ꯃꯃꯥ-ꯃꯄꯥ ꯑꯃꯥ ꯑꯣꯏꯅꯥ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯅꯧꯅꯥ ꯄꯣꯀꯄꯥ ꯑꯉꯥꯡ ꯑꯗꯨꯗꯥ ꯍꯥꯏꯄꯣꯞꯂꯥꯁ꯭ꯇꯤꯛ ꯂꯦꯐꯠ ꯍꯥꯔꯠ ꯁꯤꯟꯗꯣꯝ (HLHS) ꯀꯧꯕꯥ ꯍꯥꯔꯠ ꯗꯤꯐꯦꯛꯇ ꯑꯃꯥ ꯂꯩ ꯍꯥꯌꯅꯥ ꯍꯥꯌꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯀꯌꯥ ꯌꯥꯝꯅꯥ ꯂꯨꯕꯥ ꯑꯃꯁꯨꯡ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯐꯥꯎꯒꯗꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯑꯩꯅꯥ ꯈꯪꯏ꯫ ꯑꯗꯣꯃꯒꯤ ꯃꯥꯂꯦꯝ ꯄꯨꯝꯕꯥ ꯈꯉꯍꯧꯗꯅꯥ ꯂꯥꯀꯈꯤꯕꯥ ꯑꯗꯨꯒꯨꯝꯅꯥ ꯐꯥꯑꯣꯔꯃꯒꯅꯤ꯫ ꯑꯗꯨꯕꯨ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯂꯩꯔꯣꯏꯗꯕꯅꯤ꯫ ꯉꯁꯤ ꯃꯦꯗꯤꯀꯦꯜ ꯁꯥꯏꯟꯁ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯆꯥꯎꯈꯠꯂꯦ꯫ ꯅꯣꯔꯎꯗ ꯄ꯭ꯔꯣꯁꯤꯖꯔ ꯑꯁꯤ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯑꯉꯥꯡꯁꯤꯡꯗꯥ ꯄꯨꯟꯁꯤ ꯄꯤꯅꯕꯒꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯑꯍꯥꯅꯕꯥ ꯈꯣꯡꯊꯥꯡ ꯑꯃꯅꯤ꯫ ꯉꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯑꯗꯣꯝꯅꯥ ꯈꯉꯕꯤꯕꯥ ꯌꯥꯕꯥ ꯏꯆꯝ ꯆꯝꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯒꯅꯤ, ꯃꯗꯨꯅꯥ ꯑꯗꯣꯃꯒꯤ ꯑꯀꯤꯕꯥ ꯑꯗꯨ ꯍꯟꯊꯍꯅꯕꯥ ꯉꯃꯒꯅꯤ꯫
ꯅꯣꯔꯎꯗ ꯄ꯭ꯔꯣꯁꯤꯖꯔ ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ?
ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯅꯣꯔꯎꯗ ꯄ꯭ꯔꯣꯁꯤꯖꯔ ꯑꯁꯤ ꯍꯥꯏꯄꯣꯞꯂꯥꯁ꯭ꯇꯤꯛ ꯂꯦꯐꯠ ꯍꯥꯔꯠ ꯁꯤꯟꯗꯣꯝ (HLHS) ꯀꯧꯕꯥ ꯀꯣꯟꯖꯤꯅꯤꯑꯦꯜ (ꯄꯣꯀꯄꯥ) ꯍꯥꯔꯠ ꯀꯟꯗꯤꯁꯟ ꯂꯩꯕꯥ ꯑꯉꯥꯡꯁꯤꯡꯗꯥ ꯄꯥꯡꯊꯣꯀꯄꯥ ꯑꯈꯟꯅꯕꯥ ꯍꯥꯔꯠ ꯁꯔꯖꯔꯤ ꯑꯃꯅꯤ꯫
ꯃꯁꯤ ꯔꯨꯝ ꯃꯔꯤ ꯂꯩꯕꯥ ꯑꯄꯤꯀꯄꯥ ꯌꯨꯝ ꯑꯃꯒꯨꯝ ꯈꯅꯕꯤꯌꯨ꯫ ꯃꯁꯤꯒꯤ ꯁꯔꯨꯛ ꯑꯅꯤ ꯂꯩ, ꯑꯔꯥꯞꯄꯥ ꯑꯃꯁꯨꯡ ꯑꯋꯥꯡ ꯊꯪꯕꯥ ꯁꯔꯨꯛ꯫ ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯅꯥ, ꯍꯥꯔꯇꯀꯤ ꯂꯦꯃꯍꯧꯔꯤꯕꯥ ꯁꯔꯨꯛ ꯑꯗꯨꯅꯥ ꯍꯀꯆꯥꯡ ꯄꯨꯝꯅꯃꯛꯇꯥ ꯑꯁꯦꯡꯕꯥ, ꯑꯣꯛꯁꯤꯖꯦꯟ ꯌꯥꯝꯅꯥ ꯌꯥꯎꯕꯥ ꯏ ꯄꯝꯄ ꯇꯧꯏ꯫ ꯑꯔꯣꯏꯕꯥ ꯃꯐꯝ ꯑꯗꯨꯅꯥ ꯍꯀꯆꯥꯡꯗꯒꯤ ꯗꯤꯑꯣꯛꯁꯤꯖꯦꯟ ꯌꯥꯎꯔꯕꯥ ꯏ ꯑꯗꯨ ꯑꯣꯛꯁꯤꯖꯦꯟ ꯌꯥꯎꯍꯟꯅꯕꯥ ꯂꯪꯁꯇꯥ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯄꯝꯄ ꯇꯧꯏ꯫
ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, HLHS ꯂꯩꯕꯥ ꯑꯉꯥꯡ ꯑꯃꯒꯤ ꯊꯝꯃꯣꯌꯒꯤ ꯂꯦꯃꯍꯧꯔꯤꯕꯥ ꯁꯔꯨꯛ ꯑꯗꯨ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯆꯥꯎꯈꯠꯄꯥ ꯉꯃꯗꯦ . ꯍꯥꯌꯕꯗꯤ ꯁꯥꯏꯗ ꯑꯗꯨ ꯌꯥꯝꯅꯥ ꯄꯤꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯋꯥꯠꯂꯤ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯃꯥꯌꯀꯩ ꯑꯗꯨꯅꯥ ꯍꯀꯆꯥꯡꯗꯥ ꯏ ꯊꯥꯗꯣꯀꯄꯥ ꯉꯃꯗꯦ꯫ ꯃꯁꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯆꯥꯎꯕꯥ ꯁꯃꯁ꯭ꯌꯥꯅꯤ꯫
ꯅꯣꯔꯎꯗꯀꯤ ꯊꯧꯑꯣꯡ ꯑꯁꯤꯅꯥ ꯑꯉꯀꯄꯥ ꯊꯕꯛ ꯑꯃꯥ ꯇꯧꯏ꯫ ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯍꯥꯔꯇꯀꯤ ꯃꯅꯨꯡꯗꯥ ꯏ ꯆꯦꯅꯕꯥ ꯑꯅꯧꯕꯥ ꯂꯝꯕꯤꯁꯤꯡ ꯁꯦꯝꯃꯤ꯫ ꯍꯥꯌꯕꯗꯤ ꯃꯈꯣꯌꯅꯥ ꯊꯝꯃꯣꯌꯒꯤ ꯂꯦꯃꯍꯧꯔꯤꯕꯥ ꯃꯐꯝ ꯑꯗꯨꯅꯥ ꯇꯧꯒꯗꯕꯥ ꯊꯕꯛ ꯑꯗꯨ ꯑꯔꯣꯏꯕꯥ ꯃꯐꯃꯗꯥ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯂꯃꯖꯤꯡꯏ, ꯃꯗꯨ ꯐꯖꯅꯥ ꯊꯕꯛ ꯇꯧꯔꯤ . ꯁꯔꯖꯔꯤ꯫
ꯃꯁꯤ ꯃꯄꯨꯡ ꯐꯥꯅꯥ ꯂꯥꯌꯦꯡꯕꯥ ꯅꯠꯇꯦ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯃꯁꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯒꯤ ꯄꯨꯟꯁꯤ ꯀꯟꯅꯕꯒꯤ ꯇꯉꯥꯏꯐꯗꯕꯥ ꯑꯍꯥꯅꯕꯥ ꯈꯣꯡꯊꯥꯡ ꯑꯃꯅꯤ꯫ ꯃꯁꯤꯅꯥ ꯑꯉꯥꯡ ꯑꯗꯨꯒꯤ ꯁꯦꯂꯁꯤꯡꯅꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯑꯣꯛꯁꯤꯖꯦꯅꯒꯤ ꯆꯥꯡ ꯑꯗꯨ ꯐꯪꯍꯟꯅꯕꯒꯤꯗꯃꯛ ꯏꯒꯤ ꯈꯣꯡꯖꯦꯜ ꯔꯤꯒꯨꯂꯦꯠ ꯇꯧꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫
ꯃꯁꯤꯒꯤ ꯁꯔꯖꯔꯤ ꯑꯁꯤ ꯀꯅꯥꯒꯤ ꯃꯊꯧ ꯇꯥꯕꯒꯦ?
ꯃꯁꯤꯒꯤ ꯁꯔꯖꯔꯤ ꯑꯁꯤ ꯃꯔꯨꯑꯣꯏꯅꯥ ꯍꯥꯏꯄꯣꯞꯂꯥꯁ꯭ꯇꯤꯛ ꯂꯦꯐꯠ ꯍꯥꯔꯠ ꯁꯤꯟꯗꯣꯝ (HLHS) ꯂꯩꯕꯥ ꯑꯉꯥꯡꯁꯤꯡꯒꯤꯗꯃꯛ ꯃꯊꯧ ꯇꯥꯏ꯫ ꯃꯈꯣꯌꯅꯥ ꯄꯣꯀꯄꯒꯤ ꯑꯍꯥꯅꯕꯥ ꯅꯨꯃꯤꯠ ꯑꯅꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯁꯔꯖꯔꯤ ꯑꯁꯤ ꯇꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯏ꯫
ꯄꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯑꯉꯥꯡ ꯈꯨꯗꯤꯡꯃꯛꯀꯤ ꯍꯥꯔꯇꯀꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯜ ꯑꯅꯤ (aorta and pulmonary artery)ꯒꯤ ꯃꯔꯛꯇꯥ ꯑꯄꯤꯀꯄꯥ ꯀꯅꯦꯛꯁꯟ ꯑꯃꯥ ꯂꯩ꯫ ꯃꯁꯤꯕꯨ `ꯄꯦꯇꯦꯟꯇ ꯗꯛꯇꯁ ꯑꯥꯔꯇꯦꯔꯤꯑꯣꯁ` ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ ꯃꯁꯤꯅꯥ HLHSꯅꯥ ꯅꯥꯕꯥ ꯑꯉꯥꯡ ꯑꯃꯅꯥ ꯑꯍꯥꯅꯕꯥ ꯅꯨꯃꯤꯠ ꯈꯔꯅꯤꯒꯤ ꯑꯣꯏꯅꯥ ꯃꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯏ ꯈꯔꯥ ꯌꯧꯕꯥ ꯉꯃꯍꯜꯂꯤ꯫ ꯑꯗꯨꯕꯨ ꯃꯁꯤꯒꯤ ꯀꯅꯦꯛꯁꯟ ꯑꯁꯤ ꯃꯍꯧꯁꯥꯅꯥ ꯅꯨꯃꯤꯠ ꯈꯔꯅꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯂꯣꯏꯁꯤꯅꯒꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯁꯤ ꯊꯣꯛꯂꯕꯗꯤ, ꯑꯉꯥꯡ ꯑꯗꯨꯅꯥ ꯃꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯏ ꯌꯧꯍꯅꯕꯒꯤ ꯃꯑꯣꯡ ꯑꯃꯠꯇꯥ ꯂꯩꯔꯔꯣꯏ, ꯃꯗꯨ ꯌꯥꯝꯅꯥ ꯈꯨꯗꯣꯡꯊꯤꯅꯤꯉꯥꯏ ꯑꯣꯏ꯫
ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯇꯧꯕꯥ ꯑꯍꯥꯅꯕꯥ ꯊꯕꯛ ꯑꯁꯤ ꯏꯒꯤ ꯈꯣꯡꯖꯦꯜ ꯊꯤꯡꯅꯕꯥ ꯑꯈꯟꯅꯕꯥ ꯍꯤꯗꯥꯛ ꯑꯃꯥ (`ꯄ꯭ꯔꯣꯁ꯭ꯇꯥꯒ꯭ꯂꯥꯟꯗꯤꯟ` ꯀꯧꯕꯥ) ꯄꯤꯕꯅꯤ꯫ ꯑꯗꯨꯕꯨ ꯃꯗꯨ ꯃꯇꯝ ꯈꯔꯒꯤ ꯑꯣꯏꯕꯥ ꯋꯥꯐꯝꯅꯤ꯫ ꯅꯣꯔꯎꯗ ꯑꯣꯄꯔꯦꯁꯟ ꯑꯁꯤ ꯄꯔꯃꯦꯅꯦꯟꯇ ꯁꯣꯂꯨꯁꯟ ꯑꯃꯥ ꯑꯣꯏꯅꯥ ꯄꯥꯡꯊꯣꯀꯏ꯫
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯃꯇꯝ ꯆꯥꯗꯅꯥ ꯄꯣꯀꯄꯥ, ꯄꯣꯀꯄꯗꯥ ꯑꯔꯨꯝꯕꯥ ꯍꯟꯊꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯇꯩ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ ꯂꯩꯕꯥ ꯑꯉꯥꯡꯁꯤꯡꯒꯤꯗꯃꯛ ꯁꯔꯖꯔꯤ ꯑꯁꯤ ꯑꯣꯏꯊꯣꯀꯄꯥ ꯉꯃꯗꯕꯥ ꯌꯥꯏ꯫ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯀꯦꯁꯁꯤꯡ ꯑꯁꯤꯗꯥ ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯑꯇꯣꯞꯄꯥ ꯄꯥꯝꯕꯩꯁꯤꯡ, ꯍꯥꯌꯕꯗꯤ ꯄꯂꯃꯣꯅꯥꯔꯤ ꯑꯥꯔꯇꯦꯔꯤ ꯕꯦꯟꯗꯁꯤꯡ ꯁꯤꯖꯤꯟꯅꯩ꯫
ꯁꯔꯖꯔꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯁꯨꯡ ꯃꯇꯨꯡꯗꯥ ꯀꯔꯤ ꯊꯣꯀꯏ?
ꯁꯔꯖꯔꯤꯒꯤ ꯃꯃꯥꯡ ꯑꯃꯁꯨꯡ ꯃꯅꯨꯡꯗꯥ꯫
ꯁꯔꯖꯔꯤꯒꯤ ꯃꯃꯥꯡꯗꯥ, ꯑꯉꯥꯡ ꯑꯗꯨ ꯏꯟꯇꯦꯟꯁꯤꯚ ꯀꯦꯌꯔ ꯌꯨꯅꯤꯠ (ICU)ꯗꯥ ꯂꯩ꯫ ꯃꯃꯥꯡꯗꯥ ꯍꯥꯌꯈꯤꯕꯒꯨꯝꯅꯥ ꯃꯈꯣꯌꯅꯥ ꯑꯈꯟꯅꯕꯥ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯜ ꯑꯗꯨ ꯍꯥꯡꯗꯣꯛꯇꯨꯅꯥ ꯊꯝꯅꯕꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ ꯃꯈꯥ ꯇꯥꯅꯥ ꯄꯤꯒꯅꯤ꯫ ꯍꯥꯔꯇꯀꯤ ꯃꯊꯛꯀꯤ ꯆꯦꯝꯕꯔ ꯑꯅꯤꯒꯤ ꯃꯔꯛꯇꯥ ꯂꯩꯕꯥ ꯍꯣꯜ ꯑꯗꯨ ꯍꯦꯟꯅꯥ ꯆꯥꯎꯊꯣꯀꯍꯅꯕꯁꯨ ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯏ (`ꯁꯦꯞꯇꯣꯁ꯭ꯇꯣꯃꯤ` ꯑꯃꯥ)꯫
ꯅꯣꯔꯎꯗ ꯄ꯭ꯔꯣꯁꯤꯗ꯭ꯌꯨꯑꯣꯔ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯀꯝꯞꯂꯦꯛꯁ ꯑꯣꯏꯕꯥ, ꯄꯨꯡ ꯀꯌꯥꯒꯤ ꯄ꯭ꯔꯣꯁꯤꯗ꯭ꯌꯨꯑꯣꯔ ꯑꯃꯅꯤ (ꯃꯍꯧꯁꯥꯅꯥ ꯄꯨꯡ 8-10 ꯐꯥꯎꯕꯥ)꯫ ꯗꯣꯛꯇꯔꯁꯤꯡꯒꯤ ꯀꯥꯡꯕꯨ ꯑꯁꯤꯅꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯊꯕꯀꯁꯤꯡ ꯑꯁꯤ ꯆꯦꯀꯁꯤꯟꯅꯥ ꯄꯥꯡꯊꯣꯀꯏ:
- ꯍꯥꯔꯇꯀꯤ ꯃꯊꯛ ꯊꯪꯕꯥ ꯆꯦꯝꯕꯔ (atria) ꯑꯅꯤꯒꯤ ꯃꯔꯛꯇꯥ ꯏ ꯆꯦꯅꯕꯥ ꯌꯥꯍꯟꯅꯕꯒꯤꯗꯃꯛ ꯍꯣꯜ ꯑꯃꯥ ꯁꯦꯝꯃꯤ꯫
- ꯑꯄꯤꯀꯄꯥ ꯑꯦꯑꯣꯔꯇꯥ ꯑꯁꯤ ꯑꯆꯧꯕꯥ ꯄꯂꯃꯣꯅꯥꯔꯤ ꯑꯥꯔꯇꯦꯔꯤꯒꯥ ꯁꯝꯅꯍꯜꯂꯤ, ꯑꯃꯁꯨꯡ ꯑꯅꯧꯕꯥ, ꯑꯆꯧꯕꯥ ꯑꯦꯑꯣꯔꯇꯥ ꯑꯃꯥ ꯁꯦꯝꯅꯕꯥ ꯑꯈꯟꯅꯕꯥ ꯄꯦꯆ ꯑꯃꯥ ꯍꯥꯄꯆꯤꯜꯂꯤ꯫
- ꯃꯁꯤꯒꯤ ꯑꯅꯧꯕꯥ ꯑꯦꯑꯣꯔꯇꯥ ꯑꯁꯤ ꯊꯕꯛ ꯇꯧꯔꯤꯕꯥ ꯔꯥꯏꯠ ꯚꯦꯟꯇꯤꯂꯦꯇꯔꯒꯥ ꯁꯝꯅꯩ꯫
- ꯃꯊꯪꯗꯥ, ‘ꯁꯥꯟꯇ’ , ꯑꯄꯤꯀꯄꯥ ꯑꯥꯔꯇꯤꯐꯤꯁꯤꯑꯦꯜ ꯇꯤꯎꯕ ꯑꯃꯥ ꯊꯥꯗꯨꯅꯥ ꯂꯪꯁꯇꯥ ꯏ ꯊꯥꯗꯣꯀꯏ꯫ ꯃꯁꯤ ꯑꯦꯑꯣꯔꯇꯥꯗꯒꯤ ꯂꯪꯁꯇꯥ (Blalock-Taussig shant) ꯅꯠꯠꯔꯒꯥ ꯔꯥꯏꯠ ꯚꯦꯟꯇꯤꯂꯦꯇꯔꯗꯒꯤ ꯂꯪꯁꯇꯥ (Sano shant) ꯐꯥꯎꯕꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫
ꯁꯔꯖꯔꯤ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯉꯥꯡ ꯑꯗꯨꯕꯨ ꯀꯥꯔꯗꯤꯑꯣꯄꯂꯃꯣꯅꯥꯔꯤ ꯕꯥꯏꯄꯥꯁ ꯃꯦꯁꯤꯟ ꯑꯃꯒꯥ ꯁꯝꯅꯍꯜꯂꯤ . ꯃꯁꯤꯅꯥ ꯇꯥꯀꯄꯗꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯒꯤ ꯍꯥꯔꯠ ꯑꯃꯁꯨꯡ ꯂꯪꯁ ꯑꯁꯤ ꯃꯇꯝ ꯈꯔꯒꯤ ꯑꯣꯏꯅꯥ ꯃꯦꯁꯤꯟ ꯑꯁꯤꯅꯥ ꯑꯣꯄꯔꯦꯠ ꯇꯧꯔꯤ ꯍꯥꯌꯕꯅꯤ꯫
ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ꯫
ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯑꯉꯥꯡ ꯑꯗꯨ ꯏꯟꯇꯦꯟꯁꯤꯚ ꯀꯦꯌꯔ ꯌꯨꯅꯤꯠ (ICU)ꯗꯥ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯄꯨꯔꯀꯏ꯫ ꯑꯉꯥꯡ ꯑꯗꯨ ꯌꯦꯡꯅꯕꯥ ꯆꯠꯄꯥ ꯃꯇꯃꯗꯥ ꯇꯨꯕ, ꯋꯥꯌꯥꯔ ꯑꯃꯁꯨꯡ ꯃꯦꯁꯤꯟ ꯀꯌꯥ ꯎꯕꯥ ꯐꯪꯒꯅꯤ꯫ ꯃꯈꯣꯌꯁꯤꯡꯗꯨ ꯎꯕꯗꯥ ꯂꯥꯡꯇꯛꯅꯒꯅꯨ꯫ ꯃꯈꯣꯌ ꯄꯨꯝꯅꯃꯛ ꯑꯉꯥꯡ ꯑꯗꯨꯒꯤ ꯌꯥꯏꯐꯅꯕꯥ, ꯑꯉꯥꯡ ꯑꯗꯨꯕꯨ ꯃꯇꯦꯡ ꯄꯥꯡꯅꯕꯥ ꯂꯩꯔꯤ . ꯅꯍꯥꯛꯅꯥ ꯆꯦꯛꯀꯤ ꯃꯔꯛꯇꯥ ꯁꯔꯖꯤꯀꯦꯜ ꯑꯣꯏꯕꯥ ꯑꯁꯣꯀꯄꯥ ꯑꯗꯨ ꯀꯨꯄꯁꯤꯜꯂꯕꯥ ꯕꯦꯟꯗꯦꯖ ꯑꯃꯥ ꯎꯕꯥ ꯐꯪꯒꯅꯤ꯫
ꯁꯔꯖꯔꯤ ꯑꯁꯤꯒꯤ ꯃꯇꯨꯡꯗꯁꯨ ꯑꯉꯥꯡ ꯑꯗꯨꯒꯤ ꯈꯣꯡꯗꯥ ꯈꯔꯥ ꯕ꯭ꯂꯨ ꯇꯤꯟ (cyanosis) ꯂꯩꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯒꯤ ꯃꯔꯃꯗꯤ ꯗꯤꯑꯣꯛꯁꯤꯖꯦꯟ ꯌꯥꯎꯕꯥ ꯏ ꯑꯃꯁꯨꯡ ꯑꯣꯛꯁꯤꯖꯦꯟ ꯌꯥꯎꯕꯥ ꯏ ꯈꯔꯗꯤ ꯍꯧꯖꯤꯀꯁꯨ ꯍꯥꯔꯇꯀꯤ ꯃꯅꯨꯡꯗꯥ ꯌꯥꯟꯁꯤꯟꯅꯔꯤ꯫ ꯃꯁꯤ ꯁ꯭ꯇꯦꯖ ꯑꯁꯤꯗꯥ ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏ꯫
ꯏꯟꯇꯦꯟꯁꯤꯚ ꯀꯦꯌꯔ ꯌꯨꯅꯤꯠꯇꯥ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯅꯨꯃꯤꯠ ꯑꯃꯥ ꯂꯦꯞꯂꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯑꯉꯥꯡ ꯑꯗꯨ ꯔꯦꯒꯨꯂꯥꯔ ꯋꯥꯔꯗ ꯑꯃꯗꯥ ꯇ꯭ꯔꯥꯟꯁꯐꯔ ꯇꯧꯒꯅꯤ꯫ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯐꯒꯠꯂꯀꯄꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯅꯨꯃꯤꯠ 2-3ꯅꯤ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯂꯗꯥ ꯂꯩꯕꯥ ꯃꯊꯧ ꯇꯥꯏ꯫ ꯅꯍꯥꯛꯅꯥ ꯌꯨꯃꯗꯥ ꯆꯠꯂꯕꯥ ꯃꯇꯨꯡꯗꯥ, ꯗꯣꯛꯇꯔꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯅꯔꯁꯁꯤꯡꯅꯥ ꯑꯉꯥꯡ ꯑꯗꯨꯕꯨ ꯀꯔꯝꯅꯥ ꯌꯦꯡꯁꯤꯅꯕꯤꯒꯗꯒꯦ, ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛ ꯄꯤꯒꯗꯒꯦ ꯑꯃꯁꯨꯡ ꯃꯍꯥꯛꯀꯤ ꯑꯣꯛꯁꯤꯖꯦꯅꯒꯤ ꯆꯥꯡ ꯑꯗꯨ ꯀꯔꯝꯅꯥ ꯌꯦꯡꯁꯤꯅꯒꯗꯒꯦ ꯍꯥꯌꯕꯒꯤ ꯑꯀꯨꯞꯄꯥ ꯏꯅꯁ꯭ꯠꯔꯛꯁꯅꯁꯤꯡ ꯄꯤꯒꯅꯤ꯫
ꯑꯩꯆ.ꯑꯦꯜ.ꯑꯩꯆ.ꯑꯦꯁ.ꯀꯤꯗꯃꯛ ꯁꯔꯖꯔꯤꯁꯤꯡꯒꯤ ꯁꯤꯔꯤꯖ꯫
HLHS ꯑꯁꯤ ꯁꯔꯖꯔꯤ ꯑꯃꯈꯛꯇꯗꯥ ꯂꯦꯄꯈꯤꯗꯦ꯫ ꯃꯁꯤ ꯁ꯭ꯇꯦꯖ ꯑꯍꯨꯃꯒꯤ ꯁꯔꯖꯔꯤꯒꯤ ꯁꯤꯔꯤꯖ ꯑꯃꯅꯤ . ꯅꯣꯔꯎꯗ ꯑꯁꯤ ꯑꯍꯥꯅꯕꯥ ꯇꯥꯉ꯭ꯀꯛ ꯈꯛꯇꯅꯤ꯫
| ꯐꯝꯄꯥꯛ | ꯁꯔꯖꯔꯤꯒꯤ ꯃꯃꯤꯡ꯫ | ꯃꯍꯧꯁꯥꯅꯥ ꯆꯍꯤ ꯑꯃꯗꯥ ꯇꯧꯕꯥ꯫ |
|---|---|---|
| ꯑꯍꯥꯅꯕꯥ ꯁꯔꯖꯔꯤ꯫ | ꯅꯣꯔꯎꯗ ꯄ꯭ꯔꯣꯁꯤꯖꯔ꯫ | ꯄꯣꯀꯄꯥ ꯃꯇꯨꯡ ꯅꯨꯃꯤꯠ 2ꯅꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ꯫ |
| ꯑꯅꯤꯁꯨꯕꯥ ꯁꯔꯖꯔꯤ꯫ | ꯒ꯭ꯂꯦꯟ ꯄ꯭ꯔꯣꯁꯤꯖꯔ ꯇꯧꯕꯥ꯫ | ꯊꯥ ꯴ - ꯸ꯒꯤ ꯃꯔꯛꯇꯥ꯫ |
| ꯑꯍꯨꯃꯁꯨꯕꯥ ꯁꯔꯖꯔꯤ ꯇꯧꯕꯥ꯫ | ꯐꯣꯟꯇꯥꯅꯒꯤ ꯊꯧꯑꯣꯡ꯫ | ꯆꯍꯤ ꯱.꯵ - ꯵ꯒꯤ ꯃꯔꯛꯇꯥ ꯂꯩꯕꯥ꯫ |
ꯃꯁꯤꯒꯤ ꯀꯥꯟꯅꯕꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯈꯨꯗꯣꯡꯊꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯤꯅꯣ?
ꯀꯥꯟꯅꯕꯁꯤꯡ꯫
ꯃꯁꯤꯒꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯆꯥꯎꯕꯥ ꯑꯃꯁꯨꯡ ꯑꯃꯠꯇꯥ ꯉꯥꯏꯔꯕꯥ ꯀꯥꯟꯅꯕꯗꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯅꯥ ꯍꯤꯡꯅꯕꯒꯤ ꯈꯨꯗꯣꯡꯆꯥꯕꯥ ꯐꯪꯕꯅꯤ . ꯱꯹꯸꯰ꯒꯤ ꯃꯃꯥꯡꯗꯥ, HLHSꯅꯥ ꯄꯣꯀꯄꯥ ꯑꯉꯥꯡꯁꯤꯡꯒꯤ ꯂꯥꯏꯌꯦꯡ ꯑꯃꯠꯇꯥ ꯂꯩꯔꯃꯗꯦ꯫ ꯑꯗꯨꯕꯨ ꯅꯣꯔꯎꯗ ꯄ꯭ꯔꯣꯁꯤꯖꯔ ꯑꯁꯤ ꯁꯦꯃꯒꯠꯂꯀꯄꯗꯒꯤ ꯑꯉꯥꯡꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯑꯉꯥꯡ ꯑꯣꯏꯔꯤꯉꯩ ꯑꯃꯁꯨꯡ ꯏꯅꯈꯠꯂꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯍꯤꯡꯅꯕꯒꯤ ꯈꯨꯗꯣꯡꯆꯥꯕꯥ ꯑꯃꯥ ꯐꯪꯂꯦ꯫
ꯔꯤꯁ꯭ꯛ ꯑꯃꯁꯨꯡ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ꯫
ꯑꯆꯧꯕꯥ ꯁꯔꯖꯔꯤ ꯑꯃꯍꯦꯛꯇꯒꯨꯝꯅꯥ, ꯃꯁꯤꯗꯥ ꯔꯤꯁ꯭ꯛ ꯂꯩ꯫ ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯈꯉꯕꯥ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫
- ꯁꯟꯇ ꯕ꯭ꯂꯣꯀꯦꯖ ꯅꯠꯠꯔꯒꯥ ꯗꯤꯁꯐꯉ꯭ꯀꯁꯟ: ꯂꯪꯁꯇꯥ ꯏ ꯄꯨꯕꯥ ꯑꯄꯤꯀꯄꯥ ꯇꯤꯎꯕ ꯑꯗꯨ ꯕ꯭ꯂꯣꯛ ꯇꯧꯕꯥ ꯌꯥꯏ꯫
- ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯂꯁꯤꯡ ꯁꯣꯟꯊꯕꯥ (Stenosis): ꯁꯔꯖꯤꯀꯦꯜ ꯑꯣꯏꯅꯥ ꯂꯧꯊꯣꯀꯄꯥ ꯑꯦꯑꯣꯔꯇꯥ ꯅꯠꯠꯔꯒꯥ ꯂꯪꯁꯇꯥ ꯆꯠꯂꯤꯕꯥ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯂꯁꯤꯡ ꯑꯗꯨ ꯀꯨꯄꯁꯤꯅꯕꯥ ꯌꯥꯏ꯫
- ꯍꯥꯔꯇꯀꯤ ꯈꯣꯡꯖꯦꯂꯒꯤ ꯑꯁꯣꯛ-ꯑꯄꯅꯁꯤꯡ (Arrhythmia): ꯍꯥꯔꯇꯀꯤ ꯈꯣꯡꯖꯦꯂꯒꯤ ꯔꯤꯗꯝ ꯑꯁꯤ ꯂꯦꯡ-ꯑꯣꯠꯄꯗꯥ ꯁꯣꯀꯍꯜꯂꯀꯄꯥ ꯌꯥꯏ꯫
- ꯍꯥꯔꯇꯀꯤ ꯐꯉ꯭ꯀꯁꯟ ꯁꯣꯟꯊꯕꯥ: ꯔꯥꯏꯠ ꯚꯦꯟꯇꯤꯂꯦꯇꯔꯅꯥ ꯑꯔꯨꯝꯕꯥ ꯍꯦꯟꯅꯥ ꯋꯥꯡꯈꯠꯄꯥ ꯃꯊꯧ ꯇꯥꯕꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯃꯁꯤꯒꯤ ꯐꯉ꯭ꯀꯁꯟ ꯁꯣꯟꯊꯔꯀꯄꯥ ꯌꯥꯏ꯫
- ꯅ꯭ꯌꯨꯔꯣꯗꯤꯚꯦꯂꯄꯃꯦꯟꯇ ꯊꯦꯡꯊꯕꯥ: ꯕ꯭ꯔꯦꯟ ꯑꯃꯁꯨꯡ ꯅꯔꯚꯁ ꯁꯤꯁ꯭ꯇꯦꯃꯒꯤ ꯗꯤꯚꯦꯂꯄꯃꯦꯟꯇꯗꯥ ꯊꯦꯡꯊꯕꯥ ꯈꯔꯗꯤ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯒꯤ ꯃꯍꯩ ꯑꯣꯏꯅꯥ ꯑꯉꯥꯡ ꯈꯔꯗꯤ ꯋꯥꯔꯤ-ꯋꯥꯇꯥꯏ ꯁꯥꯕꯥ ꯑꯃꯁꯨꯡ ꯈꯣꯡꯅꯥ ꯆꯠꯄꯒꯨꯝꯕꯥ ꯋꯥꯐꯃꯁꯤꯡꯗꯥ ꯑꯈꯟꯅꯕꯥ ꯃꯇꯦꯡ ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯏ꯫
ꯅꯣꯔꯎꯗ ꯄ꯭ꯔꯣꯁꯤꯖꯔꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯂꯗꯥ ꯍꯤꯡꯕꯒꯤ ꯆꯥꯡ ꯑꯁꯤ ꯹꯰% ꯐꯥꯑꯣꯕꯥ ꯋꯥꯡꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯑꯉꯥꯡ ꯈꯔꯗꯤ ꯑꯅꯤꯁꯨꯕꯥ ꯁꯔꯖꯔꯤꯗꯥ ꯌꯧꯕꯥ ꯉꯃꯗꯕꯥ ꯀꯦꯁꯁꯤꯡ ꯂꯩ꯫
ꯅꯍꯥꯛꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯀꯗꯥꯏꯗꯥ ꯆꯠꯀꯗꯒꯦ?
ꯅꯍꯥꯛꯅꯥ ꯌꯨꯃꯗꯥ ꯌꯧꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨ ꯌꯥꯝꯅꯥ ꯀꯨꯞꯅꯥ ꯌꯦꯡꯁꯤꯅꯒꯗꯕꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯋꯥꯈꯜ ꯆꯔꯥꯡꯅꯕꯥ ꯑꯃꯥ ꯂꯩꯔꯕꯗꯤ, ꯈꯨꯗꯛꯇꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯐꯣꯟ ꯇꯧ꯫ꯍꯥꯌꯔꯤꯕꯥ ꯋꯥꯐꯃꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯃꯔꯨꯑꯣꯏꯅꯥ ꯆꯦꯀꯁꯤꯅꯕꯤꯌꯨ:
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯕꯨ ꯌꯨꯃꯗꯥ ꯌꯦꯡꯁꯤꯅꯕꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯍꯪ ꯑꯃꯠꯇꯥ ꯂꯩꯔꯕꯗꯤ꯫
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯉꯥꯡ ꯑꯗꯨ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯑꯔꯨꯝꯕꯥ ꯍꯦꯅꯒꯠꯂꯛꯠꯔꯕꯗꯤ꯫
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯉꯥꯡ ꯑꯗꯨꯒꯤ ꯑꯣꯛꯁꯤꯖꯦꯅꯒꯤ ꯆꯥꯡ ꯑꯗꯨ ꯗꯣꯛꯇꯔꯅꯥ ꯍꯥꯌꯔꯀꯄꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯅꯦꯝꯂꯕꯗꯤ꯫
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯉꯥꯡ ꯑꯗꯨꯅꯥ ꯄꯤꯔꯤꯕꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ ꯑꯗꯨ ꯐꯖꯅꯥ ꯔꯦꯁ꯭ꯄꯣꯟꯁ ꯇꯧꯗ꯭ꯔꯕꯗꯤ꯫
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯉꯥꯡ ꯑꯗꯨ ꯃꯍꯧꯁꯥꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯇꯨꯝꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯁꯉ꯭ꯒꯣꯝ ꯊꯀꯄꯥ ꯍꯟꯊꯔꯕꯗꯤ꯫
ꯅꯤꯡꯁꯤꯡꯕꯤꯌꯨ, ꯑꯉꯥꯡ ꯑꯁꯤꯅꯥ ꯃꯍꯥꯛꯀꯤ ꯄꯨꯟꯁꯤ ꯆꯨꯞꯄꯥ ꯀꯥꯔꯗꯤꯑꯣꯂꯣꯖꯤꯁ꯭ꯠ ꯑꯃꯒꯤ ꯁꯨꯄꯔꯚꯤꯖꯟ ꯑꯃꯁꯨꯡ ꯀꯦꯌꯔ ꯃꯊꯧ ꯇꯥꯒꯅꯤ꯫
ꯇꯦꯛ-ꯍꯣꯝ ꯃꯦꯁꯦꯖ ꯇꯧꯕꯥ꯫
- ꯍꯥꯏꯄꯣꯞꯂꯥꯁ꯭ꯇꯤꯛ ꯂꯦꯐꯠ ꯍꯥꯔꯠ ꯁꯤꯟꯗ꯭ꯔꯣꯝ (HLHS) ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯅꯣꯔꯎꯗ ꯄ꯭ꯔꯣꯁꯤꯗ꯭ꯌꯨꯑꯣꯔ ꯑꯁꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯒꯤ ꯄꯨꯟꯁꯤ ꯀꯅꯕꯥ ꯉꯝꯕꯥ ꯑꯍꯥꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯈꯣꯡꯊꯥꯡꯅꯤ꯫
- ꯃꯁꯤ ꯃꯄꯨꯡ ꯐꯥꯅꯥ ꯂꯥꯌꯦꯡꯕꯥ ꯅꯠꯇꯦ꯫ ꯃꯁꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯑꯍꯦꯅꯕꯥ ꯁꯔꯖꯔꯤ ꯑꯅꯤ (ꯒ꯭ꯂꯦꯟ ꯑꯃꯁꯨꯡ ꯐꯣꯟꯇꯟ) ꯃꯊꯧ ꯇꯥꯒꯅꯤ꯫
- ꯁꯔꯖꯔꯤ ꯑꯁꯤ ꯀꯝꯞꯂꯦꯛꯁ ꯑꯣꯏ ꯑꯃꯁꯨꯡ ꯔꯤꯁ꯭ꯛ ꯂꯩ, ꯑꯗꯨꯕꯨ ꯍꯤꯡꯕꯒꯤ ꯆꯥꯡ ꯑꯁꯤꯗꯤ ꯃꯃꯜ ꯂꯩ꯫
- ꯑꯉꯥꯡ ꯑꯗꯨꯒꯤ ꯅꯨꯡꯉꯥꯏ-ꯌꯥꯏꯐꯕꯒꯤꯗꯃꯛ ꯌꯨꯃꯗꯥ ꯆꯠꯂꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯗꯣꯛꯇꯔꯒꯤ ꯏꯅꯁ꯭ꯠꯔꯛꯁꯅꯁꯤꯡ ꯑꯗꯨ ꯆꯨꯝꯅꯥ ꯉꯥꯛꯅꯥ ꯆꯠꯄꯥ ꯑꯃꯁꯨꯡ ꯂꯦꯞꯂꯕꯥ ꯇꯥꯡꯁꯤꯡꯗꯥ ꯀ꯭ꯂꯤꯅꯤꯀꯁꯤꯡꯗꯥ ꯆꯠꯄꯥ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫
- ꯃꯃꯥ-ꯃꯄꯥ ꯑꯣꯏꯅꯥ, ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯑꯃꯁꯨꯡ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯐꯥꯎꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯅꯣꯔꯃꯦꯂꯅꯤ꯫ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯋꯥꯍꯪꯁꯤꯡ ꯅꯠꯠꯔꯒꯥ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯑꯃꯠꯇꯥ ꯍꯪꯕꯗꯥ ꯀꯩꯗꯧꯉꯩꯗꯥ ꯂꯥꯡꯇꯛꯅꯒꯅꯨ꯫ ꯑꯗꯣꯝ ꯈꯛꯇꯅꯥ ꯅꯠꯇꯦ꯫
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