ꯁ꯭ꯞꯂꯤꯟ ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ? ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯂꯩꯔꯤꯕꯥ ꯑꯄꯤꯀꯄꯥ ꯑꯣꯔꯒꯥꯟ ꯑꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯑꯗꯣꯝꯅꯥ ꯈꯉꯒꯗꯕꯥ ꯄꯨꯝꯅꯃꯛ!

ꯅꯍꯥꯛꯀꯤ ꯔꯤꯕ ꯀꯦꯖꯒꯤ ꯃꯈꯥꯗꯥ ꯂꯩꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯎꯄꯀꯤ ꯂꯦꯃꯍꯧꯔꯤꯕꯥ ꯑꯄꯤꯀꯄꯥ ꯑꯣꯔꯒꯥꯟ ꯑꯁꯤ ꯀꯔꯤꯅꯣ ꯑꯃꯁꯨꯡ ꯃꯁꯤꯅꯥ ꯇꯁꯦꯡꯅꯥ ꯀꯔꯤ ꯇꯧꯔꯤꯕꯒꯦ ꯍꯥꯌꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯈꯜꯂꯨꯕꯥ ꯂꯩꯕ꯭ꯔꯥ? ꯉꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯃꯤꯑꯣꯏ ꯑꯌꯥꯝꯕꯅꯥ ꯌꯥꯝꯅꯥ ꯋꯥꯅꯥ ꯉꯥꯡꯅꯗꯕꯥ ꯑꯣꯔꯒꯥꯟ ꯑꯃꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯔꯤ, ꯑꯗꯨꯕꯨ ꯃꯁꯤ ꯍꯀꯆꯥꯡꯒꯤꯗꯃꯛꯇꯥ ꯇꯉꯥꯏꯐꯗꯕꯥ ꯑꯃꯅꯤ ꯑꯃꯁꯨꯡ ꯆꯨꯝꯅꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯊꯕꯛ ꯀꯌꯥ ꯑꯃꯥ ꯇꯧꯏ꯫ ꯃꯗꯨꯗꯤ ꯁ꯭ꯞꯂꯤꯟ . ꯃꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯏꯁꯩ ꯁꯀꯄꯥ ꯉꯃꯗꯕꯥ ꯍꯤꯔꯣ ꯑꯃꯒꯨꯝꯕꯅꯤ꯫ ꯍꯤꯔꯣ ꯑꯁꯤꯒꯤ ꯃꯔꯃꯗꯥ ꯄꯨꯝꯅꯃꯛ ꯑꯁꯤ ꯏꯆꯝ ꯆꯝꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯈꯉꯅꯕꯥ ꯍꯣꯠꯅꯁꯤ꯫

ꯁ꯭ꯞꯂꯤꯅꯅꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯀꯔꯤ ꯁꯔꯚꯤꯁ ꯄꯤꯔꯤꯕꯒꯦ?

ꯁ꯭ꯞꯂꯤꯟ ꯑꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯏꯝꯝꯌꯨꯟ ꯁꯤꯁ꯭ꯇꯦꯝ ꯑꯃꯁꯨꯡ ꯂꯤꯝꯐꯦꯇꯤꯛ ꯁꯤꯁ꯭ꯇꯦꯃꯒꯤ ꯁꯔꯨꯛ ꯑꯃꯅꯤ꯫ ꯃꯄꯨꯡ-ꯃꯔꯩ ꯐꯥꯔꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯒꯤ ꯁ꯭ꯞꯂꯤꯟ ꯑꯁꯤ ꯃꯍꯧꯁꯥꯅꯥ ꯑꯦꯚꯣꯀꯦꯗꯣꯒꯤ ꯆꯥꯡꯒꯥ ꯃꯥꯟꯅꯩ꯫ ꯑꯗꯨꯕꯨ ꯑꯄꯤꯀꯄꯥ ꯑꯣꯔꯒꯥꯟ ꯑꯁꯤꯅꯥ ꯇꯧꯔꯤꯕꯥ ꯊꯕꯛ ꯑꯁꯤꯗꯤ ꯑꯄꯤꯀꯄꯥ ꯊꯧꯑꯣꯡ ꯑꯃꯅꯤ꯫

ꯃꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯏ ꯁꯦꯡꯗꯣꯀꯄꯥ ꯉꯝꯕꯥ ꯁꯨꯄꯔ ꯐꯤꯜꯇꯔ ꯑꯃꯥ ꯑꯣꯏꯅꯥ ꯈꯅꯕꯤꯌꯨ꯫ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯁꯤꯡꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯁ꯭ꯞꯂꯤꯅꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯊꯕꯛ ꯈꯔꯥ ꯄꯤꯔꯤ:

• ꯕ꯭ꯂꯗ ꯁ꯭ꯇꯣꯔꯦꯖ: ꯃꯁꯤꯅꯥ ꯑꯄꯤꯀꯄꯥ ꯕ꯭ꯂꯗ ꯕꯦꯉ꯭ꯛ ꯑꯃꯒꯨꯝꯅꯥ ꯊꯕꯛ ꯇꯧꯏ꯫ ꯑꯦꯃꯔꯖꯦꯟꯁꯤꯒꯤ ꯃꯇꯃꯗꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯏ ꯌꯥꯝꯅꯥ ꯃꯊꯧ ꯇꯥꯔꯕꯗꯤ ꯃꯐꯃꯁꯤꯗꯒꯤ ꯏ ꯊꯥꯗꯣꯀꯏ꯫
• ꯏ ꯁꯦꯡꯗꯣꯀꯄꯥ: ꯃꯁꯤꯅꯥ ꯃꯇꯝ ꯂꯣꯏꯔꯕꯥ, ꯑꯍꯜ ꯑꯣꯏꯔꯕꯥ ꯑꯃꯁꯨꯡ ꯑꯁꯣꯀꯄꯥ ꯔꯦꯗ ꯕ꯭ꯂꯗ ꯁꯦꯂꯁꯤꯡ ꯂꯧꯊꯣꯛꯇꯨꯅꯥ ꯏ ꯁꯦꯡꯅꯥ ꯊꯝꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫ ꯑꯇꯣꯞꯄꯥ ꯋꯥꯍꯟꯊꯣꯛ ꯑꯃꯗꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯃꯁꯤ ꯑꯃꯣꯠꯄꯥ ꯃꯦꯅꯦꯖ ꯇꯧꯕꯒꯥ ꯃꯥꯟꯅꯩ꯫
• ꯏꯅꯐꯦꯛꯁꯅꯁꯤꯡ ꯊꯦꯡꯅꯕꯥ: ꯏꯝꯝꯌꯨꯟ ꯁꯤꯁ꯭ꯇꯦꯃꯒꯤ ꯑꯇꯣꯞꯄꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯊꯕꯛ ꯑꯃꯗꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯆꯪꯂꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯂꯥꯌꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯖꯔꯃꯁꯤꯡ, ꯍꯥꯌꯕꯗꯤ ꯕꯦꯛꯇꯦꯔꯤꯌꯥ ꯑꯃꯁꯨꯡ ꯚꯥꯏꯔꯁꯁꯤꯡ ꯊꯦꯡꯅꯅꯕꯥ ꯋꯥꯏꯠ ꯕ꯭ꯂꯗ ꯁꯦꯂꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯑꯦꯟꯇꯤꯕꯣꯗꯤꯁꯤꯡ ꯄꯨꯊꯣꯀꯄꯅꯤ꯫
• ꯍꯀꯆꯥꯡꯗꯥ ꯐ꯭ꯂꯨꯏꯗꯀꯤ ꯆꯥꯡ ꯔꯤꯒꯨꯂꯦꯠ ꯇꯧꯕꯥ: ꯁ꯭ꯞꯂꯤꯅꯅꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯐ꯭ꯂꯨꯏꯗꯀꯤ ꯕꯦꯂꯦꯟꯁ ꯊꯝꯕꯗꯁꯨ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫

ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯁ꯭ꯞꯂꯤꯟ ꯑꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯊꯧꯗꯥꯡ ꯑꯍꯨꯝ ꯄꯨꯝꯅꯃꯛ ꯂꯧꯔꯤꯕꯥ ꯑꯣꯔꯒꯥꯟ ꯑꯃꯅꯤ: ꯄ꯭ꯔꯣꯇꯦꯛꯇꯔ, ꯀ꯭ꯂꯤꯅꯖꯥꯔ ꯑꯃꯁꯨꯡ ꯁ꯭ꯇꯣꯔꯍꯥꯎꯁ꯫

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ꯁ꯭ꯞꯂꯤꯅꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯁꯔꯨꯛ ꯑꯅꯤ ꯂꯩ꯫ ꯍꯥꯌꯔꯤꯕꯥ ꯑꯅꯤ ꯑꯁꯤꯅꯥ ꯇꯣꯉꯥꯟ ꯇꯣꯉꯥꯅꯕꯥ ꯊꯕꯛ ꯑꯅꯤ ꯇꯧꯏ꯫ ꯃꯈꯣꯌꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯤꯅꯣ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯁꯤ꯫

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ꯁ꯭ꯞꯂꯤꯅꯗꯥ ꯁꯣꯀꯍꯜꯂꯤꯕꯥ ꯂꯥꯌꯅꯥ ꯑꯃꯁꯨꯡ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯃꯁꯤꯡ꯫

ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯋꯥꯐꯝ ꯑꯃꯅꯥ, ꯅꯤꯡꯊꯤꯖꯅꯥ ꯊꯕꯛ ꯇꯧꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯁꯤ ꯇꯣꯉꯥꯟ-ꯇꯣꯉꯥꯅꯕꯥ ꯂꯥꯌꯅꯥꯁꯤꯡ, ꯐꯤꯚꯃꯁꯤꯡ, ꯑꯃꯁꯨꯡ ꯈꯨꯗꯣꯡꯊꯤꯕꯥ ꯀꯌꯥꯅꯥ ꯁꯣꯀꯍꯅꯕꯁꯨ ꯌꯥꯏ꯫ ꯃꯈꯣꯌ ꯈꯔꯗꯤ ꯌꯦꯡꯁꯤ꯫

꯱.ꯁ꯭ꯞꯂꯦꯅꯣꯃꯦꯒꯥꯂꯤ ꯂꯩꯕꯥ꯫

ꯃꯁꯤ ꯁ꯭ꯞꯂꯤꯅꯒꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯃꯅꯤ꯫ ꯃꯐꯃꯁꯤꯗꯥ ꯊꯣꯛꯂꯤꯕꯁꯤ ꯇꯣꯉꯥꯟ-ꯇꯣꯉꯥꯅꯕꯥ ꯃꯔꯃꯁꯤꯡꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯁ꯭ꯞꯂꯤꯟ ꯑꯁꯤ ꯅꯣꯔꯃꯦꯂꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯆꯥꯎꯕꯥ ꯑꯣꯏꯔꯀꯏ꯫ ꯃꯁꯤ ꯅꯍꯥꯛꯅꯥ ꯐꯨꯃꯖꯤꯜꯂꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯐꯨꯃꯖꯤꯜꯂꯀꯄꯥ ꯕꯦꯂꯨꯅꯒꯨꯝꯅꯥ ꯑꯣꯏ꯫ ꯁ꯭ꯞꯂꯤꯟ ꯑꯗꯨ ꯁꯣꯟꯊꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯅꯍꯥꯛꯅꯥ ꯈꯣꯡꯒꯤ ꯂꯦꯡ-ꯑꯣꯠꯄꯗꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯄꯥ, ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯐꯥꯎꯕꯥ, ꯑꯃꯁꯨꯡ ꯈꯔꯥ ꯆꯥꯔꯕꯥ ꯃꯇꯨꯡꯗꯁꯨ ꯃꯄꯨꯡ-ꯃꯔꯩ ꯐꯥꯔꯕꯥ ꯐꯥꯎꯕꯥ ꯐꯥꯎꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤ ꯈꯨꯗꯣꯡꯊꯤꯅꯤꯉꯥꯏ ꯑꯣꯏꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ ꯃꯔꯃꯗꯤ ꯁꯣꯟꯊꯔꯕꯥ ꯁ꯭ꯞꯂꯤꯟ (swellen spleen rupture) ꯊꯣꯀꯄꯒꯤ ꯔꯤꯁ꯭ꯛ ꯂꯩ꯫

ꯁ꯭ꯞꯂꯤꯟ ꯑꯗꯨ ꯁꯣꯀꯍꯅꯕꯥ ꯌꯥꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ:

• ꯏꯒꯥ ꯃꯔꯤ ꯂꯩꯅꯕꯥ ꯀꯦꯟꯁꯔꯁꯤꯡ: ꯂꯤꯎꯀꯦꯃꯤꯌꯥ ꯑꯃꯁꯨꯡ ꯍꯣꯗꯀꯤꯅꯁ ꯂꯤꯝꯐꯣꯃꯥꯒꯨꯝꯕꯥ ꯀꯦꯟꯁꯔꯁꯤꯡ꯫
• ꯏꯅꯐꯦꯛꯁꯅꯁꯤꯡ: ꯃꯦꯂꯦꯔꯤꯌꯥ, ꯗꯦꯉ꯭ꯒꯨ, ꯑꯃꯁꯨꯡ ꯃꯣꯅꯣꯟꯌꯨꯛꯂꯤꯑꯣꯁꯤꯁꯒꯨꯝꯕꯥ ꯏꯅꯐꯦꯛꯁꯅꯁꯤꯡ꯫
• ꯂꯤꯚꯔꯒꯤ ꯂꯥꯌꯅꯥꯁꯤꯡ: ꯁꯤꯔꯣꯁꯤꯁꯒꯨꯝꯕꯥ ꯂꯤꯚꯔꯒꯤ ꯂꯥꯌꯅꯥꯁꯤꯡꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ꯫
• ꯏ ꯊꯣꯀꯄꯥ (blood clots): ꯁ꯭ꯞꯂꯤꯟ ꯅꯠꯠꯔꯒꯥ ꯂꯤꯚꯔꯒꯤ ꯚꯦꯅꯃꯁꯤꯡꯗꯥ ꯏ ꯊꯣꯀꯄꯥ꯫
• ꯑꯦꯅꯤꯃꯤꯌꯥ ꯃꯈꯜ ꯈꯔꯗꯤ: ꯍꯦꯃꯣꯂꯥꯏꯇꯤꯛ ꯑꯦꯅꯤꯃꯤꯌꯥꯒꯨꯝꯕꯥ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ꯫
• ꯄꯣꯀꯄꯗꯥ ꯉꯥꯏꯔꯤꯕꯥ ꯑꯁꯣꯛ-ꯑꯄꯅꯁꯤꯡ: ꯒꯥꯎꯆꯦꯔ ꯗꯤꯖꯤꯖꯒꯨꯝꯕꯥ ꯍꯦꯔꯤꯇꯦꯖ ꯂꯥꯌꯅꯥꯁꯤꯡ꯫

2. ꯁ꯭ꯞꯂꯤꯟ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯊꯕꯛ ꯇꯧꯗꯕꯥ (Functional Asplenia) .

ꯃꯁꯤ ꯁ꯭ꯞꯂꯤꯟ ꯑꯁꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯂꯩꯕꯥ ꯃꯇꯃꯗꯥ, ꯑꯗꯨꯕꯨ ꯃꯗꯨꯒꯤ ꯊꯕꯛ ꯑꯗꯨ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯄꯥꯡꯊꯣꯀꯄꯥ ꯉꯃꯗꯕꯥ ꯃꯇꯃꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯃꯁꯤꯅꯥ ꯑꯣꯚꯔꯑꯦꯛꯇꯤꯚ (hypersplenism) ꯑꯣꯏꯔꯀꯄꯥ ꯌꯥꯏ ꯑꯃꯁꯨꯡ ꯍꯀꯁꯦꯜ ꯐꯕꯥ ꯔꯦꯗ ꯕ꯭ꯂꯗ ꯁꯦꯂꯁꯤꯡ ꯃꯥꯡꯍꯅꯕꯥ ꯍꯧꯔꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯅꯥ ꯐꯖꯅꯥ ꯁꯣꯀꯄꯥ, ꯏ ꯊꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯏꯅꯐꯦꯛꯁꯅꯒꯤ ꯔꯤꯁ꯭ꯛ ꯍꯦꯅꯒꯠꯍꯅꯕꯥ ꯌꯥꯏ꯫

3. ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯁꯣꯀꯍꯜꯂꯕꯥ ꯁ꯭ꯞꯂꯤꯟ (Ruptured Spleen) .

ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯈꯨꯗꯣꯡꯊꯤꯅꯤꯡꯉꯥꯏ ꯑꯣꯏꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ ꯑꯃꯁꯨꯡ ꯃꯁꯤꯗꯥ ꯏꯃꯔꯖꯦꯟꯁꯤ ꯃꯦꯗꯤꯀꯦꯜ ꯑꯦꯇꯦꯟꯁꯟ ꯃꯊꯧ ꯇꯥꯏ . ꯅꯍꯥꯛꯅꯥ ꯀ꯭ꯔꯤꯀꯦꯠ ꯁꯥꯟꯅꯔꯤꯉꯩꯗꯥ ꯕꯣꯜ ꯑꯃꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯒꯤ ꯂꯦꯃꯍꯧꯔꯤꯕꯥ ꯃꯐꯝ ꯑꯗꯨꯗꯥ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯅꯥ ꯁꯣꯀꯏ ꯍꯥꯌꯅꯥ ꯈꯅꯕꯤꯌꯨ꯫ ꯅꯠꯠꯔꯒꯥ ꯅꯍꯥꯛꯅꯥ ꯒꯥꯔꯤꯒꯤ ꯑꯦꯛꯁꯤꯗꯦꯟꯇ ꯑꯃꯗꯥ ꯂꯩꯔꯦ꯫ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯑꯀꯅꯕꯥ ꯈꯣꯡꯖꯦꯜ ꯑꯁꯤꯅꯥ ꯈꯣꯡꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯅꯕꯥ, ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯍꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯁ꯭ꯞꯂꯤꯟ ꯐꯥꯎꯕꯥ ꯁꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯁꯤ ꯊꯣꯛꯂꯕꯗꯤ, ꯍꯀꯆꯥꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯏ ꯌꯥꯝꯅꯥ ꯊꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯁꯤꯕꯥ ꯐꯥꯎꯕꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛ ꯅꯠꯠꯔꯒꯥ ꯑꯇꯣꯞꯄꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯅꯥ ꯈꯣꯡꯒꯤ ꯂꯦꯃꯍꯧꯔꯤꯕꯥ ꯁꯔꯨꯛ ꯑꯗꯨꯗꯥ ꯁꯥꯊꯤꯅꯥ ꯁꯣꯀꯍꯜꯂꯕꯥ ꯑꯃꯁꯨꯡ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯂꯩꯔꯕꯗꯤ, ꯈꯨꯗꯛꯇꯥ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯜ ꯑꯃꯒꯤ ꯏꯃꯔꯖꯦꯟꯁꯤ ꯗꯤꯄꯥꯔꯇꯃꯦꯟꯇ (ETU)ꯗꯥ ꯆꯠꯂꯨ꯫

ꯑꯩꯒꯤ ꯁ꯭ꯞꯂꯤꯟ ꯑꯗꯨ ꯀꯔꯝꯅꯥ ꯍꯀꯆꯥꯡ ꯐꯅꯥ ꯊꯃꯒꯗꯒꯦ?

ꯃꯤꯑꯣꯏ ꯀꯌꯥꯅꯥ ꯃꯈꯣꯌꯒꯤ ꯁ꯭ꯞꯂꯤꯅꯒꯤꯗꯃꯛꯇꯥ ꯑꯈꯟꯅꯕꯥ ꯊꯕꯛ ꯑꯃꯥ ꯇꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯕ꯭ꯔꯥ ꯍꯥꯌꯅꯥ ꯈꯜꯂꯤ꯫ ꯇꯁꯦꯡꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ ꯑꯈꯟꯅꯕꯥ ꯊꯕꯛ ꯑꯃꯠꯇꯥ ꯇꯧꯕꯒꯤ ꯃꯊꯧ ꯇꯥꯗꯦ꯫ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡ ꯄꯨꯝꯕꯥ ꯍꯀꯁꯦꯜ ꯐꯅꯥ ꯊꯝꯅꯕꯒꯤꯗꯃꯛ ꯅꯍꯥꯛꯅꯥ ꯇꯧꯔꯤꯕꯥ ꯊꯕꯀꯁꯤꯡ ꯑꯗꯨꯃꯛ ꯅꯍꯥꯛꯀꯤ ꯁ꯭ꯞꯂꯤꯅꯒꯤꯗꯃꯛꯇꯁꯨ ꯑꯐꯕꯥ ꯑꯣꯏ꯫

• ꯏꯁꯤꯡ ꯃꯔꯥꯡ ꯀꯥꯌꯅꯥ ꯊꯀꯎ꯫
• ꯃꯅꯥ-ꯃꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯎꯍꯩ-ꯋꯥꯍꯩꯁꯤꯡ ꯌꯥꯝꯅꯥ ꯌꯥꯎꯕꯥ ꯕꯦꯂꯦꯟꯁ ꯗꯥꯏꯠ ꯑꯃꯥ ꯆꯥꯒꯗꯕꯅꯤ꯫
• ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯇꯧ꯫
• ꯍꯀꯁꯦꯜ ꯐꯕꯥ ꯑꯔꯨꯝꯕꯥ ꯑꯃꯥ ꯊꯝꯕꯥ꯫

ꯍꯥꯌꯔꯤꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯏꯝꯝꯌꯨꯟ ꯁꯤꯁ꯭ꯇꯦꯝ ꯑꯗꯨ ꯃꯄꯥꯉ꯭ꯒꯜ ꯀꯅꯈꯠꯍꯅꯒꯅꯤ꯫ ꯃꯁꯤꯅꯥ ꯁ꯭ꯞꯂꯤꯅꯒꯤꯗꯃꯛꯇꯁꯨ ꯑꯆꯧꯕꯥ ꯃꯇꯦꯡ ꯑꯃꯅꯤ꯫

ꯁ꯭ꯞꯂꯤꯟ ꯌꯥꯎꯗꯅꯥ ꯍꯤꯡꯕꯥ ꯌꯥꯕ꯭ꯔꯥ?

ꯍꯣꯌ, ꯑꯉꯀꯄꯥ ꯑꯣꯏꯅꯥ, ꯁ꯭ꯞꯂꯤꯟ ꯌꯥꯑꯣꯗꯅꯥ ꯍꯤꯡꯕꯥ ꯌꯥꯏ . ꯃꯤꯑꯣꯏ ꯈꯔꯗꯤ ꯁ꯭ꯞꯂꯤꯟ ꯌꯥꯎꯗꯅꯥ ꯄꯣꯀꯏ (ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯇꯣꯏꯅꯥ ꯊꯣꯀꯏ)꯫ ꯑꯇꯣꯞꯄꯥ ꯀꯦꯁꯁꯤꯡꯗꯗꯤ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯦꯛꯁꯤꯗꯦꯟꯇ ꯑꯃꯗꯥ ꯅꯠꯠꯔꯒꯥ ꯃꯦꯗꯤꯀꯦꯜ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯁ꯭ꯞꯂꯤꯟ ꯑꯗꯨ ꯁꯣꯀꯍꯜꯂꯕꯗꯤ, ꯃꯗꯨ ꯁꯔꯖꯤꯀꯦꯜ ꯑꯣꯏꯅꯥ ꯂꯧꯊꯣꯀꯄꯥ (splenectomy) ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯏ꯫

ꯁ꯭ꯞꯂꯤꯟ ꯑꯗꯨ ꯂꯧꯊꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯂꯤꯚꯔꯅꯥ ꯍꯥꯟꯅꯅꯥ ꯇꯧꯔꯝꯕꯥ ꯊꯕꯛ ꯑꯌꯥꯝꯕꯗꯤ ꯂꯧꯁꯤꯜꯂꯤ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯁ꯭ꯞꯂꯤꯟ ꯂꯩꯇꯕꯒꯤ ꯑꯆꯧꯕꯥ ꯔꯤꯁ꯭ꯛ ꯑꯃꯗꯤ ꯂꯩ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯗꯨ ꯂꯩꯠꯔꯕꯗꯤ, ꯁ꯭ꯞꯂꯤꯅꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯄꯒꯤ ꯔꯤꯁ꯭ꯛ ꯑꯁꯤ ꯀꯔꯤꯅꯣ?

ꯃꯔꯨꯑꯣꯏꯕꯥ ꯔꯤꯁ꯭ꯛ ꯑꯁꯤ ꯏꯅꯐꯦꯛꯁꯅꯒꯤ ꯔꯤꯁ꯭ꯛ ꯍꯦꯅꯒꯠꯂꯀꯄꯅꯤ . ꯁ꯭ꯞꯂꯤꯟ ꯑꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯗꯤꯐꯦꯟꯁꯁꯤꯡꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯕꯦꯖ ꯑꯃꯒꯨꯝꯅꯥ ꯑꯣꯏ꯫ ꯃꯁꯤ ꯃꯥꯡꯈꯤꯕꯥ ꯃꯇꯃꯗꯥ, ꯍꯀꯆꯥꯡꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯕꯦꯛꯇꯦꯔꯤꯌꯥꯒꯤ ꯏꯅꯐꯦꯛꯁꯟ ꯈꯔꯒꯥ ꯂꯥꯟꯊꯦꯡꯅꯕꯒꯤ ꯇꯧꯕꯥ ꯉꯝꯕꯗꯨ ꯍꯟꯊꯔꯀꯏ꯫

ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯁ꯭ꯞꯂꯤꯟ ꯑꯗꯨ ꯂꯧꯊꯣꯀꯈ꯭ꯔꯕꯗꯤ, ꯅꯠꯠꯔꯒꯥ ꯃꯗꯨ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯊꯕꯛ ꯇꯧꯗ꯭ꯔꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯤ ꯏꯅꯁ꯭ꯠꯔꯛꯁꯅꯁꯤꯡ ꯑꯗꯨ ꯆꯦꯀꯁꯤꯟꯅꯥ ꯏꯅꯒꯗꯕꯅꯤ꯫

• ꯃꯊꯧ ꯇꯥꯕꯥ ꯇꯤꯀꯥ ꯄꯨꯝꯅꯃꯛ ꯃꯇꯝ ꯆꯥꯅꯥ ꯂꯧꯕꯥ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯅꯨꯃꯤꯠ ꯈꯨꯗꯤꯡꯒꯤ ꯑꯦꯟꯇꯤꯕꯥꯏꯑꯣꯇꯤꯛ ꯂꯧꯅꯕꯥ ꯍꯥꯌꯔꯀꯄꯥ ꯌꯥꯏ꯫
• ꯂꯥꯏꯍꯧ ꯅꯠꯠꯔꯒꯥ ꯀꯣꯛ ꯆꯤꯀꯄꯥ ꯑꯁꯤꯅꯆꯤꯡꯕꯥ ꯑꯄꯤꯀꯄꯥ ꯑꯅꯥꯕꯥ ꯑꯃꯥ ꯂꯩꯔꯕꯁꯨ ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯄꯥꯎꯇꯥꯛ ꯂꯧꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫

ꯀꯗꯥꯏꯗꯥ ꯈꯨꯗꯛꯇꯥ ꯗꯣꯛꯇꯔꯒꯥ ꯇꯥꯟꯅꯒꯗꯒꯦ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯃꯗꯒꯤ ꯍꯦꯅꯕꯥ ꯂꯩꯔꯕꯗꯤ, ꯈꯨꯗꯛꯇꯥ ꯗꯣꯛꯇꯔ ꯑꯃꯒꯥ ꯇꯥꯟꯅꯧ꯫ ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯁ꯭ꯞꯂꯤꯟ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯇꯣꯞꯄꯥ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯑꯃꯒꯤ ꯈꯨꯗꯃꯁꯤꯡ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫

• ꯈꯔꯥ ꯆꯥꯔꯕꯥ ꯃꯇꯨꯡꯗꯁꯨ ꯃꯄꯨꯡ ꯐꯥꯅꯥ ꯋꯥꯈꯜ ꯇꯥꯕꯥ (ꯉꯟꯅꯥ ꯊꯀꯄꯥ)꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯔꯝ ꯑꯃꯠꯇꯗꯥ ꯁꯣꯛ-ꯄꯅꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯏ ꯊꯣꯀꯄꯥ ꯂꯩꯔꯕꯗꯤ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯦꯡ-ꯑꯣꯠꯄꯒꯤ ꯃꯈꯥꯗꯥ ꯂꯩꯕꯥ ꯔꯤꯕ ꯀꯦꯖꯒꯤ ꯃꯈꯥꯗꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯛꯂꯕꯗꯤ ꯅꯠꯠꯔꯒꯥ ꯃꯐꯝ ꯑꯗꯨꯗꯥ ꯁꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯛꯂꯕꯗꯤ꯫

ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯌꯦꯡꯊꯤꯒꯅꯨ꯫ ꯉꯟꯅꯥ ꯂꯥꯏꯌꯦꯡꯕꯅꯥ ꯑꯀꯅꯕꯥ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ ꯊꯤꯡꯕꯥ ꯉꯝꯃꯤ꯫