ꯅꯍꯥꯛꯀꯤ ꯁ꯭ꯞꯂꯤꯟ ꯑꯗꯨ ꯈꯨꯗꯣꯡꯊꯤꯕꯥ ꯂꯩꯕ꯭ꯔꯥ? ꯉꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ (Ruptured Spleen)ꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯒꯅꯤ!

ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯒꯤ ꯂꯦꯃꯍꯧꯔꯤꯕꯥ ꯁꯔꯨꯛ ꯑꯗꯨꯗꯥ, ꯅꯍꯥꯛꯀꯤ ꯔꯤꯕꯅꯒꯤ ꯃꯈꯥꯗꯥ ꯂꯩꯕꯥ ꯑꯄꯤꯀꯄꯥ ꯑꯣꯔꯒꯥꯟ ꯑꯗꯨꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯈꯜꯂꯨꯕꯥ ꯂꯩꯕ꯭ꯔꯥ? ꯃꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯁ꯭ꯞꯂꯤꯟ ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ ꯃꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯈꯨꯠꯁꯥꯒꯤ ꯈꯣꯡꯎꯄꯀꯤ ꯆꯥꯡ ꯑꯗꯨꯒꯥ ꯃꯥꯟꯅꯩ꯫ ꯑꯗꯨꯕꯨ ꯃꯁꯤꯅꯥ ꯑꯆꯧꯕꯥ ꯊꯕꯛ ꯑꯃꯥ ꯇꯧꯏ꯫ ꯑꯗꯨꯕꯨ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯁ꯭ꯞꯂꯤꯟ ꯑꯁꯤ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯍꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯁꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯗꯨ ꯑꯣꯏꯔꯕꯗꯤ, ꯃꯁꯤ ꯈꯔꯥ ꯌꯥꯝꯅꯥ ꯂꯨꯕꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫

ꯁ꯭ꯞꯂꯤꯟ ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ? ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯗꯨ ꯁꯣꯀꯍꯜꯂꯕꯗꯤ ꯃꯁꯤꯒꯤ ꯑꯔꯊ ꯀꯔꯤꯅꯣ?

ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯅꯍꯥꯛꯀꯤ ꯁ꯭ꯞꯂꯤꯟ ꯑꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯃꯊꯛ ꯊꯪꯕꯥ ꯁꯔꯨꯛꯇꯥ ꯂꯩꯕꯥ ꯑꯄꯤꯀꯄꯥ, ꯑꯗꯨꯕꯨ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯑꯣꯔꯒꯥꯟ ꯑꯃꯅꯤ꯫ ꯃꯁꯤ ꯐꯤꯜꯇꯔ ꯑꯃꯒꯨꯝꯅꯥ ꯊꯕꯛ ꯇꯧꯏ꯫ ꯃꯁꯤꯅꯥ ꯃꯇꯝ ꯑꯃꯠꯇꯗꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯏꯒꯤ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯁꯔꯨꯛ ꯇꯪꯈꯥꯌ ꯑꯃꯥ ꯊꯃꯗꯨꯅꯥ ꯃꯗꯨ ꯁꯦꯡꯗꯣꯀꯏ ꯑꯃꯁꯨꯡ ꯔꯦꯗ ꯕ꯭ꯂꯗ ꯁꯦꯂꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯄ꯭ꯂꯦꯇꯂꯦꯇꯁꯤꯡ ꯊꯃꯖꯤꯜꯂꯤ꯫ ꯃꯁꯤꯅꯥ ꯂꯥꯌꯅꯥ ꯂꯥꯀꯁꯤꯅꯕꯥ ꯉꯝꯕꯥ ꯋꯥꯏꯇꯦꯞ ꯕ꯭ꯂꯗ ꯁꯦꯂꯁꯤꯡ ꯁꯦꯝꯕꯗꯁꯨ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫ ꯁ꯭ꯞꯂꯤꯟ ꯑꯁꯤ ꯃꯅꯨꯡꯗꯥ ꯂꯩꯕꯥ ꯁꯦꯀꯒꯨꯝꯕꯥ ꯑꯣꯔꯒꯥꯟ ꯑꯃꯅꯤ, ꯃꯁꯤ ꯇꯤꯁꯨꯒꯤ ꯑꯄꯤꯀꯄꯥ ꯂꯦꯡ-ꯑꯣꯠꯄꯅꯥ ꯀꯨꯄꯁꯤꯜꯂꯤ꯫ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯂꯁꯤꯡꯁꯨ ꯃꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯆꯦꯜꯂꯤ꯫

ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯁ꯭ꯞꯂꯤꯅꯒꯤ ꯃꯐꯝ ꯑꯗꯨꯒꯥ ꯂꯣꯌꯅꯅꯥ, ꯃꯔꯨꯑꯣꯏꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯀꯅꯕꯥ ꯈꯣꯡꯖꯦꯜ ꯑꯃꯥ ꯂꯥꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯃꯗꯨ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯄꯒꯤ ꯆꯥꯡ ꯍꯦꯟꯅꯥ ꯋꯥꯡꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯩꯅꯥ ꯍꯥꯌꯈꯤꯕꯥ ꯃꯄꯥꯅꯒꯤ ꯀꯚꯔꯤꯡ ꯑꯗꯨ ꯁꯣꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯁꯣꯀꯄꯥ ꯑꯣꯏꯔꯕꯗꯤ ꯃꯗꯨ ꯑꯩꯈꯣꯌꯅꯥ ‘ꯁ꯭ꯞꯂꯦꯅꯤꯛ ꯔꯄꯆꯔ’ ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯁ꯭ꯞꯂꯤꯟ ꯑꯗꯨ ꯁꯣꯟꯊꯔꯕꯗꯤ, ꯑꯩꯈꯣꯌꯒꯤ ꯈꯣꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯂꯩꯕꯥ ꯑꯇꯩ ꯑꯣꯔꯒꯥꯅꯁꯤꯡꯒꯥ ꯆꯥꯡꯗꯝꯅꯕꯗꯥ, ꯍꯀꯆꯥꯡꯗꯥ ꯏ ꯊꯣꯀꯄꯒꯤ ꯆꯥꯡ ꯋꯥꯡꯏ, ꯃꯗꯨꯅꯥ ꯄꯨꯟꯁꯤꯗꯥ ꯈꯨꯗꯣꯡꯊꯤꯕꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯁ꯭ꯞꯂꯦꯅꯤꯛ ꯔꯄꯆꯔ ꯍꯥꯌꯕꯁꯤ ꯈꯨꯗꯛꯇꯥ ꯃꯦꯗꯤꯀꯦꯜ ꯑꯦꯇꯦꯟꯁꯟ ꯃꯊꯧ ꯇꯥꯕꯥ ꯑꯦꯃꯔꯖꯦꯟꯁꯤ ꯑꯃꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯑꯣꯄꯔꯦꯁꯟ ꯑꯃꯥ ꯇꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯏ꯫

ꯁ꯭ꯞꯂꯤꯟ ꯁꯣꯀꯄꯥ (ruptured spleen) ꯊꯣꯀꯍꯅꯕꯒꯤ ꯃꯔꯃꯁꯤꯡ ꯀꯔꯤꯅꯣ?

ꯑꯣꯀꯦ, ꯍꯧꯖꯤꯛ ꯀꯔꯤꯒꯤꯗꯃꯛꯇꯥ ꯁ꯭ꯞꯂꯤꯟ ꯑꯁꯤ ꯑꯁꯤꯒꯨꯝꯅꯥ ꯁꯣꯀꯄꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯁꯤ꯫

ꯑꯌꯥꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯃꯁꯤꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯔꯃꯗꯤ ꯑꯦꯛꯁꯤꯗꯦꯟꯇ ꯑꯃꯗꯒꯤ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯄꯅꯤ꯫ ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯒꯥꯔꯤꯒꯤ ꯑꯦꯛꯁꯤꯗꯦꯟꯇ ꯑꯃꯥ ꯈꯟꯗꯨꯅꯥ ꯌꯦꯡꯕꯤꯌꯨ꯫ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯑꯦꯛꯁꯤꯗꯦꯟꯇꯁꯤꯡꯒꯤ ꯆꯥꯎꯔꯥꯛꯅꯥ 50%ꯗꯒꯤ 75% ꯐꯥꯎꯕꯗꯤ ꯁ꯭ꯞꯂꯤꯟ ꯁꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯁꯥꯟꯅꯄꯣꯠ ꯁꯥꯟꯅꯔꯤꯉꯩꯗꯥ ꯊꯣꯀꯄꯥ ꯑꯁꯣꯛ-ꯑꯄꯅꯁꯤꯡꯒꯤ ꯃꯇꯥꯡꯗꯁꯨ ꯃꯁꯤꯃꯛ ꯑꯣꯏ꯫ ꯃꯁꯤ ꯃꯔꯨꯑꯣꯏꯅꯥ ꯍꯀꯆꯥꯡꯒꯥ ꯍꯀꯆꯥꯡꯒꯥ ꯃꯔꯤ ꯂꯩꯅꯕꯥ ꯁꯥꯟꯅꯄꯣꯠꯁꯤꯡ, ꯍꯥꯌꯕꯗꯤ ꯔꯒꯕꯤꯗꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯁ꯭ꯞꯂꯤꯟ ꯑꯗꯨ ꯀꯟꯅꯥ ꯁꯣꯀꯄꯥ, ꯈꯣꯡ ꯍꯥꯝꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯒꯨꯂꯤ ꯊꯥꯕꯥ ꯌꯥꯕꯥ ꯑꯁꯣꯛ-ꯑꯄꯅꯒꯨꯝꯕꯥ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯄꯣꯠꯁꯛ ꯑꯃꯗꯒꯤ ꯂꯥꯀꯄꯥ ꯌꯥꯏ꯫

ꯃꯔꯨꯑꯣꯏꯕꯥ ꯋꯥꯐꯃꯗꯤ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯁ꯭ꯞꯂꯤꯟ ꯑꯗꯨ ꯑꯦꯛꯁꯤꯗꯦꯟꯇ ꯑꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯈꯨꯗꯛꯇꯥ ꯁꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯕꯨ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯑꯦꯛꯁꯤꯗꯦꯟꯇ ꯑꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯃꯇꯝ ꯈꯔꯒꯤ ꯃꯇꯨꯡꯗꯥ, ꯑꯁꯣꯀꯄꯥ ꯑꯗꯨ ꯁꯣꯟꯊꯔꯀꯏ ꯑꯃꯁꯨꯡ ꯁ꯭ꯞꯂꯤꯟ ꯑꯗꯨ ꯁꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯕꯨ ‘ꯗꯦꯂꯦꯏꯗ ꯔꯄꯆꯔ’ ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫

ꯁ꯭ꯞꯂꯤꯟ ꯑꯃꯅꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯑꯃꯠꯇꯥ ꯊꯣꯀꯍꯟꯗꯅꯥ ꯁꯣꯀꯍꯅꯕꯥ ꯌꯥꯕ꯭ꯔꯥ?

ꯍꯧꯖꯤꯛꯇꯤ ꯅꯍꯥꯛꯅꯥ ꯈꯜꯂꯃꯒꯅꯤ ꯃꯗꯨꯗꯤ ꯑꯦꯛꯁꯤꯗꯦꯟꯇ ꯑꯃꯠꯇꯥ ꯊꯣꯛꯂꯛꯠꯔꯤꯕꯐꯥꯎꯕꯥ ꯁ꯭ꯞꯂꯤꯟ ꯑꯗꯨꯗꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯃꯠꯇꯥ ꯊꯣꯛꯂꯣꯏ꯫ ꯑꯗꯨꯕꯨ, ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯊꯣꯀꯄꯥ ꯑꯣꯏꯔꯕꯁꯨ, ꯁ꯭ꯞꯂꯤꯟ ꯑꯁꯤ ꯃꯁꯥ ꯃꯊꯟꯇꯥ ꯈꯨꯗꯣꯡꯊꯤꯕꯥ ꯑꯃꯠꯇꯥ ꯂꯩꯇꯅꯥ ꯁꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯁꯤ ꯇꯥꯕꯗꯥ ꯈꯔꯥ ꯑꯉꯀꯄꯥ ꯐꯥꯑꯣꯏ, ꯅꯠꯇꯦ?

ꯃꯁꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯂꯩꯔꯤꯕꯥ ꯑꯇꯣꯞꯄꯥ ꯑꯟꯗꯔꯂꯥꯏꯟ ꯃꯦꯗꯤꯀꯦꯜ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯁ꯭ꯞꯂꯤꯟ ꯑꯗꯨ ꯁꯣꯀꯄꯥ ꯍꯧꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯊꯣꯀꯏ꯫ ꯃꯁꯤ ꯐꯨꯃꯖꯤꯜꯂꯀꯄꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯑꯩꯅꯥ ꯃꯃꯥꯡꯗꯥ ꯍꯥꯌꯈꯤꯕꯥ ꯃꯄꯥꯅꯒꯤ ꯀꯚꯔ ꯑꯗꯨ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯁꯣꯟꯊꯔꯀꯏ, ꯑꯃꯁꯨꯡ ꯑꯔꯣꯏꯕꯗꯥ ꯃꯗꯨ ꯆꯦꯟꯊꯔꯀꯄꯥ ꯌꯥꯏ꯫

ꯃꯁꯤꯒꯤ ꯃꯈꯜ ꯑꯁꯤꯒꯤ ꯁ꯭ꯞꯂꯤꯟ ꯁꯣꯛ-ꯄꯅꯕꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯈꯔꯗꯤ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯁꯤꯡꯁꯤꯅꯤ:

• ꯀꯦꯟꯁꯔꯒꯤ ꯃꯈꯂꯁꯤꯡ, ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ `(ꯂꯤꯝꯐꯣꯃꯥ)`꯫
• ꯏꯅꯐꯦꯛꯁꯅꯁꯤꯡ, ꯴.`(ꯃꯣꯅꯣꯟꯌꯨꯛꯂꯤꯑꯣꯁꯤꯁ)` ꯅꯠꯠꯔꯒꯥ `(ꯃꯦꯂꯦꯔꯤꯌꯥ)`ꯒꯨꯝꯕꯥ꯫
• ꯀ꯭ꯔꯣꯅꯤꯛ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯇꯔꯤ ꯗꯤꯖꯤꯖꯁꯤꯡ , ꯍꯥꯌꯕꯗꯤ ꯍꯦꯄꯥꯇꯥꯏꯇꯤꯁ, ꯂꯤꯚꯔꯒꯤ ꯂꯥꯌꯅꯥ ꯑꯃꯥ, ꯅꯠꯠꯔꯒꯥ ꯄꯦꯅꯛꯔꯤꯑꯦꯇꯤꯁ꯫

ꯅꯍꯥꯛꯀꯤ ꯁ꯭ꯞꯂꯤꯟ ꯑꯗꯨ ꯁꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯀꯔꯝꯅꯥ ꯐꯥꯎꯒꯅꯤ?

ꯑꯣꯀꯦ, ꯍꯧꯖꯤꯛ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯁ꯭ꯞꯂꯤꯟ ꯑꯗꯨ ꯁꯣꯀꯍꯜꯂꯕꯗꯤ ꯀꯔꯤ ꯑꯣꯏꯒꯅꯤ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯁꯤ꯫

ꯑꯩꯅꯥ ꯍꯥꯌꯈꯤꯕꯒꯨꯝꯅꯥ ꯁ꯭ꯞꯂꯤꯟ ꯑꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯒꯤ ꯃꯊꯛꯀꯤ ꯂꯦꯃꯍꯧꯔꯤꯕꯥ ꯁꯔꯨꯛ ꯑꯗꯨꯗꯥ, ꯅꯍꯥꯛꯀꯤ ꯂꯦꯡ-ꯑꯣꯠꯄꯒꯤ ꯃꯈꯥꯗꯥ ꯂꯩꯕꯥ ꯔꯤꯕ ꯀꯦꯖ ꯑꯃꯁꯨꯡ ꯗꯥꯏꯑꯦꯐ꯭ꯔꯥꯃꯒꯤ ꯃꯈꯥꯗꯥ ꯂꯩ꯫ ꯁ꯭ꯞꯂꯤꯟ ꯑꯗꯨ ꯁꯣꯟꯊꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯅꯍꯥꯛꯅꯥ ꯃꯐꯝ ꯑꯗꯨꯗꯥ ꯁꯥꯊꯤꯕꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯑꯃꯥ ꯐꯥꯎꯕꯥ ꯌꯥꯏ꯫

ꯑꯗꯨꯕꯨ ꯃꯐꯝ ꯑꯁꯤꯗꯥ ꯑꯇꯣꯞꯄꯥ ꯋꯥꯐꯝ ꯑꯃꯁꯨ ꯂꯩꯔꯤ꯫ ꯁ꯭ꯞꯂꯤꯟ ꯁꯣꯀꯄꯥ ꯊꯣꯀꯍꯜꯂꯤꯕꯥ ꯆꯞ ꯃꯥꯟꯅꯕꯥ ꯑꯦꯛꯁꯤꯗꯦꯟꯇꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯑꯇꯩ ꯑꯁꯣꯛ-ꯑꯄꯅꯁꯤꯡꯁꯨ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ, ꯅꯠꯇꯦ? ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯅꯍꯥꯛꯅꯥ ꯔꯤꯕꯟ ꯑꯃꯥ ꯁꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ, ꯅꯍꯥꯛꯅꯥ ꯁꯣꯀꯍꯜꯂꯕꯥ ꯁ꯭ꯞꯂꯤꯟ ꯑꯃꯗꯒꯤ ꯑꯅꯥꯕꯥ ꯑꯗꯨ ꯑꯇꯩ ꯑꯁꯣꯛ-ꯑꯄꯅꯁꯤꯡꯗꯒꯤ ꯂꯥꯀꯄꯥ ꯑꯅꯥꯕꯁꯤꯡꯗꯒꯤ ꯈꯦꯠꯅꯕꯥ ꯊꯃꯗꯕꯥ ꯌꯥꯏ꯫

ꯁ꯭ꯞꯂꯤꯟ (spleen) ꯁꯣꯟꯊꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ, ꯅꯍꯥꯛꯀꯤ ꯂꯦꯡ-ꯑꯣꯠꯄꯒꯤ ꯃꯑꯣꯡ-ꯃꯇꯧ ꯅꯠꯠꯔꯒꯥ ꯈꯨꯎꯗꯥ ꯔꯦꯗꯤꯑꯦꯠ ꯇꯧꯕꯥ ꯑꯅꯥꯕꯥ ꯐꯥꯎꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯕꯨ ꯀꯦꯍꯔꯒꯤ ꯁꯥꯏꯟ ꯍꯥꯌꯅꯥ ꯀꯧꯏ . ꯃꯁꯤ ꯊꯣꯀꯏ ꯃꯔꯃꯗꯤ ꯁ꯭ꯞꯂꯤꯟ ꯑꯗꯨ ꯏ ꯊꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯏ ꯑꯗꯨꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯒꯤ ꯍꯧꯔꯒꯥ ꯅꯍꯥꯛꯀꯤ ꯂꯦꯡꯖꯨꯝ (left phrenic nerve)ꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯆꯠꯂꯤꯕꯥ ꯅꯔꯚ ꯑꯃꯗꯥ ꯆꯦꯜꯂꯤ꯫ ꯅꯍꯥꯛꯅꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯃꯇꯃꯗꯥ ꯑꯅꯥꯕꯥ ꯑꯗꯨ ꯍꯦꯟꯅꯥ ꯁꯣꯀꯆꯤꯜꯂꯀꯄꯥ ꯐꯥꯎꯕꯥ ꯌꯥꯏ꯫

ꯁ꯭ꯞꯂꯤꯟ ꯁꯣꯟꯊꯔꯀꯄꯒꯤ ꯑꯇꯩ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯂꯩꯕ꯭ꯔꯥ?

ꯑꯅꯥꯕꯒꯤ ꯃꯊꯛꯇꯥ, ꯅꯍꯥꯛꯅꯥ ꯃꯅꯨꯡꯒꯤ ꯏ ꯊꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ ꯈꯪꯍꯧꯗꯅꯥ ꯍꯟꯊꯔꯀꯄꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯑꯇꯩ ꯂꯥꯏꯑꯣꯡꯁꯤꯡꯁꯨ ꯎꯕꯥ ꯐꯪꯏ꯫ ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯈꯉꯅꯔꯕꯥ ꯋꯥꯐꯝ ꯑꯃꯥ ꯑꯣꯏꯅꯥ ꯁꯣꯜꯂꯤꯕꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯕꯤꯌꯨ:

• ꯃꯤꯠ ꯎꯗꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯂꯥꯏꯠ ꯍꯦꯗ-ꯑꯦꯛ ꯑꯣꯏꯕꯥ꯫
• ꯃꯦꯟꯇꯦꯜ ꯀꯅꯐꯤꯎꯁꯟ ꯅꯠꯠꯔꯒꯥ ꯗꯤꯁꯑꯣꯔꯗꯔ ꯂꯩꯕꯥ꯫
• ꯕ꯭ꯂꯔ ꯚꯤꯖꯟ꯫
• ꯄꯦꯂꯦꯅꯦꯁ ꯑꯃꯁꯨꯡ ꯐꯦꯏꯟꯇꯅꯦꯁ꯫
• ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ꯫
• ꯀꯣꯛ ꯉꯥꯎꯕ

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯁ꯭ꯞꯂꯤꯟ ꯑꯗꯨ ꯁꯣꯀꯍꯜꯂꯕꯗꯤ ꯀꯔꯤ ꯑꯣꯏꯒꯅꯤ? ꯀꯔꯤ ꯇꯧꯒꯗꯒꯦ?

ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯒꯤ ꯃꯊꯛꯀꯤ ꯂꯦꯃꯍꯧꯔꯤꯕꯥ ꯁꯔꯨꯛ ꯑꯗꯨꯗꯥ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯅꯥ ꯑꯅꯥꯕꯥ ꯂꯩꯔꯦ ꯍꯥꯌꯅꯥ ꯈꯅꯕꯤꯌꯨ, ꯅꯠꯠꯔꯒꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯩꯅꯥ ꯍꯥꯌꯈꯤꯕꯥ ꯀꯦꯍꯔꯒꯤ ꯈꯨꯗꯝ ꯑꯗꯨ ꯂꯩꯔꯦ ꯍꯥꯌꯅꯥ ꯈꯅꯕꯤꯌꯨ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯑꯦꯛꯁꯤꯗꯦꯟꯇ ꯑꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯑꯇꯦꯅꯕꯥ ꯃꯇꯃꯒꯤ ꯃꯇꯨꯡꯗꯁꯨ ꯊꯣꯛꯂꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯏꯃꯔꯖꯦꯟꯁꯤ ꯔꯨꯝ (ER)ꯗꯥ ꯍꯀꯊꯦꯡꯅꯅꯥ ꯆꯠꯀꯗꯕꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯊꯧ ꯇꯥꯔꯕꯗꯤ ꯑꯦꯝꯕꯨꯂꯦꯟꯁ ꯑꯃꯗꯥ ꯀꯧꯕꯤꯌꯨ꯫

ꯃꯐꯝ ꯑꯗꯨꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯗꯣꯛꯇꯔꯁꯤꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ, ꯍꯟꯗꯛꯇꯥ ꯊꯣꯀꯈꯤꯕꯥ ꯑꯦꯛꯁꯤꯗꯦꯟꯇ ꯑꯃꯍꯦꯛꯇꯒꯤ ꯃꯇꯥꯡꯗꯥ, ꯅꯍꯥꯛꯅꯥ ꯏꯅꯐꯦꯛꯁꯟ ꯑꯃꯍꯦꯛꯇꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯅꯠꯠꯔꯒꯥ ꯅꯍꯥꯛꯅꯥ ꯊꯦꯡꯅꯔꯤꯕꯥ ꯀ꯭ꯔꯣꯅꯤꯛ ꯂꯥꯌꯅꯥ ꯑꯃꯍꯦꯛꯇꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯈꯪꯍꯅꯕꯥ ꯃꯊꯧ ꯇꯥꯏ꯫ ꯃꯦꯗꯤꯀꯦꯜ ꯇꯤꯃꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯗꯨ ꯑꯦꯁꯦꯁ ꯇꯧꯒꯅꯤ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯀꯄꯨ ꯁ꯭ꯇꯦꯕꯤꯂꯥꯏꯖ ꯇꯧꯅꯕꯥ ꯊꯕꯛ ꯇꯧꯒꯅꯤ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯊꯧ ꯇꯥꯔꯕꯗꯤ ꯅꯍꯥꯀꯄꯨ ꯕ꯭ꯂꯗ ꯇ꯭ꯔꯥꯟꯁꯐ꯭ꯌꯨꯁꯟ ꯄꯤꯕꯥ ꯌꯥꯎꯅꯥ꯫

ꯅꯍꯥꯛꯀꯤ ꯁ꯭ꯞꯂꯤꯟ ꯑꯗꯨ ꯁꯣꯀꯍꯜꯂꯦ ꯍꯥꯌꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯀꯔꯝꯅꯥ ꯈꯪꯒꯅꯤ?

ꯑꯣꯀꯦ, ꯍꯧꯖꯤꯛ ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯃꯁꯤ ꯀꯔꯝꯅꯥ ꯐꯤꯒꯔ ꯇꯧꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯁꯤ꯫

ꯑꯍꯥꯅꯕꯗꯥ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯗꯨ ꯁ꯭ꯇꯦꯕꯜ ꯑꯣꯏꯔꯕꯗꯤ (ꯃꯁꯤꯅꯥ ꯇꯥꯀꯄꯗꯤ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ ꯑꯃꯁꯨꯡ ꯍꯥꯔꯠ ꯔꯦꯠ ꯑꯁꯤꯅꯆꯤꯡꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ ꯑꯁꯤ ꯅꯣꯔꯃꯦꯂꯒꯥ ꯅꯛꯅꯅꯥ ꯂꯩꯔꯕꯗꯤ), ꯃꯦꯗꯤꯀꯦꯜ ꯇꯤꯃꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯈꯣꯡꯊꯥꯡ ꯈꯨꯗꯤꯡꯒꯤ ꯌꯦꯡꯁꯤꯅꯒꯅꯤ꯫ꯑꯍꯥꯅꯕꯗꯥ ꯐꯤꯖꯤꯀꯦꯜ ꯑꯦꯀꯖꯥꯃꯤꯅꯦꯁꯟ ꯑꯃꯥ ꯇꯧꯏ꯫ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ , ꯁ꯭ꯀꯦꯅꯒꯨꯝꯕꯥ ꯏꯃꯦꯖꯤꯡ ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯄꯥꯡꯊꯣꯀꯏ꯫

ꯑꯗꯨꯕꯨ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯦꯛꯁꯤꯗꯦꯟꯇ ꯑꯃꯗꯥ ꯑꯁꯣꯛ ꯑꯄꯟ ꯅꯪꯂꯕꯗꯤ ꯑꯃꯁꯨꯡ ꯏꯃꯔꯖꯦꯟꯁꯤ ꯔꯨꯃꯗꯥ ꯂꯥꯛꯂꯕꯗꯤ ꯃꯦꯗꯤꯀꯦꯜ ꯇꯤꯃꯅꯥ ꯑꯍꯥꯅꯕꯗꯥ ꯑꯈꯟꯅꯕꯥ ꯐꯃꯨꯡꯒꯤ ꯃꯅꯥꯛꯇꯥ ꯂꯩꯕꯥ ꯑꯂꯠꯔꯥꯁꯥꯎꯟꯗ ꯑꯃꯥ ꯇꯧꯒꯅꯤ꯫ ꯃꯁꯤꯕꯨ ``FAST ꯑꯂꯠꯔꯥꯁꯥꯎꯟꯗ'' ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ꯃꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯏ ꯊꯣꯀꯄꯥ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯁꯤꯜꯂꯤ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ FAST ꯑꯂꯠꯔꯥꯁꯥꯎꯟꯗꯅꯥ ꯏ ꯊꯣꯀꯄꯥ ꯀꯅꯐꯥꯔꯝ ꯇꯧꯔꯕꯗꯤ, ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯁꯥꯏꯅꯁꯤꯡ ꯑꯗꯨ ꯇꯪꯗꯨ ꯂꯩꯇꯥꯗꯕꯥ ꯑꯣꯏꯔꯕꯗꯤ, ꯃꯦꯗꯤꯀꯦꯜ ꯇꯤꯃꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯁ꯭ꯞꯂꯤꯟ ꯑꯗꯨ ꯁꯣꯀꯍꯜꯂꯦ ꯑꯃꯁꯨꯡ ꯈꯨꯗꯛꯇꯥ ꯂꯥꯏꯌꯦꯡꯕꯥ ꯃꯊꯧ ꯇꯥꯏ ꯍꯥꯌꯕꯥ ꯈꯪꯏ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯗꯨ ꯂꯦꯡꯗꯅꯥ ꯂꯩꯔꯕꯁꯨ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯁ꯭ꯞꯂꯤꯅꯒꯤ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯂꯩꯔꯦ ꯍꯥꯌꯕꯒꯤ ꯆꯤꯡꯅꯕꯥ ꯂꯩꯔꯕꯗꯤ, ꯃꯈꯣꯌꯅꯥ ꯑꯌꯥꯝꯕꯅꯥ ``CT scan`` ꯇꯧꯒꯅꯤ꯫ ꯃꯁꯤꯅꯥ ꯁ꯭ꯞꯂꯤꯟ ꯑꯃꯁꯨꯡ ꯑꯁꯣꯛ-ꯑꯄꯅꯒꯤ ꯆꯥꯡ ꯑꯗꯨ ꯑꯐꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯌꯦꯡꯁꯤꯅꯕꯥ ꯌꯥꯏ꯫ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯑꯗꯨ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯑꯗꯨꯒꯤ ꯃꯑꯣꯡ-ꯃꯇꯧ ꯑꯗꯨꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ Iꯗꯒꯤ V ꯐꯥꯎꯕꯒꯤ ꯒ꯭ꯔꯦꯗ ꯇꯧꯏ꯫

ꯔꯄꯆꯔ ꯇꯧꯔꯕꯥ ꯁ꯭ꯞꯂꯤꯟ ꯑꯃꯕꯨ ꯀꯔꯝꯅꯥ ꯂꯥꯏꯌꯦꯡꯒꯅꯤ?

ꯔꯄꯆꯔ ꯇꯧꯔꯕꯥ ꯁ꯭ꯞꯂꯤꯟ ꯑꯃꯒꯤ ꯂꯥꯏꯌꯦꯡ ꯑꯁꯤ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯑꯗꯨꯒꯤ ꯃꯑꯣꯡ-ꯃꯇꯧ ꯑꯗꯨꯒꯤ ꯃꯈꯥ ꯄꯣꯜꯂꯤ꯫ ꯑꯄꯤꯀꯄꯥ ꯂꯦꯡ-ꯑꯣꯠꯄꯒꯤ ꯃꯑꯣꯡ ꯈꯔꯗꯤ ꯃꯁꯥ ꯃꯊꯟꯇꯥ ꯏ ꯊꯣꯀꯄꯥ ꯂꯦꯄꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯑꯇꯩꯗꯤ ꯑꯦꯃꯔꯖꯦꯟꯁꯤ ꯂꯥꯏꯌꯦꯡꯒꯤ ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯏ꯫ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ (ꯒ꯭ꯔꯦꯗ V) ꯂꯦꯡ-ꯑꯣꯠꯄꯁꯤꯡꯗꯥ ꯁ꯭ꯞꯂꯤꯟ ꯂꯧꯊꯣꯛꯅꯕꯒꯤꯗꯃꯛ ꯁ꯭ꯞꯂꯤꯅꯦꯛꯇꯣꯃꯤ ꯑꯃꯥ ꯃꯊꯧ ꯇꯥꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯁꯥꯊꯤꯕꯥ ꯁ꯭ꯞꯂꯤꯅꯒꯤ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯑꯃꯥ ꯈꯨꯗꯛꯇꯥ ꯎꯕꯥ ꯐꯪꯗꯕꯥ ꯌꯥꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯁ꯭ꯇꯦꯕꯜ ꯑꯣꯏꯕꯥ ꯄꯦꯁꯦꯟꯇ ꯑꯃꯅꯥ ꯏ ꯊꯣꯀꯄꯥ ꯍꯦꯅꯒꯠꯂꯀꯄꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯄꯨꯡ ꯈꯔꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯑꯅꯁ꯭ꯇꯦꯕꯜ ꯑꯣꯏꯔꯀꯄꯥ ꯌꯥꯏ꯫

ꯁꯣꯀꯍꯜꯂꯕꯥ ꯁ꯭ꯞꯂꯤꯟ ꯑꯃꯥ ꯂꯥꯌꯦꯡꯕꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯄꯥꯝꯕꯩ ꯈꯔꯗꯤ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤ:

• ꯑꯦꯝꯕꯣꯂꯥꯏꯖꯦꯁꯟ: ꯄ꯭ꯔꯣꯁꯤꯗ꯭ꯌꯨꯑꯣꯔ ꯑꯁꯤꯅꯥ ꯒ꯭ꯔꯦꯗ III ꯑꯃꯁꯨꯡ IV ꯁ꯭ꯞꯂꯦꯅꯤꯛ ꯏꯅꯖꯨꯔꯤꯁꯤꯡꯗꯥ, ꯁꯔꯖꯔꯤꯒꯤ ꯃꯃꯥꯡ ꯅꯠꯠꯔꯒꯥ ꯃꯗꯨꯒꯤ ꯃꯍꯨꯠꯇꯥ ꯏ ꯊꯣꯀꯄꯥ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫ ꯑꯦꯝꯕꯣꯂꯥꯏꯖꯦꯁꯟ ꯑꯁꯤ ꯅꯟ-ꯁꯔꯖꯤꯀꯦꯜ ꯄ꯭ꯔꯣꯁꯤꯗ꯭ꯌꯨꯑꯣꯔ ꯑꯃꯅꯤ꯫ ꯃꯁꯤ ꯏꯟꯇꯔꯚꯦꯟꯁꯅꯦꯜ ꯔꯦꯗꯤꯑꯣꯂꯣꯖꯤꯁ꯭ꯠ ꯑꯃꯅꯥ ꯄꯥꯡꯊꯣꯀꯏ꯫ ꯔꯦꯗꯤꯑꯣꯂꯣꯖꯤ ꯏꯃꯦꯖꯤꯡ ꯇꯦꯛꯅꯤꯀꯁꯤꯡ ꯁꯤꯖꯤꯟꯅꯗꯨꯅꯥ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯜ ꯑꯃꯗꯥ ꯑꯄꯤꯀꯄꯥ ꯇꯨꯕ (ꯀꯦꯇꯦꯇꯔ) ꯑꯃꯥ ꯊꯥꯗꯨꯅꯥ ꯃꯗꯨꯗꯥ ꯏ ꯊꯣꯀꯄꯥ ꯊꯤꯡꯅꯕꯥ ꯁ꯭ꯄꯣꯟꯖꯒꯨꯝꯕꯥ ꯑꯄꯤꯀꯄꯥ ꯕꯤꯗ ꯑꯃꯥ ꯍꯥꯄꯆꯤꯜꯂꯤ꯫
• ꯁ꯭ꯞꯂꯦꯅꯣꯔꯦꯐꯤ: ꯒ꯭ꯔꯦꯗ III ꯅꯠꯠꯔꯒꯥ IVꯒꯤ ꯑꯁꯣꯛ-ꯑꯄꯅꯁꯤꯡꯒꯤ ꯑꯣꯏꯅꯗꯤ, ꯃꯁꯤ ꯑꯦꯝꯕꯣꯂꯥꯏꯖꯦꯁꯅꯒꯤ ꯃꯊꯛꯇꯥ ꯇꯧꯕꯥ ꯌꯥꯏ꯫ ꯁ꯭ꯞꯂꯦꯅꯣꯔꯦꯐꯤ ꯑꯁꯤ ꯁ꯭ꯞꯂꯤꯟ ꯔꯤꯄꯦꯌꯥꯔ ꯇꯧꯅꯕꯥ ꯁꯔꯖꯤꯀꯦꯜ ꯄ꯭ꯔꯣꯁꯤꯗ꯭ꯌꯨꯑꯣꯔ ꯑꯃꯅꯤ꯫ ꯃꯁꯤꯗꯥ ꯑꯁꯣꯀꯄꯥ ꯑꯗꯨ ꯁꯨꯃꯗꯣꯀꯄꯥ, ꯏꯂꯦꯛꯠꯔꯣꯀꯣꯇꯦꯔꯤ ꯁꯤꯖꯤꯟꯅꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯏ ꯊꯣꯀꯄꯥ ꯊꯤꯡꯅꯕꯥ ꯇꯣꯄꯤꯀꯦꯜ ꯑꯦꯖꯦꯟꯇꯁꯤꯡ ꯊꯥꯕꯥ ꯌꯥꯎꯕꯥ ꯌꯥꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯥꯌ ꯄꯥꯛꯂꯕꯗꯤ, ꯃꯁꯤꯅꯥ ꯁ꯭ꯞꯂꯤꯅꯒꯤ ꯁꯔꯨꯛ ꯑꯃꯥ ꯅꯠꯠꯔꯒꯥ ꯄꯨꯝꯅꯃꯛ ꯂꯧꯊꯣꯀꯄꯒꯤ ꯃꯊꯧ ꯇꯥꯕꯥ ꯑꯗꯨ ꯊꯤꯡꯕꯥ ꯉꯝꯃꯤ꯫
• ꯁ꯭ꯞꯂꯤꯅꯦꯛꯇꯣꯃꯤ (Splenectomy): ꯀꯔꯤꯒꯨꯝꯕꯥ ꯁꯥꯊꯤꯕꯥ ꯏ ꯊꯣꯀꯄꯥ ꯑꯁꯤ ꯑꯇꯣꯞꯄꯥ ꯃꯑꯣꯡ ꯑꯃꯗꯥ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯥ ꯉꯃꯗ꯭ꯔꯕꯗꯤ, ꯑꯃꯁꯨꯡ ꯁ꯭ꯞꯂꯤꯟ ꯑꯗꯨ ꯀꯅꯕꯥ ꯉꯃꯗ꯭ꯔꯕꯗꯤ, ꯁ꯭ꯞꯂꯤꯅꯒꯤ ꯁꯔꯨꯛ ꯑꯃꯥ ꯅꯠꯠꯔꯒꯥ ꯄꯨꯝꯅꯃꯛ ꯂꯧꯊꯣꯀꯄꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯏ꯫ꯁ꯭ꯞꯂꯦꯅꯤꯛ ꯔꯄꯆꯔꯁꯤꯡꯒꯤ ꯆꯥꯎꯔꯥꯛꯅꯥ 20%ꯗꯤ ꯃꯁꯤꯒꯤ ꯃꯑꯣꯡ ꯑꯁꯤꯅꯥ ꯂꯣꯌꯁꯤꯜꯂꯤ꯫ ꯃꯁꯤ ꯑꯦꯃꯔꯖꯦꯟꯁꯤ ꯁꯔꯖꯔꯤ ꯑꯃꯥ ꯑꯣꯏꯕꯅꯥ, ꯃꯁꯤ ꯑꯣꯄꯟ ꯑꯦꯕꯗꯣꯃꯤꯅꯦꯜ ꯁꯔꯖꯔꯤ ꯑꯃꯥ ꯑꯣꯏꯅꯥ ꯇꯧꯕꯥ ꯌꯥꯕꯒꯤ ꯑꯣꯏꯊꯣꯀꯄꯥ ꯂꯩ꯫ ꯃꯁꯤꯅꯥ ꯁꯔꯖꯔꯤ ꯑꯗꯨꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯦꯃꯔꯖꯦꯟꯁꯤꯒꯤ ꯐꯤꯚꯝ ꯑꯗꯨ ꯃꯦꯅꯦꯖ ꯇꯧꯕꯗꯥ ꯍꯦꯟꯅꯥ ꯂꯥꯌꯍꯜꯂꯤ꯫

ꯁꯣꯀꯍꯜꯂꯕꯥ ꯁ꯭ꯞꯂꯤꯟ ꯑꯃꯗꯒꯤ ꯍꯤꯡꯅꯕꯒꯤ ꯆꯥꯡ ꯑꯁꯤ ꯀꯔꯤꯅꯣ?

ꯃꯁꯤ ꯇꯁꯦꯡꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯁꯣꯀꯄꯥ ꯑꯗꯨ ꯀꯌꯥꯝ ꯐꯠꯇꯕꯥ ꯑꯣꯏꯕꯒꯦ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯅꯥ ꯃꯗꯨ ꯀꯌꯥꯝ ꯊꯨꯅꯥ ꯐꯪꯕꯒꯦ ꯑꯃꯁꯨꯡ ꯂꯥꯌꯦꯡꯕꯒꯦ ꯍꯥꯌꯕꯗꯨꯒꯤ ꯃꯈꯥ ꯄꯣꯜꯂꯤ꯫ ꯑꯄꯤꯀꯄꯥ ꯀꯀꯄꯥ ꯑꯃꯅꯥ ꯇꯞꯅꯥ ꯇꯞꯅꯥ, ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯏ ꯊꯣꯛꯀꯅꯤ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯑꯗꯣꯃꯒꯤ ꯃꯇꯝ ꯈꯔꯥ ꯂꯩ, ꯑꯗꯨꯕꯨ ꯃꯗꯨ ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯂꯧꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯏ ꯌꯥꯝꯅꯥ ꯊꯣꯛꯂꯕꯗꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯗꯨ ꯃꯌꯦꯛ ꯁꯦꯡꯅꯥ ꯎꯕꯥ ꯐꯪꯒꯅꯤ, ꯑꯗꯨꯕꯨ ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯈꯨꯗꯣꯡꯊꯤꯅꯤꯉꯥꯏ ꯑꯣꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯍꯀꯆꯥꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯐꯖꯅꯥ ꯏ ꯊꯣꯀꯄꯥ ꯇꯥꯔꯕꯗꯤ, ꯈꯨꯗꯛꯇꯥ ꯂꯥꯏꯌꯦꯡꯗ꯭ꯔꯕꯗꯤ ꯄꯨꯡ ꯈꯔꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯁꯤꯕꯥ ꯌꯥꯏ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯃꯁꯤ ꯂꯥꯏꯅꯥ ꯂꯧꯕꯥ ꯌꯥꯕꯥ ꯋꯥꯐꯝ ꯅꯠꯇꯦ꯫

ꯈꯣꯡ ꯍꯥꯝꯂꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯐꯒꯠꯂꯀꯄꯗꯥ ꯃꯇꯝ ꯀꯌꯥ ꯆꯪꯕꯒꯦ?

ꯅꯍꯥꯛꯀꯤ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯑꯗꯨꯒꯤ ꯁꯥꯏꯖ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯅꯥ ꯐꯪꯈꯤꯕꯥ ꯂꯥꯏꯌꯦꯡ ꯑꯗꯨꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ, ꯃꯗꯨ ꯐꯒꯠꯂꯀꯄꯗꯥ ꯅꯨꯃꯤꯠ 3ꯗꯒꯤ 12 ꯐꯥꯎꯕꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯃꯐꯝ ꯑꯃꯍꯦꯛꯇꯗꯥ ꯆꯪꯂꯀꯄꯥ ꯌꯥꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯁꯔꯖꯔꯤ ꯇꯧꯈ꯭ꯔꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯅꯨꯃꯤꯠ ꯈꯔꯅꯤ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯂꯗꯥ ꯂꯩꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯏ꯫ ꯑꯣꯄꯟ ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ, ꯐꯒꯠꯍꯟꯅꯕꯥ ꯑꯆꯧꯕꯥ ꯏꯅꯁꯤꯁꯟ ꯑꯃꯥ ꯂꯩ꯫ ꯅꯍꯥꯛꯅꯥ ꯌꯨꯃꯗꯥ ꯆꯠꯄꯥ ꯃꯇꯃꯗꯥ ꯄꯦꯟ ꯃꯦꯗꯤꯀꯦꯁꯟ ꯄꯤꯕꯥ ꯌꯥꯏ꯫ ꯑꯃꯔꯣꯃꯗꯥ, ꯑꯄꯤꯀꯄꯥ ꯁ꯭ꯞꯔꯦꯅꯁꯤꯡ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯐꯒꯠꯂꯀꯏ꯫

ꯁ꯭ꯞꯂꯤꯟ ꯌꯥꯑꯣꯗꯅꯥ ꯍꯤꯡꯂꯤꯉꯩꯗꯥ ꯑꯩꯅꯥ ꯏꯁꯥꯕꯨ ꯀꯔꯝꯅꯥ ꯌꯦꯡꯁꯤꯅꯒꯗꯒꯦ?

ꯍꯣꯌ, ꯅꯍꯥꯛꯀꯤ ꯁ꯭ꯞꯂꯤꯟ ꯌꯥꯎꯗꯅꯥ ꯍꯤꯡꯕꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯕꯨ ꯃꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯏꯝꯝꯌꯨꯟ ꯁꯤꯁ꯭ꯇꯦꯃꯗꯥ ꯁꯣꯀꯍꯜꯂꯤ꯫ ꯁ꯭ꯞꯂꯤꯟ ꯑꯁꯤ ꯏꯅꯐꯦꯛꯁꯅꯗꯒꯤ ꯉꯥꯀꯊꯣꯀꯄꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯑꯣꯔꯒꯥꯟ ꯑꯃꯅꯤ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯁ꯭ꯞꯂꯤꯟ ꯑꯗꯨ ꯂꯧꯊꯣꯛꯂꯕꯥ ꯃꯇꯨꯡꯗꯥ (spleenctomy) ꯅꯍꯥꯛꯅꯥ ꯑꯅꯥꯕꯥ ꯈꯔꯥ ꯍꯦꯟꯅꯥ ꯁꯣꯀꯆꯤꯜꯂꯀꯄꯥ ꯌꯥꯏ꯫

ꯅꯍꯥꯛꯀꯤ ꯁꯔꯖꯔꯤꯅꯥ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯂꯗꯥ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯅꯥ ꯌꯨꯃꯗꯥ ꯆꯠꯂꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯑꯅꯤꯃꯛꯇꯥ ꯏꯅꯐꯦꯛꯁꯅꯁꯤꯡꯗꯒꯤ ꯉꯥꯀꯊꯣꯛꯅꯕꯥ ꯑꯈꯟꯅꯕꯥ ꯇꯤꯀꯥ ꯀꯌꯥ ꯔꯤꯀꯃꯦꯟꯗ ꯇꯧꯒꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯏꯅꯐꯦꯛꯁꯟ ꯑꯃꯥ ꯂꯥꯀꯄꯥ ꯇꯥꯔꯕꯗꯤ ꯈꯨꯗꯛꯇꯥ ꯑꯦꯟꯇꯤꯕꯥꯏꯑꯣꯇꯤꯀꯁꯤꯡ ꯂꯧꯅꯕꯥ ꯄꯥꯎꯇꯥꯛ ꯄꯤꯒꯅꯤ꯫

ꯈꯪꯖꯤꯅꯒꯗꯕꯥ ꯑꯃꯅꯥ, ꯑꯩꯈꯣꯌꯅꯥ ꯅꯤꯡꯁꯤꯡꯒꯗꯕꯥ ꯋꯥꯐꯃꯁꯤꯡ (ꯇꯦꯛ-ꯍꯣꯝ ꯃꯦꯁꯦꯖ)

ꯑꯣꯀꯦ, ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯃꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯕꯥ ꯄꯨꯝꯅꯃꯛ ꯑꯁꯤꯗꯒꯤ ꯌꯨꯃꯗꯥ ꯄꯨꯔꯀꯄꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯄꯥꯎꯖꯦꯂꯅꯤ꯫

ꯁ꯭ꯞꯂꯤꯟ ꯁꯣꯀꯄꯥ (ruptured spleen) ꯑꯁꯤ ꯃꯥꯏꯅꯣꯔꯤꯇꯤ ꯑꯣꯏꯔꯕꯁꯨ ꯅꯠꯠꯔꯒꯥ ꯃꯦꯖꯔ ꯑꯣꯏꯔꯕꯁꯨ, ꯃꯁꯤ ꯑꯦꯃꯔꯖꯦꯟꯁꯤ ꯑꯃꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯃꯦꯅꯦꯖ ꯇꯧꯗ꯭ꯔꯕꯗꯤ ꯃꯅꯨꯡꯒꯤ ꯏ ꯊꯣꯀꯄꯥ ꯑꯁꯤ ꯄꯨꯟꯁꯤ ꯃꯥꯡꯍꯅꯕꯥ ꯌꯥꯏ꯫

ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯅꯨꯡꯉꯥꯏꯕꯥ ꯄꯥꯎ ꯑꯃꯗꯤ ꯁ꯭ꯞꯂꯤꯟ ꯔꯄꯆꯔ ꯑꯌꯥꯝꯕꯗꯤ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯉꯟꯅꯥ ꯈꯪꯗꯣꯛꯂꯕꯥ ꯑꯃꯁꯨꯡ ꯂꯥꯏꯌꯦꯡꯂꯕꯗꯤ, ꯁ꯭ꯞꯂꯤꯟ ꯑꯗꯨ ꯀꯅꯕꯥ ꯉꯝꯕꯥ ꯏꯆꯝ ꯆꯝꯕꯥ ꯊꯧꯔꯥꯡꯁꯤꯡꯅꯥ ꯃꯦꯅꯦꯖ ꯇꯧꯕꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯕꯨ ꯃꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯑꯁꯣꯀꯄꯥ ꯑꯗꯨ ꯀꯌꯥ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯈꯪꯗꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯂꯥꯏꯌꯦꯡꯕꯒꯦ ꯍꯥꯌꯕꯗꯨꯒꯤ ꯃꯈꯥ ꯄꯣꯜꯂꯤ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯂꯩꯔꯦ ꯍꯥꯌꯕꯒꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯆꯤꯡꯅꯕꯥ ꯂꯩꯔꯕꯗꯤ, ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯥ ꯊꯕꯛ ꯑꯗꯨꯗꯤ ꯈꯨꯗꯛꯇꯥ ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯄꯥꯎꯇꯥꯛ ꯂꯧꯗꯨꯅꯥ ꯏ ꯊꯣꯀꯄꯥ ꯌꯥꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯆꯦꯛ ꯇꯧꯕꯅꯤ꯫

` ꯁ꯭ꯞꯂꯤꯟ, ꯁ꯭ꯞꯂꯤꯟ ꯔꯄꯆꯔ, ꯁ꯭ꯞꯂꯤꯟ ꯔꯨꯄꯆꯔ, ꯏꯟꯇꯔꯅꯦꯜ ꯕ꯭ꯂꯤꯗꯤꯡ, ꯑꯦꯕꯗꯣꯃꯤꯅꯦꯜ ꯄꯦꯏꯟ, ꯑꯦꯃꯔꯖꯦꯟꯁꯤ ꯇ꯭ꯔꯤꯠꯃꯦꯟꯇ, ꯀꯦꯍꯔꯒꯤ ꯈꯨꯗꯝ꯫