ꯀꯔꯤꯒꯨꯝꯕꯥ ꯖꯔꯝ ꯑꯃꯅꯥ ꯊꯝꯃꯣꯌꯗꯥ ꯆꯪꯂꯛꯂꯕꯗꯤ ꯀꯔꯤ ꯇꯧꯒꯅꯤ? ꯑꯦꯟꯗꯣꯀꯥꯔꯗꯤꯇꯤꯁꯀꯤ ꯃꯇꯥꯡꯗꯥ ꯏꯆꯝ ꯆꯝꯕꯥ ꯋꯥꯍꯟꯊꯣꯛ ꯑꯃꯗꯥ ꯈꯉꯂꯁꯤ꯫

ꯅꯍꯥꯛꯀꯤ ꯊꯝꯃꯣꯌ ꯑꯁꯤ ꯑꯉꯀꯄꯥ ꯑꯣꯔꯒꯥꯟ ꯑꯃꯅꯤ, ꯅꯠꯇꯦ? ꯑꯗꯨꯕꯨ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯑꯇꯣꯞꯄꯥ ꯃꯐꯝ ꯑꯃꯗꯒꯤ ꯂꯥꯀꯄꯥ ꯑꯄꯤꯀꯄꯥ ꯖꯔꯝ ꯑꯃꯅꯥ ꯐꯥꯑꯣꯕꯥ ꯏꯒꯤ ꯈꯣꯡꯖꯦꯂꯗꯥ ꯆꯠꯇꯨꯅꯥ ꯊꯝꯃꯣꯌ ꯃꯁꯥꯃꯀꯄꯨ ꯃꯥꯡꯍꯅꯕꯥ ꯉꯝꯃꯤ꯫ ꯃꯗꯨ ꯉꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯋꯥꯔꯤ ꯁꯥꯔꯤꯕꯥ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ, ꯄꯨꯟꯁꯤꯕꯨ ꯈꯨꯗꯣꯡꯊꯤꯅꯤꯡꯉꯥꯏ ꯑꯣꯏꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ, ꯃꯁꯤꯕꯨ ꯑꯦꯟꯗꯣꯀꯥꯔꯗꯤꯇꯤꯁ ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ ꯃꯁꯤ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯈꯉꯗꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯊꯨꯅꯥ ꯂꯥꯌꯦꯡꯕꯥ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫

ꯑꯦꯟꯗꯣꯀꯥꯔꯗꯤꯇꯤꯁ ꯍꯥꯌꯕꯁꯤ ꯁꯨꯞꯅꯒꯤ ꯀꯔꯤꯅꯣ?

ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯑꯦꯟꯗꯣꯀꯥꯔꯗꯤꯇꯤꯁ ꯍꯥꯌꯕꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯍꯥꯔꯇꯀꯤ ꯃꯅꯨꯡꯒꯤ ꯂꯥꯏꯅꯤꯡ (ꯃꯁꯤꯕꯨ ꯑꯩꯈꯣꯌꯅꯥ ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯑꯣꯏꯅꯥ ꯑꯦꯟꯗꯣꯀꯥꯔꯗꯤꯌꯝ ꯍꯥꯌꯅꯥ ꯀꯧꯏ) ꯑꯃꯁꯨꯡ ꯍꯥꯔꯇꯀꯤ ꯚꯜꯌꯨꯁꯤꯡꯒꯤ ꯏꯅꯐꯦꯛꯁꯟ ꯑꯃꯁꯨꯡ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯁꯟ ꯑꯃꯅꯤ꯫ ꯃꯍꯧꯁꯥꯅꯥ ꯃꯁꯤ ꯕꯦꯛꯇꯦꯔꯤꯌꯥꯒꯨꯝꯕꯥ ꯖꯔꯝ ꯑꯃꯅꯥ ꯊꯣꯀꯍꯅꯕꯅꯤ .

ꯈꯅꯕꯤꯌꯨ, ꯅꯍꯥꯛꯀꯤ ꯃꯤꯠ, ꯈꯣꯡ ꯅꯠꯠꯔꯒꯥ ꯅꯍꯥꯛꯀꯤ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯒꯤ ꯁꯤꯁ꯭ꯇꯦꯃꯒꯤ ꯃꯐꯝ ꯑꯃꯗꯒꯤ ꯂꯥꯀꯄꯥ ꯖꯔꯝ ꯑꯃꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯏꯗꯥ ꯆꯪꯏ꯫ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ, ꯖꯔꯝ ꯑꯁꯤꯅꯥ ꯏꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯆꯠꯊꯣꯛ-ꯆꯠꯁꯤꯟ ꯇꯧꯗꯨꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯊꯝꯃꯣꯌꯗꯥ ꯆꯠꯂꯤ꯫ ꯍꯀꯁꯦꯜ ꯐꯕꯥ ꯍꯥꯔꯠ ꯑꯃꯅꯥ ꯐꯖꯅꯥ ꯏꯅꯐꯦꯛꯁꯟ ꯇꯧꯗꯦ꯫ ꯑꯗꯨꯕꯨ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯥꯔꯇꯀꯤ ꯚꯜꯌꯨꯁꯤꯡꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯈꯔꯥ ꯂꯩꯔꯕꯗꯤ, ꯖꯔꯝ ꯑꯗꯨꯅꯥ ꯆꯠꯇꯨꯅꯥ ꯑꯁꯣꯀꯄꯥ ꯃꯐꯃꯁꯤꯡ ꯑꯗꯨꯗꯥ ꯂꯦꯡꯗꯅꯥ ꯂꯩ, ꯃꯐꯃꯗꯨꯗꯥ ꯃꯔꯨꯝ ꯀꯣꯀꯄꯥ ꯍꯧꯔꯀꯏ ꯑꯃꯁꯨꯡ ꯃꯁꯤꯡ ꯌꯥꯝꯅꯥ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ ꯍꯧꯔꯀꯏ꯫

ꯃꯐꯃꯗꯨꯗꯥ ꯖꯔꯃꯁꯤꯡ ꯑꯁꯤ ꯍꯦꯅꯒꯠꯂꯀꯄꯒꯥ ꯂꯣꯌꯅꯅꯥ, ꯃꯈꯣꯌꯅꯥ ꯏ ꯊꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯐꯤꯕꯔꯒꯤ ꯇꯤꯁꯨꯒꯨꯝꯕꯥ ꯑꯄꯤꯀꯄꯥ ꯒ꯭ꯔꯣꯊꯁꯤꯡ ꯁꯦꯝꯃꯤ꯫ ꯑꯩꯈꯣꯌꯅꯥ ꯃꯁꯤꯕꯨ `ꯚꯦꯖꯤꯇꯦꯁꯟ` ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ ꯍꯥꯌꯔꯤꯕꯥ `ꯚꯦꯖꯤꯇꯦꯁꯅꯁꯤꯡ` ꯑꯁꯤꯅꯥ ꯍꯥꯔꯇꯀꯤ ꯚꯜꯌꯨꯁꯤꯡꯗꯥ ꯑꯆꯧꯕꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯅꯥ ꯚꯜꯌꯨꯁꯤꯡ ꯑꯗꯨ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯊꯤꯡꯖꯤꯅꯕꯥ ꯉꯃꯗꯕꯥ, ꯏ ꯂꯤꯛ ꯑꯣꯏꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯍꯥꯔꯠ ꯑꯗꯨ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯊꯕꯛ ꯇꯧꯕꯥ ꯂꯦꯄꯍꯅꯕꯥ ꯐꯥꯎꯕꯥ ꯌꯥꯏ꯫

ꯃꯁꯤꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯈꯜ ꯑꯅꯤ ꯂꯩ꯫

ꯑꯦꯟꯗꯣꯀꯥꯔꯗꯤꯇꯤꯁ ꯑꯁꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯈꯜ ꯑꯅꯤꯗꯥ ꯈꯥꯌꯗꯣꯀꯄꯥ ꯌꯥꯏ꯫

1. ꯏꯅꯐꯦꯛꯇꯤꯕ ꯑꯦꯟꯗꯣꯀꯥꯔꯗꯤꯇꯤꯁ: ꯃꯁꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯃꯈꯂꯅꯤ꯫ ꯃꯃꯤꯡꯅꯥ ꯇꯥꯀꯄꯒꯨꯝꯅꯥ, ꯃꯁꯤ ꯕꯦꯛꯇꯦꯔꯤꯌꯥ ꯅꯠꯠꯔꯒꯥ ꯐꯉ꯭ꯒꯦꯜꯒꯨꯝꯕꯥ ꯖꯔꯝ ꯑꯃꯅꯥ ꯍꯥꯔꯇꯇꯥ ꯆꯪꯂꯀꯄꯅꯥ ꯊꯣꯀꯍꯅꯕꯅꯤ꯫ ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯃꯁꯤꯕꯨ `(ꯕꯦꯛꯇꯦꯔꯤꯌꯥꯜ ꯑꯦꯟꯗꯣꯀꯥꯔꯗꯤꯇꯤꯁ - ꯕꯤ.ꯏ.)` ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫

2. ꯅꯟ-ꯏꯅꯐꯦꯛꯁꯟ ꯑꯦꯟꯗꯣꯀꯥꯔꯗꯤꯇꯤꯁ: ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯇꯣꯏꯅꯥ ꯊꯣꯀꯏ꯫ ꯃꯐꯝ ꯑꯁꯤꯗꯥ ꯊꯝꯃꯣꯌꯗꯥ ꯂꯩꯔꯤꯕꯥ `ꯚꯦꯖꯤꯇꯦꯁꯟ` ꯑꯁꯤ ꯖꯔꯝ ꯑꯃꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯅꯠꯇꯦ꯫ ꯑꯩꯈꯣꯌꯅꯥ ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤꯕꯨ `( ꯁ꯭ꯇꯦꯔꯤꯜ ꯚꯦꯖꯦꯇꯦꯁꯟ)` ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯃꯍꯧꯁꯥꯅꯥ ꯏ ꯐꯖꯅꯥ ꯊꯨꯒꯥꯌꯕꯥ ꯌꯥꯕꯥ ꯂꯥꯌꯅꯥꯁꯤꯡꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯊꯣꯀꯏ꯫ ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯃꯁꯤ `( ꯂꯨꯄꯁ )` ꯂꯥꯌꯅꯥ ꯑꯃꯁꯨꯡ `( ꯑꯦꯟꯇꯤꯐꯣꯁꯐꯣꯂꯤꯄꯤꯗ ꯁꯤꯟꯗꯣꯝ)`ꯒꯨꯝꯕꯥ ꯀꯟꯗꯤꯁꯅꯁꯤꯡꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯎꯕꯥ ꯐꯪꯏ꯫

ꯑꯦꯟꯗꯣꯀꯥꯔꯗꯤꯇꯤꯁꯀꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ? ꯃꯈꯣꯌꯕꯨ ꯀꯔꯝꯅꯥ ꯈꯉꯕꯤꯔꯤꯕꯒꯦ?

ꯂꯥꯌꯅꯥ ꯑꯁꯤꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯈꯔꯥ ꯍꯦꯟꯅꯥ ꯂꯨꯝꯃꯤ, ꯃꯔꯃꯗꯤ ꯃꯈꯣꯌ ꯑꯁꯤ ꯈꯪꯍꯧꯗꯅꯥ ꯂꯥꯀꯄꯥ ꯌꯥꯏ, ꯅꯠꯠꯔꯒꯥ ꯅꯨꯃꯤꯠ ꯀꯌꯥꯅꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯂꯥꯀꯄꯥ ꯌꯥꯏ꯫

ꯏꯅꯐꯦꯛꯇꯤꯕ ꯑꯦꯟꯗꯣꯀꯥꯔꯗꯤꯇꯤꯁ ꯑꯁꯤ ꯃꯑꯣꯡ ꯑꯅꯤꯗꯥ ꯂꯥꯀꯄꯥ ꯌꯥꯏ:

• ꯑꯦꯛꯌꯨꯠ: ꯃꯁꯤ ꯈꯪꯍꯧꯗꯅꯥ ꯍꯧꯏ꯫ ꯃꯁꯤ ꯅꯨꯃꯤꯠ ꯈꯔꯅꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯄꯨꯟꯁꯤꯗꯥ ꯈꯨꯗꯣꯡꯊꯤꯕꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ, ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯍꯥꯌꯕꯗꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯌꯥꯡꯅꯥ ꯆꯦꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯊꯝꯃꯣꯌ ꯁꯣꯀꯄꯥ ꯑꯁꯤꯅꯆꯤꯡꯕꯥ .
• ꯁꯕ-ꯑꯦꯛꯌꯨꯠ (subacute): ꯃꯁꯤ ꯇꯞꯅꯥ ꯇꯞꯅꯥ, ꯅꯨꯃꯤꯠ ꯀꯌꯥꯅꯤ ꯅꯠꯠꯔꯒꯥ ꯊꯥ ꯀꯌꯥꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯊꯣꯀꯏ꯫ꯋꯥꯈꯜ ꯆꯔꯥꯡꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯂꯥꯏꯍꯧ ꯍꯧꯕꯥ ꯑꯁꯤꯅꯆꯤꯡꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯑꯍꯥꯅꯕꯥ ꯑꯣꯏꯅꯥ ꯎꯕꯥ ꯐꯪꯏ꯫

ꯅꯟ-ꯏꯅꯐꯦꯛꯇꯤꯕ ꯑꯦꯟꯗꯣꯀꯥꯔꯗꯤꯇꯤꯁꯅꯥ ꯃꯍꯧꯁꯥꯅꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯊꯣꯀꯍꯟꯗꯦ꯫ ꯃꯁꯤ ꯊꯣꯀꯍꯜꯂꯤꯕꯥ ꯑꯟꯗꯔꯂꯥꯏꯟ ꯗꯤꯖꯤꯖ (ꯂꯨꯄꯁꯒꯨꯝꯕꯥ)ꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯗꯨꯅꯤ꯫

ꯃꯁꯤ ꯀꯅꯥꯅꯥ ꯍꯦꯟꯅꯥ ꯔꯤꯁ꯭ꯛ ꯂꯩꯕꯒꯦ?

ꯑꯦꯟꯗꯣꯀꯥꯔꯗꯤꯇꯤꯁ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯂꯥꯌꯅꯥ ꯑꯃꯅꯤ, ꯑꯗꯨꯕꯨ ꯃꯤꯑꯣꯏ ꯈꯔꯗꯤ ꯃꯁꯤ ꯂꯥꯀꯄꯒꯤ ꯔꯤꯁ꯭ꯛ ꯍꯦꯟꯅꯥ ꯂꯩ꯫

• ꯑꯥꯔꯇꯤꯐꯤꯁꯤꯑꯦꯜ ꯍꯥꯔꯠ ꯚꯜꯌꯨ , ꯄꯦꯁꯃꯦꯀꯔ, ꯅꯠꯠꯔꯒꯥ ꯗꯤꯐꯤꯁꯤꯑꯦꯟꯁꯤ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡ : ꯗꯤꯚꯥꯏꯁꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯖꯔꯃꯁꯤꯡꯅꯥ ꯁꯣꯀꯍꯜꯂꯀꯄꯥ ꯌꯥꯏ꯫
• ꯃꯃꯥꯡꯗꯥ ꯑꯦꯟꯗꯣꯀꯥꯔꯗꯤꯇꯤꯁ ꯂꯩꯔꯝꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯁꯤ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯊꯣꯀꯈ꯭ꯔꯕꯗꯤ, ꯃꯁꯤ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯊꯣꯀꯄꯒꯤ ꯔꯤꯁ꯭ꯛ ꯂꯩ꯫
• ꯑꯀꯛꯅꯕꯥ ꯍꯥꯔꯇꯀꯤ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡ: ꯃꯔꯨꯑꯣꯏꯅꯥ ꯍꯥꯔꯠ ꯚꯜꯌꯨ ꯗꯤꯖꯤꯖ ꯑꯃꯁꯨꯡ ꯍꯥꯏꯄꯔꯠꯔꯣꯐꯤꯛ ꯀꯥꯔꯗꯤꯑꯣꯃꯥꯌꯣꯄꯦꯊꯤ꯫
• IV ꯗ꯭ꯔꯒ ꯁꯤꯖꯤꯟꯅꯔꯤꯕꯁꯤꯡ: ꯖꯔꯃꯁꯤꯡ ꯑꯁꯤ ꯑꯁꯪꯕꯥ ꯏꯅꯖꯦꯀꯁꯟ ꯅꯤꯗꯂꯁꯤꯡꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯍꯀꯊꯦꯡꯅꯅꯥ ꯏꯗꯥ ꯆꯪꯂꯀꯄꯥ ꯌꯥꯏ꯫
• ꯑꯣꯔꯦꯜ ꯑꯃꯁꯨꯡ ꯗꯦꯟꯇꯦꯜ ꯍꯥꯏꯖꯤꯟ ꯁꯣꯟꯊꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡ: ꯃꯤꯠꯀꯤ ꯕꯦꯛꯇꯦꯔꯤꯌꯥ ꯑꯁꯤ ꯍꯥꯀꯆꯥꯡ ꯁꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯈꯣꯡꯒꯤ ꯂꯥꯌꯅꯥꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯏꯗꯥ ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯆꯪꯂꯀꯄꯥ ꯌꯥꯏ꯫
• ꯏꯝꯝꯌꯨꯟ ꯁꯤꯁ꯭ꯇꯦꯝ ꯋꯥꯠꯄꯥ ꯃꯤꯑꯣꯏꯁꯤꯡ: ꯗꯥꯏꯑꯦꯕꯦꯇꯤꯖꯒꯨꯝꯕꯥ ꯂꯥꯌꯅꯥ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡ ꯅꯠꯠꯔꯒꯥ ꯏꯝꯝꯌꯨꯟ ꯁꯤꯁ꯭ꯇꯦꯝ ꯁꯣꯀꯍꯜꯂꯤꯕꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ ꯂꯧꯔꯤꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡ꯫
• ꯃꯃꯥꯡꯗꯥ ꯍꯥꯔꯠ ꯚꯜꯌꯨ ꯁꯔꯖꯔꯤ ꯇꯧꯈꯤꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯂꯥꯏꯌꯦꯡꯗ꯭ꯔꯕꯗꯤ ꯀꯔꯤ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ ꯂꯩꯕꯒꯦ?

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯂꯥꯏꯌꯦꯡꯕꯗꯥ ꯊꯦꯡꯊꯔꯕꯗꯤ ꯀꯔꯤ ꯑꯣꯏꯕꯥ ꯌꯥꯕꯒꯦ:

• ꯍꯥꯔꯠ ꯚꯜꯌꯨꯁꯤꯡ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯃꯥꯡꯈꯤ, ꯃꯗꯨꯅꯥ ꯏ ꯂꯤꯛ (Leaky heart valve) ꯊꯣꯀꯍꯜꯂꯤ꯫
• ꯍꯥꯔꯠ ꯐꯦꯜ ꯑꯣꯏꯕꯥ꯫
• ꯍꯥꯔꯇꯀꯤ ꯑꯀꯣꯌꯕꯗꯥ ꯂꯩꯕꯥ ꯑꯦꯕꯁꯦꯁꯁꯤꯡ꯫
• ꯍꯥꯔꯇꯀꯤ ꯂꯥꯌꯅꯥ (irrhythmia) .
• ꯍꯥꯌꯔꯤꯕꯥ ꯎꯃꯪꯁꯤꯡ ꯑꯗꯨꯒꯤ ꯑꯄꯤꯀꯄꯥ ꯁꯔꯨꯀꯁꯤꯡ ꯑꯗꯨꯅꯥ ꯕ꯭ꯔꯦꯅꯗꯥ ꯂꯩꯕꯥ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯜ ꯑꯃꯥ ꯊꯤꯡꯖꯤꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯊꯤꯡꯖꯤꯅꯕꯥ ꯌꯥꯏ, ꯃꯗꯨꯅꯥ ꯁ꯭ꯠꯔꯣꯛ ꯑꯃꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫
• ꯏꯅꯐꯦꯛꯁꯟ ꯑꯁꯤ ꯍꯀꯆꯥꯡ ꯄꯨꯝꯅꯃꯛꯇꯥ ꯁꯟꯗꯣꯀꯏ, ꯃꯗꯨꯅꯥ ꯁꯦꯄꯁꯤꯁ ꯀꯧꯕꯥ ꯁꯤꯍꯅꯕꯥ ꯌꯥꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯥ ꯊꯣꯀꯍꯜꯂꯤ꯫
• ꯑꯔꯣꯏꯕꯗꯥ, ꯁꯤꯕꯥ ꯐꯥꯎꯕꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫

ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯃꯁꯤ ꯀꯔꯝꯅꯥ ꯊꯤꯔꯤꯕꯒꯦ?

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯔꯤꯁ꯭ꯛ ꯐꯦꯛꯇꯔꯁꯤꯡ ꯂꯩꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯌꯥꯔꯤꯕꯃꯈꯩ ꯊꯨꯅꯥ ꯗꯥꯏꯑꯦꯒ꯭ꯅꯣꯁꯤꯁ ꯑꯃꯥ ꯇꯧꯒꯅꯤ꯫ ꯃꯁꯤꯗꯥ ꯃꯔꯨ ꯑꯣꯏꯅꯥ ꯇꯦꯁ꯭ꯠ ꯀꯌꯥ ꯑꯃꯥ ꯌꯥꯑꯣꯒꯅꯤ꯫

• ꯕ꯭ꯂꯗ ꯇꯦꯁ꯭ꯠ ꯇꯧꯕꯥ: ꯱.
• ꯕ꯭ꯂꯗ ꯀꯂꯆꯔ ꯇꯦꯁ꯭ꯠ ꯇꯧꯕꯥ: ꯱.ꯃꯁꯤꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯏꯗꯥ ꯀꯔꯤ ꯃꯈꯂꯒꯤ ꯕꯦꯛꯇꯦꯔꯤꯌꯥ ꯂꯩꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯆꯨꯝꯅꯥ ꯈꯪꯗꯣꯀꯄꯅꯤ꯫
• ꯃꯄꯨꯡꯐꯥꯕꯥ ꯕ꯭ꯂꯗ ꯀꯥꯎꯟꯇ: ꯏꯅꯐꯦꯛꯁꯟ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯆꯦꯛ ꯇꯧ꯫
• ꯁꯤ-ꯔꯤꯑꯦꯛꯇꯤꯕ ꯄ꯭ꯔꯣꯇꯤꯟ ꯇꯦꯁ꯭ꯠ: ꯍꯀꯆꯥꯡꯗꯥ ꯁꯣꯀꯄꯥ ꯌꯥꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯆꯦꯛ ꯇꯧꯏ꯫

• ꯍꯥꯔꯇꯀꯤ ꯏꯃꯦꯖꯤꯡ ꯇꯦꯁ꯭ꯇꯁꯤꯡ: 1.1.
• ꯏꯀꯣꯀꯥꯔꯗꯤꯑꯣꯒ꯭ꯔꯥꯐ: ꯃꯁꯤ ꯍꯥꯔꯇꯀꯤ ꯁ꯭ꯀꯦꯟ ꯑꯃꯅꯤ꯫ ꯃꯁꯤꯅꯥ ꯊꯝꯃꯣꯌꯅꯥ ꯀꯔꯝꯅꯥ ꯊꯕꯛ ꯇꯧꯔꯤꯕꯒꯦ, ꯚꯜꯌꯨꯁꯤꯡꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯑꯃꯠꯇꯥ ꯂꯩꯕ꯭ꯔꯥ, ꯑꯃꯁꯨꯡ `ꯚꯦꯖꯤꯇꯦꯁꯟ` ꯑꯃꯠꯇꯥ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯃꯌꯦꯛ ꯁꯦꯡꯅꯥ ꯎꯕꯥ ꯐꯪꯏ꯫
• ꯇ꯭ꯔꯥꯟꯁꯑꯦꯁꯣꯐꯦꯖꯤꯑꯦꯜ ꯏꯀꯣꯀꯥꯔꯗꯤꯑꯣꯒ꯭ꯔꯥꯐ (transesophageal echocardiogram): ꯃꯁꯤꯁꯨ ꯏꯀꯣꯛ ꯃꯈꯜ ꯑꯃꯅꯤ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯀꯣꯛꯇꯥ ꯑꯄꯤꯀꯄꯥ ꯇꯤꯎꯕ ꯑꯃꯥ ꯊꯥꯗꯨꯅꯥ ꯊꯝꯃꯣꯌꯒꯥ ꯅꯛꯅꯅꯥ ꯁ꯭ꯀꯦꯟ ꯇꯧꯏ꯫ ꯃꯁꯤꯅꯥ ꯍꯦꯟꯅꯥ ꯃꯌꯦꯛ ꯁꯦꯡꯕꯥ ꯏꯃꯦꯖꯁꯤꯡ ꯄꯨꯊꯣꯀꯄꯥ ꯉꯃꯒꯅꯤ꯫
• ꯍꯥꯔꯠ ꯑꯦꯝ.ꯑꯥꯔ.ꯑꯥꯏ.ꯒꯤ ꯁ꯭ꯀꯦꯟ: ꯀꯦꯁ ꯈꯔꯗꯗꯤ, ꯃꯁꯤꯒꯤ ꯇꯦꯁ꯭ꯠ ꯑꯁꯤꯁꯨ ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯏ꯫

ꯂꯥꯏꯌꯦꯡꯕꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?

ꯑꯦꯟꯗꯣꯀꯥꯔꯗꯤꯇꯤꯁ ꯍꯥꯌꯕꯁꯤ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯂꯥꯏꯖꯦꯁꯟ ꯑꯃꯁꯨꯡ ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯃꯊꯧ ꯇꯥꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯂꯥꯏꯌꯦꯡ ꯑꯁꯤ ꯏꯅꯠꯔꯥꯚꯦꯅꯁ ꯑꯦꯟꯇꯤꯕꯥꯏꯑꯣꯇꯤꯀꯁꯤꯡ (IV ꯑꯦꯟꯇꯤꯕꯥꯏꯑꯣꯇꯤꯀꯁꯤꯡ)ꯅꯤ꯫

ꯃꯁꯤꯒꯤ ꯂꯥꯏꯌꯦꯡ ꯑꯁꯤ ꯅꯨꯃꯤꯠ ꯀꯌꯥꯅꯤ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯅꯨꯃꯤꯠ 6 ꯅꯠꯠꯔꯒꯥ 8 ꯐꯥꯎꯕꯥ ꯃꯈꯥ ꯆꯠꯊꯒꯅꯤ꯫ ꯅꯍꯥꯛꯀꯤ ꯏꯗꯥ ꯌꯥꯎꯔꯤꯕꯥ ꯕꯦꯛꯇꯦꯔꯤꯌꯥ ꯃꯈꯜ ꯑꯗꯨ ꯈꯪꯗꯣꯛꯂꯕꯥ ꯃꯇꯨꯡꯗꯥ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯃꯗꯨꯒꯤꯗꯃꯛꯇꯥ ꯑꯆꯨꯝꯕꯥ ꯑꯦꯟꯇꯤꯕꯥꯏꯑꯣꯇꯤꯛ ꯑꯃꯥ ꯈꯅꯒꯅꯤ꯫ ꯅꯍꯥꯛꯀꯤ ꯂꯥꯏꯌꯦꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ, ꯅꯍꯥꯛꯀꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯗꯨ ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯌꯦꯡꯁꯤꯅꯒꯅꯤ, ꯑꯃꯁꯨꯡ ꯏꯅꯐꯦꯛꯁꯟ ꯑꯗꯨ ꯁꯣꯌꯗꯅꯥ ꯂꯩꯔꯦ ꯍꯥꯌꯕꯥ ꯈꯪꯗꯣꯛꯅꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯏꯒꯤ ꯇꯦꯁ꯭ꯠ ꯑꯗꯨ ꯍꯟꯖꯤꯟ ꯍꯟꯖꯤꯟ ꯇꯧꯒꯅꯤ꯫

ꯃꯁꯤꯒꯤ ꯐꯤꯚꯝ ꯑꯁꯤ ꯊꯤꯡꯕꯥ ꯉꯃꯒꯗ꯭ꯔꯥ?

ꯃꯄꯨꯡ ꯐꯥꯅꯥ ꯉꯥꯀꯊꯣꯀꯄꯥ ꯉꯃꯗ꯭ꯔꯕꯁꯨ ꯈꯨꯗꯣꯡꯊꯤꯕꯥ ꯍꯟꯊꯍꯟꯅꯕꯥ ꯑꯩꯈꯣꯌꯅꯥ ꯇꯧꯕꯥ ꯌꯥꯕꯥ ꯊꯕꯛ ꯀꯌꯥ ꯂꯩꯔꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯔꯤꯁ꯭ꯛ ꯋꯥꯡꯕꯥ ꯀꯦꯇꯦꯒꯣꯔꯤ ꯑꯃꯗꯥ ꯂꯩꯔꯕꯗꯤ ꯋꯥꯐꯃꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯔꯨꯑꯣꯏꯅꯥ ꯆꯦꯀꯁꯤꯅꯒꯗꯕꯅꯤ꯫

• ꯑꯐꯕꯥ ꯑꯣꯔꯦꯜ ꯑꯃꯁꯨꯡ ꯗꯦꯟꯇꯦꯜ ꯍꯥꯏꯖꯤꯟ ꯊꯝꯃꯨ: ꯅꯨꯃꯤꯠ ꯈꯨꯗꯤꯡꯒꯤ ꯅꯍꯥꯛꯀꯤ ꯍꯥꯀꯆꯥꯡ ꯑꯗꯨ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯕ꯭ꯔꯁ ꯇꯧ꯫ ꯅꯍꯥꯛꯀꯤ ꯍꯥꯀꯆꯥꯡꯒꯤ ꯃꯔꯛꯇꯥ ꯁꯦꯡꯗꯣꯀꯎ꯫ ꯅꯍꯥꯛꯀꯤ ꯑꯣꯔꯦꯜ ꯍꯦꯂꯊ ꯑꯗꯨ ꯌꯦꯡꯁꯤꯟꯅꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯦꯟꯇꯤꯁ꯭ꯇꯇꯥ ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯆꯠꯂꯨ꯫ ꯃꯁꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯔꯨ ꯑꯣꯏꯕꯥ ꯋꯥꯐꯃꯅꯤ꯫
• ꯔꯤꯁ꯭ꯛ ꯋꯥꯡꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯒꯤꯗꯃꯛ ꯑꯈꯟꯅꯕꯥ ꯄꯥꯎꯇꯥꯛ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯄ꯭ꯔꯣꯁ꯭ꯊꯦꯇꯤꯛ ꯚꯜꯌꯨ ꯑꯃꯥ ꯂꯩꯔꯕꯗꯤ, ꯃꯃꯥꯡꯗꯥ ꯑꯦꯟꯗꯣꯀꯥꯔꯗꯤꯇꯤꯁ ꯂꯩꯔꯕꯗꯤ, ꯅꯠꯠꯔꯒꯥ ꯑꯇꯩ ꯔꯤꯁ꯭ꯛ ꯋꯥꯡꯕꯥ ꯍꯥꯔꯇꯀꯤ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ ꯂꯩꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯑꯀꯛꯅꯕꯥ ꯗꯦꯟꯇꯤꯁ꯭ꯠ ꯄ꯭ꯔꯣꯁꯤꯗ꯭ꯌꯨꯑꯣꯔꯁꯤꯡ (ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯍꯥꯀꯆꯥꯡ ꯂꯧꯊꯣꯀꯄꯥ, ꯒꯝ ꯁꯔꯖꯔꯤ)ꯒꯤ ꯃꯃꯥꯡꯗꯥ ꯄ꯭ꯔꯣꯐꯥꯏꯂꯦꯛꯇꯤꯛ ꯑꯦꯟꯇꯤꯕꯥꯏꯑꯣꯇꯤꯀꯁꯤꯡ ꯂꯧꯅꯕꯥ ꯄꯥꯎꯇꯥꯛ ꯄꯤꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤ ꯍꯥꯔꯇꯇꯥ ꯌꯧꯗ꯭ꯔꯤꯉꯩꯗꯥ ꯗꯦꯟꯇꯤꯁ꯭ꯠ ꯄ꯭ꯔꯣꯁꯤꯗ꯭ꯌꯨꯑꯣꯔꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯏꯗꯥ ꯆꯪꯂꯀꯄꯥ ꯌꯥꯕꯥ ꯕꯦꯛꯇꯦꯔꯤꯌꯥꯁꯤꯡ ꯍꯥꯠꯄꯅꯤ꯫
• ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯁꯤꯡꯗꯥ ꯈꯪꯍꯅꯕꯤꯌꯨ:ꯃꯇꯝ ꯄꯨꯝꯅꯃꯛꯇꯥ ꯅꯍꯥꯛꯀꯤ ꯏꯃꯨꯡꯒꯤ ꯗꯣꯛꯇꯔ ꯑꯃꯁꯨꯡ ꯗꯦꯟꯇꯤꯁ꯭ꯇꯇꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯥꯔꯇꯀꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯁꯨꯡ ꯑꯦꯟꯗꯣꯀꯥꯔꯗꯤꯇꯤꯁꯀꯤ ꯔꯤꯁ꯭ꯀꯀꯤ ꯃꯇꯥꯡꯗꯥ ꯈꯪꯍꯅꯒꯗꯕꯅꯤ꯫