ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯑꯣꯔꯒꯥꯟ ꯈꯨꯗꯤꯡꯃꯛꯀꯤ ꯃꯔꯃꯗꯥ ꯑꯩꯈꯣꯌꯅꯥ ꯈꯉꯗꯦ, ꯅꯠꯇꯦ? ꯊꯝꯃꯣꯌ ꯐꯥꯑꯣꯕꯥ ꯑꯗꯨꯃꯛ ꯑꯣꯏꯔꯤ꯫ ‘ꯂꯦꯐꯠ ꯑꯦꯠꯔꯤꯌꯥꯜ ꯑꯦꯄꯦꯟꯗꯤꯛꯁ’ꯒꯤ ꯃꯔꯃꯗꯥ ꯑꯗꯣꯝꯅꯥ ꯇꯥꯕꯤꯔꯝꯂꯒꯅꯤ? ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯍꯥꯌꯔꯀꯄꯥ ꯐꯥꯎꯕꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯈꯪꯂꯃꯗꯕꯥ ꯌꯥꯏ꯫ ꯃꯔꯨꯑꯣꯏꯅꯥ ꯑꯦꯠꯔꯤꯌꯥꯜ ꯐꯥꯏꯕ꯭ꯔꯤꯂꯦꯁꯟ (Afib)ꯒꯨꯝꯕꯥ ꯍꯥꯔꯇꯀꯤ ꯈꯣꯡꯖꯦꯜ ꯌꯥꯡꯅꯥ ꯆꯦꯅꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯒꯤ ꯑꯣꯏꯅꯗꯤ, ꯍꯥꯔꯇꯀꯤ ꯑꯄꯤꯀꯄꯥ ꯁꯔꯨꯛ ꯑꯁꯤꯒꯤ ꯃꯔꯃꯗꯥ ꯈꯪꯖꯤꯅꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫
ꯂꯦꯐꯠ ꯑꯦꯠꯔꯤꯌꯥꯜ ꯑꯦꯄꯦꯟꯗꯤꯛꯁ (LAA) ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ?
ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯃꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯊꯝꯃꯣꯌꯒꯤ ꯃꯊꯛꯇꯥ ꯂꯩꯕꯥ ꯂꯦꯃꯍꯧꯔꯤꯕꯥ ꯑꯦꯠꯔꯤꯌꯥꯝ ꯑꯗꯨꯗꯒꯤ ꯊꯣꯔꯀꯄꯥ ꯑꯄꯤꯀꯄꯥ, ꯁꯦꯀꯒꯨꯝꯕꯥ ꯃꯁꯜ ꯑꯃꯅꯤ꯫ ꯗꯣꯛꯇꯔ ꯑꯃꯅꯥ ꯃꯁꯤ ꯊꯤꯡꯖꯤꯅꯕꯥ ꯄꯥꯝꯂꯕꯥ ꯃꯇꯃꯗꯥ ꯑꯌꯥꯝꯕꯅꯥ ꯈꯟꯅꯩ꯫
ꯍꯧꯖꯤꯛ ꯅꯍꯥꯛꯅꯥ ꯈꯅꯕꯤꯔꯃꯒꯅꯤ, "ꯃꯈꯣꯌꯅꯥ ꯀꯔꯤꯒꯤ ꯂꯣꯅꯁꯤꯅꯒꯅꯤ?" ꯃꯔꯃꯗꯤ ꯑꯦꯠꯔꯤꯌꯥꯜ ꯐꯤꯕꯔ (Afib) ꯀꯧꯕꯥ ꯍꯥꯔꯠ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯥ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯗꯥ ꯁ꯭ꯠꯔꯣꯛ ꯊꯣꯀꯍꯜꯂꯤꯕꯥ ꯏꯒꯤ ꯈꯣꯡꯖꯦꯜ ꯑꯌꯥꯝꯕꯗꯤ ꯑꯦꯜ.ꯑꯦ.ꯑꯦ. ꯑꯗꯨꯕꯨ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯂꯩꯔꯣꯏꯗꯕꯅꯤ, ꯅꯍꯥꯛꯀꯤ ꯊꯝꯃꯣꯌꯅꯥ ꯍꯧꯖꯤꯀꯁꯨ ꯃꯁꯤꯒꯤ ꯑꯄꯤꯀꯄꯥ ꯁꯔꯨꯛ ꯑꯁꯤ ꯌꯥꯑꯣꯗꯅꯥ ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯅꯥ ꯊꯕꯛ ꯇꯧꯕꯥ ꯉꯝꯃꯤ꯫
ꯑꯗꯨꯅꯥ ꯑꯦꯜ.ꯑꯦ.ꯑꯦ.ꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯇꯁꯦꯡꯅꯥ ꯀꯔꯤ ꯑꯣꯏꯔꯤꯕꯒꯦ?
ꯃꯁꯤꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯊꯕꯛ ꯑꯁꯤ ꯍꯥꯔꯇꯇꯥ ꯏꯒꯤ ꯆꯥꯡ ꯑꯗꯨ ꯃꯦꯅꯦꯖ ꯇꯧꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯕꯅꯤ꯫ ꯈꯅꯕꯤꯌꯨ, ꯍꯥꯔꯇꯇꯥ ꯆꯪꯂꯀꯄꯥ ꯏꯒꯤ ꯆꯥꯡ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯑꯦꯜ.ꯑꯦ.ꯑꯦ.ꯒꯤ ꯋꯥꯂꯁꯤꯡ ꯆꯦꯅꯕꯥ ꯃꯇꯃꯗꯥ, ꯃꯁꯤꯅꯥ ꯏꯗꯥ ꯅꯦꯠꯔꯤꯌꯨꯔꯦꯇꯤꯛ ꯄꯦꯄꯇꯤꯗ ꯀꯧꯕꯥ ꯄ꯭ꯔꯣꯇꯤꯟ ꯑꯃꯥ ꯊꯥꯗꯣꯀꯏ꯫
ꯍꯥꯌꯔꯤꯕꯥ ꯄꯦꯄꯇꯤꯀꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯑꯉꯀꯄꯥ ꯊꯕꯛ ꯈꯔꯥ ꯇꯧꯏ:
- ꯃꯈꯣꯌꯅꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯀꯤꯗꯅꯤꯁꯤꯡꯗꯥ ꯌꯨꯔꯤꯅꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯁꯣꯜꯇ ꯑꯃꯁꯨꯡ ꯏꯁꯤꯡ ꯍꯦꯟꯅꯥ ꯊꯥꯗꯣꯛꯅꯕꯥ ꯁꯤꯒꯅꯦꯜ ꯄꯤ꯫
- ꯃꯁꯤꯅꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯂꯁꯤꯡꯁꯨ ꯈꯔꯥ ꯂꯧꯊꯣꯀꯏ꯫
ꯃꯁꯤꯒꯤ ꯊꯧꯑꯣꯡ ꯑꯁꯤꯅꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ ꯍꯟꯊꯍꯅꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫
ꯍꯧꯖꯤꯛ ꯑꯗꯣꯝꯅꯥ ꯑꯦꯜ.ꯑꯦ.ꯑꯦ.ꯕꯨ ꯁꯔꯖꯤꯀꯦꯜ ꯑꯣꯏꯅꯥ ꯂꯧꯊꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯄꯦꯄꯇꯤꯀꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯀꯔꯤ ꯑꯣꯏꯒꯅꯤ ꯍꯥꯌꯅꯥ ꯈꯅꯕꯤꯔꯃꯒꯅꯤ꯫ ꯑꯉꯀꯄꯥ ꯋꯥꯐꯃꯗꯤ ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯊꯥ ꯑꯍꯨꯃꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯍꯀꯆꯥꯡ ꯑꯁꯤ ꯑꯦꯗꯖꯁ꯭ꯠ ꯇꯧꯏ ꯑꯃꯁꯨꯡ ꯄꯦꯄꯇꯤꯀꯀꯤ ꯆꯥꯡ ꯑꯁꯤ ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯅꯥ ꯍꯟꯖꯤꯜꯂꯀꯏ꯫
ꯑꯦꯜ.ꯑꯦ.ꯑꯦ.ꯒꯤ ꯃꯑꯣꯡ ꯑꯃꯁꯨꯡ ꯃꯑꯣꯡ ꯃꯇꯧ ꯑꯁꯤ ꯀꯔꯤꯅꯣ?
ꯃꯍꯧꯁꯥꯅꯥ ꯃꯁꯤ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯏꯟꯆꯤ 2 ꯋꯥꯡꯏ, ꯃꯁꯤ ꯀ꯭ꯔꯦꯗꯤꯠ ꯀꯥꯔꯗꯀꯤ ꯆꯥꯡꯒꯥ ꯃꯥꯟꯅꯩ꯫ ꯃꯁꯤꯅꯥ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯏꯒꯤ ꯆꯥꯃꯆ ꯑꯅꯤ (ꯆꯥꯎꯔꯥꯛꯅꯥ ꯃꯤꯂꯤꯂꯤꯇꯔ 9) ꯊꯝꯕꯥ ꯉꯝꯃꯤ꯫
ꯑꯗꯨꯕꯨ ꯃꯤꯄꯨꯝ ꯈꯨꯗꯤꯡꯃꯛꯀꯤ ꯑꯦꯜ.ꯑꯦ.ꯑꯦ. ꯇꯣꯉꯥꯟ-ꯇꯣꯉꯥꯅꯕꯥ ꯃꯑꯣꯡꯁꯤꯡ ꯂꯩ꯫ ꯃꯑꯣꯡ ꯑꯁꯤꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ, ꯁ꯭ꯠꯔꯣꯀꯀꯤ ꯔꯤꯁ꯭ꯛ ꯑꯁꯤ ꯈꯦꯠꯅꯕꯥ ꯐꯥꯎꯕꯥ ꯌꯥꯏ꯫ ꯃꯔꯨ ꯑꯣꯏꯕꯥ ꯃꯑꯣꯡ ꯃꯇꯧꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯁꯤ꯫
| ꯃꯑꯣꯡꯒꯤ ꯃꯃꯤꯡ꯫ | ꯃꯁꯛ ꯈꯪꯗꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯔꯤꯁ꯭ꯛ꯫ |
|---|---|
| ꯆꯤꯀꯟ ꯋꯤꯡ (ꯆꯤꯀꯟ ꯋꯤꯡꯒꯤ ꯃꯑꯣꯡ ꯃꯇꯧ) | ꯃꯁꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯃꯈꯂꯅꯤ꯫ ꯃꯔꯛꯇꯥ ꯈꯔꯥ ꯁꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯁꯤ ꯁ꯭ꯠꯔꯣꯀꯀꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯅꯦꯝꯕꯥ ꯔꯤꯁ꯭ꯛ ꯂꯩꯕꯥ ꯃꯈꯜ ꯑꯃꯅꯤ ꯍꯥꯌꯅꯥ ꯂꯧꯅꯩ꯫ |
| ꯀꯦꯀꯇꯁ (ꯀꯦꯀꯇꯁ ꯑꯃꯒꯨꯝꯅꯥ ꯃꯑꯣꯡ-ꯃꯇꯧ) | ꯃꯔꯛꯇꯥ ꯃꯔꯨ ꯑꯣꯏꯕꯥ ꯁꯔꯨꯛ ꯑꯃꯥ ꯂꯩ, ꯑꯃꯁꯨꯡ ꯃꯗꯨꯗꯒꯤ ꯁꯥꯈꯥ ꯊꯣꯀꯄꯥ ꯎꯕꯥ ꯑꯇꯣꯞꯄꯥ ꯁꯔꯨꯀꯁꯤꯡꯁꯨ ꯂꯩ꯫ |
| ꯋꯥꯏꯟꯗꯁꯣꯛ (ꯅꯨꯡꯁꯤꯠꯀꯤ ꯕꯦꯒ ꯑꯃꯒꯨꯝꯅꯥ ꯃꯑꯣꯡ) | ꯃꯁꯤꯒꯤ ꯁꯥꯡꯂꯕꯥ, ꯃꯔꯨꯑꯣꯏꯕꯥ ꯁꯔꯨꯛ ꯑꯃꯈꯛꯇꯃꯛ ꯂꯩ꯫ |
| ꯀꯣꯂꯤꯐ꯭ꯂꯣꯔ (ꯀꯣꯂꯤꯐ꯭ꯂꯣꯔ ꯃꯑꯣꯡ) | ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯀꯝꯞꯂꯦꯛꯁ ꯑꯣꯏ, ꯃꯐꯝ ꯀꯌꯥꯗꯥ ꯆꯞ ꯃꯥꯟꯅꯕꯥ ꯁꯥꯏꯖꯒꯤ ꯁꯔꯨꯛ ꯀꯌꯥ ꯂꯩ꯫ ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯇꯣꯏꯅꯥ ꯊꯣꯀꯏ꯫ ꯃꯁꯤ ꯁ꯭ꯠꯔꯣꯀꯀꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯋꯥꯡꯕꯥ ꯔꯤꯁ꯭ꯛ ꯂꯩꯕꯥ ꯃꯈꯜ ꯑꯃꯅꯤ ꯍꯥꯌꯅꯥ ꯂꯧꯅꯩ . |
ꯀꯔꯤ ꯀꯟꯗꯤꯁꯅꯁꯤꯡꯅꯥ ꯑꯦꯜ.ꯑꯦ.ꯑꯦ.ꯗꯥ ꯁꯣꯀꯍꯜꯂꯤꯕꯒꯦ?
ꯑꯦꯜ.ꯑꯦ.ꯑꯦ.ꯗꯥ ꯁꯣꯀꯍꯜꯂꯤꯕꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯋꯥꯐꯝ ꯀꯌꯥ ꯂꯩꯔꯤ:
- ꯑꯦꯛꯁꯤꯗꯦꯟꯇꯁꯤꯡ: ꯀꯥꯔꯒꯣ ꯑꯦꯛꯁꯤꯗꯦꯟꯇꯒꯨꯝꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡꯅꯥ LAAꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯁꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫
- ꯃꯥꯏꯠꯔꯜ ꯚꯜꯌꯨ ꯁ꯭ꯇꯦꯅꯣꯁꯤꯁ (mitral valve stenosis): ꯍꯥꯔꯇꯇꯥ ꯃꯥꯏꯠꯔꯜ ꯚꯜꯌꯨ (mitral valve) ꯑꯗꯨ ꯀꯨꯄꯁꯤꯜꯂꯀꯄꯅꯥ LAAꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯏꯒꯤ ꯈꯣꯡꯖꯦꯜ ꯌꯥꯡꯁꯤꯂꯍꯜꯂꯤ꯫ ꯃꯁꯤꯅꯥ ꯏ ꯊꯣꯀꯄꯥ ꯌꯥꯕꯒꯤ ꯔꯤꯁ꯭ꯛ ꯍꯦꯅꯒꯠꯍꯅꯕꯥ ꯌꯥꯏ꯫
- ꯑꯦꯠꯔꯤꯌꯥꯜ ꯐꯤꯕꯔ (Afib): ꯃꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯑꯈꯟꯅꯕꯥ ꯃꯤꯠꯌꯦꯡ ꯆꯪꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯑꯃꯅꯤ꯫ ꯑꯐꯤꯕꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯊꯝꯃꯣꯌꯒꯤ ꯑꯦꯠꯔꯤꯌꯥꯁꯤꯡ ꯑꯁꯤ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯀꯟꯠꯔꯦꯛꯇ ꯇꯧꯗꯦ, ꯃꯗꯨꯒꯤ ꯃꯍꯨꯠꯇꯥ ꯀꯨꯄꯁꯤꯜꯂꯤ꯫ ꯃꯁꯤꯅꯥ ꯑꯦꯜ.ꯑꯦ.ꯑꯦ.ꯗꯥ ꯏ ꯄꯨꯊꯣꯛ ꯄꯨꯁꯤꯟ ꯇꯧꯕꯥ ꯌꯥꯏ ꯑꯃꯁꯨꯡ ꯏ ꯊꯣꯀꯄꯥ ꯌꯥꯕꯒꯤ ꯔꯤꯁ꯭ꯛ ꯍꯦꯅꯒꯠꯍꯅꯕꯥ ꯌꯥꯏ꯫
ꯑꯦꯠꯔꯤꯌꯥꯜ ꯐꯤꯕꯔ (Afib) ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯗꯥ ꯁ꯭ꯠꯔꯣꯀꯀꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯔꯝ ꯑꯁꯤ LAAꯗꯥ ꯁꯦꯝꯕꯥ ꯏꯒꯤ ꯈꯣꯡꯖꯦꯜ ꯑꯁꯤꯅꯤ꯫ ꯁ꯭ꯠꯔꯣꯛ (clots) ꯑꯁꯤ ꯕ꯭ꯔꯦꯅꯗꯥ ꯂꯩꯕꯥ ꯑꯥꯔꯇꯦꯔꯤ ꯑꯃꯗꯥ ꯆꯦꯟꯊꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯊꯣꯀꯏ꯫
ꯑꯦꯜ.ꯑꯦ.ꯑꯦ.ꯒꯤ ꯍꯀꯁꯦꯜ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯌꯦꯡꯁꯤꯅꯒꯅꯤ?
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯑꯦꯜ.ꯑꯦ.ꯑꯦ.ꯒꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯗꯨ ꯌꯦꯡꯁꯤꯅꯕꯥ ꯄꯥꯝꯂꯕꯗꯤ, ꯃꯗꯨꯒꯤꯗꯃꯛꯇꯥ ꯑꯈꯟꯅꯕꯥ ꯇꯦꯁ꯭ꯠ ꯀꯌꯥ ꯑꯃꯥ ꯂꯩ꯫
- ꯇ꯭ꯔꯥꯟꯁꯑꯦꯁꯣꯐꯦꯖꯤꯑꯦꯜ ꯏꯀꯣ (TEE): ꯃꯁꯤ ꯊꯝꯃꯣꯌꯒꯤ ꯌꯥꯝꯅꯥ ꯃꯌꯦꯛ ꯁꯦꯡꯕꯥ ꯏꯃꯦꯖꯁꯤꯡ ꯂꯧꯅꯕꯒꯤꯗꯃꯛ ꯀꯣꯛꯇꯥ ꯌꯥꯎꯔꯤꯕꯥ ꯑꯄꯤꯀꯄꯥ ꯇꯤꯎꯕ ꯑꯃꯥ ꯁꯤꯖꯤꯟꯅꯗꯨꯅꯥ ꯄꯥꯡꯊꯣꯀꯄꯥ ꯊꯧꯑꯣꯡ ꯑꯃꯅꯤ꯫ ꯃꯁꯤ ꯑꯦꯜ.ꯑꯦ.ꯑꯦ.ꯕꯨ ꯌꯦꯡꯕꯗꯥ ꯁꯤꯖꯤꯟꯅꯕꯥ ꯌꯥꯝꯅꯥ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯃꯦꯊꯗ ꯑꯃꯅꯤ꯫
- ꯍꯥꯔꯇꯀꯤ ꯑꯦꯝ.ꯑꯥꯔ.ꯑꯥꯏ.(ꯃꯦꯒ꯭ꯅꯦꯇꯤꯛ ꯔꯤꯖꯣꯅꯦꯟꯁ ꯏꯃꯦꯖꯤꯡ) ꯑꯃꯁꯨꯡ ꯀꯥꯔꯗꯤꯌꯦꯛ ꯁꯤ.ꯇꯤ.(ꯀꯝꯞꯌꯨꯇꯦꯗ ꯇꯣꯃꯣꯒ꯭ꯔꯥꯐꯤ) ꯁ꯭ꯀꯦꯅꯁꯤꯡ:ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯊꯝꯃꯣꯌ ꯑꯃꯁꯨꯡ ꯑꯦꯜ.ꯑꯦ.ꯑꯦ.ꯒꯤ ꯑꯀꯨꯞꯄꯥ ꯳ꯗꯤ ꯏꯃꯦꯖꯁꯤꯡ ꯄꯤꯕꯥ ꯉꯃꯒꯅꯤ꯫
ꯑꯦꯜ.ꯑꯦ.ꯑꯦ.ꯒꯤ ꯂꯥꯏꯌꯦꯡꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?
LAAꯒꯤ ꯂꯥꯏꯌꯦꯡ ꯑꯁꯤ ꯄꯦꯁꯦꯟꯇ ꯑꯗꯨꯒꯤ ꯀꯟꯗꯤꯁꯅꯒꯤ ꯃꯈꯥ ꯄꯣꯜꯂꯤ꯫
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯁꯣꯀꯄꯥ ꯑꯃꯥ ꯂꯩꯔꯕꯗꯤ ꯃꯗꯨ ꯁꯔꯖꯤꯀꯦꯜ ꯑꯣꯏꯅꯥ ꯔꯤꯄꯦꯌꯥꯔ ꯇꯧꯏ .
- ꯀꯔꯤꯒꯨꯝꯕꯥ `ꯃꯥꯏꯠꯔꯜ ꯚꯜꯌꯨ ꯁ꯭ꯇꯦꯅꯣꯁꯤꯁ`ꯒꯨꯝꯕꯥ ꯚꯜꯌꯨꯒꯤ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯑꯃꯥ ꯂꯩꯔꯕꯗꯤ, ꯃꯗꯨ ꯂꯥꯏꯌꯦꯡꯏ .
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯐꯤꯕꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯁ꯭ꯠꯔꯣꯀꯀꯤ ꯔꯤꯁ꯭ꯛ ꯂꯩꯔꯕꯗꯤ, ꯏ ꯊꯣꯀꯄꯥ ꯊꯤꯡꯅꯕꯥ LAA ꯑꯁꯤ ꯊꯤꯡꯖꯤꯜꯂꯤ, ꯂꯧꯊꯣꯀꯏ ꯅꯠꯠꯔꯒꯥ ꯕ꯭ꯂꯣꯛ ꯇꯧꯏ꯫ ꯃꯁꯤ ꯍꯧꯖꯤꯛ ꯌꯥꯝꯅꯥ ꯃꯥꯌ ꯄꯥꯀꯄꯥ ꯂꯥꯏꯌꯦꯡ ꯑꯃꯥ ꯑꯣꯏꯔꯦ꯫ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯃꯁꯤꯅꯥ ꯁ꯭ꯠꯔꯣꯀꯀꯤ ꯔꯤꯁ꯭ꯛ ꯍꯟꯊꯍꯅꯕꯥ ꯉꯝꯃꯤ꯫
ꯑꯩꯒꯤ ꯊꯝꯃꯣꯌꯕꯨ ꯃꯇꯧ ꯀꯔꯝꯅꯥ ꯅꯤꯡꯊꯤꯅꯥ ꯌꯦꯡꯁꯤꯅꯕꯤꯒꯅꯤ?
ꯑꯦꯜ.ꯑꯦ.ꯑꯦ.ꯈꯛꯇꯒꯤ ꯅꯠꯇꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯊꯝꯃꯣꯌ ꯄꯨꯝꯕꯥ ꯍꯀꯆꯥꯡ ꯐꯅꯥ ꯊꯝꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫ ꯃꯗꯨ ꯇꯧꯅꯕꯒꯤꯗꯃꯛ, ꯏꯆꯝ ꯆꯝꯕꯥ ꯋꯥꯐꯃꯁꯤꯡ ꯑꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯄꯨꯟꯁꯤꯗꯥ ꯍꯥꯄꯆꯤꯜꯂꯨ꯫
- ꯅꯨꯃꯤꯠ ꯈꯨꯗꯤꯡꯒꯤ ꯌꯥꯃꯗ꯭ꯔꯕꯗꯥ ꯃꯤꯅꯠ 150 ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯇꯧ꯫ ꯈꯣꯡꯖꯦꯜ ꯌꯥꯡꯅꯥ ꯆꯠꯄꯥ ꯐꯥꯑꯣꯕꯥ ꯃꯇꯤꯛ ꯆꯥꯕꯅꯤ꯫
- ꯍꯥꯔꯠ- ꯍꯦꯂꯊ ꯗꯥꯏꯠ ꯑꯃꯥ ꯆꯥꯕꯥ . ꯃꯅꯥ-ꯃꯁꯤꯡ, ꯎꯍꯩ-ꯋꯥꯍꯩ, ꯒ꯭ꯔꯤꯟ, ꯑꯃꯁꯨꯡ ꯂꯦꯡ-ꯑꯣꯠꯄꯒꯤ ꯃꯅꯥ-ꯃꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯉꯥꯁꯤꯡ ꯅꯍꯥꯛꯀꯤ ꯗꯥꯏꯇꯇꯥ ꯌꯥꯎꯍꯅꯒꯗꯕꯅꯤ꯫
- ꯇꯝꯕꯥ ꯉꯃꯗꯕꯥ ꯄꯣꯠꯂꯃꯁꯤꯡꯗꯒꯤ ꯃꯄꯨꯡ ꯐꯥꯅꯥ ꯂꯥꯞꯅꯥ ꯂꯩꯌꯨ .
- ꯅꯍꯥꯛꯀꯤ ꯅꯨꯡꯇꯤꯒꯤ ꯄꯨꯟꯁꯤꯗꯥ ꯁ꯭ꯠꯔꯦꯁ ꯃꯦꯅꯦꯖ ꯇꯧꯅꯕꯒꯤ ꯄꯥꯝꯕꯩꯁꯤꯡ ꯊꯤꯌꯨ꯫ ꯙ꯭ꯌꯥꯟ ꯇꯧꯕꯥ, ꯃ꯭ꯌꯨꯖꯤꯛ ꯇꯥꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯃꯔꯨꯞ ꯑꯃꯒꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯕꯒꯨꯝꯕꯥ ꯏꯆꯝ ꯆꯝꯕꯥ ꯋꯥꯐꯝ ꯑꯃꯅꯥ ꯐꯥꯑꯣꯕꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯕꯥ ꯉꯃꯒꯅꯤ꯫
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯍꯥꯏ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ ꯅꯠꯠꯔꯒꯥ ꯗꯥꯏꯑꯦꯕꯦꯇꯤꯖꯒꯨꯝꯕꯥ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ ꯂꯩꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯤ ꯏꯅꯁ꯭ꯠꯔꯛꯁꯅꯁꯤꯡ ꯏꯅꯒꯗꯕꯅꯤ ꯑꯃꯁꯨꯡ ꯃꯈꯣꯌꯗꯨ ꯐꯖꯅꯥ ꯀꯟꯠꯔꯣꯜ ꯇꯧ꯫
ꯃꯤꯑꯣꯏ ꯀꯌꯥ ꯑꯃꯅꯥ ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯀꯩꯗꯧꯉꯩꯗꯥ ꯇꯥꯈꯤꯗ꯭ꯔꯤꯕꯁꯨ, ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯑꯦꯜ.ꯑꯦ.ꯑꯦ. ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯁꯤꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯁ꯭ꯠꯔꯣꯀꯀꯤ ꯔꯤꯁ꯭ꯛ ꯂꯩꯍꯜꯂꯕꯗꯤ, ꯃꯁꯤ ꯌꯥꯎꯗꯅꯥ ꯍꯤꯡꯕꯗꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯁꯥꯐꯕꯥ ꯑꯣꯏ꯫ ꯍꯥꯔꯠ ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯈꯅꯕꯗꯥ ꯈꯔꯥ ꯋꯥꯈꯜ ꯇꯥꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯅꯣꯔꯃꯦꯂꯅꯤ꯫ ꯑꯗꯨꯕꯨ ꯑꯐꯤꯕ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯒꯤ ꯑꯣꯏꯅꯗꯤ, ꯑꯦꯜ.ꯑꯦ.ꯑꯦ.ꯕꯨ ꯕ꯭ꯂꯣꯛ ꯇꯧꯕꯥ, ꯄꯨꯟꯁꯤ ꯆꯨꯞꯄꯥ ꯏꯁꯤꯡ ꯇꯨꯡꯁꯤꯅꯕꯥ ꯍꯤꯗꯥꯀꯁꯤꯡꯗꯒꯤ ꯃꯁꯥꯕꯨ ꯅꯥꯟꯊꯣꯀꯍꯅꯕꯥ, ꯑꯃꯁꯨꯡ ꯁ꯭ꯠꯔꯣꯛ ꯂꯩꯇꯕꯥ ꯄꯨꯟꯁꯤ ꯑꯃꯥ ꯍꯤꯡꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯅꯍꯥꯛꯀꯤꯗꯃꯛꯇꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯥ ꯑꯗꯨꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯕꯒꯤ ꯑꯆꯧꯕꯥ ꯃꯑꯣꯡ ꯑꯃꯅꯤ꯫
ꯇꯦꯛ-ꯍꯣꯝ ꯃꯦꯁꯦꯖ ꯇꯧꯕꯥ꯫
- The Left Atrial Appendage (LAA) is a small sac-like part of the heart that is attached to the left atrium. ꯃꯁꯤ ꯊꯝꯃꯣꯌꯒꯤ ꯊꯕꯛ ꯇꯧꯅꯕꯒꯤꯗꯃꯛ ꯇꯉꯥꯏꯐꯗꯕꯥ ꯅꯠꯇꯦ꯫
- ꯃꯁꯤꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯔꯤꯁ꯭ꯛ ꯑꯁꯤ ꯑꯦꯠꯔꯤꯌꯥꯜ ꯐꯤꯕꯔ (Afib)ꯅꯥ ꯅꯥꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯗꯥ ꯍꯥꯔꯇꯀꯤ ꯃꯅꯨꯡꯗꯥ ꯏ ꯊꯣꯀꯄꯥ ꯌꯥꯏ, ꯕ꯭ꯔꯦꯅꯗꯥ ꯆꯠꯄꯥ ꯌꯥꯏ ꯑꯃꯁꯨꯡ ꯁ꯭ꯠꯔꯣꯛ ꯑꯃꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫
- ꯁ꯭ꯠꯔꯣꯀꯀꯤ ꯔꯤꯁ꯭ꯛ ꯑꯁꯤ LAAꯒꯤ ꯃꯑꯣꯡ-ꯃꯇꯧꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ ꯈꯦꯠꯅꯩ꯫ ‘ꯀꯣꯂꯤꯐ꯭ꯂꯣꯔ’ ꯃꯑꯣꯡ ꯑꯁꯤꯅꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯔꯤꯁ꯭ꯛ ꯂꯩ꯫
- LAA ꯊꯤꯡꯖꯤꯅꯕꯥ, ꯂꯧꯊꯣꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯕ꯭ꯂꯣꯛ ꯇꯧꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯁ꯭ꯠꯔꯣꯀꯀꯤ ꯔꯤꯁ꯭ꯛ ꯍꯟꯊꯍꯟꯅꯕꯥ ꯏꯐꯦꯛꯇꯤꯚ ꯑꯣꯏꯕꯥ ꯂꯥꯏꯌꯦꯡ ꯑꯃꯅꯤ꯫
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯐꯤꯕ ꯂꯩꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤꯗꯃꯛꯇꯥ ꯆꯨꯅꯕꯥ ꯂꯥꯏꯌꯦꯡꯁꯤꯡꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯑꯃꯨꯛꯇꯪ ꯋꯥꯔꯤ ꯁꯥꯕꯤꯌꯨ꯫
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