ꯅꯍꯥꯛꯀꯤ ꯊꯝꯃꯣꯌꯒꯤ ꯑꯄꯤꯀꯄꯥ ꯁꯔꯨꯛ ꯑꯃꯥ ꯂꯧꯔꯒꯥ ꯆꯥꯡꯌꯦꯡ ꯇꯧꯕꯥ ꯄꯥꯝꯕꯤꯕ꯭ꯔꯥ? ꯍꯥꯔꯠ ꯕꯥꯏꯑꯣꯞꯁꯤ ꯑꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯁꯤ!

"ꯍꯥꯔꯠ ꯕꯥꯏꯑꯣꯞꯁꯤ " ꯍꯥꯌꯕꯥ ꯋꯥꯍꯩ ꯑꯁꯤ ꯇꯥꯕꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯈꯔꯥ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯕꯨ ꯇꯁꯦꯡꯕꯗꯤ ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯃꯜ ꯂꯩꯕꯥ ꯇꯦꯁ꯭ꯠ ꯑꯃꯅꯤ ꯃꯗꯨꯅꯥ ꯑꯀꯛꯅꯕꯥ ꯍꯥꯔꯇꯀꯤ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯃꯁꯤꯡ ꯑꯗꯨ ꯈꯪꯗꯣꯀꯄꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫ ꯑꯗꯨꯅꯥ, ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯍꯦꯟꯅꯥ ꯑꯀꯨꯞꯄꯥ ꯃꯔꯣꯂꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯁꯤ꯫ ꯃꯁꯤ ꯀꯔꯤꯅꯣ, ꯀꯅꯥꯅꯥ ꯃꯊꯧ ꯇꯥꯔꯤꯕꯒꯦ, ꯀꯔꯝꯅꯥ ꯇꯧꯕꯒꯦ, ꯑꯃꯁꯨꯡ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯂꯩꯕꯔꯥ꯫

ꯍꯥꯔꯠ ꯕꯥꯏꯑꯣꯞꯁꯤ ꯍꯥꯌꯕꯁꯤ ꯇꯁꯦꯡꯅꯥ ꯀꯔꯤꯅꯣ?

ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯍꯥꯔꯠ ꯕꯥꯏꯑꯣꯞꯁꯤ ꯍꯥꯌꯕꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯍꯥꯔꯇꯀꯤ ꯃꯁꯂꯗꯒꯤ ꯌꯥꯝꯅꯥ ꯑꯄꯤꯀꯄꯥ ꯇꯤꯁꯨ ꯑꯃꯥ ꯂꯧꯊꯣꯛꯇꯨꯅꯥ ꯃꯗꯨ ꯌꯦꯡꯁꯤꯅꯕꯥ ꯌꯥꯕꯥ ꯄ꯭ꯔꯣꯁꯤꯗ꯭ꯌꯨꯑꯣꯔ ꯑꯃꯅꯤ꯫ ꯃꯁꯤ ꯂꯥꯌꯅꯥ ꯑꯁꯤ ꯀꯔꯤꯅꯣ ꯍꯥꯌꯕꯗꯨ ꯆꯨꯝꯅꯥ ꯈꯉꯗꯣꯛꯅꯕꯥ ꯁꯤꯖꯤꯟꯅꯕꯥ ꯗꯥꯏꯒ꯭ꯅꯣꯁ꯭ꯇꯤꯛ ꯄ꯭ꯔꯣꯁꯤꯖꯔ ꯑꯃꯅꯤ꯫ ꯃꯁꯤ ꯑꯄꯤꯀꯄꯥ ꯐꯤ ꯑꯃꯥ ꯂꯧꯗꯨꯅꯥ ꯃꯗꯨꯗꯥ ꯑꯁꯣꯏꯕꯥ ꯑꯃꯥ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯕꯒꯨꯝꯅꯥ ꯈꯅꯕꯤꯌꯨ꯫

ꯇꯤꯁ꯭ꯌꯨ ꯁꯦꯝꯄꯜ ꯑꯗꯨ ꯂꯦꯕ ꯑꯃꯗꯥ ꯊꯥꯏ꯫ ꯃꯐꯝ ꯑꯗꯨꯗꯥ ꯁ꯭ꯄꯦꯁꯤꯑꯦꯂꯤꯁ꯭ꯠ ꯑꯃꯥ ꯂꯩ, ꯑꯩꯈꯣꯌꯅꯥ ꯃꯍꯥꯀꯄꯨ ``ꯄꯦꯊꯣꯂꯣꯖꯤꯁ꯭ꯠ`` ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ ꯃꯍꯥꯛ ꯑꯁꯤ ꯃꯥꯏꯛꯔꯣꯁ꯭ꯀꯣꯄꯀꯤ ꯃꯈꯥꯗꯥ ꯍꯥꯔꯇꯀꯤ ꯇꯤꯁ꯭ꯌꯨꯒꯤ ꯁꯔꯨꯛ ꯑꯁꯤ ꯌꯦꯡꯗꯨꯅꯥ ꯁꯦꯂꯁꯤꯡꯗꯥ ꯑꯍꯣꯡꯕꯥ, ꯑꯃꯥꯡ-ꯑꯇꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯁꯣꯏ-ꯑꯉꯥꯝ ꯌꯥꯑꯣꯗꯕꯥ ꯑꯃꯠꯇꯥ ꯌꯦꯡꯂꯤꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯗꯨꯅꯤ꯫ ꯃꯁꯤꯅꯥ ꯑꯩꯈꯣꯌꯗꯥ ꯊꯝꯃꯣꯌꯗꯥ ꯑꯋꯥꯕꯥ ꯑꯃꯥ ꯂꯩꯔꯕꯗꯤ ꯇꯁꯦꯡꯅꯥ ꯈꯉꯗꯣꯀꯄꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫

ꯃꯁꯤꯒꯤ ꯑꯇꯣꯞꯄꯥ ꯃꯃꯤꯡꯁꯤꯡ ꯂꯩꯕꯔꯥ?

ꯍꯣꯌ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯃꯁꯤꯒꯤꯗꯃꯛꯇꯥ ꯑꯇꯣꯞꯄꯥ ꯃꯤꯡꯁꯤꯡ ꯁꯤꯖꯤꯟꯅꯩ꯫ ꯑꯗꯣꯝꯅꯥ ꯃꯤꯡꯁꯤꯡ ꯑꯁꯤꯁꯨ ꯇꯥꯕꯤꯔꯝꯂꯒꯅꯤ:

• `(ꯀꯥꯔꯗꯤꯌꯦꯛ ꯕꯥꯏꯑꯣꯞꯁꯤ)` (ꯀꯥꯔꯗꯤꯌꯦꯛ ꯕꯥꯏꯑꯣꯞꯁꯤ ) – "ꯀꯥꯔꯗꯤꯌꯦꯛ" ꯍꯥꯌꯕꯁꯤ ꯍꯥꯔꯇꯀꯥ ꯃꯔꯤ ꯂꯩꯅꯕꯥ ꯍꯥꯌꯕꯁꯨ ꯈꯪꯅꯩ꯫
• `(ꯑꯦꯟꯗꯣꯃꯥꯌꯣꯀꯥꯔꯗꯤꯑꯦꯜ ꯕꯥꯏꯑꯣꯞꯁꯤ)` (ꯑꯦꯟꯗꯣꯃꯥꯌꯣꯀꯥꯔꯗꯤꯌꯦꯜ ꯕꯥꯏꯑꯣꯞꯁꯤ) – "ꯑꯦꯟꯗꯣ" ꯍꯥꯌꯕꯁꯤ ꯃꯅꯨꯡꯗꯥ, ꯑꯃꯁꯨꯡ "ꯃꯥꯌꯣꯀꯥꯔꯗꯤꯑꯦꯜ" ꯍꯥꯌꯕꯁꯤ ꯍꯥꯔꯇꯀꯤ ꯃꯁꯜ ꯍꯥꯌꯕꯅꯤ꯫ ꯃꯁꯤꯅꯥ ꯇꯥꯀꯄꯗꯤ ꯃꯁꯤ ꯍꯥꯔꯇꯀꯤ ꯃꯁꯂꯒꯤ ꯃꯅꯨꯡꯒꯤ ꯂꯦꯡ-ꯑꯣꯠꯄꯗꯒꯤ ꯂꯧꯕꯅꯤ꯫
• ꯃꯥꯌꯣꯀꯥꯔꯗꯤꯌꯥ ꯕꯥꯏꯑꯣꯞꯁꯤ – ꯍꯥꯔꯇꯀꯤ ꯃꯁꯂꯗꯒꯤ ꯍꯀꯊꯦꯡꯅꯅꯥ ꯂꯧꯕꯥ ꯕꯥꯏꯑꯣꯞꯁꯤ ꯑꯃꯅꯤ꯫

ꯃꯇꯧ ꯀꯔꯝꯅꯥ ꯍꯥꯌꯔꯕꯁꯨ ꯃꯗꯨꯒꯤ ꯑꯔꯊꯗꯤ ꯆꯞ ꯃꯥꯟꯅꯕꯥ ꯆꯥꯡꯌꯦꯡꯅꯤ꯫

ꯍꯥꯔꯠ ꯕꯥꯏꯑꯣꯞꯁꯤ ꯀꯅꯥꯅꯥ ꯃꯊꯧ ꯇꯥꯕꯒꯦ?

ꯃꯤꯄꯨꯝ ꯈꯨꯗꯤꯡꯃꯛꯅꯥ ꯃꯁꯤ ꯇꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯔꯣꯏ, ꯑꯗꯨꯕꯨ ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨ ꯑꯣꯏꯕꯥ ꯑꯈꯟꯅꯕꯥ ꯀꯦꯁ ꯈꯔꯥ ꯂꯩꯔꯤ꯫

ꯍꯥꯔꯠ ꯇ꯭ꯔꯥꯟꯁꯞꯂꯥꯟꯇ ꯇꯧꯔꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯒꯤꯗꯃꯛ (ꯍꯥꯔꯠ ꯇ꯭ꯔꯥꯟꯁꯞꯂꯥꯟꯇ)

ꯀꯅꯥꯒꯨꯝꯕꯥ ꯑꯃꯅꯥ ꯑꯅꯧꯕꯥ ꯍꯥꯔꯠ ꯇ꯭ꯔꯥꯟꯁꯞꯂꯥꯟꯇ ꯑꯃꯥ ꯇꯧꯔꯦ ꯍꯥꯌꯅꯥ ꯈꯅꯕꯤꯌꯨ꯫ ꯃꯗꯨ ꯑꯣꯏꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯍꯀꯆꯥꯡꯅꯥ ꯑꯅꯧꯕꯥ ꯍꯥꯔꯠ ( organ rejection ) ꯑꯗꯨ ꯔꯤꯖꯦꯛꯇ ꯇꯧꯔꯤꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯅꯕꯒꯤꯗꯃꯛ ꯕꯥꯏꯑꯣꯞꯁꯤ ꯑꯁꯤ ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯇꯧꯒꯗꯕꯅꯤ꯫ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯥ ꯋꯥꯐꯃꯗꯤ ꯃꯁꯤꯒꯤ ꯕꯥꯏꯑꯣꯞꯁꯤ ꯑꯁꯤꯅꯥ ꯈꯨꯗꯝ ꯑꯃꯠꯇꯥ ꯎꯠꯠꯔꯤꯉꯩ ꯃꯃꯥꯡꯗꯥ ꯔꯤꯖꯦꯛꯁꯟ ꯑꯁꯤ ꯈꯪꯗꯣꯀꯄꯥ ꯉꯝꯃꯤ꯫ ꯑꯗꯨꯒꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯇꯧꯔꯒꯗꯤ ꯃꯁꯤꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯀꯔꯤꯒꯤꯅꯣ ꯍꯥꯌꯕꯗꯨꯁꯨ ꯈꯉꯕꯥ ꯉꯃꯒꯅꯤ꯫

• ꯍꯥꯔꯠ ꯇ꯭ꯔꯥꯟꯁꯞꯂꯥꯟꯇ ꯇꯧꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯑꯍꯥꯅꯕꯥ ꯁ꯭ꯇꯦꯖꯁꯤꯡꯗꯥ, ꯃꯁꯤ ꯅꯨꯃꯤꯠ ꯈꯨꯗꯤꯡꯒꯤ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯇꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯏ꯫
• ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯆꯍꯤ ꯑꯃꯒꯤ ꯑꯣꯏꯅꯥ ꯅꯨꯃꯤꯠ ꯶ꯅꯤꯗꯥ ꯑꯃꯨꯛ ꯅꯠꯠꯔꯒꯥ ꯊꯥ ꯑꯍꯨꯃꯗꯥ ꯑꯃꯨꯛ ꯇꯧꯕꯥ ꯌꯥꯏ꯫

ꯑꯇꯣꯞꯄꯥ ꯍꯥꯔꯇꯀꯤ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ ꯈꯪꯗꯣꯀꯄꯥ꯫

ꯍꯥꯔꯠ ꯇ꯭ꯔꯥꯟꯁꯞꯂꯥꯟꯇꯀꯤ ꯃꯊꯛꯇꯥ, ꯕꯥꯏꯑꯣꯞꯁꯤ ꯑꯁꯤꯅꯥ ꯑꯇꯣꯞꯄꯥ ꯍꯥꯔꯇꯀꯤ ꯂꯥꯌꯅꯥ ꯀꯌꯥ ꯈꯉꯗꯣꯀꯄꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ . ꯃꯈꯥꯗꯥ ꯈꯨꯗꯝ ꯈꯔꯥ ꯄꯤꯔꯤ:

• `(ꯑꯦ.ꯇꯤ.ꯑꯥꯔ. (ꯇ꯭ꯔꯥꯟꯁꯊꯥꯏꯔꯦꯇꯤꯟ) ꯑꯦꯃꯤꯂꯣꯏꯗꯣꯁꯤꯁ)`: ꯃꯁꯤꯗꯥ ꯊꯣꯛꯂꯤꯕꯥ ꯑꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯄꯨꯊꯣꯀꯄꯥ ꯄ꯭ꯔꯣꯇꯤꯟ ꯃꯈꯜ ꯑꯃꯅꯥ ꯊꯝꯃꯣꯌꯗꯥ ꯊꯃꯖꯤꯜꯂꯒꯥ ꯃꯗꯨꯕꯨ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯅꯕꯅꯤ꯫
• `(ꯀꯥꯔꯗꯤꯑꯣꯃꯥꯌꯣꯄꯦꯊꯤ)` (ꯀꯥꯔꯗꯤꯑꯣꯃꯥꯌꯣꯄꯦꯊꯤ):ꯃꯁꯤꯅꯥ ꯍꯥꯔꯇꯀꯤ ꯃꯁꯂꯗꯥ ꯊꯣꯀꯄꯥ ꯂꯥꯌꯅꯥꯁꯤꯡꯕꯨ ꯈꯪꯅꯩ꯫ ꯈꯨꯗꯝ ꯑꯃꯥ ꯑꯣꯏꯅꯥ ``ꯍꯥꯏꯄꯥꯔꯠꯔꯣꯐꯤꯛ ꯀꯥꯔꯗꯤꯑꯣꯃꯥꯌꯣꯄꯦꯊꯤ '' ꯍꯥꯌꯕꯁꯤꯅꯤ, ꯃꯁꯤꯗꯥ ꯍꯥꯔꯇꯀꯤ ꯋꯥꯂꯁꯤꯡ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯂꯨꯕꯥ ꯑꯣꯏꯔꯀꯏ꯫
• ꯀꯥꯔꯗꯤꯑꯣꯇꯣꯛꯁꯤꯁꯤꯇꯤ: ꯀꯦꯃꯣꯊꯦꯔꯥꯄꯤ ꯗ꯭ꯔꯒ ꯈꯔꯅꯥ ꯍꯥꯔꯇꯇꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯑꯃꯥꯡ-ꯑꯇꯥꯁꯤꯡ ꯑꯁꯤ ꯆꯦꯛ ꯇꯧꯅꯕꯁꯨ ꯇꯧꯏ꯫
• ꯍꯥꯔꯠ ꯀꯦꯟꯁꯔ : ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯇꯣꯏꯅꯥ ꯊꯣꯀꯏ, ꯑꯗꯨꯕꯨ ꯍꯥꯔꯇꯇꯥ ꯀꯦꯟꯁꯔꯁꯨ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫
• ꯍꯥꯔꯠ ꯐꯦꯜ ꯑꯣꯏꯕꯥ (hart failure): ꯍꯥꯔꯠ ꯑꯗꯨ ꯁꯣꯟꯊꯔꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯍꯀꯆꯥꯡꯗꯥ ꯏ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯄꯝꯄ ꯇꯧꯕꯥ ꯉꯃꯗꯕꯥ ꯃꯇꯃꯗꯥ꯫
• ꯍꯥꯔꯠ ꯏꯅꯐꯦꯛꯁꯅꯁꯤꯡ: ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ``ꯃꯥꯏꯑꯣꯀꯥꯔꯗꯤꯇꯤꯁ'' ꯀꯧꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫ꯃꯁꯤꯗꯥ ꯍꯥꯔꯇꯀꯤ ꯃꯁꯜ ꯑꯗꯨ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯁꯟ (inflame) ꯊꯣꯀꯏ, ꯍꯥꯌꯕꯗꯤ ꯃꯗꯨ ꯁꯣꯟꯊꯔꯀꯏ꯫
• ꯁꯥꯔꯀꯣꯏꯗꯣꯁꯤꯁ (Sarcoidosis ) : ꯃꯁꯤ ꯍꯥꯔꯠ ꯌꯥꯎꯅꯥ ꯍꯀꯆꯥꯡꯒꯤ ꯇꯣꯉꯥꯟ-ꯇꯣꯉꯥꯅꯕꯥ ꯃꯐꯃꯁꯤꯡꯗꯥ ꯑꯄꯤꯀꯄꯥ ꯑꯀꯥꯌ-ꯑꯇꯣꯌꯁꯤꯡ (ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ) ꯊꯣꯀꯄꯥ ꯂꯥꯌꯅꯥ ꯑꯃꯅꯤ꯫

ꯃꯁꯤ ꯇꯧꯕꯥ ꯄꯥꯃꯗꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡ ꯂꯩꯕꯔꯥ?

ꯃꯁꯤ ꯃꯍꯧꯁꯥꯅꯥ ꯁꯥꯐꯕꯥ ꯇꯦꯁ꯭ꯠ ꯑꯃꯅꯤ ꯍꯥꯌꯔꯕꯁꯨ, ꯃꯁꯤ ꯃꯤꯑꯣꯏ ꯈꯔꯒꯤ ꯑꯣꯏꯅꯗꯤ ꯈꯔꯥ ꯔꯤꯁ꯭ꯛ ꯂꯩꯕꯥ ꯌꯥꯏ꯫ ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯑꯀꯛꯅꯕꯥ ꯍꯥꯔꯠ ꯚꯜꯌꯨ ꯗꯤꯖꯤꯖ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯗꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡꯒꯤ ꯔꯤꯁ꯭ꯛ ꯈꯔꯥ ꯍꯦꯟꯅꯥ ꯋꯥꯡꯏ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯇꯦꯁ꯭ꯠ ꯑꯁꯤ ꯅꯍꯥꯛꯀꯤꯗꯃꯛꯇꯥ ꯆꯨꯝꯃꯤ ꯍꯥꯌꯕꯥ ꯈꯪꯗꯣꯛꯅꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯕꯅꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯩ꯫

ꯍꯥꯔꯠ ꯕꯥꯏꯑꯣꯞꯁꯤ ꯑꯁꯤ ꯀꯅꯥꯅꯥ ꯄꯥꯡꯊꯣꯀꯄꯒꯦ?

ꯃꯁꯤ ꯀꯥꯔꯗꯤꯑꯣꯂꯣꯖꯤꯁ꯭ꯠ ꯑꯃꯅꯥ ꯇꯧꯏ . ꯃꯍꯥꯛꯅꯥ ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯑꯁꯤ ꯄꯥꯡꯊꯣꯛꯅꯕꯥ ꯑꯈꯟꯅꯕꯥ ꯇ꯭ꯔꯦꯅꯤꯡ ꯂꯩ꯫ ꯃꯁꯤꯒꯤꯗꯃꯛꯇꯥ ꯁꯤꯖꯤꯟꯅꯔꯤꯕꯥ ꯊꯧꯑꯣꯡ ꯑꯁꯤꯕꯨ ꯀꯥꯔꯗꯤꯌꯦꯛ ꯀꯦꯇꯦꯒꯣꯔꯤ ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯇꯦꯁ꯭ꯠ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯂꯨꯕꯥ, ꯐ꯭ꯂꯦꯛꯁꯤꯕꯜ ꯑꯣꯏꯕꯥ ꯇꯤꯎꯕ (ꯀꯦꯇꯦꯇꯔ) ꯑꯃꯥ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯜ ꯑꯃꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯍꯥꯔꯇꯇꯥ ꯄꯥꯁ ꯇꯧꯗꯨꯅꯥ ꯄꯥꯡꯊꯣꯀꯏ꯫

ꯕꯥꯏꯑꯣꯞꯁꯤꯒꯤ ꯃꯃꯥꯡꯗꯥ ꯑꯩꯈꯣꯌꯅꯥ ꯀꯔꯝꯅꯥ ꯁꯦꯝ-ꯁꯥꯒꯗꯒꯦ?

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯕꯥꯏꯑꯣꯞꯁꯤ ꯇꯧꯅꯕꯥ ꯋꯥꯔꯦꯞ ꯂꯧꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯑꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯈꯪꯍꯜꯂꯛꯀꯅꯤ:

• ꯅꯍꯥꯛꯅꯥ ꯍꯧꯖꯤꯛ ꯂꯧꯔꯤꯕꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛ, ꯚꯤꯇꯥꯃꯤꯟ ꯑꯃꯁꯨꯡ ꯁꯞꯂꯤꯃꯦꯟꯇ ꯄꯨꯝꯅꯃꯛꯀꯤ ꯃꯇꯥꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯈꯪꯍꯅꯒꯗꯕꯅꯤ꯫
• ꯍꯤꯗꯥꯛ ꯈꯔꯗꯤ, ꯃꯔꯨꯑꯣꯏꯅꯥ ꯕ꯭ꯂꯗ ꯊꯤꯅꯔꯁꯤꯡ ꯑꯁꯤ ꯇꯦꯁ꯭ꯠ ꯇꯧꯗ꯭ꯔꯤꯉꯩꯒꯤ ꯃꯃꯥꯡꯗꯥ ꯅꯨꯃꯤꯠ ꯈꯔꯅꯤꯒꯤ ꯃꯃꯥꯡꯗꯥ ꯊꯤꯡꯖꯤꯅꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯏ꯫
• ꯇꯦꯁ꯭ꯠ ꯇꯧꯗ꯭ꯔꯤꯉꯩꯒꯤ ꯃꯃꯥꯡꯗꯥ ꯄꯨꯡ ꯈꯔꯒꯤ ꯑꯣꯏꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯃꯠꯇꯥ (ꯐꯥꯁ꯭ꯠ) ꯆꯥꯗꯅꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯊꯛꯂꯣꯏꯗꯕꯁꯨ ꯍꯥꯌꯒꯅꯤ꯫

ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯋꯥꯐꯃꯗꯤ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯤ ꯏꯅꯁ꯭ꯠꯔꯛꯁꯅꯁꯤꯡ ꯑꯗꯨ ꯆꯨꯝꯅꯥ ꯏꯅꯕꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯈꯔꯥ ꯂꯧꯁꯤꯅꯕꯥ ꯉꯃꯗ꯭ꯔꯕꯗꯤ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯍꯪꯕꯤꯌꯨ꯫

ꯕꯥꯏꯑꯣꯞꯁꯤꯒꯤ ꯃꯃꯥꯡꯗꯥ ꯀꯔꯤ ꯊꯣꯀꯏ?

ꯃꯁꯤ ꯃꯍꯧꯁꯥꯅꯥ ꯑꯥꯎꯇꯄꯦꯁꯦꯟꯇ ꯄ꯭ꯔꯣꯁꯤꯗ꯭ꯌꯨꯑꯣꯔꯅꯤ, ꯍꯥꯌꯕꯗꯤ ꯅꯍꯥꯛꯅꯥ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯂꯗꯥ ꯂꯩꯕꯥ ꯃꯊꯧ ꯇꯥꯗꯅꯥ ꯅꯨꯃꯤꯠ ꯑꯗꯨꯃꯛꯇꯗꯥ ꯌꯨꯃꯗꯥ ꯆꯠꯄꯥ ꯌꯥꯏ꯫ ꯄ꯭ꯔꯣꯁꯤꯗ꯭ꯌꯨꯑꯣꯔ ꯄꯨꯝꯅꯃꯛ ꯑꯁꯤ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯄꯨꯡ ꯑꯃꯥ ꯆꯪꯏ꯫

• ꯅꯍꯥꯀꯄꯨ ꯅꯨꯡꯉꯥꯏꯅꯥ ꯂꯩꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯈꯔꯥ ꯇꯨꯝꯕꯥ ꯉꯃꯗꯅꯕꯥ ꯁꯦꯗꯦꯇꯤꯚ ꯑꯃꯥ ꯄꯤꯒꯅꯤ꯫
• ꯕꯥꯏꯑꯣꯞꯁꯤ ꯄꯥꯡꯊꯣꯛꯂꯤꯕꯥ ꯃꯐꯝ ꯑꯗꯨ ꯅꯣꯡꯃꯩ ꯀꯥꯞꯄꯒꯤꯗꯃꯛ ꯑꯦꯅꯥꯁ꯭ꯇꯦꯇꯤꯛ ꯑꯃꯁꯨ ꯄꯤ꯫
• ꯅꯉꯅꯥ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯍꯧꯔꯀꯏ ꯑꯗꯨꯕꯨ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯑꯃꯠꯇꯥ ꯂꯩꯇꯦ, ꯅꯉꯅꯥ ꯑꯋꯥꯕꯥ ꯑꯃꯠꯇꯥ ꯐꯥꯑꯣꯔꯣꯏ꯫ ꯅꯍꯥꯛꯅꯥ ꯈꯔꯥ ꯋꯥꯈꯜ ꯇꯥꯕꯥ ꯌꯥꯏ꯫
• ꯇꯦꯁ꯭ꯠ ꯂꯣꯏꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯅꯨꯃꯤꯠ ꯑꯗꯨꯃꯛꯇꯗꯥ ꯌꯨꯃꯗꯥ ꯆꯠꯄꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯅꯍꯥꯛꯅꯥ ꯐꯒꯠꯂꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯅꯍꯥꯀꯄꯨ ꯌꯨꯃꯗꯥ ꯄꯨꯁꯤꯜꯂꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯃꯇꯝ ꯈꯔꯒꯤ ꯑꯣꯏꯅꯥ ꯅꯍꯥꯛꯀꯥ ꯂꯣꯌꯅꯅꯥ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯥ ꯃꯊꯧ ꯇꯥꯒꯅꯤ꯫

ꯕꯥꯏꯑꯣꯞꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯀꯔꯤ ꯊꯣꯀꯏ?

ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯃꯁꯤ ꯇꯧꯕꯥ ꯃꯇꯃꯗꯥ, ꯃꯍꯥꯛꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯥꯔꯠ ꯑꯃꯁꯨꯡ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯂꯁꯤꯡꯒꯤ ꯄꯤꯀꯆꯔꯁꯤꯡ ꯌꯦꯡꯏ꯫ ꯃꯁꯤ ꯐ꯭ꯂꯨꯑꯣꯔꯣꯁ꯭ꯀꯣꯄꯤ ꯑꯦꯛꯁ-ꯔꯦ (ꯂꯦꯞꯇꯅꯥ ꯎꯕꯥ ꯉꯝꯕꯥ ꯑꯦꯛꯁ-ꯔꯦ) ꯅꯠꯠꯔꯒꯥ ꯇ꯭ꯔꯥꯟꯁꯊꯣꯔꯥꯁꯤꯛ ꯏꯀꯣꯀꯥꯔꯗꯤꯑꯣꯒ꯭ꯔꯥꯝ (TTE) ( ꯍꯥꯔꯇꯀꯤ ꯁ꯭ꯀꯦꯟ ꯑꯃꯥ) ꯁꯤꯖꯤꯟꯅꯗꯨꯅꯥ ꯄꯥꯡꯊꯣꯀꯏ꯫

ꯈꯣꯡꯊꯥꯡ ꯈꯨꯗꯤꯡꯒꯤ ꯊꯣꯛꯂꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤ:

1. ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯨꯠꯁꯥ ꯅꯠꯠꯔꯒꯥ ꯈꯣꯡꯗꯥ ꯂꯩꯕꯥ ꯑꯆꯧꯕꯥ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯜ ꯑꯃꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯥꯔꯇꯇꯥ ꯑꯄꯤꯀꯄꯥ ꯇꯤꯎꯕ (catheter) ꯑꯃꯥ ꯊꯥꯏ꯫

2. ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ, ꯇꯨꯕ ꯑꯗꯨꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ, ꯑꯄꯤꯀꯄꯥ ꯐꯣꯔꯁꯦꯄꯁꯒꯨꯝꯕꯥ ꯑꯇꯣꯞꯄꯥ ꯐꯖꯔꯕꯥ ꯏꯅꯁ꯭ꯠꯔꯨꯃꯦꯟꯇ (`ꯕꯥꯏꯑꯣꯞꯇꯣꯝ` ꯑꯃꯥ) ꯊꯝꯃꯣꯌꯗꯥ ꯆꯦꯜꯂꯤ꯫

3. ``ꯕꯥꯏꯑꯣꯄꯇꯣꯝ'' ꯁꯤꯖꯤꯟꯅꯗꯨꯅꯥ, ꯍꯥꯔꯇꯀꯤ ꯃꯁꯂꯗꯒꯤ ꯌꯥꯝꯅꯥ ꯑꯄꯤꯀꯄꯥ ꯄꯣꯠꯁꯛ ꯀꯌꯥ (ꯄꯤꯟ ꯑꯃꯒꯤ ꯃꯀꯣꯛ ꯑꯗꯨꯒꯨꯝꯅꯥ ꯑꯄꯤꯀꯄꯥ ꯑꯣꯏꯔꯕꯁꯨ) ꯀꯀꯊꯠꯂꯤ꯫

4. ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯕꯥꯏꯑꯣꯞꯇꯣꯝ ꯑꯃꯁꯨꯡ ꯇꯤꯁ꯭ꯌꯨꯒꯤ ꯁꯔꯨꯀꯁꯤꯡ ꯑꯗꯨ ꯂꯧꯊꯣꯛꯇꯨꯅꯥ ꯇꯤꯁ꯭ꯌꯨ ꯑꯗꯨ ꯌꯦꯡꯁꯤꯟꯅꯕꯥ ꯂꯦꯕꯇꯥ ꯊꯥꯏ꯫

5. ꯑꯔꯣꯏꯕꯗꯥ, ꯀꯦꯇꯦꯒꯣꯔꯤ ꯑꯗꯨ ꯂꯧꯊꯣꯀꯎ ꯑꯃꯁꯨꯡ ꯏ ꯊꯣꯀꯄꯥ ꯊꯤꯡꯅꯕꯥ ꯄ꯭ꯔꯦꯁꯔ ꯕꯦꯟꯗꯦꯖ ꯑꯃꯥ ꯁꯤꯖꯤꯟꯅꯧ꯫

ꯃꯁꯤ ꯄꯨꯝꯅꯃꯛ ꯑꯁꯤ ꯊꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯌꯥꯝꯅꯥ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯐꯥꯑꯣꯔꯣꯏ꯫

ꯕꯥꯏꯑꯣꯞꯁꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯐꯒꯠꯂꯀꯄꯗꯥ ꯃꯇꯝ ꯀꯌꯥ ꯆꯪꯕꯒꯦ?

ꯇꯦꯁ꯭ꯠ ꯂꯣꯏꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯁ꯭ꯇꯥꯐꯁꯤꯡꯅꯥ ꯑꯗꯣꯃꯕꯨ ꯄꯨꯡ ꯈꯔꯒꯤ ꯑꯣꯏꯅꯥ ꯅꯤꯡꯊꯤꯅꯥ ꯌꯦꯡꯁꯤꯅꯒꯅꯤ ꯃꯗꯨꯗꯤ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯈꯨꯗꯣꯡꯆꯥꯗꯕꯥ ꯑꯃꯥ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯒꯅꯤ꯫ ꯃꯇꯝ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ, ꯅꯍꯥꯛꯀꯤ ꯆꯦꯡꯒꯤ ꯑꯦꯛꯁ-ꯔꯦ ꯂꯧꯗꯨꯅꯥ, ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯟ ꯑꯃꯠꯇꯥ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯒꯅꯤ:

• ꯅ꯭ꯌꯨꯃꯣꯊꯣꯔꯦꯛꯁ (ꯅ꯭ꯌꯨꯃꯣꯊꯣꯔꯦꯛꯁ)꯫
• ꯍꯦꯃꯣꯊꯣꯔꯥꯛꯁ (ꯂꯪꯁ ꯑꯃꯁꯨꯡ ꯆꯦꯁ꯭ꯠ ꯋꯥꯂꯒꯤ ꯃꯔꯛꯇꯥ ꯏ ꯀꯀꯊꯕꯥ)

ꯅꯍꯥꯛꯅꯥ ꯌꯨꯃꯗꯥ ꯆꯠꯂꯕꯥ ꯃꯇꯨꯡꯗꯥ, ꯅꯍꯥꯛꯅꯥ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯄꯨꯡ 24 ꯆꯨꯞꯅꯥ ꯑꯀꯅꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ ꯂꯧꯊꯣꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯀꯟꯅꯥ ꯍꯣꯠꯅꯕꯥ ꯌꯥꯕꯥ ꯊꯕꯛ ꯇꯧꯔꯣꯏꯗꯕꯅꯤ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯅꯍꯥꯛꯅꯥ ꯊꯕꯛꯇꯥ ꯆꯠꯄꯥ ꯉꯃꯒꯗꯕꯅꯤ ꯑꯃꯁꯨꯡ ꯃꯊꯪꯒꯤ ꯅꯨꯃꯤꯠꯇꯒꯤ ꯅꯍꯥꯛꯀꯤ ꯅꯣꯡꯃꯒꯤ ꯑꯣꯏꯕꯥ ꯊꯕꯛ-ꯊꯧꯔꯃꯁꯤꯡ ꯑꯗꯨ ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯅꯥ ꯄꯥꯡꯊꯣꯀꯄꯥ ꯉꯃꯒꯗꯕꯅꯤ꯫

ꯃꯁꯤꯗꯥ ꯔꯤꯁ꯭ꯛ ꯂꯩꯕ꯭ꯔꯥ?

ꯍꯥꯔꯠ ꯕꯥꯏꯑꯣꯞꯁꯤ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯁꯥꯐꯕꯥ ꯇꯦꯁ꯭ꯠ ꯑꯃꯅꯤ꯫

• ꯑꯄꯤꯀꯄꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ ꯑꯁꯤ ꯀꯦꯁ 6%ꯗꯒꯤ ꯇꯥꯅꯥ ꯊꯣꯀꯏ꯫ ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯇꯤꯎꯕꯀꯤ ꯃꯐꯝ ꯑꯗꯨꯗꯥ ꯑꯄꯤꯀꯄꯥ ꯁꯣꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯏ ꯈꯔꯥ ꯊꯣꯀꯄꯥ꯫ ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯃꯍꯧꯁꯥꯅꯥ ꯅꯨꯃꯤꯠ ꯈꯔꯅꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯂꯣꯌꯁꯤꯜꯂꯤ꯫
• ꯁꯥꯊꯤꯕꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯇꯣꯏꯅꯥ ꯊꯣꯀꯏ, 1%ꯗꯒꯤ ꯇꯥꯗꯅꯥ ꯊꯣꯀꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯑꯣꯏꯊꯣꯀꯄꯥ ꯌꯥꯕꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ ꯑꯗꯨ ꯈꯪꯖꯤꯅꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯑꯐꯕꯥ ꯑꯃꯅꯤ꯫ ꯃꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯌꯥꯑꯣꯔꯤ:
• ꯍꯥꯔꯇꯀꯤ ꯂꯥꯌꯅꯥ (Arrhythmia)꯫
• ꯏ ꯊꯣꯀꯄꯥ꯫ ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯂꯪꯁꯇꯥ (ꯄꯂꯃꯣꯅꯥꯔꯤ ꯑꯦꯝꯕꯣꯂꯤꯖꯝ), ꯈꯣꯡꯒꯤ ꯚꯦꯅꯃꯁꯤꯡꯗꯥ (ꯗꯤꯞ ꯚꯦꯅꯝ ꯊ꯭ꯔꯣꯝꯕꯣꯁꯤꯁ - DVT), ꯅꯠꯠꯔꯒꯥ ꯕ꯭ꯔꯦꯅꯗꯥ ꯁꯦꯃꯗꯨꯅꯥ ꯁ꯭ꯠꯔꯣꯛ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫
• ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯂꯁꯤꯡꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯄꯣꯃꯈꯠꯄꯥ꯫
• ꯀꯣꯂꯥꯞꯁ ꯇꯧꯔꯕꯥ ꯂꯪꯁ꯫
• ꯈꯣꯡꯗꯥ ꯏ ꯊꯨꯃꯖꯤꯅꯕꯥ (Hemothorax)꯫
• ꯕꯥꯏꯑꯣꯞꯁꯤ ꯁꯥꯏꯠꯇꯥ ꯏꯅꯐꯦꯛꯁꯟ ꯅꯠꯠꯔꯒꯥ ꯏꯟꯇꯔꯅꯦꯜ ꯕ꯭ꯂꯤꯗꯤꯡ ꯑꯃꯥ꯫
• ꯅꯔꯚꯁꯤꯡꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯄꯥ꯫
• ꯄꯦꯔꯤꯀꯥꯔꯗꯤꯑꯦꯜ ꯏꯐ꯭ꯌꯨꯁꯟ (pericardial efusion) ꯂꯩꯕꯥ꯫
• ꯍꯥꯔꯇꯀꯤ ꯏꯂꯦꯛꯠꯔꯤꯀꯦꯜ ꯁꯤꯒꯅꯦꯂꯁꯤꯡꯗꯥ ꯑꯄꯤꯀꯄꯥ ꯕ꯭ꯂꯣꯀꯦꯖ ꯑꯃꯥ (right bundle branch block)꯫
• ꯔꯤꯒꯔꯖꯤꯇꯦꯁꯟ ꯍꯥꯌꯕꯁꯤ ꯍꯥꯔꯇꯀꯤ ꯇ꯭ꯔꯥꯏꯀꯁꯄꯤꯗ ꯚꯜꯌꯨꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯏꯒꯤ ꯈꯣꯡꯖꯦꯜ ꯌꯥꯡꯅꯥ ꯆꯦꯅꯕꯥ (backward flow) ꯍꯥꯌꯕꯁꯤꯅꯤ꯫

ꯔꯤꯁ꯭ꯀꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯇꯥꯕꯗꯥ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯂꯩꯔꯣꯏꯗꯕꯅꯤ꯫ ꯍꯥꯌꯔꯤꯕꯥ ꯄꯨꯝꯅꯃꯛ ꯑꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯛꯀꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯒꯅꯤ꯫ ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯊꯣꯀꯄꯒꯤ ꯆꯥꯡ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯅꯦꯝꯃꯤ꯫

ꯔꯤꯄꯣꯔꯠ ꯑꯁꯤ ꯐꯪꯕꯗꯥ ꯃꯇꯝ ꯀꯌꯥ ꯆꯪꯕꯒꯦ?

ꯍꯥꯔꯠ ꯕꯥꯏꯑꯣꯞꯁꯤꯒꯤ ꯔꯤꯖꯜꯇ ꯑꯁꯤ ꯃꯍꯧꯁꯥꯅꯥ ꯄꯨꯡ 24ꯗꯒꯤ 48 ꯐꯥꯎꯕꯒꯤ ꯃꯅꯨꯡꯗꯥ, ꯅꯠꯠꯔꯒꯥ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯅꯨꯃꯤꯠ ꯑꯃꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯅꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯐꯪꯏ . ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯔꯤꯖꯜꯇ ꯑꯗꯨ ꯈꯪꯍꯜꯂꯛꯀꯅꯤ꯫ ꯔꯤꯖꯜꯇꯁꯤꯡꯒꯤ ꯃꯇꯨꯡ ꯏꯟꯅꯥ ꯃꯈꯥ ꯇꯥꯅꯥ ꯇꯦꯁ꯭ꯠ ꯇꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯏ꯫

ꯀꯔꯤ ꯃꯇꯃꯗꯥ ꯗꯣꯛꯇꯔꯗꯥ ꯀꯧꯒꯗꯒꯦ?

ꯕꯥꯏꯑꯣꯞꯁꯤ ꯇꯧꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯌꯨꯃꯗꯥ ꯆꯠꯂꯕꯥ ꯃꯇꯨꯡꯗꯥ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯍꯦꯛꯇꯕꯨ ꯊꯦꯡꯅꯔꯕꯗꯤ , ꯅꯍꯥꯛꯅꯥ ꯈꯨꯗꯛꯇꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯀꯧꯒꯗꯕꯅꯤ, ꯅꯠꯠꯔꯒꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯅꯀꯄꯥ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯂꯗꯥ ꯆꯠꯀꯗꯕꯅꯤ:

• ꯃꯃꯤꯠ ꯇꯥꯡꯕꯥ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯍꯥꯔꯇꯀꯤ ꯈꯣꯟꯖꯦꯜ ꯑꯗꯨ ꯑꯆꯝꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯌꯥꯡꯅꯥ, ꯌꯥꯝꯅꯥ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯅꯠꯠꯔꯒꯥ ꯔꯤꯒꯨꯂꯔ ꯑꯣꯏꯕꯥ (Irregular pulse and heart rate) ꯑꯣꯏꯔꯕꯗꯤ꯫
• ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ꯫
• ꯈꯣꯡꯗꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ (chest pain), ꯈꯣꯡꯗꯥ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯁꯣꯟꯊꯕꯥ (ꯃꯁꯤ ꯍꯥꯔꯠ ꯑꯦꯇꯦꯛꯀꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯣꯏꯕꯥ ꯌꯥꯏ)
• ꯁ꯭ꯠꯔꯣꯛ ꯑꯃꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ: ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯍꯀꯆꯥꯡꯒꯤ ꯅꯥꯀꯜ ꯑꯃꯗꯥ ꯋꯥꯈꯜ ꯇꯥꯗꯕꯥ, ꯋꯥ ꯉꯥꯡꯕꯥ ꯉꯃꯗꯕꯥ, ꯃꯤꯠ ꯑꯗꯨ ꯃꯥꯌꯀꯩ ꯑꯃꯗꯥ ꯆꯦꯅꯕꯥ꯫
• ꯏꯅꯐꯦꯛꯁꯅꯒꯤ ꯈꯨꯗꯃꯁꯤꯡ, ꯍꯥꯌꯕꯗꯤ ꯂꯥꯏꯍꯧ ꯑꯃꯁꯨꯡ ꯆꯤꯀꯄꯥ ꯑꯁꯤꯅꯆꯤꯡꯕꯥ꯫

ꯑꯗꯨꯅꯥ, ꯃꯁꯤꯗꯒꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯅꯤꯡꯁꯤꯡꯒꯗꯕꯥ ꯋꯥꯐꯃꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?

ꯑꯣꯀꯦ, ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯑꯩꯈꯣꯌꯅꯥ ꯋꯥꯔꯤ ꯁꯥꯈꯤꯕꯥ ꯑꯗꯨꯗꯒꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯋꯥꯐꯃꯁꯤꯡ ꯑꯗꯨ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯁꯦꯃꯗꯣꯀꯆꯁꯤ꯫

• ꯍꯥꯔꯠ ꯕꯥꯏꯑꯣꯞꯁꯤ ꯍꯥꯌꯕꯁꯤ ꯍꯥꯔꯇꯇꯒꯤ ꯇꯤꯁꯨꯒꯤ ꯑꯄꯤꯀꯄꯥ ꯁꯔꯨꯛ ꯑꯃꯥ ꯑꯦꯀꯖꯥꯃꯤꯅꯦꯁꯟ ꯇꯧꯅꯕꯒꯤꯗꯃꯛ ꯂꯧꯊꯣꯀꯄꯅꯤ꯫
• ꯃꯁꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯇꯦꯁ꯭ꯠ ꯑꯃꯅꯤ , ꯃꯔꯨꯑꯣꯏꯅꯥ ꯍꯥꯔꯠ ꯇ꯭ꯔꯥꯟꯁꯞꯂꯥꯟꯇ ꯂꯧꯔꯤꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯒꯤꯗꯃꯛ , ꯔꯤꯖꯦꯛꯁꯟ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯁꯤꯟꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯑꯇꯣꯞꯄꯥ ꯍꯥꯔꯇꯀꯤ ꯂꯥꯌꯅꯥ ꯀꯌꯥ (ꯀꯥꯔꯗꯤꯑꯣꯃꯥꯌꯣꯄꯦꯊꯤ, ꯍꯥꯔꯠ ꯀꯦꯟꯁꯔ, ꯑꯃꯁꯨꯡ ꯏꯅꯐꯦꯛꯁꯅꯒꯨꯝꯕꯥ) ꯈꯉꯗꯣꯛꯅꯕꯥ꯫
• ꯃꯁꯤ ꯀꯥꯔꯗꯤꯑꯣꯂꯣꯖꯤꯁ꯭ꯠ ꯑꯃꯅꯥ ꯇꯧꯏ, ꯃꯁꯤꯗꯥ ``ꯀꯥꯔꯗꯤꯌꯦꯛ ꯀꯦꯇꯦꯒꯣꯔꯤ'' ꯀꯧꯕꯥ ꯃꯦꯊꯗ ꯑꯃꯥ ꯁꯤꯖꯤꯟꯅꯩ꯫
• ꯃꯁꯤ ꯃꯍꯧꯁꯥꯅꯥ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯂꯗꯥ ꯂꯩꯕꯥ ꯃꯊꯧ ꯇꯥꯗꯅꯥ ꯇꯧꯕꯥ ꯌꯥꯕꯥ ꯇꯦꯁ꯭ꯠ ꯑꯃꯅꯤ, ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯅꯥ ꯊꯨꯅꯥ ꯐꯒꯠꯂꯀꯄꯥ ꯌꯥꯏ꯫
• ꯑꯄꯤꯀꯄꯥ ꯔꯤꯁ꯭ꯛ ꯈꯔꯗꯤ ꯂꯩꯔꯕꯁꯨ, ꯃꯁꯤ ꯑꯌꯥꯝꯕꯗꯤ ꯁꯥꯐꯕꯥ ꯑꯣꯏ꯫

ꯃꯔꯝ ꯑꯗꯨꯅꯥ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯍꯥꯔꯠ ꯕꯥꯏꯑꯣꯞꯁꯤ ꯇꯧꯅꯕꯥ ꯍꯥꯌꯔꯛꯂꯕꯗꯤ, ꯃꯗꯨ ꯇꯧꯕꯗꯥ ꯂꯥꯡꯇꯛꯅꯒꯅꯨ, ꯏꯅꯐꯣꯔꯃꯦꯁꯟ ꯑꯁꯤ ꯋꯥꯈꯂꯗꯥ ꯊꯝꯃꯨ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯆꯦꯀꯁꯤꯟꯅꯥ ꯋꯥꯔꯤ ꯁꯥꯟꯅꯧ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯅꯥ ꯍꯪꯂꯀꯄꯥ ꯋꯥꯍꯪ ꯑꯃꯍꯦꯛꯇꯕꯨ ꯍꯪꯎ꯫ ꯃꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯊꯝꯃꯣꯌꯒꯤ ꯍꯀꯁꯦꯂꯒꯤꯗꯃꯛ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯈꯣꯡꯊꯥꯡ ꯑꯃꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ!

` ꯍꯥꯔꯠ ꯕꯥꯏꯑꯣꯞꯁꯤ, ꯀꯥꯔꯗꯤꯌꯦꯛ ꯕꯥꯏꯑꯣꯞꯁꯤ, ꯍꯥꯔꯠ ꯗꯤꯖꯤꯖ, ꯍꯥꯔꯠ ꯇꯤꯁ꯭ꯌꯨ ꯇꯦꯁ꯭ꯠ ꯇꯧꯕꯥ, ꯍꯥꯔꯠ ꯇ꯭ꯔꯥꯟꯁꯞꯂꯥꯟꯇ ꯇꯧꯕꯥ, ꯍꯥꯔꯠ ꯗꯤꯖꯤꯖ ꯈꯉꯗꯣꯀꯄꯥ, ꯀꯦꯇꯦꯒꯣꯔꯤ ꯁꯦꯝꯕꯥ꯫