ꯗꯣꯄꯥꯃꯥꯏꯟ ꯏꯅꯖꯦꯀꯁꯟ: ꯍꯥꯔꯠ ꯑꯃꯁꯨꯡ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔꯒꯤꯗꯃꯛ ꯍꯤꯗꯥꯛ ꯑꯁꯤꯒꯤ ꯃꯔꯃꯗꯥ ꯈꯪꯖꯤꯅꯁꯤ꯫

ꯀꯅꯥꯒꯨꯝꯕꯥ ꯑꯃꯕꯨ ꯈꯪꯍꯧꯗꯅꯥ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ ꯍꯟꯊꯔꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯍꯥꯔꯠ ꯐꯦꯜ ꯑꯣꯏꯔꯀꯄꯒꯨꯝꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯂꯗꯥ ꯂꯥꯌꯦꯡꯂꯤ ꯍꯥꯌꯅꯥ ꯈꯅꯕꯤꯌꯨ꯫ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯁꯥꯊꯤꯕꯥ ꯀꯦꯁꯁꯤꯡ ꯑꯁꯤꯗꯥ ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯑꯅꯥꯕꯥ ꯑꯗꯨꯒꯤ ꯄꯨꯟꯁꯤ ꯀꯟꯅꯅꯕꯥ ꯁꯤꯖꯤꯟꯅꯔꯤꯕꯥ ꯑꯈꯟꯅꯕꯥ, ꯁꯛꯇꯤ ꯂꯩꯕꯥ ꯍꯤꯗꯥꯛ ꯑꯃꯥ ꯗꯣꯄꯥꯃꯥꯏꯟ ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ ꯃꯁꯤ ꯃꯍꯧꯁꯥꯅꯥ ꯐꯥꯔꯃꯥꯁꯤꯗꯒꯤ ꯂꯧꯕꯥ ꯌꯥꯕꯥ ꯑꯃꯁꯨꯡ ꯌꯨꯃꯗꯥ ꯁꯤꯖꯤꯟꯅꯕꯥ ꯌꯥꯕꯥ ꯗ꯭ꯔꯒ ꯑꯃꯅꯤ꯫ ꯃꯁꯤ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯜ ꯑꯃꯗꯥ, ꯏꯟꯇꯦꯟꯁꯤꯕ ꯀꯦꯌꯔ ꯌꯨꯅꯤꯠ (ꯑꯥꯏ.ꯁꯤ.ꯌꯨ.)ꯒꯨꯝꯕꯥ ꯃꯐꯝ ꯑꯃꯗꯥ, ꯗꯣꯛꯇꯔ ꯑꯃꯁꯨꯡ ꯅꯔꯁꯁꯤꯡꯒꯤ ꯃꯄꯨꯡ ꯐꯥꯕꯥ ꯌꯦꯡꯁꯤꯅꯕꯒꯤ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤ꯫ ꯑꯗꯨꯅꯥ, ꯉꯁꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯍꯤꯗꯥꯛ ꯑꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯁꯤ꯫

ꯗꯣꯄꯥꯃꯥꯏꯟ ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ? ꯃꯁꯤꯅꯥ ꯍꯀꯆꯥꯡꯗꯥ ꯀꯔꯤ ꯇꯧꯔꯤꯕꯒꯦ?

ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯗꯣꯄꯥꯃꯥꯏꯟ ꯑꯁꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯊꯕꯛ ꯑꯅꯤ ꯂꯩꯕꯥ ꯗ꯭ꯔꯒ ꯑꯃꯅꯤ꯫

1. ꯚꯦꯁꯣꯀꯅꯁ꯭ꯠꯔꯤꯛꯇꯔ: ꯍꯤꯗꯥꯛ ꯑꯁꯤꯅꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯂꯩꯔꯤꯕꯥ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯂꯁꯤꯡ ꯑꯁꯤ ꯈꯔꯥ ꯁꯣꯀꯍꯜꯂꯤ꯫ ꯏꯁꯤꯡꯒꯤ ꯄꯥꯏꯞ ꯑꯃꯥ ꯈꯔꯥ ꯀꯨꯄꯁꯤꯜꯂꯕꯥ ꯃꯇꯃꯗꯥ ꯏꯁꯤꯡ ꯑꯗꯨ ꯌꯥꯡꯅꯥ ꯆꯦꯜꯂꯤꯕꯒꯨꯝꯅꯥ, ꯏꯒꯤ ꯈꯣꯡꯖꯦꯜ ꯌꯥꯡꯅꯥ ꯆꯦꯜꯂꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ ꯍꯦꯅꯒꯠꯂꯀꯏ꯫ ꯕꯤ.ꯄꯤ.ꯅꯥ ꯌꯥꯝꯅꯥ ꯅꯦꯝꯅꯥ ꯂꯩꯕꯥ ꯑꯃꯁꯨꯡ ꯄꯨꯟꯁꯤꯗꯥ ꯈꯨꯗꯣꯡꯊꯤꯕꯥ ꯊꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫

2. ꯍꯥꯔꯇꯀꯤ ꯐꯉ꯭ꯀꯁꯟ ꯃꯄꯥꯉ꯭ꯒꯜ ꯀꯅꯈꯠꯍꯅꯕꯥ (Inotrope): ꯃꯁꯤꯗꯁꯨ ꯅꯠꯇꯅꯥ, ꯍꯤꯗꯥꯛ ꯑꯁꯤꯅꯥ ꯍꯥꯔꯇꯀꯤ ꯃꯁꯂꯁꯤꯡꯗꯥ ꯁꯣꯀꯍꯜꯂꯤ, ꯍꯥꯔꯇꯀꯤ ꯄꯝꯄ ꯇꯧꯕꯒꯤ ꯑꯦꯛꯁꯅꯒꯤ ꯈꯣꯡꯖꯦꯜ ꯑꯃꯁꯨꯡ ꯃꯄꯥꯉ꯭ꯒꯜ ꯍꯦꯅꯒꯠꯍꯜꯂꯤ꯫ ꯍꯥꯔꯠ ꯐꯦꯜ ꯑꯣꯏꯔꯀꯄꯒꯨꯝꯕꯥ ꯀꯟꯗꯤꯁꯅꯁꯤꯡꯗꯥ ꯍꯥꯔꯠ ꯑꯁꯤ ꯁꯣꯟꯊꯔꯀꯏ ꯑꯃꯁꯨꯡ ꯍꯀꯆꯥꯡꯗꯥ ꯏ ꯃꯇꯤꯛ ꯆꯥꯅꯥ ꯄꯝꯄ ꯇꯧꯕꯥ ꯉꯃꯗꯦ꯫ ꯃꯇꯝ ꯑꯗꯨꯗꯥ ꯍꯤꯗꯥꯛ ꯑꯁꯤꯅꯥ ꯊꯝꯃꯣꯌꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯕꯥ ꯉꯝꯃꯤ꯫

ꯑꯦꯛꯁꯟ ꯑꯅꯤ ꯑꯁꯤꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ, ꯗꯣꯄꯥꯃꯥꯏꯟ ꯑꯁꯤ ꯃꯍꯧꯁꯥꯅꯥ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯂꯣ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ ꯑꯃꯁꯨꯡ ꯍꯥꯔꯠ ꯐꯦꯜ ꯑꯣꯏꯕꯥ ꯀꯦꯁꯁꯤꯡꯗꯥ ꯄꯦꯁꯦꯟꯇ ꯑꯗꯨꯒꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯗꯨ ꯁ꯭ꯇꯦꯕꯤꯂꯥꯏꯖ ꯇꯧꯅꯕꯥ ꯁꯤꯖꯤꯟꯅꯩ .

ꯑꯩꯅꯥ ꯅꯉꯣꯟꯗꯥ ꯍꯤꯗꯥꯛ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯄꯤꯒꯅꯤ?

ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫ ꯗꯣꯄꯥꯃꯥꯏꯟ ꯑꯁꯤ ꯅꯍꯥꯛꯅꯥ ꯌꯨꯃꯗꯥ ꯂꯧꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯏꯅꯖꯦꯀꯁꯟ ꯇꯧꯕꯥ ꯌꯥꯕꯥ ꯍꯤꯗꯥꯛ ꯑꯃꯅꯤ꯫

• ꯃꯁꯤ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯜ ꯅꯠꯔꯒꯥ ꯀ꯭ꯂꯤꯅꯤꯀꯦꯜ ꯁꯦꯇꯤꯡ ꯈꯛꯇꯗꯥ ꯄꯤꯔꯤ .
• ꯍꯤꯗꯥꯛ ꯑꯁꯤ ꯂꯤꯛꯌꯨꯏꯗ ꯑꯣꯏꯅꯥ ꯁꯦꯃꯗꯨꯅꯥ ꯀꯦꯟꯌꯨꯂꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯍꯀꯊꯦꯡꯅꯅꯥ ꯚꯦꯅꯝ ꯑꯃꯗꯥ ꯄꯤ .
• ꯃꯁꯤ ꯁꯨꯞꯅꯇꯒꯤ ꯍꯤꯗꯥꯛ ꯂꯥꯡꯊꯛ ꯑꯃꯈꯛꯇꯃꯛ ꯅꯠꯇꯦ꯫ ꯃꯍꯧꯁꯥꯅꯥ ꯃꯁꯤ ꯏꯅꯐ꯭ꯌꯨꯖꯟ ꯄꯝꯄ ꯀꯧꯕꯥ ꯃꯦꯁꯤꯟ ꯑꯃꯒꯥ ꯁꯝꯅꯍꯜꯂꯤ ꯑꯃꯁꯨꯡ ꯌꯥꯝꯅꯥ ꯀꯨꯞꯅꯥ ꯍꯀꯆꯥꯡꯗꯥ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯏꯅꯐ꯭ꯌꯨꯖ ꯇꯧꯏ꯫
• ꯗꯣꯛꯇꯔ ꯅꯠꯠꯔꯒꯥ ꯅꯔꯁ ꯑꯃꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯥꯔꯇꯀꯤ ꯔꯦꯠ, ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ ꯑꯃꯁꯨꯡ ꯑꯇꯩ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯈꯨꯗꯃꯁꯤꯡ ꯑꯗꯨ ꯅꯍꯥꯛꯅꯥ ꯍꯤꯗꯥꯛ ꯑꯁꯤ ꯂꯧꯔꯤꯕꯥ ꯃꯇꯝ ꯄꯨꯝꯅꯃꯛꯇꯥ ꯃꯈꯥ ꯇꯥꯅꯥ ꯌꯦꯡꯁꯤꯅꯒꯅꯤ꯫

ꯍꯤꯗꯥꯛ ꯑꯁꯤ ꯑꯄꯤꯀꯄꯥ ꯑꯉꯥꯡꯁꯤꯡꯗꯥ ꯄꯤꯕꯥ ꯉꯃꯒꯗ꯭ꯔꯥ?

ꯍꯣꯌ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯊꯧ ꯇꯥꯔꯕꯗꯤ ꯍꯤꯗꯥꯛ ꯑꯁꯤ ꯑꯉꯥꯡꯁꯤꯡꯗꯥ ꯄꯤꯕꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯕꯨ ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯆꯦꯀꯁꯤꯟꯅꯥ ꯇꯧꯏ, ꯑꯉꯥꯡ ꯑꯗꯨꯒꯤ ꯑꯔꯨꯝꯕꯥ ꯑꯃꯁꯨꯡ ꯐꯤꯚꯃꯒꯤ ꯃꯇꯨꯡ ꯏꯟꯅꯥ ꯗꯣꯖ ꯑꯗꯨ ꯁꯦꯃꯗꯣꯛ-ꯁꯦꯃꯖꯤꯟ ꯇꯧꯗꯨꯅꯥ ꯄꯥꯡꯊꯣꯀꯏ꯫

ꯗꯣꯄꯥꯃꯥꯏꯟ ꯂꯧꯗ꯭ꯔꯤꯉꯩ ꯃꯃꯥꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯍꯥꯌꯒꯗꯕꯥ ꯋꯥꯐꯃꯁꯤꯡ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯍꯤꯗꯥꯛ ꯑꯁꯤ ꯑꯦꯃꯔꯖꯦꯟꯁꯤ ꯑꯃꯗꯥ ꯄꯤꯅꯕꯥ ꯋꯥꯔꯦꯞ ꯂꯧꯔꯕꯁꯨ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯋꯥꯈꯜ ꯇꯥꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯒꯥꯔꯖꯤꯌꯥꯟ ꯑꯃꯥ ꯂꯩꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯁꯦꯐꯇꯤꯒꯤꯗꯃꯛꯇꯥ ꯏꯅꯐꯣꯔꯃꯦꯁꯟ ꯑꯁꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯈꯪꯍꯅꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫

• ꯑꯦꯂꯥꯔꯖꯤ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯗꯣꯄꯥꯃꯥꯏꯟ, ꯁꯂꯐꯥꯏꯠ, ꯀꯣꯔꯟ, ꯑꯇꯩ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ, ꯆꯤꯟꯖꯥꯀꯁꯤꯡ ꯅꯠꯠꯔꯒꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡꯗꯥ ꯁꯤꯖꯤꯟꯅꯔꯤꯕꯥ ꯗꯥꯏꯁꯤꯡꯒꯤ ꯑꯦꯂꯥꯔꯖꯤ ꯂꯩꯔꯕꯗꯤ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯁꯣꯌꯗꯅꯥ ꯈꯪꯍꯅꯕꯤꯌꯨ꯫
• ꯍꯥꯔꯇꯀꯤ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯃꯁꯤꯡ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯍꯥꯟꯅꯅꯥ ꯍꯥꯔꯇꯀꯤ ꯈꯣꯡꯖꯦꯜ ꯌꯥꯡꯕꯥ ꯂꯩꯔꯕꯗꯤ꯫
• ꯁꯔꯛꯌꯨꯂꯦꯇꯔꯤ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯃꯁꯤꯡ (Circulatory problems): ꯃꯈꯨꯠ ꯑꯃꯁꯨꯡ ꯈꯣꯡꯗꯥ ꯏ ꯊꯣꯀꯄꯥ ꯍꯟꯊꯍꯅꯕꯥ ꯉꯝꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯥ, ꯍꯥꯌꯕꯗꯤ ꯔꯦꯅꯎꯗ ꯗꯤꯖꯤꯖ ꯑꯁꯤꯅꯆꯤꯡꯕꯥ꯫
• ꯑꯇꯣꯞꯄꯥ ꯂꯥꯌꯅꯥꯁꯤꯡ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯦꯗ꯭ꯔꯤꯅꯜ ꯒ꯭ꯜꯌꯥꯟꯗꯇꯥ ꯐꯤꯑꯣꯛꯔꯣꯃꯣꯁꯥꯏꯇꯣꯃꯥ ꯀꯧꯕꯥ ꯇꯤꯎꯃꯔ ꯑꯃꯥ ꯂꯩꯔꯕꯗꯤ꯫
• ꯗꯤꯍꯥꯌꯗ꯭ꯔꯦꯁꯟ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯗꯥꯏꯔꯤꯌꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯇꯩ ꯃꯔꯃꯁꯤꯡꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡꯗꯒꯤ ꯏꯁꯤꯡ ꯃꯥꯡꯈꯤꯕꯥ ꯇꯥꯔꯕꯗꯤ꯫
• ꯃꯤꯔꯣꯅꯕꯥ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯤꯔꯣꯜꯂꯤꯕꯥ, ꯃꯤꯔꯣꯅꯕꯥ ꯍꯣꯠꯅꯔꯤꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯈꯣꯝꯂꯥꯡ ꯄꯤꯊꯀꯄꯥ ꯃꯃꯥ ꯑꯃꯥ ꯑꯣꯏꯔꯕꯗꯤ꯫

ꯍꯤꯗꯥꯛ ꯑꯁꯤꯒꯥ ꯃꯔꯤ ꯂꯩꯅꯕꯥ ꯑꯇꯩ ꯍꯤꯗꯥꯀꯁꯤꯡ (Drug Interactions)

ꯗꯣꯄꯥꯃꯥꯏꯅꯅꯥ ꯍꯤꯗꯥꯛ ꯀꯌꯥꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯏꯟꯇꯔꯦꯛꯇ ꯇꯧꯕꯥ ꯌꯥꯏ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯧꯔꯤꯕꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛ ꯄꯨꯝꯅꯃꯛ (ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯄꯤꯕꯥ, ꯑꯣꯚꯔ-ꯗꯤ-ꯀꯎꯟꯇꯔ, ꯇ꯭ꯔꯦꯗꯤꯁꯅꯦꯜ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ, ꯚꯤꯇꯥꯃꯤꯅꯁꯤꯡ, ꯍꯔꯕꯦꯜ ꯄ꯭ꯔꯗꯛꯇꯁꯤꯡ)ꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯈꯪꯍꯅꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫ ꯃꯈꯥꯗꯥ ꯗꯣꯄꯥꯃꯥꯏꯅꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯏꯟꯇꯔꯦꯛꯇ ꯇꯧꯕꯥ ꯌꯥꯕꯥ ꯍꯤꯗꯥꯛ ꯈꯔꯥ ꯄꯤꯔꯤ꯫

ꯍꯤꯗꯥꯛ ꯑꯗꯨ ꯂꯧꯕꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯕꯥ ꯁꯥꯏꯗ ꯏꯐꯦꯛꯇꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?

ꯍꯤꯗꯥꯛ ꯑꯃꯍꯦꯛꯇꯒꯨꯝꯅꯥ, ꯗꯣꯄꯥꯃꯥꯏꯅꯅꯥ ꯁꯥꯏꯗ ꯏꯐꯦꯛꯇꯁꯤꯡ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯍꯤꯗꯥꯛ ꯑꯁꯤ ꯄꯤꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯂꯗꯥ ꯂꯩꯒꯅꯤ ꯃꯔꯝ ꯑꯗꯨꯅꯥ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯆꯝꯕꯥ ꯋꯥꯐꯝ ꯑꯃꯥ ꯐꯥꯎꯔꯕꯗꯤ ꯅꯍꯥꯀꯄꯨ ꯂꯥꯏꯌꯦꯡꯂꯤꯕꯥ ꯗꯣꯛꯇꯔ ꯅꯠꯠꯔꯒꯥ ꯅꯔꯁ ꯑꯗꯨꯗꯥ ꯈꯨꯗꯛꯇꯥ ꯈꯪꯍꯜꯂꯣꯏꯗꯕꯅꯤ꯫