ꯀꯔꯤꯒꯨꯝꯕꯥ ꯁ꯭ꯞꯂꯤꯅꯗꯥ ꯏ ꯆꯦꯅꯕꯥ ꯂꯦꯄꯈ꯭ꯔꯕꯗꯤ ꯀꯔꯤ ꯑꯣꯏꯒꯅꯤ? (ꯁ꯭ꯞꯂꯦꯅꯤꯛ ꯏꯅꯐꯦꯛꯁꯟ) ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ? ꯋꯥꯔꯤ ꯁꯥꯟꯅꯔꯁꯤ!

ꯅꯍꯥꯛꯅꯥ ꯈꯪꯍꯧꯗꯅꯥ ꯃꯊꯛꯀꯤ ꯂꯦꯡ-ꯑꯣꯠꯄꯗꯥ ꯁꯥꯊꯤꯕꯥ ꯑꯅꯥꯕꯥ ꯑꯃꯥ ꯊꯦꯡꯅꯈꯤꯕ꯭ꯔꯥ? ꯂꯥꯏꯍꯧ ꯑꯃꯁꯨꯡ ꯅꯣꯡꯃꯩ ꯀꯥꯞꯄꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯂꯥꯀꯄꯥ ꯑꯣꯏꯔꯕꯁꯨ ꯌꯥꯏ? ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯑꯩꯈꯣꯌꯅꯥ ꯈꯟꯊꯕꯥ ꯉꯃꯗꯕꯥ ꯃꯔꯝ ꯑꯃꯥ ꯂꯩꯕꯥ ꯌꯥꯏ꯫ ꯃꯗꯨ ꯈꯉꯖꯤꯅꯒꯗꯕꯥ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯊꯣꯀꯄꯥ ꯑꯗꯨꯕꯨ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯀꯟꯗꯤꯁꯅꯁꯤꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯅꯤ, ꯃꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯉꯁꯤ ꯋꯥꯔꯤ ꯁꯥꯒꯗꯧꯔꯤꯕꯥ ꯑꯁꯤꯅꯤ (ꯁ꯭ꯞꯂꯦꯅꯤꯛ ꯏꯅꯐꯦꯛꯁꯟ) . ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯂꯩꯔꯣꯏꯗꯕꯅꯤ, ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯁꯨꯞꯅꯇꯒꯤ ꯋꯥꯔꯤ ꯁꯥꯁꯤ꯫

ꯁ꯭ꯞꯂꯦꯅꯤꯛ ꯏꯅꯐꯦꯛꯁꯟ ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ? ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯂꯧꯁꯤꯅꯁꯤ꯫

ꯑꯣꯀꯦ, ꯑꯍꯥꯅꯕꯗꯥ ꯁ꯭ꯞꯂꯤꯟ ꯑꯁꯤ ꯀꯔꯤꯅꯣ, ꯃꯁꯤ ꯀꯗꯥꯏꯗꯥ ꯂꯩꯕꯒꯦ ꯑꯃꯁꯨꯡ ꯃꯁꯤꯅꯥ ꯀꯔꯤ ꯇꯧꯔꯤꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯁꯤ꯫ ꯁ꯭ꯞꯂꯤꯟ ꯀꯧꯕꯥ ꯑꯄꯤꯀꯄꯥ ꯑꯣꯔꯒꯥꯟ ꯑꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯈꯣꯡꯒꯤ ꯂꯦꯃꯍꯧꯔꯤꯕꯥ ꯁꯔꯨꯛ ꯑꯗꯨꯗꯥ, ꯈꯣꯡꯗꯥ ꯈꯔꯥ ꯅꯛꯅꯥ ꯂꯩ꯫ ꯃꯁꯤ ꯑꯄꯤꯀꯄꯥ ꯑꯣꯏꯔꯕꯁꯨ ꯃꯁꯤꯒꯤ ꯁꯔꯕꯤꯁ ꯑꯁꯤ ꯑꯆꯧꯕꯥ ꯑꯃꯅꯤ꯫ ꯃꯁꯤ ꯐꯤꯜꯇꯔ ꯑꯃꯒꯨꯝ ꯊꯕꯛ ꯇꯧꯏ . ꯃꯁꯤꯅꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯊꯝꯃꯣꯌꯗꯒꯤ ꯂꯥꯀꯄꯥ ꯏ ꯑꯗꯨ ꯁꯦꯡꯗꯣꯀꯏ, ꯍꯥꯌꯕꯗꯤ ꯏꯗꯒꯤ ꯑꯔꯤꯕꯥ ꯔꯦꯗ ꯕ꯭ꯂꯗ ꯁꯦꯂꯁꯤꯡꯒꯨꯝꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ ꯂꯧꯊꯣꯀꯏ꯫ ꯃꯁꯤꯅꯥ ꯏ ꯈꯔꯁꯨ ꯊꯃꯖꯤꯜꯂꯤ꯫ ꯑꯇꯣꯞꯄꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯋꯥꯐꯃꯗꯤ ꯃꯁꯤꯅꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯕꯨ ꯂꯥꯌꯅꯥꯁꯤꯡꯗꯒꯤ ꯉꯥꯀꯊꯣꯀꯄꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ, ꯍꯥꯌꯕꯗꯤ ꯖꯔꯃꯁꯤꯡꯗꯒꯤ ꯉꯥꯀꯊꯣꯀꯄꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ . ꯃꯁꯤ ꯏꯝꯝꯌꯨꯟ ꯁꯤꯁ꯭ꯇꯦꯃꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯁꯔꯨꯛ ꯑꯃꯅꯤ꯫ ꯑꯗꯨꯅꯥ ꯈꯅꯕꯤꯌꯨ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯊꯕꯛ ꯑꯃꯥ ꯇꯧꯔꯤꯕꯥ ꯁ꯭ꯞꯂꯤꯟ ꯑꯗꯨꯅꯥ ꯏ ꯃꯇꯤꯛ ꯆꯥꯅꯥ ꯐꯪꯗ꯭ꯔꯕꯗꯤ ꯀꯔꯤ ꯑꯣꯏꯒꯅꯤ? ꯎ ꯅꯠꯠꯔꯒꯥ ꯄꯥꯝꯕꯤ ꯑꯃꯅꯥ ꯏꯁꯤꯡ ꯃꯥꯡꯈꯤꯕꯥ ꯃꯇꯃꯒꯨꯝꯅꯥ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯁꯤꯔꯀꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯁ꯭ꯞꯂꯤꯅꯒꯤ ꯃꯐꯝ ꯈꯔꯗꯥ ꯏ ꯆꯦꯅꯕꯥ ꯂꯦꯄꯈ꯭ꯔꯕꯗꯤ, ꯇꯤꯁꯨꯁꯤꯡ ꯑꯗꯨ ꯑꯣꯛꯁꯤꯖꯦꯟ ꯑꯃꯁꯨꯡ ꯅ꯭ꯌꯨꯠꯔꯤꯁꯟ ꯌꯥꯎꯗꯅꯥ ꯁꯤꯔꯀꯏ꯫ ꯑꯩꯈꯣꯌꯅꯥ ꯃꯁꯤꯕꯨ ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯋꯥꯍꯟꯊꯣꯛꯀꯤ ꯃꯇꯨꯡ ꯏꯟꯅꯥ (ꯁ꯭ꯞꯂꯦꯅꯤꯛ ꯏꯅꯐꯦꯛꯁꯟ) ꯍꯥꯌꯅꯥ ꯀꯧꯏ . ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯁ꯭ꯞꯂꯤꯅꯒꯤ ꯁꯔꯨꯛ ꯑꯃꯥ ꯗꯤꯁꯐꯉ꯭ꯀꯁꯅꯦꯜ ꯑꯣꯏ, ꯅꯠꯠꯔꯒꯥ "ꯑꯁꯣꯀꯄꯥ" ꯑꯣꯏ꯫ ꯃꯁꯤ ꯇꯁꯦꯡꯅꯥ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯊꯣꯀꯄꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫ ꯃꯁꯤ ꯃꯤꯄꯨꯝ ꯈꯨꯗꯤꯡꯃꯛꯇꯥ ꯊꯣꯛꯇꯦ꯫ ꯑꯗꯨꯕꯨ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯣꯏꯔꯕꯗꯤ, ꯃꯁꯤ ꯑꯇꯣꯞꯄꯥ ꯑꯟꯗꯔꯂꯥꯏꯟ ꯃꯦꯗꯤꯀꯦꯜ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯒꯤ ꯈꯨꯗꯝ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫ ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯃꯁꯤ ꯕ꯭ꯂꯗ ꯀꯦꯟꯁꯔ , ꯍꯥꯔꯇꯀꯤ ꯂꯥꯌꯅꯥ , ꯅꯠꯠꯔꯒꯥ ꯄꯦꯅꯛꯔꯤꯑꯦꯖꯒꯤ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯃꯒꯨꯝꯕꯥ ꯑꯀꯅꯕꯥ ꯑꯅꯥꯕꯥ ꯑꯃꯒꯤ ꯈꯨꯗꯝ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤ ꯇꯥꯕꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯈꯔꯥ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯑꯃꯁꯨꯡ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯐꯥꯎꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯃꯁꯤꯒꯤ ꯗꯥꯏꯑꯦꯒ꯭ꯅꯣꯁꯤꯁ ꯑꯁꯤꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯂꯥꯏꯌꯦꯡ ꯑꯗꯨ ꯐꯪꯅꯕꯒꯤ ꯑꯍꯥꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯈꯣꯡꯊꯥꯡꯅꯤ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯂꯩꯇꯕꯥ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫

ꯁ꯭ꯞꯂꯦꯅꯤꯛ ꯏꯅꯐꯦꯛꯁꯟ (splenic infarction)ꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?

ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤꯗꯥ ꯂꯥꯀꯄꯥ ꯂꯥꯏꯑꯣꯡ ꯀꯌꯥ ꯂꯩ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯃꯤꯄꯨꯝ ꯈꯨꯗꯤꯡꯃꯛꯀꯤ ꯑꯣꯏꯅꯥ ꯆꯞ ꯃꯥꯟꯅꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯊꯣꯛꯇꯦ꯫

• ꯃꯔꯨꯑꯣꯏꯕꯥ ꯂꯥꯏꯑꯣꯡ: ꯃꯁꯤꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯑꯃꯁꯨꯡ ꯑꯌꯥꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯑꯍꯥꯅꯕꯥ ꯂꯥꯏꯑꯣꯡꯗꯤ ꯈꯪꯍꯧꯗꯅꯥ, ꯁꯥꯊꯤꯕꯥ ꯈꯣꯡ ꯍꯥꯝꯕꯥ ꯑꯁꯤꯅꯤ꯫ ꯃꯁꯤ ꯃꯍꯧꯁꯥꯅꯥ ꯈꯣꯡꯒꯤ ꯃꯊꯛꯀꯤ ꯂꯦꯃꯍꯧꯔꯤꯕꯥ ꯁꯔꯨꯛ ꯑꯗꯨꯗꯥ ꯐꯥꯎꯏ꯫ ꯃꯤꯑꯣꯏ ꯈꯔꯗꯗꯤ, ꯑꯅꯥꯕꯥ ꯑꯁꯤ ꯂꯦꯡ-ꯑꯣꯠꯄꯗꯁꯨ ꯁꯟꯗꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯤꯑꯣꯏ ꯈꯔꯅꯁꯨ ꯃꯁꯤꯕꯨ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯑꯅꯥꯕꯥ ꯑꯃꯅꯤ ꯍꯥꯌꯅꯥ ꯐꯣꯡꯗꯣꯀꯏ, ꯃꯗꯨꯗꯤ ꯈꯣꯡꯎꯞ ꯑꯃꯥ ꯂꯥꯟꯊꯣꯀꯄꯒꯨꯝꯅꯥ꯫
• ꯂꯥꯏꯍꯧ: ꯍꯀꯆꯥꯡ ꯁꯣꯟꯊꯔꯀꯄꯥ ꯌꯥꯏ ꯑꯃꯁꯨꯡ ꯂꯥꯏꯍꯧ ꯍꯧꯔꯀꯄꯥ ꯌꯥꯏ꯫
• ꯅꯣꯡꯃꯩ ꯀꯥꯞꯄꯥ ꯑꯃꯁꯨꯡ ꯋꯥꯈꯜ ꯆꯔꯥꯡꯅꯕꯥ : ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯑꯅꯥꯕꯥ ꯐꯥꯎꯕꯥ ꯑꯃꯁꯨꯡ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯐꯥꯎꯕꯥ ꯌꯥꯏ꯫

ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯎꯕꯥ ꯃꯇꯃꯗꯥ ꯃꯁꯤ (ꯁ꯭ꯞꯂꯦꯅꯤꯛ ꯏꯅꯐꯦꯛꯁꯟ)ꯅꯤ ꯍꯥꯌꯅꯥ ꯊꯨꯅꯥ ꯂꯧꯒꯅꯨ꯫ ꯃꯔꯃꯗꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯑꯇꯩ ꯂꯥꯌꯅꯥꯁꯤꯡꯗꯁꯨ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯕꯨ, ꯃꯔꯨꯑꯣꯏꯅꯥ꯫ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯊꯛꯀꯤ ꯂꯦꯡ-ꯑꯣꯠꯄꯗꯥ ꯈꯪꯍꯧꯗꯅꯥ, ꯁꯥꯊꯤꯕꯥ ꯑꯅꯥꯕꯥ ꯂꯩꯔꯕꯗꯤ , ꯃꯁꯤ ꯌꯦꯡꯊꯤꯅꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯑꯐꯕꯥ ꯋꯥꯈꯜꯂꯣꯟ ꯑꯃꯅꯤ꯫

ꯀꯔꯤꯒꯤꯗꯃꯛꯇꯥ ꯃꯁꯤ (Splenic Infarction) ꯊꯣꯛꯂꯤꯕꯅꯣ? ꯃꯔꯃꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?

ꯍꯧꯖꯤꯛ ꯁ꯭ꯞꯂꯤꯅꯗꯥ ꯏꯒꯤ ꯈꯣꯡꯖꯦꯜ ꯍꯟꯊꯔꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯊꯤꯡꯖꯤꯅꯕꯥ ꯀꯔꯤꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯁꯤ꯫ ꯃꯔꯝ ꯀꯌꯥ ꯂꯩꯕꯥ ꯌꯥꯏ:

• ꯕ꯭ꯂꯗ ꯀꯦꯟꯁꯔ : ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯕ꯭ꯂꯗ ꯀꯦꯟꯁꯔ ꯃꯈꯜ ꯈꯔꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ . ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, (ꯂꯤꯎꯀꯦꯃꯤꯌꯥ), (ꯂꯤꯝꯐꯣꯃꯥ), (ꯃꯥꯏꯂꯣꯐꯥꯏꯕ꯭ꯔꯣꯁꯤꯁ), ꯑꯃꯁꯨꯡ ( Polycythemia Vera ) ꯒꯨꯝꯕꯥ ꯀꯦꯟꯁꯔꯁꯤꯡꯅꯥ ꯁ꯭ꯞꯂꯤꯅꯗꯥ ꯏ ꯁꯞꯂꯥꯏ ꯇꯧꯔꯤꯕꯥ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯂꯁꯤꯡꯗꯥ ꯁꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫
• ꯕ꯭ꯂꯗ ꯀ꯭ꯂꯣꯇꯤꯡ ꯗꯤꯁꯑꯣꯔꯗꯔꯁꯤꯡ (blood clotting disorders): ꯃꯤꯑꯣꯏ ꯈꯔꯗꯤ ꯃꯈꯣꯌꯒꯤ ꯕ꯭ꯂꯗ ꯀ꯭ꯂꯣꯇꯤꯡ ꯗꯤꯁꯑꯣꯔꯗꯔꯁꯤꯡ ꯂꯩꯕꯥ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ ꯂꯩ꯫ ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ , ꯄ꯭ꯔꯣꯇꯤꯟ ꯁꯤ ꯋꯥꯠꯄꯥ , ꯄ꯭ꯔꯣꯇꯤꯟ ꯑꯦꯁ ꯋꯥꯠꯄꯥ , ꯑꯃꯁꯨꯡ ꯁꯤꯛꯀꯜ ꯁꯦꯜ ꯑꯦꯅꯤꯃꯤꯌꯥꯒꯨꯝꯕꯥ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ . ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯏ ꯊꯣꯀꯄꯥ ꯌꯥꯏ, ꯃꯗꯨꯅꯥ ꯆꯠꯊꯣꯛ-ꯆꯠꯁꯤꯟ ꯇꯧꯕꯥ ꯌꯥꯏ ꯑꯃꯁꯨꯡ ꯁ꯭ꯞꯂꯤꯅꯗꯥ ꯏ ꯁꯞꯂꯥꯏ ꯇꯧꯔꯤꯕꯥ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯂꯁꯤꯡ ꯊꯤꯡꯖꯤꯅꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤ ꯏꯁꯤꯡꯒꯤ ꯄꯥꯏꯞ ꯑꯃꯗꯥ ꯆꯦꯟꯊꯔꯀꯄꯥ ꯃꯩꯁꯥꯒꯤ ꯁꯔꯨꯛ ꯑꯃꯒꯨꯝꯕꯅꯤ꯫
• ꯍꯥꯔꯠ ꯗꯤꯖꯤꯖ: ꯍꯥꯔꯇꯀꯤ ꯂꯥꯌꯅꯥ ꯈꯔꯅꯥ ꯕ꯭ꯂꯗ ꯀ꯭ꯂꯣꯠꯁꯤꯡ (blot clots) ꯊꯣꯀꯍꯟꯗꯨꯅꯥ ꯁ꯭ꯞꯂꯤꯅꯗꯥ ꯆꯠꯂꯤꯕꯥ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯂꯁꯤꯡꯗꯥ ꯆꯦꯟꯊꯔꯀꯄꯥ ꯌꯥꯏ꯫ ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ , ꯑꯦꯠꯔꯤꯌꯥꯜ ꯐꯥꯏꯕ꯭ꯔꯤꯂꯦꯁꯟ (ꯍꯥꯔꯇꯀꯤ ꯈꯣꯡꯖꯦꯜ ꯌꯥꯡꯅꯥ ꯁꯣꯀꯄꯥ), ꯀꯟꯖꯦꯁ꯭ꯇꯤꯚ ꯍꯥꯔꯠ ꯐꯦꯜ ꯑꯣꯏꯕꯥ (ꯍꯥꯔꯇꯇꯥ ꯁꯣꯀꯍꯜꯂꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯥ), ꯑꯃꯁꯨꯡ ꯏꯅꯐꯦꯛꯇꯤꯕ ꯑꯦꯟꯗꯣꯀꯥꯔꯗꯤꯇꯤꯁ (ꯍꯥꯔꯇꯀꯤ ꯂꯥꯏꯅꯤꯡꯒꯤ ꯏꯅꯐꯦꯛꯁꯟ) ꯑꯁꯤꯅꯤ꯫
• ꯂꯧꯅꯒꯅꯕꯥ ꯂꯥꯌꯅꯥꯁꯤꯡ : ꯁ꯭ꯞꯂꯦꯅꯤꯛ ꯏꯅꯐꯦꯛꯁꯟ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯂꯧꯅꯒꯅꯕꯥ ꯂꯥꯌꯅꯥ ꯈꯔꯒꯤ ꯀꯃꯞꯂꯤꯀꯦꯁꯟ ꯑꯃꯥ ꯑꯣꯏꯅꯥꯁꯨ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ ꯕꯦꯕꯦꯁꯤꯑꯣꯁꯤꯁ (ꯄꯦꯔꯥꯁꯥꯏꯠ ꯑꯃꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯏꯅꯐꯦꯛꯁꯟ), ꯀꯣꯕꯤꯗ-19 , ꯃꯦꯂꯦꯔꯤꯌꯥ, ꯑꯃꯁꯨꯡ ꯃꯣꯅꯣꯟꯌꯨꯛꯂꯤꯑꯣꯁꯤꯁ ("ꯀꯤꯁꯤꯡ ꯗꯤꯖꯤꯖ" ꯍꯥꯌꯅꯥꯁꯨ ꯈꯪꯅꯩ) ꯑꯁꯤꯅꯤ꯫
• ꯄꯦꯅꯛꯔꯤꯑꯦꯇꯤꯛ ꯗꯤꯁꯑꯣꯔꯗꯔꯁꯤꯡ: ꯄꯦꯅꯛꯔꯤꯑꯦꯖ ꯑꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯈꯣꯡꯗꯥ ꯂꯩꯕꯥ ꯑꯇꯣꯞꯄꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯑꯣꯔꯒꯥꯟ ꯑꯃꯅꯤ꯫ ꯄꯦꯅꯛꯔꯤꯑꯦꯖꯒꯤ ꯂꯥꯌꯅꯥ ꯈꯔꯗꯤ, ꯍꯥꯌꯕꯗꯤ ꯄꯦꯅꯛꯔꯤꯑꯦꯇꯥꯏꯇꯤꯁ (ꯄꯦꯅꯛꯔꯤꯑꯦꯖꯒꯤ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯁꯟ, ꯃꯁꯤꯅꯥ ꯁꯣꯛ-ꯄꯅꯕꯥ ꯊꯣꯀꯍꯜꯂꯤꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯥ) ꯑꯃꯁꯨꯡ ꯄꯦꯅꯛꯔꯤꯑꯦꯖꯗꯥ ꯂꯩꯕꯥ ꯇꯤꯎꯃꯔ ꯈꯔꯅꯁꯨ ꯏꯒꯤ ꯈꯣꯡꯖꯦꯂꯗꯥ ꯁꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫
• ꯇ꯭ꯔꯥꯎꯃꯥ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯁ꯭ꯞꯂꯤꯅꯗꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯑꯃꯥ ꯊꯣꯛꯂꯕꯗꯤ, ꯁꯣꯛ-ꯄꯅꯕꯥ, ꯒꯥꯔꯤꯒꯤ ꯑꯦꯛꯁꯤꯗꯦꯟꯇ ꯅꯠꯠꯔꯒꯥ ꯁꯥꯊꯤꯕꯥ ꯁꯣꯛ-ꯄꯅꯕꯗꯒꯤ ꯑꯣꯏꯔꯕꯁꯨ, ꯃꯁꯤꯅꯥ ꯁ꯭ꯞꯂꯤꯅꯒꯤ ꯏꯅꯐꯦꯛꯁꯟ ꯀꯧꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯁꯨ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ ꯍꯥꯌꯅꯥ ꯈꯅꯕꯤꯌꯨ꯫

ꯃꯔꯨꯑꯣꯏꯕꯥ: ꯁ꯭ꯞꯂꯤꯅꯒꯤ ꯏꯅꯐꯦꯛꯁꯟ ꯑꯁꯤ ꯃꯔꯃꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯗꯒꯤ ꯅꯠꯠꯔꯒꯥ ꯑꯃꯗꯒꯤ ꯍꯦꯅꯕꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯁ꯭ꯞꯂꯤꯅꯗꯥ ꯆꯠꯂꯤꯕꯥ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯜ ꯑꯃꯥ ꯕ꯭ꯂꯣꯛ ꯇꯧꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯊꯣꯀꯏ꯫

ꯁ꯭ꯞꯂꯦꯅꯤꯛ ꯏꯅꯐꯦꯛꯁꯟ (Splenic Infarction)ꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯕꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ (Splenic Infarction) ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯃꯦꯅꯦꯖ ꯇꯧꯗ꯭ꯔꯕꯗꯤ, ꯀꯃꯞꯂꯤꯀꯦꯁꯟ ꯈꯔꯗꯤ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯈꯣꯏ ꯑꯁꯤ:

• ꯁ꯭ꯞꯂꯤꯟ (ruptured spleen) : ꯃꯁꯤꯅꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯈꯨꯗꯣꯡꯊꯤꯅꯤꯉꯥꯏ ꯑꯣꯏꯕꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯅꯤ꯫ ꯁ꯭ꯞꯂꯤꯟ (spleen) ꯑꯁꯤ ꯃꯅꯨꯡꯗꯥ ꯆꯦꯟꯊꯈꯤꯗꯨꯅꯥ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯅꯥ ꯏ ꯊꯣꯀꯄꯥ ꯊꯣꯀꯍꯜꯂꯤ ꯑꯃꯁꯨꯡ ꯄꯨꯟꯁꯤꯗꯥ ꯈꯨꯗꯣꯡꯊꯤꯕꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤ ꯃꯦꯗꯤꯀꯦꯜ ꯏꯃꯔꯖꯦꯟꯁꯤ ꯑꯃꯅꯤ꯫
• ꯅꯍꯥꯛꯀꯤ ꯁ꯭ꯞꯂꯤꯅꯗꯥ ꯑꯦꯕꯁꯦꯁ (abscess) : ꯃꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯁ꯭ꯞꯂꯤꯅꯗꯥ ꯂꯩꯕꯥ ꯑꯁꯤꯕꯥ ꯇꯤꯁꯨꯁꯤꯡ ꯑꯗꯨ ꯏꯅꯐꯦꯛꯁꯟ ꯂꯩꯔꯕꯥ ꯑꯃꯁꯨꯡ ꯌꯦꯔꯨꯝ (pus) ꯊꯨꯒꯥꯌꯗꯨꯅꯥ ꯂꯪꯁ (lump) ꯑꯃꯥ ꯁꯦꯝꯕꯥ ꯃꯇꯃꯅꯤ꯫ ꯃꯁꯤꯗꯁꯨ ꯂꯥꯏꯌꯦꯡꯕꯥ ꯃꯊꯧ ꯇꯥꯏ꯫
• ꯁ꯭ꯌꯨꯗꯣꯁꯤꯁ꯭ꯠ: ꯃꯁꯤ ꯀꯦꯟꯁꯔ ꯅꯠꯇꯦ, ꯑꯗꯨꯕꯨ ꯁ꯭ꯞꯂꯤꯅꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯂꯩꯕꯥ ꯐ꯭ꯂꯨꯏꯗꯀꯤ ꯈꯣꯃꯖꯤꯅꯕꯥ ꯑꯃꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯃꯁꯥ ꯃꯊꯟꯇꯥ ꯐꯒꯠꯂꯀꯄꯥ ꯌꯥꯏ, ꯑꯗꯨꯕꯨ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯏ꯫

ꯗꯣꯛꯇꯔ ꯑꯃꯅꯥ ꯃꯁꯤ ꯀꯔꯝꯅꯥ ꯂꯥꯌꯦꯡꯒꯅꯤ?

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯃꯥꯡꯗꯥ ꯄꯅꯈ꯭ꯔꯤꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯂꯩꯔꯕꯗꯤ, ꯗꯣꯛꯇꯔ ꯑꯃꯅꯥ ꯇꯧꯒꯗꯕꯥ ꯑꯍꯥꯅꯕꯥ ꯊꯕꯛ ꯑꯗꯨꯗꯤ ꯅꯍꯥꯀꯄꯨ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯌꯦꯡꯁꯤꯅꯕꯅꯤ꯫

• ꯐꯤꯖꯤꯀꯦꯜ ꯑꯦꯀꯖꯥꯃꯤꯅꯦꯁꯟ: ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯎꯅꯁꯥ ꯑꯗꯨ, ꯃꯔꯨꯑꯣꯏꯅꯥ ꯃꯊꯛꯀꯤ ꯂꯦꯡ-ꯑꯣꯠꯄꯒꯤ ꯃꯑꯣꯡ-ꯃꯇꯧ ꯑꯗꯨ ꯁꯣꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯁꯣꯀꯄꯥ ꯌꯥꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯒꯅꯤ꯫ ꯃꯈꯣꯌꯅꯥ ꯅꯉꯣꯟꯗꯥ ꯑꯇꯣꯞꯄꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡꯒꯤ ꯃꯇꯥꯡꯗꯁꯨ ꯍꯪꯒꯅꯤ꯫
• ꯃꯦꯗꯤꯀꯦꯜ ꯍꯤꯁ꯭ꯇꯔꯤ: ꯃꯈꯣꯌꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯃꯃꯥꯡꯒꯤ ꯑꯅꯥꯕꯁꯤꯡ, ꯅꯍꯥꯛꯅꯥ ꯂꯧꯈꯤꯕꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯏꯃꯨꯡꯒꯤ ꯀꯅꯥꯒꯨꯝꯕꯥ ꯑꯃꯠꯇꯅꯥ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯑꯅꯥꯕꯥ ꯂꯩꯔꯕꯔꯥ ꯍꯥꯌꯅꯥ ꯍꯪꯒꯅꯤ꯫
• ꯕ꯭ꯂꯗ ꯇꯦꯁ꯭ꯠ: ꯕ꯭ꯂꯗ ꯇꯦꯁ꯭ꯠ ꯈꯔꯗꯁꯨ ꯑꯣꯔꯗꯔ ꯇꯧꯕꯥ ꯌꯥꯏ꯫ ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯏꯅꯐꯦꯛꯁꯟ ꯑꯃꯁꯨꯡ ꯕ꯭ꯂꯗ ꯀ꯭ꯂꯣꯇꯤꯡ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯃꯁꯤꯡꯒꯨꯝꯕꯥ ꯋꯥꯐꯃꯁꯤꯡꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯈꯜ ꯈꯔꯥ ꯄꯤꯕꯥ ꯉꯃꯒꯅꯤ꯫
• ꯏꯃꯦꯖꯤꯡ ꯇꯦꯁ꯭ꯇꯁꯤꯡ: ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯁ꯭ꯞꯂꯤꯅꯤꯛ ꯏꯅꯐꯦꯛꯁꯅꯒꯤ ꯗꯥꯏꯑꯦꯒ꯭ꯅꯣꯁꯤꯁ ꯀꯅꯐꯥꯔꯝ ꯇꯧꯅꯕꯥ, ꯀꯝꯞꯌꯨꯇꯔ ꯇꯣꯃꯣꯒ꯭ꯔꯥꯐꯤ (CT) ꯁ꯭ꯀꯦꯟ ꯅꯠꯠꯔꯒꯥ ꯑꯂꯠꯔꯥꯁꯥꯎꯟꯗ ꯁ꯭ꯀꯦꯟ ꯑꯃꯥ ꯑꯌꯥꯝꯕꯅꯥ ꯄꯥꯡꯊꯣꯀꯏ꯫ ꯁ꯭ꯀꯦꯅꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯁ꯭ꯞꯂꯤꯅꯒꯤ ꯐꯤꯚꯝ ꯑꯃꯁꯨꯡ ꯏꯒꯤ ꯈꯣꯡꯖꯦꯜ ꯍꯟꯊꯔꯀꯄꯥ ꯃꯐꯃꯁꯤꯡ ꯃꯌꯦꯛ ꯁꯦꯡꯅꯥ ꯎꯠꯄꯥ ꯉꯝꯃꯤ꯫

ꯁ꯭ꯞꯂꯦꯅꯤꯛ ꯏꯅꯐꯦꯛꯁꯅꯒꯤ ꯂꯥꯏꯌꯦꯡꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?

ꯅꯍꯥꯛꯅꯥ ꯐꯪꯂꯤꯕꯥ ꯂꯥꯏꯌꯦꯡ ꯑꯗꯨ ꯅꯍꯥꯛꯀꯤ ꯁ꯭ꯞꯂꯦꯅꯤꯛ ꯏꯅꯐꯦꯛꯁꯟ ꯑꯗꯨꯒꯤ ꯃꯈꯥ ꯄꯣꯜꯂꯤꯕꯥ ꯃꯔꯝ ꯑꯗꯨꯒꯤ ꯃꯈꯥ ꯄꯣꯜꯂꯤ꯫ ꯍꯥꯌꯕꯗꯤ ꯃꯔꯝ ꯑꯗꯨ ꯂꯥꯌꯦꯡꯕꯅꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯔꯨ ꯑꯣꯏ꯫

• ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯂꯥꯌꯅꯥ ꯑꯁꯤꯒꯤ ꯂꯥꯏꯌꯦꯡ: ꯅꯍꯥꯛꯅꯥ ꯕ꯭ꯂꯗ ꯀꯦꯟꯁꯔꯒꯨꯝꯕꯥ ꯑꯀꯅꯕꯥ ꯑꯟꯗꯔꯂꯥꯏꯟ ꯗꯤꯖꯤꯖ ꯑꯃꯥ ꯂꯩꯔꯦ ꯍꯥꯌꯅꯥ ꯂꯧꯔꯁꯤ꯫ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯗꯣꯛꯇꯔꯅꯥ ꯀꯦꯟꯁꯔ ꯑꯗꯨꯒꯤ ꯂꯥꯌꯦꯡ ꯍꯧꯔꯒꯅꯤ, ꯌꯥꯑꯣꯔꯃꯒꯗꯕꯗꯤ ꯀꯦꯃꯣꯊꯦꯔꯥꯄꯤ ꯅꯠꯔꯒꯥ ꯏꯝꯝꯌꯨꯅꯣꯊꯦꯔꯥꯄꯤ . ꯅꯠꯠꯔꯒꯥ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯕ꯭ꯂꯗ ꯀ꯭ꯂꯣꯇꯤꯡ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯑꯃꯥ ꯂꯩꯔꯕꯗꯤ, ꯃꯍꯥꯛꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯃꯗꯨꯒꯤꯗꯃꯛ ꯑꯆꯨꯝꯕꯥ ꯍꯤꯗꯥꯛ ꯑꯗꯨ ꯄꯤꯒꯅꯤ꯫
• ꯁꯄꯣꯔꯇꯤꯚ ꯀꯦꯌꯔ: ꯃꯁꯤꯒꯤ ꯃꯊꯛꯇꯥ, ꯁ꯭ꯞꯂꯦꯅꯤꯛ ꯏꯅꯐꯦꯛꯁꯅꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯍꯟꯊꯍꯟꯅꯕꯥ ꯄꯤꯕꯥ ꯌꯥꯕꯥ ꯖꯦꯅꯦꯔꯦꯜ ꯇ꯭ꯔꯤꯇꯃꯦꯟꯇꯁꯤꯡꯁꯨ ꯂꯩꯔꯤ:
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯏꯅꯐꯦꯛꯁꯟ ꯂꯩꯔꯕꯗꯤ , ꯃꯈꯣꯌꯕꯨ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯅꯕꯥ ꯑꯦꯟꯇꯤꯕꯥꯏꯑꯣꯇꯤꯛ ꯄꯤ꯫
• ꯗꯤꯍꯥꯌꯗ꯭ꯔꯦꯁꯟ ꯊꯤꯡꯖꯤꯜꯂꯨ, ꯍꯥꯌꯕꯗꯤ ꯁꯤꯔꯤꯟꯖ ꯑꯃꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ IV ꯐ꯭ꯂꯨꯏꯗ ꯅꯠꯠꯔꯒꯥ ꯁꯦꯂꯟ ꯄꯤꯗꯨꯅꯥ ꯍꯀꯆꯥꯡꯒꯤ ꯏꯁꯤꯡꯒꯤ ꯆꯥꯡ ꯑꯗꯨ ꯑꯆꯨꯝꯕꯥ ꯂꯦꯚꯦꯂꯗꯥ ꯊꯝꯕꯥ ꯍꯥꯌꯕꯁꯤꯅꯤ꯫ꯄꯤꯕꯥ ꯉꯝꯃꯤ꯫
• ꯑꯅꯥꯕꯥ ꯑꯗꯨ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯅꯕꯥ ꯑꯅꯥꯕꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ ꯄꯤ꯫
• ꯅꯣꯡꯃꯩ ꯀꯥꯞꯄꯥ ꯑꯃꯁꯨꯡ ꯈꯣꯡ ꯍꯥꯝꯕꯥ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯅꯕꯥ ꯄ꯭ꯔꯦꯁ꯭ꯛꯔꯤꯄꯁꯟ ꯄꯤꯕꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ ꯄꯤꯕꯥ ꯌꯥꯏ꯫

• ꯁ꯭ꯞꯂꯤꯅꯦꯛꯇꯣꯃꯤ (Splenectomy): ꯃꯃꯥꯡꯗꯥ ꯄꯅꯈ꯭ꯔꯤꯕꯥ ꯃꯇꯨꯡꯏꯟꯅꯥ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯁꯥꯊꯤꯕꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯟ ꯑꯃꯥ ꯂꯩꯔꯕꯗꯤ, ꯍꯥꯌꯕꯗꯤ ꯁ꯭ꯞꯂꯤꯟ ꯁꯣꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯥ ꯉꯃꯗꯕꯥ ꯑꯦꯕꯁꯦꯁ ꯑꯃꯥ ꯂꯩꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯁ꯭ꯞꯂꯤꯟ ꯑꯗꯨ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯂꯧꯊꯣꯛꯅꯕꯥ ꯁ꯭ꯞꯂꯤꯅꯦꯛꯇꯣꯃꯤ ꯀꯧꯕꯥ ꯁꯔꯖꯔꯤ ꯑꯃꯥ ꯄꯥꯡꯊꯣꯛꯅꯕꯥ ꯋꯥꯔꯦꯞ ꯂꯧꯕꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯕꯨ ꯃꯁꯤ ꯇꯉꯥꯏꯐꯗꯅꯥ ꯃꯊꯧ ꯇꯥꯔꯕꯈꯛꯇꯗꯥ ꯇꯧꯏ꯫

ꯐꯤꯚꯝ ꯑꯁꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯀꯔꯤ ꯑꯥꯁꯥ ꯇꯧꯕꯥ ꯌꯥꯕꯒꯦ? (ꯄ꯭ꯔꯣꯒ꯭ꯅꯣꯁꯤꯁ) ꯑꯃꯁꯨꯡ ꯑꯦꯟ.

ꯃꯁꯤ ꯃꯤꯑꯣꯏ ꯀꯌꯥꯅꯥ ꯍꯪꯂꯀꯄꯥ ꯋꯥꯍꯪ ꯑꯃꯅꯤ꯫ "ꯗꯣꯛꯇꯔ, ꯑꯩ ꯍꯦꯟꯅꯥ ꯐꯒꯠꯂꯛꯀꯅꯤ? ꯑꯩꯅꯥ ꯍꯥꯟꯅꯒꯨꯝ ꯍꯤꯡꯕꯥ ꯉꯃꯒꯗ꯭ꯔꯥ?" ꯋꯥꯍꯪ ꯑꯁꯤꯒꯤ ꯄꯥꯎꯈꯨꯝ ꯑꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯁ꯭ꯞꯂꯦꯅꯤꯛ ꯏꯅꯐꯦꯛꯁꯟ ꯑꯗꯨꯒꯤ ꯃꯔꯝ ꯑꯗꯨꯗꯥ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯌꯨꯝꯐꯝ ꯑꯣꯏ꯫ ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯝ ꯈꯔꯒꯤ ꯑꯣꯏꯕꯥ ꯄꯣꯠꯁꯛ ꯑꯃꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯑꯣꯏꯔꯕꯗꯤ, ꯍꯥꯌꯕꯗꯤ ꯏꯅꯐꯦꯛꯁꯟ, ꯑꯦꯟꯇꯤꯕꯥꯏꯑꯣꯇꯤꯀꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯑꯇꯩ ꯁꯄꯣꯔꯇꯤꯚ ꯇ꯭ꯔꯤꯇꯃꯦꯟꯇꯁꯤꯡꯅꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯗꯨ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯁꯦꯡꯗꯣꯀꯄꯥ ꯌꯥꯏ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯅꯥ ꯊꯨꯅꯥ ꯐꯒꯠꯂꯀꯄꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯕ꯭ꯂꯗ ꯀꯦꯟꯁꯔꯒꯨꯝꯕꯥ ꯃꯇꯝ ꯁꯥꯡꯅꯥ, ꯁꯥꯊꯤꯕꯥ ꯑꯅꯥꯕꯥ ꯑꯃꯥ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯒꯤ ꯑꯣꯏꯅꯗꯤ ꯐꯤꯚꯝ ꯑꯁꯤ ꯇꯣꯉꯥꯅꯕꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫ ꯀꯦꯁ ꯑꯗꯨꯗꯥ, ꯁ꯭ꯞꯂꯦꯅꯤꯛ ꯏꯅꯐꯦꯛꯁꯟ ꯍꯥꯌꯕꯁꯤ ꯑꯆꯧꯕꯥ ꯑꯅꯥꯕꯥ ꯑꯗꯨꯒꯤ ꯂꯥꯏꯑꯣꯡ ꯅꯠꯠꯔꯒꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯟ ꯑꯃꯈꯛꯇꯅꯤ꯫ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯐꯒꯠꯂꯀꯄꯥ ꯑꯁꯤ ꯃꯈꯥ ꯄꯣꯜꯂꯤꯕꯥ ꯑꯅꯥꯕꯥ ꯑꯗꯨ ꯀꯌꯥꯝ ꯐꯖꯅꯥ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯥ ꯉꯝꯕꯒꯦ ꯍꯥꯌꯕꯗꯨꯒꯤ ꯃꯈꯥ ꯄꯣꯜꯂꯤ꯫

ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯗꯨ ꯀꯔꯤꯅꯣ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯅꯥ ꯀꯔꯤ ꯑꯥꯁꯥ ꯇꯧꯕꯥ ꯌꯥꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯆꯨꯝꯅꯥ ꯈꯪꯅꯕꯒꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯗꯨꯗꯤ ꯅꯍꯥꯛꯀꯤ ꯂꯥꯏꯌꯦꯡꯂꯤꯕꯥ ꯗꯣꯛꯇꯔ ꯑꯗꯨꯅꯤ꯫ ꯃꯍꯥꯛꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯃꯄꯨꯡꯐꯥꯕꯥ ꯃꯦꯗꯤꯀꯦꯜ ꯔꯦꯀꯣꯔꯗꯁꯤꯡ ꯑꯗꯨ ꯌꯦꯡꯁꯤꯅꯒꯅꯤ ꯑꯃꯁꯨꯡ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯄꯥꯎꯇꯥꯛ ꯄꯤꯒꯅꯤ꯫

ꯑꯩꯅꯥ ꯀꯗꯥꯏꯗꯥ ꯗꯣꯛꯇꯔꯒꯥ ꯎꯅꯒꯗꯒꯦ? ꯑꯦꯃꯔꯖꯦꯟꯁꯤ ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ?

ꯇꯦꯁ꯭ꯇꯁꯤꯡꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯁ꯭ꯞꯂꯤꯅꯤꯛ ꯏꯅꯐꯦꯛꯁꯟ ꯂꯩꯔꯦ ꯍꯥꯌꯕꯥ ꯀꯅꯐꯥꯔꯝ ꯇꯧꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ, ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯃꯇꯨꯡꯗꯁꯨ ꯅꯍꯥꯛꯅꯥ ꯆꯦꯀꯁꯤꯅꯒꯗꯕꯥ ꯋꯥꯐꯝ ꯈꯔꯗꯤ ꯂꯩ꯫

• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯗꯨ ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯂꯥꯛꯂꯕꯗꯤ (ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯈꯣꯡ ꯍꯥꯝꯕꯥ, ꯂꯥꯏꯍꯧ ꯍꯧꯔꯀꯄꯥ), ꯅꯠꯠꯔꯒꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯗꯨ ꯍꯦꯟꯅꯥ ꯐꯠꯆꯤꯜꯂꯛꯂꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯈꯨꯗꯛꯇꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯇꯥꯟꯅꯒꯗꯕꯅꯤ꯫
• ꯁ꯭ꯞꯂꯤꯟ ꯁꯣꯀꯄꯥ ꯍꯥꯌꯕꯁꯤ ꯃꯦꯗꯤꯀꯦꯜ ꯏꯃꯔꯖꯦꯟꯁꯤ ꯑꯃꯅꯤ꯫ ꯃꯁꯤꯅꯥ ꯄꯨꯟꯁꯤꯗꯥ ꯈꯨꯗꯣꯡꯊꯤꯕꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯃꯗꯒꯤ ꯍꯦꯅꯕꯥ ꯊꯦꯡꯅꯔꯕꯗꯤ , ꯅꯍꯥꯛꯅꯥ ꯈꯨꯗꯛꯇꯥ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯂꯒꯤ ꯏꯃꯔꯖꯦꯟꯁꯤ ꯔꯨꯝ ꯑꯃꯗꯥ ꯆꯠꯀꯗꯕꯅꯤ, ꯊꯦꯡꯊꯕꯥ ꯂꯩꯇꯅꯥ:
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯈꯣꯡꯒꯤ ꯃꯊꯛꯀꯤ ꯂꯦꯡ-ꯑꯣꯠꯄꯒꯤ ꯑꯅꯥꯕꯥ ꯑꯗꯨ ꯍꯦꯟꯅꯥ ꯐꯠꯆꯤꯜꯂꯛꯂꯕꯗꯤ ꯑꯃꯁꯨꯡ ꯁꯣꯟꯊꯕꯥ ꯉꯃꯗ꯭ꯔꯕꯗꯤ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯊꯦꯡꯅꯔꯕꯗꯤ .
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯐꯥꯑꯣꯔꯕꯗꯤ, ꯂꯦꯞꯄꯥ ꯉꯃꯗꯕꯥ .
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯅꯣꯡꯃꯩ ꯀꯥꯞꯄꯥ ꯑꯃꯁꯨꯡ ꯋꯥꯈꯜ ꯇꯥꯗꯕꯥ (ꯃꯈꯣꯌꯁꯤꯡ ꯑꯁꯤ ꯃꯅꯨꯡꯒꯤ ꯑꯣꯏꯕꯥ ꯏ ꯊꯣꯀꯄꯒꯤ ꯈꯨꯗꯃꯁꯤꯡ ꯑꯣꯏꯕꯥ ꯌꯥꯏ, ꯍꯥꯌꯕꯗꯤ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯏ ꯊꯣꯀꯄꯥ ꯌꯥꯏ )꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯊꯝꯃꯣꯌ ꯑꯗꯨ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯌꯥꯡꯅꯥ ꯆꯦꯜꯂꯛꯂꯤ ꯍꯥꯌꯅꯥ ꯈꯜꯂꯕꯗꯤ, ꯅꯠꯠꯔꯒꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯗꯥ ꯋꯥꯕꯥ ꯑꯣꯏꯔꯕꯗꯤ꯫

ꯑꯁꯤꯒꯨꯝꯕꯥ ꯑꯦꯃꯔꯖꯦꯟꯁꯤ ꯑꯃꯗꯥ, ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯋꯥꯐꯃꯗꯤ ꯊꯨꯅꯥ ꯊꯕꯛ ꯄꯥꯌꯈꯠꯄꯅꯤ꯫

ꯑꯔꯣꯏꯕꯗꯥ, ꯅꯤꯡꯁꯤꯡꯒꯗꯕꯥ ꯋꯥꯐꯃꯁꯤꯡ (ꯇꯦꯛ-ꯍꯣꯝ ꯃꯦꯁꯦꯖ)

ꯑꯩꯈꯣꯌꯅꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯔꯀꯈꯤꯕꯥ (ꯁ꯭ꯞꯂꯦꯅꯤꯛ ꯏꯅꯐꯦꯛꯁꯟ) ꯑꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯍꯧꯖꯤꯛ ꯑꯗꯣꯃꯗꯥ ꯍꯦꯟꯅꯥ ꯐꯕꯥ ꯋꯥꯈꯜꯂꯣꯟ ꯑꯃꯥ ꯂꯩꯔꯦ ꯍꯥꯌꯅꯥ ꯑꯩꯅꯥ ꯊꯥꯖꯩ꯫ ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯍꯤꯔꯝ ꯑꯃꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ ꯑꯗꯨꯕꯨ ꯃꯁꯤ ꯈꯉꯖꯤꯅꯕꯥ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫ ꯃꯈꯥꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯅꯤꯡꯁꯤꯡꯒꯗꯕꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯋꯥꯐꯝ ꯈꯔꯗꯤ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤ:

• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯈꯪꯍꯧꯗꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯒꯤ ꯃꯊꯛꯀꯤ ꯂꯦꯡ-ꯑꯣꯠꯄꯗꯥ ꯁꯥꯊꯤꯕꯥ ꯑꯅꯥꯕꯥ ꯂꯩꯔꯕꯗꯤ, ꯂꯥꯏꯍꯧ ꯑꯃꯁꯨꯡ ꯅꯥꯀꯣꯡꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯁꯣꯀꯄꯥ ꯇꯥꯔꯕꯗꯤ, ꯃꯁꯤ ꯒ꯭ꯌꯥꯁꯀꯤ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯑꯃꯈꯛꯇꯅꯤ ꯅꯠꯠꯔꯒꯥ ꯑꯄꯤꯀꯄꯥ ꯈꯣꯡꯗꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯈꯛꯇꯅꯤ ꯍꯥꯌꯅꯥ ꯈꯟꯗꯨꯅꯥ ꯌꯦꯡꯁꯤꯅꯕꯤꯒꯅꯨ꯫
• ꯃꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯋꯥꯔꯤ ꯁꯥꯈꯤꯕꯥ (Splenic Infarction) ꯑꯁꯤ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯊꯣꯛꯂꯕꯁꯨ ꯑꯣꯏꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫
• ꯁ꯭ꯞꯂꯦꯅꯤꯛ ꯏꯅꯐꯦꯛꯁꯟ ꯑꯁꯤ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯑꯇꯣꯞꯄꯥ ꯁꯥꯊꯤꯕꯥ ꯑꯟꯗꯔꯂꯥꯏꯟ ꯗꯤꯖꯤꯖ (e.g., ꯕ꯭ꯂꯗ ꯀꯦꯟꯁꯔ, ꯍꯥꯔꯇꯀꯤ ꯂꯥꯌꯅꯥ)ꯒꯤ ꯈꯨꯗꯝ ꯑꯃꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫
• ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯑꯆꯨꯝꯕꯥ ꯗꯥꯏꯑꯦꯒ꯭ꯅꯣꯁꯤꯁ ꯑꯃꯥ ꯂꯧꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫ ꯃꯁꯤ ꯇꯧꯅꯕꯒꯤꯗꯃꯛꯇꯥ ꯗꯣꯛꯇꯔ ꯑꯃꯒꯥ ꯇꯥꯟꯅꯗꯨꯅꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯄꯥꯡꯊꯣꯛꯀꯗꯕꯅꯤ꯫
• ꯂꯥꯏꯌꯦꯡ ꯑꯁꯤ ꯂꯥꯌꯅꯥ ꯑꯁꯤꯒꯤ ꯃꯔꯝ ꯑꯗꯨꯒꯤ ꯃꯈꯥ ꯄꯣꯜꯂꯤ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯗꯨ ꯍꯦꯟꯅꯥ ꯐꯠꯆꯤꯜꯂꯛꯂꯕꯗꯤ, ꯃꯔꯨꯑꯣꯏꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯅꯥꯕꯥ ꯑꯗꯨ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯑꯣꯏꯔꯕꯗꯤ ꯅꯠꯠꯔꯒꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯤꯠ ꯎꯗꯕꯥ ꯎꯔꯕꯗꯤ, ꯈꯨꯗꯛꯇꯥ ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯄꯥꯎꯇꯥꯛ ꯂꯧꯒꯗꯕꯅꯤ꯫ ꯃꯁꯤ ꯏꯃꯔꯖꯦꯟꯁꯤ ꯑꯃꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫

ꯑꯩꯈꯣꯌꯅꯥ ꯑꯥꯁꯥ ꯇꯧꯔꯤ ꯃꯗꯨꯗꯤ ꯑꯗꯣꯝꯅꯥ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯋꯥꯐꯝ ꯑꯁꯤꯒꯥ ꯀꯩꯗꯧꯉꯩꯗꯥ ꯊꯦꯡꯅꯔꯣꯏ! ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯋꯥꯐꯃꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯔꯃꯗꯥ ꯈꯉꯕꯅꯥ ꯅꯍꯥꯛ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯅꯨꯡꯁꯤꯖꯔꯕꯁꯤꯡꯒꯤꯗꯃꯛ ꯃꯇꯝ ꯑꯃꯠꯇꯗꯥ ꯀꯥꯟꯅꯕꯥ ꯄꯤꯕꯥ ꯉꯃꯒꯅꯤ꯫ ꯍꯀꯆꯥꯡ ꯐꯅꯥ ꯂꯩꯌꯨ! ꯁ꯭ꯞꯂꯤꯟ, ꯁ꯭ꯞꯂꯤꯟ ꯏꯅꯐꯦꯛꯁꯟ, ꯁ꯭ꯇꯣꯃꯥꯛ ꯄꯦꯏꯟ, ꯏ ꯊꯣꯀꯄꯥ, ꯂꯥꯏꯑꯣꯡꯁꯤꯡ, ꯂꯥꯏꯌꯦꯡ, ꯁ꯭ꯞꯂꯤꯟ ꯏꯅꯁꯨꯐꯤꯁꯤꯑꯦꯟꯁꯤ꯫