ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨ ꯄꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯅꯍꯥꯛꯅꯥ ꯃꯍꯥꯛꯀꯤ ꯃꯔꯃꯗꯥ ꯋꯥꯐꯝ ꯈꯨꯗꯤꯡꯃꯛ ꯌꯥꯝꯅꯥ ꯋꯥꯅꯥ ꯊꯣꯀꯏ, ꯅꯠꯇꯦ? ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯑꯉꯥꯡꯁꯤꯡꯗꯥ ꯀꯣꯟꯖꯤꯅꯤꯑꯦꯜ ꯍꯥꯔꯠ ꯗꯤꯐꯦꯛꯇꯁꯤꯡ ꯂꯩꯕꯥ ꯌꯥꯏ꯫ ꯑꯁꯤꯒꯨꯝꯕꯥ, ꯈꯔꯥ ꯍꯦꯟꯅꯥ ꯂꯨꯝꯂꯕꯁꯨ, ꯈꯪꯖꯤꯅꯒꯗꯕꯥ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯍꯥꯔꯇꯀꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯗꯤ ꯑꯦꯟꯗꯣꯀꯥꯔꯗꯤꯌꯦꯜ ꯀꯨꯁꯟ ꯗꯤꯐꯦꯛꯇ (ECD) ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ ꯃꯤꯡ ꯑꯁꯤ ꯈꯔꯥ ꯁꯣꯀꯄꯥ ꯌꯥꯏ ꯑꯗꯨꯕꯨ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯂꯩꯔꯣꯏꯗꯕꯅꯤ꯫ ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯁꯨꯞꯅꯇꯒꯤ, ꯑꯗꯣꯝꯅꯥ ꯈꯉꯕꯥ ꯉꯝꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯁꯤ, ꯑꯣꯀꯦ?
ꯃꯁꯤ ꯑꯦꯟꯗꯣꯀꯥꯔꯗꯤꯌꯦꯜ ꯀꯨꯁꯟ ꯗꯤꯐꯦꯛꯇ ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ?
ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯃꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯏꯆꯝ ꯆꯝꯕꯥ ꯑꯉꯥꯡꯁꯤꯡꯒꯤ ꯊꯝꯃꯣꯌꯗꯥ ꯑꯁꯣꯏꯕꯥ ꯑꯃꯅꯤ, ꯃꯁꯤ ꯀꯣꯟꯖꯤꯅꯤꯑꯦꯜ , ꯍꯥꯌꯕꯗꯤ ꯃꯈꯣꯌꯅꯥ ꯃꯃꯥꯒꯤ ꯈꯣꯡꯗꯥ ꯂꯩꯔꯤꯉꯩꯗꯥ ꯊꯣꯀꯄꯥ ꯑꯁꯣꯏꯕꯥ ꯑꯃꯅꯤ꯫ ꯑꯩꯈꯣꯌꯒꯤ ꯊꯝꯃꯣꯌꯕꯨ ꯔꯨꯝ ꯃꯔꯤ ꯂꯩꯕꯥ ꯌꯨꯝ ꯑꯃꯥ ꯑꯣꯏꯅꯥ ꯈꯅꯕꯤꯌꯨ꯫ ꯃꯊꯛꯀꯤ ꯐ꯭ꯂꯣꯔꯗꯥ ꯔꯨꯝ ꯑꯅꯤ ꯂꯩ (ꯃꯁꯤꯕꯨ ꯑꯩꯈꯣꯌꯅꯥ ꯑꯦꯠꯔꯤꯌꯥ ꯍꯥꯌꯅꯥ ꯀꯧꯏ), ꯑꯃꯁꯨꯡ ꯃꯈꯥꯒꯤ ꯐ꯭ꯂꯣꯔꯗꯥ ꯔꯨꯝ ꯑꯅꯤ ꯂꯩ (ꯃꯁꯤꯅꯥ ꯚꯦꯟꯇꯤꯂꯦꯁꯅꯁꯤꯡꯅꯤ)꯫ ꯔꯨꯃꯁꯤꯡ ꯑꯁꯤ ꯑꯃꯒꯥ ꯑꯃꯒꯥ ꯋꯥꯂꯁꯤꯡ (ꯁꯦꯄꯇꯃꯁꯤꯡ)ꯅꯥ ꯇꯣꯈꯥꯌꯅꯥ ꯊꯝꯃꯤ꯫ ꯋꯥꯂꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯏ ꯑꯁꯤ ꯅꯤꯡꯊꯤꯅꯥ ꯆꯦꯜꯂꯤ, ꯃꯥꯌꯀꯩ ꯑꯃꯈꯛꯇꯗꯥ ꯆꯠꯂꯤ꯫
ꯃꯁꯤꯗꯁꯨ ꯅꯠꯇꯅꯥ, ꯆꯦꯝꯕꯔꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯔꯛꯇꯥ ꯒꯦꯠ ꯃꯈꯂꯒꯤ ꯚꯜꯌꯨꯁꯤꯡ ꯂꯩ, ꯃꯗꯨꯅꯥ ꯏ ꯑꯁꯤ ꯃꯥꯌꯀꯩ ꯑꯃꯈꯛꯇꯗꯥ ꯆꯠꯄꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫ ꯃꯔꯨꯑꯣꯏꯅꯥ, ꯃꯊꯛꯀꯤ ꯆꯦꯝꯕꯔꯁꯤꯡ (ꯑꯦꯠꯔꯤꯌꯥ) ꯑꯃꯁꯨꯡ ꯃꯈꯥ ꯊꯪꯕꯥ ꯆꯦꯝꯕꯔꯁꯤꯡ (ꯃꯥꯏꯠꯔꯜ ꯆꯦꯝꯕꯔꯁꯤꯡ)ꯒꯤ ꯃꯔꯛꯇꯥ ꯂꯩꯕꯥ ꯇ꯭ꯔꯥꯏꯀꯁꯄꯤꯗ ꯚꯜꯌꯨ ꯑꯃꯁꯨꯡ ꯃꯥꯏꯠꯔꯜ ꯚꯜꯌꯨ ꯑꯁꯤ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯁꯦꯃꯒꯠꯀꯗꯕꯅꯤ꯫
ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯑꯦꯟꯗꯣꯀꯥꯔꯗꯤꯌꯦꯜ ꯀꯨꯁꯟ ꯗꯤꯐꯦꯛꯇ (ECD) ꯑꯁꯤ ꯂꯩꯕꯥ ꯑꯉꯥꯡ ꯑꯃꯗꯥ, ꯑꯦꯟꯗꯣꯀꯥꯔꯗꯤꯑꯦꯜ ꯀꯨꯁꯟ ꯀꯧꯕꯥ ꯍꯥꯔꯇꯀꯤ ꯁꯔꯨꯀꯁꯤꯡ – ꯋꯥꯂꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯚꯜꯌꯨꯁꯤꯡ ꯑꯁꯤ ꯁꯦꯝꯂꯤꯕꯥ ꯕꯦꯁꯤꯛ ꯇꯤꯁꯨꯁꯤꯡ – ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯆꯥꯎꯈꯠꯄꯥ ꯉꯃꯗꯦ꯫ ꯃꯁꯤꯒꯤ ꯃꯍꯩ ꯑꯣꯏꯅꯥ, ꯍꯥꯔꯇꯀꯤ ꯆꯦꯝꯕꯔꯁꯤꯡ ꯇꯣꯈꯥꯌꯅꯥ ꯇꯥꯍꯜꯂꯤꯕꯥ ꯋꯥꯂꯁꯤꯡ ꯑꯁꯤ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯁꯦꯃꯒꯠꯄꯥ ꯉꯃꯗꯕꯥ ꯌꯥꯏ, ꯅꯠꯠꯔꯒꯥ ꯃꯈꯣꯌ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯂꯩꯇꯕꯥ ꯌꯥꯏ꯫ ꯑꯩꯈꯣꯌꯅꯥ ꯄꯅꯈꯤꯕꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯚꯜꯌꯨ ꯑꯅꯤ (ꯇ꯭ꯔꯥꯏꯀꯁꯄꯤꯗ ꯑꯃꯁꯨꯡ ꯃꯥꯏꯠꯔꯜ) ꯑꯁꯤꯁꯨ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯁꯦꯃꯒꯠꯄꯥ ꯉꯃꯗꯕꯥ ꯌꯥꯏ꯫
ꯍꯧꯖꯤꯛ ꯈꯅꯕꯤꯌꯨ, ꯊꯝꯃꯣꯌꯗꯥ ꯂꯩꯔꯤꯕꯥ ꯈꯦꯟꯅꯕꯥ ꯑꯁꯤ, ꯋꯥꯂꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯊꯕꯛ ꯇꯧꯗꯕꯥ ꯃꯇꯃꯗꯥ, ꯑꯃꯁꯨꯡ ꯒꯦꯠꯁꯤꯡꯒꯨꯝꯅꯥ ꯚꯜꯌꯨꯁꯤꯡ ꯑꯁꯤ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯊꯕꯛ ꯇꯧꯗꯕꯥ ꯃꯇꯃꯗꯥ ꯀꯔꯤ ꯑꯣꯏꯒꯅꯤ? ꯍꯥꯔꯇꯀꯤ ꯃꯅꯨꯡꯗꯥ ꯏ ꯆꯦꯟꯊꯔꯀꯄꯒꯤ ꯃꯑꯣꯡ-ꯃꯇꯧ ꯑꯗꯨ ꯁꯣꯀꯍꯜꯂꯤ꯫
- ꯅꯣꯔꯃꯦꯂꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯏꯅꯥ ꯑꯉꯥꯡ ꯑꯗꯨꯒꯤ ꯂꯪꯁꯇꯥ ꯆꯦꯟꯊꯈꯤꯗꯨꯅꯥ ꯂꯪꯁꯀꯤ ꯃꯅꯨꯡꯗꯥ ꯂꯩꯕꯥ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯂꯁꯤꯡꯗꯥ ꯍꯥꯏ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ (pulmonary high blood pressure) ꯊꯣꯀꯍꯜꯂꯤ꯫
- ꯂꯪꯁꯇꯥ ꯂꯩꯕꯥ ꯑꯋꯥꯡꯕꯥ ꯄ꯭ꯔꯦꯁꯔ ꯑꯁꯤꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯏ ꯑꯁꯤ ꯑꯔꯥꯅꯕꯥ ꯃꯥꯌꯀꯩꯗꯥ ꯆꯦꯅꯕꯥ ꯍꯧꯏ꯫ ꯑꯗꯨꯗꯒꯤ , ꯑꯣꯛꯁꯤꯖꯦꯟ ꯌꯥꯝꯅꯥ ꯌꯥꯑꯣꯕꯥ , ꯁꯦꯡꯂꯕꯥ ꯏ ꯑꯃꯁꯨꯡ ꯑꯣꯛꯁꯤꯖꯦꯟ ꯌꯥꯝꯅꯥ ꯂꯩꯇꯕꯥ , ꯑꯁꯪꯕꯥ ꯏ ꯑꯁꯤ ꯄꯨꯟꯅꯥ ꯌꯥꯑꯣꯁꯤꯅꯕꯥ ꯍꯧꯔꯀꯏ .
- ꯍꯥꯔꯇꯅꯥ ꯏꯒꯤ ꯈꯣꯡꯖꯦꯜ ꯌꯥꯡꯁꯤꯅꯕꯥ ꯑꯁꯤꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯏ ꯄꯝꯄ ꯇꯧꯅꯕꯥ ꯀꯟꯅꯥ ꯍꯣꯠꯅꯒꯗꯕꯅꯤ꯫ ꯃꯁꯤ ꯇꯨꯔꯦꯜ ꯑꯃꯗꯥ ꯆꯦꯟꯊꯔꯀꯄꯒꯨꯝꯕꯅꯤ꯫ ꯃꯇꯃꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ, ꯃꯁꯤꯅꯥ ꯑꯉꯥꯡ ꯑꯗꯨꯒꯤ ꯍꯥꯔꯇꯀꯤ ꯃꯁꯜ ꯑꯗꯨ ꯁꯣꯟꯊꯍꯅꯕꯥ ꯌꯥꯏ꯫
ꯑꯦꯟꯗꯣꯀꯥꯔꯗꯤꯌꯦꯜ ꯀꯨꯁꯟ ꯗꯤꯐꯦꯛꯇ (ECD)ꯒꯤ ꯇꯣꯉꯥꯟ-ꯇꯣꯉꯥꯅꯕꯥ ꯃꯈꯂꯁꯤꯡ ꯂꯩꯕ꯭ꯔꯥ?
ꯍꯣꯌ, ꯑꯃꯥꯡ-ꯑꯇꯥꯒꯤ ꯆꯥꯡꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ, ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤꯒꯤ ꯃꯈꯜ ꯀꯌꯥ ꯂꯩ꯫ ꯑꯉꯥꯡ ꯈꯔꯗꯤ ꯍꯥꯔꯇꯀꯤ ꯃꯊꯛꯀꯤ ꯆꯦꯝꯕꯔ (atria)ꯒꯤ ꯃꯔꯛꯇꯥ ꯂꯩꯕꯥ ꯋꯥꯜ ꯑꯗꯨꯈꯛꯇꯗꯥ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯂꯩꯕꯥ ꯌꯥꯏ꯫ ꯑꯇꯣꯞꯄꯁꯤꯡꯅꯥ ꯂꯣꯌꯔꯕꯥ ꯆꯦꯝꯕꯔꯁꯤꯡ (ꯚꯦꯟꯇꯤꯂꯦꯇꯔꯁꯤꯡ)ꯒꯤ ꯃꯔꯛꯇꯥ ꯂꯩꯕꯥ ꯋꯥꯜ ꯑꯗꯨꯗꯥ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯂꯩꯕꯥ ꯌꯥꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯑꯅꯤꯃꯛ ꯄꯨꯟꯅꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯗꯁꯨ ꯅꯠꯇꯅꯥ ꯃꯥꯏꯠꯔꯜ ꯑꯃꯁꯨꯡ ꯇ꯭ꯔꯥꯏꯀꯁꯄꯤꯗ ꯚꯜꯌꯨꯁꯤꯡꯗꯥ ꯂꯩꯕꯥ ꯑꯁꯣꯛ-ꯑꯄꯅꯁꯤꯡ ꯑꯁꯤꯁꯨ ꯈꯦꯠꯅꯕꯥ ꯌꯥꯏ꯫
ꯑꯦꯟꯗꯣꯀꯥꯔꯗꯤꯑꯦꯜ ꯀꯨꯁꯟ ꯗꯤꯐꯦꯛꯇ (ECD) ꯍꯥꯌꯅꯥ ꯀꯧꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤꯕꯨ ꯑꯦꯠꯔꯤꯑꯣꯚꯦꯟꯇꯤꯀꯨꯂꯥꯔ ꯁꯦꯞꯇꯜ ꯗꯤꯐꯦꯛꯇ (AVSD) ꯅꯠꯠꯔꯒꯥ ꯑꯦꯠꯔꯤꯑꯣꯚꯦꯟꯇꯤꯀꯨꯂꯥꯔ ꯀꯦꯅꯦꯜ ꯗꯤꯐꯦꯛꯇ ꯍꯥꯌꯅꯥꯁꯨ ꯈꯪꯅꯩ꯫
ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯑꯇꯩ ꯀꯣꯟꯖꯤꯅꯤꯑꯦꯜ ꯍꯥꯔꯠ ꯗꯤꯐꯦꯛꯇꯁꯤꯡꯒꯥ ꯃꯔꯤ ꯂꯩꯅꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯈꯨꯗꯝ ꯑꯣꯏꯅ:
- ꯐꯦꯂꯣꯠꯀꯤ ꯇꯦꯠꯔꯥꯂꯣꯖꯤ꯫
- ꯗꯕꯜ ꯑꯥꯎꯇꯂꯦꯠ ꯔꯥꯏꯠ ꯚꯦꯟꯇꯤꯂꯦꯇꯔ꯫
- ꯑꯆꯧꯕꯥ ꯑꯥꯔꯇꯦꯔꯤꯁꯤꯡꯒꯤ ꯇ꯭ꯔꯥꯟꯁꯄꯣꯖꯤꯁꯟ (ꯑꯔꯥꯅꯕꯥ ꯃꯐꯃꯁꯤꯡꯗꯥ ꯑꯆꯧꯕꯥ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯜ ꯑꯅꯤꯒꯤ ꯇ꯭ꯔꯥꯟꯁꯄꯣꯖꯤꯁꯟ)
- ꯄꯦꯇꯦꯟꯇ ꯗꯛꯇꯁ ꯑꯥꯔꯇꯦꯔꯤꯑꯣꯁꯁ꯫
- ꯁꯤꯉ꯭ꯒꯜ ꯚꯦꯟꯇꯤꯂꯦꯁꯟ (ꯁꯤꯉ꯭ꯒꯜ ꯚꯦꯟꯇꯤꯂꯦꯁꯟ)
ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯀꯌꯥꯝ ꯀꯃꯟ ꯑꯣꯏꯕꯒꯦ?
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯌꯨꯅꯥꯏꯇꯦꯗ ꯁ꯭ꯇꯦꯇꯁꯒꯨꯝꯕꯥ ꯂꯩꯕꯥꯀꯁꯤꯡꯒꯤ ꯁ꯭ꯇꯦꯇꯤꯁ꯭ꯇꯤꯛꯁ ꯑꯗꯨ ꯌꯦꯡꯂꯕꯗꯤ, ꯆꯍꯤ ꯈꯨꯗꯤꯡꯒꯤ ꯄꯣꯀꯄꯥ ꯑꯉꯥꯡ 1,800ꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯑꯃꯗꯥ ꯑꯦꯟꯗꯣꯀꯥꯔꯗꯤꯌꯦꯜ ꯀꯨꯁꯟ ꯗꯤꯐꯦꯛꯇ (ECD) ꯑꯁꯤ ꯂꯩꯕꯥ ꯌꯥꯏ꯫ ꯑꯇꯣꯞꯄꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯋꯥꯐꯃꯗꯤ ꯗꯥꯎꯟ ꯁꯤꯟꯗꯣꯝ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯒꯤ ꯆꯥꯎꯔꯥꯛꯅꯥ 20% ꯗꯤ ꯏ.ꯁꯤ.ꯗꯤ.
ꯏ.ꯁꯤ.ꯗꯤ.ꯅꯥ ꯑꯩꯒꯤ ꯑꯉꯥꯡꯒꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯀꯔꯝꯅꯥ ꯁꯣꯀꯍꯅꯕꯒꯦ?
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯏ.ꯁꯤ.ꯗꯤ.ꯒꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯃꯦꯅꯦꯖ ꯇꯧꯗ꯭ꯔꯕꯗꯤ, ꯃꯁꯤꯅꯥ ꯍꯦꯟꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯑꯣꯏꯔꯀꯄꯥ ꯌꯥꯏ ꯑꯃꯁꯨꯡ ꯑꯆꯧꯕꯥ ꯁꯃꯁ꯭ꯌꯥꯁꯤꯡ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫
- ꯂꯪꯁꯀꯤ ꯑꯃꯥꯡ-ꯑꯇꯥ: ꯑꯩꯈꯣꯌꯅꯥ ꯃꯃꯥꯡꯗꯥ ꯈꯟꯅꯈꯤꯕꯒꯨꯝꯅꯥ, ꯂꯪꯁꯇꯥ ꯏ ꯌꯥꯝꯅꯥ ꯆꯦꯅꯕꯥ, ꯄ꯭ꯔꯦꯁꯔ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ, ꯑꯃꯁꯨꯡ ꯃꯇꯃꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ, ꯂꯪꯁꯇꯥ ꯃꯇꯝ ꯆꯨꯞꯄꯒꯤ ꯑꯣꯏꯅꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫
- ꯑꯦꯕꯅꯣꯔꯃꯦꯜ ꯍꯥꯔꯠ ꯔꯤꯗꯝ (abnormal heart rhythm): ꯍꯥꯔꯇꯀꯤ ꯏꯂꯦꯛꯠꯔꯤꯀꯦꯜ ꯑꯦꯛꯇꯤꯚꯤꯇꯤ ꯑꯗꯨ ꯁꯣꯀꯍꯜꯂꯀꯄꯥ ꯌꯥꯏ, ꯑꯃꯁꯨꯡ ꯍꯥꯔꯇꯀꯤ ꯈꯣꯟꯖꯦꯜ ꯑꯗꯨ ꯂꯦꯡ-ꯑꯣꯠꯄꯗꯥ ꯁꯣꯀꯍꯜꯂꯀꯄꯥ ꯌꯥꯏ꯫
- ꯀꯟꯖꯦꯁ꯭ꯇꯤꯚ ꯍꯥꯔꯠ ꯐꯦꯜ ꯑꯣꯏꯕꯥ (congestive heart failure): ꯍꯥꯔꯠ ꯑꯗꯨ ꯁꯣꯟꯊꯔꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯍꯀꯆꯥꯡꯗꯥ ꯏ ꯃꯔꯥꯡ ꯀꯥꯌꯅꯥ ꯄꯨꯊꯣꯀꯄꯥ ꯉꯃꯗꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫
- ꯏꯁꯦꯅꯃꯦꯉ꯭ꯒꯔ ꯁꯤꯟꯗ꯭ꯔꯣꯝ: ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫ ꯂꯪꯁꯇꯥ ꯂꯩꯕꯥ ꯄ꯭ꯔꯦꯁꯔ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯍꯦꯅꯒꯠꯂꯀꯏ, ꯃꯗꯨꯅꯥ ꯏꯒꯤ ꯈꯣꯡꯖꯦꯜ ꯑꯗꯨ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯔꯤꯚꯔꯁ ꯇꯧꯍꯜꯂꯤ, ꯃꯗꯨꯅꯥ ꯑꯣꯛꯁꯤꯖꯦꯟ ꯌꯥꯎꯗꯕꯥ ꯏ ꯑꯗꯨ ꯍꯀꯆꯥꯡ ꯄꯨꯝꯕꯗꯥ ꯆꯪꯁꯤꯜꯂꯤ꯫
ꯑꯀꯅꯕꯥ ꯀꯦꯁ ꯈꯔꯗꯗꯤ, ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤꯅꯥ ꯄꯨꯟꯁꯤꯕꯨ ꯈꯨꯗꯣꯡꯊꯤꯍꯅꯕꯥ ꯐꯥꯎꯕꯥ ꯌꯥꯏ .
ꯃꯁꯤꯗꯁꯨ ꯅꯠꯇꯅꯥ, ꯑꯁꯣꯀꯄꯥ ꯑꯗꯨ ꯁꯔꯖꯔꯤꯅꯥ ꯀꯣꯀꯍꯅꯈ꯭ꯔꯕꯥ ꯃꯇꯨꯡꯗꯁꯨ, ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯗꯥ ꯑꯦꯟꯗꯣꯀꯥꯔꯗꯤꯇꯤꯁ ꯀꯧꯕꯥ ꯍꯥꯔꯠ ꯏꯅꯐꯦꯛꯁꯟ ꯑꯃꯥ ꯂꯥꯀꯄꯒꯤ ꯔꯤꯁ꯭ꯛ ꯂꯩꯕꯥ ꯌꯥꯏ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯗꯦꯟꯇꯤꯁ꯭ꯠ ꯄ꯭ꯔꯣꯁꯤꯗ꯭ꯌꯨꯑꯣꯔ ꯈꯔꯒꯤ ꯃꯃꯥꯡꯗꯥ ꯑꯦꯟꯇꯤꯕꯥꯏꯑꯣꯇꯤꯛ ꯂꯧꯅꯕꯥ ꯄꯥꯎꯇꯥꯛ ꯄꯤꯕꯥ ꯌꯥꯏ꯫
ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯤꯅꯣ?
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯄꯥꯔꯁꯤꯑꯦꯜ ꯑꯦꯟꯗꯣꯀꯥꯔꯗꯤꯑꯦꯜ ꯀꯨꯁꯟ ꯗꯤꯐꯦꯛꯇ ꯂꯩꯕꯥ ꯑꯉꯥꯡꯁꯤꯡꯗꯥ ꯃꯈꯣꯌꯅꯥ ꯌꯥꯝꯅꯥ ꯅꯧꯕꯥ ꯐꯥꯎꯕꯗꯥ ꯂꯥꯏꯑꯣꯡ ꯑꯃꯠꯇꯥ ꯎꯠꯄꯥ ꯉꯃꯗꯕꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯃꯄꯨꯡꯐꯥꯕꯥ ꯑꯦꯟꯗꯣꯀꯥꯔꯗꯤꯑꯦꯜ ꯀꯨꯁꯟ ꯗꯤꯐꯦꯛꯇ (complete ECD) ꯂꯩꯕꯥ ꯑꯉꯥꯡꯁꯤꯡꯗꯥ ꯄꯣꯀꯄꯥ ꯅꯨꯃꯤꯠ ꯈꯔꯅꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯂꯥꯀꯄꯥ ꯌꯥꯏ꯫ ꯈꯨꯗꯃꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯃꯤꯠꯌꯦꯡ ꯆꯪꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ:
- ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯍꯥꯔꯠ ꯕꯤꯠ꯫
- ꯄꯦꯂꯦ ꯅꯠꯠꯔꯒꯥ ꯕ꯭ꯂꯨ ꯁ꯭ꯀꯤꯟ:ꯃꯔꯨꯑꯣꯏꯅꯥ ꯂꯦꯡ-ꯑꯣꯠꯄꯒꯤ ꯃꯑꯣꯡ-ꯃꯇꯧ, ꯂꯦꯡ-ꯑꯣꯠꯄꯒꯤ ꯃꯑꯣꯡ-ꯃꯇꯧ ꯑꯃꯁꯨꯡ ꯈꯣꯡ-ꯈꯨꯠꯀꯤ ꯃꯅꯥꯛ ꯅꯀꯄꯗꯥ ꯂꯩꯕꯥ ꯕ꯭ꯂꯨ ꯗꯤꯁꯀꯂꯔꯁꯤꯡ ꯌꯦꯡꯎ꯫ ꯃꯁꯤꯕꯨ ꯁꯥꯏꯅꯣꯁꯤꯁ ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫
- ꯆꯥꯕꯗꯥ ꯑꯋꯥꯕꯥ ꯑꯃꯁꯨꯡ ꯑꯔꯨꯝꯕꯥ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ: ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨ ꯋꯥꯈꯜ ꯇꯥꯗꯕꯥ, ꯁꯉ꯭ꯒꯣꯝ ꯊꯀꯄꯥ ꯃꯇꯨꯡꯗꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯑꯔꯨꯝꯕꯥ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯎ꯫
- ꯑꯦꯅꯔꯖꯤ ꯋꯥꯠꯄꯥ: ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨ ꯃꯇꯝ ꯄꯨꯝꯅꯃꯛꯇꯥ ꯇꯨꯝꯕꯥ ꯌꯥꯗꯕ꯭ꯔꯥ ꯑꯃꯁꯨꯡ ꯁꯥꯟꯅꯕꯗꯥ ꯄꯨꯛꯅꯤꯡ ꯆꯪꯗꯕ꯭ꯔꯥ?
- ꯌꯥꯡꯅꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯋꯥꯕꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ: ꯑꯉꯥꯡ ꯑꯗꯨꯒꯤ ꯃꯈꯨꯠ ꯑꯗꯨ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯁꯣꯟꯊꯔꯀꯄꯥ, ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯃꯇꯃꯗꯥ ꯈꯣꯡ ꯑꯗꯨ ꯃꯅꯨꯡꯗꯥ ꯆꯪꯂꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯎ꯫
- ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯏꯅꯐꯦꯛꯁꯅꯁꯤꯡ : ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯏꯅꯐꯦꯛꯁꯅꯁꯤꯡ, ꯃꯔꯨꯑꯣꯏꯅꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯒꯤ ꯏꯅꯐꯦꯛꯁꯅꯁꯤꯡꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯆꯦꯀꯁꯤꯅꯒꯗꯕꯅꯤ꯫
ꯃꯁꯤꯒꯤ ꯑꯦꯟꯗꯣꯀꯥꯔꯗꯤꯌꯦꯜ ꯀꯨꯁꯟ ꯗꯤꯐꯦꯛꯇ ꯑꯁꯤ ꯀꯔꯤꯅꯥ ꯊꯣꯀꯍꯅꯕꯒꯦ?
ꯑꯦꯟꯗꯣꯀꯥꯔꯗꯤꯌꯦꯜ ꯀꯨꯁꯟ ꯗꯤꯐꯦꯛꯇ (ECD)ꯒꯤ ꯑꯆꯨꯝꯕꯥ ꯃꯔꯝ ꯑꯗꯨ ꯍꯧꯖꯤꯛ ꯐꯥꯎꯕꯥ ꯈꯪꯗ꯭ꯔꯤ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ ꯃꯁꯤ ꯗꯥꯎꯟ ꯁꯤꯟꯗꯣꯃꯒꯥ ꯌꯥꯝꯅꯥ ꯅꯛꯅꯥ ꯃꯔꯤ ꯂꯩꯅꯩ ꯍꯥꯌꯕꯥ ꯈꯉꯂꯦ꯫ ꯃꯁꯤꯒꯤ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯑꯁꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯅꯥ ꯃꯤꯔꯣꯜꯂꯤꯉꯩ ꯃꯇꯃꯗꯥ ꯇꯣꯌꯅꯥ ꯊꯣꯀꯏ꯫ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯁꯃꯁ꯭ꯌꯥ ꯑꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯃꯃꯥꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯈꯤꯕꯥ ꯑꯦꯟꯗꯣꯀꯥꯔꯗꯤꯌꯦꯜ ꯀꯨꯁꯟ ꯀꯧꯕꯥ ꯇꯤꯁ꯭ꯌꯨ ꯑꯁꯤ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯆꯥꯎꯈꯠꯄꯥ ꯉꯃꯗꯕꯅꯤ꯫ ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯃꯇꯨꯡꯗꯥ ꯊꯝꯃꯣꯌꯒꯤ ꯆꯦꯝꯕꯔꯁꯤꯡ ꯇꯣꯉꯥꯟꯅꯥ ꯇꯥꯍꯜꯂꯤꯕꯥ ꯋꯥꯂꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯚꯜꯌꯨꯁꯤꯡꯅꯤ꯫
ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯈꯪꯗꯣꯀꯄꯒꯦ?
ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡꯒꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯑꯍꯥꯅꯕꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯕꯨ ꯃꯄꯨꯡꯐꯥꯕꯥ ꯐꯤꯖꯤꯀꯦꯜ ꯑꯦꯀꯖꯥꯃꯤꯅꯦꯁꯟ ꯑꯃꯥ ꯄꯤꯒꯅꯤ . ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯁ꯭ꯇꯦꯊꯣꯁ꯭ꯀꯣꯞ ꯑꯃꯅꯥ ꯍꯥꯔꯠ ꯑꯗꯨ ꯇꯥꯕꯥ ꯃꯇꯃꯗꯥ ꯑꯦꯕꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯕꯥ ꯈꯣꯟꯖꯦꯜ (ꯍꯥꯔꯠ ꯃꯨꯔꯃꯨꯔ) ꯑꯃꯥ ꯇꯥꯕꯥ ꯇꯥꯔꯕꯗꯤ, ꯃꯁꯤꯅꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤꯒꯤ ꯀ꯭ꯂꯨ ꯑꯃꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫
ꯃꯁꯤꯒꯤ ꯃꯊꯛꯇꯥ, ꯑꯇꯣꯞꯄꯥ ꯇꯦꯁ꯭ꯠ ꯀꯌꯥ ꯑꯃꯥ ꯄꯥꯡꯊꯣꯀꯄꯥ ꯌꯥꯏ:
- ꯏꯂꯦꯛꯠꯔꯣꯀꯥꯔꯗꯤꯑꯣꯒ꯭ꯔꯥꯐ (EKG/ECG): ꯃꯁꯤꯅꯥ ꯍꯥꯔꯇꯀꯤ ꯏꯂꯦꯛꯠꯔꯤꯀꯦꯜ ꯑꯦꯛꯇꯤꯚꯤꯇꯤ ꯑꯗꯨ ꯇꯦꯁ꯭ꯠ ꯇꯧꯏ꯫
- ꯏꯀꯣꯀꯥꯔꯗꯤꯑꯣꯒ꯭ꯔꯥꯐ: ꯃꯁꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯇꯦꯁ꯭ꯇꯅꯤ꯫ ꯃꯁꯤꯅꯥ ꯊꯝꯃꯣꯌꯒꯤ ꯐꯖꯕꯥ ꯑꯃꯥ ꯂꯧꯕꯗꯥ ꯁꯥꯎꯟꯗ ꯋꯦꯕ ꯁꯤꯖꯤꯟꯅꯩ꯫ ꯃꯁꯤꯅꯥ ꯊꯝꯃꯣꯌꯒꯤ ꯃꯑꯣꯡ ꯃꯇꯧꯗꯒꯤ ꯍꯧꯔꯒꯥ ꯃꯁꯤꯒꯤ ꯋꯥꯂꯁꯤꯡꯗꯥ ꯂꯩꯕꯥ ꯍꯨꯔꯥꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯚꯜꯌꯨꯁꯤꯡꯅꯥ ꯀꯔꯝꯅꯥ ꯊꯕꯛ ꯇꯧꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯐꯥꯑꯣꯕꯥ ꯃꯌꯦꯛ ꯁꯦꯡꯅꯥ ꯎꯕꯥ ꯐꯪꯏ꯫
- ꯆꯦꯁ꯭ꯠ ꯑꯦꯛꯁ-ꯔꯦ: ꯃꯁꯤꯅꯥ ꯍꯥꯔꯇꯀꯤ ꯁꯥꯏꯖ ꯑꯃꯁꯨꯡ ꯂꯪꯁꯀꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯗꯨ ꯆꯦꯛ ꯇꯧꯕꯥ ꯉꯝꯃꯤ꯫
- ꯍꯥꯔꯠ ꯑꯦꯝ.ꯑꯥꯔ.ꯑꯥꯏ.: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯇꯦꯁ꯭ꯠ ꯑꯁꯤ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯀꯨꯞꯄꯥ ꯃꯔꯣꯜ ꯍꯦꯟꯅꯥ ꯃꯊꯧ ꯇꯥꯔꯕꯗꯤ ꯇꯧꯏ꯫
- ꯀꯥꯔꯗꯤꯌꯦꯛ ꯀꯦꯇꯦꯒꯣꯔꯤ (cardiac catheterization): ꯃꯁꯤꯒꯤ ꯊꯧꯑꯣꯡ ꯑꯁꯤꯗꯥ, ꯍꯥꯔꯇꯀꯤ ꯃꯅꯨꯡꯗꯥ ꯂꯩꯕꯥ ꯄ꯭ꯔꯦꯁꯔ ꯑꯗꯨ ꯂꯦꯄꯊꯣꯛꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯏꯒꯤ ꯁꯦꯝꯄꯂꯁꯤꯡ ꯂꯧꯅꯕꯥ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯜ ꯑꯃꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯄꯤꯀꯄꯥ ꯇꯤꯎꯕ (catheter) ꯑꯃꯥ ꯊꯥꯗꯣꯀꯏ꯫ ꯃꯁꯤ ꯁꯔꯖꯔꯤꯒꯤ ꯃꯃꯥꯡꯗꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯏ꯫
ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯋꯥꯐꯃꯗꯤ ꯅꯍꯥꯛꯀꯤ ꯃꯤꯔꯣꯜꯂꯤꯉꯩ ꯃꯇꯃꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯇꯥꯟꯅꯗꯨꯅꯥ ꯂꯩꯕꯥ ꯑꯃꯁꯨꯡ ꯑꯂꯠꯔꯥꯁꯥꯎꯟꯗ ꯁ꯭ꯀꯦꯟ ꯇꯧꯕꯅꯤ꯫ꯃꯁꯤ ꯑꯆꯨꯝꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯐꯪꯍꯅꯕꯥ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯑꯉꯥꯡ ꯑꯗꯨ ꯄꯣꯀꯄꯥ ꯃꯃꯥꯡꯗꯥ, ꯑꯉꯥꯡ ꯑꯗꯨ ꯄꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯇꯧꯕꯥ ꯁ꯭ꯀꯦꯟ (fetal echocardiogram) ꯑꯃꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ECD ꯈꯪꯗꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯁꯤ ꯇꯣꯌꯅꯥ ꯈꯪꯂꯕꯥ ꯃꯇꯃꯗꯥ, ꯑꯉꯥꯡ ꯑꯗꯨ ꯄꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯂꯥꯏꯌꯦꯡ ꯑꯗꯨ ꯍꯧꯅꯕꯥ ꯊꯧꯔꯥꯡ ꯇꯧꯕꯥ ꯌꯥꯏ꯫
ꯃꯁꯤ ꯀꯔꯝꯅꯥ ꯂꯥꯌꯦꯡꯕꯒꯦ?
ꯑꯦꯟꯗꯣꯀꯥꯔꯗꯤꯌꯦꯜ ꯀꯨꯁꯟ ꯗꯤꯐꯦꯛꯇ (ECD) ꯑꯁꯤꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯑꯃꯁꯨꯡ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯥ ꯂꯥꯏꯌꯦꯡꯗꯤ ꯁꯔꯖꯔꯤꯅꯤ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯁꯔꯖꯔꯤ ꯑꯗꯨ ꯇꯧꯗ꯭ꯔꯤꯐꯥꯎꯕꯥ, ꯑꯉꯥꯡ ꯑꯗꯨꯕꯨ ꯃꯄꯥꯉ꯭ꯒꯜ ꯀꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯑꯔꯨꯝꯕꯥ ꯍꯦꯅꯒꯠꯍꯅꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯅꯕꯥ ꯍꯤꯗꯥꯛ ꯈꯔꯗꯤ ꯄꯤꯕꯥ ꯌꯥꯏ꯫ ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯍꯀꯆꯥꯡꯗꯥ ꯑꯍꯦꯅꯕꯥ ꯐ꯭ꯂꯨꯏꯗ ꯍꯟꯊꯍꯅꯕꯥ ꯉꯝꯕꯥ ꯗꯥꯏꯑꯦꯕꯦꯇꯤꯖ (‘ꯋꯥꯇꯔ ꯄꯤꯜ’ ꯍꯥꯌꯅꯥꯁꯨ ꯀꯧꯕꯥ) ꯑꯃꯁꯨꯡ ꯍꯥꯔꯇꯀꯤ ꯊꯕꯛ ꯊꯧꯔꯃꯁꯤꯡ ꯆꯥꯡ ꯈꯔꯗꯥ ꯐꯒꯠꯍꯅꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯂꯤꯕꯥ ꯗꯥꯏꯒꯣꯛꯁꯤꯟ (Cardoxin® ꯅꯠꯠꯔꯒꯥ Lanoxin®)꯫
ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯀꯔꯤ ꯑꯣꯏꯒꯅꯤ?
ꯁꯔꯖꯔꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯀꯥꯔꯗꯤꯌꯦꯛ ꯁꯔꯖꯔꯤꯁꯤꯡꯅꯥ ꯍꯥꯔꯇꯀꯤ ꯆꯦꯝꯕꯔꯁꯤꯡꯒꯤ ꯃꯔꯛꯇꯥ ꯏ ꯊꯣꯀꯄꯥ ꯊꯣꯀꯍꯜꯂꯤꯕꯥ ꯍꯣꯂꯁꯤꯡ ꯑꯗꯨ ꯊꯤꯡꯖꯤꯜꯂꯤ꯫ ꯃꯈꯣꯌꯅꯥ ꯃꯁꯤ ꯇꯧꯅꯕꯒꯤꯗꯃꯛꯇꯥ ꯑꯈꯟꯅꯕꯥ ꯄꯦꯆ ꯑꯃꯥ ꯁꯤꯖꯤꯟꯅꯩ꯫ ꯃꯁꯤꯗꯁꯨ ꯅꯠꯇꯅꯥ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯉꯥꯡ ꯑꯗꯨꯗꯥ ꯚꯜꯌꯨ ꯑꯃꯈꯛꯇꯃꯛ ꯂꯩꯔꯕꯗꯤ ꯃꯈꯣꯌꯅꯥ ꯃꯗꯨꯗꯒꯤ ꯇꯣꯉꯥꯅꯕꯥ ꯃꯥꯏꯠꯔꯜ ꯑꯃꯁꯨꯡ ꯇ꯭ꯔꯥꯏꯀꯁꯄꯤꯗ ꯚꯜꯌꯨ ꯑꯅꯤ ꯁꯦꯃꯒꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯉꯥꯡ ꯑꯗꯨꯒꯤ ꯃꯥꯏꯠꯔꯜ ꯚꯜꯌꯨ ꯑꯗꯨ ꯂꯤꯛ ꯑꯣꯏꯔꯕꯗꯤ, ꯃꯗꯨꯁꯨ ꯔꯤꯄꯦꯌꯥꯔ ꯇꯧꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯃꯊꯧ ꯇꯥꯔꯕꯗꯤ ꯃꯍꯨꯠ ꯁꯤꯅꯕꯥ ꯌꯥꯏ꯫
ꯃꯁꯤꯒꯤ ꯁꯔꯖꯔꯤ ꯑꯁꯤ ꯃꯍꯧꯁꯥꯅꯥ ꯊꯥ ꯳ ꯑꯃꯁꯨꯡ ꯶ꯀꯤ ꯃꯔꯛꯇꯥ ꯂꯩꯕꯥ ꯑꯉꯥꯡ ꯑꯃꯗꯥ ꯄꯥꯡꯊꯣꯀꯄꯥ ꯌꯥꯏ . ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯗꯥ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯑꯦꯟꯗꯣꯀꯥꯔꯗꯤꯌꯦꯜ ꯀꯨꯁꯟ ꯗꯤꯐꯦꯛꯇ ꯂꯩꯔꯕꯗꯤ, ꯑꯉꯥꯡ ꯑꯗꯨꯅꯥ ꯆꯍꯤ ꯑꯃꯥ ꯁꯨꯗ꯭ꯔꯤꯉꯩꯗꯥ ꯁꯔꯖꯔꯤ ꯑꯗꯨ ꯇꯧꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ . ꯃꯁꯤꯅꯥ ꯃꯇꯝ ꯆꯨꯞꯄꯒꯤ ꯑꯣꯏꯅꯥ ꯂꯪꯁꯀꯤ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯟꯗꯅꯕꯒꯤ ꯑꯃꯠꯇꯥ ꯉꯥꯏꯔꯕꯥ ꯄꯥꯝꯕꯩꯅꯤ꯫
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯑꯉꯥꯡ ꯑꯃꯅꯥ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯑꯣꯄꯔꯦꯁꯟ ꯇꯧꯕꯥ ꯉꯃꯗꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯔꯨꯝꯕꯥ ꯋꯥꯠꯄꯥ ꯌꯥꯏ꯫ ꯑꯗꯨ ꯑꯣꯏꯔꯕꯗꯤ, ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯑꯍꯥꯅꯕꯗꯥ ꯑꯉꯥꯡ ꯑꯗꯨꯒꯤ ꯂꯪꯁꯇꯥ ꯏꯒꯤ ꯆꯥꯡ ꯑꯗꯨ ꯂꯤꯃꯤꯠ ꯇꯧꯅꯕꯥ ꯑꯇꯣꯞꯄꯥ, ꯍꯦꯟꯅꯥ ꯂꯥꯏꯕꯥ ꯑꯣꯄꯔꯦꯁꯟ ꯑꯃꯥ ꯇꯧꯒꯅꯤ꯫ ꯃꯁꯤꯕꯨ ꯄꯂꯃꯣꯅꯥꯔꯤ ꯑꯥꯔꯇꯦꯔꯤ ꯕꯦꯟꯗꯤꯡ ꯍꯥꯌꯅꯥ ꯀꯧꯏ . ꯃꯁꯤꯅꯥ ꯑꯉꯥꯡ ꯑꯗꯨ ꯃꯄꯥꯉ꯭ꯒꯜ ꯀꯅꯈꯠꯂꯛꯠꯔꯤꯐꯥꯎꯕꯥ ꯑꯃꯁꯨꯡ ꯑꯔꯨꯝꯕꯥ ꯍꯦꯅꯒꯠꯂꯛꯠꯔꯤꯐꯥꯎꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯃꯇꯤꯛ ꯆꯥꯕꯥ ꯃꯇꯃꯗꯥ ꯃꯄꯨꯡ ꯐꯥꯅꯥ ꯔꯤꯄꯦꯌꯥꯔ ꯇꯧꯕꯥ ꯌꯥꯏ꯫
ꯂꯥꯏꯌꯦꯡꯕꯗꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯟ ꯂꯩꯕ꯭ꯔꯥ?
ꯁꯔꯖꯔꯤ ꯑꯃꯍꯦꯛꯇꯒꯥ ꯃꯥꯟꯅꯅꯥ, ꯏ.ꯁꯤ.ꯗꯤ.ꯒꯤ ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯕꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯟ ꯈꯔꯗꯤ ꯂꯩ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯑꯌꯥꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯃꯦꯅꯦꯖ ꯇꯧꯕꯥ ꯌꯥꯏ꯫
- ꯂꯤꯛ ꯑꯣꯏꯕꯥ ꯃꯥꯏꯠꯔꯜ ꯚꯜꯌꯨ ꯑꯃꯥ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯃꯥꯏꯠꯔꯜ ꯚꯜꯌꯨ ꯑꯗꯨ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯊꯤꯡꯖꯤꯅꯕꯥ ꯉꯃꯗꯕꯥ ꯌꯥꯏ ꯑꯃꯁꯨꯡ ꯏ ꯈꯔꯗꯤ ꯃꯇꯨꯡꯗꯥ ꯂꯤꯛ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫
- ꯍꯥꯔꯇꯀꯤ ꯔꯤꯗꯝ (abnormal heart rhythm) : ꯍꯥꯔꯇꯀꯤ ꯈꯣꯡꯖꯦꯂꯗꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯈꯔꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯑꯉꯥꯡ ꯑꯗꯨꯅꯥ ꯆꯍꯤ ꯈꯔꯥ ꯁꯨꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯃꯈꯣꯌꯒꯤ ꯅꯍꯥ ꯑꯣꯏꯔꯤꯉꯩ ꯃꯇꯃꯗꯁꯨ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯃꯁꯤꯡ ꯑꯁꯤ ꯂꯥꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯔꯝ ꯑꯁꯤꯅꯥ ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯃꯦꯗꯤꯀꯦꯜ ꯆꯦꯀꯑꯞ ꯇꯧꯕꯥ ꯑꯁꯤ ꯃꯔꯨꯑꯣꯏ꯫
ꯃꯁꯤꯒꯤ ꯐꯤꯚꯝ ꯑꯁꯤ ꯊꯤꯡꯕꯥ ꯉꯃꯒꯗ꯭ꯔꯥ?
ꯏ.ꯁꯤ.ꯗꯤ.ꯒꯤ ꯑꯀꯛꯅꯕꯥ ꯃꯔꯝ ꯈꯉꯗꯕꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯃꯁꯤ ꯀꯔꯝꯅꯥ ꯃꯄꯨꯡ ꯐꯥꯅꯥ ꯊꯤꯡꯒꯅꯤ ꯍꯥꯌꯕꯁꯤ ꯍꯥꯌꯕꯥ ꯌꯥꯝꯅꯥ ꯂꯨꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯏꯃꯨꯡꯒꯤ ꯃꯤꯑꯣꯏ ꯑꯃꯗꯥ ꯍꯥꯔꯠ ꯗꯤꯐꯦꯛꯇ (ECD) ꯅꯠꯠꯔꯒꯥ ꯑꯇꯩ ꯖꯦꯅꯦꯇꯤꯛ ꯏꯁꯨꯁꯤꯡ ꯑꯁꯤ ꯂꯩꯔꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯃꯤꯔꯣꯜꯂꯤꯉꯩ ꯃꯃꯥꯡꯗꯥ ꯖꯦꯅꯦꯇꯤꯛ ꯀꯥꯎꯟꯁꯦꯂꯤꯡ ꯂꯧꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯑꯐꯕꯥ ꯋꯥꯈꯜꯂꯣꯟ ꯑꯃꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯩꯒꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯗꯥ ECD ꯂꯩꯔꯕꯗꯤ, ꯑꯩꯅꯥ ꯀꯔꯤ ꯑꯥꯁꯥ ꯇꯧꯒꯗꯒꯦ?
ꯃꯁꯤ ꯃꯃꯥ-ꯃꯄꯥ ꯀꯌꯥꯒꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯆꯥꯎꯕꯥ ꯋꯥꯍꯪꯅꯤ꯫ ꯅꯨꯡꯉꯥꯏꯕꯥ ꯄꯥꯎ ꯑꯃꯗꯤ ꯏ.ꯁꯤ.ꯗꯤ.ꯕꯨ ꯀꯣꯀꯍꯟꯅꯕꯥ ꯁꯔꯖꯔꯤ ꯇꯧꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯑꯉꯥꯡ ꯑꯌꯥꯝꯕꯅꯥ ꯅꯣꯔꯃꯦꯜ, ꯍꯀꯁꯦꯜ ꯐꯕꯥ ꯄꯨꯟꯁꯤ ꯑꯃꯥ ꯍꯤꯡꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯑꯉꯥꯡ ꯑꯃꯒꯤ ꯇꯨꯡꯒꯤ ꯍꯀꯁꯦꯜ ꯑꯁꯤ ꯃꯈꯣꯌꯒꯤ ꯏ.ꯁꯤ.ꯗꯤ.ꯒꯤ ꯃꯑꯣꯡ-ꯃꯇꯧ, ꯃꯈꯣꯌꯒꯤ ꯂꯪꯁꯁꯤꯡꯗꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯈꯤꯕ꯭ꯔꯥ, ꯑꯃꯁꯨꯡ ꯃꯈꯣꯌꯒꯤ ꯑꯄꯨꯅꯕꯥ ꯍꯀꯁꯦꯜ ꯑꯁꯤꯅꯆꯤꯡꯕꯥ ꯐꯦꯛꯇꯔꯁꯤꯡꯒꯤ ꯃꯈꯥ ꯄꯣꯜꯂꯤ꯫
ꯁ꯭ꯇꯦꯇꯤꯁ꯭ꯇꯤꯀꯦꯂꯒꯤ ꯃꯇꯨꯡ ꯏꯟꯅꯥ ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯑꯍꯥꯅꯕꯥ ꯆꯍꯤꯗꯥ ꯍꯤꯡꯕꯒꯤ ꯆꯥꯡ ꯑꯁꯤ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯸꯰% ꯑꯣꯏ꯫ ꯑꯇꯣꯞꯄꯥ ꯆꯍꯤ 10ꯒꯤ ꯑꯣꯏꯅꯥ ꯍꯤꯡꯕꯒꯤ ꯆꯥꯡ ꯑꯁꯤ ꯆꯥꯎꯔꯥꯛꯅꯥ 75% ꯑꯣꯏ, ꯑꯃꯁꯨꯡ ꯆꯍꯤ 20ꯒꯤ ꯑꯣꯏꯅꯥ ꯍꯤꯡꯕꯒꯤ ꯆꯥꯡ ꯑꯁꯤ ꯆꯥꯎꯔꯥꯛꯅꯥ 65% ꯑꯣꯏ꯫
ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯨꯡꯗꯁꯨ ꯑꯉꯥꯡ ꯈꯔꯗꯤ ꯇꯨꯡꯗꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ ꯂꯥꯀꯄꯥ ꯌꯥꯏ꯫ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯑꯃꯗꯤ ꯃꯥꯏꯠꯔꯜ ꯚꯜꯌꯨ ꯑꯁꯤ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯊꯤꯡꯖꯤꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯏ ꯂꯤꯛ ꯑꯣꯏꯕꯁꯤꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯁꯤ ꯑꯣꯏꯔꯕꯗꯤ, ꯃꯗꯨ ꯀꯣꯀꯍꯟꯅꯕꯥ ꯑꯇꯣꯞꯄꯥ ꯁꯔꯖꯔꯤ ꯑꯃꯥ ꯄꯥꯡꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫
ꯏ.ꯁꯤ.ꯗꯤ.ꯒꯤ ꯐꯤꯚꯝ ꯑꯁꯤ ꯀꯌꯥ ꯌꯥꯝꯅꯥ ꯁꯥꯡꯅꯥ ꯂꯩꯕꯒꯦ?
ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫ ꯑꯦꯟꯗꯣꯀꯥꯔꯗꯤꯌꯦꯜ ꯀꯨꯁꯟ ꯗꯤꯐꯦꯛꯇ (ECD) ꯑꯁꯤ ꯃꯁꯥ ꯃꯊꯟꯇꯥ ꯐꯒꯠꯂꯛꯀꯗꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫ ꯀꯥꯔꯗꯤꯌꯦꯛ ꯁꯔꯖꯔꯤ ꯑꯃꯅꯥ ꯑꯁꯣꯀꯄꯥ ꯑꯗꯨ ꯀꯣꯀꯍꯟꯅꯕꯥ ꯁꯔꯖꯔꯤ ꯇꯧꯗ꯭ꯔꯤꯉꯩꯗꯥ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯑꯗꯨ ꯂꯩꯒꯅꯤ꯫ ꯁꯔꯖꯔꯤ ꯇꯧꯗꯅꯥ ꯑꯉꯥꯡ ꯀꯌꯥ ꯆꯍꯤ 2 ꯅꯠꯠꯔꯒꯥ 3ꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯍꯤꯡꯕꯥ ꯉꯝꯂꯣꯏ꯫ ꯃꯔꯝ ꯑꯁꯤꯅꯥ ꯃꯇꯝ ꯆꯥꯅꯥ ꯁꯔꯖꯔꯤ ꯇꯧꯕꯥ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫
ꯑꯩꯒꯤ ꯑꯉꯥꯡ ꯑꯗꯨ ꯀꯔꯝꯅꯥ ꯌꯦꯡꯁꯤꯅꯒꯅꯤ?
ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯗꯥ ꯏ.ꯁꯤ.ꯗꯤ . ꯐꯣꯂꯣ-ꯑꯞ ꯑꯦꯄꯣꯏꯟꯇꯃꯦꯟꯇꯁꯤꯡ ꯑꯁꯤ ꯆꯍꯤ ꯑꯃꯗꯥ ꯑꯃꯨꯛ ꯅꯠꯠꯔꯒꯥ ꯑꯅꯤꯔꯛ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫ ꯆꯦꯀꯑꯄꯁꯤꯡ ꯑꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡꯒꯤ ꯑꯉꯥꯡ ꯑꯣꯏꯔꯤꯉꯩ ꯃꯇꯝ ꯄꯨꯝꯅꯃꯛꯇꯥ ꯑꯃꯁꯨꯡ ꯃꯄꯨꯡ-ꯃꯔꯩ ꯐꯥꯔꯕꯥ ꯃꯇꯝ ꯐꯥꯎꯕꯗꯥ ꯃꯈꯥ ꯆꯠꯊꯒꯅꯤ꯫ ꯃꯁꯤꯅꯥ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯒꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯗꯨ ꯌꯦꯡꯁꯤꯅꯕꯥ, ꯄꯦꯆ ꯅꯠꯠꯔꯒꯥ ꯚꯜꯌꯨ ꯑꯗꯨꯗꯥ ꯂꯤꯛ ꯑꯣꯏꯕꯥ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯑꯃꯍꯦꯛꯇꯕꯨ ꯌꯦꯡꯁꯤꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯊꯧ ꯇꯥꯔꯕꯗꯤ ꯇꯣꯌꯅꯥ ꯏꯟꯇꯔꯚꯦꯟꯁꯟ ꯇꯧꯕꯥ ꯌꯥꯍꯜꯂꯤ꯫
ꯑꯩꯒꯤ ꯑꯉꯥꯡ ꯑꯗꯨ ꯀꯗꯥꯏꯗꯥ ꯗꯣꯛꯇꯔꯗꯥ ꯄꯨꯊꯣꯛꯀꯗꯒꯦ?
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯅꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯍꯦꯛꯇꯕꯨ ꯎꯕꯥ ꯐꯪꯂꯕꯗꯤ, ꯈꯨꯗꯛꯇꯥ ꯗꯣꯛꯇꯔ ꯑꯃꯒꯥ ꯇꯥꯟꯅꯧ:
- ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ꯫
- ꯃꯇꯝ ꯈꯔꯒꯤ ꯑꯣꯏꯅꯥ ꯂꯥꯟꯊꯦꯡꯅꯔꯕꯥ ꯑꯃꯁꯨꯡ ꯁꯥꯟꯅꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯌꯥꯝꯅꯥ ꯍꯣꯠꯅꯗꯅꯥ ꯋꯥꯈꯜ ꯋꯥꯕꯥ꯫
- ꯊꯥꯖꯕꯥ ꯌꯥꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯔꯨꯝꯕꯥ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ꯫
- ꯕ꯭ꯂꯨ ꯁ꯭ꯀꯤꯟ ꯇꯣꯟ ꯑꯃꯥ ꯂꯩꯕꯥ꯫
ꯑꯩꯒꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯀꯔꯤ ꯋꯥꯍꯪ ꯍꯪꯒꯗꯒꯦ?
ꯅꯍꯥꯛꯅꯥ ꯂꯩꯔꯤꯕꯥ ꯑꯀꯤꯕꯥ ꯑꯃꯠꯇꯥ ꯂꯩꯍꯟꯗꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯋꯥꯍꯪꯁꯤꯡ ꯍꯪꯕꯗꯥ ꯂꯥꯡꯇꯛꯅꯒꯅꯨ:
- "ꯗꯣꯛꯇꯔ, ꯑꯩꯒꯤ ꯑꯉꯥꯡꯗꯥ ꯃꯄꯨꯡ ꯐꯥꯅꯥ ꯅꯠꯔꯒꯥ ꯄꯥꯔꯁꯤꯑꯦꯜ ꯑꯣꯏꯅꯥ ꯑꯦꯟꯗꯣꯀꯥꯔꯗꯤꯌꯦꯜ ꯀꯨꯁꯟ ꯗꯤꯐꯦꯛꯇ ꯂꯩꯕ꯭ꯔꯥ?"
- "ꯑꯩꯒꯤ ꯑꯉꯥꯡꯒꯤ ꯀꯟꯗꯤꯁꯅꯒꯤꯗꯃꯛꯇꯥ ꯗꯣꯛꯇꯔꯅꯥ ꯀꯔꯤ ꯇ꯭ꯔꯤꯇꯃꯦꯟꯇ ꯄ꯭ꯂꯥꯟ ꯔꯤꯀꯃꯦꯟꯗ ꯇꯧꯔꯤꯕꯒꯦ?"
- "ꯗꯣꯛꯇꯔ, ꯅꯍꯥꯛꯅꯥ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯏ.ꯁꯤ.ꯗꯤ.ꯒꯤ ꯁꯔꯖꯔꯤ ꯀꯌꯥ ꯑꯃꯥ ꯇꯧꯈꯤꯕꯒꯦ?"
- "ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯑꯩꯅꯥ ꯀꯔꯤ ꯑꯈꯟꯅꯕꯥ ꯋꯥꯐꯃꯁꯤꯡ ꯌꯦꯡꯁꯤꯅꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯒꯦ?"
ꯅꯤꯡꯁꯤꯡꯒꯗꯕꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯋꯥꯐꯃꯁꯤꯡ (ꯇꯦꯛ-ꯍꯣꯝ ꯃꯦꯁꯦꯖ)
ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯒꯤ ꯁꯔꯖꯔꯤ ꯇꯧꯕꯒꯤ ꯃꯪꯂꯥꯟ ꯑꯗꯨ ꯅꯍꯥꯛꯅꯥ ꯀꯩꯗꯧꯉꯩꯗꯥ ꯈꯜꯂꯃꯗꯕꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯑꯦꯟꯗꯣꯀꯥꯔꯗꯤꯌꯦꯜ ꯀꯨꯁꯟ ꯗꯤꯐꯦꯛꯇ (ECD) ꯑꯃꯥ ꯀꯣꯀꯍꯟꯅꯕꯒꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯥ ꯑꯃꯁꯨꯡ ꯏꯐꯦꯛꯇꯤꯚ ꯑꯣꯏꯕꯥ ꯃꯑꯣꯡꯗꯤ ꯁꯔꯖꯔꯤꯅꯤ꯫ ꯃꯁꯤꯒꯤ ꯁꯃꯁ꯭ꯌꯥ ꯑꯁꯤ ꯃꯁꯥ ꯃꯊꯟꯇꯥ ꯐꯒꯠꯂꯛꯀꯅꯤ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯈꯪꯗꯕꯥ ꯋꯥꯐꯝ ꯑꯃꯥ ꯂꯩꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯃꯗꯨ ꯅꯍꯥꯀꯄꯨ ꯈꯪꯍꯟꯅꯕꯥ ꯍꯥꯌꯌꯨ꯫
ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯔꯨ ꯑꯣꯏꯕꯥ ꯋꯥꯐꯃꯗꯤ ꯅꯍꯥꯛ ꯅꯁꯥꯃꯛ ꯅꯉꯅꯥ ꯅꯉꯅꯥ ꯅꯉꯅꯥ ꯂꯩꯕꯅꯤ꯫ ꯗꯣꯛꯇꯔꯁꯤꯡ, ꯅꯔꯁꯁꯤꯡ, ꯑꯃꯁꯨꯡ ꯍꯦꯜꯊꯀꯦꯌꯔ ꯇꯤꯝ ꯄꯨꯝꯅꯃꯛꯅꯥ ꯑꯗꯣꯃꯕꯨ ꯃꯇꯦꯡ ꯄꯥꯡꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯈꯣꯡꯆꯠ ꯑꯁꯤꯗꯥ ꯑꯗꯣꯃꯕꯨ ꯃꯄꯥꯉ꯭ꯒꯜ ꯀꯅꯈꯠꯍꯟꯅꯕꯥ ꯂꯩꯔꯤ꯫ ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯨꯡꯗꯁꯨ ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯒꯤ ꯀ꯭ꯂꯤꯅꯤꯀꯁꯤꯡ ꯑꯗꯨ ꯊꯥꯗꯣꯛꯂꯣꯏꯗꯕꯅꯤ ꯑꯃꯁꯨꯡ ꯗꯣꯛꯇꯔꯅꯥ ꯄꯤꯔꯤꯕꯥ ꯏꯅꯁ꯭ꯠꯔꯛꯁꯅꯁꯤꯡ ꯑꯗꯨ ꯏꯅꯒꯗꯕꯅꯤ꯫ ꯃꯁꯤꯒꯤ ꯃꯑꯣꯡ ꯑꯁꯤꯅꯥ ꯅꯍꯥꯛ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯏꯆꯥꯅꯨꯄꯤ ꯑꯗꯨꯅꯥ ꯇꯨꯡꯗꯥ ꯂꯥꯛꯀꯗꯕꯥ ꯈꯨꯗꯣꯡꯆꯥꯗꯕꯥ ꯑꯃꯠꯇꯥ ꯈꯉꯗꯣꯀꯄꯥ ꯉꯃꯒꯅꯤ ꯑꯃꯁꯨꯡ ꯃꯗꯨ ꯃꯥꯌ ꯄꯥꯛꯅꯥ ꯊꯦꯡꯅꯕꯥ ꯉꯃꯒꯅꯤ꯫ ꯃꯄꯥꯉ꯭ꯒꯜ ꯀꯟꯅꯥ ꯂꯩꯌꯨ!
👩🏽 ⚕️ ꯑꯍꯦꯅꯕꯥ ꯋꯥꯍꯪꯁꯤꯡ (FAQs)
💬 Endocardial Cushion Defect ꯍꯥꯌꯕꯁꯤ ꯊꯝꯃꯣꯌꯗꯥ ꯍꯨꯔꯥꯅꯕꯥ ꯑꯃꯥ ꯑꯣꯏꯕꯔꯥ?
ꯃꯁꯤꯗꯒꯤ ꯈꯔꯥ ꯍꯦꯟꯅꯥ ꯀꯝꯄꯤꯇꯤꯇꯤꯕ ꯑꯣꯏ꯫ ꯑꯩꯈꯣꯌꯒꯤ ꯊꯝꯃꯣꯌꯗꯥ ꯆꯦꯝꯕꯔ ꯴ ꯂꯩ꯫ ꯃꯁꯤ ꯀꯣꯟꯖꯤꯅꯤꯑꯦꯜ ꯍꯥꯔꯠ ꯗꯤꯐꯦꯛꯇ (AV Canal Defect ꯍꯥꯌꯅꯥꯁꯨ ꯀꯧꯏ) ꯑꯃꯒꯤ ꯃꯃꯤꯡꯅꯤ, ꯃꯁꯤꯗꯥ ꯆꯦꯝꯕꯔ 4 (ꯑꯃꯁꯨꯡ ꯃꯔꯛꯇꯥ ꯂꯩꯕꯥ ꯚꯜꯌꯨ ꯑꯅꯤ) ꯑꯁꯤ ꯇꯣꯈꯥꯌꯅꯥ ꯇꯥꯍꯜꯂꯤꯕꯥ ꯍꯥꯔꯇꯀꯤ ꯃꯔꯛꯇꯥ ꯂꯩꯕꯥ ꯋꯥꯜ ꯑꯗꯨꯅꯥ ꯄꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯁꯦꯃꯗꯣꯀꯄꯥ ꯉꯃꯗꯦ, ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯍꯥꯔꯇꯀꯤ ꯃꯔꯛꯇꯥ ꯑꯆꯧꯕꯥ ‘ꯍꯣꯜ’ ꯑꯃꯥ ꯊꯃꯖꯤꯜꯂꯤ꯫
💬 ꯑꯉꯥꯡ ꯑꯗꯨꯗꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯑꯁꯤ ꯂꯥꯀꯄꯒꯤ ꯑꯆꯧꯕꯥ ꯔꯤꯁ꯭ꯛ ꯂꯩꯕ꯭ꯔꯥ?
ꯍꯣꯏ! ꯍꯥꯔꯇꯀꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯀꯃꯟ ꯑꯣꯏꯅꯥ ꯗꯥꯎꯟ ꯁꯤꯟꯗ꯭ꯔꯣꯝ ꯂꯩꯕꯥ ꯑꯉꯥꯡꯁꯤꯡꯒꯥ ꯃꯔꯤ ꯂꯩꯅꯩ꯫ ꯗꯥꯎꯟ ꯁꯤꯟꯗ꯭ꯔꯣꯝ ꯂꯩꯕꯥ ꯑꯉꯥꯡꯁꯤꯡꯒꯤ 20% ꯍꯦꯅꯕꯗꯥ ꯄꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯑꯦꯠꯔꯤꯌꯥꯜ ꯁꯦꯞꯇꯜ ꯗꯤꯐꯦꯛꯇ (AVSD) ꯑꯁꯤ ꯂꯩ꯫
💬 ꯑꯉꯥꯡ ꯑꯗꯨ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯍꯤꯡꯕꯥ ꯉꯃꯒꯗ꯭ꯔꯥ?
ꯍꯥꯔꯇꯀꯤ ꯃꯔꯛꯇꯥ ꯑꯆꯧꯕꯥ ꯍꯨꯔꯥꯅꯕꯥ ꯑꯃꯥ ꯂꯩꯕꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯑꯁꯦꯡꯕꯥ ꯏ ꯑꯃꯁꯨꯡ ꯑꯁꯪꯕꯥ ꯏ ꯌꯥꯎꯕꯥ, ꯂꯪꯁꯇꯥ ꯆꯠꯂꯤꯕꯥ ꯏ ꯑꯗꯨꯗꯥ ꯄ꯭ꯔꯦꯁꯔ ꯍꯦꯅꯒꯠꯍꯜꯂꯤ꯫ ꯃꯁꯤꯅꯥ ꯑꯉꯥꯡ ꯑꯗꯨꯕꯨ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯗꯥ ꯋꯥꯕꯥ ꯊꯣꯀꯍꯜꯂꯤ, ꯅꯤꯜ ꯑꯣꯏꯍꯜꯂꯤ ꯑꯃꯁꯨꯡ ꯑꯔꯨꯝꯕꯥ ꯍꯦꯅꯒꯠꯍꯟꯗꯦ꯫ ꯑꯗꯨꯕꯨ ꯅꯨꯡꯉꯥꯏꯕꯥ ꯄꯥꯎ ꯑꯃꯗꯤ, ꯃꯁꯤ ꯑꯍꯥꯅꯕꯥ ꯊꯥ ꯶ꯀꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯆꯧꯕꯥ ꯑꯣꯄꯔꯦꯁꯟ (ꯑꯣꯄꯟ ꯍꯥꯔꯠ ꯁꯔꯖꯔꯤ) ꯑꯃꯥ ꯇꯧꯗꯨꯅꯥ ꯍꯣꯜ ꯑꯁꯤ ꯊꯤꯡꯖꯤꯟꯗꯨꯅꯥ ꯚꯜꯌꯨ ꯑꯃꯥ ꯁꯦꯃꯗꯨꯅꯥ ꯃꯥꯌ ꯄꯥꯛꯅꯥ ꯂꯥꯌꯦꯡꯕꯥ ꯉꯃꯒꯅꯤ!
` ꯑꯦꯟꯗꯣꯀꯥꯔꯗꯤꯌꯦꯜ ꯀꯨꯁꯟ ꯗꯤꯐꯦꯛꯇ, ꯑꯦ.ꯚꯤ.ꯑꯦꯁ.ꯗꯤ., ꯍꯥꯔꯠ ꯗꯤꯖꯤꯖ, ꯄꯣꯀꯄꯗꯥ ꯉꯥꯏꯔꯤꯕꯥ ꯑꯉꯥꯡꯁꯤꯡ, ꯄꯦꯗꯤꯑꯦꯠꯔꯤꯛ ꯍꯥꯔꯠ ꯗꯤꯖꯤꯖ, ꯍꯥꯔꯠ ꯁꯔꯖꯔꯤ, ꯗꯥꯎꯟ ꯁꯤꯟꯗꯣꯝ, ꯀꯣꯟꯖꯤꯅꯤꯑꯦꯜ ꯍꯥꯔꯠ ꯗꯤꯖꯤꯖ, ꯄꯦꯗꯤꯑꯦꯠꯔꯤꯛ ꯀꯥꯔꯗꯤꯑꯣꯂꯣꯖꯤ꯫
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