ꯃꯅꯨꯡꯒꯤ ꯑꯣꯏꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯃꯄꯥꯅꯒꯤ ꯑꯣꯏꯕꯥ ꯍꯦꯃꯣꯔꯦꯖ ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ ꯍꯥꯌꯕꯁꯤ ꯇꯁꯦꯡꯅꯥ ꯈꯪꯖꯤꯅꯁꯤ꯫

ꯑꯄꯤꯀꯄꯥ ꯑꯁꯣꯀꯄꯥ ꯑꯃꯅꯥ ꯐꯥꯑꯣꯕꯥ ꯏ ꯊꯣꯀꯄꯥ ꯂꯦꯄꯍꯟꯗꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯅꯍꯥꯛꯅꯥ ꯀꯗꯥꯌꯗꯅꯣ ꯈꯪꯂꯕ꯭ꯔꯥ? ꯅꯠꯠꯔꯒꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯂꯩꯕꯥ ꯃꯐꯝ ꯑꯃꯗꯒꯤ ꯏ ꯊꯣꯀꯄꯥ ꯌꯥꯏ ꯅꯠꯠꯔꯒꯥ ꯃꯁꯤꯒꯥ ꯃꯥꯟꯅꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯎꯕꯥ ꯐꯪꯂꯕ꯭ꯔꯥ? ꯇꯁꯦꯡꯕꯗꯤ, ꯏ ꯊꯣꯀꯄꯥ ꯑꯁꯤ, ꯍꯥꯌꯕꯗꯤ `(Hemorrhage)` ꯀꯧꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯈꯜꯂꯤꯕꯗꯒꯤ ꯈꯔꯥ ꯍꯦꯟꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯅꯥ, ꯉꯁꯤ ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯑꯀꯨꯞꯄꯥ ꯃꯔꯣꯂꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯁꯤ, ꯑꯗꯣꯝꯅꯥ ꯈꯉꯕꯤꯕꯥ ꯉꯝꯕꯥ ꯁꯤꯅꯍꯥꯂꯥꯗꯥ꯫

ꯏ ꯊꯣꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ``ꯍꯦꯃꯣꯔꯦꯖ'' ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ?

ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯂꯩꯕꯥ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯜ (ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯜ) ꯑꯃꯅꯥ ꯁꯣꯀꯍꯜꯂꯤ ꯑꯃꯁꯨꯡ ꯃꯗꯨꯗꯒꯤ ꯏ ꯊꯣꯀꯏ, ꯃꯁꯤꯕꯨ ꯑꯩꯈꯣꯌꯅꯥ `(Hemorrhage)` ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ ꯏ ꯊꯣꯀꯄꯥ ꯑꯁꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯃꯅꯨꯡꯗꯁꯨ ꯊꯣꯀꯄꯥ ꯌꯥꯏ, ꯃꯁꯤꯒꯤ ꯀꯦꯁ ꯑꯁꯤꯗꯥ ꯑꯩꯈꯣꯌꯅꯥ ꯃꯁꯤꯕꯨ ``ꯏꯟꯇꯔꯅꯦꯜ ꯍꯦꯃꯣꯔꯦꯖ`` ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ ꯑꯃꯔꯣꯃꯗꯥ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯏ ꯑꯗꯨ ꯃꯄꯥꯟꯗꯥ ꯎꯕꯥ ꯐꯪꯂꯕꯗꯤ, ꯑꯁꯣꯀꯄꯥ ꯑꯃꯗꯒꯤ ꯅꯠꯠꯔꯒꯥ ꯍꯀꯆꯥꯡꯗꯥ ꯂꯩꯕꯥ ꯑꯍꯥꯡꯕꯥ ꯃꯐꯝ ꯑꯃꯗꯒꯤ ꯑꯣꯏꯔꯕꯁꯨ, ꯃꯁꯤ ``ꯃꯄꯥꯅꯒꯤ ꯏ ꯊꯣꯀꯄꯥ``ꯅꯤ꯫ ꯏ ꯊꯣꯀꯄꯥ ꯑꯁꯤ ꯑꯄꯤꯀꯄꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ ꯅꯠꯠꯔꯒꯥ ꯄꯨꯟꯁꯤꯗꯥ ꯁꯣꯀꯍꯅꯕꯥ ꯌꯥꯕꯥ ꯑꯆꯧꯕꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫

ꯑꯌꯥꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯑꯩꯈꯣꯌꯅꯥ ``ꯍꯦꯃꯣꯔꯦꯖ'' ꯀꯧꯕꯥ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ ꯑꯁꯤ ꯈꯨꯗꯛꯀꯤ ꯑꯣꯏꯕꯥ ꯃꯦꯗꯤꯀꯦꯜ ꯏꯃꯔꯖꯦꯟꯁꯤꯁꯤꯡꯅꯤ ꯍꯥꯌꯅꯥ ꯂꯧꯏ .

ꯏ ꯊꯣꯀꯄꯒꯤ ꯃꯈꯂꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯤꯅꯣ?

ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡ ꯄꯨꯝꯅꯃꯛꯇꯥ ꯏꯒꯤ ꯈꯣꯡꯖꯦꯜ ꯂꯩꯕꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯃꯁꯤꯒꯤ `(Hemorrhage)` ꯑꯁꯤ ꯃꯈꯜ ꯀꯌꯥꯒꯤ ꯃꯑꯣꯡꯗꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯈꯥꯗꯥ ꯈꯨꯗꯝ ꯈꯔꯥ ꯄꯤꯔꯤ:

• ꯈꯣꯡꯗꯥ ꯏ (`Hemothorax`): ꯅꯍꯥꯛꯀꯤ ꯂꯪꯁ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯂꯩꯕꯥ ꯔꯤꯕ ꯀꯦꯖ (`pleural space`)ꯒꯤ ꯃꯔꯛꯇꯥ ꯂꯩꯕꯥ ꯃꯐꯝ ꯑꯗꯨ ꯏꯅꯥ ꯃꯄꯨꯡ ꯐꯥꯔꯦ ꯍꯥꯌꯅꯥ ꯈꯅꯕꯤꯌꯨ꯫ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯀꯔꯤ ꯑꯣꯏꯒꯅꯤ? ꯅꯍꯥꯛꯀꯤ ꯂꯪꯁ ꯑꯗꯨ ꯀꯝꯞꯔꯦꯁꯟ ꯇꯧꯔꯀꯏ , ꯃꯗꯨꯅꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯗꯥ ꯋꯥꯕꯥ ꯊꯣꯀꯍꯜꯂꯤ, ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯅꯥ ꯈꯣꯡꯗꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤꯕꯨ `(Hemothorax)` ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫
• ꯏꯟꯠꯔꯥꯛꯔꯦꯅꯤꯑꯦꯜ ꯍꯦꯃꯣꯔꯦꯖ (ꯅꯠꯠꯔꯒꯥ ꯕ꯭ꯔꯦꯟ ꯕ꯭ꯂꯤꯗ): ꯃꯁꯤ ꯈꯔꯥ ꯍꯦꯟꯅꯥ ꯈꯨꯗꯣꯡꯊꯤꯅꯤꯉꯥꯏ ꯑꯣꯏꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫ ꯃꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯕ꯭ꯔꯦꯅꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯅꯠꯠꯔꯒꯥ ꯃꯗꯨꯕꯨ ꯀꯨꯄꯁꯤꯜꯂꯤꯕꯥ ꯃꯆꯤꯟ-ꯃꯅꯥꯑꯣꯁꯤꯡꯒꯤ ꯃꯔꯛꯇꯥ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯗꯅꯥ ꯏ ꯊꯣꯀꯄꯅꯥ ꯊꯣꯀꯍꯅꯕꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯏ ꯊꯣꯀꯄꯥ ꯑꯗꯨ ꯕ꯭ꯔꯦꯅꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯊꯣꯛꯂꯕꯗꯤ, ꯃꯁꯤꯕꯨ ꯍꯦꯃꯣꯔꯦꯖꯤꯛ ꯁ꯭ꯠꯔꯣꯛ ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ ꯁ꯭ꯠꯔꯣꯛ ꯃꯈꯜ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯑꯣꯏ ꯑꯃꯁꯨꯡ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯄꯨꯟꯁꯤꯗꯥ ꯈꯨꯗꯣꯡꯊꯤꯕꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯑꯇꯣꯞꯄꯥ ꯃꯈꯂꯒꯤ ꯁ꯭ꯠꯔꯣꯛ, ꯏꯁ꯭ꯀꯦꯃꯤꯛ ꯁ꯭ꯠꯔꯣꯛ ꯍꯥꯌꯕꯁꯤ ꯕ꯭ꯔꯦꯅꯗꯥ ꯏꯒꯤ ꯁꯞꯂꯥꯏ ꯊꯤꯡꯖꯤꯅꯕꯥ ꯃꯇꯃꯗꯥ ꯑꯣꯏ, ꯑꯗꯨꯕꯨ ꯃꯁꯤꯗꯤ ꯇꯣꯉꯥꯜꯂꯤ꯫ ꯏ ꯊꯣꯀꯄꯥ ꯑꯁꯤ ꯃꯐꯃꯁꯤꯗꯥ ꯊꯣꯀꯏ꯫
• ꯄꯣꯁ꯭ꯇꯄꯥꯔꯇꯝ ꯍꯦꯃꯣꯔꯦꯖ (PPH): ꯃꯁꯤ ꯃꯃꯥꯁꯤꯡꯒꯤꯗꯃꯛꯇꯥ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯋꯥꯐꯝ ꯑꯃꯅꯤ꯫ ꯄꯣꯁ꯭ꯇꯄꯥꯔꯇꯝ ꯍꯦꯃꯣꯔꯦꯖ (postpartum hemorrhage, or PPH) ꯍꯥꯌꯕꯁꯤ ꯑꯉꯥꯡ ꯄꯣꯛꯂꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯚꯦꯖꯤꯅꯦꯂꯗꯒꯤ ꯌꯥꯝꯅꯥ ꯍꯦꯟꯅꯥ ꯏ ꯊꯣꯀꯄꯥ ꯍꯥꯌꯕꯁꯤꯅꯤ꯫ ꯃꯁꯤ ꯄꯨꯟꯁꯤ ꯃꯥꯡꯍꯅꯕꯥ ꯌꯥꯕꯥ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯑꯉꯥꯡ ꯄꯣꯛꯂꯕꯥ ꯃꯇꯨꯡ ꯄꯨꯡ ꯈꯔꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯉꯥꯡ ꯄꯣꯛꯂꯕꯥ ꯃꯇꯨꯡ ꯅꯨꯃꯤꯠ 12ꯅꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫
• ꯁꯨꯕꯥꯔꯥꯛꯅꯣꯏꯗ ꯍꯦꯃꯣꯔꯦꯖ (SAH): ꯕ꯭ꯔꯦꯅꯒꯤ ꯃꯦꯅꯤꯅꯖꯦꯁ ꯑꯃꯁꯨꯡ ꯃꯁꯤꯒꯤ ꯑꯀꯣꯌꯕꯗꯥ ꯂꯩꯕꯥ ꯄ꯭ꯔꯣꯇꯦꯛꯇꯤꯚ ꯃꯦꯝꯕ꯭ꯔꯦꯅꯁꯤꯡꯒꯤ ꯃꯔꯛꯇꯥ ꯏ ꯊꯣꯀꯄꯥ ꯍꯥꯌꯕꯁꯤꯕꯨ ꯁꯨꯕꯥꯔꯥꯛꯅꯣꯏꯗ ꯍꯦꯃꯣꯔꯦꯖ (SAH) ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ ꯃꯁꯤꯁꯨ ꯃꯦꯗꯤꯀꯦꯜ ꯏꯃꯔꯖꯦꯟꯁꯤ ꯑꯃꯅꯤ꯫
• ꯃꯤꯠꯀꯤ ꯑꯁꯪꯕꯥ ꯃꯆꯨꯗꯥ ꯏ ꯊꯣꯀꯄꯥ (`Subconjunctival hemorrhage`):ꯃꯤꯑꯣꯏ ꯈꯔꯒꯤ ꯃꯤꯠꯀꯤ ꯋꯥꯏꯇꯦꯄꯇꯥ ꯂꯥꯂꯍꯧꯕꯥ ꯏꯒꯤ ꯃꯐꯝ ꯑꯃꯥ ꯂꯩꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯎꯕꯤꯔꯃꯒꯅꯤ꯫ ꯃꯗꯨꯕꯨ ``ꯁꯕꯀꯟꯖꯅꯛꯇꯤꯚ ꯍꯦꯃꯣꯔꯦꯖ'' ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ꯃꯁꯤꯅꯥ ꯃꯤꯠꯀꯤ ꯑꯀꯣꯌꯕꯗꯥ ꯂꯩꯕꯥ ꯑꯄꯤꯀꯄꯥ ꯃꯦꯝꯕ꯭ꯔꯦꯅꯗꯥ ꯏ ꯌꯥꯎꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯑꯣꯏ, ꯃꯁꯤꯕꯨ ``ꯀꯟꯖꯉ꯭ꯀꯇꯤꯚꯥ'' ꯀꯧꯏ꯫ꯃꯁꯤ ꯃꯍꯧꯁꯥꯅꯥ ꯑꯇꯩ ꯃꯈꯂꯒꯤ ꯍꯦꯃꯣꯔꯦꯖꯒꯨꯝꯅꯥ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯑꯣꯏꯗꯦ꯫

ꯑꯩꯈꯣꯌ ꯄꯨꯝꯅꯃꯛꯅꯥ ꯊꯦꯡꯅꯔꯤꯕꯥ ꯈꯣꯡꯒꯤ ꯃꯈꯥꯗꯥ ꯏ ꯊꯨꯄꯆꯤꯅꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯇꯁꯦꯡꯕꯗꯤ ``ꯍꯦꯃꯣꯔꯦꯖ``ꯒꯤ ꯑꯄꯤꯀꯄꯥ ꯈꯨꯗꯝ ꯑꯃꯅꯤ꯫ꯃꯁꯤꯒꯥ ꯃꯔꯤ ꯂꯩꯅꯕꯥ ꯑꯇꯣꯞꯄꯥ ꯋꯥꯍꯩ ꯑꯃꯗꯤ ``ꯍꯦꯃꯦꯇꯣꯃꯥ`` ꯍꯥꯌꯕꯁꯤꯅꯤ꯫

ꯏ ꯊꯣꯀꯄꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?

ꯏ ꯊꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯊꯦꯡꯅꯔꯤꯕꯥ ꯐꯤꯚꯃꯁꯤꯡ ꯑꯁꯤ ꯏ ꯊꯣꯀꯄꯥ ꯑꯗꯨ ꯀꯗꯥꯏꯗꯥ ꯂꯩꯕꯒꯦ ꯑꯃꯁꯨꯡ ꯀꯌꯥꯝ ꯐꯠꯇꯕꯒꯦ ꯍꯥꯌꯕꯒꯤ ꯃꯈꯥ ꯄꯣꯟꯅꯥ ꯈꯦꯠꯅꯕꯥ ꯌꯥꯏ꯫

ꯗꯣꯛꯇꯔꯁꯤꯡꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ, ꯃꯍꯧꯁꯥꯅꯥ ꯍꯀꯆꯥꯡꯒꯤ ꯑꯄꯨꯅꯕꯥ ꯏꯒꯤ ꯆꯥꯡꯒꯤ ꯆꯥꯎꯔꯥꯛꯅꯥ 15%ꯗꯤ ꯃꯥꯡꯈꯤꯕꯥ ꯐꯥꯎꯕꯗꯥ ꯑꯆꯧꯕꯥ ꯂꯥꯏꯑꯣꯡ ꯑꯃꯠꯇꯥ ꯎꯕꯥ ꯐꯪꯗꯦ (ꯀ꯭ꯂꯥꯁ I ꯍꯦꯃꯣꯔꯦꯖ)꯫

ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡꯅꯥ ꯕ꯭ꯂꯗ ꯚꯣꯜꯌꯨꯃꯒꯤ 15%ꯗꯒꯤ 30% ꯐꯥꯎꯕꯥ ꯃꯥꯡꯈꯤꯕꯥ ꯇꯥꯔꯕꯗꯤ (ꯀ꯭ꯂꯥꯁ II ꯍꯦꯃꯣꯔꯦꯖ) ​​, ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯂꯥꯀꯄꯥ ꯍꯧꯔꯀꯏ:

• ꯃꯃꯤꯠ ꯇꯥꯡꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯂꯥꯏꯍꯧ ꯍꯧꯕꯥ (ꯃꯁꯤ ꯂꯣ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔꯅꯥ ꯊꯣꯀꯍꯅꯕꯅꯤ)꯫
• ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯑꯃꯁꯨꯡ ꯂꯦꯡ-ꯑꯣꯠꯄꯥ꯫
• ꯅꯣꯡꯃꯩ ꯀꯥꯞꯄꯥ ꯑꯃꯁꯨꯡ ꯈꯣꯡ ꯍꯥꯝꯕꯥ꯫
• ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ (dyspnea) ꯑꯃꯁꯨꯡ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯒꯤ ꯆꯥꯡ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ꯫
• ꯍꯥꯔꯠ ꯔꯦꯠ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ (tachycardia)꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛ ꯅꯠꯠꯔꯒꯥ ꯅꯍꯥꯛꯀꯥ ꯅꯛꯅꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯅꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯂꯩꯔꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯈꯨꯗꯛꯇꯥ 1990ꯗꯥ ꯐꯣꯟ ꯇꯧꯒꯗꯕꯅꯤ ꯅꯠꯠꯔꯒꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯅꯀꯄꯥ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯂꯒꯤ ꯏꯃꯔꯖꯦꯟꯁꯤ ꯗꯤꯄꯥꯔꯇꯃꯦꯟꯇꯇꯥ ꯆꯠꯀꯗꯕꯅꯤ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯄꯨꯅꯕꯥ ꯕ꯭ꯂꯗ ꯚꯣꯜꯌꯨꯃꯒꯤ 30%ꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯃꯥꯡꯈꯤꯕꯥ ꯇꯥꯔꯕꯗꯤ, ꯀꯟꯗꯤꯁꯟ ꯑꯗꯨ ꯍꯦꯟꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯑꯣꯏꯔꯀꯄꯥ ꯌꯥꯏ꯫ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯀꯦꯁꯁꯤꯡꯗꯗꯤ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯑꯁꯤ ꯊꯣꯀꯄꯥ ꯌꯥꯏ:

• ꯆꯃꯝꯅꯕ.
• ꯁꯤꯖ꯭ꯌꯨꯔꯁꯤꯡ (seizures) ꯂꯩꯕꯥ꯫
• ꯋꯥꯈꯜ ꯃꯥꯡꯈꯤꯕꯥ꯫
• ꯍꯥꯏꯄꯣꯚꯣꯂꯦꯃꯤꯛ ꯁꯣꯛ (ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ ꯌꯥꯝꯅꯥ ꯍꯟꯊꯔꯀꯄꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯁꯣꯛ)꯫

ꯃꯅꯨꯡꯒꯤ ꯑꯣꯏꯕꯥ ꯏ ꯊꯣꯀꯄꯒꯤ ꯑꯀꯛꯅꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ꯫

ꯍꯀꯆꯥꯡꯒꯤ ꯑꯀꯛꯅꯕꯥ ꯃꯐꯝ ꯈꯔꯗꯥ ꯃꯅꯨꯡꯒꯤ ꯑꯣꯏꯕꯥ ꯏ ꯊꯣꯀꯄꯥ ꯑꯁꯤꯅꯥ ꯑꯀꯛꯅꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ:

• ꯍꯦꯗ-ꯑꯦꯛ (headache): ꯈꯪꯍꯧꯗꯅꯥ , ꯁꯥꯊꯤꯕꯥ ꯍꯦꯗ-ꯑꯦꯛ , ꯃꯤꯠ ꯎꯗꯕꯥ, ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ, ꯑꯃꯁꯨꯡ ꯍꯀꯆꯥꯡꯒꯤ ꯅꯥꯀꯜ ꯑꯃꯗꯥ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯐꯥꯎꯕꯥ꯫
• ꯈꯣꯡ: ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ , ꯈꯣꯡꯗꯥ ꯁꯣꯀꯄꯥ, ꯑꯃꯁꯨꯡ ꯏ ꯊꯣꯀꯄꯥ꯫
• ꯁ꯭ꯇꯣꯃꯥꯛ (abdomen): ꯑꯦꯕꯗꯣꯃꯤꯅꯦꯜ ꯕ꯭ꯂꯣꯛ ꯇꯧꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯃꯄꯨꯡ ꯐꯥꯅꯥ ꯂꯩꯕꯥ, ꯑꯦꯕꯗꯣꯃꯤꯅꯦꯜ ꯗꯤꯁꯇꯦꯟꯁꯟ, ꯏ ꯊꯣꯀꯄꯥ, ꯌꯨꯔꯤꯟ ꯅꯠꯠꯔꯒꯥ ꯁ꯭ꯇꯣꯂꯗꯥ ꯏ ꯊꯣꯀꯄꯥ꯫
• ꯁꯔꯨ ꯇꯥꯡ, ꯁꯔꯨ ꯇꯥꯡ ꯑꯃꯁꯨꯡ ꯃꯁꯂꯁꯤꯡ: ꯁꯣꯛ-ꯄꯅꯕꯥ, ꯁꯣꯛ-ꯄꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯑꯅꯥꯕꯥ꯫ ꯑꯗꯨꯕꯨ ꯅꯤꯡꯁꯤꯡꯒꯗꯕꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯋꯥꯐꯃꯗꯤ, ꯊꯣꯡ-ꯊꯥꯀꯄꯒꯤ ꯃꯐꯝ ꯑꯃꯗꯥ (ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯈꯨꯠ ꯅꯠꯠꯔꯒꯥ ꯈꯣꯡꯒꯤ ꯃꯁꯂꯁꯤꯡꯒꯤ ꯃꯔꯛꯇꯥ) ꯏ ꯌꯥꯎꯔꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯇꯤꯁꯨꯁꯤꯡꯗꯥ ꯄ꯭ꯔꯦꯁꯔ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ ꯑꯁꯤ ꯃꯦꯗꯤꯀꯦꯜ ꯏꯃꯔꯖꯦꯟꯁꯤ ꯑꯃꯅꯤ꯫ꯃꯁꯤꯅꯥ ꯅꯔꯚꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯂꯁꯤꯡꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ, ꯃꯗꯨꯅꯥ ꯃꯐꯝ ꯑꯗꯨꯗꯥ ꯃꯇꯝ ꯆꯨꯞꯄꯒꯤ ꯑꯣꯏꯅꯥ ꯐꯉ꯭ꯀꯁꯟ ꯃꯥꯡꯍꯅꯕꯥ ꯌꯥꯏ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯃꯥꯡꯗꯥ ꯍꯥꯌꯈꯤꯕꯒꯨꯝꯅꯥ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯂꯩꯔꯕꯗꯤ ꯈꯨꯗꯛꯇꯥ ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯄꯥꯎꯇꯥꯛ ꯂꯧꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫

ꯅꯍꯥꯛꯅꯥ ꯏ ꯊꯣꯛꯂꯤꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯀꯔꯝꯅꯥ ꯁꯣꯌꯗꯅꯥ ꯈꯪꯒꯅꯤ?

ꯇꯁꯦꯡꯕꯗꯤ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯑꯩꯈꯣꯌꯅꯥ ꯏ ꯊꯣꯀꯄꯥ ꯑꯁꯤ ꯀꯌꯥ ꯌꯥꯝꯅꯥ ꯂꯨꯕꯅꯣ ꯍꯥꯌꯕꯗꯨ ꯈꯉꯕꯥ ꯉꯃꯗꯦ꯫ ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯅꯥꯀꯣꯡꯒꯤ ꯏ ꯊꯣꯀꯄꯥ꯫ ꯑꯌꯥꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯃꯈꯣꯌ ꯑꯁꯤ ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏ ꯑꯃꯁꯨꯡ ꯑꯆꯧꯕꯥ ꯋꯥꯐꯝ ꯑꯃꯠꯇꯥ ꯅꯠꯇꯦ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯏ ꯊꯣꯀꯄꯥ ꯑꯗꯨ ꯑꯆꯧꯕꯥ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯜ ꯅꯠꯠꯔꯒꯥ ꯑꯥꯔꯇꯦꯔꯤ ꯑꯃꯗꯒꯤ ꯂꯥꯀꯄꯥ ꯑꯣꯏꯔꯕꯗꯤ, ꯃꯗꯨ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯑꯃꯁꯨꯡ ꯊꯤꯡꯕꯗꯥ ꯑꯋꯥꯕꯥ ꯑꯣꯏꯔꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯃꯥꯡꯗꯥ ꯄꯅꯈ꯭ꯔꯤꯕꯒꯨꯝꯅꯥ, ꯑꯉꯥꯡ ꯄꯣꯛꯂꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯚꯦꯖꯦꯅꯥꯏꯜ ꯕ꯭ꯂꯤꯗꯤꯡꯁꯨ ꯌꯥꯝꯅꯥ ꯇꯣꯏꯅꯥ ꯊꯣꯀꯏ꯫ ꯃꯁꯤ ꯅꯣꯔꯃꯦꯜ ꯑꯃꯁꯨꯡ ꯑꯦꯛꯁꯄꯦꯛꯇꯦꯗ ꯑꯣꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯍꯦꯜꯂꯕꯗꯤ, ꯃꯁꯤ ꯄꯣꯁ꯭ꯠ-ꯄꯥꯔꯇꯝ ꯍꯦꯃꯣꯔꯦꯖ ꯀꯧꯕꯥ ꯈꯨꯗꯣꯡꯊꯤꯅꯤꯉꯥꯏ ꯑꯣꯏꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫

ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯥ ꯊꯕꯛ ꯑꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡꯗꯥ ꯄꯨꯛꯅꯤꯡ ꯆꯪꯕꯅꯤ꯫ ꯃꯁꯤꯗꯁꯨ ꯅꯠꯇꯅꯥ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯏ ꯊꯣꯀꯄꯒꯤ ꯆꯥꯡꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯂꯩꯔꯕꯗꯤ, ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯄꯥꯎꯇꯥꯛ ꯁꯣꯌꯗꯅꯥ ꯂꯧꯕꯤꯌꯨ꯫ ꯏ ꯌꯥꯝꯅꯥ ꯊꯣꯀꯄꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ (ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯋꯥꯈꯜ ꯆꯔꯥꯡꯅꯕꯥ, ꯋꯥꯈꯜ ꯆꯔꯥꯡꯅꯕꯥ, ꯑꯃꯁꯨꯡ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ) ꯑꯁꯤ ꯈꯪꯖꯤꯅꯒꯗꯕꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯏ ꯊꯣꯀꯄꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯋꯥꯈꯜ ꯇꯥꯕꯥ ꯐꯥꯎꯔꯕꯗꯤ, ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯃꯇꯦꯡ ꯂꯧꯕꯗꯥ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯂꯩꯔꯣꯏꯗꯕꯅꯤ꯫

ꯀꯔꯤꯒꯤꯗꯃꯛ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯏ ꯊꯣꯀꯄꯥ ꯂꯩꯔꯤꯕꯅꯣ? ꯃꯔꯃꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?

ꯏ ꯊꯣꯀꯄꯥ ꯃꯈꯜ ꯑꯁꯤ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯜ ꯑꯃꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯃꯗꯒꯤ ꯍꯦꯅꯕꯗꯥ ꯁꯣꯀꯍꯜꯂꯕꯥ ꯃꯇꯃꯗꯥ ꯊꯣꯀꯏ꯫ ꯏ ꯊꯣꯀꯄꯒꯤ ꯆꯥꯡ ꯑꯁꯤ ꯑꯌꯥꯝꯕꯗꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯀꯗꯥꯏꯗꯥ ꯂꯩꯕꯒꯦ ꯑꯃꯁꯨꯡ ꯑꯁꯣꯀꯄꯥ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯜ ꯑꯗꯨ ꯀꯌꯥꯝ ꯆꯥꯎꯕꯒꯦ ꯍꯥꯌꯕꯗꯨꯒꯤ ꯃꯈꯥ ꯄꯣꯜꯂꯤ꯫

ꯍꯦꯃꯣꯔꯦꯖꯒꯤ ꯔꯤꯁ꯭ꯛ ꯂꯩꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯍꯦꯅꯒꯠꯍꯅꯕꯥ ꯌꯥꯕꯥ ꯃꯔꯝ ꯑꯃꯁꯨꯡ ꯀꯟꯗꯤꯁꯟ ꯀꯌꯥ ꯂꯩ꯫ ꯃꯈꯥꯗꯥ ꯈꯨꯗꯝ ꯈꯔꯥ ꯄꯤꯔꯤ:

• ꯌꯨ ꯊꯀꯄꯒꯤ ꯗꯤꯁꯑꯣꯔꯗꯔ: ꯃꯁꯤ ꯃꯔꯨꯑꯣꯏꯅꯥ ꯁꯕꯑꯔꯥꯛꯅꯣꯏꯗ ꯍꯦꯃꯣꯔꯦꯖꯒꯤꯗꯃꯛꯇꯥ ꯑꯆꯧꯕꯥ ꯔꯤꯁ꯭ꯛ ꯐꯦꯛꯇꯔ ꯑꯃꯅꯤ꯫
• ꯕ꯭ꯂꯗ ꯀ꯭ꯂꯣꯇꯤꯡ ꯗꯤꯁꯑꯣꯔꯗꯔꯁꯤꯡ: ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯑꯦꯟꯇꯤꯐꯣꯁꯐꯣꯂꯤꯄꯤꯗ ꯁꯤꯟꯗꯣꯃꯒꯨꯝꯕꯥ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ꯫
• ꯕ꯭ꯂꯗ ꯗꯤꯁꯑꯣꯔꯗꯔꯁꯤꯡ: ꯍꯦꯃꯣꯐꯤꯂꯤꯌꯥ ꯑꯃꯁꯨꯡ ꯚꯣꯟ ꯋꯤꯂꯦꯕ꯭ꯔꯥꯟꯗ ꯗꯤꯖꯤꯖꯒꯨꯝꯕꯥ ꯀꯣꯟꯖꯤꯅꯤꯑꯦꯜ ꯗꯤꯖꯤꯖꯁꯤꯡ꯫
• ꯂꯥꯏꯔꯦꯜ ꯁꯖꯤꯛ.
• ꯑꯀꯛꯅꯕꯥ ꯍꯤꯗꯥꯀꯁꯤꯡ: ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ `ꯋꯥꯔꯐꯦꯔꯤꯟ (Coumadin®), `ꯑꯦꯁ꯭ꯄꯤꯔꯤꯟ` (ꯑꯉꯥꯡꯒꯤ ꯑꯦꯁ꯭ꯄꯤꯔꯤꯟ ꯌꯥꯎꯅꯥ), `ꯀ꯭ꯂꯣꯄꯤꯗꯣꯒ꯭ꯔꯦꯜ (Plavix®)` ꯑꯃꯁꯨꯡ `apixaban (Eliquis®)ꯒꯨꯝꯕꯥ ꯕ꯭ꯂꯗ ꯊꯤꯅꯔꯁꯤꯡ ꯑꯁꯤ ꯌꯥꯎꯏ꯫
• ꯚꯦꯁꯀꯨꯂꯥꯔ ꯗꯤꯖꯤꯖ ꯈꯔꯗꯤ: ꯍꯦꯔꯤꯗꯤꯇꯦꯔꯤ ꯍꯦꯃꯣꯔꯦꯖꯤꯛ ꯇꯦꯂꯦꯟꯖꯤꯑꯦꯛꯇꯦꯁꯤꯌꯥ ꯑꯃꯁꯨꯡ ꯑꯦꯅꯤꯎꯔꯤꯖꯝ (ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯂꯁꯤꯡꯅꯥ ꯁꯣꯀꯍꯜꯂꯕꯥ ꯑꯃꯁꯨꯡ ꯕꯦꯂꯨꯅꯒꯨꯝꯅꯥ ꯄꯣꯃꯈꯠꯄꯥ ꯃꯐꯃꯁꯤꯡ)ꯒꯨꯝꯕꯥ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ꯫
• ꯃꯦꯗꯤꯀꯦꯜ ꯇ꯭ꯔꯤꯇꯃꯦꯟꯇꯀꯤ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ: ꯁꯔꯖꯔꯤꯒꯨꯝꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯕꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ꯫
• ꯃꯅꯨꯡꯒꯤ ꯑꯣꯏꯕꯥ ꯑꯣꯔꯒꯥꯟ ꯑꯃꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯅꯕꯥ: ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯏꯕꯨꯞꯔꯣꯐꯦꯟ (Advil®)ꯒꯨꯝꯕꯥ ꯄꯦꯟ ꯀꯤꯂꯔꯁꯤꯡ ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯁꯤꯖꯤꯟꯅꯕꯅꯥ ꯏꯟꯇꯦꯁ꯭ꯇꯥꯏꯅꯗꯥ ꯑꯂꯁꯔ ꯑꯃꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯏ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫
• ꯑꯁꯣꯛ-ꯑꯄꯟ: ꯀꯀꯄꯥ, ꯑꯆꯧꯕꯥ ꯐ꯭ꯔꯦꯀꯆꯔ, ꯇ꯭ꯔꯥꯎꯃꯦꯇꯤꯛ ꯕ꯭ꯔꯦꯅꯒꯤ ꯑꯁꯣꯛ-ꯑꯄꯟ꯫
• ꯇ꯭ꯔꯥꯎꯃꯥ: ꯒꯨꯂꯤ ꯊꯥꯕꯥ, ꯈꯣꯡ ꯍꯥꯝꯕꯥ, ꯑꯁꯤꯅꯆꯤꯡꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ꯫
• ꯚꯥꯏꯔꯁꯀꯤ ꯍꯦꯃꯣꯔꯦꯖꯤꯛ ꯐꯤꯕꯔꯁꯤꯡ : ꯃꯁꯤ ꯚꯥꯏꯔꯁ ꯀꯥꯡꯂꯨꯞ ꯑꯃꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯂꯥꯌꯅꯥꯁꯤꯡꯅꯤ꯫ ꯚꯥꯏꯔꯁꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯂꯁꯤꯡꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ ꯑꯃꯁꯨꯡ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯅꯥ ꯏ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ ꯏꯕꯣꯂꯥ, ꯗꯦꯉ꯭ꯒꯨ ꯐꯤꯕꯔ, ꯃꯥꯔꯕꯔꯒ ꯑꯃꯁꯨꯡ ꯌꯦꯂꯣ ꯐꯤꯕꯔ ꯑꯁꯤꯅꯆꯤꯡꯕꯥ ꯌꯥꯎꯏ꯫

ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ `(ꯍꯦꯃꯣꯔꯦꯖ)` ꯑꯃꯥ ꯀꯔꯝꯅꯥ ꯈꯪꯗꯣꯀꯄꯒꯦ?

ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ (ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯃꯤꯠ ꯎꯗꯕꯥ) ꯑꯃꯁꯨꯡ ꯐꯤꯖꯤꯀꯦꯜ ꯑꯦꯀꯖꯥꯃꯤꯅꯦꯁꯅꯒꯤ ꯐꯂꯁꯤꯡ (ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯍꯥꯔꯠ ꯔꯦꯠ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ, ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ ꯍꯟꯊꯔꯀꯄꯥ)ꯗꯥ ꯌꯨꯝꯐꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯍꯦꯃꯣꯔꯦꯖ ꯑꯃꯥ ꯈꯪꯗꯣꯛꯀꯅꯤ꯫ ꯃꯊꯪꯒꯤ ꯈꯣꯡꯊꯥꯡꯗꯤ ꯏ ꯊꯣꯀꯄꯥ ꯑꯁꯤ ꯀꯗꯥꯏꯗꯒꯤ ꯂꯥꯀꯄꯅꯣ ꯑꯃꯁꯨꯡ ꯃꯁꯤ ꯀꯔꯤꯅꯥ ꯊꯣꯀꯍꯅꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯆꯨꯝꯅꯥ ꯈꯪꯗꯣꯀꯄꯅꯤ꯫ ꯃꯄꯥꯟꯊꯣꯡꯒꯤ ꯏ ꯊꯣꯀꯄꯥ ꯑꯁꯤ ꯑꯌꯥꯝꯕꯗꯤ ꯃꯌꯦꯛ ꯁꯦꯡꯅꯥ ꯎꯕꯥ ꯐꯪꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯏꯟꯇꯔꯅꯦꯜ ꯕ꯭ꯂꯤꯗꯤꯡ ꯑꯁꯤ ꯈꯔꯥ ꯍꯦꯟꯅꯥ ꯆꯦꯂꯦꯟꯖ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫

ꯗꯣꯛꯇꯔꯅꯥ ꯐꯤꯖꯤꯀꯦꯜ ꯑꯦꯀꯖꯥꯃꯤꯅꯦꯁꯟ ꯑꯃꯥ ꯄꯥꯡꯊꯣꯛꯀꯅꯤ, ꯅꯍꯥꯛꯀꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯃꯦꯗꯤꯀꯦꯜ ꯍꯤꯁ꯭ꯇꯔꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯍꯪꯒꯅꯤ ꯑꯃꯁꯨꯡ ꯏꯃꯦꯖꯤꯡ ꯇꯦꯁ꯭ꯠ (ꯁ꯭ꯀꯦꯅꯒꯨꯝꯕꯥ) ꯑꯃꯁꯨꯡ ꯂꯦꯕꯣꯔꯦꯇꯔꯤ ꯇꯦꯁ꯭ꯇꯁꯤꯡꯁꯨ ꯑꯣꯔꯗꯔ ꯇꯧꯕꯥ ꯌꯥꯏ꯫

ꯏ ꯊꯣꯀꯄꯒꯤ ꯂꯥꯏꯌꯦꯡꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?

ꯍꯦꯃꯣꯔꯦꯖ ꯑꯃꯒꯤ ꯂꯥꯏꯌꯦꯡ ꯑꯁꯤ ꯐꯦꯛꯇꯔ ꯀꯌꯥꯒꯤ ꯃꯈꯥ ꯄꯣꯜꯂꯤ:

• ꯏ ꯑꯗꯨ ꯀꯗꯥꯏꯗꯥ ꯆꯠꯂꯤꯕꯅꯣ ꯑꯃꯁꯨꯡ ꯍꯀꯆꯥꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯅꯠꯠꯔꯒꯥ ꯃꯄꯥꯟꯗꯥ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ꯫
• ꯃꯁꯤꯒꯤ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯃꯑꯣꯡ꯫
• ꯏ ꯊꯣꯀꯄꯒꯤ ꯑꯍꯥꯅꯕꯥ ꯃꯔꯝ꯫
• ꯅꯍꯥꯛꯀꯤ ꯑꯇꯩ ꯑꯅꯥꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯂꯩꯕ꯭ꯔꯥ?

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯔꯝ ꯑꯗꯨ ꯈꯪꯗꯕꯥ ꯑꯃꯁꯨꯡ/ꯅꯠꯠꯔꯒꯥ ꯏ ꯊꯣꯀꯄꯥ ꯑꯗꯨ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯑꯣꯏꯔꯕꯗꯤ, ꯅꯍꯥꯀꯄꯨ ꯂꯥꯏꯌꯦꯡꯅꯕꯒꯤꯗꯃꯛ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯂꯗꯥ ꯊꯝꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯏ꯫ ꯅꯍꯥꯛꯀꯤ ꯃꯦꯗꯤꯀꯦꯜ ꯇꯤꯃꯅꯥ ꯃꯔꯝ ꯑꯗꯨ ꯈꯪꯗꯣꯛꯀꯅꯤ ꯑꯃꯁꯨꯡ ꯃꯗꯨ ꯃꯇꯤꯛ ꯆꯥꯅꯥ ꯂꯥꯌꯦꯡꯒꯅꯤ꯫ ꯅꯍꯥꯛꯅꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯋꯥꯐꯃꯁꯤꯡ ꯑꯁꯤ ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯏ:

• ꯂꯦꯟꯕ.
• ꯚꯤꯇꯥꯃꯤꯟ K ꯏꯅꯖꯦꯀꯁꯅꯁꯤꯡ: (ꯃꯔꯨꯑꯣꯏꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯋꯥꯔꯐꯦꯔꯤꯅꯒꯨꯝꯕꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ ꯂꯧꯔꯕꯗꯤ, ꯏ ꯊꯣꯀꯄꯥ ꯊꯤꯡꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯅꯕꯥ)꯫
• ꯏꯟꯠꯔꯥꯚꯦꯅꯁ ꯐ꯭ꯂꯨꯏꯗ (`IV ꯐ꯭ꯂꯨꯏꯗ`)꯫
• ꯕ꯭ꯂꯗ ꯇ꯭ꯔꯥꯟꯁꯐ꯭ꯌꯨꯁꯟ ꯇꯧꯕꯥ꯫

ꯏ ꯊꯣꯀꯄꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯒꯤꯗꯃꯛ ꯐꯥꯔꯁ꯭ꯠ ꯑꯦꯏꯗ꯫

ꯅꯍꯥꯛꯅꯥ ꯏ ꯌꯥꯝꯅꯥ ꯊꯣꯀꯄꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯗꯥ ꯐꯥꯔꯁ꯭ꯠ ꯑꯦꯏꯗꯁꯨ ꯄꯤꯕꯥ ꯌꯥꯏ – ꯅꯍꯥꯛ ꯅꯠꯠꯔꯒꯥ ꯑꯇꯣꯞꯄꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯥ ꯑꯣꯏꯔꯕꯁꯨ꯫ ꯁ꯭ꯇꯦꯄꯁꯤꯡ ꯑꯁꯤ ꯏꯅꯒꯗꯕꯅꯤ:

1. ꯈꯨꯗꯛꯇꯥ 1990 ꯅꯠꯠꯔꯒꯥ ꯅꯍꯥꯛꯀꯤ ꯂꯣꯀꯦꯜ ꯏꯃꯔꯖꯦꯟꯁꯤ ꯅꯝꯕꯔꯗꯥ ꯀꯣꯜ ꯇꯧꯕꯤꯌꯨ꯫

2. ꯑꯁꯣꯀꯄꯥ ꯃꯤꯑꯣꯏ ꯑꯗꯨ ꯂꯦꯡꯗꯅꯥ ꯂꯩꯌꯨ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯈꯣꯌꯒꯤ ꯃꯈꯨꯠ ꯅꯠꯠꯔꯒꯥ ꯈꯣꯡꯗꯥ ꯑꯁꯣꯀꯄꯥ ꯑꯃꯥ ꯂꯩꯔꯕꯗꯤ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯌꯥꯕꯥ ꯇꯥꯔꯕꯗꯤ ꯑꯁꯣꯀꯄꯥ ꯁꯔꯨꯛ ꯑꯗꯨ ꯍꯥꯔꯇꯀꯤ ꯂꯦꯚꯦꯂꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯋꯥꯡꯈꯠꯍꯅꯒꯗꯕꯅꯤ꯫

3. ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯦꯗꯤꯀꯦꯜ ꯁꯞꯂꯥꯏꯁꯤꯡ ꯂꯩꯔꯕꯗꯤ, ꯑꯁꯣꯀꯄꯥ ꯑꯗꯨ ꯁ꯭ꯇꯦꯔꯥꯏꯜ ꯑꯣꯏꯕꯥ ꯒꯣꯖ ꯅꯠꯠꯔꯒꯥ ꯑꯁꯦꯡꯕꯥ ꯐꯤ ꯑꯃꯅꯥ ꯀꯨꯄꯁꯤꯜꯂꯨ꯫

4. ꯑꯁꯣꯀꯄꯥ ꯃꯤꯑꯣꯏ ꯑꯗꯨꯗꯥ ꯑꯁꯣꯀꯄꯥ ꯑꯗꯨ ꯃꯍꯥꯛꯀꯤ ꯈꯨꯠ(ꯁꯤꯡ)ꯅꯥ ꯊꯝꯅꯕꯥ ꯍꯥꯌꯌꯨ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯍꯥꯛꯅꯥ ꯇꯧꯕꯥ ꯉꯃꯗ꯭ꯔꯕꯗꯤ ꯅꯍꯥꯛꯅꯥ ꯇꯧꯒꯗꯕꯅꯤ꯫

5. ꯀꯔꯤꯒꯨꯝꯕꯥ ꯄꯣꯠꯁꯛ ꯑꯃꯅꯥ (ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ ꯒ꯭ꯂꯥꯁ ꯑꯃꯥ, ꯎꯄꯥꯜ ꯑꯃꯥ) ꯑꯁꯣꯀꯄꯥ ꯑꯗꯨꯗꯥ ꯆꯦꯟꯊꯔꯕꯗꯤ ꯃꯗꯨ ꯂꯧꯊꯣꯛꯂꯣꯏꯗꯕꯅꯤ꯫ ꯃꯗꯨꯒꯤ ꯑꯀꯣꯌꯕꯗꯥ ꯂꯩꯕꯥ ꯕꯦꯟꯗꯦꯖ ꯑꯗꯨ ꯆꯦꯠꯅꯥ ꯊꯝꯃꯨ꯫

6. ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯇꯨꯔꯅꯤꯀꯦꯠ (ꯏ ꯊꯣꯀꯄꯥ ꯊꯤꯡꯅꯕꯥ ꯑꯁꯣꯀꯄꯥ ꯑꯃꯒꯤ ꯃꯊꯛꯇꯥ ꯆꯦꯠꯅꯥ ꯊꯃꯖꯤꯜꯂꯕꯥ ꯕꯦꯟꯗ ꯑꯃꯥ) ꯁꯤꯖꯤꯟꯅꯔꯕꯗꯤ, ꯃꯗꯨ ꯅꯍꯥꯛꯅꯥ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯇꯧꯕꯥ ꯈꯪꯂꯕꯈꯛꯇꯗꯥ ꯇꯧꯒꯗꯕꯅꯤ, ꯑꯃꯁꯨꯡ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯅꯥ ꯏ ꯊꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯑꯔꯣꯏꯕꯥ ꯄꯥꯝꯕꯩ ꯑꯣꯏꯅꯥ ꯈꯛꯇꯃꯛ ꯇꯧꯒꯗꯕꯅꯤ꯫(ꯃꯁꯤ ꯑꯁꯣꯀꯄꯥ ꯑꯗꯨꯒꯤ ꯃꯊꯛꯇꯥ ꯆꯦꯟꯊꯔꯀꯄꯥ ꯌꯥꯕꯥ ꯄꯣꯠꯁꯛ ꯑꯃꯥ ꯅꯠꯠꯔꯒꯥ ꯐꯤ ꯑꯃꯥ ꯁꯤꯖꯤꯟꯅꯗꯨꯅꯥ ꯏ ꯊꯣꯀꯄꯥ ꯊꯤꯡꯕꯒꯤ ꯃꯑꯣꯡ ꯑꯃꯅꯤ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯃꯁꯤ ꯀꯔꯤ ꯇꯧꯒꯗꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯆꯨꯝꯅꯥ ꯈꯉꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯈꯛꯇꯅꯥ ꯇꯧꯒꯗꯕꯅꯤ, ꯃꯔꯃꯗꯤ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯔꯥꯅꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯇꯧꯔꯕꯗꯤ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫)

ꯍꯦꯃꯣꯔꯦꯖ ꯂꯩꯔꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯒꯤ ꯔꯤꯀꯣꯚꯔꯤ ꯑꯥꯎꯇꯂꯨꯛ ꯑꯁꯤ ꯀꯔꯤꯅꯣ?

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯍꯦꯃꯣꯔꯦꯖ ꯑꯃꯥ ꯂꯩꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯄ꯭ꯔꯣꯒ꯭ꯅꯣꯁꯤꯁ (ꯑꯥꯎꯠꯂꯨꯛ) ꯑꯁꯤ ꯐꯦꯛꯇꯔ ꯀꯌꯥꯒꯤ ꯃꯈꯥ ꯄꯣꯜꯂꯤ:

• ꯃꯗꯨ ꯀꯔꯝꯕꯥ ꯃꯈꯂꯒꯤ `(ꯍꯦꯃꯣꯔꯦꯖ)`ꯅꯣ?
• ꯃꯁꯤꯒꯤ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯃꯑꯣꯡ꯫
• ꯀꯌꯥ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯂꯥꯌꯦꯡ ꯐꯪꯈꯤꯕꯒꯦ꯫
• ꯅꯍꯥꯛꯀꯤ ꯆꯍꯤ ꯑꯃꯁꯨꯡ ꯑꯄꯨꯅꯕꯥ ꯍꯀꯁꯦꯜ꯫

ꯉꯟꯅꯥ ꯃꯦꯗꯤꯀꯦꯜ ꯑꯦꯇꯦꯟꯁꯟ ꯑꯁꯤ ꯍꯦꯟꯅꯥ ꯐꯕꯥ ꯐꯒꯠꯂꯀꯄꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯆꯥꯛ ꯑꯃꯅꯤ꯫ ꯅꯍꯥꯛꯅꯥ ꯂꯥꯌꯦꯡ ꯐꯪꯂꯕꯥ ꯃꯇꯨꯡꯗꯥ, ꯅꯍꯥꯛꯀꯤ ꯃꯦꯗꯤꯀꯦꯜ ꯇꯤꯃꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯃꯥꯡꯂꯣꯃꯗꯥ ꯆꯪꯁꯤꯅꯕꯗꯥ ꯀꯔꯤ ꯉꯥꯏꯔꯤꯕꯒꯦ ꯍꯥꯌꯕꯒꯤ ꯑꯐꯕꯥ ꯋꯥꯈꯜꯂꯣꯟ ꯑꯃꯥ ꯄꯤꯒꯅꯤ꯫

`(ꯍꯦꯃꯣꯔꯦꯖ)`ꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯕꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ꯫

ꯍꯦꯃꯣꯔꯦꯖꯗꯒꯤ ꯂꯥꯀꯄꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ ꯑꯁꯤ ꯃꯔꯨꯑꯣꯏꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯣꯔꯒꯥꯅꯁꯤꯡꯗꯥ ꯏꯒꯤ ꯆꯥꯡ ꯍꯟꯊꯔꯀꯄꯅꯥ ꯊꯣꯀꯍꯅꯕꯅꯤ꯫ ꯃꯁꯤꯅꯥ ꯑꯔꯣꯏꯕꯗꯥ ꯇꯤꯁꯨ ꯑꯃꯁꯨꯡ ꯁꯦꯂꯁꯤꯡ ꯁꯤꯍꯅꯕꯥ ꯌꯥꯏ, ꯃꯗꯨꯅꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ ꯑꯁꯤ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ:

• ꯑꯣꯔꯒꯥꯟ ꯐꯦꯜ ꯑꯣꯏꯕꯥ꯫
• ꯁꯤꯖ꯭ꯌꯨꯔꯁꯤꯡ (seizures) ꯂꯩꯕꯥ꯫
• ꯀꯣꯃꯥ꯫
• ꯁꯤꯕ.

ꯏ ꯊꯣꯀꯄꯥ ꯑꯁꯤ ꯃꯔꯨꯑꯣꯏꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯇ꯭ꯔꯥꯎꯃꯥꯒꯤ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯍꯅꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯒꯤ ꯃꯔꯛꯇꯥ ꯊꯤꯡꯕꯥ ꯉꯝꯕꯥ ꯁꯤꯕꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯔꯝ ꯑꯃꯅꯤ꯫

ꯑꯀꯛꯅꯕꯥ ꯍꯦꯃꯣꯔꯦꯖ ꯃꯈꯜ ꯈꯔꯗꯤ ꯑꯀꯛꯅꯕꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ ꯂꯩꯕꯥ ꯌꯥꯏ꯫ ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯕ꯭ꯔꯦꯟ ꯍꯦꯃꯣꯔꯦꯖ ꯑꯃꯅꯥ ꯕ꯭ꯔꯦꯅꯗꯥ ꯃꯇꯝ ꯆꯨꯞꯄꯒꯤ ꯑꯣꯏꯅꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯅ꯭ꯌꯨꯔꯣꯂꯣꯖꯤꯀꯦꯜ ꯏꯁꯨꯁꯤꯡ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯄꯣꯁ꯭ꯇꯄꯥꯔꯇꯝ ꯍꯦꯃꯣꯔꯦꯖꯅꯥ ꯁꯤꯍꯥꯟ ꯁꯤꯟꯗ꯭ꯔꯣꯝ ꯀꯧꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ, ꯃꯗꯨꯗꯤ ꯅꯍꯥꯛꯀꯤ ꯄꯤꯇꯨꯏꯇꯔꯤ ꯒ꯭ꯜꯌꯥꯟꯗ ꯑꯗꯨ ꯏ ꯌꯥꯝꯅꯥ ꯊꯣꯀꯄꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫

ꯑꯇꯣꯞꯄꯥ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯔꯤꯕ꯭ꯂꯤꯗꯤꯡ ꯑꯃꯁꯨꯡ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯂꯥꯏꯖꯦꯁꯟꯒꯥ ꯃꯔꯤ ꯂꯩꯅꯕꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ (ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯗꯤꯞ ꯚꯦꯅꯝ ꯊ꯭ꯔꯣꯝꯕꯣꯁꯤꯁ, ꯑꯃꯁꯨꯡ ꯏꯅꯐꯦꯛꯁꯟ) ꯑꯁꯤ ꯌꯥꯎꯏ꯫

ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡ ꯑꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯂꯁꯤꯡꯗꯥ ꯂꯩꯅꯕꯒꯤꯗꯃꯛ ꯏ ꯃꯊꯧ ꯇꯥꯏ꯫ ꯃꯁꯤ ꯂꯤꯛ ꯑꯣꯏꯕꯥ ꯃꯇꯃꯗꯥ, ꯃꯔꯨꯑꯣꯏꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯌꯥꯝꯅꯥ ꯂꯩꯔꯕꯗꯤ, ꯃꯁꯤꯅꯥ ꯑꯆꯧꯕꯥ ꯁꯃꯁ꯭ꯌꯥꯁꯤꯡ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯍꯦꯃꯣꯔꯦꯖꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯍꯥꯌꯔꯒꯗꯤ, ꯈꯨꯗꯛꯇꯥ ꯃꯦꯗꯤꯀꯦꯜ ꯑꯦꯇꯦꯟꯁꯟ ꯂꯧꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛ ꯅꯠꯠꯔꯒꯥ ꯅꯍꯥꯛꯀꯤ ꯅꯨꯡꯁꯤꯖꯔꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯅꯥ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯗꯅꯥ ꯏ ꯊꯣꯀꯄꯥ ꯇꯥꯔꯕꯗꯤ, ꯅꯠꯠꯔꯒꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯅꯨꯡꯗꯥ ꯏ ꯊꯣꯀꯄꯥ ꯌꯥꯏ ꯍꯥꯌꯅꯥ ꯆꯤꯡꯅꯕꯥ ꯂꯩꯔꯕꯗꯤ, ꯍꯣꯁ꯭ꯄꯤꯇꯥꯂꯗꯥ ꯌꯧꯕꯗꯥ ꯊꯦꯡꯊꯒꯅꯨ꯫

ꯑꯔꯣꯏꯕꯗꯥ, ꯅꯈꯣꯌꯅꯥ ꯅꯤꯡꯁꯤꯡꯒꯗꯕꯥ ꯋꯥꯐꯃꯁꯤꯡ꯫

ꯑꯣꯀꯦ, ꯑꯩꯅꯥ ꯈꯜꯂꯤ ꯃꯗꯨꯗꯤ ꯅꯈꯣꯌꯅꯥ ꯍꯧꯖꯤꯛ ꯑꯩꯈꯣꯌꯅꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯔꯤꯕꯥ ꯑꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯑꯐꯕꯥ ꯂꯧꯁꯤꯡ ꯂꯩꯔꯦ, ``(Hemorrhage)'', ꯃꯁꯤꯒꯤ ꯑꯔꯊꯗꯤ ꯏ ꯊꯣꯀꯄꯥ ꯍꯥꯌꯕꯅꯤ꯫ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯋꯥꯐꯃꯗꯤ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯆꯝꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯏ ꯊꯣꯀꯄꯥ ꯇꯥꯔꯕꯗꯤ, "ꯑꯣꯍ, ꯃꯁꯤ ꯁꯨꯞꯅꯒꯤ ꯋꯥꯐꯝ ꯑꯃꯈꯛꯇꯅꯤ" ꯍꯥꯌꯅꯥ ꯈꯟꯗꯨꯅꯥ, ꯈꯨꯗꯛꯇꯥ ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯄꯥꯎꯇꯥꯛ ꯂꯧꯒꯗꯕꯅꯤ꯫ꯃꯁꯤꯗꯁꯨ ꯅꯠꯇꯅꯥ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯃꯐꯝ ꯑꯃꯗꯥ ꯏ ꯊꯣꯀꯄꯥ ꯌꯥꯏ ꯍꯥꯌꯅꯥ ꯂꯧꯅꯔꯤꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯂꯩꯔꯕꯗꯤ (ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯈꯪꯍꯧꯗꯅꯥ, ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯃꯀꯣꯛ ꯁꯣꯀꯄꯥ, ꯏ ꯊꯣꯀꯄꯥ, ꯕ꯭ꯂꯦꯛ ꯁ꯭ꯇꯣꯜ) ꯍꯥꯌꯕꯁꯤꯁꯨ ꯑꯆꯨꯝꯕꯅꯤ, ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯅꯥ ꯈꯨꯗꯛꯇꯥ ꯗꯣꯛꯇꯔ ꯑꯃꯒꯥ ꯇꯥꯟꯅꯒꯗꯕꯅꯤ꯫

ꯅꯤꯡꯁꯤꯡꯕꯤꯌꯨ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯩꯈꯣꯌꯅꯥ ꯇꯣꯌꯅꯥ ꯂꯥꯏꯌꯦꯡ ꯐꯪꯂꯕꯗꯤ, ꯑꯩꯈꯣꯌꯅꯥ ꯑꯀꯅꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯀꯌꯥ ꯉꯥꯀꯊꯣꯀꯄꯥ ꯉꯃꯒꯅꯤ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯃꯇꯝ ꯄꯨꯝꯅꯃꯛꯇꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯄꯨꯛꯅꯤꯡ ꯆꯪꯕꯤꯌꯨ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯈꯨꯗꯣꯡꯆꯥꯗꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯆꯤꯡꯅꯕꯥ ꯂꯩꯔꯕꯗꯤ ꯗꯣꯛꯇꯔ ꯑꯃꯒꯥ ꯇꯥꯟꯅꯗꯨꯅꯥ ꯄꯥꯎꯇꯥꯛ ꯂꯧꯅꯕꯥ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯂꯩꯔꯣꯏꯗꯕꯅꯤ꯫ ꯍꯀꯆꯥꯡ ꯐꯅꯥ ꯂꯩꯌꯨ!

` ꯏ ꯊꯣꯀꯄꯥ, ꯏ ꯊꯣꯀꯄꯥ, ꯏ ꯊꯣꯀꯄꯥ, ꯃꯅꯨꯡꯒꯤ ꯏ ꯊꯣꯀꯄꯥ, ꯃꯄꯥꯅꯒꯤ ꯏ ꯊꯣꯀꯄꯥ, ꯐꯥꯔꯁ꯭ꯠ ꯑꯦꯏꯗ, ꯂꯥꯏꯑꯣꯡꯁꯤꯡ꯫