ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯑꯁꯣꯀꯄꯥ ꯂꯩꯕ꯭ꯔꯥ? ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ ꯑꯣꯏꯕꯔꯥ? ꯃꯁꯤ ꯑꯦꯛꯌꯨꯠ ꯄꯦꯔꯤꯀꯥꯔꯗꯤꯇꯤꯁ ꯑꯣꯏꯕꯥ ꯌꯥꯏ!

ꯅꯍꯥꯛꯅꯥ ꯈꯪꯍꯧꯗꯅꯥ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ , ꯊꯝꯃꯣꯌ ꯁꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ ꯊꯦꯡꯅꯈꯤꯕꯥ ꯂꯩꯕ꯭ꯔꯥ? ꯅꯍꯥꯛꯅꯥ ꯂꯦꯡꯗꯅꯥ ꯂꯩꯕꯥ ꯃꯇꯃꯗꯥ ꯑꯋꯥꯕꯥ ꯑꯗꯨ ꯍꯦꯟꯅꯥ ꯐꯠꯆꯤꯜꯂꯛꯇꯕꯥ ꯌꯥꯏ, ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯅꯥ ꯃꯥꯡꯂꯣꯃꯗꯥ ꯆꯪꯁꯤꯜꯂꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯍꯦꯟꯅꯥ ꯐꯒꯠꯂꯀꯄꯥ ꯌꯥꯏ? ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯂꯩꯔꯕꯗꯤ, ꯃꯁꯤ ꯄꯦꯔꯤꯀꯥꯔꯗꯤꯌꯃꯒꯤ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯁꯟ ꯑꯃꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ, ꯃꯗꯨꯕꯨ ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯑꯦꯛꯌꯨꯠ ꯄꯦꯔꯤꯀꯥꯔꯗꯤꯇꯤꯁ ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯂꯩꯔꯣꯏ, ꯑꯩꯈꯣꯌꯅꯥ ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯑꯗꯣꯝꯅꯥ ꯈꯉꯕꯤꯕꯥ ꯌꯥꯕꯥ ꯏꯆꯝ ꯆꯝꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯒꯅꯤ꯫

ꯑꯦꯛꯌꯨꯠ ꯄꯦꯔꯤꯀꯥꯔꯗꯤꯇꯤꯁ ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ?

ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯑꯦꯛꯌꯨꯠ ꯄꯦꯔꯤꯀꯥꯔꯗꯤꯇꯤꯁ ꯍꯥꯌꯕꯁꯤ ꯍꯥꯔꯇꯀꯤ ꯑꯀꯣꯌꯕꯗꯥ ꯂꯩꯕꯥ ꯄꯦꯔꯤꯀꯥꯔꯗꯤꯌꯃꯒꯤ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯁꯟ ꯅꯠꯠꯔꯒꯥ ꯁꯣꯀꯄꯥ (swelling) ꯑꯃꯅꯤ꯫ ꯃꯍꯧꯁꯥꯅꯥ ꯃꯁꯤꯅꯥ ꯈꯣꯡꯗꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯍꯜꯂꯤ, ꯃꯗꯨ ꯅꯍꯥꯛꯅꯥ ꯂꯦꯡ-ꯑꯣꯠꯄꯗꯥ ꯅꯠꯠꯔꯒꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ ꯃꯇꯃꯗꯥ ꯍꯦꯟꯅꯥ ꯐꯠꯆꯤꯜꯂꯛꯇꯕꯥ ꯌꯥꯏ꯫ ꯅꯨꯡꯉꯥꯏꯕꯥ ꯄꯥꯎ ꯑꯃꯗꯤ ꯃꯁꯤ ꯑꯌꯥꯝꯕꯅꯥ ꯂꯥꯏꯌꯦꯡꯕꯥ ꯉꯝꯃꯤ, ꯃꯔꯝ ꯑꯗꯨꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ, ꯑꯃꯁꯨꯡ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯌꯥꯝꯕꯗꯤ ꯑꯆꯧꯕꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ ꯌꯥꯎꯗꯅꯥ ꯐꯒꯠꯂꯀꯏ꯫

ꯑꯗꯨꯅꯥ ꯃꯁꯤ ꯄꯦꯔꯤꯀꯥꯔꯗꯤꯌꯝ ꯑꯁꯤ ꯀꯔꯤꯅꯣ?

ꯈꯟꯊꯕꯤꯌꯨ, ꯑꯩꯈꯣꯌꯒꯤ ꯊꯝꯃꯣꯌ ꯑꯁꯤ ꯃꯃꯜ ꯌꯥꯝꯂꯕꯥ ꯂꯝ ꯑꯃꯒꯨꯝꯕꯅꯤ꯫ ꯖꯨꯋꯦꯜ ꯑꯁꯤꯒꯤ ꯑꯀꯣꯌꯕꯗꯥ ꯃꯁꯤꯕꯨ ꯉꯥꯀꯊꯣꯛꯅꯕꯥ ꯑꯄꯤꯀꯄꯥ ꯁꯦꯛ ꯑꯃꯥ ꯂꯩ꯫ ꯑꯗꯨꯒꯨꯝꯕꯥ ꯁꯦꯛ ꯑꯗꯨꯕꯨ ꯄꯦꯔꯤꯀꯥꯔꯗꯤꯌꯝ ꯍꯥꯌꯅꯥ ꯀꯧꯏ . ꯃꯁꯤ ꯂꯦꯌꯔ ꯑꯅꯤꯒꯤ ꯁꯦꯛ ꯑꯃꯅꯤ꯫ ꯃꯁꯤꯅꯥ ꯊꯝꯃꯣꯌꯕꯨ ꯑꯩꯈꯣꯌꯒꯤ ꯊꯝꯃꯣꯌꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯃꯐꯝ ꯑꯃꯗꯥ ꯊꯝꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫ ꯃꯁꯤꯗꯁꯨ ꯅꯠꯇꯅꯥ, ꯍꯥꯔꯠ ꯑꯃꯁꯨꯡ ꯁꯦꯛ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯒꯤ ꯂꯦꯡ-ꯑꯣꯠꯄꯒꯤ ꯃꯔꯛꯇꯥ ꯐ꯭ꯂꯨꯏꯗꯀꯤ ꯑꯄꯤꯀꯄꯥ ꯂꯦꯌꯔ ꯑꯃꯥ ꯂꯩ꯫ ꯃꯁꯤꯒꯤ ꯐ꯭ꯂꯨꯏꯗ ꯂꯦꯌꯥꯔ ꯑꯁꯤꯅꯥ ꯍꯥꯔꯠ ꯑꯗꯨ ꯁꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯊꯣꯀꯄꯥ ꯐ꯭ꯔꯤꯛꯁꯟ ꯑꯗꯨ ꯍꯟꯊꯍꯜꯂꯤ꯫ ꯆꯨꯝꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯃꯁꯤꯅꯥ ꯊꯝꯃꯣꯌꯗꯥ ꯉꯥꯀꯊꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯀꯨꯁꯅꯒꯨꯝꯕꯥ ꯁꯄꯣꯔꯠ ꯄꯤ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯄꯦꯔꯤꯀꯥꯔꯗꯤꯌꯝ ꯌꯥꯎꯗꯅꯥ ꯍꯤꯡꯕꯥ ꯌꯥꯏ꯫ ꯃꯤꯑꯣꯏ ꯈꯔꯗꯤ ꯄꯦꯔꯤꯀꯥꯔꯗꯤꯌꯝ ꯌꯥꯎꯗꯅꯥ ꯄꯣꯀꯏ, ꯑꯗꯨꯒꯥ ꯑꯇꯩ ꯈꯔꯗꯤ ꯁꯔꯖꯤꯀꯦꯜ ꯑꯣꯏꯅꯥ ꯂꯧꯊꯣꯛꯂꯕꯁꯨ ꯍꯀꯁꯦꯜ ꯐꯕꯥ ꯄꯨꯟꯁꯤ ꯍꯤꯡꯏ꯫

ꯐꯤꯚꯝ ꯑꯁꯤꯅꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯀꯔꯝꯅꯥ ꯁꯣꯀꯍꯅꯕꯒꯦ?

ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯅꯥ, ꯄꯦꯔꯤꯀꯥꯔꯗꯤꯌꯝ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯍꯥꯔꯠ ꯑꯁꯤ ꯏꯅꯥ ꯊꯜꯂꯕꯥ ꯑꯃꯁꯨꯡ ꯍꯥꯔꯇꯀꯤ ꯈꯣꯡꯖꯦꯜ ꯑꯃꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯄꯥꯀꯊꯣꯛ-ꯆꯥꯎꯊꯣꯛꯅꯕꯥ ꯃꯐꯝ ꯃꯇꯤꯛ ꯆꯥꯅꯥ ꯂꯩ꯫ ꯄꯦꯔꯤꯀꯥꯔꯗꯤꯇꯤꯁ ꯈꯛꯇꯅꯥ ꯑꯆꯧꯕꯥ ꯋꯥꯐꯝ ꯑꯃꯅꯤ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯃꯁꯤꯅꯥ ꯈꯨꯗꯣꯡꯊꯤꯅꯤꯉꯥꯏ ꯑꯣꯏꯕꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯃꯇꯧ ꯀꯔꯝꯅꯥ ꯇꯧꯒꯅꯤ ꯍꯥꯌꯕꯥ ꯅꯍꯥꯛ ꯈꯉꯕ꯭ꯔꯥ? ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯑꯁꯤ ꯄꯦꯔꯤꯀꯥꯔꯗꯤꯌꯃꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯐ꯭ꯂꯨꯏꯗ ꯌꯥꯎꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯊꯣꯀꯏ – ꯑꯩꯈꯣꯌꯅꯥ ꯃꯁꯤꯕꯨ ꯄꯦꯔꯤꯀꯥꯔꯗꯤꯌꯥꯜ ꯏꯐ꯭ꯌꯨꯁꯟ ꯍꯥꯌꯅꯥ ꯀꯧꯏ – ꯑꯃꯁꯨꯡ ꯐ꯭ꯂꯨꯏꯗ ꯑꯗꯨꯅꯥ ꯍꯥꯔꯇꯇꯥ ꯆꯦꯅꯕꯥ ꯍꯧꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯊꯣꯀꯏ꯫

ꯈꯅꯕꯤꯌꯨ, ꯄꯦꯔꯤꯀꯥꯔꯗꯤꯌꯝ ꯑꯁꯤ ꯐꯨꯃꯖꯤꯜꯂꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯐ꯭ꯂꯨꯏꯗꯅꯥ ꯊꯨꯃꯖꯤꯜꯂꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯍꯥꯔꯇꯀꯤ ꯃꯐꯝ ꯑꯗꯨ ꯍꯟꯊꯔꯀꯏ꯫ ꯃꯁꯤ ꯊꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯄꯦꯔꯤꯀꯥꯔꯗꯤꯌꯝ (pericardium) ꯑꯗꯨ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯁꯣꯀꯆꯤꯜꯂꯀꯏ, ꯃꯗꯨꯅꯥ ꯑꯍꯦꯅꯕꯥ ꯐ꯭ꯂꯨꯏꯗ ꯑꯗꯨ ꯆꯪꯂꯀꯄꯥ ꯌꯥꯍꯜꯂꯤ ꯑꯃꯁꯨꯡ ꯍꯥꯔꯠ ꯑꯗꯨ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯆꯦꯅꯕꯥ ꯉꯃꯍꯜꯂꯤ꯫ ꯑꯗꯨꯕꯨ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯁꯤ ꯈꯪꯍꯧꯗꯅꯥ, ꯊꯨꯅꯥ ꯊꯣꯛꯂꯕꯗꯤ, ꯐ꯭ꯂꯨꯏꯗ ꯑꯗꯨꯅꯥ ꯍꯥꯔꯠ ꯑꯗꯨ ꯀꯝꯞꯔꯦꯁꯟ ꯇꯧꯏ꯫ ꯑꯗꯨꯗꯒꯤ ꯊꯝꯃꯣꯌꯅꯥ ꯄꯥꯀꯊꯣꯛ-ꯆꯥꯎꯊꯣꯛꯅꯕꯥ ꯃꯐꯝ ꯃꯔꯥꯡ ꯀꯥꯌꯅꯥ ꯂꯩꯇꯕꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯏꯅꯥ ꯃꯇꯤꯛ ꯆꯥꯅꯥ ꯃꯄꯨꯡ ꯐꯥꯍꯅꯕꯥ ꯉꯃꯗꯦ꯫ ꯃꯁꯤꯅꯥ ꯍꯥꯔꯇꯅꯥ ꯄꯝꯄ ꯇꯧꯕꯥ ꯌꯥꯕꯥ ꯏꯒꯤ ꯆꯥꯡ ꯍꯟꯊꯍꯜꯂꯤ꯫ ꯑꯩꯈꯣꯌꯅꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤꯕꯨ ꯀꯥꯔꯗꯤꯌꯦꯛ ꯇꯦꯝꯄꯣꯅꯦꯗ ꯍꯥꯌꯅꯥ ꯀꯧꯏ . ꯃꯁꯤ ꯄꯨꯟꯁꯤ ꯃꯥꯡꯍꯅꯕꯥ ꯌꯥꯕꯥ ꯃꯦꯗꯤꯀꯦꯜ ꯏꯃꯔꯖꯦꯟꯁꯤ ꯑꯃꯅꯤ꯫ ꯃꯁꯤꯒꯤ ꯇꯦꯝꯄꯣꯅꯦꯗ ꯑꯁꯤꯅꯥ ꯍꯥꯔꯠ ꯑꯗꯨ ꯊꯤꯡꯖꯤꯅꯕꯥ ꯉꯝꯃꯤ, ꯑꯃꯁꯨꯡ ꯃꯁꯤꯅꯥ ꯃꯤꯅꯠ ꯈꯔꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯁꯤꯍꯅꯕꯥ ꯌꯥꯏ꯫

ꯀꯅꯥꯅꯥ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯃꯈꯂꯒꯤ ꯆꯥꯎꯈꯠꯄꯥ ꯉꯃꯒꯅꯤ?

ꯑꯦꯛꯌꯨꯠ ꯄꯦꯔꯤꯀꯥꯔꯗꯤꯇꯤꯁ ꯑꯁꯤ ꯆꯍꯤ ꯑꯃꯍꯦꯛꯇꯗꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯏ, ꯑꯗꯨꯕꯨ ꯃꯁꯤ ꯅꯨꯄꯥꯁꯤꯡꯗꯥ ꯍꯦꯟꯅꯥ ꯀꯃꯟ ꯑꯣꯏ꯫ ꯃꯁꯤ ꯆꯍꯤ 20 ꯑꯃꯁꯨꯡ 50ꯒꯤ ꯃꯔꯛꯇꯥ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯗꯁꯨ ꯍꯦꯟꯅꯥ ꯀꯃꯟ ꯑꯣꯏ꯫

ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯀꯌꯥꯝ ꯀꯃꯟ ꯑꯣꯏꯕꯒꯦ?

ꯑꯦꯛꯌꯨꯠ ꯄꯦꯔꯤꯀꯥꯔꯗꯤꯇꯤꯁ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ , ꯃꯁꯤꯅꯥ ꯆꯦꯁ꯭ꯠ ꯄꯦꯅꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯏꯃꯔꯖꯦꯟꯁꯤ ꯗꯤꯄꯥꯔꯇꯃꯦꯟꯇꯇꯥ ꯂꯥꯀꯄꯥ ꯄꯦꯁꯦꯟꯇꯁꯤꯡꯒꯤ 5% ꯈꯛꯇꯅꯤ꯫

ꯃꯁꯤꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯤꯅꯣ?

ꯑꯦꯛꯌꯨꯠ ꯄꯦꯔꯤꯀꯥꯔꯗꯤꯇꯤꯁꯅꯥ ꯂꯥꯏꯑꯣꯡ ꯀꯌꯥ ꯂꯩꯕꯥ ꯌꯥꯏ꯫ ꯂꯥꯏꯑꯣꯡ ꯈꯔꯗꯤ ꯃꯈꯥ ꯄꯣꯜꯂꯤꯕꯥ ꯃꯔꯝ ꯑꯗꯨꯒꯤ ꯃꯈꯥ ꯄꯣꯜꯂꯤ꯫ ꯑꯣꯏꯊꯣꯀꯄꯥ ꯌꯥꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯁꯤꯡꯁꯤ ꯌꯥꯎꯏ:

• ꯆꯦꯁ꯭ꯠ ꯄꯦꯏꯟ (ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯑꯩꯈꯣꯌꯅꯥ ꯃꯈꯥꯗꯥ ꯍꯦꯟꯅꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯒꯅꯤ)꯫
• ꯂꯥꯏꯍꯧ ꯍꯧꯕ .
• ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ (Dyspnea)꯫
• ꯇꯦꯀꯤꯀꯥꯔꯗꯤꯌꯥ ꯅꯠꯠꯔꯒꯥ ꯄꯦꯂꯄꯤꯇꯦꯁꯟ – ꯃꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯥꯔꯠ ꯑꯗꯨ ꯍꯣꯠꯅꯕꯗꯥ ꯋꯥꯕꯥ ꯐꯥꯎꯕꯥ ꯍꯥꯌꯕꯁꯤꯅꯤ꯫
• ꯃꯁꯜ ꯁꯣꯟꯊꯕꯥ ꯑꯃꯁꯨꯡ ꯑꯅꯥꯕꯥ (ꯚꯥꯏꯔꯁ ꯏꯅꯐꯦꯛꯁꯅꯒꯨꯝꯕꯥ) ꯃꯔꯨꯑꯣꯏꯅꯥ ꯍꯧꯈꯤꯕꯥ ꯅꯨꯃꯤꯠ ꯈꯔꯅꯤ ꯑꯁꯤꯗꯥ꯫
• ꯍꯤꯛꯀꯄꯁꯤꯡ ꯅꯠꯠꯔꯒꯥ ꯂꯧꯅꯒꯅꯕꯥ ꯂꯥꯌꯅꯥ (Dysphagia)꯫
• ꯁꯨꯀꯁꯣꯏ ꯁꯣꯏꯗꯅꯥ ꯀꯣꯛ .

ꯆꯦꯁ꯭ꯠ ꯄꯦꯅꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯑꯀꯛꯅꯅꯥ ꯈꯉꯂꯁꯤ꯫

ꯑꯦꯛꯌꯨꯠ ꯄꯦꯔꯤꯀꯥꯔꯗꯤꯇꯤꯁꯀꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯂꯥꯏꯑꯣꯡꯗꯤ ꯆꯦꯛꯁꯤꯟꯅꯥ ꯌꯦꯡꯁꯤꯅꯕꯥ ꯍꯥꯌꯕꯁꯤꯅꯤ . ꯃꯁꯤꯒꯤ ꯑꯅꯥꯕꯥ ꯑꯁꯤ ꯍꯥꯔꯠ ꯑꯦꯇꯦꯛ ꯑꯃꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯊꯣꯀꯄꯥ ꯆꯦꯁ꯭ꯠ ꯄꯦꯅꯒꯥ ꯌꯥꯝꯅꯥ ꯃꯥꯟꯅꯔꯕꯁꯨ, ꯃꯔꯨꯑꯣꯏꯕꯥ ꯈꯦꯠꯅꯕꯥ ꯈꯔꯥ ꯂꯩ꯫ ꯑꯦꯛꯌꯨꯠ ꯄꯦꯔꯤꯀꯥꯔꯗꯤꯇꯤꯁꯀꯥ ꯂꯣꯌꯅꯅꯥ ꯊꯣꯀꯄꯥ ꯑꯅꯥꯕꯥ ꯑꯁꯤ ꯃꯍꯧꯁꯥꯅꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯃꯒꯨꯅꯁꯤꯡ ꯑꯁꯤ ꯂꯩ:

• ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯍꯧꯔꯀꯄꯥ: ꯂꯥꯏꯑꯣꯡ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯂꯥꯀꯄꯥ ꯌꯥꯏ, ꯃꯄꯨꯡꯐꯥꯅꯥ ꯑꯅꯥꯕꯥ ꯑꯁꯤ ꯄꯨꯡ ꯑꯃꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯅꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯊꯣꯀꯏ꯫
• ꯃꯁꯤ ꯃꯤꯑꯣꯏ ꯑꯃꯗꯒꯤ ꯃꯤꯑꯣꯏ ꯑꯃꯗꯥ ꯈꯦꯠꯅꯕꯥ ꯌꯥꯏ: ꯑꯅꯥꯕꯥ ꯑꯁꯤ ꯈꯔꯗꯗꯤ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ, ꯑꯃꯁꯨꯡ ꯑꯇꯩ ꯈꯔꯗꯗꯤ ꯌꯥꯝꯅꯥ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫
• ꯑꯀꯣꯌꯕꯗꯥ ꯂꯩꯕꯥ ꯃꯐꯃꯁꯤꯡꯗꯥ ꯁꯟꯗꯣꯀꯄꯥ: ꯍꯥꯔꯠ ꯑꯦꯇꯦꯛ ꯑꯃꯒꯥ ꯃꯥꯟꯅꯅꯥ, ꯑꯅꯥꯕꯥ ꯑꯁꯤ ꯑꯌꯥꯝꯕꯗꯤ ꯑꯀꯣꯌꯕꯗꯥ ꯂꯩꯕꯥ ꯍꯀꯆꯥꯡꯒꯤ ꯁꯔꯨꯀꯁꯤꯡꯗꯥ ꯁꯟꯗꯣꯀꯏ꯫
• ꯅꯍꯥꯛꯀꯤ ꯄꯣꯁ꯭ꯇꯨꯔꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯑꯍꯣꯡꯕꯥ ꯂꯥꯀꯄꯥ: ꯑꯦꯛꯌꯨꯠ ꯄꯦꯛꯇꯁꯀꯤ ꯑꯅꯥꯕꯥ ꯑꯁꯤ ꯅꯍꯥꯛꯅꯥ ꯂꯦꯡꯗꯅꯥ ꯂꯩꯕꯥ ꯃꯇꯃꯗꯥ ꯍꯦꯟꯅꯥ ꯐꯠꯆꯤꯜꯂꯀꯏ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯅꯥ ꯐꯃꯗꯨꯅꯥ ꯂꯩꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯃꯥꯡꯂꯣꯃꯗꯥ ꯆꯪꯁꯤꯅꯕꯥ ꯃꯇꯃꯗꯥ ꯍꯦꯟꯅꯥ ꯐꯒꯠꯂꯀꯏ . ꯃꯁꯤ ꯍꯥꯔꯠ ꯑꯦꯇꯦꯛ ꯄꯦꯅꯗꯒꯤ ꯈꯦꯠꯅꯕꯥ ꯊꯝꯕꯥ ꯌꯥꯕꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯅꯤ꯫

ꯑꯇꯣꯞꯄꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ꯫

ꯑꯇꯩ ꯂꯥꯏꯑꯣꯡꯁꯤꯡꯗꯤ ꯑꯦꯛꯌꯨꯠ ꯄꯦꯔꯤꯀꯥꯔꯗꯤꯇꯤꯁꯀꯥ ꯂꯣꯌꯅꯅꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯃꯈꯣꯌ ꯑꯁꯤ ꯃꯈꯥꯒꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯗꯨꯒꯤ ꯃꯈꯥ ꯄꯣꯜꯂꯤ꯫ ꯍꯥꯌꯕꯗꯤ ꯄꯦꯔꯤꯀꯥꯔꯗꯤꯇꯤꯁ ꯑꯁꯤ ꯑꯇꯣꯞꯄꯥ ꯂꯥꯌꯅꯥ ꯑꯃꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ, ꯑꯃꯁꯨꯡ ꯄꯦꯔꯤꯀꯥꯔꯗꯤꯇꯤꯁꯅꯥ ꯑꯇꯩ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫

ꯃꯁꯤꯒꯤ ꯃꯔꯝ ꯀꯔꯤꯅꯣ?

ꯑꯦꯛꯌꯨꯠ ꯄꯦꯔꯤꯀꯥꯔꯗꯤꯇꯤꯁꯀꯤ ꯑꯣꯏꯊꯣꯀꯄꯥ ꯌꯥꯕꯥ ꯃꯔꯝ ꯀꯌꯥ ꯂꯩ꯫ ꯊꯣꯀꯄꯥ ꯌꯥꯕꯥ ꯃꯔꯝ ꯈꯔꯗꯤ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯁꯤꯡꯁꯤꯅꯤ:

• ꯏꯅꯐꯦꯛꯁꯅꯁꯤꯡ: ꯃꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯕꯦꯛꯇꯦꯔꯤꯌꯥꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯏꯅꯐꯦꯛꯁꯅꯁꯤꯡ, ꯃꯔꯨꯑꯣꯏꯅꯥ ꯇ꯭ꯌꯨꯕꯔꯀꯨꯂꯣꯁꯤꯁ , ꯑꯃꯁꯨꯡ HIVꯒꯨꯝꯕꯥ ꯚꯥꯏꯔꯁ ꯏꯅꯐꯦꯛꯁꯅꯁꯤꯡ ꯑꯁꯤ ꯌꯥꯎꯏ꯫ ꯐꯉ꯭ꯒꯦꯜ ꯅꯠꯠꯔꯒꯥ ꯄꯦꯔꯥꯁꯥꯏꯇꯁꯤꯡꯅꯁꯨ ꯄꯦꯔꯤꯀꯥꯔꯗꯤꯇꯤꯁ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ, ꯑꯗꯨꯕꯨ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯏꯅꯐꯦꯛꯁꯅꯁꯤꯡ ꯑꯁꯤꯗꯤ ꯌꯥꯝꯅꯥ ꯇꯣꯏꯅꯥ ꯊꯣꯀꯏ꯫
• ꯀꯦꯟꯁꯔ: ꯄꯦꯔꯤꯀꯥꯔꯗꯤꯌꯥꯜ ꯀꯦꯟꯁꯔ ꯑꯁꯤ ꯑꯣꯏꯊꯣꯀꯄꯥ ꯌꯥꯏ, ꯑꯗꯨꯕꯨ ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯇꯣꯏꯅꯥ ꯊꯣꯀꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯀꯦꯟꯁꯔ ꯁꯦꯂꯁꯤꯡ ꯑꯁꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯑꯇꯣꯞꯄꯥ ꯃꯐꯝ ꯑꯃꯗꯥ ꯂꯥꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯄꯦꯔꯤꯀꯥꯔꯗꯤꯌꯃꯗꯥ ꯁꯟꯗꯣꯔꯛꯂꯕꯁꯨ ꯄꯦꯔꯤꯀꯥꯔꯗꯤꯇꯤꯁ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫
• ꯏꯝꯝꯌꯨꯟ ꯁꯤꯁ꯭ꯇꯦꯃꯒꯤ ꯂꯥꯌꯅꯥꯁꯤꯡ ꯅꯠꯠꯔꯒꯥ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯇꯔꯤ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ: ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ , ꯂꯨꯄꯁ , .ꯔꯤꯌꯨꯃꯦꯇꯣꯏꯗ ꯑꯔꯊ꯭ꯔꯥꯏꯇꯤꯁ ꯅꯠꯠꯔꯒꯥ ꯁ꯭ꯖꯣꯒ꯭ꯔꯦꯟ ꯁꯤꯟꯗꯣꯃꯒꯨꯝꯕꯥ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ .
• ꯍꯣꯔꯃꯣꯅꯒꯤ ꯗꯤꯁꯑꯣꯔꯗꯔ ꯅꯠꯠꯔꯒꯥ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯃꯁꯤꯡ: ꯍꯥꯏꯄꯣꯊꯥꯏꯔꯣꯏꯗꯤꯖꯝ ꯑꯃꯁꯨꯡ ꯑꯣꯕꯦꯔꯤꯌꯟ ꯍꯥꯏꯄꯔꯁ꯭ꯇꯤꯝꯌꯨꯂꯦꯁꯟ ꯁꯤꯟꯗꯣꯃꯒꯨꯝꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ꯫
• ꯇ꯭ꯔꯥꯎꯃꯥ (trauma): ꯈꯣꯡꯗꯥ ꯁꯣꯀꯍꯜꯂꯀꯄꯥ (blow ꯅꯠꯠꯔꯒꯥ ꯒꯨꯟꯗꯥ ꯁꯣꯛ-ꯄꯅꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯈꯣꯡꯗꯥ ꯆꯦꯟꯊꯈꯤꯕꯥ ꯑꯁꯣꯛ-ꯑꯄꯅꯒꯨꯝꯕꯥ)ꯅꯥ ꯄꯦꯔꯤꯀꯥꯔꯗꯤꯌꯝ ꯑꯗꯨ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯍꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯁꯟ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫
• ꯍꯥꯔꯇꯀꯤ ꯂꯥꯌꯅꯥ ꯅꯠꯠꯔꯒꯥ ꯁꯔꯛꯌꯨꯂꯦꯇꯔꯤ ꯁꯤꯁ꯭ꯇꯦꯃꯒꯤ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯃꯁꯤꯡ: ꯍꯥꯔꯠ ꯑꯦꯇꯦꯛ ꯅꯠꯠꯔꯒꯥ ꯑꯦꯑꯣꯔꯇꯤꯛ ꯗꯤꯁꯦꯛꯁꯟꯒꯨꯝꯕꯥ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ .
• ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯃꯔꯃꯁꯤꯡ: ꯑꯦꯛꯌꯨꯠ ꯄꯦꯔꯤꯀꯥꯔꯗꯤꯇꯤꯁ ꯑꯁꯤ ꯍꯥꯔꯠ ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ, ꯀꯦꯟꯁꯔꯒꯤ ꯔꯦꯗꯤꯑꯦꯁꯟ ꯊꯦꯔꯥꯄꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯀꯛꯅꯕꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡꯒꯤ ꯁꯥꯏꯗ ꯏꯐꯦꯛꯇ ꯑꯣꯏꯅꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫
• ꯑꯇꯣꯞꯄꯥ ꯃꯔꯃꯁꯤꯡ: ꯑꯦꯛꯌꯨꯠ ꯄꯦꯔꯤꯀꯥꯔꯗꯤꯇꯤꯁ ꯑꯁꯤ ꯍꯥꯔꯠ ꯐꯦꯜ ꯑꯣꯏꯕꯥ, ꯀ꯭ꯔꯣꯅꯤꯛ ꯀꯤꯗꯅꯤꯒꯤ ꯂꯥꯌꯅꯥ ꯅꯠꯠꯔꯒꯥ ꯀꯤꯗꯅꯤ ꯐꯦꯜ ꯑꯣꯏꯕꯥ, ꯂꯤꯚꯔ ꯁꯤꯔꯣꯁꯤꯁ, ꯅꯠꯠꯔꯒꯥ ꯃꯔꯝ ꯈꯪꯗꯕꯥ (idiopathic) ꯒꯨꯝꯕꯥ ꯀꯟꯗꯤꯁꯅꯁꯤꯡꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫

ꯃꯁꯤ ꯂꯧꯅꯒꯅꯕꯥ ꯂꯥꯌꯅꯥ ꯑꯣꯏꯕꯔꯥ?

ꯑꯦꯛꯌꯨꯠ ꯄꯦꯔꯤꯀꯥꯔꯗꯤꯇꯤꯁ ꯑꯁꯤ ꯂꯧꯅꯒꯅꯕꯥ ꯂꯥꯌꯅꯥ ꯑꯃꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ ꯍꯥꯌꯔꯕꯁꯨ, ꯅꯍꯥꯛꯅꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯑꯇꯣꯞꯄꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯗꯥ ꯁꯟꯗꯣꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯂꯧꯅꯒꯅꯕꯥ ꯌꯥꯗꯦ꯫

ꯃꯁꯤ ꯑꯗꯣꯝꯅꯥ ꯀꯔꯝꯅꯥ ꯈꯉꯕꯤꯔꯤꯕꯒꯦ?

ꯗꯣꯛꯇꯔ ꯑꯃꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯃꯦꯗꯤꯀꯦꯜ ꯍꯤꯁ꯭ꯇꯔꯤ, ꯂꯥꯏꯑꯣꯡꯁꯤꯡ, ꯍꯀꯆꯥꯡꯒꯤ ꯑꯦꯀꯖꯥꯃꯤꯅꯦꯁꯟ ꯑꯃꯥ, ꯑꯃꯁꯨꯡ ꯗꯥꯏꯑꯦꯒ꯭ꯅꯣꯁ꯭ꯇꯤꯛ ꯇꯦꯁ꯭ꯠ ꯑꯃꯁꯨꯡ ꯂꯦꯕꯣꯔꯦꯇꯔꯤ ꯇꯦꯁ꯭ꯇꯁꯤꯡꯒꯤ ꯀꯝꯕꯤꯅꯦꯁꯟ ꯑꯃꯗꯥ ꯌꯨꯝꯐꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯑꯦꯛꯌꯨꯠ ꯄꯦꯔꯤꯀꯥꯔꯗꯤꯇꯤꯁ ꯈꯪꯗꯣꯀꯄꯥ ꯌꯥꯏ꯫

ꯃꯍꯧꯁꯥꯅꯥ, ꯃꯁꯤ ꯈꯪꯗꯣꯛꯅꯕꯒꯤꯗꯃꯛ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯁꯥꯏꯟ ꯑꯃꯁꯨꯡ ꯁꯤꯝꯄꯇꯝ ꯃꯉꯥ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯅꯤ ꯅꯠꯠꯔꯒꯥ ꯃꯁꯤꯗꯒꯤ ꯍꯦꯅꯕꯥ ꯂꯩꯒꯗꯕꯅꯤ:

• ꯈꯣꯡꯗꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯄꯥ꯫
• ꯄꯦꯔꯤꯀꯥꯔꯗꯤꯑꯦꯜ ꯐ꯭ꯔꯤꯛꯁꯟ ꯔꯕ (pericardial friction rub): ꯃꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯄꯦꯔꯤꯀꯥꯔꯗꯤꯌꯥꯝ (pericardial friction rub) ꯑꯗꯨ ꯅꯍꯥꯛꯀꯤ ꯆꯦꯁ꯭ꯠ ꯋꯥꯂꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯆꯦꯟꯊꯈꯤꯕꯥ ꯈꯣꯟꯖꯦꯂꯅꯤ꯫ ꯃꯁꯤꯒꯤ ꯈꯣꯟꯖꯦꯜ ꯑꯁꯤ ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯅꯥ ꯇꯥꯕꯥ ꯉꯃꯗꯦ꯫ ꯗꯣꯛꯇꯔ ꯑꯃꯅꯥ ꯁ꯭ꯇꯦꯊꯣꯁ꯭ꯀꯣꯞ ꯑꯃꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ ꯑꯗꯨ ꯇꯥꯕꯥ ꯃꯇꯃꯗꯥ ꯈꯣꯟꯖꯦꯜ ꯑꯁꯤ ꯇꯥꯕꯥ ꯌꯥꯏ꯫
• ꯏꯂꯦꯛꯠꯔꯤꯀꯦꯜ ꯑꯦꯛꯇꯤꯚꯤꯇꯤꯗꯥ ꯑꯍꯣꯡꯕꯥ ꯂꯥꯀꯄꯥ: ꯅꯍꯥꯛꯀꯤ ꯍꯥꯔꯇꯀꯤ ꯏꯂꯦꯛꯠꯔꯤꯀꯦꯜ ꯑꯦꯛꯇꯤꯚꯤꯇꯤ ꯑꯁꯤ ꯑꯀꯛꯅꯕꯥ ꯃꯑꯣꯡ ꯑꯃꯗꯥ ꯊꯣꯀꯏ꯫ ꯃꯁꯤ ꯏꯂꯦꯛꯠꯔꯣꯀꯥꯔꯗꯤꯑꯣꯒ꯭ꯔꯥꯐ (ꯏ.ꯁꯤ.ꯖꯤ. ꯅꯠꯠꯔꯒꯥ ꯏ.ꯀꯦ.ꯖꯤ.) ꯑꯃꯅꯥ ꯈꯪꯗꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯑꯦꯛꯌꯨꯠ ꯄꯦꯔꯤꯀꯥꯔꯗꯤꯇꯤꯁꯇꯥ, ꯏ.ꯁꯤ.ꯖꯤ.ꯅꯥ ꯅꯨꯃꯤꯠ ꯀꯌꯥꯅꯤ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯅꯨꯃꯤꯠ ꯀꯌꯥꯅꯤ ꯂꯩꯕꯥ ꯑꯀꯛꯅꯕꯥ ꯑꯍꯣꯡꯕꯁꯤꯡ ꯎꯠꯂꯤ꯫
• ꯑꯅꯧꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯍꯦꯅꯒꯠꯂꯛꯂꯤꯕꯥ ꯄꯦꯔꯤꯀꯥꯔꯗꯤꯌꯥꯜ ꯏꯐ꯭ꯌꯨꯁꯟ: ꯃꯁꯤꯅꯥ ꯄꯦꯔꯤꯀꯥꯔꯗꯤꯌꯃꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯅꯧꯕꯥ ꯐ꯭ꯂꯨꯏꯗ ꯑꯦꯛꯌꯨꯃꯨꯂꯦꯁꯟ ꯅꯠꯠꯔꯒꯥ ꯍꯥꯟꯅꯅꯥ ꯂꯩꯔꯕꯥ ꯐ꯭ꯂꯨꯏꯗꯀꯤ ꯆꯥꯡ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ ꯍꯥꯌꯕꯅꯤ꯫
• ꯄꯦꯔꯤꯀꯥꯔꯗꯤꯇꯤꯁ: ꯃꯁꯤ ꯑꯈꯟꯅꯕꯥ ꯀꯥꯔꯗꯤꯌꯦꯛ ꯑꯦꯝ.ꯑꯥꯔ.ꯑꯥꯏ.ꯒꯤ ꯏꯃꯦꯖꯁꯤꯡ ꯑꯃꯁꯨꯡ/ꯅꯠꯠꯔꯒꯥ ꯕ꯭ꯂꯗ ꯇꯦꯁ꯭ꯇꯁꯤꯡꯗꯥ ꯎꯕꯥ ꯐꯪꯏ꯫

ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯈꯪꯗꯣꯛꯅꯕꯥ ꯀꯔꯤ ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯇꯧꯕꯒꯦ?

ꯑꯦꯛꯌꯨꯠ ꯄꯦꯔꯤꯀꯥꯔꯗꯤꯇꯤꯁ ꯈꯪꯗꯣꯀꯄꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯕꯥ ꯉꯝꯕꯥ ꯇꯦꯁ꯭ꯠ ꯀꯌꯥ ꯂꯩ꯫ ꯅꯍꯥꯛꯅꯥ ꯇꯧꯔꯤꯕꯥ ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯑꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯤ ꯑꯀꯤꯕꯥ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯅꯥ ꯂꯩꯔꯤꯕꯥ ꯑꯇꯩ ꯍꯀꯁꯦꯂꯒꯤ ꯐꯤꯚꯃꯁꯤꯡꯒꯤ ꯃꯈꯥ ꯄꯣꯜꯂꯤ꯫ ꯇꯧꯕꯥ ꯌꯥꯕꯥ ꯇꯦꯁ꯭ꯇꯁꯤꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯌꯥꯑꯣꯔꯤ:

ꯂꯦꯕꯣꯔꯦꯇꯔꯤ ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯇꯧꯕꯥ꯫

ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯏꯗꯥ ꯑꯍꯣꯡꯕꯥ ꯂꯥꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯑꯀꯛꯅꯕꯥ ꯏꯅꯐꯦꯛꯁꯅꯁꯤꯡꯒꯤ ꯈꯨꯗꯃꯁꯤꯡ ꯌꯦꯡꯁꯤꯜꯂꯤ꯫ ꯃꯍꯧꯁꯥꯅꯥ ꯃꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯁꯤꯡꯁꯤ ꯌꯥꯎꯏ:

• ꯗꯤꯐꯦꯟꯁꯔꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯃꯄꯨꯡꯐꯥꯕꯥ ꯕ꯭ꯂꯗ ꯀꯥꯎꯟꯇ꯫
• ꯇ꯭ꯔꯣꯄꯣꯅꯤꯟ ꯑꯁꯤꯅꯤ꯫
• ꯁꯤ-ꯔꯤꯑꯦꯛꯇꯤꯕ ꯄ꯭ꯔꯣꯇꯤꯟ (ꯁꯤ.ꯑꯥꯔ.ꯄꯤ.)꯫
• ꯏꯔꯤꯊ꯭ꯔꯣꯁꯥꯏꯠ ꯁꯦꯗꯤꯃꯦꯟꯇꯦꯁꯟ ꯔꯦꯠ (ESR)꯫
• ꯑꯣꯇꯣꯏꯝꯌꯨꯟ ꯂꯥꯌꯅꯥꯁꯤꯡ ꯌꯦꯡꯁꯤꯟꯅꯕꯥ ꯏꯝꯝꯌꯨꯟ ꯁꯤꯁ꯭ꯇꯦꯝ ꯇꯦꯁ꯭ꯠ ꯇꯧꯕꯥ꯫
• ꯇ꯭ꯌꯨꯕꯔꯀꯨꯂꯤꯟ ꯇꯦꯁ꯭ꯠ ꯇꯧꯅꯕꯥ ꯇ꯭ꯌꯨꯕꯔꯀꯨꯂꯤꯟ ꯇꯦꯁ꯭ꯠ ꯇꯧꯕꯥ .
• ꯕꯦꯛꯇꯦꯔꯤꯌꯥ ꯏꯅꯐꯦꯛꯁꯅꯁꯤꯡ ꯌꯦꯡꯁꯤꯟꯅꯕꯥ ꯕ꯭ꯂꯗ ꯀꯂꯆꯔꯁꯤꯡ꯫
• ꯕ꯭ꯂꯗ ꯌꯨꯔꯤꯌꯥ ꯅꯥꯏꯠꯔꯣꯖꯦꯟ (ꯕꯤ.ꯌꯨ.ꯑꯦꯟ.) ꯒꯤ ꯆꯥꯡ ꯑꯃꯁꯨꯡ ꯀ꯭ꯔꯤꯌꯦꯇꯤꯅꯤꯟ ꯀ꯭ꯂꯤꯌꯔꯦꯟꯁ ꯇꯦꯁ꯭ꯇꯁꯤꯡ꯫

ꯗꯥꯏꯑꯦꯒ꯭ꯅꯣꯁ꯭ꯇꯤꯛ ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯇꯧꯕꯥ꯫

ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯦꯛꯌꯨꯠ ꯄꯦꯔꯤꯀꯥꯔꯗꯤꯇꯤꯁ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯈꯪꯗꯣꯀꯄꯥ ꯉꯃꯒꯅꯤ ꯑꯃꯁꯨꯡ ꯀꯔꯤꯒꯤꯗꯃꯛꯇꯥ ꯃꯁꯤ ꯂꯥꯀꯈꯤꯕꯅꯣ ꯍꯥꯌꯕꯒꯤ ꯃꯃꯜ ꯂꯩꯕꯥ ꯀ꯭ꯂꯨꯁꯤꯡ ꯄꯤꯕꯥ ꯉꯃꯒꯅꯤ꯫

• ꯏꯂꯦꯛꯠꯔꯣꯀꯥꯔꯗꯤꯑꯣꯒ꯭ꯔꯥꯝ (ECG ꯅꯠꯠꯔꯒꯥ EKG): ꯃꯁꯤꯗꯥ ꯏꯂꯦꯛꯠꯔꯣꯗ (ꯃꯍꯧꯁꯥꯅꯥ 10) ꯀꯧꯕꯥ ꯁꯦꯟꯁꯔꯁꯤꯡ (ꯃꯍꯧꯁꯥꯅꯥ 10) ꯊꯃꯗꯨꯅꯥ ꯊꯝꯃꯣꯌꯒꯤ ꯏꯂꯦꯛꯠꯔꯤꯀꯦꯜ ꯑꯦꯛꯇꯤꯚꯤꯇꯤ ꯑꯗꯨ ꯄꯦꯄꯔ ꯅꯠꯠꯔꯒꯥ ꯁ꯭ꯛꯔꯤꯟ ꯑꯃꯗꯥ ꯋꯦꯕ ꯑꯣꯏꯅꯥ ꯔꯦꯀꯣꯔꯗ ꯇꯧꯕꯥ ꯌꯥꯎꯏ꯫ ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯇꯝꯄꯥꯀꯁꯤꯡ ꯑꯁꯤ ꯌꯦꯡꯁꯤꯅꯕꯥ ꯌꯥꯏ ꯃꯗꯨꯗꯤ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯦꯕꯅꯣꯔꯃꯦꯂꯤꯇꯤ ꯑꯃꯠꯇꯥ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯈꯉꯗꯣꯀꯄꯥ ꯌꯥꯏ꯫
• ꯄꯦꯔꯤꯀꯥꯔꯗꯤꯑꯦꯜ ꯕꯥꯏꯑꯣꯞꯁꯤ: ꯄꯦꯔꯤꯀꯥꯔꯗꯤꯌꯃꯗꯒꯤ ꯇꯤꯁꯨ ꯁꯦꯝꯄꯜ ꯑꯃꯥ ꯂꯧꯕꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯃꯗꯨꯒꯤ ꯃꯈꯥ ꯄꯣꯜꯂꯤꯕꯥ ꯃꯔꯝ ꯑꯗꯨ ꯈꯪꯗꯣꯀꯄꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫
• ꯄꯦꯔꯤꯀꯥꯔꯗꯤꯑꯣꯁꯦꯟꯇꯦꯁꯤꯁ: ꯃꯁꯤ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯄꯦꯔꯤꯀꯥꯔꯗꯤꯌꯥꯜ ꯏꯐ꯭ꯌꯨꯖꯟ ꯑꯃꯁꯨꯡ/ꯅꯠꯠꯔꯒꯥ ꯀꯥꯔꯗꯤꯌꯦꯛ ꯇꯦꯝꯄꯣꯅꯦꯗ ꯂꯩꯔꯕꯗꯤ ꯄꯦꯔꯤꯀꯥꯔꯗꯤꯌꯥꯜ ꯁꯦꯛ ꯑꯗꯨꯗꯒꯤ ꯑꯍꯦꯅꯕꯥ ꯐ꯭ꯂꯨꯏꯗ ꯂꯧꯊꯣꯛꯅꯕꯒꯤ ꯊꯧꯑꯣꯡ ꯑꯃꯅꯤ꯫ ꯐ꯭ꯂꯨꯏꯗ ꯑꯁꯤ ꯑꯦꯅꯥꯂꯥꯏꯖ ꯇꯧꯕꯅꯥ ꯑꯍꯥꯅꯕꯥ ꯃꯐꯃꯗꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯀꯔꯤꯅꯥ ꯊꯣꯀꯍꯅꯈꯤꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯈꯉꯗꯣꯀꯄꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯕꯁꯨ ꯌꯥꯏ꯫

ꯏꯃꯦꯖꯤꯡ ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯇꯧꯕꯥ꯫

ꯏꯃꯦꯖꯤꯡ ꯇꯦꯁ꯭ꯠ ꯈꯔꯅꯥ ꯑꯦꯛꯌꯨꯠ ꯄꯦꯔꯤꯀꯥꯔꯗꯤꯇꯤꯁ ꯈꯪꯗꯣꯀꯄꯥ ꯉꯝꯃꯤ, ꯑꯗꯨꯒꯥ ꯑꯇꯩ ꯈꯔꯅꯥ ꯃꯁꯤꯗꯒꯤ ꯂꯥꯀꯄꯥ ꯌꯥꯕꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ ꯈꯛꯇꯃꯛ ꯈꯪꯗꯣꯀꯄꯥ ꯉꯝꯃꯤ꯫ ꯇꯧꯕꯥ ꯌꯥꯕꯥ ꯏꯃꯦꯖꯤꯡ ꯇꯦꯁ꯭ꯇꯁꯤꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯌꯥꯑꯣꯔꯤ:

• ꯆꯦꯁ꯭ꯠ ꯑꯦꯛꯁ-ꯔꯦ ꯇꯧꯕꯥ꯫
• ꯀꯝꯞꯌꯨꯇꯔꯥꯏꯖꯗ ꯇꯣꯃꯣꯒ꯭ꯔꯥꯐꯤ (ꯁꯤ.ꯇꯤ.) ꯁ꯭ꯀꯦꯟ ꯇꯧꯕꯥ꯫
• ꯃꯦꯒ꯭ꯅꯦꯇꯤꯛ ꯔꯤꯖꯣꯅꯦꯟꯁ ꯏꯃꯦꯖꯤꯡ (ꯑꯦꯝ.ꯑꯥꯔ.ꯑꯥꯏ.)꯫
• ꯏꯀꯣꯀꯥꯔꯗꯤꯑꯣꯒ꯭ꯔꯥꯐ ꯇꯧꯕꯥ꯫

ꯃꯁꯤ ꯀꯔꯝꯅꯥ ꯂꯥꯌꯦꯡꯒꯅꯤ? ꯃꯁꯤ ꯐꯍꯅꯕꯥ ꯉꯃꯒꯗ꯭ꯔꯥ?

ꯑꯦꯛꯌꯨꯠ ꯄꯦꯔꯤꯀꯥꯔꯗꯤꯇꯤꯁꯀꯤ ꯂꯥꯏꯌꯦꯡ ꯑꯁꯤ ꯃꯔꯝ ꯑꯗꯨꯒꯤ ꯃꯈꯥ ꯄꯣꯜꯂꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯀꯛꯅꯕꯥ ꯑꯟꯗꯔꯂꯥꯏꯟ ꯃꯔꯝ ꯑꯃꯥ ꯂꯩꯔꯕꯗꯤ, ꯂꯥꯏꯌꯦꯡ ꯑꯁꯤ ꯃꯔꯝ ꯑꯗꯨꯗꯥ ꯑꯃꯁꯨꯡ ꯄꯦꯔꯤꯀꯥꯔꯗꯤꯇꯤꯁꯇꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯂꯤꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯗꯨꯗꯥ ꯂꯃꯖꯤꯡꯒꯅꯤ꯫ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯃꯁꯤ ꯅꯍꯥꯀꯄꯨ ꯈꯪꯍꯟꯅꯕꯒꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯥ ꯃꯤꯑꯣꯏꯅꯤ, ꯃꯔꯃꯗꯤ ꯃꯈꯣꯌꯅꯥ ꯂꯥꯏꯌꯦꯡ ꯑꯗꯨ ꯅꯍꯥꯛꯀꯤ ꯑꯀꯛꯅꯕꯥ ꯐꯤꯚꯃꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ ꯁꯦꯃꯗꯣꯀꯄꯥ ꯌꯥꯏ꯫

ꯀꯔꯤ ꯃꯈꯂꯒꯤ ꯍꯤꯗꯥꯛ ꯅꯠꯠꯔꯒꯥ ꯂꯥꯏꯌꯦꯡ ꯁꯤꯖꯤꯟꯅꯕꯒꯦ?

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯑꯀꯅꯕꯥ ꯄꯦꯔꯤꯀꯥꯔꯗꯤꯇꯤꯁꯀꯤ ꯑꯀꯛꯅꯕꯥ ꯃꯔꯝ ꯑꯃꯥ ꯊꯤꯕꯥ ꯉꯃꯗ꯭ꯔꯕꯗꯤ, ꯂꯥꯏꯌꯦꯡꯕꯅꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯗꯨ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯗꯥ ꯃꯤꯠꯌꯦꯡ ꯊꯝꯂꯤ꯫

ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯂꯥꯏꯌꯦꯡꯕꯗꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯃꯗꯒꯤ ꯍꯦꯅꯕꯥ ꯁꯤꯖꯤꯟꯅꯕꯥ ꯌꯥꯏ:

• ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛ: ꯅꯟ-ꯁ꯭ꯇꯦꯔꯣꯏꯗ ꯑꯦꯟꯇꯤ-ꯏꯅꯐ꯭ꯂꯦꯃꯦꯇꯔꯤ ꯗ꯭ꯔꯒꯁꯤꯡ (NSAIDs) ꯑꯁꯤ ꯑꯌꯥꯝꯕꯅꯥ ꯑꯍꯥꯅꯕꯥ ꯂꯥꯏꯌꯦꯡꯅꯤ꯫ ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ ꯏꯕꯨꯞꯔꯣꯐꯦꯟ ꯑꯃꯁꯨꯡ ꯑꯦꯁ꯭ꯄꯤꯔꯤꯟ . ꯀꯣꯂꯆꯤꯁꯤꯟ ꯑꯁꯤ ꯑꯦꯟ.ꯑꯦꯁ.ꯑꯦ.ꯑꯥꯏ.ꯗꯤ.ꯁꯤꯡꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯄꯤꯕꯥ ꯑꯇꯣꯞꯄꯥ ꯑꯦꯟꯇꯤ-ꯏꯅꯐ꯭ꯂꯦꯃꯦꯇꯔꯤ ꯗ꯭ꯔꯒ ꯑꯃꯅꯤ . ꯀꯔꯤꯒꯨꯝꯕꯥ ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯊꯕꯛ ꯇꯧꯗ꯭ꯔꯕꯗꯤ, ꯁ꯭ꯇꯦꯔꯣꯏꯗꯁꯤꯡ ꯑꯁꯤ ꯑꯣꯄꯁꯟ ꯑꯃꯅꯤ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯁꯥꯏꯗ ꯏꯐꯦꯛꯇꯀꯤ ꯔꯤꯁ꯭ꯛ ꯈꯔꯥ ꯍꯦꯟꯅꯥ ꯋꯥꯡꯏ꯫ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯁ꯭ꯇꯣꯃꯥꯛ ꯂꯥꯏꯅꯤꯡ ꯑꯗꯨ ꯉꯥꯀꯊꯣꯛꯅꯕꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡꯁꯨ ꯄꯤꯕꯥ ꯌꯥꯏ, ꯃꯔꯃꯗꯤ NSAIDꯁꯤꯡ ꯃꯈꯥ ꯇꯥꯅꯥ ꯁꯤꯖꯤꯟꯅꯕꯅꯥ ꯃꯗꯨ ꯁꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯊꯛꯇꯥ ꯄꯅꯈ꯭ꯔꯤꯕꯥ ꯍꯤꯗꯥꯀꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯗ꯭ꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯕꯥꯏꯑꯣꯂꯣꯖꯤꯀꯦꯜ ꯀꯧꯕꯥ ꯍꯤꯗꯥꯛ ꯃꯈꯜ ꯑꯃꯥ ꯔꯤꯀꯃꯦꯟꯗ ꯇꯧꯕꯥ ꯌꯥꯏ꯫ ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯁꯛꯇꯤ ꯂꯩꯕꯥ ꯍꯤꯗꯥꯀꯁꯤꯡꯅꯤ, ꯑꯗꯨꯕꯨ ꯃꯈꯣꯌꯅꯥ ꯁꯥꯏꯗ ꯏꯐꯦꯛꯇꯁꯤꯡ ꯂꯩꯕꯥ ꯌꯥꯏ꯫ ꯂꯥꯏꯌꯦꯡ ꯑꯁꯤ ꯅꯍꯥꯛꯀꯤꯗꯃꯛꯇꯥ ꯆꯨꯝꯃꯤ ꯍꯥꯌꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯍꯪꯕꯁꯤ ꯑꯐꯕꯥ ꯋꯥꯈꯜꯂꯣꯟ ꯑꯃꯅꯤ꯫
• ꯄꯦꯔꯤꯀꯥꯔꯗꯤꯑꯣꯁꯦꯟꯇꯦꯁꯤꯁ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯦꯛꯌꯨꯠ ꯄꯦꯔꯤꯀꯥꯔꯗꯤꯇꯤꯁꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯄꯦꯔꯤꯀꯥꯔꯗꯤꯌꯥꯜ ꯏꯐ꯭ꯌꯨꯖꯟ ꯑꯃꯥ ꯂꯥꯀꯄꯥ ꯇꯥꯔꯕꯗꯤ, ꯃꯔꯨꯑꯣꯏꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯈꯥ ꯄꯣꯜꯂꯤꯕꯥ ꯃꯔꯝ ꯑꯗꯨ ꯏꯅꯐꯦꯛꯁꯟ ꯅꯠꯠꯔꯒꯥ ꯀꯦꯟꯁꯔ ꯑꯣꯏꯔꯕꯗꯤ, ꯄ꯭ꯔꯣꯁꯤꯗ꯭ꯌꯨꯑꯣꯔ ꯑꯁꯤ ꯀꯥꯟꯅꯩ꯫
• ꯁꯔꯖꯔꯤ (Pericardiectomy): ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯊꯣꯀꯄꯥ ꯀꯦꯁꯁꯤꯡꯗꯥ, ꯄꯦꯔꯤꯀꯥꯔꯗꯤꯇꯤꯁꯅꯥ ꯄꯦꯔꯤꯀꯥꯔꯗꯤꯌꯃꯗꯥ ꯑꯁꯨꯛ ꯌꯥꯝꯅꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯥ ꯑꯣꯄꯁꯅꯗꯤ ꯁꯔꯖꯤꯀꯦꯜ ꯑꯣꯏꯅꯥ ꯂꯧꯊꯣꯀꯄꯅꯤ꯫ ꯄꯦꯔꯤꯀꯥꯔꯗꯤꯌꯦꯛꯇꯣꯃꯤ ꯍꯥꯌꯅꯥ ꯀꯧꯕꯥ ꯁꯔꯖꯔꯤ ꯑꯁꯤꯅꯥ ꯄꯦꯔꯤꯀꯥꯔꯗꯤꯌꯃꯒꯤ ꯁꯔꯨꯛ ꯑꯃꯥ ꯅꯠꯠꯔꯒꯥ ꯄꯨꯝꯅꯃꯛ ꯂꯧꯊꯣꯀꯏ꯫ ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯆꯠꯄꯥ ꯁꯥꯏꯗ ꯏꯐꯦꯛꯇ ꯑꯃꯠꯇꯥ ꯌꯥꯎꯗꯅꯥ ꯄꯦꯔꯤꯀꯥꯔꯗꯤꯌꯝ ꯌꯥꯎꯗꯅꯥ ꯍꯤꯡꯕꯥ ꯌꯥꯏ꯫

ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯅꯣꯡꯃꯒꯤ ꯔꯨꯇꯤꯟ ꯑꯗꯨ ꯍꯣꯡꯗꯣꯛꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤꯗꯒꯤ ꯐꯒꯠꯂꯛꯠꯔꯤꯐꯥꯎꯕꯥ ꯅꯨꯡꯉꯥꯏꯅꯥ ꯂꯩꯅꯕꯥ ꯄꯥꯎꯇꯥꯛ ꯄꯤꯕꯁꯨ ꯌꯥꯏ꯫

ꯂꯥꯏꯌꯦꯡ ꯑꯗꯨꯒꯤ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ/ ꯁꯥꯏꯗ ꯏꯐꯦꯛꯇꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?

ꯂꯥꯏꯌꯦꯡꯕꯗꯒꯤ ꯊꯣꯀꯄꯥ ꯌꯥꯕꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ ꯑꯁꯤ ꯅꯍꯥꯛꯅꯥ ꯐꯪꯂꯤꯕꯥ ꯂꯥꯏꯌꯦꯡ ꯑꯗꯨꯒꯤ ꯃꯈꯥ ꯄꯣꯜꯂꯤ, ꯃꯔꯨꯑꯣꯏꯅꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡꯒꯤ ꯃꯈꯥ ꯄꯣꯜꯂꯤ꯫ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯊꯣꯀꯄꯥ ꯌꯥꯕꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ ꯑꯗꯨ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯈꯪꯍꯅꯕꯥ ꯉꯃꯒꯅꯤ꯫ ꯃꯍꯥꯛꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ ꯑꯁꯤꯗꯒꯤ ꯉꯥꯀꯊꯣꯛꯅꯕꯥ ꯀꯔꯤ ꯇꯧꯕꯥ ꯌꯥꯕꯒꯦ ꯑꯃꯁꯨꯡ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯈꯣꯌ ꯊꯣꯛꯂꯕꯗꯤ ꯀꯔꯤ ꯇꯧꯒꯗꯒꯦ ꯍꯥꯌꯕꯗꯨꯁꯨ ꯂꯃꯖꯤꯡꯕꯤꯕꯥ ꯌꯥꯏ꯫

ꯑꯩꯅꯥ ꯏꯁꯥꯕꯨ ꯀꯔꯝꯅꯥ ꯌꯦꯡꯁꯤꯅꯕꯤꯒꯅꯤ ꯑꯃꯁꯨꯡ ꯑꯩꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯝꯅꯥ ꯃꯦꯅꯦꯖ ꯇꯧꯒꯅꯤ?

ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯍꯥꯔꯠ ꯑꯦꯇꯦꯛ ꯑꯃꯒꯥ ꯃꯥꯟꯅꯕꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ, ꯗꯣꯛꯇꯔ ꯑꯃꯒꯥ ꯇꯥꯟꯅꯗꯅꯥ ꯃꯁꯥꯃꯛꯅꯥ ꯃꯁꯤ ꯈꯪꯗꯣꯛꯅꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯃꯦꯅꯦꯖ ꯇꯧꯅꯕꯥ ꯍꯣꯠꯅꯒꯅꯨ꯫ꯍꯥꯔꯠ ꯑꯦꯇꯦꯛ ꯍꯥꯌꯕꯁꯤ ꯄꯨꯟꯁꯤ ꯃꯥꯡꯍꯅꯕꯥ ꯌꯥꯕꯥ ꯃꯦꯗꯤꯀꯦꯜ ꯏꯃꯔꯖꯦꯟꯁꯤ ꯑꯃꯅꯤ, ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯆꯦꯛꯁꯤꯟꯅꯥ ꯌꯦꯡꯂꯕꯗꯤ, ꯃꯁꯤ ꯍꯥꯔꯠ ꯑꯦꯇꯦꯛ ꯑꯃꯅꯤ ꯍꯥꯌꯅꯥ ꯂꯧ꯫ ꯃꯁꯤ ꯑꯦꯛꯌꯨꯠ ꯄꯦꯔꯤꯀꯥꯔꯗꯤꯇꯤꯁ ꯑꯣꯏꯗ꯭ꯔꯕꯗꯤ, ꯍꯥꯔꯠ ꯑꯦꯇꯦꯛ ꯑꯃꯒꯤ ꯂꯥꯏꯌꯦꯡ ꯊꯦꯡꯊꯍꯅꯕꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯥꯔꯇꯇꯥ ꯃꯇꯝ ꯆꯨꯞꯄꯒꯤ ꯑꯣꯏꯅꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫

ꯃꯔꯨꯑꯣꯏꯕꯥ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯆꯦꯛꯁꯤꯟꯅꯥ ꯌꯦꯡꯂꯕꯗꯤ, ꯈꯨꯗꯛꯇꯥ ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯄꯥꯎꯇꯥꯛ ꯂꯧꯕꯤꯌꯨ, ꯃꯔꯃꯗꯤ ꯃꯁꯤ ꯍꯥꯔꯠ ꯑꯦꯇꯦꯛ ꯑꯃꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯥ ꯃꯊꯟꯇꯥ ꯗꯥꯏꯑꯦꯒ꯭ꯅꯣꯁꯤꯁ ꯇꯧꯔꯣꯏꯗꯕꯅꯤ꯫

ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯑꯩꯍꯥꯛ ꯀꯌꯥ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯐꯒꯠꯂꯛꯀꯅꯤ?

ꯅꯍꯥꯛꯀꯤ ꯀꯟꯗꯤꯁꯅꯒꯤ ꯃꯑꯣꯡ-ꯃꯇꯧ, ꯃꯈꯥ ꯇꯥꯕꯥ ꯃꯔꯝ ꯑꯃꯁꯨꯡ ꯁꯤꯖꯤꯟꯅꯔꯤꯕꯥ ꯂꯥꯏꯌꯦꯡꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ, ꯅꯍꯥꯛꯅꯥ ꯑꯦꯛꯌꯨꯠ ꯄꯦꯔꯤꯀꯥꯔꯗꯤꯇꯤꯁꯇꯒꯤ ꯐꯒꯠꯂꯀꯄꯗꯥ ꯆꯪꯕꯥ ꯃꯇꯝ ꯑꯗꯨ ꯈꯦꯠꯅꯒꯅꯤ꯫ ꯃꯍꯧꯁꯥꯅꯥ, ꯃꯤꯑꯣꯏ ꯑꯌꯥꯝꯕꯅꯥ ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯅꯨꯃꯤꯠ ꯑꯃꯗꯒꯤ ꯅꯨꯃꯤꯠ ꯍꯨꯝꯅꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯐꯒꯠꯂꯀꯄꯥ ꯍꯧꯏ , ꯑꯗꯨꯕꯨ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯐꯒꯠꯂꯀꯄꯗꯥ ꯊꯥ ꯀꯌꯥ ꯆꯪꯂꯝꯕꯥ ꯌꯥꯏ꯫

ꯃꯁꯤ ꯑꯩꯅꯥ ꯀꯔꯝꯅꯥ ꯊꯤꯡꯒꯅꯤ?

ꯑꯦꯛꯌꯨꯠ ꯄꯦꯔꯤꯀꯥꯔꯗꯤꯇꯤꯁ ꯑꯁꯤ ꯃꯁꯥ ꯃꯊꯟꯇꯥ ꯊꯣꯀꯄꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯊꯤꯡꯕꯥ ꯉꯃꯗꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫ ꯅꯍꯥꯛꯅꯥ ꯇꯧꯕꯥ ꯌꯥꯕꯥ ꯑꯃꯠꯇꯥ ꯉꯥꯏꯔꯕꯥ ꯊꯕꯀꯗꯤ ꯃꯁꯤ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯕꯥ ꯐꯤꯚꯃꯁꯤꯡ ꯅꯠꯠꯔꯒꯥ ꯃꯔꯃꯁꯤꯡꯗꯒꯤ ꯂꯥꯞꯅꯥ ꯂꯩꯗꯨꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯔꯤꯁ꯭ꯛ ꯍꯟꯊꯍꯅꯕꯅꯤ꯫

ꯑꯩꯒꯤ ꯔꯤꯁ꯭ꯛ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯍꯟꯊꯍꯅꯒꯅꯤ?

ꯄꯦꯀꯦꯗꯤꯇꯤꯁ ꯊꯤꯡꯅꯕꯒꯤ ꯑꯃꯠꯇꯥ ꯉꯥꯏꯔꯕꯥ ꯄꯥꯝꯕꯩꯗꯤ ꯃꯁꯤ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡꯗꯒꯤ ꯂꯥꯞꯅꯥ ꯂꯩꯕꯅꯤ꯫ ꯃꯈꯥꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯁꯤ ꯇꯧꯕꯥ ꯌꯥꯕꯥ ꯃꯑꯣꯡ ꯈꯔꯗꯤ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤ:

• ꯕꯦꯛꯇꯦꯔꯤꯌꯥ ꯏꯅꯐꯦꯛꯁꯅꯁꯤꯡꯒꯤ ꯂꯥꯏꯌꯦꯡ ꯂꯧꯕꯤꯌꯨ: ꯂꯥꯏꯌꯦꯡꯗꯕꯥ ꯕꯦꯛꯇꯦꯔꯤꯌꯥ ꯏꯅꯐꯦꯛꯁꯅꯁꯤꯡꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡꯗꯥ, ꯃꯔꯨꯑꯣꯏꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯥꯔꯠ ꯑꯃꯁꯨꯡ ꯃꯅꯥꯛ ꯅꯀꯄꯥ ꯑꯣꯔꯒꯥꯅꯁꯤꯡꯗꯥ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯅꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯕꯦꯛꯇꯦꯔꯤꯌꯥꯒꯤ ꯏꯅꯐꯦꯛꯁꯟ ꯑꯃꯥ ꯂꯩꯔꯦ ꯍꯥꯌꯅꯥ ꯆꯤꯡꯅꯔꯕꯗꯤ, ꯃꯗꯨ ꯊꯨꯅꯥ ꯈꯪꯗꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯂꯥꯏꯌꯦꯡꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫
• ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯍꯜꯂꯣꯏꯗꯕꯅꯤ: ꯃꯔꯨꯑꯣꯏꯅꯥ ꯀꯥ ꯑꯃꯗꯥ ꯆꯦꯅꯕꯥ ꯃꯇꯃꯗꯥ ꯁꯤꯠ ꯕꯦꯜꯇ ꯑꯃꯥ ꯁꯤꯖꯤꯟꯅꯕꯅꯥ , ꯆꯦꯛꯀꯤ ꯑꯁꯣꯛ-ꯑꯄꯅꯁꯤꯡꯗꯒꯤ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯄꯦꯀꯦꯗꯤꯂꯣꯁꯤꯡ ꯊꯤꯡꯅꯕꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯑꯣꯡ ꯑꯃꯅꯤ꯫ ꯃꯁꯤꯗꯥ ꯑꯀꯅꯕꯥ ꯈꯣꯡꯗꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯕꯥ ꯈꯨꯠꯂꯥꯌꯁꯤꯡ ꯅꯠꯠꯔꯒꯥ ꯃꯦꯁꯤꯅꯔꯤꯁꯤꯡꯒꯥ ꯊꯕꯛ ꯇꯧꯃꯤꯟꯅꯕꯗꯥ ꯆꯦꯀꯁꯤꯅꯕꯁꯨ ꯌꯥꯎꯏ꯫
• ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯤ ꯏꯅꯁ꯭ꯠꯔꯛꯁꯅꯁꯤꯡ ꯏꯅꯒꯗꯕꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯦꯛꯌꯨꯠ ꯄꯦꯔꯤꯇꯣꯅꯥꯏꯇꯤꯁ ꯂꯥꯀꯄꯒꯤ ꯔꯤꯁ꯭ꯛ ꯍꯦꯅꯒꯠꯍꯅꯕꯥ ꯉꯝꯕꯥ ꯍꯀꯁꯦꯂꯒꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯥ ꯂꯩꯔꯕꯗꯤ ꯃꯁꯤ ꯃꯔꯨꯑꯣꯏꯅꯥ ꯆꯨꯝꯃꯤ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯩꯅꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯂꯩꯔꯕꯗꯤ ꯑꯩꯅꯥ ꯀꯔꯤ ꯑꯥꯁꯥ ꯇꯧꯕꯥ ꯌꯥꯕꯒꯦ, ꯑꯃꯁꯨꯡ ꯃꯁꯤ ꯐꯍꯅꯕꯥ ꯉꯃꯒꯗ꯭ꯔꯥ?

ꯑꯦꯛꯌꯨꯠ ꯄꯦꯔꯤꯀꯥꯔꯗꯤꯇꯤꯁ ꯑꯁꯤ ꯑꯌꯥꯝꯕꯅꯥ ꯂꯥꯌꯦꯡꯕꯥ ꯌꯥꯕꯥ ꯑꯃꯁꯨꯡ ꯂꯥꯌꯦꯡꯕꯥ ꯌꯥꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ . ꯃꯤꯑꯣꯏ ꯑꯌꯥꯝꯕꯗꯤ ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯐꯒꯠꯂꯀꯏ꯫ ꯃꯤꯑꯣꯏ 20% ꯑꯃꯁꯨꯡ 50%ꯒꯤ ꯃꯔꯛꯇꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯂꯥꯛꯀꯅꯤ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯑꯦꯟꯇꯤ-ꯏꯅꯐ꯭ꯂꯦꯃꯦꯇꯔꯤ ꯇ꯭ꯔꯤꯠꯃꯦꯟꯇ ꯈꯔꯅꯥ ꯃꯁꯤ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯂꯥꯀꯄꯒꯤ ꯔꯤꯁ꯭ꯛ ꯍꯟꯊꯍꯅꯕꯥ ꯉꯝꯃꯤ꯫

ꯅꯍꯥꯛꯀꯤ ꯑꯦꯛꯌꯨꯠ ꯄꯦꯔꯤꯀꯥꯔꯗꯤꯇꯤꯁꯀꯤ ꯃꯔꯃꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ, ꯅꯍꯥꯛꯅꯥ ꯀꯟꯁꯠꯔꯛꯁꯟ ꯄꯦꯔꯤꯀꯥꯔꯗꯤꯇꯤꯁ ꯂꯩꯕꯥ ꯌꯥꯏ꯫ꯄꯦꯔꯤꯀꯥꯔꯗꯤꯇꯤꯁ ꯀꯧꯕꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯟ ꯑꯃꯥ ꯂꯥꯀꯄꯒꯤ ꯔꯤꯁ꯭ꯛ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯁꯤ ꯍꯥꯔꯇꯀꯤ ꯂꯥꯏꯅꯤꯡ ꯑꯗꯨ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯁꯣꯟꯊꯔꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯏꯂꯥꯁ꯭ꯇꯤꯛ ꯑꯣꯏꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯊꯣꯀꯏ꯫ ꯃꯁꯤꯅꯥ ꯍꯥꯔꯇꯀꯤ ꯄꯝꯄ ꯇꯧꯕꯒꯤ ꯇꯧꯕꯥ ꯉꯝꯕꯗꯨ ꯂꯤꯃꯤꯠ ꯇꯧꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤ ꯇ꯭ꯌꯨꯕꯔꯀꯨꯂꯣꯁꯤꯁ ꯅꯠꯠꯔꯒꯥ ꯕꯦꯛꯇꯦꯔꯤꯌꯥ ꯏꯅꯐꯦꯛꯁꯅꯁꯤꯡꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯑꯀꯅꯕꯥ ꯄꯦꯔꯤꯀꯥꯔꯗꯤꯇꯤꯁ ꯂꯩꯕꯥ ꯄꯦꯁꯦꯟꯇꯁꯤꯡꯒꯤ 20%ꯗꯒꯤ 30% ꯐꯥꯎꯕꯗꯥ ꯊꯣꯀꯏ꯫ ꯀꯦꯟꯁꯔ ꯅꯠꯠꯔꯒꯥ ꯏꯝꯝꯌꯨꯟ ꯁꯤꯁ꯭ꯇꯦꯃꯒꯤ ꯂꯥꯌꯅꯥꯁꯤꯡꯒꯥ ꯃꯔꯤ ꯂꯩꯅꯕꯥ ꯄꯦꯔꯤꯀꯥꯔꯗꯤꯇꯤꯁꯅꯥ ꯅꯥꯕꯥ ꯑꯅꯥꯕꯁꯤꯡꯗꯥ ꯃꯁꯤꯒꯤ ꯆꯥꯡ ꯑꯁꯤ ꯲%ꯗꯒꯤ ꯵% ꯐꯥꯑꯣꯕꯥ ꯍꯟꯊꯔꯀꯏ꯫ ꯃꯁꯤ ꯃꯔꯝ ꯈꯪꯗꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯚꯥꯏꯔꯁ ꯏꯅꯐꯦꯛꯁꯟ ꯑꯃꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯑꯦꯛꯌꯨꯠ ꯄꯦꯔꯤꯀꯥꯔꯗꯤꯇꯤꯁ ꯂꯩꯕꯥ ꯄꯦꯁꯦꯟꯇꯁꯤꯡꯒꯤ 1%ꯗꯒꯤ ꯇꯥꯅꯥ ꯊꯣꯀꯏ꯫

ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯀꯌꯥꯝ ꯁꯥꯡꯅꯥ ꯂꯩꯒꯅꯤ, ꯑꯃꯁꯨꯡ ꯑꯩꯅꯥ ꯀꯗꯥꯏꯗꯥ ꯑꯩꯒꯤ ꯅꯣꯔꯃꯦꯜ ꯑꯦꯛꯇꯤꯚꯤꯇꯤꯁꯤꯡ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯍꯧꯕꯥ ꯌꯥꯕꯒꯦ?

ꯂꯥꯏꯌꯦꯡꯗꯕꯥ ꯑꯦꯛꯌꯨꯠ ꯄꯦꯔꯤꯀꯥꯔꯗꯤꯇꯤꯁꯅꯥ ꯑꯇꯩ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ, ꯃꯈꯣꯌ ꯈꯔꯗꯤ ꯍꯦꯟꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯑꯃꯁꯨꯡ ꯈꯨꯗꯣꯡꯊꯤꯅꯤꯉꯥꯏ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯂꯥꯏꯌꯦꯡꯗꯅꯥ ꯊꯃꯒꯅꯨ꯫

ꯂꯥꯏꯌꯦꯡꯕꯒꯥ ꯂꯣꯌꯅꯅꯥ, ꯑꯦꯛꯌꯨꯠ ꯄꯦꯔꯤꯀꯥꯔꯗꯤꯇꯤꯁ ꯑꯁꯤ ꯅꯨꯃꯤꯠ ꯈꯔꯅꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯐꯒꯠꯍꯅꯒꯗꯕꯅꯤ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯃꯤꯑꯣꯏ ꯀꯌꯥꯅꯥ ꯃꯈꯣꯌꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯐꯒꯠꯂꯛꯠꯔꯤꯐꯥꯎꯕꯥ ꯐꯤꯖꯤꯀꯦꯜ ꯑꯦꯛꯇꯤꯚꯤꯇꯤ – ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯑꯃꯁꯨꯡ ꯁ꯭ꯄꯣꯔꯇꯁ ꯌꯥꯎꯅꯥ – ꯊꯤꯡꯖꯤꯅꯕꯥ ꯃꯊꯧ ꯇꯥꯒꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯈꯣꯌꯅꯥ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯇꯧꯕꯥ ꯍꯧꯔꯕꯗꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯗꯨ ꯍꯟꯖꯤꯜꯂꯀꯄꯥ ꯍꯥꯌꯕꯁꯤ ꯀꯃꯟ ꯑꯣꯏ꯫ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯀꯔꯤ ꯊꯣꯛꯀꯗꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯈꯪꯍꯜꯂꯛꯀꯅꯤ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯔꯤꯀꯣꯚꯔꯤ ꯑꯗꯨ ꯌꯦꯡꯁꯤꯟꯅꯕꯥ ꯐꯣꯂꯣ-ꯑꯞ ꯑꯦꯄꯣꯏꯟꯇꯃꯦꯟꯇꯁꯤꯡ ꯁꯦꯝ-ꯁꯥꯗꯨꯅꯥ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯑꯃꯠꯇꯥ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯒꯅꯤ꯫

ꯑꯩꯅꯥ ꯀꯗꯥꯏꯗꯥ ꯑꯩꯒꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯎꯅꯒꯗꯒꯦ ꯑꯃꯁꯨꯡ ꯀꯗꯥꯏꯗꯥ ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯃꯇꯦꯡ ꯂꯧꯒꯗꯒꯦ?

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯃꯥꯡꯗꯥ ꯑꯦꯛꯌꯨꯠ ꯄꯦꯔꯤꯀꯥꯔꯗꯤꯇꯤꯁ ꯂꯩꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯔꯤꯀꯣꯚꯔꯤꯒꯤ ꯃꯇꯃꯗꯥ ꯔꯤꯀꯣꯚꯔꯤꯒꯤ ꯈꯨꯗꯃꯁꯤꯡ ꯂꯩꯕ꯭ꯔꯥ, ꯅꯠꯠꯔꯒꯥ ꯍꯣꯡꯂꯛꯂꯤꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯍꯦꯟꯅꯥ ꯐꯒꯠꯂꯀꯄꯒꯤ ꯈꯨꯗꯃꯁꯤꯡ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯎ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯂꯩꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯐꯣꯟ ꯇꯧꯕꯤꯌꯨ, ꯅꯠꯠꯔꯒꯥ ꯃꯈꯣꯌꯒꯤ ꯑꯣꯐꯤꯁꯀꯤ ꯃꯇꯃꯒꯤ ꯃꯄꯥꯟꯗꯥ ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯃꯇꯦꯡ ꯂꯧꯕꯤꯌꯨ꯫

ꯆꯦꯀꯁꯤꯅꯒꯗꯕꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡꯗꯤ:

• ꯈꯣꯡꯗꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯄꯥ꯫ *
• ꯂꯥꯏꯍꯧ ꯍꯧꯕ.
• ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ (Dyspnea)꯫

*> ꯂꯥꯏꯑꯣꯡ ꯑꯁꯤ ꯍꯥꯔꯠ ꯑꯦꯇꯦꯛꯀꯤ ꯈꯨꯗꯝ ꯑꯣꯏꯕꯥ ꯌꯥꯏ, ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯈꯨꯗꯛꯇꯥ 1990 (ꯅꯠꯠꯔꯒꯥ ꯅꯍꯥꯛꯀꯤ ꯂꯣꯀꯦꯜ ꯏꯃꯔꯖꯦꯟꯁꯤ ꯅꯝꯕꯔ)ꯗꯥ ꯐꯣꯟ ꯇꯧꯒꯗꯕꯅꯤ꯫

ꯑꯦꯛꯌꯨꯠ ꯄꯦꯔꯤꯀꯥꯔꯗꯤꯇꯤꯁ ꯍꯥꯌꯕꯁꯤ ꯑꯌꯥꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫ ꯃꯍꯧꯁꯥꯅꯥ ꯃꯁꯤ ꯃꯁꯥ ꯃꯊꯟꯇꯥ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯥ ꯑꯣꯏꯗ꯭ꯔꯕꯁꯨ, ꯃꯁꯤꯗꯥ ꯍꯥꯔꯠ ꯑꯦꯇꯦꯛ ꯑꯃꯒꯥ ꯃꯥꯟꯅꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯂꯩ, ꯃꯁꯤ ꯃꯦꯗꯤꯀꯦꯜ ꯏꯃꯔꯖꯦꯟꯁꯤ ꯑꯃꯅꯤ꯫ ꯃꯁꯤ ꯃꯦꯗꯤꯀꯦꯜ ꯏꯃꯔꯖꯦꯟꯁꯤ ꯑꯃꯥ ꯑꯣꯏꯔꯤꯕꯥ ꯀꯥꯔꯗꯤꯌꯦꯛ ꯇꯦꯝꯄꯣꯅꯦꯗꯒꯨꯝꯕꯥ ꯑꯇꯩ ꯀꯟꯗꯤꯁꯅꯁꯤꯡꯒꯥ ꯃꯔꯤ ꯂꯩꯅꯕꯁꯨ ꯌꯥꯏ꯫ ꯃꯥꯟꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯃꯔꯤ ꯂꯩꯅꯕꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯗꯣꯛꯇꯔ ꯑꯃꯅꯥ ꯌꯦꯡꯁꯤꯅꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯦꯛꯌꯨꯠ ꯄꯦꯔꯤꯀꯥꯔꯗꯤꯇꯤꯁ ꯂꯩꯔꯕꯗꯤ, ꯃꯍꯧꯁꯥꯅꯥ ꯃꯁꯤ ꯂꯥꯏꯌꯦꯡꯕꯥ ꯌꯥꯏ, ꯑꯗꯨꯕꯨ ꯃꯤꯑꯣꯏ ꯈꯔꯗꯤ ꯑꯦꯄꯤꯁꯣꯗ ꯑꯃꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯂꯩꯕꯥ ꯌꯥꯏ꯫

ꯇꯦꯛ-ꯍꯣꯝ ꯃꯦꯁꯦꯖ ꯇꯧꯕꯥ꯫

ꯑꯣꯀꯦ, ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯑꯩꯈꯣꯌꯅꯥ ꯑꯦꯛꯌꯨꯠ ꯄꯦꯔꯤꯀꯥꯔꯗꯤꯇꯤꯁꯀꯤ ꯃꯇꯥꯡꯗꯥ ꯌꯥꯝꯅꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯈ꯭ꯔꯦ꯫ ꯅꯤꯡꯁꯤꯡꯒꯗꯕꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯋꯥꯐꯃꯗꯤ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯑꯅꯥꯕꯥ ꯂꯩꯔꯕꯗꯤ, ꯃꯔꯨꯑꯣꯏꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯦꯡ-ꯑꯣꯠꯄꯥ ꯃꯇꯃꯗꯥ ꯍꯦꯟꯅꯥ ꯐꯠꯆꯤꯜꯂꯛꯇꯕꯥ ꯑꯃꯁꯨꯡ ꯃꯥꯡꯂꯣꯃꯗꯥ ꯆꯪꯁꯤꯅꯕꯥ ꯃꯇꯃꯗꯥ ꯍꯦꯟꯅꯥ ꯐꯒꯠꯂꯀꯄꯥ ꯑꯅꯥꯕꯥ ꯂꯩꯔꯕꯗꯤ, ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ ꯑꯃꯁꯨꯡ ꯂꯥꯏꯍꯧ ꯑꯁꯤꯅꯆꯤꯡꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡꯒꯥ ꯂꯣꯌꯅꯅꯥ, ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯂꯧꯔꯣꯏꯗꯕꯅꯤ꯫

ꯃꯁꯤ ꯍꯥꯔꯠ ꯑꯦꯇꯦꯛ ꯑꯃꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ, ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯈꯨꯗꯛꯇꯥ ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯄꯥꯎꯇꯥꯛ ꯂꯧꯒꯗꯕꯅꯤ꯫

ꯑꯦꯛꯌꯨꯠ ꯄꯦꯅꯛꯔꯤꯑꯦꯇꯤꯁ ꯑꯁꯤ ꯑꯌꯥꯝꯕꯗꯤ ꯂꯥꯏꯌꯦꯡꯕꯥ ꯌꯥꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ, ꯑꯗꯨꯕꯨ ꯃꯇꯤꯛ ꯆꯥꯕꯥ ꯂꯥꯏꯌꯦꯡꯗꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫

ꯗꯣꯛꯇꯔꯒꯤ ꯏꯅꯁ꯭ꯠꯔꯛꯁꯅꯁꯤꯡ ꯑꯗꯨ ꯆꯨꯝꯅꯥ ꯏꯅꯒꯗꯕꯅꯤ, ꯄꯤꯔꯤꯕꯥ ꯃꯇꯝ ꯑꯗꯨꯗꯥ ꯂꯦꯡꯗꯅꯥ ꯂꯩꯌꯨ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯍꯤꯗꯥꯛ ꯑꯗꯨ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯂꯧꯒꯗꯕꯅꯤ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯃꯈꯥ ꯇꯥꯕꯥ ꯋꯥꯍꯪꯁꯤꯡ ꯂꯩꯔꯕꯗꯤ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯕꯗꯥ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯂꯩꯔꯣꯏꯗꯕꯅꯤ꯫ ꯍꯀꯆꯥꯡ ꯐꯅꯥ ꯂꯩꯌꯨ!

` ꯄꯦꯔꯤꯀꯥꯔꯗꯤꯇꯤꯁ, ꯑꯦꯛꯌꯨꯠ ꯄꯦꯔꯤꯀꯥꯔꯗꯤꯇꯤꯁ, ꯆꯦꯁ꯭ꯠ ꯄꯦꯏꯟ, ꯍꯥꯔꯇꯀꯤ ꯂꯥꯌꯅꯥ, ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ, ꯂꯥꯏꯍꯧ, ꯄꯥꯂꯄꯤꯇꯦꯁꯟ, ꯀꯥꯔꯗꯤꯌꯦꯛ ꯇꯥꯝꯄꯣꯅꯦꯗ, ꯄꯦꯔꯤꯀꯥꯔꯗꯤꯑꯦꯜ ꯏꯐ꯭ꯌꯨꯁꯟ꯫