ꯑꯩꯈꯣꯌ ꯄꯨꯝꯅꯃꯛꯅꯥ "ꯁꯣꯛ" ꯍꯥꯌꯕꯥ ꯋꯥꯍꯩ ꯑꯁꯤ ꯇꯥꯕꯥ ꯐꯪꯖꯔꯦ, ꯅꯠꯇꯦ? ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯑꯩꯈꯣꯌꯅꯥ ꯈꯉꯍꯧꯗꯅꯥ ꯂꯥꯡꯇꯛꯅꯕꯥ ꯅꯠꯔꯒꯥ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯐꯥꯑꯣꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯃꯁꯤ ꯑꯇꯣꯞꯄꯥ ꯋꯥꯐꯝ ꯑꯃꯅꯤ ꯍꯥꯌꯅꯥ ꯈꯜꯂꯤ꯫ ꯑꯗꯨꯕꯨ ꯃꯦꯗꯤꯁꯤꯅꯗꯥ, "ꯁꯣꯛ" ꯍꯥꯌꯕꯁꯤꯅꯥ ꯌꯥꯝꯅꯥ ꯍꯦꯟꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯕꯨ ꯈꯪꯅꯩ꯫ ꯉꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯃꯥꯟꯅꯕꯥ, ꯑꯗꯨꯕꯨ ꯈꯔꯥ ꯇꯣꯉꯥꯅꯕꯥ ꯃꯈꯂꯒꯤ "ꯁꯣꯛ" ꯑꯃꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯒꯅꯤ꯫ ꯃꯁꯤꯕꯨ ‘ꯅ꯭ꯌꯨꯔꯣꯖꯦꯅꯤꯛ ꯁꯣꯛ’ ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯃꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯅꯔꯚ ꯁꯤꯁ꯭ꯇꯦꯃꯗꯥ, ꯃꯔꯨꯑꯣꯏꯅꯥ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗꯇꯥ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯅꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯍꯅꯕꯥ ꯃꯇꯃꯗꯥ ꯊꯣꯀꯏ꯫
‘ꯅ꯭ꯌꯨꯔꯣꯖꯦꯅꯤꯛ ꯁꯣꯛ’ ꯍꯥꯌꯕꯁꯤ ꯇꯁꯦꯡꯅꯥ ꯀꯔꯤꯅꯣ?
ꯅꯍꯥꯛꯀꯤ ꯅꯔꯚ ꯁꯤꯁ꯭ꯇꯦꯝ ꯑꯗꯨ ꯂꯩꯕꯥꯛ ꯑꯃꯒꯤ ꯇꯦꯂꯤꯐꯣꯟ ꯁꯤꯁ꯭ꯇꯦꯝ ꯑꯃꯥ ꯑꯣꯏꯅꯥ ꯈꯅꯕꯤꯌꯨ꯫ ꯍꯥꯌꯔꯤꯕꯥ ꯅꯔꯚꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯕ꯭ꯔꯦꯅꯗꯒꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯁꯔꯨꯛ ꯈꯨꯗꯤꯡꯗꯥ ꯄꯥꯎꯖꯦꯂꯁꯤꯡ ꯄꯨꯗꯨꯅꯥ ꯆꯠꯂꯤ꯫ ꯍꯧꯖꯤꯛꯇꯤ ꯅꯔꯚꯁ ꯁꯤꯁ꯭ꯇꯦꯝ ꯑꯁꯤꯒꯤ ꯃꯔꯨꯑꯣꯏꯅꯥ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗꯇꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯑꯃꯥ ꯂꯥꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯍꯥꯌꯕꯗꯤ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯐ꯭ꯔꯦꯀꯆꯔ ꯅꯠꯠꯔꯒꯥ ꯀꯟꯇꯨꯁꯟ ꯑꯃꯥ ꯂꯥꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯄꯥꯎꯖꯦꯂꯁꯤꯡ ꯑꯁꯤ ꯄꯨꯔꯤꯕꯥ ꯁꯤꯁ꯭ꯇꯦꯝ ꯑꯁꯤ ꯁꯣꯀꯍꯜꯂꯤ꯫
ꯅ꯭ꯌꯨꯔꯣꯖꯦꯅꯤꯛ ꯁꯣꯛ ꯍꯥꯌꯕꯁꯤ ꯑꯦꯛꯁꯤꯗꯦꯟꯇ ꯑꯃꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯥꯔꯇꯀꯤ ꯔꯦꯠ, ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ ꯑꯃꯁꯨꯡ ꯍꯀꯆꯥꯡꯒꯤ ꯇꯦꯝꯄꯦꯔꯦꯆꯔ ꯑꯗꯨ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯥ ꯉꯃꯗꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫ ꯑꯇꯣꯞꯄꯥ ꯃꯈꯂꯒꯤ ꯁꯣꯛ-ꯄꯅꯕꯒꯨꯝꯅꯥ, ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ, ꯑꯃꯁꯨꯡ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯁꯤꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯒꯤ ꯃꯔꯃꯗꯤ ꯍꯀꯆꯥꯡ ꯄꯨꯝꯕꯗꯥ ꯏꯒꯤ ꯈꯣꯡꯖꯦꯜ ꯌꯥꯡꯁꯤꯂꯍꯅꯕꯅꯤ꯫ ꯏ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯆꯦꯅꯕꯥ ꯉꯃꯗꯕꯥ ꯃꯇꯃꯗꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯁꯦꯂꯁꯤꯡꯅꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯑꯣꯛꯁꯤꯖꯦꯟ ꯑꯃꯁꯨꯡ ꯅ꯭ꯌꯨꯠꯔꯤꯑꯦꯟꯇꯁꯤꯡ ꯐꯪꯗꯦ꯫ ꯑꯗꯨꯗꯒꯤ ꯁꯦꯂꯁꯤꯡꯅꯥ ꯃꯈꯣꯌꯒꯤ ꯊꯕꯛ ꯇꯧꯕꯥ ꯉꯃꯗꯦ꯫
ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯌꯥꯔꯤꯕꯃꯈꯩ ꯊꯨꯅꯥ ꯁꯣꯀꯄꯒꯤ ꯂꯥꯏꯌꯦꯡ ꯂꯧꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫
‘ꯅ꯭ꯌꯨꯔꯣꯖꯦꯅꯤꯛ ꯁꯣꯛ’ ꯑꯃꯁꯨꯡ ‘ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯁꯣꯛ’ꯒꯤ ꯃꯔꯛꯇꯥ ꯀꯔꯤ ꯈꯦꯠꯅꯕꯥ ꯂꯩꯕꯒꯦ?
ꯑꯅꯤꯃꯛ ꯑꯁꯤ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗꯀꯤ ꯑꯁꯣꯛ-ꯑꯄꯅꯒꯥ ꯃꯔꯤ ꯂꯩꯅꯔꯕꯁꯨ, ꯈꯔꯥ ꯈꯦꯠꯅꯕꯥ ꯂꯩ꯫ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯁꯣꯀꯄꯗꯥ, ꯅꯍꯥꯛꯀꯤ ꯃꯁꯂꯁꯤꯡ ꯑꯗꯨ ꯄꯦꯔꯥꯂꯥꯏꯖ ꯑꯣꯏꯔꯀꯏ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗꯇꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯛꯂꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯔꯤꯐ꯭ꯂꯦꯛꯁꯁꯤꯡ ꯑꯗꯨ ꯃꯥꯡꯈꯤ꯫ ꯅ꯭ꯌꯨꯔꯣꯖꯦꯅꯤꯛ ꯁꯣꯀꯇꯥ, ꯃꯔꯨꯑꯣꯏꯕꯥ ꯏꯐꯦꯛꯇꯁꯤꯡꯗꯤ ꯅꯍꯥꯛꯀꯤ ꯍꯥꯔꯠ ꯔꯦꯠ ꯑꯃꯁꯨꯡ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔꯗꯥ ꯑꯣꯏ꯫
‘ꯅ꯭ꯌꯨꯔꯣꯖꯦꯅꯤꯛ ꯁꯣꯛ’ ꯑꯃꯁꯨꯡ ‘ꯍꯥꯏꯄꯣꯚꯣꯂꯦꯃꯤꯛ ꯁꯣꯛ’ꯒꯤ ꯃꯔꯛꯇꯥ ꯀꯔꯤ ꯈꯦꯠꯅꯕꯥ ꯂꯩꯕꯒꯦ?
ꯍꯥꯏꯄꯣꯚꯣꯂꯦꯃꯤꯛ ꯁꯣꯛ ꯍꯥꯌꯕꯁꯤ ꯍꯀꯆꯥꯡꯗꯒꯤ ꯐ꯭ꯂꯨꯏꯗ, ꯃꯔꯨꯑꯣꯏꯅꯥ ꯏ ꯌꯥꯝꯅꯥ ꯆꯦꯟꯊꯔꯀꯄꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫ ꯑꯅꯤꯁꯤꯒꯤ ꯃꯔꯛꯇꯥ ꯂꯩꯕꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯈꯦꯟꯅꯕꯥ ꯑꯁꯤ ꯍꯥꯔꯇꯀꯤ ꯈꯣꯡꯖꯦꯂꯅꯤ꯫
- ꯅ꯭ꯌꯨꯔꯣꯖꯦꯅꯤꯛ ꯁꯣꯛ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯗꯥ ꯍꯥꯔꯠ ꯔꯦꯠ (bradyarrhythmia) ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯁꯣꯀꯏ꯫
- ꯍꯥꯏꯄꯣꯚꯣꯂꯦꯃꯤꯛ ꯁꯣꯛ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯗꯥ ꯍꯥꯔꯠ ꯔꯦꯠ (tachycardia) ꯍꯦꯅꯒꯠꯂꯀꯏ꯫
ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤꯅꯥ ꯀꯅꯥꯅꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯁꯣꯀꯍꯜꯂꯤꯕꯅꯣ? ꯃꯁꯤ ꯀꯌꯥ ꯌꯥꯝꯅꯥ ꯀꯃꯟ ꯑꯣꯏꯕꯒꯦ?
ꯅ꯭ꯌꯨꯔꯣꯖꯦꯅꯤꯛ ꯁꯣꯛ ꯑꯁꯤ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗꯇꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯍꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯅꯔꯚ ꯁꯤꯁ꯭ꯇꯦꯃꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯗꯥ ꯊꯣꯀꯏ꯫
ꯔꯤꯁꯔꯆꯅꯥ ꯇꯥꯛꯂꯤ ꯃꯗꯨꯗꯤ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗꯇꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯍꯅꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ 19% ꯑꯃꯁꯨꯡ 31%ꯒꯤ ꯃꯔꯛꯇꯥ ꯂꯩꯒꯅꯤ꯫ꯃꯁꯤꯕꯨ ‘ꯅ꯭ꯌꯨꯔꯣꯖꯦꯅꯤꯛ ꯁꯣꯛ’ ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ ꯑꯃꯦꯔꯤꯀꯥꯒꯨꯝꯕꯥ ꯂꯩꯕꯥꯛ ꯑꯃꯗꯁꯨ ꯆꯍꯤ ꯈꯨꯗꯤꯡꯒꯤ ꯃꯤꯑꯣꯏ ꯸,꯰꯰꯰ꯗꯒꯤ ꯱꯰,꯰꯰꯰ ꯐꯥꯑꯣꯕꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗꯇꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯏ꯫ ꯃꯁꯤꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯔꯃꯁꯤꯡꯗꯤ ꯀꯥꯔꯒꯣ ꯑꯦꯛꯁꯤꯗꯦꯟꯇ ꯑꯃꯁꯨꯡ ꯑꯋꯥꯡꯕꯥ ꯃꯐꯃꯗꯒꯤ ꯆꯦꯅꯕꯥ ꯑꯁꯤꯅꯤ꯫ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯈꯨꯗꯣꯡꯊꯤꯕꯥ ꯑꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯂꯩꯕꯥꯛꯇꯥꯁꯨ ꯌꯥꯝꯅꯥ ꯊꯦꯡꯅꯩ, ꯅꯠꯇꯦ?
‘ꯅ꯭ꯌꯨꯔꯣꯖꯦꯅꯤꯛ ꯁꯣꯛ’ꯅꯥ ꯑꯩꯒꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯀꯔꯝꯅꯥ ꯁꯣꯀꯍꯅꯕꯒꯦ?
ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗꯇꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯑꯃꯥ ꯂꯥꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯑꯩꯈꯣꯌꯒꯤ ꯅꯔꯚꯁꯤꯡꯅꯥ ꯏꯒꯤ ꯈꯣꯡꯖꯦꯂꯗꯥ ꯁꯤꯒꯅꯦꯂꯁꯤꯡ ꯊꯥꯕꯥ ꯉꯃꯗꯦ, "ꯑꯣꯀꯦ, ꯍꯧꯖꯤꯛ ꯈꯔꯥ ꯀꯟꯁ꯭ꯠꯔꯤꯛꯇ ꯇꯧ꯫" ꯄꯥꯎꯖꯦꯜ ꯑꯁꯤ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯐꯪꯗꯕꯥ ꯃꯇꯃꯗꯥ ꯏꯒꯤ ꯈꯣꯡꯖꯦꯜ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯆꯥꯎꯏ, ꯃꯁꯤꯕꯨ `ꯚꯦꯁꯣꯗꯤꯂꯦꯁꯟ` ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ ꯃꯁꯤ ꯏꯁꯤꯡꯒꯤ ꯄꯥꯏꯞ ꯑꯃꯥ ꯈꯉꯍꯧꯗꯅꯥ ꯍꯦꯟꯅꯥ ꯆꯥꯎꯈꯠꯂꯀꯄꯒꯨꯝꯕꯅꯤ꯫ ꯊꯣꯛꯂꯤꯕꯥ ꯑꯁꯤ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔꯅꯥ ꯈꯪꯍꯧꯗꯅꯥ `ꯍꯥꯏꯄꯣꯇꯦꯟꯁꯟ` ꯍꯟꯊꯔꯀꯄꯅꯤ꯫ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ ꯍꯟꯊꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯍꯀꯆꯥꯡ ꯄꯨꯝꯕꯗꯥ ꯏꯒꯤ ꯈꯣꯡꯖꯦꯂꯁꯨ ꯍꯟꯊꯔꯀꯏ꯫ ꯃꯁꯤꯅꯥ ꯇꯥꯀꯄꯗꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯑꯣꯔꯒꯥꯅꯁꯤꯡꯅꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯑꯣꯛꯁꯤꯖꯦꯟ ꯐꯪꯗꯦ꯫
ꯃꯁꯤꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯤꯅꯣ?
ꯅ꯭ꯌꯨꯔꯣꯖꯦꯅꯤꯛ ꯁꯣꯀꯄꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯁꯤꯡꯁꯤ ꯌꯥꯎꯏ:
- ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ ꯅꯦꯝꯕꯥ (Hypotension): ꯃꯁꯤꯅꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯂꯥꯏꯑꯣꯡꯅꯤ꯫
- ꯍꯥꯔꯠ ꯔꯦꯠ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯁꯣꯀꯄꯥ (Bradyarrhythmia): ꯃꯤꯅꯠ ꯑꯃꯗꯥ ꯈꯣꯡ ꯍꯥꯝꯕꯒꯤ ꯃꯁꯤꯡ ꯑꯁꯤ ꯃꯍꯧꯁꯥꯅꯥ ꯍꯟꯊꯔꯀꯏ꯫
- ꯈꯣꯡ ꯑꯗꯨ ꯂꯥꯂꯍꯧꯕꯥ ꯑꯃꯁꯨꯡ ꯇꯔꯨ-ꯇꯅꯥꯅꯕꯥ ꯑꯣꯏꯔꯀꯏ, ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯀꯨꯄꯁꯤꯜꯂꯕꯥ, ꯏꯁꯤꯡ ꯊꯨꯃꯖꯤꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯂꯦꯡ-ꯑꯣꯠꯄꯗꯥ ꯋꯥꯕꯥ ꯑꯣꯏꯔꯀꯏ꯫
- ꯂꯤꯞ ꯑꯃꯁꯨꯡ ꯐꯤꯉ꯭ꯒꯔꯅꯦꯂꯁꯤꯡ ꯑꯁꯤ ꯅꯤꯜ ꯑꯣꯏꯔꯀꯏ: ꯃꯁꯤ ꯏꯗꯥ ꯑꯣꯛꯁꯤꯖꯦꯟ ꯋꯥꯠꯄꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯑꯣꯏꯔꯤ꯫
- ꯃꯄꯨꯡꯐꯥꯅꯥ ꯋꯥꯈꯜ ꯃꯥꯡꯈꯤꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯋꯥꯈꯜ ꯇꯥꯕꯥ ꯍꯟꯊꯔꯀꯄꯥ: ꯃꯁꯤ ꯕ꯭ꯔꯦꯅꯗꯥ ꯏꯒꯤ ꯈꯣꯡꯖꯦꯜ ꯍꯟꯊꯔꯀꯄꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯀꯅꯥꯒꯨꯝꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯗꯥ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯃꯗꯒꯤ ꯍꯦꯅꯕꯥ ꯂꯩꯔꯕꯗꯤ, ꯃꯔꯨꯑꯣꯏꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯈꯣꯌꯅꯥ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗꯇꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯈ꯭ꯔꯕꯗꯤ, ꯃꯈꯣꯌꯗꯥ ꯈꯨꯗꯛꯇꯥ ꯃꯤꯠꯌꯦꯡ ꯆꯪꯒꯗꯕꯅꯤ꯫
‘ꯅ꯭ꯌꯨꯔꯣꯖꯦꯅꯤꯛ ꯁꯣꯛ’ ꯊꯣꯀꯍꯅꯕꯒꯤ ꯃꯔꯃꯁꯤꯡ ꯀꯔꯤꯅꯣ?
ꯐꯤꯚꯝ ꯑꯁꯤꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯔꯝ ꯀꯌꯥ ꯂꯩꯔꯤ:
- ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗꯀꯤ ꯑꯁꯣꯛ-ꯑꯄꯟ (spinal cord injury): ꯃꯁꯤꯅꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯃꯔꯃꯅꯤ꯫ ꯃꯁꯤ ꯒꯥꯔꯤꯒꯤ ꯑꯦꯛꯁꯤꯗꯦꯟꯇ, ꯑꯋꯥꯡꯕꯥ ꯃꯐꯝ ꯑꯃꯗꯒꯤ ꯂꯥꯞꯅꯥ ꯂꯩꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯁꯥꯟꯅꯄꯣꯠꯀꯤ ꯑꯦꯛꯁꯤꯗꯦꯟꯇꯒꯨꯝꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫
- ꯑꯣꯇꯣꯅꯣꯃꯤꯛ ꯅꯔꯚꯁ ꯁꯤꯁ꯭ꯇꯦꯃꯗꯥ ꯁꯣꯀꯍꯜꯂꯤꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ꯫
- ꯒꯨꯏꯂꯦꯟ-ꯕꯥꯔꯦ ꯁꯤꯟꯗ꯭ꯔꯣꯝ: ꯃꯁꯤ ꯅꯔꯚ ꯁꯤꯁ꯭ꯇꯦꯃꯗꯥ ꯁꯣꯀꯍꯜꯂꯤꯕꯥ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯊꯣꯀꯄꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫
- ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯑꯦꯅꯥꯁ꯭ꯇꯦꯁꯤꯌꯥ: ꯃꯁꯤꯒꯤ ꯑꯦꯅꯥꯁ꯭ꯇꯦꯁꯤꯌꯥ ꯑꯁꯤ ꯁꯔꯖꯔꯤ ꯈꯔꯒꯤꯗꯃꯛ ꯄꯤ꯫ ꯃꯁꯤ ꯀꯃꯞꯂꯤꯀꯦꯁꯟ ꯑꯃꯥ ꯑꯣꯏꯅꯥ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫
- ꯇ꯭ꯔꯥꯟꯁꯕꯔꯁ ꯃꯥꯏꯂꯥꯏꯇꯤꯁ: ꯃꯁꯤ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗꯇꯥ ꯂꯩꯕꯥ ꯅꯔꯚꯁꯤꯡꯗꯥ ꯏꯅꯐꯦꯛꯁꯟ ꯑꯃꯁꯨ ꯑꯣꯏ꯫
ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯃꯁꯤ ꯀꯔꯝꯅꯥ ꯂꯥꯌꯦꯡꯒꯅꯤ?
ꯅꯍꯥꯛꯅꯥ ꯅ꯭ꯌꯨꯔꯣꯖꯦꯅꯤꯛ ꯁꯣꯛ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯈꯪꯗꯣꯛꯅꯕꯒꯤꯗꯃꯛ, ꯗꯣꯛꯇꯔ ꯑꯗꯨꯅꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯊꯕꯀꯁꯤꯡ ꯑꯁꯤ ꯇꯧꯒꯅꯤ:
1. ꯐꯤꯖꯤꯀꯦꯜ ꯑꯦꯀꯖꯥꯃꯤꯅꯦꯁꯟ ꯑꯃꯥ ꯄꯥꯡꯊꯣꯀꯏ: ꯅꯍꯥꯛꯀꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯁꯨꯡ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯑꯗꯨꯒꯤ ꯃꯑꯣꯡ-ꯃꯇꯧ ꯑꯗꯨ ꯌꯦꯡꯁꯤꯜꯂꯤ꯫
2. ꯃꯔꯨꯑꯣꯏꯕꯥ ꯈꯨꯗꯃꯁꯤꯡ ꯌꯦꯡꯁꯤꯜꯂꯤ: ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ, ꯍꯥꯔꯠ ꯔꯦꯠ, ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯒꯤ ꯆꯥꯡ, ꯑꯃꯁꯨꯡ ꯇꯦꯝꯄꯦꯔꯦꯆꯔ ꯂꯦꯄꯊꯣꯀꯏ꯫
꯳.ꯕ꯭ꯂꯗ ꯇꯦꯁ꯭ꯠ ꯇꯧꯕꯥ: ꯱.ꯍꯀꯆꯥꯡꯒꯤ ꯃꯅꯨꯡꯒꯤ ꯑꯣꯏꯕꯥ ꯐꯤꯚꯝ ꯑꯃꯁꯨꯡ ꯑꯣꯔꯒꯥꯅꯁꯤꯡꯒꯤ ꯊꯕꯛ ꯇꯧꯕꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯈꯪꯖꯤꯅꯕꯤꯌꯨ꯫
꯴.ꯁ꯭ꯀꯦꯅꯁꯤꯡ ꯑꯣꯔꯗꯔ ꯇꯧꯏ: ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗꯇꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯄꯥ ꯑꯗꯨ ꯑꯆꯨꯝꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯑꯦꯁꯦꯁ ꯇꯧꯅꯕꯥ꯫
ꯀꯔꯤ ꯃꯈꯂꯒꯤ ꯁ꯭ꯀꯦꯅꯁꯤꯡ ꯇꯧꯕꯒꯦ?
ꯍꯥꯌꯔꯤꯕꯥ ꯑꯁꯤ ꯁ꯭ꯀꯦꯟ ꯇꯧꯕꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯈꯜ ꯑꯅꯤꯅꯤ:
- ꯁꯤ.ꯇꯤ.ꯁ꯭ꯀꯦꯟ (ꯀꯝꯞꯌꯨꯇꯦꯗ ꯇꯣꯃꯣꯒ꯭ꯔꯥꯐꯤ - ꯁꯤ.ꯇꯤ. ꯁ꯭ꯀꯦꯟ): ꯃꯁꯤꯅꯥ ꯁꯔꯨ ꯇꯥꯡꯁꯤꯡꯗꯥ ꯊꯣꯀꯄꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯑꯗꯨ ꯃꯌꯦꯛ ꯁꯦꯡꯅꯥ ꯎꯕꯥ ꯐꯪꯏ꯫
- MRI ꯁ꯭ꯀꯦꯟ (ꯃꯦꯒ꯭ꯅꯦꯇꯤꯛ ꯔꯤꯖꯣꯅꯦꯟꯁ ꯏꯃꯦꯖꯤꯡ - MRI ꯁ꯭ꯀꯦꯟ): ꯃꯁꯤꯅꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗꯀꯤ ꯇꯔꯨ-ꯇꯅꯥꯅꯕꯥ ꯇꯤꯁꯨꯁꯤꯡ, ꯍꯥꯌꯕꯗꯤ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗ ꯑꯃꯁꯨꯡ ꯅꯔꯚꯁꯤꯡꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫
ꯅ꯭ꯌꯨꯔꯣꯖꯦꯅꯤꯛ ꯁꯣꯛ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯂꯥꯏꯌꯦꯡꯕꯒꯦ?
ꯃꯁꯤ ꯃꯦꯗꯤꯀꯦꯜ ꯏꯃꯔꯖꯦꯟꯁꯤ ꯑꯃꯅꯤ, ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯂꯥꯏꯌꯦꯡ ꯈꯨꯗꯛꯇꯥ ꯍꯧꯒꯗꯕꯅꯤ꯫
ꯑꯍꯥꯅꯕꯗꯥ ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯀꯣꯛꯇꯥ ꯅꯦꯛ ꯕ꯭ꯔꯦꯁ ꯑꯃꯥ ꯊꯃꯒꯅꯤ꯫ ꯃꯁꯤ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗ ꯑꯗꯨ ꯍꯦꯟꯅꯥ ꯐꯠꯆꯤꯜꯂꯛꯇꯕꯥ ꯊꯤꯡꯕꯅꯤ, ꯃꯔꯃꯗꯤ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯆꯠꯄꯅꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯑꯗꯨ ꯍꯦꯟꯅꯥ ꯐꯠꯆꯤꯜꯂꯛꯇꯕꯥ ꯌꯥꯏ꯫
ꯃꯊꯪꯗꯥ, ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯋꯥꯐꯃꯗꯤ ꯂꯣ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ (ꯍꯥꯌꯄꯣꯇꯦꯟꯁꯟ) ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯅꯤ꯫ ꯃꯁꯤ IV (ꯏꯟꯠꯔꯥꯚꯦꯅꯁ) ꯑꯃꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯁꯦꯂꯅꯒꯨꯝꯕꯥ ꯐ꯭ꯂꯨꯏꯗꯁꯤꯡ ꯄꯤꯗꯨꯅꯥ ꯄꯥꯡꯊꯣꯀꯏ꯫
ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ, ꯍꯥꯔꯇꯀꯤ ꯈꯣꯡꯖꯦꯜ ꯇꯞꯅꯥ ꯇꯞꯅꯥ (bradyarrhythmia) ꯀꯟꯠꯔꯣꯜ ꯇꯧꯅꯕꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ ꯄꯤ꯫
‘ꯅ꯭ꯌꯨꯔꯣꯖꯦꯅꯤꯛ ꯁꯣꯛ’ ꯑꯁꯤ ꯂꯥꯏꯌꯦꯡꯂꯤꯉꯩ ꯃꯇꯃꯗꯥ, ꯅꯍꯥꯛꯅꯥ ꯑꯦꯛꯁꯤꯗꯦꯟꯇ ꯑꯗꯨꯅꯥ ꯁꯣꯀꯍꯜꯂꯕꯥ ꯑꯇꯩ ꯑꯁꯣꯛ-ꯑꯄꯅꯁꯤꯡꯒꯤꯗꯃꯛꯇꯁꯨ ꯂꯥꯏꯌꯦꯡꯒꯅꯤ꯫
ꯀꯔꯤ ꯃꯈꯂꯒꯤ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ ꯁꯤꯖꯤꯟꯅꯕꯒꯦ?
ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯅ꯭ꯌꯨꯔꯣꯖꯦꯅꯤꯛ ꯁꯣꯛ ꯑꯁꯤ ꯃꯦꯅꯦꯖ ꯇꯧꯅꯕꯥ ꯍꯤꯗꯥꯛ ꯃꯈꯜ ꯀꯌꯥ ꯁꯤꯖꯤꯟꯅꯕꯥ ꯌꯥꯏ:
- ꯐꯦꯅꯤꯂꯦꯐ꯭ꯔꯤꯟ ꯑꯁꯤꯅꯆꯤꯡꯕꯥ꯫
- ꯅꯣꯔꯦꯄꯤꯅꯦꯐ꯭ꯔꯤꯟ `(ꯅꯣꯔꯦꯄꯤꯅꯦꯐ꯭ꯔꯤꯟ)`꯫
- ꯑꯦꯄꯤꯅꯦꯐ꯭ꯔꯤꯟ ꯑꯁꯤꯅꯆꯤꯡꯕꯥ꯫
- ꯑꯦꯠꯔꯣꯄꯤꯟ (ꯑꯦꯠꯔꯣꯄꯤꯟ)꯫
- ꯒ꯭ꯂꯥꯏꯀꯣꯄꯥꯏꯔꯣꯂꯦꯠ `(ꯒ꯭ꯂꯥꯏꯀꯣꯄꯥꯏꯔꯣꯂꯦꯠ)`꯫
- ꯑꯥꯏꯁꯣꯞꯔꯣꯇꯦꯔꯦꯅꯣꯜ `(ꯑꯥꯏꯁꯣꯞꯔꯣꯇꯦꯔꯦꯅꯣꯜ)`꯫
- ꯊꯤꯑꯣꯐꯤꯂꯤꯟ ꯑꯁꯤꯅꯆꯤꯡꯕꯥ꯫
- ꯑꯦꯃꯤꯅꯣꯐꯤꯂꯤꯟ꯫
ꯍꯥꯌꯔꯤꯕꯥ ꯍꯤꯗꯥꯀꯁꯤꯡ ꯑꯁꯤ ꯑꯅꯥꯕꯥ ꯑꯗꯨꯒꯤ ꯐꯤꯚꯝ, ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ, ꯍꯥꯔꯠ ꯔꯦꯠ ꯑꯁꯤꯅꯆꯤꯡꯕꯥ ꯐꯦꯛꯇꯔ ꯀꯌꯥ ꯌꯦꯡꯗꯨꯅꯥ ꯗꯣꯛꯇꯔ ꯑꯃꯒꯤ ꯑꯀꯅꯕꯥ ꯌꯦꯡꯁꯤꯅꯕꯒꯤ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤ꯫
ꯂꯥꯏꯌꯦꯡ ꯑꯗꯨꯒꯤ ꯀꯃꯞꯂꯤꯀꯦꯁꯟ ꯅꯠꯠꯔꯒꯥ ꯁꯥꯏꯗ ꯏꯐꯦꯛꯇ ꯑꯃꯠꯇꯥ ꯂꯩꯕ꯭ꯔꯥ?
ꯍꯤꯗꯥꯛ ꯑꯃꯍꯦꯛꯇꯅꯥ ꯁꯥꯏꯗ ꯏꯐꯦꯛꯇ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯕꯨ ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯍꯤꯗꯥꯛ ꯑꯃꯥ ꯈꯅꯕꯈꯛꯇꯗꯥ ꯑꯅꯥꯕꯥ ꯑꯗꯨꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯀꯥꯟꯅꯕꯥ ꯑꯗꯨꯅꯥ ꯔꯤꯁ꯭ꯛ ꯑꯗꯨꯗꯒꯤ ꯍꯦꯜꯂꯕꯗꯤ꯫ ꯃꯁꯤꯗꯁꯨ ꯅꯠꯇꯅꯥ, ꯀꯔꯤꯒꯨꯝꯕꯥ IVꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯐ꯭ꯂꯨꯏꯗꯀꯤ ꯆꯥꯡ ꯑꯁꯤ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯌꯥꯝꯅꯥ ꯋꯥꯡꯂꯕꯗꯤ, ꯍꯀꯆꯥꯡ ꯑꯗꯨ ꯁꯣꯀꯍꯅꯕꯒꯤ ꯆꯥꯡ ꯌꯥꯝꯅꯥ ꯅꯦꯝꯃꯤ꯫
ꯃꯁꯤꯒꯤ ꯔꯤꯁ꯭ꯛ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯍꯟꯊꯍꯅꯒꯅꯤ?
ꯅ꯭ꯌꯨꯔꯣꯖꯦꯅꯤꯛ ꯁꯣꯀꯄꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯔꯝ ꯑꯁꯤ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗꯀꯤ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯑꯣꯏꯕꯅꯥ, ꯑꯁꯤꯒꯨꯝꯕꯥ ꯑꯁꯣꯛ-ꯑꯄꯅꯁꯤꯡ ꯑꯁꯤ ꯊꯤꯡꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫ ꯃꯇꯦꯡ ꯄꯥꯡꯅꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯇꯧꯕꯥ ꯌꯥꯕꯥ ꯊꯕꯛ ꯀꯌꯥ ꯂꯩꯔꯤ:
- ꯌꯨ ꯅꯠꯠꯔꯒꯥ ꯗ꯭ꯔꯒ ꯁꯤꯖꯤꯟꯅꯗꯨꯅꯥ ꯒꯥꯔꯤ ꯊꯧꯒꯅꯨ꯫ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯑꯃꯁꯨꯡ ꯄꯨꯛꯅꯤꯡ ꯆꯪꯅꯥ ꯊꯧꯕꯥ꯫
- ꯀꯥ ꯑꯃꯗꯥ ꯆꯦꯅꯕꯥ ꯃꯇꯃꯗꯥ ꯃꯇꯝ ꯄꯨꯝꯅꯃꯛꯇꯥ ꯁꯤꯠ ꯕꯦꯜꯇ ꯑꯃꯥ ꯁꯤꯖꯤꯟꯅꯧ꯫ ꯊ꯭ꯔꯤ-ꯍꯨꯏꯂꯔ ꯑꯃꯁꯨꯡ ꯃꯣꯇꯣꯔꯁꯥꯏꯀꯂꯁꯤꯡꯗꯥ ꯁꯥꯐꯅꯥ ꯆꯦꯅꯕꯥ꯫
- ꯃꯁꯛ ꯈꯪꯗꯕꯥ ꯃꯐꯃꯁꯤꯡ ꯅꯠꯠꯔꯒꯥ ꯏꯁꯤꯡꯗꯥ ꯏꯁꯤꯡ ꯇꯨꯡꯁꯤꯅꯕꯥ ꯆꯠꯂꯣꯏꯗꯕꯅꯤ꯫ ꯃꯁꯤꯅꯥ ꯈꯣꯡꯗꯥ ꯁꯥꯊꯤꯕꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫
- ꯎꯃꯪꯗꯥ ꯆꯦꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯑꯋꯥꯡꯕꯥ ꯃꯐꯃꯗꯥ ꯊꯕꯛ ꯇꯧꯕꯥ ꯃꯇꯃꯗꯥ ꯁꯦꯐꯇꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯆꯦꯀꯁꯤꯅꯒꯗꯕꯅꯤ꯫
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯩꯅꯥ ꯅ꯭ꯌꯨꯔꯣꯖꯦꯅꯤꯛ ꯁꯣꯛ ꯂꯩꯔꯕꯗꯤ ꯑꯩꯅꯥ ꯀꯔꯤ ꯑꯥꯁꯥ ꯇꯧꯕꯥ ꯌꯥꯕꯒꯦ?
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗꯀꯤ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯑꯃꯅꯥ ꯅ꯭ꯌꯨꯔꯣꯖꯦꯅꯤꯛ ꯁꯣꯛ ꯂꯩꯔꯕꯗꯤ, ꯂꯣ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ (ꯍꯥꯏꯄꯣꯇꯦꯟꯁꯟ) ꯑꯁꯤ ꯅꯨꯃꯤꯠ ꯃꯉꯥꯅꯤ ꯐꯥꯎꯕꯥ ꯂꯩꯕꯥ ꯌꯥꯏ꯫
ꯃꯁꯤꯗꯁꯨ ꯅꯠꯇꯅꯥ, ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯑꯇꯩ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡꯁꯨ ꯂꯥꯀꯄꯥ ꯌꯥꯏ꯫ ꯈꯨꯗꯝ ꯑꯣꯏꯅ:
- ꯈꯣꯡꯒꯤ ꯚꯦꯅꯃꯁꯤꯡꯗꯥ ꯏ ꯊꯣꯀꯄꯥ (Deep Vein Thrombosis - DVT)
- ꯁ꯭ꯠꯔꯦꯁꯀꯤ ꯑꯂꯁꯔ ꯂꯩꯕꯥ꯫
- ꯑꯦꯁ꯭ꯄꯤꯔꯦꯁꯟ ꯅ꯭ꯌꯨꯃꯣꯅꯤꯌꯥ ꯑꯁꯤ ꯆꯤꯟꯖꯥꯛ ꯅꯠꯠꯔꯒꯥ ꯑꯇꯩ ꯄꯣꯠꯁꯀꯁꯤꯡꯅꯥ ꯑꯦꯌꯔꯋꯦꯗꯥ ꯆꯪꯂꯀꯄꯅꯥ ꯊꯣꯀꯍꯅꯕꯅꯤ .
ꯅ꯭ꯌꯨꯔꯣꯖꯦꯅꯤꯛ ꯁꯣꯛ ꯑꯁꯤ ꯀꯌꯥꯝ ꯁꯥꯡꯅꯥ ꯂꯩꯕꯥ ꯌꯥꯕꯒꯦ?
ꯃꯍꯧꯁꯥꯅꯥ, ꯅ꯭ꯌꯨꯔꯣꯖꯦꯅꯤꯛ ꯁꯣꯀꯄꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯅꯨꯃꯤꯠ ꯃꯔꯤꯗꯒꯤ ꯃꯉꯥ ꯐꯥꯎꯕꯥ ꯂꯩꯕꯥ ꯌꯥꯏ . ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯃꯁꯤ ꯃꯤꯑꯣꯏ ꯑꯃꯗꯒꯤ ꯃꯤꯑꯣꯏ ꯑꯃꯗꯥ ꯑꯃꯁꯨꯡ ꯑꯦꯛꯁꯤꯗꯦꯟꯇ ꯑꯗꯨꯒꯤ ꯃꯑꯣꯡ-ꯃꯇꯧꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ ꯈꯦꯠꯅꯕꯥ ꯌꯥꯏ꯫
ꯑꯩꯅꯥ ꯊꯕꯛ/ꯁ꯭ꯀꯨꯂꯗꯥ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯆꯠꯄꯥ ꯉꯃꯒꯗ꯭ꯔꯥ?
ꯅꯍꯥꯛꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯅꯣꯔꯃꯦꯜ ꯑꯦꯛꯇꯤꯚꯤꯇꯤꯁꯤꯡ, ꯊꯕꯛ ꯅꯠꯠꯔꯒꯥ ꯁ꯭ꯀꯨꯂꯗꯥ ꯍꯜꯂꯀꯄꯥ ꯌꯥꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗꯀꯤ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯑꯗꯨꯒꯤ ꯃꯑꯣꯡ-ꯃꯇꯧ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯅꯥ ꯊꯦꯡꯅꯔꯀꯄꯥ ꯌꯥꯕꯥ ꯑꯇꯩ ꯑꯁꯣꯛ-ꯑꯄꯅꯁꯤꯡꯒꯤ ꯃꯑꯣꯡ-ꯃꯇꯧ ꯑꯗꯨꯒꯤ ꯃꯈꯥ ꯄꯣꯜꯂꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯄꯨꯟꯁꯤꯗꯥ ꯑꯆꯧꯕꯥ ꯑꯍꯣꯡꯕꯥ ꯈꯔꯥ ꯄꯨꯔꯀꯄꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯏ, ꯃꯔꯨꯑꯣꯏꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯈꯣꯡꯅꯥ ꯆꯠꯄꯗꯥ ꯑꯋꯥꯕꯥ ꯇꯥꯔꯕꯗꯤ꯫
ꯅ꯭ꯌꯨꯔꯣꯖꯦꯅꯤꯛ ꯁꯣꯀꯄꯒꯤ ꯑꯥꯎꯇꯂꯨꯛ ꯑꯁꯤ ꯀꯔꯤꯅꯣ?
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯂꯥꯏꯌꯦꯡꯗ꯭ꯔꯕꯗꯤ, ꯁꯣꯀꯄꯒꯤ ꯑꯌꯥꯝꯕꯥ ꯀꯦꯁꯁꯤꯡꯗꯤ ꯁꯤꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯑꯊꯨꯕꯥ ꯑꯃꯁꯨꯡ ꯃꯇꯤꯛ ꯆꯥꯕꯥ ꯂꯥꯏꯌꯦꯡꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯄꯨꯟꯁꯤ ꯀꯅꯕꯥ ꯉꯃꯒꯅꯤ꯫ ꯅꯍꯥꯛꯀꯤ ꯇꯨꯡꯒꯤ ꯍꯀꯁꯦꯜ ꯑꯁꯤ ꯐꯦꯛꯇꯔ ꯀꯌꯥꯒꯤ ꯃꯈꯥ ꯄꯣꯜꯂꯤ, ꯃꯈꯣꯌ ꯑꯗꯨꯗꯤ:
- ꯅꯍꯥꯛꯀꯤ ꯆꯍꯤ꯫
- ꯑꯦꯛꯁꯤꯗꯦꯟꯇ ꯑꯗꯨꯒꯤ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯃꯑꯣꯡ꯫
- ꯑꯇꯣꯞꯄꯥ ꯑꯣꯔꯒꯥꯅꯁꯤꯡꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯄꯥ꯫
- ꯅꯍꯥꯛꯅꯥ ꯊꯦꯡꯅꯔꯤꯕꯥ ꯑꯇꯩ ꯀ꯭ꯔꯣꯅꯤꯛ ꯂꯥꯌꯅꯥꯁꯤꯡ (ꯑꯇꯣꯞꯄꯥ ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯃꯁꯤꯡ)꯫
- ꯂꯥꯏꯌꯦꯡꯕꯗꯥ ꯃꯇꯝ ꯀꯌꯥ ꯆꯪꯈꯤꯕꯒꯦ?
- ꯋꯥ ꯉꯥꯡꯕꯥ ꯉꯃꯗꯕꯥ ꯑꯃꯁꯨꯡ ꯕꯦꯂꯦꯟꯁ ꯂꯩꯇꯕꯒꯨꯝꯕꯥ ꯑꯍꯦꯅꯕꯥ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯃꯁꯤꯡ꯫
- ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡꯅꯥ ꯂꯥꯏꯌꯦꯡꯕꯗꯥ ꯀꯔꯝꯅꯥ ꯔꯦꯁꯄꯣꯟꯁ ꯇꯧꯕꯒꯦ꯫
ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯋꯥꯐꯝ ꯑꯃꯅꯥ, ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗꯇꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯈꯤꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯅꯥ ꯃꯇꯝ ꯆꯥꯗꯅꯥ ꯁꯤꯕꯒꯤ ꯆꯥꯡ ꯑꯁꯤ ꯂꯩꯈꯤꯗꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯗꯒꯤ ꯁꯔꯨꯛ ꯑꯅꯤꯗꯒꯤ ꯃꯉꯥ ꯐꯥꯎꯕꯥ ꯍꯦꯜꯂꯤ꯫ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗꯇꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯛꯂꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯑꯍꯥꯅꯕꯥ ꯆꯍꯤꯗꯥ ꯁꯤꯕꯒꯤ ꯔꯤꯁ꯭ꯛ ꯑꯁꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯋꯥꯡꯏ꯫
ꯑꯩꯅꯥ ꯃꯇꯧ ꯀꯔꯝꯅꯥ ꯏꯁꯥꯕꯨ ꯌꯦꯡꯁꯤꯅꯕꯤꯒꯅꯤ?
ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗꯀꯤ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯑꯃꯒꯥ ꯂꯣꯌꯅꯅꯥ, ꯅꯍꯥꯛꯅꯥ ꯃꯃꯥꯡꯗꯥ ꯄꯅꯈ꯭ꯔꯤꯕꯥ ꯃꯇꯨꯡꯏꯟꯅꯥ, ꯗꯤꯞ ꯚꯦꯟ ꯊ꯭ꯔꯣꯝꯕꯣꯁꯤꯁ (DVT)ꯒꯨꯝꯕꯥ ꯑꯇꯩ ꯍꯀꯁꯦꯂꯒꯤ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯃꯁꯤꯡ ꯂꯥꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯗꯁꯨ ꯅꯠꯇꯅꯥ, ꯅ꯭ꯌꯨꯔꯣꯖꯦꯅꯤꯛ ꯁꯣꯛ, ꯏꯒꯤ ꯈꯣꯡꯖꯦꯜ ꯍꯟꯊꯔꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯑꯣꯔꯒꯥꯟ ꯑꯃꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯃꯗꯒꯤ ꯍꯦꯅꯕꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫
ꯃꯤ ꯈꯨꯗꯤꯡꯃꯛꯀꯤ ꯐꯤꯚꯝ ꯑꯁꯤ ꯇꯣꯉꯥꯟ-ꯇꯣꯉꯥꯅꯕꯥ ꯑꯣꯏ, ꯑꯗꯨꯕꯨ ꯅ꯭ꯌꯨꯔꯣꯖꯦꯅꯤꯛ ꯁꯣꯛ-ꯄꯅꯕꯥ ꯊꯦꯡꯅꯔꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯒꯤꯗꯃꯛ ꯇꯨꯡꯗꯥ ꯂꯥꯛꯀꯗꯕꯥ ꯁꯃꯁ꯭ꯌꯥꯁꯤꯡ ꯊꯤꯡꯅꯕꯥ ꯐꯤꯖꯤꯀꯦꯜ ꯊꯦꯔꯥꯄꯤ ꯑꯃꯁꯨꯡ ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯄꯥꯎꯇꯥꯀꯁꯤꯡ ꯆꯦꯀꯁꯤꯟꯅꯥ ꯉꯥꯛꯅꯥ ꯆꯠꯄꯥ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫
ꯑꯩꯒꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯀꯗꯥꯏꯗꯥ ꯆꯠꯀꯗꯒꯦ?
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯀꯟꯗꯤꯁꯟꯗꯥ ꯑꯍꯣꯡꯕꯥ ꯑꯃꯥ ꯂꯥꯀꯄꯥ ꯎꯔꯕꯗꯤ, ꯃꯔꯨꯑꯣꯏꯕꯥ ꯈꯨꯗꯃꯁꯤꯡ ꯅꯠꯠꯔꯒꯥ ꯑꯅꯥꯕꯁꯤꯡꯗꯥ ꯑꯍꯣꯡꯕꯥ ꯂꯥꯀꯄꯥ ꯑꯁꯤꯅꯆꯤꯡꯕꯥ, ꯅꯍꯥꯛꯅꯥ ꯈꯨꯗꯛꯇꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯈꯪꯍꯅꯒꯗꯕꯅꯤ꯫
ꯑꯩꯅꯥ ꯀꯗꯥꯏꯗꯥ ꯏꯃꯔꯖꯦꯟꯁꯤ ꯗꯤꯄꯥꯔꯇꯃꯦꯟꯇ (ETU) ꯗꯥ ꯆꯠꯀꯗꯒꯦ ?
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯂꯩꯔꯕꯗꯤ ꯈꯨꯗꯛꯇꯥ ꯑꯦꯃꯔꯖꯦꯟꯁꯤ ꯂꯥꯏꯌꯦꯡ ꯂꯧꯒꯗꯕꯅꯤ:
- ꯈꯣꯡꯗꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯄꯥ꯫
- ꯃꯃꯤꯠ ꯇꯥꯡꯕꯥ꯫
- ꯀꯣꯛ ꯉꯥꯎꯕ
ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯑꯇꯣꯞꯄꯥ ꯁꯥꯊꯤꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫
ꯑꯩꯒꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯀꯔꯤ ꯋꯥꯍꯪ ꯍꯪꯒꯗꯒꯦ?
ꯅꯍꯥꯛꯅꯥ ꯗꯣꯛꯇꯔꯗꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯋꯥꯍꯪꯁꯤꯡ ꯑꯁꯤ ꯍꯪꯕꯤꯔꯀꯄꯥ ꯌꯥꯏ:
- ꯑꯩꯒꯤ ꯑꯀꯛꯅꯕꯥ ꯐꯤꯚꯃꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯀꯔꯤ ꯑꯥꯎꯠꯂꯨꯛ ꯂꯩꯕꯒꯦ?
- ‘ꯅ꯭ꯌꯨꯔꯣꯖꯦꯅꯤꯛ ꯁꯣꯛ’ꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯑꯩꯒꯤ ꯑꯣꯔꯒꯥꯅꯁꯤꯡꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯈꯤꯕ꯭ꯔꯥ?
- ꯑꯩꯒꯤ ꯐꯤꯚꯝ ꯑꯁꯤ ꯌꯦꯡꯂꯒꯥ ꯑꯩꯅꯥ ꯇꯧꯒꯗꯕꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯊꯕꯀꯁꯤꯡ ꯀꯔꯤꯅꯣ?
ꯁꯣꯃꯥꯔꯤ ꯑꯃꯁꯨꯡ ꯇꯦꯛ-ꯍꯣꯝ ꯃꯦꯁꯦꯖ꯫
ꯑꯣꯀꯦ, ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯉꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯋꯥꯔꯤ ꯁꯥꯈꯤꯕꯥ ‘ꯅ꯭ꯌꯨꯔꯣꯖꯦꯅꯤꯛ ꯁꯣꯛ’ ꯑꯁꯤ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗꯇꯥ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯅꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯄꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯕꯥ ꯌꯥꯝꯅꯥ ꯈꯨꯗꯣꯡꯊꯤꯅꯤꯡꯉꯥꯏ ꯑꯣꯏꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫ ꯃꯁꯤꯗꯥ ꯅꯔꯚꯁ ꯁꯤꯁ꯭ꯇꯦꯃꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯅꯕꯅꯥ ꯍꯀꯆꯥꯡꯅꯥ ꯍꯥꯔꯠ ꯔꯦꯠ ꯑꯃꯁꯨꯡ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔꯒꯨꯝꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡꯗꯥ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯥ ꯉꯃꯍꯟꯗꯦ꯫
ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯋꯥꯐꯃꯗꯤ ꯌꯥꯔꯤꯕꯃꯈꯩ ꯁꯥꯐꯅꯥ ꯂꯩꯕꯥ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯁꯔꯨ ꯇꯥꯡꯗꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯍꯟꯗꯅꯕꯥ ꯍꯣꯠꯅꯕꯅꯤ꯫ ꯗ꯭ꯔꯥꯏꯚꯤꯡ ꯇꯧꯕꯥ, ꯑꯋꯥꯡꯕꯥ ꯃꯐꯃꯗꯥ ꯊꯕꯛ ꯇꯧꯕꯥ ꯑꯃꯁꯨꯡ ꯏꯁꯤꯡꯗꯥ ꯆꯦꯟꯊꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯌꯥꯝꯅꯥ ꯆꯦꯀꯁꯤꯅꯒꯗꯕꯅꯤ꯫
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯦꯛꯁꯤꯗꯦꯟꯇ ꯑꯃꯥ ꯊꯣꯛꯂꯕꯗꯤ, ꯈꯨꯗꯛꯇꯥ ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯃꯇꯦꯡ ꯂꯧꯕꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯄꯨꯟꯁꯤ ꯀꯅꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯇꯥꯀꯄꯥ ꯃꯇꯨꯡꯏꯟꯅꯥ ꯐꯤꯖꯤꯀꯦꯜ ꯊꯦꯔꯥꯄꯤ ꯃꯈꯥ ꯆꯠꯊꯕꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯌꯥꯔꯤꯕꯃꯈꯩ ꯍꯀꯁꯦꯜ ꯐꯅꯥ ꯂꯩꯍꯅꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯒꯅꯤ꯫ ꯑꯗꯣꯃꯒꯤ ꯃꯦꯗꯤꯀꯦꯜ ꯇꯤꯃꯅꯥ ꯑꯗꯣꯃꯗꯥ ꯁꯤꯡꯅꯕꯥ ꯑꯁꯤ ꯃꯥꯏꯊꯤꯕꯥ ꯄꯤꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯒꯅꯤ꯫
` ꯅ꯭ꯌꯨꯔꯣꯖꯦꯅꯤꯛ ꯁꯣꯛ, ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗꯀꯤ ꯑꯁꯣꯛ-ꯑꯄꯟ, ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ, ꯅꯔꯚꯁ ꯁꯤꯁ꯭ꯇꯦꯝ, ꯏꯃꯔꯖꯦꯟꯁꯤ, ꯍꯥꯏꯄꯣꯇꯦꯟꯁꯟ, ꯕ꯭ꯔꯦꯗꯤꯌꯥꯔꯤꯊꯃꯤꯌꯥ꯫
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