ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯒꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯅꯤꯜ/ ꯃꯆꯨ ꯃꯆꯨꯒꯤ ꯃꯐꯃꯁꯤꯡ ꯂꯩꯕ꯭ꯔꯥ? ꯃꯁꯤꯒꯤ ‘ꯕ꯭ꯂꯨꯕꯦꯔꯤ ꯃꯐꯤꯟ ꯔꯦꯁ’ ꯑꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯁꯤ!

ꯃꯃꯥ ꯅꯠꯔꯒꯥ ꯃꯄꯥ ꯑꯃꯅꯥ ꯃꯈꯣꯌꯒꯤ ꯏꯆꯥꯅꯨꯄꯤꯒꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯑꯆꯝꯕꯥ ꯋꯥꯐꯝ ꯑꯃꯥ ꯎꯕꯗꯥ ꯐꯥꯑꯣꯔꯀꯄꯥ ꯑꯀꯤꯕꯥ ꯑꯃꯁꯨꯡ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯑꯗꯨ ꯑꯩꯅꯥ ꯈꯉꯏ꯫ ꯃꯔꯨꯑꯣꯏꯅꯥ ꯅꯧꯅꯥ ꯄꯣꯀꯄꯥ ꯑꯉꯥꯡ ꯑꯃꯅꯥ ꯈꯪꯍꯧꯗꯅꯥ ꯃꯈꯣꯌꯒꯤ ꯈꯣꯡꯗꯥ ꯕ꯭ꯂꯨ-ꯄꯔꯄꯜ ꯁ꯭ꯄꯣꯠꯁꯤꯡ ꯂꯥꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯋꯥꯅꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯑꯣꯏꯅꯥ "ꯕ꯭ꯂꯨꯕꯦꯔꯤ ꯃꯐꯤꯟ ꯔꯦꯁ" ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ ꯃꯤꯡ ꯑꯁꯤ ꯑꯆꯝꯕꯥ ꯋꯥꯐꯝ ꯑꯃꯥ ꯑꯣꯏꯅꯥ ꯁꯣꯜꯂꯤ, ꯑꯗꯨꯕꯨ ꯃꯁꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯑꯀꯅꯕꯥ ꯃꯔꯝ ꯀꯌꯥ ꯂꯩꯕꯥ ꯌꯥꯏ ꯃꯔꯃꯗꯤ ꯃꯁꯤ ꯈꯉꯖꯤꯅꯕꯥ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫

ꯃꯁꯤ ‘ꯕ꯭ꯂꯨꯕꯦꯔꯤ ꯃꯐꯤꯟ ꯔꯦꯁ’ ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ?

ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯃꯁꯤ ꯅꯧꯅꯥ ꯄꯣꯀꯄꯥ ꯑꯉꯥꯡꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯅꯍꯥ ꯑꯣꯏꯔꯤꯕꯥ ꯑꯉꯥꯡꯁꯤꯡꯗꯥ ꯁꯣꯀꯍꯅꯕꯥ ꯌꯥꯕꯥ ꯈꯣꯡꯒꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫ ꯃꯁꯤꯕꯨ ‘ꯕ꯭ꯂꯨꯕꯦꯔꯤ ꯃꯐꯤꯟ ꯔꯦꯁ’ ꯍꯥꯌꯅꯥ ꯀꯧꯏ ꯃꯔꯃꯗꯤ ꯃꯐꯃꯁꯤꯡ ꯑꯁꯤ ꯕ꯭ꯂꯨꯕꯦꯔꯤ ꯃꯐꯤꯟ ꯑꯃꯗꯥ ꯂꯩꯕꯥ ꯕ꯭ꯂꯨ-ꯄꯔꯄꯜ ꯗꯣꯇꯁꯤꯡꯒꯨꯝꯅꯥ ꯎꯕꯥ ꯐꯪꯏ꯫ ꯃꯈꯣꯌ ꯑꯁꯤ ꯁꯔꯀꯨꯂꯥꯔ ꯄꯦꯆꯁꯤꯡ ꯑꯣꯏꯅꯥ ꯅꯠꯠꯔꯒꯥ ꯈꯣꯡꯗꯥ ꯋꯥꯡꯈꯠꯄꯥ ꯅꯣꯗ꯭ꯌꯨꯂꯁꯤꯡ ꯑꯣꯏꯅꯥ ꯎꯕꯥ ꯐꯪꯏ꯫

ꯃꯐꯃꯁꯤꯡ ꯑꯁꯤ ꯊꯣꯔꯀꯄꯥ ꯌꯥꯕꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯔꯝ ꯑꯍꯨꯝ ꯂꯩ:

1. ꯑꯦꯛꯁꯠꯔꯥꯃꯦꯗꯨꯂꯦꯔꯤ ꯍꯦꯃꯦꯇꯣꯄꯣꯏꯁꯤꯁ (extramedullary hematopoiesis): ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯅꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯏ ꯑꯁꯤ ꯕꯣꯟ ꯃꯦꯔꯣꯗꯥ ꯄꯨꯊꯣꯀꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯑꯀꯛꯅꯕꯥ ꯃꯦꯗꯤꯀꯦꯜ ꯀꯟꯗꯤꯁꯅꯁꯤꯡꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ, ꯏ ꯁꯦꯝꯕꯥ ꯁꯦꯂꯁꯤꯡ ꯑꯁꯤ ꯊꯨꯒꯥꯌꯕꯥ ꯍꯧꯔꯀꯏ ꯑꯃꯁꯨꯡ ꯕꯣꯟ ꯃꯦꯔꯣꯒꯤ ꯃꯄꯥꯟꯗꯥ, ꯍꯥꯌꯕꯗꯤ ꯈꯣꯡꯗꯥ ꯀ꯭ꯂꯁ꯭ꯇꯔꯁꯤꯡ ꯁꯦꯝꯕꯥ ꯍꯧꯏ꯫ ꯁꯦꯂꯁꯤꯡꯒꯤ ꯀ꯭ꯂꯁ꯭ꯇꯔꯁꯤꯡ ꯑꯁꯤ ꯁ꯭ꯄꯣꯠ ꯑꯣꯏꯅꯥ ꯎꯕꯥ ꯐꯪꯕꯁꯤꯡꯅꯤ꯫

2. ꯈꯣꯡꯗꯥ ꯏ ꯊꯣꯀꯄꯥ (Purpura): ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯂꯁꯤꯡꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯏ ꯊꯣꯀꯄꯒꯤ ꯊꯧꯑꯣꯡꯗꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯄꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯈꯣꯡꯒꯤ ꯇꯤꯁꯨꯗꯥ ꯏ ꯆꯦꯟꯊꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯃꯆꯨ ꯃꯆꯨꯒꯤ ꯃꯐꯝ ꯃꯈꯜ ꯑꯁꯤ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫

3. ꯀꯦꯟꯁꯔ ꯁꯦꯂꯁꯤꯡ ꯁꯟꯗꯣꯀꯄꯥ (Metastasis): ꯀꯦꯟꯁꯔ ꯃꯈꯜ ꯈꯔꯗꯗꯤ, ꯀꯦꯟꯁꯔ ꯁꯦꯂꯁꯤꯡꯅꯥ ꯍꯀꯆꯥꯡꯒꯤ ꯑꯇꯩ ꯃꯐꯃꯁꯤꯡꯗꯒꯤ ꯈꯣꯡꯗꯥ ꯁꯟꯗꯣꯀꯄꯥ ꯌꯥꯏ ꯑꯃꯁꯨꯡ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯂꯪꯁꯁꯤꯡ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫

ꯍꯥꯌꯔꯤꯕꯥ ꯑꯍꯨꯝ ꯑꯁꯤ ꯄꯨꯝꯅꯃꯛ ꯊꯣꯀꯍꯜꯂꯤꯕꯥ ꯑꯌꯥꯝꯕꯥ ꯑꯟꯗꯔꯂꯥꯏꯟ ꯃꯦꯗꯤꯀꯦꯜ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯊꯦꯡꯅꯩ꯫ ꯃꯁꯤꯗꯁꯨ ꯅꯠꯇꯅꯥ, ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯗꯥ ꯑꯌꯥꯝꯕꯗꯤ ꯃꯐꯃꯁꯤꯡ ꯑꯁꯤꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯑꯇꯩ ꯂꯥꯏꯑꯣꯡꯁꯤꯡꯁꯨ ꯎꯕꯥ ꯐꯪꯒꯅꯤ꯫ ꯍꯥꯌꯔꯤꯕꯥ ꯃꯐꯃꯁꯤꯡ ꯑꯁꯤ ꯃꯁꯥ ꯃꯊꯟꯇꯥ ꯐꯒꯠꯂꯛꯀꯅꯤ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ‘ꯕ꯭ꯂꯨꯕꯦꯔꯤ ꯃꯐꯤꯟ ꯔꯦꯁ’ ꯍꯥꯌꯕꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯅꯥ ꯈꯨꯗꯛꯇꯥ ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯃꯇꯦꯡ ꯃꯊꯧ ꯇꯥꯕꯒꯤ ꯑꯀꯅꯕꯥ ꯈꯨꯗꯝ ꯑꯃꯅꯤ꯫

ꯃꯁꯤ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯕꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯔꯃꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?

ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯂꯩꯔꯣꯏꯗꯕꯅꯤ, ꯃꯁꯤꯗꯥ ꯁꯣꯀꯍꯜꯂꯤꯕꯥ ꯃꯔꯃꯁꯤꯡꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯀꯦꯇꯦꯒꯣꯔꯤꯁꯤꯡꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯑꯩꯈꯣꯌꯅꯥ ꯃꯌꯦꯛ ꯁꯦꯡꯅꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯒꯅꯤ, ꯑꯃꯃꯃꯇꯥ꯫

TORCH ꯏꯅꯐꯦꯛꯁꯅꯁꯤꯡ ꯂꯩꯕꯥ꯫

TORCH ꯍꯥꯌꯕꯁꯤ ꯃꯤꯔꯣꯜꯂꯤꯉꯩ ꯃꯇꯃꯗꯥ ꯐꯤꯇꯁ ꯅꯠꯠꯔꯒꯥ ꯅꯧꯅꯥ ꯄꯣꯀꯄꯥ ꯑꯉꯥꯡ ꯑꯗꯨꯕꯨ ꯁꯣꯀꯍꯜꯂꯤꯕꯥ ꯏꯅꯐꯦꯛꯁꯅꯒꯤ ꯀꯥꯡꯂꯨꯞ ꯀꯌꯥꯒꯤ ꯑꯦꯛꯔꯣꯅꯤꯝ ꯑꯃꯅꯤ꯫ ꯍꯥꯌꯔꯤꯕꯥ ꯏꯅꯐꯦꯛꯁꯅꯁꯤꯡ ꯑꯁꯤ ꯃꯤꯔꯣꯜꯂꯤꯉꯩ ꯃꯇꯃꯗꯥ, ꯑꯉꯥꯡ ꯄꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯅꯠꯠꯔꯒꯥ ꯄꯣꯀꯄꯥ ꯃꯇꯨꯡꯗꯥ ꯃꯃꯥꯗꯒꯤ ꯑꯉꯥꯡꯗꯥ ꯁꯟꯗꯣꯀꯄꯥ ꯌꯥꯏ꯫

TORCH ꯍꯥꯌꯕꯁꯤꯒꯤ ꯑꯔꯊꯗꯤ:

• ꯇꯤ - ꯇꯣꯛꯁꯣꯞꯂꯥꯖꯃꯣꯁꯤꯁ꯫
• ꯑꯣ - ꯑꯇꯩ ꯏꯅꯐꯦꯛꯁꯅꯁꯤꯡ - ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ ꯁꯤꯐꯤꯂꯤꯁ, ꯆꯤꯀꯅꯄꯣꯛ, ꯄꯥꯔꯚꯣꯚꯥꯏꯔꯁ ꯕꯤ꯱꯹꯫
• ꯑꯥꯔ- ꯔꯨꯕꯦꯜꯂꯥ꯫
• ꯁꯤ - ꯁꯥꯏꯇꯣꯃꯦꯒꯥꯂꯣꯚꯥꯏꯔꯁ (ꯁꯤ.ꯑꯦꯝ.ꯚꯤ.)
• H - ꯍꯔꯄꯤꯁ ꯁꯤꯝꯄꯂꯛꯁ ꯚꯥꯏꯔꯁ (HSV)

ꯏꯅꯐꯦꯛꯁꯅꯁꯤꯡ ꯑꯁꯤꯒꯥ ꯂꯣꯌꯅꯅꯥ, ꯑꯉꯥꯡ ꯑꯗꯨꯅꯥ ꯂꯥꯏꯍꯧ ꯍꯧꯕꯥ, ꯄꯤꯖ-ꯄꯤꯊꯛ ꯇꯧꯕꯗꯥ ꯑꯋꯥꯕꯥ, ꯖꯟꯗꯥꯁꯤꯁ, ꯄꯣꯀꯄꯗꯥ ꯑꯔꯨꯝꯕꯥ ꯍꯟꯊꯕꯥ, ꯇꯥꯕꯥ ꯉꯃꯗꯕꯥ, ꯑꯃꯁꯨꯡ ꯂꯤꯚꯔ ꯑꯃꯁꯨꯡ ꯁ꯭ꯞꯂꯤꯟ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ (hepatosplenomegaly) ꯑꯁꯤꯅꯆꯤꯡꯕꯥ ꯑꯇꯩ ꯂꯥꯏꯑꯣꯡꯁꯤꯡꯁꯨ ꯎꯕꯥ ꯐꯪꯏ꯫

ꯃꯁꯤꯅꯥ ꯇꯥꯛꯂꯤ ꯃꯗꯨꯗꯤ ꯃꯤꯔꯣꯜꯂꯤꯉꯩ ꯃꯇꯃꯗꯥ ꯗꯣꯛꯇꯔꯗꯥ ꯃꯇꯝ ꯆꯥꯅꯥ ꯂꯥꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯃꯊꯧ ꯇꯥꯕꯥ ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯄꯥꯡꯊꯣꯀꯄꯥ ꯑꯁꯤ ꯀꯌꯥ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ꯫ ꯃꯁꯤꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯃꯈꯂꯒꯤ ꯏꯅꯐꯦꯛꯁꯅꯁꯤꯡ ꯑꯁꯤ ꯂꯩꯕ꯭ꯔꯥ ꯅꯠꯠꯔꯒꯥ ꯃꯈꯣꯌꯗꯥ ꯏꯝꯝꯌꯨꯅꯤꯇꯤ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯍꯥꯟꯅꯥ ꯈꯪꯗꯣꯀꯄꯥ ꯌꯥꯏ꯫

ꯑꯀꯛꯅꯕꯥ ꯇꯤꯎꯃꯔ ꯑꯃꯁꯨꯡ ꯀꯦꯟꯁꯔꯁꯤꯡ꯫

ꯑꯉꯥꯡ ꯑꯣꯏꯔꯤꯉꯩꯒꯤ ꯀꯦꯟꯁꯔ ꯃꯈꯜ ꯈꯔꯅꯁꯨ ‘ꯕ꯭ꯂꯨꯕꯦꯔꯤ ꯃꯐꯤꯟ ꯔꯦꯁ’ ꯑꯁꯤ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯊꯣꯀꯄꯥ ꯀꯟꯗꯤꯁꯅꯁꯤꯡꯅꯤ꯫

• ꯍꯤꯁ꯭ꯇꯤꯑꯣꯁꯥꯏꯇꯣꯁꯤꯁ (histiocytosis) ꯊꯣꯀꯄꯥ꯫
• ꯂꯤꯎꯀꯦꯃꯤꯌꯥ (ꯕ꯭ꯂꯗ ꯀꯦꯟꯁꯔ)
• ꯃꯦꯁ꯭ꯇꯣꯁꯥꯏꯇꯣꯁꯤꯁ (Mastocytosis) ꯊꯣꯀꯄꯥ꯫
• ꯅ꯭ꯌꯨꯔꯣꯕ꯭ꯂꯥꯁ꯭ꯇꯣꯃꯥ (ꯅ꯭ꯌꯨꯔꯣꯕ꯭ꯂꯥꯁ꯭ꯇꯣꯃꯥ)꯫
• ꯔꯦꯕꯗꯣꯃꯥꯌꯣꯁꯥꯔꯀꯣꯃꯥ꯫
• ꯇ꯭ꯔꯥꯟꯁꯤꯑꯦꯟꯇ ꯃꯥꯏꯂꯣꯞꯔꯣꯂꯤꯐꯦꯔꯦꯇꯤꯚ ꯗꯤꯁꯑꯣꯔꯗꯔ - ꯃꯁꯤ ꯃꯔꯨꯑꯣꯏꯅꯥ ꯗꯥꯎꯟ ꯁꯤꯟꯗ꯭ꯔꯣꯝ ꯂꯩꯕꯥ ꯑꯉꯥꯡꯁꯤꯡꯗꯥ ꯌꯥꯝꯅꯥ ꯀꯃꯟ ꯑꯣꯏ꯫

ꯀꯟꯗꯤꯁꯅꯁꯤꯡ ꯑꯁꯤꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯌꯥꯝꯅꯥ ꯋꯥꯅꯥ ꯋꯥꯈꯜ ꯇꯥꯕꯥ, ꯂꯥꯏꯍꯧ ꯍꯧꯕꯥ, ꯑꯔꯨꯝꯕꯥ ꯍꯟꯊꯕꯥ, ꯂꯦꯡ-ꯑꯣꯠꯄꯗꯥ ꯋꯥꯕꯥ (ꯑꯦꯅꯤꯃꯤꯌꯥꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ), ꯂꯤꯝꯐ ꯅꯣꯗꯁꯤꯡ ꯁꯣꯟꯊꯕꯥ, ꯑꯃꯁꯨꯡ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ ꯑꯁꯤꯅꯆꯤꯡꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯂꯥꯀꯄꯥ ꯌꯥꯏ꯫

ꯏ ꯄꯨꯊꯣꯀꯄꯒꯥ ꯃꯔꯤ ꯂꯩꯅꯕꯥ ꯑꯇꯩ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯃꯁꯤꯡ (Extramedullary Hematopoiesis)

ꯑꯩꯈꯣꯌꯅꯥ ꯃꯃꯥꯡꯗꯥ ꯈꯟꯅꯈꯤꯕꯒꯨꯝꯅꯥ, ꯃꯐꯃꯁꯤꯡ ꯑꯁꯤ ꯑꯦꯛꯁꯠꯔꯥꯃꯦꯗꯨꯂꯦꯔꯤ ꯍꯦꯃꯦꯇꯣꯄꯣꯏꯁꯤꯁꯅꯥ ꯊꯣꯀꯍꯅꯕꯁꯨ ꯌꯥꯏ꯫ ꯃꯁꯤꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯂꯤꯕꯥ ꯑꯇꯣꯞꯄꯥ ꯐꯦꯛꯇꯔ ꯈꯔꯗꯤ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤ:

• ꯅꯧꯅꯥ ꯄꯣꯀꯄꯥ ꯑꯉꯥꯡ ꯑꯗꯨꯒꯤ ꯍꯦꯃꯣꯂꯥꯏꯇꯤꯛ ꯗꯤꯖꯤꯖ: ꯃꯃꯥ ꯑꯃꯁꯨꯡ ꯑꯉꯥꯡ ꯑꯗꯨꯒꯤ ꯃꯔꯛꯇꯥ ABO ꯕ꯭ꯂꯗ ꯇꯥꯏꯞ ꯏꯅꯀꯃꯄꯦꯇꯤꯕꯤꯂꯤꯇꯤꯒꯨꯝꯕꯥ ꯐꯦꯛꯇꯔꯁꯤꯡꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯑꯉꯥꯡ ꯑꯗꯨꯒꯤ ꯔꯦꯗ ꯕ꯭ꯂꯗ ꯁꯦꯂꯁꯤꯡ ꯑꯗꯨ ꯌꯥꯡꯅꯥ ꯆꯦꯟꯊꯔꯀꯄꯥ꯫
• ꯍꯦꯔꯤꯇꯦꯖ ꯁ꯭ꯐꯦꯔꯣꯁꯥꯏꯇꯣꯁꯤꯁ (hereditary spherocytosis) : ꯔꯦꯗ ꯕ꯭ꯂꯗ ꯁꯦꯂꯁꯤꯡꯒꯤ ꯃꯑꯣꯡ-ꯃꯇꯧꯗꯥ ꯑꯍꯣꯡꯕꯥ ꯂꯥꯀꯄꯥ ꯍꯦꯔꯤꯇꯦꯖ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫
• ꯇ꯭ꯕꯤꯟ-ꯇꯨ-ꯇ꯭ꯕꯤꯟ ꯇ꯭ꯔꯥꯟꯁꯐ꯭ꯌꯨꯁꯟ ꯁꯤꯟꯗ꯭ꯔꯣꯝ (Twin-to-twin transfusion syndrome) : ꯄ꯭ꯂꯥꯁꯦꯟꯇꯥ ꯑꯃꯒꯥ ꯃꯥꯟꯅꯗꯕꯥ ꯇ꯭ꯔꯤꯅꯤꯇꯤꯁꯤꯡꯒꯤ ꯃꯔꯛꯇꯥ ꯏꯒꯤ ꯆꯥꯡ ꯃꯥꯟꯅꯗꯕꯥ꯫

ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯃꯇꯧ ꯀꯔꯝꯅꯥ ꯑꯁꯦꯡꯕꯥ ꯃꯔꯝ ꯑꯗꯨ ꯊꯤꯔꯤꯕꯒꯦ?

ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯒꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯑꯍꯥꯅꯕꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨ ꯆꯦꯀꯁꯤꯟꯅꯥ ꯌꯦꯡꯁꯤꯅꯒꯅꯤ ꯑꯃꯁꯨꯡ ꯑꯇꯩ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯒꯅꯤ꯫ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ, ꯃꯈꯣꯌꯅꯥ ꯑꯆꯨꯝꯕꯥ ꯃꯔꯝ ꯑꯗꯨ ꯈꯉꯗꯣꯛꯅꯕꯥ ꯇꯦꯁ꯭ꯠ ꯀꯌꯥ ꯑꯃꯥ ꯇꯧꯅꯕꯥ ꯄꯥꯎꯇꯥꯛ ꯄꯤꯒꯅꯤ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ TORCH ꯏꯅꯐꯦꯛꯁꯟ ꯑꯃꯥ ꯂꯩꯔꯦ ꯍꯥꯌꯅꯥ ꯆꯤꯡꯅꯕꯥ ꯂꯩꯔꯕꯗꯤ, ꯗꯣꯛꯇꯔ ꯑꯗꯨꯅꯥ ꯃꯃꯥ ꯑꯗꯨꯒꯤꯗꯃꯛ ꯃꯔꯤ ꯂꯩꯅꯕꯥ ꯇꯦꯁ꯭ꯇꯁꯤꯡꯁꯨ ꯔꯤꯀꯃꯦꯟꯗ ꯇꯧꯕꯥ ꯌꯥꯏ꯫

ꯃꯁꯤꯒꯤ ꯂꯥꯏꯌꯦꯡꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯤꯅꯣ?

ꯃꯁꯤ ꯃꯤꯑꯣꯏ ꯀꯌꯥꯅꯥ ꯊꯦꯡꯅꯔꯤꯕꯥ ꯈꯨꯗꯣꯡꯆꯥꯗꯕꯥ ꯑꯃꯅꯤ꯫ ꯅꯤꯡꯁꯤꯡꯕꯤꯌꯨ, ‘ꯕ꯭ꯂꯨꯕꯦꯔꯤ ꯃꯐꯤꯟ ꯔꯦꯁ’ꯒꯤ ꯂꯥꯏꯌꯦꯡ ꯑꯁꯤ ꯃꯁꯤ ꯊꯣꯀꯍꯅꯈꯤꯕꯥ ꯃꯈꯥ ꯄꯣꯜꯂꯤꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯗꯨ ꯂꯥꯏꯌꯦꯡꯕꯅꯤ꯫ ꯍꯥꯌꯕꯗꯤ ꯃꯐꯃꯁꯤꯡ ꯑꯁꯤ ꯂꯥꯏꯑꯣꯡ ꯑꯃꯥ ꯑꯣꯏꯕꯅꯥ ꯑꯩꯈꯣꯌꯅꯥ ꯂꯥꯏꯑꯣꯡ ꯑꯗꯨ ꯊꯣꯀꯍꯅꯈꯤꯕꯥ ꯃꯈꯥ ꯄꯣꯜꯂꯤꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯗꯨ ꯂꯥꯌꯦꯡꯕꯥ ꯃꯊꯧ ꯇꯥꯏ꯫

ꯈꯨꯗꯝ ꯑꯣꯏꯅ:

• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯔꯝ ꯑꯗꯨ TORCH ꯏꯅꯐꯦꯛꯁꯟ ꯑꯣꯏꯔꯕꯗꯤ, ꯑꯦꯟꯇꯤꯕꯥꯏꯑꯣꯇꯤꯛ, ꯑꯦꯟꯇꯤꯄꯦꯔꯥꯁꯤꯇꯤꯀꯁꯤꯡ, ꯅꯠꯠꯔꯒꯥ ꯑꯦꯟꯇꯤꯚꯥꯏꯔꯦꯜ ꯍꯤꯗꯥꯀꯁꯤꯡ ꯄꯤ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯔꯝ ꯑꯗꯨ ꯅ꯭ꯌꯨꯔꯣꯕ꯭ꯂꯥꯁ꯭ꯇꯣꯃꯥꯒꯨꯝꯕꯥ ꯀꯦꯟꯁꯔ ꯑꯣꯏꯔꯕꯗꯤ, ꯁꯔꯖꯔꯤ, ꯀꯦꯃꯣꯊꯦꯔꯥꯄꯤ, ꯏꯝꯝꯌꯨꯅꯣꯊꯦꯔꯥꯄꯤ, ꯅꯠꯠꯔꯒꯥ ꯔꯦꯗꯤꯑꯦꯁꯟ ꯊꯦꯔꯥꯄꯤ ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯏ꯫

ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯒꯤ ꯃꯦꯗꯤꯀꯦꯜ ꯇꯤꯃꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯒꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯥ ꯂꯥꯏꯌꯦꯡꯒꯤ ꯄ꯭ꯂꯥꯟ ꯑꯗꯨ ꯈꯪꯍꯜꯂꯛꯀꯅꯤ, ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯍꯪꯂꯀꯄꯥ ꯋꯥꯍꯪꯁꯤꯡ ꯅꯠꯠꯔꯒꯥ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯑꯃꯍꯦꯛꯇꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯃꯈꯣꯌꯒꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯕꯗꯥ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯂꯩꯔꯣꯏꯗꯕꯅꯤ꯫

ꯀꯗꯥꯏꯗꯥ ꯈꯨꯗꯛꯇꯥ ꯗꯣꯛꯇꯔꯒꯥ ꯇꯥꯟꯅꯒꯗꯒꯦ?

ꯃꯁꯤꯒꯤ ꯑꯃꯠꯇꯥ ꯉꯥꯏꯔꯕꯥ ꯄꯥꯎꯈꯨꯃꯗꯤ "ꯈꯨꯗꯛꯇꯥ!"

ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯅꯦꯝꯂꯕꯁꯨ, ꯃꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯒꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯊꯧꯗꯣꯛ ꯑꯃꯥ ꯊꯣꯛꯂꯤ ꯍꯥꯌꯕꯒꯤ ꯈꯨꯗꯝ ꯑꯃꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ, ꯑꯗꯨꯕꯨ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯋꯥꯐꯃꯗꯤ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯑꯃꯁꯨꯡ ꯊꯨꯅꯥ ꯊꯕꯛ ꯄꯥꯌꯈꯠꯄꯥ ꯑꯁꯤꯅꯤ꯫ ꯃꯦꯗꯤꯀꯦꯜ ꯇꯤꯃꯅꯥ ꯃꯔꯝ ꯑꯗꯨ ꯊꯨꯅꯥ ꯈꯪꯗꯣꯛꯀꯅꯤ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯒꯤꯗꯃꯛ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯥ ꯂꯥꯏꯌꯦꯡ ꯄꯤꯒꯅꯤ꯫