ꯅꯍꯥꯛꯅꯥ ꯂꯧꯔꯤꯕꯥ ꯍꯤꯗꯥꯛ ꯑꯗꯨ ꯈꯨꯗꯣꯡꯊꯤꯅꯤꯉꯥꯏ ꯑꯣꯏꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ ꯍꯥꯌꯕꯁꯤꯅꯤ? ꯁꯦꯔꯣꯇꯣꯅꯤꯟ ꯁꯤꯟꯗꯣꯃꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯈꯉꯂꯁꯤ?

ꯉꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯈꯔꯥ ꯁꯣꯀꯍꯜꯂꯕꯥ, ꯑꯗꯨꯕꯨ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯈꯉꯂꯕꯗꯤ ꯐꯖꯅꯥ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯥ ꯌꯥꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯔꯤ꯫ ꯅꯍꯥꯛꯅꯥ ꯗꯤꯞꯔꯦꯁꯟ ꯅꯠꯠꯔꯒꯥ ꯑꯇꯣꯞꯄꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯒꯤꯗꯃꯛ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛ ꯂꯧꯕꯥ ꯌꯥꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯍꯤꯗꯥꯀꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯑꯍꯣꯡꯕꯥ ꯄꯨꯔꯀꯄꯥ ꯌꯥꯏ ꯑꯃꯁꯨꯡ ꯑꯩꯈꯣꯌꯅꯥ ꯈꯟꯊꯕꯥ ꯉꯃꯗꯕꯥ ꯁꯃꯁ꯭ꯌꯥꯁꯤꯡ ꯊꯣꯀꯍꯜꯂꯀꯄꯥ ꯌꯥꯏ꯫ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯗꯤ ꯁꯦꯔꯣꯇꯣꯅꯤꯟ ꯁꯤꯟꯗꯣꯃꯅꯤ꯫

ꯁꯦꯔꯣꯇꯣꯅꯤꯟ ꯁꯤꯟꯗ꯭ꯔꯣꯝ ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ?

ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯁꯦꯔꯣꯇꯣꯅꯤꯟ ꯁꯤꯟꯗꯣꯝ ꯑꯁꯤ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯄꯨꯟꯁꯤꯗꯥ ꯈꯨꯗꯣꯡꯊꯤꯕꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯕꯥ ꯗ꯭ꯔꯒ ꯔꯤꯑꯦꯛꯁꯟ ꯑꯃꯅꯤ, ꯃꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯁꯦꯔꯣꯇꯣꯅꯤꯟ ꯀꯧꯕꯥ ꯀꯦꯃꯤꯀꯦꯜ ꯑꯃꯥ ꯌꯥꯝꯅꯥ ꯌꯥꯎꯕꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫

ꯈꯟꯊꯕꯤꯌꯨ, ꯁꯦꯔꯣꯇꯣꯅꯤꯟ ꯑꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯕ꯭ꯔꯦꯟ ꯑꯃꯁꯨꯡ ꯍꯀꯆꯥꯡꯒꯤ ꯑꯇꯩ ꯃꯐꯃꯁꯤꯡꯗꯥ ꯂꯩꯕꯥ ꯅꯔꯚ ꯁꯦꯂꯁꯤꯡꯅꯥ ꯄꯨꯊꯣꯀꯄꯥ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯀꯦꯃꯤꯀꯦꯜ ꯃꯦꯁꯦꯟꯖꯔ ꯑꯃꯅꯤ꯫ ꯆꯨꯝꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯃꯁꯤ ꯅꯔꯚ ꯁꯦꯂꯁꯤꯡꯒꯤ ꯃꯔꯛꯇꯥ ꯄꯥꯎꯖꯦꯂꯁꯤꯡ ꯄꯨꯕꯥ ꯃꯦꯁꯦꯟꯖꯔ ꯑꯃꯅꯤ꯫ ꯑꯩꯈꯣꯌꯅꯥ ꯃꯁꯤꯕꯨ ꯅ꯭ꯌꯨꯔꯣꯠꯔꯥꯟꯁꯃꯤꯇꯔ ꯍꯥꯌꯅꯥ ꯀꯧꯏ . ꯃꯁꯤꯒꯤ ꯁꯦꯔꯣꯇꯣꯅꯤꯟ ꯑꯁꯤꯅꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯋꯥꯈꯜ, ꯇꯨꯝꯕꯥ, ꯑꯃꯁꯨꯡ ꯆꯥꯛ ꯆꯥꯕꯥ ꯑꯁꯤꯅꯆꯤꯡꯕꯥ ꯋꯥꯐꯝ ꯀꯌꯥꯗꯥ ꯁꯣꯀꯍꯜꯂꯤ꯫

ꯑꯌꯥꯝꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯅꯥ ꯃꯈꯣꯌꯒꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯍꯥꯌꯔꯀꯄꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ, ꯔꯦꯀꯃꯦꯟꯗ ꯇꯧꯔꯕꯥ ꯗꯣꯖꯁꯤꯡꯗꯥ ꯁꯦꯔꯣꯇꯣꯅꯤꯟ-ꯑꯦꯐꯦꯛꯇ ꯇꯧꯕꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ (serotonergic) ꯁꯥꯐꯅꯥ ꯂꯧꯕꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯁꯦꯔꯣꯇꯣꯅꯤꯟ ꯁꯤꯟꯗ꯭ꯔꯣꯝ ꯑꯁꯤ ꯅꯍꯥꯛꯅꯥ ꯑꯅꯧꯕꯥ ꯍꯤꯗꯥꯛ ꯑꯃꯥ ꯍꯧꯕꯥ ꯃꯇꯃꯗꯥ ꯅꯠꯠꯔꯒꯥ ꯍꯥꯟꯅꯅꯥ ꯂꯧꯔꯤꯕꯥ ꯍꯤꯗꯥꯛ ꯑꯃꯒꯤ ꯗꯣꯖ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯏ, ꯃꯔꯨꯑꯣꯏꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯍꯤꯗꯥꯛ ꯑꯗꯨꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯁꯦꯔꯣꯇꯣꯅꯤꯅꯒꯤ ꯆꯥꯡ ꯍꯦꯅꯒꯠꯍꯅꯕꯥ ꯇꯥꯔꯕꯗꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡꯅꯥ ꯁꯦꯔꯣꯇꯣꯅꯤꯟ ꯀꯔꯝꯅꯥ ꯁꯤꯖꯤꯟꯅꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯍꯣꯡꯂꯛꯂꯕꯗꯤ, ꯅꯠꯠꯔꯒꯥ ꯅꯍꯥꯛꯅꯥ ꯁꯦꯔꯣꯇꯣꯅꯤꯅꯒꯤ ꯆꯥꯡ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ ꯑꯗꯨ ꯍꯦꯟꯗꯜ ꯇꯧꯕꯥ ꯉꯃꯗ꯭ꯔꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯁꯦꯔꯣꯇꯣꯅꯤꯟ ꯁꯤꯟꯗ꯭ꯔꯣꯃꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯂꯥꯀꯄꯥ ꯌꯥꯏ꯫

ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯗꯥꯏꯔꯤꯌꯥ ꯑꯃꯁꯨꯡ ꯅꯣꯡꯃꯩ ꯀꯥꯞꯄꯥ ꯑꯁꯤꯅꯆꯤꯡꯕꯥ ꯃꯌꯥꯏ ꯑꯣꯏꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡꯗꯒꯤ ꯍꯧꯔꯒꯥ ꯍꯦꯟꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯍꯥꯌꯕꯗꯤ ꯍꯦꯟꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯍꯥꯌꯕꯗꯤ ꯂꯥꯏꯍꯧ ꯍꯧꯕꯥ ꯑꯃꯁꯨꯡ ꯋꯥꯈꯜ ꯆꯔꯥꯡꯅꯕꯥ ꯐꯥꯎꯕꯥ ꯌꯥꯎꯕꯥ ꯌꯥꯏ꯫ ꯀꯦꯁ ꯈꯔꯗꯗꯤ, ꯁꯥꯊꯤꯕꯥ ꯁꯦꯔꯣꯇꯣꯅꯤꯟ ꯁꯤꯟꯗ꯭ꯔꯣꯝ ꯑꯁꯤ ꯈꯪꯗꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯊꯨꯅꯥ ꯂꯥꯏꯌꯦꯡꯕꯥ ꯉꯃꯗ꯭ꯔꯕꯗꯤ ꯄꯨꯟꯁꯤ ꯃꯥꯡꯍꯅꯕꯥ ꯌꯥꯏ꯫

ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯑꯍꯥꯅꯕꯥ ꯑꯣꯏꯅꯥ ꯁꯦꯔꯣꯇꯣꯅꯤꯟ ꯁꯤꯟꯗꯣꯝ ꯑꯁꯤ ꯱꯹꯶꯰ꯒꯤ ꯃꯌꯥꯏ ꯆꯜꯂꯀꯄꯗꯥ ꯈꯉꯗꯣꯀꯈꯤ, ꯃꯁꯤ ꯑꯍꯥꯅꯕꯥ ꯑꯦꯟꯇꯤꯗꯤꯞꯔꯦꯁꯦꯟꯇꯁꯤꯡ ꯑꯌꯥꯕꯥ ꯄꯤꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯑꯣꯏꯈꯤ꯫ ꯉꯁꯤꯗꯤ ꯁꯦꯔꯣꯇꯣꯅꯤꯅꯗꯥ ꯁꯣꯀꯍꯜꯂꯤꯕꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ ꯍꯦꯟꯅꯥ ꯐꯪꯂꯀꯄꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯁꯦꯔꯣꯇꯣꯅꯤꯟ ꯁꯤꯟꯗꯣꯃꯒꯤ ꯀꯦꯁꯁꯤꯡ ꯍꯦꯟꯅꯥ ꯔꯤꯄꯣꯔꯠ ꯇꯧꯔꯛꯂꯤ꯫

ꯃꯁꯤ ꯀꯅꯥꯅꯥ ꯗꯤꯕꯦꯂꯞ ꯇꯧꯕꯥ ꯉꯃꯒꯅꯤ?

ꯇꯁꯦꯡꯕꯗꯤ, ꯆꯍꯤꯒꯤ ꯃꯇꯨꯡ ꯏꯟꯅꯥ ꯀꯅꯥꯒꯨꯝꯕꯥ ꯑꯃꯠꯇꯅꯥ ꯃꯁꯤ ꯗꯤꯕꯦꯂꯞ ꯇꯧꯕꯥ ꯌꯥꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯄ꯭ꯔꯦꯁꯛꯔꯤꯄꯁꯟ ꯍꯤꯗꯥꯀꯁꯤꯡ, ꯑꯣꯚꯔ-ꯗꯤ-ꯀꯎꯟꯇꯔ ꯗ꯭ꯔꯒꯁꯤꯡ, ꯍꯔꯕꯦꯜ ꯁꯞꯂꯤꯃꯦꯟꯇꯁꯤꯡ, ꯗꯥꯏꯑꯦꯇꯔꯤ ꯁꯞꯂꯤꯃꯦꯟꯇꯁꯤꯡ ꯅꯠꯠꯔꯒꯥ ꯅꯍꯥꯛꯀꯤ ꯁꯦꯔꯣꯇꯣꯅꯤꯅꯒꯤ ꯆꯥꯡꯗꯥ ꯁꯣꯀꯍꯜꯂꯤꯕꯥ ꯑꯥꯏꯟꯅꯥ ꯌꯥꯗꯕꯥ ꯗ꯭ꯔꯒꯁꯤꯡ ꯁꯤꯖꯤꯟꯅꯔꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯁꯦꯔꯣꯇꯣꯅꯤꯟ ꯁꯤꯟꯗꯣꯝ ꯂꯥꯀꯄꯒꯤ ꯔꯤꯁ꯭ꯛ ꯂꯩ꯫

ꯃꯁꯤꯒꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?

ꯁꯦꯔꯣꯇꯣꯅꯤꯟ ꯁꯤꯟꯗ꯭ꯔꯣꯃꯒꯤ ꯂꯥꯏꯑꯣꯡ ꯑꯃꯁꯨꯡ ꯁꯥꯊꯤꯕꯥ ꯃꯑꯣꯡ ꯑꯁꯤ ꯃꯤꯑꯣꯏ ꯑꯃꯗꯒꯤ ꯃꯤꯑꯣꯏ ꯑꯃꯗꯥ ꯈꯦꯠꯅꯕꯥ ꯌꯥꯏ꯫ ꯃꯈꯣꯌ ꯑꯁꯤ ꯃꯌꯥꯏ ꯑꯣꯏꯕꯥ, ꯃꯌꯥꯏ ꯑꯣꯏꯕꯥ, ꯁꯥꯊꯤꯕꯥ ꯑꯃꯁꯨꯡ ꯁꯤꯍꯅꯕꯥ ꯐꯥꯎꯕꯥ ꯌꯥꯏ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯁꯦꯔꯣꯇꯣꯅꯤꯅꯗꯥ ꯁꯣꯀꯍꯜꯂꯤꯕꯥ ꯍꯤꯗꯥꯛ ꯑꯃꯥ ꯂꯧꯔꯕꯗꯤ ꯑꯃꯁꯨꯡ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯍꯦꯛꯇꯥ ꯂꯩꯔꯕꯗꯤ, ꯈꯨꯗꯛꯇꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯀꯧ ꯅꯠꯠꯔꯒꯥ ꯏꯃꯔꯖꯦꯟꯁꯤ ꯔꯨꯝ ꯑꯃꯗꯥ ꯆꯠꯂꯨ꯫

ꯑꯄꯤꯀꯄꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ꯫

• ꯈꯔꯥ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯑꯃꯁꯨꯡ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯐꯥꯎꯕꯥ꯫
• ꯋꯥꯈꯜ ꯆꯔꯥꯡꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯋꯥꯈꯜ ꯆꯔꯥꯡꯅꯕꯥ ꯐꯥꯎꯕꯥ꯫
• ꯁ꯭ꯇꯣꯃꯥꯛ ꯕ꯭ꯂꯣꯇꯤꯡ (ꯗꯥꯏꯔꯤꯌꯥ)꯫
• ꯃꯤꯠꯀꯤ ꯕ꯭ꯂꯦꯛ (black pupils) ꯑꯁꯤ ꯍꯦꯟꯅꯥ ꯆꯥꯎꯈꯠꯂꯀꯏ (dilated pupils)꯫
• ꯅꯍꯥꯛꯀꯤ ꯂꯤꯝꯐꯁꯤꯡ ꯑꯗꯨ ꯁꯣꯀꯄꯥ (Tremor) ꯍꯥꯌꯅꯥ ꯐꯥꯎꯕꯥ꯫

ꯃꯌꯥꯏ ꯑꯣꯏꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ꯫

• ꯑꯩꯍꯥꯛ ꯌꯥꯝꯅꯥ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯑꯃꯁꯨꯡ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯐꯥꯑꯣꯏ꯫
• ꯃꯁꯜ ꯁꯣꯟꯊꯕꯥ, ꯃꯁꯥ ꯃꯊꯟꯇꯥ ꯁꯣꯀꯍꯜꯂꯀꯄꯥ, ꯃꯁꯜ ꯁꯣꯟꯊꯕꯥ, ꯃꯁꯜ ꯁꯣꯟꯊꯕꯥ꯫
• ꯌꯥꯝꯅꯥ ꯋꯥꯅꯥ ꯏꯁꯤꯡ ꯇꯨꯡꯁꯤꯅꯕꯥ, ꯅꯣꯡꯖꯨ-ꯅꯨꯡꯁꯥꯅꯥ ꯁꯣꯀꯍꯜꯂꯀꯄꯥ꯫
• ꯃꯃꯤꯠꯁꯤꯡ ꯑꯁꯤ ꯃꯥꯌꯀꯩ ꯑꯃꯗꯒꯤ ꯃꯥꯌꯀꯩ ꯑꯃꯗꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯛꯅꯥ ꯆꯠꯊꯣꯛ-ꯆꯠꯁꯤꯟ ꯇꯧꯏ꯫

ꯁꯥꯊꯤꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ꯫

• ꯑꯆꯧꯕꯥ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯑꯃꯥ, ꯀꯟꯁꯇꯤꯠꯌꯨꯁꯟ ꯑꯁꯤ ꯁꯣꯀꯍꯜꯂꯕꯥ ꯃꯑꯣꯡꯗꯥ, ꯀꯅꯥꯒꯨꯝꯕꯥ ꯑꯃꯅꯥ ꯀꯅꯥꯒꯨꯝꯕꯥ ꯑꯃꯅꯥ ꯂꯩꯔꯤꯕꯥ ꯃꯐꯝ ꯑꯃꯁꯨꯡ ꯃꯇꯝ ꯑꯗꯨ ꯀꯗꯥꯏꯗꯥ ꯂꯩꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯀꯥꯑꯣꯊꯣꯀꯏ (Confusion, disorientation, delirium)꯫
• ꯍꯥꯔꯠ ꯔꯦꯠ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯍꯦꯅꯒꯠꯂꯀꯏ (ꯔꯦꯄꯤꯗ ꯍꯥꯔꯠ ꯔꯦꯠ)꯫
• ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ ꯋꯥꯡꯈꯠꯄꯥ꯫
• ꯑꯋꯥꯡꯕꯥ ꯍꯀꯆꯥꯡꯒꯤ ꯇꯦꯝꯄꯦꯔꯦꯆꯔ ꯑꯁꯤ ꯁꯦꯂꯁꯤꯌꯁ ꯗꯤꯒ꯭ꯔꯤ 38.5 (101.3 ꯗꯤꯒ꯭ꯔꯤ ꯐꯥꯔꯦꯅꯍꯥꯏꯠ)ꯗꯒꯤ ꯍꯦꯜꯂꯤ꯫
• ꯁꯤꯖ꯭ꯌꯨꯔꯁꯤꯡ ꯂꯥꯛꯂꯤ꯫
• ꯍꯥꯔꯇꯀꯤ ꯈꯣꯟꯖꯦꯜ ꯑꯁꯤ ꯑꯥꯏꯔꯦꯒꯨꯂꯔ ꯑꯣꯏꯔꯀꯏ꯫
• ꯑꯩꯅꯥ ꯋꯥꯈꯜ ꯃꯥꯡꯈꯤ ꯑꯃꯁꯨꯡ ꯁꯣꯀꯏ꯫

ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯀꯌꯥ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯊꯣꯛꯂꯀꯄꯒꯦ?

ꯃꯍꯧꯁꯥꯅꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯄꯨꯡ ꯈꯔꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯂꯥꯀꯄꯥ ꯍꯧꯏ , ꯁꯦꯔꯣꯇꯣꯅꯤꯅꯒꯤ ꯆꯥꯡꯗꯥ ꯁꯣꯀꯍꯜꯂꯤꯕꯥ ꯑꯅꯧꯕꯥ ꯍꯤꯗꯥꯛ ꯑꯃꯥ ꯍꯧꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯅꯠꯠꯔꯒꯥ ꯅꯍꯥꯛꯅꯥ ꯍꯧꯖꯤꯛ ꯂꯧꯔꯤꯕꯥ ꯍꯤꯗꯥꯛ ꯑꯃꯒꯤ ꯗꯣꯖ ꯍꯦꯅꯒꯠꯂꯕꯥ ꯃꯇꯨꯡꯗꯥ꯫ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯃꯤꯑꯣꯏ ꯈꯨꯗꯤꯡꯃꯛꯅꯥ ꯁꯦꯔꯣꯇꯣꯅꯤꯅꯗꯥ ꯁꯣꯀꯍꯜꯂꯤꯕꯥ ꯍꯤꯗꯥꯛ ꯅꯠꯠꯔꯒꯥ ꯄꯣꯠꯁꯛ ꯑꯃꯥ ꯂꯧꯔꯕꯥ ꯃꯇꯨꯡ ꯄꯨꯡ 24ꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯎꯕꯥ ꯐꯪꯏ꯫

ꯃꯁꯤ ꯀꯔꯤꯒꯤ ꯊꯣꯛꯂꯤꯕꯅꯣ? ꯃꯔꯃꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?

ꯁꯦꯔꯣꯇꯣꯅꯤꯟ ꯁꯤꯟꯗ꯭ꯔꯣꯃꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯔꯃꯗꯤ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯁꯦꯔꯣꯇꯣꯅꯤꯅꯒꯤ ꯆꯥꯡ ꯍꯦꯅꯒꯠꯂꯀꯄꯅꯤ꯫ ꯃꯁꯤ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯐꯤꯚꯃꯁꯤꯡꯗꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯏ:

• ꯁꯦꯔꯣꯇꯣꯅꯤꯅꯒꯤ ꯆꯥꯡꯗꯥ ꯁꯣꯀꯍꯜꯂꯤꯕꯥ ꯍꯤꯗꯥꯛ ꯑꯃꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯁꯤꯖꯤꯟꯅꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ꯫
• ꯑꯅꯧꯕꯥ ꯁꯦꯔꯣꯇꯣꯅꯤꯟ ꯍꯦꯅꯒꯠꯍꯅꯕꯥ ꯍꯤꯗꯥꯛ ꯑꯃꯥ ꯍꯧꯕꯥ ꯃꯇꯃꯗꯥ, ꯅꯠꯠꯔꯒꯥ ꯍꯧꯖꯤꯛ ꯂꯧꯔꯤꯕꯥ ꯍꯤꯗꯥꯛ ꯑꯃꯒꯤ ꯗꯣꯖ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ ꯃꯇꯃꯗꯥ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯁꯦꯔꯣꯇꯣꯅꯤꯅꯒꯥ ꯃꯔꯤ ꯂꯩꯅꯕꯥ ꯍꯤꯗꯥꯛ ꯑꯃꯥ ꯌꯥꯝꯅꯥ ꯂꯧꯔꯕꯗꯤ , ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯅꯠꯠꯔꯒꯥ ꯏꯅꯇꯦꯟꯁꯅꯦꯜ ꯑꯣꯏꯅꯥ ꯂꯧꯕꯥ ꯌꯥꯏ꯫
• ꯑꯀꯛꯅꯕꯥ ꯑꯥꯏꯟꯅꯥ ꯌꯥꯗꯕꯥ ꯗ꯭ꯔꯒꯁꯤꯡ, ꯍꯔꯕꯦꯜ ꯄ꯭ꯔꯗꯛꯇꯁꯤꯡ , ꯅꯠꯠꯔꯒꯥ ꯁꯦꯔꯣꯇꯣꯅꯤꯅꯒꯤ ꯆꯥꯡꯗꯥ ꯁꯣꯀꯍꯜꯂꯤꯕꯥ ꯑꯣꯚꯔ-ꯗꯤ-ꯀꯎꯟꯇꯔ ꯗ꯭ꯔꯒꯁꯤꯡ ꯁꯤꯖꯤꯟꯅꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ꯫

ꯀꯔꯤ ꯍꯤꯗꯥꯀꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯑꯇꯩ ꯄꯣꯠꯁꯀꯁꯤꯡꯅꯥ ꯁꯦꯔꯣꯇꯣꯅꯤꯅꯒꯤ ꯆꯥꯡꯗꯥ ꯁꯣꯀꯍꯜꯂꯤꯕꯒꯦ?

ꯍꯧꯖꯤꯛ ꯀꯔꯤ ꯃꯈꯂꯒꯤ ꯍꯤꯗꯥꯀꯁꯤꯡꯅꯥ ꯁꯦꯔꯣꯇꯣꯅꯤꯅꯒꯤ ꯆꯥꯡꯗꯥ ꯑꯀꯥꯌꯕꯥ ꯄꯤꯕꯒꯦ ꯑꯃꯁꯨꯡ ꯁꯦꯔꯣꯇꯣꯅꯤꯟ ꯁꯤꯟꯗꯣꯝ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯁꯤ꯫

ꯑꯦꯟꯇꯤꯗꯤꯞꯔꯦꯁꯦꯟꯇꯁꯤꯡ꯫

ꯃꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯦꯟꯇꯤꯗꯤꯞꯔꯦꯁꯦꯟꯇꯁꯤꯡ ꯑꯁꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯔꯨꯑꯣꯏ꯫ ꯍꯥꯌꯔꯤꯕꯥ ꯑꯁꯤ ꯁꯦꯔꯣꯇꯣꯅꯤꯅꯒꯤ ꯆꯥꯡꯗꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯁꯣꯀꯍꯜꯂꯤꯕꯥ ꯗ꯭ꯔꯒꯁꯤꯡꯅꯤ꯫ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯑꯌꯥꯝꯕꯗꯤ ꯑꯦꯟꯇꯤꯗꯤꯞꯔꯦꯁꯦꯟꯇꯁꯤꯡ ꯑꯁꯤ ꯁꯦꯔꯣꯇꯣꯅꯤꯅꯗꯥ ꯁꯣꯀꯍꯜꯂꯤꯕꯥ ꯑꯇꯩ ꯗ꯭ꯔꯒꯁꯤꯡꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯁꯤꯖꯤꯟꯅꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯊꯣꯀꯏ, ꯃꯈꯣꯌ ꯑꯗꯨꯗꯤ ꯃꯥꯏꯒ꯭ꯔꯦꯅꯒꯤꯗꯃꯛꯇꯥ ꯇ꯭ꯔꯤꯄꯇꯥꯟ ꯅꯠꯠꯔꯒꯥ ꯑꯅꯥꯕꯥ ꯍꯟꯊꯍꯟꯅꯕꯥ ꯑꯣꯄꯤꯑꯣꯏꯗ ꯑꯁꯤꯅꯆꯤꯡꯕꯅꯤ꯫

ꯑꯦꯟꯇꯤꯗꯤꯞꯔꯦꯁꯦꯟꯇꯁꯤꯡꯒꯤ ꯀꯦꯇꯦꯒꯣꯔꯤ ꯈꯔꯗꯤ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤ ꯑꯃꯁꯨꯡ ꯈꯨꯗꯃꯁꯤꯡ ꯑꯁꯤ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤ:

• `ꯁꯦꯂꯦꯛꯇꯤꯕ ꯁꯦꯔꯣꯇꯣꯅꯤꯟ ꯔꯤꯌꯨꯄꯇꯦꯛ ꯏꯅꯍꯤꯕꯤꯇꯔꯁꯤꯡ (ꯑꯦꯁ.ꯑꯦꯁ.ꯑꯥꯔ.ꯑꯥꯏ.ꯁꯤꯡ): ꯀꯥꯡꯂꯨꯞ ꯑꯁꯤꯗꯥ `ꯐ꯭ꯂꯨꯑꯣꯛꯁꯦꯇꯤꯟ (ꯄ꯭ꯔꯣꯖꯥꯛ®), `ꯁꯤꯇꯥꯂꯣꯞꯔꯥꯝ (ꯁꯦꯂꯦꯛꯁꯥ®), `ꯁꯦꯔꯠꯔꯥꯂꯤꯟ (ꯖꯣꯂꯣꯐ꯭ꯠ®), `ꯄꯦꯔꯣꯛꯁꯦꯇꯤꯟ (ꯄꯦꯛꯁꯤꯜ®)` ꯑꯃꯁꯨꯡ `ꯑꯦꯁꯤꯇꯥꯂꯣꯞꯔꯥꯝ (ꯂꯦꯛꯁꯥꯞꯔꯣ®)ꯒꯨꯝꯕꯥ ꯗ꯭ꯔꯒꯁꯤꯡ ꯌꯥꯑꯣꯔꯤ꯫` ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯌꯥꯝꯅꯥ ꯁꯤꯖꯤꯟꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯃꯔꯝ ꯑꯁꯤꯅꯥ ꯁꯦꯔꯣꯇꯣꯅꯤꯟ ꯁꯤꯟꯗꯣꯃꯒꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯔꯤ ꯂꯩꯅꯕꯥ ꯗ꯭ꯔꯒꯁꯤꯡꯅꯤ꯫
• ꯁꯦꯔꯣꯇꯣꯅꯤꯟ-ꯅꯣꯔꯦꯄꯤꯅꯦꯐ꯭ꯔꯤꯟ ꯔꯤꯌꯨꯄꯇꯦꯛ ꯏꯅꯍꯤꯕꯤꯇꯔꯁꯤꯡ (SNRIs): ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯗꯨꯂꯣꯛꯁꯦꯇꯤꯟ (Cymbalta®), ꯚꯦꯅꯂꯥꯐꯦꯛꯁꯤꯟ (Effexor®), ꯗꯦꯁꯚꯦꯅꯂꯥꯐꯦꯛꯁꯤꯟ (Pristiq), ꯂꯦꯚꯣꯃꯤꯂꯅꯥꯁꯤꯞꯔꯥꯟ (Fetzima), ꯑꯃꯁꯨꯡ ꯃꯤꯂꯅꯥꯁꯤꯞꯔꯥꯟ (Savella) ꯑꯁꯤꯅꯤ꯫
• `ꯇ꯭ꯔꯥꯏꯁꯥꯏꯛꯂꯤꯛ ꯑꯦꯟꯇꯤꯗꯤꯞꯔꯦꯁꯦꯟꯇꯁꯤꯡ`: ꯀꯥꯡꯂꯨꯞ ꯑꯁꯤꯗꯥ `ꯑꯦꯃꯤꯠꯔꯤꯞꯇꯥꯏꯂꯤꯟ (ꯏꯂꯥꯚꯤꯜ®)`, `ꯀ꯭ꯂꯣꯃꯤꯞꯔꯥꯃꯤꯟ (ꯑꯦꯅꯥꯐ꯭ꯔꯥꯅꯤꯜ®)`, ꯑꯃꯁꯨꯡ `ꯅꯣꯔꯠꯔꯤꯄꯇꯥꯏꯂꯤꯟ (ꯄꯥꯃꯦꯂꯣꯔ®)`ꯒꯨꯝꯕꯥ ꯗ꯭ꯔꯒꯁꯤꯡ ꯌꯥꯑꯣꯔꯤ꯫
• `ꯃꯣꯅꯣꯑꯦꯃꯤꯟ ꯑꯣꯛꯁꯤꯗꯦꯖ ꯏꯅꯍꯤꯕꯤꯇꯔꯁꯤꯡ (ꯑꯦꯝ.ꯑꯦ.ꯑꯣ.ꯑꯥꯏ.ꯁꯤꯡ): `ꯐꯦꯅꯦꯂꯖꯤꯟ (ꯅꯥꯔꯗꯤꯜ®)`, `ꯁꯦꯂꯦꯖꯤꯂꯤꯟ (ꯑꯦꯃꯁꯥꯝ®)` ꯑꯃꯁꯨꯡ `ꯇ꯭ꯔꯥꯅꯤꯂꯁꯥꯏꯞꯔꯣꯃꯥꯏꯟ (ꯄꯥꯔꯅꯥꯇꯦ®)`ꯒꯨꯝꯕꯥ ꯗ꯭ꯔꯒꯁꯤꯡ ꯑꯁꯤ ꯀꯦꯇꯦꯒꯣꯔꯤ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯂꯩ꯫
• ꯁꯦꯔꯣꯇꯣꯅꯤꯟ ꯃꯣꯗ꯭ꯌꯨꯂꯦꯇꯔꯁꯤꯡ: ꯅꯦꯐꯥꯖꯣꯗꯣꯟ ꯑꯃꯁꯨꯡ ꯇ꯭ꯔꯥꯖꯣꯗꯣꯟ (Desyrel®)ꯒꯨꯝꯕꯥ꯫
• ꯃꯁꯤꯒꯤ ꯈꯨꯗꯝ ꯑꯃꯗꯤ `ꯅꯣꯔꯦꯄꯤꯅꯦꯐ꯭ꯔꯤꯟ ꯔꯤꯌꯨꯄꯇꯦꯛ ꯏꯅꯍꯤꯕꯤꯇꯔ`: `ꯕꯨꯞꯔꯣꯄꯤꯌꯟ (ꯋꯦꯂꯕꯨꯠꯔꯤꯟ®)ꯅꯤ꯫`

ꯑꯇꯣꯞꯄꯥ ꯍꯤꯗꯥꯀꯁꯤꯡ꯫

ꯑꯦꯟꯇꯤꯗꯤꯞꯔꯦꯁꯦꯟꯇꯁꯤꯡꯒꯤ ꯃꯊꯛꯇꯥ, ꯍꯀꯆꯥꯡꯗꯥ ꯁꯦꯔꯣꯇꯣꯅꯤꯅꯒꯤ ꯆꯥꯡꯗꯥ ꯁꯣꯀꯍꯜꯂꯤꯕꯥ ꯑꯇꯩ ꯍꯤꯗꯥꯀꯁꯤꯡꯁꯨ ꯂꯩ꯫ ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯁꯦꯔꯣꯇꯣꯅꯤꯅꯗꯁꯨ ꯁꯣꯀꯍꯜꯂꯤꯕꯥ ꯑꯇꯩ ꯍꯤꯗꯥꯀꯁꯤꯡꯒꯥ ꯄꯨꯅꯁꯤꯟꯅꯔꯕꯥ ꯃꯇꯃꯗꯥ ꯔꯤꯁ꯭ꯛ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯋꯥꯡꯏ꯫ ꯍꯥꯌꯔꯤꯕꯥ ꯍꯤꯗꯥꯀꯁꯤꯡ ꯑꯁꯤ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯁꯤꯡꯁꯤꯗꯥ ꯁꯤꯖꯤꯟꯅꯩ:

• ꯑꯀꯅꯕꯥ ꯑꯅꯥꯕꯒꯤꯗꯃꯛ: ꯑꯣꯄꯤꯑꯣꯏꯗ ꯀ꯭ꯂꯥꯁꯀꯤ ꯄꯦꯟ ꯀꯤꯂꯥꯔꯁꯤꯡ, ꯍꯥꯌꯕꯗꯤ ꯇ꯭ꯔꯥꯃꯥꯗꯣꯜ (Ultram®), ꯃꯦꯄꯦꯔꯤꯗꯤꯟ (Demerol®), ꯇꯦꯄꯦꯟꯇꯥꯗꯣꯜ (Nucynta®), ꯍꯥꯏꯗ꯭ꯔꯣꯀꯣꯗꯣꯟ (Hysingla ER®), ꯑꯣꯛꯁꯤꯀꯣꯗꯣꯟ (Oxycontin®), ꯐꯦꯟꯇꯥꯅꯤꯜ (Actiq®), ꯑꯃꯁꯨꯡ ꯃꯦꯊꯥꯗꯣꯅꯅꯤ꯫
• ꯀꯣꯛ ꯆꯤꯀꯄꯥ: ꯑꯣꯚꯔ-ꯗꯤ-ꯀꯎꯟꯇꯔ (OTC) ꯀꯣꯛ ꯆꯤꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯀꯣꯜꯗ ꯍꯤꯗꯥꯛ ꯈꯔꯗꯤ, ꯍꯥꯌꯕꯗꯤ ꯗꯦꯛꯁꯠꯔꯣꯃꯦꯊꯣꯔꯐꯦꯟ ꯑꯁꯤꯅꯥ ꯁꯦꯔꯣꯇꯣꯅꯤꯅꯒꯤ ꯆꯥꯡꯗꯥ ꯁꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫
• ꯃꯥꯏꯒ꯭ꯔꯦꯟ ꯍꯦꯗ-ꯑꯦꯀꯁꯤꯡꯒꯤ ꯑꯣꯏꯅꯗꯤ: ꯇ꯭ꯔꯤꯄꯇꯥꯅꯁꯤꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯂꯃꯣꯠꯔꯤꯞꯇꯥꯟ (Axert®), ꯏꯂꯦꯠꯔꯤꯞꯇꯥꯟ (Relpax®), ꯑꯃꯁꯨꯡ ꯁꯨꯃꯥꯠꯔꯤꯞꯇꯥꯟ (Imitrex®) ꯌꯥꯎꯏ꯫
• HIV/AIDSꯀꯤꯗꯃꯛꯇꯥ: `ꯔꯤꯇꯣꯅꯥꯚꯤꯔ (Norvir®)`꯫
• ꯑꯦꯟꯇꯤꯕꯥꯏꯑꯣꯇꯤꯀꯁꯤꯡ: ꯂꯥꯏꯅꯦꯖꯣꯂꯤꯗ (Zyvox®)꯫
• ꯅꯣꯡꯃꯩ ꯀꯥꯞꯄꯥ ꯑꯃꯁꯨꯡ ꯋꯥꯈꯜ ꯇꯥꯗꯕꯒꯤ ꯍꯤꯗꯥꯀꯁꯤꯡ: `ꯃꯦꯇꯣꯛꯂꯣꯞꯔꯥꯃꯥꯏꯗ (ꯔꯦꯒ꯭ꯂꯥꯟ®)`, `ꯒ꯭ꯔꯦꯅꯤꯁꯦꯠꯔꯣꯟ (ꯁꯨꯁ꯭ꯇꯣꯜ®)`, `ꯑꯣꯟꯗꯥꯟꯁꯦꯠꯔꯣꯟ (ꯖꯣꯐ꯭ꯔꯥꯟ®)`ꯒꯨꯝꯕꯥ꯫
• ꯃꯨꯗ ꯁ꯭ꯇꯦꯕꯤꯂꯥꯏꯖꯔ: ꯂꯤꯊꯤꯌꯥꯝ (ꯂꯤꯊꯣꯕꯤꯗ®)꯫

ꯑꯇꯣꯞꯄꯥ ꯄꯣꯠꯊꯣꯀꯁꯤꯡ꯫

ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡꯒꯤ ꯃꯊꯛꯇꯥ, ꯇ꯭ꯔꯦꯗꯤꯁꯅꯦꯜ ꯍꯔꯕꯁ, ꯗꯥꯏꯑꯦꯇꯔꯤ ꯁꯞꯂꯤꯃꯦꯟꯇꯁꯤꯡ, ꯑꯃꯁꯨꯡ ꯑꯥꯏꯟꯅꯥ ꯌꯥꯗꯕꯥ ꯗ꯭ꯔꯒꯁꯤꯡꯅꯁꯨ ꯁꯦꯔꯣꯇꯣꯅꯤꯅꯒꯤ ꯆꯥꯡꯗꯥ ꯁꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ ꯑꯃꯁꯨꯡ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫

• ꯍꯔꯕꯦꯜ ꯁꯞꯂꯤꯃꯦꯟꯇꯁꯤꯡ: ꯃꯁꯤꯗꯥ ꯖꯤꯅꯁꯦꯡ, ꯁꯦꯟꯇ ꯖꯣꯅꯁ ꯋꯥꯔꯠ, ꯁꯤꯔꯤꯌꯥꯟ ꯔꯨ, ꯑꯃꯁꯨꯡ ꯅꯨꯡꯁꯤꯠꯀꯤ ꯄꯣꯠꯁꯀꯁꯤꯡ ꯑꯁꯤ ꯌꯥꯎꯕꯥ ꯌꯥꯏ꯫
• ꯑꯥꯏꯟꯅꯥ ꯌꯥꯗꯕꯥ ꯗ꯭ꯔꯒꯁꯤꯡ: ꯑꯦꯛꯁꯇꯥꯁꯤ, ꯑꯦꯜ.ꯑꯦꯁ.ꯗꯤ., ꯀꯣꯀꯦꯟ, ꯑꯦꯝꯐꯦꯇꯥꯃꯤꯟ, ꯑꯃꯁꯨꯡ ꯃꯦꯊꯥꯃꯐꯦꯇꯥꯃꯤꯅꯒꯨꯝꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ꯫
• ꯗꯥꯏꯑꯦꯇꯔꯤ ꯁꯞꯂꯤꯃꯦꯟꯇꯁꯤꯡ: ꯱.ꯇ꯭ꯔꯥꯏꯞꯇꯣꯐꯦꯟ ꯍꯥꯌꯅꯥ ꯈꯉꯅꯕꯥ꯫

ꯃꯦꯗꯤꯀꯦꯜ ꯑꯦꯛꯁꯄꯔꯇꯁꯤꯡꯅꯥ ꯍꯧꯖꯤꯀꯁꯨ ꯁꯦꯔꯣꯇꯣꯅꯤꯟ ꯁꯤꯟꯗꯣꯃꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯌꯥꯝꯅꯥ ꯇꯃꯂꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯧꯔꯤꯕꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯑꯃꯁꯨꯡ ꯃꯈꯣꯌꯅꯥ ꯁꯦꯔꯣꯇꯣꯅꯤꯅꯗꯥ ꯁꯣꯀꯍꯅꯕꯔꯥ ꯍꯥꯌꯕꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯍꯪ ꯑꯃꯠꯇꯥ ꯍꯪꯂꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔ ꯅꯠꯠꯔꯒꯥ ꯅꯍꯥꯛꯅꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛ ꯂꯧꯔꯤꯕꯥ ꯐꯥꯔꯃꯥꯁꯤꯗꯥ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯗꯨꯒꯥ ꯋꯥꯔꯤ ꯁꯥꯕꯤꯌꯨ꯫

ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯃꯁꯤ ꯀꯔꯝꯅꯥ ꯈꯉꯒꯅꯤ?

ꯍꯧꯖꯤꯛ ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯃꯁꯤ ꯀꯔꯝꯅꯥ ꯂꯥꯌꯦꯡꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯁꯤ꯫ ꯇꯁꯦꯡꯕꯗꯤ ꯁꯦꯔꯣꯇꯣꯅꯤꯟ ꯁꯤꯟꯗꯣꯝ ꯀꯅꯐꯥꯔꯝ ꯇꯧꯅꯕꯥ ꯑꯀꯛꯅꯕꯥ ꯇꯦꯁ꯭ꯠ ꯑꯃꯠꯇꯥ ꯂꯩꯇꯦ꯫ ꯃꯍꯧꯁꯥꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯌꯦꯡꯁꯤꯟꯗꯨꯅꯥ, ꯅꯍꯥꯛꯀꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯍꯪꯗꯨꯅꯥ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯁꯦꯔꯣꯇꯣꯅꯤꯅꯒꯤ ꯆꯥꯡꯗꯥ ꯁꯣꯀꯍꯜꯂꯤꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯧꯔꯤꯕꯥ ꯍꯤꯗꯥꯀꯁꯤꯡꯒꯤ ꯃꯔꯃꯗꯥ ꯈꯪꯗꯣꯛꯇꯨꯅꯥ ꯈꯪꯗꯣꯛꯀꯅꯤ꯫

ꯅꯍꯥꯛꯅꯥ ꯂꯧꯔꯤꯕꯥ ꯄꯨꯝꯅꯃꯛ (ꯄ꯭ꯔꯤꯁ꯭ꯛꯔꯤꯄꯁꯟ ꯗ꯭ꯔꯒꯁꯤꯡ, ꯑꯣꯚꯔ-ꯗꯤ-ꯀꯎꯟꯇꯔ ꯍꯤꯗꯥꯀꯁꯤꯡ, ꯁꯞꯂꯤꯃꯦꯟꯇꯁꯤꯡ, ꯍꯔꯕꯦꯜ ꯔꯤꯃꯦꯗꯤꯁꯤꯡ, ꯑꯥꯏꯟꯅꯥ ꯌꯥꯗꯕꯥ ꯗ꯭ꯔꯒꯁꯤꯡ ꯐꯥꯎꯕꯥ) ꯃꯌꯦꯛ ꯁꯦꯡꯅꯥ ꯈꯪꯍꯟꯗꯨꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯕꯥ ꯌꯥꯏ꯫ (ꯄꯨꯀꯆꯦꯜ ꯁꯦꯡꯅꯥ ꯍꯥꯌꯌꯨ, ꯂꯥꯡꯇꯛꯅꯒꯅꯨ꯫ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯃꯇꯦꯡ ꯄꯥꯡꯅꯕꯥ ꯂꯩꯔꯤ, ꯅꯍꯥꯀꯄꯨ ꯋꯥꯌꯦꯜ ꯄꯤꯅꯕꯥ ꯅꯠꯇꯦ꯫)

ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯑꯁꯤꯁꯨ ꯇꯧꯕꯥ ꯌꯥꯏ:

• ꯅꯍꯥꯛꯅꯥ ꯂꯧꯔꯤꯕꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡꯒꯤ ꯆꯥꯡ ꯌꯦꯡꯁꯤꯟꯅꯕꯥ ꯕ꯭ꯂꯗ ꯑꯃꯁꯨꯡ ꯌꯨꯔꯤꯟ ꯇꯦꯁ꯭ꯠ ꯇꯧꯕꯥ꯫
• ꯅꯍꯥꯛꯀꯤ ꯑꯇꯩ ꯑꯣꯔꯒꯥꯅꯁꯤꯡ ꯑꯗꯨ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯊꯕꯛ ꯇꯧꯔꯤꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯅꯕꯥ ꯇꯦꯁ꯭ꯠ ꯇꯧ꯫
• ꯍꯀꯆꯥꯡꯗꯥ ꯏꯅꯐꯦꯛꯁꯟ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯅꯕꯥ ꯇꯦꯁ꯭ꯠ ꯇꯧꯏ, ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯇꯦꯞ ꯑꯃꯥ ꯐꯥꯎꯕꯥ ꯑꯣꯏꯔꯕꯁꯨ ꯌꯥꯏ꯫
• ꯑꯇꯣꯞꯄꯥ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ (ꯃꯁꯤꯒꯥ ꯃꯥꯟꯅꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯂꯩꯕꯥ) ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯁꯤꯟꯅꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯇꯩ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯆꯦꯛ ꯇꯧꯅꯕꯥ ꯆꯦꯁ꯭ꯠ ꯑꯦꯛꯁ-ꯔꯦ ꯅꯠꯠꯔꯒꯥ ꯁꯤ.ꯇꯤ.

ꯃꯁꯤ ꯀꯔꯝꯅꯥ ꯂꯥꯌꯦꯡꯕꯒꯦ?

ꯅꯍꯥꯛꯅꯥ ꯐꯪꯂꯤꯕꯥ ꯂꯥꯏꯌꯦꯡꯁꯤꯡ ꯑꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯗꯨ ꯀꯌꯥꯝ ꯁꯥꯊꯤꯕꯒꯦ ꯍꯥꯌꯕꯗꯨꯒꯤ ꯃꯈꯥ ꯄꯣꯜꯂꯤ꯫

• ꯑꯄꯤꯀꯄꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯗꯨ ꯑꯄꯤꯀꯄꯥ ꯑꯣꯏꯔꯕꯗꯤ, ꯍꯤꯗꯥꯛ ꯑꯗꯨ ꯊꯤꯡꯖꯤꯅꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯗꯣꯖ ꯍꯣꯡꯗꯣꯀꯄꯅꯥ ꯃꯍꯧꯁꯥꯅꯥ ꯄꯨꯡ 24ꯗꯒꯤ 72 ꯐꯥꯎꯕꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯗꯨ ꯀꯣꯀꯍꯜꯂꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯗꯨ ꯊꯨꯅꯥ ꯐꯒꯠꯂꯛꯠꯔꯕꯗꯤ, ꯁꯥꯏꯞꯔꯣꯍꯦꯞꯇꯥꯗꯤꯟ (Periactin®)ꯒꯨꯝꯕꯥ ꯁꯦꯔꯣꯇꯣꯅꯤꯟ ꯕ꯭ꯂꯣꯛ ꯇꯧꯕꯥ ꯍꯤꯗꯥꯛ ꯑꯃꯥ ꯄꯤꯕꯥ ꯌꯥꯏ꯫
• ꯃꯌꯥꯏ ꯑꯣꯏꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯗꯨ ꯃꯌꯥꯏ ꯑꯣꯏꯕꯥ ꯑꯣꯏꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯗꯨ ꯂꯥꯏꯌꯦꯡꯕꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯐꯒꯠꯂꯀꯄꯥ ꯌꯥꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯅꯕꯒꯤꯗꯃꯛ ꯌꯥꯃꯗ꯭ꯔꯕꯗꯥ ꯄꯨꯡ 24 ꯔꯣꯝ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯂꯗꯥ ꯊꯃꯒꯅꯤ꯫
• ꯁꯥꯊꯤꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯗꯨ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯑꯣꯏꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡ ꯑꯃꯁꯨꯡ ꯑꯣꯔꯒꯥꯅꯁꯤꯡꯒꯤ ꯐꯉ꯭ꯀꯁꯅꯁꯤꯡ ꯅꯤꯡꯊꯤꯅꯥ ꯌꯦꯡꯁꯤꯅꯒꯗꯕꯥ ꯏꯟꯇꯦꯟꯁꯤꯚ ꯀꯦꯌꯔ ꯌꯨꯅꯤꯠ (ICU)ꯗꯥ ꯑꯦꯗꯃꯤꯠ ꯇꯧꯒꯅꯤ꯫

ꯂꯥꯏꯑꯣꯡꯁꯤꯡꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ, ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯂꯥꯏꯌꯦꯡꯁꯤꯡ ꯑꯁꯤ ꯄꯤꯕꯥ ꯌꯥꯏ:

• ꯕꯦꯟꯖꯣꯗꯤꯌꯥꯖꯦꯄꯤꯅꯒꯨꯝꯕꯥ ꯁꯦꯗꯦꯇꯤꯚ ꯑꯃꯅꯥ ꯑꯦꯖꯤꯇꯦꯁꯟ, ꯃꯁꯜ ꯁꯣꯟꯊꯕꯥ, ꯑꯃꯁꯨꯡ ꯁꯣꯛ-ꯄꯅꯕꯥ ꯑꯁꯤꯅꯆꯤꯡꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯍꯟꯊꯍꯅꯕꯥ ꯉꯝꯃꯤ꯫
• ꯁꯦꯂꯥꯏꯟ `(IV ꯐ꯭ꯂꯨꯏꯗ)` ꯑꯁꯤ ꯐ꯭ꯂꯨꯏꯗ ꯔꯤꯇꯦꯟꯁꯟ ꯑꯃꯁꯨꯡ ꯐꯤꯚꯝ ꯍꯟꯊꯍꯟꯅꯕꯥ ꯄꯤꯔꯤ, ꯑꯃꯁꯨꯡ ꯏꯗꯥ ꯑꯣꯛꯁꯤꯖꯦꯅꯒꯤ ꯆꯥꯡ ꯐꯒꯠꯍꯟꯅꯕꯥ `(ꯃꯥꯁ꯭ꯛ)`ꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯃꯥꯌꯗꯥ ꯑꯣꯛꯁꯤꯖꯦꯟ ꯄꯤ꯫
• ꯍꯥꯔꯠ ꯔꯦꯠ ꯑꯃꯁꯨꯡ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯅꯕꯥ ꯍꯤꯗꯥꯛ꯫
• ꯌꯥꯝꯅꯥ ꯋꯥꯡꯕꯥ ꯂꯥꯏꯍꯧ (ꯁꯦꯂꯁꯤꯌꯁ ꯗꯤꯒ꯭ꯔꯤ 41.1 / ꯐꯥꯔꯦꯅꯍꯥꯏꯠ 106) ꯍꯟꯊꯍꯟꯅꯕꯒꯤꯗꯃꯛ, ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯒꯤ ꯑꯋꯥꯕꯁꯤꯡꯒꯤꯗꯃꯛ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯒꯤ ꯇꯤꯎꯕ ꯑꯃꯥ ꯍꯥꯄꯆꯤꯟꯗꯨꯅꯥ, ꯁꯦꯗꯦꯁꯟ ꯄꯤ, ꯑꯃꯁꯨꯡ ꯃꯁꯜ ꯔꯤꯂꯦꯛꯁꯦꯟꯇꯁꯤꯡ ꯄꯤ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯇꯣꯞꯄꯥ ꯂꯥꯏꯌꯦꯡꯁꯤꯡꯅꯥ ꯊꯨꯅꯥ ꯂꯥꯏꯌꯦꯡꯕꯥ ꯉꯃꯗ꯭ꯔꯕꯗꯤ, ꯁꯥꯏꯞꯔꯣꯍꯦꯞꯇꯥꯗꯤꯟ ꯀꯧꯕꯥ ꯁꯦꯔꯣꯇꯣꯅꯤꯟ ꯕ꯭ꯂꯣꯛ ꯇꯧꯕꯥ ꯗ꯭ꯔꯒ ꯑꯃꯥ ꯄꯤ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯁꯦꯔꯣꯇꯣꯅꯤꯟ ꯁꯤꯟꯗ꯭ꯔꯣꯝ ꯑꯗꯨ ꯑꯦꯟꯇꯤꯗꯤꯞꯔꯦꯁꯦꯟꯇ ꯑꯃꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯑꯣꯏꯔꯕꯗꯤ, ꯍꯤꯗꯥꯛ ꯑꯗꯨ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡꯗꯒꯤ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯂꯥꯞꯅꯥ ꯂꯩꯕꯥ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯗꯨ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯃꯥꯡꯈꯤꯕꯥ ꯃꯇꯃꯗꯥ ꯅꯨꯃꯤꯠ ꯀꯌꯥ ꯆꯪꯂꯝꯕꯥ ꯌꯥꯏ꯫

ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯗꯤ: ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯋꯥꯔꯤ ꯁꯥꯟꯅꯗꯅꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛ ꯑꯃꯠꯇꯥ ꯊꯀꯄꯥ ꯂꯦꯄꯀꯅꯨ ꯅꯠꯠꯔꯒꯥ ꯗꯣꯖ ꯑꯗꯨ ꯍꯣꯡꯗꯣꯛ-ꯍꯣꯡꯖꯤꯟ ꯇꯧꯔꯣꯏꯗꯕꯅꯤ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯂꯩꯔꯕꯗꯤ ꯅꯠꯠꯔꯒꯥ ꯅꯍꯥꯛꯀꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯗꯨ ꯍꯦꯟꯅꯥ ꯐꯠꯆꯤꯜꯂꯛꯂꯕꯗꯤ, ꯈꯨꯗꯛꯇꯥ ꯑꯦꯃꯔꯖꯦꯟꯁꯤ ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯃꯇꯦꯡ ꯂꯧꯒꯗꯕꯅꯤ꯫ ꯁꯦꯔꯣꯇꯣꯅꯤꯟ ꯁꯤꯟꯗ꯭ꯔꯣꯝ ꯑꯁꯤ ꯄꯨꯟꯁꯤ ꯃꯥꯡꯍꯅꯕꯥ ꯌꯥꯏ꯫

ꯀꯔꯤ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ ꯊꯣꯀꯄꯥ ꯌꯥꯕꯒꯦ?

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯂꯥꯏꯌꯦꯡꯗ꯭ꯔꯕꯗꯤ, ꯁꯦꯔꯣꯇꯣꯅꯤꯟ ꯁꯤꯟꯗ꯭ꯔꯣꯝ ꯑꯁꯤꯅꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ ꯑꯁꯤ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ:

• ꯂꯥꯏꯑꯣꯡꯁꯤꯡ (seizures)꯫
• ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ꯫
• ꯀꯤꯗꯅꯤ ꯐꯦꯜ ꯑꯣꯏꯕꯥ꯫ ꯃꯁꯜ ꯕ꯭ꯔꯦꯀꯗꯥꯎꯅꯒꯤ ꯄꯣꯠꯊꯣꯀꯁꯤꯡ ꯏꯗꯥ ꯌꯥꯎꯔꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯀꯤꯗꯅꯤꯅꯥ ꯐꯤꯜꯇꯔ ꯇꯧꯕꯥ ꯃꯇꯃꯗꯥ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯂꯥꯏꯌꯦꯡꯗ꯭ꯔꯕꯗꯤ ꯃꯁꯤꯅꯥ ꯀꯤꯗꯅꯤꯗꯥ ꯁꯥꯊꯤꯅꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫
• ꯀꯣꯃꯥ ꯔꯥꯖ꯭ꯌꯗꯥ ꯂꯩꯕꯥ ꯌꯨ.ꯑꯦꯁ.
• ꯁꯤꯕꯥ ꯐꯥꯑꯣꯕꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫

ꯃꯁꯤꯗꯒꯤ ꯑꯩꯈꯣꯌ ꯀꯔꯝꯅꯥ ꯀꯅꯕꯤꯒꯅꯤ?

• ꯅꯍꯥꯛꯅꯥ ꯂꯧꯔꯤꯕꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛ ꯑꯃꯍꯦꯛꯇꯗꯥ ꯀꯨꯞꯅꯥ ꯌꯦꯡꯁꯤꯅꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛ ꯄꯦꯀꯦꯖ ꯅꯠꯠꯔꯒꯥ ꯃꯁꯤꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯂꯥꯀꯄꯥ ꯏꯅꯐꯣꯔꯃꯦꯁꯟ ꯂꯤꯐꯂꯦꯠ ꯑꯗꯨꯗꯥ ꯌꯥꯎꯔꯤꯕꯥ ꯋꯥꯔꯅꯤꯡ ꯄꯨꯝꯅꯃꯛ ꯄꯥꯕꯤꯌꯨ꯫ ꯃꯁꯤꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯁꯦꯔꯣꯇꯣꯅꯤꯟ ꯁꯤꯟꯗ꯭ꯔꯣꯃꯒꯤ ꯔꯤꯁ꯭ꯛ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯈꯪꯍꯜꯂꯛꯀꯅꯤ꯫
• ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯋꯥꯔꯤ ꯁꯥꯟꯅꯗꯅꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛ ꯑꯃꯠꯇꯥ ꯊꯤꯡꯖꯤꯜꯂꯣꯏꯗꯕꯅꯤ꯫
• ꯅꯍꯥꯛꯅꯥ ꯂꯧꯔꯤꯕꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛ ꯄꯨꯝꯅꯃꯛ (ꯄ꯭ꯔꯤꯁ꯭ꯛꯔꯤꯄꯁꯟ ꯍꯤꯗꯥꯀꯁꯤꯡ, ꯑꯣꯚꯔ-ꯗꯤ-ꯀꯎꯟꯇꯔ ꯍꯤꯗꯥꯀꯁꯤꯡ, ꯇ꯭ꯔꯦꯗꯤꯁꯅꯦꯜ ꯍꯔꯕꯁ, ꯁꯞꯂꯤꯃꯦꯟꯇꯁꯤꯡ, ꯑꯥꯏꯟꯅꯥ ꯌꯥꯗꯕꯥ ꯗ꯭ꯔꯒꯁꯤꯡ ꯐꯥꯎꯕꯥ)ꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯅꯍꯥꯀꯄꯨ ꯂꯥꯏꯌꯦꯡꯂꯤꯕꯥ ꯗꯣꯛꯇꯔ ꯈꯨꯗꯤꯡꯃꯛꯇꯥ ꯈꯪꯍꯅꯒꯗꯕꯅꯤ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯦꯟꯇꯤꯗꯤꯞꯔꯦꯁꯦꯟꯇꯁꯤꯡ (ꯃꯔꯨꯑꯣꯏꯅꯥ SSRIꯁꯤꯡ ꯅꯠꯠꯔꯒꯥ SNRIꯁꯤꯡ)ꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯃꯥꯏꯒ꯭ꯔꯦꯅꯒꯤꯗꯃꯛꯇꯥ ꯇ꯭ꯔꯤꯄꯇꯥꯟ ꯑꯃꯥ ꯂꯧꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯀꯨꯞꯅꯥ ꯌꯦꯡꯁꯤꯅꯒꯗꯕꯅꯤ꯫ ꯔꯤꯁ꯭ꯛ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯅꯦꯝꯃꯤ ꯍꯥꯌꯅꯥ ꯂꯧꯅꯩ, ꯃꯁꯤ ꯂꯩꯇꯕꯥ ꯐꯥꯎꯕꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯕꯨ ꯅꯤꯡꯁꯤꯡꯕꯤꯌꯨ, ꯅꯍꯥꯛꯀꯤ ꯊꯧꯗꯥꯡ ꯑꯃꯥ ꯂꯩ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯥꯔꯇꯤꯀꯦꯜ ꯑꯁꯤꯗꯥ ꯄꯅꯈ꯭ꯔꯤꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯍꯦꯛꯇꯕꯨ ꯊꯦꯡꯅꯔꯕꯗꯤ, ꯈꯨꯗꯛꯇꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯀꯧꯕꯤꯌꯨ꯫
• ꯆꯦꯀꯁꯤꯟ ꯊꯧꯔꯥꯡꯁꯤꯡ ꯑꯁꯤ ꯏꯅꯕꯅꯥ ꯅꯍꯥꯛ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯁꯦꯔꯣꯇꯣꯅꯤꯟ ꯁꯤꯟꯗꯣꯃꯒꯤ ꯈꯨꯗꯃꯁꯤꯡ ꯇꯣꯏꯅꯥ ꯈꯪꯗꯣꯀꯄꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯒꯅꯤ꯫ ꯉꯟꯅꯥ ꯈꯪꯗꯣꯀꯄꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯊꯤꯡꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫

ꯐꯤꯚꯝ ꯑꯁꯤꯗꯥ ꯑꯩꯈꯣꯌꯅꯥ ꯀꯔꯤ ꯑꯥꯁꯥ ꯇꯧꯒꯗꯒꯦ?

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯈꯪꯗꯣꯛꯂꯕꯥ ꯑꯃꯁꯨꯡ ꯊꯨꯅꯥ ꯂꯥꯏꯌꯦꯡꯂꯕꯗꯤ, ꯃꯤꯑꯣꯏ ꯑꯌꯥꯝꯕꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯄꯨꯡ 24ꯗꯒꯤ 72 ꯐꯥꯎꯕꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯀꯣꯀꯍꯅꯒꯅꯤ꯫

ꯐꯒꯠꯂꯕꯥ ꯃꯇꯨꯡꯗꯥ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯁꯤꯡꯁꯤ ꯌꯥꯎꯕꯥ ꯌꯥꯏ:

• ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯊꯣꯀꯍꯅꯈꯤꯕꯥ ꯍꯤꯗꯥꯛ ꯑꯗꯨꯒꯤ ꯗꯣꯖ ꯑꯗꯨ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯅꯦꯝꯕꯥ ꯏꯐꯦꯛꯇꯤꯚ ꯑꯣꯏꯕꯥ ꯗꯣꯖꯗꯥ ꯍꯟꯊꯍꯅꯒꯗꯕꯅꯤ꯫
• ꯁꯦꯔꯣꯇꯣꯅꯤꯅꯗꯥ ꯁꯣꯀꯍꯜꯂꯤꯕꯥ ꯑꯋꯥꯡꯕꯥ ꯗꯣꯖꯒꯤ ꯍꯤꯗꯥꯛ ꯑꯅꯤ ꯄꯨꯟꯅꯥ ꯄꯤꯕꯥ ꯂꯦꯄꯀꯅꯨ꯫
• ꯁꯦꯔꯣꯇꯣꯅꯤꯅꯗꯥ ꯁꯣꯀꯍꯟꯗꯕꯥ ꯑꯇꯣꯞꯄꯥ ꯍꯤꯗꯥꯛ ꯑꯃꯗꯥ ꯍꯣꯡꯗꯣꯀꯎ꯫

ꯑꯩꯒꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯀꯗꯥꯌꯗꯥ ꯀꯧꯒꯗꯒꯦ ?

• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯁꯦꯔꯣꯇꯣꯅꯤꯟ ꯁꯤꯟꯗ꯭ꯔꯣꯃꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯂꯩꯔꯕꯗꯤ (ꯅꯠꯠꯔꯒꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯍꯦꯟꯅꯥ ꯐꯒꯠꯂꯛꯂꯕꯗꯤ) ꯈꯨꯗꯛꯇꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯀꯧ ꯅꯠꯠꯔꯒꯥ ꯏꯃꯔꯖꯦꯟꯁꯤ ꯔꯨꯃꯗꯥ ꯆꯠꯂꯨ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯅꯧꯕꯥ ꯍꯤꯗꯥꯛ ꯑꯃꯥ ꯍꯧꯈ꯭ꯔꯕꯗꯤ, ꯍꯧꯖꯤꯛ ꯂꯩꯔꯤꯕꯥ ꯍꯤꯗꯥꯛ ꯑꯃꯒꯤ ꯗꯣꯖ ꯍꯦꯅꯒꯠꯂꯛꯂꯕꯗꯤ ꯅꯠꯠꯔꯒꯥ ꯁꯦꯔꯣꯇꯣꯅꯤꯅꯒꯤ ꯆꯥꯡꯗꯥ ꯁꯣꯀꯍꯜꯂꯤ ꯍꯥꯌꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯈꯪꯂꯤꯕꯥ ꯍꯤꯗꯥꯀꯁꯤꯡ ꯂꯧꯔꯕꯗꯤ ꯃꯔꯨꯑꯣꯏꯅꯥ ꯆꯦꯀꯁꯤꯅꯒꯗꯕꯅꯤ꯫
• ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯗꯅꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛ ꯂꯧꯕꯥ ꯂꯦꯄꯍꯜꯂꯣꯏꯗꯕꯅꯤ ꯅꯠꯠꯔꯒꯥ ꯗꯣꯖ ꯑꯗꯨ ꯍꯣꯡꯗꯣꯛꯂꯣꯏꯗꯕꯅꯤ꯫
• ꯅꯍꯥꯛꯅꯥ ꯂꯧꯔꯤꯕꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛ ꯄꯨꯝꯅꯃꯛ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔ ꯄꯨꯝꯅꯃꯛꯅꯥ ꯈꯪꯖꯤꯅꯒꯗꯕꯅꯤ꯫
• ꯅꯍꯥꯛꯀꯤ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯂꯥꯀꯄꯥ ꯋꯥꯔꯅꯤꯡ ꯑꯃꯁꯨꯡ ꯏꯅꯐꯣꯔꯃꯦꯁꯟ ꯂꯤꯐꯂꯦꯇꯁꯤꯡ ꯑꯗꯨ ꯆꯦꯀꯁꯤꯟꯅꯥ ꯄꯥꯕꯤꯌꯨ꯫
• ꯁꯦꯔꯣꯇꯣꯅꯤꯟ ꯁꯤꯟꯗꯣꯃꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡꯒꯤ ꯃꯔꯃꯗꯥ ꯈꯪꯖꯤꯅꯕꯤꯌꯨ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯦꯟꯇꯤꯗꯤꯞꯔꯦꯁꯦꯟꯇꯁꯤꯡ ꯂꯧꯔꯕꯗꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯃꯔꯨꯑꯣꯏꯅꯥ ꯈꯪꯖꯤꯅꯕꯤꯌꯨ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛ ꯅꯠꯠꯔꯒꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯍꯪ ꯑꯃꯠꯇꯥ ꯍꯪꯂꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔ ꯅꯠꯠꯔꯒꯥ ꯐꯥꯔꯃꯥꯁꯤꯁ꯭ꯠ ꯑꯗꯨꯗꯥ ꯍꯪꯕꯤꯌꯨ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯎꯔꯕꯗꯤ, ꯅꯠꯠꯔꯒꯥ ꯅꯍꯥꯛꯀꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯗꯨ ꯍꯦꯟꯅꯥ ꯐꯠꯆꯤꯜꯂꯛꯂꯕꯗꯤ, ꯈꯨꯗꯛꯇꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯀꯧꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯏꯃꯔꯖꯦꯟꯁꯤ ꯔꯨꯝ ꯑꯃꯗꯥ ꯆꯠꯄꯥ ꯀꯥꯎꯒꯅꯨ꯫

ꯋꯥꯔꯤ ꯑꯁꯤꯗꯒꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯌꯨꯃꯗꯥ ꯄꯨꯔꯀꯄꯥ ꯄꯥꯝꯂꯤꯕꯥ ꯄꯥꯎꯖꯦꯜ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?

• ꯁꯦꯔꯣꯇꯣꯅꯤꯟ ꯁꯤꯟꯗꯣꯝ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ, ꯑꯗꯨꯕꯨ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯃꯦꯅꯦꯖ ꯇꯧꯔꯕꯗꯤ ꯐꯍꯅꯕꯥ ꯌꯥꯏ꯫
• ꯅꯍꯥꯛꯅꯥ ꯂꯧꯔꯤꯕꯥ ꯍꯤꯗꯥꯛ ꯑꯃꯍꯦꯛꯇꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯑꯃꯨꯛꯇꯪ ꯋꯥꯔꯤ ꯁꯥꯅꯕꯤꯌꯨ, ꯃꯔꯨꯑꯣꯏꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯅꯧꯕꯥ ꯑꯃꯥ ꯍꯧꯔꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯗꯣꯖ ꯑꯗꯨ ꯍꯣꯡꯗꯣꯛꯂꯤꯕꯥ ꯑꯣꯏꯔꯕꯗꯤ꯫
• ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯗꯨ ꯈꯪꯖꯤꯅꯒꯗꯕꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯆꯤꯡꯅꯕꯥ ꯂꯩꯔꯕꯗꯤ , ꯃꯇꯝ ꯃꯥꯡꯍꯟꯗꯅꯥ ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯄꯥꯎꯇꯥꯛ ꯂꯧꯕꯤꯌꯨ꯫
• ꯅꯤꯡꯁꯤꯡꯕꯤꯌꯨ, ꯅꯍꯥꯛꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯁꯦꯜ ꯑꯗꯨ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯈꯪꯏ, ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯑꯍꯣꯡꯕꯥ ꯑꯃꯍꯦꯛꯇꯕꯨ ꯈꯪꯖꯤꯅꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫

` ꯁꯦꯔꯣꯇꯣꯅꯤꯟ ꯁꯤꯟꯗꯣꯝ, ꯁꯦꯔꯣꯇꯣꯅꯤꯟ, ꯑꯦꯟꯇꯤꯗꯤꯞꯔꯦꯁꯦꯟꯇ, ꯗ꯭ꯔꯒ ꯁꯥꯏꯗ ꯏꯐꯦꯛꯇ, ꯕ꯭ꯔꯦꯅꯒꯤ ꯀꯦꯃꯤꯀꯦꯂꯁꯤꯡ, ꯅ꯭ꯌꯨꯔꯣꯠꯔꯥꯟꯁꯃꯤꯇꯔꯁꯤꯡ, ꯗ꯭ꯔꯒ ꯔꯤꯑꯦꯛꯁꯅꯁꯤꯡ꯫