ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯑꯩꯈꯣꯌꯅꯥ ꯈꯉꯍꯧꯗꯅꯥ ꯊꯝꯃꯣꯌ ꯁꯣꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ ꯃꯇꯃꯗꯥ ꯌꯥꯝꯅꯥ ꯋꯥꯅꯥ ꯊꯣꯀꯏ, ꯅꯠꯇꯦ? ꯑꯩꯈꯣꯌꯅꯥ ꯈꯜꯂꯤ, "ꯃꯁꯤ ꯍꯥꯔꯠ ꯑꯦꯇꯦꯛ ꯑꯣꯏꯕꯔꯥ?" ꯑꯁꯤꯒꯨꯝꯕꯥ ꯃꯇꯝ ꯑꯁꯤꯗꯥ, ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯊꯝꯃꯣꯌꯗꯥ ꯑꯁꯣꯀꯄꯥ ꯑꯃꯥ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯆꯨꯝꯅꯥ ꯈꯉꯗꯣꯛꯅꯕꯥ ꯑꯈꯟꯅꯕꯥ ꯕ꯭ꯂꯗ ꯇꯦꯁ꯭ꯠ ꯑꯃꯥ ꯂꯩ꯫ ꯀꯥꯔꯗꯤꯌꯦꯛ ꯑꯦꯅꯖꯥꯏꯝ ꯇꯦꯁ꯭ꯠ ꯑꯁꯤꯕꯨ ꯃꯗꯨꯕꯨ ꯀꯧꯏ꯫
ꯍꯥꯌꯔꯤꯕꯥ ꯀꯥꯔꯗꯤꯌꯦꯛ ꯑꯦꯅꯖꯥꯏꯃꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯤꯅꯣ?
ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ ꯀꯥꯔꯗꯤꯌꯦꯛ ꯑꯦꯅꯖꯥꯏꯃꯁꯤꯡ ꯑꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯊꯝꯃꯣꯌꯒꯤ ꯁꯦꯂꯁꯤꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯂꯩꯕꯥ ꯑꯈꯟꯅꯕꯥ ꯄ꯭ꯔꯣꯇꯤꯅꯁꯤꯡꯅꯤ꯫ ꯑꯦꯅꯖꯥꯏꯝ ꯍꯥꯌꯕꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯅꯥ ꯀꯦꯃꯤꯀꯦꯂꯒꯤ ꯊꯧꯑꯣꯡꯁꯤꯡ, ꯍꯥꯌꯕꯗꯤ ꯗꯥꯏꯖꯦꯁꯟ , ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯄꯥꯡꯊꯣꯀꯄꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯂꯤꯕꯥ ꯀꯦꯃꯤꯀꯦꯂꯁꯤꯡꯅꯤ꯫ ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯑꯁꯤꯒꯨꯝꯅꯥ ꯈꯟꯊꯕꯤꯌꯨ: ꯅꯍꯥꯛꯀꯤ ꯊꯝꯃꯣꯌ ꯑꯁꯤ ꯌꯨꯝ ꯑꯃꯒꯨꯝꯕꯅꯤ꯫ ꯌꯨꯝ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯃꯃꯜ ꯌꯥꯝꯂꯕꯥ ꯄꯣꯠꯂꯝ ꯀꯌꯥ ꯂꯩꯔꯤ꯫ ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯅꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ ꯑꯁꯤ ꯌꯨꯃꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯂꯩꯗꯨꯅꯥ ꯃꯄꯥꯟꯗꯥ ꯊꯣꯛꯇꯦ꯫
ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯍꯥꯔꯠ ꯀꯧꯕꯥ ꯌꯨꯝ ꯑꯁꯤꯗꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯄꯣꯠꯁꯛ ꯑꯃꯥ ꯁꯣꯀꯍꯜꯂꯕꯗꯤ, ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯍꯥꯔꯇꯅꯥ ꯑꯣꯛꯁꯤꯖꯦꯟ ꯃꯔꯥꯡ ꯀꯥꯌꯅꯥ ꯐꯪꯗ꯭ꯔꯕꯗꯤ (ꯑꯩꯈꯣꯌꯅꯥ ꯃꯁꯤꯕꯨ ꯏꯁ꯭ꯀꯦꯃꯤꯛ ꯍꯥꯌꯅꯥ ꯀꯧꯏ ), ꯅꯠꯠꯔꯒꯥ ꯍꯥꯔꯠ ꯑꯦꯇꯦꯀꯒꯨꯝꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯥ ꯂꯥꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯍꯥꯔꯇꯀꯤ ꯁꯦꯂꯁꯤꯡꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯏ꯫ ꯌꯨꯝ ꯑꯃꯒꯤ ꯋꯥꯜ ꯑꯃꯥ ꯁꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯃꯅꯨꯡꯗꯥ ꯂꯩꯔꯤꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ ꯑꯗꯨ ꯂꯥꯞꯅꯥ ꯂꯥꯞꯅꯥ ꯊꯣꯔꯀꯄꯒꯨꯝꯕꯅꯤ꯫ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ, ꯁꯦꯂꯁꯤꯡ ꯑꯗꯨꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯂꯩꯔꯝꯕꯥ ꯀꯥꯔꯗꯤꯌꯦꯛ ꯑꯦꯅꯖꯥꯏꯃꯁꯤꯡ ꯑꯗꯨ ꯏꯗꯥ ꯌꯥꯎꯕꯥ ꯍꯧꯏ꯫ ꯑꯗꯨꯅꯥ, ꯏꯗꯥ ꯑꯦꯅꯖꯥꯏꯃꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯆꯥꯡ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ ꯑꯁꯤꯅꯥ ꯍꯥꯔꯇꯇꯥ ꯄ꯭ꯔꯦꯁꯔ, ꯑꯃꯥꯡ-ꯑꯇꯥ ꯅꯠꯠꯔꯒꯥ ꯁ꯭ꯠꯔꯦꯁ ꯈꯔꯥ ꯂꯩꯔꯀꯄꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯀ꯭ꯂꯨ ꯑꯃꯅꯤ . ꯃꯁꯤꯕꯨ ꯀꯥꯔꯗꯤꯌꯦꯛ ꯕꯥꯏꯑꯣꯃꯥꯔꯀꯔꯁꯤꯡꯁꯨ ꯀꯧꯏ , ꯃꯔꯃꯗꯤ ꯃꯈꯣꯌꯅꯥ ꯍꯥꯔꯇꯀꯤ ꯍꯀꯁꯦꯂꯒꯤ ꯃꯇꯥꯡꯗꯥ “ꯁꯤꯒꯅꯦꯜ” ꯑꯃꯥ ꯄꯤ꯫
ꯑꯗꯨꯅꯥ, ꯃꯁꯤ ꯀꯥꯔꯗꯤꯌꯦꯛ ꯑꯦꯅꯖꯥꯏꯝ ꯃꯥꯔꯀꯔ ꯇꯦꯁ꯭ꯠ ꯑꯁꯤ ꯀꯔꯤꯅꯣ?
ꯀꯥꯔꯗꯤꯌꯦꯛ ꯑꯦꯅꯖꯥꯏꯝ ꯃꯥꯔꯀꯔ ꯇꯦꯁ꯭ꯠ ꯇꯧꯕꯥ꯫ꯑꯃꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯏꯒꯤ ꯁꯦꯝꯄꯜ ꯑꯃꯥ ꯂꯧꯗꯨꯅꯥ ꯑꯈꯟꯅꯕꯥ ꯑꯦꯅꯖꯥꯏꯃꯁꯤꯡ, ꯅꯠꯠꯔꯒꯥ ꯕꯥꯏꯑꯣꯃꯥꯔꯀꯔꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯆꯥꯡ ꯑꯗꯨ ꯂꯦꯄꯊꯣꯀꯄꯥ ꯇꯦꯁ꯭ꯠ ꯑꯃꯅꯤ꯫ ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯏꯆꯝ ꯆꯝꯕꯥ ꯕ꯭ꯂꯗ ꯇꯦꯁ꯭ꯠ ꯑꯃꯅꯤ꯫ ꯅꯍꯥꯛꯀꯤ ꯈꯨꯠꯁꯥꯗꯥ ꯂꯩꯕꯥ ꯚꯦꯅꯝ ꯑꯃꯗꯒꯤ ꯏꯒꯤ ꯆꯥꯡ ꯈꯔꯥ ꯂꯧꯊꯣꯀꯏ꯫
ꯗꯣꯛꯇꯔꯅꯥ ꯇꯦꯁ꯭ꯠ ꯑꯁꯤ ꯁꯤꯖꯤꯟꯅꯗꯨꯅꯥ ꯏꯗꯥ ꯂꯩꯔꯤꯕꯥ ꯑꯦꯅꯖꯥꯏꯝ ꯑꯁꯤꯒꯤ ꯆꯥꯡ ꯑꯁꯤ ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯕ꯭ꯔꯥ ꯅꯠꯠꯔꯒꯥ ꯍꯦꯅꯒꯠꯂꯛꯂꯤꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯁꯤꯜꯂꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯦꯅꯖꯥꯏꯝ ꯑꯁꯤꯒꯤ ꯆꯥꯡ ꯑꯁꯤ ꯔꯦꯀꯃꯦꯟꯗ ꯇꯧꯔꯕꯥ ꯊꯥꯛ ꯑꯗꯨꯗꯒꯤ ꯌꯥꯝꯅꯥ ꯍꯦꯜꯂꯕꯗꯤ , ꯃꯁꯤꯅꯥ ꯍꯥꯔꯠ ꯑꯦꯇꯦꯛ ꯑꯃꯥ ꯊꯣꯀꯈꯤꯕꯥ ꯌꯥꯏ, ꯅꯠꯠꯔꯒꯥ ꯍꯥꯔꯇꯇꯥ ꯁ꯭ꯠꯔꯦꯁ ꯈꯔꯥ ꯂꯩꯕꯥ ꯌꯥꯏ ꯍꯥꯌꯕꯁꯤꯅꯤ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯇꯦꯁ꯭ꯠ ꯑꯃꯅꯤ꯫
ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯀꯥꯔꯗꯤꯌꯦꯛ ꯕꯥꯏꯑꯣꯃꯥꯔꯀꯔꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯁꯤꯖꯤꯟꯅꯒꯅꯤ?
ꯍꯧꯖꯤꯛ ꯑꯗꯣꯝꯅꯥ ꯈꯅꯕꯤꯔꯃꯒꯅꯤ, ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯃꯇꯧ ꯀꯔꯝꯅꯥ ꯏꯒꯤ ꯇꯦꯁ꯭ꯠ ꯑꯁꯤ ꯈꯛꯇꯅꯥ ꯂꯥꯌꯅꯥ ꯑꯃꯥ ꯈꯉꯗꯣꯀꯄꯥ ꯉꯃꯒꯅꯤ? ꯇꯁꯦꯡꯕꯗꯤ ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯀꯥꯔꯗꯤꯌꯦꯛ ꯕꯥꯏꯑꯣꯃꯥꯔꯀꯔꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯊꯥꯀꯁꯤꯡ ꯑꯁꯤ ꯌꯦꯡꯗꯨꯅꯥ ꯌꯥꯝꯅꯥ ꯈꯉꯕꯥ ꯉꯃꯒꯅꯤ꯫ ꯃꯁꯤ ꯗꯤꯇꯦꯛꯇꯤꯚ ꯑꯃꯅꯥ ꯀ꯭ꯂꯨꯁꯤꯡ ꯄꯨꯟꯅꯥ ꯊꯝꯕꯒꯨꯝꯕꯅꯤ꯫
ꯈꯨꯗꯝ ꯑꯣꯏꯅ:
- ꯑꯦꯛꯌꯨꯠ ꯀꯣꯔꯣꯅꯥꯔꯤ ꯁꯤꯟꯗ꯭ꯔꯣꯝ (ACS): ꯃꯁꯤ ꯍꯥꯔꯇꯇꯥ ꯏꯒꯤ ꯈꯣꯡꯖꯦꯜ ꯈꯪꯍꯧꯗꯅꯥ ꯍꯟꯊꯔꯀꯄꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫ ꯃꯁꯤ ꯍꯥꯔꯠ ꯑꯦꯇꯦꯛ ꯑꯃꯒꯤ ꯃꯃꯥꯡꯒꯤ ꯊꯧꯑꯣꯡ ꯑꯣꯏꯕꯥ ꯌꯥꯏ ꯅꯠꯠꯔꯒꯥ ꯍꯥꯔꯠ ꯑꯦꯇꯦꯛ ꯑꯃꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫ ꯃꯇꯝ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯀꯥꯔꯗꯤꯌꯦꯛ ꯑꯦꯅꯖꯥꯏꯃꯒꯤ ꯆꯥꯡ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ ꯌꯥꯏ꯫
- ꯃꯥꯌꯣꯀꯥꯔꯗꯤꯌꯥꯜ ꯏꯁ꯭ꯀꯦꯃꯤꯛ (Myocardial Ischemia) : ꯃꯁꯤ ꯍꯥꯔꯇꯀꯤ ꯃꯁꯂꯅꯥ ꯑꯣꯛꯁꯤꯖꯦꯟ ꯃꯔꯥꯡ ꯀꯥꯌꯅꯥ ꯐꯪꯗꯕꯥ ꯃꯇꯃꯅꯤ꯫ ꯏꯁꯤꯡ ꯋꯥꯠꯄꯥ ꯃꯇꯃꯗꯥ ꯄꯥꯝꯕꯤ ꯑꯃꯅꯥ ꯁꯣꯀꯍꯅꯕꯒꯨꯝꯅꯥ꯫ ꯍꯥꯔꯠ ꯁꯦꯂꯁꯤꯡꯅꯥ ꯑꯣꯛꯁꯤꯖꯦꯟ ꯌꯥꯎꯗꯕꯥ ꯃꯇꯃꯗꯥ, ꯃꯈꯣꯌꯅꯥ ꯁ꯭ꯠꯔꯦꯁ ꯂꯩꯍꯜꯂꯤ ꯑꯃꯁꯨꯡ ꯑꯦꯅꯖꯥꯏꯃꯁꯤꯡ ꯑꯁꯤ ꯊꯥꯗꯣꯀꯏ꯫
- ꯍꯥꯔꯇꯀꯤ ꯃꯁꯂꯗꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯄꯥ: ꯑꯇꯩ ꯃꯔꯃꯁꯤꯡ, ꯍꯥꯌꯕꯗꯤ ꯑꯀꯛꯅꯕꯥ ꯏꯅꯐꯦꯛꯁꯅꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯁꯥꯊꯤꯕꯥ ꯍꯥꯔꯠ ꯑꯦꯇꯦꯛ ꯑꯁꯤꯅꯥ ꯍꯥꯔꯇꯀꯤ ꯃꯁꯂꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯍꯥꯌꯔꯤꯕꯥ ꯑꯦꯅꯖꯥꯏꯃꯁꯤꯡ ꯑꯁꯤꯁꯨ ꯃꯇꯝ ꯑꯗꯨꯗꯥ ꯏꯗꯥ ꯊꯨꯃꯖꯤꯜꯂꯤ꯫
ꯀꯟꯗꯤꯁꯟ ꯈꯨꯗꯤꯡꯃꯛꯀꯤ ꯇꯣꯉꯥꯅꯕꯥ ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯃꯑꯣꯡ ꯂꯩ꯫ ꯑꯗꯨꯅꯥ, ꯑꯆꯨꯝꯕꯥ ꯗꯥꯏꯑꯦꯒ꯭ꯅꯣꯁꯤꯁ ꯑꯃꯥ ꯂꯧꯕꯥ ꯑꯁꯤ ꯃꯔꯨꯑꯣꯏ , ꯃꯔꯃꯗꯤ ꯃꯇꯝ ꯑꯗꯨꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯆꯨꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯊꯨꯅꯥ ꯂꯥꯌꯦꯡꯕꯥ ꯉꯃꯒꯅꯤ꯫
ꯀꯥꯔꯗꯤꯌꯦꯛ ꯕꯥꯏꯑꯣꯃꯥꯔꯀꯔ ꯇꯦꯁ꯭ꯠ ꯑꯁꯤꯒꯤ ꯄꯥꯟꯗꯃꯁꯤꯡ ꯀꯔꯤꯅꯣ?
ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯀꯥꯔꯗꯤꯌꯦꯛ ꯃꯥꯔꯀꯔꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯆꯥꯡ ꯑꯁꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯔꯝ ꯈꯔꯒꯤꯗꯃꯛ ꯌꯦꯡꯁꯤꯜꯂꯤ꯫ ꯃꯈꯣꯌꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯤꯅꯣ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯁꯤ:
- ꯍꯥꯔꯠ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯑꯃꯁꯨꯡ ꯑꯇꯩ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯃꯁꯤꯡꯒꯤ ꯁ꯭ꯛꯔꯤꯟ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯑꯩꯈꯣꯌꯅꯥ ꯑꯆꯧꯕꯥ ꯂꯥꯏꯑꯣꯡ ꯑꯃꯠꯇꯥ ꯎꯕꯥ ꯐꯪꯗꯕꯥ ꯌꯥꯏ, ꯑꯗꯨꯕꯨ ꯑꯩꯈꯣꯌꯒꯤ ꯊꯝꯃꯣꯌꯒꯤ ꯃꯅꯨꯡꯗꯒꯤ ꯍꯧꯗꯨꯅꯥ ꯑꯄꯤꯀꯄꯥ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯃꯁꯤꯡ ꯂꯩꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯒꯤ ꯇꯦꯁ꯭ꯠ ꯑꯁꯤꯅꯥ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯂꯣꯠꯁꯤꯜꯂꯕꯥ ꯁꯃꯁ꯭ꯌꯥꯁꯤꯡ ꯑꯁꯤꯁꯨ ꯈꯉꯗꯣꯀꯄꯥ ꯉꯃꯒꯅꯤ꯫
- ꯊꯝꯃꯣꯌ ꯁꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ ꯑꯁꯤꯅꯆꯤꯡꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯊꯣꯀꯍꯜꯂꯤꯕꯥ ꯍꯥꯔꯇꯀꯤ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ ꯈꯪꯗꯣꯀꯄꯥ : ꯃꯁꯤ ꯑꯌꯥꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯑꯦꯃꯔꯖꯦꯟꯁꯤ ꯑꯃꯗꯥ ꯄꯥꯡꯊꯣꯀꯄꯥ ꯇꯦꯁ꯭ꯠ ꯑꯃꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯊꯝꯃꯣꯌ ꯁꯣꯛꯅꯥ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯂꯗꯥ ꯆꯠꯂꯕꯗꯤ, ꯃꯁꯤ ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯇꯧꯒꯗꯕꯥ ꯑꯍꯥꯅꯕꯥ ꯇꯦꯁ꯭ꯇꯁꯤꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯅꯤ꯫
- ꯍꯥꯔꯇꯀꯤ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯍꯥꯔꯠ ꯁꯔꯖꯔꯤꯅꯥ ꯀꯌꯥꯝ ꯐꯖꯅꯥ ꯊꯕꯛ ꯇꯧꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯁꯤꯜꯂꯨ: ꯅꯍꯥꯛꯅꯥ ꯍꯥꯔꯠ ꯑꯦꯇꯦꯛ ꯑꯃꯒꯤ ꯂꯥꯏꯌꯦꯡ ꯍꯧꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ, ꯑꯦꯅꯖꯥꯏꯃꯒꯤ ꯆꯥꯡ ꯑꯁꯤ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯍꯟꯊꯍꯅꯒꯗꯕꯅꯤ꯫ ꯃꯗꯨ ꯑꯣꯏꯔꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯗꯨꯅꯥ, ꯅꯍꯥꯛꯅꯥ ꯂꯥꯏꯌꯦꯡ ꯑꯗꯨꯒꯤ ꯃꯥꯌꯄꯥꯀꯄꯥ ꯑꯗꯨ ꯂꯦꯄꯊꯣꯀꯄꯥ ꯉꯃꯒꯅꯤ꯫
- ꯇꯣꯉꯥꯟ-ꯇꯣꯉꯥꯅꯕꯥ ꯍꯥꯔꯇꯀꯤ ꯀꯟꯗꯤꯁꯅꯁꯤꯡꯒꯤ ꯄ꯭ꯔꯣꯒ꯭ꯅꯣꯁꯤꯁ ꯑꯃꯥ ꯂꯥꯎꯊꯣꯀꯄꯥ: ꯍꯥꯌꯕꯗꯤ, ꯑꯦꯅꯖꯥꯏꯃꯒꯤ ꯆꯥꯡ ꯑꯁꯤꯅꯥ ꯂꯥꯌꯅꯥ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯍꯦꯅꯒꯠꯂꯛꯀꯅꯤ, ꯃꯁꯤ ꯀꯌꯥꯝ ꯁꯥꯊꯤꯕꯒꯦ ꯑꯃꯁꯨꯡ ꯐꯒꯠꯂꯀꯄꯒꯤ ꯆꯥꯡ ꯑꯁꯤ ꯀꯔꯤꯅꯣ ꯍꯥꯌꯕꯒꯤ ꯋꯥꯈꯜꯂꯣꯟ ꯑꯃꯥ ꯂꯧꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫
“ꯇꯦꯁ꯭ꯠ ꯑꯁꯤ ꯊꯝꯃꯣꯌꯒꯤ ꯋꯥꯔꯤ ꯂꯤꯕꯥ ꯂꯥꯏꯔꯤꯛ ꯑꯃꯒꯨꯝꯕꯅꯤ, ꯃꯁꯤꯅꯥ ꯊꯝꯃꯣꯌꯗꯥ ꯀꯔꯤ ꯊꯣꯀꯈꯤꯕꯒꯦ, ꯃꯁꯤꯒꯤ ꯍꯧꯖꯤꯛ ꯑꯣꯏꯔꯤꯕꯥ ꯐꯤꯚꯝ ꯑꯃꯁꯨꯡ ꯇꯨꯡꯗꯥ ꯀꯔꯤ ꯑꯣꯏꯔꯀꯄꯥ ꯌꯥꯕꯒꯦ ꯍꯥꯌꯕꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯀ꯭ꯂꯨꯁꯤꯡ ꯄꯤꯔꯤ꯫”
ꯀꯥꯔꯗꯤꯌꯦꯛ ꯑꯦꯅꯖꯥꯏꯝ ꯇꯦꯁ꯭ꯠ ꯑꯁꯤ ꯀꯗꯥꯏꯗꯥ ꯄꯥꯡꯊꯣꯀꯄꯒꯦ?
ꯀꯥꯔꯗꯤꯌꯦꯛ ꯑꯦꯅꯖꯥꯏꯝ ꯇꯦꯁ꯭ꯠ ꯑꯁꯤꯒꯤꯗꯃꯛꯇꯥ ꯏꯒꯤ ꯁꯦꯝꯄꯜ ꯑꯃꯥ ꯂꯧꯕꯥ ꯑꯁꯤ ꯃꯤꯅꯤꯠ ꯈꯔꯈꯛꯇꯗꯥ ꯄꯥꯡꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫
- ꯑꯦꯃꯔꯖꯦꯟꯁꯤ ꯑꯃꯗꯥ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯦꯃꯔꯖꯦꯟꯁꯤ ꯑꯃꯥ ꯂꯩꯔꯕꯗꯤ, ꯍꯥꯌꯕꯗꯤ ꯈꯣꯡꯗꯥ ꯁꯣꯀꯄꯥ, ꯑꯃꯁꯨꯡ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯂꯒꯤ ꯏꯃꯔꯖꯦꯟꯁꯤ ꯇ꯭ꯔꯤꯇꯃꯦꯟꯇ ꯌꯨꯅꯤꯠ (ETU)ꯗꯥ ꯆꯠꯂꯕꯗꯤ, ꯕ꯭ꯂꯗ ꯇꯦꯁ꯭ꯠ ꯑꯁꯤ ꯃꯐꯃꯗꯨꯗꯥ ꯄꯥꯡꯊꯣꯛꯀꯅꯤ꯫
- ꯅꯟ-ꯏꯃꯔꯖꯦꯟꯁꯤ ꯐꯤꯚꯝ ꯑꯃꯗꯥ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯇꯦꯁ꯭ꯠ ꯑꯁꯤ ꯑꯣꯔꯗꯔ ꯇꯧꯕꯥ ꯌꯥꯏ, ꯃꯁꯤ ꯔꯨꯇꯤꯟ ꯆꯦꯀꯑꯞ ꯑꯃꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯇꯩ ꯂꯥꯏꯑꯣꯡꯁꯤꯡꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯑꯣꯏꯔꯕꯁꯨ ꯌꯥꯏ꯫ ꯑꯗꯨ ꯑꯣꯏꯔꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯕ꯭ꯂꯗ ꯇꯦꯁ꯭ꯠ ꯇꯧꯕꯥ ꯂꯦꯕ ꯑꯃꯗꯥ ꯆꯠꯇꯨꯅꯥ ꯃꯗꯨ ꯄꯥꯡꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫
ꯀꯔꯤ ꯃꯈꯂꯒꯤ ꯀꯥꯔꯗꯤꯌꯦꯛ ꯑꯦꯅꯖꯥꯏꯃꯁꯤꯡ (ꯕꯥꯏꯑꯣꯃꯥꯔꯀꯔꯁꯤꯡ) ꯂꯩꯕꯒꯦ?
ꯍꯥꯔꯇꯀꯤ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯃꯁꯤꯡꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯈꯪꯍꯅꯕꯥ ꯉꯝꯕꯥ ꯇꯣꯉꯥꯟ-ꯇꯣꯉꯥꯅꯕꯥ ꯃꯈꯂꯒꯤ ꯀꯥꯔꯗꯤꯌꯦꯛ ꯕꯥꯏꯑꯣꯃꯥꯔꯀꯔꯁꯤꯡ ꯂꯩ꯫ ꯃꯁꯤ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯄꯨꯝꯅꯃꯛ ꯑꯁꯤ ꯑꯦꯅꯖꯥꯏꯝ ꯅꯠꯠꯔꯒꯥ ꯄ꯭ꯔꯣꯇꯤꯅꯁꯤꯡꯅꯤ꯫ ꯃꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯈꯔꯒꯤ ꯂꯦꯚꯦꯜ ꯋꯥꯡꯈꯠꯂꯀꯄꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯀꯥꯔꯗꯤꯑꯣꯚꯥꯁ꯭ꯀꯨꯂꯥꯔ ꯗꯤꯖꯤꯖ ꯅꯠꯠꯔꯒꯥ ꯑꯇꯣꯞꯄꯥ ꯍꯥꯔꯇꯀꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯥ ꯂꯩꯕꯥ ꯌꯥꯏ ꯍꯥꯌꯕꯥ ꯇꯥꯀꯄꯥ ꯌꯥꯏ꯫
- ꯇ꯭ꯔꯣꯄꯣꯅꯤꯟ: ꯃꯁꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯑꯃꯁꯨꯡ ꯃꯍꯧꯁꯥꯅꯥ ꯁꯤꯖꯤꯟꯅꯕꯥ ꯕꯥꯏꯑꯣꯃꯥꯔꯀꯔꯅꯤ . ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯑꯍꯥꯅꯕꯗꯥ ꯇ꯭ꯔꯣꯄꯣꯅꯤꯅꯒꯤ ꯆꯥꯡ ꯌꯦꯡꯗꯨꯅꯥ ꯍꯥꯔꯠ ꯑꯁꯤ ꯍꯥꯔꯠ ꯑꯦꯇꯦꯛ ꯅꯠꯠꯔꯒꯥ ꯑꯦ.ꯁꯤ.ꯑꯦꯁ. ꯍꯥꯔꯠ ꯑꯦꯇꯦꯛ ꯇꯧꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯄꯨꯡ ꯈꯔꯒꯤ ꯃꯅꯨꯡꯗꯥ (ꯆꯥꯎꯔꯥꯛꯅꯥ ꯄꯨꯡ 3-4) ꯏꯗꯥ ꯇ꯭ꯔꯣꯄꯣꯅꯤꯅꯒꯤ ꯆꯥꯡ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ ꯍꯧꯏ, ꯑꯃꯁꯨꯡ ꯄꯨꯡ 12 ꯐꯥꯎꯕꯥ ꯋꯥꯡꯈꯠꯄꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯗꯁꯨ ꯅꯠꯇꯅꯥ, ꯃꯁꯤ ꯏꯗꯥ ꯅꯨꯃꯤꯠ ꯑꯃꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯅꯤꯒꯤ ꯑꯣꯏꯅꯥ ꯋꯥꯡꯈꯠꯄꯥ ꯑꯣꯏꯅꯥ ꯂꯩꯕꯥ ꯌꯥꯏ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯇ꯭ꯔꯣꯄꯣꯅꯤꯟ ꯇꯦꯁ꯭ꯠ ꯑꯁꯤ ꯄꯨꯡ ꯈꯔꯅꯤ ꯅꯠꯠꯔꯒꯥ ꯅꯨꯃꯤꯠ ꯈꯔꯅꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯍꯟꯖꯤꯟ ꯍꯟꯖꯤꯟ ꯇꯧꯗꯨꯅꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯑꯁꯤꯒꯤ ꯆꯥꯡ ꯑꯃꯁꯨꯡ ꯐꯤꯚꯝ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯍꯣꯡꯂꯛꯂꯤꯕꯅꯣ ꯍꯥꯌꯕꯗꯨ ꯈꯉꯏ꯫
- ꯅꯦꯠꯔꯤꯌꯨꯔꯦꯇꯤꯛ ꯄꯦꯄꯇꯤꯗꯁꯤꯡ (NPs): ꯃꯁꯤ ꯑꯇꯣꯞꯄꯥ ꯃꯈꯂꯒꯤ ꯄ꯭ꯔꯣꯇꯤꯟ ꯑꯃꯅꯤ꯫ ꯃꯈꯣꯌ ꯑꯁꯤ ꯍꯥꯔꯇꯅꯥ ꯌꯥꯝꯅꯥ ꯁꯣꯀꯍꯜꯂꯕꯥ ꯃꯇꯃꯗꯥ ꯏꯗꯥ ꯊꯥꯗꯣꯀꯏ, ꯃꯔꯨꯑꯣꯏꯅꯥ ꯍꯥꯔꯠ ꯐꯦꯜ ꯑꯣꯏꯔꯀꯄꯒꯨꯝꯕꯥ ꯀꯟꯗꯤꯁꯅꯁꯤꯡꯗꯥ . ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯄꯦꯄꯇꯤꯀꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯈꯜ ꯀꯌꯥ ꯑꯃꯥ ꯂꯦꯄꯊꯣꯀꯄꯥ ꯉꯝꯂꯕꯁꯨ, ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯑꯁꯤ ꯑꯦꯟ-ꯇꯔꯃꯤꯅꯦꯜ ꯄ꯭ꯔꯣꯕꯤ.ꯑꯦꯟ.ꯄꯤ.(ꯑꯦꯟ.ꯇꯤ.-ꯄ꯭ꯔꯣꯕꯤ.ꯑꯦꯟ.ꯄꯤ.) ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ ꯃꯁꯤ ꯍꯥꯔꯠ ꯐꯦꯜ ꯑꯣꯏꯕꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯍꯥꯔꯠ ꯑꯗꯨ ꯀꯌꯥꯝ ꯋꯥꯡꯅꯥ ꯁ꯭ꯠꯔꯦꯟ ꯂꯩꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯑꯦꯁꯦꯁ ꯇꯧꯕꯗꯥ ꯁꯤꯖꯤꯟꯅꯕꯥ ꯌꯥꯏ꯫
ꯀꯥꯔꯗꯤꯌꯦꯛ ꯑꯦꯅꯖꯥꯏꯝ (ꯕꯥꯏꯑꯣꯃꯥꯔꯀꯔ) ꯇꯦꯁ꯭ꯠ ꯑꯁꯤ ꯀꯅꯥꯅꯥ ꯃꯊꯧ ꯇꯥꯕꯒꯦ?
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯍꯥꯔꯇꯀꯤ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯑꯃꯥ ꯂꯩꯔꯦ ꯍꯥꯌꯕꯥ ꯇꯥꯀꯄꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯂꯩꯔꯕꯗꯤ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯀꯥꯔꯗꯤꯌꯦꯛ ꯑꯦꯅꯖꯥꯏꯝ ꯇꯦꯁ꯭ꯠ ꯑꯁꯤ ꯑꯣꯔꯗꯔ ꯇꯧꯕꯥ ꯌꯥꯏ꯫ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯁꯤꯡꯁꯤ ꯌꯥꯎꯏ:
- ꯈꯣꯡꯗꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯅꯠꯠꯔꯒꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯄꯥ:ꯃꯁꯤ ꯃꯤꯑꯣꯏ ꯑꯌꯥꯝꯕꯅꯥ ꯀꯤꯕꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯂꯥꯏꯑꯣꯡꯅꯤ꯫ ꯃꯁꯤ ꯃꯑꯣꯡ ꯑꯃꯗꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯃꯗꯥ ꯂꯥꯀꯄꯥ ꯌꯥꯏ꯫ ꯈꯔꯒꯤ ꯑꯣꯏꯅꯗꯤ ꯄ꯭ꯔꯦꯁꯔ ꯑꯃꯥ ꯑꯣꯏꯅꯥ ꯐꯥꯑꯣꯏ, ꯈꯔꯒꯤ ꯑꯣꯏꯅꯗꯤ ꯑꯔꯨꯝꯕꯥ ꯑꯃꯥ ꯑꯣꯏꯅꯥ ꯐꯥꯑꯣꯏ, ꯈꯔꯒꯤꯗꯃꯛ ꯃꯩ ꯆꯥꯀꯄꯒꯤ ꯊꯧꯗꯣꯛ ꯑꯃꯥ ꯑꯣꯏꯅꯥ ꯐꯥꯑꯣꯏ꯫ ꯃꯁꯤꯒꯤ ꯑꯅꯥꯕꯥ ꯑꯁꯤ ꯈꯣꯡ, ꯈꯣꯡ, ꯃꯤꯗ-ꯕꯦꯛ, ꯈꯨꯎ, ꯅꯠꯠꯔꯒꯥ ꯂꯦꯡ-ꯑꯣꯠꯄꯗꯁꯨ ꯁꯟꯗꯣꯀꯄꯥ ꯌꯥꯏ꯫
- ꯃꯤꯠ ꯎꯗꯕꯥ : ꯍꯥꯔꯇꯅꯥ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯊꯕꯛ ꯇꯧꯗꯕꯥ ꯃꯇꯃꯗꯥ ꯕ꯭ꯔꯦꯅꯗꯥ ꯏꯒꯤ ꯆꯥꯡ ꯍꯟꯊꯔꯀꯄꯥ ꯌꯥꯏ, ꯃꯗꯨꯅꯥ ꯃꯤꯠ ꯎꯗꯕꯥ ꯊꯣꯀꯍꯜꯂꯤ꯫
- ꯅꯣꯡꯃꯩ ꯀꯥꯞꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯋꯥꯈꯜ ꯆꯔꯥꯡꯅꯕꯥ: ꯍꯥꯔꯠ ꯑꯦꯇꯦꯛ ꯈꯔꯗꯁꯨ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯎꯕꯥ ꯐꯪꯏ, ꯃꯔꯨꯑꯣꯏꯅꯥ ꯅꯨꯄꯤꯁꯤꯡꯗꯥ꯫
- ꯌꯥꯝꯅꯥ ꯋꯥꯅꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯈꯪꯍꯧꯗꯅꯥ ꯅꯣꯡꯃꯩ ꯀꯥꯞꯄꯥ ꯑꯃꯁꯨꯡ ꯃꯔꯝ ꯑꯃꯠꯇꯗꯥ ꯌꯥꯝꯅꯥ ꯋꯥꯅꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ ꯑꯣꯏꯔꯕꯗꯤ, ꯃꯗꯨꯁꯨ ꯄꯨꯛꯅꯤꯡ ꯆꯪꯒꯗꯕꯥ ꯂꯥꯏꯑꯣꯡ ꯑꯃꯅꯤ꯫
- ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯄꯤꯀꯄꯥ ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯇꯧꯔꯕꯁꯨ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯗꯥ ꯑꯋꯥꯕꯥ ꯃꯥꯌꯣꯛꯅꯔꯕꯗꯤ, ꯍꯥꯌꯕꯗꯤ ꯁ꯭ꯇꯦꯖꯁꯤꯡꯗꯥ ꯆꯦꯟꯊꯔꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ ꯍꯧꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯐꯥꯑꯣꯕꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ ꯑꯣꯏꯔꯕꯗꯤ, ꯃꯁꯤꯁꯨ ꯂꯧꯈꯠꯀꯗꯕꯅꯤ꯫
- ꯍꯥꯔꯠ ꯐꯦꯜ ꯑꯣꯏꯔꯀꯄꯥ (hart failure exacerbation): ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯅꯥ ꯍꯥꯟꯅꯅꯥ ꯍꯥꯔꯠ ꯐꯦꯜ ꯑꯣꯏꯔꯕꯥ ꯑꯣꯏꯔꯕꯗꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ (e.g., ꯈꯣꯡꯗꯥ ꯁꯣꯀꯄꯥ, ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ) ꯈꯪꯍꯧꯗꯅꯥ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ꯫
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯃꯗꯒꯤ ꯍꯦꯅꯕꯥ ꯂꯩꯔꯕꯗꯤ, ꯈꯨꯗꯛꯇꯥ ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯄꯥꯎꯇꯥꯛ ꯂꯧꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫
ꯍꯥꯔꯠ ꯑꯦꯇꯦꯛ ꯅꯠꯠꯔꯒꯥ ꯍꯥꯔꯠ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯄꯥ ꯈꯪꯗꯣꯛꯅꯕꯥ ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯑꯇꯩ ꯀꯔꯤ ꯕ꯭ꯂꯗ ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯁꯤꯖꯤꯟꯅꯕꯒꯦ?
ꯀꯥꯔꯗꯤꯌꯦꯛ ꯑꯦꯅꯖꯥꯏꯝ ꯇꯦꯁ꯭ꯇꯀꯤ ꯃꯊꯛꯇꯥ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯗꯨ ꯍꯦꯟꯅꯥ ꯈꯪꯗꯣꯛꯅꯕꯥ ꯑꯇꯩ ꯕ꯭ꯂꯗ ꯇꯦꯁ꯭ꯠ ꯀꯌꯥ ꯑꯃꯥ ꯑꯣꯔꯗꯔ ꯇꯧꯕꯥ ꯌꯥꯏ:
- ꯀꯝꯞꯂꯤꯠ ꯕ꯭ꯂꯗ ꯀꯥꯎꯟꯇ (CBC): ꯃꯁꯤꯅꯥ ꯏꯗꯥ ꯌꯥꯎꯔꯤꯕꯥ ꯔꯦꯗ ꯁꯦꯂꯁꯤꯡ, ꯋꯥꯏꯠ ꯁꯦꯂꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯄ꯭ꯂꯦꯇꯂꯦꯇꯁꯤꯡꯒꯤ ꯃꯁꯤꯡ ꯑꯗꯨ ꯂꯦꯄꯊꯣꯀꯏ꯫ ꯃꯁꯤꯅꯥ ꯑꯦꯅꯤꯃꯤꯌꯥꯒꯨꯝꯕꯥ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ ꯈꯪꯗꯣꯀꯄꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫
- ꯕꯦꯁꯤꯛ ꯃꯦꯇꯥꯕꯣꯂꯤꯛ ꯄꯦꯅꯦꯜ (BMP) : ꯃꯁꯤꯅꯥ ꯏꯂꯦꯛꯠꯔꯣꯂꯥꯏꯠꯁꯤꯡ (ꯁꯣꯗꯤꯌꯝ ꯑꯃꯁꯨꯡ ꯄꯣꯇꯥꯁꯤꯌꯃꯒꯨꯝꯕꯥ), ꯀꯤꯗꯅꯤꯒꯤ ꯐꯉ꯭ꯀꯁꯟ, ꯑꯃꯁꯨꯡ ꯏꯗꯥ ꯌꯥꯎꯔꯤꯕꯥ ꯆꯤꯅꯤꯒꯤ ꯆꯥꯡ ꯑꯁꯤꯅꯆꯤꯡꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ ꯇꯦꯁ꯭ꯠ ꯇꯧꯏ꯫
- ꯕ꯭ꯂꯗ ꯒ꯭ꯌꯥꯁ ꯇꯦꯁ꯭ꯠ (ABG): ꯃꯁꯤꯅꯥ ꯏꯗꯥ ꯂꯩꯔꯤꯕꯥ ꯑꯣꯛꯁꯤꯖꯦꯟ, ꯀꯥꯔꯕꯣꯟ ꯗꯥꯏꯑꯣꯛꯁꯥꯏꯗ ꯑꯃꯁꯨꯡ ꯑꯦꯁꯤꯗ-ꯕꯦꯖ ꯕꯦꯂꯦꯟꯁ ꯑꯗꯨ ꯌꯦꯡꯁꯤꯜꯂꯤ꯫ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯗꯥ ꯑꯋꯥꯕꯥ ꯊꯣꯀꯍꯅꯕꯒꯤ ꯃꯔꯝ ꯈꯪꯗꯣꯛꯅꯕꯥ ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫
ꯍꯥꯔꯠ ꯑꯦꯇꯦꯛ ꯅꯠꯠꯔꯒꯥ ꯍꯥꯔꯇꯇꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯄꯥ ꯈꯪꯗꯣꯛꯅꯕꯥ ꯑꯇꯩ ꯀꯔꯤ ꯀꯔꯤ ꯏꯛꯌꯨꯏꯄꯃꯦꯟꯇ ꯑꯃꯁꯨꯡ ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯁꯤꯖꯤꯟꯅꯕꯒꯦ?
ꯕ꯭ꯂꯗ ꯇꯦꯁ꯭ꯇꯀꯤ ꯃꯊꯛꯇꯥ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯥꯔꯇꯀꯤ ꯑꯀꯛꯅꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯗꯨ ꯈꯪꯗꯣꯛꯅꯕꯥ ꯑꯇꯣꯞꯄꯥ ꯇꯦꯁ꯭ꯠ ꯀꯌꯥ ꯑꯃꯥ ꯄꯥꯡꯊꯣꯛꯅꯕꯥ ꯋꯥꯔꯦꯞ ꯂꯧꯕꯥ ꯌꯥꯏ:
- ꯆꯦꯁ꯭ꯠ ꯑꯦꯛꯁ-ꯔꯦ: ꯃꯁꯤꯅꯥ ꯂꯪꯁ ꯑꯃꯁꯨꯡ ꯍꯥꯔꯇꯀꯤ ꯁꯥꯏꯖ ꯑꯃꯁꯨꯡ ꯃꯑꯣꯡ-ꯃꯇꯧ ꯑꯁꯤꯅꯆꯤꯡꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ ꯌꯦꯡꯕꯗꯥ ꯁꯤꯖꯤꯟꯅꯕꯥ ꯌꯥꯏ꯫
- ꯏꯀꯣꯀꯥꯔꯗꯤꯑꯣꯒ꯭ꯔꯥꯐ: ꯃꯁꯤ ꯍꯥꯔꯇꯀꯤ ꯑꯂꯠꯔꯥꯁꯥꯎꯟꯗ ꯁ꯭ꯀꯦꯟ ꯑꯃꯒꯨꯝꯅꯥ ꯑꯣꯏ꯫ ꯃꯁꯤꯅꯥ ꯆꯦꯝꯕꯔꯁꯤꯡ, ꯚꯜꯌꯨꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯊꯝꯃꯣꯌꯅꯥ ꯀꯔꯝꯅꯥ ꯁꯣꯀꯍꯅꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯀꯨꯞꯅꯥ ꯌꯦꯡꯕꯥ ꯌꯥꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯇ꯭ꯔꯥꯟꯁꯑꯦꯁꯣꯐꯦꯖꯤꯑꯦꯜ ꯏꯀꯣꯀꯥꯔꯗꯤꯑꯣꯒ꯭ꯔꯥꯐ (TEE) ꯀꯧꯕꯥ ꯑꯈꯟꯅꯕꯥ ꯏꯀꯣ ꯇꯦꯁ꯭ꯠ ꯑꯃꯁꯨ ꯇꯧꯕꯥ ꯌꯥꯏ꯫
- ꯏꯂꯦꯛꯠꯔꯣꯀꯥꯔꯗꯤꯑꯣꯒ꯭ꯔꯥꯐ (ECG ꯅꯠꯠꯔꯒꯥ EKG): ꯃꯁꯤꯅꯥ ꯍꯥꯔꯇꯀꯤ ꯏꯂꯦꯛꯠꯔꯤꯀꯦꯜ ꯑꯦꯛꯇꯤꯚꯤꯇꯤ ꯔꯦꯀꯣꯔꯗ ꯇꯧꯏ꯫ ꯃꯁꯤꯅꯥ ꯍꯥꯔꯇꯀꯤ ꯔꯤꯗꯃꯗꯥ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯃꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯍꯥꯔꯠ ꯑꯦꯇꯦꯛ ꯑꯃꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯈꯪꯗꯣꯀꯄꯥ ꯉꯝꯃꯤ꯫
- ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯁ꯭ꯠꯔꯦꯁ ꯇꯦꯁ꯭ꯠ ꯅꯠꯠꯔꯒꯥ ꯅ꯭ꯌꯨꯛꯂꯤꯌꯔ ꯀꯥꯔꯗꯤꯌꯦꯛ ꯁ꯭ꯠꯔꯦꯁ ꯇꯦꯁ꯭ꯠ: ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯑꯁꯤ ꯅꯍꯥꯛꯅꯥ ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯇꯧꯕꯥ ꯃꯇꯃꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯥꯔꯇꯅꯥ ꯀꯔꯝꯅꯥ ꯔꯦꯁ꯭ꯄꯣꯟꯁ ꯇꯧꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯅꯕꯒꯤꯗꯃꯛ ꯇꯧꯏ꯫
- ꯑꯦꯟꯖꯤꯑꯣꯒ꯭ꯔꯥꯝ: ꯇꯦꯁ꯭ꯠ ꯑꯁꯤ ꯍꯥꯔꯇꯇꯥ ꯏ ꯁꯞꯂꯥꯏ ꯇꯧꯔꯤꯕꯥ ꯀꯣꯔꯣꯅꯥꯔꯤ ꯑꯥꯔꯇꯦꯔꯤꯁꯤꯡꯗꯥ ꯀꯗꯥꯏꯗꯥ ꯕ꯭ꯂꯣꯀꯦꯖ ꯂꯩꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯆꯨꯝꯅꯥ ꯈꯪꯗꯣꯛꯅꯕꯥ ꯇꯧꯏ꯫
- ꯄꯣꯖꯤꯠꯔꯣꯟ ꯏꯃꯤꯁꯟ ꯇꯣꯃꯣꯒ꯭ꯔꯥꯐꯤ (ꯄꯤ.ꯏ.ꯇꯤ.) ꯁ꯭ꯀꯦꯟ: ꯃꯁꯤꯒꯤ ꯍꯥꯏ-ꯇꯦꯛ ꯁ꯭ꯀꯦꯟ ꯑꯁꯤ ꯍꯥꯔꯠ ꯁꯦꯂꯁꯤꯡ ꯑꯁꯤ ꯀꯌꯥ ꯌꯥꯝꯅꯥ ꯍꯀꯆꯥꯡ ꯐꯅꯥ ꯂꯩꯕꯒꯦ ꯑꯃꯁꯨꯡ ꯏ ꯀꯌꯥ ꯌꯥꯝꯅꯥ ꯆꯦꯜꯂꯤꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯕꯗꯥ ꯁꯤꯖꯤꯟꯅꯩ꯫
ꯋꯥꯍꯪ ꯑꯁꯤ, “ꯑꯩꯍꯥꯀꯄꯨ ꯍꯥꯔꯠ ꯑꯦꯇꯦꯛ ꯇꯧꯔꯀꯄꯔꯥ ꯅꯠꯠꯔꯒꯥ ꯂꯩꯇꯕ꯭ꯔꯥ?” ꯑꯁꯤ ꯑꯆꯧꯕꯥ ꯑꯃꯅꯤ꯫ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯃꯇꯝ ꯑꯁꯤꯗꯥ ꯑꯗꯣꯝꯅꯥ ꯃꯥꯡꯂꯣꯃꯗꯥ ꯆꯪꯁꯤꯟꯅꯕꯥ ꯃꯌꯦꯛ ꯁꯦꯡꯕꯥ ꯄꯥꯎꯈꯨꯃꯁꯤꯡ ꯃꯊꯧ ꯇꯥꯏ꯫ ꯃꯔꯝ ꯑꯁꯤꯅꯥ ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯀꯥꯔꯗꯤꯌꯦꯛ ꯕꯥꯏꯑꯣꯃꯥꯔꯀꯔ ꯇꯦꯁ꯭ꯠ ꯑꯃꯁꯨꯡ ꯑꯇꯣꯞꯄꯥ ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯁꯤꯖꯤꯟꯅꯩ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯏꯗꯥ ꯀꯥꯔꯗꯤꯌꯦꯛ ꯑꯦꯅꯖꯥꯏꯃꯁꯤꯡꯒꯤ ꯆꯥꯡ ꯋꯥꯡꯈꯠꯂꯕꯗꯤ, ꯃꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯥꯔꯠ ꯑꯗꯨ ꯁꯣꯀꯍꯜꯂꯕꯥ, ꯁ꯭ꯠꯔꯦꯁ ꯂꯩꯔꯦ ꯅꯠꯠꯔꯒꯥ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯁꯟ ꯂꯩꯔꯦ ꯍꯥꯌꯕꯥ ꯇꯥꯀꯄꯥ ꯌꯥꯏ꯫ ꯍꯧꯖꯤꯛ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯀꯥꯔꯗꯤꯌꯦꯛ ꯑꯦꯅꯖꯥꯏꯃꯁꯤꯡꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯇꯦꯁ꯭ꯇꯀꯤ ꯔꯤꯖꯜꯇꯁꯤꯡꯅꯥ ꯀꯔꯤ ꯍꯥꯌꯔꯤꯕꯒꯦ ꯍꯥꯌꯕꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯍꯪ ꯍꯪꯕꯒꯤ ꯃꯇꯝ ꯑꯣꯏꯔꯦ꯫
ꯅꯤꯡꯁꯤꯡꯒꯗꯕꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯋꯥꯐꯃꯁꯤꯡ (ꯇꯦꯛ-ꯍꯣꯝ ꯃꯦꯁꯦꯖ)
ꯑꯣꯀꯦ, ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯑꯩꯈꯣꯌꯅꯥ ꯋꯥꯔꯤ ꯁꯥꯈꯤꯕꯥ ꯑꯗꯨꯗꯒꯤ ꯅꯍꯥꯛꯅꯥ ꯅꯤꯡꯁꯤꯡꯒꯗꯕꯥ ꯋꯥꯐꯝ ꯈꯔꯥ ꯊꯃꯖꯒꯦ:
- ꯀꯥꯔꯗꯤꯌꯦꯛ ꯑꯦꯅꯖꯥꯏꯃꯁꯤꯡ ꯑꯁꯤ ꯍꯥꯔꯠ ꯁꯦꯂꯁꯤꯡꯗꯒꯤ ꯊꯥꯗꯣꯔꯀꯄꯥ ꯄ꯭ꯔꯣꯇꯤꯅꯁꯤꯡꯅꯤ꯫ ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯍꯥꯔꯇꯇꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯏꯗꯥ ꯊꯨꯃꯖꯤꯜꯂꯤ꯫
- ꯀꯥꯔꯗꯤꯌꯦꯛ ꯑꯦꯅꯖꯥꯏꯝ ꯇꯦꯁ꯭ꯠ ꯑꯁꯤ ꯏꯆꯝ ꯆꯝꯕꯥ ꯕ꯭ꯂꯗ ꯇꯦꯁ꯭ꯠ ꯑꯃꯅꯤ ꯃꯁꯤꯅꯥ ꯑꯦꯅꯖꯥꯏꯃꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯆꯥꯡ ꯌꯦꯡꯁꯤꯜꯂꯤ꯫
- ꯇꯦꯁ꯭ꯠ ꯑꯁꯤꯅꯥ ꯍꯥꯔꯠ ꯑꯦꯇꯦꯛ, ꯑꯇꯩ ꯍꯥꯔꯠ ꯑꯃꯥꯡ-ꯑꯇꯥ, ꯑꯃꯁꯨꯡ ꯍꯥꯔꯠ ꯁ꯭ꯠꯔꯦꯁꯒꯨꯝꯕꯥ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ ꯈꯪꯗꯣꯀꯄꯥ ꯉꯝꯃꯤ꯫ ꯃꯁꯤꯒꯤꯗꯃꯛꯇꯥ ꯁꯤꯖꯤꯟꯅꯔꯤꯕꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯑꯦꯅꯖꯥꯏꯃꯗꯤ ꯇ꯭ꯔꯣꯄꯣꯅꯤꯟꯅꯤ꯫
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯈꯣꯡꯗꯥ ꯁꯣꯀꯄꯥ, ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ, ꯅꯠꯠꯔꯒꯥ ꯃꯤꯠ ꯎꯗꯕꯥ ꯑꯁꯤꯅꯆꯤꯡꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯂꯩꯔꯕꯗꯤ ꯈꯨꯗꯛꯇꯥ ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯄꯥꯎꯇꯥꯛ ꯂꯧꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫
- ꯅꯍꯥꯛꯀꯤ ꯇꯦꯁ꯭ꯇꯀꯤ ꯔꯤꯖꯜꯇ ꯑꯗꯨꯗꯥ ꯑꯀꯤꯕꯥ ꯑꯃꯠꯇꯥ ꯂꯩꯔꯣꯏꯗꯕꯅꯤ꯫ ꯗꯣꯛꯇꯔꯒꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯕꯤꯌꯨ ꯑꯃꯁꯨꯡ ꯄꯨꯝꯅꯃꯛ ꯃꯌꯦꯛ ꯁꯦꯡꯅꯥ ꯇꯥꯀꯄꯤꯌꯨ꯫
ꯅꯍꯥꯛꯀꯤ ꯊꯝꯃꯣꯌꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯃꯜ ꯌꯥꯝꯂꯕꯥ ꯄꯣꯠꯂꯝꯅꯤ꯫ ꯃꯁꯤꯕꯨ ꯌꯦꯡꯁꯤꯅꯕꯥ ꯑꯁꯤ ꯑꯗꯣꯃꯒꯤ ꯊꯧꯗꯥꯡꯅꯤ꯫ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯑꯁꯤ ꯈꯉꯕꯅꯥ ꯑꯗꯣꯃꯗꯥ ꯊꯧꯗꯥꯡ ꯑꯗꯨ ꯃꯄꯨꯡ ꯐꯥꯍꯅꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯒꯅꯤ!
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