ꯑꯩꯈꯣꯌꯅꯥ ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯇꯧꯕꯥ, ꯂꯝꯕꯤ ꯆꯠꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯈꯣꯉꯅꯥ ꯆꯠꯄꯥ ꯃꯇꯃꯗꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯊꯝꯃꯣꯌꯗꯥ ꯀꯔꯤ ꯊꯣꯀꯏ ꯍꯥꯌꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯈꯜꯂꯨꯕꯥ ꯂꯩꯕ꯭ꯔꯥ? ꯃꯇꯝ ꯑꯗꯨꯗꯥ ꯍꯥꯔꯇꯅꯥ ꯃꯍꯧꯁꯥꯅꯥ ꯃꯊꯧ ꯇꯥꯕꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯑꯣꯛꯁꯤꯖꯦꯟ ꯃꯊꯧ ꯇꯥꯏ꯫ ꯑꯣꯛꯁꯤꯖꯦꯅꯒꯤ ꯃꯊꯧ ꯇꯥꯕꯥ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ ꯑꯁꯤ ꯊꯦꯡꯅꯅꯕꯥ, ꯍꯥꯔꯠ ꯃꯁꯥꯃꯛꯇꯗꯥ ꯏ ꯁꯞꯂꯥꯏ ꯇꯧꯔꯤꯕꯥ ꯀꯣꯔꯣꯅꯥꯔꯤ ꯑꯥꯔꯇꯦꯔꯤꯁꯤꯡꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯏꯒꯤ ꯆꯥꯡꯁꯨ ꯍꯦꯅꯒꯠꯄꯥ ꯃꯊꯧ ꯇꯥꯏ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ, ꯃꯊꯧ ꯇꯥꯕꯥ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯥꯔꯇꯅꯥ ꯏꯒꯤ ꯈꯣꯡꯖꯦꯜ ꯍꯦꯅꯒꯠꯍꯅꯕꯥ ꯉꯝꯕꯗꯨꯕꯨ ꯀꯣꯔꯣꯅꯥꯔꯤ ꯐ꯭ꯂꯣ ꯔꯤꯖꯔꯚꯔ (CFR) ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ ꯃꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯊꯝꯃꯣꯌꯒꯤ ‘ꯔꯤꯖꯔꯚꯔ ꯄꯥꯋꯔ’ꯒꯥ ꯃꯥꯟꯅꯩ꯫
ꯀꯣꯔꯣꯅꯥꯔꯤ ꯐ꯭ꯂꯣ ꯔꯤꯖꯔꯚ (CFR) ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ?
ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯀꯣꯔꯣꯅꯥꯔꯤ ꯐ꯭ꯂꯣ ꯔꯤꯖꯔꯚ (CFR) ꯍꯥꯌꯕꯁꯤ ꯄꯤꯛ ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯇꯧꯕꯥ ꯃꯇꯃꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯥꯔꯇꯀꯤ ꯀꯣꯔꯣꯅꯥꯔꯤ ꯑꯥꯔꯇꯦꯔꯤꯁꯤꯡꯗꯥ ꯏꯒꯤ ꯈꯣꯡꯖꯦꯜ ꯀꯌꯥ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ ꯌꯥꯕꯒꯦ ꯍꯥꯌꯕꯒꯤ ꯆꯥꯡꯌꯦꯡ ꯑꯃꯅꯤ꯫ ꯃꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯥꯔꯇꯀꯤ ꯍꯀꯁꯦꯂꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯃꯃꯜ ꯌꯥꯝꯂꯕꯥ ꯏꯅꯐꯣꯔꯃꯦꯁꯟ ꯄꯤꯕꯥ ꯉꯃꯒꯅꯤ, ꯃꯔꯨꯑꯣꯏꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯥꯔꯇꯇꯥ ꯏ ꯄꯤꯔꯤꯕꯥ ꯑꯥꯔꯇꯦꯔꯤꯁꯤꯡꯒꯤ ꯀꯟꯗꯤꯁꯟ (ꯀꯣꯔꯣꯅꯥꯔꯤ ꯑꯥꯔꯇꯦꯔꯤꯁꯤꯡ)꯫
ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯑꯁꯤꯒꯨꯝꯅꯥ ꯈꯅꯕꯤꯌꯨ꯫ ꯅꯍꯥꯛꯅꯥ ꯆꯦꯌꯥꯔ ꯑꯃꯗꯥ ꯐꯃꯗꯨꯅꯥ ꯂꯩꯕꯥ ꯃꯇꯃꯗꯥ, ꯅꯍꯥꯛꯀꯤ ꯊꯝꯃꯣꯌꯗꯥ ꯑꯀꯛꯅꯕꯥ ꯏ ꯃꯊꯧ ꯇꯥꯏ꯫ ꯑꯗꯨꯕꯨ ꯈꯉꯍꯧꯗꯅꯥ ꯕꯁꯀꯤ ꯃꯇꯨꯡꯗꯥ ꯆꯦꯅꯁꯤꯜꯂꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯊꯝꯃꯣꯌꯒꯤ ꯊꯕꯛ ꯑꯗꯨ ꯌꯥꯝꯅꯥ ꯍꯦꯅꯒꯠꯂꯀꯏ꯫ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯥꯔꯇꯅꯥ ꯅꯣꯔꯃꯦꯂꯗꯒꯤ ꯁꯔꯨꯛ ꯑꯍꯨꯝ ꯊꯣꯀꯄꯒꯤ ꯑꯃꯗꯒꯤ ꯃꯔꯤ ꯍꯦꯟꯅꯥ ꯑꯣꯛꯁꯤꯖꯦꯟ ꯃꯊꯧ ꯇꯥꯏ꯫ ꯍꯀꯁꯦꯜ ꯐꯕꯥ ꯍꯥꯔꯠ ꯑꯃꯒꯤ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯂꯁꯤꯡꯅꯥ ꯍꯦꯅꯒꯠꯂꯛꯂꯤꯕꯥ ꯗꯤꯃꯥꯟꯗ ꯑꯁꯤ ꯍꯦꯟꯗꯜ ꯇꯧꯕꯥ ꯉꯝꯃꯤ, ꯃꯁꯤꯅꯥ ꯈꯨꯗꯛꯇꯥ ꯕ꯭ꯂꯗ ꯐ꯭ꯂꯣ ꯍꯦꯅꯒꯠꯍꯜꯂꯤ꯫ ꯁꯤ.ꯑꯦꯐ.ꯑꯥꯔ.ꯒꯤ ꯇꯦꯁ꯭ꯠ ꯑꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯊꯝꯃꯣꯌꯅꯥ ꯃꯁꯤ ꯇꯧꯕꯥ ꯉꯝꯕꯒꯤ ꯆꯥꯡ ꯑꯗꯨ ꯂꯦꯄꯊꯣꯀꯏ꯫
ꯃꯁꯤꯒꯤ ꯇꯦꯁ꯭ꯠ ꯑꯁꯤꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯀꯣꯔꯣꯅꯥꯔꯤ ꯑꯥꯔꯇꯦꯔꯤ ꯗꯤꯖꯤꯖ ꯂꯩꯕ꯭ꯔꯥ ꯅꯠꯠꯔꯒꯥ ꯇꯨꯡꯗꯥ ꯍꯥꯔꯠ ꯑꯦꯇꯦꯛꯒꯨꯝꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯥ ꯂꯥꯀꯄꯒꯤ ꯈꯨꯗꯣꯡꯊꯤꯕꯥ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯉꯟꯅꯥ ꯈꯪꯗꯣꯀꯄꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫
ꯁꯤ.ꯑꯦꯐ.ꯑꯥꯔ.ꯒꯤ ꯚꯦꯜꯌꯨ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯂꯦꯄꯀꯅꯤ?
ꯃꯁꯤꯒꯤ ꯍꯤꯁꯥꯕ ꯇꯧꯕꯒꯤ ꯃꯑꯣꯡ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯂꯥꯏ꯫ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯥꯔꯇꯇꯥ ꯏꯒꯤ ꯈꯣꯡꯖꯦꯜ ꯑꯗꯨ ꯃꯑꯣꯡ ꯑꯅꯤꯗꯥ ꯂꯦꯄꯊꯣꯀꯏ꯫
1. ꯑꯦꯠ-ꯔꯦꯁ꯭ꯠ ꯕ꯭ꯂꯗ ꯐ꯭ꯂꯣ (At-rest blood flow): ꯃꯁꯤꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯔꯦꯁ꯭ꯠ ꯇꯧꯕꯥ ꯃꯇꯃꯗꯥ ꯍꯥꯔꯇꯇꯥ ꯏꯒꯤ ꯆꯥꯡ ꯑꯗꯨ ꯂꯦꯄꯊꯣꯀꯏ, ꯃꯗꯨꯗꯥ ꯌꯥꯝꯅꯥ ꯀꯟꯅꯥ ꯍꯣꯠꯅꯗꯦ꯫
2. ꯃꯦꯛꯁꯤꯃꯝ ꯕ꯭ꯂꯗ ꯐ꯭ꯂꯣ: ꯍꯥꯔꯇꯅꯥ ꯃꯦꯛꯁꯤꯃꯝ ꯑꯣꯏꯕꯥ ꯍꯣꯠꯅꯕꯗꯥ ꯏ ꯄꯝꯄ ꯇꯧꯅꯕꯥ ꯋꯥꯁꯀꯏ (ꯃꯁꯤꯒꯤꯗꯃꯛꯇꯥ ꯗ꯭ꯔꯒ ꯑꯃꯥ ꯄꯤꯔꯤ), ꯑꯃꯁꯨꯡ ꯃꯇꯝ ꯑꯗꯨꯗꯥ ꯆꯦꯜꯂꯤꯕꯥ ꯃꯦꯛꯁꯤꯃꯝ ꯑꯣꯏꯕꯥ ꯏꯒꯤ ꯆꯥꯡ ꯑꯗꯨ ꯂꯦꯄꯊꯣꯀꯏ꯫
ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ, ꯃꯁꯤꯒꯤ ꯃꯦꯛꯁꯤꯃꯝ ꯕ꯭ꯂꯗ ꯐ꯭ꯂꯣ ꯑꯁꯤ ꯔꯦꯁ꯭ꯇꯤꯡ ꯕ꯭ꯂꯗ ꯐ꯭ꯂꯣ ꯑꯗꯨꯅꯥ ꯈꯥꯌꯗꯣꯀꯏ꯫
ꯁꯤ.ꯑꯦꯐ.ꯑꯥꯔ = (ꯃꯦꯛꯁꯤꯃꯝ ꯕ꯭ꯂꯗ ꯐ꯭ꯂꯣ) / (ꯔꯦꯁ꯭ꯇꯤꯡ ꯕ꯭ꯂꯗ ꯐ꯭ꯂꯣ)
ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯃꯦꯛꯁꯤꯃꯝ ꯕ꯭ꯂꯗ ꯐ꯭ꯂꯣ ꯑꯗꯨ ꯅꯍꯥꯛꯀꯤ ꯔꯦꯁ꯭ꯇꯤꯡ ꯐ꯭ꯂꯣꯒꯤ ꯁꯔꯨꯛ ꯑꯍꯨꯝ ꯊꯣꯀꯄꯒꯤ ꯑꯃꯥ ꯑꯣꯏꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ CFR ꯚꯦꯜꯌꯨ ꯑꯗꯨ 3 ꯑꯣꯏꯒꯅꯤ꯫
ꯆꯥꯡꯆꯠꯇꯥ ꯁꯤ.ꯑꯦꯐ.ꯑꯥꯔ.ꯒꯤ ꯚꯦꯜꯌꯨ ꯑꯁꯤ ꯀꯔꯤꯅꯣ?
ꯍꯀꯆꯥꯡ ꯐꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯒꯤ ꯁꯤ.ꯑꯦꯐ.ꯑꯥꯔ . ꯃꯁꯤꯅꯥ ꯇꯥꯀꯄꯗꯤ ꯍꯥꯔꯇꯅꯥ ꯅꯨꯡꯉꯥꯏꯅꯥ ꯂꯩꯕꯥ ꯃꯇꯃꯗꯥ ꯌꯥꯃꯗ꯭ꯔꯕꯗꯥ ꯑꯅꯤꯔꯛ ꯍꯦꯟꯅꯥ ꯏ ꯄꯝꯄ ꯇꯧꯕꯥ ꯉꯃꯒꯗꯕꯅꯤ꯫ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯍꯀꯁꯦꯜ ꯐꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯗꯨꯗꯥ, ꯚꯦꯜꯌꯨ ꯑꯁꯤ 3, 4 ꯅꯠꯠꯔꯒꯥ ꯃꯁꯤꯗꯒꯤ ꯍꯦꯅꯕꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯁꯤ.ꯑꯦꯐ.ꯑꯥꯔ.ꯒꯤ ꯚꯦꯜꯌꯨ ꯑꯁꯤ ꯲.꯰ꯗꯒꯤ ꯇꯥꯕꯥ ꯑꯣꯏꯔꯕꯗꯤ:ꯃꯁꯤꯅꯥ ꯇꯥꯀꯄꯗꯤ ꯍꯥꯔꯇꯇꯥ ꯂꯩꯕꯥ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯂꯁꯤꯡꯗꯥ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯈꯔꯥ ꯂꯩꯕꯥ ꯌꯥꯏ꯫ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯂꯁꯤꯡ ꯑꯗꯨ ꯀꯨꯄꯁꯤꯜꯂꯕꯥ (ꯕ꯭ꯂꯣꯛ) ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡ ꯑꯁꯤ ꯇꯨꯡꯗꯥ ꯍꯥꯔꯇꯀꯤ ꯂꯥꯌꯅꯥ ꯂꯥꯀꯄꯒꯤ ꯔꯤꯁ꯭ꯛ ꯍꯦꯟꯅꯥ ꯂꯩ꯫
- ꯀꯔꯤꯒꯨꯝꯕꯥ CFR ꯚꯦꯜꯌꯨ ꯑꯗꯨ 2.0ꯗꯒꯤ ꯍꯦꯜꯂꯕꯗꯤ: ꯃꯁꯤꯅꯥ ꯍꯥꯔꯇꯀꯤ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯂꯁꯤꯡꯒꯤ ꯐꯉ꯭ꯀꯁꯟ ꯑꯁꯤ ꯑꯐꯕꯥ ꯂꯦꯚꯦꯂꯗꯥ ꯂꯩ ꯍꯥꯌꯕꯥ ꯇꯥꯀꯏ꯫
ꯑꯗꯨꯕꯨ ꯅꯤꯡꯁꯤꯡꯒꯗꯕꯥ ꯋꯥꯐꯝ ꯑꯃꯅꯥ ꯃꯁꯤꯒꯤ ꯁꯤ.ꯑꯦꯐ.ꯑꯥꯔ.ꯒꯤ ꯚꯦꯜꯌꯨ ꯑꯁꯤ ꯃꯍꯧꯁꯥꯅꯥ ꯆꯍꯤ ꯌꯥꯃꯈꯠꯂꯀꯄꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯈꯔꯥ ꯍꯟꯊꯔꯀꯏ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯅꯍꯥ ꯑꯣꯏꯔꯤꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯒꯤ ꯅꯣꯔꯃꯦꯜ ꯚꯦꯜꯌꯨ ꯑꯁꯤ ꯑꯍꯜ ꯑꯣꯏꯔꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯒꯤ ꯅꯣꯔꯃꯦꯜ ꯚꯦꯜꯌꯨꯒꯥ ꯈꯦꯠꯅꯕꯥ ꯌꯥꯏ꯫ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔ ꯈꯛꯇꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯔꯤꯖꯜꯇꯁꯤꯡ ꯑꯗꯨ ꯑꯆꯨꯝꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯏꯟꯇꯔꯞꯔꯥꯏꯖ ꯇꯧꯕꯥ ꯉꯃꯒꯅꯤ꯫
ꯁꯤ.ꯑꯦꯐ.ꯑꯥꯔ.ꯒꯤ ꯇꯦꯁ꯭ꯠ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯇꯧꯒꯅꯤ?
ꯇꯦꯁ꯭ꯠ ꯑꯁꯤ ꯄꯥꯡꯊꯣꯛꯅꯕꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯄꯥꯝꯕꯩ ꯑꯅꯤ ꯂꯩ: ꯑꯃꯅꯥ ꯏꯅꯚꯦꯁꯤꯕ ꯃꯦꯊꯗꯅꯤ, ꯃꯁꯤꯗꯥ ꯗꯤꯚꯥꯏꯁ ꯑꯃꯥ ꯍꯀꯆꯥꯡꯗꯥ ꯍꯥꯄꯆꯤꯅꯕꯥ ꯌꯥꯑꯣꯏ, ꯑꯃꯁꯨꯡ ꯑꯇꯣꯞꯄꯥ ꯑꯃꯅꯥ ꯃꯄꯥꯅꯒꯤ ꯃꯦꯊꯗꯅꯤ, ꯃꯁꯤꯗꯥ ꯅꯟ-ꯏꯅꯚꯦꯁꯤꯕ ꯑꯣꯏꯅꯥ ꯄꯥꯡꯊꯣꯀꯄꯥ ꯌꯥꯑꯣꯏ꯫
| ꯇꯦꯁ꯭ꯠ ꯇꯧꯕꯒꯤ ꯃꯑꯣꯡ꯫ | ꯏꯆꯝ ꯆꯝꯕꯥ ꯃꯌꯦꯛ ꯁꯦꯡꯅꯥ ꯇꯥꯀꯄꯥ꯫ |
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| ꯏꯅꯚꯦꯁꯤꯚ - ꯀꯥꯔꯗꯤꯌꯦꯛ ꯀꯦꯇꯦꯒꯣꯔꯤ ꯁꯦꯝꯕꯥ꯫ | ꯃꯁꯤꯗꯥ, ꯌꯥꯝꯅꯥ ꯂꯨꯕꯥ ꯇꯤꯎꯕ (catheter) ꯑꯃꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯨꯠꯁꯥ, ꯈꯣꯡ ꯅꯠꯠꯔꯒꯥ ꯈꯣꯡꯗꯥ ꯂꯩꯕꯥ ꯚꯦꯅꯝ ꯑꯃꯗꯒꯤ ꯅꯍꯥꯛꯀꯤ ꯍꯥꯔꯇꯀꯤ ꯀꯣꯔꯣꯅꯥꯒꯤ ꯑꯥꯔꯇꯦꯔꯤꯁꯤꯡꯗꯥ ꯆꯦꯜꯂꯤ꯫ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯏ ꯆꯦꯅꯕꯥ ꯈꯣꯡꯖꯦꯜ ꯑꯗꯨ ꯌꯦꯡꯁꯤꯟꯅꯕꯥ ꯑꯈꯟꯅꯕꯥ ꯋꯥꯏꯔꯞ ꯑꯃꯥ ꯄꯥꯁ ꯇꯧꯏ꯫ ꯃꯁꯤ ꯑꯦꯟꯖꯤꯑꯣꯒ꯭ꯔꯥꯝ ꯑꯃꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯄꯥꯡꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫ |
| ꯅꯟ-ꯏꯅꯚꯦꯁꯤꯕ ꯃꯦꯊꯗ - ꯄꯤ.ꯏ.ꯇꯤ | ꯃꯁꯤ ꯑꯈꯟꯅꯕꯥ ꯁ꯭ꯀꯦꯟ ꯑꯃꯅꯤ꯫ ꯇꯦꯁ꯭ꯠ ꯑꯁꯤꯗꯥ, ꯅꯍꯥꯀꯄꯨ ꯑꯥꯏ.ꯚꯤ. ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ, ꯄꯤ.ꯏ.ꯇꯤ. |
| ꯑꯇꯣꯞꯄꯥ ꯄꯥꯝꯕꯩꯁꯤꯡ - ꯀꯥꯔꯗꯤꯌꯦꯛ ꯑꯦꯝ.ꯑꯥꯔ.ꯑꯥꯏ | ꯃꯁꯤꯁꯨ ꯃꯄꯥꯅꯒꯤ ꯁ꯭ꯀꯦꯟ ꯑꯃꯅꯤ, ꯑꯗꯨꯕꯨ ꯃꯁꯤꯒꯤ ꯄꯥꯝꯕꯩ ꯑꯁꯤ ꯁꯤ.ꯑꯦꯐ.ꯑꯥꯔ. |
ꯇꯦꯁ꯭ꯠ ꯇꯧꯗ꯭ꯔꯤꯉꯩ ꯃꯃꯥꯡꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯀꯔꯝꯅꯥ ꯁꯦꯝ-ꯁꯥꯒꯗꯒꯦ?
ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯃꯁꯤ ꯅꯍꯥꯀꯄꯨ ꯈꯪꯍꯜꯂꯛꯀꯅꯤ꯫ ꯃꯍꯧꯁꯥꯅꯥ, ꯅꯍꯥꯛꯅꯥ ꯋꯥꯐꯃꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯆꯦꯀꯁꯤꯅꯒꯗꯕꯅꯤ꯫
- ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛꯀꯤ ꯏꯅꯐꯣꯔꯃꯦꯁꯟ: ꯅꯍꯥꯛꯅꯥ ꯂꯧꯔꯤꯕꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛ ꯄꯨꯝꯅꯃꯛ (ꯄ꯭ꯔꯤꯁ꯭ꯛꯔꯤꯄꯁꯟ ꯑꯃꯁꯨꯡ ꯑꯣꯚꯔ-ꯗꯤ-ꯀꯎꯟꯇꯔ ꯑꯅꯤꯃꯛ)ꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯈꯪꯍꯜꯂꯨ꯫ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛ ꯈꯔꯅꯥ ꯏ ꯊꯣꯀꯄꯒꯤ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯅꯥ ꯃꯈꯣꯌꯗꯨ ꯇꯦꯁ꯭ꯠ ꯇꯧꯗ꯭ꯔꯤꯉꯩꯒꯤ ꯃꯃꯥꯡꯗꯥ ꯅꯨꯃꯤꯠ ꯑꯃꯗꯥ ꯊꯀꯄꯥ ꯂꯦꯄꯍꯟꯅꯕꯥ ꯍꯥꯌꯔꯀꯄꯥ ꯌꯥꯏ꯫
- ꯑꯦꯂꯥꯔꯖꯤ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛ ꯅꯠꯠꯔꯒꯥ ꯀꯟꯠꯔꯁ꯭ꯠ ꯗꯥꯏ ꯑꯃꯍꯦꯛꯇꯒꯤ ꯑꯦꯂꯥꯔꯖꯤ ꯂꯩꯔꯕꯗꯤ ꯑꯩꯈꯣꯌꯗꯥ ꯁꯣꯌꯗꯅꯥ ꯈꯪꯍꯅꯕꯤꯌꯨ꯫
- ꯔꯣꯖꯥ ꯇꯧꯕꯥ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯀꯥꯔꯗꯤꯌꯦꯛ ꯀꯦꯇꯦꯒꯣꯔꯤ ꯅꯠꯠꯔꯒꯥ ꯄꯤ.ꯏ.ꯇꯤ.
- ꯑꯦꯝ.ꯑꯥꯔ.ꯑꯥꯏ.ꯒꯤꯗꯃꯛ: ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯙꯥꯇꯨꯒꯤ ꯄꯣꯠꯁꯛ ꯑꯃꯠꯇꯥ (ꯖ꯭ꯌꯨꯂꯔꯤ, ꯋꯥꯆꯤ) ꯊꯝꯕꯥ ꯌꯥꯔꯣꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯄꯦꯁꯃꯦꯀꯔꯒꯨꯝꯕꯥ ꯗꯤꯚꯥꯏꯁ ꯑꯃꯥ ꯂꯩꯔꯕꯗꯤ, ꯃꯗꯨ ꯑꯦꯝ.ꯑꯥꯔ.ꯑꯥꯏ.
ꯇꯦꯁ꯭ꯠ ꯇꯧꯕꯥ ꯃꯇꯃꯗꯥ ꯀꯔꯤ ꯑꯥꯁꯥ ꯇꯧꯒꯗꯒꯦ?
ꯅꯍꯥꯛꯅꯥ ꯇꯦꯁ꯭ꯠ ꯇꯧꯕꯒꯤ ꯃꯑꯣꯡ ꯑꯗꯨ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯈꯜ ꯑꯃꯠꯇꯒꯤ ꯑꯣꯏꯔꯕꯁꯨ, ꯅꯍꯥꯛꯀꯤ ꯈꯨꯠꯁꯥꯗꯥ IV ꯇꯤꯎꯕ (ꯀꯦꯟꯌꯨꯜ) ꯑꯃꯥ ꯊꯃꯒꯅꯤ꯫ ꯇꯦꯁ꯭ꯇꯀꯤ ꯈꯣꯡꯊꯥꯡꯁꯤꯡ ꯑꯁꯤ ꯑꯁꯤꯒꯨꯝꯅꯥ ꯎꯒꯅꯤ꯫
1. ꯔꯦꯁ꯭ꯇꯤꯡ ꯁ꯭ꯇꯦꯠ ꯃꯥꯄꯜ: ꯑꯍꯥꯅꯕꯗꯥ, ꯅꯍꯥꯛꯀꯤ ꯊꯝꯃꯣꯌꯗꯥ ꯏꯒꯤ ꯈꯣꯡꯖꯦꯜ ꯑꯗꯨ ꯅꯍꯥꯛꯅꯥ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯑꯃꯁꯨꯡ ꯔꯦꯁ꯭ꯠ ꯇꯧꯕꯥ ꯃꯇꯃꯗꯥ ꯃꯥꯄꯂꯅꯤ꯫
2. ꯗ꯭ꯔꯒ ꯑꯃꯥ ꯄꯤꯕꯥ: ꯃꯊꯪꯗꯥ, ꯅꯍꯥꯛꯀꯤ ꯍꯥꯔꯇꯇꯥ ꯂꯩꯕꯥ ꯏꯒꯤ ꯈꯣꯡꯖꯦꯜ ꯌꯥꯡꯅꯥ ꯆꯦꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯏꯒꯤ ꯈꯣꯡꯖꯦꯜ ꯌꯥꯡꯈꯠꯍꯅꯕꯥ ꯉꯝꯕꯥ ꯗ꯭ꯔꯒ (ꯚꯦꯁꯣꯗꯤꯂꯦꯇꯔ) ꯑꯃꯥ ꯑꯥꯏ.ꯚꯤ. ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯌꯥꯝꯅꯥ ꯁꯤꯖꯤꯟꯅꯕꯥ ꯗ꯭ꯔꯒ ꯑꯁꯤ ꯑꯦꯗꯦꯅꯣꯁꯥꯏꯅꯅꯤ . ꯃꯁꯤ ꯄꯤꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯃꯤꯅꯠ 2-3ꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯍꯥꯔꯇꯇꯥ ꯏ ꯆꯦꯅꯕꯥ ꯑꯁꯤ ꯁꯔꯨꯛ 4-5 ꯍꯦꯅꯒꯠꯂꯀꯏ꯫
3. ꯄꯤꯛ ꯃꯦꯖꯔ (Peak measurement): ꯗ꯭ꯔꯒ ꯑꯗꯨ ꯄꯤꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯏꯒꯤ ꯈꯣꯡꯖꯦꯜ ꯑꯗꯨ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯋꯥꯡꯕꯥ ꯊꯥꯛꯇꯥ ꯌꯧꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯏꯒꯤ ꯈꯣꯡꯖꯦꯜ ꯑꯗꯨ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯂꯦꯄꯊꯣꯀꯏ꯫
4. ꯆꯥꯡꯗꯝꯅꯕꯥ: ꯑꯔꯣꯏꯕꯗꯥ, ꯃꯦꯠꯔꯤꯛ ꯑꯅꯤ ꯑꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯁꯤ.ꯑꯦꯐ.ꯑꯥꯔ.
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯀꯥꯔꯗꯤꯌꯦꯛ ꯀꯦꯇꯦꯒꯣꯔꯤ (cardiac catheterization) ꯑꯃꯥ ꯂꯩꯔꯕꯗꯤ, ꯅꯍꯥꯀꯄꯨ ꯂꯥꯏꯅꯥ ꯇꯨꯝꯕꯥ ꯌꯥꯗꯅꯕꯥ ꯁꯦꯗꯦꯇꯤꯚ ꯑꯃꯥ ꯄꯤꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯍꯟꯊꯍꯅꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯒꯅꯤ꯫ ꯁ꯭ꯀꯦꯟ ꯇꯧꯕꯥ ꯃꯇꯃꯗꯥ, ꯃꯌꯦꯛ ꯁꯦꯡꯕꯥ ꯏꯃꯦꯖꯁꯤꯡ ꯐꯪꯅꯕꯒꯤꯗꯃꯛ ꯂꯦꯡꯗꯅꯥ ꯂꯩꯕꯥ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫
ꯇꯦꯁ꯭ꯠ ꯇꯧꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯀꯔꯤ ꯑꯣꯏꯒꯅꯤ?
ꯇꯦꯁ꯭ꯠ ꯇꯧꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯅꯥ ꯍꯤꯡꯕꯥ ꯌꯥꯏ, ꯑꯗꯨꯕꯨ ꯋꯥꯐꯝ ꯈꯔꯗꯗꯤ ꯅꯍꯥꯛꯅꯥ ꯆꯦꯀꯁꯤꯅꯒꯗꯕꯅꯤ꯫
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯀꯥꯔꯗꯤꯌꯦꯛ ꯀꯦꯇꯦꯒꯣꯔꯤ ꯑꯃꯥ ꯂꯧꯈꯠꯈ꯭ꯔꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯏ ꯊꯣꯀꯄꯥ ꯊꯤꯡꯅꯕꯥ ꯀꯦꯇꯦꯒꯣꯔꯤ ꯑꯗꯨ ꯊꯥꯗꯣꯀꯈꯤꯕꯥ ꯃꯐꯝ ꯑꯗꯨꯗꯥ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯄꯨꯡ ꯑꯃꯥ ꯆꯨꯞꯅꯥ ꯊꯝꯕꯥ ꯃꯊꯧ ꯇꯥꯏ꯫
- ꯀꯟꯠꯔꯁ꯭ꯠ ꯗꯥꯏꯑꯦ ꯑꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡꯗꯒꯤ ꯊꯨꯅꯥ ꯌꯥꯡꯅꯥ ꯆꯠꯄꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯅꯕꯥ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯏꯁꯤꯡ ꯍꯦꯟꯅꯥ ꯊꯛꯅꯕꯥ ꯄꯥꯎꯇꯥꯛ ꯄꯤꯒꯅꯤ꯫
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯁꯦꯗꯦꯇꯤꯚ ꯑꯃꯥ ꯄꯤꯔꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯅꯨꯃꯤꯠ ꯑꯗꯨꯗꯥ ꯒꯥꯔꯤ ꯊꯧꯕꯥ ꯌꯥꯔꯣꯏ꯫ ꯀꯅꯥꯒꯨꯝꯕꯥ ꯑꯃꯅꯥ ꯑꯗꯣꯃꯒꯥ ꯌꯨꯃꯗꯥ ꯆꯠꯄꯥ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫
ꯇꯦꯁ꯭ꯠ ꯑꯁꯤꯒꯤ ꯔꯤꯁ꯭ꯛ ꯅꯠꯠꯔꯒꯥ ꯁꯥꯏꯗ ꯏꯐꯦꯛꯇ ꯑꯃꯠꯇꯥ ꯂꯩꯕ꯭ꯔꯥ?
ꯁꯤ.ꯑꯦꯐ.ꯑꯥꯔ.ꯒꯤ ꯇꯦꯁ꯭ꯠ ꯑꯁꯤ ꯃꯍꯧꯁꯥꯅꯥ ꯌꯥꯝꯅꯥ ꯁꯥꯐꯕꯥ ꯇꯦꯁ꯭ꯠ ꯑꯃꯅꯤ, ꯑꯗꯨꯕꯨ ꯃꯦꯗꯤꯀꯦꯜ ꯇꯦꯁ꯭ꯠ ꯑꯃꯍꯦꯛꯇꯒꯥ ꯃꯥꯟꯅꯅꯥ, ꯌꯥꯝꯅꯥ ꯑꯄꯤꯀꯄꯥ ꯔꯤꯁ꯭ꯛ ꯈꯔꯗꯤ ꯂꯩ꯫
- ꯀꯦꯇꯦꯒꯣꯔꯤꯒꯥ ꯃꯔꯤ ꯂꯩꯅꯕꯥ ꯔꯤꯁ꯭ꯀꯁꯤꯡ:ꯀꯥꯔꯗꯤꯌꯦꯛ ꯀꯦꯇꯦꯒꯣꯔꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ, ꯏ ꯊꯣꯀꯄꯥ, ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯂꯁꯤꯡꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯏ ꯊꯣꯀꯄꯥ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫
- ꯑꯦꯗꯦꯅꯣꯁꯥꯏꯅꯒꯤ ꯁꯥꯏꯗ ꯏꯐꯦꯛꯇꯁꯤꯡ: ꯃꯤꯑꯣꯏ ꯈꯔꯗꯤ ꯍꯤꯗꯥꯛ ꯑꯁꯤ ꯄꯤꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯁꯦꯀꯦꯟꯗ ꯈꯔꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯑꯁꯤ ꯊꯦꯡꯅꯔꯀꯄꯥ ꯌꯥꯏ:
- ꯑꯦꯕꯅꯣꯔꯃꯦꯜ ꯍꯥꯔꯠ ꯔꯤꯗꯝ꯫
- ꯍꯥꯏꯄꯣꯇꯦꯟꯁꯟ ꯂꯩꯕꯥ꯫
- ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ꯫
- ꯆꯦꯁ꯭ꯠ ꯗꯤꯁꯀꯝꯄꯣꯔꯠ ꯇꯧꯕꯥ꯫
ꯍꯤꯗꯥꯛ ꯑꯗꯨ ꯁꯤꯖꯤꯟꯅꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ (ꯃꯤꯅꯤꯠ ꯑꯃꯒꯤ ꯃꯅꯨꯡꯗꯥ) ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯃꯥꯡꯈꯤ ꯫ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯑꯃꯠꯇꯥ ꯂꯩꯇꯦ꯫
ꯃꯔꯨꯑꯣꯏꯕꯥ: ꯑꯦꯗꯦꯅꯣꯁꯥꯏꯟ ꯑꯁꯤ ꯑꯦꯖꯃꯥ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯗꯥ ꯆꯨꯃꯗꯦ ꯃꯔꯃꯗꯤ ꯃꯁꯤꯅꯥ ꯕ꯭ꯔꯣꯉ꯭ꯀꯣꯁ꯭ꯄꯥꯖꯝ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ . ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯦꯖꯃꯥ ꯂꯩꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯃꯗꯨꯒꯤ ꯃꯍꯨꯠꯇꯥ ꯑꯇꯣꯞꯄꯥ ꯍꯤꯗꯥꯛ ꯑꯃꯥ ꯁꯤꯖꯤꯟꯅꯒꯅꯤ꯫
ꯔꯤꯖꯜꯇꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯑꯔꯊ ꯀꯔꯤꯅꯣ ꯑꯃꯁꯨꯡ ꯑꯩꯈꯣꯌꯅꯥ ꯀꯗꯥꯌꯗꯥ ꯈꯉꯒꯅꯤ?
ꯅꯍꯥꯛꯀꯤ ꯁꯤ.ꯑꯦꯐ.ꯑꯥꯔ.ꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯥꯔꯇꯅꯥ ꯁ꯭ꯠꯔꯦꯁ ꯂꯩꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯀꯌꯥ ꯌꯥꯝꯅꯥ ꯏ ꯄꯝꯄ ꯇꯧꯕꯥ ꯌꯥꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯈꯪꯍꯜꯂꯤꯕꯥ ꯅꯝꯕꯔ ꯑꯃꯅꯤ꯫
ꯗꯣꯛꯇꯔꯅꯥ ꯇꯦꯁ꯭ꯇꯀꯤ ꯔꯤꯖꯜꯇ ꯑꯗꯨ ꯑꯦꯅꯥꯂꯥꯏꯖ ꯇꯧꯗꯨꯅꯥ ꯔꯤꯄꯣꯔꯠ ꯑꯃꯥ ꯄꯤꯕꯗꯥ ꯅꯨꯃꯤꯠ ꯈꯔꯅꯤ ꯆꯪꯂꯕꯥ ꯌꯥꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯔꯤꯖꯜꯇ ꯑꯗꯨ ꯕꯣꯔꯗꯔꯂꯥꯏꯟ ꯑꯣꯏꯔꯕꯗꯤ, ꯑꯇꯣꯞꯄꯥ ꯁ꯭ꯄꯦꯁꯤꯑꯦꯂꯤꯁ꯭ꯇꯁꯤꯡꯒꯥ ꯇꯥꯟꯅꯔꯀꯄꯥ ꯌꯥꯏ꯫
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯔꯤꯖꯜꯇ ꯑꯗꯨꯅꯥ ꯍꯥꯔꯠ ꯗꯤꯖꯤꯖꯒꯤ ꯔꯤꯁ꯭ꯛ ꯑꯃꯥ ꯇꯥꯛꯂꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯔꯤꯁ꯭ꯛ ꯑꯗꯨ ꯍꯟꯊꯍꯟꯅꯕꯥ ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯄ꯭ꯂꯥꯟ ꯑꯃꯥ ꯄꯤꯒꯅꯤ꯫
ꯇꯦꯛ-ꯍꯣꯝ ꯃꯦꯁꯦꯖ ꯇꯧꯕꯥ꯫
- ꯀꯣꯔꯣꯅꯥꯔꯤ ꯐ꯭ꯂꯣ ꯔꯤꯖꯔꯚ (CFR) ꯍꯥꯌꯕꯁꯤ ꯁ꯭ꯠꯔꯦꯁ ꯂꯩꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯥꯔꯇꯅꯥ ꯏꯒꯤ ꯈꯣꯡꯖꯦꯜ ꯍꯦꯅꯒꯠꯍꯅꯒꯗꯕꯥ ‘ꯔꯤꯖꯔꯚ ꯄꯥꯋꯔ’ꯒꯤ ꯆꯥꯡꯌꯦꯡ ꯑꯃꯅꯤ꯫
- ꯇꯦꯁ꯭ꯠ ꯑꯁꯤꯅꯥ ꯍꯥꯔꯇꯀꯤ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯂꯁꯤꯡꯒꯤ ꯍꯀꯁꯦꯂꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯏꯅꯐꯣꯔꯃꯦꯁꯟ ꯄꯤꯕꯥ ꯉꯝꯃꯤ꯫ ꯃꯁꯤꯅꯥ ꯇꯨꯡꯗꯥ ꯂꯥꯛꯀꯗꯕꯥ ꯍꯥꯔꯠ ꯗꯤꯖꯤꯖꯒꯤ ꯔꯤꯁ꯭ꯀꯁꯤꯡ ꯇꯣꯌꯅꯥ ꯈꯪꯗꯣꯀꯄꯗꯁꯨ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫
- ꯃꯍꯧꯁꯥꯅꯥ, ꯁꯤ.ꯑꯦꯐ.ꯑꯥꯔ.ꯒꯤ ꯚꯦꯜꯌꯨ 2.0ꯗꯒꯤ ꯍꯦꯅꯕꯥ ꯑꯁꯤ ꯍꯀꯁꯦꯜ ꯐꯕꯥ ꯃꯒꯨꯟ ꯑꯃꯅꯤ꯫
- ꯅꯍꯥꯛꯅꯥ ꯂꯧꯔꯤꯕꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛ ꯑꯃꯍꯦꯛꯇꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯑꯃꯁꯨꯡ ꯇꯦꯁ꯭ꯠ ꯇꯧꯗ꯭ꯔꯤꯉꯩꯒꯤ ꯃꯃꯥꯡꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯊꯦꯡꯅꯔꯀꯄꯥ ꯌꯥꯕꯥ ꯑꯦꯂꯥꯔꯖꯤ ꯑꯃꯍꯦꯛꯇꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯁꯣꯌꯗꯅꯥ ꯈꯪꯍꯅꯕꯤꯌꯨ꯫
- ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯁꯥꯐꯕꯥ ꯇꯦꯁ꯭ꯠ ꯑꯃꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯇꯦꯁ꯭ꯠ ꯑꯗꯨꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯍꯪ ꯑꯃꯠꯇꯥ ꯍꯪꯂꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯍꯪꯕꯗꯥ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯂꯩꯔꯣꯏꯗꯕꯅꯤ .
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