ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨ ꯈꯪꯍꯧꯗꯅꯥ ꯕ꯭ꯂꯨ ꯑꯣꯏꯔꯛꯂꯤꯕ꯭ꯔꯥ? ꯃꯁꯤ ꯇꯦꯠꯔꯥꯂꯣꯖꯤ ꯑꯣꯐ ꯐꯦꯂꯣꯠ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫

ꯅꯍꯥꯛꯀꯤ ꯏꯆꯥꯅꯨꯄꯤ ꯑꯗꯨ ꯈꯉꯍꯧꯗꯅꯥ ꯅꯤꯜ ꯈꯣꯡꯕꯥ ꯃꯇꯃꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯊꯦꯡꯅꯈꯤꯕ꯭ꯔꯥ? ꯅꯠꯠꯔꯒꯥ ꯃꯍꯥꯛꯅꯥ ꯈꯣꯝꯂꯥꯡ ꯄꯤꯊꯀꯄꯥ, ꯀꯞꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯇꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯗꯥ ꯑꯋꯥꯕꯥ ꯃꯥꯌꯣꯛꯅꯕꯔꯥ? ꯑꯁꯤꯒꯨꯝꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ ꯑꯁꯤ ꯎꯕꯗꯥ ꯃꯃꯥ ꯅꯠꯠꯔꯒꯥ ꯃꯄꯥ ꯑꯃꯍꯦꯛꯇꯅꯥ ꯂꯥꯡꯇꯛꯅꯕꯥ ꯄꯣꯀꯄꯥ ꯍꯥꯌꯕꯁꯤ ꯅꯣꯔꯃꯦꯂꯅꯤ꯫ ꯉꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯇꯦꯠꯔꯥꯂꯣꯖꯤ ꯑꯣꯐ ꯐꯦꯂꯣꯠꯀꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯔꯤ, ꯃꯁꯤ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯕꯥ ꯀꯣꯟꯖꯤꯅꯤꯑꯦꯜ ꯍꯥꯔꯠ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫ ꯃꯤꯡ ꯑꯁꯤ ꯈꯔꯥ ꯍꯦꯟꯅꯥ ꯂꯨꯝꯂꯕꯁꯨ, ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯐꯣꯡꯗꯣꯀꯆꯒꯦ꯫

ꯇꯦꯠꯔꯥꯂꯣꯖꯤ ꯑꯣꯐ ꯐꯦꯂꯣꯠ ꯍꯥꯌꯕꯁꯤ ꯇꯁꯦꯡꯅꯥ ꯀꯔꯤꯅꯣ?

ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯇꯦꯠꯔꯥꯂꯣꯖꯤ ꯑꯣꯐ ꯐꯦꯂꯣꯠ ꯍꯥꯌꯕꯁꯤ ꯄꯣꯀꯄꯗꯥ ꯉꯥꯏꯔꯤꯕꯥ ꯍꯥꯔꯇꯀꯤ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯃꯔꯤꯒꯤ ꯃꯔꯛꯇꯥ ꯂꯩꯕꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯃꯔꯤꯒꯤ ꯀꯝꯕꯤꯅꯦꯁꯟ ꯑꯃꯅꯤ꯫ ꯃꯁꯤꯕꯨ ꯀꯣꯟꯖꯤꯅꯤꯑꯦꯜ ꯍꯥꯔꯠ ꯀꯟꯗꯤꯁꯟ ꯍꯥꯌꯅꯥꯁꯨ ꯀꯧꯏ꯫ ꯃꯁꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯅꯥ ꯃꯤꯔꯣꯜꯂꯤꯉꯩ ꯃꯇꯃꯗꯥ ꯍꯥꯔꯇꯀꯤ ꯗꯤꯚꯦꯂꯄꯃꯦꯟꯇꯒꯤ ꯃꯇꯃꯗꯥ ꯊꯣꯀꯄꯥ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯑꯃꯅꯤ꯫ ꯃꯁꯤꯅꯥ ꯑꯣꯛꯁꯤꯖꯦꯟ ꯌꯥꯝꯅꯥ ꯌꯥꯎꯕꯥ ꯏ (ꯔꯦꯗ ꯕ꯭ꯂꯗ) ꯑꯁꯤ ꯑꯣꯛꯁꯤꯖꯦꯟ ꯌꯥꯝꯅꯥ ꯌꯥꯎꯗꯕꯥ ꯏ (ꯕ꯭ꯂꯨ ꯕ꯭ꯂꯗ)ꯒꯥ ꯌꯥꯟꯁꯤꯟꯅꯍꯜꯂꯤ꯫ ꯃꯁꯤꯒꯤ ꯃꯤꯛꯁ ꯇꯧꯔꯕꯥ ꯏ ꯑꯁꯤ ꯃꯇꯨꯡꯗꯥ ꯍꯥꯔꯇꯅꯥ ꯍꯀꯆꯥꯡꯗꯥ ꯄꯝꯄ ꯇꯧꯏ꯫ ꯃꯁꯤꯒꯤ ꯃꯍꯩ ꯑꯣꯏꯅꯥ ꯍꯀꯆꯥꯡꯗꯥ ꯂꯩꯔꯤꯕꯥ ꯑꯣꯔꯒꯥꯅꯁꯤꯡꯗꯥ ꯑꯣꯛꯁꯤꯖꯦꯟ ꯃꯔꯥꯡ ꯀꯥꯌꯅꯥ ꯐꯪꯗꯦ꯫ ꯃꯦꯗꯤꯁꯤꯅꯗꯥ ꯑꯩꯈꯣꯌꯅꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤꯕꯨ ꯍꯥꯏꯄꯣꯛꯁꯦꯃꯤꯌꯥ ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ ꯃꯁꯤ ꯍꯦꯟꯅꯥ ꯈꯉꯅꯕꯒꯤꯗꯃꯛ, ꯍꯀꯆꯥꯡ ꯐꯕꯥ ꯊꯝꯃꯣꯌ ꯑꯃꯅꯥ ꯀꯔꯝꯅꯥ ꯊꯕꯛ ꯇꯧꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯁꯤ꯫

ꯍꯀꯆꯥꯡ ꯐꯕꯥ ꯊꯝꯃꯣꯌ ꯑꯃꯅꯥ ꯀꯔꯝꯅꯥ ꯊꯕꯛ ꯇꯧꯕꯒꯦ꯫

ꯑꯩꯈꯣꯌꯒꯤ ꯊꯝꯃꯣꯌ ꯑꯁꯤ ꯆꯦꯝꯕꯔ ꯃꯔꯤ ꯂꯩꯕꯥ ꯌꯨꯝ ꯑꯃꯒꯨꯝꯕꯅꯤ ꯍꯥꯌꯅꯥ ꯈꯅꯕꯤꯌꯨ꯫ ꯃꯊꯛꯀꯤ ꯐ꯭ꯂꯣꯔꯗꯥ ꯆꯦꯝꯕꯔ ꯑꯅꯤ (ꯑꯦꯠꯔꯤꯌꯥ) ꯑꯃꯁꯨꯡ ꯃꯈꯥ ꯊꯪꯕꯥ ꯐ꯭ꯂꯣꯔꯗꯥ (ꯚꯦꯟꯇꯤꯂꯦꯇꯔ) ꯑꯆꯧꯕꯥ ꯆꯦꯝꯕꯔ ꯑꯅꯤ ꯂꯩ꯫ ꯆꯦꯝꯕꯔꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯔꯛꯇꯥ ꯊꯣꯡꯁꯤꯡꯒꯨꯝꯅꯥ ꯚꯜꯌꯨꯁꯤꯡ ꯂꯩ꯫ ꯍꯥꯔꯇꯀꯤ ꯑꯔꯣꯏꯕꯥ ꯑꯃꯁꯨꯡ ꯑꯋꯥꯡ ꯊꯪꯕꯥ ꯁꯔꯨꯛ ꯑꯗꯨ ꯋꯥꯜ (septum) ꯑꯃꯅꯥ ꯇꯣꯈꯥꯌꯅꯥ ꯊꯝꯃꯤ꯫ 1. ꯔꯥꯏꯠ ꯁꯥꯏꯗ: ꯍꯀꯆꯥꯡꯒꯤ ꯑꯣꯛꯁꯤꯖꯦꯟ ꯌꯥꯝꯅꯥ ꯂꯩꯇꯕꯥ, ꯕ꯭ꯂꯨ ꯕ꯭ꯂꯗ ꯑꯁꯤ ꯁꯨꯄꯤꯔꯤꯌꯔ ꯚꯦꯅꯥ ꯀꯥꯚꯥ ꯑꯃꯁꯨꯡ ꯏꯅꯐꯦꯔꯤꯌꯔ ꯚꯦꯅꯥ ꯀꯥꯚꯥꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯔꯥꯏꯠ ꯑꯦꯠꯔꯤꯌꯥꯃꯗꯥ ꯆꯪꯏ꯫ 2. ꯃꯐꯃꯗꯨꯗꯒꯤ ꯏ ꯑꯗꯨ ꯚꯜꯌꯨ (tricuspid valve) ꯑꯃꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯔꯥꯏꯠ ꯚꯦꯟꯇꯤꯂꯦꯇꯔꯗꯥ ꯆꯦꯜꯂꯤ꯫ 3. ꯔꯥꯏꯠ ꯚꯦꯟꯇꯤꯂꯦꯇꯔꯗꯒꯤ, ꯕ꯭ꯂꯨ ꯕ꯭ꯂꯗ ꯑꯁꯤ ꯑꯇꯣꯞꯄꯥ ꯚꯜꯌꯨ (pulmonic valve) ꯑꯃꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯂꯪꯁꯇꯥ ꯆꯠꯂꯤꯕꯥ ꯃꯦꯟ ꯚꯦꯅꯝ (pulmonary artery)ꯗꯥ ꯄꯝꯄ ꯇꯧꯏ꯫ 4. ꯂꯪꯁꯀꯤ ꯃꯅꯨꯡꯗꯥ: ꯏ ꯑꯁꯤ ꯅꯧꯅꯥ ꯑꯣꯛꯁꯤꯖꯦꯟ ꯌꯥꯎꯕꯥ, ꯑꯁꯦꯡꯕꯥ ꯂꯥꯂꯍꯧꯒꯤ ꯏ ꯑꯣꯏꯔꯀꯏ꯫ 5. ꯂꯦꯡ-ꯑꯣꯠꯄꯒꯤ ꯃꯑꯣꯡ: ꯑꯣꯛꯁꯤꯖꯦꯟ ꯌꯥꯝꯅꯥ ꯌꯥꯎꯕꯥ ꯔꯦꯗ ꯕ꯭ꯂꯗ ꯑꯁꯤꯅꯥ ꯍꯥꯔꯇꯀꯤ ꯂꯦꯃꯍꯧꯔꯤꯕꯥ ꯑꯦꯠꯔꯤꯌꯥꯃꯗꯥ ꯍꯟꯖꯤꯜꯂꯀꯏ꯫ 6. ꯃꯐꯝ ꯑꯗꯨꯗꯒꯤ, ꯃꯁꯤꯅꯥ ꯚꯜꯌꯨ (ꯃꯥꯏꯠꯔꯜ ꯚꯜꯌꯨ) ꯑꯃꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯂꯦꯡ-ꯑꯣꯠꯄꯒꯤ ꯚꯦꯟꯇꯤꯂꯦꯇꯔꯗꯥ ꯆꯦꯜꯂꯤ꯫ 7. ꯑꯔꯣꯏꯕꯗꯥ, ꯂꯦꯡ-ꯑꯣꯠꯄꯒꯤ ꯚꯦꯟꯇꯤꯂꯦꯇꯔꯗꯒꯤ ꯂꯥꯀꯄꯥ ꯑꯁꯦꯡꯕꯥ ꯔꯦꯗ ꯕ꯭ꯂꯗ ꯑꯁꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯆꯥꯎꯕꯥ ꯑꯥꯔꯇꯦꯔꯤ (aorta)ꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯍꯀꯆꯥꯡ ꯄꯨꯝꯅꯃꯛꯇꯥ ꯄꯝꯄ ꯇꯧꯏ꯫ ꯃꯁꯤꯅꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯑꯣꯔꯒꯥꯅꯁꯤꯡꯅꯥ ꯍꯤꯡꯅꯕꯒꯤꯗꯃꯛ ꯃꯊꯧ ꯇꯥꯕꯥ ꯑꯣꯛꯁꯤꯖꯦꯟ ꯑꯗꯨ ꯃꯇꯧ ꯀꯔꯝꯅꯥ ꯐꯪꯕꯒꯦ ꯍꯥꯌꯕꯗꯨꯅꯤ꯫

ꯐꯦꯂꯣꯠꯀꯤ ꯇꯦꯠꯔꯥꯂꯣꯖꯤꯗꯥ ꯊꯣꯀꯄꯥ ꯑꯁꯣꯏꯕꯥ ꯃꯔꯤ (The "Tetralogy")

ꯇꯦꯠꯔꯥꯂꯣꯖꯤ ꯑꯣꯐ ꯐꯦꯂꯣꯠ ꯂꯩꯕꯥ ꯑꯉꯥꯡ ꯑꯃꯒꯤ ꯊꯝꯃꯣꯌꯗꯥ, ꯑꯩꯈꯣꯌꯅꯥ ꯈꯟꯅꯈꯤꯕꯥ ꯅꯣꯔꯃꯦꯜ ꯄ꯭ꯔꯣꯁꯦꯁ ꯑꯗꯨ ꯍꯣꯡꯗꯣꯀꯄꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯃꯔꯤ ꯂꯩ꯫

ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯀꯔꯤꯅꯥ ꯊꯣꯀꯍꯅꯕꯒꯦ?

ꯃꯁꯤꯒꯤ ꯑꯆꯨꯝꯕꯥ ꯃꯔꯝ ꯑꯁꯤ ꯍꯧꯖꯤꯛ ꯐꯥꯑꯣꯕꯥ ꯈꯉꯕꯥ ꯉꯃꯗ꯭ꯔꯤ꯫ ꯃꯁꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯅꯥ ꯃꯤꯔꯣꯜꯂꯤꯉꯩ ꯃꯇꯃꯗꯥ ꯍꯥꯔꯇꯀꯤ ꯁꯔꯨꯀꯁꯤꯡ ꯑꯗꯨ ꯇꯣꯏꯅꯥ ꯁꯦꯃꯒꯠꯂꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯊꯣꯀꯄꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯑꯃꯅꯤ꯫ ꯃꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯑꯁꯣꯌꯕꯥ ꯅꯠꯇꯦ, ꯅꯠꯠꯔꯒꯥ ꯃꯤꯔꯣꯜꯂꯤꯉꯩ ꯃꯇꯃꯗꯥ ꯇꯧꯈꯤꯕꯥ ꯊꯕꯛ ꯑꯃꯁꯨ ꯅꯠꯇꯦ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯃꯔꯥꯜ ꯂꯩꯖꯒꯅꯨ꯫

ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯗꯁꯨ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯂꯩꯕ꯭ꯔꯥ?

ꯇꯦꯠꯔꯥꯂꯣꯖꯤ ꯑꯣꯐ ꯐꯦꯂꯣꯠ ꯂꯩꯕꯥ ꯑꯉꯥꯡꯁꯤꯡ ꯑꯌꯥꯝꯕꯅꯥ ꯄꯨꯟꯁꯤꯒꯤ ꯑꯍꯥꯅꯕꯥ ꯆꯍꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯎꯕꯥ ꯐꯪꯏ꯫

• ꯕ꯭ꯂꯨꯅꯦꯁ (ꯁꯥꯏꯅꯣꯁꯤꯁ): 1.1.ꯃꯁꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯂꯥꯏꯑꯣꯡꯅꯤ꯫ ꯑꯉꯥꯡ ꯑꯗꯨꯒꯤ ꯃꯈꯣꯡ, ꯈꯣꯏꯍꯤ, ꯈꯣꯡ ꯑꯃꯁꯨꯡ ꯅꯥꯀꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯅꯤꯜ ꯅꯠꯠꯔꯒꯥ ꯃꯆꯨ ꯃꯆꯨꯒꯤ ꯃꯆꯨ ꯑꯃꯥ ꯂꯧꯏ꯫
• "ꯇꯦꯠ ꯁ꯭ꯄꯦꯂꯁ / ꯍꯥꯏꯄꯥꯔꯁꯥꯏꯅꯣꯁꯤꯁ": ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯋꯥꯐꯝ ꯑꯃꯅꯤ꯫ ꯑꯉꯥꯡ ꯑꯃꯅꯥ ꯀꯞꯄꯥ, ꯁꯉ꯭ꯒꯣꯝ ꯊꯀꯄꯥ, ꯇꯣꯏꯂꯦꯠꯇꯥ ꯆꯠꯅꯕꯥ ꯍꯣꯠꯅꯔꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯌꯨꯛ-ꯅꯨꯡꯊꯤꯂꯗꯥ ꯋꯥꯈꯜ ꯇꯥꯕꯥ ꯃꯇꯃꯗꯥ, ꯃꯈꯣꯌꯅꯥ ꯈꯪꯍꯧꯗꯅꯥ ꯑꯀꯅꯕꯥ ꯅꯤꯜ ꯃꯆꯨ ꯑꯃꯥ ꯑꯣꯟꯊꯣꯀꯄꯥ, ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ ꯑꯃꯁꯨꯡ ꯌꯥꯝꯅꯥ ꯋꯥꯅꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯃꯈꯣꯌ ꯃꯁꯥ ꯃꯊꯟꯇꯥ ꯋꯥꯈꯜ ꯇꯥꯗꯕꯥ ꯐꯥꯎꯕꯥ ꯌꯥꯏ꯫ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯃꯤꯅꯠ ꯈꯔꯗꯒꯤ ꯄꯨꯡ ꯀꯌꯥ ꯐꯥꯎꯕꯥ ꯂꯩꯕꯥ ꯌꯥꯏ꯫
• ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯗꯥ ꯋꯥꯕꯥ : ꯑꯉꯥꯡ ꯑꯗꯨ ꯊꯨꯅꯥ ꯌꯥꯡꯅꯥ ꯆꯦꯅꯁꯤꯜꯂꯀꯏ ꯑꯃꯁꯨꯡ ꯃꯇꯝ ꯈꯔꯒꯤ ꯑꯣꯏꯅꯥ ꯈꯣꯡꯅꯥ ꯆꯠꯄꯥ ꯑꯃꯁꯨꯡ ꯁꯥꯟꯅꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯇꯨꯝꯕꯥ ꯉꯃꯗꯦ꯫
• ꯀꯨꯄꯁꯤꯅꯕꯥ (squatting): ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯁꯣꯀꯄꯥ ꯑꯉꯥꯡ ꯑꯃꯅꯥ ꯁꯥꯟꯅꯕꯗꯒꯤ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯁꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯃꯈꯣꯌꯅꯥ ꯈꯪꯍꯧꯗꯅꯥ ꯃꯈꯣꯌꯒꯤ ꯈꯨꯎꯁꯤꯡ ꯑꯗꯨ ꯃꯈꯣꯌꯒꯤ ꯃꯀꯣꯀꯊꯣꯡꯕꯗꯥ ꯊꯤꯡꯖꯤꯟꯗꯨꯅꯥ ꯐꯃꯒꯅꯤ (squatting)꯫ ꯃꯁꯤꯅꯥ ꯈꯉꯍꯧꯗꯅꯥ ꯃꯈꯣꯌꯒꯤ ꯂꯪꯁꯇꯥ ꯆꯠꯂꯤꯕꯥ ꯏꯒꯤ ꯆꯥꯡ ꯍꯦꯅꯒꯠꯍꯜꯂꯤ, ꯃꯁꯤꯅꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯗꯥ ꯂꯥꯌꯍꯜꯂꯤ .
• ꯒ꯭ꯔꯣꯊ ꯐꯦꯜ ꯑꯣꯏꯕꯥ (growth failure): ꯑꯉꯥꯡ ꯑꯗꯨꯒꯤ ꯑꯔꯨꯝꯕꯥ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ , ꯒ꯭ꯔꯣꯊ ꯑꯃꯁꯨꯡ ꯗꯤꯚꯦꯂꯄꯃꯦꯟꯇ ꯑꯁꯤ ꯑꯇꯩ ꯑꯉꯥꯡꯁꯤꯡꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯇꯞꯅꯥ ꯂꯩꯕꯥ ꯌꯥꯏ꯫

ꯅꯍꯥꯛꯅꯥ ꯀꯗꯥꯏꯗꯥ ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯄꯥꯎꯇꯥꯛ ꯂꯧꯒꯗꯒꯦ?

ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯒꯤ ꯊꯥꯒꯤ ꯑꯣꯏꯕꯥ ꯀ꯭ꯂꯤꯅꯤꯛ ꯑꯗꯨ ꯊꯥꯗꯣꯛꯂꯣꯏꯗꯕꯅꯤ꯫ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨ ꯌꯦꯡꯁꯤꯅꯕꯥ ꯃꯇꯃꯗꯥ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ ꯑꯁꯤ ꯈꯪꯗꯣꯀꯄꯥ ꯉꯃꯒꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯍꯦꯛꯇꯥ ꯂꯩꯔꯕꯗꯤ, ꯈꯨꯗꯛꯇꯥ ꯗꯣꯛꯇꯔ ꯑꯃꯒꯥ ꯇꯥꯟꯅꯧ꯫

• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯉꯥꯡ ꯑꯗꯨꯒꯤ ꯈꯣꯡ ꯑꯃꯁꯨꯡ ꯃꯈꯣꯡ ꯑꯗꯨ ꯅꯤꯜ ꯑꯣꯏꯔꯕꯗꯤ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯗꯥ ꯑꯋꯥꯕꯥ ꯃꯥꯌꯣꯛꯅꯔꯕꯗꯤ .
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯈꯣꯝꯂꯥꯡ ꯄꯤꯊꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯀꯞꯄꯥ ꯃꯇꯃꯗꯥ ꯋꯥꯈꯜ ꯇꯥꯗꯕꯥ ꯑꯣꯏꯔꯕꯗꯤ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯒ꯭ꯔꯣꯊ ꯑꯗꯨ ꯂꯦꯡꯗꯅꯥ ꯂꯩꯔꯤ ꯍꯥꯌꯅꯥ ꯈꯜꯂꯕꯗꯤ꯫

ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯑꯦꯃꯔꯖꯦꯟꯁꯤꯁꯤꯡ ꯑꯁꯤ ꯊꯣꯛꯂꯕꯗꯤ, ꯃꯤꯑꯣꯏ ꯑꯗꯨꯕꯨ ꯈꯨꯗꯛꯇꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯅꯀꯄꯥ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯜ ꯏꯃꯔꯖꯦꯟꯁꯤ ꯗꯤꯄꯥꯔꯇꯃꯦꯟꯇ (ETU)ꯗꯥ ꯄꯨꯈꯠꯀꯗꯕꯅꯤ:

• ꯇꯦꯗ ꯁ꯭ꯄꯦꯜ ꯇꯧꯕꯥ꯫
• ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯌꯥꯝꯅꯥ ꯂꯨꯏ꯫
• ꯁꯤꯖ꯭ꯌꯨꯔꯁꯤꯡ (seizures) ꯂꯩꯕꯥ꯫
• ꯃꯁꯥ ꯃꯊꯟꯇꯥ ꯋꯥꯈꯜ ꯇꯥꯗꯕꯥ꯫
• ꯌꯥꯝꯅꯥ ꯋꯥꯅꯥ ꯋꯥꯈꯜ ꯇꯥꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯋꯥꯈꯜ ꯇꯥꯗꯕꯥ꯫

ꯂꯥꯌꯅꯥ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯈꯪꯗꯣꯀꯄꯒꯦ? (ꯇꯦꯁ꯭ꯠ ꯑꯃꯁꯨꯡ ꯗꯥꯏꯒ꯭ꯅꯣꯁꯤꯁ)

ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯑꯉꯥꯡ ꯑꯗꯨꯕꯨ ꯌꯦꯡꯁꯤꯅꯒꯅꯤ, ꯍꯥꯔꯇꯀꯤ ꯈꯣꯟꯖꯦꯜ ꯇꯥꯒꯅꯤ ꯑꯃꯁꯨꯡ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯆꯤꯡꯅꯕꯥ ꯂꯩꯔꯕꯗꯤ ꯅꯍꯥꯀꯄꯨ ꯇꯦꯁ꯭ꯠ ꯀꯌꯥꯒꯤꯗꯃꯛ ꯔꯤꯐꯔ ꯇꯧꯒꯅꯤ꯫

• ꯆꯦꯁ꯭ꯠ ꯑꯦꯛꯁ-ꯔꯦ: ꯃꯁꯤꯅꯥ ꯍꯥꯔꯇꯀꯤ ꯃꯑꯣꯡ-ꯃꯇꯧ ꯑꯗꯨ ꯌꯦꯡꯏ꯫ ꯇꯦꯠꯔꯥꯂꯣꯖꯤ ꯑꯣꯐ ꯐꯦꯂꯣꯇꯇꯥ, ꯍꯥꯔꯠ ꯑꯁꯤ "ꯕꯨꯠ-ꯁꯦꯞ" ꯑꯣꯏꯅꯥ ꯎꯕꯥ ꯐꯪꯏ ꯃꯔꯃꯗꯤ ꯔꯥꯏꯠ ꯚꯦꯟꯇꯤꯂꯦꯇꯔ ꯑꯁꯤ ꯍꯦꯟꯅꯥ ꯆꯥꯎꯈꯠꯂꯀꯏ꯫
• ꯏꯂꯦꯛꯠꯔꯣꯀꯥꯔꯗꯤꯑꯣꯒ꯭ꯔꯥꯐ ( ECG ): ꯍꯥꯔꯇꯀꯤ ꯏꯂꯦꯛꯠꯔꯤꯀꯦꯜ ꯑꯦꯛꯇꯤꯚꯤꯇꯤ ꯑꯗꯨ ꯌꯦꯡꯁꯤꯜꯂꯤꯕꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯂꯩꯇꯕꯥ ꯇꯦꯁ꯭ꯠ ꯑꯃꯅꯤ꯫
• ꯏꯀꯣꯀꯥꯔꯗꯤꯑꯣꯒ꯭ꯔꯥꯐ (ꯏꯀꯣ):ꯃꯁꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯑꯃꯁꯨꯡ ꯑꯆꯨꯝꯕꯥ ꯇꯦꯁ꯭ꯇꯅꯤ꯫ ꯃꯁꯤ ꯁ꯭ꯀꯦꯟ ꯑꯃꯒꯨꯝꯕꯅꯤ꯫ ꯃꯁꯤꯅꯥ ꯊꯝꯃꯣꯌꯗꯥ ꯂꯩꯔꯤꯕꯥ ꯄꯨꯝꯅꯃꯛ, ꯍꯥꯌꯕꯗꯤ ꯆꯦꯝꯕꯔ, ꯚꯜꯌꯨ, ꯍꯣꯂꯁꯤꯡ ( VSD ), ꯑꯃꯁꯨꯡ ꯅꯦꯔꯣꯌꯤꯡ (PS) ꯑꯁꯤꯅꯆꯤꯡꯕꯥ ꯃꯌꯦꯛ ꯁꯦꯡꯅꯥ ꯎꯕꯥ ꯉꯝꯃꯤ꯫
• ꯀꯥꯔꯗꯤꯌꯦꯛ ꯀꯦꯇꯦꯒꯣꯔꯤ: ꯀꯦꯁ ꯈꯔꯗꯗꯤ, ꯇꯦꯁ꯭ꯠ ꯑꯁꯤ ꯁꯔꯖꯔꯤꯒꯤ ꯃꯃꯥꯡꯗꯥ ꯍꯥꯔꯠ ꯄ꯭ꯔꯦꯁꯔ ꯑꯃꯁꯨꯡ ꯑꯣꯛꯁꯤꯖꯦꯅꯒꯤ ꯆꯥꯡ ꯌꯦꯡꯁꯤꯟꯅꯕꯥ, ꯑꯃꯁꯨꯡ ꯚꯦꯅꯃꯁꯤꯡꯒꯤ ꯁ꯭ꯠꯔꯀꯆꯔ ꯑꯗꯨ ꯀꯨꯞꯅꯥ ꯌꯦꯡꯁꯤꯟꯅꯕꯥ ꯇꯧꯏ꯫ ꯇꯦꯁ꯭ꯠ ꯑꯁꯤꯗꯥ, ꯑꯄꯤꯀꯄꯥ ꯇꯤꯎꯕ ꯑꯃꯥ ꯒ꯭ꯔꯨꯏꯅꯗꯥ ꯂꯩꯕꯥ ꯚꯦꯅꯝ ꯑꯃꯗꯒꯤ ꯍꯥꯔꯇꯇꯥ ꯄꯥꯁ ꯇꯧꯏ꯫

ꯂꯥꯏꯌꯦꯡꯕꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?

ꯇꯦꯠꯔꯥꯂꯣꯖꯤ ꯑꯣꯐ ꯐꯦꯂꯣꯠꯀꯤ ꯑꯃꯠꯇꯥ ꯉꯥꯏꯔꯕꯥ ꯄꯔꯃꯦꯅꯦꯟꯇ ꯂꯥꯏꯌꯦꯡꯗꯤ ꯁꯔꯖꯔꯤꯅꯤ .

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ "ꯇꯦꯠ ꯁ꯭ꯄꯦꯜ" ꯑꯃꯥ ꯐꯪꯂꯕꯗꯤ ꯅꯍꯥꯛꯅꯥ ꯀꯔꯤ ꯇꯧꯒꯅꯤ?

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨ ꯈꯪꯍꯧꯗꯅꯥ ꯌꯥꯝꯅꯥ ꯂꯨꯕꯥ ꯑꯣꯏꯔꯕꯗꯤ, ꯅꯤꯡꯊꯤꯅꯥ ꯂꯩꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ . 1. ꯑꯉꯥꯡ ꯑꯗꯨꯕꯨ ꯃꯍꯥꯛꯀꯤ ꯃꯀꯣꯀꯊꯣꯡꯕꯗꯥ ꯊꯝꯃꯨ, ꯈꯨꯎꯁꯤꯡ ꯑꯗꯨ ꯆꯦꯛꯁꯤꯟꯅꯥ ꯊꯝꯃꯨ (ꯈꯨꯎꯗꯒꯤ ꯈꯣꯡꯗꯥ ꯄꯣꯖꯤꯁꯟ) . 2. ꯑꯉꯥꯡ ꯑꯗꯨꯕꯨ ꯈꯨꯗꯛꯇꯥ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯂꯗꯥ ꯄꯨꯈꯠꯄꯥ꯫ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯂꯗꯥ ꯑꯉꯥꯡ ꯑꯗꯨꯗꯥ ꯑꯣꯛꯁꯤꯖꯦꯟ ꯑꯃꯁꯨꯡ ꯄ꯭ꯔꯣꯞꯔꯥꯅꯣꯂꯣꯂꯒꯨꯝꯕꯥ ꯍꯤꯗꯥꯀꯁꯤꯡ ꯄꯤꯗꯨꯅꯥ "ꯇꯦꯠ ꯁ꯭ꯄꯦꯜ" ꯀꯟꯠꯔꯣꯜ ꯇꯧꯒꯅꯤ꯫

ꯂꯦꯟꯕ

ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯝ ꯑꯁꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯗꯨꯒꯤ ꯃꯈꯥ ꯄꯣꯜꯂꯤ꯫ ꯃꯍꯧꯁꯥꯅꯥ ꯁꯔꯖꯔꯤ ꯑꯁꯤ ꯄꯨꯟꯁꯤꯒꯤ ꯑꯍꯥꯅꯕꯥ ꯆꯍꯤ ꯑꯅꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯄꯥꯡꯊꯣꯀꯏ꯫

• ꯄꯦꯂꯤꯑꯣꯇꯤꯛ ꯁꯔꯖꯔꯤ (Blalock-Taussig shant): ꯑꯉꯥꯡ ꯈꯔꯗꯤ ꯌꯥꯝꯅꯥ ꯄꯤꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯁꯣꯟꯊꯕꯥ ꯑꯃꯁꯨꯡ ꯃꯄꯨꯡꯐꯥꯕꯥ ꯁꯔꯖꯔꯤ ꯑꯗꯨ ꯊꯦꯡꯅꯕꯥ ꯉꯃꯗꯕꯥ ꯌꯥꯏ꯫ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯀꯦꯁꯁꯤꯡ ꯑꯁꯤꯗꯥ, ꯍꯀꯆꯥꯡꯗꯥ ꯂꯩꯕꯥ ꯑꯥꯔꯇꯦꯔꯤ ꯑꯃꯒꯥ ꯂꯪꯁꯇꯥ ꯂꯩꯕꯥ ꯑꯥꯔꯇꯦꯔꯤ ꯑꯃꯒꯥ ꯃꯔꯛꯇꯥ ꯑꯄꯤꯀꯄꯥ ꯇꯤꯎꯕꯒꯨꯝꯕꯥ ꯀꯅꯦꯛꯁꯟ ꯑꯃꯥ ꯁꯦꯃꯗꯨꯅꯥ ꯂꯪꯁꯇꯥ ꯆꯠꯂꯤꯕꯥ ꯏꯒꯤ ꯆꯥꯡ ꯍꯦꯅꯒꯠꯍꯜꯂꯤ꯫ ꯃꯁꯤꯅꯥ ꯑꯉꯥꯡ ꯑꯗꯨꯕꯨ ꯈꯔꯥ ꯍꯦꯟꯅꯥ ꯆꯥꯎꯈꯠꯄꯥ ꯑꯃꯁꯨꯡ ꯃꯄꯥꯉ꯭ꯒꯜ ꯀꯅꯈꯠꯍꯅꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫
• ꯇꯣꯇꯦꯜ ꯀꯣꯔꯦꯛꯇꯤꯚ ꯁꯔꯖꯔꯤ: ꯃꯁꯤꯗꯥ, ꯍꯥꯔꯇꯀꯤ ꯃꯅꯨꯡꯗꯥ ꯂꯩꯕꯥ ꯍꯣꯜ (VSD) ꯑꯗꯨ ꯄꯦꯠ ꯑꯃꯅꯥ ꯊꯤꯡꯖꯤꯜꯂꯤ, ꯑꯃꯁꯨꯡ ꯂꯪꯁꯇꯥ ꯆꯠꯂꯤꯕꯥ ꯂꯝꯕꯤ (PS) ꯑꯗꯨ ꯄꯥꯀꯊꯣꯛ-ꯆꯥꯎꯊꯣꯀꯍꯜꯂꯤ꯫ ꯁꯔꯖꯔꯤ ꯑꯁꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯍꯥꯔꯇꯇꯥ ꯏꯒꯤ ꯈꯣꯡꯖꯦꯜ ꯑꯁꯤ ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯅꯥ ꯍꯟꯖꯤꯜꯂꯀꯏ꯫

ꯉꯁꯤ ꯃꯦꯗꯤꯀꯦꯜ ꯇꯦꯛꯅꯣꯂꯣꯖꯤꯒꯤ ꯆꯥꯎꯈꯠꯂꯀꯄꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯃꯁꯤꯒꯤ ꯁꯔꯖꯔꯤ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯥꯌ ꯄꯥꯛꯂꯦ꯫

ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ...

ꯃꯥꯌꯄꯥꯛꯅꯥ ꯁꯔꯖꯔꯤ ꯇꯧꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ, ꯑꯉꯥꯡ ꯑꯌꯥꯝꯕꯅꯥ ꯂꯥꯏꯑꯣꯡ ꯅꯠꯠꯔꯒꯥ ꯂꯤꯃꯤꯇꯦꯁꯟ ꯑꯃꯠꯇꯥ ꯂꯩꯇꯅꯥ ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯕꯥ ꯄꯨꯟꯁꯤ ꯑꯃꯥ ꯍꯤꯡꯕꯥ ꯉꯝꯃꯤ꯫ ꯃꯈꯣꯌꯅꯥ ꯁ꯭ꯀꯨꯂꯗꯥ ꯆꯠꯄꯥ, ꯁꯥꯟꯅ-ꯈꯣꯠꯅꯕꯥ, ꯇꯨꯡꯗꯥ ꯊꯕꯛ ꯇꯧꯕꯥ ꯑꯃꯁꯨꯡ ꯂꯨꯍꯣꯡꯕꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯨꯡꯗꯁꯨ ꯃꯈꯣꯌꯒꯤ ꯄꯨꯟꯁꯤ ꯆꯨꯞꯄꯥ ꯗꯣꯛꯇꯔ ꯑꯃꯒꯥ ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯐꯣꯂꯣ-ꯑꯞ ꯇꯧꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯍꯥꯔꯇꯀꯤ ꯔꯤꯗꯃꯗꯥ ꯑꯍꯣꯡꯕꯥ ꯂꯥꯀꯄꯥ (arrhythmias) ꯊꯣꯀꯄꯥ ꯌꯥꯏ, ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯆꯦꯛ-ꯑꯞ ꯇꯧꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫ ꯐꯦꯂꯣꯠꯀꯤ ꯇꯦꯠꯔꯥꯂꯣꯖꯤ, ꯍꯥꯔꯠ ꯗꯤꯖꯤꯖ, ꯄꯦꯗꯤꯑꯦꯠꯔꯤꯛꯁ, ꯕ꯭ꯂꯨ ꯕꯦꯕꯤ, ꯁꯥꯏꯅꯣꯁꯤꯁ, ꯇꯦꯠ ꯁ꯭ꯄꯦꯜ, ꯄꯣꯀꯄꯗꯥ ꯉꯥꯏꯔꯤꯕꯥ ꯑꯉꯥꯡꯁꯤꯡ, ꯀꯣꯟꯖꯤꯅꯤꯑꯦꯜ ꯍꯥꯔꯇꯀꯤ ꯑꯁꯣꯛ-ꯑꯄꯟ, ꯍꯥꯔꯇꯇꯥ ꯍꯨꯔꯥꯅꯕꯥ, ꯚꯤ.ꯑꯦꯁ.ꯗꯤ