ꯕꯤ.ꯑꯦꯟ.ꯄꯤ.ꯒꯤ ꯇꯦꯁ꯭ꯇꯀꯤ ꯃꯇꯥꯡꯗꯥ ꯈꯉꯂꯁꯤ? ꯅꯍꯥꯛꯀꯤ ꯊꯝꯃꯣꯌꯒꯤ ꯋꯥꯔꯤ (ꯕꯤ-ꯇꯥꯏꯞ ꯅꯦꯠꯔꯤꯌꯨꯔꯦꯇꯤꯛ ꯄꯦꯄꯇꯤꯗ ꯇꯦꯁ꯭ꯠ)

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯈꯣꯡꯅꯥ ꯆꯠꯄꯥ ꯃꯇꯃꯗꯁꯨ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ ꯊꯦꯡꯅꯕ꯭ꯔꯥ? ꯅꯠꯠꯔꯒꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡ ꯑꯗꯨ ꯁꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯅꯥ ꯁꯨꯞꯅꯒꯤ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯐꯥꯎꯕ꯭ꯔꯥ? ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯂꯩꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ BNP ꯀꯧꯕꯥ ꯕ꯭ꯂꯗ ꯇꯦꯁ꯭ꯠ ꯑꯃꯥ ꯇꯧꯅꯕꯥ ꯄꯥꯎꯇꯥꯛ ꯄꯤꯕꯥ ꯌꯥꯏ꯫ ꯃꯤꯑꯣꯏ ꯀꯌꯥ ꯑꯃꯅꯥ ꯃꯤꯡ ꯑꯁꯤ ꯇꯥꯕꯗꯥ ꯈꯔꯥ ꯂꯥꯡꯇꯛꯅꯩ, ꯃꯔꯃꯗꯤ ꯃꯈꯣꯌꯅꯥ ꯃꯁꯤ ꯀꯔꯤꯅꯣ ꯍꯥꯌꯕꯗꯨ ꯇꯁꯦꯡꯅꯥ ꯈꯉꯗꯦ꯫ ꯑꯗꯨꯕꯨ ꯇꯁꯦꯡꯅꯥ ꯀꯔꯤꯅꯣ? ꯃꯁꯤꯅꯥ ꯀꯔꯤ ꯈꯪꯗꯣꯀꯄꯒꯦ? ꯃꯁꯤ ꯄꯨꯝꯅꯃꯛ ꯑꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ, ꯑꯗꯣꯝꯅꯥ ꯈꯉꯕꯥ ꯉꯝꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯁꯤ꯫

ꯕꯤ.ꯑꯦꯟ.ꯄꯤ.ꯅꯥ ꯇꯁꯦꯡꯅꯥ ꯀꯔꯤꯅꯣ?

ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯕꯤ.ꯑꯦꯟ.ꯄꯤ.ꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯊꯝꯃꯣꯌꯅꯥ ꯄꯨꯊꯣꯀꯄꯥ ꯄ꯭ꯔꯣꯇꯤꯟ ꯑꯃꯅꯤ꯫ ꯕꯤ.ꯑꯦꯟ.ꯄꯤ.ꯅꯥ ꯕꯤ-ꯇꯥꯏꯞ ꯅꯦꯠꯔꯤꯌꯨꯔꯦꯇꯤꯛ ꯄꯦꯄꯇꯤꯗ ꯍꯥꯌꯕꯅꯤ꯫ ꯑꯗꯨꯕꯨ ꯃꯤꯑꯣꯏ ꯈꯔꯅꯥ ꯃꯁꯤꯕꯨ "ꯕ꯭ꯔꯦꯟ" ꯅꯦꯠꯔꯤꯌꯨꯔꯦꯇꯤꯛ ꯄꯦꯄꯇꯤꯗ ꯍꯥꯌꯅꯥꯁꯨ ꯀꯧꯏ꯫ ꯃꯔꯃꯗꯤ ꯁꯥꯏꯟꯇꯤꯁ꯭ꯇꯁꯤꯡꯅꯥ ꯑꯍꯥꯅꯕꯥ ꯑꯣꯏꯅꯥ ꯕ꯭ꯔꯦꯟ ꯇꯤꯁ꯭ꯌꯨꯗꯥ ꯄ꯭ꯔꯣꯇꯤꯟ ꯑꯁꯤ ꯊꯤꯗꯣꯀꯈꯤꯕꯅꯤ꯫ ꯑꯗꯨꯕꯨ ꯃꯇꯨꯡꯗꯥ ꯈꯉꯂꯀꯈꯤ ꯃꯗꯨꯗꯤ ꯃꯁꯤ ꯃꯔꯨꯑꯣꯏꯅꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯊꯝꯃꯣꯌꯅꯥ ꯄꯨꯊꯣꯀꯏ, ꯃꯔꯨꯑꯣꯏꯅꯥ ꯂꯦꯐꯠ ꯚꯦꯟꯇꯤꯂꯦꯇꯔꯅꯥ ꯄꯨꯊꯣꯀꯏ꯫

ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯑꯁꯤꯒꯨꯝꯅꯥ ꯈꯅꯕꯤꯌꯨ꯫ ꯅꯍꯥꯛꯀꯤ ꯊꯝꯃꯣꯌ ꯑꯁꯤ ꯂꯦꯞꯄꯥ ꯂꯩꯇꯅꯥ ꯊꯕꯛ ꯇꯧꯕꯥ ꯄꯝꯄ ꯑꯃꯒꯨꯝꯅꯥ ꯂꯩ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯄꯝꯄ ꯑꯁꯤꯅꯥ ꯍꯦꯟꯅꯥ ꯀꯟꯅꯥ ꯍꯣꯠꯅꯒꯗꯕꯅꯤ꯫ ꯍꯥꯌꯕꯗꯤ ꯍꯥꯔꯇꯀꯤ ꯃꯁꯜ ꯑꯗꯨ ꯀꯟꯠꯔꯦꯛꯇ ꯇꯧꯕꯥ ꯍꯧꯔꯀꯏ꯫ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯁꯤꯡ ꯑꯁꯤꯗꯥ ꯍꯥꯔꯇꯅꯥ BNP ꯀꯧꯕꯥ ꯄ꯭ꯔꯣꯇꯤꯟ ꯑꯁꯤ ꯏꯗꯥ ꯊꯥꯗꯣꯀꯏ꯫

ꯍꯥꯌꯔꯤꯕꯥ ꯕꯤ.ꯑꯦꯟ.ꯄꯤ.ꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯑꯉꯀꯄꯥ ꯊꯕꯛ ꯈꯔꯥ ꯇꯧꯕꯥ ꯉꯃꯒꯅꯤ:

• ꯃꯈꯣꯌꯅꯥ ꯀꯤꯗꯅꯤꯁꯤꯡꯗꯥ ꯁꯤꯒꯅꯦꯜ ꯇꯧꯏ, "ꯍꯀꯆꯥꯡꯗꯥ ꯂꯣꯟ ꯑꯃꯁꯨꯡ ꯏꯁꯤꯡ ꯈꯔꯥ ꯍꯦꯟꯅꯥ ꯂꯩ, ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯃꯈꯣꯌꯕꯨ ꯌꯨꯔꯤꯅꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯂꯧꯊꯣꯀꯎ꯫"
• ꯃꯁꯤꯅꯥ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯂꯁꯤꯡꯗꯥ "ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ ꯍꯥꯡꯗꯣꯀꯄꯥ (ꯗꯤꯂꯦꯠ ​​ꯇꯧꯕꯥ) ꯍꯥꯌꯕꯁꯤꯁꯨ ꯍꯥꯌꯔꯤ, ꯃꯁꯤꯅꯥ ꯏ ꯍꯦꯟꯅꯥ ꯐꯖꯅꯥ ꯆꯦꯅꯕꯥ ꯌꯥꯍꯜꯂꯤ꯫

ꯊꯧꯑꯣꯡ ꯑꯅꯤꯃꯛ ꯑꯁꯤꯅꯥ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ ꯍꯟꯊꯍꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯍꯥꯔꯇꯅꯥ ꯄꯝꯄ ꯇꯧꯒꯗꯕꯥ ꯏꯒꯤ ꯆꯥꯡ ꯍꯟꯊꯍꯅꯕꯥ ꯉꯝꯃꯤ꯫ ꯃꯁꯤꯅꯥ ꯊꯝꯃꯣꯌꯗꯥ ꯊꯕꯛ ꯁꯨꯕꯒꯤ ꯆꯥꯡ ꯍꯟꯊꯍꯜꯂꯤ, ꯃꯁꯤꯅꯥ ꯇꯥꯀꯄꯗꯤ ꯃꯁꯤꯅꯥ ꯍꯦꯟꯅꯥ ꯀꯟꯅꯥ ꯍꯣꯠꯅꯒꯗꯕꯅꯤ꯫ ꯑꯗꯨꯅꯥ ꯕꯤ.ꯑꯦꯟ.ꯄꯤ.ꯅꯥ ꯊꯝꯃꯣꯌꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯂꯤꯕꯥ ꯃꯔꯨꯞ ꯑꯃꯒꯨꯝꯕꯅꯤ꯫

ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯏꯗꯥ ꯂꯩꯕꯥ BNPꯒꯤ ꯆꯥꯡ ꯑꯗꯨ ꯅꯣꯔꯃꯦꯂꯗꯒꯤ ꯌꯥꯝꯅꯥ ꯍꯦꯜꯂꯕꯗꯤ , ꯃꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯁꯤꯒꯅꯦꯜ ꯑꯃꯥ ꯄꯤ꯫ ꯍꯥꯌꯕꯗꯤ "ꯅꯍꯥꯛꯀꯤ ꯊꯝꯃꯣꯌ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯋꯥꯅꯥ ꯊꯣꯛꯂꯤ꯫" ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯑꯌꯥꯝꯕꯗꯤ ꯍꯥꯔꯠ ꯐꯦꯜ ꯑꯣꯏꯕꯗꯥ ꯎꯕꯥ ꯐꯪꯏ꯫

ꯂꯦꯕ ꯈꯔꯅꯥ ꯑꯦꯟ.ꯇꯤ.-ꯄ꯭ꯔꯣꯕꯤ.ꯑꯦꯟ.ꯄꯤ . ꯑꯅꯤꯃꯛꯅꯥ ꯃꯥꯟꯅꯕꯥ ꯏꯅꯐꯣꯔꯃꯦꯁꯟ ꯄꯤꯔꯤ, ꯑꯗꯨꯕꯨ ꯅꯣꯔꯃꯦꯜ ꯔꯦꯟꯖꯁꯤꯡꯗꯤ ꯇꯣꯉꯥꯜꯂꯤ꯫

ꯀꯔꯤꯒꯤꯗꯃꯛꯇꯥ ꯗꯣꯛꯇꯔ ꯑꯃꯅꯥ ꯕꯤ.ꯑꯦꯟ.ꯄꯤ.ꯒꯤ ꯇꯦꯁ꯭ꯠ ꯑꯁꯤ ꯔꯤꯀꯃꯦꯟꯗ ꯇꯧꯒꯅꯤ?

ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯇꯦꯁ꯭ꯠ ꯑꯁꯤ ꯔꯤꯀꯃꯦꯟꯗ ꯇꯧꯔꯀꯄꯒꯤ ꯃꯔꯝ ꯀꯌꯥ ꯂꯩꯕꯥ ꯌꯥꯏ꯫

• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯍꯥꯔꯠ ꯐꯦꯜ ꯑꯣꯏꯕꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯂꯩꯔꯕꯗꯤ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ, ꯂꯦꯞꯇꯅꯥ ꯋꯥꯈꯜ ꯇꯥꯗꯕꯥ, ꯈꯣꯡ ꯑꯃꯁꯨꯡ ꯈꯣꯡꯄꯥꯛ ꯁꯣꯀꯄꯥ ꯑꯁꯤꯅꯆꯤꯡꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯂꯩꯔꯕꯗꯤ, ꯇꯦꯁ꯭ꯠ ꯑꯁꯤꯅꯥ ꯃꯔꯝ ꯑꯗꯨ ꯍꯥꯔꯇꯀꯤ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯅꯠꯠꯔꯒꯥ ꯂꯪꯁꯀꯤ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯑꯣꯏꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯈꯪꯗꯣꯛꯅꯕꯥ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯍꯥꯟꯅꯅꯥ ꯍꯥꯔꯇꯀꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯥ ꯂꯩꯔꯕꯗꯤ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯍꯥꯟꯅꯅꯥ ꯍꯥꯔꯇꯀꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯥ ꯂꯩꯔꯦ ꯍꯥꯌꯅꯥ ꯈꯪꯂꯕꯗꯤ, ꯇꯦꯁ꯭ꯠ ꯑꯁꯤꯅꯥ ꯃꯁꯤꯒꯤ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯃꯑꯣꯡ ꯑꯗꯨ ꯑꯦꯁꯦꯁ ꯇꯧꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫
• ꯂꯥꯏꯌꯦꯡ ꯑꯗꯨ ꯃꯥꯌꯄꯥꯛꯅꯥ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯎ:ꯃꯁꯤꯒꯤ ꯕꯤ.ꯑꯦꯟ.ꯄꯤ.ꯒꯤ ꯊꯥꯛ ꯑꯁꯤ ꯅꯍꯥꯛꯅꯥ ꯄꯤꯔꯤꯕꯥ ꯍꯤꯗꯥꯛ ꯑꯗꯨꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯥꯔꯇꯇꯥ ꯄ꯭ꯔꯦꯁꯔ ꯍꯟꯊꯍꯅꯕ꯭ꯔꯥ ꯑꯃꯁꯨꯡ ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯊꯧꯔꯥꯡ ꯑꯗꯨꯅꯥ ꯊꯕꯛ ꯑꯣꯏꯅꯥ ꯄꯥꯡꯊꯣꯛꯂꯤꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨꯁꯨ ꯌꯦꯡꯁꯤꯜꯂꯤ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯔꯤꯁ꯭ꯛ ꯂꯩꯔꯕꯗꯤ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯍꯥꯔꯇꯀꯤ ꯂꯥꯌꯅꯥꯒꯤ ꯔꯤꯁ꯭ꯛ ꯋꯥꯡꯕꯥ ꯑꯣꯏꯔꯕꯗꯤ (ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯗꯥꯏꯑꯦꯕꯦꯇꯤꯖ ꯅꯠꯠꯔꯒꯥ ꯍꯥꯏ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔꯒꯨꯝꯕꯥ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ ꯂꯩꯕꯥ) ꯇꯦꯁ꯭ꯠ ꯑꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯍꯥꯔꯇꯀꯤ ꯍꯀꯁꯦꯂꯒꯤ ꯋꯥꯈꯜꯂꯣꯟ ꯑꯃꯥ ꯂꯧꯅꯕꯒꯤꯗꯃꯛꯇꯁꯨ ꯇꯧꯕꯥ ꯌꯥꯏ꯫

ꯕ꯭ꯂꯗ ꯇꯦꯁ꯭ꯠ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯇꯧꯕꯒꯦ? ꯃꯁꯤ ꯑꯀꯤꯕꯥ ꯄꯣꯀꯍꯅꯕꯥ ꯌꯥꯕꯥ ꯋꯥꯐꯝ ꯑꯃꯥ ꯑꯣꯏꯕꯔꯥ?

ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯂꯥꯏꯕꯛ ꯐꯕꯅꯤ꯫ ꯅꯉꯅꯥ ꯂꯥꯡꯇꯛꯅꯕꯒꯤ ꯃꯔꯝ ꯑꯃꯠꯇꯥ ꯂꯩꯇꯦ꯫ ꯃꯁꯤ ꯅꯣꯔꯃꯦꯜ ꯕ꯭ꯂꯗ ꯗ꯭ꯔꯣ ꯑꯃꯒꯨꯝꯅꯥ ꯇꯧꯏ꯫

ꯅꯔꯁ ꯅꯠꯠꯔꯒꯥ ꯗꯣꯛꯇꯔ ꯑꯃꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯨꯠꯁꯥꯗꯥ ꯂꯩꯕꯥ ꯚꯦꯅꯝ ꯑꯃꯥ ꯁꯦꯡꯗꯣꯛꯀꯅꯤ, ꯑꯄꯤꯀꯄꯥ ꯅꯤꯜ ꯑꯃꯥ ꯊꯥꯒꯅꯤ ꯑꯃꯁꯨꯡ ꯏꯒꯤ ꯆꯥꯡ ꯈꯔꯥ ꯂꯧꯒꯅꯤ꯫ ꯅꯤꯗꯜ ꯑꯗꯨ ꯊꯥꯗꯣꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯈꯔꯥ ꯁꯣꯀꯄꯥ ꯌꯥꯏ, ꯑꯗꯨꯕꯨ ꯃꯁꯤ ꯁꯦꯀꯦꯟꯗ ꯈꯔꯈꯛꯇꯗꯥ ꯂꯩꯒꯅꯤ꯫

ꯏ ꯂꯧꯊꯣꯛꯂꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯃꯐꯝ ꯑꯗꯨꯗꯥ ꯑꯄꯤꯀꯄꯥ ꯄ꯭ꯂꯥꯁ꯭ꯇꯔ ꯅꯠꯠꯔꯒꯥ ꯕꯦꯟꯗꯦꯖ ꯑꯃꯥ ꯊꯥꯏ꯫ ꯃꯐꯝ ꯑꯗꯨ ꯈꯔꯥ ꯁꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯅꯤꯡꯊꯤꯅꯥ ꯎꯕꯥ ꯐꯪꯏ, ꯑꯗꯨꯕꯨ ꯃꯁꯤ ꯅꯨꯃꯤꯠ ꯑꯃꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯅꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯃꯥꯡꯈꯤꯒꯅꯤ꯫ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯕ꯭ꯂꯗ ꯁꯦꯝꯄꯜ ꯑꯗꯨ ꯂꯦꯕꯣꯔꯦꯇꯔꯤ ꯑꯃꯗꯥ ꯊꯥꯗꯨꯅꯥ ꯅꯍꯥꯛꯀꯤ BNP ꯅꯠꯠꯔꯒꯥ NT-proBNPꯒꯤ ꯆꯥꯡ ꯑꯗꯨ ꯂꯦꯄꯀꯅꯤ꯫

ꯔꯤꯖꯜꯇ ꯐꯪꯕꯗꯥ ꯃꯇꯝ ꯀꯌꯥ ꯆꯪꯕꯒꯦ?

ꯃꯁꯤ ꯇꯦꯁ꯭ꯠ ꯑꯁꯤꯒꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯆꯥꯎꯕꯥ ꯀꯥꯟꯅꯕꯁꯤꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯅꯤ꯫ ꯃꯁꯤꯒꯤ ꯐꯂꯁꯤꯡ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯐꯪꯕꯥ ꯉꯝꯃꯤ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯑꯦꯃꯔꯖꯦꯟꯁꯤ ꯑꯃꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯏꯃꯔꯖꯦꯟꯁꯤ ꯗꯤꯄꯥꯔꯇꯃꯦꯟꯇ (ETU)ꯗꯥ ꯑꯦꯗꯃꯤꯠ ꯇꯧꯔꯕꯗꯤ, ꯃꯍꯧꯁꯥꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯔꯤꯖꯜꯇ ꯑꯁꯤ ꯃꯤꯅꯠ 15 ꯈꯛꯇꯗꯥ ꯐꯪꯕꯥ ꯌꯥꯏ . ꯃꯁꯤꯅꯥ ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯏꯃꯔꯖꯦꯟꯁꯤ ꯑꯃꯗꯥ ꯊꯨꯅꯥ ꯋꯥꯔꯦꯞ ꯂꯧꯕꯗꯥ ꯑꯆꯧꯕꯥ ꯃꯇꯦꯡ ꯑꯃꯅꯤ꯫

ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯍꯥꯟꯅꯅꯥ ꯍꯥꯔꯇꯀꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯥ ꯂꯩꯔꯕꯗꯤ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯂꯥꯏꯌꯦꯡꯒꯤ ꯄ꯭ꯔꯣꯒ꯭ꯔꯦꯁ ꯑꯗꯨ ꯌꯦꯡꯁꯤꯅꯕꯒꯨꯝꯕꯥ ꯇꯦꯁ꯭ꯠ ꯑꯁꯤ ꯔꯨꯇꯤꯟ ꯑꯣꯏꯅꯥ ꯄꯥꯡꯊꯣꯛꯂꯤꯕꯥ ꯑꯣꯏꯔꯕꯗꯤ, ꯔꯤꯖꯜꯇ ꯑꯗꯨ ꯍꯜꯂꯀꯄꯗꯥ ꯅꯨꯃꯤꯠ ꯑꯃꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯅꯤ ꯆꯪꯂꯕꯥ ꯌꯥꯏ꯫

ꯕꯤ.ꯑꯦꯟ.ꯄꯤ.ꯒꯤ ꯔꯤꯖꯜꯇ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯏꯟꯇꯔꯞꯔꯥꯏꯖ ꯇꯧꯒꯅꯤ? ‘ꯅꯣꯔꯃꯦꯜ’ ꯂꯦꯚꯦꯜ ꯑꯁꯤ ꯀꯔꯤꯅꯣ?

ꯃꯁꯤ ꯃꯤꯑꯣꯏ ꯀꯌꯥ ꯑꯃꯅꯥ ꯍꯪꯂꯀꯄꯥ ꯋꯥꯍꯪ ꯑꯃꯅꯤ꯫ ꯇꯦꯁ꯭ꯠ ꯑꯅꯤ ꯑꯁꯤꯒꯤ ꯆꯥꯡꯆꯠꯇꯥ ꯑꯣꯏꯕꯥ ꯚꯦꯜꯌꯨꯁꯤꯡ ꯑꯁꯤ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯇꯦꯕꯜ ꯑꯃꯗꯥ ꯌꯦꯡꯁꯤ꯫

ꯑꯗꯨꯕꯨ ꯃꯁꯤ ꯋꯥꯈꯂꯗꯥ ꯊꯝꯃꯨ꯫ ꯍꯥꯌꯔꯤꯕꯥ ꯚꯦꯜꯌꯨꯁꯤꯡ ꯑꯁꯤ ꯖꯦꯅꯔꯦꯜ ꯒꯥꯏꯗꯂꯥꯏꯟ ꯈꯛꯇꯅꯤ꯫ ꯍꯥꯌꯔꯤꯕꯥ ‘ꯅꯣꯔꯃꯦꯜ’ ꯚꯦꯜꯌꯨꯁꯤꯡ ꯑꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯆꯍꯤ, ꯑꯇꯩ ꯃꯦꯗꯤꯀꯦꯜ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ, ꯑꯃꯁꯨꯡ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯍꯀꯆꯥꯡꯒꯤ ꯑꯔꯨꯝꯕꯥ (ꯑꯣꯕꯦꯁꯤꯇꯤ)ꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ ꯈꯔꯥ ꯈꯦꯠꯅꯕꯥ ꯌꯥꯏ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔ ꯈꯛꯇꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯔꯤꯖꯜꯇꯁꯤꯡ ꯑꯗꯨ ꯑꯆꯨꯝꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯏꯟꯇꯔꯞꯔꯥꯏꯖ ꯇꯧꯕꯥ ꯉꯃꯒꯅꯤ꯫ ꯏꯁꯥꯒꯤ ꯋꯥꯔꯦꯞ ꯂꯧꯕꯗꯥ ꯏꯟꯇꯔꯅꯦꯇꯇꯥ ꯊꯥꯖꯕꯥ ꯊꯃꯒꯅꯨ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯕꯤ.ꯑꯦꯟ.ꯄꯤ.ꯒꯤ ꯆꯥꯡ ꯑꯁꯤ ‘ꯅꯣꯔꯃꯦꯜ’ꯗꯒꯤ ꯍꯦꯜꯂꯕꯗꯤ ꯃꯁꯤꯒꯤ ꯑꯔꯊ ꯀꯔꯤꯅꯣ?

BNPꯒꯤ ꯂꯦꯚꯦꯜ ꯋꯥꯡꯈꯠꯂꯀꯄꯅꯥ ꯑꯌꯥꯝꯕꯗꯤ ꯍꯥꯔꯇꯇꯥ ꯁ꯭ꯠꯔꯦꯟ ꯈꯔꯥ ꯂꯩ ꯍꯥꯌꯕꯥ ꯇꯥꯀꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ BNP ꯚꯦꯜꯌꯨ ꯑꯗꯨ 100 pg/mLꯗꯒꯤ ꯍꯦꯜꯂꯕꯗꯤ, ꯃꯁꯤ ꯍꯥꯔꯠ ꯐꯦꯜ ꯑꯣꯏꯕꯒꯤ ꯈꯨꯗꯝ ꯑꯃꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫

ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯕꯤ.ꯑꯦꯟ.ꯄꯤ.ꯒꯤ ꯂꯦꯚꯦꯜ ꯋꯥꯡꯈꯠꯂꯀꯄꯒꯤ ꯃꯔꯃꯗꯤ ꯃꯇꯝ ꯄꯨꯝꯅꯃꯛꯇꯥ ꯍꯥꯔꯠ ꯐꯦꯜ ꯑꯣꯏꯕꯅꯤ꯫ ꯃꯁꯤꯒꯤ ꯊꯥꯛ ꯑꯁꯤ ꯑꯇꯣꯞꯄꯥ ꯍꯀꯁꯦꯂꯒꯤ ꯈꯨꯗꯣꯡꯆꯥꯗꯕꯁꯤꯡꯅꯥ ꯃꯔꯃꯗꯁꯨ ꯋꯥꯡꯈꯠꯄꯥ ꯌꯥꯏ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯇꯦꯁ꯭ꯠ ꯑꯁꯤ ꯈꯛꯇꯗꯥ ꯌꯨꯝꯐꯝ ꯑꯣꯏꯔꯒꯥ ꯑꯆꯧꯕꯥ ꯋꯥꯔꯦꯞ ꯂꯧꯒꯅꯨ꯫

ꯕꯤ.ꯑꯦꯟ.ꯄꯤ.ꯒꯤ ꯆꯥꯡ ꯋꯥꯡꯈꯠꯂꯀꯄꯥ ꯌꯥꯕꯥ ꯑꯇꯣꯞꯄꯥ ꯃꯔꯃꯁꯤꯡꯗꯤ:

• ꯀ꯭ꯔꯣꯅꯤꯛ ꯀꯤꯗꯅꯤ ꯗꯤꯖꯤꯖ (Chronic Kidney Disease): ꯀꯤꯗꯅꯤꯁꯤꯡꯅꯥ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯊꯕꯛ ꯇꯧꯕꯥ ꯉꯃꯗꯕꯥ ꯃꯇꯃꯗꯥ, ꯍꯀꯆꯥꯡꯅꯥ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯂꯧꯊꯣꯀꯄꯥ ꯉꯃꯗꯕꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯏꯗꯥ BNPꯒꯤ ꯆꯥꯡ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ ꯌꯥꯏ꯫
• ꯑꯇꯩ ꯍꯥꯔꯇꯀꯤ ꯂꯥꯌꯅꯥꯁꯤꯡ: ꯍꯥꯔꯠ ꯐꯦꯜ ꯑꯣꯏꯕꯒꯤ ꯃꯊꯛꯇꯥ, ꯑꯇꯩ ꯍꯥꯔꯇꯀꯤ ꯀꯟꯗꯤꯁꯅꯁꯤꯡꯗꯁꯨ BNP ꯍꯦꯅꯒꯠꯂꯀꯄꯥ ꯌꯥꯏ꯫
• ꯂꯪꯁꯀꯤ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯃꯁꯤꯡ: ꯂꯪꯁꯇꯥ ꯏ ꯊꯣꯀꯄꯥ (pulmonary embolism) ꯅꯠꯠꯔꯒꯥ ꯂꯪꯁꯇꯥ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ ꯋꯥꯡꯕꯥ (pulmonary hypertension) ꯑꯁꯤꯅꯆꯤꯡꯕꯥ ꯀꯟꯗꯤꯁꯅꯁꯤꯡꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ BNPꯒꯤ ꯆꯥꯡ ꯑꯁꯤꯁꯨ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ ꯌꯥꯏ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯔꯤꯖꯜꯇ ꯑꯗꯨ ‘ꯑꯦꯕꯅꯣꯔꯃꯦꯜ’ ꯑꯣꯏꯔꯕꯗꯤ ꯃꯊꯪꯗꯥ ꯀꯔꯤ ꯑꯣꯏꯒꯅꯤ?

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ BNPꯒꯤ ꯂꯦꯚꯦꯜ ꯑꯗꯨ ꯋꯥꯡꯈꯠꯂꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯃꯁꯤꯕꯨ ꯁꯨꯞꯅꯒꯤ ꯄꯣꯠꯁꯛ ꯑꯃꯈꯛꯇꯅꯤ ꯍꯥꯌꯅꯥ ꯂꯧꯒꯅꯤ꯫ ꯃꯄꯨꯡ ꯐꯥꯕꯥ ꯋꯥꯐꯝ ꯑꯗꯨ ꯐꯪꯅꯕꯒꯤꯗꯃꯛ ꯃꯍꯥꯛꯅꯥ ꯍꯦꯟꯅꯥ ꯇꯦꯁ꯭ꯠ ꯇꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯒꯅꯤ꯫

ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯑꯁꯤ ꯔꯤꯀꯃꯦꯟꯗ ꯇꯧꯕꯥ ꯌꯥꯏ:

• ꯏꯂꯦꯛꯠꯔꯣꯀꯥꯔꯗꯤꯑꯣꯒ꯭ꯔꯥꯐ (EKG): ꯍꯥꯔꯇꯀꯤ ꯏꯂꯦꯛꯠꯔꯤꯀꯦꯜ ꯑꯦꯛꯇꯤꯚꯤꯇꯤ ꯑꯗꯨ ꯌꯦꯡꯁꯤꯜꯂꯤ꯫
• ꯏꯀꯣꯀꯥꯔꯗꯤꯑꯣꯒ꯭ꯔꯥꯐ: ꯍꯥꯔꯇꯀꯤ ꯁ꯭ꯀꯦꯟ ꯑꯃꯅꯤ꯫ ꯃꯁꯤꯅꯥ ꯍꯥꯔꯇꯀꯤ ꯄꯝꯄ ꯇꯧꯕꯥ ꯉꯝꯕꯥ ꯑꯃꯁꯨꯡ ꯃꯁꯤꯒꯤ ꯚꯜꯌꯨꯁꯤꯡꯒꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤꯅꯆꯤꯡꯕꯥ ꯋꯥꯐꯝ ꯀꯌꯥ ꯆꯦꯛ ꯇꯧꯕꯥ ꯉꯝꯃꯤ꯫
• ꯆꯦꯁ꯭ꯠ ꯑꯦꯛꯁ-ꯔꯦ: ꯆꯦꯁ꯭ꯠ ꯑꯦꯛꯁ-ꯔꯦ ꯑꯦꯀꯖꯥꯃꯤꯅꯦꯁꯟ ꯑꯃꯅꯤ꯫

ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯇꯦꯁ꯭ꯇꯀꯤ ꯔꯤꯖꯜꯇ ꯄꯨꯝꯅꯃꯛ, ꯅꯍꯥꯛꯀꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯃꯦꯗꯤꯀꯦꯜ ꯍꯤꯁ꯭ꯇꯔꯤ ꯑꯗꯨ ꯂꯧꯗꯨꯅꯥ ꯑꯔꯣꯏꯕꯥ ꯋꯥꯔꯦꯞ ꯑꯃꯥ ꯂꯧꯒꯅꯤ꯫ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯃꯍꯥꯛꯅꯥ ꯅꯍꯥꯛꯀꯤꯗꯃꯛꯇꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯥ ꯂꯥꯏꯌꯦꯡꯒꯤ ꯄ꯭ꯂꯥꯟ ꯑꯃꯥ ꯁꯦꯃꯒꯅꯤ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯔꯤꯖꯜꯇ ꯑꯗꯨꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯍꯪ ꯑꯃꯠꯇꯥ ꯍꯪꯂꯕꯗꯤ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯍꯪꯕꯗꯥ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯂꯩꯔꯣꯏꯗꯕꯅꯤ꯫ "ꯗꯣꯛꯇꯔ, ꯑꯩꯉꯣꯟꯗꯥ ꯑꯩꯒꯤ ꯕꯤ.ꯑꯦꯟ.ꯄꯤ.ꯒꯤ ꯊꯥꯛ ꯋꯥꯡꯏ ꯍꯥꯌꯅꯥ ꯍꯥꯌꯈꯤ, ꯃꯁꯤꯒꯤ ꯇꯁꯦꯡꯅꯥ ꯑꯔꯊ ꯀꯔꯤꯅꯣ?" ꯑꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯍꯪꯕꯒꯤ ꯍꯀꯅꯤ꯫