ꯍꯥꯔꯠ ꯑꯦꯇꯦꯛꯀꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯁꯥꯊꯤꯕꯥ ꯃꯈꯂꯒꯤ ꯃꯔꯃꯗꯥ ꯈꯪꯖꯤꯅꯁꯤ? (ꯑꯦꯁ.ꯇꯤ.ꯏ.ꯑꯦꯝ.ꯑꯥꯏ.ꯒꯤ ꯍꯥꯔꯠ ꯑꯦꯇꯦꯛ)

ꯑꯩꯈꯣꯌ ꯄꯨꯝꯅꯃꯛꯅꯥ "ꯍꯥꯔꯠ ꯑꯦꯇꯦꯛ" ꯍꯥꯌꯕꯥ ꯋꯥꯍꯩ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯇꯥꯕꯥ ꯐꯪꯖꯔꯦ, ꯅꯠꯇꯦ? ꯑꯩꯈꯣꯌꯒꯤ ꯏꯃꯨꯡꯒꯤ ꯃꯤꯑꯣꯏ ꯑꯃꯅꯥ ꯅꯠꯔꯒꯥ ꯃꯔꯨꯞ ꯑꯃꯅꯥ ꯂꯩꯔꯝꯕꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯕꯨ ꯍꯥꯔꯠ ꯑꯦꯇꯦꯀꯀꯤ ꯇꯣꯉꯥꯟ-ꯇꯣꯉꯥꯅꯕꯥ ꯃꯈꯂꯁꯤꯡ ꯂꯩ ꯍꯥꯌꯕꯁꯤ ꯅꯍꯥꯛꯅꯥ ꯈꯪꯂꯕ꯭ꯔꯥ? ꯉꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯈꯔꯥ ꯍꯦꯟꯅꯥ ꯂꯨꯝꯂꯕꯥ ꯑꯃꯁꯨꯡ ꯈꯨꯗꯛꯇꯥ ꯂꯥꯌꯦꯡꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯃꯈꯜ ꯑꯃꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯔꯤ꯫ ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯃꯁꯤꯕꯨ STEMI ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯂꯩꯔꯣꯏꯗꯕꯅꯤ, ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯁꯨꯞꯅꯇꯒꯤ ꯋꯥꯔꯤ ꯁꯥꯁꯤ꯫

ꯀꯔꯤꯒꯤꯗꯃꯛꯇꯥ ꯃꯁꯤꯕꯨ STEMI ꯍꯥꯌꯅꯥ ꯀꯧꯔꯤꯕꯅꯣ? ꯃꯁꯤꯒꯤ ꯑꯔꯊ ꯀꯔꯤꯅꯣ?

ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯍꯥꯔꯠ ꯑꯦꯇꯦꯛ ꯍꯥꯌꯕꯁꯤ ꯍꯥꯔꯇꯇꯥ ꯏ ꯁꯞꯂꯥꯏ ꯇꯧꯔꯤꯕꯥ ꯑꯥꯔꯇꯦꯔꯤ ꯑꯃꯅꯥ ꯈꯪꯍꯧꯗꯅꯥ ꯕ꯭ꯂꯣꯛ ꯇꯧꯔꯀꯄꯥ, ꯍꯥꯔꯇꯀꯤ ꯃꯁꯂꯗꯥ ꯏꯒꯤ ꯈꯣꯡꯖꯦꯜ ꯊꯤꯡꯖꯤꯅꯕꯥ ꯍꯥꯌꯕꯁꯤꯅꯤ꯫ ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯋꯥꯍꯟꯊꯣꯛꯀꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ, ꯃꯁꯤꯕꯨ ꯃꯥꯌꯣꯀꯥꯔꯗꯤꯌꯥ ꯏꯅꯐꯦꯛꯁꯟ'' ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫

ꯍꯧꯖꯤꯛ STEMI ꯍꯥꯌꯕꯥ ꯃꯤꯡ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯂꯥꯀꯄꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯁꯤ꯫ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯜ ꯑꯃꯗꯥ ꯏ.ꯁꯤ.ꯖꯤ. ꯃꯗꯨ ꯍꯥꯔꯇꯀꯤ ꯏꯂꯦꯛꯠꯔꯤꯀꯦꯜ ꯑꯦꯛꯇꯤꯚꯤꯇꯤ ꯆꯦꯛ ꯇꯧꯕꯥ ꯇꯦꯁ꯭ꯠ ꯑꯃꯅꯤ꯫ ꯃꯁꯤꯗꯥ ꯍꯥꯔꯇꯀꯤ ꯈꯣꯡꯖꯦꯜ ꯑꯁꯤ ꯂꯥꯏꯟ ꯒ꯭ꯔꯥꯐ ꯑꯃꯥ ꯑꯣꯏꯅꯥ ꯎꯠꯂꯤ꯫ ꯃꯁꯤ ꯇꯝꯄꯥꯛ ꯂꯥꯏꯟ ꯑꯃꯒꯨꯝꯕꯅꯤ, ꯂꯃꯗꯝ ꯑꯃꯒꯨꯝꯕꯅꯤ ꯅꯠꯔꯒꯥ ꯂꯃꯗꯝ ꯑꯃꯒꯨꯝꯕꯅꯤ꯫

ꯏ.ꯁꯤ.ꯖꯤ.ꯒꯤ ꯑꯈꯟꯅꯕꯥ ꯁꯔꯨꯛ ꯑꯃꯥ ꯂꯩ, ꯃꯗꯨꯕꯨ ꯑꯦꯁ.ꯇꯤ.-ꯁꯦꯒꯃꯦꯟꯇ'' ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ ꯍꯀꯁꯦꯜ ꯐꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯗꯥ, ꯁꯔꯨꯛ ꯑꯁꯤ ꯃꯍꯧꯁꯥꯅꯥ ꯐ꯭ꯂꯦꯠ ꯑꯣꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯍꯥꯔꯇꯇꯥ ꯏ ꯁꯞꯂꯥꯏ ꯇꯧꯔꯤꯕꯥ ꯑꯆꯧꯕꯥ ꯑꯥꯔꯇꯦꯔꯤ ꯑꯃꯅꯥ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯕ꯭ꯂꯣꯛ ꯇꯧꯕꯥ ꯃꯇꯃꯗꯥ, ꯍꯥꯌꯕꯗꯤ ꯁꯥꯊꯤꯕꯥ ꯍꯥꯔꯠ ꯑꯦꯇꯦꯛ ꯑꯃꯥ ꯊꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ, ST ꯁꯦꯒꯃꯦꯟꯇ ꯑꯁꯤ ꯋꯥꯡꯈꯠꯂꯀꯏ꯫ ꯑꯄꯤꯀꯄꯥ ꯂꯃꯗꯝ ꯑꯃꯒꯨꯝ꯫

ꯃꯁꯤꯕꯨ ꯑꯦꯁ.ꯇꯤ.-ꯏꯂꯦꯚꯦꯁꯟ ꯃꯥꯌꯣꯀꯥꯔꯗꯤꯌꯦꯜ ꯏꯅꯐꯦꯛꯁꯟ ꯍꯥꯌꯅꯥ ꯀꯧꯏ ꯃꯔꯃꯗꯤ ꯏ.ꯁꯤ.ꯖꯤ.ꯗꯥ ꯂꯩꯕꯥ ꯑꯦꯁ.ꯇꯤ. ꯃꯁꯤꯒꯤ ꯑꯦꯕꯕ꯭ꯔꯤꯕꯤꯌꯦꯁꯟ ꯑꯁꯤ ꯑꯦꯁ.ꯇꯤ.ꯏ.ꯑꯦꯝ.ꯑꯥꯏ .

ꯃꯁꯤꯒꯤ ꯏ.ꯁꯤ.ꯖꯤ.ꯒꯤ ꯑꯍꯣꯡꯕꯥ ꯑꯁꯤ ꯗꯣꯛꯇꯔꯁꯤꯡꯒꯤꯗꯃꯛꯇꯥ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯈꯨꯗꯝ ꯑꯃꯅꯤ, ꯃꯔꯃꯗꯤ ꯃꯁꯤꯅꯥ ꯇꯥꯀꯄꯗꯤ ꯊꯝꯃꯣꯌꯒꯤ ꯑꯆꯧꯕꯥ ꯁꯔꯨꯛ ꯑꯃꯥ ꯏ ꯃꯔꯥꯡ ꯀꯥꯌꯅꯥ ꯐꯪꯗ꯭ꯔꯤ, ꯑꯃꯁꯨꯡ ꯊꯝꯃꯣꯌꯒꯤ ꯁꯔꯨꯛ ꯑꯗꯨ ꯁꯤꯔꯤ ꯍꯥꯌꯕꯅꯤ꯫ ꯃꯁꯤꯅꯥ ꯇꯥꯀꯄꯗꯤ ꯂꯥꯏꯌꯦꯡ ꯈꯨꯗꯛꯇꯥ ꯍꯧꯒꯗꯕꯅꯤ, ꯃꯤꯅꯤꯠ ꯑꯃꯠꯇꯥ ꯊꯦꯡꯊꯗꯅꯥ .

STEMI ꯑꯃꯥ ꯀꯔꯝꯅꯥ ꯊꯣꯛꯀꯗꯒꯦ? ꯍꯀꯆꯥꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯀꯔꯤ ꯊꯣꯀꯏ?

ꯑꯌꯥꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯃꯁꯤ ꯍꯥꯔꯇꯀꯤ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯂꯁꯤꯡ (ꯀꯣꯔꯣꯅꯥꯔꯤ ꯑꯥꯔꯇꯦꯔꯤꯁꯤꯡ)ꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯐꯦꯠ ꯑꯃꯁꯨꯡ ꯀꯣꯂꯦꯁ꯭ꯇꯦꯔꯣꯜ ꯌꯥꯎꯕꯥ ꯄ꯭ꯂꯦꯛ (plaque)ꯅꯥ ꯊꯣꯀꯍꯅꯕꯅꯤ꯫ ꯃꯁꯤ ꯏꯁꯤꯡꯒꯤ ꯄꯥꯏꯞ ꯑꯃꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯃꯩꯁꯥ ꯁꯦꯝꯕꯒꯨꯝꯅꯥ ꯈꯅꯕꯤꯌꯨ꯫

ꯍꯥꯌꯔꯤꯕꯥ ꯄ꯭ꯂꯦꯀꯁꯤꯡ ꯑꯁꯤ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯍꯦꯟꯅꯥ ꯆꯥꯎꯈꯠꯂꯀꯏ꯫ ꯅꯨꯃꯤꯠ ꯑꯃꯗꯥ, ꯄ꯭ꯂꯦꯀꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯕꯨ ꯈꯪꯍꯧꯗꯅꯥ ꯄꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯗꯒꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯅꯥ ꯃꯐꯝ ꯑꯗꯨꯗꯥ ꯑꯁꯣꯀꯄꯥ ꯑꯃꯥ ꯂꯩ ꯍꯥꯌꯅꯥ ꯈꯜꯂꯤ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯃꯁꯤꯅꯥ ꯑꯁꯣꯀꯄꯥ ꯑꯗꯨ ꯐꯒꯠꯍꯟꯅꯕꯥ ꯏ ꯊꯣꯀꯄꯥ ꯑꯃꯥ ꯁꯦꯝꯃꯤ꯫ ꯑꯗꯨꯕꯨ ꯏ ꯊꯣꯀꯄꯥ ꯑꯁꯤꯅꯥ ꯈꯪꯍꯧꯗꯅꯥ ꯍꯦꯟꯅꯥ ꯆꯥꯎꯈꯠꯂꯀꯏ ꯑꯃꯁꯨꯡ ꯚꯦꯅꯝ ꯑꯗꯨ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯕ꯭ꯂꯣꯛ ꯇꯧꯏ꯫

ꯃꯗꯨꯗꯒꯤ ꯑꯁꯦꯡꯕꯥ ꯁꯃꯁ꯭ꯌꯥ ꯑꯗꯨ ꯍꯧꯔꯀꯏ꯫

1. ꯑꯥꯔꯇꯦꯔꯤ ꯑꯗꯨ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯊꯤꯡꯖꯤꯜꯂꯕꯥ ꯃꯇꯃꯗꯥ, ꯃꯗꯨꯗꯒꯤ ꯏ ꯂꯧꯕꯥ ꯍꯥꯔꯠ ꯃꯁꯜ ꯁꯦꯂꯁꯤꯡꯗꯥ ꯑꯣꯛꯁꯤꯖꯦꯟ ꯌꯥꯎꯗꯦ꯫ ꯑꯩꯈꯣꯌꯅꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤꯕꯨ (ꯏꯁ꯭ꯀꯦꯃꯤꯌꯥ) ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫

2. ꯑꯣꯛꯁꯤꯖꯦꯟ ꯌꯥꯎꯗꯅꯥ ꯃꯆꯤꯟꯖꯥꯛ ꯑꯁꯤ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯁꯤꯕꯥ ꯍꯧꯏ꯫

3. ꯀꯔꯤꯒꯨꯝꯕꯥ ꯍꯥꯔꯇꯀꯤ ꯑꯆꯧꯕꯥ ꯁꯔꯨꯛ ꯑꯃꯥ ꯑꯁꯤꯒꯨꯝꯅꯥ ꯁꯣꯀꯍꯜꯂꯕꯗꯤ ꯍꯥꯔꯇꯅꯥ ꯍꯀꯆꯥꯡꯗꯥ ꯏ ꯃꯇꯤꯛ ꯆꯥꯅꯥ ꯄꯝꯄ ꯇꯧꯕꯥ ꯉꯃꯗꯦ꯫ ꯃꯁꯤꯅꯥ ꯀꯥꯔꯗꯤꯑꯣꯖꯦꯅꯤꯛ ꯁꯣꯛ ꯀꯧꯕꯥ ꯁꯤꯍꯅꯕꯥ ꯌꯥꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫

4. ꯃꯁꯤꯗꯁꯨ ꯅꯠꯇꯅꯥ, ꯍꯥꯔꯇꯀꯤ ꯃꯁꯂꯅꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯅꯕꯅꯥ ꯍꯥꯔꯇꯀꯤ ꯏꯂꯦꯛꯠꯔꯤꯀꯦꯜ ꯑꯦꯛꯇꯤꯚꯤꯇꯤꯗꯥ ꯑꯀꯥꯌꯕꯥ ꯄꯤꯕꯥ ꯌꯥꯏ, ꯃꯗꯨꯅꯥ ꯍꯥꯔꯠ ꯑꯗꯨ ꯈꯪꯍꯧꯗꯅꯥ ꯊꯤꯡꯖꯤꯅꯕꯥ (cardiac arest) ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫

STEMI ꯑꯁꯤ ꯃꯍꯧꯁꯥꯅꯥ ꯍꯦꯟꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯍꯥꯔꯠ ꯑꯦꯇꯦꯛ ꯑꯃꯅꯤ꯫ ꯃꯔꯝ ꯑꯁꯤꯅꯥ ꯂꯥꯏꯑꯣꯡ ꯍꯧꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯂꯗꯥ ꯆꯠꯄꯥ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯕ꯭ꯂꯣꯛ ꯇꯧꯔꯕꯥ ꯑꯥꯔꯇꯦꯔꯤ ꯑꯗꯨ ꯊꯨꯅꯥ ꯍꯥꯡꯗꯣꯀꯄꯥ ꯉꯝꯂꯕꯗꯤ ꯑꯃꯁꯨꯡ ꯏꯒꯤ ꯈꯣꯡꯖꯦꯜ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯄꯨꯔꯀꯄꯥ ꯉꯝꯂꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯍꯥꯔꯇꯀꯤ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯑꯗꯨ ꯌꯥꯝꯅꯥ ꯍꯟꯊꯍꯅꯕꯥ ꯉꯃꯒꯅꯤ꯫

STEMI ꯑꯃꯁꯨꯡ NSTEMIꯒꯤ ꯃꯔꯛꯇꯥ ꯀꯔꯤ ꯈꯦꯠꯅꯕꯥ ꯂꯩꯕꯒꯦ?

ꯑꯦꯟ.ꯑꯦꯁ.ꯇꯤ.ꯏ.ꯑꯦꯝ.ꯑꯥꯏ.ꯒꯤ ꯃꯇꯥꯡꯗꯁꯨ ꯇꯥꯕꯤꯔꯝꯂꯒꯅꯤ꯫ ꯑꯅꯤꯁꯤꯒꯤ ꯃꯔꯛꯇꯥ ꯃꯔꯨ ꯑꯣꯏꯕꯥ ꯈꯦꯠꯅꯕꯥ ꯈꯔꯥ ꯂꯩ꯫

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ꯃꯁꯤ ꯊꯣꯀꯍꯅꯕꯒꯤ ꯈꯨꯗꯣꯡꯊꯤꯕꯥ ꯀꯅꯥꯅꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯂꯩꯔꯤꯕꯒꯦ?

ꯍꯥꯔꯠ ꯑꯦꯇꯦꯛ ꯂꯥꯀꯄꯒꯤ ꯔꯤꯁ꯭ꯛ ꯐꯦꯛꯇꯔꯁꯤꯡ ꯑꯁꯤ ꯀꯦꯇꯦꯒꯣꯔꯤ ꯑꯅꯤꯗꯥ ꯈꯥꯌꯗꯣꯀꯄꯥ ꯌꯥꯏ: ꯑꯩꯈꯣꯌꯅꯥ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯥ ꯉꯝꯕꯥ ꯑꯃꯁꯨꯡ ꯑꯩꯈꯣꯌꯅꯥ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯥ ꯉꯃꯗꯕꯥ꯫

ꯃꯁꯛ ꯈꯪꯗꯣꯀꯄꯥ ꯌꯥꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?

ꯍꯥꯔꯠ ꯑꯦꯇꯦꯛ ꯑꯃꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯃꯤꯄꯨꯝ ꯈꯨꯗꯤꯡꯃꯛꯀꯤ ꯑꯣꯏꯅꯥ ꯃꯥꯟꯅꯗꯦ, ꯑꯗꯨꯕꯨ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡꯗꯤ:

• ꯆꯦꯡ-ꯍꯋꯥꯏ ꯅꯠꯠꯔꯒꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ (chest pain or discomfort) : ꯃꯁꯤꯅꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯂꯥꯏꯑꯣꯡꯅꯤ꯫ ꯃꯁꯤ ꯈꯣꯡꯒꯤ ꯃꯔꯛꯇꯥ ꯇꯞꯅꯥ ꯇꯞꯅꯥ, ꯑꯀꯅꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯁꯣꯟꯊꯕꯥ (constricting sensation) ꯑꯃꯒꯨꯝꯅꯥ ꯐꯥꯎꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯒꯤ ꯑꯅꯥꯕꯥ ꯑꯁꯤ ꯃꯤꯅꯠ ꯈꯔꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯂꯩꯕꯥ ꯌꯥꯏ꯫
• ꯑꯅꯥꯕꯥ ꯑꯇꯩ ꯃꯐꯃꯁꯤꯡꯗꯥ ꯁꯟꯗꯣꯀꯄꯥ: ꯈꯣꯡꯒꯤ ꯑꯅꯥꯕꯥ ꯑꯁꯤ ꯂꯦꯡ-ꯑꯣꯠꯄꯗꯥ, ꯃꯈꯨꯠ ꯑꯅꯤꯃꯛ, ꯈꯨꯎ, ꯈꯣꯡ, ꯈꯣꯡ, ꯃꯀꯣꯛ ꯅꯠꯠꯔꯒꯥ ꯃꯊꯛ ꯊꯪꯕꯥ ꯁꯔꯨꯛꯇꯥ ꯁꯟꯗꯣꯀꯄꯥ ꯌꯥꯏ꯫
• ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ: ꯅꯍꯥꯛꯅꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ, ꯈꯣꯡꯗꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯂꯩꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯂꯩꯇꯕꯥ ꯐꯥꯎꯕꯥ ꯌꯥꯏ꯫
• ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ: ꯅꯍꯥꯛꯅꯥ ꯈꯪꯍꯧꯗꯅꯥ ꯅꯣꯡꯃꯩ ꯀꯥꯞꯄꯥ ꯍꯧꯔꯀꯄꯥ ꯌꯥꯏ ꯑꯃꯁꯨꯡ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯍꯧꯔꯀꯄꯥ ꯌꯥꯏ꯫
• ꯅꯣꯡꯃꯩ ꯀꯥꯞꯄꯥ ꯑꯃꯁꯨꯡ ꯋꯥꯈꯜ ꯆꯔꯥꯡꯅꯕꯥ: ꯃꯁꯤꯅꯥ ꯒꯦꯁ꯭ꯠꯔꯥꯏꯇꯤꯁ (gastritis)ꯒꯨꯝꯕꯥ ꯈꯣꯝꯂꯥꯡ ꯁꯣꯀꯄꯥ (upset stomach) ꯑꯃꯒꯨꯝꯅꯥ ꯐꯥꯎꯕꯥ ꯌꯥꯏ꯫
• ꯃꯤꯠ ꯎꯗꯕꯥ ꯑꯃꯁꯨꯡ ꯃꯁꯥ ꯃꯊꯟꯇꯥ ꯋꯥꯈꯜ ꯇꯥꯗꯕꯥ: ꯃꯤꯠ ꯎꯗꯕꯥ ꯑꯃꯁꯨꯡ ꯂꯦꯡ-ꯑꯣꯠꯄꯥ ꯉꯃꯗꯕꯥ꯫
• ꯑꯆꯧꯕꯥ ꯑꯀꯤꯕꯥ ꯐꯥꯎꯕꯥ: ꯅꯍꯥꯛꯅꯥ ꯃꯔꯝ ꯑꯃꯠꯇꯗꯥ ꯑꯆꯧꯕꯥ ꯑꯀꯤꯕꯥ ꯐꯥꯎꯕꯥ, ꯁꯤꯕꯒꯤ ꯑꯀꯤꯕꯥ ꯐꯥꯎꯕꯥ ꯐꯥꯎꯕꯥ ꯌꯥꯏ꯫

ꯅꯨꯄꯤꯁꯤꯡꯒꯤ ꯑꯣꯏꯕꯥ ꯑꯀꯛꯅꯕꯥ ꯃꯒꯨꯅꯁꯤꯡ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯅꯨꯄꯤꯁꯤꯡꯅꯥ ꯃꯍꯧꯁꯥꯒꯤ ꯑꯣꯏꯕꯥ ꯆꯦꯛꯁꯤꯟ-ꯊꯧꯔꯥꯡ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯐꯥꯎꯕꯥ ꯉꯃꯗꯕꯥ ꯌꯥꯏ꯫ ꯃꯗꯨꯒꯤ ꯃꯍꯨꯠꯇꯥ, ꯃꯈꯣꯌꯗꯥ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯊꯦꯡꯅꯔꯀꯄꯥ ꯌꯥꯏ꯫

• ꯑꯆꯝꯕꯥ ꯋꯥꯈꯜ ꯆꯔꯥꯡꯅꯕꯥ: ꯅꯨꯃꯤꯠ ꯀꯌꯥꯅꯤ ꯌꯥꯝꯅꯥ ꯋꯥꯅꯥ ꯊꯣꯀꯄꯥ꯫
• ꯇꯨꯝꯕ ꯌꯥꯗꯕ.
• ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ꯫
• ꯈꯣꯡ, ꯈꯨꯎ ꯑꯃꯁꯨꯡ ꯈꯣꯡꯗꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯄꯥ꯫
• ꯅꯣꯡꯃꯩ ꯀꯥꯞꯄꯥ ꯑꯃꯁꯨꯡ ꯈꯣꯡ ꯍꯥꯝꯕꯥ꯫

ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯋꯥꯐꯃꯗꯤ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯊꯦꯡꯅꯔꯕꯗꯤ, "ꯃꯁꯤ ꯒꯦꯁ꯭ꯠꯔꯥꯏꯇꯤꯁ ꯑꯣꯏꯕꯥ ꯌꯥꯏ" ꯍꯥꯌꯅꯥ ꯂꯧꯒꯅꯨ, ꯑꯗꯨꯕꯨ ꯈꯨꯗꯛꯇꯥ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯜ ꯑꯃꯒꯤ ꯏꯃꯔꯖꯦꯟꯁꯤ ꯗꯤꯄꯥꯔꯇꯃꯦꯟꯇ (ETU)ꯗꯥ ꯆꯠꯂꯨ꯫

ꯍꯣꯁ꯭ꯄꯤꯇꯥꯂꯗꯥ ꯀꯔꯤ ꯃꯈꯂꯒꯤ ꯂꯥꯌꯦꯡ ꯆꯠꯊꯔꯤꯕꯒꯦ?

ꯑꯦꯁ.ꯇꯤ.ꯏ.ꯑꯦꯝ.ꯑꯥꯏ.ꯗꯥ ꯄꯨꯟꯁꯤ ꯀꯟꯅꯕꯗꯥ ꯃꯇꯝ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ, ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯂꯥꯌꯦꯡꯕꯗꯥ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯊꯣꯀꯏ꯫

1. ꯈꯨꯗꯛꯇꯥ ꯗꯥꯏꯑꯦꯒ꯭ꯅꯣꯁꯤꯁ: ꯅꯍꯥꯀꯄꯨ ꯏ.ꯇꯤ.ꯌꯨ.ꯗꯥ ꯄꯨꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯃꯁꯤ STEMI ꯑꯣꯏꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯀꯅꯐꯥꯔꯝ ꯇꯧꯅꯕꯥ ꯏ.ꯁꯤ.ꯖꯤ.

2. ꯏ ꯊꯣꯀꯄꯥ ꯌꯥꯕꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ: ꯍꯣꯁ꯭ꯄꯤꯇꯥꯜ ꯈꯔꯗꯗꯤ, ꯊꯣꯡꯅꯥꯎ ꯍꯥꯡꯗꯣꯀꯄꯥ ꯏꯒꯤ ꯈꯣꯡꯖꯦꯜ ꯑꯗꯨ ꯂꯧꯊꯣꯛꯅꯕꯥ ꯏꯅꯖꯦꯀꯁꯟ (ꯊ꯭ꯔꯣꯝꯕꯣꯂꯥꯏꯁꯤꯁ) ꯑꯃꯥ ꯄꯤ꯫

3. ꯑꯦꯟꯖꯤꯑꯣꯞꯂꯥꯁ꯭ꯇꯤ ꯑꯃꯁꯨꯡ ꯁ꯭ꯇꯦꯟꯇ ꯄ꯭ꯂꯦꯁꯃꯦꯟꯇ (PCI): ꯃꯁꯤ STEMIꯒꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯥ ꯑꯃꯁꯨꯡ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯣꯗꯔꯟ ꯂꯥꯏꯌꯦꯡꯅꯤ꯫ ꯃꯁꯤꯗꯥ, ꯌꯥꯝꯅꯥ ꯂꯨꯕꯥ ꯇꯤꯎꯕ ꯑꯃꯥ ꯈꯨꯠ ꯅꯠꯠꯔꯒꯥ ꯈꯣꯡꯗꯥ ꯂꯩꯕꯥ ꯚꯦꯅꯝ ꯑꯃꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯍꯥꯔꯇꯀꯤ ꯃꯅꯨꯡꯗꯥ ꯕ꯭ꯂꯣꯛ ꯇꯧꯔꯕꯥ ꯑꯥꯔꯇꯦꯔꯤ ꯑꯗꯨꯗꯥ ꯊꯥꯏ꯫ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ, ꯇꯨꯕꯀꯤ ꯑꯔꯣꯏꯕꯗꯥ ꯂꯩꯕꯥ ꯑꯄꯤꯀꯄꯥ ꯕꯦꯂꯨꯟ ꯑꯃꯥ ꯕ꯭ꯂꯣꯛ ꯇꯧꯔꯕꯥ ꯑꯥꯔꯇꯦꯔꯤ ꯑꯗꯨ ꯍꯥꯡꯗꯣꯛꯅꯕꯥ ꯐꯨꯃꯖꯤꯜꯂꯤ, ꯑꯃꯁꯨꯡ ꯃꯗꯨ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯕ꯭ꯂꯣꯛ ꯇꯧꯗꯅꯕꯥ ꯃꯐꯝ ꯑꯗꯨꯗꯥ ꯁ꯭ꯇꯦꯟꯇ ꯀꯧꯕꯥ ꯃꯦꯁꯒꯨꯝꯕꯥ ꯈꯨꯠꯂꯥꯏ ꯑꯃꯥ ꯊꯝꯃꯤ꯫ ꯃꯁꯤꯕꯨ (ꯄꯔꯛꯌꯨꯇꯦꯅꯤꯌꯝ ꯀꯣꯔꯣꯅꯥꯔꯤ ꯏꯟꯇꯔꯚꯦꯟꯁꯟ - ꯄꯤ.ꯁꯤ.ꯑꯥꯏ.) ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫

4. ꯕꯥꯏꯄꯥꯁ ꯁꯔꯖꯔꯤ (CABG ꯁꯔꯖꯔꯤ): ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯁꯤꯡ ꯌꯥꯝꯂꯕꯥ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯂꯁꯤꯡ ꯕ꯭ꯂꯣꯛ ꯇꯧꯔꯕꯗꯤ ꯅꯠꯠꯔꯒꯥ ꯄꯤ.ꯁꯤ.ꯑꯥꯏ. ꯃꯁꯤ ꯊꯣꯡ ꯂꯣꯜꯂꯕꯥ ꯂꯝꯕꯤ ꯑꯁꯤ ꯂꯥꯟꯊꯣꯛꯅꯕꯥ ꯑꯅꯧꯕꯥ ‘ꯐ꯭ꯂꯥꯏꯑꯣꯚꯔ’ ꯑꯃꯥ ꯁꯥꯕꯒꯥ ꯃꯥꯟꯅꯩ꯫

꯵.ꯑꯇꯣꯞꯄꯥ ꯍꯤꯗꯥꯀꯁꯤꯡ: ꯱ .ꯂꯥꯏꯌꯦꯡꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯊꯛꯇꯥ, ꯕ꯭ꯂꯗ ꯊꯤꯅꯔꯁꯤꯡ (ꯑꯦꯁ꯭ꯄꯤꯔꯤꯅꯒꯨꯝꯕꯥ), ꯀꯣꯂꯦꯁ꯭ꯇꯦꯔꯣꯜ ꯍꯟꯊꯍꯅꯕꯥ ꯗ꯭ꯔꯒꯁꯤꯡ (ꯁ꯭ꯇꯦꯇꯤꯅꯁꯤꯡ), ꯑꯃꯁꯨꯡ ꯍꯥꯔꯠ ꯔꯦꯠ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯥ ꯗ꯭ꯔꯒꯁꯤꯡ (ꯕꯦꯇꯥ-ꯕ꯭ꯂꯣꯀꯔꯁꯤꯡ) ꯑꯁꯤꯅꯆꯤꯡꯕꯥ ꯍꯤꯗꯥꯛ ꯀꯌꯥ ꯑꯃꯥ ꯅꯍꯥꯛꯀꯤ ꯄꯨꯟꯁꯤ ꯆꯨꯞꯄꯥ ꯂꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯒꯅꯤ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯦꯃꯔꯖꯦꯟꯁꯤ ꯑꯃꯥ ꯂꯩꯔꯕꯗꯤ ꯑꯩꯅꯥ ꯀꯔꯤ ꯇꯧꯒꯗꯒꯦ? ꯑꯩꯅꯥ ꯱꯹꯹꯰ꯗꯥ ꯀꯧꯔꯤꯕꯔꯥ? ꯅꯠꯔꯒꯥ ꯑꯩꯅꯥ ꯒꯥꯗꯤꯗꯥ ꯆꯠꯂꯤꯕꯔꯥ?

ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯋꯥꯍꯪ ꯑꯃꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯅꯠꯠꯔꯒꯥ ꯅꯍꯥꯛꯀꯥ ꯅꯛꯅꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯅꯥ ꯍꯥꯔꯠ ꯑꯦꯇꯦꯛꯀꯤ ꯂꯥꯏꯑꯣꯡ ꯂꯩꯔꯦ ꯍꯥꯌꯅꯥ ꯆꯤꯡꯅꯔꯕꯗꯤ, ꯀꯩꯗꯧꯉꯩꯗꯥ ꯃꯁꯥꯃꯀꯄꯨ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯂꯗꯥ ꯒꯥꯔꯤ ꯊꯧꯒꯅꯨ꯫ ꯀꯩꯗꯧꯉꯩꯗꯥ ꯑꯇꯣꯞꯄꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯗꯥ ꯅꯍꯥꯀꯄꯨ ꯗ꯭ꯔꯥꯏꯚꯔ ꯇꯧꯅꯕꯥ ꯍꯥꯌꯒꯅꯨ꯫

ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯥ ꯊꯕꯛ ꯑꯁꯤ ꯱꯹꯹꯰ꯒꯨꯝꯅꯥ ꯈꯨꯗꯛꯇꯥ ꯑꯦꯝꯕꯨꯂꯦꯟꯁ ꯁꯔꯚꯤꯁ ꯑꯃꯗꯥ ꯀꯧꯕꯅꯤ꯫

ꯀꯔꯤꯒꯤꯅꯣ?

• ꯑꯦꯝꯕꯨꯂꯦꯟꯁꯇꯥ ꯂꯩꯔꯤꯕꯥ ꯑꯣꯐꯤꯁꯔꯁꯤꯡ ꯑꯁꯤ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯃꯈꯂꯒꯤ ꯏꯃꯔꯖꯦꯟꯁꯤꯁꯤꯡꯒꯤꯗꯃꯛ ꯑꯈꯟꯅꯅꯥ ꯇ꯭ꯔꯦꯟ ꯇꯧꯏ꯫ ꯃꯈꯣꯌꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯂꯗꯥ ꯄꯨꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯕꯦꯁꯤꯛ ꯇ꯭ꯔꯤꯠꯃꯦꯟꯇ (ꯑꯣꯛꯁꯤꯖꯦꯅꯒꯨꯝꯕꯥ) ꯄꯤꯕꯥ ꯍꯧꯕꯥ ꯌꯥꯏ꯫
• ꯃꯈꯣꯌꯅꯥ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯂꯒꯤ ꯏ.ꯇꯤ.ꯌꯨ.ꯗꯥ ꯍꯥꯟꯅꯥ ꯈꯉꯍꯅꯕꯥ ꯌꯥꯏ ꯑꯃꯁꯨꯡ ꯑꯅꯥꯕꯥ ꯑꯗꯨꯒꯤ ꯃꯔꯃꯗꯥ ꯑꯀꯨꯞꯄꯥ ꯃꯔꯣꯂꯁꯤꯡ ꯄꯤꯕꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯗꯒꯤ ꯅꯍꯥꯛꯅꯥ ꯌꯧꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯗꯣꯛꯇꯔꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯅꯔꯁꯁꯤꯡꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯂꯥꯌꯦꯡꯅꯕꯥ ꯁꯦꯝ ꯁꯥꯗꯨꯅꯥ ꯂꯩꯒꯅꯤ꯫ ꯃꯗꯨꯅꯥ ꯃꯃꯜ ꯌꯥꯝꯂꯕꯥ ꯃꯇꯝ ꯀꯅꯕꯥ ꯉꯝꯃꯤ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯀꯥꯔꯗꯤꯌꯦꯛ ꯑꯦꯔꯦꯁ꯭ꯠ (cardiac arest)ꯒꯨꯝꯕꯥ ꯑꯦꯃꯔꯖꯦꯟꯁꯤ ꯑꯃꯥ ꯊꯣꯛꯂꯕꯗꯤ, ꯑꯦꯝꯕꯨꯂꯦꯟꯁ ꯑꯗꯨꯗꯥ ꯃꯗꯨ ꯂꯥꯏꯌꯦꯡꯅꯕꯒꯤꯗꯃꯛ ꯃꯊꯧ ꯇꯥꯕꯥ ꯏꯛꯌꯨꯏꯄꯃꯦꯟꯇ (ꯗꯤꯐꯤꯕ꯭ꯔꯤꯂꯦꯇꯔꯒꯨꯝꯕꯥ) ꯂꯩ꯫ ꯌꯨꯃꯒꯤ ꯒꯥꯔꯤ ꯑꯃꯗꯥ ꯃꯗꯨ ꯇꯧꯕꯥ ꯉꯝꯂꯣꯏ꯫

ꯅꯤꯡꯁꯤꯡꯕꯤꯌꯨ, ꯁꯦꯀꯦꯟꯗ ꯈꯨꯗꯤꯡꯃꯛ STEMI ꯑꯃꯗꯥ ꯀꯥꯎꯟꯇ ꯇꯧꯏ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯑꯆꯨꯝꯕꯥ ꯋꯥꯔꯦꯞ ꯂꯧꯕꯅꯥ ꯄꯨꯟꯁꯤ ꯑꯃꯥ ꯀꯅꯕꯥ ꯉꯃꯒꯅꯤ꯫