ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯈꯔꯥ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯁꯣꯀꯄꯥ ꯌꯥꯏ, ꯈꯣꯡ ꯍꯥꯝꯂꯀꯄꯒꯨꯝꯅꯥ? ꯅꯠꯠꯔꯒꯥ ꯅꯍꯥꯛꯅꯥ ꯅꯁꯥꯕꯨ ꯈꯔꯥ ꯍꯦꯟꯅꯥ ꯀꯟꯅꯥ ꯍꯣꯠꯅꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ ꯊꯦꯡꯅꯕ꯭ꯔꯥ? ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯊꯝꯃꯣꯌꯗꯥ ꯂꯩꯕꯥ ꯚꯜꯌꯨꯁꯤꯡꯗꯥ ꯊꯣꯀꯄꯥ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯃꯁꯤꯡꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ, ꯃꯈꯣꯌꯅꯥ ꯒꯦꯇꯁꯤꯡꯒꯨꯝꯅꯥ ꯊꯕꯛ ꯇꯧꯏ꯫ ꯉꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯊꯝꯃꯣꯌꯗꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ "ꯒꯦꯠ" ꯑꯃꯥ ꯑꯣꯏꯔꯤꯕꯥ ꯑꯦꯑꯣꯔꯇꯤꯛ ꯚꯜꯌꯨꯒꯥ ꯃꯔꯤ ꯂꯩꯅꯕꯥ ꯂꯥꯌꯅꯥ ꯑꯃꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯔꯤ꯫ ꯃꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ `(ꯑꯦꯑꯣꯔꯇꯤꯛ ꯚꯜꯌꯨ ꯗꯤꯖꯤꯖ)` ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫
ꯃꯁꯤ `(ꯑꯦꯑꯣꯔꯇꯤꯛ ꯚꯜꯌꯨ ꯗꯤꯖꯤꯖ)` ꯍꯥꯌꯕꯁꯤ ꯇꯁꯦꯡꯅꯥ ꯀꯔꯤꯅꯣ?
ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯑꯦꯑꯣꯔꯇꯤꯛ ꯚꯜꯌꯨ (aortic valve) ꯑꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯥꯔꯇꯀꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯄꯝꯄ ꯆꯦꯝꯕꯔ (left ventricle)ꯗꯒꯤ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯑꯇꯩ ꯁꯔꯨꯀꯁꯤꯡꯗꯥ ꯏ ꯄꯨꯕꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯆꯥꯎꯕꯥ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯜ (aorta)ꯗꯥ ꯏ ꯆꯦꯅꯕꯥ ꯌꯥꯍꯜꯂꯤ꯫ ꯃꯁꯤ ꯌꯨꯝ ꯑꯃꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯊꯣꯡꯒꯨꯝꯅꯥ ꯊꯕꯛ ꯇꯧꯏ꯫ ꯈꯟꯊꯕꯤꯌꯨ, ꯊꯣꯡ ꯑꯁꯤ ꯑꯆꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯍꯥꯡꯗꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯊꯤꯡꯖꯤꯅꯕꯥ ꯇꯥꯏ꯫
- ꯃꯁꯤ ꯍꯥꯡꯗꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ: ꯍꯥꯔꯇꯅꯥ ꯁꯣꯀꯄꯥ ꯈꯨꯗꯤꯡꯗꯥ, ꯚꯜꯌꯨ ꯑꯁꯤ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯍꯥꯡꯗꯣꯛꯀꯗꯕꯅꯤ, ꯃꯗꯨꯅꯥ ꯏ ꯄꯨꯝꯅꯃꯛ ꯍꯥꯔꯇꯇꯒꯤ ꯂꯥꯄꯊꯣꯛꯅꯥ ꯂꯩꯕꯥ, ꯑꯦꯑꯣꯔꯇꯥꯗꯥ ꯆꯦꯅꯕꯥ ꯌꯥꯍꯅꯒꯗꯕꯅꯤ꯫ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯈꯛꯇꯗꯥ ꯏ ꯑꯗꯨꯅꯥ ꯍꯀꯆꯥꯡ ꯄꯨꯝꯕꯗꯥ ꯑꯣꯛꯁꯤꯖꯦꯟ ꯑꯃꯁꯨꯡ ꯅ꯭ꯌꯨꯠꯔꯤꯑꯦꯟꯇꯁꯤꯡ ꯁꯞꯂꯥꯏ ꯇꯧꯒꯅꯤ꯫
- ꯊꯤꯡꯖꯤꯅꯕꯥ ꯃꯇꯃꯗꯥ: ꯏ ꯈꯔꯥ ꯊꯣꯛꯂꯕꯥ ꯃꯇꯨꯡꯗꯥ, ꯚꯜꯌꯨ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯀꯟꯅꯥ ꯊꯤꯡꯖꯤꯅꯒꯗꯕꯅꯤ, ꯃꯗꯨꯅꯥ ꯏ ꯑꯗꯨ ꯍꯥꯔꯇꯇꯥ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯆꯦꯅꯕꯥ ꯊꯤꯡꯒꯅꯤ꯫
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯄꯣꯠꯁꯛ ꯑꯃꯅꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯅꯤꯃꯛ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯊꯕꯛ ꯇꯧꯗ꯭ꯔꯕꯗꯤ, ꯑꯩꯈꯣꯌꯅꯥ `(Aortic Valve Disease)` ꯀꯧꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯔꯤ꯫
ꯃꯁꯤꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯈꯜ ꯑꯅꯤ ꯂꯩ, ꯅꯠꯇꯦ?
ꯍꯣꯌ, `(ꯑꯦꯑꯣꯔꯇꯤꯛ ꯚꯜꯌꯨ ꯗꯤꯖꯤꯖ)`ꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯈꯜ ꯑꯅꯤ ꯂꯩ꯫ 1.
`(Aortic Stenosis)` - ꯚꯜꯌꯨꯝ (valve) ꯁꯣꯟꯊꯕꯥ: ꯃꯁꯤꯅꯥ ꯍꯥꯔꯇꯀꯤ ꯊꯣꯡꯅꯥꯎ, ꯍꯥꯌꯕꯗꯤ ꯑꯦꯑꯣꯔꯇꯤꯛ ꯚꯜꯌꯨ (aortic valve) ꯑꯗꯨ ꯀꯨꯄꯁꯤꯜꯂꯕꯥ ꯑꯃꯁꯨꯡ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯍꯥꯡꯗꯣꯀꯄꯥ ꯉꯃꯗꯕꯥ ꯃꯇꯃꯅꯤ꯫ ꯊꯣꯉꯅꯥꯑꯣ ꯑꯗꯨ ꯈꯔꯥ ꯍꯥꯡꯗꯣꯛꯂꯦ ꯍꯥꯌꯅꯥ ꯈꯅꯕꯤꯌꯨ꯫ ꯑꯗꯨꯗꯒꯤ ꯊꯝꯃꯣꯌꯗꯒꯤ ꯏ ꯊꯣꯀꯄꯥ ꯌꯥꯕꯒꯤ ꯃꯐꯝ ꯃꯔꯥꯡ ꯀꯥꯌꯅꯥ ꯂꯩꯇꯦ꯫ ꯊꯝꯃꯣꯌꯅꯥ ꯏ ꯑꯁꯤ ꯑꯄꯤꯀꯄꯥ ꯊꯣꯉ ꯑꯁꯤꯗꯒꯤ ꯊꯨꯒꯥꯏꯅꯕꯥ ꯀꯟꯅꯥ ꯍꯣꯠꯅꯒꯗꯕꯅꯤ꯫ 2.
`(Aortic Regurgitation)` - ꯚꯜꯌꯨꯝ ꯂꯤꯛ ꯑꯣꯏꯕꯥ: ꯃꯁꯤ ꯊꯣꯡꯅꯥꯎ ꯑꯗꯨ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯂꯣꯠꯄꯥ ꯃꯇꯃꯗꯥ ꯑꯣꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯊꯣꯡꯅꯥꯎ ꯑꯗꯨ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯂꯣꯠꯁꯤꯜꯂꯛꯠꯔꯕꯗꯤ, ꯊꯣꯔꯀꯄꯥ ꯏ ꯈꯔꯗꯤ ꯊꯝꯃꯣꯌꯗꯥ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯂꯤꯛ ꯑꯣꯏꯔꯀꯏ꯫ ꯐꯧ ꯑꯃꯥ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯊꯤꯡꯖꯤꯅꯕꯥ ꯉꯃꯗꯕꯥ ꯃꯇꯃꯒꯨꯝꯅꯥ ꯏꯁꯤꯡ ꯂꯤꯛ ꯑꯣꯏ꯫
ꯃꯔꯨꯑꯣꯏꯕꯥ ꯋꯥꯐꯃꯗꯤ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯅꯤꯃꯛ ꯂꯩꯔꯕꯁꯨ, ꯅꯍꯥꯛꯅꯥ ꯃꯇꯝ ꯈꯔꯒꯤ ꯑꯣꯏꯅꯥ ꯈꯪꯂꯕꯁꯨ ꯌꯥꯏ꯫ ꯃꯔꯃꯗꯤ ꯑꯌꯥꯝꯕꯗꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯂꯥꯌꯅꯥ ꯑꯁꯤ ꯈꯔꯥ ꯍꯦꯟꯅꯥ ꯐꯒꯠꯂꯛꯂꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯊꯣꯀꯏ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯈꯉꯕꯥ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫
ꯂꯥꯌꯅꯥ ꯑꯁꯤ ꯀꯅꯥꯅꯥ ꯍꯦꯟꯅꯥ ꯅꯥꯕꯥ ꯌꯥꯕꯒꯦ?
ꯀꯅꯥꯒꯨꯝꯕꯥ ꯑꯃꯅꯥ ``ꯑꯦꯑꯣꯔꯇꯤꯛ ꯚꯜꯌꯨ ꯗꯤꯖꯤꯖ'' ꯀꯧꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯂꯥꯀꯄꯥ ꯌꯥꯏ ꯑꯗꯨꯕꯨ ꯃꯤꯑꯣꯏ ꯈꯔꯗꯤ ꯍꯦꯟꯅꯥ ꯔꯤꯁ꯭ꯛ ꯂꯩ꯫ ꯃꯈꯣꯏ ꯑꯁꯤ:
- ꯆꯍꯤ 60ꯒꯤ ꯃꯊꯛꯇꯥ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡ: ꯅꯍꯥꯛꯅꯥ ꯆꯍꯤ ꯌꯥꯃꯈꯠꯂꯀꯄꯒꯥ ꯂꯣꯌꯅꯅꯥ, ꯚꯜꯌꯨꯁꯤꯡꯗꯥ ꯑꯍꯣꯡꯕꯥ ꯂꯥꯀꯄꯥ ꯌꯥꯏ꯫
- ꯃꯈꯣꯌꯒꯤ ꯍꯥꯔꯇꯀꯤ ꯚꯜꯌꯨꯁꯤꯡꯗꯥ ꯈꯔꯥ ꯈꯦꯠꯅꯕꯥ ꯂꯩꯕꯥ ꯄꯣꯀꯄꯥ ꯃꯤꯑꯣꯏꯁꯤꯡ: ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, `` ꯕꯥꯏꯀꯁꯄꯤꯗ ꯑꯦꯑꯣꯔꯇꯤꯛ ꯚꯜꯌꯨ '' ꯀꯧꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯥ ꯂꯩ꯫ ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯅꯥ, ꯑꯦꯑꯣꯔꯇꯤꯛ ꯚꯜꯌꯨ ꯑꯁꯤ ꯂꯤꯐꯂꯦꯠ ꯑꯍꯨꯝ ꯂꯩ꯫ ꯑꯗꯨꯕꯨ ꯃꯤꯑꯣꯏꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯂꯤꯐꯂꯦꯠ ꯑꯅꯤ ꯂꯩꯔꯤ꯫
- ꯏꯅꯅꯦꯠ ꯑꯣꯏꯕꯥ꯫ꯍꯥꯔꯠ ꯗꯤꯖꯤꯖ (`(ꯀꯣꯟꯖꯤꯅꯤꯑꯦꯜ ꯍꯥꯔꯠ ꯗꯤꯖꯤꯖ)`) ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡ꯫
- ꯆꯦꯁ꯭ꯠ ꯑꯦꯔꯤꯌꯥꯗꯥ ꯔꯦꯗꯤꯑꯦꯁꯟ ꯊꯦꯔꯥꯄꯤ ꯇꯧꯔꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡ: ꯆꯦꯁ꯭ꯇꯇꯥ ꯔꯦꯗꯤꯑꯦꯁꯟ ꯊꯦꯔꯥꯄꯤ ꯑꯁꯤ ꯀꯦꯟꯁꯔ ꯃꯈꯜ ꯈꯔꯒꯤꯗꯃꯛ (ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯍꯣꯗꯀꯤꯟ ꯂꯤꯝꯐꯣꯃꯥ) ꯄꯤ꯫ ꯃꯁꯤꯅꯥ ꯃꯇꯃꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ ꯚꯜꯌꯨꯁꯤꯡꯗꯥ ꯁꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫
- ꯔꯤꯌꯨꯃꯦꯇꯤꯛ ꯍꯥꯔꯠ ꯗꯤꯖꯤꯖ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡ: ꯀꯣꯛꯇꯥ ꯏꯅꯐꯦꯛꯁꯟ ꯑꯃꯥ ꯑꯣꯏꯅꯥ ꯍꯧꯔꯀꯄꯥ ꯔꯤꯌꯨꯃꯦꯇꯤꯛ ꯐꯤꯕꯔꯅꯥ ꯍꯥꯔꯇꯀꯤ ꯚꯜꯌꯨꯁꯤꯡꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫
ꯑꯃꯦꯔꯤꯀꯥ ꯑꯃꯁꯨꯡ ꯌꯨꯔꯣꯄꯒꯨꯝꯕꯥ ꯂꯩꯕꯥꯀꯁꯤꯡꯗꯥ ꯃꯁꯤ ꯍꯥꯔꯠ ꯚꯜꯌꯨꯒꯤ ꯂꯥꯌꯅꯥꯁꯤꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯑꯃꯁꯨꯡ ꯈꯨꯗꯣꯡꯊꯤꯅꯤꯉꯥꯏ ꯑꯣꯏ ꯍꯥꯌꯅꯥ ꯂꯧꯅꯩ꯫ ꯍꯥꯌꯅꯩ ꯃꯗꯨꯗꯤ ꯍꯥꯔꯠ ꯚꯂꯕ ꯂꯥꯌꯅꯥꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯁꯤꯕꯥ ꯱꯰ꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯶ꯗꯤ ꯃꯁꯤꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯁꯤꯔꯤ꯫ ꯍꯥꯌꯕꯗꯤ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯇꯣꯞꯄꯥ ꯚꯜꯌꯨꯒꯤ ꯂꯥꯌꯅꯥ ꯄꯨꯝꯅꯃꯛ (ꯃꯥꯏꯠꯔꯜ, ꯄꯂꯃꯣꯅꯥꯔꯤ, ꯇ꯭ꯔꯥꯏꯀꯁꯄꯤꯗ) ꯄꯨꯟꯅꯥ ꯍꯥꯄꯆꯤꯜꯂꯕꯗꯤ ꯁꯤꯕꯒꯤ ꯃꯁꯤꯡ ꯑꯁꯤ ꯍꯦꯟꯅꯥ ꯋꯥꯡꯏ꯫
ꯃꯁꯤꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯤꯅꯣ?
ꯑꯩꯈꯣꯌꯅꯥ ꯃꯃꯥꯡꯗꯥ ꯍꯥꯌꯈꯤꯕꯒꯨꯝꯅꯥ,
ꯑꯍꯥꯅꯕꯥ ꯇꯥꯉ꯭ꯀꯛꯇꯥ ꯂꯥꯏꯑꯣꯡ ꯑꯃꯠꯇꯥ ꯂꯩꯇꯕꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯂꯥꯌꯅꯥ ꯑꯁꯤꯅꯥ ꯍꯦꯟꯅꯥ ꯁꯣꯀꯆꯤꯜꯂꯀꯄꯒꯥ ꯂꯣꯌꯅꯅꯥ, ꯅꯍꯥꯛꯅꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯑꯁꯤꯅꯆꯤꯡꯕꯥ ꯋꯥꯐꯃꯁꯤꯡ ꯑꯁꯤ ꯊꯦꯡꯅꯕꯥ ꯍꯧꯔꯀꯄꯥ ꯌꯥꯏ꯫
- ꯈꯣꯡꯗꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯅꯠꯠꯔꯒꯥ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯁꯣꯀꯄꯥ (chest pain or tightness): ꯀꯅꯥꯒꯨꯝꯕꯥ ꯑꯃꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯆꯦꯟꯊꯔꯀꯄꯥ ꯐꯥꯎꯕꯥ ꯌꯥꯏ꯫
- ꯁꯤꯅꯀꯣꯞ: ꯈꯪꯍꯧꯗꯅꯥ ꯋꯥꯈꯜ ꯃꯥꯡꯈꯤꯕꯥ꯫
- ꯍꯥꯔꯠ ꯄꯦꯂꯄꯤꯇꯦꯁꯟ: ꯅꯍꯥꯛꯀꯤ ꯍꯥꯔꯠ ꯑꯗꯨ ꯈꯪꯍꯧꯗꯅꯥ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯌꯥꯡꯅꯥ ꯆꯦꯜꯂꯀꯄꯥ ꯌꯥꯏ, ꯅꯠꯠꯔꯒꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ "ꯄꯥꯎꯟꯗꯤꯡ" (pounding) ꯈꯣꯟꯖꯦꯜ ꯑꯃꯥ ꯇꯥꯕꯥ ꯌꯥꯏ꯫
- ꯗꯤꯁꯞꯅꯤꯌꯥ: ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ , ꯃꯔꯨꯑꯣꯏꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯊꯕꯛ ꯑꯃꯥ ꯇꯧꯕꯥ ꯃꯇꯃꯗꯥ, ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯇꯧꯕꯥ ꯃꯇꯃꯗꯥ, ꯂꯦꯡ-ꯑꯣꯠꯄꯗꯥ ꯅꯠꯠꯔꯒꯥ ꯅꯨꯃꯤꯗꯥꯡꯗꯥ ꯇꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ꯫
- ꯏꯗꯤꯃꯥ (ꯈꯣꯡ ꯑꯃꯁꯨꯡ ꯈꯣꯡꯗꯥ ꯁꯣꯀꯄꯥ): ꯃꯈꯥ ꯊꯪꯕꯥ ꯈꯣꯡꯄꯥꯛꯇꯥ ꯁꯣꯀꯄꯥ꯫
ꯃꯁꯤ ꯀꯔꯤꯒꯤ ꯊꯣꯛꯂꯤꯕꯅꯣ? ꯃꯔꯃꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?
ꯃꯁꯤꯒꯤ `(ꯑꯦꯑꯣꯔꯇꯤꯛ ꯚꯜꯌꯨ ꯗꯤꯖꯤꯖ)` ꯑꯁꯤ ꯂꯥꯀꯄꯒꯤ ꯃꯔꯝ ꯀꯌꯥ ꯂꯩꯕꯥ ꯌꯥꯏ꯫
- ꯆꯍꯤ ꯌꯥꯃꯈꯠꯂꯀꯄꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯚꯜꯌꯨꯝ ꯑꯁꯤ ꯁꯣꯀꯏ: ꯃꯁꯤꯅꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯔꯃꯅꯤ꯫ ꯃꯦꯁꯤꯟ ꯑꯃꯒꯤ ꯁꯔꯨꯀꯁꯤꯡ ꯁꯤꯖꯤꯟꯅꯕꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯁꯣꯀꯍꯅꯕꯒꯨꯝꯅꯥ꯫
- ꯔꯤꯌꯨꯃꯦꯇꯤꯛ ꯍꯥꯔꯠ ꯗꯤꯖꯤꯖ: ꯃꯃꯥꯡꯗꯥ ꯄꯅꯈ꯭ꯔꯤꯕꯥ ꯃꯇꯨꯡꯏꯟꯅꯥ, ꯔꯤꯌꯨꯃꯦꯇꯤꯛ ꯐꯤꯕꯔꯅꯥ ꯚꯜꯌꯨꯁꯤꯡꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯜꯂꯤ꯫
- ꯀꯣꯟꯖꯤꯅꯤꯑꯦꯜ ꯍꯥꯔꯠ ꯗꯤꯖꯤꯖ: ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯕꯥꯏꯀꯁꯄꯤꯗ ꯑꯦꯑꯣꯔꯇꯤꯛ ꯚꯜꯌꯨ ꯑꯃꯥ ꯂꯩꯕꯥ꯫
- ꯍꯥꯏ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ : ꯃꯇꯝ ꯈꯔꯒꯤ ꯑꯣꯏꯅꯥ ꯍꯥꯏ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ ꯂꯩꯕꯅꯥ ꯚꯜꯌꯨꯁꯤꯡꯗꯁꯨ ꯁꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫
- ꯍꯥꯔꯠ ꯚꯜꯌꯨ ꯏꯅꯐꯦꯛꯁꯅꯁꯤꯡ (endocarditis): ꯕꯦꯛꯇꯦꯔꯤꯌꯥ ꯏꯅꯐꯦꯛꯁꯅꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯚꯜꯌꯨꯁꯤꯡꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯄꯥ꯫
- ꯈꯣꯡꯗꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯑꯃꯁꯨꯡ ꯈꯨꯗꯣꯡꯊꯤꯕꯥ ꯊꯣꯀꯄꯥ꯫
- ꯊꯣꯔꯥꯁꯤꯛ ꯑꯦꯑꯣꯔꯇꯤꯛ ꯑꯦꯅꯤꯎꯔꯤꯖꯝ (thoracic Aortic Aneurysm): ꯑꯦꯑꯣꯔꯇꯥ (aorta) ꯁꯣꯟꯊꯕꯥ꯫
- ꯑꯦꯑꯣꯔꯇꯤꯛ ꯗꯤꯁꯦꯛꯁꯟ (Aortic Dissection): ꯑꯦꯑꯣꯔꯇꯥꯒꯤ ꯋꯥꯂꯗꯥ ꯂꯩꯕꯥ ꯑꯁꯣꯀꯄꯥ ꯑꯃꯥ꯫
- ꯆꯦꯁ꯭ꯠ (ꯀꯦꯟꯁꯔꯒꯨꯝꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡꯒꯤꯗꯃꯛ) ꯔꯦꯗꯤꯑꯦꯁꯟ ꯊꯦꯔꯥꯄꯤ꯫
ꯔꯤꯁ꯭ꯛ ꯐꯦꯛꯇꯔꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?
ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯋꯥꯐꯃꯁꯤꯡ ꯑꯁꯤꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯂꯥꯌꯅꯥ ꯑꯁꯤ ꯂꯥꯀꯄꯒꯤ ꯔꯤꯁ꯭ꯛ ꯍꯦꯟꯅꯥ ꯋꯥꯡꯏ:
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯆꯍꯤ 60ꯒꯤ ꯃꯊꯛꯇꯥ ꯂꯩꯔꯕꯗꯤ꯫
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯚꯜꯌꯨꯝ (Aortic Valve Sclerosis) (Aortic Valve Sclerosis) (ꯑꯦꯑꯣꯔꯇꯤꯛ ꯚꯜꯌꯨ ꯁ꯭ꯛꯂꯦꯔꯣꯁꯤꯁ) (Aortic Valve Sclerosis) (ꯃꯁꯤꯒꯤ ꯀꯦꯁ ꯑꯁꯤꯗꯥ, ꯚꯜꯌꯨ ꯑꯗꯨ ꯍꯧꯖꯤꯛ ꯐꯥꯎꯕꯥ ꯁꯣꯟꯊꯕꯥ ꯉꯃꯗ꯭ꯔꯤ, ꯑꯗꯨꯕꯨ ꯃꯁꯤꯅꯥ ꯂꯥꯌꯅꯥ ꯑꯁꯤꯒꯤ ꯇꯣꯏꯅꯥ ꯊꯣꯀꯄꯥ ꯈꯨꯗꯝ ꯑꯃꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ)꯫
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯀꯣꯟꯖꯤꯅꯤꯑꯦꯜ ꯚꯜꯌꯨ ꯗꯤꯐꯦꯛꯇ ꯑꯃꯥ ꯂꯩꯔꯕꯗꯤ, ꯃꯔꯨꯑꯣꯏꯅꯥ `(Bicuspid Aortic Valve)` ꯑꯃꯥ ꯂꯩꯔꯕꯗꯤ꯫
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯃꯥꯡꯗꯥ ꯔꯤꯌꯨꯃꯦꯇꯤꯛ ꯐꯤꯕꯔ ꯂꯩꯔꯕꯗꯤ꯫
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯃꯥꯡꯗꯥ ꯍꯥꯔꯠ ꯚꯜꯌꯨ ꯏꯅꯐꯦꯛꯁꯅꯁꯤꯡ (endocarditis) ꯂꯩꯔꯕꯗꯤ꯫
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯀꯛꯅꯕꯥ ꯑꯟꯗꯔꯂꯥꯏꯟ ꯃꯦꯗꯤꯀꯦꯜ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ ꯂꯩꯔꯕꯗꯤ (ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯃꯥꯔꯐꯥꯟ ꯁꯤꯟꯗ꯭ꯔꯣꯝ, ꯑꯦꯍꯂꯔꯁ-ꯗꯥꯅꯂꯣꯁ ꯁꯤꯟꯗ꯭ꯔꯣꯝ, ꯂꯨꯄꯁ)꯫
ꯂꯥꯌꯅꯥ ꯑꯁꯤꯒꯤ ꯁ꯭ꯇꯦꯖꯁꯤꯡ ꯂꯩꯕ꯭ꯔꯥ?
ꯍꯣꯌ, ꯂꯥꯌꯅꯥ ꯑꯁꯤ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯍꯦꯅꯒꯠꯂꯀꯏ꯫ ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯃꯁꯤꯒꯤ ꯁꯣꯀꯍꯜꯂꯕꯥ ꯃꯑꯣꯡ ꯑꯁꯤ ꯐꯣꯡꯗꯣꯛꯅꯕꯒꯤꯗꯃꯛ ꯁ꯭ꯇꯦꯖ ꯃꯔꯤ ꯁꯤꯖꯤꯟꯅꯩ:
- ꯁ꯭ꯇꯦꯖ A (ꯑꯦꯠ ꯔꯤꯁ꯭ꯛ / ꯁ꯭ꯇꯦꯖ A): ꯃꯇꯝ ꯑꯁꯤꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯦꯑꯣꯔꯇꯤꯛ ꯚꯜꯌꯨ ꯑꯁꯤ ꯐꯖꯅꯥ ꯊꯕꯛ ꯇꯧꯔꯤ, ꯑꯗꯨꯕꯨ ꯅꯍꯥꯛꯅꯥ ꯂꯥꯌꯅꯥ ꯑꯁꯤ ꯂꯥꯀꯄꯒꯤ ꯌꯥꯃꯗ꯭ꯔꯕꯗꯥ ꯔꯤꯁ꯭ꯛ ꯐꯦꯛꯇꯔ ꯑꯃꯥ ꯂꯩ꯫
- ꯁ꯭ꯇꯦꯖ B (ꯄ꯭ꯔꯣꯒ꯭ꯔꯦꯁꯤꯚ): ꯃꯁꯤ ꯃꯌꯥꯏ ꯑꯣꯏꯕꯥ ꯑꯃꯁꯨꯡ ꯃꯌꯥꯏ ꯑꯣꯏꯕꯥ ꯑꯦꯑꯣꯔꯇꯤꯛ ꯚꯜꯌꯨ ꯗꯤꯖꯤꯖꯅꯤ꯫ ꯚꯜꯌꯨꯒꯤ ꯐꯉ꯭ꯀꯁꯟꯗꯥ ꯈꯔꯥ ꯑꯍꯣꯡꯕꯥ ꯂꯩꯔꯕꯁꯨ ꯅꯍꯥꯛꯅꯥ ꯍꯧꯖꯤꯛ ꯐꯥꯎꯕꯥ ꯂꯥꯏꯑꯣꯡ ꯑꯃꯠꯇꯥ ꯎꯕꯥ ꯐꯪꯗ꯭ꯔꯤ꯫
- ꯁ꯭ꯇꯦꯖ C (Asymptomatic Severe / Stage C): ꯃꯁꯤ ꯑꯦꯑꯣꯔꯇꯤꯛ ꯚꯜꯌꯨ ꯗꯤꯖꯤꯖꯒꯤ ꯁꯥꯊꯤꯕꯥ ꯃꯑꯣꯡ ꯑꯃꯅꯤ꯫ ꯅꯍꯥꯛꯀꯤ ꯅꯣꯔꯃꯦꯜ ꯑꯦꯛꯇꯤꯚꯤꯇꯤꯁꯤꯡ ꯑꯗꯨ ꯇꯧꯔꯤꯉꯩꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯎꯕꯥ ꯐꯪꯗꯕꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯅꯍꯥꯛꯅꯥ ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯁ꯭ꯠꯔꯦꯁ ꯇꯦꯁ꯭ꯠ ꯑꯃꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯊꯦꯡꯅꯔꯀꯄꯥ ꯌꯥꯏ꯫
- ꯁꯤ ꯱: ꯍꯥꯔꯇꯅꯥ ꯍꯧꯖꯤꯀꯁꯨ ꯍꯀꯆꯥꯡꯗꯥ ꯏ ꯃꯇꯤꯛ ꯆꯥꯅꯥ ꯄꯝꯄ ꯇꯧꯕꯥ ꯉꯝꯃꯤ꯫
- C2: ꯍꯥꯔꯇꯅꯥ ꯏ ꯌꯥꯝꯅꯥ ꯄꯝꯄ ꯇꯧꯕꯥ ꯉꯃꯗꯦ (ꯂꯦꯐꯠ ꯚꯦꯟꯇꯤꯀꯨꯂꯥꯔ ꯏꯖꯦꯀꯁꯟ ꯐ꯭ꯔꯦꯀꯆꯔ - `(ꯂꯦꯐꯠ ꯚꯦꯟꯇꯤꯀꯨꯂꯥꯔ ꯏꯖꯦꯀꯁꯟ ꯐ꯭ꯔꯦꯀꯆꯔ)` ꯑꯁꯤ 50%ꯗꯒꯤ ꯇꯥꯅꯥ ꯂꯩ꯫
- ꯁ꯭ꯇꯦꯖ D (ꯁꯤꯝꯄꯇꯣꯃꯦꯇꯤꯛ ꯁꯦꯚꯤꯌꯔ): ꯅꯍꯥꯛꯀꯤ ꯅꯨꯡꯇꯤꯒꯤ ꯄꯨꯟꯁꯤꯗꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯊꯣꯀꯍꯜꯂꯤꯕꯥ ꯁꯥꯊꯤꯕꯥ ꯑꯦꯑꯣꯔꯇꯤꯛ ꯚꯜꯌꯨ ꯗꯤꯖꯤꯖ ꯂꯩ꯫ ꯑꯍꯥꯅꯕꯗꯥ, ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯇꯧꯕꯥ ꯃꯇꯃꯗꯥ ꯈꯛꯇꯗꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯏ, ꯑꯗꯨꯕꯨ ꯃꯇꯨꯡ ꯇꯥꯔꯀꯄꯗꯥ, ꯅꯍꯥꯛꯅꯥ ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯇꯧꯗꯕꯥ ꯃꯇꯃꯗꯁꯨ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯂꯥꯀꯄꯥ ꯌꯥꯏ꯫
ꯃꯁꯤꯅꯥ ꯀꯔꯤ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯕꯒꯦ?
ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯂꯥꯌꯅꯥ ꯑꯃꯅꯤ, ꯑꯃꯁꯨꯡ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯂꯥꯏꯌꯦꯡꯗ꯭ꯔꯕꯗꯤ ꯃꯁꯤꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫
ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯑꯃꯁꯨꯡ ꯈꯨꯗꯣꯡꯊꯤꯅꯤꯉꯥꯏ ꯑꯣꯏꯕꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯟ ꯑꯁꯤ ꯍꯥꯔꯠ ꯐꯦꯜ ꯑꯣꯏꯕꯅꯤ . ꯃꯁꯤꯅꯥ ꯇꯥꯀꯄꯗꯤ ꯅꯍꯥꯛꯀꯤ ꯊꯝꯃꯣꯌꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯏ ꯃꯔꯥꯡ ꯀꯥꯌꯅꯥ ꯄꯨꯊꯣꯀꯄꯥ ꯉꯃꯗꯕꯥ ꯍꯥꯌꯕꯁꯤꯅꯤ꯫ ꯃꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡ ꯄꯨꯝꯅꯃꯛꯇꯥ ꯐꯉ꯭ꯀꯁꯟ ꯃꯥꯡꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯑꯇꯣꯞꯄꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡꯗꯤ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯁꯤꯡꯁꯤꯅꯤ:
- ꯍꯥꯔꯇꯀꯤ ꯂꯥꯌꯅꯥ (`(Arhythmia)`)꯫
- ꯍꯥꯔꯠ ꯑꯦꯇꯦꯛ ꯇꯧꯕꯥ꯫
- ꯈꯪꯍꯧꯗꯅꯥ ꯀꯥꯔꯗꯤꯌꯦꯛ ꯑꯦꯔꯦꯁ꯭ꯠ (`(ꯈꯨꯗꯛꯇꯥ ꯀꯥꯔꯗꯤꯌꯦꯛ ꯑꯦꯔꯦꯁ꯭ꯠ)`)꯫
- ꯁ꯭ꯠꯔꯣꯛ (`(ꯁ꯭ꯠꯔꯣꯛ)`)꯫
ꯃꯁꯤ ꯑꯗꯣꯝꯅꯥ ꯀꯔꯝꯅꯥ ꯈꯉꯕꯤꯔꯤꯕꯒꯦ? ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯀꯔꯤ ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯁꯤꯖꯤꯟꯅꯔꯤꯕꯒꯦ?
ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯑꯗꯣꯝꯕꯨ ꯌꯦꯡꯁꯤꯅꯕꯤꯗꯨꯅꯥ ꯑꯃꯁꯨꯡ ꯑꯇꯣꯞꯄꯥ ꯑꯈꯟꯅꯕꯥ ꯇꯦꯁ꯭ꯠ ꯀꯌꯥ ꯑꯃꯥ ꯇꯧꯗꯨꯅꯥ ꯂꯥꯌꯅꯥ ꯑꯁꯤ ꯈꯉꯗꯣꯀꯏ꯫ ꯑꯦꯀꯖꯥꯃꯤꯅꯦꯁꯟ ꯑꯃꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯗꯣꯛꯇꯔ ꯑꯃꯅꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯊꯕꯀꯁꯤꯡ ꯑꯁꯤ ꯇꯧꯒꯅꯤ:
- ꯃꯈꯣꯌꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯐꯤꯚꯃꯁꯤꯡꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯍꯪꯏ, ꯃꯗꯨꯗꯤ ꯅꯍꯥꯛꯀꯤ ꯏꯃꯨꯡꯗꯥ ꯀꯅꯥꯒꯨꯝꯕꯥ ꯑꯃꯅꯥ ꯍꯥꯔꯇꯀꯤ ꯂꯥꯌꯅꯥ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨꯅꯤ꯫
- ꯅꯍꯥꯛꯀꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯁꯥꯏꯅꯁꯤꯡ (ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ, ꯄꯂꯁ ꯔꯦꯠ, ꯑꯁꯤꯅꯆꯤꯡꯕꯥ) ꯑꯗꯨ ꯆꯦꯛ ꯇꯧꯔꯤ꯫
- ꯊꯝꯃꯣꯌ ꯑꯁꯤ ꯁ꯭ꯇꯦꯊꯣꯁ꯭ꯀꯣꯞ (`(Auscultation)`) ꯑꯃꯅꯥ ꯇꯥꯕꯥ ꯐꯪꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯦꯕꯅꯣꯔꯃꯦꯜ ꯍꯥꯔꯇꯀꯤ ꯈꯣꯟꯖꯦꯜ (`(Murmur)` ꯍꯥꯌꯅꯥ ꯀꯧꯕꯥ) ꯇꯥꯔꯕꯗꯤ, ꯃꯁꯤ `(Aortic Valve Disease)`ꯒꯤ ꯈꯨꯗꯝ ꯑꯃꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫
- ꯏ.ꯁꯤ.ꯖꯤ.(ꯏꯂꯦꯛꯠꯔꯣꯀꯥꯔꯗꯤꯑꯣꯒ꯭ꯔꯥꯐ) ꯑꯃꯥ ꯄꯥꯡꯊꯣꯀꯏ꯫ ꯃꯁꯤꯅꯥ ꯍꯥꯔꯇꯀꯤ ꯏꯂꯦꯛꯠꯔꯤꯀꯦꯜ ꯑꯦꯛꯇꯤꯚꯤꯇꯤ ꯑꯗꯨ ꯆꯦꯛ ꯇꯧꯏ꯫
ꯃꯁꯤꯒꯤ ꯃꯊꯛꯇꯥ,
`(ꯏꯀꯣꯀꯥꯔꯗꯤꯑꯣꯒ꯭ꯔꯥꯝ)` (ꯏꯀꯣꯀꯥꯔꯗꯤꯑꯣꯒ꯭ꯔꯥꯝ) ꯑꯁꯤ `(ꯑꯦꯑꯣꯔꯇꯤꯛ ꯚꯜꯌꯨ ꯗꯤꯖꯤꯖ)` ꯈꯪꯗꯣꯛꯅꯕꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯑꯃꯁꯨꯡ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯥ ꯇꯦꯁ꯭ꯇꯅꯤ꯫ ꯃꯁꯤꯅꯥ ꯍꯥꯔꯠ ꯑꯃꯁꯨꯡ ꯚꯜꯌꯨꯁꯤꯡꯒꯤ ꯂꯥꯏꯕ ꯄꯤꯀꯆꯔ ꯂꯧꯕꯗꯥ ꯍꯥꯏ-ꯐ꯭ꯔꯤꯛꯕꯦꯟꯁꯤ ꯁꯥꯎꯟꯗ ꯋꯦꯕ (`(ꯑꯂꯠꯔꯥꯁꯥꯎꯟꯗ)`) ꯁꯤꯖꯤꯟꯅꯩ꯫ ꯃꯁꯤꯅꯥ ꯚꯜꯌꯨꯝ ꯑꯗꯨ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯍꯥꯡꯗꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯊꯤꯡꯖꯤꯅꯕꯥ ꯍꯥꯌꯕꯁꯤꯗꯒꯤ ꯍꯧꯔꯒꯥ ꯏ ꯇꯨꯡꯁꯤꯅꯕꯥ ꯉꯃꯒꯗ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯐꯥꯎꯕꯥ ꯎꯠꯄꯥ ꯉꯝꯃꯤ꯫ ꯅꯍꯥꯛꯅꯥ ꯇꯧꯕꯥ ꯌꯥꯕꯥ ꯑꯇꯩ ꯇꯦꯁ꯭ꯇꯁꯤꯡ:
- ꯀꯥꯔꯗꯤꯌꯦꯛ ꯀꯦꯇꯦꯒꯣꯔꯤ (`(ꯀꯥꯔꯗꯤꯌꯦꯛ ꯀꯦꯇꯦꯒꯣꯔꯤ)`)꯫
- ꯍꯥꯔꯇꯀꯤ ꯁꯤ.ꯇꯤ.
- ꯆꯦꯁ꯭ꯠ ꯑꯦꯛꯁ-ꯔꯦ ꯑꯃꯥ꯫
- ꯀꯣꯔꯣꯅꯥꯔꯤ ꯑꯦꯟꯖꯤꯑꯣꯒ꯭ꯔꯥꯝ (`(ꯀꯣꯔꯣꯅꯥꯔꯤ ꯑꯦꯟꯖꯤꯑꯣꯒ꯭ꯔꯥꯝ)`) ꯑꯃꯥ꯫
- ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯁ꯭ꯠꯔꯦꯁ ꯇꯦꯁ꯭ꯠ (`(ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯁ꯭ꯠꯔꯦꯁ ꯇꯦꯁ꯭ꯠ)`)꯫
- ꯍꯥꯔꯇꯀꯤ ꯑꯦꯝ.ꯑꯥꯔ.ꯑꯥꯏ.
ꯂꯥꯏꯌꯦꯡ ꯑꯁꯤ ꯀꯔꯤꯅꯣ?
ꯂꯥꯏꯌꯦꯡ ꯑꯁꯤ ꯐꯦꯛꯇꯔ ꯀꯌꯥꯒꯤ ꯃꯈꯥ ꯄꯣꯜꯂꯤ, ꯃꯈꯣꯌ ꯑꯗꯨꯗꯤ ꯅꯍꯥꯛꯅꯥ ꯂꯩꯔꯤꯕꯥ ꯑꯦꯑꯣꯔꯇꯤꯛ ꯚꯜꯌꯨ ꯗꯤꯖꯤꯖꯒꯤ ꯃꯈꯜ (ꯁ꯭ꯇꯦꯅꯣꯁꯤꯁ, ꯔꯤꯒꯔꯖꯤꯇꯦꯁꯟ, ꯅꯠꯠꯔꯒꯥ ꯑꯅꯤꯃꯛ), ꯃꯁꯤ
ꯀꯌꯥ ꯌꯥꯝꯅꯥ ꯆꯥꯎꯈꯠꯂꯀꯄꯒꯦ (ꯁ꯭ꯇꯦꯖ), ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡꯒꯤ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯃꯑꯣꯡ ꯑꯁꯤꯅꯤ꯫ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯗꯨ ꯏꯚꯥꯜꯌꯨꯑꯦꯠ ꯇꯧꯒꯅꯤ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤꯗꯃꯛꯇꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯥ ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯄ꯭ꯂꯥꯟ ꯑꯗꯨ ꯔꯤꯀꯃꯦꯟꯗ ꯇꯧꯒꯅꯤ꯫ ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯑꯣꯄꯁꯅꯁꯤꯡꯗꯤ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯁꯤꯡꯁꯤ ꯌꯥꯎꯕꯥ ꯌꯥꯏ:
- ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ: ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯚꯜꯌꯨꯒꯤ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯑꯗꯨ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯐꯍꯅꯕꯥ ꯉꯃꯗꯦ꯫ ꯑꯗꯨꯕꯨ ꯃꯈꯣꯌꯅꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ, ꯅꯍꯥꯛꯀꯤ ꯊꯝꯃꯣꯌꯗꯥ ꯁꯣꯀꯍꯜꯂꯀꯄꯥ ꯍꯟꯊꯍꯅꯕꯥ ꯉꯝꯃꯤ ꯑꯃꯁꯨꯡ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡꯒꯤ ꯔꯤꯁ꯭ꯛ ꯍꯟꯊꯍꯅꯕꯥ ꯉꯝꯃꯤ꯫ ꯗꯣꯛꯇꯔ ꯑꯃꯅꯥ ꯍꯥꯔꯇꯀꯤ ꯂꯥꯌꯅꯥꯅꯥ ꯅꯥꯕꯥ ꯊꯤꯡꯅꯕꯥ, ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ ꯍꯟꯊꯍꯟꯅꯕꯥ, ꯀꯣꯂꯦꯁ꯭ꯇꯦꯔꯣꯜ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯅꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯍꯥꯔꯠ ꯐꯦꯜ ꯑꯣꯏꯕꯥ ꯂꯥꯏꯌꯦꯡꯅꯕꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ ꯄꯤꯕꯥ ꯌꯥꯏ꯫
- ꯚꯂꯚꯨꯂꯣꯞꯂꯥꯁ꯭ꯇꯤ: ꯃꯁꯤ ꯑꯆꯧꯕꯥ ꯏꯅꯁꯤꯁꯟ ꯑꯃꯥ ꯃꯊꯧ ꯇꯥꯗꯕꯥ ꯑꯄꯤꯀꯄꯥ ꯄ꯭ꯔꯣꯁꯤꯗ꯭ꯌꯨꯑꯣꯔ ꯑꯃꯅꯤ꯫ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡ ꯅꯠꯠꯔꯒꯥ ꯈꯨꯠꯁꯥꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯑꯄꯤꯀꯄꯥ ꯇꯤꯎꯕ ꯑꯃꯥ ꯊꯥꯗꯣꯀꯏ, ꯑꯃꯁꯨꯡ ꯇꯤꯎꯕ ꯑꯗꯨꯒꯤ ꯑꯔꯣꯏꯕꯗꯥ ꯂꯩꯕꯥ ꯕꯦꯂꯨꯟ ꯑꯃꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯄꯤꯀꯄꯥ ꯑꯦꯑꯣꯔꯇꯤꯛ ꯚꯜꯌꯨ ꯑꯗꯨ ꯄꯥꯀꯊꯣꯛ-ꯆꯥꯎꯊꯣꯀꯍꯟꯅꯕꯥ ꯁꯤꯖꯤꯟꯅꯩ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯦꯑꯣꯔꯇꯤꯛ ꯁ꯭ꯇꯦꯅꯣꯁꯤꯁ (aortic stenosis) ꯂꯩꯔꯕꯗꯤ, ꯃꯁꯤꯅꯥ ꯚꯜꯌꯨꯝ ꯑꯗꯨꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯏꯒꯤ ꯈꯣꯡꯖꯦꯜ ꯐꯒꯠꯍꯅꯕꯥ ꯉꯝꯃꯤ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯃꯁꯤ ꯑꯌꯥꯝꯕꯅꯥ ꯃꯇꯝ ꯈꯔꯒꯤ ꯑꯣꯏꯕꯥ ꯁꯣꯂꯨꯁꯟ ꯑꯃꯅꯤ꯫
- ꯍꯥꯔꯠ ꯚꯜꯌꯨ ꯁꯔꯖꯔꯤ: ꯄ꯭ꯔꯣꯁꯤꯗ꯭ꯌꯨꯑꯣꯔ ꯑꯁꯤꯗꯥ, ꯁꯔꯖꯔꯤ ꯑꯃꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯦꯑꯣꯔꯇꯤꯛ ꯚꯜꯌꯨ ꯑꯗꯨ ꯔꯤꯄꯦꯌꯥꯔ ꯇꯧꯒꯅꯤ ꯅꯠꯠꯔꯒꯥ ꯑꯅꯧꯕꯥ ꯑꯃꯅꯥ ꯃꯍꯨꯠ ꯁꯤꯅꯒꯅꯤ꯫ ꯑꯅꯧꯕꯥ ꯚꯜꯌꯨ ꯑꯁꯤ ꯇꯤꯁ꯭ꯌꯨ ꯚꯜꯌꯨ ꯅꯠꯠꯔꯒꯥ ꯙꯥꯇꯨꯅꯥ ꯁꯦꯝꯕꯥ ꯃꯦꯀꯥꯅꯤꯀꯦꯜ ꯍꯥꯔꯠ ꯚꯜꯌꯨ ꯑꯃꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯀꯣꯔꯣꯅꯥꯔꯤ ꯑꯥꯔꯇꯦꯔꯤ ꯕꯥꯏꯄꯥꯁ ꯒ꯭ꯔꯥꯐꯇꯤꯡ (CABG) ꯅꯠꯠꯔꯒꯥ ꯑꯇꯩ ꯍꯥꯔꯇꯀꯤ ꯁꯔꯖꯔꯤꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯚꯜꯌꯨ ꯁꯔꯖꯔꯤ ꯇꯧꯏ꯫
- ꯇ꯭ꯔꯥꯟꯁꯀꯦꯇꯦꯇꯔ ꯑꯦꯑꯣꯔꯇꯤꯛ ꯚꯜꯌꯨ ꯔꯤꯞꯂꯦꯁꯃꯦꯟꯇ (TAVR): TAVR ꯑꯁꯤ ꯇ꯭ꯔꯦꯗꯤꯁꯅꯦꯜ ꯑꯣꯄꯟ-ꯍꯥꯔꯠ ꯁꯔꯖꯔꯤꯒꯤ ꯃꯍꯨꯠꯇꯥ ꯑꯅꯧꯕꯥ, ꯃꯤꯅꯤꯃꯝ ꯏꯅꯚꯦꯁꯤꯚ ꯑꯣꯏꯕꯥ ꯑꯂꯇꯔꯅꯦꯇꯤꯚ ꯑꯃꯅꯤ꯫ ꯈꯣꯡꯗꯥ ꯑꯆꯧꯕꯥ ꯏꯅꯁꯤꯁꯟ ꯑꯃꯥ ꯁꯦꯝꯕꯒꯤ ꯃꯍꯨꯠꯇꯥ, ꯈꯣꯡꯗꯥ ꯂꯩꯕꯥ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯜ ꯑꯃꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯑꯄꯤꯀꯄꯥ ꯇꯤꯎꯕ ꯑꯃꯥ ꯊꯥꯗꯨꯅꯥ ꯍꯥꯔꯇꯇꯥ ꯑꯅꯧꯕꯥ ꯑꯦꯑꯣꯔꯇꯤꯛ ꯚꯜꯌꯨ ꯑꯃꯥ ꯊꯥꯗꯣꯀꯏ, ꯑꯃꯁꯨꯡ ꯑꯔꯤꯕꯥ ꯚꯜꯌꯨ ꯑꯗꯨ ꯃꯅꯨꯡꯗꯥ ꯆꯦꯠꯁꯤꯂꯍꯜꯂꯤ꯫
- ꯔꯣꯁ ꯄ꯭ꯔꯣꯁꯤꯗ꯭ꯌꯨꯑꯣꯔ: ꯃꯁꯤ ꯃꯔꯨꯑꯣꯏꯅꯥ ꯆꯍꯤ 60ꯒꯤ ꯃꯈꯥꯗꯥ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯗꯥ ꯑꯅꯧꯕꯥ ꯑꯦꯑꯣꯔꯇꯤꯛ ꯚꯜꯌꯨ ꯑꯃꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯄ꯭ꯔꯣꯁꯤꯗ꯭ꯌꯨꯑꯣꯔ ꯑꯃꯅꯤ, ꯁꯔꯖꯔꯤ ꯑꯃꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯦꯑꯣꯔꯇꯤꯛ ꯚꯜꯌꯨ ꯑꯗꯨ ꯅꯍꯥꯛꯀꯤ ꯏꯁꯥꯒꯤ ꯄꯂꯃꯣꯅꯥꯔꯤ ꯚꯜꯌꯨ (ꯍꯥꯔꯇꯇꯒꯤ ꯂꯪꯁꯇꯥ ꯏ ꯄꯨꯕꯥ ꯉꯝꯕꯥ ꯚꯜꯌꯨ) ꯑꯃꯅꯥ ꯃꯍꯨꯠ ꯁꯤꯜꯂꯤ, ꯑꯃꯁꯨꯡ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯂꯧꯊꯣꯀꯈꯤꯕꯥ ꯄꯂꯃꯣꯅꯥꯔꯤ ꯚꯜꯌꯨ ꯑꯗꯨ ꯗꯣꯅꯔ ꯄꯂꯃꯣꯅꯥꯔꯤ ꯚꯜꯌꯨ ꯑꯃꯅꯥ ꯃꯍꯨꯠ ꯁꯤꯜꯂꯤ꯫ ꯃꯁꯤ ꯈꯔꯥ ꯍꯦꯟꯅꯥ ꯂꯨꯝꯂꯕꯥ ꯊꯧꯑꯣꯡ ꯑꯃꯅꯤ꯫
ꯃꯁꯤꯗꯒꯤ ꯂꯥꯄꯊꯣꯛꯅꯕꯒꯤ ꯄꯥꯝꯕꯩ ꯂꯩꯕꯔꯥ?
ꯑꯦꯑꯣꯔꯇꯤꯛ ꯚꯜꯌꯨ ꯗꯤꯖꯤꯖ ꯑꯁꯤ ꯃꯇꯝ ꯄꯨꯝꯅꯃꯛꯇꯥ ꯂꯥꯀꯁꯤꯅꯕꯥ ꯉꯃꯗꯦ꯫ ꯃꯁꯤ ꯑꯌꯥꯝꯕꯗꯤ ꯑꯍꯜ ꯑꯣꯏꯔꯀꯄꯥ, ꯀꯣꯟꯖꯤꯅꯤꯑꯦꯜ ꯍꯥꯔꯠ ꯗꯤꯖꯤꯖ, ꯅꯠꯠꯔꯒꯥ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯗꯥ ꯋꯥꯕꯥ ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯂꯩꯔꯀꯄꯥ ꯃꯦꯗꯤꯀꯦꯜ ꯀꯟꯗꯤꯁꯅꯁꯤꯡꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯅꯍꯥꯛꯀꯤ ꯔꯤꯁ꯭ꯛ ꯍꯟꯊꯍꯟꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯍꯥꯔꯇꯀꯤ ꯚꯜꯌꯨꯁꯤꯡ ꯑꯗꯨ ꯌꯥꯔꯤꯕꯃꯈꯩ ꯍꯀꯁꯦꯜ ꯐꯅꯥ ꯊꯝꯅꯕꯒꯤꯗꯃꯛ ꯅꯍꯥꯛꯅꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯑꯁꯤ ꯇꯧꯕꯥ ꯌꯥꯏ:
- ꯇꯝꯕꯥ ꯉꯃꯗꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯔꯤꯛꯔꯤꯌꯦꯁꯅꯦꯜ ꯗ꯭ꯔꯒꯁꯤꯡ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯊꯤꯡꯖꯤꯜꯂꯨ꯫ ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯊꯝꯃꯣꯌꯒꯤꯗꯃꯛ ꯌꯥꯝꯅꯥ ꯐꯠꯇꯕꯅꯤ꯫
- ꯍꯞꯇꯥꯒꯤ ꯑꯌꯥꯝꯕꯥ ꯅꯨꯃꯤꯠꯁꯤꯡꯗꯥ ꯌꯥꯃꯗ꯭ꯔꯕꯗꯥ ꯃꯤꯅꯠ 30 ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯇꯧ꯫ ꯈꯣꯡꯅꯥ ꯆꯠꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯁꯥꯏꯀꯜ ꯊꯧꯕꯒꯨꯝꯕꯥ ꯏꯆꯝ ꯆꯝꯕꯥ ꯋꯥꯐꯝ ꯑꯃꯥ ꯐꯥꯑꯣꯕꯥ ꯐꯩ꯫
- ꯅꯍꯥꯛꯅꯥ ꯑꯅꯥꯕꯥ ꯂꯥꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯃꯔꯨꯑꯣꯏꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯁ꯭ꯠꯔꯦꯞ ꯊ꯭ꯔꯣꯇꯒꯨꯝꯕꯥ ꯕꯦꯛꯇꯦꯔꯤꯌꯥꯒꯤ ꯏꯅꯐꯦꯛꯁꯟ ꯑꯃꯥ ꯂꯩꯔꯕꯗꯤ, ꯈꯨꯗꯛꯇꯥ ꯗꯣꯛꯇꯔ ꯑꯃꯒꯥ ꯇꯥꯟꯅꯧ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯂꯥꯏꯌꯦꯡꯗ꯭ꯔꯕꯗꯤ, ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯔꯤꯌꯨꯃꯦꯇꯤꯛ ꯐꯤꯕꯔ ꯑꯣꯏꯔꯀꯄꯥ ꯌꯥꯏ ꯑꯃꯁꯨꯡ ꯍꯥꯔꯇꯀꯤ ꯚꯜꯌꯨꯁꯤꯡꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫
- ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯄꯤꯕꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ (ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯍꯥꯏ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ ꯅꯠꯠꯔꯒꯥ ꯀꯣꯂꯦꯁ꯭ꯇꯦꯔꯣꯂꯒꯤ ꯍꯤꯗꯥꯀꯁꯤꯡ) ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯑꯃꯁꯨꯡ ꯃꯇꯝ ꯆꯥꯅꯥ ꯂꯧ꯫
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯚꯜꯌꯨꯒꯤ ꯂꯥꯌꯅꯥ ꯑꯃꯥ ꯂꯥꯀꯄꯥ ꯇꯥꯔꯕꯗꯤ, ꯃꯗꯨ ꯊꯨꯅꯥ ꯂꯥꯏꯌꯦꯡꯕꯥ ꯉꯝꯅꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯆꯦꯀꯑꯞ ꯇꯧꯒꯗꯕꯅꯤ꯫ ꯃꯁꯤ ꯉꯟꯅꯥ ꯈꯉꯗꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯂꯥꯏꯌꯦꯡ ꯑꯁꯤ ꯍꯦꯟꯅꯥ ꯃꯥꯌ ꯄꯥꯀꯏ꯫
ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯍꯤꯡꯂꯤꯉꯩꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯀꯔꯤ ꯈꯪꯖꯤꯅꯒꯗꯒꯦ?
ꯅꯍꯥꯛꯅꯥ ꯑꯦꯑꯣꯔꯇꯤꯛ ꯚꯜꯌꯨ ꯗꯤꯖꯤꯖ ꯂꯩꯔꯦ ꯍꯥꯌꯅꯥ ꯈꯪꯂꯕꯥ ꯃꯇꯨꯡꯗꯥ, ꯃꯁꯤꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯀꯔꯝꯅꯥ ꯁꯣꯀꯍꯅꯒꯅꯤ ꯍꯥꯌꯕꯁꯤ ꯋꯥꯐꯝ ꯀꯌꯥꯒꯤ ꯃꯈꯥ ꯄꯣꯜꯂꯤ꯫ ꯃꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯀꯗꯥꯏꯗꯥ ꯂꯥꯏꯑꯣꯡ ꯈꯉꯗꯣꯀꯈꯤꯕꯒꯦ, ꯂꯥꯌꯅꯥ ꯑꯁꯤ
ꯀꯌꯥ ꯌꯥꯝꯅꯥ ꯆꯥꯎꯕꯒꯦ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯑꯄꯨꯅꯕꯥ ꯍꯀꯁꯦꯜ ꯑꯁꯤ ꯌꯥꯑꯣꯔꯤ꯫ ꯅꯍꯥꯛꯀꯤ ꯇꯨꯡꯒꯤ ꯐꯤꯕꯃꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯑꯃꯨꯛꯇꯪ ꯋꯥꯔꯤ ꯁꯥꯅꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫ ꯃꯈꯣꯌꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯂꯥꯏꯌꯦꯡꯕꯗꯥ ꯀꯔꯝꯅꯥ ꯔꯦꯁꯄꯣꯟꯁ ꯇꯧꯒꯅꯤ ꯑꯃꯁꯨꯡ ꯀꯔꯤ ꯉꯥꯏꯔꯤꯕꯒꯦ ꯍꯥꯌꯕꯒꯤ ꯃꯌꯦꯛ ꯁꯦꯡꯕꯥ ꯋꯥꯈꯜꯂꯣꯟ ꯑꯃꯥ ꯄꯤꯕꯥ ꯉꯃꯒꯅꯤ꯫ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯄꯨꯟꯁꯤ ꯃꯍꯤꯡꯗꯥ ꯑꯍꯣꯡꯕꯥ ꯄꯨꯔꯀꯄꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯅꯥ ꯅꯁꯥꯕꯨ ꯀꯔꯝꯅꯥ ꯌꯦꯡꯁꯤꯅꯕꯤꯒꯗꯒꯦ ꯍꯥꯌꯕꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯄꯥꯎꯇꯥꯛ ꯄꯤꯒꯅꯤ꯫ ꯏꯅꯁ꯭ꯠꯔꯛꯁꯅꯁꯤꯡ ꯑꯁꯤ ꯆꯦꯀꯁꯤꯟꯅꯥ ꯏꯅꯒꯗꯕꯅꯤ, ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯅꯥ ꯍꯪꯂꯀꯄꯥ ꯋꯥꯍꯪ ꯑꯃꯍꯦꯛꯇꯥ ꯍꯪꯕꯤꯌꯨ꯫ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯋꯥꯐꯃꯁꯤꯡ ꯑꯁꯤ ꯔꯤꯀꯃꯦꯟꯗ ꯇꯧꯕꯥ ꯌꯥꯏ:
- ꯊꯝꯃꯣꯌꯗꯥ ꯍꯀꯁꯦꯜ ꯐꯕꯥ ꯗꯥꯏꯠ ꯑꯃꯥ (ꯃꯦꯗꯤꯇꯦꯔꯦꯅꯤꯌꯟ ꯗꯥꯏꯇꯒꯨꯝꯅꯥ) ꯁꯤꯖꯤꯟꯅꯧ: ꯎꯍꯩ-ꯋꯥꯍꯩ, ꯃꯅꯥ-ꯃꯁꯤꯡ, ꯌꯦꯔꯨꯝ, ꯉꯥ, ꯑꯃꯁꯨꯡ ꯐꯤꯕꯔ ꯌꯥꯝꯅꯥ ꯌꯥꯎꯕꯥ ꯆꯤꯟꯖꯥꯀꯁꯤꯡ ꯍꯦꯟꯅꯥ ꯆꯥꯒꯗꯕꯅꯤ꯫ ꯂꯣꯟ, ꯆꯤꯅꯤ ꯑꯃꯁꯨꯡ ꯊꯥꯎ ꯍꯟꯊꯍꯅꯒꯗꯕꯅꯤ꯫
- ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯇꯧꯕꯥ: ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯅꯍꯥꯛꯀꯤ ꯑꯦꯑꯣꯔꯇꯤꯛ ꯚꯜꯌꯨ ꯗꯤꯖꯤꯖꯒꯤ ꯃꯑꯣꯡ-ꯃꯇꯧ ꯑꯗꯨꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ, ꯅꯍꯥꯛꯅꯥ ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯇꯧꯕꯒꯤ ꯑꯊꯤꯡꯕꯥ ꯂꯩꯕꯥ ꯌꯥꯏ꯫ ꯅꯍꯥꯛꯅꯥ ꯀꯔꯤ ꯇꯧꯒꯗꯒꯦ ꯑꯃꯁꯨꯡ ꯀꯔꯤ ꯇꯧꯔꯣꯏꯗꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯍꯪꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫
- ꯃꯩꯈꯨ ꯊꯥꯗꯣꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯇꯩ ꯊꯛꯅꯕꯥ ꯏꯁꯤꯡꯒꯤ ꯄꯣꯠꯊꯣꯀꯁꯤꯡ ꯁꯤꯖꯤꯟꯅꯕꯥ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯊꯤꯡꯖꯤꯜꯂꯨ꯫
- ꯍꯥꯔꯠ ꯚꯜꯌꯨ ꯏꯅꯐꯦꯛꯁꯅꯁꯤꯡ (endocarditis) ꯊꯤꯡꯅꯕꯒꯤꯗꯃꯛ, ꯅꯍꯥꯛꯀꯤ ꯍꯥꯀꯆꯥꯡ ꯑꯃꯁꯨꯡ ꯈꯣꯡꯗꯥ ꯌꯥꯝꯅꯥ ꯐꯖꯅꯥ ꯌꯦꯡꯁꯤꯅꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ: ꯅꯍꯥꯛꯀꯤ ꯍꯥꯀꯆꯥꯡ ꯑꯗꯨ ꯅꯨꯃꯤꯠ ꯈꯨꯗꯤꯡꯒꯤ ꯕ꯭ꯔꯁ ꯇꯧꯕꯥ ꯑꯃꯁꯨꯡ ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯗꯦꯟꯇꯤꯁ꯭ꯠ ꯑꯃꯒꯥ ꯇꯥꯟꯅꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫
ꯑꯩꯅꯥ ꯀꯗꯥꯌꯗꯥ ꯗꯣꯛꯇꯔꯒꯥ ꯎꯅꯒꯗꯒꯦ?
ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯀꯌꯥ ꯌꯥꯝꯅꯥ ꯌꯦꯡꯁꯤꯅꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯈꯪꯍꯜꯂꯛꯀꯅꯤ꯫
ꯅꯍꯥꯛꯀꯤ ꯑꯦꯄꯣꯏꯟꯇꯃꯦꯟꯇ ꯄꯨꯝꯅꯃꯛ ꯊꯝꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯥꯔꯠ ꯑꯃꯁꯨꯡ ꯚꯜꯌꯨꯒꯤ ꯐꯉ꯭ꯀꯁꯟ ꯑꯗꯨ ꯌꯦꯡꯁꯤꯟꯅꯕꯥ ꯏꯀꯣꯀꯥꯔꯗꯤꯑꯣꯒ꯭ꯔꯥꯐꯒꯨꯝꯕꯥ ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯇꯦꯁ꯭ꯠ ꯇꯧꯒꯅꯤ꯫ ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯑꯁꯤꯅꯥ
ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯃꯇꯤꯛ ꯆꯥꯕꯥ ꯂꯥꯏꯌꯦꯡ ꯔꯤꯀꯃꯦꯟꯗ ꯇꯧꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯒꯅꯤ ꯑꯃꯁꯨꯡ ꯇꯨꯡꯗꯥ ꯂꯥꯛꯀꯗꯕꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡꯒꯤ ꯔꯤꯁ꯭ꯛ ꯍꯟꯊꯍꯅꯕꯥ ꯉꯃꯒꯅꯤ꯫
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ :- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ (ꯈꯨꯠꯂꯥꯏ ꯄꯥꯌꯕꯥ, ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ) ꯑꯁꯤ ꯍꯦꯟꯅꯥ ꯐꯠꯆꯤꯜꯂꯛꯂꯕꯗꯤ꯫
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯅꯧꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯂꯥꯀꯄꯥ ꯇꯥꯔꯕꯗꯤ꯫
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡꯗꯒꯤ ꯁꯥꯏꯗ ꯏꯐꯦꯛꯇ ꯂꯩꯔꯕꯗꯤ꯫
ꯅꯍꯥꯛꯅꯥ ꯀꯗꯥꯏꯗꯥ ꯏꯃꯔꯖꯦꯟꯁꯤ ꯔꯨꯃꯗꯥ ꯆꯠꯀꯗꯒꯦ?
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯊꯧꯗꯣꯛ ꯑꯃꯥ ꯊꯣꯛꯂꯕꯗꯤ
, ꯈꯨꯗꯛꯇꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯅꯀꯄꯥ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯂꯒꯤ ꯏꯃꯔꯖꯦꯟꯁꯤ ꯔꯨꯃꯗꯥ ꯆꯠꯂꯨ, ꯅꯠꯠꯔꯒꯥ 1990ꯗꯥ ꯐꯣꯟ ꯇꯧꯕꯤꯌꯨ:- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯋꯥꯈꯜ ꯃꯥꯡꯈꯤꯕꯥ ꯇꯥꯔꯕꯗꯤ ꯑꯐꯕꯥ ꯑꯣꯏꯒꯅꯤ꯫
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯏ ꯊꯤꯡꯖꯤꯅꯕꯥ ꯍꯤꯗꯥꯀꯁꯤꯡ (ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯋꯥꯔꯐꯦꯔꯤꯟ, ꯑꯦꯁ꯭ꯄꯤꯔꯤꯟ) ꯂꯧꯔꯤꯉꯩꯗꯥ ꯁꯣꯀꯄꯥ ꯇꯥꯔꯕꯗꯤ꯫ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯁꯣꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯛꯂꯕꯗꯤ ꯃꯅꯨꯡꯒꯤ ꯑꯣꯏꯕꯥ ꯏ ꯊꯣꯀꯄꯒꯤ ꯔꯤꯁ꯭ꯛ ꯍꯦꯅꯒꯠꯍꯜꯂꯤ꯫
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯁꯔꯖꯔꯤ ꯅꯠꯠꯔꯒꯥ ꯄ꯭ꯔꯣꯁꯤꯗ꯭ꯌꯨꯑꯣꯔ ꯑꯃꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯁꯣꯀꯄꯥ (redness, swelling, fever, foul-smelling pus) ꯏꯅꯐꯦꯛꯁꯅꯒꯤ ꯈꯨꯗꯃꯁꯤꯡ ꯂꯩꯔꯕꯗꯤ꯫
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯍꯥꯔꯠ ꯑꯦꯇꯦꯛ ꯑꯃꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯂꯩꯔꯕꯗꯤ (`(ꯍꯥꯔꯠ ꯑꯦꯇꯦꯛ ꯑꯃꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ)`): ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯆꯦꯛꯁꯤꯟ-ꯊꯧꯔꯥꯡ, ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ, ꯂꯦꯡ-ꯑꯣꯠꯄꯗꯥ ꯔꯦꯗꯤꯑꯦꯠ ꯇꯧꯕꯥ, ꯈꯣꯡ-ꯈꯨꯠ, ꯈꯣꯡ-ꯈꯨꯠ ꯁꯣꯛ-ꯄꯅꯕꯥ, ꯋꯥꯈꯜ ꯆꯔꯥꯡꯅꯕꯥ, ꯋꯥꯈꯜ ꯆꯔꯥꯡꯅꯕꯥ꯫
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯈꯪꯍꯧꯗꯅꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯗꯥ ꯌꯥꯝꯅꯥ ꯋꯥꯅꯥ ꯊꯣꯛꯂꯕꯗꯤ꯫
- ꯁ꯭ꯠꯔꯣꯛ ꯑꯃꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯁꯤꯡꯁꯤ ꯌꯥꯎꯏ: ꯍꯀꯆꯥꯡꯒꯤ ꯃꯄꯥꯟꯊꯪꯕꯥ ꯃꯔꯣꯜ ꯑꯃꯗꯥ ꯁꯣꯟꯊꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯁꯣꯟꯊꯕꯥ, ꯋꯥ ꯉꯥꯡꯕꯥ ꯉꯃꯗꯕꯥ, ꯃꯥꯌꯒꯤ ꯅꯥꯀꯜ ꯑꯃꯗꯥ ꯂꯦꯡ-ꯑꯣꯠꯄꯥ, ꯈꯪꯍꯧꯗꯅꯥ ꯃꯤꯠ ꯎꯗꯕꯥ, ꯑꯃꯁꯨꯡ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯅꯥ ꯃꯀꯣꯛ ꯁꯣꯀꯄꯥ꯫
ꯅꯍꯥꯛꯅꯥ ꯑꯦꯑꯣꯔꯇꯤꯛ ꯚꯜꯌꯨ ꯗꯤꯖꯤꯖ ꯂꯩꯔꯦ ꯍꯥꯌꯕꯥ ꯈꯪꯗꯣꯀꯄꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯑꯃꯁꯨꯡ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫ ꯃꯗꯨ ꯅꯣꯔꯃꯦꯂꯅꯤ꯫ ꯑꯗꯨꯕꯨ ꯅꯨꯡꯉꯥꯏꯕꯥ ꯄꯥꯎ ꯑꯃꯗꯤ ꯉꯁꯤꯒꯤ ꯑꯍꯣꯡꯕꯥ ꯂꯥꯌꯦꯡꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯗꯨ ꯌꯥꯝꯅꯥ ꯍꯟꯊꯍꯅꯕꯥ ꯉꯃꯒꯅꯤ, ꯈꯨꯗꯣꯡꯆꯥꯗꯕꯁꯤꯡꯒꯤ ꯈꯨꯗꯣꯡꯊꯤꯕꯥ ꯍꯟꯊꯍꯅꯕꯥ ꯉꯃꯒꯅꯤ ꯑꯃꯁꯨꯡ ꯍꯀꯆꯥꯡ ꯐꯕꯥ, ꯑꯦꯛꯇꯤꯕ ꯑꯣꯏꯕꯥ ꯄꯨꯟꯁꯤ ꯑꯃꯥ ꯍꯤꯡꯕꯥ ꯉꯃꯒꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯇꯨꯡꯒꯤ ꯐꯤꯕꯃꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯐꯥꯑꯣꯔꯕꯗꯤ, ꯍꯥꯔꯠ ꯚꯜꯌꯨ ꯗꯤꯖꯤꯖ ꯂꯩꯕꯥ ꯑꯇꯩ ꯃꯤꯑꯣꯏꯁꯤꯡꯒꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯕꯅꯥ ꯑꯃꯁꯨꯡ ꯁꯄꯣꯔꯠ ꯒ꯭ꯔꯨꯄꯁꯤꯡꯗꯥ ꯌꯥꯎꯍꯅꯕꯅꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯒꯅꯤ꯫ ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯍꯪꯕꯤꯌꯨ꯫
ꯑꯗꯨꯅꯥ, ꯋꯥꯔꯤ ꯑꯁꯤꯗꯒꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯌꯨꯃꯗꯥ ꯄꯨꯔꯀꯄꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯋꯥꯐꯃꯁꯤꯡ ꯀꯔꯤꯅꯣ?
ꯑꯦꯑꯣꯔꯇꯤꯛ ꯚꯜꯌꯨ ꯗꯤꯖꯤꯖ ꯍꯥꯌꯕꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯊꯝꯃꯣꯌꯗꯥ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯚꯜꯌꯨ ꯑꯃꯗꯥ ꯁꯣꯀꯍꯜꯂꯤꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ ꯑꯃꯁꯨꯡ ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯕꯨ
ꯀꯥꯑꯣꯔꯣꯏꯗꯕꯅꯤ ꯃꯗꯨꯗꯤ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯁꯤ ꯇꯣꯌꯅꯥ ꯈꯉꯂꯕꯗꯤ, ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯃꯇꯤꯛ ꯆꯥꯕꯥ ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯄꯥꯎꯇꯥꯛ ꯄꯤꯔꯕꯗꯤ, ꯑꯃꯁꯨꯡ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯂꯥꯌꯦꯡꯂꯕꯗꯤ ꯃꯗꯨ ꯌꯥꯝꯅꯥ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯥ ꯉꯃꯒꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯥꯏꯑꯣꯡ ꯑꯃꯠꯇꯥ ꯂꯩꯔꯕꯗꯤ, ꯃꯔꯨꯑꯣꯏꯅꯥ ꯈꯣꯡꯗꯥ ꯁꯣꯀꯄꯥ, ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ, ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯋꯥꯈꯜ ꯃꯥꯡꯈꯤꯕꯥ ꯑꯣꯏꯔꯕꯗꯤ, ꯃꯁꯤ "ꯑꯇꯣꯞꯄꯥ ꯋꯥꯐꯝ ꯑꯃꯈꯛꯇꯅꯤ" ꯍꯥꯌꯅꯥ ꯈꯟꯗꯨꯅꯥ ꯌꯦꯡꯁꯤꯜꯂꯣꯏꯗꯕꯅꯤ꯫ ꯈꯨꯗꯛꯇꯥ ꯗꯣꯛꯇꯔ ꯑꯃꯒꯥ ꯇꯥꯟꯅꯧ ꯑꯃꯁꯨꯡ ꯄꯥꯎꯇꯥꯛ ꯂꯧ꯫ ꯅꯤꯡꯁꯤꯡꯕꯤꯌꯨ, ꯅꯍꯥꯛꯀꯤ ꯊꯝꯃꯣꯌꯕꯨ ꯌꯦꯡꯁꯤꯅꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯅꯍꯥꯛꯅꯥ ꯅꯍꯥꯛꯀꯤꯗꯃꯛꯇꯥ ꯇꯧꯕꯥ ꯌꯥꯕꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯆꯥꯎꯕꯥ ꯃꯇꯦꯡꯅꯤ! ꯍꯀꯆꯥꯡ ꯐꯕꯥ ꯊꯝꯃꯣꯌ ꯍꯥꯌꯕꯁꯤ ꯍꯀꯆꯥꯡ ꯐꯕꯥ ꯄꯨꯟꯁꯤ ꯑꯃꯥ ꯍꯥꯌꯕꯅꯤ꯫
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