ꯑꯗꯣꯃꯒꯤ ꯊꯝꯃꯣꯌꯗꯒꯤ ꯑꯆꯝꯕꯥ "ꯁꯨ... ꯁꯣ..." ꯍꯥꯌꯕꯥ ꯈꯣꯟꯖꯦꯜ ꯑꯃꯥ ꯇꯥꯕꯥ ꯐꯪꯂꯤꯕꯔꯥ? ꯃꯁꯤ ꯁꯤꯁ꯭ꯇꯣꯂꯤꯛ ꯍꯥꯔꯠ ꯃꯔꯃꯔ ꯑꯃꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ!

ꯗꯣꯛꯇꯔ ꯑꯃꯅꯥ ꯁ꯭ꯇꯦꯊꯣꯁ꯭ꯀꯣꯞ ꯑꯃꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯇꯥꯕꯥ ꯃꯇꯃꯗꯥ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯊꯝꯃꯣꯌꯒꯤ ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯕꯥ ‘ꯂꯨꯕ-ꯗꯕ’ ꯈꯣꯟꯖꯦꯂꯒꯤ ꯃꯊꯛꯇꯥ ꯑꯄꯤꯀꯄꯥ ‘ꯁ꯭ꯋꯨꯁ’ ꯅꯠꯠꯔꯒꯥ ‘ꯍꯨꯏꯁ’ꯒꯤ ꯈꯣꯟꯖꯦꯜ ꯑꯃꯥ ꯇꯥꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ ‘ꯍꯥꯔꯠ ꯃꯨꯔꯃꯔ’ ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ ꯃꯤꯑꯣꯏ ꯈꯔꯗꯤ ꯃꯁꯤ ꯇꯥꯕꯗꯥ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯍꯧꯔꯀꯏ, ꯑꯗꯨꯕꯨ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯄꯨꯝꯅꯃꯛ ꯑꯁꯤ ꯈꯨꯗꯣꯡꯊꯤꯅꯤꯉꯥꯏ ꯑꯣꯏꯗꯦ꯫ ꯉꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯃꯈꯂꯒꯤ ꯃꯨꯔꯃꯨꯔ ꯑꯃꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯔꯤ , ꯃꯗꯨꯗꯤ ꯁꯤꯁ꯭ꯇꯣꯂꯤꯛ ꯃꯨꯔꯃꯨꯔꯅꯤ ꯫

ꯁꯤꯁ꯭ꯇꯣꯂꯤꯛ ꯃꯔꯃꯨꯔ ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ?

ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯁꯤꯁ꯭ꯇꯣꯂꯤꯛ ꯍꯥꯔꯠ ꯃꯨꯔꯃꯨꯔ ꯍꯥꯌꯕꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯍꯥꯔꯇꯅꯥ ꯀꯟꯠꯔꯦꯛꯇ ꯇꯧꯕꯥ ꯃꯇꯃꯗꯥ, ꯍꯥꯌꯕꯗꯤ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯑꯀꯣꯌꯕꯗꯥ ꯏ ꯄꯝꯄ ꯇꯧꯕꯥ ꯃꯇꯃꯗꯥ ꯇꯥꯕꯥ ꯑꯦꯕꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯕꯥ ꯈꯣꯟꯖꯦꯜ ꯑꯃꯅꯤ꯫ ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯃꯁꯤꯕꯨ ꯍꯥꯔꯇꯀꯤ ꯁꯤꯁ꯭ꯇꯣꯜ ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ ꯅꯍꯥꯛꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ ꯑꯗꯨ ꯌꯦꯡꯕꯗꯥ, ꯃꯊꯛꯀꯤ ꯃꯁꯤꯡ ꯑꯗꯨꯗꯤ ꯁꯤꯁ꯭ꯇꯣꯂꯤꯛ ꯄ꯭ꯔꯦꯁꯔꯅꯤ꯫

ꯍꯥꯔꯇꯀꯤ ꯈꯣꯟꯖꯦꯜ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯄꯨꯊꯣꯀꯄꯒꯦ?

ꯑꯩꯈꯣꯌꯒꯤ ꯊꯝꯃꯣꯌꯗꯥ ꯚꯜꯌꯨ ꯃꯔꯤ ꯂꯩ꯫ ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯃꯥꯌꯀꯩ ꯑꯃꯈꯛꯇꯗꯥ ꯏ ꯆꯦꯅꯕꯥ ꯌꯥꯍꯅꯒꯗꯕꯥ ꯊꯣꯡꯁꯤꯡꯒꯨꯝꯕꯅꯤ꯫ ꯊꯝꯃꯣꯌꯅꯥ ꯁꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯚꯜꯌꯨꯁꯤꯡ ꯑꯁꯤ ꯊꯤꯡꯖꯤꯜꯂꯀꯄꯒꯥ ꯂꯣꯌꯅꯅꯥ ‘ꯂꯨꯕ-ꯗꯕ’ꯒꯤ ꯈꯣꯟꯖꯦꯜ ꯇꯥꯕꯥ ꯐꯪꯏ꯫

• ꯑꯍꯥꯅꯕꯥ ꯈꯣꯟꯖꯦꯜ (‘ꯂꯦꯕ’): ꯃꯁꯤ ꯃꯥꯏꯠꯔꯜ ꯑꯃꯁꯨꯡ ꯇ꯭ꯔꯥꯏꯀꯁꯄꯤꯗ ꯚꯜꯌꯨꯁꯤꯡ ( ꯑꯦꯠꯔꯤꯑꯣꯚꯦꯟꯇꯤꯀꯨꯂꯥꯔ ꯚꯜꯌꯨ ꯍꯥꯌꯅꯥꯁꯨ ꯀꯧꯏ) ꯊꯤꯡꯖꯤꯜꯂꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯊꯣꯀꯏ꯫ ꯃꯁꯤ ꯍꯥꯔꯠ ꯑꯗꯨ ꯀꯟꯠꯔꯦꯛꯇ ꯇꯧꯕꯥ ꯍꯧꯔꯀꯄꯥ (systole) ꯃꯇꯃꯅꯤ꯫
• ꯑꯅꯤꯁꯨꯕꯥ ꯈꯣꯟꯖꯦꯜ (‘ꯗꯕ’): ꯃꯁꯤ ꯑꯦꯑꯣꯔꯇꯤꯛ ꯑꯃꯁꯨꯡ ꯄꯂꯃꯣꯅꯤꯛ ꯚꯜꯌꯨꯁꯤꯡ ( ꯁꯦꯃꯤꯂꯨꯅꯥꯔ ꯚꯜꯌꯨ ꯍꯥꯌꯅꯥꯁꯨ ꯀꯧꯏ) ꯊꯤꯡꯖꯤꯜꯂꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯊꯣꯀꯏ꯫ ꯃꯇꯝ ꯑꯁꯤꯗꯥ ꯊꯝꯃꯣꯌ ꯑꯁꯤ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯏꯅꯥ ꯊꯜꯂꯕꯥ ꯁꯦꯝ ꯁꯥꯔꯤ꯫

ꯁꯤꯁ꯭ꯇꯣꯂꯤꯛ ꯃꯨꯔꯃꯔ ꯍꯥꯌꯕꯁꯤ ꯑꯍꯥꯅꯕꯥ ‘ꯂꯨꯕ’ ꯈꯣꯟꯖꯦꯂꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯅꯠꯠꯔꯒꯥ ꯃꯇꯨꯡꯗꯥ ꯇꯥꯕꯥ ꯑꯍꯦꯅꯕꯥ ‘ꯁ꯭ꯋꯨꯁ’ ꯅꯠꯠꯔꯒꯥ ‘ꯍꯨꯁ’ ꯈꯣꯟꯖꯦꯜ ꯑꯃꯅꯤ꯫ ꯃꯁꯤꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯔꯃꯗꯤ ꯍꯥꯔꯇꯀꯤ ꯃꯅꯨꯡꯗꯥ ꯏꯒꯤ ꯈꯣꯡꯖꯦꯜ ꯌꯥꯡꯁꯤꯅꯕꯥ (turbulent blood flow) ꯑꯁꯤꯅꯤ꯫ ꯃꯁꯤ ꯏꯁꯤꯡꯒꯤ ꯄꯥꯏꯄꯀꯤ ꯈꯣꯟꯖꯦꯂꯒꯨꯝꯕꯅꯤ꯫

ꯃꯍꯧꯁꯥꯅꯥ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯑꯁꯤ ꯈꯨꯗꯣꯡꯊꯤꯅꯤꯉꯥꯏ ꯑꯣꯏꯗ꯭ꯔꯕꯁꯨ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯃꯈꯣꯌ ꯑꯁꯤ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯍꯥꯔꯇꯀꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯒꯤ ꯈꯨꯗꯝ ꯑꯃꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯑꯃꯥ ꯂꯩꯔꯦ ꯍꯥꯌꯅꯥ ꯍꯥꯌꯔꯕꯗꯤ ꯃꯗꯨ ꯆꯦꯛ ꯇꯧꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫

ꯁꯤꯁ꯭ꯇꯣꯂꯤꯛ ꯃꯨꯔꯃꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯈꯂꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯤꯅꯣ?

ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯃꯨꯔꯃꯁꯤꯡ ꯑꯁꯤ ꯃꯈꯜ ꯑꯅꯤꯗꯥ ꯈꯥꯌꯗꯣꯀꯏ:

• ꯐꯉ꯭ꯀꯁꯅꯦꯜ ꯃꯔꯃꯔꯁꯤꯡ (functional Murmurs): ꯃꯤꯑꯣꯏꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯍꯥꯔꯇꯇꯥ ꯁ꯭ꯠꯔꯀꯆꯔꯦꯜ ꯗꯤꯐꯦꯛꯇ ꯑꯃꯠꯇꯥ ꯂꯩꯇꯦ, ꯍꯥꯌꯕꯗꯤ ꯍꯥꯔꯇꯀꯤ ꯃꯑꯣꯡ-ꯃꯇꯧ ꯅꯠꯠꯔꯒꯥ ꯚꯜꯌꯨꯁꯤꯡꯗꯥ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯑꯃꯠꯇꯥ ꯂꯩꯇꯦ꯫ ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯑꯌꯥꯝꯕꯅꯥ ꯃꯔꯥꯜ ꯂꯩꯖꯗ꯭ꯔꯕꯥ ꯋꯥꯐꯃꯁꯤꯡꯅꯤ꯫
• ꯑꯣꯔꯒꯥꯅꯤꯛ ꯃꯨꯔꯃꯨꯔ (Organic Murmur): ꯃꯤꯑꯣꯏꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯊꯝꯃꯣꯌꯗꯥ ꯁ꯭ꯠꯔꯀꯆꯔꯦꯜ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯑꯃꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯃꯨꯔꯃꯨꯔ ꯑꯃꯥ ꯂꯩ꯫ ꯃꯁꯤꯅꯥ ꯇꯥꯀꯄꯗꯤ ꯚꯜꯌꯨꯝ ꯑꯃꯗꯥ ꯅꯠꯠꯔꯒꯥ ꯍꯥꯔꯇꯀꯤ ꯋꯥꯜ ꯑꯃꯗꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯂꯩꯕꯥ ꯌꯥꯏ꯫

ꯍꯥꯌꯔꯤꯕꯥ ꯁꯤꯁ꯭ꯇꯣꯂꯤꯛ ꯃꯨꯔꯃꯁꯤꯡ ꯑꯁꯤ ꯑꯇꯣꯞꯄꯥ ꯃꯑꯣꯡ ꯑꯃꯗꯥ ꯀ꯭ꯂꯥꯁꯤꯐꯥꯏ ꯇꯧꯕꯁꯨ ꯌꯥꯏ:

• ꯏꯖꯦꯀꯁꯟ ꯃꯨꯔꯃꯨꯔ: ꯱.ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯃꯍꯧꯁꯥꯅꯥ ꯑꯩꯈꯣꯌꯅꯥ ꯃꯃꯥꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯈꯤꯕꯥ ꯁꯦꯃꯤꯂꯨꯅꯥꯔ ꯚꯜꯌꯨꯁꯤꯡꯗꯒꯤ ꯍꯧꯏ꯫ ꯍꯥꯌꯔꯤꯕꯥ ꯚꯜꯌꯨꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯍꯥꯔꯇꯇꯒꯤ ꯑꯦꯑꯣꯔꯇꯥ ꯑꯃꯁꯨꯡ ꯄꯂꯃꯣꯅꯥꯔꯤ ꯑꯥꯔꯇꯦꯔꯤꯗꯒꯤ ꯂꯪꯁꯇꯥ ꯏ ꯄꯨꯗꯨꯅꯥ ꯆꯠꯂꯤꯕꯁꯤꯡꯅꯤ꯫ ꯏꯖꯦꯀꯁꯟ ꯃꯨꯔꯃꯔ ꯍꯥꯌꯕꯁꯤ ꯍꯥꯔꯇꯅꯥ ꯏ ꯊꯥꯗꯣꯀꯄꯥ, ꯅꯠꯠꯔꯒꯥ ‘ꯏꯖꯦꯛꯇ’ ꯇꯧꯕꯥ ꯃꯇꯃꯗꯥ ꯊꯣꯀꯄꯥ ꯈꯣꯟꯖꯦꯜ ꯑꯃꯅꯤ꯫ ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯐꯉ꯭ꯀꯁꯅꯦꯜ ꯅꯠꯠꯔꯒꯥ ꯑꯣꯔꯒꯥꯅꯤꯛ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫
• ꯔꯤꯒꯔꯖꯤꯇꯦꯟꯇ ꯃꯨꯔꯃꯔꯁꯤꯡ (regurgitant Murmurs): ꯍꯥꯔꯇꯀꯤ ꯚꯜꯌꯨꯁꯤꯡ ꯑꯁꯤ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯊꯤꯡꯖꯤꯜꯂꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯊꯣꯀꯏ, ꯃꯗꯨꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯏ ꯇꯨꯡꯁꯤꯅꯕꯥ ꯉꯃꯍꯜꯂꯤ꯫ ꯃꯁꯤ ꯏꯁꯤꯡꯒꯤ ꯈꯣꯡꯎꯞ ꯑꯃꯥ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯂꯣꯠꯁꯤꯅꯗꯕꯒꯨꯝꯕꯅꯤ꯫ ꯃꯈꯣꯌ ꯑꯁꯤ ꯃꯍꯧꯁꯥꯅꯥ ꯑꯦꯠꯔꯤꯑꯣꯚꯦꯟꯇꯤꯀꯨꯂꯥꯔ ꯚꯜꯌꯨꯁꯤꯡꯗꯥ ꯍꯧꯏ꯫ ꯔꯤꯒꯔꯖꯤꯇꯦꯟꯇ ꯁꯤꯁ꯭ꯇꯣꯂꯤꯛ ꯃꯨꯔꯃꯔ ꯄꯨꯝꯅꯃꯛ ꯑꯣꯔꯒꯥꯅꯤꯛ ꯑꯣꯏ , ꯍꯥꯌꯕꯗꯤ ꯁ꯭ꯠꯔꯀꯆꯔꯦꯜ ꯗꯤꯐꯦꯛꯇ ꯈꯔꯥ ꯂꯩ꯫

ꯁꯤꯁ꯭ꯇꯣꯂꯤꯛ ꯑꯃꯁꯨꯡ ꯗꯥꯏꯑꯦꯁ꯭ꯇꯣꯂꯤꯛ ꯃꯔꯃꯒꯤ ꯃꯔꯛꯇꯥ ꯀꯔꯤ ꯈꯦꯠꯅꯕꯥ ꯂꯩꯕꯒꯦ?

ꯃꯁꯤ ꯑꯅꯤꯃꯛ ꯑꯁꯤ ꯑꯦꯕꯅꯣꯔꯃꯦꯜ ꯍꯥꯔꯇꯀꯤ ꯈꯣꯟꯖꯦꯂꯅꯤ꯫

• ꯁꯤꯁ꯭ꯇꯣꯂꯤꯛ ꯃꯨꯔꯃꯨꯔ (Systolic murmur): ꯃꯁꯤ ꯍꯥꯔꯇꯀꯤ ꯃꯁꯜ ꯑꯗꯨ ꯀꯟꯠꯔꯦꯛꯇ ꯇꯧꯕꯥ ꯃꯇꯃꯗꯥ (ꯍꯥꯌꯕꯗꯤ ꯍꯥꯔꯇꯀꯤ ꯂꯥꯌꯅꯥ ꯑꯃꯒꯤ ꯃꯅꯨꯡꯗꯥ) ꯁꯣꯜꯂꯤ꯫
• ꯗꯥꯏꯑꯦꯁ꯭ꯇꯣꯂꯤꯛ ꯃꯨꯔꯃꯨꯔ (diastolic murmur): ꯃꯁꯤ ꯍꯥꯔꯇꯀꯤ ꯃꯁꯜ ꯑꯗꯨ ꯂꯦꯡꯗꯅꯥ ꯂꯩꯕꯥ ꯃꯇꯃꯗꯥ (ꯍꯥꯔꯇꯀꯤ ꯈꯣꯡꯖꯦꯜ ꯑꯅꯤꯒꯤ ꯃꯔꯛꯇꯥ) ꯇꯥꯕꯥ ꯌꯥꯏ꯫

ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯁꯤꯁ꯭ꯇꯣꯂꯤꯛ ꯍꯥꯌꯕꯁꯤ ꯍꯥꯔꯇꯅꯥ ‘ꯋꯥꯔꯛ’ ꯇꯧꯕꯥ ꯃꯇꯃꯗꯥ ꯂꯥꯀꯄꯥ ꯈꯣꯟꯖꯦꯜ ꯑꯗꯨꯕꯨꯅꯤ, ꯑꯃꯁꯨꯡ ꯗꯥꯏꯑꯦꯁ꯭ꯇꯣꯂꯤꯛ ꯍꯥꯌꯕꯁꯤ ꯍꯥꯔꯇꯅꯥ ‘ꯔꯦꯁ꯭ꯠ’ ꯇꯧꯕꯥ ꯃꯇꯃꯗꯥ ꯂꯥꯀꯄꯥ ꯈꯣꯟꯖꯦꯜ ꯑꯗꯨꯕꯨꯅꯤ꯫

ꯃꯔꯥꯜ ꯂꯩꯖꯗ꯭ꯔꯕꯥ ꯑꯃꯁꯨꯡ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯂꯩꯇꯕꯥ ꯍꯥꯔꯠ ꯃꯨꯔꯃꯨꯔꯒꯤ ꯃꯔꯛꯇꯥ ꯀꯔꯤ ꯈꯦꯠꯅꯕꯥ ꯂꯩꯕꯒꯦ?

ꯃꯁꯤꯁꯨ ꯌꯥꯝꯅꯥ ꯃꯔꯨ ꯑꯣꯏ꯫

• ꯃꯔꯥꯜ ꯂꯩꯖꯗ꯭ꯔꯕꯥ ꯍꯥꯔꯠ ꯃꯨꯔꯃꯨꯔꯁꯤꯡ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯃꯨꯔꯃꯨꯔ ꯑꯁꯤ ꯍꯥꯔꯇꯀꯤ ꯂꯥꯌꯅꯥꯒꯤ ꯈꯨꯗꯝ ꯑꯃꯥ ꯑꯣꯏꯗꯦ꯫ ꯃꯁꯤꯕꯨ ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ‘ꯑꯁꯣꯌꯕꯥ ꯂꯩꯇꯕꯥ ꯍꯥꯔꯠ ꯃꯨꯔꯃꯔ’ ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯃꯍꯧꯁꯥꯅꯥ ꯅꯍꯥ ꯑꯣꯏꯔꯤꯕꯥ ꯑꯉꯥꯡꯁꯤꯡꯗꯥ, ꯃꯤꯔꯣꯜꯂꯤꯕꯤ ꯅꯨꯄꯤꯁꯤꯡꯗꯥ ꯅꯠꯠꯔꯒꯥ ꯂꯥꯏꯍꯧ ꯑꯁꯤꯅꯆꯤꯡꯕꯥ ꯀꯟꯗꯤꯁꯅꯁꯤꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯅꯠꯠꯔꯒꯥ ꯁꯥꯊꯤꯕꯥ ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯇꯧꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯎꯕꯥ ꯐꯪꯏ꯫ ꯑꯌꯥꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯃꯁꯤ ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯃꯊꯧ ꯇꯥꯗꯦ ꯑꯃꯁꯨꯡ ꯃꯇꯃꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ ꯂꯣꯌꯁꯤꯅꯒꯅꯤ꯫
• ꯑꯦꯕꯅꯣꯔꯃꯦꯜ ꯍꯥꯔꯠ ꯃꯨꯔꯃꯔꯁꯤꯡ: ꯃꯥꯌꯀꯩ ꯑꯃꯔꯣꯃꯗꯥ, ꯃꯨꯔꯃꯨꯔ ꯈꯔꯗꯤ ꯑꯟꯗꯔꯂꯥꯏꯟ ꯍꯥꯔꯠ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯒꯤ ꯂꯥꯏꯑꯣꯡ ꯑꯃꯅꯤ꯫ ꯃꯁꯤꯕꯨ ‘ꯑꯦꯕꯅꯣꯔꯃꯦꯜ ꯍꯥꯔꯠ ꯃꯨꯔꯃꯔ’ ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯦꯕꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯕꯥ ꯋꯥꯈꯜ ꯋꯥꯕꯥ (abnormal murmur) ꯑꯃꯥ ꯂꯩꯔꯕꯗꯤ, ꯃꯔꯝ ꯑꯗꯨ ꯈꯪꯗꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯂꯥꯏꯌꯦꯡꯕꯥ ꯃꯊꯧ ꯇꯥꯒꯅꯤ꯫

ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯂꯩꯔꯣꯏꯗꯕꯅꯤ! ꯗꯣꯛꯇꯔ ꯑꯃꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯑꯃꯥ ꯂꯩꯔꯦ ꯍꯥꯌꯅꯥ ꯍꯥꯌꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯃꯊꯧ ꯇꯥꯗꯦ꯫ ꯃꯁꯤ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯂꯩꯇꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯌꯥꯗꯕꯥ, ꯅꯠꯠꯔꯒꯥ ꯃꯁꯤꯗꯥ ꯑꯁꯣꯌꯕꯥ ꯑꯃꯥ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯅꯍꯥꯛꯅꯥ ꯈꯪꯕꯥ ꯌꯥꯏ꯫

ꯁꯤꯁ꯭ꯇꯣꯂꯤꯛ ꯃꯨꯔꯃꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?

ꯍꯥꯔꯇꯀꯤ ꯂꯥꯌꯅꯥꯅꯥ ꯅꯥꯕꯥ ꯃꯤꯑꯣꯏ ꯀꯌꯥꯗꯤ ꯂꯥꯏꯑꯣꯡ ꯑꯃꯠꯇꯥ ꯎꯕꯥ ꯐꯪꯗꯕꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯃꯔꯃꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ, ꯅꯍꯥꯛꯅꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯊꯦꯡꯅꯔꯀꯄꯥ ꯌꯥꯏ:

• ꯈꯣꯡꯗꯥ (ꯃꯔꯨꯑꯣꯏꯅꯥ ꯂꯤꯞ ꯑꯃꯁꯨꯡ ꯐꯤꯉ꯭ꯒꯔꯅꯦꯂꯁꯤꯡꯗꯥ ꯅꯤꯜ ꯈꯣꯡꯕꯥ) ꯑꯃꯥ꯫
• ꯂꯦꯡ-ꯑꯣꯠꯄꯒꯤ ꯃꯑꯣꯡ ꯑꯃꯥ꯫
• ꯈꯪꯍꯧꯗꯅꯥ ꯋꯥꯈꯜ ꯃꯥꯡꯈꯤꯕꯥ (ꯁꯤꯅꯀꯣꯞ) .
• ꯊꯨꯅꯥ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯐꯥꯎꯕꯥ꯫
• ꯈꯣꯡꯗꯥ ꯁꯣꯀꯄꯥ, ꯐ꯭ꯂꯨꯏꯗ ꯔꯤꯇꯦꯟꯁꯟ (edema) .
• ꯃꯤꯠ ꯎꯗꯕꯥ (vertigo) ꯐꯥꯎꯕꯥ꯫
• ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ (dyspnea) , ꯃꯔꯨꯑꯣꯏꯅꯥ ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯇꯧꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯂꯦꯡ-ꯑꯣꯠꯄꯥ ꯃꯇꯃꯗꯥ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯂꯩꯔꯕꯗꯤ ꯗꯣꯛꯇꯔ ꯑꯃꯒꯥ ꯇꯥꯟꯅꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫

ꯁꯤꯁ꯭ꯇꯣꯂꯤꯛ ꯍꯥꯔꯠ ꯃꯨꯔꯃꯔ ꯑꯃꯥ ꯀꯔꯤꯅꯥ ꯊꯣꯀꯍꯅꯕꯒꯦ?

ꯃꯔꯝ ꯀꯌꯥ ꯂꯩꯕꯥ ꯌꯥꯏ꯫ ꯑꯩꯈꯣꯌꯅꯥ ꯃꯃꯥꯡꯗꯥ ꯈꯟꯅꯈꯤꯕꯥ ꯏꯖꯦꯀꯁꯟ ꯃꯨꯔꯃꯔ ꯑꯃꯁꯨꯡ ꯔꯤꯒꯔꯖꯤꯇꯦꯟꯇ ꯃꯨꯔꯃꯔꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯇꯣꯉꯥꯟ ꯇꯣꯉꯥꯅꯕꯥ ꯃꯔꯃꯁꯤꯡ ꯂꯩ꯫

ꯏꯖꯦꯀꯁꯟ ꯃꯔꯃꯁꯤꯡꯒꯤ ꯃꯔꯃꯁꯤꯡ:

• ꯑꯦꯑꯣꯔꯇꯤꯛ ꯁ꯭ꯇꯦꯅꯣꯁꯤꯁ (Aortic stenosis) : ꯃꯁꯤ ꯍꯥꯔꯇꯇꯒꯤ ꯍꯀꯆꯥꯡ ꯄꯨꯝꯅꯃꯛꯇꯥ (aortic valve) ꯏ ꯄꯨꯕꯥ ꯉꯝꯕꯥ ꯃꯦꯟ ꯚꯜꯌꯨ (mein valve) ꯑꯗꯨ ꯀꯨꯄꯁꯤꯅꯕꯥ ꯍꯥꯌꯕꯁꯤꯅꯤ, ꯃꯗꯨ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯍꯥꯡꯗꯣꯀꯄꯥ ꯉꯃꯗꯕꯥ ꯊꯣꯡ ꯑꯃꯒꯨꯝꯅꯥ꯫ ꯃꯁꯤꯅꯥ ꯏꯒꯤ ꯈꯣꯡꯖꯦꯂꯗꯥ ꯕ꯭ꯂꯣꯀꯦꯖ ꯑꯃꯥ ꯊꯣꯀꯍꯜꯂꯤ꯫
• ꯑꯦꯠꯔꯤꯌꯥꯜ ꯁꯦꯞꯇꯜ ꯗꯤꯐꯦꯛꯇ (ASD): ꯍꯥꯔꯇꯀꯤ ꯃꯊꯛꯀꯤ ꯆꯦꯝꯕꯔ ꯑꯅꯤ (atria)ꯒꯤ ꯃꯔꯛꯇꯥ ꯂꯩꯕꯥ ꯋꯥꯜ ꯑꯗꯨꯗꯥ ꯂꯩꯕꯥ ꯑꯄꯤꯀꯄꯥ ꯍꯨꯔꯥꯅꯕꯥ ꯑꯃꯥ꯫
• ꯍꯥꯏꯄꯔꯠꯔꯣꯐꯤꯛ ꯑꯣꯕꯁ꯭ꯠꯔꯀꯆꯔ ꯀꯥꯔꯗꯤꯑꯣꯃꯥꯌꯣꯄꯦꯊꯤ (HOCM): ꯃꯁꯤ ꯍꯥꯔꯇꯀꯤ ꯃꯈꯥ ꯊꯪꯕꯥ ꯆꯦꯝꯕꯔ (ꯆꯦꯝꯕꯔ) ꯑꯅꯤꯒꯤ ꯃꯔꯛꯇꯥ ꯂꯩꯕꯥ ꯋꯥꯜ (ꯁꯦꯞꯇꯝ) ꯑꯗꯨ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯕꯥ ꯖꯦꯅꯦꯇꯤꯛ ꯍꯥꯔꯇꯀꯤ ꯂꯥꯌꯅꯥ ꯑꯃꯅꯤ꯫
• ꯄꯂꯃꯣꯅꯤꯛ ꯁ꯭ꯇꯦꯅꯣꯁꯤꯁ (pulmonic stenosis) : ꯍꯥꯔꯇꯇꯒꯤ ꯂꯪꯁꯇꯥ ꯏ ꯄꯨꯕꯥ ꯉꯝꯕꯥ ꯚꯜꯌꯨ (pulmonic valve) ꯑꯗꯨ ꯀꯨꯄꯁꯤꯅꯕꯥ꯫

ꯔꯤꯒꯔꯖꯤꯇꯦꯟꯇ ꯃꯨꯔꯃꯁꯤꯡꯒꯤ ꯃꯔꯃꯁꯤꯡ:

• ꯃꯥꯏꯠꯔꯜ ꯚꯜꯌꯨ ꯔꯤꯒꯔꯖꯤꯇꯦꯁꯟ: ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯅꯥ, ꯍꯥꯔꯠ ꯀꯟꯠꯔꯦꯛꯇ ꯇꯧꯕꯥ ꯃꯇꯃꯗꯥ (ꯁꯤꯁ꯭ꯇꯣꯂꯒꯤ ꯃꯇꯃꯗꯥ) ꯃꯥꯏꯠꯔꯜ ꯚꯜꯌꯨ ꯑꯗꯨ ꯊꯤꯡꯖꯤꯅꯒꯗꯕꯅꯤ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤꯗꯥ, ꯚꯜꯌꯨꯝ ꯑꯗꯨ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯊꯤꯡꯖꯤꯜꯂꯤ, ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯏ ꯈꯔꯗꯤ ꯂꯦꯡ-ꯑꯣꯠꯄꯗꯥ ꯂꯦꯡ-ꯑꯣꯠꯄꯗꯥ ꯂꯦꯡ-ꯑꯣꯠꯄꯗꯥ ꯊꯤꯡꯖꯤꯅꯕꯥ ꯌꯥꯍꯜꯂꯤ꯫
• ꯇ꯭ꯔꯥꯏꯀꯁꯄꯤꯗ ꯚꯜꯌꯨ ꯔꯤꯒꯔꯖꯤꯇꯦꯁꯟ: ꯃꯁꯤ ꯃꯥꯏꯠꯔꯜ ꯔꯤꯒꯔꯖꯤꯇꯦꯁꯅꯒꯥ ꯃꯥꯟꯅꯩ, ꯑꯗꯨꯕꯨ ꯃꯁꯤ ꯍꯥꯔꯇꯀꯤ ꯑꯔꯣꯏꯕꯥ ꯃꯐꯃꯗꯥ ꯂꯩꯕꯥ ꯇ꯭ꯔꯥꯏꯀꯁꯄꯤꯗ ꯚꯜꯌꯨꯗꯥ ꯊꯣꯀꯏ꯫ ꯏ ꯑꯁꯤ ꯔꯥꯏꯠ ꯚꯦꯟꯇꯤꯂꯦꯇꯔꯗꯒꯤ ꯔꯥꯏꯠ ꯑꯦꯠꯔꯤꯌꯥꯃꯗꯥ ꯍꯟꯖꯤꯟ ꯍꯟꯖꯤꯟ ꯂꯤꯛ ꯇꯧꯏ꯫
• ꯚꯦꯟꯇꯤꯀꯨꯂꯥꯔ ꯁꯦꯞꯇꯜ ꯗꯤꯐꯦꯛꯇ (VSD): ꯍꯥꯔꯇꯀꯤ ꯃꯈꯥ ꯊꯪꯕꯥ ꯆꯦꯝꯕꯔ (ventricle) ꯑꯅꯤꯒꯤ ꯃꯔꯛꯇꯥ ꯂꯩꯕꯥ ꯋꯥꯜ ꯑꯗꯨꯗꯥ ꯂꯩꯕꯥ ꯍꯨꯔꯥꯅꯕꯥ ꯑꯃꯥ꯫ ꯃꯁꯤ ꯅꯍꯥ ꯑꯣꯏꯔꯤꯕꯥ ꯑꯉꯥꯡꯁꯤꯡꯗꯥ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯄꯣꯀꯄꯗꯥ ꯉꯥꯏꯔꯤꯕꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯑꯃꯅꯤ꯫

ꯁꯤꯁ꯭ꯇꯣꯂꯤꯛ ꯃꯨꯔꯃꯔ ꯑꯃꯥ ꯅꯍꯥꯛꯅꯥ ꯀꯔꯝꯅꯥ ꯈꯪꯒꯅꯤ?

ꯃꯁꯤꯒꯤ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯑꯁꯤ ꯑꯌꯥꯝꯕꯗꯤ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯁ꯭ꯇꯦꯊꯣꯁ꯭ꯀꯣꯞ ꯑꯃꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯊꯝꯃꯣꯌꯒꯤ ꯋꯥꯐꯝ ꯇꯥꯕꯥ ꯃꯇꯃꯗꯥ ꯑꯍꯥꯅꯕꯥ ꯑꯣꯏꯅꯥ ꯇꯥꯕꯥ ꯐꯪꯏ꯫ ꯗꯣꯛꯇꯔ ꯑꯃꯅꯥ ꯈꯣꯟꯖꯦꯜ ꯑꯁꯤ ꯊꯤꯕꯥ ꯃꯇꯃꯗꯥ ꯃꯈꯣꯌꯅꯥ ꯃꯈꯥꯒꯤ ꯑꯁꯤ ꯌꯦꯡꯒꯅꯤ:

• ꯀꯌꯥ ꯀꯨꯏꯅꯥ ꯈꯣꯟꯖꯦꯜ ꯇꯥꯕꯥ ꯐꯪꯒꯅꯤ?
• ꯊꯝꯃꯣꯌꯗꯥ ꯇꯁꯦꯡꯅꯥ ꯀꯗꯥꯌꯗꯒꯤ ꯈꯣꯟꯖꯦꯜ ꯑꯁꯤ ꯂꯥꯀꯄꯅꯣ?
• ꯈꯣꯟꯖꯦꯂꯒꯤ ꯄꯤꯆ ꯑꯃꯁꯨꯡ ꯚꯣꯜꯌꯨꯝ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯑꯣꯏꯕꯒꯦ ? (ꯃꯁꯤ ꯇꯔꯨ ꯇꯅꯥꯅꯕꯥ ꯅꯠꯔꯒꯥ ꯌꯥꯝꯅꯥ ꯋꯥꯅꯥ ꯁꯣꯜꯂꯤꯕꯔꯥ?)
• ꯅꯍꯥꯛꯅꯥ ꯄꯣꯖꯤꯁꯟ ꯍꯣꯡꯗꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ (ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯂꯦꯡꯗꯅꯥ ꯂꯩꯕꯥ, ꯂꯦꯞꯄꯥ) ꯈꯣꯟꯖꯦꯜ ꯑꯗꯨ ꯍꯣꯡꯂꯛꯀꯗ꯭ꯔꯥ?

ꯃꯈꯥ ꯇꯥꯕꯥ ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯇꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯔꯥ?

ꯍꯣꯌ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯑꯗꯨꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯍꯦꯟꯅꯥ ꯈꯪꯅꯤꯡꯂꯕꯗꯤ, ꯃꯍꯥꯛꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯀꯥꯔꯗꯤꯑꯣꯂꯣꯖꯤꯁ꯭ꯠ ꯑꯃꯗꯥ ꯔꯤꯐꯔ ꯇꯧꯕꯥ ꯌꯥꯏ, ꯃꯈꯣꯌꯅꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯑꯁꯤ ꯄꯥꯡꯊꯣꯀꯄꯥ ꯌꯥꯏ:

• ꯀꯥꯔꯗꯤꯌꯦꯛ ꯀꯦꯇꯦꯒꯣꯔꯤ (cardiac catheterization): ꯄ꯭ꯔꯣꯁꯤꯗ꯭ꯌꯨꯑꯣꯔ ꯑꯁꯤꯗꯥ, ꯑꯄꯤꯀꯄꯥ, ꯐ꯭ꯂꯦꯛꯁꯤꯕꯜ ꯑꯣꯏꯕꯥ ꯇꯤꯎꯕ (catheter) ꯑꯃꯥ ꯒ꯭ꯔꯣꯏꯟ ꯅꯠꯠꯔꯒꯥ ꯑꯥꯔꯃꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯊꯥꯗꯨꯅꯥ, ꯍꯥꯔꯇꯀꯤ ꯑꯥꯔꯇꯦꯔꯤꯁꯤꯡꯗꯥ ꯂꯃꯖꯤꯡꯗꯨꯅꯥ, ꯑꯥꯔꯇꯦꯔꯤꯁꯤꯡꯒꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯗꯨ ꯑꯦꯛꯁ-ꯔꯦ ꯑꯃꯁꯨꯡ ꯑꯈꯟꯅꯕꯥ ꯂꯤꯛꯌꯨꯏꯗ (ꯀꯟꯠꯔꯁ꯭ꯠ ꯗꯥꯏ) ꯑꯃꯥ ꯁꯤꯖꯤꯟꯅꯗꯨꯅꯥ ꯌꯦꯡꯁꯤꯜꯂꯤ꯫
• ꯆꯦꯁ꯭ꯠ ꯑꯦꯛꯁ-ꯔꯦ: ꯱.ꯃꯁꯤꯅꯥ ꯁꯔꯨ, ꯊꯝꯃꯣꯌ ꯑꯃꯁꯨꯡ ꯂꯪꯁꯀꯤ ꯐꯣꯇꯣꯁꯤꯡ ꯂꯧꯏ꯫
• ꯏꯀꯣꯀꯥꯔꯗꯤꯑꯣꯒ꯭ꯔꯥꯐ (Echo): ꯃꯁꯤ ꯃꯤꯔꯣꯜꯂꯤꯉꯩ ꯃꯇꯃꯗꯥ ꯑꯉꯥꯡ ꯑꯃꯒꯤ ꯑꯂꯠꯔꯥꯁꯥꯎꯟꯗ ꯁ꯭ꯀꯦꯟ ꯇꯧꯕꯒꯥ ꯃꯥꯟꯅꯩ꯫ ꯃꯁꯤꯅꯥ ꯍꯥꯔꯠ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯁꯣꯀꯍꯅꯕꯒꯦ, ꯚꯜꯌꯨꯁꯤꯡꯅꯥ ꯀꯔꯝꯅꯥ ꯊꯕꯛ ꯇꯧꯕꯒꯦ ꯑꯃꯁꯨꯡ ꯍꯥꯔꯇꯀꯤ ꯁꯥꯏꯖ ꯑꯁꯤꯅꯆꯤꯡꯕꯥ ꯋꯥꯐꯃꯁꯤꯡ ꯌꯦꯡꯅꯕꯒꯤꯗꯃꯛ ꯁꯥꯎꯟꯗ ꯋꯦꯕ ꯁꯤꯖꯤꯟꯅꯩ꯫ ꯃꯁꯤ ꯋꯥꯍꯪ ꯑꯃꯒꯤ ꯃꯔꯝ ꯈꯪꯗꯣꯛꯅꯕꯥ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯇꯦꯁ꯭ꯠ ꯑꯃꯅꯤ꯫
• ꯏꯂꯦꯛꯠꯔꯣꯀꯥꯔꯗꯤꯑꯣꯒ꯭ꯔꯥꯐ (EKG/ECG): ꯃꯁꯤꯅꯥ ꯍꯥꯔꯇꯀꯤ ꯏꯂꯦꯛꯠꯔꯤꯀꯦꯜ ꯑꯦꯛꯇꯤꯚꯤꯇꯤ ꯔꯦꯀꯣꯔꯗ ꯇꯧꯏ꯫ ꯃꯁꯤꯅꯥ ꯍꯥꯔꯇꯀꯤ ꯔꯤꯗꯃꯒꯤ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯃꯁꯤꯡ ꯆꯦꯛ ꯇꯧꯕꯥ ꯉꯝꯃꯤ꯫

ꯁꯤꯁ꯭ꯇꯣꯂꯤꯛ ꯃꯨꯔꯃꯨꯔ ꯒ꯭ꯔꯦꯗꯤꯡ ꯁ꯭ꯀꯦꯜ ꯑꯃꯥ ꯂꯩꯕ꯭ꯔꯥ?

ꯍꯣꯌ, ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯃꯨꯔꯃꯔ ꯑꯃꯕꯨ ꯃꯗꯨꯒꯤ ꯏꯟꯇꯦꯟꯁꯤꯇꯤꯗꯥ ꯌꯨꯝꯐꯝ ꯑꯣꯏꯔꯒꯥ ꯒ꯭ꯔꯦꯗ ꯇꯧꯏ꯫ ꯃꯁꯤꯒꯤꯗꯃꯛꯇꯥ ꯱ꯗꯒꯤ ꯶ ꯐꯥꯑꯣꯕꯒꯤ ꯁ꯭ꯀꯦꯜ ꯑꯃꯥ ꯂꯩꯔꯤ꯫

• ꯒ꯭ꯔꯦꯗ ꯱: ꯌꯥꯝꯅꯥ ꯅꯤꯡꯊꯤꯖꯅꯥ, ꯌꯥꯝꯅꯥ ꯋꯥꯅꯥ ꯇꯥꯕꯥ ꯌꯥꯕꯥ ꯋꯥꯍꯟꯊꯣꯛ ꯑꯃꯅꯤ꯫ ꯑꯦꯛꯁꯄꯤꯔꯤꯑꯦꯟꯁ ꯂꯩꯕꯥ ꯗꯣꯛꯇꯔ ꯑꯃꯈꯛꯇꯅꯥ ꯃꯁꯤ ꯈꯪꯗꯣꯀꯄꯥ ꯉꯃꯒꯅꯤ꯫
• ꯒ꯭ꯔꯦꯗ 2: ꯇꯔꯨ-ꯇꯅꯥꯅꯕꯥ ꯋꯥꯍꯟꯊꯣꯛ ꯑꯃꯥ, ꯑꯗꯨꯕꯨ ꯁ꯭ꯇꯦꯊꯣꯁ꯭ꯀꯣꯞ ꯑꯃꯅꯥ ꯇꯥꯕꯥ ꯌꯥꯏ꯫
• ꯒ꯭ꯔꯦꯗ 3: ꯃꯌꯥꯏ ꯑꯣꯏꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯋꯥꯡꯈꯠꯄꯥ꯫
• ꯒ꯭ꯔꯦꯗ 4: ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯋꯥꯡꯏ, ꯑꯃꯁꯨꯡ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯨꯠꯁꯥ ꯑꯗꯨ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯆꯦꯠꯅꯥ ꯊꯃꯖꯤꯜꯂꯕꯗꯤ ꯅꯍꯥꯛꯅꯥ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯐꯥꯎꯕꯥ ꯌꯥꯏ꯫
• ꯒ꯭ꯔꯦꯗ ꯵: ꯌꯥꯝꯅꯥ ꯋꯥꯅꯥ꯫ ꯅꯍꯥꯛꯅꯥ ꯁ꯭ꯇꯦꯊꯣꯁ꯭ꯀꯣꯞ ꯑꯗꯨ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯊꯃꯖꯤꯜꯂꯒꯥ ꯇꯥꯕꯁꯨ ꯌꯥꯏ꯫ ꯅꯍꯥꯛꯅꯥ ꯚꯥꯏꯕ꯭ꯔꯦꯁꯟ ꯑꯃꯁꯨ ꯐꯥꯎꯕꯥ ꯌꯥꯏ꯫
• ꯒ꯭ꯔꯦꯗ ꯶: ꯌꯥꯝꯅꯥ ꯋꯥꯅꯥ ꯋꯥꯅꯥ ꯋꯥꯔꯤ ꯁꯥꯕꯥ꯫ ꯁ꯭ꯇꯦꯊꯣꯁ꯭ꯀꯣꯞ ꯑꯗꯨ ꯆꯦꯛꯁꯤꯟꯅꯥ ꯊꯃꯗꯅꯥ, ꯅꯠꯠꯔꯒꯥ ꯈꯔꯥ ꯍꯦꯟꯅꯥ ꯅꯀꯁꯤꯟꯅꯔꯕꯁꯨ ꯇꯥꯕꯥ ꯌꯥꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯋꯥꯡꯈꯠꯄꯥ꯫

ꯔꯦꯇꯤꯡ ꯑꯁꯤꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯑꯗꯨꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯈꯜ ꯈꯔꯥ ꯄꯤꯕꯥ ꯉꯃꯒꯅꯤ꯫

ꯁꯤꯁ꯭ꯇꯣꯂꯤꯛ ꯍꯥꯔꯠ ꯃꯨꯔꯃꯔ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯂꯥꯏꯌꯦꯡꯕꯒꯦ?

ꯂꯥꯏꯌꯦꯡ ꯑꯁꯤ ꯑꯟꯗꯔꯂꯥꯏꯟ ꯍꯥꯔꯇꯀꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯃꯔꯥꯜ ꯂꯩꯖꯗ꯭ꯔꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯦꯕꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯕꯔꯥ ꯍꯥꯌꯕꯗꯨꯒꯤ ꯃꯈꯥ ꯄꯣꯜꯂꯤ꯫

ꯃꯔꯥꯜ ꯂꯩꯖꯗ꯭ꯔꯕꯥ ꯃꯥꯔꯃꯦꯔꯒꯤꯗꯃꯛ:

ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯑꯌꯥꯝꯕꯗꯤ ꯂꯥꯏꯌꯦꯡꯗꯅꯥ ꯆꯠꯂꯤ꯫ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯉꯥꯏꯗꯨꯅꯥ ꯂꯩꯌꯨ ꯍꯥꯌꯅꯥ ꯍꯥꯌꯒꯅꯤ, ꯑꯃꯁꯨꯡ ꯃꯇꯝ ꯈꯔꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯆꯦꯛ ꯇꯧꯔꯀꯄꯥ ꯌꯥꯏ꯫

ꯑꯆꯝꯕꯥ ꯃꯨꯔꯃꯁꯤꯡꯒꯤꯗꯃꯛ:

ꯃꯁꯤꯗꯥ ꯑꯟꯗꯔꯂꯥꯏꯟ ꯍꯥꯔꯠ ꯀꯟꯗꯤꯁꯟ ꯑꯗꯨ ꯂꯥꯏꯌꯦꯡꯕꯥ ꯃꯊꯧ ꯇꯥꯏ, ꯃꯗꯨꯅꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ, ꯁꯔꯖꯔꯤ ꯅꯠꯠꯔꯒꯥ ꯑꯅꯤꯃꯛ ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯏ꯫

ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ: ꯱.

• ꯑꯦꯟꯖꯤꯑꯣꯇꯦꯟꯁꯤꯟ-ꯀꯟꯚꯥꯔꯇꯤꯡ ꯑꯦꯅꯖꯥꯏꯝ (ACE) ꯏꯅꯍꯤꯕꯤꯇꯔꯁꯤꯡ: ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯀꯦꯄꯇꯣꯞꯔꯤꯜ ꯑꯃꯁꯨꯡ ꯕꯦꯅꯥꯖꯦꯞꯔꯤꯜ꯫ ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ ꯍꯟꯊꯍꯜꯂꯤ꯫
• ꯕꯦꯇꯥ-ꯕ꯭ꯂꯣꯀꯔꯁꯤꯡ: ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯃꯦꯇꯣꯞꯔꯣꯂꯣꯜ, ꯕꯥꯏꯁꯣꯞꯔꯣꯂꯣꯜ꯫ ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯍꯥꯔꯇꯀꯤ ꯔꯦꯠ ꯑꯃꯁꯨꯡ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ ꯍꯟꯊꯍꯜꯂꯤ꯫
• ꯕ꯭ꯂꯗ ꯊꯤꯅꯔꯁꯤꯡ: ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯋꯥꯔꯐꯦꯔꯤꯟ, ꯑꯦꯁ꯭ꯄꯤꯔꯤꯟ꯫ ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯍꯥꯔꯇꯀꯤ ꯃꯅꯨꯡꯗꯥ ꯏ ꯊꯣꯀꯄꯥ ꯊꯤꯡꯏ꯫
• ꯗꯥꯏꯑꯦꯕꯦꯇꯤꯖ: ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯐꯨꯔꯣꯁꯦꯃꯥꯏꯗ, ꯇꯣꯔꯁꯦꯃꯥꯏꯗ꯫ ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯍꯀꯆꯥꯡꯗꯥ ꯑꯍꯦꯅꯕꯥ ꯐ꯭ꯂꯨꯏꯗꯀꯤ ꯆꯥꯡ ꯍꯟꯊꯍꯜꯂꯤ꯫ ꯃꯁꯤꯅꯥ ꯍꯥꯔꯇꯀꯤ ꯀꯟꯗꯤꯁꯟ ꯈꯔꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯕꯥ ꯌꯥꯏ꯫

ꯂꯦꯟꯕ:

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯍꯥꯔꯇꯀꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯗꯨ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯑꯣꯏꯔꯕꯗꯤ, ꯚꯜꯌꯨ ꯑꯗꯨ ꯔꯤꯄꯦꯌꯥꯔ ꯇꯧꯕꯥ, ꯑꯅꯧꯕꯥ ꯚꯜꯌꯨ ꯑꯃꯥ ꯍꯥꯄꯆꯤꯅꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯇꯩ ꯁꯔꯖꯔꯤ ꯑꯃꯥ ꯇꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯏ꯫

• ꯚꯜꯌꯨ ꯔꯤꯄꯦꯌꯥꯔ ꯇꯧꯕꯥ: ꯃꯁꯤꯅꯥ ꯀꯨꯄꯁꯤꯜꯂꯕꯥ ꯚꯜꯌꯨ ꯑꯃꯥ ꯆꯥꯎꯊꯣꯀꯍꯟꯅꯕꯥ (ꯍꯥꯡꯗꯣꯛꯅꯕꯥ) ꯅꯠꯠꯔꯒꯥ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯊꯤꯡꯖꯤꯟꯗꯕꯥ ꯂꯤꯛ ꯑꯣꯏꯕꯥ ꯚꯜꯌꯨ ꯑꯃꯥ ꯆꯦꯠꯁꯤꯂꯍꯟꯅꯕꯥ ꯁꯤꯖꯤꯟꯅꯕꯥ ꯌꯥꯏ꯫
• ꯚꯜꯌꯨ ꯔꯤꯞꯂꯦꯁꯃꯦꯟꯇ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯚꯜꯌꯨ ꯑꯃꯥ ꯌꯥꯝꯅꯥ ꯀꯨꯞꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯁꯣꯀꯍꯜꯂꯕꯥ ꯑꯣꯏꯔꯕꯗꯤ, ꯗꯣꯛꯇꯔꯅꯥ ꯃꯗꯨ ꯇꯤꯁꯨ ꯚꯜꯌꯨ ꯅꯠꯠꯔꯒꯥ ꯃꯦꯀꯥꯅꯤꯀꯦꯜ ꯚꯜꯌꯨ ꯑꯃꯅꯥ ꯃꯍꯨꯠ ꯁꯤꯅꯕꯥ ꯌꯥꯏ꯫
• ꯑꯣꯄꯟ ꯍꯥꯔꯠ ꯁꯔꯖꯔꯤ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯑꯩꯈꯣꯌꯅꯥ ꯋꯥꯔꯤ ꯁꯥꯈꯤꯕꯥ ꯑꯦꯠꯔꯤꯌꯥꯜ ꯁꯦꯞꯇꯜ ꯗꯤꯐꯦꯛꯇ (ASD) ꯅꯠꯠꯔꯒꯥ ꯚꯦꯟꯇꯤꯀꯨꯂꯥꯔ ꯁꯦꯞꯇꯥꯜ ꯗꯤꯐꯦꯛꯇ (VSD)ꯒꯨꯝꯕꯥ ꯍꯣꯂꯁꯤꯡ ꯊꯤꯡꯅꯕꯥ ꯑꯣꯄꯟ ꯍꯥꯔꯠ ꯁꯔꯖꯔꯤ ꯇꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯏ꯫

ꯁꯤꯁ꯭ꯇꯣꯂꯤꯛ ꯍꯥꯔꯠ ꯃꯨꯔꯃꯔ ꯑꯃꯥ ꯊꯤꯡꯕꯥ ꯉꯃꯒꯗ꯭ꯔꯥ?

ꯁꯤꯁ꯭ꯇꯣꯂꯤꯛ ꯃꯨꯔꯃꯔ ꯑꯃꯥ ꯊꯤꯡꯅꯕꯒꯤ ꯑꯀꯛꯅꯕꯥ ꯃꯑꯣꯡ ꯑꯃꯠꯇꯥ ꯂꯩꯇꯦ꯫ ꯈꯔꯗꯤ ꯀꯣꯟꯖꯤꯅꯤꯑꯦꯜ ꯑꯣꯏ, ꯑꯗꯨꯒꯥ ꯑꯇꯩ ꯈꯔꯗꯤ ꯑꯇꯩ ꯀꯟꯗꯤꯁꯅꯁꯤꯡꯅꯥ ꯊꯣꯀꯍꯜꯂꯤ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯅꯍꯥꯛꯀꯤ ꯊꯝꯃꯣꯌꯒꯤ ꯑꯄꯨꯅꯕꯥ ꯍꯀꯁꯦꯜ ꯑꯗꯨ ꯉꯥꯛꯇꯨꯅꯥ ꯊꯝꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫ ꯃꯇꯦꯡ ꯄꯥꯡꯅꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯇꯧꯕꯥ ꯌꯥꯕꯥ ꯊꯕꯛ ꯈꯔꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤ:

• ꯅꯨꯃꯤꯠ ꯈꯨꯗꯤꯡꯒꯤ ꯌꯥꯃꯗ꯭ꯔꯕꯗꯥ ꯃꯤꯅꯠ 150ꯒꯤ ꯑꯣꯏꯅꯥ ꯑꯦꯔꯣꯕꯤꯛ ꯑꯦꯛꯁꯔꯁꯥꯏꯖ (ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯈꯣꯡꯅꯥ ꯆꯠꯄꯥ, ꯅꯠꯠꯔꯒꯥ ꯁꯥꯏꯀꯜ ꯊꯧꯕꯥ) ꯇꯧ꯫
• ꯆꯦꯡ, ꯃꯅꯥ-ꯃꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯎꯍꯩ-ꯋꯥꯍꯩꯁꯤꯡ ꯌꯥꯝꯅꯥ ꯌꯥꯎꯕꯥ ꯍꯀꯁꯦꯜ ꯐꯕꯥ ꯗꯥꯏꯠ ꯑꯃꯥ ꯆꯥꯒꯗꯕꯅꯤ꯫
• ꯀꯦꯐꯤꯟ (ꯆꯥ, ꯀꯣꯐꯤ) ꯑꯃꯁꯨꯡ ꯌꯨ ꯊꯀꯄꯥ ꯌꯥꯗꯕꯅꯤ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯩꯈꯨ ꯊꯥꯗꯣꯛꯂꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯊꯤꯡꯖꯤꯅꯕꯥ ꯃꯊꯧ ꯇꯥꯏ .
• ꯃꯦꯗꯤꯇꯦꯁꯅꯒꯨꯝꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯁ꯭ꯠꯔꯦꯁ ꯍꯟꯊꯍꯅꯕꯥ꯫
• ꯅꯨꯃꯤꯠ ꯑꯃꯗꯥ ꯌꯥꯃꯗ꯭ꯔꯕꯗꯥ ꯄꯨꯡ 7-8 ꯆꯨꯞꯅꯥ ꯇꯨꯝꯕꯥ꯫

ꯁꯤꯁ꯭ꯇꯣꯂꯤꯛ ꯃꯨꯔꯃꯨꯔ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯒꯤ ꯑꯥꯎꯠꯂꯨꯛ ꯑꯁꯤ ꯀꯔꯤꯅꯣ?

ꯃꯔꯥꯜ ꯂꯩꯖꯗ꯭ꯔꯕꯥ ꯁꯤꯁ꯭ꯇꯣꯂꯤꯛ ꯃꯨꯔꯃꯨꯔ ꯑꯃꯅꯥ ꯑꯌꯥꯝꯕꯗꯤ ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯃꯊꯧ ꯇꯥꯗꯦ, ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯅꯥ ꯃꯁꯤꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯕꯥ ꯄꯨꯟꯁꯤ ꯑꯃꯥ ꯍꯤꯡꯕꯥ ꯌꯥꯏ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯦꯕꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯕꯥ ꯋꯥꯈꯜ ꯋꯥꯕꯥ (abnormal murmur) ꯑꯃꯥ ꯂꯩꯔꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯍꯥꯔꯇꯀꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯗꯨ ꯂꯥꯏꯌꯦꯡꯕꯥ ꯃꯊꯧ ꯇꯥꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ , ꯉꯁꯤ ꯐꯪꯂꯤꯕꯥ ꯑꯍꯣꯡꯕꯥ ꯂꯥꯌꯦꯡꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯊꯝꯃꯣꯌꯒꯤ ꯐꯤꯚꯝ ꯀꯌꯥ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯥ ꯉꯝꯂꯦ ꯑꯃꯁꯨꯡ ꯍꯀꯆꯥꯡ ꯐꯕꯥ ꯄꯨꯟꯁꯤ ꯑꯃꯥ ꯍꯤꯡꯕꯥ ꯉꯝꯂꯦ꯫ ꯃꯁꯤꯗꯁꯨ ꯅꯠꯇꯅꯥ, ꯍꯀꯁꯦꯜ ꯐꯕꯥ ꯄꯨꯟꯁꯤ ꯃꯍꯤꯡ ꯑꯃꯥ ꯏꯅꯕꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯥꯔꯇꯀꯤ ꯍꯀꯁꯦꯜ ꯐꯒꯠꯍꯅꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫

ꯋꯥꯐꯃꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯗꯣꯛꯇꯔꯗꯥ ꯍꯪꯂꯀꯄꯥ ꯀꯥꯑꯣꯔꯣꯏꯗꯕꯅꯤ, ꯑꯣꯀꯦ?

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯁꯤꯁ꯭ꯇꯣꯂꯤꯛ ꯃꯨꯔꯃꯨꯔ ꯑꯃꯥ ꯂꯩꯔꯦ ꯍꯥꯌꯅꯥ ꯍꯥꯌꯔꯕꯗꯤ, ꯋꯥꯍꯪꯁꯤꯡ ꯑꯁꯤ ꯍꯪꯕꯁꯤ ꯑꯐꯕꯥ ꯋꯥꯈꯜꯂꯣꯟ ꯑꯃꯅꯤ:

• ꯑꯩꯉꯣꯟꯗꯥ ꯁꯤꯁ꯭ꯇꯣꯂꯤꯛ ꯃꯨꯔꯃꯔ ꯑꯁꯤꯒꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯌꯥꯝꯅꯥ ꯊꯣꯀꯄꯥ ꯃꯔꯝ ꯀꯔꯤꯅꯣ?
• ꯑꯩꯅꯥ ꯀꯔꯤ ꯑꯍꯦꯅꯕꯥ ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯇꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯒꯦ?
• ꯁꯤꯁ꯭ꯇꯣꯂꯤꯛ ꯃꯨꯔꯃꯔ ꯑꯁꯤꯒꯤꯗꯃꯛꯇꯥ ꯑꯩꯅꯥ ꯂꯥꯏꯌꯦꯡ ꯃꯊꯧ ꯇꯥꯕ꯭ꯔꯥ?
• ꯑꯩꯒꯤ ꯑꯟꯗꯔꯂꯥꯏꯟ ꯍꯥꯔꯠ ꯀꯟꯗꯤꯁꯟ ꯑꯗꯨꯒꯤꯗꯃꯛ ꯑꯩꯅꯥ ꯀꯔꯤ ꯂꯥꯏꯌꯦꯡ ꯃꯊꯧ ꯇꯥꯕꯒꯦ?
• ꯑꯩꯒꯤꯗꯃꯛꯇꯗꯤ ꯀꯥꯔꯗꯤꯑꯣꯂꯣꯖꯤꯁ꯭ꯠ ꯑꯃꯒꯥ ꯎꯅꯕꯗꯥ ꯀꯥꯟꯅꯕꯥ ꯑꯣꯏꯒꯅꯤ ?
• ꯑꯩꯒꯤ ꯍꯥꯔꯇꯀꯤ ꯍꯀꯁꯦꯜ ꯐꯒꯠꯍꯟꯅꯕꯥ ꯑꯩꯅꯥ ꯀꯔꯤ ꯄꯨꯟꯁꯤ ꯃꯍꯤꯡꯗꯥ ꯑꯍꯣꯡꯕꯥ ꯄꯨꯔꯀꯄꯥ ꯌꯥꯕꯒꯦ?

ꯇꯦꯛ-ꯍꯣꯝ ꯃꯦꯁꯦꯖ ꯇꯧꯕꯥ꯫

ꯁꯤꯁ꯭ꯇꯣꯂꯤꯛ ꯍꯥꯔꯠ ꯃꯨꯔꯃꯨꯔ ꯍꯥꯌꯕꯁꯤ ꯍꯥꯔꯠ ꯑꯗꯨ ꯀꯟꯠꯔꯦꯛꯇ ꯇꯧꯕꯥ ꯃꯇꯃꯗꯥ ꯇꯥꯕꯥ ꯑꯁꯣꯅꯕꯥ ꯈꯣꯟꯖꯦꯜ ꯑꯃꯅꯤ꯫ ꯑꯌꯥꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯈꯨꯗꯣꯡꯊꯤꯅꯤꯉꯥꯏ ꯑꯣꯏꯗꯦ, ꯍꯥꯌꯕꯗꯤ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯍꯥꯔꯇꯀꯤ ꯂꯥꯌꯅꯥ ꯑꯃꯠꯇꯥ ꯂꯩꯇꯦ꯫ ꯑꯗꯨꯕꯨ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯃꯈꯣꯌ ꯑꯁꯤ ꯍꯥꯔꯇꯀꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯒꯤ ꯈꯨꯗꯝ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫

ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯋꯥꯐꯃꯗꯤ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯑꯁꯤꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯗꯣꯛꯇꯔ ꯑꯃꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯑꯃꯥ ꯂꯩꯔꯦ ꯍꯥꯌꯅꯥ ꯍꯥꯌꯔꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯃꯗꯨ ꯀꯔꯝꯕꯥ ꯃꯈꯂꯒꯤꯅꯣ, ꯀꯔꯤꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯊꯣꯀꯍꯅꯕꯒꯦ ꯑꯃꯁꯨꯡ ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯃꯊꯧ ꯇꯥꯕ꯭ꯔꯥ ꯅꯠꯠꯔꯒꯥ ꯃꯊꯧ ꯇꯥꯗꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯈꯪꯗꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯇꯤꯛ ꯆꯥꯕꯥ ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯄꯥꯎꯇꯥꯀꯁꯤꯡ ꯉꯥꯛꯅꯥ ꯆꯠꯇꯨꯅꯥ ꯑꯃꯁꯨꯡ ꯍꯀꯆꯥꯡ ꯐꯕꯥ ꯄꯨꯟꯁꯤ ꯃꯍꯤꯡ ꯑꯃꯥ ꯍꯤꯡꯗꯨꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯦꯛꯇꯤꯕ ꯑꯣꯏꯕꯥ ꯄꯨꯟꯁꯤ ꯑꯃꯥ ꯍꯤꯡꯕꯥ ꯉꯃꯒꯅꯤ꯫ ꯅꯤꯡꯁꯤꯡꯕꯤꯌꯨ, ꯅꯍꯥꯛꯀꯤ ꯊꯝꯃꯣꯌꯕꯨ ꯌꯦꯡꯁꯤꯅꯕꯥ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ!

` ꯁꯤꯁ꯭ꯇꯣꯂꯤꯛ ꯍꯥꯔꯠ ꯃꯨꯔꯃꯔ, ꯍꯥꯔꯠ ꯃꯨꯔꯃꯔ, ꯍꯥꯔꯇꯀꯤ ꯂꯥꯌꯅꯥ, ꯍꯥꯔꯇꯀꯤ ꯈꯣꯟꯖꯦꯜ, ꯍꯥꯔꯇꯀꯤ ꯚꯜꯌꯨ, ꯍꯥꯔꯇꯀꯤ ꯍꯀꯁꯦꯜ, ꯍꯥꯔꯇꯀꯤ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ, ꯍꯥꯔꯇꯀꯤ ꯔꯦꯠ, ꯑꯁꯣꯌꯕꯥ ꯂꯩꯇꯕꯥ ꯃꯨꯔꯃꯨ꯫