤ꯫ ꯃꯁꯤꯅꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯑꯁꯤꯒꯨꯝꯅꯥ ꯐꯥꯑꯣꯕꯥ ꯌꯥꯏ:

• ꯃꯁꯤ ꯑꯋꯥꯕꯥ ꯑꯃꯒꯨꯝ ꯐꯥꯑꯣꯏ꯫
• ꯃꯩꯅꯥ ꯆꯥꯀꯄꯥ ꯑꯃꯒꯨꯝ꯫
• ꯆꯦꯁ꯭ꯠ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯂꯨꯕꯥ ꯐꯥꯎꯏ꯫
• ꯆꯦꯁ꯭ꯠ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯁꯣꯀꯄꯥ꯫
• ꯄꯨꯁꯤꯜꯂꯀꯄꯥ, ꯆꯦꯅꯁꯤꯜꯂꯀꯄꯥ ꯑꯃꯒꯨꯝ꯫
• ꯃꯁꯤ ꯊꯨꯡꯂꯕꯒꯨꯝꯕꯅꯤ꯫

ꯃꯁꯤꯒꯤ ꯑꯅꯥꯕꯥ ꯑꯁꯤ ꯂꯦꯡ-ꯑꯣꯠꯄꯗꯥ, ꯃꯈꯨꯠ, ꯈꯣꯡ, ꯃꯀꯣꯛ ꯅꯠꯠꯔꯒꯥ ꯈꯣꯡꯗꯥ ꯁꯟꯗꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯃꯤꯑꯣꯏ ꯈꯔꯗꯤ ꯆꯦꯁ꯭ꯇꯀꯤ ꯂꯥꯏꯑꯣꯡ ꯑꯃꯠꯇꯥ ꯎꯕꯥ ꯐꯪꯗꯕꯥ ꯌꯥꯏ꯫

ꯑꯇꯣꯞꯄꯥ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ:

• ꯃꯤꯠ ꯎꯗꯕꯥ, ꯂꯥꯏꯠ ꯍꯦꯗ-ꯑꯦꯛ, ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯅꯥ ꯃꯁꯥ ꯃꯊꯟꯇꯥ ꯋꯥꯈꯜ ꯇꯥꯗꯕꯥ꯫
• ꯈꯪꯍꯧꯗꯅꯥ ꯌꯥꯝꯅꯥ ꯋꯥꯅꯥ ꯊꯣꯀꯄꯥ (diaphoresis)꯫
• ꯋꯥꯈꯜ ꯋꯥꯕꯥ, ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ꯫
• ꯅꯍꯥꯛꯀꯤ ꯊꯝꯃꯣꯌꯅꯥ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯌꯥꯡꯅꯥ ꯆꯦꯜꯂꯀꯄꯥ, ꯅꯍꯥꯛꯀꯤ ꯊꯝꯃꯣꯌꯅꯥ ꯁꯣꯀꯄꯥ (heart palpitations) ꯐꯥꯎꯕꯥ꯫
• ꯃꯊꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ (ꯈꯔꯅꯥ ꯃꯁꯤꯕꯨ ꯏꯅꯗꯤꯖꯦꯁ꯭ꯇꯤꯚ ꯅꯠꯠꯔꯒꯥ ꯁ꯭ꯇꯣꯃꯥꯛ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯁꯟ ꯍꯥꯌꯅꯥ ꯑꯔꯥꯅꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯂꯧꯕꯥ ꯌꯥꯏ)꯫

ꯃꯔꯨꯑꯣꯏꯅꯥ ꯅꯨꯄꯤꯁꯤꯡꯅꯥ ꯑꯦ.ꯁꯤ.ꯑꯦꯁ.ꯀꯤ ꯃꯇꯃꯗꯥ ꯆꯦꯁ꯭ꯇꯀꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯊꯦꯡꯅꯕꯒꯤ ꯆꯥꯡ ꯍꯟꯊꯩ꯫ ꯃꯈꯣꯌꯅꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯊꯦꯡꯅꯔꯀꯄꯥ ꯌꯥꯏ:

* ꯅꯣꯡꯃꯩ ꯀꯥꯞꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯈꯣꯡ ꯍꯥꯝꯕꯥ꯫

* ꯈꯨꯎ, ꯈꯣꯡ, ꯈꯣꯡ, ꯅꯠꯠꯔꯒꯥ ꯈꯣꯡꯒꯤ ꯃꯐꯃꯁꯤꯡꯗꯥ ꯔꯦꯗꯤꯑꯦꯠ ꯇꯧꯕꯥ ꯑꯅꯥꯕꯥ꯫

* ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ (dyspnea)꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯂꯦꯡꯗꯅꯥ ꯂꯩꯔꯕꯗꯤ ꯅꯠꯠꯔꯒꯥ ꯍꯦꯟꯅꯥ ꯐꯠꯆꯤꯜꯂꯛꯂꯕꯗꯤ, ꯌꯥꯔꯤꯕꯃꯈꯩ ꯊꯨꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯈꯪꯍꯅꯕꯤꯌꯨ . ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯁꯤ ꯍꯥꯔꯠ ꯑꯦꯇꯦꯛ ꯑꯃꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ ꯍꯥꯌꯅꯥ ꯈꯜꯂꯕꯗꯤ, ꯈꯨꯗꯛꯇꯥ ꯑꯦꯁ꯭ꯄꯤꯔꯤꯟ ꯑꯃꯥ ꯂꯧ ꯑꯃꯁꯨꯡ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯅꯀꯄꯥ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯂꯒꯤ ꯏꯃꯔꯖꯦꯟꯁꯤ ꯗꯤꯄꯥꯔꯇꯃꯦꯟꯇꯇꯥ ꯆꯠꯂꯨ, ꯅꯠꯠꯔꯒꯥ 911ꯗꯥ ꯐꯣꯟ ꯇꯧ꯫

ꯃꯇꯧ ꯀꯔꯝꯅꯥ ꯑꯦ.ꯁꯤ.ꯑꯦꯁ.

ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯀꯔꯝꯅꯥ ꯑꯦ.ꯁꯤ.ꯑꯦꯁ.

ꯑꯍꯥꯅꯕꯗꯥ ꯅꯍꯥꯀꯄꯨ ꯐꯤꯖꯤꯀꯦꯜ ꯑꯣꯏꯅꯥ ꯌꯦꯡꯁꯤꯅꯒꯅꯤ꯫ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ, ꯅꯍꯥꯛꯅꯥ ꯕ꯭ꯂꯗ ꯇꯦꯁ꯭ꯠ ꯈꯔꯥ ꯇꯧꯒꯅꯤ ꯑꯃꯁꯨꯡ ꯏ.ꯀꯦ.ꯖꯤ.(ꯏꯂꯦꯛꯠꯔꯣꯀꯥꯔꯗꯤꯑꯣꯒ꯭ꯔꯥꯝ) ꯑꯃꯥ ꯇꯧꯒꯅꯤ꯫ꯑꯃꯅꯥ ꯇꯧꯏ꯫ ꯏ.ꯀꯦ.ꯖꯤ.ꯅꯥ ꯍꯥꯔꯇꯀꯤ ꯏꯂꯦꯛꯠꯔꯤꯀꯦꯜ ꯑꯦꯛꯇꯤꯚꯤꯇꯤ ꯔꯦꯀꯣꯔꯗ ꯇꯧꯏ꯫ ꯇꯦꯁ꯭ꯇꯀꯤ ꯔꯤꯖꯜꯇꯁꯤꯡ ꯑꯁꯤꯗꯒꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯍꯥꯔꯠ ꯑꯦꯇꯦꯛ ꯅꯠꯠꯔꯒꯥ ꯑꯅꯁ꯭ꯇꯦꯕꯜ ꯑꯦꯅꯖꯥꯏꯅꯥ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯈꯪꯗꯣꯀꯄꯥ ꯉꯃꯒꯅꯤ꯫

ꯃꯁꯤꯒꯤ ꯃꯊꯛꯇꯥ, ꯑꯇꯣꯞꯄꯥ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ ꯊꯤꯡꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯆꯨꯅꯕꯥ ꯂꯥꯏꯌꯦꯡ ꯈꯅꯕꯗꯥ ꯑꯇꯣꯞꯄꯥ ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯇꯧꯕꯥ ꯌꯥꯏ꯫ ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯁ꯭ꯠꯔꯦꯁ ꯇꯦꯁ꯭ꯠ ꯅꯠꯠꯔꯒꯥ ꯃꯦꯗꯤꯀꯦꯁꯟ ꯁ꯭ꯠꯔꯦꯁ ꯇꯦꯁ꯭ꯠ ꯑꯃꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯥꯔꯇꯀꯤ ꯔꯦꯠ ꯑꯗꯨ ꯍꯦꯅꯒꯠꯍꯜꯂꯤ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯅꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯌꯥꯝꯅꯥ ꯊꯕꯛ ꯇꯧꯕꯥ ꯃꯇꯃꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯥꯔꯇꯅꯥ ꯀꯔꯝꯅꯥ ꯔꯦꯁꯄꯣꯟꯁ ꯇꯧꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯂꯦꯄꯊꯣꯀꯏ꯫

ꯁꯤ.ꯇꯤ.ꯁ꯭ꯀꯦꯟ ꯅꯠꯠꯔꯒꯥ ꯍꯥꯔꯠ ꯑꯦꯝ.ꯑꯥꯔ.ꯑꯥꯏ.ꯒꯨꯝꯕꯥ ꯏꯃꯦꯖꯤꯡ ꯁ꯭ꯇꯗꯤꯁꯤꯡ ꯑꯁꯤꯁꯨ ꯍꯥꯔꯇꯀꯤ ꯑꯀꯨꯞꯄꯥ ꯏꯃꯦꯖꯁꯤꯡ ꯐꯪꯅꯕꯒꯤꯗꯃꯛꯇꯥ ꯁꯤꯖꯤꯟꯅꯩ꯫ ꯑꯇꯣꯞꯄꯥ ꯏꯃꯦꯖꯤꯡ ꯇꯦꯁ꯭ꯇꯁꯤꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯌꯥꯑꯣꯕꯥ ꯌꯥꯏ:

• ꯀꯦꯂꯁꯤꯌꯝ-ꯁ꯭ꯀꯣꯔ ꯁ꯭ꯛꯔꯤꯅꯤꯡ ꯍꯥꯔꯠ ꯁ꯭ꯀꯦꯟ ꯇꯧꯕꯥ꯫
• ꯀꯥꯔꯗꯤꯌꯦꯛ ꯀꯦꯇꯦꯒꯣꯔꯤ ꯁꯦꯝꯕꯥ꯫
• ꯀꯣꯔꯣꯅꯥꯔꯤ ꯀꯝꯞꯌꯨꯇꯦꯠ ꯇꯣꯃꯣꯒ꯭ꯔꯥꯐꯤ ꯑꯦꯟꯖꯤꯑꯣꯒ꯭ꯔꯥꯝ (ꯁꯤ.ꯁꯤ.ꯇꯤ.ꯑꯦ.)꯫
• ꯀꯣꯔꯣꯅꯥꯔꯤ ꯑꯦꯟꯖꯤꯑꯣꯒ꯭ꯔꯥꯝ꯫
• ꯏꯀꯣꯀꯥꯔꯗꯤꯑꯣꯒ꯭ꯔꯥꯐ ꯇꯧꯕꯥ꯫
• ꯅ꯭ꯌꯨꯛꯂꯤꯌꯔ ꯃꯦꯗꯤꯁꯤꯟ ꯏꯃꯦꯖꯤꯡ ꯇꯧꯕꯥ꯫

ꯑꯦ.ꯁꯤ.ꯑꯦꯁ.ꯅꯥ ꯃꯦꯗꯤꯀꯦꯜ ꯏꯃꯔꯖꯦꯟꯁꯤ ꯑꯃꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯇꯦꯁ꯭ꯇꯁꯤꯡꯅꯥ ꯍꯥꯔꯇꯇꯥ ꯏ ꯆꯦꯅꯕꯥ ꯊꯤꯡꯂꯕꯗꯤ, ꯅꯍꯥꯀꯄꯨ ꯈꯨꯗꯛꯇꯥ ꯂꯥꯏꯌꯦꯡꯒꯅꯤ . ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯋꯥꯈꯜ ꯃꯥꯡꯈꯤꯕꯥ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯁꯥꯊꯤꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯂꯩꯔꯕꯗꯤ, ꯂꯥꯏꯌꯦꯡ ꯑꯁꯤ ꯗꯥꯏꯑꯦꯒ꯭ꯅꯣꯁꯤꯁ ꯑꯃꯥ ꯀꯅꯐꯥꯔꯝ ꯇꯧꯗ꯭ꯔꯤꯉꯩ ꯃꯃꯥꯡꯗꯁꯨ ꯍꯧꯕꯥ ꯌꯥꯏ꯫

ꯑꯦ.ꯁꯤ.ꯑꯦꯁ.ꯀꯤ ꯃꯄꯨꯡꯐꯥꯕꯥ ꯂꯥꯏꯌꯦꯡ ꯂꯩꯕ꯭ꯔꯥ?

ꯑꯦ.ꯁꯤ.ꯑꯦꯁ.ꯀꯤ ꯂꯥꯌꯦꯡ ꯑꯃꯠꯇꯥ ꯂꯩꯇꯦ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯉꯟꯅꯥ ꯈꯪꯗꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯂꯥꯏꯌꯦꯡꯕꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯊꯝꯃꯣꯌꯗꯥ ꯃꯈꯥ ꯇꯥꯅꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯟꯗꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ ꯑꯃꯁꯨꯡ ꯌꯥꯔꯤꯕꯃꯈꯩ ꯃꯗꯨꯕꯨ ꯊꯕꯛ ꯑꯣꯏꯅꯥ ꯄꯥꯡꯊꯣꯀꯄꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯔꯤꯁ꯭ꯀꯁꯤꯡ ꯍꯟꯊꯍꯟꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ ꯊꯤꯡꯅꯕꯒꯤ ꯄꯥꯝꯕꯩꯁꯤꯡꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯍꯦꯟꯅꯥ ꯈꯪꯍꯅꯕꯥ ꯌꯥꯏ꯫

ꯑꯦ.ꯁꯤ.ꯑꯦꯁ.ꯕꯨ ꯀꯔꯝꯅꯥ ꯂꯥꯌꯦꯡꯕꯒꯦ?

ꯑꯦ.ꯁꯤ.ꯑꯦꯁ.ꯀꯤ ꯂꯥꯏꯌꯦꯡꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯄꯥꯟꯗꯃꯁꯤꯡꯗꯤ ꯑꯅꯥꯕꯥ ꯍꯟꯊꯍꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯏꯒꯤ ꯈꯣꯡꯖꯦꯜ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯄꯨꯔꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯌꯥꯔꯤꯕꯃꯈꯩ ꯊꯨꯅꯥ ꯍꯥꯔꯇꯀꯤ ꯊꯕꯛ ꯐꯒꯠꯍꯅꯕꯅꯤ꯫ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯀꯛꯅꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯗꯨꯗꯥ ꯌꯨꯝꯐꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯂꯥꯏꯌꯦꯡ ꯄꯤꯒꯅꯤ꯫ ꯃꯍꯧꯁꯥꯅꯥ ꯃꯁꯤꯗꯥ ꯑꯥꯔꯇꯦꯔꯤ ꯍꯥꯡꯗꯣꯛꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯍꯥꯔꯇꯀꯤ ꯐꯉ꯭ꯀꯁꯟ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯁꯦꯃꯒꯠꯅꯕꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯁꯔꯖꯤꯀꯦꯜ ꯄ꯭ꯔꯣꯁꯤꯗ꯭ꯌꯨꯑꯣꯔꯁꯤꯡꯒꯤ ꯀꯝꯕꯤꯅꯦꯁꯟ ꯑꯃꯥ ꯌꯥꯎꯏ꯫

ꯗꯣꯛꯇꯔꯅꯥ ACSꯒꯤꯗꯃꯛꯇꯥ ꯀꯔꯤ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ ꯄꯤꯕꯥ ꯌꯥꯕꯒꯦ?

ꯅꯍꯥꯛꯅꯥ ꯐꯪꯂꯤꯕꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛꯀꯤ ꯃꯈꯜ ꯑꯗꯨ ꯅꯍꯥꯛꯀꯤ ꯑꯀꯛꯅꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯗꯨꯒꯤ ꯃꯈꯥ ꯄꯣꯜꯂꯤ꯫ ꯀꯦꯁ ꯈꯔꯗꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯗꯥꯏꯑꯦꯒ꯭ꯅꯣꯁꯤꯁ ꯑꯃꯥ ꯀꯅꯐꯥꯔꯝ ꯇꯧꯗ꯭ꯔꯤꯉꯩꯗꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛ ꯄꯤꯕꯥ ꯌꯥꯏ꯫ ꯍꯤꯗꯥꯀꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯁꯤꯡꯁꯤ ꯌꯥꯎꯕꯥ ꯌꯥꯏ:

• ꯑꯦꯟꯇꯤꯀꯣꯑꯦꯒꯨꯂꯦꯟꯇꯁꯤꯡ ꯅꯠꯠꯔꯒꯥ ꯕ꯭ꯂꯗ ꯊꯤꯅꯔꯁꯤꯡ, ꯍꯥꯌꯕꯗꯤ ꯑꯦꯁ꯭ꯄꯤꯔꯤꯟ ꯅꯠꯠꯔꯒꯥ ꯍꯦꯄꯥꯔꯤꯟ꯫
• ꯑꯦꯟꯖꯤꯑꯣꯇꯦꯟꯁꯤꯟ-ꯀꯟꯚꯥꯔꯇꯤꯡ ꯑꯦꯅꯖꯥꯏꯝ (ACE) ꯏꯅꯍꯤꯕꯤꯇꯔꯁꯤꯡ, ꯃꯗꯨꯅꯥ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ ꯍꯟꯊꯍꯜꯂꯤ꯫
• ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯥ ꯑꯃꯁꯨꯡ ꯍꯥꯔꯇꯀꯤ ꯔꯦꯠ ꯍꯟꯊꯍꯅꯕꯥ ꯉꯝꯕꯥ ꯕꯦꯇꯥ-ꯕ꯭ꯂꯣꯀꯔꯁꯤꯡ꯫
• ꯅꯥꯏꯠꯔꯣꯒ꯭ꯂꯤꯁꯦꯔꯤꯟ, ꯃꯁꯤꯅꯥ ꯏꯒꯤ ꯈꯣꯡꯖꯦꯜ ꯐꯒꯠꯍꯜꯂꯤ ꯑꯃꯁꯨꯡ ꯈꯣꯡꯗꯥ ꯑꯅꯥꯕꯥ ꯍꯟꯊꯍꯜꯂꯤ꯫
• ꯄꯦꯟ ꯔꯤꯂꯤꯚꯔꯁꯤꯡ꯫
• ꯕ꯭ꯂꯗ ꯀꯣꯂꯦꯁ꯭ꯇꯦꯔꯣꯂꯒꯤ ꯆꯥꯡ ꯍꯟꯊꯍꯅꯕꯥ ꯉꯝꯕꯥ ꯁ꯭ꯇꯦꯇꯤꯅꯁꯤꯡ꯫
• ꯍꯥꯔꯠ ꯑꯦꯇꯦꯛ ꯇꯧꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯑꯍꯥꯅꯕꯥ ꯄꯨꯡ 12ꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯊ꯭ꯔꯣꯝꯕꯣꯂꯥꯏꯇꯤꯛ ꯍꯤꯗꯥꯀꯁꯤꯡ .

ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯑꯇꯩ ꯃꯔꯤ ꯂꯩꯅꯕꯥ ꯍꯥꯔꯇꯀꯤ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯃꯁꯤꯡꯒꯤꯗꯃꯛꯇꯁꯨ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ ꯄꯤꯕꯥ ꯌꯥꯏ, ꯃꯈꯣꯌ ꯑꯗꯨꯗꯤ:

• ꯀꯣꯂꯦꯁ꯭ꯇꯦꯔꯣꯜ ꯋꯥꯡꯕꯥ꯫
• ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ ꯋꯥꯡꯈꯠꯄꯥ꯫
• ꯍꯥꯔꯇꯀꯤ ꯈꯣꯡꯖꯦꯜ ꯌꯥꯡꯕꯥ (Arrhythmia)꯫

ꯑꯩꯅꯥ ꯑꯦ.ꯁꯤ.ꯑꯦꯁ.ꯀꯤꯗꯃꯛ ꯁꯔꯖꯔꯤ ꯇꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯔꯥ?

ꯑꯦ.ꯁꯤ.ꯑꯦꯁ.ꯀꯤ ꯁꯔꯖꯤꯀꯦꯜ ꯇ꯭ꯔꯤꯠꯃꯦꯟꯇꯀꯤ ꯄꯥꯟꯗꯃꯗꯤ ꯕ꯭ꯂꯣꯛ ꯇꯧꯔꯕꯥ ꯑꯥꯔꯇꯦꯔꯤ ꯑꯗꯨ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯍꯥꯡꯗꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯅꯣꯔꯃꯦꯜ ꯕ꯭ꯂꯗ ꯐ꯭ꯂꯣ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯄꯨꯔꯀꯄꯅꯤ꯫ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯂꯥꯏꯌꯦꯡꯁꯤꯡ ꯑꯁꯤ ꯔꯤꯀꯃꯦꯟꯗ ꯇꯧꯕꯥ ꯌꯥꯏ:

• ꯁ꯭ꯇꯦꯟꯇꯀꯥ ꯂꯣꯌꯅꯅꯥ ꯑꯦꯟꯖꯤꯑꯣꯞꯂꯥꯁ꯭ꯇꯤ: ꯕ꯭ꯂꯣꯛ ꯇꯧꯔꯕꯥ ꯑꯥꯔꯇꯦꯔꯤ ꯑꯗꯨ ꯍꯥꯡꯗꯣꯛꯅꯕꯥ ꯑꯄꯤꯀꯄꯥ ꯙꯥꯇꯨꯒꯤ ꯃꯦꯁ (ꯁ꯭ꯇꯦꯟꯇ) ꯑꯃꯥ ꯍꯥꯄꯆꯤꯅꯕꯥ꯫
• ꯀꯣꯔꯣꯅꯥꯔꯤ ꯑꯥꯔꯇꯦꯔꯤ ꯕꯥꯏꯄꯥꯁ ꯁꯔꯖꯔꯤ (CABG): ꯏ ꯆꯦꯅꯕꯥ ꯑꯅꯧꯕꯥ ꯂꯝꯕꯤ ꯑꯃꯥ ꯁꯦꯝꯕꯥ꯫
• ꯄꯔꯛꯌꯨꯇꯦꯅꯤꯌꯝ ꯀꯣꯔꯣꯅꯥꯔꯤ ꯏꯟꯇꯔꯚꯦꯟꯁꯟ (PCI): ꯕ꯭ꯂꯣꯛ ꯇꯧꯔꯕꯥ ꯑꯥꯔꯇꯦꯔꯤ ꯑꯃꯥ ꯍꯥꯡꯗꯣꯀꯄꯥ꯫

ꯑꯦ.ꯁꯤ.ꯑꯦꯁ.ꯀꯤ ꯔꯤꯁ꯭ꯛ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯍꯟꯊꯍꯅꯒꯅꯤ?

ꯍꯥꯔꯇꯀꯤ ꯍꯀꯁꯦꯜ ꯐꯕꯥ ꯄꯨꯟꯁꯤ ꯃꯍꯤꯡ ꯑꯃꯥ ꯁꯤꯖꯤꯟꯅꯕꯅꯥ ꯅꯍꯥꯛꯀꯤ ACS ꯑꯃꯁꯨꯡ ꯑꯇꯩ ꯀꯥꯔꯗꯤꯑꯣꯚꯥꯁ꯭ꯀꯨꯂꯥꯔ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ ꯂꯥꯀꯄꯒꯤ ꯔꯤꯁ꯭ꯛ ꯍꯟꯊꯍꯅꯕꯥ ꯉꯝꯃꯤ꯫ ꯃꯗꯨ ꯇꯧꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯒꯗꯕꯥ ꯇꯤꯄꯁ ꯈꯔꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤ:

• ꯃꯩꯈꯨ ꯊꯥꯗꯣꯀꯄꯥ ꯊꯤꯡꯕꯤꯌꯨ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯩꯈꯨ ꯊꯥꯗꯣꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯅꯤꯀꯣꯇꯤꯅꯒꯤ ꯄꯣꯠꯊꯣꯀꯁꯤꯡ ꯁꯤꯖꯤꯟꯅꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯃꯩꯈꯨ ꯊꯥꯗꯣꯀꯄꯥ ꯊꯤꯡꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯕꯥ ꯌꯥꯕꯥ ꯄ꯭ꯔꯣꯒ꯭ꯔꯥꯃꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯍꯤꯗꯥꯀꯁꯤꯡꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯍꯪꯕꯤꯌꯨ꯫
• ꯍꯥꯔꯇꯇꯥ ꯍꯀꯁꯦꯜ ꯐꯕꯥ ꯗꯥꯏꯠ ꯑꯃꯥ ꯆꯥꯕꯤꯌꯨ: ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔ ꯅꯠꯠꯔꯒꯥ ꯔꯦꯖꯤꯁ꯭ꯇꯔ ꯇꯧꯔꯕꯥ ꯗꯥꯏꯑꯦꯇꯤꯁꯤꯌꯥꯟ ꯑꯃꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯁꯦꯜ ꯐꯕꯥ ꯑꯔꯨꯝꯕꯥ ꯑꯃꯥ ꯊꯝꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯕꯥ ꯉꯝꯕꯥ ꯑꯃꯁꯨꯡ ꯍꯥꯔꯇꯀꯤ ꯂꯥꯌꯅꯥꯒꯤ ꯔꯤꯁ꯭ꯛ ꯍꯟꯊꯍꯅꯕꯥ ꯉꯝꯕꯥ ꯗꯥꯏꯠ ꯑꯃꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯕꯤꯌꯨ꯫ ꯃꯦꯗꯤꯇꯦꯔꯦꯅꯤꯌꯟ ꯑꯃꯁꯨꯡ ꯗꯥꯁ ꯗꯥꯏꯠ ꯑꯁꯤ ꯃꯆꯤ ꯑꯣꯏꯕꯥ ꯆꯤꯟꯖꯥꯛ ꯑꯅꯤꯅꯤ꯫
• ꯌꯨ ꯊꯀꯄꯥ ꯂꯤꯃꯤꯠ ꯇꯧꯕꯥ: ꯅꯨꯄꯤꯁꯤꯡꯅꯥ ꯅꯣꯡꯃꯗꯥ ꯊꯛꯅꯕꯥ ꯏꯁꯤꯡ ꯑꯃꯥ ꯑꯃꯁꯨꯡ ꯅꯨꯄꯥꯁꯤꯡꯅꯥ ꯅꯣꯡꯃꯗꯥ ꯊꯛꯅꯕꯥ ꯏꯁꯤꯡ ꯑꯅꯤ ꯊꯀꯄꯥ ꯌꯥꯍꯅꯒꯗꯕꯅꯤ꯫
• ꯀꯣꯂꯦꯁ꯭ꯇꯦꯔꯣꯜ ꯋꯥꯡꯕꯥ, ꯍꯥꯏ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ, ꯗꯥꯏꯑꯦꯕꯦꯇꯤꯖ, ꯁ꯭ꯠꯔꯦꯁ, ꯗꯤꯞꯔꯦꯁꯟ, ꯑꯃꯁꯨꯡ ꯋꯥꯈꯜ ꯆꯔꯥꯡꯅꯕꯥ ꯑꯁꯤꯅꯆꯤꯡꯕꯥ ꯍꯀꯁꯦꯂꯒꯤ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯃꯁꯤꯡ ꯃꯦꯅꯦꯖ ꯇꯧꯕꯥ꯫ ꯃꯁꯤꯒꯤꯗꯃꯛꯇꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔ ꯅꯠꯠꯔꯒꯥ ꯃꯦꯟꯇꯦꯜ ꯍꯦꯂꯊ ꯀꯥꯎꯟꯁꯦꯂꯔ ꯑꯃꯅꯥ ꯁꯄꯣꯔꯠ ꯑꯃꯁꯨꯡ ꯂꯥꯏꯌꯦꯡ ꯄꯤꯕꯥ ꯌꯥꯏ꯫
• ꯑꯦꯛꯇꯤꯕ ꯑꯣꯏꯅꯥ ꯂꯩꯌꯨ: ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯇꯧꯕꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯔꯨꯝꯕꯥ ꯍꯟꯊꯍꯅꯕꯗꯥ, ꯅꯍꯥꯛꯀꯤ ꯐꯤꯠꯅꯦꯁ ꯐꯒꯠꯍꯅꯕꯗꯥ ꯑꯃꯁꯨꯡ ꯁ꯭ꯠꯔꯦꯁ ꯍꯟꯊꯍꯅꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫ ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯄ꯭ꯔꯣꯒ꯭ꯔꯥꯝ ꯑꯃꯍꯦꯛꯇꯕꯨ ꯍꯧꯗ꯭ꯔꯤꯉꯩꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯇꯥꯟꯅꯧ꯫

ꯑꯦ.ꯁꯤ.ꯑꯦꯁ.ꯀꯤ ꯐꯤꯚꯃꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯀꯔꯤ ꯑꯥꯎꯠꯂꯨꯛ ꯂꯩꯕꯒꯦ?

ꯑꯦ.ꯁꯤ.ꯑꯦꯁ.ꯀꯤ ꯑꯥꯎꯠꯂꯨꯛ ꯑꯁꯤ ꯅꯍꯥꯛꯅꯥ ꯊꯦꯡꯅꯈꯤꯕꯥ ꯑꯀꯛꯅꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯗꯨ, ꯃꯁꯤꯒꯤ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯃꯑꯣꯡ ꯑꯃꯁꯨꯡ ꯍꯥꯔꯇꯀꯤ ꯃꯁꯂꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯈꯤꯕꯒꯤ ꯆꯥꯡ ꯑꯗꯨꯒꯤ ꯃꯈꯥ ꯄꯣꯜꯂꯤ꯫ ꯃꯇꯝ ꯆꯥꯅꯥ ꯂꯥꯏꯑꯣꯡ ꯈꯉꯗꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯂꯥꯌꯦꯡꯕꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯄꯨꯟꯁꯤ ꯃꯍꯤꯡꯗꯥ ꯑꯍꯣꯡꯕꯥ ꯄꯨꯔꯀꯄꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯍꯀꯆꯥꯡ ꯐꯕꯥ ꯄꯨꯟꯁꯤ ꯑꯃꯥ ꯍꯤꯡꯅꯕꯒꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯥ ꯈꯨꯗꯣꯡꯆꯥꯕꯥ ꯐꯪꯒꯅꯤ꯫

ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯤ ꯄꯥꯎꯇꯥꯛ ꯉꯥꯛꯅꯥ ꯆꯠꯂꯨ ꯑꯃꯁꯨꯡ ꯍꯥꯔꯇꯀꯤ ꯍꯀꯁꯦꯜ ꯐꯕꯥ ꯂꯃꯆꯠ-ꯁꯥꯖꯠꯁꯤꯡ ꯉꯥꯛꯇꯨꯅꯥ ꯊꯝꯃꯨ꯫ ꯃꯇꯝ ꯆꯥꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯇꯥꯟꯅꯧ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯑꯣꯔꯗꯔ ꯇꯧꯔꯕꯥ ꯇꯦꯁ꯭ꯠ ꯑꯃꯍꯦꯛꯇꯕꯨ ꯃꯄꯨꯡ ꯐꯥꯍꯅꯒꯗꯕꯅꯤ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯂꯣꯡ-ꯇꯔꯝ ꯀꯦꯌꯔꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯕꯤꯌꯨ, ꯃꯗꯨꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯔꯤꯁ꯭ꯀꯁꯤꯡ ꯍꯟꯊꯍꯟꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ ꯊꯤꯡꯅꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯀꯔꯤ ꯇꯧꯕꯥ ꯌꯥꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯈꯪꯖꯤꯅꯕꯥ ꯉꯃꯒꯅꯤ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯍꯥꯔꯠ ꯑꯦꯇꯦꯛ ꯑꯃꯥ ꯂꯩꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯄꯥꯉ꯭ꯒꯜ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯐꯪꯍꯅꯕꯗꯥ, ꯍꯀꯁꯦꯂꯒꯤ ꯔꯤꯁ꯭ꯛ ꯍꯟꯊꯍꯅꯕꯗꯥ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯄꯨꯟꯁꯤꯒꯤ ꯃꯒꯨꯟ ꯐꯒꯠꯍꯅꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯅꯕꯥ ꯀꯥꯔꯗꯤꯌꯦꯛ ꯔꯤꯍꯦꯕꯤꯂꯤꯇꯦꯁꯟ ꯄ꯭ꯔꯣꯒ꯭ꯔꯥꯝ ꯑꯃꯥ ꯔꯤꯀꯃꯦꯟꯗ ꯇꯧꯕꯥ ꯌꯥꯏ꯫

ꯑꯦ.ꯁꯤ.ꯑꯦꯁ.ꯀꯤꯗꯃꯛꯇꯥ ꯅꯍꯥꯛꯅꯥ ꯀꯗꯥꯏꯗꯥ ꯃꯦꯗꯤꯀꯦꯜ ꯑꯦꯗꯚꯥꯏꯖꯔꯤ ꯂꯧꯒꯗꯒꯦ?

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯦ.ꯁꯤ.ꯑꯦꯁ.ꯀꯤ ꯂꯥꯏꯑꯣꯡ ꯎꯠꯂꯕꯗꯤ ꯈꯨꯗꯛꯇꯥ ꯑꯦꯃꯔꯖꯦꯟꯁꯤ ꯃꯦꯗꯤꯀꯦꯜ ꯑꯦꯇꯦꯟꯁꯟ ꯂꯧꯕꯤꯌꯨ . ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯈꯪꯍꯧꯗꯅꯥ ACSꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯎꯕꯥ ꯐꯪꯂꯕꯗꯤ, ꯅꯠꯠꯔꯒꯥ ꯅꯍꯥꯛꯅꯥ ꯍꯥꯔꯠ ꯑꯦꯇꯦꯛ ꯑꯃꯥ ꯑꯣꯏꯔꯦ ꯍꯥꯌꯅꯥ ꯈꯜꯂꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯅꯀꯄꯥ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯂꯒꯤ ꯏꯃꯔꯖꯦꯟꯁꯤ ꯗꯤꯄꯥꯔꯇꯃꯦꯟꯇꯇꯥ ꯆꯠꯂꯨ, ꯅꯠꯠꯔꯒꯥ 911ꯗꯥ ꯐꯣꯟ ꯇꯧꯕꯤꯌꯨ, ꯃꯇꯝ ꯃꯥꯡꯍꯅꯒꯅꯨ!

ꯃꯦꯗꯤꯀꯦꯜ ꯇꯤꯃꯗꯥ ꯀꯔꯤ ꯏꯅꯐꯣꯔꯃꯦꯁꯟ ꯄꯤꯒꯗꯒꯦ?

ꯅꯍꯥꯛꯅꯥ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯂꯗꯥ ꯆꯠꯄꯥ ꯃꯇꯃꯗꯥ, ꯃꯦꯗꯤꯀꯦꯜ ꯇꯤꯃꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ, ꯍꯥꯌꯕꯗꯤ ꯀꯗꯥꯏꯗꯒꯤ ꯍꯧꯔꯀꯄꯒꯦ ꯑꯃꯁꯨꯡ ꯃꯈꯣꯌ ꯑꯁꯤ ꯀꯌꯥꯝ ꯁꯥꯊꯤꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯍꯪꯒꯅꯤ꯫

ꯑꯗꯣꯝꯅꯥ ꯑꯀꯨꯞꯄꯥ ꯃꯔꯣꯂꯁꯤꯡ ꯍꯦꯟꯅꯥ ꯄꯤꯕꯥ ꯉꯝꯂꯕꯗꯤ ꯍꯦꯟꯅꯥ ꯐꯒꯅꯤ꯫ ꯍꯥꯌꯔꯤꯕꯥ ꯋꯥꯐꯃꯁꯤꯡ ꯑꯁꯤ ꯈꯟꯊꯕꯤꯌꯨ:

• ꯑꯩꯅꯥ ꯑꯍꯥꯅꯕꯥ ꯑꯣꯏꯅꯥ ꯀꯗꯥꯏꯗꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯎꯈꯤꯕꯒꯦ?
• ꯃꯇꯝ ꯑꯗꯨꯗꯥ ꯑꯩꯅꯥ ꯀꯔꯤ ꯇꯧꯔꯝꯃꯤ?
• ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?
• ꯃꯈꯣꯌ ꯀꯌꯥ ꯀꯨꯏꯅꯥ ꯂꯩꯔꯛꯂꯤꯕꯅꯣ?
• ꯑꯩꯒꯤ ꯑꯋꯥꯕꯥ ꯂꯩꯕ꯭ꯔꯥ? ꯀꯗꯥꯌꯗꯥ ꯂꯩꯕꯒꯦ?
• ꯱ꯗꯒꯤ ꯱꯰ ꯐꯥꯑꯣꯕꯒꯤ ꯁ꯭ꯀꯦꯂꯗꯥ, ꯑꯩꯅꯥ ꯀꯌꯥ ꯌꯥꯝꯅꯥ ꯑꯋꯥꯕꯥ ꯐꯥꯑꯣꯕꯒꯦ?
• ꯑꯩꯒꯤ ꯑꯇꯣꯞꯄꯥ ꯃꯦꯗꯤꯀꯦꯜ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ ꯂꯩꯕ꯭ꯔꯥ?
• ꯍꯧꯖꯤꯛ ꯑꯩꯅꯥ ꯀꯔꯤ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ ꯂꯧꯔꯤꯕꯒꯦ?

ꯑꯦꯛꯌꯨꯠ ꯀꯣꯔꯣꯅꯥꯔꯤ ꯁꯤꯟꯗꯣꯝ ꯑꯁꯤ ꯈꯨꯗꯛꯀꯤ ꯑꯣꯏꯕꯥ ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯃꯇꯦꯡ ꯃꯊꯧ ꯇꯥꯕꯥ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯍꯥꯔꯇꯀꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫ ꯅꯍꯥꯛꯅꯥ ꯍꯥꯔꯠ ꯑꯦꯇꯦꯛ ꯑꯃꯥ ꯂꯩꯔꯀꯄꯒꯨꯝꯅꯥ ꯐꯥꯎꯕꯥ ꯌꯥꯏ꯫ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯂꯩꯇꯅꯥ ꯱꯹꯹꯰ꯗꯥ ꯐꯣꯟ ꯇꯧꯕꯤꯌꯨ, ꯅꯠꯠꯔꯒꯥ ꯈꯨꯗꯛꯇꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯅꯀꯄꯥ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯂꯗꯥ ꯆꯠꯄꯤꯌꯨ꯫ ꯊꯨꯅꯥ ꯈꯪꯗꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯂꯥꯏꯌꯦꯡꯕꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯥꯔꯠ ꯑꯗꯨ ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯅꯥ ꯍꯟꯖꯤꯅꯍꯅꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯀꯄꯨ ꯐꯒꯠꯍꯅꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫

ꯋꯥꯔꯤ ꯑꯁꯤꯗꯒꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯌꯨꯃꯗꯥ ꯄꯨꯔꯀꯄꯥ ꯄꯥꯝꯂꯤꯕꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯋꯥꯐꯝ ꯑꯗꯨ ꯀꯔꯤꯅꯣ? (ꯇꯦꯛ-ꯍꯣꯝ ꯃꯦꯁꯦꯖ)

ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯏꯆꯝ ꯆꯝꯕꯥ ꯋꯥꯐꯝꯅꯤ꯫ ꯑꯦꯛꯌꯨꯠ ꯀꯣꯔꯣꯅꯥꯔꯤ ꯁꯤꯟꯗ꯭ꯔꯣꯝ (ACS) ꯍꯥꯌꯕꯁꯤ ꯈꯪꯍꯧꯗꯅꯥ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯈꯣꯡꯗꯥ ꯁꯣꯀꯄꯥ, ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ, ꯅꯠꯠꯔꯒꯥ ꯈꯪꯍꯧꯗꯅꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ ꯑꯁꯤꯅꯆꯤꯡꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯂꯩꯔꯕꯗꯤ , ꯈꯨꯗꯛꯇꯥ ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯄꯥꯎꯇꯥꯛ ꯂꯧꯕꯅꯥ ꯄꯨꯟꯁꯤ ꯀꯅꯕꯥ ꯉꯃꯒꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯗꯥꯏꯑꯦꯕꯦꯇꯤꯖ, ꯍꯥꯏ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ, ꯅꯠꯠꯔꯒꯥ ꯍꯥꯏ ꯀꯣꯂꯦꯁ꯭ꯇꯦꯔꯣꯂꯒꯨꯝꯕꯥ ꯔꯤꯁ꯭ꯛ ꯐꯦꯛꯇꯔꯁꯤꯡ ꯂꯩꯔꯕꯗꯤ ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫ ꯍꯀꯁꯦꯜ ꯐꯕꯥ ꯄꯨꯟꯁꯤ ꯃꯍꯤꯡ ꯑꯃꯥ ꯍꯤꯡꯕꯥ, ꯃꯩꯈꯨ ꯊꯥꯗꯣꯀꯄꯥ, ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯤ ꯄꯥꯎꯇꯥꯛ ꯉꯥꯛꯅꯥ ꯆꯠꯄꯥ ꯍꯥꯌꯕꯁꯤ ꯄꯨꯝꯅꯃꯛ ꯑꯁꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤꯗꯒꯤ ꯅꯍꯥꯛ ꯅꯁꯥꯕꯨ ꯉꯥꯀꯊꯣꯛꯅꯕꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯄꯥꯝꯕꯩꯁꯤꯡꯅꯤ꯫ ꯅꯍꯥꯛꯀꯤ ꯊꯝꯃꯣꯌꯕꯨ ꯌꯦꯡꯁꯤꯅꯕꯤꯌꯨ!

` ꯑꯦꯛꯌꯨꯠ ꯀꯣꯔꯣꯅꯥꯔꯤ ꯁꯤꯟꯗꯣꯝ, ꯍꯥꯔꯠ ꯑꯦꯇꯦꯛ, ꯆꯦꯁ꯭ꯠ ꯄꯦꯟ, ꯑꯦꯟꯖꯤꯅꯥ, ꯀꯣꯔꯣꯅꯥꯔꯤ ꯑꯥꯔꯇꯦꯔꯤ, ꯍꯥꯔꯠ ꯗꯤꯖꯤꯖ, ꯏꯃꯔꯖꯦꯟꯁꯤ ꯂꯥꯏꯌꯦꯡ꯫