ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯄꯣꯃꯈꯠꯄꯥ (bulging veins) ꯂꯩꯕ꯭ꯔꯥ? ꯚꯦꯅꯝ ꯗꯤꯖꯤꯖꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯁꯤ!

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯅꯤꯜ ꯅꯠꯠꯔꯒꯥ ꯃꯆꯨ ꯃꯆꯨꯒꯤ ꯚꯦꯅꯃꯁꯤꯡ ꯎꯕꯥ ꯐꯪꯕ꯭ꯔꯥ? ꯅꯠꯠꯔꯒꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡ ꯑꯗꯨ ꯁꯨꯞꯅꯒꯤ ꯂꯨꯝꯕꯥ, ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯁꯣꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯁꯣꯀꯄꯥ ꯐꯥꯎꯕ꯭ꯔꯥ? ꯃꯤꯑꯣꯏ ꯈꯔꯅꯥ ꯃꯁꯤ ꯅꯣꯔꯃꯦꯂꯅꯤ ꯍꯥꯌꯅꯥ ꯈꯜꯂꯀꯄꯥ ꯌꯥꯏ, ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯂꯦꯞꯂꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯅꯠꯠꯔꯒꯥ ꯈꯔꯥ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯊꯣꯀꯄꯥ ꯊꯧꯗꯣꯛ ꯑꯃꯅꯤ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯚꯦꯅꯝ ꯁꯤꯁ꯭ꯇꯦꯝ, ꯑꯁꯪꯕꯥ ꯏ ꯄꯨꯕꯥ ꯚꯦꯅꯃꯁꯤꯡꯒꯤ ꯁꯤꯁ꯭ꯇꯦꯃꯗꯥ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯑꯃꯒꯤ ꯑꯍꯥꯅꯕꯥ ꯈꯨꯗꯃꯁꯤꯡ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯅꯥ ꯉꯁꯤꯗꯤ ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯈꯔꯥ ꯍꯦꯟꯅꯥ ꯑꯀꯨꯞꯄꯥ ꯃꯔꯣꯂꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯁꯤ, ꯚꯦꯅꯝ ꯗꯤꯖꯤꯖ ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ, ꯃꯁꯤ ꯀꯔꯝꯅꯥ ꯁꯦꯃꯒꯠꯂꯀꯄꯒꯦ, ꯑꯃꯁꯨꯡ ꯃꯁꯤꯗꯒꯤ ꯑꯩꯈꯣꯌ ꯏꯁꯥꯕꯨ ꯉꯥꯀꯊꯣꯀꯆꯅꯕꯥ ꯀꯔꯤ ꯇꯧꯕꯥ ꯌꯥꯕꯒꯦ꯫

ꯚꯦꯅꯝ ꯗꯤꯖꯤꯖ ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ? ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯂꯧꯁꯤꯅꯁꯤ!

ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯚꯦꯅꯝ ꯗꯤꯖꯤꯖ ꯍꯥꯌꯕꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯂꯩꯕꯥ ꯚꯦꯅꯃꯁꯤꯡꯗꯥ ꯁꯣꯀꯍꯜꯂꯤꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯍꯦꯛꯇꯕꯨ, ꯑꯁꯪꯕꯥ ꯏ ꯑꯗꯨ ꯍꯥꯔꯇꯇꯥ ꯄꯨꯗꯨꯅꯥ ꯆꯠꯂꯤꯕꯥ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯂꯁꯤꯡꯒꯤ ꯃꯈꯜ ꯑꯃꯅꯤ꯫ ꯑꯗꯣꯝꯅꯥ ꯈꯉꯕꯤꯔꯤꯕꯥ ꯑꯗꯨꯅꯤ, ꯚꯦꯅꯃꯁꯤꯡ ꯑꯁꯤ ꯐ꯭ꯂꯦꯛꯁꯤꯕꯜ, ꯍꯣꯂꯣ ꯇꯨꯕꯁꯤꯡꯒꯨꯝꯅꯥ ꯑꯣꯏ꯫ ꯃꯈꯣꯌ ꯑꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡ ꯄꯨꯝꯕꯗꯥ ꯏ ꯄꯨꯗꯨꯅꯥ ꯆꯠꯂꯤꯕꯥ ꯁꯔꯀꯨꯂꯦꯇꯔꯤ ꯁꯤꯁ꯭ꯇꯦꯃꯒꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯁꯔꯨꯛ ꯑꯃꯅꯤ꯫

ꯚꯦꯅꯃꯁꯤꯡꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯊꯕꯛ ꯑꯁꯤ ꯑꯣꯛꯁꯤꯖꯦꯟ ꯌꯥꯎꯗꯕꯥ ꯏ (ꯃꯁꯤꯕꯨ "ꯑꯀꯥꯌꯕꯥ ꯏ" ꯍꯥꯌꯅꯥ ꯀꯧꯔꯁꯤ) ꯑꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯇꯣꯉꯥꯟ-ꯇꯣꯉꯥꯅꯕꯥ ꯃꯐꯃꯁꯤꯡꯗꯥ ꯁꯤꯖꯤꯟꯅꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯍꯥꯔꯇꯇꯥ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯄꯨꯊꯣꯀꯄꯅꯤ꯫ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯍꯥꯔꯇꯅꯥ ꯏ ꯑꯁꯤ ꯁꯦꯡꯗꯣꯀꯏ, ꯑꯣꯛꯁꯤꯖꯦꯟ ꯍꯥꯄꯆꯤꯜꯂꯤ ꯑꯃꯁꯨꯡ ꯃꯗꯨ ꯍꯀꯆꯥꯡꯒꯤ ꯑꯇꯩ ꯃꯐꯃꯁꯤꯡꯗꯥ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯄꯝꯄ ꯇꯧꯏ꯫ ꯑꯃꯔꯣꯃꯗꯥ, ꯑꯥꯔꯇꯦꯔꯤꯁꯤꯡꯅꯥ ꯍꯥꯔꯇꯇꯒꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯑꯇꯩ ꯃꯐꯃꯁꯤꯡꯗꯥ ꯑꯣꯛꯁꯤꯖꯦꯟ ꯌꯥꯝꯅꯥ ꯌꯥꯎꯕꯥ, ꯁꯦꯡꯂꯕꯥ ꯏ ꯄꯨꯊꯣꯀꯏ꯫ ꯍꯥꯌꯔꯤꯕꯥ ꯑꯅꯤ ꯑꯁꯤ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯊꯕꯛ ꯇꯧꯕꯥ ꯑꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯁꯦꯂꯒꯤꯗꯃꯛ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫

ꯍꯧꯖꯤꯛ ꯌꯦꯡꯕꯤꯌꯨ, ꯚꯦꯅꯃꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯇꯁꯦꯡꯅꯥ ꯑꯉꯀꯄꯥ ꯋꯥꯐꯝ ꯑꯃꯥ ꯂꯩꯔꯤ꯫ ꯃꯈꯣꯌꯁꯤꯡ ꯑꯁꯤ ꯚꯜꯌꯨ ꯍꯥꯌꯅꯥ ꯀꯧꯏ . ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯑꯄꯤꯀꯄꯥ ꯊꯣꯡꯁꯤꯡꯒꯨꯝꯕꯅꯤ꯫ ꯑꯩꯈꯣꯌꯅꯥ ꯆꯠꯊꯣꯛ-ꯆꯠꯁꯤꯟ ꯇꯧꯕꯥ ꯃꯇꯃꯗꯥ, ꯈꯣꯡꯅꯥ ꯆꯠꯄꯥ ꯃꯇꯃꯗꯥ, ꯑꯩꯈꯣꯌꯒꯤ ꯃꯁꯂꯁꯤꯡ ꯀꯟꯠꯔꯦꯛꯇ ꯇꯧꯕꯥ ꯃꯇꯃꯗꯥ, ꯚꯜꯌꯨꯁꯤꯡ ꯑꯁꯤ ꯍꯥꯡꯗꯣꯀꯏ꯫ ꯑꯗꯨꯗꯒꯤ ꯏ ꯑꯗꯨ ꯃꯥꯌꯀꯩ ꯑꯃꯗꯥ, ꯍꯥꯌꯕꯗꯤ ꯊꯝꯃꯣꯌꯒꯤ ꯃꯥꯌꯀꯩꯗꯥ, ꯃꯊꯛꯇꯥ ꯆꯦꯜꯂꯤ꯫ ꯃꯁꯂꯁꯤꯡ ꯑꯗꯨ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯔꯤꯂꯥꯛꯁ ꯇꯧꯕꯥ ꯃꯇꯃꯗꯥ, ꯚꯜꯌꯨꯁꯤꯡ ꯑꯁꯤ ꯊꯤꯡꯖꯤꯜꯂꯤ꯫ ꯑꯗꯨꯗꯒꯤ ꯏ ꯑꯗꯨ ꯒ꯭ꯔꯦꯚꯤꯇꯤꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯆꯦꯟꯊꯔꯀꯄꯥ ꯂꯦꯄꯈꯤ꯫ ꯃꯁꯤ ꯅꯍꯥꯛꯅꯥ ꯏꯁꯤꯡꯒꯤ ꯇꯦꯉ꯭ꯛ ꯑꯃꯗꯥ ꯏꯁꯤꯡ ꯇꯨꯡꯁꯤꯅꯕꯥ ꯃꯇꯃꯗꯥ ꯏꯁꯤꯡ ꯑꯗꯨ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯆꯦꯟꯊꯔꯀꯄꯥ ꯊꯤꯡꯂꯤꯕꯥ ꯚꯜꯌꯨ ꯑꯃꯒꯨꯝꯅꯥ ꯈꯅꯕꯤꯌꯨ꯫

ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯚꯦꯅꯝ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯂꯩꯕꯥ ꯚꯜꯌꯨꯁꯤꯡ ꯑꯁꯤ ꯚꯦꯅꯝ ꯂꯥꯌꯅꯥ ꯑꯁꯤꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯑꯣꯡ ꯑꯃꯗꯥ ꯁꯣꯀꯍꯜꯂꯕꯗꯤ ꯃꯈꯣꯌ ꯑꯁꯤ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯊꯤꯡꯖꯤꯅꯕꯥ ꯉꯃꯗꯕꯥ ꯌꯥꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯗꯨ ꯑꯣꯏꯔꯕꯗꯤ ꯀꯔꯤ ꯑꯣꯏꯒꯅꯤ? ꯈꯅꯕꯤꯌꯨ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯊꯣꯡ ꯑꯗꯨ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯊꯤꯡꯖꯤꯅꯕꯥ ꯉꯃꯗ꯭ꯔꯕꯗꯤ, ꯏ ꯑꯗꯨ ꯃꯇꯨꯡꯗꯥ ꯂꯤꯛ ꯇꯧꯕꯥ ꯍꯧꯔꯀꯏ, ꯅꯠꯠꯔꯒꯥ ꯃꯥꯌꯀꯩ ꯑꯅꯤꯃꯛꯇꯥ ꯐꯥꯑꯣꯕꯥ ꯆꯦꯅꯕꯥ ꯌꯥꯏ꯫ ꯃꯗꯨꯗꯥ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯃꯁꯤꯡ, ꯍꯥꯌꯕꯗꯤ ꯚꯦꯅꯝ ꯗꯤꯖꯤꯖꯒꯥ ꯃꯔꯤ ꯂꯩꯅꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯂꯥꯀꯄꯥ ꯍꯧꯔꯀꯏ꯫

ꯚꯦꯅꯝ ꯂꯥꯌꯅꯥꯒꯤ ꯃꯈꯂꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯤꯅꯣ? ꯆꯦꯀꯁꯤꯟꯅꯥ ꯂꯩꯔꯁꯤ!

ꯚꯦꯅꯝ ꯗꯤꯖꯤꯖ ꯑꯁꯤ ꯇꯣꯉꯥꯟ-ꯇꯣꯉꯥꯅꯕꯥ ꯃꯈꯜ ꯀꯌꯥ ꯂꯩ꯫ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯈꯂꯁꯤꯡ ꯑꯗꯨ ꯌꯦꯡꯁꯤ:

• ꯏ ꯊꯣꯀꯄꯥ (blood clots): ꯃꯁꯤ ꯈꯣꯡ ꯑꯃꯁꯨꯡ ꯈꯨꯠꯁꯥ ꯈꯛꯇꯗꯥ ꯅꯠꯇꯅꯥ, ꯀꯤꯗꯅꯤ, ꯁ꯭ꯞꯂꯤꯟ, ꯏꯟꯇꯦꯁ꯭ꯇꯥꯏꯟ, ꯑꯃꯁꯨꯡ ꯂꯤꯚꯔꯒꯨꯝꯕꯥ ꯃꯅꯨꯡꯒꯤ ꯑꯣꯏꯕꯥ ꯑꯣꯔꯒꯥꯅꯁꯤꯡꯒꯤ ꯚꯦꯅꯃꯁꯤꯡꯗꯥ, ꯕ꯭ꯔꯦꯅꯒꯤ ꯚꯦꯅꯃꯁꯤꯡꯗꯥ (Cerebral Vein Thrombosis), ꯀꯤꯗꯅꯤꯒꯤ ꯚꯦꯅꯃꯁꯤꯡꯗꯥ (Renal Vein Thrombosis), ꯑꯃꯁꯨꯡ ꯂꯪꯁꯇꯥ ꯐꯥꯎꯕꯥ (Pulmonary Embolism) ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫
• ꯗꯤꯞ ꯚꯦꯟ ꯊ꯭ꯔꯣꯝꯕꯣꯁꯤꯁ (DVT): ꯃꯁꯤ ꯃꯤꯑꯣꯏ ꯀꯌꯥꯅꯥ ꯇꯥꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ, ꯑꯃꯁꯨꯡ ꯃꯁꯤ ꯈꯔꯥ ꯁꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯌꯥꯝꯅꯥ ꯂꯨꯅꯥ ꯆꯠꯄꯥ ꯌꯥꯝꯅꯥ ꯂꯨꯕꯥ ꯚꯦꯅꯝ ꯑꯃꯗꯥ (ꯃꯍꯧꯁꯥꯅꯥ ꯈꯣꯡꯗꯥ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯈꯨꯠꯁꯥꯗꯥ) ꯏ ꯊꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯊꯣꯀꯏ꯫ꯗꯤ.ꯚꯤ.ꯇꯤ ꯑꯃꯈꯛꯇꯅꯥ ꯄꯨꯟꯁꯤꯗꯥ ꯈꯨꯗꯣꯡꯊꯤꯕꯥ ꯊꯣꯀꯍꯜꯂꯣꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯏꯒꯤ ꯈꯣꯡꯖꯦꯜ ꯑꯁꯤ ꯆꯦꯟꯊꯔꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯏꯒꯤ ꯈꯣꯡꯖꯦꯂꯗꯥ ꯆꯠꯊꯣꯛ-ꯆꯠꯁꯤꯟ ꯇꯧꯔꯒꯥ ꯂꯪꯁꯀꯤ ꯚꯦꯅꯝ ꯑꯃꯗꯥ ꯆꯦꯟꯊꯔꯀꯄꯥ ꯇꯥꯔꯕꯗꯤ, ꯑꯩꯈꯣꯌꯅꯥ ꯃꯁꯤꯕꯨ ꯄꯂꯃꯣꯅꯥꯔꯤ ꯑꯦꯝꯕꯣꯂꯤꯖꯝ (PE) ꯍꯥꯌꯅꯥ ꯀꯧꯏ, ꯃꯁꯤꯅꯥ ꯄꯨꯟꯁꯤꯕꯨ ꯈꯨꯗꯣꯡꯊꯤꯍꯅꯕꯥ ꯌꯥꯕꯥ ꯑꯦꯃꯔꯖꯦꯟꯁꯤ ꯑꯃꯅꯤ꯫
• ꯁꯨꯄꯔꯐꯤꯁꯤꯑꯦꯜ ꯊ꯭ꯔꯣꯝꯕꯣꯐ꯭ꯂꯦꯕꯤꯇꯤꯁ (Superficial Thrombofhlebitis): ꯃꯁꯤ ꯈꯣꯡꯗꯥ ꯅꯛꯅꯥ ꯂꯩꯕꯥ ꯁꯨꯄꯔꯐꯤꯁꯤꯑꯦꯜ ꯚꯦꯅꯝ ꯑꯃꯗꯥ ꯏ ꯊꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯑꯣꯏ꯫ ꯕ꯭ꯂꯗ ꯀ꯭ꯂꯣꯠ ꯃꯈꯜ ꯑꯁꯤꯅꯥ ꯃꯍꯧꯁꯥꯅꯥ ꯗꯤꯞ ꯚꯦꯅꯝ ꯁꯤꯁ꯭ꯇꯦꯃꯗꯥ ꯆꯠꯠꯔꯕꯗꯤ ꯂꯪꯁꯇꯥ ꯆꯠꯂꯣꯏꯗꯕꯅꯤ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯃꯁꯤꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯑꯅꯥꯕꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫
• ꯀ꯭ꯔꯣꯅꯤꯛ ꯚꯦꯅꯝ ꯏꯅꯁꯨꯐꯤꯁꯤꯑꯦꯟꯁꯤ (Chronic Venous Insufficiency): ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯚꯦꯅꯃꯁꯤꯡꯗꯥ ꯂꯩꯕꯥ ꯏ ꯑꯗꯨ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯆꯠꯊꯣꯛ-ꯆꯠꯁꯤꯟ ꯇꯧꯗꯕꯥ ꯑꯃꯁꯨꯡ ꯂꯦꯡꯗꯅꯥ ꯂꯩꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯊꯣꯀꯏ꯫ ꯃꯁꯤꯅꯥ ꯈꯣꯡꯗꯥ ꯂꯦꯞꯇꯅꯥ ꯁꯣꯀꯄꯥ, ꯚꯦꯅꯃꯁꯤꯡꯗꯥ ꯄ꯭ꯔꯦꯁꯔ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ, ꯈꯣꯡꯗꯥ ꯃꯆꯨ ꯁꯪꯍꯅꯕꯥ (ꯕ꯭ꯂꯦꯛ ꯅꯠꯠꯔꯒꯥ ꯕ꯭ꯔꯥꯎꯟ), ꯑꯃꯁꯨꯡ ꯚꯦꯅꯝ ꯁ꯭ꯇꯦꯁꯤꯁ ꯑꯂꯁꯔ ꯍꯥꯌꯅꯥ ꯈꯪꯅꯕꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫
• ꯚꯦꯔꯤꯀꯣꯁ ꯚꯦꯅꯝ ꯑꯃꯁꯨꯡ ꯁ꯭ꯄꯥꯏꯗꯥꯔ ꯚꯦꯅꯝ: ꯃꯁꯤ ꯃꯤꯑꯣꯏ ꯀꯌꯥꯅꯥ ꯎꯕꯥ ꯐꯪꯂꯤꯕꯥ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ, ꯑꯃꯁꯨꯡ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯀꯁꯃꯦꯇꯤꯛ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯑꯃꯥ ꯑꯣꯏꯅꯥ ꯂꯧꯅꯩ꯫ ꯃꯁꯤ ꯚꯦꯅꯝ ꯋꯥꯂꯁꯤꯡ (vein walls) ꯁꯣꯟꯊꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯃꯗꯨꯅꯥ ꯚꯦꯅꯃꯁꯤꯡ ꯑꯗꯨ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯁꯣꯟꯊꯔꯀꯄꯥ, ꯁꯣꯟꯊꯕꯥ ꯑꯃꯁꯨꯡ ꯈꯣꯡꯒꯤ ꯃꯊꯛꯇꯥ ꯎꯕꯥ ꯐꯪꯍꯅꯕꯥ ꯃꯇꯃꯗꯥ ꯑꯣꯏ꯫ ꯁ꯭ꯄꯥꯏꯗꯥꯔ ꯚꯦꯅꯃꯁꯤꯡ ꯑꯁꯤ ꯍꯦꯟꯅꯥ ꯄꯤꯀꯄꯥ, ꯁ꯭ꯄꯥꯏꯗꯥꯔꯒꯨꯝꯕꯥ ꯚꯦꯅꯃꯁꯤꯡꯅꯤ꯫
• ꯚꯦꯅꯝ ꯑꯂꯁꯔ (Venous Ulcers): ꯃꯈꯣꯌ ꯑꯁꯤ ꯐꯒꯠꯂꯀꯄꯗꯥ ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯆꯪꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯐꯒꯠꯂꯀꯄꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯂꯥꯀꯄꯥ ꯑꯁꯣꯛ-ꯑꯄꯅꯁꯤꯡꯅꯤ꯫ ꯃꯈꯣꯌ ꯑꯁꯤ ꯑꯌꯥꯝꯕꯗꯤ ꯈꯨꯎꯒꯤ ꯃꯈꯥꯗꯥ, ꯈꯣꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯁꯨꯡ ꯈꯣꯡꯒꯤ ꯃꯊꯛꯇꯥ ꯌꯥꯝꯅꯥ ꯋꯥꯡꯏ꯫
• ꯑꯥꯔꯇꯦꯔꯤꯑꯣꯚꯦꯅꯁ ꯐꯤꯁ꯭ꯇꯨꯂꯥꯁ (Artiriovenous Fistulas) : ꯃꯁꯤ ꯑꯥꯔꯇꯦꯔꯤ (ꯑꯀꯪꯕꯥ ꯏ ꯄꯨꯕꯥ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯜ) ꯑꯃꯁꯨꯡ ꯚꯦꯅꯝ (ꯑꯀꯪꯕꯥ ꯏ ꯄꯨꯕꯥ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯜ) ꯑꯃꯒꯥ ꯃꯔꯛꯇꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯃꯠꯇꯥ ꯌꯥꯎꯗꯅꯥ ꯍꯀꯊꯦꯡꯅꯅꯥ ꯁꯝꯅꯔꯀꯄꯥ ꯑꯁꯣꯀꯄꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫

ꯚꯦꯅꯝ ꯂꯥꯌꯅꯥꯁꯤꯡ ꯑꯁꯤ ꯀꯌꯥꯝ ꯀꯃꯟ ꯑꯣꯏꯕꯒꯦ?

ꯂꯥꯌꯅꯥꯁꯤꯡ ꯑꯁꯤ ꯅꯍꯥꯛꯅꯥ ꯈꯜꯂꯤꯕꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯀꯃꯟ ꯑꯣꯏ꯫ ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯑꯃꯦꯔꯤꯀꯥꯒꯨꯝꯕꯥ ꯂꯩꯕꯥꯛ ꯑꯃꯗꯥ ꯃꯤꯑꯣꯏ ꯃꯤꯂꯤꯌꯟ ꯳꯰ ꯍꯦꯅꯕꯗꯥ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯐꯤꯚꯃꯁꯤꯡ ꯑꯁꯤ ꯂꯩ ꯍꯥꯌꯅꯥ ꯄꯥꯎꯗꯝꯂꯤ꯫ ꯔꯤꯁꯔꯆꯔꯁꯤꯡꯅꯥ ꯍꯥꯌꯔꯤ ꯃꯗꯨꯗꯤ ꯇꯨꯡꯗꯥ ꯃꯁꯤꯒꯤ ꯃꯁꯤꯡ ꯑꯁꯤ ꯍꯦꯅꯒꯠꯂꯛꯀꯅꯤ꯫ ꯃꯔꯃꯗꯤ ꯃꯤꯑꯣꯏꯕꯅꯥ ꯍꯦꯟꯅꯥ ꯍꯤꯡꯂꯤ ꯑꯃꯁꯨꯡ ꯑꯔꯨꯝꯕꯥ ꯍꯦꯅꯒꯠꯂꯀꯄꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯚꯦꯅꯝ ꯂꯥꯌꯅꯥꯁꯤꯡ ꯑꯁꯤ ꯂꯥꯀꯄꯒꯤ ꯔꯤꯁ꯭ꯀꯁꯨ ꯍꯦꯅꯒꯠꯂꯀꯏ꯫

ꯆꯥꯎꯔꯥꯛꯅꯥ ꯑꯍꯜ ꯑꯣꯏꯔꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯆꯥꯎꯔꯥꯛꯅꯥ 33%, ꯅꯠꯠꯔꯒꯥ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯃꯤꯑꯣꯏ ꯑꯍꯨꯃꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯗꯥ ꯚꯦꯔꯤꯀꯣꯁ ꯚꯦꯅꯝ ꯂꯩ ꯍꯥꯌꯅꯥ ꯄꯥꯅꯔꯤ . ꯃꯁꯤꯗꯁꯨ ꯅꯠꯇꯅꯥ, ꯑꯍꯜ ꯑꯣꯏꯔꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯒꯤ ꯆꯥꯎꯔꯥꯛꯅꯥ 1%ꯗꯤ ꯚꯦꯅꯝ ꯂꯦꯡ-ꯑꯣꯠꯄꯒꯤ ꯑꯂꯁꯔ ꯊꯣꯀꯏ꯫

ꯚꯦꯅꯝ ꯗꯤꯖꯤꯖꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯀꯔꯤꯅꯣ? ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯆꯦꯀꯁꯤꯅꯕꯤꯌꯨ!

ꯚꯦꯅꯝ ꯗꯤꯖꯤꯖꯒꯥ ꯂꯣꯌꯅꯅꯥ, ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡ ꯅꯠꯠꯔꯒꯥ ꯈꯨꯠꯁꯥꯗꯥ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯎꯕꯥ ꯐꯪꯏ:

• ꯈꯣꯡꯗꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ, ꯀ꯭ꯔꯌꯥꯝꯄꯤꯡ ꯅꯠꯠꯔꯒꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯄꯥ꯫
• ꯈꯣꯡꯗꯥ ꯂꯥꯎꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯃꯐꯝ ꯑꯗꯨꯗꯥ ꯏꯪꯊꯕꯥ ꯐꯥꯎꯕꯥ꯫
• ꯈꯣꯡ ꯅꯠꯠꯔꯒꯥ ꯈꯨꯎꯗꯥ ꯑꯔꯨꯝꯕꯥ (heaviness) ꯐꯥꯎꯕꯥ꯫
• ꯈꯣꯡꯗꯥ ꯁꯣꯛ-ꯄꯅꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯃꯩꯅꯥ ꯆꯥꯀꯄꯥ꯫
• ꯄꯣꯝꯈꯠꯄ.
• ꯕꯜꯖꯤꯡ ꯚꯦꯅꯃꯁꯤꯡ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯒꯤ ꯑꯃꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯃꯗꯒꯤ ꯍꯦꯅꯕꯥ ꯂꯩꯔꯕꯗꯤ, ꯃꯈꯣꯌꯗꯨ ꯌꯦꯡꯁꯤꯅꯕꯤꯗꯕꯗꯒꯤ ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯄꯥꯎꯇꯥꯛ ꯂꯧꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯂꯧꯁꯤꯡꯅꯤ꯫

ꯀꯔꯤꯒꯤꯗꯃꯛꯇꯥ ꯚꯦꯅꯝ ꯂꯥꯌꯅꯥꯁꯤꯡ ꯑꯁꯤ ꯊꯣꯛꯂꯤꯕꯅꯣ? ꯃꯔꯃꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?

ꯚꯦꯅꯝ ꯗꯤꯖꯤꯖꯒꯤ ꯃꯔꯝ ꯀꯌꯥ ꯂꯩ:

• ꯄꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯚꯦꯅꯃꯁꯤꯡ ꯁꯦꯝꯕꯗꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯂꯩꯕꯥ꯫
• ꯚꯦꯅꯃꯁꯤꯡꯗꯥ ꯑꯦꯛꯁꯤꯗꯦꯟꯇ ꯅꯠꯠꯔꯒꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯈꯔꯥ ꯊꯣꯀꯄꯥ꯫
• ꯑꯇꯩ ꯚꯦꯅꯝ ꯂꯥꯌꯅꯥꯁꯤꯡꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯏꯐꯦꯛꯇꯁꯤꯡ꯫
• ꯃꯤꯔꯣꯅꯕꯥ, ꯑꯍꯜ ꯑꯣꯏꯔꯀꯄꯥ, ꯁꯤꯁ꯭ꯇꯦꯝ ꯅꯠꯠꯔꯒꯥ ꯇꯤꯎꯃꯔꯒꯨꯝꯕꯥ ꯐꯦꯛꯇꯔꯁꯤꯡꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯚꯦꯅꯝ ꯋꯥꯂꯁꯤꯡ ꯁꯣꯟꯊꯕꯥ꯫
• ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ ꯋꯥꯡꯈꯠꯄꯥ꯫

ꯚꯦꯅꯝ ꯂꯥꯌꯅꯥꯁꯤꯡ ꯑꯁꯤ ꯀꯅꯥꯅꯥ ꯍꯦꯟꯅꯥ ꯔꯤꯁ꯭ꯛ ꯂꯩꯕꯒꯦ?

ꯃꯤꯑꯣꯏ ꯈꯔꯗꯗꯤ ꯑꯇꯣꯞꯄꯁꯤꯡꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯚꯦꯅꯝ ꯗꯤꯖꯤꯖ ꯂꯥꯀꯄꯒꯤ ꯆꯥꯡ ꯍꯦꯜꯂꯤ꯫ ꯃꯈꯣꯌ ꯀꯅꯥꯅꯣ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯁꯤ:

• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯏꯃꯨꯡ ꯑꯗꯨꯒꯤ ꯀꯅꯥꯒꯨꯝꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯅꯥ ꯚꯦꯅꯝ ꯗꯤꯖꯤꯖ (ꯐꯦꯃꯤꯂꯤ ꯍꯤꯁ꯭ꯇꯔꯤ) ꯂꯩꯔꯕꯗꯤ꯫
• ꯃꯤꯔꯣꯜꯂꯤꯉꯩ ꯃꯇꯃꯗꯥ (ꯍꯣꯔꯃꯣꯅꯒꯤ ꯑꯍꯣꯡꯕꯥ ꯑꯃꯁꯨꯡ ꯍꯦꯅꯒꯠꯂꯛꯂꯤꯕꯥ ꯑꯉꯥꯡ ꯑꯗꯨꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯚꯦꯅꯃꯁꯤꯡꯗꯥ ꯄ꯭ꯔꯦꯁꯔ)
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ BMI (ꯕꯣꯗꯤ ꯃꯥꯁ ꯏꯟꯗꯦꯛꯁ) ꯑꯗꯨ 30ꯗꯒꯤ ꯍꯦꯜꯂꯕꯗꯤ (ꯃꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯋꯥꯡꯕꯒꯤ ꯆꯥꯡ ꯑꯗꯨ ꯍꯦꯟꯅꯥ ꯋꯥꯡꯈꯠꯂꯦ ꯍꯥꯌꯕꯅꯤ)
• ꯅꯨꯄꯤꯁꯤꯡꯒꯤꯗꯃꯛ꯫ (ꯍꯣꯔꯃꯣꯅꯒꯤ ꯏꯐꯦꯛꯇꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ)
• ꯆꯞ ꯃꯥꯟꯅꯕꯥ ꯐꯤꯚꯃꯗꯥ ꯃꯇꯝ ꯀꯌꯥ ꯂꯦꯅꯕꯥ, ꯃꯔꯨꯑꯣꯏꯅꯥ ꯂꯦꯡ-ꯑꯣꯠꯄꯗꯥ ꯅꯠꯠꯔꯒꯥ ꯐꯃꯗꯨꯅꯥ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡ꯫ (ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ ꯑꯣꯖꯥꯁꯤꯡ, ꯗꯨꯀꯥꯟ ꯁꯤꯟꯃꯤꯁꯤꯡ, ꯑꯣꯐꯤꯁꯁꯤꯡꯗꯥ ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯐꯃꯗꯨꯅꯥ ꯊꯕꯛ ꯇꯧꯔꯤꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡ)
• ꯕꯔꯊ ꯀꯟꯠꯔꯣꯜ ꯄꯤꯜ ꯅꯠꯠꯔꯒꯥ ꯍꯣꯔꯃꯣꯟ ꯔꯤꯞꯂꯦꯁꯃꯦꯟꯇ ꯊꯦꯔꯥꯄꯤ ꯂꯧꯔꯤꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯒꯤꯗꯃꯛ꯫
• ꯇꯝꯕꯥ ꯉꯃꯗꯕꯥ ꯄꯣꯠꯂꯃꯁꯤꯡ (ꯃꯩꯈꯨ ꯊꯥꯗꯣꯀꯄꯥ) ꯁꯤꯖꯤꯟꯅꯔꯤꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯒꯤꯗꯃꯛ꯫

ꯚꯦꯅꯝ ꯗꯤꯖꯤꯖꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯑꯇꯩ ꯀꯔꯤ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ ꯊꯣꯀꯄꯥ ꯌꯥꯕꯒꯦ?

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯚꯦꯅꯝ ꯗꯤꯖꯤꯖ ꯑꯁꯤ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯂꯥꯏꯌꯦꯡꯗ꯭ꯔꯕꯗꯤ, ꯃꯁꯤꯅꯥ ꯑꯇꯩ ꯍꯀꯁꯦꯂꯒꯤ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯃꯁꯤꯡ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯈꯅꯕꯤꯌꯨ, ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯑꯃꯅꯥ ꯍꯦꯟꯅꯥ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯀꯌꯥ ꯊꯣꯀꯍꯜꯂꯤ꯫

• ꯈꯣꯡꯒꯤ ꯃꯊꯛꯇꯥ ꯂꯩꯕꯥ ꯚꯦꯅꯃꯁꯤꯡꯗꯥ ꯏ ꯊꯣꯀꯄꯥ (superficial thrombofhlebitis) ꯑꯁꯤꯅꯥ ꯗꯤꯞ ꯚꯦꯅꯝ ꯊ꯭ꯔꯣꯝꯕꯣꯁꯤꯁ (DVT) ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫
• DVTꯅꯥ ꯀ꯭ꯔꯣꯅꯤꯛ ꯚꯦꯅꯝ ꯏꯅꯁꯨꯐꯤꯁꯤꯑꯦꯟꯁꯤ (CVI) ꯅꯠꯠꯔꯒꯥ ꯄꯂꯃꯣꯅꯥꯔꯤ ꯑꯦꯝꯕꯣꯂꯤꯖꯝ (PE) ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫
• ꯄꯂꯃꯣꯅꯥꯔꯤ ꯑꯦꯝꯕꯣꯂꯤꯖꯃꯅꯥ ꯄꯂꯃꯣꯅꯥꯔꯤ ꯍꯥꯏꯄꯔꯇꯦꯟꯁꯟ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ .
• ꯚꯦꯔꯤꯀꯣꯁ ꯚꯦꯅꯃꯁꯤꯡꯅꯥ ꯁꯨꯄꯔꯐꯤꯁꯤꯑꯦꯜ ꯊ꯭ꯔꯣꯝꯕꯣꯐ꯭ꯂꯦꯕꯤꯇꯤꯁ ꯅꯠꯠꯔꯒꯥ ꯚꯦꯅꯝ ꯑꯂꯁꯔ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ .
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯚꯦꯅꯝ ꯑꯂꯁꯔꯁꯤꯡ ꯑꯁꯤ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯐꯒꯠꯂꯛꯠꯔꯕꯗꯤ ꯃꯈꯣꯌ ꯑꯁꯤ ꯏꯅꯐꯦꯛꯁꯟ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ ꯑꯃꯁꯨꯡ ꯒꯦꯡꯒ꯭ꯔꯤꯅꯒꯨꯝꯕꯥ ꯈꯨꯗꯣꯡꯊꯤꯅꯤꯉꯥꯏ ꯑꯣꯏꯕꯥ ꯏꯅꯐꯦꯛꯁꯅꯁꯤꯡ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫

ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯚꯦꯅꯝ ꯗꯤꯖꯤꯖꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯂꯩꯔꯕꯗꯤ ꯃꯗꯨ ꯌꯦꯡꯁꯤꯅꯕꯤꯗꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ, ꯑꯗꯨꯕꯨ ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯄꯥꯎꯇꯥꯛ ꯂꯧꯕꯥ ꯑꯃꯁꯨꯡ ꯃꯇꯤꯛ ꯆꯥꯕꯥ ꯂꯥꯏꯌꯦꯡ ꯂꯧꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫

ꯅꯍꯥꯛꯅꯥ ꯚꯦꯅꯝ ꯗꯤꯖꯤꯖ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯀꯔꯝꯅꯥ ꯈꯪꯒꯅꯤ?

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯚꯦꯅꯝ ꯗꯤꯖꯤꯖꯒꯤ ꯂꯥꯏꯑꯣꯡ ꯂꯩꯔꯦ ꯍꯥꯌꯅꯥ ꯈꯜꯂꯕꯗꯤ, ꯑꯍꯥꯅꯕꯥ ꯑꯣꯏꯅꯥ ꯇꯧꯒꯗꯕꯥ ꯊꯕꯛ ꯑꯗꯨꯗꯤ ꯗꯣꯛꯇꯔ ꯑꯃꯒꯥ ꯇꯥꯟꯅꯕꯅꯤ꯫ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯏꯃꯨꯡꯗꯥ ꯀꯅꯥꯒꯨꯝꯕꯥ ꯑꯃꯅꯥ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ ꯑꯁꯤ ꯂꯩꯔꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯍꯪꯒꯅꯤ (ꯏꯃꯨꯡꯒꯤ ꯃꯦꯗꯤꯀꯦꯜ ꯍꯤꯁ꯭ꯇꯔꯤ)꯫ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯃꯈꯣꯌꯅꯥ ꯐꯤꯖꯤꯀꯦꯜ ꯑꯦꯀꯖꯥꯝ ꯑꯃꯥ ꯇꯧꯒꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯊꯧ ꯇꯥꯔꯕꯗꯤ, ꯃꯈꯣꯌꯅꯥ ꯗꯥꯏꯑꯦꯒ꯭ꯅꯣꯁꯤꯁ ꯑꯗꯨ ꯀꯅꯐꯥꯔꯝ ꯇꯧꯅꯕꯥ ꯇꯦꯁ꯭ꯠ ꯈꯔꯗꯤ ꯔꯤꯀꯃꯦꯟꯗ ꯇꯧꯕꯥ ꯌꯥꯏ꯫

ꯃꯁꯤꯒꯤꯗꯃꯛꯇꯥ ꯀꯔꯤ ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯇꯧꯔꯤꯕꯒꯦ?

ꯑꯁꯤꯒꯨꯝꯕꯥ ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯑꯁꯤ ꯚꯦꯅꯝ ꯗꯤꯖꯤꯖ ꯈꯪꯗꯣꯀꯄꯗꯥ ꯀꯥꯟꯅꯕꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ:

• ꯑꯦꯟꯀꯦꯜ-ꯕ꯭ꯔꯦꯀꯤꯌꯥꯜ ꯏꯟꯗꯦꯛꯁ (ABI): ꯃꯁꯤꯅꯥ ꯈꯣꯡꯗꯥ ꯏ ꯆꯦꯅꯕꯥ ꯂꯦꯄꯊꯣꯀꯏ꯫
• ꯑꯂꯠꯔꯥꯁꯥꯎꯟꯗ: ꯃꯁꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯀꯃꯟ ꯑꯣꯏꯕꯥ, ꯑꯅꯥꯕꯥ ꯂꯩꯇꯕꯥ ꯇꯦꯁ꯭ꯇꯅꯤ꯫ ꯃꯁꯤꯅꯥ ꯚꯦꯅꯃꯁꯤꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯏ ꯀꯔꯝꯅꯥ ꯆꯦꯜꯂꯤꯕꯅꯣ, ꯏ ꯊꯣꯀꯄꯥ ꯂꯩꯕ꯭ꯔꯥ, ꯑꯃꯁꯨꯡ ꯚꯜꯌꯨꯁꯤꯡꯅꯥ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯊꯕꯛ ꯇꯧꯔꯤꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯁꯤꯅꯆꯤꯡꯕꯥ ꯋꯥꯐꯃꯁꯤꯡ ꯌꯦꯡꯕꯥ ꯌꯥꯏ꯫
• ꯏꯟꯠꯔꯥꯚꯦꯁꯀꯨꯂꯥꯔ ꯑꯂꯠꯔꯥꯁꯥꯎꯟꯗ (IVUS): ꯃꯁꯤꯗꯥ ꯚꯦꯟ ꯑꯃꯗꯥ ꯑꯄꯤꯀꯄꯥ ꯀꯦꯃꯦꯔꯥ ꯑꯃꯥ ꯍꯥꯄꯆꯤꯟꯗꯨꯅꯥ ꯃꯗꯨ ꯌꯦꯡꯁꯤꯜꯂꯤ꯫
• ꯁꯤ.ꯇꯤ.ꯁ꯭ꯀꯦꯟ (ꯀꯝꯞꯌꯨꯇꯦꯗ ꯇꯣꯃꯣꯒ꯭ꯔꯥꯐꯤ - ꯁꯤ.ꯇꯤ.): ꯃꯁꯤꯅꯥ ꯍꯀꯆꯥꯡꯒꯤ ꯃꯅꯨꯡꯒꯤ ꯑꯣꯏꯕꯥ ꯑꯀꯨꯞꯄꯥ ꯃꯔꯣꯂꯁꯤꯡꯁꯨ ꯂꯧꯕꯥ ꯌꯥꯏ꯫
• ꯑꯦꯝ.ꯑꯥꯔ.ꯑꯥꯏ.ꯒꯤ ꯁ꯭ꯀꯦꯟ (ꯃꯦꯒ꯭ꯅꯦꯇꯤꯛ ꯔꯤꯖꯣꯅꯦꯟꯁ ꯏꯃꯦꯖꯤꯡ - ꯑꯦꯝ.ꯑꯥꯔ.ꯑꯥꯏ.): ꯃꯁꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯃꯌꯦꯛ ꯁꯦꯡꯕꯥ ꯏꯃꯦꯖꯁꯤꯡ ꯄꯤꯕꯥ ꯑꯇꯣꯞꯄꯥ ꯇꯦꯁ꯭ꯠ ꯑꯃꯅꯤ꯫
• ꯑꯦꯟꯖꯤꯑꯣꯒ꯭ꯔꯥꯝ ꯇꯦꯁ꯭ꯠ: ꯇꯦꯁ꯭ꯠ ꯑꯁꯤꯗꯥ ꯑꯈꯟꯅꯕꯥ ꯐ꯭ꯂꯨꯏꯗ ꯑꯃꯥ ꯚꯦꯅꯃꯁꯤꯡꯗꯥ ꯏꯅꯖꯦꯀꯁꯟ ꯇꯧꯏ ꯑꯃꯁꯨꯡ ꯏꯒꯤ ꯈꯣꯡꯖꯦꯂꯗꯥ ꯕ꯭ꯂꯣꯀꯦꯖ ꯑꯃꯥ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯅꯕꯒꯤꯗꯃꯛ ꯑꯦꯛꯁ-ꯔꯦ ꯂꯧꯏ꯫

ꯗꯣꯛꯇꯔ ꯑꯗꯨꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯗꯨꯗꯥ ꯌꯨꯝꯐꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯀꯔꯤ ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯄꯥꯡꯒꯗꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯂꯦꯄꯀꯅꯤ꯫

ꯚꯦꯅꯝ ꯂꯥꯌꯅꯥꯁꯤꯡꯒꯤ ꯂꯥꯏꯌꯦꯡꯁꯤꯡ ꯀꯔꯤꯅꯣ?

ꯚꯦꯅꯝ ꯗꯤꯖꯤꯖꯒꯤ ꯂꯥꯏꯌꯦꯡ ꯑꯁꯤ ꯐꯦꯛꯇꯔ ꯀꯌꯥꯒꯤ ꯃꯈꯥ ꯄꯣꯜꯂꯤ, ꯃꯗꯨꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯂꯥꯌꯅꯥ ꯑꯁꯤꯒꯤ ꯃꯈꯜ, ꯃꯁꯤꯒꯤ ꯁꯥꯊꯤꯕꯥ ꯃꯑꯣꯡ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯑꯄꯨꯅꯕꯥ ꯍꯀꯁꯦꯜ ꯑꯁꯤꯁꯨ ꯌꯥꯎꯏ꯫ ꯃꯔꯨꯑꯣꯏꯅꯥ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯃꯈꯂꯒꯤ ꯂꯥꯏꯌꯦꯡꯁꯤꯡ ꯑꯁꯤ ꯂꯩꯔꯤ:

• ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ: ꯏ ꯊꯣꯀꯄꯥ ꯊꯤꯡꯅꯕꯥ, ꯍꯧꯖꯤꯛ ꯂꯩꯔꯤꯕꯥ ꯏ ꯊꯣꯀꯄꯥ ꯊꯤꯡꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯑꯅꯥꯕꯥ ꯍꯟꯊꯍꯟꯅꯕꯥ ꯍꯤꯗꯥꯀꯁꯤꯡ ꯄꯤꯕꯥ ꯌꯥꯏ꯫
• ꯀꯝꯞꯔꯦꯁꯟ ꯁ꯭ꯇꯣꯀꯤꯡ ꯅꯠꯠꯔꯒꯥ ꯕꯦꯟꯗꯦꯖꯁꯤꯡ (compression stockings) ꯅꯠꯠꯔꯒꯥ ꯕꯦꯟꯗꯦꯖꯁꯤꯡ (compression stockings) ꯅꯠꯠꯔꯒꯥ ꯕꯦꯟꯗꯦꯖꯁꯤꯡ ꯑꯁꯤ ꯈꯣꯡꯗꯥ ꯊꯝꯕꯥ ꯑꯈꯟꯅꯕꯥ ꯁ꯭ꯇꯣꯀꯤꯡꯁꯤꯡ ꯅꯠꯠꯔꯒꯥ ꯕꯦꯟꯗꯦꯖꯁꯤꯡꯅꯤ꯫ ꯃꯈꯣꯌꯅꯥ ꯚꯦꯅꯃꯁꯤꯡꯗꯥ ꯄ꯭ꯔꯦꯁꯔ ꯄꯤꯗꯨꯅꯥ ꯃꯊꯛꯇꯥ ꯆꯦꯟꯊꯈꯤꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ ꯑꯃꯁꯨꯡ ꯁꯣꯛ-ꯄꯅꯕꯥ ꯍꯟꯊꯍꯜꯂꯤ꯫
• ꯄꯨꯟꯁꯤ ꯃꯍꯤꯡꯗꯥ ꯑꯍꯣꯡꯕꯥ ꯂꯥꯀꯄꯥ: ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫ ꯐꯦꯠ ꯅꯦꯝꯕꯥ ꯗꯥꯏꯠ ꯑꯃꯥ ꯆꯥꯕꯥ, ꯅꯨꯃꯤꯠ ꯈꯨꯗꯤꯡꯒꯤ ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯇꯧꯕꯥ, ꯑꯃꯁꯨꯡ ꯊꯛꯅꯕꯥ ꯏꯁꯤꯡ ꯊꯀꯄꯥ ꯊꯤꯡꯕꯒꯨꯝꯕꯥ ꯋꯥꯐꯃꯁꯤꯡ꯫
• ꯑꯈꯟꯅꯕꯥ ꯄ꯭ꯔꯣꯁꯤꯗ꯭ꯌꯨꯑꯣꯔ ꯅꯠꯠꯔꯒꯥ ꯁꯔꯖꯔꯤꯁꯤꯡ: ꯀꯦꯁ ꯈꯔꯗꯗꯤ, ꯚꯦꯅꯃꯁꯤꯡꯗꯥ ꯑꯈꯟꯅꯕꯥ ꯄ꯭ꯔꯣꯁꯤꯗ꯭ꯌꯨꯑꯣꯔ ꯅꯠꯠꯔꯒꯥ ꯁꯔꯖꯔꯤꯁꯤꯡ ꯇꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯏ꯫

ꯑꯀꯛꯅꯕꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯂꯥꯏꯌꯦꯡꯁꯤꯡ꯫

ꯄꯤꯔꯤꯕꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯂꯥꯏꯌꯦꯡꯁꯤꯡ ꯑꯁꯤ ꯂꯥꯌꯅꯥ ꯑꯁꯤꯒꯤ ꯃꯈꯜ-ꯃꯈꯥ ꯀꯌꯥꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ ꯈꯦꯠꯅꯩ꯫ ꯃꯈꯥꯗꯥ ꯈꯨꯗꯝ ꯈꯔꯥ ꯄꯤꯔꯤ:

• ꯑꯦꯟꯇꯤꯀꯣꯑꯦꯒꯨꯂꯦꯟꯇꯁꯤꯡ: ꯃꯁꯤꯕꯨ ꯕ꯭ꯂꯗ ꯊꯤꯅꯔ ꯍꯥꯌꯅꯥꯁꯨ ꯀꯧꯏ꯫
• ꯊ꯭ꯔꯣꯝꯕꯣꯂꯥꯏꯇꯤꯀꯁꯤꯡ (thrombolytics): ꯃꯈꯣꯌ ꯑꯁꯤ ꯑꯆꯧꯕꯥ ꯏ ꯊꯣꯀꯄꯥ ꯀꯦꯁꯁꯤꯡꯗꯥ, ꯑꯦꯃꯔꯖꯦꯟꯁꯤꯒꯤ ꯐꯤꯚꯃꯁꯤꯡꯗꯥ ꯄꯤ꯫
• ꯚꯦꯔꯤꯀꯣꯁ ꯚꯦꯅꯃꯁꯤꯡꯒꯤ ꯑꯦꯟꯗꯣꯚꯦꯅꯁ ꯑꯦꯕꯂꯦꯁꯟ:ꯃꯁꯤꯗꯥ ꯂꯦꯖꯔ, ꯁ꯭ꯛꯂꯦꯔꯣꯊꯦꯔꯥꯄꯤ ꯅꯠꯠꯔꯒꯥ ꯔꯦꯗꯤꯑꯣꯐ꯭ꯔꯤꯛꯕꯦꯟꯁꯤꯒꯨꯝꯕꯥ ꯇꯦꯛꯅꯣꯂꯣꯖꯤꯁꯤꯡ ꯁꯤꯖꯤꯟꯅꯗꯨꯅꯥ ꯚꯦꯅꯃꯒꯤ ꯑꯁꯣꯀꯄꯥ ꯁꯔꯨꯛ ꯑꯗꯨ ꯃꯅꯨꯡꯗꯒꯤ ꯏꯅꯑꯦꯛꯇꯤꯚꯦꯠ ꯇꯧꯕꯥ ꯌꯥꯑꯣꯏ꯫
• ꯏ ꯊꯣꯀꯄꯥ (Thrombectomy) ꯁꯔꯖꯤꯀꯦꯜ ꯑꯣꯏꯅꯥ ꯂꯧꯊꯣꯀꯄꯥ (Thrombectomy): ꯑꯆꯧꯕꯥ ꯕ꯭ꯂꯗ ꯀ꯭ꯂꯣꯠ ꯈꯔꯗꯤ ꯃꯁꯤꯒꯤ ꯃꯑꯣꯡ ꯑꯁꯤꯅꯥ ꯂꯧꯊꯣꯀꯏ꯫
• ꯚꯦꯅꯥ ꯀꯥꯚꯥ ꯐꯤꯜꯇꯔ: ꯗꯤ.ꯚꯤ.ꯇꯤ.ꯅꯥ ꯅꯥꯕꯥ ꯑꯗꯨꯕꯨ ꯕ꯭ꯂꯗ ꯊꯤꯅꯔꯁꯤꯡ ꯂꯧꯕꯥ ꯉꯃꯗꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯒꯤꯗꯃꯛ, ꯏ ꯊꯣꯀꯄꯥ ꯑꯃꯥ ꯂꯪꯁꯇꯥ ꯆꯠꯄꯥ ꯊꯤꯡꯅꯕꯥ ꯑꯆꯧꯕꯥ ꯚꯦꯟ ꯑꯃꯗꯥ ꯊꯝꯕꯥ ꯑꯄꯤꯀꯄꯥ ꯐꯤꯜꯇꯔꯒꯨꯝꯕꯥ ꯈꯨꯠꯂꯥꯏ ꯑꯃꯅꯤ꯫
• ꯚꯦꯅꯝ ꯁꯔꯖꯔꯤ: ꯑꯁꯣꯀꯄꯥ ꯚꯦꯅꯃꯁꯤꯡ ꯂꯧꯊꯣꯛꯅꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯔꯤꯄꯦꯌꯥꯔ ꯇꯧꯅꯕꯥ ꯁꯔꯖꯔꯤ꯫

ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯋꯥꯐꯃꯗꯤ ꯅꯍꯥꯛꯀꯤꯗꯃꯛꯇꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯥ ꯂꯥꯏꯌꯦꯡꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯕꯅꯤ꯫ ꯂꯥꯏꯌꯦꯡ ꯈꯨꯗꯤꯡꯃꯛꯀꯤ ꯀꯥꯟꯅꯕꯁꯤꯡ, ꯀꯥꯟꯅꯕꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯁꯥꯏꯗ ꯏꯐꯦꯛꯇꯁꯤꯡꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯃꯌꯦꯛ ꯁꯦꯡꯅꯥ ꯈꯪꯖꯤꯅꯕꯤꯌꯨ꯫

ꯂꯥꯏꯌꯦꯡ ꯑꯁꯤꯒꯤ ꯁꯥꯏꯗ ꯏꯐꯦꯛꯇꯁꯤꯡ ꯂꯩꯕ꯭ꯔꯥ?

ꯍꯣꯌ, ꯃꯦꯗꯤꯀꯦꯜ ꯇ꯭ꯔꯤꯠꯃꯦꯟꯇ ꯑꯃꯍꯦꯛꯇꯒꯨꯝꯅꯥ, ꯚꯦꯅꯝ ꯇ꯭ꯔꯤꯠꯃꯦꯟꯇ ꯑꯁꯤꯅꯥ ꯁꯥꯏꯗ ꯏꯐꯦꯛꯇ ꯈꯔꯥ ꯂꯩꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤ ꯅꯍꯥꯛꯅꯥ ꯂꯧꯔꯤꯕꯥ ꯂꯥꯏꯌꯦꯡꯒꯤ ꯃꯈꯜ ꯑꯗꯨꯒꯤ ꯃꯈꯥ ꯄꯣꯜꯂꯤ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯂꯥꯏꯌꯦꯡ ꯍꯧꯗ꯭ꯔꯤꯉꯩꯗꯥ ꯗꯣꯛꯇꯔꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯈꯟꯅ-ꯅꯩꯅꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫

ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯑꯩꯍꯥꯛ ꯀꯌꯥ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯐꯒꯠꯂꯛꯀꯅꯤ?

ꯃꯁꯤꯁꯨ ꯃꯤꯑꯣꯏ ꯑꯃꯗꯒꯤ ꯃꯤꯑꯣꯏ ꯑꯃꯗꯥ ꯑꯃꯁꯨꯡ ꯂꯥꯏꯌꯦꯡꯒꯤ ꯃꯈꯂꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ ꯈꯦꯠꯅꯩ꯫ ꯂꯥꯏꯌꯦꯡ ꯈꯔꯗꯤ ꯊꯨꯅꯥ ꯔꯤꯂꯤꯐ ꯄꯤꯕꯥ ꯉꯝꯃꯤ꯫ ꯁꯨꯄꯔꯐꯤꯁꯤꯑꯦꯜ ꯊ꯭ꯔꯣꯝꯕꯣꯐ꯭ꯂꯦꯕꯤꯇꯤꯁꯒꯨꯝꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯥ ꯅꯨꯃꯤꯠ ꯈꯔꯅꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯂꯥꯀꯁꯤꯅꯕꯥ ꯉꯝꯃꯤ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯚꯦꯅꯝ ꯂꯥꯌꯅꯥ ꯈꯔꯗꯤ ꯂꯥꯀꯁꯤꯅꯕꯗꯥ ꯃꯇꯝ ꯍꯦꯟꯅꯥ ꯆꯪꯂꯝꯕꯥ ꯌꯥꯏ꯫ ꯃꯤꯑꯣꯏ ꯈꯔꯗꯗꯤ ꯀ꯭ꯔꯣꯅꯤꯛ ꯚꯦꯅꯝ ꯗꯤꯖꯤꯖ ꯂꯩꯕꯥ ꯌꯥꯏ , ꯃꯁꯤꯅꯥ ꯇꯥꯀꯄꯗꯤ ꯃꯈꯣꯌꯅꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯍꯤꯡꯒꯗꯕꯅꯤ꯫ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯐꯤꯚꯝ ꯑꯗꯨꯗꯥ ꯌꯨꯝꯐꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯄꯥꯎꯇꯥꯛ ꯈꯔꯥ ꯄꯤꯕꯥ ꯉꯃꯒꯅꯤ꯫

ꯚꯦꯅꯝ ꯗꯤꯖꯤꯖꯒꯤ ꯔꯤꯁ꯭ꯛ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯍꯟꯊꯍꯅꯒꯅꯤ? ꯉꯥꯀꯊꯣꯀꯄꯥ ꯑꯁꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯅꯤ!

ꯑꯩꯈꯣꯌꯒꯤ ꯚꯦꯅꯝ ꯑꯃꯁꯨꯡ ꯀꯥꯔꯗꯤꯑꯣꯚꯥꯁ꯭ꯀꯨꯂꯥꯔ ꯁꯤꯁ꯭ꯇꯦꯝ ꯄꯨꯝꯅꯃꯛ (ꯍꯥꯔꯠ ꯑꯃꯁꯨꯡ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯜ ꯁꯤꯁ꯭ꯇꯦꯝ)ꯒꯤ ꯍꯀꯁꯦꯜ ꯉꯥꯛꯇꯨꯅꯥ ꯊꯝꯕꯅꯥ ꯚꯦꯅꯝ ꯂꯥꯌꯅꯥ ꯂꯥꯀꯄꯒꯤ ꯔꯤꯁ꯭ꯛ ꯍꯟꯊꯍꯅꯕꯥ ꯉꯝꯃꯤ꯫ ꯃꯁꯤ ꯇꯧꯅꯕꯒꯤꯗꯃꯛꯇꯥ ꯅꯍꯥꯛꯅꯥ ꯇꯧꯕꯥ ꯌꯥꯕꯥ ꯊꯕꯛ ꯈꯔꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤ:

• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯍꯥꯏ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ, ꯍꯥꯏ ꯀꯣꯂꯦꯁ꯭ꯇꯦꯔꯣꯜ, ꯑꯃꯁꯨꯡ ꯇꯥꯏꯞ 2 ꯗꯥꯏꯑꯦꯕꯦꯇꯤꯖꯒꯨꯝꯕꯥ ꯂꯥꯌꯅꯥꯁꯤꯡ ꯂꯩꯔꯕꯗꯤ ꯃꯈꯣꯌꯗꯨ ꯐꯖꯅꯥ ꯀꯟꯠꯔꯣꯜ ꯇꯧ꯫
• ꯅꯣꯡꯃꯗꯥ ꯌꯥꯃꯗ꯭ꯔꯕꯗꯥ ꯃꯤꯅꯠ 30-60 ꯐꯥꯎꯕꯥ, ꯅꯨꯃꯤꯠ ꯑꯌꯥꯝꯕꯗꯥ ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯇꯧ꯫ ꯈꯣꯡꯅꯥ ꯆꯠꯄꯥ, ꯁꯥꯏꯀꯜ ꯊꯧꯕꯥ, ꯑꯃꯁꯨꯡ ꯇꯨꯝꯕꯥ ꯑꯁꯤꯅꯆꯤꯡꯕꯥ ꯋꯥꯐꯃꯁꯤꯡ ꯑꯁꯤ ꯑꯐꯕꯥ ꯑꯃꯅꯤ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯐꯃꯗꯨꯅꯥ ꯂꯩꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯂꯦꯡꯗꯅꯥ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯥ ꯑꯣꯏꯔꯕꯗꯤ, ꯌꯥꯃꯗ꯭ꯔꯕꯗꯥ ꯄꯨꯡ ꯑꯃꯗꯥ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯆꯠꯂꯨ ꯑꯃꯁꯨꯡ ꯆꯠꯂꯨ꯫ ꯆꯠꯊꯣꯛ-ꯆꯠꯁꯤꯟ ꯇꯧꯕꯥ ꯃꯇꯃꯗꯁꯨ ꯑꯗꯨꯃꯛ ꯑꯣꯏꯔꯤ꯫
• ꯇꯝꯕꯥ ꯉꯃꯗꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯁꯤꯖꯤꯟꯅꯔꯣꯏꯗꯕꯅꯤ꯫
• ꯅꯍꯥꯛꯀꯤ ꯋꯥꯡꯕꯒꯤ ꯆꯥꯡ ꯑꯗꯨꯒꯤꯗꯃꯛ ꯍꯀꯁꯦꯜ ꯐꯕꯥ ꯑꯔꯨꯝꯕꯥ ꯑꯃꯥ ꯊꯝꯃꯨ꯫
• ꯁꯣꯜꯇ ꯑꯃꯁꯨꯡ ꯁꯦꯆꯨꯔꯦꯇꯦꯗ ꯐꯦꯠ ꯌꯥꯝꯅꯥ ꯌꯥꯎꯕꯥ ꯗꯥꯏꯠ ꯑꯃꯥ ꯆꯥꯒꯗꯕꯅꯤ꯫
• ꯁ꯭ꯠꯔꯦꯁ ꯑꯗꯨ ꯐꯖꯅꯥ ꯃꯦꯅꯦꯖ ꯇꯧ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯚꯦꯅꯝ ꯗꯤꯖꯤꯖ ꯂꯩꯔꯕꯗꯤ ꯀꯔꯤ ꯑꯣꯏꯒꯅꯤ? ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯂꯩꯔꯣꯏꯗꯕꯅꯤ, ꯃꯁꯤ ꯃꯦꯅꯦꯖ ꯇꯧꯕꯥ ꯌꯥꯏ!

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯂꯥꯏꯌꯦꯡꯗ꯭ꯔꯕꯗꯤ, ꯚꯦꯅꯝ ꯗꯤꯖꯤꯖ ꯑꯁꯤ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯁꯣꯀꯆꯤꯜꯂꯀꯄꯥ ꯌꯥꯏ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯄꯨꯟꯁꯤꯒꯤ ꯃꯒꯨꯟ ꯑꯗꯨ ꯁꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯃꯇꯤꯛ ꯆꯥꯕꯥ ꯂꯥꯏꯌꯦꯡ ꯂꯧꯕꯅꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯗꯥ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯄꯨꯟꯁꯤꯒꯤ ꯃꯒꯨꯟ ꯐꯒꯠꯍꯅꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫ꯚꯦꯅꯝ ꯂꯥꯌꯅꯥ ꯈꯔꯗꯤ, ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯚꯦꯔꯤꯀꯣꯁ ꯚꯦꯅꯝ ꯑꯃꯁꯨꯡ ꯁ꯭ꯄꯥꯏꯗꯥꯔ ꯚꯦꯅꯝ , ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯂꯥꯀꯄꯥ ꯌꯥꯏ꯫ ꯚꯦꯅꯝ ꯑꯂꯁꯔꯁꯤꯡꯁꯨ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯂꯥꯀꯄꯥ ꯌꯥꯏ꯫

ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯗꯣꯛꯇꯔꯅꯥ ꯍꯥꯌꯔꯀꯄꯒꯤ ꯃꯇꯨꯡ ꯏꯟꯅꯥ ꯃꯈꯥ ꯇꯥꯅꯥ ꯇꯦꯁ꯭ꯠ ꯇꯧꯕꯥ ꯑꯃꯁꯨꯡ ꯗꯣꯛꯇꯔꯒꯤ ꯏꯅꯁ꯭ꯠꯔꯛꯁꯅꯁꯤꯡ ꯉꯥꯛꯅꯥ ꯆꯠꯄꯥ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫ ꯋꯥꯐꯃꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯆꯠꯊꯔꯤꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯅꯕꯒꯤꯗꯃꯛ ꯑꯂꯠꯔꯥꯁꯥꯎꯟꯗꯒꯨꯝꯕꯥ ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯍꯟꯖꯤꯟ ꯍꯟꯖꯤꯟ ꯇꯧꯕꯁꯨ ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯏ꯫

ꯑꯩꯅꯥ ꯏꯁꯥꯕꯨ ꯀꯔꯝꯅꯥ ꯌꯦꯡꯁꯤꯅꯕꯤꯒꯅꯤ? ꯑꯗꯣꯃꯁꯨ ꯇꯧꯕꯥ ꯌꯥꯕꯥ ꯊꯕꯛ ꯀꯌꯥ ꯂꯩꯔꯤ!

ꯅꯍꯥꯛꯅꯥ ꯐꯃꯗꯨꯅꯥ ꯂꯩꯔꯕꯁꯨ ꯅꯠꯠꯔꯒꯥ ꯂꯦꯡꯗꯅꯥ ꯂꯩꯔꯕꯁꯨ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯌꯥꯕꯥ ꯇꯥꯔꯕꯗꯤ , ꯌꯥꯃꯗ꯭ꯔꯕꯗꯥ ꯄꯨꯡ ꯑꯃꯗꯥ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯈꯣꯡ ꯍꯥꯝꯃꯨ ꯑꯃꯁꯨꯡ ꯈꯣꯡ ꯍꯥꯝꯃꯨ꯫ ꯃꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯏꯒꯤ ꯈꯣꯡꯖꯦꯂꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯒꯅꯤ꯫ ꯇꯝꯕꯥ ꯉꯃꯗꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡꯗꯒꯤ ꯂꯥꯞꯅꯥ ꯂꯩꯕꯥ ꯑꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯂꯁꯤꯡꯒꯤ ꯍꯀꯁꯦꯂꯗꯁꯨ ꯑꯆꯧꯕꯥ ꯃꯇꯦꯡ ꯑꯃꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯃꯆꯠ-ꯁꯥꯖꯠ ꯑꯁꯤ ꯊꯤꯡꯕꯗꯥ ꯃꯇꯦꯡ ꯃꯊꯧ ꯇꯥꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯍꯪꯕꯤꯌꯨ꯫

ꯑꯩꯅꯥ ꯀꯗꯥꯏꯗꯥ ꯗꯣꯛꯇꯔꯒꯥ ꯎꯅꯒꯗꯒꯦ?

ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯄꯤꯔꯀꯄꯥ ꯑꯦꯄꯣꯏꯟꯇꯃꯦꯟꯇ ꯄꯨꯝꯅꯃꯛ ꯊꯝꯃꯨ꯫ ꯃꯁꯤꯗꯁꯨ ꯅꯠꯇꯅꯥ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯃꯍꯧꯁꯥꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡꯗꯥ ꯑꯍꯣꯡꯕꯥ ꯑꯃꯥ ꯂꯥꯀꯄꯥ ꯎꯔꯕꯗꯤ, ꯅꯠꯠꯔꯒꯥ ꯃꯗꯨ ꯍꯦꯟꯅꯥ ꯐꯒꯠꯂꯛꯂꯤꯕꯥ ꯑꯣꯏꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯈꯨꯗꯛꯇꯥ ꯈꯪꯍꯅꯕꯤꯌꯨ꯫

ꯅꯍꯥꯛꯅꯥ ꯀꯗꯥꯏꯗꯥ ꯏꯃꯔꯖꯦꯟꯁꯤ ꯇ꯭ꯔꯤꯇꯃꯦꯟꯇ ꯌꯨꯅꯤꯠ (ETU) ꯗꯥ ꯆꯠꯄꯥ ꯃꯊꯧ ꯇꯥꯕꯒꯦ ? ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯃꯔꯨꯑꯣꯏꯅꯥ ꯆꯦꯀꯁꯤꯅꯕꯤꯌꯨ!

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯕ꯭ꯂꯗ ꯊꯤꯅꯔ/ꯑꯦꯟꯇꯤꯀꯣꯑꯦꯒꯨꯂꯦꯟꯇꯁꯤꯡ ꯂꯧꯔꯕꯗꯤ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯅꯥ ꯏ ꯌꯥꯝꯅꯥ ꯊꯣꯛꯂꯕꯗꯤ , ꯈꯨꯗꯛꯇꯥ ꯑꯦꯃꯔꯖꯦꯟꯁꯤ ꯂꯥꯏꯌꯦꯡ ꯂꯧꯕꯤꯌꯨ꯫

ꯃꯁꯤꯗꯁꯨ ꯅꯠꯇꯅꯥ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯪꯁꯇꯥ ꯏ ꯊꯣꯀꯄꯥ (Pulmonary Embolism - PE) , ꯈꯨꯗꯛꯇꯥ 911 ꯅꯠꯠꯔꯒꯥ ꯅꯍꯥꯛꯀꯤ ꯂꯣꯀꯦꯜ ꯏꯃꯔꯖꯦꯟꯁꯤ ꯅꯝꯕꯔꯗꯥ ꯀꯣꯜ ꯇꯧꯕꯤꯌꯨ꯫ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯁꯤꯡꯁꯤ ꯌꯥꯎꯏ:

• ꯈꯪꯍꯧꯗꯅꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ꯫
• ꯈꯣꯡꯗꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯄꯥ꯫
• ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯍꯥꯔꯠ ꯕꯤꯠ꯫
• ꯀꯣꯛ ꯆꯤꯀꯄꯥ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯏ ꯌꯥꯎꯕꯥ꯫
• ꯕ꯭ꯂꯨꯏꯁ ꯁ꯭ꯀꯤꯟ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯂꯩꯔꯕꯗꯤ, ꯃꯁꯤ ꯏꯃꯔꯖꯦꯟꯁꯤ ꯑꯃꯥ ꯑꯣꯏꯅꯥ ꯂꯧꯗꯨꯅꯥ ꯈꯨꯗꯛꯇꯥ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯂꯗꯥ ꯆꯠꯂꯨ꯫

ꯗꯣꯛꯇꯔꯗꯥ ꯀꯔꯤ ꯋꯥꯍꯪ ꯍꯪꯒꯗꯒꯦ?

ꯅꯍꯥꯛꯅꯥ ꯗꯣꯛꯇꯔꯒꯥ ꯎꯅꯅꯕꯥ ꯆꯠꯄꯥ ꯃꯇꯃꯗꯥ, ꯅꯍꯥꯛꯀꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯗꯨꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯃꯌꯦꯛ ꯁꯦꯡꯅꯥ ꯈꯪꯅꯕꯒꯤꯗꯃꯛ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯋꯥꯍꯪꯁꯤꯡ ꯑꯁꯤ ꯍꯪꯕꯥ ꯌꯥꯏ:

• ꯑꯩꯒꯤ ꯚꯦꯅꯝ ꯗꯤꯖꯤꯖ ꯑꯁꯤ ꯀꯌꯥꯝ ꯁꯥꯊꯤꯕꯒꯦ?
• ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯌꯨꯃꯗꯥ ꯃꯦꯅꯦꯖ ꯇꯧꯅꯕꯥ ꯑꯩꯅꯥ ꯀꯔꯤ ꯇꯧꯕꯥ ꯌꯥꯕꯒꯦ?
• ꯑꯩꯅꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛ ꯃꯊꯧ ꯇꯥꯕ꯭ꯔꯥ? ꯅꯠꯔꯒꯥ ꯑꯩꯅꯥ ꯃꯈꯜ ꯑꯃꯠꯇꯒꯤ ꯂꯥꯌꯦꯡ ꯅꯠꯔꯒꯥ ꯁꯔꯖꯔꯤ ꯃꯊꯧ ꯇꯥꯕꯔꯥ?
• ꯅꯍꯥꯛꯀꯤ ꯀ꯭ꯂꯤꯅꯤꯀꯇꯥ ꯑꯩꯅꯥ ꯀꯔꯤ ꯂꯥꯏꯌꯦꯡꯁꯤꯡ ꯂꯧꯕꯥ ꯌꯥꯕꯒꯦ?

ꯑꯔꯣꯏꯕꯗꯥ, ꯅꯤꯡꯁꯤꯡꯕꯤꯌꯨ...

ꯚꯦꯅꯝ ꯗꯤꯖꯤꯖ ꯑꯁꯤ ꯃꯤꯑꯣꯏ ꯀꯌꯥꯗꯥ ꯁꯣꯀꯍꯜꯂꯤꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ, ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯅꯍꯥꯛ ꯅꯁꯥꯃꯀꯄꯨ ꯁꯣꯀꯍꯜꯂꯣꯏꯗꯕꯅꯤ꯫ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯋꯥꯐꯃꯗꯤ ꯅꯍꯥꯛꯀꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯗꯨꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯑꯃꯨꯛꯇꯪ ꯋꯥꯔꯤ ꯁꯥꯅꯕꯅꯤ ꯑꯃꯁꯨꯡ ꯃꯈꯣꯌꯒꯤ ꯃꯇꯦꯡꯅꯥ ꯃꯗꯨ ꯃꯦꯅꯦꯖ ꯇꯧꯅꯕꯥ ꯍꯣꯠꯅꯕꯅꯤ꯫ ꯅꯍꯥꯛꯀꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯗꯨꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯍꯦꯟꯅꯥ ꯈꯪꯂꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯍꯦꯟꯅꯥ ꯐꯕꯥ ꯋꯥꯔꯦꯞ ꯂꯧꯕꯥ ꯉꯃꯒꯅꯤ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯏꯁꯥꯕꯨ ꯍꯦꯟꯅꯥ ꯐꯅꯥ ꯌꯦꯡꯁꯤꯅꯕꯥ ꯉꯃꯒꯅꯤ꯫ ꯑꯗꯨꯅꯥ, ꯋꯥꯍꯪ ꯍꯪꯕꯗꯥ ꯂꯥꯡꯇꯛꯅꯒꯅꯨ, ꯈꯉꯍꯅꯕꯤꯌꯨ꯫ ꯑꯐꯕꯥ ꯍꯀꯁꯦꯂꯒꯤ ꯌꯥꯏꯐ-ꯄꯥꯎꯖꯦꯜ ꯄꯤꯖꯔꯤ!

` ꯚꯦꯅꯝ ꯗꯤꯖꯤꯖ, ꯕ꯭ꯂꯗ ꯀ꯭ꯂꯣꯠ, ꯗꯤ.ꯚꯤ.ꯇꯤ., ꯚꯦꯔꯤꯀꯣꯁ ꯚꯦꯅꯝ, ꯚꯦꯅꯝ, ꯈꯣꯡ ꯁꯣꯀꯄꯥ, ꯏ ꯆꯦꯅꯕꯥ꯫