ꯑꯍꯥꯅꯕꯗꯥ ꯊꯝꯃꯣꯌꯗꯥ ꯏ ꯀꯔꯝꯅꯥ ꯆꯠꯊꯣꯛ-ꯆꯠꯁꯤꯟ ꯇꯧꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯁꯤ?
ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯊꯝꯃꯣꯌ ꯑꯁꯤ ꯔꯨꯝ ꯃꯔꯤ ꯂꯩꯕꯥ ꯌꯨꯝ ꯑꯃꯒꯨꯝꯕꯅꯤ꯫ ꯃꯁꯤꯒꯤ ꯑꯔꯣꯏꯕꯥ ꯃꯐꯝ ꯑꯁꯤ ꯑꯣꯛꯁꯤꯖꯦꯟ ꯃꯥꯡꯈꯤꯕꯥ ꯍꯀꯆꯥꯡ ꯄꯨꯝꯕꯥ ꯁꯤꯖꯤꯟꯅꯔꯝꯕꯥ ꯏ ꯑꯗꯨ ꯈꯣꯃꯖꯤꯜꯂꯤ꯫ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯍꯥꯔꯇꯅꯥ ꯏ ꯑꯁꯤ ꯂꯪꯁꯇꯥ ꯊꯥꯏ꯫ ꯃꯁꯤ ꯁꯔꯚꯤꯁ ꯁ꯭ꯇꯦꯁꯟ ꯑꯃꯗꯥ ꯊꯥꯕꯒꯨꯝꯅꯥ ꯈꯅꯕꯤꯌꯨ꯫ ꯀꯥ ꯑꯃꯗꯥ ꯒꯦꯁꯣꯂꯤꯟ ꯊꯥꯕꯒꯨꯝꯅꯥ ꯏ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯅꯧꯕꯥ ꯑꯣꯛꯁꯤꯖꯦꯟ ꯍꯥꯄꯆꯤꯜꯂꯀꯄꯁꯤ ꯂꯪꯁꯇꯥꯅꯤ꯫ ꯃꯇꯝ ꯑꯗꯨꯃꯛꯇꯗꯥ ꯏꯗꯥ ꯂꯩꯔꯤꯕꯥ ꯀꯥꯔꯕꯣꯟ ꯗꯥꯏꯑꯣꯛꯁꯥꯏꯗ ꯒ꯭ꯌꯥꯁ ꯑꯁꯤ ꯂꯧꯊꯣꯀꯏ . ꯍꯧꯖꯤꯛꯇꯤ ꯑꯣꯛꯁꯤꯖꯦꯟ ꯌꯥꯝꯅꯥ ꯌꯥꯑꯣꯕꯥ, ꯁꯦꯡꯂꯕꯥ ꯏ ꯑꯁꯤ ꯊꯝꯃꯣꯌꯒꯤ ꯂꯦꯃꯍꯧꯔꯤꯕꯥ ꯃꯐꯝ ꯑꯗꯨꯗꯥ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯂꯥꯛꯂꯦ꯫ ꯃꯐꯝ ꯑꯗꯨꯗꯒꯤ ꯊꯝꯃꯣꯌꯅꯥ ꯏ ꯑꯁꯤ ꯍꯀꯆꯥꯡ ꯄꯨꯝꯕꯗꯥ ꯌꯦꯟꯊꯣꯀꯏ꯫ ꯃꯁꯤꯗꯥ `(Aorta)` ꯀꯧꯕꯥ ꯑꯆꯧꯕꯥ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯜ ꯑꯁꯤꯅꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫ ꯃꯁꯤ ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯅꯥ ꯏ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯆꯠꯄꯒꯦ ꯍꯥꯌꯕꯗꯨꯅꯤ:- ꯑꯣꯛꯁꯤꯖꯦꯟ ꯌꯥꯎꯗꯕꯥ ꯏ ꯑꯁꯤ ꯍꯥꯔꯇꯀꯤ ꯑꯔꯥꯞꯄꯥ ꯃꯐꯃꯗꯥ ꯆꯦꯜꯂꯤ꯫
- ꯍꯥꯔꯇꯅꯥ ꯏ ꯑꯗꯨ ꯂꯪꯁꯇꯥ ꯄꯝꯄ ꯇꯧꯏ꯫
- ꯂꯪꯁꯅꯥ ꯏꯗꯥ ꯑꯣꯛꯁꯤꯖꯦꯟ ꯌꯥꯎꯍꯟꯗꯨꯅꯥ ꯀꯥꯔꯕꯣꯟ ꯗꯥꯏꯑꯣꯛꯁꯥꯏꯗ ꯂꯧꯊꯣꯀꯏ꯫
- ꯑꯣꯛꯁꯤꯖꯦꯟ ꯌꯥꯝꯅꯥ ꯌꯥꯎꯕꯥ ꯏ ꯑꯁꯤ ꯂꯪꯁꯇꯒꯤ ꯍꯥꯔꯇꯀꯤ ꯂꯦꯃꯍꯧꯔꯤꯕꯥ ꯁꯔꯨꯛ ꯑꯗꯨꯗꯥ ꯂꯥꯀꯏ꯫
- ꯍꯥꯔꯇꯅꯥ ꯏ ꯑꯁꯤ ꯍꯀꯆꯥꯡ ꯄꯨꯝꯅꯃꯛꯇꯥ ꯄꯝꯄ ꯇꯧꯏ꯫
ꯀꯥꯔꯗꯤꯌꯦꯛ ꯁꯟꯊꯤꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯈꯂꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?
`(Cardiac Shunt)`ꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯈꯜ ꯑꯅꯤ ꯂꯩ, ꯃꯈꯣꯌ ꯑꯁꯤ ꯏ ꯆꯦꯅꯕꯒꯤ ꯃꯥꯌꯀꯩꯒꯤ ꯃꯇꯨꯡ ꯏꯟꯅꯥ ꯈꯦꯠꯅꯍꯜꯂꯤ: 1. ꯂꯦꯐꯠ-ꯇꯨ-ꯔꯥꯏꯠ ꯁꯟ (Left-to-right shant / Acyantic): ꯃꯁꯤꯗꯥ ꯍꯥꯟꯅꯅꯥ ꯑꯣꯛꯁꯤꯖꯦꯟ ꯐꯪꯂꯕꯥ ꯏ, ꯍꯥꯌꯕꯗꯤ ꯊꯝꯃꯣꯌꯒꯤ ꯂꯦꯃꯍꯧꯔꯤꯕꯥ ꯃꯐꯃꯗꯒꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯆꯠꯀꯗꯕꯥ ꯏ ꯑꯗꯨ ꯑꯔꯥꯞꯄꯥ ꯃꯐꯃꯗꯒꯤ ꯂꯪꯁꯇꯥ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯂꯤꯛ ꯇꯧꯏ꯫ ꯃꯁꯤꯗꯥ , ꯃꯍꯧꯁꯥꯅꯥ ꯑꯍꯥꯅꯕꯥ ꯇꯥꯉ꯭ꯀꯀꯁꯤꯡꯗꯥ ꯑꯣꯛꯁꯤꯖꯦꯅꯒꯤ ꯆꯥꯡ (ꯕ꯭ꯂꯨꯅꯦꯁ) ꯍꯟꯊꯕꯥ ꯂꯩꯇꯦ꯫ ꯈꯨꯗꯝ ꯈꯔꯗꯤ:- ꯑꯦꯠꯔꯤꯌꯥꯜ ꯁꯦꯞꯇꯥꯜ ꯗꯤꯐꯦꯛꯇ (ASD): ꯍꯥꯔꯇꯀꯤ ꯃꯊꯛꯀꯤ ꯆꯦꯝꯕꯔ (atria) ꯑꯅꯤꯒꯤ ꯃꯔꯛꯇꯥ ꯂꯩꯕꯥ ꯍꯨꯔꯥꯅꯕꯥ ꯑꯃꯥ꯫
- ꯚꯦꯟꯇꯤꯀꯨꯂꯥꯔ ꯁꯦꯞꯇꯥꯜ ꯗꯤꯐꯦꯛꯇ (VSD): ꯍꯥꯔꯇꯀꯤ ꯃꯈꯥ ꯊꯪꯕꯥ ꯆꯦꯝꯕꯔ (ꯆꯦꯝꯕꯔ) ꯑꯅꯤꯒꯤ ꯃꯔꯛꯇꯥ ꯂꯩꯕꯥ ꯍꯨꯔꯥꯅꯕꯥ ꯑꯃꯥ꯫
- ꯄꯦꯇꯦꯟꯇ ꯗꯛꯇꯁ ꯑꯥꯔꯇꯦꯔꯤꯑꯣꯁꯁ (PDA): ꯃꯤꯔꯣꯜꯂꯤꯉꯩ ꯃꯇꯃꯗꯥ ꯂꯩꯕꯥ ꯑꯃꯁꯨꯡ ꯄꯣꯀꯄꯥ ꯃꯇꯨꯡꯗꯥ ꯊꯤꯡꯖꯤꯅꯒꯗꯕꯥ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯜ ꯑꯃꯅꯤ, ꯃꯁꯤ ꯍꯥꯡꯗꯣꯛꯇꯨꯅꯥ ꯂꯩ꯫
- ꯑꯦꯠꯔꯤꯑꯣꯚꯦꯟꯇꯤꯀꯨꯂꯥꯔ ꯁꯦꯞꯇꯥꯜ ꯗꯤꯐꯦꯛꯇ (Atrioventricular Septal Defect): ꯑꯦꯠꯔꯤꯌꯥ ꯑꯃꯁꯨꯡ ꯚꯦꯟꯇꯤꯂꯦꯁꯅꯒꯤ ꯃꯔꯛꯇꯥ ꯂꯩꯕꯥ ꯋꯥꯂꯁꯤꯡꯗꯥ ꯂꯩꯕꯥ ꯀꯝꯞꯂꯦꯛꯁ ꯑꯣꯏꯕꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯑꯃꯅꯤ꯫
- `(ꯑꯄꯨꯅꯕꯥ/ꯄꯥꯔꯁꯤꯑꯦꯜ ꯑꯦꯅꯣꯃꯦꯂꯁ ꯄꯂꯃꯣꯅꯥꯔꯤ ꯚꯦꯅꯁ ꯔꯤꯇꯔꯟ - ꯇꯤ.ꯑꯦ.ꯄꯤ.ꯚꯤ.ꯑꯥꯔ./ꯄꯤ.ꯑꯦ.ꯄꯤ.ꯚꯤ.ꯑꯥꯔ.)`:ꯂꯪꯁꯇꯒꯤ ꯍꯥꯔꯇꯇꯥ ꯑꯣꯛꯁꯤꯖꯦꯟ ꯄꯨꯔꯀꯄꯥ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯜ (pulmonary vein)ꯒꯤ ꯑꯁꯣꯌꯕꯥ ꯀꯅꯦꯛꯁꯟ ꯂꯩꯕꯥ꯫
- ꯐꯦꯂꯣꯠꯀꯤ ꯇꯦꯠꯔꯥꯂꯣꯖꯤ: ꯃꯁꯤ ꯍꯥꯔꯇꯀꯤ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯃꯔꯤꯒꯤ ꯀꯝꯕꯤꯅꯦꯁꯟ ꯑꯃꯅꯤ꯫
- ꯒ꯭ꯔꯦꯠ ꯑꯥꯔꯇꯦꯔꯤꯁꯤꯡꯒꯤ ꯇ꯭ꯔꯥꯟꯁꯄꯣꯖꯤꯁꯟ: ꯍꯥꯔꯇꯇꯒꯤ ꯍꯀꯆꯥꯡ ꯑꯃꯁꯨꯡ ꯂꯪꯁꯇꯥ ꯏ ꯄꯨꯕꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯜ ꯑꯅꯤꯒꯤ ꯄꯣꯖꯤꯁꯟ ꯑꯗꯨ ꯔꯤꯚꯔꯁ ꯇꯧꯏ꯫
- ꯄꯂꯃꯣꯅꯥꯔꯤ ꯑꯦꯠꯔꯦꯁꯤꯌꯥ (Pulmonary Atresia): ꯂꯪꯁꯇꯥ ꯏ ꯄꯨꯕꯥ ꯉꯝꯕꯥ ꯚꯜꯌꯨ (pulmonary valve) ꯑꯁꯤ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯁꯦꯃꯒꯠꯄꯥ ꯉꯃꯗꯦ꯫
- ꯏꯁꯦꯅꯃꯦꯉ꯭ꯒꯔ ꯁꯤꯟꯗ꯭ꯔꯣꯝ (Eisenmenger Syndrome): ꯑꯍꯥꯅꯕꯗꯥ ꯂꯦꯡ-ꯑꯣꯠꯄꯗꯒꯤ ꯑꯔꯥꯞꯄꯥ ꯃꯐꯃꯗꯥ ꯂꯩꯔꯝꯕꯥ ꯁꯟꯊꯤ ꯑꯃꯅꯥ ꯑꯔꯣꯏꯕꯗꯥ ꯑꯔꯥꯞꯄꯥ ꯃꯅꯨꯡꯗꯒꯤ ꯂꯦꯡ-ꯑꯣꯠꯄꯗꯥ ꯂꯥꯀꯏ꯫
- ꯍꯥꯏꯄꯣꯞꯂꯥꯁ꯭ꯇꯤꯛ ꯂꯦꯐꯠ ꯍꯥꯔꯠ ꯁꯤꯟꯗ꯭ꯔꯣꯝ ( HLHS ): ꯍꯥꯔꯇꯀꯤ ꯂꯦꯃꯍꯧꯔꯤꯕꯥ ꯁꯔꯨꯛ ꯑꯗꯨ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯆꯥꯎꯈꯠꯄꯥ ꯉꯃꯗꯦ꯫
- `(ꯗꯕꯜ ꯑꯥꯎꯇꯂꯦꯠ ꯔꯥꯏꯠ ꯚꯦꯟꯇꯤꯂꯦꯁꯟ)`
- `(ꯄꯂꯃꯣꯅꯥꯔꯤ ꯑꯥꯔꯇꯦꯔꯤꯑꯣꯚꯦꯅꯁ ꯃꯥꯂꯐꯣꯔꯃꯦꯁꯟ)`꯫
- `(ꯇ꯭ꯔꯉ꯭ꯀꯁ ꯑꯥꯔꯇꯦꯔꯤꯑꯣꯁ)`꯫
ꯍꯥꯌꯔꯤꯕꯥ (ꯀꯥꯔꯗꯤꯌꯦꯛ ꯁꯟ) ꯀꯟꯗꯤꯁꯅꯁꯤꯡ ꯑꯁꯤ ꯀꯌꯥꯝ ꯀꯃꯟ ꯑꯣꯏꯕꯒꯦ?
ꯇꯁꯦꯡꯕꯗꯤ, ꯃꯁꯤꯒꯤ `(Cardiac Shunt)` ꯑꯁꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯀꯣꯟꯖꯤꯅꯤꯑꯦꯜ ꯍꯥꯔꯠ ꯗꯤꯐꯦꯛꯇꯀꯤ ꯃꯈꯂꯅꯤ . ꯆꯥꯡꯆꯠꯇꯥ , ꯑꯉꯥꯡ 100 ꯈꯨꯗꯤꯡꯒꯤ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯑꯃꯗꯥ ꯀꯣꯟꯖꯤꯅꯤꯑꯦꯜ ꯍꯥꯔꯠ ꯗꯤꯐꯦꯛꯇ ꯃꯈꯜ ꯑꯃꯥ ꯂꯩꯕꯥ ꯌꯥꯏ꯫(ꯀꯥꯔꯗꯤꯌꯦꯛ ꯁꯟꯇ)ꯒꯤ ꯃꯔꯃꯁꯤꯡ ꯀꯔꯤꯅꯣ?
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯖꯦꯅꯦꯇꯤꯛ ꯀꯝꯄꯣꯅꯦꯟꯇ ꯑꯃꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ . ꯍꯥꯌꯕꯗꯤ ꯃꯁꯤ ꯑꯀꯛꯅꯕꯥ ꯖꯤꯟ ꯑꯃꯗꯥ ꯑꯍꯣꯡꯕꯥ (`(Mutation)`) ꯑꯃꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, `(ꯗꯥꯎꯟ ꯁꯤꯟꯗꯣꯝ)` ꯅꯥ ꯅꯥꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯒꯤ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯁꯔꯨꯛ ꯑꯍꯨꯝ ꯊꯣꯀꯄꯒꯤ ꯑꯃꯗꯤ `(ꯀꯥꯔꯗꯤꯌꯦꯛ ꯁꯟ)`ꯒꯤ ꯃꯈꯜ ꯈꯔꯥ ꯂꯩ꯫ ꯃꯁꯤꯗꯁꯨ ꯅꯠꯇꯅꯥ, ꯃꯤꯔꯣꯜꯂꯤꯉꯩ ꯃꯇꯃꯗꯥ ꯃꯃꯥꯗꯥ ꯁꯣꯀꯍꯜꯂꯤꯕꯥ ꯑꯀꯛꯅꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡꯅꯥ ꯑꯉꯥꯡ ꯑꯗꯨꯗꯥ `(Cardiac Shunt)` ꯂꯥꯀꯄꯒꯤ ꯔꯤꯁ꯭ꯛ ꯍꯦꯅꯒꯠꯍꯅꯕꯥ ꯌꯥꯏ꯫- ꯃꯃꯥ ꯑꯗꯨꯗꯥ ``(ꯖꯦꯁ꯭ꯇꯦꯁꯅꯦꯜ ꯗꯥꯏꯑꯦꯕꯦꯇꯤꯖ )`` ( ꯃꯤꯔꯣꯜꯂꯤꯉꯩ ꯃꯇꯃꯗꯥ ꯗꯥꯏꯑꯦꯕꯦꯇꯤꯖ ) ꯂꯩ꯫
- ꯄꯦꯏꯅꯀꯤꯂꯥꯔ ``( ꯏꯕꯨꯞꯔꯣꯐꯦꯟ )`` ꯅꯠꯠꯔꯒꯥ ꯚꯤꯇꯥꯃꯤꯟ ꯑꯦ ꯌꯥꯝꯅꯥ ꯁꯤꯖꯤꯟꯅꯕꯥ꯫
- ꯏꯅꯐ꯭ꯂꯨꯑꯦꯟꯖꯥ (ꯐ꯭ꯂꯨ) .
- ꯃꯔꯤꯖꯅꯥ ꯁꯤꯖꯤꯟꯅꯕꯥ .
- ꯔꯨꯕꯦꯂꯥ (ꯖꯔꯃꯅꯤ ꯃꯤꯖꯂꯁ) ꯑꯃꯁꯨꯡ ꯑꯦꯟ.
ꯈꯟꯗꯨꯅꯥ ꯌꯦꯡꯎ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯃꯥ ꯑꯃꯅꯥ ꯃꯤꯔꯣꯜꯂꯤꯉꯩ ꯃꯇꯃꯗꯥ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯊꯧꯗꯣꯛ ꯑꯃꯥ ꯊꯦꯡꯅꯔꯕꯗꯤ, ꯃꯁꯤꯅꯥ ꯑꯉꯥꯡ ꯑꯗꯨꯒꯤ ꯍꯥꯔꯠ ꯗꯤꯚꯦꯂꯄꯃꯦꯟꯇꯗꯥ ꯑꯄꯤꯀꯄꯥ ꯏꯐꯦꯛꯇ ꯑꯃꯥ ꯄꯤꯕꯥ ꯌꯥꯏ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯃꯤꯔꯣꯜꯂꯤꯉꯩ ꯃꯇꯃꯗꯥ ꯌꯥꯝꯅꯥ ꯆꯦꯀꯁꯤꯅꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫
ꯀꯥꯔꯗꯤꯌꯦꯛ ꯁꯟꯊꯤꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?
ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯈꯦꯠꯅꯕꯥ ꯌꯥꯏ꯫ ꯂꯦꯐꯠ-ꯇꯨ-ꯔꯥꯏꯠ ꯁꯟꯊꯤꯁꯤꯡ ꯑꯁꯤ ꯑꯌꯥꯝꯕꯗꯤ ꯏꯅꯈꯠꯂꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯏꯅꯈꯠꯂꯀꯄꯥ ꯐꯥꯎꯕꯗꯥ ꯈꯪꯗꯣꯀꯄꯥ ꯉꯃꯗꯅꯥ ꯂꯩ . ꯀꯔꯤꯒꯨꯝꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯗꯨ ꯊꯣꯛꯂꯕꯗꯤ, ꯃꯈꯣꯌꯗꯨꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯁꯤꯡꯁꯤ ꯌꯥꯎꯕꯥ ꯌꯥꯏ:- ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ (Dyspnea) .
- ꯊꯨꯅꯥ ꯋꯥꯈꯜ ꯇꯥꯕꯥ, ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯇꯧꯕꯥ ꯉꯃꯗꯕꯥ꯫
- ꯃꯔꯨꯑꯣꯏꯕꯥ ꯂꯥꯏꯑꯣꯡ ꯑꯗꯨꯗꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯒꯤ ꯈꯣꯡꯗꯥ ꯅꯤꯜ ꯈꯣꯡꯕꯥ (cyanosis) .
- ꯀ꯭ꯂꯕ ꯇꯧꯔꯕꯥ ꯐꯤꯉ꯭ꯒꯔ ꯅꯠꯠꯔꯒꯥ ꯈꯣꯡꯒꯤ ꯈꯣꯡꯎꯞ .
- ꯏ ꯊꯣꯀꯄꯥ (Hemoptysis) .
- ꯑꯉꯥꯡ ꯑꯗꯨ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯑꯔꯨꯝꯕꯥ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ ꯉꯃꯗ꯭ꯔꯤ .
- ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ (Dyspnea) .
- ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯏꯅꯐꯦꯛꯁꯅꯁꯤꯡ .
ꯅꯍꯥꯛꯅꯥ (ꯀꯥꯔꯗꯤꯌꯦꯛ ꯁꯟꯇ) ꯑꯃꯥ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯀꯔꯝꯅꯥ ꯈꯪꯒꯅꯤ?
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯗꯣꯛꯇꯔ ꯑꯃꯅꯥ ꯀꯥꯔꯗꯤꯌꯦꯛ ꯁꯟꯇ ꯑꯃꯥ ꯆꯤꯡꯅꯕꯥ ꯂꯩꯔꯕꯗꯤ ꯃꯈꯣꯌꯅꯥ ꯇꯦꯁ꯭ꯠ ꯀꯌꯥ ꯑꯃꯥ ꯄꯥꯡꯊꯣꯀꯄꯥ ꯌꯥꯏ, ꯃꯈꯣꯌ ꯑꯗꯨꯗꯤ:- ꯕ꯭ꯂꯗ ꯇꯦꯁ꯭ꯠ : ꯔꯦꯗ ꯕ꯭ꯂꯗ ꯁꯦꯂꯁꯤꯡꯗꯥ ꯑꯍꯣꯡꯕꯥ ꯂꯥꯀꯄꯥ ꯌꯦꯡꯎ꯫
- ꯏꯃꯦꯖꯤꯡ ꯇꯦꯁ꯭ꯇꯁꯤꯡ: ꯍꯥꯔꯇꯀꯤ ꯃꯑꯣꯡ-ꯃꯇꯧꯗꯥ ꯑꯍꯣꯡꯕꯥ ꯂꯥꯀꯄꯥ ꯌꯦꯡꯅꯕꯒꯤꯗꯃꯛ ꯆꯦꯁ꯭ꯠ ꯑꯦꯛꯁ-ꯔꯦ ꯅꯠꯠꯔꯒꯥ ꯁꯤ.ꯇꯤ .
- ꯏꯀꯣꯀꯥꯔꯗꯤꯑꯣꯒ꯭ꯔꯥꯐ: ꯃꯁꯤ ꯍꯥꯔꯇꯀꯤ ꯑꯂꯠꯔꯥꯁꯥꯎꯟꯗ ꯁ꯭ꯀꯦꯟ ꯑꯃꯒꯨꯝꯅꯥ ꯑꯣꯏ꯫ ꯃꯁꯤꯅꯥ ꯊꯝꯃꯣꯌꯒꯤ ꯁ꯭ꯠꯔꯀꯆꯔ , ꯃꯇꯧ ꯀꯔꯝꯅꯥ ꯊꯕꯛ ꯇꯧꯕꯒꯦ, ꯃꯇꯧ ꯀꯔꯝꯅꯥ ꯆꯦꯜꯂꯤꯕꯒꯦ, ꯑꯃꯁꯨꯡ ꯍꯨꯔꯥꯅꯕꯥ ꯑꯃꯥ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤ ꯑꯌꯥꯝꯕꯅꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯇꯦꯁ꯭ꯇꯅꯤ꯫
- ꯏꯂꯦꯛꯠꯔꯣꯀꯥꯔꯗꯤꯑꯣꯒ꯭ꯔꯥꯐ - ꯏ.ꯀꯦ.ꯖꯤ.: ꯍꯥꯔꯇꯀꯤ ꯏꯂꯦꯛꯠꯔꯤꯀꯦꯜ ꯑꯦꯛꯇꯤꯚꯤꯇꯤ ꯌꯦꯡꯁꯤꯟꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯄꯂꯃꯣꯅꯥꯔꯤ ꯍꯥꯏꯄꯔꯇꯦꯟꯁꯅꯒꯨꯝꯕꯥ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ ꯈꯪꯗꯣꯛꯅꯕꯥ꯫
- ꯀꯥꯔꯗꯤꯌꯦꯛ ꯀꯦꯇꯦꯒꯣꯔꯤ: ꯇꯦꯁ꯭ꯠ ꯑꯁꯤꯅꯥ ꯍꯥꯔꯇꯀꯤ ꯆꯦꯝꯕꯔ ꯈꯨꯗꯤꯡꯃꯛꯀꯤ ꯃꯅꯨꯡꯗꯥ ꯂꯩꯕꯥ ꯄ꯭ꯔꯦꯁꯔ ꯑꯗꯨ ꯂꯦꯄꯊꯣꯀꯏ꯫ ꯃꯁꯤ ꯁꯔꯖꯔꯤꯒꯤ ꯃꯊꯧ ꯇꯥꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯂꯦꯄꯊꯣꯀꯄꯗꯥ ꯅꯠꯠꯔꯒꯥ ꯁꯔꯖꯔꯤ ꯍꯥꯟꯅꯅꯥ ꯔꯦꯀꯃꯦꯟꯗ ꯇꯧꯔꯦ ꯍꯥꯌꯕꯥ ꯈꯪꯗꯣꯀꯄꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯕꯗꯥ ꯁꯤꯖꯤꯟꯅꯕꯥ ꯌꯥꯏ꯫
ꯀꯥꯔꯗꯤꯌꯦꯛ ꯁꯟꯊꯤ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯂꯥꯏꯌꯦꯡꯕꯒꯦ?
ꯂꯥꯏꯌꯦꯡ ꯑꯁꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯀꯟꯗꯤꯁꯟ ꯑꯗꯨꯒꯤ ꯁꯥꯊꯤꯕꯒꯤ ꯃꯈꯥ ꯄꯣꯜꯂꯤ꯫ ꯑꯄꯤꯀꯄꯥ ꯁꯟꯇ ꯈꯔꯗꯤ ꯂꯥꯏꯌꯦꯡ ꯑꯃꯠꯇꯥ ꯌꯥꯎꯗꯅꯥ ꯃꯁꯥ ꯃꯊꯟꯇꯥ ꯐꯒꯠꯂꯀꯄꯥ ꯌꯥꯏ꯫ ꯑꯆꯧꯕꯥ ꯁꯟꯇꯁꯤꯡꯒꯤ ꯑꯣꯏꯅꯗꯤ, ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯏ ꯊꯣꯀꯄꯒꯤ ꯂꯝꯕꯤ ꯑꯗꯨ ꯆꯨꯃꯊꯣꯛꯅꯕꯥ ꯁꯔꯖꯔꯤ ꯇꯧꯕꯥ ꯌꯥꯏ . ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯁꯔꯖꯔꯤ ꯈꯔꯗꯤ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯁꯤꯡꯁꯤꯅꯤ:- `(ꯅꯣꯔꯎꯗ ꯄ꯭ꯔꯣꯁꯤꯗ꯭ꯌꯨꯑꯣꯔ)`: ꯃꯁꯤ ꯃꯍꯧꯁꯥꯅꯥ ꯅꯧꯅꯥ ꯄꯣꯀꯄꯥ ꯑꯉꯥꯡꯁꯤꯡꯗꯥ ꯄꯥꯡꯊꯣꯀꯄꯥ ꯑꯣꯄꯟ-ꯍꯥꯔꯠ ꯁꯔꯖꯔꯤ ꯑꯃꯅꯤ꯫ ꯃꯐꯝ ꯑꯁꯤꯗꯥ ꯁꯔꯖꯔꯤꯁꯤꯡꯅꯥ ꯑꯆꯧꯕꯥ `(Aorta)` ꯑꯃꯥ ꯁꯦꯝꯃꯤ ꯑꯃꯁꯨꯡ ꯏꯒꯤ ꯈꯣꯡꯖꯦꯜ ꯍꯣꯡꯍꯜꯂꯤ꯫ ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯔꯥꯏꯠ ꯚꯦꯟꯇꯤꯂꯦꯇꯔꯅꯥ ꯍꯀꯆꯥꯡꯗꯥ ꯏ ꯊꯥꯗꯣꯀꯄꯒꯤ ꯊꯕꯛ ꯇꯧꯕꯥ ꯉꯝꯃꯤ꯫
- `(ꯒ꯭ꯂꯦꯟ ꯄ꯭ꯔꯣꯁꯤꯗ꯭ꯌꯨꯑꯣꯔ)`: ꯁꯔꯖꯔꯤꯅꯥ ꯏ ꯆꯦꯅꯕꯥ ꯂꯝꯕꯤ ꯍꯣꯡꯗꯣꯀꯏ ꯑꯃꯁꯨꯡ ꯍꯀꯆꯥꯡꯗꯒꯤ ꯏ ꯍꯀꯊꯦꯡꯅꯅꯥ ꯂꯪꯁꯇꯥ ꯊꯥꯏ꯫
- `(ꯐꯣꯟꯇꯥꯟ ꯄ꯭ꯔꯣꯁꯤꯗ꯭ꯌꯨꯑꯣꯔ)`: ꯄ꯭ꯔꯣꯁꯤꯗ꯭ꯌꯨꯑꯣꯔ ꯑꯁꯤꯗꯥ ꯏꯒꯤ ꯈꯣꯡꯖꯦꯂꯁꯨ ꯍꯣꯡꯏ ꯑꯃꯁꯨꯡ ꯑꯣꯛꯁꯤꯖꯦꯟ ꯌꯥꯎꯗꯕꯥ ꯏ ꯑꯗꯨ ꯍꯀꯊꯦꯡꯅꯅꯥ ꯂꯪꯁꯇꯥ ꯊꯥꯏ꯫ ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯑꯣꯛꯁꯤꯖꯦꯟ ꯌꯥꯝꯅꯥ ꯌꯥꯎꯕꯥ ꯏ ꯑꯗꯨ ꯍꯥꯔꯇꯀꯤ ꯆꯦꯝꯕꯔ ꯑꯃꯗꯥ ꯍꯀꯊꯦꯡꯅꯅꯥ ꯆꯠꯂꯤ꯫ ꯃꯁꯤꯅꯥ ꯍꯥꯔꯇꯀꯤ ꯆꯦꯝꯕꯔꯁꯤꯡꯗꯥ ꯑꯣꯛꯁꯤꯖꯦꯟ ꯌꯥꯎꯗꯕꯥ ꯑꯃꯁꯨꯡ ꯑꯣꯛꯁꯤꯖꯦꯟ ꯌꯥꯝꯅꯥ ꯌꯥꯎꯕꯥ ꯏ ꯌꯥꯎꯕꯥ ꯊꯤꯡꯏ꯫
ꯀꯥꯔꯗꯤꯌꯦꯛ ꯁꯟꯇ ꯑꯃꯥ ꯊꯤꯡꯕꯥ ꯉꯃꯒꯗ꯭ꯔꯥ?
ꯀꯥꯔꯗꯤꯌꯦꯛ ꯁꯟꯇ ꯑꯃꯥ ꯊꯤꯡꯅꯕꯒꯤ 100% ꯁꯣꯌꯗꯅꯥ ꯂꯩꯕꯥ ꯄꯥꯝꯕꯩ ꯑꯃꯠꯇꯥ ꯂꯩꯇꯦ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯤꯔꯣꯜꯂꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯍꯀꯁꯦꯜ ꯐꯕꯥ ꯑꯉꯥꯡ ꯑꯃꯥ ꯄꯣꯀꯄꯒꯤ ꯑꯄꯨꯅꯕꯥ ꯆꯥꯡ ꯍꯦꯅꯒꯠꯍꯟꯅꯕꯥ ꯍꯀꯁꯦꯜ ꯐꯕꯥ ꯂꯃꯆꯠ-ꯁꯥꯖꯠꯁꯤꯡ ꯆꯠꯄꯥ ꯌꯥꯏ:- ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ ꯊꯤꯡꯖꯤꯜꯂꯨ: ꯌꯨ, ꯊꯛꯅꯕꯥ ꯏꯁꯤꯡ, ꯑꯥꯏꯟꯅꯥ ꯌꯥꯗꯕꯥ ꯗ꯭ꯔꯒꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯀꯦꯐꯥꯏꯅꯒꯤ ꯆꯥꯡ ꯌꯥꯝꯅꯥ ꯊꯀꯎ꯫
- ꯃꯆꯤ ꯑꯣꯏꯕꯥ ꯆꯤꯟꯖꯥꯛ ꯆꯥꯕꯥ: ꯏꯅꯐꯦꯛꯁꯅꯒꯤ ꯔꯤꯁ꯭ꯛ ꯍꯦꯅꯒꯠꯍꯅꯕꯥ ꯌꯥꯕꯥ ꯆꯤꯟꯖꯥꯀꯁꯤꯡ, ꯍꯥꯌꯕꯗꯤ ꯑꯀꯪꯕꯥ ꯃꯅꯥ-ꯃꯁꯤꯡ, ꯆꯦꯡ ꯃꯈꯜ ꯈꯔꯗꯤ, ꯑꯃꯁꯨꯡ ꯄꯦꯁ꯭ꯇꯨꯔꯥꯏꯖ ꯇꯧꯗꯕꯥ ꯁꯥ-ꯁꯅꯒꯤ ꯄꯣꯠꯊꯣꯀꯁꯤꯡ ꯑꯁꯤ ꯊꯤꯡꯖꯤꯜꯂꯨ꯫
- ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯇꯧꯕꯥ .
- ꯐ꯭ꯂꯨ ꯁꯣꯠ ꯌꯥꯎꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯔꯤꯀꯃꯦꯟꯗ ꯇꯧꯔꯀꯄꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ ꯇꯤꯀꯥ ꯊꯥꯕꯥ ꯄꯨꯝꯅꯃꯛ ꯂꯧꯈꯠꯀꯗꯕꯅꯤ꯫
- ꯅꯨꯃꯤꯠ ꯈꯨꯗꯤꯡꯒꯤ ꯌꯥꯃꯗ꯭ꯔꯕꯗꯥ ꯄꯨꯡ 7ꯗꯒꯤ 8 ꯐꯥꯎꯕꯥ ꯇꯨꯝꯕꯥ꯫ ꯏꯒꯤ ꯁꯔꯛꯌꯨꯂꯦꯁꯟ ꯍꯦꯅꯒꯠꯍꯟꯅꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯂꯦꯃꯍꯧꯔꯤꯕꯥ ꯃꯐꯝ ꯑꯗꯨꯗꯥ ꯇꯨꯝꯅꯕꯥ ꯍꯣꯠꯅꯧ꯫
- ꯄ꯭ꯔꯤꯅꯦꯇꯦꯜ ꯚꯤꯇꯥꯃꯤꯅꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯑꯇꯩ ꯅ꯭ꯌꯨꯠꯔꯤꯁꯅꯦꯜ ꯁꯞꯂꯤꯃꯦꯟꯇꯁꯤꯡ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯇꯥꯀꯄꯥ ꯃꯇꯨꯡꯏꯟꯅꯥ ꯆꯥꯒꯗꯕꯅꯤ꯫
(ꯀꯥꯔꯗꯤꯌꯦꯛ ꯁꯟꯇ) ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯒꯤ ꯑꯥꯎꯠꯂꯨꯛ ꯑꯁꯤ ꯀꯔꯤꯅꯣ?
ꯃꯁꯤꯁꯨ `(ꯀꯥꯔꯗꯤꯌꯦꯛ ꯁꯟ)`ꯒꯤ ꯃꯈꯜ ꯑꯃꯁꯨꯡ ꯁꯣꯀꯍꯜꯂꯀꯄꯒꯤ ꯃꯇꯨꯡ ꯏꯟꯅꯥ ꯌꯥꯝꯅꯥ ꯈꯦꯠꯅꯩ꯫ ꯑꯆꯧꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯁꯥꯊꯤꯕꯥ `(Cardiac Shunt)` ꯑꯁꯤ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ ꯊꯤꯡꯅꯕꯥ ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯃꯊꯧ ꯇꯥꯏ꯫ ꯃꯈꯜ ꯈꯔꯗꯤ ꯄꯣꯀꯄꯥ ꯃꯇꯨꯡ ꯅꯨꯃꯤꯠ ꯈꯔꯅꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯁꯔꯖꯤꯀꯦꯜ ꯇ꯭ꯔꯤꯠꯃꯦꯟꯇ ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯏ . ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯁꯥꯊꯤꯕꯥ `(ꯄꯂꯃꯣꯅꯥꯔꯤ ꯍꯥꯏꯄꯔꯇꯦꯟꯁꯟ)` ꯂꯩꯔꯕꯗꯤ ꯅꯍꯥꯛꯅꯥ ꯍꯥꯔꯇꯀꯤ ꯁꯔꯖꯔꯤ ꯃꯊꯧ ꯇꯥꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ ꯂꯥꯀꯄꯥ ꯌꯥꯏ꯫ ꯑꯌꯥꯝꯕꯥ ꯀꯦꯁꯁꯤꯡꯗꯗꯤ, ꯏꯗꯥ ꯑꯣꯛꯁꯤꯖꯦꯅꯒꯤ ꯆꯥꯡꯗꯥ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯅꯥ ꯁꯣꯀꯍꯟꯗꯕꯥ ꯁꯟꯇꯁꯤꯡꯅꯥ ꯑꯀꯅꯕꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ ꯊꯣꯀꯍꯟꯗꯦ꯫ ꯃꯈꯣꯌꯗꯥ ꯂꯥꯏꯑꯣꯡ ꯑꯃꯠꯇꯥ ꯎꯕꯥ ꯐꯪꯗꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯂꯥꯏꯌꯦꯡ ꯑꯃꯠꯇꯥ ꯃꯊꯧ ꯇꯥꯗꯕꯥ ꯌꯥꯏ꯫ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯑꯇꯣꯞꯄꯥ ꯀꯔꯤ ꯍꯪꯅꯤꯡꯂꯤꯕꯒꯦ?
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛ ꯅꯠꯠꯔꯒꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯅꯥ ``ꯀꯥꯔꯗꯤꯌꯦꯛ ꯁꯟꯇ'' ꯑꯃꯥ ꯂꯩꯔꯕꯗꯤ, ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯋꯥꯐꯃꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯍꯪꯂꯀꯄꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯐꯩ:- ꯑꯩꯒꯤ/ ꯑꯩꯒꯤ ꯑꯉꯥꯡꯗꯥ ꯀꯔꯤ ꯃꯈꯂꯒꯤ `(Cardiac Shunt)` ꯂꯩꯕꯒꯦ?
- ꯃꯁꯤ ꯈꯪꯗꯣꯛꯅꯕꯥ ꯑꯩꯍꯥꯛ/ ꯑꯩꯒꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯅꯥ ꯀꯔꯤ ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯇꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯒꯦ?
- ꯀꯔꯤ ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯑꯣꯄꯁꯅꯁꯤꯡ ꯂꯩꯕꯒꯦ?
- `(ꯀꯥꯔꯗꯤꯌꯦꯛ ꯁꯟꯇ)` ꯑꯁꯤꯗꯒꯤ ꯂꯥꯀꯄꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡꯒꯤ ꯔꯤꯁ꯭ꯛ ꯍꯟꯊꯍꯟꯅꯕꯥ ꯑꯩꯅꯥ ꯀꯔꯤ ꯇꯧꯕꯥ ꯌꯥꯕꯒꯦ?
- ꯑꯩꯒꯤ ꯃꯊꯪꯒꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯁꯨ `(ꯀꯥꯔꯗꯤꯌꯦꯛ ꯁꯟ)` ꯑꯃꯥ ꯂꯥꯀꯄꯒꯤ ꯆꯥꯡ ꯀꯔꯤꯅꯣ?
- ꯇꯨꯡꯗꯥ ꯑꯩꯈꯣꯌꯅꯥ ꯀꯔꯤ ꯑꯥꯁꯥ ꯇꯧꯕꯥ ꯌꯥꯕꯒꯦ?
ꯑꯔꯣꯏꯕꯗꯥ, ꯇꯦꯛ-ꯍꯣꯝ ꯃꯦꯁꯦꯖ:
ꯀꯥꯔꯗꯤꯌꯦꯛ ꯁꯟꯊꯤ (cardiac shant) ꯍꯥꯌꯕꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯍꯥꯔꯇꯀꯤ ꯃꯅꯨꯡꯗꯥ ꯏ ꯆꯦꯅꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯊꯣꯀꯄꯥ ꯑꯦꯕꯅꯣꯔꯃꯦꯂꯤꯇꯤ ꯑꯃꯅꯤ꯫ ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯑꯌꯥꯝꯕꯗꯤ ꯖꯦꯅꯦꯇꯤꯛ ꯐꯦꯛꯇꯔꯁꯤꯡꯅꯥ ꯊꯣꯀꯍꯅꯕꯅꯤ, ꯑꯗꯨꯕꯨ ꯈꯔꯗꯤ ꯅꯍꯥꯛꯀꯤ ꯃꯤꯔꯣꯜꯂꯤꯉꯩ ꯃꯇꯃꯗꯥ ꯁꯣꯀꯍꯜꯂꯤꯕꯥ ꯐꯦꯛꯇꯔꯁꯤꯡꯒꯥ ꯃꯔꯤ ꯂꯩꯅꯕꯁꯨ ꯑꯣꯏ꯫ ꯁꯟꯊꯤꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯈꯦꯠꯅꯩ꯫ ꯁꯟꯊꯤ ꯃꯈꯜ ꯈꯔꯗꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯌꯥꯝꯅꯥ ꯅꯦꯝꯃꯤ ꯅꯠꯠꯔꯒꯥ ꯂꯥꯏꯑꯣꯡ ꯑꯃꯠꯇꯥ ꯂꯩꯇꯦ꯫ ꯑꯇꯣꯞꯄꯁꯤꯡꯗꯤ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯑꯣꯏ ꯑꯃꯁꯨꯡ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯂꯥꯏꯌꯦꯡꯗ꯭ꯔꯕꯗꯤ ꯄꯨꯟꯁꯤ ꯃꯥꯡꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯀꯥꯔꯗꯤꯌꯦꯛ ꯁꯟꯇ ꯑꯃꯥ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯑꯣꯏꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯏ ꯆꯦꯅꯕꯥ ꯑꯅꯧꯕꯥ ꯂꯝꯕꯤ ꯑꯃꯥ ꯁꯦꯝꯅꯕꯥ ꯁꯔꯖꯔꯤ ꯇꯧꯕꯥ ꯌꯥꯏ꯫ꯅꯤꯡꯁꯤꯡꯕꯤꯌꯨ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛ ꯅꯠꯠꯔꯒꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯗꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯍꯦꯛꯇꯥ ꯂꯩꯔꯕꯗꯤ, ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯌꯥꯎꯗꯅꯥ ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯄꯥꯎꯇꯥꯛ ꯂꯧꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫ ꯉꯟꯅꯥ ꯈꯪꯗꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯂꯥꯏꯌꯦꯡꯕꯅꯥ ꯌꯥꯝꯅꯥ ꯐꯕꯥ ꯐꯂꯁꯤꯡ ꯄꯨꯔꯀꯄꯥ ꯌꯥꯏ꯫
` ꯍꯥꯔꯠ ꯁꯟꯇ, ꯀꯥꯔꯗꯤꯌꯦꯛ ꯁꯟꯇ, ꯀꯣꯟꯖꯤꯅꯤꯑꯦꯜ ꯍꯥꯔꯠ ꯗꯤꯖꯤꯖ, ꯕ꯭ꯂꯗ ꯁꯔꯀꯨꯂꯦꯁꯟ, ꯍꯥꯔꯠ ꯗꯤꯖꯤꯖꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ, ꯄꯦꯗꯤꯑꯦꯠꯔꯤꯛ ꯍꯥꯔꯠ ꯗꯤꯖꯤꯖ, ꯍꯥꯔꯠ ꯁꯔꯖꯔꯤ꯫
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