ꯑꯗꯣꯃꯒꯤ ꯃꯀꯣꯛ ꯊꯣꯡꯕꯥ ꯑꯗꯨ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯅꯥ ꯁꯣꯀꯍꯅꯈꯤꯕꯥ ꯑꯗꯨ ꯊꯦꯡꯅꯈꯤꯕ꯭ꯔꯥ? ꯅꯍꯥꯛꯀꯤ ꯃꯀꯣꯛꯇꯥ ꯃꯩꯅꯥ ꯆꯥꯀꯄꯒꯨꯝ ꯐꯥꯑꯣꯈꯤ, ꯅꯠꯔꯒꯥ ꯕꯣꯝ ꯑꯃꯥ ꯊꯥꯗꯣꯀꯈꯤꯕꯒꯨꯝ ꯐꯥꯑꯣꯈꯤꯕꯔꯥ? ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯑꯩꯈꯣꯌꯅꯥ ꯋꯥꯐꯃꯁꯤꯡ ꯑꯁꯤ ꯅꯣꯔꯃꯦꯜ ꯍꯦꯗ-ꯑꯦꯛ ꯈꯛꯇꯅꯤ ꯍꯥꯌꯅꯥ ꯈꯜꯂꯤ, ꯑꯗꯨꯕꯨ ꯃꯈꯣꯌ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯍꯀꯁꯦꯂꯒꯤ ꯐꯤꯚꯝ ꯑꯃꯒꯤ ꯈꯨꯗꯝ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫ ꯈꯨꯗꯛꯀꯤ ꯑꯣꯏꯕꯥ ꯃꯤꯠꯌꯦꯡ ꯆꯪꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯗꯤ ꯉꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯋꯥꯔꯤ ꯁꯥꯔꯤꯕꯥ ꯑꯁꯤꯅꯤ, "ꯕ꯭ꯔꯦꯟ ꯑꯦꯅꯤꯎꯔꯤꯖꯝ ." ꯃꯤꯡ ꯑꯁꯤ ꯇꯥꯕꯗꯥ ꯌꯥꯝꯅꯥ ꯉꯀꯄꯥ ꯌꯥꯏ, ꯑꯗꯨꯕꯨ ꯃꯁꯤ ꯈꯉꯖꯤꯅꯕꯥ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫
ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯑꯦꯅꯤꯎꯔꯤꯖꯝ ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ?
ꯏꯁꯤꯡ ꯄꯨꯕꯥ ꯄꯥꯏꯞ ꯑꯃꯥ ꯂꯩ ꯍꯥꯌꯅꯥ ꯈꯅꯕꯤꯌꯨ꯫ ꯄꯥꯏꯞ ꯑꯁꯤꯒꯤ ꯁꯔꯨꯛ ꯑꯃꯥ ꯈꯔꯥ ꯋꯥꯠꯂꯤ, ꯃꯗꯨ ꯑꯔꯤꯕꯥ ꯑꯣꯏꯔꯦ꯫ ꯑꯗꯨꯗꯒꯤ ꯏꯁꯤꯡ ꯑꯗꯨ ꯌꯥꯡꯅꯥ ꯆꯦꯜꯂꯀꯄꯒꯥ ꯂꯣꯌꯅꯅꯥ, ꯑꯁꯣꯀꯄꯥ ꯁꯔꯨꯛ ꯑꯗꯨ ꯈꯔꯥ ꯂꯥꯄꯊꯣꯛꯅꯥ ꯂꯩꯕꯥ ꯍꯧꯔꯀꯏ, ꯕꯦꯂꯨꯟ ꯈꯔꯒꯨꯝꯅꯥ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯕ꯭ꯔꯦꯅꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯂꯩꯕꯥ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯜ ꯅꯠꯠꯔꯒꯥ ꯑꯥꯔꯇꯦꯔꯤ ꯑꯃꯗꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯃꯥ ꯊꯣꯛꯂꯕꯗꯤ ꯃꯁꯤꯃꯛ ꯊꯣꯀꯏ .
ꯕ꯭ꯔꯦꯟ ꯑꯦꯅꯤꯎꯔꯤꯖꯝ, ꯅꯠꯠꯔꯒꯥ ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯀꯧꯔꯤꯕꯥ ꯃꯇꯨꯡꯏꯟꯅꯥ, ꯁꯦꯔꯤꯕ꯭ꯔꯦꯜ ꯑꯦꯅꯤꯎꯔꯤꯖꯝ ꯍꯥꯌꯕꯁꯤ ꯕ꯭ꯔꯦꯅꯒꯤ ꯑꯀꯣꯌꯕꯗꯥ ꯅꯠꯠꯔꯒꯥ ꯃꯅꯨꯡꯗꯥ ꯂꯩꯕꯥ ꯑꯥꯔꯇꯦꯔꯤ ꯑꯃꯗꯥ ꯂꯩꯕꯥ ꯏꯒꯤ ꯄ꯭ꯔꯦꯁꯔꯒꯤ ꯃꯈꯥꯗꯥ ꯆꯦꯟꯊꯔꯀꯄꯥ, ꯈꯣꯡ ꯍꯥꯝꯂꯕꯥ ꯋꯥꯜ ꯑꯃꯅꯤ꯫
ꯑꯩꯈꯣꯌꯒꯤ ꯊꯝꯃꯣꯌꯅꯥ ꯁꯣꯀꯄꯥ ꯈꯨꯗꯤꯡꯗꯥ, ꯄ꯭ꯔꯦꯁꯔꯒꯤ ꯃꯈꯥꯗꯥ ꯕ꯭ꯔꯦꯅꯒꯤ ꯑꯥꯔꯇꯦꯔꯤꯁꯤꯡꯗꯥ ꯏ ꯆꯦꯜꯂꯤ꯫ ꯃꯁꯤꯒꯤ ꯄ꯭ꯔꯦꯁꯔ ꯑꯁꯤꯅꯥ ꯃꯈꯥ ꯇꯥꯅꯥ ꯁꯣꯀꯍꯜꯂꯕꯥ ꯃꯐꯝ ꯑꯗꯨꯗꯥ ꯁꯣꯀꯍꯜꯂꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯍꯦꯟꯅꯥ ꯆꯥꯎꯈꯠꯂꯀꯏ꯫ ꯑꯩꯈꯣꯌꯅꯥ ꯕꯦꯂꯨꯟ ꯑꯃꯗꯥ ꯅꯨꯡꯁꯤꯠ ꯁꯤꯠꯄꯥ ꯃꯇꯃꯗꯥ ꯃꯗꯨꯁꯨ ꯍꯦꯟꯅꯥ ꯂꯨꯝꯅꯥ ꯂꯧꯏ꯫ ꯃꯁꯤ ꯍꯦꯟꯅꯥ ꯆꯥꯎꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯃꯗꯨ ꯍꯦꯟꯅꯥ ꯁꯣꯀꯆꯤꯜꯂꯀꯄꯒꯤ ꯆꯥꯡ ꯍꯦꯅꯒꯠꯂꯀꯏ꯫
ꯍꯥꯌꯔꯤꯕꯥ ꯑꯦꯅꯤꯎꯔꯤꯖꯃꯁꯤꯡ ꯑꯁꯤ ꯕ꯭ꯔꯦꯅꯒꯤ ꯃꯐꯝ ꯑꯃꯍꯦꯛꯇꯗꯥ ꯁꯦꯝꯕꯥ ꯌꯥꯏ ꯑꯗꯨꯕꯨ ꯃꯈꯣꯌ ꯑꯁꯤ ꯑꯌꯥꯝꯕꯗꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯃꯀꯣꯀꯊꯣꯡꯕꯗꯥ ꯂꯩꯕꯥ ꯑꯆꯧꯕꯥ ꯑꯥꯔꯇꯦꯔꯤꯁꯤꯡꯗꯥ ꯊꯣꯀꯏ꯫ ꯃꯤꯑꯣꯏ ꯈꯔꯗꯗꯤ (ꯆꯥꯎꯔꯥꯛꯅꯥ 10% - 30%) ꯑꯦꯅꯤꯎꯔꯤꯖꯝ ꯑꯃꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯂꯩꯕꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯕꯨ ꯅꯨꯡꯉꯥꯏꯔꯕꯥ ꯄꯥꯎ ꯑꯃꯗꯤ ꯃꯁꯤꯒꯤ ꯑꯦꯅꯤꯎꯔꯤꯖꯝ ꯑꯌꯥꯝꯕꯗꯤ ꯌꯥꯝꯅꯥ ꯄꯤꯀꯄꯥ ꯑꯣꯏ꯫ ꯃꯈꯣꯌꯅꯥ ꯂꯥꯏꯑꯣꯡ ꯑꯃꯠꯇꯥ ꯊꯣꯀꯍꯟꯗꯦ꯫
ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯑꯦꯅꯤꯎꯔꯤꯖꯝ ꯑꯗꯨꯅꯥ ꯑꯀꯣꯌꯕꯗꯥ ꯂꯩꯕꯥ ꯕ꯭ꯔꯦꯟ ꯇꯤꯁꯨ ꯅꯠꯠꯔꯒꯥ ꯅꯔꯚꯁꯤꯡꯗꯥ ꯄ꯭ꯔꯦꯁꯔ ꯄꯤꯕꯥ ꯉꯝꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯆꯥꯎꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯈꯛꯇꯗꯥ ꯂꯥꯀꯄꯥ ꯍꯧꯏ꯫ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯈꯨꯗꯣꯡꯊꯤꯅꯤꯉꯥꯏ ꯑꯣꯏꯕꯥ ꯐꯤꯚꯝ ꯑꯁꯤ ꯑꯦꯅꯤꯎꯔꯤꯖꯝ ꯑꯗꯨꯅꯥ ꯏ ꯊꯣꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯁꯣꯀꯍꯜꯂꯕꯥ ꯃꯇꯃꯅꯤ꯫ ꯃꯁꯤꯅꯥ ꯕ꯭ꯔꯦꯅꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯏ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫
ꯃꯁꯤ ꯄꯨꯟꯁꯤ ꯃꯥꯡꯍꯅꯕꯥ ꯌꯥꯕꯥ ꯃꯦꯗꯤꯀꯦꯜ ꯏꯃꯔꯖꯦꯟꯁꯤ ꯑꯃꯅꯤ꯫ ꯑꯦꯅꯤꯎꯔꯤꯖꯝ ꯑꯃꯅꯥ ꯁꯣꯀꯍꯜꯂꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯍꯦꯟꯅꯥ ꯁꯥꯡꯅꯥ ꯂꯩꯔꯕꯗꯤ, ꯁꯤꯕꯒꯤ ꯆꯥꯡ ꯅꯠꯠꯔꯒꯥ ꯁꯥꯊꯤꯕꯥ ꯗꯤꯁꯑꯦꯕꯤꯂꯤꯇꯤꯒꯤ ꯔꯤꯁ꯭ꯛ ꯍꯦꯅꯒꯠꯂꯀꯏ꯫
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯦꯅꯤꯎꯔꯤꯖꯝ ꯑꯃꯥ ꯊꯣꯛꯂꯕꯗꯤ ꯀꯔꯤ ꯑꯣꯏꯒꯅꯤ?
ꯑꯦꯅꯤꯎꯔꯤꯖꯝ ꯑꯃꯥ ꯊꯣꯛꯂꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯏ ꯑꯁꯤ ꯑꯀꯣꯌꯕꯗꯥ ꯂꯩꯕꯥ ꯕ꯭ꯔꯦꯟ ꯇꯤꯁꯨꯁꯤꯡꯗꯥ ꯂꯤꯛ ꯑꯣꯏ꯫ ꯃꯁꯤꯕꯨ ꯍꯦꯃꯣꯔꯦꯖ ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ꯏ ꯑꯁꯤꯅꯥ ꯕ꯭ꯔꯦꯟ ꯇꯤꯁꯨꯗꯥ ꯑꯍꯦꯅꯕꯥ ꯄ꯭ꯔꯦꯁꯔ ꯄꯤꯗꯨꯅꯥ ꯕ꯭ꯔꯦꯟ ꯑꯗꯨ ꯁꯣꯟꯊꯍꯜꯂꯤ꯫ ꯃꯍꯧꯁꯥꯅꯥ ꯃꯁꯤꯒꯤ ꯃꯍꯩ ꯑꯣꯏꯅꯥ ꯊꯣꯀꯄꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯂꯥꯏꯑꯣꯡ ꯑꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ "ꯊꯟꯗꯔꯛꯂꯦꯞ ꯍꯦꯗ-ꯑꯦꯛ " ꯍꯥꯌꯅꯥ ꯀꯧꯕꯥ, ꯈꯪꯍꯧꯗꯅꯥ, ꯈꯅꯕꯗꯥ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯍꯦꯗ-ꯑꯦꯛ (headache) ꯍꯥꯌꯕꯁꯤꯅꯤ꯫
ꯔꯄꯆꯔ ꯇꯧꯔꯕꯥ ꯑꯦꯅꯤꯎꯔꯤꯖꯝ ꯑꯃꯅꯥ ꯑꯀꯅꯕꯥ ꯍꯀꯁꯦꯂꯒꯤ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯃꯁꯤꯡ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ, ꯃꯈꯣꯌ ꯑꯗꯨꯗꯤ:
- ꯁꯨꯕꯥꯔꯥꯛꯅꯣꯏꯗ ꯍꯦꯃꯣꯔꯦꯖ (SAH): ꯃꯁꯤꯅꯥ ꯕ꯭ꯔꯦꯟ ꯑꯃꯁꯨꯡ ꯕ꯭ꯔꯦꯟ (rachnoid layer)ꯒꯤ ꯃꯔꯛꯇꯥ ꯂꯩꯕꯥ ꯃꯐꯝ ꯑꯗꯨꯗꯥ ꯏ ꯊꯣꯀꯄꯥ ꯍꯥꯌꯕꯁꯤꯅꯤ꯫ ꯏ ꯊꯣꯀꯄꯥ ꯑꯁꯤꯒꯤ 90%ꯗꯤ ꯑꯦꯅꯤꯎꯔꯤꯖꯝ (ruptured aneurysm) ꯑꯃꯅꯥ ꯊꯣꯀꯍꯅꯕꯅꯤ꯫
- ꯍꯦꯃꯣꯔꯦꯖꯤꯛ ꯁ꯭ꯠꯔꯣꯛ (Hemorrhagic Stroke) : ꯃꯀꯣꯛ ꯑꯃꯁꯨꯡ ꯕ꯭ꯔꯦꯅꯒꯤ ꯃꯔꯛꯇꯥ ꯂꯩꯕꯥ ꯃꯐꯝ ꯑꯗꯨꯗꯥ ꯏ ꯊꯣꯀꯄꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯁ꯭ꯠꯔꯣꯛ ꯑꯃꯅꯤ꯫
ꯍꯥꯌꯔꯤꯕꯥ ꯐꯤꯚꯃꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯃꯇꯝ ꯆꯨꯞꯄꯒꯤ ꯑꯣꯏꯅꯥ ꯕ꯭ꯔꯦꯅꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ ꯑꯃꯁꯨꯡ ꯑꯇꯣꯞꯄꯥ ꯑꯀꯅꯕꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ .
| ꯀꯃꯞꯂꯤꯀꯦꯁꯟ ꯂꯩꯕꯥ꯫ | ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯁꯟꯗꯣꯛꯅꯥ ꯇꯥꯀꯏ꯫ |
|---|---|
| ꯚꯦꯁꯣꯁ꯭ꯄꯥꯖꯝ (vasospasm) ꯍꯥꯌꯕꯁꯤꯅꯤ꯫ | ꯕ꯭ꯔꯦꯅꯗꯥ ꯂꯩꯕꯥ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯂꯁꯤꯡ (blood vessels) ꯊꯤꯡꯖꯤꯅꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯁꯣꯟꯊꯔꯀꯄꯅꯥ ꯕ꯭ꯔꯦꯅꯗꯥ ꯑꯣꯛꯁꯤꯖꯦꯅꯒꯤ ꯆꯥꯡ ꯍꯟꯊꯍꯜꯂꯤ꯫ |
| ꯍꯥꯏꯗ꯭ꯔꯣꯁꯦꯐꯥꯂꯁ (hydrocephalus) ꯂꯩꯕꯥ꯫ | ꯕ꯭ꯔꯦꯅꯒꯤ ꯑꯀꯣꯌꯕꯗꯥ ꯁꯦꯔꯤꯕ꯭ꯔꯣꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯐ꯭ꯂꯨꯏꯗ (CSF) ꯅꯠꯠꯔꯒꯥ ꯏ ꯌꯥꯎꯔꯀꯄꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯕ꯭ꯔꯦꯅꯗꯥ ꯄ꯭ꯔꯦꯁꯔ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ꯫ ꯑꯩꯈꯣꯌꯅꯥ ꯃꯁꯤꯕꯨ "ꯍꯥꯏꯗ꯭ꯔꯣꯁꯦꯐꯦꯂꯁ" ꯍꯥꯌꯅꯥꯁꯨ ꯀꯧꯏ꯫ |
| ꯂꯥꯏꯑꯣꯡꯁꯤꯡ (seizures)꯫ | ꯕ꯭ꯔꯦꯅꯗꯥ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯗꯕꯥ ꯏꯂꯦꯛꯠꯔꯤꯀꯦꯜ ꯑꯦꯛꯇꯤꯚꯤꯇꯤ ꯑꯃꯅꯤ꯫ ꯃꯁꯤꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯦꯅꯤꯎꯔꯤꯖꯝ ꯑꯃꯥ ꯁꯣꯀꯄꯥ ꯇꯥꯔꯕꯗꯤ ꯕ꯭ꯔꯦꯅꯗꯥ ꯃꯈꯥ ꯇꯥꯅꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ |
| ꯀꯣꯃꯥ꯫ | ꯅꯨꯃꯤꯠ ꯀꯌꯥꯅꯤ ꯆꯨꯞꯅꯥ ꯂꯩꯕꯥ ꯌꯥꯕꯥ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯐꯤꯚꯝ ꯑꯃꯥ, ꯌꯥꯝꯅꯥ ꯂꯨꯕꯥ ꯇꯨꯝꯕꯥ ꯑꯃꯒꯨꯝꯅꯥ꯫ |
| ꯁꯤꯕ | ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯋꯥꯐꯝ ꯑꯃꯅꯥ, ꯑꯦꯅꯤꯎꯔꯤꯖꯝ ꯔꯄꯆꯔꯒꯤ ꯆꯥꯎꯔꯥꯛꯅꯥ 50%ꯗꯤ ꯁꯤꯕꯗꯥ ꯂꯣꯌꯁꯤꯜꯂꯤ꯫ |
ꯀꯅꯥꯅꯥ ꯑꯦꯅꯤꯎꯔꯤꯖꯝ ꯊꯣꯀꯏ? ꯃꯁꯤ ꯀꯌꯥ ꯌꯥꯝꯅꯥ ꯀꯃꯟ ꯑꯣꯏꯕꯒꯦ?
ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯆꯍꯤ ꯑꯃꯍꯦꯛꯇꯗꯥ ꯂꯥꯀꯄꯥ ꯌꯥꯏ, ꯑꯃꯁꯨꯡ ꯀꯅꯥꯒꯨꯝꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯠꯇꯅꯥ ꯂꯥꯀꯄꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯆꯍꯤ 30 ꯑꯃꯁꯨꯡ 60ꯒꯤ ꯃꯔꯛꯇꯥ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯗꯤ ꯍꯦꯟꯅꯥ ꯔꯤꯁ꯭ꯛ ꯂꯩ꯫ ꯃꯁꯤꯗꯁꯨ ꯅꯠꯇꯅꯥ, ꯔꯤꯁꯔꯆꯅꯥ ꯇꯥꯛꯂꯤ ꯃꯗꯨꯗꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯅꯨꯄꯥꯁꯤꯡꯗꯒꯤ ꯅꯨꯄꯤꯁꯤꯡꯗꯥ ꯈꯔꯥ ꯍꯦꯟꯅꯥ ꯀꯃꯟ ꯑꯣꯏ꯫
ꯁ꯭ꯔꯤꯂꯉ꯭ꯀꯥꯗꯥ ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯑꯀꯛꯅꯕꯥ ꯗꯦꯇꯥ ꯂꯩꯇꯕꯁꯨ, ꯑꯃꯦꯔꯤꯀꯥꯒꯨꯝꯕꯥ ꯂꯩꯕꯥꯀꯁꯤꯡꯗꯥ ꯂꯩꯔꯤꯕꯥ ꯃꯤꯁꯤꯡꯒꯤ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯶%ꯗꯤ ꯑꯅꯔꯨꯄꯆꯔ ꯑꯦꯅꯤꯎꯔꯤꯖꯝ ꯂꯩ ꯍꯥꯌꯅꯥ ꯄꯥꯅꯔꯤ꯫ ꯃꯁꯤꯅꯥ ꯇꯥꯀꯄꯗꯤ ꯃꯁꯤ ꯀꯅꯥꯒꯨꯝꯕꯥ ꯑꯃꯅꯥ ꯈꯜꯂꯤꯕꯥ ꯑꯗꯨꯒꯨꯝꯅꯥ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯊꯣꯀꯄꯥ ꯅꯠꯇꯦ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯑꯦꯅꯤꯎꯔꯤꯖꯝ ꯔꯄꯆꯔ ꯑꯁꯤꯗꯤ ꯌꯥꯝꯅꯥ ꯀꯃꯟ ꯑꯣꯏꯗꯦ꯫
ꯑꯦꯅꯤꯎꯔꯤꯖꯃꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?
ꯃꯁꯤꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯑꯦꯅꯤꯎꯔꯤꯖꯝ ꯑꯗꯨ ꯁꯣꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯁꯣꯀꯄꯥ ꯌꯥꯗꯕꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ ꯈꯦꯠꯅꯩ꯫ ꯃꯁꯤꯒꯤ ꯈꯦꯟꯅꯕꯥ ꯑꯁꯤ ꯈꯉꯕꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯄꯨꯟꯁꯤ ꯀꯅꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯕꯥ ꯉꯃꯒꯅꯤ꯫
| ꯔꯄꯆꯔ ꯑꯦꯅꯤꯎꯔꯤꯖꯃꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ (ꯏꯃꯔꯖꯦꯟꯁꯤ ꯑꯃꯥ!) | ꯑꯁꯣꯀꯄꯥ (ꯑꯆꯧꯕꯥ) ꯑꯦꯅꯤꯎꯔꯤꯖꯝ ꯑꯃꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ꯫ |
|---|---|
| ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯂꯩꯔꯕꯗꯤ, ꯈꯨꯗꯛꯇꯥ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯜ ꯑꯃꯒꯤ ꯏ.ꯇꯤ.ꯌꯨ.( ꯏꯃꯔꯖꯦꯟꯁꯤ ꯇ꯭ꯔꯤꯇꯃꯦꯟꯇ ꯌꯨꯅꯤꯠ )ꯗꯥ ꯆꯠꯂꯨ! | |
| - ꯑꯩꯒꯤ ꯄꯨꯟꯁꯤꯗꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯠꯇꯕꯥ, ꯈꯉꯍꯧꯗꯅꯥ ꯃꯀꯣꯛ ꯊꯣꯡꯕꯥ (Thunderclap Headache) - ꯅꯣꯡꯃꯩ ꯀꯥꯞꯄꯥ ꯑꯃꯁꯨꯡ ꯈꯣꯡ ꯍꯥꯝꯕꯥ꯫ - ꯈꯣꯡ ꯁꯣꯀꯄꯥ, ꯀꯨꯄꯁꯤꯅꯕꯥ ꯉꯃꯗꯕꯥ꯫ - ꯕ꯭ꯂꯔ ꯚꯤꯖꯟ ꯅꯠꯠꯔꯒꯥ ꯗꯕꯜ ꯚꯤꯖꯟ꯫ - ꯃꯉꯥꯂꯗꯥ ꯌꯦꯡꯕꯥ ꯉꯃꯗꯕꯥ (ꯐꯣꯇꯣꯐꯣꯕꯤꯌꯥ) - ꯐꯤꯠ ꯑꯃꯥ ꯂꯩꯕꯥ (Seizure) . - ꯃꯤꯠ ꯎꯗꯕꯥ ꯑꯃꯁꯨꯡ ꯕ꯭ꯂꯦꯛ ꯑꯥꯏꯂꯦꯟꯗ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ꯫ - ꯃꯤꯠꯀꯤ ꯃꯊꯛꯇꯥ ꯑꯃꯁꯨꯡ ꯃꯇꯨꯡꯗꯥ ꯑꯅꯥꯕꯥ꯫ - ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ, ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ꯫ - ꯍꯀꯆꯥꯡꯒꯤ ꯁꯔꯨꯛ ꯑꯃꯗꯥ ꯁꯣꯟꯊꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯁꯣꯟꯊꯕꯥ꯫ - ꯋꯥꯈꯜ ꯃꯥꯡꯈꯤꯕꯥ꯫ | - ꯍꯦꯗ-ꯑꯦꯛ (ꯃꯌꯥꯏ ꯑꯣꯏꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯃꯇꯝ ꯃꯇꯃꯒꯤ ꯑꯣꯏꯅꯥ) - ꯃꯤꯠꯌꯦꯡꯗꯥ ꯑꯍꯣꯡꯕꯥ ꯂꯥꯀꯄꯥ꯫ - ꯃꯤꯠꯀꯤ ꯃꯃꯤꯠ (pupil) ꯍꯦꯅꯒꯠꯂꯀꯄꯥ꯫ - ꯃꯀꯣꯛ ꯅꯠꯠꯔꯒꯥ ꯃꯥꯌꯗꯥ ꯁꯣꯀꯄꯥ꯫ - ꯃꯤꯠꯀꯤ ꯃꯊꯛꯇꯥ ꯑꯃꯁꯨꯡ ꯃꯇꯨꯡꯗꯥ ꯑꯅꯥꯕꯥ꯫ - ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯐꯤꯠ ꯑꯣꯏꯅꯥ ꯂꯥꯀꯏ꯫ |
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯑꯦꯅꯤꯎꯔꯤꯖꯝ ꯑꯃꯥ ꯊꯣꯛꯂꯛꯠꯔꯤꯉꯩ ꯃꯃꯥꯡꯗꯥ, ꯃꯁꯤꯅꯥ ꯏ ꯈꯔꯥ ꯂꯤꯛ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯕꯨ ꯁꯦꯟꯇꯤꯅꯦꯜ ꯕ꯭ꯂꯤꯗ ꯍꯥꯌꯅꯥ ꯀꯧꯏ . ꯃꯇꯝ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ, ꯋꯥꯔꯅꯤꯡ ꯍꯦꯗ-ꯑꯦꯛ (sentinel headache) ꯑꯃꯥ ꯑꯆꯧꯕꯥ ꯑꯗꯨꯒꯤ ꯅꯨꯃꯤꯠ ꯈꯔꯅꯤꯒꯤ ꯃꯃꯥꯡꯗꯥ ꯅꯠꯠꯔꯒꯥ ꯅꯨꯃꯤꯠ ꯈꯔꯅꯤꯒꯤ ꯃꯃꯥꯡꯗꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯆꯝꯕꯥ, ꯁꯥꯊꯤꯕꯥ ꯍꯦꯗ-ꯑꯦꯛ ꯑꯃꯥ ꯂꯩꯔꯕꯗꯤ, ꯃꯗꯨ ꯀꯩꯗꯧꯉꯩꯗꯥ ꯌꯦꯡꯁꯤꯅꯕꯤꯒꯅꯨ꯫ ꯈꯨꯗꯛꯇꯥ ꯗꯣꯛꯇꯔ ꯑꯃꯒꯥ ꯇꯥꯟꯅꯧ꯫
ꯀꯔꯤꯒꯤꯗꯃꯛꯇꯥ ꯍꯥꯌꯔꯤꯕꯥ ꯑꯦꯅꯤꯎꯔꯤꯖꯃꯁꯤꯡ ꯑꯁꯤ ꯁꯦꯃꯒꯠꯂꯤꯕꯅꯣ? ꯔꯤꯁ꯭ꯛ ꯐꯦꯛꯇꯔꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?
ꯕ꯭ꯔꯦꯅꯗꯥ ꯂꯩꯕꯥ ꯑꯥꯔꯇꯦꯔꯤꯁꯤꯡꯒꯤ ꯋꯥꯂꯁꯤꯡ ꯑꯗꯨ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯁꯣꯟꯊꯔꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯁꯣꯟꯊꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯑꯦꯅꯤꯎꯔꯤꯖꯝ ꯊꯣꯀꯏ꯫ ꯃꯈꯣꯌ ꯑꯁꯤ ꯃꯍꯧꯁꯥꯅꯥ ꯑꯥꯔꯇꯦꯔꯤꯁꯤꯡꯒꯤ ꯁꯥꯈꯥ ꯊꯣꯀꯄꯥ ꯃꯐꯃꯁꯤꯡꯗꯥ ꯊꯣꯀꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯅꯥ ꯑꯥꯔꯇꯦꯔꯤ ꯋꯥꯜ (artry wall) ꯁꯣꯟꯊꯕꯥ (weakness) ꯑꯃꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯄꯣꯀꯏ꯫ ꯃꯁꯤꯒꯤ ꯃꯊꯛꯇꯥ, ꯑꯇꯣꯞꯄꯥ ꯐꯦꯛꯇꯔ ꯀꯌꯥ ꯑꯃꯅꯥ ꯃꯁꯤꯗꯥ ꯁꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫
ꯍꯦꯔꯤꯇꯦꯖ ꯐꯦꯛꯇꯔꯁꯤꯡ꯫
ꯍꯥꯌꯔꯤꯕꯥ ꯑꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯥ ꯉꯃꯗꯕꯥ ꯑꯃꯁꯨꯡ ꯖꯤꯅꯦꯇꯤꯛ ꯑꯣꯏꯅꯥ ꯏꯅꯍꯦꯔꯤꯇꯦꯗ ꯑꯣꯏꯕꯥ ꯋꯥꯐꯃꯁꯤꯡꯅꯤ꯫
- ꯍꯦꯔꯤꯇꯦꯖ ꯀꯟꯗꯤꯁꯟ ꯈꯔꯗꯤ: ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, `ꯚꯦꯁꯀꯨꯂꯥꯔ ꯑꯦꯍꯂꯔꯁ-ꯗꯥꯅꯂꯣꯁ ꯁꯤꯟꯗꯣꯝ`, `ꯑꯣꯇꯣꯁꯣꯃꯜ ꯗꯣꯃꯤꯅꯦꯟꯇ ꯄꯣꯂꯤꯁꯤꯁ꯭ꯇꯤꯛ ꯀꯤꯗꯅꯤ ꯗꯤꯖꯤꯖ`, `ꯃꯥꯔꯐꯥꯟ ꯁꯤꯟꯗꯣꯝ`, `ꯐꯥꯏꯕ꯭ꯔꯣꯃꯁꯀꯨꯂꯥꯔ ꯗꯤꯁꯞꯂꯦꯁꯤꯌꯥ`꯫
- ꯑꯥꯔꯇꯦꯔꯤꯑꯣꯚꯦꯅꯁ ꯃꯥꯂꯐꯣꯔꯃꯦꯁꯟ ꯍꯥꯌꯕꯁꯤ ꯕ꯭ꯔꯦꯅꯗꯥ ꯂꯩꯕꯥ ꯑꯥꯔꯇꯦꯔꯤꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯚꯦꯅꯃꯁꯤꯡꯒꯤ ꯃꯔꯛꯇꯥ ꯂꯩꯕꯥ ꯑꯦꯕꯅꯣꯔꯃꯦꯜ ꯀꯅꯦꯛꯁꯟ ꯑꯃꯅꯤ꯫
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯛꯅꯕꯥ ꯏꯃꯨꯡꯒꯤ ꯃꯤꯑꯣꯏ ꯑꯃꯅꯥ (ꯃꯃꯥ, ꯃꯄꯥ, ꯃꯆꯤꯟ-ꯃꯅꯥꯑꯣ) ꯑꯦꯅꯤꯎꯔꯤꯖꯝ ꯑꯃꯥ ꯂꯩꯔꯕꯗꯤ ꯅꯍꯥꯀꯁꯨ ꯍꯦꯟꯅꯥ ꯔꯤꯁ꯭ꯛ ꯂꯩ꯫
ꯑꯩꯈꯣꯌꯒꯤ ꯄꯨꯟꯁꯤ ꯃꯍꯤꯡ ꯑꯃꯁꯨꯡ ꯑꯇꯣꯞꯄꯥ ꯍꯀꯁꯦꯂꯒꯤ ꯐꯤꯚꯃꯁꯤꯡ꯫
ꯍꯥꯌꯔꯤꯕꯥ ꯑꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯍꯣꯡꯗꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯥ ꯌꯥꯕꯥ ꯋꯥꯐꯃꯁꯤꯡꯅꯤ꯫
- ꯃꯩꯈꯨ ꯊꯥꯗꯣꯀꯄꯥ: ꯃꯁꯤ ꯑꯥꯔꯇꯦꯔꯤ ꯋꯥꯂꯁꯤꯡꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯜꯂꯤꯕꯥ ꯑꯆꯧꯕꯥ ꯌꯦꯛꯅꯕꯥ ꯑꯃꯅꯤ꯫
- ꯍꯥꯏ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ: ꯀꯟꯠꯔꯣꯜ ꯇꯧꯗꯕꯥ ꯍꯥꯏ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔꯅꯥ ꯑꯥꯔꯇꯦꯔꯤ ꯋꯥꯂꯁꯤꯡꯗꯥ ꯂꯦꯞꯇꯅꯥ ꯄ꯭ꯔꯦꯁꯔ ꯄꯤ꯫
- ꯗ꯭ꯔꯒ ꯁꯤꯖꯤꯟꯅꯕꯥ: ꯃꯔꯨꯑꯣꯏꯅꯥ ꯀꯣꯀꯦꯅꯒꯨꯝꯕꯥ ꯗ꯭ꯔꯒꯁꯤꯡ꯫
- ꯌꯨ ꯌꯥꯝꯅꯥ ꯊꯀꯄꯥ꯫
ꯑꯦꯅꯤꯎꯔꯤꯖꯝ ꯑꯃꯥ ꯊꯣꯀꯄꯒꯤ ꯃꯔꯃꯁꯤꯡ ꯀꯔꯤꯅꯣ?
ꯑꯦꯅꯤꯎꯔꯤꯖꯝ ꯑꯃꯥ ꯁꯦꯝꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯂꯤꯕꯥ ꯆꯞ ꯃꯥꯟꯅꯕꯥ ꯐꯦꯛꯇꯔꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯃꯁꯤꯒꯤ ꯔꯄꯆꯔꯗꯁꯨ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫ ꯔꯤꯁꯔꯆꯔꯁꯤꯡꯅꯥ ꯊꯥꯖꯩ ꯃꯗꯨꯗꯤ ꯍꯥꯏ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ ꯑꯁꯤꯅꯥ ꯑꯦꯅꯤꯎꯔꯤꯖꯝ ꯔꯄꯆꯔꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯔꯃꯅꯤ꯫ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯏꯅꯥ ꯑꯥꯔꯇꯦꯔꯤꯒꯤ ꯋꯥꯂꯁꯤꯡꯗꯥ ꯍꯦꯟꯅꯥ ꯀꯟꯅꯥ ꯆꯦꯜꯂꯤ꯫
ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ ꯈꯪꯍꯧꯗꯅꯥ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯑꯦꯅꯤꯎꯔꯤꯖꯝ ꯑꯃꯥ ꯄꯣꯀꯄꯥ ꯌꯥꯕꯥ ꯃꯇꯃꯗꯥ:
- ꯑꯀꯅꯕꯥ ꯐꯤꯚꯝ ꯑꯃꯥ, ꯍꯥꯌꯕꯗꯤ ꯂꯦꯞꯇꯅꯥ ꯁ꯭ꯠꯔꯦꯁ ꯂꯩꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯈꯪꯍꯧꯗꯅꯥ ꯑꯁꯥꯑꯣꯕꯥ ꯄꯣꯀꯄꯥ ꯑꯁꯤꯅꯆꯤꯡꯕꯥ꯫
- ꯑꯀꯅꯕꯥ ꯄꯣꯠꯁꯛ ꯑꯃꯥ ꯂꯧꯊꯣꯛꯅꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯍꯣꯠꯅꯕꯥ (ꯑꯔꯨꯝꯕꯥ ꯂꯧꯊꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯐꯔꯅꯤꯆꯔ ꯂꯧꯊꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ)꯫
- ꯅꯍꯥꯛꯅꯥ ꯍꯥꯏ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ ꯂꯩ ꯍꯥꯌꯕꯥ ꯈꯪꯂꯕꯁꯨ ꯃꯗꯨꯒꯤꯗꯃꯛꯇꯥ ꯑꯆꯨꯝꯕꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛ ꯂꯧꯗꯕꯥ꯫
ꯃꯁꯤꯒꯤ ꯃꯊꯛꯇꯥ, ꯑꯦꯅꯤꯎꯔꯤꯖꯃꯒꯤ ꯁꯥꯏꯖ, ꯃꯑꯣꯡ ꯑꯃꯁꯨꯡ ꯃꯐꯝ ꯑꯁꯤꯅꯆꯤꯡꯕꯥ ꯐꯦꯛꯇꯔꯁꯤꯡꯅꯁꯨ ꯃꯁꯤꯅꯥ ꯁꯣꯀꯍꯜꯂꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯁꯣꯀꯍꯜꯂꯣꯏꯗꯕꯅꯤ꯫
ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯈꯪꯗꯣꯛꯀꯅꯤ?
ꯑꯁꯣꯛ-ꯑꯄꯟ ꯂꯩꯇꯕꯥ ꯑꯦꯅꯤꯎꯔꯤꯖꯝ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏ ꯀꯌꯥꯅꯥ ꯃꯈꯣꯌꯗꯥ ꯑꯦꯅꯤꯎꯔꯤꯖꯝ ꯑꯃꯥ ꯂꯩ ꯍꯥꯌꯕꯁꯤ ꯐꯥꯎꯕꯥ ꯈꯪꯗꯦ꯫ ꯃꯈꯣꯌ ꯑꯁꯤ ꯑꯌꯥꯝꯕꯅꯥ ꯑꯇꯣꯞꯄꯥ ꯃꯔꯝ ꯑꯃꯒꯤꯗꯃꯛ ꯕ꯭ꯔꯦꯅꯒꯤ ꯑꯦꯝ.ꯑꯥꯔ.ꯑꯥꯏ. ꯅꯠꯠꯔꯒꯥ ꯁꯤ.ꯇꯤ.
ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯔꯄꯆꯔ ꯑꯦꯅꯤꯎꯔꯤꯖꯃꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ (ꯃꯔꯨꯑꯣꯏꯅꯥ ꯍꯦꯗ-ꯑꯦꯛ ꯑꯗꯨ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ) ꯎꯔꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯈꯨꯗꯛꯇꯥ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯜ ꯑꯃꯒꯤ ꯏꯃꯔꯖꯦꯟꯁꯤ ꯔꯨꯃꯗꯥ ꯆꯠꯀꯗꯕꯅꯤ꯫ ꯃꯐꯝ ꯑꯗꯨꯗꯥ ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯏ ꯊꯣꯀꯄꯥ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯥ ꯈꯉꯗꯣꯛꯅꯕꯥ ꯇꯦꯁ꯭ꯠ ꯀꯌꯥ ꯑꯃꯥ ꯆꯠꯊꯒꯅꯤ꯫
- ꯁꯤ.ꯇꯤ.(ꯀꯝꯞꯌꯨꯇꯦꯗ ꯇꯣꯃꯣꯒ꯭ꯔꯥꯐꯤ) ꯁ꯭ꯀꯦꯟ: ꯃꯁꯤꯅꯥ ꯕ꯭ꯔꯦꯅꯗꯥ ꯏ ꯊꯣꯀꯄꯥ ꯌꯥꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯊꯨꯅꯥ ꯆꯦꯛ ꯇꯧꯕꯥ ꯉꯝꯃꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ `CT Angiogram (CTA)` ꯀꯧꯕꯥ ꯑꯈꯟꯅꯕꯥ ꯁ꯭ꯀꯦꯟ ꯑꯃꯥ ꯇꯧꯏ, ꯃꯗꯨꯅꯥ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯂꯁꯤꯡꯒꯤ ꯃꯌꯦꯛ ꯁꯦꯡꯕꯥ ꯏꯃꯦꯖꯁꯤꯡ ꯐꯪꯍꯅꯕꯥ ꯉꯝꯃꯤ꯫
- ꯑꯦꯝ.ꯑꯥꯔ.ꯑꯥꯏ.(ꯃꯦꯒ꯭ꯅꯦꯇꯤꯛ ꯔꯤꯖꯣꯅꯦꯟꯁ ꯏꯃꯦꯖꯤꯡ) ꯁ꯭ꯀꯦꯟ: ꯃꯁꯤꯅꯥ ꯕ꯭ꯔꯦꯟ ꯑꯃꯁꯨꯡ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯂꯁꯤꯡꯒꯤ ꯌꯥꯝꯅꯥ ꯑꯀꯨꯞꯄꯥ ꯏꯃꯦꯖꯁꯤꯡ ꯄꯨꯊꯣꯀꯄꯥ ꯉꯝꯃꯤ꯫
- ꯁꯦꯔꯤꯕ꯭ꯔꯦꯜ ꯑꯦꯟꯖꯤꯑꯣꯒ꯭ꯔꯥꯐꯤ: ꯃꯁꯤꯗꯥ ꯅ꯭ꯌꯨꯔꯣꯁꯔꯖꯔ ꯑꯃꯅꯥ ꯒ꯭ꯔꯣꯏꯟ ꯅꯠꯠꯔꯒꯥ ꯔꯤꯁ꯭ꯇꯀꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯑꯄꯤꯀꯄꯥ ꯇꯤꯎꯕ (ꯀꯦꯇꯦꯇꯔ) ꯑꯃꯥ ꯊꯥꯗꯨꯅꯥ ꯕ꯭ꯔꯦꯅꯒꯤ ꯏꯒꯤ ꯈꯣꯡꯖꯦꯂꯗꯥ ꯂꯃꯖꯤꯡꯗꯨꯅꯥ, ꯑꯃꯁꯨꯡ ꯑꯦꯅꯤꯎꯔꯤꯖꯃꯒꯤ ꯃꯐꯝ, ꯁꯥꯏꯖ ꯑꯃꯁꯨꯡ ꯃꯑꯣꯡ ꯑꯗꯨ ꯌꯥꯝꯅꯥ ꯅꯤꯡꯊꯤꯅꯥ ꯌꯦꯡꯁꯤꯜꯂꯤ꯫
- ꯁꯦꯔꯤꯕ꯭ꯔꯣꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯐ꯭ꯂꯨꯏꯗ (CSF) ꯇꯦꯁ꯭ꯠ: ꯂꯝꯕꯔ ꯄꯉ꯭ꯀꯆꯔ ꯑꯃꯅꯥ ꯕ꯭ꯔꯦꯅꯒꯤ ꯑꯀꯣꯌꯕꯗꯥ ꯏ ꯊꯣꯀꯄꯥ ꯈꯪꯗꯣꯀꯄꯥ ꯉꯝꯃꯤ꯫
ꯂꯥꯏꯌꯦꯡꯕꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?
ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯄꯥꯟꯗꯃꯗꯤ ꯑꯦꯅꯤꯎꯔꯤꯖꯃꯗꯒꯤ ꯏ ꯊꯣꯀꯄꯥ ꯊꯤꯡꯕꯅꯤ꯫ ꯔꯄꯆꯔ ꯑꯦꯅꯤꯎꯔꯤꯖꯝ ꯍꯥꯌꯕꯁꯤ ꯑꯦꯃꯔꯖꯦꯟꯁꯤ ꯁꯔꯖꯔꯤ ꯃꯊꯧ ꯇꯥꯕꯥ ꯃꯦꯗꯤꯀꯦꯜ ꯏꯃꯔꯖꯦꯟꯁꯤ ꯑꯃꯅꯤ꯫ ꯑꯁꯣꯀꯄꯥ ꯑꯦꯅꯤꯎꯔꯤꯖꯝ ꯑꯃꯥ ꯂꯥꯏꯌꯦꯡꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯂꯥꯏꯌꯦꯡꯗꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯗꯨꯒꯤ ꯃꯈꯥ ꯄꯣꯜꯂꯤ꯫
ꯃꯔꯨꯑꯣꯏꯕꯥ ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯃꯑꯣꯡꯁꯤꯡ꯫
1. ꯃꯥꯏꯛꯔꯣꯚꯦꯁꯀꯨꯂꯥꯔ ꯀ꯭ꯂꯤꯄꯤꯡ: ꯃꯁꯤ ꯑꯣꯄꯟ ꯁꯔꯖꯔꯤ ꯑꯃꯅꯤ꯫ ꯅ꯭ꯌꯨꯔꯣꯁꯔꯖꯅꯅꯥ ꯃꯀꯣꯛ ꯑꯗꯨꯗꯥ ꯑꯄꯤꯀꯄꯥ ꯍꯨꯔꯥꯅꯕꯥ ꯑꯃꯥ ꯁꯦꯝꯃꯤ ꯑꯃꯁꯨꯡ ꯑꯦꯅꯤꯎꯔꯤꯖꯃꯒꯤ ꯃꯐꯝ ꯑꯗꯨꯗꯥ ꯆꯠꯂꯤ꯫ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯀ꯭ꯂꯣꯊꯁ꯭ꯄꯤꯟ ꯑꯃꯒꯨꯝꯅꯥ, ꯑꯦꯅꯤꯎꯔꯤꯖꯃꯒꯤ ꯃꯀꯣꯀꯊꯣꯡꯕꯗꯥ ꯑꯄꯤꯀꯄꯥ ꯙꯥꯇꯨꯒꯤ ꯀ꯭ꯂꯤꯞ ꯑꯃꯥ ꯊꯃꯗꯨꯅꯥ ꯃꯗꯨꯗꯥ ꯏꯒꯤ ꯈꯣꯡꯖꯦꯜ ꯑꯗꯨ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯀꯀꯊꯠꯂꯤ꯫
2. ꯑꯦꯟꯗꯣꯚꯥꯁ꯭ꯀꯨꯂꯥꯔ ꯀꯣꯏꯂꯤꯡ: ꯃꯁꯤꯗꯥ ꯑꯄꯤꯀꯄꯥ ꯏꯅꯁꯤꯁꯟ ꯑꯃꯥ ꯁꯦꯝꯕꯥ ꯌꯥꯎꯏ꯫ ꯒ꯭ꯔꯨꯏꯟ ꯅꯠꯠꯔꯒꯥ ꯔꯤꯁ꯭ꯇꯀꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯏꯅꯈꯠꯂꯀꯄꯥ ꯑꯄꯤꯀꯄꯥ ꯇꯤꯎꯕ (catheter) ꯑꯃꯅꯥ ꯑꯦꯅꯤꯎꯔꯤꯖꯃꯗꯥ ꯌꯥꯝꯅꯥ ꯐꯖꯕꯥ ꯋꯥꯏꯔꯞ ꯀꯣꯏꯂꯁꯤꯡ ꯍꯥꯄꯆꯤꯟꯅꯕꯥ ꯁꯤꯖꯤꯟꯅꯩ꯫ ꯀꯣꯏꯂꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯑꯦꯅꯤꯎꯔꯤꯖꯃꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯏꯒꯤ ꯈꯣꯡꯖꯦꯜ ꯑꯃꯥ ꯊꯣꯀꯍꯜꯂꯤ, ꯃꯗꯨꯅꯥ ꯃꯗꯨꯗꯥ ꯏ ꯆꯦꯅꯕꯥ ꯊꯤꯡꯏ꯫
꯳.ꯐ꯭ꯂꯣ ꯗꯥꯏꯕꯔꯁꯟ ꯁ꯭ꯇꯦꯟꯇꯁꯤꯡ: ꯃꯁꯤꯁꯨ ꯏꯅꯁꯤꯁꯟ ꯌꯥꯑꯣꯗꯅꯥ ꯇꯧꯏ꯫ ꯑꯦꯅꯤꯎꯔꯤꯖꯝ ꯑꯗꯨ ꯂꯩꯔꯤꯕꯥ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯂꯗꯥ ꯃꯦꯁꯒꯨꯝꯕꯥ ꯇꯤꯎꯕ (ꯁ꯭ꯇꯦꯟꯇ) ꯑꯃꯥ ꯊꯥꯏ꯫ ꯃꯁꯤꯅꯥ ꯏꯒꯤ ꯈꯣꯡꯖꯦꯜ ꯑꯗꯨ ꯚꯦꯁꯦꯜ ꯑꯗꯨꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯍꯀꯊꯦꯡꯅꯅꯥ ꯂꯃꯖꯤꯡꯏ, ꯃꯁꯤꯅꯥ ꯑꯦꯅꯤꯎꯔꯤꯖꯝ ꯑꯗꯨ ꯕꯥꯏꯄꯥꯁ ꯇꯧꯏ꯫
ꯑꯁꯣꯀꯄꯥ ꯑꯦꯅꯤꯎꯔꯤꯖꯝ ꯑꯃꯒꯤꯗꯃꯛꯇꯥ ꯅꯍꯥꯛꯅꯥ ꯀꯔꯤ ꯇꯧꯔꯤꯕꯒꯦ?
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯄꯤꯀꯄꯥ, ꯂꯥꯏꯑꯣꯡ ꯂꯩꯇꯕꯥ ꯑꯦꯅꯤꯎꯔꯤꯖꯝ ꯑꯃꯥ ꯂꯩꯔꯕꯗꯤ ꯑꯃꯁꯨꯡ ꯑꯇꯩ ꯔꯤꯁ꯭ꯛ ꯐꯦꯛꯇꯔꯁꯤꯡ ꯂꯩꯠꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯃꯗꯨ ꯂꯥꯏꯌꯦꯡꯗꯅꯕꯥ ꯋꯥꯔꯦꯞ ꯂꯧꯕꯥ ꯌꯥꯏ꯫
ꯑꯗꯨꯕꯨ ꯃꯗꯨ ꯀꯥꯑꯣꯊꯣꯛꯀꯗꯕꯅꯤ ꯍꯥꯌꯕꯗꯤ ꯅꯠꯇꯦ꯫ ꯑꯍꯣꯡꯕꯥ ꯑꯃꯠꯇꯥ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯅꯕꯒꯤꯗꯃꯛ ꯅꯍꯥꯛꯅꯥ ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯁ꯭ꯀꯦꯟ ꯇꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯏ꯫ ꯃꯁꯤꯗꯁꯨ ꯅꯠꯇꯅꯥ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯩꯈꯨ ꯊꯥꯗꯣꯀꯄꯥ ꯇꯥꯔꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯃꯩꯈꯨ ꯊꯥꯗꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯅꯕꯥ ꯄꯥꯎꯇꯥꯛ ꯄꯤꯒꯅꯤ .
ꯁꯔꯖꯔꯤ ꯇꯧꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯇꯧꯗꯕꯒꯤ ꯋꯥꯔꯦꯞ ꯑꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯆꯍꯤ, ꯑꯄꯨꯅꯕꯥ ꯍꯀꯁꯦꯜ, ꯑꯦꯅꯤꯎꯔꯤꯖꯃꯒꯤ ꯁꯥꯏꯖ ꯑꯃꯁꯨꯡ ꯃꯐꯝ, ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯏꯃꯨꯡꯒꯤ ꯍꯤꯁ꯭ꯇꯔꯤ ꯌꯥꯎꯅꯥ ꯐꯦꯛꯇꯔ ꯀꯌꯥꯗꯥ ꯌꯨꯝꯐꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯂꯧꯏ꯫ ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯑꯃꯨꯛꯇꯪ ꯋꯥꯔꯤ ꯁꯥꯅꯕꯤꯌꯨ꯫
ꯇꯨꯡꯒꯤ ꯃꯔꯃꯗꯥ ꯀꯔꯤ ꯍꯥꯌꯕꯥ ꯌꯥꯕꯒꯦ?
ꯔꯄꯆꯔ ꯇꯧꯔꯕꯥ ꯑꯦꯅꯤꯎꯔꯤꯖꯃꯒꯤ ꯀꯦꯁꯇꯥ, ꯐꯜ ꯑꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯆꯍꯤ, ꯍꯀꯁꯦꯜ, ꯏ ꯃꯥꯡꯈꯤꯕꯥ ꯆꯥꯡ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯅꯥ ꯀꯌꯥ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯃꯈꯥ ꯄꯣꯜꯂꯤ꯫ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯋꯥꯐꯝ ꯑꯃꯅꯥ, ꯆꯥꯎꯔꯥꯛꯅꯥ ꯃꯤꯑꯣꯏ 25%ꯗꯤ ꯑꯦꯅꯤꯎꯔꯤꯖꯝ ꯑꯃꯥ ꯁꯣꯀꯍꯜꯂꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯄꯨꯡ 24ꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯁꯤꯔꯤ꯫ ꯊꯥ ꯑꯍꯨꯃꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯁꯤꯕꯒꯤ ꯆꯥꯡ ꯑꯁꯤ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯵꯰% ꯑꯣꯏ꯫
ꯍꯤꯡꯗꯨꯅꯥ ꯂꯩꯔꯤꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯒꯤ ꯆꯥꯎꯔꯥꯛꯅꯥ 66%ꯗꯤ ꯃꯑꯣꯡ ꯑꯃꯍꯦꯛꯇꯗꯥ ꯃꯇꯝ ꯆꯨꯞꯄꯒꯤ ꯑꯣꯏꯅꯥ ꯕ꯭ꯔꯦꯅꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯉꯟꯅꯥ ꯂꯥꯏꯌꯦꯡꯕꯥ ꯑꯃꯁꯨꯡ ꯑꯐꯕꯥ ꯔꯤꯍꯦꯕꯤꯂꯤꯇꯦꯁꯅꯒꯥ ꯂꯣꯌꯅꯅꯥ , ꯈꯔꯗꯤ ꯗꯤꯁꯑꯦꯕꯤꯂꯤꯇꯤ ꯈꯔꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯃꯠꯇꯥ ꯂꯩꯇꯅꯥ ꯐꯒꯠꯂꯀꯏ꯫
ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯑꯄꯤꯀꯄꯥ, ꯑꯁꯣꯛ-ꯑꯄꯟ ꯂꯩꯇꯕꯥ ꯑꯦꯅꯤꯎꯔꯤꯖꯝ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏ ꯀꯌꯥꯗꯤ ꯂꯥꯏꯑꯣꯡ ꯑꯃꯠꯇꯥ ꯌꯥꯎꯗꯅꯥ ꯅꯠꯠꯔꯒꯥ ꯃꯁꯤꯗꯒꯤ ꯏꯐꯦꯛꯇ ꯑꯃꯠꯇꯥ ꯂꯩꯍꯟꯗꯅꯥ ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯍꯤꯡꯏ꯫
ꯇꯦꯛ-ꯍꯣꯝ ꯃꯦꯁꯦꯖ ꯇꯧꯕꯥ꯫
- ꯕ꯭ꯔꯦꯟ ꯑꯦꯅꯤꯎꯔꯤꯖꯝ ꯍꯥꯌꯕꯁꯤ ꯕ꯭ꯔꯦꯅꯗꯥ ꯂꯩꯕꯥ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯜ ꯑꯃꯗꯥ ꯕꯦꯂꯨꯟ ꯑꯃꯒꯨꯝꯅꯥ ꯋꯥꯡꯈꯠꯄꯥ ꯃꯐꯝ ꯑꯃꯅꯤ꯫
- ꯈꯪꯍꯧꯗꯅꯥ, ꯁꯥꯊꯤꯕꯥ ꯍꯦꯗ-ꯑꯦꯛ (‘ꯊꯟꯗꯔꯛꯂꯦꯞ’ ꯍꯦꯗ-ꯑꯦꯛ) ꯑꯁꯤ ꯁꯣꯀꯍꯜꯂꯕꯥ ꯑꯦꯅꯤꯎꯔꯤꯖꯃꯒꯤ ꯑꯆꯧꯕꯥ ꯈꯨꯗꯝ ꯑꯃꯅꯤ꯫ ꯃꯁꯤ ꯃꯦꯗꯤꯀꯦꯜ ꯏꯃꯔꯖꯦꯟꯁꯤ ꯑꯃꯅꯤ꯫ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯜ ꯑꯃꯒꯤ ꯏꯃꯔꯖꯦꯟꯁꯤ ꯗꯤꯄꯥꯔꯇꯃꯦꯟꯇ (ETU)ꯗꯥ ꯈꯨꯗꯛꯇꯥ ꯆꯠꯂꯨ꯫
- ꯑꯌꯥꯝꯕꯥ ꯑꯁꯣꯀꯄꯥ ꯑꯦꯅꯤꯎꯔꯤꯖꯃꯁꯤꯡꯅꯥ ꯂꯥꯏꯑꯣꯡ ꯑꯃꯠꯇꯥ ꯊꯣꯀꯍꯟꯗꯦ ꯑꯃꯁꯨꯡ ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯃꯊꯧ ꯇꯥꯗꯕꯥ ꯌꯥꯏ꯫
- ꯍꯥꯌ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯥ, ꯃꯩꯈꯨ ꯊꯥꯗꯣꯀꯄꯥ ꯊꯤꯡꯕꯥ ꯑꯃꯁꯨꯡ ꯗ꯭ꯔꯒ ꯁꯤꯖꯤꯟꯅꯗꯕꯅꯥ ꯔꯤꯁ꯭ꯛ ꯑꯁꯤ ꯍꯟꯊꯍꯟꯅꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯇꯧꯕꯥ ꯌꯥꯕꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯥ ꯊꯕꯀꯁꯤꯡꯅꯤ꯫
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯦꯅꯤꯎꯔꯤꯖꯝ ꯑꯃꯥ ꯂꯩꯔꯦ ꯍꯥꯌꯅꯥ ꯈꯪꯂꯕꯗꯤ, ꯑꯆꯨꯝꯕꯥ ꯋꯥꯔꯦꯄꯁꯤꯡ ꯂꯧꯅꯕꯒꯤꯗꯃꯛ ꯅꯍꯥꯛꯀꯤ ꯔꯤꯁ꯭ꯀꯁꯤꯡ, ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯑꯣꯄꯁꯅꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯃꯦꯅꯦꯖꯃꯦꯟꯇꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯇꯥꯟꯅꯧ꯫
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