ꯅꯍꯥꯛꯀꯤ ꯅꯧꯅꯥ ꯄꯣꯀꯄꯥ ꯑꯉꯥꯡ ꯑꯗꯨꯒꯤ ꯈꯣꯡ ꯑꯃꯁꯨꯡ ꯃꯀꯣꯛ ꯑꯗꯨ ꯈꯔꯥ ꯅꯤꯡꯊꯤꯅꯥ ꯎꯕꯥ ꯐꯪꯕ꯭ꯔꯥ? ꯃꯍꯥꯛ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯗꯥ ꯈꯔꯥ ꯋꯥꯅꯥ ꯊꯣꯀꯄꯥ ꯎꯕꯔꯥ? ꯅꯠꯔꯒꯥ ꯃꯍꯥꯛꯅꯥ ꯁꯉ꯭ꯒꯣꯝ ꯈꯔꯥ ꯊꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯌꯥꯝꯅꯥ ꯋꯥꯅꯥ ꯊꯣꯀꯏ? ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯁꯨꯞꯅꯇꯒꯤ ꯊꯧꯗꯣꯛ ꯊꯣꯀꯄꯅꯤ ꯍꯥꯌꯅꯥ ꯂꯧꯔꯣꯏꯗꯕꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯃꯈꯣꯌ ꯑꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯅꯥ ꯄꯣꯀꯄꯥ ꯍꯥꯔꯇꯀꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯒꯤ ꯈꯨꯗꯃꯁꯤꯡ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫ ꯉꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯔꯤ ꯃꯗꯨꯗꯤ ꯑꯗꯣꯝꯅꯥ ꯃꯃꯥ-ꯃꯄꯥ ꯑꯃꯥ ꯑꯣꯏꯅꯥ ꯁꯣꯏꯗꯅꯥ ꯈꯉꯖꯤꯅꯒꯗꯕꯥ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯊꯣꯀꯄꯥ ꯍꯥꯔꯠ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯒꯤ ꯃꯇꯥꯡꯗꯥ꯫ ꯃꯗꯨꯗꯤ ꯗꯕꯜ ꯑꯥꯎꯇꯂꯦꯠ ꯔꯥꯏꯠ ꯚꯦꯟꯇꯤꯂꯦꯇꯔ, ꯅꯠꯔꯒꯥ ꯊꯣꯏꯗꯣꯛꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ ꯗꯤ.ꯑꯣ.ꯑꯥꯔ.ꯚꯤ.
ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯗꯕꯜ ꯑꯥꯎꯇꯂꯦꯠ ꯔꯥꯏꯠ ꯚꯦꯟꯇꯤꯂꯦꯁꯟ (DORV) ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ?
ꯃꯁꯤ ꯈꯉꯅꯕꯒꯤꯗꯃꯛ, ꯑꯍꯥꯅꯕꯗꯥ ꯍꯀꯆꯥꯡ ꯐꯕꯥ ꯊꯝꯃꯣꯌ ꯑꯃꯅꯥ ꯀꯔꯝꯅꯥ ꯊꯕꯛ ꯇꯧꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯈꯟꯗꯨꯅꯥ ꯌꯦꯡꯁꯤ꯫ ꯑꯩꯈꯣꯌꯒꯤ ꯊꯝꯃꯣꯌ ꯑꯁꯤ ꯔꯨꯝ ꯃꯔꯤ ꯂꯩꯕꯥ ꯑꯄꯤꯀꯄꯥ ꯌꯨꯝ ꯑꯃꯒꯨꯝꯕꯅꯤ꯫ ꯃꯊꯛ ꯊꯪꯕꯥ ꯔꯨꯝ ꯑꯅꯤ ꯑꯃꯁꯨꯡ ꯃꯈꯥ ꯊꯪꯕꯥ ꯔꯨꯝ ꯑꯅꯤ꯫ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯑꯆꯧꯕꯥ, ꯃꯄꯥꯉ꯭ꯒꯜ ꯀꯅꯕꯥ ꯔꯨꯝ ꯑꯅꯤ ꯑꯁꯤꯕꯨ ꯚꯦꯟꯇꯤꯂꯦꯇꯔ ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ ꯑꯃꯅꯥ ꯑꯔꯣꯏꯕꯥ ꯃꯐꯃꯗꯥ (Right Ventricle) ꯂꯩ, ꯑꯗꯨꯒꯥ ꯑꯇꯣꯞꯄꯥ ꯑꯃꯅꯥ ꯂꯦꯡ-ꯑꯣꯠꯄꯗꯥ (Left Ventricle) ꯂꯩ꯫
ꯃꯍꯧꯁꯥꯅꯥ ꯊꯣꯛꯂꯤꯕꯥ ꯑꯁꯤꯗꯤ:
- ꯑꯣꯛꯁꯤꯖꯦꯟ ꯌꯥꯎꯗꯕꯥ, "ꯑꯀꯥꯌꯕꯥ" ꯏ ꯂꯪꯁꯇꯥ ꯄꯨꯕꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯜ, ꯄꯂꯃꯣꯅꯥꯔꯤ ꯑꯥꯔꯇꯦꯔꯤ ꯑꯁꯤ ꯔꯥꯏꯠ ꯚꯦꯟꯇꯤꯂꯦꯇꯔꯗꯒꯤ ꯍꯧꯏ꯫
- ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯆꯥꯎꯕꯥ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯜ, ꯑꯦꯑꯣꯔꯇꯥ ꯑꯁꯤ ꯂꯦꯡ-ꯑꯣꯠꯄꯗꯒꯤ ꯍꯧꯏ, ꯃꯁꯤꯅꯥ ꯍꯀꯆꯥꯡ ꯄꯨꯝꯅꯃꯛꯇꯥ ꯂꯪꯁꯇꯒꯤ ꯑꯣꯛꯁꯤꯖꯦꯟ ꯌꯥꯎꯔꯕꯥ "ꯁꯦꯡꯕꯥ" ꯏ ꯄꯨꯊꯣꯀꯏ꯫
ꯌꯥꯝꯅꯥ ꯅꯤꯡꯊꯤꯖꯅꯥ ꯁꯦꯝꯕꯅꯤ, ꯅꯠꯇꯦ? ꯔꯨꯝ ꯈꯨꯗꯤꯡꯃꯛꯇꯥ ꯑꯆꯧꯕꯥ ꯇꯨꯕ ꯑꯃꯥ꯫
ꯍꯧꯖꯤꯛ ꯗꯤ.ꯑꯣ.ꯑꯥꯔ.ꯚꯤ.ꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯑꯣꯔꯗꯔ ꯑꯁꯤ ꯁꯣꯀꯍꯜꯂꯦ꯫ DORVꯅꯥ ꯅꯥꯕꯥ ꯑꯉꯥꯡ ꯑꯃꯗꯥ, ꯑꯩꯈꯣꯌꯅꯥ ꯄꯅꯈꯤꯕꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯜ ꯑꯅꯤꯃꯛ, ꯄꯂꯃꯣꯅꯥꯔꯤ ꯑꯥꯔꯇꯦꯔꯤ ꯑꯃꯁꯨꯡ ꯑꯦꯑꯣꯔꯇꯥ ꯑꯁꯤ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯅꯠꯠꯔꯒꯥ ꯁꯔꯨꯛ ꯈꯔꯗꯤ ꯔꯥꯏꯠ ꯚꯦꯟꯇꯤꯂꯦꯇꯔꯒꯥ ꯁꯝꯅꯩ꯫ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ, ꯂꯦꯐꯠ ꯚꯦꯟꯇꯤꯂꯦꯇꯔ ꯑꯁꯤ ꯅꯠꯠꯔꯒꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯜ ꯑꯃꯍꯦꯛꯇꯒꯥ ꯁꯝꯅꯗꯦ, ꯅꯠꯠꯔꯒꯥ ꯌꯥꯝꯅꯥ ꯄꯤꯀꯄꯥ ꯁꯔꯨꯛ ꯈꯔꯈꯛꯇꯗꯥ ꯁꯝꯅꯍꯜꯂꯤ꯫
ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯍꯀꯆꯥꯡ ꯄꯨꯝꯕꯗꯥ ꯑꯣꯛꯁꯤꯖꯦꯟ ꯌꯥꯎꯕꯥ ꯏ ꯄꯨꯕꯥ ꯉꯝꯕꯥ ꯑꯦꯑꯣꯔꯇꯥ ꯑꯃꯁꯨꯡ ꯗꯤꯑꯣꯛꯁꯤꯖꯦꯟ ꯌꯥꯎꯕꯥ ꯏ ꯂꯪꯁꯇꯥ ꯄꯨꯕꯥ ꯉꯝꯕꯥ ꯄꯂꯃꯣꯅꯥꯔꯤ ꯑꯥꯔꯇꯦꯔꯤ ꯑꯅꯤꯃꯛ ꯑꯁꯤ ꯃꯐꯝ ꯑꯃꯗꯥ, ꯑꯔꯣꯏꯕꯥ ꯚꯦꯟꯇꯤꯂꯦꯇꯔꯗꯒꯤ ꯍꯧꯏ꯫ ꯃꯁꯤ ꯀꯣꯟꯖꯤꯅꯤꯑꯦꯜ ꯍꯥꯔꯇꯀꯤ ꯂꯥꯌꯅꯥ ꯑꯃꯅꯤ꯫
ꯃꯁꯤꯅꯥ ꯋꯥꯍꯪ ꯑꯅꯤ ꯊꯣꯔꯀꯏ:
1. ꯍꯀꯆꯥꯡꯒꯤ ꯑꯇꯩ ꯃꯐꯃꯁꯤꯡꯗꯥ ꯆꯠꯊꯣꯛ-ꯆꯠꯁꯤꯟ ꯇꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯑꯣꯛꯁꯤꯖꯦꯟ ꯌꯥꯝꯅꯥ ꯌꯥꯎꯕꯥ, ꯁꯦꯡꯂꯕꯥ ꯏ ꯑꯗꯨ ꯑꯣꯛꯁꯤꯖꯦꯟ ꯌꯥꯝꯅꯥ ꯂꯩꯇꯕꯥ, ꯑꯁꯣꯀꯄꯥ ꯏ ꯑꯗꯨꯒꯥ ꯌꯥꯟꯁꯤꯟꯅꯩ꯫
2. ꯃꯊꯧ ꯇꯥꯕꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯂꯪꯁꯀꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯏ ꯄꯝꯄ ꯇꯧꯔꯤ꯫ ꯃꯁꯤꯅꯥ ꯍꯥꯔꯠ ꯑꯃꯁꯨꯡ ꯂꯪꯁ ꯑꯅꯤꯃꯛꯇꯥ ꯌꯥꯝꯅꯥ ꯋꯥꯅꯥ ꯊꯣꯀꯍꯜꯂꯤ꯫ ꯃꯇꯃꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ ꯑꯣꯔꯒꯥꯅꯁꯤꯡ ꯑꯁꯤ ꯁꯣꯀꯍꯜꯂꯀꯄꯥ ꯌꯥꯏ꯫
ꯗꯤ.ꯑꯣ.ꯑꯥꯔ.ꯚꯤ.ꯒꯥ ꯃꯔꯤ ꯂꯩꯅꯕꯥ ꯑꯇꯣꯞꯄꯥ ꯀꯔꯤ ꯁꯃꯁ꯭ꯌꯥꯁꯤꯡ ꯎꯕꯥ ꯐꯪꯒꯅꯤ?
DORVꯅꯥ ꯅꯥꯕꯥ ꯑꯉꯥꯡꯁꯤꯡꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯑꯇꯩ ꯄꯣꯀꯄꯒꯤ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ ꯊꯦꯡꯅꯩ꯫ ꯃꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯈꯔꯗꯤ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯁꯤꯡꯁꯤꯅꯤ:
- ꯁꯤꯂꯤꯌꯥꯔꯤ ꯗꯤꯁꯐꯉ꯭ꯀꯁꯟ (ciliary dysfunction) : ꯑꯉꯥꯡꯒꯤ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯒꯤ ꯂꯝꯕꯤꯒꯤ ꯌꯥꯝꯅꯥ ꯂꯨꯕꯥ, ꯈꯣꯡꯎꯄꯀꯤ ꯃꯑꯣꯡ-ꯃꯇꯧꯒꯤ ꯁꯔꯨꯀꯁꯤꯡꯗꯥ ꯊꯕꯛ ꯇꯧꯕꯗꯥ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯃꯁꯤꯡ꯫
- ꯍꯦꯇꯦꯔꯣꯇꯦꯛꯁꯤ: ꯱.ꯆꯦꯁ꯭ꯠ ꯑꯃꯁꯨꯡ ꯑꯦꯕꯗꯣꯃꯦꯅꯗꯥ ꯂꯩꯕꯥ ꯑꯉꯥꯡꯒꯤ ꯑꯣꯔꯒꯥꯅꯁꯤꯡ ꯑꯁꯤ ꯃꯍꯧꯁꯥꯅꯥ ꯂꯩꯔꯤꯕꯥ ꯃꯐꯃꯁꯤꯡꯗꯥ ꯅꯠꯇꯕꯥ ꯃꯐꯃꯁꯤꯡꯗꯥ ꯊꯝꯃꯤ꯫
- ꯏꯟꯇꯦꯁ꯭ꯇꯥꯏꯅꯒꯤ ꯃꯥꯂꯔꯣꯇꯦꯁꯟ (intestinal malrotation): ꯑꯉꯥꯡ ꯑꯗꯨꯒꯤ ꯏꯟꯇꯦꯁ꯭ꯇꯥꯏꯅꯁꯤꯡ ꯑꯗꯨ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯍꯅꯕꯥ꯫
- ꯄꯂꯃꯣꯅꯥꯔꯤ ꯁ꯭ꯇꯦꯅꯣꯁꯤꯁ (pulmonary stenosis): ꯔꯥꯏꯠ ꯚꯦꯟꯇꯤꯂꯦꯇꯔ ꯑꯃꯁꯨꯡ ꯄꯂꯃꯣꯅꯥꯔꯤ ꯑꯥꯔꯇꯦꯔꯤꯒꯤ ꯃꯔꯛꯇꯥ ꯂꯩꯕꯥ ꯚꯜꯌꯨ ꯑꯗꯨ ꯀꯨꯄꯁꯤꯅꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯀꯨꯄꯁꯤꯅꯕꯥ꯫
- ꯚꯦꯟꯇꯤꯀꯨꯂꯥꯔ ꯍꯥꯏꯄꯣꯞꯂꯥꯁꯤꯌꯥ: ꯍꯥꯔꯇꯀꯤ ꯆꯦꯝꯕꯔ ꯑꯃꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯅꯤꯃꯛ ꯅꯣꯔꯃꯦꯂꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯄꯤꯀꯄꯥ ꯑꯣꯏ꯫
ꯇꯣꯉꯥꯟ-ꯇꯣꯉꯥꯅꯕꯥ ꯃꯈꯂꯒꯤ ꯗꯤ.ꯑꯣ.ꯑꯥꯔ.ꯚꯤ. ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯈꯦꯠꯅꯍꯅꯒꯅꯤ?
ꯍꯣꯌ, ꯗꯤ.ꯑꯣ.ꯑꯥꯔ.ꯚꯤ.ꯒꯤ ꯃꯈꯜ ꯀꯌꯥ ꯂꯩ꯫ ꯃꯁꯤꯒꯤ ꯀ꯭ꯂꯥꯁꯤꯐꯤꯀꯦꯁꯟ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯋꯥꯐꯝ ꯑꯃꯅꯥ ꯂꯦꯄꯊꯣꯀꯏ꯫ ꯍꯥꯌꯕꯗꯤ, DORVꯅꯥ ꯅꯥꯕꯥ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯑꯉꯥꯡ ꯈꯨꯗꯤꯡꯃꯛꯇꯥ ꯍꯥꯔꯇꯀꯤ ꯆꯦꯝꯕꯔ ꯑꯅꯤꯒꯤ ꯃꯔꯛꯇꯥ ꯂꯩꯕꯥ ꯋꯥꯜ (Ventricular Septal Defect - VSD) ꯑꯃꯁꯨ ꯂꯩ꯫ ꯃꯁꯤꯒꯤ ꯍꯣꯜ ꯑꯁꯤꯅꯥ ꯆꯦꯝꯕꯔ ꯑꯅꯤꯒꯤ ꯃꯔꯛꯇꯥ ꯏ ꯊꯣꯀꯄꯥ ꯊꯤꯡꯏ꯫
ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯚꯤ.ꯑꯦꯁ.ꯗꯤ., ꯅꯠꯠꯔꯒꯥ ꯍꯣꯜ ꯑꯗꯨ ꯀꯗꯥꯏꯗꯥ ꯂꯩꯕꯒꯦ ꯍꯥꯌꯕꯗꯨꯗꯥ ꯌꯨꯝꯐꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯗꯤ.ꯑꯣ.ꯑꯥꯔ.ꯚꯤ.
| ꯗꯤ.ꯑꯣ.ꯑꯥꯔ.ꯚꯤ.ꯒꯤ ꯃꯈꯜ꯫ | ꯏꯆꯝ ꯆꯝꯕꯥ ꯃꯌꯦꯛ ꯁꯦꯡꯅꯥ ꯇꯥꯀꯄꯥ꯫ |
|---|---|
| ꯁꯕ-ꯑꯦꯑꯣꯔꯇꯤꯛ ꯚꯤ.ꯑꯦꯁ.ꯗꯤ.ꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯗꯤ.ꯑꯣ.ꯑꯥꯔ.ꯚꯤ | ꯍꯥꯔꯇꯇꯥ ꯂꯩꯕꯥ ꯍꯣꯜ (VSD) ꯑꯁꯤ ꯑꯦꯑꯣꯔꯇꯥꯒꯤ ꯃꯈꯥꯗꯥ ꯂꯩ꯫ |
| ꯁꯕꯄꯂꯃꯣꯅꯥꯔꯤ ꯚꯤ.ꯑꯦꯁ.ꯗꯤ.(ꯇꯥꯎꯁꯤꯒ-ꯕꯤꯡ)ꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯗꯤ.ꯑꯣ.ꯑꯥꯔ.ꯚꯤ. | ꯍꯥꯔꯇꯇꯥ ꯂꯩꯕꯥ ꯍꯣꯜ ꯑꯗꯨ ꯄꯂꯃꯣꯅꯥꯔꯤ ꯑꯥꯔꯇꯦꯔꯤꯒꯤ ꯃꯈꯥꯗꯥ ꯂꯩ꯫ ꯃꯁꯤꯕꯨ ꯇꯥꯎꯁꯤꯒ-ꯕꯤꯡ ꯀꯟꯗꯤꯁꯟ ꯍꯥꯌꯅꯥꯁꯨ ꯀꯧꯏ꯫ |
| ꯗꯕꯜ ꯀꯃꯤꯠ ꯇꯧꯔꯕꯥ ꯚꯤ.ꯑꯦꯁ.ꯗꯤ.ꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯗꯤ.ꯑꯣ.ꯑꯥꯔ.ꯚꯤ | ꯍꯣꯜ ꯑꯁꯤ ꯑꯆꯧꯕꯥ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯜ ꯑꯅꯤꯃꯛ (Aorta and Pulmonary Artery)ꯒꯤ ꯃꯈꯥꯗꯥ ꯂꯩ꯫ |
| ꯅꯟ-ꯀꯃꯤꯇꯦꯗ (ꯔꯤꯃꯣꯠ) ꯚꯤ.ꯑꯦꯁ.ꯗꯤ.ꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯗꯤ.ꯑꯣ.ꯑꯥꯔ.ꯚꯤ | ꯍꯣꯜ ꯑꯁꯤ ꯑꯆꯧꯕꯥ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯜ ꯑꯅꯤ ꯑꯁꯤꯗꯒꯤ ꯌꯥꯝꯅꯥ ꯂꯥꯞꯅꯥ ꯂꯩ, ꯀꯅꯦꯛꯁꯟ ꯂꯩꯇꯕꯥ ꯃꯐꯝ ꯑꯃꯗꯥ ꯂꯩ꯫ |
ꯃꯁꯤ ꯀꯔꯝꯕꯥ ꯃꯈꯂꯒꯤꯅꯣ ꯍꯥꯌꯕꯗꯨ ꯆꯨꯝꯅꯥ ꯈꯪꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯊꯧꯔꯥꯡ ꯇꯧꯕꯗꯥ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫
ꯃꯃꯥ ꯑꯃꯁꯨꯡ ꯃꯄꯥ, ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯈꯉꯕꯤꯌꯨ!
DORVꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯃꯍꯧꯁꯥꯅꯥ ꯄꯣꯀꯄꯒꯤ ꯑꯍꯥꯅꯕꯥ ꯅꯨꯃꯤꯠ ꯈꯔꯅꯤ ꯅꯠꯠꯔꯒꯥ ꯅꯨꯃꯤꯠ ꯈꯔꯅꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯎꯕꯥ ꯐꯪꯏ꯫ ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯌꯥꯝꯅꯥ ꯆꯦꯀꯁꯤꯅꯒꯗꯕꯅꯤ꯫
| ꯂꯥꯏꯑꯣꯡ꯫ | ꯃꯁꯤꯒꯤ ꯑꯔꯊ ꯀꯔꯤꯅꯣ? |
|---|---|
| ꯕ꯭ꯂꯨꯅꯦꯁ (ꯁꯥꯏꯅꯣꯁꯤꯁ) ꯑꯁꯤ . | ꯑꯉꯥꯡ ꯑꯗꯨꯒꯤ ꯈꯣꯡ, ꯃꯈꯣꯡ ꯅꯠꯠꯔꯒꯥ ꯃꯈꯨꯠꯁꯤꯡ ꯑꯗꯨ ꯅꯤꯜ ꯅꯠꯠꯔꯒꯥ ꯃꯆꯨ ꯃꯆꯨꯒꯤ ꯑꯣꯏꯔꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯁꯤ ꯏꯗꯥ ꯑꯣꯛꯁꯤꯖꯦꯟ ꯋꯥꯠꯄꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯑꯣꯏꯔꯤ꯫ |
| ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ꯫ | ꯌꯥꯝꯅꯥ ꯋꯥꯅꯥ, ꯌꯥꯡꯅꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ (tachypnea) ꯅꯠꯠꯔꯒꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ꯫ |
| ꯆꯥꯕꯥ/ꯊꯀꯄꯗꯥ ꯑꯋꯥꯕꯥ꯫ | ꯁꯉ꯭ꯒꯣꯝ ꯊꯀꯄꯥ ꯄꯥꯃꯗꯕꯥ, ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯅꯥ ꯈꯔꯥ ꯊꯀꯄꯥ ꯑꯣꯏꯔꯕꯁꯨ, ꯅꯍꯥꯛꯅꯥ ꯃꯇꯝ ꯈꯔꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯂꯦꯄꯀꯅꯤ꯫ ꯃꯁꯤꯅꯥ ꯑꯔꯨꯝꯕꯥ ꯍꯟꯊꯍꯅꯕꯁꯨ ꯌꯥꯏ꯫ |
| ꯍꯥꯔꯠ ꯃꯨꯔꯃꯨꯔ꯫ | ꯗꯣꯛꯇꯔ ꯑꯃꯅꯥ ꯍꯥꯔꯠ ꯑꯃꯥ ꯁ꯭ꯇꯦꯊꯣꯁ꯭ꯀꯣꯄꯅꯥ ꯌꯦꯡꯁꯤꯅꯕꯥ ꯃꯇꯃꯗꯥ ꯍꯥꯔꯇꯀꯤ ꯈꯣꯡꯖꯦꯂꯒꯤ ꯃꯊꯛꯇꯥ ꯇꯣꯉꯥꯅꯕꯥ ꯈꯣꯟꯖꯦꯜ ꯑꯃꯥ ꯇꯥꯕꯥ ꯐꯪꯏ꯫ |
| ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯍꯥꯔꯇꯀꯤ ꯂꯥꯌꯅꯥ (Tachycardia) . | ꯍꯥꯔꯇꯀꯤ ꯔꯦꯠ ꯑꯁꯤ ꯃꯤꯅꯠ ꯑꯃꯗꯥ 100ꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯌꯥꯡꯅꯥ ꯆꯦꯅꯕꯥ꯫ |
| ꯌꯥꯝꯅꯥ ꯋꯥꯅꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ꯫ | ꯑꯉꯥꯡ ꯑꯗꯨꯅꯥ ꯃꯔꯨꯑꯣꯏꯅꯥ ꯈꯣꯝꯂꯥꯡ ꯄꯤꯊꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯌꯥꯝꯅꯥ ꯋꯥꯅꯥ ꯊꯣꯀꯏ꯫ |
| ꯑꯆꯝꯕꯥ ꯇꯨꯝꯕꯥ ꯌꯥꯗꯕꯥ꯫ | ꯑꯉꯥꯡ ꯑꯗꯨ ꯃꯇꯝ ꯄꯨꯝꯅꯃꯛꯇꯥ ꯇꯨꯝꯕꯥ ꯌꯥꯗꯕꯥ ꯑꯃꯁꯨꯡ ꯄꯨꯟꯁꯤ ꯂꯩꯇꯕꯥ ꯑꯣꯏ꯫ |
ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯀꯔꯤꯅꯥ ꯊꯣꯀꯍꯅꯕꯒꯦ? ꯀꯔꯤ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ ꯊꯣꯀꯄꯥ ꯌꯥꯕꯒꯦ?
ꯇꯁꯦꯡꯕꯗꯤ ꯔꯤꯁꯔꯆꯔꯁꯤꯡꯅꯥ ꯍꯧꯖꯤꯛ ꯐꯥꯑꯣꯕꯥ ꯗꯤ.ꯑꯣ.ꯑꯥꯔ.ꯚꯤ. ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯂꯩꯕꯥ ꯑꯉꯥꯡꯁꯤꯡꯒꯤ ꯆꯥꯎꯔꯥꯛꯅꯥ 50%ꯗꯤ ꯃꯈꯣꯌꯒꯤ ꯀ꯭ꯔꯣꯃꯣꯖꯣꯃꯁꯤꯡ, ꯑꯩꯈꯣꯌꯒꯤ ꯖꯦꯅꯦꯇꯤꯛ ꯏꯅꯐꯣꯔꯃꯦꯁꯟ (DNA)ꯒꯤ ꯁꯔꯨꯀꯁꯤꯡꯗꯥ ꯃꯈꯜ ꯑꯃꯍꯦꯛꯇꯒꯤ ꯑꯍꯣꯡꯕꯥ ꯂꯩ ꯍꯥꯌꯕꯥ ꯈꯪꯂꯦ꯫
ꯑꯗꯨꯕꯨ ꯃꯁꯤ ꯅꯤꯡꯁꯤꯡꯕꯤꯌꯨ꯫ ꯃꯁꯤ ꯅꯉꯒꯤ ꯑꯁꯣꯌꯕꯥ ꯅꯠꯇꯦ, ꯅꯉꯒꯤ ꯑꯁꯣꯌꯕꯥ ꯅꯠꯇꯦ꯫ ꯑꯗꯨꯅꯥ ꯀꯩꯗꯧꯉꯩꯗꯁꯨ ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯈꯟꯊꯕꯤꯌꯨ ꯑꯃꯁꯨꯡ ꯅꯁꯥꯕꯨ ꯗꯣꯁ ꯇꯧꯕꯤꯌꯨ꯫
ꯀꯔꯤꯒꯨꯝꯕꯥ DORV ꯑꯁꯤ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯂꯥꯏꯌꯦꯡꯗ꯭ꯔꯕꯗꯤ, ꯃꯇꯃꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ ꯂꯥꯀꯄꯥ ꯌꯥꯏ꯫
- ꯍꯥꯔꯇꯀꯤ ꯈꯣꯡꯖꯦꯜ ꯌꯥꯡꯕꯥ (Arrhythmias) .
- ꯍꯥꯔꯠ ꯚꯜꯌꯨꯒꯤ ꯏꯁꯨꯁꯤꯡ꯫
- ꯍꯥꯔꯠ ꯐꯦꯜ ꯑꯣꯏꯕꯥ꯫
- ꯄꯂꯃꯣꯅꯥꯔꯤ ꯍꯥꯏꯄꯔꯇꯦꯟꯁꯟ꯫
- ꯍꯥꯔꯇꯀꯤ ꯃꯅꯨꯡꯒꯤ ꯂꯥꯏꯅꯤꯡꯗꯥ ꯏꯅꯐꯦꯛꯁꯟ (Endocarditis) .
ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯃꯇꯧ ꯀꯔꯝꯅꯥ ꯗꯤ.ꯑꯣ.ꯑꯥꯔ.ꯚꯤ.
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯍꯥꯔꯇꯀꯤ ꯂꯥꯌꯅꯥ ꯃꯈꯜ ꯑꯁꯤ ꯑꯉꯥꯡ ꯑꯗꯨ ꯄꯣꯀꯄꯥ ꯃꯃꯥꯡꯗꯁꯨ, ꯅꯍꯥꯛꯀꯤ ꯃꯤꯔꯣꯜꯂꯤꯉꯩ ꯃꯇꯃꯗꯥ ꯁ꯭ꯀꯦꯟ ꯇꯧꯕꯥ ꯃꯇꯃꯗꯁꯨ ꯈꯪꯗꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯒꯤꯗꯃꯛꯇꯥ ꯁꯤꯖꯤꯟꯅꯔꯤꯕꯥ ꯑꯈꯟꯅꯕꯥ ꯁ꯭ꯀꯦꯟ ꯑꯁꯤꯕꯨ ``ꯐꯦꯇꯥꯜ ꯏꯀꯣꯀꯥꯔꯗꯤꯑꯣꯒ꯭ꯔꯥꯐ'' ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯗꯨ ꯑꯣꯏꯊꯣꯀꯄꯥ ꯉꯃꯗ꯭ꯔꯕꯗꯤ, ꯑꯩꯈꯣꯌꯅꯥ ꯃꯃꯥꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯈꯤꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯗꯨ ꯑꯉꯥꯡ ꯑꯗꯨ ꯄꯣꯀꯄꯥ ꯃꯇꯨꯡꯗꯥ ꯂꯥꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯈꯛꯇꯗꯥ ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯃꯁꯤꯒꯤ ꯆꯤꯡꯅꯕꯥ ꯂꯩꯒꯅꯤ꯫ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯃꯈꯣꯌꯅꯥ ꯑꯉꯥꯡ ꯑꯗꯨꯕꯨ ꯌꯦꯡꯁꯤꯅꯒꯅꯤ꯫
- ꯑꯉꯥꯡ ꯑꯗꯨꯒꯤ ꯈꯣꯡꯎꯞ ꯑꯗꯨ ꯅꯤꯡꯊꯤꯅꯥ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯎ꯫
- ꯍꯥꯔꯠ ꯑꯗꯨ ꯁ꯭ꯇꯦꯊꯣꯁ꯭ꯀꯣꯞ ꯑꯃꯅꯥ ꯇꯥꯟꯗꯨꯅꯥ ꯑꯁꯣꯀꯄꯥ ꯈꯣꯟꯖꯦꯜ (murmurs) ꯑꯃꯠꯇꯥ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯁꯤꯜꯂꯤ꯫
- ꯄꯂꯁ ꯑꯣꯛꯁꯤꯃꯦꯠꯔꯤ ꯍꯥꯌꯕꯁꯤ ꯑꯉꯥꯡꯒꯤ ꯏꯗꯥ ꯑꯣꯛꯁꯤꯖꯦꯅꯒꯤ ꯆꯥꯡ ꯑꯗꯨ ꯑꯉꯥꯡ ꯑꯗꯨꯒꯤ ꯃꯈꯨꯠ ꯅꯠꯠꯔꯒꯥ ꯅꯥꯀꯣꯡꯗꯥ ꯀ꯭ꯂꯤꯄꯒꯨꯝꯕꯥ ꯑꯄꯤꯀꯄꯥ ꯈꯨꯠꯂꯥꯏ ꯑꯃꯥ ꯊꯃꯗꯨꯅꯥ ꯌꯦꯡꯁꯤꯅꯕꯥ ꯇꯦꯁ꯭ꯠ ꯑꯃꯅꯤ꯫ ꯃꯁꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯕꯨ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯍꯟꯗꯕꯥ ꯏꯆꯝ ꯆꯝꯕꯥ ꯇꯦꯁ꯭ꯠ ꯑꯃꯅꯤ꯫
ꯑꯍꯥꯅꯕꯥ ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ, ꯗꯥꯏꯑꯦꯒ꯭ꯅꯣꯁꯤꯁ ꯑꯗꯨ ꯀꯅꯐꯥꯔꯝ ꯇꯧꯅꯕꯥ ꯑꯍꯦꯅꯕꯥ ꯇꯦꯁ꯭ꯠ ꯀꯌꯥ ꯇꯧꯕꯥ ꯌꯥꯏ꯫
- ꯅꯟ-ꯏꯅꯚꯦꯁꯤꯚ ꯏꯃꯦꯖꯤꯡ ꯇꯦꯁ꯭ꯇꯁꯤꯡ: ꯑꯉꯥꯡꯒꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯃꯄꯥꯟꯗꯥ ꯄꯥꯡꯊꯣꯀꯄꯥ ꯁꯤ.ꯇꯤ.ꯁ꯭ꯀꯦꯅꯁꯤꯡ, ꯑꯦꯝ.ꯑꯥꯔ.ꯑꯥꯏ.
- ꯏꯂꯦꯛꯠꯔꯣꯀꯥꯔꯗꯤꯑꯣꯒ꯭ꯔꯥꯐ (ECG ꯅꯠꯠꯔꯒꯥ EKG): ꯍꯥꯔꯇꯀꯤ ꯏꯂꯦꯛꯠꯔꯤꯀꯦꯜ ꯑꯦꯛꯇꯤꯚꯤꯇꯤ ꯑꯗꯨ ꯌꯦꯡꯁꯤꯜꯂꯤꯕꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯂꯩꯇꯕꯥ ꯇꯦꯁ꯭ꯠ ꯑꯃꯅꯤ꯫
- ꯏꯀꯣꯀꯥꯔꯗꯤꯑꯣꯒ꯭ꯔꯥꯐ (echo): ꯃꯁꯤ ꯍꯥꯔꯇꯀꯤ ꯁ꯭ꯀꯦꯟ ꯑꯃꯒꯨꯝꯅꯥ ꯑꯣꯏ꯫ ꯃꯁꯤꯅꯥ ꯍꯥꯔꯇꯀꯤ ꯃꯑꯣꯡ-ꯃꯇꯧ, ꯃꯊꯧ ꯇꯧꯕꯥ ꯑꯃꯁꯨꯡ ꯃꯁꯤꯒꯤ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯂꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯁꯝꯅꯍꯅꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯌꯥꯎꯅꯥ ꯍꯥꯔꯇꯀꯤ ꯃꯔꯃꯗꯥ ꯄꯨꯝꯅꯃꯛ ꯃꯌꯦꯛ ꯁꯦꯡꯅꯥ ꯎꯕꯥ ꯐꯪꯅꯕꯥ ꯁꯥꯎꯟꯗ ꯋꯦꯕ ꯁꯤꯖꯤꯟꯅꯩ꯫
- ꯀꯥꯔꯗꯤꯌꯦꯛ ꯀꯦꯇꯦꯒꯣꯔꯤ (cardiac catheterization): ꯃꯁꯤꯗꯥ, ꯍꯥꯔꯇꯀꯤ ꯄ꯭ꯔꯦꯁꯔ, ꯑꯣꯛꯁꯤꯖꯦꯅꯒꯤ ꯆꯥꯡ ꯑꯃꯁꯨꯡ ꯁ꯭ꯠꯔꯀꯆꯔꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯌꯥꯝꯅꯥ ꯑꯆꯨꯝꯕꯥ ꯏꯅꯐꯣꯔꯃꯦꯁꯟ ꯐꯪꯅꯕꯒꯤꯗꯃꯛ, ꯑꯉꯥꯡ ꯑꯗꯨꯒꯤ ꯒ꯭ꯔꯣꯏꯟ ꯅꯠꯠꯔꯒꯥ ꯑꯥꯔꯃꯗꯥ ꯂꯩꯕꯥ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯜ ꯑꯃꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯍꯥꯔꯇꯇꯥ ꯌꯥꯝꯅꯥ ꯂꯨꯕꯥ ꯇꯤꯎꯕ (catheter) ꯑꯃꯥ ꯊꯥꯗꯣꯀꯏ꯫
ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯂꯩꯔꯣꯏ, ꯃꯁꯤꯒꯤ ꯂꯥꯌꯦꯡ ꯑꯃꯥ ꯂꯩꯔꯤ! - ꯁꯔꯖꯔꯤꯒꯤ ꯃꯔꯃꯗꯥ ꯈꯉꯁꯤ꯫
DORVꯅꯥ ꯅꯥꯕꯥ ꯑꯉꯥꯡ ꯈꯨꯗꯤꯡꯃꯛꯅꯥ ꯄꯨꯟꯁꯤꯒꯤ ꯑꯍꯥꯅꯕꯥ ꯆꯍꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯣꯄꯟ-ꯍꯥꯔꯠ ꯁꯔꯖꯔꯤ ꯃꯊꯧ ꯇꯥꯒꯅꯤ꯫ ꯃꯁꯤ ꯑꯗꯣꯃꯗꯥ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯋꯥꯐꯝ ꯑꯃꯥ ꯑꯣꯏꯔꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯗꯨ ꯅꯣꯔꯃꯦꯂꯅꯤ꯫ ꯑꯗꯨꯕꯨ ꯅꯤꯡꯁꯤꯡꯕꯤꯌꯨ, ꯉꯁꯤꯒꯤ ꯃꯦꯗꯤꯀꯦꯜ ꯇꯦꯛꯅꯣꯂꯣꯖꯤ ꯑꯁꯤꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯍꯥꯌꯔꯤꯕꯥ ꯁꯔꯖꯔꯤꯁꯤꯡ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯥꯌ ꯄꯥꯛꯅꯥ ꯄꯥꯡꯊꯣꯀꯄꯥ ꯉꯝꯂꯦ꯫
ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯔꯦꯞ ꯂꯧꯕꯥ ꯃꯇꯃꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔ ꯑꯃꯁꯨꯡ ꯀꯥꯔꯗꯤꯌꯦꯛ ꯁꯔꯖꯔꯤꯅꯥ ꯐꯦꯛꯇꯔ ꯀꯌꯥ ꯈꯟꯅꯒꯅꯤ꯫
- ꯑꯉꯥꯡ ꯑꯗꯨꯒꯤ DORV ꯃꯈꯜ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?
- ꯑꯉꯥꯡ ꯑꯗꯨꯒꯤ ꯊꯝꯃꯣꯌꯗꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯇꯩ ꯑꯣꯔꯒꯥꯅꯁꯤꯡꯗꯥ ꯑꯇꯣꯞꯄꯥ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯑꯃꯥ ꯂꯩꯕ꯭ꯔꯥ꯫
- ꯑꯉꯥꯡ ꯑꯗꯨꯒꯤ ꯑꯄꯨꯅꯕꯥ ꯍꯀꯁꯦꯜ꯫
ꯃꯍꯧꯁꯥꯅꯥ ꯄꯥꯡꯊꯣꯀꯄꯥ ꯁꯔꯖꯔꯤ ꯃꯈꯜ ꯀꯌꯥ ꯂꯩ꯫
- ꯏꯟꯠꯔꯥꯚꯦꯟꯇꯤꯀꯨꯂꯥꯔ ꯔꯤꯄꯦꯌꯥꯔ: ꯄ꯭ꯔꯣꯁꯤꯗ꯭ꯌꯨꯑꯣꯔ ꯑꯁꯤꯗꯥ, ꯁꯔꯖꯔꯤꯅꯥ ꯑꯈꯟꯅꯕꯥ ꯄꯦꯆ ꯑꯃꯥ ꯁꯤꯖꯤꯟꯅꯗꯨꯅꯥ VSD, ꯅꯠꯠꯔꯒꯥ ꯍꯥꯔꯇꯇꯥ ꯂꯩꯕꯥ ꯍꯣꯜ ꯑꯃꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯇꯅꯦꯜ ꯑꯃꯥ ꯁꯦꯝꯃꯤ꯫ ꯃꯁꯤꯒꯤ ꯇꯅꯦꯜ ꯑꯁꯤꯅꯥ ꯂꯦꯐꯠ ꯚꯦꯟꯇꯤꯂꯦꯇꯔꯗꯒꯤ ꯑꯦꯑꯣꯔꯇꯥꯗꯥ ꯏ ꯆꯦꯅꯕꯥ ꯂꯝꯕꯤ ꯑꯃꯥ ꯁꯦꯝꯃꯤ꯫
- ꯕꯥꯏꯚꯦꯟꯇꯤꯀꯨꯂꯥꯔ ꯔꯤꯄꯦꯌꯥꯔ ꯅꯠꯠꯔꯒꯥ ꯑꯥꯔꯇꯦꯔꯤ ꯁꯣꯏꯆ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯉꯥꯡ ꯑꯗꯨꯒꯤ ꯚꯦꯟꯇꯤꯂꯦꯇꯔ ꯑꯅꯤꯃꯛ ꯑꯐꯕꯥ ꯐꯤꯚꯃꯗꯥ ꯂꯩꯔꯕꯗꯤ ꯑꯃꯁꯨꯡ DORV ꯑꯁꯤ ꯁꯕꯄꯂꯃꯣꯅꯥꯔꯤ VSD (Taussig-Bing) ꯃꯈꯂꯒꯤ ꯑꯣꯏꯔꯕꯗꯤ, ꯁꯔꯖꯔꯤ ꯑꯃꯅꯥ ꯑꯦꯑꯣꯔꯇꯥ ꯂꯧꯊꯣꯛꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯂꯦꯡ-ꯑꯣꯠꯄꯒꯤ ꯚꯦꯟꯇꯤꯂꯦꯇꯔꯒꯥ ꯁꯝꯅꯍꯟꯅꯕꯥ ꯁꯔꯖꯔꯤ ꯑꯃꯥ ꯄꯥꯡꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫
- ꯌꯨꯅꯤꯚꯦꯟꯇꯤꯀꯨꯂꯥꯔ ꯔꯤꯄꯦꯌꯥꯔ (ꯐꯣꯟꯇꯥꯟ ꯑꯣꯄꯔꯦꯁꯟ): ꯀꯔꯤꯒꯨꯝꯕꯥ DORV ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯀꯝꯞꯂꯦꯛꯁ ꯑꯣꯏꯔꯕꯗꯤ, ꯁꯔꯖꯔꯤ ꯑꯁꯤ ꯁꯔꯖꯔꯤ ꯑꯁꯤ ꯔꯤꯀꯃꯦꯟꯗ ꯇꯧꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯗꯥ ꯑꯣꯛꯁꯤꯖꯦꯟ ꯌꯥꯑꯣꯗꯕꯥ ꯏ ꯑꯗꯨ ꯂꯣꯌꯔꯕꯥ ꯍꯀꯆꯥꯡꯗꯒꯤ ꯍꯀꯊꯦꯡꯅꯅꯥ ꯂꯪꯁꯇꯥ ꯊꯥꯗꯣꯀꯄꯅꯤ꯫ ꯃꯁꯤ ꯁ꯭ꯇꯦꯖ ꯀꯌꯥ ꯌꯥꯎꯕꯥ ꯀꯝꯞꯂꯦꯛꯁ ꯁꯔꯖꯔꯤ ꯑꯃꯅꯤ꯫
ꯍꯥꯔꯇꯀꯤ ꯁꯔꯖꯔꯤ ꯑꯃꯍꯦꯛꯇꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯔꯤꯁ꯭ꯛ ꯂꯩ꯫ ꯃꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯏ ꯊꯣꯀꯄꯥ, ꯏ ꯊꯣꯀꯄꯥ, ꯏꯅꯐꯦꯛꯁꯟ, ꯑꯃꯁꯨꯡ ꯑꯦꯅꯥꯁ꯭ꯇꯦꯁꯤꯌꯥꯒꯤ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯃꯁꯤꯡ ꯑꯁꯤ ꯌꯥꯎꯏ꯫ ꯑꯗꯨꯕꯨ ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯍꯥꯌꯔꯤꯕꯥ ꯈꯨꯗꯣꯡꯊꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯍꯟꯊꯍꯟꯅꯕꯥ ꯍꯣꯠꯅꯔꯤ꯫
ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯄꯨꯟꯁꯤ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯑꯣꯏꯒꯅꯤ?
ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯑꯉꯥꯡ ꯑꯗꯨ ꯅꯨꯃꯤꯠ ꯑꯃꯥ ꯅꯠꯠꯔꯒꯥ ꯃꯁꯤꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯂꯗꯥ ꯂꯩꯕꯥ ꯃꯊꯧ ꯇꯥꯒꯅꯤ꯫ ꯄꯥꯡꯊꯣꯛꯂꯤꯕꯥ ꯁꯔꯖꯔꯤꯒꯤ ꯃꯈꯜ ꯑꯃꯁꯨꯡ ꯑꯉꯥꯡ ꯑꯗꯨꯒꯤ ꯐꯤꯚꯃꯒꯤ ꯃꯇꯨꯡ ꯏꯟꯅꯥ ꯃꯇꯝ ꯑꯁꯤ ꯈꯦꯠꯅꯒꯅꯤ꯫
ꯃꯔꯨꯑꯣꯏꯕꯥ ꯋꯥꯐꯃꯗꯤ ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ, ꯗꯤ.ꯑꯣ.ꯑꯥꯔ.ꯚꯤ.ꯅꯥ ꯅꯥꯕꯥ ꯑꯉꯥꯡ ꯑꯌꯥꯝꯕꯅꯥ ꯍꯀꯁꯦꯜ ꯐꯕꯥ, ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯕꯥ ꯑꯍꯜ ꯑꯣꯏꯔꯕꯥ ꯄꯨꯟꯁꯤ ꯍꯤꯡꯕꯥ ꯉꯝꯃꯤ꯫
ꯑꯗꯨꯕꯨ ꯅꯤꯡꯁꯤꯡꯒꯗꯕꯥ ꯋꯥꯐꯝ ꯑꯃꯗꯤ ꯗꯤ.ꯑꯣ.ꯑꯥꯔ.ꯚꯤ.ꯒꯤ ꯁꯔꯖꯔꯤ ꯇꯧꯔꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯅꯥ ꯄꯨꯟꯁꯤ ꯆꯨꯞꯄꯥ ꯀꯥꯔꯗꯤꯑꯣꯂꯣꯖꯤꯁ꯭ꯠ ꯑꯃꯒꯤ ꯌꯦꯡꯁꯤꯅꯕꯒꯤ ꯃꯈꯥꯗꯥ ꯂꯩꯒꯗꯕꯅꯤ꯫ ꯂꯦꯞꯂꯕꯥ ꯃꯇꯃꯗꯥ ꯆꯦꯛ-ꯑꯞ ꯇꯧꯅꯕꯥ ꯆꯠꯄꯥ ꯑꯃꯁꯨꯡ ꯃꯊꯧ ꯇꯥꯕꯥ ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯄꯥꯡꯊꯣꯀꯄꯥ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫
ꯃꯤꯑꯣꯏ ꯈꯔꯗꯤ ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯨꯡ ꯆꯍꯤ ꯀꯌꯥꯒꯤ ꯃꯇꯨꯡꯗꯁꯨ ꯍꯥꯔꯇꯀꯤ ꯂꯥꯌꯅꯥ ꯅꯠꯠꯔꯒꯥ ꯍꯥꯔꯇꯀꯤ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯂꯩꯕꯥ ꯌꯥꯏ, ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯁꯦꯜ ꯑꯗꯨ ꯃꯇꯝ ꯄꯨꯝꯅꯃꯛꯇꯥ ꯌꯦꯡꯁꯤꯅꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫
ꯀꯗꯥꯏꯗꯥ ꯗꯣꯛꯇꯔꯒꯥ ꯎꯅꯒꯗꯒꯦ ꯑꯃꯁꯨꯡ ꯀꯗꯥꯏꯗꯥ ꯏ.ꯇꯤ.ꯌꯨ
ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯨꯡꯗꯁꯨ ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯗꯥ ꯌꯥꯝꯅꯥ ꯀꯨꯞꯅꯥ ꯌꯦꯡꯁꯤꯅꯕꯤꯌꯨ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯂꯥꯛꯂꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯈꯨꯗꯛꯇꯥ ꯈꯪꯍꯅꯕꯤꯌꯨ꯫
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯦꯕꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯕꯥ, ꯌꯥꯡꯅꯥ ꯅꯠꯠꯔꯒꯥ ꯈꯣꯡꯖꯦꯜ ꯌꯥꯡꯅꯥ ꯆꯦꯅꯕꯥ ꯍꯥꯔꯇꯀꯤ ꯈꯣꯡꯖꯦꯜ ꯑꯃꯥ ꯐꯥꯎꯔꯕꯗꯤ꯫
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯈꯣꯡꯗꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯅꯠꯠꯔꯒꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ ꯊꯦꯡꯅꯔꯕꯗꯤ (ꯃꯁꯤ ꯍꯥꯔꯠ ꯑꯦꯇꯦꯛꯀꯤ ꯈꯨꯗꯃꯁꯤꯡ ꯑꯣꯏꯕꯥ ꯌꯥꯏ)꯫
ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯀꯦꯁꯁꯤꯡ ꯑꯁꯤꯗꯥ ꯑꯉꯥꯡ ꯑꯗꯨꯕꯨ ꯊꯦꯡꯊꯍꯟꯗꯅꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯅꯀꯄꯥ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯂꯒꯤ ꯏꯃꯔꯖꯦꯟꯁꯤ ꯇ꯭ꯔꯤꯇꯃꯦꯟꯇ ꯌꯨꯅꯤꯠ (ETU)ꯗꯥ ꯄꯨꯈꯠꯀꯗꯕꯅꯤ꯫
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯅꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯗꯥ ꯌꯥꯝꯅꯥ ꯋꯥꯅꯥ ꯊꯣꯛꯂꯕꯗꯤ ꯑꯃꯁꯨꯡ/ꯅꯠꯠꯔꯒꯥ ꯃꯈꯣꯌꯒꯤ ꯅꯥꯀꯣꯡ, ꯊꯕꯥꯛ, ꯅꯠꯠꯔꯒꯥ ꯈꯣꯡꯎꯞ ꯑꯗꯨ ꯅꯣꯛꯅꯔꯀꯄꯥ ꯌꯥꯕꯥ ꯑꯣꯏꯔꯕꯗꯤ, ꯈꯨꯗꯛꯇꯥ ꯏ.ꯇꯤ.ꯌꯨ.ꯗꯥ ꯆꯠꯂꯨ!
ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯍꯪꯒꯗꯕꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯋꯥꯍꯪꯁꯤꯡ꯫
ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯗꯥ DORV ꯂꯩꯔꯦ ꯍꯥꯌꯕꯥ ꯈꯪꯂꯕꯥ ꯃꯇꯃꯗꯥ ꯋꯥꯍꯪ ꯀꯌꯥ ꯍꯪꯂꯀꯄꯥ ꯍꯥꯌꯕꯁꯤ ꯅꯣꯔꯃꯦꯂꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯃꯠꯇꯥ ꯏꯁꯥꯗꯥ ꯊꯃꯖꯒꯅꯨ꯫ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯄꯨꯝꯅꯃꯛ ꯍꯪꯕꯤꯌꯨ ꯑꯃꯁꯨꯡ ꯃꯗꯨ ꯁꯟꯗꯣꯛꯅꯥ ꯇꯥꯀꯄꯤꯌꯨ꯫ ꯃꯈꯥꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯍꯪꯂꯀꯄꯥ ꯌꯥꯕꯥ ꯋꯥꯍꯪ ꯈꯔꯥ ꯄꯤꯔꯤ꯫
1. ꯑꯩꯒꯤ ꯑꯉꯥꯡꯗꯥ ꯀꯔꯤ ꯃꯈꯂꯒꯤ DORV ꯂꯩꯕꯒꯦ?
2. ꯑꯗꯣꯝꯅꯥ ꯀꯔꯤ ꯃꯈꯂꯒꯤ ꯁꯔꯖꯔꯤ ꯇꯧꯕꯥ ꯄꯥꯝꯂꯤꯕꯒꯦ?
3. ꯁꯔꯖꯔꯤ ꯑꯁꯤ ꯀꯗꯥꯏꯗꯥ ꯄꯥꯡꯊꯣꯛꯀꯗꯒꯦ?
4. ꯁꯔꯖꯔꯤꯒꯤ ꯈꯨꯗꯣꯡꯊꯤꯕꯁꯤꯡ ꯀꯔꯤꯅꯣ?
5. ꯁꯔꯖꯔꯤ ꯇꯧꯗꯕꯒꯤ ꯈꯨꯗꯣꯡꯊꯤꯕꯁꯤꯡ ꯀꯔꯤꯅꯣ?
6. ꯁꯔꯖꯔꯤ ꯑꯁꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯑꯩꯒꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯅꯥ ꯁꯔꯖꯔꯤ ꯍꯦꯟꯅꯥ ꯃꯊꯧ ꯇꯥꯕꯔꯥ?
7. ꯑꯩꯒꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯅꯥ ꯄꯨꯟꯁꯤ ꯆꯨꯞꯄꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛ ꯂꯧꯕꯥ ꯇꯥꯕꯔꯥ?
ꯑꯁꯤꯒꯨꯝꯕꯥ ꯋꯥꯍꯪꯁꯤꯡ ꯑꯁꯤ ꯍꯪꯗꯨꯅꯥ ꯄꯨꯝꯅꯃꯛ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯈꯉꯂꯕꯥ ꯃꯇꯃꯗꯥ ꯑꯀꯤꯕꯥ ꯂꯩꯇꯅꯥ ꯋꯥꯈꯜ ꯇꯥꯕꯥ ꯋꯥꯔꯦꯞ ꯂꯧꯕꯥ ꯉꯝꯂꯒꯅꯤ꯫
ꯇꯦꯛ-ꯍꯣꯝ ꯃꯦꯁꯦꯖ ꯇꯧꯕꯥ꯫
- ꯗꯕꯜ ꯑꯥꯎꯇꯂꯦꯠ ꯔꯥꯏꯠ ꯚꯦꯟꯇꯤꯂꯦꯁꯟ (DORV) ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ, ꯑꯗꯨꯕꯨ ꯂꯥꯏꯌꯦꯡꯕꯥ ꯌꯥꯕꯥ, ꯀꯣꯟꯖꯤꯅꯤꯑꯦꯜ ꯍꯥꯔꯠ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫
- ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤꯒꯤ ꯑꯀꯛꯅꯕꯥ ꯃꯔꯝ ꯈꯪꯗꯕꯅꯥ, ꯃꯁꯤ ꯃꯃꯥ-ꯃꯄꯥ ꯑꯃꯥ ꯑꯣꯏꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯁꯣꯌꯕꯅꯤ ꯍꯥꯌꯅꯥ ꯀꯩꯗꯧꯉꯩꯗꯥ ꯂꯧꯔꯣꯏꯗꯕꯅꯤ꯫
- ꯉꯟꯅꯥ ꯈꯪꯗꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯃꯇꯝ ꯆꯥꯅꯥ ꯁꯔꯖꯔꯤ ꯇꯧꯕꯅꯥ ꯑꯉꯥꯡꯁꯤꯡꯕꯨ ꯍꯀꯁꯦꯜ ꯐꯕꯥ, ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯍꯤꯡꯅꯕꯒꯤ ꯈꯨꯗꯣꯡꯆꯥꯕꯥ ꯄꯤ꯫
- ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ, ꯅꯍꯥꯛꯀꯤ ꯄꯨꯟꯁꯤ ꯆꯨꯞꯄꯥ ꯀꯥꯔꯗꯤꯑꯣꯂꯣꯖꯤꯁ꯭ꯠ ꯑꯃꯒꯤ ꯌꯦꯡꯁꯤꯅꯕꯒꯤ ꯃꯈꯥꯗꯥ ꯂꯩꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯇꯉꯥꯏꯐꯗꯕꯥ ꯑꯃꯅꯤ꯫
- ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯗꯥ ꯌꯥꯝꯅꯥ ꯋꯥꯅꯥ ꯊꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯈꯣꯡ-ꯈꯨꯠ ꯁꯣꯛꯅ-ꯁꯝꯅꯕꯒꯨꯝꯕꯥ ꯑꯦꯃꯔꯖꯦꯟꯁꯤ ꯋꯥꯔꯅꯤꯡ ꯁꯥꯏꯅꯁꯤꯡꯒꯤꯗꯃꯛꯇꯥ ꯃꯇꯝ ꯄꯨꯝꯅꯃꯛꯇꯥ ꯆꯦꯀꯁꯤꯅꯒꯗꯕꯅꯤ꯫ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯀꯦꯁ ꯑꯃꯗꯥ, ꯑꯉꯥꯡ ꯑꯗꯨꯕꯨ ꯈꯨꯗꯛꯇꯥ ꯏꯃꯔꯖꯦꯟꯁꯤ ꯇ꯭ꯔꯤꯇꯃꯦꯟꯇ ꯌꯨꯅꯤꯠ (ETU)ꯗꯥ ꯄꯨꯈꯠꯀꯗꯕꯅꯤ꯫
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