ꯅꯍꯥꯛꯀꯤ ꯊꯝꯃꯣꯌ ꯁꯣꯀꯄꯥ ꯌꯥꯕ꯭ꯔꯥ? ꯁꯤꯁ꯭ꯇꯣꯂꯤꯛ ꯍꯥꯔꯠ ꯐꯦꯏꯂꯔꯒꯤ ꯃꯔꯃꯗꯥ ꯈꯪꯖꯤꯅꯁꯤ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ ꯐꯥꯎꯕ꯭ꯔꯥ? ꯊꯕꯛ ꯈꯔꯥ ꯄꯥꯡꯊꯣꯛꯂꯕꯥ ꯃꯇꯨꯡꯗꯁꯨ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯐꯥꯑꯣꯕ꯭ꯔꯥ? ꯅꯠꯠꯔꯒꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡ ꯑꯗꯨ ꯁꯣꯀꯄꯥ ꯌꯥꯕ꯭ꯔꯥ? ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯊꯝꯃꯣꯌ ꯑꯗꯨ ꯈꯔꯥ ꯋꯥꯠꯄꯒꯤ ꯈꯨꯗꯃꯁꯤꯡ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫ ꯉꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯍꯥꯔꯇꯀꯤ ꯂꯥꯌꯅꯥ ꯑꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯒꯅꯤ, ‘ꯁꯤꯁ꯭ꯇꯣꯂꯤꯛ ꯍꯥꯔꯠ ꯐꯦꯏꯂꯔ’꯫ ꯃꯁꯤ ꯈꯔꯥ ꯍꯦꯟꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯑꯣꯏꯔꯕꯁꯨ, ꯃꯁꯤ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯇꯣꯏꯅꯥ ꯈꯪꯗꯣꯛꯂꯕꯥ ꯑꯃꯁꯨꯡ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯂꯥꯌꯦꯡꯂꯕꯗꯤ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯥ ꯌꯥꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫

ꯁꯤꯁ꯭ꯇꯣꯂꯤꯛ ꯍꯥꯔꯠ ꯐꯦꯜ ꯑꯣꯏꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ?

ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯅꯍꯥꯛꯀꯤ ꯊꯝꯃꯣꯌꯗꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯆꯦꯝꯕꯔ ꯃꯔꯤ ꯂꯩ꯫ ꯂꯦꯃꯍꯧꯔꯤꯕꯥ ꯂꯦꯃꯍꯧꯔꯤꯕꯥ ꯆꯦꯝꯕꯔ ꯑꯗꯨꯅꯥ ꯂꯦꯐꯠ ꯚꯦꯟꯇꯤꯂꯦꯇꯔ ꯍꯥꯌꯅꯥ ꯀꯧꯕꯥ ꯆꯦꯝꯕꯔ ꯑꯁꯤꯅꯥ ꯍꯀꯆꯥꯡ ꯄꯨꯝꯅꯃꯛꯇꯥ ꯑꯣꯛꯁꯤꯖꯦꯟ ꯌꯥꯎꯕꯥ ꯏ ꯄꯝꯄ ꯇꯧꯏ꯫ ꯃꯁꯤ ꯏꯁꯤꯡꯒꯤ ꯄꯝꯄ ꯑꯃꯒꯨꯝꯅꯥ ꯊꯕꯛ ꯇꯧꯏ꯫ ꯍꯧꯖꯤꯛꯇꯤ, ꯁꯤꯁ꯭ꯇꯣꯂꯤꯛ ꯍꯥꯔꯠ ꯐꯦꯏꯂꯔ ꯀꯧꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤꯗꯥ, ꯂꯦꯐꯠ ꯚꯦꯟꯇꯤꯂꯦꯇꯔ ꯑꯁꯤ ꯁꯣꯟꯊꯔꯀꯏ꯫ ꯃꯁꯤꯅꯥ ꯇꯥꯀꯄꯗꯤ ꯃꯁꯤꯅꯥ ꯏ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯑꯃꯁꯨꯡ ꯏꯐꯤꯁꯤꯑꯦꯟꯇ ꯑꯣꯏꯅꯥ ꯄꯝꯄ ꯇꯧꯕꯥ ꯉꯃꯗꯦ꯫

ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯀꯔꯤ ꯑꯣꯏꯒꯅꯤ? ꯀꯔꯤꯒꯨꯝꯕꯥ ꯏꯁꯤꯡꯒꯤ ꯃꯣꯇꯣꯔ ꯑꯗꯨ ꯃꯄꯥꯉ꯭ꯒꯜ ꯀꯅꯕꯥ ꯑꯣꯏꯔꯕꯗꯤ ꯏꯁꯤꯡ ꯑꯗꯨ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯆꯦꯜꯂꯣꯏꯗꯕꯅꯤ ꯍꯥꯌꯅꯥ ꯈꯟꯗꯨꯅꯥ ꯌꯦꯡꯕꯤꯌꯨ꯫ ꯃꯇꯧ ꯑꯁꯨꯝꯅꯥ ꯍꯥꯔꯇꯅꯥ ꯏ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯄꯝꯄ ꯇꯧꯗꯕꯥ ꯃꯇꯃꯗꯥ, ꯂꯪꯁꯇꯥ ꯐ꯭ꯂꯨꯏꯗ ꯊꯨꯃꯖꯤꯅꯕꯥ ꯌꯥꯏ꯫ ꯃꯗꯨꯗꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ ꯑꯃꯁꯨꯡ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯑꯁꯤꯅꯆꯤꯡꯕꯥ ꯋꯥꯐꯃꯁꯤꯡ ꯊꯣꯀꯏ꯫ ꯍꯀꯆꯥꯡꯒꯤ ꯑꯇꯩ ꯁꯔꯨꯀꯁꯤꯡ, ꯃꯔꯨꯑꯣꯏꯅꯥ ꯈꯣꯡ, ꯈꯣꯡ ꯑꯃꯁꯨꯡ ꯈꯣꯡꯎꯞ ꯑꯁꯤꯁꯨ ꯁꯣꯀꯄꯥ ꯌꯥꯏ . ꯃꯁꯤꯒꯤ ꯃꯔꯃꯗꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯂꯩꯔꯤꯕꯥ ꯐ꯭ꯂꯨꯏꯗ ꯑꯁꯤ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯆꯠꯊꯣꯛ-ꯆꯠꯁꯤꯟ ꯇꯧꯗꯕꯅꯥ ꯑꯣꯏꯔꯤ꯫

ꯑꯗꯨꯅꯥ ꯃꯁꯤꯒꯤ ꯏꯖꯦꯀꯁꯟ ꯐ꯭ꯔꯦꯀꯆꯔ ꯑꯁꯤ ꯀꯔꯤꯅꯣ?

ꯍꯧꯖꯤꯛ ꯏꯖꯦꯀꯁꯟ ꯐ꯭ꯔꯦꯀꯆꯔ (ꯏ.ꯑꯦꯐ.) ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ ꯍꯥꯌꯕꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯁꯤ꯫ ꯃꯁꯤꯕꯨ ꯁꯤꯅꯍꯥꯂꯤꯗꯥ ‘ꯏꯖꯦꯀꯁꯟ ꯐ꯭ꯔꯦꯀꯆꯔ’ ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ ꯃꯁꯤ ꯈꯔꯥ ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯋꯥꯍꯟꯊꯣꯛ ꯑꯣꯏꯔꯕꯁꯨ, ꯃꯁꯤ ꯂꯧꯁꯤꯅꯕꯥ ꯌꯥꯝꯅꯥ ꯂꯥꯏ꯫ ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯃꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯂꯦꯐꯠ ꯚꯦꯟꯇꯤꯂꯦꯇꯔꯅꯥ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯁꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯍꯀꯆꯥꯡꯗꯥ ꯏ ꯀꯌꯥꯝ ꯄꯝꯄ ꯇꯧꯕꯒꯦ ꯍꯥꯌꯕꯒꯤ ꯆꯥꯗꯥ ꯑꯣꯏꯔꯤ꯫

ꯍꯀꯁꯦꯜ ꯐꯕꯥ, ꯐꯖꯅꯥ ꯊꯕꯛ ꯇꯧꯕꯥ ꯍꯥꯔꯠ ꯑꯃꯅꯥ EF ꯚꯦꯜꯌꯨ ꯑꯁꯤ 55% ꯑꯃꯁꯨꯡ 70%ꯒꯤ ꯃꯔꯛꯇꯥ ꯂꯩꯒꯗꯕꯅꯤ꯫ ꯃꯁꯤꯅꯥ ꯇꯥꯀꯄꯗꯤ ꯍꯥꯔꯇꯀꯤ ꯂꯦꯡ-ꯑꯣꯠꯄꯒꯤ ꯚꯦꯟꯇꯤꯂꯦꯇꯔꯗꯥ ꯆꯪꯂꯀꯄꯥ ꯏꯒꯤ ꯁꯔꯨꯛ ꯑꯍꯨꯝ ꯊꯣꯀꯄꯒꯤ ꯑꯃꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯕꯤꯠ ꯑꯃꯗꯥ ꯄꯝꯄ ꯇꯧꯗꯨꯅꯥ ꯊꯣꯀꯏ ꯍꯥꯌꯕꯅꯤ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯏ.ꯑꯦꯐ.ꯀꯤ ꯚꯦꯜꯌꯨ ꯑꯁꯤ 40%ꯒꯤ ꯃꯈꯥꯗꯥ ꯂꯩꯔꯕꯗꯤ , ꯃꯁꯤ ꯁꯤꯁ꯭ꯇꯣꯂꯤꯛ ꯍꯥꯔꯠ ꯐꯦꯜ ꯑꯣꯏꯕꯒꯤ ꯈꯨꯗꯝ ꯑꯃꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯅꯥ ꯇꯥꯀꯄꯗꯤ ꯍꯥꯔꯇꯀꯤ ꯄꯝꯄ ꯇꯧꯕꯒꯤ ꯇꯧꯕꯥ ꯉꯝꯕꯗꯨ ꯍꯟꯊꯔꯦ ꯍꯥꯌꯕꯅꯤ꯫ ꯃꯔꯝ ꯑꯁꯤꯅꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤꯕꯨ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ‘ꯍꯥꯔꯠ ꯐꯦꯏꯂꯔ ꯋꯤꯊ ꯔꯤꯗ꯭ꯌꯨꯁ ꯏꯖꯦꯀꯁꯟ ꯐ꯭ꯔꯦꯀꯆꯔ’ (HFrEF) ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫

ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯀꯅꯥꯅꯥ ꯍꯦꯟꯅꯥ ꯊꯣꯀꯍꯅꯕꯒꯦ?

ꯁꯤꯁ꯭ꯇꯣꯂꯤꯛ ꯍꯥꯔꯠ ꯐꯦꯜ ꯑꯣꯏꯔꯀꯄꯅꯥ ꯀꯅꯥꯒꯨꯝꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯠꯇꯗꯥ ꯁꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ, ꯑꯗꯨꯕꯨ ꯆꯍꯤ ꯌꯥꯃꯈꯠꯂꯀꯄꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯔꯤꯁ꯭ꯛ ꯑꯁꯤ ꯍꯦꯅꯒꯠꯂꯀꯏ꯫ ꯃꯁꯤ ꯃꯃꯥꯡꯒꯤ ꯍꯥꯔꯠ ꯑꯦꯇꯦꯛ ꯅꯠꯠꯔꯒꯥ ꯍꯥꯏ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔꯒꯨꯝꯕꯥ ꯑꯇꯩ ꯍꯥꯔꯠ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯗꯁꯨ ꯍꯦꯟꯅꯥ ꯀꯃꯟ ꯑꯣꯏ꯫

ꯁꯤꯁ꯭ꯇꯣꯂꯤꯛ ꯍꯥꯔꯠ ꯐꯦꯜ ꯑꯣꯏꯕꯥ (HFrEF) ꯑꯁꯤ ꯀꯔꯤꯅꯥ ꯊꯣꯀꯍꯅꯕꯒꯦ?

ꯁꯤꯁ꯭ꯇꯣꯂꯤꯛ ꯍꯥꯔꯠ ꯐꯦꯜ ꯑꯣꯏꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯑꯌꯥꯝꯕꯗꯤ ꯍꯥꯔꯇꯀꯤ ꯂꯦꯐꯠ ꯚꯦꯟꯇꯤꯂꯦꯇꯔ ꯑꯗꯨ ꯑꯇꯣꯞꯄꯥ ꯂꯥꯌꯅꯥ ꯑꯃꯅꯥ ꯁꯣꯀꯍꯜꯂꯕꯥ ꯃꯇꯃꯗꯥ ꯊꯣꯀꯏ꯫ ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯑꯁꯨꯝꯅꯥ ꯈꯅꯕꯤꯌꯨ: ꯍꯥꯔꯇꯀꯤ ꯃꯁꯜ ꯑꯁꯤ ꯔꯕ꯭ꯕꯔ ꯕꯦꯟꯗ ꯑꯃꯒꯨꯝꯅꯥ ꯑꯣꯏ꯫ ꯃꯁꯤ ꯁ꯭ꯠꯔꯦꯠ ꯇꯧꯏ ꯑꯃꯁꯨꯡ ꯀꯟꯠꯔꯦꯛꯇ ꯇꯧꯏ꯫ ꯑꯗꯨꯕꯨ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯛꯂꯕꯗꯤ ꯊꯕꯛ ꯑꯗꯨ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯄꯥꯡꯊꯣꯀꯄꯥ ꯉꯝꯂꯣꯏ꯫

ꯃꯁꯤꯗꯥ ꯁꯣꯀꯍꯅꯕꯥ ꯌꯥꯕꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯔꯝ ꯈꯔꯗꯤ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤ:

• ꯀꯣꯔꯣꯅꯥꯔꯤ ꯑꯥꯔꯇꯦꯔꯤ ꯗꯤꯖꯤꯖ: ꯃꯁꯤꯅꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯃꯔꯃꯅꯤ꯫ ꯍꯥꯔꯇꯇꯥ ꯏ ꯁꯞꯂꯥꯏ ꯇꯧꯔꯤꯕꯥ ꯑꯥꯔꯇꯦꯔꯤꯁꯤꯡ (ꯀꯣꯔꯣꯅꯥꯔꯤ ꯑꯥꯔꯇꯦꯔꯤꯁꯤꯡ) ꯑꯁꯤ ꯐꯦꯇꯤ ꯗꯤꯄꯣꯖꯤꯇꯁꯤꯡꯅꯥ ꯀꯨꯄꯁꯤꯜꯂꯤ ꯅꯠꯠꯔꯒꯥ ꯊꯤꯡꯖꯤꯜꯂꯤ, ꯃꯗꯨꯅꯥ ꯍꯥꯔꯇꯀꯤ ꯃꯁꯂꯅꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯑꯣꯛꯁꯤꯖꯦꯟ ꯑꯃꯁꯨꯡ ꯅ꯭ꯌꯨꯠꯔꯤꯑꯦꯟꯇꯁꯤꯡ ꯐꯪꯍꯅꯕꯥ ꯉꯃꯍꯟꯗꯦ꯫ ꯃꯁꯤꯅꯥ ꯃꯁꯜ ꯑꯗꯨ ꯁꯣꯟꯊꯍꯜꯂꯤ꯫
• ꯍꯥꯏ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ (Hypertension): ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ ꯋꯥꯡꯈꯠꯂꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯍꯥꯔꯇꯅꯥ ꯏ ꯄꯝꯄ ꯇꯧꯕꯗꯥ ꯍꯦꯟꯅꯥ ꯀꯟꯅꯥ ꯍꯣꯠꯅꯒꯗꯕꯅꯤ꯫ ꯃꯁꯤ ꯕ꯭ꯂꯣꯛ ꯇꯧꯔꯕꯥ ꯑꯥꯔꯇꯦꯔꯤ ꯑꯃꯗꯥ ꯏꯁꯤꯡ ꯄꯝꯄ ꯇꯧꯕꯒꯥ ꯃꯥꯟꯅꯩ꯫ ꯃꯇꯃꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ, ꯃꯁꯤꯅꯥ ꯍꯥꯔꯇꯀꯤ ꯃꯁꯜ ꯑꯗꯨ ꯍꯦꯟꯅꯥ ꯆꯥꯎꯈꯠꯄꯥ ꯑꯃꯁꯨꯡ ꯑꯔꯣꯌꯕꯗꯥ ꯁꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫
• ꯃꯃꯥꯡꯒꯤ ꯃꯥꯌꯣꯀꯥꯔꯗꯤꯌꯥ ꯏꯅꯐꯦꯛꯁꯟ (Myocardial Infarction): ꯍꯥꯔꯠ ꯑꯦꯇꯦꯛ ꯍꯥꯌꯕꯁꯤ ꯍꯥꯔꯇꯀꯤ ꯁꯔꯨꯛ ꯑꯃꯗꯥ ꯏꯒꯤ ꯈꯣꯡꯖꯦꯜ ꯊꯤꯡꯖꯤꯜꯂꯀꯄꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯃꯁꯜ ꯁꯦꯂꯁꯤꯡ ꯁꯤꯍꯅꯕꯥ ꯍꯥꯌꯕꯁꯤꯅꯤ꯫ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯑꯁꯤꯕꯥ ꯃꯐꯝ ꯑꯗꯨ ꯁꯣꯟꯊꯔꯀꯏ, ꯃꯗꯨꯅꯥ ꯍꯥꯔꯇꯀꯤ ꯄꯝꯄ ꯇꯧꯕꯒꯤ ꯇꯧꯕꯥ ꯉꯝꯕꯗꯨ ꯍꯟꯊꯍꯜꯂꯤ꯫
• ꯗꯥꯏꯑꯦꯕꯦꯇꯤꯖ ꯃꯦꯂꯤꯇꯁ: ꯗꯥꯏꯑꯦꯕꯦꯇꯤꯖꯅꯥ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯂꯁꯤꯡꯗꯁꯨ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ ꯑꯃꯁꯨꯡ ꯍꯥꯔꯇꯀꯤ ꯃꯁꯂꯗꯥ ꯍꯀꯊꯦꯡꯅꯅꯥ ꯁꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫
• ꯑꯦꯕꯅꯣꯔꯃꯦꯜ ꯍꯥꯔꯠ ꯔꯤꯗꯝ (abnormal heart Rhythm) : ꯍꯥꯔꯇꯀꯤ ꯈꯣꯟꯖꯦꯜ ꯑꯁꯤ ꯂꯦꯡ-ꯑꯣꯠꯄꯗꯥ ꯋꯥꯕꯥ ꯃꯇꯃꯗꯥ, ꯍꯥꯔꯇꯅꯥ ꯏ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯄꯝꯄ ꯇꯧꯕꯥ ꯉꯃꯗꯦ꯫
• ꯍꯥꯔꯠ ꯚꯜꯌꯨ ꯗꯤꯖꯤꯖ (Hart Valve Disease): ꯍꯥꯔꯇꯇꯥ ꯂꯩꯕꯥ ꯚꯜꯌꯨꯁꯤꯡꯅꯥ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯊꯕꯛ ꯇꯧꯗꯕꯥ ꯃꯇꯃꯗꯥ, ꯏ ꯑꯗꯨ ꯃꯃꯥꯡꯂꯣꯃꯗꯥ ꯅꯠꯠꯔꯒꯥ ꯃꯃꯥꯡꯂꯣꯃꯗꯥ ꯆꯦꯟꯊꯔꯀꯄꯥ ꯌꯥꯏ, ꯃꯗꯨꯅꯥ ꯍꯥꯔꯇꯇꯥ ꯑꯍꯦꯅꯕꯥ ꯁ꯭ꯠꯔꯦꯟ ꯂꯩꯍꯅꯕꯥ ꯌꯥꯏ꯫
• ꯃꯥꯌꯣꯀꯥꯔꯗꯤꯇꯤꯁ (Myocarditis): ꯍꯥꯔꯇꯀꯤ ꯃꯁꯂꯒꯤ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯁꯟ (inflammation)꯫ ꯃꯁꯤ ꯚꯥꯏꯔꯁ ꯏꯅꯐꯦꯛꯁꯅꯒꯨꯝꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫

ꯃꯁꯤꯒꯤ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯑꯁꯤꯅꯥ ꯍꯥꯔꯇꯀꯤ ꯃꯁꯜ ꯁꯣꯟꯊꯕꯥ, ꯗꯤꯂꯥꯏꯁꯟ ꯅꯠꯠꯔꯒꯥ ꯚꯦꯟꯇꯤꯂꯦꯇꯔꯁꯤꯡꯗꯥ ꯁꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯍꯥꯌꯔꯤꯕꯥ ꯄꯣꯠꯁꯛ ꯄꯨꯝꯅꯃꯛ ꯑꯁꯤꯅꯥ ꯂꯦꯐꯠ ꯚꯦꯟꯇꯤꯂꯦꯇꯔ ꯑꯁꯤ ꯁꯣꯀꯍꯜꯂꯤ ꯑꯃꯁꯨꯡ ꯏ.ꯑꯦꯐ. ꯅꯨꯡꯉꯥꯏꯔꯕꯥ ꯄꯥꯎ ꯑꯃꯗꯤ ꯑꯌꯥꯝꯕꯥ ꯀꯦꯁꯁꯤꯡꯗꯗꯤ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯈꯥ ꯄꯣꯜꯂꯤꯕꯥ ꯃꯔꯝ ꯑꯗꯨ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯂꯥꯌꯦꯡꯂꯕꯗꯤ, ꯍꯥꯔꯇꯀꯤ ꯐꯉ꯭ꯀꯁꯟ ꯈꯔꯥ ꯐꯒꯠꯂꯀꯄꯥ ꯌꯥꯏ꯫

ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯤꯅꯣ?

ꯋꯥꯐꯝ ꯑꯁꯤ, ꯑꯗꯣꯃꯗꯥ ꯃꯁꯤꯒꯤ ꯁꯃꯁ꯭ꯌꯥ ꯑꯁꯤ ꯂꯩꯔꯝꯕꯥ ꯌꯥꯏ ꯍꯥꯌꯕꯁꯤ ꯀꯔꯝꯅꯥ ꯈꯉꯒꯅꯤ? ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯑꯁꯤ ꯌꯦꯡꯁꯤꯅꯒꯗꯕꯥ ꯂꯥꯏꯑꯣꯡ ꯈꯔꯗꯤ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤ:

• ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ (Dyspnea): ꯅꯍꯥꯛꯅꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯗꯥ ꯑꯋꯥꯕꯥ ꯃꯥꯌꯣꯛꯅꯔꯀꯄꯥ ꯌꯥꯏ, ꯃꯔꯨꯑꯣꯏꯅꯥ ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯇꯧꯕꯥ ꯃꯇꯃꯗꯥ, ꯁ꯭ꯇꯦꯖꯁꯤꯡꯗꯥ ꯆꯦꯅꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯐꯃꯨꯡꯗꯥ ꯂꯦꯡꯗꯅꯥ ꯂꯩꯕꯥ ꯃꯇꯃꯗꯥ ꯐꯥꯎꯕꯥ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯌꯨꯛꯇꯥ ꯇꯥꯎꯟ ꯑꯅꯤ ꯅꯠꯠꯔꯒꯥ ꯑꯍꯨꯃꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯇꯨꯝꯕꯥ ꯃꯊꯧ ꯇꯥꯔꯕꯗꯤ ꯃꯗꯨꯁꯨ ꯈꯨꯗꯝ ꯑꯃꯅꯤ꯫
• ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯋꯥꯈꯜ ꯆꯔꯥꯡꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯋꯥꯈꯜ ꯇꯥꯗꯕꯥ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯃꯥꯡꯗꯥ ꯐꯖꯅꯥ ꯇꯧꯔꯝꯕꯥ ꯊꯕꯀꯁꯤꯡ ꯄꯥꯡꯊꯣꯛꯂꯕꯥ ꯃꯇꯨꯡꯗꯁꯨ ꯌꯥꯝꯅꯥ ꯋꯥꯅꯥ ꯊꯣꯛꯂꯕꯗꯤ꯫
• ꯈꯣꯡ, ꯈꯨꯎ, ꯑꯃꯁꯨꯡ ꯈꯣꯡꯗꯥ ꯁꯣꯀꯄꯥ: ꯁꯣꯀꯄꯥ ꯑꯁꯤ ꯐ꯭ꯂꯨꯏꯗ ꯔꯤꯇꯦꯟꯁꯅꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯌꯦꯔꯨꯝ ꯑꯗꯨꯁꯨ ꯁꯣꯀꯄꯥ ꯌꯥꯏ꯫
• ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯅꯠꯠꯔꯒꯥ ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯍꯥꯔꯇꯀꯤ ꯈꯣꯡꯖꯦꯜ ꯌꯥꯡꯕꯥ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯥꯔꯇꯀꯤ ꯈꯣꯟꯖꯦꯂꯒꯤ ꯃꯑꯣꯡ-ꯃꯇꯧꯗꯥ ꯑꯍꯣꯡꯕꯥ ꯑꯃꯥ ꯂꯥꯀꯄꯥ ꯎꯔꯕꯗꯤ꯫
• ꯂꯦꯡ-ꯑꯣꯠꯄꯒꯤ ꯃꯑꯣꯡ (persistent cough or wheezing): ꯃꯔꯨꯑꯣꯏꯅꯥ ꯋꯥꯏꯇꯦꯞ (white mucus)ꯒꯥ ꯂꯣꯌꯅꯕꯥ ꯀꯣꯛ ꯆꯤꯀꯄꯥ꯫
• ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯇꯧꯕꯥ ꯉꯝꯕꯒꯤ ꯆꯥꯡ ꯍꯟꯊꯔꯀꯄꯥ꯫
• ꯅꯣꯡꯃꯩ ꯀꯥꯞꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯆꯥꯛ ꯆꯥꯕꯥ ꯋꯥꯠꯄꯥ꯫
• ꯆꯦꯁ꯭ꯠ ꯄꯦꯏꯟ: ꯃꯁꯤ ꯀꯣꯔꯣꯅꯥꯒꯤ ꯑꯥꯔꯇꯦꯔꯤ ꯗꯤꯖꯤꯖꯒꯨꯝꯕꯥ ꯃꯔꯝ ꯑꯃꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫
• ꯃꯃꯤꯠ ꯇꯥꯡꯕꯥ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯃꯗꯒꯤ ꯍꯦꯅꯕꯥ ꯂꯩꯔꯕꯗꯤ, ꯆꯥꯅꯕꯤꯗꯨꯅꯥ ꯃꯈꯣꯌꯕꯨ ꯌꯦꯡꯁꯤꯟꯗꯨꯅꯥ ꯗꯣꯛꯇꯔ ꯑꯃꯒꯥ ꯇꯥꯟꯅꯕꯤꯌꯨ꯫ ꯅꯍꯥꯛꯅꯥ ꯃꯈꯣꯌꯕꯨ ꯇꯣꯌꯅꯥ ꯈꯪꯂꯕꯗꯤ ꯂꯥꯏꯌꯦꯡꯕꯗꯥ ꯍꯦꯟꯅꯥ ꯂꯥꯌꯕꯥ ꯑꯣꯏ꯫

ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯃꯁꯤ ꯀꯔꯝꯅꯥ ꯈꯉꯗꯣꯀꯄꯥ ꯉꯃꯒꯅꯤ?

ꯅꯍꯥꯛꯅꯥ ꯗꯣꯛꯇꯔ ꯑꯃꯗꯥ ꯆꯠꯄꯥ ꯃꯇꯃꯗꯥ, ꯃꯍꯥꯛꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯁꯤꯁ꯭ꯇꯣꯂꯤꯛ ꯍꯥꯔꯠ ꯐꯦꯜ ꯑꯣꯏꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯈꯪꯗꯣꯛꯅꯕꯥ ꯇꯦꯁ꯭ꯠ ꯀꯌꯥ ꯄꯥꯡꯊꯣꯛꯀꯅꯤ꯫ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯋꯥꯐꯃꯗꯤ ꯃꯗꯨꯒꯤ ꯃꯈꯥ ꯄꯣꯜꯂꯤꯕꯥ ꯃꯔꯝ ꯑꯗꯨ ꯀꯔꯤꯅꯣ ꯍꯥꯌꯕꯗꯨ ꯈꯪꯗꯣꯀꯄꯅꯤ ꯃꯗꯨꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯗꯨ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯂꯥꯏꯌꯦꯡꯕꯥ ꯉꯃꯒꯅꯤ꯫

ꯃꯁꯤꯒꯤ ꯇꯦꯁ꯭ꯠ ꯇꯧꯕꯒꯤ ꯊꯧꯑꯣꯡ ꯑꯁꯤꯗꯥ ꯃꯍꯧꯁꯥꯅꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯑꯁꯤ ꯌꯥꯑꯣꯏ:

꯱.ꯐꯤꯖꯤꯀꯦꯜ ꯑꯦꯀꯖꯥꯝ: ꯱.

• ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ (ꯃꯈꯣꯌꯅꯥ ꯃꯇꯝ ꯀꯌꯥꯒꯤ ꯃꯃꯥꯡꯗꯒꯤ ꯂꯩꯔꯛꯂꯤꯕꯅꯣ, ꯃꯈꯣꯌꯅꯥ ꯀꯔꯝꯅꯥ ꯐꯥꯑꯣꯔꯤꯕꯅꯣ, ꯑꯁꯤꯅꯆꯤꯡꯕꯥ) ꯍꯪꯒꯅꯤ꯫
• ꯃꯈꯣꯌꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯏꯃꯨꯡꯒꯤ ꯀꯅꯥꯒꯨꯝꯕꯥ ꯑꯃꯅꯥ ꯍꯥꯔꯇꯀꯤ ꯂꯥꯌꯅꯥ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯧꯈꯤꯕꯥ ꯑꯅꯥꯕꯁꯤꯡꯒꯤ ꯃꯔꯃꯗꯥ ꯍꯪꯏ꯫
• ꯁ꯭ꯇꯦꯊꯣꯁ꯭ꯀꯣꯞ ꯑꯁꯤ ꯍꯥꯔꯠ ꯑꯃꯁꯨꯡ ꯂꯪꯁꯀꯤ ꯋꯥꯐꯃꯁꯤꯡ ꯇꯥꯕꯗꯥ (ꯂꯪꯁꯇꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯕꯥ ꯈꯣꯟꯖꯦꯜ ꯑꯃꯁꯨꯡ ꯐ꯭ꯂꯨꯏꯗ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯁꯤꯟꯅꯕꯥ) ꯁꯤꯖꯤꯟꯅꯩ꯫
• ꯅꯍꯥꯛꯀꯤ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ ꯑꯗꯨ ꯂꯦꯄꯊꯣꯀꯏ꯫
• ꯅꯍꯥꯛꯀꯤ ꯑꯔꯨꯝꯕꯥ (ꯐ꯭ꯂꯨꯏꯗ ꯔꯤꯇꯦꯟꯁꯅꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ, ꯅꯍꯥꯛꯅꯥ ꯈꯪꯍꯧꯗꯅꯥ ꯑꯔꯨꯝꯕꯥ ꯍꯦꯅꯒꯠꯂꯛꯂꯤꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯅꯕꯥ)꯫

2. ꯕ꯭ꯂꯗ ꯇꯦꯁ꯭ꯠ (ꯕ꯭ꯂꯗ ꯋꯥꯔꯛ):

• ꯕ꯭ꯂꯗ ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯍꯥꯔꯇꯇꯥ ꯂꯩꯕꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯑꯁꯤꯅꯥ ꯑꯇꯩ ꯑꯣꯔꯒꯥꯅꯁꯤꯡ (ꯀꯤꯗꯅꯤ ꯑꯃꯁꯨꯡ ꯂꯤꯚꯔꯒꯨꯝꯕꯥ)ꯗꯥ ꯁꯣꯀꯍꯅꯈꯤꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯆꯦꯛ ꯇꯧꯕꯥ ꯉꯝꯃꯤ꯫
• ꯃꯍꯧꯁꯥꯅꯥ, `ꯑꯦꯂꯕꯨꯃꯤꯟ` (ꯄ꯭ꯔꯣꯇꯤꯟ ꯃꯈꯜ ꯑꯃꯥ), `ꯀ꯭ꯔꯤꯑꯦꯇꯤꯅꯤꯟ` (ꯀꯤꯗꯅꯤꯒꯤ ꯐꯉ꯭ꯀꯁꯅꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯇꯥꯀꯄꯥ ꯄꯣꯠꯁꯛ ꯑꯃꯥ), ꯑꯃꯁꯨꯡ ꯁꯣꯗꯤꯌꯝ ꯑꯃꯁꯨꯡ ꯄꯣꯇꯥꯁꯤꯌꯝ (ꯏꯂꯦꯛꯠꯔꯣꯂꯥꯏꯠ)ꯒꯨꯝꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ ꯑꯁꯤ ꯂꯦꯄꯊꯣꯀꯏ꯫
• ꯕꯤ.ꯑꯦꯟ.ꯄꯤ.(B-type Natriuretic Peptide) ꯀꯧꯕꯥ ꯑꯈꯟꯅꯕꯥ ꯕ꯭ꯂꯗ ꯇꯦꯁ꯭ꯠ ꯑꯃꯥ ꯂꯩ꯫ ꯍꯥꯔꯇꯇꯥ ꯁ꯭ꯠꯔꯦꯁ ꯂꯩꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯏꯗꯥ ꯌꯥꯎꯔꯤꯕꯥ BNP ꯑꯁꯤꯒꯤ ꯂꯦꯚꯦꯜ ꯑꯁꯤ ꯍꯦꯅꯒꯠꯂꯀꯏ꯫ ꯃꯁꯤꯅꯥ ꯍꯥꯔꯠ ꯐꯦꯜ ꯑꯣꯏꯕꯒꯤ ꯂꯥꯏꯑꯣꯡ ꯈꯪꯗꯣꯀꯄꯗꯥ ꯌꯥꯝꯅꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫

꯳.ꯍꯥꯔꯇꯀꯤ ꯏꯃꯦꯖꯤꯡ ꯇꯦꯁ꯭ꯇꯁꯤꯡ: ꯱.

• ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯍꯥꯔꯇꯀꯤ ꯃꯑꯣꯡ-ꯃꯇꯧ ꯑꯃꯁꯨꯡ ꯁꯥꯏꯖ, ꯁꯦꯂꯁꯤꯡꯒꯤ ꯋꯥꯂꯁꯤꯡ ꯑꯁꯤ ꯀꯌꯥ ꯌꯥꯝꯅꯥ ꯂꯨꯕꯥ ꯑꯣꯏꯕꯒꯦ, ꯚꯜꯌꯨꯁꯤꯡ ꯑꯁꯤ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯊꯕꯛ ꯇꯧꯔꯤꯕ꯭ꯔꯥ, ꯑꯃꯁꯨꯡ ꯃꯃꯥꯡꯒꯤ ꯍꯥꯔꯠ ꯑꯦꯇꯦꯛ ꯑꯃꯗꯒꯤ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯈꯤꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯆꯦꯛ ꯇꯧꯕꯥ ꯌꯥꯏ꯫
• ꯆꯦꯁ꯭ꯠ ꯑꯦꯛꯁ-ꯔꯦ: ꯍꯥꯔꯠ ꯑꯗꯨ ꯍꯦꯟꯅꯥ ꯆꯥꯎꯈꯠꯂꯛꯂꯤꯕ꯭ꯔꯥ ꯅꯠꯠꯔꯒꯥ ꯂꯪꯁꯇꯥ ꯐ꯭ꯂꯨꯏꯗ ꯊꯨꯃꯖꯤꯜꯂꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯅꯕꯥ꯫
• `ꯏꯀꯣꯀꯥꯔꯗꯤꯑꯣꯒ꯭ꯔꯥꯐ (ꯏꯀꯣ)`: ꯃꯁꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯇꯦꯁ꯭ꯇꯅꯤ꯫ ꯃꯁꯤ ꯍꯥꯔꯇꯀꯤ ꯑꯂꯠꯔꯥꯁꯥꯎꯟꯗ ꯁ꯭ꯀꯦꯟ ꯑꯃꯒꯨꯝꯅꯥ ꯑꯣꯏ꯫ ꯃꯁꯤꯅꯥ ꯏ.ꯑꯦꯐ.ꯀꯤ ꯚꯦꯜꯌꯨ ꯑꯗꯨ ꯑꯆꯨꯝꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯂꯦꯄꯊꯣꯀꯄꯥ ꯉꯃꯒꯅꯤ꯫ ꯃꯁꯤꯅꯥ ꯍꯥꯔꯇꯀꯤ ꯆꯦꯝꯕꯔ ꯑꯃꯁꯨꯡ ꯚꯜꯌꯨꯁꯤꯡꯒꯤ ꯊꯕꯛ ꯊꯧꯔꯃꯁꯤꯡ ꯃꯌꯦꯛ ꯁꯦꯡꯅꯥ ꯎꯕꯥ ꯐꯪꯏ꯫
• ꯏꯂꯦꯛꯠꯔꯣꯀꯥꯔꯗꯤꯑꯣꯒ꯭ꯔꯥꯝ (EKG/ECG): ꯍꯥꯔꯇꯀꯤ ꯏꯂꯦꯛꯠꯔꯤꯀꯦꯜ ꯑꯦꯛꯇꯤꯚꯤꯇꯤ ꯔꯦꯀꯣꯔꯗ ꯇꯧꯕꯥ ꯇꯦꯁ꯭ꯠ ꯑꯃꯅꯤ꯫ ꯃꯁꯤꯅꯥ ꯍꯥꯔꯇꯀꯤ ꯈꯣꯡꯖꯦꯜ ꯑꯃꯁꯨꯡ ꯈꯣꯡꯖꯦꯜ, ꯑꯃꯁꯨꯡ ꯃꯃꯥꯡꯒꯤ ꯍꯥꯔꯠ ꯑꯦꯇꯦꯛ ꯑꯃꯒꯤ ꯈꯨꯗꯃꯁꯤꯡ ꯑꯁꯤꯅꯆꯤꯡꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ ꯈꯪꯗꯣꯀꯄꯥ ꯉꯝꯃꯤ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ, `ꯀꯥꯔꯗꯤꯌꯦꯛ ꯑꯦꯝ.ꯑꯥꯔ.ꯑꯥꯏ`, `ꯀꯥꯔꯗꯤꯌꯦꯛ ꯁꯤ.ꯇꯤ.ꯁ꯭ꯀꯦꯟ`, `ꯀꯥꯔꯗꯤꯌꯦꯛ ꯀꯦꯇꯦꯇꯦꯔꯥꯏꯖꯦꯁꯟ` (ꯑꯦꯟꯖꯤꯑꯣꯒ꯭ꯔꯥꯝ), `ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯁ꯭ꯠꯔꯦꯁ ꯇꯦꯁ꯭ꯠ` ꯅꯠꯠꯔꯒꯥ `ꯅ꯭ꯌꯨꯛꯂꯤꯌꯔ ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯁ꯭ꯠꯔꯦꯁ ꯇꯦꯁ꯭ꯠ`, `ꯃꯜꯇꯤꯒꯦꯇꯦꯗ ꯑꯦꯛꯕꯤꯖꯤꯁꯟ ꯁ꯭ꯀꯦꯟ` (ꯑꯦꯝ.ꯌꯨ.ꯖꯤ.ꯑꯦ.)`ꯒꯨꯝꯕꯥ ꯑꯇꯣꯞꯄꯥ ꯑꯈꯟꯅꯕꯥ ꯇꯦꯁ꯭ꯇꯁꯤꯡꯁꯨ ꯄꯥꯡꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫

ꯃꯁꯤ ꯀꯔꯝꯅꯥ ꯂꯥꯌꯦꯡꯕꯒꯦ?

ꯑꯣꯀꯦ, ꯍꯧꯖꯤꯛ ꯁꯤꯁ꯭ꯇꯣꯂꯤꯛ ꯍꯥꯔꯠ ꯐꯦꯏꯂꯔꯒꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯂꯥꯌꯦꯡꯒꯗꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯁꯤ꯫ ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯄꯥꯟꯗꯝ ꯀꯌꯥ ꯂꯩ:

• ꯂꯥꯏꯑꯣꯡꯁꯤꯡ (ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ, ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ ꯑꯁꯤꯅꯆꯤꯡꯕꯥ) ꯍꯟꯊꯍꯅꯕꯥ꯫
• ꯍꯥꯔꯠ ꯑꯗꯨ ꯃꯈꯥ ꯇꯥꯅꯥ ꯁꯣꯀꯍꯟꯗꯅꯕꯥ ꯊꯤꯡꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯥ꯫
• ꯄꯨꯟꯁꯤꯒꯤ ꯃꯒꯨꯟ ꯍꯦꯅꯒꯠꯍꯅꯕꯥ꯫
• ꯄꯨꯟꯁꯤ ꯁꯥꯡꯗꯣꯀꯄꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯕꯥ꯫

ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯃꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯀꯦꯇꯦꯒꯣꯔꯤ ꯀꯌꯥꯗꯥ ꯈꯥꯌꯗꯣꯀꯄꯥ ꯌꯥꯏ:

ꯄꯨꯟꯁꯤ ꯃꯍꯤꯡꯗꯥ ꯑꯍꯣꯡꯕꯥ ꯂꯥꯀꯄꯥ ꯱

ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛ ꯂꯧꯕꯈꯛꯇꯅꯥ ꯃꯇꯤꯛ ꯆꯥꯗꯦ, ꯅꯍꯥꯛꯅꯥ ꯊꯕꯀꯁꯤꯡ ꯑꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯅꯥꯀꯂꯗꯁꯨ ꯇꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯏ꯫

• ꯁꯣꯜꯇ ꯏꯅꯇꯦꯛ ꯂꯤꯃꯤꯠ ꯇꯧꯕꯥ: ꯁꯣꯜꯇ (ꯁꯣꯗꯤꯌꯝ)ꯅꯥ ꯍꯀꯆꯥꯡꯗꯥ ꯑꯍꯦꯅꯕꯥ ꯐ꯭ꯂꯨꯏꯗ ꯊꯃꯖꯤꯅꯍꯜꯂꯤ꯫ ꯃꯁꯤꯅꯥ ꯁꯣꯛ-ꯄꯅꯕꯥ ꯍꯦꯅꯒꯠꯍꯜꯂꯤ ꯑꯃꯁꯨꯡ ꯍꯥꯔꯇꯇꯥ ꯍꯦꯟꯅꯥ ꯁꯣꯀꯍꯜꯂꯤ꯫ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯇꯥꯀꯄꯥ ꯃꯇꯨꯡꯏꯟꯅꯥ ꯁꯣꯜꯇ ꯏꯅꯇꯦꯛ ꯍꯟꯊꯍꯅꯒꯗꯕꯅꯤ꯫ ꯃꯍꯧꯁꯥꯅꯥ, ꯅꯣꯡꯃꯗꯥ ꯁꯣꯗꯤꯌꯝ ꯃꯤꯂꯤꯒ꯭ꯔꯥꯝ 1500-2000ꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯆꯥꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯔꯦꯀꯃꯦꯟꯗ ꯇꯧꯗꯦ꯫
• ꯐ꯭ꯂꯨꯏꯗ ꯂꯤꯃꯤꯠ ꯇꯧꯕꯥ: ꯃꯤꯑꯣꯏ ꯈꯔꯗꯗꯤ ꯅꯣꯡꯃꯗꯥ ꯊꯀꯄꯥ ꯏꯁꯤꯡꯒꯤ ꯆꯥꯡ ꯂꯤꯃꯤꯠ ꯇꯧꯕꯁꯨ ꯍꯥꯌꯔꯤ꯫ ꯃꯁꯤ ꯅꯍꯥꯛꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯈꯟꯅ-ꯅꯩꯅꯒꯗꯕꯅꯤ ꯑꯃꯁꯨꯡ ꯋꯥꯔꯦꯞ ꯂꯧꯒꯗꯕꯅꯤ꯫
• ꯍꯀꯁꯦꯜ ꯐꯕꯥ ꯑꯔꯨꯝꯕꯥ ꯑꯃꯥ ꯊꯝꯃꯨ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯔꯨꯝꯕꯥ ꯍꯦꯜꯂꯕꯗꯤ, ꯑꯔꯨꯝꯕꯥ ꯍꯟꯊꯍꯟꯅꯕꯥ ꯍꯣꯠꯅꯒꯗꯕꯅꯤ꯫ ꯅꯨꯃꯤꯠ ꯈꯨꯗꯤꯡꯒꯤ ꯏꯁꯥꯒꯤ ꯑꯔꯨꯝꯕꯥ ꯌꯦꯡꯁꯤꯅꯕꯥ ꯑꯁꯤ ꯑꯐꯕꯥ ꯋꯥꯈꯜꯂꯣꯟ ꯑꯃꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯔꯨꯝꯕꯥ ꯈꯪꯍꯧꯗꯅꯥ (ꯅꯣꯡꯃꯗꯥ ꯀꯤꯂꯣ ꯑꯃꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯅꯤ) ꯍꯦꯅꯒꯠꯂꯛꯂꯕꯗꯤ, ꯃꯁꯤꯅꯥ ꯐ꯭ꯂꯨꯏꯗ ꯔꯤꯇꯦꯟꯁꯅꯒꯤ ꯈꯨꯗꯝ ꯑꯃꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯁꯤ ꯑꯣꯏꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯍꯥꯌꯌꯨ .
• ꯃꯩꯈꯨ ꯊꯥꯗꯣꯀꯄꯥ ꯊꯤꯡꯖꯤꯜꯂꯨ: ꯃꯩꯈꯨ ꯁꯤꯖꯤꯟꯅꯕꯅꯥ ꯍꯥꯔꯠ ꯑꯃꯁꯨꯡ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯂꯁꯤꯡꯗꯥ ꯌꯥꯝꯅꯥ ꯈꯨꯗꯣꯡꯊꯤꯅꯤꯉꯥꯏ ꯑꯣꯏ꯫
• ꯌꯨ ꯂꯤꯃꯤꯠ ꯇꯧꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯊꯤꯡꯖꯤꯅꯕꯥ: ꯌꯨ ꯊꯀꯄꯅꯥ ꯍꯥꯔꯇꯀꯤ ꯃꯁꯂꯁꯨ ꯁꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫
• ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯇꯧꯕꯤꯌꯨ: ꯅꯍꯥꯛꯀꯤꯗꯃꯛꯇꯥ ꯀꯔꯤ ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯇꯧꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯇꯥꯟꯅꯧ꯫ ꯑꯄꯤꯀꯄꯥ ꯍꯧꯔꯀꯎ ꯑꯃꯁꯨꯡ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯦꯛꯇꯤꯚꯤꯇꯤ ꯍꯦꯅꯒꯠꯍꯅꯒꯗꯕꯅꯤ꯫ ꯈꯣꯡꯅꯥ ꯆꯠꯄꯥ ꯑꯁꯤ ꯑꯐꯕꯥ ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯑꯃꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯀꯥꯔꯗꯤꯌꯦꯛ ꯔꯤꯍꯦꯕꯤꯂꯤꯇꯦꯁꯟ ꯄ꯭ꯔꯣꯒ꯭ꯔꯥꯝ ꯑꯃꯗꯥ ꯁꯔꯨꯛ ꯌꯥꯕꯥ ꯉꯝꯂꯕꯗꯤ ꯌꯥꯝꯅꯥ ꯐꯒꯅꯤ꯫
• ꯁ꯭ꯠꯔꯦꯁ ꯍꯟꯊꯍꯅꯕꯥ, ꯐꯖꯅꯥ ꯅꯨꯡꯉꯥꯏꯅꯥ ꯂꯩꯕꯥ ꯑꯃꯁꯨꯡ ꯃꯇꯤꯛ ꯆꯥꯅꯥ ꯇꯨꯝꯕꯥ꯫
• ꯍꯀꯁꯦꯜ ꯐꯕꯥ ꯗꯥꯏꯠ ꯑꯃꯥ ꯆꯥꯕꯤꯌꯨ: ꯎꯍꯩ-ꯋꯥꯍꯩ, ꯃꯅꯥ-ꯃꯁꯤꯡ, ꯐꯤꯕꯔ ꯌꯥꯎꯕꯥ ꯆꯤꯟꯖꯥꯀꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯐꯦꯠ ꯅꯦꯝꯕꯥ ꯆꯤꯟꯖꯥꯀꯁꯤꯡ ꯆꯥꯒꯗꯕꯅꯤ꯫

ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ (ꯍꯤꯗꯥꯛ ꯃꯈꯂꯁꯤꯡ) ꯲.

ꯁꯤꯁ꯭ꯇꯣꯂꯤꯛ ꯍꯥꯔꯠ ꯐꯦꯜ ꯑꯣꯏꯕꯥ ꯂꯥꯏꯌꯦꯡꯕꯗꯥ ꯏꯐꯦꯛꯇꯤꯚ ꯑꯣꯏꯕꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛ ꯀꯌꯥ ꯂꯩ꯫ ꯍꯤꯗꯥꯀꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯏ.ꯑꯦꯐ., ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯑꯄꯨꯅꯕꯥ ꯍꯥꯔꯇꯀꯤ ꯐꯉ꯭ꯀꯁꯟ ꯐꯒꯠꯍꯅꯕꯥ ꯉꯝꯃꯤ꯫ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯕꯨ ꯅꯠꯠꯔꯒꯥ ꯑꯃꯗꯒꯤ ꯍꯦꯅꯕꯥ ꯑꯁꯤ ꯄꯨꯟꯅꯥ ꯄꯤꯖꯕꯥ ꯌꯥꯏ꯫

• ꯕꯦꯇꯥ-ꯕ꯭ꯂꯣꯀꯔꯁꯤꯡ: ꯃꯁꯤꯅꯥ ꯍꯥꯔꯇꯀꯤ ꯈꯣꯡꯖꯦꯜ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯁꯣꯀꯍꯟꯗꯨꯅꯥ ꯍꯥꯔꯇꯀꯤ ꯊꯕꯛ ꯐꯒꯠꯍꯜꯂꯤ, ꯍꯥꯔꯇꯅꯥ ꯇꯧꯒꯗꯕꯥ ꯊꯕꯛꯀꯤ ꯆꯥꯡ ꯍꯟꯊꯍꯜꯂꯤ꯫ ꯃꯈꯣꯌꯅꯥ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ, ꯍꯥꯔꯠ ꯑꯦꯇꯦꯛ ꯇꯧꯕꯒꯤ ꯔꯤꯁ꯭ꯛ ꯍꯟꯊꯍꯅꯕꯥ ꯉꯝꯃꯤ ꯑꯃꯁꯨꯡ ꯍꯥꯔꯇꯀꯤ ꯈꯣꯡꯖꯦꯜ ꯌꯥꯡꯕꯥ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫
• ꯑꯦꯟꯖꯤꯑꯣꯇꯦꯟꯁꯤꯟ-ꯀꯅꯚꯥꯔꯇꯤꯡ ꯑꯦꯅꯖꯥꯏꯝ (ACE) ꯏꯅꯍꯤꯕꯤꯇꯔꯁꯤꯡ: ꯃꯁꯤꯅꯥ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯏ, ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯂꯁꯤꯡ ꯄꯥꯀꯊꯣꯛ-ꯆꯥꯎꯊꯣꯀꯍꯜꯂꯤ ꯑꯃꯁꯨꯡ ꯍꯀꯆꯥꯡꯗꯥ ꯁ꯭ꯠꯔꯦꯁ ꯍꯣꯔꯃꯣꯅꯁꯤꯡ ꯕ꯭ꯂꯣꯛ ꯇꯧꯏ, ꯃꯁꯤꯅꯥ ꯃꯇꯃꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ ꯍꯥꯔꯇꯀꯤ ꯊꯕꯛ ꯊꯧꯔꯃꯁꯤꯡ ꯐꯒꯠꯍꯜꯂꯤ꯫
• ꯑꯦꯟꯖꯤꯑꯣꯇꯦꯟꯁꯤꯟ-II ꯔꯤꯁꯦꯞꯇꯔ ꯕ꯭ꯂꯣꯀꯔꯁꯤꯡ (ARBs): ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯑꯦ.ꯁꯤ.ꯏ. ꯃꯈꯣꯌꯅꯥ ꯑꯦ.ꯁꯤ.ꯏ.ꯒꯤ ꯏꯅꯍꯤꯕꯤꯇꯔꯁꯤꯡꯒꯥ ꯃꯥꯟꯅꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯊꯕꯛ ꯇꯧꯏ꯫
• ꯑꯦꯟꯖꯤꯑꯣꯇꯦꯟꯁꯤꯟ ꯔꯤꯁꯦꯄꯇꯔ-ꯅꯦꯞꯔꯤꯂꯥꯏꯁꯤꯟ ꯏꯅꯍꯤꯕꯤꯇꯔꯁꯤꯡ (ARNIs): ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯑꯅꯧꯕꯥ, ꯌꯥꯝꯅꯥ ꯏꯐꯦꯛꯇꯤꯚ ꯑꯣꯏꯕꯥ ꯗ꯭ꯔꯒꯁꯤꯡꯒꯤ ꯀ꯭ꯂꯥꯁ ꯑꯃꯅꯤ꯫ ꯃꯁꯤꯅꯥ ꯁ꯭ꯠꯔꯦꯁ ꯍꯣꯔꯃꯣꯅꯁꯤꯡꯁꯨ ꯍꯟꯊꯍꯜꯂꯤ, ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯂꯁꯤꯡ ꯍꯥꯡꯗꯣꯀꯏ ꯑꯃꯁꯨꯡ ꯍꯥꯔꯇꯀꯤ ꯐꯉ꯭ꯀꯁꯟ ꯐꯒꯠꯍꯜꯂꯤ꯫
• ꯑꯦꯂꯗꯣꯁ꯭ꯇꯦꯔꯣꯟ ꯑꯦꯟꯇꯥꯒꯣꯅꯤꯁ꯭ꯇꯁꯤꯡ (Mineralocorticoid Receptor Antagonists - MRAs): ꯃꯁꯤꯅꯥ ꯁ꯭ꯠꯔꯦꯁ ꯍꯣꯔꯃꯣꯅꯁꯤꯡ ꯍꯟꯊꯍꯜꯂꯤ ꯑꯃꯁꯨꯡ ꯀꯤꯗꯅꯤꯁꯤꯡꯗꯥ ꯍꯀꯆꯥꯡꯗꯒꯤ ꯑꯍꯦꯅꯕꯥ ꯐ꯭ꯂꯨꯏꯗ ꯑꯃꯁꯨꯡ ꯁꯣꯜꯇ ꯂꯧꯊꯣꯀꯄꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫ ꯍꯤꯗꯥꯀꯁꯤꯡ ꯑꯁꯤ ꯂꯧꯕꯥ ꯃꯇꯃꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯄꯣꯇꯥꯁꯤꯌꯃꯒꯤ ꯆꯥꯡ ꯑꯗꯨ ꯆꯦꯀꯁꯤꯅꯒꯗꯕꯅꯤ꯫
• ꯗꯥꯏꯌꯨꯔꯦꯇꯤꯀꯁꯤꯡ (ꯏꯁꯤꯡꯒꯤ ꯍꯤꯗꯥꯀꯁꯤꯡ): ꯃꯁꯤꯅꯥ ꯀꯤꯗꯅꯤꯁꯤꯡꯗꯒꯤ ꯑꯍꯦꯅꯕꯥ ꯐ꯭ꯂꯨꯏꯗ ꯑꯃꯁꯨꯡ ꯁꯣꯜꯇ ꯂꯧꯊꯣꯀꯄꯅꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ (ꯃꯔꯨꯑꯣꯏꯅꯥ ꯁꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ) ꯑꯁꯤ ꯊꯨꯅꯥ ꯀꯣꯀꯍꯜꯂꯤ꯫ ꯐ꯭ꯂꯨꯏꯗ ꯍꯟꯊꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯍꯥꯔꯇꯅꯥ ꯏ ꯄꯝꯄ ꯇꯧꯕꯗꯥ ꯍꯦꯟꯅꯥ ꯂꯥꯌꯕꯥ ꯑꯣꯏ꯫
• ꯑꯦꯁ.ꯖꯤ.ꯑꯦꯜ.ꯇꯤ.-꯲ ꯏꯅꯍꯤꯕꯤꯇꯔꯁꯤꯡ: ꯃꯁꯤ ꯑꯍꯥꯅꯕꯗꯥ ꯗꯥꯏꯑꯦꯕꯦꯇꯤꯖꯒꯤ ꯍꯤꯗꯥꯛ ꯃꯈꯜ ꯑꯃꯅꯤ꯫ ꯑꯗꯨꯕꯨ ꯃꯇꯨꯡꯗꯥ ꯈꯉꯂꯀꯈꯤ ꯃꯗꯨꯗꯤ ꯃꯈꯣꯌ ꯑꯁꯤ ꯗꯥꯏꯕꯦꯇꯤꯁ ꯂꯩꯇꯕꯥ ꯍꯥꯔꯠ ꯐꯦꯜ ꯑꯣꯏꯕꯥ ꯑꯅꯥꯕꯁꯤꯡꯗꯁꯨ ꯌꯥꯝꯅꯥ ꯐꯩ꯫ ꯃꯈꯣꯌꯅꯥ ꯌꯨꯔꯤꯅꯗꯥ ꯆꯤꯅꯤꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯑꯍꯦꯅꯕꯥ ꯐ꯭ꯂꯨꯏꯗ ꯊꯥꯗꯣꯀꯏ꯫

ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯋꯥꯐꯃꯗꯤ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯄꯤꯔꯤꯕꯥ ꯍꯤꯗꯥꯛ ꯑꯗꯨ ꯆꯞ ꯆꯥꯅꯥ, ꯃꯇꯝ ꯑꯗꯨꯗꯥ ꯑꯃꯁꯨꯡ ꯄꯤꯔꯤꯕꯥ ꯗꯣꯖ ꯑꯗꯨꯗꯥ ꯂꯧꯕꯅꯤ꯫ ꯍꯤꯗꯥꯛ ꯑꯗꯨ ꯀꯩꯗꯧꯉꯩꯗꯥ ꯂꯦꯄꯀꯅꯨ ꯅꯠꯠꯔꯒꯥ ꯃꯁꯥ ꯃꯊꯟꯇꯥ ꯗꯣꯖ ꯑꯗꯨ ꯍꯣꯡꯗꯣꯛꯂꯣꯏꯗꯕꯅꯤ꯫

꯳.ꯏꯛꯕꯤꯄꯃꯦꯟꯇ ꯑꯃꯁꯨꯡ ꯁꯔꯖꯔꯤ꯫

ꯄꯦꯁꯦꯟꯇ ꯈꯔꯗꯤ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛ ꯑꯃꯁꯨꯡ ꯄꯨꯟꯁꯤ ꯃꯍꯤꯡꯒꯤ ꯑꯍꯣꯡꯕꯥ ꯈꯛꯇꯅꯥ ꯃꯈꯣꯌꯒꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯗꯨ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯥ ꯉꯃꯗꯕꯥ ꯌꯥꯏ꯫ ꯃꯈꯣꯌꯅꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯋꯥꯐꯃꯁꯤꯡ ꯑꯁꯤ ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯏ:

• ꯑꯥꯏ.ꯁꯤ.ꯗꯤ.(ꯏꯃꯞꯂꯥꯟꯇꯦꯕꯜ ꯀꯥꯔꯗꯤꯑꯣꯚꯥꯔꯇꯔ-ꯗꯤꯐꯤꯕ꯭ꯔꯤꯂꯦꯇꯔ): ꯈꯨꯗꯣꯡꯊꯤꯅꯤꯉꯥꯏ ꯑꯣꯏꯕꯥ ꯑꯥꯏꯔꯦꯒꯨꯂꯔ ꯍꯥꯔꯇꯀꯤ ꯈꯣꯟꯖꯦꯜ (ꯑꯦꯔꯤꯊꯃꯤꯌꯥ) ꯑꯃꯥ ꯈꯪꯗꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯅꯣꯔꯃꯦꯜ ꯔꯤꯗꯝ ꯑꯗꯨ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯁꯦꯃꯒꯠꯅꯕꯥ ꯍꯥꯔꯇꯇꯥ ꯑꯄꯤꯀꯄꯥ ꯏꯂꯦꯛꯠꯔꯤꯀꯦꯜ ꯁꯣꯛ ꯑꯃꯥ ꯄꯤꯕꯥ ꯑꯄꯤꯀꯄꯥ ꯗꯤꯚꯥꯏꯁ ꯑꯃꯅꯤ꯫ ꯃꯁꯤ ꯆꯦꯡꯒꯤ ꯈꯣꯡꯒꯤ ꯃꯈꯥꯗꯥ ꯏꯃꯞꯂꯥꯟꯇ ꯇꯧꯏ꯫
• ꯁꯤ.ꯑꯥꯔ.ꯇꯤ.(ꯀꯥꯔꯗꯤꯌꯦꯛ ꯔꯤꯁꯤꯅꯛꯔꯣꯅꯥꯏꯖꯦꯁꯟ ꯊꯦꯔꯥꯄꯤ) / ꯕꯥꯏꯚꯦꯟꯇꯤꯀꯨꯂꯥꯔ ꯄꯦꯁꯃꯦꯀꯔ: ꯃꯁꯤꯒꯤ ꯈꯨꯠꯂꯥꯌ ꯑꯁꯤꯅꯥ ꯊꯝꯃꯣꯌꯒꯤ ꯂꯦꯃꯍꯧꯔꯤꯕꯥ ꯑꯃꯁꯨꯡ ꯑꯔꯣꯏꯕꯥ ꯆꯦꯝꯕꯔꯒꯤ ꯃꯔꯛꯇꯥ ꯂꯩꯕꯥ ꯏꯃꯕꯦꯂꯦꯟꯁ ꯑꯗꯨ ꯀꯣꯀꯍꯅꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫ ꯃꯁꯤꯅꯥ ꯍꯥꯔꯇꯀꯤ ꯄꯝꯄ ꯇꯧꯕꯒꯤ ꯃꯄꯥꯉ꯭ꯒꯂꯁꯨ ꯐꯒꯠꯍꯜꯂꯤ꯫
• ꯀꯣꯔꯣꯅꯥꯔꯤ ꯑꯥꯔꯇꯦꯔꯤ ꯕꯥꯏꯄꯥꯁ ꯒ꯭ꯔꯥꯐꯇꯤꯡ (CABG) ꯅꯠꯠꯔꯒꯥ ꯁ꯭ꯇꯦꯟꯇꯤꯡꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯑꯦꯟꯖꯤꯑꯣꯞꯂꯥꯁ꯭ꯇꯤ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯀꯣꯔꯣꯅꯥꯔꯤ ꯑꯥꯔꯇꯦꯔꯤꯁꯤꯡ ꯑꯗꯨ ꯕ꯭ꯂꯣꯛ ꯇꯧꯔꯕꯗꯤ ꯂꯥꯏꯌꯦꯡꯕꯤꯌꯨ꯫
• ꯍꯥꯔꯠ ꯚꯜꯌꯨ ꯔꯤꯄꯦꯌꯥꯔ ꯇꯧꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯔꯤꯞꯂꯦꯁꯃꯦꯟꯇ ꯁꯔꯖꯔꯤ ꯇꯧꯕꯥ꯫
• ꯍꯥꯔꯠ ꯇ꯭ꯔꯥꯟꯁꯞꯂꯥꯟꯇ ꯅꯠꯠꯔꯒꯥ LVAD (ꯂꯦꯐꯠ ꯚꯦꯟꯇꯤꯀꯨꯂꯥꯔ ꯑꯦꯁꯤꯁ꯭ꯇꯦꯟꯇ ꯗꯤꯚꯥꯏꯁ): ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯅꯥ ꯁꯣꯀꯍꯜꯂꯕꯥ ꯑꯅꯥꯕꯁꯤꯡꯗꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯌꯥꯝꯅꯥ ꯈꯟꯅꯔꯤꯕꯥ ꯂꯥꯏꯌꯦꯡꯁꯤꯡꯅꯤ꯫

ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤꯒꯤ ꯔꯤꯁ꯭ꯛ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯍꯟꯊꯍꯅꯒꯗꯒꯦ?

ꯃꯈꯣꯌꯅꯥ ꯍꯥꯌꯔꯤ ꯃꯗꯨꯗꯤ ꯂꯥꯌꯦꯡꯕꯗꯒꯤ ꯉꯥꯀꯊꯣꯀꯄꯥ ꯑꯁꯤ ꯍꯦꯟꯅꯥ ꯐꯩ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ, ꯁꯤꯁ꯭ꯇꯣꯂꯤꯛ ꯍꯥꯔꯠ ꯐꯦꯜ ꯑꯣꯏꯔꯀꯄꯒꯤ ꯔꯤꯁ꯭ꯛ ꯂꯩꯍꯟꯗꯅꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯍꯟꯊꯍꯟꯅꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯇꯧꯕꯥ ꯌꯥꯕꯥ ꯊꯕꯛ ꯀꯌꯥ ꯂꯩ꯫ ꯑꯐꯕꯥ ꯍꯀꯁꯦꯂꯒꯤ ꯍꯩꯅꯕꯤꯁꯤꯡ ꯑꯁꯤ ꯃꯔꯨ ꯑꯣꯏ꯫

• ꯆꯥꯡ ꯆꯥꯟꯅꯕꯥ, ꯃꯆꯤ ꯑꯣꯏꯕꯥ ꯆꯤꯟꯖꯥꯛ ꯆꯥꯕꯥ (ꯁꯣꯜꯇ ꯍꯟꯊꯕꯥ, ꯇꯩꯁꯤꯅꯕꯥ ꯍꯟꯊꯕꯥ, ꯎꯍꯩ-ꯋꯥꯍꯩ ꯑꯃꯁꯨꯡ ꯃꯅꯥ-ꯃꯁꯤꯡ ꯍꯦꯟꯅꯥ ꯆꯥꯕꯥ)꯫
• ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯇꯧ꯫
• ꯍꯀꯁꯦꯜ ꯐꯕꯥ ꯑꯔꯨꯝꯕꯥ ꯑꯃꯥ ꯊꯝꯕꯥ꯫
• ꯃꯩꯈꯨ ꯁꯤꯖꯤꯟꯅꯕꯥ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯊꯤꯡꯖꯤꯜꯂꯨ꯫
• ꯌꯨ ꯊꯀꯄꯥ ꯌꯥꯝꯅꯥ ꯍꯟꯊꯍꯅꯕꯥ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯍꯥꯏ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ, ꯗꯥꯏꯑꯦꯕꯦꯇꯤꯖ, ꯅꯠꯠꯔꯒꯥ ꯀꯣꯂꯦꯁ꯭ꯇꯦꯔꯣꯂꯒꯨꯝꯕꯥ ꯃꯦꯗꯤꯀꯦꯜ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ ꯂꯩꯔꯕꯗꯤ ꯃꯗꯨ ꯐꯖꯅꯥ ꯀꯟꯠꯔꯣꯜ ꯇꯧ꯫ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯤ ꯏꯅꯁ꯭ꯠꯔꯛꯁꯅꯁꯤꯡ ꯑꯗꯨ ꯆꯦꯀꯁꯤꯟꯅꯥ ꯏꯅꯒꯗꯕꯅꯤ꯫
• ꯁ꯭ꯠꯔꯦꯁ ꯍꯟꯊꯍꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯃꯇꯤꯛ ꯆꯥꯅꯥ ꯇꯨꯝꯕꯥ꯫

ꯐꯤꯚꯝ ꯑꯁꯤꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯍꯤꯡꯂꯤꯉꯩꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯀꯔꯤ ꯑꯦꯛꯁꯄꯦꯛꯇꯦꯁꯟ ꯂꯩꯕꯥ ꯌꯥꯕꯒꯦ?

ꯁꯤꯁ꯭ꯇꯣꯂꯤꯛ ꯍꯥꯔꯠ ꯐꯦꯜ ꯑꯣꯏꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯀ꯭ꯔꯣꯅꯤꯛ, ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯆꯠꯄꯥ, ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫ ꯃꯁꯤ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯂꯥꯏꯌꯦꯡꯕꯥ ꯉꯃꯗꯕꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯃꯇꯤꯛ ꯆꯥꯕꯥ ꯂꯥꯏꯌꯦꯡ ꯑꯃꯁꯨꯡ ꯄꯨꯟꯁꯤ ꯃꯍꯤꯡꯗꯥ ꯑꯍꯣꯡꯕꯥ ꯄꯨꯔꯀꯄꯅꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯗꯨ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯥ ꯉꯝꯃꯤ ꯑꯃꯁꯨꯡ ꯑꯐꯕꯥ ꯄꯨꯟꯁꯤ ꯑꯃꯥ ꯍꯤꯡꯕꯥ ꯉꯝꯃꯤ꯫

ꯐꯜ ꯑꯁꯤ ꯐꯦꯛꯇꯔ ꯀꯌꯥꯒꯤ ꯃꯈꯥ ꯄꯣꯜꯂꯤ:

• ꯍꯥꯔꯇꯀꯤ ꯂꯥꯌꯅꯥ ꯑꯁꯤ ꯀꯌꯥꯗꯥ ꯁꯥꯊꯤꯕꯒꯦ꯫
• ꯅꯍꯥꯛꯀꯤ ꯑꯄꯨꯅꯕꯥ ꯍꯀꯁꯦꯜ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯑꯇꯩ ꯑꯅꯥꯕꯥ (ꯀꯤꯗꯅꯤꯒꯤ ꯂꯥꯌꯅꯥ, ꯗꯥꯏꯑꯦꯕꯦꯇꯤꯖꯒꯨꯝꯕꯥ) ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ꯫
• ꯂꯥꯏꯌꯦꯡꯕꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯀꯔꯝꯅꯥ ꯔꯦꯁꯄꯣꯟꯁ ꯇꯧꯕꯒꯦ꯫
• ꯃꯁꯤꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯔꯝ ꯀꯔꯤꯅꯣ?

ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯑꯀꯤꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯗꯣꯛꯇꯔꯒꯤ ꯏꯅꯁ꯭ꯠꯔꯛꯁꯅꯁꯤꯡ ꯑꯗꯨ ꯆꯨꯝꯅꯥ ꯉꯥꯛꯅꯥ ꯆꯠꯄꯥ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯄꯨꯟꯁꯤ ꯃꯍꯤꯡ ꯑꯗꯨ ꯆꯨꯃꯊꯣꯀꯄꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫ ꯅꯍꯥꯛꯀꯤ ꯃꯦꯗꯤꯀꯦꯜ ꯇꯤꯃꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯄꯨꯟꯅꯥ ꯊꯕꯛ ꯇꯧꯃꯤꯟꯅꯧ꯫

ꯀꯗꯥꯏꯗꯥ ꯈꯨꯗꯛꯇꯥ ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯃꯇꯦꯡ ꯂꯧꯒꯗꯒꯦ?

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯍꯦꯛꯇꯕꯨ ꯊꯦꯡꯅꯔꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯈꯨꯗꯛꯇꯥ ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯃꯇꯦꯡ ꯂꯧꯒꯗꯕꯅꯤ, ꯍꯥꯌꯕꯗꯤ ꯌꯥꯔꯤꯕꯃꯈꯩ ꯊꯨꯅꯥ :

• ꯈꯪꯍꯧꯗꯅꯥ ꯑꯃꯁꯨꯡ ꯁꯥꯊꯤꯕꯥ ꯆꯦꯛꯁꯤꯟ-ꯊꯧꯔꯥꯡ꯫
• ꯈꯪꯍꯧꯗꯅꯥ ꯑꯃꯁꯨꯡ ꯁꯥꯊꯤꯅꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ꯫
• ꯃꯁꯥ ꯃꯊꯟꯇꯥ ꯋꯥꯈꯜ ꯇꯥꯗꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯌꯥꯝꯅꯥ ꯋꯥꯅꯥ ꯊꯣꯀꯄꯥ꯫
• ꯈꯣꯡ-ꯈꯨꯠ ꯁꯣꯛ-ꯄꯅꯕꯥ, ꯋꯥꯈꯜ ꯆꯔꯥꯡꯅꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ ꯑꯃꯁꯨꯡ ꯊꯝꯃꯣꯌꯒꯤ ꯈꯣꯡꯖꯦꯜ ꯌꯥꯡꯅꯥ ꯅꯠꯠꯔꯒꯥ ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯁꯣꯀꯄꯥ꯫
• ꯈꯣꯡꯗꯥ ꯈꯪꯍꯧꯗꯅꯥ ꯁꯣꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯔꯨꯝꯕꯥ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ꯫

ꯗꯣꯛꯇꯔꯗꯥ ꯀꯔꯤ ꯋꯥꯍꯪ ꯍꯪꯕꯥ ꯌꯥꯕꯒꯦ?

ꯅꯍꯥꯛꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯎꯅꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯅꯍꯥꯛꯀꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯗꯨ ꯍꯦꯟꯅꯥ ꯈꯪꯗꯣꯛꯅꯕꯥ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯋꯥꯍꯪꯁꯤꯡ ꯑꯁꯤ ꯍꯪꯂꯀꯄꯥ ꯌꯥꯏ:

• ꯑꯩꯒꯤ ꯁꯤꯁ꯭ꯇꯣꯂꯤꯛ ꯍꯥꯔꯠ ꯐꯦꯜ ꯑꯣꯏꯕꯒꯤ ꯑꯀꯛꯅꯕꯥ ꯃꯔꯝ ꯀꯔꯤꯅꯣ?
• ꯑꯩꯒꯤ ꯏꯖꯦꯀꯁꯟ ꯐ꯭ꯔꯦꯀꯆꯔ (EF) ꯚꯦꯜꯌꯨ ꯑꯁꯤ ꯀꯔꯤꯅꯣ? ꯃꯁꯤꯒꯤ ꯑꯔꯊ ꯀꯔꯤꯅꯣ?
• ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤꯅꯥ ꯑꯩꯒꯤ ꯑꯇꯩ ꯑꯣꯔꯒꯥꯅꯁꯤꯡ (ꯀꯤꯗꯅꯤ, ꯂꯤꯚꯔꯒꯨꯝꯕꯥ)ꯗꯥ ꯁꯣꯀꯍꯅꯕ꯭ꯔꯥ?
• ꯑꯩꯒꯤꯗꯃꯛꯇꯗꯤ ꯀꯔꯤ ꯂꯥꯏꯌꯦꯡꯁꯤꯡ ꯆꯨꯝꯃꯤ? ꯃꯁꯤꯒꯤ ꯀꯥꯟꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯑꯋꯥꯕꯥ ꯑꯁꯤ ꯀꯔꯤꯅꯣ?
• ꯑꯩꯒꯤ ꯄꯨꯟꯁꯤ ꯃꯍꯤꯡꯗꯥ ꯄꯨꯔꯀꯄꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯑꯍꯣꯡꯕꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?
• ꯑꯩꯅꯥ ꯀꯔꯤ ꯃꯈꯂꯒꯤ ꯆꯤꯟꯖꯥꯛ ꯑꯃꯁꯨꯡ ꯊꯛꯅꯕꯥ ꯏꯁꯤꯡ ꯆꯥꯒꯗꯒꯦ ꯑꯃꯁꯨꯡ ꯀꯔꯤ ꯀꯔꯤꯗꯒꯤ ꯂꯥꯞꯅꯥ ꯂꯩꯒꯗꯒꯦ?
• ꯑꯩꯅꯥ ꯀꯔꯤ ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯇꯧꯕꯥ ꯌꯥꯕꯒꯦ? ꯑꯩꯅꯥ ꯃꯈꯣꯌꯁꯤꯡ ꯑꯁꯤ ꯀꯌꯥ ꯀꯨꯏꯅꯥ ꯇꯧꯒꯗꯒꯦ?
• ꯑꯩꯅꯥ ꯀꯔꯤ ꯇꯧꯔꯣꯏꯗꯒꯦ?
• ꯍꯤꯗꯥꯛ ꯑꯁꯤꯒꯤ ꯑꯣꯏꯊꯣꯀꯄꯥ ꯌꯥꯕꯥ ꯁꯥꯏꯗ ꯏꯐꯦꯛꯇꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ? ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯈꯣꯌ ꯊꯣꯛꯂꯕꯗꯤ ꯑꯩꯅꯥ ꯀꯔꯤ ꯇꯧꯒꯗꯒꯦ?
• ꯑꯩꯅꯥ ꯀꯌꯥꯝ ꯀꯨꯏꯅꯥ ꯆꯦꯛ-ꯑꯄꯀꯤꯗꯃꯛꯇꯥ ꯂꯥꯛꯀꯗꯒꯦ? ꯑꯩꯒꯤ ꯏ.ꯑꯦꯐ.ꯀꯤ ꯁ꯭ꯀꯣꯔ ꯑꯁꯤ ꯀꯗꯥꯏꯗꯥ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯆꯦꯛ ꯇꯧꯒꯅꯤ?
• ꯑꯦꯃꯔꯖꯦꯟꯁꯤ ꯑꯃꯗꯥ ꯑꯩꯅꯥ ꯀꯔꯤ ꯇꯧꯒꯗꯒꯦ?

ꯑꯩꯈꯣꯌꯅꯥ ꯅꯤꯡꯁꯤꯡꯒꯗꯕꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯋꯥꯐꯃꯁꯤꯡ꯫

ꯁꯤꯁ꯭ꯇꯣꯂꯤꯛ ꯍꯥꯔꯠ ꯐꯦꯜ ꯑꯣꯏꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯍꯥꯔꯇꯀꯤ ꯂꯦꯐꯠ ꯚꯦꯟꯇꯤꯂꯦꯇꯔꯅꯥ ꯏ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯄꯝꯄ ꯇꯧꯕꯥ ꯉꯃꯗꯕꯥ ꯁꯥꯊꯤꯕꯥ, ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯆꯠꯄꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯥ ꯍꯦꯛꯇꯥ ꯂꯩꯔꯕꯗꯤ, ꯆꯥꯅꯕꯤꯗꯨꯅꯥ ꯗꯣꯛꯇꯔ ꯑꯃꯒꯥ ꯇꯥꯟꯅꯧ꯫ ꯃꯁꯤ ꯉꯟꯅꯥ ꯈꯉꯂꯕꯗꯤ ꯂꯥꯏꯌꯦꯡꯕꯗꯥ ꯍꯦꯟꯅꯥ ꯂꯥꯌꯕꯥ ꯑꯃꯁꯨꯡ ꯐꯜ ꯍꯦꯟꯅꯥ ꯐꯩ꯫

ꯃꯈꯥ ꯇꯥꯕꯥ ꯃꯔꯝ ꯑꯗꯨ ꯂꯥꯏꯌꯦꯡꯗꯨꯅꯥ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯄꯤꯕꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ ꯂꯧꯗꯨꯅꯥ, ꯑꯃꯁꯨꯡ ꯑꯐꯕꯥ ꯄꯨꯟꯁꯤ ꯃꯍꯤꯡꯒꯤ ꯂꯃꯆꯠ-ꯁꯥꯖꯠꯁꯤꯡ ꯁꯦꯃꯒꯠꯇꯨꯅꯥ, ꯅꯍꯥꯛꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯗꯨ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯕꯥ ꯉꯃꯒꯅꯤ ꯑꯃꯁꯨꯡ ꯍꯀꯁꯦꯜ ꯐꯕꯥ, ꯑꯦꯛꯇꯤꯕ ꯑꯣꯏꯕꯥ ꯑꯃꯁꯨꯡ ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯍꯤꯡꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯒꯅꯤ꯫ ꯂꯥꯡꯇꯛꯅꯒꯅꯨ, ꯃꯄꯥꯉ꯭ꯒꯜ ꯀꯟꯅꯥ ꯂꯩꯌꯨ! ꯑꯗꯣꯝ ꯈꯛꯇꯅꯥ ꯅꯠꯇꯦ, ꯑꯗꯣꯃꯒꯤ ꯗꯣꯛꯇꯔꯁꯤꯡ, ꯏꯃꯨꯡ ꯃꯅꯨꯡ ꯑꯃꯁꯨꯡ ꯃꯔꯨꯞ ꯃꯄꯥꯡꯁꯤꯡ ꯄꯨꯝꯅꯃꯛ ꯑꯗꯣꯃꯒꯤ ꯃꯇꯦꯡ ꯄꯥꯡꯅꯕꯥ ꯂꯩꯔꯤ꯫

` ꯍꯥꯔꯠ ꯑꯦꯇꯦꯛ, ꯁꯤꯁ꯭ꯇꯣꯂꯤꯛ ꯍꯥꯔꯠ ꯐꯦꯜ ꯑꯣꯏꯕꯥ, ꯏꯖꯦꯀꯁꯟ ꯐ꯭ꯔꯦꯀꯆꯔ, ꯍꯥꯔꯠ ꯋꯥꯠꯄꯥ, ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ, ꯈꯣꯡ ꯁꯣꯀꯄꯥ, ꯍꯥꯔꯇꯀꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ꯫