ꯖꯣꯏꯟꯇ ꯄꯦꯟ ꯃꯦꯗꯤꯁꯤꯟ ꯑꯃꯁꯨꯡ ꯁ꯭ꯇꯣꯃꯥꯛ ꯃꯦꯗꯤꯁꯤꯟ ꯑꯃꯗꯥ: ꯑꯩꯈꯣꯌꯅꯥ ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯈꯉꯒꯗ꯭ꯔꯥ? (ꯅꯦꯞꯔꯣꯛꯁꯦꯟ; ꯂ꯭ꯌꯥꯟꯁꯣꯞꯔꯥꯖꯣꯜ) ꯑꯃꯁꯨꯡ ꯑꯦꯟ.

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯗꯣꯛꯇꯔ ꯑꯃꯅꯥ ꯑꯩꯈꯣꯌꯗꯥ ꯈꯨꯎꯒꯤ ꯑꯅꯥꯕꯥ, ꯁꯔꯨ ꯇꯥꯡꯒꯤ ꯑꯅꯥꯕꯥ, ꯑꯃꯁꯨꯡ ꯑꯔꯊ꯭ꯔꯥꯏꯇꯤꯁꯒꯨꯝꯕꯥ ꯀꯟꯗꯤꯁꯅꯁꯤꯡꯒꯤꯗꯃꯛ ꯄꯦꯟ ꯀꯤꯂꯔꯁꯤꯡ ꯄꯤ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯩꯈꯣꯌꯅꯥ ꯄꯦꯟ ꯀꯤꯂꯔ ꯈꯔꯗꯤ ꯃꯈꯥ ꯇꯥꯅꯥ ꯂꯧꯔꯕꯗꯤ, ꯁ꯭ꯇꯣꯃꯥꯛ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯁꯟ ꯑꯃꯁꯨꯡ ꯒꯦꯁ꯭ꯠꯔꯥꯏꯇꯤꯁꯒꯨꯝꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯃꯁꯤ ꯊꯤꯡꯅꯕꯥ ꯑꯩꯈꯣꯌꯅꯥ ꯃꯁꯤꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯁ꯭ꯇꯣꯃꯥꯛ ꯑꯦꯁꯤꯗ ꯍꯟꯊꯍꯅꯕꯥ ꯉꯝꯕꯥ ꯍꯤꯗꯥꯛ ꯑꯃꯥ ꯄꯤꯒꯗꯕꯅꯤ꯫ ꯉꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯍꯤꯗꯥꯛ ꯑꯅꯤ ꯄꯨꯅꯁꯤꯟꯗꯨꯅꯥ ꯍꯤꯗꯥꯛ ꯑꯃꯥ ꯑꯣꯏꯍꯅꯕꯥ ꯑꯈꯟꯅꯕꯥ ꯍꯤꯗꯥꯛ ꯑꯃꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯔꯤ꯫

ꯃꯁꯤ ꯀꯔꯝꯕꯥ ꯃꯈꯂꯒꯤ ꯍꯤꯗꯥꯛꯅꯣ?

ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ ꯃꯁꯤ ꯍꯤꯗꯥꯛ ꯃꯈꯜ ꯑꯅꯤꯒꯤ ꯀꯝꯕꯤꯅꯦꯁꯟ ꯑꯃꯅꯤ꯫

1. ꯅꯦꯞꯔꯣꯛꯁꯦꯟ: ꯃꯁꯤ ꯑꯅꯥꯕꯥ ꯍꯟꯊꯍꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯁꯣꯀꯄꯥ ꯍꯟꯊꯍꯅꯕꯥ ꯍꯤꯗꯥꯛ ꯀꯥꯡꯂꯨꯞ ꯑꯃꯒꯤ ꯃꯅꯨꯡ ꯆꯜꯂꯤ . ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯃꯁꯤꯕꯨ ``ꯅꯟ-ꯁ꯭ꯇꯦꯔꯣꯏꯗ ꯑꯦꯟꯇꯤ-ꯏꯅꯐ꯭ꯂꯦꯃꯦꯇꯔꯤ ꯗ꯭ꯔꯒ'' ꯅꯠꯠꯔꯒꯥ ``NSAID'' ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ ꯃꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯁꯔꯨ ꯇꯥꯡꯁꯤꯡꯗꯥ ꯑꯅꯥꯕꯥ ꯑꯃꯁꯨꯡ ꯁꯣꯀꯄꯥ ꯍꯟꯊꯍꯅꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫ ꯃꯁꯤ ꯃꯍꯧꯁꯥꯅꯥ ꯑꯔꯊ꯭ꯔꯥꯏꯇꯤꯁꯒꯨꯝꯕꯥ ꯀꯟꯗꯤꯁꯅꯁꯤꯡꯒꯤꯗꯃꯛ ꯄꯤꯖꯩ꯫

2. ꯂꯟꯁꯣꯞꯔꯥꯖꯣꯜ: ꯃꯁꯤ ꯁ꯭ꯇꯣꯃꯥꯛ ꯑꯦꯁꯤꯗ ꯄꯨꯊꯣꯀꯄꯥ ꯍꯟꯊꯍꯅꯕꯥ ꯍꯤꯗꯥꯛ ꯑꯃꯅꯤ . ꯃꯁꯤꯕꯨ ``ꯄ꯭ꯔꯣꯇꯣꯟ ꯄꯝꯄ ꯏꯅꯍꯤꯕꯤꯇꯔ'' ꯅꯠꯠꯔꯒꯥ ``(PPI)'' ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ ꯃꯁꯤ ꯃꯊꯛꯇꯥ ꯄꯅꯈ꯭ꯔꯤꯕꯥ ꯅꯦꯞꯔꯣꯛꯁꯦꯅꯒꯨꯝꯕꯥ ꯍꯤꯗꯥꯀꯁꯤꯡꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯁ꯭ꯇꯣꯃꯥꯀꯇꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯕꯥ ꯒꯦꯁ꯭ꯠꯔꯥꯏꯇꯤꯁ ꯑꯃꯁꯨꯡ ꯁ꯭ꯇꯣꯃꯥꯛ ꯑꯂꯁꯔ ꯊꯤꯡꯅꯕꯥ ꯍꯥꯄꯆꯤꯜꯂꯤ꯫

ꯍꯤꯗꯥꯛ ꯑꯁꯤ ꯂꯧꯗ꯭ꯔꯤꯉꯩꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯈꯪꯍꯅꯒꯗꯕꯥ ꯋꯥꯐꯃꯁꯤꯡ꯫

ꯍꯤꯗꯥꯛ ꯑꯁꯤ ꯂꯧꯕꯥ ꯍꯧꯗ꯭ꯔꯤꯉꯩꯗꯥ, ꯅꯍꯥꯛꯅꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯁꯣꯌꯗꯅꯥ ꯈꯪꯍꯅꯒꯗꯕꯅꯤ, ꯃꯔꯃꯗꯤ ꯍꯤꯗꯥꯛ ꯑꯁꯤ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ ꯑꯁꯤꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯁꯤꯖꯤꯟꯅꯕꯅꯥ ꯔꯤꯁ꯭ꯛ ꯂꯩꯕꯥ ꯌꯥꯏ꯫

• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯩꯈꯨ ꯊꯥꯗꯣꯀꯄꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯥ ꯑꯣꯏꯔꯕꯗꯤ .
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯍꯟꯗꯛꯇꯥ ꯍꯥꯔꯠ ꯕꯥꯏꯄꯥꯁ ꯁꯔꯖꯔꯤ (CABG ꯁꯔꯖꯔꯤ) ꯇꯧꯈ꯭ꯔꯕꯗꯤ, ꯍꯥꯌꯕꯗꯤ ꯅꯨꯃꯤꯠ ꯑꯅꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ .
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯀꯅꯥꯒꯨꯝꯕꯥ ꯑꯃꯅꯥ ꯅꯣꯡꯃꯗꯥ ꯌꯨ ꯃꯈꯜ ꯑꯍꯨꯃꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯊꯀꯄꯥ ꯇꯥꯔꯕꯗꯤ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯍꯥꯔꯇꯀꯤ ꯂꯥꯌꯅꯥ ꯅꯠꯠꯔꯒꯥ ꯍꯥꯏ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔꯒꯨꯝꯕꯥ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ ꯂꯩꯔꯕꯗꯤ .
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯃꯥꯡꯗꯥ ꯁ꯭ꯇꯣꯃꯥꯛ ꯕ꯭ꯂꯤꯗꯤꯡ ꯂꯩꯔꯕꯗꯤ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯀꯤꯗꯅꯤꯒꯤ ꯂꯥꯌꯅꯥ ꯅꯠꯠꯔꯒꯥ ꯂꯤꯚꯔꯒꯤ ꯂꯥꯌꯅꯥ ꯂꯩꯔꯕꯗꯤ .
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯦꯖꯃꯥꯒꯨꯝꯕꯥ ꯂꯪꯁꯀꯤ ꯂꯥꯌꯅꯥ ꯂꯩꯔꯕꯗꯤ .
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯅꯥꯞꯔꯣꯛꯁꯦꯟ, ꯑꯦꯁ꯭ꯄꯤꯔꯤꯟ, ꯑꯃꯁꯨꯡ ꯏꯕꯨꯞꯔꯣꯐꯦꯅꯒꯨꯝꯕꯥ NSAIDꯁꯤꯡ, ꯂꯦꯅꯁꯣꯞꯔꯥꯖꯣꯂꯒꯨꯝꯕꯥ PPIꯁꯤꯡ, ꯑꯇꯩ ꯍꯤꯗꯥꯀꯁꯤꯡ, ꯆꯤꯟꯖꯥꯀꯁꯤꯡ ꯅꯠꯠꯔꯒꯥ ꯄ꯭ꯔꯤꯖꯥꯔꯕꯦꯁꯅꯁꯤꯡꯗꯥ ꯑꯦꯂꯥꯔꯖꯤꯒꯤ ꯔꯤꯑꯦꯛꯁꯟ ꯂꯩꯔꯕꯗꯤ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯤꯔꯣꯜꯂꯤꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯃꯤꯔꯣꯅꯕꯥ ꯍꯣꯠꯅꯔꯕꯗꯤ .
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯈꯣꯝꯂꯥꯡ ꯄꯤꯊꯀꯄꯥ ꯃꯃꯥ ꯑꯃꯥ ꯑꯣꯏꯔꯕꯗꯤ .

ꯍꯤꯗꯥꯛ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯁꯤꯖꯤꯟꯅꯒꯗꯒꯦ?

ꯍꯤꯗꯥꯛ ꯑꯁꯤ ꯏꯁꯤꯡꯒꯤ ꯒ꯭ꯂꯥꯁ ꯑꯃꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯆꯥꯒꯗꯕꯅꯤ꯫ ꯆꯥꯅꯕꯤꯗꯨꯅꯥ ꯇꯦꯕꯜ ꯑꯁꯤ ꯆꯦꯛꯁꯤꯟꯅꯥ ꯅꯠꯠꯔꯒꯥ ꯀꯨꯄꯁꯤꯅꯕꯤꯒꯅꯨ꯫. ꯃꯗꯨ ꯃꯗꯨꯒꯨꯝꯅꯥ ꯂꯧꯊꯣꯀꯎ꯫ ꯗꯣꯛꯇꯔꯅꯥ ꯍꯥꯌꯔꯀꯄꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ, ꯍꯤꯗꯥꯛ ꯑꯗꯨ ꯃꯇꯤꯛ ꯆꯥꯕꯥ ꯃꯇꯃꯗꯥ ꯆꯥꯒꯗꯕꯅꯤ꯫ ꯄꯤꯔꯤꯕꯥ ꯗꯣꯖ ꯑꯗꯨꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯂꯧꯔꯣꯏꯗꯕꯅꯤ꯫

ꯃꯔꯨꯑꯣꯏꯕꯥ: ꯍꯤꯗꯥꯛ ꯑꯁꯤꯅꯥ ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯂꯦꯞꯇꯅꯥ ꯁꯤꯖꯤꯟꯅꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯍꯥꯔꯠ ꯑꯦꯇꯦꯛ ꯅꯠꯠꯔꯒꯥ ꯁ꯭ꯠꯔꯣꯀꯀꯤ ꯔꯤꯁ꯭ꯛ ꯈꯔꯥ ꯍꯦꯅꯒꯠꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯃꯇꯝ ꯄꯨꯝꯅꯃꯛꯇꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯄꯤꯕꯥ ꯃꯇꯝ ꯑꯗꯨꯈꯛꯇꯗꯥ ꯁꯤꯖꯤꯟꯅꯧ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯩꯅꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛꯀꯤ ꯗꯣꯖ ꯑꯃꯥ ꯁꯣꯟꯊꯔꯕꯗꯤ ꯀꯔꯤ ꯇꯧꯒꯅꯤ?

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯗꯣꯖ ꯑꯃꯥ ꯂꯧꯕꯥ ꯀꯥꯎꯔꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯅꯤꯡꯁꯤꯡꯂꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯂꯧ꯫ ꯑꯗꯨꯕꯨ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯃꯊꯪꯒꯤ ꯗꯣꯖꯒꯤ ꯃꯇꯝ ꯌꯧꯔꯛꯂꯕꯗꯤ, ꯃꯥꯡꯈꯤꯕꯥ ꯗꯣꯖ ꯑꯗꯨ ꯊꯥꯗꯣꯀꯎ ꯑꯃꯁꯨꯡ ꯃꯊꯪꯒꯤ ꯗꯣꯖ ꯑꯗꯨ ꯂꯦꯄꯊꯣꯛꯂꯕꯥ ꯃꯇꯃꯗꯥ ꯂꯧ꯫ ꯃꯥꯡꯈꯤꯕꯥ ꯗꯣꯖ ꯑꯗꯨ ꯂꯣꯌꯁꯤꯟꯅꯕꯥ ꯀꯩꯗꯧꯉꯩꯗꯥ ꯗꯣꯖ ꯑꯅꯤ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯂꯧꯔꯣꯏꯗꯕꯅꯤ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯩꯅꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛ ꯌꯥꯝꯅꯥ ꯂꯧꯔꯕꯗꯤ ꯀꯔꯤ ꯇꯧꯒꯅꯤ?

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛ ꯌꯥꯝꯅꯥ ꯆꯥꯔꯦ ꯍꯥꯌꯅꯥ ꯈꯜꯂꯕꯗꯤ, ꯈꯨꯗꯛꯇꯥ ꯀꯣꯂꯝꯕꯣ ꯅꯦꯁꯅꯦꯜ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯂꯗꯥ ꯂꯩꯕꯥ ꯅꯦꯁꯅꯦꯜ ꯄꯣꯏꯖꯅꯁ ꯏꯅꯐꯣꯔꯃꯦꯁꯟ ꯁꯦꯟꯇꯔꯗꯥ ꯐꯣꯟ ꯇꯧꯕꯤꯌꯨ , ꯅꯠꯠꯔꯒꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯅꯀꯄꯥ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯂꯒꯤ ꯏꯃꯔꯖꯦꯟꯁꯤ ꯇ꯭ꯔꯤꯇꯃꯦꯟꯇ ꯌꯨꯅꯤꯠ (ETU)ꯗꯥ ꯆꯠꯄꯤꯌꯨ꯫

ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛ ꯂꯧꯕꯥ ꯃꯇꯃꯗꯥ ꯋꯥꯈꯂꯗꯥ ꯊꯃꯒꯗꯕꯥ ꯋꯥꯐꯃꯁꯤꯡ꯫

ꯍꯤꯗꯥꯛ ꯑꯁꯤ ꯁꯤꯖꯤꯟꯅꯕꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯄꯨꯛꯅꯤꯡ ꯆꯪꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯋꯥꯐꯝ ꯀꯌꯥ ꯂꯩ꯫

ꯁ꯭ꯇꯣꯃꯥꯛ ꯑꯂꯁꯔ ꯑꯃꯁꯨꯡ ꯏ ꯊꯣꯀꯄꯒꯤ ꯔꯤꯁ꯭ꯛ ꯂꯩ꯫

ꯍꯤꯗꯥꯛ ꯑꯁꯤꯅꯥ ꯃꯤꯑꯣꯏ ꯈꯔꯗꯥ ꯆꯦꯀꯁꯤꯅꯋꯥ ꯌꯥꯑꯣꯗꯅꯥ ꯁ꯭ꯇꯣꯃꯥꯛ ꯑꯂꯁꯔ ꯑꯃꯁꯨꯡ ꯏ ꯊꯣꯀꯄꯥ ꯌꯥꯏ . ꯃꯩꯈꯨ ꯁꯤꯖꯤꯟꯅꯕꯥ, ꯌꯨ ꯊꯀꯄꯥ, ꯆꯍꯤ ꯌꯥꯃꯈꯠꯂꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯃꯈꯥ ꯇꯥꯕꯥ ꯍꯀꯁꯦꯂꯒꯤ ꯐꯤꯚꯃꯁꯤꯡ ꯂꯩꯕꯅꯥ ꯔꯤꯁ꯭ꯛ ꯑꯁꯤ ꯍꯦꯅꯒꯠꯍꯜꯂꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯁꯥꯊꯤꯕꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯂꯩꯔꯕꯗꯤ , ꯏ ꯁꯣꯀꯄꯥ , ꯅꯠꯠꯔꯒꯥ ꯕ꯭ꯂꯦꯛ, ꯇꯦꯔꯤ ꯁ꯭ꯇꯣꯂꯁꯤꯡ ꯂꯩꯔꯕꯗꯤ (ꯃꯁꯤꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯔꯤꯕꯥ ꯏ ꯄꯥꯁ ꯇꯧꯔꯦ ꯍꯥꯌꯕꯥ ꯇꯥꯀꯄꯥ ꯌꯥꯏ) ꯈꯨꯗꯛꯇꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯀꯧ꯫

ꯍꯥꯔꯠ ꯑꯦꯇꯦꯛ ꯑꯃꯁꯨꯡ ꯁ꯭ꯠꯔꯣꯛ ꯔꯤꯁ꯭ꯛ ꯂꯩꯕꯥ꯫

ꯍꯤꯗꯥꯛ ꯑꯁꯤꯅꯥ ꯍꯥꯔꯠ ꯑꯦꯇꯦꯛ ꯅꯠꯠꯔꯒꯥ ꯁ꯭ꯠꯔꯣꯛ ꯊꯤꯡꯗꯦ꯫ ꯇꯁꯦꯡꯕꯗꯤ ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯁꯤꯖꯤꯟꯅꯕꯅꯥ ꯔꯤꯁ꯭ꯛ ꯍꯦꯅꯒꯠꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯍꯥꯔꯠ ꯑꯦꯇꯦꯛ ꯇꯧꯗꯅꯕꯥ ꯑꯦꯁ꯭ꯄꯤꯔꯤꯅꯒꯨꯝꯕꯥ ꯍꯤꯗꯥꯛ ꯑꯃꯥ ꯂꯧꯔꯕꯗꯤ, ꯍꯤꯗꯥꯛ ꯑꯁꯤ ꯁꯤꯖꯤꯟꯅꯕꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯇꯥꯟꯅꯧ꯫

ꯑꯣꯏꯊꯣꯀꯄꯥ ꯌꯥꯕꯥ ꯁꯥꯊꯤꯕꯥ ꯁ꯭ꯀꯤꯟ ꯔꯤꯑꯦꯛꯁꯅꯁꯤꯡ꯫

ꯃꯤꯑꯣꯏ ꯈꯔꯗꯗꯤ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛ ꯍꯧꯔꯕꯥ ꯃꯇꯨꯡ ꯅꯨꯃꯤꯠ ꯈꯔꯅꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯁ꯭ꯀꯤꯟ ꯔꯤꯑꯦꯛꯁꯅꯁꯤꯡ ꯂꯥꯀꯄꯥ ꯌꯥꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯥꯏꯍꯧ ꯅꯠꯠꯔꯒꯥ ꯆꯤꯀꯄꯥ ꯑꯁꯤꯅꯆꯤꯡꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯂꯥꯂꯍꯧꯕꯥ ꯂꯥꯂꯍꯧꯕꯥ ꯑꯃꯥ ꯂꯥꯀꯄꯥ ꯇꯥꯔꯕꯗꯤ , ꯀꯔꯤꯒꯨꯝꯕꯥ ꯔꯦꯁꯝ ꯑꯗꯨ ꯕ꯭ꯂꯤꯁ꯭ꯇꯔꯗꯥ ꯑꯣꯟꯊꯣꯛꯂꯕꯗꯤ ꯅꯠꯠꯔꯒꯥ ꯈꯣꯡꯗꯥ ꯈꯣꯡ ꯍꯥꯝꯕꯥ ꯍꯧꯔꯛꯂꯕꯗꯤ ꯈꯨꯗꯛꯇꯥ ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯄꯥꯎꯇꯥꯛ ꯂꯧꯕꯤꯌꯨ꯫ ꯅꯠꯠꯔꯒꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯥꯌ, ꯊꯕꯥꯛ, ꯈꯣꯡ ꯅꯠꯠꯔꯒꯥ ꯈꯣꯡꯗꯥ ꯁꯣꯀꯄꯥ ꯌꯥꯕꯥ ꯂꯥꯂꯍꯧꯕꯥ ꯂꯥꯂꯍꯧ ꯑꯃꯥ ꯂꯥꯀꯄꯥ ꯇꯥꯔꯕꯗꯤ, ꯋꯥꯈꯜ ꯇꯥꯕꯤꯌꯨ꯫

ꯃꯤꯔꯣꯜꯂꯤꯉꯩ ꯃꯇꯃꯗꯥ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯤꯔꯣꯜꯂꯤꯕꯥ ꯑꯣꯏꯔꯕꯗꯤ, ꯍꯤꯗꯥꯛ ꯑꯁꯤ ꯂꯧꯗ꯭ꯔꯤꯉꯩꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯇꯥꯟꯅꯧ꯫ ꯍꯤꯗꯥꯛ ꯑꯁꯤ ꯃꯔꯨꯑꯣꯏꯅꯥ ꯃꯤꯔꯣꯜꯂꯤꯉꯩꯒꯤ ꯅꯨꯃꯤꯠ 20 ꯑꯃꯁꯨꯡ 30ꯒꯤ ꯃꯔꯛꯇꯥ ꯂꯧꯕꯅꯥ ꯄꯣꯀꯄꯥ ꯑꯉꯥꯡ ꯑꯗꯨꯗꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯅꯨꯃꯤꯠ ꯳꯰ꯅꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯍꯤꯗꯥꯛ ꯑꯁꯤ ꯃꯄꯨꯡ ꯐꯥꯅꯥ ꯂꯧꯔꯣꯏꯗꯕꯅꯤ .

ꯑꯇꯣꯞꯄꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯋꯥꯐꯃꯁꯤꯡ꯫

• ꯍꯤꯗꯥꯛ ꯑꯁꯤꯅꯥ ꯇꯨꯝꯕꯥ ꯌꯥꯗꯕꯥ ꯑꯃꯁꯨꯡ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ . ꯃꯔꯝ ꯑꯗꯨꯅꯥ, ꯃꯁꯤꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯀꯔꯝꯅꯥ ꯁꯣꯀꯍꯅꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯅꯍꯥꯛꯅꯥ ꯈꯪꯗ꯭ꯔꯤꯐꯥꯎꯕꯥ, ꯗ꯭ꯔꯥꯏꯚꯤꯡ ꯅꯠꯠꯔꯒꯥ ꯃꯦꯁꯤꯅꯔꯤ ꯑꯣꯄꯔꯦꯠ ꯇꯧꯕꯥ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯑꯦꯂꯔꯠꯅꯦꯁ ꯃꯊꯧ ꯇꯥꯕꯥ ꯊꯕꯛ-ꯊꯧꯔꯃꯁꯤꯡꯗꯒꯤ ꯂꯥꯞꯅꯥ ꯂꯩꯌꯨ꯫
• ꯌꯨ ꯊꯀꯄꯅꯥ ꯍꯤꯗꯥꯛ ꯑꯁꯤꯒꯤ ꯏꯐꯦꯛꯇꯤꯕꯅꯦꯁꯇꯥ ꯑꯀꯥꯌꯕꯥ ꯄꯤꯕꯥ ꯌꯥꯏ, ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯌꯨ ꯊꯀꯄꯗꯒꯤ ꯂꯥꯞꯅꯥ ꯂꯩꯌꯨ .
• ꯍꯤꯗꯥꯛ ꯑꯁꯤ ꯆꯥꯕꯥ ꯃꯇꯃꯗꯥ ꯏ ꯊꯣꯀꯄꯥ ꯈꯔꯥ ꯍꯦꯅꯒꯠꯂꯀꯏ, ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯕ꯭ꯔꯁ ꯇꯧꯕꯥ ꯑꯃꯁꯨꯡ ꯐ꯭ꯂꯣꯁ ꯇꯧꯕꯥ ꯃꯇꯃꯗꯥ ꯆꯦꯀꯁꯤꯅꯒꯗꯕꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯗꯦꯟꯇꯤꯁ꯭ꯠ ꯇ꯭ꯔꯤꯠꯃꯦꯟꯇ ꯇꯧꯔꯛꯀꯗꯧꯔꯤꯕꯥ ꯑꯣꯏꯔꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯍꯤꯗꯥꯛ ꯑꯁꯤ ꯂꯧꯔꯤ ꯍꯥꯌꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯦꯟꯇꯤꯁ꯭ꯠ ꯑꯗꯨꯗꯥ ꯈꯪꯍꯜꯂꯨ꯫

ꯍꯤꯗꯥꯛ ꯑꯁꯤꯒꯤ ꯑꯣꯏꯊꯣꯀꯄꯥ ꯌꯥꯕꯥ ꯁꯥꯏꯗ ꯏꯐꯦꯛꯇꯁꯤꯡ ꯀꯔꯤꯅꯣ?

ꯍꯤꯗꯥꯛ ꯑꯃꯍꯦꯛꯇꯒꯨꯝꯅꯥ, ꯃꯁꯤꯅꯥ ꯁꯥꯏꯗ ꯏꯐꯦꯛꯇꯁꯤꯡ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ, ꯑꯗꯨꯕꯨ ꯃꯤꯄꯨꯝ ꯈꯨꯗꯤꯡꯃꯛꯅꯥ ꯃꯈꯣꯌ ꯑꯁꯤ ꯐꯪꯗꯦ꯫