ꯀꯤꯗꯅꯤ ꯑꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯑꯣꯔꯒꯥꯅꯁꯤꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯅꯤ꯫ ꯃꯈꯣꯌ ꯑꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯂꯩꯔꯤꯕꯥ ꯑꯃꯣꯠꯄꯁꯤꯡ ꯁꯦꯡꯗꯣꯛꯂꯤꯕꯥ ꯐꯤꯜꯇꯔ ꯑꯃꯒꯨꯝꯕꯅꯤ꯫ ꯑꯗꯨꯕꯨ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯑꯩꯈꯣꯌꯅꯥ ꯈꯉꯗꯅꯥ ꯀꯤꯗꯅꯤꯗꯥ ꯏ ꯄꯤꯔꯤꯕꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯆꯦꯅꯦꯂꯁꯤꯡ ꯍꯥꯌꯕꯗꯤ ꯔꯦꯅꯥꯜ ꯑꯥꯔꯇꯦꯔꯤꯁꯤꯡ ꯑꯁꯤ ꯕ꯭ꯂꯣꯛ ꯇꯧꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯑꯣꯏꯅꯥ ‘ꯔꯦꯅꯥꯜ ꯑꯥꯔꯇꯦꯔꯤ ꯁ꯭ꯇꯦꯅꯣꯁꯤꯁ’ (RAS) ꯅꯠꯠꯔꯒꯥ ꯔꯦꯅꯥꯜ ꯑꯥꯔꯇꯦꯔꯤ ꯗꯤꯖꯤꯖ ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ, ꯃꯔꯃꯗꯤ ꯃꯁꯤꯅꯥ ꯍꯥꯏ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ (ꯍꯥꯌꯄꯔꯇꯦꯟꯁꯟ) , ꯀ꯭ꯔꯣꯅꯤꯛ ꯀꯤꯗꯅꯤ ꯗꯤꯖꯤꯖ (ꯀ꯭ꯔꯣꯅꯤꯛ ꯀꯤꯗꯅꯤ ꯗꯤꯖꯤꯖ), ꯑꯃꯁꯨꯡ ꯑꯔꯣꯌꯕꯗꯥ ꯀꯤꯗꯅꯤ ꯐꯦꯜ ꯑꯣꯏꯕꯒꯨꯝꯕꯥ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ, ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯆꯦꯀꯁꯤꯅꯕꯥ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫
ꯂꯥꯌꯅꯥ ꯑꯁꯤ ꯂꯥꯀꯄꯒꯤ ꯔꯤꯁ꯭ꯛ ꯑꯁꯤ ꯀꯅꯥꯅꯥ ꯍꯦꯟꯅꯥ ꯋꯥꯡꯕꯒꯦ?
ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯀꯅꯥꯒꯨꯝꯕꯥ ꯑꯃꯗꯥ ꯂꯥꯀꯄꯥ ꯌꯥꯏ ꯑꯗꯨꯕꯨ ꯃꯤꯑꯣꯏ ꯈꯔꯗꯤ ꯍꯦꯟꯅꯥ ꯔꯤꯁ꯭ꯛ ꯂꯩ꯫ ꯑꯦꯊꯦꯔꯣꯁ꯭ꯀꯂꯦꯔꯣꯁꯤꯁꯅꯥ ꯅꯥꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡ ꯑꯁꯤ ꯃꯔꯨꯑꯣꯏꯅꯥ ꯔꯤꯁ꯭ꯛ ꯂꯩ꯫ ꯑꯦꯊꯦꯔꯣꯁ꯭ꯀꯂꯦꯔꯣꯁꯤꯁ ꯍꯥꯌꯕꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯂꯁꯤꯡꯒꯤ ꯋꯥꯂꯁꯤꯡꯗꯥ ꯀꯣꯂꯦꯁ꯭ꯇꯦꯔꯣꯜ ꯑꯃꯁꯨꯡ ꯄ꯭ꯂꯦꯀꯒꯨꯝꯕꯥ ꯐꯦꯇꯤ ꯄꯣꯠꯁꯀꯁꯤꯡ ꯁꯦꯃꯒꯠꯂꯀꯄꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯕ꯭ꯂꯣꯀꯦꯖ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫ ꯃꯇꯃꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ ꯏꯁꯤꯡꯒꯤ ꯄꯥꯏꯞ ꯑꯃꯅꯥ ꯃꯩꯁꯥꯅꯥ ꯊꯨꯃꯖꯤꯜꯂꯀꯄꯒꯨꯝꯅꯥ ꯈꯅꯕꯤꯌꯨ꯫
ꯃꯔꯝ ꯑꯗꯨꯅꯥ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯔꯤꯁ꯭ꯛ ꯐꯦꯛꯇꯔꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯍꯦꯛꯇꯕꯨ ꯂꯩꯔꯕꯗꯤ, ꯈꯔꯥ ꯍꯦꯟꯅꯥ ꯆꯦꯀꯁꯤꯟꯅꯥ ꯂꯩꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯑꯐꯕꯥ ꯋꯥꯈꯜꯂꯣꯟ ꯑꯃꯅꯤ:
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯗꯥꯏꯑꯦꯕꯦꯇꯤꯖ ꯃꯦꯂꯤꯇꯁ ꯂꯩꯔꯕꯗꯤ .
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯏꯃꯨꯡ ꯑꯗꯨꯒꯤ ꯀꯅꯥꯒꯨꯝꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯅꯥ ꯀꯥꯔꯗꯤꯑꯣꯚꯥꯁ꯭ꯀꯨꯂꯥꯔ ꯗꯤꯖꯤꯖ (ꯃꯗꯨꯗꯤ ꯍꯦꯔꯤꯇꯦꯖ ꯂꯤꯉ꯭ꯛ) ꯂꯩꯔꯕꯗꯤ꯫
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ ꯋꯥꯡꯕꯥ ꯑꯣꯏꯔꯕꯗꯤ .
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯕ꯭ꯂꯗ ꯀꯣꯂꯦꯁ꯭ꯇꯦꯔꯣꯂꯒꯤ ꯆꯥꯡ ꯋꯥꯡꯂꯕꯗꯤ .
- ꯑꯣꯕꯦꯁꯤꯇꯤ ꯍꯥꯌꯕꯁꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯑꯔꯨꯝꯕꯥ ꯌꯥꯝꯅꯥ ꯂꯩꯕꯥ ꯍꯥꯌꯕꯁꯤꯅꯤ꯫
- ꯆꯍꯤ ꯌꯥꯃꯈꯠꯂꯀꯄꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯔꯤꯁ꯭ꯛ ꯑꯁꯤ ꯍꯦꯅꯒꯠꯂꯀꯏ (ꯆꯍꯤ 45ꯒꯤ ꯃꯊꯛꯇꯥ ꯂꯩꯕꯥ ꯅꯨꯄꯥꯁꯤꯡ, ꯆꯍꯤ 55ꯒꯤ ꯃꯊꯛꯇꯥ ꯂꯩꯕꯥ ꯅꯨꯄꯤꯁꯤꯡ)꯫
- ꯐꯠꯇꯕꯥ ꯗꯥꯏꯠ , ꯍꯥꯌꯕꯗꯤ ꯂꯣꯟ, ꯊꯥꯎ, ꯑꯃꯁꯨꯡ ꯆꯤꯅꯤ ꯌꯥꯝꯅꯥ ꯌꯥꯎꯕꯥ ꯆꯤꯟꯖꯥꯀꯁꯤꯡ ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯆꯥꯕꯥ ꯍꯥꯌꯕꯁꯤꯅꯤ꯫
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯩꯈꯨ ꯁꯤꯖꯤꯟꯅꯔꯕꯗꯤ , ꯃꯁꯤꯅꯥ ꯋꯥꯐꯝ ꯀꯌꯥꯒꯤꯗꯃꯛ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯜꯂꯤ꯫
ꯔꯦꯅꯥꯜ ꯑꯥꯔꯇꯦꯔꯤ ꯁ꯭ꯇꯦꯅꯣꯁꯤꯁ ꯑꯃꯁꯨꯡ ꯄꯦꯔꯤꯐꯦꯔꯦꯜ ꯑꯥꯔꯇꯦꯔꯤ ꯗꯤꯖꯤꯖꯒꯤ ꯃꯔꯛꯇꯥ ꯀꯔꯤ ꯃꯔꯤ ꯂꯩꯅꯕꯒꯦ?
ꯃꯐꯝ ꯑꯁꯤꯗꯥ ꯑꯇꯣꯞꯄꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯋꯥꯐꯝ ꯑꯃꯁꯨ ꯂꯩꯔꯤ꯫ ꯃꯁꯤꯒꯤ ꯔꯦꯅꯥꯜ ꯑꯥꯔꯇꯦꯔꯤ ꯁ꯭ꯇꯦꯅꯣꯁꯤꯁ (RAS) ꯑꯁꯤꯅꯥ ꯀꯤꯗꯅꯤꯗꯥ ꯏ ꯄꯨꯕꯥ ꯑꯥꯔꯇꯦꯔꯤꯁꯤꯡꯗꯥ ꯁꯣꯀꯍꯜꯂꯤ꯫ ꯑꯗꯨꯕꯨ ‘ꯄꯦꯔꯤꯐꯦꯔꯦꯜ ꯑꯥꯔꯇꯦꯔꯤ ꯗꯤꯖꯤꯖ’ (PAD) ꯀꯧꯕꯥ ꯑꯇꯣꯞꯄꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯁꯨ ꯂꯩ꯫ ꯃꯁꯤꯗꯥ ꯍꯥꯔꯇꯇꯒꯤ ꯃꯈꯨꯠ ꯑꯃꯁꯨꯡ ꯈꯣꯡꯗꯥ ꯏ ꯄꯨꯔꯤꯕꯥ ꯑꯥꯔꯇꯦꯔꯤꯁꯤꯡ ꯑꯗꯨ ꯊꯤꯡꯖꯤꯜꯂꯤ꯫ ꯈꯅꯕꯤꯌꯨ, ꯅꯍꯥꯛꯅꯥ ꯈꯣꯡꯅꯥ ꯆꯠꯄꯥ ꯃꯇꯃꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯑꯁꯣꯀꯄꯥ ꯑꯃꯥ ꯐꯥꯑꯣꯏ, ꯑꯃꯁꯨꯡ ꯃꯇꯝ ꯈꯔꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯆꯠꯄꯥ ꯉꯝꯂꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ PAD ꯑꯁꯤꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯎꯕꯥ ꯐꯪꯒꯅꯤ꯫
ꯑꯥꯔ.ꯑꯦ.ꯑꯦꯁ. ꯑꯃꯁꯨꯡ ꯄꯤ.ꯑꯦ.ꯗꯤ. ꯑꯅꯤꯃꯛꯀꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯔꯝ ꯑꯁꯤ ꯑꯌꯥꯝꯕꯅꯥ ꯃꯃꯥꯡꯗꯥ ꯄꯅꯈꯤꯕꯥ ꯑꯦꯊꯦꯔꯣꯁ꯭ꯀꯂꯦꯔꯣꯁꯤꯁꯅꯤ . ꯁ꯭ꯇꯗꯤꯁꯤꯡꯅꯥ ꯇꯥꯛꯂꯤ ꯃꯗꯨꯗꯤ ꯄꯤ.ꯑꯦ.ꯗꯤ.ꯅꯥ ꯅꯥꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯱꯴% ꯑꯃꯁꯨꯡ ꯳꯵%ꯒꯤ ꯃꯔꯛꯇꯥ ꯑꯥꯔ.ꯑꯦ.ꯑꯦꯁ. ꯃꯁꯤꯅꯥ ꯇꯥꯀꯄꯗꯤ ꯑꯅꯤꯁꯤꯒꯤ ꯃꯔꯛꯇꯥ ꯑꯆꯦꯠꯄꯥ ꯃꯔꯤ ꯑꯃꯥ ꯂꯩ ꯍꯥꯌꯕꯅꯤ꯫
ꯃꯁꯤꯒꯤ ꯃꯊꯛꯇꯥ, ꯑꯥꯔ.ꯑꯦ.ꯑꯦꯁ.ꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯕꯥ ꯀ꯭ꯔꯣꯅꯤꯛ ꯀꯤꯗꯅꯤꯒꯤ ꯂꯥꯌꯅꯥ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯗꯥ ꯄꯤ.ꯑꯦ.ꯗꯤ. ꯀꯟꯗꯤꯁꯟ ꯑꯅꯤꯃꯛ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯅꯥ ꯍꯥꯔꯠ ꯑꯦꯇꯦꯛ, ꯁ꯭ꯠꯔꯣꯛ, ꯑꯃꯁꯨꯡ ꯃꯁꯥ ꯃꯊꯟꯇꯥ ꯁꯣꯀꯍꯅꯕꯥ ꯑꯁꯤꯅꯆꯤꯡꯕꯥ ꯑꯀꯅꯕꯥ ꯍꯀꯁꯦꯂꯒꯤ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯃꯁꯤꯡ ꯂꯥꯀꯄꯒꯤ ꯔꯤꯁ꯭ꯛ ꯌꯥꯝꯅꯥ ꯋꯥꯡꯏ . ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯋꯥꯐꯃꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯆꯦꯀꯁꯤꯟꯅꯥ ꯂꯩꯕꯥ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨ ꯑꯣꯏ꯫
ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ? ꯃꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯀꯔꯝꯅꯥ ꯈꯉꯒꯅꯤ?
ꯑꯌꯥꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯔꯦꯅꯥꯜ ꯑꯥꯔꯇꯦꯔꯤ ꯁ꯭ꯇꯦꯅꯣꯁꯤꯁ (RAS) ꯃꯈꯜ ꯑꯁꯤꯅꯥ ꯑꯍꯥꯅꯕꯥ ꯁ꯭ꯇꯦꯖꯗꯥ ꯂꯥꯏꯑꯣꯡ ꯑꯃꯠꯇꯥ ꯎꯠꯄꯥ ꯉꯃꯗꯦ꯫ ꯃꯁꯤ ꯅꯉꯣꯟꯗꯥ ꯆꯨꯃꯗ꯭ꯔꯤꯡꯅꯥ ꯂꯥꯀꯁꯤꯜꯂꯒꯥ ꯂꯥꯌꯅꯥ ꯑꯁꯤꯕꯨ ꯍꯦꯟꯅꯥ ꯐꯠꯆꯤꯂꯍꯅꯕꯒꯨꯝꯕꯅꯤ꯫ ꯍꯥꯌ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ ꯑꯃꯁꯨꯡ ꯀꯤꯗꯅꯤ ꯐꯦꯜ ꯑꯣꯏꯕꯅꯆꯤꯡꯕꯥ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯃꯁꯤꯡ ꯑꯁꯤ ꯂꯥꯌꯅꯥ ꯑꯁꯤ ꯍꯦꯟꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯃꯇꯃꯗꯥ ꯊꯣꯀꯄꯥ ꯍꯧꯏ꯫ ꯀꯤꯗꯅꯤꯁꯤꯡꯅꯥ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯊꯕꯛ ꯇꯧꯗꯕꯥ ꯃꯇꯃꯗꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯂꯥꯀꯄꯥ ꯌꯥꯏ꯫ ꯅꯍꯥꯛꯅꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯠꯇꯥ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯕꯤꯌꯨ:
- ꯅꯍꯥꯛꯅꯥ ꯄꯨꯛꯅꯤꯡ ꯆꯪꯕꯗꯥ ꯑꯋꯥꯕꯥ ꯃꯥꯌꯣꯛꯅꯔꯤꯕ꯭ꯔꯥ ꯅꯠꯠꯔꯒꯥ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯐꯥꯑꯣꯕ꯭ꯔꯥ ?
- ꯇꯨꯝꯕꯥ ꯉꯃꯗ꯭ꯔꯤꯕꯔꯥ? (ꯇꯨꯝꯕꯥ ꯌꯥꯗꯕꯥ)
- ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯏꯁꯤꯡꯅꯥ ꯊꯜꯂꯕꯥ ꯃꯐꯝ ꯑꯃꯥ ꯂꯩꯕ꯭ꯔꯥ? (ꯏꯗꯤꯃꯥ), ꯃꯔꯨꯑꯣꯏꯅꯥ ꯈꯣꯡ ꯑꯃꯁꯨꯡ ꯈꯣꯡꯗꯥ꯫
- ꯃꯇꯝ ꯄꯨꯝꯅꯃꯛꯇꯥ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯐꯥꯑꯣꯔꯤꯕꯔꯥ ? ꯊꯕꯛ ꯈꯔꯥ ꯇꯧꯔꯕꯥ ꯃꯇꯨꯡꯗꯁꯨ ꯑꯗꯣꯝ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯊꯦꯡꯅꯔꯤꯕꯔꯥ?
- ꯑꯌꯥꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯃꯀꯣꯛ ꯁꯣꯀꯄꯥ ꯌꯥꯏ ?
- ꯅꯍꯥꯛꯀꯤ ꯆꯥꯛ ꯆꯥꯕꯥ ꯋꯥꯠꯄꯥ ꯂꯩꯕ꯭ꯔꯥ ?
- ꯅꯍꯥꯛꯅꯥ ꯃꯁꯜ ꯁꯣꯟꯊꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯀ꯭ꯔꯌꯥꯝꯄꯁꯤꯡ ꯊꯦꯡꯅꯕ꯭ꯔꯥ ?
- ꯅꯍꯥꯛꯅꯥ ꯅꯣꯡꯃꯩ ꯀꯥꯞꯄꯥ ꯑꯃꯁꯨꯡ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯂꯩꯕ꯭ꯔꯥ ?
- ꯅꯍꯥꯛꯅꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ (dyspnea) ꯊꯦꯡꯅꯕ꯭ꯔꯥ ? ꯃꯇꯝ ꯈꯔꯒꯤ ꯑꯣꯏꯅꯥ ꯈꯣꯡꯅꯥ ꯆꯠꯂꯕꯥ ꯃꯇꯨꯡꯗꯁꯨ ꯅꯍꯥꯛꯅꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ ꯐꯥꯎꯕ꯭ꯔꯥ?
- ꯈꯣꯡꯗꯥ ꯑꯍꯣꯡꯕꯥ ꯂꯥꯀꯄꯥ - ꯈꯣꯡ-ꯈꯨꯠ ꯁꯣꯀꯄꯥ, ꯈꯣꯡ-ꯈꯨꯠ ꯁꯣꯀꯄꯥ, ꯅꯠꯠꯔꯒꯥ ꯈꯣꯡ-ꯈꯨꯠ ꯁꯣꯛ-ꯄꯅꯕꯥ ꯑꯁꯤꯅꯆꯤꯡꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ꯫
- ꯃꯔꯝ ꯑꯃꯠꯇꯥ ꯂꯩꯇꯅꯥ ꯑꯔꯨꯝꯕꯥ ꯍꯟꯊꯔꯛꯂꯤꯕꯔꯥ? (ꯃꯌꯦꯛ ꯁꯦꯡꯗꯕꯥ ꯑꯔꯨꯝꯕꯥ ꯍꯟꯊꯕꯥ)
- ꯅꯍꯥꯛꯅꯥ ꯃꯍꯧꯁꯥꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯅꯠꯠꯔꯒꯥ ꯍꯟꯊꯅꯥ ꯌꯨꯔꯤꯕ꯭ꯔꯥ?
ꯑꯁꯤꯒꯨꯝꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯅꯤ ꯂꯩꯕꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯂꯥꯌꯅꯥ ꯑꯁꯤ ꯂꯩꯔꯦ ꯍꯥꯌꯕꯗꯤ ꯅꯠꯇꯦ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯀꯌꯥ ꯑꯃꯥ ꯂꯩꯔꯕꯗꯤ, ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯄꯥꯎꯇꯥꯛ ꯂꯧꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯂꯧꯁꯤꯡꯅꯤ꯫
ꯀꯔꯤꯒꯤꯗꯃꯛꯇꯥ ꯔꯦꯅꯥꯜ ꯑꯥꯔꯇꯦꯔꯤꯁꯤꯡ ꯑꯁꯤ ꯕ꯭ꯂꯣꯛ ꯇꯧꯔꯤꯕꯅꯣ? ꯃꯔꯃꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?
ꯃꯁꯤꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯔꯝ ꯑꯅꯤ ꯂꯩ꯫
1. ꯑꯆꯧꯕꯥ ꯃꯑꯣꯡꯗꯥ, ꯑꯥꯔ.ꯑꯦ.ꯑꯦꯁ.ꯀꯤ ꯀꯦꯁ ꯶꯰% ꯑꯃꯁꯨꯡ ꯹꯰%ꯒꯤ ꯃꯔꯛꯇꯥ ꯑꯩꯈꯣꯌꯅꯥ ꯃꯃꯥꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯈꯤꯕꯥ ꯀꯟꯗꯤꯁꯟ , ꯑꯦꯊꯦꯔꯣꯁ꯭ꯀꯂꯦꯔꯣꯁꯤꯁ . ꯃꯁꯤ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯂꯁꯤꯡꯒꯤ ꯋꯥꯂꯁꯤꯡꯗꯥ ꯐꯦꯇꯤ ꯗꯤꯄꯣꯖꯤꯠꯁꯤꯡ (ꯄ꯭ꯂꯦꯛ) ꯁꯦꯃꯒꯠꯂꯀꯄꯅꯤ, ꯃꯈꯣꯌꯗꯨ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯁꯣꯀꯍꯜꯂꯤ꯫ ꯃꯁꯤꯅꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯃꯔꯃꯅꯤ꯫
2. ꯂꯦꯃꯍꯧꯔꯤꯕꯥ ꯀꯦꯁꯁꯤꯡ ꯑꯁꯤ ꯑꯌꯥꯝꯕꯅꯥ ‘ꯐꯥꯏꯕ꯭ꯔꯣꯃꯁꯀꯨꯂꯥꯔ ꯗꯤꯁꯞꯂꯦꯁꯤꯌꯥ’ ꯀꯧꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯥ ꯊꯣꯀꯍꯅꯕꯅꯤ꯫ ꯃꯁꯤ ꯈꯔꯥ ꯇꯣꯉꯥꯜꯂꯤ꯫ ꯃꯁꯤꯗꯥ ꯑꯥꯔꯇꯦꯔꯤ ꯋꯥꯂꯁꯤꯡꯗꯥ ꯂꯩꯕꯥ ꯁꯦꯂꯁꯤꯡ ꯑꯁꯤ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯍꯟꯗꯨꯅꯥ ꯑꯥꯔꯇꯦꯔꯤꯁꯤꯡ ꯑꯗꯨ ꯀꯨꯄꯁꯤꯅꯕꯥ ꯊꯣꯀꯍꯜꯂꯤ꯫ ꯃꯁꯤ ꯐꯦꯇꯤ ꯗꯤꯄꯣꯖꯤꯠ ꯑꯃꯅꯤ꯫ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯅꯨꯄꯤꯁꯤꯡꯗꯥ ꯍꯦꯟꯅꯥ ꯀꯃꯟ ꯑꯣꯏ꯫ ꯃꯁꯤ ꯖꯤꯅꯦꯇꯤꯛꯁ ꯅꯠꯠꯔꯒꯥ ꯍꯣꯔꯃꯣꯅꯁꯤꯡꯅꯥ ꯊꯣꯀꯍꯅꯕꯅꯤ ꯍꯥꯌꯅꯥ ꯂꯧꯅꯩ꯫
ꯃꯁꯤꯒꯤ ꯑꯣꯏꯊꯣꯀꯄꯥ ꯌꯥꯕꯥ ꯁꯥꯏꯗ ꯏꯐꯦꯛꯇꯁꯤꯡ (ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ) ꯀꯔꯤꯅꯣ?
ꯔꯦꯅꯥꯜ ꯑꯥꯔꯇꯦꯔꯤ ꯁ꯭ꯇꯦꯅꯣꯁꯤꯁ ꯑꯁꯤ ꯏꯆꯝ ꯆꯝꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯃꯦꯅꯦꯖ ꯇꯧꯗ꯭ꯔꯕꯗꯤ, ꯃꯁꯤꯅꯥ ꯑꯇꯣꯞꯄꯥ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯀꯌꯥ ꯑꯃꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯈꯨꯗꯝ ꯑꯣꯏꯅ:
- ꯀ꯭ꯔꯣꯅꯤꯛ ꯀꯤꯗꯅꯤꯒꯤ ꯂꯥꯌꯅꯥ: ꯀꯤꯗꯅꯤꯒꯤ ꯐꯉ꯭ꯀꯁꯟ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯍꯟꯊꯔꯀꯄꯥ꯫
- ꯀꯣꯔꯣꯅꯥꯔꯤ ꯑꯥꯔꯇꯦꯔꯤ ꯗꯤꯖꯤꯖ: ꯍꯥꯔꯇꯇꯥ ꯏ ꯁꯞꯂꯥꯏ ꯇꯧꯔꯤꯕꯥ ꯑꯥꯔꯇꯦꯔꯤꯁꯤꯡꯗꯥ ꯃꯥꯟꯅꯕꯥ ꯕ꯭ꯂꯣꯀꯦꯖꯁꯤꯡ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫
- ꯀꯤꯗꯅꯤ ꯑꯦꯠꯔꯣꯐꯤ (kidney atrophy): ꯀꯤꯗꯅꯤꯒꯤ ꯁꯥꯏꯖ ꯑꯁꯤ ꯍꯟꯊꯔꯀꯄꯥ ꯌꯥꯏ꯫
- ꯀꯤꯗꯅꯤ ꯐꯦꯜ ꯑꯣꯏꯕꯥ (kidney failure): ꯂꯣꯌꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ, ꯀꯤꯗꯅꯤꯁꯤꯡꯅꯥ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯊꯕꯛ ꯇꯧꯕꯥ ꯂꯦꯄꯍꯅꯕꯥ ꯌꯥꯏ, ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯗꯥꯏꯑꯦꯂꯥꯏꯁꯤꯁ ꯅꯠꯠꯔꯒꯥ ꯀꯤꯗꯅꯤ ꯇ꯭ꯔꯥꯟꯁꯞꯂꯥꯟꯇ ꯇꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯏ꯫
- ꯄꯦꯔꯤꯐꯦꯔꯦꯜ ꯑꯥꯔꯇꯦꯔꯤ ꯗꯤꯖꯤꯖ (peripheral artery disease): ꯂꯤꯝꯐꯇꯥ ꯏ ꯄꯨꯕꯥ ꯑꯥꯔꯇꯦꯔꯤꯁꯤꯡ ꯕ꯭ꯂꯣꯛ ꯇꯧꯕꯥ꯫
- ꯔꯦꯅꯥꯜ ꯍꯥꯏꯄꯔꯇꯦꯟꯁꯟ: ꯔꯦꯅꯥꯜ ꯑꯥꯔꯇꯦꯔꯤꯁꯤꯡꯗꯥ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ ꯋꯥꯡꯈꯠꯄꯥ꯫
ꯃꯁꯤꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯥ ꯆꯤꯡꯅꯕꯥ ꯂꯩꯔꯕꯗꯤ ꯅꯠꯠꯔꯒꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯂꯩꯔꯕꯗꯤ ꯈꯨꯗꯛꯇꯥ ꯗꯣꯛꯇꯔꯒꯥ ꯇꯥꯟꯅꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫
ꯂꯥꯌꯅꯥ ꯑꯁꯤ ꯃꯇꯧ ꯀꯔꯝꯅꯥ ꯑꯆꯨꯝꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯈꯪꯗꯣꯀꯄꯒꯦ?
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯔꯦꯅꯥꯜ ꯑꯥꯔꯇꯦꯔꯤ ꯁ꯭ꯇꯦꯅꯣꯁꯤꯁ ꯑꯁꯤ ꯊꯧꯗꯣꯛ ꯑꯃꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯊꯦꯡꯅꯩ꯫ ꯍꯥꯌꯕꯗꯤ ꯃꯈꯣꯌꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯑꯇꯣꯞꯄꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯒꯤꯗꯃꯛ ꯇꯦꯁ꯭ꯠ ꯇꯧꯕꯥ ꯃꯇꯃꯗꯥ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯀꯄꯨ RAS ꯂꯩꯔꯦ ꯍꯥꯌꯅꯥ ꯆꯤꯡꯅꯔꯕꯗꯤ ꯃꯈꯣꯌꯅꯥ ꯇꯦꯁ꯭ꯠ ꯈꯔꯗꯤ ꯇꯧꯕꯥ ꯌꯥꯏ, ꯃꯈꯣꯌ ꯑꯗꯨꯗꯤ:
- ꯐꯤꯖꯤꯀꯦꯜ ꯑꯦꯀꯖꯥꯃꯤꯅꯦꯁꯟ: ꯑꯍꯥꯅꯕꯗꯥ, ꯅꯍꯥꯛꯅꯥ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯑꯦꯀꯖꯥꯃꯤꯅꯦꯁꯟ ꯇꯧꯒꯅꯤ꯫ ꯅꯍꯥꯛꯀꯤ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ ꯑꯗꯨ ꯆꯦꯛ ꯇꯧꯒꯅꯤ꯫ ꯃꯤꯑꯣꯏ ꯈꯔꯗꯗꯤ, ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤꯅꯥ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯗꯕꯥ ꯍꯥꯏ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯃꯈꯣꯌꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯁꯔꯨ ꯇꯥꯡꯁꯤꯡꯗꯥ ꯁꯣꯛ-ꯄꯅꯕꯥ ꯌꯦꯡꯒꯅꯤ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯑꯗꯨ ꯇꯥꯒꯅꯤ꯫ ꯗꯣꯛꯇꯔꯅꯥ ꯏꯒꯤ ꯈꯣꯡꯖꯦꯜ ꯇꯥꯅꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯀꯤꯗꯅꯤꯒꯤ ꯃꯊꯛꯇꯥ ꯁ꯭ꯇꯦꯊꯣꯁ꯭ꯀꯣꯞ ꯑꯃꯥ ꯊꯝꯕꯥ ꯌꯥꯏ꯫ ꯕ꯭ꯂꯣꯛ ꯇꯧꯔꯕꯥ ꯑꯥꯔꯇꯦꯔꯤ ꯑꯃꯗꯥ ꯏ ꯆꯦꯟꯊꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯅꯍꯥꯛꯅꯥ ‘ꯍꯨꯁꯤꯡ’ꯒꯤ ꯈꯣꯟꯖꯦꯜ ꯑꯃꯥ ꯇꯥꯕꯥ ꯌꯥꯏ꯫ ꯑꯥꯔ.ꯑꯦ.ꯑꯦꯁ.ꯀꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯈꯨꯗꯃꯗꯤ ꯃꯌꯦꯛ ꯁꯦꯡꯗꯕꯥ ꯍꯥꯏ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔꯅꯤ .
- ꯀꯤꯗꯅꯤꯒꯤ ꯐꯉ꯭ꯀꯁꯟ ꯇꯦꯁ꯭ꯇꯁꯤꯡ: ꯃꯊꯪꯗꯥ, ꯅꯍꯥꯛꯀꯤ ꯀꯤꯗꯅꯤꯁꯤꯡꯅꯥ ꯀꯌꯥ ꯌꯥꯝꯅꯥ ꯐꯖꯅꯥ ꯊꯕꯛ ꯇꯧꯔꯤꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯅꯕꯒꯤꯗꯃꯛ ꯏ ꯑꯃꯁꯨꯡ ꯌꯨꯔꯤꯟ ꯇꯦꯁ꯭ꯠ ꯇꯧꯏ꯫ ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯄ꯭ꯔꯣꯇꯤꯟ, ꯀ꯭ꯔꯤꯌꯦꯇꯤꯅꯤꯟ , ꯑꯃꯁꯨꯡ ꯅꯥꯏꯠꯔꯣꯖꯦꯅꯒꯨꯝꯕꯥ ꯑꯃꯣꯠꯄꯥ ꯄꯣꯠꯂꯃꯁꯤꯡꯒꯤ ꯆꯥꯡ ꯋꯥꯡꯈꯠꯂꯀꯄꯒꯤ ꯆꯥꯡ ꯌꯦꯡꯏ꯫ ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯀꯤꯗꯅꯤꯁꯤꯡꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡꯗꯒꯤ ꯐꯤꯜꯇꯔ ꯇꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯈꯣꯌ ꯑꯁꯤ ꯋꯥꯡꯈꯠꯂꯕꯗꯤ, ꯃꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯀꯤꯗꯅꯤꯁꯤꯡꯅꯥ ꯑꯃꯣꯠꯄꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯐꯤꯜꯇꯔ ꯇꯧꯗ꯭ꯔꯤ ꯍꯥꯌꯕꯅꯤ꯫
- ꯏꯃꯦꯖꯤꯡ ꯁ꯭ꯀꯦꯅꯁꯤꯡ: ꯃꯁꯤꯒꯤ ꯃꯊꯛꯇꯥ, ꯅꯍꯥꯛꯀꯤ ꯀꯤꯗꯅꯤꯁꯤꯡ ꯑꯁꯤ ꯀꯌꯥ ꯌꯥꯝꯅꯥ ꯆꯥꯎꯕꯒꯦ ꯑꯃꯁꯨꯡ ꯃꯈꯣꯌꯗꯥ ꯏ ꯀꯌꯥ ꯌꯥꯝꯅꯥ ꯆꯦꯜꯂꯤꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯆꯨꯝꯅꯥ ꯌꯦꯡꯕꯗꯥ ꯁꯤꯖꯤꯟꯅꯕꯥ ꯌꯥꯕꯥ ꯇꯣꯉꯥꯟ-ꯇꯣꯉꯥꯅꯕꯥ ꯃꯈꯂꯒꯤ ꯏꯃꯦꯖꯤꯡ ꯁ꯭ꯀꯦꯅꯁꯤꯡ ꯂꯩ꯫ ꯃꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯥꯔꯇꯦꯔꯤꯁꯤꯡ ꯑꯗꯨ ꯀꯌꯥꯝ ꯀꯨꯞꯅꯥ ꯂꯩꯕꯒꯦ ꯍꯥꯌꯕꯗꯨꯁꯨ ꯎꯠꯄꯥ ꯌꯥꯏ꯫ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯔꯤꯀꯃꯦꯟꯗ ꯇꯧꯕꯁꯨ ꯌꯥꯏ ꯀꯅꯍꯥꯀꯄꯨ ꯔꯦꯅꯥꯜ ꯁ꯭ꯀꯦꯟ, ꯗꯨꯞꯂꯦꯛꯁ ꯑꯂꯠꯔꯥꯁꯥꯎꯟꯗ, ꯀꯝꯞꯌꯨꯇꯔꯥꯏꯖꯗ ꯇꯣꯃꯣꯒ꯭ꯔꯥꯐꯤꯛ ꯑꯦꯟꯖꯤꯑꯣꯒ꯭ꯔꯥꯐꯤ (CTA), ꯅꯠꯠꯔꯒꯥ ꯃꯦꯒ꯭ꯅꯦꯇꯤꯛ ꯔꯤꯖꯣꯅꯦꯟꯁ ꯑꯦꯟꯖꯤꯑꯣꯒ꯭ꯔꯥꯐ (MRA) ꯇꯧꯅꯕꯥ ꯍꯥꯌꯔꯀꯄꯥ ꯌꯥꯏ꯫ ꯁ꯭ꯀꯦꯅꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯔꯦꯅꯥꯜ ꯑꯥꯔꯇꯦꯔꯤꯁꯤꯡꯒꯤ ꯃꯌꯦꯛ ꯁꯦꯡꯕꯥ ꯃꯑꯣꯡ ꯑꯃꯥ ꯄꯤꯕꯥ ꯉꯝꯃꯤ꯫
ꯃꯁꯤꯒꯤ ꯂꯥꯏꯌꯦꯡꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯤꯅꯣ?
ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯂꯥꯏꯌꯦꯡꯁꯤꯡꯗꯤ ꯄꯨꯟꯁꯤ ꯃꯍꯤꯡ ꯍꯣꯡꯗꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡꯅꯤ . ꯑꯅꯤꯃꯛ ꯄꯨꯟꯅꯥ ꯁꯤꯖꯤꯟꯅꯒꯗꯕꯅꯤ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯔꯦꯅꯥꯜ ꯑꯥꯔꯇꯦꯔꯤꯁꯤꯡ ꯑꯗꯨ ꯌꯥꯝꯅꯥ ꯀꯨꯄꯁꯤꯜꯂꯕꯗꯤ, ꯑꯥꯔꯇꯦꯔꯤꯁꯤꯡ ꯑꯗꯨ ꯊꯤꯡꯖꯤꯅꯕꯒꯤ ꯔꯤꯁ꯭ꯛ ꯂꯩ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡꯅꯥ ꯄ꯭ꯔꯦꯁꯔ ꯑꯗꯨ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯥ ꯉꯃꯗ꯭ꯔꯕꯗꯤ, ꯅꯠꯠꯔꯒꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯀꯤꯗꯅꯤꯒꯤ ꯐꯉ꯭ꯀꯁꯟ ꯃꯈꯥ ꯇꯥꯅꯥ ꯍꯟꯊꯔꯛꯂꯕꯗꯤ, ꯁꯔꯖꯔꯤ ꯇꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯏ꯫
ꯄꯨꯟꯁꯤ ꯃꯍꯤꯡꯗꯥ ꯑꯍꯣꯡꯕꯥ ꯂꯥꯀꯄꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯒꯗꯒꯦ?
ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛ ꯊꯀꯄꯥ ꯈꯛꯇꯅꯥ ꯃꯇꯤꯛ ꯆꯥꯗꯦ꯫ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯂꯥꯏꯐꯁ꯭ꯇꯥꯏꯂꯒꯤ ꯑꯍꯣꯡꯕꯥ ꯈꯔꯥ ꯁꯣꯌꯗꯅꯥ ꯔꯤꯀꯃꯦꯟꯗ ꯇꯧꯒꯅꯤ ꯃꯗꯨꯅꯥ ꯃꯁꯤꯒꯤ (RAS) ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯒꯅꯤ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯍꯥꯏ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ ꯍꯟꯊꯍꯅꯒꯅꯤ꯫ ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯁꯣꯏꯗꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯇꯧꯒꯗꯕꯥ ꯊꯕꯀꯁꯤꯡꯅꯤ:
- ꯍꯀꯁꯦꯜ ꯐꯕꯥ ꯗꯥꯏꯠ ꯑꯃꯥ ꯆꯥꯕꯥ: ꯐꯦꯠ, ꯀꯣꯂꯦꯁ꯭ꯇꯦꯔꯣꯜ, ꯁꯣꯜꯇ (ꯁꯣꯗꯤꯌꯝ), ꯑꯃꯁꯨꯡ ꯆꯤꯅꯤ ꯌꯥꯝꯅꯥ ꯌꯥꯎꯕꯥ ꯆꯤꯟꯖꯥꯀꯁꯤꯡ ꯆꯥꯒꯗꯕꯅꯤ꯫ ꯃꯁꯤꯅꯥ ꯐ꯭ꯔꯥꯏꯗ ꯔꯥꯏꯁ, ꯐ꯭ꯔꯥꯏꯗ ꯐꯨꯗꯁꯤꯡ, ꯆꯤꯅꯤ ꯌꯥꯑꯣꯕꯥ ꯊꯛꯅꯕꯥ ꯏꯁꯤꯡ, ꯑꯃꯁꯨꯡ ꯐꯦꯠ ꯁ꯭ꯅꯦꯀꯁꯤꯡ ꯍꯟꯊꯍꯅꯕꯥ ꯍꯥꯌꯕꯅꯤ꯫ ꯌꯨꯃꯗꯥ ꯌꯣꯀꯄꯥ ꯎꯍꯩ-ꯋꯥꯍꯩꯁꯤꯡ, ꯃꯅꯥ-ꯃꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯃꯅꯥ-ꯃꯁꯤꯡꯁꯤꯡ ꯅꯍꯥꯛꯀꯤ ꯗꯥꯏꯇꯇꯥ ꯍꯦꯟꯅꯥ ꯌꯥꯎꯍꯅꯒꯗꯕꯅꯤ꯫ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯑꯄꯤꯀꯄꯥ ꯑꯍꯣꯡꯕꯁꯤꯡ ꯐꯥꯑꯣꯕꯥ ꯑꯆꯧꯕꯥ ꯑꯍꯣꯡꯕꯥ ꯑꯃꯥ ꯄꯨꯔꯀꯄꯥ ꯉꯃꯒꯅꯤ꯫
- ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯇꯧꯕꯥ: ꯅꯣꯡꯃꯗꯥ ꯌꯥꯃꯗ꯭ꯔꯕꯗꯥ ꯃꯤꯅꯠ 30 ꯔꯣꯝ ꯈꯣꯡꯅꯥ ꯆꯠꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯁꯥꯏꯀꯜ ꯊꯧꯕꯒꯨꯝꯕꯥ ꯊꯕꯛ ꯑꯃꯥ ꯇꯧ꯫ ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯍꯥꯌꯕꯁꯤ ꯖꯤꯃꯗꯥ ꯆꯠꯄꯥ ꯍꯥꯌꯕꯁꯤ ꯇꯉꯥꯏꯐꯗꯕꯥ ꯅꯠꯇꯦ꯫
- ꯑꯔꯨꯝꯕꯥ ꯍꯟꯊꯍꯅꯕꯥ: ꯅꯍꯥꯛꯀꯤ ꯋꯥꯡꯃꯗꯥ ꯆꯨꯅꯕꯥ ꯑꯔꯨꯝꯕꯥ ꯑꯃꯥ ꯊꯝꯅꯕꯥ ꯍꯣꯠꯅꯧ꯫
- ꯃꯩꯈꯨ ꯊꯥꯗꯣꯀꯄꯥ ꯊꯤꯡꯖꯤꯅꯕꯥ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯩꯈꯨ ꯁꯤꯖꯤꯟꯅꯔꯕꯗꯤ ꯈꯨꯗꯛꯇꯥ ꯊꯤꯡꯖꯤꯜꯂꯨ꯫ ꯃꯁꯤ ꯑꯔꯨꯕꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ, ꯑꯗꯨꯕꯨ ꯃꯇꯦꯡ ꯄꯥꯡꯅꯕꯒꯤ ꯄꯥꯝꯕꯩ ꯂꯩ꯫
ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡꯅꯥ ꯀꯔꯤ ꯃꯇꯦꯡ ꯄꯤꯕꯒꯦ?
ꯄꯨꯟꯁꯤ ꯃꯍꯤꯡꯗꯥ ꯑꯍꯣꯡꯕꯥ ꯂꯥꯀꯄꯒꯥ ꯂꯣꯌꯅꯅꯥ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯍꯥꯏ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯀꯤꯗꯅꯤꯒꯤ ꯂꯥꯌꯅꯥ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ ꯊꯤꯡꯅꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯅꯕꯥ ꯍꯤꯗꯥꯛ ꯀꯌꯥ ꯄꯤꯕꯥ ꯌꯥꯏ꯫ ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯍꯥꯌꯔꯀꯄꯒꯨꯝꯅꯥ ꯁꯤꯖꯤꯟꯅꯒꯗꯕꯅꯤ꯫
- ꯑꯦ.ꯁꯤ.ꯏ.ꯒꯤ ꯏꯅꯍꯤꯕꯤꯇꯔꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯑꯦꯟꯖꯤꯑꯣꯇꯦꯟꯁꯤꯟ ꯔꯤꯁꯦꯄꯇꯔ ꯕ꯭ꯂꯣꯀꯔꯁꯤꯡ (ARBs) ꯒꯨꯝꯕꯥ ꯍꯤꯗꯥꯀꯁꯤꯡꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯂꯁꯤꯡ ꯁꯣꯀꯍꯅꯕꯥ ꯌꯥꯕꯥ ꯑꯀꯛꯅꯕꯥ ꯍꯣꯔꯃꯣꯅꯁꯤꯡ ꯕ꯭ꯂꯣꯛ ꯇꯧꯏ꯫
- ꯑꯦꯁ꯭ꯄꯤꯔꯤꯅꯒꯨꯝꯕꯥ ꯑꯦꯟꯇꯤꯀꯣꯑꯦꯒꯨꯂꯦꯟꯇꯁꯤꯡꯅꯥ ꯚꯦꯅꯃꯁꯤꯡꯗꯥ ꯏ ꯍꯦꯟꯅꯥ ꯐꯖꯅꯥ ꯆꯠꯄꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫
- ꯕꯦꯇꯥ-ꯕ꯭ꯂꯣꯀꯔ ꯑꯃꯁꯨꯡ ꯀꯦꯂꯁꯤꯌꯝ ꯆꯦꯅꯦꯜ ꯕ꯭ꯂꯣꯀꯔꯁꯤꯡ, ꯃꯗꯨꯅꯥ ꯍꯥꯏ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ ꯍꯟꯊꯍꯜꯂꯤ꯫
- ‘ꯏꯁꯤꯡꯒꯤ ꯍꯤꯗꯥꯛ’ ꯍꯥꯌꯅꯥ ꯈꯪꯅꯕꯥ ꯗꯥꯏꯑꯦꯕꯦꯇꯤꯀꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯀꯤꯗꯅꯤꯁꯤꯡꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡꯗꯒꯤ ꯑꯍꯦꯅꯕꯥ ꯏꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯂꯣꯟ ꯂꯧꯊꯣꯀꯄꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯗꯨꯅꯥ ꯊꯕꯛ ꯇꯧꯏ, ꯃꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ ꯍꯟꯊꯍꯜꯂꯤ꯫
- ꯕ꯭ꯂꯗ ꯀꯣꯂꯦꯁ꯭ꯇꯦꯔꯣꯂꯒꯤ ꯆꯥꯡ ꯍꯟꯊꯍꯜꯂꯤ꯫ꯁ꯭ꯇꯥꯇꯤꯅꯁꯤꯡ꯫
ꯃꯁꯤꯒꯤꯗꯃꯛꯇꯥ ꯀꯔꯤ ꯃꯈꯂꯒꯤ ꯁꯔꯖꯔꯤꯁꯤꯡ ꯂꯩꯔꯤꯕꯒꯦ?
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯀꯟꯗꯤꯁꯟ (RAS) ꯑꯗꯨ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛ ꯑꯃꯁꯨꯡ ꯄꯨꯟꯁꯤ ꯃꯍꯤꯡꯗꯥ ꯑꯍꯣꯡꯕꯥ ꯂꯥꯀꯄꯅꯥ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯥ ꯉꯃꯗ꯭ꯔꯕꯗꯤ, ꯍꯥꯌꯕꯗꯤ ꯑꯥꯔꯇꯦꯔꯤ ꯑꯗꯨ 70%ꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯕ꯭ꯂꯣꯛ ꯇꯧꯕꯥ ꯃꯇꯃꯗꯥ, ꯁꯔꯖꯔꯤ ꯇꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯏ꯫ ꯁꯔꯖꯔꯤꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯈꯜ ꯑꯍꯨꯝ ꯂꯩ:
1. ꯑꯦꯟꯖꯤꯑꯣꯞꯂꯥꯁ꯭ꯇꯤ ꯑꯃꯁꯨꯡ ꯁ꯭ꯇꯦꯟꯇꯤꯡ: ꯃꯁꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯊꯧꯑꯣꯡꯅꯤ꯫ ꯄ꯭ꯔꯣꯁꯤꯗ꯭ꯌꯨꯑꯣꯔ ꯑꯁꯤꯗꯥ, ꯁꯔꯖꯔꯤ ꯑꯗꯨꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯕ꯭ꯂꯣꯛ ꯇꯧꯔꯕꯥ ꯔꯦꯅꯥꯜ ꯑꯥꯔꯇꯦꯔꯤ ꯑꯗꯨꯗꯥ, ꯅꯍꯥꯛꯀꯤ ꯒ꯭ꯔꯣꯏꯟ ꯅꯠꯠꯔꯒꯥ ꯑꯥꯔꯝ ꯑꯃꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ, ꯑꯄꯤꯀꯄꯥ, ꯐ꯭ꯂꯦꯛꯁꯤꯕꯜ ꯑꯣꯏꯕꯥ ꯇꯤꯎꯕ (catheter) ꯑꯃꯥ ꯊꯥꯏ꯫ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯀꯦꯇꯦꯒꯣꯔꯤ ꯑꯗꯨ ꯑꯔꯣꯏꯕꯗꯥ ꯑꯄꯤꯀꯄꯥ ꯕꯦꯂꯨꯟ ꯑꯃꯅꯥ ꯐꯨꯃꯗꯨꯅꯥ ꯑꯥꯔꯇꯦꯔꯤ ꯑꯗꯨ ꯄꯥꯀꯊꯣꯛ-ꯆꯥꯎꯊꯣꯀꯍꯜꯂꯤ꯫ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯁ꯭ꯇꯦꯟꯇ (ꯑꯄꯤꯀꯄꯥ ꯃꯦꯁꯒꯨꯝꯕꯥ ꯇꯤꯎꯕ ꯑꯃꯥ) ꯑꯃꯥ ꯑꯥꯔꯇꯦꯔꯤꯗꯥ ꯊꯝꯃꯤ ꯃꯗꯨꯅꯥ ꯃꯗꯨ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯊꯤꯡꯖꯤꯅꯕꯗꯥ ꯑꯃꯁꯨꯡ ꯀꯤꯗꯅꯤꯗꯥ ꯏ ꯆꯦꯅꯕꯥ ꯌꯥꯍꯜꯂꯤ꯫ ꯃꯁꯤ ꯃꯤꯅꯤꯃꯝ ꯑꯣꯏꯅꯥ ꯏꯅꯚꯦꯁꯤꯕ ꯑꯣꯏꯕꯥ ꯊꯧꯑꯣꯡ ꯑꯃꯅꯤ꯫
2. ꯔꯦꯅꯥꯜ ꯑꯥꯔꯇꯦꯔꯤ ꯕꯥꯏꯄꯥꯁ: ꯃꯁꯤ ꯑꯆꯧꯕꯥ ꯑꯣꯄꯔꯦꯁꯟ ꯑꯃꯅꯤ꯫ ꯃꯁꯤ ꯍꯥꯔꯠ ꯕꯥꯏꯄꯥꯁ ꯑꯃꯒꯨꯝꯕꯅꯤ꯫ ꯃꯁꯤꯒꯤ ꯊꯧꯑꯣꯡ ꯑꯁꯤꯗꯥ ꯁꯔꯖꯔꯤꯅꯥ ꯕ꯭ꯂꯣꯛ ꯇꯧꯔꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯕ꯭ꯂꯣꯛ ꯇꯧꯔꯕꯥ ꯔꯦꯅꯥꯜ ꯑꯥꯔꯇꯦꯔꯤ ꯑꯗꯨ ꯂꯥꯟꯊꯣꯛꯇꯨꯅꯥ ꯀꯤꯗꯅꯤꯗꯥ ꯏ ꯆꯦꯅꯕꯥ ꯑꯅꯧꯕꯥ ꯂꯝꯕꯤ ꯑꯃꯥ ꯁꯦꯝꯃꯤ꯫ ꯃꯁꯤꯗꯥ ꯃꯍꯧꯁꯥꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯏꯁꯥꯒꯤ ꯈꯣꯡ ꯅꯠꯠꯔꯒꯥ ꯑꯥꯔꯇꯤꯐꯤꯁꯤꯑꯦꯜ ꯇꯨꯕ ꯑꯃꯗꯒꯤ ꯒ꯭ꯔꯦꯐꯠ ꯑꯃꯥ ꯁꯤꯖꯤꯟꯅꯕꯁꯤ ꯌꯥꯎꯏ꯫ ꯃꯁꯤꯒꯤ ꯒ꯭ꯔꯥꯐ꯭ꯠ ꯅꯠꯠꯔꯒꯥ ꯇꯤꯎꯕ ꯑꯁꯤ ꯍꯧꯖꯤꯛ ꯂꯩꯔꯤꯕꯥ ꯍꯀꯁꯦꯜ ꯐꯕꯥ ꯑꯥꯔꯇꯦꯔꯤ ꯑꯃꯒꯥ ꯁꯝꯅꯩ, ꯑꯃꯁꯨꯡ ꯑꯇꯣꯞꯄꯥ ꯃꯌꯥꯏ ꯑꯗꯨ ꯕ꯭ꯂꯣꯛ ꯇꯧꯔꯕꯥ ꯑꯥꯔꯇꯦꯔꯤ ꯑꯗꯨꯒꯥ ꯁꯝꯅꯍꯜꯂꯤ, ꯃꯁꯤꯅꯥ ꯕ꯭ꯂꯣꯛ ꯇꯧꯔꯕꯥ ꯑꯥꯔꯇꯦꯔꯤ ꯑꯃꯁꯨꯡ ꯀꯤꯗꯅꯤꯒꯤ ꯃꯔꯛꯇꯥ ꯇꯪꯈꯥꯌ ꯑꯃꯥ ꯂꯩ꯫
3. ꯔꯦꯅꯥꯜ ꯑꯦꯟꯗꯔꯇꯦꯔꯦꯛꯇꯣꯃꯤ: ꯄ꯭ꯔꯣꯁꯤꯗ꯭ꯌꯨꯑꯣꯔ ꯑꯁꯤꯗꯥ ꯁꯔꯖꯔꯤꯅꯥ ꯕ꯭ꯂꯣꯛ ꯇꯧꯔꯕꯥ ꯔꯦꯅꯥꯜ ꯑꯥꯔꯇꯦꯔꯤ ꯑꯗꯨ ꯍꯥꯡꯗꯣꯀꯏ ꯑꯃꯁꯨꯡ ꯏꯒꯤ ꯈꯣꯡꯖꯦꯜ ꯊꯤꯡꯖꯤꯜꯂꯤꯕꯥ ꯄ꯭ꯂꯦꯛ ꯑꯃꯁꯨꯡ ꯑꯇꯩ ꯃꯆꯥꯀꯁꯤꯡ ꯂꯧꯊꯣꯀꯏ꯫
ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯁꯔꯖꯔꯤꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯀꯅꯥꯅꯥ ꯅꯍꯥꯛꯀꯤꯗꯃꯛꯇꯥ ꯆꯨꯝꯃꯤ ꯍꯥꯌꯕꯗꯨ ꯂꯦꯄꯀꯅꯤ꯫
ꯑꯩꯈꯣꯌꯅꯥ ꯂꯥꯌꯅꯥ ꯑꯁꯤꯗꯒꯤ ꯀꯔꯝꯅꯥ ꯉꯥꯀꯊꯣꯛꯀꯗꯒꯦ? (ꯄ꯭ꯔꯤꯚꯦꯟꯁꯟ) ꯑꯃꯁꯨꯡ ꯑꯦꯟ.
ꯃꯈꯣꯌꯅꯥ ꯍꯥꯌꯔꯤ ꯃꯗꯨꯗꯤ ꯂꯥꯌꯦꯡꯕꯗꯒꯤ ꯉꯥꯀꯊꯣꯀꯄꯥ ꯑꯁꯤ ꯍꯦꯟꯅꯥ ꯐꯩ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ, ꯅꯍꯥꯛꯀꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ (RAS) ꯂꯥꯀꯄꯒꯤ ꯔꯤꯁ꯭ꯛ ꯍꯟꯊꯍꯟꯅꯕꯒꯤꯗꯃꯛ, ꯅꯍꯥꯛꯅꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯑꯁꯤ ꯇꯧꯕꯥ ꯌꯥꯏ:
- ꯕꯦꯂꯦꯟꯁ ꯗꯥꯏꯠ ꯑꯃꯥ ꯆꯥꯕꯥ .
- ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯇꯧꯕꯥ .
- ꯅꯍꯥꯛꯀꯤ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ ꯃꯦꯅꯦꯖ ꯇꯧꯕꯥ . ꯅꯍꯥꯛꯀꯤ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ ꯑꯗꯨ ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯆꯦꯛ ꯇꯧ꯫
- ꯍꯀꯆꯥꯡ ꯐꯅꯥ ꯂꯩꯕꯥ ꯍꯀꯆꯥꯡꯒꯤ ꯑꯔꯨꯝꯕꯥ ꯊꯝꯕꯥ .
- ꯃꯩꯈꯨ ꯊꯥꯗꯣꯛꯂꯣꯏꯗꯕꯅꯤ .
ꯍꯥꯌꯔꯤꯕꯥ ꯊꯕꯀꯁꯤꯡ ꯑꯁꯤ ꯇꯧꯕꯅꯥ ꯀꯤꯗꯅꯤ ꯑꯥꯔꯇꯦꯔꯤ ꯕ꯭ꯂꯣꯛ ꯇꯧꯕꯇꯥ ꯅꯠꯇꯅꯥ ꯑꯇꯣꯞꯄꯥ ꯂꯥꯌꯅꯥ ꯀꯌꯥꯗꯒꯤꯁꯨ ꯉꯥꯀꯊꯣꯛꯀꯅꯤ꯫
ꯂꯥꯌꯅꯥ ꯑꯁꯤꯅꯥ ꯅꯥꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯒꯤ ꯑꯥꯎꯠꯂꯨꯛ ꯑꯁꯤ ꯀꯔꯤꯅꯣ?
ꯔꯦꯅꯥꯜ ꯑꯥꯔꯇꯦꯔꯤ ꯗꯤꯖꯤꯖ (RAS) ꯍꯥꯌꯕꯁꯤ ꯃꯇꯃꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ ꯍꯦꯟꯅꯥ ꯐꯠꯆꯤꯜꯂꯛꯇꯕꯥ ꯄ꯭ꯔꯣꯒ꯭ꯔꯦꯁꯤꯚ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯒꯤ ꯑꯥꯎꯇꯂꯨꯛ ꯑꯁꯤ ꯂꯥꯌꯅꯥ ꯑꯁꯤꯒꯤ ꯃꯑꯣꯡ-ꯃꯇꯧ, ꯃꯁꯤ ꯀꯌꯥꯝ ꯇꯣꯏꯅꯥ ꯈꯪꯗꯣꯀꯄꯒꯦ ꯑꯃꯁꯨꯡ ꯃꯈꯣꯌꯅꯥ ꯂꯥꯏꯌꯦꯡꯕꯗꯥ ꯀꯌꯥꯝ ꯐꯖꯅꯥ ꯔꯦꯁ꯭ꯄꯣꯟꯁ ꯇꯧꯕꯒꯦ ꯍꯥꯌꯕꯗꯨꯒꯤ ꯃꯈꯥ ꯄꯣꯜꯂꯤ꯫
ꯔꯤꯁꯔꯆꯅꯥ ꯇꯥꯛꯂꯤ ꯃꯗꯨꯗꯤ ꯔꯦꯅꯥꯜ ꯑꯥꯔꯇꯦꯔꯤ ꯹꯵% ꯅꯠꯠꯔꯒꯥ ꯃꯁꯤꯗꯒꯤ ꯍꯦꯅꯕꯥ ꯕ꯭ꯂꯣꯛ ꯇꯧꯔꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯴꯸% ꯈꯛꯇꯅꯥ ꯆꯍꯤ ꯃꯔꯤꯒꯤ ꯑꯣꯏꯅꯥ ꯍꯤꯡꯕꯒꯤ ꯆꯥꯡ ꯂꯩ꯫ ꯃꯁꯤꯅꯥ ꯇꯥꯀꯄꯗꯤ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯕ꯭ꯂꯣꯀꯦꯖ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯒꯤ ꯁꯔꯨꯛ ꯑꯍꯨꯝ ꯊꯣꯀꯄꯒꯤ ꯑꯃꯗꯤ ꯗꯥꯏꯑꯦꯒ꯭ꯅꯣꯁꯤꯁ ꯇꯧꯔꯕꯥ ꯃꯇꯨꯡ ꯆꯍꯤ ꯃꯔꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯍꯤꯡꯏ꯫ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯇꯣꯌꯅꯥ ꯈꯪꯗꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯂꯥꯏꯌꯦꯡ ꯂꯧꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯇꯣꯏꯅꯥ ꯈꯪꯗꯣꯛꯂꯕꯗꯤ, ꯀꯤꯗꯅꯤꯁꯤꯡꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯄꯥ ꯍꯟꯊꯍꯅꯕꯥ ꯌꯥꯏ ꯑꯃꯁꯨꯡ ꯄꯨꯟꯁꯤꯒꯤ ꯃꯇꯝ ꯁꯥꯡꯗꯣꯀꯄꯥ ꯌꯥꯏ꯫
ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯑꯩꯅꯥ ꯀꯗꯥꯏꯗꯥ ꯗꯣꯛꯇꯔꯒꯥ ꯎꯅꯒꯗꯒꯦ?
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯃꯗꯒꯤ ꯍꯦꯅꯕꯥ ꯂꯩꯔꯕꯗꯤ ꯈꯨꯗꯛꯇꯥ ꯗꯣꯛꯇꯔ ꯑꯃꯒꯥ ꯇꯥꯟꯅꯧ . ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯅꯦꯝꯕꯥ ꯀꯤꯗꯅꯤꯒꯤ ꯐꯉ꯭ꯀꯁꯅꯒꯤ ꯈꯨꯗꯃꯁꯤꯡ ꯑꯣꯏꯕꯥ ꯌꯥꯏ:
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯃꯤꯠꯇꯥ ꯙꯥꯇꯨꯒꯤ ꯃꯁꯛ ꯑꯃꯥ ꯐꯥꯑꯣꯔꯕꯗꯤ꯫
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯦꯕꯗꯣꯃꯤꯅꯦꯜ ꯄꯦꯏꯟ ꯂꯩꯔꯕꯗꯤ .
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯄꯨꯛꯅꯤꯡ ꯆꯪꯕꯗꯥ ꯑꯋꯥꯕꯥ ꯃꯥꯌꯣꯛꯅꯔꯕꯗꯤ, ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯄꯨꯛꯅꯤꯡ ꯆꯪꯕꯗꯥ ꯈꯨꯗꯣꯡꯆꯥꯗꯕꯥ ꯂꯩꯔꯕꯗꯤ .
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯌꯨꯔꯤꯟ ꯑꯥꯎꯇꯄꯨꯇꯀꯤ ꯆꯥꯡ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯅꯦꯝꯂꯕꯗꯤ (Low urine output) .
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯣꯡꯃꯩ ꯀꯥꯞꯄꯥ ꯑꯃꯁꯨꯡ ꯋꯥꯈꯜ ꯇꯥꯗꯕꯥ ꯂꯩꯔꯕꯗꯤ꯫
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯁꯤꯖꯔꯀꯄꯥ ꯂꯩꯔꯕꯗꯤ .
- ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡ, ꯈꯨꯠꯁꯥ ꯅꯠꯠꯔꯒꯥ ꯃꯥꯌꯗꯥ ꯁꯣꯀꯄꯥ .
ꯍꯥꯌꯔꯤꯕꯥ ꯋꯥꯐꯃꯁꯤꯡ ꯑꯁꯤ ꯌꯥꯅꯤꯡꯗꯕꯥ ꯐꯣꯉꯗꯣꯛꯂꯣꯏꯗꯕꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯊꯨꯅꯥ ꯂꯥꯏꯌꯦꯡ ꯐꯪꯂꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯑꯆꯧꯕꯥ ꯑꯃꯥꯡ-ꯑꯇꯥꯁꯤꯡ ꯊꯤꯡꯕꯥ ꯉꯃꯒꯅꯤ꯫
ꯑꯔꯣꯏꯕꯗꯥ, ꯅꯍꯥꯛꯅꯥ ꯅꯤꯡꯁꯤꯡꯒꯗꯕꯥ ꯋꯥꯐꯃꯁꯤꯡ (ꯇꯦꯛ-ꯍꯣꯝ ꯃꯦꯁꯦꯖ)
ꯔꯦꯅꯥꯜ ꯑꯥꯔꯇꯦꯔꯤ ꯁ꯭ꯇꯦꯅꯣꯁꯤꯁ (RAS) ꯍꯥꯌꯕꯁꯤ ꯀꯤꯗꯅꯤꯁꯤꯡꯗꯥ ꯏ ꯄꯤꯔꯤꯕꯥ ꯑꯥꯔꯇꯦꯔꯤꯁꯤꯡ ꯑꯁꯤ ꯁꯣꯟꯊꯔꯀꯄꯅꯤ꯫ ꯃꯁꯤꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯔꯃꯗꯤ ꯑꯥꯔꯇꯦꯔꯤꯁꯤꯡꯗꯥ ꯐꯦꯇꯤ ꯗꯤꯄꯣꯖꯤꯠ (ꯑꯦꯊꯦꯔꯣꯁ꯭ꯀꯂꯦꯔꯣꯁꯤꯁ) . ꯃꯁꯤꯅꯥ ꯍꯥꯏ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ, ꯀ꯭ꯔꯣꯅꯤꯛ ꯀꯤꯗꯅꯤꯒꯤ ꯂꯥꯌꯅꯥ, ꯑꯃꯁꯨꯡ ꯀꯤꯗꯅꯤ ꯐꯦꯜ ꯑꯣꯏꯕꯅꯆꯤꯡꯕꯥ ꯑꯀꯅꯕꯥ ꯍꯀꯁꯦꯂꯒꯤ ꯁꯃꯁ꯭ꯌꯥꯁꯤꯡ ꯊꯣꯀꯍꯜꯂꯀꯄꯥ ꯌꯥꯏ꯫
ꯅꯤꯡꯁꯤꯡꯕꯤꯌꯨ, ꯃꯁꯤꯅꯥ ꯑꯌꯥꯝꯕꯗꯤ ꯑꯍꯥꯅꯕꯗꯥ ꯂꯥꯏꯑꯣꯡ ꯎꯠꯄꯥ ꯉꯃꯗꯦ, ꯑꯗꯨꯕꯨ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯂꯥꯏꯌꯦꯡꯗ꯭ꯔꯕꯗꯤ ꯃꯁꯤ ꯈꯨꯗꯣꯡꯊꯤꯅꯤꯉꯥꯏ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫
ꯄꯨꯟꯁꯤ ꯃꯍꯤꯡꯗꯥ ꯑꯍꯣꯡꯕꯥ ꯂꯥꯀꯄꯥ (ꯑꯐꯕꯥ ꯗꯥꯏꯠ, ꯑꯦꯛꯁꯔꯁꯥꯏꯖ, ꯑꯃꯁꯨꯡ ꯃꯩꯈꯨ ꯊꯥꯗꯣꯀꯄꯥ) ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯄꯤꯕꯥ ꯍꯤꯗꯥꯀꯁꯤꯡ ꯑꯁꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯂꯥꯏꯌꯦꯡꯅꯤ꯫ ꯀꯦꯁ ꯈꯔꯗꯗꯤ, ꯁꯔꯖꯔꯤ ꯇꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯏ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡꯗꯥ ꯄꯨꯛꯅꯤꯡ ꯆꯪꯕꯥ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯔꯤꯁ꯭ꯛ ꯐꯦꯛꯇꯔꯁꯤꯡ ꯂꯩꯔꯕꯗꯤ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯥ, ꯑꯃꯁꯨꯡ ꯃꯇꯝ ꯆꯥꯅꯥ ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯄꯥꯎꯇꯥꯛ ꯂꯧꯕꯥ ꯑꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯀꯤꯗꯅꯤꯁꯤꯡ ꯑꯗꯨ ꯍꯀꯆꯥꯡ ꯐꯅꯥ ꯊꯝꯅꯕꯒꯤꯗꯃꯛ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡꯕꯨ ꯌꯦꯡꯁꯤꯅꯕꯤꯌꯨ, ꯃꯔꯃꯗꯤ ꯍꯀꯁꯦꯜ ꯑꯁꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯆꯥꯎꯕꯥ ꯂꯟꯅꯤ!
👩🏽 ⚕️ ꯑꯍꯦꯅꯕꯥ ꯋꯥꯍꯪꯁꯤꯡ (FAQs)
💬 ꯔꯦꯅꯥꯜ ꯑꯥꯔꯇꯦꯔꯤ ꯁ꯭ꯇꯦꯅꯣꯁꯤꯁ ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ?
ꯃꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯀꯤꯗꯅꯤꯁꯤꯡꯗꯥ ꯏ ꯄꯨꯗꯨꯅꯥ ꯆꯠꯂꯤꯕꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯂꯁꯤꯡ (ꯑꯥꯔꯇꯦꯔꯤꯁꯤꯡ)ꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯀꯣꯂꯦꯁ꯭ꯇꯦꯔꯣꯜ ꯑꯃꯁꯨꯡ ꯐꯦꯠ ꯁꯦꯃꯒꯠꯂꯀꯄꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯃꯈꯣꯌꯕꯨ ꯀꯨꯄꯁꯤꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯊꯤꯡꯖꯤꯅꯕꯥ ꯃꯇꯃꯅꯤ꯫ ꯃꯁꯤ ꯍꯥꯔꯠ ꯑꯦꯇꯦꯛ ꯑꯃꯒꯥ ꯃꯥꯟꯅꯩ, ꯃꯁꯤꯅꯥ ꯕ꯭ꯂꯣꯛ ꯇꯧꯔꯕꯥ ꯑꯥꯔꯇꯦꯔꯤ ꯑꯃꯒꯥ ꯃꯥꯟꯅꯩ꯫
💬 ꯃꯁꯤꯅꯥ ꯑꯩꯒꯤ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ ꯈꯉꯍꯧꯗꯅꯥ ꯍꯦꯅꯒꯠꯍꯅꯕꯥ ꯉꯃꯒꯗ꯭ꯔꯥ?
ꯍꯣꯏ! ꯃꯗꯨ ꯂꯥꯌꯅꯥ ꯑꯁꯤꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯂꯥꯏꯑꯣꯡꯅꯤ꯫ ꯀꯤꯗꯅꯤꯗꯥ ꯏꯒꯤ ꯈꯣꯡꯖꯦꯜ ꯍꯟꯊꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯀꯤꯗꯅꯤꯁꯤꯡꯅꯥ ꯍꯀꯆꯥꯡꯗꯥ ꯂꯩꯔꯤꯕꯥ ꯄ꯭ꯔꯦꯁꯔ ꯑꯁꯤ ꯃꯇꯤꯛ ꯆꯥꯗꯦ ꯍꯥꯌꯅꯥ ꯈꯜꯂꯤ꯫ ꯑꯗꯨꯗꯒꯤ ꯀꯤꯗꯅꯤꯁꯤꯡꯅꯥ ꯈꯪꯍꯧꯗꯅꯥ ꯔꯦꯅꯤꯟ ꯀꯧꯕꯥ ꯍꯣꯔꯃꯣꯟ ꯑꯃꯥ ꯊꯥꯗꯣꯀꯏ, ꯃꯗꯨꯅꯥ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ ꯑꯗꯨ ꯁ꯭ꯀꯥꯏꯔꯣꯀꯦꯠ ꯇꯧꯍꯜꯂꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛ ꯂꯧꯔꯕꯁꯨ ꯄ꯭ꯔꯦꯁꯔ ꯑꯗꯨ ꯍꯟꯊꯔꯛꯠꯔꯕꯗꯤ, ꯃꯁꯤꯅꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯆꯤꯡꯅꯕꯥ ꯑꯗꯨꯅꯤ꯫
💬 ꯃꯁꯤꯅꯥ ꯃꯄꯨꯡ ꯐꯥꯅꯥ ꯀꯤꯗꯅꯤ ꯃꯥꯡꯍꯅꯕꯥ ꯉꯃꯒꯗ꯭ꯔꯥ?
ꯆꯞ ꯆꯥꯅꯥ ꯌꯥꯕ! ꯏꯒꯤ ꯈꯣꯡꯖꯦꯜ ꯌꯥꯡꯁꯤꯜꯂꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯀꯤꯗꯅꯤꯅꯥ ꯑꯣꯛꯁꯤꯖꯦꯟ ꯃꯔꯥꯡ ꯀꯥꯌꯅꯥ ꯐꯪꯗꯦ, ꯑꯃꯁꯨꯡ ꯀꯤꯗꯅꯤ ꯑꯗꯨ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯁꯣꯟꯊꯔꯀꯏ ꯑꯃꯁꯨꯡ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯑꯣꯄꯔꯦꯁꯟ ꯇꯧꯕꯥ ꯉꯃꯗꯕꯥ (kidney failure) ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯃꯁꯤꯗꯁꯨ ꯁ꯭ꯇꯦꯟꯇ ꯑꯃꯥ ꯍꯥꯄꯆꯤꯟꯗꯨꯅꯥ ꯑꯥꯔꯇꯦꯔꯤ ꯑꯗꯨ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯆꯥꯎꯊꯣꯀꯍꯟꯅꯕꯥ ꯁꯔꯖꯔꯤ ꯇꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯏ꯫
` ꯔꯦꯅꯥꯜ ꯑꯥꯔꯇꯦꯔꯤ ꯁ꯭ꯇꯦꯅꯣꯁꯤꯁ, ꯍꯥꯏ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ, ꯀꯤꯗꯅꯤꯒꯤ ꯂꯥꯌꯅꯥ, ꯑꯦꯊꯦꯔꯣꯁ꯭ꯀꯂꯦꯔꯣꯁꯤꯁ, ꯑꯥꯔꯇꯦꯔꯤ ꯁ꯭ꯇꯦꯅꯣꯁꯤꯁ, ꯀꯤꯗꯅꯤꯒꯤ ꯍꯀꯁꯦꯜ꯫
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