ꯅꯍꯥꯛꯀꯤ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯂꯁꯤꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯐꯦꯠ ꯗꯤꯄꯣꯖꯤꯠ ꯇꯧꯕ꯭ꯔꯥ? (ꯑꯦꯊꯦꯔꯣꯁ꯭ꯀꯂꯦꯔꯣꯁꯤꯁ) ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯁꯤ!

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯆꯥꯎꯈꯠꯂꯀꯄꯗꯥ ꯑꯆꯧꯕꯥ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯑꯃꯥ ꯂꯩꯔꯀꯄꯥ ꯌꯥꯏ, ꯃꯗꯨ ꯈꯪꯖꯤꯅꯕꯁꯨ ꯌꯥꯏ꯫ ꯉꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯍꯀꯆꯥꯡꯗꯥ ꯆꯨꯃꯗ꯭ꯔꯤꯡꯅꯥ ꯁꯣꯀꯍꯜꯂꯤꯕꯥ, ꯑꯗꯨꯕꯨ ꯌꯥꯝꯅꯥ ꯈꯨꯗꯣꯡꯊꯤꯅꯤꯡꯉꯥꯏ ꯑꯣꯏꯕꯥ ꯌꯥꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯔꯤ꯫ ꯃꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ "ꯑꯦꯊꯦꯔꯣꯁ꯭ꯀꯂꯦꯔꯣꯁꯤꯁ" ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ ꯈꯅꯕꯤꯌꯨ, ꯅꯍꯥꯛꯀꯤ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯂꯁꯤꯡ ꯑꯁꯤ ꯏꯁꯤꯡꯒꯤ ꯄꯥꯏꯄꯒꯨꯝꯅꯥ ꯂꯩ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯄꯥꯏꯄꯁꯤꯡ ꯑꯁꯤ ꯃꯩꯈꯨ ꯆꯦꯟꯗꯕꯥ, ꯍꯥꯌꯕꯗꯤ ꯐꯦꯠꯅꯥ ꯊꯨꯒꯥꯌꯔꯕꯗꯤ ꯀꯔꯤ ꯑꯣꯏꯒꯅꯤ? ꯀꯦꯁ ꯑꯁꯤꯗꯁꯨ ꯃꯗꯨ ꯑꯣꯏꯔꯤ꯫ ꯃꯁꯤ ꯈꯔꯥ ꯌꯥꯝꯅꯥ ꯂꯨꯕꯥ ꯋꯥꯔꯤ ꯑꯣꯏꯔꯕꯁꯨ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯩꯈꯣꯌꯅꯥ ꯃꯁꯤꯕꯨ ꯃꯇꯤꯛ ꯆꯥꯅꯥ ꯈꯉꯂꯕꯗꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯃꯁꯤꯗꯒꯤ ꯂꯥꯄꯊꯣꯛꯅꯕꯥ ꯀꯌꯥ ꯑꯃꯥ ꯇꯧꯕꯥ ꯉꯃꯒꯅꯤ꯫

ꯑꯦꯊꯦꯔꯣꯁ꯭ꯀꯂꯦꯔꯣꯁꯤꯁ ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ? ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ...

ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯑꯦꯊꯦꯔꯣꯁ꯭ꯀꯂꯦꯔꯣꯁꯤꯁ ꯍꯥꯌꯕꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯑꯥꯔꯇꯦꯔꯤꯁꯤꯡꯒꯤ ꯋꯥꯂꯁꯤꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯐꯦꯠ, ꯀꯣꯂꯦꯁ꯭ꯇꯦꯔꯣꯜ, ꯀꯦꯂꯁꯤꯌꯝ ꯑꯃꯁꯨꯡ ꯑꯇꯩ ꯄꯣꯠꯁꯀꯁꯤꯡ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯍꯦꯅꯒꯠꯂꯛꯇꯨꯅꯥ "ꯄ꯭ꯂꯦꯛ" (atheroma) ꯑꯃꯥ ꯁꯦꯝꯕꯅꯤ꯫ ꯑꯥꯔꯇꯦꯔꯤ ꯍꯥꯌꯕꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯍꯥꯔꯇꯇꯒꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯑꯇꯩ ꯃꯐꯃꯁꯤꯡꯗꯥ ꯑꯣꯛꯁꯤꯖꯦꯟ ꯌꯥꯝꯅꯥ ꯌꯥꯎꯕꯥ ꯏ ꯄꯨꯊꯣꯛ ꯄꯨꯁꯤꯟ ꯇꯧꯕꯥ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯂꯁꯤꯡꯅꯤ꯫ ꯄ꯭ꯂꯦꯛ ꯑꯁꯤ ꯁꯦꯃꯒꯠꯂꯀꯄꯒꯥ ꯂꯣꯌꯅꯅꯥ, ꯑꯥꯔꯇꯦꯔꯤꯁꯤꯡꯒꯤ ꯋꯥꯂꯁꯤꯡ ꯑꯁꯤ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯁꯣꯟꯊꯔꯀꯏ ꯑꯃꯁꯨꯡ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯁꯣꯟꯊꯔꯀꯏ꯫ ꯃꯁꯤꯕꯨ "ꯑꯥꯔꯇꯦꯔꯤꯁꯤꯡꯒꯤ ꯍꯥꯔꯗꯅꯤꯡ" ꯅꯠꯠꯔꯒꯥ "ꯑꯦꯊꯦꯔꯣꯁ꯭ꯀꯂꯦꯔꯣꯁꯤꯁ" ꯍꯥꯌꯅꯥꯁꯨ ꯀꯧꯏ꯫

ꯍꯧꯔꯀꯄꯗꯥ ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯅꯤꯡꯊꯤꯖꯅꯥ ꯊꯣꯀꯏ꯫ ꯃꯇꯝ ꯈꯔꯒꯤ ꯑꯣꯏꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯥꯏꯑꯣꯡ ꯑꯃꯠꯇꯥ ꯎꯕꯥ ꯐꯪꯗꯕꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯕꯨ ꯄ꯭ꯂꯦꯛ ꯑꯁꯤ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯍꯦꯅꯒꯠꯂꯀꯄꯒꯥ ꯂꯣꯌꯅꯅꯥ, ꯑꯥꯔꯇꯦꯔꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯏ ꯆꯦꯅꯕꯥ, ꯍꯥꯌꯕꯗꯤ ꯆꯦꯅꯦꯂꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯂꯩꯕꯥ ꯑꯍꯥꯡꯕꯥ ꯃꯐꯝ (lumen) ꯑꯗꯨ ꯀꯨꯄꯁꯤꯜꯂꯀꯏ꯫ ꯏꯁꯤꯡꯒꯤ ꯄꯥꯏꯞ ꯑꯃꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯃꯩꯁꯥ ꯂꯥꯀꯄꯥ ꯃꯇꯃꯒꯨꯝꯅꯥ, ꯏꯁꯤꯡ ꯇꯨꯡꯁꯤꯅꯕꯒꯤ ꯂꯝꯕꯤ ꯑꯗꯨ ꯍꯦꯟꯅꯥ ꯀꯨꯄꯁꯤꯜꯂꯤ꯫ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯀꯔꯤ ꯑꯣꯏꯒꯅꯤ? ꯑꯩꯈꯣꯌꯒꯤ ꯑꯣꯔꯒꯥꯅꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯇꯤꯁꯨꯁꯤꯡꯗꯥ ꯌꯧꯕꯥ ꯏꯒꯤ ꯆꯥꯡ ꯍꯟꯊꯔꯀꯏ꯫ ꯃꯁꯤ ꯈꯛꯇꯥ ꯅꯠꯇꯅꯥ, ꯏ ꯑꯗꯨ ꯌꯥꯡꯅꯥ ꯆꯦꯜꯂꯀꯄꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯄ꯭ꯂꯦꯛ ꯑꯁꯤ ꯆꯦꯟꯊꯔꯀꯄꯥ ꯌꯥꯏ, ꯅꯠꯠꯔꯒꯥ ꯃꯁꯤꯒꯤ ꯃꯊꯛꯇꯥ ꯆꯦꯟꯊꯔꯀꯄꯥ ꯌꯥꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯗꯨ ꯑꯣꯏꯔꯕꯗꯤ, ꯃꯐꯃꯗꯨꯗꯥ ꯏ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫

ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯑꯁꯤꯒꯨꯝꯅꯥ ꯈꯟꯊꯕꯤꯌꯨ: ꯑꯄꯤꯀꯄꯥ ꯑꯥꯔꯇꯦꯔꯤ ꯑꯁꯤ ꯂꯦꯟ ꯃꯔꯤꯒꯤ ꯂꯝꯕꯤ ꯑꯃꯒꯨꯝꯅꯥ ꯂꯦꯟ ꯑꯃꯈꯛꯇꯗꯥ ꯍꯟꯊꯍꯜꯂꯤ꯫ ꯑꯗꯨꯕꯨ ꯏꯁꯤꯡ ꯁꯣꯀꯄꯥ ꯑꯃꯅꯥ ꯂꯝꯕꯤ ꯑꯗꯨꯒꯤ ꯃꯔꯛꯇꯥ ꯂꯝꯕꯤ ꯊꯤꯡꯕꯒꯨꯝꯕꯅꯤ꯫ ꯃꯁꯤꯅꯥ ꯏꯒꯤ ꯈꯣꯡꯖꯦꯜ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯊꯤꯡꯕꯥ ꯉꯝꯃꯤ꯫

ꯍꯀꯆꯥꯡꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯏꯐꯦꯛꯇ ꯑꯁꯤ ꯏꯒꯤ ꯈꯣꯡꯖꯦꯜ ꯑꯁꯤ ꯀꯗꯥꯏꯗꯥ ꯂꯩꯕꯒꯦ ꯍꯥꯌꯕꯗꯨꯒꯤ ꯃꯈꯥ ꯄꯣꯜꯂꯤ꯫ ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯃꯈꯂꯒꯤ ꯕ꯭ꯂꯣꯀꯦꯖ ꯑꯁꯤ ꯍꯥꯔꯇꯇꯥ ꯏ ꯁꯞꯂꯥꯏ ꯇꯧꯔꯤꯕꯥ ꯀꯣꯔꯣꯅꯥꯔꯤ ꯑꯥꯔꯇꯦꯔꯤꯁꯤꯡꯗꯥ ꯊꯣꯛꯂꯕꯗꯤ ꯍꯥꯔꯇꯇꯥ ꯑꯣꯛꯁꯤꯖꯦꯟ ꯌꯥꯎꯗꯕꯥ ꯌꯥꯏ ꯑꯃꯁꯨꯡ ꯍꯥꯔꯠ ꯑꯦꯇꯦꯛ ꯑꯃꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫

ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯑꯦꯊꯦꯔꯣꯁ꯭ꯀꯂꯦꯔꯣꯁꯤꯁ ꯍꯥꯌꯅꯥ ꯀꯌꯥꯝ ꯀꯃꯟ ꯑꯣꯏꯕꯒꯦ?

ꯃꯁꯤ ꯇꯁꯦꯡꯕꯗꯤ ꯌꯥꯝꯅꯥ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫ ꯄ꯭ꯂꯦꯛ ꯁꯦꯃꯒꯠꯂꯀꯄꯥ ꯑꯁꯤꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ, ꯃꯔꯨꯑꯣꯏꯅꯥ ꯍꯥꯔꯠ ꯑꯦꯇꯦꯛ ꯑꯃꯁꯨꯡ ꯁ꯭ꯠꯔꯣꯛ ꯑꯁꯤꯅꯥ ꯃꯥꯂꯦꯝ ꯁꯤꯅꯕꯥ ꯊꯨꯡꯅꯥ ꯁꯤꯍꯅꯕꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯔꯃꯁꯤꯡꯅꯤ꯫

ꯌꯨ.ꯑꯦꯁ.ꯀꯤ ꯅꯦꯁꯅꯦꯜ ꯏꯟꯁꯇꯤꯠꯌꯨꯠ ꯑꯣꯐ ꯍꯦꯜꯊꯀꯤ ꯃꯇꯨꯡ ꯏꯟꯅꯥ ꯆꯍꯤ ꯴꯵ ꯑꯃꯁꯨꯡ ꯸꯴ꯒꯤ ꯃꯔꯛꯇꯥ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯒꯤ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯁꯔꯨꯛ ꯑꯍꯨꯝ ꯊꯣꯀꯄꯒꯤ ꯑꯃꯗꯤ ꯑꯦꯊꯦꯔꯣꯁ꯭ꯀꯂꯦꯔꯣꯁꯤꯁ ꯂꯩ, ꯑꯗꯨꯕꯨ ꯃꯈꯣꯌꯅꯥ ꯃꯁꯤ ꯈꯉꯗꯦ꯫ ꯑꯩꯈꯣꯌꯒꯤ ꯂꯩꯕꯥꯛꯀꯤ ꯐꯤꯚꯝ ꯑꯁꯤꯗꯁꯨ ꯑꯩꯈꯣꯌꯅꯥ ꯆꯤꯡꯅꯕꯥ ꯗꯔꯀꯥꯔ ꯑꯣꯏ꯫

ꯃꯁꯤꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯤꯅꯣ?

ꯑꯌꯥꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯑꯥꯔꯇꯦꯔꯤ ꯑꯃꯥ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯅꯥ ꯀꯨꯄꯁꯤꯜꯂꯕꯥ, 70%ꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯕ꯭ꯂꯣꯛ ꯇꯧꯔꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯕ꯭ꯂꯣꯛ ꯇꯧꯗ꯭ꯔꯤꯉꯩꯗꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯎꯕꯥ ꯐꯪꯗꯦ꯫ ꯑꯌꯥꯝꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯅꯥ ꯃꯈꯣꯌꯗꯥ ꯗꯤꯄꯣꯖꯤꯇꯁꯤꯡ (ꯄ꯭ꯂꯦꯛ) ꯑꯁꯤ ꯂꯩꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯃꯦꯗꯤꯀꯦꯜ ꯏꯃꯔꯖꯦꯟꯁꯤ, ꯍꯥꯌꯕꯗꯤ ꯍꯥꯔꯠ ꯑꯦꯇꯦꯛ ꯅꯠꯠꯔꯒꯥ ꯁ꯭ꯠꯔꯣꯛ ꯑꯃꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯈꯪꯏ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯥꯔꯇꯦꯔꯤ ꯑꯗꯨ 70%ꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯕ꯭ꯂꯣꯛ ꯇꯧꯔꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯎꯕꯥ ꯍꯧꯔꯀꯄꯥ ꯌꯥꯏ꯫ ꯕ꯭ꯂꯣꯛ ꯇꯧꯔꯕꯥ ꯑꯥꯔꯇꯦꯔꯤ ꯑꯗꯨ ꯀꯗꯥꯏꯗꯥ ꯂꯩꯕꯒꯦ ꯍꯥꯌꯕꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ, ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯇꯣꯉꯥꯟ-ꯇꯣꯉꯥꯅꯕꯥ ꯃꯐꯃꯁꯤꯡꯗꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫

ꯍꯥꯔꯇꯀꯥ ꯃꯔꯤ ꯂꯩꯅꯕꯥ (ꯀꯣꯔꯣꯅꯥꯔꯤ ꯑꯥꯔꯇꯦꯔꯤ ꯗꯤꯖꯤꯖ - ꯁꯤ.ꯑꯦ.ꯗꯤ.)

ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯍꯥꯔꯇꯇꯥ ꯏ ꯁꯞꯂꯥꯏ ꯇꯧꯔꯤꯕꯥ ꯑꯥꯔꯇꯦꯔꯤꯁꯤꯡꯗꯥ ꯊꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯃꯁꯤꯕꯨ ꯀꯣꯔꯣꯅꯥꯔꯤ ꯑꯥꯔꯇꯦꯔꯤ ꯗꯤꯖꯤꯖ (CAD) ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ ꯃꯁꯤꯅꯥ ꯍꯥꯔꯠ ꯑꯦꯇꯦꯛ ꯑꯃꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫

ꯅꯍꯥꯛꯅꯥ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯋꯥꯐꯃꯁꯤꯡ ꯑꯁꯤ ꯐꯥꯑꯣꯕꯥ ꯌꯥꯏ:

• ꯂꯥꯏꯅꯥ ꯊꯕꯛ ꯇꯧꯕꯥ ꯃꯇꯃꯗꯁꯨ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ (Dyspnea)꯫
• ꯈꯣꯡꯗꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯅꯠꯠꯔꯒꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ (angina)꯫ ꯃꯁꯤꯅꯥ ꯈꯣꯡꯗꯥ ꯁꯣꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯁꯣꯛ-ꯄꯅꯕꯥ (chest) ꯑꯃꯥ ꯐꯥꯎꯕꯥ ꯐꯥꯎꯕꯥ ꯌꯥꯏ꯫
• ꯀꯣꯛ, ꯈꯨꯎ, ꯈꯣꯡ, ꯃꯈꯨꯠ ꯅꯠꯠꯔꯒꯥ ꯈꯣꯡꯗꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯄꯥ꯫
• ꯃꯃꯤꯠ ꯇꯥꯡꯕꯥ, ꯂꯥꯏꯠꯍꯦꯗ ꯑꯣꯏꯕꯥ ꯐꯥꯎꯕꯥ꯫
• ꯍꯥꯔꯠ ꯄꯦꯂꯄꯤꯇꯦꯁꯟ ꯂꯩꯕꯥ꯫
• ꯑꯀꯅꯕꯥ ꯋꯥꯈꯜ ꯋꯥꯕꯥ, ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ꯫
• ꯅꯣꯡꯃꯩ ꯀꯥꯞꯄꯥ ꯑꯃꯁꯨꯡ ꯋꯥꯈꯜ ꯆꯔꯥꯡꯅꯕꯥ, ꯏꯅꯗꯤꯖꯦꯁꯅꯒꯥ ꯃꯥꯟꯅꯕꯥ꯫

ꯗꯥꯏꯖꯦꯁ꯭ꯇꯤꯚ ꯁꯤꯁ꯭ꯇꯦꯝ (ꯃꯦꯁꯦꯟꯇꯦꯔꯤꯛ ꯏꯁ꯭ꯀꯦꯃꯤꯌꯥ)

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯗꯥꯏꯖꯦꯁ꯭ꯇꯤꯚ ꯁꯤꯁ꯭ꯇꯦꯃꯒꯤ ꯁꯔꯨꯀꯁꯤꯡꯗꯥ ꯏꯒꯤ ꯈꯣꯡꯖꯦꯜ ꯍꯟꯊꯔꯛꯂꯕꯗꯤ ꯀꯟꯗꯤꯁꯟ (mesenteric ischemia) ꯑꯁꯤ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫

• ꯆꯥꯕꯥ ꯊꯀꯄꯥ ꯂꯣꯌꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯈꯣꯝꯂꯥꯡꯗꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯅꯠꯠꯔꯒꯥ ꯈꯣꯝꯂꯥꯡ ꯁꯣꯀꯄꯥ, ꯃꯔꯨꯑꯣꯏꯅꯥ ꯈꯣꯡꯗꯥ ꯁꯣꯀꯄꯥ꯫
• ꯈꯣꯡ ꯍꯥꯝꯕꯥ, ꯅꯣꯡꯃꯩ ꯀꯥꯞꯄꯥ, ꯈꯣꯡ ꯍꯥꯝꯕꯥ꯫
• ꯈꯣꯡ ꯍꯥꯝꯗꯕ.
• ꯆꯥꯅꯕꯥ ꯆꯤꯟꯖꯥꯛꯀꯤ ꯑꯀꯤꯕꯥ ꯂꯩꯕꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯑꯔꯨꯝꯕꯥ ꯍꯟꯊꯔꯀꯄꯥ, ꯃꯁꯤꯅꯥ ꯆꯥꯕꯥ ꯃꯇꯃꯗꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯍꯅꯕꯒꯤ ꯑꯀꯤꯕꯥ ꯑꯃꯥ ꯑꯣꯏ꯫

ꯈꯣꯡ ꯑꯃꯁꯨꯡ ꯈꯣꯡ (ꯄꯦꯔꯤꯐꯦꯔꯦꯜ ꯑꯥꯔꯇꯦꯔꯤ ꯗꯤꯖꯤꯖ - ꯄꯤ.ꯑꯦ.ꯗꯤ.)

ꯄꯦꯔꯤꯐꯦꯔꯦꯜ ꯑꯥꯔꯇꯦꯔꯤ ꯗꯤꯖꯤꯖ (PAD) ꯍꯥꯌꯕꯁꯤ ꯂꯤꯝꯐꯇꯥ ꯏ ꯁꯞꯂꯥꯏ ꯇꯧꯔꯤꯕꯥ ꯑꯥꯔꯇꯦꯔꯤꯁꯤꯡꯗꯥ ꯏ ꯆꯦꯅꯕꯥ ꯍꯟꯊꯔꯀꯄꯒꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫

• ꯏꯟꯇꯔꯃꯤꯇꯦꯟꯇ ꯀ꯭ꯂꯥꯎꯗꯤꯀꯦꯁꯟ ꯍꯥꯌꯕꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯂꯩꯕꯥ ꯃꯁꯂꯁꯤꯡꯅꯥ ꯁꯣꯀꯍꯜꯂꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯐꯥꯎꯕꯥ, ꯃꯔꯨꯑꯣꯏꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯈꯣꯡꯅꯥ ꯆꯠꯄꯥ ꯃꯇꯃꯗꯥ ꯊꯣꯀꯄꯥ ꯑꯅꯥꯕꯥ ꯑꯃꯅꯤ꯫ ꯃꯁꯤ ꯅꯍꯥꯛꯅꯥ ꯃꯇꯝ ꯈꯔꯒꯤ ꯑꯣꯏꯅꯥ ꯐꯃꯗꯨꯅꯥ ꯅꯨꯡꯉꯥꯏꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯍꯟꯊꯔꯛꯀꯅꯤ, ꯑꯗꯨꯕꯨ ꯅꯍꯥꯛꯅꯥ ꯈꯣꯡꯅꯥ ꯆꯠꯄꯥ ꯃꯇꯃꯗꯥ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯂꯥꯛꯀꯅꯤ꯫
• ꯅꯨꯡꯉꯥꯏꯅꯥ ꯂꯩꯕꯥ ꯃꯇꯃꯗꯥ, ꯃꯔꯨꯑꯣꯏꯅꯥ ꯂꯦꯡ-ꯑꯣꯠꯄꯗꯥ ꯈꯣꯡ ꯑꯃꯁꯨꯡ ꯈꯣꯡꯗꯥ ꯃꯩꯅꯥ ꯆꯥꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯁꯣꯀꯄꯥ꯫
• ꯈꯣꯡꯒꯤ ꯃꯆꯨ ꯍꯣꯡꯂꯀꯄꯥ (ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯂꯥꯂꯍꯧꯕꯥ)꯫
• ꯀꯣꯜꯗ ꯐꯤꯠ꯫
• ꯈꯣꯡ, ꯈꯣꯡ, ꯈꯣꯡꯒꯤ ꯈꯣꯡ ꯑꯃꯁꯨꯡ ꯇꯔꯨ-ꯇꯅꯥꯅꯕꯥ ꯇꯤꯁꯨꯁꯤꯡꯗꯥ ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯏꯅꯐꯦꯛꯁꯟ ꯂꯩꯕꯥ꯫
• ꯈꯣꯡ ꯑꯃꯁꯨꯡ ꯈꯣꯡꯗꯥ ꯍꯤꯡꯗꯕꯥ ꯑꯁꯣꯛ-ꯑꯄꯅꯁꯤꯡ꯫

ꯔꯦꯅꯥꯜ ꯑꯥꯔꯇꯦꯔꯤ ꯁ꯭ꯇꯦꯅꯣꯁꯤꯁ꯫

ꯔꯦꯅꯥꯜ ꯑꯥꯔꯇꯦꯔꯤ ꯁ꯭ꯇꯦꯅꯣꯁꯤꯁꯅꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ:

• ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛ ꯀꯌꯥ ꯁꯤꯖꯤꯟꯅꯔꯕꯁꯨ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯥ ꯉꯃꯗꯕꯥ ꯍꯥꯏ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ꯫
• ꯌꯨꯔꯤꯅꯔꯤꯒꯤ ꯐ꯭ꯔꯤꯛꯕꯦꯟꯁꯤꯗꯥ ꯑꯍꯣꯡꯕꯥ ꯂꯥꯀꯄꯥ꯫
• ꯁꯣꯀꯄꯥ (Edema)꯫
• ꯇꯨꯝꯕꯥ ꯌꯥꯗꯕꯥ, ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ꯫
• ꯁꯨꯡꯕꯥ, ꯁꯣꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯁꯣꯀꯄꯥ ꯌꯥꯕꯥ ꯈꯣꯡꯎꯞ꯫
• ꯀꯣꯛ ꯆꯤꯛꯄ.
• ꯃꯔꯝ ꯑꯃꯠꯇꯥ ꯂꯩꯇꯅꯥ ꯑꯔꯨꯝꯕꯥ ꯍꯟꯊꯕꯥ꯫
• ꯅꯣꯡꯃꯩ ꯀꯥꯞꯄꯥ, ꯈꯣꯡ ꯍꯥꯝꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯆꯥꯛ ꯆꯥꯕꯥ ꯋꯥꯠꯄꯥ꯫

ꯕ꯭ꯔꯦꯅꯒꯥ ꯃꯔꯤ ꯂꯩꯅꯕꯥ (ꯀꯦꯔꯣꯇꯤꯗ ꯑꯥꯔꯇꯦꯔꯤ ꯗꯤꯖꯤꯖ)

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯕ꯭ꯔꯦꯅꯗꯥ ꯏ ꯁꯞꯂꯥꯏ ꯇꯧꯔꯤꯕꯥ ꯈꯣꯡꯗꯥ ꯂꯩꯕꯥ ꯀꯦꯔꯣꯇꯤꯗ ꯑꯥꯔꯇꯦꯔꯤꯁꯤꯡꯗꯥ ꯊꯣꯛꯂꯕꯗꯤ, ꯑꯍꯥꯅꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡꯗꯤ ꯇ꯭ꯔꯥꯟꯁꯤꯑꯦꯟꯇ ꯏꯁ꯭ꯀꯦꯃꯤꯛ ꯑꯦꯇꯦꯛ (TIA) ꯅꯠꯠꯔꯒꯥ ꯁ꯭ꯠꯔꯣꯛ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫

• ꯃꯃꯤꯠ ꯇꯥꯡꯕꯥ꯫
• ꯃꯥꯌꯒꯤ ꯃꯄꯥꯟꯊꯪꯕꯥ ꯁꯔꯨꯛ ꯑꯃꯗꯥ ꯂꯦꯡꯗꯅꯥ ꯂꯩꯕꯥ꯫
• ꯍꯀꯆꯥꯡꯒꯤ ꯅꯥꯀꯜ ꯑꯃꯗꯥ ꯁꯦꯟꯁꯁ ꯃꯥꯡꯈꯤꯕꯥ, ꯃꯁꯜ ꯁꯣꯟꯊꯕꯥ꯫
• ꯁꯥꯊꯤꯕꯥ ꯃꯀꯣꯛ ꯊꯣꯡꯕꯥ꯫
• ꯋꯥ ꯉꯥꯡꯂꯤꯉꯩꯗꯥ ꯋꯥꯍꯩꯁꯤꯡ ꯁꯣꯟꯊꯕꯥ, ꯋꯥꯍꯩ ꯁꯦꯝꯕꯗꯥ ꯑꯋꯥꯕꯥ꯫
• ꯃꯤꯠ ꯑꯃꯗꯥ ꯃꯤꯠ ꯎꯗꯕꯥ꯫ ꯃꯁꯤ ꯃꯤꯠꯀꯤ ꯃꯃꯥꯡꯗꯥ ꯕ꯭ꯂꯦꯛ ꯀꯔꯇꯦꯟ ꯑꯃꯥ ꯆꯦꯟꯊꯔꯀꯄꯒꯨꯝꯅꯥ ꯐꯥꯎꯕꯥ ꯌꯥꯏ꯫

ꯀꯔꯤꯒꯤꯗꯃꯛꯇꯥ ꯑꯦꯊꯦꯔꯣꯁ꯭ꯀꯂꯦꯔꯣꯁꯤꯁ ꯊꯣꯛꯂꯤꯕꯅꯣ? ꯃꯔꯃꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?

ꯔꯤꯁꯔꯆꯔꯁꯤꯡꯅꯥ ꯃꯁꯤꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯔꯝ ꯀꯌꯥ ꯂꯩ ꯍꯥꯌꯅꯥ ꯊꯥꯖꯩ:

• ꯏꯗꯥ ꯃꯥꯡ-ꯇꯥꯛꯅꯤꯡꯉꯥꯏ ꯑꯣꯏꯕꯥ LDL ꯀꯣꯂꯦꯁ꯭ꯇꯦꯔꯣꯜ ꯑꯃꯁꯨꯡ ꯇ꯭ꯔꯥꯏꯒ꯭ꯂꯤꯁꯔꯥꯏꯗꯀꯤ ꯆꯥꯡ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ꯫
• ꯇꯝꯕꯥ ꯉꯃꯗꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ (ꯃꯩꯈꯨ ꯊꯥꯗꯣꯀꯄꯥ, ꯃꯩꯈꯨ ꯆꯦꯟꯗꯕꯥ ꯊꯛꯅꯕꯥ ꯏꯁꯤꯡ) ꯁꯤꯖꯤꯟꯅꯕꯥ꯫
• ꯍꯥꯏ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ (ꯍꯥꯌꯄꯔꯇꯦꯟꯁꯟ)꯫
• ꯗꯥꯏꯑꯦꯕꯦꯇꯤꯖ (ꯗꯥꯏꯕꯦꯇꯤꯁ ꯃꯦꯂꯤꯇꯁ)꯫

ꯐꯦꯛꯇꯔꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯥꯔꯇꯦꯔꯤꯁꯤꯡꯒꯤ ꯃꯅꯨꯡꯒꯤ ꯂꯥꯏꯅꯤꯡ (endothelium)ꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯃꯗꯨꯗꯥ ꯑꯦꯊꯦꯔꯣꯁ꯭ꯀꯂꯦꯔꯣꯁꯤꯁ ꯂꯥꯀꯄꯥ ꯍꯧꯔꯀꯏ꯫ ꯃꯁꯤꯒꯤ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯑꯁꯤ ꯃꯍꯧꯁꯥꯅꯥ ꯇꯞꯅꯥ ꯇꯞꯅꯥ, ꯃꯇꯃꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ ꯊꯣꯀꯏ꯫

ꯃꯁꯤ ꯀꯔꯝꯅꯥ ꯊꯣꯛꯀꯅꯤ, ꯁ꯭ꯇꯦꯖꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯤꯅꯣ?

ꯑꯦꯊꯦꯔꯣꯁ꯭ꯀꯂꯦꯔꯣꯁꯤꯁ ꯑꯁꯤ ꯆꯍꯤ ꯀꯌꯥꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯊꯣꯀꯏ ꯑꯃꯁꯨꯡ ꯃꯁꯤꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯁ꯭ꯇꯦꯖ ꯀꯌꯥ ꯂꯩ:

1. ꯑꯦꯟꯗꯣꯊꯦꯂꯤꯑꯦꯜ ꯃꯥꯡ-ꯇꯥꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯏꯝꯝꯌꯨꯟ ꯔꯦꯁꯄꯣꯟꯁ: ꯑꯥꯔꯇꯦꯔꯤꯒꯤ ꯑꯦꯟꯗꯣꯊꯦꯂꯤꯌꯃꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯀꯦꯃꯤꯀꯦꯜ ꯔꯤꯑꯦꯛꯁꯟ ꯑꯃꯥ ꯍꯧꯏ꯫ ꯃꯁꯤꯅꯥ ꯑꯁꯣꯀꯄꯥ ꯃꯐꯝ ꯑꯗꯨꯗꯥ ꯋꯥꯏꯇꯦꯞ ꯕ꯭ꯂꯗ ꯁꯦꯂꯁꯤꯡ ꯊꯨꯒꯥꯌꯍꯜꯂꯤ꯫ ꯁꯦꯂꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯄꯨꯅꯁꯤꯜꯂꯀꯏ ꯑꯃꯁꯨꯡ ꯑꯥꯔꯇꯦꯔꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯁꯟ ꯊꯣꯀꯍꯜꯂꯤ꯫

2. ꯐꯦꯇꯤ ꯁ꯭ꯠꯔꯤꯀꯁꯤꯡ: ꯃꯁꯤꯅꯥ ꯑꯦꯊꯦꯔꯣꯁ꯭ꯀꯂꯦꯔꯣꯁꯤꯁꯀꯤ ꯑꯍꯥꯅꯕꯥ ꯎꯕꯥ ꯐꯪꯂꯤꯕꯥ ꯈꯨꯗꯃꯅꯤ꯫ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯄꯥ ꯃꯐꯝ ꯑꯗꯨ ꯌꯦꯜꯂꯣ ꯁ꯭ꯠꯔꯤꯛ ꯅꯠꯠꯔꯒꯥ ꯁ꯭ꯄꯣꯠ ꯑꯃꯒꯨꯝꯅꯥ ꯎꯕꯥ ꯐꯪꯏ, ꯑꯃꯁꯨꯡ ꯃꯁꯤ ꯑꯁꯤꯕꯥ "ꯐꯣꯝ ꯁꯦꯂꯁꯤꯡ"ꯅꯥ ꯁꯦꯝꯕꯅꯤ꯫ ꯐꯣꯝ ꯁꯦꯂꯁꯤꯡ ꯑꯁꯤ ꯀꯣꯂꯦꯁ꯭ꯇꯦꯔꯣꯜ ꯂꯧꯊꯣꯛꯅꯕꯥ ꯍꯣꯠꯅꯕꯗꯥ ꯆꯥꯈꯤꯕꯥ ꯋꯥꯏꯠ ꯕ꯭ꯂꯗ ꯁꯦꯂꯁꯤꯡꯅꯤ꯫ ꯐꯣꯝ ꯁꯦꯂꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯃꯈꯥ ꯇꯥꯅꯥ ꯊꯕꯛ ꯇꯧꯔꯀꯄꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯃꯈꯣꯌꯅꯥ ꯑꯦꯟꯗꯣꯊꯦꯂꯤꯌꯃꯗꯥ ꯃꯈꯥ ꯇꯥꯅꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯜꯂꯤ꯫

3. ꯄ꯭ꯂꯦꯛ ꯒ꯭ꯔꯣꯊ: ꯑꯁꯤꯕꯥ ꯐꯣꯝ ꯁꯦꯂꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯑꯇꯩ ꯑꯀꯥꯌ-ꯑꯇꯣꯌꯁꯤꯡ ꯃꯈꯥ ꯇꯥꯅꯥ ꯊꯨꯒꯥꯌꯔꯀꯄꯒꯥ ꯂꯣꯌꯅꯅꯥ, ꯐꯦꯠ ꯁ꯭ꯠꯔꯤꯛ ꯑꯁꯤ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯍꯦꯟꯅꯥ ꯆꯥꯎꯕꯥ ꯄ꯭ꯂꯦꯛ ꯑꯃꯥ ꯑꯣꯏꯔꯀꯏ꯫ ꯄ꯭ꯂꯦꯛ ꯑꯁꯤꯒꯤ ꯃꯊꯛꯇꯥ ꯁ꯭ꯃꯨꯗ ꯃꯁꯜ ꯁꯦꯂꯁꯤꯡꯒꯤ ꯐꯤꯕꯔꯒꯤ ꯀꯦꯞ ꯑꯃꯥ ꯁꯦꯝꯃꯤ꯫ ꯃꯁꯤꯅꯥ ꯄ꯭ꯂꯦꯛ ꯑꯗꯨ ꯆꯦꯟꯊꯔꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯏꯗꯥ ꯊꯨꯒꯥꯌꯕꯥ ꯉꯃꯍꯟꯗꯦ꯫ ꯄ꯭ꯂꯦꯛ ꯑꯗꯨ ꯍꯦꯅꯒꯠꯂꯀꯄꯒꯥ ꯂꯣꯌꯅꯅꯥ, ꯑꯥꯔꯇꯦꯔꯤꯗꯥ ꯂꯩꯕꯥ ꯂꯨꯃꯦꯟ (ꯏꯅꯥ ꯆꯦꯅꯕꯥ ꯃꯐꯝ) ꯑꯗꯨ ꯀꯨꯄꯁꯤꯜꯂꯤ꯫

4. ꯄ꯭ꯂꯦꯛ ꯔꯄꯆꯔ ꯅꯠꯠꯔꯒꯥ ꯏꯔꯣꯁꯟ: ꯁ꯭ꯇꯦꯖ ꯑꯁꯤꯗꯥ, ꯄ꯭ꯂꯦꯛ ꯔꯄꯆꯔꯒꯤ ꯃꯊꯛꯇꯥ ꯂꯩꯕꯥ ꯐꯤꯕꯔꯒꯤ ꯀꯦꯞ ꯑꯗꯨ ꯁꯣꯀꯏ, ꯅꯠꯠꯔꯒꯥ ꯄ꯭ꯂꯦꯛ ꯑꯗꯨꯒꯤ ꯑꯀꯣꯌꯕꯗꯥ ꯂꯩꯕꯥ ꯑꯦꯟꯗꯣꯊꯦꯂꯤꯌꯝ ꯁꯦꯂꯁꯤꯡꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯏ꯫ ꯃꯑꯣꯡ ꯑꯃꯗꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯃꯗꯥ, ꯏ ꯊꯣꯀꯄꯥ ꯑꯃꯥ ꯁꯦꯝꯃꯤ꯫ ꯀ꯭ꯂꯣꯠ ꯑꯗꯨꯅꯥ ꯏ ꯆꯦꯅꯕꯥ ꯊꯤꯡꯏ ꯑꯃꯁꯨꯡ ꯍꯥꯔꯠ ꯑꯦꯇꯦꯛ ꯅꯠꯠꯔꯒꯥ ꯁ꯭ꯠꯔꯣꯛ ꯊꯣꯀꯍꯜꯂꯤ꯫

ꯃꯁꯤꯒꯤꯗꯃꯛꯇꯥ ꯀꯔꯤ ꯔꯤꯁ꯭ꯛ ꯐꯦꯛꯇꯔꯁꯤꯡ ꯂꯩꯕꯒꯦ?

ꯑꯦꯊꯦꯔꯣꯁ꯭ꯀꯂꯦꯔꯣꯁꯤꯁ ꯂꯥꯀꯄꯗꯥ ꯁꯣꯀꯍꯅꯕꯥ ꯌꯥꯕꯥ ꯔꯤꯁ꯭ꯛ ꯐꯦꯛꯇꯔ ꯀꯌꯥ ꯂꯩ꯫ ꯃꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯈꯔꯗꯤ ꯅꯍꯥꯛꯅꯥ ꯍꯣꯡꯗꯣꯀꯄꯥ ꯌꯥꯏ, ꯑꯗꯨꯕꯨ ꯈꯔꯗꯤ, ꯆꯍꯤꯒꯨꯝꯕꯥ, ꯅꯍꯥꯛꯅꯥ ꯍꯣꯡꯗꯣꯀꯄꯥ ꯉꯃꯗꯦ꯫

ꯔꯤꯁ꯭ꯛ ꯐꯦꯛꯇꯔꯁꯤꯡꯗꯤ:

• ꯆꯍꯤ ꯴꯵ꯒꯤ ꯃꯊꯛꯇꯥ ꯂꯩꯕꯥ ꯅꯨꯄꯥꯁꯤꯡ ꯑꯣꯏꯕꯥ꯫
• ꯆꯍꯤ ꯵꯵ꯒꯤ ꯃꯊꯛꯇꯥ ꯂꯩꯕꯥ ꯅꯨꯄꯤ ꯑꯃꯥ ꯑꯣꯏꯕꯥ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯏꯃꯨꯡ ꯑꯗꯨꯒꯤ ꯀꯅꯥꯒꯨꯝꯕꯥ ꯑꯃꯅꯥ (ꯆꯍꯤ 45ꯒꯤ ꯃꯃꯥꯡꯗꯥ ꯅꯛꯅꯕꯥ ꯅꯨꯄꯥ ꯃꯔꯤ-ꯃꯇꯥ ꯑꯃꯥ, ꯅꯠꯠꯔꯒꯥ ꯆꯍꯤ 55ꯒꯤ ꯃꯃꯥꯡꯗꯥ ꯅꯛꯅꯕꯥ ꯅꯨꯄꯤ ꯃꯔꯤ-ꯃꯇꯥ ꯑꯃꯥ) ꯀꯥꯔꯗꯤꯑꯣꯚꯥꯁ꯭ꯀꯨꯂꯥꯔ ꯗꯤꯖꯤꯖ ꯂꯩꯔꯕꯗꯤ .
• ꯗꯥꯏꯑꯦꯕꯦꯇꯤꯖ (ꯗꯥꯏꯕꯦꯇꯤꯁ ꯃꯦꯂꯤꯇꯁ)꯫
• ꯍꯥꯏ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ (ꯍꯥꯌꯄꯔꯇꯦꯟꯁꯟ)꯫
• ꯍꯥꯏꯄꯔꯂꯤꯄꯤꯗꯦꯃꯤꯌꯥ, ꯃꯔꯨꯑꯣꯏꯅꯥ ꯐꯠꯇꯕꯥ LDL ꯀꯣꯂꯦꯁ꯭ꯇꯦꯔꯣꯜ ꯅꯠꯠꯔꯒꯥ ꯂꯥꯏꯄꯣꯞꯔꯣꯇꯤꯟ (a) ꯀꯧꯕꯥ ꯑꯈꯟꯅꯕꯥ ꯂꯥꯏꯄꯣꯞꯔꯣꯇꯤꯟ ꯑꯃꯒꯤ ꯆꯥꯡ ꯋꯥꯡꯅꯥ ꯂꯩꯕꯥ꯫
• ꯃꯦꯇꯥꯕꯣꯂꯤꯛ ꯁꯤꯟꯗꯣꯝ꯫
• ꯃꯩꯈꯨ ꯊꯥꯗꯣꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯇꯩ ꯇꯝꯕꯥ ꯉꯃꯗꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ ꯁꯤꯖꯤꯟꯅꯕꯥ꯫
• ꯐꯤꯖꯤꯀꯦꯜ ꯑꯦꯛꯇꯤꯚꯤꯇꯤ ꯂꯩꯇꯕꯥ꯫
• ꯁꯦꯆꯨꯔꯦꯇꯦꯗ ꯐꯦꯠ, ꯇ꯭ꯔꯥꯟꯁ ꯐꯦꯠ, ꯁꯣꯗꯤꯌꯝ (ꯁꯣꯜꯇ), ꯑꯃꯁꯨꯡ ꯆꯤꯅꯤ ꯌꯥꯝꯅꯥ ꯌꯥꯎꯕꯥ ꯗꯥꯏꯠ ꯑꯃꯥ ꯆꯥꯕꯥ꯫

ꯃꯁꯤꯅꯥ ꯀꯔꯤ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯕꯒꯦ?

ꯑꯦꯊꯦꯔꯣꯁ꯭ꯀꯂꯦꯔꯣꯁꯤꯁꯅꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯀꯥꯔꯗꯤꯑꯣꯚꯥꯁ꯭ꯀꯨꯂꯥꯔ ꯁꯤꯁ꯭ꯇꯦꯃꯒꯤ ꯅꯣꯔꯃꯦꯜ ꯐꯉ꯭ꯀꯁꯟꯗꯥ ꯑꯀꯥꯌꯕꯥ ꯄꯤ꯫ ꯃꯁꯤꯅꯥ ꯍꯀꯆꯥꯡꯒꯤ ꯇꯣꯉꯥꯟ-ꯇꯣꯉꯥꯅꯕꯥ ꯃꯐꯃꯁꯤꯡꯗꯥ, ꯃꯔꯨꯑꯣꯏꯅꯥ ꯍꯥꯔꯠ ꯑꯃꯁꯨꯡ ꯕ꯭ꯔꯦꯅꯗꯥ ꯏ ꯆꯦꯅꯕꯥ ꯊꯤꯡꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯊꯤꯡꯕꯥ ꯉꯝꯃꯤ꯫ ꯏꯒꯤ ꯈꯣꯡꯖꯦꯜ ꯍꯟꯊꯔꯀꯄꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯕꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯁꯤꯡꯁꯤ ꯌꯥꯎꯏ:

• ꯀꯦꯔꯣꯇꯤꯗ ꯑꯥꯔꯇꯦꯔꯤ ꯂꯥꯌꯅꯥ꯫
• ꯀꯣꯔꯣꯅꯥꯔꯤ ꯑꯥꯔꯇꯦꯔꯤ ꯂꯥꯌꯅꯥ꯫
• ꯍꯥꯔꯠ ꯑꯦꯇꯦꯛ ꯇꯧꯕꯥ꯫
• ꯍꯥꯔꯇꯀꯤ ꯂꯥꯌꯅꯥ (Arrhythmia)꯫
• ꯍꯥꯔꯠ ꯐꯦꯜ ꯑꯣꯏꯕꯥ꯫
• ꯃꯦꯁꯦꯟꯇꯦꯔꯤꯛ ꯏꯁ꯭ꯀꯦꯃꯤꯌꯥ꯫
• ꯄꯦꯔꯤꯐꯦꯔꯦꯜ ꯑꯥꯔꯇꯦꯔꯤ ꯂꯥꯌꯅꯥ꯫
• ꯀ꯭ꯔꯣꯅꯤꯛ ꯀꯤꯗꯅꯤ ꯗꯤꯖꯤꯖ (CKD)꯫
• ꯔꯦꯅꯥꯜ ꯑꯥꯔꯇꯦꯔꯤ ꯁ꯭ꯇꯦꯅꯣꯁꯤꯁ꯫
• ꯌꯩꯕ.
• ꯇ꯭ꯔꯥꯟꯁꯤꯑꯦꯟꯇ ꯏꯁ꯭ꯀꯦꯃꯤꯛ ꯑꯦꯇꯦꯛ (TIA)꯫
• ꯑꯥꯔꯇꯦꯔꯤ ꯋꯥꯂꯁꯤꯡ (aneurysms) ꯁꯣꯟꯊꯕꯥ ꯑꯃꯁꯨꯡ ꯁꯣꯟꯊꯕꯥ ꯑꯃꯁꯨꯡ ꯃꯈꯣꯌꯗꯨ ꯁꯣꯟꯊꯕꯥ꯫

ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯉꯟꯅꯥ ꯈꯪꯗꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯂꯥꯏꯌꯦꯡꯕꯅꯥ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯁꯥꯊꯤꯕꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ ꯑꯁꯤ ꯊꯤꯡꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯊꯦꯡꯊꯍꯅꯕꯥ ꯌꯥꯏ꯫

ꯃꯁꯤ ꯀꯔꯝꯅꯥ ꯈꯪꯗꯣꯀꯄꯒꯦ? ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯀꯔꯤ ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯇꯧꯔꯤꯕꯒꯦ?

ꯅꯍꯥꯛꯅꯥ ꯑꯦꯊꯦꯔꯣꯁ꯭ꯀꯂꯦꯔꯣꯁꯤꯁ ꯂꯩꯕ꯭ꯔꯥ, ꯅꯠꯠꯔꯒꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯁꯤ ꯂꯥꯀꯄꯒꯤ ꯔꯤꯁ꯭ꯛ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯈꯪꯗꯣꯛꯅꯕꯥ, ꯗꯣꯛꯇꯔ ꯑꯃꯅꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯑꯁꯤ ꯇꯧꯒꯅꯤ:

• ꯃꯄꯨꯡꯐꯥꯕꯥ ꯐꯤꯖꯤꯀꯦꯜ ꯑꯦꯀꯖꯥꯃꯤꯅꯦꯁꯟ ꯑꯃꯥ ꯄꯥꯡꯊꯣꯛꯀꯅꯤ꯫ ꯃꯁꯤꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯥꯔꯠ ꯑꯃꯁꯨꯡ ꯁ꯭ꯇꯦꯊꯣꯁ꯭ꯀꯣꯞ ꯑꯃꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯥꯔꯇꯦꯔꯤꯁꯤꯡꯗꯥ ꯆꯦꯟꯊꯔꯀꯄꯥ ꯏꯒꯤ ꯈꯣꯟꯖꯦꯜ ꯇꯥꯕꯥ ꯌꯥꯎꯒꯅꯤ꯫ ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯃꯈꯣꯌꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯀꯣꯛꯇꯥ ꯂꯩꯕꯥ ꯀꯦꯔꯣꯇꯤꯗ ꯑꯥꯔꯇꯦꯔꯤꯁꯤꯡꯗꯥ "ꯕ꯭ꯔꯨꯠ"ꯒꯤ ꯈꯣꯟꯖꯦꯜ ꯑꯃꯥ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯆꯦꯛ ꯇꯧꯒꯅꯤ꯫ ꯃꯁꯤꯒꯤ ꯈꯣꯟꯖꯦꯜ ꯑꯁꯤꯅꯥ ꯄ꯭ꯂꯦꯛ ꯂꯩꯔꯦ ꯍꯥꯌꯕꯥ ꯇꯥꯀꯄꯥ ꯌꯥꯏ꯫
• ꯅꯍꯥꯛꯀꯤ ꯃꯦꯗꯤꯀꯦꯜ ꯍꯤꯁ꯭ꯇꯔꯤ ꯑꯃꯁꯨꯡ ꯐꯦꯃꯤꯂꯤ ꯍꯤꯁ꯭ꯇꯔꯤ ꯍꯪꯒꯅꯤ꯫ ꯏꯅꯐꯣꯔꯃꯦꯁꯟ ꯑꯁꯤꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯑꯦꯊꯦꯔꯣꯁ꯭ꯀꯂꯦꯔꯣꯁꯤꯁꯀꯤ ꯔꯤꯁ꯭ꯛ ꯑꯃꯁꯨꯡ ꯃꯁꯤꯒꯤ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯈꯜꯂꯣꯟ ꯑꯃꯥ ꯄꯤꯕꯥ ꯉꯃꯒꯅꯤ꯫
• ꯃꯈꯣꯌꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯄꯨꯟꯁꯤ ꯃꯍꯤꯡꯒꯤ ꯃꯔꯃꯗꯥ ꯍꯪꯒꯅꯤ꯫ ꯃꯈꯣꯌꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯇꯝꯕꯥ ꯉꯃꯗꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ ꯁꯤꯖꯤꯟꯅꯕ꯭ꯔꯥ ꯑꯃꯁꯨꯡ ꯃꯃꯥꯡꯗꯥ ꯁꯤꯖꯤꯟꯅꯈꯤꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨꯒꯨꯝꯕꯥ ꯂꯃꯆꯠ-ꯁꯥꯖꯠꯁꯤꯡꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯍꯪꯂꯀꯄꯥ ꯌꯥꯏ꯫
• ꯕ꯭ꯂꯗ ꯇꯦꯁ꯭ꯠ ꯇꯧꯅꯕꯥ ꯑꯣꯔꯗꯔ ꯇꯧꯏ꯫ꯍꯥꯔꯠ ꯗꯤꯖꯤꯖꯒꯥ ꯃꯔꯤ ꯂꯩꯅꯕꯥ ꯕ꯭ꯂꯗ ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯀꯣꯂꯦꯁ꯭ꯇꯦꯔꯣꯂꯒꯤ ꯆꯥꯡ ꯑꯃꯁꯨꯡ ꯍꯥꯔꯇꯀꯤ ꯐꯉ꯭ꯀꯁꯅꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯌꯥꯝꯅꯥ ꯈꯪꯍꯅꯕꯥ ꯉꯝꯃꯤ꯫

ꯑꯇꯣꯞꯄꯥ ꯀꯔꯤ ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯇꯧꯒꯅꯤ?

ꯗꯣꯛꯇꯔꯅꯥ ꯑꯦꯊꯦꯔꯣꯁ꯭ꯀꯂꯦꯔꯣꯁꯤꯁ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯀꯅꯐꯥꯔꯝ ꯇꯧꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯊꯧꯔꯥꯡ ꯇꯧꯅꯕꯥ ꯑꯇꯩ ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯇꯧꯅꯕꯥ ꯑꯣꯔꯗꯔ ꯇꯧꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯌꯥꯑꯣꯔꯤ:

• ꯑꯦꯟꯖꯤꯑꯣꯒ꯭ꯔꯥꯐꯤ: ꯃꯁꯤꯅꯥ ꯑꯈꯟꯅꯕꯥ ꯑꯦꯛꯁ-ꯔꯦ ꯑꯃꯁꯨꯡ ꯀꯟꯠꯔꯁ꯭ꯠ ꯗꯥꯏ ꯁꯤꯖꯤꯟꯅꯗꯨꯅꯥ ꯑꯥꯔꯇꯦꯔꯤꯁꯤꯡꯗꯥ ꯕ꯭ꯂꯣꯀꯦꯖꯁꯤꯡ ꯊꯤꯕꯥ ꯑꯃꯁꯨꯡ ꯌꯦꯡꯁꯤꯜꯂꯤ꯫
• ꯑꯦꯟꯀꯦꯜ-ꯕ꯭ꯔꯦꯀꯤꯑꯦꯜ ꯏꯟꯗꯦꯛꯁ (Ankle-brachial index): ꯃꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡ ꯑꯃꯁꯨꯡ ꯈꯨꯠꯁꯥꯗꯥ ꯂꯩꯕꯥ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ ꯑꯗꯨ ꯆꯥꯡꯗꯝꯅꯗꯨꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯂꯤꯝꯐꯇꯥ ꯏꯒꯤ ꯈꯣꯡꯖꯦꯜ ꯑꯗꯨ ꯂꯦꯄꯊꯣꯀꯏ꯫
• ꯆꯦꯁ꯭ꯠ ꯑꯦꯛꯁ-ꯔꯦ (chest X-ray): ꯃꯁꯤꯅꯥ ꯆꯦꯁ꯭ꯇꯀꯤ ꯃꯅꯨꯡꯒꯤ ꯐꯤꯚꯃꯁꯤꯡ ꯂꯧꯏ꯫
• ꯁꯤ.ꯇꯤ.ꯁ꯭ꯀꯦꯟ (ꯀꯝꯞꯌꯨꯇꯦꯗ ꯇꯣꯃꯣꯒ꯭ꯔꯥꯐꯤ ꯁ꯭ꯀꯦꯟ) : ꯁ꯭ꯀꯦꯟ ꯑꯁꯤꯅꯥ ꯍꯀꯆꯥꯡꯒꯤ ꯃꯅꯨꯡꯒꯤ ꯐꯤꯚꯃꯁꯤꯡ ꯂꯧꯏ ꯑꯃꯁꯨꯡ ꯑꯆꯧꯕꯥ ꯑꯥꯔꯇꯦꯔꯤꯁꯤꯡ ꯊꯤꯡꯖꯤꯜꯂꯕ꯭ꯔꯥ ꯅꯠꯠꯔꯒꯥ ꯀꯨꯄꯁꯤꯜꯂꯤꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯕꯥ ꯌꯥꯏ꯫
• ꯍꯥꯔꯠ ꯑꯦꯝ.ꯑꯥꯔ.ꯑꯥꯏ.
• ꯏꯀꯣꯀꯥꯔꯗꯤꯑꯣꯒ꯭ꯔꯥꯐ (Echo): ꯏꯀꯣꯅꯥ ꯍꯥꯔꯇꯀꯤ ꯚꯜꯌꯨ ꯑꯃꯁꯨꯡ ꯆꯦꯝꯕꯔꯒꯤ ꯃꯑꯣꯡ-ꯃꯇꯧꯁꯤꯡ ꯂꯧꯁꯤꯜꯂꯤ ꯑꯃꯁꯨꯡ ꯍꯥꯔꯇꯅꯥ ꯏ ꯀꯌꯥ ꯌꯥꯝꯅꯥ ꯐꯖꯅꯥ ꯄꯝꯄ ꯇꯧꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯁꯤꯜꯂꯤ꯫
• ꯏ.ꯁꯤ.ꯖꯤ.(ꯏꯂꯦꯛꯠꯔꯣꯀꯥꯔꯗꯤꯑꯣꯒ꯭ꯔꯥꯝ ꯅꯠꯠꯔꯒꯥ ꯏ.ꯀꯦ.ꯖꯤ.): ꯏ.ꯁꯤ.ꯖꯤ.ꯅꯥ ꯍꯥꯔꯇꯀꯤ ꯏꯂꯦꯛꯠꯔꯤꯀꯦꯜ ꯑꯦꯛꯇꯤꯚꯤꯇꯤ, ꯔꯦꯠ ꯑꯃꯁꯨꯡ ꯔꯤꯗꯝ ꯑꯗꯨ ꯂꯦꯄꯊꯣꯀꯏ꯫
• ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯁ꯭ꯠꯔꯦꯁ ꯇꯦꯁ꯭ꯠ: ꯅꯍꯥꯛꯅꯥ ꯐꯤꯖꯤꯀꯦꯜ ꯑꯣꯏꯅꯥ ꯑꯦꯛꯇꯤꯚ ꯑꯣꯏꯔꯤꯉꯩꯗꯥ ꯍꯥꯔꯇꯀꯤ ꯐꯉ꯭ꯀꯁꯟ ꯑꯗꯨ ꯌꯦꯡꯁꯤꯜꯂꯤꯕꯥ ꯇꯦꯁ꯭ꯠ ꯑꯃꯅꯤ꯫
• ꯀꯦꯔꯣꯇꯤꯗ ꯑꯂꯠꯔꯥꯁꯥꯎꯟꯗ: ꯃꯁꯤꯅꯥ ꯈꯣꯡꯗꯥ ꯂꯩꯕꯥ ꯀꯦꯔꯣꯇꯤꯗ ꯑꯥꯔꯇꯦꯔꯤꯁꯤꯡꯒꯤ ꯑꯂꯠꯔꯥꯁꯥꯎꯟꯗ ꯏꯃꯦꯖꯁꯤꯡ ꯂꯧꯏ꯫ ꯃꯁꯤꯅꯥ ꯕ꯭ꯔꯦꯅꯗꯥ ꯏ ꯄꯨꯕꯥ ꯃꯇꯃꯗꯥ ꯑꯥꯔꯇꯦꯔꯤꯁꯤꯡ ꯑꯁꯤ ꯀꯨꯄꯁꯤꯅꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯊꯤꯡꯖꯤꯜꯂꯤꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯈꯪꯗꯣꯀꯄꯥ ꯉꯝꯃꯤ꯫
• ꯑꯦꯕꯗꯣꯃꯤꯅꯦꯜ ꯑꯂꯠꯔꯥꯁꯥꯎꯟꯗ (abdominal aortic aneurysm) : ꯑꯂꯠꯔꯥꯁꯥꯎꯟꯗ ꯑꯁꯤꯅꯥ ꯑꯦꯑꯣꯔꯇꯥ, ꯑꯦꯕꯗꯣꯃꯦꯅꯗꯥ ꯂꯩꯕꯥ ꯑꯆꯧꯕꯥ ꯑꯥꯔꯇꯦꯔꯤ ꯑꯗꯨ ꯌꯦꯡꯁꯤꯜꯂꯤ, ꯃꯗꯨꯗꯥ ꯕꯣꯜ (abdominal aortic aneurysm) ꯅꯠꯠꯔꯒꯥ ꯄ꯭ꯂꯦꯛ ꯑꯃꯥ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯁꯤꯜꯂꯤ꯫

ꯃꯁꯤ ꯀꯔꯝꯅꯥ ꯂꯥꯌꯦꯡꯕꯒꯦ?

ꯑꯦꯊꯦꯔꯣꯁ꯭ꯀꯂꯦꯔꯣꯁꯤꯁ ꯑꯁꯤ ꯄꯨꯟꯁꯤ ꯃꯍꯤꯡꯗꯥ ꯑꯍꯣꯡꯕꯥ ꯄꯨꯔꯀꯄꯥ, ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯁꯔꯖꯔꯤ ꯅꯠꯠꯔꯒꯥ ꯑꯇꯩ ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯊꯧꯑꯣꯡꯁꯤꯡꯅꯥ ꯂꯥꯌꯦꯡꯏ . ꯅꯍꯥꯛꯅꯥ ꯑꯦꯊꯦꯔꯣꯁ꯭ꯀꯂꯦꯔꯣꯁꯤꯁ ꯂꯩꯕꯥ ꯃꯐꯝ ꯑꯗꯨꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ, ꯅꯍꯥꯛꯅꯥ ꯀꯥꯔꯗꯤꯑꯣꯂꯣꯖꯤꯁ꯭ꯠ, ꯅꯦꯐ꯭ꯔꯣꯂꯣꯖꯤꯁ꯭ꯠ, ꯅ꯭ꯌꯨꯔꯣꯂꯣꯖꯤꯁ꯭ꯠ ꯅꯠꯠꯔꯒꯥ ꯚꯦꯁꯀꯨꯂꯥꯔ ꯁꯔꯖꯔꯤ ꯑꯃꯒꯥ ꯇꯥꯟꯅꯔꯀꯄꯥ ꯌꯥꯏ꯫

ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯔꯀꯥꯔ ꯑꯣꯏꯕꯁꯤꯡꯗꯥ ꯌꯨꯝꯐꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯊꯧꯔꯥꯡ ꯑꯃꯥ ꯁꯦꯃꯒꯅꯤ꯫ ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯄꯥꯟꯗꯃꯁꯤꯡꯗꯤ ꯃꯍꯧꯁꯥꯅꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯁꯤꯡꯁꯤꯅꯤ:

• ꯏ ꯊꯣꯀꯄꯒꯤ ꯔꯤꯁ꯭ꯛ ꯍꯟꯊꯍꯅꯕꯥ꯫
• ꯍꯥꯔꯠ ꯑꯦꯇꯦꯛ ꯅꯠꯠꯔꯒꯥ ꯁ꯭ꯠꯔꯣꯀꯒꯨꯝꯕꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ ꯊꯤꯡꯕꯥ꯫
• ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯍꯟꯊꯍꯅꯕꯥ꯫
• ꯅꯍꯥꯛꯀꯤ ꯍꯥꯔꯠ ꯑꯃꯁꯨꯡ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯂꯁꯤꯡꯗꯥ ꯑꯐꯕꯥ ꯗꯥꯏꯠ ꯑꯃꯥ ꯂꯧꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯕꯥ꯫
• ꯑꯥꯔꯇꯦꯔꯤꯁꯤꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯄ꯭ꯂꯦꯛ ꯁꯦꯝꯕꯥ ꯊꯤꯡꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯊꯤꯡꯕꯥ꯫
• ꯑꯥꯔꯇꯦꯔꯤꯁꯤꯡ ꯄꯥꯀꯊꯣꯛ-ꯆꯥꯎꯊꯣꯀꯍꯟꯗꯨꯅꯥ ꯅꯠꯠꯔꯒꯥ ꯕ꯭ꯂꯣꯀꯦꯖꯁꯤꯡ ꯕꯥꯏꯄꯥꯁ ꯇꯧꯗꯨꯅꯥ ꯕ꯭ꯂꯗ ꯐ꯭ꯂꯣ ꯐꯒꯠꯍꯅꯕꯥ꯫

ꯄꯨꯟꯁꯤ ꯃꯍꯤꯡꯗꯥ ꯑꯍꯣꯡꯕꯥ ꯂꯥꯀꯄꯥ꯫

ꯄꯨꯟꯁꯤ ꯃꯍꯤꯡꯗꯥ ꯑꯍꯣꯡꯕꯥ ꯂꯥꯀꯄꯅꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡꯒꯤ ꯔꯤꯁ꯭ꯛ ꯍꯟꯊꯍꯅꯕꯥ ꯉꯝꯃꯤ꯫ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯛꯀꯤꯗꯃꯛꯇꯥ ꯆꯨꯅꯕꯥ ꯄ꯭ꯂꯥꯟ ꯑꯃꯥ ꯁꯦꯃꯒꯅꯤ꯫ ꯃꯍꯧꯁꯥꯅꯥ, ꯅꯍꯥꯛꯅꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯑꯁꯤ ꯇꯧꯕꯥ ꯌꯥꯏ:

• ꯇꯝꯕꯥ ꯉꯃꯗꯕꯥ ꯄꯣꯠꯁꯛ ꯄꯨꯝꯅꯃꯛ (ꯃꯩꯈꯨ ꯆꯦꯟꯗꯕꯥ ꯑꯃꯁꯨꯡ ꯚꯦꯄꯤꯡ ꯌꯥꯎꯅꯥ) ꯊꯤꯡꯖꯤꯜꯂꯨ꯫ ꯃꯁꯤ ꯑꯗꯣꯝꯅꯥ ꯇꯧꯕꯥ ꯌꯥꯕꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯊꯕꯀꯅꯤ꯫
• ꯊꯝꯃꯣꯌꯗꯥ ꯍꯀꯁꯦꯜ ꯐꯕꯥ ꯗꯥꯏꯠ ꯑꯃꯥ ꯏꯅꯒꯗꯕꯅꯤ, ꯍꯥꯌꯕꯗꯤ ꯃꯦꯗꯤꯇꯦꯔꯦꯅꯤꯌꯟ ꯗꯥꯏꯠ , ꯍꯥꯌꯕꯗꯤ ꯎꯍꯩ-ꯋꯥꯍꯩ, ꯃꯅꯥ-ꯃꯁꯤꯡ, ꯌꯦꯔꯨꯝ, ꯍꯣꯜ ꯒ꯭ꯔꯦꯟ, ꯉꯥ, ꯑꯃꯁꯨꯡ ꯑꯣꯂꯤꯚ ꯑꯣꯏꯜ ꯍꯦꯟꯅꯥ ꯆꯥꯕꯥ ꯍꯥꯌꯕꯁꯤꯅꯤ꯫
• ꯅꯨꯃꯤꯠ ꯈꯨꯗꯤꯡꯒꯤ ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯇꯧꯕꯥ꯫ ꯈꯣꯡꯅꯥ ꯆꯠꯄꯗꯒꯤ ꯍꯧꯒꯗꯕꯅꯤ ꯑꯃꯁꯨꯡ ꯅꯣꯡꯃꯗꯥ ꯌꯥꯃꯗ꯭ꯔꯕꯗꯥ ꯃꯤꯅꯠ 30, ꯅꯨꯃꯤꯠ ꯀꯌꯥꯅꯤ ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯇꯧꯕꯥ ꯐꯥꯎꯕꯥ ꯊꯕꯛ ꯇꯧ꯫

ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ꯫

ꯍꯤꯗꯥꯀꯁꯤꯡꯅꯥ ꯄ꯭ꯂꯦꯛ ꯁꯦꯃꯒꯠꯄꯒꯤ ꯔꯤꯁ꯭ꯛ ꯐꯦꯛꯇꯔꯁꯤꯡ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ ꯑꯃꯁꯨꯡ ꯑꯦꯊꯦꯔꯣꯁ꯭ꯀꯂꯦꯔꯣꯁꯤꯁꯀꯤ ꯄ꯭ꯔꯣꯒ꯭ꯔꯦꯁ ꯑꯗꯨ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯍꯦꯅꯒꯠꯍꯅꯕꯥ ꯉꯝꯃꯤ꯫ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ ꯍꯟꯊꯍꯟꯅꯕꯥ, ꯀꯣꯂꯦꯁ꯭ꯇꯦꯔꯣꯜ ꯍꯟꯊꯍꯟꯅꯕꯥ, ꯕ꯭ꯂꯗ ꯁꯨꯒꯔꯒꯤ ꯆꯥꯡ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯏ ꯊꯣꯀꯄꯥ ꯊꯤꯡꯅꯕꯥ ꯍꯤꯗꯥꯀꯁꯤꯡ ꯄꯤꯕꯥ ꯌꯥꯏ꯫

ꯊꯧꯑꯣꯡꯁꯤꯡ ꯅꯠꯠꯔꯒꯥ ꯁꯔꯖꯔꯤꯁꯤꯡ꯫

ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯅꯥ ꯕ꯭ꯂꯣꯛ ꯇꯧꯔꯕꯥ ꯑꯥꯔꯇꯦꯔꯤꯁꯤꯡ ꯂꯩꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯒꯤ ꯔꯤꯁ꯭ꯛ ꯋꯥꯡꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯅꯕꯥ ꯇꯣꯉꯥꯟ-ꯇꯣꯉꯥꯅꯕꯥ ꯃꯦꯗꯤꯀꯦꯜ ꯑꯃꯁꯨꯡ ꯁꯔꯖꯤꯀꯦꯜ ꯄ꯭ꯔꯣꯁꯤꯗ꯭ꯌꯨꯑꯣꯔꯁꯤꯡ ꯂꯩ꯫ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯂꯥꯏꯌꯦꯡꯒꯤ ꯑꯣꯄꯁꯅꯁꯤꯡꯗꯤ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯁꯤꯡꯁꯤꯅꯤ:

• ꯑꯦꯟꯖꯤꯑꯣꯞꯂꯥꯁ꯭ꯇꯤ: ꯃꯁꯤꯗꯥ ꯕꯦꯂꯨꯅꯒꯨꯝꯕꯥ ꯗꯤꯚꯥꯏꯁ ꯑꯃꯥ ꯀꯨꯄꯁꯤꯜꯂꯕꯥ ꯑꯥꯔꯇꯦꯔꯤ ꯑꯗꯨꯗꯥ ꯍꯥꯄꯆꯤꯟꯗꯨꯅꯥ ꯑꯥꯔꯇꯦꯔꯤ ꯑꯗꯨ ꯄꯥꯀꯊꯣꯛ-ꯆꯥꯎꯊꯣꯀꯍꯟꯅꯕꯥ ꯐꯨꯃꯖꯤꯅꯕꯅꯤ꯫
• ꯑꯦꯊꯦꯔꯦꯛꯇꯣꯃꯤ (Atherectomy): ꯃꯁꯤꯗꯥ ꯑꯥꯔꯇꯦꯔꯤꯒꯤ ꯃꯅꯨꯡꯗꯒꯤ ꯄ꯭ꯂꯦꯛ ꯀꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯂꯧꯊꯣꯀꯄꯥ ꯌꯥꯎꯏ꯫
• ꯀꯦꯔꯣꯇꯤꯗ ꯑꯦꯟꯗꯔꯇꯦꯔꯦꯛꯇꯣꯃꯤ: ꯈꯣꯡꯗꯥ ꯂꯩꯕꯥ ꯀꯦꯔꯣꯇꯤꯗ ꯑꯥꯔꯇꯦꯔꯤꯁꯤꯡꯗꯒꯤ ꯄ꯭ꯂꯦꯛ ꯂꯧꯊꯣꯛꯅꯕꯥ ꯁꯔꯖꯤꯀꯦꯜ ꯄ꯭ꯔꯣꯁꯤꯗ꯭ꯌꯨꯑꯣꯔ ꯑꯃꯅꯤ꯫
• ꯀꯣꯔꯣꯅꯥꯔꯤ ꯑꯥꯔꯇꯦꯔꯤ ꯕꯥꯏꯄꯥꯁ ꯒ꯭ꯔꯥꯐꯇꯤꯡ (CABG): ꯃꯁꯤꯒꯤ ꯊꯧꯑꯣꯡ ꯑꯁꯤꯅꯥ ꯍꯥꯔꯇꯇꯥ ꯕ꯭ꯂꯣꯛ ꯇꯧꯔꯕꯥ ꯑꯥꯔꯇꯦꯔꯤꯁꯤꯡꯒꯤ ꯑꯀꯣꯌꯕꯗꯥ ꯏ ꯆꯦꯅꯕꯥ ꯑꯅꯧꯕꯥ ꯂꯝꯕꯤꯁꯤꯡ ꯁꯦꯝꯃꯤ꯫
• ꯄꯦꯔꯤꯐꯦꯔꯦꯜ ꯑꯥꯔꯇꯦꯔꯤ ꯕꯥꯏꯄꯥꯁ ꯁꯔꯖꯔꯤ: ꯂꯤꯝꯐꯇꯥ ꯕ꯭ꯂꯣꯛ ꯇꯧꯔꯕꯥ ꯑꯥꯔꯇꯦꯔꯤꯁꯤꯡ ꯕꯥꯏꯄꯥꯁ ꯇꯧꯅꯕꯥ ꯏꯒꯤ ꯑꯅꯧꯕꯥ ꯂꯝꯕꯤꯁꯤꯡ ꯁꯦꯝꯃꯤ꯫
• ꯁ꯭ꯇꯦꯟꯇ ꯊꯝꯕꯥ: ꯑꯦꯟꯖꯤꯑꯣꯞꯂꯥꯁ꯭ꯇꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ, ꯑꯥꯔꯇꯦꯔꯤ ꯑꯗꯨ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯁꯣꯟꯊꯍꯟꯗꯅꯕꯥ ꯑꯄꯤꯀꯄꯥ ꯃꯦꯁꯒꯨꯝꯕꯥ ꯁ꯭ꯇꯦꯟꯇ ꯑꯃꯥ ꯊꯝꯃꯤ꯫
• ꯚꯦꯁꯀꯨꯂꯥꯔ ꯗꯤꯖꯤꯖ ꯕꯥꯏꯄꯥꯁ: ꯃꯁꯤ ꯕ꯭ꯂꯣꯀꯦꯖꯁꯤꯡ ꯕꯥꯏꯄꯥꯁ ꯇꯧꯅꯕꯒꯤ ꯁꯔꯖꯔꯤ ꯑꯃꯁꯨꯅꯤ꯫

ꯑꯦꯊꯦꯔꯣꯁ꯭ꯀꯂꯦꯔꯣꯁꯤꯁ ꯑꯁꯤ ꯊꯤꯡꯕꯥ ꯉꯃꯒꯗ꯭ꯔꯥ?

ꯃꯄꯨꯡꯐꯥꯅꯥ ꯊꯤꯡꯕꯥ ꯉꯃꯗꯕꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯕꯨ ꯅꯍꯥꯛꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯔꯤꯁ꯭ꯛ ꯍꯟꯊꯍꯅꯕꯥ ꯉꯃꯒꯅꯤ ꯑꯃꯁꯨꯡ ꯂꯥꯌꯅꯥ ꯑꯁꯤꯒꯤ ꯏꯝꯄꯦꯛꯇ ꯍꯟꯊꯍꯅꯕꯥ ꯉꯃꯒꯅꯤ꯫ ꯃꯈꯥꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯇꯧꯕꯥ ꯌꯥꯕꯥ ꯊꯕꯛ ꯈꯔꯥ ꯄꯤꯔꯤ:

• ꯁꯦꯆꯨꯔꯦꯇꯦꯗ ꯐꯦꯠ, ꯇ꯭ꯔꯥꯟꯁ ꯐꯦꯠ, ꯀꯣꯂꯦꯁ꯭ꯇꯦꯔꯣꯜ, ꯁꯣꯗꯤꯌꯝ (ꯁꯣꯜꯇ), ꯑꯃꯁꯨꯡ ꯆꯤꯅꯤ ꯌꯥꯝꯅꯥ ꯌꯥꯎꯕꯥ ꯆꯤꯟꯖꯥꯀꯁꯤꯡ ꯆꯥꯒꯗꯕꯅꯤ꯫
• ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯍꯀꯆꯥꯡ ꯁꯥꯖꯦꯜ ꯇꯧꯕꯥ꯫ ꯈꯣꯡꯅꯥ ꯆꯠꯄꯗꯒꯤ ꯍꯧꯒꯗꯕꯅꯤ ꯑꯃꯁꯨꯡ ꯅꯣꯡꯃꯗꯥ ꯃꯤꯅꯠ 30 ꯐꯥꯎꯕꯥ, ꯅꯨꯃꯤꯠ ꯀꯌꯥꯅꯤ ꯊꯕꯛ ꯇꯧꯒꯗꯕꯅꯤ꯫
• ꯅꯍꯥꯛꯀꯤꯗꯃꯛꯇꯥ ꯍꯀꯁꯦꯜ ꯐꯕꯥ ꯑꯔꯨꯝꯕꯥ ꯑꯃꯥ ꯊꯝꯃꯨ꯫ ꯃꯗꯨ ꯀꯔꯤꯅꯣ ꯍꯥꯌꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯍꯪꯕꯤꯌꯨ꯫
• ꯑꯇꯩ ꯍꯀꯁꯦꯂꯒꯤ ꯐꯤꯚꯃꯁꯤꯡ, ꯃꯔꯨꯑꯣꯏꯅꯥ ꯗꯥꯏꯑꯦꯕꯦꯇꯤꯖ, ꯍꯥꯏꯄꯔꯇꯦꯟꯁꯟ, ꯑꯃꯁꯨꯡ ꯀꯣꯂꯦꯁ꯭ꯇꯦꯔꯣꯜ ꯋꯥꯡꯕꯥ ꯃꯦꯅꯦꯖ ꯇꯧꯕꯥ꯫
• ꯇꯝꯕꯥ ꯉꯃꯗꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ ꯁꯤꯖꯤꯟꯅꯒꯅꯨ꯫
• ꯆꯍꯤ ꯑꯃꯗꯥ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯃꯦꯗꯤꯀꯦꯜ ꯆꯦꯀꯑꯞ ꯇꯧꯒꯗꯕꯅꯤ꯫

ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯍꯤꯡꯂꯤꯉꯩꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯀꯔꯤ ꯑꯥꯁꯥ ꯇꯧꯒꯗꯒꯦ? ꯃꯇꯧ ꯀꯔꯝꯅꯥ ꯏꯁꯥꯕꯨ ꯌꯦꯡꯁꯤꯅꯕꯤꯔꯤꯕꯒꯦ?

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯇꯣꯏꯅꯥ ꯈꯪꯗꯣꯛꯂꯕꯥ ꯑꯃꯁꯨꯡ ꯂꯥꯏꯌꯦꯡꯂꯕꯗꯤ, ꯑꯦꯊꯦꯔꯣꯁ꯭ꯀꯂꯦꯔꯣꯁꯤꯁꯅꯥ ꯅꯥꯕꯥ ꯃꯤꯑꯣꯏ ꯀꯌꯥꯅꯥ ꯃꯈꯣꯌꯅꯥ ꯅꯨꯡꯁꯤꯖꯕꯥ ꯄꯨꯟꯁꯤ ꯑꯗꯨ ꯍꯤꯡꯕꯥ ꯉꯝꯃꯤ꯫ ꯑꯗꯨꯕꯨ ꯂꯥꯌꯅꯥ ꯑꯁꯤꯅꯥ ꯃꯦꯗꯤꯀꯦꯜ ꯏꯃꯔꯖꯦꯟꯁꯤ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ, ꯑꯃꯁꯨꯡ ꯃꯁꯤꯅꯥ ꯁꯤꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯔꯤꯁ꯭ꯀꯁꯤꯡ ꯑꯗꯨ ꯈꯪꯖꯤꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯃꯗꯨ ꯍꯟꯊꯍꯟꯅꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯊꯕꯛ ꯇꯧꯃꯤꯟꯅꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫

ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯌꯥꯝꯅꯥ ꯅꯛꯅꯥ ꯊꯕꯛ ꯇꯧꯃꯤꯟꯅꯧ꯫ ꯃꯈꯣꯌꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯗꯨ ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯆꯦꯛ ꯇꯧꯒꯅꯤ ꯑꯃꯁꯨꯡ ꯃꯈꯣꯌꯕꯨ ꯀꯌꯥꯝ ꯀꯨꯏꯅꯥ ꯎꯕꯥ ꯐꯪꯒꯗꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯈꯪꯍꯜꯂꯛꯀꯅꯤ꯫ ꯅꯍꯥꯛꯀꯤ ꯑꯦꯄꯣꯏꯟꯇꯃꯦꯟꯇ ꯄꯨꯝꯅꯃꯛ ꯊꯝꯃꯨ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯁꯦꯂꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯄ꯭ꯔꯣꯑꯦꯛꯇꯤꯚ ꯑꯣꯏꯌꯨ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯅꯧꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯍꯣꯡꯂꯛꯂꯤꯕꯥ ꯂꯥꯏꯑꯣꯡ ꯑꯃꯠꯇꯥ ꯎꯕꯥ ꯐꯪꯂꯕꯗꯤ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯈꯨꯗꯛꯇꯥ ꯈꯪꯍꯜꯂꯨ꯫ ꯉꯟꯅꯥ ꯂꯥꯏꯌꯦꯡꯕꯅꯥ ꯄꯨꯟꯁꯤ ꯃꯥꯡꯍꯅꯕꯥ ꯌꯥꯕꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡꯒꯤ ꯔꯤꯁ꯭ꯛ ꯍꯟꯊꯍꯅꯕꯥ ꯉꯝꯃꯤ꯫

ꯃꯁꯤꯗꯁꯨ ꯅꯠꯇꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯃꯦꯟꯇꯦꯜ ꯍꯦꯂꯊꯀꯤ ꯃꯇꯥꯡꯗꯁꯨ ꯈꯟꯊꯕꯤꯌꯨ꯫ ꯇꯨꯡꯗꯥ ꯀꯔꯤ ꯑꯣꯏꯒꯅꯤ ꯍꯥꯌꯕꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯑꯁꯤ ꯅꯣꯔꯃꯦꯂꯅꯤ꯫ ꯄꯨꯟꯁꯤ ꯃꯍꯤꯡꯗꯥ ꯑꯍꯣꯡꯕꯥ ꯄꯨꯔꯀꯄꯥ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯋꯥꯕꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯕꯨ ꯍꯥꯌꯔꯤꯕꯥ ꯋꯥꯈꯜꯂꯣꯅꯁꯤꯡ ꯑꯗꯨꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯄꯨꯟꯁꯤꯗꯥ ꯅꯨꯡꯉꯥꯏꯕꯥ ꯄꯣꯀꯍꯅꯕꯤꯒꯅꯨ꯫

• ꯀꯥꯎꯟꯁꯦꯂꯔ ꯅꯠꯠꯔꯒꯥ ꯁꯄꯣꯔꯠ ꯒ꯭ꯔꯨꯞ ꯑꯃꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯐꯤꯚꯃꯁꯤꯡ ꯑꯗꯨ ꯁꯦꯌꯔ ꯇꯧꯕꯤꯌꯨ꯫
• ꯀꯥꯔꯗꯤꯑꯣꯚꯥꯁ꯭ꯀꯨꯂꯥꯔ ꯗꯤꯖꯤꯖ ꯂꯩꯕꯥ ꯑꯇꯩ ꯃꯤꯑꯣꯏꯁꯤꯡꯒꯥ ꯁꯝꯅꯕꯤꯌꯨ꯫ ꯅꯈꯣꯌꯅꯥ ꯑꯦꯛꯁꯄꯔꯤꯌꯦꯟꯁꯁꯤꯡ ꯁꯦꯌꯔ ꯇꯧꯕꯥ ꯌꯥꯏ ꯑꯃꯁꯨꯡ ꯑꯃꯅꯥ ꯑꯃꯗꯒꯤ ꯇꯃꯕꯥ ꯌꯥꯏ꯫
• ꯅꯍꯥꯛꯅꯥ ꯄꯨꯟꯁꯤ ꯃꯍꯤꯡꯗꯥ ꯑꯍꯣꯡꯕꯥ ꯄꯨꯔꯀꯄꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯏꯃꯨꯡ-ꯃꯅꯨꯡ ꯑꯃꯁꯨꯡ ꯃꯔꯨꯞ-ꯃꯄꯥꯡꯁꯤꯡꯒꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯕꯤꯌꯨ꯫ ꯀꯔꯤꯒꯤꯗꯃꯛꯇꯥ ꯑꯍꯣꯡꯕꯁꯤꯡ ꯑꯁꯤ ꯅꯍꯥꯛꯀꯤꯗꯃꯛꯇꯥ ꯃꯔꯨꯑꯣꯏꯕꯅꯣ ꯍꯥꯌꯕꯗꯨ ꯃꯈꯣꯌꯗꯥ ꯈꯪꯍꯅꯕꯤꯌꯨ, ꯑꯃꯁꯨꯡ ꯃꯈꯣꯌꯕꯨ ꯊꯣꯀꯍꯅꯕꯗꯥ ꯃꯈꯣꯌꯒꯤ ꯃꯇꯦꯡ ꯄꯥꯡꯕꯤꯅꯕꯥ ꯍꯥꯌꯕꯤꯌꯨ꯫

ꯅꯍꯥꯛꯅꯥ ꯀꯗꯥꯏꯗꯥ ꯏꯃꯔꯖꯦꯟꯁꯤ ꯇ꯭ꯔꯤꯇꯃꯦꯟꯇ ꯌꯨꯅꯤꯠ (ETU) ꯑꯃꯗꯥ ꯆꯠꯀꯗꯒꯦ ?

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛ ꯅꯠꯠꯔꯒꯥ ꯅꯍꯥꯛꯅꯥ ꯈꯪꯂꯤꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯅꯥ ꯍꯥꯔꯠ ꯑꯦꯇꯦꯛ, ꯁ꯭ꯠꯔꯣꯛ, ꯅꯠꯠꯔꯒꯥ TIA ꯒꯤ ꯂꯥꯏꯑꯣꯡ ꯂꯩꯔꯕꯗꯤ, ꯈꯨꯗꯛꯇꯥ 911 ꯅꯠꯠꯔꯒꯥ ꯅꯍꯥꯛꯀꯤ ꯂꯣꯀꯦꯜ ꯏꯃꯔꯖꯦꯟꯁꯤ ꯅꯝꯕꯔꯗꯥ ꯀꯣꯜ ꯇꯧꯕꯤꯌꯨ꯫ ꯍꯥꯌꯔꯤꯕꯥ ꯑꯁꯤ ꯈꯨꯗꯛꯇꯥ ꯂꯥꯌꯦꯡꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯃꯦꯗꯤꯀꯦꯜ ꯏꯃꯔꯖꯦꯟꯁꯤꯁꯤꯡꯅꯤ꯫

ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯀꯔꯤ ꯋꯥꯍꯪ ꯍꯪꯒꯗꯒꯦ?

ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯍꯪꯂꯀꯄꯥ ꯌꯥꯕꯥ ꯋꯥꯍꯪ ꯈꯔꯗꯤ:

• ꯑꯩꯒꯤꯗꯃꯛꯇꯗꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯥ ꯂꯥꯌꯦꯡ ꯀꯔꯤꯅꯣ?
• ꯑꯩꯒꯤ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ ꯑꯃꯁꯨꯡ ꯀꯣꯂꯦꯁ꯭ꯇꯦꯔꯣꯂꯒꯤ ꯆꯥꯡ ꯑꯁꯤ ꯀꯔꯤ ꯑꯣꯏꯒꯗꯒꯦ?
• ꯑꯩꯒꯤ ꯑꯉꯥꯡꯁꯤꯡꯒꯤ ꯀꯣꯂꯦꯁ꯭ꯇꯦꯔꯣꯜ ꯀꯗꯥꯏꯗꯒꯤ ꯆꯦꯛ ꯇꯧꯕꯥ ꯍꯧꯒꯗꯒꯦ?
• ꯑꯩꯍꯥꯀꯄꯨ ꯃꯩꯈꯨ ꯊꯥꯗꯣꯀꯄꯥ ꯊꯤꯡꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯅꯕꯥ ꯄ꯭ꯔꯣꯒ꯭ꯔꯥꯝ ꯑꯃꯥ ꯅꯍꯥꯛꯅꯥ ꯔꯤꯀꯃꯦꯟꯗ ꯇꯧꯕꯥ ꯌꯥꯕ꯭ꯔꯥ?

ꯑꯔꯣꯏꯕꯥ ꯇꯦꯛ-ꯍꯣꯝ ꯃꯦꯁꯦꯖ꯫

ꯑꯦꯊꯦꯔꯣꯁ꯭ꯀꯂꯦꯔꯣꯁꯤꯁ ꯑꯁꯤ ꯃꯤꯑꯣꯏ ꯀꯌꯥꯅꯥ ꯊꯦꯡꯅꯔꯤꯕꯥ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫ ꯑꯗꯨꯕꯨ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯃꯁꯤ ꯃꯦꯅꯦꯖ ꯇꯧꯕꯗꯥ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯥ ꯄꯨꯟꯁꯤ ꯍꯤꯡꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯅꯕꯥ ꯃꯐꯝ ꯑꯁꯤꯗꯥ ꯂꯩꯔꯤ꯫ ꯅꯍꯥꯛꯀꯤ ꯆꯍꯤꯒꯤ ꯑꯣꯏꯕꯥ ꯆꯦꯀꯑꯄꯀꯤ ꯃꯅꯨꯡꯗꯥ, ꯃꯈꯣꯌꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯦꯊꯦꯔꯣꯁ꯭ꯀꯂꯦꯔꯣꯁꯤꯁ ꯂꯥꯀꯄꯒꯤ ꯔꯤꯁ꯭ꯛ ꯑꯗꯨ ꯑꯦꯁꯦꯁ ꯇꯧꯒꯅꯤ ꯑꯃꯁꯨꯡ ꯃꯁꯤ ꯍꯟꯊꯍꯟꯅꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯀꯔꯤ ꯇꯧꯕꯥ ꯌꯥꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯈꯪꯍꯜꯂꯛꯀꯅꯤ꯫ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯤ ꯄꯥꯎꯇꯥꯛ ꯂꯧꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯅꯕꯥ ꯍꯥꯌꯖꯕꯗꯥ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯂꯩꯔꯣꯏꯗꯕꯅꯤ꯫ ꯃꯈꯣꯌꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯔꯤꯁꯣꯔꯁꯁꯤꯡ ꯁꯖꯦꯁ꯭ꯠ ꯇꯧꯕꯥ ꯌꯥꯏ꯫ ꯅꯤꯡꯁꯤꯡꯕꯤꯌꯨ, ꯍꯀꯁꯦꯜ ꯐꯕꯥ ꯄꯨꯟꯁꯤ ꯃꯍꯤꯡ ꯑꯃꯥ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯤ ꯄꯥꯎꯇꯥꯛ ꯉꯥꯛꯅꯥ ꯆꯠꯄꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯑꯀꯅꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤꯗꯒꯤ ꯉꯥꯀꯊꯣꯀꯄꯗꯥ ꯌꯥꯝꯅꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯒꯅꯤ꯫

` ꯑꯦꯊꯦꯔꯣꯁ꯭ꯀꯂꯦꯔꯣꯁꯤꯁ, ꯑꯥꯔꯇꯦꯔꯤꯑꯣꯁ꯭ꯛꯂꯦꯔꯣꯁꯤꯁ, ꯀꯣꯂꯦꯁ꯭ꯇꯦꯔꯣꯜ, ꯍꯥꯔꯠ ꯑꯦꯇꯦꯛ, ꯁ꯭ꯠꯔꯣꯛ, ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯜ ꯕ꯭ꯂꯣꯛ ꯇꯧꯕꯥ, ꯍꯀꯆꯥꯡ ꯐꯕꯥ ꯄꯨꯟꯁꯤ ꯃꯍꯤꯡ꯫