ꯑꯍꯜ ꯑꯣꯏꯔꯕꯁꯤꯡꯗꯁꯨ ꯀꯣꯟꯖꯤꯅꯤꯑꯦꯜ ꯍꯥꯔꯠ ꯗꯤꯖꯤꯖ ꯂꯩꯕꯥ ꯌꯥꯕ꯭ꯔꯥ? (ꯑꯦꯗꯜꯇ ꯀꯣꯟꯖꯤꯅꯤꯑꯦꯜ ꯍꯥꯔꯠ ꯗꯤꯖꯤꯖ)

ꯅꯍꯥꯛꯅꯥ ꯑꯉꯥꯡ ꯑꯣꯏꯔꯤꯉꯩꯗꯒꯤ ꯍꯧꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯍꯥꯔꯇꯀꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯥ ꯂꯩꯔꯦ ꯍꯥꯌꯕꯥ ꯈꯪꯂꯃꯗꯕꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯕꯨ ꯅꯍꯥꯛꯅꯥ ꯆꯍꯤ ꯌꯥꯃꯈꯠꯂꯀꯄꯒꯥ ꯂꯣꯌꯅꯅꯥ, ꯅꯠꯠꯔꯒꯥ ꯆꯍꯤ ꯌꯥꯃꯈꯠꯂꯀꯄꯒꯥ ꯂꯣꯌꯅꯅꯥ, ꯅꯍꯥꯛꯅꯥ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ, ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯁꯣꯀꯄꯥ ꯍꯧꯔꯛꯂꯕ꯭ꯔꯥ? ꯃꯤꯑꯣꯏ ꯀꯌꯥꯅꯥ ꯍꯥꯔꯇꯀꯤ ꯂꯥꯌꯅꯥ ꯑꯁꯤ ꯆꯍꯤ ꯌꯥꯃꯈꯠꯂꯀꯄꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯂꯥꯀꯄꯥ ꯄꯣꯠꯁꯛ ꯑꯃꯅꯤ ꯍꯥꯌꯅꯥ ꯈꯜꯂꯤ꯫ ꯑꯗꯨꯕꯨ ꯑꯆꯨꯝꯕꯥ ꯑꯗꯨꯗꯤ ꯍꯥꯔꯇꯀꯤ ꯂꯥꯌꯅꯥ ꯈꯔꯗꯤ ꯏꯅꯍꯦꯔꯤꯇꯦꯗ ꯑꯣꯏ꯫ ꯉꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯀꯣꯟꯖꯤꯅꯤꯑꯦꯜ ꯍꯥꯔꯠ ꯗꯤꯖꯤꯖꯁꯤꯡꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯔꯤ, ꯃꯈꯣꯌꯁꯤꯡ ꯑꯁꯤ ꯃꯤꯔꯣꯜꯂꯤꯉꯩ ꯃꯇꯃꯗꯥ ꯈꯉꯗꯣꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯂꯥꯌꯦꯡꯏ꯫

ꯑꯦꯗꯜꯇ ꯀꯣꯟꯖꯤꯅꯤꯑꯦꯜ ꯍꯥꯔꯠ ꯗꯤꯖꯤꯖ (ACHD) ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ?

ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯃꯁꯤ ꯅꯍꯥꯛꯅꯥ ꯄꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯂꯩꯔꯤꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯊꯝꯃꯣꯌꯒꯤ ꯃꯑꯣꯡ ꯅꯠꯠꯔꯒꯥ ꯁ꯭ꯠꯔꯀꯆꯔꯗꯥ ꯂꯩꯕꯥ ꯑꯁꯣꯌꯕꯥ ꯑꯃꯅꯤ꯫ “ꯀꯣꯟꯖꯦꯅꯤꯑꯦꯜ” ꯍꯥꯌꯕꯥ ꯋꯥꯍꯩ ꯑꯁꯤꯒꯤ ꯑꯔꯊꯗꯤ “ꯄꯣꯀꯄꯥ ꯃꯇꯃꯗꯒꯤ” ꯍꯥꯌꯕꯅꯤ꯫ ꯍꯥꯌꯔꯤꯕꯥ ꯑꯁꯣꯛ-ꯑꯄꯅꯁꯤꯡ ꯑꯁꯤ ꯑꯉꯥꯡ ꯑꯗꯨ ꯈꯣꯝꯂꯥꯡꯗꯥ ꯂꯩꯔꯤꯉꯩꯗꯥ ꯊꯣꯀꯏ꯫ ꯍꯥꯌꯔꯤꯕꯥ ꯑꯁꯣꯛ-ꯑꯄꯅꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯍꯥꯔꯇꯀꯤ ꯃꯅꯨꯡꯗꯥ ꯏ ꯆꯦꯅꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯁꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ . ꯑꯩꯈꯣꯌꯅꯥ ꯃꯁꯤꯕꯨ “ꯀꯣꯟꯖꯦꯅꯤꯑꯦꯜ ꯍꯥꯔꯠ ꯗꯤꯐꯦꯛꯇ” ꯍꯥꯌꯅꯥꯁꯨ ꯀꯧꯏ꯫

ꯍꯥꯔꯇꯀꯤ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯈꯔꯗꯤ ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯊꯣꯀꯏ꯫ ꯑꯇꯣꯞꯄꯁꯤꯡꯅꯥ ꯌꯥꯝꯅꯥ ꯂꯨꯕꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯑꯗꯨꯒꯤ ꯃꯈꯜ ꯑꯃꯁꯨꯡ ꯁꯥꯊꯤꯕꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ, ꯃꯤꯑꯣꯏ ꯈꯔꯗꯤ ꯃꯄꯨꯡ-ꯃꯔꯩ ꯐꯥꯔꯕꯥ ꯃꯇꯃꯗꯥ ꯂꯥꯏꯑꯣꯡ ꯑꯃꯠꯇꯥ ꯎꯕꯥ ꯐꯪꯗꯕꯥ ꯌꯥꯏ꯫ ꯑꯇꯣꯞꯄꯁꯤꯡꯅꯥ ꯃꯈꯣꯌꯒꯤ ꯄꯨꯟꯁꯤ ꯆꯨꯞꯄꯥ ꯂꯥꯏꯑꯣꯡ ꯑꯃꯠꯇꯥ ꯎꯕꯥ ꯐꯪꯗꯕꯥ ꯌꯥꯏ꯫ ꯑꯇꯣꯞꯄꯁꯤꯡꯅꯥ ꯑꯉꯥꯡ ꯑꯣꯏꯔꯤꯉꯩꯗꯥ ꯃꯁꯤꯒꯤꯗꯃꯛꯇꯥ ꯂꯥꯏꯌꯦꯡꯕꯥ ꯌꯥꯏ ꯑꯗꯨꯕꯨ ꯃꯄꯨꯡ-ꯃꯔꯩ ꯐꯥꯔꯕꯥ ꯃꯇꯃꯗꯥ ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯏꯐꯦꯛꯇ ꯇꯧꯕꯥ ꯌꯥꯏ꯫

ꯑꯗꯨꯕꯨ ꯋꯥꯈꯜ ꯆꯔꯥꯡꯅꯕꯥ ꯗꯔꯀꯥꯔ ꯑꯣꯏꯗꯦ꯫ ꯃꯣꯗꯔꯟ ꯃꯦꯗꯤꯁꯤꯅꯒꯤ ꯆꯥꯎꯈꯠꯂꯀꯄꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯂꯥꯌꯅꯥꯁꯤꯡ ꯑꯁꯤ ꯈꯉꯗꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯂꯥꯌꯦꯡꯕꯒꯤ ꯄꯥꯝꯕꯩꯁꯤꯡ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯐꯒꯠꯂꯦ꯫ ꯇꯁꯦꯡꯕꯗꯤ, ꯑꯉꯥꯡ ꯑꯣꯏꯔꯤꯉꯩꯗꯥ ꯍꯥꯔꯇꯀꯤ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ ꯑꯁꯤ ꯂꯥꯏꯌꯦꯡꯂꯤꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯒꯤ 90% ꯍꯦꯅꯕꯅꯥ ꯃꯈꯥ ꯇꯥꯅꯥ ꯍꯀꯁꯦꯜ ꯐꯕꯥ ꯄꯨꯟꯁꯤ ꯍꯤꯡꯏ꯫ ꯑꯉꯥꯡ ꯑꯣꯏꯔꯤꯉꯩꯗꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯍꯜ ꯑꯣꯏꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯂꯥꯌꯅꯥ ꯑꯁꯤ ꯅꯥꯔꯦ ꯍꯥꯌꯅꯥ ꯈꯪꯂꯕꯁꯨ, ꯅꯍꯥꯛꯀꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯗꯨ ꯌꯦꯡꯁꯤꯟꯅꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯄꯨꯟꯁꯤ ꯆꯨꯞꯄꯥ ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯄꯥꯎꯇꯥꯛ ꯑꯃꯁꯨꯡ ꯇꯦꯁ꯭ꯠ ꯇꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯒꯅꯤ꯫

ꯃꯁꯤꯅꯥ ꯊꯝꯃꯣꯌꯒꯤ ꯀꯔꯤ ꯁꯔꯨꯀꯁꯤꯡꯗꯥ ꯁꯣꯀꯍꯅꯕꯥ ꯌꯥꯕꯒꯦ?

ꯀꯣꯟꯖꯤꯅꯤꯑꯦꯜ ꯍꯥꯔꯇꯀꯤ ꯑꯁꯣꯛ-ꯑꯄꯅꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯍꯥꯔꯇꯀꯤ ꯁꯔꯨꯛ ꯑꯃꯍꯦꯛꯇꯗꯥ ꯁꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯁꯣꯀꯍꯅꯕꯥ ꯌꯥꯕꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯁꯔꯨꯀꯁꯤꯡꯗꯤ:

• ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯂꯁꯤꯡ : ꯍꯥꯔꯇꯇꯥ ꯂꯩꯕꯥ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯂꯁꯤꯡꯅꯥ ꯍꯀꯆꯥꯡ ꯄꯨꯝꯕꯗꯥ ꯏ ꯄꯨꯊꯣꯀꯏ ꯑꯃꯁꯨꯡ ꯍꯥꯔꯇꯇꯥ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯄꯨꯊꯣꯀꯏ꯫ ꯑꯥꯔꯇꯦꯔꯤꯁꯤꯡꯅꯥ ꯍꯥꯔꯇꯇꯒꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯑꯣꯛꯁꯤꯖꯦꯟ ꯌꯥꯝꯅꯥ ꯌꯥꯎꯕꯥ ꯏ ꯄꯨꯊꯣꯀꯏ꯫ ꯚꯦꯅꯃꯁꯤꯡꯅꯥ ꯗꯤꯑꯣꯛꯁꯤꯖꯦꯟ ꯌꯥꯎꯕꯥ ꯏ ꯑꯗꯨ ꯍꯥꯔꯇꯇꯥ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯄꯨꯗꯨꯅꯥ ꯆꯠꯂꯤ꯫
• ꯍꯥꯔꯠ ꯆꯦꯝꯕꯔꯁꯤꯡ: ꯍꯥꯔꯇꯀꯤ ꯈꯣꯡꯖꯦꯜ ꯑꯃꯁꯨꯡ ꯏꯒꯤ ꯁꯔꯛꯌꯨꯂꯦꯁꯟ꯫ꯃꯁꯤ ꯆꯦꯝꯕꯔꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯏ꯫ ꯃꯊꯛꯀꯤ ꯆꯦꯝꯕꯔ ꯑꯅꯤ (right and left atria) ꯑꯃꯁꯨꯡ ꯃꯈꯥꯒꯤ ꯆꯦꯝꯕꯔ ꯑꯅꯤ (right and left ventricles) ꯂꯩ꯫ ꯍꯥꯌꯔꯤꯕꯥ ꯆꯦꯝꯕꯔꯁꯤꯡ ꯑꯁꯤ ꯑꯃꯒꯥ ꯑꯃꯒꯥ ꯋꯥꯜ (ꯁꯦꯄꯇꯝ) ꯑꯃꯅꯥ ꯇꯣꯈꯥꯌꯅꯥ ꯊꯝꯃꯤ꯫
• ꯍꯥꯔꯠ ꯚꯜꯌꯨ : ꯚꯜꯌꯨ ꯃꯔꯤ ꯑꯁꯤꯅꯥ ꯍꯥꯔꯇꯀꯤ ꯃꯅꯨꯡꯗꯥ ꯏ ꯆꯦꯅꯕꯥ ꯃꯥꯌꯀꯩ ꯑꯃꯈꯛꯇꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫ ꯃꯈꯣꯌ ꯑꯁꯤ ꯑꯔꯥꯅꯕꯥ ꯃꯥꯏꯀꯩꯗꯥ ꯏ ꯆꯦꯅꯕꯥ ꯊꯤꯡꯂꯤꯕꯥ ꯊꯣꯡꯁꯤꯡꯒꯨꯝꯕꯅꯤ꯫

ꯀꯣꯟꯖꯤꯅꯤꯑꯦꯜ ꯍꯥꯔꯠ ꯗꯤꯖꯤꯖꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯈꯂꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?

ꯑꯍꯜ ꯑꯣꯏꯔꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯗꯥ ꯌꯥꯝꯅꯥ ꯇꯣꯏꯅꯥ ꯊꯣꯀꯄꯥ ꯀꯣꯟꯖꯤꯅꯤꯑꯦꯜ ꯍꯥꯔꯠ ꯗꯤꯖꯤꯖ ꯃꯈꯜ ꯀꯌꯥ ꯂꯩ꯫ ꯃꯈꯣꯌꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯤꯅꯣ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯁꯤ꯫

ꯀꯟꯗꯤꯁꯅꯁꯤꯡ ꯑꯁꯤ ꯀꯅꯥꯅꯥ ꯍꯦꯟꯅꯥ ꯊꯣꯀꯍꯅꯕꯒꯦ?

ꯀꯟꯗꯤꯁꯅꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯖꯦꯟꯗꯔ, ꯆꯍꯤ ꯅꯠꯠꯔꯒꯥ ꯖꯥꯇꯤꯒꯤ ꯈꯦꯠꯅꯕꯥ ꯂꯩꯇꯅꯥ ꯀꯅꯥꯒꯨꯝꯕꯥ ꯑꯃꯠꯇꯗꯥ ꯁꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯀꯟꯗꯤꯁꯟ ꯈꯔꯗꯤ ꯅꯨꯄꯥꯁꯤꯡꯗꯒꯤ ꯅꯨꯄꯤꯁꯤꯡꯗꯥ ꯍꯦꯟꯅꯥ ꯀꯃꯟ ꯑꯣꯏ꯫ ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, `ꯑꯦꯠꯔꯤꯌꯥꯜ ꯁꯦꯞꯇꯜ ꯗꯤꯐꯦꯛꯇ (ASD)` ꯑꯃꯁꯨꯡ `ꯃꯥꯏꯠꯔꯜ ꯚꯜꯌꯨ ꯄ꯭ꯔꯣꯂꯥꯄꯁ (MVP)`ꯒꯨꯝꯕꯥ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ ꯑꯁꯤ ꯅꯨꯄꯤꯁꯤꯡꯗꯥ ꯍꯦꯟꯅꯥ ꯀꯃꯟ ꯑꯣꯏ꯫ `Aortic coarctation`ꯒꯨꯝꯕꯥ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ ꯑꯁꯤ ꯅꯨꯄꯥꯁꯤꯡꯗꯥ ꯍꯦꯟꯅꯥ ꯀꯃꯟ ꯑꯣꯏ꯫ ꯃꯁꯤꯗꯁꯨ ꯅꯠꯇꯅꯥ, `ꯗꯥꯎꯟ ꯁꯤꯟꯗꯣꯝ` ꯅꯠꯠꯔꯒꯥ `ꯇꯔꯅꯔ ꯁꯤꯟꯗꯣꯝ`ꯒꯨꯝꯕꯥ ꯖꯦꯅꯦꯇꯤꯛ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯗꯁꯨ ꯀꯣꯟꯖꯤꯅꯤꯑꯦꯜ ꯍꯥꯔꯠ ꯗꯤꯖꯤꯖ ꯂꯥꯀꯄꯒꯤ ꯔꯤꯁ꯭ꯛ ꯍꯦꯟꯅꯥ ꯂꯩ꯫

ꯃꯁꯤ ꯀꯔꯤꯒꯤ ꯊꯣꯛꯂꯤꯕꯅꯣ? ꯔꯤꯁ꯭ꯛ ꯐꯦꯛꯇꯔꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?

ꯃꯇꯝ ꯀꯌꯥꯗꯥ ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯁꯨ ꯀꯔꯤꯒꯤꯗꯃꯛꯇꯥ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯀꯣꯟꯖꯤꯅꯤꯑꯦꯜ ꯍꯥꯔꯠ ꯗꯤꯐꯦꯛꯇ ꯑꯁꯤ ꯊꯣꯀꯄꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯇꯁꯦꯡꯅꯥ ꯍꯥꯌꯕꯥ ꯉꯃꯗꯦ꯫ ꯃꯈꯣꯌ ꯈꯔꯗꯤ ꯏꯅꯍꯦꯔꯤꯇꯦꯗ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫ ꯍꯥꯌꯕꯗꯤ ꯖꯤꯅꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ꯫

ꯃꯁꯤꯗꯁꯨ ꯅꯠꯇꯅꯥ, ꯃꯤꯔꯣꯜꯂꯤꯉꯩ ꯃꯇꯃꯗꯥ ꯃꯃꯥ ꯑꯗꯨꯅꯥ ꯊꯦꯡꯅꯔꯤꯕꯥ ꯑꯀꯛꯅꯕꯥ ꯀꯟꯗꯤꯁꯅꯁꯤꯡꯅꯥ ꯑꯉꯥꯡ ꯑꯗꯨꯗꯥ ꯔꯤꯁ꯭ꯛ ꯑꯁꯤ ꯍꯦꯅꯒꯠꯍꯅꯕꯥ ꯌꯥꯏ꯫

• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯃꯥ ꯑꯗꯨꯅꯥ ꯃꯤꯔꯣꯜꯂꯤꯉꯩꯒꯤ ꯑꯍꯥꯅꯕꯥ ꯊꯥ ꯑꯍꯨꯃꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯔꯨꯕꯦꯂꯥ ꯅꯠꯠꯔꯒꯥ ꯏꯅꯐ꯭ꯂꯨꯑꯦꯟꯖꯥꯒꯨꯝꯕꯥ ꯚꯥꯏꯔꯁ ꯏꯅꯐꯦꯛꯁꯟ ꯑꯃꯥ ꯂꯩꯔꯕꯗꯤ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯃꯥ ꯑꯗꯨꯅꯥ ꯗꯥꯏꯑꯦꯕꯦꯇꯤꯖ ꯂꯩꯔꯕꯗꯤ (ꯇꯥꯏꯞ 1 ꯅꯠꯠꯔꯒꯥ ꯇꯥꯏꯞ 2 ꯗꯥꯏꯑꯦꯕꯦꯇꯤꯖ) .
• ꯑꯦꯛꯅꯤ ꯑꯃꯁꯨꯡ ꯏꯄꯤꯂꯦꯄꯁꯤꯒꯨꯝꯕꯥ ꯂꯥꯌꯅꯥꯁꯤꯡꯗꯥ ꯁꯤꯖꯤꯟꯅꯔꯤꯕꯥ ꯍꯤꯗꯥꯛ ꯈꯔꯗꯤ ꯃꯤꯔꯣꯜꯂꯤꯉꯩ ꯃꯇꯃꯗꯥ ꯁꯤꯖꯤꯟꯅꯕꯥ ꯌꯥꯏ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯤꯔꯣꯜꯂꯤꯉꯩꯒꯤ ꯅꯨꯃꯤꯠ 30ꯅꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯏꯕꯨꯡ-ꯄ꯭ꯔꯣꯐꯦꯅꯒꯨꯝꯕꯥ ꯄꯦꯟ ꯀꯤꯂꯔꯁꯤꯡ ꯂꯧꯔꯕꯗꯤ꯫

ꯑꯗꯣꯃꯗꯁꯨ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯂꯩꯕ꯭ꯔꯥ?

ACHDꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯃꯤꯑꯣꯏ ꯑꯃꯗꯒꯤ ꯃꯤꯑꯣꯏ ꯑꯃꯗꯥ ꯈꯦꯠꯅꯩ꯫ ꯃꯈꯣꯌ ꯑꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯆꯍꯤ, ꯅꯍꯥꯛꯅꯥ ꯂꯩꯔꯤꯕꯥ ꯍꯥꯔꯇꯀꯤ ꯑꯁꯣꯛ-ꯑꯄꯅꯁꯤꯡꯒꯤ ꯃꯁꯤꯡ, ꯂꯥꯌꯅꯥ ꯑꯁꯤꯒꯤ ꯁꯥꯊꯤꯕꯥ ꯑꯃꯁꯨꯡ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯃꯈꯜ ꯑꯗꯨꯒꯤ ꯃꯈꯥ ꯄꯣꯜꯂꯤ꯫ ꯃꯤꯑꯣꯏ ꯈꯔꯗꯗꯤ ꯂꯥꯏꯑꯣꯡ ꯑꯃꯠꯇꯥ ꯂꯩꯇꯕꯁꯨ ꯌꯥꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯗꯨ ꯊꯣꯛꯂꯕꯗꯤ, ꯃꯈꯣꯌꯗꯨꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯁꯤꯡꯁꯤ ꯌꯥꯎꯕꯥ ꯌꯥꯏ:

• ꯅꯥꯀꯣꯡ, ꯅꯥꯀꯣꯡ ꯑꯃꯁꯨꯡ ꯈꯣꯡꯗꯥ ꯕ꯭ꯂꯨ ꯗꯤꯁꯀꯂꯔ (Cyanosis) : ꯃꯁꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯆꯦꯜꯂꯤꯕꯥ ꯏꯗꯥ ꯑꯣꯛꯁꯤꯖꯦꯟ ꯃꯔꯥꯡ ꯀꯥꯌꯅꯥ ꯂꯩꯇꯕꯥ ꯃꯇꯃꯗꯥ ꯊꯣꯀꯏ꯫
• ꯃꯃꯤꯠ ꯇꯥꯡꯕꯥ꯫
• ꯐꯖꯅꯥ ꯋꯥꯈꯜ ꯇꯥꯗꯕꯥ: ꯊꯕꯛ ꯈꯔꯥ ꯇꯧꯔꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯈꯣꯡꯅꯥ ꯆꯠꯂꯕꯥ ꯃꯇꯨꯡꯗꯁꯨ ꯅꯍꯥꯛꯅꯥ ꯁꯣꯀꯄꯥ ꯌꯥꯕꯥ ꯐꯥꯎꯕꯥ꯫
• ꯊꯝꯃꯣꯌ ꯁꯣꯀꯄꯥ: ꯅꯍꯥꯛꯅꯥ ꯃꯁꯤ ꯐꯥꯑꯣꯕꯥ ꯉꯃꯗꯦ꯫ ꯃꯁꯤꯒꯤ ꯑꯆꯝꯕꯥ ꯈꯣꯟꯖꯦꯜ ꯑꯁꯤ ꯗꯣꯛꯇꯔ ꯑꯃꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯁ꯭ꯇꯦꯊꯣꯁ꯭ꯀꯣꯞ ꯑꯃꯥ ꯊꯝꯂꯕꯥ ꯃꯇꯃꯗꯥ ꯈꯛꯇꯃꯛ ꯇꯥꯕꯥ ꯐꯪꯏ꯫
• ꯍꯥꯔꯠ ꯄꯦꯂꯄꯤꯇꯦꯁꯟ (Hart palpitations): ꯍꯥꯔꯠ ꯑꯗꯨ ꯌꯥꯝꯅꯥ ꯋꯥꯅꯥ ꯑꯃꯁꯨꯡ ꯌꯥꯡꯅꯥ ꯆꯦꯜꯂꯤ ꯍꯥꯌꯕꯒꯤ ꯐꯤꯚꯝ ꯑꯃꯥ꯫
• ꯍꯥꯔꯇꯀꯤ ꯂꯥꯌꯅꯥ (Arrhythmia)꯫
• ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ (Dyspnea)꯫
• ꯈꯣꯡ, ꯈꯣꯡ ꯅꯠꯠꯔꯒꯥ ꯈꯨꯠꯁꯥꯁꯤꯡꯗꯥ ꯁꯣꯀꯄꯥ (edema)꯫

ꯃꯁꯤ ꯀꯔꯝꯅꯥ ꯐꯪꯒꯅꯤ ꯗꯣꯛꯇꯔ?

ꯅꯍꯥꯛꯅꯥ ꯗꯣꯛꯇꯔ ꯑꯃꯗꯥ ꯆꯠꯄꯥ ꯃꯇꯃꯗꯥ, ꯃꯍꯥꯛꯅꯥ ꯑꯍꯥꯅꯕꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯏꯃꯨꯡꯒꯤ ꯀꯅꯥꯒꯨꯝꯕꯥ ꯑꯃꯗꯥ ꯍꯥꯔꯇꯀꯤ ꯂꯥꯌꯅꯥ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯅꯥ ꯍꯪꯒꯅꯤ꯫ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯃꯍꯥꯛꯅꯥ ꯐꯤꯖꯤꯀꯦꯜ ꯑꯦꯀꯖꯥꯃꯤꯅꯦꯁꯟ ꯑꯃꯥ ꯇꯧꯒꯅꯤ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯊꯝꯃꯣꯌꯒꯤ ꯈꯣꯟꯖꯦꯂꯁꯤꯡ ꯇꯥꯒꯅꯤ꯫

ꯗꯥꯏꯑꯦꯒ꯭ꯅꯣꯁꯤꯁ ꯑꯗꯨ ꯀꯅꯐꯥꯔꯝ ꯇꯧꯅꯕꯥ, ꯅꯍꯥꯀꯄꯨ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯃꯗꯒꯤ ꯍꯦꯅꯕꯥ ꯇꯧꯅꯕꯥ ꯍꯥꯌꯔꯀꯄꯥ ꯌꯥꯏ:

• ꯆꯦꯁ꯭ꯠ ꯑꯦꯛꯁ-ꯔꯦ: ꯆꯦꯁ꯭ꯠ ꯑꯦꯛꯁ-ꯔꯦ ꯑꯦꯀꯖꯥꯃꯤꯅꯦꯁꯟ ꯑꯃꯅꯤ꯫
• ꯏꯀꯣꯀꯥꯔꯗꯤꯑꯣꯒ꯭ꯔꯥꯐ (echo): ꯃꯁꯤ ꯍꯥꯔꯇꯀꯤ ꯁ꯭ꯀꯦꯟ ꯑꯃꯒꯨꯝꯅꯥ ꯑꯣꯏ꯫ ꯃꯁꯤꯅꯥ ꯊꯝꯃꯣꯌꯒꯤ ꯃꯑꯣꯡ ꯃꯇꯧ, ꯆꯦꯝꯕꯔꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯚꯜꯌꯨꯁꯤꯡꯅꯥ ꯀꯔꯝꯅꯥ ꯊꯕꯛ ꯇꯧꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯃꯌꯦꯛ ꯁꯦꯡꯅꯥ ꯎꯕꯥ ꯐꯪꯏ꯫
• ꯏꯂꯦꯛꯠꯔꯣꯀꯥꯔꯗꯤꯑꯣꯒ꯭ꯔꯥꯐ (EKG): ꯃꯁꯤꯅꯥ ꯍꯥꯔꯇꯀꯤ ꯏꯂꯦꯛꯠꯔꯤꯀꯦꯜ ꯑꯦꯛꯇꯤꯚꯤꯇꯤ, ꯍꯥꯌꯕꯗꯤ ꯍꯥꯔꯇꯀꯤ ꯈꯣꯡꯖꯦꯂꯒꯤ ꯔꯤꯗꯝ ꯑꯗꯨ ꯇꯦꯁ꯭ꯠ ꯇꯧꯏ꯫
• ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯁ꯭ꯠꯔꯦꯁ ꯇꯦꯁ꯭ꯠ: ꯅꯍꯥꯛꯅꯥ ꯈꯣꯡꯅꯥ ꯆꯠꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯇ꯭ꯔꯦꯗꯃꯤꯜ ꯑꯃꯗꯥ ꯆꯦꯅꯕꯥ ꯃꯇꯃꯗꯥ, ꯅꯍꯥꯛꯀꯤ ꯊꯝꯃꯣꯌꯅꯥ ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯇꯧꯕꯗꯥ ꯀꯔꯝꯅꯥ ꯔꯦꯁꯄꯣꯟꯁ ꯇꯧꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯗꯨꯅꯥ ꯏ.ꯀꯦ.ꯖꯤ.
• ꯍꯥꯔꯠ ꯑꯦꯝ.ꯑꯥꯔ.ꯑꯥꯏ. ꯑꯃꯁꯨꯡ ꯍꯥꯔꯠ ꯁꯤ.ꯇꯤ.ꯁ꯭ꯀꯦꯟ: ꯍꯥꯔꯇꯀꯤ ꯍꯦꯟꯅꯥ ꯃꯌꯦꯛ ꯁꯦꯡꯕꯥ, ꯊ꯭ꯔꯤ-ꯗꯤꯃꯦꯟꯁꯤꯑꯦꯜ ꯏꯃꯦꯖꯁꯤꯡ ꯄꯨꯊꯣꯀꯄꯥ ꯁ꯭ꯀꯦꯅꯁꯤꯡ꯫
• ꯀꯥꯔꯗꯤꯌꯦꯛ ꯀꯦꯇꯦꯒꯣꯔꯤ: ꯃꯁꯤ ꯗꯥꯏꯑꯦꯒ꯭ꯅꯣꯁꯤꯁ ꯑꯃꯁꯨꯡ ꯂꯥꯏꯌꯦꯡ ꯑꯅꯤꯃꯛꯇꯥ ꯁꯤꯖꯤꯟꯅꯩ꯫ ꯌꯥꯝꯅꯥ ꯂꯨꯕꯥ ꯇꯤꯎꯕ (catheter) ꯑꯃꯥ ꯊꯤꯡꯕꯗꯥ ꯂꯩꯕꯥ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯜ ꯑꯃꯗꯒꯤ ꯍꯥꯔꯇꯇꯥ ꯄꯥꯁ ꯇꯧꯕꯥ ꯇꯦꯁ꯭ꯠ ꯑꯃꯅꯤ꯫

ꯃꯁꯤꯒꯤ ꯂꯥꯏꯌꯦꯡꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯤꯅꯣ?

ꯌꯥꯝꯅꯥ ꯄꯤꯀꯄꯥ ꯀꯣꯟꯖꯤꯅꯤꯑꯦꯜ ꯍꯥꯔꯇꯀꯤ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯈꯔꯗꯤ ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯃꯊꯧ ꯇꯥꯗꯦ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯇꯧꯔꯤꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯗꯁꯨ, ꯃꯈꯣꯌꯅꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯍꯦꯟꯅꯥ ꯐꯒꯠꯂꯛꯂꯤꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯅꯕꯒꯤꯗꯃꯛ ꯀꯥꯔꯗꯤꯑꯣꯂꯣꯖꯤꯁ꯭ꯠ ꯑꯃꯒꯥ ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯆꯦꯀꯑꯞ ꯇꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯒꯅꯤ꯫

ꯑꯇꯣꯞꯄꯁꯤꯡꯅꯥ ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯃꯊꯧ ꯇꯥꯏ꯫ ꯅꯍꯥꯛꯀꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯗꯨꯒꯤ ꯃꯈꯜ ꯑꯃꯁꯨꯡ ꯁꯥꯊꯤꯕꯥ ꯃꯑꯣꯡ ꯑꯗꯨꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯂꯥꯏꯌꯦꯡ ꯑꯗꯨ ꯂꯦꯄꯀꯅꯤ꯫

ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ꯫

ꯍꯥꯔꯇꯀꯤ ꯐꯉ꯭ꯀꯁꯟ ꯐꯒꯠꯍꯟꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯅꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯇꯣꯉꯥꯟ-ꯇꯣꯉꯥꯅꯕꯥ ꯍꯤꯗꯥꯀꯁꯤꯡ ꯄꯤꯕꯥ ꯌꯥꯏ꯫ ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯃꯈꯣꯌꯅꯥ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯥ, ꯍꯥꯔꯠ ꯔꯦꯠ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯍꯀꯆꯥꯡꯗꯒꯤ ꯑꯍꯦꯅꯕꯥ ꯐ꯭ꯂꯨꯏꯗ ꯂꯧꯊꯣꯀꯄꯥ ꯉꯝꯕꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ (ꯗꯥꯏꯎꯔꯦꯇꯤꯀꯁꯤꯡ) ꯄꯤꯕꯥ ꯌꯥꯏ꯫

ꯏꯃꯞꯂꯥꯟꯇ ꯇꯧꯕꯥ ꯌꯥꯕꯥ ꯍꯥꯔꯠ ꯗꯤꯚꯥꯏꯁꯁꯤꯡ꯫

• ꯄꯦꯁꯃꯦꯀꯔ: ꯗꯤꯚꯥꯏꯁ ꯑꯁꯤ ꯍꯥꯔꯇꯀꯤ ꯔꯦꯠ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯅꯕꯥ ꯈꯣꯡꯒꯤ ꯃꯈꯥꯗꯥ ꯊꯥꯏ, ꯃꯔꯨꯑꯣꯏꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯍꯥꯔꯇꯀꯤ ꯔꯦꯠ ꯑꯁꯤ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯁꯣꯟꯊꯔꯕꯗꯤ꯫
• ꯑꯥꯏ.ꯁꯤ.ꯗꯤ.(ꯏꯃꯞꯂꯥꯟꯇꯦꯕꯜ ꯀꯥꯔꯗꯤꯑꯣꯚꯥꯔꯇꯔ ꯗꯤꯐꯤꯕ꯭ꯔꯤꯂꯦꯇꯔ): ꯄꯨꯟꯁꯤꯗꯥ ꯈꯨꯗꯣꯡꯊꯤꯕꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯕꯥ ꯍꯥꯔꯇꯀꯤ ꯂꯥꯌꯅꯥꯁꯤꯡ ꯈꯪꯗꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯃꯈꯣꯌꯕꯨ ꯆꯨꯃꯊꯣꯛꯅꯕꯥ ꯏꯂꯦꯛꯠꯔꯤꯛ ꯁꯣꯛ ꯑꯃꯥ ꯄꯤꯕꯥ ꯈꯨꯠꯂꯥꯌ ꯑꯃꯅꯤ꯫

ꯀꯥꯔꯗꯤꯌꯦꯛ ꯀꯦꯇꯦꯒꯣꯔꯤꯒꯤ ꯃꯑꯣꯡ꯫

ꯃꯁꯤ ꯁꯔꯖꯔꯤꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯂꯥꯏꯕꯥ ꯊꯧꯑꯣꯡ ꯑꯃꯅꯤ꯫ ꯃꯃꯥꯡꯗꯥ ꯄꯅꯈ꯭ꯔꯤꯕꯥ ꯃꯇꯨꯡ ꯏꯟꯅꯥ, ꯍꯥꯔꯇꯇꯥ ꯑꯄꯤꯀꯄꯥ ꯇꯤꯎꯕ ꯑꯃꯥ ꯊꯥꯗꯨꯅꯥ ꯍꯥꯔꯇꯇꯥ ꯂꯩꯕꯥ ꯍꯣꯂꯁꯤꯡ (ASDꯒꯨꯝꯕꯥ) ꯊꯤꯡꯕꯗꯥ ꯁꯤꯖꯤꯟꯅꯩ꯫ ꯃꯁꯤ ꯑꯄꯤꯀꯄꯥ ꯏꯒꯤ ꯈꯣꯡꯖꯦꯜ ꯅꯠꯠꯔꯒꯥ ꯚꯜꯌꯨꯁꯤꯡ ꯄꯥꯀꯊꯣꯛ-ꯆꯥꯎꯊꯣꯀꯍꯅꯕꯗꯁꯨ ꯁꯤꯖꯤꯟꯅꯩ꯫

ꯂꯦꯟꯕ

ꯑꯁꯣꯏ-ꯑꯉꯥꯝ ꯌꯥꯑꯣꯗꯕꯥ ꯈꯔꯗꯤ ꯀꯣꯀꯍꯟꯅꯕꯥ ꯁꯔꯖꯔꯤ ꯇꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯏ꯫ ꯍꯥꯔꯠ ꯚꯜꯌꯨꯁꯤꯡ ꯑꯁꯤ ꯔꯤꯄꯦꯌꯥꯔ ꯇꯧꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯍꯣꯡꯗꯣꯀꯄꯥ ꯌꯥꯏ, ꯅꯠꯠꯔꯒꯥ ꯍꯦꯟꯅꯥ ꯀꯝꯞꯂꯦꯛꯁ ꯑꯣꯏꯕꯥ ꯑꯁꯣꯛ-ꯑꯄꯅꯁꯤꯡ ꯑꯁꯤ ꯑꯣꯄꯟ-ꯍꯥꯔꯠ ꯁꯔꯖꯔꯤ ꯅꯠꯠꯔꯒꯥ ꯃꯤꯅꯤꯃꯝ ꯏꯅꯚꯦꯁꯤꯚ ꯁꯔꯖꯔꯤꯅꯥ ꯀꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫

ꯍꯥꯔꯠ ꯇ꯭ꯔꯥꯟꯁꯞꯂꯥꯟꯇ ꯇꯧꯕꯥ꯫

ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯇꯧꯏ꯫ ꯍꯥꯔꯠ ꯇ꯭ꯔꯥꯟꯁꯞꯂꯥꯟꯇ ꯍꯥꯌꯕꯁꯤ ꯑꯇꯣꯞꯄꯥ ꯂꯥꯏꯌꯦꯡ ꯑꯃꯠꯇꯅꯥ ꯐꯍꯅꯕꯥ ꯉꯃꯗꯕꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯁꯥꯊꯤꯕꯥ, ꯄꯨꯟꯁꯤꯗꯥ ꯈꯨꯗꯣꯡꯊꯤꯅꯤꯉꯥꯏ ꯑꯣꯏꯕꯥ ꯍꯥꯔꯇꯀꯤ ꯂꯥꯌꯅꯥ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯒꯤꯗꯃꯛ ꯑꯔꯣꯏꯕꯥ ꯄꯥꯝꯕꯩꯅꯤ꯫

ꯅꯍꯥꯛꯅꯥ ꯅꯁꯥꯕꯨ ꯀꯔꯝꯅꯥ ꯌꯦꯡꯁꯤꯅꯕꯤꯒꯗꯒꯦ?

ACHDꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯍꯤꯡꯂꯤꯉꯩꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯁꯦꯂꯁꯨ ꯌꯦꯡꯁꯤꯅꯕꯥ ꯃꯊꯧ ꯇꯥꯏ꯫

• ꯍꯀꯁꯦꯜ ꯐꯕꯥ ꯄꯨꯟꯁꯤ ꯃꯍꯤꯡ ꯑꯃꯥ ꯂꯧꯈꯠꯀꯗꯕꯅꯤ: ꯆꯥꯡ ꯃꯥꯟꯅꯅꯥ ꯗꯥꯏꯠ ꯑꯃꯥ ꯆꯥꯒꯗꯕꯅꯤ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯇꯥꯟꯅꯒꯗꯕꯅꯤ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤꯗꯃꯛꯇꯥ ꯆꯨꯅꯕꯥ ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯇꯧꯒꯗꯕꯅꯤ ꯑꯃꯁꯨꯡ ꯃꯩꯈꯨ ꯑꯃꯁꯨꯡ ꯌꯨ ꯊꯀꯄꯥ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯊꯤꯡꯖꯤꯜꯂꯨ꯫
• ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔ ꯄꯨꯝꯅꯃꯛꯇꯥ ꯍꯥꯌꯌꯨ: ꯅꯍꯥꯛꯅꯥ ꯗꯦꯟꯇꯤꯁ꯭ꯠ ꯅꯠꯠꯔꯒꯥ ꯑꯇꯩ ꯗꯣꯛꯇꯔ ꯑꯃꯍꯦꯛꯇꯗꯥ ꯆꯠꯂꯨ, ꯃꯈꯣꯌꯗꯥ ꯅꯍꯥꯛꯅꯥ ACHD ꯂꯩꯔꯦ ꯍꯥꯌꯅꯥ ꯁꯣꯌꯗꯅꯥ ꯈꯪꯍꯅꯕꯤꯌꯨ꯫
• ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯀꯥꯔꯗꯤꯑꯣꯂꯣꯖꯤꯁ꯭ꯠ ꯑꯃꯒꯥ ꯇꯥꯟꯅꯧ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯥꯏꯑꯣꯡ ꯑꯃꯠꯇꯥ ꯂꯩꯠꯔꯕꯁꯨ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯍꯥꯌꯔꯀꯄꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ ꯆꯦꯛ-ꯑꯞ ꯇꯧꯅꯕꯥ ꯆꯠꯂꯨ꯫
• ꯅꯍꯥꯛꯀꯤ ꯍꯥꯀꯆꯥꯡ ꯑꯗꯨ ꯌꯦꯡꯁꯤꯜꯂꯨ: ꯅꯍꯥꯛꯀꯤ ꯍꯥꯀꯆꯥꯡ ꯑꯗꯨ ꯁꯦꯡꯅꯥ ꯊꯝꯃꯨ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯏꯅꯐꯦꯛꯁꯟ ꯂꯩꯔꯕꯗꯤ, ꯖꯔꯃꯁꯤꯡ ꯑꯗꯨꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯏꯒꯤ ꯈꯣꯡꯖꯦꯂꯗꯥ ꯆꯠꯊꯣꯛ-ꯆꯠꯁꯤꯟ ꯇꯧꯕꯥ ꯌꯥꯏ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯍꯥꯔꯇꯇꯥ ꯁꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ (endocarditis)꯫
• ꯃꯤꯔꯣꯜꯂꯤꯉꯩ ꯃꯃꯥꯡꯗꯥ ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯄꯥꯎꯇꯥꯛ ꯂꯧꯕꯤꯌꯨ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛ ꯑꯁꯤ ꯑꯉꯥꯡ ꯑꯃꯥ ꯄꯣꯀꯄꯥ ꯅꯨꯄꯤ ꯑꯃꯥ ꯑꯣꯏꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯀꯥꯔꯗꯤꯑꯣꯂꯣꯖꯤꯁ꯭ꯠ ꯑꯗꯨꯒꯥ ꯋꯥꯔꯤ ꯁꯥꯟꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯃꯤꯔꯣꯅꯕꯥ ꯍꯣꯠꯅꯗ꯭ꯔꯤꯉꯩꯗꯥ ꯄꯥꯎꯇꯥꯛ ꯂꯧꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫

ꯀꯗꯥꯏꯗꯥ ꯈꯪꯍꯧꯗꯅꯥ ꯗꯣꯛꯇꯔꯒꯥ ꯇꯥꯟꯅꯒꯗꯒꯦ?

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯍꯦꯛꯇꯕꯨ ꯊꯦꯡꯅꯔꯕꯗꯤ, ꯃꯗꯨ ꯍꯥꯔꯠ ꯐꯦꯜ ꯑꯣꯏꯕꯒꯤ ꯈꯨꯗꯃꯁꯤꯡ ꯑꯣꯏꯕꯥ ꯌꯥꯏ, ꯊꯦꯡꯊꯕꯥ ꯂꯩꯇꯅꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯅꯀꯄꯥ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯂꯒꯤ ꯏꯃꯔꯖꯦꯟꯁꯤ ꯗꯤꯄꯥꯔꯇꯃꯦꯟꯇ (ETU)ꯗꯥ ꯆꯠꯂꯨ .

• ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯗꯥ ꯁꯥꯊꯤꯕꯥ ꯑꯋꯥꯕꯥ꯫
• ꯈꯣꯡꯗꯥ ꯅꯠꯠꯔꯒꯥ ꯈꯣꯡꯒꯤ ꯃꯈꯥ ꯊꯪꯕꯥ ꯁꯔꯨꯛꯇꯥ ꯁꯣꯀꯄꯥ꯫
• ꯃꯔꯝ ꯑꯃꯠꯇꯥ ꯂꯩꯇꯅꯥ ꯑꯍꯦꯅꯕꯥ, ꯑꯆꯝꯕꯥ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ꯫

ꯃꯁꯤꯗꯁꯨ ꯅꯠꯇꯅꯥ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯅꯧꯕꯥ ꯂꯥꯏꯑꯣꯡ ꯑꯃꯥ ꯂꯥꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯧꯖꯤꯛ ꯂꯩꯔꯤꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯗꯨ ꯍꯦꯟꯅꯥ ꯐꯠꯆꯤꯜꯂꯛꯂꯤ ꯍꯥꯌꯅꯥ ꯈꯜꯂꯕꯗꯤ, ꯈꯨꯗꯛꯇꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯇꯥꯟꯅꯧ꯫

ꯀꯣꯟꯖꯤꯅꯤꯑꯦꯜ ꯍꯥꯔꯠ ꯗꯤꯖꯤꯖ, ꯍꯥꯔꯠ ꯗꯤꯖꯤꯖ, ACHD, ꯑꯦꯗꯜꯇ ꯀꯣꯟꯖꯤꯅꯤꯑꯦꯜ ꯍꯥꯔꯠ ꯗꯤꯖꯤꯖ ꯁꯤꯅꯍꯥꯂꯥ, ꯍꯥꯔꯇꯇꯥ ꯍꯨꯔꯥꯅꯕꯥ, ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ, ꯊꯝꯃꯣꯌ ꯁꯣꯀꯄꯥ, ꯍꯥꯔꯇꯀꯤ ꯁꯔꯖꯔꯤ, ꯍꯥꯔꯇꯀꯤ ꯂꯥꯌꯅꯥꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ꯫