ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯒꯤ ꯊꯝꯃꯣꯌꯒꯤ ꯑꯦꯑꯣꯔꯇꯥ ꯑꯗꯨ ꯇꯣꯉꯥꯅꯕꯥ ꯃꯐꯝ ꯑꯃꯗꯥ ꯂꯩꯕ꯭ꯔꯥ? ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯈꯉꯂꯁꯤ (Overriding Aorta)!

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯏꯆꯝ ꯆꯝꯕꯥ ꯑꯉꯥꯡꯁꯤꯡꯅꯥ ꯃꯈꯣꯌꯒꯤ ꯊꯝꯃꯣꯌꯗꯥ ꯑꯄꯤꯀꯄꯥ ꯑꯍꯣꯡꯕꯥ ꯀꯌꯥ ꯄꯨꯔꯛꯇꯨꯅꯥ ꯃꯥꯂꯦꯝ ꯑꯁꯤꯗꯥ ꯂꯥꯀꯏ꯫ ꯅꯍꯥꯛꯅꯥ ꯃꯃꯥ ꯅꯠꯠꯔꯒꯥ ꯃꯄꯥ ꯑꯃꯥ ꯑꯣꯏꯅꯥ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯋꯥꯐꯝ ꯑꯃꯥ ꯇꯥꯕꯥ ꯃꯇꯃꯗꯥ ꯌꯥꯝꯅꯥ ꯋꯥꯅꯥ ꯑꯃꯁꯨꯡ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯐꯥꯎꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯅꯣꯔꯃꯦꯂꯅꯤ꯫ ꯑꯗꯨꯕꯨ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯂꯩꯔꯣꯏꯗꯕꯅꯤ, ꯃꯔꯃꯗꯤ ꯉꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ ``ꯑꯣꯚꯔꯔꯥꯏꯗꯤꯡ ꯑꯦꯑꯣꯔꯇꯥ'' ꯀꯧꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯔꯤ, ꯃꯁꯤ ꯀꯣꯟꯖꯤꯅꯤꯑꯦꯜ ꯍꯥꯔꯇꯀꯤ ꯂꯥꯌꯅꯥ ꯑꯃꯅꯤ꯫ ꯑꯩꯈꯣꯌꯅꯥ ꯋꯥꯐꯝ ꯀꯌꯥꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯏꯆꯝ ꯆꯝꯕꯥ ꯋꯥꯍꯟꯊꯣꯛ ꯑꯃꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯒꯅꯤ, ꯃꯗꯨꯗꯤ ꯃꯁꯤ ꯇꯁꯦꯡꯅꯥ ꯀꯔꯤꯅꯣ, ꯀꯔꯤꯒꯤꯗꯃꯛꯇꯥ ꯊꯣꯛꯂꯤꯕꯅꯣ, ꯃꯁꯤꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯤꯅꯣ, ꯑꯃꯁꯨꯡ ꯃꯁꯤꯒꯤ ꯂꯥꯌꯦꯡꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯤꯅꯣ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯋꯥꯐꯃꯁꯤꯡ ꯑꯁꯤ ꯃꯌꯦꯛ ꯁꯦꯡꯅꯥ ꯈꯪꯂꯕꯗꯤ, ꯃꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯒꯤꯗꯃꯛ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯥ ꯃꯦꯗꯤꯀꯦꯜ ꯀꯦꯌꯔ ꯄꯤꯅꯕꯒꯤ ꯄꯥꯉ꯭ꯒꯜ ꯀꯌꯥ ꯑꯃꯥ ꯄꯤꯒꯅꯤ꯫

ꯃꯁꯤ `(ꯑꯣꯚꯔꯔꯥꯏꯗꯤꯡ ꯑꯦꯑꯣꯔꯇꯥ)` ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ? ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯂꯧꯁꯤꯅꯁꯤ, ꯑꯩꯈꯣꯌꯅꯥ ꯈꯉꯒꯗ꯭ꯔꯥ?

ꯑꯣꯀꯦ, ꯑꯍꯥꯅꯕꯗꯥ ꯃꯁꯤꯒꯤ `(Overriding Aorta)` ꯑꯁꯤ ꯀꯔꯤꯅꯣ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯁꯤ꯫ ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯃꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯑꯉꯥꯡꯒꯤ ꯊꯝꯃꯣꯌꯗꯥ ꯂꯩꯕꯥ ꯑꯆꯧꯕꯥ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯜ ꯑꯃꯅꯤ, ꯍꯥꯌꯕꯗꯤ ꯑꯦꯑꯣꯔꯇꯥ, ꯃꯗꯨ ꯂꯩꯒꯗꯕꯥ ꯃꯐꯝ ꯑꯗꯨꯗꯒꯤ ꯈꯔꯥ ꯈꯦꯠꯅꯕꯥ ꯃꯐꯝ ꯑꯃꯗꯥ ꯂꯩ꯫

ꯍꯧꯖꯤꯛ ꯌꯦꯡꯕꯤꯌꯨ꯫ ꯀꯔꯤ ꯈꯉꯕꯒꯦ? ꯃꯐꯝ ꯑꯗꯨꯗꯥ ꯂꯪꯁꯇꯒꯤ ꯂꯥꯀꯄꯥ ꯑꯣꯛꯁꯤꯖꯦꯟ ꯌꯥꯝꯅꯥ ꯌꯥꯑꯣꯕꯥ, ꯁꯦꯡꯂꯕꯥ ꯏ ꯑꯁꯤ ꯍꯀꯆꯥꯡ ꯄꯨꯝꯕꯗꯥ ꯌꯦꯟꯊꯣꯀꯄꯥ ꯉꯝꯃꯤ꯫ ꯃꯗꯨ ꯃꯁꯤꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯊꯕꯛꯅꯤ꯫

ꯑꯗꯨꯕꯨ `(Overriding Aorta)`ꯒꯤ ꯑꯣꯏꯅꯗꯤ, ꯑꯦꯑꯣꯔꯇꯥ ꯑꯁꯤ ꯍꯥꯔꯇꯀꯤ ꯂꯦꯃꯍꯧꯔꯤꯕꯥ ꯑꯃꯁꯨꯡ ꯑꯔꯣꯏꯕꯥ ꯚꯦꯟꯇꯤꯂꯦꯁꯅꯒꯤ ꯃꯔꯛꯇꯥ ꯂꯩꯕꯥ ꯋꯥꯜ ꯑꯗꯨꯒꯤ ꯃꯊꯛꯇꯥ (ꯃꯁꯤꯕꯨ `Ventricular Septum` ꯍꯥꯌꯅꯥ ꯀꯧꯏ), ꯅꯠꯠꯔꯒꯥ ꯋꯥꯜ ꯑꯗꯨꯗꯥ ꯂꯩꯕꯥ ꯍꯣꯜ ꯑꯃꯒꯤ ꯃꯊꯛꯇꯥ (`Ventricular Septal Defect` ꯅꯠꯠꯔꯒꯥ VSD) ꯂꯩ꯫ ꯈꯅꯕꯤꯌꯨ, ꯃꯐꯝ ꯑꯁꯤꯗꯥ ꯊꯣꯛꯂꯤꯕꯥ ꯑꯁꯤ ꯋꯥꯇꯔ ꯄꯝꯄ ꯍꯣꯁ ꯑꯃꯥ ꯑꯔꯥꯅꯕꯥ ꯇꯦꯉ꯭ꯛ ꯑꯃꯗꯥ ꯊꯝꯕꯒꯥ ꯃꯥꯟꯅꯩ꯫

ꯃꯁꯤꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯀꯔꯤ ꯑꯣꯏꯔꯤꯕꯒꯦ? ꯍꯥꯔꯇꯀꯤ ꯑꯔꯣꯏꯕꯥ ꯃꯐꯃꯗꯥ ꯑꯣꯛꯁꯤꯖꯦꯟ ꯌꯥꯝꯅꯥ ꯌꯥꯎꯗꯦ, ꯃꯁꯤꯅꯥ ꯇꯥꯀꯄꯗꯤ ꯃꯗꯨ ꯁꯤꯖꯤꯟꯅꯔꯕꯥ, ꯈꯔꯥ "ꯑꯀꯪꯕꯥ" ꯏ ꯌꯥꯎꯏ꯫ ꯍꯣꯜ ꯑꯗꯨ (`VSD`) ꯑꯃꯁꯨꯡ ꯑꯦꯑꯣꯔꯇꯥ ꯑꯗꯨ ꯑꯔꯥꯅꯕꯥ ꯃꯐꯃꯗꯥ ꯂꯩꯕꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ, ꯑꯣꯛꯁꯤꯖꯦꯟ ꯌꯥꯎꯗꯕꯥ ꯏ ꯈꯔꯗꯤ ꯑꯦꯑꯣꯔꯇꯥꯗꯥ ꯆꯪꯁꯤꯜꯂꯤ ꯑꯃꯁꯨꯡ ꯍꯀꯆꯥꯡ ꯄꯨꯝꯕꯗꯥ ꯆꯪꯁꯤꯜꯂꯤꯕꯥ ꯏ ꯑꯗꯨꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯌꯥꯎꯏ꯫ ꯃꯁꯤꯅꯥ ꯇꯥꯀꯄꯗꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯒꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯇꯣꯉꯥꯟ-ꯇꯣꯉꯥꯅꯕꯥ ꯃꯐꯃꯁꯤꯡꯗꯥ ꯌꯧꯔꯀꯄꯥ ꯏꯗꯥ ꯑꯣꯛꯁꯤꯖꯦꯅꯒꯤ ꯆꯥꯡ ꯍꯟꯊꯔꯀꯏ꯫ ꯃꯁꯤ ꯃꯔꯨ ꯑꯣꯏꯕꯥ ꯁꯃꯁ꯭ꯌꯥꯅꯤ꯫

ꯃꯁꯤꯒꯥ `(ꯇꯦꯠꯔꯥꯂꯣꯖꯤ ꯑꯣꯐ ꯐꯦꯂꯣꯠ)` ꯀꯧꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤꯒꯥ ꯀꯔꯤ ꯃꯔꯤ ꯂꯩꯅꯕꯒꯦ?

ꯑꯣꯚꯔꯔꯥꯏꯗ ꯑꯦꯑꯣꯔꯇꯥ ꯍꯥꯌꯕꯁꯤ ꯃꯍꯧꯁꯥꯅꯥ ꯃꯁꯥ ꯃꯊꯟꯇꯥ ꯊꯣꯀꯄꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫ ꯃꯁꯤ ꯇꯦꯠꯔꯥꯂꯣꯖꯤ ꯑꯣꯐ ꯐꯦꯂꯣꯠ ꯀꯧꯕꯥ ꯀꯝꯞꯂꯦꯛꯁ ꯀꯣꯟꯖꯦꯅꯤꯑꯦꯜ ꯍꯥꯔꯠ ꯗꯤꯖꯤꯖ ꯑꯃꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯁꯛ ꯃꯔꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯅꯤ ꯫ "ꯇꯦꯠꯔꯥꯂꯣꯖꯤ" ꯍꯥꯌꯕꯁꯤ ꯃꯔꯤ ꯍꯥꯌꯕꯅꯤ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ, ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤꯗꯥ, ꯑꯆꯧꯕꯥ ꯍꯥꯔꯇꯀꯤ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯃꯔꯤ ꯄꯨꯟꯅꯥ ꯎꯕꯥ ꯐꯪꯏ:

1. `(Overriding Aorta)`: ꯑꯩꯈꯣꯌꯅꯥ ꯍꯧꯖꯤꯛ ꯋꯥꯔꯤ ꯁꯥꯈꯤꯕꯥ ꯑꯦꯑꯣꯔꯇꯥ ꯑꯁꯤ ꯑꯔꯥꯅꯕꯥ ꯃꯐꯃꯗꯥ ꯂꯩ꯫

2. ꯚꯦꯟꯇꯤꯀꯨꯂꯥꯔ ꯁꯦꯞꯇꯥꯜ ꯗꯤꯐꯦꯛꯇ (VSD): ꯍꯥꯔꯇꯀꯤ ꯂꯦꯡ-ꯑꯣꯠꯄꯒꯤ ꯃꯑꯣꯡ ꯑꯃꯁꯨꯡ ꯑꯔꯣꯏꯕꯥ ꯆꯦꯝꯕꯔꯒꯤ ꯃꯔꯛꯇꯥ ꯂꯩꯕꯥ ꯋꯥꯜ ꯑꯗꯨꯗꯥ ꯂꯩꯕꯥ ꯍꯨꯔꯥꯅꯕꯥ ꯑꯃꯥ꯫ ꯃꯁꯤꯅꯥ ꯑꯣꯛꯁꯤꯖꯦꯟ ꯌꯥꯝꯅꯥ ꯌꯥꯎꯕꯥ ꯏ ꯑꯗꯨꯒꯥ ꯑꯣꯛꯁꯤꯖꯦꯟ ꯌꯥꯎꯗꯕꯥ ꯏꯒꯥ ꯌꯥꯟꯁꯤꯟꯅꯍꯜꯂꯤ꯫

3. ꯄꯂꯃꯣꯅꯥꯔꯤ ꯁ꯭ꯇꯦꯅꯣꯁꯤꯁ (Pulmonary Stenosis): ꯍꯥꯔꯇꯀꯤ ꯑꯔꯥꯞꯄꯥ ꯃꯐꯃꯗꯒꯤ ꯂꯪꯁꯇꯥ ꯑꯣꯛꯁꯤꯖꯦꯟ ꯌꯥꯎꯕꯥ ꯏ ꯄꯨꯕꯥ ꯄꯂꯃꯣꯅꯥꯔꯤ ꯑꯥꯔꯇꯦꯔꯤ ꯑꯗꯨ ꯊꯤꯡꯖꯤꯜꯂꯤ ꯅꯠꯠꯔꯒꯥ ꯃꯁꯤꯒꯤ ꯚꯜꯌꯨ ꯑꯁꯤ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯍꯥꯡꯗꯣꯀꯄꯥ ꯉꯃꯗꯕꯅꯥ ꯂꯪꯁꯇꯥ ꯆꯠꯂꯤꯕꯥ ꯏꯒꯤ ꯆꯥꯡ ꯍꯟꯊꯍꯜꯂꯤ꯫

4. ꯍꯥꯔꯇꯀꯤ ꯑꯔꯣꯏꯕꯥ ꯚꯦꯟꯇꯤꯂꯦꯁꯅꯒꯤ ꯋꯥꯂꯁꯤꯡ (`ꯔꯥꯏꯠ ꯚꯦꯟꯇꯤꯀꯨꯂꯥꯔ ꯍꯥꯏꯄꯔꯠꯔꯣꯐꯤ`):ꯄꯂꯃꯣꯅꯥꯔꯤ ꯑꯥꯔꯇꯦꯔꯤ ꯑꯗꯨ ꯕ꯭ꯂꯣꯛ ꯇꯧꯕꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ, ꯔꯥꯏꯠ ꯚꯦꯟꯇꯤꯂꯦꯇꯔ ꯑꯗꯨꯅꯥ ꯏ ꯄꯝꯄ ꯇꯧꯕꯗꯥ ꯍꯦꯟꯅꯥ ꯀꯟꯅꯥ ꯊꯕꯛ ꯇꯧꯕꯥ ꯇꯥꯏ꯫ ꯅꯍꯥꯛꯅꯥ ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯇꯧꯕꯥ ꯃꯇꯃꯗꯥ ꯃꯁꯜ ꯇꯤꯁꯨꯁꯤꯡ ꯑꯁꯤ ꯍꯦꯟꯅꯥ ꯆꯥꯎꯈꯠꯂꯀꯄꯒꯨꯝꯅꯥ, ꯚꯦꯟꯇꯤꯂꯦꯇꯔ ꯑꯁꯤꯒꯤ ꯋꯥꯂꯁꯤꯡ ꯑꯁꯤ ꯃꯇꯃꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ ꯀꯨꯄꯁꯤꯜꯂꯤ꯫

ꯈꯅꯕꯤꯌꯨ, ꯃꯁꯤ ꯔꯦꯁ꯭ꯇꯣꯔꯦꯟꯇ ꯑꯃꯗꯥ ꯃꯩꯈꯨ ꯊꯥꯗꯣꯀꯄꯥ ꯃꯐꯝ ꯑꯃꯁꯨꯡ ꯃꯩꯈꯨ ꯊꯥꯗꯣꯀꯄꯥ ꯌꯥꯗꯕꯥ ꯃꯐꯃꯒꯤ ꯃꯔꯛꯇꯥ ꯋꯥꯜ ꯂꯩꯇꯕꯒꯨꯝꯕꯅꯤ꯫ ꯑꯗꯨꯗꯒꯤ ꯃꯩꯁꯥꯅꯥ ꯃꯐꯝ ꯑꯃꯗꯒꯤ ꯃꯐꯝ ꯑꯃꯗꯥ ꯐꯖꯅꯥ ꯆꯪꯁꯤꯜꯂꯀꯏ, ꯑꯃꯁꯨꯡ ꯀꯅꯥꯒꯨꯝꯕꯥ ꯑꯃꯠꯇꯅꯥ ꯐꯅꯥ ꯅꯥꯕꯥ ꯉꯃꯗꯦ꯫ `(ꯇꯦꯠꯔꯥꯂꯣꯖꯤ ꯑꯣꯐ ꯐꯦꯂꯣꯠ)` ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤꯗꯥ ꯊꯣꯛꯂꯤꯕꯥ ꯑꯁꯤꯃꯀꯅꯤ꯫ ꯑꯣꯛꯁꯤꯖꯦꯟ ꯌꯥꯝꯅꯥ ꯌꯥꯎꯕꯥ ꯏ ꯑꯃꯁꯨꯡ ꯑꯣꯛꯁꯤꯖꯦꯟ ꯌꯥꯝꯅꯥ ꯌꯥꯎꯕꯥ ꯏ ꯌꯥꯎꯏ꯫

ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤꯅꯥ ꯀꯅꯥꯅꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯁꯣꯀꯍꯜꯂꯤꯕꯅꯣ (Overriding Aorta)?

``ꯑꯣꯚꯔꯔꯥꯏꯗꯤꯡ ꯑꯦꯑꯣꯔꯇꯥ'' ꯌꯥꯎꯕꯥ ``ꯇꯦꯠꯔꯥꯂꯣꯖꯤ ꯑꯣꯐ ꯐꯦꯂꯣꯠ'' ꯀꯧꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯅꯨꯄꯤ ꯑꯉꯥꯡꯁꯤꯡꯗꯒꯤ ꯅꯨꯄꯥ ꯑꯉꯥꯡꯁꯤꯡꯗꯥ ꯈꯔꯥ ꯍꯦꯟꯅꯥ ꯁ꯭ꯇꯦꯇꯤꯁ꯭ꯇꯤꯀꯦꯜ ꯑꯣꯏꯅꯥ ꯎꯕꯥ ꯐꯪꯏ꯫

ꯃꯁꯤꯗꯁꯨ ꯅꯠꯇꯅꯥ, ꯗꯥꯎꯟ ꯁꯤꯟꯗꯣꯃꯒꯨꯝꯕꯥ ꯑꯀꯛꯅꯕꯥ ꯀ꯭ꯔꯣꯃꯣꯖꯣꯃꯒꯤ ꯑꯦꯕꯅꯣꯔꯃꯦꯂꯤꯇꯤꯁꯤꯡ ꯂꯩꯕꯥ ꯑꯉꯥꯡꯁꯤꯡꯗꯥ ꯇꯦꯠꯔꯥꯂꯣꯖꯤ ꯑꯣꯐ ꯐꯦꯂꯣꯠ ꯂꯥꯀꯄꯒꯤ ꯆꯥꯡ ꯍꯦꯟꯅꯥ ꯋꯥꯡꯏ꯫ ꯍꯥꯔꯇꯀꯤ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯑꯁꯤ ꯑꯇꯩ ꯌꯥꯝꯅꯥ ꯇꯣꯏꯅꯥ ꯊꯣꯀꯄꯥ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ, ꯍꯥꯌꯕꯗꯤ ꯑꯦꯄꯔꯠ ꯁꯤꯟꯗꯣꯝ ꯑꯃꯁꯨꯡ ꯋꯤꯂꯤꯌꯃꯁ ꯁꯤꯟꯗꯣꯃꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯎꯕꯥ ꯐꯪꯏ꯫

ꯃꯁꯤꯒꯤ ꯐꯤꯚꯝ ꯑꯁꯤ ꯀꯌꯥ ꯌꯥꯝꯅꯥ ꯀꯃꯟ ꯑꯣꯏꯕꯒꯦ?

ꯍꯥꯌꯅꯩ ꯃꯗꯨꯗꯤ ꯃꯥꯂꯦꯃꯗꯥ ꯄꯣꯀꯄꯥ ꯑꯉꯥꯡ 100ꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯑꯃꯗꯥ ꯀꯣꯟꯖꯤꯅꯤꯑꯦꯜ ꯍꯥꯔꯠ ꯗꯤꯐꯦꯛꯇ ꯃꯈꯜ ꯑꯃꯍꯦꯛꯇꯒꯤ ꯂꯥꯌꯅꯥ ꯂꯩꯕꯥ ꯌꯥꯏ꯫ ꯅꯍꯥꯛꯅꯥ ꯃꯗꯨꯒꯨꯝꯅꯥ ꯌꯦꯡꯂꯨꯔꯒꯗꯤ, ꯍꯥꯔꯇꯀꯤ ꯂꯥꯌꯅꯥ ꯂꯩꯕꯥ ꯑꯉꯥꯡꯁꯤꯡ ꯑꯗꯨꯒꯤ ꯆꯥꯎꯔꯥꯛꯅꯥ 10%, ꯍꯥꯌꯕꯗꯤ ꯅꯧꯅꯥ ꯄꯣꯀꯄꯥ ꯑꯉꯥꯡ 3,000ꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯑꯃꯗꯥ, `(Tetralogy of Fallot)` ꯀꯧꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯥ ꯂꯩꯕꯥ ꯌꯥꯏ, ꯃꯁꯤꯗꯥ `(Overriding Aorta)` ꯌꯥꯎꯏ꯫ ꯑꯗꯨꯅꯥ, ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯀꯃꯟ ꯑꯣꯏꯗꯦ, ꯑꯗꯨꯕꯨ ꯃꯁꯤ ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯑꯌꯥꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯎꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫

ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯤꯅꯣ?

ꯇꯦꯠꯔꯥꯂꯣꯖꯤ ꯑꯣꯐ ꯐꯦꯂꯣꯠ ꯂꯩꯕꯥ ꯑꯉꯥꯡ ꯄꯨꯝꯅꯃꯛꯇꯥ ꯆꯞ ꯃꯥꯟꯅꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯎꯕꯥ ꯐꯪꯗꯦ꯫ ꯈꯔꯗꯗꯤ ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯂꯩꯕꯥ ꯌꯥꯏ, ꯑꯗꯨꯒꯥ ꯑꯇꯩ ꯈꯔꯗꯗꯤ ꯁꯥꯊꯤꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯂꯩꯕꯥ ꯌꯥꯏ꯫ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯑꯣꯡ-ꯃꯇꯧ ꯑꯁꯤ ꯃꯔꯨꯑꯣꯏꯅꯥ ꯄꯂꯃꯣꯅꯥꯔꯤ ꯑꯥꯔꯇꯦꯔꯤ ꯑꯁꯤ ꯀꯌꯥꯝ ꯌꯥꯝꯅꯥ ꯕ꯭ꯂꯣꯛ ꯇꯧꯕꯒꯦ ꯍꯥꯌꯕꯗꯨꯒꯤ ꯃꯈꯥ ꯄꯣꯜꯂꯤ꯫ ꯍꯥꯌꯕꯗꯤ ꯂꯪꯁꯇꯥ ꯏ ꯀꯌꯥ ꯌꯧꯔꯛꯂꯤꯕꯅꯣ ꯍꯥꯌꯕꯁꯤꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯂꯥꯏꯌꯦꯡꯗ꯭ꯔꯕꯗꯤ, ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯃꯇꯃꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯁꯣꯀꯆꯤꯜꯂꯀꯄꯥ ꯌꯥꯏ꯫

ꯑꯄꯤꯀꯄꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ꯫

ꯑꯉꯥꯡ ꯈꯔꯗꯗꯤ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯑꯁꯤꯅꯆꯤꯡꯕꯥ ꯃꯌꯥꯏ ꯑꯣꯏꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯎꯕꯥ ꯐꯪꯏ:

• ꯕ꯭ꯂꯨ ꯁ꯭ꯀꯤꯟ ꯃꯆꯨ (`Cyanosis`): ꯅꯤꯜ ꯃꯆꯨ ꯑꯁꯤ ꯃꯔꯨꯑꯣꯏꯅꯥ ꯂꯤꯞ, ꯖꯤꯕ, ꯑꯃꯁꯨꯡ ꯐꯤꯉ꯭ꯒꯔꯅꯦꯂꯁꯤꯡꯒꯨꯝꯕꯥ ꯃꯐꯃꯁꯤꯡꯗꯥ ꯎꯕꯥ ꯐꯪꯏ꯫ ꯃꯁꯤ ꯏꯗꯥ ꯑꯣꯛꯁꯤꯖꯦꯅꯒꯤ ꯆꯥꯡ ꯍꯟꯊꯔꯀꯄꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯑꯣꯏꯔꯤ꯫
• ꯊꯨꯅꯥ ꯋꯥꯈꯜ ꯆꯔꯥꯡꯅꯕꯥ ꯐꯥꯎꯕꯥ: ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯅꯥ ꯁꯥꯟꯅꯔꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯈꯣꯝꯂꯥꯡ ꯄꯤꯊꯀꯄꯥ ꯃꯇꯨꯡꯗꯥ ꯊꯨꯅꯥ ꯋꯥꯈꯜ ꯇꯥꯕꯥ ꯐꯥꯎꯕꯥ ꯌꯥꯏ꯫
• ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ: ꯅꯍꯥꯛꯅꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯗꯥ ꯑꯋꯥꯕꯥ ꯃꯥꯌꯣꯛꯅꯔꯀꯄꯥ ꯌꯥꯏ, ꯃꯔꯨꯑꯣꯏꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯦꯛꯇꯤꯚ ꯑꯣꯏꯕꯥ ꯃꯇꯃꯗꯥ꯫
• ꯆꯥꯛ ꯆꯥꯕꯥ ꯑꯃꯁꯨꯡ ꯑꯔꯨꯝꯕꯥ ꯍꯦꯅꯒꯠꯂꯀꯄꯒꯤ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯃꯁꯤꯡ: ꯑꯉꯥꯡ ꯑꯗꯨꯅꯥ ꯐꯖꯅꯥ ꯆꯥꯕꯥ ꯉꯃꯗꯕꯥ ꯑꯃꯁꯨꯡ ꯑꯔꯨꯝꯕꯥ ꯍꯦꯅꯒꯠꯄꯥ ꯉꯃꯗꯕꯥ ꯌꯥꯏ꯫

ꯁꯥꯊꯤꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯃꯁꯨꯡ `(ꯇꯦꯠ ꯁ꯭ꯄꯦꯂꯁꯤꯡ)`꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯑꯉꯥꯡ ꯑꯗꯨꯒꯤ ꯑꯣꯛꯁꯤꯖꯦꯅꯒꯤ ꯆꯥꯡ ꯑꯗꯨ ꯈꯪꯍꯧꯗꯅꯥ ꯍꯟꯊꯔꯀꯏ, ꯃꯗꯨꯅꯥ ``ꯇꯦꯠ ꯁ꯭ꯄꯦꯜ'' ꯊꯣꯀꯍꯜꯂꯤ꯫ꯇꯦꯠ ꯁ꯭ꯄꯦꯜ ꯀꯧꯕꯥ ꯈꯨꯗꯣꯡꯊꯤꯅꯤꯉꯥꯏ ꯑꯣꯏꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯁꯤ ꯈꯪꯍꯧꯗꯅꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯏ, ꯃꯁꯤ ꯃꯤꯅꯠ ꯈꯔꯗꯒꯤ ꯄꯨꯡ ꯈꯔꯅꯤ ꯐꯥꯎꯕꯥ ꯆꯠꯄꯥ ꯌꯥꯏ꯫ ꯑꯉꯥꯡ ꯑꯃꯅꯥ ꯁꯥꯟꯅꯔꯤꯕꯥ ꯑꯃꯁꯨꯡ ꯈꯪꯍꯧꯗꯅꯥ ꯅꯤꯜ ꯈꯣꯡꯕꯥ ꯑꯃꯁꯨꯡ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯗꯥ ꯑꯋꯥꯕꯥ ꯃꯥꯌꯣꯛꯅꯔꯤꯕꯥ ꯑꯗꯨ ꯈꯅꯕꯤꯌꯨ꯫

ꯇꯦꯠ ꯁ꯭ꯄꯦꯂꯁꯤꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯁꯥꯊꯤꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯎꯕꯥ ꯐꯪꯏ:

• ꯈꯣꯡ ꯑꯗꯨ ꯈꯪꯍꯧꯗꯅꯥ ꯃꯌꯦꯛ ꯁꯦꯡꯕꯥ ꯅꯤꯜ ꯑꯣꯏꯔꯀꯏ꯫
• ꯌꯥꯝꯅꯥ ꯋꯥꯅꯥ ꯐꯥꯎꯕꯥ, ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡ ꯑꯗꯨ ꯂꯦꯡꯗꯅꯥ ꯂꯩꯔꯀꯄꯒꯨꯝꯅꯥ꯫
• ꯃꯁꯥ ꯃꯊꯟꯇꯥ ꯋꯥꯈꯜ ꯇꯥꯗꯕꯥ (fainting) ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫
• ꯀꯅꯚꯂꯁꯟ ꯂꯩꯕꯥ꯫
• ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ, ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ꯫
• ꯑꯉꯥꯡ ꯑꯗꯨ ꯈꯪꯍꯧꯗꯅꯥ ꯀꯞꯄꯥ ꯍꯧꯔꯀꯄꯥ ꯌꯥꯏ ꯑꯃꯁꯨꯡ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯄꯥꯁ ꯇꯧꯕꯥ ꯍꯧꯔꯀꯄꯥ ꯌꯥꯏ꯫

ꯑꯁꯤꯒꯨꯝꯕꯥ ``ꯇꯦꯠ ꯁ꯭ꯄꯦꯜ'' ꯑꯃꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯑꯉꯥꯡ ꯑꯗꯨꯅꯥ ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯇꯨꯝꯕꯥ ꯌꯥꯏ꯫ ꯍꯥꯌꯔꯤꯕꯥ ``ꯇꯦꯠ ꯁ꯭ꯄꯦꯂꯁꯤꯡ'' ꯑꯁꯤ ꯈꯨꯗꯛꯀꯤ ꯑꯣꯏꯕꯥ ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯃꯇꯦꯡ ꯃꯊꯧ ꯇꯥꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫

``ꯑꯣꯚꯔꯔꯥꯏꯗ ꯑꯦꯑꯣꯔꯇꯥ''ꯒꯨꯝꯕꯥ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯤꯒꯤ ꯊꯣꯛꯂꯤꯕꯅꯣ?

ꯇꯁꯦꯡꯕꯗꯤ, ꯑꯌꯥꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯑꯉꯥꯡ ꯑꯃꯒꯤ ꯊꯝꯃꯣꯌꯅꯥ ꯃꯤꯔꯣꯜꯂꯤꯉꯩ ꯃꯇꯃꯗꯥ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯑꯁꯣꯛ-ꯑꯄꯅꯁꯤꯡꯒꯤ ꯑꯀꯛꯅꯕꯥ ꯃꯔꯝ ꯑꯃꯥ ꯊꯤꯕꯥ ꯑꯁꯤ ꯑꯔꯨꯕꯥ ꯑꯣꯏ꯫ ꯍꯥꯌꯕꯗꯤ ꯃꯔꯝ ꯑꯁꯤ ꯃꯌꯦꯛ ꯁꯦꯡꯗꯕꯥ (`ꯃꯔꯃꯁꯤꯡ ꯈꯉꯗꯕꯥ`)꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯂꯩꯕꯥ ꯑꯉꯥꯡꯁꯤꯡꯒꯤ ꯆꯥꯎꯔꯥꯛꯅꯥ 25%ꯗꯤ `(Tetralogy of Fallot)` (ꯃꯁꯤꯗꯥ `(Overriding Aorta)` ꯌꯥꯎꯏ) ꯃꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯑꯇꯩ ꯃꯐꯃꯁꯤꯡꯗꯥ ꯄꯣꯀꯄꯗꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯅꯠꯠꯔꯒꯥ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯈꯔꯥ ꯂꯩ ꯍꯥꯌꯕꯥ ꯈꯪꯂꯦ꯫

ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯈꯪꯗꯣꯀꯄꯥ (Overriding Aorta)?

ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨ ꯄꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯍꯣꯁ꯭ꯄꯤꯇꯥꯜ ꯑꯗꯨꯗꯥ ꯂꯩꯔꯤꯕꯥ ꯗꯣꯛꯇꯔꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯅꯔꯁꯁꯤꯡꯅꯥ ꯑꯉꯥꯡ ꯑꯗꯨꯒꯤ ꯍꯀꯁꯦꯜ ꯑꯗꯨ ꯌꯦꯡꯁꯤꯅꯒꯅꯤ꯫ ꯃꯇꯝ ꯑꯗꯨꯃꯛꯇꯗꯥ ꯃꯈꯣꯌꯅꯥ ꯊꯝꯃꯣꯌꯗꯥ ꯊꯣꯀꯄꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯑꯃꯍꯦꯛꯇꯗꯥ ꯑꯈꯟꯅꯕꯥ ꯃꯤꯠꯌꯦꯡ ꯆꯪꯒꯅꯤ꯫

• ꯄꯂꯁ ꯑꯣꯛꯁꯤꯃꯦꯇꯔꯤ (Pulse Oximetry): ꯑꯉꯥꯡ ꯑꯗꯨꯒꯤ ꯃꯈꯨꯠ ꯅꯠꯠꯔꯒꯥ ꯈꯣꯡꯗꯥ ꯑꯄꯤꯀꯄꯥ ꯁꯦꯟꯁꯔ ꯑꯃꯥ ꯊꯃꯗꯨꯅꯥ ꯏꯗꯥ ꯌꯥꯎꯔꯤꯕꯥ ꯑꯣꯛꯁꯤꯖꯦꯅꯒꯤ ꯆꯥꯡ ꯑꯗꯨ ꯌꯦꯡꯁꯤꯜꯂꯤ꯫ ꯑꯣꯛꯁꯤꯖꯦꯅꯒꯤ ꯆꯥꯡ ꯅꯦꯝꯕꯥ ꯑꯁꯤ ꯍꯥꯔꯇꯀꯤ ꯂꯥꯌꯅꯥꯒꯤ ꯈꯨꯗꯝ ꯑꯃꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤ ꯏꯆꯝ ꯆꯝꯕꯥ, ꯑꯋꯥꯕꯥ ꯂꯩꯇꯕꯥ ꯇꯦꯁ꯭ꯠ ꯑꯃꯅꯤ꯫
• ꯍꯥꯔꯠ ꯃꯨꯔꯃꯨꯔ: ꯗꯣꯛꯇꯔꯅꯥ ꯑꯉꯥꯡ ꯑꯗꯨꯒꯤ ꯍꯥꯔꯠ ꯑꯗꯨ ꯁ꯭ꯇꯦꯊꯣꯁ꯭ꯀꯣꯞ ꯑꯃꯅꯥ ꯇꯥꯕꯥ ꯃꯇꯃꯗꯥ, ꯀꯔꯤꯒꯨꯝꯕꯥ ``Overriding Aorta''ꯒꯨꯝꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯥ ꯂꯩꯔꯕꯗꯤ, ꯅꯣꯔꯃꯦꯜ ꯍꯥꯔꯇꯀꯤ ꯈꯣꯡꯖꯦꯂꯒꯤ ꯃꯊꯛꯇꯥ ꯇꯣꯉꯥꯅꯕꯥ ꯈꯣꯟꯖꯦꯜ ꯑꯃꯥ, ``ꯍꯥꯔꯠ ꯃꯨꯔꯃꯔ'' ꯍꯥꯌꯅꯥ ꯀꯧꯕꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯄꯨꯝꯅꯃꯛ ꯑꯁꯤ ꯈꯨꯗꯣꯡꯊꯤꯅꯤꯉꯥꯏ ꯑꯣꯏꯗꯦ, ꯑꯗꯨꯕꯨ ꯃꯁꯤꯒꯤ ꯀꯦꯁ ꯑꯁꯤꯗꯥ, ꯃꯁꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯈꯨꯗꯝ ꯑꯃꯅꯤ꯫

ꯀꯅꯐꯥꯔꯝ ꯇꯧꯅꯕꯥ ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯇꯧꯕꯥ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯊꯛꯇꯥ ꯄꯅꯈ꯭ꯔꯤꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯂꯩꯔꯕꯗꯤ, ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯗꯨ ꯀꯅꯐꯥꯔꯝ ꯇꯧꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯍꯥꯔꯇꯀꯤ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯑꯗꯨꯒꯤ ꯑꯆꯨꯝꯕꯥ ꯃꯑꯣꯡ-ꯃꯇꯧ ꯑꯗꯨ ꯈꯪꯗꯣꯛꯅꯕꯥ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯇꯧꯅꯕꯥ ꯑꯣꯔꯗꯔ ꯇꯧꯒꯅꯤ:

• ꯏꯀꯣꯀꯥꯔꯗꯤꯑꯣꯒ꯭ꯔꯥꯐ (Echo): ꯃꯁꯤ ꯍꯥꯔꯇꯀꯤ ꯑꯂꯠꯔꯥꯁꯥꯎꯟꯗ ꯁ꯭ꯀꯦꯟ ꯑꯃꯒꯨꯝꯅꯥ ꯑꯣꯏ꯫ ꯃꯁꯤꯅꯥ ꯍꯥꯔꯇꯀꯤ ꯁ꯭ꯠꯔꯀꯆꯔ, ꯚꯜꯌꯨꯁꯤꯡꯒꯤ ꯐꯉ꯭ꯀꯁꯟ, ꯏ ꯆꯦꯅꯕꯥ ꯃꯑꯣꯡ, VSDꯒꯤ ꯁꯥꯏꯖ ꯑꯃꯁꯨꯡ ꯑꯦꯑꯣꯔꯇꯥꯒꯤ ꯃꯐꯃꯗꯒꯤ ꯍꯧꯔꯒꯥ ꯄꯨꯝꯅꯃꯛ ꯃꯌꯦꯛ ꯁꯦꯡꯅꯥ ꯎꯕꯥ ꯐꯪꯏ꯫ ꯃꯁꯤ ꯐꯦꯂꯣꯠꯀꯤ ꯇꯦꯠꯔꯥꯂꯣꯖꯤ ꯈꯉꯗꯣꯛꯅꯕꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯇꯦꯁ꯭ꯇꯅꯤ꯫
• ꯏꯂꯦꯛꯠꯔꯣꯀꯥꯔꯗꯤꯑꯣꯒ꯭ꯔꯥꯐ (ECG/EKG): ꯃꯁꯤꯅꯥ ꯍꯥꯔꯇꯀꯤ ꯏꯂꯦꯛꯠꯔꯤꯀꯦꯜ ꯑꯦꯛꯇꯤꯚꯤꯇꯤ ꯔꯦꯀꯣꯔꯗ ꯇꯧꯏ꯫ ꯃꯁꯤꯅꯥ ꯍꯥꯔꯇꯀꯤ ꯆꯦꯝꯕꯔꯁꯤꯡ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯔꯤꯗꯃꯒꯤ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯃꯁꯤꯡꯒꯨꯝꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ ꯈꯪꯗꯣꯀꯄꯥ ꯉꯝꯃꯤ꯫
• ꯆꯦꯁ꯭ꯠ ꯑꯦꯛꯁ-ꯔꯦ: ꯱.ꯃꯁꯤꯅꯥ ꯍꯥꯔꯇꯀꯤ ꯁꯥꯏꯖ ꯑꯃꯁꯨꯡ ꯃꯑꯣꯡ-ꯃꯇꯧ ꯑꯃꯁꯨꯡ ꯂꯪꯁꯇꯥ ꯆꯠꯂꯤꯕꯥ ꯏꯒꯤ ꯆꯥꯡ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯅꯦꯝꯂꯕꯔꯥ ꯅꯠꯠꯔꯒꯥ ꯌꯥꯝꯅꯥ ꯋꯥꯡꯕꯔꯥ ꯍꯥꯌꯕꯁꯤꯒꯨꯝꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡꯒꯤ ꯋꯥꯈꯜꯂꯣꯟ ꯑꯃꯥ ꯄꯤꯕꯥ ꯉꯃꯒꯅꯤ꯫
• ꯀꯝꯞꯌꯨꯇꯔ ꯇꯣꯃꯣꯒ꯭ꯔꯥꯐꯤ (CT) ꯁ꯭ꯀꯦꯟ ꯅꯠꯠꯔꯒꯥ ꯍꯥꯔꯇꯀꯤ ꯑꯦꯝ.ꯑꯥꯔ.ꯑꯥꯏ.
• ꯀꯥꯔꯗꯤꯌꯦꯛ ꯀꯦꯇꯦꯒꯣꯔꯤ (cardiac Catheterization): ꯃꯁꯤꯗꯥ ꯌꯥꯝꯅꯥ ꯂꯨꯕꯥ ꯇꯤꯎꯕ (catheter) ꯑꯃꯥ ꯑꯉꯥꯡꯒꯤ ꯒ꯭ꯔꯨꯏꯟ ꯅꯠꯠꯔꯒꯥ ꯑꯥꯔꯝ (arm)ꯗꯥ ꯂꯩꯕꯥ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯜ ꯑꯃꯗꯒꯤ ꯍꯥꯔꯇꯇꯥ ꯌꯧꯍꯜꯂꯤ, ꯃꯐꯃꯗꯨꯗꯥ ꯍꯥꯔꯇꯀꯤ ꯃꯅꯨꯡꯗꯥ ꯂꯩꯕꯥ ꯄ꯭ꯔꯦꯁꯔ ꯑꯗꯨ ꯂꯦꯄꯊꯣꯀꯏ, ꯑꯣꯛꯁꯤꯖꯦꯅꯒꯤ ꯆꯥꯡ ꯑꯗꯨ ꯌꯦꯡꯁꯤꯜꯂꯤ, ꯑꯃꯁꯨꯡ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯗꯥꯏꯑꯦ ꯑꯃꯥ ꯏꯅꯖꯦꯀꯁꯟ ꯇꯧꯗꯨꯅꯥ X-ray ꯏꯃꯦꯖꯁꯤꯡ ꯂꯧꯏ꯫ ꯃꯁꯤꯅꯥ ꯁꯔꯖꯔꯤꯒꯤ ꯃꯃꯥꯡꯗꯥ ꯍꯥꯔꯇꯀꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯗꯨ ꯑꯆꯨꯝꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯑꯦꯁꯦꯁ ꯇꯧꯕꯗꯥ ꯌꯥꯝꯅꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫
• ꯕ꯭ꯂꯗ ꯇꯦꯁ꯭ꯠ: ꯃꯁꯤꯅꯥ ꯏꯗꯥ ꯑꯣꯛꯁꯤꯖꯦꯅꯒꯤ ꯆꯥꯡ ꯑꯃꯁꯨꯡ ꯔꯦꯗ ꯕ꯭ꯂꯗ ꯁꯦꯂꯁꯤꯡ (ꯍꯦꯃꯣꯒ꯭ꯂꯣꯕꯤꯟ)ꯒꯤ ꯆꯥꯡ ꯑꯁꯤꯅꯆꯤꯡꯕꯥ ꯋꯥꯐꯃꯁꯤꯡ ꯌꯦꯡꯁꯤꯅꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫

ꯃꯁꯤꯒꯤ `(Overriding Aorta)` ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯂꯥꯏꯌꯦꯡꯕꯒꯦ?

ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤꯒꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯥ ꯑꯃꯁꯨꯡ ꯑꯃꯠꯇꯥ ꯉꯥꯏꯔꯕꯥ ꯄꯔꯃꯦꯅꯦꯟꯇ ꯂꯥꯏꯌꯦꯡ (Tetralogy of Fallot) ꯑꯁꯤ ꯍꯥꯔꯇꯀꯤ ꯑꯁꯣꯀꯄꯥ ꯃꯔꯤ ꯄꯨꯝꯅꯃꯛ ꯀꯣꯀꯍꯟꯅꯕꯥ ꯁꯔꯖꯔꯤꯅꯤ꯫ ꯃꯁꯤ ꯃꯍꯧꯁꯥꯅꯥ ꯑꯣꯄꯟ-ꯍꯥꯔꯠ ꯁꯔꯖꯔꯤ ꯑꯣꯏꯅꯥ ꯇꯧꯏ .

• ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯝ: ꯑꯌꯥꯝꯕꯥ ꯀꯦꯁꯁꯤꯡꯗꯗꯤ, ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯑꯉꯥꯡ ꯑꯗꯨꯅꯥ ꯊꯥ 6 ꯁꯨꯗ꯭ꯔꯤꯉꯩꯗꯥ, ꯅꯠꯠꯔꯒꯥ ꯑꯍꯥꯅꯕꯥ ꯆꯍꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯁꯔꯖꯔꯤ ꯑꯁꯤ ꯄꯥꯡꯊꯣꯛꯅꯕꯥ ꯄꯥꯎꯇꯥꯛ ꯄꯤꯔꯤ . ꯑꯉꯥꯡ ꯑꯗꯨꯒꯤ ꯐꯤꯚꯃꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ, ꯑꯉꯥꯡ ꯈꯔꯗꯗꯤ ꯃꯁꯤ ꯍꯦꯟꯅꯥ ꯉꯟꯅꯥ ꯄꯥꯡꯊꯣꯀꯄꯥ ꯌꯥꯕꯥ ꯃꯇꯝ ꯂꯩ꯫
• ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯃꯗꯥ ꯀꯔꯤ ꯊꯣꯀꯏ?: ꯁꯔꯖꯔꯤꯅꯥ ꯚꯦꯟꯇꯤꯂꯦꯇꯔꯁꯤꯡꯒꯤ ꯃꯔꯛꯇꯥ ꯂꯩꯕꯥ ꯋꯥꯜ ꯑꯗꯨ ꯑꯈꯟꯅꯕꯥ ꯄꯦꯆ ꯑꯃꯅꯥ ꯊꯤꯡꯏ꯫ ꯃꯍꯥꯛꯅꯥ ꯄꯂꯃꯣꯅꯥꯔꯤ ꯑꯥꯔꯇꯦꯔꯤ ꯑꯃꯁꯨꯡ ꯚꯜꯌꯨꯗꯥ ꯂꯩꯕꯥ ꯕ꯭ꯂꯣꯀꯦꯖ ꯑꯗꯨꯁꯨ ꯂꯧꯊꯣꯀꯏ, ꯃꯗꯨꯅꯥ ꯏ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯆꯦꯅꯕꯥ ꯉꯃꯍꯜꯂꯤ꯫ ꯍꯥꯌꯔꯤꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ ꯑꯁꯤ ꯀꯣꯀꯍꯅꯕꯥ ꯃꯇꯃꯗꯥ, ꯑꯣꯚꯔꯔꯥꯏꯗ ꯑꯦꯑꯣꯔꯇꯥ ꯑꯃꯁꯨꯡ ꯔꯥꯏꯠ ꯚꯦꯟꯇꯤꯂꯦꯁꯅꯒꯤ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯑꯗꯨ ꯀꯣꯀꯍꯜꯂꯤ꯫
• ꯃꯇꯝ ꯈꯔꯒꯤ ꯑꯣꯏꯕꯥ ꯁꯟꯗꯣꯀꯄꯥ: ꯑꯉꯥꯡ ꯈꯔꯗꯤ ꯌꯥꯝꯅꯥ ꯄꯤꯀꯄꯥ, ꯅꯠꯠꯔꯒꯥ ꯃꯈꯣꯌꯒꯤ ꯄꯂꯃꯣꯅꯥꯔꯤ ꯑꯥꯔꯇꯦꯔꯤꯁꯤꯡ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯄꯤꯀꯄꯥ ꯑꯣꯏ, ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯃꯄꯨꯡꯐꯥꯕꯥ ꯁꯔꯖꯔꯤ ꯑꯗꯨ ꯈꯨꯗꯛꯇꯥ ꯇꯧꯕꯗꯥ ꯑꯋꯥꯕꯥ ꯑꯣꯏꯔꯀꯄꯥ ꯌꯥꯏ꯫ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯀꯦꯁꯁꯤꯡ ꯑꯁꯤꯗꯥ ꯁꯔꯖꯔꯤ ꯑꯃꯅꯥ ꯃꯇꯝ ꯈꯔꯒꯤ ꯑꯣꯏꯅꯥ ꯁꯟꯗꯣꯀꯄꯥ ꯌꯥꯏ . ꯃꯁꯤꯗꯥ ꯑꯉꯥꯡ ꯑꯗꯨꯒꯤ ꯑꯦꯑꯣꯔꯇꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯇꯩ ꯑꯆꯧꯕꯥ ꯑꯥꯔꯇꯦꯔꯤ ꯑꯃꯗꯒꯤ ꯁꯥꯈꯥ ꯑꯃꯥ ꯂꯧꯗꯨꯅꯥ ꯄꯂꯃꯣꯅꯥꯔꯤ ꯑꯥꯔꯇꯦꯔꯤꯒꯥ ꯁꯝꯅꯍꯅꯕꯁꯤ ꯌꯥꯎꯏ꯫ ꯃꯁꯤꯅꯥ ꯂꯪꯁꯇꯥ ꯆꯠꯂꯤꯕꯥ ꯏꯒꯤ ꯆꯥꯡ ꯍꯦꯅꯒꯠꯍꯜꯂꯤ, ꯃꯗꯨꯅꯥ ꯑꯉꯥꯡ ꯑꯗꯨ ꯈꯔꯥ ꯍꯦꯟꯅꯥ ꯂꯨꯝꯂꯕꯥ ꯑꯃꯁꯨꯡ ꯃꯄꯨꯡꯐꯥꯕꯥ ꯁꯔꯖꯔꯤ ꯑꯗꯨ ꯄꯥꯡꯊꯣꯀꯄꯥ ꯉꯃꯗ꯭ꯔꯤꯐꯥꯎꯕꯥ ꯔꯤꯂꯤꯐ ꯄꯤ꯫

ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯱꯹꯵꯰ꯒꯤ ꯃꯌꯥꯏ ꯆꯜꯂꯀꯄꯗꯒꯤ ꯇꯦꯠꯔꯥꯂꯣꯖꯤ ꯑꯣꯐ ꯐꯦꯂꯣꯠ ꯂꯥꯌꯦꯡꯅꯕꯥ ꯑꯣꯄꯟ-ꯍꯥꯔꯠ ꯁꯔꯖꯔꯤ ꯑꯁꯤ ꯄꯥꯡꯊꯣꯛꯇꯨꯅꯥ ꯂꯥꯛꯂꯤ, ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯃꯁꯤ ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯂꯃꯗꯥ ꯌꯥꯝꯅꯥ ꯂꯤꯔꯕꯥ ꯊꯧꯑꯣꯡ ꯑꯃꯅꯤ꯫

ꯁꯤꯖꯤꯟꯅꯔꯤꯕꯥ ꯗ꯭ꯔꯒ ꯃꯈꯂꯁꯤꯡ꯫

ꯁꯔꯖꯔꯤꯒꯤ ꯃꯊꯛꯇꯥ, ꯍꯤꯗꯥꯛ ꯈꯔꯗꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ ꯊꯤꯡꯕꯗꯁꯨ ꯁꯤꯖꯤꯟꯅꯩ:

• ꯕꯦꯇꯥ-ꯕ꯭ꯂꯣꯀꯔ ꯍꯤꯗꯥꯀꯁꯤꯡ (ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯄ꯭ꯔꯣꯞꯔꯥꯅꯣꯂꯣꯜ): ꯃꯁꯤꯅꯥ ꯈꯨꯗꯣꯡꯊꯤꯅꯤꯉꯥꯏ ꯑꯣꯏꯕꯥ ꯇꯦꯠ ꯁ꯭ꯄꯦꯂꯁꯤꯡ ꯑꯗꯨ ꯊꯣꯀꯍꯟꯗꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ ꯑꯃꯁꯨꯡ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯊꯣꯛꯂꯕꯗꯤ ꯃꯈꯣꯌꯒꯤ ꯁꯣꯀꯍꯜꯂꯀꯄꯥ ꯍꯟꯊꯍꯜꯂꯤ꯫
• ꯗꯥꯏꯑꯦꯕꯦꯇꯤꯖ: ꯃꯁꯤꯅꯥ ꯍꯀꯆꯥꯡꯗꯥ ꯃꯊꯧ ꯇꯥꯗꯕꯥ ꯐ꯭ꯂꯨꯏꯗ ꯍꯟꯊꯍꯅꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ ꯑꯃꯁꯨꯡ ꯍꯥꯔꯇꯇꯥ ꯄ꯭ꯔꯦꯁꯔ ꯍꯟꯊꯍꯅꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ (ꯍꯥꯔꯠ ꯐꯦꯜ ꯑꯣꯏꯕꯒꯨꯝꯕꯥ ꯀꯟꯗꯤꯁꯅꯁꯤꯡꯗꯥ)꯫
• `(ꯑꯦꯟꯇꯤꯕꯥꯏꯑꯣꯇꯤꯀꯁꯤꯡ)` (ꯑꯦꯟꯇꯤꯕꯥꯏꯑꯣꯇꯤꯀꯁꯤꯡ):ꯍꯥꯔꯇꯀꯤ ꯂꯥꯌꯅꯥ ꯃꯈꯜ ꯑꯁꯤꯒꯤ ꯑꯉꯥꯡꯁꯤꯡꯗꯥ ꯍꯥꯔꯇꯀꯤ ꯃꯅꯨꯡꯒꯤ ꯂꯥꯏꯅꯤꯡ (`ꯏꯅꯐꯦꯛꯇꯤꯕ ꯑꯦꯟꯗꯣꯀꯥꯔꯗꯤꯇꯤꯁ`)ꯒꯤ ꯏꯅꯐꯦꯛꯁꯟ (`ꯏꯅꯐꯦꯛꯇꯤꯕ ꯑꯦꯟꯗꯣꯀꯥꯔꯗꯤꯇꯤꯁ`) ꯊꯣꯀꯍꯅꯕꯒꯤ ꯔꯤꯁ꯭ꯛ ꯂꯩ, ꯃꯔꯨꯑꯣꯏꯅꯥ ꯍꯥꯀꯆꯥꯡ ꯂꯧꯊꯣꯀꯄꯒꯨꯝꯕꯥ ꯑꯀꯛꯅꯕꯥ ꯃꯦꯗꯤꯀꯦꯜ ꯄ꯭ꯔꯣꯁꯤꯗ꯭ꯌꯨꯑꯣꯔꯁꯤꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯍꯤꯗꯥꯛ ꯑꯁꯤ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯏꯅꯐꯦꯛꯁꯅꯁꯤꯡ ꯊꯤꯡꯅꯕꯥ ꯄꯤꯕꯅꯤ꯫

ꯂꯥꯏꯌꯦꯡꯕꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯟ ꯂꯩꯕ꯭ꯔꯥ?

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯁꯔꯖꯔꯤ ꯑꯗꯨ ꯃꯥꯌꯄꯥꯛꯂꯕꯁꯨ, ꯃꯇꯃꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯟ ꯈꯔꯗꯤ ꯂꯥꯀꯄꯥ ꯌꯥꯏ꯫

• ꯇꯦꯠꯔꯥꯂꯣꯖꯤ ꯑꯣꯐ ꯐꯦꯂꯣꯠ ꯔꯤꯄꯦꯌꯥꯔ ꯇꯧꯕꯥ ꯃꯇꯃꯗꯥ, ꯁꯔꯖꯔꯤꯁꯤꯡꯅꯥ ꯄꯂꯃꯣꯅꯥꯔꯤ ꯚꯜꯌꯨ ꯑꯁꯤ ꯈꯔꯥ ꯍꯦꯟꯅꯥ ꯐ꯭ꯂꯦꯛꯁꯤꯕꯜ ꯑꯣꯏꯍꯜꯂꯤ, ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯃꯤꯑꯣꯏ ꯀꯌꯥꯅꯥ ꯚꯜꯌꯨ ꯑꯗꯨꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯃꯇꯨꯡꯗꯥ ꯏꯒꯤ ꯆꯥꯡ ꯈꯔꯥ ꯂꯤꯛ ꯑꯣꯏꯕꯥ (ꯄꯂꯃꯣꯅꯥꯔꯤ ꯔꯤꯒꯔꯖꯤꯇꯦꯁꯟ) ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫
• ꯃꯁꯤꯅꯥ ꯍꯥꯔꯠ ꯔꯤꯗꯃꯒꯤ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯃꯁꯤꯡ (arrhythmias) ꯂꯥꯀꯄꯒꯤ ꯔꯤꯁ꯭ꯛ ꯍꯦꯅꯒꯠꯍꯜꯂꯤ꯫
• ꯃꯇꯃꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ, ꯚꯜꯌꯨꯝ ꯑꯁꯤ ꯂꯤꯛ ꯑꯣꯏꯕꯥ ꯍꯦꯅꯒꯠꯂꯀꯏ, ꯃꯗꯨꯅꯥ ꯍꯥꯔꯇꯀꯤ ꯑꯔꯣꯏꯕꯥ ꯃꯐꯃꯗꯥ ꯍꯦꯟꯅꯥ ꯁ꯭ꯠꯔꯦꯁ ꯂꯩꯍꯟꯗꯨꯅꯥ, ꯁꯔꯨꯛ ꯑꯗꯨ ꯍꯦꯟꯅꯥ ꯆꯥꯎꯈꯠꯂꯀꯏ, ꯑꯃꯁꯨꯡ ꯍꯥꯔꯠ ꯐꯦꯜ ꯑꯣꯏꯕꯐꯥꯎꯕꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫
• ꯁꯔꯖꯔꯤꯒꯤ ꯆꯍꯤ ꯀꯌꯥꯒꯤ ꯃꯇꯨꯡꯗꯥ, ꯑꯦꯑꯣꯔꯇꯥ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ (aortic root dilatation) ꯅꯠꯠꯔꯒꯥ ꯂꯤꯛ ꯑꯣꯏꯕꯥ ꯇ꯭ꯔꯥꯏꯀꯁꯄꯤꯗ ꯚꯜꯌꯨꯒꯨꯝꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯁꯤ ꯑꯣꯏꯔꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯑꯍꯦꯅꯕꯥ ꯁꯔꯖꯔꯤ ꯅꯠꯠꯔꯒꯥ ꯑꯇꯩ ꯂꯥꯏꯌꯦꯡꯁꯤꯡ ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯏ꯫ ꯃꯔꯝ ꯑꯁꯤꯅꯥ ꯃꯈꯥ ꯇꯥꯅꯥ ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯆꯦꯀꯑꯞ ꯇꯧꯕꯥ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫

ꯁꯔꯖꯔꯤ ꯇꯧꯗ꯭ꯔꯤꯉꯩꯗꯥ ꯑꯉꯥꯡ ꯑꯗꯨꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯝꯅꯥ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯒꯗꯒꯦ?

ꯁꯔꯖꯔꯤ ꯑꯗꯨ ꯂꯣꯌꯗ꯭ꯔꯤꯐꯥꯎꯕꯥ, ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯑꯉꯥꯡ ꯑꯗꯨꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯗꯨ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯑꯉꯥꯡ ꯑꯗꯨꯕꯨ ꯅꯨꯡꯉꯥꯏꯅꯥ ꯂꯩꯅꯕꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯁꯤꯡꯁꯤ ꯇꯧꯒꯅꯤ:

• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯊꯧ ꯇꯥꯔꯕꯗꯤ, ꯍꯥꯔꯇꯀꯤ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ (e.g., beta-blockers) ꯄꯤꯌꯨ꯫
• ꯑꯉꯥꯡ ꯑꯗꯨꯅꯥ ꯐ꯭ꯂꯨꯏꯗ ꯑꯃꯁꯨꯡ ꯅ꯭ꯌꯨꯠꯔꯤꯁꯟ ꯃꯇꯤꯛ ꯆꯥꯅꯥ ꯐꯪꯂꯤꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯁꯤꯅꯕꯥ꯫
• ꯏꯒꯤ ꯍꯦꯃꯣꯒ꯭ꯂꯣꯕꯤꯅꯒꯤ ꯆꯥꯡ ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯌꯦꯡꯁꯤꯜꯂꯨ ꯑꯃꯁꯨꯡ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯊꯧ ꯇꯥꯔꯕꯗꯤ ꯑꯥꯏꯔꯟ ꯌꯥꯎꯕꯥ ꯁꯤꯔꯄꯁꯤꯡ (ꯑꯦꯅꯤꯃꯤꯌꯥ ꯊꯤꯡꯅꯕꯥ) ꯄꯤꯌꯨ꯫
• ꯑꯉꯥꯡ ꯑꯗꯨꯗꯥ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯅꯥ ꯁꯣꯀꯍꯜꯂꯤꯕꯥ ꯊꯕꯛ ꯊꯧꯔꯃꯁꯤꯡ, ꯍꯥꯌꯕꯗꯤ ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯀꯞꯄꯥ ꯑꯁꯤꯅꯆꯤꯡꯕꯥ ꯇꯧꯔꯣꯏꯗꯕꯅꯤ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ``ꯇꯦꯠ ꯁ꯭ꯄꯦꯜ'' ꯑꯃꯥ ꯊꯣꯛꯂꯕꯗꯤ, ꯑꯉꯥꯡ ꯑꯗꯨꯒꯤ ꯈꯨꯎꯁꯤꯡ ꯑꯗꯨ ꯃꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ (``ꯈꯨꯠ-ꯈꯨꯠꯂꯥꯏꯒꯤ ꯄꯣꯖꯤꯁꯟ'') ꯅꯛꯅꯥ ꯊꯝꯕꯅꯥ ꯔꯤꯂꯤꯐ ꯄꯤꯕꯥ ꯌꯥꯏ꯫ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯃꯁꯤ ꯀꯔꯝꯅꯥ ꯇꯧꯒꯗꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯇꯥꯀꯄꯤꯒꯅꯤ꯫

ꯃꯁꯤ ꯊꯣꯀꯄꯒꯤ ꯔꯤꯁ꯭ꯛ ꯍꯟꯊꯍꯅꯕꯥ ꯉꯃꯒꯗ꯭ꯔꯥ?

ꯑꯌꯥꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯅꯧꯅꯥ ꯄꯣꯀꯄꯥ ꯑꯉꯥꯡꯁꯤꯡꯗꯥ ꯍꯥꯔꯇꯀꯤ ꯂꯥꯌꯅꯥ ꯊꯣꯀꯍꯅꯕꯁꯤ ꯀꯔꯤꯅꯣ ꯍꯥꯌꯕꯁꯤ ꯆꯨꯝꯅꯥ ꯈꯉꯕꯥ ꯉꯃꯗ꯭ꯔꯕꯁꯨ, ꯃꯤꯔꯣꯜꯂꯤꯉꯩ ꯃꯇꯃꯗꯥ ꯃꯃꯥꯒꯤ ꯍꯀꯁꯦꯜ ꯑꯃꯁꯨꯡ ꯄꯨꯟꯁꯤ ꯃꯍꯤꯡꯗꯥ ꯁꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ ꯍꯥꯌꯅꯥ ꯔꯤꯁꯔꯆꯔꯁꯤꯡꯅꯥ ꯊꯥꯖꯩ꯫ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯐꯦꯛꯇꯔꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯑꯉꯥꯡ ꯑꯃꯗꯥ ꯍꯥꯔꯇꯀꯤ ꯂꯥꯌꯅꯥ ꯂꯥꯀꯄꯒꯤ ꯔꯤꯁ꯭ꯛ ꯍꯦꯅꯒꯠꯍꯅꯕꯥ ꯌꯥꯏ:

• ꯃꯃꯥ, ꯃꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯏꯃꯨꯡꯒꯤ ꯑꯇꯣꯞꯄꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯗꯥ ꯀꯣꯟꯖꯤꯅꯤꯑꯦꯜ ꯍꯥꯔꯇꯀꯤ ꯂꯥꯌꯅꯥ ꯑꯃꯥ ꯂꯩꯕꯥ꯫
• ꯃꯤꯔꯣꯜꯂꯤꯉꯩ ꯃꯇꯃꯗꯥ ꯃꯃꯥꯅꯥ ꯃꯩꯈꯨ ꯊꯥꯗꯣꯀꯄꯥ꯫
• ꯃꯃꯥ ꯑꯗꯨꯅꯥ ꯃꯤꯔꯣꯜꯂꯤꯉꯩ ꯃꯇꯃꯗꯥ ꯇꯣꯏꯅꯥ ``ꯔꯨꯕꯦꯂꯥ`` (ꯖꯔꯃꯅꯤ ꯃꯤꯖꯂꯁ)ꯒꯨꯝꯕꯥ ꯏꯅꯐꯦꯛꯁꯟ ꯑꯃꯥ ꯊꯣꯀꯏ꯫
• ꯃꯃꯥ ꯑꯗꯨ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯗꯕꯥ ꯗꯥꯏꯑꯦꯕꯦꯇꯤꯖ ꯂꯩ꯫
• ꯃꯤꯔꯣꯜꯂꯤꯉꯩꯒꯤ ꯑꯍꯥꯅꯕꯥ ꯊꯥ ꯑꯍꯨꯃꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯀꯛꯅꯕꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ (ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯁꯤꯖ꯭ꯌꯨꯔ ꯍꯤꯗꯥꯛ ꯈꯔꯗꯤ) ꯂꯧꯕꯥ꯫
• ꯃꯃꯥꯒꯤ ꯌꯨ ꯊꯀꯄꯥ꯫
• ꯃꯤꯔꯣꯜꯂꯤꯉꯩ ꯃꯇꯃꯗꯥ ꯅ꯭ꯌꯨꯠꯔꯤꯁꯅꯒꯤ ꯑꯋꯥꯠꯄꯥ ꯂꯩꯕꯥ꯫
• ꯃꯤꯔꯣꯜꯂꯤꯉꯩ ꯃꯇꯃꯗꯥ ꯃꯃꯥꯒꯤ ꯆꯍꯤ 40ꯗꯒꯤ ꯍꯦꯅꯕꯥ꯫

ꯃꯔꯝ ꯑꯗꯨꯅꯥ, ꯇꯨꯡꯗꯥ ꯃꯤꯔꯣꯅꯕꯥ ꯃꯇꯃꯗꯥ ꯔꯤꯁ꯭ꯛ ꯑꯁꯤ ꯍꯟꯊꯍꯟꯅꯕꯒꯤꯗꯃꯛ, ꯃꯤꯔꯣꯜꯂꯤꯉꯩ ꯃꯃꯥꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯁꯦꯜ ꯌꯦꯡꯁꯤꯅꯕꯥ, ꯍꯧꯖꯤꯛ ꯂꯩꯔꯤꯕꯥ ꯃꯦꯗꯤꯀꯦꯜ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ (ꯗꯥꯏꯕꯦꯇꯤꯁꯒꯨꯝꯕꯥ) ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯥ, ꯃꯩꯈꯨ ꯑꯃꯁꯨꯡ ꯌꯨ ꯊꯀꯄꯥ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯊꯤꯡꯕꯥ, ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯤ ꯑꯌꯥꯕꯥ ꯌꯥꯎꯗꯅꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛ ꯑꯃꯠꯇꯥ ꯂꯧꯗꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯏꯃꯨꯡꯗꯥ ꯀꯅꯥꯒꯨꯝꯕꯥ ꯑꯃꯗꯥ ꯍꯥꯔꯇꯀꯤ ꯂꯥꯌꯅꯥ ꯂꯩꯔꯕꯗꯤ, ꯖꯤꯅꯦꯇꯤꯛ ꯀꯥꯎꯟꯁꯦꯂꯔ ꯑꯃꯗꯒꯤ ꯄꯥꯎꯇꯥꯛ ꯂꯧꯕꯁꯨ ꯂꯧꯁꯤꯡ ꯂꯩ꯫

`(Overriding Aorta)` ꯂꯩꯕꯥ ꯑꯉꯥꯡ ꯑꯃꯅꯥ ꯀꯔꯝꯕꯥ ꯃꯈꯂꯒꯤ ꯇꯨꯡꯒꯤ ꯊꯥꯖꯕꯥ ꯊꯝꯕꯥ ꯌꯥꯕꯒꯦ?

ꯃꯁꯤ ꯅꯍꯥꯛꯀꯤꯗꯃꯛꯇꯥ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯁꯣꯀꯄꯥ ꯌꯥꯏ, ꯑꯗꯨꯕꯨ ꯑꯆꯨꯝꯕꯥ ꯑꯗꯨꯗꯤ, ꯑꯉꯥꯡ ꯑꯌꯥꯝꯕꯅꯥ ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯅꯣꯔꯃꯦꯜ, ꯍꯀꯁꯦꯜ ꯐꯕꯥ ꯄꯨꯟꯁꯤ ꯑꯃꯥ ꯍꯤꯡꯏ꯫

• ꯇꯦꯠꯔꯥꯂꯣꯖꯤ ꯑꯣꯐ ꯐꯦꯂꯣꯠ (ꯃꯁꯤꯗꯥ ꯑꯣꯚꯔꯔꯥꯏꯗ ꯑꯦꯑꯣꯔꯇꯥ ꯌꯥꯎꯕꯥ)ꯒꯤ ꯁꯔꯖꯔꯤ ꯃꯥꯌꯄꯥꯛꯅꯥ ꯄꯥꯡꯊꯣꯀꯈꯤꯕꯥ ꯑꯉꯥꯡꯁꯤꯡꯒꯤ 90% ꯍꯦꯟꯅꯥ ꯐꯖꯅꯥ ꯆꯥꯎꯈꯠꯂꯀꯏ ꯑꯃꯁꯨꯡ ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯕꯥ ꯑꯦꯗꯜꯇ ꯂꯥꯏꯐꯇꯥ ꯍꯤꯡꯏ꯫ ꯃꯈꯣꯌꯅꯥ ꯁ꯭ꯀꯨꯂꯗꯥ ꯆꯠꯂꯤ, ꯁꯥꯟꯅꯩ, ꯊꯕꯛ ꯇꯧꯏ ꯑꯃꯁꯨꯡ ꯏꯃꯨꯡ-ꯃꯅꯨꯡ ꯂꯩ꯫ ꯈꯔꯗꯤ ꯃꯈꯣꯌꯒꯤ ꯆꯍꯤ 70 ꯑꯃꯁꯨꯡ 80 ꯐꯥꯎꯕꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯍꯀꯁꯦꯜ ꯐꯕꯥ ꯄꯨꯟꯁꯤ ꯍꯤꯡꯏ꯫
• ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯁꯔꯖꯔꯤ ꯑꯗꯨ ꯇꯧꯗ꯭ꯔꯕꯗꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯗꯨ ꯈꯨꯗꯣꯡꯊꯤꯅꯤꯉꯥꯏ ꯑꯣꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯗꯨ ꯑꯣꯏꯔꯕꯗꯤ, ꯃꯇꯃꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯗꯨ ꯍꯦꯟꯅꯥ ꯐꯠꯆꯤꯜꯂꯛꯀꯅꯤ, ꯃꯗꯨꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯄꯨꯟꯁꯤꯒꯤ ꯃꯇꯝ ꯂꯤꯃꯤꯠ ꯂꯩꯍꯜꯂꯛꯀꯅꯤ꯫ ꯅꯍꯥꯛꯅꯥ ꯆꯍꯤ 20 ꯐꯥꯎꯕꯥ ꯍꯤꯡꯕꯥ ꯉꯃꯗꯕꯥ ꯌꯥꯏ꯫

ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯔꯨ ꯑꯣꯏꯕꯥ ꯋꯥꯐꯃꯗꯤ ꯑꯆꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯑꯆꯨꯝꯕꯥ ꯂꯥꯏꯌꯦꯡ ꯐꯪꯍꯅꯕꯅꯤ꯫

ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯑꯉꯥꯡ ꯑꯗꯨꯕꯨ ꯀꯔꯝꯅꯥ ꯌꯦꯡꯁꯤꯅꯒꯅꯤ?

ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨ ꯌꯨꯃꯗꯥ ꯄꯨꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯆꯧꯕꯥ ꯊꯧꯗꯥꯡ ꯑꯃꯥ ꯂꯩ꯫

• ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯐꯣꯂꯣ-ꯑꯞ ꯚꯤꯖꯤꯠ ꯇꯧꯕꯥ: ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯅꯥ ꯄꯦꯗꯤꯑꯦꯠꯔꯤꯛ ꯀꯥꯔꯗꯤꯑꯣꯂꯣꯖꯤꯁ꯭ꯠ ꯑꯃꯒꯥ ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯐꯣꯂꯣ-ꯑꯞ ꯚꯤꯖꯤꯠ ꯇꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯒꯅꯤ꯫ ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯑꯍꯥꯅꯕꯗꯥ ꯍꯦꯟꯅꯥ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯌꯥꯏ, ꯑꯃꯁꯨꯡ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯍꯦꯟꯅꯥ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫ ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯊꯥꯗꯣꯛꯂꯣꯏꯗꯕꯅꯤ꯫
• ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯒꯤ ꯏꯅꯐꯦꯛꯁꯅꯁꯤꯡꯗꯒꯤ ꯉꯥꯀꯊꯣꯀꯄꯥ: ꯑꯁꯤꯒꯨꯝꯕꯥ ꯍꯥꯔꯠ ꯁꯔꯖꯔꯤ ꯇꯧꯔꯕꯥ ꯑꯉꯥꯡꯁꯤꯡꯗꯥ ꯔꯦꯁ꯭ꯄꯤꯔꯦꯇꯔꯤ ꯏꯅꯐꯦꯛꯁꯅꯁꯤꯡ ꯂꯥꯀꯄꯥ ꯌꯥꯏ, ꯃꯗꯨꯅꯥ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨ ꯀꯣꯜꯗ ꯑꯃꯁꯨꯡ ꯐꯤꯕꯔ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯗꯒꯤ ꯂꯥꯞꯅꯥ ꯊꯝꯃꯨ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯏꯅꯐꯦꯛꯁꯟ ꯑꯃꯥ ꯂꯥꯛꯂꯕꯗꯤ, ꯈꯨꯗꯛꯇꯥ ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯃꯇꯦꯡ ꯂꯧꯒꯗꯕꯅꯤ꯫
• ꯑꯦꯟꯇꯤꯕꯥꯏꯑꯣꯇꯤꯀꯁꯤꯡ: ꯍꯥꯔꯠ ꯏꯅꯐꯦꯛꯁꯟ (endocarditis) ꯊꯤꯡꯅꯕꯥ ꯗꯦꯟꯇꯤꯁ꯭ꯠ ꯄ꯭ꯔꯣꯁꯤꯗ꯭ꯌꯨꯑꯣꯔ ꯈꯔꯗꯤ ꯅꯠꯠꯔꯒꯥ ꯑꯇꯩ ꯑꯄꯤꯀꯄꯥ ꯁꯔꯖꯔꯤꯁꯤꯡꯒꯤ ꯃꯃꯥꯡꯗꯥ ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯑꯦꯟꯇꯤꯕꯥꯏꯑꯣꯇꯤꯀꯁꯤꯡ ꯔꯤꯀꯃꯦꯟꯗ ꯇꯧꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯍꯪꯕꯤꯌꯨ꯫
• ꯅ꯭ꯌꯨꯠꯔꯤꯁꯟ ꯑꯃꯁꯨꯡ ꯒ꯭ꯔꯣꯊ: ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯒꯤ ꯅ꯭ꯌꯨꯠꯔꯤꯁꯟ ꯑꯃꯁꯨꯡ ꯒ꯭ꯔꯣꯊ ꯑꯗꯨ ꯌꯦꯡꯁꯤꯅꯕꯤꯌꯨ꯫
• ꯊꯕꯛ ꯊꯧꯔꯃꯁꯤꯡ: ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯅꯥ ꯆꯍꯤ ꯌꯥꯃꯈꯠꯂꯀꯄꯒꯥ ꯂꯣꯌꯅꯅꯥ, ꯃꯍꯥꯛꯅꯥ ꯀꯔꯤ ꯊꯕꯛ-ꯊꯧꯔꯃꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯒꯦꯃꯁꯤꯡ ꯇꯧꯕꯥ ꯌꯥꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯇꯥꯟꯅꯧ꯫ ꯑꯌꯥꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯃꯍꯥꯛꯅꯥ ꯄꯨꯝꯅꯃꯛ ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯅꯥ ꯇꯧꯕꯥ ꯉꯝꯃꯤ꯫

ꯑꯩꯈꯣꯌꯅꯥ ꯆꯍꯤ ꯌꯥꯃꯈꯠꯂꯀꯄꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯑꯅꯧꯕꯥ ꯍꯥꯔꯇꯀꯤ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯃꯁꯤꯡ ꯂꯥꯀꯄꯥ ꯌꯥꯏ, ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯍꯥꯔꯇꯀꯤ ꯁ꯭ꯄꯦꯁꯤꯑꯦꯂꯤꯁ꯭ꯠ ꯑꯦꯀꯖꯥꯃꯤꯅꯦꯁꯅꯁꯤꯡ ꯑꯁꯤ ꯃꯄꯨꯡ-ꯃꯔꯩ ꯐꯥꯔꯕꯥ ꯃꯇꯃꯗꯁꯨ ꯃꯈꯥ ꯆꯠꯊꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫

ꯑꯩꯅꯥ ꯀꯗꯥꯌꯗꯥ ꯗꯣꯛꯇꯔꯒꯥ ꯎꯅꯒꯗꯒꯦ?

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯅꯥ ꯈꯨꯗꯃꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯍꯦꯛꯇꯕꯨ ꯎꯕꯥ ꯐꯪꯂꯕꯗꯤ, ꯗꯣꯛꯇꯔ ꯑꯃꯒꯥ ꯇꯥꯟꯅꯧ ꯅꯠꯠꯔꯒꯥ ꯈꯨꯗꯛꯇꯥ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯂꯗꯥ ꯄꯨꯈꯠꯀꯗꯕꯅꯤ:

• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯅꯧꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯂꯥꯛꯂꯕꯗꯤ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡ, ꯊꯕꯥꯛ ꯑꯃꯁꯨꯡ ꯂꯦꯡ-ꯑꯣꯠꯄꯒꯤ ꯃꯑꯣꯡ-ꯃꯇꯧ ꯑꯗꯨ ꯅꯤꯡꯊꯤꯅꯥ ꯎꯕꯥ ꯐꯪꯂꯕꯗꯤ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯗꯥ ꯑꯋꯥꯕꯥ ꯂꯩꯔꯕꯗꯤ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯁꯉ꯭ꯒꯣꯝ ꯊꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯆꯥꯅꯕꯥ ꯆꯤꯟꯖꯥꯛ ꯆꯥꯕꯗꯥ ꯋꯥꯅꯥ ꯊꯣꯛꯂꯕꯗꯤ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯊꯨꯅꯥ ꯋꯥꯈꯜ ꯇꯥꯕꯥ ꯎꯔꯕꯗꯤ꯫

ꯑꯩꯅꯥ ꯀꯗꯥꯏꯗꯥ ꯏꯃꯔꯖꯦꯟꯁꯤ ꯔꯨꯝ (ER)ꯗꯥ ꯆꯠꯀꯗꯒꯦ?

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯅꯥ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ``ꯇꯦꯠ ꯁ꯭ꯄꯦꯜ'' ꯑꯃꯥ ꯂꯩꯔꯕꯗꯤ, ꯍꯥꯌꯕꯗꯤ ꯃꯈꯣꯌ ꯑꯗꯨ ꯈꯪꯍꯧꯗꯅꯥ ꯕ꯭ꯂꯨ ꯑꯣꯏꯔꯛꯂꯕꯗꯤ, ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯋꯥꯈꯜ ꯃꯥꯡꯈꯤꯕꯥ ꯑꯣꯏꯔꯕꯗꯤ, ꯈꯨꯗꯛꯇꯥ 911ꯗꯥ ꯐꯣꯟ ꯇꯧꯕꯤꯌꯨ ꯅꯠꯠꯔꯒꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯅꯀꯄꯥ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯂꯒꯤ ꯏꯃꯔꯖꯦꯟꯁꯤ ꯔꯨꯃꯗꯥ ꯄꯨꯕꯤꯌꯨ꯫ ꯃꯐꯝ ꯑꯗꯨꯗꯥ, ꯃꯈꯣꯌꯗꯥ ꯑꯣꯛꯁꯤꯖꯦꯟ ꯑꯃꯁꯨꯡ/ꯅꯠꯠꯔꯒꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯗꯨ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯅꯕꯥ ``ꯃꯣꯔꯐꯤꯟ''ꯒꯨꯝꯕꯥ ꯍꯤꯗꯥꯀꯁꯤꯡ ꯄꯤꯕꯥ ꯌꯥꯏ꯫

ꯑꯩꯒꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯀꯔꯤ ꯋꯥꯍꯪ ꯍꯪꯒꯗꯒꯦ?

ꯑꯁꯤꯒꯨꯝꯕꯥ ꯃꯇꯝ ꯑꯁꯤꯗꯥ ꯑꯗꯣꯃꯒꯤ ꯋꯥꯈꯂꯗꯥ ꯋꯥꯍꯪ ꯀꯌꯥ ꯑꯃꯥ ꯂꯥꯀꯄꯥ ꯌꯥꯏ꯫ ꯋꯥꯐꯃꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯍꯪꯕꯗꯥ ꯂꯥꯡꯇꯛꯅꯒꯅꯨ:

• ꯑꯩꯅꯥ ꯑꯩꯒꯤ ꯑꯉꯥꯡꯒꯤ ꯁꯥꯟꯅꯄꯣꯠꯁꯤꯡ ꯅꯠꯠꯔꯒꯥ ꯑꯇꯩ ꯊꯕꯛ ꯊꯧꯔꯃꯁꯤꯡꯗꯥ ꯂꯤꯃꯤꯠ ꯂꯩꯍꯅꯒꯗ꯭ꯔꯥ?
• ꯑꯩꯒꯤ ꯑꯉꯥꯡ ꯑꯗꯨ ꯀꯌꯥꯝ ꯀꯨꯏꯅꯥ ꯆꯦꯛ-ꯑꯄꯀꯤꯗꯃꯛꯇꯥ ꯂꯥꯀꯄꯥ ꯃꯊꯧ ꯇꯥꯕꯒꯦ?
• ꯑꯩꯒꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯅꯥ ꯑꯍꯦꯅꯕꯥ ꯁꯔꯖꯔꯤꯁꯤꯡ ꯃꯊꯧ ꯇꯥꯕ꯭ꯔꯥ? ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯣꯏꯔꯒꯗꯤ ꯀꯗꯥꯌꯗꯥ?
• ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯊꯣꯛꯀꯗꯕꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤ ꯀꯔꯤꯅꯣ? ꯃꯈꯣꯌꯕꯨ ꯊꯤꯡꯅꯕꯥ ꯀꯔꯤ ꯇꯧꯕꯥ ꯌꯥꯕꯒꯦ?
• ꯑꯉꯥꯡ ꯑꯗꯨꯗꯥ ꯀꯔꯤ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ ꯄꯤꯒꯗꯒꯦ? ꯃꯈꯣꯌꯁꯤꯡ ꯑꯁꯤ ꯀꯌꯥ ꯌꯥꯝꯅꯥ ꯄꯤꯒꯗꯒꯦ? ꯃꯈꯣꯌꯗꯥ ꯁꯥꯏꯗ ꯏꯐꯦꯛꯇ ꯂꯩꯕ꯭ꯔꯥ?

ꯋꯥꯔꯤ ꯑꯁꯤꯗꯒꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯌꯨꯃꯗꯥ ꯄꯨꯔꯀꯄꯥ ꯄꯥꯝꯂꯤꯕꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯋꯥꯐꯃꯁꯤꯡꯗꯤ...

ꯑꯣꯀꯦ, ꯑꯩꯈꯣꯌꯅꯥ ꯑꯣꯚꯔꯔꯥꯏꯗ ꯑꯦꯑꯣꯔꯇꯥ ꯑꯃꯁꯨꯡ ꯇꯦꯠꯔꯥꯂꯣꯖꯤ ꯑꯣꯐ ꯐꯦꯂꯣꯠꯀꯤ ꯃꯇꯥꯡꯗꯥ ꯌꯥꯝꯅꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯈ꯭ꯔꯦ꯫ ꯍꯧꯖꯤꯛ ꯑꯗꯣꯝꯅꯥ ꯄ꯭ꯔꯦꯁꯔ ꯀꯌꯥ ꯑꯃꯥ ꯐꯥꯑꯣꯔꯀꯄꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯕꯨ, ꯋꯥꯐꯃꯁꯤꯡ ꯑꯁꯤ ꯅꯤꯡꯁꯤꯡꯕꯤꯌꯨ:

• ꯑꯣꯚꯔꯔꯥꯏꯗ ꯑꯦꯑꯣꯔꯇꯥ ꯍꯥꯌꯕꯁꯤ ꯇꯦꯠꯔꯥꯂꯣꯖꯤ ꯑꯣꯐ ꯐꯦꯂꯣꯠ ꯀꯧꯕꯥ ꯀꯣꯟꯖꯤꯅꯤꯑꯦꯜ ꯍꯥꯔꯠ ꯗꯤꯐꯦꯛꯇ ꯑꯃꯅꯤ꯫ ꯃꯁꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯒꯤ ꯑꯦꯑꯣꯔꯇꯥ (aorta) ꯑꯗꯨ ꯃꯤꯄꯥꯏꯕꯥ ꯄꯣꯀꯍꯟꯗꯨꯅꯥ ꯍꯀꯆꯥꯡ ꯄꯨꯝꯅꯃꯛꯇꯥ ꯑꯣꯛꯁꯤꯖꯦꯟ ꯌꯥꯎꯗꯕꯥ ꯏ ꯆꯦꯟꯊꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯑꯣꯏ꯫
• ꯂꯥꯏꯑꯣꯡꯁꯤꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯕ꯭ꯂꯨ ꯁ꯭ꯀꯤꯟ, ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯋꯥꯈꯜ ꯇꯥꯕꯥ, ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ, ꯑꯃꯁꯨꯡ ꯈꯨꯗꯣꯡꯊꯤꯅꯤꯉꯥꯏ ꯑꯣꯏꯕꯥ ``ꯇꯦꯠ ꯁ꯭ꯄꯦꯂꯁꯤꯡ'' ꯑꯁꯤ ꯌꯥꯎꯕꯥ ꯌꯥꯏ꯫
• ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯁꯔꯖꯔꯤꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯃꯥꯌꯄꯥꯛꯅꯥ ꯂꯥꯏꯌꯦꯡꯕꯥ ꯌꯥꯏ꯫ ꯁꯔꯖꯔꯤꯁꯤꯡꯅꯥ ꯆꯍꯤ ꯇꯔꯥꯒꯤ ꯈꯨꯖꯤꯡ ꯀꯌꯥꯗꯒꯤ ꯑꯣꯄꯔꯦꯁꯟ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯥꯌ ꯄꯥꯛꯅꯥ ꯄꯥꯡꯊꯣꯛꯇꯨꯅꯥ ꯂꯥꯛꯂꯤ꯫
• ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ, ꯑꯉꯥꯡ ꯀꯌꯥꯅꯥ ꯍꯀꯁꯦꯜ ꯐꯕꯥ, ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯕꯥ ꯄꯨꯟꯁꯤ ꯑꯃꯥ ꯍꯤꯡꯏ꯫
• ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯃꯦꯗꯤꯀꯦꯜ ꯆꯦꯀꯑꯞ ꯇꯧꯕꯥ ꯑꯃꯁꯨꯡ ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯄꯥꯎꯇꯥꯀꯁꯤꯡ ꯉꯥꯛꯅꯥ ꯆꯠꯄꯥ ꯑꯁꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯋꯥꯐꯃꯁꯤꯡꯅꯤ꯫ ꯈꯣꯡꯆꯠ ꯑꯁꯤꯗꯥ ꯑꯗꯣꯝ ꯈꯛꯇꯒꯤ ꯅꯠꯇꯦ꯫ ꯅꯍꯥꯛ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯕꯨ ꯃꯇꯦꯡ ꯄꯥꯡꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯂꯃꯖꯤꯡꯅꯕꯥ ꯍꯩꯊꯣꯏ-ꯁꯤꯡꯊꯣꯏꯔꯕꯥ ꯗꯣꯛꯇꯔꯁꯤꯡ, ꯅꯔꯁꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯍꯦꯜꯊꯀꯦꯌꯔ ꯁ꯭ꯇꯥꯐꯁꯤꯡ ꯂꯩꯔꯤ꯫ ꯑꯗꯨꯅꯥ ꯄꯨꯛꯅꯤꯡ ꯆꯪꯕꯤꯌꯨ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯅꯧꯅꯥ ꯄꯣꯀꯄꯥ ꯑꯉꯥꯡ ꯑꯗꯨꯅꯥ ꯁꯔꯖꯔꯤ ꯉꯥꯏꯔꯕꯗꯤ, ꯄ꯭ꯔꯣꯁꯤꯗ꯭ꯌꯨꯑꯣꯔ ꯑꯗꯨꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯕꯨ ꯃꯇꯦꯡ ꯄꯥꯡꯅꯕꯥ ꯇꯧꯕꯥ ꯌꯥꯕꯥ ꯊꯕꯀꯁꯤꯡꯒꯤ ꯃꯇꯥꯡꯗꯥ, ꯑꯃꯁꯨꯡ ꯀꯔꯤꯒꯨꯝꯕꯥ ``ꯇꯦꯠ ꯁ꯭ꯄꯦꯜ'' ꯑꯃꯥ ꯊꯣꯛꯂꯕꯗꯤ ꯀꯔꯤ ꯇꯧꯒꯗꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯗꯣꯛꯇꯔ ꯑꯃꯁꯨꯡ ꯅꯔꯁꯤꯡ ꯁ꯭ꯇꯥꯐꯁꯤꯡꯗꯥ ꯁꯣꯌꯗꯅꯥ ꯍꯪꯕꯤꯌꯨ꯫ ꯑꯗꯨꯒꯨꯝꯕꯥ ꯂꯧꯁꯤꯡ ꯑꯗꯨꯅꯥ ꯑꯗꯣꯃꯗꯥ ꯑꯆꯧꯕꯥ ꯃꯇꯦꯡ ꯑꯃꯥ ꯑꯣꯏꯔꯒꯅꯤ꯫

` ꯑꯣꯚꯔꯔꯥꯏꯗꯤꯡ ꯑꯦꯑꯣꯔꯇꯥ, ꯐꯦꯂꯣꯠꯀꯤ ꯇꯦꯠꯔꯥꯂꯣꯖꯤ, ꯀꯣꯟꯖꯦꯅꯤꯑꯦꯜ ꯍꯥꯔꯠ ꯗꯤꯐꯦꯛꯇ, ꯚꯦꯟꯇꯤꯀꯨꯂꯥꯔ ꯁꯦꯞꯇꯜ ꯗꯤꯐꯦꯛꯇ, ꯁꯥꯏꯅꯣꯁꯤꯁ, ꯇꯦꯠ ꯁ꯭ꯄꯦꯜ, ꯑꯣꯄꯟ ꯍꯥꯔꯠ ꯁꯔꯖꯔꯤ, ꯍꯥꯔꯇꯀꯤ ꯂꯥꯌꯅꯥ, ꯄꯣꯀꯄꯗꯥ ꯉꯥꯏꯔꯤꯕꯥ ꯑꯉꯥꯡ, ꯕ꯭ꯂꯨ ꯕꯦꯕꯤ, ꯐꯦꯂꯣꯠꯀꯤ ꯇꯦꯠꯔꯥꯂꯣꯖꯤ, ꯍꯥꯔꯠ ꯁꯔꯖꯔꯤ, ꯄꯦꯗꯤꯑꯦꯠꯔꯤꯛ ꯍꯥꯔꯠ ꯗꯤꯖꯤꯖ꯫