"ꯑꯆꯧꯕꯥ ꯁ꯭ꯞꯂꯤꯟ" ꯑꯃꯥ ꯅꯍꯥꯛꯅꯥ ꯀꯗꯥꯌꯗꯅꯣ ꯇꯥꯕꯤꯔꯝꯂꯒꯅꯤ? ꯑꯗꯣꯝꯅꯥ ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯈꯔꯥ ꯈꯉꯅꯤꯡꯂꯕꯁꯨ ꯌꯥꯏ꯫ ꯅꯠꯠꯔꯒꯥ, ꯗꯣꯛꯇꯔ ꯑꯃꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯅꯠꯠꯔꯒꯥ ꯅꯍꯥꯛꯅꯥ ꯈꯪꯂꯤꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯗꯥ ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯍꯥꯌꯔꯀꯄꯥ ꯌꯥꯏ꯫ ꯉꯁꯤꯗꯤ, ꯃꯁꯤꯒꯤ ꯍꯦꯅꯒꯠꯂꯛꯂꯤꯕꯥ ꯁ꯭ꯞꯂꯤꯟ ꯑꯁꯤ, ꯅꯠꯠꯔꯒꯥ ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯃꯁꯤꯕꯨ (Splenomegaly) ꯍꯥꯌꯅꯥ ꯀꯧꯔꯤꯕꯥ ꯑꯁꯤ ꯀꯔꯤꯅꯣ, ꯀꯔꯤꯒꯤ ꯊꯣꯛꯂꯤꯕꯅꯣ, ꯑꯃꯁꯨꯡ ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯀꯔꯤ ꯇꯧꯕꯥ ꯌꯥꯕꯒꯦ ꯍꯥꯌꯕꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯁꯤ꯫
ꯃꯁꯤ ꯁ꯭ꯞꯂꯤꯟ ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ? ꯃꯁꯤꯗꯥ ꯀꯔꯤ ꯑꯣꯏꯔꯤꯕꯒꯦ?
ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯁ꯭ꯞꯂꯤꯟ ꯑꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯑꯄꯤꯀꯄꯥ ꯑꯗꯨꯕꯨ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯑꯣꯔꯒꯥꯟ ꯑꯃꯅꯤ꯫ ꯃꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯒꯤ ꯂꯦꯃꯍꯧꯔꯤꯕꯥ ꯃꯐꯝ ꯑꯗꯨꯗꯥ, ꯃꯊꯛꯀꯤ ꯁꯔꯨꯛ ꯑꯗꯨꯗꯥ, ꯅꯍꯥꯛꯀꯤ ꯔꯤꯕꯅꯒꯤ ꯃꯈꯥꯗꯥ ꯂꯩꯕꯥ, ꯆꯥꯎꯔꯥꯛꯅꯥ ꯐꯤ-ꯔꯣꯜ ꯑꯃꯒꯤ ꯆꯥꯡꯗꯥ ꯈꯅꯕꯤꯌꯨ꯫ ꯃꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯂꯤꯝꯐꯦꯇꯤꯛ ꯁꯤꯁ꯭ꯇꯦꯝ ꯑꯃꯁꯨꯡ ꯏꯝꯝꯌꯨꯟ ꯁꯤꯁ꯭ꯇꯦꯃꯒꯤ ꯁꯔꯨꯛ ꯑꯃꯅꯤ .
ꯁ꯭ꯞꯂꯤꯅꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯊꯕꯛ ꯀꯌꯥ ꯂꯩ:
- ꯏ ꯁꯦꯡꯗꯣꯀꯄꯥ: ꯐꯤꯜꯇꯔ ꯑꯃꯒꯨꯝꯅꯥ, ꯃꯁꯤꯅꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯏꯗꯒꯤ ꯑꯔꯤꯕꯥ ꯔꯦꯗ ꯕ꯭ꯂꯗ ꯁꯦꯂꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯖꯔꯃꯁꯤꯡ ꯂꯧꯊꯣꯀꯏ꯫
- ꯑꯃꯣꯠꯄꯥ ꯂꯧꯊꯣꯀꯄꯥ: ꯏꯗꯒꯤ ꯑꯃꯣꯠꯄꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ ꯂꯧꯊꯣꯀꯄꯗꯥ ꯑꯃꯁꯨꯡ ꯍꯀꯆꯥꯡꯗꯒꯤ ꯂꯧꯊꯣꯀꯄꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫
- ꯋꯥꯏꯇꯦꯞ ꯕ꯭ꯂꯗ ꯁꯦꯂꯁꯤꯡ ꯄꯨꯊꯣꯀꯄꯥ : ꯁ꯭ꯞꯂꯤꯅꯒꯤ ꯑꯇꯣꯞꯄꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯊꯕꯛ ꯑꯃꯗꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯅꯥ ꯂꯥꯌꯅꯥ ꯂꯥꯀꯁꯤꯟꯅꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯋꯥꯏꯠ ꯕ꯭ꯂꯗ ꯁꯦꯂꯁꯤꯡ ꯄꯨꯊꯣꯀꯄꯅꯤ꯫
ꯍꯀꯁꯦꯜ ꯐꯕꯥ ꯁ꯭ꯞꯂꯤꯟ ꯑꯃꯅꯥ ꯃꯍꯧꯁꯥꯅꯥ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯁꯦꯟꯇꯤꯃꯤꯇꯔ 12 ꯋꯥꯡꯏ ꯑꯃꯁꯨꯡ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯒ꯭ꯔꯥꯝ 70ꯒꯤ ꯑꯔꯨꯝꯕꯥ ꯂꯩ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯁ꯭ꯞꯂꯤꯟ ꯑꯁꯤ ꯆꯥꯎꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯁꯦꯟꯇꯤꯃꯤꯇꯔ 20 ꯐꯥꯎꯕꯥ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ ꯌꯥꯏ ꯑꯃꯁꯨꯡ ꯒ꯭ꯔꯥꯝ 1,000ꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯂꯨꯝꯕꯥ ꯌꯥꯏ꯫ ꯈꯅꯕꯗꯥ ꯋꯥꯕꯥ ꯋꯥꯐꯝ ꯑꯃꯅꯤ, ꯅꯠꯇꯦ?
ꯀꯔꯤꯒꯤꯗꯃꯛꯇꯥ ꯃꯁꯤꯒꯤ ꯁ꯭ꯞꯂꯤꯟ ꯑꯁꯤ ꯁꯣꯟꯊꯔꯤꯕꯅꯣ? ꯃꯔꯃꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?
ꯁ꯭ꯞꯂꯤꯟ ꯁꯣꯟꯊꯔꯀꯄꯒꯤ ꯃꯔꯝ ꯃꯈꯜ ꯀꯌꯥ ꯂꯩꯕꯥ ꯌꯥꯏ꯫ ꯃꯈꯣꯌ ꯈꯔꯗꯤ ꯃꯇꯝ ꯈꯔꯒꯤ ꯑꯣꯏꯕꯥ ꯑꯣꯏ ꯑꯃꯁꯨꯡ ꯃꯈꯣꯌ ꯃꯁꯥ ꯃꯊꯟꯇꯥ ꯆꯠꯀꯅꯤ꯫ ꯑꯗꯨꯕꯨ ꯃꯈꯣꯌ ꯈꯔꯗꯤ ꯍꯦꯟꯅꯥ ꯁꯥꯊꯤꯕꯥ, ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯂꯩꯕꯥ ꯑꯅꯥꯕꯁꯤꯡꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫
ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯔꯝ ꯈꯔꯗꯤ ꯌꯦꯡꯁꯤ:
- ꯏꯅꯐꯦꯛꯁꯅꯁꯤꯡ: ꯃꯁꯤꯅꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯃꯔꯃꯅꯤ꯫
- ꯚꯥꯏꯔꯁ ꯏꯅꯐꯦꯛꯁꯅꯁꯤꯡ: ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ `(ꯃꯣꯅꯣꯟꯌꯨꯛꯂꯤꯑꯣꯁꯤꯁ)` (ꯀꯤꯁꯤꯅꯁ ꯗꯤꯖꯤꯖ ꯍꯥꯌꯅꯥꯁꯨ ꯀꯧꯏ) ꯑꯃꯁꯨꯡ `(HIV)` ꯑꯁꯤꯅꯤ꯫
- ꯕꯦꯛꯇꯦꯔꯤꯌꯥꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯏꯅꯐꯦꯛꯁꯅꯁꯤꯡ: `(ꯇꯤꯎꯕꯔꯀꯨꯂꯣꯁꯤꯁ)` (ꯇ꯭ꯌꯨꯕꯔꯀꯨꯂꯣꯁꯤꯁ), `(ꯑꯦꯟꯗꯣꯀꯥꯔꯗꯤꯇꯤꯁ)` (ꯍꯥꯔꯇꯀꯤ ꯃꯅꯨꯡꯒꯤ ꯂꯦꯡ-ꯑꯣꯠꯄꯗꯥ ꯏꯅꯐꯦꯛꯁꯟ) ꯑꯁꯤꯅꯆꯤꯡꯕꯥ꯫
- ꯄꯦꯔꯥꯁꯥꯏꯇꯤꯛ ꯏꯅꯐꯦꯛꯁꯅꯁꯤꯡ: `(ꯃꯦꯂꯦꯔꯤꯌꯥ)` ꯑꯃꯁꯨꯡ `(ꯇꯣꯛꯁꯣꯞꯂꯥꯖꯃꯣꯁꯤꯁ)`ꯒꯨꯝꯕꯥ ꯏꯅꯐꯦꯛꯁꯅꯁꯤꯡꯅꯥ ꯁ꯭ꯞꯂꯤꯅꯒꯤ ꯏꯝꯝꯌꯨꯟ ꯁꯤꯁ꯭ꯇꯦꯃꯗꯥ ꯄ꯭ꯔꯦꯁꯔ ꯄꯤ꯫ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯁ꯭ꯞꯂꯤꯅꯅꯥ ꯃꯊꯧ ꯇꯥꯕꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯑꯦꯟꯇꯤꯕꯣꯗꯤ ꯑꯃꯁꯨꯡ ꯏꯝꯝꯌꯨꯟ ꯁꯦꯂꯁꯤꯡ ꯄꯨꯊꯣꯀꯄꯥ ꯍꯧꯔꯀꯏ, ꯃꯁꯤꯕꯨ `(ꯍꯥꯏꯄꯥꯔꯞꯂꯥꯁꯤꯌꯥ)` ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ ꯃꯁꯤꯅꯥ ꯁ꯭ꯞꯂꯤꯟ (spleen) ꯅꯥ ꯊꯣꯀꯍꯜꯂꯤ꯫
- ꯂꯤꯚꯔꯒꯤ ꯂꯥꯌꯅꯥ: ꯀ꯭ꯔꯣꯅꯤꯛ ꯍꯦꯄꯥꯇꯥꯏꯇꯤꯁ ꯅꯠꯠꯔꯒꯥ ꯁꯤꯔꯣꯁꯤꯁꯒꯨꯝꯕꯥ ꯂꯤꯚꯔꯒꯤ ꯂꯥꯌꯅꯥ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯗꯥ ꯂꯤꯚꯔ ꯑꯃꯁꯨꯡ ꯁ꯭ꯞꯂꯤꯅꯒꯤ ꯃꯔꯛꯇꯥ ꯆꯠꯂꯤꯕꯥ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯂꯁꯤꯡꯗꯥ ꯄ꯭ꯔꯦꯁꯔ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯕꯨ ꯄꯣꯔꯇꯦꯜ ꯍꯥꯏꯄꯔꯇꯦꯟꯁꯟ ꯍꯥꯌꯅꯥ ꯀꯧꯏ . ꯃꯁꯤꯒꯤ ꯄ꯭ꯔꯦꯁꯔ ꯑꯁꯤꯅꯥ ꯏ ꯊꯨꯃꯖꯤꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯁ꯭ꯞꯂꯤꯟ (spleen) ꯁꯣꯟꯊꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤ ꯏꯁꯤꯡꯅꯥ ꯊꯜꯂꯕꯥ ꯏꯁꯤꯡꯒꯤ ꯄꯥꯏꯞ ꯑꯃꯥ ꯊꯨꯒꯥꯌꯕꯒꯨꯝꯅꯥ ꯈꯅꯕꯤꯌꯨ꯫
- ꯂꯥꯏꯔꯦꯜ ꯁꯖꯤꯛ:
- ꯏꯗꯥ ꯊꯣꯀꯄꯥ ꯀꯦꯟꯁꯔꯁꯤꯡ, ꯍꯥꯌꯕꯗꯤ ꯂꯤꯎꯀꯦꯃꯤꯌꯥ ꯑꯃꯁꯨꯡ ꯃꯥꯏꯂꯣꯞꯔꯣꯂꯤꯐꯦꯔꯦꯇꯤꯚ ꯅꯤꯑꯣꯞꯂꯥꯖꯃꯁꯤꯡ (MPNs) ꯑꯁꯤꯅꯆꯤꯡꯕꯥ꯫
- ꯂꯤꯝꯐ ꯒ꯭ꯜꯌꯥꯟꯗꯁꯤꯡꯒꯤ ꯀꯦꯟꯁꯔ, ꯍꯥꯌꯕꯗꯤ ꯂꯤꯝꯐꯣꯃꯥ꯫
ꯑꯁꯤꯒꯨꯝꯕꯥ ꯀꯦꯟꯁꯔ ꯁꯦꯂꯁꯤꯡ ꯑꯁꯤ ꯁ꯭ꯞꯂꯤꯅꯗꯥ ꯆꯪꯂꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯑꯃꯁꯨꯡ ꯃꯐꯃꯗꯨꯗꯥ ꯃꯁꯤꯡ ꯌꯥꯝꯅꯥ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ ꯍꯧꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯁ꯭ꯞꯂꯤꯟ ꯑꯗꯨ ꯁꯣꯟꯊꯔꯀꯏ꯫
- ꯑꯇꯣꯞꯄꯥ ꯃꯔꯃꯁꯤꯡ: ꯱.
- ꯁ꯭ꯞꯂꯤꯅꯗꯥ ꯐꯣꯀꯦꯜ ꯂꯦꯖꯔ (focal lesions) : ꯁ꯭ꯞꯂꯤꯅꯗꯥ ꯁꯟꯗꯣꯔꯀꯄꯥ ꯁꯤꯁ꯭ꯇꯦꯝ, ꯑꯦꯕꯁꯦꯁ ꯅꯠꯠꯔꯒꯥ ꯃꯦꯇꯥꯁ꯭ꯇꯦꯇꯤꯛ ꯀꯦꯟꯁꯔ ꯑꯃꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯁ꯭ꯞꯂꯤꯟ ꯑꯁꯤ ꯍꯦꯟꯅꯥ ꯆꯥꯎꯈꯠꯂꯀꯄꯥ ꯌꯥꯏ꯫
- ꯑꯣꯇꯣꯏꯝꯌꯨꯟ ꯂꯥꯌꯅꯥꯁꯤꯡ: ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯂꯨꯄꯁ, ꯁꯥꯔꯀꯣꯏꯗꯣꯁꯤꯁ, ꯑꯃꯁꯨꯡ ꯔꯤꯌꯨꯃꯦꯇꯣꯏꯗ ꯑꯔꯊ꯭ꯔꯥꯏꯇꯤꯁꯒꯨꯝꯕꯥ ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯇꯔꯤ ꯀꯟꯗꯤꯁꯅꯁꯤꯡꯅꯥ ꯏꯝꯝꯌꯨꯟ ꯁꯤꯁ꯭ꯇꯦꯝ ꯑꯁꯤ ꯑꯣꯚꯔꯑꯦꯛꯇꯤꯚ ꯑꯣꯏꯍꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯁ꯭ꯞꯂꯤꯟ ꯁꯣꯀꯄꯥ ꯌꯥꯏ꯫
- ꯕ꯭ꯂꯗ ꯗꯤꯁꯑꯣꯔꯗꯔꯁꯤꯡ: ꯍꯦꯃꯣꯂꯥꯏꯇꯤꯛ ꯑꯦꯅꯤꯃꯤꯌꯥ (ꯔꯦꯗ ꯕ꯭ꯂꯗ ꯁꯦꯂꯁꯤꯡ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯁꯣꯀꯄꯥ) ꯑꯃꯁꯨꯡ ꯅ꯭ꯌꯨꯠꯔꯣꯄꯦꯅꯤꯌꯥ (ꯋꯥꯏꯠ ꯕ꯭ꯂꯗ ꯁꯦꯜ ꯃꯈꯜ ꯑꯃꯗꯥ ꯍꯟꯊꯔꯀꯄꯥ)ꯒꯨꯝꯕꯥ ꯀꯟꯗꯤꯁꯅꯁꯤꯡꯗꯥ, ꯁꯦꯂꯁꯤꯡ ꯑꯁꯤ ꯂꯧꯊꯣꯛꯅꯕꯥ ꯍꯦꯟꯅꯥ ꯀꯟꯅꯥ ꯍꯣꯠꯅꯕꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯁ꯭ꯞꯂꯤꯟ ꯑꯁꯤ ꯁꯣꯀꯄꯥ ꯌꯥꯏ꯫
- ꯏꯅꯍꯦꯔꯤꯇꯦꯗ ꯃꯦꯇꯥꯕꯣꯂꯤꯛ ꯗꯤꯁꯑꯣꯔꯗꯔꯁꯤꯡ: ꯅꯤꯃꯥꯟ-ꯄꯤꯛ ꯗꯤꯖꯤꯖ, ꯒꯥꯎꯆꯔ ꯗꯤꯖꯤꯖ, ꯑꯃꯁꯨꯡ ꯁꯤꯛꯀꯜ ꯁꯦꯜ ꯗꯤꯖꯤꯖꯒꯨꯝꯕꯥ ꯂꯥꯌꯅꯥꯁꯤꯡꯅꯥ ꯍꯀꯆꯥꯡꯗꯥ ꯇꯣꯉꯥꯟ-ꯇꯣꯉꯥꯅꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ ꯏꯗꯥ ꯌꯥꯎꯍꯟꯗꯨꯅꯥ ꯑꯣꯔꯒꯥꯅꯁꯤꯡꯗꯥ ꯊꯃꯖꯤꯜꯂꯤ꯫ ꯍꯥꯌꯔꯤꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ ꯑꯁꯤ ꯁ꯭ꯞꯂꯤꯅꯗꯥ ꯊꯨꯃꯖꯤꯜꯂꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯃꯗꯨ ꯁꯣꯟꯊꯔꯀꯏ꯫
- ꯊ꯭ꯔꯣꯝꯕꯣꯁꯤꯁ (thrombosis): ꯀꯔꯤꯒꯨꯝꯕꯥ ꯏ ꯊꯣꯀꯄꯥ ꯑꯃꯥ ꯂꯤꯚꯔ ꯅꯠꯠꯔꯒꯥ ꯁ꯭ꯞꯂꯤꯅꯗꯥ ꯂꯩꯕꯥ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯜ ꯑꯃꯗꯥ ꯂꯦꯡꯗꯅꯥ ꯂꯩꯔꯕꯗꯤ, ꯄ꯭ꯔꯦꯁꯔ ꯑꯗꯨ ꯍꯦꯅꯒꯠꯂꯀꯏ ꯑꯃꯁꯨꯡ ꯏ ꯌꯥꯎꯕꯥ ꯌꯥꯏ, ꯃꯗꯨꯅꯥ ꯁ꯭ꯞꯂꯤꯟ ꯑꯗꯨ ꯁꯣꯀꯍꯜꯂꯤ꯫
ꯁꯣꯀꯄꯥ ꯁ꯭ꯞꯂꯤꯟ ꯑꯃꯥ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯔꯥ?
ꯁ꯭ꯞꯂꯤꯟ ꯁꯣꯀꯄꯥ ꯍꯥꯌꯕꯁꯤ ꯇꯣꯉꯥꯟ-ꯇꯣꯉꯥꯅꯕꯥ ꯃꯦꯗꯤꯀꯦꯜ ꯀꯟꯗꯤꯁꯟ ꯀꯌꯥꯒꯤ ꯂꯥꯏꯑꯣꯡ ꯑꯃꯅꯤ꯫ ꯈꯔꯗꯤ ꯌꯥꯝꯅꯥ ꯂꯨꯕꯥ ꯑꯣꯏꯗꯕꯥ ꯌꯥꯏ ꯑꯗꯨꯕꯨ ꯑꯇꯩ ꯈꯔꯗꯤ ꯌꯥꯝꯅꯥ ꯂꯨꯕꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯋꯥꯐꯃꯗꯤ ꯗꯣꯛꯇꯔ ꯑꯃꯒꯥ ꯇꯥꯟꯅꯗꯨꯅꯥ ꯃꯁꯤꯒꯤ ꯃꯔꯝ ꯑꯁꯤ ꯀꯔꯤꯅꯣ ꯍꯥꯌꯕꯗꯨ ꯆꯨꯝꯅꯥ ꯈꯪꯗꯣꯀꯄꯅꯤ꯫ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯈꯛꯇꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯃꯊꯧ ꯇꯥꯕ꯭ꯔꯥ, ꯑꯃꯁꯨꯡ ꯀꯔꯤ ꯃꯈꯂꯒꯤꯅꯣ ꯍꯥꯌꯕꯗꯨ ꯂꯦꯄꯊꯣꯀꯄꯥ ꯉꯃꯒꯅꯤ꯫
ꯅꯤꯡꯁꯤꯡꯕꯤꯌꯨ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯍꯦꯅꯒꯠꯂꯛꯂꯤꯕꯥ ꯁ꯭ꯞꯂꯤꯟ ꯑꯗꯨ ꯂꯥꯏꯌꯦꯡꯗꯅꯥ ꯊꯃꯖꯤꯜꯂꯕꯗꯤ, ꯃꯗꯨꯒꯤ ꯃꯊꯧ ꯇꯥꯕꯥ ꯍꯧꯔꯀꯄꯥ ꯌꯥꯏ꯫ ꯌꯥꯝꯅꯥ ꯇꯣꯏꯅꯥ ꯊꯣꯀꯄꯥ ꯀꯦꯁꯁꯤꯡꯗꯗꯤ, ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯅꯥ ꯆꯥꯎꯈꯠꯄꯥ ꯁ꯭ꯞꯂꯤꯟ (spleen) ꯑꯃꯥ ꯁꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯁꯤ ꯊꯣꯛꯂꯕꯗꯤ, ꯃꯅꯨꯡꯒꯤ ꯑꯣꯏꯕꯥ ꯏ ꯊꯣꯀꯄꯥ ꯍꯧꯔꯀꯄꯥ ꯌꯥꯏ ꯑꯃꯁꯨꯡ ꯄꯨꯟꯁꯤ ꯃꯥꯡꯍꯅꯕꯥ ꯌꯥꯏ꯫
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯩꯒꯤ ꯁ꯭ꯞꯂꯤꯟ ꯑꯗꯨ ꯁꯣꯟꯊꯔꯕꯗꯤ, ꯀꯔꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯊꯣꯛꯀꯅꯤ?
ꯑꯌꯥꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯅꯍꯥꯛꯀꯤ ꯁ꯭ꯞꯂꯤꯟ ꯑꯗꯨ ꯁꯣꯟꯊꯕꯥ ꯎꯕꯥ ꯐꯪꯂꯣꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯂꯥꯛꯂꯕꯗꯤ, ꯃꯈꯣꯌꯗꯨꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯁꯤꯡꯁꯤ ꯌꯥꯎꯕꯥ ꯌꯥꯏ:
- ꯈꯣꯡꯒꯤ ꯃꯊꯛꯀꯤ ꯂꯦꯃꯍꯧꯔꯤꯕꯥ ꯁꯔꯨꯛ ꯑꯗꯨꯗꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯄꯥ꯫ ꯃꯁꯤꯒꯤ ꯑꯅꯥꯕꯥ ꯑꯁꯤ ꯂꯦꯡ-ꯑꯣꯠꯄꯗꯥ ꯅꯠꯠꯔꯒꯥ ꯂꯦꯡ-ꯑꯣꯠꯄꯗꯁꯨ ꯔꯦꯗꯤꯑꯦꯠ ꯇꯧꯕꯥ ꯌꯥꯏ꯫
- ꯄꯥꯜꯄꯕꯜ ꯁ꯭ꯞꯂꯤꯟ (palpable spleen): ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯅꯥ, ꯑꯩꯈꯣꯌꯅꯥ ꯁ꯭ꯞꯂꯤꯟ ꯑꯗꯨ ꯑꯩꯈꯣꯌꯒꯤ ꯈꯨꯠꯁꯥꯅꯥ ꯐꯥꯎꯕꯥ ꯉꯃꯗꯦ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯗꯨ ꯁꯣꯟꯊꯔꯕꯗꯤ, ꯗꯣꯛꯇꯔ ꯑꯃꯅꯥ ꯌꯦꯔꯨꯝ ꯑꯗꯨ ꯌꯦꯡꯁꯤꯅꯕꯥ ꯃꯇꯃꯗꯥ ꯃꯗꯨ ꯐꯥꯎꯕꯥ ꯌꯥꯏ꯫
- ꯈꯔꯥ ꯆꯥꯕꯥ ꯂꯣꯏꯔꯕꯥ ꯃꯇꯨꯡꯗꯁꯨ ꯆꯥꯛ ꯆꯥꯕꯥ ꯋꯥꯠꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯃꯄꯨꯡ ꯐꯥꯅꯥ ꯋꯥꯈꯜ ꯇꯥꯕꯥ: ꯃꯁꯤ ꯊꯣꯀꯄꯥ ꯌꯥꯏ ꯃꯔꯃꯗꯤ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯁ꯭ꯇꯣꯃꯥꯛ ꯑꯗꯨꯗꯥ ꯍꯦꯟꯅꯥ ꯆꯥꯎꯕꯥ ꯁ꯭ꯞꯂꯤꯟ ꯑꯃꯥ ꯆꯦꯠꯁꯤꯜꯂꯀꯄꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯑꯣꯏꯔꯀꯄꯥ ꯌꯥꯏ꯫
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯁ꯭ꯞꯂꯤꯟ ꯑꯗꯨꯅꯥ ꯐꯖꯅꯥ ꯊꯕꯛ ꯇꯧꯕꯥ ꯍꯧꯔꯛꯂꯕꯗꯤ, ꯑꯁꯤꯒꯨꯝꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤꯁꯨ ꯊꯣꯀꯄꯥ ꯌꯥꯏ:
- ꯑꯦꯅꯤꯃꯤꯌꯥꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ: ꯃꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯋꯥꯈꯜ ꯇꯥꯗꯕꯥ, ꯋꯥꯈꯜ ꯇꯥꯗꯕꯥ ꯑꯃꯁꯨꯡ ꯋꯥꯈꯜ ꯇꯥꯗꯕꯥ ꯑꯁꯤꯅꯆꯤꯡꯕꯥ ꯌꯥꯎꯏ꯫
- ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯀꯣꯜꯗ ꯅꯠꯠꯔꯒꯥ ꯑꯇꯩ ꯏꯅꯐꯦꯛꯁꯅꯁꯤꯡ ꯂꯩꯕꯥ꯫
- ꯐꯖꯅꯥ ꯁꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯏ ꯊꯣꯀꯄꯥ꯫
ꯁ꯭ꯞꯂꯤꯟ ꯍꯦꯅꯒꯠꯂꯀꯄꯒꯤ ꯑꯣꯏꯊꯣꯀꯄꯥ ꯌꯥꯕꯥ ꯁꯥꯏꯗ ꯏꯐꯦꯛꯇꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?
ꯁꯣꯀꯄꯥ ꯁ꯭ꯞꯂꯤꯟ ꯑꯃꯅꯥ ꯑꯇꯩ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯃꯁꯤꯡ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫
- ꯇꯤꯁꯨ ꯁꯤꯕꯥ: ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯅꯥ ꯁꯣꯀꯄꯥ ꯁ꯭ꯞꯂꯤꯟ ꯑꯃꯅꯥ ꯏꯒꯤ ꯁꯞꯂꯥꯏ ꯃꯇꯤꯛ ꯆꯥꯅꯥ ꯐꯪꯗꯕꯥ ꯌꯥꯏ꯫ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯇꯤꯁꯨꯁꯤꯡ ꯑꯗꯨ ꯑꯣꯛꯁꯤꯖꯦꯟ ꯑꯃꯁꯨꯡ ꯅ꯭ꯌꯨꯠꯔꯤꯑꯦꯟꯇꯁꯤꯡ ꯌꯥꯎꯗꯅꯥ ꯁꯤꯕꯥ ꯍꯧꯔꯀꯏ꯫
- ꯍꯥꯏꯄꯔꯁ꯭ꯞꯂꯦꯅꯤꯖꯝ (hypersplenism): ꯍꯦꯅꯒꯠꯂꯛꯂꯤꯕꯥ ꯁ꯭ꯞꯂꯤꯟ ꯑꯃꯅꯥ ꯑꯣꯚꯔꯑꯦꯛꯇꯤꯚ ꯑꯣꯏꯔꯀꯄꯥ ꯌꯥꯏ ꯑꯃꯁꯨꯡ ꯕ꯭ꯂꯗ ꯁꯦꯂꯁꯤꯡ (ꯔꯦꯗ ꯕ꯭ꯂꯗ ꯁꯦꯂꯁꯤꯡ, ꯋꯥꯏꯠ ꯕ꯭ꯂꯗ ꯁꯦꯂꯁꯤꯡ, ꯑꯃꯁꯨꯡ ꯄ꯭ꯂꯦꯇꯂꯦꯇꯁꯤꯡ) ꯌꯥꯝꯅꯥ ꯃꯥꯡꯍꯅꯕꯥ ꯍꯧꯔꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯅꯥ ꯑꯦꯅꯤꯃꯤꯌꯥ, ꯋꯥꯏꯠ ꯕ꯭ꯂꯗ ꯁꯦꯂꯁꯤꯡ ꯅꯦꯝꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯄ꯭ꯂꯦꯇꯂꯦꯇꯁꯤꯡ ꯅꯦꯝꯕꯥ ꯑꯁꯤꯅꯆꯤꯡꯕꯥ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫
- ꯁ꯭ꯞꯂꯤꯟ ꯔꯨꯄꯆꯔ (spleen Rupture): ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯇꯣꯏꯅꯥ ꯊꯣꯀꯄꯥ ꯊꯧꯗꯣꯛ ꯑꯃꯅꯤ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯄꯣꯠꯁꯛ ꯑꯃꯅꯥ ꯈꯣꯡꯗꯥ ꯁꯣꯛꯂꯕꯗꯤ ꯅꯠꯠꯔꯒꯥ ꯅꯍꯥꯛꯅꯥ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯅꯥ ꯁꯣꯀꯄꯥ ꯇꯥꯔꯕꯗꯤ, ꯆꯥꯎꯊꯣꯛꯂꯕꯥ ꯁ꯭ꯞꯂꯤꯟ ꯑꯃꯅꯥ ꯁꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯃꯔꯝ ꯑꯃꯠꯇꯥ ꯂꯩꯇꯅꯥ ꯁꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯁ꯭ꯞꯂꯤꯟ ꯑꯗꯨ ꯁꯣꯟꯊꯔꯕꯗꯤ, ꯃꯁꯤ ꯄꯨꯟꯁꯤ ꯃꯥꯡꯍꯅꯕꯥ ꯌꯥꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫
ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯃꯇꯧ ꯀꯔꯝꯅꯥ ꯍꯦꯅꯒꯠꯂꯛꯂꯤꯕꯥ ꯁ꯭ꯞꯂꯤꯟ ꯑꯃꯥ ꯈꯪꯗꯣꯀꯄꯒꯦ?
ꯅꯍꯥꯛꯅꯥ ꯈꯣꯡꯗꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯈꯔꯥ ꯂꯩꯔꯒꯥ ꯗꯣꯛꯇꯔꯗꯥ ꯆꯠꯄꯥ ꯌꯥꯏ꯫ ꯅꯠꯠꯔꯒꯥ, ꯅꯍꯥꯛꯅꯥ ꯑꯇꯣꯞꯄꯥ ꯑꯅꯥꯕꯥ ꯑꯃꯒꯥ ꯃꯔꯤ ꯂꯩꯅꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯆꯠꯄꯥ ꯌꯥꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯔꯨꯇꯤꯟ ꯆꯦꯀꯑꯞ ꯇꯧꯕꯥ ꯃꯇꯃꯗꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯇꯣꯞꯄꯥ ꯄꯣꯠꯁꯛ ꯑꯃꯥ ꯊꯤꯕꯥ ꯃꯇꯃꯗꯥ, ꯊꯧꯗꯣꯛ ꯑꯃꯅꯥ ꯍꯦꯟꯅꯥ ꯆꯥꯎꯈꯠꯂꯀꯄꯥ ꯁ꯭ꯞꯂꯤꯟ ꯑꯃꯥ ꯎꯕꯥ ꯐꯪꯏ꯫
ꯗꯣꯛꯇꯔ ꯑꯃꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯎꯅꯁꯥ ꯑꯗꯨ ꯌꯦꯡꯁꯤꯜꯂꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯁ꯭ꯞꯂꯤꯟ ꯑꯗꯨ ꯍꯦꯟꯅꯥ ꯆꯥꯎꯈꯠꯂꯀꯄꯥ ꯐꯥꯎꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤ ꯇꯣꯉꯥꯟ ꯇꯣꯉꯥꯅꯕꯥ ꯇꯦꯁ꯭ꯇꯁꯤꯡꯗꯁꯨ ꯀꯅꯐꯔꯝ ꯇꯧꯕꯥ ꯌꯥꯏ:
- ꯏꯃꯦꯖꯤꯡ ꯇꯦꯁ꯭ꯇꯁꯤꯡ: ꯱.
- ꯑꯦꯕꯗꯣꯃꯤꯅꯦꯜ ꯑꯂꯠꯔꯥꯁꯥꯎꯟꯗ ꯅꯠꯠꯔꯒꯥ ꯁꯤ.ꯇꯤ.ꯁ꯭ꯀꯦꯟ ꯑꯃꯅꯥ ꯁ꯭ꯞꯂꯤꯟ ꯑꯗꯨ ꯁꯣꯛꯂꯕ꯭ꯔꯥ, ꯀꯌꯥꯝ ꯋꯥꯡꯈꯠꯂꯛꯂꯤꯕꯅꯣ, ꯇꯤꯎꯃꯔ ꯑꯃꯥ ꯂꯩꯕ꯭ꯔꯥ, ꯑꯃꯁꯨꯡ ꯑꯇꯩ ꯑꯣꯔꯒꯥꯅꯁꯤꯡꯗꯥ ꯄ꯭ꯔꯦꯁꯔ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯁꯤꯅꯕꯥ ꯌꯥꯏ꯫
- ꯑꯦꯝ.ꯑꯥꯔ.ꯑꯥꯏ.
- ꯕ꯭ꯂꯗ ꯇꯦꯁ꯭ꯠ ꯇꯧꯕꯥ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯔꯝ ꯑꯗꯨ ꯃꯌꯦꯛ ꯁꯦꯡꯗ꯭ꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯕ꯭ꯂꯗ ꯇꯦꯁ꯭ꯠ ꯀꯌꯥ ꯇꯧꯅꯕꯥ ꯑꯣꯔꯗꯔ ꯇꯧꯕꯥ ꯌꯥꯏ꯫ ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯑꯀꯛꯅꯕꯥ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ, ꯍꯥꯌꯕꯗꯤ ꯀꯦꯟꯁꯔ, ꯕ꯭ꯂꯗ ꯗꯤꯁꯑꯣꯔꯗꯔ, ꯑꯃꯁꯨꯡ ꯂꯤꯚꯔ ꯐꯉ꯭ꯀꯁꯟ ꯑꯁꯤ ꯌꯦꯡꯁꯤꯅꯕꯥ ꯌꯥꯏ꯫
- ꯕꯣꯟ ꯃꯦꯔꯣ ꯑꯦꯅꯥꯂꯥꯏꯁꯤꯁ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯕꯣꯟ ꯃꯦꯔꯣꯒꯤ ꯑꯄꯤꯀꯄꯥ ꯁꯦꯝꯄꯜ ꯑꯃꯥ (ꯕꯣꯟ ꯃꯦꯔꯣ ꯑꯦꯁ꯭ꯄꯤꯔꯦꯁꯟ ꯑꯃꯁꯨꯡ/ꯅꯠꯠꯔꯒꯥ ꯕꯣꯟ ꯃꯦꯔꯣ ꯕꯥꯏꯑꯣꯞꯁꯤ) ꯂꯧꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯁ꯭ꯞꯂꯤꯟ ꯑꯗꯨ ꯀꯔꯝꯅꯥ ꯊꯕꯛ ꯇꯧꯕꯒꯦ ꯍꯥꯌꯕꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯏꯅꯐꯣꯔꯃꯦꯁꯟ ꯄꯤꯕꯥ ꯉꯝꯃꯤ ꯑꯃꯁꯨꯡ ꯑꯀꯛꯅꯕꯥ ꯂꯥꯌꯅꯥ ꯈꯪꯗꯣꯀꯄꯗꯁꯨ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫
ꯑꯗꯨꯅꯥ, ꯅꯍꯥꯛꯀꯤ ꯁ꯭ꯞꯂꯤꯟ ꯑꯗꯨ ꯁꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯀꯔꯤ ꯇꯧꯒꯗꯒꯦ? ꯂꯥꯏꯌꯦꯡꯕꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?
ꯑꯌꯥꯝꯕꯥ ꯀꯦꯁꯁꯤꯡꯗꯗꯤ, ꯁ꯭ꯞꯂꯤꯟ ꯑꯗꯨ ꯁꯣꯀꯍꯜꯂꯀꯄꯥ ꯌꯥꯕꯥ ꯑꯟꯗꯔꯂꯥꯏꯟ ꯀꯟꯗꯤꯁꯟ ꯑꯗꯨ ꯂꯥꯏꯌꯦꯡꯂꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯁ꯭ꯞꯂꯤꯟ ꯑꯗꯨ ꯅꯣꯔꯃꯦꯜ ꯁꯥꯏꯖꯗꯥ ꯍꯟꯖꯤꯜꯂꯀꯏ꯫ ꯏꯅꯐꯦꯛꯁꯅꯒꯨꯝꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯈꯔꯗꯤ ꯃꯁꯥ ꯃꯊꯟꯇꯥ ꯐꯒꯠꯂꯀꯏ꯫ ꯑꯇꯣꯞꯄꯥ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ ꯑꯁꯤ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ, ꯏ ꯊꯥꯗꯣꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯁꯔꯖꯔꯤꯅꯥ ꯂꯥꯏꯌꯦꯡꯕꯥ ꯌꯥꯏ꯫
ꯂꯥꯌꯅꯥ ꯈꯔꯗꯤ ꯂꯥꯏꯌꯦꯡꯕꯥ ꯉꯃꯗꯦ꯫ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯀꯦꯁꯁꯤꯡꯗꯗꯤ, ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯁ꯭ꯞꯂꯤꯟ ꯁꯣꯀꯄꯥ ꯍꯟꯊꯍꯟꯅꯕꯥ ꯂꯣ-ꯗꯣꯖ ꯔꯦꯗꯤꯑꯦꯁꯟ ꯊꯦꯔꯥꯄꯤ ꯄꯤꯅꯕꯥ ꯋꯥꯔꯦꯞ ꯂꯧꯕꯥ ꯌꯥꯏ, ꯅꯠꯠꯔꯒꯥ ꯁ꯭ꯞꯂꯤꯟ ꯑꯗꯨ ꯁꯔꯖꯤꯀꯦꯜ ꯑꯣꯏꯅꯥ ꯂꯧꯊꯣꯛꯅꯕꯥ (ꯁ꯭ꯞꯂꯦꯅꯦꯛꯇꯣꯃꯤ) ꯋꯥꯔꯦꯞ ꯂꯧꯕꯥ ꯌꯥꯏ꯫
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯁ꯭ꯞꯂꯤꯟ ꯑꯗꯨ ꯂꯧꯊꯣꯛꯂꯕꯗꯤ ꯀꯔꯤ ꯑꯣꯏꯒꯅꯤ?
ꯅꯍꯥꯛꯅꯥ ꯁ꯭ꯞꯂꯤꯟ ꯌꯥꯎꯗꯅꯥ ꯐꯖꯅꯥ ꯍꯤꯡꯕꯥ ꯉꯝꯃꯤ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯅꯍꯥꯛꯀꯤ ꯏꯝꯝꯌꯨꯅꯤꯇꯤ, ꯍꯥꯌꯕꯗꯤ ꯅꯍꯥꯛꯀꯤ ꯂꯥꯌꯅꯥ ꯂꯥꯀꯁꯤꯅꯕꯒꯤ ꯇꯧꯕꯥ ꯉꯝꯕꯗꯨ ꯈꯔꯥ ꯍꯟꯊꯔꯛꯀꯅꯤ꯫
- ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯍꯦꯟꯅꯥ ꯁꯣꯀꯍꯜꯂꯀꯄꯥ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯏꯅꯐꯦꯛꯁꯟ ꯈꯔꯗꯒꯤ ꯉꯥꯀꯊꯣꯛꯅꯕꯥ ꯇꯤꯀꯥ ꯈꯔꯥ ꯂꯧꯅꯕꯥ ꯄꯥꯎꯇꯥꯛ ꯄꯤꯕꯥ ꯌꯥꯏ꯫
- ꯃꯦꯗꯤꯀꯦꯜ ꯄ꯭ꯔꯣꯐꯦꯁꯅꯦꯂꯁꯤꯡꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯁ꯭ꯞꯂꯤꯟ ꯑꯗꯨ ꯂꯧꯊꯣꯀꯈ꯭ꯔꯦ ꯍꯥꯌꯕꯥ ꯈꯪꯗꯣꯛꯅꯕꯥ ꯅꯍꯥꯀꯄꯨ ꯃꯦꯗꯤꯀꯦꯜ ꯑꯥꯏ.ꯗꯤ.ꯒꯤ ꯕ꯭ꯔꯦꯁꯂꯦꯠ ꯑꯃꯥ ꯁꯤꯖꯤꯟꯅꯅꯕꯥ ꯍꯥꯌꯒꯅꯤ꯫
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯅꯥꯕꯥ ꯂꯩꯔꯕꯗꯤ, ꯅꯍꯥꯀꯄꯨ ꯃꯍꯧꯁꯥꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯀꯅꯕꯥ ꯑꯦꯟꯇꯤꯕꯥꯏꯑꯣꯇꯤꯀꯁꯤꯡ ꯄꯤꯕꯥ ꯌꯥꯏ꯫
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯩꯒꯤ ꯈꯣꯡꯗꯥ ꯁꯣꯀꯄꯥ ꯂꯩꯔꯕꯗꯤ, ꯑꯩꯅꯥ ꯏꯁꯥꯕꯨ ꯀꯔꯝꯅꯥ ꯌꯦꯡꯁꯤꯅꯒꯅꯤ?
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯁꯣꯀꯄꯥ ꯁ꯭ꯞꯂꯤꯟ ꯑꯃꯥ ꯂꯩꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯍꯟꯗꯅꯕꯥ ꯆꯦꯀꯁꯤꯅꯒꯗꯕꯅꯤ꯫ ꯆꯥꯎꯈꯠꯂꯛꯂꯤꯕꯥ ꯁ꯭ꯞꯂꯤꯟ ꯑꯃꯅꯥ ꯍꯦꯟꯅꯥ ꯁꯣꯀꯆꯤꯜꯂꯀꯄꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ, ꯍꯥꯏ-ꯀꯟꯇꯦꯛꯇ ꯁ꯭ꯄꯣꯔꯇꯁꯇꯒꯤ ꯂꯥꯞꯅꯥ ꯂꯩꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯩ꯫
ꯃꯁꯤꯗꯁꯨ ꯅꯠꯇꯅꯥ, ꯅꯍꯥꯛꯀꯤ ꯁ꯭ꯞꯂꯤꯟ ꯑꯗꯨ ꯑꯟꯗꯔꯑꯦꯛꯇꯤꯚ ꯅꯠꯠꯔꯒꯥ ꯑꯣꯚꯔꯑꯦꯛꯇꯤꯚ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ, ꯑꯦꯅꯤꯃꯤꯌꯥꯒꯤ ꯈꯨꯗꯃꯁꯤꯡ (ꯄꯥꯂꯔ, ꯐꯤꯖꯤꯀꯦꯜ ꯐꯤꯇꯁ) ꯈꯪꯖꯤꯅꯕꯤꯌꯨ꯫ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯃꯇꯝ ꯃꯇꯃꯒꯤ ꯑꯣꯏꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯏꯒꯤ ꯆꯥꯡ ꯑꯗꯨꯁꯨ ꯌꯦꯡꯁꯤꯅꯕꯥ ꯌꯥꯏ꯫
ꯈꯣꯡ ꯍꯥꯝꯂꯕꯥ ꯃꯇꯃꯗꯥ ꯆꯥꯕꯗꯥ ꯑꯐꯕꯥ ꯑꯣꯏꯗꯕꯥ ꯆꯤꯟꯖꯥꯀꯁꯤꯡ ꯂꯩꯕ꯭ꯔꯥ?
ꯑꯩꯈꯣꯌꯅꯥ ꯆꯥꯔꯤꯕꯥ ꯆꯤꯟꯖꯥꯛ ꯑꯁꯤꯅꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯁ꯭ꯞꯂꯤꯅꯗꯥ ꯍꯀꯊꯦꯡꯅꯅꯥ ꯁꯣꯀꯍꯅꯕꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯃꯄꯨꯡ ꯐꯥꯅꯥ ꯊꯥꯖꯗꯦ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯑꯩꯈꯣꯌꯒꯤ ꯗꯥꯏꯠ ꯑꯁꯤꯅꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯑꯄꯨꯅꯕꯥ ꯍꯀꯁꯦꯂꯗꯥ ꯑꯆꯧꯕꯥ ꯁꯥꯐꯨ ꯑꯃꯥ ꯄꯤꯔꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯁ꯭ꯞꯂꯤꯟ ꯑꯗꯨ ꯆꯥꯎꯈꯠꯂꯛꯂꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯏꯝꯝꯌꯨꯟ ꯁꯤꯁ꯭ꯇꯦꯝ ꯑꯗꯨ ꯋꯥꯠꯂꯤ ꯍꯥꯌꯅꯥ ꯂꯧꯕꯥ ꯌꯥꯏ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ, ꯍꯀꯁꯦꯜ ꯐꯕꯥ ꯗꯥꯏꯠ ꯑꯃꯥ ꯍꯥꯌꯕꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯏꯝꯝꯌꯨꯟ ꯁꯤꯁ꯭ꯇꯦꯝ ꯑꯗꯨ ꯉꯥꯀꯊꯣꯛꯅꯕꯒꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯂꯥꯌꯕꯥ ꯃꯑꯣꯡ ꯑꯃꯅꯤ꯫
ꯃꯁꯤꯒꯤ ꯃꯊꯛꯇꯥ, ꯅꯍꯥꯛꯀꯤ ꯗꯥꯏꯇꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯁ꯭ꯞꯂꯤꯟ ꯑꯗꯨ ꯁꯣꯀꯍꯜꯂꯤꯕꯥ ꯃꯈꯥ ꯇꯥꯕꯥ ꯃꯦꯗꯤꯀꯦꯜ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ (ꯃꯔꯨꯑꯣꯏꯅꯥ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯇꯔꯤ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯂꯤꯚꯔꯒꯤ ꯂꯥꯌꯅꯥ)ꯗꯁꯨ ꯁꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫
ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯃꯇꯝ ꯄꯨꯝꯅꯃꯛꯇꯥ ꯇꯀꯁꯤꯜꯂꯤ:
- ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯑꯃꯁꯨꯡ ꯄ꯭ꯔꯣꯁꯦꯁ ꯇꯧꯔꯕꯥ ꯆꯤꯟꯖꯥꯀꯁꯤꯡ (ꯄꯦꯀꯦꯖ ꯇꯧꯔꯕꯥ ꯁ꯭ꯅꯦꯀꯁꯤꯡ, ꯃꯆꯤꯟꯖꯥꯀꯁꯤꯡ, ꯁꯁꯦꯖꯁꯤꯡ, ꯑꯁꯤꯅꯆꯤꯡꯕꯥ) ꯊꯀꯄꯥ ꯌꯥꯗꯅꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯍꯟꯊꯍꯅꯒꯗꯕꯅꯤ꯫ ꯍꯥꯌꯔꯤꯕꯥ ꯆꯤꯟꯖꯥꯀꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯍꯀꯆꯥꯡꯗꯥ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯁꯟ ꯍꯦꯅꯒꯠꯍꯜꯂꯤ ꯑꯃꯁꯨꯡ ꯂꯤꯚꯔ ꯑꯃꯁꯨꯡ ꯃꯦꯇꯥꯕꯣꯂꯤꯖꯃꯗꯥ ꯈꯨꯗꯣꯡꯊꯤꯕꯥ ꯊꯣꯀꯍꯜꯂꯤꯕꯥ ꯑꯦꯜ.ꯗꯤ.ꯑꯦꯜ.
- ꯑꯦꯟꯇꯤ-ꯏꯅꯐ꯭ꯂꯦꯃꯦꯇꯔꯤ ꯗꯥꯏꯠ ꯑꯃꯥ ꯆꯥꯕꯥ . ꯃꯁꯤꯅꯥ ꯑꯅꯧꯕꯥ, ꯃꯄꯨꯡꯐꯥꯕꯥ ꯆꯤꯟꯖꯥꯀꯁꯤꯡ (ꯃꯍꯩ-ꯃꯔꯣꯡ, ꯃꯅꯥ-ꯃꯁꯤꯡ, ꯑꯃꯁꯨꯡ ꯎꯍꯩ-ꯋꯥꯍꯩꯁꯤꯡ) ꯑꯃꯁꯨꯡ ꯑꯅꯁꯦꯆꯨꯔꯦꯇꯦꯗ ꯐꯦꯇꯁꯤꯡ (ꯉꯥ ꯑꯃꯁꯨꯡ ꯃꯅꯥ-ꯃꯁꯤꯡꯗꯥ ꯌꯥꯎꯕꯥ) ꯍꯦꯟꯅꯥ ꯆꯥꯕꯥ ꯍꯥꯌꯕꯁꯤꯅꯤ꯫
ꯁꯣꯀꯄꯥ ꯌꯥꯕꯥ ꯁ꯭ꯞꯂꯤꯟ ꯑꯃꯒꯤꯗꯃꯛ ꯀꯗꯥꯏꯗꯥ ꯈꯨꯗꯛꯇꯥ ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯃꯇꯦꯡ ꯂꯧꯒꯗꯒꯦ?
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯁ꯭ꯞꯂꯤꯟ ꯑꯗꯨ ꯂꯩꯔꯤꯕꯥ ꯃꯐꯝ ꯑꯗꯨꯗꯥ, ꯍꯥꯌꯕꯗꯤ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯒꯤ ꯃꯊꯛ ꯊꯪꯕꯥ ꯁꯔꯨꯛꯇꯥ ꯅꯠꯠꯔꯒꯥ ꯅꯍꯥꯛꯀꯤ ꯂꯦꯡ-ꯑꯣꯠꯄꯗꯥ ꯑꯅꯥꯕꯥ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ ꯎꯔꯕꯗꯤ, ꯃꯔꯨꯑꯣꯏꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯃꯇꯃꯗꯥ ꯑꯅꯥꯕꯥ ꯑꯗꯨ ꯍꯦꯟꯅꯥ ꯐꯠꯆꯤꯜꯂꯛꯂꯕꯗꯤ, ꯈꯨꯗꯛꯇꯥ ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯄꯥꯎꯇꯥꯛ ꯂꯧꯕꯤꯌꯨ꯫
ꯁ꯭ꯞꯂꯤꯟ (ruptured spleen) ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯄꯣꯠꯁꯛ ꯑꯃꯅꯥ ꯈꯣꯡꯗꯥ ꯁꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯊꯣꯀꯏ꯫ ꯑꯗꯨꯕꯨ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯃꯁꯤ ꯁꯨꯞꯅꯇꯒꯤ ꯄꯣꯠꯂꯨꯝ ꯈꯛꯇꯃꯛ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯑꯄꯤꯀꯄꯥ ꯔꯄꯆꯔ ꯑꯃꯅꯥ ꯐꯥꯎꯕꯗꯤ ꯏ ꯊꯣꯀꯄꯥ ꯌꯥꯏ, ꯑꯗꯨꯕꯨ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯈꯨꯗꯛꯇꯥ ꯂꯥꯏꯌꯦꯡꯗ꯭ꯔꯕꯗꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯗꯨ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯌꯥꯡꯅꯥ ꯁꯣꯀꯍꯜꯂꯀꯄꯥ ꯌꯥꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯊꯨꯅꯥ ꯂꯥꯏꯌꯦꯡꯂꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯁꯔꯖꯔꯤꯒꯤ ꯃꯊꯧ ꯇꯥꯕꯥ ꯑꯗꯨ ꯊꯤꯡꯕꯥ ꯉꯃꯒꯅꯤ꯫
ꯑꯔꯣꯏꯕꯗꯥ, ꯅꯤꯡꯁꯤꯡꯒꯗꯕꯥ ꯋꯥꯐꯃꯁꯤꯡ (ꯇꯦꯛ-ꯍꯣꯝ ꯃꯦꯁꯦꯖ)
ꯑꯗꯨꯅꯥ, ꯉꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯈꯟꯅꯔꯤꯕꯥ ꯑꯁꯤꯗꯒꯤ ꯑꯗꯣꯝꯅꯥ ꯎꯕꯥ ꯐꯪꯂꯤ ꯃꯗꯨꯗꯤ ꯁꯣꯀꯄꯥ ꯁ꯭ꯞꯂꯤꯟ ꯑꯁꯤ ꯂꯥꯏꯅꯥ ꯂꯧꯕꯥ ꯌꯥꯕꯥ ꯄꯣꯠꯁꯛ ꯑꯃꯅꯤ꯫ ꯃꯁꯤ ꯑꯟꯗꯔꯂꯥꯏꯟ ꯍꯦꯂꯊ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯑꯃꯒꯤ ꯈꯨꯗꯝ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯝ ꯈꯔꯒꯤ ꯑꯣꯏꯕꯥ ꯑꯣꯏꯔꯕꯗꯤ, ꯃꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯑꯄꯨꯅꯕꯥ ꯍꯀꯁꯦꯂꯗꯥ ꯑꯆꯧꯕꯥ ꯋꯥꯐꯝ ꯑꯃꯥ ꯑꯣꯏꯗꯕꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯁꯤ ꯂꯦꯡꯗꯅꯥ ꯂꯩꯔꯕꯗꯤ, ꯃꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯁ꯭ꯞꯂꯤꯅꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ ꯑꯃꯁꯨꯡ ꯈꯨꯗꯣꯡꯊꯤꯅꯤꯉꯥꯏ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫
ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯁ꯭ꯞꯂꯤꯟ ꯑꯃꯥ ꯍꯦꯅꯒꯠꯂꯛꯂꯤ ꯍꯥꯌꯅꯥ ꯈꯜꯂꯕꯗꯤ, ꯅꯠꯠꯔꯒꯥ ꯃꯁꯤꯒꯥ ꯃꯔꯤ ꯂꯩꯅꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯂꯩꯔꯕꯗꯤ, ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯥ ꯊꯕꯛ ꯑꯗꯨꯗꯤ ꯗꯣꯛꯇꯔ ꯑꯃꯒꯥ ꯇꯥꯟꯅꯗꯨꯅꯥ ꯆꯦꯛ-ꯑꯥꯎꯠ ꯇꯧꯕꯅꯤ꯫ ꯗꯣꯛꯇꯔꯅꯥ ꯃꯔꯝ ꯑꯗꯨ ꯈꯪꯗꯣꯛꯀꯅꯤ ꯑꯃꯁꯨꯡ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ ꯂꯥꯏꯌꯦꯡꯒꯅꯤ꯫ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯐꯥꯑꯣꯒꯅꯨ, ꯑꯗꯨꯕꯨ ꯃꯁꯤꯕꯨꯁꯨ ꯌꯦꯡꯁꯤꯅꯕꯤꯒꯅꯨ!
ꯁ꯭ꯞꯂꯦꯅꯣꯃꯦꯒꯥꯂꯤ , ꯁ꯭ꯞꯂꯤꯟ, ꯑꯦꯕꯗꯣꯃꯤꯅꯦꯜ ꯄꯦꯏꯟ, ꯂꯥꯏꯑꯣꯡꯁꯤꯡ, ꯂꯥꯏꯌꯦꯡ, ꯃꯔꯃꯁꯤꯡ꯫
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