ꯍꯥꯔꯇꯇꯥ ꯏ ꯊꯣꯀꯄꯥ ꯌꯥꯕꯒꯤ ꯁꯣꯜꯌꯨꯁꯟ ꯑꯃꯥ? (ꯂꯦꯐꯠ ꯑꯦꯠꯔꯤꯌꯥꯜ ꯑꯦꯄꯦꯟꯗꯤꯛꯁ ꯀ꯭ꯂꯣꯖꯔ) ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯈꯉꯁꯤ!

ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯑꯦꯠꯔꯤꯌꯥꯜ ꯐꯤꯕꯔ (Atrial Fibrillation) ꯍꯥꯌꯅꯥ ꯈꯪꯍꯅꯈ꯭ꯔꯕꯔꯥ, ꯃꯗꯨ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯕꯥ ꯍꯥꯔꯇꯀꯤ ꯂꯥꯌꯅꯥ ꯑꯃꯥ ꯂꯩꯕ꯭ꯔꯥ? ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯅꯥ ꯑꯇꯣꯞꯄꯁꯤꯡꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯁ꯭ꯠꯔꯣꯛ ꯊꯣꯀꯄꯒꯤ ꯆꯥꯡ ꯑꯁꯤ ꯁꯔꯨꯛ ꯑꯍꯨꯝ ꯊꯣꯀꯄꯒꯤ ꯑꯃꯗꯒꯤ ꯃꯉꯥ ꯐꯥꯎꯕꯥ ꯍꯦꯜꯂꯤ ꯍꯥꯌꯕꯁꯤ ꯅꯍꯥꯛꯅꯥ ꯈꯪꯂꯒꯅꯤ꯫ ꯃꯁꯤꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯔꯃꯗꯤ ꯍꯥꯔꯇꯀꯤ ꯃꯅꯨꯡꯗꯥ ꯁꯦꯝꯕꯥ ꯕ꯭ꯂꯗ ꯀ꯭ꯂꯣꯇꯁꯤꯡꯅꯤ꯫ ꯑꯗꯨꯅꯥ ꯉꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯃꯤꯑꯣꯏ ꯀꯌꯥꯗꯥ ꯑꯆꯧꯕꯥ ꯔꯤꯂꯤꯐ ꯑꯃꯥ ꯄꯨꯔꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯈꯨꯗꯣꯡꯊꯤꯅꯤꯡꯉꯥꯏ ꯑꯣꯏꯕꯥ ꯔꯤꯁ꯭ꯛ ꯑꯁꯤ ꯍꯟꯊꯍꯟꯅꯕꯥ ꯁꯤꯖꯤꯟꯅꯔꯤꯕꯥ ꯑꯈꯟꯅꯕꯥ ꯂꯥꯌꯦꯡ ꯑꯃꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯔꯤ꯫

ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯂꯦꯐꯠ ꯑꯦꯠꯔꯤꯌꯥꯜ ꯑꯦꯄꯦꯟꯗꯤꯛꯁ ꯀ꯭ꯂꯣꯖꯔ ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ?

ꯑꯣꯀꯦ, ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯂꯨꯕꯥ ꯃꯤꯡ ꯑꯃꯥ ꯑꯣꯏꯅꯥ ꯁꯣꯅꯕꯥ ꯌꯥꯏ, ꯑꯗꯨꯕꯨ ꯋꯥꯔꯤ ꯑꯁꯤꯗꯤ ꯌꯥꯝꯅꯥ ꯂꯥꯏꯕꯛ ꯐꯕꯅꯤ꯫ ꯑꯩꯈꯣꯌꯒꯤ ꯊꯝꯃꯣꯌꯒꯤ ꯑꯋꯥꯡꯕꯥ ꯆꯦꯝꯕꯔ ꯑꯣꯏꯔꯤꯕꯥ ꯂꯦꯐꯠ ꯑꯦꯠꯔꯤꯌꯥꯝ (left atrium)ꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯈꯅꯕꯤꯌꯨ꯫ ꯆꯦꯝꯕꯔ ꯑꯁꯤꯒꯤ ꯋꯥꯂꯗꯒꯤ ꯊꯣꯔꯀꯄꯥ ꯑꯄꯤꯀꯄꯥ ꯄꯥꯎꯆꯦꯒꯨꯝꯕꯥ ꯁꯔꯨꯛ ꯑꯃꯥ ꯂꯩ꯫ ꯃꯁꯤꯕꯨ ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯂꯦꯐꯠ ꯑꯦꯠꯔꯤꯌꯥꯜ ꯑꯦꯄꯦꯟꯗꯤꯛꯁ (ꯑꯦꯜ.ꯑꯦ.ꯑꯦ.) ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫

ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯅꯥ, ꯍꯥꯔꯠ ꯑꯗꯨ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯁꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯏ ꯑꯗꯨ ꯁꯦꯛ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯆꯦꯟꯊꯈꯤ ꯑꯃꯁꯨꯡ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯊꯣꯀꯏ꯫ ꯑꯗꯨꯕꯨ ꯑꯦꯠꯔꯤꯌꯥꯜ ꯐꯥꯏꯕ꯭ꯔꯤꯂꯦꯁꯟ (Afib) ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯗꯥ, ꯍꯥꯔꯇꯀꯤ ꯃꯊꯛꯀꯤ ꯆꯦꯝꯕꯔꯁꯤꯡ ꯑꯁꯤ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯗꯦ, ꯃꯗꯨꯒꯤ ꯃꯍꯨꯠꯇꯥ ꯀꯨꯄꯁꯤꯜꯂꯤ꯫ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ, LAA ꯀꯧꯕꯥ ꯁꯦꯛ ꯑꯗꯨꯗꯥ ꯏ ꯌꯥꯎꯔꯀꯏ, ꯑꯃꯁꯨꯡ ꯏ ꯊꯣꯀꯄꯥ ꯍꯧꯔꯀꯏ꯫ ꯑꯐꯤꯕ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯗꯥ ꯁ꯭ꯠꯔꯣꯛ ꯊꯣꯀꯍꯅꯕꯥ ꯏꯒꯤ ꯈꯣꯡꯖꯦꯂꯒꯤ 90%ꯗꯤ ꯑꯦꯜ.ꯑꯦ.ꯑꯦ.

ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯥ ꯋꯥꯐꯃꯗꯤ ꯑꯦꯜ.ꯑꯦ.ꯑꯦ.ꯒꯤ ꯁꯔꯨꯛ ꯑꯁꯤ ꯊꯤꯡꯖꯤꯅꯕꯅꯥ ꯊꯝꯃꯣꯌꯒꯤ ꯑꯇꯩ ꯐꯉ꯭ꯀꯁꯅꯁꯤꯡꯗꯥ ꯑꯀꯥꯌꯕꯥ ꯄꯤꯗꯦ꯫ ꯍꯥꯔꯠ ꯑꯁꯤ ꯃꯁꯤ ꯌꯥꯎꯗꯅꯥ ꯐꯖꯅꯥ ꯊꯕꯛ ꯇꯧꯕꯥ ꯉꯝꯃꯤ꯫

ꯃꯁꯤꯒꯤ ꯂꯥꯌꯦꯡ ꯑꯁꯤ ꯀꯅꯥꯅꯥ ꯃꯊꯧ ꯇꯥꯔꯤꯕꯒꯦ?

ꯂꯥꯏꯌꯦꯡ ꯑꯁꯤ ꯃꯔꯨꯑꯣꯏꯅꯥ ꯁ꯭ꯠꯔꯣꯀꯀꯤ ꯔꯤꯁ꯭ꯛ ꯋꯥꯡꯕꯥ ꯑꯦꯠꯔꯤꯌꯥꯜ ꯐꯤꯕꯔ (Afib) ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯗꯥ ꯔꯦꯀꯃꯦꯟꯗ ꯇꯧꯏ꯫ ꯃꯔꯨꯑꯣꯏꯅꯥ ꯕ꯭ꯂꯗ ꯊꯤꯅꯔꯁꯤꯡꯒꯤ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯒꯤꯗꯃꯛ ꯃꯁꯤ ꯑꯐꯕꯥ ꯁꯣꯂꯨꯁꯟ ꯑꯃꯅꯤ꯫

ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯑꯌꯥꯝꯕꯅꯥ ꯁ꯭ꯠꯔꯣꯀꯀꯤ ꯔꯤꯁ꯭ꯛ ꯍꯟꯊꯍꯟꯅꯕꯥ ꯋꯥꯔꯐꯦꯔꯤꯟ (Coumadin®) ꯒꯨꯝꯕꯥ ꯕ꯭ꯂꯗ ꯊꯤꯅꯔꯁꯤꯡ ꯄꯤ꯫ ꯑꯗꯨꯕꯨ ꯃꯤꯑꯣꯏ ꯈꯔꯗꯤ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯂꯩ:

• ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯕ꯭ꯂꯗ ꯇꯦꯁ꯭ꯠ ꯇꯧꯕꯥ: ꯅꯍꯥꯛꯅꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛꯀꯤ ꯑꯆꯨꯝꯕꯥ ꯗꯣꯖ ꯑꯗꯨ ꯂꯧꯔꯤꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯈꯪꯗꯣꯛꯅꯕꯥ ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯕ꯭ꯂꯗ ꯇꯦꯁ꯭ꯠ ꯇꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯏ꯫
• ꯗꯥꯏꯠ ꯀꯟꯠꯔꯣꯜ: ꯚꯤꯇꯥꯃꯤꯟ K ꯌꯥꯎꯕꯥ ꯎꯍꯩ-ꯋꯥꯍꯩꯁꯤꯡꯒꯨꯝꯕꯥ ꯆꯤꯟꯖꯥꯛ ꯈꯔꯗꯤ ꯂꯤꯃꯤꯠ ꯂꯩꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯏ꯫
• ꯏ ꯊꯣꯀꯄꯒꯤ ꯔꯤꯁ꯭ꯛ: ꯍꯤꯗꯥꯛ ꯑꯁꯤꯅꯥ ꯑꯄꯤꯀꯄꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯑꯃꯗꯒꯤ ꯐꯥꯎꯕꯥ ꯏ ꯊꯣꯀꯄꯒꯤ ꯊꯧꯑꯣꯡ ꯑꯁꯤ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯁꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯇꯣꯏꯅꯥ ꯁꯣꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯏꯟꯇꯦꯁ꯭ꯇꯥꯏꯅꯁꯤꯡꯗꯒꯤ ꯏ ꯊꯣꯀꯄꯥ ꯌꯥꯕꯒꯤ ꯈꯨꯗꯣꯡꯊꯤꯕꯥ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯒꯤꯗꯃꯛ ꯈꯨꯗꯣꯡꯊꯤꯅꯤꯉꯥꯏ ꯑꯣꯏ꯫
• ꯍꯤꯗꯥꯛ ꯑꯁꯤꯅꯥ ꯃꯤꯑꯣꯏ ꯈꯔꯗꯗꯤ ꯊꯕꯛ ꯇꯧꯗꯦ꯫

ꯋꯥꯔꯐꯦꯔꯤꯟ ꯌꯥꯎꯗꯕꯥ ꯑꯦꯄꯤꯛꯁꯥꯕꯟ (Eliquis®), ꯔꯤꯚꯥꯔꯣꯛꯁꯥꯕꯟ (Xarelto®)꯫ꯑꯁꯤꯒꯨꯝꯕꯥ ꯑꯅꯧꯕꯥ ꯍꯤꯗꯥꯀꯁꯤꯡ ꯂꯩꯔꯕꯁꯨ ꯃꯈꯣꯌ ꯑꯁꯤ ꯃꯤꯄꯨꯝ ꯈꯨꯗꯤꯡꯃꯛꯀꯤꯗꯃꯛ ꯊꯕꯛ ꯇꯧꯗꯦ꯫ ꯃꯈꯣꯌ ꯑꯁꯤ ꯃꯤꯑꯣꯏ ꯈꯔꯗꯗꯤ ꯃꯃꯜ ꯌꯥꯝꯅꯥ ꯆꯪꯏ, ꯑꯃꯁꯨꯡ ꯃꯈꯣꯌ ꯑꯁꯤ ꯏ ꯊꯣꯀꯄꯒꯤ ꯔꯤꯁ꯭ꯛ ꯑꯃꯁꯨ ꯄꯨꯗꯨꯅꯥ ꯆꯠꯂꯤ꯫

ꯑꯗꯨꯅꯥ, ꯑꯁꯤꯒꯨꯝꯕꯥ ꯃꯔꯃꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯏ ꯊꯤꯡꯖꯤꯅꯕꯥ ꯍꯤꯗꯥꯀꯁꯤꯡ ꯃꯈꯥ ꯇꯥꯅꯥ ꯂꯧꯕꯗꯥ ꯑꯋꯥꯕꯥ ꯃꯥꯌꯣꯛꯅꯔꯤꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯒꯤ ꯑꯣꯏꯅꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯑꯦꯜ.ꯑꯦ.ꯑꯦ.

ꯑꯦꯜ.ꯑꯦ.ꯑꯦ.ꯕꯨ ꯂꯣꯏꯁꯤꯟꯅꯕꯥ ꯀꯔꯤ ꯄꯥꯝꯕꯩꯁꯤꯡ ꯁꯤꯖꯤꯟꯅꯔꯤꯕꯒꯦ?

ꯑꯦꯜ.ꯑꯦ.ꯑꯦ.ꯒꯤ ꯁꯔꯨꯛ ꯑꯁꯤ ꯂꯣꯏꯁꯤꯟꯅꯕꯥ ꯇꯣꯉꯥꯟ ꯇꯣꯉꯥꯅꯕꯥ ꯄꯥꯝꯕꯩꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯈꯨꯠꯂꯥꯌꯁꯤꯡ ꯂꯩꯔꯤ꯫ ꯃꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯈꯔꯗꯤ:

ꯂꯥꯏꯌꯦꯡꯒꯤꯗꯃꯛ ꯁꯦꯝ-ꯁꯥꯕꯥ ꯑꯃꯁꯨꯡ ꯄꯥꯡꯊꯣꯀꯄꯥ꯫

ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯃꯃꯥꯡꯗꯥ꯫

ꯅꯍꯥꯛꯅꯥ ꯂꯥꯏꯌꯦꯡ ꯑꯁꯤ ꯄꯥꯡꯊꯣꯛꯠꯔꯤꯉꯩ ꯃꯃꯥꯡꯗꯥ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯥꯔꯠ ꯑꯗꯨ ꯇ꯭ꯔꯥꯟꯁꯦꯁꯣꯐꯦꯖꯤꯑꯦꯜ ꯏꯀꯣꯀꯥꯔꯗꯤꯑꯣꯒ꯭ꯔꯥꯐ (TEE) ꯑꯃꯅꯥ ꯌꯦꯡꯁꯤꯅꯒꯅꯤ꯫ꯇꯤ.ꯏ.ꯏ ꯅꯠꯠꯔꯒꯥ ꯀꯥꯔꯗꯤꯌꯦꯛ ꯁꯤ.ꯇꯤ. ꯇꯤ.ꯏ.ꯏ.ꯅꯥ ꯊꯝꯃꯣꯌꯗꯥ ꯂꯩꯕꯥ ꯑꯦꯜ.ꯑꯦ.ꯑꯦ.ꯒꯤ ꯑꯆꯨꯝꯕꯥ ꯃꯑꯣꯡ ꯑꯃꯁꯨꯡ ꯁꯥꯏꯖ ꯑꯗꯨ ꯌꯦꯡꯁꯤꯟꯅꯕꯥ ꯏꯁꯣꯐꯦꯒꯁꯀꯤ ꯃꯈꯥꯗꯥ ꯑꯄꯤꯀꯄꯥ ꯀꯦꯃꯦꯔꯥ ꯑꯃꯥ ꯊꯥꯗꯣꯀꯄꯅꯤ꯫ ꯃꯁꯤꯒꯤ ꯃꯔꯃꯗꯤ ꯃꯤꯄꯨꯝ ꯈꯨꯗꯤꯡꯃꯛꯀꯤ ꯑꯦꯜ.ꯑꯦ.ꯑꯦ. ꯃꯤꯑꯣꯏ ꯈꯔꯒꯤ ꯑꯦꯜ.ꯑꯦ.ꯑꯦ.ꯁꯤꯡ ꯑꯁꯤ ꯉꯥꯒꯤ ꯈꯣꯡꯎꯄꯒꯨꯝꯅꯥ ꯁꯦꯝꯕꯅꯤ, ꯑꯗꯨꯒꯥ ꯑꯇꯣꯞꯄꯥ ꯈꯔꯒꯤ ꯑꯦꯜ.ꯑꯦ.ꯑꯦ. ꯃꯁꯤꯒꯤ ꯁ꯭ꯀꯦꯟ ꯑꯁꯤ ꯅꯍꯥꯛꯀꯤꯗꯃꯛꯇꯥ ꯑꯆꯨꯝꯕꯥ ꯗꯤꯚꯥꯏꯁ ꯑꯃꯁꯨꯡ ꯁꯥꯏꯖ ꯈꯅꯕꯗꯥ ꯁꯤꯖꯤꯟꯅꯩ꯫

ꯃꯁꯤꯒꯤ ꯃꯊꯛꯇꯥ, ꯅꯍꯥꯛꯅꯥ ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯃꯃꯥꯡꯗꯥ ꯄꯨꯡ ꯈꯔꯒꯤ ꯑꯣꯏꯅꯥ ꯆꯥꯕꯥ ꯑꯃꯁꯨꯡ ꯊꯀꯄꯥ (ꯔꯣꯖꯥ) ꯊꯤꯡꯅꯕꯥ ꯄꯥꯎꯇꯥꯛ ꯄꯤꯒꯅꯤ꯫

ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯃꯇꯃꯗꯥ꯫

ꯃꯁꯤ ꯇꯧꯅꯕꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯄꯥꯝꯕꯩ ꯑꯅꯤ ꯂꯩ꯫

1. ꯑꯇꯣꯞꯄꯥ ꯍꯥꯔꯠ ꯁꯔꯖꯔꯤꯒꯥ ꯃꯇꯝ ꯑꯃꯗꯥ ꯄꯥꯡꯊꯣꯀꯄꯥ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯇꯣꯞꯄꯥ ꯑꯆꯧꯕꯥ ꯍꯥꯔꯠ ꯁꯔꯖꯔꯤ ꯑꯃꯥ, ꯍꯥꯌꯕꯗꯤ ꯕꯥꯏꯄꯥꯁ ꯁꯔꯖꯔꯤ ꯑꯃꯥ ꯇꯧꯔꯕꯗꯤ, ꯁꯔꯖꯔꯤ ꯑꯗꯨꯅꯥ ꯃꯇꯝ ꯑꯃꯠꯇꯗꯥ ꯑꯦꯜ.ꯑꯦ.ꯑꯦ.ꯒꯤ ꯁꯔꯨꯛ ꯑꯁꯤ ꯀꯀꯊꯠꯄꯥ ꯑꯃꯁꯨꯡ ꯂꯧꯊꯣꯀꯄꯥ ꯌꯥꯏ, ꯅꯠꯠꯔꯒꯥ ꯊꯤꯡꯖꯤꯅꯕꯥ ꯌꯥꯏ꯫

2. ꯃꯤꯅꯤꯃꯝ ꯏꯅꯚꯦꯁꯤꯕ: ꯃꯁꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯃꯦꯊꯗꯅꯤ꯫ ꯃꯐꯝ ꯑꯁꯤꯗꯥ ꯑꯆꯧꯕꯥ ꯏꯅꯁꯤꯁꯟ ꯑꯃꯠꯇꯥ ꯂꯩꯇꯦ꯫ ꯃꯁꯤ ꯊꯣꯀꯄꯅꯤ:

• ꯒ꯭ꯔꯨꯏꯅꯒꯤ ꯃꯅꯥꯛꯇꯥ ꯂꯩꯕꯥ ꯈꯣꯡꯗꯥ ꯑꯄꯤꯀꯄꯥ ꯏꯅꯁꯤꯁꯟ ꯑꯃꯥ ꯁꯦꯝꯃꯤ, ꯑꯃꯁꯨꯡ ꯃꯐꯃꯗꯨꯗꯥ ꯂꯩꯕꯥ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯜ ꯑꯃꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯀꯦꯇꯦꯇꯔ ꯀꯧꯕꯥ ꯑꯄꯤꯀꯄꯥ ꯇꯤꯎꯕ ꯑꯃꯥ ꯍꯥꯔꯇꯇꯥ ꯌꯧꯍꯜꯂꯤ꯫
• ꯇꯤꯎꯕ ꯑꯁꯤ ꯍꯥꯔꯇꯀꯤ ꯑꯔꯣꯏꯕꯥ ꯑꯦꯠꯔꯤꯌꯥꯃꯗꯒꯤ ꯂꯦꯡ-ꯑꯣꯠꯄꯒꯤ ꯃꯑꯣꯡ-ꯃꯇꯧ ꯑꯗꯨꯗꯥ, ꯆꯦꯝꯕꯔ ꯑꯅꯤꯒꯤ ꯃꯔꯛꯇꯥ ꯂꯩꯕꯥ ꯋꯥꯜ ꯑꯗꯨꯗꯥ ꯂꯩꯕꯥ ꯑꯄꯤꯀꯄꯥ ꯍꯨꯔꯥꯅꯕꯥ ꯑꯃꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯊꯥꯏ꯫ (ꯆꯤꯡꯅꯕꯥ ꯂꯩꯔꯣꯏꯗꯕꯅꯤ, ꯃꯍꯧꯁꯥꯅꯥ ꯃꯁꯤꯒꯤ ꯍꯣꯜ ꯑꯁꯤ ꯊꯥ 6ꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯃꯁꯥ ꯃꯊꯟꯇꯥ ꯊꯤꯡꯖꯤꯜꯂꯤ)꯫
• ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯇꯨꯕ ꯑꯗꯨ ꯑꯦꯜ.ꯑꯦ.ꯑꯦ.ꯗꯥ ꯑꯦꯗꯚꯥꯟꯁ ꯇꯧꯏ, ꯑꯃꯁꯨꯡ ꯃꯃꯥꯡꯗꯥ ꯈꯅꯒꯠꯂꯕꯥ ꯗꯤꯚꯥꯏꯁ ꯑꯗꯨꯅꯥ ꯑꯦꯜ.ꯑꯦ.ꯑꯦ.
• ꯃꯁꯤ ꯄꯨꯝꯅꯃꯛ ꯑꯁꯤ ꯐ꯭ꯂꯨꯑꯣꯔꯣꯁ꯭ꯀꯣꯄꯤ (ꯑꯦꯛꯁ-ꯔꯦ ꯚꯤꯗꯤꯑꯣ) ꯑꯃꯁꯨꯡ ꯇꯤ.ꯏ.ꯏ.ꯒꯨꯝꯕꯥ ꯁ꯭ꯀꯦꯅꯁꯤꯡꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯃꯅꯨꯡꯗꯥ ꯌꯦꯡꯗꯨꯅꯥ ꯇꯧꯏ꯫
• ꯊꯕꯛ ꯑꯗꯨ ꯂꯣꯌꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯀꯦꯇꯦꯒꯣꯔꯤ ꯑꯗꯨ ꯂꯧꯊꯣꯀꯏ꯫

ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯀꯔꯤ ꯊꯣꯀꯏ?

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯂꯥꯏꯌꯦꯡ ꯑꯁꯤ ꯑꯄꯤꯀꯄꯥ ꯏꯅꯁꯤꯁꯟ ꯑꯃꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯇꯧꯔꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯅꯨꯃꯤꯠ ꯑꯃꯥ ꯈꯛꯇꯃꯛ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯂꯗꯥ ꯂꯩꯕꯥ ꯇꯥꯕꯅꯤ ꯑꯃꯁꯨꯡ ꯃꯊꯪꯒꯤ ꯅꯨꯃꯤꯠꯇꯥ ꯌꯨꯃꯗꯥ ꯆꯠꯄꯥ ꯌꯥꯏ꯫

ꯅꯍꯥꯛꯅꯥ ꯌꯨꯃꯗꯥ ꯆꯠꯂꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛꯀꯤ ꯄ꯭ꯂꯥꯟ ꯑꯗꯨ ꯈꯔꯥ ꯍꯣꯡꯂꯛꯀꯅꯤ꯫

• ꯃꯍꯧꯁꯥꯅꯥ, ꯑꯍꯥꯅꯕꯥ ꯅꯨꯃꯤꯠ 45ꯅꯤꯒꯤ ꯑꯣꯏꯅꯥ , ꯅꯍꯥꯛꯅꯥ ꯑꯦꯟꯇꯤꯀꯣꯒꯅꯤꯁ꯭ꯠ ꯑꯃꯁꯨꯡ ꯑꯦꯁ꯭ꯄꯤꯔꯤꯟ ꯑꯃꯥ ꯂꯧꯅꯕꯥ ꯍꯥꯌꯒꯅꯤ꯫ ꯃꯇꯝ ꯑꯗꯨꯒꯤ ꯃꯅꯨꯡꯗꯥ, ꯗꯤꯚꯥꯏꯁ ꯑꯗꯨꯒꯤ ꯑꯀꯣꯌꯕꯗꯥ ꯁ꯭ꯀꯤꯟ ꯇꯤꯁꯨꯁꯤꯡ ꯁꯦꯃꯒꯅꯤ, ꯃꯗꯨ ꯌꯥꯝꯅꯥ ꯀꯟꯅꯥ ꯁꯤꯜ ꯇꯧꯒꯅꯤ꯫
• ꯅꯨꯃꯤꯠ 45ꯅꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯇꯤ.ꯏ.ꯏ.ꯒꯤ ꯁ꯭ꯀꯦꯟ ꯑꯃꯅꯥ ꯑꯦꯜ.ꯑꯦ.ꯑꯦ. ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯅꯍꯥꯀꯄꯨ ꯀ꯭ꯂꯣꯄꯤꯗꯣꯒ꯭ꯔꯦꯜ (Plavix®) ꯑꯃꯁꯨꯡ ꯑꯦꯁ꯭ꯄꯤꯔꯤꯟ ꯊꯥ 6 ꯄꯤꯒꯅꯤ .
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯗꯣꯛꯇꯔꯅꯥ ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯑꯦꯁ꯭ꯄꯤꯔꯤꯟ ꯂꯧꯅꯕꯥ ꯄꯥꯎꯇꯥꯛ ꯄꯤ꯫

ꯃꯁꯤꯒꯤ ꯀꯥꯟꯅꯕꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯈꯨꯗꯣꯡꯊꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯤꯅꯣ?

ꯃꯦꯗꯤꯀꯦꯜ ꯇ꯭ꯔꯤꯠꯃꯦꯟꯇ ꯑꯃꯍꯦꯛꯇꯒꯥ ꯃꯥꯟꯅꯅꯥ, ꯀꯥꯟꯅꯕꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯑꯄꯤꯀꯄꯥ ꯔꯤꯁ꯭ꯛ ꯂꯩ꯫ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯍꯥꯌꯔꯤꯕꯥ ꯄꯨꯝꯅꯃꯛ ꯑꯁꯤ ꯅꯍꯥꯀꯄꯨ ꯈꯪꯍꯜꯂꯛꯀꯅꯤ꯫

ꯀꯗꯥꯏꯗꯥ ꯗꯣꯛꯇꯔꯒꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯒꯦ?

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯌꯨꯃꯗꯥ ꯆꯠꯂꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯍꯦꯛꯇꯕꯨ ꯊꯦꯡꯅꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯈꯨꯗꯛꯇꯥ ꯈꯪꯍꯅꯕꯤꯌꯨ꯫

• ꯂꯥꯏꯍꯧ ꯅꯠꯠꯔꯒꯥ ꯏꯅꯐꯦꯛꯁꯅꯒꯤ ꯑꯇꯩ ꯈꯨꯗꯃꯁꯤꯡ (ꯁꯣꯀꯄꯥ, ꯏꯅꯁꯤꯁꯟ ꯑꯗꯨ ꯂꯥꯎꯕꯥ)꯫
• ꯑꯦꯕꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯕꯥ ꯍꯥꯔꯇꯀꯤ ꯈꯣꯡꯖꯦꯜ ꯑꯃꯥ, ꯈꯣꯡꯗꯥ ꯈꯣꯡ ꯍꯥꯝꯕꯒꯤ ꯐꯤꯚꯝ ꯑꯃꯥ꯫
• ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯆꯦꯛꯁꯤꯟ-ꯊꯧꯔꯥꯡ꯫
• ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ꯫

ꯑꯐꯤꯕꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯍꯤꯡꯕꯅꯥ ꯁ꯭ꯠꯔꯦꯁ ꯂꯩꯕꯥ ꯌꯥꯏ, ꯃꯔꯨꯑꯣꯏꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯕ꯭ꯂꯗ ꯊꯤꯅꯔꯁꯤꯡꯗꯥ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯂꯩꯔꯕꯗꯤ꯫ ꯑꯦꯜ.ꯑꯦ.ꯑꯦ.ꯒꯤ ꯀ꯭ꯂꯣꯖꯔ ꯑꯁꯤ ꯃꯤꯄꯨꯝ ꯈꯨꯗꯤꯡꯃꯛꯀꯤ ꯑꯣꯏꯗꯦ, ꯑꯗꯨꯕꯨ ꯃꯁꯤ ꯅꯍꯥꯛꯀꯤꯗꯃꯛꯇꯥ ꯑꯣꯄꯁꯟ ꯑꯃꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯀꯥꯔꯗꯤꯑꯣꯂꯣꯖꯤꯁ꯭ꯠ ꯑꯗꯨꯒꯥ ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯑꯃꯨꯛꯇꯪ ꯋꯥꯔꯤ ꯁꯥꯕꯤꯌꯨ, ꯅꯍꯥꯛꯀꯤ ꯋꯥꯍꯪꯁꯤꯡ ꯍꯪꯕꯤꯌꯨ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤꯗꯃꯛꯇꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯥ ꯋꯥꯔꯦꯞ ꯑꯗꯨ ꯂꯧꯕꯤꯌꯨ꯫