ꯅꯍꯥꯛꯀꯤ ꯊꯝꯃꯣꯌ ꯑꯗꯨ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯌꯥꯡꯅꯥ ꯆꯦꯜꯂꯤ, ꯀꯟꯠꯔꯣꯜ ꯇꯧꯗꯅꯥ ꯂꯩꯔꯤ ꯍꯥꯌꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯐꯥꯑꯣꯈꯤꯕ꯭ꯔꯥ? ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯌꯥꯡꯅꯥ ꯆꯦꯜꯂꯤꯕꯥ ꯑꯗꯨꯕꯨ ꯔꯤꯗꯝ ꯑꯃꯠꯇꯥ ꯌꯥꯑꯣꯗꯅꯥ ꯗ꯭ꯔꯨꯝ ꯑꯃꯒꯨꯝꯕꯅꯤ꯫ ꯃꯦꯗꯤꯁꯤꯅꯗꯥ ꯑꯩꯈꯣꯌꯅꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤꯕꯨ ꯑꯦꯠꯔꯤꯌꯥꯜ ꯐꯤꯕꯔ ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ ꯑꯌꯥꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯃꯁꯤ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡꯅꯥ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯕꯨ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯍꯤꯗꯥꯛ ꯂꯥꯡꯊꯛꯅꯥ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯥ ꯉꯃꯗ꯭ꯔꯕꯗꯤ ꯉꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯁꯤꯖꯤꯟꯅꯔꯤꯕꯥ ꯑꯈꯟꯅꯕꯥ ꯂꯥꯌꯦꯡꯕꯒꯤ ꯃꯑꯣꯡ ꯑꯃꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯔꯤ꯫
ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯑꯦ.ꯚꯤ.ꯅꯣꯗ ꯑꯦꯕꯂꯦꯁꯟ ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ?
ꯑꯣꯀꯦ, ꯃꯃꯤꯡ ꯑꯁꯤ ꯈꯔꯥ ꯍꯦꯟꯅꯥ ꯂꯨꯝꯂꯕꯅꯤ, ꯑꯗꯨꯕꯨ ꯊꯧꯑꯣꯡ ꯑꯁꯤꯗꯤ ꯌꯥꯝꯅꯥ ꯂꯥꯏꯕꯛ ꯐꯕꯅꯤ꯫ ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯑꯦ.ꯚꯤ.
ꯍꯧꯖꯤꯛ ꯅꯍꯥꯛꯅꯥ ꯈꯅꯕꯤꯔꯃꯒꯅꯤ, "ꯑꯣꯍ, ꯅꯍꯥꯛꯅꯥ ꯊꯝꯃꯣꯌꯒꯤ ꯁꯔꯨꯛ ꯑꯃꯥ ꯗꯤꯁꯑꯦꯕꯜ ꯇꯧꯕꯥ ꯍꯥꯌꯕꯗꯨꯅꯤ?" ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯂꯩꯔꯣꯏꯗꯕꯅꯤ, ꯃꯗꯨꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯃꯌꯦꯛ ꯁꯦꯡꯅꯥ ꯍꯥꯌꯔꯁꯤ꯫
ꯃꯁꯤꯒꯤ ꯑꯦ.ꯚꯤ.ꯅꯣꯗ ꯑꯁꯤ ꯍꯥꯔꯇꯀꯤ ꯏꯂꯦꯛꯠꯔꯤꯀꯦꯜ ꯁꯤꯁ꯭ꯇꯦꯃꯗꯥ ꯑꯆꯧꯕꯥ ꯖꯉ꯭ꯀꯁꯟ ꯑꯃꯥ ꯑꯣꯏꯅꯥ ꯈꯅꯕꯤꯌꯨ꯫ ꯏꯂꯦꯛꯠꯔꯤꯀꯦꯜ ꯁꯤꯒꯅꯦꯂꯁꯤꯡ ꯑꯁꯤ ꯍꯥꯔꯇꯀꯤ ꯃꯊꯛꯀꯤ ꯆꯦꯝꯕꯔꯁꯤꯡ (atria)ꯗꯒꯤ ꯃꯈꯥꯒꯤ ꯆꯦꯝꯕꯔꯁꯤꯡ (ventricles)ꯗꯥ ꯖꯉ꯭ꯀꯁꯟ ꯑꯁꯤꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯊꯥꯏ꯫ ꯑꯦꯠꯔꯤꯌꯥꯜ ꯐꯤꯕꯔꯗꯥ, ꯃꯊꯛꯀꯤ ꯆꯦꯝꯕꯔꯁꯤꯡꯗꯒꯤ ꯂꯥꯀꯄꯥ ꯏꯂꯦꯛꯠꯔꯤꯀꯦꯜ ꯁꯤꯒꯅꯦꯂꯁꯤꯡ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯌꯥꯡꯅꯥ ꯆꯦꯜꯂꯤ ꯑꯃꯁꯨꯡ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯊꯣꯀꯏ꯫ ꯑꯗꯨꯅꯥ, ꯍꯥꯌꯔꯤꯕꯥ ꯑꯔꯥꯅꯕꯥ ꯁꯤꯒꯅꯦꯂꯁꯤꯡ ꯑꯁꯤ ꯂꯣꯌꯔꯕꯥ ꯆꯦꯝꯕꯔꯁꯤꯡꯗꯥ ꯆꯠꯄꯥ ꯊꯤꯡꯅꯕꯥ ꯑꯩꯈꯣꯌꯅꯥ ꯖꯉ꯭ꯀꯁꯟ ꯑꯁꯤ (ꯑꯦ.ꯚꯤ. ꯅꯣꯗ) ꯊꯤꯡꯏ꯫
ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ, ꯅꯍꯥꯛꯀꯤ ꯍꯥꯔꯇꯀꯤ ꯔꯦꯠ ꯑꯗꯨ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯅꯕꯥ, ꯅꯍꯥꯛꯅꯥ ꯂꯥꯏꯌꯦꯡ ꯑꯁꯤꯒꯤ ꯃꯃꯥꯡꯗꯥ ꯅꯠꯠꯔꯒꯥ ꯃꯅꯨꯡꯗꯥ ꯄꯔꯃꯦꯅꯦꯟꯇ ꯄꯦꯁꯃꯦꯀꯔ ꯑꯃꯥ ꯐꯤꯠ ꯇꯧꯒꯅꯤ꯫ ꯃꯁꯤꯅꯥ ꯇꯥꯀꯄꯗꯤ ꯄꯦꯁꯃꯦꯀꯔꯅꯥ ꯑꯦ.ꯚꯤ. ꯃꯁꯤꯅꯥ ꯍꯥꯔꯇꯀꯤ ꯔꯦꯠ ꯑꯗꯨ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯔꯤꯗꯝ ꯑꯃꯗꯥ ꯊꯝꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯒꯅꯤ꯫
ꯃꯁꯤꯒꯤ ꯂꯥꯌꯦꯡ ꯑꯁꯤ ꯀꯅꯥꯅꯥ ꯇꯁꯦꯡꯅꯥ ꯃꯊꯧ ꯇꯥꯔꯤꯕꯅꯣ?
ꯑꯦꯠꯔꯤꯌꯥꯜ ꯐꯤꯕꯔ (Atrial Fibrillation) ꯍꯥꯌꯕꯁꯤ ꯂꯥꯏꯌꯦꯡꯒꯗꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯑꯦ.ꯚꯤ.ꯅꯣꯗ ꯑꯦꯕꯂꯦꯁꯟ ꯑꯁꯤ ꯃꯤꯄꯨꯝ ꯈꯨꯗꯤꯡꯃꯛꯀꯤꯗꯃꯛ ꯆꯨꯃꯗꯦ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯀꯦꯇꯦꯒꯣꯔꯤꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯗꯥ ꯌꯥꯎꯔꯕꯗꯤ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯂꯥꯏꯌꯦꯡ ꯑꯁꯤ ꯁꯖꯦꯁꯟ ꯄꯤꯕꯥ ꯌꯥꯏ:
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯍꯤꯗꯥꯀꯁꯤꯡꯅꯥ ꯊꯕꯛ ꯇꯧꯗ꯭ꯔꯕꯗꯤ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯦꯠꯔꯤꯌꯥꯜ ꯐꯤꯕꯔ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯅꯕꯥ ꯄꯤꯔꯤꯕꯥ ꯍꯤꯗꯥꯀꯁꯤꯡ ꯑꯗꯨꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯥꯔꯇꯀꯤ ꯈꯣꯡꯖꯦꯜ ꯑꯗꯨ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯥ ꯉꯃꯗ꯭ꯔꯕꯗꯤ꯫
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛ ꯑꯗꯨ ꯊꯦꯡꯊꯕꯥ ꯉꯃꯗ꯭ꯔꯕꯗꯤ: ꯃꯤꯑꯣꯏ ꯈꯔꯅꯥ ꯍꯤꯗꯥꯛ ꯑꯗꯨ ꯃꯈꯥ ꯇꯥꯅꯥ ꯁꯤꯖꯤꯟꯅꯕꯗꯥ ꯑꯋꯥꯕꯥ ꯃꯥꯌꯣꯛꯅꯔꯤ, ꯃꯔꯃꯗꯤ ꯁꯥꯏꯗ ꯏꯐꯦꯛꯇꯁꯤꯡꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯍꯤꯗꯥꯛ ꯑꯗꯨ ꯃꯈꯥ ꯇꯥꯅꯥ ꯁꯤꯖꯤꯟꯅꯕꯗꯥ ꯑꯋꯥꯕꯥ ꯃꯥꯌꯣꯛꯅꯔꯤ꯫
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯇꯩ ꯂꯥꯏꯌꯦꯡꯁꯤꯡꯅꯥ ꯃꯥꯌꯄꯥꯛꯠꯔꯕꯗꯤ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯇꯩ ꯂꯥꯏꯌꯦꯡꯁꯤꯡ, ꯍꯥꯌꯕꯗꯤ ꯄꯂꯃꯣꯅꯥꯔꯤ ꯚꯦꯅꯝ ꯑꯥꯏꯁꯣꯂꯦꯁꯅꯅꯥ ꯍꯥꯔꯇꯀꯤ ꯔꯦꯠ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯥ ꯉꯃꯗ꯭ꯔꯕꯗꯤ꯫
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯍꯥꯟꯅꯅꯥ ꯄꯦꯁꯃꯦꯀꯔ ꯑꯃꯥ ꯂꯩꯔꯕꯗꯤ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯂꯥꯏꯌꯦꯡ ꯑꯁꯤ ꯑꯇꯣꯞꯄꯥ ꯃꯔꯃꯁꯤꯡꯅꯥ ꯍꯥꯟꯅꯅꯥ ꯄꯦꯁꯃꯦꯀꯔ ꯁꯤꯖꯤꯟꯅꯔꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯗꯁꯨ ꯁꯖꯦꯁꯟ ꯄꯤꯕꯥ ꯌꯥꯏ꯫
ꯑꯦ.ꯚꯤ. ꯈꯨꯗꯝ ꯑꯣꯏꯅ:
- ꯑꯦꯠꯔꯤꯌꯥꯜ ꯐ꯭ꯂꯨꯇꯔ ꯇꯧꯕꯥ꯫
- ꯁꯨꯞꯔꯥꯚꯦꯟꯇꯤꯀꯨꯂꯥꯔ ꯑꯦꯔꯤꯊ꯭ꯃꯤꯌꯥꯁꯤꯡ꯫
ꯂꯥꯏꯌꯦꯡ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯊꯕꯛ ꯇꯧꯕꯒꯦ, ꯈꯣꯡꯊꯥꯡ ꯈꯨꯗꯤꯡꯒꯤ꯫
ꯃꯁꯤ ꯑꯆꯧꯕꯥ ꯁꯔꯖꯔꯤ ꯑꯃꯥ ꯑꯣꯏꯗ꯭ꯔꯕꯁꯨ ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯆꯦꯀꯁꯤꯟꯅꯥ ꯇꯧꯕꯥ ꯊꯕꯛ ꯑꯃꯅꯤ꯫
ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯃꯃꯥꯡꯗꯥ ꯀꯔꯤ ꯊꯣꯀꯏ?
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯍꯥꯟꯅꯅꯥ ꯄꯦꯁꯃꯦꯀꯔ ꯑꯃꯥ ꯂꯩꯠꯔꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯂꯥꯏꯌꯦꯡ ꯑꯁꯤꯒꯤ ꯅꯨꯃꯤꯠ ꯈꯔꯅꯤꯒꯤ ꯃꯃꯥꯡꯗꯥ, ꯅꯠꯠꯔꯒꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯅꯨꯃꯤꯠꯇꯥ ꯄꯔꯃꯦꯅꯦꯟꯇ ꯄꯦꯁꯃꯦꯀꯔ ꯑꯃꯥ ꯏꯃꯞꯂꯥꯟꯇ ꯇꯧꯒꯅꯤ꯫ ꯃꯁꯤꯒꯤ ꯃꯊꯛꯇꯥ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯥꯔꯇꯀꯤ ꯏꯂꯦꯛꯠꯔꯣꯐꯤꯖꯤꯑꯣꯂꯣꯖꯤ ꯁ꯭ꯇꯗꯤ ꯑꯃꯥ ꯇꯧꯗꯨꯅꯥ ꯑꯦ.ꯚꯤ.
ꯂꯥꯏꯌꯦꯡ ꯍꯧꯕꯥ ꯃꯇꯃꯗꯥ:
1. ꯅꯍꯥꯛꯀꯤ ꯈꯨꯠꯁꯥꯗꯥ ꯂꯩꯕꯥ ꯚꯦꯅꯝ ꯑꯃꯗꯥ ꯑꯄꯤꯀꯄꯥ ꯀꯦꯟꯌꯨꯜ (IV) ꯑꯃꯥ ꯊꯃꯒꯅꯤ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯀꯄꯨ ꯂꯥꯏꯅꯥ ꯇꯨꯝꯕꯥ (sedation) ꯇꯧꯅꯕꯥ ꯍꯤꯗꯥꯛ ꯄꯤꯒꯅꯤ꯫
2. ꯒ꯭ꯔꯨꯏꯟ, ꯅꯦꯛ ꯅꯠꯠꯔꯒꯥ ꯑꯥꯔꯃꯒꯨꯝꯕꯥ ꯃꯐꯝ ꯑꯃꯗꯥ ꯈꯣꯡꯒꯤ ꯃꯊꯛꯇꯥ ꯇꯤꯡꯊꯣꯀꯄꯥ꯫
3. ꯃꯁꯤꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ, ꯌꯥꯝꯅꯥ ꯐꯖꯅꯥ, ꯁꯥꯡꯕꯥ ꯇꯤꯎꯕꯁꯤꯡ (catheters) ꯑꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯊꯝꯃꯣꯌꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯚꯦꯅꯝ ꯑꯃꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯊꯥꯏ꯫
ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯃꯇꯃꯗꯥ ꯀꯔꯤ ꯊꯣꯀꯏ?
ꯀꯦꯇꯦꯒꯣꯔꯤ ꯑꯗꯨ ꯏꯅꯁꯥꯔꯠ ꯇꯧꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ, ꯃꯦꯗꯤꯀꯦꯜ ꯇꯤꯃꯅꯥ:
- ꯅꯍꯥꯛꯀꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯈꯨꯗꯃꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯍꯥꯔꯇꯀꯤ ꯔꯤꯗꯝ ꯑꯗꯨ ꯃꯈꯥ ꯇꯥꯅꯥ ꯌꯦꯡꯁꯤꯅꯒꯅꯤ꯫
- ꯑꯦꯛꯁ-ꯔꯦ ꯇꯦꯛꯅꯣꯂꯣꯖꯤ ꯁꯤꯖꯤꯟꯅꯗꯨꯅꯥ ꯀꯦꯇꯦꯒꯣꯔꯤ ꯑꯁꯤ ꯑꯦ.ꯚꯤ.
- ꯑꯈꯟꯅꯕꯥ ꯀꯦꯇꯦꯒꯣꯔꯤ ꯑꯃꯒꯤ ꯇꯤꯞ ꯁꯤꯖꯤꯟꯅꯗꯨꯅꯥ, ꯑꯦ.ꯚꯤ .
ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯃꯇꯨꯡꯗꯥ?
ꯄ꯭ꯔꯣꯁꯤꯗ꯭ꯌꯨꯑꯣꯔ ꯑꯗꯨ ꯂꯣꯌꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯗꯣꯛꯇꯔꯅꯥ ꯀꯦꯇꯦꯒꯣꯔꯤꯁꯤꯡ ꯑꯗꯨ ꯂꯧꯊꯣꯛꯀꯅꯤ ꯑꯃꯁꯨꯡ ꯃꯈꯣꯌꯕꯨ ꯃꯐꯃꯗꯨꯗꯥ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯃꯤꯅꯠ 15 ꯊꯃꯒꯅꯤ꯫ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯅꯍꯥꯀꯄꯨ ꯄꯨꯡ ꯈꯔꯒꯤ ꯑꯣꯏꯅꯥ ꯐꯃꯨꯡꯗꯥ ꯂꯦꯡꯗꯅꯥ ꯂꯩꯅꯕꯥ ꯍꯥꯌꯒꯅꯤ꯫ ꯃꯍꯧꯁꯥꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯂꯗꯥ ꯅꯨꯃꯤꯠ ꯆꯨꯞꯄꯥ ꯂꯩꯒꯅꯤ ꯑꯃꯁꯨꯡ ꯃꯊꯪꯒꯤ ꯅꯨꯃꯤꯠꯇꯥ ꯌꯨꯃꯗꯥ ꯆꯠꯀꯅꯤ꯫
ꯑꯦ.ꯚꯤ.ꯅꯣꯗ ꯑꯦꯕꯂꯦꯁꯟ ꯑꯃꯁꯨꯡ ꯄꯤ.ꯚꯤ.ꯑꯥꯏ.ꯒꯤ ꯃꯔꯛꯇꯥ ꯂꯩꯕꯥ ꯈꯦꯠꯅꯕꯥ꯫
ꯃꯤꯑꯣꯏ ꯈꯔꯅꯥ ꯑꯦ.ꯚꯤ.ꯅꯣꯗ ꯑꯦꯕꯂꯦꯁꯅꯒꯤ ꯃꯍꯨꯠꯇꯥ ꯄꯂꯃꯣꯅꯥꯔꯤ ꯚꯦꯟ ꯑꯥꯏꯁꯣꯂꯦꯁꯟ (PVI) ꯀꯧꯕꯥ ꯂꯥꯏꯌꯦꯡ ꯑꯃꯥ ꯂꯧꯏ꯫ ꯑꯅꯤꯃꯛꯅꯥ ꯑꯦꯠꯔꯤꯌꯥꯜ ꯐꯤꯕꯔ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯅꯕꯥ ꯄꯥꯟꯗꯝ ꯊꯝꯂꯕꯁꯨ, ꯃꯦꯊꯣꯗꯣꯂꯣꯖꯤ ꯑꯃꯁꯨꯡ ꯔꯤꯖꯜꯇꯁꯤꯡꯗꯥ ꯈꯔꯥ ꯈꯦꯠꯅꯕꯥ ꯂꯩ꯫ ꯃꯁꯤ ꯑꯁꯤꯒꯨꯝꯅꯥ ꯌꯦꯡꯁꯤ꯫
| ꯃꯑꯣꯡ ꯃꯇꯧ | ꯑꯦ.ꯚꯤ.ꯅꯣꯗ ꯑꯦꯕꯂꯦꯁꯟ ꯇꯧꯕꯥ꯫ | ꯄꯂꯃꯣꯅꯥꯔꯤ ꯚꯦꯅꯝ ꯑꯥꯏꯁꯣꯂꯦꯁꯟ (ꯄꯤ.ꯚꯤ.ꯑꯥꯏ.) |
|---|---|---|
| ꯃꯔꯨꯑꯣꯏꯕꯥ ꯄꯥꯟꯗꯝ꯫ | ꯑꯁꯣꯀꯄꯥ ꯏꯂꯦꯛꯠꯔꯤꯀꯦꯜ ꯁꯤꯒꯅꯦꯂꯁꯤꯡ ꯑꯗꯨ ꯍꯥꯔꯇꯀꯤ ꯃꯈꯥ ꯊꯪꯕꯥ ꯁꯔꯨꯛꯇꯥ ꯆꯠꯄꯥ ꯊꯤꯡꯕꯥ꯫ | ꯑꯁꯣꯀꯄꯥ ꯏꯂꯦꯛꯠꯔꯤꯀꯦꯜ ꯁꯤꯒꯅꯦꯂꯁꯤꯡ (pulmonary veins) ꯍꯧꯔꯀꯄꯥ ꯄꯣꯏꯟꯇ ꯑꯗꯨꯒꯤ ꯑꯀꯣꯌꯕꯗꯥ ꯕꯦꯔꯤꯌꯥꯔ ꯑꯃꯥ ꯁꯦꯝꯕꯥ꯫ |
| ꯄꯦꯁꯃꯦꯀꯔꯒꯤ ꯃꯊꯧ ꯇꯥꯕꯥ꯫ | ꯄꯨꯟꯁꯤꯒꯤꯗꯃꯛ ꯁꯣꯏꯗꯅꯥ ꯃꯊꯧ ꯇꯥꯏ꯫ | ꯑꯌꯥꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯃꯁꯤ ꯇꯉꯥꯏꯐꯗꯕꯥ ꯑꯣꯏꯗꯦ꯫ |
| ꯃꯥꯌ ꯄꯥꯀꯄꯒꯤ ꯆꯥꯡ꯫ | ꯌꯥꯝꯅꯥ ꯋꯥꯡꯕꯥ (꯹꯰%ꯗꯒꯤ ꯍꯦꯟꯅꯥ)꯫ | ꯌꯥꯝꯅꯥ ꯅꯦꯝꯅꯥ (꯶꯰% - ꯸꯰%ꯒꯤ ꯃꯔꯛꯇꯥ)꯫ |
ꯃꯁꯤꯒꯤ ꯀꯥꯟꯅꯕꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯈꯨꯗꯣꯡꯊꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯤꯅꯣ?
ꯃꯁꯤꯒꯤ ꯀꯥꯟꯅꯕꯁꯤꯡ꯫
- ꯑꯐꯕꯥ ꯍꯥꯔꯠ ꯔꯦꯠ: ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛ ꯌꯥꯎꯗꯅꯥ ꯍꯥꯔꯇꯀꯤ ꯔꯤꯗꯝ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯥ ꯌꯥꯏ (ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯅꯍꯥꯛꯅꯥ ꯕ꯭ꯂꯗ ꯊꯤꯅꯔꯁꯤꯡ ꯃꯈꯥ ꯇꯥꯅꯥ ꯂꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯏ)꯫
- ꯄꯨꯟꯁꯤꯒꯤ ꯑꯐꯕꯥ ꯃꯒꯨꯟ: ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯍꯟꯊꯔꯀꯏ, ꯄꯨꯟꯁꯤ ꯑꯁꯤ ꯍꯦꯟꯅꯥ ꯅꯨꯡꯉꯥꯏꯕꯥ ꯑꯣꯏꯔꯀꯏ꯫
- ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯇꯧꯕꯥ ꯌꯥꯏ: ꯍꯀꯆꯥꯡꯅꯥ ꯍꯦꯟꯅꯥ ꯀꯟꯅꯥ ꯊꯕꯛ ꯇꯧꯕꯥ ꯉꯝꯕꯒꯤ ꯃꯄꯥꯉ꯭ꯒꯜ ꯍꯦꯅꯒꯠꯂꯀꯏ꯫
- ꯍꯣꯁ꯭ꯄꯤꯇꯥꯂꯥꯏꯖꯦꯁꯟ ꯍꯟꯊꯔꯀꯄꯥ: ꯑꯦꯃꯔꯖꯦꯟꯁꯤ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯂꯥꯏꯖꯦꯁꯟ ꯅꯠꯠꯔꯒꯥ ꯏꯃꯔꯖꯦꯟꯁꯤ ꯇ꯭ꯔꯤꯇꯃꯦꯟꯇ ꯌꯨꯅꯤꯠ (ETU)ꯗꯥ ꯚꯤꯖꯤꯠ ꯇꯧꯕꯒꯤ ꯃꯁꯤꯡ ꯍꯟꯊꯔꯀꯏ꯫
ꯔꯤꯁ꯭ꯛ ꯑꯃꯠꯇꯥ ꯂꯩꯕ꯭ꯔꯥ?
ꯃꯦꯗꯤꯀꯦꯜ ꯇ꯭ꯔꯤꯠꯃꯦꯟꯇ ꯑꯃꯍꯦꯛꯇꯒꯥ ꯃꯥꯟꯅꯅꯥ, ꯌꯥꯝꯅꯥ ꯄꯤꯀꯄꯥ ꯔꯤꯁ꯭ꯛ ꯂꯩ, ꯑꯗꯨꯕꯨ ꯃꯈꯣꯌ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯊꯣꯀꯏ꯫
- ꯏꯃꯞꯂꯥꯟꯇ ꯇꯧꯔꯕꯥ ꯄꯦꯁꯃꯦꯀꯔ ꯑꯗꯨꯒꯥ ꯃꯔꯤ ꯂꯩꯅꯕꯥ ꯁꯃꯁ꯭ꯌꯥꯁꯤꯡ꯫
- ꯚꯦꯟꯇꯤꯀꯨꯂꯥꯔ ꯑꯦꯔꯤꯊ꯭ꯃꯤꯌꯥ (ꯍꯥꯔꯇꯀꯤ ꯃꯈꯥ ꯊꯪꯕꯥ ꯆꯦꯝꯕꯔꯁꯤꯡꯗꯥ ꯍꯥꯔꯇꯀꯤ ꯈꯣꯡꯖꯦꯜ ꯌꯥꯡꯅꯥ ꯆꯦꯅꯕꯥ)꯫
- ꯍꯥꯔꯇꯀꯤ ꯂꯦꯐꯠ ꯚꯦꯟꯇꯤꯂꯦꯁꯅꯒꯤ ꯐꯉ꯭ꯀꯁꯟ ꯍꯟꯊꯔꯀꯄꯥ (ꯃꯁꯤ ꯑꯍꯦꯅꯕꯥ ꯄꯦꯁꯃꯦꯀꯔ ꯂꯤꯗ (Biventricular pacing) ꯑꯃꯥ ꯍꯥꯄꯆꯤꯟꯗꯨꯅꯥ ꯀꯣꯀꯍꯅꯕꯁꯨ ꯌꯥꯏ꯫
ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯋꯥꯐꯃꯗꯤ ꯑꯦ.ꯚꯤ.ꯅꯣꯗ ꯑꯦꯕꯂꯦꯁꯟ ꯑꯁꯤ ꯔꯤꯚꯔꯁ ꯇꯧꯕꯥ ꯉꯃꯗꯕꯥ (ꯏꯔꯤꯚꯥꯔꯁꯤꯕꯜ) ꯄꯔꯃꯦꯅꯦꯟꯇ ꯇ꯭ꯔꯤꯠꯃꯦꯟꯇ ꯑꯃꯅꯤ꯫ ꯃꯔꯝ ꯑꯁꯤꯅꯥ ꯄꯨꯟꯁꯤꯒꯤꯗꯃꯛ ꯄꯦꯁꯃꯦꯀꯔ ꯑꯃꯥ ꯃꯊꯧ ꯇꯥꯏ꯫ ꯃꯁꯤ ꯑꯗꯣꯝꯅꯥ ꯋꯥꯔꯦꯞ ꯑꯁꯤ ꯂꯧꯗ꯭ꯔꯤꯉꯩꯗꯥ ꯅꯤꯡꯊꯤꯅꯥ ꯈꯟꯅꯒꯗꯕꯥ ꯋꯥꯐꯝ ꯑꯃꯅꯤ꯫
ꯀꯗꯥꯏꯗꯥ ꯗꯣꯛꯇꯔꯒꯥ ꯇꯥꯟꯅꯒꯗꯒꯦ?
ꯄꯦꯁꯃꯦꯀꯔ ꯑꯃꯥ ꯂꯧꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ, ꯅꯍꯥꯛꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯌꯦꯡꯁꯤꯅꯕꯥ ꯃꯊꯧ ꯇꯥꯏ꯫ ꯃꯍꯧꯁꯥꯅꯥ ꯑꯍꯥꯅꯕꯥ ꯊꯥꯒꯤ ꯃꯇꯨꯡꯗꯥ, ꯑꯃꯁꯨꯡ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯆꯍꯤ ꯑꯃꯗꯥ ꯑꯃꯨꯛ ꯅꯠꯠꯔꯒꯥ ꯑꯅꯤꯔꯛ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯍꯦꯛꯇꯕꯨ ꯊꯦꯡꯅꯔꯕꯗꯤ, ꯈꯨꯗꯛꯇꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯇꯥꯟꯅꯧ꯫
| ꯈꯨꯗꯣꯡꯆꯥꯕ | ꯌꯦꯡꯒꯗꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ꯫ |
|---|---|
| ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯄꯦꯁꯃꯦꯀꯔ ꯁꯥꯏꯠ ꯑꯗꯨꯗꯥ ꯏꯅꯐꯦꯛꯁꯟ ꯑꯃꯥ ꯂꯩꯔꯦ ꯍꯥꯌꯅꯥ ꯆꯤꯡꯅꯔꯕꯗꯤ: | |
| ꯏꯅꯐꯦꯛꯁꯅꯒꯤ ꯈꯨꯗꯃꯁꯤꯡ꯫ | ꯂꯥꯏꯍꯧ ꯍꯧꯕ |
| ꯅꯣꯡꯖꯨ-ꯅꯨꯡꯁꯥꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯁꯤꯕꯥ꯫ | |
| ꯄꯦꯁꯃꯦꯀꯔ ꯑꯗꯨ ꯂꯩꯔꯤꯕꯥ ꯃꯐꯃꯗꯥ ꯑꯅꯥꯕꯥ, ꯂꯥꯎꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯁꯣꯀꯄꯥ꯫ | |
| ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯄꯦꯁꯃꯦꯀꯔ ꯑꯗꯨ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯊꯕꯛ ꯇꯧꯗ꯭ꯔꯤ ꯍꯥꯌꯅꯥ ꯈꯜꯂꯕꯗꯤ: | |
| ꯄꯔꯐꯣꯃꯦꯟꯁꯀꯤ ꯋꯥꯐꯃꯁꯤꯡ꯫ | ꯃꯃꯤꯠ ꯇꯥꯡꯕꯥ (vertigo) . |
| ꯋꯥꯆꯤ ꯌꯥꯑꯣꯗꯅꯥ ꯆꯠꯄꯥ (ꯑꯍꯜ ꯑꯣꯏꯔꯀꯄꯥ) . | |
| ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ꯫ | |
ꯑꯦ.ꯚꯤ.ꯅꯣꯗ ꯑꯦꯕꯂꯦꯁꯟ ꯇꯧꯅꯕꯥ ꯋꯥꯔꯦꯞ ꯂꯧꯕꯥ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯂꯥꯏꯕꯛ ꯐꯕꯅꯤ꯫ ꯃꯔꯃꯗꯤ ꯃꯁꯤ ꯂꯧꯊꯣꯀꯄꯥ ꯉꯃꯗꯕꯥ ꯑꯃꯅꯤ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯅꯥ ꯄꯨꯟꯁꯤ ꯆꯨꯞꯄꯥ ꯄꯦꯁꯃꯦꯀꯔ ꯑꯃꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯍꯤꯡꯒꯗꯕꯅꯤ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ ꯃꯥꯌ ꯄꯥꯀꯄꯒꯤ ꯆꯥꯡ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯋꯥꯡꯏ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯋꯥꯍꯪꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯑꯀꯤꯕꯥ ꯄꯨꯝꯅꯃꯛ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯈꯟꯅꯕꯤꯌꯨ꯫ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯋꯥꯐꯃꯗꯤ ꯄꯨꯝꯅꯃꯛ ꯈꯉꯕꯥ ꯑꯃꯁꯨꯡ ꯑꯗꯣꯃꯒꯤꯗꯃꯛꯇꯥ ꯆꯨꯅꯕꯥ ꯋꯥꯔꯦꯞ ꯂꯧꯕꯥ ꯑꯁꯤꯅꯤ꯫
ꯇꯦꯛ-ꯍꯣꯝ ꯃꯦꯁꯦꯖ ꯇꯧꯕꯥ꯫
- ꯑꯦ.ꯚꯤ.ꯅꯣꯗ ꯑꯦꯕꯂꯦꯁꯟ ꯑꯁꯤ ꯑꯇꯣꯞꯄꯥ ꯂꯥꯏꯌꯦꯡꯁꯤꯡꯅꯥ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯗꯕꯥ ꯁꯥꯊꯤꯕꯥ ꯑꯦꯠꯔꯤꯌꯥꯜ ꯐꯤꯕꯔꯒꯤ ꯌꯥꯝꯅꯥ ꯏꯐꯦꯛꯇꯤꯚ ꯑꯣꯏꯕꯥ ꯂꯥꯏꯌꯦꯡ ꯑꯃꯅꯤ꯫
- ꯃꯁꯤ ꯃꯇꯝ ꯆꯨꯞꯄꯒꯤ ꯑꯣꯏꯅꯥ, ꯂꯥꯀꯁꯤꯅꯕꯥ ꯉꯃꯗꯕꯥ ꯂꯥꯏꯌꯦꯡ ꯑꯃꯅꯤ, ꯑꯃꯁꯨꯡ ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯄꯨꯟꯁꯤ ꯆꯨꯞꯄꯥ ꯄꯦꯁꯃꯦꯀꯔ ꯑꯃꯥ ꯃꯊꯧ ꯇꯥꯒꯅꯤ꯫
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