ꯑꯗꯣꯃꯗꯥ ꯅ꯭ꯌꯨꯛꯂꯤꯌꯔ ꯁ꯭ꯠꯔꯦꯁ ꯇꯦꯁ꯭ꯠ ꯇꯧꯅꯕꯥ ꯍꯥꯌꯕꯤꯔꯝꯂꯕꯔꯥ? ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯂꯩꯔꯣꯏ, ꯑꯩꯈꯣꯌꯅꯥ ꯑꯀꯨꯞꯄꯥ ꯃꯔꯣꯂꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯒꯅꯤ (ꯅ꯭ꯌꯨꯛꯂꯤꯌꯔ ꯁ꯭ꯠꯔꯦꯁ ꯇꯦꯁ꯭ꯠ)

ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯀꯄꯨ ‘ꯅ꯭ꯌꯨꯛꯂꯤꯌꯔ ꯁ꯭ꯠꯔꯦꯁ ꯇꯦꯁ꯭ꯠ’ ꯇꯧꯅꯕꯥ ꯍꯥꯌꯕꯤꯈ꯭ꯔꯕꯔꯥ? ꯃꯗꯨ ꯇꯥꯕꯗꯥ ‘ꯅ꯭ꯌꯨꯛꯂꯤꯌꯔ’ ꯍꯥꯌꯕꯥ ꯋꯥꯍꯩ ꯑꯁꯤꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯃꯁꯤ ꯑꯆꯧꯕꯥ ꯑꯃꯗꯤ ꯈꯨꯗꯣꯡꯊꯤꯅꯤꯡꯉꯥꯏ ꯑꯣꯏꯕꯥ ꯋꯥꯐꯝ ꯑꯃꯅꯤ ꯍꯥꯌꯅꯥ ꯈꯜꯂꯀꯄꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯕꯨ ꯇꯁꯦꯡꯅꯥ ꯂꯥꯡꯇꯛꯅꯕꯒꯤ ꯃꯔꯝ ꯑꯃꯠꯇꯥ ꯂꯩꯇꯦ꯫ ꯃꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯍꯥꯔꯇꯀꯤ ꯍꯀꯁꯦꯂꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯌꯥꯝꯅꯥ ꯈꯪꯕꯥ ꯉꯝꯕꯥ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯇꯦꯁ꯭ꯠ ꯑꯃꯅꯤ꯫ ꯇꯦꯁ꯭ꯠ ꯑꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯃꯤꯑꯣꯏ ꯀꯌꯥꯅꯥ ꯑꯔꯥꯅꯕꯥ ꯋꯥꯈꯜꯂꯣꯟ ꯑꯃꯥ ꯂꯩꯔꯤ꯫ ꯑꯗꯨꯅꯥ ꯉꯁꯤ ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯃꯌꯦꯛ ꯁꯦꯡꯅꯥ, ꯃꯌꯦꯛ ꯁꯦꯡꯅꯥ, ꯑꯃꯁꯨꯡ ꯑꯗꯣꯝꯅꯥ ꯈꯉꯕꯤꯕꯥ ꯌꯥꯕꯥ ꯏꯆꯝ ꯆꯝꯕꯥ ꯁꯤꯅꯍꯥꯂꯤꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯁꯤ꯫

ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯅ꯭ꯌꯨꯛꯂꯤꯌꯔ ꯁ꯭ꯠꯔꯦꯁ ꯇꯦꯁ꯭ꯠ ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ?

ꯅꯍꯥꯛꯀꯤ ꯊꯝꯃꯣꯌꯕꯨ ꯌꯨꯝ ꯑꯃꯗꯥ ꯏꯁꯤꯡ ꯄꯤꯕꯥ ꯁꯤꯁ꯭ꯇꯦꯝ ꯑꯃꯥ ꯑꯣꯏꯅꯥ ꯈꯅꯕꯤꯌꯨ꯫ ꯍꯥꯔꯇꯀꯤ ꯃꯁꯂꯁꯤꯡꯅꯥ ꯃꯈꯣꯌꯅꯥ ꯃꯊꯧ ꯇꯥꯔꯤꯕꯥ ꯏ (ꯏꯁꯤꯡ) ꯑꯗꯨ ꯁꯤꯁ꯭ꯇꯦꯝ ꯑꯁꯤꯗꯥ ꯂꯩꯔꯤꯕꯥ ꯄꯥꯏꯄꯁꯤꯡ (i.e. ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯂꯁꯤꯡ)ꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯐꯪꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯄꯥꯏꯄꯁꯤꯡ ꯑꯁꯤ ꯃꯩꯁꯥ ꯑꯃꯁꯨꯡ ꯃꯩꯁꯥꯅꯥ ꯊꯨꯃꯖꯤꯅꯕꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯗꯒꯤ ꯏꯁꯤꯡ ꯇꯨꯡꯁꯤꯅꯕꯥ ꯌꯥꯝꯅꯥ ꯋꯥꯅꯥ ꯊꯣꯀꯏ꯫ ꯃꯇꯧ ꯑꯁꯨꯝꯅꯥ ꯊꯝꯃꯣꯌꯗꯥ ꯏꯒꯤ ꯈꯣꯡꯖꯦꯜ ꯌꯥꯡꯅꯥ ꯆꯦꯜꯂꯀꯏ꯫

ꯅ꯭ꯌꯨꯛꯂꯤꯌꯔ ꯁ꯭ꯠꯔꯦꯁ ꯇꯦꯁ꯭ꯠ ꯍꯥꯌꯕꯁꯤ ꯑꯈꯟꯅꯕꯥ ꯏꯃꯦꯖꯤꯡ ꯇꯦꯁ꯭ꯠ ꯑꯃꯅꯤ, ꯃꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯥꯔꯇꯀꯤ ꯃꯁꯂꯅꯥ ꯏ ꯃꯇꯤꯛ ꯆꯥꯅꯥ ꯐꯪꯂꯤꯕ꯭ꯔꯥ ꯑꯃꯁꯨꯡ ꯃꯐꯝ ꯑꯃꯗꯥ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯜ ꯑꯃꯗꯥ ꯕ꯭ꯂꯣꯀꯦꯖ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯁꯤꯜꯂꯤ꯫

ꯃꯁꯤꯗꯥ ꯌꯥꯝꯅꯥ ꯑꯄꯤꯀꯄꯥ, ꯁꯥꯐꯕꯥ ꯔꯦꯗꯤꯑꯣꯑꯦꯛꯇꯤꯚ ꯇ꯭ꯔꯦꯁꯔ ꯑꯃꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯏꯅꯖꯦꯀꯁꯟ ꯇꯧꯕꯥ ꯌꯥꯎꯏ꯫ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯂꯩꯔꯣꯏ, ꯃꯁꯤꯅꯥ ꯑꯋꯥꯕꯥ ꯄꯤꯔꯣꯏ꯫ ꯃꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯏꯗꯥ ꯌꯥꯑꯣꯔꯤꯕꯥ ꯗꯥꯏꯑꯦꯠ ꯑꯃꯒꯨꯝꯕꯅꯤ꯫ ꯃꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯏꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯆꯠꯂꯤ ꯑꯃꯁꯨꯡ ꯍꯥꯔꯇꯀꯤ ꯃꯁꯂꯗꯥ ꯁꯣꯀꯍꯜꯂꯤ꯫ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯑꯈꯟꯅꯕꯥ ꯀꯦꯃꯦꯔꯥ ꯑꯃꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯊꯝꯃꯣꯌꯒꯤ ꯐꯣꯇꯣ ꯂꯧꯏ꯫

• ꯏꯃꯦꯖꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯍꯥꯔꯇꯀꯤ ꯃꯁꯂꯒꯤ ꯃꯐꯃꯁꯤꯡꯗꯥ ꯑꯐꯕꯥ ꯏ ꯆꯦꯅꯕꯥ ꯌꯥꯕꯥ ꯃꯐꯃꯁꯤꯡ ꯃꯌꯦꯛ ꯁꯦꯡꯅꯥ ꯎꯠꯂꯤ .
• ꯑꯗꯨꯕꯨ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯜ ꯑꯃꯥ ꯕ꯭ꯂꯣꯛ ꯇꯧꯔꯕꯗꯤ ꯑꯃꯁꯨꯡ ꯏꯒꯤ ꯈꯣꯡꯖꯦꯜ ꯌꯥꯡꯕꯥ ꯃꯐꯃꯁꯤꯡ ꯂꯩꯔꯕꯗꯤ , ꯃꯐꯝ ꯑꯗꯨꯗꯥ ꯄꯣꯠꯁꯛ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯍꯟꯊꯅꯥ ꯌꯧꯏ꯫ ꯑꯗꯨꯅꯥ ꯃꯐꯃꯁꯤꯡ ꯑꯗꯨ ꯏꯃꯦꯖꯁꯤꯡꯗꯥ ꯇꯣꯉꯥꯟꯅꯥ ꯎꯕꯥ ꯐꯪꯏ, ꯍꯦꯟꯅꯥ ꯃꯌꯦꯛ ꯁꯦꯡꯂꯕꯁꯨ ꯌꯥꯏ꯫

ꯅꯍꯥꯛꯀꯤ ꯍꯥꯔꯇꯀꯤ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯂꯩꯔꯕꯗꯤ ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯃꯇꯧ ꯀꯔꯝꯅꯥ ꯈꯪꯕꯥ ꯉꯃꯒꯅꯤ꯫ ꯀꯥꯔꯗꯤꯑꯣꯂꯣꯖꯤꯁ꯭ꯇꯁꯤꯡꯅꯥ ꯇꯦꯁ꯭ꯠ ꯑꯁꯤ ꯀꯣꯔꯣꯅꯥꯔꯤ ꯑꯥꯔꯇꯦꯔꯤ ꯗꯤꯖꯤꯖ (ꯁꯤ.ꯑꯦ.ꯗꯤ.) ꯒꯨꯝꯕꯥ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ ꯈꯉꯗꯣꯛꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯃꯈꯣꯌꯒꯤ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯑꯗꯨ ꯌꯦꯡꯁꯤꯟꯅꯕꯥ ꯁꯤꯖꯤꯟꯅꯩ꯫ ꯃꯁꯤꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯃꯥꯡꯗꯥ ꯍꯥꯔꯠ ꯑꯦꯇꯦꯛ ꯇꯧꯈ꯭ꯔꯕꯔꯥ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯍꯥꯔꯇꯇꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯅꯈꯤꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨꯁꯨ ꯌꯦꯡꯁꯤꯅꯕꯥ ꯌꯥꯏ꯫

ꯇꯦꯁ꯭ꯠ ꯑꯁꯤꯕꯨ ꯑꯇꯣꯞꯄꯥ ꯃꯃꯤꯡ ꯀꯌꯥ ꯑꯃꯁꯨ ꯀꯧꯏ:

• ꯀꯥꯔꯗꯤꯌꯦꯛ ꯄꯤ.ꯏ.ꯇꯤ.(ꯄꯣꯖꯤꯠꯔꯣꯟ ꯏꯃꯤꯁꯟ ꯇꯣꯃꯣꯒ꯭ꯔꯥꯐꯤ)
• ꯀꯥꯔꯗꯤꯌꯦꯛ ꯑꯦꯁ.ꯄꯤ.ꯏ.ꯁꯤ.ꯇꯤ.(ꯁꯤꯉ꯭ꯒꯜ-ꯐꯣꯇꯣꯟ ꯏꯃꯤꯁꯟ ꯀꯝꯞꯌꯨꯇꯦꯠ ꯇꯣꯃꯣꯒ꯭ꯔꯥꯐꯤ)
• ꯑꯦꯝ.ꯄꯤ.ꯑꯥꯏ.(ꯃꯥꯌꯣꯀꯥꯔꯗꯤꯌꯥꯜ ꯄꯔꯐ꯭ꯌꯨꯁꯟ ꯏꯃꯦꯖꯤꯡ) ꯑꯃꯁꯨꯡ ꯑꯦꯝ.ꯄꯤ.ꯑꯥꯏ.
• ꯅ꯭ꯌꯨꯛꯂꯤꯌꯔ ꯀꯥꯔꯗꯤꯌꯦꯛ ꯁ꯭ꯠꯔꯦꯁ ꯇꯦꯁ꯭ꯠ ꯇꯧꯕꯥ꯫

ꯇꯦꯁ꯭ꯠ ꯑꯁꯤꯒꯤ ꯃꯈꯂꯁꯤꯡ ꯂꯩꯕꯔꯥ?

ꯍꯣꯌ, ꯃꯔꯨ ꯑꯣꯏꯕꯥ ꯃꯈꯜ ꯑꯅꯤ ꯂꯩ꯫ ꯑꯅꯤꯁꯤꯒꯤ ꯃꯔꯛꯇꯥ ꯂꯩꯔꯤꯕꯥ ꯈꯦꯟꯅꯕꯥ ꯑꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯊꯝꯃꯣꯌꯅꯥ ‘ꯁ꯭ꯠꯔꯦꯁ’ ꯑꯣꯏꯕꯒꯤ ꯃꯑꯣꯡ ꯑꯁꯤꯅꯤ꯫

1. ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯁ꯭ꯠꯔꯦꯁ ꯇꯦꯁ꯭ꯠ: ꯃꯁꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯇꯦꯁ꯭ꯇꯅꯤ꯫ ꯃꯐꯝ ꯑꯁꯤꯗꯥ, ꯅꯍꯥꯀꯄꯨ ꯇ꯭ꯔꯦꯗꯃꯤꯂꯗꯥ ꯆꯠꯅꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯁ꯭ꯇꯦꯁꯅꯦꯔꯤ ꯕꯥꯏꯛ ꯑꯃꯥ ꯊꯧꯕꯥ ꯌꯥꯍꯜꯂꯤ꯫ ꯅꯍꯥꯛꯅꯥ ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯇꯧꯕꯥ ꯃꯇꯃꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯥꯔꯇꯀꯤ ꯔꯦꯠ ꯑꯗꯨ ꯍꯦꯅꯒꯠꯂꯀꯏ ꯑꯃꯁꯨꯡ ꯕ꯭ꯂꯗ ꯐ꯭ꯂꯣ ꯍꯦꯅꯒꯠꯂꯀꯏ꯫ ꯃꯁꯤ ꯍꯥꯔꯇꯇꯥ ꯕ꯭ꯂꯣꯀꯦꯖ ꯑꯃꯥ ꯃꯌꯦꯛ ꯁꯦꯡꯅꯥ ꯎꯕꯥ ꯐꯪꯂꯕꯥ ꯃꯇꯃꯅꯤ꯫

꯲.ꯐꯥꯔꯃꯥꯀꯣꯂꯣꯖꯤꯀꯦꯜ ꯁ꯭ꯠꯔꯦꯁ ꯇꯦꯁ꯭ꯠ: ꯃꯤꯑꯣꯏ ꯈꯔꯗꯤ ꯆꯍꯤ, ꯁꯔꯨ ꯇꯥꯡꯒꯤ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯅꯠꯠꯔꯒꯥ ꯑꯇꯩ ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯐꯤꯚꯃꯁꯤꯡꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯇ꯭ꯔꯦꯗꯃꯤꯂꯗꯥ ꯆꯠꯄꯗꯥ ꯑꯋꯥꯕꯥ ꯃꯥꯌꯣꯛꯅꯩ꯫ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯀꯦꯁꯁꯤꯡ ꯑꯁꯤꯗꯥ ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯇꯧꯕꯒꯤ ꯃꯍꯨꯠꯇꯥ ꯗ꯭ꯔꯒ ꯑꯃꯥ ꯏꯅꯖꯦꯀꯁꯟ ꯇꯧꯏ꯫ ꯗ꯭ꯔꯒ ꯑꯁꯤꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯇꯧꯕꯥ ꯃꯇꯃꯗꯥ ꯑꯣꯏꯔꯀꯄꯒꯨꯝꯅꯥ ꯍꯥꯔꯇꯀꯤ ꯋꯥꯔꯀꯂꯣꯗ ꯍꯦꯅꯒꯠꯍꯜꯂꯤ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯔꯤꯖꯜꯇꯇꯥ ꯈꯦꯟꯅꯕꯥ ꯑꯃꯠꯇꯥ ꯂꯩꯇꯦ꯫

ꯀꯔꯤ ꯀꯦꯁꯁꯤꯡꯗꯥ ꯗꯣꯛꯇꯔ ꯑꯃꯅꯥ ꯇꯦꯁ꯭ꯠ ꯑꯁꯤ ꯔꯤꯀꯃꯦꯟꯗ ꯇꯧꯒꯅꯤ?

ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯇꯦꯁ꯭ꯠ ꯑꯁꯤ ꯔꯤꯀꯃꯦꯟꯗ ꯇꯧꯔꯀꯄꯒꯤ ꯃꯔꯝ ꯀꯌꯥ ꯂꯩꯕꯥ ꯌꯥꯏ꯫

• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯌꯥꯝꯅꯥ ꯇꯣꯏꯅꯥ ꯆꯦꯠꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯦꯅꯖꯥꯏꯅꯥ ꯂꯩꯔꯕꯗꯤ .
• ꯑꯆꯧꯕꯥ ꯁꯔꯖꯔꯤꯒꯤ ꯃꯃꯥꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯥꯔꯇꯀꯤ ꯐꯤꯠꯅꯦꯁ ꯑꯗꯨ ꯆꯦꯛ ꯇꯧ꯫
• ꯅꯍꯥꯛꯀꯤ ꯍꯥꯔꯠ ꯃꯁꯜ ꯑꯗꯨ ꯏꯒꯤ ꯈꯣꯡꯖꯦꯜ ꯍꯟꯊꯔꯀꯄꯥ (ischemia) ꯅꯠꯠꯔꯒꯥ ꯃꯃꯥꯡꯒꯤ ꯍꯥꯔꯠ ꯑꯦꯇꯦꯛ ꯑꯃꯗꯒꯤ ꯁꯣꯀꯍꯜꯂꯕꯥ ꯃꯐꯃꯁꯤꯡꯗꯥ ꯆꯦꯛ ꯇꯧ꯫
• ꯍꯧꯖꯤꯛ ꯂꯩꯔꯤꯕꯥ ꯍꯥꯔꯇꯀꯤ ꯂꯥꯌꯅꯥ ꯂꯥꯌꯦꯡꯕꯒꯤ ꯏꯐꯦꯛꯇꯤꯕꯅꯦꯁ ꯑꯗꯨ ꯏꯚꯥꯜꯌꯨꯑꯦꯠ ꯇꯧꯕꯥ꯫

ꯇꯦꯁ꯭ꯠ ꯇꯧꯗ꯭ꯔꯤꯉꯩ ꯃꯃꯥꯡꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯀꯔꯝꯅꯥ ꯁꯦꯝ-ꯁꯥꯒꯗꯒꯦ?

ꯇꯦꯁ꯭ꯠ ꯑꯁꯤꯒꯤ ꯃꯃꯥꯡꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯁꯦꯝ-ꯁꯥꯕꯥ ꯈꯔꯥ ꯇꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯏ꯫ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯃꯌꯦꯛ ꯁꯦꯡꯕꯥ ꯏꯅꯁ꯭ꯠꯔꯛꯁꯅꯁꯤꯡ ꯄꯤꯒꯅꯤ꯫ ꯍꯥꯌꯔꯤꯕꯥ ꯏꯅꯁ꯭ꯠꯔꯛꯁꯅꯁꯤꯡ ꯑꯗꯨ ꯑꯆꯨꯝꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯉꯥꯛꯅꯥ ꯆꯠꯄꯥ ꯑꯁꯤ ꯔꯤꯖꯜꯇꯁꯤꯡꯒꯤ ꯑꯆꯨꯝꯕꯥ ꯋꯥꯐꯃꯒꯤꯗꯃꯛ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫

ꯇꯦꯁ꯭ꯠ ꯇꯧꯕꯥ ꯃꯇꯃꯗꯥ ꯀꯔꯤ ꯊꯣꯀꯏ?

ꯃꯁꯤꯒꯤ ꯇꯦꯁ꯭ꯠ ꯑꯁꯤ ꯃꯍꯧꯁꯥꯅꯥ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯜ ꯅꯠꯠꯔꯒꯥ ꯑꯈꯟꯅꯕꯥ ꯀ꯭ꯂꯤꯅꯤꯛ ꯑꯃꯗꯥ ꯇꯧꯏ꯫ ꯇꯦꯛꯅꯤꯁꯤꯌꯟ ꯅꯠꯠꯔꯒꯥ ꯅꯔꯁ ꯑꯃꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯃꯇꯝ ꯄꯨꯝꯅꯃꯛꯇꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯒꯅꯤ꯫

1. ꯀꯦꯟꯌꯨꯜ ꯑꯗꯨ ꯏꯅꯁꯥꯔꯁ ꯇꯧꯕꯥ: ꯑꯍꯥꯅꯕꯗꯥ, ꯅꯍꯥꯛꯀꯤ ꯈꯨꯠꯁꯥꯗꯥ ꯂꯩꯕꯥ ꯚꯦꯅꯝ ꯑꯃꯗꯥ ꯑꯄꯤꯀꯄꯥ ꯀꯦꯟꯌꯨꯜ ꯑꯃꯥ (IV ꯂꯥꯏꯟ) ꯊꯥꯎ꯫ ꯃꯁꯤꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯔꯦꯗꯤꯑꯣꯑꯦꯛꯇꯤꯚ ꯄꯣꯠꯁꯛ (ꯇ꯭ꯔꯦꯁꯔ) ꯑꯁꯤ ꯏꯅꯖꯦꯀꯁꯟ ꯇꯧꯏ꯫ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯆꯪꯂꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯈꯔꯥ ꯁꯣꯀꯄꯥ ꯌꯥꯏ꯫

2. ꯔꯦꯁ꯭ꯇꯤꯡ ꯏꯃꯦꯖꯁꯤꯡ: ꯃꯆꯥꯛ ꯑꯗꯨ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯆꯠꯇꯨꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯊꯝꯃꯣꯌꯗꯥ ꯌꯧꯔꯀꯄꯗꯥ ꯃꯤꯅꯤꯠ ꯈꯔꯅꯤ ꯆꯪꯏ꯫ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯈꯟꯅꯕꯥ ꯀꯦꯃꯦꯔꯥ ꯑꯃꯒꯤ ꯃꯈꯥꯗꯥ ꯐꯃꯨꯡ ꯑꯃꯗꯥ ꯂꯦꯞꯂꯒꯥ ꯅꯍꯥꯛꯀꯤ ꯊꯝꯃꯣꯌꯒꯤ ꯑꯍꯥꯅꯕꯥ ꯁꯦꯠ ꯑꯗꯨ ꯂꯧꯒꯅꯤ꯫ ꯃꯇꯝ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯆꯠꯊꯣꯛ-ꯆꯠꯁꯤꯟ ꯇꯧꯗꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫ ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯊꯝꯃꯣꯌꯅꯥ ꯅꯨꯡꯉꯥꯏꯅꯥ ꯂꯩꯕꯥ ꯃꯇꯃꯗꯥ ꯂꯧꯏ꯫

3. ꯏ.ꯁꯤ.ꯖꯤ.ꯒꯤ ꯀꯅꯦꯛꯁꯟ: ꯃꯊꯪꯗꯥ, ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡ, ꯃꯈꯨꯠ ꯑꯃꯁꯨꯡ ꯈꯣꯡꯗꯥ ꯑꯄꯤꯀꯄꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ ꯊꯃꯒꯅꯤ꯫ ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤꯕꯨ ꯏꯂꯦꯛꯠꯔꯣꯗ ꯍꯥꯌꯅꯥ ꯀꯧꯏ . ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯏꯂꯦꯛꯠꯔꯣꯀꯥꯔꯗꯤꯑꯣꯒ꯭ꯔꯥꯝ (EKG) ꯃꯦꯁꯤꯟ ꯑꯃꯒꯥ ꯋꯥꯏꯔꯄꯀꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯁꯝꯅꯍꯜꯂꯤ꯫ ꯃꯁꯤꯅꯥ ꯇꯦꯁ꯭ꯠ ꯄꯨꯝꯅꯃꯛꯇꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯥꯔꯇꯀꯤ ꯔꯦꯠ ꯑꯗꯨ ꯌꯦꯡꯁꯤꯅꯒꯅꯤ꯫ ꯅꯍꯥꯛꯀꯤ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ ꯑꯗꯨ ꯂꯦꯞꯇꯅꯥ ꯌꯦꯡꯁꯤꯟꯅꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯨꯠꯁꯥꯗꯥ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ ꯀꯐ ꯑꯃꯁꯨ ꯊꯃꯒꯅꯤ꯫

4. ꯑꯦꯛꯁꯔꯁꯥꯏꯖ (Stress Part): ꯃꯁꯤꯅꯥ ꯇꯦꯁ꯭ꯇꯀꯤ ‘Stress’ ꯁꯔꯨꯛ ꯑꯗꯨ ꯍꯧꯏ꯫ ꯅꯍꯥꯀꯄꯨ ꯇ꯭ꯔꯦꯗꯃꯤꯜ ꯑꯃꯗꯥ ꯊꯃꯒꯅꯤ꯫ ꯑꯍꯥꯅꯕꯗꯥ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯍꯧꯒꯠꯂꯨ ꯑꯃꯁꯨꯡ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯈꯣꯡꯖꯦꯜ ꯑꯃꯁꯨꯡ ꯈꯣꯡꯖꯦꯜ ꯍꯦꯅꯒꯠꯍꯅꯒꯗꯕꯅꯤ꯫ ꯅꯍꯥꯛꯀꯤ ꯍꯥꯔꯇꯀꯤ ꯔꯦꯠ ꯑꯗꯨ ꯑꯀꯛꯅꯕꯥ ꯇꯥꯔꯒꯦꯠ ꯂꯦꯚꯦꯜ ꯑꯃꯗꯥ ꯌꯧꯔꯛꯠꯔꯤꯐꯥꯎꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯇꯧꯒꯗꯕꯅꯤ꯫ ꯑꯗꯨꯕꯨꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯑꯃꯍꯦꯛꯇꯥ, ꯍꯥꯌꯕꯗꯤ ꯈꯣꯡꯗꯥ ꯁꯣꯀꯄꯥ, ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ, ꯅꯠꯠꯔꯒꯥ ꯃꯤꯠ ꯎꯗꯕꯥ, ꯃꯐꯃꯗꯨꯗꯥ ꯂꯩꯔꯤꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯗꯥ ꯈꯪꯍꯅꯒꯗꯕꯅꯤ꯫ ꯃꯁꯤ ꯅꯍꯥꯛꯅꯥ ꯃꯇꯝ ꯑꯃꯠꯇꯗꯥ ꯊꯤꯡꯕꯥ ꯌꯥꯏ꯫

5. ꯁ꯭ꯠꯔꯦꯁꯀꯤ ꯏꯃꯦꯖꯁꯤꯡ: ꯅꯍꯥꯛꯅꯥ ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯇꯧꯕꯒꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯌꯥꯝꯕꯥ ꯊꯥꯛ ꯑꯗꯨ ꯌꯧꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ, ꯔꯦꯗꯤꯑꯣꯑꯦꯛꯇꯤꯚ ꯄꯣꯠꯁꯛ ꯑꯗꯨꯒꯤ ꯑꯄꯤꯀꯄꯥ ꯁꯔꯨꯛ ꯑꯃꯥ ꯀꯦꯟꯌꯨꯂꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯏꯅꯖꯦꯀꯁꯟ ꯇꯧꯏ꯫ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ, ꯅꯍꯥꯀꯄꯨ ꯊꯨꯅꯥ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯀꯦꯃꯦꯔꯥꯒꯤ ꯃꯈꯥꯗꯥ ꯊꯝꯃꯤ ꯑꯃꯁꯨꯡ ꯑꯅꯤꯁꯨꯕꯥ ꯏꯃꯦꯖ ꯁꯦꯠ ꯑꯃꯥ ꯂꯧꯏ꯫ ꯏꯃꯦꯖꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯇꯧꯕꯥ ꯃꯇꯃꯗꯥ ꯏ ꯀꯔꯝꯅꯥ ꯆꯦꯜꯂꯤꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯎꯠꯂꯤ, ꯃꯁꯤꯅꯥ ꯍꯥꯔꯠ ꯑꯁꯤ ꯁ꯭ꯠꯔꯦꯁ ꯂꯩꯕꯥ ꯃꯇꯃꯗꯥ ꯍꯥꯌꯕꯅꯤ꯫

ꯃꯁꯤꯒꯤ ꯊꯧꯑꯣꯡ ꯄꯨꯝꯅꯃꯛ ꯑꯁꯤ ꯄꯨꯡ ꯀꯌꯥ ꯆꯪꯕꯥ ꯌꯥꯏ꯫

ꯇꯦꯁ꯭ꯠ ꯑꯁꯤꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯔꯤꯁ꯭ꯛ ꯂꯩꯕ꯭ꯔꯥ?

ꯃꯦꯗꯤꯀꯦꯜ ꯇꯦꯁ꯭ꯠ ꯑꯃꯍꯦꯛꯇꯒꯥ ꯃꯥꯟꯅꯅꯥ, ꯌꯥꯝꯅꯥ ꯅꯦꯝꯕꯥ ꯔꯤꯁ꯭ꯛ ꯂꯩ꯫ ꯑꯗꯨꯕꯨ ꯑꯄꯨꯅꯕꯥ ꯑꯣꯏꯅꯥ ꯅ꯭ꯌꯨꯛꯂꯤꯌꯔ ꯁ꯭ꯠꯔꯦꯁ ꯇꯦꯁ꯭ꯠ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯁꯥꯐꯕꯥ ꯇꯦꯁ꯭ꯠ ꯑꯃꯅꯤ꯫

• ꯔꯦꯗꯤꯑꯦꯁꯟ: ꯄ꯭ꯔꯣꯁꯤꯗ꯭ꯌꯨꯑꯣꯔ ꯑꯁꯤꯗꯥ ꯁꯤꯖꯤꯟꯅꯔꯤꯕꯥ ꯔꯦꯗꯤꯑꯣꯑꯦꯛꯇꯤꯚ ꯃꯦꯇꯔꯤꯑꯦꯂꯗꯒꯤ ꯔꯦꯗꯤꯑꯦꯁꯅꯒꯤ ꯆꯥꯡ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯅꯦꯝꯃꯤ꯫ ꯃꯁꯤꯅꯥ ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯍꯟꯗꯦ꯫
• ꯑꯦꯂꯥꯔꯖꯤ: ꯃꯤꯑꯣꯏ ꯈꯔꯗꯗꯤ ꯏꯅꯖꯦꯀꯁꯟ ꯇꯧꯔꯕꯥ ꯄꯣꯠꯁꯛ ꯑꯗꯨꯗꯥ ꯃꯌꯥꯏ ꯑꯣꯏꯕꯥ ꯑꯦꯂꯥꯔꯖꯤꯒꯤ ꯔꯤꯑꯦꯛꯁꯟ ꯑꯃꯥ ꯂꯩꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯗꯥ ꯂꯥꯂꯍꯧꯕꯥ, ꯅꯥꯕꯥ, ꯑꯃꯁꯨꯡ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯗꯥ ꯋꯥꯕꯥ ꯑꯁꯤꯅꯆꯤꯡꯕꯥ ꯌꯥꯎꯕꯥ ꯌꯥꯏ꯫ ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯃꯍꯧꯁꯥꯅꯥ ꯊꯨꯅꯥ ꯌꯥꯡꯅꯥ ꯆꯠꯂꯤ꯫

ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯕꯥ ꯑꯀꯅꯕꯥ ꯁꯥꯏꯗ ꯏꯐꯦꯛꯇ ꯈꯔꯗꯤ ꯂꯩ .

ꯇꯦꯁ꯭ꯠ ꯑꯁꯤ ꯇꯧꯔꯣꯏꯗꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡ ꯂꯩꯕ꯭ꯔꯥ?

ꯍꯣꯏ. ꯃꯁꯤꯒꯤ ꯇꯦꯁ꯭ꯠ ꯑꯁꯤ ꯃꯍꯧꯁꯥꯅꯥ ꯃꯤꯔꯣꯜꯂꯤꯕꯤ ꯅꯠꯠꯔꯒꯥ ꯈꯣꯝꯂꯥꯡ ꯄꯤꯊꯀꯄꯥ ꯃꯃꯥꯁꯤꯡꯗꯥ ꯇꯧꯗꯦ ꯃꯔꯃꯗꯤ ꯔꯦꯗꯤꯑꯦꯁꯟ ꯑꯁꯤꯅꯥ ꯑꯉꯥꯡ ꯑꯗꯨꯗꯥ ꯁꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯗꯕꯥ, ꯁꯥꯊꯤꯕꯥ ꯍꯥꯔꯇꯀꯤ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯗꯁꯨ ꯆꯨꯃꯗꯦ꯫ ꯈꯨꯗꯝ ꯑꯣꯏꯅ:

• ꯑꯦꯛꯌꯨꯠ ꯀꯣꯔꯣꯅꯥꯔꯤ ꯁꯤꯟꯗꯣꯝ꯫
• ꯑꯦꯑꯣꯔꯇꯤꯛ ꯗꯤꯁꯦꯛꯁꯟ ꯇꯧꯕꯥ꯫
• ꯑꯦꯑꯣꯔꯇꯤꯛ ꯁ꯭ꯇꯦꯅꯣꯁꯤꯁ (aortic stenosis) ꯊꯣꯀꯄꯥ꯫
• ꯍꯥꯏꯄꯔꯠꯔꯣꯐꯤꯛ ꯀꯥꯔꯗꯤꯑꯣꯃꯥꯌꯣꯄꯦꯊꯤ꯫

ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯃꯁꯤ ꯄꯨꯝꯅꯃꯛ ꯑꯁꯤ ꯈꯟꯅꯒꯅꯤ ꯑꯃꯁꯨꯡ ꯇꯦꯁ꯭ꯠ ꯑꯁꯤ ꯅꯍꯥꯛꯀꯤꯗꯃꯛꯇꯥ ꯆꯨꯝꯃꯤ ꯍꯥꯌꯕꯗꯨ ꯂꯦꯄꯀꯅꯤ꯫

ꯇꯦꯁ꯭ꯠ ꯔꯤꯄꯣꯔꯠ ꯑꯗꯨꯗꯥ ꯀꯔꯤ ꯍꯥꯌꯔꯤꯕꯒꯦ?

ꯔꯤꯄꯣꯔꯠ ꯑꯁꯤ ꯐꯪꯕꯗꯥ ꯅꯨꯃꯤꯠ ꯈꯔꯅꯤ ꯆꯪꯂꯝꯕꯥ ꯌꯥꯏ, ꯃꯔꯃꯗꯤ ꯀꯥꯔꯗꯤꯑꯣꯂꯣꯖꯤꯁ꯭ꯠ ꯅꯠꯠꯔꯒꯥ ꯔꯦꯗꯤꯑꯣꯂꯣꯖꯤꯁ꯭ꯠ ꯑꯃꯅꯥ ꯏꯃꯦꯖꯁꯤꯡ ꯑꯁꯤ ꯆꯦꯀꯁꯤꯟꯅꯥ ꯊꯤꯖꯤꯜꯂꯤ ꯑꯃꯁꯨꯡ ꯔꯤꯄꯣꯔꯠ ꯑꯁꯤ ꯁꯦꯝ ꯁꯥꯔꯤ꯫

• ꯅꯣꯔꯃꯦꯜ ꯔꯤꯖꯜꯇꯁꯤꯡ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯅꯨꯡꯉꯥꯏꯅꯥ ꯂꯩꯔꯤꯉꯩꯗꯥ ꯂꯧꯈꯤꯕꯥ ꯏꯃꯦꯖꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯇꯧꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯂꯧꯈꯤꯕꯥ ꯏꯃꯦꯖꯁꯤꯡ ꯑꯗꯨ ꯑꯅꯤꯃꯛ ꯆꯞ ꯃꯥꯟꯅꯅꯥ ꯐꯔꯕꯗꯤ, ꯃꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯥꯔꯇꯀꯤ ꯃꯁꯜ ꯑꯗꯨ ꯑꯐꯕꯥ ꯏ ꯆꯦꯅꯕꯥ ꯍꯧꯔꯦ ꯍꯥꯌꯕꯅꯤ꯫ ꯕ꯭ꯂꯣꯀꯦꯖ ꯑꯃꯠꯇꯥ ꯂꯩꯇꯦ꯫
• ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯕꯥ ꯐꯂꯁꯤꯡ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯏꯒꯤ ꯈꯣꯡꯖꯦꯜ ꯑꯁꯤ ꯅꯨꯡꯉꯥꯏꯅꯥ ꯂꯩꯕꯥ ꯃꯇꯃꯗꯥ ꯐꯩ ꯑꯗꯨꯕꯨ ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯇꯧꯕꯥ ꯃꯇꯃꯗꯥ ꯍꯟꯊꯔꯛꯂꯕꯗꯤ, ꯃꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯊꯝꯃꯣꯌꯗꯥ ꯏꯒꯤ ꯈꯣꯡꯖꯦꯜ ꯑꯃꯥ ꯊꯤꯡꯖꯤꯜꯂꯀꯄꯅꯤ ꯍꯥꯌꯕꯅꯤ꯫
• ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯄꯥ ꯃꯁꯜ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯍꯥꯔꯇꯀꯤ ꯁꯔꯨꯛ ꯑꯃꯗꯥ, ꯅꯨꯡꯉꯥꯏꯅꯥ ꯂꯩꯕꯥ ꯑꯃꯁꯨꯡ ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯇꯧꯕꯥ ꯃꯇꯃꯗꯥ ꯏ ꯃꯔꯥꯡ ꯀꯥꯌꯅꯥ ꯆꯠꯄꯥ ꯉꯃꯗꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯅꯥ ꯇꯥꯀꯄꯗꯤ ꯁꯔꯨꯛ ꯑꯗꯨ ꯃꯇꯝ ꯆꯨꯞꯄꯒꯤ ꯑꯣꯏꯅꯥ ꯁꯣꯀꯍꯜꯂꯦ, ꯑꯌꯥꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯃꯃꯥꯡꯒꯤ ꯍꯥꯔꯠ ꯑꯦꯇꯦꯛ ꯑꯃꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯁꯣꯀꯍꯜꯂꯦ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯔꯤꯄꯣꯔꯠ ꯑꯗꯨꯗꯥ ꯑꯋꯥꯕꯥ ꯑꯃꯥ ꯂꯩꯔꯕꯗꯤ ꯃꯊꯪꯗꯥ ꯀꯔꯤ ꯇꯧꯒꯅꯤ?

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯔꯤꯄꯣꯔꯠ ꯑꯗꯨꯗꯥ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯑꯃꯥ ꯂꯩꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯃꯊꯪꯗꯥ ꯀꯔꯤ ꯇꯧꯒꯗꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯈꯪꯍꯜꯂꯛꯀꯅꯤ꯫ ꯃꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯐꯤꯚꯃꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ ꯈꯦꯠꯅꯕꯥ ꯌꯥꯏ꯫

• ꯃꯈꯥ ꯇꯥꯕꯥ ꯇꯦꯁ꯭ꯇꯁꯤꯡ: ꯕ꯭ꯂꯣꯀꯦꯖ ꯑꯗꯨ ꯀꯗꯥꯏꯗꯥ ꯂꯩꯕꯒꯦ ꯑꯃꯁꯨꯡ ꯀꯌꯥꯝ ꯁꯥꯊꯤꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯑꯆꯨꯝꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯌꯦꯡꯅꯕꯒꯤꯗꯃꯛ ꯀꯣꯔꯣꯅꯥꯔꯤ ꯑꯦꯟꯖꯤꯑꯣꯒ꯭ꯔꯥꯐꯒꯨꯝꯕꯥ ꯑꯇꯣꯞꯄꯥ ꯇꯦꯁ꯭ꯠ ꯑꯃꯒꯤꯗꯃꯛ ꯔꯤꯐꯔ ꯇꯧꯕꯥ ꯌꯥꯏ꯫
• ꯂꯥꯏꯌꯦꯡ: ꯂꯥꯏꯌꯦꯡ ꯑꯁꯤ ꯃꯁꯛ ꯈꯪꯗꯣꯛꯂꯕꯥ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯑꯗꯨꯗꯥ ꯌꯨꯝꯐꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯄꯤ꯫ ꯃꯁꯤꯗꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯑꯁꯤ ꯌꯥꯑꯣꯕꯥ ꯌꯥꯏ:
• ꯃꯩꯈꯨ ꯊꯥꯗꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯂꯧꯎ-ꯁꯤꯡꯎ ꯍꯟꯊꯍꯅꯕꯅꯆꯤꯡꯕꯥ ꯄꯨꯟꯁꯤ ꯃꯍꯤꯡꯗꯥ ꯑꯍꯣꯡꯕꯥ ꯂꯥꯀꯄꯥ꯫
• ꯍꯥꯌ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ ꯑꯃꯁꯨꯡ ꯀꯣꯂꯦꯁ꯭ꯇꯦꯔꯣꯂꯒꯨꯝꯕꯥ ꯀꯟꯗꯤꯁꯅꯁꯤꯡꯒꯤꯗꯃꯛ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛ ꯍꯧꯕꯥ꯫
• ꯕ꯭ꯂꯣꯛ ꯇꯧꯔꯕꯥ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯜ ꯑꯗꯨ ꯍꯥꯡꯗꯣꯛꯅꯕꯥ ꯑꯦꯟꯖꯤꯑꯣꯞꯂꯥꯁ꯭ꯇꯤ ꯄꯥꯡꯊꯣꯀꯏ ꯑꯃꯁꯨꯡ ꯁ꯭ꯇꯦꯟꯇ ꯑꯃꯥ ꯊꯥꯏ꯫
• ꯁꯥꯊꯤꯕꯥ ꯀꯦꯁ ꯈꯔꯗꯗꯤ , ꯀꯣꯔꯣꯅꯥꯔꯤ ꯑꯥꯔꯇꯦꯔꯤ ꯕꯥꯏꯄꯥꯁ ꯁꯔꯖꯔꯤ (CABG) ꯑꯁꯤ ꯔꯤꯀꯃꯦꯟꯗ ꯇꯧꯕꯥ ꯌꯥꯏ꯫