ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯏꯆꯥꯅꯨꯄꯤꯒꯤ ꯊꯝꯃꯣꯌꯗꯥ ꯑꯄꯤꯀꯄꯥ ꯈꯣꯟꯖꯦꯜ ꯑꯃꯥ ꯂꯩ ꯍꯥꯌꯅꯥ ꯍꯥꯌꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯅꯍꯥꯛ ꯌꯥꯝꯅꯥ ꯋꯥꯅꯥ ꯊꯣꯀꯈꯤꯕꯅꯤ, ‘ꯊꯝꯃꯣꯌꯒꯤ ꯋꯥꯈꯜ ꯋꯥꯕꯥ’꯫ ꯅꯠꯔꯒꯥ, ꯅꯍꯥꯛꯅꯥ ꯆꯍꯤ ꯴꯰ ꯁꯨꯔꯦ ꯑꯃꯁꯨꯡ ꯍꯧꯖꯤꯀꯁꯨ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ ꯑꯃꯁꯨꯡ ꯃꯇꯝ ꯄꯨꯝꯅꯃꯛꯇꯥ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯊꯦꯡꯅꯔꯤꯕꯔꯥ, ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯈꯔꯥ ꯇꯧꯔꯕꯁꯨ? ꯋꯥꯐꯝ ꯑꯅꯤꯁꯤꯒꯤ ꯃꯔꯃꯗꯤ ꯊꯝꯃꯣꯌꯗꯥ ꯑꯄꯤꯀꯄꯥ ꯍꯨꯔꯥꯅꯕꯥ ꯑꯃꯥ ꯑꯣꯏꯔꯃꯒꯅꯤ꯫ ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯋꯥꯍꯟꯊꯣꯛꯀꯤ ꯃꯇꯨꯡ ꯏꯟꯅꯥ, ꯑꯩꯈꯣꯌꯅꯥ ꯃꯁꯤꯕꯨ ‘ꯑꯦꯠꯔꯤꯌꯥꯜ ꯁꯦꯞꯇꯜ ꯗꯤꯐꯦꯛꯇ’ ꯅꯠꯠꯔꯒꯥ ꯑꯦ.ꯑꯦꯁ.ꯗꯤ. ꯃꯤꯡ ꯑꯁꯤ ꯇꯥꯕꯗꯥ ꯂꯥꯡꯇꯛꯅꯒꯅꯨ꯫ ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯀꯣꯟꯖꯤꯅꯤꯑꯦꯜ ꯍꯥꯔꯠ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫ ꯃꯁꯤ ꯄꯨꯝꯅꯃꯛ ꯑꯁꯤ ꯉꯁꯤ ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯑꯃꯁꯨꯡ ꯃꯔꯨꯞ-ꯃꯄꯥꯡ ꯑꯣꯏꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯁꯤ꯫
ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯍꯥꯔꯇꯇꯥ ꯂꯩꯕꯥ ꯍꯣꯜ (ASD) ꯑꯁꯤ ꯀꯔꯤꯅꯣ?
ꯑꯣꯀꯦ, ꯃꯁꯤ ꯈꯉꯅꯕꯒꯤꯗꯃꯛ ꯑꯩꯈꯣꯌꯒꯤ ꯊꯝꯃꯣꯌꯕꯨ ꯔꯨꯝ ꯃꯔꯤ ꯂꯩꯕꯥ ꯌꯨꯝ ꯑꯃꯅꯤ ꯍꯥꯌꯅꯥ ꯈꯟꯗꯨꯅꯥ ꯌꯦꯡꯁꯤ꯫ ꯌꯨꯝ ꯑꯁꯤꯒꯤ ꯃꯊꯛꯇꯥ ꯔꯨꯝ ꯑꯅꯤ ꯑꯃꯁꯨꯡ ꯃꯈꯥꯗꯥ ꯔꯨꯝ ꯑꯅꯤ ꯂꯩ꯫ ꯃꯦꯗꯤꯁꯤꯅꯗꯥ ꯑꯩꯈꯣꯌꯅꯥ ꯃꯊꯛꯇꯥ ꯂꯩꯕꯥ ꯔꯨꯝ ꯑꯅꯤ ꯑꯁꯤꯕꯨ ꯑꯦꯠꯔꯤꯌꯥ ꯍꯥꯌꯅꯥ ꯀꯧꯏ . ꯍꯥꯌꯕꯗꯤ ꯔꯥꯏꯠ ꯑꯦꯠꯔꯤꯌꯥꯝ ꯑꯃꯁꯨꯡ ꯂꯦꯐꯠ ꯑꯦꯠꯔꯤꯌꯥꯝ꯫ ꯃꯊꯛ ꯊꯪꯕꯥ ꯆꯦꯝꯕꯔ ꯑꯅꯤ ꯑꯁꯤꯒꯤ ꯃꯔꯛꯇꯥ ꯋꯥꯜ ꯑꯃꯥ ꯂꯩ꯫ ꯑꯩꯈꯣꯌꯅꯥ ꯋꯥꯜ ꯑꯁꯤꯕꯨ ꯑꯦꯠꯔꯤꯌꯥꯜ ꯁꯦꯄꯇꯝ ꯍꯥꯌꯅꯥ ꯀꯧꯏ .
ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯅꯥ ꯊꯣꯛꯂꯤꯕꯥ ꯑꯁꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯑꯣꯛꯁꯤꯖꯦꯟ ꯌꯥꯝꯅꯥ ꯂꯩꯇꯕꯥ, ꯑꯁꯣꯀꯄꯥ ꯏ ꯑꯗꯨ ꯑꯔꯣꯏꯕꯥ ꯑꯦꯠꯔꯤꯌꯥꯃꯗꯥ ꯆꯪꯁꯤꯜꯂꯤ, ꯂꯪꯁꯇꯥ ꯆꯠꯂꯤ, ꯁꯨꯡꯗꯣꯛꯠꯔꯤꯕꯥ (ꯑꯣꯛꯁꯤꯖꯦꯟ ꯌꯥꯎꯕꯥ) ꯑꯃꯁꯨꯡ ꯂꯦꯡ-ꯑꯣꯠꯄꯗꯥ ꯍꯟꯖꯤꯜꯂꯀꯏ꯫ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯑꯣꯛꯁꯤꯖꯦꯟ ꯌꯥꯝꯅꯥ ꯌꯥꯎꯕꯥ, ꯁꯦꯡꯂꯕꯥ ꯏ ꯑꯁꯤ ꯍꯀꯆꯥꯡ ꯄꯨꯝꯅꯃꯛꯇꯥ ꯄꯝꯄ ꯇꯧꯏ꯫
ꯍꯧꯖꯤꯛ ꯈꯟꯊꯕꯤꯌꯨ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯊꯛꯀꯤ ꯆꯦꯝꯕꯔ ꯑꯅꯤꯗꯨ ꯇꯣꯉꯥꯟꯅꯥ ꯇꯥꯍꯜꯂꯤꯕꯥ ꯋꯥꯜ (ꯁꯦꯄꯇꯝ) ꯑꯗꯨꯗꯥ ꯑꯄꯤꯀꯄꯥ ꯍꯨꯔꯥꯅꯕꯥ ꯑꯃꯥ ꯂꯩꯔꯕꯗꯤ ꯀꯔꯤ ꯑꯣꯏꯒꯅꯤ? ꯑꯗꯨꯗꯒꯤ, ꯂꯦꯃꯍꯧꯔꯤꯕꯥ ꯆꯦꯝꯕꯔ ꯑꯗꯨꯗꯒꯤ ꯑꯣꯛꯁꯤꯖꯦꯟ ꯌꯥꯝꯅꯥ ꯌꯥꯎꯕꯥ, ꯑꯐꯕꯥ ꯏ ꯈꯔꯗꯤ ꯍꯣꯜ ꯑꯁꯤꯗꯒꯤ ꯑꯔꯣꯏꯕꯥ ꯆꯦꯝꯕꯔꯗꯥ ꯆꯦꯟꯊꯔꯀꯏ꯫ ꯑꯗꯨꯗꯒꯤ, ꯑꯐꯕꯥ ꯏ ꯑꯁꯤ ꯑꯔꯥꯞꯄꯥ ꯃꯅꯨꯡꯗꯒꯤ ꯂꯥꯀꯄꯥ ꯑꯁꯪꯕꯥ ꯏ ꯑꯗꯨꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯌꯥꯑꯣꯔꯃꯒꯅꯤ꯫ ꯃꯁꯤꯒꯤ ꯃꯍꯩ ꯑꯣꯏꯅꯥ, ꯃꯊꯧ ꯇꯥꯗꯕꯥ ꯏꯒꯤ ꯆꯥꯡ ꯑꯃꯥ ꯑꯔꯣꯏꯕꯥ ꯃꯐꯃꯗꯥ ꯊꯨꯒꯥꯌꯒꯅꯤ, ꯑꯃꯁꯨꯡ ꯍꯥꯔꯇꯀꯤ ꯑꯔꯣꯏꯕꯥ ꯃꯐꯝ ꯑꯗꯨꯅꯥ ꯑꯍꯦꯅꯕꯥ ꯏ ꯑꯗꯨ ꯂꯪꯁꯇꯥ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯄꯝꯄ ꯇꯧꯅꯕꯥ ꯍꯦꯟꯅꯥ ꯀꯟꯅꯥ ꯍꯣꯠꯅꯒꯗꯕꯅꯤ꯫ ꯃꯁꯤ ꯑꯦ.ꯑꯦꯁ.ꯗꯤ.
ꯃꯔꯨꯑꯣꯏꯕꯥ: ꯃꯤꯑꯣꯏ ꯈꯔꯅꯥ ASD ꯑꯁꯤ ꯄꯦꯇꯦꯟꯇ ꯐꯣꯔꯥꯃꯦꯟ ꯑꯣꯚꯦꯜ (PFO) ꯀꯧꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯁꯣꯀꯍꯜꯂꯤ꯫ ꯑꯅꯤ ꯑꯁꯤ ꯑꯃꯒꯥ ꯑꯃꯒꯥ ꯃꯥꯟꯅꯗꯦ, ꯑꯗꯨꯕꯨ ꯃꯄꯨꯡ ꯐꯥꯅꯥ ꯇꯣꯉꯥꯅꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯅꯤꯅꯤ꯫
ASDꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯈꯂꯁꯤꯡ ꯂꯩꯕ꯭ꯔꯥ?
ꯍꯣꯌ, ꯍꯥꯔꯇꯀꯤ ꯋꯥꯂꯗꯥ ꯍꯣꯜ ꯑꯗꯨ ꯀꯗꯥꯏꯗꯥ ꯂꯩꯕꯒꯦ ꯍꯥꯌꯕꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ, ꯑꯦꯠꯔꯤꯌꯥꯜ ꯐꯤꯕꯔꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯈꯜ ꯃꯔꯤ ꯂꯩ꯫ ꯃꯁꯤ ꯈꯪꯖꯤꯅꯕꯥ ꯃꯔꯨꯑꯣꯏ, ꯃꯔꯃꯗꯤ ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯑꯣꯄꯁꯅꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯃꯈꯜ ꯑꯗꯨꯒꯤ ꯃꯈꯥ ꯄꯣꯜꯂꯤ꯫
| ꯑꯦ.ꯑꯦꯁ.ꯗꯤ.ꯒꯤ ꯃꯈꯜ꯫ | ꯋꯥꯔꯣꯜ |
|---|---|
| ꯁꯦꯛꯌꯨꯟꯗꯝ ꯑꯦ.ꯑꯦꯁ.ꯗꯤ | ꯃꯁꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯃꯈꯂꯅꯤ . ASDꯅꯥ ꯅꯥꯕꯥ ꯃꯤꯑꯣꯏ ꯇꯔꯥꯒꯤ ꯃꯅꯨꯡꯗꯥ 8ꯗꯤ ꯃꯁꯤꯒꯤ ꯃꯈꯜ ꯑꯁꯤ ꯂꯩ꯫ ꯍꯣꯜ ꯑꯁꯤ ꯑꯦꯠꯔꯤꯌꯥꯁꯤꯡꯒꯤ ꯃꯔꯛꯇꯥ ꯂꯩꯕꯥ ꯋꯥꯜ ꯑꯗꯨꯒꯤ ꯃꯔꯛꯇꯥ ꯂꯩ꯫ |
| ꯄ꯭ꯔꯥꯏꯃꯝ ꯑꯦ.ꯑꯦꯁ.ꯗꯤ | ꯃꯁꯤꯒꯤ ꯍꯣꯜ ꯑꯁꯤ ꯋꯥꯂꯒꯤ ꯃꯈꯥ ꯊꯪꯕꯥ ꯁꯔꯨꯛꯇꯥ ꯂꯩ꯫ ꯃꯈꯜ ꯑꯁꯤꯒꯤ ꯑꯉꯥꯡ ꯈꯔꯗꯗꯤ ꯍꯥꯔꯠ ꯚꯜꯌꯨꯁꯤꯡꯗꯥ ꯅꯠꯠꯔꯒꯥ ꯂꯣꯌꯔꯕꯥ ꯆꯦꯝꯕꯔꯁꯤꯡ (ventricles)ꯒꯤ ꯃꯔꯛꯇꯥ ꯂꯩꯕꯥ ꯋꯥꯜ ꯑꯗꯨꯗꯥ ꯑꯇꯩ ꯑꯁꯣꯛ-ꯑꯄꯅꯁꯤꯡꯁꯨ ꯂꯩꯕꯥ ꯌꯥꯏ꯫ |
| ꯁꯥꯏꯅꯣꯁ ꯚꯦꯅꯣꯁꯁ ꯑꯦ.ꯑꯦꯁ.ꯗꯤ | ꯃꯁꯤꯒꯤ ꯍꯣꯜ ꯑꯁꯤ ꯃꯍꯧꯁꯥꯅꯥ ꯋꯥꯂꯒꯤ ꯃꯊꯛꯇꯥ ꯅꯠꯠꯔꯒꯥ ꯃꯇꯨꯡꯗꯥ ꯂꯩ꯫ ꯃꯁꯤꯒꯤ ꯃꯈꯜ ꯑꯁꯤ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯍꯥꯔꯇꯇꯥ ꯏ ꯄꯨꯕꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯚꯦꯅꯃꯁꯤꯡꯗꯥ ꯑꯁꯣꯛ-ꯑꯄꯅꯒꯥ ꯃꯔꯤ ꯂꯩꯅꯕꯁꯨ ꯌꯥꯏ꯫ |
| ꯑꯅꯔꯨꯐ ꯀꯣꯔꯣꯅꯥꯔꯤ ꯁꯥꯏꯅꯣꯁ꯫ | ꯃꯁꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯊꯣꯀꯄꯥ ꯃꯈꯂꯅꯤ . ꯃꯁꯤ ꯍꯥꯔꯠ ꯑꯃꯁꯨꯡ ꯂꯦꯡ-ꯑꯣꯠꯄꯒꯤ ꯃꯑꯣꯡ-ꯃꯇꯧꯒꯥ ꯁꯝꯅꯕꯥ ꯚꯦꯅꯝ ꯀꯥꯡꯂꯨꯞ ꯑꯃꯒꯤ ꯃꯔꯛꯇꯥ ꯂꯩꯕꯥ ꯋꯥꯜ ꯑꯃꯥ ꯌꯥꯎꯗꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯃꯄꯨꯡ ꯐꯥꯗꯕꯥ ꯃꯇꯃꯗꯥ ꯊꯣꯀꯏ꯫ |
ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯤꯅꯣ?
ꯑꯉꯀꯄꯥ ꯑꯣꯏꯅꯥ, ASD ꯑꯁꯤ ꯀꯣꯟꯖꯤꯅꯤꯑꯦꯜ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ ꯍꯥꯌꯔꯕꯁꯨ, ꯃꯤꯑꯣꯏ ꯀꯌꯥꯗꯤ ꯆꯍꯤ ꯀꯌꯥꯒꯤ ꯃꯇꯨꯡꯗꯥ, ꯃꯌꯥꯏ ꯑꯣꯏꯕꯥ ꯆꯍꯤ ꯐꯥꯎꯕꯗꯥ ꯂꯥꯏꯑꯣꯡ ꯑꯃꯠꯇꯥ ꯂꯥꯀꯄꯥ ꯉꯃꯗꯦ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯍꯣꯜ ꯑꯗꯨ ꯌꯥꯝꯅꯥ ꯄꯤꯀꯄꯥ (ꯃꯤꯂꯤꯃꯤꯇꯔ 5ꯗꯒꯤ ꯇꯥꯗꯅꯥ) ꯑꯣꯏꯔꯕꯗꯤ, ꯃꯁꯤꯅꯥ ꯍꯥꯔꯠ ꯅꯠꯠꯔꯒꯥ ꯂꯪꯁꯇꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯏꯐꯦꯛꯇ ꯑꯃꯠꯇꯥ ꯂꯩꯍꯟꯗꯕꯥ ꯌꯥꯏ, ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯂꯥꯏꯑꯣꯡ ꯑꯃꯠꯇꯥ ꯂꯩꯇꯕꯥ ꯌꯥꯏ꯫
ꯅꯍꯥ ꯑꯣꯏꯔꯤꯕꯥ ꯑꯉꯥꯡꯁꯤꯡꯗꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ꯫
ꯑꯌꯥꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯅꯍꯥ ꯑꯣꯏꯔꯤꯕꯥ ꯑꯉꯥꯡ ꯑꯃꯗꯥ ASD ꯂꯩꯔꯀꯄꯒꯤ ꯑꯍꯥꯅꯕꯥ ꯈꯨꯗꯝ ꯑꯁꯤ ꯁ꯭ꯇꯦꯊꯣꯁ꯭ꯀꯣꯞ ꯑꯦꯀꯖꯥꯃꯤꯅꯦꯁꯟ ꯑꯃꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯗꯣꯛꯇꯔꯅꯥ ꯇꯥꯕꯥ ꯑꯦꯕꯅꯣꯔꯃꯦꯜ ꯍꯥꯔꯇꯀꯤ ꯈꯣꯟꯖꯦꯜ (ꯍꯥꯔꯠ ꯃꯨꯔꯃꯔ) ꯑꯃꯅꯤ꯫ ꯃꯗꯨ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯈꯨꯗꯃꯅꯤ꯫
ꯃꯁꯤꯒꯤ ꯃꯊꯛꯇꯥ, ꯑꯉꯥꯡ ꯈꯔꯗꯗꯤ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤꯁꯨ ꯎꯕꯥ ꯐꯪꯏ:
- ꯆꯍꯤꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ ꯑꯔꯨꯝꯕꯥ ꯍꯟꯊꯕꯥ ꯑꯃꯁꯨꯡ ꯒ꯭ꯔꯣꯊ ꯔꯤꯇꯥꯔꯗꯦꯁꯟ꯫
- ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯒꯤ ꯏꯅꯐꯦꯛꯁꯅꯁꯤꯡ (ꯀꯣꯜꯗ, ꯅ꯭ꯌꯨꯃꯣꯅꯤꯌꯥꯒꯨꯝꯕꯥ)꯫
- ꯁꯥꯟꯅꯔꯤꯉꯩꯗꯥ ꯊꯨꯅꯥ ꯌꯥꯡꯅꯥ ꯋꯥꯈꯜ ꯇꯥꯕꯥ꯫
- ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ꯫
- ꯍꯥꯔꯇꯀꯤ ꯔꯤꯗꯝ ꯑꯥꯏꯔꯦꯒꯨꯂꯦꯔꯤꯇꯤ (arrhythmias) - ꯑꯗꯨꯕꯨ ꯃꯁꯤ ꯑꯉꯥꯡꯁꯤꯡꯗꯥ ꯈꯔꯥ ꯍꯦꯟꯅꯥ ꯊꯣꯀꯏ꯫
ꯑꯍꯜ ꯑꯣꯏꯔꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯗꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ꯫
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯉꯥꯡ ꯑꯣꯏꯔꯤꯉꯩꯗꯥ ꯈꯪꯗꯣꯀꯄꯥ ꯉꯃꯗꯕꯥ ꯑꯆꯧꯕꯥ ꯍꯨꯔꯥꯅꯕꯥ ꯑꯃꯥ ꯂꯩꯔꯕꯗꯤ, ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯆꯍꯤ 40ꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯊꯣꯀꯄꯥ ꯍꯧꯔꯀꯄꯥ ꯌꯥꯏ, ꯃꯁꯤꯒꯤ ꯃꯔꯃꯗꯤ ꯍꯥꯔꯠ ꯑꯃꯁꯨꯡ ꯂꯪꯁꯀꯤ ꯑꯔꯣꯏꯕꯥ ꯁꯔꯨꯛ ꯑꯗꯨ ꯆꯍꯤ ꯀꯌꯥꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯀꯟꯅꯥ ꯊꯕꯛ ꯇꯧꯗꯨꯅꯥ ꯂꯥꯛꯂꯤ ꯑꯃꯁꯨꯡ ꯋꯥꯈꯜ ꯇꯥꯗꯕꯥ ꯌꯥꯏ꯫
ꯑꯍꯜ ꯑꯣꯏꯔꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯅꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯊꯦꯡꯅꯔꯀꯄꯥ ꯌꯥꯏ:
- ꯃꯔꯝ ꯑꯃꯠꯇꯥ ꯂꯩꯇꯅꯥ ꯑꯍꯦꯅꯕꯥ ꯋꯥꯈꯜ ꯋꯥꯕꯥ꯫
- ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯗꯥ ꯋꯥꯕꯥ, ꯍꯥꯌꯕꯗꯤ ꯑꯇꯦꯅꯕꯥ ꯂꯝꯕꯤꯗꯥ ꯆꯠꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯈꯣꯡꯗꯥ ꯆꯠꯄꯥ ꯃꯇꯃꯗꯥ꯫
- ꯑꯦꯕꯅꯣꯔꯃꯦꯜ ꯍꯥꯔꯠ ꯔꯦꯠ (palpitations) ꯑꯃꯥ ꯐꯥꯎꯕꯥ꯫
- ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯍꯥꯔꯇꯀꯤ ꯈꯣꯡꯖꯦꯜ (tachycardia)꯫
- ꯈꯣꯡ, ꯈꯣꯡ, ꯑꯃꯁꯨꯡ ꯈꯨꯠꯁꯥꯁꯤꯡꯗꯥ ꯁꯣꯛ-ꯄꯅꯕꯥ (edema)꯫
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯃꯤꯠ ꯑꯃꯁꯨꯡ ꯈꯣꯡ ꯑꯗꯨ ꯅꯤꯜ (cyanosis) ꯑꯣꯏꯔꯀꯏ꯫
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯍꯦꯛꯇꯥ ꯂꯩꯔꯕꯗꯤ, ꯆꯥꯅꯕꯤꯗꯨꯅꯥ ꯈꯨꯗꯛꯇꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯇꯥꯟꯅꯧ꯫ ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯂꯥꯌꯦꯡꯗꯕꯥ ASD ꯑꯃꯒꯤ ꯈꯨꯗꯃꯁꯤꯡ ꯑꯣꯏꯕꯥ ꯌꯥꯏ, ꯅꯠꯠꯔꯒꯥ ꯃꯈꯣꯌ ꯑꯁꯤ ꯑꯇꯣꯞꯄꯥ ꯍꯥꯔꯇꯀꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯒꯤ ꯈꯨꯗꯃꯁꯤꯡ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯈꯣꯡꯗꯥ ꯑꯅꯥꯕꯥ ꯂꯩꯔꯕꯗꯤ, ꯈꯨꯗꯛꯇꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯅꯀꯄꯥ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯜ ꯏꯃꯔꯖꯦꯟꯁꯤ ꯗꯤꯄꯥꯔꯇꯃꯦꯟꯇ (ETU)ꯗꯥ ꯆꯠꯂꯨ꯫
ꯀꯔꯤꯒꯤꯗꯃꯛꯇꯥ ꯐꯤꯚꯝ ꯑꯁꯤ ꯊꯣꯛꯂꯤꯕꯅꯣ?
ꯃꯁꯤꯒꯤ ꯑꯆꯨꯝꯕꯥ ꯃꯔꯝ ꯑꯁꯤ ꯍꯧꯖꯤꯛ ꯐꯥꯑꯣꯕꯥ ꯈꯉꯕꯥ ꯉꯃꯗ꯭ꯔꯤ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯄꯣꯀꯄꯗꯥ ꯉꯥꯏꯔꯤꯕꯥ ꯑꯁꯣꯛ-ꯑꯄꯅꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯑꯌꯥꯝꯕꯗꯤ ꯃꯤꯔꯣꯜꯂꯤꯉꯩ ꯃꯇꯃꯗꯥ ꯑꯉꯥꯡ ꯄꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯊꯣꯀꯄꯥ ꯖꯤꯅꯦꯇꯤꯛ ꯑꯣꯏꯕꯥ ꯑꯍꯣꯡꯕꯁꯤꯡꯅꯥ ꯊꯣꯀꯍꯅꯕꯅꯤ꯫ ꯑꯦꯟ.ꯀꯦ.ꯑꯦꯛꯁ.꯲.꯵/ꯁꯤ.ꯑꯦꯁ.ꯑꯦꯛꯁ., ꯖꯤ.ꯑꯦ.ꯇꯤ.ꯑꯦ.꯴, ꯑꯃꯁꯨꯡ ꯇꯤ.ꯕꯤ.ꯑꯦꯛꯁ.꯵ꯒꯨꯝꯕꯥ ꯖꯤꯅꯁꯤꯡꯗꯥ ꯑꯍꯣꯡꯕꯥ ꯂꯥꯀꯄꯥ ꯑꯁꯤ ꯑꯦ.ꯑꯦꯁ.ꯗꯤ.
ꯃꯁꯤꯗꯁꯨ ꯅꯠꯇꯅꯥ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ASDꯅꯥ ꯅꯥꯕꯥ ꯑꯉꯥꯡꯁꯤꯡꯗꯥ ꯑꯇꯩ ꯍꯥꯔꯇꯀꯤ ꯑꯁꯣꯛ-ꯑꯄꯅꯁꯤꯡ ꯅꯠꯠꯔꯒꯥ ꯑꯇꯩ ꯖꯦꯅꯦꯇꯤꯛ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ, ꯍꯥꯌꯕꯗꯤ ꯗꯥꯎꯟ ꯁꯤꯟꯗ꯭ꯔꯣꯝ ꯂꯩꯕꯥ ꯌꯥꯏ꯫
ꯃꯤꯔꯣꯜꯂꯤꯉꯩ ꯃꯇꯃꯗꯥ ꯔꯤꯁ꯭ꯛ ꯍꯦꯅꯒꯠꯍꯜꯂꯤꯕꯥ ꯐꯦꯛꯇꯔꯁꯤꯡ꯫
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯤꯔꯣꯜꯂꯤꯕꯤ ꯃꯃꯥ ꯑꯃꯅꯥ ꯑꯀꯛꯅꯕꯥ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ ꯂꯩꯔꯕꯗꯤ, ꯑꯉꯥꯡ ꯑꯗꯨꯗꯥ ꯀꯣꯟꯖꯤꯅꯤꯑꯦꯜ ꯍꯥꯔꯠ ꯗꯤꯖꯤꯖ ꯑꯃꯥ ꯂꯥꯀꯄꯒꯤ ꯔꯤꯁ꯭ꯛ ꯈꯔꯥ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ ꯌꯥꯏ꯫
- ꯃꯃꯥ ꯑꯗꯨ ꯃꯤꯔꯣꯜꯂꯤꯉꯩ ꯃꯃꯥꯡꯗꯥ ꯗꯥꯏꯑꯦꯕꯦꯇꯤꯖ ꯂꯩꯈꯤ꯫
- ꯃꯤꯔꯣꯜꯂꯤꯉꯩ ꯃꯇꯃꯗꯥ ꯐ꯭ꯂꯨꯒꯨꯝꯕꯥ ꯚꯥꯏꯔꯁ ꯏꯅꯐꯦꯛꯁꯅꯁꯤꯡ ꯂꯥꯀꯄꯥ꯫
- ꯌꯨ ꯑꯃꯁꯨꯡ ꯊꯛꯅꯕꯥ ꯏꯁꯤꯡ ꯁꯤꯖꯤꯟꯅꯕꯥ꯫
- ꯗꯣꯛꯇꯔꯒꯤ ꯄꯥꯎꯇꯥꯛ ꯌꯥꯎꯗꯅꯥ ꯑꯀꯛꯅꯕꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ ꯁꯤꯖꯤꯟꯅꯕꯥ꯫
- ꯀꯣꯀꯦꯅꯒꯨꯝꯕꯥ ꯗ꯭ꯔꯒꯁꯤꯡ ꯁꯤꯖꯤꯟꯅꯕꯥ꯫
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯂꯥꯏꯌꯦꯡꯗ꯭ꯔꯕꯗꯤ ꯀꯔꯤ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ ꯊꯣꯀꯄꯥ ꯌꯥꯕꯒꯦ?
ꯑꯄꯤꯀꯄꯥ ꯍꯨꯏ ꯑꯃꯅꯥ ꯌꯥꯝꯅꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯜꯂꯣꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯆꯧꯕꯥ ꯍꯨꯔꯥꯅꯕꯥ ꯑꯃꯥ ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯂꯥꯏꯌꯦꯡꯗꯅꯥ ꯂꯩꯔꯕꯗꯤ, ꯃꯁꯤꯅꯥ ꯑꯀꯅꯕꯥ ꯍꯀꯁꯦꯂꯒꯤ ꯁꯃꯁ꯭ꯌꯥꯁꯤꯡ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯒꯤ ꯃꯔꯃꯗꯤ ꯍꯥꯔꯇꯀꯤ ꯑꯔꯣꯏꯕꯥ ꯁꯔꯨꯛ ꯑꯃꯁꯨꯡ ꯂꯪꯁ ꯑꯁꯤ ꯂꯦꯞꯇꯅꯥ ꯍꯦꯟꯅꯥ ꯀꯟꯅꯥ ꯊꯕꯛ ꯇꯧꯕꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯃꯈꯣꯌꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯜꯂꯤ꯫
- ꯔꯥꯏꯠ ꯍꯥꯔꯠ ꯑꯦꯅꯂꯥꯔꯖꯦꯟꯁ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯁꯤ ꯃꯈꯥ ꯆꯠꯊꯔꯕꯗꯤ ꯍꯥꯔꯠ ꯐꯦꯜ ꯑꯣꯏꯍꯅꯕꯥ ꯌꯥꯏ꯫
- ꯍꯥꯔꯠ ꯔꯤꯗꯝ ꯗꯤꯁꯑꯣꯔꯗꯔꯁꯤꯡ (Arrhythmia): ꯆꯍꯤ 40ꯒꯤ ꯃꯊꯛꯇꯥ ꯂꯩꯕꯥ ASD ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯒꯤ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯁꯔꯨꯛ ꯑꯍꯨꯝ ꯊꯣꯀꯄꯒꯤ ꯑꯃꯗꯤ ꯍꯥꯔꯠ ꯔꯤꯗꯝ ꯗꯤꯁꯑꯣꯔꯗꯔꯁꯤꯡ (ꯑꯦꯠꯔꯤꯌꯥꯜ ꯐꯥꯏꯕ꯭ꯔꯤꯂꯦꯁꯅꯒꯨꯝꯕꯥ) ꯊꯣꯀꯏ꯫
- ꯁ꯭ꯠꯔꯣꯛ (Stroke): ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯍꯥꯔꯇꯇꯥ ꯁꯦꯝꯕꯥ ꯑꯄꯤꯀꯄꯥ ꯏꯒꯤ ꯈꯣꯡꯖꯦꯂꯁꯤꯡꯅꯥ ꯍꯨꯔꯥꯅꯕꯥ (hole) ꯑꯁꯤꯗꯒꯤ ꯑꯃꯁꯨꯡ ꯕ꯭ꯔꯦꯅꯗꯥ ꯆꯦꯟꯊꯔꯀꯄꯥ ꯌꯥꯏ, ꯃꯗꯨꯅꯥ ꯁ꯭ꯠꯔꯣꯛ ꯑꯃꯥ ꯊꯣꯀꯍꯜꯂꯤ꯫
- ꯄꯂꯃꯣꯅꯥꯔꯤ ꯍꯥꯏꯄꯔꯇꯦꯟꯁꯟ (Pulmonary Hypertension): ꯂꯪꯁꯇꯥ ꯏ ꯄꯨꯕꯥ ꯉꯝꯕꯥ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯂꯁꯤꯡꯗꯥ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ ꯋꯥꯡꯈꯠꯄꯥ꯫ ꯃꯁꯤ ꯈꯨꯗꯣꯡꯊꯤꯅꯤꯡꯉꯥꯏ ꯑꯣꯏꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫
- ꯏꯁꯦꯅꯃꯦꯉ꯭ꯒꯔ ꯁꯤꯟꯗꯣꯝ: 1.1.ꯁꯥꯊꯤꯕꯥ ꯄꯂꯃꯣꯅꯥꯔꯤ ꯍꯥꯏꯄꯔꯇꯦꯟꯁꯅꯒꯥ ꯂꯣꯌꯅꯅꯥ ASD ꯑꯃꯥ ꯂꯩꯕꯥ ꯃꯇꯃꯗꯥ ꯊꯣꯀꯄꯥ ꯁꯥꯊꯤꯕꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯟ ꯑꯃꯅꯤ꯫
ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯃꯁꯤ ꯀꯔꯝꯅꯥ ꯊꯤꯔꯤꯕꯒꯦ?
ꯃꯈꯣꯌꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡꯒꯤ ꯃꯔꯃꯗꯥ ꯍꯪꯒꯅꯤ, ꯐꯤꯖꯤꯀꯦꯜ ꯑꯦꯀꯖꯥꯃꯤꯅꯦꯁꯟ ꯑꯃꯥ ꯄꯥꯡꯊꯣꯛꯀꯅꯤ, ꯑꯃꯁꯨꯡ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯥꯔꯇꯀꯤ ꯐꯉ꯭ꯀꯁꯟ ꯑꯃꯁꯨꯡ ꯁ꯭ꯠꯔꯀꯆꯔ ꯑꯗꯨ ꯌꯦꯡꯁꯤꯟꯅꯕꯥ ꯇꯦꯁ꯭ꯠ ꯀꯌꯥ ꯇꯧꯒꯅꯤ꯫
| ꯆꯥꯡꯌꯦꯡ | ꯃꯗꯨꯗꯒꯤ ꯑꯗꯣꯝꯅꯥ ꯀꯔꯤ ꯇꯃꯖꯔꯤꯕꯒꯦ? |
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| ꯏ.ꯁꯤ.ꯖꯤ.(ꯏꯂꯦꯛꯠꯔꯣꯀꯥꯔꯗꯤꯑꯣꯒ꯭ꯔꯥꯝ) | ꯍꯥꯔꯇꯀꯤ ꯏꯂꯦꯛꯠꯔꯤꯀꯦꯜ ꯑꯦꯛꯇꯤꯚꯤꯇꯤ ꯑꯗꯨ ꯔꯦꯀꯣꯔꯗ ꯇꯧꯏ꯫ ꯃꯁꯤꯅꯥ ꯍꯥꯔꯇꯀꯤ ꯈꯣꯡꯖꯦꯜ ꯌꯥꯡꯅꯥ ꯆꯦꯅꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯍꯥꯔꯇꯀꯤ ꯑꯔꯣꯏꯕꯥ ꯁꯔꯨꯛ ꯑꯗꯨ ꯍꯦꯟꯅꯥ ꯆꯥꯎꯈꯠꯂꯀꯄꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯀ꯭ꯂꯨꯁꯤꯡ ꯄꯤꯕꯥ ꯌꯥꯏ꯫ |
| ꯆꯦꯁ꯭ꯠ ꯑꯦꯛꯁ-ꯔꯦ ꯇꯧꯕꯥ꯫ | ꯍꯥꯔꯇꯀꯤ ꯑꯔꯣꯏꯕꯥ ꯃꯐꯃꯗꯥ ꯂꯩꯕꯥ ꯆꯦꯝꯕꯔꯁꯤꯡ ꯑꯗꯨ ꯍꯦꯟꯅꯥ ꯆꯥꯎꯈꯠꯂꯛꯂꯤꯕ꯭ꯔꯥ ꯑꯃꯁꯨꯡ ꯂꯪꯁꯇꯥ ꯁꯣꯀꯍꯜꯂꯕꯗꯤ ꯅꯍꯥꯛꯅꯥ ꯆꯦꯛ ꯇꯧꯕꯥ ꯌꯥꯏ꯫ |
| ꯏꯀꯣꯀꯥꯔꯗꯤꯑꯣꯒ꯭ꯔꯥꯐ (ꯏꯀꯣꯀꯥꯔꯗꯤꯑꯣꯒ꯭ꯔꯥꯐ - ꯇꯤ.ꯇꯤ.ꯏ.) | ꯃꯁꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯑꯃꯁꯨꯡ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯇꯦꯁ꯭ꯇꯅꯤ . ꯃꯁꯤ ꯍꯥꯔꯠ ꯁ꯭ꯀꯦꯟ ꯑꯃꯒꯨꯝꯕꯅꯤ꯫ ꯍꯣꯜ ꯑꯗꯨꯒꯤ ꯁꯥꯏꯖ ꯑꯃꯁꯨꯡ ꯃꯐꯝ, ꯏ ꯆꯦꯅꯕꯥ ꯃꯑꯣꯡ ꯑꯃꯁꯨꯡ ꯃꯁꯤꯅꯥ ꯍꯥꯔꯇꯇꯥ ꯄꯤꯔꯤꯕꯥ ꯏꯐꯦꯛꯇ ꯑꯗꯨ ꯃꯌꯦꯛ ꯁꯦꯡꯅꯥ ꯎꯕꯥ ꯐꯪꯏ꯫ |
| ꯇ꯭ꯔꯥꯟꯁ-ꯏꯁꯣꯐꯦꯖꯤꯌꯜ ꯏꯀꯣ (ꯇꯤ.ꯏ.ꯏ.) | ꯂꯦꯔꯤꯟꯁꯀꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯄꯤꯀꯄꯥ ꯀꯦꯃꯦꯔꯥ ꯑꯃꯥ ꯄꯥꯁ ꯇꯧꯕꯥ ꯌꯥꯕꯥ ꯑꯈꯟꯅꯕꯥ ꯑꯂꯠꯔꯥꯁꯥꯎꯟꯗ ꯇꯦꯁ꯭ꯠ ꯑꯃꯅꯤ꯫ ꯃꯁꯤꯅꯥ ꯍꯣꯜ ꯑꯗꯨꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯍꯦꯟꯅꯥ ꯃꯌꯦꯛ ꯁꯦꯡꯕꯥ ꯑꯀꯨꯞꯄꯥ ꯃꯔꯣꯂꯁꯤꯡ ꯐꯪꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫ |
ꯀꯦꯁ ꯈꯔꯗꯗꯤ ꯀꯥꯔꯗꯤꯌꯦꯛ ꯁꯤ.ꯇꯤ. ꯅꯠꯠꯔꯒꯥ ꯑꯦꯝ.ꯑꯥꯔ.ꯑꯥꯏ.
ꯃꯁꯤꯒꯤ ꯂꯥꯏꯌꯦꯡꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯤꯅꯣ?
ASD ꯑꯃꯒꯤ ꯂꯥꯏꯑꯣꯡ ꯈꯔꯗꯤ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯅꯕꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ ꯄꯤꯕꯥ ꯌꯥꯏ ꯑꯗꯨꯕꯨ ꯃꯈꯣꯌꯅꯥ ꯀꯩꯗꯧꯉꯩꯗꯥ ꯍꯣꯜ ꯑꯗꯨ ꯊꯤꯡꯖꯤꯅꯕꯥ ꯉꯃꯗꯦ꯫ ꯍꯣꯜ ꯑꯗꯨ ꯊꯤꯡꯅꯕꯒꯤ ꯃꯑꯣꯡ ꯑꯅꯤ ꯂꯩ: ꯁꯔꯖꯔꯤ ꯅꯠꯠꯔꯒꯥ ꯅꯟ-ꯁꯔꯖꯤꯀꯦꯜ (ꯄꯔꯛꯌꯨꯇꯦꯅꯤꯌꯝ ꯔꯤꯄꯦꯌꯥꯔ) ꯍꯣꯜ ꯑꯗꯨ ꯊꯤꯡꯖꯤꯅꯕꯥ꯫
- ꯑꯄꯤꯀꯄꯥ ꯑꯦ.ꯑꯦꯁ.ꯗꯤ.ꯁꯤꯡ: ꯱.ꯌꯥꯝꯅꯥ ꯑꯄꯤꯀꯄꯥ ꯍꯣꯂꯁꯤꯡ, ꯃꯔꯨꯑꯣꯏꯅꯥ ꯑꯉꯥꯡꯁꯤꯡꯗꯥ, ꯃꯈꯣꯌ ꯃꯁꯥ ꯃꯊꯟꯇꯥ ꯊꯤꯡꯖꯤꯅꯕꯥ ꯌꯥꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯠꯇꯦ, ꯑꯃꯁꯨꯡ ꯃꯈꯣꯌꯅꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯑꯃꯠꯇꯥ ꯊꯣꯀꯍꯟꯗꯕꯥ ꯇꯥꯔꯕꯗꯤ, ꯗꯣꯛꯇꯔꯅꯥ "ꯋꯥꯆꯐꯨꯜ ꯋꯥꯏꯇꯤꯡ" ꯍꯥꯌꯅꯥ ꯔꯤꯀꯃꯦꯟꯗ ꯇꯧꯒꯅꯤ, ꯃꯁꯤꯅꯥ ꯇꯥꯀꯄꯗꯤ ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯆꯦꯛ ꯇꯧꯕꯥ ꯅꯠꯇꯅꯥ ꯀꯔꯤꯁꯨ ꯇꯧꯔꯣꯏꯗꯕꯅꯤ꯫
- ꯑꯆꯧꯕꯥ ASDꯁꯤꯡ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯍꯣꯜ ꯑꯗꯨ ꯑꯆꯧꯕꯥ ꯑꯣꯏꯔꯕꯗꯤ, ꯂꯥꯏꯑꯣꯡ ꯑꯃꯠꯇꯥ ꯂꯩꯠꯔꯕꯁꯨ ꯃꯗꯨ ꯊꯤꯡꯖꯤꯅꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯩ꯫ ꯃꯁꯤꯅꯥ ꯇꯨꯡꯗꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯕꯥ ꯁꯥꯊꯤꯕꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ ꯊꯤꯡꯕꯥ ꯉꯝꯃꯤ꯫ ꯃꯍꯧꯁꯥꯅꯥ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯍꯥꯔꯇꯀꯤ ꯑꯔꯣꯏꯕꯥ ꯁꯔꯨꯛ ꯑꯗꯨ ꯍꯦꯟꯅꯥ ꯆꯥꯎꯈꯠꯂꯛꯂꯕꯗꯤ, ꯅꯠꯠꯔꯒꯥ ꯍꯨꯔꯥꯅꯕꯥ ꯃꯐꯝ ꯑꯗꯨꯗꯥ ꯏ ꯌꯥꯝꯅꯥ ꯆꯦꯟꯊꯔꯀꯄꯥ ꯑꯣꯏꯔꯕꯗꯤ, ꯂꯥꯏꯌꯦꯡꯕꯗꯥ ꯁꯣꯌꯗꯅꯥ ꯔꯦꯀꯃꯦꯟꯗ ꯇꯧꯏ꯫
ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯃꯑꯣꯡꯁꯤꯡ꯫
1. ꯄꯔꯛꯌꯨꯇꯦꯅꯤꯌꯝ ꯗꯤꯚꯥꯏꯁ ꯀ꯭ꯂꯣꯖꯔ: ꯃꯁꯤ ꯍꯧꯖꯤꯛ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯌꯥꯝꯅꯥ ꯁꯤꯖꯤꯟꯅꯕꯥ ꯃꯦꯊꯗꯅꯤ꯫ ꯈꯣꯡꯗꯥ ꯑꯆꯧꯕꯥ ꯚꯦꯅꯝ ꯑꯃꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯑꯄꯤꯀꯄꯥ ꯇꯤꯎꯕ (catheter) ꯑꯃꯥ ꯊꯃꯖꯤꯜꯂꯤ, ꯃꯗꯨ ꯊꯝꯃꯣꯌꯗꯥ ꯂꯃꯖꯤꯡꯗꯨꯅꯥ ꯊꯝꯃꯤ ꯑꯃꯁꯨꯡ ꯁꯥꯠꯔꯒꯨꯝꯕꯥ ꯑꯄꯤꯀꯄꯥ ꯗꯤꯚꯥꯏꯁ (ꯗꯤꯚꯥꯏꯁ) ꯑꯃꯥ ꯍꯥꯄꯆꯤꯟꯗꯨꯅꯥ ꯍꯨꯔꯥꯅꯕꯥ ꯑꯗꯨ ꯊꯤꯡꯖꯤꯜꯂꯤ꯫ ꯃꯁꯤꯒꯤꯗꯃꯛꯇꯥ ꯑꯆꯧꯕꯥ ꯏꯅꯁꯤꯁꯟ ꯑꯃꯥ ꯃꯊꯧ ꯇꯥꯗꯦ꯫ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯂꯗꯥ ꯂꯩꯕꯥ ꯑꯁꯤ ꯅꯨꯃꯤꯠ ꯑꯃꯥ ꯅꯠꯔꯒꯥ ꯑꯅꯤ ꯈꯛꯇꯅꯤ꯫ ꯃꯁꯤꯒꯤ ꯃꯦꯊꯗ ꯑꯁꯤ ASD ꯃꯈꯜ ꯈꯨꯗꯤꯡꯃꯛꯀꯤ ꯑꯣꯏꯅꯥ ꯐꯪꯗꯦ꯫
2. ꯑꯣꯄꯟ-ꯍꯥꯔꯠ ꯁꯔꯖꯔꯤ: ꯁꯔꯖꯔꯤ ꯑꯁꯤ ꯃꯊꯛꯇꯥ ꯄꯅꯈ꯭ꯔꯤꯕꯥ ꯄꯥꯝꯕꯩꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯊꯤꯡꯖꯤꯅꯕꯥ ꯉꯃꯗꯕꯥ ꯍꯣꯂꯁꯤꯡ ꯅꯠꯠꯔꯒꯥ ꯑꯇꯩ ꯍꯥꯔꯇꯀꯤ ꯑꯁꯣꯛ-ꯑꯄꯅꯁꯤꯡꯒꯥ ꯃꯔꯤ ꯂꯩꯅꯕꯥ ꯍꯣꯂꯁꯤꯡꯒꯤꯗꯃꯛ ꯄꯥꯡꯊꯣꯀꯏ꯫ ꯃꯐꯃꯁꯤꯗꯥ, ꯈꯣꯡ ꯍꯥꯝꯂꯀꯏ ꯑꯃꯁꯨꯡ ꯊꯝꯃꯣꯌꯒꯤ ꯍꯨꯔꯥꯅꯕꯥ ꯑꯗꯨ ꯇꯔꯨ-ꯇꯅꯥꯅꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯈꯣꯡꯎꯞ ꯑꯃꯅꯥ ꯊꯤꯡꯖꯤꯜꯂꯤ꯫ ꯃꯁꯤ ꯍꯧꯖꯤꯛ ꯌꯥꯝꯅꯥ ꯁꯥꯐꯕꯥ ꯑꯃꯁꯨꯡ ꯃꯥꯌ ꯄꯥꯀꯄꯥ ꯁꯔꯖꯔꯤ ꯑꯃꯥ ꯑꯣꯏꯔꯦ꯫
ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯍꯥꯔꯠ ꯏꯅꯐꯦꯛꯁꯅꯁꯤꯡ ꯊꯤꯡꯅꯕꯥ ꯕ꯭ꯂꯗ ꯊꯤꯅꯔꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯑꯦꯟꯇꯤꯕꯥꯏꯑꯣꯇꯤꯀꯁꯤꯡ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯊꯥ 6 ꯐꯥꯎꯕꯥ ꯂꯧꯅꯕꯥ ꯍꯥꯌꯒꯅꯤ꯫
ꯑꯦ.ꯑꯦꯁ.ꯗꯤ.ꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯄꯨꯟꯁꯤ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯑꯣꯏꯕꯒꯦ?
ꯅꯍꯥꯛꯅꯥ ꯅꯠꯠꯔꯒꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯅꯥ ꯃꯈꯣꯌꯗꯥ ASD ꯂꯩꯔꯦ ꯍꯥꯌꯕꯥ ꯈꯪꯂꯕꯥ ꯃꯇꯃꯗꯥ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯐꯥꯎꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯅꯣꯔꯃꯦꯂꯅꯤ꯫ ꯑꯗꯨꯕꯨ ꯅꯨꯡꯉꯥꯏꯕꯥ ꯄꯥꯎ ꯑꯃꯗꯤ ꯉꯁꯤꯒꯤ ꯑꯍꯣꯡꯕꯥ ꯃꯦꯗꯤꯀꯦꯜ ꯁꯥꯏꯟꯁ ꯑꯁꯤꯅꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯃꯥꯌ ꯄꯥꯛꯅꯥ ꯂꯥꯌꯦꯡꯕꯥ ꯉꯝꯂꯦ ꯑꯃꯁꯨꯡ ꯃꯤꯌꯥꯝꯅꯥ ꯃꯄꯨꯡ ꯐꯥꯅꯥ ꯍꯀꯆꯥꯡ ꯐꯅꯥ, ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯕꯥ ꯄꯨꯟꯁꯤ ꯑꯃꯥ ꯍꯤꯡꯕꯥ ꯉꯝꯂꯦ .
ꯍꯣꯜ ꯑꯃꯥ ꯂꯣꯟꯗꯨꯅꯥ ꯂꯩꯔꯕꯥ ꯑꯉꯥꯡ ꯑꯃꯅꯥ ꯍꯤꯡꯂꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯑꯇꯩ ꯑꯉꯥꯡꯁꯤꯡꯒꯨꯝꯅꯥ ꯁꯥꯟꯅꯕꯥ, ꯂꯥꯟꯊꯦꯡꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯁꯥꯟꯅꯄꯣꯠꯁꯤꯡ ꯁꯥꯟꯅꯕꯥ ꯌꯥꯒꯅꯤ꯫ ꯃꯄꯨꯡ-ꯃꯔꯩ ꯐꯥꯔꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯥ ꯑꯣꯏꯔꯕꯁꯨ, ꯃꯈꯣꯌꯅꯥ ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯃꯈꯣꯌꯒꯤ ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯕꯥ ꯊꯕꯛ-ꯊꯧꯔꯃꯁꯤꯡ ꯃꯈꯥ ꯆꯠꯊꯕꯥ ꯉꯝꯃꯤ꯫
ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯋꯥꯐꯃꯗꯤ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯤ ꯏꯅꯁ꯭ꯠꯔꯛꯁꯅꯁꯤꯡ ꯑꯗꯨ ꯆꯨꯝꯅꯥ ꯏꯅꯒꯗꯕꯅꯤ ꯑꯃꯁꯨꯡ ꯃꯇꯝ ꯆꯥꯅꯥ ꯆꯦꯀꯑꯄꯀꯤꯗꯃꯛꯇꯥ ꯀ꯭ꯂꯤꯅꯤꯀꯁꯤꯡꯗꯥ ꯆꯠꯀꯗꯕꯅꯤ꯫ ꯃꯔꯨꯑꯣꯏꯅꯥ, ꯑꯁꯤꯒꯨꯝꯕꯥ ꯀꯣꯟꯖꯤꯅꯤꯑꯦꯜ ꯍꯥꯔꯠ ꯗꯤꯖꯤꯖ ꯁ꯭ꯄꯦꯁꯤꯑꯦꯂꯤꯁ꯭ꯠ ꯑꯃꯒꯤ ꯌꯦꯡꯁꯤꯅꯕꯒꯤ ꯃꯈꯥꯗꯥ ꯂꯩꯕꯥ ꯑꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯁꯦꯂꯒꯤꯗꯃꯛꯇꯥ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫
ꯇꯦꯛ-ꯍꯣꯝ ꯃꯦꯁꯦꯖ ꯇꯧꯕꯥ꯫
- ꯑꯦꯠꯔꯤꯌꯥꯜ ꯁꯦꯞꯇꯜ ꯗꯤꯐꯦꯛꯇ (ASD) ꯍꯥꯌꯕꯁꯤ ꯍꯥꯔꯇꯀꯤ ꯃꯊꯛꯀꯤ ꯆꯦꯝꯕꯔ ꯑꯅꯤꯗꯨ ꯇꯣꯈꯥꯌꯅꯥ ꯊꯃꯖꯤꯜꯂꯤꯕꯥ ꯋꯥꯂꯗꯥ ꯂꯩꯕꯥ ꯍꯨꯔꯥꯅꯕꯥ ꯑꯃꯅꯤ꯫ ꯃꯁꯤ ꯀꯃꯟ ꯑꯣꯏꯕꯥ, ꯀꯣꯟꯖꯤꯅꯤꯑꯦꯜ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫
- ꯃꯤꯑꯣꯏ ꯀꯌꯥ, ꯃꯔꯨꯑꯣꯏꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯍꯨꯔꯥꯅꯕꯥ ꯑꯗꯨ ꯑꯄꯤꯀꯄꯥ ꯑꯣꯏꯔꯕꯗꯤ, ꯆꯍꯤ ꯀꯌꯥꯗꯒꯤ ꯂꯥꯏꯑꯣꯡ ꯑꯃꯠꯇꯥ ꯎꯕꯥ ꯐꯪꯗꯦ꯫
- ꯑꯉꯥꯡꯁꯤꯡꯗꯥ, ꯑꯦꯕꯅꯣꯔꯃꯦꯜ ꯍꯥꯔꯇꯀꯤ ꯈꯣꯟꯖꯦꯜ (murmur) ꯑꯃꯥ ꯇꯥꯕꯥ ꯌꯥꯏ, ꯑꯃꯁꯨꯡ ꯃꯄꯨꯡ-ꯃꯔꯩ ꯐꯥꯔꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯗꯗꯤ, ꯌꯥꯝꯅꯥ ꯋꯥꯅꯥ ꯋꯥꯈꯜ ꯇꯥꯕꯥ ꯑꯃꯁꯨꯡ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ ꯑꯁꯤꯅꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯂꯥꯏꯌꯦꯡꯗꯅꯥ ꯊꯃꯗ꯭ꯔꯕꯗꯤ, ꯑꯆꯧꯕꯥ ꯍꯣꯂꯁꯤꯡꯅꯥ ꯃꯇꯃꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ ꯍꯥꯔꯠ ꯑꯃꯁꯨꯡ ꯂꯪꯁꯇꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫
- ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯉꯁꯤꯒꯤ ꯑꯍꯣꯡꯕꯥ ꯂꯥꯌꯦꯡꯁꯤꯡ (ꯅꯟ-ꯁꯔꯖꯤꯀꯦꯜ ꯅꯠꯔꯒꯥ ꯁꯔꯖꯤꯀꯦꯜ) ꯑꯁꯤꯅꯥ ꯃꯄꯨꯡ ꯐꯥꯅꯥ ꯐꯍꯅꯕꯥ ꯉꯃꯒꯅꯤ꯫
- ꯑꯆꯨꯝꯕꯥ ꯂꯥꯏꯌꯦꯡꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯑꯉꯥꯡꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯑꯍꯂꯁꯤꯡꯕꯨ ꯃꯄꯨꯡ ꯐꯥꯕꯥ, ꯍꯀꯆꯥꯡ ꯐꯕꯥ, ꯑꯦꯛꯇꯤꯕ ꯑꯣꯏꯕꯥ ꯄꯨꯟꯁꯤ ꯑꯃꯥ ꯍꯤꯡꯕꯗꯥ ꯊꯤꯡꯕꯥ ꯑꯃꯠꯇꯥ ꯂꯩꯇꯦ꯫ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯊꯥꯖꯕꯥ ꯊꯝꯃꯨ ꯑꯃꯁꯨꯡ ꯃꯍꯥꯛꯀꯤ ꯄꯥꯎꯇꯥꯛ ꯑꯗꯨ ꯏꯅꯒꯗꯕꯅꯤ꯫
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