ꯍꯥꯔꯇꯀꯤ ꯑꯔꯣꯏꯕꯥ ꯃꯐꯝ (Right Heart Catheterization) ꯌꯦꯡꯁꯤꯅꯕꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯈꯪꯖꯤꯅꯁꯤ

ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯀꯄꯨ "ꯔꯥꯏꯠ ꯍꯥꯔꯠ ꯀꯦꯇꯦꯒꯣꯔꯤ" ꯀꯧꯕꯥ ꯇꯦꯁ꯭ꯠ ꯑꯃꯥ ꯇꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯏ ꯍꯥꯌꯅꯥ ꯍꯥꯌꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯅꯍꯥꯛ ꯈꯔꯥ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯂꯩꯈꯤꯕ꯭ꯔꯥ? ꯀꯅꯥꯒꯨꯝꯕꯥ ꯑꯃꯅꯥ ꯊꯝꯃꯣꯌꯗꯥ "ꯀꯦꯇꯦꯇꯔ"ꯒꯨꯝꯕꯥ ꯄꯣꯠꯁꯛ ꯑꯃꯥ ꯊꯝꯂꯤ ꯍꯥꯌꯅꯥ ꯍꯥꯌꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯈꯔꯥ ꯂꯥꯡꯇꯛꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯐꯥꯑꯣꯕꯁꯤ ꯅꯣꯔꯃꯦꯂꯅꯤ꯫ ꯑꯗꯨꯕꯨ ꯂꯥꯡꯇꯛꯅꯒꯅꯨ꯫ ꯉꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯒꯅꯤ, ꯑꯗꯣꯃꯒꯤ ꯋꯥꯈꯂꯗꯥ ꯂꯩꯔꯤꯕꯥ ꯋꯥꯍꯪ ꯄꯨꯝꯅꯃꯛꯀꯤ ꯄꯥꯎꯈꯨꯝ ꯄꯤꯕꯥ ꯉꯝꯕꯥ ꯃꯑꯣꯡꯗꯥ꯫ ꯑꯗꯨꯗꯒꯤ ꯅꯍꯥꯛꯅꯥ ꯈꯉꯂꯃꯒꯅꯤ ꯃꯗꯨꯗꯤ ꯃꯁꯤ ꯄꯨꯝꯅꯃꯛ ꯑꯁꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯂꯥꯡꯇꯛꯅꯒꯗꯕꯥ ꯋꯥꯐꯝ ꯑꯃꯅꯤ꯫

ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯔꯥꯏꯠ ꯍꯥꯔꯠ ꯀꯦꯇꯦꯒꯣꯔꯤ ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ?

ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯑꯈꯟꯅꯕꯥ ꯇꯦꯁ꯭ꯠ ꯑꯃꯅꯤ꯫ ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯃꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯊꯝꯃꯣꯌꯅꯥ ꯀꯌꯥ ꯌꯥꯝꯅꯥ ꯐꯖꯅꯥ ꯊꯕꯛ ꯇꯧꯔꯤꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯂꯦꯄꯊꯣꯀꯏ, ꯍꯥꯌꯕꯗꯤ ꯃꯁꯤꯅꯥ ꯀꯌꯥ ꯌꯥꯝꯅꯥ ꯏ ꯄꯝꯄ ꯇꯧꯔꯤꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯂꯦꯄꯊꯣꯀꯏ꯫ ꯇꯦꯁ꯭ꯠ ꯑꯁꯤꯅꯥ ꯃꯔꯨꯑꯣꯏꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯊꯝꯃꯣꯌꯒꯤ ꯑꯔꯣꯏꯕꯥ ꯃꯐꯃꯗꯥ ꯑꯃꯁꯨꯡ ꯂꯪꯁꯇꯥ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ ꯑꯃꯁꯨꯡ ꯑꯣꯛꯁꯤꯖꯦꯅꯒꯤ ꯆꯥꯡꯒꯤ ꯑꯆꯨꯝꯕꯥ ꯋꯥꯈꯜꯂꯣꯟ ꯑꯃꯥ ꯂꯧꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫

ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯃꯁꯤꯕꯨ "ꯄꯂꯃꯣꯅꯥꯔꯤ ꯑꯥꯔꯇꯦꯔꯤ ꯀꯦꯇꯦꯒꯣꯔꯤ" ꯍꯥꯌꯅꯥꯁꯨ ꯀꯧꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯁꯤꯕꯨ "ꯁ꯭ꯕꯟ-ꯒꯥꯟꯖ ꯀꯦꯇꯦꯒꯣꯔꯤ" ꯍꯥꯌꯅꯥ ꯀꯧꯕꯁꯨ ꯇꯥꯕꯥ ꯐꯪꯒꯅꯤ꯫ ꯍꯥꯌꯔꯤꯕꯥ ꯄꯨꯝꯅꯃꯛ ꯑꯁꯤ ꯆꯞ ꯃꯥꯟꯅꯕꯥ ꯇꯦꯁ꯭ꯇꯀꯤ ꯃꯃꯤꯡꯅꯤ꯫

ꯇꯦꯁ꯭ꯠ ꯑꯁꯤ ꯇꯧꯅꯕꯒꯤꯗꯃꯛ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯀꯦꯇꯦꯒꯣꯔꯤ ꯀꯧꯕꯥ ꯑꯄꯤꯀꯄꯥ, ꯐ꯭ꯂꯦꯛꯁꯤꯕꯜ ꯑꯣꯏꯕꯥ ꯇꯤꯎꯕ ꯑꯃꯥ ꯁꯤꯖꯤꯟꯅꯒꯅꯤ꯫ ꯇꯤꯎꯕ ꯑꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯀꯣꯛ, ꯒ꯭ꯔꯣꯏꯟ ꯅꯠꯠꯔꯒꯥ ꯈꯨꯠꯁꯥꯗꯥ ꯂꯩꯕꯥ ꯑꯆꯧꯕꯥ ꯚꯦꯅꯝ ꯑꯃꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯊꯥꯗꯣꯀꯏ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯊꯝꯃꯣꯌꯒꯤ ꯑꯔꯣꯏꯕꯥ ꯃꯐꯃꯗꯥ ꯆꯦꯀꯁꯤꯟꯅꯥ ꯊꯤꯡꯖꯤꯜꯂꯤ꯫ ꯃꯐꯝ ꯑꯗꯨꯗꯒꯤ ꯃꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯂꯪꯁꯇꯥ ꯏ ꯄꯨꯕꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯑꯥꯔꯇꯦꯔꯤ, ꯄꯂꯃꯣꯅꯥꯔꯤ ꯑꯥꯔꯇꯦꯔꯤꯗꯥ ꯂꯃꯖꯤꯡꯒꯅꯤ꯫ ꯃꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯊꯝꯃꯣꯌꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯏꯅꯐꯣꯔꯃꯦꯁꯟ ꯑꯁꯤ ꯃꯇꯧ ꯀꯔꯝꯅꯥ ꯃꯥꯄꯂꯅꯤ ꯍꯥꯌꯕꯁꯤꯅꯤ꯫

ꯀꯔꯤꯒꯤꯗꯃꯛꯇꯥ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯇꯦꯁ꯭ꯠ ꯑꯁꯤ ꯄꯥꯡꯊꯣꯀꯄꯥ ꯃꯊꯧ ꯇꯥꯔꯤꯕꯅꯣ?

ꯇꯦꯁ꯭ꯠ ꯑꯁꯤꯗꯒꯤ ꯐꯪꯂꯀꯄꯥ ꯏꯅꯐꯣꯔꯃꯦꯁꯟ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯃꯜ ꯌꯥꯝꯃꯤ꯫ ꯃꯁꯤꯅꯥ ꯗꯣꯛꯇꯔꯁꯤꯡꯗꯥ ꯇꯣꯉꯥꯟ ꯇꯣꯉꯥꯅꯕꯥ ꯃꯦꯗꯤꯀꯦꯜ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ ꯑꯆꯨꯝꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯈꯉꯗꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯃꯈꯣꯌꯕꯨ ꯂꯥꯌꯦꯡꯕꯗꯥ ꯀꯌꯥ ꯌꯥꯝꯅꯥ ꯃꯥꯌ ꯄꯥꯛꯂꯤꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫

ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯇꯦꯕꯜ ꯑꯁꯤꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯇꯦꯁ꯭ꯠ ꯑꯁꯤꯒꯤ ꯃꯊꯧ ꯇꯥꯕꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯦꯗꯤꯀꯦꯜ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ ꯎꯠꯂꯤ꯫

ꯃꯁꯤꯒꯤ ꯃꯊꯛꯇꯥ, ꯇꯦꯁ꯭ꯠ ꯑꯁꯤ ꯑꯣꯔꯒꯥꯟ ꯇ꯭ꯔꯥꯟꯁꯞꯂꯥꯟꯇ ꯁꯔꯖꯔꯤ ꯈꯔꯒꯤ ꯃꯃꯥꯡꯗꯥ ꯅꯠꯠꯔꯒꯥ ꯃꯇꯨꯡꯗꯥ, ꯑꯃꯁꯨꯡ ꯍꯥꯔꯇꯇꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯂꯤꯕꯥ ꯑꯈꯟꯅꯕꯥ ꯗꯤꯚꯥꯏꯁ ꯑꯃꯥ (`(ꯂꯦꯐꯠ ꯚꯦꯟꯇꯤꯀꯨꯂꯥꯔ ꯑꯦꯁꯤꯁ꯭ꯇꯦꯟꯇ ꯗꯤꯚꯥꯏꯁ)`) ꯏꯅꯁ꯭ꯇꯣꯜ ꯇꯧꯗ꯭ꯔꯤꯉꯩꯒꯤ ꯃꯃꯥꯡꯗꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯏ꯫

ꯊꯝꯃꯣꯌꯒꯤ ꯑꯔꯣꯏꯕꯥ ꯑꯃꯁꯨꯡ ꯑꯔꯣꯏꯕꯥ ꯃꯐꯃꯗꯥ ꯄꯥꯡꯊꯣꯀꯄꯥ ꯇꯦꯁ꯭ꯠ ꯑꯅꯤ ꯑꯁꯤꯒꯤ ꯃꯔꯛꯇꯥ ꯀꯔꯤ ꯈꯦꯠꯅꯕꯥ ꯂꯩꯕꯒꯦ?

ꯍꯣꯌ, ꯃꯁꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯋꯥꯍꯪ ꯑꯃꯅꯤ꯫ ꯍꯥꯔꯇꯀꯤ ꯑꯔꯣꯏꯕꯥ ꯃꯐꯃꯗꯥ ꯇꯧꯕꯥ ꯇꯦꯁ꯭ꯠ ꯑꯃꯥ (`ꯔꯥꯏꯠ ꯍꯥꯔꯠ ꯀꯦꯇꯦꯇꯦꯔꯥꯏꯖꯦꯁꯟ`) ꯑꯃꯁꯨꯡ ꯍꯥꯔꯇꯀꯤ ꯑꯔꯣꯏꯕꯥ ꯃꯐꯃꯗꯥ ꯇꯧꯕꯥ ꯇꯦꯁ꯭ꯠ ꯑꯃꯥ (`ꯂꯦꯐꯠ ꯍꯥꯔꯠ ꯀꯦꯇꯦꯇꯦꯔꯥꯏꯖꯦꯁꯟ`) ꯂꯩ꯫ ꯑꯅꯤꯁꯤꯒꯤ ꯃꯔꯛꯇꯥ ꯃꯌꯦꯛ ꯁꯦꯡꯕꯥ ꯈꯦꯟꯅꯕꯥ ꯂꯩꯔꯤ꯫

ꯇꯦꯁ꯭ꯠ ꯑꯁꯤꯒꯤꯗꯃꯛꯇꯥ ꯅꯍꯥꯛꯅꯥ ꯀꯔꯝꯅꯥ ꯁꯦꯝ-ꯁꯥꯒꯗꯒꯦ?

ꯑꯣꯀꯦ, ꯍꯧꯖꯤꯛ ꯑꯗꯣꯝꯅꯥ ꯃꯃꯥꯡꯒꯤ ꯅꯨꯃꯤꯠꯇꯥ ꯃꯇꯧ ꯀꯔꯝꯅꯥ ꯁꯦꯝ ꯁꯥꯒꯗꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯁꯤ꯫ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯑꯀꯛꯅꯕꯥ ꯏꯅꯁ꯭ꯠꯔꯛꯁꯅꯁꯤꯡ ꯄꯤꯒꯅꯤ, ꯑꯗꯨꯕꯨ ꯃꯁꯤ ꯇꯧꯒꯗꯕꯥ ꯖꯦꯅꯦꯔꯦꯜ ꯑꯣꯏꯕꯥ ꯊꯕꯀꯁꯤꯡꯅꯤ꯫

• ꯅꯍꯥꯛꯅꯥ ꯂꯧꯔꯤꯕꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛ ꯄꯨꯝꯅꯃꯛꯀꯤ ꯃꯇꯥꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯈꯪꯍꯅꯕꯤꯌꯨ: ꯅꯍꯥꯛꯅꯥ ꯂꯧꯔꯤꯕꯥ ꯄ꯭ꯔꯦꯁ꯭ꯛꯔꯤꯄꯁꯟ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ, ꯚꯤꯇꯥꯃꯤꯅꯁꯤꯡ, ꯁꯞꯂꯤꯃꯦꯟꯇꯁꯤꯡ ꯅꯠꯠꯔꯒꯥ ꯑꯣꯚꯔ-ꯗꯤ-ꯀꯎꯟꯇꯔ ꯍꯤꯗꯥꯀꯁꯤꯡꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯈꯪꯍꯅꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫ ꯍꯤꯗꯥꯛ ꯈꯔꯗꯤ, ꯃꯔꯨꯑꯣꯏꯅꯥ ꯑꯦꯟꯇꯤꯀꯣꯑꯦꯒꯨꯂꯦꯟꯇꯁꯤꯡ , ꯇꯦꯁ꯭ꯠ ꯇꯧꯗ꯭ꯔꯤꯉꯩꯒꯤ ꯃꯃꯥꯡꯗꯥ ꯅꯨꯃꯤꯠ ꯈꯔꯅꯤꯒꯤ ꯃꯃꯥꯡꯗꯥ ꯊꯤꯡꯖꯤꯅꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯏ꯫
• ꯀꯅꯥꯒꯨꯝꯕꯥ ꯑꯃꯕꯨ ꯅꯍꯥꯛꯀꯥ ꯂꯣꯌꯅꯅꯥ ꯌꯨꯃꯗꯥ ꯄꯨꯁꯤꯜꯂꯨ: ꯇꯦꯁ꯭ꯠ ꯇꯧꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯁꯥꯃꯛ ꯒꯥꯔꯤ ꯊꯧꯕꯥ ꯉꯃꯗꯕꯥ ꯌꯥꯏ, ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯅꯍꯥꯛꯀꯥ ꯂꯣꯌꯅꯅꯥ ꯀꯅꯥꯒꯨꯝꯕꯥ ꯑꯃꯕꯨ ꯌꯨꯃꯗꯥ ꯄꯨꯔꯀꯄꯥ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫
• ꯖꯨꯌꯦꯂꯔꯤ ꯑꯃꯁꯨꯡ ꯅꯦꯜ ꯄꯣꯂꯤꯁ ꯂꯧꯊꯣꯀꯎ: ꯇꯦꯁ꯭ꯠ ꯇꯧꯗ꯭ꯔꯤꯉꯩ ꯃꯃꯥꯡꯗꯥ, ꯅꯦꯀꯦꯂꯦꯁ, ꯕ꯭ꯔꯦꯁꯂꯦꯠ, ꯑꯃꯁꯨꯡ ꯔꯤꯡꯒꯨꯝꯕꯥ ꯖꯨꯋꯦꯂꯔꯤ ꯄꯨꯝꯅꯃꯛ ꯂꯧꯊꯣꯀꯎ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯂꯩꯔꯕꯗꯤ ꯅꯦꯜ ꯄꯣꯂꯤꯁ ꯑꯃꯍꯦꯛꯇꯕꯨ ꯂꯧꯊꯣꯀꯎ꯫
• ꯔꯣꯖꯥ: ꯇꯦꯁ꯭ꯠ ꯇꯧꯗ꯭ꯔꯤꯉꯩꯒꯤ ꯃꯃꯥꯡꯗꯥ ꯄꯨꯡ 6 ꯗꯒꯤ 12 ꯐꯥꯎꯕꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯃꯠꯇꯥ ꯆꯥꯔꯣꯏꯗꯕꯅꯤ ꯅꯠꯠꯔꯒꯥ ꯊꯛꯂꯣꯏꯗꯕꯅꯤ ꯍꯥꯌꯅꯥ ꯍꯥꯌꯒꯅꯤ꯫ ꯃꯁꯤꯒꯤ ꯄꯥꯎꯇꯥꯛ ꯑꯁꯤ ꯆꯨꯝꯅꯥ ꯉꯥꯛꯅꯥ ꯆꯠꯄꯥ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫

ꯇꯦꯁ꯭ꯠ ꯇꯧꯕꯥ ꯅꯨꯃꯤꯠꯇꯥ ꯀꯔꯤ ꯊꯣꯀꯏ?

ꯄ꯭ꯔꯣꯁꯤꯗ꯭ꯌꯨꯑꯣꯔ ꯄꯨꯝꯅꯃꯛ ꯑꯁꯤ ꯄꯨꯡ ꯀꯌꯥ ꯆꯪꯂꯝꯕꯥ ꯌꯥꯏ, ꯑꯗꯨꯕꯨ ꯀꯦꯇꯦꯒꯣꯔꯤ ꯑꯗꯨ ꯃꯐꯃꯗꯨꯗꯥ ꯂꯩꯕꯥ ꯃꯇꯝ ꯑꯗꯨꯗꯤ ꯃꯍꯧꯁꯥꯅꯥ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯄꯨꯡ ꯑꯃꯥ ꯑꯣꯏ꯫

ꯇꯦꯁ꯭ꯠ ꯇꯧꯗ꯭ꯔꯤꯉꯩꯒꯤ ꯃꯃꯥꯡꯗꯥ...

ꯅꯍꯥꯀꯄꯨ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯂꯒꯤ ꯑꯈꯟꯅꯕꯥ ꯌꯨꯅꯤꯠ ꯑꯃꯗꯥ ("ꯀꯦꯊ ꯂꯦꯕ") ꯄꯨꯔꯛꯂꯕꯥ ꯃꯇꯨꯡꯗꯥ, ꯅꯔꯁ ꯑꯃꯅꯥ ꯂꯥꯛꯀꯅꯤ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯀꯄꯨ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯂꯒꯤ ꯒꯥꯎꯟ ꯑꯃꯥ ꯊꯝꯅꯕꯥ ꯍꯥꯌꯒꯅꯤ꯫ ꯃꯈꯣꯌꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯕꯥꯊꯔꯨꯃꯗꯥ ꯆꯠꯇꯨꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯕ꯭ꯂꯦꯗꯔ ꯑꯗꯨ ꯁꯨꯃꯗꯣꯛꯅꯕꯥ ꯍꯥꯌꯒꯅꯤ꯫ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯃꯈꯣꯌꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯑꯦꯀꯖꯥꯃꯤꯅꯦꯁꯟ ꯇꯦꯕꯜ ꯑꯃꯗꯥ ꯂꯦꯡꯗꯅꯥ ꯂꯩꯍꯜꯂꯛꯀꯅꯤ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯑꯄꯤꯀꯄꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ ꯊꯃꯒꯅꯤ꯫ ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤꯕꯨ ꯏꯂꯦꯛꯠꯔꯣꯗ ꯍꯥꯌꯅꯥ ꯀꯧꯏ . ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯇꯦꯁ꯭ꯠ ꯄꯨꯝꯅꯃꯛꯇꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯥꯔꯇꯀꯤ ꯑꯦꯛꯇꯤꯚꯤꯇꯤ (ECG ꯑꯃꯒꯨꯝꯅꯥ) ꯌꯦꯡꯁꯤꯟꯅꯕꯥ ꯁꯤꯖꯤꯟꯅꯩ꯫

ꯑꯌꯥꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯅꯍꯥꯛꯅꯥ ꯇꯦꯁ꯭ꯠ ꯑꯁꯤꯒꯤꯗꯃꯛꯇꯥ ꯇꯨꯝꯕꯥ ꯌꯥꯔꯣꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯨꯠꯁꯥꯗꯥ ꯂꯩꯕꯥ ꯚꯦꯅꯝ ꯑꯃꯗꯥ ꯊꯝꯂꯤꯕꯥ ꯀꯦꯟꯌꯨꯜ (IV) ꯑꯃꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯅꯍꯥꯀꯄꯨ ꯇꯨꯝꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯔꯤꯂꯥꯛꯁꯦꯁꯟ ꯇꯧꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯅꯕꯥ ꯁꯦꯗꯦꯇꯤꯚ ꯅꯠꯠꯔꯒꯥ ꯍꯤꯗꯥꯛ ꯑꯃꯥ ꯄꯤꯕꯥ ꯌꯥꯏ꯫

ꯇꯦꯁ꯭ꯠ ꯇꯧꯕꯥ ꯃꯇꯃꯗꯥ...

ꯃꯇꯝ ꯑꯁꯤꯗꯥ ꯑꯗꯣꯝ ꯋꯥꯈꯜ ꯊꯦꯟꯗꯨꯅꯥ ꯂꯩꯔꯤ꯫ ꯗꯣꯛꯇꯔ ꯑꯃꯁꯨꯡ ꯇꯤꯝ ꯑꯁꯤꯅꯥ ꯑꯗꯣꯃꯗꯥ ꯋꯥꯐꯝ ꯈꯨꯗꯤꯡꯃꯛ ꯐꯣꯡꯗꯣꯛꯂꯤ꯫

1. ꯑꯍꯥꯅꯕꯗꯥ, ꯀꯦꯇꯦꯒꯣꯔꯤ ꯑꯗꯨ ꯊꯥꯗꯣꯛꯀꯗꯕꯥ ꯃꯐꯝ (ꯅꯦꯛ, ꯒ꯭ꯔꯣꯏꯟ, ꯅꯠꯠꯔꯒꯥ ꯑꯥꯔꯝ) ꯑꯗꯨ ꯁꯦꯡꯗꯣꯀꯎ ꯑꯃꯁꯨꯡ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯊꯧ ꯇꯥꯔꯕꯗꯤ ꯆꯨꯃꯗ꯭ꯔꯤꯡꯅꯥ ꯂꯧꯊꯣꯀꯎ꯫

2. ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ , ꯃꯐꯝ ꯑꯗꯨ ꯅꯨꯡꯉꯥꯏꯅꯥ ꯂꯩꯅꯕꯥ ꯂꯣꯀꯦꯜ ꯑꯦꯅꯥꯁ꯭ꯇꯦꯇꯤꯛ ꯑꯃꯥ ꯏꯅꯖꯦꯀꯁꯟ ꯇꯧꯏ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯑꯗꯣꯝꯅꯥ ꯌꯥꯝꯅꯥ ꯑꯋꯥꯕꯥ ꯐꯥꯑꯣꯔꯣꯏ꯫

3. ꯍꯧꯖꯤꯛ ꯑꯈꯟꯅꯕꯥ ꯅꯤꯗꯜ ꯑꯃꯥ ꯁꯤꯖꯤꯟꯅꯗꯨꯅꯥ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯜ ꯑꯗꯨ ꯆꯪꯁꯤꯜꯂꯤ ꯑꯃꯁꯨꯡ ꯃꯗꯨꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯀꯦꯇꯦꯒꯣꯔꯤ ꯑꯗꯨ ꯊꯥꯗꯣꯀꯏ꯫

4. ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯌꯥꯝꯅꯥ ꯇꯞꯅꯥ ꯑꯃꯁꯨꯡ ꯆꯦꯀꯁꯤꯟꯅꯥ, ꯑꯦꯛꯁ-ꯔꯦꯒꯨꯝꯕꯥ ꯑꯈꯟꯅꯕꯥ ꯁ꯭ꯛꯔꯤꯟ ꯑꯃꯗꯥ ꯌꯦꯡꯕꯗꯥ, ꯀꯦꯇꯦꯒꯣꯔꯤ ꯑꯗꯨ ꯍꯥꯔꯇꯀꯤ ꯑꯔꯣꯏꯕꯥ ꯃꯐꯃꯗꯥ ꯑꯃꯁꯨꯡ ꯄꯂꯃꯣꯅꯥꯔꯤ ꯑꯥꯔꯇꯦꯔꯤꯗꯥ ꯂꯃꯖꯤꯡꯏ꯫

5. ꯀꯦꯇꯦꯒꯣꯔꯤ ꯑꯗꯨ ꯑꯆꯨꯝꯕꯥ ꯃꯐꯃꯗꯥ ꯂꯩꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ, ꯃꯐꯝ ꯈꯨꯗꯤꯡꯃꯛꯇꯥ ꯄ꯭ꯔꯦꯁꯔ ꯑꯗꯨ ꯂꯦꯄꯊꯣꯀꯏ ꯑꯃꯁꯨꯡ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯊꯧ ꯇꯥꯔꯕꯗꯤ ꯏꯒꯤ ꯁꯦꯝꯄꯂꯁꯤꯡ ꯂꯧꯏ꯫

6. ꯃꯇꯝ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ, ꯅꯍꯥꯀꯄꯨ ꯂꯦꯡꯗꯅꯥ ꯂꯩꯅꯕꯥ, ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯂꯦꯡꯗꯅꯥ ꯂꯩꯅꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯄꯣꯖꯤꯁꯟ ꯍꯣꯡꯗꯣꯛꯅꯕꯥ ꯍꯥꯌꯕꯥ ꯌꯥꯏ꯫

7. ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯅꯍꯥꯛꯅꯥ ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯇꯧꯕꯥ ꯃꯇꯃꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯥꯔꯇꯀꯤ ꯔꯦꯠ ꯑꯗꯨ ꯀꯔꯝꯅꯥ ꯍꯣꯡꯂꯀꯄꯒꯦ ꯍꯥꯌꯕꯗꯨꯁꯨ ꯎꯕꯥ ꯐꯪꯏ (ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯐꯃꯨꯡꯗꯥ ꯂꯦꯡꯗꯅꯥ ꯂꯩꯔꯤꯉꯩꯗꯥ ꯄꯦꯗꯜ ꯃꯦꯁꯤꯟ ꯑꯃꯥ ꯁꯤꯖꯤꯟꯅꯕꯥ)꯫

8. ꯑꯔꯣꯏꯕꯗꯥ, ꯀꯦꯇꯦꯒꯣꯔꯤ ꯑꯗꯨ ꯆꯦꯀꯁꯤꯟꯅꯥ ꯂꯧꯊꯣꯀꯏ, ꯑꯃꯁꯨꯡ ꯏꯅꯁꯥꯔꯁ ꯇꯧꯔꯤꯕꯥ ꯃꯐꯝ ꯑꯗꯨꯗꯥ ꯄ꯭ꯂꯥꯁ꯭ꯇꯔ ꯅꯠꯠꯔꯒꯥ ꯕꯦꯟꯗꯦꯖ ꯑꯃꯥ ꯊꯥꯏ꯫

ꯃꯁꯤꯅꯥ ꯑꯋꯥꯕꯥ ꯄꯤꯔꯤꯕꯔꯥ?

ꯅ꯭ꯌꯨꯝꯕꯤꯡ ꯍꯤꯗꯥꯛ ꯑꯗꯨ ꯏꯅꯖꯦꯀꯁꯟ ꯇꯧꯕꯥ ꯃꯇꯃꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯈꯔꯥ ꯁꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯀꯦꯇꯦꯒꯣꯔꯤ ꯑꯗꯨ ꯏꯅꯁꯥꯔꯁ ꯇꯧꯕꯥ ꯃꯇꯃꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯈꯔꯥ ꯄ꯭ꯔꯦꯁꯔ ꯑꯃꯁꯨ ꯐꯥꯎꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤ ꯅꯠꯇꯅꯥ, ꯀꯦꯇꯦꯒꯣꯔꯤ ꯑꯗꯨ ꯆꯪꯂꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯑꯃꯠꯇꯥ ꯂꯩꯇꯦ ꯑꯗꯨꯕꯨ ꯅꯍꯥꯛꯅꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯋꯥꯐꯃꯁꯤꯡ ꯑꯁꯤ ꯐꯥꯎꯕꯥ ꯌꯥꯏ:

• ꯀꯦꯇꯦꯇꯔ ꯑꯗꯨꯅꯥ ꯍꯥꯔꯇꯀꯤ ꯋꯥꯂꯁꯤꯡꯗꯥ ꯆꯦꯟꯊꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯊꯝꯃꯣꯌꯒꯤ ꯑꯅꯥꯕꯥ ꯑꯃꯥ ꯅꯠꯠꯔꯒꯥ ꯍꯥꯔꯇꯀꯤ ꯈꯣꯡꯖꯦꯜ ꯌꯥꯡꯁꯤꯅꯕꯒꯤ ꯐꯤꯚꯝ ꯑꯃꯥ ꯂꯩꯕꯥ꯫
• ꯃꯀꯣꯛ ꯁꯣꯀꯄꯥ, ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯐꯥꯎꯕꯥ꯫
• ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯐꯥꯎꯕꯥ꯫
• ꯀꯣꯛ ꯆꯤꯀꯄꯥ ꯌꯥꯕꯥ ꯐꯥꯎꯕꯥ꯫
• ꯍꯤꯗꯥꯛ ꯑꯗꯨ ꯄꯤꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯋꯥꯔꯝ ꯐꯤꯜꯂꯤꯡ ꯑꯃꯥ꯫

ꯇꯦꯁ꯭ꯠ ꯑꯁꯤꯒꯤ ꯔꯤꯁ꯭ꯛ ꯂꯩꯕ꯭ꯔꯥ?

ꯔꯥꯏꯠ ꯍꯥꯔꯠ ꯀꯦꯇꯦꯒꯣꯔꯤ ꯑꯁꯤ ꯃꯍꯧꯁꯥꯅꯥ ꯌꯥꯝꯅꯥ ꯁꯥꯐꯕꯥ ꯊꯧꯑꯣꯡ ꯑꯃꯅꯤ . ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯃꯦꯗꯤꯀꯦꯜ ꯄ꯭ꯔꯣꯁꯤꯗ꯭ꯌꯨꯑꯣꯔ ꯑꯃꯍꯦꯛꯇꯒꯨꯝꯅꯥ, ꯃꯁꯤꯗꯥ ꯌꯥꯝꯅꯥ ꯑꯄꯤꯀꯄꯥ ꯔꯤꯁ꯭ꯛ ꯂꯩꯕꯥ ꯌꯥꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯄ꯭ꯔꯣꯁꯤꯗ꯭ꯌꯨꯑꯣꯔ ꯑꯗꯨꯒꯤ ꯀꯥꯟꯅꯕꯁꯤꯡ ꯑꯗꯨꯅꯥ ꯔꯤꯁ꯭ꯀꯁꯤꯡꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯋꯥꯡꯏ ꯍꯥꯌꯅꯥ ꯂꯧꯔꯕꯈꯛꯇꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯔꯤꯀꯃꯦꯟꯗ ꯇꯧꯒꯅꯤ꯫

ꯑꯣꯏꯊꯣꯀꯄꯥ ꯌꯥꯕꯥ ꯔꯤꯁ꯭ꯛ ꯈꯔꯗꯤ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯁꯤꯡꯁꯤꯅꯤ:

• ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ ꯅꯠꯠꯔꯒꯥ ꯁꯤꯖꯤꯟꯅꯔꯤꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡꯗꯥ ꯑꯦꯂꯥꯔꯖꯤꯒꯤ ꯔꯤꯑꯦꯛꯁꯅꯁꯤꯡ꯫
• ꯍꯥꯔꯇꯀꯤ ꯈꯣꯡꯖꯦꯜ ꯌꯥꯡꯕꯥ (Arrhythmia)꯫
• ꯀꯦꯇꯦꯒꯣꯔꯤ ꯑꯗꯨ ꯊꯥꯗꯣꯔꯀꯄꯥ ꯃꯐꯃꯗꯥ ꯏ ꯊꯣꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯁꯣꯀꯄꯥ꯫
• ꯏ ꯊꯣꯀꯄꯥ꯫
• ꯃꯍꯤꯛ ꯄꯛꯄ.
• ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ, ꯍꯥꯔꯠ ꯅꯠꯠꯔꯒꯥ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯂꯁꯤꯡꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯄꯥ, ꯍꯥꯔꯠ ꯑꯦꯇꯦꯛ ꯅꯠꯠꯔꯒꯥ ꯁ꯭ꯠꯔꯣꯛ ꯑꯃꯥ꯫

ꯔꯤꯁ꯭ꯀꯁꯤꯡ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯇꯣꯏꯅꯥ ꯊꯣꯀꯏ ꯍꯥꯌꯕꯁꯤ ꯅꯤꯡꯁꯤꯡꯕꯤꯌꯨ꯫ ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯀꯥꯡꯕꯨ ꯑꯁꯤ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯊꯧꯗꯣꯛ ꯑꯃꯥ ꯂꯥꯀꯁꯤꯟꯅꯕꯥ ꯃꯄꯨꯡ ꯐꯥꯅꯥ ꯁꯦꯝ ꯁꯥꯗꯨꯅꯥ ꯂꯩꯔꯤ꯫

ꯌꯨꯃꯗꯥ ꯌꯧꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯀꯔꯤ ꯇꯧꯕꯥ ꯄꯥꯝꯂꯤꯕꯒꯦ?

ꯇꯦꯁ꯭ꯠ ꯇꯧꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯄꯨꯡ ꯈꯔꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯅꯍꯥꯀꯄꯨ ꯃꯣꯅꯤꯇꯔ ꯇꯧꯒꯅꯤ ꯑꯃꯁꯨꯡ ꯌꯨꯃꯗꯥ ꯊꯥꯒꯅꯤ꯫ ꯌꯨꯃꯗꯥ ꯆꯠꯂꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯋꯥꯐꯃꯁꯤꯡ ꯑꯁꯤ ꯆꯦꯀꯁꯤꯅꯒꯗꯕꯅꯤ꯫

• ꯅꯨꯡꯉꯥꯏꯅꯥ ꯂꯩꯅꯕꯥ: ꯅꯨꯃꯤꯠ ꯑꯗꯨꯒꯤ ꯑꯔꯣꯏꯕꯥ ꯃꯇꯝ ꯑꯗꯨ ꯅꯨꯡꯉꯥꯏꯅꯥ ꯂꯩꯌꯨ꯫ ꯌꯥꯃꯗ꯭ꯔꯕꯗꯥ ꯄꯨꯡ 24 ꯐꯥꯎꯕꯥ ꯀꯨꯄꯁꯤꯅꯕꯥ, ꯂꯦꯡ-ꯑꯣꯠꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯊꯤꯡꯖꯤꯅꯕꯥ ꯌꯥꯔꯣꯏꯗꯕꯅꯤ꯫
• ꯗ꯭ꯔꯥꯏꯚꯤꯡ ꯇꯧꯔꯣꯏꯗꯕꯅꯤ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯥꯏꯅꯥ ꯇꯨꯝꯕꯥ ꯌꯥꯕꯥ ꯍꯤꯗꯥꯛ ꯑꯃꯥ ꯄꯤꯈ꯭ꯔꯕꯗꯤ, ꯄꯨꯡ 24 ꯐꯥꯎꯕꯥ ꯗ꯭ꯔꯥꯏꯚꯤꯡ ꯇꯧꯒꯅꯨ ꯅꯠꯠꯔꯒꯥ ꯑꯀꯅꯕꯥ ꯃꯦꯁꯤꯅꯔꯤꯁꯤꯡ ꯁꯤꯖꯤꯟꯅꯒꯅꯨ꯫
• ꯏꯁꯤꯡ ꯃꯔꯥꯡ ꯀꯥꯌꯅꯥ ꯊꯀꯎ : ꯐ꯭ꯂꯨꯏꯗ ꯃꯔꯥꯡ ꯀꯥꯌꯅꯥ ꯊꯀꯄꯅꯥ ꯍꯀꯆꯥꯡꯗꯥ ꯑꯐꯕꯥ ꯑꯣꯏ꯫
• ꯕꯦꯟꯗꯦꯖ ꯑꯗꯨ ꯌꯦꯡꯁꯤꯜꯂꯨ: ꯕꯦꯟꯗꯦꯖ ꯑꯗꯨ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯍꯥꯌꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ (ꯃꯍꯧꯁꯥꯅꯥ ꯅꯨꯃꯤꯠ ꯑꯃꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯅꯤ) ꯀꯦꯇꯦꯇꯔ ꯑꯗꯨ ꯊꯥꯗꯣꯀꯈꯤꯕꯥ ꯃꯐꯝ ꯑꯗꯨꯗꯥ ꯊꯝꯃꯨ꯫
• ꯂꯨ-ꯅꯥꯅꯕꯥ: ꯄꯨꯡ 24-48 ꯐꯥꯎꯕꯥ ꯂꯨ-ꯅꯥꯅꯕꯥ ꯇꯧꯔꯣꯏꯗꯕꯅꯤ꯫ ꯃꯁꯤꯗꯁꯨ ꯅꯠꯇꯅꯥ, ꯑꯁꯣꯀꯄꯥ ꯑꯗꯨ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯐꯒꯠꯂꯛꯠꯔꯤꯐꯥꯎꯕꯥ ꯕꯥꯊꯇꯕ ꯑꯃꯗꯥ ꯆꯪꯒꯅꯨ꯫ ꯂꯨ-ꯅꯥꯅꯕꯥ ꯃꯇꯃꯗꯥ, ꯑꯁꯣꯀꯄꯥ ꯑꯗꯨ ꯌꯥꯝꯅꯥ ꯀꯟꯅꯥ ꯁꯣꯀꯍꯜꯂꯣꯏꯗꯕꯅꯤ, ꯑꯗꯨꯕꯨ ꯃꯗꯨ ꯇꯔꯨ-ꯇꯅꯥꯟꯅꯥ ꯊꯃꯒꯗꯕꯅꯤ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯂꯩꯔꯕꯗꯤ, ꯈꯨꯗꯛꯇꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯀꯧꯕꯤꯌꯨ!

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯍꯦꯛꯇꯕꯨ ꯊꯦꯡꯅꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯊꯦꯡꯊꯅꯥ ꯀꯧꯕꯤꯌꯨ . ꯅꯠꯠꯔꯒꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯅꯀꯄꯥ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯂꯒꯤ ꯏꯃꯔꯖꯦꯟꯁꯤ ꯗꯤꯄꯥꯔꯇꯃꯦꯟꯇ (ETU)ꯗꯥ ꯆꯠꯂꯨ꯫