ꯊꯝꯃꯣꯌ ꯑꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯅꯟ-ꯁ꯭ꯇꯣꯞ ꯊꯕꯛ ꯇꯧꯕꯥ ꯑꯃꯁꯨꯡ ꯀꯩꯗꯧꯉꯩꯗꯥ ꯕ꯭ꯔꯦꯛ ꯂꯧꯗꯕꯥ ꯑꯄꯤꯀꯄꯥ ꯏꯟꯖꯤꯟ ꯑꯗꯨꯅꯤ꯫ ꯑꯩꯈꯣꯌꯅꯥ ꯇꯨꯝꯕꯥ, ꯊꯕꯛ ꯇꯧꯕꯥ, ꯂꯥꯟꯊꯦꯡꯅꯕꯥ, ꯂꯥꯞꯅꯥ ꯂꯩꯕꯥ ꯃꯇꯃꯗꯁꯨ ꯊꯝꯃꯣꯌ ꯑꯁꯤꯅꯥ ꯂꯦꯞꯇꯅꯥ ꯊꯕꯛ ꯇꯧꯏ꯫ ꯑꯗꯨꯕꯨ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯊꯝꯃꯣꯌ ꯑꯗꯨ ꯌꯥꯝꯅꯥ ꯋꯥꯅꯥ ꯄ꯭ꯔꯦꯁꯔ ꯄꯤꯔꯕꯗꯤ ꯀꯔꯤ ꯑꯣꯏꯒꯅꯤ? ꯑꯩꯈꯣꯌꯅꯥ ꯑꯀꯅꯕꯥ ꯑꯔꯨꯝꯕꯥ ꯑꯃꯥ ꯊꯥꯡꯒꯠꯂꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯑꯃꯁꯨꯡ ꯑꯩꯈꯣꯌꯒꯤ ꯈꯨꯠꯁꯥꯁꯤꯡꯗꯥ ꯃꯁꯂꯁꯤꯡ ꯍꯦꯟꯅꯥ ꯆꯥꯎꯈꯠꯂꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯊꯝꯃꯣꯌꯅꯥ ꯌꯥꯝꯅꯥ ꯋꯥꯅꯥ ꯊꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯃꯁꯤꯒꯤ ꯋꯥꯂꯁꯤꯡ, ꯃꯔꯨꯑꯣꯏꯅꯥ ꯍꯀꯆꯥꯡꯗꯥ ꯏ ꯊꯥꯕꯥ ꯃꯦꯟ ꯆꯦꯝꯕꯔ (ꯂꯦꯞꯇꯅꯥ ꯚꯦꯟꯇꯤꯂꯦꯇꯔ)ꯒꯤ ꯋꯥꯂꯁꯤꯡ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯂꯨꯕꯥ ꯑꯃꯁꯨꯡ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ ꯍꯧꯔꯀꯏ꯫ ꯃꯦꯗꯤꯁꯤꯅꯗꯥ ꯑꯩꯈꯣꯌꯅꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤꯕꯨ ‘ꯂꯦꯐꯠ ꯚꯦꯟꯇꯤꯀꯨꯂꯥꯔ ꯍꯥꯏꯄꯔꯠꯔꯣꯐꯤ’ ꯅꯠꯠꯔꯒꯥ LVH ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ ꯃꯁꯤ ꯁ꯭ꯔꯤꯂꯉ꯭ꯀꯥꯗꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯃꯔꯛꯇꯥ ꯌꯥꯝꯅꯥ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫ ꯑꯗꯨꯅꯥ, ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯉꯁꯤ ꯁꯨꯞꯅꯇꯒꯤ ꯋꯥꯔꯤ ꯁꯥꯟꯅꯔꯁꯤ, ꯑꯗꯣꯝꯅꯥ ꯈꯉꯕꯥ ꯉꯝꯕꯥ ꯃꯑꯣꯡꯗꯥ꯫
ꯂꯦꯐꯠ ꯚꯦꯟꯇꯤꯀꯨꯂꯥꯔ ꯍꯥꯏꯄꯔꯠꯔꯣꯐꯤ (LVH) ꯍꯥꯌꯕꯁꯤ ꯇꯁꯦꯡꯅꯥ ꯀꯔꯤꯅꯣ?
ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, LVH ꯑꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯊꯝꯃꯣꯌꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯆꯦꯝꯕꯔ ꯃꯔꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯥ ꯑꯣꯏꯔꯤꯕꯥ ꯂꯦꯐꯠ ꯚꯦꯟꯇꯤꯂꯦꯁꯅꯒꯤ ꯃꯁꯜ ꯋꯥꯜ ꯑꯗꯨ ꯊꯤꯡꯖꯤꯅꯕꯥ ꯑꯃꯅꯤ꯫ ꯃꯁꯤꯒꯤ ꯂꯦꯐꯠ ꯚꯦꯟꯇꯤꯂꯦꯇꯔ ꯑꯁꯤꯅꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯍꯥꯔꯇꯀꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯐꯉ꯭ꯀꯁꯟ ꯑꯃꯒꯤ ꯗꯥꯌꯠꯕ ꯂꯧꯏ꯫ ꯍꯥꯌꯕꯗꯤ ꯂꯪꯁꯇꯒꯤ ꯑꯣꯛꯁꯤꯖꯦꯟ ꯌꯥꯝꯅꯥ ꯌꯥꯎꯕꯥ ꯏ ꯑꯗꯨ ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯆꯥꯎꯕꯥ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯜ ꯑꯣꯏꯔꯤꯕꯥ ꯑꯦꯑꯣꯔꯇꯥꯗꯥ ꯄꯝꯄ ꯇꯧꯕꯥ꯫ ꯃꯐꯝ ꯑꯗꯨꯗꯒꯤ ꯍꯀꯆꯥꯡ ꯄꯨꯝꯕꯗꯥ ꯏ ꯌꯦꯟꯊꯣꯀꯏ, ꯃꯀꯣꯀꯊꯣꯡꯕꯗꯒꯤ ꯍꯧꯔꯒꯥ ꯈꯣꯡꯒꯤ ꯃꯈꯣꯡ ꯐꯥꯑꯣꯕꯥ꯫
ꯑꯗꯨꯅꯥ, ꯃꯔꯝ ꯈꯔꯗꯒꯤ, ꯕ꯭ꯂꯗ ꯄꯝꯄ ꯇꯧꯕꯒꯤ ꯊꯧꯑꯣꯡ ꯑꯁꯤꯗꯥ ꯄ꯭ꯔꯦꯁꯔ ꯅꯠꯠꯔꯒꯥ ꯑꯣꯕꯁ꯭ꯠꯔꯥꯀꯁꯟ ꯌꯥꯝꯅꯥ ꯂꯩꯕꯥ ꯃꯇꯃꯗꯥ, ꯂꯦꯐꯠ ꯚꯦꯟꯇꯤꯂꯦꯇꯔ ꯑꯁꯤꯅꯥ ꯃꯍꯧꯁꯥꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯀꯟꯅꯥ ꯑꯃꯁꯨꯡ ꯀꯟꯅꯥ ꯊꯕꯛ ꯇꯧꯕꯥ ꯇꯥꯏ꯫ ꯃꯁꯤ ꯏꯁꯤꯡꯒꯤ ꯄꯝꯄ ꯑꯃꯒꯨꯝꯅꯥ ꯕ꯭ꯂꯣꯛ ꯇꯧꯕꯥ ꯃꯇꯃꯗꯥ ꯈꯣꯟꯖꯦꯜ ꯌꯥꯝꯅꯥ ꯊꯣꯀꯏ꯫ ꯃꯇꯃꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯌꯥꯝꯅꯥ ꯀꯟꯅꯥ ꯊꯕꯛ ꯇꯧꯕꯥ ꯃꯇꯃꯗꯥ, ꯆꯦꯝꯕꯔ ꯑꯗꯨꯗꯥ ꯂꯩꯔꯤꯕꯥ ꯃꯁꯂꯁꯤꯡ ꯑꯗꯨ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯁꯣꯀꯆꯤꯜꯂꯀꯏ ꯑꯃꯁꯨꯡ ꯍꯦꯟꯅꯥ ꯆꯥꯎꯈꯠꯂꯀꯏ꯫ ꯃꯁꯤꯕꯨ ꯑꯦꯜ.ꯚꯤ.ꯑꯩꯆ. ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯆꯦꯝꯕꯔ ꯑꯁꯤꯅꯥ ꯑꯍꯦꯅꯕꯥ ꯕ꯭ꯂꯗ ꯚꯣꯜꯌꯨꯝ ꯑꯗꯨ ꯍꯦꯟꯗꯜ ꯇꯧꯅꯕꯥ ꯆꯦꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯍꯦꯟꯅꯥ ꯆꯥꯎꯕꯥ ꯑꯣꯏꯔꯀꯄꯥ ꯌꯥꯏ꯫ ꯁ꯭ꯇꯗꯤꯁꯤꯡꯅꯥ ꯇꯥꯛꯂꯤ ꯃꯗꯨꯗꯤ ꯆꯥꯡꯆꯠꯇꯥ ꯃꯤꯑꯣꯏ ꯃꯉꯥꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯑꯃꯗꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯂꯩꯕꯥ ꯌꯥꯏ꯫
LVHꯒꯤ ꯃꯈꯂꯁꯤꯡ ꯂꯩꯕ꯭ꯔꯥ?
ꯍꯣꯌ, ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯂꯦꯐꯠ ꯚꯦꯟꯇꯤꯂꯦꯇꯔ ꯑꯗꯨ ꯃꯗꯨꯒꯤ ꯋꯥꯂꯁꯤꯡꯒꯤ ꯁꯥꯏꯖ ꯑꯃꯁꯨꯡ ꯑꯔꯨꯝꯕꯥ ꯑꯗꯨꯗꯥ ꯌꯨꯝꯐꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯃꯈꯜ ꯀꯌꯥꯗꯥ ꯀ꯭ꯂꯥꯁꯤꯐꯥꯏ ꯇꯧꯏ꯫ ꯃꯁꯤ ꯑꯗꯣꯃꯒꯤꯗꯃꯛꯇꯗꯤ ꯈꯉꯕꯥ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫
| ꯑꯦꯜ.ꯚꯤ.ꯑꯩꯆ.ꯒꯤ ꯃꯈꯜ꯫ | ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ ꯃꯁꯤ ꯊꯣꯀꯄꯅꯤ꯫ |
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| ꯀꯟꯁꯦꯟꯠꯔꯤꯛ ꯑꯣꯏꯕꯥ꯫ | ꯍꯥꯔꯠ ꯆꯦꯝꯕꯔꯁꯤꯡꯒꯤ ꯋꯥꯂꯁꯤꯡ ꯑꯁꯤ ꯃꯅꯨꯡꯗꯥ ꯀꯨꯄꯁꯤꯜꯂꯤ, ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯃꯐꯝ (ꯆꯦꯝꯕꯔꯒꯤ ꯃꯅꯨꯡꯗꯥ) ꯑꯗꯨ ꯏꯅꯥ ꯊꯜꯂꯕꯥ ꯃꯐꯝ ꯑꯗꯨ ꯍꯦꯟꯅꯥ ꯄꯤꯀꯄꯥ ꯑꯣꯏꯍꯜꯂꯤ꯫ |
| ꯑꯦꯛꯁꯦꯟꯠꯔꯤꯛ ꯑꯣꯏꯕꯥ꯫ | ꯍꯥꯔꯠ ꯆꯦꯝꯕꯔ꯫ꯃꯁꯤ ꯆꯦꯟꯊꯔꯀꯏ ꯑꯃꯁꯨꯡ ꯍꯦꯟꯅꯥ ꯆꯥꯎꯈꯠꯂꯀꯏ꯫ ꯃꯁꯤꯅꯥ ꯏꯅꯥ ꯊꯜꯂꯕꯥ ꯃꯐꯝ (ꯆꯦꯝꯕꯔꯒꯤ ꯃꯅꯨꯡꯗꯥ) ꯑꯗꯨ ꯍꯦꯟꯅꯥ ꯆꯥꯎꯍꯜꯂꯤ꯫ |
| ꯀꯟꯁꯦꯟꯠꯔꯤꯛ ꯔꯤꯃꯣꯗꯦꯂꯤꯡ (ꯁꯤ.ꯑꯥꯔ.) | ꯋꯥꯂꯁꯤꯡ ꯑꯁꯤ ꯑꯀꯅꯕꯥ ꯑꯣꯏꯔꯕꯁꯨ, ꯑꯄꯨꯅꯕꯥ ꯃꯁꯂꯒꯤ ꯃꯁꯤꯡ ꯑꯁꯤ ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏ꯫ |
LVH ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯅꯥ ꯀꯔꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯊꯦꯡꯅꯔꯤꯕꯒꯦ?
ꯃꯁꯤꯒꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯆꯥꯎꯕꯥ ꯁꯃꯁ꯭ꯌꯥꯗꯤ ꯑꯦꯜ.ꯚꯤ.ꯑꯩꯆ.ꯅꯥ ꯑꯍꯥꯅꯕꯥ ꯇꯥꯉ꯭ꯀꯛꯇꯥ ꯂꯥꯏꯑꯣꯡ ꯂꯩꯇꯕꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ . ꯃꯤꯑꯣꯏ ꯀꯌꯥꯅꯥ ꯑꯇꯣꯞꯄꯥ ꯃꯔꯝ ꯑꯃꯒꯤꯗꯃꯛ ꯃꯦꯗꯤꯀꯦꯜ ꯇꯦꯁ꯭ꯠ ꯇꯧꯕꯥ ꯃꯇꯃꯗꯥ ꯈꯛꯇꯗꯥ ꯃꯈꯣꯌꯗꯥ ꯃꯁꯤ ꯂꯩ ꯍꯥꯌꯕꯥ ꯈꯉꯏ꯫ ꯑꯗꯨꯕꯨ ꯀꯟꯗꯤꯁꯟ ꯑꯗꯨ ꯍꯦꯟꯅꯥ ꯐꯠꯆꯤꯜꯂꯀꯄꯒꯥ ꯂꯣꯌꯅꯅꯥ, ꯑꯃꯁꯨꯡ ꯍꯥꯔꯇꯇꯥ ꯄ꯭ꯔꯦꯁꯔ ꯍꯦꯅꯒꯠꯂꯀꯄꯒꯥ ꯂꯣꯌꯅꯅꯥ, ꯅꯍꯥꯛꯅꯥ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯊꯦꯡꯅꯔꯀꯄꯥ ꯌꯥꯏ꯫
| ꯂꯥꯏꯑꯣꯡ꯫ | ꯃꯁꯤ ꯀꯔꯝꯅꯥ ꯐꯥꯑꯣꯔꯤꯕꯒꯦ? |
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| ꯈꯣꯡꯗꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯄꯥ꯫ | ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡ ꯑꯗꯨ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯁꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯁꯣꯀꯄꯥ ꯌꯥꯏ, ꯃꯔꯨꯑꯣꯏꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯋꯥꯈꯜ ꯇꯥꯗꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯇꯧꯕꯥ ꯃꯇꯃꯗꯥ꯫ |
| ꯃꯤꯠ ꯎꯗꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯃꯁꯥ ꯃꯎ ꯐꯕꯥ (Syncope) . | ꯈꯪꯍꯧꯗꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯃꯀꯣꯛ ꯑꯗꯨ ꯀꯨꯄꯁꯤꯜꯂꯤ, ꯅꯍꯥꯛꯀꯤ ꯃꯤꯠ ꯑꯗꯨ ꯅꯤꯜ ꯑꯣꯏꯔꯀꯏ ꯑꯃꯁꯨꯡ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯋꯥꯈꯜ ꯃꯥꯡꯈꯤꯕꯥ ꯑꯃꯁꯨꯡ ꯁꯣꯀꯄꯥ ꯐꯥꯎꯕꯥ ꯌꯥꯏ꯫ |
| ꯌꯥꯡꯅꯥ ꯅꯠꯠꯔꯒꯥ ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯍꯥꯔꯇꯀꯤ ꯈꯣꯡꯖꯦꯜ ꯌꯥꯡꯁꯤꯅꯕꯥ꯫ | ꯍꯥꯔꯇꯀꯤ ꯔꯦꯠ ꯑꯗꯨ ꯈꯪꯍꯧꯗꯅꯥ ꯍꯦꯅꯒꯠꯂꯀꯏ, ꯅꯠꯠꯔꯒꯥ ꯔꯤꯗꯝ ꯑꯃꯥ ꯌꯥꯎꯗꯅꯥ ꯁꯣꯛꯂꯤꯕꯒꯨꯝꯅꯥ ꯐꯥꯎꯏ꯫ |
| ꯄꯥꯂꯄꯤꯇꯦꯁꯟ ꯂꯩꯕꯥ꯫ | ꯅꯍꯥꯛꯅꯥ ꯇꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯅꯍꯥꯛꯅꯥ ꯅꯤꯡꯊꯤꯖꯅꯥ ꯂꯩꯕꯥ ꯃꯇꯃꯗꯥ, ꯅꯍꯥꯛꯀꯤ ꯊꯝꯃꯣꯌꯅꯥ "ꯈꯨꯠꯂꯥꯏ ꯄꯥꯌꯕꯥ" ꯍꯥꯌꯕꯥ ꯈꯣꯟꯖꯦꯜ ꯑꯗꯨ ꯇꯥꯕꯥ ꯑꯃꯁꯨꯡ ꯐꯥꯑꯣꯕꯥ ꯌꯥꯏ꯫ |
| ꯋꯥꯈꯜ ꯋꯥꯕꯥ꯫ | ꯑꯩꯅꯥ ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯅꯥ ꯇꯧꯔꯤꯕꯥ ꯑꯄꯤꯀꯄꯥ ꯊꯕꯀꯁꯤꯡ ꯑꯗꯨ ꯇꯧꯔꯕꯁꯨ ꯑꯩꯅꯥ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯍꯧꯔꯀꯏ꯫ ꯑꯩꯒꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯄꯨꯟꯁꯤ ꯑꯃꯠꯇꯥ ꯂꯩꯇꯕꯒꯨꯝ ꯐꯥꯑꯣꯏ꯫ |
| ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ꯫ | ꯑꯩꯅꯥ ꯈꯔꯥ ꯆꯠꯄꯥ ꯃꯇꯃꯗꯥ, ꯈꯣꯉꯅꯥ ꯆꯠꯄꯥ ꯃꯇꯃꯗꯥ ꯅꯠꯠꯔꯒꯥ ꯈꯣꯉꯅꯥ ꯆꯠꯄꯥ ꯃꯇꯃꯗꯥ, ꯑꯩꯅꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ ꯊꯦꯡꯅꯩ, ꯑꯃꯁꯨꯡ ꯑꯩꯅꯥ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯍꯧꯔꯀꯏ꯫ |
ꯀꯔꯤꯒꯤꯗꯃꯛꯇꯥ LVH ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯊꯣꯛꯂꯤꯕꯅꯣ? ꯃꯔꯃꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?
LVHꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯑꯃꯁꯨꯡ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯃꯔꯝ ꯑꯁꯤ ꯍꯥꯏ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔꯅꯤ, ꯃꯁꯤꯕꯨ ꯍꯥꯏꯄꯔꯇꯦꯟꯁꯟ ꯍꯥꯌꯅꯥꯁꯨ ꯈꯪꯅꯩ꯫ ꯅꯍꯥꯛꯀꯤ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯅꯍꯥꯛꯀꯤ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯂꯁꯤꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯂꯩꯕꯥ ꯄ꯭ꯔꯦꯁꯔ ꯑꯗꯨ ꯍꯦꯅꯒꯠꯂꯀꯏ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯍꯦꯅꯒꯠꯂꯛꯂꯤꯕꯥ ꯄ꯭ꯔꯦꯁꯔ ꯑꯁꯤꯒꯤ ꯃꯥꯌꯣꯛꯇꯥ ꯏ ꯄꯝꯄ ꯇꯧꯅꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯊꯝꯃꯣꯌꯅꯥ ꯃꯍꯧꯁꯥꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯀꯟꯅꯥ ꯍꯣꯠꯅꯒꯗꯕꯅꯤ꯫ ꯆꯍꯤ ꯀꯌꯥꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯁꯤ ꯀꯟꯅꯥ ꯍꯣꯠꯅꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯍꯥꯔꯇꯀꯤ ꯃꯁꯜ ꯑꯗꯨ ꯀꯨꯄꯁꯤꯜꯂꯤ꯫
ꯑꯗꯨꯕꯨ ꯃꯁꯤ ꯄ꯭ꯔꯦꯁꯔ ꯈꯛꯇꯒꯤ ꯅꯠꯇꯦ, ꯃꯁꯤꯗꯥ ꯑꯀꯥꯌꯕꯥ ꯄꯤꯕꯥ ꯌꯥꯕꯥ ꯑꯇꯣꯞꯄꯥ ꯃꯔꯝ ꯀꯌꯥ ꯑꯃꯁꯨ ꯂꯩꯔꯤ꯫
- ꯍꯥꯔꯠ ꯚꯜꯌꯨ ꯗꯤꯖꯤꯖ: ꯍꯥꯔꯇꯇꯥ ꯂꯩꯕꯥ ꯚꯜꯌꯨꯁꯤꯡ ꯑꯁꯤ ꯊꯣꯡꯅꯥꯎꯒꯨꯝꯅꯥ ꯑꯣꯏ꯫ ꯃꯈꯣꯌꯅꯥ ꯃꯥꯌꯀꯩ ꯑꯃꯗꯥ ꯏ ꯆꯦꯅꯕꯥ ꯊꯝꯃꯤ ꯑꯃꯁꯨꯡ ꯃꯗꯨ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯆꯦꯅꯕꯥ ꯊꯤꯡꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯚꯜꯌꯨꯁꯤꯡ ꯑꯁꯤ ꯀꯨꯄꯁꯤꯜꯂꯕꯥ (ꯁ꯭ꯇꯦꯅꯣꯁꯤꯁ) ꯅꯠꯠꯔꯒꯥ ꯂꯤꯛ (regurgitation) ꯑꯣꯏꯔꯕꯗꯤ, ꯍꯥꯔꯇꯅꯥ ꯏ ꯄꯝꯄ ꯇꯧꯕꯗꯥ ꯍꯦꯟꯅꯥ ꯀꯟꯅꯥ ꯊꯕꯛ ꯇꯧꯕꯥ ꯇꯥꯏ꯫
- ꯗꯥꯏꯑꯦꯕꯦꯇꯤꯖ: ꯀꯟꯠꯔꯣꯜ ꯇꯧꯗꯕꯥ ꯗꯥꯏꯑꯦꯕꯦꯇꯤꯖꯅꯥ ꯕ꯭ꯂꯗ ꯁꯨꯒꯔꯒꯤ ꯆꯥꯡ ꯋꯥꯡꯅꯥ ꯊꯣꯀꯍꯜꯂꯤ꯫ ꯃꯁꯤꯅꯥ ꯃꯇꯃꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ ꯍꯥꯔꯇꯇꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫
- ꯀꯥꯔꯗꯤꯑꯣꯃꯥꯌꯣꯄꯦꯊꯤ: ꯖꯦꯅꯦꯇꯤꯛ ꯅꯠꯠꯔꯒꯥ ꯑꯇꯩ ꯃꯔꯝ ꯈꯔꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯍꯥꯔꯇꯀꯤ ꯃꯁꯜ ꯑꯗꯨ ꯁꯨꯞꯅꯒꯤ ꯁꯣꯟꯊꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯁꯣꯟꯊꯕꯥ ꯌꯥꯏ꯫
- ꯑꯦꯑꯣꯔꯇꯤꯛ ꯀꯣꯔꯛꯇꯦꯁꯟ (Aortic coarctation): ꯃꯁꯤ ꯄꯣꯀꯄꯗꯥ ꯉꯥꯏꯔꯤꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫ ꯍꯀꯆꯥꯡꯗꯥ ꯏ ꯄꯨꯗꯨꯅꯥ ꯆꯠꯂꯤꯕꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯜ ꯑꯗꯨ ꯃꯐꯝ ꯑꯃꯗꯥ ꯀꯨꯄꯁꯤꯜꯂꯤ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯍꯥꯔꯇꯅꯥ ꯑꯄꯤꯀꯄꯥ ꯃꯐꯝ ꯑꯗꯨꯗꯥ ꯏ ꯊꯥꯡꯒꯠꯅꯕꯥ ꯍꯦꯟꯅꯥ ꯀꯟꯅꯥ ꯍꯣꯠꯅꯒꯗꯕꯅꯤ꯫
- ꯑꯇꯣꯞꯄꯥ ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ: ꯀꯥꯔꯗꯤꯌꯦꯛ ꯑꯦꯃꯤꯂꯣꯏꯗꯣꯁꯤꯁ (ꯍꯥꯔꯇꯇꯥ ꯄ꯭ꯔꯣꯇꯤꯟ ꯊꯥꯗꯣꯀꯄꯥ), ꯔꯦꯅꯥꯜ ꯑꯥꯔꯇꯦꯔꯤ ꯁ꯭ꯇꯦꯅꯣꯁꯤꯁ (ꯀꯤꯗꯅꯤꯗꯥ ꯏ ꯄꯤꯔꯤꯕꯥ ꯏꯒꯤ ꯈꯣꯡꯖꯦꯂꯁꯤꯡ ꯁꯣꯟꯊꯕꯥ), ꯑꯃꯁꯨꯡ ꯚꯦꯟꯇꯤꯀꯨꯂꯥꯔ ꯁꯦꯞꯇꯥꯜ ꯗꯤꯐꯦꯛꯇ (VSD) (ꯍꯥꯔꯇꯀꯤ ꯆꯦꯝꯕꯔꯁꯤꯡꯒꯤ ꯃꯔꯛꯇꯥ ꯂꯩꯕꯥ ꯍꯨꯔꯥꯅꯕꯥ) ꯑꯁꯤꯅꯁꯨ LVH ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫
- ꯑꯀꯅꯕꯥ ꯁꯥꯟꯅꯔꯣꯏꯁꯤꯡꯒꯤ ꯇ꯭ꯔꯦꯅꯤꯡ: ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯇꯧꯕꯥ ꯑꯃꯁꯨꯡ ꯍꯦꯟꯅꯥ ꯇ꯭ꯔꯦꯅꯤꯡ ꯇꯧꯕꯥ ꯁꯥꯟꯅꯔꯣꯏꯁꯤꯡꯅꯥ ꯃꯍꯧꯁꯥꯅꯥ ꯊꯝꯃꯣꯌ ꯈꯔꯥ ꯍꯦꯟꯅꯥ ꯆꯥꯎꯈꯠꯄꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ ꯃꯁꯤ ꯃꯦꯗꯤꯀꯦꯜ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫ ꯃꯈꯣꯌꯒꯤ ꯊꯝꯃꯣꯌꯁꯤꯡ ꯑꯁꯤ ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯅꯥ ꯊꯕꯛ ꯇꯧꯏ꯫
ꯃꯔꯨꯑꯣꯏꯕꯥ ꯋꯥꯐꯃꯗꯤ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯃꯗꯒꯤ ꯍꯦꯅꯕꯥ ꯂꯩꯔꯕꯁꯨ, ꯃꯁꯤꯅꯥ ꯅꯍꯥꯀꯄꯨ LVH ꯂꯥꯛꯀꯅꯤ ꯍꯥꯌꯕꯗꯤ ꯅꯠꯇꯦ꯫ ꯑꯗꯨꯕꯨ ꯔꯤꯁ꯭ꯛ ꯑꯁꯤ ꯍꯦꯟꯅꯥ ꯋꯥꯡꯏ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ ꯑꯁꯤ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯥ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫
ꯀꯅꯥꯅꯥ LVH ꯂꯥꯀꯄꯒꯤ ꯔꯤꯁ꯭ꯛ ꯍꯦꯟꯅꯥ ꯂꯩꯕꯒꯦ?
ꯃꯤꯑꯣꯏ ꯈꯔꯗꯤ ꯑꯇꯩꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯂꯥꯀꯄꯒꯤ ꯔꯤꯁ꯭ꯛ ꯍꯦꯟꯅꯥ ꯂꯩ꯫
- ꯑꯣꯕꯦꯁꯤꯇꯤ: ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯑꯔꯨꯝꯕꯥ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯅꯍꯥꯛꯀꯤ ꯍꯥꯔꯇꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡ ꯄꯨꯝꯅꯃꯛꯇꯥ ꯏ ꯄꯝꯄ ꯇꯧꯅꯕꯥ ꯍꯦꯟꯅꯥ ꯀꯟꯅꯥ ꯍꯣꯠꯅꯒꯗꯕꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ BMI ꯑꯗꯨ 30ꯒꯤ ꯃꯊꯛꯇꯥ ꯂꯩꯔꯕꯗꯤ ꯅꯍꯥꯛꯀꯤ ꯔꯤꯁ꯭ꯛ ꯑꯗꯨ ꯍꯦꯟꯅꯥ ꯋꯥꯡꯏ꯫
- ꯀ꯭ꯔꯣꯅꯤꯛ ꯀꯤꯗꯅꯤꯒꯤ ꯂꯥꯌꯅꯥ (chronic kidney disease): ꯀꯤꯗꯅꯤꯁꯤꯡ ꯁꯣꯟꯊꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯍꯀꯆꯥꯡꯗꯥ ꯐ꯭ꯂꯨꯏꯗ ꯑꯃꯁꯨꯡ ꯁꯣꯂꯔꯒꯤ ꯆꯥꯡ ꯍꯦꯅꯒꯠꯂꯀꯏ, ꯃꯗꯨꯅꯥ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ ꯋꯥꯡꯈꯠꯍꯅꯕꯥ ꯌꯥꯏ꯫
- ꯑꯣꯕꯁ꯭ꯠꯔꯀꯆꯔ ꯁ꯭ꯂꯤꯞ ꯑꯦꯄꯅꯤꯌꯥ (obstructive sleep apnea): ꯇꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ (breathing stops) ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤꯅꯥ ꯍꯥꯔꯇꯇꯥ ꯄ꯭ꯔꯦꯁꯔ ꯌꯥꯝꯅꯥ ꯄꯤ꯫
- ꯄꯨꯟꯁꯤ ꯃꯍꯤꯡꯒꯤ ꯑꯁꯣꯌꯕꯁꯤꯡ: ꯇꯝꯕꯥ ꯉꯃꯗꯕꯥ, ꯅꯍꯥꯛꯀꯤ ꯗꯥꯏꯇꯇꯥ ꯁꯣꯜꯇ ꯌꯥꯝꯅꯥ ꯍꯥꯄꯆꯤꯅꯕꯥ, ꯑꯃꯁꯨꯡ ꯍꯀꯆꯥꯡ ꯁꯥꯖꯦꯜ ꯇꯧꯗꯕꯅꯆꯤꯡꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡꯅꯁꯨ ꯔꯤꯁ꯭ꯛ ꯑꯁꯤ ꯍꯦꯅꯒꯠꯍꯜꯂꯤ꯫
ꯀꯔꯤꯒꯨꯝꯕꯥ LVH ꯑꯁꯤ ꯂꯥꯏꯌꯦꯡꯗꯅꯥ ꯊꯃꯖꯤꯜꯂꯕꯗꯤ ꯀꯔꯤ ꯑꯣꯏꯒꯅꯤ?
ꯃꯁꯤꯗꯥ ꯑꯩꯈꯣꯌ ꯄꯨꯝꯅꯃꯛꯅꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯄꯨꯛꯅꯤꯡ ꯆꯪꯕꯥ ꯃꯊꯧ ꯇꯥꯏ꯫ LVH ꯍꯥꯌꯕꯁꯤ ꯊꯝꯃꯣꯌꯅꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯅꯕꯥ ꯍꯥꯌꯔꯀꯄꯒꯤ ꯁꯤꯒꯅꯦꯜ ꯑꯃꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯩꯈꯣꯌꯅꯥ ꯃꯁꯤ ꯌꯦꯡꯊꯤꯔꯕꯗꯤ, ꯃꯇꯃꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ, ꯍꯥꯔꯇꯀꯤ ꯄꯝꯄ ꯇꯧꯕꯒꯤ ꯇꯧꯕꯥ ꯉꯝꯕꯗꯨ ꯁꯣꯟꯊꯔꯀꯄꯥ ꯌꯥꯏ ꯑꯃꯁꯨꯡ ꯁꯥꯊꯤꯕꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫
- ꯍꯥꯔꯇꯕꯤꯠ ꯑꯥꯏꯔꯦꯒꯨꯂꯦꯇꯔꯤ `(ꯑꯦꯔꯤꯊꯃꯤꯌꯥ)`꯫
- ꯍꯥꯔꯠ ꯑꯦꯇꯦꯛ ꯇꯧꯕꯥ꯫
- ꯀꯥꯔꯗꯤꯌꯦꯛ ꯑꯦꯔꯦꯁ꯭ꯠ ꯇꯧꯕꯥ꯫
- ꯍꯥꯔꯇꯀꯤ ꯂꯥꯌꯅꯥ `(ꯍꯥꯔꯠ ꯐꯦꯜ ꯑꯣꯏꯕꯥ)`꯫
- ꯌꯩꯕ
- ꯗꯤꯃꯦꯅꯁꯤꯌꯥ꯫
LVHꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯑꯀꯅꯕꯥ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ ꯑꯁꯤ ꯂꯥꯀꯄꯒꯤ ꯔꯤꯁ꯭ꯛ ꯑꯁꯤ ꯍꯦꯅꯒꯠꯂꯀꯏ, ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯈꯪꯗꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯌꯥꯔꯤꯕꯃꯈꯩ ꯊꯨꯅꯥ ꯂꯥꯏꯌꯦꯡ ꯍꯧꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫
ꯗꯣꯛꯇꯔ ꯑꯃꯅꯥ ꯃꯁꯤ ꯀꯔꯝꯅꯥ ꯐꯪꯒꯅꯤ?
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯥꯏꯑꯣꯡ ꯑꯃꯠꯇꯥ ꯂꯩꯠꯔꯕꯁꯨ, ꯅꯍꯥꯛꯅꯥ ꯔꯨꯇꯤꯟ ꯆꯦꯀꯑꯞ ꯑꯃꯥ ꯄꯥꯡꯊꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯃꯁꯤꯒꯤ ꯆꯤꯡꯅꯕꯥ ꯂꯩꯕꯥ ꯌꯥꯏ꯫ ꯑꯦꯜ.ꯚꯤ.ꯑꯩꯆ.ꯒꯤ ꯂꯩꯔꯦ ꯍꯥꯌꯕꯥ ꯈꯉꯗꯣꯛꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯃꯔꯝ ꯈꯉꯗꯣꯛꯅꯕꯥ ꯇꯦꯁ꯭ꯠ ꯀꯌꯥ ꯑꯃꯥ ꯄꯥꯡꯊꯣꯛꯀꯅꯤ꯫
- ꯏꯀꯣꯀꯥꯔꯗꯤꯑꯣꯒ꯭ꯔꯥꯐ (Echo): ꯃꯁꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯇꯦꯁ꯭ꯇꯅꯤ꯫ ꯃꯁꯤ ꯑꯉꯥꯡ ꯑꯃꯒꯤ ꯁ꯭ꯀꯦꯟ ꯑꯃꯒꯨꯝꯕꯅꯤ꯫ ꯃꯁꯤꯅꯥ ꯍꯥꯔꯇꯀꯤ ꯆꯦꯝꯕꯔꯁꯤꯡꯒꯤ ꯁꯥꯏꯖ, ꯋꯥꯂꯁꯤꯡꯒꯤ ꯑꯁꯥꯡꯕꯥ ꯃꯑꯣꯡ, ꯚꯜꯌꯨꯁꯤꯡꯒꯤ ꯐꯉ꯭ꯀꯁꯟ ꯑꯃꯁꯨꯡ ꯍꯥꯔꯇꯅꯥ ꯀꯔꯝꯅꯥ ꯏ ꯄꯝꯄ ꯇꯧꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯃꯌꯦꯛ ꯁꯦꯡꯅꯥ ꯎꯕꯥ ꯐꯪꯏ꯫
- ꯏꯂꯦꯛꯠꯔꯣꯀꯥꯔꯗꯤꯑꯣꯒ꯭ꯔꯥꯐ (ECG ꯅꯠꯠꯔꯒꯥ EKG): ꯃꯁꯤꯅꯥ ꯍꯥꯔꯇꯀꯤ ꯏꯂꯦꯛꯠꯔꯤꯀꯦꯜ ꯑꯦꯛꯇꯤꯚꯤꯇꯤ ꯔꯦꯀꯣꯔꯗ ꯇꯧꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯍꯥꯔꯠ ꯑꯗꯨ ꯆꯥꯎꯔꯕꯗꯤ, ꯏ.ꯁꯤ.ꯖꯤ.ꯗꯥ ꯑꯍꯣꯡꯕꯥ ꯂꯥꯀꯄꯥ ꯎꯕꯥ ꯐꯪꯏ꯫
- ꯑꯦꯝ.ꯑꯥꯔ.ꯑꯥꯏ.
- ꯕ꯭ꯂꯗ ꯇꯦꯁ꯭ꯠ: ꯕ꯭ꯂꯗ ꯇꯦꯁ꯭ꯠ ꯑꯁꯤ ꯑꯇꯣꯞꯄꯥ ꯃꯦꯗꯤꯀꯦꯜ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ, ꯍꯥꯌꯕꯗꯤ ꯗꯥꯏꯑꯦꯕꯦꯇꯤꯖ ꯑꯃꯁꯨꯡ ꯀꯤꯗꯅꯤꯒꯤ ꯂꯥꯌꯅꯥ ꯑꯁꯤ ꯌꯦꯡꯁꯤꯟꯅꯕꯥ ꯇꯧꯏ꯫
ꯃꯁꯤꯒꯤ ꯂꯥꯏꯌꯦꯡꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯤꯅꯣ?
LVH ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯄꯥꯟꯗꯃꯗꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤꯒꯤ ꯃꯈꯥ ꯄꯣꯜꯂꯤꯕꯥ ꯃꯔꯝ ꯑꯗꯨ ꯂꯥꯏꯌꯦꯡꯕꯅꯤ꯫ ꯃꯁꯤꯅꯥ ꯍꯥꯔꯇꯇꯥ ꯁ꯭ꯠꯔꯦꯟ ꯍꯟꯊꯍꯅꯒꯅꯤ ꯑꯃꯁꯨꯡ LVHꯒꯤ ꯄ꯭ꯔꯣꯒ꯭ꯔꯦꯁ ꯑꯗꯨ ꯊꯤꯡꯒꯅꯤ ꯅꯠꯠꯔꯒꯥ ꯊꯤꯡꯒꯅꯤ꯫
| ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯃꯑꯣꯡ꯫ | ꯃꯁꯤꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯀꯔꯤ ꯑꯣꯏꯒꯅꯤ? |
|---|---|
| ꯄꯨꯟꯁꯤ ꯃꯍꯤꯡꯗꯥ ꯑꯍꯣꯡꯕꯥ ꯄꯨꯔꯀꯄꯥ꯫ | ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ ꯑꯁꯤ ꯂꯣ-ꯁꯣꯜꯇ, ꯍꯀꯁꯦꯜ ꯐꯕꯥ ꯗꯥꯏꯠ ꯆꯥꯕꯅꯥ, ꯅꯨꯃꯤꯠ ꯈꯨꯗꯤꯡꯒꯤ ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯇꯧꯕꯥ, ꯑꯔꯨꯝꯕꯥ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯥ ꯑꯃꯁꯨꯡ ꯃꯩꯈꯨ ꯊꯥꯗꯣꯀꯄꯥ ꯊꯤꯡꯕꯅꯥ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯥ ꯉꯝꯃꯤ꯫ ꯃꯁꯤ ꯂꯥꯌꯦꯡꯕꯒꯤ ꯌꯨꯝꯐꯃꯅꯤ꯫ |
| ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔꯒꯤ ꯍꯤꯗꯥꯀꯁꯤꯡ꯫ | ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯄꯤꯔꯤꯕꯥ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔꯒꯤ ꯍꯤꯗꯥꯛ ꯑꯗꯨ ꯆꯞ ꯆꯥꯅꯥ ꯑꯃꯁꯨꯡ ꯃꯇꯝ ꯆꯥꯅꯥ ꯂꯧꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯍꯥꯔꯇꯇꯥ ꯄ꯭ꯔꯦꯁꯔ ꯍꯟꯊꯍꯜꯂꯤ ꯑꯃꯁꯨꯡ LVH ꯍꯦꯟꯅꯥ ꯐꯠꯆꯤꯜꯂꯛꯇꯕꯥ ꯊꯤꯡꯏ꯫ |
| ꯑꯇꯣꯞꯄꯥ ꯍꯤꯗꯥꯀꯁꯤꯡ꯫ | ꯗꯥꯏꯑꯦꯕꯦꯇꯤꯖꯒꯤ ꯍꯤꯗꯥꯛ ꯈꯔꯗꯤ (SGLT2 ꯏꯅꯍꯤꯕꯤꯇꯔꯒꯨꯝꯕꯥ)ꯅꯥ LVH ꯃꯦꯅꯦꯖ ꯇꯧꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ ꯍꯥꯌꯕꯥ ꯈꯪꯂꯦ꯫ |
| ꯍꯥꯔꯠ ꯚꯜꯌꯨ ꯁꯔꯖꯔꯤ ꯇꯧꯕꯥ꯫ | ꯀꯔꯤꯒꯨꯝꯕꯥ LVH ꯑꯁꯤ ꯍꯥꯔꯠ ꯚꯜꯌꯨ ꯑꯃꯥ ꯀꯨꯄꯁꯤꯅꯕꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯑꯣꯏꯔꯕꯗꯤ, ꯚꯜꯌꯨ ꯑꯗꯨ ꯁꯔꯖꯤꯀꯦꯜ ꯑꯣꯏꯅꯥ ꯍꯣꯡꯗꯣꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯔꯤꯄꯦꯌꯥꯔ ꯇꯧꯕꯅꯥ ꯍꯥꯔꯠ ꯑꯗꯨꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯄ꯭ꯔꯦꯁꯔ ꯑꯗꯨ ꯍꯟꯊꯍꯅꯕꯥ ꯉꯝꯃꯤ꯫ |
| ꯑꯔꯨꯝꯕꯥ ꯍꯟꯊꯍꯅꯕꯒꯤ ꯁꯔꯖꯔꯤ (ꯕꯦꯔꯤꯌꯥꯠꯔꯤꯛ ꯁꯔꯖꯔꯤ) | ꯀꯔꯤꯒꯨꯝꯕꯥ ꯁꯥꯊꯤꯕꯥ ꯑꯣꯕꯦꯁꯤꯇꯤ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯥ ꯉꯃꯗ꯭ꯔꯕꯗꯤ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯁꯔꯖꯔꯤ ꯑꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯔꯨꯝꯕꯥ ꯍꯟꯊꯍꯅꯕꯗꯥ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫ |
ꯑꯩꯅꯥ ꯀꯗꯥꯏꯗꯥ ꯗꯣꯛꯇꯔꯒꯥ ꯎꯅꯒꯗꯒꯦ?
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯥ ꯍꯦꯛꯇꯥ ꯊꯦꯡꯅꯔꯕꯗꯤ, ꯃꯈꯣꯌꯗꯨ ꯌꯦꯡꯁꯤꯅꯕꯤꯒꯅꯨ꯫
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯈꯣꯡꯗꯥ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯅꯥ ꯁꯣꯀꯄꯥ, ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ, ꯁ꯭ꯠꯔꯣꯀꯀꯤ ꯈꯨꯗꯃꯁꯤꯡ (ꯃꯃꯥꯡꯒꯤ ꯅꯥꯀꯜ ꯑꯃꯗꯥ ꯁꯣꯀꯄꯥ, ꯈꯨꯠꯁꯥ ꯑꯃꯗꯥ ꯁꯣꯀꯄꯥ, ꯋꯥ ꯉꯥꯡꯕꯗꯥ ꯋꯥꯕꯥ), ꯅꯠꯠꯔꯒꯥ ꯈꯪꯍꯧꯗꯅꯥ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯅꯠꯠꯔꯒꯥ ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯊꯝꯃꯣꯌ ꯁꯣꯀꯄꯥ ꯎꯔꯕꯗꯤ, ꯈꯨꯗꯛꯇꯥ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯜ ꯑꯃꯒꯤ ꯏꯃꯔꯖꯦꯟꯁꯤ ꯗꯤꯄꯥꯔꯇꯃꯦꯟꯇ (ETU)ꯗꯥ ꯆꯠꯂꯨ꯫**
ꯃꯁꯤꯒꯤ ꯃꯊꯛꯇꯥ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯀꯄꯨ LVH ꯂꯩꯔꯦ ꯍꯥꯌꯅꯥ ꯍꯥꯌꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡꯗꯥ ꯑꯍꯣꯡꯕꯥ ꯂꯥꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ ꯑꯃꯍꯦꯛꯇꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯈꯪꯍꯅꯒꯗꯕꯅꯤ꯫
LVH ꯑꯁꯤ ꯔꯤꯚꯔꯁ ꯇꯧꯕꯥ ꯌꯥꯕ꯭ꯔꯥ?
ꯃꯁꯤ ꯑꯐꯕꯥ ꯄꯥꯎꯅꯤ꯫ ꯍꯣꯌ, ꯀꯦꯁ ꯈꯔꯗꯗꯤ, LVH ꯑꯁꯤ ꯃꯦꯅꯦꯖ ꯇꯧꯕꯥ, ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯥ ꯑꯃꯁꯨꯡ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯔꯤꯚꯔꯁ ꯇꯧꯕꯥ ꯐꯥꯎꯕꯥ ꯌꯥꯏ!ꯁ꯭ꯇꯗꯤꯁꯤꯡꯅꯥ ꯇꯥꯛꯂꯤ ꯃꯗꯨꯗꯤ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ ꯑꯁꯤ ꯐꯖꯅꯥ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯥ ꯃꯇꯃꯗꯥ, ꯍꯥꯔꯇꯀꯤ ꯃꯁꯜ ꯁꯣꯟꯊꯔꯀꯄꯥ ꯑꯁꯤ ꯆꯥꯡ ꯈꯔꯗꯥ ꯐꯒꯠꯂꯀꯄꯥ ꯉꯝꯃꯤ꯫
ꯑꯗꯨꯕꯨ ꯃꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯗꯨꯒꯤ ꯃꯑꯣꯡ-ꯃꯇꯧ, ꯅꯍꯥꯛꯅꯥ ꯃꯇꯝ ꯀꯌꯥꯒꯤ ꯃꯃꯥꯡꯗꯒꯤ ꯍꯥꯏ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ ꯂꯩꯔꯀꯄꯒꯤ ꯃꯈꯥ ꯄꯣꯜꯂꯤ, ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯅꯥ ꯑꯣꯕꯦꯁꯤꯇꯤꯒꯨꯝꯕꯥ ꯑꯇꯩ ꯃꯦꯗꯤꯀꯦꯜ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨꯒꯤ ꯃꯈꯥ ꯄꯣꯜꯂꯤ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯇꯧꯕꯥ ꯌꯥꯕꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯥ ꯊꯕꯛ ꯑꯗꯨꯗꯤ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯤ ꯏꯅꯁ꯭ꯠꯔꯛꯁꯅꯁꯤꯡ ꯑꯗꯨ ꯆꯨꯝꯅꯥ ꯏꯅꯕꯅꯤ꯫ ꯅꯍꯥꯛꯀꯤ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ ꯂꯧꯕꯥ, ꯄꯨꯟꯁꯤ ꯃꯍꯤꯡꯗꯥ ꯑꯍꯣꯡꯕꯥ ꯄꯨꯔꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯃꯇꯝ ꯆꯥꯅꯥ ꯀ꯭ꯂꯤꯅꯤꯀꯇꯥ ꯆꯠꯄꯥ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫
ꯇꯦꯛ-ꯍꯣꯝ ꯃꯦꯁꯦꯖ ꯇꯧꯕꯥ꯫
- ꯂꯦꯐꯠ ꯚꯦꯟꯇꯤꯀꯨꯂꯥꯔ ꯍꯥꯏꯄꯔꯠꯔꯣꯐꯤ (LVH) ꯍꯥꯌꯕꯁꯤ ꯍꯥꯔꯇꯀꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯄꯝꯄ ꯆꯦꯝꯕꯔꯒꯤ ꯋꯥꯂꯁꯤꯡ ꯑꯗꯨ ꯊꯤꯡꯖꯤꯅꯕꯥ ꯑꯃꯅꯤ꯫ ꯃꯁꯤꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯔꯃꯗꯤ ꯍꯥꯏ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔꯅꯤ꯫
- ꯑꯍꯥꯅꯕꯥ ꯇꯥꯉ꯭ꯀꯀꯁꯤꯡꯗꯥ ꯂꯥꯏꯑꯣꯡ ꯑꯃꯠꯇꯥ ꯎꯕꯥ ꯐꯪꯗꯕꯥ ꯌꯥꯏ, ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ ꯑꯗꯨ ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯆꯦꯛ ꯇꯧ ꯑꯃꯁꯨꯡ ꯃꯦꯗꯤꯀꯦꯜ ꯆꯦꯀꯑꯞ ꯇꯧ꯫
- LVH ꯀꯟꯠꯔꯣꯜ ꯇꯧꯅꯕꯒꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯥ ꯄꯥꯝꯕꯩꯗꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯊꯣꯀꯍꯜꯂꯤꯕꯥ ꯑꯟꯗꯔꯂꯥꯏꯟ ꯗꯤꯖꯤꯖ (ꯃꯔꯨꯑꯣꯏꯅꯥ ꯍꯥꯏ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ) ꯑꯗꯨ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯂꯥꯏꯌꯦꯡꯕꯅꯤ꯫
- ꯍꯀꯁꯦꯜ ꯐꯕꯥ ꯄꯨꯟꯁꯤ ꯃꯍꯤꯡ (ꯑꯐꯕꯥ ꯗꯥꯏꯠ, ꯑꯦꯛꯁꯔꯁꯥꯏꯖ, ꯑꯔꯨꯝꯕꯥ ꯀꯟꯠꯔꯣꯜ) ꯑꯃꯅꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯗꯥ ꯌꯥꯝꯅꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯍꯪ ꯑꯃꯠꯇꯥ ꯍꯪꯂꯕꯗꯤ ꯅꯠꯠꯔꯒꯥ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯂꯩꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯑꯃꯨꯛꯇꯪ ꯋꯥꯔꯤ ꯁꯥꯅꯕꯗꯥ ꯂꯥꯡꯇꯛꯅꯒꯅꯨ꯫ ꯉꯟꯅꯥ ꯈꯉꯗꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯃꯇꯤꯛ ꯆꯥꯅꯥ ꯂꯥꯌꯦꯡꯕꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯍꯀꯆꯥꯡ ꯐꯕꯥ ꯄꯨꯟꯁꯤ ꯑꯃꯥ ꯍꯤꯡꯕꯥ ꯉꯃꯒꯅꯤ꯫
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