ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡ ꯄꯨꯝꯅꯃꯛꯇꯥ ꯏ ꯄꯨꯊꯣꯛ ꯄꯨꯁꯤꯟ ꯇꯧꯔꯤꯕꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ, ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯆꯥꯎꯕꯥ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯜ ꯑꯁꯤ ꯑꯦꯑꯣꯔꯇꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯦꯑꯣꯔꯇꯥꯅꯤ꯫ ꯃꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯌꯨꯃꯗꯥ ꯏꯁꯤꯡ ꯄꯨꯔꯀꯄꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯏꯁꯤꯡꯒꯤ ꯄꯥꯏꯄꯒꯨꯝꯅꯥ ꯈꯅꯕꯤꯌꯨ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯄꯥꯏꯞ ꯑꯁꯤꯒꯤ ꯋꯥꯜ ꯑꯃꯅꯥ ꯃꯐꯝ ꯑꯃꯗꯥ ꯁꯣꯟꯊꯔꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯏꯁꯤꯡꯒꯤ ꯄ꯭ꯔꯦꯁꯔꯒꯤ ꯃꯈꯥꯗꯥ ꯆꯦꯟꯊꯔꯀꯄꯥ ꯍꯧꯔꯕꯗꯤ ꯀꯔꯤ ꯑꯣꯏꯒꯅꯤ? ꯊꯣꯔꯥꯁꯤꯛ ꯑꯦꯑꯣꯔꯇꯤꯛ ꯑꯦꯅꯤꯎꯔꯤꯖꯝ ꯍꯥꯌꯕꯁꯤ ꯃꯗꯨꯅꯤ꯫ ꯀꯦꯁ ꯑꯁꯤꯗꯥ ꯊꯣꯛꯂꯤꯕꯥ ꯑꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯈꯣꯡꯗꯥ ꯆꯠꯂꯤꯕꯥ ꯑꯦꯑꯣꯔꯇꯥꯒꯤ ꯁꯦꯛꯁꯟ ꯑꯃꯒꯤ ꯋꯥꯜ ꯑꯗꯨ ꯏꯒꯤ ꯄ꯭ꯔꯦꯁꯔꯒꯤ ꯃꯈꯥꯗꯥ ꯕꯦꯂꯨꯟ ꯑꯃꯒꯨꯝꯅꯥ ꯁꯣꯟꯊꯔꯀꯏ ꯑꯃꯁꯨꯡ ꯈꯣꯡꯖꯦꯜ ꯌꯥꯡꯅꯥ ꯆꯦꯜꯂꯤ꯫ ꯉꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯑꯌꯥꯝꯕꯅꯥ ꯂꯥꯏꯑꯣꯡ ꯑꯃꯠꯇꯥ ꯌꯥꯑꯣꯗꯅꯥ ꯍꯀꯆꯥꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯊꯣꯀꯄꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯒꯅꯤ꯫
ꯊꯣꯔꯥꯁꯤꯛ ꯑꯦꯑꯣꯔꯇꯤꯛ ꯑꯦꯅꯤꯎꯔꯤꯖꯝ ꯍꯥꯌꯕꯁꯤ ꯇꯁꯦꯡꯅꯥ ꯀꯔꯤꯅꯣ?
ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯃꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯆꯦꯁ꯭ꯠ (thorax)ꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯆꯦꯜꯂꯤꯕꯥ ꯑꯆꯧꯕꯥ ꯑꯥꯔꯇꯦꯔꯤ ꯑꯃꯥ ꯑꯣꯏꯔꯤꯕꯥ ꯑꯦꯑꯣꯔꯇꯥ (aorta)ꯗꯥ ꯁꯣꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯁꯣꯀꯄꯥ (aneurysm) ꯑꯃꯅꯤ꯫ ꯃꯁꯤꯒꯤ ꯑꯦꯑꯣꯔꯇꯥ ꯑꯁꯤ ꯇꯤꯎꯕ ꯑꯃꯒꯨꯝꯅꯥ ꯑꯣꯏ꯫ ꯑꯗꯨꯕꯨ ꯑꯦꯅꯤꯎꯔꯤꯖꯝ ꯑꯃꯥ ꯁꯦꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯇꯤꯎꯕ ꯑꯗꯨꯒꯤ ꯃꯑꯣꯡ-ꯃꯇꯧ ꯑꯗꯨ ꯍꯣꯡꯏ, ꯑꯃꯁꯨꯡ ꯃꯐꯝ ꯑꯃꯅꯥ ꯕꯦꯂꯨꯟ ꯑꯃꯒꯨꯝꯅꯥ ꯋꯥꯡꯈꯠꯂꯀꯏ꯫ ꯃꯍꯧꯁꯥꯅꯥ, ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤꯕꯨ ꯑꯦꯅꯤꯎꯔꯤꯖꯝ ꯍꯥꯌꯅꯥ ꯀꯧꯏ , ꯃꯗꯨꯗꯤ ꯑꯥꯔꯇꯦꯔꯤꯒꯤ ꯁꯔꯨꯛ ꯑꯗꯨꯅꯥ ꯃꯁꯤꯒꯤ ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯕꯥ ꯄꯥꯛ-ꯆꯥꯎꯕꯗꯒꯤ ꯌꯥꯃꯗ꯭ꯔꯕꯗꯥ 50% ꯍꯦꯟꯅꯥ ꯄꯥꯀꯄꯥ ꯃꯇꯃꯗꯥ꯫
ꯃꯁꯤꯒꯤ ꯃꯈꯜ ꯑꯁꯤꯒꯤ ꯑꯦꯅꯤꯎꯔꯤꯖꯝ ꯑꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯑꯦꯑꯣꯔꯇꯥꯒꯤ ꯃꯐꯝ ꯑꯃꯍꯦꯛꯇꯗꯥ ꯁꯦꯝꯕꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯕꯨ ꯃꯁꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯀꯃꯟ ꯑꯣꯏꯅꯥ ꯎꯅꯁꯥꯗꯥ ꯊꯣꯀꯏ꯫ ꯑꯩꯈꯣꯌꯅꯥ ꯃꯁꯤꯕꯨ ꯑꯦꯕꯗꯣꯃꯤꯅꯦꯜ ꯑꯦꯑꯣꯔꯇꯤꯛ ꯑꯦꯅꯤꯎꯔꯤꯖꯝ ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ ꯑꯗꯨꯕꯨ ꯁꯦꯃꯒꯠꯂꯀꯄꯥ ꯑꯦꯅꯤꯎꯔꯤꯖꯝ ꯃꯔꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯑꯃꯗꯤ ꯆꯦꯁ꯭ꯇꯇꯥ ꯊꯣꯀꯏ꯫ ꯑꯩꯈꯣꯌꯅꯥ ꯃꯁꯤꯕꯨ ꯊꯣꯔꯥꯁꯤꯛ ꯑꯦꯑꯣꯔꯇꯤꯛ ꯑꯦꯅꯤꯎꯔꯤꯖꯝ ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯑꯄꯤꯀꯄꯥ ꯑꯦꯅꯤꯎꯔꯤꯖꯝ ꯑꯃꯥ ꯂꯩꯔꯕꯗꯤ, ꯃꯗꯨ ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯃꯊꯧ ꯇꯥꯗꯕꯥ ꯌꯥꯏ꯫ ꯅꯍꯥꯛꯅꯥ ꯍꯥꯏ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔꯒꯨꯝꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯅꯕꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛ ꯂꯧꯔꯤꯉꯩꯗꯥ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯁ꯭ꯀꯦꯟ ꯇꯧꯗꯨꯅꯥ ꯃꯗꯨ ꯍꯦꯟꯅꯥ ꯆꯥꯎꯈꯠꯂꯛꯂꯤꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯒꯅꯤ꯫ ꯑꯗꯨꯕꯨ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯦꯅꯤꯎꯔꯤꯖꯝ ꯑꯗꯨ ꯑꯆꯧꯕꯥ ꯑꯣꯏꯔꯕꯗꯤ, ꯅꯠꯠꯔꯒꯥ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯍꯦꯅꯒꯠꯂꯛꯂꯕꯗꯤ, ꯁꯥꯊꯤꯕꯥ, ꯄꯨꯟꯁꯤ ꯃꯥꯡꯍꯅꯕꯥ ꯌꯥꯕꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ ꯂꯥꯀꯄꯥ ꯃꯃꯥꯡꯗꯥ ꯁꯔꯖꯔꯤ ꯇꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯏ꯫
ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯀꯌꯥꯝ ꯀꯃꯟ ꯑꯣꯏꯕꯒꯦ?
ꯁ꯭ꯇꯦꯇꯤꯁ꯭ꯇꯤꯀꯦꯂꯒꯤ ꯃꯇꯨꯡ ꯏꯟꯅꯥ, ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤꯅꯥ ꯃꯤꯑꯣꯏ ꯂꯥꯈ ꯑꯃꯗꯥ ꯃꯤꯑꯣꯏ ꯶ ꯑꯃꯁꯨꯡ ꯱꯰ꯒꯤ ꯃꯔꯛꯇꯥ ꯁꯣꯀꯍꯜꯂꯤ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯇꯁꯦꯡꯕꯥ ꯃꯁꯤꯡ ꯑꯁꯤ ꯍꯦꯟꯅꯥ ꯋꯥꯡꯕꯥ ꯑꯣꯏꯔꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯒꯤ ꯃꯔꯃꯗꯤ ꯃꯤꯑꯣꯏ ꯀꯌꯥꯅꯥ ꯂꯥꯏꯑꯣꯡ ꯑꯃꯠꯇꯥ ꯎꯠꯄꯥ ꯉꯃꯗꯦ ꯑꯃꯁꯨꯡ ꯃꯈꯣꯌꯗꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯂꯩꯔꯦ ꯍꯥꯌꯕꯥ ꯐꯥꯎꯕꯥ ꯈꯪꯗꯅꯥ ꯍꯤꯡꯏ꯫ ꯗꯥꯏꯑꯦꯒ꯭ꯅꯣꯁ꯭ꯇꯤꯛ ꯄꯦꯁꯦꯟꯇꯁꯤꯡꯒꯤ ꯆꯥꯎꯔꯥꯛꯅꯥ 20%ꯗꯤ ꯏꯃꯨꯡ-ꯃꯅꯨꯡꯒꯤ ꯃꯤꯑꯣꯏꯁꯤꯡꯁꯨ ꯂꯩ, ꯃꯈꯣꯌꯅꯥ ꯃꯁꯤ ꯍꯦꯔꯤꯇꯦꯖ ꯑꯣꯏꯕꯥ ꯌꯥꯏ ꯍꯥꯌꯕꯁꯤꯅꯤ꯫
ꯃꯁꯤꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯤꯅꯣ?
ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤꯒꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯆꯥꯎꯕꯥ ꯈꯨꯗꯣꯡꯊꯤꯕꯥ ꯑꯁꯤ ꯑꯌꯥꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯂꯥꯏꯑꯣꯡ ꯑꯃꯠꯇꯥ ꯂꯩꯇꯕꯅꯤ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯑꯦꯅꯤꯎꯔꯤꯖꯝ ꯑꯁꯤ ꯑꯆꯧꯕꯥ ꯑꯣꯏꯔꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯑꯀꯣꯌꯕꯗꯥ ꯂꯩꯕꯥ ꯑꯣꯔꯒꯥꯅꯁꯤꯡꯗꯥ ꯄ꯭ꯔꯦꯁꯔ ꯄꯤꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯂꯥꯏꯑꯣꯡ ꯈꯔꯗꯤ ꯂꯥꯀꯄꯥ ꯌꯥꯏ꯫
| ꯂꯥꯏꯑꯣꯡ꯫ | ꯃꯔꯝ |
|---|---|
| ꯈꯣꯡ, ꯈꯣꯡ, ꯈꯣꯡ ꯅꯠꯠꯔꯒꯥ ꯃꯊꯛ ꯊꯪꯕꯥ ꯁꯔꯨꯛꯇꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯄꯥ꯫ | ꯑꯦꯅꯤꯎꯔꯤꯖꯃꯗꯒꯤ ꯂꯥꯀꯄꯥ ꯄ꯭ꯔꯦꯁꯔꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ꯫ |
| ꯂꯧꯅꯒꯅꯕꯥ ꯂꯥꯌꯅꯥ ꯅꯠꯠꯔꯒꯥ ꯂꯧꯅꯒꯅꯕꯥ ꯃꯇꯃꯗꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯄꯥ꯫ | ꯑꯦꯅꯤꯎꯔꯤꯖꯝ (aneurysm) ꯑꯁꯤ ꯏꯁꯣꯐꯦꯒꯁꯇꯥ (bulge) ꯊꯣꯀꯍꯅꯕꯅꯥ ꯊꯣꯀꯍꯜꯂꯤ꯫ |
| ꯈꯣꯟꯖꯦꯂꯒꯤ ꯈꯣꯟꯖꯦꯜ ꯊꯣꯀꯄꯥ꯫ | ꯈꯣꯟꯖꯦꯜ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯔꯤꯕꯥ ꯅꯔꯚꯁꯤꯡꯒꯤ ꯀꯝꯞꯔꯦꯁꯟꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ꯫ |
| ꯀꯣꯛ ꯆꯤꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ꯫ | ꯑꯦꯅꯤꯎꯔꯤꯖꯝ ꯑꯃꯥ ꯍꯥꯌꯕꯁꯤ ꯇ꯭ꯔꯦꯀꯤꯑꯣ (trachea)ꯒꯤ ꯀꯝꯞꯔꯦꯁꯟ (compression)ꯅꯥ ꯊꯣꯀꯍꯜꯂꯤ꯫ |
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯦꯅꯤꯎꯔꯤꯖꯝ ꯑꯃꯥ ꯁꯣꯀꯄꯥ (ruptures) ꯅꯠꯠꯔꯒꯥ ꯗꯤꯁꯦꯛꯁꯟ (dissection) ꯑꯣꯏꯔꯕꯗꯤ ꯊꯣꯀꯄꯥ ꯑꯦꯃꯔꯖꯦꯟꯁꯤ ꯁꯤꯝꯄꯇꯃꯁꯤꯡ
ꯃꯁꯤ ꯂꯥꯌꯅꯥ ꯑꯁꯤꯒꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯈꯨꯗꯣꯡꯊꯤꯅꯤꯉꯥꯏ ꯑꯣꯏꯕꯥ ꯁ꯭ꯇꯦꯖꯅꯤ꯫ ꯑꯦꯅꯤꯎꯔꯤꯖꯝ ꯑꯃꯒꯤ ꯋꯥꯜ ꯑꯗꯨ ꯁꯣꯟꯊꯔꯀꯄꯥ ꯌꯥꯏ ꯑꯃꯁꯨꯡ ꯈꯪꯍꯧꯗꯅꯥ ꯋꯥꯜ ꯑꯗꯨꯒꯤ ꯂꯦꯡ-ꯑꯣꯠꯄꯒꯤ ꯃꯑꯣꯡ ꯑꯅꯤ (disection) ꯊꯨꯒꯥꯌꯕꯥ (rupture) ꯅꯠꯠꯔꯒꯥ ꯆꯦꯟꯊꯔꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯈꯨꯗꯛꯀꯤ ꯑꯣꯏꯕꯥ, ꯄꯨꯟꯁꯤ ꯃꯥꯡꯍꯅꯕꯥ ꯌꯥꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯃꯍꯧꯁꯥꯅꯥ ꯈꯪꯍꯧꯗꯅꯥ ꯑꯃꯁꯨꯡ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯅꯥ ꯎꯕꯥ ꯐꯪꯏ꯫
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛ ꯅꯠꯠꯔꯒꯥ ꯑꯇꯣꯞꯄꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯅꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯍꯦꯛꯇꯕꯨ ꯊꯦꯡꯅꯔꯕꯗꯤ, ꯃꯤꯅꯠ ꯑꯃꯈꯛꯇꯃꯛ ꯊꯦꯡꯊꯒꯅꯨ꯫ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯜ ꯑꯃꯒꯤ ꯏꯃꯔꯖꯦꯟꯁꯤ ꯇ꯭ꯔꯤꯇꯃꯦꯟꯇ ꯌꯨꯅꯤꯠ (ETU)ꯗꯥ ꯈꯨꯗꯛꯇꯥ ꯆꯠꯂꯨ꯫ ꯁꯦꯀꯦꯟꯗ ꯈꯨꯗꯤꯡꯃꯛ ꯄꯨꯟꯁꯤ ꯑꯃꯥ ꯀꯟꯅꯕꯥ ꯃꯁꯤꯡ ꯊꯤꯔꯤ꯫
| ꯑꯦꯃꯔꯖꯦꯟꯁꯤ ꯃꯦꯗꯤꯀꯦꯜ ꯑꯦꯇꯦꯟꯁꯟ ꯃꯊꯧ ꯇꯥꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ꯫ | |
|---|---|
| ꯁꯥꯊꯤꯕꯥ ꯑꯅꯥꯕꯥ꯫ | ꯈꯪꯍꯧꯗꯅꯥ, ꯁꯣꯟꯊꯕꯥ ꯉꯃꯗꯕꯥ, ꯈꯣꯡ ꯅꯠꯠꯔꯒꯥ ꯈꯣꯡꯗꯥ ꯁꯣꯀꯄꯥ, ꯁꯣꯀꯄꯥ ꯌꯥꯕꯥ ꯑꯅꯥꯕꯥ ꯑꯃꯥ꯫ |
| ꯃꯃꯤꯠ ꯇꯥꯡꯕꯥ꯫ | ꯃꯤꯠ ꯎꯗꯕꯥ, ꯃꯤꯠ ꯎꯗꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯋꯥꯈꯜ ꯃꯥꯡꯈꯤꯕꯥ꯫ |
| ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ꯫ | ꯈꯪꯍꯧꯗꯅꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ꯫ |
| ꯍꯥꯔꯠ ꯄꯦꯂꯄꯤꯇꯦꯁꯟ ꯂꯩꯕꯥ꯫ | ꯅꯍꯥꯛꯀꯤ ꯊꯝꯃꯣꯌ ꯑꯗꯨ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯌꯥꯡꯅꯥ ꯆꯦꯜꯂꯤ ꯍꯥꯌꯅꯥ ꯐꯥꯎꯕꯥ꯫ |
| ꯌꯥꯝꯅꯥ ꯋꯥꯅꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ꯫ | ꯃꯔꯝ ꯑꯃꯠꯇꯥ ꯂꯩꯇꯅꯥ ꯌꯥꯝꯅꯥ ꯋꯥꯅꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ꯫ |
| ꯑꯇꯣꯞꯄꯥ ꯐꯤꯆꯔꯁꯤꯡ꯫ | ꯋꯥꯈꯜ ꯋꯥꯕꯥ, ꯋꯥ ꯉꯥꯡꯕꯗꯥ ꯑꯋꯥꯕꯥ, ꯃꯤꯠ ꯎꯗꯕꯥ, ꯍꯀꯆꯥꯡꯒꯤ ꯅꯥꯀꯜ ꯑꯃꯗꯥ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ꯫ |
ꯀꯔꯤꯒꯤꯗꯃꯛ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯊꯧꯗꯣꯛ ꯑꯃꯥ ꯊꯣꯛꯂꯤꯕꯅꯣ?
ꯑꯩꯈꯣꯌꯒꯤ ꯑꯥꯔꯇꯦꯔꯤꯁꯤꯡꯒꯤ ꯋꯥꯂꯁꯤꯡ ꯑꯁꯤ ꯃꯍꯧꯁꯥꯅꯥ ꯃꯄꯥꯉ꯭ꯒꯜ ꯀꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯐ꯭ꯂꯦꯛꯁꯤꯕꯜ ꯑꯣꯏ꯫ ꯃꯈꯣꯌ ꯑꯁꯤ ꯍꯥꯔꯇꯀꯤ ꯈꯣꯡꯖꯦꯜ ꯈꯨꯗꯤꯡꯒꯤ ꯂꯥꯀꯄꯥ ꯏꯒꯤ ꯄ꯭ꯔꯦꯁꯔꯒꯤ ꯃꯈꯥꯗꯥ ꯀꯟꯠꯔꯦꯛꯇ ꯇꯧꯕꯥ ꯑꯃꯁꯨꯡ ꯁ꯭ꯠꯔꯦꯁ ꯇꯧꯕꯥ ꯉꯃꯒꯗꯕꯅꯤ꯫ ꯑꯗꯨꯕꯨ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯋꯥꯂꯁꯤꯡ ꯑꯁꯤ ꯁꯣꯟꯊꯔꯕꯗꯤ ꯃꯈꯣꯌꯅꯥ ꯄ꯭ꯔꯦꯁꯔ ꯑꯗꯨ ꯍꯦꯟꯗꯜ ꯇꯧꯕꯥ ꯉꯃꯗꯦ ꯑꯃꯁꯨꯡ ꯍꯨꯔꯥꯅꯕꯥ ꯍꯧꯏ꯫
ꯃꯁꯤꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯔꯃꯗꯤ ꯑꯦꯊꯦꯔꯣꯁ꯭ꯀꯂꯦꯔꯣꯁꯤꯁ ꯀꯧꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ . ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯀꯣꯂꯦꯁ꯭ꯇꯦꯔꯣꯂꯒꯨꯝꯕꯥ ꯐꯦꯠ ꯑꯣꯏꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ ꯑꯁꯤ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯂꯁꯤꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯊꯃꯖꯤꯜꯂꯤ (ꯑꯩꯈꯣꯌꯅꯥ ꯄ꯭ꯂꯦꯛ ꯍꯥꯌꯅꯥ ꯀꯧꯏ), ꯃꯁꯤꯅꯥ ꯚꯦꯁꯦꯂꯁꯤꯡꯒꯤ ꯋꯥꯂꯁꯤꯡ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯁꯣꯀꯍꯜꯂꯤ ꯑꯃꯁꯨꯡ ꯁꯣꯀꯍꯜꯂꯤ꯫ ꯑꯔꯤꯕꯥ ꯏꯁꯤꯡꯒꯤ ꯄꯥꯏꯞ ꯑꯃꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯃꯩꯁꯥ ꯁꯦꯃꯒꯠꯂꯀꯄꯒꯨꯝꯅꯥ꯫ ꯃꯁꯤꯅꯥ ꯚꯦꯁꯦꯂꯁꯤꯡꯒꯤ ꯋꯥꯂꯁꯤꯡ ꯁꯣꯀꯍꯜꯂꯤ ꯑꯃꯁꯨꯡ ꯑꯦꯅꯤꯎꯔꯤꯖꯝ ꯑꯃꯥ ꯂꯥꯀꯄꯒꯤ ꯆꯥꯡ ꯍꯦꯅꯒꯠꯍꯜꯂꯤ꯫
ꯔꯤꯁ꯭ꯛ ꯍꯦꯅꯒꯠꯍꯜꯂꯤꯕꯥ ꯐꯦꯛꯇꯔꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?
ꯑꯦꯊꯦꯔꯣꯁ꯭ꯀꯂꯦꯔꯣꯁꯤꯁꯀꯤ ꯃꯊꯛꯇꯥ, ꯑꯦꯑꯣꯔꯇꯥꯒꯤ ꯋꯥꯂꯁꯤꯡꯗꯥ ꯁꯣꯀꯍꯜꯂꯤꯕꯥ ꯄꯣꯠꯁꯛ ꯑꯃꯍꯦꯛꯇꯅꯥ ꯑꯦꯅꯤꯎꯔꯤꯖꯝ ꯑꯃꯥ ꯂꯥꯀꯄꯒꯤ ꯔꯤꯁ꯭ꯛ ꯍꯦꯅꯒꯠꯍꯜꯂꯤ꯫
| ꯔꯤꯁ꯭ꯛ ꯐꯦꯛꯇꯔ꯫ | ꯋꯥꯔꯣꯜ |
|---|---|
| ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ ꯋꯥꯡꯈꯠꯄꯥ꯫ | ꯂꯦꯞꯇꯅꯥ ꯚꯦꯅꯝ ꯋꯥꯂꯁꯤꯡꯗꯥ ꯍꯦꯟꯅꯥ ꯄ꯭ꯔꯦꯁꯔ ꯄꯤ꯫ |
| ꯊꯛꯅꯕꯥ ꯏꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯊꯛꯅꯕꯥ ꯏꯁꯤꯡ ꯁꯤꯖꯤꯟꯅꯕꯥ꯫ | ꯃꯁꯤꯅꯥ ꯑꯥꯔꯇꯦꯔꯤ ꯋꯥꯂꯁꯤꯡꯗꯥ ꯍꯀꯊꯦꯡꯅꯅꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯜꯂꯤ ꯑꯃꯁꯨꯡ ꯑꯦꯊꯦꯔꯣꯁ꯭ꯀꯂꯦꯔꯣꯁꯤꯁ ꯁꯦꯃꯒꯠꯄꯗꯥ ꯈꯣꯡꯖꯦꯜ ꯌꯥꯡꯁꯤꯂꯍꯜꯂꯤ꯫ |
| ꯏꯃꯨꯡ ꯃꯅꯨꯡꯒꯤ ꯍꯤꯁ꯭ꯇꯔꯤ꯫ | ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯨꯗꯛꯀꯤ ꯑꯣꯏꯕꯥ ꯏꯃꯨꯡꯒꯤ ꯃꯤꯑꯣꯏ ꯑꯃꯅꯥ ꯑꯦꯅꯤꯎꯔꯤꯖꯝ ꯂꯩꯔꯕꯗꯤ ꯅꯍꯥꯀꯁꯨ ꯍꯦꯟꯅꯥ ꯔꯤꯁ꯭ꯛ ꯂꯩ꯫ |
| ꯑꯍꯜ ꯑꯣꯏꯔꯀꯄꯥ꯫ | ꯃꯍꯧꯁꯥꯅꯥ, ꯆꯍꯤ 65ꯒꯤ ꯃꯊꯛꯇꯥ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯅꯥ ꯍꯦꯟꯅꯥ ꯔꯤꯁ꯭ꯛ ꯂꯩ꯫ |
| ꯖꯦꯅꯦꯇꯤꯛ ꯀꯟꯗꯤꯁꯟ ꯈꯔꯗꯤ ꯂꯩ꯫ | ꯃꯥꯔꯐꯥꯟ ꯁꯤꯟꯗꯣꯝ, ꯂꯣꯏꯁ-ꯗꯥꯏꯇꯖ ꯁꯤꯟꯗꯣꯝ, ꯚꯦꯁꯀꯨꯂꯥꯔ ꯑꯦꯍꯂꯔꯁ-ꯗꯥꯅꯂꯣꯁ ꯁꯤꯟꯗꯣꯝ, ꯑꯃꯁꯨꯡ ꯇꯔꯅꯔ ꯁꯤꯟꯗꯣꯃꯒꯨꯝꯕꯥ ꯀꯟꯗꯤꯁꯅꯁꯤꯡꯅꯥ ꯍꯀꯆꯥꯡꯒꯤ ꯀꯅꯦꯛꯇꯤꯕ ꯇꯤꯁꯨꯁꯤꯡ ꯁꯣꯟꯊꯍꯅꯕꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯔꯤꯁ꯭ꯛ ꯍꯦꯅꯒꯠꯍꯜꯂꯤ꯫ |
| ꯑꯇꯣꯞꯄꯥ ꯃꯦꯗꯤꯀꯦꯜ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ꯫ | ꯑꯦꯑꯣꯔꯇꯥꯏꯇꯤꯁ (ꯑꯦꯑꯣꯔꯇꯥ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯁꯟ), ꯕꯥꯏꯀꯁꯄꯤꯗ ꯑꯦꯑꯣꯔꯇꯤꯛ ꯚꯜꯌꯨ ꯗꯤꯖꯤꯖ (ꯍꯥꯔꯠ ꯚꯜꯌꯨ ꯗꯤꯖꯤꯖ ꯑꯃꯥ), ꯑꯃꯁꯨꯡ ꯀꯣꯔꯣꯅꯥꯔꯤ ꯑꯥꯔꯇꯦꯔꯤ ꯗꯤꯖꯤꯖ (CAD)ꯒꯨꯝꯕꯥ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ꯫ |
ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯃꯁꯤ ꯀꯔꯝꯅꯥ ꯊꯤꯔꯤꯕꯒꯦ?
ꯑꯌꯥꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯃꯁꯤ ꯈꯨꯗꯣꯡꯊꯤꯕꯥ ꯊꯣꯀꯄꯗꯒꯤ ꯈꯪꯗꯣꯀꯏ꯫ ꯑꯩꯈꯣꯌꯅꯥ ꯃꯁꯤꯕꯨ "ꯏꯟꯁꯤꯗꯦꯟꯇ ꯗꯥꯏꯒ꯭ꯅꯣꯁꯤꯁ" ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ ꯍꯥꯌꯕꯗꯤ ꯆꯦꯁ꯭ꯠ ꯑꯦꯛꯁ-ꯔꯦ ꯑꯁꯤ ꯑꯇꯣꯞꯄꯥ ꯃꯔꯝ ꯈꯔꯗꯒꯤ ꯇꯧꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯗꯣꯛꯇꯔꯅꯥ ꯆꯦꯁ꯭ꯇꯀꯤ ꯃꯔꯛꯇꯥ ꯂꯩꯕꯥ ꯁꯔꯨꯛ (mediastinum) ꯑꯁꯤ ꯅꯣꯔꯃꯦꯂꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯄꯥꯛ-ꯆꯥꯎꯕꯥ ꯎꯕꯥ ꯐꯪꯒꯅꯤ꯫ ꯃꯗꯨꯗꯥ ꯑꯦꯅꯤꯎꯔꯤꯖꯝ ꯑꯃꯥ ꯂꯥꯀꯄꯒꯤ ꯆꯤꯡꯅꯕꯥ ꯂꯩ꯫
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯆꯤꯡꯅꯕꯥ ꯂꯩꯔꯕꯗꯤ, ꯗꯣꯛꯇꯔꯅꯥ ꯃꯁꯤ ꯀꯅꯐꯥꯔꯝ ꯇꯧꯅꯕꯥ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯑꯁꯤ ꯑꯣꯔꯗꯔ ꯇꯧꯒꯅꯤ:
- ꯀꯝꯞꯌꯨꯇꯔ ꯇꯣꯃꯣꯒ꯭ꯔꯥꯐꯤ (CT) ꯑꯦꯟꯖꯤꯑꯣꯒ꯭ꯔꯥꯝ: ꯃꯁꯤꯅꯥ ꯑꯦꯑꯣꯔꯇꯥꯒꯤ ꯌꯥꯝꯅꯥ ꯃꯌꯦꯛ ꯁꯦꯡꯕꯥ ꯊ꯭ꯔꯤ-ꯗꯤꯃꯦꯟꯁꯤꯑꯦꯜ ꯏꯃꯦꯖꯁꯤꯡ ꯄꯨꯊꯣꯀꯄꯥ ꯉꯝꯃꯤ꯫
- ꯏꯀꯣꯀꯥꯔꯗꯤꯑꯣꯒ꯭ꯔꯥꯝ (echo): ꯍꯥꯔꯇꯀꯤ ꯐꯉ꯭ꯀꯁꯟ ꯑꯃꯁꯨꯡ ꯑꯦꯑꯣꯔꯇꯥꯒꯤ ꯑꯍꯥꯅꯕꯥ ꯁꯔꯨꯛ ꯑꯗꯨ ꯌꯦꯡꯁꯤꯟꯅꯕꯥ ꯑꯂꯠꯔꯥꯁꯥꯎꯟꯗ ꯁ꯭ꯀꯦꯟ ꯑꯃꯅꯤ꯫
- ꯃꯦꯒ꯭ꯅꯦꯇꯤꯛ ꯔꯤꯖꯣꯅꯦꯟꯁ ꯑꯦꯟꯖꯤꯑꯣꯒ꯭ꯔꯥꯝ (MRA): ꯁꯤ.ꯇꯤ.ꯁ꯭ꯀꯦꯅꯒꯥ ꯃꯥꯟꯅꯕꯥ ꯇꯦꯁ꯭ꯠ ꯑꯃꯅꯤ, ꯑꯗꯨꯕꯨ ꯔꯦꯗꯤꯑꯦꯁꯟ ꯁꯤꯖꯤꯟꯅꯗꯅꯥ꯫
- ꯑꯦꯕꯗꯣꯃꯤꯅꯦꯜ ꯑꯂꯠꯔꯥꯁꯥꯎꯟꯗ: ꯆꯦꯁ꯭ꯠ ꯑꯦꯅꯤꯎꯔꯤꯖꯝ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯗꯁꯨ ꯑꯦꯕꯗꯣꯃꯤꯅꯦꯜ ꯑꯦꯅꯤꯎꯔꯤꯖꯝ ꯂꯩꯕꯥ ꯌꯥꯏ, ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯃꯗꯨꯁꯨ ꯆꯦꯛ ꯇꯧꯕꯤꯌꯨ꯫
ꯐꯪꯂꯤꯕꯥ ꯂꯥꯏꯌꯦꯡꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?
ꯊꯣꯔꯥꯁꯤꯛ ꯑꯦꯑꯣꯔꯇꯤꯛ ꯑꯦꯅꯤꯎꯔꯤꯖꯃꯒꯤ ꯗꯤꯐꯤꯅꯤꯇꯤꯚ ꯂꯥꯏꯌꯦꯡ ꯑꯁꯤ ꯁꯔꯖꯔꯤꯅꯤ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯀꯗꯥꯏꯗꯥ ꯑꯃꯁꯨꯡ ꯀꯔꯤ ꯃꯈꯂꯒꯤ ꯁꯔꯖꯔꯤ ꯇꯧꯒꯗꯒꯦ ꯍꯥꯌꯕꯁꯤ ꯑꯦꯅꯤꯎꯔꯤꯖꯃꯒꯤ ꯁꯥꯏꯖ, ꯃꯁꯤꯒꯤ ꯃꯐꯝ, ꯃꯁꯤ ꯀꯌꯥ ꯌꯥꯝꯅꯥ ꯌꯥꯡꯅꯥ ꯆꯥꯎꯈꯠꯂꯛꯂꯤꯕꯅꯣ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯑꯄꯨꯅꯕꯥ ꯍꯀꯁꯦꯂꯒꯤ ꯃꯈꯥ ꯄꯣꯜꯂꯤ꯫
ꯀꯗꯥꯏꯗꯥ ꯁꯔꯖꯔꯤ ꯇꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯒꯦ?
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯦꯅꯤꯎꯔꯤꯖꯝ ꯑꯗꯨ ꯑꯄꯤꯀꯄꯥ ꯑꯣꯏꯔꯕꯗꯤ, ꯗꯣꯛꯇꯔꯅꯥ ꯁꯔꯖꯔꯤ ꯇꯧꯗꯅꯥ ꯉꯥꯏꯗꯨꯅꯥ ꯂꯩꯅꯕꯥ ꯋꯥꯔꯦꯞ ꯂꯧꯕꯥ ꯌꯥꯏ꯫ ꯑꯩꯈꯣꯌꯅꯥ ꯃꯁꯤꯕꯨ "ꯋꯥꯆꯐꯨꯜ ꯋꯦꯇꯤꯡ" ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ ꯃꯁꯤꯅꯥ ꯇꯥꯀꯄꯗꯤ ꯃꯈꯣꯌꯅꯥ ꯊꯥ ꯶ꯇꯒꯤ ꯱꯲ ꯐꯥꯑꯣꯕꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯦꯅꯤꯎꯔꯤꯖꯝ ꯑꯗꯨ ꯍꯦꯟꯅꯥ ꯆꯥꯎꯈꯠꯂꯛꯂꯤꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯁ꯭ꯀꯦꯟ ꯇꯧꯒꯅꯤ, ꯑꯃꯁꯨꯡ ꯃꯈꯣꯌꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯅꯕꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛ ꯄꯤꯒꯅꯤ꯫
ꯑꯗꯨꯕꯨ,
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯦꯅꯤꯎꯔꯤꯖꯝ ꯑꯗꯨ ꯏꯟꯆꯤ 2 (ꯆꯥꯎꯔꯥꯛꯅꯥ ꯁꯦꯟꯇꯤꯃꯤꯇꯔ 5.5) ꯅꯠꯠꯔꯒꯥ ꯃꯁꯤꯗꯒꯤ ꯍꯦꯅꯕꯥ ꯑꯣꯏꯔꯕꯗꯤ,
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯦꯅꯤꯎꯔꯤꯖꯝ ꯑꯗꯨ ꯆꯍꯤ ꯑꯃꯗꯥ ꯁꯦꯃꯤ 0.5ꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯌꯥꯡꯅꯥ ꯆꯥꯎꯈꯠꯂꯛꯂꯕꯗꯤ , .
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯦꯅꯤꯎꯔꯤꯖꯝ ꯑꯗꯨꯅꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯊꯣꯀꯍꯜꯂꯤꯕꯥ ꯑꯣꯏꯔꯕꯗꯤ , .
ꯃꯍꯧꯁꯥꯅꯥ ꯁꯔꯖꯔꯤ꯫
ꯁꯔꯖꯔꯤꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯈꯂꯁꯤꯡ꯫
ꯍꯧꯖꯤꯛ ꯁꯤꯖꯤꯟꯅꯔꯤꯕꯥ ꯁꯔꯖꯔꯤꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯈꯜ ꯀꯌꯥ ꯑꯃꯥ ꯂꯩꯔꯤ꯫
1. ꯇ꯭ꯔꯦꯗꯤꯁꯅꯦꯜ ꯑꯣꯄꯟ ꯁꯔꯖꯔꯤ: ꯆꯦꯁ꯭ꯇꯀꯤ ꯃꯔꯛꯇꯥ ꯏꯅꯁꯤꯁꯟ ꯑꯃꯥ ꯁꯦꯃꯗꯨꯅꯥ, ꯑꯦꯅꯤꯎꯔꯤꯖꯃꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯑꯦꯑꯣꯔꯇꯥꯒꯤ ꯁꯣꯟꯊꯔꯕꯥ ꯁꯔꯨꯛ ꯑꯗꯨ ꯂꯧꯊꯣꯀꯏ, ꯑꯃꯁꯨꯡ ꯃꯗꯨꯒꯤ ꯃꯍꯨꯠꯇꯥ ꯒ꯭ꯔꯥꯐꯠ ꯑꯃꯥ ꯊꯥꯏ꯫
2. ꯊꯣꯔꯥꯁꯤꯛ ꯑꯦꯟꯗꯣꯚꯥꯁ꯭ꯀꯨꯂꯥꯔ ꯑꯦꯑꯣꯔꯇꯤꯛ ꯔꯤꯄꯦꯌꯥꯔ (TEVAR): ꯃꯁꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯅꯦꯝꯕꯥ ꯏꯅꯚꯦꯁꯤꯚ ꯄ꯭ꯔꯣꯁꯤꯗ꯭ꯌꯨꯑꯣꯔ ꯑꯃꯅꯤ꯫ ꯒ꯭ꯔꯨꯏꯅꯗꯥ ꯑꯄꯤꯀꯄꯥ ꯏꯅꯁꯤꯁꯟ ꯑꯃꯥ ꯁꯦꯝꯃꯤ, ꯑꯃꯁꯨꯡ ꯏꯅꯁꯤꯁꯟ ꯑꯗꯨꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯀꯦꯇꯦꯇꯔ ꯑꯃꯥ ꯁꯤꯖꯤꯟꯅꯗꯨꯅꯥ ꯑꯦꯅꯤꯎꯔꯤꯖꯃꯗꯥ ꯁ꯭ꯇꯦꯟꯇ ꯒ꯭ꯔꯥꯐ ꯑꯃꯥ ꯏꯅꯁꯤꯁꯟ ꯇꯧꯏ ꯑꯃꯁꯨꯡ ꯃꯅꯨꯡꯗꯒꯤ ꯁꯦꯛꯌꯨꯑꯣꯔ ꯑꯣꯏꯅꯥ ꯊꯝꯃꯤ꯫
3. ꯑꯦꯑꯣꯔꯇꯤꯛ ꯔꯨꯠ ꯔꯤꯞꯂꯦꯁꯃꯦꯟꯇ (Aortic root replacement): ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯦꯅꯤꯎꯔꯤꯖꯝ ꯑꯗꯨ ꯍꯥꯔꯇꯀꯥ ꯁꯝꯅꯕꯥ ꯑꯦꯑꯣꯔꯇꯥꯒꯤ ꯃꯔꯨꯃꯗꯥ ꯂꯩꯔꯕꯗꯤ ꯁꯔꯖꯔꯤ ꯑꯁꯤ ꯄꯥꯡꯊꯣꯀꯏ꯫ ꯍꯥꯔꯠ ꯚꯜꯌꯨ ꯑꯗꯨ ꯍꯣꯡꯗꯣꯛ-ꯍꯣꯡꯖꯤꯟ ꯇꯧꯕꯁꯨ ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯏ꯫
ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯛꯀꯤꯗꯃꯛꯇꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯥ ꯂꯥꯏꯌꯦꯡꯒꯤ ꯃꯑꯣꯡ ꯑꯗꯨ ꯂꯦꯄꯀꯅꯤ꯫
ꯃꯁꯤ ꯊꯤꯡꯕꯥ ꯉꯃꯒꯗ꯭ꯔꯥ?
ꯑꯦꯅꯤꯎꯔꯤꯖꯝ ꯑꯃꯥ ꯂꯥꯀꯄꯥ ꯑꯁꯤ 100% ꯊꯤꯡꯅꯕꯒꯤ ꯄꯥꯝꯕꯩ ꯑꯃꯠꯇꯥ ꯂꯩꯇꯦ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯔꯝ ꯑꯣꯏꯔꯤꯕꯥ ꯑꯦꯊꯦꯔꯣꯁ꯭ꯀꯂꯦꯔꯣꯁꯤꯁ ꯑꯁꯤ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯅꯥ ꯔꯤꯁ꯭ꯛ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯍꯟꯊꯍꯅꯕꯥ ꯉꯝꯃꯤ꯫
- ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯄꯤꯕꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ ꯂꯧꯗꯨꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ ꯑꯃꯁꯨꯡ ꯀꯣꯂꯦꯁ꯭ꯇꯦꯔꯣꯂꯒꯤ ꯆꯥꯡ ꯀꯟꯠꯔꯣꯜ ꯇꯧ꯫
- ꯃꯦꯗꯤꯇꯦꯔꯦꯅꯤꯌꯟ ꯗꯥꯏꯇꯒꯨꯝꯕꯥ ꯊꯝꯃꯣꯌꯗꯥ ꯍꯀꯁꯦꯜ ꯐꯕꯥ ꯆꯥꯕꯒꯤ ꯃꯑꯣꯡ ꯑꯃꯥ ꯂꯧꯈꯠꯀꯗꯕꯅꯤ꯫
- ꯃꯩꯈꯨ ꯊꯥꯗꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯊꯛꯅꯕꯥ ꯏꯁꯤꯡꯒꯤ ꯄꯣꯠꯊꯣꯛ ꯄꯨꯝꯅꯃꯛ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯊꯤꯡꯖꯤꯜꯂꯨ꯫
- ꯁꯥꯖꯦꯜ ꯇꯧꯕ. ꯅꯨꯃꯤꯠ ꯈꯨꯗꯤꯡꯒꯤ ꯌꯥꯃꯗ꯭ꯔꯕꯗꯥ ꯃꯤꯅꯠ 150 ꯔꯣꯝ ꯈꯣꯡꯅꯥ ꯆꯠꯄꯒꯨꯝꯕꯥ ꯃꯌꯥꯏ ꯑꯣꯏꯕꯥ ꯐꯤꯖꯤꯀꯦꯜ ꯑꯦꯛꯇꯤꯚꯤꯇꯤꯁꯤꯡ ꯄꯥꯡꯊꯣꯀꯎ꯫ ꯑꯗꯨꯕꯨ ꯑꯅꯧꯕꯥ ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯄ꯭ꯔꯣꯒ꯭ꯔꯥꯝ ꯑꯃꯥ ꯍꯧꯗ꯭ꯔꯤꯉꯩꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯇꯥꯟꯅꯧ꯫
- ꯆꯍꯤ ꯈꯨꯗꯤꯡꯒꯤ ꯃꯦꯗꯤꯀꯦꯜ ꯆꯦꯀꯑꯞ ꯑꯃꯥ ꯇꯧꯕꯥ꯫
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯂꯩꯔꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯅꯁꯥꯕꯨ ꯀꯔꯝꯅꯥ ꯌꯦꯡꯁꯤꯅꯕꯤꯒꯅꯤ?
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯊꯣꯔꯥꯁꯤꯛ ꯑꯦꯑꯣꯔꯇꯤꯛ ꯑꯦꯅꯤꯎꯔꯤꯖꯝ ꯑꯃꯥ ꯂꯩꯔꯦ ꯍꯥꯌꯅꯥ ꯍꯥꯌꯔꯛꯂꯕꯗꯤ, ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯐꯥꯎꯒꯅꯨ꯫ ꯃꯍꯥꯛꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯃꯁꯤꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯍꯤꯡꯂꯤꯉꯩꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯏꯁꯥꯕꯨ ꯀꯔꯝꯅꯥ ꯌꯦꯡꯁꯤꯅꯕꯤꯒꯗꯒꯦ ꯍꯥꯌꯕꯒꯤ ꯄꯥꯎꯇꯥꯛ ꯄꯤꯒꯅꯤ꯫
- ꯋꯦꯠ ꯂꯤꯐꯇꯤꯡ ꯑꯃꯁꯨꯡ ꯍꯥꯏ-ꯏꯟꯇꯦꯟꯁꯤꯇꯤ ꯏꯟꯇꯔꯚꯦꯜ ꯇ꯭ꯔꯦꯅꯤꯡ (HIIT)ꯒꯨꯝꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡꯗꯒꯤ ꯂꯥꯞꯅꯥ ꯂꯩꯌꯨ꯫ ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯑꯦꯑꯣꯔꯇꯥꯗꯥ ꯃꯊꯧ ꯇꯥꯗꯕꯥ ꯄ꯭ꯔꯦꯁꯔ ꯄꯤꯕꯥ ꯌꯥꯏ꯫ ꯅꯍꯥꯛꯀꯤꯗꯃꯛꯇꯥ ꯀꯔꯤ ꯑꯦꯛꯁꯔꯁꯥꯏꯖꯁꯤꯡ ꯑꯁꯤ ꯆꯨꯝꯃꯤ ꯍꯥꯌꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯍꯪꯕꯤꯌꯨ꯫
- ꯊꯛꯅꯕꯥ ꯏꯁꯤꯡ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯁꯤꯖꯤꯟꯅꯔꯣꯏꯗꯕꯅꯤ꯫
- ꯆꯤꯟꯖꯥꯛꯇꯥ ꯂꯣꯟ ꯍꯟꯊꯍꯅꯕꯥ꯫
- ꯗꯣꯛꯇꯔꯅꯥ ꯄꯤꯕꯥ ꯍꯤꯗꯥꯛ ꯑꯗꯨ ꯆꯞ ꯆꯥꯅꯥ ꯑꯃꯁꯨꯡ ꯃꯇꯝ ꯆꯥꯅꯥ ꯆꯥꯒꯗꯕꯅꯤ꯫
- ꯍꯥꯔꯠ ꯔꯦꯠ ꯍꯦꯅꯒꯠꯍꯅꯕꯥ ꯉꯝꯕꯥ ꯗ꯭ꯔꯒꯁꯤꯡ (ꯀꯣꯀꯦꯟ, ꯑꯦꯝꯐꯦꯇꯥꯃꯤꯟ) ꯑꯃꯁꯨꯡ ꯃꯅꯥ-ꯃꯁꯤꯡ ꯈꯔꯗꯤ ꯁꯤꯖꯤꯟꯅꯔꯣꯏꯗꯕꯅꯤ꯫
- ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯀꯟꯇꯦꯛꯇ ꯇꯧꯗꯨꯅꯥ ꯂꯩꯌꯨ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯅꯧꯕꯥ ꯂꯥꯏꯑꯣꯡ ꯑꯃꯥ ꯂꯥꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡꯗꯒꯤ ꯁꯥꯏꯗ ꯏꯐꯦꯛꯇ ꯑꯃꯠꯇꯥ ꯂꯩꯔꯕꯗꯤ ꯃꯈꯣꯌꯗꯥ ꯈꯨꯗꯛꯇꯥ ꯈꯪꯍꯅꯕꯤꯌꯨ꯫
ꯇꯦꯛ-ꯍꯣꯝ ꯃꯦꯁꯦꯖ ꯇꯧꯕꯥ꯫
- ꯊꯣꯔꯥꯁꯤꯛ ꯑꯦꯑꯣꯔꯇꯤꯛ ꯑꯦꯅꯤꯎꯔꯤꯖꯝ ꯍꯥꯌꯕꯁꯤ ꯆꯦꯁ꯭ꯇꯀꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯂꯗꯥ ꯂꯩꯕꯥ ꯕꯦꯂꯨꯅꯒꯨꯝꯕꯥ ꯈꯣꯡꯖꯦꯜ ꯑꯃꯅꯤ꯫
- ꯑꯌꯥꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯃꯁꯤꯒꯤ ꯂꯥꯏꯑꯣꯡ ꯑꯃꯠꯇꯥ ꯂꯩꯇꯦ, ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯔꯤꯁ꯭ꯛ ꯐꯦꯛꯇꯔꯁꯤꯡ (ꯍꯥꯌꯕꯗꯤ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ ꯋꯥꯡꯈꯠꯄꯥ, ꯃꯩꯈꯨ ꯁꯤꯖꯤꯟꯅꯕꯥ, ꯏꯃꯨꯡꯒꯤ ꯍꯤꯁ꯭ꯇꯔꯤ) ꯂꯩꯔꯕꯗꯤ ꯃꯗꯨ ꯈꯪꯖꯤꯅꯕꯤꯌꯨ꯫
- ꯈꯪꯍꯧꯗꯅꯥ, ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯈꯣꯡ ꯅꯠꯠꯔꯒꯥ ꯀꯣꯛ ꯆꯤꯀꯄꯥ, ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯋꯥꯈꯜ ꯃꯥꯡꯈꯤꯕꯥ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯑꯦꯃꯔꯖꯦꯟꯁꯤ ꯑꯃꯅꯤ꯫ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯜ ꯑꯃꯒꯤ ꯏꯃꯔꯖꯦꯟꯁꯤ ꯗꯤꯄꯥꯔꯇꯃꯦꯟꯇ (ETU)ꯗꯥ ꯈꯨꯗꯛꯇꯥ ꯆꯠꯂꯨ꯫
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯦꯅꯤꯎꯔꯤꯖꯝ ꯑꯗꯨ ꯑꯄꯤꯀꯄꯥ ꯑꯣꯏꯔꯕꯗꯤ, ꯃꯁꯤ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛ ꯑꯃꯁꯨꯡ ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯌꯦꯡꯁꯤꯟꯗꯨꯅꯥ ꯃꯦꯅꯦꯖ ꯇꯧꯕꯥ ꯌꯥꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯆꯧꯕꯥ ꯑꯣꯏꯔꯕꯗꯤ ꯃꯗꯨ ꯁꯔꯖꯔꯤ ꯇꯧꯗꯨꯅꯥ ꯂꯥꯏꯌꯦꯡꯕꯥ ꯌꯥꯏ꯫
- ꯃꯇꯤꯛ ꯆꯥꯕꯥ ꯃꯦꯗꯤꯀꯦꯜ ꯇ꯭ꯔꯤꯠꯃꯦꯟꯇ ꯑꯃꯁꯨꯡ ꯄꯨꯟꯁꯤ ꯃꯍꯤꯡꯗꯥ ꯑꯍꯣꯡꯕꯥ ꯄꯨꯔꯀꯄꯒꯥ ꯂꯣꯌꯅꯅꯥ, ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯂꯩꯔꯕꯁꯨ ꯅꯍꯥꯛꯅꯥ ꯁꯥꯡꯂꯕꯥ, ꯍꯀꯆꯥꯡ ꯐꯕꯥ ꯄꯨꯟꯁꯤ ꯑꯃꯥ ꯍꯤꯡꯕꯥ ꯉꯃꯒꯅꯤ꯫ ꯃꯇꯝ ꯄꯨꯝꯅꯃꯛꯇꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯤ ꯄꯥꯎꯇꯥꯛ ꯏꯅꯒꯗꯕꯅꯤ꯫
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