ꯃꯀꯣꯛ ꯃꯅꯨꯡꯗꯥ ꯈꯪꯍꯧꯗꯅꯥ ꯏ ꯊꯣꯀꯄꯥ? (ꯁꯨꯕꯥꯔꯥꯆꯅꯣꯏꯗ ꯍꯦꯃꯣꯔꯦꯖ - ꯑꯦꯁ.ꯑꯦ.ꯑꯩꯆ.) ꯉꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯒꯅꯤ!

ꯅꯍꯥꯛꯀꯤ ꯃꯀꯣꯛ ꯑꯗꯨ ꯊꯨꯒꯥꯌꯕꯒꯨꯝ ꯅꯠꯠꯔꯒꯥ ꯃꯩꯅꯥ ꯆꯥꯀꯄꯒꯨꯝ ꯅꯍꯥꯛꯅꯥ ꯈꯉꯍꯧꯗꯅꯥ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯃꯀꯣꯛ ꯊꯣꯡꯕꯥ ꯑꯃꯥ ꯊꯦꯡꯅꯈꯤꯕ꯭ꯔꯥ? ꯃꯤꯑꯣꯏ ꯈꯔꯅꯥ ꯃꯁꯤꯕꯨ "ꯅꯍꯥꯛꯀꯤ ꯄꯨꯟꯁꯤꯒꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯠꯇꯕꯥ ꯃꯀꯣꯛ ꯊꯣꯡꯕꯥ" ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ ꯃꯁꯤ ꯖꯣꯀꯁ ꯅꯠꯇꯦ꯫ ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯈꯨꯗꯣꯡꯊꯤꯅꯤꯉꯥꯏ ꯑꯣꯏꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛꯇꯥ ꯑꯩꯈꯣꯌꯅꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤꯕꯨ `(Subarachnoid Hemorrhage)` ꯅꯠꯠꯔꯒꯥ `(SAH)` ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ ꯃꯁꯤ ꯇꯁꯦꯡꯅꯥ ꯃꯦꯗꯤꯀꯦꯜ ꯏꯃꯔꯖꯦꯟꯁꯤ ꯑꯃꯅꯤ꯫ ꯑꯗꯨꯅꯥ ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯈꯔꯥ ꯍꯦꯟꯅꯥ ꯑꯀꯨꯞꯄꯥ ꯃꯔꯣꯂꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯁꯤ, ꯏꯆꯝ ꯆꯝꯕꯥ ꯋꯥꯍꯟꯊꯣꯛ ꯑꯃꯗꯥ, ꯑꯣꯀꯦ?

ꯃꯁꯤ (Subarachnoid Hemorrhage) ꯍꯥꯌꯕꯁꯤ ꯇꯁꯦꯡꯅꯥ ꯀꯔꯤꯅꯣ? ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯂꯧꯁꯤꯅꯁꯤ, ꯑꯩꯈꯣꯌꯅꯥ ꯈꯉꯒꯗ꯭ꯔꯥ?

ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, `(Subarachnoid Hemorrhage)` ꯍꯥꯌꯕꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯕ꯭ꯔꯦꯟ ꯑꯃꯁꯨꯡ ꯕ꯭ꯔꯦꯅꯒꯤ ꯑꯀꯣꯌꯕꯗꯥ ꯂꯩꯕꯥ ꯑꯄꯤꯀꯄꯥ ꯀꯚꯔꯤꯡ ꯃꯦꯝꯕ꯭ꯔꯦꯅꯒꯤ ꯃꯔꯛꯇꯥ ꯂꯩꯕꯥ ꯃꯐꯝ ꯑꯗꯨꯗꯥ ꯏ ꯊꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ . ꯈꯟꯊꯕꯤꯌꯨ, ꯑꯩꯈꯣꯌꯒꯤ ꯕ꯭ꯔꯦꯟ ꯑꯁꯤ ꯃꯃꯜ ꯌꯥꯝꯂꯕꯥ ꯂꯝ ꯑꯃꯒꯨꯝꯕꯅꯤ꯫ ꯑꯗꯨꯅꯥ ꯃꯁꯤꯕꯨ ꯉꯥꯀꯊꯣꯛꯅꯕꯥ ꯃꯍꯧꯁꯥꯅꯥ ꯑꯩꯈꯣꯌꯗꯥ ꯊꯤꯟ ꯀꯚꯔꯤꯡ ꯃꯦꯝꯕ꯭ꯔꯦꯅꯒꯤ ꯂꯦꯌꯔ ꯑꯍꯨꯝ ꯄꯤꯔꯦ꯫ ꯑꯩꯈꯣꯌꯅꯥ ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤꯕꯨ `(ꯃꯦꯅꯤꯡꯖ)` ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ ꯃꯁꯤ ꯂꯐꯣꯏ ꯑꯃꯒꯤ ꯈꯣꯡꯎꯄꯒꯨꯝꯅꯥ, ꯅꯠꯠꯔꯒꯥ ꯂꯦꯌꯔ ꯀꯌꯥ ꯑꯁꯤ ꯍꯨꯏꯒꯤ ꯈꯣꯡꯎꯄꯒꯨꯝꯅꯥ ꯑꯣꯏ꯫

ꯍꯥꯌꯔꯤꯕꯥ ꯀꯚꯔꯤꯡ ꯑꯍꯨꯝ ꯑꯁꯤ:

• ꯗꯨꯔꯥ ꯃꯦꯇꯔ: ꯃꯁꯤ ꯃꯀꯣꯛ ꯑꯗꯨꯒꯤ ꯃꯈꯥꯗꯥ ꯂꯩꯕꯥ ꯈꯔꯥ ꯍꯦꯟꯅꯥ ꯀꯅꯕꯥ ꯃꯄꯥꯟꯊꯪꯕꯥ ꯀꯚꯔꯅꯤ꯫
• ꯑꯔꯥꯛꯅꯣꯏꯗ ꯃꯦꯇꯔ (Arachnoid mater): ꯃꯁꯤ ꯃꯌꯥꯏ ꯑꯣꯏꯕꯥ ꯀꯚꯔꯅꯤ꯫ ꯁ꯭ꯄꯥꯏꯗꯔ ꯋꯦꯕ ꯑꯃꯒꯥ ꯃꯥꯟꯅꯕꯥ ꯃꯌꯦꯛ ꯁꯦꯡꯕꯥ ꯃꯦꯝꯕ꯭ꯔꯦꯟ ꯑꯃꯅꯤ꯫
• ꯄꯤꯌꯥ ꯃꯦꯇꯔ (Pia mater): ꯃꯁꯤ ꯕ꯭ꯔꯦꯟ ꯃꯁꯥꯃꯛꯇꯗꯥ ꯌꯥꯎꯔꯤꯕꯥ ꯌꯥꯝꯅꯥ ꯂꯨꯕꯥ, ꯃꯅꯨꯡꯒꯤ ꯑꯣꯏꯕꯥ ꯀꯚꯔ ꯑꯃꯅꯤ꯫

ꯍꯧꯖꯤꯛ, `(Sub-arachnoid Hemorrhage)` ꯑꯁꯤꯗꯥ ꯊꯣꯛꯂꯤꯕꯥ ꯑꯁꯤ ꯃꯔꯛꯇꯥ ꯂꯩꯕꯥ ꯑꯔꯥꯀꯅꯣꯏꯗ ꯃꯦꯝꯕ꯭ꯔꯦꯅꯒꯤ ꯃꯈꯥꯗꯥ (ꯑꯔꯕꯥꯟ "ꯁꯕ-ꯑꯦꯔꯥꯛꯅꯣꯏꯗ" ꯁ꯭ꯄꯦꯁꯇꯥ) ꯏ ꯊꯣꯀꯄꯥ ꯑꯁꯤꯅꯤ꯫ ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯈꯨꯗꯣꯡꯊꯤꯅꯤꯉꯥꯏ ꯑꯣꯏ, ꯃꯔꯃꯗꯤ ꯏ ꯊꯣꯀꯄꯥ ꯑꯁꯤꯅꯥ ꯕ꯭ꯔꯦꯅꯗꯥ ꯄ꯭ꯔꯦꯁꯔ ꯄꯤꯕꯥ ꯉꯝꯃꯤ, ꯑꯃꯁꯨꯡ ꯕ꯭ꯔꯦꯅꯒꯤ ꯁꯦꯂꯁꯤꯡꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯃꯔꯝ ꯑꯁꯤꯅꯥ ꯃꯁꯤꯕꯨ ꯃꯦꯗꯤꯀꯦꯜ ꯏꯃꯔꯖꯦꯟꯁꯤ ꯑꯃꯥ ꯑꯣꯏꯅꯥ ꯂꯧꯅꯔꯤ꯫

(Subarachnoid Hemorrhage) ꯑꯃꯁꯨꯡ (Subdural Hematoma)ꯒꯤ ꯃꯔꯛꯇꯥ ꯀꯔꯤ ꯈꯦꯠꯅꯕꯥ ꯂꯩꯕꯒꯦ?

``ꯁꯕꯗ꯭ꯌꯨꯔꯦꯜ ꯍꯦꯃꯦꯇꯣꯃꯥ'' ꯀꯧꯕꯥ ꯑꯇꯣꯞꯄꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯇꯥꯕꯤꯔꯝꯂꯒꯅꯤ꯫ ꯑꯅꯤꯃꯛ ꯕ꯭ꯔꯦꯅꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯏ ꯊꯣꯛꯂꯤ꯫ ꯈꯦꯟꯅꯕꯥ ꯑꯁꯤ ꯏ ꯊꯣꯀꯄꯥ ꯃꯐꯝ ꯑꯗꯨꯅꯤ .

• ``ꯁꯕꯗ꯭ꯌꯨꯔꯦꯜ ꯍꯦꯃꯦꯇꯣꯃꯥ'' ꯑꯃꯗꯥ, ꯑꯩꯈꯣꯌꯅꯥ ꯃꯃꯥꯡꯗꯥ ꯄꯅꯈꯤꯕꯥ ``ꯗꯨꯔꯥ ꯃꯦꯇꯔ'', ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯄꯥꯟꯊꯪꯕꯥ ꯀꯚꯔꯒꯤ ꯃꯈꯥꯗꯥ ꯂꯩꯕꯥ ꯁ꯭ꯄꯦꯁꯇꯥ ꯏ ꯆꯦꯜꯂꯤ꯫
• ꯁꯕꯑꯔꯥꯛꯅꯣꯏꯗ ꯍꯦꯃꯣꯔꯦꯖ ꯑꯃꯗꯥ, ꯏ ꯑꯁꯤ ꯑꯦꯔꯥꯛꯅꯣꯏꯗ ꯃꯦꯝꯕ꯭ꯔꯦꯅꯒꯤ ꯃꯈꯥꯗꯥ ꯂꯩꯕꯥ ꯁ꯭ꯄꯦꯁꯇꯥ ꯆꯦꯜꯂꯤ꯫

ꯑꯅꯤꯃꯛꯀꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯃꯥꯟꯅꯕꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ, ꯑꯅꯤꯃꯛꯅꯥ ꯕ꯭ꯔꯦꯅꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ, ꯑꯃꯁꯨꯡ ꯑꯅꯤꯃꯛ ꯑꯁꯤ ꯑꯦꯃꯔꯖꯦꯟꯁꯤ ꯃꯦꯗꯤꯀꯦꯜ ꯇ꯭ꯔꯤꯠꯃꯦꯟꯇ ꯃꯊꯧ ꯇꯥꯕꯥ ꯀꯟꯗꯤꯁꯅꯁꯤꯡꯅꯤ꯫

ꯀꯅꯥꯅꯥ ꯑꯦꯁ.ꯑꯦ.ꯑꯩꯆ. ꯔꯤꯁ꯭ꯛ ꯐꯦꯛꯇꯔꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?

``ꯁꯨꯕꯥꯔꯥꯛꯅꯣꯏꯗ ꯍꯦꯃꯣꯔꯦꯖ'' ꯍꯥꯌꯅꯥ ꯀꯧꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯀꯅꯥꯒꯨꯝꯕꯥ ꯑꯃꯠꯇꯗꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯃꯁꯤ ꯆꯍꯤ 40 ꯑꯃꯁꯨꯡ 60ꯒꯤ ꯃꯔꯛꯇꯥ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯗꯥ ꯍꯦꯟꯅꯥ ꯀꯃꯟ ꯑꯣꯏ꯫

ꯍꯦꯗ ꯇ꯭ꯔꯣꯃꯥ (SAH) ꯑꯁꯤ ꯑꯍꯜ ꯑꯣꯏꯔꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯗꯥ ꯍꯦꯟꯅꯥ ꯀꯃꯟ ꯑꯣꯏ ꯃꯔꯃꯗꯤ ꯃꯤꯑꯣꯏꯕꯅꯥ ꯆꯍꯤ ꯌꯥꯃꯈꯠꯂꯀꯄꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯁꯣꯛ-ꯄꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯕꯦꯂꯦꯟꯁ ꯃꯥꯡꯈꯤꯕꯒꯤ ꯔꯤꯁ꯭ꯛ ꯍꯦꯅꯒꯠꯂꯀꯏ꯫ ꯅꯍꯥ ꯑꯣꯏꯔꯤꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯒꯤ ꯃꯔꯛꯇꯥ ꯃꯣꯇꯣꯔ ꯚꯦꯍꯤꯀꯜ ꯑꯦꯛꯁꯤꯗꯦꯟꯇꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯔꯝ ꯑꯣꯏꯔꯤ꯫

ꯃꯁꯤꯒꯤ ꯃꯊꯛꯇꯥ, ꯑꯦꯁ.ꯑꯦ.ꯑꯩꯆ.ꯒꯤ ꯆꯥꯎꯈꯠꯄꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯕꯥ ꯌꯥꯕꯥ ꯑꯇꯣꯞꯄꯥ ꯔꯤꯁ꯭ꯛ ꯐꯦꯛꯇꯔ ꯀꯌꯥ ꯑꯃꯁꯨ ꯂꯩꯔꯤ꯫ ꯃꯈꯣꯏ ꯑꯁꯤ:

• ꯅꯍꯥꯛꯀꯤ ꯕ꯭ꯔꯦꯅꯗꯥ ꯅꯠꯠꯔꯒꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯑꯇꯣꯞꯄꯥ ꯃꯐꯝ ꯑꯃꯗꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯂꯩꯇꯕꯥ ꯑꯦꯅꯤꯎꯔꯤꯖꯝ ꯑꯃꯥ ꯂꯩꯕꯥ (ꯑꯦꯅꯤꯎꯔꯤꯖꯝ ꯍꯥꯌꯕꯁꯤ ꯕꯦꯂꯨꯅꯒꯨꯝꯅꯥ ꯈꯣꯡ ꯍꯥꯝꯂꯕꯥ ꯏꯒꯤ ꯈꯣꯡꯖꯦꯜ ꯑꯃꯅꯤ)꯫
• ꯃꯃꯥꯡꯗꯥ ꯕ꯭ꯔꯦꯟ ꯑꯦꯅꯤꯎꯔꯤꯖꯝ ꯑꯃꯥ ꯁꯣꯀꯈꯤꯕꯒꯤ ꯍꯤꯁ꯭ꯇꯔꯤ ꯂꯩꯕꯥ꯫
• ꯊꯛꯅꯕꯥ ꯏꯁꯤꯡ ꯊꯀꯄꯥ꯫ (ꯃꯁꯤꯅꯥ ꯂꯥꯌꯅꯥ ꯀꯌꯥꯒꯤ ꯃꯔꯃꯅꯤ, ꯅꯠꯇꯦ?)
• ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ ꯋꯥꯡꯕꯥ (Hypertension) ꯂꯩꯕꯥ꯫ (ꯑꯩꯈꯣꯌꯅꯥ "ꯍꯥꯏ ꯄ꯭ꯔꯦꯁꯔ" ꯍꯥꯌꯅꯥ ꯍꯥꯌꯔꯤ)꯫
• ꯖꯦꯅꯦꯇꯤꯛ ꯀꯟꯗꯤꯁꯟ ꯈꯔꯗꯤ, ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ``ꯐꯥꯏꯕ꯭ꯔꯣꯃꯁꯀꯨꯂꯥꯔ ꯗꯤꯁꯞꯂꯦꯁꯤꯌꯥ (FMD)`` ꯑꯃꯁꯨꯡ ``ꯑꯦꯍꯂꯔꯁ-ꯗꯥꯅꯂꯣꯁ ꯁꯤꯟꯗꯣꯝ``ꯒꯨꯝꯕꯥ ꯀꯅꯦꯛꯇꯤꯕ ꯇꯤꯁ꯭ꯌꯨꯒꯤ ꯂꯥꯌꯅꯥꯁꯤꯡ꯫
• ``(ꯄꯣꯂꯤꯁꯤꯁ꯭ꯇꯤꯛ ꯀꯤꯗꯅꯤ ꯂꯥꯌꯅꯥ)'' ꯀꯧꯕꯥ ꯀꯤꯗꯅꯤꯒꯤ ꯂꯥꯌꯅꯥ ꯑꯃꯥ ꯂꯩꯕꯥ꯫
• ꯀꯣꯀꯦꯟ ꯑꯃꯁꯨꯡ/ꯅꯠꯠꯔꯒꯥ ꯃꯦꯊꯥꯃꯐꯦꯇꯥꯃꯤꯅꯒꯨꯝꯕꯥ ꯗ꯭ꯔꯒꯁꯤꯡ ꯁꯤꯖꯤꯟꯅꯕꯥ꯫
• ꯌꯨ ꯌꯥꯝꯅꯥ ꯊꯀꯄꯥ꯫
• ꯋꯥꯔꯐꯦꯔꯤꯅꯒꯨꯝꯕꯥ ꯕ꯭ꯂꯗ ꯊꯤꯅꯔꯁꯤꯡ ꯁꯤꯖꯤꯟꯅꯕꯥ (ꯃꯈꯣꯌꯁꯤꯡ ꯑꯁꯤ ꯗꯣꯛꯇꯔ ꯑꯃꯒꯤ ꯄꯥꯎꯇꯥꯛ ꯃꯈꯥꯗꯥ ꯈꯛꯇꯃꯛ ꯁꯤꯖꯤꯟꯅꯒꯗꯕꯅꯤ)꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯏꯃꯨꯡꯒꯤ ꯃꯤꯑꯣꯏ ꯑꯃꯅꯥ ꯑꯦꯅꯤꯎꯔꯤꯖꯝ ꯑꯃꯥ ꯂꯩꯔꯕꯗꯤ (ꯃꯁꯤꯅꯥ ꯑꯀꯅꯕꯥ ꯏꯃꯨꯡꯒꯤ ꯍꯤꯁ꯭ꯇꯔꯤ ꯑꯃꯥ ꯂꯩ ꯍꯥꯌꯕꯅꯤ)꯫

ꯃꯔꯨꯑꯣꯏꯕꯥ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯔꯤꯁ꯭ꯛ ꯐꯦꯛꯇꯔꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯃꯗꯒꯤ ꯍꯦꯅꯕꯥ ꯂꯩꯔꯕꯗꯤ, ꯃꯁꯤꯅꯥ ꯅꯍꯥꯛꯅꯥ SAH ꯁꯣꯌꯗꯅꯥ ꯂꯥꯛꯀꯅꯤ ꯍꯥꯌꯕꯗꯤ ꯅꯠꯇꯦ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯃꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯔꯤꯁ꯭ꯛ ꯑꯁꯤ ꯍꯦꯟꯅꯥ ꯋꯥꯡꯏ ꯍꯥꯌꯕꯅꯤ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯄꯥꯎꯇꯥꯛ ꯂꯧꯕꯥ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫

ꯈꯨꯗꯣꯡꯊꯤꯅꯤꯉꯥꯏ ꯑꯣꯏꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯤꯅꯣ? ꯑꯗꯣꯝꯅꯥ ꯃꯁꯤ ꯀꯔꯝꯅꯥ ꯈꯉꯕꯤꯔꯤꯕꯒꯦ?

ꯁꯕꯑꯔꯥꯛꯅꯣꯏꯗ ꯍꯦꯃꯣꯔꯦꯖꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯑꯃꯁꯨꯡ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯈꯨꯗꯣꯡꯊꯤꯅꯤꯉꯥꯏ ꯑꯣꯏꯕꯥ ꯂꯥꯏꯑꯣꯡꯗꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯃꯃꯥꯡꯗꯥ ꯄꯅꯈꯤꯕꯥ "ꯊꯟꯗꯔꯛꯂꯦꯞ ꯍꯦꯗ-ꯑꯦꯛ" ꯑꯁꯤꯅꯤ꯫ ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ, ꯈꯪꯍꯧꯗꯅꯥ ꯃꯀꯣꯛ ꯁꯣꯀꯄꯥ ꯑꯃꯅꯤ꯫ ꯅꯍꯥꯛꯀꯤ ꯃꯀꯣꯛ ꯃꯅꯨꯡꯗꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯄꯣꯠꯁꯛ ꯑꯃꯅꯥ ꯄꯣꯠꯁꯛ ꯑꯃꯥ ꯊꯣꯛꯂꯀꯄꯒꯨꯝꯅꯥ ꯐꯥꯎꯕꯥ ꯌꯥꯏ꯫ ꯃꯤꯑꯣꯏ ꯀꯌꯥꯅꯥ ꯍꯥꯌ, "ꯑꯩꯒꯤ ꯄꯨꯟꯁꯤꯗꯥ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯃꯀꯣꯛ ꯊꯣꯡꯕꯥ ꯑꯃꯥ ꯂꯥꯀꯈꯤꯗ꯭ꯔꯤ꯫"

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯁꯥꯊꯤꯕꯥ, ꯈꯪꯍꯧꯗꯅꯥ ꯍꯦꯗ-ꯑꯦꯛ ꯑꯃꯥ ꯊꯦꯡꯅꯔꯕꯗꯤ, ꯃꯔꯨꯑꯣꯏꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯑꯇꯩ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯍꯦꯛꯇꯥ ꯂꯩꯔꯕꯗꯤ, ꯆꯥꯅꯕꯤꯗꯨꯅꯥ 911 (ꯁ꯭ꯔꯤꯂꯉ꯭ꯀꯥꯗꯥ 1990 ꯁꯨꯋꯥꯁꯦꯔꯤꯌꯥ)ꯗꯥ ꯊꯦꯡꯊꯕꯥ ꯂꯩꯇꯅꯥ ꯐꯣꯟ ꯇꯧꯕꯤꯌꯨ, ꯅꯠꯠꯔꯒꯥ ꯌꯥꯔꯤꯕꯃꯈꯩ ꯊꯨꯅꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯅꯀꯄꯥ ꯏꯃꯔꯖꯦꯟꯁꯤ ꯔꯨꯃꯗꯥ ꯆꯠꯄꯤꯌꯨ꯫ ꯃꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯄꯨꯟꯁꯤ ꯀꯅꯕꯥ ꯉꯃꯒꯅꯤ!

ꯑꯇꯣꯞꯄꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡꯗꯤ:

• ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯍꯟꯊꯔꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯋꯥꯈꯜ ꯇꯥꯗꯅꯥ ꯂꯩꯕꯗꯥ ꯑꯋꯥꯕꯥ꯫
• ꯅꯣꯡꯃꯩ ꯀꯥꯞꯄꯥ ꯑꯃꯁꯨꯡ ꯈꯣꯡ ꯍꯥꯝꯕꯥ꯫
• ꯈꯣꯡꯗꯥ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯁꯣꯀꯄꯥ, ꯈꯣꯡꯗꯥ ꯁꯣꯀꯄꯥ (Stiff neck) .
• ꯈꯉꯍꯧꯗꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯄꯨꯟꯁꯤ ꯃꯥꯡꯈꯤꯕꯒꯨꯝ ꯐꯥꯑꯣꯕꯥ꯫
• ꯋꯥꯈꯜ ꯑꯃꯁꯨꯡ ꯄꯔꯁꯣꯅꯦꯂꯤꯇꯤ ꯍꯣꯡꯂꯀꯄꯥ (ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯑꯦꯖꯤꯇꯦꯁꯟ, ꯏꯔꯤꯇꯦꯕꯤꯂꯤꯇꯤ)꯫
• ꯋꯥꯈꯜ ꯋꯥꯕꯥ .
• ꯐꯣꯇꯣꯐꯣꯕꯤꯌꯥ (ꯃꯉꯥꯜ ꯃꯉꯥꯂꯗꯥ ꯃꯤꯠꯀꯤ ꯁꯦꯟꯁꯤꯇꯤꯕꯤꯇꯤ) .
• ꯃꯁꯜ ꯁꯣꯟꯊꯕꯥ , ꯃꯔꯨꯑꯣꯏꯅꯥ ꯈꯣꯡ ꯑꯃꯁꯨꯡ ꯈꯨꯎꯗꯥ꯫
• ꯍꯀꯆꯥꯡꯒꯤ ꯁꯔꯨꯛ ꯑꯃꯥ ꯁꯣꯟꯊꯕꯥ꯫
• ꯐꯤꯠ (seizure) ꯑꯃꯥ ꯂꯩꯕꯥ `(Seizures)` .
• ꯃꯤꯠ ꯎꯗꯕꯒꯤ ꯑꯍꯣꯡꯕꯥ : ꯗꯕꯜ ꯚꯤꯖꯟ, ꯚꯤꯖꯅꯗꯥ ꯕ꯭ꯂꯦꯛ ꯁ꯭ꯄꯣꯠꯁꯤꯡ, ꯃꯤꯠ ꯑꯃꯗꯥ ꯃꯇꯝ ꯈꯔꯒꯤ ꯑꯣꯏꯅꯥ ꯃꯤꯠ ꯎꯗꯕꯥ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯗꯤ ꯅꯠꯠꯔꯒꯥ ꯑꯃꯗꯒꯤ ꯍꯦꯅꯕꯥ ꯑꯗꯨ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯍꯦꯗ-ꯑꯦꯛ ꯑꯗꯨꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯂꯩꯔꯕꯗꯤ, ꯃꯁꯤ ‘SAH’ ꯑꯣꯏꯕꯒꯤ ꯆꯥꯡ ꯋꯥꯡꯏ꯫

ꯀꯔꯤꯒꯤꯗꯃꯛꯇꯥ ꯃꯁꯤ (Subarachnoid Hemorrhage) ꯊꯣꯛꯂꯤꯕꯅꯣ? ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯔꯃꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?

ꯁꯕꯑꯔꯥꯛꯅꯣꯏꯗ ꯍꯦꯃꯣꯔꯦꯖꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯔꯝ ꯑꯅꯤ ꯂꯩ꯫

1. ꯍꯦꯗ ꯇ꯭ꯔꯣꯃꯥ: ꯃꯁꯤꯅꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯃꯔꯃꯅꯤ꯫ ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯁꯥꯊꯤꯅꯥ ꯁꯣꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯒꯥꯔꯤꯒꯤ ꯑꯦꯛꯁꯤꯗꯦꯟꯇ ꯑꯃꯅꯥ ꯃꯀꯣꯛ ꯑꯗꯨꯗꯥ ꯁꯥꯊꯤꯅꯥ ꯁꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫

2. ꯕ꯭ꯔꯦꯟ ꯑꯦꯅꯤꯎꯔꯤꯖꯝ (ruptured brain aneurysm) : ꯃꯁꯤꯁꯨ ꯌꯥꯝꯅꯥ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯃꯔꯝ ꯑꯃꯅꯤ꯫ ꯑꯩꯈꯣꯌꯅꯥ ꯃꯃꯥꯡꯗꯥ ꯍꯥꯌꯈꯤꯕꯒꯨꯝꯅꯥ, ꯑꯦꯅꯤꯎꯔꯤꯖꯝ ꯍꯥꯌꯕꯁꯤ ꯕ꯭ꯔꯦꯅꯒꯤ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯜ ꯑꯃꯒꯤ ꯋꯥꯂꯗꯥ ꯕꯦꯂꯨꯟ ꯑꯃꯒꯨꯝꯅꯥ ꯋꯥꯡꯈꯠꯄꯥ ꯃꯐꯝ ꯑꯃꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯈꯪꯍꯧꯗꯅꯥ ꯊꯣꯛꯂꯛꯂꯕꯗꯤ, ꯏ ꯑꯗꯨ ꯍꯀꯊꯦꯡꯅꯅꯥ ꯑꯦꯔꯥꯛꯅꯣꯏꯗ ꯃꯦꯝꯕ꯭ꯔꯦꯅꯒꯤ ꯃꯈꯥꯗꯥ ꯂꯩꯕꯥ ꯃꯐꯝ ꯑꯗꯨꯗꯥ ꯆꯦꯜꯂꯤ꯫ ꯃꯁꯤꯅꯥ ꯃꯀꯣꯛꯇꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯍꯟꯗꯅꯥ ꯈꯪꯍꯧꯗꯅꯥ ꯑꯦꯅꯤꯎꯔꯤꯖꯝ ꯔꯄꯆꯔ (SAH)ꯒꯤ 85%ꯒꯤ ꯃꯔꯃꯅꯤ꯫

ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯔꯝ ꯑꯅꯤ ꯑꯁꯤꯒꯤ ꯃꯊꯛꯇꯥ, ꯑꯇꯣꯞꯄꯥ ꯌꯥꯝꯅꯥ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯃꯔꯝ ꯀꯌꯥ ꯑꯃꯁꯨ ꯂꯩꯔꯤ:

• ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯂꯁꯤꯡꯒꯤ ꯇꯪꯗꯨ ꯂꯩꯇꯥꯗꯕꯥ ꯃꯐꯝ ꯑꯃꯗꯒꯤ ꯏ ꯊꯣꯀꯄꯥ꯫ ꯃꯁꯤꯕꯨ ``ꯑꯥꯔꯇꯦꯔꯤꯑꯣꯚꯦꯅꯁ ꯃꯥꯂꯐꯣꯔꯃꯦꯁꯟ (AVM)`` ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫
• ꯏ ꯊꯣꯀꯄꯥ ꯗꯤꯁꯑꯣꯔꯗꯔ ꯈꯔꯗꯤ꯫
• ꯕ꯭ꯂꯗ ꯊꯤꯅꯔꯁꯤꯡ ꯁꯤꯖꯤꯟꯅꯕꯥ (ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯄꯥꯎꯇꯥꯛ ꯌꯥꯎꯗꯅꯥ ꯁꯤꯖꯤꯟꯅꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ)꯫
• ꯀꯣꯀꯦꯟ ꯑꯃꯁꯨꯡ/ꯅꯠꯠꯔꯒꯥ ꯃꯦꯊꯥꯃꯐꯦꯇꯥꯃꯤꯅꯒꯨꯝꯕꯥ ꯗ꯭ꯔꯒꯁꯤꯡ ꯁꯤꯖꯤꯟꯅꯕꯥ꯫

ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯃꯁꯤ ꯀꯔꯝꯅꯥ ꯂꯥꯌꯦꯡꯒꯅꯤ? ꯃꯈꯣꯌꯅꯥ ꯀꯔꯤ ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯇꯧꯔꯤꯕꯒꯦ?

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯗꯨ ꯌꯦꯡꯁꯤꯜꯂꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯑꯃꯁꯨꯡ ꯑꯍꯥꯅꯕꯥ ꯑꯦꯀꯖꯥꯃꯤꯅꯦꯁꯟ ꯑꯃꯒꯤ ꯃꯇꯨꯡꯗꯥ, ꯗꯣꯛꯇꯔ ꯑꯃꯅꯥ ꯅꯍꯥꯀꯄꯨ ``ꯁꯕꯔꯥꯛꯅꯣꯏꯗ ꯍꯦꯃꯣꯔꯦꯖ'' ꯂꯩꯔꯦ ꯍꯥꯌꯅꯥ ꯆꯤꯡꯅꯔꯕꯗꯤ, ꯃꯍꯥꯛꯅꯥ ꯈꯨꯗꯛꯇꯥ ``CT scan'' (ꯀꯝꯄꯤꯎꯇꯥꯔꯥꯏꯖꯗ ꯇꯣꯃꯣꯒ꯭ꯔꯥꯐꯤ ꯁ꯭ꯀꯦꯟ) ꯑꯃꯥ ꯑꯣꯔꯗꯔ ꯇꯧꯒꯅꯤ꯫

ꯁꯤ.ꯇꯤ.ꯁ꯭ꯀꯦꯟ ꯑꯃꯅꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯂꯩꯔꯤꯕꯥ ꯇꯤꯁꯨꯁꯤꯡꯒꯤ ꯑꯀꯨꯞꯄꯥ ꯃꯔꯣꯂꯁꯤꯡ ꯂꯧꯕꯥ ꯌꯥꯏ꯫ ꯕ꯭ꯔꯦꯅꯒꯤ ꯁꯤ.ꯇꯤ.ꯁ꯭ꯀꯦꯟ ꯑꯁꯤ SAH ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯅꯕꯒꯤ ꯌꯥꯝꯅꯥ ꯏꯐꯦꯛꯇꯤꯚ ꯑꯣꯏꯕꯥ ꯃꯑꯣꯡ ꯑꯃꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯂꯁꯤꯡꯒꯤ ꯀꯟꯗꯤꯁꯟ ꯌꯦꯡꯅꯕꯥ ꯚꯦꯅꯝ ꯑꯃꯗꯥ ꯑꯈꯟꯅꯕꯥ ꯐ꯭ꯂꯨꯏꯗ ꯑꯃꯥ ꯏꯅꯖꯦꯀꯁꯟ ꯇꯧꯗꯨꯅꯥ ꯁꯤ.ꯇꯤ.ꯑꯦꯟꯖꯤꯑꯣꯒ꯭ꯔꯥꯐꯤ (CTA) ꯀꯧꯕꯥ ꯁ꯭ꯀꯦꯟ ꯑꯃꯁꯨ ꯇꯧꯏ꯫

ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯑꯄꯤꯀꯄꯥ ꯑꯦꯁ.ꯑꯦ.ꯑꯩꯆ.ꯅꯤ, ꯅꯠꯠꯔꯒꯥ ꯅꯨꯃꯤꯠ ꯑꯅꯤꯒꯤ ꯃꯃꯥꯡꯗꯥ ꯊꯣꯀꯈꯤꯕꯥ ꯑꯣꯏꯔꯕꯗꯤ, ꯃꯁꯤ ꯁꯤ.ꯇꯤ. ꯑꯗꯨ ꯑꯣꯏꯔꯕꯗꯤ ꯗꯣꯛꯇꯔ ꯑꯗꯨꯅꯥ ꯑꯍꯦꯅꯕꯥ ꯇꯦꯁ꯭ꯠ ꯈꯔꯥ ꯇꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯏ꯫

ꯃꯈꯣꯏ ꯑꯁꯤ:

• ꯂꯝꯕꯔ ꯄꯉ꯭ꯀꯆꯔ: ꯃꯁꯤꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯂꯣꯌꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯌꯥꯝꯅꯥ ꯂꯨꯕꯥ ꯅꯤꯗꯜ ꯑꯃꯥ ꯊꯥꯗꯨꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯕ꯭ꯔꯦꯟ ꯑꯃꯁꯨꯡ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗ (ꯁꯦꯔꯤꯕ꯭ꯔꯣꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯐ꯭ꯂꯨꯏꯗ - CSF ꯍꯥꯌꯅꯥ ꯀꯧꯕꯥ)ꯒꯤ ꯁꯦꯝꯄꯜ ꯑꯃꯥ ꯂꯧꯕꯥ ꯌꯥꯎꯏ꯫ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯐ꯭ꯂꯨꯏꯗ ꯑꯁꯤ ꯀ꯭ꯁꯦꯟꯊꯣꯛꯔꯣꯃꯤꯌꯥ (ꯌꯦꯔꯨꯝ ꯃꯆꯨꯒꯤ ꯃꯑꯣꯡ ꯑꯃꯥ)ꯒꯤꯗꯃꯛꯇꯥ ꯇꯦꯁ꯭ꯠ ꯇꯧꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯁꯤ ꯂꯩꯔꯕꯗꯤ, ꯃꯁꯤꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯑꯦꯁ.ꯑꯦ.ꯑꯩꯆ.
• ꯕ꯭ꯔꯦꯟ ꯃꯦꯒ꯭ꯅꯦꯇꯤꯛ ꯔꯤꯖꯣꯅꯦꯟꯁ ꯏꯃꯦꯖꯤꯡ (MRI): ꯃꯁꯤꯅꯥ ꯍꯟꯗꯛꯇꯥ ꯕ꯭ꯔꯦꯟ ꯕ꯭ꯂꯤꯗꯤꯡ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨꯁꯨ ꯆꯦꯛ ꯇꯧꯕꯥ ꯌꯥꯏ꯫

SAH ꯑꯃꯥ ꯈꯪꯗꯣꯛꯂꯕꯥ ꯃꯇꯨꯡꯗꯥ, ꯍꯣꯁ꯭ꯄꯤꯇꯥꯂꯗꯥ ꯂꯥꯏꯌꯦꯡꯕꯁꯤ ꯃꯔꯝ ꯑꯗꯨ ꯈꯪꯗꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯂꯥꯏꯌꯦꯡꯕꯗꯒꯤ ꯍꯧꯏ, ꯑꯃꯁꯨꯡ ꯃꯁꯤꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯕꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯟ ꯑꯃꯍꯦꯛꯇꯕꯨ ꯃꯦꯅꯦꯖ ꯇꯧꯕꯗꯒꯤ ꯍꯧꯏ꯫ ꯃꯀꯣꯛꯇꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯂꯩꯇꯕꯥ ꯑꯦꯁ.ꯑꯦ.ꯑꯩꯆ.ꯁꯤꯡꯒꯤ ꯸꯰% ꯍꯦꯟꯅꯥ ꯑꯦꯅꯤꯎꯔꯤꯖꯃꯅꯥ ꯊꯣꯀꯍꯅꯕꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯑꯌꯥꯝꯕꯅꯥ ꯁꯦꯔꯤꯕ꯭ꯔꯦꯜ ꯑꯦꯟꯖꯤꯑꯣꯒ꯭ꯔꯥꯝ ꯀꯧꯕꯥ ꯇꯦꯁ꯭ꯠ ꯑꯃꯥ ꯄꯥꯡꯊꯣꯀꯏ, ꯃꯁꯤꯅꯥ ꯕ꯭ꯔꯦꯅꯗꯥ ꯂꯩꯕꯥ ꯑꯥꯔꯇꯦꯔꯤꯁꯤꯡꯒꯤ ꯐꯣꯇꯣ ꯂꯧꯏ ꯑꯃꯁꯨꯡ ꯑꯦꯅꯤꯎꯔꯤꯖꯝ ꯑꯗꯨ ꯂꯥꯌꯦꯡꯏ꯫

ꯃꯁꯤꯒꯤ ꯂꯥꯏꯌꯦꯡꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯤꯅꯣ? ꯐꯒꯠꯂꯀꯄꯗꯥ ꯃꯇꯝ ꯀꯌꯥ ꯆꯪꯒꯅꯤ?

ꯁꯨꯕꯥꯔꯥꯛꯅꯣꯏꯗ ꯍꯦꯃꯣꯔꯦꯖ ꯑꯁꯤ ꯄꯨꯟꯁꯤ ꯃꯥꯡꯍꯅꯕꯥ ꯌꯥꯕꯥ ꯑꯦꯃꯔꯖꯦꯟꯁꯤ ꯑꯃꯅꯤ ꯑꯃꯁꯨꯡ ꯃꯍꯧꯁꯥꯅꯥ ꯃꯁꯤ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯜ ꯑꯃꯒꯤ ꯏꯟꯇꯦꯟꯁꯤꯚ ꯀꯦꯌꯔ ꯌꯨꯅꯤꯠ (ICU) , ꯃꯐꯃꯗꯨꯗꯥ ꯅ꯭ꯌꯨꯔꯣꯂꯣꯖꯤꯀꯦꯜ ꯂꯥꯌꯅꯥꯁꯤꯡꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯑꯈꯉ-ꯑꯍꯩꯁꯤꯡ ꯂꯩꯕꯥ ꯃꯐꯃꯗꯥ ꯂꯥꯌꯦꯡꯏ꯫ ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯄꯥꯟꯗꯃꯁꯤꯡꯗꯤ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯁꯤꯡꯁꯤꯅꯤ:

• ꯅꯍꯥꯛꯀꯤ ꯄꯨꯟꯁꯤ ꯀꯟꯅꯕꯥ꯫
• ꯏ ꯊꯣꯀꯄꯒꯤ ꯃꯔꯝ ꯈꯪꯗꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯂꯥꯏꯌꯦꯡꯕꯥ꯫
• ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯂꯥꯀꯁꯤꯅꯕꯥ꯫
• ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ (ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯚꯦꯁꯣꯁ꯭ꯄꯥꯖꯝ - ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯂꯁꯤꯡ ꯁꯣꯟꯊꯕꯥ, ꯍꯥꯏꯗ꯭ꯔꯣꯁꯦꯐꯥꯂꯁ - ꯕ꯭ꯔꯦꯅꯗꯥ ꯐ꯭ꯂꯨꯏꯗ ꯌꯥꯎꯕꯥ, ꯕ꯭ꯔꯦꯅꯗꯥ ꯃꯇꯝ ꯆꯨꯞꯄꯒꯤ ꯑꯣꯏꯅꯥ ꯃꯥꯡ-ꯇꯥꯀꯄꯥ) ꯊꯤꯡꯕꯥ꯫

ꯄꯨꯟꯁꯤ ꯀꯟꯅꯕꯒꯤ ꯂꯥꯏꯌꯦꯡ ꯑꯃꯁꯨꯡ ꯂꯥꯏꯑꯣꯡ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯒꯤ ꯂꯥꯏꯌꯦꯡꯁꯤꯡ ꯑꯁꯤ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯁꯤꯡꯁꯤ ꯌꯥꯎꯕꯥ ꯌꯥꯏ:

• ꯂꯥꯏꯐ ꯁꯄꯣꯔꯠ ꯁꯤꯁ꯭ꯇꯦꯃꯁꯤꯡ꯫
• ꯕ꯭ꯔꯦꯅꯗꯥ ꯄ꯭ꯔꯦꯁꯔ ꯍꯟꯊꯍꯟꯅꯕꯥ ꯇꯤꯎꯕ ꯑꯃꯥ ꯍꯥꯄꯆꯤꯅꯕꯥ꯫
• ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯒꯤ ꯂꯝꯕꯤ ꯉꯥꯀꯊꯣꯛꯅꯕꯒꯤ ꯄꯥꯝꯕꯩꯁꯤꯡ꯫
• ꯃꯀꯣꯛ ꯑꯗꯨꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯁꯣꯀꯄꯥ ꯍꯟꯊꯍꯟꯅꯕꯥ ꯍꯤꯗꯥꯛ꯫
• ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯅꯕꯥ ꯏꯅꯠꯔꯥꯚꯦꯅꯁ ꯑꯣꯏꯅꯥ ꯄꯤꯕꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ꯫
• ꯚꯦꯁꯣꯁ꯭ꯄꯥꯖꯃꯁꯤꯡ ꯊꯤꯡꯅꯕꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ꯫
• ꯃꯀꯣꯛ ꯊꯣꯡꯕꯥ ꯑꯃꯁꯨꯡ ꯑꯦꯟꯇꯤ-ꯑꯦꯟꯖꯥꯏꯇꯤꯒꯤ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ꯫
• ꯐꯤꯠ ꯑꯣꯏꯕꯥ ꯊꯤꯡꯅꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯂꯥꯏꯌꯦꯡꯅꯕꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ꯫

SAH ꯑꯃꯁꯨꯡ ꯃꯁꯤꯒꯤ ꯃꯔꯝ ꯑꯁꯤ ꯂꯥꯏꯌꯦꯡꯅꯕꯒꯤꯗꯃꯛ ꯅꯍꯥꯛꯅꯥ ꯁꯔꯖꯔꯤꯁꯨ ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯏ:

• ꯀꯔꯤꯒꯨꯝꯕꯥ SAH ꯑꯁꯤ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯑꯃꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯑꯣꯏꯔꯕꯗꯤ, ꯊꯨꯃꯖꯤꯜꯂꯀꯄꯥ ꯑꯆꯧꯕꯥ ꯏꯒꯤ ꯈꯣꯡꯖꯦꯜ ꯑꯃꯠꯇꯥ ꯂꯧꯊꯣꯀꯎ, ꯅꯠꯠꯔꯒꯥ ꯕ꯭ꯔꯦꯅꯗꯥ ꯄ꯭ꯔꯦꯁꯔ ꯍꯟꯊꯍꯜꯂꯨ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯦꯅꯤꯎꯔꯤꯖꯝ ꯑꯃꯅꯥ ꯁꯣꯀꯍꯜꯂꯕꯥ ꯑꯃꯁꯨꯡ ``SAH'' ꯑꯣꯏꯔꯕꯗꯤ, ꯑꯦꯅꯤꯎꯔꯤꯖꯝ ꯑꯗꯨ ꯔꯤꯄꯦꯌꯥꯔ ꯇꯧ꯫

ꯅꯍꯥꯛꯅꯥ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯂꯗꯥ ꯂꯩꯕꯒꯤ ꯃꯇꯝ ꯑꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯁꯦꯂꯒꯤ ꯐꯤꯚꯃꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ ꯈꯦꯠꯅꯒꯅꯤ꯫ ꯑꯦꯁ.ꯑꯦ.ꯑꯩꯆ.ꯅꯥ ꯅꯥꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯌꯥꯝꯕꯅꯥ ꯃꯈꯣꯌꯒꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯁꯨꯡ ꯃꯈꯣꯌꯅꯥ ꯔꯤꯍꯦꯕꯤꯂꯤꯇꯦꯁꯟ ꯃꯊꯧ ꯇꯥꯕꯔꯥ ꯍꯥꯌꯕꯒꯤ ꯃꯇꯨꯡ ꯏꯟꯅꯥ ꯅꯨꯃꯤꯠ ꯱꯰ꯗꯒꯤ ꯲꯰ ꯐꯥꯑꯣꯕꯥ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯂꯗꯥ ꯂꯩꯒꯅꯤ꯫

ꯑꯦꯁ.ꯑꯦ.ꯑꯩꯆ.ꯅꯥ ꯆꯥꯎꯈꯠꯂꯀꯄꯥ ꯊꯤꯡꯅꯕꯥ ꯑꯩꯈꯣꯌꯅꯥ ꯀꯔꯤ ꯇꯧꯕꯥ ꯌꯥꯕꯒꯦ?

ꯁꯕꯑꯔꯥꯛꯅꯣꯏꯗ ꯍꯦꯃꯣꯔꯦꯖꯒꯤ ꯑꯌꯥꯝꯕꯥ ꯀꯦꯁꯁꯤꯡꯗꯤ ꯃꯀꯣꯛ ꯑꯗꯨꯗꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯍꯅꯕꯥ ꯑꯃꯁꯨꯡ/ ꯅꯠꯠꯔꯒꯥ ꯕ꯭ꯔꯦꯟ ꯑꯦꯅꯤꯎꯔꯤꯖꯃꯁꯤꯡ ꯁꯣꯀꯄꯗꯒꯤ ꯊꯣꯀꯏ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ, ꯁꯨꯕꯥꯔꯥꯛꯅꯣꯏꯗ ꯍꯦꯃꯣꯔꯦꯖ ꯂꯩꯍꯟꯗꯅꯕꯥ ꯑꯩꯈꯣꯌꯅꯥ ꯇꯧꯕꯥ ꯌꯥꯕꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯥ ꯊꯕꯀꯗꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯅꯤꯃꯛꯀꯤ ꯔꯤꯁ꯭ꯛ ꯐꯦꯛꯇꯔꯁꯤꯡ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯅꯕꯥ ꯍꯣꯠꯅꯕꯅꯤ꯫

ꯅꯍꯥꯛꯀꯤ ꯃꯀꯣꯛ ꯑꯗꯨ ꯁꯣꯀꯍꯟꯗꯅꯕꯥ ꯆꯦꯀꯁꯤꯅꯒꯗꯕꯅꯤ:

• ꯁꯥꯏꯀꯜ ꯊꯧꯕꯥ, ꯃꯣꯇꯣꯔꯁꯥꯏꯀꯜ ꯊꯧꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯔꯤꯁ꯭ꯛ ꯂꯩꯕꯥ ꯁꯥꯟꯅꯄꯣꯠꯁꯤꯡ ꯁꯥꯟꯅꯕꯥ ꯃꯇꯃꯗꯥ ꯃꯇꯝ ꯄꯨꯝꯅꯃꯛꯇꯥ ꯍꯦꯂꯃꯦꯠ ꯑꯃꯥ ꯁꯤꯖꯤꯟꯅꯧ꯫
• ꯃꯇꯝ ꯄꯨꯝꯅꯃꯛꯇꯥ ꯁꯥꯐꯅꯥ ꯒꯥꯔꯤ ꯊꯧꯒꯗꯕꯅꯤ ꯑꯃꯁꯨꯡ ꯇ꯭ꯔꯥꯐꯤꯛ ꯂꯣꯁꯤꯡ ꯉꯥꯛꯅꯥ ꯆꯠꯀꯗꯕꯅꯤ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯌꯥꯝꯅꯥ ꯇꯣꯏꯅꯥ ꯁꯣꯀꯄꯥ ꯇꯥꯔꯕꯗꯤ, ꯐꯤꯖꯤꯀꯦꯜ ꯊꯦꯔꯥꯄꯤꯁ꯭ꯠ ꯅꯠꯠꯔꯒꯥ ꯑꯣꯛꯌꯨꯄꯦꯁꯅꯦꯜ ꯊꯦꯔꯥꯄꯤꯁ꯭ꯠ ꯑꯃꯒꯥ ꯇꯥꯟꯅꯗꯨꯅꯥ, ꯁꯣꯀꯄꯥ ꯊꯤꯡꯅꯕꯒꯤ ꯄꯥꯝꯕꯩꯁꯤꯡ ꯈꯪꯖꯤꯅꯕꯤꯌꯨ, ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯌꯨꯃꯒꯤ ꯑꯀꯣꯌꯔꯣꯟ ꯑꯗꯨ ꯍꯦꯟꯅꯥ ꯁꯥꯐꯕꯥ ꯑꯣꯏꯍꯜꯂꯨ꯫

ꯕ꯭ꯔꯦꯟ ꯑꯦꯅꯤꯎꯔꯤꯖꯝ ꯑꯃꯥ ꯂꯥꯀꯄꯒꯤ ꯔꯤꯁ꯭ꯛ ꯍꯟꯊꯍꯟꯅꯕꯥ ꯑꯃꯁꯨꯡ/ꯅꯠꯠꯔꯒꯥ ꯍꯧꯖꯤꯛ ꯂꯩꯔꯤꯕꯥ ꯑꯦꯅꯤꯎꯔꯤꯖꯝ ꯑꯃꯥ ꯁꯣꯀꯍꯟꯗꯅꯕꯥ:

• ꯍꯀꯁꯦꯜ ꯐꯅꯥ ꯂꯩꯅꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯀꯔꯤ ꯇꯧꯕꯥ ꯌꯥꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯇꯥꯟꯅꯧ꯫ ꯃꯍꯥꯛꯅꯥ ꯑꯌꯥꯝꯕꯅꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯑꯁꯤ ꯔꯤꯀꯃꯦꯟꯗ ꯇꯧꯒꯅꯤ:
• ꯍꯥꯌ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯥ (ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛ ꯑꯃꯁꯨꯡ ꯄꯨꯟꯁꯤ ꯃꯍꯤꯡꯗꯥ ꯑꯍꯣꯡꯕꯥ ꯂꯥꯀꯄꯒꯥ ꯂꯣꯌꯅꯅꯥ)꯫
• ꯃꯩꯈꯨ ꯊꯥꯗꯣꯀꯄꯥ ꯊꯤꯡꯖꯤꯜꯂꯨ꯫
• ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯇꯧ (ꯑꯗꯨꯕꯨ ꯑꯀꯅꯕꯥ ꯑꯔꯨꯝꯕꯥ ꯑꯗꯨ ꯈꯪꯍꯧꯗꯅꯥ ꯂꯧꯊꯣꯀꯎ, ꯃꯔꯃꯗꯤ ꯃꯁꯤꯅꯥ ꯑꯦꯅꯤꯎꯔꯤꯖꯝ ꯑꯃꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ)꯫
• ꯕꯦꯂꯦꯟꯁ ꯗꯥꯏꯠ ꯑꯃꯥ ꯆꯥꯒꯗꯕꯅꯤ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯌꯨ ꯅꯠꯠꯔꯒꯥ ꯗ꯭ꯔꯒ ꯁꯤꯖꯤꯟꯅꯕꯒꯤ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯂꯩꯔꯕꯗꯤ ꯃꯇꯦꯡ ꯄꯥꯡꯕꯤꯌꯨ꯫ ꯀꯣꯀꯦꯅꯒꯨꯝꯕꯥ ꯁ꯭ꯇꯤꯝꯌꯨꯂꯦꯟꯇꯁꯤꯡ ꯁꯤꯖꯤꯟꯅꯒꯅꯨ꯫

ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯀꯔꯤ ꯑꯥꯁꯥ ꯇꯧꯕꯥ ꯌꯥꯕꯒꯦ? (ꯄ꯭ꯔꯣꯒ꯭ꯅꯣꯁꯤꯁ ꯑꯃꯁꯨꯡ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ)

ꯁꯕꯑꯔꯥꯛꯅꯣꯏꯗ ꯍꯦꯃꯣꯔꯦꯖꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯂꯥꯀꯄꯥ ꯄ꯭ꯔꯣꯒ꯭ꯅꯣꯁꯤꯁ ꯑꯁꯤ ꯃꯔꯝ ꯑꯗꯨꯒꯤ ꯃꯈꯥ ꯄꯣꯜꯂꯤ, ꯃꯁꯤ ꯀꯌꯥꯝ ꯁꯥꯊꯤꯕꯒꯦ ꯑꯃꯁꯨꯡ ꯑꯇꯩ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ ꯅꯠꯠꯔꯒꯥ ꯑꯁꯣꯛ-ꯑꯄꯅꯁꯤꯡ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨꯒꯤ ꯃꯈꯥ ꯄꯣꯜꯂꯤ꯫

ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ . ꯑꯦꯁ.ꯑꯦ.ꯑꯩꯆ.ꯅꯥ ꯅꯥꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯒꯤ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯁꯔꯨꯛ ꯑꯍꯨꯝ ꯊꯣꯀꯄꯒꯤ ꯑꯃꯗꯤ ꯈꯉꯍꯧꯗꯅꯥ ꯁꯤꯔꯤ . ꯍꯣꯁ꯭ꯄꯤꯇꯥꯜ ꯑꯃꯗꯥ ꯌꯧꯕꯥ ꯉꯝꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ:

• ꯆꯥꯎꯔꯥꯛꯅꯥ ꯁꯔꯨꯛ ꯑꯍꯨꯝ ꯊꯣꯀꯄꯒꯤ ꯑꯃꯗꯤ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯂꯗꯥ ꯂꯩꯈꯤꯗ꯭ꯔꯦ꯫
• ꯆꯥꯎꯔꯥꯛꯅꯥ ꯁꯔꯨꯛ ꯑꯍꯨꯝ ꯊꯣꯀꯄꯒꯤ ꯑꯃꯗꯤ ꯃꯈꯜ ꯑꯃꯍꯦꯛꯇꯒꯤ ꯗꯤꯁꯑꯦꯕꯤꯂꯤꯇꯤꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯍꯤꯡꯏ꯫
• ꯆꯥꯎꯔꯥꯛꯅꯥ ꯁꯔꯨꯛ ꯑꯍꯨꯝ ꯊꯣꯀꯄꯒꯤ ꯑꯃꯗꯤ ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯅꯥ ꯍꯜꯂꯀꯏ꯫

ꯑꯦꯁ.ꯑꯦ.ꯑꯩꯆ.ꯒꯤ ꯈꯨꯗꯛꯀꯤ ꯑꯣꯏꯕꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡꯗꯤ :

• ꯐꯤꯠ ꯑꯃꯥ ꯂꯩꯕꯥ (Seizures)꯫
• ꯚꯦꯁꯣꯁ꯭ꯄꯥꯖꯝ (ꯕ꯭ꯔꯦꯅꯗꯥ ꯂꯩꯕꯥ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯜ ꯑꯃꯥ ꯀꯨꯄꯁꯤꯅꯕꯥ, ꯏꯒꯤ ꯈꯣꯡꯖꯦꯜ ꯊꯤꯡꯖꯤꯅꯕꯥ)꯫
• ꯑꯍꯥꯅꯕꯥ ꯂꯥꯏꯌꯦꯡꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯏ ꯊꯣꯀꯄꯥ꯫
• ꯍꯥꯌꯗ꯭ꯔꯣꯁꯦꯐꯥꯂꯁ (ꯕ꯭ꯔꯦꯅꯗꯥ ꯐ꯭ꯂꯨꯏꯗ ꯌꯥꯎꯕꯥ)꯫
• ꯏꯟꯠꯔꯥꯛꯔꯦꯅꯤꯑꯦꯜ ꯄ꯭ꯔꯦꯁꯔ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ꯫
• ꯕ꯭ꯔꯦꯟ ꯍꯔꯅꯤꯌꯥ ꯂꯩꯕꯥ꯫
• ꯁꯦꯔꯤꯕ꯭ꯔꯦꯜ ꯏꯅꯐꯦꯛꯁꯟ / ꯏꯁ꯭ꯀꯦꯃꯤꯛ ꯁ꯭ꯠꯔꯣꯛ ꯑꯁꯤ ꯕ꯭ꯔꯦꯅꯗꯥ ꯏꯒꯤ ꯁꯞꯂꯥꯏ ꯍꯟꯊꯔꯀꯄꯅꯥ ꯊꯣꯀꯍꯜꯂꯤ꯫
• ꯁꯤꯕ.

ꯑꯦꯁ.ꯑꯦ.ꯑꯩꯆ.ꯒꯤ ꯂꯣꯡ-ꯇꯔꯝ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯤꯅꯣ?

ꯁꯕꯑꯔꯥꯛꯅꯣꯏꯗ ꯍꯦꯃꯣꯔꯦꯖ ꯑꯃꯅꯥ ꯕ꯭ꯔꯦꯅꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ, ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯃꯁꯤꯅꯥ ꯃꯇꯝ ꯁꯥꯡꯅꯥ, ꯃꯇꯝ ꯆꯨꯞꯄꯒꯤ ꯑꯣꯏꯅꯥ ꯐꯥꯎꯕꯥ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯃꯁꯤꯡ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯕꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯁꯤꯡꯁꯤ ꯌꯥꯎꯏ:

• ꯍꯀꯆꯥꯡꯒꯤ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯃꯁꯤꯡ: ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯇꯨꯝꯕꯥ ꯑꯃꯁꯨꯡ ꯋꯥꯈꯜ ꯆꯔꯥꯡꯅꯕꯥ, ꯍꯀꯆꯥꯡꯒꯤ ꯁꯔꯨꯀꯁꯤꯡꯗꯥ ꯁꯣꯟꯊꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯁꯣꯟꯊꯕꯥ, ꯂꯧꯅꯒꯅꯕꯥ ꯂꯥꯌꯅꯥ, ꯕꯦꯂꯦꯟꯁ ꯃꯥꯡꯈꯤꯕꯥ꯫
• ꯀꯣꯒꯅꯤꯇꯤꯚ ꯏꯁꯨꯁꯤꯡ: ꯃꯦꯃꯣꯔꯤꯒꯤ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯃꯁꯤꯡ, ꯄꯨꯛꯅꯤꯡ ꯆꯪꯕꯗꯥ ꯑꯋꯥꯕꯥ, ꯄ꯭ꯂꯥꯅꯤꯡ ꯑꯃꯁꯨꯡ ꯀꯝꯞꯂꯦꯛꯁ ꯑꯣꯏꯕꯥ ꯊꯕꯀꯁꯤꯡ ꯄꯥꯡꯊꯣꯀꯄꯗꯥ ꯑꯋꯥꯕꯥ꯫
• ꯋꯥ ꯉꯥꯡꯕꯗꯥ ꯈꯨꯗꯣꯡꯆꯥꯗꯕꯥ: ꯋꯥ ꯉꯥꯡꯕꯥ ꯉꯃꯗꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯋꯥ ꯉꯥꯡꯕꯥ ꯉꯃꯗꯕꯥ꯫ ꯅꯍꯥꯛꯅꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯋꯥꯍꯩꯁꯤꯡ ꯊꯤꯕꯗꯥ ꯑꯋꯥꯕꯥ꯫
• ꯃꯦꯟꯇꯦꯜ ꯍꯦꯂꯊꯀꯤ ꯋꯥꯐꯃꯁꯤꯡ: SAH ꯑꯁꯤ ꯄꯨꯟꯁꯤꯒꯤ ꯑꯆꯧꯕꯥ ꯇ꯭ꯔꯥꯎꯃꯥ ꯑꯃꯅꯤ꯫ ꯃꯁꯤꯅꯥ ꯗꯤꯞꯔꯦꯁꯟ, ꯖꯦꯅꯦꯔꯦꯂꯥꯏꯖ ꯑꯦꯟꯁꯤꯇꯤ, ꯑꯃꯁꯨꯡ ꯄꯣꯁ꯭ꯠ-ꯇ꯭ꯔꯣꯃꯥꯇꯤꯛ ꯁ꯭ꯠꯔꯦꯁ ꯗꯤꯁꯑꯣꯔꯗꯔ (PTSD)ꯒꯨꯝꯕꯥ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫

ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯂꯩꯔꯛꯀꯗꯕꯥ ꯈꯨꯗꯣꯡꯆꯥꯗꯕꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯇꯣꯉꯥꯟ-ꯇꯣꯉꯥꯅꯕꯥ ꯂꯥꯏꯌꯦꯡꯁꯤꯡ ꯂꯩ꯫ ꯈꯨꯗꯝ ꯑꯣꯏꯅ:

• ꯐꯤꯖꯤꯀꯦꯜ ꯊꯦꯔꯥꯄꯤ ꯇꯧꯕꯥ꯫
• ꯑꯣꯛꯌꯨꯄꯦꯁꯅꯦꯜ ꯊꯦꯔꯥꯄꯤ꯫
• ꯁ꯭ꯄꯤꯆ ꯊꯦꯔꯥꯄꯤ ꯇꯧꯕꯥ꯫
• ꯁꯥꯏꯀꯣꯊꯦꯔꯥꯄꯤ (ꯇꯥꯛ ꯊꯦꯔꯥꯄꯤ)꯫

ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛ ꯈꯔꯅꯁꯨ ꯃꯁꯤꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯕꯥ ꯌꯥꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯃꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯍꯦꯛꯇꯥ ꯂꯩꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯃꯦꯗꯤꯀꯦꯜ ꯇꯤꯃꯒꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯕꯤꯌꯨ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯂꯥꯏꯌꯦꯡꯗ꯭ꯔꯕꯗꯤ, SAH ꯑꯁꯤ ꯆꯍꯤ ꯑꯃꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯁꯤꯕꯒꯤ ꯆꯥꯡ ꯑꯁꯤ 65% ꯑꯣꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯈꯪꯗꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯂꯥꯏꯌꯦꯡꯕꯥ ꯇꯥꯔꯕꯗꯤ, ꯆꯍꯤ ꯑꯃꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯁꯤꯕꯒꯤ ꯆꯥꯡ ꯑꯁꯤ ꯆꯥꯎꯔꯥꯛꯅꯥ 18%ꯗꯥ ꯍꯟꯊꯍꯅꯕꯥ ꯌꯥꯏ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ SAH ꯅꯥ ꯅꯥꯔꯦ ꯍꯥꯌꯅꯥ ꯈꯪꯂꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯍꯀꯁꯦꯜ ꯑꯃꯁꯨꯡ ꯄ꯭ꯔꯣꯒ꯭ꯔꯦꯁ ꯑꯗꯨ ꯌꯦꯡꯁꯤꯟꯅꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯃꯦꯗꯤꯀꯦꯜ ꯇꯤꯃꯗꯥ ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯌꯦꯡꯁꯤꯅꯕꯥ ꯃꯊꯧ ꯇꯥꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ ꯂꯥꯀꯄꯥ ꯇꯥꯔꯕꯗꯤ ꯅꯍꯥꯛꯅꯥ ꯐꯤꯖꯤꯀꯦꯜ, ꯑꯣꯛꯌꯨꯄꯦꯁꯅꯦꯜ, ꯑꯃꯁꯨꯡ/ꯅꯠꯠꯔꯒꯥ ꯁ꯭ꯄꯤꯆ ꯊꯦꯔꯥꯄꯤꯁꯨ ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯏ꯫

ꯇꯦꯛ-ꯍꯣꯝ ꯃꯦꯁꯦꯖ ꯇꯧꯕꯥ꯫

ꯑꯣꯀꯦ, ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯑꯩꯍꯥꯛꯅꯥ ꯑꯥꯁꯥ ꯇꯧꯏ ꯃꯗꯨꯗꯤ ꯑꯗꯣꯝꯅꯥ ꯍꯧꯖꯤꯛ ꯑꯩꯈꯣꯌꯅꯥ ꯉꯁꯤ ꯋꯥꯔꯤ ꯁꯥꯈꯤꯕꯥ ꯑꯗꯨꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯑꯐꯕꯥ ꯂꯧꯁꯤꯡ ꯑꯃꯥ ꯐꯪꯂꯦ, `(ꯁꯨꯕꯥꯔꯥꯆꯅꯣꯏꯗ ꯍꯦꯃꯣꯔꯦꯖ)꯫` ꯃꯈꯥꯗꯥ ꯅꯤꯡꯁꯤꯡꯒꯗꯕꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯋꯥꯐꯝ ꯈꯔꯥ ꯌꯥꯑꯣꯔꯤ:

• ꯈꯪꯍꯧꯗꯅꯥ, ꯁꯥꯊꯤꯕꯥ, ꯊꯨꯃꯖꯤꯅꯕꯥ ꯍꯦꯗ-ꯑꯦꯛ ꯑꯁꯤ SAHꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯂꯥꯏꯑꯣꯡ ꯑꯃꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫
• `(SAH)` ꯑꯁꯤ ꯃꯦꯗꯤꯀꯦꯜ ꯏꯃꯔꯖꯦꯟꯁꯤ ꯑꯃꯅꯤ . ꯀꯔꯤꯒꯨꯝꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯂꯩꯔꯕꯗꯤ, ꯊꯦꯡꯊꯕꯥ ꯂꯩꯇꯅꯥ ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯃꯇꯦꯡ ꯂꯧꯒꯗꯕꯅꯤ꯫
• ꯃꯀꯣꯛ ꯊꯣꯡꯕꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯑꯃꯁꯨꯡ ꯕ꯭ꯔꯦꯟ ꯑꯦꯅꯤꯎꯔꯤꯖꯃꯁꯤꯡ (ruptured brain aneurysms) ꯑꯁꯤꯅꯥ ꯃꯁꯤꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯔꯃꯁꯤꯡꯅꯤ꯫
• ꯔꯤꯁ꯭ꯛ ꯐꯦꯛꯇꯔꯁꯤꯡ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯗꯨꯅꯥ ꯑꯃꯁꯨꯡ ꯁꯥꯐꯕꯥ ꯄꯨꯟꯁꯤ ꯃꯍꯤꯡ ꯑꯃꯥ ꯂꯧꯗꯨꯅꯥ SAH ꯂꯥꯀꯄꯒꯤ ꯔꯤꯁ꯭ꯛ ꯍꯟꯊꯍꯅꯕꯥ ꯌꯥꯏ꯫
• ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯑꯣꯏꯔꯕꯁꯨ, ꯈꯨꯗꯛꯀꯤ ꯑꯣꯏꯕꯥ ꯂꯥꯏꯌꯦꯡ ꯑꯃꯁꯨꯡ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯔꯤꯍꯦꯕꯤꯂꯤꯇꯦꯁꯅꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯄꯨꯟꯁꯤ ꯀꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯑꯐꯕꯥ ꯄꯨꯟꯁꯤ ꯑꯃꯥ ꯍꯤꯡꯅꯕꯒꯤ ꯈꯨꯗꯣꯡꯆꯥꯕꯥ ꯂꯩ꯫

ꯃꯔꯝ ꯑꯗꯨꯅꯥ, ꯃꯁꯤꯗꯁꯨ ꯆꯦꯀꯁꯤꯅꯕꯤꯌꯨ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛ ꯅꯠꯠꯔꯒꯥ ꯅꯍꯥꯛꯅꯥ ꯈꯪꯂꯤꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯅꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯍꯦꯛꯇꯥ ꯂꯥꯀꯄꯥ ꯇꯥꯔꯕꯗꯤ, ꯈꯨꯗꯛꯇꯥ ꯑꯦꯛꯁꯟ ꯂꯧꯈꯠꯀꯗꯕꯅꯤ꯫ ꯍꯀꯆꯥꯡ ꯐꯅꯥ ꯂꯩꯌꯨ!

` ꯁꯨꯕꯥꯔꯥꯛꯅꯣꯏꯗ ꯍꯦꯃꯣꯔꯦꯖ, ꯑꯦꯁ.ꯑꯦ.ꯑꯩꯆ., ꯕ꯭ꯔꯦꯟ ꯕ꯭ꯂꯤꯗꯤꯡ, ꯊꯟꯗꯔꯛꯂꯦꯞ ꯍꯦꯗ-ꯑꯦꯛ, ꯕ꯭ꯔꯦꯟ ꯑꯦꯅꯤꯎꯔꯤꯖꯝ, ꯑꯦꯃꯔꯖꯦꯟꯁꯤ ꯇ꯭ꯔꯤꯠꯃꯦꯟꯇ, ꯍꯦꯗ ꯏꯅꯖꯨꯔꯤ, ꯕ꯭ꯔꯦꯟ ꯀꯚꯔ ꯇꯧꯕꯥ꯫