ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯒꯤ ꯊꯝꯃꯣꯌꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯜ ꯑꯗꯨ ꯕ꯭ꯂꯣꯛ ꯇꯧꯕ꯭ꯔꯥ? ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯈꯉꯂꯁꯤ (Coarctation of the Aorta)!

ꯑꯩꯈꯣꯌꯒꯤ ꯑꯄꯤꯀꯄꯥ ꯊꯝꯃꯣꯌꯁꯤꯡ ꯑꯁꯤ ꯀꯌꯥꯗꯥ ꯑꯉꯀꯄꯥ ꯊꯕꯛ ꯇꯧꯕꯒꯦ ꯍꯥꯌꯅꯥ ꯑꯗꯣꯝꯅꯥ ꯈꯅꯕꯤꯔꯝꯂꯒꯅꯤ? ꯑꯗꯨꯕꯨ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯑꯀꯛꯅꯕꯥ ꯀꯣꯟꯖꯤꯅꯤꯑꯦꯜ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯃꯁꯤꯡꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ, ꯍꯥꯔꯠ ꯑꯁꯤꯒꯤ ꯐꯉ꯭ꯀꯁꯟ ꯑꯁꯤ ꯈꯔꯥ ꯁꯣꯀꯍꯜꯂꯀꯄꯥ ꯌꯥꯏ꯫ ꯑꯉꯥꯡ ꯈꯔꯗꯗꯤ ꯊꯣꯀꯄꯥ ꯌꯥꯕꯥ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯍꯥꯔꯇꯀꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯗꯤ `(Coarctation of the Aorta)` ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ ꯃꯤꯡ ꯑꯁꯤ ꯈꯔꯥ ꯍꯦꯟꯅꯥ ꯂꯨꯝꯂꯕꯁꯨ, ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯂꯩꯔꯣꯏꯗꯕꯅꯤ꯫ ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯋꯥꯔꯤ ꯁꯥꯁꯤ꯫

`(Aorta of the Aorta)` ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ? ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ...

ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯑꯦꯑꯣꯔꯇꯥ (Coarctation of the Aorta) ꯍꯥꯌꯕꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡꯒꯤ ꯊꯝꯃꯣꯌꯗꯒꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯑꯇꯩ ꯃꯐꯃꯁꯤꯡꯗꯥ ꯑꯣꯛꯁꯤꯖꯦꯟ ꯌꯥꯝꯅꯥ ꯌꯥꯎꯕꯥ ꯏ ꯄꯨꯕꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯜ ꯑꯣꯏꯔꯤꯕꯥ ꯑꯦꯑꯣꯔꯇꯥ (aorta) ꯑꯗꯨ ꯀꯨꯄꯁꯤꯅꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯀꯨꯄꯁꯤꯅꯕꯥ ꯍꯥꯌꯕꯁꯤꯅꯤ꯫ ꯃꯁꯤ ꯀꯣꯟꯖꯤꯅꯤꯑꯦꯜ ꯍꯥꯔꯠ ꯗꯤꯐꯦꯛꯇ ꯑꯃꯅꯤ꯫

ꯈꯅꯕꯤꯌꯨ, ꯑꯆꯧꯕꯥ ꯂꯝꯕꯤ ꯑꯃꯗꯥ ꯒꯥꯔꯤ ꯀꯌꯥ ꯑꯃꯥ ꯌꯥꯝꯅꯥ ꯌꯥꯡꯅꯥ ꯆꯪꯁꯤꯜꯂꯤ꯫ ꯑꯗꯨꯕꯨ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯇꯝ ꯑꯃꯗꯥ ꯂꯝꯕꯤ ꯑꯗꯨ ꯀꯨꯄꯁꯤꯜꯂꯒꯥ ꯇ꯭ꯔꯥꯐꯤꯛ ꯂꯦꯟ ꯑꯃꯈꯛꯇꯃꯛ ꯑꯌꯥꯕꯥ ꯄꯤꯔꯕꯗꯤ ꯀꯔꯤ ꯑꯣꯏꯒꯅꯤ? ꯇ꯭ꯔꯥꯐꯤꯛ ꯖ꯭ꯌꯥꯝ ꯊꯣꯀꯏ, ꯑꯃꯁꯨꯡ ꯗ꯭ꯔꯥꯏꯚꯔꯁꯤꯡꯅꯥ ꯆꯠꯊꯣꯛ-ꯆꯠꯁꯤꯟ ꯇꯧꯕꯥ ꯍꯧꯔꯀꯏ, ꯅꯠꯇꯦ? ꯐꯤꯚꯝ ꯑꯁꯤꯗꯁꯨ ꯃꯗꯨ ꯑꯣꯏꯔꯤ꯫ ꯑꯦꯑꯣꯔꯇꯥꯗꯥ ꯂꯩꯕꯥ ꯕ꯭ꯂꯣꯀꯦꯖꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯏ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯆꯦꯅꯕꯥ ꯉꯃꯗꯕꯥ ꯑꯣꯏꯔꯀꯏ꯫

ꯑꯌꯥꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯃꯁꯤꯒꯤ ꯀꯨꯄꯁꯤꯅꯕꯥ (coarctation) ꯑꯁꯤ ꯑꯦꯑꯣꯔꯇꯥꯗꯒꯤ ꯃꯈꯥ ꯊꯪꯕꯥ ꯁꯔꯨꯛꯇꯥ ꯏ ꯄꯨꯕꯥ ꯉꯝꯕꯥ ꯃꯁꯥꯁꯤꯡ, ꯍꯥꯌꯕꯗꯤ ꯈꯣꯡꯄꯥꯛꯇꯥ ꯆꯦꯟꯊꯔꯀꯄꯥ ꯃꯃꯥꯡꯗꯥ ꯊꯣꯀꯏ꯫ ꯃꯁꯤꯒꯤ ꯃꯔꯝ ꯀꯔꯤꯅꯣ? ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ ꯑꯁꯤ ꯑꯉꯥꯡꯒꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯃꯊꯛ ꯊꯪꯕꯥ ꯁꯔꯨꯛꯇꯥ, ꯍꯥꯌꯕꯗꯤ ꯈꯨꯠꯁꯥꯗꯥ ꯍꯦꯅꯒꯠꯂꯀꯏ, ꯑꯗꯨꯕꯨ ꯍꯀꯆꯥꯡꯒꯤ ꯃꯈꯥ ꯊꯪꯕꯥ ꯁꯔꯨꯛꯇꯥ, ꯍꯥꯌꯕꯗꯤ ꯈꯣꯡꯗꯥ ꯍꯟꯊꯔꯀꯏ꯫ ꯍꯀꯆꯥꯡꯒꯤ ꯃꯊꯛ ꯑꯃꯁꯨꯡ ꯃꯈꯥ ꯊꯪꯕꯥ ꯁꯔꯨꯀꯁꯤꯡꯒꯤ ꯃꯔꯛꯇꯥ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔꯒꯤ ꯑꯆꯧꯕꯥ ꯈꯦꯠꯅꯕꯥ ꯑꯁꯤ ꯂꯥꯌꯅꯥ ꯑꯁꯤꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯁꯛ ꯑꯃꯅꯤ꯫ ꯑꯇꯣꯞꯄꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯂꯩꯇꯕꯁꯨ ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔꯒꯤ ꯈꯦꯠꯅꯕꯥ ꯑꯁꯤ ꯎꯕꯗꯥ ꯆꯤꯡꯅꯕꯥ ꯄꯣꯀꯄꯥ ꯌꯥꯏ꯫

ꯌꯨꯅꯥꯏꯇꯦꯗ ꯁ꯭ꯇꯦꯇꯁꯀꯤ ꯁ꯭ꯇꯦꯇꯤꯁ꯭ꯇꯤꯀꯦꯂꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ, ꯆꯍꯤ ꯈꯨꯗꯤꯡꯒꯤ ꯄꯣꯀꯄꯥ ꯑꯉꯥꯡ 1,700ꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯑꯃꯗꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ (Aortic Coarctation) ꯂꯩꯕꯥ ꯌꯥꯏ꯫ ꯑꯉꯥꯡ ꯈꯔꯗꯗꯤ ꯃꯁꯤꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯑꯇꯩ ꯀꯣꯟꯖꯤꯅꯤꯑꯦꯜ ꯍꯥꯔꯇꯀꯤ ꯂꯥꯌꯅꯥꯁꯤꯡꯁꯨ ꯂꯩꯕꯥ ꯌꯥꯏ꯫

ꯑꯉꯥꯡꯁꯤꯡꯅꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯂꯥꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯀꯔꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯎꯠꯂꯤꯕꯒꯦ?

ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯑꯦꯑꯣꯔꯇꯥ ꯑꯁꯤ ꯀꯌꯥꯝ ꯀꯨꯏꯅꯥ ꯂꯩꯕꯒꯦ ꯍꯥꯌꯕꯗꯨꯒꯤ ꯃꯈꯥ ꯄꯣꯜꯂꯤ꯫ ꯃꯍꯧꯁꯥꯅꯥ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯈꯔꯥ ꯁꯣꯀꯄꯥ ꯂꯩꯔꯕꯗꯤ, ꯄꯣꯀꯄꯥ ꯃꯇꯨꯡ ꯅꯨꯃꯤꯠ ꯑꯃꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯅꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯂꯥꯀꯄꯥ ꯍꯧꯔꯒꯅꯤ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯁꯣꯟꯊꯕꯥ ꯑꯗꯨ ꯍꯦꯟꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯑꯣꯏꯔꯕꯗꯤ, ꯑꯉꯥꯡ ꯑꯗꯨꯅꯥ ꯆꯍꯤ ꯌꯥꯃꯈꯠꯂꯛꯠꯔꯤꯐꯥꯎꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯗꯨ ꯂꯥꯀꯁꯤꯅꯕꯥ ꯉꯃꯗꯕꯥ ꯌꯥꯏ, ꯅꯠꯠꯔꯒꯥ ꯀꯩꯗꯧꯉꯩꯗꯥ ꯎꯕꯥ ꯐꯪꯗꯕꯥ ꯌꯥꯏ꯫

ꯅꯧꯅꯥ ꯄꯣꯀꯄꯥ ꯑꯉꯥꯡꯁꯤꯡꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯧꯅꯥ ꯄꯣꯀꯄꯥ ꯑꯉꯥꯡ ꯑꯃꯗꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯂꯩꯔꯕꯗꯤ, ꯃꯈꯣꯌꯅꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯊꯦꯡꯅꯔꯀꯄꯥ ꯌꯥꯏ:

• ꯂꯦꯞꯇꯅꯥ ꯇꯨꯝꯕꯥ ꯉꯃꯗꯕꯥ ꯑꯃꯁꯨꯡ ꯁꯉ꯭ꯒꯣꯝ ꯊꯀꯄꯥ ꯌꯥꯗꯕꯥ꯫
• ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯍꯥꯔꯇꯀꯤ ꯈꯣꯡꯖꯦꯜ (fast pulse) .
• ꯌꯥꯝꯅꯥ ꯋꯥꯅꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ꯫
• ꯂꯦꯞꯇꯅꯥ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ, ꯀꯞꯄꯥ꯫
• ꯂꯦꯡ-ꯑꯣꯠꯄꯒꯤ ꯃꯑꯣꯡ (pale or grey skin)꯫
• ꯌꯥꯡꯅꯥ ꯅꯠꯠꯔꯒꯥ ꯂꯦꯕꯔ ꯇꯧꯔꯕꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ꯫
• ꯁꯉ꯭ꯒꯣꯝ ꯊꯀꯄꯗꯥ ꯑꯋꯥꯕꯥ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯉꯥꯡ ꯑꯃꯅꯥ ꯑꯦꯑꯣꯔꯇꯥꯒꯤ ꯑꯀꯅꯕꯥ ꯀꯣꯔꯛꯇꯦꯁꯟ ꯂꯩꯔꯕꯗꯤ, ꯃꯗꯨ ꯁꯣꯀꯍꯜꯂꯀꯄꯥ ꯌꯥꯏ ꯑꯃꯁꯨꯡ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯊꯨꯅꯥ ꯈꯪꯗꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯂꯥꯏꯌꯦꯡꯕꯥ ꯉꯃꯗ꯭ꯔꯕꯗꯤ ꯄꯨꯟꯁꯤꯗꯥ ꯈꯨꯗꯣꯡꯊꯤꯕꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯑꯉꯥꯡ ꯈꯔꯗꯤ ꯕ꯭ꯂꯣꯀꯦꯖ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯄꯤꯀꯄꯥ ꯃꯔꯝꯅꯥ ꯂꯥꯏꯑꯣꯡ ꯑꯃꯠꯇꯥ ꯎꯕꯥ ꯐꯪꯗꯕꯥ ꯌꯥꯏ꯫

ꯅꯍꯥ ꯑꯣꯏꯔꯤꯕꯥ ꯑꯉꯥꯡꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯅꯍꯥ ꯑꯣꯏꯔꯤꯕꯥ ꯑꯍꯂꯁꯤꯡꯗꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ꯫

ꯑꯦꯑꯣꯔꯇꯤꯛ ꯀꯣꯔꯛꯇꯦꯁꯟ ꯂꯩꯕꯥ ꯑꯍꯜ ꯑꯣꯏꯔꯕꯥ ꯑꯉꯥꯡꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯅꯍꯥ ꯑꯣꯏꯔꯤꯕꯥ ꯑꯍꯂꯁꯤꯡꯅꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯊꯦꯡꯅꯔꯀꯄꯥ ꯌꯥꯏ:

• ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯃꯀꯣꯛ ꯁꯣꯀꯄꯥ꯫
• ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ ꯋꯥꯡꯈꯠꯄꯥ꯫
• ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯅꯥꯀꯣꯡꯗꯥ ꯏ ꯊꯣꯀꯄꯥ꯫
• ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯇꯧꯕꯥ, ꯂꯝꯕꯤ ꯆꯠꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯂꯥꯞꯅꯥ ꯆꯠꯄꯥ ꯃꯇꯃꯗꯥ ꯈꯣꯡꯗꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯄꯥ꯫

ꯑꯉꯥꯡ ꯈꯔꯗꯤ ꯂꯥꯏꯑꯣꯡ ꯑꯃꯠꯇꯥ ꯎꯕꯥ ꯐꯪꯗꯕꯥ ꯌꯥꯏ꯫ ꯃꯗꯨꯒꯤ ꯃꯍꯨꯠꯇꯥ, ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯑꯁꯤ ꯑꯍꯥꯅꯕꯗꯥ ꯔꯨꯇꯤꯟ ꯋꯦꯜ-ꯆꯦꯛ ꯑꯃꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯍꯥꯏ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ ꯍꯥꯌꯅꯥ ꯈꯪꯗꯣꯀꯏ꯫

ꯃꯄꯨꯡ-ꯃꯔꯩ ꯐꯥꯔꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯅꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯊꯦꯡꯅꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯃꯁꯤ ꯑꯌꯥꯝꯕꯗꯤ ꯃꯃꯥꯡꯒꯤ ꯂꯥꯏꯌꯦꯡꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯑꯦꯑꯣꯔꯇꯥ (aorta narrowing) ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯂꯥꯀꯄꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯑꯣꯏ꯫ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯃꯤꯔꯣꯜꯂꯤꯉꯩ ꯐꯥꯎꯕꯗꯥ ꯂꯥꯏꯑꯣꯡ ꯈꯪꯗꯣꯀꯄꯥ ꯉꯃꯗꯅꯥ ꯂꯩꯕꯥ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯇꯣꯏꯅꯥ ꯊꯣꯀꯏ꯫

ꯀꯔꯤꯒꯤꯗꯃꯛꯇꯥ ꯐꯤꯚꯝ ꯑꯁꯤ ꯊꯣꯛꯂꯤꯕꯅꯣ? ꯃꯔꯃꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?

ꯀꯣ.ꯑꯦ.ꯒꯤ ꯑꯆꯨꯝꯕꯥ ꯃꯔꯝ ꯑꯗꯨ ꯍꯧꯖꯤꯛ ꯐꯥꯑꯣꯕꯥ ꯑꯦꯛꯁꯄꯔꯇꯁꯤꯡꯅꯥ ꯈꯉꯕꯥ ꯉꯃꯗ꯭ꯔꯤ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯖꯤꯅꯦꯇꯤꯛ ꯀꯝꯄꯣꯅꯦꯟꯇ ꯑꯃꯥ ꯂꯩ ꯍꯥꯌꯅꯥ ꯊꯥꯖꯅꯔꯤ꯫ ꯍꯥꯌꯕꯗꯤ, ꯑꯉꯥꯡ ꯑꯗꯨꯅꯥ ꯃꯤꯔꯣꯜꯂꯤꯉꯩ ꯃꯇꯃꯗꯥ ꯊꯣꯀꯄꯥ ꯑꯀꯛꯅꯕꯥ ꯖꯤꯅꯒꯤ ꯑꯍꯣꯡꯕꯁꯤꯡꯅꯥ ꯑꯉꯥꯡ ꯑꯗꯨꯒꯤ ꯑꯦꯑꯣꯔꯇꯥ ꯑꯗꯨ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯆꯥꯎꯈꯠꯄꯥ ꯉꯃꯍꯟꯗꯕꯥ ꯌꯥꯏ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯖꯤꯅꯦꯇꯤꯛ ꯑꯣꯏꯕꯥ ꯑꯍꯣꯡꯕꯁꯤꯡ ꯑꯁꯤ ꯏꯃꯨꯡ ꯃꯅꯨꯡꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯁꯟꯗꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯔꯤꯁꯔꯆꯅꯥ ꯇꯥꯛꯂꯤ ꯃꯗꯨꯗꯤ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ CoA ꯂꯩꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯗꯥ CoA ꯅꯠꯠꯔꯒꯥ ꯑꯇꯩ ꯍꯥꯔꯇꯀꯤ ꯂꯥꯌꯅꯥ ꯂꯥꯀꯄꯒꯤ ꯆꯥꯡ ꯑꯁꯤ CoA ꯂꯩꯇꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯋꯥꯡꯏ꯫

ꯃꯁꯤꯗꯁꯨ ꯅꯠꯇꯅꯥ, ꯑꯀꯛꯅꯕꯥ ꯖꯦꯅꯦꯇꯤꯛ ꯀꯟꯗꯤꯁꯅꯁꯤꯡꯒꯥ ꯂꯣꯌꯅꯅꯥ CoA ꯂꯥꯀꯄꯒꯤ ꯔꯤꯁ꯭ꯛ ꯑꯁꯤ ꯍꯦꯟꯅꯥ ꯋꯥꯡꯏ꯫ ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯖꯦꯅꯦꯇꯤꯛ ꯀꯟꯗꯤꯁꯟ ꯇꯔꯅꯔ ꯁꯤꯟꯗꯣꯃꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯄꯣꯀꯄꯥ ꯑꯉꯥꯡꯁꯤꯡꯗꯥ ꯀꯣꯔꯛꯇꯦꯁꯟ ꯑꯣꯐ ꯑꯦꯑꯣꯔꯇꯥ ꯈꯛꯇꯥ ꯅꯠꯇꯅꯥ ꯑꯇꯩ ꯄꯣꯀꯄꯒꯤ ꯑꯁꯣꯛ-ꯑꯄꯅꯁꯤꯡ ꯍꯥꯌꯕꯗꯤ ꯕꯥꯏꯀꯁꯄꯤꯗ ꯑꯦꯑꯣꯔꯇꯤꯛ ꯚꯜꯌꯨ, ꯍꯥꯔꯇꯀꯤ ꯚꯜꯌꯨꯁꯤꯡꯗꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫

ꯑꯇꯣꯞꯄꯥ ꯍꯥꯔꯇꯀꯤ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯂꯩꯇꯕꯥ `(CoA)` ꯈꯛꯇꯒꯤ ꯃꯔꯝ꯫

ꯑꯥꯏꯁꯣꯂꯦꯇꯦꯗ CoAꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯔꯝ ꯑꯁꯤ ꯐꯤꯇꯁ ꯗꯤꯚꯦꯂꯄꯃꯦꯟꯇꯒꯤ ꯃꯇꯃꯗꯥ ꯗꯛꯇꯁ ꯑꯥꯔꯇꯦꯔꯤꯑꯣꯁꯁ ꯀꯧꯕꯥ ꯑꯄꯤꯀꯄꯥ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯜ ꯑꯃꯒꯤ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯄꯅꯤ꯫ ꯗꯛꯇꯁ ꯑꯥꯔꯇꯦꯔꯤꯑꯣꯁ ꯍꯥꯌꯕꯁꯤ ꯐꯤꯇꯁ ꯑꯦꯑꯣꯔꯇꯥ ꯑꯃꯁꯨꯡ ꯄꯂꯃꯣꯅꯥꯔꯤ ꯑꯥꯔꯇꯦꯔꯤꯒꯥ ꯁꯝꯅꯍꯜꯂꯤꯕꯥ ꯑꯄꯤꯀꯄꯥ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯜ ꯑꯃꯅꯤ꯫ ꯑꯉꯥꯡ ꯑꯗꯨꯅꯥ ꯃꯤꯔꯣꯜꯂꯤꯉꯩ ꯃꯇꯃꯗꯥ ꯂꯪꯁ (lungs)ꯅꯥ ꯃꯊꯧ ꯇꯧꯗꯦ, ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯇꯤꯎꯕ ꯑꯁꯤꯅꯥ ꯑꯉꯥꯡ ꯑꯗꯨꯕꯨ ꯃꯊꯧ ꯇꯥꯕꯥ ꯑꯣꯛꯁꯤꯖꯦꯟ ꯌꯥꯝꯅꯥ ꯌꯥꯎꯕꯥ ꯏ ꯑꯗꯨ ꯐꯪꯍꯅꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫

ꯑꯉꯥꯡ ꯑꯗꯨ ꯄꯣꯛꯂꯕꯥ ꯃꯇꯨꯡꯗꯥ, ꯂꯪꯁ ꯑꯗꯨꯅꯥ ꯊꯕꯛ ꯇꯧꯕꯥ ꯍꯧꯏ꯫ ꯑꯗꯨꯗꯒꯤ ꯃꯁꯤꯒꯤ `(ductus arteriosus)` ꯑꯁꯤ ꯃꯊꯧ ꯇꯥꯗꯕꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯅꯨꯃꯤꯠ ꯈꯔꯅꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯃꯁꯥ ꯃꯊꯟꯇꯥ ꯂꯣꯏꯁꯤꯅꯕꯥ ꯍꯧꯔꯀꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯃꯁꯤ ꯊꯤꯡꯖꯤꯜꯂꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯗꯛꯇ ꯑꯗꯨꯗꯥ ꯂꯩꯕꯥ ꯇꯤꯁꯨ ꯈꯔꯗꯤ `(Aorta)`ꯒꯤ ꯇꯤꯁꯨꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯌꯥꯎꯕꯥ ꯌꯥꯏ꯫ ꯑꯗꯨ ꯑꯣꯏꯔꯕꯗꯤ, `(ductus arteriosus)` ꯑꯁꯤ ꯊꯤꯡꯖꯤꯅꯕꯥ ꯃꯇꯃꯗꯥ, ꯑꯦꯑꯣꯔꯇꯥ ꯑꯁꯤꯁꯨ ꯀꯨꯄꯁꯤꯅꯕꯥ ꯌꯥꯏ (coarctation)`꯫

ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯀꯔꯤ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ ꯊꯣꯀꯄꯥ ꯌꯥꯕꯒꯦ?

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ (Coarctation of the Aorta) ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯂꯥꯏꯌꯦꯡꯗꯅꯥ ꯂꯩꯔꯕꯗꯤ, ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ ꯑꯁꯤꯅꯆꯤꯡꯕꯥ ꯂꯩꯒꯅꯤ:

• ꯍꯀꯆꯥꯡ ꯄꯨꯝꯕꯗꯥ ꯍꯥꯏ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ (ꯍꯥꯌꯄꯔꯇꯦꯟꯁꯟ) ꯂꯩꯕꯥ꯫
• ꯍꯥꯔꯇꯀꯤ ꯃꯁꯜ ꯑꯗꯨ ꯅꯣꯔꯃꯦꯂꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯂꯨꯝꯕꯥ (left ventricular hypertrophy) ꯑꯣꯏꯔꯀꯏ꯫
• ꯍꯥꯔꯇꯇꯥ ꯏ ꯁꯞꯂꯥꯏ ꯇꯧꯔꯤꯕꯥ ꯀꯣꯔꯣꯅꯥꯔꯤ ꯑꯥꯔꯇꯦꯔꯤꯁꯤꯡꯗꯥ ꯄ꯭ꯂꯦꯛ ꯁꯦꯃꯒꯠꯂꯀꯄꯥ ꯑꯁꯤ ꯅꯣꯔꯃꯦꯂꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯇꯣꯏꯅꯥ ꯊꯣꯀꯏ - ꯃꯁꯤꯕꯨ ꯀꯣꯔꯣꯅꯥꯔꯤ ꯑꯥꯔꯇꯦꯔꯤ ꯗꯤꯖꯤꯖ ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫
• ꯑꯦꯑꯣꯔꯇꯥꯗꯥ ꯑꯦꯕꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯕꯥ ꯈꯣꯡꯖꯦꯜ (aneurysm) ꯅꯠꯠꯔꯒꯥ ꯇꯤꯌꯥꯔ (dissection) ꯑꯃꯥ꯫
• ꯕ꯭ꯔꯦꯟ ꯑꯦꯅꯤꯎꯔꯤꯖꯝ (ꯕ꯭ꯔꯦꯅꯗꯥ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯜ ꯑꯃꯥ ꯁꯣꯀꯄꯥ)꯫
• ꯍꯥꯔꯠ ꯐꯦꯜ ꯑꯣꯏꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯍꯥꯔꯇꯅꯥ ꯏ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯄꯝꯄ ꯇꯧꯕꯥ ꯉꯃꯗꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫

ꯃꯁꯤꯒꯤ `(CoA)` ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯁꯤ ꯈꯪꯗꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯂꯥꯏꯌꯦꯡꯕꯥ ꯉꯃꯗ꯭ꯔꯕꯗꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯈꯨꯗꯣꯡꯊꯤꯅꯤꯉꯥꯏ ꯑꯣꯏ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯌꯥꯔꯤꯕꯃꯈꯩ ꯊꯨꯅꯥ, ꯆꯍꯤ ꯅꯧꯔꯤꯕꯥ ꯃꯇꯃꯗꯥ ꯈꯪꯗꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯃꯊꯧ ꯇꯥꯕꯥ ꯂꯥꯏꯌꯦꯡ ꯑꯃꯁꯨꯡ ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯆꯦꯛ-ꯑꯞ (ꯃꯣꯅꯤꯇꯔꯤꯡ) ꯇꯧꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫

ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯃꯁꯤ ꯀꯔꯝꯅꯥ ꯂꯥꯌꯦꯡꯒꯅꯤ? (ꯗꯥꯏꯒ꯭ꯅꯣꯁꯤꯁ) ꯴.

ꯄꯦꯗꯤꯑꯦꯠꯔꯤꯛ ꯀꯥꯔꯗꯤꯑꯣꯂꯣꯖꯤꯁ꯭ꯇꯁꯤꯡꯅꯥ ꯃꯍꯧꯁꯥꯅꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ (Coarctation of the Aorta) ꯑꯁꯤ ꯑꯉꯥꯡ ꯑꯣꯏꯔꯤꯉꯩꯗꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯉꯥꯡ ꯑꯣꯏꯔꯤꯉꯩꯗꯥ ꯈꯪꯗꯣꯀꯏ꯫ ꯃꯁꯤ ꯀꯌꯥ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯈꯪꯗꯣꯀꯄꯒꯦ ꯍꯥꯌꯕꯁꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯀꯌꯥꯝ ꯁꯥꯊꯤꯕꯒꯦ ꯍꯥꯌꯕꯗꯨꯒꯤ ꯃꯈꯥ ꯄꯣꯜꯂꯤ꯫

ꯃꯌꯥꯏ ꯑꯣꯏꯕꯥ ꯂꯥꯏꯑꯣꯡ ꯂꯩꯕꯥ ꯑꯉꯥꯡꯁꯤꯡ ꯑꯁꯤ ꯄꯣꯀꯄꯥ ꯃꯇꯨꯡ ꯅꯨꯃꯤꯠ ꯈꯔꯅꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯈꯪꯗꯣꯀꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯂꯨꯕꯥ, ꯅꯠꯠꯔꯒꯥ ꯂꯥꯏꯑꯣꯡ ꯑꯃꯠꯇꯥ ꯂꯩꯇꯕꯥ ꯑꯉꯥꯡꯁꯤꯡꯅꯥ ꯆꯍꯤ ꯌꯥꯃꯈꯠꯂꯛꯠꯔꯤꯐꯥꯎꯕꯥ ꯑꯃꯁꯨꯡ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ ꯋꯥꯡꯈꯠꯂꯛꯠꯔꯤꯐꯥꯎꯕꯥ ꯈꯪꯗꯣꯀꯄꯥ ꯉꯃꯗꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤ ꯃꯄꯨꯡ-ꯃꯔꯩ ꯐꯥꯔꯕꯥ ꯃꯇꯃꯗꯥ ꯃꯁꯛ ꯈꯪꯗꯣꯀꯄꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯇꯣꯏꯅꯥ ꯊꯣꯀꯏ꯫

ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯑꯌꯥꯝꯕꯗꯤ ꯏꯅꯐꯦꯟꯇ ꯑꯃꯁꯨꯡ ꯅꯍꯥ ꯑꯣꯏꯔꯤꯕꯥ ꯑꯉꯥꯡꯁꯤꯡꯗꯥ ꯐꯤꯖꯤꯀꯦꯜ ꯑꯦꯀꯖꯥꯃꯤꯅꯦꯁꯟ ꯑꯃꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯎꯕꯥ ꯐꯪꯂꯤꯕꯥ ꯑꯀꯛꯅꯕꯥ ꯆꯤꯡꯅꯕꯥ ꯃꯑꯣꯡ-ꯃꯇꯧꯁꯤꯡ (ꯔꯦꯗ ꯐ꯭ꯂꯦꯒꯁꯤꯡ) ꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯈꯪꯗꯣꯀꯏ꯫ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯐꯤꯆꯔꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯌꯥꯑꯣꯔꯤ:

• ꯑꯉꯥꯡ ꯑꯗꯨꯒꯤ ꯃꯈꯨꯠ ꯑꯃꯁꯨꯡ ꯃꯊꯛ ꯊꯪꯕꯥ ꯁꯔꯨꯛꯇꯥ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ ꯋꯥꯡꯏ, ꯑꯗꯨꯕꯨ ꯈꯣꯡ ꯑꯃꯁꯨꯡ ꯃꯈꯥ ꯊꯪꯕꯥ ꯁꯔꯨꯛꯇꯥ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ ꯅꯦꯝꯃꯤ꯫
• ꯈꯣꯡꯗꯥ ꯂꯩꯕꯥ ꯄꯂꯁ ꯔꯦꯠ ꯑꯃꯁꯨꯡ ꯒ꯭ꯔꯨꯏꯅꯗꯥ ꯂꯩꯕꯥ ꯄꯂꯁ ꯔꯦꯠ ꯑꯗꯨꯒꯤ ꯃꯔꯛꯇꯥ ꯈꯦꯠꯅꯕꯥ ꯂꯩ꯫
• ꯗꯣꯛꯇꯔꯅꯥ ꯁ꯭ꯇꯦꯊꯣꯁ꯭ꯀꯣꯞ ꯑꯗꯨ ꯑꯉꯥꯡ ꯑꯗꯨꯒꯤ ꯃꯀꯣꯀꯊꯣꯡꯕꯗꯥ ꯊꯝꯂꯒꯥ ꯇꯥꯕꯥ ꯃꯇꯃꯗꯥ, ꯊꯝꯃꯣꯌꯗꯒꯤ ꯂꯥꯀꯄꯥ ꯇꯣꯞ ꯇꯣꯞꯄꯥ, ꯑꯀꯅꯕꯥ ꯈꯣꯟꯖꯦꯜ ꯑꯃꯥ (‘ꯍꯥꯔꯁ ꯍꯥꯔꯠ ꯃꯨꯔꯃꯔ’) ꯇꯥꯕꯥ ꯐꯪꯏ꯫

ꯅꯧꯅꯥ ꯄꯣꯀꯄꯥ ꯑꯉꯥꯡ ꯈꯔꯗꯤ ꯂꯥꯏꯑꯣꯡ ꯎꯠꯠꯔꯤꯉꯩ ꯃꯃꯥꯡꯗꯥ ꯂꯥꯌꯅꯥ ꯑꯁꯤꯅꯥ ꯅꯥꯔꯦ ꯍꯥꯌꯅꯥ ꯈꯪꯗꯣꯀꯏ꯫ ꯃꯇꯧ ꯀꯔꯝꯅꯥ ꯈꯉꯒꯅꯤ? ꯃꯈꯣꯌꯒꯤ ꯏꯗꯥ ꯑꯣꯛꯁꯤꯖꯦꯅꯒꯤ ꯆꯥꯡ ꯌꯦꯡꯁꯤꯜꯂꯤꯕꯥ ``ꯄꯂꯁ ꯑꯣꯛꯁꯤꯃꯦꯠꯔꯤ`` ꯀꯧꯕꯥ ꯇꯦꯁ꯭ꯠ ꯑꯃꯅꯥ ꯑꯣꯛꯁꯤꯖꯦꯅꯒꯤ ꯆꯥꯡ ꯅꯦꯝꯅꯥ ꯂꯩ ꯍꯥꯌꯕꯥ ꯎꯠꯂꯤ꯫ ꯑꯣꯛꯁꯤꯖꯦꯅꯒꯤ ꯆꯥꯡ ꯅꯦꯝꯕꯥ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯀꯣꯟꯖꯤꯅꯤꯑꯦꯜ ꯍꯥꯔꯇꯀꯤ ꯂꯥꯌꯅꯥ ꯑꯃꯒꯤ ꯈꯨꯗꯝ ꯑꯃꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ, ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯑꯉꯥꯡꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯤ ꯑꯁꯣꯌꯕꯥ ꯂꯩꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯆꯨꯝꯅꯥ ꯈꯪꯗꯣꯛꯅꯕꯥ ꯇꯦꯁ꯭ꯠ ꯇꯧꯏ꯫

`(CoA)` ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯀꯅꯐꯥꯔꯝ ꯇꯧꯅꯕꯥ, ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯃꯍꯧꯁꯥꯅꯥ `(Echocardiogram)`, ꯍꯥꯔꯠ ꯁ꯭ꯀꯦꯟ, ꯅꯠꯠꯔꯒꯥ `(echo)` ꯁꯤꯖꯤꯟꯅꯩ꯫ ꯃꯈꯣꯌꯅꯥ ꯑꯉꯥꯡ ꯑꯗꯨꯒꯤ ꯑꯦꯑꯣꯔꯇꯥꯒꯤ ꯃꯑꯣꯡ ꯑꯃꯁꯨꯡ ꯁ꯭ꯠꯔꯀꯆꯔꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯍꯦꯟꯅꯥ ꯈꯪꯅꯕꯒꯤꯗꯃꯛ `(CT scan)` ꯅꯠꯠꯔꯒꯥ `(MRI scan)`ꯒꯨꯝꯕꯥ ꯇꯦꯁ꯭ꯇꯁꯤꯡꯁꯨ ꯇꯧꯕꯥ ꯌꯥꯏ꯫

``ꯀꯣꯔꯀꯇꯦꯁꯟ ꯑꯣꯐ ꯑꯦꯑꯣꯔꯇꯥ''ꯒꯥ ꯃꯔꯤ ꯂꯩꯅꯕꯥ ꯑꯇꯩ ꯍꯥꯔꯇꯀꯤ ꯂꯥꯌꯅꯥꯁꯤꯡ ꯂꯩꯕ꯭ꯔꯥ?

ꯍꯣꯌ, CoA ꯂꯩꯕꯥ ꯑꯉꯥꯡꯁꯤꯡꯗꯥ ꯑꯇꯩ ꯍꯥꯔꯇꯀꯤ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ ꯂꯩꯕꯥ ꯌꯥꯏ꯫ ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, CoAꯅꯥ ꯅꯥꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯒꯤ 45% ꯑꯃꯁꯨꯡ 75%ꯒꯤ ꯃꯔꯛꯇꯥ ꯕꯥꯏꯀꯁꯄꯤꯗ ꯑꯦꯑꯣꯔꯇꯤꯛ ꯚꯜꯌꯨ ꯀꯧꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯁꯨ ꯂꯩ꯫ ꯃꯁꯤꯅꯥ ꯇꯥꯀꯄꯗꯤ ꯍꯥꯔꯇꯇꯒꯤ ꯑꯦꯑꯣꯔꯇꯥꯗꯥ ꯏ ꯄꯨꯕꯥ ꯉꯝꯕꯥ ꯚꯜꯌꯨ ꯑꯗꯨꯅꯥ ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯅꯥ ꯂꯩꯒꯗꯕꯥ ꯑꯍꯨꯃꯒꯤ ꯃꯍꯨꯠꯇꯥ ꯂꯤꯐꯂꯦꯠ ꯑꯅꯤꯈꯛꯇꯃꯛ ꯂꯩ꯫

ꯃꯁꯤ ꯈꯛꯇꯥ ꯅꯠꯇꯅꯥ `(CoA)` ꯑꯁꯤ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯐꯤꯚꯃꯁꯤꯡ ꯑꯁꯤꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯆꯠꯄꯥ ꯌꯥꯏ:

• ꯍꯥꯔꯇꯇꯥ ꯍꯨꯔꯥꯅꯕꯥ ꯑꯃꯥ ꯂꯩꯕꯥ - ꯃꯗꯨꯕꯨ `(ꯑꯦꯠꯔꯤꯌꯥꯜ ꯁꯦꯞꯇꯜ ꯗꯤꯐꯦꯛꯇ)` ꯅꯠꯠꯔꯒꯥ `(ꯚꯦꯟꯇꯤꯀꯨꯂꯥꯔ ꯁꯦꯞꯇꯜ ꯗꯤꯐꯦꯛꯇ)` ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫
• ꯐꯤꯇꯁ ꯂꯥꯏꯐꯀꯤ ꯃꯇꯃꯗꯥ ꯂꯩꯔꯝꯕꯥ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯜ (`ductus arteriosus`) ꯑꯃꯅꯥ ꯊꯥꯖꯕꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯁꯥꯡꯅꯥ ꯍꯥꯡꯗꯣꯀꯏ - ꯃꯁꯤꯕꯨ ``ꯄꯦꯇꯦꯟꯇ ꯗꯛꯇꯁ ꯑꯥꯔꯇꯦꯔꯤꯑꯣꯁꯁ`` ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫
• ꯑꯦꯑꯣꯔꯇꯤꯛ ꯑꯥꯔꯆ ꯍꯥꯏꯄꯣꯞꯂꯥꯁꯤꯌꯥ ꯅꯠꯠꯔꯒꯥ ꯍꯥꯏꯄꯣꯞꯂꯥꯁ꯭ꯇꯤꯛ ꯂꯦꯐꯠ ꯍꯥꯔꯠ ꯁꯤꯟꯗ꯭ꯔꯣꯝ꯫
• ꯍꯥꯔꯠ ꯚꯜꯌꯨ ꯑꯃꯒꯤ ꯑꯀꯅꯕꯥ (stiffness) - ꯍꯥꯌꯕꯗꯤ ꯑꯦꯑꯣꯔꯇꯤꯛ ꯚꯜꯌꯨ ꯁ꯭ꯇꯦꯅꯣꯁꯤꯁ ꯅꯠꯠꯔꯒꯥ ꯃꯥꯏꯠꯔꯜ ꯚꯜꯌꯨ ꯁ꯭ꯇꯦꯅꯣꯁꯤꯁ꯫

ꯀꯥꯔꯗꯤꯌꯦꯛ ꯁꯔꯖꯔꯤꯁꯤꯡꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡꯒꯤ ꯊꯝꯃꯣꯌꯗꯥ ꯂꯩꯔꯤꯕꯥ ꯄꯣꯠꯁꯛ ꯄꯨꯝꯅꯃꯛ ꯑꯁꯤ ꯌꯦꯡꯁꯤꯜꯂꯤ ꯑꯃꯁꯨꯡ ꯃꯈꯣꯌꯒꯤꯗꯃꯛꯇꯥ ꯑꯀꯛꯅꯕꯥ ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯄ꯭ꯂꯥꯟ ꯑꯃꯥ ꯁꯦꯝꯃꯤ꯫ ꯃꯁꯤꯅꯥ ꯇꯥꯀꯄꯗꯤ ꯍꯥꯔꯇꯀꯤ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯀꯌꯥ ꯂꯩꯕꯥ ꯑꯉꯥꯡ ꯑꯃꯕꯨ ꯂꯥꯏꯌꯦꯡꯕꯁꯤ CoA ꯑꯃꯈꯛꯇꯃꯛ ꯂꯩꯕꯥ ꯑꯉꯥꯡ ꯑꯃꯕꯨ ꯂꯥꯏꯌꯦꯡꯕꯗꯒꯤ ꯈꯔꯥ ꯍꯦꯟꯅꯥ ꯂꯨꯝꯅꯥ ꯂꯧꯕꯥ ꯌꯥꯏ꯫

ꯃꯁꯤꯒꯤ ꯂꯥꯏꯌꯦꯡꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯤꯅꯣ?

ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯑꯣꯄꯁꯅꯁꯤꯡ ꯑꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯒꯤ ꯆꯍꯤ, ꯑꯦꯑꯣꯔꯇꯥ ꯑꯗꯨ ꯀꯨꯄꯁꯤꯅꯕꯒꯤ ꯆꯥꯡ ꯑꯃꯁꯨꯡ ꯃꯍꯥꯛꯀꯤ ꯑꯇꯩ ꯍꯥꯔꯇꯀꯤ ꯑꯁꯣꯛ-ꯑꯄꯅꯁꯤꯡ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨꯒꯤ ꯃꯈꯥ ꯄꯣꯜꯂꯤ꯫ ꯏꯅꯐꯦꯟꯇ ꯑꯃꯁꯨꯡ ꯅꯍꯥ ꯑꯣꯏꯔꯤꯕꯥ ꯑꯉꯥꯡꯁꯤꯡꯗꯥ ꯀꯣꯑꯦꯒꯨꯂꯣꯄꯦꯊꯤ ꯂꯥꯌꯦꯡꯕꯒꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯥ ꯄꯥꯝꯕꯩꯗꯤ ꯁꯔꯖꯔꯤꯅꯤ꯫ ꯑꯍꯜ ꯑꯣꯏꯔꯕꯥ ꯑꯉꯥꯡꯁꯤꯡꯒꯤ ꯑꯣꯏꯅꯗꯤ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯁꯣꯛ-ꯄꯅꯕꯥ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯑꯣꯏꯔꯕꯗꯤ, ꯁꯔꯖꯔꯤꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯏꯅꯚꯦꯁꯤꯚ ꯑꯣꯏꯕꯥ ꯄ꯭ꯔꯣꯁꯤꯗ꯭ꯌꯨꯑꯣꯔ ꯑꯃꯥ ꯑꯣꯏꯔꯤꯕꯥ ꯀꯥꯔꯗꯤꯌꯦꯛ ꯀꯦꯇꯦꯒꯣꯔꯤ ꯑꯁꯤ ꯆꯨꯅꯕꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤ ꯃꯃꯥꯡꯒꯤ ꯂꯥꯏꯌꯦꯡꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯁꯣꯀꯄꯥ ꯑꯗꯨ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯂꯥꯀꯄꯥ ꯑꯉꯥꯡꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯑꯍꯂꯁꯤꯡꯗꯁꯨ ꯁꯤꯖꯤꯟꯅꯩ꯫

ꯂꯦꯟꯕ

`(CoA)` ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯀꯣꯀꯍꯟꯅꯕꯥ ꯄꯥꯡꯊꯣꯀꯄꯥ ꯁꯔꯖꯔꯤꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯈꯜ ꯀꯌꯥ ꯂꯩ:

• ꯑꯦꯟꯗ-ꯇꯨ-ꯑꯦꯟꯗ ꯑꯦꯅꯥꯁ꯭ꯇꯣꯃꯣꯁꯤꯁꯀꯥ ꯂꯣꯌꯅꯅꯥ ꯔꯤꯁꯦꯛꯁꯟ ꯇꯧꯕꯥ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯀꯣꯔꯛꯇꯦꯁꯟ ꯑꯗꯨ ꯌꯥꯝꯅꯥ ꯄꯤꯀꯄꯥ ꯑꯣꯏꯔꯕꯗꯤ, ꯁꯔꯖꯔꯤꯅꯥ ꯑꯉꯥꯡ ꯑꯗꯨꯒꯤ ꯑꯦꯑꯣꯔꯇꯥꯒꯤ ꯕ꯭ꯂꯣꯛ ꯇꯧꯔꯕꯥ ꯁꯔꯨꯛ ꯑꯗꯨ ꯔꯤꯁꯦꯛꯇ ꯇꯧꯕꯥ ꯌꯥꯏ ꯑꯃꯁꯨꯡ ꯂꯦꯃꯍꯧꯔꯤꯕꯥ ꯑꯔꯣꯏꯕꯁꯤꯡꯗꯨ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯌꯥꯎꯍꯅꯕꯥ ꯌꯥꯏ꯫
• ꯑꯦꯛꯁꯇꯦꯟꯗ ꯇꯧꯔꯕꯥ ꯑꯦꯟꯗ-ꯇꯨ-ꯑꯦꯟꯗ ꯑꯦꯅꯥꯁ꯭ꯇꯣꯃꯣꯁꯤꯁꯀꯥ ꯂꯣꯌꯅꯅꯥ ꯔꯤꯁꯦꯛꯁꯟ ꯇꯧꯕꯥ:ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯉꯥꯡ ꯑꯗꯨꯒꯤ ꯑꯦꯑꯣꯔꯇꯤꯛ ꯑꯥꯔꯆ ꯑꯗꯨꯁꯨ ꯕ꯭ꯂꯣꯛ ꯇꯧꯔꯕꯗꯤ, ꯁꯔꯖꯔꯤꯅꯥ ꯑꯦꯑꯣꯔꯇꯥꯒꯤ ꯕ꯭ꯂꯣꯛ ꯇꯧꯔꯕꯥ ꯁꯔꯨꯛ ꯑꯗꯨ ꯀꯀꯊꯠꯄꯥ ꯌꯥꯏ ꯑꯃꯁꯨꯡ ꯂꯦꯃꯍꯧꯔꯤꯕꯥ ꯑꯦꯑꯣꯔꯇꯥꯒꯤ ꯃꯈꯥ ꯊꯪꯕꯥ ꯁꯔꯨꯛ ꯑꯗꯨ ꯑꯦꯑꯣꯔꯇꯤꯛ ꯑꯥꯔꯆꯇꯥ ꯁꯥꯡꯕꯥ ꯏꯅꯁꯤꯁꯟ ꯑꯃꯒꯥ ꯁꯝꯅꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯑꯉꯥꯡ ꯑꯗꯨꯅꯥ ꯇ꯭ꯔꯥꯟꯁꯕꯔꯁ ꯑꯦꯑꯣꯔꯇꯤꯛ ꯑꯥꯔꯆ ꯍꯥꯏꯄꯣꯞꯂꯥꯁꯤꯌꯥ ꯑꯃꯁꯨꯡ ꯑꯦꯑꯣꯔꯇꯤꯛ ꯀꯣꯔꯛꯇꯦꯁꯟ ꯂꯩꯕꯥ ꯃꯇꯃꯗꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯥ ꯑꯣꯄꯁꯅꯅꯤ꯫

ꯄꯣꯀꯄꯥ ꯃꯇꯨꯡꯗꯥ ꯁꯥꯊꯤꯕꯥ ꯂꯥꯏꯑꯣꯡ ꯎꯠꯂꯕꯥ ꯑꯉꯥꯡꯁꯤꯡꯗꯁꯨ ꯁꯔꯖꯔꯤꯒꯤ ꯃꯃꯥꯡꯗꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛ ꯄꯤꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯏ꯫ ꯈꯨꯗꯝ ꯑꯣꯏꯅ:

• ꯑꯉꯥꯡ ꯑꯗꯨꯒꯤ `(ductus arteriosus)` ꯍꯥꯡꯗꯣꯛꯅꯕꯥ `(Prostaglandin (PGE-1))` ꯀꯧꯕꯥ ꯍꯤꯗꯥꯛ ꯑꯃꯥ ꯄꯤꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯅꯥ ꯑꯉꯥꯡ ꯑꯗꯨꯅꯥ ꯃꯊꯧ ꯇꯥꯔꯤꯕꯥ ꯑꯣꯛꯁꯤꯖꯦꯟ ꯑꯗꯨ ꯐꯪꯍꯅꯒꯅꯤ ꯑꯃꯁꯨꯡ ꯃꯈꯣꯌꯗꯨ ꯁꯔꯖꯔꯤꯒꯤꯗꯃꯛꯇꯥ ꯁꯦꯝ-ꯁꯥꯕꯥ ꯐꯥꯎꯕꯗꯥ ꯂꯦꯡꯗꯅꯥ ꯂꯩꯍꯅꯒꯅꯤ꯫
• ꯅꯍꯥꯛꯅꯥ ꯑꯉꯥꯡ ꯑꯗꯨꯕꯨ ꯃꯍꯥꯛꯀꯤ ꯍꯥꯔꯇꯅꯥ ꯏ ꯄꯝꯄ ꯇꯧꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯅꯕꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡꯁꯨ ꯄꯤꯕꯥ ꯌꯥꯏ꯫

ꯀꯥꯔꯗꯤꯌꯦꯛ ꯀꯦꯇꯦꯒꯣꯔꯤ ꯁꯦꯝꯕꯥ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯅꯥ ꯑꯦꯑꯣꯔꯇꯤꯛ ꯅꯦꯔꯣꯏꯪ ꯍꯟꯊꯔꯛꯂꯕꯗꯤ, ꯅꯠꯠꯔꯒꯥ ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯅꯦꯔꯣꯅꯤꯡ ꯑꯗꯨ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯂꯥꯀꯄꯥ ꯇꯥꯔꯕꯗꯤ, ꯗꯣꯛꯇꯔꯅꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯂꯥꯏꯌꯦꯡꯁꯤꯡ ꯑꯁꯤ ꯄꯤꯕꯥ ꯌꯥꯏ:

• ꯕꯦꯂꯨꯟ ꯑꯦꯟꯖꯤꯑꯣꯞꯂꯥꯁ꯭ꯇꯤ: ꯁꯔꯖꯔꯤꯅꯥ ꯑꯉꯥꯡ ꯑꯗꯨꯒꯤ ꯑꯦꯑꯣꯔꯇꯥꯒꯤ ꯑꯄꯤꯀꯄꯥ ꯁꯔꯨꯛ ꯑꯗꯨ ꯄꯥꯀꯊꯣꯛ-ꯆꯥꯎꯊꯣꯀꯍꯟꯅꯕꯥ ꯑꯄꯤꯀꯄꯥ ꯕꯦꯂꯨꯟ ꯑꯃꯥ ꯁꯤꯖꯤꯟꯅꯩ꯫
• ꯁ꯭ꯇꯦꯟꯇ ꯄ꯭ꯂꯦꯁꯃꯦꯟꯇꯀꯥ ꯂꯣꯌꯅꯅꯥ ꯕꯦꯂꯨꯟ ꯑꯦꯟꯖꯤꯑꯣꯞꯂꯥꯁ꯭ꯇꯤ: ꯁꯔꯖꯔꯤꯅꯥ ꯑꯉꯥꯡ ꯑꯗꯨꯒꯤ ꯑꯦꯑꯣꯔꯇꯥ ꯑꯗꯨ ꯄꯥꯀꯊꯣꯛ-ꯆꯥꯎꯊꯣꯀꯍꯅꯕꯥ ꯃꯇꯃꯗꯥ, ꯃꯍꯥꯛꯅꯥ ꯁ꯭ꯇꯦꯟꯇ ꯀꯧꯕꯥ ꯑꯄꯤꯀꯄꯥ ꯇꯤꯎꯕ ꯑꯃꯁꯨ ꯊꯥꯏ, ꯃꯗꯨꯅꯥ ꯃꯗꯨ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯕ꯭ꯂꯣꯛ ꯇꯧꯗꯅꯕꯥ꯫

ꯑꯩꯒꯤ ꯑꯉꯥꯡ ꯑꯗꯨ ꯀꯗꯥꯏꯗꯥ ꯗꯣꯛꯇꯔꯗꯥ ꯄꯨꯊꯣꯛꯀꯗꯒꯦ? (ꯔꯤ-ꯑꯦꯀꯖꯥꯃꯤꯅꯦꯁꯟ ꯇꯧꯕꯥ)

ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯒꯤ ꯃꯦꯗꯤꯀꯦꯜ ꯇꯤꯃꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨ ꯀꯗꯥꯏꯗꯥ ꯄꯨꯔꯛꯀꯗꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯈꯪꯍꯜꯂꯛꯀꯅꯤ, ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯒꯤ ꯄꯨꯟꯁꯤ ꯆꯨꯞꯄꯥ, ꯃꯈꯣꯌꯅꯥ ꯀꯣꯟꯖꯤꯅꯤꯑꯦꯜ ꯍꯥꯔꯠ ꯗꯤꯖꯤꯖ ꯁ꯭ꯄꯦꯁꯤꯑꯦꯂꯤꯁ꯭ꯠ ꯑꯃꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯐꯣꯂꯣ-ꯑꯄꯁꯤꯡ ꯇꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯒꯅꯤ꯫ ꯃꯁꯤꯒꯤ ꯁ꯭ꯄꯦꯁꯤꯑꯦꯂꯤꯁ꯭ꯠ ꯑꯁꯤꯅꯥ:

• ꯑꯉꯥꯡ ꯑꯗꯨꯒꯤ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ ꯑꯗꯨ ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯌꯦꯡꯁꯤꯅꯕꯥ꯫
• ꯑꯉꯥꯡ ꯑꯗꯨꯒꯤ ꯍꯥꯔꯇꯀꯤ ꯐꯉ꯭ꯀꯁꯟ ꯑꯃꯁꯨꯡ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯒꯤ ꯈꯨꯗꯃꯁꯤꯡ ꯌꯦꯡꯁꯤꯟꯅꯕꯥ ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯁ꯭ꯀꯦꯅꯁꯤꯡ (ꯏꯃꯦꯖꯤꯡ ꯇꯦꯁ꯭ꯇꯁꯤꯡ) ꯄꯥꯡꯊꯣꯀꯄꯥ꯫
• ꯍꯥꯔꯇꯇꯥ ꯍꯀꯁꯦꯜ ꯐꯕꯥ ꯆꯥꯕꯒꯤ ꯃꯑꯣꯡ ꯑꯃꯁꯨꯡ ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯇꯧꯕꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯄꯥꯎꯇꯥꯛ ꯄꯤꯕꯥ꯫
• ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ ꯄꯤꯕꯥ ꯑꯃꯁꯨꯡ ꯃꯊꯧ ꯇꯥꯕꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ ꯃꯈꯣꯌꯒꯤ ꯗꯣꯖ ꯍꯣꯡꯗꯣꯀꯄꯥ꯫

ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯅꯥ ꯀꯌꯥꯝ ꯁꯥꯡꯅꯥ ꯍꯤꯡꯕꯥ ꯌꯥꯕꯒꯦ?

ꯑꯍꯣꯡꯕꯥ ꯗꯥꯏꯒ꯭ꯅꯣꯁ꯭ꯇꯤꯛ ꯑꯃꯁꯨꯡ ꯇ꯭ꯔꯤꯠꯃꯦꯟꯇ ꯃꯦꯊꯗꯁꯤꯡꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯀꯣꯔꯛꯇꯦꯁꯟ ꯑꯣꯐ ꯗꯤ ꯑꯦꯑꯣꯔꯇꯥ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯅꯥ ꯍꯧꯖꯤꯛꯇꯤ ꯌꯥꯃꯗ꯭ꯔꯕꯗꯥ ꯆꯍꯤ ꯶꯰ ꯐꯥꯑꯣꯕꯥ ꯍꯤꯡꯕꯥ ꯉꯝꯂꯦ꯫ ꯃꯃꯥꯡꯉꯩꯗꯗꯤ, ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯒꯤ ꯆꯥꯡꯆꯠꯇꯥ ꯄꯨꯟꯁꯤ ꯃꯍꯤꯡ ꯑꯁꯤ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯆꯍꯤ 35 ꯑꯣꯏꯔꯝꯃꯤ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯃꯁꯤ ꯇꯁꯦꯡꯅꯥ ꯑꯐꯕꯥ ꯄꯥꯎꯅꯤ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯗꯥ ꯀꯣꯔꯛꯇꯦꯁꯟ ꯑꯣꯐ ꯑꯦꯑꯣꯔꯇꯥ ꯂꯩꯔꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯀꯔꯤꯒꯤꯗꯃꯛꯇꯥ ꯊꯣꯀꯈꯤꯕꯅꯣ ꯍꯥꯌꯅꯥ ꯈꯅꯕꯥ ꯌꯥꯏ꯫ ꯑꯩꯈꯣꯌꯅꯥ ꯃꯇꯝ ꯄꯨꯝꯅꯃꯛꯇꯥ ꯀꯣꯟꯖꯤꯅꯤꯑꯦꯜ ꯍꯥꯔꯠ ꯗꯤꯖꯤꯖꯒꯤ ꯑꯆꯨꯝꯕꯥ ꯃꯔꯝ ꯑꯗꯨ ꯈꯪꯗꯣꯀꯄꯥ ꯉꯃꯗꯦ꯫ ꯑꯗꯨꯕꯨ ꯑꯩꯈꯣꯌꯅꯥ ꯈꯉꯏ ꯃꯗꯨꯗꯤ ꯉꯟꯅꯥ ꯈꯉꯗꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯂꯥꯌꯦꯡꯕꯅꯥ ꯑꯉꯥꯡ ꯑꯃꯒꯤ ꯄꯨꯟꯁꯤꯗꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤꯒꯤ ꯏꯝꯄꯦꯛꯇ ꯑꯗꯨ ꯌꯥꯝꯅꯥ ꯍꯟꯊꯍꯅꯕꯥ ꯉꯃꯒꯅꯤ꯫

ꯃꯦꯗꯤꯀꯦꯜ ꯇꯤꯝ ꯑꯁꯤ ꯃꯇꯝ ꯄꯨꯝꯅꯃꯛꯇꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯒꯤ ꯃꯇꯦꯡ ꯄꯥꯡꯅꯕꯥ ꯂꯩꯔꯤ꯫ ꯃꯈꯣꯌꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯍꯪꯂꯀꯄꯥ ꯋꯥꯍꯪ ꯑꯃꯍꯦꯛꯇꯒꯤ ꯄꯥꯎꯈꯨꯝ ꯄꯤꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯃꯁꯤꯒꯤ (CoA) ꯗꯥꯏꯑꯦꯒ꯭ꯅꯣꯁꯤꯁ ꯑꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯗꯥ ꯀꯔꯝꯅꯥ ꯁꯣꯀꯍꯅꯒꯅꯤ ꯍꯥꯌꯕꯗꯨ ꯈꯪꯗꯣꯀꯄꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯅꯕꯥ ꯁꯦꯝ ꯁꯥꯗꯨꯅꯥ ꯂꯩ꯫ ꯍꯥꯔꯠ ꯀꯟꯗꯤꯁꯟ ꯃꯈꯜ ꯑꯁꯤ ꯂꯩꯕꯥ ꯑꯉꯥꯡꯁꯤꯡꯒꯤ ꯑꯇꯩ ꯃꯃꯥ-ꯃꯄꯥꯁꯤꯡꯒꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯕꯗꯁꯨ ꯃꯇꯦꯡ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫

ꯋꯥꯈꯂꯗꯥ ꯊꯃꯒꯗꯕꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯋꯥꯐꯃꯁꯤꯡ (ꯇꯦꯛ-ꯍꯣꯝ ꯃꯦꯁꯦꯖ)

ꯑꯩꯈꯣꯌꯅꯥ ꯈꯟꯅꯗꯨꯅꯥ ꯂꯥꯛꯂꯤꯕꯥ ``ꯀꯣꯔꯀꯇꯦꯁꯟ ꯑꯣꯐ ꯗ ꯑꯦꯑꯣꯔꯇꯥ'' ꯀꯧꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯍꯧꯖꯤꯛ ꯑꯗꯣꯝꯅꯥ ꯈꯔꯥ ꯈꯉꯕꯥ ꯉꯝꯂꯦ ꯍꯥꯌꯅꯥ ꯑꯩꯅꯥ ꯊꯥꯖꯩ꯫ ꯅꯤꯡꯁꯤꯡꯒꯗꯕꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯋꯥꯐꯝ ꯈꯔꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤ:

• ꯃꯁꯤ ꯀꯣꯟꯖꯤꯅꯤꯑꯦꯜ ꯍꯥꯔꯠ ꯗꯤꯐꯦꯛꯇ ꯑꯃꯅꯤ ; ꯍꯥꯔꯇꯇꯒꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯏ ꯄꯨꯊꯣꯛ ꯄꯨꯁꯤꯟ ꯇꯧꯕꯥ ꯃꯦꯟ ꯑꯥꯔꯇꯦꯔꯤꯗꯥ ꯕ꯭ꯂꯣꯀꯦꯖ ꯑꯃꯥ꯫
• ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯑꯉꯥꯡ ꯑꯣꯏꯔꯤꯉꯩꯗꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯏ ꯅꯠꯠꯔꯒꯥ ꯇꯨꯡꯗꯥ ꯂꯥꯀꯄꯥ ꯌꯥꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯉꯥꯡ ꯑꯗꯨꯗꯥ ꯌꯥꯝꯅꯥ ꯋꯥꯅꯥ ꯇꯨꯝꯕꯥ, ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯈꯣꯝꯂꯥꯡ ꯄꯤꯊꯀꯄꯥ ꯌꯥꯗꯕꯥ ꯎꯔꯕꯗꯤ, ꯈꯨꯗꯛꯇꯥ ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯄꯥꯎꯇꯥꯛ ꯂꯧꯕꯤꯌꯨ꯫
• ꯂꯥꯌꯅꯥ ꯑꯁꯤ ꯉꯟꯅꯥ ꯈꯪꯗꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯂꯥꯏꯌꯦꯡꯕꯅꯥ ꯑꯉꯥꯡ ꯑꯗꯨꯕꯨ ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯕꯥ, ꯍꯀꯁꯦꯜ ꯐꯕꯥ ꯄꯨꯟꯁꯤ ꯑꯃꯥ ꯍꯤꯡꯅꯕꯒꯤ ꯈꯨꯗꯣꯡꯆꯥꯕꯥ ꯍꯦꯟꯅꯥ ꯄꯤ꯫
• ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯁꯔꯖꯔꯤ ꯑꯃꯁꯨꯡ ꯑꯇꯩ ꯂꯥꯏꯌꯦꯡꯁꯤꯡꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯃꯥꯌꯄꯥꯛꯅꯥ ꯃꯦꯅꯦꯖ ꯇꯧꯕꯥ ꯌꯥꯏ꯫
• ꯂꯥꯏꯐꯂꯣꯡ ꯁ꯭ꯄꯦꯁꯤꯑꯦꯂꯤꯁ꯭ꯠ ꯃꯦꯗꯤꯀꯦꯜ ꯁꯨꯄꯔꯚꯤꯖꯟ ꯑꯁꯤ ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯃꯇꯨꯡꯗꯁꯨ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫

ꯑꯀꯤꯕꯥ ꯄꯣꯛꯂꯣꯏꯗꯕꯅꯤ꯫ ꯃꯦꯗꯤꯀꯦꯜ ꯁꯥꯏꯟꯁ ꯑꯁꯤ ꯉꯁꯤꯗꯤ ꯌꯥꯝꯅꯥ ꯆꯥꯎꯈꯠꯂꯦ꯫ ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯒꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯥ ꯂꯥꯏꯌꯦꯡ ꯄꯤꯕꯥ ꯉꯝꯕꯥ ꯍꯩꯊꯣꯏ-ꯁꯤꯡꯊꯣꯏꯔꯕꯥ ꯗꯣꯛꯇꯔꯁꯤꯡ ꯂꯩ꯫ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯋꯥꯐꯃꯗꯤ ꯅꯍꯥꯛꯅꯥ ꯃꯁꯤ ꯈꯪꯖꯤꯅꯕꯥ, ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡꯒꯤ ꯑꯍꯣꯡꯕꯁꯤꯡꯗꯥ ꯄꯨꯛꯅꯤꯡ ꯆꯪꯕꯥ ꯑꯃꯁꯨꯡ ꯃꯇꯝ ꯆꯥꯅꯥ ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯄꯥꯎꯇꯥꯛ ꯂꯧꯕꯥ ꯍꯥꯌꯕꯁꯤꯅꯤ꯫

` ꯑꯦꯑꯣꯔꯇꯥꯒꯤ ꯀꯣꯔꯛꯇꯦꯁꯟ, ꯍꯥꯔꯠ ꯗꯤꯖꯤꯖ, ꯄꯦꯗꯤꯑꯦꯠꯔꯤꯛꯁ, ꯀꯣꯟꯖꯤꯅꯤꯑꯦꯜ ꯍꯥꯔꯠ ꯗꯤꯖꯤꯖ, ꯑꯦꯑꯣꯔꯇꯤꯛ ꯁ꯭ꯇꯦꯅꯣꯁꯤꯁ, ꯆꯥꯏꯜꯗ ꯍꯦꯂꯊ, ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ꯫