ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨ ꯄꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ ꯐꯥꯎꯕ꯭ꯔꯥ? ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯈꯣꯡꯎꯞ ꯑꯗꯨ ꯅꯤꯡꯊꯤꯅꯥ ꯎꯕꯥ ꯐꯪꯂꯕ꯭ꯔꯥ? ꯑꯁꯤꯒꯨꯝꯕꯥ ꯋꯥꯐꯝ ꯑꯃꯥ ꯎꯕꯗꯥ ꯌꯥꯝꯅꯥ ꯋꯥꯅꯥ ꯊꯣꯀꯄꯥ ꯍꯥꯌꯕꯁꯤ ꯅꯣꯔꯃꯦꯂꯅꯤ꯫ ꯉꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯎꯕꯥ ꯐꯪꯂꯤꯕꯥ ꯀꯣꯟꯖꯤꯅꯤꯑꯦꯜ ꯍꯥꯔꯠ ꯗꯤꯖꯤꯖ ꯑꯃꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯔꯤ꯫ ꯃꯁꯤꯕꯨ ꯇꯤ.ꯑꯦ.ꯄꯤ.ꯚꯤ.ꯑꯥꯔ.(ꯇꯣꯇꯦꯜ ꯑꯦꯅꯣꯃꯦꯂꯁ ꯄꯂꯃꯣꯅꯥꯔꯤ ꯚꯦꯅꯁ ꯔꯤꯇꯔꯟ) ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ ꯃꯃꯤꯡ ꯑꯁꯤ ꯈꯔꯥ ꯍꯦꯟꯅꯥ ꯂꯨꯝꯂꯕꯁꯨ, ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯂꯧꯁꯤ꯫
TAPVR ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ? ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ...
ꯈꯟꯊꯕꯤꯌꯨ, ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯅꯥ ꯂꯪꯁꯇꯒꯤ ꯑꯣꯛꯁꯤꯖꯦꯟ ꯐꯪꯏ, ꯅꯠꯇꯦ? ꯑꯗꯨꯅꯥ, ꯂꯪꯁꯁꯤꯡ ꯑꯁꯤꯗꯒꯤ ꯑꯣꯛꯁꯤꯖꯦꯟ ꯌꯥꯎꯕꯥ ꯏ (ꯃꯁꯤꯕꯨ "ꯑꯐꯕꯥ ꯏ" ꯍꯥꯌꯅꯥ ꯀꯧꯔꯁꯤ) ꯑꯁꯤ ꯏꯒꯤ ꯈꯣꯡꯖꯦꯜ ꯃꯈꯜ ꯑꯃꯥ ꯑꯣꯏꯔꯤꯕꯥ ꯚꯦꯅꯃꯁꯤꯡꯅꯥ ꯍꯥꯔꯇꯇꯥ ꯄꯨꯔꯀꯏ꯫ ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯅꯥ, "ꯑꯐꯕꯥ ꯏ" ꯑꯁꯤ ꯍꯥꯔꯇꯀꯤ ꯂꯦꯡ-ꯑꯣꯠꯄꯗꯥ ꯂꯩꯕꯥ ꯂꯦꯡ-ꯑꯣꯠꯄꯗꯥ ꯂꯥꯛꯀꯗꯕꯅꯤ꯫ ꯃꯐꯝ ꯑꯗꯨꯗꯒꯤ ꯏ ꯄꯝꯄ ꯇꯧꯗꯨꯅꯥ ꯍꯀꯆꯥꯡ ꯄꯨꯝꯕꯗꯥ ꯑꯣꯛꯁꯤꯖꯦꯟ ꯄꯤ꯫
ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯇꯤ.ꯑꯦ.ꯄꯤ.ꯚꯤ.ꯑꯥꯔ . ꯔꯥꯏꯠ ꯑꯦꯠꯔꯤꯌꯥꯝ ꯑꯁꯤꯅꯥ ꯃꯍꯧꯁꯥꯅꯥ ꯍꯀꯆꯥꯡꯅꯥ ꯁꯤꯖꯤꯟꯅꯔꯕꯥ "ꯐꯠꯇꯕꯥ ꯏ" ꯑꯃꯥ ꯐꯪꯏ, ꯃꯗꯨꯗꯥ ꯑꯣꯛꯁꯤꯖꯦꯟ ꯌꯥꯝꯅꯥ ꯌꯥꯎꯗꯦ꯫ ꯍꯧꯖꯤꯛꯇꯤ ꯑꯣꯛꯁꯤꯖꯦꯟꯅꯥ ꯊꯜꯂꯕꯥ "ꯑꯐꯕꯥ ꯏ" ꯑꯁꯤ "ꯐꯠꯇꯕꯥ ꯏ" ꯑꯁꯤꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯌꯥꯑꯣꯔꯦ꯫ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯀꯔꯤ ꯑꯣꯏꯒꯅꯤ? ꯍꯀꯆꯥꯡ ꯄꯨꯝꯕꯗꯥ ꯆꯠꯀꯗꯕꯥ ꯏꯗꯥ ꯂꯩꯔꯤꯕꯥ ꯑꯣꯛꯁꯤꯖꯦꯅꯒꯤ ꯆꯥꯡ ꯍꯟꯊꯔꯀꯏ꯫ ꯃꯁꯤ ꯑꯉꯥꯡ ꯑꯃꯒꯤ ꯌꯥꯝꯅꯥ ꯈꯨꯗꯣꯡꯊꯤꯅꯤꯉꯥꯏ ꯑꯣꯏꯕꯥ ꯑꯃꯁꯨꯡ ꯄꯨꯟꯁꯤ ꯃꯥꯡꯍꯅꯕꯥ ꯌꯥꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫ ꯃꯁꯤ ꯀꯣꯟꯖꯤꯅꯤꯑꯦꯜ ꯍꯥꯔꯇꯀꯤ ꯂꯥꯌꯅꯥ ꯑꯃꯅꯤ꯫
TAPVR ꯂꯩꯕꯥ ꯑꯉꯥꯡ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯄꯨꯝꯅꯃꯛꯇꯥ ꯃꯈꯣꯌꯒꯤ ꯍꯥꯔꯇꯀꯤ ꯆꯦꯝꯕꯔ ꯑꯅꯤ, ꯔꯥꯏꯠ ꯑꯦꯠꯔꯤꯌꯥꯝ ꯑꯃꯁꯨꯡ ꯂꯦꯡ-ꯑꯣꯠꯄꯒꯤ ꯃꯔꯛꯇꯥ ꯑꯄꯤꯀꯄꯥ ꯍꯣꯜ (Atrial Septal Defect - ASD) ꯑꯃꯥ ꯂꯩ꯫ ꯃꯁꯤꯒꯤ ꯍꯣꯜ ꯑꯁꯤꯅꯥ ꯑꯣꯛꯁꯤꯖꯦꯟ ꯌꯥꯎꯕꯥ ꯏ ꯈꯔꯗꯤ ꯍꯥꯔꯇꯀꯤ ꯂꯦꯃꯍꯧꯔꯤꯕꯥ ꯁꯔꯨꯛ ꯑꯗꯨꯗꯥ ꯑꯃꯁꯨꯡ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯍꯀꯆꯥꯡꯒꯤ ꯑꯇꯩ ꯃꯐꯃꯁꯤꯡꯗꯥ ꯆꯦꯅꯕꯥ ꯌꯥꯍꯜꯂꯤ꯫ ꯅꯠꯔꯕꯗꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯍꯦꯟꯅꯥ ꯐꯠꯇꯕꯥ ꯑꯣꯏꯔꯝꯕꯥ ꯌꯥꯏ꯫
ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯋꯥꯐꯃꯗꯤ ꯇꯤ.ꯑꯦ.ꯄꯤ.ꯚꯤ.ꯑꯥꯔ.ꯅꯥ ꯅꯥꯕꯥ ꯑꯉꯥꯡꯁꯤꯡꯗꯥ ꯁꯣꯌꯗꯅꯥ ꯁꯔꯖꯔꯤ ꯇꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯁꯔꯖꯔꯤ ꯑꯗꯨ ꯇꯣꯌꯅꯥ ꯇꯧꯔꯕꯗꯤ, ꯑꯉꯥꯡ ꯑꯌꯥꯝꯕꯅꯥ ꯃꯄꯨꯡ-ꯃꯔꯩ ꯐꯥꯔꯕꯥ ꯃꯇꯝ ꯐꯥꯎꯕꯗꯥ ꯍꯀꯁꯦꯜ ꯐꯕꯥ ꯄꯨꯟꯁꯤ ꯑꯃꯥ ꯍꯤꯡꯕꯥ ꯉꯝꯃꯤ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯇꯨꯡꯗꯥ ꯄꯨꯟꯁꯤꯗꯥ ꯚꯦꯅꯃꯁꯤꯡ ꯁꯣꯟꯊꯔꯀꯄꯒꯨꯝꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ ꯑꯁꯤ ꯃꯈꯥ ꯇꯥꯅꯥ ꯁꯔꯖꯔꯤ ꯅꯠꯠꯔꯒꯥ ꯑꯇꯩ ꯂꯥꯏꯌꯦꯡꯁꯤꯡ ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯏ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯇꯤ.ꯑꯦ.ꯄꯤ.ꯚꯤ.ꯑꯥꯔ.ꯒꯤ ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯨꯡꯗꯁꯨ ꯅꯍꯥꯛꯀꯤ ꯄꯨꯟꯁꯤ ꯆꯨꯞꯄꯥ ꯀꯥꯔꯗꯤꯑꯣꯂꯣꯖꯤꯁ꯭ꯠ ꯑꯃꯅꯥ ꯌꯦꯡꯁꯤꯅꯕꯥ ꯃꯊꯧ ꯇꯥꯒꯅꯤ꯫
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤꯕꯨ TAPVC (Total Anomalous Pulmonary Venous Connection) ꯍꯥꯌꯅꯥꯁꯨ ꯀꯧꯏ꯫ ꯑꯅꯤꯃꯛ ꯑꯁꯤ ꯆꯞ ꯃꯥꯟꯅꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫
ꯇꯤ.ꯑꯦ.ꯄꯤ.ꯚꯤ.ꯑꯥꯔ.ꯒꯤ ꯇꯣꯉꯥꯟ ꯇꯣꯉꯥꯅꯕꯥ ꯃꯈꯂꯁꯤꯡ ꯂꯩꯕꯔꯥ?
ꯍꯣꯌ, ꯇꯤ.ꯑꯦ.ꯄꯤ.ꯚꯤ.ꯑꯥꯔ.ꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯈꯜ ꯀꯌꯥ ꯑꯃꯥ ꯂꯩ꯫ ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯂꯪꯁꯇꯒꯤ ꯂꯥꯀꯄꯥ "ꯑꯐꯕꯥ ꯏ" ꯑꯁꯤ ꯃꯇꯧ ꯀꯔꯝꯅꯥ ꯑꯆꯨꯝꯕꯥ ꯑꯦꯠꯔꯤꯌꯥꯃꯗꯥ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯁꯝꯅꯍꯅꯕꯒꯦ ꯍꯥꯌꯕꯒꯤ ꯃꯇꯨꯡ ꯏꯟꯅꯥ ꯀ꯭ꯂꯥꯁꯤꯐꯥꯏ ꯇꯧꯏ꯫
- ꯁꯨꯞꯔꯥꯀꯥꯔꯗꯤꯌꯦꯛ TAPVR: ꯃꯁꯤꯗꯥ, ꯄꯂꯃꯣꯅꯥꯔꯤ ꯚꯦꯅꯃꯁꯤꯡ ꯑꯁꯤ ꯍꯥꯔꯇꯀꯤ ꯃꯊꯛꯇꯥ ꯂꯩꯕꯥ ꯑꯆꯧꯕꯥ ꯚꯦꯅꯝ ꯑꯃꯒꯥ ꯁꯝꯅꯩ ꯑꯃꯁꯨꯡ ꯁꯝꯅꯍꯜꯂꯤ ( ꯃꯁꯤꯕꯨ ꯁꯨꯄꯔꯤꯌꯔ ꯚꯦꯅꯥ ꯀꯥꯚꯥ ꯍꯥꯌꯅꯥ ꯀꯧꯏ, ꯃꯁꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯃꯊꯛ ꯊꯪꯕꯥ ꯁꯔꯨꯀꯁꯤꯡꯗꯒꯤ ꯍꯥꯔꯇꯀꯤ ꯑꯔꯣꯏꯕꯥ ꯃꯐꯃꯗꯥ ꯏ ꯄꯨꯕꯥ ꯑꯆꯧꯕꯥ ꯚꯦꯅꯝ ꯑꯃꯅꯤ)꯫
- ꯀꯥꯔꯗꯤꯌꯦꯛ TAPVR: ꯃꯐꯃꯁꯤꯗꯥ, ꯄꯂꯃꯣꯅꯥꯔꯤ ꯚꯦꯅꯃꯁꯤꯡ ꯑꯁꯤ ꯍꯥꯔꯇꯀꯤ ꯑꯔꯣꯏꯕꯥ ꯃꯐꯃꯗꯥ ꯂꯩꯕꯥ ꯀꯣꯔꯣꯅꯥꯔꯤ ꯁꯥꯏꯅꯣꯁꯇꯥ ꯍꯀꯊꯦꯡꯅꯅꯥ ꯆꯦꯜꯂꯤ꯫ꯀꯅꯦꯛꯇ ꯇꯧꯏ꯫ ꯃꯁꯤꯒꯤ ꯀꯣꯔꯣꯅꯥꯔꯤ ꯑꯥꯔꯇꯦꯔꯤ ꯑꯁꯤ ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯅꯥ ꯍꯥꯔꯇꯀꯤ ꯃꯁꯂꯗꯒꯤ ꯑꯣꯛꯁꯤꯖꯦꯟ ꯌꯥꯎꯗꯕꯥ ꯏ ꯈꯣꯃꯖꯤꯅꯕꯥ ꯃꯐꯝ ꯑꯃꯅꯤ꯫
- ꯏꯅꯐ꯭ꯔꯥꯀꯥꯔꯗꯤꯌꯦꯛ TAPVR: ꯃꯈꯜ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ, ꯄꯂꯃꯣꯅꯥꯔꯤ ꯚꯦꯅꯝ ꯑꯁꯤ ꯍꯥꯔꯇꯀꯤ ꯃꯈꯥꯗꯥ, ꯂꯤꯚꯔꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯆꯦꯜꯂꯤ ꯑꯃꯁꯨꯡ ꯍꯀꯆꯥꯡꯒꯤ ꯃꯈꯥ ꯊꯪꯕꯥ ꯁꯔꯨꯀꯁꯤꯡꯗꯒꯤ ꯍꯥꯔꯇꯀꯤ ꯑꯔꯣꯏꯕꯥ ꯃꯐꯃꯗꯥ ꯏ ꯄꯨꯕꯥ ꯑꯆꯧꯕꯥ ꯚꯦꯅꯝ ( inferior vena cava ) ꯑꯃꯒꯥ ꯁꯝꯅꯩ꯫
- ꯃꯤꯛꯁ ꯇꯧꯔꯕꯥ ꯇꯤ.ꯑꯦ.ꯄꯤ.ꯚꯤ.ꯑꯥꯔ.: ꯃꯁꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯌꯥꯝꯅꯥ ꯊꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯔꯤꯄꯦꯌꯥꯔ ꯇꯧꯕꯗꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯂꯨꯕꯥ ꯃꯈꯂꯅꯤ꯫ ꯃꯐꯝ ꯑꯁꯤꯗꯥ, ꯃꯊꯛꯇꯥ ꯄꯅꯈ꯭ꯔꯤꯕꯥ ꯃꯈꯜ ꯑꯃꯒꯤ ꯅꯠꯠꯔꯒꯥ ꯑꯃꯗꯒꯤ ꯍꯦꯅꯕꯥ ꯀꯝꯕꯤꯅꯦꯁꯟ ꯑꯃꯗꯥ, ꯂꯪꯁꯇꯒꯤ ꯂꯥꯀꯄꯥ ꯚꯦꯅꯝ ꯑꯃꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯁꯝꯅꯕꯥ ꯌꯥꯏ꯫
ꯃꯁꯤꯒꯤ ꯀ꯭ꯂꯥꯁꯤꯐꯤꯀꯦꯁꯟ ꯑꯁꯤ ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯁꯔꯖꯔꯤꯒꯤ ꯊꯧꯔꯥꯡ ꯇꯧꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯂꯥꯌꯦꯡꯕꯒꯤ ꯄꯥꯝꯕꯩꯁꯤꯡ ꯂꯦꯄꯊꯣꯀꯄꯗꯥ ꯃꯔꯨ ꯑꯣꯏ꯫
TAPVR ꯑꯁꯤ ꯀꯌꯥ ꯌꯥꯝꯅꯥ ꯀꯃꯟ ꯑꯣꯏꯕꯒꯦ?
ꯇꯤ.ꯑꯦ.ꯄꯤ.ꯚꯤ.ꯑꯥꯔ.ꯅꯥ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯊꯣꯀꯄꯥ ꯍꯥꯔꯇꯀꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫ ꯑꯃꯦꯔꯤꯀꯥꯒꯨꯝꯕꯥ ꯂꯩꯕꯥꯛ ꯑꯃꯗꯁꯨ, ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤꯅꯥ ꯅꯧꯅꯥ ꯄꯣꯀꯄꯥ ꯑꯉꯥꯡ 7,500ꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯈꯛꯇꯗꯥ ꯁꯣꯀꯍꯜꯂꯤ꯫ ꯃꯁꯤ ꯁ꯭ꯔꯤꯂꯉ꯭ꯀꯥꯗꯁꯨ ꯌꯥꯝꯅꯥ ꯊꯦꯡꯅꯩ꯫
ꯇꯤ.ꯑꯦ.ꯄꯤ.ꯚꯤ.ꯑꯥꯔ.ꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯤꯅꯣ?
TAPVRꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯃꯍꯧꯁꯥꯅꯥ ꯄꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯎꯕꯥ ꯐꯪꯏ , ꯃꯔꯨꯑꯣꯏꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯈꯣꯌꯅꯥ ꯍꯥꯔꯇꯀꯥ ꯁꯝꯅꯔꯤꯕꯥ ꯄꯂꯃꯣꯅꯥꯔꯤ ꯚꯦꯅꯃꯁꯤꯡ ꯑꯗꯨ ꯀꯨꯄꯁꯤꯅꯕꯥ ꯂꯩꯔꯕꯗꯤ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯑꯉꯥꯡ ꯈꯔꯗꯤ ꯅꯨꯃꯤꯠ ꯀꯌꯥꯅꯤ ꯂꯥꯏꯑꯣꯡ ꯎꯠꯇꯕꯥ ꯌꯥꯏ꯫
ꯃꯔꯨꯑꯣꯏꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡꯗꯤ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯁꯤꯡꯁꯤꯅꯤ:
- ꯁꯥꯏꯅꯣꯁꯤꯁ (Syanosis): ꯈꯣꯡ, ꯅꯥꯀꯣꯡ ꯑꯃꯁꯨꯡ ꯊꯕꯥꯛ (ꯑꯀꯪꯕꯥ ꯈꯣꯡꯎꯞ ꯂꯩꯕꯥ ꯑꯉꯥꯡꯁꯤꯡꯗꯥ) ꯃꯆꯨ ꯁꯪꯂꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯁꯪꯕꯥ ꯃꯆꯨꯒꯤ ꯃꯑꯣꯡ-ꯃꯇꯧ ꯑꯃꯥ ꯊꯣꯀꯄꯥ꯫ ꯃꯁꯤ ꯏꯗꯥ ꯑꯣꯛꯁꯤꯖꯦꯟ ꯋꯥꯠꯄꯅꯥ ꯊꯣꯀꯍꯅꯕꯅꯤ꯫
- ꯈꯣꯝꯂꯥꯡ ꯄꯤꯊꯀꯄꯗꯥ ꯈꯨꯗꯣꯡꯆꯥꯗꯕꯥ : ꯑꯉꯥꯡ ꯑꯗꯨꯅꯥ ꯈꯣꯝꯂꯥꯡ ꯄꯤꯊꯀꯄꯗꯥ ꯈꯨꯗꯣꯡꯆꯥꯗꯕꯥ ꯊꯣꯀꯏ ꯑꯃꯁꯨꯡ ꯈꯔꯥ ꯊꯀꯄꯥ ꯂꯣꯏꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯍꯧꯔꯀꯏ꯫
- ꯋꯥꯈꯜ ꯆꯔꯥꯡꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯂꯦꯡ-ꯑꯣꯠꯄꯒꯤ ꯃꯑꯣꯡ-ꯃꯇꯧ: ꯑꯉꯥꯡ ꯑꯗꯨ ꯂꯦꯞꯇꯅꯥ ꯋꯥꯈꯜ ꯇꯥꯗꯕꯥ ꯑꯃꯁꯨꯡ ꯂꯦꯡ-ꯑꯣꯠꯄꯒꯤ ꯃꯑꯣꯡ-ꯃꯇꯧ ꯂꯩꯕꯥ ꯎꯏ꯫
- ꯍꯥꯔꯠ ꯃꯨꯔꯃꯨꯔ (hart murmur): ꯗꯣꯛꯇꯔꯅꯥ ꯑꯉꯥꯡ ꯑꯗꯨꯒꯤ ꯍꯥꯔꯠ (stethoscope)ꯅꯥ ꯇꯥꯕꯥ ꯃꯇꯃꯗꯥ, ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯄꯥ ꯈꯣꯟꯖꯦꯜ ꯑꯃꯥ ꯇꯥꯕꯥ ꯐꯪꯏ꯫
- ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ (dyspnea): ꯑꯉꯥꯡ ꯑꯗꯨꯅꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ (dyspnea) (dyspnea) : ꯑꯉꯥꯡ ꯑꯗꯨꯅꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ ꯑꯃꯁꯨꯡ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯗꯥ ꯑꯋꯥꯕꯥ ꯃꯥꯌꯣꯛꯅꯔꯀꯄꯥ ꯎꯕꯥ ꯐꯪꯏ꯫
- ꯒ꯭ꯔꯣꯊ ꯑꯃꯁꯨꯡ ꯑꯔꯨꯝꯕꯥ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ: ꯑꯉꯥꯡ ꯑꯗꯨꯅꯥ ꯑꯔꯨꯝꯕꯥ ꯃꯇꯤꯛ ꯆꯥꯅꯥ ꯍꯦꯅꯒꯠꯂꯛꯂꯤ ꯑꯃꯁꯨꯡ ꯂꯦꯡꯗꯅꯥ ꯂꯩꯔꯤ꯫
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯗꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯃꯗꯒꯤ ꯍꯦꯅꯕꯥ ꯂꯩꯔꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯈꯨꯗꯛꯇꯥ ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯄꯥꯎꯇꯥꯛ ꯂꯧꯒꯗꯕꯅꯤ .
ꯇꯤ.ꯑꯦ.ꯄꯤ.ꯚꯤ.ꯑꯥꯔ.ꯒꯤ ꯃꯔꯝ ꯀꯔꯤꯅꯣ?
ꯇꯁꯦꯡꯕꯗꯤ ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯍꯧꯖꯤꯛ ꯐꯥꯑꯣꯕꯥ ꯇꯤ.ꯑꯦ.ꯄꯤ.ꯚꯤ.ꯑꯥꯔ. ꯃꯁꯤ ꯐꯤꯇꯁ ꯗꯤꯚꯦꯂꯄꯃꯦꯟꯇꯒꯤ ꯃꯇꯃꯗꯥ ꯍꯥꯔꯠ ꯑꯃꯁꯨꯡ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯂꯁꯤꯡꯗꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯄꯅꯥ ꯊꯣꯀꯍꯅꯕꯅꯤ .
ꯃꯍꯧꯁꯥꯅꯥ ꯃꯁꯤ ꯏꯅꯍꯦꯔꯤꯇꯦꯗ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯥ ꯑꯣꯏꯅꯥ ꯎꯕꯥ ꯐꯪꯗꯦ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯏꯃꯨꯡ ꯑꯃꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯃꯆꯤꯟ-ꯃꯅꯥꯑꯣꯁꯤꯡꯗꯥ ꯀꯦꯁ ꯊꯣꯀꯄꯒꯤ ꯔꯤꯄꯣꯔꯠ ꯂꯩꯔꯦ꯫ ꯁ꯭ꯇꯗꯤ ꯈꯔꯅꯥ ꯇꯥꯛꯂꯤ ꯃꯗꯨꯗꯤ ꯑꯀꯛꯅꯕꯥ ꯁꯤꯟꯗꯣꯃꯁꯤꯡ ꯂꯩꯕꯥ ꯑꯉꯥꯡꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯃꯤꯔꯣꯜꯂꯤꯉꯩ ꯃꯇꯃꯗꯥ ꯄꯦꯟꯇ ꯔꯤꯃꯨꯚꯔꯁꯤꯡ, ꯄꯦꯁ꯭ꯇꯤꯁꯥꯏꯗꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯂꯤꯗꯁꯤꯡ ꯁꯤꯖꯤꯟꯅꯕꯒꯤ ꯃꯔꯛꯇꯥ ꯃꯔꯤ ꯑꯃꯥ ꯂꯩꯕꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯕꯨ ꯃꯁꯤ ꯍꯧꯖꯤꯛ ꯐꯥꯑꯣꯕꯥ ꯄ꯭ꯔꯃꯥꯟ ꯇꯧꯗ꯭ꯔꯤ꯫
ꯇꯤ.ꯑꯦ.ꯄꯤ.ꯚꯤ.ꯑꯥꯔ.ꯒꯤ ꯑꯣꯏꯊꯣꯀꯄꯥ ꯌꯥꯕꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?
TAPVR ꯂꯩꯕꯥ ꯑꯉꯥꯡ ꯑꯃꯗꯥ ꯍꯥꯔꯠ ꯐꯦꯜ ꯑꯣꯏꯕꯥ ꯑꯃꯁꯨꯡ ꯄꯂꯃꯣꯅꯥꯔꯤ ꯍꯥꯏꯄꯔꯇꯦꯟꯁꯟ ꯂꯩ꯫ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯨꯡꯗꯁꯨ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯍꯥꯔꯇꯀꯤ ꯔꯤꯗꯃꯁꯤꯡ ꯅꯠꯠꯔꯒꯥ ꯄꯂꯃꯣꯅꯥꯔꯤ ꯚꯦꯅꯃꯁꯤꯡꯗꯥ ꯕ꯭ꯂꯣꯀꯦꯖ (blockage) ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯔꯝ ꯑꯁꯤꯅꯥ ꯃꯈꯥ ꯇꯥꯅꯥ ꯃꯦꯗꯤꯀꯦꯜ ꯆꯦꯀꯑꯞ ꯇꯧꯕꯥ ꯑꯁꯤ ꯃꯔꯨ ꯑꯣꯏ꯫
ꯇꯤ.ꯑꯦ.ꯄꯤ.ꯚꯤ.ꯑꯥꯔ.ꯅꯥ ꯀꯔꯝꯅꯥ ꯂꯥꯌꯦꯡꯕꯒꯦ?
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯑꯉꯥꯡ ꯑꯗꯨ ꯄꯣꯛꯠꯔꯤꯉꯩ ꯃꯃꯥꯡꯗꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯈꯪꯗꯣꯀꯄꯥ ꯌꯥꯏ, ꯑꯃꯁꯨꯡ ꯃꯤꯔꯣꯜꯂꯤꯉꯩ ꯃꯇꯃꯗꯥ ꯏꯀꯣꯀꯥꯔꯗꯤꯑꯣꯒ꯭ꯔꯥꯐ (ꯍꯥꯔꯇꯀꯤ ꯁ꯭ꯀꯦꯟ) ꯑꯃꯥ ꯄꯥꯡꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯑꯌꯥꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯗꯥꯏꯑꯦꯒ꯭ꯅꯣꯁꯤꯁ ꯑꯁꯤ ꯑꯉꯥꯡ ꯑꯗꯨ ꯄꯣꯀꯄꯥ ꯃꯇꯨꯡ ꯅꯨꯃꯤꯠ ꯈꯔꯅꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯅꯠꯠꯔꯒꯥ ꯊꯥ ꯈꯔꯅꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯇꯧꯏ꯫
ꯑꯉꯥꯡ ꯑꯗꯨ ꯄꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯗꯣꯛꯇꯔꯅꯥ ꯐꯤꯖꯤꯀꯦꯜ ꯑꯦꯀꯖꯥꯃꯤꯅꯦꯁꯟ ꯑꯃꯥ ꯇꯧꯒꯅꯤ ꯑꯃꯁꯨꯡ ꯑꯉꯥꯡ ꯑꯗꯨꯒꯤ ꯊꯝꯃꯣꯌ ꯑꯗꯨ ꯇꯥꯒꯅꯤ꯫ ꯄꯂꯁ ꯑꯣꯛꯁꯤꯃꯤꯇꯔ (ꯑꯉꯥꯡ ꯑꯗꯨꯒꯤ ꯑꯆꯧꯕꯥ ꯈꯣꯡꯄꯥꯛ ꯑꯗꯨꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯌꯥꯎꯕꯥ ꯀ꯭ꯂꯤꯞ ꯑꯃꯥ) ꯀꯧꯕꯥ ꯑꯄꯤꯀꯄꯥ ꯈꯨꯠꯂꯥꯏ ꯑꯃꯅꯥ ꯏꯗꯥ ꯑꯣꯛꯁꯤꯖꯦꯅꯒꯤ ꯆꯥꯡ ꯑꯗꯨ ꯂꯦꯄꯊꯣꯛꯅꯕꯥ ꯁꯤꯖꯤꯟꯅꯕꯥ ꯌꯥꯏ꯫
ꯃꯁꯤꯒꯤ ꯃꯊꯛꯇꯥ, ꯍꯥꯔꯠ ꯑꯃꯁꯨꯡ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯂꯁꯤꯡꯒꯤ ꯐꯤꯚꯝ ꯌꯦꯡꯁꯤꯟꯅꯕꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯑꯁꯤ ꯄꯥꯡꯊꯣꯀꯄꯥ ꯌꯥꯏ:
- ꯆꯦꯁ꯭ꯠ ꯑꯦꯛꯁ-ꯔꯦ ꯇꯧꯕꯥ꯫
- ꯁꯤ.ꯇꯤ.ꯁ꯭ꯀꯦꯟ (ꯁꯤ.ꯇꯤ. ꯁ꯭ꯀꯦꯟ - ꯀꯝꯞꯌꯨꯇꯦꯠ ꯇꯣꯃꯣꯒ꯭ꯔꯥꯐꯤ)
- ꯍꯥꯔꯠ ꯑꯦꯝ.ꯑꯥꯔ.ꯑꯥꯏ.(ꯃꯦꯒ꯭ꯅꯦꯇꯤꯛ ꯔꯤꯖꯣꯅꯦꯟꯁ ꯏꯃꯦꯖꯤꯡ)
- ꯏꯀꯣꯀꯥꯔꯗꯤꯑꯣꯒ꯭ꯔꯥꯐ ꯇꯧꯕꯥ꯫
- ꯏ.ꯀꯦ.ꯖꯤ.(ꯏ.ꯀꯦ.ꯖꯤ. ꯅꯠꯠꯔꯒꯥ ꯏ.ꯁꯤ.ꯖꯤ.- ꯏꯂꯦꯛꯠꯔꯣꯀꯥꯔꯗꯤꯑꯣꯒ꯭ꯔꯥꯐ)
ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯈꯔꯗꯤ (MRIꯒꯨꯝꯕꯥ) ꯑꯉꯥꯡ ꯑꯗꯨꯕꯨ ꯁꯦꯗꯦꯠ ꯇꯧꯕꯥ (ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ ꯇꯨꯝꯕꯥ) ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯕꯨ ꯇꯦꯁ꯭ꯠ ꯄꯨꯝꯅꯃꯛ ꯑꯁꯤ ꯅꯟ-ꯏꯅꯚꯦꯁꯤꯕ ꯑꯣꯏ꯫ ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯑꯉꯥꯡ ꯑꯗꯨꯒꯤ ꯊꯝꯃꯣꯌ ꯑꯃꯁꯨꯡ ꯂꯪꯁꯀꯤ ꯃꯌꯦꯛ ꯁꯦꯡꯕꯥ ꯏꯃꯦꯖꯁꯤꯡ ꯂꯧꯕꯥ, ꯏ ꯀꯔꯝꯅꯥ ꯆꯦꯜꯂꯤꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯕꯥ ꯑꯃꯁꯨꯡ ꯑꯦꯕꯅꯣꯔꯃꯦꯂꯤꯇꯤꯁꯤꯡ ꯌꯦꯡꯕꯥ ꯌꯥꯍꯜꯂꯤ꯫
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯀꯥꯔꯗꯤꯌꯦꯛ ꯀꯦꯇꯦꯇꯦꯔꯥꯏꯖꯦꯁꯟ ꯀꯧꯕꯥ ꯇꯦꯁ꯭ꯠ ꯑꯃꯁꯨ ꯂꯥꯌꯅꯥ ꯑꯁꯤ ꯈꯉꯗꯣꯛꯅꯕꯥ ꯁꯤꯖꯤꯟꯅꯩ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯃꯊꯧ ꯇꯥꯕꯥ ꯏꯅꯐꯣꯔꯃꯦꯁꯟ ꯑꯗꯨ ꯃꯍꯧꯁꯥꯅꯥ ꯃꯊꯛꯇꯥ ꯄꯅꯈ꯭ꯔꯤꯕꯥ ꯁ꯭ꯀꯦꯅꯁꯤꯡ ꯑꯁꯤꯗꯒꯤ ꯂꯧꯕꯥ ꯌꯥꯕꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯑꯉꯥꯡ ꯑꯗꯨꯕꯨ ꯏꯅꯚꯦꯁꯤꯚ ꯇꯦꯁ꯭ꯠ ꯇꯧꯕꯥ ꯌꯥꯝꯅꯥ ꯊꯦꯡꯅꯩ꯫
ꯇꯤ.ꯑꯦ.ꯄꯤ.ꯚꯤ.ꯑꯥꯔ.ꯕꯨ ꯀꯔꯝꯅꯥ ꯂꯥꯌꯦꯡꯕꯒꯦ?
TAPVR ꯂꯩꯕꯥ ꯑꯉꯥꯡ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯄꯨꯝꯅꯃꯛ ꯍꯤꯡꯅꯕꯒꯤꯗꯃꯛ ꯁꯔꯖꯔꯤ ꯃꯊꯧ ꯇꯥꯒꯅꯤ꯫ ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯃꯁꯤ ꯑꯣꯄꯟ-ꯍꯥꯔꯠ ꯁꯔꯖꯔꯤꯅꯥ ꯂꯥꯌꯦꯡꯏ . ꯑꯌꯥꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯁꯔꯖꯔꯤ ꯑꯁꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯗꯨ ꯈꯪꯗꯣꯛꯂꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯌꯥꯔꯤꯕꯃꯈꯩ ꯊꯨꯅꯥ ꯄꯥꯡꯊꯣꯀꯏ꯫
ꯌꯥꯝꯅꯥ ꯅꯦꯝꯂꯕꯁꯨ, ꯃꯤꯑꯣꯏ ꯈꯔꯗꯤ ꯑꯉꯥꯡ ꯑꯣꯏꯔꯤꯉꯩꯗꯥ ꯁꯔꯖꯔꯤ ꯇꯧꯗꯅꯥ ꯑꯍꯜ ꯑꯣꯏꯔꯕꯥ ꯃꯇꯃꯗꯥ ꯇꯤ.ꯑꯦ.ꯄꯤ.ꯚꯤ.ꯑꯥꯔ. ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯃꯇꯝ ꯑꯗꯨ ꯐꯥꯑꯣꯕꯗꯥ ꯃꯈꯣꯌꯗꯥ ꯄꯂꯃꯣꯅꯥꯔꯤ ꯍꯥꯏꯄꯔꯇꯦꯟꯁꯅꯒꯨꯝꯕꯥ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ ꯂꯩꯔꯀꯄꯥ ꯌꯥꯏ ꯃꯗꯨꯅꯥ ꯁꯔꯖꯔꯤ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯁꯤꯡꯅꯕꯥ ꯑꯣꯏꯍꯜꯂꯤ꯫
ꯄ꯭ꯔꯤ-ꯑꯣꯄꯔꯦꯇꯤꯕ ꯇ꯭ꯔꯤꯠꯃꯦꯟꯇ꯫
ꯁꯔꯖꯔꯤ ꯉꯥꯏꯔꯤꯉꯩꯗꯥ, ꯑꯉꯥꯡ ꯑꯗꯨꯕꯨ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯅꯕꯥ ꯑꯍꯦꯅꯕꯥ ꯑꯣꯛꯁꯤꯖꯦꯟ ꯄꯤꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯚꯦꯟꯇꯤꯂꯦꯇꯔ ꯑꯃꯒꯥ ꯁꯝꯅꯍꯅꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯏ꯫ ꯅꯍꯥꯀꯄꯨ ꯏꯅꯣꯠꯔꯣꯞ ꯀꯧꯕꯥ ꯍꯤꯗꯥꯛ ꯃꯈꯜ ꯑꯃꯁꯨ ꯄꯤꯕꯥ ꯌꯥꯏ, ꯃꯗꯨꯅꯥ ꯊꯝꯃꯣꯌꯕꯨ ꯍꯦꯟꯅꯥ ꯀꯅꯈꯠꯍꯅꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫
ꯁꯔꯖꯔꯤ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯄꯥꯡꯊꯣꯛꯀꯗꯒꯦ꯫
ꯑꯉꯥꯡ ꯑꯗꯨ ꯖꯦꯅꯦꯔꯦꯜ ꯑꯦꯅꯥꯁ꯭ꯇꯦꯁꯤꯌꯥꯒꯤ ꯃꯈꯥꯗꯥ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯇꯨꯝꯂꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯁꯔꯖꯔꯤꯅꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯊꯕꯀꯁꯤꯡ ꯑꯁꯤ ꯇꯧꯒꯅꯤ:
1. ꯑꯉꯥꯡ ꯑꯗꯨꯒꯤ ꯃꯀꯣꯛ ꯑꯃꯁꯨꯡ ꯊꯝꯃꯣꯌꯗꯥ ꯏꯅꯁꯤꯁꯅꯁꯤꯡ ꯁꯦꯝꯃꯤ꯫
2. ꯄꯂꯃꯣꯅꯥꯔꯤ ꯚꯦꯅꯃꯁꯤꯡ ꯑꯁꯤ ꯑꯆꯨꯝꯕꯥ ꯃꯐꯝ ꯑꯗꯨꯗꯥ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯁꯝꯅꯍꯜꯂꯤ, ꯍꯥꯌꯕꯗꯤ ꯍꯥꯔꯇꯀꯤ ꯂꯦꯃꯍꯧꯔꯤꯕꯥ ꯑꯦꯠꯔꯤꯌꯥꯝ ꯑꯗꯨꯗꯥ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯁꯝꯅꯍꯜꯂꯤ꯫
3. ꯑꯦꯕꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯅꯥ ꯁꯝꯅꯔꯕꯥ ꯚꯦꯅꯃꯁꯤꯡ ꯊꯤꯡꯖꯤꯜꯂꯤ꯫
4. ꯀꯔꯤꯒꯨꯝꯕꯥ ꯄꯂꯃꯣꯅꯥꯔꯤ ꯚꯦꯅꯃꯁꯤꯡꯗꯥ ꯕ꯭ꯂꯣꯀꯦꯖ ꯑꯃꯥ ꯂꯩꯔꯕꯗꯤ ꯃꯗꯨ ꯂꯧꯊꯣꯀꯏ꯫
5. ꯑꯌꯥꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯂꯦꯡ-ꯑꯣꯠꯄꯒꯤ ꯃꯔꯛꯇꯥ ꯂꯩꯕꯥ ꯍꯣꯜ ( Atrial Septal Defect - ASD ) ꯑꯗꯨ ꯊꯤꯡꯖꯤꯜꯂꯤ꯫
ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯀꯝꯞꯂꯦꯛꯁ ꯑꯣꯏꯕꯥ ꯁꯔꯖꯔꯤ ꯑꯃꯥ ꯑꯣꯏꯔꯕꯁꯨ, ꯑꯦꯛꯁꯄꯔꯤꯌꯦꯟꯁ ꯂꯩꯔꯕꯥ ꯃꯦꯗꯤꯀꯦꯜ ꯇꯤꯃꯁꯤꯡꯅꯥ ꯃꯁꯤ ꯃꯥꯌ ꯄꯥꯛꯅꯥ ꯄꯥꯡꯊꯣꯀꯏ꯫
ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ꯫
ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯕꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯟ ꯈꯔꯗꯤ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤ:
- ꯍꯥꯔꯇꯀꯤ ꯈꯣꯡꯖꯦꯜ ꯌꯥꯡꯕꯥ (Arrhythmias) .
- ꯄꯂꯃꯣꯅꯥꯔꯤ ꯍꯥꯏꯄꯔꯇꯦꯟꯁꯟ꯫
- ꯄꯂꯃꯣꯅꯥꯔꯤ ꯚꯦꯅꯝ ꯑꯣꯕꯁ꯭ꯠꯔꯥꯀꯁꯟ꯫
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯃꯗꯥ ꯍꯥꯔꯠ-ꯂꯪꯁꯀꯤ ꯃꯦꯁꯤꯟ (ꯕꯥꯏꯄꯥꯁ ꯃꯦꯁꯤꯟ) ꯑꯃꯥ ꯁꯤꯖꯤꯟꯅꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ, ꯍꯥꯔꯠ ꯑꯗꯨꯅꯥ ꯃꯁꯥ ꯃꯊꯟꯇꯥ ꯁꯣꯀꯍꯜꯂꯤ꯫
ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯃꯇꯝ ꯄꯨꯝꯅꯃꯛꯇꯥ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯋꯥꯐꯃꯁꯤꯡ ꯑꯁꯤ ꯌꯦꯡꯁꯤꯜꯂꯤ꯫
ꯇꯤ.ꯑꯦ.ꯄꯤ.ꯚꯤ.ꯑꯥꯔ.ꯕꯨ ꯊꯤꯡꯕꯥ ꯉꯃꯒꯗ꯭ꯔꯥ?
ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯋꯥꯐꯝ ꯑꯃꯅꯥ, ꯀꯣꯟꯖꯤꯅꯤꯑꯦꯜ ꯍꯥꯔꯇꯀꯤ ꯂꯥꯌꯅꯥ ꯃꯈꯜ ꯑꯁꯤ ꯊꯤꯡꯅꯕꯒꯤ ꯄꯥꯝꯕꯩ ꯑꯃꯠꯇꯥ ꯂꯩꯇꯦ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯏꯃꯨꯡꯒꯤ ꯃꯤꯑꯣꯏ ꯑꯃꯅꯥ ꯀꯣꯟꯖꯤꯅꯤꯑꯦꯜ ꯍꯥꯔꯠ ꯗꯤꯖꯤꯖ ꯂꯩꯔꯕꯗꯤ, ꯅꯠꯠꯔꯒꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ TAPVR ꯂꯩꯔꯕꯗꯤ, ꯏꯃꯨꯡ ꯑꯃꯥ ꯍꯧꯗ꯭ꯔꯤꯉꯩꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯐꯩ꯫
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯩꯒꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯗꯥ TAPVR ꯂꯩꯔꯕꯗꯤ, ꯑꯩꯅꯥ ꯀꯔꯤ ꯑꯥꯁꯥ ꯇꯧꯒꯗꯒꯦ?
ꯁꯔꯖꯔꯤ ꯇꯧꯗꯅꯥ, ꯇꯤ.ꯑꯦ.ꯄꯤ.ꯚꯤ.ꯑꯥꯔ.ꯒꯤ ꯃꯈꯜ ꯈꯔꯗꯤ ꯄꯣꯀꯄꯥ ꯃꯇꯨꯡ ꯅꯨꯃꯤꯠ ꯈꯔꯅꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯁꯤꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯂꯥꯌꯅꯥ ꯑꯁꯤ ꯇꯣꯏꯅꯥ ꯈꯉꯗꯣꯛꯇꯨꯅꯥ ꯁꯔꯖꯤꯀꯦꯜ ꯑꯣꯏꯅꯥ ꯂꯥꯌꯦꯡꯂꯕꯗꯤ ꯇꯤ.ꯑꯦ.ꯄꯤ.ꯚꯤ.ꯑꯥꯔ. ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯍꯤꯡꯕꯒꯤ ꯆꯥꯡ ꯑꯁꯤ ꯆꯥꯎꯔꯥꯛꯅꯥ 97% ꯑꯣꯏ꯫ ꯃꯗꯨ ꯌꯥꯝꯅꯥ ꯋꯥꯡꯕꯥ ꯃꯥꯌ ꯄꯥꯀꯄꯒꯤ ꯆꯥꯡꯅꯤ꯫
ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯅꯥ ꯆꯥꯎꯈꯠꯂꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯃꯄꯨꯡ-ꯃꯔꯩ ꯐꯥꯔꯕꯥ ꯃꯇꯃꯗꯥ, ꯃꯍꯥꯛꯅꯥ ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯀꯥꯔꯗꯤꯑꯣꯂꯣꯖꯤꯁ꯭ꯠ ꯑꯃꯒꯥ ꯇꯥꯟꯅꯒꯗꯕꯅꯤ . ꯄꯨꯟꯁꯤ ꯆꯨꯞꯄꯥ ꯔꯨꯇꯤꯟ ꯑꯣꯏꯕꯥ ꯆꯦꯀꯑꯄꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯍꯥꯔꯇꯀꯤ ꯔꯤꯗꯝ ꯑꯥꯏꯔꯦꯒꯨꯂꯦꯁꯟ ꯑꯃꯁꯨꯡ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯜ ꯕ꯭ꯂꯣꯀꯦꯖꯒꯨꯝꯕꯥ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯃꯁꯤꯡ ꯈꯪꯗꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯂꯥꯏꯌꯦꯡꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯕ꯭ꯂꯣꯀꯦꯖ ꯑꯃꯥ ꯂꯥꯛꯂꯕꯗꯤ, ꯃꯗꯨ ꯃꯈꯥ ꯇꯥꯅꯥ ꯁꯔꯖꯔꯤ ꯇꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯏ ꯑꯃꯁꯨꯡ ꯂꯥꯏꯌꯦꯡꯕꯗꯥ ꯑꯋꯥꯕꯥ ꯑꯣꯏꯔꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯤ ꯏꯅꯁ꯭ꯠꯔꯛꯁꯅꯁꯤꯡ ꯃꯈꯥ ꯇꯥꯅꯥ ꯉꯥꯛꯅꯥ ꯆꯠꯄꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫
ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯅꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ ꯃꯈꯥ ꯇꯥꯅꯥ ꯂꯧꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯀꯥꯔꯗꯤꯌꯦꯛ ꯀꯦꯇꯦꯒꯣꯔꯤꯒꯨꯝꯕꯥ ꯂꯥꯏꯌꯦꯡꯁꯤꯡ ꯂꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯏ .
ꯑꯩꯒꯤ ꯑꯉꯥꯡ ꯑꯗꯨ ꯀꯔꯝꯅꯥ ꯌꯦꯡꯁꯤꯅꯒꯅꯤ?
TAPVR ꯂꯩꯕꯥ ꯑꯉꯥꯡꯁꯤꯡꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯅꯣꯔꯃꯦꯜ ꯗꯤꯚꯦꯂꯄꯃꯦꯟꯇꯒꯤ ꯃꯥꯏꯂꯁ꯭ꯇꯣꯅꯁꯤꯡ, ꯍꯥꯌꯕꯗꯤ ꯐꯥꯏꯅꯦꯜ ꯃꯣꯇꯣꯔ ꯐꯉ꯭ꯀꯁꯅꯗꯥ ꯑꯋꯥꯕꯥ ꯃꯥꯌꯣꯛꯅꯔꯀꯄꯥ ꯌꯥꯏ꯫ ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯒꯤ ꯗꯤꯚꯦꯂꯄꯃꯦꯟꯇꯒꯤ ꯃꯥꯏꯂꯁ꯭ꯇꯣꯅꯁꯤꯡ ꯑꯗꯨ ꯅꯍꯥꯛꯅꯥ ꯌꯦꯡꯁꯤꯅꯕꯥ ꯌꯥꯏ ꯑꯃꯁꯨꯡ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯊꯧ ꯇꯥꯔꯕꯗꯤ ꯃꯈꯣꯌꯕꯨ ꯁ꯭ꯀꯤꯂꯁꯤꯡ ꯑꯗꯨ ꯁꯦꯃꯒꯠꯄꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯕꯥ ꯉꯝꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯗꯥ ꯔꯤꯐꯔ ꯇꯧꯕꯥ ꯌꯥꯏ꯫
ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯅꯥ ꯁꯥꯟꯅ-ꯈꯣꯠꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯐꯤꯖꯤꯀꯦꯜ ꯑꯦꯛꯇꯤꯚꯤꯇꯤꯁꯤꯡꯗꯥ ꯁꯔꯨꯛ ꯌꯥꯕꯥ ꯌꯥꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡꯒꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯇꯥꯟꯅꯧ꯫ ꯅꯍꯥꯛꯅꯥ ꯑꯀꯅꯕꯥ ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯇꯧꯕꯥ ꯂꯤꯃꯤꯠ ꯇꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯏ .
ꯑꯩꯒꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯅꯥ ꯀꯗꯥꯏꯗꯥ ꯗꯣꯛꯇꯔꯒꯥ ꯇꯥꯟꯅꯒꯗꯒꯦ?
ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ, ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨ ꯊꯥ 6ꯗꯒꯤ 12 ꯐꯥꯎꯕꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯎꯕꯥ ꯐꯪꯒꯅꯤ꯫ꯃꯦꯗꯤꯀꯦꯜ ꯆꯦꯀꯑꯞ ꯇꯧꯕꯥ꯫ ꯅꯍꯥꯛꯀꯤ ꯑꯍꯜ ꯑꯣꯏꯔꯕꯥ ꯄꯨꯟꯁꯤ ꯄꯨꯝꯅꯃꯛꯇꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯌꯦꯡꯁꯤꯅꯕꯤꯒꯗꯕꯅꯤ꯫ ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡꯒꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯏ.ꯀꯦ.ꯖꯤ., ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯁ꯭ꯠꯔꯦꯁ ꯇꯦꯁ꯭ꯠ, ꯅꯠꯠꯔꯒꯥ ꯏꯀꯣꯀꯥꯔꯗꯤꯑꯣꯒ꯭ꯔꯥꯃꯒꯨꯝꯕꯥ ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯇꯧꯕꯥ ꯄꯥꯝꯂꯕꯁꯨ ꯌꯥꯏ꯫
ꯏꯃꯔꯖꯦꯟꯁꯤ ꯔꯨꯝ (ETU) ꯗꯥ ꯀꯗꯥꯏꯗꯥ ꯆꯠꯄꯥ ꯃꯊꯧ ꯇꯥꯕꯒꯦ ?
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯗꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯍꯦꯛꯇꯥ ꯂꯩꯔꯕꯗꯤ ꯈꯨꯗꯛꯇꯥ ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯃꯇꯦꯡ ꯂꯧꯕꯤꯌꯨ (ꯏ.ꯑꯥꯔ.ꯗꯥ ꯆꯠꯂꯨ) :
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯈꯣꯡ, ꯅꯥꯀꯣꯡ ꯅꯠꯠꯔꯒꯥ ꯅꯥꯀꯣꯡ ꯑꯗꯨ ꯅꯤꯜ/ ꯑꯉꯧꯕꯥ ꯑꯣꯏꯔꯕꯗꯤ꯫
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯁꯉ꯭ꯒꯣꯝ ꯆꯥꯕꯗꯥ/ ꯊꯀꯄꯗꯥ ꯈꯨꯗꯣꯡꯆꯥꯗꯕꯥ ꯂꯩꯔꯕꯗꯤ꯫
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯌꯥꯝꯅꯥ ꯇꯨꯝꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯄꯨꯟꯁꯤ ꯂꯩꯇꯕꯥ ꯎꯔꯕꯗꯤ꯫
ꯑꯩꯒꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯀꯔꯤ ꯋꯥꯍꯪ ꯍꯪꯒꯗꯒꯦ?
ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡꯒꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯍꯪꯒꯗꯕꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯋꯥꯍꯪ ꯈꯔꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤ:
- ꯑꯩꯒꯤ ꯑꯉꯥꯡꯗꯥ ꯀꯔꯤ ꯃꯈꯂꯒꯤ TAPVR ꯂꯩꯕꯒꯦ?
- ꯑꯩꯒꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯅꯥ ꯑꯅꯤꯁꯨꯕꯥ ꯁꯔꯖꯔꯤ ꯑꯃꯥ ꯃꯊꯧ ꯇꯥꯒꯅꯤ ꯍꯥꯌꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯈꯜꯂꯤꯕꯔꯥ?
- ꯇꯤ.ꯑꯦ.ꯄꯤ.ꯚꯤ.ꯑꯥꯔ.ꯕꯨ ꯔꯤꯄꯦꯌꯥꯔ ꯇꯧꯅꯕꯥ ꯑꯗꯣꯝꯅꯥ ꯁꯔꯖꯔꯤ ꯀꯌꯥ ꯇꯧꯈꯤꯕꯒꯦ?
ꯃꯔꯨꯑꯣꯏꯕꯥ ꯇꯦꯛ-ꯍꯣꯝ ꯃꯦꯁꯦꯖ ꯑꯃꯥ꯫
ꯃꯤꯔꯣꯜꯂꯤꯉꯩ ꯃꯇꯃꯗꯥ ꯍꯀꯆꯥꯡ ꯐꯅꯥ ꯂꯩꯅꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯤ ꯄꯥꯎꯇꯥꯛ ꯑꯗꯨ ꯏꯅꯕꯤꯔꯝꯕꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯕꯨ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯅꯧꯅꯥ ꯄꯣꯀꯄꯥ ꯑꯉꯥꯡ ꯑꯃꯗꯥ ꯍꯥꯔꯇꯀꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯥ ꯂꯥꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯁꯤ ꯀꯅꯥꯒꯨꯝꯕꯥ ꯑꯃꯒꯤ ꯑꯁꯣꯌꯕꯥ ꯅꯠꯇꯦ꯫ ꯉꯁꯤꯒꯤ ꯑꯍꯣꯡꯕꯥ ꯃꯦꯗꯤꯀꯦꯜ ꯁꯥꯏꯟꯁ ꯑꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯅꯥ ꯃꯃꯥꯡꯒꯤ ꯃꯤꯔꯣꯂꯁꯤꯡꯒꯤ ꯑꯉꯥꯡꯁꯤꯡꯗꯒꯤ ꯌꯥꯝꯅꯥ ꯍꯦꯟꯅꯥ ꯐꯕꯥ ꯐꯜ ꯑꯃꯥ ꯂꯥꯛꯀꯅꯤ ꯍꯥꯌꯅꯥ ꯊꯥꯖꯕꯥ ꯌꯥꯏ꯫ ꯁꯔꯖꯤꯀꯦꯜ ꯇ꯭ꯔꯤꯠꯃꯦꯟꯇ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯏꯐꯦꯛꯇꯤꯕ ꯑꯣꯏ꯫
ꯅꯤꯡꯁꯤꯡꯕꯤꯌꯨ, ꯇꯤ.ꯑꯦ.ꯄꯤ.ꯚꯤ.ꯑꯥꯔ . ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ, ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯕꯨ ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯃꯦꯗꯤꯀꯦꯜ ꯆꯦꯛ-ꯑꯄꯀꯤꯗꯃꯛ ꯂꯧꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫ ꯃꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡꯒꯤ ꯍꯀꯁꯦꯜ ꯌꯦꯡꯁꯤꯅꯕꯥ ꯉꯝꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯊꯣꯛꯂꯀꯄꯥ ꯌꯥꯕꯥ ꯁꯃꯁ꯭ꯌꯥ ꯑꯃꯍꯦꯛꯇꯕꯨ ꯊꯨꯅꯥ ꯂꯥꯌꯦꯡꯕꯥ ꯉꯝꯅꯕꯥ ꯇꯧꯕꯅꯤ꯫ ꯅꯍꯥꯛ ꯈꯛꯇꯅꯥ ꯅꯠꯇꯦ, ꯗꯣꯛꯇꯔꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯍꯦꯜꯊꯀꯦꯌꯔ ꯁ꯭ꯇꯥꯐꯁꯤꯡꯅꯥ ꯅꯍꯥꯛ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯕꯨ ꯃꯇꯦꯡ ꯄꯥꯡꯅꯕꯥ ꯂꯩꯔꯤ꯫
` ꯇꯤ.ꯑꯦ.ꯄꯤ.ꯚꯤ.ꯑꯥꯔ., ꯍꯥꯔꯇꯀꯤ ꯂꯥꯌꯅꯥ, ꯑꯉꯥꯡ, ꯁꯔꯖꯔꯤ, ꯄꯂꯃꯣꯅꯥꯔꯤ ꯚꯦꯅꯝ, ꯁꯥꯏꯅꯣꯁꯤꯁ, ꯀꯣꯟꯖꯤꯅꯤꯑꯦꯜ ꯗꯤꯖꯤꯖꯁꯤꯡ꯫











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