ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯐꯥꯎꯕ꯭ꯔꯥ? ꯅꯠꯠꯔꯒꯥ ꯅꯍꯥꯛꯅꯥ ꯈꯪꯂꯤꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯕꯨ ꯈꯪꯍꯧꯗꯅꯥ ꯍꯥꯔꯠ ꯑꯦꯇꯦꯛ ꯇꯧꯔꯀꯄꯔꯥ? ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯋꯥꯐꯃꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯔꯝ ꯑꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯌꯥꯝꯅꯥ ꯇꯥꯕꯥ ꯐꯪꯗꯕꯥ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯊꯣꯀꯄꯥ ꯖꯦꯅꯦꯇꯤꯛ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯗꯤ ꯁꯣꯔꯠ ꯀ꯭ꯌꯨ.ꯇꯤ . ꯃꯤꯡ ꯑꯁꯤ ꯈꯔꯥ ꯍꯦꯟꯅꯥ ꯂꯨꯝꯂꯕꯁꯨ, ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯋꯥꯔꯤ ꯁꯥꯁꯤ꯫
QT ꯏꯟꯇꯔꯚꯦꯜ ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ? ꯊꯝꯃꯣꯌꯒꯤ ꯏꯂꯦꯛꯠꯔꯤꯀꯦꯜ ꯁꯤꯒꯅꯦꯂꯁꯤꯡ!
ꯑꯣꯀꯦ, ꯑꯍꯥꯅꯕꯗꯥ ꯃꯁꯤꯒꯤ ꯀ꯭ꯌꯨ.ꯇꯤ.ꯒꯤ ꯏꯟꯇꯔꯚꯜ ꯑꯁꯤ ꯀꯔꯤꯅꯣ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯁꯤ꯫ ꯑꯩꯈꯣꯌꯒꯤ ꯊꯝꯃꯣꯌ ꯑꯁꯤ ꯏꯂꯦꯛꯠꯔꯤꯀꯦꯜ ꯁꯤꯒꯅꯦꯂꯒꯤ ꯁꯤꯁ꯭ꯇꯦꯝ ꯑꯃꯥ ꯁꯤꯖꯤꯟꯅꯗꯨꯅꯥ ꯍꯨꯔꯥꯜꯂꯤ ꯍꯥꯌꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯈꯉꯂꯕ꯭ꯔꯥ? ꯃꯁꯤ ꯌꯨꯝ ꯑꯃꯗꯥ ꯃꯩ ꯊꯥꯅꯕꯥ ꯋꯥꯏꯔꯤꯡ ꯁꯤꯁ꯭ꯇꯦꯝ ꯑꯃꯒꯨꯝꯕꯅꯤ꯫ ꯃꯁꯤꯒꯤ ꯏꯂꯦꯛꯠꯔꯤꯀꯦꯜ ꯁꯤꯒꯅꯦꯂꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯍꯥꯔꯇꯀꯤ ꯆꯦꯝꯕꯔꯁꯤꯡ ꯑꯁꯤ ꯁꯦꯃꯖꯤꯟ-ꯁꯥꯖꯤꯅꯕꯒꯤ ꯃꯑꯣꯡꯗꯥ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯏ ꯑꯃꯁꯨꯡ ꯄꯥꯀꯊꯣꯛ-ꯆꯥꯎꯊꯣꯀꯏ, ꯃꯁꯤꯅꯥ ꯏ ꯄꯝꯄ ꯇꯧꯏ꯫
ꯅꯍꯥꯛꯅꯥ ꯗꯣꯛꯇꯔ ꯑꯃꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯥꯔꯠ ꯑꯗꯨ ꯌꯦꯡꯁꯤꯅꯕꯗꯥ ꯏ.ꯁꯤ.ꯖꯤ.(ꯏꯂꯦꯛꯠꯔꯣꯀꯥꯔꯗꯤꯑꯣꯒ꯭ꯔꯥꯐ) ꯇꯦꯁ꯭ꯠ ꯇꯧꯕꯥ ꯎꯕꯤꯔꯃꯒꯅꯤ꯫ ꯃꯈꯣꯌꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯐꯃꯨꯡ ꯑꯃꯗꯥ ꯂꯦꯡꯗꯅꯥ ꯂꯩꯍꯟꯗꯨꯅꯥ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡ ꯑꯃꯁꯨꯡ ꯈꯨꯠꯁꯥꯗꯥ ꯑꯄꯤꯀꯄꯥ ꯁ꯭ꯇꯤꯀꯥꯔꯁꯤꯡ ꯊꯥꯗꯨꯅꯥ ꯇꯦꯁ꯭ꯠ ꯑꯁꯤ ꯇꯧꯏ꯫ ꯃꯗꯨ ꯍꯥꯔꯇꯀꯤ ꯏꯂꯦꯛꯠꯔꯤꯀꯦꯜ ꯑꯦꯛꯇꯤꯚꯤꯇꯤ ꯔꯦꯀꯣꯔꯗ ꯇꯧꯏ꯫ ꯗꯣꯛꯇꯔꯅꯥ ꯔꯦꯀꯣꯔꯗꯤꯡ ꯑꯁꯤ ꯌꯦꯡꯕꯗꯥ ꯄꯤ, ꯀ꯭ꯌꯨ, ꯑꯥꯔ, ꯑꯦꯁ, ꯇꯤ ꯀꯧꯕꯥ ꯑꯀꯛꯅꯕꯥ ꯋꯦꯕ ꯄꯦꯇꯔꯟ ꯑꯃꯥ ꯎꯏ, ꯃꯁꯤꯒꯤ ꯑꯛꯁꯔ ꯈꯨꯗꯤꯡꯃꯛꯅꯥ ꯊꯝꯃꯣꯌꯒꯤ ꯇꯣꯉꯥꯟ ꯇꯣꯉꯥꯅꯕꯥ ꯁꯔꯨꯀꯁꯤꯡꯅꯥ ꯀꯔꯝꯅꯥ ꯊꯕꯛ ꯇꯧꯔꯤꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯈꯉꯍꯜꯂꯤ꯫
ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ:
- P ꯋꯦꯕ (P wave): ꯍꯥꯔꯇꯀꯤ ꯃꯊꯛꯀꯤ ꯆꯦꯝꯕꯔꯁꯤꯡ, ꯑꯦꯠꯔꯤꯌꯥꯁꯤꯡ (atria) ꯑꯁꯤ ꯀꯟꯠꯔꯦꯛꯇ ꯇꯧꯍꯜꯂꯤꯕꯥ ꯏꯂꯦꯛꯠꯔꯤꯀꯦꯜ ꯁꯤꯒꯅꯦꯜ ꯑꯃꯅꯤ꯫
- QRS ꯀꯃꯞꯂꯦꯛꯁ: ꯍꯥꯔꯇꯀꯤ ꯂꯣꯌꯔꯕꯥ ꯆꯦꯝꯕꯔꯁꯤꯡ, ꯚꯦꯟꯇꯤꯂꯦꯇꯔꯁꯤꯡ ꯀꯧꯕꯥ, ꯀꯟꯠꯔꯦꯛꯇ ꯇꯧꯍꯜꯂꯤꯕꯥ ꯏꯂꯦꯛꯠꯔꯤꯀꯦꯜ ꯁꯤꯒꯅꯦꯜ ꯑꯃꯅꯤ꯫ ꯃꯁꯤꯅꯥ ꯃꯔꯨꯑꯣꯏꯅꯥ ꯍꯀꯆꯥꯡꯗꯥ ꯏ ꯄꯝꯄ ꯇꯧꯏ꯫
- ꯇꯤ ꯋꯦꯕ: ꯚꯦꯟꯇꯤꯂꯦꯁꯅꯁꯤꯡꯅꯥ ꯀꯟꯠꯔꯦꯛꯇ ꯇꯧꯕꯥ ꯂꯣꯌꯔꯦ, ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯔꯤꯂꯥꯛꯁ ꯇꯧꯔꯦ ꯑꯃꯁꯨꯡ ꯃꯊꯪꯒꯤ ꯕꯤꯠ ꯑꯗꯨꯒꯤꯗꯃꯛ ꯁꯦꯝ-ꯁꯥꯔꯤ꯫ ꯃꯁꯤ ꯂꯥꯟꯊꯦꯡꯅꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯈꯔꯥ ꯅꯨꯡꯉꯥꯏꯅꯥ ꯂꯩꯕꯒꯨꯝꯕꯅꯤ꯫
ꯍꯧꯖꯤꯛ ꯃꯐꯝ ꯑꯁꯤꯗꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯋꯥꯐꯝ ꯑꯃꯥ ꯂꯥꯛꯂꯤ꯫ QT ꯏꯟꯇꯔꯚꯦꯜ ꯍꯥꯌꯕꯁꯤ QRS ꯀꯃꯞꯂꯦꯛꯁ ꯑꯁꯤ ꯍꯧꯔꯀꯄꯗꯒꯤ ꯇꯤ ꯋꯦꯕꯀꯤ ꯑꯔꯣꯏꯕꯥ ꯐꯥꯎꯕꯒꯤ ꯃꯇꯝ ꯑꯗꯨꯅꯤ꯫ ꯃꯁꯤꯅꯥ ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯃꯇꯧ ꯀꯔꯝꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯥꯔꯇꯀꯤ ꯂꯣꯌꯔꯕꯥ ꯆꯦꯝꯕꯔꯁꯤꯡ (`ꯚꯦꯟꯇꯤꯂꯦꯇꯔꯁꯤꯡ`)ꯅꯥ ꯁꯣꯀꯄꯥ ꯑꯃꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯃꯊꯪꯒꯤ ꯈꯣꯡꯖꯦꯂꯒꯤꯗꯃꯛ ꯁꯦꯝ-ꯁꯥꯕꯗꯥ ꯃꯇꯝ ꯀꯌꯥ ꯂꯧꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯂꯦꯄꯊꯣꯀꯏ꯫ ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯅꯥ, ꯍꯀꯁꯦꯜ ꯐꯕꯥ ꯍꯥꯔꯠ ꯑꯃꯗꯥ QT ꯏꯟꯇꯔꯚꯦꯜ ꯑꯁꯤ ꯁꯦꯀꯦꯟꯗ 0.35 ꯑꯃꯁꯨꯡ 0.45ꯒꯤ ꯃꯔꯛꯇꯥ ꯂꯩ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯑꯦꯁ.ꯀ꯭ꯌꯨ.ꯇꯤ.ꯑꯦꯁ.ꯅꯥ ꯅꯥꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯗꯥ, ꯃꯇꯝ ꯑꯁꯤ ꯁꯦꯀꯦꯟꯗ ꯰.꯳꯴ꯗꯒꯤ ꯇꯥꯅꯥ ꯂꯩ꯫ ꯃꯁꯤꯅꯥ ꯇꯥꯀꯄꯗꯤ ꯊꯝꯃꯣꯌꯅꯥ ꯅꯨꯡꯉꯥꯏꯅꯥ ꯂꯩꯠꯔꯤꯉꯩ ꯃꯃꯥꯡꯗꯥ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯁꯣꯀꯄꯥ ꯍꯧꯔꯦ ꯍꯥꯌꯕꯅꯤ꯫
ꯁꯣꯔꯠ QT ꯁꯤꯟꯗ꯭ꯔꯣꯝ (SQTS) ꯑꯃꯁꯨꯡ ꯂꯣꯡ QT ꯁꯤꯟꯗ꯭ꯔꯣꯃꯒꯤ ꯃꯔꯛꯇꯥ ꯀꯔꯤ ꯈꯦꯠꯅꯕꯥ ꯂꯩꯕꯒꯦ?
ꯃꯁꯤ ꯑꯗꯣꯃꯒꯤꯗꯃꯛꯇꯁꯨ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯑꯣꯏꯔꯝꯕꯥ ꯌꯥꯏ꯫ ꯑꯦꯁ.ꯀ꯭ꯌꯨ.ꯇꯤ.ꯑꯦꯁ.ꯀꯥ ꯂꯣꯌꯅꯅꯥ ꯂꯣꯡ ꯀ꯭ꯌꯨ.ꯇꯤ.ꯁꯤꯟꯗꯣꯝ (ꯑꯦꯜ.ꯀ꯭ꯌꯨ.ꯇꯤ.ꯑꯦꯁ.) ꯀꯧꯕꯥ ꯑꯇꯣꯞꯄꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯁꯨ ꯂꯩꯔꯤ꯫ ꯃꯁꯤ ꯁꯦꯅꯐꯃꯒꯤ ꯑꯇꯣꯞꯄꯥ ꯃꯐꯝ ꯑꯗꯨꯒꯥ ꯃꯥꯟꯅꯩ, ꯅꯠꯇꯦ?
- ꯁꯣꯔꯠ QT ꯁꯤꯟꯗ꯭ꯔꯣꯝ (SQTS): QT ꯏꯟꯇꯔꯚꯦꯜ ꯑꯁꯤ ꯑꯦꯕꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯅꯥ ꯁꯣꯔꯠ (ꯃꯍꯧꯁꯥꯅꯥ ꯁꯦꯀꯦꯟꯗ 0.34ꯗꯒꯤ ꯇꯥꯅꯥ) ꯑꯣꯏ꯫
- ꯂꯣꯡ QT ꯁꯤꯟꯗ꯭ꯔꯣꯝ (LQTS): QT ꯏꯟꯇꯔꯚꯦꯜ ꯑꯁꯤ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ (ꯃꯍꯧꯁꯥꯅꯥ ꯁꯦꯀꯦꯟꯗ 0.45ꯗꯒꯤ ꯍꯦꯟꯅꯥ)꯫
ꯀꯟꯗꯤꯁꯟ ꯑꯅꯤꯁꯤꯅꯥ ꯍꯥꯔꯇꯀꯤ ꯔꯤꯗꯃꯗꯥ ꯁꯣꯀꯍꯜꯂꯤꯕꯥ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯃꯁꯤꯡ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯃꯔꯃꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯂꯥꯏꯌꯦꯡꯁꯤꯡ ꯑꯁꯤ ꯇꯣꯉꯥꯟ-ꯇꯣꯉꯥꯅꯕꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫ ꯉꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯑꯦꯁ.ꯀ꯭ꯌꯨ.ꯇꯤ.ꯑꯦꯁ.
ꯀꯅꯥꯅꯥ ꯑꯦꯁ.ꯀ꯭ꯌꯨ.ꯇꯤ.ꯑꯦꯁ.
ꯃꯁꯤ ꯇꯁꯦꯡꯅꯥ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯊꯣꯀꯄꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ . ꯃꯥꯂꯦꯝ ꯑꯁꯤꯗꯥ ꯃꯤꯑꯣꯏ ꯀꯌꯥ ꯑꯃꯅꯥ ꯃꯁꯤ ꯂꯩꯔꯤꯕꯒꯦ ꯍꯥꯌꯕꯗꯨꯁꯨ ꯇꯁꯦꯡꯅꯥ ꯈꯉꯕꯥ ꯉꯃꯗꯦ, ꯃꯁꯤ ꯑꯁꯨꯛ ꯌꯥꯝꯅꯥ ꯊꯦꯡꯅꯩ꯫ ꯔꯤꯁꯔꯆ ꯈꯔꯅꯥ ꯃꯤꯑꯣꯏ ꯈꯔꯗꯥ ꯄꯨꯟꯁꯤꯒꯤ ꯑꯍꯥꯅꯕꯥ ꯆꯍꯤꯗꯥ ꯑꯦꯁ.ꯀ꯭ꯌꯨ.ꯇꯤ.ꯑꯦꯁ. ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ, ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯅꯍꯥ ꯑꯣꯏꯔꯤꯕꯥ ꯑꯍꯜ ꯑꯣꯏꯔꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯑꯍꯜ ꯑꯣꯏꯔꯀꯄꯥ ꯃꯇꯃꯗꯁꯨ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯂꯥꯀꯄꯥ ꯌꯥꯏ ꯍꯥꯌꯅꯥ ꯍꯥꯌꯅꯩ꯫ ꯃꯁꯤꯅꯥ ꯇꯥꯀꯄꯗꯤ ꯃꯁꯤꯅꯥ ꯆꯍꯤ ꯑꯃꯍꯦꯛꯇꯒꯤ ꯃꯤꯑꯣꯏꯁꯤꯡꯗꯥ ꯁꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫
ꯑꯦꯁ.ꯀ꯭ꯌꯨ.ꯇꯤ.ꯑꯦꯁ.ꯀꯤ ꯃꯔꯃꯁꯤꯡ ꯀꯔꯤꯅꯣ?
ꯑꯦꯁ.ꯀ꯭ꯌꯨ.ꯇꯤ.ꯑꯦꯁ.ꯅꯥ ꯖꯦꯅꯦꯇꯤꯛ ꯑꯣꯏꯕꯥ ꯂꯥꯌꯅꯥ ꯑꯃꯅꯤ . ꯅꯍꯥꯛꯀꯤ ꯃꯤꯠꯀꯤ ꯃꯆꯨ ꯑꯃꯁꯨꯡ ꯆꯨꯒꯤ ꯇꯦꯛꯁꯆꯔ ꯑꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯖꯤꯅꯁꯤꯡꯅꯥ ꯂꯦꯄꯊꯣꯀꯄꯒꯨꯝꯅꯥ, ꯂꯥꯌꯅꯥ ꯑꯁꯤꯁꯨ ꯖꯤꯟ ꯃ꯭ꯌꯨꯇꯦꯁꯟ ꯑꯃꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫
ꯃꯁꯤ ꯊꯣꯀꯄꯥ ꯌꯥꯕꯒꯤ ꯃꯑꯣꯡ ꯑꯅꯤ ꯂꯩ:
1. ꯃꯃꯥ-ꯃꯄꯥꯗꯒꯤ ꯏꯅꯍꯦꯔꯤꯇꯦꯁꯟ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯃꯃꯥ ꯅꯠꯠꯔꯒꯥ ꯃꯄꯥꯗꯥ ꯖꯤꯅꯦꯇꯤꯛ ꯚꯦꯔꯤꯑꯦꯁꯟ ꯑꯁꯤ ꯂꯩꯔꯕꯗꯤ ꯅꯍꯥꯀꯁꯨ ꯏꯅꯍꯦꯔꯤꯇꯦꯁꯟ ꯇꯧꯕꯥ ꯌꯥꯏ꯫
2. ꯃꯔꯝ ꯑꯃꯠꯇꯥ ꯂꯩꯇꯅꯥ ꯖꯤꯟ ꯃ꯭ꯌꯨꯇꯦꯁꯟ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯖꯤꯅꯦꯇꯤꯛ ꯃ꯭ꯌꯨꯇꯦꯁꯟ ꯑꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯃꯔꯝ ꯑꯃꯠꯇꯥ ꯂꯩꯇꯅꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯏ, ꯅꯍꯥꯛꯀꯤ ꯏꯃꯨꯡꯒꯤ ꯀꯅꯥꯒꯨꯝꯕꯥ ꯑꯃꯠꯇꯅꯥ ꯂꯩꯇꯕꯁꯨ ꯌꯥꯏ꯫
ꯖꯤꯅꯦꯇꯤꯛ ꯑꯣꯏꯕꯥ ꯑꯍꯣꯡꯕꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯍꯥꯔꯠ ꯁꯦꯂꯁꯤꯡꯗꯥ ꯑꯥꯏꯑꯣꯟ ꯆꯦꯅꯦꯜ ꯀꯧꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡꯒꯤ ꯊꯕꯛ ꯊꯧꯔꯃꯁꯤꯡ ꯍꯣꯡꯍꯜꯂꯤ꯫ ꯍꯥꯌꯔꯤꯕꯥ ꯑꯥꯏꯑꯣꯟ ꯆꯦꯅꯦꯂꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯍꯥꯔꯇꯀꯤ ꯏꯂꯦꯛꯠꯔꯤꯀꯦꯜ ꯁꯤꯒꯅꯦꯂꯁꯤꯡꯕꯨ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯆꯠꯄꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫ ꯃꯈꯣꯌꯗꯥ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯑꯃꯥ ꯂꯩꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ, QT ꯏꯟꯇꯔꯚꯦꯜ ꯑꯗꯨ ꯀꯨꯄꯁꯤꯜꯂꯤ꯫
ꯑꯦꯁ.ꯀ꯭ꯌꯨ.ꯇꯤ.ꯑꯦꯁ.ꯀꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯤꯅꯣ?
ꯑꯦꯁ.ꯀ꯭ꯌꯨ.ꯇꯤ.ꯑꯦꯁ.ꯅꯥ ꯅꯥꯕꯥ ꯃꯤꯑꯣꯏ ꯈꯨꯗꯤꯡꯃꯛꯇꯥ ꯆꯞ ꯃꯥꯟꯅꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯂꯩꯇꯦ꯫ ꯃꯤꯑꯣꯏ ꯈꯔꯗꯤ ꯂꯥꯏꯑꯣꯡ ꯑꯃꯠꯇꯥ ꯂꯩꯇꯕꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯃꯤꯑꯣꯏ ꯑꯌꯥꯝꯕꯅꯥ ꯂꯥꯏꯑꯣꯡ ꯈꯔꯗꯤ ꯊꯦꯡꯅꯩ꯫
ꯃꯔꯨꯑꯣꯏꯕꯥ ꯋꯥꯐꯃꯗꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯑꯇꯩ ꯍꯥꯔꯇꯀꯤ ꯀꯟꯗꯤꯁꯅꯁꯤꯡꯒꯥ ꯃꯥꯟꯅꯅꯥ ꯂꯩꯕꯥ ꯌꯥꯏ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯊꯧꯗꯣꯛ ꯑꯃꯥ ꯊꯦꯡꯅꯔꯕꯗꯤ, ꯁꯣꯌꯗꯅꯥ ꯗꯣꯛꯇꯔ ꯑꯃꯒꯥ ꯇꯥꯟꯅꯗꯨꯅꯥ ꯆꯦꯛ ꯇꯧꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯩ꯫
ꯎꯕꯥ ꯐꯪꯒꯗꯕꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡꯗꯤ:
- ꯑꯦꯠꯔꯤꯌꯥꯜ ꯐꯤꯕꯔ (AFib): ꯃꯁꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯂꯥꯏꯑꯣꯡꯅꯤ꯫ ꯃꯁꯤꯅꯥ ꯑꯦꯁ.ꯀ꯭ꯌꯨ.ꯇꯤ.ꯑꯦꯁ.ꯅꯥ ꯅꯥꯕꯥ ꯃꯤꯑꯣꯏ ꯵ꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯴ꯗꯥ ꯁꯣꯀꯍꯜꯂꯤ ꯍꯥꯌꯅꯥ ꯄꯥꯎꯗꯝꯂꯤ꯫ AFib ꯍꯥꯌꯕꯁꯤ ꯍꯥꯔꯇꯀꯤ ꯃꯊꯛꯀꯤ ꯆꯦꯝꯕꯔꯁꯤꯡ (atria) ꯑꯁꯤ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯁꯣꯀꯍꯟꯗꯕꯥ, ꯑꯗꯨꯕꯨ ꯃꯗꯨꯒꯤ ꯃꯍꯨꯠꯇꯥ "ꯐ꯭ꯂꯨꯇꯔ" ꯑꯣꯏꯕꯥ ꯃꯇꯃꯗꯥ ꯑꯣꯏ꯫ ꯃꯁꯤꯅꯥ ꯍꯥꯔꯠ ꯑꯗꯨ ꯂꯦꯡ-ꯑꯣꯠꯄꯗꯥ ꯂꯦꯡ-ꯑꯣꯠꯄꯗꯥ ꯋꯥꯕꯥ ꯊꯣꯀꯍꯜꯂꯤ꯫
- ꯍꯥꯔꯠ ꯄꯦꯂꯄꯤꯇꯦꯁꯟ: ꯆꯥꯎꯔꯥꯛꯅꯥ ꯃꯤꯑꯣꯏ 3ꯒꯤ ꯃꯅꯨꯡꯗꯥ 1ꯗꯤ ꯂꯥꯏꯑꯣꯡ ꯑꯁꯤ ꯊꯦꯡꯅꯕꯥ ꯌꯥꯏ꯫ ꯀꯅꯥꯒꯨꯝꯕꯥ ꯑꯃꯅꯥ ꯃꯈꯣꯌꯒꯤ ꯊꯝꯃꯣꯌꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯁꯣꯀꯄꯥ ꯌꯥꯏ, ꯅꯠꯠꯔꯒꯥ ꯃꯈꯣꯌꯅꯥ ꯇꯁꯦꯡꯅꯥ ꯃꯈꯣꯌꯒꯤ ꯊꯝꯃꯣꯌꯗꯥ ꯁꯣꯀꯄꯥ ꯌꯥꯕꯥ ꯐꯥꯎꯕꯥ ꯌꯥꯏ꯫
- ꯃꯤꯠ ꯎꯗꯕꯥ ꯑꯃꯁꯨꯡ ꯃꯁꯥ ꯃꯊꯟꯇꯥ ꯋꯥꯈꯜ ꯇꯥꯗꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯁꯤꯅꯀꯣꯞ (syncope) : ꯃꯁꯤꯅꯥ ꯃꯤꯑꯣꯏ 4ꯒꯤ ꯃꯅꯨꯡꯗꯥ 1 ꯐꯥꯎꯕꯥ ꯁꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯅꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ (lightheadedness) ꯑꯃꯁꯨꯡ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯋꯥꯈꯜ ꯃꯥꯡꯕꯒꯤ ꯐꯤꯚꯝ ꯑꯃꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫
ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯋꯥꯐꯝ ꯑꯃꯅꯥ, ꯃꯤꯑꯣꯏ ꯈꯔꯅꯥ (5ꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯆꯥꯎꯔꯥꯛꯅꯥ 2) ꯀꯥꯔꯗꯤꯌꯦꯛ ꯑꯦꯔꯦꯁ꯭ꯠ ꯅꯠꯠꯔꯒꯥ ꯈꯪꯍꯧꯗꯅꯥ ꯀꯥꯔꯗꯤꯌꯦꯛ ꯁꯤꯕꯥ ꯊꯦꯡꯅꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯃꯈꯣꯌꯅꯥ SQTS ꯂꯩꯔꯦ ꯍꯥꯌꯕꯥ ꯈꯪꯏ꯫ ꯃꯁꯤ ꯍꯥꯔꯇꯀꯤ ꯃꯈꯥ ꯊꯪꯕꯥ ꯆꯦꯝꯕꯔꯁꯤꯡꯗꯥ, ꯚꯦꯟꯇꯤꯀꯨꯂꯥꯔ ꯐꯤꯕꯔ ꯅꯠꯠꯔꯒꯥ ꯚꯦꯟꯇꯤꯀꯨꯂꯥꯔ ꯇꯦꯀꯤꯀꯥꯔꯗꯤꯌꯥꯒꯨꯝꯕꯥ ꯈꯨꯗꯣꯡꯊꯤꯅꯤꯉꯥꯏ ꯑꯣꯏꯕꯥ ꯑꯥꯏꯔꯦꯒꯨꯂꯔ ꯍꯥꯔꯇꯕꯤꯠ (arrhythmia) ꯑꯃꯥ ꯂꯩꯕꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯍꯥꯔꯠ ꯑꯗꯨ ꯈꯪꯍꯧꯗꯅꯥ ꯁꯣꯀꯄꯥ ꯂꯦꯄꯍꯜꯂꯤ꯫ ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫
ꯈꯅꯕꯤꯌꯨ, ꯑꯁꯥꯉ꯭ꯀꯥ ꯀꯧꯕꯥ ꯆꯍꯤ ꯲꯵ ꯁꯨꯔꯕꯥ ꯅꯍꯥ ꯑꯃꯥ ꯂꯩꯔꯤ꯫ ꯃꯍꯥꯛ ꯑꯐꯕꯥ ꯁꯥꯟꯅꯔꯣꯏ ꯑꯃꯥ ꯑꯣꯏꯔꯝꯃꯤ ꯑꯃꯁꯨꯡ ꯍꯀꯆꯥꯡ ꯐꯅꯥ ꯂꯩꯔꯝꯃꯤ꯫ ꯅꯨꯃꯤꯠ ꯑꯃꯗꯥ ꯃꯍꯥꯛꯀꯤ ꯃꯔꯨꯄꯁꯤꯡꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯀ꯭ꯔꯤꯀꯦꯠ ꯁꯥꯟꯅꯔꯤꯉꯩꯗꯥ ꯈꯉꯍꯧꯗꯅꯥ ꯃꯍꯥꯛꯀꯤ ꯊꯝꯃꯣꯌꯗꯥ ꯆꯦꯅꯁꯤꯜꯂꯀꯏ꯫ ꯃꯍꯥꯀꯄꯨ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯂꯗꯥ ꯄꯨꯈꯠꯈꯤ, ꯑꯗꯨꯕꯨ ꯃꯍꯥꯛ ꯀꯅꯕꯥ ꯉꯃꯈꯤꯗꯦ꯫ ꯃꯇꯨꯡꯗꯥ ꯇꯦꯁ꯭ꯠ ꯇꯧꯕꯗꯥ ꯑꯁꯥꯉ꯭ꯀꯇꯥ ꯑꯦꯁ.ꯀ꯭ꯌꯨ.ꯇꯤ.ꯑꯦꯁ. ꯑꯁꯤꯒꯨꯝꯕꯥ ꯋꯥꯐꯃꯁꯤꯡ ꯑꯁꯤ ꯇꯥꯕꯗꯥ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯐꯥꯑꯣꯏ ꯑꯗꯨꯕꯨ ꯋꯥꯐꯃꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯆꯦꯀꯁꯤꯟꯅꯥ ꯂꯩꯕꯥ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫
ꯑꯦꯁ.ꯀ꯭ꯌꯨ.ꯇꯤ.ꯑꯦꯁ.ꯅꯥ ꯀꯔꯝꯅꯥ ꯂꯥꯌꯦꯡꯕꯒꯦ?
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ SQTS ꯂꯩꯔꯦ ꯍꯥꯌꯅꯥ ꯆꯤꯡꯅꯔꯕꯗꯤ, ꯗꯣꯛꯇꯔ ꯑꯃꯅꯥ ꯑꯍꯥꯅꯕꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯏꯃꯨꯡꯒꯤ ꯃꯤꯑꯣꯏ ꯑꯃꯗꯥ ꯍꯥꯔꯇꯀꯤ ꯂꯥꯌꯅꯥ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯅꯥ ꯍꯪꯒꯅꯤ꯫ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯃꯈꯣꯌꯅꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯑꯁꯤ ꯇꯧꯕꯥ ꯌꯥꯏ:
- ꯏ.ꯁꯤ.ꯖꯤ.(ꯏꯂꯦꯛꯠꯔꯣꯀꯥꯔꯗꯤꯑꯣꯒ꯭ꯔꯥꯐ): ꯃꯁꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯇꯦꯁ꯭ꯇꯅꯤ꯫ ꯃꯁꯤꯅꯥ ꯀ꯭ꯌꯨ.ꯇꯤ.ꯒꯤ ꯏꯟꯇꯔꯚꯜ ꯑꯗꯨ ꯂꯦꯄꯊꯣꯀꯏ꯫ ꯃꯍꯧꯁꯥꯅꯥ, ꯀꯔꯤꯒꯨꯝꯕꯥ QT ꯏꯟꯇꯔꯚꯦꯜ ꯑꯗꯨ ꯁꯦꯀꯦꯟꯗ 0.34ꯗꯒꯤ ꯇꯥꯗꯅꯥ ꯂꯩꯔꯕꯗꯤ ꯑꯃꯁꯨꯡ ꯑꯇꯩ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯂꯩꯔꯕꯗꯤ SQTS ꯑꯁꯤ ꯆꯤꯡꯅꯕꯥ ꯂꯩ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯀꯔꯤꯒꯨꯝꯕꯥ QT ꯏꯟꯇꯔꯚꯦꯜ ꯑꯗꯨ ꯁꯦꯀꯦꯟꯗ 0.34 ꯑꯃꯁꯨꯡ 0.36ꯒꯤ ꯃꯔꯛꯇꯥ ꯂꯩꯔꯕꯁꯨ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯇꯩ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯂꯩꯔꯕꯗꯤ (ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, SQTSꯒꯤ ꯐꯦꯃꯤꯂꯤ ꯍꯤꯁ꯭ꯇꯔꯤ ꯑꯃꯥ, ꯃꯌꯦꯛ ꯁꯦꯡꯗꯕꯥ ꯐꯦꯏꯟꯇ ꯁ꯭ꯄꯦꯂꯁꯤꯡ) SQTS ꯑꯁꯤ ꯈꯟꯅꯕꯥ ꯌꯥꯏ꯫
- ꯖꯦꯅꯦꯇꯤꯛ ꯇꯦꯁ꯭ꯇꯤꯡ: ꯃꯁꯤꯒꯤ ꯇꯦꯁ꯭ꯠ ꯑꯁꯤ ꯑꯦꯁ.ꯀ꯭ꯌꯨ.ꯇꯤ.ꯑꯦꯁ. ꯃꯁꯤꯅꯥ ꯂꯥꯌꯅꯥ ꯑꯁꯤ ꯀꯅꯐꯥꯔꯝ ꯇꯧꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ ꯑꯃꯁꯨꯡ ꯏꯃꯨꯡꯒꯤ ꯑꯇꯩ ꯃꯤꯑꯣꯏꯁꯤꯡ ꯔꯤꯁ꯭ꯛ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯈꯪꯗꯣꯀꯄꯥ ꯉꯝꯃꯤ꯫
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯅꯍꯥꯛꯅꯥ ꯂꯥꯏꯑꯣꯡ ꯑꯃꯠꯇꯥ ꯂꯩꯇꯕꯥ ꯌꯥꯏ ꯑꯃꯁꯨꯡ ꯑꯇꯣꯞꯄꯥ ꯃꯔꯝ ꯑꯃꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯏ.ꯁꯤ.ꯖꯤ.
ꯑꯦꯁ.ꯀ꯭ꯌꯨ.ꯇꯤ.ꯑꯦꯁ.ꯀꯤ ꯂꯥꯏꯌꯦꯡꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯤꯅꯣ?
ꯑꯦꯁ.ꯀ꯭ꯌꯨ.ꯇꯤ.ꯑꯦꯁ.ꯅꯥ ꯑꯀꯅꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯥ ꯑꯣꯏꯔꯕꯁꯨ, ꯃꯁꯤ ꯂꯥꯌꯦꯡꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤ ꯀꯥꯔꯗꯤꯑꯣꯂꯣꯖꯤꯁ꯭ꯠ ꯑꯃꯅꯥ ꯂꯥꯌꯦꯡꯏ꯫ ꯅꯍꯥꯛꯀꯤ ꯀꯟꯗꯤꯁꯅꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯂꯥꯏꯌꯦꯡꯁꯤꯡ ꯑꯁꯤ ꯄꯤꯕꯥ ꯌꯥꯏ:
- ꯏꯃꯞꯂꯥꯟꯇ ꯇꯧꯕꯥ ꯌꯥꯕꯥ ꯀꯥꯔꯗꯤꯑꯣꯚꯥꯔꯇꯔ ꯗꯤꯐꯤꯕ꯭ꯔꯤꯂꯦꯇꯔ (ICD): ꯃꯁꯤ SQTS ꯂꯩꯕꯥ ꯑꯍꯂꯁꯤꯡꯒꯤ ꯑꯣꯏꯅꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯊꯥꯖꯕꯥ ꯌꯥꯕꯥ ꯂꯥꯏꯌꯦꯡꯅꯤ꯫ ꯑꯥꯏ.ꯁꯤ.ꯗꯤ ꯍꯥꯌꯕꯁꯤ ꯁꯔꯖꯤꯀꯦꯜ ꯑꯣꯏꯅꯥ ꯆꯦꯁ꯭ꯇꯀꯤ ꯈꯣꯡꯒꯤ ꯃꯈꯥꯗꯥ ꯏꯃꯞꯂꯥꯟꯇ ꯇꯧꯕꯥ ꯑꯃꯁꯨꯡ ꯊꯝꯃꯣꯌꯒꯥ ꯁꯝꯅꯕꯥ ꯑꯄꯤꯀꯄꯥ ꯃꯦꯁꯤꯟ ꯑꯃꯅꯤ꯫ ꯃꯁꯤꯒꯤ ꯃꯦꯁꯤꯟ ꯑꯁꯤꯅꯥ ꯊꯝꯃꯣꯌꯒꯤ ꯔꯤꯗꯝ ꯑꯗꯨ ꯂꯦꯞꯇꯅꯥ ꯌꯦꯡꯁꯤꯜꯂꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯈꯨꯗꯣꯡꯊꯤꯅꯤꯉꯥꯏ ꯑꯣꯏꯕꯥ ꯑꯥꯏꯔꯦꯒꯨꯂꯔ ꯍꯥꯔꯇꯀꯤ ꯈꯣꯡꯖꯦꯜ (arrhythmia) ꯑꯃꯥ ꯊꯣꯛꯂꯕꯗꯤ, ꯑꯥꯏ.ꯁꯤ.ꯗꯤ.ꯅꯥ ꯃꯁꯥ ꯃꯊꯟꯇꯥ ꯍꯥꯔꯇꯇꯥ ꯏꯂꯦꯛꯠꯔꯤꯛ ꯁꯣꯛ ꯑꯃꯥ ꯄꯤꯗꯨꯅꯥ ꯔꯤꯗꯝ ꯑꯗꯨ ꯔꯤꯁ꯭ꯇꯣꯔ ꯇꯧꯏ꯫ ꯃꯁꯤ ꯏꯃꯔꯖꯦꯟꯁꯤ ꯂꯥꯏꯐꯒꯥꯔꯗ ꯑꯃꯒꯨꯝꯕꯅꯤ꯫
- ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ: ꯍꯥꯔꯇꯀꯤ ꯔꯤꯗꯝ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯥ ꯑꯦꯟꯇꯤ-ꯑꯦꯔꯤꯊꯃꯤꯌꯥ ꯗ꯭ꯔꯒꯁꯤꯡ ꯂꯩ꯫ ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯀꯨꯏꯅꯤꯗꯤꯟ ꯑꯁꯤ ꯑꯌꯥꯝꯕꯅꯥ ꯑꯦꯁ.ꯀ꯭ꯌꯨ.ꯇꯤ.ꯑꯦꯁ. ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯐ꯭ꯂꯦꯀꯥꯏꯅꯥꯏꯗ (TambocorTM) , ꯏꯕꯨꯇꯤꯂꯥꯏꯗ (Corvert® ), ꯄ꯭ꯔꯣꯄꯥꯐꯦꯅꯣꯟ , ꯑꯦꯃꯤꯑꯣꯗꯥꯔꯣꯟ , ꯁꯣꯇꯥꯂꯣꯜ , ꯅꯠꯠꯔꯒꯥ ꯕꯦꯇꯥ-ꯕ꯭ꯂꯣꯀꯔꯁꯤꯡ (ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯃꯦꯇꯣꯞꯔꯣꯂꯣꯜ (Toprol XL®, Lopressor®) , ꯀꯥꯔꯚꯦꯗꯤꯂꯣꯜ (Coreg®) )ꯒꯨꯝꯕꯥ ꯍꯤꯗꯥꯀꯁꯤꯡꯁꯨ ꯄꯤꯕꯥ ꯌꯥꯏ꯫
ꯃꯔꯨꯑꯣꯏꯕꯥ: ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ ꯑꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯄꯤꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯈꯛꯇꯗꯥ, ꯑꯃꯁꯨꯡ ꯃꯍꯥꯛꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯍꯥꯌꯔꯀꯄꯒꯨꯝꯅꯥ ꯂꯧꯒꯗꯕꯅꯤ꯫ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ ꯃꯁꯥ ꯃꯊꯟꯇꯥ ꯁꯤꯖꯤꯟꯅꯕꯅꯥ ꯈꯨꯗꯣꯡꯊꯤꯅꯤꯉꯥꯏ ꯑꯣꯏꯕꯥ ꯐꯂꯁꯤꯡ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫
ꯑꯦꯁ.ꯀ꯭ꯌꯨ.ꯇꯤ.ꯑꯦꯁ.ꯀꯤ ꯔꯤꯁ꯭ꯛ ꯍꯟꯊꯍꯅꯕꯥ ꯉꯃꯒꯗ꯭ꯔꯥ?
ꯑꯦꯁ.ꯀ꯭ꯌꯨ.ꯇꯤ.ꯑꯦꯁ.ꯅꯥ ꯖꯤꯅꯦꯇꯤꯛ ꯑꯣꯏꯕꯥ ꯂꯥꯌꯅꯥ ꯑꯃꯥ ꯑꯣꯏꯕꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯃꯁꯤ ꯂꯥꯀꯁꯤꯟꯅꯕꯥ ꯄꯥꯝꯕꯩ ꯑꯃꯠꯇꯥ ꯂꯩꯇꯦ꯫ ꯃꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯥ ꯉꯝꯕꯥ ꯋꯥꯐꯝ ꯅꯠꯇꯦ꯫
ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯦꯁ.ꯀ꯭ꯌꯨ.ꯇꯤ.ꯑꯦꯁ.ꯅꯥ ꯅꯥꯔꯦ ꯍꯥꯌꯅꯥ ꯈꯉꯂꯕꯗꯤ, ꯀꯥꯔꯗꯤꯑꯣꯂꯣꯖꯤꯁ꯭ꯠ ꯑꯃꯒꯥ ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯌꯦꯡꯁꯤꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯃꯈꯣꯌꯒꯤ ꯄꯥꯎꯇꯥꯀꯁꯤꯡ ꯉꯥꯛꯅꯥ ꯆꯠꯄꯥ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫ ꯃꯈꯣꯌꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯥꯔꯇꯀꯤ ꯍꯀꯁꯦꯜ ꯌꯦꯡꯁꯤꯅꯕꯥ ꯉꯃꯒꯅꯤ ꯑꯃꯁꯨꯡ ꯑꯦꯁ.ꯀ꯭ꯌꯨ.ꯇꯤ.ꯑꯦꯁ.ꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯕꯥ ꯑꯀꯅꯕꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ, ꯃꯔꯨꯑꯣꯏꯅꯥ ꯈꯪꯍꯧꯗꯅꯥ ꯀꯥꯔꯗꯤꯌꯦꯛ ꯁꯤꯕꯒꯤ ꯔꯤꯁ꯭ꯛ ꯍꯟꯊꯍꯅꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫
ꯑꯦꯁ.ꯀ꯭ꯌꯨ.ꯇꯤ.ꯑꯦꯁ.ꯀꯥ ꯂꯣꯌꯅꯅꯥ ꯃꯇꯝ ꯀꯌꯥ ꯍꯤꯡꯕꯥ ꯌꯥꯕꯒꯦ?
ꯃꯁꯤ ꯃꯤꯑꯣꯏ ꯀꯌꯥꯅꯥ ꯍꯪꯂꯀꯄꯥ ꯋꯥꯍꯪ ꯑꯃꯅꯤ꯫ ꯅꯍꯥꯛꯅꯥ SQTSꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯍꯤꯡꯅꯕꯒꯤ ꯃꯇꯝ ꯑꯁꯤ ꯃꯤꯑꯣꯏ ꯑꯃꯗꯒꯤ ꯃꯤꯑꯣꯏ ꯑꯃꯗꯥ ꯈꯦꯠꯅꯕꯥ ꯌꯥꯏ꯫ ꯃꯤꯑꯣꯏ ꯈꯔꯒꯤ ꯑꯣꯏꯅꯗꯤ, SQTSꯅꯥ ꯈꯪꯍꯧꯗꯅꯥ ꯀꯥꯔꯗꯤꯌꯦꯛ ꯁꯤꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯑꯦꯁ꯭ꯇꯤꯃꯦꯠꯁꯤꯡꯅꯥ ꯍꯥꯌꯔꯤ ꯃꯗꯨꯗꯤ ꯑꯦꯁ.ꯀ꯭ꯌꯨ.ꯇꯤ.ꯑꯦꯁ.ꯅꯥ ꯅꯥꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯅꯥ ꯆꯍꯤ ꯴꯰ ꯁꯨꯔꯀꯄꯗꯥ ꯈꯉꯍꯧꯗꯅꯥ ꯀꯥꯔꯗꯤꯌꯦꯛ ꯁꯤꯕꯒꯤ ꯔꯤꯁ꯭ꯛ ꯴꯰% ꯂꯩ, ꯃꯁꯤꯒꯤ ꯔꯤꯁ꯭ꯛ ꯑꯁꯤ ꯆꯍꯤ ꯰-꯱ꯒꯤ ꯑꯉꯥꯡꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯆꯍꯤ ꯲꯰-꯴꯰ꯒꯤ ꯅꯍꯥ ꯑꯣꯏꯔꯤꯕꯥ ꯑꯍꯂꯁꯤꯡꯗꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯋꯥꯡꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯁꯤ ꯅꯧꯅꯥ ꯄꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯆꯍꯤ 1ꯒꯤ ꯃꯔꯛꯇꯥ ꯂꯩꯕꯥ ꯑꯉꯥꯡ ꯑꯃꯗꯥ ꯊꯣꯛꯂꯕꯗꯤ, ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯃꯁꯤꯕꯨ ꯁꯗꯟ ꯏꯅꯐꯦꯟꯇ ꯗꯦꯊ ꯁꯤꯟꯗꯣꯝ (SIDS) ꯍꯥꯌꯅꯥꯁꯨ ꯀꯧꯕꯥ ꯌꯥꯏ꯫
ꯑꯗꯨꯕꯨ, ꯃꯁꯤꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯂꯥꯡꯇꯛꯅꯒꯅꯨ꯫ ꯅꯤꯡꯁꯤꯡꯒꯗꯕꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯋꯥꯐꯃꯗꯤ ꯏ.ꯁꯤ.ꯖꯤ.ꯗꯥ ꯑꯇꯦꯅꯕꯥ QT ꯏꯟꯇꯔꯚꯜ (ꯃꯤꯂꯤꯁꯦꯀꯦꯟꯗ ꯳꯶꯰ꯗꯒꯤ ꯇꯥꯅꯥ) ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏ ꯈꯨꯗꯤꯡꯃꯛꯇꯥ ꯑꯦꯁ.ꯀ꯭ꯌꯨ.ꯇꯤ.ꯑꯦꯁ. ꯑꯦꯁ.ꯀ꯭ꯌꯨ.ꯇꯤ.ꯑꯦꯁ.ꯅꯥ ꯅꯥꯕꯥ ꯃꯤꯑꯣꯏ ꯈꯔꯗꯤ ꯂꯥꯏꯑꯣꯡ ꯑꯃꯠꯇꯥ ꯊꯦꯡꯅꯗꯅꯥ ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯕꯥ ꯄꯨꯟꯁꯤ ꯑꯃꯥ ꯍꯤꯡꯕꯥ ꯉꯝꯃꯤ꯫ ꯑꯦꯁ.ꯀ꯭ꯌꯨ.ꯇꯤ.ꯑꯦꯁ.ꯅꯥ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯊꯣꯀꯄꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯔꯤꯁꯔꯆꯔꯁꯤꯡꯅꯥ ꯍꯧꯖꯤꯀꯁꯨ ꯃꯁꯤꯅꯥ ꯄꯨꯟꯁꯤ ꯃꯍꯤꯡꯗꯥ ꯀꯔꯝꯅꯥ ꯁꯣꯀꯍꯅꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯊꯤꯖꯤꯜꯂꯤ꯫
ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯗꯨ ꯃꯦꯅꯦꯖ ꯇꯧꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯕꯥ ꯌꯥꯏ ꯑꯃꯁꯨꯡ ꯃꯇꯤꯛ ꯆꯥꯕꯥ ꯂꯥꯏꯌꯦꯡꯒꯤ ꯑꯣꯄꯁꯅꯁꯤꯡ ꯄꯤꯗꯨꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡꯒꯤ ꯔꯤꯁ꯭ꯛ ꯍꯟꯊꯍꯅꯕꯥ ꯌꯥꯏ꯫
ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯑꯇꯣꯞꯄꯥ ꯀꯔꯤ ꯍꯪꯅꯤꯡꯕꯒꯦ?
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ SQTS ꯂꯩꯔꯦ ꯍꯥꯌꯅꯥ ꯆꯤꯡꯅꯕꯥ ꯂꯩꯔꯕꯗꯤ, ꯅꯠꯠꯔꯒꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯁꯤ ꯂꯩꯔꯦ ꯍꯥꯌꯅꯥ ꯈꯪꯂꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯋꯥꯍꯪꯁꯤꯡ ꯑꯁꯤ ꯍꯪꯕꯁꯤ ꯑꯐꯕꯥ ꯋꯥꯈꯜꯂꯣꯟ ꯑꯃꯅꯤ:
- ꯑꯦꯁ.ꯀ꯭ꯌꯨ.ꯇꯤ.ꯑꯦꯁ.ꯀꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯤꯅꯣ? ꯑꯩꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯃꯁꯤꯒꯥ ꯃꯥꯟꯅꯕ꯭ꯔꯥ?
- ꯑꯦꯁ.ꯀ꯭ꯌꯨ.ꯇꯤ.ꯑꯦꯁ.ꯀꯤ ꯂꯥꯏꯑꯣꯡ ꯈꯉꯗꯣꯛꯅꯕꯥ ꯑꯩꯅꯥ ꯀꯔꯤ ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯇꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯒꯦ?
- ꯑꯩꯒꯤ ꯀꯔꯤ ꯂꯥꯏꯌꯦꯡꯒꯤ ꯑꯣꯄꯁꯅꯁꯤꯡ ꯂꯩꯕꯒꯦ? ꯑꯩꯒꯤꯗꯃꯛꯇꯗꯤ ꯀꯅꯥꯅꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯒꯦ?
- ꯑꯩꯒꯤ ꯊꯝꯃꯣꯌꯕꯨ ꯍꯀꯆꯥꯡ ꯐꯅꯥ ꯂꯩꯍꯟꯅꯕꯥ ꯑꯩꯅꯥ ꯀꯔꯤ ꯄꯨꯟꯁꯤ ꯃꯍꯤꯡꯗꯥ ꯑꯍꯣꯡꯕꯥ ꯄꯨꯔꯀꯄꯥ ꯌꯥꯕꯒꯦ? (ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯑꯀꯛꯅꯕꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ, ꯑꯀꯛꯅꯕꯥ ꯊꯕꯛ ꯊꯧꯔꯃꯁꯤꯡꯗꯒꯤ ꯂꯥꯞꯅꯥ ꯂꯩꯕꯥ)
- ꯑꯩꯒꯤ ꯑꯉꯥꯡꯁꯤꯡꯅꯥ ꯑꯦꯁ.ꯀ꯭ꯌꯨ.ꯇꯤ.ꯑꯦꯁ. ꯃꯁꯤ ꯈꯉꯗꯣꯛꯅꯕꯥ ꯇꯦꯁ꯭ꯠ ꯑꯃꯠꯇꯥ ꯂꯩꯕ꯭ꯔꯥ?
ꯋꯥꯍꯪꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯊꯛꯇꯥ, ꯅꯍꯥꯛꯅꯥ ꯈꯜꯂꯤꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯆꯤꯡꯅꯕꯥ ꯂꯩꯕꯥ ꯋꯥꯐꯝ ꯑꯃꯍꯦꯛꯇꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯕꯗꯥ ꯂꯥꯡꯇꯛꯅꯒꯅꯨ꯫
ꯑꯩꯈꯣꯌꯅꯥ ꯈꯟꯅꯈꯤꯕꯥ ꯋꯥꯐꯃꯁꯤꯡꯒꯤ ꯁꯃꯖꯤꯟꯅꯐꯝ ꯑꯃꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤ (ꯇꯦꯛ-ꯍꯣꯝ ꯃꯦꯁꯦꯖ):
ꯑꯣꯀꯦ ꯑꯗꯨꯅꯥ, ꯑꯩꯈꯣꯌꯅꯥ ꯋꯥꯔꯤ ꯁꯥꯈꯤꯕꯥ ꯑꯗꯨ ꯅꯤꯡꯁꯤꯡꯁꯤ:
- ꯁꯣꯔꯠ ꯀ꯭ꯌꯨ.ꯇꯤ.ꯁꯤꯟꯗꯣꯝ (SQTS) ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯇꯣꯏꯅꯥ ꯊꯣꯀꯄꯥ, ꯖꯤꯅꯦꯇꯤꯛ ꯑꯣꯏꯕꯥ ꯂꯥꯌꯅꯥ ꯑꯃꯅꯤ꯫
- ꯃꯁꯤꯗꯥ ꯊꯣꯛꯂꯤꯕꯥ ꯑꯁꯤ ꯍꯥꯔꯇꯀꯤ ꯏꯂꯦꯛꯠꯔꯤꯀꯦꯜ ꯑꯦꯛꯇꯤꯚꯤꯇꯤꯒꯤ ꯃꯇꯝ ꯑꯃꯥ ꯑꯣꯏꯔꯤꯕꯥ QT ꯏꯟꯇꯔꯚꯦꯜ ꯑꯁꯤ ꯃꯍꯧꯁꯥꯒꯥ ꯃꯥꯟꯅꯗꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯀꯨꯄꯁꯤꯜꯂꯤ꯫ ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯃꯁꯤꯅꯥ ꯍꯥꯔꯇꯀꯤ ꯃꯈꯥ ꯊꯪꯕꯥ ꯆꯦꯝꯕꯔꯁꯤꯡꯅꯥ ꯈꯣꯟꯖꯦꯜ ꯑꯃꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯃꯊꯪꯒꯤ ꯈꯣꯟꯖꯦꯂꯒꯤꯗꯃꯛ ꯁꯦꯝ-ꯁꯥꯕꯗꯥ ꯆꯪꯕꯥ ꯃꯇꯝ ꯑꯗꯨ ꯍꯟꯊꯍꯜꯂꯤ꯫
- ꯃꯁꯤꯅꯥ ꯃꯤꯠ ꯎꯏꯁꯤꯅꯕꯥ, ꯃꯁꯥ ꯃꯊꯟꯇꯥ ꯋꯥꯈꯜ ꯇꯥꯗꯕꯥ, ꯑꯃꯁꯨꯡ ꯈꯣꯡ ꯍꯥꯝꯕꯥ ꯑꯁꯤꯅꯆꯤꯡꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯂꯥꯏꯑꯣꯡ ꯑꯃꯠꯇꯥ ꯂꯩꯇꯕꯥ ꯌꯥꯏ꯫
- ꯑꯦꯁ.ꯀ꯭ꯌꯨ.ꯇꯤ.ꯑꯦꯁ.ꯅꯥ ꯈꯪꯍꯧꯗꯅꯥ ꯀꯥꯔꯗꯤꯌꯦꯛ ꯑꯦꯔꯦꯁ꯭ꯠ ꯇꯧꯕꯥ ꯑꯃꯁꯨꯡ ꯁꯤꯕꯥ ꯐꯥꯎꯕꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯕꯥ ꯑꯀꯅꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫
- ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ ꯃꯁꯤ ꯏ.ꯁꯤ.ꯖꯤ. ꯑꯃꯁꯨꯡ ꯖꯦꯅꯦꯇꯤꯛ ꯇꯦꯁ꯭ꯇꯁꯤꯡꯅꯥ ꯈꯉꯗꯣꯀꯄꯥ ꯌꯥꯏ꯫
- ꯃꯁꯤ ꯑꯥꯏ.ꯁꯤ.ꯗꯤ.ꯒꯤ ꯈꯨꯠꯂꯥꯌꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡꯅꯥ ꯂꯥꯌꯦꯡꯕꯥ ꯌꯥꯏ꯫
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯆꯤꯡꯅꯕꯥ ꯂꯩꯔꯕꯗꯤ, ꯅꯠꯠꯔꯒꯥ ꯅꯍꯥꯛꯀꯤ ꯏꯃꯨꯡꯒꯤ ꯃꯤꯑꯣꯏ ꯑꯃꯗꯥ ꯍꯥꯔꯇꯀꯤ ꯂꯥꯌꯅꯥ ꯃꯈꯜ ꯑꯁꯤ ꯂꯩꯔꯕꯗꯤ, ꯄꯥꯎꯇꯥꯛ ꯂꯧꯅꯕꯒꯤꯗꯃꯛ ꯗꯣꯛꯇꯔ ꯑꯃꯗꯥ ꯁꯣꯌꯗꯅꯥ ꯇꯥꯀꯄꯤꯌꯨ꯫
ꯅꯤꯡꯁꯤꯡꯕꯤꯌꯨ, ꯋꯥꯐꯃꯁꯤꯡ ꯑꯁꯤ ꯈꯉꯕꯥ ꯑꯃꯁꯨꯡ ꯃꯇꯝ ꯆꯥꯅꯥ ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯄꯥꯎꯇꯥꯛ ꯂꯧꯕꯥ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫ ꯑꯐꯕꯥ ꯍꯀꯁꯦꯂꯒꯤ ꯌꯥꯏꯐ-ꯄꯥꯎꯖꯦꯜ ꯄꯤꯖꯔꯤ!
` ꯁꯣꯔꯠ ꯀ꯭ꯌꯨ.ꯇꯤ.ꯁꯤꯟꯗꯣꯝ, ꯑꯦꯁ.ꯀ꯭ꯌꯨ.ꯇꯤ.ꯑꯦꯁ., ꯍꯥꯔꯇꯀꯤ ꯂꯥꯌꯅꯥ, ꯏ.ꯁꯤ.ꯖꯤ., ꯀ꯭ꯌꯨ.ꯇꯤ











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