ꯅꯍꯥꯛꯅꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ, ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯈꯔꯥ ꯁꯣꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯈꯔꯥ ꯁꯣꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯈꯣꯡꯖꯦꯜ ꯌꯥꯡꯅꯥ ꯆꯠꯄꯥ ꯃꯇꯃꯗꯥ ꯅꯠꯠꯔꯒꯥ ꯈꯣꯡꯎꯞ ꯑꯃꯥ ꯂꯥꯟꯊꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯈꯔꯥ ꯁꯣꯀꯄꯥ ꯂꯩꯕ꯭ꯔꯥ? ꯅꯠꯔꯒꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯊꯝꯃꯣꯌꯅꯥ ꯃꯔꯝ ꯑꯃꯠꯇꯥ ꯂꯩꯇꯅꯥ ꯍꯦꯟꯅꯥ ꯊꯨꯅꯥ ꯌꯥꯡꯅꯥ ꯆꯦꯜꯂꯤ ꯍꯥꯌꯅꯥ ꯈꯜꯂꯤꯕꯔꯥ? ꯑꯩꯈꯣꯌꯅꯥ ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯕꯥ ꯋꯥꯐꯃꯁꯤꯡꯅꯤ ꯍꯥꯌꯅꯥ ꯈꯜꯂꯕꯁꯨ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯃꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯊꯝꯃꯣꯌꯅꯥ ꯑꯩꯈꯣꯌꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯑꯄꯤꯀꯄꯥ ꯁꯤꯒꯅꯦꯂꯁꯤꯡ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫ ꯉꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯊꯝꯃꯣꯌꯒꯥ ꯃꯔꯤ ꯂꯩꯅꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯔꯤ, ꯃꯗꯨꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯃꯤꯑꯣꯏ ꯀꯌꯥꯅꯥ ꯈꯉꯂꯃꯗꯦ, ꯑꯗꯨꯕꯨ ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯈꯉꯕꯥ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫ ꯍꯥꯌꯕꯗꯤ ꯍꯥꯏꯄꯔꯠꯔꯣꯐꯤꯛ ꯀꯥꯔꯗꯤꯑꯣꯃꯥꯌꯣꯄꯦꯊꯤ, ꯅꯠꯠꯔꯒꯥ (HCM) ꯍꯥꯌꯕꯁꯤꯅꯤ꯫
ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯍꯥꯏꯄꯔꯠꯔꯣꯐꯤꯛ ꯀꯥꯔꯗꯤꯑꯣꯃꯥꯌꯣꯄꯦꯊꯤ (HCM) ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ?
ꯃꯤꯡ ꯑꯁꯤ ꯈꯔꯥ ꯍꯦꯟꯅꯥ ꯂꯨꯝꯅꯥ ꯂꯧꯕꯥ ꯌꯥꯏ꯫ ꯑꯗꯣꯃꯒꯤꯗꯃꯛ ꯃꯁꯤ ꯊꯨꯒꯥꯏꯔꯁꯤ꯫ "ꯍꯥꯏꯄꯥꯔꯠꯔꯣꯐꯤꯛ" ꯍꯥꯌꯕꯥ ꯋꯥꯍꯩ ꯑꯁꯤꯅꯥ "ꯅꯣꯔꯃꯦꯂꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯆꯥꯎꯕꯥ" ꯍꯥꯌꯕꯅꯤ꯫ "ꯀꯥꯔꯗꯤꯑꯣꯃꯥꯌꯣꯄꯦꯊꯤ" ꯍꯥꯌꯕꯁꯤ ꯍꯥꯔꯇꯀꯤ ꯃꯁꯜ, ꯅꯠꯠꯔꯒꯥ ꯍꯥꯔꯇꯀꯤ ꯃꯁꯂꯗꯥ ꯁꯣꯀꯍꯜꯂꯤꯕꯥ ꯀꯟꯗꯤꯁꯅꯁꯤꯡꯒꯤ ꯀꯥꯡꯂꯨꯞ ꯑꯃꯅꯤ꯫ ꯅꯍꯥꯛꯅꯥ ꯑꯅꯤ ꯑꯁꯤ ꯄꯨꯅꯁꯤꯜꯂꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯍꯥꯏꯄꯔꯠꯔꯣꯐꯤꯛ ꯀꯥꯔꯗꯤꯑꯣꯃꯥꯌꯣꯄꯦꯊꯤ (HCM) ꯍꯥꯌꯕꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯥꯔꯇꯀꯤ ꯃꯁꯜ (ꯍꯥꯔꯠ ꯃꯁꯜ) ꯑꯗꯨ ꯅꯣꯔꯃꯦꯂꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯂꯨꯝꯕꯥ ꯑꯣꯏꯔꯀꯏ .
ꯅꯍꯥꯛꯀꯤ ꯌꯨꯃꯒꯤ ꯋꯥꯂꯁꯤꯡ ꯑꯗꯨ ꯍꯦꯟꯅꯥ ꯂꯨꯃꯁꯤꯜꯂꯛꯂꯤ ꯍꯥꯌꯅꯥ ꯈꯅꯕꯤꯌꯨ꯫ ꯍꯥꯌꯕꯗꯤ ꯌꯨꯃꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯃꯐꯝ ꯍꯟꯊꯔꯦ ꯍꯥꯌꯕꯅꯤ, ꯅꯠꯇꯦ? ꯊꯝꯃꯣꯌꯗꯁꯨ ꯃꯁꯤꯃꯛ ꯊꯣꯀꯏ꯫ ꯍꯥꯔꯇꯀꯤ ꯃꯁꯜ ꯑꯗꯨ ꯀꯨꯄꯁꯤꯜꯂꯀꯄꯒꯥ ꯂꯣꯌꯅꯅꯥ, ꯍꯥꯔꯠ ꯑꯗꯨ ꯊꯨꯒꯥꯌꯅꯕꯥ ꯏꯒꯤ ꯃꯐꯝ ꯍꯟꯊꯔꯀꯏ꯫ ꯃꯁꯤꯅꯥ ꯍꯥꯔꯇꯅꯥ ꯍꯀꯆꯥꯡꯅꯥ ꯃꯊꯧ ꯇꯥꯔꯤꯕꯥ ꯏꯒꯤ ꯆꯥꯡ ꯑꯗꯨ ꯄꯝꯄ ꯇꯧꯕꯗꯥ ꯍꯦꯟꯅꯥ ꯑꯋꯥꯕꯥ ꯑꯣꯏꯍꯜꯂꯤ꯫
ꯃꯁꯤꯒꯤ ꯑꯀꯅꯕꯥ ꯑꯁꯤ ꯍꯥꯔꯇꯀꯤ ꯃꯐꯝ ꯑꯃꯍꯦꯛꯇꯗꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯏ ꯑꯗꯨꯕꯨ ꯃꯁꯤꯅꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯀꯃꯟ ꯑꯣꯏꯅꯥ ꯍꯥꯔꯇꯀꯤ ꯃꯔꯛꯇꯥ ꯂꯩꯕꯥ ꯋꯥꯜ ꯑꯗꯨꯗꯥ ꯁꯣꯀꯍꯜꯂꯤ꯫ ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯑꯣꯏꯅꯥ ꯃꯁꯤꯕꯨ ꯁꯦꯞꯇꯝ ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ ꯋꯥꯜ ꯑꯁꯤ ꯇꯔꯨ-ꯇꯅꯥꯅꯕꯥ ꯃꯇꯃꯗꯥ, ꯃꯁꯤꯅꯥ ꯍꯥꯔꯇꯀꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯄꯝꯄ ꯆꯦꯝꯕꯔ, ꯂꯦꯐꯠ ꯚꯦꯟꯇꯤꯂꯦꯇꯔꯗꯒꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯏ ꯄꯨꯕꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯜ ꯑꯣꯏꯔꯤꯕꯥ ꯑꯦꯑꯣꯔꯇꯥꯗꯥ ꯏ ꯆꯦꯅꯕꯥ ꯊꯤꯡꯕꯥ ꯉꯝꯃꯤ꯫
ꯃꯁꯤꯒꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯄꯨꯟꯁꯤ ꯆꯨꯞꯄꯒꯤ ꯑꯣꯏꯅꯥ ꯂꯩ꯫ ꯃꯇꯃꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ ꯃꯁꯤ ꯈꯔꯥ ꯍꯦꯟꯅꯥ ꯐꯠꯆꯤꯜꯂꯛꯇꯕꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯕꯨ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯥ ꯋꯥꯐꯃꯗꯤ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯉꯟꯅꯥ ꯈꯉꯗꯣꯛꯂꯕꯗꯤ ꯑꯃꯁꯨꯡ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯂꯥꯌꯦꯡꯂꯕꯗꯤ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ ꯑꯁꯤ ꯑꯆꯧꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯉꯥꯀꯊꯣꯀꯄꯥ ꯉꯃꯒꯅꯤ .
HCMꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯈꯜ ꯑꯅꯤ ꯂꯩ:
ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯏꯒꯤ ꯈꯣꯡꯖꯦꯂꯗꯥ ꯑꯀꯥꯌꯕꯥ ꯂꯩꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯂꯩꯇꯕꯒꯤ ꯃꯈꯥ ꯄꯣꯟꯅꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯀꯦꯇꯦꯒꯣꯔꯤ ꯑꯅꯤꯗꯥ ꯈꯥꯌꯗꯣꯀꯄꯥ ꯌꯥꯏ꯫
| ꯑꯩꯆ.ꯁꯤ.ꯑꯦꯝ | ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯁꯟꯗꯣꯛꯅꯥ ꯇꯥꯀꯏ꯫ |
|---|---|
| ꯑꯣꯕꯁ꯭ꯠꯔꯀꯆꯔ ꯑꯣꯏꯕꯥ ꯑꯩꯆ.ꯁꯤ.ꯑꯦꯝ | ꯃꯐꯃꯁꯤꯗꯥ ꯊꯝꯃꯣꯌꯒꯤ ꯃꯔꯛꯇꯥ ꯂꯩꯕꯥ ꯋꯥꯜ (septum) .ꯊꯤꯡꯖꯤꯅꯕꯥ ꯑꯁꯤꯅꯥ ꯂꯦꯞꯇꯅꯥ ꯚꯦꯟꯇꯤꯂꯦꯇꯔꯗꯒꯤ ꯏ ꯊꯥꯗꯣꯀꯄꯥ ꯂꯝꯕꯤ ꯑꯗꯨ ꯊꯤꯡꯏ . HCM ꯄꯦꯁꯦꯟꯇꯁꯤꯡꯒꯤ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯁꯔꯨꯛ ꯑꯍꯨꯝ ꯊꯣꯀꯄꯒꯤ ꯑꯅꯤꯗꯤ ꯃꯁꯤꯒꯤ ꯃꯈꯜ ꯑꯁꯤ ꯂꯩ꯫ |
| ꯅꯣꯅꯣꯕꯁ꯭ꯠꯔꯀꯆꯔ ꯑꯩꯆ.ꯁꯤ.ꯑꯦꯝ.(ꯅꯣꯅꯣꯕꯁ꯭ꯠꯔꯀꯆꯔ ꯑꯩꯆ.ꯁꯤ.ꯑꯦꯝ.) | ꯃꯐꯃꯁꯤꯗꯥ, ꯍꯥꯔꯇꯀꯤ ꯃꯁꯜ ꯑꯗꯨ ꯑꯇꯩ ꯃꯐꯃꯁꯤꯡꯗꯥ (ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯍꯥꯔꯇꯀꯤ ꯃꯈꯥ ꯊꯪꯕꯥ ꯁꯔꯨꯛꯇꯥ) ꯊꯤꯡꯖꯤꯜꯂꯤ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯃꯁꯤꯒꯤ ꯊꯤꯡꯖꯤꯅꯕꯥ ꯑꯁꯤꯅꯥ ꯏꯒꯤ ꯈꯣꯡꯖꯦꯂꯗꯥ ꯍꯀꯊꯦꯡꯅꯅꯥ ꯑꯀꯥꯌꯕꯥ ꯄꯤꯗꯦ꯫ |
HCM ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯅꯥ ꯀꯔꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯊꯦꯡꯅꯔꯀꯄꯥ ꯌꯥꯕꯒꯦ?
ꯃꯁꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯔꯨ ꯑꯣꯏꯕꯥ ꯋꯥꯐꯃꯅꯤ꯫ ꯃꯤꯑꯣꯏ ꯈꯔꯗꯤ ꯂꯥꯏꯑꯣꯡ ꯑꯃꯠꯇꯥ ꯂꯩꯇꯅꯥ ꯆꯍꯤ ꯀꯌꯥ ꯆꯠꯄꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯕꯨ ꯑꯇꯩꯗꯤ ꯂꯥꯏꯑꯣꯡ ꯈꯔꯗꯤ ꯂꯥꯀꯄꯥ ꯌꯥꯏ꯫ ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯁꯨ ꯑꯗꯣꯃꯒꯤꯗꯃꯛ ꯋꯥꯈꯜꯂꯣꯟ ꯑꯃꯥ ꯂꯩꯕꯥ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫
- ꯆꯦꯁ꯭ꯠ ꯄꯦꯏꯟ (Chest pain): ꯃꯔꯨꯑꯣꯏꯅꯥ ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯇꯧꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯇꯧꯕꯥ ꯃꯇꯃꯗꯥ ꯆꯦꯁ꯭ꯠ (chest pain) ꯅꯠꯠꯔꯒꯥ ꯁꯣꯀꯄꯥ (chest pain) ꯑꯃꯥ꯫
- ꯃꯤꯠ ꯎꯗꯕꯥ ꯑꯃꯁꯨꯡ ꯃꯁꯥ ꯃꯊꯟꯇꯥ ꯋꯥꯈꯜ ꯇꯥꯗꯕꯥ: ꯈꯪꯍꯧꯗꯅꯥ ꯂꯦꯡ-ꯑꯣꯠꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯇꯧꯕꯥ ꯃꯇꯃꯗꯥ ꯋꯥꯈꯜ ꯆꯔꯥꯡꯅꯕꯥ ꯐꯥꯎꯕꯥ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯋꯥꯈꯜ ꯃꯥꯡꯈꯤꯕꯥ ꯊꯣꯀꯍꯜꯂꯤ꯫
- ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ: ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ , ꯊꯕꯛ ꯈꯔꯥ ꯄꯥꯡꯊꯣꯛꯂꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯅꯠꯠꯔꯒꯥ ꯈꯣꯡꯅꯥ ꯆꯠꯂꯕꯥ ꯃꯇꯨꯡꯗꯁꯨ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ꯫
- ꯄꯥꯂꯄꯤꯇꯦꯁꯟ (Palpitations): ꯊꯝꯃꯣꯌꯅꯥ ꯌꯥꯡꯅꯥ ꯆꯦꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯈꯣꯡ ꯍꯥꯝꯕꯒꯤ ꯐꯤꯚꯝ ꯑꯃꯥ꯫
- ꯁꯣꯛ-ꯄꯅꯕꯥ (Edema): ꯈꯣꯡ, ꯈꯣꯡꯄꯥꯛ ꯅꯠꯠꯔꯒꯥ ꯈꯣꯡꯗꯥ ꯂꯩꯕꯥ ꯚꯦꯅꯃꯁꯤꯡ ꯁꯣꯀꯄꯥ꯫
ꯃꯔꯨꯑꯣꯏꯕꯥ ꯋꯥꯐꯃꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯀꯌꯥ ꯑꯃꯥ ꯂꯩꯕꯥ ꯌꯥꯏ꯫ ꯅꯠꯔꯒꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯃꯠꯇꯥ ꯂꯩꯇꯕꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯥ ꯍꯦꯛꯇꯥ ꯂꯩꯔꯕꯗꯤ, ꯈꯨꯗꯛꯇꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯇꯥꯟꯅꯗꯨꯅꯥ ꯑꯃꯁꯨꯡ ꯃꯈꯣꯌꯕꯨ ꯌꯦꯡꯁꯤꯅꯕꯤꯗꯅꯥ ꯄꯥꯎꯇꯥꯛ ꯂꯧꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫
ꯀꯔꯤꯒꯤꯗꯃꯛꯇꯥ ꯐꯤꯚꯝ ꯑꯁꯤ ꯊꯣꯛꯂꯤꯕꯅꯣ?
ꯃꯤꯑꯣꯏ ꯀꯌꯥꯅꯥ ꯍꯪꯂꯀꯄꯥ ꯋꯥꯍꯪ ꯑꯃꯗꯤ "ꯑꯩꯉꯣꯟꯗꯥ ꯀꯔꯤꯒꯤ ꯊꯣꯀꯈꯤꯕꯅꯣ?" ꯑꯩꯆ.ꯁꯤ.ꯑꯦꯝ.ꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯔꯝ ꯑꯅꯤ ꯂꯩ꯫
1. ꯖꯦꯅꯦꯇꯤꯛ ꯃꯔꯝ: HCMꯅꯥ ꯅꯥꯕꯥ ꯃꯤꯑꯣꯏ 5ꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯆꯥꯎꯔꯥꯛꯅꯥ 3ꯗꯤ ꯃꯈꯣꯌꯒꯤ ꯖꯤꯅꯁꯤꯡꯗꯥ ꯑꯍꯣꯡꯕꯥ ꯂꯥꯀꯄꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯂꯩ꯫ ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯃꯁꯤ ꯍꯦꯔꯤꯇꯦꯖꯅꯤ . ꯃꯁꯤ ꯍꯥꯔꯇꯀꯤ ꯃꯁꯂꯒꯤ ꯒ꯭ꯔꯣꯊ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯔꯤꯕꯥ ꯖꯤꯅꯁꯤꯡꯒꯤ ꯑꯁꯣꯌꯕꯥ ꯑꯃꯅꯥ ꯊꯣꯀꯍꯅꯕꯅꯤ꯫ ꯃꯁꯤ ꯑꯣꯇꯣꯁꯣꯃꯜ ꯗꯣꯃꯤꯅꯦꯟꯇ ꯑꯣꯏꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯏꯅꯍꯦꯔꯤ ꯇꯧꯏ꯫ ꯃꯁꯤꯅꯥ ꯇꯥꯀꯄꯗꯤ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯃꯥ-ꯃꯄꯥ ꯑꯃꯅꯥ ꯑꯁꯣꯀꯄꯥ ꯖꯤꯟ ꯑꯗꯨ ꯂꯩꯔꯕꯗꯤ ꯃꯈꯣꯌꯒꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯅꯥ ꯃꯗꯨ ꯏꯅꯍꯦꯔꯤ ꯇꯧꯕꯒꯤ ꯆꯥꯡ 50% ꯂꯩ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯂꯥꯌꯅꯥ ꯑꯁꯤꯒꯤ ꯁꯥꯊꯤꯕꯥ ꯑꯁꯤ ꯏꯃꯨꯡ ꯑꯃꯒꯤ ꯃꯅꯨꯡꯗꯁꯨ ꯈꯦꯠꯅꯕꯥ ꯌꯥꯏ꯫ ꯃꯤꯑꯣꯏ ꯈꯔꯗꯗꯤ ꯖꯤꯟ ꯑꯁꯤ ꯂꯩꯔꯕꯁꯨ ꯂꯥꯌꯅꯥ ꯑꯁꯤ ꯂꯥꯀꯁꯤꯅꯕꯥ ꯉꯃꯗꯦ꯫
2. ꯃꯔꯝ ꯑꯃꯠꯇꯥ ꯐꯪꯈꯤꯗꯦ: HCM ꯄꯦꯁꯦꯟꯇ 5ꯒꯤ ꯃꯅꯨꯡꯗꯥ 2ꯗꯥ ꯑꯀꯛꯅꯕꯥ ꯃꯔꯝ ꯑꯃꯠꯇꯥ ꯐꯪꯗꯦ꯫ ꯃꯁꯤꯅꯥ ꯇꯥꯀꯄꯗꯤ ꯖꯤꯅꯦꯇꯤꯛ ꯏꯅꯐ꯭ꯂꯨꯑꯦꯟꯖꯥ ꯂꯩꯇꯦ ꯍꯥꯌꯕꯅꯤ꯫ ꯔꯤꯁꯔꯆꯔꯁꯤꯡꯅꯥ ꯍꯧꯖꯤꯛ ꯐꯥꯑꯣꯕꯥ ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯊꯤꯖꯤꯜꯂꯤ꯫
ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯆꯍꯤ ꯑꯃꯍꯦꯛꯇꯗꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯏ ꯍꯥꯌꯔꯕꯁꯨ, ꯃꯁꯤ ꯑꯌꯥꯝꯕꯗꯤ ꯆꯍꯤ 40ꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯈꯪꯗꯣꯀꯏ꯫
HCMꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯀꯔꯤ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ ꯊꯣꯀꯄꯥ ꯌꯥꯕꯒꯦ?
ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯋꯥꯐꯝ ꯑꯃꯥ ꯑꯣꯏꯅꯥ ꯁꯣꯜꯂꯤ, ꯑꯗꯨꯕꯨ ꯃꯁꯤ ꯈꯉꯖꯤꯅꯕꯥ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯂꯥꯏꯌꯦꯡꯗ꯭ꯔꯕꯗꯤ, HCMꯅꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯕꯨ ꯅꯤꯡꯁꯤꯡꯕꯤꯌꯨ, HCMꯅꯥ ꯅꯥꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯌꯥꯝꯕꯗꯤ ꯑꯀꯅꯕꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ ꯂꯥꯀꯄꯥ ꯉꯃꯗꯦ꯫
| ꯀꯃꯞꯂꯤꯀꯦꯁꯟ ꯂꯩꯕꯥ꯫ | ꯀꯔꯤ ꯊꯣꯛꯂꯤꯕꯅꯣ? |
|---|---|
| ꯑꯦꯠꯔꯤꯌꯥꯜ ꯐꯥꯏꯕ꯭ꯔꯤꯂꯦꯁꯟ (Afib) ꯂꯩꯕꯥ꯫ | ꯍꯥꯔꯇꯀꯤ ꯃꯊꯛꯀꯤ ꯆꯦꯝꯕꯔꯁꯤꯡ ꯑꯁꯤ ꯂꯦꯞꯇꯅꯥ ꯑꯃꯁꯨꯡ ꯌꯥꯡꯅꯥ ꯆꯦꯜꯂꯤ꯫ ꯃꯁꯤꯅꯥ ꯏ ꯊꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯁ꯭ꯠꯔꯣꯀꯒꯨꯝꯕꯥ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ |
| ꯀꯟꯖꯦꯁ꯭ꯇꯤꯚ ꯍꯥꯔꯠ ꯐꯦꯜ ꯑꯣꯏꯕꯥ꯫ | ꯑꯀꯅꯕꯥ ꯍꯥꯔꯇꯀꯤ ꯃꯁꯜ ꯑꯗꯨꯅꯥ ꯍꯀꯆꯥꯡꯒꯤ ꯃꯊꯧ ꯇꯥꯕꯁꯤꯡꯗꯨ ꯐꯪꯍꯟꯅꯕꯥ ꯏ ꯄꯝꯄ ꯇꯧꯕꯥ ꯉꯃꯗꯦ꯫ |
| ꯏꯅꯐꯦꯛꯁꯟ ꯂꯩꯕꯥ ꯑꯦꯟꯗꯣꯀꯥꯔꯗꯤꯇꯤꯁ꯫ | ꯍꯥꯔꯇꯀꯤ ꯃꯅꯨꯡꯒꯤ ꯂꯥꯏꯅꯤꯡ ꯅꯠꯠꯔꯒꯥ ꯚꯜꯌꯨꯁꯤꯡꯗꯥ ꯕꯦꯛꯇꯦꯔꯤꯌꯥꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯏꯅꯐꯦꯛꯁꯅꯁꯤꯡ꯫ |
| ꯑꯦꯕꯅꯣꯔꯃꯦꯜ ꯍꯥꯔꯇꯀꯤ ꯂꯥꯌꯅꯥ (Ventricular arrhythmias) . | ꯍꯥꯔꯇꯀꯤ ꯃꯈꯥ ꯊꯪꯕꯥ ꯆꯦꯝꯕꯔꯁꯤꯡꯗꯒꯤ ꯍꯧꯔꯀꯄꯥ, ꯄꯨꯟꯁꯤꯗꯥ ꯈꯨꯗꯣꯡꯊꯤꯕꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯕꯥ ꯍꯥꯔꯇꯀꯤ ꯈꯣꯡꯖꯦꯜ ꯌꯥꯡꯁꯤꯅꯕꯥ (irregular heartbeat)꯫ |
| ꯈꯪꯍꯧꯗꯅꯥ ꯀꯥꯔꯗꯤꯌꯦꯛ ꯑꯦꯔꯦꯁ꯭ꯠ ꯇꯧꯕꯥ꯫ | ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯕꯥ ꯑꯗꯨꯕꯨ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯟ ꯑꯃꯅꯤ꯫ |
ꯋꯥꯐꯃꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯑꯀꯤꯕꯥ ꯄꯣꯀꯍꯜꯂꯣꯏꯗꯕꯅꯤ꯫ ꯄꯣꯠꯁꯤꯡ ꯑꯁꯤꯗꯒꯤ ꯏꯁꯥꯕꯨ ꯉꯥꯀꯊꯣꯛꯅꯕꯥ ꯑꯩꯈꯣꯌꯅꯥ ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯃꯦꯗꯤꯀꯦꯜ ꯆꯦꯀꯑꯞ ꯇꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯏ꯫ ꯃꯔꯨꯑꯣꯏꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯏꯃꯨꯡꯒꯤ ꯃꯤꯑꯣꯏ ꯑꯃꯗꯥ HCM ꯂꯩꯔꯕꯗꯤ, ꯅꯠꯠꯔꯒꯥ ꯀꯅꯥꯒꯨꯝꯕꯥ ꯑꯃꯅꯥ ꯈꯪꯍꯧꯗꯅꯥ ꯍꯥꯔꯠ ꯑꯦꯇꯦꯛ ꯇꯧꯗꯨꯅꯥ ꯁꯤꯈ꯭ꯔꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯃꯁꯥꯃꯀꯄꯨ ꯆꯦꯛ ꯇꯧꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫
ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯂꯥꯌꯅꯥ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯈꯪꯗꯣꯀꯄꯒꯦ?
ꯅꯍꯥꯛꯅꯥ ꯗꯣꯛꯇꯔ ꯑꯃꯒꯥ ꯇꯥꯟꯅꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯅꯍꯥꯛꯅꯥ ꯂꯥꯌꯅꯥ ꯑꯁꯤ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯈꯪꯗꯣꯛꯅꯕꯥ ꯈꯣꯡꯊꯥꯡ ꯀꯌꯥ ꯂꯧꯈꯠꯀꯅꯤ꯫
- ꯃꯦꯗꯤꯀꯦꯜ ꯍꯤꯁ꯭ꯇꯔꯤ: ꯑꯍꯥꯅꯕꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ, ꯅꯍꯥꯛꯀꯤ ꯏꯃꯨꯡꯗꯥ ꯀꯅꯥꯒꯨꯝꯕꯥ ꯑꯃꯅꯥ ꯍꯥꯔꯇꯀꯤ ꯂꯥꯌꯅꯥ ꯂꯩꯕ꯭ꯔꯥ ꯅꯠꯠꯔꯒꯥ ꯀꯅꯥꯒꯨꯝꯕꯥ ꯑꯃꯅꯥ ꯈꯪꯍꯧꯗꯅꯥ ꯁꯤꯈꯤꯕ꯭ꯔꯥ ꯍꯥꯌꯅꯥ ꯍꯪꯒꯅꯤ꯫
- ꯐꯤꯖꯤꯀꯦꯜ ꯑꯦꯀꯖꯥꯃꯤꯅꯦꯁꯟ: ꯗꯣꯛꯇꯔꯅꯥ ꯁ꯭ꯇꯦꯊꯣꯁ꯭ꯀꯣꯞ ꯁꯤꯖꯤꯟꯅꯗꯨꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯥꯔꯠ ꯑꯃꯁꯨꯡ ꯂꯪꯁ ꯑꯗꯨ ꯇꯥꯒꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯣꯕꯁ꯭ꯠꯔꯀꯆꯔ HCM ꯂꯩꯔꯕꯗꯤ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯍꯥꯔꯇꯀꯤ ꯋꯥꯍꯟꯊꯣꯛ ꯑꯃꯥ ꯇꯥꯕꯥ ꯌꯥꯏ꯫
- ꯑꯈꯟꯅꯕꯥ ꯇꯦꯁ꯭ꯇꯁꯤꯡ: ꯱.
- ꯏ.ꯁꯤ.ꯖꯤ.(ꯏꯂꯦꯛꯠꯔꯣꯀꯥꯔꯗꯤꯑꯣꯒ꯭ꯔꯥꯝ): ꯃꯁꯤ ꯇꯧꯕꯥ ꯑꯍꯥꯅꯕꯥ ꯇꯦꯁ꯭ꯇꯅꯤ꯫ ꯇꯦꯁ꯭ꯠ ꯑꯁꯤꯅꯥ ꯍꯥꯔꯇꯀꯤ ꯏꯂꯦꯛꯠꯔꯤꯀꯦꯜ ꯑꯦꯛꯇꯤꯚꯤꯇꯤ ꯔꯦꯀꯣꯔꯗ ꯇꯧꯏ ꯑꯃꯁꯨꯡ HCMꯅꯥ ꯅꯥꯕꯥ ꯃꯤꯑꯣꯏ ꯀꯌꯥꯗꯥ ꯑꯦꯕꯅꯣꯔꯃꯦꯂꯤꯇꯤꯁꯤꯡ ꯈꯪꯗꯣꯀꯄꯥ ꯉꯝꯃꯤ꯫
- ꯏꯀꯣꯀꯥꯔꯗꯤꯑꯣꯒ꯭ꯔꯥꯐ (Echo): ꯃꯁꯤ HCM ꯈꯪꯗꯣꯛꯅꯕꯒꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯑꯃꯁꯨꯡ ꯗꯤꯐꯤꯅꯤꯇꯤꯚ ꯇꯦꯁ꯭ꯇꯅꯤ꯫ ꯃꯁꯤ ꯑꯉꯥꯡ ꯑꯃꯒꯤ ꯁ꯭ꯀꯦꯟ ꯑꯃꯒꯨꯝꯅꯥ ꯑꯣꯏ꯫ ꯃꯁꯤꯅꯥ ꯍꯥꯔꯇꯀꯤ ꯃꯁꯂꯒꯤ ꯑꯔꯨꯝꯕꯥ, ꯍꯥꯔꯇꯅꯥ ꯀꯔꯝꯅꯥ ꯊꯕꯛ ꯇꯧꯕꯒꯦ ꯑꯃꯁꯨꯡ ꯃꯇꯧ ꯀꯔꯝꯅꯥ ꯏ ꯄꯝꯄ ꯇꯧꯔꯤꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯃꯌꯦꯛ ꯁꯦꯡꯅꯥ ꯎꯕꯥ ꯐꯪꯏ꯫
ꯃꯔꯨꯑꯣꯏꯕꯥ ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯊꯛꯇꯥ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯊꯧ ꯇꯥꯔꯕꯗꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯃꯈꯥ ꯇꯥꯅꯥ ꯇꯦꯁ꯭ꯠ ꯇꯧꯅꯕꯥ ꯄꯥꯎꯇꯥꯛ ꯄꯤꯕꯥ ꯌꯥꯏ꯫
- ꯕ꯭ꯂꯗ ꯇꯦꯁ꯭ꯠ ꯇꯧꯕꯥ꯫
- ꯀꯥꯔꯗꯤꯌꯦꯛ ꯀꯦꯇꯦꯒꯣꯔꯤ ꯁꯦꯝꯕꯥ꯫
- ꯀꯥꯔꯗꯤꯌꯦꯛ ꯑꯦꯝ.ꯑꯥꯔ.ꯑꯥꯏ
- ꯄꯨꯡ 24 ꯅꯠꯠꯔꯒꯥ ꯃꯁꯤꯗꯒꯤ ꯍꯦꯅꯕꯥ ꯍꯥꯔꯇꯀꯤ ꯔꯦꯠ ꯑꯗꯨ ꯌꯦꯡꯁꯤꯜꯂꯤꯕꯥ ``ꯍꯣꯜꯇꯔ ꯃꯣꯅꯤꯇꯔ'' ꯇꯦꯁ꯭ꯠ ꯑꯃꯅꯤ꯫
- ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯁ꯭ꯠꯔꯦꯁ ꯏꯀꯣ ꯇꯦꯁ꯭ꯠ ꯇꯧꯕꯥ꯫
- ꯖꯦꯅꯦꯇꯤꯛ ꯇꯦꯁ꯭ꯠ ꯇꯧꯕꯥ꯫
HCMꯒꯤ ꯂꯥꯏꯌꯦꯡꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?
ꯅꯍꯥꯛꯅꯥ HCM ꯂꯩꯔꯦ ꯍꯥꯌꯅꯥ ꯈꯪꯂꯕꯥ ꯃꯇꯨꯡꯗꯥ, ꯅꯍꯥꯛꯀꯤ ꯀꯥꯔꯗꯤꯑꯣꯂꯣꯖꯤꯁ꯭ꯠ ꯑꯗꯨꯅꯥ ꯅꯍꯥꯛꯀꯤꯗꯃꯛꯇꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯥ ꯂꯥꯏꯌꯦꯡꯒꯤ ꯄ꯭ꯂꯥꯟ ꯑꯗꯨ ꯂꯦꯄꯀꯅꯤ꯫ ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯄꯥꯟꯗꯃꯗꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯥ ꯑꯃꯁꯨꯡ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡꯒꯤ ꯔꯤꯁ꯭ꯛ ꯍꯟꯊꯍꯅꯕꯅꯤ꯫
꯱.ꯂꯥꯏꯐꯁ꯭ꯇꯥꯏꯜ ꯍꯣꯡꯗꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯌꯦꯡꯁꯤꯅꯕꯥ꯫
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯥꯏꯑꯣꯡ ꯑꯃꯠꯇꯥ ꯂꯩꯠꯔꯕꯗꯤ ꯑꯃꯁꯨꯡ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡꯒꯤ ꯔꯤꯁ꯭ꯛ ꯅꯦꯝꯅꯥ ꯂꯩꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯌꯦꯡꯁꯤꯟꯗꯨꯅꯥ ꯑꯃꯁꯨꯡ ꯍꯥꯔꯇꯀꯤ ꯍꯀꯁꯦꯜ ꯐꯕꯥ ꯄꯨꯟꯁꯤ ꯃꯍꯤꯡ ꯑꯃꯥ ꯂꯧꯅꯕꯥ ꯄꯥꯎꯇꯥꯛ ꯄꯤꯗꯨꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯗꯨ ꯌꯦꯡꯁꯤꯅꯕꯥ ꯌꯥꯏ꯫
- ꯃꯩꯈꯨ ꯊꯥꯗꯣꯀꯄꯥ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯊꯤꯡꯖꯤꯜꯂꯨ꯫
- ꯍꯥꯔꯇꯇꯥ ꯍꯀꯁꯦꯜ ꯐꯕꯥ ꯆꯤꯟꯖꯥꯀꯁꯤꯡ (ꯁꯣꯜꯇ ꯑꯃꯁꯨꯡ ꯑꯣꯜ ꯌꯥꯝꯅꯥ ꯌꯥꯎꯕꯥ) ꯆꯥꯕꯥ꯫
- ꯃꯇꯤꯛ ꯆꯥꯅꯥ ꯇꯨꯝꯕꯥ꯫
- ꯗꯣꯛꯇꯔ ꯑꯃꯅꯥ ꯇꯥꯀꯄꯤ-ꯇꯝꯕꯤꯕꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ ꯇꯞꯅꯥ ꯑꯃꯁꯨꯡ ꯃꯌꯥꯏ ꯑꯣꯏꯕꯥ ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯇꯧꯕꯥ (ꯃꯌꯥꯏ ꯑꯣꯏꯕꯥ ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯇꯧꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯃꯇꯤꯛ ꯆꯥꯗꯕꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ)꯫
- ꯍꯀꯁꯦꯜ ꯐꯕꯥ ꯑꯔꯨꯝꯕꯥ ꯑꯃꯥ ꯊꯝꯕꯥ꯫
- ꯍꯥꯏ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ ꯑꯃꯁꯨꯡ ꯗꯥꯏꯑꯦꯕꯦꯇꯤꯖꯒꯨꯝꯕꯥ ꯑꯇꯩ ꯃꯦꯗꯤꯀꯦꯜ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ ꯑꯐꯕꯥ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯥ꯫
ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ ꯲
ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯅꯕꯥ ꯇꯣꯉꯥꯟ-ꯇꯣꯉꯥꯅꯕꯥ ꯍꯤꯗꯥꯀꯁꯤꯡ ꯁꯤꯖꯤꯟꯅꯩ꯫
- ꯕꯦꯇꯥ-ꯕ꯭ꯂꯣꯀꯔꯁꯤꯡ: ꯃꯈꯣꯌꯅꯥ ꯍꯥꯔꯇꯀꯤ ꯈꯣꯡꯖꯦꯜ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯁꯣꯀꯍꯜꯂꯤ ꯑꯃꯁꯨꯡ ꯍꯥꯔꯇꯀꯤ ꯄ꯭ꯔꯦꯁꯔ ꯍꯟꯊꯍꯜꯂꯤ꯫
- ꯀꯦꯂꯁꯤꯌꯝ ꯆꯦꯅꯦꯜ ꯕ꯭ꯂꯣꯀꯔꯁꯤꯡ: ꯍꯥꯔꯇꯀꯤ ꯃꯁꯜ ꯔꯤꯂꯦꯛꯁ ꯇꯧꯕꯥ ꯑꯃꯁꯨꯡ ꯏ ꯆꯦꯅꯕꯥ ꯉꯃꯍꯜꯂꯤ꯫
- ꯗꯥꯏꯌꯨꯔꯦꯇꯤꯀꯁꯤꯡ: ꯱.ꯃꯁꯤꯅꯥ ꯍꯀꯆꯥꯡꯗꯒꯤ ꯑꯍꯦꯅꯕꯥ ꯐ꯭ꯂꯨꯏꯗ ꯂꯧꯊꯣꯀꯏ ꯑꯃꯁꯨꯡ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ ꯑꯁꯤꯅꯆꯤꯡꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯍꯟꯊꯍꯜꯂꯤ꯫
ꯍꯟꯗꯛꯇꯥ `(ꯃꯚꯥꯀꯃꯇꯦꯟ)` ꯀꯧꯕꯥ ꯑꯅꯧꯕꯥ ꯍꯤꯗꯥꯛ ꯑꯃꯥ ꯄꯨꯊꯣꯀꯈ꯭ꯔꯦ꯫ ꯃꯁꯤ ꯑꯩꯆ.ꯁꯤ.ꯑꯦꯝ.ꯒꯤ ꯃꯈꯥ ꯄꯣꯜꯂꯤꯕꯥ ꯃꯔꯝ ꯑꯗꯨꯗꯥ ꯄꯥꯟꯗꯝ ꯊꯝꯂꯤꯕꯥ ꯑꯍꯥꯅꯕꯥ ꯗ꯭ꯔꯒꯅꯤ꯫
꯳.ꯑꯈꯟꯅꯕꯥ ꯊꯧꯑꯣꯡꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯁꯔꯖꯔꯤꯁꯤꯡ꯫
ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡꯅꯥ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯥ ꯉꯃꯗꯕꯥ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ, ꯃꯔꯨꯑꯣꯏꯅꯥ ꯑꯣꯕꯁ꯭ꯠꯔꯀꯆꯔ HCM, ꯑꯃꯁꯨꯡ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ ꯊꯤꯡꯅꯕꯥ ꯑꯈꯟꯅꯕꯥ ꯂꯥꯏꯌꯦꯡꯁꯤꯡ ꯂꯩ꯫
| ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯃꯑꯣꯡ꯫ | ꯀꯔꯤ ꯇꯧꯔꯤꯕꯒꯦ꯫ |
|---|---|
| ꯁꯦꯞꯇꯥꯜ ꯃꯥꯏꯛꯇꯣꯃꯤ꯫ | ꯃꯁꯤ ꯑꯣꯄꯟ ꯍꯥꯔꯠ ꯁꯔꯖꯔꯤ ꯑꯃꯅꯤ꯫ ꯄ꯭ꯔꯣꯁꯤꯗ꯭ꯌꯨꯑꯣꯔ ꯑꯁꯤꯗꯥ, ꯁꯔꯖꯔꯤꯅꯥ ꯏꯒꯤ ꯈꯣꯡꯖꯦꯜ ꯊꯤꯡꯖꯤꯜꯂꯤꯕꯥ ꯑꯀꯅꯕꯥ ꯍꯥꯔꯠ ꯋꯥꯜ (septum) ꯒꯤ ꯑꯄꯤꯀꯄꯥ ꯁꯔꯨꯛ ꯑꯃꯥ ꯂꯧꯊꯣꯀꯏ꯫ |
| ꯑꯂꯀꯣꯍꯣꯜ ꯁꯦꯞꯇꯜ ꯑꯦꯕꯂꯦꯁꯟ ꯇꯧꯕꯥ꯫ | ꯃꯁꯤ ꯁꯔꯖꯔꯤ ꯇꯧꯕꯥ ꯉꯃꯗꯕꯥ ꯑꯅꯥꯕꯁꯤꯡꯒꯤꯗꯃꯛ ꯇꯧꯏ꯫ ꯀꯦꯇꯦꯇꯔ ꯑꯃꯥ ꯁꯤꯖꯤꯟꯅꯗꯨꯅꯥ, ꯑꯀꯅꯕꯥ ꯍꯥꯔꯇꯀꯤ ꯃꯁꯜ ꯑꯗꯨꯗꯥ ꯏ ꯄꯤꯕꯥ ꯑꯄꯤꯀꯄꯥ ꯑꯥꯔꯇꯦꯔꯤ ꯑꯃꯗꯥ ꯑꯂꯀꯣꯍꯣꯂꯒꯤ ꯆꯥꯡ ꯈꯔꯥ ꯏꯅꯖꯦꯀꯁꯟ ꯇꯧꯏ꯫ ꯃꯁꯤꯅꯥ ꯑꯀꯪꯕꯥ ꯇꯤꯁꯨ ꯑꯗꯨ ꯃꯥꯡꯍꯟ ꯇꯥꯀꯍꯜꯂꯤ ꯑꯃꯁꯨꯡ ꯃꯗꯨ ꯁꯣꯟꯊꯍꯜꯂꯤ꯫ |
| ꯑꯥꯏ.ꯁꯤ.ꯗꯤ.ꯒꯤ ꯗꯤꯚꯥꯏꯁ (ꯏꯃꯞꯂꯥꯟꯇ ꯇꯧꯕꯥ ꯌꯥꯕꯥ ꯀꯥꯔꯗꯤꯑꯣꯚꯥꯔꯇꯔ ꯗꯤꯐꯤꯕ꯭ꯔꯤꯂꯦꯇꯔ) | ꯃꯁꯤ ꯈꯪꯍꯧꯗꯅꯥ ꯀꯥꯔꯗꯤꯌꯦꯛ ꯑꯦꯔꯦꯁ꯭ꯠ ꯇꯧꯕꯒꯤ ꯈꯨꯗꯣꯡꯊꯤꯕꯥ ꯂꯩꯕꯥ ꯑꯅꯥꯕꯁꯤꯡꯗꯥ ꯁꯤꯖꯤꯟꯅꯩ꯫ ꯈꯣꯡꯒꯤ ꯃꯈꯥꯗꯥ ꯊꯥꯕꯥ ꯑꯄꯤꯀꯄꯥ ꯈꯨꯠꯂꯥꯏ ꯑꯃꯅꯤ꯫ ꯃꯁꯤ ꯊꯝꯃꯣꯌꯒꯤꯗꯃꯛ ꯄꯔꯁꯣꯅꯦꯜ ꯄ꯭ꯔꯣꯇꯦꯛꯇꯔ ꯑꯃꯒꯨꯝꯕꯅꯤ꯫ ꯄꯨꯟꯁꯤꯗꯥ ꯈꯨꯗꯣꯡꯊꯤꯕꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯕꯥ ꯍꯥꯔꯇꯀꯤ ꯈꯣꯡꯖꯦꯜ ꯌꯥꯡꯕꯥ ꯈꯣꯡꯖꯦꯜ ꯑꯃꯥ ꯂꯥꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯗꯤꯚꯥꯏꯁ ꯑꯁꯤꯅꯥ ꯍꯥꯔꯠ ꯑꯗꯨ ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯅꯥ ꯍꯟꯖꯤꯅꯍꯟꯅꯕꯥ ꯏꯂꯦꯛꯠꯔꯤꯛ ꯁꯣꯛ ꯑꯃꯥ ꯄꯤ꯫ |
HCMꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯍꯤꯡꯂꯤꯉꯩꯗꯥ ꯀꯔꯤ ꯑꯥꯁꯥ ꯇꯧꯒꯗꯒꯦ?
ꯅꯍꯥꯛꯅꯥ HCM ꯂꯩꯔꯦ ꯍꯥꯌꯅꯥ ꯍꯥꯌꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯂꯥꯡꯇꯛꯅꯕꯒꯤ ꯃꯊꯧ ꯇꯥꯗꯦ꯫ ꯃꯤꯑꯣꯏ ꯑꯌꯥꯝꯕꯅꯥ ꯃꯇꯤꯛ ꯆꯥꯕꯥ ꯂꯥꯏꯌꯦꯡ ꯑꯃꯁꯨꯡ ꯃꯦꯅꯦꯖꯃꯦꯟꯇꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯕꯥ ꯄꯨꯟꯁꯤ ꯑꯃꯥ ꯍꯤꯡꯕꯥ ꯉꯝꯃꯤ꯫ ꯃꯃꯥꯡꯗꯥ ꯂꯥꯌꯅꯥ ꯑꯁꯤꯅꯥ ꯁꯤꯕꯒꯤ ꯆꯥꯡ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯋꯥꯡꯂꯕꯁꯨ, ꯉꯁꯤꯗꯤ ꯑꯍꯣꯡꯕꯥ ꯂꯥꯌꯦꯡꯁꯤꯡꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯔꯤꯁ꯭ꯛ ꯑꯗꯨ ꯌꯥꯝꯅꯥ ꯅꯦꯝꯕꯥ ꯊꯥꯛ ꯰.꯵%ꯗꯥ ꯍꯟꯊꯔꯦ꯫
ꯅꯍꯥꯛꯀꯤꯗꯃꯛꯇꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯋꯥꯐꯃꯗꯤ ꯅꯍꯥꯛꯀꯤ ꯀꯥꯔꯗꯤꯑꯣꯂꯣꯖꯤꯁ꯭ꯠ ꯑꯗꯨꯒꯥ ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯀꯟꯇꯦꯛꯇ ꯇꯧꯕꯅꯤ꯫ ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯆꯦꯀꯑꯞ ꯇꯧꯕꯤꯌꯨ, ꯅꯍꯥꯛꯀꯤ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ ꯂꯧꯕꯤꯌꯨ ꯑꯃꯁꯨꯡ ꯃꯍꯥꯛꯅꯥ ꯔꯤꯀꯃꯦꯟꯗ ꯇꯧꯔꯀꯄꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯄꯨꯟꯁꯤ ꯃꯍꯤꯡ ꯑꯗꯨ ꯉꯥꯛꯇꯨꯅꯥ ꯊꯝꯃꯨ꯫
ꯑꯗꯨꯕꯨ ꯈꯉꯖꯤꯅꯒꯗꯕꯥ ꯋꯥꯐꯝ ꯑꯃꯗꯤ ꯂꯩꯔꯤ꯫ ꯆꯍꯤ 35ꯒꯤ ꯃꯈꯥꯗꯥ ꯂꯩꯕꯥ ꯁꯥꯟꯅꯔꯣꯏꯁꯤꯡꯗꯥ ꯈꯪꯍꯧꯗꯅꯥ ꯀꯥꯔꯗꯤꯌꯦꯛ ꯁꯤꯕꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯔꯃꯅꯤ, ꯃꯔꯝ ꯑꯁꯤꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯏꯃꯨꯡꯒꯤ ꯍꯤꯁ꯭ꯇꯔꯤ ꯂꯩꯔꯕꯗꯤ ꯅꯍꯥꯛꯅꯥ ꯁꯥꯟꯅꯄꯣꯠ ꯁꯥꯟꯅꯕꯥ ꯍꯧꯗ꯭ꯔꯤꯉꯩꯗꯥ ꯇꯦꯁ꯭ꯠ ꯇꯧꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫
ꯂꯥꯌꯅꯥ ꯑꯁꯤ ꯉꯥꯀꯊꯣꯀꯄꯥ ꯉꯃꯒꯗ꯭ꯔꯥ?
HCM ꯑꯁꯤ ꯑꯌꯥꯝꯕꯅꯥ ꯖꯦꯅꯦꯇꯤꯛ ꯐꯦꯛꯇꯔꯁꯤꯡꯅꯥ ꯊꯣꯀꯍꯅꯕꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯃꯁꯤ ꯊꯣꯀꯍꯟꯗꯅꯕꯥ ꯄꯥꯝꯕꯩ ꯑꯃꯠꯇꯥ ꯂꯩꯇꯦ꯫ ꯑꯗꯨꯕꯨ ꯑꯩꯈꯣꯌꯅꯥ ꯇꯧꯕꯥ ꯌꯥꯕꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯥ ꯊꯕꯀꯗꯤ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ ꯊꯤꯡꯕꯅꯤ . ꯃꯗꯨ ꯇꯧꯅꯕꯒꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯥ ꯄꯥꯝꯕꯩꯗꯤ ꯂꯥꯌꯅꯥ ꯑꯁꯤ ꯇꯣꯌꯅꯥ ꯈꯉꯗꯣꯛꯅꯕꯥ ꯁ꯭ꯛꯔꯤꯅꯤꯡ ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯇꯧꯕꯅꯤ꯫
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯏꯃꯨꯡꯒꯤ ꯀꯅꯥꯒꯨꯝꯕꯥ ꯑꯃꯅꯥ (ꯃꯃꯥ, ꯃꯄꯥ, ꯃꯆꯤꯟ-ꯃꯅꯥꯑꯣ, ꯑꯉꯥꯡꯁꯤꯡ) HCM ꯂꯩꯔꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯁꯣꯌꯗꯅꯥ ꯇꯦꯁ꯭ꯠ ꯇꯧꯒꯗꯕꯅꯤ꯫
ꯑꯍꯥꯅꯕꯗꯥ, ꯅꯍꯥꯛꯅꯥ ꯏ.ꯁꯤ.ꯖꯤ. ꯑꯃꯁꯨꯡ ꯏꯀꯣꯀꯥꯔꯗꯤꯑꯣꯒ꯭ꯔꯥꯝ ꯑꯃꯥ ꯇꯧꯒꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯑꯗꯨ ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯔꯕꯁꯨ, ꯅꯍꯥꯛꯅꯥ ꯆꯍꯤ 30 ꯁꯨꯔꯕꯥ ꯐꯥꯎꯕꯗꯥ ꯆꯍꯤ 3 ꯈꯨꯗꯤꯡꯒꯤ ꯑꯃꯁꯨꯡ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯆꯍꯤ 5 ꯈꯨꯗꯤꯡꯒꯤ ꯆꯦꯛ ꯇꯧꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯐꯩ꯫
ꯇꯦꯛ-ꯍꯣꯝ ꯃꯦꯁꯦꯖ ꯇꯧꯕꯥ꯫
- HCM ꯍꯥꯌꯕꯁꯤ ꯍꯥꯔꯇꯀꯤ ꯃꯁꯜ ꯑꯗꯨ ꯅꯣꯔꯃꯦꯂꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯂꯨꯝꯂꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ , ꯃꯗꯨꯅꯥ ꯍꯥꯔꯇꯅꯥ ꯏ ꯊꯥꯗꯣꯀꯄꯥ ꯉꯃꯍꯟꯗꯦ꯫
- ꯃꯁꯤ ꯑꯌꯥꯝꯕꯅꯥ ꯏꯃꯨꯡꯁꯤꯡꯗꯥ ꯆꯠꯊꯔꯤꯕꯥ ꯖꯦꯅꯦꯇꯤꯛ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ . ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯏꯃꯨꯡꯒꯤ ꯀꯅꯥꯒꯨꯝꯕꯥ ꯑꯃꯗꯥ ꯂꯩꯔꯕꯗꯤ ꯇꯦꯁ꯭ꯠ ꯇꯧꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫
- ꯃꯤꯑꯣꯏ ꯀꯌꯥ ꯑꯃꯅꯥ ꯂꯥꯏꯑꯣꯡ ꯑꯃꯠꯇꯥ ꯎꯕꯥ ꯐꯪꯗꯕꯥ ꯌꯥꯏ . ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯗꯥ ꯋꯥꯕꯥ, ꯈꯣꯝꯂꯥꯡ ꯁꯣꯀꯄꯥ, ꯅꯠꯠꯔꯒꯥ ꯃꯁꯥ ꯃꯊꯟꯇꯥ ꯋꯥꯈꯜ ꯇꯥꯗꯕꯥ ꯑꯁꯤꯅꯆꯤꯡꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯂꯩꯔꯕꯗꯤ ꯈꯨꯗꯛꯇꯥ ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯄꯥꯎꯇꯥꯛ ꯂꯧꯕꯤꯌꯨ꯫
- ꯂꯥꯌꯅꯥ ꯑꯁꯤ ꯈꯉꯗꯣꯛꯅꯕꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯇꯦꯁ꯭ꯠ ꯑꯁꯤ ꯏꯀꯣꯀꯥꯔꯗꯤꯑꯣꯒ꯭ꯔꯥꯐ (ꯏꯀꯣ) .
- ꯃꯇꯤꯛ ꯆꯥꯕꯥ ꯂꯥꯏꯌꯦꯡ, ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛ, ꯑꯃꯁꯨꯡ ꯄꯨꯟꯁꯤ ꯃꯍꯤꯡꯗꯥ ꯑꯍꯣꯡꯕꯥ ꯂꯥꯀꯄꯅꯥ HCMꯅꯥ ꯅꯥꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯌꯥꯝꯕꯅꯥ ꯅꯣꯔꯃꯦꯜ, ꯍꯀꯁꯦꯜ ꯐꯕꯥ ꯄꯨꯟꯁꯤ ꯍꯤꯡꯕꯥ ꯉꯝꯃꯤ꯫ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯊꯣꯀꯄꯒꯤ ꯃꯊꯧ ꯇꯥꯗꯦ, ꯅꯍꯥꯛꯅꯥ ꯇꯧꯒꯗꯕꯥ ꯑꯁꯤ ꯈꯉꯖꯤꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯃꯁꯤꯕꯨ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯃꯦꯅꯦꯖ ꯇꯧꯕꯅꯤ꯫
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