ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯅꯥ ꯍꯥꯔꯇꯀꯤ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯑꯃꯥ ꯂꯩꯔꯕꯗꯤ ꯀꯔꯤ ꯇꯧꯒꯅꯤ? ꯃꯗꯨ ꯀꯌꯥꯗꯥ ꯊꯝꯃꯣꯌ ꯁꯣꯛꯅꯤꯡꯉꯥꯏ ꯑꯣꯏꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯈꯟꯗꯨꯅꯥ ꯌꯦꯡꯕꯤꯌꯨ꯫ ꯑꯉꯥꯡ ꯈꯔꯗꯤ ꯃꯈꯣꯌꯒꯤ ꯊꯝꯃꯣꯌꯒꯤ ꯑꯔꯣꯏꯕꯥ ꯁꯔꯨꯛ ꯑꯗꯨ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯆꯥꯎꯈꯠꯄꯥ ꯉꯃꯗꯅꯥ ꯄꯣꯀꯏ꯫ ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯃꯁꯤꯕꯨ ꯍꯥꯏꯄꯣꯞꯂꯥꯁ꯭ꯇꯤꯛ ꯔꯥꯏꯠ ꯍꯥꯔꯠ ꯁꯤꯟꯗꯣꯝ ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ ꯃꯁꯤꯅꯥ ꯑꯉꯥꯡ ꯑꯗꯨꯅꯥ ꯐꯪꯂꯤꯕꯥ ꯑꯣꯛꯁꯤꯖꯦꯅꯒꯤ ꯆꯥꯡ ꯍꯟꯊꯍꯜꯂꯤ꯫ ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯍꯦꯟꯅꯥ ꯑꯀꯨꯞꯄꯥ ꯃꯔꯣꯂꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯁꯤ, ꯅꯠꯇꯦ?
ꯍꯥꯏꯄꯣꯞꯂꯥꯁ꯭ꯇꯤꯛ ꯔꯥꯏꯠ ꯍꯥꯔꯠ ꯁꯤꯟꯗ꯭ꯔꯣꯝ ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ?
ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯍꯥꯏꯄꯣꯞꯂꯥꯁ꯭ꯇꯤꯛ ꯔꯥꯏꯠ ꯍꯥꯔꯠ ꯁꯤꯟꯗꯣꯝ ꯑꯁꯤ ꯑꯉꯥꯡ ꯈꯔꯗꯤ ꯄꯣꯀꯄꯥ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯊꯣꯀꯄꯥ ꯍꯥꯔꯇꯀꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ . ꯃꯁꯤꯗꯥ ꯊꯣꯛꯂꯤꯕꯥ ꯑꯁꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯒꯤ ꯊꯝꯃꯣꯌꯒꯤ ꯑꯔꯥꯞꯄꯥ ꯃꯅꯨꯡ ꯍꯟꯖꯤꯅꯕꯥ ꯁꯔꯨꯛ ꯈꯔꯗꯤ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯆꯥꯎꯈꯠꯄꯥ ꯉꯃꯗꯦ꯫ ꯃꯁꯤ ꯈꯔꯥ ꯄꯝꯄ ꯑꯃꯒꯨꯝ ꯈꯅꯕꯤꯌꯨ꯫ ꯍꯥꯔꯇꯀꯤ ꯑꯔꯣꯏꯕꯥ ꯃꯐꯝ ꯑꯁꯤꯅꯥ ꯍꯀꯆꯥꯡꯗꯒꯤ ꯑꯣꯛꯁꯤꯖꯦꯟ ꯂꯩꯇꯕꯥ ꯏ ꯑꯗꯨ ꯂꯧꯊꯣꯛꯇꯨꯅꯥ ꯑꯣꯛꯁꯤꯖꯦꯟ ꯐꯪꯅꯕꯥ ꯂꯪꯁꯇꯥ ꯊꯥꯏ꯫ ꯑꯗꯨꯅꯥ, ꯃꯁꯤꯒꯤ ꯔꯥꯏꯠ ꯁꯥꯏꯗ ꯑꯁꯤ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯆꯥꯎꯈꯠꯄꯥ ꯉꯃꯗ꯭ꯔꯕꯗꯤ, ꯃꯁꯤꯅꯥ ꯃꯁꯥꯒꯤ ꯊꯕꯛ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯄꯥꯡꯊꯣꯀꯄꯥ ꯉꯝꯂꯣꯏ꯫
ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤꯗꯥ, ꯍꯥꯔꯇꯀꯤ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯁꯔꯨꯀꯁꯤꯡ ꯑꯁꯤ ꯁꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ:
- ꯇ꯭ꯔꯥꯏꯀꯁꯄꯤꯗ ꯚꯜꯌꯨ: ꯃꯁꯤ ꯍꯥꯔꯇꯀꯤ ꯑꯔꯣꯏꯕꯥ ꯑꯦꯠꯔꯤꯌꯥꯝ ꯑꯃꯁꯨꯡ ꯑꯔꯣꯏꯕꯥ ꯚꯦꯟꯇꯤꯂꯦꯁꯅꯒꯤ ꯃꯔꯛꯇꯥ ꯂꯩꯕꯥ ꯒꯦꯠ ꯑꯃꯒꯨꯝꯅꯥ ꯑꯣꯏ꯫ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯊꯕꯛ ꯇꯧꯗꯕꯥ ꯃꯇꯃꯗꯥ ꯏꯒꯤ ꯈꯣꯡꯖꯦꯂꯗꯥ ꯑꯀꯥꯌꯕꯥ ꯄꯤ꯫
- ꯄꯂꯃꯣꯅꯥꯔꯤ ꯚꯜꯌꯨ (pulmonary valve): ꯃꯁꯤꯅꯥ ꯔꯥꯏꯠ ꯚꯦꯟꯇꯤꯂꯦꯇꯔꯗꯒꯤ ꯂꯪꯁꯇꯥ ꯏ ꯄꯨꯗꯨꯅꯥ ꯆꯠꯂꯤꯕꯥ ꯄꯂꯃꯣꯅꯥꯔꯤ ꯑꯥꯔꯇꯦꯔꯤ ꯑꯗꯨꯅꯥ ꯍꯧꯔꯀꯄꯥ ꯚꯜꯌꯨ ꯑꯗꯨꯅꯤ꯫
- ꯔꯥꯏꯠ ꯚꯦꯟꯇꯤꯂꯦꯇꯔ (right ventricle): ꯃꯁꯤ ꯍꯥꯔꯇꯀꯤ ꯑꯔꯣꯏꯕꯥ ꯃꯐꯃꯗꯥ ꯂꯩꯕꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯕ꯭ꯂꯗ-ꯄꯝꯄ ꯆꯦꯝꯕꯔꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯁꯤ ꯑꯄꯤꯀꯄꯥ ꯑꯣꯏꯔꯛꯂꯕꯗꯤ, ꯃꯁꯤꯅꯥ ꯏ ꯍꯟꯊꯅꯥ ꯄꯝꯄ ꯇꯧꯒꯅꯤ꯫
- ꯄꯂꯃꯣꯅꯥꯔꯤ ꯑꯥꯔꯇꯦꯔꯤ (pulmonary artery): ꯃꯁꯤ ꯔꯥꯏꯠ ꯚꯦꯟꯇꯤꯂꯦꯇꯔꯗꯒꯤ ꯂꯪꯁꯇꯥ ꯏ ꯄꯨꯕꯥ ꯑꯆꯧꯕꯥ ꯑꯥꯔꯇꯦꯔꯤꯅꯤ꯫
ꯀꯟꯗꯤꯁꯟ ꯑꯗꯨ ꯀꯌꯥꯝ ꯁꯥꯊꯤꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯒꯦ ꯍꯥꯌꯕꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ, ꯍꯥꯔꯇꯀꯤ ꯁꯔꯨꯀꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯐꯉ꯭ꯀꯁꯟ ꯍꯟꯊꯔꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ ꯌꯥꯏ꯫
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ, HRHSꯅꯥ ꯅꯥꯕꯥ ꯑꯉꯥꯡꯁꯤꯡꯗꯁꯨ ꯑꯇꯩ ꯍꯥꯔꯇꯀꯤ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ ꯂꯩꯕꯥ ꯌꯥꯏ꯫ ꯈꯨꯗꯝ ꯑꯣꯏꯅ:
- ꯑꯦꯠꯔꯤꯌꯥꯜ ꯁꯦꯞꯇꯜ ꯗꯤꯐꯦꯛꯇ (ASD): ꯍꯥꯔꯇꯀꯤ ꯃꯊꯛꯀꯤ ꯆꯦꯝꯕꯔ ꯑꯅꯤ (atria)ꯒꯤ ꯃꯔꯛꯇꯥ ꯂꯩꯕꯥ ꯋꯥꯜ ꯑꯗꯨꯗꯥ ꯂꯩꯕꯥ ꯍꯨꯔꯥꯅꯕꯥ ꯑꯃꯥ꯫
- ꯚꯦꯟꯇꯤꯀꯨꯂꯥꯔ ꯁꯦꯞꯇꯜ ꯗꯤꯐꯦꯛꯇ (VSD): ꯍꯥꯔꯇꯀꯤ ꯃꯈꯥ ꯊꯪꯕꯥ ꯆꯦꯝꯕꯔ (ventricle) ꯑꯅꯤꯒꯤ ꯃꯔꯛꯇꯥ ꯂꯩꯕꯥ ꯋꯥꯜ ꯑꯗꯨꯗꯥ ꯂꯩꯕꯥ ꯍꯨꯔꯥꯅꯕꯥ ꯑꯃꯥ꯫
- ꯑꯦꯠꯔꯤꯑꯣꯚꯦꯟꯇꯤꯀꯨꯂꯥꯔ ꯀꯦꯅꯦꯜ ꯗꯤꯐꯦꯛꯇ (atrioventricular canal defect): ꯑꯇꯩ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯀꯌꯥꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯍꯥꯔꯇꯀꯤ ꯃꯔꯛꯇꯥ ꯂꯩꯕꯥ ꯑꯆꯧꯕꯥ ꯍꯨꯔꯥꯅꯕꯥ ꯑꯃꯥ꯫
ꯐꯤꯚꯝ ꯑꯁꯤ ꯀꯌꯥ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯒꯦ?
ꯍꯥꯏꯄꯣꯞꯂꯥꯁ꯭ꯇꯤꯛ ꯔꯥꯏꯠ ꯍꯥꯔꯠ ꯁꯤꯟꯗꯣꯝ (HRHS) ꯑꯁꯤ ꯃꯤꯑꯣꯏ ꯈꯔꯗꯗꯤ ꯑꯇꯩꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ . ꯌꯥꯝꯅꯥ ꯅꯦꯝꯕꯥ ꯑꯣꯛꯁꯤꯖꯦꯅꯒꯤ ꯆꯥꯡꯒꯨꯝꯕꯥ ꯑꯀꯅꯕꯥ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡ ꯈꯨꯗꯛꯇꯥ ꯂꯥꯌꯦꯡꯕꯥ ꯃꯊꯧ ꯇꯥꯏ . ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯃꯤꯑꯣꯏ ꯈꯔꯗꯗꯤ ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯑꯣꯏꯗꯕꯥ ꯌꯥꯏ, ꯑꯄꯤꯀꯄꯥ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯈꯛꯇꯃꯛ ꯂꯩꯕꯥ ꯌꯥꯏ꯫ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡ ꯑꯁꯤ ꯆꯍꯤ ꯌꯥꯃꯗ꯭ꯔꯤꯐꯥꯎꯕꯥ ꯂꯥꯏꯑꯣꯡ ꯈꯪꯗꯣꯀꯄꯥ ꯉꯃꯗꯕꯥ ꯌꯥꯏ꯫
ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯀꯌꯥꯝ ꯀꯃꯟ ꯑꯣꯏꯕꯒꯦ?
ꯃꯁꯤ ꯇꯁꯦꯡꯅꯥ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯊꯣꯀꯄꯥ ꯐꯤꯚꯝ ꯑꯃꯅꯤ꯫ꯔꯤꯁꯔꯆꯔꯁꯤꯡꯅꯥ ꯌꯨ.ꯑꯦꯁ.ꯇꯥ ꯃꯤꯑꯣꯏ ꯵꯰,꯰꯰꯰ꯗꯒꯤ ꯇꯥꯅꯥ ꯑꯩꯆ.ꯑꯥꯔ.ꯑꯩꯆ.ꯑꯦꯁ. ꯃꯁꯤ ꯍꯥꯔꯇꯀꯤ ꯂꯦꯃꯍꯧꯔꯤꯕꯥ ꯁꯔꯨꯛ ꯑꯗꯨ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯗꯤꯚꯦꯂꯞ ꯇꯧꯗꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯥ ꯑꯣꯏꯔꯤꯕꯥ ꯍꯥꯏꯄꯣꯞꯂꯥꯁ꯭ꯇꯤꯛ ꯂꯦꯐꯠ ꯍꯥꯔꯠ ꯁꯤꯟꯗ꯭ꯔꯣꯃꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯇꯣꯏꯅꯥ ꯊꯣꯀꯏ꯫
ꯍꯥꯏꯄꯣꯞꯂꯥꯁ꯭ꯇꯤꯛ ꯔꯥꯏꯠ ꯍꯥꯔꯠ ꯁꯤꯟꯗ꯭ꯔꯣꯝ (HRHS)ꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯤꯅꯣ?
ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯑꯁꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡꯅꯤ:
- ꯈꯨꯠ ꯑꯃꯁꯨꯡ ꯈꯣꯡꯒꯤ ꯈꯣꯡꯗꯥ ꯕ꯭ꯂꯨ ꯗꯤꯁꯀꯂꯔ ꯑꯣꯏꯕꯥ꯫ ꯃꯁꯤꯕꯨ ꯁꯥꯏꯅꯣꯁꯤꯁ ꯍꯥꯌꯅꯥ ꯀꯧꯏ . ꯃꯁꯤꯅꯥ ꯍꯀꯆꯥꯡꯗꯥ ꯑꯣꯛꯁꯤꯖꯦꯟ ꯃꯔꯥꯡ ꯀꯥꯌꯅꯥ ꯐꯪꯗ꯭ꯔꯤ ꯍꯥꯌꯕꯅꯤ꯫
- ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ꯫ ꯃꯁꯤꯕꯨ ꯗꯤꯁꯞꯅꯤꯌꯥ ꯍꯥꯌꯅꯥ ꯀꯧꯏ .
- ꯌꯥꯡꯅꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ꯫ ꯃꯁꯤꯕꯨ ꯇꯦꯀꯤꯄꯅꯤꯌꯥ ꯍꯥꯌꯅꯥ ꯀꯧꯏ .
- ꯑꯉꯥꯡ ꯑꯗꯨꯅꯥ ꯁꯉ꯭ꯒꯣꯝ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯊꯀꯄꯥ ꯉꯃꯗ꯭ꯔꯤ꯫
- ꯊꯨꯅꯥ ꯋꯥꯈꯜ ꯋꯥꯕꯥ, ꯃꯇꯝ ꯄꯨꯝꯅꯃꯛꯇꯥ ꯇꯨꯝꯕꯥ ꯌꯥꯗꯕꯥ꯫
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯗꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯃꯗꯒꯤ ꯍꯦꯅꯕꯥ ꯂꯩꯔꯕꯗꯤ, ꯈꯨꯗꯛꯇꯥ ꯗꯣꯛꯇꯔ ꯑꯃꯒꯥ ꯇꯥꯟꯅꯕꯅꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯩ꯫
ꯃꯁꯤꯒꯤ ꯃꯔꯝ ꯀꯔꯤꯅꯣ?
ꯇꯁꯦꯡꯕꯗꯤ ꯍꯥꯏꯄꯣꯞꯂꯥꯁ꯭ꯇꯤꯛ ꯔꯥꯏꯠ ꯍꯥꯔꯠ ꯁꯤꯟꯗꯣꯝ (ꯑꯩꯆ.ꯑꯥꯔ.ꯑꯩꯆ.ꯑꯦꯁ.)ꯒꯤ ꯑꯆꯨꯝꯕꯥ ꯃꯔꯝ ꯑꯁꯤ ꯍꯧꯖꯤꯛ ꯐꯥꯑꯣꯕꯥ ꯈꯉꯕꯥ ꯉꯃꯗ꯭ꯔꯤ .
ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯔꯤꯁꯔꯆꯔꯁꯤꯡꯅꯥ ꯖꯤꯅꯦꯇꯤꯛꯁ ꯑꯁꯤ ꯌꯥꯑꯣꯕꯥ ꯌꯥꯏ ꯍꯥꯌꯅꯥ ꯊꯥꯖꯩ , ꯃꯔꯃꯗꯤ ꯏꯃꯨꯡ ꯑꯃꯒꯤ ꯃꯤꯑꯣꯏ ꯀꯌꯥꯅꯥ ꯄꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯑꯩꯆ.ꯑꯥꯔ.ꯑꯩꯆ.ꯑꯦꯁ. ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯃꯈꯥ ꯇꯥꯅꯥ ꯊꯤꯖꯤꯅꯕꯥ ꯃꯊꯧ ꯇꯥꯏ꯫
ꯃꯁꯤꯅꯥ ꯑꯇꯩ ꯀꯔꯤ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯕꯒꯦ?
ꯍꯥꯏꯄꯣꯞꯂꯥꯁ꯭ꯇꯤꯛ ꯔꯥꯏꯠ ꯍꯥꯔꯠ ꯁꯤꯟꯗ꯭ꯔꯣꯝ (HRHS)ꯅꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ ꯑꯁꯤ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ:
- ꯍꯀꯆꯥꯡꯗꯥ ꯑꯣꯛꯁꯤꯖꯦꯅꯒꯤ ꯆꯥꯡ ꯅꯦꯝꯕꯥ꯫ ꯃꯁꯤꯕꯨ ꯍꯥꯏꯄꯣꯛꯁꯦꯃꯤꯌꯥ ꯍꯥꯌꯅꯥ ꯀꯧꯏ .
- ꯔꯥꯏꯠ-ꯁꯥꯏꯗ ꯍꯥꯔꯠ ꯐꯦꯜ ꯑꯣꯏꯕꯥ꯫
- ꯍꯥꯔꯇꯀꯤ ꯂꯥꯌꯅꯥꯅꯥ ꯅꯥꯕꯥ꯫ ꯃꯁꯤꯕꯨ ꯑꯦꯔꯤꯊ꯭ꯃꯤꯌꯥ ꯍꯥꯌꯅꯥ ꯀꯧꯏ .
ꯅꯍꯥ ꯑꯣꯏꯔꯤꯕꯥ ꯆꯍꯤꯗꯥ, HRHSꯅꯥ ꯑꯁꯨꯛ ꯌꯥꯝꯅꯥ ꯁꯣꯀꯍꯟꯗꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯗꯁꯨ, ꯍꯀꯆꯥꯡꯗꯥ ꯑꯣꯛꯁꯤꯖꯦꯅꯒꯤ ꯆꯥꯡ ꯅꯦꯝꯕꯥ ꯑꯁꯤꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯃꯤꯔꯣꯅꯕꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫
ꯂꯥꯌꯅꯥ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯈꯪꯗꯣꯀꯄꯒꯦ?
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯍꯦꯂꯊꯀꯦꯌꯔ ꯄ꯭ꯔꯣꯚꯥꯏꯗꯔ ꯑꯃꯅꯥ ꯑꯉꯥꯡ ꯑꯗꯨ ꯍꯧꯖꯤꯀꯁꯨ ꯃꯤꯔꯣꯜꯂꯤꯉꯩ ꯃꯇꯃꯗꯥ (ꯐꯤꯇꯁ ꯗꯤꯚꯦꯂꯄꯃꯦꯟꯇ) HRHS ꯈꯪꯗꯣꯀꯄꯥ ꯉꯝꯃꯤ꯫ ꯃꯈꯣꯌꯅꯥ ꯑꯉꯥꯡ ꯑꯗꯨꯒꯤ ꯊꯝꯃꯣꯌ ꯑꯗꯨ ꯌꯦꯡꯅꯕꯒꯤꯗꯃꯛ ꯑꯂꯠꯔꯥꯁꯥꯎꯟꯗ ꯁ꯭ꯀꯦꯟ ꯑꯃꯥ ꯁꯤꯖꯤꯟꯅꯩ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯍꯦꯟꯅꯥ ꯅꯛꯅꯥ ꯌꯦꯡꯁꯤꯅꯕꯥ ꯄꯥꯝꯂꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯐꯤꯇꯁ ꯏꯀꯣꯀꯥꯔꯗꯤꯑꯣꯒ꯭ꯔꯥꯐ ꯑꯃꯁꯨ ꯇꯧꯕꯥ ꯌꯥꯏ꯫ ꯍꯥꯌꯔꯤꯕꯥ ꯇꯦꯁ꯭ꯠ ꯑꯅꯤꯃꯛ ꯑꯁꯤ ꯅꯟ-ꯏꯅꯚꯦꯁꯤꯕ ꯑꯣꯏ꯫
ꯑꯉꯥꯡ ꯑꯗꯨ ꯄꯣꯀꯄꯥ ꯃꯇꯨꯡꯗꯥ ꯀꯔꯤ ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯇꯧꯕꯒꯦ?
ꯑꯉꯥꯡ ꯑꯗꯨ ꯄꯣꯀꯄꯥ ꯃꯇꯨꯡꯗꯥ, ꯑꯉꯥꯡ ꯑꯗꯨꯗꯥ HRHS ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯈꯪꯗꯣꯛꯅꯕꯥ ꯅꯟ-ꯏꯅꯚꯦꯁꯤꯚ ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯑꯁꯤ ꯇꯧꯕꯥ ꯌꯥꯏ:
- ꯄꯂꯁ ꯑꯣꯛꯁꯤꯃꯤꯇꯔ (ꯄꯂꯁ ꯑꯣꯛꯁ): ꯃꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯈꯨꯠꯁꯥ ꯅꯠꯠꯔꯒꯥ ꯅꯥꯀꯣꯡꯗꯥ ꯑꯣꯛꯁꯤꯖꯦꯅꯒꯤ ꯆꯥꯡ ꯑꯗꯨ ꯂꯦꯄꯊꯣꯛꯅꯕꯥ ꯑꯄꯤꯀꯄꯥ ꯀ꯭ꯂꯤꯄꯒꯨꯝꯕꯥ ꯈꯨꯠꯂꯥꯏ ꯑꯃꯅꯤ꯫
- ꯏꯂꯦꯛꯠꯔꯣꯀꯥꯔꯗꯤꯑꯣꯒ꯭ꯔꯥꯝ (EKG/ECG): ꯍꯥꯔꯇꯀꯤ ꯏꯂꯦꯛꯠꯔꯤꯀꯦꯜ ꯑꯦꯛꯇꯤꯚꯤꯇꯤ ꯑꯗꯨ ꯌꯦꯡꯁꯤꯟꯅꯕꯥ ꯇꯦꯁ꯭ꯠ ꯑꯃꯅꯤ꯫
- ꯏꯀꯣꯀꯥꯔꯗꯤꯑꯣꯒ꯭ꯔꯥꯝ (Echocardiogram - echo): ꯃꯁꯤ ꯑꯂꯠꯔꯥꯁꯥꯎꯟꯗꯒꯥ ꯃꯥꯟꯅꯕꯥ ꯁꯥꯎꯟꯗ ꯋꯦꯕ ꯁꯤꯖꯤꯟꯅꯗꯨꯅꯥ ꯊꯝꯃꯣꯌꯒꯤ ꯐꯖꯕꯥ ꯂꯧꯕꯥ ꯇꯦꯁ꯭ꯠ ꯑꯃꯅꯤ꯫ ꯃꯁꯤꯅꯥ ꯍꯥꯔꯇꯀꯤ ꯁ꯭ꯠꯔꯀꯆꯔ, ꯚꯜꯌꯨꯁꯤꯡꯅꯥ ꯀꯔꯝꯅꯥ ꯊꯕꯛ ꯇꯧꯕꯒꯦ ꯑꯃꯁꯨꯡ ꯏ ꯀꯔꯝꯅꯥ ꯆꯠꯄꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯎꯠꯄꯥ ꯉꯝꯃꯤ꯫
- ꯍꯥꯔꯠ ꯑꯦꯝ.ꯑꯥꯔ.ꯑꯥꯏ.(ꯃꯦꯒ꯭ꯅꯦꯇꯤꯛ ꯔꯤꯖꯣꯅꯦꯟꯁ ꯏꯃꯦꯖꯤꯡ): ꯍꯥꯔꯇꯀꯤ ꯑꯀꯨꯞꯄꯥ ꯃꯔꯣꯂꯁꯤꯡ ꯄꯨꯊꯣꯛꯅꯕꯥ ꯃꯦꯒ꯭ꯅꯦꯇꯤꯛ ꯐꯤꯜꯗ ꯑꯃꯁꯨꯡ ꯔꯦꯗꯤꯑꯣ ꯋꯦꯕ ꯁꯤꯖꯤꯟꯅꯩ꯫
ꯃꯁꯤꯒꯤ ꯂꯥꯏꯌꯦꯡꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯤꯅꯣ?
ꯍꯥꯏꯄꯣꯞꯂꯥꯁ꯭ꯇꯤꯛ ꯔꯥꯏꯠ ꯍꯥꯔꯠ ꯁꯤꯟꯗꯣꯝ (HRHS)ꯒꯤ ꯂꯥꯏꯌꯦꯡꯗꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ, ꯃꯤꯅꯤꯃꯝ ꯏꯅꯚꯦꯁꯤꯚ ꯄ꯭ꯔꯣꯁꯤꯗ꯭ꯌꯨꯑꯣꯔꯁꯤꯡ, ꯅꯠꯠꯔꯒꯥ ꯁꯔꯖꯔꯤꯁꯤꯡ ꯌꯥꯎꯕꯥ ꯌꯥꯏ . ꯂꯥꯏꯌꯦꯡ ꯄꯨꯝꯅꯃꯛ ꯑꯁꯤꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯄꯥꯟꯗꯃꯗꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯒꯤ ꯂꯪꯁꯇꯥ ꯏ ꯑꯃꯁꯨꯡ ꯑꯣꯛꯁꯤꯖꯦꯟ ꯃꯔꯥꯡ ꯀꯥꯌꯅꯥ ꯐꯪꯍꯅꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯕꯅꯤ .
ꯍꯤꯗꯥꯛ ꯂꯥꯡꯊꯛ
- ꯄ꯭ꯔꯣꯁ꯭ꯇꯥꯒ꯭ꯂꯥꯟꯗꯤꯟ ꯑꯁꯤ ꯑꯉꯥꯡꯒꯤ ꯗꯛꯇꯁ ꯑꯥꯔꯇꯦꯔꯤꯑꯣꯁꯁ ꯍꯥꯡꯗꯣꯛꯇꯨꯅꯥ ꯊꯝꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯅꯕꯥ ꯁꯤꯖꯤꯟꯅꯩ꯫ ꯃꯁꯤꯒꯤ ꯗꯛꯇꯁ ꯑꯥꯔꯇꯦꯔꯤꯑꯣꯁ ꯑꯁꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯅꯥ ꯃꯤꯔꯣꯜꯂꯤꯉꯩ ꯃꯇꯃꯗꯥ ꯃꯃꯥꯗꯒꯤ ꯑꯣꯛꯁꯤꯖꯦꯟ ꯌꯥꯎꯕꯥ ꯏ ꯂꯧꯕꯗꯥ ꯁꯤꯖꯤꯟꯅꯕꯥ ꯇꯤꯎꯕ ꯑꯃꯅꯤ꯫ ꯑꯉꯥꯡ ꯑꯗꯨꯅꯥ ꯄꯣꯀꯄꯥ ꯃꯇꯨꯡꯗꯥ ꯂꯪꯁꯀꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯍꯧꯔꯀꯄꯒꯥ ꯂꯣꯌꯅꯅꯥ, ꯇꯤꯎꯕ ꯑꯁꯤ ꯃꯍꯧꯁꯥꯅꯥ ꯅꯨꯃꯤꯠ ꯈꯔꯅꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯊꯤꯡꯖꯤꯜꯂꯤ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, HRHS ꯂꯩꯕꯥ ꯑꯉꯥꯡ ꯑꯃꯗꯥ, ꯍꯥꯔꯇꯀꯤ ꯑꯔꯣꯏꯕꯥ ꯁꯔꯨꯛ ꯑꯗꯨ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯊꯕꯛ ꯇꯧꯗꯕꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ, ꯇꯤꯎꯕ ꯑꯁꯤ ꯍꯥꯡꯗꯣꯛꯇꯨꯅꯥ ꯊꯝꯕꯅꯥ ꯂꯪꯁꯇꯥ ꯏ ꯆꯦꯅꯕꯥ ꯉꯃꯍꯜꯂꯤ꯫
ꯃꯤꯅꯤꯃꯝ ꯑꯣꯏꯅꯥ ꯏꯅꯚꯦꯁꯤꯕ ꯑꯣꯏꯕꯥ ꯊꯧꯑꯣꯡꯁꯤꯡ꯫
- ꯗꯣꯛꯇꯔ ꯑꯃꯅꯥ ꯑꯉꯥꯡ ꯑꯗꯨꯒꯤ ꯗꯛꯇꯁ ꯑꯥꯔꯇꯦꯔꯤꯑꯣꯁꯇꯥ ꯁ꯭ꯇꯦꯟꯇ (ꯑꯄꯤꯀꯄꯥ ꯙꯥꯇꯨꯒꯤ ꯃꯦꯁꯒꯨꯝꯕꯥ ꯇꯤꯎꯕ) ꯑꯃꯥ ꯍꯥꯄꯆꯤꯟꯅꯕꯥ ꯀꯦꯇꯦꯒꯣꯔꯤ (catheter) ꯀꯧꯕꯥ ꯑꯄꯤꯀꯄꯥ ꯇꯤꯎꯕ ꯑꯃꯥ ꯁꯤꯖꯤꯟꯅꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯅꯥ ꯗꯛꯇ ꯑꯗꯨ ꯍꯥꯡꯗꯣꯛꯇꯨꯅꯥ ꯊꯝꯃꯤ ꯑꯃꯁꯨꯡ ꯂꯪꯁꯇꯥ ꯏ ꯐꯖꯅꯥ ꯆꯦꯅꯕꯥ ꯉꯃꯍꯜꯂꯤ꯫
- ꯑꯇꯣꯞꯄꯥ ꯑꯃꯅꯥ ꯄꯂꯃꯣꯅꯥꯔꯤ ꯚꯜꯌꯨ ꯄꯔꯐꯣꯔꯦꯁꯅꯅꯤ . ꯃꯁꯤꯗꯥ, ꯀꯦꯇꯦꯒꯣꯔꯤ ꯑꯃꯥ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯜ ꯑꯃꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯍꯥꯡꯗꯣꯀꯄꯥ ꯉꯃꯗꯕꯥ ꯄꯂꯃꯣꯅꯥꯔꯤ ꯚꯜꯌꯨꯗꯥ ꯆꯦꯟꯊꯈꯤꯗꯨꯅꯥ ꯚꯜꯌꯨ ꯑꯗꯨꯗꯥ ꯍꯨꯔꯥꯅꯕꯥ ꯑꯃꯥ ꯊꯣꯀꯍꯜꯂꯤ꯫ ꯃꯁꯤꯅꯥ ꯄꯂꯃꯣꯅꯥꯔꯤ ꯑꯥꯔꯇꯦꯔꯤꯗꯥ ꯏ ꯆꯦꯅꯕꯥ ꯉꯃꯍꯜꯂꯤ꯫ ꯗꯣꯛꯇꯔ ꯈꯔꯅꯁꯨ ꯃꯁꯤꯒꯤꯗꯃꯛꯇꯥ ꯑꯦꯕꯂꯦꯁꯟ ꯀꯧꯕꯥ ꯄ꯭ꯔꯣꯁꯤꯗ꯭ꯌꯨꯑꯣꯔ ꯑꯃꯥ ꯁꯤꯖꯤꯟꯅꯩ꯫
ꯂꯦꯟꯕ
HRHSꯒꯤ ꯁꯥꯊꯤꯕꯥ ꯀꯦꯁꯁꯤꯡ ꯑꯁꯤ ꯂꯥꯏꯌꯦꯡꯅꯕꯒꯤꯗꯃꯛ ꯁꯔꯖꯔꯤ ꯇꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯏ꯫ ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯃꯍꯧꯁꯥꯅꯥ ꯁ꯭ꯇꯦꯖ ꯀꯌꯥꯗꯥ ꯄꯥꯡꯊꯣꯀꯏ꯫
- ꯕ꯭ꯂꯥꯂꯣꯛ-ꯇꯥꯎꯁꯤꯒ-ꯊꯣꯃꯥꯁ (BTT) ꯁꯟꯊꯤ: ꯃꯁꯤ HRHS ꯂꯩꯕꯥ ꯑꯉꯥꯡ ꯑꯃꯒꯤ ꯂꯪꯁꯇꯥ ꯏꯒꯤ ꯈꯣꯡꯖꯦꯜ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯁꯦꯃꯒꯠꯅꯕꯥ ꯁꯤꯖꯤꯟꯅꯩ꯫ ꯃꯁꯤꯅꯥ ꯁꯕꯛꯂꯦꯚꯤꯌꯥꯟ ꯑꯥꯔꯇꯦꯔꯤ (ꯀꯣꯂꯥꯔꯕꯣꯅꯗꯥ ꯂꯩꯕꯥ ꯑꯥꯔꯇꯦꯔꯤ ꯑꯃꯥ) ꯑꯃꯁꯨꯡ ꯄꯂꯃꯣꯅꯥꯔꯤ ꯑꯥꯔꯇꯦꯔꯤꯒꯤ ꯃꯔꯛꯇꯥ ꯀꯅꯦꯛꯁꯟ ꯑꯃꯥ ꯁꯦꯝꯅꯕꯥ ꯁꯤꯟꯊꯦꯇꯤꯛ ꯐꯦꯕ꯭ꯔꯤꯛ ꯑꯃꯥ ꯁꯤꯖꯤꯟꯅꯩ꯫
- ꯊꯥ ꯈꯔꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯅꯠꯠꯔꯒꯥ ꯆꯍꯤ ꯈꯔꯒꯤ ꯃꯇꯨꯡꯗꯥ, ꯁꯔꯖꯔꯤ ꯑꯃꯅꯥ ꯒ꯭ꯂꯦꯟ ꯄ꯭ꯔꯣꯁꯤꯗ꯭ꯌꯨꯑꯣꯔ ꯑꯃꯥ ꯑꯃꯁꯨꯡ/ꯅꯠꯠꯔꯒꯥ ꯐꯣꯟꯇꯟ ꯄ꯭ꯔꯣꯁꯤꯗ꯭ꯌꯨꯑꯣꯔ ꯑꯃꯥ ꯄꯥꯡꯊꯣꯀꯄꯥ ꯌꯥꯏ . ꯍꯥꯌꯔꯤꯕꯥ ꯊꯧꯑꯣꯡ ꯈꯨꯗꯤꯡꯃꯛꯅꯥ ꯗꯤꯁꯐꯉ꯭ꯀꯁꯅꯦꯜ ꯔꯥꯏꯠ ꯚꯦꯟꯇꯤꯂꯦꯁꯅꯒꯤ ꯑꯀꯣꯌꯕꯗꯥ ꯏ ꯆꯦꯅꯕꯥ ꯑꯅꯧꯕꯥ ꯂꯝꯕꯤ ꯑꯃꯥ ꯁꯦꯝꯃꯤ꯫ ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯅꯥ, ꯔꯥꯏꯠ ꯚꯦꯟꯇꯤꯂꯦꯇꯔꯅꯥ ꯄꯂꯃꯣꯅꯥꯔꯤ ꯑꯥꯔꯇꯦꯔꯤꯗꯥ ꯏ ꯄꯝꯄ ꯇꯧꯏ꯫
ꯒ꯭ꯂꯦꯟ ꯑꯃꯁꯨꯡ ꯐꯣꯟꯇꯥꯅꯒꯤ ꯊꯧꯑꯣꯡꯁꯤꯡꯅꯥ ꯏ ꯑꯁꯤ ꯑꯆꯧꯕꯥ ꯚꯦꯟ ꯑꯃꯗꯒꯤ ꯍꯀꯊꯦꯡꯅꯅꯥ ꯄꯂꯃꯣꯅꯥꯔꯤ ꯑꯥꯔꯇꯦꯔꯤꯗꯥ ꯆꯦꯅꯕꯥ ꯌꯥꯍꯜꯂꯤ, ꯃꯐꯝ ꯑꯗꯨꯗꯒꯤ ꯃꯁꯤꯅꯥ ꯑꯣꯛꯁꯤꯖꯦꯟ ꯂꯧꯅꯕꯥ ꯂꯪꯁꯇꯥ ꯆꯠꯂꯤ꯫
ꯂꯥꯏꯌꯦꯡꯕꯗꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯟ ꯂꯩꯕ꯭ꯔꯥ?
ꯁꯔꯖꯔꯤ ꯄꯨꯝꯅꯃꯀꯒꯨꯝꯅꯥ, ꯂꯥꯏꯌꯦꯡꯁꯤꯡ ꯑꯁꯤꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯕꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯟ ꯈꯔꯗꯤ ꯂꯩ꯫ ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ ꯑꯁꯤ ꯈꯦꯠꯅꯕꯥ ꯌꯥꯏ꯫ ꯈꯨꯗꯝ ꯑꯣꯏꯅ:
- ꯁ꯭ꯇꯦꯟꯇ ꯑꯗꯨ ꯃꯁꯥꯒꯤ ꯑꯍꯥꯅꯕꯥ ꯃꯐꯃꯗꯒꯤ ꯂꯥꯞꯅꯥ ꯂꯩꯕꯥ ꯌꯥꯏ꯫
- ꯕꯤ.ꯇꯤ.ꯇꯤ.
- ꯄꯂꯃꯣꯅꯥꯔꯤ ꯚꯜꯌꯨ (pulmonary valve perforation) ꯑꯁꯤꯅꯥ ꯍꯥꯔꯇꯀꯤ ꯈꯣꯡꯖꯦꯜ ꯌꯥꯡꯕꯥ (arrhythmia) ꯑꯃꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ ꯅꯠꯠꯔꯒꯥ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯜ ꯑꯃꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫
- ꯑꯆꯧꯕꯥ ꯁꯔꯖꯔꯤꯁꯤꯡꯅꯥ ꯍꯥꯏ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ, ꯄ꯭ꯂꯨꯔꯥꯜ ꯏꯐ꯭ꯌꯨꯁꯟ, ꯀꯥꯔꯗꯤꯌꯦꯛ ꯑꯦꯔꯦꯁ꯭ꯠ, ꯀꯤꯗꯅꯤ ꯅꯠꯠꯔꯒꯥ ꯂꯤꯚꯔꯒꯤ ꯂꯥꯌꯅꯥ, ꯅꯠꯠꯔꯒꯥ ꯍꯥꯔꯇꯀꯤ ꯈꯣꯡꯖꯦꯜ ꯌꯥꯡꯕꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫
ꯑꯗꯨꯕꯨ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯂꯩꯔꯣꯏꯗꯕꯅꯤ꯫ ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯃꯁꯤ ꯄꯨꯝꯅꯃꯛ ꯑꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯈꯉꯍꯅꯒꯅꯤ ꯑꯃꯁꯨꯡ ꯃꯊꯧ ꯇꯥꯕꯥ ꯈꯣꯡꯊꯥꯡꯁꯤꯡ ꯂꯧꯈꯠꯀꯅꯤ꯫
ꯐꯒꯠꯂꯀꯄꯗꯥ ꯃꯇꯝ ꯀꯌꯥ ꯆꯪꯕꯒꯦ?
ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ ꯐꯒꯠꯂꯀꯄꯒꯤ ꯃꯇꯝ ꯑꯁꯤ ꯈꯦꯠꯅꯩ꯫ ꯑꯆꯧꯕꯥ ꯁꯔꯖꯔꯤꯁꯤꯡꯅꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯁꯥꯡꯅꯥ ꯆꯪꯏ꯫ ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨ ꯅꯨꯃꯤꯠ ꯀꯌꯥꯅꯤ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯂꯗꯥ ꯂꯩꯕꯥ ꯌꯥꯏ, ꯅꯨꯃꯤꯠ ꯑꯃꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯂꯩꯕꯥ ꯌꯥꯏ꯫ ꯃꯈꯣꯌ ꯃꯌꯨꯃꯗꯥ ꯍꯜꯂꯛꯂꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯅꯤꯡꯊꯤꯅꯥ ꯌꯦꯡꯁꯤꯅꯕꯥ ꯃꯊꯧ ꯇꯥꯒꯅꯤ꯫
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯩꯒꯤ ꯑꯉꯥꯡ ꯑꯗꯨ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤꯗꯥ ꯂꯩꯔꯕꯗꯤ ꯑꯩꯅꯥ ꯀꯔꯤ ꯑꯥꯁꯥ ꯇꯧꯕꯥ ꯌꯥꯕꯒꯦ?
ꯄꯨꯟꯁꯤꯒꯤ ꯇꯣꯏꯅꯥ ꯑꯣꯛꯁꯤꯖꯦꯅꯒꯤ ꯆꯥꯡ ꯅꯦꯝꯕꯥ ꯑꯁꯤꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯍꯥꯏꯄꯣꯞꯂꯥꯁ꯭ꯇꯤꯛ ꯔꯥꯏꯠ ꯍꯥꯔꯠ ꯁꯤꯟꯗ꯭ꯔꯣꯝ (HRHS) ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯅꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯆꯦꯂꯦꯟꯖꯁꯤꯡ ꯑꯁꯤ ꯊꯦꯡꯅꯔꯀꯄꯥ ꯌꯥꯏ:
- ꯂꯣꯂꯒꯤ ꯋꯥꯐꯃꯁꯤꯡ꯫
- ꯃꯦꯃꯣꯔꯤꯒꯤ ꯋꯥꯐꯃꯁꯤꯡ꯫
- ꯑꯍꯜ ꯑꯣꯏꯔꯕꯥ ꯃꯇꯃꯗꯥ ꯍꯥꯔꯠ, ꯂꯤꯚꯔ ꯅꯠꯠꯔꯒꯥ ꯀꯤꯗꯅꯤꯒꯤ ꯂꯥꯌꯅꯥ ꯂꯥꯀꯄꯒꯤ ꯔꯤꯁ꯭ꯛ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ꯫
- ꯃꯨꯗ ꯗꯤꯁꯑꯣꯔꯗꯔ ꯅꯠꯠꯔꯒꯥ ꯑꯦꯟꯁꯤꯇꯤ ꯗꯤꯁꯑꯣꯔꯗꯔꯁꯤꯡ꯫
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯄꯣꯠꯁꯛ ꯑꯃꯒꯤ ꯊꯧꯔꯥꯡ ꯇꯧꯕꯗꯥ ꯅꯠꯠꯔꯒꯥ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯑꯃꯥ ꯀꯣꯀꯍꯅꯕꯗꯥ ꯑꯋꯥꯕꯥ꯫
ꯑꯗꯨꯕꯨ, ꯃꯁꯤ ꯄꯨꯝꯅꯃꯛ ꯑꯁꯤꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯅꯕꯥ ꯑꯈꯉ-ꯑꯍꯩꯁꯤꯡ ꯂꯩꯔꯤ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯂꯩꯔꯣꯏꯗꯕꯅꯤ꯫
ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤꯒꯤ ꯄ꯭ꯔꯣꯒ꯭ꯅꯣꯁꯤꯁ ꯑꯁꯤ ꯀꯔꯤꯅꯣ?
ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯍꯥꯏꯄꯣꯞꯂꯥꯁ꯭ꯇꯤꯛ ꯔꯥꯏꯠ ꯍꯥꯔꯠ ꯁꯤꯟꯗꯣꯝ (HRHS) ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯅꯥ ꯁꯔꯖꯔꯤ ꯇꯧꯗꯅꯥ ꯃꯄꯨꯡ-ꯃꯔꯩ ꯐꯥꯔꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯗꯥ ꯍꯤꯡꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯊꯦꯡꯅꯩ . ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ HRHS ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯅꯥ ꯃꯈꯣꯌꯅꯥ ꯏꯅꯈꯠꯂꯛꯂꯤꯕꯐꯥꯎꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯂꯩꯔꯦ ꯍꯥꯌꯕꯥ ꯈꯪꯂꯕꯁꯨ ꯌꯥꯏ꯫
HRHS ꯂꯩꯕꯥ ꯑꯉꯥꯡ ꯑꯃꯕꯨ ꯀꯔꯝꯅꯥ ꯌꯦꯡꯁꯤꯅꯕꯤꯒꯅꯤ?
ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯅꯥ ꯃꯊꯧ ꯇꯥꯔꯤꯕꯥ ꯀꯦꯌꯔ ꯑꯗꯨ ꯃꯍꯥꯛꯀꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯗꯨ ꯀꯌꯥꯝ ꯁꯥꯊꯤꯕꯒꯦ ꯍꯥꯌꯕꯗꯨꯒꯤ ꯃꯈꯥ ꯄꯣꯜꯂꯤ . ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯍꯥꯛꯅꯥ ꯄꯣꯀꯄꯥ ꯃꯇꯨꯡꯗꯥ ꯍꯀꯊꯦꯡꯅꯅꯥ ꯁꯔꯖꯔꯤ ꯇꯧꯔꯕꯗꯤ, ꯃꯍꯥꯀꯄꯨ ꯌꯨꯃꯗꯥ ꯌꯧꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯌꯥꯝꯅꯥ ꯀꯨꯞꯅꯥ ꯌꯦꯡꯁꯤꯅꯕꯥ ꯃꯊꯧ ꯇꯥꯒꯅꯤ꯫ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔ ꯅꯠꯠꯔꯒꯥ ꯃꯤꯗꯋꯥꯏꯐꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨ ꯀꯔꯝꯅꯥ ꯌꯦꯡꯁꯤꯅꯒꯗꯒꯦ ꯍꯥꯌꯕꯒꯤ ꯑꯐꯕꯥ ꯄꯥꯎꯇꯥꯛ ꯄꯤꯒꯅꯤ꯫
ꯀꯗꯥꯏꯗꯥ ꯗꯣꯛꯇꯔꯒꯥ ꯇꯥꯟꯅꯒꯗꯒꯦ?
ꯁꯔꯖꯔꯤ ꯇꯧꯔꯕꯥ ꯑꯉꯥꯡ ꯑꯃꯅꯥ ꯐꯣꯂꯣ-ꯑꯞ ꯑꯦꯄꯣꯏꯟꯇꯃꯦꯟꯇꯁꯤꯡꯒꯤꯗꯃꯛꯇꯥ ꯗꯣꯛꯇꯔꯗꯥ ꯌꯦꯡꯁꯤꯅꯕꯥ ꯃꯊꯧ ꯇꯥꯒꯅꯤ . ꯃꯈꯣꯌꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯀꯔꯤ ꯌꯦꯡꯁꯤꯅꯒꯗꯒꯦ ꯑꯃꯁꯨꯡ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯃꯥ ꯈꯪꯂꯕꯗꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯈꯨꯗꯛꯇꯥ ꯀꯔꯤ ꯍꯥꯌꯒꯗꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯈꯪꯍꯜꯂꯛꯀꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯒꯤ ꯀꯟꯗꯤꯁꯅꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯍꯪ ꯑꯃꯠꯇꯥ ꯍꯪꯂꯕꯗꯤ ꯅꯠꯠꯔꯒꯥ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯂꯩꯔꯕꯗꯤ, ꯈꯨꯗꯛꯇꯥ ꯗꯣꯛꯇꯔꯗꯥ ꯀꯧꯕꯤꯌꯨ꯫
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯅꯥ ꯃꯈꯣꯌꯒꯤ ꯏꯃꯣꯁꯅꯁꯤꯡ ꯇꯝꯕꯗꯥ ꯅꯠꯠꯔꯒꯥ ꯔꯤꯒꯨꯂꯦꯠ ꯇꯧꯕꯗꯥ ꯈꯨꯗꯣꯡꯆꯥꯗꯕꯥ ꯂꯩꯔꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯃꯐꯃꯁꯤꯡ ꯑꯗꯨꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯕꯥ ꯌꯥꯕꯥ ꯑꯇꯩ ꯁ꯭ꯄꯦꯁꯤꯑꯦꯂꯤꯁ꯭ꯇꯁꯤꯡꯁꯨ ꯊꯤꯕꯥ ꯌꯥꯏ꯫ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯂꯃꯖꯤꯡ-ꯂꯃꯇꯥꯛ ꯄꯤꯒꯅꯤ꯫
ꯑꯩꯅꯥ ꯗꯣꯛꯇꯔꯗꯥ ꯀꯔꯤ ꯋꯥꯍꯪ ꯍꯪꯒꯗꯒꯦ?
ꯃꯈꯥꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡꯒꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯍꯪꯂꯀꯄꯥ ꯌꯥꯕꯥ ꯋꯥꯍꯪ ꯈꯔꯗꯤ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤ:
- ꯑꯩꯒꯤ ꯑꯉꯥꯡ ꯑꯗꯨ ꯁꯔꯖꯔꯤ ꯇꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯕ꯭ꯔꯥ?
- ꯑꯗꯣꯝꯅꯥ ꯀꯌꯥ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯁꯔꯖꯔꯤ ꯇꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯒꯦ?
- ꯁꯔꯖꯔꯤ ꯀꯌꯥ ꯃꯊꯧ ꯇꯥꯒꯅꯤ, ꯑꯃꯁꯨꯡ ꯀꯗꯥꯏꯗꯥ ꯄꯥꯡꯊꯣꯛꯀꯅꯤ?
- ꯑꯀꯛꯅꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯑꯩꯒꯤ ꯑꯉꯥꯡꯒꯤ ꯑꯥꯎꯠꯂꯨꯛ ꯑꯁꯤ ꯀꯔꯤꯅꯣ?
ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯗꯥ ꯍꯥꯔꯇꯀꯤ ꯂꯥꯌꯅꯥ ꯑꯃꯥ ꯂꯩ ꯍꯥꯌꯕꯁꯤ ꯈꯪꯕꯗꯥ ꯀꯌꯥꯗꯥ ꯑꯋꯥꯕꯥ ꯑꯣꯏꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯑꯩꯅꯥ ꯈꯪꯏ꯫ ꯑꯗꯨꯕꯨ ꯉꯁꯤ ꯄꯣꯀꯄꯥ ꯑꯉꯥꯡꯁꯤꯡꯗꯥ ꯃꯃꯥꯡꯒꯤ ꯃꯤꯔꯣꯂꯁꯤꯡꯅꯥ ꯐꯪꯂꯃꯗꯕꯥ ꯂꯥꯌꯦꯡꯁꯤꯡ ꯂꯩꯔꯤ꯫ ꯃꯇꯝ ꯑꯁꯤꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡꯒꯤꯗꯃꯛ ꯅꯍꯥꯛꯅꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯄꯥꯉ꯭ꯒꯜ ꯀꯅꯕꯥ ꯃꯤꯑꯣꯏꯅꯤ꯫ HRHSꯒꯤ ꯃꯔꯃꯗꯥ ꯈꯪꯖꯤꯅꯕꯤꯌꯨ꯫ ꯃꯌꯦꯛ ꯁꯦꯡꯗꯕꯥ ꯋꯥꯐꯝ ꯑꯃꯍꯦꯛꯇꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯍꯪꯕꯤꯌꯨ꯫ ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯒꯤꯗꯃꯛꯇꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯥ ꯑꯗꯨ ꯂꯦꯄꯊꯣꯛꯅꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯇꯥꯟꯅꯧ꯫
ꯑꯔꯣꯏꯕꯗꯥ, ꯃꯁꯤ ꯅꯤꯡꯁꯤꯡꯕꯤꯌꯨ (ꯇꯦꯛ-ꯍꯣꯝ ꯃꯦꯁꯦꯖ)
ꯍꯥꯌꯄꯣꯞꯂꯥꯁ꯭ꯇꯤꯛ ꯔꯥꯏꯠ ꯍꯥꯔꯠ ꯁꯤꯟꯗ꯭ꯔꯣꯝ (HRHS) ꯍꯥꯌꯕꯁꯤ ꯑꯉꯥꯡꯁꯤꯡꯅꯥ ꯄꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯊꯣꯀꯄꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ, ꯃꯐꯃꯁꯤꯗꯥ ꯍꯥꯔꯇꯀꯤ ꯑꯔꯣꯏꯕꯥ ꯁꯔꯨꯛ ꯑꯗꯨ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯆꯥꯎꯈꯠꯄꯥ ꯉꯃꯗꯦ꯫ ꯃꯁꯤꯅꯥ ꯍꯀꯆꯥꯡꯗꯥ ꯐꯪꯂꯤꯕꯥ ꯑꯣꯛꯁꯤꯖꯦꯅꯒꯤ ꯆꯥꯡ ꯍꯟꯊꯍꯜꯂꯤ꯫ ꯉꯟꯅꯥ ꯈꯪꯗꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯃꯇꯤꯛ ꯆꯥꯕꯥ ꯂꯥꯏꯌꯦꯡ (ꯃꯦꯗꯤꯀꯦꯁꯟ, ꯃꯥꯏꯅꯣꯔ ꯁꯔꯖꯔꯤ, ꯅꯠꯠꯔꯒꯥ ꯃꯦꯖꯔ ꯁꯔꯖꯔꯤ)ꯅꯥ ꯑꯉꯥꯡ ꯑꯗꯨꯒꯤ ꯄꯨꯟꯁꯤ ꯐꯒꯠꯍꯅꯕꯥ ꯉꯝꯃꯤ . ꯑꯁꯤꯒꯨꯝꯕꯥ ꯐꯤꯚꯝ ꯑꯁꯤꯗꯥ ꯃꯃꯥ-ꯃꯄꯥ ꯑꯃꯥ ꯑꯣꯏꯅꯥ ꯑꯗꯣꯃꯒꯤꯗꯃꯛꯇꯥ ꯈꯉꯍꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯑꯗꯣꯃꯒꯤ ꯗꯣꯛꯇꯔꯁꯤꯡꯒꯥ ꯄꯨꯟꯅꯥ ꯊꯕꯛ ꯇꯧꯃꯤꯟꯅꯕꯥ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫ ꯅꯤꯡꯁꯤꯡꯕꯤꯌꯨ, ꯅꯍꯥꯛ ꯈꯛꯇꯅꯥ ꯅꯠꯇꯦ꯫ ꯅꯍꯥꯛꯅꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯃꯇꯦꯡ ꯑꯗꯨ ꯂꯧꯕꯥ ꯌꯥꯏ꯫
` ꯍꯥꯏꯄꯣꯞꯂꯥꯁ꯭ꯇꯤꯛ ꯔꯥꯏꯠ ꯍꯥꯔꯠ ꯁꯤꯟꯗꯣꯝ, HRHS, ꯏꯅꯐꯦꯟꯇꯥꯏꯜ ꯍꯥꯔꯠ ꯗꯤꯖꯤꯖ, ꯀꯣꯟꯖꯤꯅꯤꯑꯦꯜ ꯍꯥꯔꯠ ꯗꯤꯐꯦꯛꯇ, ꯁꯥꯏꯅꯣꯁꯤꯁ, ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯒꯤ ꯑꯋꯥꯕꯥ, ꯍꯥꯔꯠ ꯁꯔꯖꯔꯤ꯫
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