‘ꯕ꯭ꯂꯗ ꯀ꯭ꯂꯣꯠ’ ꯍꯥꯌꯕꯥ ꯋꯥꯐꯝ ꯑꯁꯤ ꯑꯗꯣꯝꯅꯥ ꯇꯥꯕꯤꯔꯝꯂꯒꯅꯤ? ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯏꯅꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯂꯁꯤꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯄꯥꯝꯕꯥ ꯀ꯭ꯂꯣꯇꯁꯤꯡ ꯁꯦꯝꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯅꯥ ꯇꯁꯦꯡꯅꯥ ꯍꯥꯔꯠ ꯑꯦꯇꯦꯛ ꯑꯃꯁꯨꯡ ꯁ꯭ꯠꯔꯣꯀꯒꯨꯝꯕꯥ ꯈꯨꯗꯣꯡꯊꯤꯅꯤꯉꯥꯏ ꯑꯣꯏꯕꯥ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯉꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯈꯨꯗꯣꯡꯊꯤꯅꯤꯡꯉꯥꯏ ꯑꯣꯏꯕꯥ ꯏ ꯊꯣꯀꯄꯥ ꯊꯤꯡꯅꯕꯥ ꯁꯤꯖꯤꯟꯅꯔꯤꯕꯥ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯍꯤꯗꯥꯛ ꯑꯃꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯔꯤ꯫ ꯃꯗꯨ ꯍꯦꯄꯥꯔꯤꯅꯅꯤ꯫
ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯍꯦꯄꯥꯔꯤꯟ ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ?
ꯍꯦꯄꯥꯔꯤꯟ ꯑꯁꯤ ꯏ ꯊꯣꯀꯄꯥ ꯊꯤꯡꯕꯥ ꯍꯤꯗꯥꯛ ꯑꯃꯅꯤ꯫ ꯑꯩꯈꯣꯌꯒꯤ ꯂꯣꯟꯗꯥ ꯃꯁꯤ ‘ꯕ꯭ꯂꯗ ꯊꯤꯅꯔ’ ꯍꯥꯌꯕꯅꯤ, ꯃꯁꯤꯅꯥ ꯏꯒꯤ ꯈꯣꯡꯖꯦꯜ ꯍꯟꯊꯍꯜꯂꯤ ꯑꯃꯁꯨꯡ ꯏ ꯑꯁꯤ ꯈꯔꯥ ‘ꯊꯤꯅꯔ’ ꯑꯣꯏꯍꯜꯂꯤ꯫
ꯃꯁꯤꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯊꯕꯛ ꯑꯅꯤ ꯂꯩ:
1. ꯃꯁꯤꯅꯥ ꯑꯅꯧꯕꯥ ꯏ ꯊꯣꯀꯄꯥ ꯊꯤꯡꯏ꯫
2. ꯃꯁꯤꯅꯥ ꯍꯥꯟꯅꯅꯥ ꯁꯦꯃꯈꯤꯕꯥ ꯏꯒꯤ ꯈꯣꯡꯖꯦꯜ ꯑꯃꯥ ꯍꯦꯟꯅꯥ ꯆꯥꯎꯈꯠꯄꯥ ꯊꯤꯡꯏ꯫
ꯑꯗꯨꯕꯨ ꯅꯤꯡꯁꯤꯡꯒꯗꯕꯥ ꯋꯥꯐꯝ ꯑꯃꯗꯤ: ꯍꯦꯄꯥꯔꯤꯅꯅꯥ ꯏꯒꯤ ꯈꯣꯡꯖꯦꯜ ꯌꯥꯡꯁꯤꯅꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ, ꯑꯗꯨꯕꯨ ꯃꯁꯤꯅꯥ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯆꯦꯟꯊꯈꯤꯗꯨꯅꯥ ꯍꯥꯟꯅꯅꯥ ꯁꯦꯃꯖꯤꯟ ꯁꯥꯖꯤꯅꯈꯤꯕꯥ ꯏꯒꯤ ꯈꯣꯡꯖꯦꯜ ꯑꯃꯥ ꯁꯣꯀꯍꯅꯕꯥ ꯉꯃꯗꯦ꯫
ꯑꯩꯈꯣꯌꯒꯤ ꯏꯟꯇꯦꯁ꯭ꯇꯥꯏꯅꯁꯤꯡꯅꯥ ꯍꯦꯄꯥꯔꯤꯟ ꯁꯣꯀꯄꯥ ꯉꯃꯗꯦ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯍꯤꯗꯥꯛ ꯑꯁꯤ ꯍꯤꯗꯥꯛ ꯑꯃꯥ ꯑꯣꯏꯅꯥ ꯂꯧꯕꯥ ꯌꯥꯗꯦ꯫ ꯃꯗꯨꯒꯤ ꯃꯍꯨꯠꯇꯥ, ꯃꯁꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯃꯑꯣꯡ ꯑꯅꯤꯗꯥ ꯄꯤ: ꯅꯠꯠꯔꯒꯥ ꯚꯦꯅꯝ (IV) ꯑꯃꯗꯥ ꯄꯤꯕꯥ ꯁꯦꯂꯟ ꯁꯣꯜꯌꯨꯁꯟ ꯑꯃꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ, ꯅꯠꯠꯔꯒꯥ ꯈꯣꯡꯒꯤ ꯃꯈꯥꯗꯥ ꯏꯅꯖꯦꯀꯁꯟ ꯑꯃꯥ ꯑꯣꯏꯅꯥ ꯄꯤ꯫
ꯍꯦꯄꯥꯔꯤꯅꯅꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯀꯔꯝꯅꯥ ꯊꯕꯛ ꯇꯧꯕꯒꯦ?
ꯃꯁꯤ ꯈꯉꯅꯕꯒꯤꯗꯃꯛ, ꯑꯄꯤꯀꯄꯥ ꯈꯨꯗꯝ ꯑꯃꯥ ꯂꯧꯔꯁꯤ꯫ ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯏ ꯊꯥꯗꯣꯀꯄꯒꯤ ꯊꯧꯑꯣꯡ ꯑꯁꯤ ꯒꯥꯔꯤꯁꯤꯡ ꯁꯥꯕꯥ ꯑꯦꯁꯦꯝꯕꯂꯤ ꯂꯥꯏꯟ ꯑꯃꯒꯨꯝꯅꯥ ꯑꯣꯏ ꯍꯥꯌꯅꯥ ꯈꯅꯕꯤꯌꯨ꯫ ꯃꯁꯤꯒꯤ ꯑꯦꯁꯦꯝꯕꯂꯤ ꯂꯥꯏꯟ ꯑꯁꯤꯗꯥ ꯇꯣꯉꯥꯟ ꯇꯣꯉꯥꯅꯕꯥ ꯁꯤꯟꯃꯤꯁꯤꯡꯒꯤ ꯊꯕꯛ ꯑꯁꯤꯅꯥ ꯑꯔꯣꯏꯕꯗꯥ ꯏ ꯊꯣꯀꯄꯥ ꯑꯃꯥ ꯁꯦꯝꯃꯤ꯫
ꯍꯦꯄꯥꯔꯤꯅꯅꯥ ꯇꯧꯔꯤꯕꯥ ꯑꯁꯤ ꯊꯕꯛ ꯃꯐꯝ ꯑꯁꯤꯗꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯏꯃꯞꯂꯣꯌꯤ ꯑꯅꯤꯒꯤ ꯊꯕꯛ ꯊꯤꯡꯕꯅꯤ꯫
- ꯊ꯭ꯔꯣꯝꯕꯤꯟ (thrombin): ꯃꯁꯤꯅꯥ ꯏ ꯊꯣꯀꯄꯒꯤ ꯊꯧꯑꯣꯡꯗꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯑꯃꯅꯤ꯫ ꯍꯦꯄꯥꯔꯤꯅꯅꯥ ꯊ꯭ꯔꯣꯝꯕꯤꯟ ꯑꯁꯤ ꯏꯅꯑꯦꯛꯇꯤꯚ ꯑꯣꯏꯍꯜꯂꯤ꯫
- ꯐꯦꯛꯇꯔ Xa: ꯃꯁꯤ ꯏ ꯊꯤꯡꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯂꯤꯕꯥ ꯑꯇꯣꯞꯄꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯐꯦꯛꯇꯔ ꯑꯃꯅꯤ꯫ ꯍꯦꯄꯥꯔꯤꯅꯅꯥ ꯃꯁꯤ ꯊꯕꯛ ꯇꯧꯕꯥ ꯊꯤꯡꯏ꯫
ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯍꯦꯄꯥꯔꯤꯅꯅꯥ ꯇꯧꯔꯤꯕꯥ ꯑꯁꯤ ꯏ ꯊꯥꯗꯣꯀꯄꯒꯤ ꯊꯧꯑꯣꯡꯗꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯁꯤꯟꯃꯤ ꯑꯅꯤꯒꯤ ꯈꯨꯠꯂꯥꯌꯁꯤꯡ ꯊꯥꯗꯣꯛꯇꯨꯅꯥ ꯃꯈꯣꯌꯒꯤ ꯊꯕꯛ ꯇꯧꯕꯗꯥ ꯊꯤꯡꯏ꯫ ꯑꯗꯨꯗꯒꯤ ꯏ ꯊꯣꯀꯄꯥ ꯂꯦꯄꯈꯤ꯫
ꯍꯦꯄꯥꯔꯤꯅꯒꯤ ꯀꯥꯟꯅꯕꯁꯤꯡ ꯀꯔꯤꯅꯣ?
ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯍꯦꯄꯥꯔꯤꯟ ꯑꯁꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯕꯥ ꯏ ꯊꯣꯀꯄꯥ ꯂꯥꯏꯌꯦꯡꯕꯗꯥ ꯅꯠꯠꯔꯒꯥ ꯊꯤꯡꯕꯗꯥ ꯁꯤꯖꯤꯟꯅꯩ꯫ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯇꯦꯕꯜ ꯑꯁꯤꯅꯥ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯐꯤꯚꯝ ꯈꯔꯗꯤ ꯎꯠꯂꯤ꯫
| ꯀꯟꯗꯤꯁꯟ/ꯑꯣꯀꯁꯟ ꯂꯩꯕꯥ꯫ | ꯏꯆꯝ ꯆꯝꯕꯥ ꯄꯥꯎꯈꯨꯝ ꯑꯃꯥ꯫ |
|---|---|
| ꯚꯦꯅꯃꯁꯤꯡꯗꯥ ꯏ ꯊꯣꯀꯄꯥ (Venous thromboembolism - VTE) | ꯍꯀꯆꯥꯡꯒꯤ ꯚꯦꯅꯝ ꯑꯃꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯕ꯭ꯂꯗ ꯀ꯭ꯂꯣꯠ ꯑꯃꯥ ꯁꯦꯝꯃꯤ꯫ |
| ꯗꯤꯞ ꯚꯦꯅꯝ ꯊ꯭ꯔꯣꯝꯕꯣꯁꯤꯁ (DVT) . | ꯑꯌꯥꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯈꯣꯡ ꯅꯠꯠꯔꯒꯥ ꯈꯨꯠꯁꯥꯗꯥ ꯌꯥꯝꯅꯥ ꯂꯨꯕꯥ ꯚꯦꯅꯝ ꯑꯃꯗꯥ ꯏ ꯊꯣꯀꯄꯥ꯫ |
| ꯄꯂꯃꯣꯅꯥꯔꯤ ꯑꯦꯝꯕꯣꯂꯤꯖꯝ (ꯄꯤ.ꯏ.) . | ꯚꯦꯅꯝ ꯑꯃꯗꯥ ꯏ ꯊꯣꯀꯄꯥ (blood clot) ꯑꯃꯅꯥ ꯂꯪꯁꯇꯥ ꯆꯦꯟꯊꯈꯤꯗꯨꯅꯥ ꯂꯪꯁꯇꯥ ꯆꯠꯂꯤ, ꯃꯐꯃꯗꯨꯗꯥ ꯃꯗꯨ ꯂꯦꯡꯗꯅꯥ ꯂꯩꯔꯀꯏ꯫ |
| ꯍꯥꯔꯠ ꯑꯦꯇꯦꯛ ꯑꯃꯁꯨꯡ ꯁ꯭ꯠꯔꯣꯛ꯫ | ꯍꯥꯔꯠ ꯅꯠꯠꯔꯒꯥ ꯕ꯭ꯔꯦꯅꯗꯥ ꯂꯩꯕꯥ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯜ ꯑꯃꯗꯥ ꯏ ꯊꯣꯛꯂꯀꯄꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ꯫ |
| ꯑꯦꯕꯅꯣꯔꯃꯦꯜ ꯍꯥꯔꯇꯀꯤ ꯂꯥꯌꯅꯥ (Atrial fibrillation - Afib) | ꯔꯤꯗꯃꯗꯥ ꯑꯍꯣꯡꯕꯥ ꯑꯁꯤꯅꯥ ꯍꯥꯔꯇꯇꯥ ꯏ ꯊꯣꯀꯄꯥ ꯌꯥꯕꯒꯤ ꯔꯤꯁ꯭ꯛ ꯍꯦꯅꯒꯠꯍꯜꯂꯤ꯫ |
| ꯑꯆꯧꯕꯥ ꯁꯔꯖꯔꯤꯁꯤꯡ ꯅꯠꯠꯔꯒꯥ ꯑꯦꯛꯁꯤꯗꯦꯟꯇꯁꯤꯡ꯫ | ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯦꯛꯁꯤꯗꯦꯟꯇ ꯑꯃꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯐꯃꯨꯡꯗꯥ ꯂꯩꯕꯥ ꯃꯇꯃꯗꯥ ꯏ ꯊꯣꯀꯄꯥ ꯊꯤꯡꯅꯕꯥ꯫ |
| ꯀꯤꯗꯅꯤ ꯗꯥꯏꯑꯦꯂꯥꯏꯁꯤꯁ (ꯗꯥꯏꯑꯦꯂꯥꯏꯁꯤꯁ) | ꯗꯥꯏꯑꯦꯂꯥꯏꯁꯤꯁ ꯃꯦꯁꯤꯅꯗꯥ ꯏ ꯊꯣꯀꯄꯥ ꯊꯤꯡꯅꯕꯥ꯫ |
ꯃꯁꯤꯒꯤ ꯃꯊꯛꯇꯥ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯍꯦꯄꯥꯔꯤꯟ ꯑꯁꯤ ꯃꯤꯔꯣꯜꯂꯤꯉꯩ ꯃꯇꯃꯗꯥ ꯐꯤꯇꯁꯇꯥ ꯔꯤꯁ꯭ꯛ ꯂꯩ ꯍꯥꯌꯅꯥ ꯆꯤꯡꯅꯕꯥ ꯂꯩꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯄꯤꯖꯩ, ꯃꯔꯃꯗꯤ ꯍꯤꯗꯥꯛ ꯑꯁꯤꯅꯥ ꯄ꯭ꯂꯥꯁꯦꯟꯇꯥ ꯑꯗꯨ ꯑꯉꯥꯡ ꯑꯗꯨꯗꯥ ꯀ꯭ꯔꯣꯁ ꯇꯧꯗꯦ꯫
ꯅꯍꯥꯀꯄꯨ ꯍꯦꯄꯥꯔꯤꯟ ꯄꯤꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯀꯔꯤ ꯑꯣꯏꯒꯅꯤ?
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯗꯣꯛꯇꯔ ꯑꯃꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯍꯦꯄꯥꯔꯤꯟ ꯏꯟꯠꯔꯥꯚꯦꯅꯁ ꯑꯣꯏꯅꯥ (IV) ꯄꯤꯅꯕꯥ ꯋꯥꯔꯦꯞ ꯂꯧꯔꯕꯗꯤ, ꯃꯈꯣꯌꯅꯥ ꯇꯧꯒꯗꯕꯥ ꯑꯍꯥꯅꯕꯥ ꯊꯕꯛ ꯑꯗꯨꯗꯤ ꯅꯍꯥꯛꯀꯤ ꯏꯒꯤ ꯁꯦꯝꯄꯜ ꯑꯃꯥ ꯂꯧꯗꯨꯅꯥ ꯇꯦꯁ꯭ꯠ ꯇꯧꯕꯅꯤ꯫ ꯇꯦꯁ꯭ꯠ ꯔꯤꯄꯣꯔꯠ ꯑꯗꯨꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯄꯤꯒꯗꯕꯥ ꯍꯦꯄꯥꯔꯤꯅꯒꯤ ꯑꯆꯨꯝꯕꯥ ꯆꯥꯡ ꯑꯗꯨ ꯂꯦꯄꯀꯅꯤ꯫
ꯑꯌꯥꯝꯕꯥ ꯃꯇꯃꯗꯥ aPTT (ꯑꯦꯛꯇꯤꯚꯦꯇꯦꯗ ꯄꯥꯔꯁꯤꯑꯦꯜ ꯊ꯭ꯔꯣꯝꯕꯣꯞꯂꯥꯁ꯭ꯇꯤꯅꯒꯤ ꯃꯇꯝ)ꯃꯁꯤ ꯀꯣꯑꯦꯒꯨꯂꯦꯁꯟ ꯇꯦꯁ꯭ꯠ ꯀꯧꯕꯥ ꯕ꯭ꯂꯗ ꯇꯦꯁ꯭ꯠ ꯑꯃꯅꯤ꯫ ꯇꯦꯁ꯭ꯠ ꯑꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯏ ꯑꯗꯨ ꯀꯀꯊꯠꯄꯗꯥ ꯃꯇꯝ ꯀꯌꯥ ꯆꯪꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯂꯦꯄꯊꯣꯀꯏ꯫ ꯅꯍꯥꯛꯅꯥ ꯍꯦꯄꯥꯔꯤꯟ ꯂꯧꯕꯥ ꯍꯧꯔꯕꯥ ꯃꯇꯨꯡꯗꯁꯨ, ꯍꯤꯗꯥꯛ ꯑꯗꯨ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯊꯕꯛ ꯇꯧꯔꯤꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯈꯪꯗꯣꯛꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯊꯧ ꯇꯥꯔꯕꯗꯤ ꯗꯣꯖ ꯑꯗꯨ ꯆꯨꯃꯊꯣꯛꯅꯕꯥ ꯇꯦꯁ꯭ꯠ ꯑꯁꯤ ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯇꯧꯒꯅꯤ꯫
ꯑꯩꯅꯥ ꯍꯦꯄꯥꯔꯤꯟ ꯑꯁꯤ ꯀꯌꯥꯝ ꯁꯥꯡꯅꯥ ꯂꯧꯒꯗꯒꯦ?
ꯃꯁꯤ ꯅꯍꯥꯀꯄꯨ ꯍꯦꯄꯥꯔꯤꯟ ꯄꯤꯕꯒꯤ ꯃꯔꯝ ꯑꯗꯨꯒꯤ ꯃꯈꯥ ꯄꯣꯜꯂꯤ꯫ ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯅꯨꯃꯤꯠ ꯷ꯅꯤ ꯅꯠꯠꯔꯒꯥ ꯅꯍꯥꯛꯅꯥ ꯇꯨꯝꯕꯥ ꯑꯃꯁꯨꯡ ꯈꯣꯡꯅꯥ ꯆꯠꯄꯥ ꯉꯃꯗ꯭ꯔꯤꯐꯥꯎꯕꯥ ꯄꯤꯕꯥ ꯌꯥꯏ꯫
ꯍꯦꯄꯥꯔꯤꯟ ꯑꯁꯤ ꯃꯍꯧꯁꯥꯅꯥ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯜ ꯑꯃꯗꯥ ꯄꯤ꯫ ꯅꯍꯥꯛꯅꯥ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯂꯗꯒꯤ ꯊꯣꯛꯂꯛꯠꯔꯤꯉꯩ ꯃꯃꯥꯡꯗꯥ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯌꯨꯃꯗꯥ ꯂꯧꯕꯥ ꯌꯥꯕꯥ ꯍꯤꯗꯥꯛ ꯑꯃꯗꯥ ꯍꯣꯡꯗꯣꯛꯀꯅꯤ꯫
ꯍꯦꯄꯥꯔꯤꯟ ꯁꯤꯖꯤꯟꯅꯕꯒꯤ ꯀꯥꯟꯅꯕꯁꯤꯡ ꯀꯔꯤꯅꯣ?
- ꯐꯥꯁ꯭ꯠ ꯑꯦꯛꯇꯤꯡ: ꯃꯁꯤꯅꯥ ꯏꯅꯠꯔꯥꯚꯦꯅꯁ ꯑꯣꯏꯅꯥ ꯄꯤꯖꯕꯥ ꯃꯇꯃꯗꯥ ꯈꯨꯗꯛꯇꯥ ꯊꯕꯛ ꯇꯧꯕꯥ ꯍꯧꯏ꯫
- ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯁꯣꯀꯄꯥ: ꯗ꯭ꯔꯒ ꯑꯗꯨꯒꯤ ꯏꯐꯦꯛꯇꯁꯤꯡ ꯑꯗꯨ ꯅꯍꯥꯛꯅꯥ ꯁꯤꯖꯤꯟꯅꯕꯥ ꯂꯦꯄꯈ꯭ꯔꯕꯥ ꯃꯇꯃꯗꯥ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯂꯣꯌꯁꯤꯜꯂꯤ꯫
- ꯏꯐꯦꯛꯇ ꯑꯗꯨ ꯔꯤꯚꯔꯁꯤꯕꯤꯂꯤꯇꯤ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯏ ꯊꯣꯀꯄꯥ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯃꯥ ꯊꯣꯛꯂꯕꯗꯤ, ꯑꯦꯟꯇꯤꯗꯣꯠ ꯄ꯭ꯔꯣꯇꯥꯃꯤꯟ ꯄꯤꯗꯨꯅꯥ ꯏꯐꯦꯛꯇ ꯑꯗꯨ ꯔꯤꯚꯔꯁ ꯇꯧꯕꯥ ꯌꯥꯏ꯫
- ꯑꯦꯛꯁꯄꯔꯤꯌꯦꯟꯁ: ꯆꯍꯤ ꯇꯔꯥꯒꯤ ꯈꯨꯖꯤꯡ ꯀꯌꯥꯗꯒꯤ ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯁꯤꯖꯤꯟꯅꯔꯛꯂꯕꯥ ꯃꯃꯤꯡ ꯂꯩꯔꯕꯥ, ꯊꯥꯖꯕꯥ ꯌꯥꯕꯥ ꯗ꯭ꯔꯒ ꯑꯃꯥ ꯑꯣꯏꯕꯥ꯫
ꯁꯥꯏꯗ ꯏꯐꯦꯛꯇ ꯑꯃꯁꯨꯡ ꯔꯤꯁ꯭ꯀꯁꯤꯡꯁꯨ ꯈꯪꯖꯤꯅꯁꯤ꯫
ꯍꯦꯄꯥꯔꯤꯟ ꯂꯧꯕꯒꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯆꯥꯎꯕꯥ ꯔꯤꯁ꯭ꯛ ꯑꯁꯤ ꯏ ꯌꯥꯝꯅꯥ ꯊꯣꯀꯄꯅꯤ . ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯄꯤꯀꯄꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯑꯃꯥ ꯂꯩꯔꯕꯁꯨ, ꯅꯍꯥꯛꯅꯥ ꯅꯣꯔꯃꯦꯂꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯏ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯍꯦꯄꯥꯔꯤꯟ ꯂꯧꯕꯥ ꯃꯇꯃꯗꯥ ꯌꯥꯝꯅꯥ ꯆꯦꯀꯁꯤꯅꯒꯗꯕꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯂꯗꯥ ꯂꯩꯔꯕꯗꯤ, ꯐꯃꯨꯡꯗꯒꯤ ꯊꯣꯔꯛꯠꯔꯤꯉꯩ ꯃꯃꯥꯡꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯕꯤꯌꯨ꯫ ꯃꯁꯤꯅꯥ ꯁꯣꯀꯄꯥ ꯊꯤꯡꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫
ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ: ꯅꯍꯥꯛꯅꯥ ꯂꯧꯔꯤꯕꯥ ꯑꯇꯩ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ, ꯚꯤꯇꯥꯃꯤꯅꯁꯤꯡ ꯅꯠꯠꯔꯒꯥ ꯑꯥꯌꯨꯔꯕꯦꯗꯀꯤ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯈꯪꯍꯅꯒꯗꯕꯅꯤ꯫ ꯍꯤꯗꯥꯛ ꯈꯔꯅꯥ ꯍꯦꯄꯥꯔꯤꯅꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯏꯟꯇꯔꯦꯛꯇ ꯇꯧꯕꯥ ꯌꯥꯏ ꯑꯃꯁꯨꯡ ꯃꯁꯤꯒꯤ ꯏꯐꯦꯛꯇꯁꯤꯡ ꯍꯦꯅꯒꯠꯍꯅꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯍꯟꯊꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯑꯍꯥꯅꯕꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯍꯪꯗꯅꯥ ꯑꯅꯧꯕꯥ ꯍꯤꯗꯥꯛ ꯑꯃꯥ ꯀꯩꯗꯧꯉꯩꯗꯥ ꯍꯧꯒꯅꯨ꯫
ꯃꯍꯧꯁꯥꯅꯥ ꯎꯕꯥ ꯐꯪꯂꯤꯕꯥ ꯁꯥꯏꯗ ꯏꯐꯦꯛꯇꯁꯤꯡ:
- ꯏꯅꯖꯦꯀꯁꯟ ꯑꯗꯨ ꯄꯤꯈꯤꯕꯥ ꯃꯐꯝ ꯑꯗꯨꯗꯥ ꯑꯅꯥꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯕ꯭ꯂꯨ ꯑꯣꯏꯕꯥ꯫
- ꯆꯨꯝꯅꯒꯤ ꯈꯣꯡꯖꯦꯜ (temporary)꯫
- ꯕ꯭ꯂꯗ ꯄ꯭ꯂꯦꯇꯂꯦꯠ ꯀꯥꯎꯟꯇ ꯅꯦꯝꯕꯥ (Thrombocytopenia)꯫
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯂꯩꯔꯕꯗꯤ, ꯈꯨꯗꯛꯇꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯈꯪꯍꯅꯕꯤꯌꯨ!
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯥ ꯍꯦꯛꯇꯥ ꯊꯦꯡꯅꯔꯕꯗꯤ, ꯃꯈꯣꯌꯗꯨ ꯌꯦꯡꯁꯤꯅꯕꯤꯒꯅꯨ꯫ ꯈꯨꯗꯛꯇꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯈꯪꯍꯜꯂꯨ ꯅꯠꯠꯔꯒꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯅꯀꯄꯥ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯜ ꯏꯃꯔꯖꯦꯟꯁꯤ ꯗꯤꯄꯥꯔꯇꯃꯦꯟꯇ (ETU)ꯗꯥ ꯆꯠꯂꯨ꯫
- ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ, ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ꯫
- ꯊꯤꯡꯕꯥ ꯉꯃꯗꯕꯥ ꯏ ꯊꯣꯀꯄꯥ (ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯅꯥꯀꯣꯡꯗꯒꯤ, ꯈꯣꯡꯗꯒꯤ)꯫
- ꯍꯀꯆꯥꯡꯗꯥ ꯈꯪꯍꯧꯗꯅꯥ ꯅꯤꯜ ꯈꯣꯡꯕꯥ ꯑꯃꯁꯨꯡ ꯁꯣꯀꯄꯥ꯫
- ꯍꯀꯆꯥꯡꯒꯤ ꯅꯥꯀꯜ ꯑꯃꯗꯥ ꯈꯪꯍꯧꯗꯅꯥ ꯋꯥꯈꯜ ꯇꯥꯗꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯁꯣꯟꯊꯕꯥ꯫
- ꯈꯣꯡꯅꯥ ꯆꯠꯂꯤꯉꯩꯗꯥ ꯇꯨꯝꯕꯥ ꯑꯃꯁꯨꯡ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ꯫
- ꯃꯤꯠ ꯅꯠꯠꯔꯒꯥ ꯁꯣꯛ-ꯄꯅꯕꯗꯥ ꯈꯪꯍꯧꯗꯅꯥ ꯑꯍꯣꯡꯕꯥ ꯂꯥꯀꯄꯥ꯫
- ꯁꯥꯊꯤꯕꯥ ꯃꯀꯣꯛ ꯊꯣꯡꯕꯥ꯫
- ꯈꯣꯡꯗꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯅꯠꯠꯔꯒꯥ ꯍꯥꯔꯇꯀꯤ ꯈꯣꯡꯖꯦꯜ ꯌꯥꯡꯅꯥ ꯆꯦꯅꯕꯥ ꯐꯥꯎꯕꯥ꯫
- ꯀꯣꯐꯤ ꯒ꯭ꯔꯥꯎꯟꯗꯒꯨꯝꯅꯥ ꯈꯣꯡ ꯍꯥꯝꯕꯥ꯫
- ꯕ꯭ꯂꯦꯛ, ꯇꯦꯔꯤ ꯁ꯭ꯇꯣꯜ ꯅꯠꯠꯔꯒꯥ ꯁ꯭ꯇꯣꯜ ꯑꯗꯨꯗꯥ ꯏ ꯂꯩꯕꯥ꯫
- ꯑꯉꯧꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯂꯥꯂꯍꯧꯕꯥ ꯌꯨꯔꯤꯟ꯫
ꯍꯦꯄꯥꯔꯤꯟ ꯑꯁꯤ ꯄꯨꯟꯁꯤ ꯀꯟꯅꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯕꯥ ꯌꯥꯕꯥ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯍꯤꯗꯥꯛ ꯑꯃꯅꯤ꯫ ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯃꯁꯤꯒꯤ ꯀꯥꯟꯅꯕꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯈꯨꯗꯣꯡꯊꯤꯕꯁꯤꯡ ꯑꯗꯨ ꯆꯦꯀꯁꯤꯟꯅꯥ ꯌꯦꯡꯁꯤꯜꯂꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯅꯍꯥꯀꯄꯨ ꯄꯤꯅꯕꯥ ꯋꯥꯔꯦꯞ ꯂꯧꯏ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯍꯪ ꯑꯃꯠꯇꯥ ꯍꯪꯂꯕꯗꯤ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯕꯗꯥ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯂꯩꯔꯣꯏꯗꯕꯅꯤ꯫
ꯇꯦꯛ-ꯍꯣꯝ ꯃꯦꯁꯦꯖ ꯇꯧꯕꯥ꯫
- ꯍꯦꯄꯥꯔꯤꯟ ꯍꯥꯌꯕꯁꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯈꯨꯗꯣꯡꯊꯤꯅꯤꯉꯥꯏ ꯑꯣꯏꯕꯥ ꯏ ꯊꯣꯀꯄꯥ ꯊꯤꯡꯅꯕꯥ ‘ꯕ꯭ꯂꯗ ꯊꯤꯅꯔ’ ꯍꯤꯗꯥꯛ ꯃꯈꯜ ꯑꯃꯅꯤ꯫
- ꯃꯁꯤ ꯚꯦꯅꯝ (IV) ꯑꯃꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯅꯠꯠꯔꯒꯥ ꯈꯣꯡꯒꯤ ꯃꯈꯥꯗꯥ ꯏꯅꯖꯦꯀꯁꯟ ꯑꯃꯥ ꯑꯣꯏꯅꯥ ꯄꯤ꯫ ꯃꯁꯤ ꯍꯤꯗꯥꯛ ꯑꯃꯥ ꯑꯣꯏꯅꯥ ꯂꯧꯕꯥ ꯌꯥꯗꯦ꯫
- ꯅꯍꯥꯛꯅꯥ ꯄꯤꯒꯗꯕꯥ ꯗꯣꯖ ꯑꯗꯨ ꯕ꯭ꯂꯗ ꯇꯦꯁ꯭ꯇꯀꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯌꯥꯝꯅꯥ ꯆꯦꯀꯁꯤꯟꯅꯥ ꯂꯦꯄꯊꯣꯀꯏ꯫
- ꯍꯤꯗꯥꯛ ꯑꯁꯤ ꯂꯧꯕꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯔꯤꯁ꯭ꯛ ꯑꯁꯤ ꯏ ꯌꯥꯝꯅꯥ ꯊꯣꯀꯄꯅꯤ, ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯑꯁꯣꯛ-ꯑꯄꯅꯁꯤꯡꯗꯒꯤ ꯅꯍꯥꯛꯀꯤ ꯅꯁꯥꯕꯨ ꯉꯥꯀꯊꯣꯀꯆꯅꯕꯥ ꯆꯦꯀꯁꯤꯅꯒꯗꯕꯅꯤ꯫
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯆꯝꯕꯥ ꯏ ꯊꯣꯀꯄꯥ, ꯁꯣꯛ-ꯄꯅꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯇꯩ ꯑꯀꯤꯕꯥ ꯄꯣꯀꯍꯅꯕꯥ ꯌꯥꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯎꯕꯥ ꯐꯪꯂꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯈꯨꯗꯛꯇꯥ ꯈꯪꯍꯅꯕꯤꯌꯨ꯫
- ꯅꯍꯥꯛꯅꯥ ꯂꯧꯔꯤꯕꯥ ꯑꯇꯩ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛ ꯄꯨꯝꯅꯃꯛꯀꯤ ꯃꯇꯥꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯈꯪꯍꯅꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫
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