ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯅꯥ ꯐꯠꯇꯕꯥ ꯈꯣꯡꯎꯞ ꯑꯃꯥ ꯂꯩꯕ꯭ꯔꯥ? ꯃꯁꯤ ꯍꯦꯃꯣꯂꯥꯏꯇꯤꯛ ꯌꯨꯔꯦꯃꯤꯛ ꯁꯤꯟꯗꯣꯝ (HUS) ꯑꯣꯏꯕꯥ ꯌꯥꯏ!

ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯅꯥ ꯅꯨꯃꯤꯠ ꯈꯔꯅꯤꯒꯤ ꯃꯃꯥꯡꯗꯒꯤ ꯈꯣꯡ ꯍꯥꯝꯂꯒꯥ ꯗꯥꯏꯔꯤꯌꯥ ꯂꯩꯔꯛꯂꯕ꯭ꯔꯥ? ꯃꯁꯤꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯏ ꯐꯥꯑꯣꯕꯥ ꯎꯕꯥ ꯐꯪꯂꯃꯒꯅꯤ꯫ ꯃꯃꯥ-ꯃꯄꯥ ꯑꯃꯥ ꯑꯣꯏꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯗꯨ ꯑꯣꯏꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯌꯥꯝꯅꯥ ꯋꯥꯅꯥ ꯊꯣꯀꯄꯥ ꯍꯥꯌꯕꯁꯤ ꯅꯣꯔꯃꯦꯂꯅꯤ꯫ ꯅꯍꯥꯛꯅꯥ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯂꯩꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯃꯁꯤ ꯁꯨꯞꯅꯒꯤ ꯈꯣꯡꯖꯦꯜ ꯌꯥꯡꯅꯥ ꯁꯣꯀꯄꯥ ꯈꯛꯇꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫ ꯉꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯔꯤ ꯃꯗꯨꯗꯤ ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ, ꯑꯗꯨꯕꯨ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯇꯣꯌꯅꯥ ꯈꯉꯂꯕꯗꯤ ꯌꯥꯝꯅꯥ ꯂꯥꯌꯦꯡꯕꯥ ꯉꯃꯒꯅꯤ꯫ ꯍꯥꯌꯕꯗꯤ (ꯍꯦꯃꯣꯂꯥꯏꯇꯤꯛ ꯌꯨꯔꯦꯃꯤꯛ ꯁꯤꯟꯗꯣꯝ) , ꯅꯠꯠꯔꯒꯥ (HUS) ꯍꯥꯌꯕꯁꯤꯅꯤ꯫

ꯍꯦꯃꯣꯂꯥꯏꯇꯤꯛ ꯌꯨꯔꯦꯃꯤꯛ ꯁꯤꯟꯗ꯭ꯔꯣꯝ (HUS) ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ? ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯂꯧꯁꯤꯅꯁꯤ꯫

ꯑꯣꯀꯦ, ꯍꯧꯖꯤꯛ ꯃꯁꯤ (ꯑꯩꯆ.ꯌꯨ.ꯑꯦꯁ.) ꯑꯁꯤ ꯀꯔꯤꯅꯣ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯁꯤ꯫ ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯃꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯀꯤꯗꯅꯤꯁꯤꯡꯗꯥ ꯂꯩꯔꯤꯕꯥ ꯑꯄꯤꯀꯄꯥ ꯏꯒꯤ ꯈꯣꯡꯖꯦꯂꯁꯤꯡ ꯑꯁꯤ ꯕ꯭ꯂꯣꯛ ꯇꯧꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ . ꯃꯁꯤ ꯏꯁꯤꯡꯒꯤ ꯄꯥꯏꯞ ꯑꯃꯥ ꯊꯤꯡꯖꯤꯜꯂꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯏꯁꯤꯡ ꯇꯨꯡꯁꯤꯅꯕꯥ ꯂꯦꯄꯈꯤꯕꯒꯨꯝꯅꯥ ꯈꯅꯕꯤꯌꯨ꯫ ꯃꯁꯤꯒꯤ ꯕ꯭ꯂꯣꯀꯦꯖ ꯑꯁꯤꯅꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯋꯥꯐꯝ ꯑꯍꯨꯝ ꯊꯣꯀꯍꯜꯂꯤ:

1. ꯅꯍꯥꯛꯀꯤ ꯔꯦꯗ ꯕ꯭ꯂꯗ ꯁꯦꯂꯁꯤꯡ ꯃꯥꯡꯈꯤꯕꯥ: ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛꯇꯥ ꯃꯁꯤꯕꯨ ꯍꯦꯃꯣꯂꯥꯏꯇꯤꯛ ꯑꯦꯅꯤꯃꯤꯌꯥ ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ ꯔꯦꯗ ꯕ꯭ꯂꯗ ꯁꯦꯂꯁꯤꯡ ꯑꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡ ꯄꯨꯝꯅꯃꯛꯇꯥ ꯑꯣꯛꯁꯤꯖꯦꯟ ꯄꯨꯗꯨꯅꯥ ꯆꯠꯂꯤ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯃꯈꯣꯌ ꯑꯁꯤ ꯃꯥꯡꯍꯅꯕꯥ ꯃꯇꯃꯗꯥ ꯍꯀꯆꯥꯡꯗꯥ ꯃꯊꯧ ꯇꯥꯔꯤꯕꯥ ꯑꯣꯛꯁꯤꯖꯦꯅꯒꯤ ꯆꯥꯡ ꯍꯟꯊꯔꯀꯏ꯫

2. ꯏꯗꯥ ꯄ꯭ꯂꯦꯇꯂꯦꯠ ꯃꯁꯤꯡ ꯍꯟꯊꯔꯀꯏ: ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤꯕꯨ ꯊ꯭ꯔꯣꯝꯕꯣꯁꯥꯏꯇꯣꯄꯦꯅꯤꯌꯥ ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ ꯄ꯭ꯂꯦꯇꯂꯦꯇꯁꯤꯡ ꯑꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯏ ꯊꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯏ ꯊꯨꯃꯖꯤꯅꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯂꯤꯕꯥ ꯑꯄꯤꯀꯄꯥ ꯁꯦꯂꯁꯤꯡꯅꯤ꯫ ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯍꯟꯊꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯏ ꯊꯣꯀꯄꯥ ꯊꯤꯡꯕꯗꯥ ꯑꯋꯥꯕꯥ ꯑꯣꯏꯔꯀꯏ, ꯑꯃꯁꯨꯡ ꯍꯀꯆꯥꯡ ꯄꯨꯝꯅꯃꯛꯇꯥ ꯁꯣꯛ-ꯄꯅꯕꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫

3. ꯀꯤꯗꯅꯤꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯄꯥ: ꯃꯁꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯈꯨꯗꯣꯡꯊꯤꯅꯤꯉꯥꯏ ꯑꯣꯏꯕꯥ ꯋꯥꯐꯝꯅꯤ꯫ ꯀꯤꯗꯅꯤꯁꯤꯡꯅꯥ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯊꯕꯛ ꯇꯧꯗꯕꯥ ꯃꯇꯃꯗꯥ, ꯃꯈꯣꯌꯅꯥ ꯍꯀꯆꯥꯡꯗꯥ ꯊꯨꯃꯖꯤꯜꯂꯀꯄꯥ ꯑꯃꯣꯠꯄꯁꯤꯡ ꯂꯧꯊꯣꯀꯄꯥ ꯉꯃꯗꯦ꯫ ꯃꯁꯤꯕꯨ (Acute Kidney Injury - AKI) ꯍꯥꯌꯅꯥꯁꯨ ꯀꯧꯏ꯫

HUSꯅꯥ ꯀꯅꯥꯒꯨꯝꯕꯥ ꯑꯃꯠꯇꯗꯥ ꯁꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ ꯑꯗꯨꯕꯨ ꯃꯁꯤ ꯑꯌꯥꯝꯕꯅꯥ ꯕꯦꯛꯇꯦꯔꯤꯌꯥꯒꯤ ꯏꯅꯐꯦꯛꯁꯟ ꯑꯃꯅꯥ ꯊꯣꯀꯍꯅꯕꯅꯤ , ꯃꯔꯨꯑꯣꯏꯅꯥ ꯏ . ꯃꯁꯤꯒꯤ ꯕꯦꯛꯇꯦꯔꯤꯌꯥ ꯑꯁꯤꯅꯥ ꯗꯥꯏꯔꯤꯌꯥ, ꯃꯔꯨꯑꯣꯏꯅꯥ ꯏ ꯊꯣꯀꯄꯥ ꯗꯥꯏꯔꯤꯌꯥ ꯊꯣꯀꯍꯜꯂꯤ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯁꯤꯟꯗꯣꯝ ꯍꯥꯌꯕꯁꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡꯒꯤ ꯈꯣꯃꯖꯤꯅꯕꯥ ꯑꯃꯅꯤ, ꯑꯃꯁꯨꯡ HUS ꯑꯁꯤ ꯏ.ꯀꯣꯂꯤ ꯅꯠꯇꯕꯥ ꯑꯇꯩ ꯃꯔꯃꯁꯤꯡꯗꯒꯤꯁꯨ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫

ꯀꯟꯗꯤꯁꯟ (HUS) ꯑꯁꯤꯅꯥ ꯀꯤꯗꯅꯤ ꯈꯛꯇꯗꯥ ꯅꯠꯇꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯍꯥꯔꯠ ꯑꯃꯁꯨꯡ ꯕ꯭ꯔꯦꯅꯒꯨꯝꯕꯥ ꯑꯇꯩ ꯑꯣꯔꯒꯥꯅꯁꯤꯡꯗꯁꯨ ꯁꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯃꯁꯤꯅꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯀꯃꯟ ꯑꯣꯏꯅꯥ ꯀꯤꯗꯅꯤꯁꯤꯡꯗꯥ ꯁꯣꯀꯍꯜꯂꯤ꯫

ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯗꯤ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛ ꯅꯠꯠꯔꯒꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨ ꯏ ꯊꯣꯀꯄꯥ ꯗꯥꯏꯔꯤꯌꯥ ꯂꯩꯔꯕꯗꯤ ꯅꯠꯠꯔꯒꯥ ꯅꯨꯃꯤꯠ ꯍꯨꯝꯅꯤꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯗꯥꯏꯔꯤꯌꯥ ꯂꯩꯔꯕꯗꯤ, ꯗꯣꯛꯇꯔ ꯑꯃꯗꯥ ꯁꯣꯌꯗꯅꯥ ꯇꯥꯀꯄꯤꯌꯨ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯂꯥꯏꯌꯦꯡꯗ꯭ꯔꯕꯗꯤ, HUS ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯑꯃꯁꯨꯡ ꯄꯨꯟꯁꯤꯗꯥ ꯈꯨꯗꯣꯡꯊꯤꯕꯥ ꯐꯥꯎꯕꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫

ꯇꯣꯉꯥꯟ-ꯇꯣꯉꯥꯅꯕꯥ ꯃꯈꯂꯒꯤ HUS ꯂꯩꯕ꯭ꯔꯥ?

ꯍꯣꯌ, (HUS)ꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯈꯜ ꯀꯌꯥ ꯂꯩ꯫ ꯃꯈꯣꯌꯒꯤ ꯃꯔꯃꯗꯥ ꯈꯔꯥ ꯈꯉꯂꯁꯤ:

1. "ꯇꯤꯄꯤꯀꯦꯜ" (HUS): ꯃꯁꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯃꯈꯂꯅꯤ . ꯃꯁꯤ ꯑꯌꯥꯝꯕꯗꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯑꯄꯤꯀꯄꯥ ꯏꯟꯇꯦꯁ꯭ꯇꯥꯏꯟ ꯑꯃꯁꯨꯡ ꯀꯣꯂꯣꯅꯗꯥ ꯁꯣꯀꯍꯜꯂꯤꯕꯥ ꯕꯦꯛꯇꯦꯔꯤꯌꯥ ꯏꯅꯐꯦꯛꯁꯟ ꯑꯃꯅꯥ ꯊꯣꯀꯍꯅꯕꯅꯤ, ꯃꯔꯨꯑꯣꯏꯅꯥ ꯏ.

2. "ꯑꯦꯇꯤꯄꯤꯀꯦꯜ" (HUS) (aHUS): ꯃꯁꯤ ꯈꯔꯥ ꯍꯦꯟꯅꯥ ꯅꯦꯝꯃꯤ꯫ꯃꯁꯤ ꯑꯌꯥꯝꯕꯗꯤ ꯖꯦꯅꯦꯇꯤꯛ ꯑꯣꯏꯕꯥ ꯃꯔꯃꯁꯤꯡꯅꯥ ꯊꯣꯀꯍꯅꯕꯅꯤ, ꯍꯥꯌꯕꯗꯤ ꯃꯁꯤ ꯃꯃꯥ-ꯃꯄꯥꯗꯒꯤ ꯑꯉꯥꯡꯁꯤꯡꯗꯥ ꯏꯅꯍꯦꯔꯤ ꯇꯧꯕꯅꯤ꯫

3. "ꯁꯦꯀꯦꯟꯗꯔꯤ" (HUS): ꯃꯈꯜ ꯑꯁꯤ ꯑꯇꯩ ꯃꯦꯗꯤꯀꯦꯜ ꯀꯟꯗꯤꯁꯅꯁꯤꯡꯒꯥ ꯃꯔꯤ ꯂꯩꯅꯅꯥ ꯊꯣꯀꯏ꯫ ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯃꯁꯤ ꯑꯀꯛꯅꯕꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ, ꯑꯇꯩ ꯏꯅꯐꯦꯛꯁꯅꯁꯤꯡ ꯅꯠꯠꯔꯒꯥ ꯃꯤꯔꯣꯅꯕꯥ ꯑꯁꯤꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫

"ꯑꯦꯇꯤꯄꯤꯀꯦꯜ" (HUS) (aHUS)ꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯈꯔꯥ ꯍꯦꯟꯅꯥ ꯈꯉꯂꯁꯤ

(aHUS) ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯊꯣꯀꯄꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫ ꯃꯁꯤꯅꯥ ꯃꯃꯥꯡꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡꯒꯥ ꯃꯥꯟꯅꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡꯁꯨ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ:

• ꯔꯦꯗ ꯕ꯭ꯂꯗ ꯁꯦꯂꯒꯤ ꯆꯥꯡ ꯍꯟꯊꯔꯀꯄꯥ꯫
• ꯄ꯭ꯂꯦꯇꯂꯦꯠ ꯃꯁꯤꯡ ꯍꯟꯊꯔꯀꯄꯥ꯫
• ꯈꯪꯍꯧꯗꯅꯥ ꯀꯤꯗꯅꯤ ꯐꯦꯜ ꯑꯣꯏꯕꯥ (acute kidney failure) .
• ꯍꯥꯏ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ (ꯍꯥꯌꯄꯔꯇꯦꯟꯁꯟ) ꯅꯠꯠꯔꯒꯥ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯥ ꯉꯃꯗꯕꯥ꯫

ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ (aHUS) ꯑꯁꯤ ꯃꯍꯧꯁꯥꯅꯥ ꯖꯦꯅꯦꯇꯤꯛ ꯗꯤꯁꯑꯣꯔꯗꯔ ꯑꯃꯅꯤ . ꯍꯥꯌꯕꯗꯤ ꯃꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯖꯤꯅꯁꯤꯡꯗꯥ ꯑꯀꯛꯅꯕꯥ ꯑꯍꯣꯡꯕꯥ (ꯃ꯭ꯌꯨꯇꯦꯁꯟ) ꯑꯃꯅꯥ ꯊꯣꯀꯍꯅꯕꯅꯤ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯃꯁꯤꯒꯤ ꯖꯦꯅꯦꯇꯤꯛ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯂꯩꯔꯕꯁꯨ, ꯃꯁꯤ ꯏꯅꯐꯦꯛꯁꯟ, ꯂꯥꯌꯅꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯀꯣꯌꯔꯣꯅꯒꯤ ꯐꯦꯛꯇꯔ ꯈꯔꯅꯥ ꯊꯣꯀꯍꯜꯂꯤ꯫

(HUS) ꯑꯁꯤ ꯀꯌꯥ ꯌꯥꯝꯅꯥ ꯀꯃꯟ ꯑꯣꯏꯕꯒꯦ?

ꯕꯦꯛꯇꯦꯔꯤꯌꯥ (E. coli)ꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯗꯥꯏꯔꯤꯌꯥꯅꯥ ꯅꯥꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯒꯤ 5% ꯑꯃꯁꯨꯡ 15%ꯒꯤ ꯃꯔꯛꯇꯥ HUS . (aHUS) ꯀꯧꯕꯥ ꯃꯈꯜ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯅꯦꯝꯃꯤ꯫ ꯃꯁꯤ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯃꯤꯑꯣꯏ ꯂꯥꯈ ꯑꯃꯗꯥ ꯊꯣꯀꯏ꯫

(HUS)ꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?

ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯅꯍꯥꯛꯅꯥ ꯈꯪꯖꯤꯅꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫

ꯑꯍꯥꯅꯕꯥ ꯑꯣꯏꯅꯥ ꯎꯕꯥ ꯐꯪꯒꯗꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ:

• ꯗꯥꯏꯔꯤꯌꯥ: ꯑꯌꯥꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯏꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯊꯣꯀꯏ꯫
• ꯈꯣꯡꯗꯥ ꯁꯣꯀꯄꯥ (abdominal pain)꯫
• ꯅꯣꯡꯃꯩ ꯀꯥꯞꯄꯥ ꯑꯃꯁꯨꯡ ꯈꯣꯡ ꯍꯥꯝꯕꯥ꯫
• ꯀꯣꯛ ꯆꯤꯛꯄ .
• ꯆꯤꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯂꯥꯏꯍꯧ ꯍꯧꯕꯥ꯫

ꯑꯇꯣꯞꯄꯥ ꯎꯕꯥ ꯐꯪꯒꯗꯕꯥ ꯐꯤꯆꯔꯁꯤꯡ:

• ꯐꯖꯅꯥ ꯁꯣꯀꯄꯥ꯫
• ꯂꯦꯡ-ꯑꯣꯠꯄꯒꯤ ꯃꯑꯣꯡ (pallor): ꯅꯥꯀꯣꯡꯒꯤ ꯃꯅꯨꯡ ꯑꯃꯁꯨꯡ ꯃꯀꯣꯀꯊꯣꯡꯕꯗꯨ ꯐꯥꯎꯕꯥ ꯂꯦꯡ-ꯑꯣꯠꯄꯥ ꯌꯥꯏ꯫
• ꯆꯃꯝꯅꯕ.
• ꯁꯥꯔꯩ ꯍꯧꯕ.
• ꯁ꯭ꯠꯔꯣꯀꯒꯨꯝꯕꯥ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ ꯂꯩꯕꯥ꯫
• ꯔꯦꯄꯤꯗ ꯍꯥꯔꯠ ꯔꯦꯠ (ꯑꯦꯔꯤꯊꯃꯤꯌꯥ)꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ (HUS)ꯒꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯑꯣꯏꯔꯕꯗꯤ, ꯃꯥꯡꯈꯤꯕꯥ ꯔꯦꯗ ꯕ꯭ꯂꯗ ꯁꯦꯂꯁꯤꯡꯅꯥ ꯏ ꯊꯣꯀꯄꯥ ꯌꯥꯏ ꯑꯃꯁꯨꯡ ꯀꯤꯗꯅꯤꯒꯨꯝꯕꯥ ꯑꯣꯔꯒꯥꯅꯁꯤꯡꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯀꯤꯗꯅꯤꯁꯤꯡꯅꯥ ꯑꯃꯣꯠꯄꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯐꯤꯜꯇꯔ ꯇꯧꯕꯥ ꯉꯃꯗꯦ꯫ ꯃꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ (Acute Kidney Injury - AKI) ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ ꯃꯁꯤꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤ:

• ꯌꯨꯔꯤꯅꯗꯥ ꯏ ꯊꯣꯀꯄꯥ (ꯍꯦꯃꯆꯨꯔꯤꯌꯥ)꯫
• ꯏꯗꯥ ꯇꯣꯛꯁꯤꯅꯁꯤꯡꯒꯤ ꯆꯥꯡ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ: ꯃꯁꯤꯅꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ ꯑꯃꯁꯨꯡ ꯑꯅꯥꯕꯥ ꯐꯥꯎꯕꯥ ꯊꯣꯀꯍꯜꯂꯀꯄꯥ ꯌꯥꯏ꯫
• ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ ꯋꯥꯡꯕꯥ꯫
• ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ (dyspnea)꯫
• ꯏꯗꯤꯃꯥ (edema): ꯃꯔꯨꯑꯣꯏꯅꯥ ꯈꯣꯡ ꯑꯃꯁꯨꯡ ꯈꯣꯡꯗꯥ ꯁꯣꯀꯄꯥ ꯌꯥꯏ꯫
• ꯌꯨꯔꯤꯟ ꯑꯥꯎꯇꯄꯨꯠ ꯍꯟꯊꯔꯀꯄꯥ (oliguria)꯫

(HUS)ꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯔꯃꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?

HUSꯒꯤ ꯑꯌꯥꯝꯕꯥ ꯀꯦꯁꯁꯤꯡ ꯑꯁꯤ ꯏ.ꯀꯣꯂꯤ ꯕꯦꯛꯇꯦꯔꯤꯌꯥꯒꯤ ꯑꯀꯛꯅꯕꯥ ꯁ꯭ꯠꯔꯦꯅꯁꯤꯡꯅꯥ ꯊꯣꯀꯍꯅꯕꯅꯤ꯫ ꯕꯦꯛꯇꯦꯔꯤꯌꯥꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯁꯤꯒꯥ ꯇꯣꯛꯁꯤꯟ ꯀꯧꯕꯥ ꯄꯣꯠꯁꯛ ꯑꯃꯥ ꯄꯨꯊꯣꯀꯏ . ꯃꯁꯤꯒꯤ ꯄꯣꯠꯁꯛ ꯑꯁꯤꯅꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯑꯄꯤꯀꯄꯥ ꯏꯟꯇꯦꯁ꯭ꯇꯥꯏꯅꯒꯤ ꯂꯥꯏꯅꯤꯡꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯜꯂꯤ ꯑꯃꯁꯨꯡ ꯗꯥꯏꯔꯤꯌꯥ ꯊꯣꯀꯍꯜꯂꯤ꯫ ꯃꯁꯤꯒꯤ ꯄꯣꯠꯁꯛ ꯑꯁꯤꯅꯥ ꯕ꯭ꯂꯗ ꯁ꯭ꯠꯔꯤꯃꯗꯁꯨ ꯆꯪꯗꯨꯅꯥ ꯔꯦꯗ ꯕ꯭ꯂꯗ ꯁꯦꯂꯁꯤꯡ ꯃꯥꯡꯍꯟ ꯇꯥꯀꯍꯜꯂꯤ ꯑꯃꯁꯨꯡ ꯀꯤꯗꯅꯤꯁꯤꯡꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯜꯂꯤ꯫

ꯅꯍꯥꯛꯅꯥ ꯏ.ꯀꯣꯂꯤ ꯏꯅꯐꯦꯛꯁꯟ ꯑꯃꯥ ꯂꯥꯀꯄꯒꯤ ꯆꯥꯡ ꯑꯁꯤ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯁꯤꯡꯁꯤꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯋꯥꯡꯏ:

• ꯑꯟꯗꯔꯀꯛ ꯇꯧꯔꯕꯥ ꯃꯅꯥ-ꯃꯁꯤꯡ: ꯃꯔꯨꯑꯣꯏꯅꯥ ꯒꯝ, ꯒ꯭ꯔꯥꯎꯟꯗ ꯕꯤꯐ꯫
• ꯄꯦꯁ꯭ꯇꯨꯔꯥꯏꯖ ꯇꯧꯗꯕꯥ ꯁꯉ꯭ꯒꯣꯝ ꯑꯃꯁꯨꯡ ꯃꯅꯥ-ꯃꯁꯤꯡꯒꯤ ꯊꯛꯅꯕꯥ ꯏꯁꯤꯡ: ꯄꯦꯁ꯭ꯇꯨꯔꯥꯏꯖꯦꯁꯟ ꯍꯥꯌꯕꯁꯤ ꯕꯦꯛꯇꯦꯔꯤꯌꯥꯒꯨꯝꯕꯥ ꯃꯥꯡ-ꯇꯥꯛꯅꯤꯡꯉꯥꯏ ꯑꯣꯏꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡꯕꯨ ꯍꯥꯠꯄꯥ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯍꯤꯠ ꯇꯧꯕꯒꯤ ꯊꯧꯑꯣꯡ ꯑꯃꯅꯤ꯫
• ꯁꯦꯡꯗꯕꯥ, ꯑꯁꯪꯕꯥ ꯃꯅꯥ-ꯃꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯎꯍꯩ-ꯋꯥꯍꯩꯁꯤꯡ꯫

ꯄꯣꯠꯁꯛ ꯄꯨꯊꯣꯀꯄꯥ ꯏ.ꯀꯣꯂꯤ ꯁ꯭ꯠꯔꯦꯅꯁꯤꯡ ꯑꯁꯤꯕꯨ ꯁꯤꯒꯥ ꯇꯣꯛꯁꯤꯟ ꯄꯨꯊꯣꯀꯄꯥ ꯏ.ꯀꯣꯂꯤ (ꯑꯦꯁ.ꯇꯤ.ꯏ.ꯁꯤ.) ꯍꯥꯌꯅꯥꯁꯨ ꯀꯧꯏ꯫ ꯅꯣꯔꯊ ꯑꯃꯦꯔꯤꯀꯥꯗꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯑꯦꯁ.ꯇꯤ.ꯏ.ꯁꯤ.ꯒꯤ ꯁ꯭ꯠꯔꯦꯟ ꯑꯁꯤ ꯏ.ꯀꯣꯂꯥꯏ ꯑꯣ꯱꯵꯷:ꯑꯩꯆ.꯷ꯅꯤ꯫

ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ, ꯑꯀꯛꯅꯕꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯄꯣꯠꯁꯀꯁꯤꯡꯅꯥ "ꯁꯦꯀꯦꯟꯗꯔꯤ (HUS)" ꯊꯣꯀꯍꯅꯕꯁꯨ ꯌꯥꯏ꯫ ꯈꯨꯗꯃꯁꯤꯡ: ꯱.

• ꯀꯦꯃꯣꯊꯦꯔꯥꯄꯤ ꯗ꯭ꯔꯒꯁꯤꯡ: ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ (ꯕ꯭ꯂꯤꯑꯣꯃꯥꯏꯁꯤꯟ), (ꯁꯤꯁꯞꯂꯦꯇꯤꯟ), (ꯖꯦꯃꯁꯤꯇꯥꯕꯤꯟ)꯫
• ꯏꯝꯝꯌꯨꯅꯣꯁꯞꯔꯦꯁꯦꯟꯇ ꯗ꯭ꯔꯒꯁꯤꯡ: (ꯁꯥꯏꯛꯂꯣꯁ꯭ꯄꯣꯔꯤꯟ), (ꯇꯦꯛꯔꯣꯂꯤꯃꯁ) ꯑꯁꯤꯅꯆꯤꯡꯕꯥ꯫
• ꯀꯨꯏꯅꯥꯏꯟ: ꯃꯦꯂꯦꯔꯤꯌꯥꯒꯤ ꯍꯤꯗꯥꯛ ꯑꯃꯅꯤ꯫
• ꯗ꯭ꯔꯒ ꯈꯔꯗꯤ : (ꯑꯣꯛꯁꯤꯃꯣꯔꯐꯣꯟ), (ꯑꯦꯛꯁꯇꯥꯁꯤ), (ꯀꯣꯀꯦꯟ)꯫

(HUS) ꯑꯁꯤ ꯂꯧꯅꯒꯅꯕꯥ ꯂꯥꯌꯅꯥ ꯂꯩꯕ꯭ꯔꯥ?

ꯅꯠꯇꯦ, ꯑꯩꯆ.ꯌꯨ.ꯑꯦꯁ.ꯅꯥ ꯂꯧꯅꯒꯅꯕꯥ ꯂꯥꯌꯅꯥ ꯅꯠꯇꯦ꯫

ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯏ.ꯀꯣꯂꯤ ꯕꯦꯛꯇꯦꯔꯤꯌꯥ ꯑꯁꯤ ꯁꯟꯗꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯒꯤ ꯕꯦꯛꯇꯦꯔꯤꯌꯥ ꯑꯁꯤ ꯁꯣꯀꯍꯜꯂꯕꯥ ꯆꯤꯟꯖꯥꯛ ꯅꯠꯠꯔꯒꯥ ꯊꯛꯅꯕꯥ ꯏꯁꯤꯡꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ, ꯅꯠꯠꯔꯒꯥ ꯏ. ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯁꯦꯡꯗꯣꯀꯄꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯌꯥꯝꯅꯥ ꯆꯦꯀꯁꯤꯟꯅꯥ ꯂꯩꯕꯥ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫

ꯀꯅꯥꯅꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯗꯤꯚꯦꯂꯞ ꯇꯧꯕꯥ ꯌꯥꯕꯒꯦ (HUS)?

ꯀꯅꯥꯒꯨꯝꯕꯥ ꯑꯃꯅꯥ HUS ꯂꯥꯀꯄꯥ ꯌꯥꯏ ꯑꯗꯨꯕꯨ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡ ꯑꯁꯤ ꯍꯦꯟꯅꯥ ꯔꯤꯁ꯭ꯛ ꯂꯩ:

• ꯆꯍꯤ 5ꯒꯤ ꯃꯈꯥꯗꯥ ꯂꯩꯕꯥ ꯑꯉꯥꯡꯁꯤꯡꯒꯤꯗꯃꯛ꯫
• ꯏꯝꯝꯌꯨꯟ ꯁꯤꯁ꯭ꯇꯦꯝ ꯋꯥꯠꯄꯥ (ꯏꯝꯝꯌꯨꯅꯣꯀꯃꯞꯔꯣꯃꯥꯏꯖꯗ) ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯒꯤ ꯑꯣꯏꯅꯗꯤ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯏꯃꯨꯡꯒꯤ ꯃꯤꯑꯣꯏ ꯑꯃꯅꯥ ꯃꯃꯥꯡꯗꯥ HUS (ꯃꯔꯨꯑꯣꯏꯅꯥ aHUS) ꯂꯩꯔꯕꯗꯤ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯏ.ꯀꯣꯂꯤ ꯏꯅꯐꯦꯛꯁꯟ ꯑꯃꯥ ꯂꯥꯀꯄꯥ ꯇꯥꯔꯕꯗꯤ: ꯃꯔꯨꯑꯣꯏꯅꯥ ꯑꯟꯗꯔꯀꯛ ꯇꯧꯔꯕꯥ ꯃꯅꯥ-ꯃꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯄꯦꯁ꯭ꯇꯨꯔꯥꯏꯖ ꯇꯧꯗꯕꯥ ꯁꯉ꯭ꯒꯣꯃꯒꯨꯝꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡꯗꯒꯤ꯫
• ꯏ.ꯀꯣꯂꯤꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯗꯥꯏꯔꯤꯌꯥ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯒꯥ ꯍꯀꯊꯦꯡꯅꯅꯥ ꯀꯟꯇꯦꯛꯇ ꯇꯧꯕꯥ꯫

ꯅꯍꯥꯛꯅꯥ (HUS) ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯀꯔꯝꯅꯥ ꯈꯪꯒꯅꯤ? (ꯗꯥꯏꯒ꯭ꯅꯣꯁꯤꯁ) ꯴.

ꯅꯍꯥꯛꯅꯥ ꯗꯣꯛꯇꯔ ꯑꯃꯒꯥ ꯎꯅꯔꯕꯥ ꯃꯇꯃꯗꯥ, ꯃꯍꯥꯛꯅꯥ ꯍꯥꯌꯔꯤꯕꯥ ꯊꯕꯀꯁꯤꯡ ꯑꯁꯤ ꯇꯧꯒꯅꯤ:

• ꯅꯍꯥꯛꯀꯤ ꯃꯦꯗꯤꯀꯦꯜ ꯍꯤꯁ꯭ꯇꯔꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯍꯪꯕꯤꯌꯨ .
• ꯅꯍꯥꯛꯀꯤ ꯏꯃꯨꯡꯒꯤ ꯃꯦꯗꯤꯀꯦꯜ ꯍꯤꯁ꯭ꯇꯔꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯍꯪꯕꯤꯌꯨ .
• ꯐꯤꯖꯤꯀꯦꯜ ꯑꯦꯀꯖꯥꯃꯤꯅꯦꯁꯟ ꯑꯃꯥ ꯄꯥꯡꯊꯣꯀꯏ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯋꯥꯐꯃꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯑꯩꯆ.ꯌꯨ.ꯑꯦꯁ.ꯀꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯒꯤ ꯑꯀꯤꯕꯥ ꯄꯣꯀꯍꯜꯂꯕꯗꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯑꯍꯦꯅꯕꯥ ꯇꯦꯁ꯭ꯠ ꯀꯌꯥ ꯑꯃꯥ ꯇꯧꯅꯕꯥ ꯑꯣꯔꯗꯔ ꯇꯧꯒꯅꯤ꯫

ꯀꯔꯤ ꯃꯈꯂꯒꯤ ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯇꯧꯔꯤꯕꯒꯦ?

• ꯌꯨꯔꯤꯅꯂꯥꯏꯁꯤꯁ: ꯅꯍꯥꯛꯀꯤ ꯌꯨꯔꯤꯅꯒꯤ ꯁꯦꯝꯄꯜ ꯑꯃꯥ ꯂꯧꯗꯨꯅꯥ ꯄ꯭ꯔꯣꯇꯤꯟ ꯅꯠꯠꯔꯒꯥ ꯏ ꯌꯥꯎꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯆꯦꯛ ꯇꯧꯏ꯫
• ꯕ꯭ꯂꯗ ꯇꯦꯁ꯭ꯠ: ꯔꯦꯗ ꯕ꯭ꯂꯗ ꯁꯦꯜ ꯃꯁꯤꯡ, ꯄ꯭ꯂꯦꯇꯂꯦꯇꯀꯤ ꯆꯥꯡ, ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯀꯤꯗꯅꯤ ꯑꯃꯁꯨꯡ ꯂꯤꯚꯔꯅꯥ ꯀꯌꯥ ꯌꯥꯝꯅꯥ ꯊꯕꯛ ꯇꯧꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯁꯤꯟꯅꯕꯥ ꯏꯒꯤ ꯁꯦꯝꯄꯜ ꯑꯃꯥ ꯂꯧꯏ꯫
• ꯁ꯭ꯇꯣꯜ ꯇꯦꯁ꯭ꯠ: ꯁ꯭ꯇꯣꯜ ꯁꯦꯝꯄꯜ ꯑꯃꯥ ꯂꯧꯗꯨꯅꯥ HUS ꯊꯣꯀꯍꯜꯂꯤꯕꯥ ꯕꯦꯛꯇꯦꯔꯤꯌꯥꯁꯤꯡ, ꯍꯥꯌꯕꯗꯤ ꯏ.ꯀꯣꯂꯥꯏ O157 ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯁꯤꯜꯂꯤ꯫
• ꯖꯦꯅꯦꯇꯤꯛ ꯇꯦꯁ꯭ꯠ ꯇꯧꯕꯥ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯅꯍꯥꯛꯀꯤ ꯏꯒꯤ ꯁꯦꯝꯄꯜ ꯑꯃꯥ ꯖꯦꯅꯦꯇꯤꯛ ꯇꯦꯁ꯭ꯠ ꯇꯧꯅꯕꯥ ꯊꯥꯔꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯅꯥ ꯅꯍꯥꯛꯅꯥ aHUSꯒꯨꯝꯕꯥ ꯖꯦꯅꯦꯇꯤꯛ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯥ ꯂꯩꯕ꯭ꯔꯥ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤꯗꯃꯛꯇꯥ ꯀꯔꯤ ꯂꯥꯏꯌꯦꯡ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯈꯪꯗꯣꯀꯄꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯒꯅꯤ꯫
• ꯀꯤꯗꯅꯤ ꯕꯥꯏꯑꯣꯞꯁꯤ: ꯃꯁꯤꯗꯥ ꯀꯤꯗꯅꯤꯒꯤ ꯑꯄꯤꯀꯄꯥ ꯁꯔꯨꯛ ꯑꯃꯥ ꯂꯧꯗꯨꯅꯥ ꯃꯥꯏꯛꯔꯣꯁ꯭ꯀꯣꯄꯀꯤ ꯃꯈꯥꯗꯥ ꯌꯦꯡꯁꯤꯟꯗꯨꯅꯥ ꯀꯤꯗꯅꯤꯗꯥ ꯀꯌꯥ ꯌꯥꯝꯅꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯅꯕꯒꯦ ꯑꯃꯁꯨꯡ ꯀꯔꯤꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯊꯣꯀꯍꯅꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯁꯤꯜꯂꯤ꯫ ꯃꯤꯄꯨꯝ ꯈꯨꯗꯤꯡꯃꯛꯅꯥ ꯃꯁꯤꯒꯤ ꯃꯊꯧ ꯇꯥꯗꯦ꯫

ꯇꯦꯁ꯭ꯇꯁꯤꯡꯅꯥ ꯃꯇꯧ ꯀꯔꯝꯅꯥ ꯅꯍꯥꯛꯅꯥ HUS ꯂꯩꯔꯦ ꯍꯥꯌꯕꯥ ꯀꯅꯐꯥꯔꯝ ꯇꯧꯒꯅꯤ?

• ꯌꯨꯔꯤꯟ ꯇꯦꯁ꯭ꯇꯁꯤꯡꯗꯒꯤ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯌꯨꯔꯤꯟ ꯑꯗꯨꯗꯥ ꯏ ꯅꯠꯠꯔꯒꯥ ꯄ꯭ꯔꯣꯇꯤꯟ ꯂꯩꯔꯕꯗꯤ꯫
• ꯕ꯭ꯂꯗ ꯇꯦꯁ꯭ꯠ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯔꯦꯗ ꯕ꯭ꯂꯗ ꯁꯦꯜ ꯑꯃꯁꯨꯡ ꯄ꯭ꯂꯦꯇꯂꯦꯇꯀꯤ ꯆꯥꯡ ꯅꯦꯝꯅꯥ ꯂꯩꯔꯕꯗꯤ, ꯅꯠꯠꯔꯒꯥ ꯀꯤꯗꯅꯤꯒꯤ ꯐꯉ꯭ꯀꯁꯟ (ꯀ꯭ꯔꯤꯑꯦꯇꯤꯅꯤꯅꯒꯨꯝꯕꯥ) ꯇꯥꯀꯄꯥ ꯚꯦꯜꯌꯨꯁꯤꯡ ꯍꯦꯅꯒꯠꯂꯕꯗꯤ꯫
• ꯁ꯭ꯇꯣꯜ ꯇꯦꯁ꯭ꯇꯁꯤꯡ: ꯀꯔꯤꯒꯨꯝꯕꯥ (E. coli O157)ꯒꯨꯝꯕꯥ ꯕꯦꯛꯇꯦꯔꯤꯌꯥꯁꯤꯡ ꯂꯩꯔꯕꯗꯤ꯫
• ꯀꯤꯗꯅꯤ ꯕꯥꯏꯑꯣꯞꯁꯤ: ꯀꯤꯗꯅꯤꯁꯤꯡꯗꯥ ꯑꯀꯛꯅꯕꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯄꯥ ꯎꯕꯥ ꯐꯪꯏ꯫

(HUS) ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯂꯥꯏꯌꯦꯡꯕꯒꯦ?

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ HUS ꯅꯥꯔꯦ ꯍꯥꯌꯅꯥ ꯈꯪꯂꯕꯗꯤ, ꯅꯍꯥꯀꯄꯨ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯂꯗꯥ ꯂꯥꯌꯦꯡꯕꯥ ꯑꯃꯁꯨꯡ ꯂꯥꯏꯌꯦꯡꯕꯥ ꯃꯊꯧ ꯇꯥꯏ꯫ ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯑꯣꯄꯁꯅꯁꯤꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯁꯤꯡꯁꯤ ꯌꯥꯎꯏ:

• ꯏꯅꯠꯔꯥꯚꯦꯅꯁ (IV) ꯐ꯭ꯂꯨꯏꯗ ꯑꯃꯁꯨꯡ/ꯅꯠꯠꯔꯒꯥ ꯇꯨꯕ ꯐꯤꯗꯤꯡ (ꯑꯦꯟꯇꯦꯔꯦꯜ ꯅ꯭ꯌꯨꯠꯔꯤꯁꯟ): ꯃꯁꯤꯅꯥ ꯗꯤꯍꯥꯌꯗ꯭ꯔꯦꯁꯟ ꯊꯤꯡꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ ꯑꯃꯁꯨꯡ ꯃꯊꯧ ꯇꯥꯕꯥ ꯅ꯭ꯌꯨꯠꯔꯤꯁꯟ ꯄꯤ꯫
• ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ: ꯱.
• ꯃꯈꯣꯌꯅꯥ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ ꯍꯟꯊꯍꯅꯕꯥ ꯉꯝꯕꯥ ꯍꯤꯗꯥꯀꯁꯤꯡ (ꯑꯦꯟꯇꯤꯍꯥꯏꯄꯥꯔꯇꯦꯟꯁꯤꯚ) ꯄꯤꯗꯨꯅꯥ ꯀꯤꯗꯅꯤꯁꯤꯡꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯍꯟꯊꯍꯟꯅꯕꯥ ꯍꯣꯠꯅꯩ .
• ꯑꯦ.ꯑꯩꯆ.ꯌꯨ.ꯑꯦꯁ.ꯅꯥ ꯅꯥꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯗꯥ ꯏꯀꯨꯏꯖꯨꯃꯕ ꯅꯠꯠꯔꯒꯥ ꯔꯚꯨꯂꯤꯖꯨꯃꯕꯒꯨꯝꯕꯥ ꯑꯀꯛꯅꯕꯥ ꯍꯤꯗꯥꯀꯁꯤꯡ ꯄꯤꯕꯥ ꯌꯥꯏ꯫ ꯍꯤꯗꯥꯀꯁꯤꯡ ꯑꯁꯤ ꯍꯧꯗ꯭ꯔꯤꯉꯩꯒꯤ ꯃꯃꯥꯡꯗꯥ ꯃꯦꯅꯤꯅꯒꯣꯀꯣꯀꯜ ꯑꯃꯁꯨꯡ ꯅ꯭ꯌꯨꯃꯣꯀꯣꯀꯜ ꯂꯥꯌꯅꯥꯁꯤꯡꯒꯤ ꯇꯤꯀꯥ ꯊꯥꯕꯥ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ, ꯃꯔꯃꯗꯤ ꯍꯤꯗꯥꯀꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯂꯥꯌꯅꯥꯁꯤꯡ ꯑꯁꯤ ꯂꯥꯀꯄꯒꯤ ꯔꯤꯁ꯭ꯛ ꯍꯦꯅꯒꯠꯍꯜꯂꯤ꯫
• ꯅꯍꯥꯛꯅꯥ ꯌꯥꯃꯗ꯭ꯔꯕꯗꯥ ꯅꯨꯃꯤꯠ ꯑꯅꯤꯒꯤ ꯑꯣꯏꯅꯥ ꯑꯦꯟꯇꯤꯕꯥꯏꯑꯣꯇꯤꯛ ꯂꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯏ꯫
• ꯕ꯭ꯂꯗ ꯇ꯭ꯔꯥꯟꯁꯐ꯭ꯌꯨꯁꯟ: (HUS) ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯗꯥ ꯔꯦꯗ ꯕ꯭ꯂꯗ ꯁꯦꯂꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯄ꯭ꯂꯦꯇꯂꯦꯇꯁꯤꯡ ꯄꯤꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫ ꯔꯦꯗ ꯕ꯭ꯂꯗ ꯁꯦꯂꯁꯤꯡꯅꯥ ꯑꯦꯅꯤꯃꯤꯌꯥꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ, ꯍꯥꯌꯕꯗꯤ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ ꯑꯃꯁꯨꯡ ꯍꯥꯔꯇꯀꯤ ꯈꯣꯡꯖꯦꯜ ꯌꯥꯡꯅꯥ ꯆꯦꯅꯕꯥ ꯑꯁꯤꯅꯆꯤꯡꯕꯥ ꯍꯟꯊꯍꯜꯂꯤ꯫ ꯄ꯭ꯂꯦꯇꯂꯦꯇꯁꯤꯡꯅꯥ ꯏ ꯑꯗꯨ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯊꯨꯒꯥꯌꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ, ꯃꯗꯨꯅꯥ ꯏ ꯊꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯁꯣꯛ-ꯄꯅꯕꯥ ꯍꯟꯊꯍꯜꯂꯤ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯀꯤꯗꯅꯤꯁꯤꯡ ꯑꯗꯨ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯅꯥ ꯁꯣꯀꯍꯜꯂꯕꯗꯤ, ꯀꯤꯗꯅꯤꯁꯤꯡ ꯑꯗꯨ ꯐꯒꯠꯂꯛꯠꯔꯤꯐꯥꯎꯕꯥ ꯏ ꯑꯗꯨ ꯁꯦꯡꯗꯣꯛꯅꯕꯥ ꯗꯥꯏꯑꯦꯂꯥꯏꯁꯤꯁ ꯇꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ HUSꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯀꯤꯗꯅꯤꯁꯤꯡ ꯑꯗꯨ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯁꯣꯀꯍꯜꯂꯕꯗꯤ, ꯀꯤꯗꯅꯤ ꯇ꯭ꯔꯥꯟꯁꯞꯂꯥꯟꯇ ꯇꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯏ꯫

ꯑꯩꯆ.ꯌꯨ.ꯑꯦꯁ.ꯅꯥ ꯃꯄꯨꯡ ꯐꯥꯅꯥ ꯂꯥꯌꯦꯡꯕꯥ ꯉꯃꯒꯗ꯭ꯔꯥ?

ꯍꯣꯌ, ꯃꯤꯑꯣꯏ ꯀꯌꯥ ꯑꯃꯅꯥ ꯃꯈꯣꯌꯒꯤ ꯍꯀꯁꯦꯂꯗꯥ ꯃꯇꯝ ꯆꯨꯞꯄꯒꯤ ꯑꯣꯏꯅꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯟꯗꯅꯥ HUSꯗꯒꯤ ꯐꯒꯠꯂꯀꯏ꯫

ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯃꯤꯑꯣꯏ ꯈꯔꯗꯗꯤ, ꯃꯔꯨꯑꯣꯏꯅꯥ ꯅꯍꯥ ꯑꯣꯏꯔꯤꯕꯥ ꯑꯉꯥꯡꯁꯤꯡꯗꯥ, 20%ꯗꯒꯤ 50% ꯐꯥꯎꯕꯗꯥ ꯃꯥꯏꯜꯗ ꯀ꯭ꯔꯣꯅꯤꯛ ꯀꯤꯗꯅꯤ ꯗꯤꯖꯤꯖ (CKD) ꯂꯥꯀꯄꯥ ꯌꯥꯏ꯫ ꯑꯦꯟꯗ-ꯁ꯭ꯇꯦꯖ ꯀꯤꯗꯅꯤ ꯗꯤꯖꯤꯖ (ESK) ꯑꯁꯤ 3%ꯗꯒꯤ 5% ꯐꯥꯎꯕꯗꯥ ꯂꯥꯀꯄꯥ ꯌꯥꯏ꯫ ꯁ꯭ꯇꯗꯤꯁꯤꯡꯅꯥ ꯇꯥꯛꯂꯤ ꯃꯗꯨꯗꯤ ꯁꯤ.ꯀꯦ.ꯗꯤ.ꯅꯥ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯑꯍꯜ ꯑꯣꯏꯔꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯒꯤ 45%ꯗꯥ ꯁꯣꯀꯍꯜꯂꯤ꯫

HUS ꯂꯥꯀꯄꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯒꯤ 85% ꯍꯦꯅꯕꯅꯥ ꯃꯈꯣꯌꯒꯤ ꯀꯤꯗꯅꯤꯒꯤ ꯐꯉ꯭ꯀꯁꯟ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯐꯒꯠꯍꯜꯂꯤ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯃꯈꯣꯌ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯐꯒꯠꯂꯕꯁꯨ ꯇꯨꯡꯗꯥ ꯃꯈꯣꯌꯗꯥ ꯍꯥꯏ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ ꯅꯠꯠꯔꯒꯥ ꯑꯇꯩ ꯀꯤꯗꯅꯤꯒꯤ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯃꯁꯤꯡ ꯂꯩꯔꯀꯄꯒꯤ ꯆꯥꯡ ꯌꯥꯝꯅꯥ ꯅꯦꯝꯃꯤ꯫

HUS ꯊꯤꯡꯕꯥ ꯉꯃꯒꯗ꯭ꯔꯥ?

HUSꯒꯤ ꯑꯆꯧꯕꯥ ꯃꯔꯝ ꯑꯃꯥ ꯑꯣꯏꯔꯤꯕꯥ ꯏ.ꯀꯣꯂꯤ ꯏꯅꯐꯦꯛꯁꯟ ꯊꯤꯡꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯅꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯇꯧꯕꯥ ꯌꯥꯕꯥ ꯊꯕꯛ ꯈꯔꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤ꯫ ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯑꯗꯣꯝ ꯑꯃꯁꯨꯡ ꯑꯗꯣꯃꯒꯤ ꯏꯃꯨꯡ ꯃꯅꯨꯡꯒꯤꯗꯃꯛ ꯌꯥꯝꯅꯥ ꯃꯔꯨ ꯑꯣꯏꯒꯅꯤ:

• ꯑꯁꯪꯕꯥ ꯃꯐꯃꯁꯤꯡ (ꯂꯦꯛ, ꯇꯨꯔꯦꯂꯁꯤꯡ)ꯗꯥ ꯇꯨꯝꯕꯥ ꯌꯥꯗꯕꯅꯤ, ꯃꯔꯨꯑꯣꯏꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯏꯁꯤꯡꯗꯥ ꯕꯦꯛꯇꯦꯔꯤꯌꯥꯒꯤ ꯆꯥꯡ ꯋꯥꯡꯅꯥ ꯂꯩ ꯍꯥꯌꯅꯥ ꯈꯜꯂꯕꯗꯤ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯗꯥꯏꯔꯤꯌꯥ ꯂꯩꯔꯕꯗꯤ, ꯇꯨꯝꯕꯥ ꯆꯠꯂꯣꯏꯗꯕꯅꯤ꯫
• ꯄꯦꯁ꯭ꯇꯨꯔꯥꯏꯖ ꯇꯧꯗꯕꯥ (ꯑꯀꯪꯕꯥ) ꯊꯛꯅꯕꯁꯤꯡ (ꯁꯉ꯭ꯒꯣꯝ, ꯃꯅꯥ-ꯃꯁꯤꯡꯒꯤ ꯖꯨꯁ) ꯊꯀꯄꯥ ꯌꯥꯔꯣꯏꯗꯕꯅꯤ꯫
• ꯃꯇꯝ ꯄꯨꯝꯅꯃꯛꯇꯥ ꯆꯥꯀꯁꯉꯒꯤ ꯄꯣꯠꯂꯃꯁꯤꯡ (ꯈꯨꯠꯂꯥꯏ, ꯐꯣꯔꯛ, ꯆꯃꯆ) ꯑꯃꯁꯨꯡ ꯆꯥꯅꯕꯥ ꯁꯦꯝ-ꯁꯥꯕꯥ ꯃꯐꯃꯁꯤꯡ (ꯀꯥꯎꯟꯇꯔꯁꯤꯡ, ꯀꯇꯤꯡ ꯕꯣꯔꯗꯁꯤꯡ, ꯆꯥꯀꯆꯥ-ꯏꯊꯀꯁꯤꯡ) ꯃꯄꯨꯡꯐꯥꯅꯥ ꯁꯦꯡꯗꯣꯀꯎ꯫
• ꯉꯥ ꯑꯃꯁꯨꯡ ꯊꯥꯎ ꯊꯣꯀꯄꯥ ꯃꯅꯥ-ꯃꯁꯤꯡ ꯑꯁꯤ ꯌꯥꯃꯗ꯭ꯔꯕꯗꯥ ꯁꯦꯂꯁꯤꯌꯁ ꯗꯤꯒ꯭ꯔꯤ 71 (160 ꯗꯤꯒ꯭ꯔꯤ ꯐꯥꯔꯦꯅꯍꯥꯏꯠ)ꯒꯤ ꯃꯅꯨꯡꯒꯤ ꯇꯦꯝꯄꯦꯔꯦꯆꯔꯗꯥ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯊꯀꯎ, ꯑꯃꯁꯨꯡ ꯄꯣꯂꯠꯔꯤꯕꯨ ꯃꯅꯨꯡꯒꯤ ꯑꯣꯏꯕꯥ ꯇꯦꯝꯄꯦꯔꯦꯆꯔ ꯑꯗꯨ 74 ꯗꯤꯒ꯭ꯔꯤ ꯁꯦꯂꯁꯤꯌꯁ (165 ꯗꯤꯒ꯭ꯔꯤ ꯐꯥꯔꯦꯅꯍꯥꯏꯠ)ꯗꯥ ꯊꯀꯎ꯫
• ꯃꯅꯥ-ꯃꯁꯤꯡ ꯑꯗꯨ ꯗꯤꯐ꯭ꯔꯣꯁ꯭ꯠ ꯇꯧꯕꯥ ꯃꯇꯃꯗꯥ, ꯃꯗꯨ ꯃꯥꯏꯛꯔꯣꯋꯦꯕ ꯅꯠꯠꯔꯒꯥ ꯔꯦꯐ꯭ꯔꯤꯖꯔꯦꯇꯔꯗꯥ ꯊꯝꯃꯨ꯫ ꯃꯁꯤ ꯆꯤꯟꯖꯥꯛ ꯁꯦꯝ-ꯁꯥꯕꯥ ꯃꯐꯝ ꯑꯃꯗꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯁꯥꯕꯥ ꯏꯁꯤꯡꯗꯥ ꯗꯤꯐ꯭ꯔꯣꯁ꯭ꯠ ꯇꯧꯔꯣꯏꯗꯕꯅꯤ꯫
• ꯑꯀꯪꯕꯥ ꯑꯃꯁꯨꯡ ꯑꯀꯪꯕꯥ ꯆꯤꯟꯖꯥꯀꯁꯤꯡ ꯇꯣꯉꯥꯟꯅꯥ ꯊꯃꯒꯗꯕꯅꯤ꯫
• ꯆꯥꯗ꯭ꯔꯤꯉꯩ ꯃꯃꯥꯡꯗꯥ, ꯕꯥꯊꯔꯨꯝ ꯁꯤꯖꯤꯟꯅꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ, ꯑꯄꯤꯀꯄꯥ ꯑꯉꯥꯡꯁꯤꯡꯒꯤ ꯅꯥꯄꯤꯁꯤꯡ ꯍꯣꯡꯗꯣꯛꯂꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯑꯃꯁꯨꯡ ꯂꯧꯎ-ꯁꯤꯡꯎꯒꯤ ꯁꯥ-ꯁꯅꯁꯤꯡ ꯁꯣꯛꯂꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯨꯠꯁꯥꯁꯤꯡ ꯑꯗꯨ ꯁꯥꯄꯣꯟ ꯑꯃꯁꯨꯡ ꯑꯁꯥꯕꯥ ꯏꯁꯤꯡꯅꯥ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯁꯦꯡꯗꯣꯀꯎ꯫

ꯈꯟꯊꯕꯤꯌꯨ, ꯏꯆꯝ ꯆꯝꯕꯥ ꯈꯣꯡꯊꯥꯡꯁꯤꯡ ꯑꯁꯤ ꯏꯅꯕꯅꯥ, ꯅꯍꯥꯛꯅꯥ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯑꯀꯅꯕꯥ ꯐꯤꯚꯝ ꯑꯃꯗꯒꯤ ꯅꯍꯥꯀꯄꯨ ꯉꯥꯀꯊꯣꯀꯄꯥ ꯉꯃꯒꯅꯤ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ (HUS) ꯂꯩꯔꯕꯗꯤ ꯀꯔꯤ ꯑꯥꯁꯥ ꯇꯧꯕꯥ ꯌꯥꯕꯒꯦ?

ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯈꯪꯗꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯂꯥꯏꯌꯦꯡꯕꯅꯥ, HUSꯅꯥ ꯅꯥꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯌꯥꯝꯕꯅꯥ ꯃꯈꯣꯌꯒꯤ ꯍꯀꯁꯦꯂꯗꯥ ꯃꯇꯝ ꯆꯨꯞꯄꯒꯤ ꯑꯣꯏꯅꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯟꯗꯅꯥ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯐꯒꯠꯂꯀꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯇꯨꯡꯗꯥ ꯍꯥꯌ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ ꯅꯠꯠꯔꯒꯥ ꯑꯇꯩ ꯀꯟꯗꯤꯁꯅꯁꯤꯡꯅꯥ ꯀꯤꯗꯅꯤꯁꯤꯡꯗꯥ ꯁꯣꯀꯍꯅꯕꯒꯤ ꯔꯤꯁ꯭ꯛ ꯂꯩ꯫

HUSꯒꯤ ꯁꯥꯊꯤꯕꯥ ꯀꯦꯁꯁꯤꯡ, ꯃꯔꯨꯑꯣꯏꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯈꯣꯌꯅꯥ ꯕ꯭ꯔꯦꯅꯒꯨꯝꯕꯥ ꯑꯇꯩ ꯑꯣꯔꯒꯥꯅꯁꯤꯡꯗꯥ ꯁꯣꯀꯍꯜꯂꯕꯗꯤ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯂꯥꯏꯌꯦꯡꯗꯅꯥ ꯂꯩꯔꯕꯗꯤ ꯁꯤꯍꯅꯕꯥ ꯌꯥꯏ꯫

ꯍꯤꯡꯕꯒꯤ ꯆꯥꯡ (HUS) ꯑꯁꯤ ꯀꯔꯤꯅꯣ?

ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯗꯥꯏꯑꯦꯒ꯭ꯅꯣꯁꯤꯁ ꯑꯃꯁꯨꯡ ꯂꯥꯏꯌꯦꯡ ꯆꯠꯊꯔꯕꯗꯤ, ꯃꯤꯑꯣꯏ 90% ꯍꯦꯟꯅꯥ HUSꯗꯒꯤ ꯍꯤꯡꯏ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯂꯩꯔꯕꯗꯤ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯑꯃꯁꯨꯡ ꯊꯨꯅꯥ ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯄꯥꯎꯇꯥꯛ ꯂꯧꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫

ꯑꯩꯅꯥ ꯃꯇꯧ ꯀꯔꯝꯅꯥ ꯏꯁꯥꯕꯨ ꯌꯦꯡꯁꯤꯅꯕꯤꯒꯅꯤ?

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛ ꯅꯠꯠꯔꯒꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯗꯥꯏꯔꯤꯌꯥ ꯂꯩꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡ ꯑꯗꯨ ꯔꯤꯍꯥꯌꯗ꯭ꯔꯦꯠ ꯇꯧꯅꯕꯥ ꯍꯣꯠꯅꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫ꯖꯤꯕꯅꯤꯒꯨꯝꯕꯥ ꯔꯤꯍꯥꯏꯗ꯭ꯔꯦꯁꯟ ꯗ꯭ꯔꯤꯉ꯭ꯀꯁꯤꯡꯅꯥ ꯃꯥꯡꯈꯤꯕꯥ ꯏꯂꯦꯛꯠꯔꯣꯂꯥꯏꯠꯁꯤꯡ ꯃꯍꯨꯠ ꯁꯤꯅꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫ ꯑꯉꯥꯡꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯅꯧꯔꯤꯕꯥ ꯑꯉꯥꯡꯁꯤꯡꯗꯥ ꯈꯣꯝꯂꯥꯡ ꯅꯠꯠꯔꯒꯥ ꯈꯣꯝꯂꯥꯡ ꯄꯤꯊꯀꯄꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯏ꯫ ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨ ꯍꯥꯏꯗ꯭ꯔꯦꯠ ꯇꯧꯗꯨꯅꯥ ꯊꯝꯅꯕꯒꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯥ ꯄꯥꯝꯕꯩꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯗꯣꯛꯇꯔ ꯑꯃꯗꯥ ꯍꯪꯕꯤꯌꯨ꯫

ꯑꯩꯅꯥ ꯀꯗꯥꯏꯗꯥ ꯗꯣꯛꯇꯔꯒꯥ ꯎꯅꯒꯗꯒꯦ?

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯂꯩꯔꯕꯗꯤ ꯈꯨꯗꯛꯇꯥ ꯗꯣꯛꯇꯔ ꯑꯃꯒꯥ ꯇꯥꯟꯅꯧ:

• ꯏ ꯊꯣꯀꯄꯥ ꯗꯥꯏꯔꯤꯌꯥ꯫
• ꯅꯨꯃꯤꯠ ꯍꯨꯝꯅꯤꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯂꯩꯕꯥ ꯗꯥꯏꯔꯤꯌꯥ꯫
• ꯍꯀꯆꯥꯡ ꯁꯣꯀꯄꯥ꯫
• ꯐꯖꯅꯥ ꯁꯣꯀꯄꯥ ꯌꯥꯕꯥ ꯈꯣꯡꯎꯞ꯫
• ꯁꯥꯊꯤꯕꯥ ꯋꯥꯈꯜ ꯋꯥꯕꯥ꯫

ꯑꯩꯅꯥ ꯗꯣꯛꯇꯔꯗꯥ ꯀꯔꯤ ꯋꯥꯍꯪ ꯍꯪꯒꯗꯒꯦ?

ꯅꯍꯥꯛꯅꯥ ꯗꯣꯛꯇꯔꯗꯥ ꯋꯥꯍꯪꯁꯤꯡ ꯑꯁꯤ ꯍꯪꯕꯤꯕꯥ ꯌꯥꯏ:

• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯩꯅꯥ ꯍꯦꯃꯣꯂꯥꯏꯇꯤꯛ ꯌꯨꯔꯦꯃꯤꯛ ꯁꯤꯟꯗꯣꯝ ꯂꯩꯔꯕꯗꯤ ꯅꯍꯥꯛꯅꯥ ꯀꯔꯝꯅꯥ ꯀꯅꯐꯥꯔꯝ ꯇꯧꯒꯅꯤ?
• ꯑꯩꯅꯥ ꯃꯇꯧ ꯀꯔꯝꯅꯥ ꯍꯦꯃꯣꯂꯥꯏꯇꯤꯛ ꯌꯨꯔꯦꯃꯤꯛ ꯁꯤꯟꯗꯣꯝ ꯂꯥꯀꯈꯤꯕꯒꯦ?
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯩꯅꯥ ꯍꯦꯃꯣꯂꯥꯏꯇꯤꯛ ꯌꯨꯔꯦꯃꯤꯛ ꯁꯤꯟꯗ꯭ꯔꯣꯝ ꯂꯩꯠꯔꯕꯗꯤ, ꯑꯩꯉꯣꯟꯗꯥ ꯑꯇꯣꯞꯄꯥ ꯀꯔꯤ ꯃꯦꯗꯤꯀꯦꯜ ꯀꯟꯗꯤꯁꯟ ꯂꯩꯕꯥ ꯌꯥꯕꯒꯦ?
• ꯀꯔꯤ ꯂꯥꯏꯌꯦꯡꯁꯤꯡ ꯅꯍꯥꯛꯅꯥ ꯔꯤꯀꯃꯦꯟꯗ ꯇꯧꯔꯤꯕꯒꯦ?
• ꯑꯩꯒꯤ ꯀꯤꯗꯅꯤꯁꯤꯡ ꯑꯁꯤ ꯃꯇꯝ ꯆꯨꯞꯄꯒꯤ ꯑꯣꯏꯅꯥ ꯁꯣꯀꯍꯅꯒꯗ꯭ꯔꯥ?
• ꯇꯨꯡꯗꯥ ꯑꯩꯅꯥ ꯍꯥꯌ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ ꯅꯠꯠꯔꯒꯥ ꯑꯇꯩ ꯀꯤꯗꯅꯤꯒꯤ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯃꯁꯤꯡ ꯂꯩꯔꯛꯀꯅꯤ?

ꯍꯦꯃꯣꯂꯥꯏꯇꯤꯛ ꯌꯨꯔꯦꯃꯤꯛ ꯁꯤꯟꯗꯣꯃꯒꯤ ꯇ꯭ꯔꯥꯏꯑꯦꯗ ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ?

ꯇ꯭ꯔꯥꯏꯑꯦꯗ ꯍꯥꯌꯕꯁꯤ ꯑꯀꯛꯅꯕꯥ ꯃꯦꯗꯤꯀꯦꯜ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯥ ꯇꯥꯀꯄꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯂꯥꯏꯑꯣꯡ ꯑꯍꯨꯃꯒꯤ ꯀꯝꯕꯤꯅꯦꯁꯟ ꯑꯃꯅꯤ꯫

ꯍꯦꯃꯣꯂꯥꯏꯇꯤꯛ ꯌꯨꯔꯦꯃꯤꯛ ꯁꯤꯟꯗꯣꯝ ꯇ꯭ꯔꯥꯏꯑꯦꯗ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯁꯤꯡꯁꯤ ꯌꯥꯎꯏ:

1. ꯅꯍꯥꯛꯀꯤ ꯔꯦꯗ ꯕ꯭ꯂꯗ ꯁꯦꯂꯁꯤꯡꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯅꯕꯥ (ꯃꯥꯏꯛꯔꯣꯑꯦꯟꯖꯤꯑꯣꯄꯦꯊꯤꯛ ꯍꯦꯃꯣꯂꯥꯏꯇꯤꯛ ꯑꯦꯅꯤꯃꯤꯌꯥ) .

2. ꯅꯍꯥꯛꯀꯤ ꯏꯗꯥ ꯄ꯭ꯂꯦꯇꯂꯦꯠ ꯃꯁꯤꯡ ꯇꯞꯅꯥ ꯍꯟꯊꯔꯀꯄꯥ (ꯊ꯭ꯔꯣꯝꯕꯣꯁꯥꯏꯇꯣꯄꯦꯅꯤꯌꯥ) .

3. ꯑꯀꯅꯕꯥ ꯀꯤꯗꯅꯤꯒꯤ ꯑꯁꯣꯛ-ꯑꯄꯟ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯩꯅꯥ ꯗꯥꯏꯔꯤꯌꯥ ꯂꯩꯔꯕꯗꯤ, ꯑꯩꯅꯥ ꯍꯦꯃꯣꯂꯥꯏꯇꯤꯛ ꯌꯨꯔꯦꯃꯤꯛ ꯁꯤꯟꯗꯣꯝ ꯂꯩꯔꯦ ꯍꯥꯌꯕꯔꯥ?

ꯅꯍꯥꯛꯅꯥ ꯗꯥꯏꯔꯤꯌꯥ ꯂꯩꯔꯦ ꯍꯥꯌꯕꯁꯤꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯍꯦꯃꯣꯂꯥꯏꯇꯤꯛ ꯌꯨꯔꯦꯃꯤꯛ ꯁꯤꯟꯗꯣꯝ ꯂꯩꯔꯦ ꯍꯥꯌꯕꯗꯤ ꯅꯠꯇꯦ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯏ ꯊꯣꯀꯄꯥ ꯗꯥꯏꯔꯤꯌꯥ ꯂꯩꯔꯕꯗꯤ, ꯅꯠꯠꯔꯒꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯥꯏꯔꯤꯌꯥ ꯑꯗꯨ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯑꯣꯏꯔꯕꯗꯤ (ꯏꯁꯤꯡ ꯌꯥꯎꯕꯥ ꯗꯥꯏꯔꯤꯌꯥ ꯂꯩꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯅꯨꯃꯤꯠ ꯍꯨꯝꯅꯤꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯁꯥꯡꯅꯥ ꯂꯩꯕꯥ) ꯅꯍꯥꯛꯅꯥ ꯁꯣꯌꯗꯅꯥ ꯗꯣꯛꯇꯔ ꯑꯃꯒꯥ ꯇꯥꯟꯅꯒꯗꯕꯅꯤ꯫

(ꯍꯦꯃꯣꯂꯥꯏꯇꯤꯛ ꯌꯨꯔꯦꯃꯤꯛ ꯁꯤꯟꯗꯣꯝ) ꯑꯃꯁꯨꯡ (ꯊ꯭ꯔꯣꯝꯕꯣꯇꯤꯛ ꯊ꯭ꯔꯣꯝꯕꯣꯁꯥꯏꯇꯣꯄꯦꯅꯤꯛ ꯄꯔꯄꯨꯔꯥ - ꯇꯤ.ꯇꯤ.ꯄꯤ.)ꯒꯤ ꯃꯔꯛꯇꯥ ꯀꯔꯤ ꯈꯦꯠꯅꯕꯥ ꯂꯩꯕꯒꯦ?

ꯍꯦꯃꯣꯂꯥꯏꯇꯤꯛ ꯌꯨꯔꯦꯃꯤꯛ ꯁꯤꯟꯗꯣꯝ (HUS) ꯑꯃꯁꯨꯡ ꯊ꯭ꯔꯣꯝꯕꯣꯇꯤꯛ ꯊ꯭ꯔꯣꯝꯕꯣꯁꯥꯏꯇꯣꯄꯦꯅꯤꯛ ꯄꯔꯄꯨꯔꯥ (TTP) ꯑꯁꯤ ꯃꯥꯟꯅꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯅꯤꯅꯤ꯫ ꯇꯤ.ꯇꯤ.ꯄꯤ.ꯗꯥ, ꯏꯒꯤ ꯈꯣꯡꯖꯦꯜ ꯑꯁꯤ ꯑꯄꯤꯀꯄꯥ ꯏꯒꯤ ꯈꯣꯡꯖꯦꯂꯁꯤꯡꯗꯥ ꯁꯦꯝꯃꯤ꯫ ꯍꯥꯟꯅꯅꯥ ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯑꯩꯆ.ꯌꯨ.ꯑꯦꯁ. ꯑꯃꯁꯨꯡ ꯇꯤ.ꯇꯤ.ꯄꯤ.ꯕꯨ ꯄꯨꯟꯅꯥ ꯒ꯭ꯔꯨꯞ ꯇꯧꯔꯕꯁꯨ ꯍꯧꯖꯤꯛꯇꯤ ꯃꯈꯣꯌ ꯑꯁꯤ ꯇꯣꯉꯥꯅꯕꯥ ꯀꯟꯗꯤꯁꯅꯁꯤꯡꯅꯤ ꯍꯥꯌꯅꯥ ꯂꯧꯅꯔꯦ꯫

ꯑꯔꯣꯏꯕꯗꯥ, ꯅꯤꯡꯁꯤꯡꯒꯗꯕꯥ ꯋꯥꯐꯃꯁꯤꯡ (ꯇꯦꯛ-ꯍꯣꯝ ꯃꯦꯁꯦꯖ)

ꯗꯥꯏꯔꯤꯌꯥ ꯑꯁꯤ ꯑꯌꯥꯝꯕꯗꯤ ꯑꯇꯦꯅꯕꯥ ꯃꯇꯃꯒꯤ ꯑꯣꯏꯕꯥ, ꯑꯗꯨꯕꯨ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫ ꯃꯍꯧꯁꯥꯅꯥ ꯅꯨꯃꯤꯠ ꯑꯃꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯅꯤꯗꯥ ꯍꯦꯟꯅꯥ ꯐꯒꯠꯂꯀꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯏ ꯊꯣꯀꯄꯥ ꯗꯥꯏꯔꯤꯌꯥ ꯂꯩꯔꯕꯗꯤ, ꯅꯠꯠꯔꯒꯥ ꯅꯍꯥꯛꯅꯥ ꯅꯨꯃꯤꯠ ꯍꯨꯝꯅꯤꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯗꯥꯏꯔꯤꯌꯥ ꯂꯩꯔꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯕꯥꯊꯔꯨꯃꯗꯥ ꯆꯠꯄꯥ ꯃꯇꯃꯗꯥ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ, ꯂꯦꯡ-ꯑꯣꯠꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯌꯨꯔꯤꯟ ꯍꯟꯊꯕꯥ ꯐꯥꯎꯕꯒꯥ ꯂꯣꯌꯅꯅꯥ, ꯈꯨꯗꯛꯇꯥ ꯗꯣꯛꯇꯔꯒꯥ ꯇꯥꯟꯅꯕꯒꯤ ꯃꯇꯝ ꯑꯣꯏꯔꯦ꯫

ꯍꯦꯃꯣꯂꯥꯏꯇꯤꯛ ꯌꯨꯔꯦꯃꯤꯛ ꯁꯤꯟꯗ꯭ꯔꯣꯝ ꯀꯧꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯀꯤꯗꯅꯤꯁꯤꯡꯗꯥ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯅꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ ꯑꯃꯁꯨꯡ ꯑꯇꯩ ꯑꯣꯔꯒꯥꯅꯁꯤꯡꯗꯥ ꯁꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ꯃꯁꯤꯒꯤ ꯂꯥꯏꯌꯦꯡ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯐꯪꯂꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯀꯤꯗꯅꯤꯁꯤꯡꯗꯥ ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯅꯕꯒꯤ ꯆꯥꯡ ꯍꯟꯊꯔꯀꯏ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ, ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯗꯨ ꯈꯪꯖꯤꯅꯕꯤꯌꯨ, ꯑꯐꯕꯥ ꯍꯥꯏꯖꯤꯟ ꯑꯃꯥ ꯊꯝꯃꯨ ꯑꯃꯁꯨꯡ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯂꯩꯔꯕꯗꯤ ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯄꯥꯎꯇꯥꯛ ꯂꯧꯕꯤꯌꯨ꯫ ꯑꯗꯣꯃꯒꯤ ꯍꯀꯁꯦꯜ ꯑꯁꯤ ꯑꯗꯣꯃꯒꯤꯗꯃꯛ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ!

` ꯍꯦꯃꯣꯂꯥꯏꯇꯤꯛ ꯌꯨꯔꯦꯃꯤꯛ ꯁꯤꯟꯗꯣꯝ, ꯑꯩꯆ.ꯌꯨ.ꯑꯦꯁ., ꯀꯤꯗꯅꯤ ꯗꯤꯖꯤꯖ, ꯗꯥꯏꯔꯤꯌꯥ, ꯏ.ꯀꯣꯂꯤ, ꯔꯦꯗ ꯕ꯭ꯂꯗ ꯁꯦꯂꯁꯤꯡ, ꯄ꯭ꯂꯦꯠꯂꯦꯠꯁꯤꯡ, ꯑꯉꯥꯡꯁꯤꯡꯒꯤ ꯍꯀꯁꯦꯜ꯫