ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯂꯩꯔꯤꯕꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯜ ꯑꯗꯨꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯁꯨꯞꯅꯒꯤ ꯋꯥꯔꯤ ꯁꯥꯁꯤ: ꯗꯤꯁꯦꯟꯗꯤꯡ ꯑꯦꯑꯣꯔꯇꯥ꯫

ꯑꯩꯈꯣꯌ ꯄꯨꯝꯅꯃꯛꯅꯥ ꯈꯉꯏ ꯃꯗꯨꯗꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯊꯝꯃꯣꯌ ꯑꯁꯤ ꯍꯀꯆꯥꯡ ꯄꯨꯝꯕꯗꯥ ꯏ ꯊꯥꯗꯣꯀꯄꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯁꯦꯟꯇꯔꯅꯤ꯫ ꯏꯁꯤꯡꯒꯤ ꯃꯣꯇꯣꯔ ꯑꯃꯒꯨꯝꯅꯥ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ, ꯍꯥꯔꯠ ꯑꯁꯤꯅꯥ ꯄꯝꯄ ꯇꯧꯕꯥ ꯑꯣꯛꯁꯤꯖꯦꯟ ꯌꯥꯝꯅꯥ ꯌꯥꯎꯕꯥ, ꯑꯁꯦꯡꯕꯥ ꯏ ꯑꯗꯨꯅꯥ ꯍꯀꯆꯥꯡ ꯄꯨꯝꯅꯃꯛꯇꯥ ꯌꯦꯟꯊꯣꯛꯅꯕꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯆꯦꯅꯦꯜ ꯑꯃꯥ ꯂꯩꯒꯗꯕꯅꯤ꯫ ꯃꯔꯨꯑꯣꯏꯕꯥ, ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯆꯥꯎꯕꯥ ꯑꯃꯁꯨꯡ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯄꯥꯉ꯭ꯒꯜ ꯀꯅꯕꯥ ꯕ꯭ꯂꯗ ꯆꯦꯅꯦꯜ ꯑꯗꯨꯗꯤ ꯑꯦꯑꯣꯔꯇꯥꯅꯤ, ꯅꯠꯠꯔꯒꯥ ꯑꯩꯈꯣꯌꯅꯥ ꯏꯪꯂꯤꯁꯇꯥ ꯍꯥꯌꯕꯒꯨꯝꯅꯥ ‘ꯑꯦꯑꯣꯔꯇꯥ’ꯅꯤ꯫ ꯉꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ ‘ꯗꯤꯁꯦꯟꯗꯤꯡ ꯑꯦꯑꯣꯔꯇꯥ’ꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯒꯅꯤ, ꯃꯁꯤ ꯑꯦꯑꯣꯔꯇꯥ ꯑꯁꯤꯒꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯁꯔꯨꯛ ꯑꯃꯅꯤ꯫

ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯗꯤꯁꯦꯟꯗꯤꯡ ꯑꯦꯑꯣꯔꯇꯥ ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ?

‘ꯗꯤꯁꯦꯟꯗꯤꯡ ꯑꯦꯑꯣꯔꯇꯥ’ ꯍꯥꯌꯕꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯆꯥꯎꯕꯥ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯜ ꯑꯣꯏꯔꯤꯕꯥ ꯑꯦꯑꯣꯔꯇꯥꯒꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯁꯥꯡꯕꯥ ꯁꯔꯨꯛ ꯑꯗꯨꯅꯤ꯫ ꯍꯟꯊꯔꯀꯄꯥ ꯍꯥꯌꯕꯁꯤ ‘ꯃꯊꯛꯇꯥ ꯆꯠꯄꯥ’ ꯍꯥꯌꯕꯅꯤ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯃꯃꯤꯡ ꯑꯁꯤꯅꯥ ꯇꯥꯀꯄꯒꯨꯝꯅꯥ, ꯃꯁꯤ ꯑꯦꯑꯣꯔꯇꯥꯒꯤ ꯁꯔꯨꯛ ꯑꯗꯨꯅꯤ꯫ ꯃꯁꯤꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯊꯕꯛ ꯑꯁꯤ ꯊꯝꯃꯣꯌꯗꯒꯤ ꯑꯣꯛꯁꯤꯖꯦꯟ ꯌꯥꯝꯅꯥ ꯌꯥꯎꯕꯥ, ꯁꯦꯡꯅꯥ ꯂꯩꯕꯥ ꯏ ꯑꯗꯨ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡ ꯑꯃꯁꯨꯡ ꯈꯣꯡꯗꯥ ꯆꯦꯟꯊꯈꯤꯕꯅꯤ꯫ ꯃꯁꯤ ꯁꯍꯔ ꯑꯃꯗꯥ ꯏꯁꯤꯡ ꯄꯤꯔꯤꯕꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯏꯁꯤꯡꯒꯤ ꯄꯥꯏꯄꯒꯨꯝꯅꯥ ꯑꯣꯏꯔꯤ꯫ ꯃꯁꯤꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯄꯥꯏꯞ ꯑꯁꯤꯅꯥ ꯍꯀꯆꯥꯡꯒꯤ ꯑꯇꯩ ꯁꯔꯨꯀꯁꯤꯡꯗꯥ ꯏ ꯄꯤꯅꯕꯒꯤꯗꯃꯛ ꯑꯄꯤꯀꯄꯥ ꯃꯁꯥꯁꯤꯡꯗꯥ ꯆꯦꯟꯊꯔꯀꯏ꯫

ꯃꯁꯤꯒꯤ ꯁꯔꯨꯛ ꯑꯅꯤ ꯂꯩꯔꯤ... ꯃꯈꯣꯌꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯤꯅꯣ?

ꯗꯦꯁꯦꯟꯗꯤꯡ ꯑꯦꯑꯣꯔꯇꯥ ꯀꯧꯕꯥ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯜ ꯄꯨꯝꯅꯃꯛ ꯂꯦꯞꯇꯅꯥ ꯂꯩꯔꯕꯁꯨ, ꯑꯩꯈꯣꯌꯅꯥ ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯃꯐꯝ ꯀꯗꯥꯏꯗꯥ ꯂꯩꯕꯒꯦ ꯍꯥꯌꯕꯒꯤ ꯃꯇꯨꯡ ꯏꯟꯅꯥ ꯁꯔꯨꯛ ꯑꯅꯤ ꯑꯣꯏꯅꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯩ꯫ ꯃꯁꯤ ꯆꯞ ꯃꯥꯟꯅꯕꯥ ꯂꯝꯕꯤ ꯑꯃꯅꯥ ꯁꯍꯔ ꯑꯅꯤꯗꯥ ꯆꯠꯄꯥ ꯃꯇꯃꯗꯥ ꯁꯍꯔ ꯈꯨꯗꯤꯡꯃꯛꯇꯥ ꯇꯣꯉꯥꯟ ꯇꯣꯉꯥꯅꯕꯥ ꯃꯃꯤꯡ ꯀꯧꯔꯀꯄꯒꯨꯝꯕꯅꯤ꯫

1. ꯗꯤꯁꯦꯟꯗꯤꯡ ꯊꯣꯔꯥꯁꯤꯛ ꯑꯦꯑꯣꯔꯇꯥ (Descending Thoracic Aorta) : ꯂꯦꯡ-ꯑꯣꯠꯄꯒꯤ ꯃꯑꯣꯡ-ꯃꯇꯧ ꯑꯗꯨ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ (Thorax) ꯆꯠꯄꯥ ꯃꯇꯃꯗꯥ, ꯑꯩꯈꯣꯌꯅꯥ ꯁꯔꯨꯛ ꯑꯗꯨꯕꯨ ‘Descending Thoracic Aorta’ ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ ‘ꯊꯣꯔꯥꯁꯤꯛ’ ꯍꯥꯌꯕꯁꯤ ꯆꯦꯡꯒꯥ ꯃꯔꯤ ꯂꯩꯅꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡꯒꯤꯗꯃꯛꯇꯥ ꯁꯤꯖꯤꯟꯅꯕꯥ ꯃꯦꯗꯤꯀꯦꯜ ꯇꯔꯝ ꯑꯃꯅꯤ꯫

2. ꯗꯤꯁꯦꯟꯗꯤꯡ ꯑꯦꯕꯗꯣꯃꯤꯅꯦꯜ ꯑꯦꯑꯣꯔꯇꯥ: ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯜ ꯑꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡ ꯑꯃꯁꯨꯡ ꯈꯣꯡꯄꯥꯛ ꯑꯗꯨ ꯇꯣꯈꯥꯌꯅꯥ ꯇꯥꯍꯜꯂꯤꯕꯥ ꯃꯁꯜ ꯑꯣꯏꯔꯤꯕꯥ ꯗꯥꯏꯑꯦꯐ꯭ꯔꯥꯃꯗꯥ ꯆꯠꯄꯥ ꯃꯇꯃꯗꯥ ꯃꯃꯤꯡ ꯍꯣꯡꯏ꯫ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯂꯩꯕꯥ ꯗꯥꯏꯑꯦꯐ꯭ꯔꯥꯃꯒꯤ ꯃꯈꯥꯗꯥ ꯂꯩꯕꯥ ꯁꯔꯨꯛ ꯑꯗꯨꯕꯨ Descending Abdominal Aorta ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ ꯃꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯒꯤ ꯃꯊꯛꯇꯒꯤ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯅꯥꯀꯣꯡꯒꯤ ꯊꯥꯛ ꯑꯗꯨ ꯐꯥꯎꯕꯥ ꯁꯥꯡꯗꯣꯀꯏ꯫

ꯃꯁꯤ ꯑꯦꯑꯣꯔꯇꯥꯒꯤ ꯑꯇꯩ ꯁꯔꯨꯀꯁꯤꯡꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯁꯣꯀꯍꯜꯂꯣꯏꯗꯕꯅꯤ!

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯑꯦꯑꯣꯔꯇꯥꯒꯤ ꯁꯔꯨꯀꯁꯤꯡ ꯑꯗꯨ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯁꯣꯟꯊꯕꯥ ꯌꯥꯏ꯫ ꯃꯗꯨꯁꯨ ꯁꯟꯗꯣꯛꯅꯥ ꯇꯥꯀꯆꯁꯤ꯫

• ꯊꯣꯔꯥꯁꯤꯛ ꯑꯦꯑꯣꯔꯇꯥ ꯑꯃꯁꯨꯡ ꯗꯤꯁꯦꯟꯗꯤꯡ ꯑꯦꯑꯣꯔꯇꯥ ꯑꯁꯤ ꯑꯃꯒꯥ ꯑꯃꯒꯥ ꯃꯥꯟꯅꯕ꯭ꯔꯥ?

ꯅꯠꯇꯦ ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯑꯃꯒꯥ ꯑꯃꯒꯥ ꯃꯥꯟꯅꯗꯦ꯫ ‘ꯊꯣꯔꯥꯁꯤꯛ ꯑꯦꯑꯣꯔꯇꯥ’ ꯍꯥꯌꯕꯁꯤꯅꯥ ꯆꯦꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯆꯦꯜꯂꯤꯕꯥ ꯑꯦꯑꯣꯔꯇꯥꯒꯤ ꯁꯔꯨꯛ ꯄꯨꯝꯅꯃꯀꯄꯨ ꯈꯪꯅꯩ꯫ ꯃꯁꯤꯗꯥ ꯁꯔꯨꯛ ꯀꯌꯥ ꯑꯃꯥ ꯌꯥꯑꯣꯔꯤ:

• ꯑꯦꯑꯣꯔꯇꯤꯛ ꯔꯨꯠ (Aortic root): ꯍꯥꯔꯇꯀꯥ ꯃꯔꯤ ꯂꯩꯅꯕꯥ ꯔꯨꯇꯀꯤ ꯁꯔꯨꯛ ꯑꯗꯨ꯫
• ꯑꯦꯁꯦꯟꯗꯤꯡ ꯑꯦꯑꯣꯔꯇꯥ (ascending aorta): ꯍꯥꯔꯇꯇꯒꯤ ꯍꯧꯔꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯃꯊꯛꯇꯥ ꯀꯨꯄꯁꯤꯅꯕꯥ ꯁꯔꯨꯛ ꯑꯗꯨ꯫
• ꯑꯦꯑꯣꯔꯇꯤꯛ ꯑꯥꯔꯆ (aortic arch): ꯃꯊꯛꯇꯥ ꯂꯩꯕꯥ ꯀꯨꯄꯁꯤꯜꯂꯕꯥ ꯁꯔꯨꯛ ꯑꯗꯨ, ꯁ꯭ꯇꯤꯛ ꯑꯃꯒꯤ ꯍꯦꯟꯗꯂꯒꯨꯝꯅꯥ꯫
• ꯗꯤꯁꯦꯟꯗꯤꯡ ꯊꯣꯔꯥꯁꯤꯛ ꯑꯦꯑꯣꯔꯇꯥ: ꯃꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯋꯥꯔꯤ ꯁꯥꯔꯤꯕꯥ ꯗꯦꯁꯦꯟꯗꯤꯡ ꯑꯦꯑꯣꯔꯇꯥꯒꯤ ꯁꯔꯨꯛ ꯑꯃꯅꯤ ꯃꯗꯨꯗꯤ ꯃꯁꯤ ꯆꯦꯁ꯭ꯇꯀꯤ ꯃꯅꯨꯡꯗꯥ ꯂꯩ꯫

ꯍꯥꯌꯕꯗꯤ, ꯗꯤꯁꯦꯟꯗꯤꯡ ꯑꯦꯑꯣꯔꯇꯥꯒꯤ ꯁꯔꯨꯛ ꯑꯃꯥ ꯊꯣꯔꯥꯁꯤꯛ ꯑꯦꯑꯣꯔꯇꯥꯒꯤ ꯃꯅꯨꯡ ꯆꯜꯂꯤ꯫

• ꯑꯦꯁꯦꯟꯗꯤꯡ ꯑꯃꯁꯨꯡ ꯗꯤꯁꯦꯟꯗꯤꯡ ꯑꯦꯑꯣꯔꯇꯥꯒꯤ ꯃꯔꯛꯇꯥ ꯀꯔꯤ ꯈꯦꯠꯅꯕꯥ ꯂꯩꯕꯒꯦ?

ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯂꯥꯏꯕꯛ ꯐꯕꯅꯤ꯫ ꯑꯦꯑꯣꯔꯇꯥ ꯑꯁꯤ ꯑꯆꯧꯕꯥ ꯋꯥꯍꯪ (?) ꯑꯃꯥ ꯑꯣꯏꯅꯥ ꯈꯅꯕꯤꯌꯨ꯫

• ꯍꯦꯅꯒꯠꯂꯛꯂꯤꯕꯥ ꯑꯦꯑꯣꯔꯇꯥ ꯍꯥꯌꯕꯁꯤ ꯊꯝꯃꯣꯌꯗꯒꯤ ꯋꯥꯡꯈꯠꯄꯥ ꯁꯔꯨꯛ ꯑꯗꯨꯅꯤ꯫
• ꯂꯥꯀꯄꯥ ꯑꯦꯑꯣꯔꯇꯥ (descending aorta) ꯍꯥꯌꯕꯁꯤ ꯀꯥꯔꯚ ꯑꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯆꯠꯂꯤꯕꯥ ꯁꯔꯨꯛ ꯑꯗꯨꯅꯤ꯫ ꯃꯁꯤ ꯆꯦꯡꯗꯒꯤ ꯍꯧꯔꯒꯥ ꯈꯣꯡꯄꯥꯛ ꯐꯥꯎꯕꯥ ꯌꯧꯏ꯫

ꯗꯤꯁꯦꯟꯗꯤꯡ ꯑꯦꯑꯣꯔꯇꯥꯅꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯀꯔꯤ ꯁꯔꯚꯤꯁ ꯄꯤꯔꯤꯕꯒꯦ?

ꯃꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯃꯈꯥ ꯊꯪꯕꯥ ꯁꯔꯨꯛꯇꯥ ꯏ ꯁꯞꯂꯥꯏ ꯇꯧꯔꯤꯕꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯍꯥꯏꯋꯦꯅꯤ꯫ ꯃꯁꯤꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯃꯁꯤꯗꯒꯤ ꯁꯥꯈꯥ ꯊꯣꯀꯄꯥ ꯑꯄꯤꯀꯄꯥ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯂꯁꯤꯡ (ꯕ꯭ꯔꯥꯟꯆꯁꯤꯡ) ꯑꯁꯤꯅꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯑꯣꯔꯒꯥꯟ ꯀꯌꯥꯅꯥ ꯑꯣꯛꯁꯤꯖꯦꯟ ꯑꯃꯁꯨꯡ ꯅ꯭ꯌꯨꯠꯔꯤꯑꯦꯟꯇꯁꯤꯡ ꯐꯪꯏ꯫

ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯜ ꯑꯁꯤꯒꯤ ꯁꯥꯏꯖ ꯑꯃꯁꯨꯡ ꯂꯦꯌꯔꯒꯤ ꯃꯇꯥꯡꯗꯁꯨ ꯈꯉꯁꯤ꯫

ꯑꯦꯑꯣꯔꯇꯥꯒꯤ ꯁꯥꯏꯖ ꯑꯁꯤ ꯆꯍꯤ, ꯍꯀꯆꯥꯡꯒꯤ ꯁꯥꯏꯖ ꯑꯃꯁꯨꯡ ꯖꯦꯟꯗꯔꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ ꯈꯔꯥ ꯈꯦꯠꯅꯕꯥ ꯌꯥꯏ꯫ ꯍꯀꯁꯦꯜ ꯐꯕꯥ ꯑꯍꯜ ꯑꯃꯗꯥ, ꯆꯥꯡꯆꯠꯇꯥ...

• ꯊꯣꯔꯥꯁꯤꯛ ꯗꯤꯁꯦꯟꯗꯤꯡ ꯑꯦꯑꯣꯔꯇꯥꯒꯤ ꯗꯥꯏꯑꯦꯃꯤꯇꯔ ꯑꯁꯤ ꯃꯍꯧꯁꯥꯅꯥ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯁꯦꯟꯇꯤꯃꯤꯇꯔ 2.5 - 3 ꯑꯣꯏ .
• ꯑꯦꯕꯗꯣꯃꯤꯅꯦꯜ ꯗꯤꯁꯦꯟꯗꯤꯡ ꯑꯦꯑꯣꯔꯇꯥꯒꯤ ꯗꯥꯏꯑꯦꯃꯤꯇꯔ ꯑꯁꯤ ꯃꯍꯧꯁꯥꯅꯥ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯁꯦꯟꯇꯤꯃꯤꯇꯔ 2 ꯑꯣꯏ .

ꯃꯁꯤꯒꯤ ꯑꯀꯅꯕꯥ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯜ ꯑꯁꯤ ꯇꯤꯁꯨꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯂꯦꯌꯔ ꯑꯍꯨꯃꯅꯥ ꯁꯦꯝꯕꯅꯤ:

1. ꯃꯅꯨꯡꯒꯤ ꯂꯦꯡ-ꯑꯣꯠꯄꯒꯤ ꯃꯑꯣꯡ (Tunica Intima): ꯂꯦꯌꯔ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯏ ꯆꯦꯜꯂꯤ꯫ ꯃꯁꯤꯅꯥ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ ꯑꯃꯁꯨꯡ ꯏ ꯊꯣꯀꯄꯥ ꯊꯤꯡꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫

2. ꯃꯤꯗꯜ ꯂꯦꯌꯥꯔ (Media): ꯂꯦꯌꯥꯔ ꯑꯁꯤꯗꯥ ꯑꯄꯤꯀꯄꯥ ꯃꯁꯂꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯏꯂꯥꯁ꯭ꯇꯤꯛ ꯐꯤꯕꯔꯁꯤꯡ ꯌꯥꯎꯏ ꯃꯗꯨꯅꯥ ꯏꯕꯨ ꯃꯥꯌꯀꯩ ꯑꯃꯗꯥ ꯆꯠꯍꯅꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫ ꯃꯁꯤꯒꯤ ꯂꯦꯌꯔ ꯑꯁꯤ ꯆꯍꯤ ꯌꯥꯃꯈꯠꯂꯀꯄꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯁꯣꯟꯊꯕꯥ ꯌꯥꯏ꯫

3. ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯄꯥꯅꯒꯤ ꯂꯦꯡ-ꯑꯣꯠꯄꯒꯤ ꯃꯑꯣꯡ (Adventitia): ꯃꯁꯤꯅꯥ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯂꯅꯥ ꯃꯁꯥꯒꯤ ꯄꯥꯉ꯭ꯒꯜ ꯑꯃꯁꯨꯡ ꯁ꯭ꯠꯔꯀꯆꯔ ꯐꯪꯏ꯫

ꯗꯤꯁꯦꯟꯗꯤꯡ ꯑꯦꯑꯣꯔꯇꯥꯗꯥ ꯀꯔꯤ ꯀꯟꯗꯤꯁꯅꯁꯤꯡꯅꯥ ꯁꯣꯀꯍꯜꯂꯤꯕꯒꯦ?

ꯃꯁꯤꯅꯥ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯊꯕꯛ ꯑꯃꯥ ꯄꯥꯡꯊꯣꯀꯄꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯜ ꯑꯁꯤꯒꯤ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯑꯦꯑꯣꯔꯇꯤꯛ ꯑꯦꯅꯤꯎꯔꯤꯖꯃꯅꯤ .

ꯂꯥꯀꯄꯥ ꯑꯦꯑꯣꯔꯇꯥꯗꯥ ꯊꯣꯀꯄꯥ ꯑꯦꯅꯤꯎꯔꯤꯖꯝ ꯃꯈꯜ ꯀꯌꯥ ꯂꯩ:

• ꯊꯣꯔꯥꯁꯤꯛ ꯑꯦꯑꯣꯔꯇꯤꯛ ꯑꯦꯅꯤꯎꯔꯤꯖꯝ (TAA): ꯃꯁꯤ ꯆꯦꯛꯁꯤꯟꯅꯥ ꯌꯦꯡꯁꯤꯜꯂꯤꯕꯥ ꯑꯦꯑꯣꯔꯇꯥꯗꯥ ꯊꯣꯀꯏ꯫ ꯍꯥꯌ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ, ꯈꯣꯡꯗꯥ ꯁꯣꯀꯄꯥ, ꯑꯃꯁꯨꯡ ꯖꯤꯅꯦꯇꯤꯛ ꯗꯤꯁꯑꯣꯔꯗꯔ ꯈꯔꯗꯤ (ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯃꯥꯔꯐꯥꯟ ꯁꯤꯟꯗ꯭ꯔꯣꯝ) ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫
• ꯑꯦꯕꯗꯣꯃꯤꯅꯦꯜ ꯑꯦꯑꯣꯔꯇꯤꯛ ꯑꯦꯅꯤꯎꯔꯤꯖꯝ (AAA): ꯃꯁꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯑꯦꯅꯤꯎꯔꯤꯖꯝ ꯃꯈꯂꯅꯤ꯫ ꯃꯁꯤ ꯑꯦꯕꯗꯣꯃꯤꯅꯦꯜ ꯀꯦꯚꯤꯇꯤꯗꯥ ꯊꯣꯀꯏ꯫ ꯃꯁꯤ ꯆꯍꯤ 65ꯒꯤ ꯃꯊꯛꯇꯥ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯗꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯀꯃꯟ ꯑꯣꯏ, ꯃꯔꯨꯑꯣꯏꯅꯥ ꯃꯩꯈꯨ ꯊꯥꯗꯣꯀꯄꯥ ꯅꯨꯄꯥꯁꯤꯡꯗꯥ . ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯔꯝ ꯑꯁꯤ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯂꯁꯤꯡꯗꯥ ꯐꯦꯇꯤ ꯗꯤꯄꯣꯖꯤꯠ (ꯑꯦꯊꯦꯔꯣꯁ꯭ꯀꯂꯦꯔꯣꯁꯤꯁ) ꯑꯁꯤꯅꯤ꯫
• ꯊꯣꯔꯥꯀꯣꯑꯦꯕꯗꯣꯃꯤꯅꯦꯜ ꯑꯦꯑꯣꯔꯇꯤꯛ ꯑꯦꯅꯤꯎꯔꯤꯖꯝ (TAAA): ꯃꯁꯤ ꯈꯣꯡꯗꯒꯤ ꯍꯧꯗꯨꯅꯥ ꯈꯣꯡꯗꯥ ꯆꯠꯄꯥ ꯑꯦꯅꯤꯎꯔꯤꯖꯝ ꯑꯃꯅꯤ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯗꯣꯛꯇꯔ ꯑꯗꯨꯅꯥ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯑꯦꯅꯤꯎꯔꯤꯖꯝ ꯑꯃꯥ ꯊꯦꯡꯅꯔꯕꯗꯤ, ꯃꯍꯥꯛꯅꯥ ꯃꯗꯨ ꯁ꯭ꯀꯦꯅꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯃꯈꯥ ꯇꯥꯅꯥ ꯌꯦꯡꯁꯤꯅꯒꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯁꯤ ꯈꯨꯗꯣꯡꯊꯤꯅꯤꯉꯥꯏ ꯑꯣꯏꯕꯥ ꯁꯥꯏꯖ ꯑꯃꯗꯥ ꯍꯦꯅꯒꯠꯂꯛꯂꯕꯗꯤ, ꯃꯍꯥꯛꯅꯥ ꯄꯨꯟꯁꯤ ꯃꯥꯡꯍꯅꯕꯥ ꯌꯥꯕꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ ꯊꯣꯛꯂꯛꯠꯔꯤꯉꯩ ꯃꯃꯥꯡꯗꯥ ꯂꯥꯏꯌꯦꯡ ꯂꯧꯒꯅꯤ꯫

ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯈꯨꯗꯣꯡꯊꯤꯅꯤꯉꯥꯏ ꯑꯣꯏꯕꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯟ ꯑꯅꯤ:

1. ꯑꯦꯅꯤꯎꯔꯤꯖꯝ ꯔꯨꯄꯆꯔ: ꯑꯦꯅꯤꯎꯔꯤꯖꯃꯒꯤ ꯈꯣꯡꯖꯦꯜ ꯌꯥꯡꯅꯥ ꯆꯦꯅꯕꯥ ꯁꯔꯨꯛ ꯑꯗꯨ ꯊꯣꯀꯏ꯫ ꯃꯁꯤꯅꯥ ꯍꯀꯆꯥꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯆꯧꯕꯥ ꯏ ꯊꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯈꯨꯗꯛꯇꯥ ꯁꯤꯕꯥ ꯐꯥꯎꯕꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫

2. ꯇꯥꯏꯞ ꯕꯤ ꯑꯦꯑꯣꯔꯇꯤꯛ ꯗꯤꯁꯦꯛꯁꯟ (ꯋꯥꯜ ꯇꯤꯌꯥꯔ):ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯜ ꯑꯃꯒꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯅꯨꯡꯒꯤ ꯂꯦꯡ-ꯑꯣꯠꯄꯗꯥ ꯊꯣꯀꯄꯥ ꯑꯁꯣꯀꯄꯥ ꯑꯃꯥ, ꯃꯗꯨꯅꯥ ꯏꯁꯤꯡ ꯇꯨꯡꯁꯤꯅꯕꯥ ꯑꯗꯨꯒꯤ ꯃꯔꯛꯇꯥ ꯏꯁꯤꯡ ꯆꯦꯟꯊꯈꯤꯗꯨꯅꯥ ꯋꯥꯂꯒꯤ ꯂꯦꯌꯔ ꯑꯅꯤꯒꯤ ꯃꯔꯛꯇꯥ ꯂꯩꯕꯥ ꯃꯐꯝ ꯑꯗꯨꯗꯥ ꯆꯦꯟꯊꯈꯤ꯫ ꯃꯁꯤꯅꯥ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯜ ꯑꯗꯨ ꯁꯣꯟꯊꯍꯅꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯣꯔꯒꯥꯅꯁꯤꯡꯗꯥ ꯏ ꯆꯦꯅꯕꯥ ꯊꯤꯡꯕꯁꯨ ꯌꯥꯏ꯫

ꯍꯥꯌꯔꯤꯕꯥ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯤꯅꯣ?

ꯃꯐꯝ ꯑꯁꯤꯗꯥ ꯌꯥꯝꯅꯥ ꯉꯀꯄꯥ ꯋꯥꯐꯃꯗꯤ ꯑꯌꯥꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯑꯦꯅꯤꯎꯔꯤꯖꯃꯒꯨꯝꯕꯥ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯑꯍꯥꯅꯕꯥ ꯇꯥꯉ꯭ꯀꯛꯇꯥ ꯂꯥꯏꯑꯣꯡ ꯑꯃꯠꯇꯥ ꯎꯠꯄꯥ ꯉꯃꯗꯦ . ꯃꯁꯤꯅꯥ ꯇꯥꯀꯄꯗꯤ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯈꯨꯗꯣꯡꯊꯤꯅꯤꯉꯥꯏ ꯑꯣꯏꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯥ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯑꯃꯠꯇꯥ ꯂꯩꯇꯅꯥ ꯗꯤꯚꯦꯂꯞ ꯇꯧꯕꯥ ꯌꯥꯏ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯗꯣꯛꯇꯔ ꯑꯃꯒꯥ ꯎꯅꯗꯨꯅꯥ ꯆꯦꯀꯑꯞ ꯇꯧꯕꯥ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫

ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯑꯦꯅꯤꯎꯔꯤꯖꯝ ꯑꯃꯥ ꯁꯣꯀꯄꯥ ꯍꯧꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯋꯥꯔꯅꯤꯡ ꯁꯥꯏꯟ ꯈꯔꯗꯤ ꯂꯥꯀꯄꯥ ꯌꯥꯏ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯦꯃꯔꯖꯦꯟꯁꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯍꯦꯛꯇꯕꯨ ꯊꯦꯡꯅꯔꯕꯗꯤ, ꯃꯇꯝ ꯃꯥꯡꯍꯅꯒꯅꯨ ꯑꯃꯁꯨꯡ ꯈꯨꯗꯛꯇꯥ ꯑꯦꯝꯕꯨꯂꯦꯟꯁ ꯑꯃꯗꯥ ꯀꯧꯕꯤꯌꯨ ꯑꯃꯁꯨꯡ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯜ ꯑꯃꯒꯤ ꯏꯃꯔꯖꯦꯟꯁꯤ ꯇ꯭ꯔꯤꯇꯃꯦꯟꯇ ꯌꯨꯅꯤꯠ (ETU)ꯗꯥ ꯆꯠꯄꯤꯌꯨ꯫ ꯁꯦꯀꯦꯟꯗ ꯈꯨꯗꯤꯡꯃꯛ ꯃꯁꯤꯡ ꯊꯤꯔꯤ꯫

ꯂꯥꯌꯅꯥꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯈꯪꯗꯣꯀꯄꯒꯦ?

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯌꯦꯡꯁꯤꯜꯂꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯆꯤꯡꯅꯕꯥ ꯂꯩꯔꯕꯗꯤ, ꯃꯈꯣꯌꯅꯥ ꯃꯁꯤ ꯀꯅꯐꯥꯔꯝ ꯇꯧꯅꯕꯥ ꯏꯃꯦꯖꯤꯡ ꯇꯦꯁ꯭ꯠ ꯀꯌꯥ ꯑꯃꯥ ꯇꯧꯅꯕꯥ ꯄꯥꯎꯇꯥꯛ ꯄꯤꯒꯅꯤ꯫

• ꯑꯦꯕꯗꯣꯃꯤꯅꯦꯜ ꯑꯂꯠꯔꯥꯁꯥꯎꯟꯗ ꯁ꯭ꯀꯦꯟ ꯇꯧꯕꯥ꯫
• ꯀꯝꯞꯌꯨꯇꯔ ꯇꯣꯃꯣꯒ꯭ꯔꯥꯐꯤ ꯑꯦꯟꯖꯤꯑꯣꯒ꯭ꯔꯥꯐꯤ (ꯁꯤ.ꯇꯤ.ꯑꯦ.) ꯁ꯭ꯀꯦꯟ ꯇꯧꯕꯥ꯫
• ꯃꯦꯒ꯭ꯅꯦꯇꯤꯛ ꯔꯤꯖꯣꯅꯦꯟꯁ ꯏꯃꯦꯖꯤꯡ (ꯑꯦꯝ.ꯑꯥꯔ.ꯑꯥꯏ.) ꯁ꯭ꯀꯦꯟ ꯇꯧꯕꯥ꯫
• ꯇ꯭ꯔꯥꯟꯁꯑꯦꯁꯣꯐꯦꯖꯤꯑꯦꯜ ꯏꯀꯣꯀꯥꯔꯗꯤꯑꯣꯒ꯭ꯔꯥꯐ (ꯇꯤ.ꯏ.ꯏ.)

ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯂꯒꯤ ꯁꯥꯏꯖ, ꯃꯑꯣꯡ ꯑꯃꯁꯨꯡ ꯁꯣꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯁꯣꯀꯄꯥ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯃꯌꯦꯛ ꯁꯦꯡꯅꯥ ꯎꯕꯥ ꯐꯪꯏ꯫

ꯂꯥꯏꯌꯦꯡꯕꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?

ꯂꯥꯏꯌꯦꯡ ꯑꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯑꯦꯅꯤꯎꯔꯤꯖꯃꯒꯤ ꯁꯥꯏꯖ, ꯃꯗꯨ ꯀꯌꯥꯝ ꯌꯥꯡꯅꯥ ꯍꯦꯅꯒꯠꯂꯛꯂꯤꯕꯒꯦ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯑꯄꯨꯅꯕꯥ ꯍꯀꯁꯦꯂꯒꯤ ꯃꯈꯥ ꯄꯣꯜꯂꯤ꯫

• ꯌꯦꯡꯁꯤꯅꯕꯥ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯦꯅꯤꯎꯔꯤꯖꯝ ꯑꯗꯨ ꯑꯄꯤꯀꯄꯥ ꯑꯣꯏꯔꯕꯗꯤ, ꯗꯣꯛꯇꯔꯅꯥ ꯃꯗꯨ ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯁ꯭ꯀꯦꯟ ꯇꯧꯗꯨꯅꯥ ꯃꯗꯨ ꯍꯦꯟꯅꯥ ꯆꯥꯎꯈꯠꯂꯛꯂꯤꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯁꯤꯅꯕꯥ ꯌꯥꯏ꯫
• ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ: ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ ꯑꯃꯁꯨꯡ ꯀꯣꯂꯦꯁ꯭ꯇꯦꯔꯣꯂꯒꯤ ꯆꯥꯡ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯅꯕꯥ ꯍꯤꯗꯥꯀꯁꯤꯡ ꯄꯤ꯫ ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯑꯦꯅꯤꯎꯔꯤꯖꯝ ꯑꯁꯤ ꯍꯦꯅꯒꯠꯂꯀꯄꯒꯤ ꯆꯥꯡ ꯍꯟꯊꯍꯅꯕꯥ ꯉꯝꯃꯤ꯫
• ꯁꯔꯖꯔꯤ꯫
• ꯑꯦꯟꯗꯣꯚꯥꯁ꯭ꯀꯨꯂꯥꯔ ꯑꯦꯅꯤꯎꯔꯤꯖꯝ ꯔꯤꯄꯦꯌꯥꯔ (EVAR): ꯃꯁꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯅꯦꯝꯕꯥ ꯏꯅꯚꯦꯁꯤꯚ ꯄ꯭ꯔꯣꯁꯤꯗ꯭ꯌꯨꯑꯣꯔ ꯑꯃꯅꯤ꯫ ꯁ꯭ꯇꯦꯟꯇ ꯒ꯭ꯔꯥꯐ ꯑꯃꯥ ꯒ꯭ꯔꯨꯏꯅꯗꯥ ꯑꯄꯤꯀꯄꯥ ꯏꯅꯁꯤꯁꯟ ꯑꯃꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯊꯥꯗꯨꯅꯥ ꯑꯦꯅꯤꯎꯔꯤꯖꯃꯒꯤ ꯃꯊꯛꯇꯥ ꯄꯥꯀꯊꯣꯛ-ꯆꯥꯎꯊꯣꯀꯍꯜꯂꯤ꯫ ꯃꯁꯤꯅꯥ ꯑꯅꯧꯕꯥ ꯚꯦꯁꯦꯜ ꯑꯗꯨꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯏ ꯆꯦꯅꯕꯥ ꯉꯃꯍꯜꯂꯤ, ꯃꯗꯨꯅꯥ ꯁꯣꯀꯍꯜꯂꯕꯥ ꯋꯥꯜ ꯑꯗꯨꯗꯥ ꯄ꯭ꯔꯦꯁꯔ ꯍꯟꯊꯍꯜꯂꯤ꯫