ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯈꯪꯍꯧꯗꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯁꯣꯀꯄꯥ, ꯁꯣꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯁꯣꯀꯄꯥ ꯐꯥꯎꯕ꯭ꯔꯥ? ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯁꯨꯞꯅꯇꯒꯤ ꯔꯦꯟꯗꯝ ꯑꯣꯏꯕꯥ ꯋꯥꯐꯃꯁꯤꯡ ꯅꯠꯇꯦ꯫ ꯃꯁꯤꯒꯤ ꯃꯔꯃꯗꯤ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯏ ꯊꯣꯀꯄꯒꯤ ꯊꯧꯑꯣꯡꯗꯥ ꯈꯔꯥ ꯍꯦꯟꯅꯥ ꯏꯃꯕꯦꯂꯦꯟꯁ ꯂꯩꯔꯀꯄꯗꯒꯤ ꯑꯣꯏꯔꯝꯕꯥ ꯌꯥꯏ꯫ ꯇꯁꯦꯡꯕꯗꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯏ ꯊꯣꯀꯄꯥ ꯑꯁꯤ ꯄꯨꯟꯁꯤ ꯀꯟꯅꯕꯒꯤꯗꯃꯛ ꯇꯉꯥꯏꯐꯗꯕꯥ ꯑꯃꯅꯤ꯫ ꯑꯗꯨꯕꯨ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯋꯥꯅꯥ ꯊꯣꯛꯂꯕꯗꯤ, ꯃꯊꯧ ꯇꯥꯗꯅꯥ ꯊꯣꯛꯂꯕꯗꯤ ꯃꯁꯤꯁꯨ ꯌꯥꯝꯅꯥ ꯈꯨꯗꯣꯡꯊꯤꯅꯤꯡꯉꯥꯏ ꯑꯣꯏ꯫ ꯉꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯑꯗꯨꯒꯨꯝꯕꯥ ꯕꯦꯂꯦꯟꯁ ꯑꯗꯨ ꯌꯦꯡꯁꯤꯜꯂꯤꯕꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯕ꯭ꯂꯗ ꯇꯦꯁ꯭ꯠ ꯑꯃꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯔꯤ꯫
ꯄ꯭ꯔꯣꯇꯤꯟ ꯑꯦꯁ ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ?
ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯄ꯭ꯔꯣꯇꯤꯟ ꯑꯦꯁ ꯑꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯂꯤꯚꯔꯅꯥ ꯁꯦꯝꯕꯥ ꯑꯈꯟꯅꯕꯥ ꯃꯈꯂꯒꯤ ꯄ꯭ꯔꯣꯇꯤꯟ ꯑꯃꯅꯤ꯫ ꯃꯁꯤꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯊꯕꯛ ꯑꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯏ ꯊꯣꯀꯄꯒꯤ ꯊꯧꯑꯣꯡ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯅꯤ꯫
ꯅꯍꯥꯛꯀꯤ ꯕ꯭ꯂꯗ ꯀ꯭ꯂꯣꯇꯤꯡ ꯁꯤꯁ꯭ꯇꯦꯝ ꯑꯗꯨ ꯒꯥꯔꯤ ꯑꯃꯒꯤ ꯕ꯭ꯔꯦꯛ ꯁꯤꯁ꯭ꯇꯦꯝ ꯑꯃꯥ ꯑꯣꯏꯅꯥ ꯈꯅꯕꯤꯌꯨ꯫ ꯑꯩꯈꯣꯌꯅꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯏ ꯊꯣꯀꯄꯥ ꯊꯤꯡꯕꯗꯥ ꯏ ꯊꯣꯀꯄꯥ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫ ꯃꯁꯤ ꯒꯥꯔꯤ ꯑꯃꯅꯥ ꯆꯦꯟꯊꯔꯀꯄꯥ ꯃꯃꯥꯡꯗꯥ ꯕ꯭ꯔꯦꯛ ꯊꯥꯗꯣꯀꯄꯒꯥ ꯃꯥꯟꯅꯩ꯫ ꯑꯗꯨꯕꯨ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯔꯝ ꯑꯃꯠꯇꯥ ꯂꯩꯇꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯚꯦꯅꯃꯁꯤꯡꯗꯥ ꯏ ꯊꯣꯀꯄꯥ ꯂꯩꯔꯕꯗꯤ ꯀꯔꯤ ꯑꯣꯏꯒꯅꯤ? ꯃꯁꯤ ꯅꯍꯥꯛꯅꯥ ꯂꯝꯕꯤꯗꯥ ꯆꯦꯜꯂꯤꯉꯩꯗꯥ ꯈꯉꯍꯧꯗꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯕ꯭ꯔꯦꯛ ꯂꯣꯠꯁꯤꯜꯂꯒꯥ ꯍꯨꯏ ꯃꯔꯤ ꯄꯨꯝꯅꯃꯛ ꯊꯨꯒꯥꯌꯔꯀꯄꯒꯨꯝꯕꯅꯤ꯫
ꯃꯇꯧ ꯑꯁꯨꯝꯅꯥ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯚꯦꯅꯃꯁꯤꯡꯗꯥ ꯏ ꯊꯣꯀꯄꯥ (blood clots) ꯂꯩꯔꯕꯗꯤ, ꯃꯁꯤꯅꯥ ꯏꯒꯤ ꯈꯣꯡꯖꯦꯜ ꯊꯤꯡꯖꯤꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯈꯨꯗꯣꯡꯊꯤꯅꯤꯉꯥꯏ ꯑꯣꯏꯕꯥ ꯐꯤꯚꯃꯁꯤꯡ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯄ꯭ꯔꯣꯇꯤꯟ ꯑꯦꯁ ꯑꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯕ꯭ꯔꯦꯛ ꯁꯤꯁ꯭ꯇꯦꯃꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯁꯔꯨꯛ ꯑꯃꯒꯨꯝꯅꯥ ꯃꯊꯧ ꯇꯥꯗꯕꯥ ꯏ ꯊꯣꯀꯄꯥ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯥ ꯄꯣꯠꯁꯛ ꯑꯃꯅꯤ꯫ ꯄ꯭ꯔꯣꯇꯤꯟ ꯑꯦꯁꯅꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯊꯕꯛ ꯑꯁꯤ ꯄ꯭ꯔꯣꯇꯤꯟ ꯁꯤ ꯑꯃꯁꯨꯡ ꯑꯦꯟꯇꯤ-ꯊ꯭ꯔꯣꯝꯕꯤꯅꯒꯨꯝꯕꯥ ꯑꯇꯩ ꯄ꯭ꯔꯣꯇꯤꯅꯁꯤꯡꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯄꯥꯡꯊꯣꯀꯏ꯫
ꯄ꯭ꯔꯣꯇꯤꯟ ꯑꯦꯁ ꯋꯥꯠꯄꯥ ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ?
ꯄ꯭ꯔꯣꯇꯤꯟ S ꯋꯥꯠꯄꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯄ꯭ꯔꯣꯇꯤꯟ ꯑꯁꯤ ꯃꯇꯤꯛ ꯆꯥꯅꯥ ꯂꯩꯇꯦ ꯍꯥꯌꯕꯅꯤ꯫ ꯃꯗꯨ ꯑꯣꯏꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯑꯩꯍꯥꯛꯅꯥ ꯃꯃꯥꯡꯗꯥ ꯍꯥꯌꯈꯤꯕꯥ ꯕ꯭ꯔꯦꯛ ꯁꯤꯁ꯭ꯇꯦꯝ ꯑꯗꯨ ꯁꯣꯟꯊꯔꯀꯄꯒꯨꯝꯕꯅꯤ꯫ ꯃꯁꯤꯅꯥ ꯇꯥꯀꯄꯗꯤ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯂꯁꯤꯡꯗꯥ ꯏ ꯊꯣꯀꯄꯥ ꯌꯥꯕꯒꯤ ꯔꯤꯁ꯭ꯛ ꯑꯁꯤ ꯃꯊꯧ ꯇꯥꯗꯅꯥ ꯍꯦꯅꯒꯠꯂꯀꯏ꯫ ꯃꯦꯗꯤꯁꯤꯅꯗꯥ, ꯑꯩꯈꯣꯌꯅꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤꯕꯨ ꯚꯦꯅꯝ ꯊ꯭ꯔꯣꯝꯕꯣꯏꯝꯕꯣꯂꯤꯖꯝ (VTE)ꯒꯤ ꯔꯤꯁ꯭ꯛ ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫
ꯃꯁꯤ ꯃꯤꯔꯣꯜ ꯑꯃꯗꯒꯤ ꯃꯤꯔꯣꯜ ꯑꯃꯗꯥ ꯁꯟꯗꯣꯔꯀꯄꯥ ꯖꯦꯅꯦꯇꯤꯛ ꯂꯥꯌꯅꯥ ꯑꯃꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯕꯨ ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯊꯦꯡꯅꯩ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯀꯦꯁ ꯈꯔꯗꯗꯤ, ꯏ ꯊꯣꯀꯄꯥ ꯑꯁꯤꯒꯤ ꯔꯤꯁ꯭ꯛ ꯑꯁꯤ ꯍꯦꯟꯅꯥ ꯋꯥꯡꯈꯠꯄꯥ ꯌꯥꯏ꯫ ꯈꯨꯗꯝ ꯑꯣꯏꯅ:
- ꯃꯤꯔꯣꯜꯂꯤꯉꯩ ꯃꯇꯃꯗꯥ꯫
- ꯁꯔꯖꯔꯤ ꯇꯧꯕꯥ ꯃꯇꯃꯗꯥ꯫
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯍꯣꯔꯃꯣꯟ ꯌꯥꯎꯕꯥ ꯕꯔꯊ ꯀꯟꯠꯔꯣꯜ ꯄꯤꯂꯁꯤꯡ ꯂꯧꯔꯕꯗꯤ꯫
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯍꯣꯔꯃꯣꯟ ꯔꯤꯞꯂꯦꯁꯃꯦꯟꯇ ꯊꯦꯔꯥꯄꯤ (HRT) ꯂꯧꯔꯕꯗꯤ꯫
- ꯅꯍꯥꯛꯅꯥ ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯆꯞ ꯃꯥꯟꯅꯕꯥ ꯄꯣꯖꯤꯁꯟꯗꯥ ꯂꯩꯕꯥ ꯃꯇꯃꯗꯥ, ꯑꯦꯌꯔꯞꯂꯦꯅꯁꯤꯡꯗꯥ ꯇꯧꯕꯒꯨꯝꯅꯥ꯫
ꯑꯗꯨꯕꯨ ꯅꯤꯡꯁꯤꯡꯕꯤꯌꯨ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯑꯀꯛꯅꯕꯥ ꯃꯔꯝ ꯑꯃꯠꯇꯥ ꯂꯩꯇꯅꯥ ꯏ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯒꯤ ꯔꯤꯁ꯭ꯛ ꯑꯁꯤ ꯆꯍꯤ 55ꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯈꯔꯥ ꯍꯦꯅꯒꯠꯂꯀꯏ꯫
ꯄ꯭ꯔꯣꯇꯤꯟ ꯑꯦꯁ ꯃꯔꯥꯡ ꯀꯥꯌꯅꯥ ꯂꯩꯇꯕꯥ ꯃꯇꯃꯗꯥ ꯊꯣꯀꯄꯥ ꯈꯨꯗꯣꯡꯊꯤꯅꯤꯉꯥꯏ ꯑꯣꯏꯕꯥ ꯐꯤꯚꯃꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?
ꯄ꯭ꯔꯣꯇꯤꯟ S ꯋꯥꯠꯄꯅꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯈꯨꯗꯣꯡꯊꯤꯅꯤꯉꯥꯏ ꯑꯣꯏꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯅꯤ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯇꯦꯕꯜ ꯑꯃꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯂꯧꯁꯤꯅꯁꯤ꯫
| ꯐꯤꯚꯝ | ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯐꯣꯡꯗꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ꯫ |
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| ꯗꯤꯞ ꯚꯦꯟ ꯊ꯭ꯔꯣꯝꯕꯣꯁꯤꯁ (ꯗꯤ.ꯚꯤ.ꯇꯤ.) | ꯃꯁꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯌꯥꯝꯅꯥ ꯂꯨꯕꯥ ꯚꯦꯅꯝ ꯑꯃꯗꯥ ꯕ꯭ꯂꯗ ꯀ꯭ꯂꯣꯠ (thrombus) ꯑꯃꯥ ꯁꯦꯝꯂꯕꯥ ꯃꯇꯃꯗꯥ ꯊꯣꯀꯏ꯫ ꯃꯍꯧꯁꯥꯅꯥ ꯃꯁꯤ ꯈꯣꯡꯗꯥ ꯊꯣꯀꯏ꯫ ꯂꯥꯏꯑꯣꯡꯁꯤꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯁꯣꯛ-ꯄꯅꯕꯥ, ꯑꯅꯥꯕꯥ, ꯈꯣꯡ ꯅꯠꯠꯔꯒꯥ ꯃꯈꯨꯠ ꯑꯃꯗꯥ ꯀ꯭ꯔꯦꯝꯄ (cramp-like sensation) ꯑꯃꯥ, ꯁꯣꯛ-ꯄꯅꯕꯥ, ꯑꯃꯁꯨꯡ ꯈꯣꯡ-ꯈꯨꯠ ꯁꯣꯛ-ꯄꯅꯕꯥ (buging vein) ꯑꯁꯤ ꯌꯥꯎꯕꯥ ꯌꯥꯏ꯫ |
| ꯄꯂꯃꯣꯅꯥꯔꯤ ꯑꯦꯝꯕꯣꯂꯤꯖꯝ (ꯄꯤ.ꯏ.) . | ꯃꯁꯤ ꯍꯦꯟꯅꯥ ꯈꯨꯗꯣꯡꯊꯤꯅꯤꯡꯉꯥꯏ ꯑꯣꯏ꯫ ꯄꯤ.ꯏ. ꯍꯥꯌꯕꯁꯤ ꯗꯤ.ꯚꯤ.ꯇꯤ.ꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯁꯦꯃꯈꯤꯕꯥ ꯏꯒꯤ ꯈꯣꯡꯖꯦꯂꯒꯤ ꯁꯔꯨꯛ ꯑꯃꯥ ꯊꯨꯒꯥꯏꯗꯨꯅꯥ ꯏꯒꯤ ꯈꯣꯡꯖꯦꯂꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯍꯥꯔꯇꯇꯥ ꯆꯠꯄꯥ ꯑꯃꯁꯨꯡ ꯃꯐꯃꯗꯨꯗꯒꯤ ꯂꯪꯁꯇꯥ ꯂꯩꯕꯥ ꯏꯒꯤ ꯈꯣꯡꯖꯦꯜ ꯑꯃꯗꯥ ꯆꯦꯟꯊꯈꯤꯕꯥ ꯃꯇꯃꯕꯨꯅꯤ꯫ ꯃꯁꯤ ꯑꯦꯃꯔꯖꯦꯟꯁꯤ ꯑꯃꯅꯤ, ꯄꯨꯟꯁꯤꯗꯥ ꯈꯨꯗꯣꯡꯊꯤꯕꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ! ꯂꯥꯏꯑꯣꯡꯁꯤꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯈꯪꯍꯧꯗꯅꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ, ꯅꯍꯥꯛꯅꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ ꯃꯇꯃꯗꯥ ꯍꯦꯟꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯆꯦꯛꯁꯤꯟ-ꯊꯧꯔꯥꯡ, ꯊꯝꯃꯣꯌꯒꯤ ꯈꯣꯡꯖꯦꯜ ꯌꯥꯡꯅꯥ ꯁꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯏ ꯊꯣꯀꯄꯥ ꯑꯁꯤꯅꯆꯤꯡꯕꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯊꯦꯡꯅꯔꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯈꯨꯗꯛꯇꯥ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯜ ꯑꯃꯒꯤ ꯏꯃꯔꯖꯦꯟꯁꯤ ꯗꯤꯄꯥꯔꯇꯃꯦꯟꯇ (ETU)ꯗꯥ ꯆꯠꯀꯗꯕꯅꯤ꯫ |
ꯄ꯭ꯔꯣꯇꯤꯟ ꯑꯦꯁ ꯑꯦꯛꯇꯤꯚꯤꯇꯤ ꯇꯦꯁ꯭ꯠ ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ?
ꯅꯍꯥꯛꯅꯥ ꯔꯤꯁ꯭ꯛ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯈꯪꯗꯣꯛꯅꯕꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯕ꯭ꯂꯗ ꯇꯦꯁ꯭ꯠ ꯑꯁꯤ ꯄ꯭ꯔꯣꯇꯤꯟ ꯑꯦꯁ ꯑꯦꯛꯇꯤꯚꯤꯇꯤ ꯇꯦꯁ꯭ꯇꯅꯤ꯫ ꯃꯁꯤꯒꯤ ꯇꯦꯁ꯭ꯠ ꯑꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯏꯗꯥ ꯄ꯭ꯔꯣꯇꯤꯟ ꯑꯦꯁꯒꯤ ꯆꯥꯡ ꯑꯗꯨ ꯈꯛꯇꯥ ꯅꯠꯇꯅꯥ ꯃꯁꯤ ꯀꯌꯥ ꯌꯥꯝꯅꯥ ‘ꯑꯦꯛꯇꯤꯕ’ ꯑꯣꯏꯕꯒꯦ ꯍꯥꯌꯕꯗꯨꯁꯨ ꯂꯦꯄꯊꯣꯀꯏ꯫ ꯍꯥꯌꯕꯗꯤ ꯃꯁꯤꯅꯥ ꯏ ꯊꯣꯀꯄꯥ ꯊꯤꯡꯕꯒꯤ ꯇꯧꯕꯥ ꯉꯝꯕꯁꯤꯡ ꯑꯗꯨ ꯂꯦꯄꯊꯣꯀꯏ꯫ ꯃꯁꯤꯅꯥ ꯄ꯭ꯔꯣꯇꯤꯟ ꯑꯦꯁ ꯋꯥꯠꯄꯒꯤ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯃꯈꯜ ꯈꯨꯗꯤꯡꯃꯛ ꯈꯪꯗꯣꯀꯄꯥ ꯉꯝꯃꯤ꯫
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯇꯦꯁ꯭ꯠ ꯑꯁꯤ ꯇꯧꯔꯕꯗꯤ...
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯇꯦꯁ꯭ꯠ ꯑꯁꯤ ꯇꯧꯅꯕꯥ ꯍꯥꯌꯔꯛꯂꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯂꯧꯔꯤꯕꯥ ꯍꯤꯗꯥꯛ ꯄꯨꯝꯅꯃꯛ (ꯃꯔꯨꯑꯣꯏꯅꯥ ꯕ꯭ꯂꯗ ꯊꯤꯅꯔ ꯑꯃꯁꯨꯡ ꯍꯣꯔꯃꯣꯅꯁꯤꯡ)ꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯁꯣꯌꯗꯅꯥ ꯈꯪꯍꯅꯒꯗꯕꯅꯤ꯫ ꯃꯔꯃꯗꯤ ꯍꯤꯗꯥꯛ ꯈꯔꯅꯥ ꯇꯦꯁ꯭ꯠ ꯑꯁꯤꯒꯤ ꯔꯤꯖꯜꯇ ꯍꯣꯡꯗꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯃꯠꯇꯥ ꯂꯣꯠꯁꯤꯟꯗꯅꯥ ꯄꯨꯝꯅꯃꯛ ꯍꯥꯌꯕꯥ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫
ꯇꯦꯁ꯭ꯠ ꯔꯤꯄꯣꯔꯇꯇꯥ ꯌꯥꯑꯣꯔꯤꯕꯥ ꯚꯦꯜꯌꯨꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯈꯉꯒꯅꯤ?
ꯔꯤꯄꯣꯔꯠ ꯑꯁꯤꯗꯥ ꯄ꯭ꯔꯣꯇꯤꯟ ꯑꯦꯁ ꯑꯦꯛꯇꯤꯚꯤꯇꯤꯒꯤ ꯅꯣꯔꯃꯦꯜ ꯔꯦꯟꯖ ꯑꯁꯤ ꯃꯍꯧꯁꯥꯅꯥ ꯶꯰% ꯑꯃꯁꯨꯡ ꯱꯵꯰% ꯒꯤ ꯃꯔꯛꯇꯥ ꯂꯩ . ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ ꯃꯁꯤ ꯂꯦꯕ ꯑꯃꯗꯒꯤ ꯂꯦꯕ ꯑꯃꯗꯥ ꯈꯔꯥ ꯈꯦꯠꯅꯕꯥ ꯌꯥꯏ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯔꯤꯖꯜꯇ ꯑꯗꯨ ꯅꯍꯥꯛꯀꯤ ꯔꯤꯄꯣꯔꯇꯇꯥ ꯅꯣꯔꯃꯦꯜ ꯔꯦꯟꯖ ꯑꯗꯨꯒꯥ ꯆꯥꯡꯗꯝꯅꯒꯅꯤ ꯑꯃꯁꯨꯡ ꯃꯁꯤꯒꯤ ꯑꯔꯊ ꯀꯔꯤꯅꯣ ꯍꯥꯌꯕꯗꯨ ꯆꯨꯝꯅꯥ ꯈꯪꯍꯜꯂꯛꯀꯅꯤ꯫
- ꯄ꯭ꯔꯣꯇꯤꯟ ꯑꯦꯁ ꯑꯦꯛꯇꯤꯚꯤꯇꯤ ꯅꯦꯝꯕꯥ: ꯃꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡꯅꯥ ꯏ ꯊꯣꯀꯄꯥ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯒꯤ ꯇꯧꯕꯥ ꯉꯝꯕꯗꯨ ꯅꯦꯝꯃꯤ ꯍꯥꯌꯕꯅꯤ꯫ ꯃꯁꯤꯅꯥ ꯇꯥꯀꯄꯗꯤ ꯅꯍꯥꯛꯅꯥ DVT ꯅꯠꯠꯔꯒꯥ PEꯒꯨꯝꯕꯥ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ ꯂꯥꯀꯄꯒꯤ ꯔꯤꯁ꯭ꯛ ꯍꯦꯟꯅꯥ ꯂꯩ꯫
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯄ꯭ꯔꯣꯇꯤꯟ S ꯑꯦꯛꯇꯤꯚꯤꯇꯤꯒꯤ ꯚꯦꯜꯌꯨ ꯑꯁꯤ ꯋꯥꯡꯈꯠꯂꯕꯗꯤ (High): ꯚꯦꯜꯌꯨ ꯑꯁꯤ ꯃꯤꯑꯣꯏ ꯈꯔꯗꯗꯤ, ꯃꯔꯨꯑꯣꯏꯅꯥ ꯃꯈꯣꯌꯅꯥ ꯆꯍꯤ ꯌꯥꯃꯈꯠꯂꯀꯄꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯍꯦꯅꯒꯠꯂꯀꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ ꯃꯁꯤꯅꯥ ꯍꯧꯖꯤꯛ ꯐꯥꯑꯣꯕꯗꯥ ꯑꯆꯧꯕꯥ ꯍꯀꯁꯦꯂꯒꯤ ꯈꯨꯗꯣꯡꯆꯥꯗꯕꯥ ꯑꯃꯠꯇꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯉꯃꯗ꯭ꯔꯤ꯫ ꯍꯥꯌꯕꯗꯤ ꯚꯦꯜꯌꯨ ꯑꯁꯤ ꯍꯦꯅꯒꯠꯂꯀꯄꯅꯥ ꯏ ꯊꯣꯀꯄꯒꯤ ꯔꯤꯁ꯭ꯛ ꯍꯦꯅꯒꯠꯍꯟꯗꯦ꯫
ꯃꯁꯤꯒꯤ ꯇꯦꯁ꯭ꯠ ꯑꯁꯤ ꯀꯅꯥꯅꯥ ꯇꯧꯕꯥ ꯄꯥꯝꯂꯤꯕꯅꯣ?
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯕ꯭ꯂꯗ ꯀ꯭ꯂꯣꯇꯤꯡ ꯗꯤꯁꯑꯣꯔꯗꯔ ꯑꯃꯥ ꯂꯥꯀꯄꯒꯤ ꯔꯤꯁ꯭ꯛ ꯂꯩ ꯍꯥꯌꯅꯥ ꯈꯜꯂꯕꯗꯤ, ꯃꯔꯨꯑꯣꯏꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ:
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯃꯔꯝ ꯑꯃꯠꯇꯗꯥ ꯏ ꯊꯣꯀꯄꯥ ꯂꯩꯔꯕꯗꯤ (ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯁꯔꯖꯔꯤ, ꯂꯝꯕꯤ ꯆꯠꯄꯥ, ꯑꯁꯤꯅꯆꯤꯡꯕꯥ)꯫
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯏꯃꯨꯡꯗꯥ ꯀꯅꯥꯒꯨꯝꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯅꯥ ꯏ ꯊꯣꯀꯄꯥ (Venous Thromboembolism - VTE)ꯒꯤ ꯍꯤꯁ꯭ꯇꯔꯤ ꯂꯩꯔꯕꯗꯤ꯫
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯏꯃꯨꯡꯒꯤ ꯃꯤꯑꯣꯏ ꯑꯃꯅꯥ ꯍꯥꯟꯅꯅꯥ ꯄ꯭ꯔꯣꯇꯤꯟ ꯑꯦꯁ ꯋꯥꯠꯄꯥ ꯂꯩꯔꯕꯗꯤ꯫
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯤꯔꯣꯅꯕꯥ ꯑꯃꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯂꯩꯔꯕꯗꯤ꯫
ꯇꯦꯁ꯭ꯠ ꯑꯁꯤꯒꯤ ꯔꯤꯖꯜꯇꯇꯥ ꯌꯨꯝꯐꯝ ꯑꯣꯏꯗꯨꯅꯥ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯑꯦꯕꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯕꯥ ꯏ ꯊꯣꯀꯄꯥ ꯊꯤꯡꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯒꯗꯕꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ ꯄꯤꯕꯥ ꯉꯃꯒꯅꯤ꯫
ꯇꯦꯛ-ꯍꯣꯝ ꯃꯦꯁꯦꯖ ꯇꯧꯕꯥ꯫
- ꯄ꯭ꯔꯣꯇꯤꯟ ꯑꯦꯁ ꯑꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯏ ꯊꯣꯀꯄꯥ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯄ꯭ꯔꯣꯇꯤꯟ ꯑꯃꯅꯤ, ꯃꯁꯤꯅꯥ "ꯕ꯭ꯔꯦꯛ" ꯑꯃꯒꯨꯝꯅꯥ ꯊꯕꯛ ꯇꯧꯏ꯫
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯄ꯭ꯔꯣꯇꯤꯟ S ꯂꯦꯚꯦꯜ ꯑꯁꯤ ꯍꯟꯊꯔꯛꯂꯕꯗꯤ, DVT (ꯗꯤꯞ ꯚꯦꯟ ꯊ꯭ꯔꯣꯝꯕꯣꯁꯤꯁ) ꯑꯃꯁꯨꯡ PE (ꯄꯂꯃꯣꯅꯥꯔꯤ ꯑꯦꯝꯕꯣꯂꯤꯖꯝ)ꯒꯨꯝꯕꯥ ꯈꯨꯗꯣꯡꯊꯤꯅꯤꯉꯥꯏ ꯑꯣꯏꯕꯥ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ ꯂꯥꯀꯄꯒꯤ ꯔꯤꯁ꯭ꯛ ꯍꯦꯅꯒꯠꯂꯀꯏ꯫
- ꯄ꯭ꯔꯣꯇꯤꯟ ꯑꯦꯁ ꯑꯦꯛꯇꯤꯚꯤꯇꯤ ꯇꯦꯁ꯭ꯠ ꯑꯁꯤ ꯔꯤꯁ꯭ꯛ ꯑꯁꯤ ꯌꯦꯡꯁꯤꯟꯅꯕꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯕ꯭ꯂꯗ ꯇꯦꯁ꯭ꯠ ꯑꯃꯅꯤ꯫
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯇꯦꯁ꯭ꯠ ꯑꯁꯤ ꯄꯥꯡꯊꯣꯛꯂꯤꯕꯥ ꯑꯣꯏꯔꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯂꯧꯔꯤꯕꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛ ꯄꯨꯝꯅꯃꯛꯀꯤ ꯃꯇꯥꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯈꯪꯍꯅꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛ ꯅꯠꯠꯔꯒꯥ ꯅꯍꯥꯛꯀꯤ ꯏꯃꯨꯡ-ꯃꯅꯨꯡꯗꯥ ꯃꯌꯦꯛ ꯁꯦꯡꯗꯕꯥ ꯏ ꯊꯣꯀꯄꯒꯤ ꯍꯤꯁ꯭ꯇꯔꯤ ꯂꯩꯔꯕꯗꯤ, ꯃꯗꯨꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯇꯥꯟꯅꯧ ꯑꯃꯁꯨꯡ ꯃꯊꯧ ꯇꯥꯕꯥ ꯄꯥꯎꯇꯥꯛ ꯂꯧ꯫
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