ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨ ꯀꯃꯞꯂꯦꯛꯁ ꯑꯣꯏꯕꯥ ꯍꯥꯔꯇꯀꯤ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯑꯃꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯄꯣꯀꯈꯤꯕ꯭ꯔꯥ? ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡꯒꯤ ꯊꯝꯃꯣꯌꯗꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯄꯝꯄ ꯑꯃꯈꯛꯇꯃꯛ ꯂꯩ ꯍꯥꯌꯅꯥ ꯍꯥꯌꯔꯀꯄꯥ ꯌꯥꯏ, ꯃꯗꯨꯗꯤ ꯚꯦꯟꯇꯤꯂꯦꯇꯔ ꯑꯃꯅꯤ꯫ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯀꯦꯁꯁꯤꯡꯗꯥ ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯔꯤꯀꯃꯦꯟꯗ ꯇꯧꯕꯥ ꯑꯈꯟꯅꯕꯥ ꯁꯔꯖꯔꯤ ꯑꯃꯕꯨ ‘ꯐꯣꯟꯇꯥꯟ ꯄ꯭ꯔꯣꯁꯤꯖꯔ’ ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ ꯇꯁꯦꯡꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ ꯃꯤꯡ ꯑꯁꯤ ꯇꯥꯕꯗꯥ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯑꯃꯁꯨꯡ ꯁꯣꯏꯗ-ꯉꯥꯃꯗꯕꯥ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯅꯣꯔꯃꯦꯂꯅꯤ꯫ ꯑꯗꯨꯕꯨ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯩꯈꯣꯌꯅꯥ ꯃꯁꯤ ꯃꯄꯨꯡ ꯐꯥꯅꯥ ꯈꯉꯂꯕꯗꯤ, ꯑꯗꯣꯝꯅꯥ ꯈꯣꯡꯆꯠ ꯑꯁꯤꯗꯥ ꯆꯠꯅꯕꯥ ꯑꯆꯧꯕꯥ ꯄꯥꯉ꯭ꯒꯜ ꯑꯃꯁꯨꯡ ꯏꯅꯔꯖꯤ ꯐꯪꯂꯒꯅꯤ꯫ ꯑꯩꯈꯣꯌꯅꯥ ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯁꯨꯞꯅꯇꯒꯤ ꯋꯥꯔꯤ ꯁꯥꯟꯅꯒꯗ꯭ꯔꯥ?
ꯐꯣꯟꯇꯥꯟ ꯄ꯭ꯔꯣꯁꯤꯖꯔ ꯍꯥꯌꯕꯁꯤ ꯏꯆꯝ ꯆꯝꯕꯥ ꯋꯥꯍꯟꯊꯣꯛ ꯑꯃꯗꯥ ꯀꯔꯤꯅꯣ?
ꯃꯁꯤ ꯈꯉꯅꯕꯒꯤꯗꯃꯛ, ꯑꯍꯥꯅꯕꯗꯥ ꯍꯀꯆꯥꯡ ꯐꯕꯥ ꯊꯝꯃꯣꯌ ꯑꯃꯅꯥ ꯀꯔꯝꯅꯥ ꯊꯕꯛ ꯇꯧꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯁꯤ꯫ ꯍꯀꯆꯥꯡ ꯐꯕꯥ ꯍꯥꯔꯠ ꯑꯃꯗꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯆꯦꯝꯕꯔ ꯃꯔꯤ ꯂꯩ꯫ ꯃꯊꯛꯇꯥ ꯑꯅꯤ (ꯑꯦꯠꯔꯤꯌꯥ) ꯑꯃꯁꯨꯡ ꯃꯈꯥꯗꯥ ꯑꯅꯤ (ꯚꯦꯟꯇꯤꯂꯦꯇꯔ)꯫ ꯍꯥꯌꯔꯤꯕꯥ ꯆꯦꯝꯕꯔ ꯑꯅꯤ ꯑꯁꯤ ꯍꯥꯔꯇꯀꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯄꯝꯄ ꯑꯅꯤꯅꯤ꯫ ꯀꯅꯥꯒꯨꯝꯕꯥ ꯑꯃꯅꯥ ꯑꯣꯛꯁꯤꯖꯦꯟ ꯌꯥꯎꯗꯕꯥ, ꯑꯁꯣꯀꯄꯥ ꯏ ꯑꯗꯨ ꯂꯪꯁꯇꯥ ꯊꯥꯗꯨꯅꯥ ꯑꯣꯛꯁꯤꯖꯦꯟ ꯂꯧꯁꯤꯜꯂꯤ꯫ ꯑꯇꯣꯞꯄꯥ ꯑꯃꯅꯥ ꯑꯣꯛꯁꯤꯖꯦꯟ ꯌꯥꯝꯅꯥ ꯌꯥꯎꯕꯥ, ꯁꯦꯡꯂꯕꯥ ꯏ ꯑꯗꯨ ꯍꯀꯆꯥꯡꯒꯤ ꯑꯇꯩ ꯃꯐꯃꯁꯤꯡꯗꯥ ꯄꯝꯄ ꯇꯧꯏ꯫
ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯑꯉꯥꯡ ꯈꯔꯗꯤ ꯁꯦꯜ ꯑꯅꯤ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯕꯨ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯁꯦꯃꯖꯤꯟ-ꯁꯥꯖꯤꯅꯗꯅꯥ ꯄꯣꯀꯏ꯫ ꯑꯗꯨꯗꯒꯤ ꯊꯕꯛ ꯑꯗꯨ ꯇꯧꯔꯤꯕꯥ ꯁꯤꯉ꯭ꯒꯜ ꯁꯦꯜ ꯑꯗꯨꯅꯥ ꯊꯕꯛ ꯑꯅꯤ ꯑꯁꯤ ꯇꯧꯒꯗꯕꯅꯤ꯫ ꯆꯞ ꯃꯥꯟꯅꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯅꯥ ꯊꯕꯛ ꯑꯅꯤ ꯇꯧꯕꯥ ꯇꯥꯕꯁꯤ ꯀꯌꯥꯗꯥ ꯋꯥꯅꯥ ꯊꯣꯀꯍꯅꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯈꯟꯗꯨꯅꯥ ꯌꯦꯡꯕꯤꯌꯨ꯫ ꯃꯇꯧ ꯑꯁꯨꯝꯅꯥ, ꯃꯁꯤꯒꯤ ꯁꯤꯉ꯭ꯒꯜ ꯁꯦꯜ ꯑꯁꯤꯅꯥ ꯊꯨꯅꯥ ꯌꯥꯡꯅꯥ ꯁꯣꯀꯄꯥ ꯌꯥꯏ ꯃꯔꯃꯗꯤ ꯃꯁꯤꯅꯥ ꯂꯪꯁ ꯑꯃꯁꯨꯡ ꯍꯀꯆꯥꯡ ꯑꯅꯤꯃꯛꯇꯥ ꯏ ꯄꯝꯄ ꯇꯧꯕꯥ ꯇꯥꯏ꯫
ꯐꯣꯟꯇꯟ ꯄ꯭ꯔꯣꯁꯤꯖꯔꯅꯥ ꯇꯧꯔꯤꯕꯥ ꯑꯁꯤ ꯁꯦꯜ ꯑꯃꯈꯛꯇꯗꯥ ꯋꯥꯔꯀꯂꯣꯗ ꯍꯟꯊꯍꯅꯕꯅꯤ꯫ ꯃꯁꯤ ꯑꯗꯣꯃꯕꯨ ꯀꯟꯅꯥ ꯍꯣꯠꯅꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯅꯕꯥ ꯑꯇꯣꯞꯄꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯗꯥ ꯄꯤꯕꯒꯥ ꯃꯥꯟꯅꯩ꯫
ꯄ꯭ꯔꯣꯁꯤꯗ꯭ꯌꯨꯑꯣꯔ ꯑꯁꯤꯗꯥ ꯁꯔꯖꯔꯤꯁꯤꯡꯅꯥ ꯍꯥꯔꯇꯄꯨ ꯕꯥꯏꯄꯥꯁ ꯇꯧꯗꯨꯅꯥ ꯂꯣꯌꯔꯕꯥ ꯍꯀꯆꯥꯡꯗꯒꯤ ꯑꯣꯛꯁꯤꯖꯦꯟ ꯌꯥꯎꯗꯕꯥ ꯏ ꯑꯗꯨ ꯄꯂꯃꯣꯅꯥꯔꯤ ꯑꯥꯔꯇꯦꯔꯤꯗꯥ ꯁꯝꯅꯍꯜꯂꯤ꯫ ꯃꯁꯤ ꯑꯅꯧꯕꯥ ‘ꯁꯣꯔꯇꯀꯠ’ ꯑꯃꯥ ꯁꯦꯝꯕꯒꯥ ꯃꯥꯟꯅꯩ꯫ ꯃꯍꯧꯁꯥꯅꯥ, ꯄ꯭ꯔꯣꯁꯤꯗ꯭ꯌꯨꯑꯣꯔ ꯑꯁꯤꯒꯤ ꯃꯃꯥꯡꯗꯥ, ꯒ꯭ꯂꯦꯟ ꯄ꯭ꯔꯣꯁꯤꯗ꯭ꯌꯨꯑꯣꯔ ꯀꯧꯕꯥ ꯑꯇꯣꯞꯄꯥ ꯄ꯭ꯔꯣꯁꯤꯗ꯭ꯌꯨꯑꯣꯔ ꯑꯃꯥ, ꯃꯊꯛꯀꯤ ꯍꯀꯆꯥꯡꯗꯒꯤ ꯑꯣꯛꯁꯤꯖꯦꯟ ꯌꯥꯎꯗꯕꯥ ꯏ ꯑꯗꯨ ꯂꯪꯁꯇꯥ ꯊꯥꯗꯣꯀꯏ꯫ ꯐꯣꯟꯇꯟ ꯄ꯭ꯔꯣꯁꯤꯖꯔ ꯑꯁꯤ ꯄ꯭ꯔꯣꯁꯤꯗ꯭ꯌꯨꯔ ꯑꯁꯤꯒꯤ ꯁꯤꯔꯤꯖ ꯑꯁꯤꯒꯤ ꯑꯔꯣꯏꯕꯥ ꯈꯣꯡꯊꯥꯡꯅꯤ꯫
ꯃꯁꯤꯒꯤ ꯃꯑꯣꯡ ꯑꯁꯤꯅꯥ ꯑꯅꯧꯕꯥ ꯂꯝꯕꯤꯁꯤꯡ ꯁꯦꯃꯒꯠꯄꯥ ꯃꯇꯃꯗꯥ, ꯁꯦꯜ ꯑꯃꯈꯛꯇꯒꯤ ꯑꯃꯠꯇꯥ ꯉꯥꯏꯔꯕꯥ ꯊꯕꯛ ꯑꯁꯤ ꯍꯀꯆꯥꯡ ꯄꯨꯝꯕꯗꯥ ꯑꯁꯦꯡꯕꯥ, ꯑꯣꯛꯁꯤꯖꯦꯟ ꯌꯥꯝꯅꯥ ꯌꯥꯑꯣꯕꯥ ꯏ ꯄꯝꯄ ꯇꯧꯕꯅꯤ꯫ ꯃꯁꯤ ꯑꯗꯨꯒꯨꯝꯕꯥ ꯑꯄꯤꯀꯄꯥ ꯊꯝꯃꯣꯌ ꯑꯗꯨꯒꯤꯗꯃꯛ ꯑꯆꯧꯕꯥ ꯔꯤꯂꯤꯐ ꯑꯃꯅꯤ꯫
ꯃꯁꯤꯒꯤ ꯁꯔꯖꯔꯤ ꯑꯁꯤ ꯀꯅꯥꯅꯥ ꯃꯊꯧ ꯇꯥꯔꯤꯕꯅꯣ ꯑꯃꯁꯨꯡ ꯀꯔꯤꯒꯤꯅꯣ?
ꯃꯁꯤꯒꯤ ꯁꯔꯖꯔꯤ ꯑꯁꯤ ꯃꯔꯨꯑꯣꯏꯅꯥ ꯚꯦꯟꯇꯤꯂꯦꯇꯔ ꯑꯃꯈꯛꯇꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯄꯣꯀꯄꯥ ꯑꯉꯥꯡꯁꯤꯡꯗꯥ ꯄꯥꯡꯊꯣꯀꯏ꯫ ꯃꯁꯤ ꯃꯍꯧꯁꯥꯅꯥ ꯆꯍꯤ ꯲ ꯑꯃꯁꯨꯡ ꯵ꯒꯤ ꯃꯔꯛꯇꯥ ꯄꯥꯡꯊꯣꯀꯏ .
ꯑꯗꯨꯕꯨ ꯃꯁꯤꯒꯤ ꯁꯔꯖꯔꯤ ꯑꯁꯤ ꯃꯤꯄꯨꯝ ꯈꯨꯗꯤꯡꯃꯛꯀꯤ ꯅꯠꯇꯦ꯫ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨ ꯃꯁꯤꯒꯤꯗꯃꯛꯇꯥ ꯆꯨꯃꯗ꯭ꯔꯤꯡꯅꯥ ꯌꯦꯡꯁꯤꯟꯅꯕꯥ ꯆꯦꯀꯁꯤꯟꯅꯥ ꯌꯦꯡꯁꯤꯅꯒꯅꯤ꯫ ꯈꯨꯗꯝ ꯑꯣꯏꯅ:
- ꯑꯉꯥꯡ ꯑꯗꯨꯒꯤ ꯋꯥꯔꯀꯤꯡ ꯁꯦꯜ ꯑꯗꯨ ꯌꯥꯝꯅꯥ ꯃꯄꯥꯉ꯭ꯒꯜ ꯀꯅꯕꯥ ꯃꯊꯧ ꯇꯥꯏ꯫
- ꯂꯪꯁꯇꯥ ꯍꯀꯊꯦꯡꯅꯅꯥ ꯂꯥꯀꯄꯥ ꯏ ꯐꯪꯕꯥ ꯉꯝꯅꯕꯥ ꯂꯪꯁ ꯑꯁꯤ ꯍꯀꯁꯦꯜ ꯐꯕꯥ ꯑꯣꯏꯒꯗꯕꯅꯤ꯫
ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯇꯦꯕꯜ ꯑꯁꯤꯅꯥ ꯁꯔꯖꯔꯤ ꯑꯁꯤꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯂꯥꯏꯌꯦꯡꯂꯤꯕꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯍꯥꯔꯇꯀꯤ ꯀꯟꯗꯤꯁꯟ ꯈꯔꯒꯤ ꯂꯤꯁ꯭ꯠ ꯑꯃꯥ ꯄꯤꯔꯤ꯫
| ꯐꯤꯚꯝ | ꯏꯆꯝ ꯆꯝꯕꯥ ꯃꯌꯦꯛ ꯁꯦꯡꯅꯥ ꯇꯥꯀꯄꯥ꯫ |
|---|---|
| ꯍꯥꯏꯄꯣꯞꯂꯥꯁ꯭ꯇꯤꯛ ꯂꯦꯐꯠ ꯍꯥꯔꯠ ꯁꯤꯟꯗꯣꯝ (HLHS) | ꯍꯥꯔꯇꯀꯤ ꯂꯦꯃꯍꯧꯔꯤꯕꯥ ꯁꯔꯨꯛ ꯑꯗꯨ (ꯂꯦꯐꯠ ꯚꯦꯟꯇꯤꯂꯦꯇꯔ ꯌꯥꯎꯅꯥ) ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯗꯤꯚꯦꯂꯞ ꯇꯧꯗꯦ꯫ (ꯃꯁꯤꯅꯥ ꯐꯣꯟꯇꯟ ꯑꯣꯄꯔꯦꯁꯅꯒꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯃꯔꯃꯅꯤ) |
| ꯇ꯭ꯔꯥꯏꯀꯁꯄꯤꯗ ꯑꯦꯠꯔꯦꯁꯤꯌꯥ꯫ | ꯍꯥꯔꯇꯀꯤ ꯑꯔꯣꯏꯕꯥ ꯃꯐꯃꯗꯥ ꯂꯩꯕꯥ ꯇ꯭ꯔꯥꯏꯀꯁꯄꯤꯗ ꯚꯜꯌꯨ ꯑꯁꯤ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯗꯤꯚꯦꯂꯞ ꯇꯧꯗꯦ꯫ |
| ꯄꯂꯃꯣꯅꯥꯔꯤ ꯑꯦꯠꯔꯦꯁꯤꯌꯥ꯫ | ꯂꯪꯁꯇꯥ ꯏ ꯄꯨꯕꯥ ꯉꯝꯕꯥ ꯄꯂꯃꯣꯅꯥꯔꯤ ꯚꯜꯌꯨ (pulmonary valve) ꯑꯗꯨ ꯕ꯭ꯂꯣꯛ ꯇꯧꯕꯥ꯫ |
| ꯗꯕꯜ ꯏꯅꯂꯦꯠ ꯂꯦꯐꯠ ꯚꯦꯟꯇꯤꯂꯦꯇꯔ꯫ | ꯍꯥꯔꯇꯇꯥ ꯆꯪꯂꯀꯄꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯜ ꯑꯅꯤꯃꯛ ꯂꯦꯐꯠ ꯚꯦꯟꯇꯤꯂꯦꯇꯔꯒꯥ ꯁꯝꯅꯩ꯫ |
ꯁꯔꯖꯔꯤꯒꯤ ꯃꯃꯥꯡ ꯑꯃꯁꯨꯡ ꯃꯅꯨꯡꯗꯥ ꯀꯔꯤ ꯊꯣꯀꯏ?
ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨ ꯁꯔꯖꯔꯤꯒꯤꯗꯃꯛꯇꯥ ꯆꯨꯝꯃꯤ ꯍꯥꯌꯅꯥ ꯂꯦꯄꯈ꯭ꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ, ꯗꯣꯛꯇꯔ ꯑꯗꯨꯅꯥ ꯇꯦꯁ꯭ꯠ ꯀꯌꯥ ꯄꯥꯡꯊꯣꯛꯀꯅꯤ꯫
- ꯇ꯭ꯔꯥꯟꯁꯊꯣꯔꯥꯁꯤꯛ ꯏꯀꯣꯀꯥꯔꯗꯤꯑꯣꯒ꯭ꯔꯥꯐ (TTE): ꯃꯁꯤ ꯍꯥꯔꯇꯀꯤ ꯑꯂꯠꯔꯥꯁꯥꯎꯟꯗ ꯁ꯭ꯀꯦꯟ ꯑꯃꯅꯤ꯫ ꯃꯁꯤꯅꯥ ꯍꯥꯔꯇꯀꯤ ꯁ꯭ꯠꯔꯀꯆꯔ, ꯚꯜꯌꯨ ꯑꯃꯁꯨꯡ ꯐꯉ꯭ꯀꯁꯅꯒꯤ ꯑꯐꯕꯥ ꯃꯑꯣꯡ ꯑꯃꯥ ꯄꯤ꯫
- ꯏꯂꯦꯛꯠꯔꯣꯀꯥꯔꯗꯤꯑꯣꯒ꯭ꯔꯥꯐ (EKG): ꯍꯥꯔꯇꯀꯤ ꯏꯂꯦꯛꯠꯔꯤꯀꯦꯜ ꯑꯦꯛꯇꯤꯚꯤꯇꯤ ꯑꯗꯨ ꯂꯦꯄꯊꯣꯀꯏ꯫
- ꯍꯥꯔꯠ ꯀꯦꯇꯦꯒꯣꯔꯤ: ꯍꯥꯔꯇꯀꯤ ꯃꯅꯨꯡꯗꯥ ꯂꯩꯕꯥ ꯄ꯭ꯔꯦꯁꯔ ꯑꯃꯁꯨꯡ ꯑꯣꯛꯁꯤꯖꯦꯅꯒꯤ ꯆꯥꯡ ꯑꯗꯨ ꯌꯦꯡꯁꯤꯟꯅꯕꯥ ꯑꯄꯤꯀꯄꯥ ꯇꯤꯎꯕ (catheter) ꯑꯃꯥ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯜ ꯑꯃꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯍꯥꯔꯇꯇꯥ ꯆꯦꯜꯂꯤ꯫
- ꯁꯤ.ꯇꯤ. ꯅꯠꯠꯔꯒꯥ ꯑꯦꯝ.ꯑꯥꯔ.ꯑꯥꯏ.
ꯁꯔꯖꯔꯤꯒꯤ ꯅꯨꯃꯤꯠꯇꯥ ꯑꯉꯥꯡ ꯑꯗꯨꯕꯨ ꯇꯨꯝꯕꯥ ꯌꯥꯅꯕꯥ ꯑꯦꯅꯥꯁ꯭ꯇꯦꯁꯤꯌꯥ ꯄꯤ꯫ ꯃꯁꯤꯅꯥ ꯇꯥꯀꯄꯗꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯅꯥ ꯑꯋꯥꯕꯥ ꯑꯃꯠꯇꯥ ꯐꯥꯑꯣꯔꯣꯏ ꯍꯥꯌꯕꯅꯤ꯫ ꯁꯔꯖꯔꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯉꯥꯡ ꯑꯗꯨꯕꯨ ꯃꯇꯝ ꯈꯔꯒꯤ ꯑꯣꯏꯅꯥ ꯍꯥꯔꯠ ꯑꯃꯁꯨꯡ ꯂꯪꯁꯀꯤ ꯊꯕꯛ ꯇꯧꯕꯥ ꯑꯈꯟꯅꯕꯥ ꯃꯦꯁꯤꯟ ꯑꯃꯒꯥ ꯁꯝꯅꯍꯅꯒꯅꯤ (ꯍꯥꯔꯠ-ꯂꯪꯁꯀꯤ ꯃꯦꯁꯤꯟ) . ꯃꯦꯁꯤꯟ ꯑꯁꯤꯅꯥ ꯁꯔꯖꯔꯤꯅꯥ ꯑꯅꯧꯕꯥ ꯀꯅꯦꯛꯁꯟ (ꯏꯅꯐꯦꯔꯤꯌꯔ ꯚꯦꯅꯥ ꯀꯥꯚꯥꯗꯒꯤ ꯄꯂꯃꯣꯅꯥꯔꯤ ꯑꯥꯔꯇꯦꯔꯤ ꯐꯥꯎꯕꯥ) ꯁꯦꯃꯒꯠꯂꯛꯠꯔꯤꯐꯥꯎꯕꯥ ꯍꯀꯆꯥꯡꯗꯥ ꯏ ꯁꯞꯂꯥꯏ ꯇꯧꯒꯅꯤ꯫
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯁꯔꯖꯔꯤꯅꯥ ꯑꯅꯧꯕꯥ ꯂꯝꯕꯤ ꯑꯁꯤꯗꯥ ꯑꯄꯤꯀꯄꯥ ꯍꯨꯔꯥꯅꯕꯥ (ꯐꯦꯅꯦꯁ꯭ꯠꯔꯦꯁꯟ) ꯑꯃꯥ ꯁꯦꯝꯃꯤ꯫ꯃꯁꯤ ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯍꯥꯔꯇꯀꯤ ꯄ꯭ꯔꯦꯁꯔ ꯍꯟꯊꯍꯟꯅꯕꯥ ꯇꯧꯏ꯫ ꯁꯔꯖꯔꯤ ꯄꯨꯝꯅꯃꯛ ꯑꯁꯤ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯄꯨꯡ ꯴-꯵ ꯆꯪꯕꯥ ꯌꯥꯏ .
ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯀꯔꯤ ꯑꯣꯏꯒꯅꯤ? ꯔꯤꯁ꯭ꯛ ꯑꯃꯠꯇꯥ ꯂꯩꯕ꯭ꯔꯥ?
ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯑꯉꯥꯡ ꯑꯗꯨꯕꯨ ꯀꯨꯞꯅꯥ ꯌꯦꯡꯁꯤꯟꯅꯕꯥ ꯏꯟꯇꯦꯟꯁꯤꯚ ꯀꯦꯌꯔ ꯌꯨꯅꯤꯠ (ICU)ꯗꯥ ꯑꯦꯗꯃꯤꯠ ꯇꯧꯏ꯫ ꯅꯨꯃꯤꯠ ꯈꯔꯅꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯃꯈꯣꯌꯕꯨ ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯋꯥꯔꯗ ꯑꯃꯗꯥ ꯇ꯭ꯔꯥꯟꯁꯐꯔ ꯇꯧꯏ꯫ ꯆꯥꯡꯆꯠꯇꯥ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯂꯗꯥ ꯂꯩꯕꯥ ꯑꯁꯤ ꯅꯨꯃꯤꯠ ꯷ ꯑꯃꯁꯨꯡ ꯱꯳ꯒꯤ ꯃꯔꯛꯇꯥ ꯂꯩ .
ꯃꯁꯤꯒꯤ ꯁꯔꯖꯔꯤ ꯑꯁꯤꯒꯤ ꯀꯥꯟꯅꯕꯇꯥ ꯅꯠꯇꯅꯥ ꯔꯤꯁ꯭ꯛ ꯑꯃꯁꯨꯡ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡꯁꯨ ꯂꯩ, ꯑꯃꯁꯨꯡ ꯃꯈꯣꯌꯁꯤꯡ ꯑꯁꯤ ꯈꯉꯕꯥ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫
| ꯔꯤꯁ꯭ꯛ ꯃꯈꯜ꯫ | ꯑꯣꯏꯊꯣꯀꯄꯥ ꯌꯥꯕꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ꯫ |
|---|---|
| ꯑꯇꯦꯅꯕꯥ ꯃꯇꯃꯒꯤ ꯑꯣꯏꯕꯥ ꯔꯤꯁ꯭ꯀꯁꯤꯡ꯫ (ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ) | ꯄ꯭ꯂꯨꯔꯦꯜ ꯏꯐ꯭ꯌꯨꯁꯟ, ꯀꯤꯗꯅꯤꯒꯤ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ, ꯍꯥꯔꯠ ꯐꯦꯜ ꯑꯣꯏꯕꯥ, ꯍꯥꯔꯇꯀꯤ ꯂꯥꯌꯅꯥ, ꯂꯤꯚꯔꯒꯤ ꯂꯥꯌꯅꯥ꯫ |
| ꯂꯣꯡ-ꯇꯔꯝ ꯔꯤꯁ꯭ꯀꯁꯤꯡ꯫ (ꯃꯇꯃꯒꯥ ꯂꯣꯌꯅꯅꯥ) | ꯄ꯭ꯔꯣꯇꯤꯟ ꯃꯥꯡꯈꯤꯕꯥ ꯑꯦꯟꯇꯦꯔꯣꯄꯦꯊꯤ, ꯕ꯭ꯂꯗ ꯀ꯭ꯂꯣꯠ (ꯊ꯭ꯔꯣꯝꯕꯣꯏꯝꯕꯣꯂꯤꯖꯝ), ꯐꯣꯟꯇꯥꯅꯒꯥ ꯃꯔꯤ ꯂꯩꯅꯕꯥ ꯂꯤꯚꯔ ꯗꯤꯖꯤꯖ (FALD), ꯑꯃꯁꯨꯡ ꯄ꯭ꯂꯥꯁ꯭ꯇꯤꯛ ꯕ꯭ꯔꯣꯉ꯭ꯀꯏꯇꯤꯁ꯫ |
ꯃꯇꯃꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ, ꯄꯦꯁꯦꯟꯇ ꯈꯔꯗꯤ ꯁꯔꯖꯔꯤ ꯑꯁꯤꯒꯤ ꯏꯐꯦꯛꯇ ꯍꯟꯊꯔꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯕꯨ ‘ꯐꯦꯏꯜ ꯇꯧꯔꯕꯥ ꯐꯣꯟꯇꯥꯟ’ ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ ꯃꯇꯝ ꯑꯗꯨꯗꯥ ꯍꯥꯔꯠ ꯇ꯭ꯔꯥꯟꯁꯞꯂꯥꯟꯇ ꯇꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯏ꯫ ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯃꯁꯤꯕꯨ ꯈꯣꯡꯆꯠꯀꯤ ꯁꯔꯨꯛ ꯑꯃꯥ ꯑꯣꯏꯅꯥ ꯂꯧꯏ꯫
ꯑꯉꯥꯡ ꯑꯗꯨꯅꯥ ꯀꯔꯝꯕꯥ ꯃꯈꯂꯒꯤ ꯇꯨꯡꯒꯤ ꯑꯥꯁꯥ ꯇꯧꯕꯥ ꯌꯥꯕꯒꯦ?
ꯃꯃꯥꯡꯉꯩꯗꯗꯤ ꯁꯦꯜ ꯑꯃꯈꯛꯇꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯄꯣꯀꯄꯥ ꯑꯉꯥꯡ ꯑꯃꯒꯤ ꯇꯨꯡꯒꯤ ꯐꯤꯕꯝ ꯁꯣꯌꯗꯅꯥ ꯂꯩꯔꯃꯏ꯫ ꯑꯗꯨꯕꯨ ꯉꯁꯤꯗꯤ ꯃꯦꯗꯤꯀꯦꯜ ꯁꯥꯏꯟꯁꯀꯤ ꯆꯥꯎꯈꯠꯂꯀꯄꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯐꯣꯟꯇꯥꯟ ꯑꯣꯄꯔꯦꯁꯟ ꯑꯁꯤꯅꯥ ꯑꯉꯥꯡꯁꯤꯡ ꯑꯁꯤꯕꯨ ꯑꯉꯥꯡ ꯑꯣꯏꯔꯤꯉꯩꯗꯒꯤ ꯍꯦꯟꯅꯥ, ꯅꯍꯥ ꯑꯣꯏꯔꯤꯉꯩꯗꯥ, ꯑꯃꯁꯨꯡ ꯑꯍꯜ ꯑꯣꯏꯔꯀꯄꯒꯤ ꯈꯨꯗꯣꯡꯆꯥꯕꯥ ꯐꯪꯍꯜꯂꯦ꯫
ꯁ꯭ꯇꯦꯇꯤꯁ꯭ꯇꯤꯀꯦꯂꯒꯤ ꯃꯇꯨꯡ ꯏꯟꯅꯥ ꯐꯣꯟꯇꯟ ꯑꯣꯄꯔꯦꯁꯟ ꯇꯧꯈꯤꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ:
- ꯆꯥꯎꯔꯥꯛꯅꯥ ꯹꯰%ꯗꯤ ꯆꯍꯤ ꯱꯰ꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯍꯤꯡꯂꯤ꯫
- ꯆꯥꯎꯔꯥꯛꯅꯥ ꯸꯵%ꯗꯤ ꯆꯍꯤ ꯳꯰ꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯍꯤꯡꯂꯤ꯫
ꯃꯤꯑꯣꯏ ꯀꯌꯥ ꯑꯃꯅꯥ ꯍꯧꯖꯤꯛ ꯆꯍꯤ ꯵꯰ꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯍꯀꯆꯥꯡ ꯐꯕꯥ ꯄꯨꯟꯁꯤ ꯑꯃꯥ ꯍꯤꯡꯂꯤ, ꯑꯗꯨꯕꯨ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯋꯥꯐꯃꯗꯤ, ꯑꯉꯥꯡꯁꯤꯡ ꯑꯁꯤꯅꯤ꯫ꯅꯍꯥꯛꯀꯤ ꯄꯨꯟꯁꯤ ꯆꯨꯞꯄꯥ ꯀꯥꯔꯗꯤꯑꯣꯂꯣꯖꯤꯁ꯭ꯠ ꯑꯃꯒꯤ ꯌꯦꯡꯁꯤꯅꯕꯒꯤ ꯃꯈꯥꯗꯥ ꯂꯩꯕꯥ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫ ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯇꯦꯁ꯭ꯠ ꯇꯧꯕꯥ ꯑꯃꯁꯨꯡ ꯆꯦꯛ-ꯑꯞ ꯇꯧꯕꯥ ꯑꯁꯤ ꯇꯉꯥꯏꯐꯗꯕꯥ ꯑꯃꯅꯤ꯫
ꯀꯗꯥꯏꯗꯥ ꯗꯣꯛꯇꯔꯒꯥ ꯇꯥꯟꯅꯒꯗꯒꯦ?
ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯌꯨꯃꯗꯥ ꯍꯜꯂꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯍꯦꯛꯇꯥ ꯂꯩꯔꯕꯗꯤ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯈꯨꯗꯛꯇꯥ ꯈꯪꯍꯅꯕꯤꯌꯨ:
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯁꯔꯖꯤꯀꯦꯜ ꯑꯣꯏꯕꯥ ꯑꯁꯣꯀꯄꯥ ꯑꯗꯨꯗꯒꯤ ꯏ ꯅꯠꯠꯔꯒꯥ ꯑꯇꯩ ꯐ꯭ꯂꯨꯏꯗ ꯑꯃꯥ ꯂꯤꯛ ꯑꯣꯏꯔꯕꯗꯤ꯫
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯥꯏꯍꯧ ꯅꯠꯠꯔꯒꯥ ꯏꯅꯐꯦꯛꯁꯅꯒꯤ ꯑꯇꯩ ꯈꯨꯗꯃꯁꯤꯡ (ꯀꯣꯛ, ꯀꯣꯜꯗ) ꯂꯩꯔꯕꯗꯤ꯫
ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡꯒꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯀꯝꯞꯂꯦꯛꯁ ꯑꯣꯏꯕꯅꯥ, ꯅꯍꯥꯛꯅꯥ ꯈꯪꯗꯕꯥ ꯋꯥꯐꯝ ꯑꯃꯍꯦꯛꯇꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯗꯣꯛꯇꯔꯗꯥ ꯍꯪꯕꯗꯥ ꯂꯥꯡꯇꯛꯅꯒꯅꯨ꯫ ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡꯒꯤ ꯐꯤꯚꯝ ꯑꯗꯨ ꯑꯐꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯈꯪꯖꯤꯅꯕꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯕꯨ ꯑꯐꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯌꯦꯡꯁꯤꯅꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯒꯅꯤ꯫
ꯇꯦꯛ-ꯍꯣꯝ ꯃꯦꯁꯦꯖ ꯇꯧꯕꯥ꯫
- ꯐꯣꯟꯇꯟ ꯄ꯭ꯔꯣꯁꯤꯗ꯭ꯌꯨꯔ ꯑꯁꯤ ꯁꯤꯉ꯭ꯒꯜ ꯁꯦꯜ ꯍꯥꯔꯇꯀꯤ ꯂꯥꯌꯅꯥꯒꯤ ꯃꯄꯨꯡꯐꯥꯕꯥ ꯂꯥꯏꯌꯦꯡ ꯑꯃꯅꯤ꯫ ꯃꯁꯤ ꯏꯒꯤ ꯈꯣꯡꯖꯦꯜ ꯍꯣꯡꯍꯅꯕꯥ, ꯊꯝꯃꯣꯌꯗꯥ ꯄ꯭ꯔꯦꯁꯔ ꯍꯟꯊꯍꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯄꯨꯟꯁꯤꯕꯨ ꯍꯦꯟꯅꯥ ꯂꯥꯌꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯊꯧꯑꯣꯡ ꯑꯃꯅꯤ꯫
- ꯃꯁꯤꯒꯤ ꯁꯔꯖꯔꯤ ꯑꯁꯤꯅꯥ ꯑꯉꯥꯡꯒꯤ ꯁꯤꯉ꯭ꯒꯜ ꯁꯦꯂꯗꯥ ꯋꯥꯔꯀꯂꯣꯗ ꯍꯟꯊꯍꯜꯂꯤ ꯑꯃꯁꯨꯡ ꯍꯀꯆꯥꯡꯒꯤ ꯑꯣꯛꯁꯤꯖꯦꯅꯒꯤ ꯆꯥꯡ ꯌꯥꯝꯅꯥ ꯍꯦꯅꯒꯠꯍꯜꯂꯤ꯫
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