ꯅꯍꯥꯛꯀꯤ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯂꯁꯤꯡ ꯑꯗꯨ ꯈꯪꯍꯧꯗꯅꯥ ꯀꯨꯄꯁꯤꯜꯂꯤꯕ꯭ꯔꯥ? ꯃꯁꯤꯕꯨ (ꯚꯥꯁꯣꯁ꯭ꯄꯥꯁꯝ) ꯍꯥꯌꯅꯥ ꯀꯧꯏ!

ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯁꯔꯨꯛ ꯑꯃꯗꯥ ꯈꯪꯍꯧꯗꯅꯥ, ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯕꯥ ꯋꯥꯈꯜ ꯑꯃꯥ ꯂꯥꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯂꯩꯕ꯭ꯔꯥ? ꯃꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯜ ꯑꯃꯅꯥ ꯈꯪꯍꯧꯗꯅꯥ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫ ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯋꯥꯍꯟꯊꯣꯛꯀꯤ ꯃꯇꯨꯡ ꯏꯟꯅꯥ ꯃꯁꯤꯕꯨ ꯚꯦꯁꯣꯁ꯭ꯄꯥꯖꯝ , ꯅꯠꯠꯔꯒꯥ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯂꯁꯤꯡ ꯁꯣꯟꯊꯕꯥ ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯃꯁꯤ ꯏꯁꯤꯡꯒꯤ ꯄꯥꯏꯞ ꯑꯃꯅꯥ ꯈꯉꯍꯧꯗꯅꯥ ꯊꯣꯡ ꯂꯣꯜꯂꯀꯄꯒꯨꯝꯕꯅꯤ, ꯃꯁꯤꯅꯥ ꯏꯁꯤꯡꯒꯤ ꯈꯣꯡꯆꯠ ꯑꯗꯨ ꯀꯀꯊꯠꯂꯤ꯫ ꯃꯁꯤ ꯈꯪꯖꯤꯅꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ ꯃꯔꯃꯗꯤ ꯃꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯇꯣꯉꯥꯟ-ꯇꯣꯉꯥꯅꯕꯥ ꯃꯐꯝ ꯀꯌꯥꯗꯥ ꯁꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫

ꯃꯁꯤ (Vasospasm) ꯍꯥꯌꯕꯁꯤ ꯇꯁꯦꯡꯅꯥ ꯀꯔꯤꯅꯣ?

ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯚꯦꯁꯣꯁ꯭ꯄꯥꯁꯝ ꯍꯥꯌꯕꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯂꯩꯕꯥ ꯑꯥꯔꯇꯦꯔꯤꯁꯤꯡ, ꯅꯠꯠꯔꯒꯥ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯂꯁꯤꯡꯗꯥ ꯈꯪꯍꯧꯗꯅꯥ ꯑꯃꯁꯨꯡ ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯁꯣꯀꯆꯤꯜꯂꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯁꯣꯟꯊꯔꯀꯄꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯃꯈꯨꯠ ꯑꯗꯨ ꯀꯨꯄꯁꯤꯜꯂꯒꯥ ꯃꯇꯝ ꯈꯔꯒꯤ ꯑꯣꯏꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯃꯈꯨꯠ ꯑꯗꯨ ꯂꯧꯊꯣꯛꯂꯕꯗꯤ ꯀꯔꯤ ꯑꯣꯏꯒꯅꯤ ꯍꯥꯌꯕꯗꯨ ꯈꯟꯗꯨꯅꯥ ꯌꯦꯡꯎ? ꯃꯇꯝ ꯈꯔꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯁꯣꯀꯄꯥ ꯍꯧꯔꯀꯏ, ꯅꯠꯇꯦ? ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯥꯔꯇꯦꯔꯤꯁꯤꯡ ꯑꯗꯨ ꯂꯦꯞꯇꯅꯥ ꯁꯣꯟꯊꯔꯕꯗꯤ ꯃꯗꯨ ꯑꯣꯏꯔꯀꯏ꯫

ꯑꯩꯈꯣꯌꯒꯤ ꯑꯥꯔꯇꯦꯔꯤ ꯋꯥꯂꯁꯤꯡ ꯑꯁꯤ ꯃꯁꯂꯅꯥ ꯁꯦꯝꯕꯅꯤ . ꯃꯁꯂꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯅꯕꯥ ꯂꯦꯞꯇꯅꯥ ꯀꯟꯠꯔꯦꯛꯇ ꯇꯧꯏ ꯑꯃꯁꯨꯡ ꯔꯤꯂꯥꯛꯁ ꯇꯧꯏ꯫ ꯃꯁꯤ ꯅꯣꯔꯃꯦꯂꯅꯤ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯚꯦꯁꯣꯁ꯭ꯄꯥꯖꯝ ꯑꯃꯗꯥ, ꯃꯁꯂꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯑꯃꯁꯨꯡ ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯀꯟꯠꯔꯦꯛꯇ ꯇꯧꯏ . ꯃꯁꯤꯅꯥ ꯑꯥꯔꯇꯦꯔꯤ ꯑꯗꯨꯗꯥ ꯏꯒꯤ ꯈꯣꯡꯖꯦꯜ ꯍꯟꯊꯍꯜꯂꯤ꯫ ꯃꯁꯤꯅꯥ ꯑꯀꯣꯌꯕꯗꯥ ꯂꯩꯕꯥ ꯇꯤꯁꯨꯁꯤꯡꯗꯥ ꯌꯧꯕꯥ ꯑꯣꯛꯁꯤꯖꯦꯅꯒꯤ ꯆꯥꯡ ꯍꯟꯊꯍꯜꯂꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯁꯤ ꯃꯈꯥ ꯆꯠꯊꯔꯕꯗꯤ, ꯑꯥꯔꯇꯦꯔꯤꯒꯤ ꯋꯥꯂꯁꯤꯡꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫

ꯃꯔꯨꯑꯣꯏꯅꯥ, ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯂꯁꯤꯡꯗꯥ ꯑꯦꯕꯅꯣꯔꯃꯦꯂꯤꯇꯤ ꯂꯩꯕꯥ ꯃꯐꯃꯁꯤꯡꯗꯥ, ꯑꯩꯈꯣꯌꯅꯥ ꯃꯈꯣꯌꯕꯨ (endothelial dysfunction) ꯍꯥꯌꯅꯥ ꯀꯧꯏ, (vasospasm) ꯊꯣꯀꯄꯒꯤ ꯆꯥꯡ ꯍꯦꯟꯅꯥ ꯂꯩ꯫

ꯚꯦꯁꯣꯁ꯭ꯄꯥꯁꯝ ꯑꯃꯥ ꯊꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯀꯔꯤ ꯊꯣꯀꯏ?

ꯚꯦꯁꯣꯁ꯭ꯄꯥꯖꯝ ꯑꯃꯥ ꯊꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯑꯥꯔꯇꯦꯔꯤꯁꯤꯡꯒꯤ ꯋꯥꯂꯁꯤꯡꯗꯥ ꯂꯩꯕꯥ ꯁ꯭ꯃꯨꯗ ꯃꯁꯂꯁꯤꯡꯅꯥ ꯀꯟꯠꯔꯦꯛꯇ ꯇꯧꯅꯕꯥ ꯁꯤꯒꯅꯦꯂꯁꯤꯡꯗꯥ ꯍꯦꯟꯅꯥ ꯔꯤꯑꯦꯛꯁꯟ ꯇꯧꯏ꯫ ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯅꯥ, ꯃꯁꯂꯁꯤꯡ ꯑꯁꯤ ꯃꯇꯝ ꯈꯔꯒꯤ ꯑꯣꯏꯅꯥ ꯀꯟꯠꯔꯦꯛꯇ ꯇꯧꯏ꯫ ꯑꯗꯨꯕꯨ ꯚꯦꯁꯣꯁ꯭ꯄꯥꯖꯝ ꯑꯃꯗꯥ, ꯃꯈꯣꯌ ꯑꯁꯤ ꯃꯊꯧ ꯇꯥꯕꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯁꯥꯡꯅꯥ ꯀꯟꯠꯔꯦꯛꯇ ꯇꯧꯏ꯫

(Vasospasm)ꯅꯥ ꯑꯩꯒꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯀꯔꯝꯅꯥ ꯁꯣꯀꯍꯅꯕꯒꯦ?

ꯚꯦꯁꯣꯁ꯭ꯄꯥꯖꯝ ꯑꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯇꯣꯉꯥꯟ-ꯇꯣꯉꯥꯅꯕꯥ ꯑꯥꯔꯇꯦꯔꯤ ꯀꯌꯥꯗꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯏ, ꯑꯗꯨꯕꯨ ꯃꯁꯤ ꯑꯀꯛꯅꯕꯥ ꯃꯐꯝ ꯈꯔꯗꯗꯤ ꯍꯦꯟꯅꯥ ꯀꯃꯟ ꯑꯣꯏ꯫ ꯈꯨꯗꯝ ꯑꯣꯏꯅ:

• ꯀꯣꯔꯣꯅꯥꯔꯤ ꯑꯥꯔꯇꯦꯔꯤꯁꯤꯡ: ꯍꯥꯔꯇꯇꯥ ꯏ ꯄꯤꯔꯤꯕꯥ ꯑꯥꯔꯇꯦꯔꯤꯁꯤꯡꯗꯥ ꯚꯦꯁꯣꯁ꯭ꯄꯥꯖꯝ ꯊꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯃꯁꯤꯕꯨ ꯄ꯭ꯔꯤꯟꯖꯃꯦꯇꯜ ꯑꯦꯅꯖꯥꯏꯅꯥ ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ ꯃꯁꯤꯅꯥ ꯍꯥꯔꯇꯇꯥ ꯏꯒꯤ ꯈꯣꯡꯖꯦꯜ ꯊꯤꯡꯖꯤꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯍꯥꯔꯠ ꯑꯦꯇꯦꯛ ꯑꯃꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯈꯪꯍꯧꯗꯅꯥ, ꯈꯣꯡꯒꯤ ꯃꯐꯝ ꯑꯗꯨꯗꯥ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯅꯥ ꯁꯣꯀꯄꯥ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ ꯍꯥꯌꯅꯥ ꯈꯅꯕꯤꯌꯨ꯫
• ꯁꯦꯔꯤꯕ꯭ꯔꯦꯜ ꯑꯥꯔꯇꯦꯔꯤꯁꯤꯡ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯕ꯭ꯔꯦꯅꯗꯥ ꯏ ꯁꯞꯂꯥꯏ ꯇꯧꯔꯤꯕꯥ ꯑꯥꯔꯇꯦꯔꯤꯁꯤꯡ (vasospasm) ꯊꯣꯛꯂꯕꯗꯤ, ꯕ꯭ꯔꯦꯅꯗꯥ ꯏꯒꯤ ꯈꯣꯡꯖꯦꯜ ꯍꯟꯊꯔꯀꯄꯥ ꯌꯥꯏ, ꯃꯗꯨꯅꯥ ꯕ꯭ꯔꯦꯅꯒꯤ ꯇꯤꯁꯨꯁꯤꯡꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯅꯕꯥ (ꯁꯦꯔꯤꯕ꯭ꯔꯦꯜ ꯏꯅꯐꯦꯛꯁꯟ) , ꯕ꯭ꯔꯦꯅꯗꯥ ``ꯍꯥꯔꯠ ꯑꯦꯇꯦꯛ''ꯒꯥ ꯃꯥꯟꯅꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫ ꯃꯁꯤꯅꯥ ꯋꯥ ꯉꯥꯡꯕꯗꯥ ꯑꯋꯥꯕꯥ ꯑꯃꯁꯨꯡ ꯂꯤꯝꯐ ꯐꯉ꯭ꯀꯁꯟ ꯃꯥꯡꯍꯅꯕꯥ ꯌꯥꯏ꯫
• ꯈꯣꯡ ꯑꯃꯁꯨꯡ ꯈꯣꯡꯗꯥ ꯂꯩꯕꯥ ꯑꯥꯔꯇꯦꯔꯤꯁꯤꯡ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯈꯣꯡꯗꯥ ꯚꯦꯁꯣꯁ꯭ꯄꯥꯁꯝ (vasospasm) ꯊꯣꯛꯂꯕꯗꯤ, ꯃꯈꯨꯠꯁꯤꯡ ꯑꯗꯨ ꯁꯣꯟꯊꯕꯥ, ꯁꯣꯟꯊꯕꯥ ꯑꯃꯁꯨꯡ ꯃꯆꯨ ꯁꯪꯂꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯐꯤꯚꯝ ꯑꯃꯅꯤ꯫
• ꯅꯤꯄꯜ ꯚꯦꯁꯣꯁ꯭ꯄꯥꯖꯝ (Nipple Vasospasm): ꯀꯔꯤꯒꯨꯝꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯈꯣꯝꯂꯥꯡ ꯄꯤꯊꯀꯄꯥ ꯃꯃꯥꯁꯤꯡꯗꯥ ꯊꯣꯛꯂꯕꯗꯤ, ꯈꯣꯝꯂꯥꯡ ꯄꯤꯊꯀꯄꯥ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯁꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫

ꯚꯦꯁꯣꯁ꯭ꯄꯥꯖꯝ ꯑꯁꯤ ꯀꯌꯥꯝ ꯀꯃꯟ ꯑꯣꯏꯕꯒꯦ?

ꯁ꯭ꯇꯗꯤ ꯈꯔꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ, ꯈꯣꯝꯂꯥꯡ ꯄꯤꯊꯀꯄꯥ ꯃꯃꯥꯁꯤꯡꯒꯤ 20% ꯐꯥꯎꯕꯗꯤ ꯃꯈꯣꯌꯒꯤ ꯁꯉ꯭ꯒꯣꯃꯒꯤ ꯈꯣꯡꯖꯦꯂꯗꯥ ꯚꯦꯁꯣꯁ꯭ꯄꯥꯖꯝ (vasospasm) ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯗꯁꯨ ꯅꯠꯇꯅꯥ, ꯕ꯭ꯔꯦꯅꯗꯥ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯜ ꯁꯣꯀꯄꯥ (aneurysm)ꯒꯨꯝꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯥ ꯊꯦꯡꯅꯔꯤꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ 50% ꯑꯃꯁꯨꯡ 90% ꯒꯤ ꯃꯔꯛꯇꯥꯗꯤ ꯚꯦꯁꯣꯁ꯭ꯄꯥꯖꯝ ꯂꯥꯀꯄꯒꯤ ꯔꯤꯁ꯭ꯛ ꯂꯩ꯫

ꯚꯦꯁꯣꯁ꯭ꯄꯥꯖꯃꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?

ꯚꯦꯁꯣꯁ꯭ꯄꯥꯁꯝ ꯑꯁꯤ ꯀꯗꯥꯏꯗꯥ ꯂꯩꯕꯒꯦ ꯍꯥꯌꯕꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯈꯦꯠꯅꯩ꯫ ꯃꯁꯤ ꯀꯔꯝꯅꯥ ꯊꯕꯛ ꯇꯧꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯁꯤ꯫

ꯀꯣꯔꯣꯅꯥꯔꯤ ꯚꯦꯁꯣꯁ꯭ꯄꯥꯖꯃꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ꯫

ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯑꯌꯥꯝꯕꯅꯥ ꯅꯨꯡꯉꯥꯏꯅꯥ ꯂꯩꯕꯥ ꯃꯇꯃꯗꯥ, ꯑꯌꯨꯛ-ꯅꯨꯡꯊꯤꯂꯗꯥ, ꯑꯌꯨꯛ-ꯅꯨꯡꯊꯤꯂꯗꯥ ꯑꯃꯁꯨꯡ ꯑꯀꯅꯕꯥ ꯅꯣꯡꯖꯨ-ꯅꯨꯡꯁꯥꯗꯥ ꯁꯣꯀꯍꯜꯂꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯊꯣꯀꯏ . ꯔꯤꯁꯔꯆ ꯈꯔꯅꯥ ꯃꯈꯣꯌ ꯑꯁꯤ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯑꯃꯁꯨꯡ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯋꯥꯈꯂꯒꯤ ꯐꯤꯚꯃꯁꯤꯡꯒꯥꯁꯨ ꯃꯔꯤ ꯂꯩꯅꯩ ꯍꯥꯌꯕꯥ ꯎꯠꯂꯦ .

ꯃꯔꯨꯑꯣꯏꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡꯗꯤ:

• ꯀꯥꯔꯗꯤꯌꯦꯛ ꯑꯦꯔꯦꯁ꯭ꯠ ꯅꯠꯠꯔꯒꯥ ꯑꯦꯕꯣꯔꯁꯟ ꯇꯧꯔꯕꯥ ꯈꯪꯍꯧꯗꯅꯥ ꯀꯥꯔꯗꯤꯌꯦꯛ ꯁꯤꯕꯥ꯫
• ꯃꯁꯥ ꯃꯊꯟꯇꯥ ꯋꯥꯈꯜ ꯇꯥꯗꯕꯥ꯫
• ꯁ꯭ꯇꯦꯕꯜ ꯑꯦꯅꯖꯥꯏꯅꯥ: ꯃꯁꯤꯅꯥ ꯃꯔꯨꯑꯣꯏꯅꯥ ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯇꯧꯕꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯆꯦꯛꯁꯤꯟꯅꯥ ꯅꯥꯕꯥ ꯍꯥꯌꯕꯁꯤꯕꯨ ꯈꯪꯅꯩ꯫
• ꯑꯦꯛꯌꯨꯠ ꯀꯣꯔꯣꯅꯥꯔꯤ ꯁꯤꯟꯗ꯭ꯔꯣꯝ (acute coronary syndrome): ꯃꯁꯤ ꯍꯥꯔꯠ ꯑꯦꯇꯦꯛ ꯅꯠꯠꯔꯒꯥ ꯑꯅꯁ꯭ꯇꯦꯕꯜ ꯑꯦꯅꯖꯥꯏꯅꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫

ꯁꯦꯔꯤꯕ꯭ꯔꯦꯜ ꯚꯦꯁꯣꯁ꯭ꯄꯥꯖꯃꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ꯫

ꯕ꯭ꯔꯦꯅꯗꯥ ꯚꯦꯁꯣꯁ꯭ꯄꯥꯖꯃꯅꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ:

• ꯁꯦꯀꯦꯟꯗ ꯈꯔꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯍꯦꯟꯅꯥ ꯁꯣꯀꯆꯤꯜꯂꯀꯄꯥ ꯈꯪꯍꯧꯗꯅꯥ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯃꯀꯣꯛ ꯊꯣꯡꯕꯥ ꯑꯃꯥ꯫
• ꯌꯥꯝꯅꯥ ꯇꯨꯝꯕꯥ ꯌꯥꯗꯕꯥ꯫
• ꯐꯤꯜꯂꯤꯡ ꯃꯥꯡꯈꯤꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯃꯈꯨꯠ, ꯈꯣꯡ ꯅꯠꯠꯔꯒꯥ ꯍꯀꯆꯥꯡꯒꯤ ꯅꯥꯀꯜ ꯑꯃꯗꯥ ꯆꯠꯊꯣꯛ-ꯆꯠꯁꯤꯟ ꯇꯧꯕꯥ ꯉꯃꯗꯕꯥ꯫

ꯈꯨꯠ ꯅꯠꯠꯔꯒꯥ ꯈꯣꯡꯗꯥ ꯚꯦꯁꯣꯁ꯭ꯄꯥꯖꯃꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯨꯠꯁꯥ, ꯈꯣꯡ ꯅꯠꯠꯔꯒꯥ ꯈꯣꯡꯗꯥ ꯚꯦꯁꯣꯁ꯭ꯄꯥꯁꯝ ꯑꯃꯥ ꯂꯩꯔꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯎꯕꯥ ꯐꯪꯒꯅꯤ:

• ꯀꯣꯜꯗ ꯅꯠꯠꯔꯒꯥ ꯅꯤꯡꯊꯤꯅꯥ ꯁꯣꯀꯄꯥ ꯐꯤꯉ꯭ꯒꯔꯁꯤꯡ꯫
• ꯈꯣꯡꯒꯤ ꯃꯆꯨ ꯍꯣꯡꯂꯀꯄꯥ (ꯑꯉꯧꯕꯥ, ꯅꯤꯜ, ꯂꯥꯂꯍꯧꯕꯥ)꯫
• ꯈꯣꯡꯗꯥ ꯊꯨꯃꯖꯤꯅꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯇꯤꯟ ꯁꯤꯠꯄꯥ (throbbing or tingling sensation) ꯂꯩꯕꯥ꯫

ꯈꯣꯝꯂꯥꯡ ꯄꯤꯊꯀꯄꯥ ꯃꯃꯥꯁꯤꯡꯗꯥ ꯅꯤꯄꯜ ꯚꯦꯁꯣꯁ꯭ꯄꯥꯖꯃꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯈꯣꯝꯂꯥꯡ ꯄꯤꯊꯀꯄꯥ ꯃꯃꯥ ꯑꯃꯅꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯊꯦꯡꯅꯔꯕꯗꯤ, ꯃꯍꯥꯛꯅꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯊꯦꯡꯅꯔꯀꯄꯥ ꯌꯥꯏ:

• ꯕ꯭ꯔꯦꯅꯗꯥ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯅꯥ ꯁꯣꯀꯄꯥ .
• ꯕ꯭ꯔꯦꯁ꯭ꯠ ꯃꯤꯜꯀ ꯗꯛꯇꯀꯤ ꯃꯆꯨꯗꯥ ꯑꯍꯣꯡꯕꯥ ꯂꯥꯀꯄꯥ (ꯃꯌꯥꯏ ꯑꯣꯏꯕꯥ, ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯂꯥꯂꯍꯧꯕꯥ, ꯅꯤꯜ ꯅꯠꯠꯔꯒꯥ ꯃꯆꯨ ꯃꯆꯨꯒꯤ ꯑꯣꯏꯕꯥ)꯫

ꯚꯦꯁꯣꯁ꯭ꯄꯥꯖꯃꯒꯤ ꯃꯔꯃꯁꯤꯡ ꯀꯔꯤꯅꯣ?

ꯍꯀꯆꯥꯡꯒꯤ ꯇꯣꯉꯥꯟ-ꯇꯣꯉꯥꯅꯕꯥ ꯃꯐꯃꯁꯤꯡꯗꯥ ꯚꯦꯁꯣꯁ꯭ꯄꯥꯖꯃꯒꯤ ꯇꯣꯉꯥꯟ-ꯇꯣꯉꯥꯅꯕꯥ ꯃꯔꯃꯁꯤꯡ ꯂꯩ꯫

ꯍꯥꯔꯇꯇꯥ ꯚꯦꯁꯣꯁ꯭ꯄꯥꯖꯃꯒꯤ ꯃꯔꯃꯁꯤꯡ꯫

ꯃꯁꯤꯒꯤ ꯑꯆꯨꯝꯕꯥ ꯃꯔꯃꯁꯤꯡ ꯑꯁꯤ ꯈꯪꯗꯕꯁꯨ, ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤꯒꯥ ꯃꯔꯤ ꯂꯩꯅꯕꯥ ꯋꯥꯐꯝ ꯈꯔꯗꯤ ꯂꯩ:

• ꯁꯦꯔꯣꯇꯣꯅꯤꯟ ꯀꯧꯕꯥ ꯀꯦꯃꯤꯀꯦꯜ ꯑꯁꯤꯅꯥ .
• ꯑꯦꯟꯇꯤ-ꯀꯦꯟꯁꯔ ꯂꯥꯌꯦꯡ (ꯀꯦꯃꯣꯊꯦꯔꯥꯄꯤ)꯫
• ꯀꯣꯀꯦꯟ, ꯑꯦꯝꯐꯦꯇꯥꯃꯤꯟ, ꯅꯠꯠꯔꯒꯥ ꯀꯦꯅꯥꯕꯤꯁꯒꯨꯝꯕꯥ ꯗ꯭ꯔꯒꯁꯤꯡ ꯁꯤꯖꯤꯟꯅꯕꯥ .
• ꯖꯦꯅꯦꯇꯤꯛ ꯃ꯭ꯌꯨꯇꯦꯁꯅꯁꯤꯡ꯫
• ꯄꯣꯝꯈꯠꯄ.
• ꯃꯥꯏꯒ꯭ꯔꯦꯟ ꯂꯩꯕꯥ꯫

ꯕ꯭ꯔꯦꯅꯗꯥ ꯚꯦꯁꯣꯁ꯭ꯄꯥꯖꯃꯒꯤ ꯃꯔꯃꯁꯤꯡ꯫

ꯕ꯭ꯔꯦꯅꯗꯥ ꯚꯦꯁꯣꯁ꯭ꯄꯥꯖꯝ (Vasospasm) ꯑꯁꯤ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯁꯤꯡꯁꯤꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ:

• ꯕ꯭ꯔꯦꯟ ꯑꯦꯅꯤꯎꯔꯤꯖꯝ ꯑꯃꯥ (ruptured brain aneurysm) ꯑꯃꯥ꯫
• ꯕ꯭ꯔꯦꯅꯒꯤ ꯑꯀꯣꯌꯕꯗꯥ ꯏ ꯊꯣꯀꯄꯒꯤ ꯑꯇꯩ ꯃꯔꯃꯁꯤꯡ꯫
• ꯚꯦꯁꯣꯑꯦꯛꯇꯤꯚ ꯄꯣꯠꯁꯀꯁꯤꯡ ꯅꯠꯠꯔꯒꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡꯗꯥ ꯑꯦꯛꯁꯄꯣꯖ ꯇꯧꯕꯥ꯫
• ꯕ꯭ꯔꯦꯅꯒꯤ ꯑꯀꯣꯌꯕꯗꯥ ꯏ ꯊꯣꯀꯄꯥ (Subarachnoid blood clot)꯫

ꯈꯨꯠ ꯅꯠꯠꯔꯒꯥ ꯈꯣꯡꯗꯥ ꯚꯦꯁꯣꯁ꯭ꯄꯥꯖꯃꯒꯤ ꯃꯔꯃꯁꯤꯡ꯫

ꯃꯁꯤꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯔꯃꯁꯤꯡꯗꯤ:

• ꯔꯦꯅꯎꯗꯀꯤ ꯐꯤꯚꯝ: ꯃꯁꯤꯗꯥ, ꯀꯣꯜꯗ ꯅꯠꯠꯔꯒꯥ ꯁ꯭ꯠꯔꯦꯁ ꯂꯩꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯈꯣꯡꯗꯥ ꯏꯒꯤ ꯈꯣꯡꯖꯦꯜ ꯁꯣꯀꯍꯜꯂꯤ꯫
• ꯁ꯭ꯛꯂꯦꯔꯣꯗꯥꯔꯃꯥ (Scleroderma): ꯃꯁꯤ ꯈꯣꯡ ꯍꯥꯝꯂꯕꯥ ꯑꯃꯁꯨꯡ ꯆꯤꯀꯄꯥ ꯊꯣꯀꯍꯜꯂꯤꯕꯥ ꯂꯥꯌꯅꯥ ꯑꯃꯅꯤ꯫
• ꯑꯦꯊꯦꯔꯣꯁ꯭ꯀꯂꯦꯔꯣꯁꯤꯁ (Atherosclerosis): ꯑꯥꯔꯇꯦꯔꯤꯒꯤ ꯋꯥꯂꯁꯤꯡꯗꯥ ꯐꯦꯇꯤ ꯗꯤꯄꯣꯖꯤꯇꯁꯤꯡ ꯂꯩꯕꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯑꯥꯔꯇꯦꯔꯤꯁꯤꯡ (arteries) ꯁꯣꯟꯊꯕꯥ꯫
• ꯏ ꯊꯣꯀꯄꯥ꯫

ꯈꯣꯝꯂꯥꯡ ꯄꯤꯊꯀꯄꯥ ꯃꯃꯥꯁꯤꯡꯗꯥ ꯈꯣꯝꯂꯥꯡ ꯄꯤꯊꯛꯂꯤꯕꯥ ꯃꯃꯥꯁꯤꯡꯗꯥ ꯚꯦꯁꯣꯁ꯭ꯄꯥꯖꯃꯒꯤ ꯃꯔꯃꯁꯤꯡ꯫

ꯃꯁꯤꯗꯥ ꯁꯣꯀꯍꯅꯕꯥ ꯌꯥꯕꯥ ꯃꯔꯝ ꯀꯌꯥ ꯂꯩꯔꯤ:

• ꯔꯦꯌꯅꯥꯎꯗꯀꯤ ꯐꯤꯚꯝ꯫
• ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛ ꯈꯔꯗꯤ꯫
• ꯕ꯭ꯔꯦꯁ꯭ꯠ ꯁꯔꯖꯔꯤ ꯇꯧꯔꯕꯥ꯫
• ꯑꯣꯇꯣꯏꯝꯌꯨꯟ ꯂꯥꯌꯅꯥꯁꯤꯡ꯫
• ꯀꯣꯜꯗꯇꯥ ꯑꯦꯛꯁꯄꯣꯖ ꯇꯧꯕꯥ꯫
• ꯑꯉꯥꯡ ꯑꯗꯨꯅꯥ ꯊꯀꯄꯥ ꯂꯣꯌꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯈꯨꯗꯛꯇꯥ ꯑꯉꯥꯡ ꯑꯗꯨꯕꯨ ꯂꯦꯡ-ꯑꯣꯠꯄꯥ꯫
• ꯇꯣꯄꯤꯀꯦꯜ ꯑꯦꯟꯇꯤꯐꯉ꯭ꯒꯦꯂꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯑꯦ.ꯄꯤ.ꯑꯦꯟ.ꯑꯣ.
• ꯑꯉꯥꯡ ꯑꯗꯨꯅꯥ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯊꯀꯄꯥ ꯉꯃꯗꯕꯅꯥ ꯅꯠꯠꯔꯒꯥ ꯕ꯭ꯔꯦꯁ꯭ꯠ ꯄꯝꯄ ꯑꯃꯥ ꯁꯤꯖꯤꯟꯅꯕꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯈꯣꯝꯂꯥꯡꯒꯤ ꯁꯉ꯭ꯒꯣꯃꯒꯤ ꯗꯛꯇꯁꯤꯡꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯄꯥ꯫
• ꯊꯛꯅꯕꯥ ꯏꯁꯤꯡ ꯁꯤꯖꯤꯟꯅꯕꯥ꯫
• ꯃꯁꯛ ꯈꯪꯗꯣꯛꯂꯕꯥ ꯃꯔꯃꯁꯤꯡ꯫

(Vasospasm) ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯈꯪꯗꯣꯀꯄꯥ ꯌꯥꯕꯒꯦ?

ꯗꯣꯛꯇꯔ ꯑꯃꯅꯥ ꯐꯤꯖꯤꯀꯦꯜ ꯑꯦꯀꯖꯥꯃꯤꯅꯦꯁꯟ ꯇꯧꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯗꯥꯏꯑꯦꯒ꯭ꯅꯣꯁꯤꯁꯀꯤꯗꯃꯛꯇꯥ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯑꯁꯤꯁꯨ ꯇꯧꯕꯥ ꯌꯥꯏ:

• ꯏ.ꯁꯤ.ꯖꯤ.(ꯏꯂꯦꯛꯠꯔꯣꯀꯥꯔꯗꯤꯑꯣꯒ꯭ꯔꯥꯝ - ꯏ.ꯀꯦ.ꯖꯤ.): ꯍꯥꯔꯇꯀꯤ ꯏꯂꯦꯛꯠꯔꯤꯀꯦꯜ ꯑꯦꯛꯇꯤꯚꯤꯇꯤ ꯌꯦꯡꯎ꯫
• ꯑꯦꯟꯖꯤꯑꯣꯒ꯭ꯔꯥꯝ: ꯍꯥꯔꯇꯀꯤ ꯑꯥꯔꯇꯦꯔꯤꯁꯤꯡꯗꯥ ꯗ꯭ꯔꯒ ꯑꯃꯥ ꯏꯅꯖꯦꯀꯁꯟ ꯇꯧꯗꯨꯅꯥ ꯚꯦꯁꯣꯁ꯭ꯄꯥꯖꯝ ꯊꯣꯀꯍꯅꯕꯥ ꯇꯦꯁ꯭ꯠ ꯑꯃꯅꯤ꯫
• ꯄꯣꯖꯤꯠꯔꯣꯟ ꯏꯃꯤꯁꯟ ꯇꯣꯃꯣꯒ꯭ꯔꯥꯐꯤ (ꯄꯤ.ꯏ.ꯇꯤ.) ꯁ꯭ꯀꯦꯟ ꯇꯧꯕꯥ꯫
• ꯁꯤ.ꯇꯤ.ꯁ꯭ꯀꯦꯟ (ꯀꯝꯞꯌꯨꯇꯦꯗ ꯇꯣꯃꯣꯒ꯭ꯔꯥꯐꯤ - ꯁꯤ.ꯇꯤ.)꯫
• ꯑꯦꯝ.ꯑꯥꯔ.ꯑꯥꯏ.ꯒꯤ ꯁ꯭ꯀꯦꯟ (ꯃꯦꯒ꯭ꯅꯦꯇꯤꯛ ꯔꯤꯖꯣꯅꯦꯟꯁ ꯏꯃꯦꯖꯤꯡ - ꯑꯦꯝ.ꯑꯥꯔ.ꯑꯥꯏ.)꯫
• ꯏꯀꯣꯀꯥꯔꯗꯤꯑꯣꯒ꯭ꯔꯥꯐ: ꯍꯥꯔꯇꯀꯤ ꯑꯂꯠꯔꯥꯁꯥꯎꯟꯗ ꯑꯦꯀꯖꯥꯃꯤꯅꯦꯁꯟ ꯑꯃꯅꯤ꯫

(Vasospasm)ꯒꯤ ꯂꯥꯏꯌꯦꯡꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?

ꯚꯦꯁꯣꯁ꯭ꯄꯥꯁꯝ ꯑꯁꯤ ꯀꯗꯥꯏꯗꯥ ꯊꯣꯛꯀꯗꯒꯦ ꯍꯥꯌꯕꯒꯤ ꯃꯇꯨꯡ ꯏꯟꯅꯥ ꯂꯥꯏꯌꯦꯡ ꯑꯁꯤ ꯈꯦꯠꯅꯩ꯫

ꯍꯥꯔꯠ ꯑꯥꯔꯇꯦꯔꯤꯁꯤꯡꯒꯤ ꯚꯦꯁꯣꯁ꯭ꯄꯥꯖꯃꯒꯤ ꯂꯥꯏꯌꯦꯡ꯫

• ꯀꯦꯂꯁꯤꯌꯝ ꯆꯦꯅꯦꯜ ꯕ꯭ꯂꯣꯀꯔꯁꯤꯡꯒꯤ ꯀꯥꯡꯂꯨꯄꯇꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ ꯂꯧꯕꯥ꯫
• ꯅꯥꯏꯠꯔꯣꯖꯦꯟ ꯀꯥꯡꯂꯨꯄꯇꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ ꯂꯧꯕꯥ꯫
• ꯑꯔꯨꯝꯕꯥ ꯍꯟꯊꯕꯥ꯫
• ꯗ꯭ꯔꯒ ꯑꯃꯁꯨꯡ ꯊꯛꯅꯕꯥ ꯏꯁꯤꯡ ꯁꯤꯖꯤꯟꯅꯕꯥ ꯊꯤꯡꯕꯥ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯚꯦꯟꯇꯤꯀꯨꯂꯥꯔ ꯇꯦꯀꯤꯀꯥꯔꯗꯤꯌꯥꯒꯨꯝꯕꯥ ꯍꯥꯔꯇꯀꯤ ꯔꯤꯗꯝ ꯑꯥꯏꯔꯦꯒꯨꯂꯦꯇꯔꯤ ꯂꯩꯔꯕꯗꯤ, ꯏꯃꯞꯂꯥꯟꯇ ꯇꯧꯕꯥ ꯌꯥꯕꯥ ꯀꯥꯔꯗꯤꯑꯣꯚꯥꯔꯇꯔ ꯗꯤꯐꯤꯕ꯭ꯔꯤꯂꯦꯇꯔ (ICD) ꯀꯧꯕꯥ ꯗꯤꯚꯥꯏꯁ ꯑꯃꯥ ꯏꯅꯁ꯭ꯇꯣꯜ ꯇꯧꯕꯥ꯫

ꯕ꯭ꯔꯦꯅꯗꯥ ꯚꯦꯁꯣꯁ꯭ꯄꯥꯖꯃꯒꯤ ꯂꯥꯏꯌꯦꯡ꯫

• ꯐ꯭ꯂꯨꯏꯗ ꯍꯦꯟꯅꯥ ꯊꯀꯄꯥ꯫
• ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ (ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯄꯥꯎꯇꯥꯛ ꯃꯇꯨꯡꯏꯟꯅꯥ)꯫
• ꯚꯦꯁꯣꯁ꯭ꯄꯥꯖꯃꯒꯤ ꯃꯔꯝ ꯑꯗꯨ ꯂꯧꯊꯣꯀꯄꯥ꯫
• ꯚꯦꯔꯥꯄꯥꯃꯤꯜ ꯅꯠꯠꯔꯒꯥ ꯅꯤꯃꯣꯗꯤꯄꯤꯅꯒꯨꯝꯕꯥ ꯍꯤꯗꯥꯀꯁꯤꯡ ꯑꯁꯤ ꯚꯦꯅꯝ ꯑꯃꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ (ꯏꯟꯠꯔꯥꯚꯦꯅꯁ - IV) ꯄꯤꯕꯥ꯫ ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯚꯦꯁꯣꯗꯤꯂꯦꯇꯔꯁꯤꯡꯅꯤ꯫
• ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯊꯧ ꯇꯥꯔꯕꯗꯤ, ꯏꯟꯠꯔꯥ-ꯑꯥꯔꯇꯦꯔꯤꯑꯦꯜ ꯗꯤꯂꯦꯇꯔ ꯃꯦꯗꯤꯀꯦꯁꯟ ꯄꯤꯕꯥ ꯌꯥꯏ꯫

ꯈꯨꯠ ꯅꯠꯠꯔꯒꯥ ꯈꯣꯡꯗꯥ ꯚꯦꯁꯣꯁ꯭ꯄꯥꯖꯃꯒꯤ ꯂꯥꯏꯌꯦꯡ꯫

• ꯁꯣꯀꯁ, ꯃꯤꯇꯩ ꯑꯃꯁꯨꯡ ꯑꯇꯩ ꯑꯁꯥꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ ꯁꯤꯖꯤꯟꯅꯕꯥ꯫
• ꯊꯛꯅꯕꯥ ꯏꯁꯤꯡ ꯁꯤꯖꯤꯟꯅꯕꯗꯒꯤ ꯂꯥꯞꯅꯥ ꯂꯩꯕꯥ꯫
• ꯀꯦꯂꯁꯤꯌꯝ ꯆꯦꯅꯦꯜ ꯕ꯭ꯂꯣꯀꯔꯁꯤꯡꯒꯤ ꯀꯥꯡꯂꯨꯄꯇꯒꯤ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ ꯂꯧꯕꯥ, ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ ꯐꯦꯂꯣꯗꯤꯄꯤꯟ ꯅꯠꯠꯔꯒꯥ ꯑꯦꯝꯂꯣꯗꯤꯄꯤꯟ (Norvasc® ꯅꯠꯠꯔꯒꯥ Katerzia®)꯫
• ꯁꯔꯖꯔꯤ ꯇꯧꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯕꯣꯇꯨꯂꯤꯅꯝ ꯇꯣꯛꯁꯤꯟ ꯏꯅꯖꯦꯀꯁꯟ ꯑꯃꯥ ꯂꯧꯕꯥ꯫

ꯃꯦꯃꯦꯔꯤ ꯒ꯭ꯜꯌꯥꯟꯗꯁꯤꯡꯗꯥ ꯚꯦꯁꯣꯁ꯭ꯄꯥꯖꯃꯒꯤ ꯂꯥꯏꯌꯦꯡ꯫

• ꯈꯣꯝꯂꯥꯡꯒꯤ ꯁꯉ꯭ꯒꯣꯃꯒꯤ ꯏꯁꯤꯡ ꯇꯨꯡꯁꯤꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯊꯤꯡꯖꯤꯅꯕꯥ꯫
• ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯂꯁꯤꯡ ꯁꯣꯟꯊꯍꯅꯕꯥ ꯌꯥꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ, ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯃꯩꯈꯨ ꯊꯥꯗꯣꯀꯄꯥ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯊꯛꯇꯥ ꯄꯅꯈ꯭ꯔꯤꯕꯥ ꯃꯦꯊꯗꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯗꯨ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯗ꯭ꯔꯕꯗꯤ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯅꯤꯐꯦꯗꯤꯄꯤꯟ (Nifedical®XL ꯅꯠꯠꯔꯒꯥ Procardia®XL) ꯀꯧꯕꯥ ꯀꯦꯂꯁꯤꯌꯝ ꯆꯦꯅꯦꯜ ꯕ꯭ꯂꯣꯀꯔ ꯑꯃꯥ ꯅꯠꯠꯔꯒꯥ ꯁꯦꯂꯦꯛꯇꯤꯚ ꯁꯦꯔꯣꯇꯣꯅꯤꯟ ꯔꯤꯌꯨꯄꯇꯦꯛ ꯏꯅꯍꯤꯕꯤꯇꯔ (SSRI) ꯑꯃꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯏ꯫

ꯂꯥꯏꯌꯦꯡ ꯑꯁꯤꯒꯤ ꯁꯥꯏꯗ ꯏꯐꯦꯛꯇꯁꯤꯡ ꯂꯩꯕ꯭ꯔꯥ?

ꯚꯦꯁꯣꯁ꯭ꯄꯥꯖꯃꯒꯤꯗꯃꯛꯇꯥ ꯁꯤꯖꯤꯟꯅꯔꯤꯕꯥ ꯍꯤꯗꯥꯛ ꯈꯔꯗꯤ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯁꯥꯏꯗ ꯏꯐꯦꯛꯇꯁꯤꯡ ꯑꯁꯤ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ:

• ꯀꯣꯛ ꯆꯤꯛꯄ.
• ꯈꯣꯡꯗꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯄꯥ꯫
• ꯃꯃꯤꯠ ꯇꯥꯡꯕꯥ꯫
• ꯂꯥꯏꯠꯍꯦꯗꯅꯦꯁ .
• ꯂꯥꯏꯑꯣꯡꯁꯤꯡ (seizures) - ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯇꯣꯏꯅꯥ ꯊꯣꯀꯏ꯫

ꯚꯦꯁꯣꯁ꯭ꯄꯥꯖꯃꯒꯤ ꯔꯤꯁ꯭ꯛ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯍꯟꯊꯍꯅꯒꯅꯤ?

ꯚꯦꯁꯣꯁ꯭ꯄꯥꯖꯃꯒꯤ ꯔꯤꯁ꯭ꯛ ꯍꯟꯊꯍꯟꯅꯕꯒꯤ ꯃꯑꯣꯡ ꯈꯔꯗꯤ ꯇꯁꯦꯡꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯥꯔꯠ ꯑꯃꯁꯨꯡ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯂꯁꯤꯡꯒꯤ ꯑꯄꯨꯅꯕꯥ ꯍꯀꯁꯦꯂꯒꯤꯗꯃꯛ (ꯀꯥꯔꯗꯤꯑꯣꯚꯥꯁ꯭ꯀꯨꯂꯥꯔ) ꯑꯐꯕꯥ ꯑꯣꯏ꯫

• ꯇꯝꯕꯥ ꯉꯃꯗꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ ꯁꯤꯖꯤꯟꯅꯒꯅꯨ꯫
• ꯅꯍꯥꯛꯀꯤ ꯀꯣꯂꯦꯁ꯭ꯇꯦꯔꯣꯂꯒꯤ ꯆꯥꯡ ꯑꯗꯨ ꯅꯣꯔꯃꯦꯜ ꯔꯦꯟꯖꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯊꯝꯃꯨ꯫
• ꯌꯨ ꯊꯀꯄꯥ ꯌꯥꯝꯅꯥ ꯍꯟꯊꯍꯅꯕꯥ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯇꯥꯏꯞ 2 ꯗꯥꯏꯑꯦꯕꯦꯇꯤꯖ ꯂꯩꯔꯕꯗꯤ ꯃꯗꯨ ꯐꯖꯅꯥ ꯀꯟꯠꯔꯣꯜ ꯇꯧ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯍꯥꯏ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ ꯂꯩꯔꯕꯗꯤ ꯃꯗꯨ ꯀꯟꯠꯔꯣꯜ ꯇꯧ꯫
• ꯀꯣꯀꯦꯅꯒꯨꯝꯕꯥ ꯗ꯭ꯔꯒꯁꯤꯡ ꯁꯤꯖꯤꯟꯅꯔꯣꯏꯗꯕꯅꯤ꯫

(Vasospasm) ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯊꯤꯡꯒꯗꯒꯦ?

ꯃꯔꯨꯑꯣꯏꯅꯥ ꯕ꯭ꯔꯦꯅꯗꯥ ꯚꯦꯁꯣꯁ꯭ꯄꯥꯖꯝ ꯊꯤꯡꯅꯕꯥ ꯗꯣꯛꯇꯔ ꯑꯃꯅꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯊꯕꯀꯁꯤꯡ ꯑꯁꯤ ꯇꯧꯕꯥ ꯌꯥꯏ:

• ꯅꯍꯥꯛꯅꯥ ꯂꯧꯔꯤꯕꯥ ꯍꯤꯗꯥꯀꯁꯤꯡꯒꯤ ꯂꯤꯁ꯭ꯠ ꯑꯗꯨ ꯌꯦꯡꯎ ꯑꯃꯁꯨꯡ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯂꯁꯤꯡ ꯁꯣꯀꯍꯜꯂꯤꯕꯥ ꯚꯦꯁꯣꯑꯦꯛꯇꯤꯚ ꯍꯤꯗꯥꯀꯁꯤꯡ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯎ꯫
• ꯑꯋꯥꯡꯕꯥ ꯏꯟꯠꯔꯥꯛꯔꯦꯅꯤꯑꯦꯜ ꯄ꯭ꯔꯦꯁꯔ ꯊꯤꯡꯕꯥ꯫
• ꯅꯍꯥꯀꯄꯨ ꯅꯤꯃꯣꯗꯤꯄꯤꯟ ꯅꯠꯠꯔꯒꯥ ꯚꯦꯔꯥꯄꯥꯃꯤꯂꯒꯨꯝꯕꯥ ꯀꯦꯂꯁꯤꯌꯝ ꯆꯦꯅꯦꯜ ꯕ꯭ꯂꯣꯀꯔ ꯍꯤꯗꯥꯛ ꯑꯃꯥ ꯄꯤꯕꯥ꯫

ꯃꯔꯨꯑꯣꯏꯕꯥ: ꯏꯅꯐꯣꯔꯃꯦꯁꯟ ꯑꯁꯤ ꯖꯦꯅꯦꯔꯦꯜ ꯏꯅꯐꯣꯔꯃꯦꯁꯟ ꯈꯛꯇꯒꯤꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯥꯏꯑꯣꯡ ꯑꯃꯠꯇꯥ ꯂꯩꯠꯔꯕꯗꯤ ꯅꯠꯠꯔꯒꯥ ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯍꯦꯟꯅꯥ ꯈꯪꯅꯤꯡꯂꯕꯗꯤ, ꯆꯥꯅꯕꯤꯗꯨꯅꯥ ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯄꯥꯎꯇꯥꯛ ꯂꯧꯕꯤꯌꯨ꯫

ꯚꯦꯁꯣꯁ꯭ꯄꯥꯝ (vasospasms) ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ ꯍꯥꯌꯕꯁꯤꯅꯤ?

ꯈꯣꯡ, ꯈꯣꯡꯄꯥꯛ ꯅꯠꯠꯔꯒꯥ ꯈꯣꯡꯗꯥ ꯚꯦꯁꯣꯁ꯭ꯄꯥꯃꯁꯤꯡ (vasospasms) ꯅꯥ ꯅꯥꯕꯥ ꯑꯃꯁꯨꯡ ꯁꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯕꯨ ꯃꯈꯣꯌꯁꯤꯡ ꯑꯁꯤ ꯄꯨꯟꯁꯤꯗꯥ ꯈꯨꯗꯣꯡꯊꯤꯕꯥ ꯅꯪꯍꯅꯕꯥ ꯌꯥꯕꯥ ꯅꯠꯇꯦ .

ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯥꯔꯠ ꯅꯠꯠꯔꯒꯥ ꯕ꯭ꯔꯦꯅꯗꯥ ꯚꯦꯁꯣꯁ꯭ꯄꯥꯁꯝ ꯑꯃꯥ ꯊꯣꯛꯂꯕꯗꯤ, ꯑꯣꯔꯒꯥꯅꯁꯤꯡ ꯑꯗꯨꯗꯥ ꯏꯒꯤ ꯈꯣꯡꯖꯦꯜ ꯍꯟꯊꯔꯀꯄꯅꯥ ꯇꯤꯁꯨꯁꯤꯡꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯅꯥ ꯍꯥꯔꯠ ꯑꯃꯁꯨꯡ ꯕ꯭ꯔꯦꯅꯒꯤ ꯐꯉ꯭ꯀꯁꯅꯗꯥ ꯁꯥꯊꯤꯕꯥ ꯁꯥꯐꯨ ꯑꯃꯥ ꯄꯤꯕꯥ ꯌꯥꯏ꯫

ꯀꯣꯔꯣꯅꯥꯒꯤ ꯚꯦꯁꯣꯁ꯭ꯄꯥꯖꯃꯒꯤ ꯀꯦꯁ 5%ꯗꯒꯤ ꯇꯥꯅꯥ ꯍꯥꯔꯠ ꯐꯦꯜ ꯑꯣꯏꯍꯜꯂꯤ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯍꯥꯔꯠ ꯐꯦꯜ ꯑꯣꯏꯕꯒꯤ ꯂꯥꯏꯌꯦꯡꯅꯥ ꯄꯨꯟꯁꯤꯒꯤ ꯃꯒꯨꯟ ꯐꯒꯠꯍꯅꯕꯥ ꯉꯝꯃꯤ꯫

ꯁꯥꯊꯤꯕꯥ ꯕ꯭ꯔꯦꯟ ꯚꯦꯁꯣꯁ꯭ꯄꯥꯝ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯅꯥ ꯅꯨꯃꯤꯠ ꯀꯌꯥꯅꯤ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯂꯗꯥ ꯂꯩꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯏ꯫

ꯑꯩꯅꯥ ꯃꯇꯧ ꯀꯔꯝꯅꯥ ꯏꯁꯥꯕꯨ ꯌꯦꯡꯁꯤꯅꯕꯤꯒꯅꯤ?

• ꯍꯤꯗꯥꯛ ꯑꯗꯨ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯄꯤꯕꯥ ꯃꯇꯨꯡꯏꯟꯅꯥ ꯆꯞ ꯃꯥꯟꯅꯅꯥ ꯁꯤꯖꯤꯟꯅꯧ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯗꯨ ꯐꯒꯠꯂꯛꯠꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯈꯪꯍꯅꯕꯤꯌꯨ꯫
• ꯚꯦꯁꯣꯁ꯭ꯄꯥꯖꯝ ꯊꯣꯀꯍꯜꯂꯤꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ ꯊꯤꯡꯕꯅꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯊꯤꯡꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯍꯥꯔꯠ ꯑꯦꯇꯦꯛ ꯑꯃꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯂꯩꯔꯕꯗꯤ (ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯈꯣꯡꯗꯥ ꯁꯥꯊꯤꯕꯥ ꯑꯅꯥꯕꯥ, ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ, ꯈꯣꯡ ꯍꯥꯝꯕꯥ) ꯈꯨꯗꯛꯇꯥ ꯏꯃꯔꯖꯦꯟꯁꯤ ꯔꯨꯝ ꯑꯃꯗꯥ ꯆꯠꯂꯨ꯫

ꯑꯩꯒꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯀꯔꯤ ꯋꯥꯍꯪ ꯍꯪꯒꯗꯒꯦ?

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ (vasospasm) ꯍꯥꯌꯅꯥ ꯈꯪꯂꯕꯗꯤ ꯅꯠꯠꯔꯒꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯁꯤ ꯂꯩꯔꯦ ꯍꯥꯌꯅꯥ ꯆꯤꯡꯅꯕꯥ ꯂꯩꯔꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯋꯥꯍꯪꯁꯤꯡ ꯑꯁꯤ ꯍꯪꯕꯤꯕꯥ ꯌꯥꯏ:

• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯍꯧꯖꯤꯛ ꯂꯩꯔꯤꯕꯥ ꯍꯤꯗꯥꯛ ꯑꯁꯤꯅꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯗ꯭ꯔꯕꯗꯤ ꯑꯩꯅꯥ ꯂꯧꯕꯥ ꯌꯥꯕꯥ ꯑꯇꯩ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ ꯂꯩꯕ꯭ꯔꯥ?
• ꯅꯍꯥꯛꯅꯥ ꯑꯩꯕꯨ ꯂꯦꯛꯇꯦꯁꯅꯒꯤ ꯏꯁꯨꯁꯤꯡꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯕꯥ ꯉꯝꯕꯥ ꯁ꯭ꯄꯦꯁꯤꯑꯦꯂꯤꯁ꯭ꯠ ꯑꯃꯗꯥ ꯔꯤꯐꯔ ꯇꯧꯕꯥ ꯌꯥꯕ꯭ꯔꯥ (ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯩꯅꯥ ꯁꯉ꯭ꯒꯣꯃꯒꯤ ꯗꯛꯇꯁꯤꯡꯒꯤ ꯚꯦꯁꯣꯁ꯭ꯄꯥꯖꯝ ꯂꯩꯔꯕꯗꯤ)?
• ꯑꯩꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯀꯌꯥ ꯌꯥꯝꯅꯥ ꯎꯕꯥ ꯐꯪꯒꯗꯒꯦ (ꯐꯣꯂꯣ-ꯑꯞ ꯑꯦꯄꯣꯏꯟꯇꯃꯦꯟꯇꯁꯤꯡ)?
• ꯑꯩꯒꯤ ꯀꯟꯗꯤꯁꯅꯒꯤ ꯄ꯭ꯔꯣꯒ꯭ꯅꯣꯁꯤꯁ ꯑꯁꯤ ꯀꯔꯤꯅꯣ?

ꯑꯔꯣꯏꯕꯗꯥ ꯅꯤꯡꯁꯤꯡꯒꯗꯕꯥ ꯋꯥꯐꯃꯁꯤꯡ꯫

ꯚꯦꯁꯣꯁ꯭ꯄꯥꯖꯃꯅꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯇꯣꯉꯥꯟ-ꯇꯣꯉꯥꯅꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯁꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯑꯩꯈꯣꯌꯅꯥ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯥ ꯑꯃꯁꯨꯡ ꯊꯤꯡꯕꯥ ꯉꯝꯕꯥ ꯚꯦꯁꯣꯁ꯭ꯄꯥꯖꯃꯒꯤ ꯃꯈꯜ ꯈꯔꯗꯤ ꯂꯩ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯍꯪ ꯑꯃꯠꯇꯥ ꯍꯪꯂꯕꯗꯤ ꯅꯠꯠꯔꯒꯥ ꯆꯤꯡꯅꯕꯥ ꯂꯩꯔꯕꯗꯤ ꯂꯥꯡꯇꯛꯅꯒꯅꯨ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯕꯤꯌꯨ . ꯃꯍꯥꯛꯅꯥ ꯅꯍꯥꯛꯀꯤꯗꯃꯛꯇꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯆꯨꯅꯕꯥ ꯂꯥꯏꯌꯦꯡꯒꯤ ꯄ꯭ꯂꯥꯟ ꯑꯃꯁꯨꯡ ꯉꯥꯀꯊꯣꯛꯅꯕꯒꯤ ꯄꯥꯝꯕꯩꯁꯤꯡꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯄꯥꯎꯇꯥꯛ ꯄꯤꯒꯅꯤ꯫ ꯍꯀꯆꯥꯡ ꯐꯅꯥ ꯂꯩꯌꯨ!

` ꯚꯦꯁꯣꯁ꯭ꯄꯥꯖꯝ, ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯜ ꯀꯟꯁꯠꯔꯛꯁꯟ, ꯑꯥꯔꯇꯦꯔꯤ ꯀꯟꯁꯠꯔꯛꯁꯟ, ꯍꯥꯔꯇꯀꯤ ꯂꯥꯌꯅꯥ, ꯕ꯭ꯔꯦꯅꯒꯤ ꯂꯥꯌꯅꯥ, ꯕ꯭ꯂꯗ ꯁꯔꯛꯌꯨꯂꯦꯁꯅꯒꯤ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ, ꯈꯣꯡꯗꯥ ꯁꯣꯀꯄꯥ꯫