ꯅꯍꯥꯛꯀꯤ ꯈꯨꯠꯁꯥꯗꯥ ꯚꯦꯅꯝ ꯑꯃꯗꯥ ꯏ ꯊꯣꯀꯄꯥ ꯂꯩꯕ꯭ꯔꯥ? (ꯑꯦꯛꯁꯤꯂꯣ-ꯁꯕꯛꯂꯦꯚꯤꯌꯥꯟ ꯚꯦꯟ ꯊ꯭ꯔꯣꯝꯕꯣꯁꯤꯁ) - ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯁꯤ!

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯨꯠꯁꯥꯗꯥ ꯈꯪꯍꯧꯗꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯑꯁꯣꯀꯄꯥ ꯑꯃꯥ, ꯁꯣꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯅꯤꯜ ꯃꯆꯨ ꯑꯃꯥ ꯐꯥꯎꯕ꯭ꯔꯥ? ꯅꯠꯠꯔꯒꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯨꯠꯁꯥ ꯑꯗꯨ ꯁꯣꯟꯊꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯂꯨꯝꯕꯥ ꯐꯥꯎꯕ꯭ꯔꯥ? ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯌꯦꯡꯊꯤꯅꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯅꯠꯇꯦ꯫ ꯃꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯈꯨꯠꯁꯥ ꯅꯠꯠꯔꯒꯥ ꯈꯣꯡꯗꯥ ꯑꯆꯧꯕꯥ ꯚꯦꯅꯝ ꯑꯃꯗꯥ ꯏ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯋꯥꯍꯟꯊꯣꯛꯀꯤ ꯃꯇꯨꯡ ꯏꯟꯅꯥ ꯑꯩꯈꯣꯌꯅꯥ ꯃꯁꯤꯕꯨ (ꯑꯦꯛꯁꯤꯂꯣ-ꯁꯕꯛꯂꯦꯚꯤꯌꯟ ꯚꯦꯟ ꯊ꯭ꯔꯣꯝꯕꯣꯁꯤꯁ) ꯅꯠꯠꯔꯒꯥ (ꯑꯦ.ꯑꯦꯁ.ꯚꯤ.ꯇꯤ.) ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯂꯩꯔꯣꯏ, ꯑꯩꯈꯣꯌꯅꯥ ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯑꯗꯣꯝꯅꯥ ꯈꯉꯕꯤꯕꯥ ꯌꯥꯕꯥ ꯏꯆꯝ ꯆꯝꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯒꯅꯤ꯫

ꯃꯁꯤ (Axillo-Subclavian Vein Thrombosis) ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ?

ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯑꯦꯛꯁꯤꯂꯣ-ꯁꯕꯛꯂꯦꯚꯤꯌꯥꯟ ꯚꯦꯟ ꯊ꯭ꯔꯣꯝꯕꯣꯁꯤꯁ (ASVT) ꯍꯥꯌꯕꯁꯤ ꯁꯕꯛꯂꯦꯚꯤꯌꯥꯟ ꯚꯦꯅꯝ , ꯅꯍꯥꯛꯀꯤ ꯈꯨꯎꯗꯥ ꯑꯆꯧꯕꯥ ꯚꯦꯅꯝ ꯑꯃꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯦꯛꯁꯤꯂꯥꯔꯤ ꯚꯦꯅꯝ, ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯂꯩꯕꯥ ꯚꯦꯅꯝ ꯑꯃꯗꯥ ꯏ ꯊꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯑꯣꯏ꯫ ꯅꯍꯥꯛꯀꯤ ꯚꯦꯅꯃꯁꯤꯡ ꯑꯗꯨ ꯏꯁꯤꯡꯒꯤ ꯄꯥꯏꯞ ꯑꯃꯥ ꯑꯣꯏꯅꯥ ꯈꯅꯕꯤꯌꯨ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯚꯦꯅꯝ ꯑꯁꯤꯒꯤ ꯃꯅꯥꯛꯇꯥ ꯂꯩꯕꯥ ꯔꯤꯕ ꯅꯠꯠꯔꯒꯥ ꯃꯅꯥ-ꯃꯁꯤꯡꯒꯤ ꯁꯔꯨꯛ ꯑꯃꯥ ꯃꯗꯨꯗꯥ ꯆꯦꯟꯊꯔꯀꯄꯥ ꯇꯥꯔꯕꯗꯤ, ꯃꯁꯤꯅꯥ ꯏꯒꯤ ꯈꯣꯡꯖꯦꯜ ꯊꯤꯡꯖꯤꯅꯕꯥ ꯌꯥꯏ ꯑꯃꯁꯨꯡ ꯏ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫

ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯑꯌꯥꯝꯕꯗꯤ ꯅꯍꯥꯛꯀꯤ ꯃꯊꯛ ꯊꯪꯕꯥ ꯁꯔꯨꯛꯇꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯄꯅꯥ, ꯅꯠꯠꯔꯒꯥ ꯍꯟꯖꯤꯟ ꯍꯟꯖꯤꯟ ꯆꯠꯄꯗꯒꯤ ꯅꯍꯥꯛꯀꯤ ꯈꯨꯠꯁꯥꯗꯥ ꯁ꯭ꯠꯔꯦꯁ ꯂꯩꯔꯀꯄꯅꯥ ꯊꯣꯀꯍꯅꯕꯅꯤ꯫ ꯃꯤꯑꯣꯏ ꯈꯔꯅꯥ ꯃꯁꯤꯕꯨ ꯄꯦꯖꯦꯠ-ꯁ꯭ꯔꯣꯏꯇꯔ ꯁꯤꯟꯗ꯭ꯔꯣꯝ ꯍꯥꯌꯅꯥ ꯀꯧꯏ, ꯑꯗꯨꯒꯥ ꯑꯇꯩ ꯈꯔꯅꯥ ꯃꯁꯤꯕꯨ ꯍꯣꯠꯅꯕꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯊ꯭ꯔꯣꯝꯕꯣꯁꯤꯁ ꯍꯥꯌꯅꯥ ꯀꯧꯏ, ꯃꯁꯤꯒꯤ ꯑꯔꯊꯗꯤ "ꯈꯨꯗꯣꯡꯆꯥꯗꯕꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯏ ꯊꯣꯀꯄꯥ" ꯍꯥꯌꯕꯅꯤ꯫

ꯃꯁꯤ (ꯗꯤꯞ ꯚꯦꯟ ꯊ꯭ꯔꯣꯝꯕꯣꯁꯤꯁ - ꯗꯤ.ꯚꯤ.ꯇꯤ.) ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯅꯦꯝꯂꯕꯔꯥ?

ꯍꯣꯌ, ꯑꯗꯣꯃꯗꯥ ꯑꯗꯨꯒꯨꯝꯕꯥ ꯁꯃꯁ꯭ꯌꯥ ꯑꯗꯨ ꯂꯩꯕꯥ ꯌꯥꯏ꯫ (ASVT) ꯑꯁꯤ ꯇꯁꯦꯡꯕꯗꯤ (ꯗꯤꯞ ꯚꯦꯟ ꯊ꯭ꯔꯣꯝꯕꯣꯁꯤꯁ) ꯅꯠꯠꯔꯒꯥ (DVT) ꯀꯧꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯃꯈꯜ ꯑꯃꯅꯤ꯫ (DVT) ꯍꯥꯌꯕꯁꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯌꯥꯝꯅꯥ ꯂꯨꯕꯥ ꯚꯦꯅꯝ ꯑꯃꯗꯥ ꯏ ꯊꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯑꯣꯏ꯫ ꯑꯗꯨꯕꯨ ꯑꯌꯥꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯑꯩꯈꯣꯌꯅꯥ (ꯗꯤ.ꯚꯤ.ꯇꯤ.)ꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯕꯥ ꯃꯇꯃꯗꯥ ꯑꯩꯈꯣꯌꯅꯥ ꯈꯣꯡꯗꯥ ꯊꯣꯀꯄꯥ ꯏꯒꯤ ꯈꯣꯡꯖꯦꯂꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯉꯥꯡꯏ꯫ ꯃꯈꯣꯌ ꯑꯁꯤ ꯑꯌꯥꯝꯕꯗꯤ ꯑꯣꯕꯦꯁꯤꯇꯤ, ꯐꯤꯖꯤꯀꯦꯜ ꯑꯦꯛꯇꯤꯚꯤꯇꯤ, ꯑꯍꯜ ꯑꯣꯏꯔꯀꯄꯥ, ꯅꯠꯠꯔꯒꯥ ꯚꯦꯅꯃꯁꯤꯡꯒꯥ ꯃꯔꯤ ꯂꯩꯅꯕꯥ ꯑꯇꯩ ꯂꯥꯌꯅꯥꯁꯤꯡꯅꯆꯤꯡꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡꯅꯥ ꯊꯣꯀꯍꯅꯕꯅꯤ꯫

ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯈꯨꯠꯇꯥ ꯏ ꯊꯣꯀꯄꯥ, ASVT ꯀꯧꯕꯥ, ꯑꯌꯥꯝꯕꯗꯤ ꯑꯦꯛꯁꯤꯗꯦꯟꯇ ꯑꯃꯒꯤ ꯃꯍꯩ ꯑꯣꯏꯅꯥ ꯅꯠꯠꯔꯒꯥ ꯈꯨꯠ ꯑꯁꯤ ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯁꯤꯖꯤꯟꯅꯕꯗꯒꯤ ꯊꯣꯀꯏ꯫ ꯀꯟꯗꯤꯁꯟ ꯑꯅꯤ ꯑꯁꯤꯒꯤ ꯂꯥꯏꯑꯣꯡ ꯑꯃꯁꯨꯡ ꯂꯥꯏꯌꯦꯡ ꯑꯁꯤ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯇꯣꯉꯥꯟ-ꯇꯣꯉꯥꯅꯕꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫

ꯃꯁꯤ (ꯑꯦ.ꯑꯦꯁ.ꯚꯤ.ꯇꯤ.) ꯑꯁꯤ ꯀꯅꯥꯅꯥ ꯍꯦꯟꯅꯥ ꯊꯣꯀꯍꯅꯕꯒꯦ?

ꯀꯅꯥꯒꯨꯝꯕꯥ ꯑꯃꯠꯇꯅꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯂꯥꯀꯄꯥ ꯌꯥꯏ ꯑꯗꯨꯕꯨ ꯃꯤꯑꯣꯏ ꯈꯔꯗꯤ ꯍꯦꯟꯅꯥ ꯔꯤꯁ꯭ꯛ ꯂꯩ꯫ ꯃꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯌꯥꯑꯣꯔꯤ:

• ꯃꯇꯝ ꯄꯨꯝꯅꯃꯛꯇꯥ ꯑꯦꯛꯇꯤꯕ ꯑꯣꯏꯕꯥ, ꯃꯍꯧꯁꯥꯅꯥ ꯍꯀꯆꯥꯡ ꯐꯅꯥ ꯂꯩꯕꯥ .
• ꯆꯍꯤ ꯱꯵ ꯑꯃꯁꯨꯡ ꯴꯵ꯒꯤ ꯃꯔꯛꯇꯥ ꯂꯩꯕꯥ ꯅꯍꯥꯁꯤꯡꯅꯥ .
• ꯁꯥꯟꯅꯄꯣꯠ ꯁꯥꯟꯅꯔꯤꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡ (ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ ꯀ꯭ꯔꯤꯀꯦꯠꯇꯥ ꯐꯥꯁ꯭ꯠ ꯕꯣꯂꯔꯁꯤꯡ, ꯂꯃꯀꯣꯌꯕꯁꯤꯡ, ꯋꯦꯠ ꯂꯤꯐꯇꯔꯁꯤꯡ) ꯅꯠꯠꯔꯒꯥ ꯃꯈꯣꯌꯒꯤ ꯃꯈꯨꯠꯁꯤꯡ ꯑꯗꯨ ꯂꯦꯞꯇꯅꯥ ꯋꯥꯡꯈꯠꯍꯟꯗꯨꯅꯥ ꯊꯕꯛ ꯇꯧꯔꯤꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡ (ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯄꯦꯟꯇꯔꯁꯤꯡ, ꯏꯂꯦꯛꯠꯔꯤꯁꯤꯌꯥꯅꯁꯤꯡ, ꯍꯦꯚꯤ ꯂꯤꯐꯇꯤꯡꯒꯤ ꯊꯕꯛ ꯇꯧꯔꯤꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡ)꯫ ꯈꯟꯊꯕꯤꯌꯨ, ꯅꯍꯥꯛꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯨꯠꯁꯥꯁꯤꯡ ꯑꯗꯨ ꯆꯞ ꯃꯥꯟꯅꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯋꯥꯡꯈꯠꯍꯟꯗꯨꯅꯥ ꯑꯃꯁꯨꯡ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯊꯕꯛ ꯇꯧꯕꯥ ꯃꯇꯃꯗꯥ, ꯚꯦꯅꯃꯁꯤꯡ ꯑꯗꯨꯗꯥ ꯄ꯭ꯔꯦꯁꯔ ꯄꯤ꯫
• ꯑꯀꯛꯅꯕꯥ ꯖꯦꯅꯦꯇꯤꯛ ꯕ꯭ꯂꯗ ꯀ꯭ꯂꯣꯇꯤꯡ ꯗꯤꯁꯑꯣꯔꯗꯔ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡ .

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ꯇꯣꯉꯥꯟ-ꯇꯣꯉꯥꯅꯕꯥ ꯃꯈꯂꯒꯤ (ꯑꯦ.ꯑꯦꯁ.ꯚꯤ.ꯇꯤ.) ꯂꯩꯕ꯭ꯔꯥ?

ꯍꯣꯌ, (ꯑꯦ.ꯑꯦꯁ.ꯚꯤ.ꯇꯤ.)ꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯈꯜ ꯑꯅꯤ ꯂꯩ:

꯱.ꯄ꯭ꯔꯥꯏꯃꯥꯔꯤ ꯑꯦ.ꯑꯦꯁ.ꯚꯤ.ꯇꯤ.ꯃꯁꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯃꯈꯂꯅꯤ, ꯃꯁꯤ ꯈꯨꯠꯁꯥꯒꯤ ꯑꯀꯅꯕꯥ, ꯍꯟꯖꯤꯟ ꯍꯟꯖꯤꯟ ꯆꯠꯄꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯊꯣꯀꯍꯜꯂꯤ꯫

2. ꯁꯦꯀꯦꯟꯗꯔꯤ ASVT: ꯃꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯃꯊꯛ ꯊꯪꯕꯥ ꯁꯔꯨꯛꯇꯥ ꯌꯥꯎꯔꯤꯕꯥ ꯃꯦꯗꯤꯀꯦꯜ ꯗꯤꯚꯥꯏꯁ ꯈꯔꯅꯥ ꯊꯣꯀꯍꯅꯕꯅꯤ꯫ ꯈꯨꯗꯝ ꯑꯣꯏꯅ:

• (ꯁꯦꯟꯠꯔꯦꯜ ꯚꯦꯅꯝ ꯀꯦꯇꯦꯒꯣꯔꯤ) (ꯃꯔꯨꯑꯣꯏꯕꯥ ꯚꯦꯅꯝ ꯑꯃꯗꯥ ꯊꯥꯕꯥ ꯇꯤꯎꯕ ꯑꯃꯥ)
• (ꯗꯤꯐꯤꯕ꯭ꯔꯤꯂꯦꯇꯔ) (ꯍꯥꯔꯇꯀꯤ ꯊꯕꯛ ꯊꯧꯔꯃꯁꯤꯡ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯁꯦꯃꯗꯣꯀꯄꯥ ꯉꯝꯕꯥ ꯈꯨꯠꯂꯥꯏ ꯑꯃꯥ)
• (ꯄꯦꯁꯃꯦꯀꯔ) (ꯍꯥꯔꯇꯀꯤ ꯈꯣꯡꯖꯦꯜ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯥ ꯈꯨꯠꯂꯥꯌ ꯑꯃꯥ)
• (ꯃꯦꯗꯤꯀꯦꯁꯟ ꯄꯣꯔꯠ) (ꯃꯦꯗꯤꯀꯦꯁꯟ ꯄꯤꯅꯕꯥ ꯈꯣꯡꯒꯤ ꯃꯈꯥꯗꯥ ꯊꯝꯕꯥ ꯑꯄꯤꯀꯄꯥ ꯈꯨꯠꯂꯥꯏ)

ꯈꯨꯠꯂꯥꯌꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯂꯁꯤꯡ ꯁꯣꯟꯊꯕꯥ ꯑꯃꯁꯨꯡ ꯕ꯭ꯂꯗ ꯀ꯭ꯂꯣꯇꯁꯤꯡ ꯁꯦꯝꯕꯁꯨ ꯌꯥꯏ꯫

(ASVT) ꯑꯁꯤ ꯀꯌꯥꯝ ꯀꯃꯟ ꯑꯣꯏꯕꯒꯦ?

ꯇꯁꯦꯡꯕꯗꯤ, ASVT ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫ ꯁ꯭ꯇꯦꯇꯤꯁ꯭ꯇꯤꯀꯦꯂꯒꯤ ꯃꯇꯨꯡ ꯏꯟꯅꯥ ꯆꯍꯤ ꯑꯃꯗꯥ ꯃꯤꯑꯣꯏ ꯂꯥꯈ ꯑꯃꯗꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯗꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯅꯤꯗꯥ ꯊꯣꯀꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯃꯊꯛꯀꯤ ꯁꯔꯨꯛꯇꯥ ꯂꯩꯕꯥ DVT ꯄꯨꯝꯅꯃꯛꯀꯤ 10%ꯗꯒꯤ 20% ꯐꯥꯎꯕꯗꯤ ASVTꯅꯥ ꯊꯣꯀꯍꯜꯂꯤ꯫ ꯑꯗꯨꯅꯥ, ꯃꯤꯠꯌꯦꯡ ꯑꯗꯨꯗꯒꯤ ꯌꯦꯡꯕꯗꯥ, ꯃꯁꯤ ꯃꯁꯛ ꯊꯣꯀꯄꯥ ꯃꯁꯤꯡ ꯑꯃꯅꯤ꯫

(ASVT)ꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ASVT ꯂꯩꯔꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯃꯗꯒꯤ ꯍꯦꯅꯕꯥ ꯊꯦꯡꯅꯔꯀꯄꯥ ꯌꯥꯏ:

• ꯈꯨꯠꯅꯥ ꯁꯣꯀꯄꯥ: ꯈꯪꯍꯧꯗꯅꯥ ꯍꯧꯔꯀꯄꯥ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ꯫
• ꯈꯨꯠꯁꯥꯗꯥ ꯎꯕꯥ ꯐꯪꯂꯤꯕꯥ ꯚꯦꯅꯃꯁꯤꯡ (veines) : ꯏꯒꯤ ꯈꯣꯡꯖꯦꯜ ꯌꯥꯡꯅꯥ ꯆꯦꯅꯕꯥ (constricted blood flow)ꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯚꯦꯅꯃꯁꯤꯡ (veines) ꯄꯣꯃꯈꯠꯄꯥ ꯎꯕꯥ ꯐꯪꯏ꯫
• ꯕ꯭ꯂꯨ ꯁ꯭ꯀꯤꯟ ꯃꯆꯨ (Cyanosis): ꯈꯨꯠꯁꯥꯗꯥ ꯂꯩꯕꯥ ꯈꯣꯡ ꯑꯗꯨ ꯕ꯭ꯂꯨ ꯑꯣꯏꯔꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯅꯥ ꯇꯥꯀꯄꯗꯤ ꯑꯣꯛꯁꯤꯖꯦꯅꯒꯤ ꯑꯋꯥꯠꯄꯥ ꯂꯩ ꯍꯥꯌꯕꯅꯤ꯫
• ꯈꯨꯠꯇꯥ ꯑꯔꯨꯝꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯋꯥꯈꯜ ꯆꯔꯥꯡꯅꯕꯥ ꯐꯥꯎꯕꯥ: ꯅꯍꯥꯛꯀꯤ ꯈꯨꯠꯁꯥ ꯑꯗꯨ ꯋꯥꯡꯈꯠꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯈꯣꯡ ꯍꯥꯝꯕꯗꯥ ꯑꯋꯥꯕꯥ ꯃꯥꯌꯣꯛꯅꯔꯀꯄꯥ ꯌꯥꯏ꯫
• ꯈꯨꯠ ꯑꯗꯨ ꯈꯪꯍꯧꯗꯅꯥ ꯁꯣꯀꯄꯥ: ꯈꯨꯠ ꯑꯗꯨ ꯈꯪꯍꯧꯗꯅꯥ ꯁꯣꯀꯄꯥ ꯍꯧꯔꯀꯏ꯫

ꯃꯔꯨꯑꯣꯏꯅꯥ, ꯀꯦꯁ ꯈꯔꯗꯗꯤ (10% - 20%) ꯏꯒꯤ ꯈꯣꯡꯖꯦꯜ ꯑꯁꯤ ꯚꯦꯅꯝ ꯑꯗꯨꯗꯒꯤ ꯂꯥꯄꯊꯣꯛꯅꯥ ꯂꯩꯕꯥ ꯌꯥꯏ, ꯏꯒꯤ ꯈꯣꯡꯖꯦꯂꯗꯥ ꯆꯠꯄꯥ ꯌꯥꯏ ꯑꯃꯁꯨꯡ ꯂꯪꯁꯇꯥ ꯆꯠꯄꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯕꯨ ꯄꯂꯃꯣꯅꯥꯔꯤ ꯑꯦꯝꯕꯣꯂꯤꯖꯝ (PE) ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯈꯨꯗꯣꯡꯊꯤꯅꯤꯡꯉꯥꯏ ꯑꯣꯏꯕꯥ ꯐꯤꯚꯝ ꯑꯃꯅꯤ . ꯃꯁꯤꯅꯥ ꯂꯪꯁꯇꯥ ꯁꯥꯊꯤꯅꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ, ꯑꯃꯁꯨꯡ ꯄꯨꯟꯁꯤ ꯃꯥꯡꯍꯅꯕꯥ ꯐꯥꯎꯕꯥ ꯌꯥꯏ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯍꯦꯛꯇꯕꯨ ꯊꯦꯡꯅꯕꯥ ꯍꯧꯔꯛꯂꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯃꯇꯝ ꯑꯃꯠꯇꯥ ꯃꯥꯡꯍꯟꯗꯅꯥ ꯗꯣꯛꯇꯔ ꯑꯃꯒꯥ ꯁꯣꯌꯗꯅꯥ ꯇꯥꯛꯀꯗꯕꯅꯤ꯫

ꯃꯁꯤ (ꯑꯦ.ꯑꯦꯁ.ꯚꯤ.ꯇꯤ.) ꯀꯔꯤꯒꯤ ꯊꯣꯛꯂꯤꯕꯅꯣ?

ꯑꯩꯈꯣꯌꯅꯥ ꯃꯃꯥꯡꯗꯥ ꯍꯥꯌꯈꯤꯕꯒꯨꯝꯅꯥ, ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯔꯃꯗꯤ ꯈꯨꯠꯁꯥ ꯑꯗꯨ ꯍꯟꯖꯤꯟ ꯍꯟꯖꯤꯟ ꯆꯠꯄꯥ ꯑꯁꯤꯅꯤ꯫ ꯈꯅꯕꯤꯌꯨ, ꯅꯍꯥꯛꯅꯥ ꯂꯦꯞꯄꯥ ꯂꯩꯇꯅꯥ ꯑꯔꯨꯝꯕꯥ ꯂꯧꯊꯣꯛꯂꯤ ꯅꯠꯠꯔꯒꯥ ꯁꯥꯟꯅꯔꯤ꯫ ꯑꯗꯨꯗꯒꯤ ꯅꯍꯥꯛꯀꯤ ꯈꯨꯎ ꯑꯃꯁꯨꯡ ꯈꯣꯡꯄꯥꯛ ꯑꯗꯨꯒꯤ ꯑꯀꯣꯌꯕꯗꯥ ꯂꯩꯕꯥ ꯃꯁꯂꯁꯤꯡ ꯑꯗꯨ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯁꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯁꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯁꯣꯀꯄꯥ ꯃꯁꯂꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯃꯐꯃꯗꯨꯗꯥ ꯂꯩꯕꯥ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯂꯁꯤꯡ (ꯃꯔꯨꯑꯣꯏꯅꯥ ꯁꯕꯛꯂꯦꯚꯤꯌꯥꯟ ꯅꯠꯠꯔꯒꯥ ꯑꯦꯛꯁꯦꯁꯤꯑꯦꯜ ꯚꯦꯅꯃꯁꯤꯡ) ꯀꯝꯞꯔꯦꯁꯟ ꯇꯧꯕꯥ ꯉꯝꯃꯤ꯫

ꯃꯇꯃꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ, ꯄ꯭ꯔꯦꯁꯔ ꯑꯁꯤꯅꯥ ꯚꯦꯅꯝ ꯋꯥꯂꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ ꯑꯃꯁꯨꯡ ꯁ꯭ꯀꯥꯔ ꯇꯤꯁꯨ ꯁꯦꯝꯕꯥ ꯌꯥꯏ꯫ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯚꯦꯅꯝ ꯑꯗꯨ ꯃꯅꯨꯡꯗꯒꯤ ꯀꯨꯄꯁꯤꯜꯂꯀꯏ, ꯃꯗꯨꯅꯥ ꯃꯗꯨꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯆꯦꯅꯕꯥ ꯌꯥꯕꯥ ꯏꯒꯤ ꯆꯥꯡ ꯍꯟꯊꯍꯜꯂꯤ꯫ ꯃꯁꯤꯅꯥ ꯏꯒꯤ ꯈꯣꯡꯖꯦꯜ ꯌꯥꯡꯁꯤꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯏ ꯊꯣꯀꯄꯒꯤ ꯔꯤꯁ꯭ꯛ ꯍꯦꯅꯒꯠꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤꯕꯨ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯊꯣꯔꯥꯁꯤꯛ ꯑꯥꯎꯇꯂꯦꯠ ꯁꯤꯟꯗꯣꯝ (TOS) ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ꯃꯁꯤꯕꯨꯁꯨ ꯀꯧꯏ꯫ ꯃꯁꯤꯅꯥ ꯇꯥꯀꯄꯗꯤ ꯆꯦꯁ꯭ꯇꯀꯤ ꯃꯊꯛꯀꯤ ꯁꯔꯨꯛ (ꯊꯣꯔꯥꯁꯤꯛ ꯑꯥꯎꯇꯂꯦꯠ)ꯗꯥ ꯂꯩꯕꯥ ꯃꯐꯝ ꯑꯗꯨ ꯀꯨꯄꯁꯤꯜꯂꯤ, ꯃꯗꯨꯅꯥ ꯚꯦꯅꯃꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯅꯔꯚꯁꯤꯡꯗꯥ ꯄ꯭ꯔꯦꯁꯔ ꯄꯤ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ, ASVT ꯑꯁꯤ ꯑꯍꯥꯅꯕꯥ ꯔꯤꯕꯇꯥ ꯑꯦꯕꯅꯣꯔꯃꯦꯂꯤꯇꯤ ꯑꯃꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ, ꯅꯠꯠꯔꯒꯥ ꯑꯥꯔꯝꯄꯤꯠ ꯑꯃꯁꯨꯡ ꯁꯣꯔꯣꯛ ꯑꯦꯔꯤꯌꯥꯗꯥ ꯂꯩꯕꯥ ꯚꯦꯅꯃꯁꯤꯡꯒꯤ ꯑꯀꯣꯌꯕꯗꯥ ꯂꯩꯕꯥ ꯃꯁꯂꯁꯤꯡ ꯅꯠꯠꯔꯒꯥ ꯂꯤꯒꯥꯃꯦꯟꯇꯁꯤꯡꯗꯥ ꯑꯍꯣꯡꯕꯥ ꯂꯥꯀꯄꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫

ꯗꯣꯛꯇꯔ ꯑꯃꯅꯥ ꯃꯁꯤ (ASVT) ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯈꯪꯗꯣꯀꯄꯒꯦ?

ꯃꯃꯥꯡꯗꯥ ꯄꯅꯈ꯭ꯔꯤꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯗꯣꯛꯇꯔ ꯑꯃꯗꯥ ꯆꯠꯄꯥ ꯃꯇꯃꯗꯥ ꯃꯍꯥꯛꯅꯥ ꯑꯍꯥꯅꯕꯥ ꯑꯣꯏꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯌꯦꯡꯁꯤꯅꯒꯅꯤ꯫ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯨꯠꯇꯥ ꯁꯣꯀꯄꯥ, ꯃꯆꯨ ꯍꯣꯡꯂꯀꯄꯥ, ꯑꯃꯁꯨꯡ ꯈꯣꯡ ꯍꯥꯝꯂꯕꯥ ꯚꯦꯅꯃꯁꯤꯡ ꯑꯁꯤꯅꯆꯤꯡꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ ꯑꯁꯤ ꯃꯤꯠꯌꯦꯡ ꯑꯃꯗꯥ ꯎꯕꯥ ꯐꯪꯒꯅꯤ꯫

ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ, ꯅꯍꯥꯛꯅꯥ ꯇꯦꯁ꯭ꯠ ꯈꯔꯥ ꯇꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯏ ꯃꯗꯨꯗꯤ:

• (ꯗꯨꯞꯂꯦꯛꯁ ꯑꯂꯠꯔꯥꯁꯥꯎꯟꯗ): ꯃꯁꯤ ꯑꯌꯥꯝꯕꯅꯥ ꯇꯧꯕꯥ ꯑꯍꯥꯅꯕꯥ ꯇꯦꯁ꯭ꯠꯅꯤ꯫ ꯃꯁꯤꯅꯥ ꯚꯦꯅꯃꯁꯤꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯏꯒꯤ ꯈꯣꯡꯖꯦꯜ ꯌꯦꯡꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯏ ꯊꯣꯀꯄꯥ ꯌꯥꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯅꯕꯒꯤꯗꯃꯛ ꯁꯥꯎꯟꯗ ꯋꯦꯕ ꯁꯤꯖꯤꯟꯅꯩ꯫ ꯃꯁꯤ ꯑꯋꯥꯕꯥ ꯂꯩꯇꯕꯥ, ꯐꯖꯅꯥ ꯇꯦꯁ꯭ꯠ ꯇꯧꯕꯥ ꯑꯃꯅꯤ꯫
• ꯀꯦꯇꯦꯒꯣꯔꯤ-ꯒꯥꯏꯗꯦꯗ ꯚꯦꯅꯣꯒ꯭ꯔꯥꯐꯤ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯇꯦꯁ꯭ꯠ ꯑꯁꯤ ꯇꯧꯏ꯫ ꯇꯦꯁ꯭ꯠ ꯑꯁꯤꯗꯥ, ꯑꯄꯤꯀꯄꯥ, ꯑꯄꯤꯀꯄꯥ ꯇꯤꯎꯕ (ꯀꯦꯇꯦꯇꯔ) ꯑꯃꯥ ꯚꯦꯅꯝ ꯑꯃꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯏ ꯊꯣꯀꯄꯥ ꯌꯥꯏ ꯍꯥꯌꯅꯥ ꯈꯜꯂꯤꯕꯥ ꯃꯐꯝ ꯑꯗꯨꯗꯥ ꯌꯧꯍꯜꯂꯤ, ꯑꯃꯁꯨꯡ ꯀꯦꯇꯦꯇꯔꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯚꯦꯅꯝ ꯑꯗꯨꯗꯥ ꯑꯈꯟꯅꯕꯥ ꯗꯥꯏꯑꯦ ꯑꯃꯥ ꯊꯥꯏ꯫ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯑꯦꯛꯁ-ꯔꯦ ꯂꯧꯗꯨꯅꯥ ꯚꯦꯅꯝ ꯑꯗꯨ ꯀꯗꯥꯏꯗꯥ ꯕ꯭ꯂꯣꯛ ꯇꯧꯕꯒꯦ ꯑꯃꯁꯨꯡ ꯀ꯭ꯂꯣꯠ ꯑꯗꯨ ꯀꯌꯥꯝ ꯆꯥꯎꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯁꯤꯜꯂꯤ꯫
• (ꯁꯤ.ꯇꯤ.ꯑꯦ. - ꯀꯝꯞꯌꯨꯇꯔꯥꯏꯖꯗ ꯇꯣꯃꯣꯒ꯭ꯔꯥꯐꯤ ꯑꯦꯟꯖꯤꯑꯣꯒ꯭ꯔꯥꯐꯤ): ꯃꯁꯤ ꯁꯤ.ꯇꯤ.ꯁ꯭ꯀꯦꯅꯒꯥ ꯃꯥꯟꯅꯩ, ꯑꯗꯨꯕꯨ ꯃꯁꯤꯅꯥ ꯏꯒꯤ ꯈꯣꯡꯖꯦꯂꯁꯤꯡꯗꯥ ꯑꯀꯛꯅꯅꯥ ꯌꯦꯡꯏ꯫ ꯃꯁꯤ ꯗꯥꯏꯑꯦꯠ ꯑꯃꯥ ꯏꯅꯖꯦꯀꯁꯟ ꯇꯧꯗꯨꯅꯥꯁꯨ ꯇꯧꯏ꯫
• (MRA - ꯃꯦꯒ꯭ꯅꯦꯇꯤꯛ ꯔꯤꯖꯣꯅꯦꯟꯁ ꯑꯦꯟꯖꯤꯑꯣꯒ꯭ꯔꯥꯐꯤ): ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯂꯁꯤꯡ ꯌꯦꯡꯁꯤꯟꯅꯕꯥ ꯑꯦꯝ.ꯑꯥꯔ.ꯑꯥꯏ.

ꯍꯥꯌꯔꯤꯕꯥ ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯀꯟꯗꯤꯁꯟ (ꯑꯦ.ꯑꯦꯁ.ꯚꯤ.ꯇꯤ.) ꯑꯁꯤ ꯂꯩꯕ꯭ꯔꯥ, ꯀꯗꯥꯏꯗꯥ ꯂꯩꯕꯒꯦ ꯑꯃꯁꯨꯡ ꯀꯌꯥ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯆꯨꯝꯅꯥ ꯈꯉꯗꯣꯀꯄꯥ ꯉꯃꯒꯅꯤ꯫

(ꯑꯦ.ꯑꯦꯁ.ꯚꯤ.ꯇꯤ.)ꯒꯤ ꯂꯥꯏꯌꯦꯡꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?

ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯥ ꯋꯥꯐꯃꯗꯤ, ꯑꯦ.ꯑꯦꯁ.ꯚꯤ.ꯇꯤ.ꯒꯤ ꯏꯐꯦꯛꯇꯤꯕ ꯑꯣꯏꯕꯥ ꯂꯥꯌꯦꯡꯁꯤꯡ ꯂꯩꯔꯤ꯫ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯂꯥꯏꯌꯦꯡ ꯑꯁꯤ ꯊ꯭ꯔꯣꯝꯕꯣꯂꯥꯏꯁꯤꯁ ꯅꯠꯠꯔꯒꯥ ꯊ꯭ꯔꯣꯝꯕꯣꯂꯥꯏꯇꯤꯛ ꯊꯦꯔꯥꯄꯤ ꯍꯥꯌꯅꯥ ꯀꯧꯏ .

ꯃꯁꯤꯗꯥ ꯏ ꯊꯣꯀꯄꯥ ꯌꯥꯕꯥ ꯍꯤꯗꯥꯛ ꯑꯃꯥ ꯏꯅꯖꯦꯀꯁꯟ ꯇꯧꯕꯥ ꯑꯃꯁꯨꯡ ꯃꯗꯨꯕꯨ, ꯃꯃꯥꯡꯗꯥ ꯄꯅꯈ꯭ꯔꯤꯕꯥ ꯃꯇꯨꯡ ꯏꯟꯅꯥ, ꯏꯒꯤ ꯈꯣꯡꯖꯦꯜ ꯑꯗꯨ ꯑꯄꯤꯀꯄꯥ ꯇꯤꯎꯕ (ꯀꯦꯇꯦꯇꯔ) ꯑꯃꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯍꯀꯊꯦꯡꯅꯅꯥ ꯂꯩꯕꯥ ꯚꯦꯅꯝ ꯑꯗꯨꯗꯥ ꯂꯧꯊꯣꯀꯄꯥ ꯌꯥꯎꯏ꯫ ꯃꯁꯤꯅꯥ ꯕ꯭ꯂꯗ ꯀ꯭ꯂꯣꯠ ꯑꯗꯨ ꯁꯣꯟꯊꯍꯜꯂꯤ ꯑꯃꯁꯨꯡ ꯚꯦꯅꯝ ꯑꯗꯨꯗꯥ ꯏꯒꯤ ꯈꯣꯡꯖꯦꯜ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯄꯨꯔꯀꯏ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯃꯁꯤꯒꯤ (ꯊ꯭ꯔꯣꯝꯕꯣꯂꯥꯏꯁꯤꯁ) ꯂꯥꯌꯦꯡ ꯑꯁꯤꯒꯥ ꯂꯣꯌꯅꯅꯥ (ꯊ꯭ꯔꯣꯝꯕꯦꯛꯇꯣꯃꯤ) ꯀꯧꯕꯥ ꯄꯣꯠꯁꯛ ꯑꯃꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯊꯣꯀꯏ꯫ ꯍꯥꯌꯕꯗꯤ ꯏꯒꯤ ꯈꯣꯡꯖꯦꯜ ꯑꯗꯨ ꯃꯦꯀꯥꯅꯤꯀꯦꯜ ꯑꯣꯏꯅꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯄꯤꯀꯄꯥ ꯁꯔꯖꯔꯤꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯂꯧꯊꯣꯀꯄꯥ꯫

ꯂꯥꯏꯌꯦꯡꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ, ꯏ ꯊꯣꯀꯄꯥ ꯊꯤꯡꯅꯕꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ , ꯍꯥꯌꯕꯗꯤ ꯋꯥꯔꯐꯦꯔꯤꯟ ꯅꯠꯠꯔꯒꯥ ꯑꯇꯩ ꯃꯣꯗꯔꯟ ꯍꯤꯗꯥꯀꯁꯤꯡ ꯑꯁꯤ ꯊꯥ ꯀꯌꯥꯒꯤ ꯑꯣꯏꯅꯥ ꯄꯤꯒꯅꯤ, ꯃꯗꯨꯅꯥ ꯏꯒꯤ ꯈꯣꯡꯖꯦꯜ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯁꯦꯃꯒꯠꯂꯀꯄꯥ ꯊꯤꯡꯒꯅꯤ꯫ ꯍꯤꯗꯥꯛ ꯑꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯍꯥꯌꯔꯀꯄꯥ ꯃꯇꯝ ꯑꯗꯨ ꯆꯨꯝꯅꯥ ꯂꯧꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫

ꯃꯁꯤꯒꯤ ꯃꯊꯛꯇꯥ, ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯄꯥꯎꯇꯥꯀꯁꯤꯡ ꯑꯁꯤꯁꯨ ꯄꯤꯒꯅꯤ:

• ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯗꯨ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯍꯟꯊꯔꯛꯠꯔꯤꯐꯥꯎꯕꯥ ꯑꯁꯣꯀꯄꯥ ꯈꯨꯠ ꯑꯗꯨ ꯁꯤꯖꯤꯟꯅꯕꯥ ꯍꯟꯊꯍꯅꯒꯗꯕꯅꯤ꯫
• ꯌꯥꯔꯤꯕꯃꯈꯩ ꯅꯍꯥꯛꯀꯤ ꯈꯨꯠꯁꯥ ꯑꯗꯨ ꯈꯔꯥ ꯋꯥꯡꯈꯠꯄꯥ (arm elevations) ꯊꯝꯃꯨ꯫
• ꯐꯤꯖꯤꯀꯦꯜ ꯊꯦꯔꯥꯄꯤ ꯇꯧꯕꯥ꯫ꯌꯦꯡꯎ꯫ ꯃꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯨꯠꯇꯥ ꯆꯠꯊꯣꯛ-ꯆꯠꯁꯤꯟ ꯑꯃꯁꯨꯡ ꯄꯥꯉ꯭ꯒꯜ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯐꯪꯍꯅꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯒꯅꯤ꯫
• ꯁꯣꯀꯍꯜꯂꯕꯥ ꯃꯈꯨꯠ ꯑꯗꯨꯗꯥ ꯀꯝꯞꯔꯦꯁꯟ ꯁ꯭ꯂꯤꯚ (ꯇꯥꯏꯠ ꯁꯣꯛ ꯑꯃꯒꯨꯝꯅꯥ) ꯑꯃꯥ ꯁꯤꯖꯤꯟꯅꯧ꯫ ꯃꯁꯤꯅꯥ ꯁꯣꯛ-ꯄꯅꯕꯥ ꯍꯟꯊꯍꯅꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯒꯅꯤ ꯑꯃꯁꯨꯡ ꯕ꯭ꯂꯗ ꯁꯔꯀꯨꯂꯦꯁꯟ ꯐꯒꯠꯍꯅꯒꯅꯤ꯫

ꯁꯔꯖꯔꯤ ꯇꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯔꯥ?

ꯀꯦꯁ ꯈꯔꯗꯗꯤ, ꯍꯣꯌ꯫ ꯕ꯭ꯂꯣꯀꯦꯖ ꯑꯗꯨ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯂꯧꯊꯣꯛꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯏꯒꯤ ꯈꯣꯡꯖꯦꯜ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯁꯦꯝꯕꯒꯤ ꯔꯤꯁ꯭ꯛ ꯍꯟꯊꯍꯟꯅꯕꯥ ꯁꯔꯖꯔꯤ ꯇꯧꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯒꯤ ꯁꯔꯖꯔꯤ ꯑꯁꯤꯅꯥ ꯕ꯭ꯂꯣꯀꯦꯖ ꯑꯗꯨ ꯂꯧꯊꯣꯀꯄꯥ ꯌꯥꯎꯏ꯫ ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯑꯍꯥꯅꯕꯥ ꯔꯤꯕꯅꯒꯤ ꯁꯔꯨꯛ ꯑꯃꯥ ꯅꯠꯠꯔꯒꯥ ꯕ꯭ꯂꯣꯀꯦꯖ ꯊꯣꯀꯍꯜꯂꯤꯕꯥ ꯃꯅꯥ-ꯃꯁꯤꯡꯒꯤ ꯁꯔꯨꯛ ꯑꯃꯥ ꯂꯧꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯅꯥ ꯚꯦꯅꯝ ꯑꯗꯨꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯏ ꯅꯤꯡꯊꯤꯅꯥ ꯆꯦꯅꯕꯥ ꯉꯃꯍꯜꯂꯤ꯫

(ꯑꯦ.ꯑꯦꯁ.ꯚꯤ.ꯇꯤ.)ꯒꯤ ꯆꯥꯎꯈꯠꯄꯥ ꯊꯤꯡꯅꯕꯥ ꯑꯩꯈꯣꯌꯅꯥ ꯀꯔꯤ ꯇꯧꯕꯥ ꯌꯥꯕꯒꯦ?

ꯃꯁꯤ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯊꯤꯡꯕꯥ ꯉꯃꯗ꯭ꯔꯕꯁꯨ, ꯔꯤꯁ꯭ꯛ ꯍꯟꯊꯍꯟꯅꯕꯥ ꯑꯩꯈꯣꯌꯅꯥ ꯇꯧꯕꯥ ꯌꯥꯕꯥ ꯊꯕꯛ ꯀꯌꯥ ꯂꯩꯔꯤ:

• ꯃꯇꯝ ꯄꯨꯝꯅꯃꯛꯇꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯨꯠꯁꯥꯗꯥ ꯂꯩꯕꯥ ꯃꯁꯂꯁꯤꯡ ꯑꯗꯨ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯆꯠꯂꯨ ꯑꯃꯁꯨꯡ ꯁ꯭ꯠꯔꯦꯁꯒꯨꯝꯕꯥ ꯑꯦꯛꯁꯔꯁꯥꯏꯖꯁꯤꯡ ꯄꯥꯡꯊꯣꯀꯎ .
• ꯃꯇꯝ ꯄꯨꯝꯅꯃꯛꯇꯥ ꯅꯍꯥꯛꯀꯤ ꯃꯁꯂꯁꯤꯡ ꯑꯗꯨ ꯍꯦꯟꯅꯥ ꯊꯕꯛ ꯇꯧꯔꯣꯏꯗꯕꯅꯤ .
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯔꯨꯝꯕꯥ ꯋꯥꯡꯈꯠꯂꯛꯂꯤꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯅꯥ ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯇꯧꯔꯕꯗꯤ, ꯃꯔꯛꯇꯥ ꯈꯔꯥ ꯅꯨꯡꯉꯥꯏꯅꯥ ꯂꯩꯌꯨ .
• ꯌꯥꯔꯤꯕꯃꯈꯩ, ꯅꯍꯥꯛꯀꯤ ꯅꯟ-ꯗꯣꯃꯤꯅꯦꯟꯇ ꯑꯥꯔꯝ ꯑꯗꯨꯒꯥ ꯊꯕꯛ ꯇꯧꯅꯕꯥ ꯍꯣꯠꯅꯧ . (ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯃꯖꯤꯡ-ꯂꯃꯇꯥꯀꯄꯥ ꯑꯣꯏꯔꯕꯗꯤ, ꯌꯥꯔꯤꯕꯃꯈꯩ ꯅꯍꯥꯛꯀꯤ ꯂꯦꯡꯖꯨꯝ ꯑꯗꯨ ꯁꯤꯖꯤꯟꯅꯧ)꯫

ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯐꯤꯚꯝ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯑꯣꯏꯒꯅꯤ?

ASVTꯅꯥ ꯅꯥꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯌꯥꯝꯕꯅꯥ ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯌꯥꯝꯅꯥ ꯐꯩ꯫ ꯁ꯭ꯇꯗꯤꯁꯤꯡꯅꯥ ꯇꯥꯛꯂꯤ ꯃꯗꯨꯗꯤ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯂꯥꯌꯅꯥ ꯑꯁꯤ ꯉꯟꯅꯥ ꯈꯉꯗꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯂꯥꯌꯦꯡꯂꯕꯗꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯍꯧꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯹꯰%ꯗꯒꯤ ꯹꯵% ꯐꯥꯑꯣꯕꯒꯤ ꯃꯥꯌ ꯄꯥꯀꯄꯒꯤ ꯆꯥꯡ ꯂꯩ .

ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯃꯤꯑꯣꯏ ꯈꯔꯗꯗꯤ ꯄꯣꯁ꯭ꯠ-ꯊ꯭ꯔꯣꯝꯕꯣꯇꯤꯛ ꯁꯤꯟꯗꯣꯝ (PTS) ꯀꯧꯕꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯟ ꯑꯃꯥ ꯂꯥꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯗꯥ, ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯅꯥꯕꯥ, ꯑꯔꯨꯝꯕꯥ ꯋꯥꯠꯄꯥ, ꯑꯃꯁꯨꯡ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯍꯜꯂꯕꯥ ꯃꯈꯨꯠ ꯑꯗꯨꯗꯥ ꯁꯣꯛ-ꯄꯅꯕꯥ ꯑꯁꯤꯅꯆꯤꯡꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯂꯦꯡꯗꯅꯥ ꯂꯩꯕꯥ ꯌꯥꯏ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯃꯇꯨꯡꯗꯁꯨ ꯗꯣꯛꯇꯔꯒꯤ ꯏꯅꯁ꯭ꯠꯔꯛꯁꯅꯁꯤꯡ ꯉꯥꯛꯅꯥ ꯆꯠꯄꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫

ꯑꯩꯈꯣꯌꯅꯥ ꯀꯗꯥꯌꯗꯥ ꯌꯥꯔꯤꯕꯃꯈꯩ ꯊꯨꯅꯥ ꯗꯣꯛꯇꯔꯒꯥ ꯎꯅꯒꯗꯒꯦ?

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ASVTꯒꯤ ꯑꯍꯥꯅꯕꯥ ꯂꯥꯏꯑꯣꯡ ꯑꯃꯠꯇꯥ ꯎꯕꯥ ꯐꯪꯂꯕꯗꯤ, ꯈꯨꯗꯛꯇꯥ ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯄꯥꯎꯇꯥꯛ ꯂꯧꯕꯤꯌꯨ . ꯃꯔꯨꯑꯣꯏꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯍꯦꯛꯇꯕꯨ ꯊꯦꯡꯅꯔꯕꯗꯤ ꯊꯦꯡꯊꯒꯅꯨ:

• ꯈꯣꯡꯗꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯄꯥ꯫
• ꯃꯈꯨꯠ ꯅꯠꯠꯔꯒꯥ ꯈꯣꯡ ꯑꯅꯤꯃꯛꯇꯥ ꯁꯣꯟꯊꯕꯥ꯫
• ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ (dyspnea) .

ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯄꯂꯃꯣꯅꯥꯔꯤ ꯑꯦꯝꯕꯣꯂꯤꯖꯝ (PE)ꯒꯨꯝꯕꯥ ꯈꯨꯗꯣꯡꯊꯤꯅꯤꯉꯥꯏ ꯑꯣꯏꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯒꯤ ꯈꯨꯗꯃꯁꯤꯡ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫

(ASVT) ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯣꯏꯔꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯗꯣꯛꯇꯔꯗꯥ ꯀꯔꯤ ꯋꯥꯍꯪ ꯍꯪꯒꯗꯒꯦ?

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯀꯄꯨ ASVT ꯂꯩꯔꯦ ꯍꯥꯌꯅꯥ ꯍꯥꯌꯔꯕꯗꯤ, ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯋꯥꯍꯪꯁꯤꯡ ꯑꯁꯤ ꯍꯪꯕꯁꯤ ꯑꯐꯕꯥ ꯋꯥꯈꯜꯂꯣꯟ ꯑꯃꯅꯤ:

• ꯑꯩꯒꯤ ꯏ ꯊꯣꯀꯄꯒꯤ ꯔꯤꯁ꯭ꯛ ꯍꯟꯊꯍꯟꯅꯕꯥ ꯑꯩꯅꯥ ꯀꯔꯤ ꯄꯨꯟꯁꯤ ꯃꯍꯤꯡꯗꯥ ꯑꯍꯣꯡꯕꯥ ꯄꯨꯔꯀꯄꯥ ꯌꯥꯕꯒꯦ?
• ꯑꯩꯅꯥ ꯃꯈꯥ ꯇꯥꯅꯥ ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯇꯧꯕꯥ ꯑꯃꯁꯨꯡ ꯃꯦꯅꯨꯑꯦꯜ ꯂꯦꯕꯔ ꯇꯧꯕꯥ ꯌꯥꯕ꯭ꯔꯥ?
• ꯏꯒꯤ ꯈꯣꯡꯖꯦꯜ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯁꯦꯃꯒꯠꯂꯀꯄꯥ ꯊꯤꯡꯅꯕꯥ ꯑꯩꯅꯥ ꯀꯔꯤ ꯇꯧꯕꯥ ꯌꯥꯕꯒꯦ?
• ꯏ ꯊꯤꯡꯖꯤꯅꯕꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ ꯃꯇꯝ ꯀꯌꯥ ꯂꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯒꯦ?

ꯅꯤꯡꯁꯤꯡꯒꯗꯕꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯋꯥꯐꯝ (ꯇꯦꯛ-ꯍꯣꯝ ꯃꯦꯁꯦꯖ)

ꯑꯩꯍꯥꯛꯅꯥ ꯑꯥꯁꯥ ꯇꯧꯔꯤ ꯃꯗꯨꯗꯤ ꯍꯧꯖꯤꯛ ꯑꯩꯈꯣꯌꯅꯥ ꯉꯁꯤ ꯈꯟꯅꯈꯤꯕꯥ (ꯑꯦꯛꯁꯤꯂꯣ-ꯁꯕꯛꯂꯦꯚꯤꯌꯟ ꯚꯦꯟ ꯊ꯭ꯔꯣꯝꯕꯣꯁꯤꯁ - ꯑꯦ.ꯑꯦꯁ.ꯚꯤ.ꯇꯤ.) ꯑꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯍꯦꯟꯅꯥ ꯈꯉꯕꯥ ꯉꯝꯂꯦ꯫ ꯈꯪꯖꯤꯅꯒꯗꯕꯥ ꯑꯃꯅꯥ:

• (ASVT) ꯍꯥꯌꯕꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯈꯨꯠꯁꯥ ꯅꯠꯠꯔꯒꯥ ꯈꯣꯡꯗꯥ ꯑꯆꯧꯕꯥ ꯚꯦꯅꯝ ꯑꯃꯗꯥ ꯏ ꯊꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯑꯣꯏ꯫
• ꯃꯁꯤ ꯑꯌꯥꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯊꯣꯀꯏ ꯃꯔꯃꯗꯤ ꯈꯨꯠ ꯑꯁꯤ ꯂꯦꯞꯇꯅꯥ, ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯁꯤꯖꯤꯟꯅꯕꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯊꯣꯀꯏ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯈꯪꯍꯧꯗꯅꯥ ꯁꯣꯀꯄꯥ, ꯁꯣꯀꯄꯥ, ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯈꯨꯠꯁꯥꯗꯥ ꯅꯤꯜ ꯈꯣꯡꯕꯥ ꯑꯁꯤꯅꯆꯤꯡꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯂꯩꯔꯕꯗꯤ ꯅꯍꯥꯛꯅꯥ ꯃꯁꯤ ꯆꯤꯡꯅꯕꯥ ꯌꯥꯏ꯫
• ꯊ꯭ꯔꯣꯝꯕꯣꯂꯥꯏꯁꯤꯁ (ꯏꯒꯤ ꯈꯣꯡ ꯍꯥꯝꯅꯕꯥ ꯍꯤꯗꯥꯛ) ꯑꯃꯁꯨꯡ ꯊ꯭ꯔꯣꯝꯕꯦꯛꯇꯣꯃꯤ (ꯏꯒꯤ ꯈꯣꯡꯎꯞ ꯂꯧꯊꯣꯀꯄꯥ) ꯑꯁꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯂꯥꯏꯌꯦꯡꯅꯤ꯫
• ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯋꯥꯐꯃꯗꯤ ꯂꯥꯌꯅꯥ ꯑꯁꯤ ꯇꯣꯏꯅꯥ ꯈꯪꯗꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯂꯥꯏꯌꯦꯡ ꯍꯧꯕꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯇꯧꯔꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯐꯒꯠꯂꯀꯄꯒꯤ ꯆꯥꯡ ꯌꯥꯝꯅꯥ ꯍꯦꯟꯅꯥ ꯐꯩ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯂꯩꯔꯕꯗꯤ, ꯀꯤꯒꯅꯨ ꯑꯃꯁꯨꯡ ꯊꯦꯡꯊꯕꯥ ꯂꯩꯇꯅꯥ ꯗꯣꯛꯇꯔ ꯑꯃꯒꯥ ꯇꯥꯟꯅꯧ꯫ ꯍꯀꯆꯥꯡ ꯐꯅꯥ ꯂꯩꯌꯨ!