ꯍꯥꯔꯠ ꯑꯦꯇꯦꯛ ꯇꯧꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯆꯦꯡ-ꯍꯋꯥꯏ ꯁꯣꯀꯄꯥ? ꯗ꯭ꯔꯦꯁꯂꯔ ꯁꯤꯟꯗꯣꯃꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯁꯤ!

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯍꯥꯔꯠ ꯑꯦꯇꯦꯛ ꯑꯃꯗꯒꯤ ꯐꯒꯠꯂꯛꯂꯕꯥ ꯑꯃꯁꯨꯡ ꯈꯪꯍꯧꯗꯅꯥ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯑꯆꯝꯕꯥ ꯆꯦꯛꯁꯤꯟ-ꯊꯧꯔꯥꯡ ꯑꯃꯥ ꯂꯥꯀꯄꯥ ꯇꯥꯔꯕꯗꯤ ꯅꯍꯥꯛꯅꯥ ꯀꯔꯝꯅꯥ ꯐꯥꯎꯒꯅꯤ? ꯂꯥꯡꯇꯛꯅꯕꯥ ꯄꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ "ꯑꯣꯍ, ꯃꯁꯤ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯑꯔꯤꯕꯥ ꯋꯥꯐꯝ ꯑꯗꯨꯅꯤ?" ꯑꯗꯨꯕꯨ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯂꯩꯔꯣꯏꯗꯕꯅꯤ꯫ ꯆꯦꯁ꯭ꯠ ꯄꯦꯏꯟ ꯈꯨꯗꯤꯡꯃꯛ ꯑꯇꯣꯞꯄꯥ ꯍꯥꯔꯠ ꯑꯦꯇꯦꯛ ꯑꯃꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯃꯁꯤ ꯍꯥꯔꯠ ꯑꯦꯇꯦꯛ ꯇꯧꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯂꯥꯀꯄꯥ ꯑꯇꯣꯞꯄꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫ ꯃꯗꯨ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯊꯣꯀꯄꯥ, ꯑꯗꯨꯕꯨ ꯈꯉꯖꯤꯅꯒꯗꯕꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯀꯟꯗꯤꯁꯅꯁꯤꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯅꯤ꯫

ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯗ꯭ꯔꯦꯁꯂꯔ ꯁꯤꯟꯗꯣꯝ ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ?

ꯑꯩꯈꯣꯌꯒꯤ ꯊꯝꯃꯣꯌꯕꯨ ꯉꯥꯀꯊꯣꯀꯄꯥ ꯉꯝꯕꯥ ꯊꯤꯟ ꯕꯦꯒ ꯑꯃꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯃꯃꯜ ꯌꯥꯝꯂꯕꯥ ꯄꯣꯠꯁꯛ ꯑꯃꯥ ꯑꯣꯏꯅꯥ ꯈꯅꯕꯤꯌꯨ꯫ ꯊꯝꯃꯣꯌꯒꯤ ꯑꯀꯣꯌꯕꯗꯥ ꯂꯩꯕꯥ ꯉꯥꯀꯊꯣꯛꯅꯕꯥ ꯕꯦꯒ ꯑꯁꯤꯕꯨ ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯑꯣꯏꯅꯥ ꯄꯦꯔꯤꯀꯥꯔꯗꯤꯌꯝ ꯍꯥꯌꯅꯥ ꯀꯧꯏ . ꯗ꯭ꯔꯦꯁꯂꯔ ꯁꯤꯟꯗꯣꯝ ꯍꯥꯌꯕꯁꯤ ꯍꯥꯔꯠ ꯑꯦꯇꯦꯛ ꯇꯧꯔꯕꯥ ꯃꯇꯨꯡ ꯅꯨꯃꯤꯠ ꯈꯔꯅꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ, ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯃꯁꯥꯒꯤ ꯏꯝꯝꯌꯨꯟ ꯁꯤꯁ꯭ꯇꯦꯝ ꯑꯗꯨ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯁꯟ ꯑꯃꯁꯨꯡ ꯁꯣꯀꯄꯥ ꯌꯥꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫ ꯃꯁꯤꯒꯤ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯁꯟ ꯑꯁꯤꯕꯨ ꯄꯦꯔꯤꯀꯥꯔꯗꯤꯇꯤꯁ ꯍꯥꯌꯅꯥ ꯀꯧꯏ .

ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯗ꯭ꯔꯦꯁꯂꯔ ꯁꯤꯟꯗꯣꯝ ꯑꯁꯤ ꯍꯥꯔꯠ ꯑꯦꯇꯦꯛ ꯇꯧꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯊꯣꯀꯄꯥ ꯄꯦꯔꯤꯀꯥꯔꯗꯤꯇꯤꯁ ꯃꯈꯜ ꯑꯃꯅꯤ꯫ ꯃꯃꯥꯡꯗꯥ, ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯍꯥꯔꯠ ꯑꯦꯇꯦꯛ ꯇꯧꯔꯕꯥ ꯃꯤꯑꯣꯏ 100ꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯆꯥꯎꯔꯥꯛꯅꯥ 3-5ꯗꯥ ꯊꯣꯀꯈꯤ . ꯑꯗꯨꯕꯨ ꯍꯧꯖꯤꯛꯇꯤ ꯑꯍꯣꯡꯕꯥ ꯂꯥꯌꯦꯡꯁꯤꯡꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ , ꯍꯥꯔꯠ ꯑꯦꯇꯦꯛ ꯇꯧꯔꯕꯥ ꯃꯤꯑꯣꯏ ꯱꯰꯰ꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯗꯥ ꯐꯥꯑꯣꯕꯥ ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯊꯦꯡꯅꯗꯦ꯫ ꯃꯁꯤ ꯑꯐꯕꯥ ꯄꯥꯎ ꯅꯠꯇꯦ?

ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯍꯥꯔꯠ ꯑꯦꯇꯦꯛ ꯇꯧꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯅꯨꯃꯤꯠ ꯀꯌꯥꯅꯤ ꯅꯠꯠꯔꯒꯥ ꯅꯨꯃꯤꯠ ꯀꯌꯥꯅꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯂꯥꯏꯑꯣꯡ ꯑꯃꯠꯇꯥ ꯌꯥꯎꯗꯅꯥ ꯈꯪꯍꯧꯗꯅꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯏ . ꯃꯁꯤꯒꯤ ꯁꯣꯛ-ꯄꯅꯕꯥ ꯑꯁꯤꯅꯥ ꯊꯝꯃꯣꯌ ꯑꯃꯁꯨꯡ ꯃꯁꯤꯒꯤ ꯑꯀꯣꯌꯕꯗꯥ ꯂꯩꯕꯥ ꯁꯦꯛ, ꯄꯦꯔꯤꯀꯥꯔꯗꯤꯌꯥꯜ ꯁꯦꯛ ꯑꯁꯤ ꯁꯣꯟꯊꯍꯜꯂꯤ, ꯃꯗꯨꯅꯥ ꯑꯩꯈꯣꯌꯅꯥ ꯄꯅꯈꯤꯕꯥ ꯆꯦꯛꯁꯤꯟ-ꯊꯧꯔꯥꯡ ꯑꯁꯤ ꯊꯣꯀꯍꯜꯂꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯁꯦꯛ ꯑꯁꯤ ꯏꯁꯤꯡ ꯌꯥꯎꯕꯥ ꯐ꯭ꯂꯨꯏꯗ ꯑꯃꯅꯥ ꯃꯄꯨꯡ ꯐꯥꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯕꯨ ꯄꯦꯔꯤꯀꯥꯔꯗꯤꯌꯥꯜ ꯏꯐ꯭ꯌꯨꯁꯟ ꯍꯥꯌꯅꯥ ꯀꯧꯏ . ꯀꯔꯤꯒꯨꯝꯕꯥ ꯐ꯭ꯂꯨꯏꯗ ꯑꯁꯤ ꯁꯦꯃꯒꯠꯂꯕꯗꯤ, ꯃꯁꯤꯅꯥ ꯍꯥꯔꯇꯇꯥ ꯄ꯭ꯔꯦꯁꯔ ꯄꯤꯕꯥ ꯌꯥꯏ꯫

ꯃꯁꯤ ꯀꯔꯤꯒꯤ ꯊꯣꯛꯂꯤꯕꯅꯣ? ꯑꯩꯈꯣꯌꯒꯤ ꯏꯁꯥꯒꯤ ꯍꯀꯆꯥꯡ ꯑꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯃꯥꯌꯣꯛꯇꯥ ꯂꯥꯟꯊꯦꯡꯅꯔꯤꯕꯔꯥ?

ꯃꯁꯤꯒꯤ ꯑꯆꯨꯝꯕꯥ ꯃꯔꯝ ꯑꯁꯤ ꯍꯧꯖꯤꯛ ꯐꯥꯑꯣꯕꯥ ꯱꯰꯰% ꯈꯉꯕꯥ ꯉꯃꯗ꯭ꯔꯤ, ꯑꯗꯨꯕꯨ ꯃꯔꯨ ꯑꯣꯏꯕꯥ ꯋꯥꯈꯜꯂꯣꯅꯗꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯏꯝꯝꯌꯨꯟ ꯁꯤꯁ꯭ꯇꯦꯃꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯑꯄꯤꯀꯄꯥ ꯑꯔꯥꯅꯕꯥ ꯋꯥꯈꯜꯂꯣꯟ ꯑꯃꯅꯥ ꯑꯇꯣꯞꯄꯥ ꯋꯥꯐꯝ ꯑꯃꯥ ꯍꯥꯌꯔꯀꯄꯅꯤ꯫

ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯑꯁꯤꯒꯨꯝꯅꯥ ꯈꯅꯕꯤꯌꯨ꯫ ꯍꯥꯔꯠ ꯑꯦꯇꯦꯛ ꯍꯥꯌꯕꯁꯤ ꯍꯥꯔꯇꯀꯤ ꯃꯁꯂꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯍꯥꯌꯕꯁꯤꯅꯤ꯫ ꯃꯁꯤꯒꯤ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯑꯁꯤ ꯊꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯗꯥ "ꯂꯥꯟꯃꯤ" ꯑꯃꯒꯨꯝꯅꯥ ꯂꯩꯕꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯏꯝꯝꯌꯨꯟ ꯁꯤꯁ꯭ꯇꯦꯝ ꯑꯁꯤꯅꯥ ꯑꯁꯣꯀꯄꯥ ꯑꯗꯨꯗꯥ ꯑꯦꯇꯦꯛ ꯇꯧꯏ꯫ꯃꯁꯤ ꯃꯐꯝ ꯑꯗꯨꯗꯥ ꯂꯩꯔꯝꯕꯥ ꯃꯐꯝ ꯑꯗꯨꯗꯥ ꯐꯒꯠꯍꯟꯅꯕꯥ ꯂꯥꯀꯏ꯫ ꯑꯗꯨꯕꯨ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯊꯧꯑꯣꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯏꯝꯝꯌꯨꯟ ꯁꯤꯁ꯭ꯇꯦꯝ ꯑꯁꯤ ꯈꯔꯥ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯍꯧꯔꯀꯏ ꯑꯃꯁꯨꯡ ꯁꯣꯀꯍꯜꯂꯕꯥ ꯍꯥꯔꯇꯀꯤ ꯃꯁꯜ ꯑꯗꯨ ꯌꯦꯛꯅꯕꯥ ꯑꯃꯥ ꯑꯣꯏꯅꯥ ꯂꯧꯏ꯫ ꯑꯗꯨꯒꯥ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯃꯁꯤꯒꯤ ꯃꯥꯌꯣꯛꯇꯥ ꯂꯥꯟꯊꯦꯡꯅꯕꯥ ꯍꯧꯔꯀꯏ꯫ ꯂꯥꯟ ꯑꯁꯤꯒꯤ ꯁꯥꯏꯗ ꯏꯐꯦꯛꯇ ꯑꯃꯥ ꯑꯣꯏꯅꯥ, ꯊꯝꯃꯣꯌꯕꯨ ꯀꯨꯄꯁꯤꯜꯂꯤꯕꯥ ꯑꯗꯨꯒꯨꯝꯕꯥ ꯃꯔꯥꯜ ꯂꯩꯖꯗ꯭ꯔꯕꯥ ꯄꯦꯔꯤꯀꯥꯔꯗꯤꯌꯝ ꯑꯗꯨ ꯁꯣꯀꯏ꯫

ꯃꯁꯤ ꯍꯥꯔꯇꯇꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯜꯂꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯊꯣꯀꯄꯥ ꯏꯝꯝꯌꯨꯟ ꯔꯦꯁꯄꯣꯟꯁ ꯑꯃꯅꯤ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯃꯁꯤꯕꯨ ꯄꯣꯁ꯭ꯠ-ꯀꯥꯔꯗꯤꯌꯦꯛ ꯏꯅꯖꯨꯔꯤ ꯁꯤꯟꯗꯣꯝ (PCIS) ꯍꯥꯌꯅꯥꯁꯨ ꯀꯧꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯀꯌꯥꯒꯤꯗꯃꯛ ꯁꯤꯖꯤꯟꯅꯕꯥ ꯖꯦꯅꯦꯔꯦꯜ ꯅꯦꯝ ꯑꯃꯅꯤ꯫

ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯤꯅꯣ? ꯑꯗꯣꯝꯅꯥ ꯃꯁꯤ ꯀꯔꯝꯅꯥ ꯈꯉꯕꯤꯔꯤꯕꯒꯦ?

ꯃꯍꯧꯁꯥꯅꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯍꯥꯔꯠ ꯑꯦꯇꯦꯛ ꯇꯧꯔꯕꯥ ꯃꯇꯨꯡ ꯅꯨꯃꯤꯠ ꯑꯅꯤꯗꯒꯤ ꯃꯔꯤ ꯐꯥꯎꯕꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯊꯣꯀꯏ꯫ ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯍꯥꯔꯠ ꯑꯦꯇꯦꯛ ꯑꯃꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡꯒꯥ ꯈꯔꯥ ꯈꯦꯠꯅꯩ꯫ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯗꯨ ꯍꯦꯟꯅꯥ ꯀꯨꯞꯅꯥ ꯌꯦꯡꯁꯤ꯫

ꯃꯁꯤꯅꯥ ꯈꯨꯗꯣꯡꯊꯤꯅꯤꯉꯥꯏ ꯑꯣꯏꯕꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯕ꯭ꯔꯥ?

ꯗ꯭ꯔꯦꯁꯂꯔ ꯁꯤꯟꯗꯣꯝ ꯑꯁꯤ ꯃꯍꯧꯁꯥꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯈꯨꯗꯛꯇꯥ ꯂꯥꯏꯌꯦꯡꯂꯕꯗꯤ ꯂꯥꯏꯌꯦꯡꯕꯥ ꯌꯥꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯌꯥꯝꯅꯥ ꯇꯣꯏꯅꯥ ꯊꯣꯀꯄꯥ ꯀꯦꯁꯁꯤꯡꯗꯗꯤ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯂꯥꯏꯌꯦꯡꯗ꯭ꯔꯕꯗꯤ ꯁꯥꯊꯤꯕꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯥꯏꯑꯣꯡ ꯎꯠꯄꯥ ꯃꯇꯃꯗꯥ ꯗꯣꯛꯇꯔ ꯑꯃꯒꯥ ꯇꯥꯟꯅꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫

• ꯀꯥꯔꯗꯤꯌꯦꯛ ꯇꯦꯝꯄꯣꯅꯦꯗ: ꯃꯁꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯈꯨꯗꯣꯡꯊꯤꯅꯤꯉꯥꯏ ꯑꯣꯏꯕꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯅꯤ꯫ ꯍꯥꯔꯇꯀꯤ ꯑꯀꯣꯌꯕꯗꯥ ꯂꯩꯕꯥ ꯁꯦꯛ (pericardium) ꯑꯁꯤ ꯐ꯭ꯂꯨꯏꯗꯅꯥ ꯃꯄꯨꯡ ꯐꯥꯅꯥ ꯊꯜꯂꯕꯥ ꯃꯔꯝꯅꯥ ꯃꯗꯨ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯄꯝꯄ ꯇꯧꯕꯥ ꯉꯃꯗꯦ꯫ ꯃꯁꯤ ꯃꯦꯗꯤꯀꯦꯜ ꯏꯃꯔꯖꯦꯟꯁꯤ ꯑꯃꯅꯤ . ꯂꯥꯏꯑꯣꯡꯁꯤꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯍꯥꯔꯇꯀꯤ ꯈꯣꯡꯖꯦꯜ ꯌꯥꯡꯅꯥ ꯆꯦꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ ꯅꯦꯝꯕꯥ ꯑꯁꯤꯅꯆꯤꯡꯕꯥ ꯌꯥꯎꯏ꯫
• ꯀꯟꯁ꯭ꯠꯔꯤꯛꯇꯤꯚ ꯄꯦꯔꯤꯀꯥꯔꯗꯤꯇꯤꯁ (Constrictive Pericarditis) : ꯃꯁꯤ ꯃꯇꯃꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ ꯄꯦꯔꯤꯀꯥꯔꯗꯤꯌꯃꯅꯥ ꯁꯣꯀꯍꯜꯂꯀꯄꯥ, ꯂꯦꯡ-ꯑꯣꯠꯄꯥ ꯑꯃꯁꯨꯡ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯁꯣꯟꯊꯔꯀꯄꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫ ꯃꯁꯤꯅꯥ ꯊꯝꯃꯣꯌꯒꯤ ꯅꯤꯡꯊꯤꯅꯥ ꯁꯣꯀꯄꯥ ꯉꯝꯕꯒꯤ ꯁꯛꯇꯤ ꯑꯗꯨ ꯊꯤꯡꯏ꯫ ꯃꯁꯤꯅꯥ ꯍꯥꯔꯠ ꯐꯦꯜ ꯑꯣꯏꯕꯒꯨꯝꯕꯥ ꯑꯀꯅꯕꯥ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫

ꯍꯥꯌꯔꯤꯕꯥ ꯋꯥꯐꯃꯁꯤꯡ ꯑꯁꯤ ꯇꯥꯕꯗꯥ ꯌꯥꯝꯅꯥ ꯉꯀꯄꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯕꯨ ꯅꯤꯡꯁꯤꯡꯕꯤꯌꯨ, ꯃꯈꯣꯌ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯊꯦꯡꯅꯩ ꯑꯃꯁꯨꯡ ꯃꯇꯝ ꯆꯥꯅꯥ ꯂꯥꯌꯦꯡꯕꯅꯥ ꯃꯄꯨꯡ ꯐꯥꯅꯥ ꯉꯥꯀꯊꯣꯀꯄꯥ ꯉꯝꯃꯤ .

ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯃꯁꯤ ꯀꯔꯝꯅꯥ ꯇꯁꯦꯡꯅꯥ ꯈꯉꯗꯣꯀꯄꯥ ꯉꯃꯒꯅꯤ?

ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯗꯨ ꯇꯥꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯍꯥꯔꯠ ꯑꯦꯇꯦꯛ ꯑꯃꯥ ꯂꯥꯀꯄꯒꯤ ꯆꯤꯡꯅꯕꯥ ꯂꯩꯔꯀꯄꯥ ꯌꯥꯏ, ꯃꯔꯨꯑꯣꯏꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯍꯟꯗꯛꯇꯥ ꯍꯥꯔꯠ ꯑꯦꯇꯦꯛ ꯑꯃꯥ ꯂꯥꯀꯈꯤꯕꯥ ꯑꯣꯏꯔꯕꯗꯤ꯫ ꯃꯈꯣꯌꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯀꯤꯕꯥ ꯑꯗꯨ ꯀꯅꯐꯥꯔꯝ ꯇꯧꯅꯕꯥ ꯇꯦꯁ꯭ꯠ ꯈꯔꯥ ꯄꯥꯡꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫

ꯗꯣꯛꯇꯔꯅꯥ ꯇꯧꯕꯥ ꯑꯍꯥꯅꯕꯥ ꯊꯕꯛ꯫

ꯅꯍꯥꯛꯅꯥ ꯇꯧꯒꯗꯕꯥ ꯑꯍꯥꯅꯕꯥ ꯊꯕꯛ ꯑꯗꯨꯗꯤ ꯁ꯭ꯇꯦꯊꯣꯁ꯭ꯀꯣꯞ ꯑꯗꯨ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯊꯝꯂꯒꯥ ꯅꯤꯡꯊꯤꯅꯥ ꯇꯥꯕꯅꯤ꯫ ꯑꯗꯨꯗꯒꯤ, ꯑꯗꯣꯝꯅꯥ ꯌꯥꯝꯅꯥ ꯑꯀꯛꯅꯕꯥ ꯈꯣꯟꯖꯦꯜ ꯑꯅꯤ ꯇꯥꯕꯥ ꯐꯪꯒꯅꯤ꯫

1. ꯄꯦꯔꯤꯀꯥꯔꯗꯤꯑꯦꯜ ꯐ꯭ꯔꯤꯛꯁꯟ ꯔꯕ (Pericardial Friction Rub) : ꯁꯣꯀꯄꯥ ꯄꯦꯔꯤꯀꯥꯔꯗꯤꯌꯝ ꯑꯗꯨꯅꯥ ꯊꯝꯃꯣꯌꯗꯥ ꯁꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯊꯣꯀꯄꯥ ꯈꯣꯟꯖꯦꯜ ꯑꯃꯅꯤ꯫ ꯃꯁꯤ ꯁꯨꯃꯍꯠꯄꯥ ꯂꯦꯗꯔ ꯑꯅꯤꯅꯥ ꯄꯨꯟꯅꯥ ꯁꯣꯛꯅ-ꯁꯝꯅꯕꯒꯨꯝ ꯁꯣꯜꯂꯤ꯫

2. ꯄ꯭ꯂꯨꯔꯥꯜ ꯔꯕ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯁꯣꯀꯄꯥ ꯑꯁꯤꯅꯥ ꯂꯪꯁꯀꯤ ꯑꯀꯣꯌꯕꯗꯥ ꯂꯩꯕꯥ ꯂꯥꯏꯅꯤꯡ (pleura)ꯗꯁꯨ ꯁꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯅꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯃꯇꯃꯗꯥ ꯃꯥꯟꯅꯕꯥ ꯈꯣꯟꯖꯦꯜ ꯑꯃꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫

ꯃꯊꯪꯒꯤ ꯇꯦꯁ꯭ꯇꯁꯤꯡ꯫

ꯍꯥꯌꯔꯤꯕꯥ ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯂꯥꯌꯅꯥ ꯑꯁꯤ ꯃꯈꯥ ꯇꯥꯅꯥ ꯀꯅꯐꯔꯝ ꯇꯧꯕꯥ ꯉꯃꯒꯅꯤ꯫

ꯂꯥꯏꯌꯦꯡ ꯑꯁꯤ ꯀꯔꯤꯅꯣ? ꯃꯁꯤ ꯐꯍꯅꯕꯥ ꯉꯃꯒꯗ꯭ꯔꯥ?

ꯍꯣꯌ, ꯃꯄꯨꯡ ꯐꯥꯅꯥ! ꯗ꯭ꯔꯦꯁꯂꯔ ꯁꯤꯟꯗꯣꯃꯒꯤ ꯂꯥꯏꯌꯦꯡ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯂꯥꯏ ꯑꯃꯁꯨꯡ ꯏꯐꯦꯛꯇꯤꯚ ꯑꯣꯏ꯫ ꯑꯌꯥꯝꯕꯥ ꯀꯦꯁꯁꯤꯡꯗꯗꯤ, ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡꯅꯥ ꯁꯣꯛ-ꯄꯅꯕꯥ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯥ ꯉꯝꯃꯤ ꯑꯃꯁꯨꯡ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯗꯨ ꯀꯣꯀꯍꯅꯕꯥ ꯉꯝꯃꯤ꯫

ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯑꯦꯁ꯭ꯄꯤꯔꯤꯅꯒꯤ ꯑꯋꯥꯡꯕꯥ ꯗꯣꯖ ꯑꯃꯥ ꯄꯤꯕꯥ ꯌꯥꯏ , ꯑꯗꯨꯕꯨ ꯀꯣꯂꯆꯤꯁꯤꯟ ꯀꯧꯕꯥ ꯍꯤꯗꯥꯛ ꯑꯃꯅꯥ ꯁꯣꯀꯄꯥ ꯍꯟꯊꯍꯅꯕꯗꯥ ꯑꯃꯁꯨꯡ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯂꯥꯀꯄꯥ ꯊꯤꯡꯕꯗꯁꯨ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫

ꯍꯤꯗꯥꯀꯁꯤꯡ ꯑꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯍꯥꯌꯔꯀꯄꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ ꯅꯨꯃꯤꯠ ꯀꯌꯥꯅꯤ, ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯊꯥ ꯀꯌꯥ ꯂꯧꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ . ꯑꯅꯥꯕꯥ ꯑꯗꯨ ꯍꯟꯊꯔꯀꯄꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯍꯤꯗꯥꯛ ꯑꯗꯨ ꯇꯉꯈꯥꯏ ꯑꯃꯥ ꯂꯧꯕꯥ ꯂꯦꯄꯀꯅꯨ꯫ ꯃꯁꯤ ꯇꯧꯕꯅꯥ ꯂꯥꯌꯅꯥ ꯑꯁꯤ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯂꯥꯀꯄꯒꯤ ꯆꯥꯡ ꯍꯦꯅꯒꯠꯍꯅꯒꯅꯤ꯫

ꯑꯗꯨꯅꯥ, ꯑꯩꯅꯥ ꯀꯔꯤ ꯇꯧꯒꯗꯒꯦ?

ꯍꯥꯔꯠ ꯑꯦꯇꯦꯀꯒꯨꯝꯕꯥ ꯑꯆꯧꯕꯥ ꯑꯅꯥꯕꯥ ꯑꯃꯗꯒꯤ ꯐꯒꯠꯂꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯑꯁꯤꯒꯨꯝꯕꯥ ꯊꯧꯗꯣꯛ ꯑꯃꯥ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯊꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯑꯃꯁꯨꯡ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯐꯥꯎꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯅꯣꯔꯃꯦꯂꯅꯤ꯫ ꯑꯗꯨꯕꯨ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯋꯥꯐꯃꯗꯤ ꯃꯁꯤ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯥ ꯌꯥꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ ꯍꯥꯌꯕꯁꯤ ꯈꯪꯖꯤꯅꯕꯅꯤ꯫

• ꯗꯣꯛꯇꯔꯅꯥ ꯍꯥꯌꯔꯤꯕꯥ ꯑꯗꯨ ꯆꯨꯝꯅꯥ ꯏꯅꯒꯗꯕꯅꯤ: ꯅꯍꯥꯛꯀꯤ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ ꯑꯗꯨ ꯃꯇꯝ ꯆꯥꯅꯥ, ꯃꯄꯨꯡꯐꯥꯅꯥ ꯄꯤꯔꯤꯕꯥ ꯃꯇꯝ ꯑꯗꯨꯒꯤ ꯑꯣꯏꯅꯥ ꯆꯥꯒꯗꯕꯅꯤ꯫
• ꯐꯣꯂꯣ-ꯑꯞ ꯑꯦꯄꯣꯏꯟꯇꯃꯦꯟꯇꯁꯤꯡ ꯂꯧꯊꯣꯀꯄꯤꯒꯅꯨ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯍꯦꯟꯅꯥ ꯐꯒꯠꯂꯛꯂꯕꯁꯨ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯍꯥꯌꯔꯀꯄꯥ ꯅꯨꯃꯤꯠ ꯑꯗꯨꯗꯥ ꯁꯣꯌꯗꯅꯥ ꯍꯜꯂꯀꯎ꯫ ꯃꯁꯤ ꯂꯥꯌꯦꯡ ꯑꯁꯤ ꯀꯌꯥ ꯌꯥꯝꯅꯥ ꯐꯖꯅꯥ ꯊꯕꯛ ꯇꯧꯔꯤꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯕꯗꯥ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫
• ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯗꯨ ꯈꯪꯖꯤꯅꯕꯤꯌꯨ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯗꯨ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯂꯥꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯍꯦꯟꯅꯥ ꯐꯠꯆꯤꯜꯂꯛꯂꯕꯗꯤ, ꯈꯨꯗꯛꯇꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯈꯪꯍꯅꯕꯤꯌꯨ꯫
• ꯋꯥꯍꯪ ꯍꯪꯕꯤꯌꯨ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯅꯠꯠꯔꯒꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛ ꯑꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯍꯪ ꯑꯃꯠꯇꯥ ꯍꯪꯂꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯀ꯭ꯂꯦꯔꯤꯐꯤꯀꯦꯁꯅꯒꯤꯗꯃꯛꯇꯥ ꯍꯪꯕꯤꯌꯨ꯫

ꯗ꯭ꯔꯦꯁꯂꯔ ꯁꯤꯟꯗꯣꯝ ꯑꯁꯤ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯃꯇꯨꯡꯗꯁꯨ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯂꯥꯀꯄꯥ ꯌꯥꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ, ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯌꯦꯡꯁꯤꯅꯕꯒꯤ ꯃꯈꯥꯗꯥ ꯃꯈꯥ ꯇꯥꯅꯥ ꯂꯩꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫