ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯗꯥ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯀꯌꯥ ꯑꯃꯥ ꯄꯨꯟꯅꯥ ꯂꯩꯕ꯭ꯔꯥ? VATER Syndrome / VACTERL ꯑꯦꯁꯣꯁꯤꯑꯦꯁꯅꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯁꯤ!

ꯅꯍꯥꯛꯀꯤ ꯑꯅꯧꯕꯥ ꯑꯉꯥꯡ ꯑꯗꯨꯅꯥ ꯃꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯃꯐꯝ ꯀꯌꯥꯗꯥ ꯈꯪꯍꯧꯗꯅꯥ ꯑꯍꯣꯡꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯈꯔꯥ ꯂꯩꯔꯦ ꯍꯥꯌꯅꯥ ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯍꯥꯌꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯅꯍꯥꯛ ꯌꯥꯝꯅꯥ ꯋꯥꯅꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯑꯉꯥꯡ ꯑꯗꯨ ꯄꯣꯀꯄꯥ ꯃꯃꯥꯡꯗꯥ ꯇꯧꯈꯤꯕꯥ ꯁ꯭ꯀꯦꯅꯁꯤꯡ ꯑꯗꯨꯅꯥ ꯑꯗꯣꯃꯗꯥ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯋꯥꯐꯝ ꯑꯃꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯐꯝ ꯑꯃꯥ ꯄꯤꯔꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯉꯁꯤ ꯋꯥꯔꯤ ꯁꯥꯒꯗꯧꯔꯤꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯗꯨꯅꯤ, VATER Syndrome, ꯅꯠꯔꯒꯥ VACTERL ꯑꯦꯁꯣꯁꯤꯑꯦꯁꯟ꯫ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯂꯩꯔꯣꯏꯗꯕꯅꯤ, ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯂꯧꯁꯤ꯫

VATER Syndrome / VACTERL ꯑꯦꯁꯣꯁꯤꯑꯦꯁꯟ ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ?

ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, VATER ꯁꯤꯟꯗ꯭ꯔꯣꯝ ꯍꯥꯌꯕꯁꯤ ꯑꯉꯥꯡ ꯑꯃꯒꯤ ꯗꯤꯚꯦꯂꯄꯃꯦꯟꯇꯗꯥ ꯇꯣꯏꯅꯥ ꯊꯣꯀꯄꯥ ꯄꯣꯀꯄꯗꯥ ꯉꯥꯏꯔꯤꯕꯥ ꯑꯁꯣꯛ-ꯑꯄꯅꯁꯤꯡꯒꯤ ꯀꯥꯡꯂꯨꯞ ꯑꯃꯅꯤ꯫ ꯃꯔꯨꯑꯣꯏꯅꯥ, ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯃꯁꯤꯡ ꯑꯁꯤ ꯑꯉꯥꯡ ꯑꯃꯒꯤ ꯑꯦꯃꯔꯖꯦꯟꯁꯤ ꯗꯤꯚꯦꯂꯄꯃꯦꯟꯇꯒꯤ ꯑꯍꯥꯅꯕꯥ ꯅꯨꯃꯤꯠ ꯈꯔꯅꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯊꯣꯀꯏ꯫ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯑꯉꯥꯡ ꯑꯃꯗꯒꯤ ꯑꯇꯣꯞꯄꯥ ꯑꯃꯗꯥ ꯈꯦꯠꯅꯕꯥ ꯌꯥꯏ꯫ ꯑꯉꯥꯡ ꯈꯨꯗꯤꯡꯃꯛꯇꯥ ꯆꯞ ꯃꯥꯟꯅꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯂꯩꯔꯣꯏ꯫ ꯃꯍꯧꯁꯥꯅꯥ VATER ꯍꯥꯌꯕꯥ ꯑꯛꯁꯔꯁꯤꯡꯅꯥ ꯔꯤꯞꯔꯗꯛꯇ ꯇꯧꯕꯥ ꯍꯀꯆꯥꯡꯒꯤ ꯁꯔꯨꯛ ꯑꯍꯨꯝ ꯊꯣꯀꯄꯒꯤ ꯑꯃꯗꯥ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯑꯃꯥ ꯂꯩꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯆꯤꯡꯅꯕꯥ ꯂꯩ꯫

VATER / VACTERL ꯍꯥꯌꯕꯥ ꯑꯛꯁꯔꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯀꯔꯤꯕꯨ ꯇꯥꯀꯄꯒꯦ?

ꯃꯁꯤ ꯇꯁꯦꯡꯅꯥ ꯑꯦꯛꯔꯣꯅꯤꯝ ꯑꯃꯅꯤ꯫ ꯍꯥꯌꯕꯗꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤꯅꯥ ꯁꯣꯀꯍꯜꯂꯕꯥ ꯍꯀꯆꯥꯡꯒꯤ ꯁꯔꯨꯀꯁꯤꯡꯒꯤ ꯏꯪꯂꯤꯁꯀꯤ ꯃꯃꯤꯡꯁꯤꯡꯒꯤ ꯑꯍꯥꯅꯕꯥ ꯑꯛꯁꯔꯁꯤꯡ ꯄꯨꯅꯁꯤꯟꯗꯨꯅꯥ ꯁꯦꯝꯕꯥ ꯋꯥꯍꯩ ꯑꯃꯅꯤ꯫ ꯃꯁꯤ ꯑꯍꯥꯅꯕꯗꯥ VATER ꯍꯥꯌꯅꯥ ꯀꯧꯔꯝꯃꯤ:

• V - ꯚꯔꯇꯤꯕ꯭ꯔꯦ : ꯃꯁꯤꯅꯥ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗꯇꯥ ꯂꯩꯕꯥ ꯑꯄꯤꯀꯄꯥ ꯁꯔꯨꯁꯤꯡ (vertebrae) ꯑꯗꯨꯕꯨ ꯈꯪꯅꯩ꯫
• ꯑꯦ - ꯑꯅꯨꯁ : ꯃꯗꯨꯒꯤ ꯑꯔꯊꯗꯤ ꯃꯍꯤꯛ .
• ꯇꯤ - ꯇ꯭ꯔꯦꯀꯤꯌꯥ : ꯍꯥꯌꯕꯗꯤ ꯅꯨꯡꯁꯤꯠꯀꯤ ꯃꯩꯁꯥ .
• ꯏ - ꯏꯁꯣꯐꯦꯒꯁ : ꯍꯥꯌꯕꯗꯤ ꯐꯨꯗ ꯄꯥꯏꯞ ꯍꯥꯌꯕꯅꯤ꯫
• ꯑꯥꯔ - ꯔꯦꯅꯥꯜ : ꯃꯁꯤꯅꯥ ꯀꯤꯗꯅꯤꯒꯤ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯍꯥꯌꯕꯅꯤ꯫

ꯃꯇꯨꯡꯗꯥ, ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯑꯇꯣꯞꯄꯥ ꯍꯀꯆꯥꯡꯒꯤ ꯁꯔꯨꯛ ꯑꯅꯤꯗꯥ ꯁꯃꯁ꯭ꯌꯥꯁꯤꯡ ꯎꯕꯥ ꯐꯪꯕꯅꯥ, ꯑꯦꯛꯔꯣꯅꯤꯝ ꯑꯁꯤ VACTERLꯗꯥ ꯈꯔꯥ ꯁꯥꯡꯗꯣꯀꯈꯤ:

• ꯁꯤ - ꯀꯥꯔꯗꯤꯌꯦꯛ : ꯃꯁꯤꯅꯥ ꯍꯥꯔꯇꯀꯥ ꯃꯔꯤ ꯂꯩꯅꯕꯥ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯃꯁꯤꯡ ꯍꯥꯌꯕꯅꯤ꯫
• L - ꯂꯤꯝꯐ : ꯃꯁꯤꯅꯥ ꯂꯤꯝꯐ (ꯃꯔꯨꯑꯣꯏꯅꯥ ꯑꯆꯧꯕꯥ ꯈꯣꯡꯒꯤ ꯃꯅꯥꯛꯇꯥ ꯂꯩꯕꯥ ꯔꯦꯗꯤꯌꯁ ꯕꯣꯟ)ꯒꯥ ꯃꯔꯤ ꯂꯩꯅꯕꯥ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯃꯁꯤꯡꯕꯨ ꯈꯪꯅꯩ꯫

VACTERL ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ ꯍꯥꯌꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯈꯉꯂꯕ꯭ꯔꯥ? ꯃꯁꯤꯒꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯁꯔꯨꯛ ꯀꯌꯥ ꯑꯃꯅꯥ ꯃꯇꯝ ꯑꯃꯗꯥ ꯑꯀꯛꯅꯕꯥ ꯑꯁꯣꯏ-ꯑꯉꯥꯝ ꯌꯥꯑꯣꯗꯕꯥ ꯃꯇꯃꯗꯥ ꯑꯣꯏ꯫

VACTERL ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤꯅꯥ ꯀꯅꯥꯕꯨ ꯁꯣꯀꯍꯅꯕꯥ ꯌꯥꯕꯒꯦ?

VACTERLꯅꯥ ꯀꯅꯥꯒꯨꯝꯕꯥ ꯑꯃꯠꯇꯗꯥ ꯁꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤ ꯍꯦꯔꯤꯇꯦꯖ ꯑꯣꯏꯕꯥ ꯅꯠꯇꯦ꯫ ꯃꯁꯤꯅꯥ ꯇꯥꯀꯄꯗꯤ ꯃꯍꯧꯁꯥꯅꯥ ꯃꯁꯤꯅꯥ ꯏꯃꯨꯡꯒꯤ ꯃꯤꯑꯣꯏ ꯑꯃꯈꯛꯇꯗꯥ ꯁꯣꯀꯍꯜꯂꯤ꯫ ꯃꯁꯤꯒꯤ ꯑꯀꯛꯅꯕꯥ ꯃꯔꯝ ꯑꯁꯤ ꯍꯧꯖꯤꯛ ꯐꯥꯑꯣꯕꯥ ꯈꯉꯕꯥ ꯉꯃꯗ꯭ꯔꯤꯕꯁꯨ, ꯃꯁꯤ ꯃꯤꯔꯣꯜꯂꯤꯉꯩ ꯃꯇꯃꯗꯥ ꯖꯤꯅꯦꯇꯤꯛ ꯏꯅꯐ꯭ꯂꯨꯑꯦꯟꯖꯥ ꯑꯃꯁꯨꯡ ꯑꯀꯣꯌꯕꯒꯤ ꯐꯤꯕꯃꯒꯤ ꯃꯔꯃꯁꯤꯡꯅꯥ ꯊꯣꯀꯍꯅꯕꯅꯤ ꯍꯥꯌꯅꯥ ꯊꯥꯖꯅꯔꯤ꯫

ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯀꯌꯥꯝ ꯀꯃꯟ ꯑꯣꯏꯕꯒꯦ ꯍꯥꯌꯕꯒꯤ ꯃꯇꯥꯡꯗꯥ, ꯃꯁꯤꯅꯥ ꯅꯧꯅꯥ ꯄꯣꯀꯄꯥ ꯑꯉꯥꯡ 10,000ꯗꯒꯤ 40,000 ꯐꯥꯎꯕꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯑꯃꯗꯥ ꯁꯣꯀꯍꯜꯂꯤ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯃꯁꯤꯡ ꯑꯁꯤ ꯍꯦꯟꯅꯥ ꯋꯥꯡꯕꯥ ꯑꯣꯏꯔꯀꯄꯥ ꯌꯥꯏ ꯃꯔꯃꯗꯤ ꯑꯉꯥꯡ ꯈꯔꯗꯤ ꯌꯥꯝꯅꯥ ꯂꯨꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯂꯩ, ꯅꯠꯠꯔꯒꯥ ꯂꯥꯏꯑꯣꯡ ꯈꯔꯈꯛꯇꯃꯛ ꯎꯕꯥ ꯐꯪꯏ꯫

VACTERL ꯁꯤꯟꯗ꯭ꯔꯣꯃꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯤꯅꯣ?

ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯃꯔꯨꯑꯣꯏꯅꯥ ꯑꯩꯈꯣꯌꯅꯥ ꯃꯃꯥꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯈꯤꯕꯥ VACTERL ꯍꯥꯌꯕꯥ ꯑꯛꯁꯔꯁꯤꯡꯅꯥ ꯔꯤꯞꯔꯖꯦꯟꯇ ꯇꯧꯔꯤꯕꯥ ꯍꯀꯆꯥꯡꯒꯤ ꯁꯔꯨꯀꯁꯤꯡꯗꯥ ꯎꯕꯥ ꯐꯪꯏ꯫ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯈꯔꯗꯤ ꯄꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯎꯕꯥ ꯐꯪꯏ (ꯀꯣꯟꯖꯤꯅꯤꯑꯦꯜ) , ꯑꯗꯨꯒꯥ ꯑꯇꯩ ꯈꯔꯗꯤ ꯇꯨꯡꯗꯥ ꯂꯥꯀꯄꯥ ꯌꯥꯏ꯫ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯑꯉꯥꯡ ꯑꯃꯗꯒꯤ ꯑꯉꯥꯡ ꯑꯃꯗꯥ ꯌꯥꯝꯅꯥ ꯈꯦꯠꯅꯕꯥ ꯌꯥꯏ꯫ ꯍꯧꯖꯤꯛ ꯁꯔꯨꯛ ꯈꯨꯗꯤꯡꯃꯛꯀꯥ ꯃꯔꯤ ꯂꯩꯅꯅꯥ ꯁꯔꯨꯛ ꯈꯨꯗꯤꯡꯃꯛ ꯌꯦꯡꯁꯤ꯫

ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗ (Vertebrae) ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯃꯁꯤꯡ꯫

ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗ ꯑꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯁꯔꯨꯛ ꯑꯃꯅꯤ꯫ VACTERLꯗꯥ, ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗ ꯑꯁꯤ ꯁꯦꯃꯒꯠꯄꯒꯤ ꯃꯑꯣꯡꯗꯥ ꯑꯍꯣꯡꯕꯥ ꯈꯔꯥ ꯂꯩꯕꯥ ꯌꯥꯏ꯫

• ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗ ꯑꯗꯨ ꯃꯥꯌꯀꯩ ꯑꯃꯗꯥ ꯀꯨꯄꯁꯤꯅꯕꯥ ( ꯁ꯭ꯀꯣꯂꯤꯑꯣꯁꯤꯁ )꯫
• ꯚꯔꯇꯤꯕ꯭ꯔꯦꯜ (ꯁ꯭ꯄꯥꯏꯅꯦꯜ)ꯒꯤ ꯃꯥꯂꯐꯣꯔꯃꯦꯁꯟ (ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯍꯦꯃꯤꯚꯥꯔꯇꯦꯕ꯭ꯔꯥ , ꯐ꯭ꯌꯨꯖ ꯇꯧꯔꯕꯥ ꯚꯔꯇꯤꯕ꯭ꯔꯦꯜ )꯫
• ꯇꯦꯂꯕꯣꯟ ꯃꯥꯡꯈꯤꯕꯥ꯫
• ꯔꯤꯕꯅꯒꯤ ꯑꯦꯕꯅꯣꯔꯃꯦꯂꯤꯇꯤꯁꯤꯡ (ꯔꯤꯕꯁ ꯃꯥꯡꯈꯤꯕꯥ, ꯑꯍꯦꯅꯕꯥ ꯔꯤꯕ ꯑꯃꯥ ꯂꯩꯕꯥ, ꯔꯤꯕꯅꯁꯤꯡ ꯑꯗꯨ ꯑꯃꯒꯥ ꯑꯃꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯂꯦꯡ-ꯑꯣꯠꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯆꯦꯟꯊꯈꯤꯕꯥ)꯫

ꯑꯁꯤꯒꯨꯝꯕꯥ ꯄꯣꯠꯁꯛ ꯑꯃꯅꯥ ꯑꯉꯥꯡ ꯑꯃꯒꯤ ꯄꯣꯁ꯭ꯇꯨꯔ ꯑꯃꯁꯨꯡ ꯃꯨꯚꯃꯦꯟꯇꯗꯥ ꯀꯔꯝꯅꯥ ꯁꯣꯀꯍꯅꯒꯅꯤ ꯍꯥꯌꯕꯗꯨ ꯈꯅꯕꯤꯌꯨ, ꯃꯗꯨ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗꯇꯥ ꯊꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ꯫

ꯑꯦꯅꯥꯜ (ꯑꯅꯥꯕꯥ) ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯃꯁꯤꯡ꯫

ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯅꯥꯕꯥ ꯑꯉꯥꯡ ꯈꯔꯗꯤ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯁꯦꯃꯖꯤꯟ-ꯁꯥꯖꯤꯅꯕꯥ ꯃꯈꯨꯠ ꯑꯃꯥ ꯂꯩꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯅꯥ ꯇꯥꯀꯄꯗꯤ ꯁ꯭ꯇꯣꯜ ꯊꯣꯀꯄꯥ ꯌꯥꯕꯥ ꯑꯍꯥꯡꯕꯥ ꯃꯐꯝ ꯑꯗꯨ ꯌꯥꯝꯅꯥ ꯄꯤꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯔꯥꯅꯕꯥ ꯃꯐꯃꯗꯥ ꯂꯩꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯕꯨ ꯑꯦꯅꯥꯜ ꯑꯦꯠꯔꯦꯁꯤꯌꯥ ꯍꯥꯌꯅꯥꯁꯨ ꯀꯧꯏ . ꯃꯁꯤꯅꯥ ꯑꯉꯥꯡ ꯑꯗꯨꯕꯨ ꯕꯣꯋꯦꯜ ꯃꯨꯚꯃꯦꯟꯇ ꯇꯧꯕꯗꯥ ꯈꯨꯗꯣꯡꯆꯥꯗꯕꯥ ꯊꯣꯀꯍꯜꯂꯤ꯫

ꯀꯥꯔꯗꯤꯌꯦꯛ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯃꯁꯤꯡ ꯂꯩꯕꯥ꯫

ꯍꯥꯔꯇꯀꯤ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯃꯁꯤꯡ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫ VACTERLꯗꯥ, ꯍꯥꯔꯠ ꯑꯁꯤ ꯁꯦꯝꯕꯒꯤ ꯃꯑꯣꯡ ꯑꯃꯁꯨꯡ ꯃꯁꯤꯅꯥ ꯀꯔꯝꯅꯥ ꯊꯕꯛ ꯇꯧꯕꯒꯦ ꯍꯥꯌꯕꯗꯨꯗꯥ ꯇꯣꯉꯥꯟ-ꯇꯣꯉꯥꯅꯕꯥ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯃꯁꯤꯡ ꯂꯩꯕꯥ ꯌꯥꯏ꯫

• ꯑꯆꯧꯕꯥ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯂꯁꯤꯡ (aorta and pulmonary artery) ꯑꯁꯤ ꯗꯤꯁꯞꯂꯦꯁ ꯇꯧꯏ꯫
• ꯍꯥꯔꯇꯀꯤ ꯑꯦꯠꯔꯤꯌꯥꯁꯤꯡꯒꯤ ꯃꯔꯛꯇꯥ ꯂꯩꯕꯥ ꯍꯣꯂꯁꯤꯡ ( atrial septal defects (ASD) )꯫
• ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯍꯥꯔꯇꯀꯤ ꯈꯣꯡꯖꯦꯜ ( tachycardia )꯫
• ꯍꯥꯔꯠ ꯐꯦꯜ ꯑꯣꯏꯕꯥ꯫
• ꯂꯦꯐꯠ ꯍꯥꯔꯠ ꯆꯦꯝꯕꯔ ( hypoplastic left heart syndrome )ꯒꯤ ꯑꯟꯗꯔꯗꯤꯚꯦꯂꯄꯃꯦꯟꯇ (hypoplastic left heart syndrome)꯫
• ꯌꯥꯡꯅꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯑꯃꯁꯨꯡ/ꯅꯠꯠꯔꯒꯥ ꯈꯣꯡꯗꯥ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯁꯣꯀꯄꯥ꯫
• ꯇꯦꯠꯔꯥꯂꯣꯖꯤ ꯑꯣꯐ ꯐꯦꯂꯣꯠꯒꯨꯝꯕꯥ ꯑꯔꯨꯕꯥ ꯍꯥꯔꯇꯀꯤ ꯂꯥꯌꯅꯥꯁꯤꯡ .
• ꯍꯥꯔꯇꯀꯤ ꯆꯦꯝꯕꯔꯁꯤꯡꯒꯤ ꯃꯔꯛꯇꯥ ꯂꯩꯕꯥ ꯍꯣꯂꯁꯤꯡ ( ventricular septal defects (VSD) )꯫

ꯍꯥꯔꯇꯀꯤ ꯂꯥꯌꯅꯥꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯈꯔꯗꯤ ꯄꯨꯟꯁꯤ ꯃꯥꯡꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ASD ꯑꯃꯁꯨꯡ VSDꯒꯨꯝꯕꯥ ꯍꯣꯜ ꯈꯔꯗꯤ ꯃꯇꯃꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ ꯃꯁꯥ ꯃꯊꯟꯇꯥ ꯂꯣꯌꯁꯤꯅꯕꯥ ꯌꯥꯏ꯫

ꯇ꯭ꯔꯦꯀꯤꯌꯥ ꯑꯃꯁꯨꯡ ꯏꯁꯣꯐꯦꯒꯁꯀꯤ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯃꯁꯤꯡ꯫

VACTERLꯗꯥ ꯎꯕꯥ ꯐꯪꯂꯤꯕꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯀꯟꯗꯤꯁꯅꯁꯤꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯗꯤ ꯇ꯭ꯔꯦꯀꯤꯌꯥ ꯑꯃꯁꯨꯡ ꯏꯁꯣꯐꯦꯒꯁ ꯑꯁꯤ ꯃꯈꯣꯌꯅꯥ ꯂꯩꯒꯗꯕꯥ ꯃꯐꯃꯗꯥ ꯁꯝꯅꯗꯕꯅꯤ (ꯇ꯭ꯔꯦꯀꯤꯑꯣꯏꯁꯣꯐꯦꯖꯤꯌꯜ ꯐꯤꯁ꯭ꯇꯨꯂꯥ꯫ ꯅꯠꯠꯔꯒꯥ, ꯏꯁꯣꯐꯦꯒꯁ ꯑꯁꯤ ꯁ꯭ꯇꯣꯃꯥꯛ (esophageal atresia)ꯒꯥ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯁꯝꯅꯗꯕꯥ ( esophageal atresia )꯫ ꯃꯁꯤꯒꯤ ꯃꯔꯃꯗꯤ:

• ꯁꯉ꯭ꯒꯣꯝ ꯊꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯆꯥꯕꯗꯥ ꯑꯋꯥꯕꯥ꯫
• ꯔꯦꯁ꯭ꯄꯤꯔꯦꯇꯔꯤ ꯇ꯭ꯔꯦꯛꯇꯀꯤ ꯏꯅꯐꯦꯛꯁꯅꯁꯤꯡ (ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯅ꯭ꯌꯨꯃꯣꯅꯤꯌꯥ )꯫
• ꯂꯧꯅꯒꯅꯕꯥ ꯂꯥꯌꯅꯥ꯫
• ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯗꯥ ꯑꯋꯥꯕꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫

ꯈꯟꯊꯕꯤꯌꯨ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯐꯨꯗ ꯄꯥꯏꯞ ꯑꯃꯁꯨꯡ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯒꯤ ꯄꯥꯏꯄꯀꯤ ꯃꯔꯛꯇꯥ ꯃꯤꯁꯥꯏꯜ ꯑꯃꯥ ꯂꯩꯔꯕꯗꯤ, ꯆꯤꯟꯖꯥꯛ ꯑꯃꯁꯨꯡ ꯊꯛꯅꯕꯥ ꯏꯁꯤꯡ ꯑꯁꯤ ꯂꯪꯁꯇꯥ ꯆꯪꯂꯀꯄꯥ ꯌꯥꯏ, ꯅꯠꯇꯦ? ꯃꯗꯨ ꯈꯨꯗꯣꯡꯊꯤꯅꯤꯡꯉꯥꯏ ꯑꯣꯏ꯫

ꯔꯦꯅꯥꯜ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯂꯩꯕꯥ꯫

ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤꯗꯥ ꯀꯤꯗꯅꯤ ꯑꯃꯁꯨꯡ ꯌꯨꯔꯤꯅꯔꯤ ꯁꯤꯁ꯭ꯇꯦꯃꯒꯤ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯃꯁꯤꯡꯁꯨ ꯎꯕꯥ ꯐꯪꯏ꯫

• ꯏꯎꯔꯦꯊ꯭ꯔꯥꯜ ꯑꯣꯄꯅꯤꯡꯒꯤ ꯑꯁꯣꯀꯄꯥ ꯃꯐꯝ (ꯃꯔꯨꯑꯣꯏꯅꯥ ꯅꯨꯄꯥꯃꯆꯥꯁꯤꯡꯗꯥ - ꯍꯥꯏꯄꯣꯁ꯭ꯄꯦꯗꯤꯌꯥꯁ )꯫
• ꯀꯤꯗꯅꯤꯁꯤꯡ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯗꯤꯚꯦꯂꯞ ꯇꯧꯗꯕꯥ ( ꯔꯦꯅꯥꯜ ꯗꯤꯁꯞꯂꯦꯁꯤꯌꯥ )꯫
• ꯑꯔꯥꯅꯕꯥ ꯃꯐꯃꯗꯥ ꯂꯩꯕꯥ ꯀꯤꯗꯅꯤꯁꯤꯡ ( ꯔꯦꯅꯦꯜ ꯑꯦꯛꯇꯣꯄꯤꯌꯥ )꯫
• ꯕ꯭ꯂꯦꯗꯔꯗꯒꯤ ꯀꯤꯗꯅꯤꯗꯥ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯆꯦꯜꯂꯤꯕꯥ ꯌꯨꯔꯤꯟ ( vesicoureteral reflux )꯫
• ꯀꯤꯗꯅꯤꯁꯤꯡꯗꯥ ꯌꯨꯔꯤꯟ ꯌꯥꯎꯕꯥ ( Hydronephrosis )꯫
• ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯌꯨꯔꯤꯅꯔꯤ ꯇ꯭ꯔꯦꯛꯇꯀꯤ ꯏꯅꯐꯦꯛꯁꯟ ꯂꯩꯕꯥ꯫

ꯂꯤꯝꯐ & ꯔꯦꯗꯤꯌꯁꯀꯤ ꯁꯃꯁ꯭ꯌꯥꯁꯤꯡ꯫

VACTERLꯗꯥ, ꯃꯔꯨꯑꯣꯏꯅꯥ ꯈꯨꯠꯁꯥꯒꯤ ꯑꯆꯧꯕꯥ ꯈꯣꯡꯒꯤ ꯃꯄꯥꯟꯗꯥ ꯂꯩꯕꯥ ꯔꯦꯗꯤꯌꯁ ꯕꯣꯅꯗꯥ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯃꯁꯤꯡ ꯎꯕꯥ ꯐꯪꯏ꯫

• ꯔꯦꯗꯤꯌꯁ ꯕꯣꯟ ( radial aplasia) ꯃꯄꯨꯡꯐꯥꯅꯥ ꯃꯥꯡꯈꯤꯕꯥ (radial aplasia )꯫
• ꯔꯦꯗꯤꯑꯦꯜ ꯍꯥꯏꯄꯣꯞꯂꯥꯁꯤꯌꯥ ( ꯔꯦꯗꯤꯌꯁ ꯕꯣꯅꯒꯤ ꯑꯟꯗꯔꯗꯤꯚꯦꯂꯄꯃꯦꯟꯇ)꯫
• ꯑꯆꯧꯕꯥ ꯈꯣꯡꯄꯥꯛ ꯑꯗꯨ ꯃꯥꯡꯈꯤꯕꯥ꯫
• ꯑꯆꯧꯕꯥ ꯈꯣꯡꯗꯥ ꯑꯍꯦꯅꯕꯥ ꯁꯔꯨ ꯇꯥꯡ ꯑꯃꯥ ꯂꯩꯕꯥ (Triphalangeal thumb ).

ꯃꯁꯤꯒꯤ ꯃꯊꯛꯇꯥ, ꯑꯁꯤꯒꯨꯝꯕꯥ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯃꯁꯤꯡ ꯑꯁꯤ ꯑꯇꯩ ꯂꯤꯝꯐꯁꯤꯡꯗꯥ (ꯔꯦꯗꯤꯌꯁ ꯕꯣꯅꯒꯤ ꯃꯊꯛꯇꯥ) ꯎꯕꯥ ꯐꯪꯏ:

• ꯈꯣꯡꯎꯄꯀꯤ ꯑꯁꯣꯛ-ꯑꯄꯟ ( clubfoot ) ꯑꯃꯥ꯫
• ꯐꯤꯉ꯭ꯒꯔ ꯈꯔꯗꯤ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯁꯤꯖꯤꯟꯅꯕꯥ ꯉꯃꯗꯕꯥ, ꯑꯄꯤꯀꯄꯥ ꯑꯣꯏꯕꯥ ( ꯍꯥꯏꯄꯣꯞꯂꯥꯁꯤꯌꯥ )꯫
• ꯑꯍꯦꯅꯕꯥ ꯐꯤꯉ꯭ꯒꯔ ( polydactyly ) ꯂꯩꯕꯥ꯫
• ꯐꯣꯔꯑꯥꯔꯃꯒꯤ ꯁꯔꯨ ꯑꯅꯤꯒꯤ ꯐ꯭ꯌꯨꯖꯟ ( radioulnar synostosis )꯫
• ꯃꯈꯨꯠꯁꯤꯡ ꯑꯗꯨ ꯑꯃꯒꯥ ꯑꯃꯒꯥ ꯂꯣꯌꯅꯅꯥ (ꯃꯦꯝꯕ꯭ꯔꯦꯟ ꯑꯃꯒꯨꯝꯅꯥ - ꯁꯤꯟꯗꯦꯛꯇꯤꯂꯤ )꯫

VACTERL ꯍꯥꯌꯕꯥ ꯃꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯊꯛꯇꯥ ꯎꯕꯥ ꯐꯪꯒꯗꯕꯥ ꯑꯇꯩ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ꯫

VACTERL ꯑꯛꯁꯔꯁꯤꯡꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯐꯣꯡꯗꯣꯀꯄꯥ ꯁꯔꯨꯀꯁꯤꯡꯒꯤ ꯃꯊꯛꯇꯥ, ꯑꯉꯥꯡꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯇꯣꯞꯄꯥ ꯃꯒꯨꯟ ꯈꯔꯁꯨ ꯎꯕꯥ ꯐꯪꯏ꯫

• ꯅꯥꯀꯣꯡꯒꯤ ꯃꯑꯣꯡ-ꯃꯇꯧ (abnormal shape)꯫
• ꯃꯥꯌꯒꯤ ꯅꯥꯀꯜ ꯑꯅꯤꯃꯛꯇꯥ ꯑꯦꯁꯤꯃꯦꯠꯔꯤ ꯂꯩꯕꯥ꯫
• ꯅꯥꯀꯣꯡꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ ( choanal atresia )꯫
• ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗ ꯑꯁꯤ ꯃꯐꯝ ꯑꯃꯗꯥ ꯊꯃꯖꯤꯜꯂꯤ (ꯇꯦꯗꯔ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗ )꯫
• ꯒ꯭ꯔꯣꯊ ꯑꯁꯤ ꯅꯣꯔꯃꯦꯂꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯇꯞꯅꯥ ꯆꯠꯂꯤ꯫
• ꯑꯣꯝꯐꯥꯂꯣꯁꯦꯜ (ꯍꯀꯆꯥꯡꯒꯤ ꯃꯄꯥꯟꯗꯥ ꯂꯩꯕꯥ ꯏꯟꯇꯦꯁ꯭ꯇꯥꯏꯅꯁꯤꯡ ꯊꯣꯀꯄꯥ)꯫
• ꯈꯣꯟꯖꯦꯂꯒꯤ ꯕꯣꯛꯁ/ ꯂꯦꯡ-ꯑꯣꯠꯄꯒꯤ ꯃꯑꯣꯡ-ꯃꯇꯧ ꯑꯗꯨ ꯀꯨꯄꯁꯤꯅꯕꯥ .

ꯃꯔꯨꯑꯣꯏꯕꯥ: ꯃꯒꯨꯅꯁꯤꯡ ꯑꯁꯤ ꯄꯨꯝꯅꯃꯛ ꯑꯉꯥꯡ ꯈꯨꯗꯤꯡꯃꯛꯇꯥ ꯂꯩꯇꯦ꯫ ꯑꯉꯥꯡ ꯈꯔꯗꯤ ꯃꯈꯣꯌ ꯈꯔꯈꯛꯇꯃꯛ ꯂꯩꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯗꯁꯨ ꯅꯠꯇꯅꯥ, ꯆꯞ ꯃꯥꯟꯅꯕꯥ ꯃꯒꯨꯟ ꯑꯗꯨ ꯐꯥꯑꯣꯕꯥ ꯑꯉꯥꯡ ꯑꯃꯗꯥ ꯑꯇꯣꯞꯄꯥ ꯑꯃꯗꯒꯤ ꯈꯦꯠꯅꯕꯥ ꯂꯩꯕꯥ ꯌꯥꯏ꯫

ꯚꯤ.ꯑꯦ.ꯁꯤ.ꯇꯤ.ꯑꯥꯔ.ꯑꯦꯜ.ꯒꯤ ꯈꯣꯃꯖꯤꯅꯕꯥ ꯑꯁꯤ ꯁꯦꯝꯕꯒꯤ ꯃꯔꯝ ꯀꯔꯤꯅꯣ?

ꯇꯁꯦꯡꯕꯗꯤ, VACTERL ꯁꯤꯟꯗꯣꯃꯒꯤ ꯑꯀꯛꯅꯕꯥ ꯃꯔꯝ ꯑꯁꯤ ꯍꯧꯖꯤꯛ ꯐꯥꯎꯕꯥ ꯈꯉꯕꯥ ꯉꯃꯗ꯭ꯔꯤ꯫ ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯍꯧꯖꯤꯛ ꯐꯥꯑꯣꯕꯥ ꯊꯤꯖꯤꯅꯕꯒꯤ ꯊꯕꯛ ꯆꯠꯊꯔꯤ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯍꯧꯖꯤꯛ ꯂꯩꯔꯤꯕꯥ ꯋꯥꯈꯜꯂꯣꯟ ꯑꯁꯤꯅꯥ ꯍꯥꯌꯔꯤ ꯃꯗꯨꯗꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯃꯤꯔꯣꯜꯂꯤꯉꯩꯒꯤ ꯑꯍꯥꯅꯕꯥ ꯇꯥꯉ꯭ꯀꯀꯁꯤꯡꯗꯥ ꯐꯤꯇꯁꯀꯤ ꯗꯤꯚꯦꯂꯄꯃꯦꯟꯇꯗꯥ ꯁꯣꯀꯍꯜꯂꯤꯕꯥ ꯖꯦꯅꯦꯇꯤꯛ ꯑꯃꯁꯨꯡ ꯑꯦꯅꯚꯥꯏꯔꯅꯃꯦꯟꯇꯀꯤ ꯐꯦꯛꯇꯔ ꯀꯌꯥꯒꯤ ꯀꯝꯕꯤꯅꯦꯁꯟ ꯑꯃꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯍꯥꯌꯕꯗꯤ ꯃꯔꯝ ꯑꯃꯈꯛꯇꯃꯛ ꯂꯩꯕꯥ ꯌꯥꯏ, ꯑꯗꯨꯕꯨ ꯃꯔꯝ ꯀꯌꯥ ꯑꯃꯅꯥ ꯄꯨꯟꯅꯥ ꯂꯩꯃꯤꯟꯅꯔꯀꯄꯥ ꯌꯥꯏ꯫

VACTERL ꯀꯂꯦꯛꯁꯟ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯈꯪꯗꯣꯛꯀꯅꯤ?

VACTERL ꯁꯤꯟꯗ꯭ꯔꯣꯝ ꯑꯁꯤ ꯃꯍꯧꯁꯥꯅꯥ ꯄ꯭ꯔꯤꯅꯦꯇꯦꯜ ꯑꯦꯀꯖꯥꯃꯤꯅꯦꯁꯟ ꯇꯧꯕꯥ ꯃꯇꯃꯗꯥ ꯅꯠꯠꯔꯒꯥ ꯄꯨꯟꯁꯤꯒꯤ ꯇꯣꯏꯅꯥ ꯊꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯈꯪꯗꯣꯀꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯌꯦꯛ ꯁꯦꯡꯗꯦ, ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯃꯁꯤ ꯑꯉꯥꯡ ꯑꯣꯏꯔꯤꯉꯩꯗꯥ ꯅꯠꯠꯔꯒꯥ ꯅꯍꯥ ꯑꯣꯏꯔꯤꯉꯩꯗꯥ ꯐꯥꯎꯕꯥ ꯈꯪꯗꯣꯀꯄꯥ ꯌꯥꯏ꯫

VACTERL ꯁꯤꯟꯗ꯭ꯔꯣꯝ ꯑꯁꯤ "ꯑꯦꯛꯁꯛꯂꯨꯁꯅꯒꯤ ꯗꯥꯏꯑꯦꯒ꯭ꯅꯣꯁꯤꯁ" ꯑꯃꯅꯤ꯫ ꯃꯁꯤꯅꯥ ꯇꯥꯀꯄꯗꯤ ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯑꯍꯥꯅꯕꯗꯥ ꯃꯥꯟꯅꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯕꯥ ꯑꯇꯣꯞꯄꯥ ꯂꯥꯌꯅꯥ ꯑꯃꯁꯨꯡ ꯀꯟꯗꯤꯁꯟ ꯄꯨꯝꯅꯃꯛ ꯂꯧꯊꯣꯀꯏ꯫ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯠꯇꯥ ꯐꯪꯗꯕꯥ ꯃꯇꯃꯗꯥ ꯈꯛꯇꯗꯥ ꯃꯈꯣꯌꯅꯥ VACTERL ꯑꯁꯤ ꯑꯣꯏꯊꯣꯀꯄꯥ ꯌꯥꯕꯥ ꯃꯔꯝ ꯑꯃꯥ ꯑꯣꯏꯅꯥ ꯂꯧꯏ꯫

ꯗꯣꯛꯇꯔ ꯑꯃꯅꯥ ꯑꯍꯥꯅꯕꯗꯥ ꯃꯄꯨꯡꯐꯥꯕꯥ ꯐꯤꯖꯤꯀꯦꯜ ꯑꯦꯀꯖꯥꯃꯤꯅꯦꯁꯟ ꯑꯃꯥ ꯇꯧꯒꯅꯤ꯫ ꯃꯁꯤꯅꯥ ꯑꯩꯈꯣꯌꯅꯥ ꯃꯃꯥꯡꯗꯥ ꯈꯟꯅꯈꯤꯕꯥ VACTERL ꯍꯥꯌꯕꯥ ꯑꯛꯁꯔꯁꯤꯡꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯏꯕꯥ ꯍꯀꯆꯥꯡꯒꯤ ꯁꯔꯨꯛ ꯑꯃꯗꯥ ꯌꯥꯃꯗ꯭ꯔꯕꯗꯥ ꯄꯣꯀꯄꯒꯤ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯆꯦꯛ ꯇꯧꯒꯅꯤ꯫ ꯑꯌꯥꯝꯕꯥ ꯃꯇꯃꯗꯥ, VACTERLꯅꯥ ꯅꯥꯕꯥ ꯑꯉꯥꯡ ꯑꯃꯅꯥ ꯌꯥꯃꯗ꯭ꯔꯕꯗꯥ ꯍꯀꯆꯥꯡꯒꯤ ꯁꯔꯨꯛ ꯑꯍꯨꯃꯗꯥ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯃꯁꯤꯡ ꯑꯁꯤ ꯂꯩꯒꯅꯤ .

ꯐꯤꯖꯤꯀꯦꯜ ꯑꯦꯀꯖꯥꯃꯤꯅꯦꯁꯟ ꯇꯧꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯗꯣꯛꯇꯔꯅꯥ ꯃꯈꯥ ꯇꯥꯕꯥ ꯇꯦꯁ꯭ꯇꯁꯤꯡ (ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ ꯑꯦꯛꯁ-ꯔꯦ , ꯑꯂꯠꯔꯥꯁꯥꯎꯟꯗ , ꯕ꯭ꯂꯗ ꯇꯦꯁ꯭ꯠ) ꯇꯧꯅꯕꯥ ꯑꯣꯔꯗꯔ ꯇꯧꯒꯅꯤ꯫ ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯄꯨꯟꯁꯤꯗꯥ ꯈꯨꯗꯣꯡꯊꯤꯅꯤꯡꯉꯥꯏ ꯑꯣꯏꯕꯥ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯑꯃꯍꯦꯛꯇꯕꯨ, ꯃꯔꯨꯑꯣꯏꯅꯥ ꯍꯥꯔꯠ ꯑꯃꯁꯨꯡ ꯀꯤꯗꯅꯤꯒꯤ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯃꯁꯤꯡ ꯑꯗꯨ ꯈꯪꯗꯣꯛꯅꯕꯥ ꯇꯧꯏ, ꯃꯗꯨꯅꯥ ꯃꯈꯣꯌꯕꯨ ꯊꯨꯅꯥ ꯂꯥꯏꯌꯦꯡꯕꯥ ꯉꯃꯍꯜꯂꯤ꯫

VACTERL ꯁꯤꯟꯗ꯭ꯔꯣꯃꯒꯤ ꯂꯥꯏꯌꯦꯡꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?

VACTERL ꯁꯤꯟꯗ꯭ꯔꯣꯝ ꯂꯥꯌꯦꯡꯕꯗꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯤꯠꯌꯦꯡꯗꯤ ꯑꯦꯃꯔꯖꯦꯟꯁꯤ ꯁ꯭ꯇꯦꯖ ꯃꯅꯨꯡꯗꯥ ꯍꯀꯆꯥꯡꯗꯥ ꯊꯣꯀꯄꯥ ꯃꯥꯂꯐꯣꯔꯃꯦꯁꯅꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯍꯟꯊꯍꯅꯕꯅꯤ꯫ ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯃꯑꯣꯡ-ꯃꯇꯧꯁꯤꯡ ꯑꯁꯤ ꯑꯉꯥꯡ ꯑꯃꯗꯒꯤ ꯑꯇꯣꯞꯄꯥ ꯑꯃꯗꯥ ꯈꯦꯠꯅꯩ꯫ ꯃꯁꯤꯒꯤ ꯃꯔꯃꯗꯤ ꯑꯉꯥꯡ ꯄꯨꯝꯅꯃꯛꯇꯥ ꯆꯞ ꯃꯥꯟꯅꯕꯥ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯂꯩꯇꯦ꯫ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯂꯥꯏꯌꯦꯡꯁꯤꯡꯗꯤ:

• ꯁꯔꯖꯔꯤ: ꯍꯥꯌꯔꯤꯕꯥ ꯃꯥꯂꯐꯣꯔꯃꯦꯁꯅꯁꯤꯡ ꯑꯁꯤ ꯀꯣꯀꯍꯟꯅꯕꯥ ꯁꯔꯖꯔꯤ ꯇꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯁꯔꯖꯔꯤ ꯑꯁꯤ ꯑꯉꯥꯡ ꯄꯣꯀꯄꯥ ꯃꯇꯨꯡ ꯅꯨꯃꯤꯠ ꯈꯔꯅꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ, ꯑꯆꯧꯕꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ ꯊꯣꯛꯂꯛꯠꯔꯤꯉꯩꯒꯤ ꯃꯃꯥꯡꯗꯥ ꯄꯥꯡꯊꯣꯀꯏ꯫ ꯑꯉꯥꯡ ꯑꯗꯨꯅꯥ ꯆꯥꯎꯈꯠꯂꯀꯄꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯑꯍꯦꯅꯕꯥ ꯁꯔꯖꯔꯤꯁꯤꯡ ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯏ꯫
• ꯐꯤꯖꯤꯀꯦꯜ ꯊꯦꯔꯥꯄꯤ ꯅꯠꯠꯔꯒꯥ ꯑꯣꯛꯌꯨꯄꯦꯁꯅꯦꯜ ꯊꯦꯔꯥꯄꯤ: ꯂꯥꯏꯌꯦꯡꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯃꯁꯂꯁꯤꯡ ꯃꯄꯥꯉ꯭ꯒꯜ ꯀꯅꯈꯠꯍꯅꯕꯗꯥ ꯑꯃꯁꯨꯡ ꯁꯔꯨ ꯇꯥꯡꯁꯤꯡ ꯐꯒꯠꯍꯅꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫
• ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛ: ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯍꯟꯊꯍꯟꯅꯕꯥ ꯇꯣꯉꯥꯟ-ꯇꯣꯉꯥꯅꯕꯥ ꯃꯈꯂꯒꯤ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ ꯄꯤꯕꯥ ꯌꯥꯏ꯫

VACTERL ꯁꯤꯟꯗ꯭ꯔꯣꯝ ꯂꯩꯕꯥ ꯑꯉꯥꯡ ꯑꯃꯕꯨ ꯀꯔꯝꯅꯥ ꯌꯦꯡꯁꯤꯅꯕꯤꯒꯅꯤ?

ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯗꯥ VACTERL ꯁꯤꯟꯗ꯭ꯔꯣꯝ ꯂꯩꯔꯦ ꯍꯥꯌꯕꯥ ꯈꯪꯗꯣꯀꯄꯥ ꯍꯥꯌꯕꯁꯤ ꯑꯔꯨꯕꯥ ꯑꯦꯛꯁꯄꯔꯤꯌꯦꯟꯁ ꯑꯃꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯕꯨ ꯅꯤꯡꯁꯤꯡꯕꯤꯌꯨ, ꯅꯍꯥꯛ ꯈꯛꯇꯅꯥ ꯅꯠꯇꯦ꯫ ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯅꯥ ꯃꯈꯣꯌꯒꯤ ꯄꯨꯟꯁꯤ ꯆꯨꯞꯄꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯗꯨ ꯃꯦꯅꯦꯖ ꯇꯧꯅꯕꯥ ꯂꯦꯞꯇꯅꯥ ꯃꯦꯗꯤꯀꯦꯜ ꯀꯦꯌꯔ ꯑꯃꯁꯨꯡ ꯃꯣꯅꯤꯇꯔꯤꯡ ꯇꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯒꯅꯤ꯫

ꯑꯉꯥꯡ ꯑꯗꯨꯕꯨ ꯌꯦꯡꯁꯤꯜꯂꯤꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯗꯨ ꯑꯣꯏꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯆꯧꯕꯥ ꯊꯧꯗꯥꯡ ꯑꯃꯥ ꯂꯩ꯫

• ꯃꯇꯝ ꯄꯨꯝꯅꯃꯛꯇꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯒꯤ ꯍꯀꯁꯦꯜ ꯑꯃꯁꯨꯡ ꯗꯤꯚꯦꯂꯄꯃꯦꯟꯇ ꯑꯗꯨ ꯈꯪꯖꯤꯅꯒꯗꯕꯅꯤ꯫ ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯅꯥ ꯃꯈꯣꯌꯒꯤ ꯆꯍꯤꯒꯥ ꯆꯥꯟꯅꯕꯥ ꯗꯤꯚꯦꯂꯄꯃꯦꯟꯇꯒꯤ ꯃꯥꯏꯂꯁ꯭ꯇꯣꯅꯁꯤꯡ (ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯃꯀꯣꯛ ꯊꯣꯡꯕꯥ, ꯈꯣꯡꯅꯥ ꯆꯠꯄꯥ, ꯐꯃꯗꯨꯅꯥ ꯂꯩꯕꯥ, ꯈꯣꯡꯅꯥ ꯆꯠꯄꯥ) ꯌꯧꯔꯛꯂꯤꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯎ꯫
• ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯕꯨ ꯂꯥꯏꯌꯦꯡꯂꯤꯕꯥ ꯗꯣꯛꯇꯔꯁꯤꯡꯒꯥ ꯄꯥꯎ ꯐꯥꯎꯅꯕꯤꯌꯨ꯫ VACTERLꯅꯥ ꯅꯥꯕꯥ ꯑꯉꯥꯡ ꯑꯃꯅꯥ ꯃꯍꯧꯁꯥꯅꯥ ꯁ꯭ꯄꯦꯁꯤꯑꯦꯂꯤꯁ꯭ꯠ ꯀꯌꯥꯒꯤ ꯃꯇꯦꯡ ꯃꯊꯧ ꯇꯥꯏ (ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯄꯦꯗꯤꯑꯦꯠꯔꯤꯛ, ꯀꯥꯔꯗꯤꯑꯣꯂꯣꯖꯤꯁ꯭ꯠ, ꯁꯔꯖꯔꯤ, ꯅꯦꯐ꯭ꯔꯣꯂꯣꯖꯤꯁ꯭ꯠ)꯫ ꯃꯈꯣꯌ ꯄꯨꯝꯅꯃꯛꯀꯥ ꯑꯐꯕꯥ ꯃꯔꯤ ꯑꯃꯥ ꯊꯝꯃꯨ꯫
• ꯏꯃꯨꯡ ꯈꯔꯗꯤ ꯖꯦꯅꯦꯇꯤꯛ ꯀꯥꯎꯟꯁꯦꯂꯤꯡ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫ ꯃꯁꯤꯅꯥ ꯃꯈꯣꯌꯒꯤ ꯑꯉꯥꯡꯒꯤ ꯐꯤꯚꯃꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯍꯦꯟꯅꯥ ꯈꯪꯖꯤꯅꯕꯗꯥ, ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯑꯣꯄꯁꯅꯁꯤꯡ ꯈꯟꯅꯕꯗꯥ ꯑꯃꯁꯨꯡ ꯁꯤꯡꯅꯕꯥ ꯑꯁꯤ ꯊꯦꯡꯅꯕꯗꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯋꯥꯈꯂꯒꯤ ꯄꯥꯉ꯭ꯒꯜ ꯑꯗꯨ ꯐꯪꯍꯅꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫

VACTERL ꯁꯤꯟꯗ꯭ꯔꯣꯝ ꯑꯁꯤ ꯊꯤꯡꯕꯥ ꯉꯃꯒꯗ꯭ꯔꯥ?

VACTERL ꯁꯤꯟꯗ꯭ꯔꯣꯃꯒꯤ ꯑꯆꯨꯝꯕꯥ ꯃꯔꯝ ꯑꯗꯨ ꯍꯧꯖꯤꯛ ꯐꯥꯎꯕꯥ ꯈꯪꯗꯕꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯃꯁꯤ ꯊꯤꯡꯅꯕꯒꯤ ꯄꯥꯝꯕꯩ ꯑꯃꯠꯇꯥ ꯂꯩꯇꯦ꯫ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯀꯔꯤꯅꯥ ꯊꯣꯀꯍꯅꯕꯒꯦ ꯑꯃꯁꯨꯡ ꯑꯅꯧꯕꯥ ꯃꯃꯥ-ꯃꯄꯥꯁꯤꯡꯗꯥ ꯀꯔꯤ ꯔꯤꯁ꯭ꯛ ꯐꯦꯛꯇꯔꯁꯤꯡ ꯂꯩꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯈꯪꯗꯣꯛꯅꯕꯥ ꯔꯤꯁꯔꯆ ꯆꯠꯊꯔꯤ꯫

VACTERL ꯁꯤꯟꯗ꯭ꯔꯣꯝ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯅꯥ ꯀꯔꯤ ꯃꯈꯂꯒꯤ ꯑꯦꯛꯁꯄꯦꯛꯇꯦꯁꯟ ꯂꯩꯕꯥ ꯌꯥꯕꯒꯦ?

ꯃꯤꯔꯣꯜꯂꯤꯉꯩ ꯃꯇꯃꯗꯥ, ꯅꯍꯥꯛ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨ ꯀꯔꯝꯅꯥ ꯍꯀꯁꯦꯜ ꯐꯅꯥ ꯂꯩꯕꯥ ꯌꯥꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯇꯥꯟꯅꯧ꯫ ꯖꯦꯅꯦꯇꯤꯛ ꯇꯦꯁ꯭ꯠ ꯑꯃꯁꯨꯡ ꯄ꯭ꯔꯤꯅꯦꯇꯦꯜ ꯀꯦꯌꯔꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨ ꯄꯣꯀꯄꯥ ꯃꯃꯥꯡꯗꯥ VACTERL ꯇ꯭ꯔꯦꯠ ꯈꯔꯗꯤ ꯈꯪꯗꯣꯀꯄꯥ ꯉꯝꯃꯤ꯫ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨ ꯄꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯂꯥꯏꯌꯦꯡ ꯍꯧꯅꯕꯥ ꯁꯦꯝ-ꯁꯥꯕꯥ ꯌꯥꯏ꯫

ꯑꯉꯥꯡ ꯑꯗꯨ ꯄꯣꯀꯄꯥ ꯃꯇꯨꯡꯗꯥ, ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯑꯍꯥꯅꯕꯗꯥ ꯑꯉꯥꯡ ꯑꯗꯨ ꯄꯨꯟꯁꯤ ꯃꯥꯡꯍꯅꯕꯥ ꯌꯥꯕꯥ ꯂꯥꯏꯑꯣꯡ ꯑꯃꯠꯇꯥ ꯂꯥꯌꯦꯡꯕꯥ ꯉꯝꯅꯕꯥ ꯍꯀꯆꯥꯡ ꯐꯅꯥ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯁꯤꯜꯂꯤ꯫ ꯑꯉꯥꯡ ꯑꯣꯏꯔꯤꯉꯩ ꯑꯃꯁꯨꯡ ꯏꯅꯈꯠꯂꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯑꯅꯧꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯂꯥꯀꯄꯥ ꯌꯥꯏ ꯅꯠꯠꯔꯒꯥ ꯑꯔꯤꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯍꯣꯡꯂꯀꯄꯥ ꯌꯥꯏ ꯍꯥꯌꯕꯁꯤꯅꯥ ꯄꯨꯟꯁꯤ ꯆꯨꯞꯄꯥ ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯏ꯫

VACTERL ꯁꯤꯟꯗ꯭ꯔꯣꯃꯒꯤ ꯂꯥꯏꯌꯦꯡ ꯑꯃꯠꯇꯥ ꯂꯩꯇꯦ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯃꯇꯤꯛ ꯆꯥꯕꯥ ꯂꯥꯏꯌꯦꯡ ꯑꯃꯁꯨꯡ ꯃꯦꯅꯦꯖꯃꯦꯟꯇꯅꯥ ꯑꯉꯥꯡ ꯑꯗꯨꯕꯨ ꯌꯥꯝꯅꯥ ꯐꯕꯥ ꯄꯨꯟꯁꯤ ꯑꯃꯥ ꯍꯤꯡꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯕꯥ ꯌꯥꯏ꯫

ꯀꯗꯥꯏꯗꯥ ꯗꯣꯛꯇꯔꯒꯥ ꯇꯥꯟꯅꯒꯗꯒꯦ?

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯗꯥ VACTERLꯒꯤ ꯂꯥꯏꯑꯣꯡ ꯂꯩꯔꯕꯗꯤ ꯑꯃꯁꯨꯡ ꯃꯈꯣꯌꯅꯥ ꯃꯈꯣꯌꯒꯤ ꯅꯨꯡꯇꯤꯒꯤ ꯑꯣꯏꯕꯥ ꯊꯕꯛ-ꯊꯧꯔꯃꯁꯤꯡ ꯅꯠꯠꯔꯒꯥ ꯗꯤꯚꯦꯂꯄꯃꯦꯟꯇꯗꯥ ꯑꯀꯥꯌꯕꯥ ꯄꯤꯔꯕꯗꯤ, ꯗꯣꯛꯇꯔ ꯑꯃꯗꯥ ꯁꯣꯌꯗꯅꯥ ꯇꯥꯀꯄꯤꯌꯨ꯫

ꯏꯃꯔꯖꯦꯟꯁꯤ ꯔꯨꯃꯗꯥ ꯀꯗꯥꯏꯗꯥ ꯆꯠꯀꯗꯒꯦ:

• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯉꯥꯡ ꯑꯗꯨꯒꯤ ꯍꯥꯔꯇꯀꯤ ꯈꯣꯟꯖꯦꯜ ꯑꯗꯨ ꯂꯦꯡ-ꯑꯣꯠꯄꯗꯥ ꯋꯥꯕꯥ ꯑꯣꯏꯔꯕꯗꯤ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯆꯥꯅꯕꯥ ꯆꯤꯟꯖꯥꯛ ꯆꯥꯗꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯁꯉ꯭ꯒꯣꯝ ꯊꯀꯄꯥ ꯉꯃꯗ꯭ꯔꯕꯗꯤ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯗꯥ ꯑꯋꯥꯕꯥ ꯂꯩꯔꯕꯗꯤ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯏꯁꯤꯡ ꯇꯨꯡꯁꯤꯅꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯏꯁꯤꯡ ꯇꯨꯡꯁꯤꯅꯕꯥ ꯉꯃꯗ꯭ꯔꯕꯗꯤ꯫

ꯑꯁꯤꯒꯨꯝꯕꯥ ꯐꯤꯚꯝ ꯑꯁꯤꯗꯥ ꯈꯔꯥ ꯐꯥꯑꯣꯕꯥ ꯊꯦꯡꯊꯕꯥ ꯇꯧꯔꯣꯏꯗꯕꯅꯤ꯫

ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯀꯔꯤ ꯋꯥꯍꯪ ꯍꯪꯒꯗꯒꯦ?

ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯒꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯗꯨ ꯈꯪꯂꯕꯥ ꯃꯇꯃꯗꯥ ꯋꯥꯍꯪ ꯀꯌꯥ ꯍꯪꯂꯀꯄꯥ ꯍꯥꯌꯕꯁꯤ ꯅꯣꯔꯃꯦꯂꯅꯤ꯫ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯇꯧꯕꯥ ꯌꯥꯕꯥ ꯄꯨꯝꯅꯃꯛ ꯍꯪꯕꯗꯥ ꯂꯥꯡꯇꯛꯅꯒꯅꯨ꯫ ꯃꯈꯥꯗꯥ ꯈꯨꯗꯝ ꯈꯔꯥ ꯄꯤꯔꯤ:

• ꯑꯩꯒꯤ ꯑꯉꯥꯡ ꯑꯗꯨ ꯁꯔꯖꯔꯤ ꯇꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯕ꯭ꯔꯥ?
• ꯅꯍꯥꯛꯅꯥ ꯔꯤꯀꯃꯦꯟꯗ ꯇꯧꯔꯤꯕꯥ ꯂꯥꯏꯌꯦꯡꯁꯤꯡꯒꯤ ꯁꯥꯏꯗ ꯏꯐꯦꯛꯇꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯩꯒꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯅꯥ ꯗꯤꯚꯦꯂꯄꯃꯦꯟꯇꯒꯤ ꯃꯥꯏꯂꯁ꯭ꯇꯣꯅꯁꯤꯡ ꯌꯧꯔꯛꯠꯔꯕꯗꯤ ꯑꯩꯅꯥ ꯀꯔꯤ ꯇꯧꯒꯗꯒꯦ?
• ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯅꯧꯅꯥ ꯄꯣꯀꯄꯥ ꯑꯉꯥꯡ ꯑꯃꯕꯨ ꯀꯔꯝꯅꯥ ꯌꯦꯡꯁꯤꯅꯒꯅꯤ?

ꯋꯥꯍꯪꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯊꯛꯇꯥ ꯅꯍꯥꯛꯀꯤ ꯋꯥꯈꯂꯗꯥ ꯂꯩꯔꯤꯕꯥ ꯋꯥꯐꯝ ꯑꯃꯥ ꯍꯦꯛꯇꯥ ꯍꯪꯕꯤꯌꯨ꯫ ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯑꯗꯣꯃꯒꯤ ꯃꯇꯦꯡ ꯄꯥꯡꯅꯕꯥ ꯃꯐꯝ ꯑꯁꯤꯗꯥ ꯂꯩꯔꯤ꯫

ꯑꯔꯣꯏꯕꯗꯥ ꯅꯤꯡꯁꯤꯡꯒꯗꯕꯥ ꯋꯥꯐꯃꯁꯤꯡ꯫

ꯅꯧꯅꯥ ꯄꯣꯀꯄꯥ ꯑꯉꯥꯡꯁꯤꯡꯗꯥ ꯄꯣꯀꯄꯗꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯀꯌꯥ ꯂꯩ, ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯉꯥꯡ ꯑꯗꯨꯕꯨ ꯑꯊꯨꯕꯥ ꯃꯇꯃꯗꯥ ꯌꯨꯃꯗꯥ ꯄꯨꯔꯀꯄꯥ ꯉꯃꯂꯣꯏ ꯍꯥꯌꯕꯥ ꯈꯪꯂꯕꯥ ꯃꯇꯃꯗꯥ ꯁ꯭ꯠꯔꯦꯁ ꯂꯩꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏ꯫ ꯑꯗꯨꯕꯨ ꯅꯤꯡꯁꯤꯡꯕꯤꯌꯨ, ꯁ꯭ꯄꯦꯁꯤꯑꯦꯂꯤꯁ꯭ꯠ ꯗꯣꯛꯇꯔꯁꯤꯡꯒꯤ ꯀꯥꯡꯕꯨ ꯑꯃꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯗꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯂꯥꯏꯌꯦꯡ ꯑꯗꯨ ꯄꯤꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯄꯨꯟꯁꯤꯗꯥ ꯈꯨꯗꯣꯡꯊꯤꯕꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯕꯥ ꯂꯥꯏꯑꯣꯡ ꯑꯃꯠꯇꯥ ꯂꯩꯍꯟꯗꯅꯕꯥ ꯍꯣꯠꯅꯒꯅꯤ꯫

ꯃꯃꯥ-ꯃꯄꯥ ꯑꯃꯁꯨꯡ ꯀꯦꯌꯔ ꯂꯧꯔꯤꯕꯥ ꯃꯤꯑꯣꯏ ꯀꯌꯥꯅꯥ VACTERL ꯁꯤꯟꯗꯣꯝ ꯈꯪꯗꯣꯛꯂꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯖꯦꯅꯦꯇꯤꯛ ꯀꯥꯎꯟꯁꯦꯂꯤꯡꯒꯨꯝꯕꯥ ꯁꯔꯚꯤꯁꯁꯤꯡꯗꯥ ꯑꯆꯧꯕꯥ ꯅꯨꯡꯉꯥꯏꯕꯥ ꯑꯃꯁꯨꯡ ꯂꯧꯁꯤꯡ ꯐꯪꯏ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ, ꯑꯁꯤꯒꯨꯝꯕꯥ ꯁꯔꯚꯤꯁ ꯑꯁꯤꯗꯒꯤ ꯃꯇꯦꯡ ꯂꯧꯕꯗꯥ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯂꯩꯔꯣꯏꯗꯕꯅꯤ꯫ ꯃꯇꯤꯛ ꯆꯥꯕꯥ ꯃꯦꯗꯤꯀꯦꯜ ꯇ꯭ꯔꯤꯠꯃꯦꯟꯇ, ꯅꯨꯡꯁꯤꯕꯥ ꯑꯃꯁꯨꯡ ꯌꯦꯡꯁꯤꯅꯕꯤꯕꯥ ꯑꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯕꯨ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯥ ꯄꯨꯟꯁꯤ ꯍꯤꯡꯕꯗꯥ ꯁꯣꯌꯗꯅꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯒꯅꯤ꯫

VATER ꯁꯤꯟꯗ꯭ꯔꯣꯝ, VACTERL ꯑꯦꯁꯣꯁꯤꯑꯦꯁꯟ, ꯀꯣꯟꯖꯤꯅꯤꯑꯦꯜ ꯑꯦꯕꯅꯣꯔꯃꯦꯂꯤꯇꯤ, ꯄꯣꯀꯄꯗꯥ ꯉꯥꯏꯔꯤꯕꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ, ꯑꯉꯥꯡꯒꯤ ꯍꯀꯁꯦꯜ, ꯑꯉꯥꯡꯒꯤ ꯍꯀꯁꯦꯜ, ꯑꯦꯃꯕ꯭ꯔꯤꯌꯔ ꯗꯤꯚꯦꯂꯄꯃꯦꯟꯇ, ꯚꯔꯇꯤꯕ꯭ꯔꯦꯂꯒꯤ ꯑꯁꯣꯛ-ꯑꯄꯟ, ꯑꯦꯅꯥꯜ ꯑꯦꯠꯔꯦꯁꯤꯌꯥ, ꯍꯥꯔꯇꯀꯤ ꯑꯁꯣꯛ-ꯑꯄꯟ, ꯇ꯭ꯔꯦꯀꯤꯑꯣꯏꯁꯣꯐꯦꯖꯤꯑꯦꯜ ꯐꯤꯁ꯭ꯇꯨꯂꯥ, ꯔꯦꯅꯥꯜ ꯗꯤꯐꯦꯛꯇ, ꯂꯤꯝꯐ ꯗꯤꯐꯦꯛꯇ, ꯁ꯭ꯔꯤꯂꯉ꯭ꯀꯥ꯫