ꯅꯍꯥꯛꯀꯤ ꯍꯥꯔꯇꯀꯤ ꯚꯜꯌꯨ ꯑꯗꯨ ꯕ꯭ꯂꯣꯛ ꯇꯧꯕ꯭ꯔꯥ? (ꯑꯦꯑꯣꯔꯇꯤꯛ ꯁ꯭ꯇꯦꯅꯣꯁꯤꯁ)ꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯁꯤ!

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ, ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯐꯥꯎꯕ꯭ꯔꯥ? ꯅꯠꯠꯔꯒꯥ ꯈꯪꯍꯧꯗꯅꯥ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯐꯥꯎꯕ꯭ꯔꯥ? ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯍꯥꯔꯇꯇꯥ ꯂꯩꯕꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯚꯜꯌꯨ ꯑꯃꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯥ ꯑꯣꯏꯔꯤꯕꯥ ꯑꯦꯑꯣꯔꯇꯤꯛ ꯚꯜꯌꯨ (aortic valve) ꯑꯗꯨ ꯀꯨꯄꯁꯤꯅꯕꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤꯕꯨ ꯑꯦꯑꯣꯔꯇꯤꯛ ꯁ꯭ꯇꯦꯅꯣꯁꯤꯁ ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ ꯃꯁꯤ ꯑꯣꯏꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯍꯥꯔꯇꯅꯥ ꯍꯀꯆꯥꯡꯒꯤ ꯑꯇꯩ ꯃꯐꯃꯁꯤꯡꯗꯥ ꯏ ꯊꯥꯗꯣꯀꯄꯗꯥ ꯑꯋꯥꯕꯥ ꯑꯣꯏꯔꯀꯏ꯫ ꯍꯀꯆꯥꯡꯗꯥ ꯑꯣꯛꯁꯤꯖꯦꯟ ꯃꯔꯥꯡ ꯀꯥꯌꯅꯥ ꯐꯪꯗꯦ꯫ ꯃꯁꯤ ꯅꯍꯥꯛꯅꯥ ꯉꯥꯏꯗꯨꯅꯥ ꯂꯩꯕꯥ ꯌꯥꯕꯥ ꯋꯥꯐꯝ ꯅꯠꯇꯦ, ꯃꯔꯃꯗꯤ ꯃꯁꯤꯅꯥ ꯊꯝꯃꯣꯌꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ, ꯍꯀꯁꯦꯂꯒꯤ ꯑꯆꯧꯕꯥ ꯁꯃꯁ꯭ꯌꯥꯁꯤꯡ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ ꯑꯃꯁꯨꯡ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯄꯨꯟꯁꯤꯗꯥ ꯈꯨꯗꯣꯡꯊꯤꯕꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫

ꯑꯗꯨꯅꯥ ꯃꯁꯤ `(ꯑꯦꯑꯣꯔꯇꯤꯛ ꯁ꯭ꯇꯦꯅꯣꯁꯤꯁ)` ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ?

ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯊꯝꯃꯣꯌ ꯑꯁꯤ ꯑꯄꯤꯀꯄꯥ ꯌꯨꯝ ꯑꯃꯒꯨꯝꯕꯅꯤ, ꯃꯁꯤꯗꯥ ꯆꯦꯝꯕꯔ ꯃꯔꯤ ꯂꯩ꯫ ꯊꯝꯃꯣꯌꯗꯒꯤ ꯏ ꯊꯣꯀꯄꯥ ꯆꯦꯝꯕꯔꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯔꯛꯇꯥ ꯊꯣꯡꯅꯥꯑꯣꯒꯨꯝꯕꯥ ꯁꯔꯨꯀꯁꯤꯡ ꯂꯩ꯫ ꯑꯩꯈꯣꯌꯅꯥ ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤꯕꯨ ꯍꯥꯔꯠ ꯚꯜꯌꯨ ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ ꯚꯜꯌꯨ ꯃꯔꯤ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯕꯨ ꯑꯦꯑꯣꯔꯇꯤꯛ ꯚꯜꯌꯨ ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ ꯃꯁꯤꯅꯥ ꯊꯝꯃꯣꯌꯗꯒꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯑꯇꯩ ꯃꯐꯃꯁꯤꯡꯗꯥ ꯏ ꯆꯦꯅꯕꯥ ꯑꯔꯣꯏꯕꯥ ꯒꯦꯇꯅꯤ꯫ ꯒꯦꯇꯀꯤꯄꯥꯔ ꯑꯃꯒꯨꯝꯅꯥ, ꯒꯦꯠ ꯑꯁꯤꯅꯥ ꯃꯥꯌꯀꯩ ꯑꯃꯈꯛꯇꯗꯥ ꯏ ꯆꯦꯅꯕꯥ ꯌꯥꯍꯜꯂꯤ ꯑꯃꯁꯨꯡ ꯃꯗꯨ ꯊꯝꯃꯣꯌꯗꯥ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯆꯦꯅꯕꯥ ꯊꯤꯡꯏ꯫ ꯃꯁꯤꯒꯤ ꯑꯦꯑꯣꯔꯇꯤꯛ ꯚꯜꯌꯨ ꯑꯁꯤ ꯑꯄꯤꯀꯄꯥ ꯐ꯭ꯂꯦꯞ (leaflets) ꯑꯍꯨꯝ ꯂꯩ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯐ꯭ꯂꯦꯄꯁꯤꯡ ꯑꯁꯤ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯍꯥꯡꯗꯣꯀꯄꯥ ꯉꯃꯗ꯭ꯔꯕꯗꯤ ꯑꯃꯁꯨꯡ ꯕ꯭ꯂꯣꯛ ꯇꯧꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯀꯨꯄꯁꯤꯜꯂꯕꯥ ꯑꯣꯏꯔꯕꯗꯤ, ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯑꯦꯑꯣꯔꯇꯤꯛ ꯁ꯭ꯇꯦꯅꯣꯁꯤꯁ ꯀꯧꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯥ ꯊꯣꯀꯏ꯫

ꯃꯔꯛꯇꯥ ꯆꯦꯟꯊꯔꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯏꯁꯤꯡ ꯇꯨꯡꯁꯤꯅꯕꯥ ꯉꯃꯗꯕꯥ ꯏꯁꯤꯡꯒꯤ ꯄꯥꯏꯞ ꯑꯃꯒꯨꯝꯅꯥ ꯈꯅꯕꯤꯌꯨ꯫ ꯑꯦꯟꯠꯔꯥꯟꯁ ꯑꯁꯤꯒꯤ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯑꯃꯥ ꯇꯥꯕꯥ ꯃꯇꯃꯗꯥ ꯈꯔꯥ ꯂꯥꯡꯇꯛꯅꯕꯥ ꯐꯥꯎꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯅꯣꯔꯃꯦꯂꯅꯤ꯫ ꯑꯗꯨꯕꯨ ꯍꯧꯖꯤꯛꯇꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯂꯥꯌꯦꯡꯅꯕꯥ ꯑꯍꯣꯡꯕꯥ ꯄꯥꯝꯕꯩ ꯀꯌꯥ ꯂꯩꯔꯦ , ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯂꯩꯇꯦ꯫

ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯀꯌꯥꯝ ꯀꯃꯟ ꯑꯣꯏꯕꯒꯦ (Aortic Stenosis)?

`(Aortic Stenosis)` ꯀꯧꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯇꯁꯦꯡꯕꯗꯤ ꯆꯍꯤ 65ꯒꯤ ꯃꯊꯛꯇꯥ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯗꯥ ꯌꯥꯝꯅꯥ ꯀꯃꯟ ꯑꯣꯏ, ꯑꯗꯨꯕꯨ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯋꯥꯐꯝ ꯑꯃꯅꯥ, ꯃꯤꯑꯣꯏ ꯀꯌꯥꯅꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯑꯣꯏꯗ꯭ꯔꯤꯐꯥꯎꯕꯥ ꯃꯈꯣꯌꯗꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯂꯩ ꯍꯥꯌꯕꯁꯤ ꯈꯪꯗꯦ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯃꯁꯤ ꯑꯇꯣꯞꯄꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯒꯤꯗꯃꯛ ꯇꯧꯕꯥ ꯇꯦꯁ꯭ꯇꯁꯤꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯈꯪꯗꯣꯀꯏ꯫ ꯂꯥꯌꯅꯥ ꯈꯔꯗꯤ ꯃꯌꯥꯏ ꯑꯣꯏꯕꯥ ꯆꯍꯤꯗꯥ, ꯆꯥꯎꯔꯥꯛꯅꯥ ꯆꯍꯤ 40-50 ꯐꯥꯎꯕꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ, ꯃꯁꯤꯒꯤ `(Aortic Valve Stenosis)` ꯑꯁꯤ ꯅꯍꯥ ꯑꯣꯏꯔꯤꯕꯥ ꯑꯉꯥꯡꯁꯤꯡꯗꯁꯨ ``ꯀꯣꯟꯖꯤꯅꯤꯑꯦꯜ ꯀꯟꯗꯤꯁꯟ`` ꯑꯃꯥ ꯑꯣꯏꯅꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫

ꯃꯁꯤꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯤꯅꯣ?

ꯑꯦꯑꯣꯔꯇꯤꯛ ꯁ꯭ꯇꯦꯅꯣꯁꯤꯁꯅꯥ ꯅꯥꯕꯥ ꯃꯤꯑꯣꯏ ꯈꯨꯗꯤꯡꯃꯛꯇꯥ ꯈꯨꯗꯛꯇꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯎꯕꯥ ꯐꯪꯂꯣꯏ꯫ ꯃꯤꯑꯣꯏ ꯈꯔꯅꯥ ꯆꯍꯤ ꯀꯌꯥꯗꯒꯤ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯃꯠꯇꯥ ꯈꯉꯂꯃꯗꯕꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯕꯨ ꯀꯟꯗꯤꯁꯟ ꯑꯗꯨ ꯍꯦꯟꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯃꯇꯃꯗꯥ, ꯑꯁꯤꯒꯨꯝꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯂꯥꯀꯄꯥ ꯌꯥꯏ:

• ꯌꯥꯝꯅꯥ ꯋꯥꯅꯥ ꯋꯥꯈꯜ ꯇꯥꯕꯥ: ꯅꯍꯥꯛꯅꯥ ꯃꯍꯧꯁꯥꯒꯤ ꯑꯣꯏꯕꯥ ꯊꯕꯀꯁꯤꯡ ꯐꯥꯎꯕꯥ ꯇꯧꯕꯥ ꯉꯃꯗꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯐꯥꯎꯕꯥ ꯌꯥꯏ꯫
• ꯄꯥꯂꯄꯤꯇꯦꯁꯟ (Palpitations): ꯅꯍꯥꯛꯀꯤ ꯊꯝꯃꯣꯌꯅꯥ ꯁꯣꯀꯄꯥ ꯇꯥꯕꯥ ꯌꯥꯏ, ꯅꯠꯠꯔꯒꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯗꯨ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯌꯥꯡꯅꯥ ꯆꯦꯅꯕꯥ ꯐꯥꯎꯕꯥ ꯌꯥꯏ, ꯅꯠꯠꯔꯒꯥ ꯅꯍꯥꯛꯀꯤ ꯊꯝꯃꯣꯌꯗꯥ ꯁꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯑꯩꯈꯣꯌꯅꯥ ꯃꯁꯤꯕꯨ ``ꯄꯥꯂꯄꯤꯇꯦꯁꯟ'' ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫
• ꯈꯣꯡ ꯑꯃꯁꯨꯡ ꯈꯣꯡꯄꯥꯛ ꯁꯣꯛ-ꯄꯅꯕꯥ: ꯈꯣꯡꯒꯤ ꯃꯈꯥ ꯊꯪꯕꯥ ꯁꯔꯨꯀꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯈꯣꯡꯒꯤ ꯑꯀꯣꯌꯕꯗꯥ ꯁꯣꯀꯄꯥ ꯌꯥꯏ꯫
• ꯆꯦꯁ꯭ꯠ ꯄꯦꯏꯟ: ꯃꯁꯤꯕꯨ `(ꯑꯦꯟꯖꯤꯅꯥ)` ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ ꯃꯁꯤ ꯈꯣꯡꯗꯥ ꯆꯤꯀꯄꯥ, ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯁꯣꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯌꯥꯝꯅꯥ ꯂꯨꯕꯥ (heaviness) ꯑꯃꯒꯨꯝꯅꯥ ꯐꯥꯎꯕꯥ ꯌꯥꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯑꯅꯥꯕꯥ ꯑꯁꯤ ꯈꯣꯡ, ꯈꯣꯡ, ꯂꯦꯡ-ꯑꯣꯠꯄꯗꯥ ꯅꯠꯠꯔꯒꯥ ꯈꯣꯡꯒꯤ ꯅꯥꯀꯂꯗꯥ ꯐꯥꯎꯕꯥ ꯔꯦꯗꯤꯑꯦꯠ ꯇꯧꯕꯥ ꯌꯥꯏ꯫
• ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ: ꯅꯍꯥꯛꯅꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯗꯥ ꯑꯋꯥꯕꯥ ꯃꯥꯌꯣꯛꯅꯔꯀꯄꯥ ꯌꯥꯏ, ꯃꯔꯨꯑꯣꯏꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯈꯔꯥ ꯋꯥꯈꯜ ꯇꯥꯕꯥ ꯃꯇꯃꯗꯥ, ꯅꯠꯠꯔꯒꯥ ꯅꯍꯥꯛꯅꯥ ꯅꯨꯡꯉꯥꯏꯅꯥ ꯂꯩꯕꯥ ꯃꯇꯃꯗꯁꯨ꯫
• ꯃꯤꯠ ꯎꯏꯁꯤꯅꯕꯥ, ꯃꯁꯥ ꯃꯊꯟꯇꯥ ꯋꯥꯈꯜ ꯇꯥꯗꯕꯥ: ꯅꯍꯥꯛꯅꯥ ꯃꯃꯤꯠ ꯇꯥꯡꯕꯥ ꯐꯥꯎꯕꯥ ꯌꯥꯏ, ꯅꯍꯥꯛꯀꯤ ꯃꯤꯠ ꯎꯗꯕꯥ ꯌꯥꯏ, ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯅꯥ ꯋꯥꯈꯜ ꯇꯥꯗꯕꯥ ꯐꯥꯎꯕꯥ ꯌꯥꯏ꯫

ꯅꯤꯡꯁꯤꯡꯕꯤꯌꯨ, ꯅꯍꯥꯛꯅꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯂꯩꯕꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯦꯑꯣꯔꯇꯤꯛ ꯁ꯭ꯇꯦꯅꯣꯁꯤꯁ ꯂꯩꯔꯦ ꯍꯥꯌꯕꯥ ꯇꯥꯀꯄꯥ ꯅꯠꯇꯦ꯫ ꯑꯗꯨꯕꯨ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯈꯣꯌ ꯑꯁꯤ ꯃꯈꯥ ꯇꯥꯅꯥ ꯂꯩꯔꯕꯗꯤ ꯅꯍꯥꯛꯅꯥ ꯁꯣꯌꯗꯅꯥ ꯗꯣꯛꯇꯔ ꯑꯃꯒꯥ ꯇꯥꯟꯅꯒꯗꯕꯅꯤ . ꯅꯍꯥꯛꯀꯤ ꯄ꯭ꯔꯥꯏꯃꯥꯔꯤ ꯀꯦꯌꯔ ꯄ꯭ꯔꯣꯚꯥꯏꯗꯔ ꯑꯗꯨꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯀꯥꯔꯗꯤꯑꯣꯂꯣꯖꯤꯁ꯭ꯠ ꯑꯃꯗꯥ ꯔꯤꯐꯔ ꯇꯧꯕꯥ ꯌꯥꯏ꯫

ꯂꯥꯌꯅꯥ ꯑꯁꯤ ꯀꯌꯥ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯑꯣꯏꯔꯀꯄꯥ ꯌꯥꯕꯒꯦ?

ꯃꯁꯤ ꯃꯤꯄꯨꯝ ꯈꯨꯗꯤꯡꯃꯛꯀꯤ ꯑꯣꯏꯅꯥ ꯇꯣꯉꯥꯜꯂꯤ꯫ ꯃꯤꯑꯣꯏ ꯈꯔꯒꯤ ꯑꯣꯏꯅꯗꯤ, ꯃꯁꯤꯒꯤ `(Aortic Valve Stenosis)` ꯑꯁꯤ ꯇꯞꯅꯥ ꯇꯞꯅꯥ, ꯆꯍꯤ ꯀꯌꯥꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯍꯦꯟꯅꯥ ꯐꯠꯆꯤꯜꯂꯀꯏ꯫ ꯑꯇꯣꯞꯄꯁꯤꯡꯒꯤ ꯑꯣꯏꯅꯗꯤ, ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ, ꯊꯥ ꯈꯔꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯐꯥꯎꯕꯥ ꯍꯦꯟꯅꯥ ꯐꯠꯆꯤꯜꯂꯛꯇꯕꯥ ꯌꯥꯏ꯫ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯋꯥꯐꯃꯗꯤ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯥꯏꯌꯦꯡꯕꯗꯥ ꯊꯦꯡꯊꯔꯕꯗꯤ ꯅꯍꯥꯛꯀꯤ ꯊꯝꯃꯣꯌꯗꯥ ꯁꯣꯀꯍꯜꯂꯕꯥ ꯑꯗꯨ ꯁꯦꯃꯖꯤꯅꯕꯥ ꯉꯃꯗꯕꯥ ꯌꯥꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯁꯥꯊꯤꯕꯥ `(Aortic Stenosis)` ꯂꯩꯔꯕꯗꯤ, ꯈꯪꯍꯧꯗꯅꯥ ꯀꯥꯔꯗꯤꯌꯦꯛ ꯁꯤꯕꯒꯤ ꯔꯤꯁ꯭ꯛ ꯂꯩ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯂꯥꯏꯑꯣꯡ ꯎꯠꯇꯕꯥ ꯇꯥꯔꯕꯗꯤ ꯂꯥꯏꯌꯦꯡꯕꯗꯥ ꯊꯦꯡꯊꯍꯜꯂꯣꯏꯗꯕꯅꯤ ꯍꯥꯌꯅꯥ ꯍꯥꯌꯒꯅꯤ꯫

ꯃꯁꯤ ꯀꯔꯤꯒꯤꯗꯃꯛꯇꯥ `(Aortic Stenosis)` ꯊꯣꯛꯂꯤꯕꯅꯣ? ꯃꯔꯃꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?

ꯑꯍꯜ ꯑꯣꯏꯔꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯗꯥ ꯑꯦꯑꯣꯔꯇꯤꯛ ꯁ꯭ꯇꯦꯅꯣꯁꯤꯁ ꯂꯥꯀꯄꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯔꯝ ꯑꯍꯨꯝ ꯂꯩ:

1. ꯆꯍꯤꯒꯥ ꯃꯔꯤ ꯂꯩꯅꯕꯥ ꯗꯤꯖꯦꯅꯦꯔꯦꯁꯟ: ꯃꯁꯤꯅꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯃꯔꯃꯅꯤ꯫ ꯃꯇꯃꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ, ꯏꯁꯤꯡꯒꯤ ꯄꯥꯏꯄꯁꯤꯡꯗꯥ ꯂꯥꯏꯃꯁ꯭ꯀꯦꯂꯒꯨꯝꯅꯥ, ꯅꯍꯥꯛꯀꯤ ꯍꯥꯔꯇꯀꯤ ꯑꯦꯑꯣꯔꯇꯤꯛ ꯚꯜꯌꯨꯗꯥ ꯀꯦꯂꯁꯤꯌꯝ ꯌꯥꯎꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯅꯥ ꯚꯜꯌꯨꯝ ꯑꯗꯨ ꯀꯨꯄꯁꯤꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯕ꯭ꯂꯣꯛ ꯇꯧꯕꯥ ꯊꯣꯀꯍꯜꯂꯤ, ꯃꯗꯨꯅꯥ ꯃꯗꯨ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯍꯥꯡꯗꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯊꯤꯡꯖꯤꯅꯕꯥ ꯉꯃꯍꯟꯗꯦ꯫ ꯃꯁꯤ ꯑꯌꯥꯝꯕꯗꯤ ꯆꯍꯤ 65ꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯊꯣꯀꯏ꯫

2. ꯏꯅꯐꯦꯛꯁꯅꯗꯒꯤ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯄꯥ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯕꯦꯛꯇꯦꯔꯤꯌꯥꯒꯤ ꯏꯅꯐꯦꯛꯁꯟ ꯈꯔꯗꯤ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯂꯥꯏꯌꯦꯡꯗ꯭ꯔꯕꯗꯤ, ꯕꯦꯛꯇꯦꯔꯤꯌꯥ ꯑꯗꯨ ꯏꯗꯥ ꯆꯪꯗꯨꯅꯥ ꯍꯥꯔꯇꯀꯤ ꯚꯜꯌꯨꯁꯤꯡꯗꯥ ꯆꯠꯄꯥ ꯌꯥꯏ꯫ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯏꯁꯥꯒꯤ ꯏꯝꯝꯌꯨꯟ ꯁꯤꯁ꯭ꯇꯦꯝ ꯑꯁꯤꯅꯥ ꯚꯜꯌꯨꯁꯤꯡ ꯑꯁꯤꯕꯨ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯀꯣꯛ ꯏꯅꯐꯦꯛꯁꯟ (Strep throat) ꯅꯠꯠꯔꯒꯥ Scarlet fever (Scarlet fever) ꯑꯃꯥ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯂꯥꯏꯌꯦꯡꯗ꯭ꯔꯕꯗꯤ, ꯔꯤꯌꯨꯃꯦꯇꯤꯛ ꯐꯤꯕꯔ ꯀꯧꯕꯥ ꯂꯥꯌꯅꯥ ꯑꯃꯥ ꯂꯥꯀꯄꯥ ꯌꯥꯏ ꯑꯃꯁꯨꯡ ꯍꯥꯔꯇꯀꯤ ꯚꯜꯌꯨꯁꯤꯡꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯒꯤ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯑꯁꯤ ꯃꯌꯦꯛ ꯁꯦꯡꯅꯥ ꯎꯕꯥ ꯐꯪꯕꯗꯥ ꯆꯍꯤ ꯀꯌꯥ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯆꯍꯤ ꯇꯔꯥꯒꯤ ꯈꯨꯖꯤꯡ ꯀꯌꯥ ꯆꯪꯂꯝꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯅꯥ ꯑꯌꯥꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯆꯍꯤ 50ꯒꯤ ꯃꯊꯛꯇꯥ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯗꯥ ꯁꯣꯀꯍꯜꯂꯤ꯫

3. ꯑꯇꯩ ꯍꯦꯔꯤꯇꯦꯖ ꯅꯠꯠꯔꯒꯥ ꯀ꯭ꯔꯣꯅꯤꯛ ꯂꯥꯌꯅꯥꯁꯤꯡ: `(ꯄꯥꯒꯦꯇꯀꯤ ꯁꯔꯨꯒꯤ ꯂꯥꯌꯅꯥ)` (ꯁꯔꯨꯒꯥ ꯃꯔꯤ ꯂꯩꯅꯕꯥ ꯂꯥꯌꯅꯥ), ꯀꯤꯗꯅꯤ ꯐꯦꯜ ꯑꯣꯏꯕꯥ (`ꯀꯤꯗꯅꯤ ꯐꯦꯜ ꯑꯣꯏꯕꯥ`) ꯑꯃꯁꯨꯡ `(ꯐꯦꯃꯤꯂꯤꯑꯦꯜ ꯍꯥꯏꯄꯔꯀꯣꯂꯦꯁ꯭ꯇꯦꯔꯣꯂꯦꯃꯤꯌꯥ)` (ꯍꯦꯔꯤꯇꯦꯖ ꯑꯣꯏꯕꯥ ꯀꯣꯂꯦꯁ꯭ꯇꯦꯔꯣꯜ ꯋꯥꯡꯕꯥ ꯀꯟꯗꯤꯁꯟ) ꯑꯁꯤꯅꯆꯤꯡꯕꯥ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯊꯣꯀꯄꯥ ꯂꯥꯌꯅꯥꯁꯤꯡꯅꯁꯨ `(ꯑꯦꯑꯣꯔꯇꯤꯛ ꯚꯜꯌꯨ ꯁ꯭ꯇꯦꯅꯣꯁꯤꯁ) ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯗꯁꯨ ꯅꯠꯇꯅꯥ, ꯔꯤꯁ꯭ꯛ ꯑꯁꯤ `(ꯂꯨꯄꯁ)` ꯑꯃꯁꯨꯡ `(ꯔꯤꯎꯃꯦꯇꯣꯏꯗ ꯑꯔꯊ꯭ꯔꯥꯏꯇꯤꯁ)`ꯒꯨꯝꯕꯥ ꯑꯣꯇꯣꯏꯝꯌꯨꯟ ꯂꯥꯌꯅꯥ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯗꯥ ꯍꯦꯟꯅꯥ ꯋꯥꯡꯏ꯫

ꯃꯁꯤꯒꯤꯗꯃꯛꯇꯥ ꯑꯇꯣꯞꯄꯥ ꯔꯤꯁ꯭ꯛ ꯐꯦꯛꯇꯔꯁꯤꯡ ꯂꯩꯕ꯭ꯔꯥ?

ꯍꯣꯌ, `(Aortic Valve Stenosis):` ꯂꯥꯀꯄꯒꯤ ꯔꯤꯁ꯭ꯛ ꯍꯦꯅꯒꯠꯍꯜꯂꯤꯕꯥ ꯑꯇꯩ ꯐꯦꯛꯇꯔ ꯀꯌꯥꯁꯨ ꯂꯩ꯫

• ꯅꯨꯄꯥ ꯑꯃꯥ ꯑꯣꯏꯕꯥ꯫
• ꯆꯍꯤ ꯶꯵ꯒꯤ ꯃꯊꯛꯇꯥ ꯂꯩꯕꯥ꯫
• ꯏꯗꯥ ꯀꯣꯂꯦꯁ꯭ꯇꯦꯔꯣꯂꯒꯤ ꯆꯥꯡ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ (Hyperlipidemia)꯫
• ꯍꯥꯏ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ ꯂꯩꯕꯥ꯫
• ꯇꯝꯕꯥ ꯉꯃꯗꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ (ꯁꯤꯒꯥꯔꯦꯠ, ꯕꯤꯗꯤꯁꯤꯡꯒꯨꯝꯕꯥ) ꯁꯤꯖꯤꯟꯅꯕꯥ꯫

ꯃꯁꯤꯒꯤ `(Aortic Stenosis)` ꯑꯁꯤꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯕꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯤꯅꯣ?

ꯅꯍꯥꯛꯅꯥ `(Aortic Stenosis)` ꯂꯩꯕꯥ ꯃꯇꯃꯗꯥ, ꯊꯝꯃꯣꯌꯅꯥ ꯌꯥꯝꯅꯥ ꯀꯟꯅꯥ ꯍꯣꯠꯅꯗꯨꯅꯥ ꯏ ꯑꯗꯨ ꯑꯄꯤꯀꯄꯥ ꯑꯍꯥꯡꯕꯥ ꯃꯐꯝ ꯑꯗꯨꯗꯥ ꯆꯦꯟꯊꯈꯤ꯫ ꯃꯁꯤ ꯊꯣꯡ ꯂꯣꯜꯂꯕꯥ ꯊꯣꯡ ꯑꯃꯥ ꯍꯥꯡꯗꯣꯛꯅꯕꯥ ꯍꯣꯠꯅꯕꯒꯥ ꯃꯥꯟꯅꯩ꯫ ꯊꯝꯃꯣꯌꯅꯥ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯌꯥꯝꯅꯥ ꯀꯟꯅꯥ ꯊꯕꯛ ꯇꯧꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯃꯇꯃꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ ꯁꯣꯟꯊꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ:

• ꯍꯥꯔꯠ ꯑꯦꯇꯦꯛ ꯇꯧꯕꯥ꯫
• ꯍꯥꯔꯠ ꯐꯦꯜ ꯑꯣꯏꯕꯥ ( ꯍꯥꯔꯇꯅꯥ ꯍꯀꯆꯥꯡꯗꯥ ꯏ ꯃꯔꯥꯡ ꯀꯥꯌꯅꯥ ꯄꯨꯊꯣꯀꯄꯥ ꯉꯃꯗꯕꯥ)꯫
• ꯈꯪꯍꯧꯗꯅꯥ ꯀꯥꯔꯗꯤꯌꯦꯛ ꯁꯤꯕꯥ꯫
• ꯄꯂꯃꯣꯅꯥꯔꯤ ꯍꯥꯏꯄꯔꯇꯦꯟꯁꯟ꯫
• ꯌꯥꯝꯅꯥ ꯍꯦꯟꯅꯥ ꯏ ꯊꯣꯀꯄꯥ꯫
• ꯍꯥꯔꯇꯀꯤ ꯃꯅꯨꯡꯒꯤ ꯂꯥꯏꯅꯤꯡꯒꯤ ꯏꯅꯐꯦꯛꯁꯟ ꯑꯃꯥ (`ꯏꯅꯐꯦꯛꯇꯤꯕ ꯑꯦꯟꯗꯣꯀꯥꯔꯗꯤꯇꯤꯁ`)꯫

ꯁꯥꯊꯤꯕꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫

ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯃꯁꯤ ꯀꯔꯝꯅꯥ ꯈꯉꯒꯅꯤ?

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯦꯑꯣꯔꯇꯤꯛ ꯁ꯭ꯇꯦꯅꯣꯁꯤꯁ ꯂꯩꯔꯦ ꯍꯥꯌꯅꯥ ꯆꯤꯡꯅꯔꯕꯗꯤ ꯀꯥꯔꯗꯤꯑꯣꯂꯣꯖꯤꯁ꯭ꯠ ꯑꯃꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯌꯦꯡꯁꯤꯅꯒꯅꯤ꯫ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯃꯍꯧꯁꯥꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ (ꯀꯔꯤꯒꯨꯝꯕꯥ ꯂꯩꯔꯕꯗꯤ) ꯑꯃꯁꯨꯡ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯗꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯃꯗꯒꯤ ꯍꯦꯅꯕꯗꯥ ꯌꯨꯝꯐꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯈꯪꯗꯣꯀꯏ:

• ꯐꯤꯖꯤꯀꯦꯜ ꯑꯦꯀꯖꯥꯃꯤꯅꯦꯁꯟ: ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡ ꯑꯃꯁꯨꯡ ꯈꯣꯡꯄꯥꯛ ꯑꯗꯨ ꯁꯣꯀꯄꯥ ꯌꯥꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯆꯦꯛ ꯇꯧꯒꯅꯤ, ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯁ꯭ꯇꯦꯊꯣꯁ꯭ꯀꯣꯞ ꯑꯃꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯊꯝꯃꯣꯌ ꯑꯗꯨ ꯇꯥꯒꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯦꯑꯣꯔꯇꯤꯛ ꯁ꯭ꯇꯦꯅꯣꯁꯤꯁ ꯂꯩꯔꯕꯗꯤ, ꯍꯥꯔꯇꯀꯤ ꯂꯥꯌꯅꯥ ꯑꯁꯤ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯈꯨꯗꯝ ꯑꯃꯅꯤ꯫
• ꯏ.ꯁꯤ.ꯖꯤ.ꯒꯤ ꯇꯦꯁ꯭ꯠ (`ꯏꯂꯦꯛꯠꯔꯣꯀꯥꯔꯗꯤꯑꯣꯒ꯭ꯔꯥꯝ - ꯏ.ꯁꯤ.ꯖꯤ. ꯅꯠꯠꯔꯒꯥ ꯏ.ꯀꯦ.ꯖꯤ.`): ꯃꯁꯤꯅꯥ ꯍꯥꯔꯇꯀꯤ ꯏꯂꯦꯛꯠꯔꯤꯀꯦꯜ ꯑꯦꯛꯇꯤꯚꯤꯇꯤ ꯑꯗꯨ ꯂꯦꯄꯊꯣꯀꯏ꯫
• ꯆꯦꯁ꯭ꯠ ꯑꯦꯛꯁ-ꯔꯦ, ꯑꯦꯟꯖꯤꯑꯣꯒ꯭ꯔꯥꯐꯤ, ꯅꯠꯠꯔꯒꯥ ꯀꯥꯔꯗꯤꯌꯦꯛ ꯁꯤ.ꯇꯤ.
• ꯏꯀꯣꯀꯥꯔꯗꯤꯑꯣꯒ꯭ꯔꯥꯐ: ꯃꯁꯤ ꯑꯦꯑꯣꯔꯇꯤꯛ ꯁ꯭ꯇꯦꯅꯣꯁꯤꯁ ꯈꯪꯗꯣꯛꯅꯕꯥ ꯁꯤꯖꯤꯟꯅꯔꯤꯕꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯇꯦꯁ꯭ꯇꯅꯤ꯫ ꯃꯁꯤꯅꯥ ꯑꯂꯠꯔꯥꯁꯥꯎꯟꯗ ꯋꯦꯕ ꯁꯤꯖꯤꯟꯅꯗꯨꯅꯥ ꯍꯥꯔꯇꯀꯤ ꯚꯜꯌꯨꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯊꯕꯛ ꯇꯧꯔꯤꯕꯒꯦ, ꯃꯈꯣꯌ ꯑꯁꯤ ꯕ꯭ꯂꯣꯛ ꯇꯧꯔꯤꯕ꯭ꯔꯥ ꯑꯃꯁꯨꯡ ꯏ ꯀꯔꯝꯅꯥ ꯆꯠꯂꯤꯕꯅꯣ ꯍꯥꯌꯕꯗꯨ ꯃꯌꯦꯛ ꯁꯦꯡꯅꯥ ꯎꯕꯥ ꯐꯪꯏ꯫
• ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯁ꯭ꯠꯔꯦꯁ ꯇꯦꯁ꯭ꯠ ꯇꯧꯕꯥ: ꯅꯍꯥꯛꯅꯥ ꯇ꯭ꯔꯦꯗꯃꯤꯂꯗꯥ ꯆꯦꯜꯂꯤꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯕꯥꯏꯛ ꯑꯃꯥ ꯊꯧꯕꯥ ꯃꯇꯃꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯥꯔꯇꯅꯥ ꯀꯔꯝꯅꯥ ꯊꯕꯛ ꯇꯧꯕꯒꯦ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯏ.ꯁꯤ.ꯖꯤ.
• ꯀꯥꯔꯗꯤꯌꯦꯛ ꯀꯦꯇꯦꯒꯣꯔꯤ (cardiac catheterization): ꯄ꯭ꯔꯣꯁꯤꯗ꯭ꯌꯨꯑꯣꯔ ꯑꯁꯤꯗꯥ, ꯗꯣꯛꯇꯔ ꯑꯃꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯨꯠ ꯅꯠꯠꯔꯒꯥ ꯈꯣꯡꯗꯥ ꯂꯩꯕꯥ ꯚꯦꯅꯝ ꯑꯃꯗꯥ ꯑꯄꯤꯀꯄꯥ, ꯑꯄꯤꯀꯄꯥ ꯇꯤꯎꯕ (catheter) ꯑꯃꯥ ꯍꯥꯄꯆꯤꯟꯗꯨꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯥꯔꯇꯇꯥ ꯊꯤꯡꯗꯨꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯚꯜꯌꯨꯁꯤꯡꯗꯥ ꯂꯩꯕꯥ ꯄ꯭ꯔꯦꯁꯔ ꯑꯗꯨ ꯂꯦꯄꯊꯣꯛꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯃꯈꯣꯌꯗꯨ ꯀꯌꯥꯝ ꯀꯨꯞꯅꯥ ꯂꯩꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯁꯤꯜꯂꯤ꯫
• ꯍꯥꯔꯠ ꯑꯦꯝ.ꯑꯥꯔ.ꯑꯥꯏ.(ꯃꯦꯒ꯭ꯅꯦꯇꯤꯛ ꯔꯤꯖꯣꯅꯦꯟꯁ ꯏꯃꯦꯖꯤꯡ): ꯑꯀꯅꯕꯥ ꯃꯦꯒ꯭ꯅꯦꯇꯤꯛ ꯐꯤꯜꯗ ꯑꯃꯅꯥ ꯍꯥꯔꯇꯀꯤ ꯌꯥꯝꯅꯥ ꯑꯀꯨꯞꯄꯥ ꯃꯔꯣꯂꯁꯤꯡ ꯂꯧꯕꯥ ꯌꯥꯏ꯫

ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯑꯦꯑꯣꯔꯇꯤꯛ ꯚꯜꯌꯨ ꯑꯗꯨ ꯀꯌꯥꯝ ꯀꯨꯏꯅꯥ ꯂꯩꯕꯒꯦ ꯍꯥꯌꯕꯗꯨꯗꯥ ꯌꯨꯝꯐꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯗꯨ ꯀ꯭ꯂꯥꯁꯤꯐꯥꯏ ꯇꯧꯒꯅꯤ꯫ ꯃꯍꯧꯁꯥꯅꯥ ꯁ꯭ꯇꯦꯖ ꯃꯔꯤ ꯂꯩ: A, B, C, ꯑꯃꯁꯨꯡ D, Dꯅꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯁꯥꯊꯤꯕꯥ ꯑꯣꯏ꯫

`(ꯑꯦꯑꯣꯔꯇꯤꯛ ꯁ꯭ꯇꯦꯅꯣꯁꯤꯁ)`ꯒꯤ ꯂꯥꯏꯌꯦꯡꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯤꯅꯣ?

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ `(Aortic Stenosis)` ꯂꯩꯔꯕꯁꯨ ꯂꯥꯏꯑꯣꯡ ꯑꯃꯠꯇꯥ ꯂꯩꯠꯔꯕꯗꯤ, ꯍꯥꯌꯕꯗꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯗꯨ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯑꯣꯏꯗ꯭ꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯆꯦꯛ-ꯑꯞ ꯇꯧꯅꯕꯥ ꯂꯥꯀꯎ ꯑꯃꯁꯨꯡ `(ꯏꯀꯣꯀꯥꯔꯗꯤꯑꯣꯒ꯭ꯔꯥꯝ)` ꯇꯦꯁ꯭ꯠ ꯇꯧꯅꯕꯥ ꯍꯥꯌꯒꯅꯤ꯫ ꯑꯗꯨꯕꯨ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯥꯏꯑꯣꯡ ꯎꯠꯂꯕꯗꯤ, ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯃꯊꯧ ꯇꯥꯒꯅꯤ꯫ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯂꯥꯏꯌꯦꯡꯒꯤ ꯑꯣꯄꯁꯟ ꯀꯌꯥ ꯂꯩ:

• ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯗꯨ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯑꯣꯏꯔꯕꯗꯤ, ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯗꯨ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯅꯕꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ ꯄꯤꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯕ꯭ꯂꯗ ꯊꯤꯅꯔꯁꯤꯡ, ꯗꯥꯏꯑꯦꯔꯦꯇꯤꯛ, ꯑꯃꯁꯨꯡ ꯍꯥꯔꯠ ꯔꯤꯗꯝ ꯗꯤꯁꯑꯣꯔꯗꯔꯁꯤꯡ, ꯍꯥꯏ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ, ꯑꯃꯁꯨꯡ ꯍꯥꯔꯠ ꯐꯦꯜ ꯑꯣꯏꯕꯒꯤ ꯍꯤꯗꯥꯀꯁꯤꯡ ꯌꯥꯎꯕꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯕꯨ ꯅꯤꯡꯁꯤꯡꯕꯤꯌꯨ, ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡꯅꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯗꯨ ꯈꯛꯇꯃꯛ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯏ; ꯃꯈꯣꯌꯅꯥ ꯚꯜꯌꯨ ꯑꯗꯨ ꯍꯦꯟꯅꯥ ꯐꯠꯆꯤꯜꯂꯛꯇꯕꯥ ꯊꯤꯡꯕꯥ ꯉꯃꯗꯦ꯫
• ꯚꯜꯌꯨ ꯔꯤꯄꯦꯌꯥꯔ: ꯃꯁꯤ ꯁꯔꯖꯔꯤ ꯅꯠꯠꯔꯒꯥ ꯕꯦꯂꯨꯟ ꯚꯂꯚꯨꯂꯣꯞꯂꯥꯁ꯭ꯇꯤ ꯀꯧꯕꯥ ꯄ꯭ꯔꯣꯁꯤꯗ꯭ꯌꯨꯑꯣꯔ ꯑꯃꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯄꯥꯡꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫
• ꯁꯔꯖꯤꯀꯦꯜ ꯔꯤꯄꯦꯌꯥꯔ (`ꯑꯦꯑꯣꯔꯇꯤꯛ ꯚꯜꯌꯨ ꯁꯔꯖꯔꯤ`): ꯁꯔꯖꯔꯤ ꯑꯃꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯏꯅꯁꯤꯁꯟ ꯑꯃꯥ ꯁꯦꯝꯃꯤ ꯑꯃꯁꯨꯡ ꯍꯥꯔꯠ ꯚꯜꯌꯨꯗꯥ ꯍꯀꯊꯦꯡꯅꯅꯥ ꯆꯠꯇꯨꯅꯥ ꯕ꯭ꯂꯣꯀꯦꯖ ꯑꯗꯨ ꯔꯤꯂꯤꯐ ꯇꯧꯏ ꯑꯃꯁꯨꯡ ꯔꯤꯄꯦꯌꯥꯔ ꯇꯧꯏ꯫
• ꯕꯦꯂꯨꯟ ꯚꯂꯚꯨꯂꯣꯞꯂꯥꯁ꯭ꯇꯤ: ꯄ꯭ꯔꯣꯁꯤꯗ꯭ꯌꯨꯑꯣꯔ ꯑꯁꯤꯗꯥ, ꯍꯥꯔꯇꯇꯥ ꯌꯥꯎꯔꯤꯕꯥ ꯑꯄꯤꯀꯄꯥ ꯇꯤꯎꯕ (catheter) ꯑꯃꯥ ꯌꯥꯎꯕꯥ ꯕꯦꯂꯨꯟ ꯑꯃꯥ ꯊꯤꯡꯖꯤꯜꯂꯤ, ꯃꯗꯨꯅꯥ ꯚꯜꯌꯨꯝ ꯑꯗꯨ ꯄꯥꯀꯊꯣꯛ-ꯆꯥꯎꯊꯣꯀꯍꯜꯂꯤ꯫ ꯃꯁꯤꯅꯥ ꯃꯇꯝ ꯈꯔꯒꯤ ꯑꯣꯏꯅꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯀꯣꯀꯍꯅꯕꯥ ꯉꯝꯃꯤ꯫ ꯃꯁꯤ ꯑꯌꯥꯝꯕꯅꯥ ꯚꯜꯌꯨ ꯔꯤꯞꯂꯦꯁꯃꯦꯟꯇ ꯁꯔꯖꯔꯤ ꯇꯧꯕꯥ ꯉꯃꯗꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯒꯤꯗꯃꯛ, ꯅꯠꯠꯔꯒꯥ ꯁꯔꯖꯔꯤꯒꯤ ꯃꯃꯥꯡꯗꯥ ꯃꯇꯝ ꯈꯔꯒꯤ ꯑꯣꯏꯕꯥ ꯔꯤꯂꯤꯐ ꯑꯃꯥ ꯑꯣꯏꯅꯥ ꯇꯧꯏ꯫
• ꯚꯜꯌꯨ ꯔꯤꯞꯂꯦꯁꯃꯦꯟꯇ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯚꯜꯌꯨ ꯑꯗꯨ ꯔꯤꯄꯦꯌꯥꯔ ꯇꯧꯕꯥ ꯉꯃꯗꯅꯥ ꯌꯥꯝꯅꯥ ꯁꯣꯀꯍꯜꯂꯕꯗꯤ ꯃꯗꯨ ꯍꯣꯡꯗꯣꯀꯄꯥ ꯃꯊꯧ ꯇꯥꯒꯅꯤ꯫ ꯃꯁꯤꯒꯤꯗꯃꯛꯇꯥ ꯄꯥꯝꯕꯩ ꯀꯌꯥ ꯂꯩꯔꯤ:
• ꯑꯦꯑꯣꯔꯇꯤꯛ ꯚꯜꯌꯨ ꯔꯤꯞꯂꯦꯁꯃꯦꯟꯇ ꯁꯔꯖꯔꯤ: ꯑꯁꯣꯀꯄꯥ ꯚꯜꯌꯨ ꯑꯗꯨ ꯂꯧꯊꯣꯛꯇꯨꯅꯥ ꯑꯅꯧꯕꯥ ꯚꯜꯌꯨ ꯑꯃꯅꯥ ꯃꯍꯨꯠ ꯁꯤꯜꯂꯤ꯫ ꯃꯁꯤꯒꯤ ꯑꯅꯧꯕꯥ ꯚꯜꯌꯨ ꯑꯁꯤ ꯃꯤꯑꯣꯏꯕꯒꯤ ꯗꯣꯅꯔ (ꯃꯍꯧꯁꯥꯅꯥ ꯁꯤꯈ꯭ꯔꯕꯥ ꯗꯣꯅꯔ), ꯕꯥꯏꯑꯣꯞꯔꯣꯁ꯭ꯊꯦꯇꯤꯛ ꯚꯜꯌꯨ (ꯃꯍꯧꯁꯥꯅꯥ ꯁꯟ ꯅꯠꯠꯔꯒꯥ ꯎꯆꯦꯛ), ꯅꯠꯠꯔꯒꯥ ꯙꯥꯇꯨꯗꯒꯤ ꯁꯦꯝꯕꯥ ꯃꯦꯀꯥꯅꯤꯀꯦꯜ ꯚꯜꯌꯨ ꯑꯃꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫
• ꯔꯣꯁ ꯄ꯭ꯔꯣꯁꯤꯗ꯭ꯌꯨꯑꯣꯔ: ꯃꯁꯤ ꯑꯈꯟꯅꯕꯥ ꯁꯔꯖꯔꯤ ꯑꯃꯅꯤ꯫ ꯃꯁꯤꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯏꯁꯥꯒꯤ ꯄꯂꯃꯣꯅꯥꯔꯤ ꯚꯜꯌꯨ ꯑꯗꯨ ꯂꯧꯊꯣꯀꯏ ꯑꯃꯁꯨꯡ ꯍꯥꯟꯅꯅꯥ ꯑꯦꯑꯣꯔꯇꯤꯛ ꯚꯜꯌꯨ ꯑꯗꯨ ꯂꯩꯔꯝꯕꯥ ꯃꯐꯝ ꯑꯗꯨꯗꯥ ꯇ꯭ꯔꯥꯟꯁꯞꯂꯥꯟꯇ ꯇꯧꯏ꯫ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ, ꯗꯣꯅꯔ ꯑꯃꯗꯒꯤ ꯂꯥꯀꯄꯥ ꯚꯜꯌꯨ ꯑꯃꯥ ꯍꯥꯟꯅꯅꯥ ꯄꯂꯃꯣꯅꯥꯔꯤ ꯚꯜꯌꯨ ꯑꯗꯨ ꯂꯩꯔꯝꯕꯥ ꯃꯐꯝ ꯑꯗꯨꯗꯥ ꯊꯥꯏ꯫
• ꯇ꯭ꯔꯥꯟꯁꯀꯦꯇꯦꯇꯔ ꯑꯦꯑꯣꯔꯇꯤꯛ ꯚꯜꯌꯨ ꯔꯤꯞꯂꯦꯁꯃꯦꯟꯇ (TAVR ꯅꯠꯠꯔꯒꯥ TAVI): ꯃꯁꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯅꯧꯕꯥ ꯑꯃꯁꯨꯡ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯆꯥꯎꯈꯠꯄꯥ ꯊꯧꯑꯣꯡꯅꯤ꯫ ꯃꯁꯤ ꯑꯆꯧꯕꯥ ꯁꯔꯖꯔꯤ ꯑꯃꯅꯤ, ꯃꯁꯤꯅꯥ ꯇꯥꯀꯄꯗꯤ ꯆꯦꯡ ꯍꯥꯡꯗꯣꯛꯇꯨꯅꯥ ꯚꯜꯌꯨ ꯑꯗꯨ ꯍꯣꯡꯗꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯈꯣꯡ ꯅꯠꯠꯔꯒꯥ ꯈꯨꯠꯁꯥꯗꯥ ꯂꯩꯕꯥ ꯑꯆꯧꯕꯥ ꯚꯦꯅꯝ ꯑꯃꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯄꯤꯀꯄꯥ ꯇꯤꯎꯕ (catheter) ꯑꯃꯥ ꯊꯥꯗꯣꯀꯏ, ꯑꯃꯁꯨꯡ ꯃꯗꯨꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯊꯣꯡꯅꯥꯎ ꯑꯃꯥ ꯊꯃꯖꯤꯜꯂꯤ, ꯃꯐꯃꯗꯨꯗꯥ ꯃꯗꯨ ꯕ꯭ꯂꯣꯛ ꯇꯧꯔꯕꯥ ꯑꯦꯑꯣꯔꯇꯤꯛ ꯚꯜꯌꯨꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯐꯤꯛꯁ ꯇꯧꯏ꯫ ꯃꯁꯤ ꯑꯌꯥꯝꯕꯗꯤ ꯑꯆꯧꯕꯥ ꯁꯔꯖꯔꯤ ꯇꯧꯕꯥ ꯉꯃꯗꯕꯥ ꯑꯍꯜ ꯑꯣꯏꯔꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯒꯤꯗꯃꯛ ꯇꯧꯏ꯫

ꯂꯥꯏꯌꯦꯡꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯐꯒꯠꯂꯀꯄꯗꯥ ꯃꯇꯝ ꯀꯌꯥ ꯆꯪꯕꯒꯦ?

ꯃꯁꯤ ꯁꯤꯖꯤꯟꯅꯔꯤꯕꯥ ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯃꯑꯣꯡ ꯑꯗꯨꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ ꯈꯦꯠꯅꯩ꯫

• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯁꯔꯖꯔꯤ ꯇꯧꯔꯤꯕꯥ ꯑꯣꯏꯔꯕꯗꯤ:ꯐꯒꯠꯂꯀꯄꯗꯥ ꯃꯇꯝ ꯈꯔꯥ ꯆꯪꯏ꯫ ꯃꯍꯧꯁꯥꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯂꯗꯥ ꯅꯨꯃꯤꯠ ꯈꯔꯅꯤ ꯂꯩꯒꯗꯕꯅꯤ꯫ ꯅꯍꯥꯛꯅꯥ ꯌꯨꯃꯗꯥ ꯆꯠꯂꯕꯥ ꯃꯇꯨꯡꯗꯁꯨ, ꯅꯍꯥꯛꯅꯥ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯐꯒꯠꯂꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯕꯥ ꯊꯕꯛ-ꯊꯧꯔꯃꯁꯤꯡ ꯑꯗꯨ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯍꯧꯗ꯭ꯔꯤꯉꯩꯗꯥ ꯅꯨꯃꯤꯠ ꯈꯔꯅꯤ, ꯊꯥ ꯑꯃꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯅꯤ ꯑꯣꯏꯔꯕꯁꯨ ꯌꯥꯏ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯕꯦꯂꯨꯟ ꯚꯂꯚꯨꯂꯣꯞꯂꯥꯁ꯭ꯇꯤ ꯅꯠꯠꯔꯒꯥ TAVRꯒꯨꯝꯕꯥ ꯄ꯭ꯔꯣꯁꯤꯗ꯭ꯌꯨꯑꯣꯔꯁꯤꯡ ꯂꯩꯔꯕꯗꯤ: ꯄ꯭ꯔꯣꯁꯤꯗ꯭ꯌꯨꯑꯣꯔꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯐꯒꯠꯂꯀꯄꯒꯤ ꯃꯇꯝ ꯃꯊꯧ ꯇꯥꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯄ꯭ꯔꯣꯁꯤꯗ꯭ꯌꯨꯑꯣꯔ ꯑꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯅꯨꯃꯤꯠ ꯑꯗꯨꯃꯛꯇꯗꯥ ꯅꯠꯠꯔꯒꯥ ꯃꯊꯪꯒꯤ ꯅꯨꯃꯤꯠꯇꯥ ꯌꯨꯃꯗꯥ ꯆꯠꯄꯥ ꯌꯥꯏ꯫ ꯅꯨꯃꯤꯠ ꯈꯔꯅꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯅꯣꯔꯃꯦꯜ ꯂꯥꯏꯐꯇꯥ ꯍꯜꯂꯀꯄꯥ ꯌꯥꯏ꯫

ꯃꯁꯤꯒꯤ `(ꯑꯦꯑꯣꯔꯇꯤꯛ ꯁ꯭ꯇꯦꯅꯣꯁꯤꯁ)` ꯑꯁꯤ ꯂꯥꯀꯄꯥ ꯊꯤꯡꯅꯕꯒꯤ ꯄꯥꯝꯕꯩ ꯂꯩꯕ꯭ꯔꯥ?

ꯑꯦꯑꯣꯔꯇꯤꯛ ꯁ꯭ꯇꯦꯅꯣꯁꯤꯁ ꯑꯁꯤ ꯃꯔꯝ ꯈꯔꯗꯒꯤ ꯊꯤꯡꯕꯥ ꯉꯝꯃꯤ꯫ ꯃꯔꯨꯑꯣꯏꯅꯥ, ꯕꯦꯛꯇꯦꯔꯤꯌꯥ ꯏꯅꯐꯦꯛꯁꯅꯁꯤꯡ ꯊꯨꯅꯥ ꯑꯃꯁꯨꯡ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯂꯥꯏꯌꯦꯡꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫ ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯁ꯭ꯠꯔꯦꯞ ꯊ꯭ꯔꯣꯠ ꯏꯅꯐꯦꯛꯁꯟ ꯂꯩꯔꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯗꯣꯛꯇꯔꯅꯥ ꯍꯥꯌꯔꯀꯄꯒꯨꯝꯅꯥ ꯑꯦꯟꯇꯤꯕꯥꯏꯑꯣꯇꯤꯀꯁꯤꯡ ꯂꯧꯒꯗꯕꯅꯤ꯫ ꯑꯅꯥꯕꯥ ꯑꯗꯨ ꯍꯟꯊꯔꯀꯄꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯃꯈꯣꯌꯕꯨ ꯂꯧꯕꯥ ꯂꯦꯄꯍꯅꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯑꯐꯕꯥ ꯋꯥꯈꯜꯂꯣꯟ ꯑꯃꯅꯤ꯫ ꯃꯁꯤ ꯇꯧꯕꯅꯥ ꯔꯤꯌꯨꯃꯦꯇꯤꯛ ꯐꯤꯕꯔ ꯂꯥꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯍꯥꯔꯇꯀꯤ ꯚꯜꯌꯨꯁꯤꯡꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯊꯤꯡꯕꯥ ꯉꯝꯃꯤ꯫

ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯑꯍꯜ ꯑꯣꯏꯔꯀꯄꯥ, ꯍꯦꯔꯤꯇꯦꯖꯒꯤ ꯂꯥꯌꯅꯥꯁꯤꯡ, ꯅꯠꯠꯔꯒꯥ ꯀ꯭ꯔꯣꯅꯤꯛ ꯂꯥꯌꯅꯥ ꯈꯔꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯕꯥ ``ꯑꯦꯑꯣꯔꯇꯤꯛ ꯚꯜꯌꯨ ꯁ꯭ꯇꯦꯅꯣꯁꯤꯁ'' ꯊꯤꯡꯕꯗꯥ ꯑꯌꯥꯝꯕꯗꯤ ꯑꯋꯥꯕꯥ ꯑꯣꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯊꯝꯃꯣꯌꯗꯥ ꯍꯀꯁꯦꯜ ꯐꯕꯥ ꯄꯨꯟꯁꯤ ꯃꯍꯤꯡ ꯑꯃꯥ (ꯑꯐꯕꯥ ꯗꯥꯏꯠ, ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯇꯧꯕꯥ, ꯑꯃꯁꯨꯡ ꯃꯩꯈꯨ ꯊꯥꯗꯣꯀꯄꯥ ꯌꯥꯗꯕꯥ) ꯏꯅꯕꯅꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯗꯨ ꯍꯦꯟꯅꯥ ꯐꯒꯠꯂꯀꯄꯥ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯩꯅꯥ `(Aortic Stenosis)` ꯂꯩꯔꯕꯗꯤ, ꯑꯩꯅꯥ ꯀꯔꯤ ꯑꯥꯁꯥ ꯇꯧꯒꯗꯒꯦ?

ꯅꯍꯥꯛꯀꯤ `(Aortic Stenosis)` ꯀꯟꯗꯤꯁꯅꯒꯤ ꯇꯨꯡꯒꯤ ꯀꯣꯔꯁ, ꯍꯥꯌꯕꯗꯤ ꯅꯍꯥꯛꯅꯥ ꯀꯔꯝꯅꯥ ꯍꯤꯡꯒꯅꯤ ꯍꯥꯌꯕꯁꯤ, ꯅꯍꯥꯛꯅꯥ ꯀꯌꯥ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯑꯃꯁꯨꯡ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯃꯈꯥ ꯄꯣꯜꯂꯤ꯫

• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯂꯥꯏꯌꯦꯡꯗ꯭ꯔꯕꯗꯤ: ꯑꯦꯑꯣꯔꯇꯤꯛ ꯁ꯭ꯇꯦꯅꯣꯁꯤꯁ, ꯃꯔꯨꯑꯣꯏꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯑꯣꯏꯔꯕꯗꯤ, ꯄꯨꯟꯁꯤꯗꯥ ꯈꯨꯗꯣꯡꯊꯤꯕꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯃꯤꯑꯣꯏ ꯑꯌꯥꯝꯕꯗꯤ ꯂꯥꯏꯌꯦꯡꯗꯅꯥ ꯆꯍꯤ ꯈꯔꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯍꯤꯡꯗꯦ꯫
• ꯊꯦꯡꯊꯕꯥ ꯂꯥꯏꯌꯦꯡ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯂꯥꯏꯌꯦꯡ ꯊꯦꯡꯊꯔꯕꯗꯤ ꯃꯗꯨꯒꯤ ꯐꯜ ꯑꯗꯨ ꯃꯤꯛꯁ ꯇꯧꯏ꯫ ꯃꯁꯤ ꯍꯥꯔꯇꯇꯥ ꯃꯇꯝ ꯆꯨꯞꯄꯒꯤ ꯑꯣꯏꯅꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯈꯤꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨꯒꯤ ꯃꯈꯥ ꯄꯣꯜꯂꯤ꯫ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯍꯦꯟꯅꯥ ꯂꯩꯔꯕꯗꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯗꯨ ꯍꯦꯟꯅꯥ ꯐꯠꯆꯤꯜꯂꯛꯀꯅꯤ꯫ ꯅꯍꯥꯛꯅꯥ ꯆꯥꯡ ꯈꯔꯗꯥ ꯐꯒꯠꯂꯛꯀꯅꯤ, ꯑꯗꯨꯕꯨ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯐꯒꯠꯂꯛꯀꯅꯤ ꯍꯥꯌꯅꯥ ꯊꯥꯖꯕꯥ ꯑꯁꯤ ꯑꯔꯨꯕꯥ ꯑꯃꯅꯤ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯈꯨꯗꯛꯇꯥ ꯅꯠꯠꯔꯒꯥ ꯈꯨꯗꯛꯇꯥ ꯂꯥꯏꯌꯦꯡꯂꯕꯗꯤ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯈꯨꯗꯛꯇꯥ ꯑꯃꯁꯨꯡ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯂꯥꯏꯌꯦꯡꯂꯕꯗꯤ, `(Aortic Stenosis)`ꯒꯤ ꯑꯥꯎꯇꯂꯨꯛ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯐꯩ꯫ ꯅꯍꯥꯛꯀꯤ ꯄꯨꯟꯁꯤ ꯆꯨꯞꯄꯥ ꯃꯦꯗꯤꯀꯦꯜ ꯁꯨꯄꯔꯚꯤꯖꯅꯒꯤ ꯃꯈꯥꯗꯥ ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯆꯦꯛ-ꯑꯞ ꯇꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯒꯅꯤ, ꯑꯗꯨꯕꯨ ꯅꯠꯠꯔꯕꯗꯤ ꯅꯍꯥꯛꯀꯤ ꯅꯣꯔꯃꯦꯜ ꯑꯦꯛꯇꯤꯚꯤꯇꯤꯁꯤꯡ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯄꯨꯝꯅꯃꯛ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯍꯧꯕꯥ ꯌꯥꯏ ꯑꯃꯁꯨꯡ ꯑꯐꯕꯥ ꯄꯨꯟꯁꯤ ꯑꯃꯥ ꯍꯤꯡꯕꯥ ꯌꯥꯏ꯫

ꯑꯩꯅꯥ ꯏꯁꯥꯕꯨ ꯀꯔꯝꯅꯥ ꯌꯦꯡꯁꯤꯅꯕꯤꯒꯅꯤ?

• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯦꯑꯣꯔꯇꯤꯛ ꯁ꯭ꯇꯦꯅꯣꯁꯤꯁ ꯑꯗꯨ ꯌꯥꯝꯅꯥ ꯅꯦꯝꯂꯕꯗꯤ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯅꯥ ꯂꯥꯏꯑꯣꯡ ꯑꯃꯠꯇꯥ ꯂꯩꯠꯔꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯇꯧꯒꯗꯕꯥ ꯊꯕꯛ ꯑꯗꯨꯗꯤ ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯏꯀꯣꯀꯥꯔꯗꯤꯑꯣꯒ꯭ꯔꯥꯐ ꯇꯧꯕꯥ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯇꯥꯟꯅꯕꯈꯛꯇꯅꯤ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯌꯥꯏ ꯑꯣꯏꯕꯥ ꯑꯦꯑꯣꯔꯇꯤꯛ ꯚꯜꯌꯨ ꯁ꯭ꯇꯦꯅꯣꯁꯤꯁ ꯂꯩꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯗꯨ ꯌꯦꯡꯁꯤꯅꯕꯥ, ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯏꯀꯣꯀꯥꯔꯗꯤꯑꯣꯒ꯭ꯔꯥꯐ ꯇꯧꯕꯥ, ꯅꯍꯥꯛꯀꯤ ꯊꯕꯛ ꯊꯧꯔꯃꯁꯤꯡ ꯂꯤꯃꯤꯠ ꯇꯧꯕꯥ (ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯇꯥꯀꯄꯥ ꯃꯇꯨꯡꯏꯟꯅꯥ) ꯑꯃꯁꯨꯡ ꯑꯀꯛꯅꯕꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ ꯂꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯏ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯑꯦꯑꯣꯔꯇꯤꯛ ꯚꯜꯌꯨ ꯁ꯭ꯇꯦꯅꯣꯁꯤꯁ ꯂꯩꯔꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯚꯜꯌꯨ ꯔꯤꯄꯦꯌꯥꯔ ꯇꯧꯔꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯔꯤꯞꯂꯦꯁꯃꯦꯟꯇ ꯇꯧꯔꯕꯥ ꯃꯇꯨꯡꯗꯁꯨ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯇꯥꯟꯅꯗꯨꯅꯥ ꯃꯈꯥ ꯆꯠꯊꯕꯥ ꯃꯊꯧ ꯇꯥꯏ꯫ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛ ꯈꯔꯗꯤ ꯅꯍꯥꯛꯀꯤ ꯄꯨꯟꯁꯤ ꯆꯨꯞꯄꯥ ꯂꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯏ꯫
• ꯊꯥꯛ ꯈꯨꯗꯤꯡꯃꯛꯇꯥ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯁꯣꯜꯇ ꯑꯃꯁꯨꯡ ꯐꯦꯠ ꯌꯥꯝꯅꯥ ꯌꯥꯎꯕꯥ ꯗꯥꯏꯠ ꯑꯃꯥ ꯆꯥꯅꯕꯥ, ꯑꯃꯁꯨꯡ ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯇꯧꯅꯕꯥ ꯍꯥꯌꯒꯅꯤ꯫ ꯑꯗꯨꯕꯨ ꯅꯍꯥꯛꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯀꯔꯤ ꯂꯦꯚꯦꯂꯒꯤ ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯑꯁꯤ ꯅꯍꯥꯛꯀꯤꯗꯃꯛꯇꯥ ꯆꯨꯝꯃꯤ ꯍꯥꯌꯅꯥ ꯍꯪꯒꯗꯕꯅꯤ꯫

ꯑꯩꯒꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯀꯗꯥꯏꯗꯥ ꯆꯠꯀꯗꯒꯦ?

ꯅꯍꯥꯛꯅꯥ ꯂꯥꯏꯌꯦꯡ ꯆꯠꯊꯗꯅꯕꯥ ꯋꯥꯔꯦꯞ ꯂꯧꯔꯕꯁꯨ ꯅꯠꯠꯔꯒꯥ ꯍꯧꯖꯤꯛ ꯐꯥꯎꯕꯥ ꯂꯥꯏꯌꯦꯡ ꯐꯪꯗ꯭ꯔꯤꯕꯁꯨ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯍꯦꯛꯇꯕꯨ ꯊꯣꯛꯂꯕꯗꯤ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯈꯨꯗꯛꯇꯥ ꯋꯥꯔꯤ ꯁꯥꯟꯅꯒꯗꯕꯅꯤ:

• `(Aortic Stenosis)`ꯒꯤ ꯑꯅꯧꯕꯥ ꯂꯥꯏꯑꯣꯡ ꯑꯃꯥ ꯂꯥꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯍꯧꯖꯤꯛ ꯂꯩꯔꯤꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯗꯨ ꯈꯪꯍꯧꯗꯅꯥ ꯍꯦꯟꯅꯥ ꯐꯠꯆꯤꯜꯂꯛꯇꯕꯥ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯗꯨꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯅꯨꯡꯇꯤꯒꯤ ꯄꯨꯟꯁꯤꯗꯥ ꯑꯀꯥꯌꯕꯥ ꯄꯤꯕꯥ ꯍꯧꯔꯛꯂꯕꯗꯤ꯫

ꯑꯩꯅꯥ ꯀꯗꯥꯏꯗꯥ ꯏꯃꯔꯖꯦꯟꯁꯤ ꯔꯨꯝ (ER)ꯗꯥ ꯆꯠꯀꯗꯒꯦ?

ꯑꯅꯧꯕꯥ ꯍꯤꯗꯥꯛ ꯑꯃꯥ ꯍꯧꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯍꯦꯛꯇꯕꯨ ꯊꯣꯛꯂꯕꯗꯤ ꯏꯃꯔꯖꯦꯟꯁꯤ ꯔꯨꯃꯗꯥ ꯆꯠꯂꯨ:

• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯍꯤꯗꯥꯛ ꯑꯃꯗꯒꯤ ꯊꯥꯖꯗꯕꯥ, ꯁꯥꯊꯤꯕꯥ ꯁꯥꯏꯗ ꯏꯐꯦꯛꯇ ꯑꯃꯥ ꯊꯦꯡꯅꯔꯕꯗꯤ (ꯀꯔꯤꯒꯨꯝꯕꯥ ꯁꯥꯏꯗ ꯏꯐꯦꯛꯇꯁꯤꯡ ꯑꯗꯨ ꯈꯨꯗꯛꯇꯥ ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯃꯇꯦꯡ ꯃꯊꯧ ꯇꯥꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯈꯪꯍꯅꯒꯅꯤ)꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯔꯝ ꯑꯃꯍꯦꯛꯇꯗꯒꯤ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯇꯨꯝꯕꯥ ꯌꯥꯗꯕꯥ ꯑꯣꯏꯔꯕꯗꯤ, ꯃꯁꯤ ꯑꯐꯕꯥ ꯑꯃꯅꯤ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯕ꯭ꯂꯗ ꯊꯤꯅꯔꯁꯤꯡ ꯂꯧꯗꯨꯅꯥ ꯁꯣꯀꯄꯥ ꯇꯥꯔꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯃꯅꯨꯡꯒꯤ ꯑꯣꯏꯕꯥ ꯏ ꯊꯣꯀꯄꯒꯤ ꯔꯤꯁ꯭ꯛ ꯍꯦꯟꯅꯥ ꯂꯩ - ꯃꯔꯨꯑꯣꯏꯅꯥ ꯏꯁꯤꯡ ꯇꯨꯡꯁꯤꯅꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯇꯩ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯛꯂꯕꯥ ꯃꯇꯨꯡꯗꯥ꯫

ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯅꯠꯠꯔꯒꯥ ꯀꯦꯇꯦꯒꯣꯔꯤꯒꯤ ꯄ꯭ꯔꯣꯁꯤꯗ꯭ꯌꯨꯑꯣꯔ ꯑꯃꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯑꯣꯏꯔꯕꯁꯨ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯍꯦꯛꯇꯕꯨ ꯊꯣꯛꯂꯕꯗꯤ ꯏꯃꯔꯖꯦꯟꯁꯤ ꯔꯨꯃꯗꯥ ꯆꯠꯂꯨ:

• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯏꯅꯁꯤꯁꯟ ꯑꯗꯨ ꯂꯥꯂꯍꯧꯕꯥ, ꯁꯣꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯁꯣꯀꯄꯥ ꯌꯥꯕꯥ ꯑꯣꯏꯔꯕꯗꯤ, ꯃꯈꯣꯌ ꯑꯁꯤ ꯈꯨꯗꯛꯇꯥ ꯂꯥꯏꯌꯦꯡꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯏꯅꯐꯦꯛꯁꯟ ꯑꯃꯒꯤ ꯈꯨꯗꯃꯁꯤꯡꯅꯤ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯦꯑꯣꯔꯇꯤꯛ ꯁ꯭ꯇꯦꯅꯣꯁꯤꯁꯀꯤ ꯁꯥꯊꯤꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ, ꯍꯥꯌꯕꯗꯤ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ, ꯈꯣꯡꯗꯥ ꯁꯣꯀꯄꯥ, ꯊꯝꯃꯣꯌ ꯁꯣꯀꯄꯥ, ꯅꯠꯠꯔꯒꯥ ꯋꯥꯈꯜ ꯃꯥꯡꯈꯤꯕꯥ ꯑꯁꯤꯅꯆꯤꯡꯕꯥ ꯂꯩꯔꯕꯗꯤ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯕ꯭ꯂꯗ ꯊꯤꯅꯔꯁꯤꯡ ꯂꯧꯔꯒꯥ ꯁꯣꯀꯄꯥ ꯇꯥꯔꯕꯗꯤ ꯃꯗꯨ ꯃꯊꯛꯇꯥ ꯄꯅꯈ꯭ꯔꯤꯕꯥ ꯃꯔꯝ ꯑꯗꯨꯃꯛꯇꯅꯤ꯫

ꯑꯩꯒꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯀꯔꯤ ꯋꯥꯍꯪ ꯍꯪꯒꯗꯒꯦ?

ꯗꯣꯛꯇꯔ ꯑꯃꯒꯥ ꯎꯅꯅꯕꯥ ꯆꯠꯄꯥ ꯃꯇꯃꯗꯥ, ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯋꯥꯍꯪꯁꯤꯡ ꯑꯁꯤ ꯍꯪꯕꯗꯥ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯂꯩꯔꯣꯏꯗꯕꯅꯤ:

• ꯗꯣꯛꯇꯔ, ꯑꯩꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯍꯦꯟꯅꯥ ꯐꯠꯆꯤꯜꯂꯛꯀꯅꯤ ꯍꯥꯌꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯈꯜꯂꯤꯕꯔꯥ?
• ꯑꯩꯅꯥ ꯚꯜꯌꯨ ꯑꯃꯥ ꯍꯣꯡꯗꯣꯀꯄꯥ ꯇꯥꯕꯔꯥ?
• ꯑꯩꯒꯤꯗꯃꯛꯇꯗꯤ ꯀꯔꯤ ꯃꯈꯂꯒꯤ ꯚꯜꯌꯨ ꯑꯁꯤ ꯍꯣꯡꯗꯣꯀꯄꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯒꯦ?
• ꯑꯩꯒꯤꯗꯃꯛꯇꯗꯤ ꯁꯔꯖꯔꯤ ꯇꯧꯕꯒꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯥ ꯃꯇꯝ ꯑꯗꯨ ꯀꯗꯥꯏꯗꯥ ꯑꯣꯏꯕꯒꯦ?
• ꯃꯁꯤꯒꯤꯗꯃꯛꯇꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯅꯧꯕꯥ ꯂꯥꯏꯌꯦꯡꯁꯤꯡ ꯀꯔꯤꯅꯣ?

ꯇꯦꯛ-ꯍꯣꯝ ꯃꯦꯁꯦꯖ ꯇꯧꯕꯥ꯫

ꯑꯣꯀꯦ, ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯍꯧꯖꯤꯛꯇꯤ ꯅꯍꯥꯛꯅꯥ ꯑꯩꯈꯣꯌꯅꯥ ꯋꯥꯔꯤ ꯁꯥꯈꯤꯕꯥ `(ꯑꯦꯑꯣꯔꯇꯤꯛ ꯁ꯭ꯇꯦꯅꯣꯁꯤꯁ)` ꯀꯧꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯗꯨꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯍꯦꯟꯅꯥ ꯂꯧꯁꯤꯡ ꯂꯩꯔꯦ꯫ ꯍꯣꯌ, ꯅꯍꯥꯛꯀꯤ ꯊꯝꯃꯣꯌꯒꯤ ꯁꯔꯨꯛ ꯑꯃꯥ, ꯍꯥꯌꯕꯗꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯒꯦꯠ ꯑꯃꯥ ꯂꯩꯕꯥ, ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯊꯕꯛ ꯇꯧꯗꯕꯥ ꯑꯁꯤ ꯇꯁꯦꯡꯅꯥ ꯌꯥꯝꯅꯥ ꯂꯥꯡꯇꯛꯅꯩ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯋꯥꯐꯃꯗꯤ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯑꯃꯁꯨꯡ ꯊꯦꯡꯊꯕꯥ ꯂꯩꯇꯅꯥ ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯄꯥꯎꯇꯥꯛ ꯂꯧꯕꯅꯤ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯥ ꯍꯦꯛꯇꯥ ꯂꯩꯔꯕꯗꯤ, ꯅꯠꯠꯔꯒꯥ ꯅꯍꯥꯛꯀꯤ ꯏꯃꯨꯡꯒꯤ ꯃꯤꯑꯣꯏ ꯑꯃꯗꯥ ꯍꯥꯔꯇꯀꯤ ꯂꯥꯌꯅꯥ ꯂꯩꯔꯕꯗꯤ, ꯗꯣꯛꯇꯔ ꯑꯃꯗꯥ ꯁꯣꯌꯗꯅꯥ ꯇꯥꯀꯄꯤꯌꯨ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯍꯥꯔꯠ ꯑꯗꯨ ꯆꯦꯛ ꯇꯧꯕꯤꯌꯨ꯫

`(ꯑꯦꯑꯣꯔꯇꯤꯛ ꯁ꯭ꯇꯦꯅꯣꯁꯤꯁ)` ꯑꯁꯤ ꯑꯔꯨꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ ꯍꯥꯌꯔꯕꯁꯨ, ꯉꯁꯤꯗꯤ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯆꯥꯎꯈꯠꯂꯦ꯫ ꯁꯔꯖꯔꯤ ꯑꯃꯁꯨꯡ ꯑꯩꯈꯣꯌꯅꯥ ꯋꯥꯔꯤ ꯁꯥꯈꯤꯕꯥ `(ꯇꯤ.ꯑꯦ.ꯚꯤ.ꯑꯥꯔ.)`ꯒꯨꯝꯕꯥ ꯑꯅꯧꯕꯥ ꯀꯦꯇꯦꯒꯣꯔꯤꯗꯥ ꯌꯨꯝꯐꯝ ꯑꯣꯏꯕꯥ ꯂꯥꯌꯦꯡꯁꯤꯡꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯃꯁꯤ ꯂꯥꯌꯦꯡꯕꯒꯤ ꯇꯧꯕꯥ ꯉꯝꯕꯁꯤꯡ ꯑꯁꯤ ꯀꯩꯗꯧꯅꯨꯡꯗꯥ ꯍꯦꯟꯅꯥ ꯐꯕꯥ ꯑꯣꯏꯈꯤꯗꯦ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯑꯀꯤꯕꯥ ꯂꯩꯔꯣꯏꯗꯕꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯥꯌꯅꯥ ꯑꯁꯤ ꯇꯣꯌꯅꯥ ꯈꯉꯂꯝꯂꯕꯗꯤ ꯑꯃꯁꯨꯡ ꯑꯆꯨꯝꯕꯥ ꯂꯥꯏꯌꯦꯡ ꯐꯪꯂꯕꯗꯤ ꯅꯍꯥꯛꯅꯥ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯍꯀꯆꯥꯡ ꯐꯕꯥ, ꯅꯨꯡꯉꯥꯏꯕꯥ ꯄꯨꯟꯁꯤ ꯑꯃꯥ ꯍꯤꯡꯕꯥ ꯉꯃꯒꯅꯤ꯫ ꯅꯍꯥꯛꯀꯤ ꯊꯝꯃꯣꯌꯕꯨ ꯌꯦꯡꯁꯤꯅꯕꯤꯌꯨ, ꯑꯣꯀꯦ?

` ꯑꯦꯑꯣꯔꯇꯤꯛ ꯁ꯭ꯇꯦꯅꯣꯁꯤꯁ, ꯍꯥꯔꯠ ꯚꯜꯌꯨ, ꯍꯥꯔꯠ ꯗꯤꯖꯤꯖ, ꯆꯦꯁ꯭ꯠ ꯄꯦꯏꯟ, ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ, ꯍꯥꯔꯠ ꯁꯔꯖꯔꯤ, ꯇꯤ.ꯑꯦ.ꯚꯤ.ꯑꯥꯔ