ꯑꯩꯈꯣꯌꯒꯤ ꯊꯝꯃꯣꯌ ꯑꯁꯤ ꯃꯃꯜ ꯌꯥꯝꯂꯕꯥ ꯂꯟ ꯑꯃꯒꯨꯝꯕꯅꯤ, ꯅꯠꯇꯦ? ꯑꯗꯨꯅꯥ ꯃꯍꯧꯁꯥꯅꯥ ꯂꯟ-ꯊꯨꯝ ꯑꯗꯨ ꯉꯥꯀꯊꯣꯛꯅꯕꯥ ꯑꯉꯀꯄꯥ ꯄꯣꯠꯁꯛ ꯑꯃꯥ ꯁꯦꯝꯂꯦ꯫ ꯃꯗꯨ ꯊꯝꯃꯣꯌꯕꯨ ꯀꯨꯄꯁꯤꯜꯂꯤꯕꯥ ꯑꯄꯤꯀꯄꯥ ꯃꯤꯠꯌꯦꯡ ꯑꯃꯅꯤ꯫ ꯑꯗꯨꯕꯨ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯌꯥꯝꯅꯥ ꯉꯥꯀꯊꯣꯀꯄꯥ ꯑꯁꯤꯅꯥ ꯊꯝꯃꯣꯌꯗꯥ ꯑꯋꯥꯕꯥ ꯄꯤꯕꯥ ꯌꯥꯏ꯫ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯁꯤꯡ ꯑꯁꯤꯗꯥ ꯃꯁꯤꯒꯤ ꯃꯦꯝꯕ꯭ꯔꯦꯟ ꯑꯁꯤ ꯁꯔꯖꯤꯀꯦꯜ ꯑꯣꯏꯅꯥ ꯂꯧꯊꯣꯀꯄꯥ ꯃꯊꯧ ꯇꯥꯏ꯫ ꯉꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯔꯤꯕꯥ ꯑꯁꯤ ꯃꯗꯨꯅꯤ꯫
ꯄꯦꯔꯤꯀꯥꯔꯗꯤꯌꯦꯛꯇꯣꯃꯤ ꯍꯥꯌꯕꯁꯤ ꯇꯁꯦꯡꯅꯥ ꯀꯔꯤꯅꯣ?
ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯄꯦꯔꯤꯀꯥꯔꯗꯤꯑꯦꯛꯇꯣꯃꯤ ꯍꯥꯌꯕꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯊꯝꯃꯣꯌꯕꯨ ꯀꯨꯄꯁꯤꯜꯂꯤꯕꯥ ꯄꯦꯔꯤꯀꯥꯔꯗꯤꯌꯃꯒꯤ ꯁꯔꯨꯛ ꯄꯨꯝꯅꯃꯛ ꯅꯠꯠꯔꯒꯥ ꯁꯔꯨꯛ ꯑꯃꯥ ꯁꯔꯖꯤꯀꯦꯜ ꯑꯣꯏꯅꯥ ꯂꯧꯊꯣꯀꯄꯅꯤ꯫ ꯃꯁꯤꯕꯨ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ “ꯄꯦꯔꯤꯀꯥꯔꯗꯤꯌꯦꯜ ꯁ꯭ꯠꯔꯤꯄꯤꯡ” ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫
ꯈꯟꯊꯕꯤꯌꯨ, ꯄꯦꯔꯤꯀꯥꯔꯗꯤꯌꯝ ꯑꯁꯤ ꯊꯝꯃꯣꯌꯕꯨ ꯊꯝꯂꯤꯕꯥ ꯃꯤꯠꯌꯦꯡ ꯑꯅꯤꯒꯤ ꯁꯦꯛ ꯑꯃꯒꯨꯝꯅꯥ ꯑꯣꯏ꯫ ꯃꯦꯝꯕ꯭ꯔꯦꯟ ꯑꯅꯤ ꯑꯁꯤꯒꯤ ꯃꯔꯛꯇꯥ ꯐ꯭ꯂꯨꯏꯗꯀꯤ ꯆꯥꯡ ꯌꯥꯝꯅꯥ ꯅꯦꯝꯃꯤ꯫ ꯃꯁꯤ ꯍꯥꯔꯇꯄꯨ ꯅꯤꯡꯊꯤꯅꯥ ꯑꯃꯁꯨꯡ ꯐ꯭ꯔꯤꯛꯁꯟ ꯑꯃꯠꯇꯥ ꯂꯩꯇꯅꯥ ꯁꯣꯀꯍꯅꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯂꯤꯕꯥ ꯐ꯭ꯂꯨꯏꯗ ꯑꯗꯨꯅꯤ꯫
ꯑꯩꯈꯣꯌꯅꯥ ꯄꯦꯔꯤꯀꯥꯔꯗꯤꯌꯝ ꯑꯁꯤ ꯌꯥꯑꯣꯗꯅꯥ ꯍꯤꯡꯕꯥ ꯉꯃꯒꯗ꯭ꯔꯥ?
ꯍꯣꯌ, ꯃꯁꯤ ꯁꯣꯏꯗꯅꯥ ꯑꯣꯏꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯄꯦꯔꯤꯀꯥꯔꯗꯤꯌꯝ ꯃꯁꯥꯃꯛ ꯍꯥꯔꯇꯀꯤ ꯅꯣꯔꯃꯦꯜ ꯐꯉ꯭ꯀꯁꯅꯒꯤꯗꯃꯛꯇꯥ ꯇꯉꯥꯏꯐꯗꯕꯥ ꯑꯣꯏꯗꯦ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯂꯪꯁ ꯑꯃꯁꯨꯡ ꯗꯥꯏꯑꯦꯐ꯭ꯔꯥꯝ, ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡ ꯑꯃꯁꯨꯡ ꯈꯣꯡꯎꯞ ꯑꯗꯨ ꯇꯣꯈꯥꯌꯅꯥ ꯇꯥꯍꯜꯂꯤꯕꯥ ꯃꯁꯜ ꯑꯗꯨ ꯑꯐꯕꯥ ꯐꯤꯚꯃꯗꯥ ꯂꯩꯔꯕꯗꯤ, ꯄꯦꯔꯤꯀꯥꯔꯗꯤꯌꯝ ꯑꯗꯨ ꯂꯧꯊꯣꯀꯄꯗꯥ ꯑꯋꯥꯕꯥ ꯑꯃꯠꯇꯥ ꯂꯩꯔꯣꯏ꯫
ꯇꯁꯦꯡꯕꯗꯤ, ꯀꯅꯥꯒꯨꯝꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯅꯥ ꯄꯦꯔꯤꯀꯥꯔꯗꯤꯇꯤꯁ (pericarditis) ꯂꯥꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯄꯦꯔꯤꯀꯥꯔꯗꯤꯌꯃꯅꯥ ꯃꯁꯥꯒꯤ ꯂꯦꯡ-ꯑꯣꯠꯄꯒꯤ ꯃꯑꯣꯡ-ꯃꯇꯧ ꯃꯥꯡꯈꯤ, ꯃꯁꯤꯅꯥ ꯐ꯭ꯔꯤꯛꯁꯟ ꯍꯟꯊꯍꯅꯕꯒꯤ ꯇꯧꯕꯥ ꯉꯝꯕꯗꯨ ꯇꯥꯀꯏ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯃꯁꯤ ꯂꯧꯊꯣꯀꯄꯅꯥ ꯐꯤꯚꯝ ꯑꯁꯤ ꯍꯦꯟꯅꯥ ꯐꯠꯆꯤꯜꯂꯛꯇꯦ꯫
ꯄꯦꯔꯤꯀꯥꯔꯗꯤꯌꯦꯛꯇꯣꯃꯤ ꯑꯃꯥ ꯄꯥꯡꯊꯣꯀꯄꯒꯤ ꯃꯔꯃꯁꯤꯡ ꯀꯔꯤꯅꯣ?
ꯁꯔꯖꯔꯤ ꯑꯁꯤꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯑꯃꯁꯨꯡ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯃꯔꯃꯗꯤ ꯀꯟꯁꯠꯔꯛꯁꯟ ꯄꯦꯔꯤꯀꯥꯔꯗꯤꯇꯤꯁ ꯀꯧꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ ꯫ ꯃꯁꯤ ꯍꯥꯔꯇꯀꯤ ꯑꯀꯣꯌꯕꯗꯥ ꯂꯩꯕꯥ ꯃꯦꯝꯕ꯭ꯔꯦꯟ ꯑꯗꯨ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯁꯣꯟꯊꯔꯀꯄꯥ, ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯁꯣꯟꯊꯔꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯀꯦꯂꯁꯤꯌꯝ ꯗꯤꯄꯣꯖꯤꯠ ꯂꯩꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯃꯗꯨꯕꯨ ꯁꯤꯜ ꯑꯃꯒꯨꯝꯅꯥ ꯀꯅꯕꯥ ꯑꯣꯏꯍꯜꯂꯤ꯫
ꯊꯝꯃꯣꯌꯒꯤ ꯑꯀꯣꯌꯕꯗꯥ ꯂꯩꯕꯥ ꯁꯦꯛ ꯑꯗꯨ ꯈꯪꯍꯧꯗꯅꯥ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯁꯣꯟꯊꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯀꯔꯤ ꯑꯣꯏꯒꯅꯤ ꯍꯥꯌꯕꯗꯨ ꯈꯅꯕꯤꯌꯨ꯫
- ꯍꯥꯔꯠ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯀꯟꯅꯥ ꯄꯨꯁꯤꯜꯂꯀꯏ ꯑꯃꯁꯨꯡ ꯀꯟꯠꯔꯦꯛꯇ ꯇꯧꯕꯥ ꯉꯃꯗꯦ꯫
- ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯍꯥꯔꯇꯀꯤ ꯆꯦꯝꯕꯔꯁꯤꯡ ꯑꯁꯤ ꯏ ꯃꯔꯥꯡ ꯀꯥꯌꯅꯥ ꯊꯨꯒꯥꯌꯗꯦ꯫
- ꯍꯥꯔꯇꯇꯥ ꯂꯥꯀꯄꯥ ꯏ ꯑꯗꯨ ꯂꯪꯁꯀꯤ ꯃꯥꯌꯀꯩꯗꯥ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯐꯣꯔꯁ ꯇꯧꯏ꯫
- ꯍꯥꯔꯇꯅꯥ ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯅꯥ ꯏ ꯄꯝꯄ ꯇꯧꯕꯥ ꯉꯃꯗꯦ꯫
- ꯃꯁꯤꯅꯥ ꯈꯣꯡ ꯑꯃꯁꯨꯡ ꯈꯣꯡ ꯍꯥꯝꯂꯀꯏ, ꯃꯁꯤꯅꯥ ꯍꯥꯔꯠ ꯐꯦꯜ ꯑꯣꯏꯕꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡꯒꯥ ꯃꯥꯟꯅꯩ꯫
ꯃꯁꯤꯒꯤ ꯁꯔꯖꯔꯤ ꯑꯁꯤꯅꯥ ꯀꯟꯁꯠꯔꯛꯁꯟ ꯄꯦꯔꯤꯀꯥꯔꯗꯤꯇꯤꯁꯀꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯁꯥꯊꯤꯕꯥ ꯀꯦꯁꯁꯤꯡꯒꯤꯗꯃꯛꯇꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯥ ꯁꯣꯂꯨꯁꯅꯅꯤ꯫
ꯀꯟꯁꯠꯔꯛꯁꯟ ꯄꯦꯔꯤꯀꯥꯔꯗꯤꯇꯤꯁꯀꯤ ꯃꯔꯃꯁꯤꯡ꯫
- ꯏꯗꯤꯑꯣꯄꯦꯊꯤꯛ: ꯑꯌꯥꯝꯕꯥ ꯀꯦꯁꯁꯤꯡꯗꯗꯤ, ꯑꯀꯛꯅꯕꯥ ꯃꯔꯝ ꯑꯃꯠꯇꯥ ꯐꯪꯕꯥ ꯉꯃꯗꯦ꯫
- ꯃꯃꯥꯡꯒꯤ ꯍꯥꯔꯇꯀꯤ ꯁꯔꯖꯔꯤ: ꯃꯃꯥꯡꯒꯤ ꯁꯔꯖꯔꯤ ꯑꯃꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫
- ꯆꯦꯁ꯭ꯇꯇꯥ ꯔꯦꯗꯤꯑꯦꯁꯟ ꯊꯦꯔꯥꯄꯤ: ꯀꯦꯟꯁꯔꯒꯨꯝꯕꯥ ꯀꯟꯗꯤꯁꯅꯁꯤꯡꯒꯤꯗꯃꯛꯇꯥ ꯆꯦꯁ꯭ꯠ ꯑꯦꯔꯤꯌꯥꯗꯥ ꯔꯦꯗꯤꯑꯦꯁꯟ ꯊꯦꯔꯥꯄꯤ꯫
- ꯇ꯭ꯌꯨꯕꯔꯀꯨꯂꯣꯁꯤꯁꯒꯨꯝꯕꯥ ꯂꯥꯌꯅꯥꯁꯤꯡ : ꯃꯁꯤ ꯑꯀꯛꯅꯕꯥ ꯃꯦꯗꯤꯀꯦꯜ ꯀꯟꯗꯤꯁꯅꯁꯤꯡꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫
- ꯚꯥꯏꯔꯁ ꯅꯠꯠꯔꯒꯥ ꯕꯦꯛꯇꯦꯔꯤꯌꯥꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯏꯅꯐꯦꯛꯁꯅꯁꯤꯡ:ꯃꯁꯤ ꯑꯀꯛꯅꯕꯥ ꯏꯅꯐꯦꯛꯁꯟ ꯀꯟꯗꯤꯁꯅꯁꯤꯡꯗꯒꯤꯁꯨ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫
ꯃꯁꯤꯒꯤ ꯃꯊꯛꯇꯥ, ꯁꯔꯖꯔꯤ ꯑꯁꯤ ꯑꯇꯣꯞꯄꯥ ꯀꯦꯁ ꯀꯌꯥꯗꯥ ꯄꯥꯡꯊꯣꯀꯏ:
- ꯔꯤꯀꯣꯚꯔꯤ ꯄꯦꯔꯤꯀꯥꯔꯗꯤꯇꯤꯁ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛ ꯄꯤꯖꯔꯕꯁꯨ ꯃꯈꯥ ꯇꯥꯅꯥ ꯂꯩꯔꯕꯗꯤ꯫
- ꯑꯦꯟꯇꯤ-ꯏꯅꯐ꯭ꯂꯦꯃꯦꯇꯔꯤ ꯗ꯭ꯔꯒꯁꯤꯡꯒꯤ ꯁꯥꯏꯗ ꯏꯐꯦꯛꯇꯁꯤꯡ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯄꯦꯔꯤꯀꯥꯔꯗꯤꯌꯥ ꯇꯩꯁꯤꯅꯕꯥ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯅꯕꯥ ꯄꯤꯕꯥ ꯁ꯭ꯇꯦꯔꯣꯏꯗꯒꯨꯝꯕꯥ ꯗ꯭ꯔꯒꯁꯤꯡꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ ꯂꯥꯀꯄꯥ ꯇꯥꯔꯕꯗꯤ꯫
- ꯀꯥꯔꯗꯤꯌꯦꯛ ꯇꯝꯄꯥꯛ (cardiac tamponade): ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ, ꯃꯁꯤ ꯍꯥꯔꯇꯀꯤ ꯑꯀꯣꯌꯕꯗꯥ ꯐ꯭ꯂꯨꯏꯗꯅꯥ ꯊꯨꯃꯖꯤꯜꯂꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯃꯗꯨ ꯀꯝꯞꯔꯦꯁꯟ ꯇꯧꯕꯥ ꯃꯇꯃꯗꯥ ꯊꯣꯀꯏ꯫
ꯁꯔꯖꯔꯤꯒꯤ ꯃꯃꯥꯡ ꯑꯃꯁꯨꯡ ꯃꯅꯨꯡꯗꯥ ꯀꯔꯤ ꯊꯣꯀꯏ?
ꯁꯔꯖꯔꯤꯒꯤ ꯃꯃꯥꯡꯗꯥ꯫
ꯁꯔꯖꯔꯤ ꯑꯗꯨ ꯁꯥꯐꯅꯥ ꯄꯥꯡꯊꯣꯛꯅꯕꯒꯤꯗꯃꯛ ꯅꯍꯥꯛꯀꯤ ꯃꯦꯗꯤꯀꯦꯜ ꯇꯤꯃꯅꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯏꯛꯌꯨꯏꯄꯃꯦꯟꯇ ꯄꯨꯝꯅꯃꯛ ꯁꯦꯝ-ꯁꯥꯒꯅꯤ꯫ ꯑꯌꯥꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯁꯔꯖꯔꯤꯅꯥ ꯀꯥꯔꯗꯤꯑꯣꯄꯂꯃꯣꯅꯥꯔꯤ ꯕꯥꯏꯄꯥꯁ ꯃꯦꯁꯤꯟ ꯑꯃꯥ ꯁꯤꯖꯤꯟꯅꯒꯅꯤ , ꯃꯁꯤ ꯍꯥꯔꯠ-ꯂꯪꯁ ꯃꯦꯁꯤꯟ ꯍꯥꯌꯅꯥꯁꯨ ꯈꯪꯅꯩ꯫ ꯃꯁꯤꯒꯤ ꯃꯦꯁꯤꯟ ꯑꯁꯤꯅꯥ ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯃꯗꯥ ꯍꯥꯔꯠ ꯑꯃꯁꯨꯡ ꯂꯪꯁꯀꯤ ꯊꯕꯛ ꯃꯇꯝ ꯈꯔꯒꯤ ꯑꯣꯏꯅꯥ ꯂꯧꯏ꯫ ꯃꯁꯤꯅꯥ ꯗꯣꯛꯇꯔꯅꯥ ꯄꯦꯔꯤꯀꯥꯔꯗꯤꯌꯝ ꯑꯁꯤ ꯃꯥꯌꯀꯩ ꯑꯅꯤꯃꯛꯇꯒꯤ ꯑꯃꯁꯨꯡ ꯍꯥꯔꯇꯀꯤ ꯃꯇꯨꯡꯗꯥ ꯁꯥꯐꯅꯥ ꯂꯧꯊꯣꯀꯄꯥ ꯉꯃꯍꯜꯂꯤ꯫
ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯃꯗꯥ꯫
1. ꯏꯅꯁꯤꯁꯟ ꯇꯧꯕꯥ: ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯒꯤ ꯃꯔꯛꯇꯥ, ꯕ꯭ꯔꯦꯁ꯭ꯇꯕꯣꯟ (sternum)ꯒꯤ ꯃꯊꯛꯇꯥ, ꯍꯥꯔꯇꯇꯥ ꯌꯧꯅꯕꯥ ꯏꯅꯁꯤꯁꯟ ꯑꯃꯥ ꯁꯦꯝꯃꯤ꯫ ꯃꯁꯤꯕꯨ ꯃꯦꯗꯤꯌꯝ ꯁ꯭ꯇꯦꯔꯅꯣꯇꯣꯃꯤ ꯍꯥꯌꯅꯥ ꯀꯧꯏ .
2. ꯄꯦꯔꯤꯀꯥꯔꯗꯤꯌꯝ ꯂꯧꯊꯣꯀꯄꯥ: ꯄꯦꯔꯤꯀꯥꯔꯗꯤꯌꯥꯜ ꯃꯦꯝꯕ꯭ꯔꯦꯟ ꯑꯁꯤ ꯍꯥꯔꯇꯇꯒꯤ ꯆꯦꯀꯁꯤꯟꯅꯥ ꯂꯧꯊꯣꯀꯏ꯫
3. ꯁ꯭ꯇꯦꯅꯝ ꯑꯗꯨ ꯐꯤꯛꯁ ꯇꯧꯕꯥ: ꯁ꯭ꯇꯦꯅꯝ ꯑꯗꯨ ꯋꯥꯏꯔꯞ ꯁꯤꯖꯤꯟꯅꯗꯨꯅꯥ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯐꯤꯛꯁ ꯇꯧꯏ꯫
4. ꯏꯅꯁꯤꯁꯟ ꯑꯗꯨ ꯁꯤꯠꯄꯥ: ꯑꯔꯣꯏꯕꯗꯥ, ꯏꯅꯁꯤꯁꯟ ꯑꯗꯨ ꯁ꯭ꯇꯤꯆꯁꯤꯡꯅꯥ ꯊꯤꯡꯖꯤꯜꯂꯤ꯫
ꯄꯦꯔꯤꯀꯥꯔꯗꯤꯑꯦꯛꯇꯣꯃꯤ ꯍꯥꯌꯕꯁꯤ ꯑꯣꯄꯟ-ꯍꯥꯔꯠ ꯁꯔꯖꯔꯤ ꯑꯃꯅꯤ꯫ ꯃꯁꯤꯒꯤ ꯃꯔꯃꯗꯤ ꯄꯦꯔꯤꯀꯥꯔꯗꯤꯌꯝ ꯄꯨꯝꯅꯃꯛ ꯂꯧꯊꯣꯛꯅꯕꯒꯤꯗꯃꯛ ꯗꯣꯛꯇꯔꯅꯥ ꯊꯝꯃꯣꯌꯕꯨ ꯃꯌꯦꯛ ꯁꯦꯡꯅꯥ ꯎꯕꯥ ꯉꯝꯕꯥ ꯃꯊꯧ ꯇꯥꯏ꯫ ꯃꯁꯤꯒꯤ ꯄꯥꯝꯕꯩ ꯑꯁꯤ ꯃꯗꯨꯒꯤꯗꯃꯛ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯅꯤ꯫
ꯃꯁꯤꯒꯤ ꯁꯔꯖꯔꯤ ꯑꯁꯤ ꯃꯍꯧꯁꯥꯅꯥ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯄꯨꯡ ꯑꯅꯤꯗꯒꯤ ꯑꯍꯨꯝ ꯐꯥꯎꯕꯥ ꯆꯪꯏ, ꯑꯗꯨꯕꯨ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯝ ꯑꯃꯗꯥ ꯑꯇꯣꯞꯄꯥ ꯄ꯭ꯔꯣꯁꯤꯗ꯭ꯌꯨꯑꯣꯔꯁꯤꯡ ꯄꯥꯡꯊꯣꯛꯂꯕꯗꯤ ꯃꯇꯝ ꯑꯁꯤ ꯈꯦꯠꯅꯕꯥ ꯌꯥꯏ꯫
ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯀꯔꯤ ꯑꯣꯏꯒꯅꯤ?
ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯋꯥꯈꯜ ꯇꯥꯕꯥ ꯃꯇꯃꯗꯥ ꯑꯋꯥꯕꯥ ꯈꯔꯥ ꯐꯥꯑꯣꯒꯅꯤ꯫ ꯑꯍꯦꯅꯕꯥ ꯐ꯭ꯂꯨꯏꯗ ꯊꯨꯒꯥꯌꯅꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯇꯤꯎꯕ (drain) ꯑꯃꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯃꯗꯒꯤ ꯍꯦꯅꯕꯁꯨ ꯊꯃꯒꯅꯤ꯫ ꯅꯍꯥꯛꯅꯥ ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯨꯡ ꯅꯨꯃꯤꯠꯇꯒꯤ ꯍꯧꯅꯥ ꯐ꯭ꯂꯨꯏꯗ ꯊꯀꯄꯥ ꯌꯥꯒꯅꯤ ꯑꯃꯁꯨꯡ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯆꯥꯅꯕꯥ ꯆꯤꯟꯖꯥꯛ ꯆꯥꯕꯥ ꯉꯃꯒꯅꯤ꯫ ꯁꯔꯖꯔꯤꯒꯤ ꯃꯃꯥꯡꯗꯥ ꯂꯧꯈꯤꯕꯥ ꯗꯣꯖꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯅꯦꯝꯕꯥ ꯗꯣꯖ ꯑꯣꯏꯔꯕꯁꯨ, ꯅꯍꯥꯛꯅꯥ ꯗꯥꯏꯑꯦꯕꯦꯇꯤꯖꯁꯤꯡ ꯃꯈꯥ ꯇꯥꯅꯥ ꯂꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯏ꯫
ꯁꯔꯖꯔꯤ ꯑꯁꯤꯒꯤ ꯀꯥꯟꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯈꯨꯗꯣꯡꯊꯤꯕꯁꯤꯡ ꯀꯔꯤꯅꯣ?
ꯑꯆꯧꯕꯥ ꯁꯔꯖꯔꯤ ꯑꯃꯍꯦꯛꯇꯒꯥ ꯃꯥꯟꯅꯅꯥ, ꯀꯥꯟꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯈꯨꯗꯣꯡꯊꯤꯕꯥ ꯂꯩ꯫ ꯑꯦꯛꯁꯄꯤꯔꯤꯑꯦꯟꯁ ꯂꯩꯕꯥ ꯀꯥꯔꯗꯤꯌꯦꯛ ꯁꯔꯖꯔꯤ ꯑꯃꯥ ꯈꯅꯕꯅꯥ ꯔꯤꯁ꯭ꯀꯁꯤꯡ ꯑꯗꯨ ꯍꯟꯊꯍꯅꯕꯥ ꯉꯝꯃꯤ꯫
| ꯀꯥꯟꯅꯕꯁꯤꯡ꯫ | ꯔꯤꯁ꯭ꯀꯁꯤꯡ꯫ |
|---|---|
| ꯃꯤꯑꯣꯏ ꯀꯌꯥꯅꯥ ꯂꯥꯏꯑꯣꯡ ꯎꯠꯇꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯂꯥꯏꯑꯣꯡ ꯌꯥꯝꯅꯥ ꯍꯟꯊꯅꯥ ꯆꯍꯤ ꯀꯌꯥ ꯍꯤꯡꯕꯥ ꯉꯝꯃꯤ꯫ | ꯏ ꯊꯣꯀꯄꯒꯤ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯏ ꯄꯤꯕꯒꯤ ꯃꯊꯧ ꯇꯥꯕꯥ꯫ |
| ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛ ꯄꯤꯕꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯐꯒꯠꯂꯀꯄꯒꯤ ꯆꯥꯡ ꯍꯦꯜꯂꯤ꯫ | ꯍꯥꯔꯇꯀꯤ ꯔꯤꯗꯝ ꯑꯥꯏꯔꯦꯒꯨꯂꯦꯁꯟ, ꯃꯔꯨꯑꯣꯏꯅꯥ ꯑꯦꯠꯔꯤꯌꯥꯜ ꯐꯥꯏꯕ꯭ꯔꯤꯂꯦꯁꯟ . |
| ꯄꯦꯔꯤꯀꯥꯔꯗꯤꯌꯥ ꯇꯩꯁꯤꯅꯕꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯍꯥꯔꯇꯀꯤ ꯃꯁꯂꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯊꯤꯡꯕꯥ꯫ | ꯀꯤꯗꯅꯤꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯄꯥ꯫ |
| ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ, ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯂꯤꯕꯥ ꯅꯔꯚ (frenic nerve) ꯑꯗꯨꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯏ꯫ | |
| ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯃꯗꯥ ꯁꯤꯕꯒꯤ ꯔꯤꯁ꯭ꯛ ꯌꯥꯝꯅꯥ ꯅꯦꯝꯃꯤ, ꯃꯁꯤ 1% ꯑꯃꯁꯨꯡ 2%ꯒꯤ ꯃꯔꯛꯇꯥ ꯂꯩ꯫ |
ꯃꯃꯥꯡꯗꯥ ꯍꯥꯔꯠ ꯁꯔꯖꯔꯤ ꯇꯧꯈꯤꯕꯥ, ꯑꯇꯩ ꯑꯆꯧꯕꯥ ꯃꯦꯗꯤꯀꯦꯜ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ ꯂꯩꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯔꯦꯗꯤꯑꯦꯁꯟ ꯊꯦꯔꯥꯄꯤ ꯂꯧꯈꯤꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯗꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡꯒꯤ ꯔꯤꯁ꯭ꯛ ꯈꯔꯥ ꯍꯦꯟꯅꯥ ꯋꯥꯡꯏ꯫
ꯐꯒꯠꯂꯀꯄꯗꯥ ꯃꯇꯝ ꯀꯌꯥ ꯆꯪꯕꯒꯦ?
ꯃꯍꯧꯁꯥꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯂꯗꯥ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯅꯨꯃꯤꯠ ꯃꯉꯥꯗꯒꯤ ꯷ ꯐꯥꯎꯕꯥ ꯂꯩꯒꯗꯕꯅꯤ꯫ ꯅꯍꯥꯛꯅꯥ ꯌꯨꯃꯗꯥ ꯆꯠꯂꯕꯥ ꯃꯇꯨꯡꯗꯥ, ꯅꯍꯥꯛꯅꯥ ꯑꯔꯨꯝꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ ꯂꯧꯊꯣꯀꯄꯗꯒꯤ ꯂꯥꯞꯅꯥ ꯂꯩꯕꯥ ꯌꯥꯏ ꯑꯃꯁꯨꯡ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯑꯇꯩ ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯕꯥ ꯊꯕꯛ-ꯊꯧꯔꯃꯁꯤꯡ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯍꯧꯕꯥ ꯌꯥꯏ꯫
ꯃꯄꯨꯡꯐꯥꯅꯥ ꯐꯒꯠꯂꯀꯄꯗꯥ ꯅꯨꯃꯤꯠ 6 ꯑꯃꯁꯨꯡ 8ꯒꯤ ꯃꯔꯛꯇꯥ ꯆꯪꯏ꯫ ꯃꯇꯝ ꯑꯁꯤ ꯁꯔꯖꯔꯤꯒꯤ ꯃꯃꯥꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯗꯨ ꯀꯌꯥ ꯌꯥꯝꯅꯥ ꯐꯠꯇꯕꯒꯦ ꯍꯥꯌꯕꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ ꯈꯦꯠꯅꯕꯥ ꯌꯥꯏ꯫ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯠꯇꯕꯥ ꯐꯤꯚꯃꯗꯥ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯗꯥ ꯃꯇꯝ ꯍꯦꯟꯅꯥ ꯆꯪꯂꯝꯕꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯃꯤꯑꯣꯏ ꯑꯌꯥꯝꯕꯅꯥ ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯈꯨꯗꯛꯇꯥ ꯔꯤꯂꯤꯐ ꯑꯃꯥ ꯐꯥꯎꯏ꯫
ꯅꯍꯥꯛꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯀꯗꯥꯏꯗꯥ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯎꯍꯅꯒꯗꯒꯦ?
ꯍꯣꯁ꯭ꯄꯤꯇꯥꯂꯗꯒꯤ ꯊꯣꯔꯀꯄꯥ ꯃꯇꯨꯡ ꯅꯨꯃꯤꯠ ꯑꯃꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯅꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯀꯥꯔꯗꯤꯑꯣꯂꯣꯖꯤꯁ꯭ꯠ ꯑꯗꯨꯒꯥ ꯇꯥꯟꯅꯒꯗꯕꯅꯤ꯫ ꯅꯍꯥꯛꯅꯥ ꯁꯔꯖꯔꯤꯒꯤ ꯅꯨꯃꯤꯠ 6ꯅꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯏꯀꯣꯀꯥꯔꯗꯤꯑꯣꯒ꯭ꯔꯥꯐ (ꯍꯥꯔꯇꯀꯤ ꯑꯂꯠꯔꯥꯁꯥꯎꯟꯗ ꯁ꯭ꯀꯦꯟ) ꯑꯃꯁꯨ ꯇꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯏ꯫
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯂꯥꯛꯂꯕꯗꯤ ꯈꯨꯗꯛꯇꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯈꯪꯍꯜꯂꯨ:
- ꯈꯣꯡꯗꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯄꯥ꯫
- ꯂꯥꯏꯍꯧ ꯍꯧꯕ
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯁꯔꯖꯤꯀꯦꯜ ꯑꯣꯏꯕꯥ ꯑꯁꯣꯀꯄꯥ ꯑꯗꯨꯗꯒꯤ ꯃꯍꯧꯁꯥꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯐ꯭ꯂꯨꯏꯗ ꯂꯩꯔꯕꯗꯤ꯫
ꯄꯦꯔꯤꯀꯥꯔꯗꯤꯑꯦꯛꯇꯣꯃꯤ, ꯄꯦꯔꯤꯀꯥꯔꯗꯤꯑꯣꯁꯦꯟꯇꯦꯁꯤꯁ ꯑꯃꯁꯨꯡ ꯄꯦꯔꯤꯀꯥꯔꯗꯤꯑꯣꯇꯣꯃꯤ - ꯃꯁꯤꯒꯤ ꯈꯦꯠꯅꯕꯥ ꯑꯁꯤ ꯀꯔꯤꯅꯣ?
ꯍꯥꯌꯔꯤꯕꯥ ꯃꯤꯡ ꯑꯍꯨꯝ ꯑꯁꯤ ꯈꯔꯥ ꯃꯥꯟꯅꯩ, ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯃꯁꯤ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯀꯔꯤ ꯈꯦꯟꯅꯕꯥ ꯂꯩꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯁꯤ꯫
| ꯊꯧꯑꯣꯡ | ꯏꯆꯝ ꯆꯝꯕꯥ ꯃꯁꯛ ꯇꯥꯀꯄꯥ꯫ |
|---|---|
| ꯄꯦꯔꯤꯀꯥꯔꯗꯤꯑꯦꯛꯇꯣꯃꯤ ꯇꯧꯕꯥ꯫ | ꯍꯥꯔꯇꯀꯤ ꯑꯀꯣꯌꯕꯗꯥ ꯂꯩꯕꯥ ꯃꯦꯝꯕ꯭ꯔꯦꯟ ꯄꯨꯝꯅꯃꯛ ꯅꯠꯠꯔꯒꯥ ꯁꯔꯨꯛ ꯈꯔꯗꯤ ꯁꯔꯖꯤꯀꯦꯜ ꯑꯣꯏꯅꯥ ꯂꯧꯊꯣꯀꯄꯥ (pericardium)꯫ |
| ꯄꯦꯔꯤꯀꯥꯔꯗꯤꯑꯣꯁꯦꯟꯇꯦꯁꯤꯁ ꯇꯧꯕꯥ꯫ | ꯄꯦꯔꯤꯀꯥꯔꯗꯤꯌꯃꯗꯥ ꯊꯨꯃꯖꯤꯜꯂꯀꯄꯥ ꯑꯍꯦꯅꯕꯥ ꯐ꯭ꯂꯨꯏꯗ ꯑꯗꯨ ꯅꯤꯗꯜ ꯁꯤꯖꯤꯟꯅꯗꯨꯅꯥ ꯂꯧꯊꯣꯀꯄꯥ꯫ |
| ꯄꯦꯔꯤꯀꯥꯔꯗꯤꯑꯣꯇꯣꯃꯤ ꯇꯧꯕꯥ꯫ | ꯐ꯭ꯂꯨꯏꯗ ꯑꯗꯨ ꯂꯧꯊꯣꯛꯅꯕꯥ ꯄꯦꯔꯤꯀꯥꯔꯗꯤꯌꯃꯗꯥ ꯑꯄꯤꯀꯄꯥ ꯏꯅꯁꯤꯁꯟ ꯈꯛꯇꯃꯛ ꯇꯧꯏ꯫ |
ꯇꯦꯛ-ꯍꯣꯝ ꯃꯦꯁꯦꯖ ꯇꯧꯕꯥ꯫
- ꯄꯦꯔꯤꯀꯥꯔꯗꯤꯑꯦꯛꯇꯣꯃꯤ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯥꯌꯄꯥꯀꯄꯥ ꯑꯃꯅꯤ, ꯑꯗꯨꯕꯨ ꯀꯟꯁꯠꯔꯛꯁꯟ ꯄꯦꯔꯤꯀꯥꯔꯗꯤꯇꯤꯁꯒꯨꯝꯕꯥ ꯀꯟꯗꯤꯁꯅꯁꯤꯡꯒꯤꯗꯃꯛꯇꯥ ꯄꯥꯡꯊꯣꯀꯄꯥ ꯑꯆꯧꯕꯥ ꯁꯔꯖꯔꯤ ꯑꯃꯅꯤ꯫
- ꯅꯍꯥꯛꯀꯤ ꯊꯝꯃꯣꯌꯒꯤ ꯑꯀꯣꯌꯕꯗꯥ ꯂꯩꯕꯥ ꯄꯦꯔꯤꯀꯥꯔꯗꯤꯌꯝ (pericardium) ꯌꯥꯎꯗꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯕꯥ ꯄꯨꯟꯁꯤ ꯑꯃꯥ ꯍꯤꯡꯕꯥ ꯌꯥꯏ꯫
- ꯃꯄꯨꯡꯐꯥꯅꯥ ꯐꯒꯠꯂꯀꯄꯗꯥ ꯃꯇꯝ ꯈꯔꯥ ꯆꯪꯏ, ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯑꯁꯥꯑꯣꯕꯥ ꯂꯩꯌꯨ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯤ ꯏꯅꯁ꯭ꯠꯔꯛꯁꯅꯁꯤꯡ ꯏꯅꯒꯗꯕꯅꯤ꯫ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯍꯥꯌꯔꯛꯠꯔꯤꯐꯥꯎꯕꯥ ꯍꯦꯚꯤ ꯂꯤꯐꯇꯤꯡꯒꯨꯝꯕꯥ ꯊꯕꯛ ꯊꯧꯔꯃꯁꯤꯡꯗꯒꯤ ꯂꯥꯞꯅꯥ ꯂꯩꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯁꯔꯖꯔꯤ ꯑꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯍꯪꯁꯤꯡ, ꯑꯀꯤꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯆꯤꯡꯅꯕꯥ ꯂꯩꯔꯕꯗꯤ, ꯀꯩꯗꯧꯉꯩꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯑꯃꯨꯛꯇꯪ ꯋꯥꯔꯤ ꯁꯥꯅꯔꯣꯏꯗꯕꯅꯤ꯫
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