ꯀꯅꯥꯒꯨꯝꯕꯥ ꯑꯃꯅꯥ ꯍꯥꯔꯠ ꯁꯔꯖꯔꯤ ꯍꯥꯌꯕꯥ ꯋꯥꯍꯩ ꯑꯁꯤ ꯇꯥꯕꯗꯥ ꯈꯔꯥ ꯂꯥꯡꯇꯛꯅꯕꯥ ꯄꯣꯀꯄꯥ ꯌꯥꯏ, ꯅꯠꯇꯦ? ꯃꯔꯨꯑꯣꯏꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯁꯤ ꯍꯥꯔꯇꯀꯤ ꯁꯔꯨꯛ ꯑꯃꯥ ꯚꯜꯌꯨ ꯑꯃꯒꯨꯝꯅꯥ ꯃꯍꯨꯠ ꯁꯤꯅꯕꯥ ꯌꯥꯕꯥ ꯁꯔꯖꯔꯤ ꯑꯃꯥ ꯑꯣꯏꯔꯕꯗꯤ꯫ ꯑꯗꯨꯕꯨ ꯂꯥꯡꯇꯛꯅꯒꯅꯨ꯫ ꯃꯁꯤ ꯃꯤꯑꯣꯏ ꯂꯤꯁꯤꯡ ꯀꯌꯥꯅꯥ ꯃꯥꯌ ꯄꯥꯛꯅꯥ ꯄꯥꯡꯊꯣꯀꯈꯤꯕꯥ ꯁꯔꯖꯔꯤ ꯑꯃꯅꯤ꯫ ꯉꯁꯤꯗꯤ ꯑꯦꯑꯣꯔꯇꯤꯛ ꯚꯜꯌꯨ ꯁꯔꯖꯔꯤ ꯍꯥꯌꯅꯥ ꯀꯧꯕꯥ ꯑꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯁꯤ, ꯃꯁꯤꯅꯥ ꯇꯁꯦꯡꯅꯥ ꯀꯔꯤ ꯇꯧꯔꯤꯕꯒꯦ, ꯑꯃꯁꯨꯡ ꯀꯔꯤꯒꯤꯗꯃꯛꯇꯥ ꯃꯁꯤ ꯑꯗꯣꯃꯒꯤꯗꯃꯛꯇꯥ ꯃꯔꯨꯑꯣꯏꯕꯅꯣ꯫
ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯃꯁꯤ ꯑꯦꯑꯣꯔꯇꯤꯛ ꯚꯜꯌꯨ ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ?
ꯅꯍꯥꯛꯀꯤ ꯊꯝꯃꯣꯌꯕꯨ ꯑꯄꯤꯀꯄꯥ, ꯑꯗꯨꯕꯨ ꯌꯥꯝꯅꯥ ꯁꯛꯇꯤ ꯂꯩꯕꯥ ꯌꯨꯝ ꯑꯃꯥ ꯑꯣꯏꯅꯥ ꯈꯅꯕꯤꯌꯨ, ꯃꯗꯨꯗꯥ ꯔꯨꯝ ꯃꯔꯤ ꯂꯩ꯫ ꯌꯨꯝ ꯑꯁꯤꯗꯒꯤ ꯍꯀꯆꯥꯡ ꯄꯨꯝꯅꯃꯛꯇꯥ ꯑꯁꯦꯡꯕꯥ, ꯑꯣꯛꯁꯤꯖꯦꯟ ꯌꯥꯑꯣꯕꯥ ꯏ ꯄꯝꯄ ꯇꯧꯕꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯒꯦꯠ ꯑꯁꯤ ꯑꯦꯑꯣꯔꯇꯤꯛ ꯚꯜꯌꯨꯅꯤ꯫ ꯆꯨꯝꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯃꯁꯤꯒꯤ ‘ꯒꯦꯠ’ ꯑꯁꯤ ꯍꯥꯔꯇꯀꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯄꯝꯄ ꯇꯧꯕꯥ ꯆꯦꯝꯕꯔ (Left Ventricle) ꯑꯃꯁꯨꯡ ꯍꯀꯆꯥꯡ ꯄꯨꯝꯅꯃꯛꯇꯥ ꯏ ꯄꯨꯕꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯜ (Aorta)ꯒꯤ ꯃꯔꯛꯇꯥ ꯂꯩ꯫ ꯑꯗꯨꯅꯥ ꯍꯧꯖꯤꯛꯇꯤ ꯑꯗꯣꯝꯅꯥ ꯈꯉꯂꯃꯒꯅꯤ ꯃꯗꯨꯗꯤ ꯒꯦꯠ ꯑꯁꯤꯅꯥ ꯍꯀꯆꯥꯡ ꯄꯨꯝꯕꯒꯤ ꯑꯣꯏꯅꯥ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯊꯕꯛ ꯇꯧꯕꯥ ꯑꯁꯤ ꯀꯌꯥ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ꯫
ꯀꯔꯤꯒꯤꯗꯃꯛꯇꯥ ꯚꯜꯌꯨ ꯑꯁꯤ ꯁꯔꯖꯔꯤ ꯇꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯔꯤꯕꯅꯣ?
ꯃꯇꯃꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ, ꯑꯃꯁꯨꯡ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯄꯣꯀꯄꯗꯒꯤ ꯍꯧꯗꯨꯅꯥ, ꯚꯜꯌꯨ ꯑꯁꯤ ꯗꯤꯁꯐꯉ꯭ꯀꯁꯅꯦꯜ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯑꯅꯤ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫
| ꯃꯦꯗꯤꯀꯦꯜ ꯀꯟꯗꯤꯁꯟ ꯂꯩꯕꯥ꯫ | ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ... |
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| ꯑꯦꯑꯣꯔꯇꯤꯛ ꯚꯜꯌꯨ ꯁ꯭ꯇꯦꯅꯣꯁꯤꯁ (ꯚꯜꯌꯨꯝ ꯑꯗꯨ ꯀꯨꯄꯁꯤꯅꯕꯥ) . | ꯀꯦꯁ ꯑꯁꯤꯗꯥ ꯀꯔꯤ ꯊꯣꯛꯂꯤꯕꯅꯣ ꯍꯥꯌꯕꯁꯤ ꯚꯜꯌꯨ ꯐ꯭ꯂꯦꯄꯁꯤꯡ ꯑꯗꯨ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯍꯥꯡꯗꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯍꯥꯡꯗꯣꯀꯄꯥ ꯉꯃꯗꯕꯁꯤꯅꯤ꯫ ꯃꯁꯤꯅꯥ ꯍꯥꯔꯇꯇꯥ ꯄ꯭ꯔꯦꯁꯔ ꯌꯥꯝꯅꯥ ꯄꯤ, ꯃꯗꯨꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯃꯗꯨ ꯊꯤꯡꯖꯤꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯏ ꯑꯗꯨ ꯆꯦꯟꯊꯍꯅꯕꯥ ꯃꯊꯧ ꯇꯥꯏ꯫ |
| ꯑꯦꯑꯣꯔꯇꯤꯛ ꯚꯜꯌꯨ ꯔꯤꯒꯔꯖꯤꯇꯦꯁꯟ (ꯂꯤꯛ ꯑꯣꯏꯕꯥ ꯚꯜꯌꯨ) | ꯃꯐꯝ ꯑꯁꯤꯗꯥ ꯊꯣꯛꯂꯤꯕꯁꯤ ꯚꯜꯌꯨ ꯐ꯭ꯂꯦꯄꯁꯤꯡ ꯑꯁꯤ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯂꯣꯠꯄꯥ ꯉꯃꯗꯦ꯫ ꯃꯁꯤꯒꯤ ꯃꯍꯩ ꯑꯣꯏꯅꯥ ꯄꯝꯄ ꯇꯧꯔꯕꯥ ꯏ ꯈꯔꯗꯤ ꯍꯥꯔꯇꯇꯥ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯂꯤꯛ ꯑꯣꯏꯔꯀꯏ꯫ |
ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯑꯅꯤ ꯑꯁꯤꯅꯥ ꯊꯝꯃꯣꯌꯗꯥ ꯑꯍꯦꯅꯕꯥ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯊꯣꯀꯍꯜꯂꯤ꯫ ꯃꯇꯃꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ, ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯍꯥꯔꯠ ꯐꯦꯜ ꯑꯣꯏꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯈꯪꯍꯧꯗꯅꯥ ꯀꯥꯔꯗꯤꯌꯦꯛ ꯑꯦꯔꯦꯁ꯭ꯠ ꯇꯧꯕꯥ ꯐꯥꯎꯕꯥ ꯍꯦꯟꯅꯥ ꯐꯠꯆꯤꯜꯂꯛꯇꯕꯥ ꯌꯥꯏ꯫ ꯃꯔꯝ ꯑꯁꯤꯅꯥ ꯚꯜꯌꯨ ꯑꯁꯤ ꯁꯔꯖꯤꯀꯦꯜ ꯑꯣꯏꯅꯥ ꯔꯤꯄꯦꯌꯥꯔ ꯇꯧꯕꯥ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫
ꯀꯔꯤ ꯃꯈꯂꯒꯤ ꯁꯔꯖꯔꯤꯁꯤꯡ ꯂꯩꯕꯒꯦ?
ꯁꯔꯖꯔꯤꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯈꯜ ꯑꯅꯤ ꯂꯩ꯫
- ꯑꯦꯑꯣꯔꯇꯤꯛ ꯚꯜꯌꯨ ꯔꯤꯄꯦꯌꯥꯔ ꯇꯧꯕꯥ: ꯌꯥꯔꯤꯕꯃꯈꯩ, ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯏꯁꯥꯒꯤ ꯃꯍꯧꯁꯥꯒꯤ ꯑꯣꯏꯕꯥ ꯚꯜꯌꯨꯗꯥ ꯂꯩꯕꯥ ꯑꯁꯣꯀꯄꯥ ꯑꯗꯨ ꯔꯤꯄꯦꯌꯥꯔ ꯇꯧꯅꯕꯥ ꯍꯣꯠꯅꯩ ꯑꯃꯁꯨꯡ ꯃꯗꯨ ꯉꯥꯀꯊꯣꯛꯅꯕꯥ ꯍꯣꯠꯅꯩ꯫ ꯃꯁꯤꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯏꯁꯥꯒꯤ ꯇꯤꯁꯨ ꯑꯗꯨ ꯌꯥꯔꯤꯕꯃꯈꯩ ꯉꯥꯛꯇꯨꯅꯥ ꯊꯝꯕꯥ ꯌꯥꯎꯏ꯫
- ꯁꯔꯖꯤꯀꯦꯜ ꯑꯦꯑꯣꯔꯇꯤꯛ ꯚꯜꯌꯨ ꯔꯤꯞꯂꯦꯁꯃꯦꯟꯇ (SAVR): ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯚꯜꯌꯨ ꯑꯗꯨ ꯔꯤꯄꯦꯌꯥꯔ ꯇꯧꯕꯥ ꯉꯃꯗꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯁꯣꯀꯍꯜꯂꯕꯗꯤ ꯃꯗꯨ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯂꯧꯊꯣꯀꯏ ꯑꯃꯁꯨꯡ ꯑꯅꯧꯕꯥ ꯑꯥꯔꯇꯤꯐꯤꯁꯤꯑꯦꯜ ꯚꯜꯌꯨ ꯑꯃꯥ ꯊꯥꯏ꯫
ꯑꯅꯧꯕꯥ ꯚꯜꯌꯨ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯑꯣꯏꯕꯒꯦ?
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯚꯜꯌꯨ ꯑꯃꯥ ꯍꯣꯡꯗꯣꯀꯄꯥ ꯇꯥꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯛꯀꯥ ꯑꯣꯄꯁꯟ ꯀꯌꯥꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯒꯅꯤ꯫ ꯈꯔꯗꯤ ꯁꯥ-ꯁꯅꯒꯤ ꯇꯤꯁꯨ (ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯎꯆꯦꯛ, ꯁꯟ)ꯗꯒꯤ ꯁꯦꯝꯕꯅꯤ, ꯑꯗꯨꯒꯥ ꯑꯇꯩ ꯈꯔꯗꯤ ꯃꯤꯑꯣꯏꯕꯒꯤ ꯇꯤꯁꯨꯗꯒꯤ ꯁꯦꯝꯕꯅꯤ꯫ ꯃꯁꯤꯒꯤ ꯃꯊꯛꯇꯥ, ꯃꯦꯀꯥꯅꯤꯀꯦꯜ ꯚꯜꯌꯨ ꯀꯧꯕꯥ ꯃꯈꯜ ꯑꯃꯁꯨ ꯂꯩ, ꯃꯁꯤ ꯃꯄꯨꯡ ꯐꯥꯅꯥ ꯇꯦꯛꯇ ꯀꯥꯌꯗꯕꯥ ꯙꯥꯇꯨꯗꯒꯤ ꯁꯦꯝꯕꯅꯤ꯫ ꯃꯈꯜ ꯈꯨꯗꯤꯡꯃꯛꯀꯤ ꯃꯁꯥꯒꯤ ꯑꯣꯏꯕꯥ ꯀꯥꯟꯅꯕꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯑꯋꯥꯠꯄꯥ ꯂꯩ꯫ ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯦꯀꯥꯅꯤꯀꯦꯜ ꯚꯜꯌꯨ ꯑꯃꯥ ꯂꯩꯔꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯄꯨꯟꯁꯤ ꯆꯨꯞꯄꯥ ꯏꯁꯤꯡ ꯇꯨꯡꯁꯤꯅꯕꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ ꯂꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯒꯅꯤ꯫ ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯈꯟꯅ-ꯅꯩꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤꯗꯃꯛꯇꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯥ ꯑꯗꯨ ꯈꯅꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫
ꯇꯤ.ꯑꯦ.ꯚꯤ.ꯑꯥꯔ./ꯇꯤ.ꯑꯦ.ꯚꯤ.ꯒꯤ ꯃꯇꯥꯡꯗꯁꯨ ꯈꯉꯂꯁꯤ: ꯉꯁꯤ ꯐꯪꯂꯤꯕꯥ ꯑꯍꯣꯡꯕꯥ ꯇꯦꯛꯅꯣꯂꯣꯖꯤ ꯑꯁꯤꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯇꯨꯕ ꯑꯃꯥ ꯒ꯭ꯔꯨꯏꯟ ꯅꯠꯠꯔꯒꯥ ꯑꯥꯔꯃꯗꯥ ꯂꯩꯕꯥ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯜ ꯑꯃꯗꯒꯤ ꯊꯝꯃꯣꯌꯗꯥ ꯌꯧꯍꯟꯗꯨꯅꯥ ꯊꯝꯃꯣꯌꯗꯥ ꯃꯄꯨꯡ ꯐꯥꯅꯥ ꯍꯥꯡꯗꯣꯛꯇꯨꯅꯥ ꯚꯜꯌꯨ ꯑꯗꯨ ꯍꯣꯡꯗꯣꯛ ꯍꯣꯡꯖꯤꯟ ꯇꯧꯕꯒꯤ ꯄꯥꯝꯕꯩ ꯑꯃꯥ ꯂꯩꯔꯦ꯫ ꯃꯁꯤꯕꯨ ꯇ꯭ꯔꯥꯟꯁꯀꯦꯇꯦꯇꯔ ꯑꯦꯑꯣꯔꯇꯤꯛ ꯚꯜꯌꯨ ꯔꯤꯞꯂꯦꯁꯃꯦꯟꯇ (TAVR/TAVI) ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ ꯑꯗꯨꯕꯨ ꯃꯁꯤ ꯃꯤꯄꯨꯝ ꯈꯨꯗꯤꯡꯃꯛꯀꯤꯗꯃꯛ ꯇꯧꯕꯥ ꯉꯝꯂꯣꯏ꯫ ꯅꯍꯥꯛꯀꯤ ꯐꯤꯚꯃꯒꯤꯗꯃꯛꯇꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯥ ꯃꯦꯊꯗ ꯑꯗꯨ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯂꯦꯄꯀꯅꯤ꯫
ꯁꯔꯖꯔꯤꯒꯤ ꯃꯃꯥꯡꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯀꯔꯝꯅꯥ ꯁꯦꯝ-ꯁꯥꯕꯒꯦ?
ꯁꯔꯖꯔꯤꯒꯤ ꯃꯃꯥꯡꯗꯥ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯌꯦꯡꯁꯤꯅꯒꯅꯤ ꯑꯃꯁꯨꯡ ꯃꯊꯧ ꯇꯥꯕꯥ ꯇꯦꯁ꯭ꯠ ꯀꯌꯥ ꯑꯃꯥ ꯑꯣꯔꯗꯔ ꯇꯧꯒꯅꯤ꯫
- ꯍꯥꯔꯠ ꯁ꯭ꯀꯦꯟ ꯑꯃꯥ (ꯏꯀꯣꯀꯥꯔꯗꯤꯑꯣꯒ꯭ꯔꯥꯐ - ꯏꯀꯣ) ꯑꯃꯥ꯫
- ꯆꯦꯁ꯭ꯠ ꯑꯦꯛꯁ-ꯔꯦ ꯑꯦꯀꯖꯥꯃꯤꯅꯦꯁꯟ ꯇꯧꯕꯥ꯫
- ꯏ.ꯀꯦ.ꯖꯤ.ꯒꯤ ꯇꯦꯁ꯭ꯠ (ꯏꯂꯦꯛꯠꯔꯣꯀꯥꯔꯗꯤꯑꯣꯒ꯭ꯔꯥꯐ)
- ꯁꯤ.ꯇꯤ.ꯁ꯭ꯀꯦꯟ ꯇꯧꯕꯥ꯫
- ꯀꯥꯔꯗꯤꯌꯦꯛ ꯀꯦꯇꯦꯇꯦꯔꯥꯏꯖꯦꯁꯟ (ꯀꯦꯃꯦꯔꯥ ꯑꯃꯥ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯂꯁꯤꯡꯗꯥ ꯄꯥꯁ ꯇꯧꯕꯥ ꯇꯦꯁ꯭ꯠ)
- ꯏ ꯑꯃꯁꯨꯡ ꯌꯨꯔꯤꯟ ꯇꯦꯁ꯭ꯠ ꯇꯧꯕꯥ꯫
ꯃꯁꯤ ꯄꯨꯝꯅꯃꯛ ꯑꯁꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯁꯔꯖꯔꯤꯒꯤ ꯃꯃꯥꯡꯒꯤ ꯅꯨꯃꯤꯠꯇꯥ ꯀꯔꯤ ꯇꯧꯒꯗꯒꯦ ꯍꯥꯌꯕꯒꯤ ꯏꯅꯁ꯭ꯠꯔꯛꯁꯅꯁꯤꯡ ꯄꯤꯒꯅꯤ꯫ ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯁꯔꯖꯔꯤꯒꯤ ꯃꯃꯥꯡꯒꯤ ꯅꯨꯃꯤꯠ ꯅꯨꯡꯊꯤꯂꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯃꯠꯇꯥ ꯆꯥꯗꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯊꯀꯄꯥ ꯌꯥꯗꯕꯥ , ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛ ꯑꯃꯠꯇꯥ ꯊꯀꯄꯥ ꯂꯦꯄꯍꯅꯕꯥ ꯃꯊꯧ ꯇꯥꯕ꯭ꯔꯥ, ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯅꯥ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯂꯗꯥ ꯀꯗꯥꯏꯗꯥ ꯂꯥꯛꯀꯗꯒꯦ ꯍꯥꯌꯕꯗꯨ꯫ ꯍꯥꯌꯔꯤꯕꯥ ꯏꯅꯁ꯭ꯠꯔꯛꯁꯅꯁꯤꯡ ꯑꯁꯤ ꯆꯞ ꯆꯥꯅꯥ ꯏꯅꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫
ꯁꯔꯖꯔꯤ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯄꯥꯡꯊꯣꯛꯀꯅꯤ ꯑꯃꯁꯨꯡ ꯑꯦꯞꯔꯣꯆꯁꯤꯡ꯫
ꯑꯣꯄꯔꯦꯁꯅꯒꯤ ꯃꯇꯃꯗꯥ, ꯅꯍꯥꯛꯅꯥ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯑꯦꯅꯥꯁ꯭ꯇꯦꯇꯤꯛ ꯇꯧꯒꯅꯤ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯑꯃꯠꯇꯥ ꯐꯥꯎꯔꯣꯏ꯫ ꯁꯔꯖꯔꯤꯅꯥ ꯊꯝꯃꯣꯌꯗꯥ ꯌꯧꯕꯥ ꯉꯝꯅꯕꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯄꯥꯝꯕꯩ ꯑꯅꯤ ꯁꯤꯖꯤꯟꯅꯕꯥ ꯌꯥꯏ꯫
| ꯁꯔꯖꯤꯀꯦꯜ ꯃꯦꯊꯗ꯫ | ꯋꯥꯔꯣꯜ |
|---|---|
| ꯇ꯭ꯔꯦꯗꯤꯁꯅꯦꯜ ꯑꯣꯄꯟ-ꯍꯥꯔꯠ ꯁꯔꯖꯔꯤ ꯇꯧꯕꯥ꯫ | ꯃꯐꯝ ꯑꯁꯤꯗꯥ, ꯁ꯭ꯇꯦꯔꯅꯝ ꯍꯥꯡꯗꯣꯛꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯍꯥꯔꯇꯇꯥ ꯑꯦꯛꯁꯦꯁ ꯇꯧꯅꯕꯥ ꯆꯦꯡꯒꯤ ꯃꯔꯛꯇꯥ ꯏꯟꯆꯤ 6-8ꯒꯤ ꯏꯅꯁꯤꯁꯟ ꯑꯃꯥ ꯁꯦꯝꯃꯤ꯫ |
| ꯃꯤꯅꯤꯃꯝ ꯏꯅꯚꯦꯁꯤꯚ ꯍꯥꯔꯠ ꯁꯔꯖꯔꯤ꯫ | ꯃꯁꯤ ꯏꯟꯆꯤ 2-4ꯒꯤ ꯑꯄꯤꯀꯄꯥ ꯏꯅꯁꯤꯁꯟ ꯑꯃꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯃꯗꯒꯤ ꯍꯦꯅꯕꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ, ꯈꯣꯡ ꯑꯗꯨ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯍꯥꯡꯗꯣꯛꯇꯨꯅꯥ ꯄꯥꯡꯊꯣꯀꯏ꯫ ꯃꯁꯤꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯏ ꯊꯣꯀꯄꯥ ꯍꯟꯊꯕꯥ, ꯍꯣꯁ꯭ꯄꯤꯇꯥꯂꯗꯥ ꯃꯇꯝ ꯀꯨꯏꯅꯥ ꯂꯩꯕꯥ ꯑꯃꯁꯨꯡ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯐꯒꯠꯂꯀꯄꯥ ꯊꯣꯀꯍꯜꯂꯤ꯫ |
ꯑꯣꯄꯔꯦꯁꯅꯒꯤ ꯃꯅꯨꯡꯗꯥ, ꯅꯍꯥꯛꯀꯤ ꯍꯥꯔꯠ ꯑꯃꯁꯨꯡ ꯂꯪꯁꯀꯤ ꯊꯕꯀꯁꯤꯡ ꯃꯇꯝ ꯈꯔꯒꯤ ꯑꯣꯏꯅꯥ ꯄꯥꯡꯊꯣꯛꯅꯕꯥ ꯑꯈꯟꯅꯕꯥ ꯃꯦꯁꯤꯟ (ꯍꯥꯔꯠ-ꯂꯪꯁ ꯃꯦꯁꯤꯟ) ꯑꯃꯒꯥ ꯁꯝꯅꯍꯅꯒꯅꯤ꯫ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯁꯔꯖꯔꯤ ꯑꯗꯨꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯥꯔꯠ ꯑꯗꯨ ꯊꯤꯡꯒꯅꯤ ꯑꯃꯁꯨꯡ ꯆꯦꯀꯁꯤꯟꯅꯥ ꯔꯤꯄꯦꯌꯥꯔ ꯇꯧꯒꯅꯤ ꯅꯠꯠꯔꯒꯥ ꯚꯜꯌꯨ ꯑꯗꯨ ꯍꯣꯡꯗꯣꯛꯀꯅꯤ꯫ ꯊꯕꯛ ꯑꯗꯨ ꯂꯣꯌꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯍꯥꯔꯠ ꯑꯗꯨ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯍꯧꯗꯣꯛꯀꯅꯤ, ꯃꯦꯁꯤꯟ ꯑꯗꯨꯗꯒꯤ ꯗꯤꯁꯀꯅꯦꯛꯇ ꯇꯧꯒꯅꯤ ꯑꯃꯁꯨꯡ ꯏꯅꯁꯤꯁꯅꯁꯤꯡ ꯑꯗꯨ ꯊꯤꯡꯖꯤꯅꯒꯅꯤ꯫ ꯑꯣꯄꯔꯦꯁꯟ ꯄꯨꯝꯅꯃꯛ ꯑꯁꯤ ꯃꯍꯧꯁꯥꯅꯥ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯄꯨꯡ ꯑꯅꯤ ꯆꯪꯏ꯫
ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ... ꯐꯒꯠꯂꯀꯄꯒꯤ ꯃꯇꯝ꯫
ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯑꯍꯥꯅꯕꯗꯥ ꯅꯍꯥꯀꯄꯨ ꯏꯟꯇꯦꯟꯁꯤꯚ ꯀꯦꯌꯔ ꯌꯨꯅꯤꯠ (ICU)ꯗꯥ ꯑꯦꯗꯃꯤꯠ ꯇꯧꯒꯅꯤ ꯑꯃꯁꯨꯡ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯔꯦꯒꯨꯂꯥꯔ ꯋꯥꯔꯗ ꯑꯃꯗꯥ ꯇ꯭ꯔꯥꯟꯁꯐꯔ ꯇꯧꯒꯅꯤ꯫ ꯃꯍꯧꯁꯥꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯂꯗꯥ ꯅꯨꯃꯤꯠ 5ꯗꯒꯤ 7 ꯐꯥꯎꯕꯥ ꯂꯩꯒꯗꯕꯅꯤ꯫ ꯌꯨꯃꯗꯥ ꯆꯠꯂꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯅꯨꯃꯤꯠ ꯈꯔꯅꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯌꯥꯝꯅꯥ ꯋꯥꯅꯥ ꯊꯣꯀꯄꯥ ꯍꯥꯌꯕꯁꯤ ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡ ꯑꯗꯨ ꯇꯥꯕꯤꯌꯨ ꯑꯃꯁꯨꯡ ꯌꯥꯝꯅꯥ ꯅꯨꯡꯉꯥꯏꯅꯥ ꯂꯩꯌꯨ꯫
ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯀꯥꯔꯗꯤꯌꯦꯛ ꯔꯤꯍꯦꯕꯤꯂꯤꯇꯦꯁꯟ ꯄ꯭ꯔꯣꯒ꯭ꯔꯥꯝ ꯑꯃꯥ ꯔꯤꯀꯃꯦꯟꯗ ꯇꯧꯕꯥ ꯌꯥꯏ . ꯃꯁꯤꯗꯥ ꯁ꯭ꯄꯦꯁꯤꯑꯦꯂꯤꯁ꯭ꯠ ꯑꯃꯒꯤ ꯌꯦꯡꯁꯤꯅꯕꯒꯤ ꯃꯈꯥꯗꯥ ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯇꯧꯕꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯄꯥꯉ꯭ꯒꯜ ꯑꯗꯨ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯍꯦꯅꯒꯠꯍꯅꯕꯥ ꯌꯥꯎꯏ꯫ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯀꯗꯥꯏꯗꯥ ꯑꯔꯨꯝꯕꯥ ꯂꯧꯊꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯗ꯭ꯔꯥꯏꯚꯤꯡꯒꯨꯝꯕꯥ ꯊꯕꯛ ꯊꯧꯔꯃꯁꯤꯡ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯍꯧꯕꯥ ꯌꯥꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯈꯪꯍꯜꯂꯛꯀꯅꯤ꯫ ꯃꯍꯧꯁꯥꯅꯥ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯐꯒꯠꯂꯀꯄꯗꯥ ꯅꯨꯃꯤꯠ 4ꯗꯒꯤ 8 ꯐꯥꯎꯕꯥ ꯆꯪꯏ꯫
ꯃꯤꯑꯣꯏ ꯈꯔꯗꯗꯤ ꯍꯥꯔꯠ ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯃꯌꯥꯏ ꯑꯣꯏꯕꯥ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ, ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯥꯁꯥ ꯂꯩꯇꯕꯥ ꯊꯦꯡꯅꯔꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯁꯤ ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏ ꯑꯃꯁꯨꯡ ꯂꯥꯏꯌꯦꯡꯕꯥ ꯌꯥꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯁꯤ ꯊꯦꯡꯅꯔꯕꯗꯤ, ꯃꯗꯨꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯇꯥꯟꯅꯧ꯫
ꯈꯨꯗꯛꯇꯥ ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯃꯇꯦꯡ ꯃꯊꯧ ꯇꯥꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ꯫
ꯌꯨꯃꯗꯥ ꯍꯜꯂꯛꯂꯕꯥ ꯃꯇꯨꯡꯗꯥ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯍꯦꯛꯇꯕꯨ ꯂꯥꯀꯄꯥ ꯇꯥꯔꯕꯗꯤ, ꯈꯨꯗꯛꯇꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯀꯧꯕꯤꯌꯨ ꯅꯠꯠꯔꯒꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯅꯀꯄꯥ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯂꯒꯤ ꯏꯃꯔꯖꯦꯟꯁꯤ ꯗꯤꯄꯥꯔꯇꯃꯦꯟꯇ (ETU)ꯗꯥ ꯆꯠꯄꯤꯌꯨ꯫
- ꯈꯣꯡꯗꯥ ꯁꯣꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯁꯣꯀꯄꯥ꯫
- ꯂꯥꯏꯍꯧ ꯍꯧꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯀꯣꯛ ꯆꯤꯀꯄꯥ꯫
- ꯁꯔꯖꯤꯀꯦꯜ ꯏꯅꯁꯤꯁꯟ ꯑꯗꯨꯗꯒꯤ ꯄꯣꯃꯈꯠꯄꯥ, ꯁꯣꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯂꯥꯎꯕꯥ ꯂꯩ꯫
- ꯍꯥꯔꯠ ꯄꯦꯂꯄꯤꯇꯦꯁꯟ ꯂꯩꯕꯥ꯫
- ꯈꯣꯡ ꯁꯣꯀꯄꯥ (Edema) .
- ꯅꯨꯃꯤꯠ ꯑꯃꯗꯥ ꯀꯤꯂꯣꯒ꯭ꯔꯥꯝ 1.5 (ꯄꯥꯎꯟꯗ 3)ꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯑꯔꯨꯝꯕꯥ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ꯫
ꯇꯦꯛ-ꯍꯣꯝ ꯃꯦꯁꯦꯖ ꯇꯧꯕꯥ꯫
- ꯑꯦꯑꯣꯔꯇꯤꯛ ꯚꯜꯌꯨ ꯁꯔꯖꯔꯤ ꯑꯁꯤ ꯑꯀꯅꯕꯥ ꯊꯧꯑꯣꯡ ꯑꯃꯅꯤ ꯍꯥꯌꯔꯕꯁꯨ, ꯃꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯄꯨꯟꯁꯤ ꯀꯅꯕꯥ ꯉꯝꯕꯥ ꯑꯃꯁꯨꯡ ꯃꯥꯌꯄꯥꯛꯅꯥ ꯐꯜ ꯂꯩꯕꯥ ꯂꯥꯏꯌꯦꯡ ꯑꯃꯅꯤ꯫
- ꯇꯣꯉꯥꯟ-ꯇꯣꯉꯥꯅꯕꯥ ꯄꯥꯝꯕꯩꯁꯤꯡ ꯂꯩ, ꯃꯈꯣꯌꯁꯤꯡ ꯑꯗꯨꯗꯤ ꯚꯜꯌꯨ ꯔꯤꯄꯦꯌꯥꯔ ꯇꯧꯕꯥ, ꯃꯍꯨꯠ ꯁꯤꯅꯕꯥ, ꯑꯣꯄꯟ ꯁꯔꯖꯔꯤ ꯅꯠꯠꯔꯒꯥ ꯃꯤꯅꯤꯃꯝ ꯏꯅꯚꯦꯁꯤꯕ ꯁꯔꯖꯔꯤ ꯑꯁꯤꯅꯆꯤꯡꯕꯅꯤ꯫ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯛꯀꯤꯗꯃꯛꯇꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯥ ꯃꯦꯊꯗ ꯑꯗꯨ ꯂꯦꯄꯀꯅꯤ꯫
- ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯐꯥꯎꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯅꯣꯔꯃꯦꯂꯅꯤ꯫ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡ ꯑꯗꯨ ꯐꯒꯠꯂꯀꯄꯒꯤ ꯃꯇꯝ ꯄꯤꯌꯨ꯫ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯤ ꯏꯅꯁ꯭ꯠꯔꯛꯁꯅꯁꯤꯡ ꯑꯗꯨ ꯆꯞ ꯆꯥꯅꯥ ꯏꯅꯒꯗꯕꯅꯤ꯫
- ꯁꯔꯖꯔꯤ ꯅꯠꯠꯔꯒꯥ ꯔꯤꯀꯣꯚꯔꯤꯒꯤ ꯃꯇꯃꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯩꯔꯤꯕꯥ ꯑꯀꯤꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯑꯃꯍꯦꯛꯇꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯑꯃꯨꯛꯇꯪ ꯋꯥꯔꯤ ꯁꯥꯕꯤꯌꯨ꯫
- ꯈꯣꯡꯆꯠ ꯑꯁꯤꯗꯥ ꯑꯗꯣꯃꯒꯤ ꯏꯃꯨꯡ ꯃꯅꯨꯡ ꯑꯃꯁꯨꯡ ꯃꯔꯨꯞ ꯃꯄꯥꯡꯁꯤꯡꯒꯤ ꯃꯇꯦꯡꯅꯥ ꯑꯗꯣꯃꯒꯤꯗꯃꯛ ꯑꯆꯧꯕꯥ ꯄꯥꯉ꯭ꯒꯜ ꯑꯃꯥ ꯑꯣꯏꯒꯅꯤ, ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯃꯈꯣꯌꯗꯁꯨ ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯈꯉꯍꯅꯕꯤꯌꯨ꯫
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