ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯒꯤ ꯊꯝꯃꯣꯌꯗꯥ ꯍꯨꯔꯥꯅꯕꯥ ꯑꯃꯥ ꯂꯩꯕ꯭ꯔꯥ? ꯚꯤ.ꯑꯦꯁ.ꯗꯤ.(ꯚꯦꯟꯇꯤꯀꯨꯂꯥꯔ ꯁꯦꯞꯇꯥꯜ ꯗꯤꯐꯦꯛꯇ)ꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯁꯤ

ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯏꯆꯥꯅꯨꯄꯤꯒꯤ ꯊꯝꯃꯣꯌꯗꯥ ꯍꯨꯔꯥꯅꯕꯥ ꯑꯃꯥ ꯂꯩ ꯍꯥꯌꯅꯥ ꯍꯥꯌꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯅꯍꯥꯛ ꯌꯥꯝꯅꯥ ꯋꯥꯅꯥ ꯊꯣꯀꯈꯤꯕꯅꯤ, ꯅꯠꯇꯦ? ꯃꯁꯤ ꯇꯁꯦꯡꯅꯥ ꯌꯥꯝꯅꯥ ꯀꯃꯟ ꯑꯣꯏ꯫ ꯑꯗꯨꯕꯨ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯋꯥꯐꯃꯗꯤ ꯃꯁꯤ ꯁ꯭ꯔꯤꯂꯉ꯭ꯀꯥꯗꯥ ꯑꯉꯥꯡꯁꯤꯡꯒꯤ ꯃꯔꯛꯇꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯀꯣꯟꯖꯤꯅꯤꯑꯦꯜ ꯍꯥꯔꯠ ꯗꯤꯖꯤꯖꯅꯤ꯫ ꯑꯌꯥꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯈꯨꯗꯣꯡꯊꯤꯅꯤꯉꯥꯏ ꯑꯣꯏꯗꯦ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯂꯥꯡꯇꯛꯅꯒꯅꯨ꯫ VSD (Ventricular Septal Defect) ꯀꯧꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯈꯪꯖꯤꯅꯕꯥ ꯌꯥꯕꯥ ꯏꯆꯝ ꯆꯝꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯁꯤ꯫

ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯃꯁꯤꯒꯤ ꯚꯤ.ꯑꯦꯁ.ꯗꯤ.

ꯑꯩꯈꯣꯌꯒꯤ ꯊꯝꯃꯣꯌ ꯑꯁꯤ ꯆꯦꯝꯕꯔ ꯃꯔꯤ ꯂꯩꯕꯥ ꯑꯄꯤꯀꯄꯥ ꯌꯨꯝ ꯑꯃꯒꯨꯝꯕꯅꯤ꯫ ꯃꯊꯛꯀꯤ ꯆꯦꯝꯕꯔ ꯑꯅꯤ ꯑꯃꯁꯨꯡ ꯃꯈꯥꯒꯤ ꯆꯦꯝꯕꯔ ꯑꯅꯤ꯫ ꯃꯈꯥꯗꯥ ꯂꯩꯕꯥ ꯑꯆꯧꯕꯥ, ꯃꯄꯥꯉ꯭ꯒꯜ ꯀꯅꯕꯥ ꯆꯦꯝꯕꯔ ꯑꯅꯤ ꯑꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯚꯦꯟꯇꯤꯂꯦꯇꯔ ꯍꯥꯌꯅꯥ ꯀꯧꯏ . ꯚꯦꯟꯇꯤꯂꯦꯇꯔ ꯑꯅꯤ ꯑꯁꯤꯒꯤ ꯃꯔꯛꯇꯥ ꯑꯀꯅꯕꯥ ꯋꯥꯜ ꯑꯃꯥ ꯂꯩ꯫ ꯃꯁꯤꯒꯤ ꯋꯥꯜ ꯑꯁꯤꯕꯨ ꯁꯦꯞꯇꯝ ꯍꯥꯌꯅꯥ ꯀꯧꯏ . ꯋꯥꯜ ꯑꯁꯤꯒꯤ ꯊꯕꯛ ꯑꯁꯤ ꯍꯥꯔꯇꯀꯤ ꯅꯥꯀꯜ ꯑꯃꯗꯥ ꯍꯦꯟꯅꯥ ꯑꯣꯛꯁꯤꯖꯦꯟ ꯌꯥꯎꯕꯥ, ꯁꯦꯡꯅꯥ ꯂꯩꯕꯥ ꯏ ꯑꯗꯨ ꯑꯇꯣꯞꯄꯥ ꯃꯥꯌꯀꯩ ꯑꯃꯗꯥ ꯑꯣꯛꯁꯤꯖꯦꯟ ꯌꯥꯎꯗꯕꯥ, ꯑꯁꯣꯀꯄꯥ ꯏ ꯑꯗꯨꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯌꯥꯎꯍꯟꯗꯕꯅꯤ꯫

ꯚꯦꯟꯇꯤꯀꯨꯂꯥꯔ ꯁꯦꯞꯇꯦꯝ ꯗꯤꯐꯦꯛꯇ (VSD) ꯍꯥꯌꯕꯁꯤ, ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯋꯥꯜ (septum)ꯗꯥ ꯂꯩꯕꯥ ꯍꯨꯔꯥꯅꯕꯥ ꯑꯃꯅꯤ꯫ ꯑꯉꯥꯡ ꯑꯃꯅꯥ ꯃꯤꯔꯣꯜꯂꯤꯉꯩ ꯃꯇꯃꯗꯥ ꯋꯥꯜ ꯑꯁꯤ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯁꯦꯃꯖꯤꯟ-ꯁꯥꯖꯤꯅꯗꯕꯥ ꯃꯇꯃꯗꯥ ꯍꯨꯔꯥꯅꯕꯥ ꯑꯁꯤ ꯊꯣꯀꯏ꯫ ꯃꯁꯤꯒꯤ ꯍꯣꯜ ꯑꯁꯤꯅꯥ ꯑꯣꯛꯁꯤꯖꯦꯟ ꯌꯥꯝꯅꯥ ꯌꯥꯎꯕꯥ ꯏ ꯑꯗꯨ ꯑꯣꯛꯁꯤꯖꯦꯟ ꯌꯥꯝꯅꯥ ꯌꯥꯎꯕꯥ ꯏꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯌꯥꯟꯁꯤꯟꯅꯍꯜꯂꯤ꯫ ꯃꯁꯤꯅꯥ ꯊꯝꯃꯣꯌꯕꯨ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯊꯕꯛ ꯇꯧꯕꯥ ꯉꯃꯍꯟꯗꯦ, ꯃꯁꯤꯅꯥ ꯇꯥꯀꯄꯗꯤ ꯊꯝꯃꯣꯌꯅꯥ ꯍꯦꯟꯅꯥ ꯀꯟꯅꯥ ꯍꯣꯠꯅꯒꯗꯕꯅꯤ꯫

ꯑꯌꯥꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯍꯣꯂꯁꯤꯡ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯄꯤꯀꯄꯥ ꯑꯣꯏ ꯑꯃꯁꯨꯡ ꯂꯥꯏꯑꯣꯡ ꯑꯃꯠꯇꯥ ꯊꯣꯀꯍꯟꯗꯦ꯫ ꯑꯗꯨꯕꯨ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯍꯥꯌꯔꯤꯕꯥ ꯍꯣꯂꯁꯤꯡ ꯑꯁꯤ ꯍꯦꯟꯅꯥ ꯆꯥꯎꯕꯥ ꯑꯣꯏꯔꯀꯄꯥ ꯌꯥꯏ꯫ ꯀꯦꯁ ꯑꯗꯨꯗꯥ, ꯑꯉꯥꯡ ꯑꯗꯨꯗꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯟ ꯈꯔꯥ ꯂꯩꯔꯀꯄꯥ ꯌꯥꯏ ꯑꯃꯁꯨꯡ ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯏ꯫

ꯚꯤ.ꯑꯦꯁ.ꯗꯤ.ꯒꯤ ꯃꯈꯂꯁꯤꯡ ꯂꯩꯕ꯭ꯔꯥ?

ꯍꯣꯌ, ꯍꯥꯌꯔꯤꯕꯥ ꯍꯣꯂꯁꯤꯡ ꯑꯁꯤ ꯍꯥꯔꯇꯀꯤ ꯋꯥꯂꯗꯥ ꯂꯩꯔꯤꯕꯥ ꯃꯐꯝ ꯑꯗꯨꯒꯤ ꯃꯇꯨꯡ ꯏꯟꯅꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯈꯜ ꯃꯔꯤꯗꯥ ꯈꯥꯌꯗꯣꯀꯏ꯫ ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯑꯗꯣꯝꯅꯥ ꯅꯤꯡꯊꯤꯖꯅꯥ ꯈꯉꯕꯒꯤ ꯃꯊꯧ ꯇꯥꯗꯦ, ꯑꯗꯨꯕꯨ ꯖꯦꯅꯔꯦꯜ ꯑꯣꯏꯕꯥ ꯋꯥꯈꯜꯂꯣꯟ ꯑꯃꯥ ꯂꯩꯕꯥ ꯑꯁꯤ ꯑꯐꯕꯥ ꯑꯃꯅꯤ꯫

ꯃꯁꯤꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯤꯅꯣ?

ꯑꯌꯥꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯀꯔꯤꯒꯨꯝꯕꯥ VSD ꯍꯣꯜ ꯑꯗꯨ ꯌꯥꯝꯅꯥ ꯄꯤꯀꯄꯥ (ꯃꯤꯂꯤꯃꯤꯇꯔ 3ꯗꯒꯤ ꯇꯥꯕꯥ, ꯆꯥꯎꯔꯥꯛꯅꯥ ꯇꯨꯊꯄꯤꯛ ꯑꯃꯒꯤ ꯁꯥꯏꯖ) ꯑꯣꯏꯔꯕꯗꯤ, ꯂꯥꯏꯑꯣꯡ ꯑꯃꯠꯇꯥ ꯂꯩꯔꯣꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯍꯨꯔꯥꯅꯕꯥ ꯑꯗꯨ ꯃꯌꯥꯏ ꯑꯣꯏꯕꯥ (ꯃꯤꯂꯤꯃꯤꯇꯔ 3-5) ꯅꯠꯠꯔꯒꯥ ꯑꯆꯧꯕꯥ (ꯃꯤꯂꯤꯃꯤꯇꯔ 6-10, ꯆꯥꯎꯔꯥꯛꯅꯥ ꯃꯅꯥ-ꯃꯁꯤꯡꯒꯤ ꯁꯥꯏꯖ) ꯑꯣꯏꯔꯕꯗꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯂꯥꯀꯄꯥ ꯌꯥꯏ꯫

VSD ꯑꯃꯥ ꯀꯔꯤꯅꯥ ꯊꯣꯀꯍꯅꯕꯒꯦ?

ꯃꯁꯤꯒꯤ ꯑꯀꯛꯅꯕꯥ ꯃꯔꯝ ꯑꯁꯤ ꯍꯧꯖꯤꯛ ꯐꯥꯎꯕꯥ ꯈꯪꯗ꯭ꯔꯤ, ꯑꯗꯨꯕꯨ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯚꯤ.ꯑꯦꯁ.ꯗꯤ.ꯅꯥ ꯑꯇꯩ ꯖꯦꯅꯦꯇꯤꯛ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ, ꯍꯥꯌꯕꯗꯤ ꯗꯥꯎꯟ ꯁꯤꯟꯗꯣꯃꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫

ꯃꯤꯔꯣꯜꯂꯤꯉꯩ ꯃꯇꯃꯗꯥ ꯃꯃꯥꯅꯥ ꯂꯧꯕꯥ ꯑꯀꯛꯅꯕꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ (ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯑꯦꯟꯇꯤꯏꯄꯤꯂꯦꯄꯇꯤꯛ ꯗ꯭ꯔꯒꯁꯤꯡ) ꯅꯠꯠꯔꯒꯥ ꯌꯨ ꯊꯀꯄꯅꯥ ꯔꯤꯁ꯭ꯛ ꯍꯦꯅꯒꯠꯍꯅꯕꯥ ꯌꯥꯏ ꯍꯥꯌꯕꯁꯤꯁꯨ ꯆꯤꯡꯅꯕꯥ ꯂꯩ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯃꯔꯃꯁꯤꯡ ꯑꯁꯤ ꯀꯅꯐꯤꯗ ꯇꯧꯅꯕꯥ ꯔꯤꯁꯔꯆ ꯑꯁꯤ ꯍꯧꯖꯤꯀꯁꯨ ꯑꯋꯥꯠꯄꯥ ꯂꯩꯔꯤ꯫

ꯃꯁꯤꯅꯥ ꯀꯔꯤ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯕꯒꯦ?

ꯀꯔꯤꯒꯨꯝꯕꯥ VSD ꯍꯣꯜ ꯑꯗꯨ ꯑꯆꯧꯕꯥ ꯑꯣꯏꯔꯕꯗꯤ, ꯍꯥꯔꯇꯅꯥ ꯍꯦꯟꯅꯥ ꯀꯟꯅꯥ ꯊꯕꯛ ꯇꯧꯒꯗꯕꯅꯤ, ꯃꯗꯨꯅꯥ ꯃꯇꯃꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ ꯍꯥꯔꯠ ꯑꯃꯁꯨꯡ ꯂꯪꯁꯇꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯅꯥ ꯍꯥꯔꯇꯀꯤ ꯑꯔꯣꯏꯕꯥ ꯃꯐꯃꯗꯒꯤ ꯂꯪꯁꯇꯥ ꯆꯠꯂꯤꯕꯥ ꯏꯒꯤ ꯆꯥꯡ ꯍꯦꯅꯒꯠꯂꯀꯄꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯂꯪꯁꯇꯥ ꯍꯥꯏ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ ꯊꯣꯀꯍꯜꯂꯤ꯫ ꯃꯁꯤꯕꯨ ꯄꯂꯃꯣꯅꯥꯔꯤ ꯍꯥꯏꯄꯔꯇꯦꯟꯁꯟ ꯍꯥꯌꯅꯥ ꯀꯧꯏ .

ꯑꯇꯣꯞꯄꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ: ꯱.

• ꯍꯥꯔꯠ ꯐꯦꯜ ꯑꯣꯏꯕꯥ꯫
• ꯑꯦꯑꯣꯔꯇꯤꯛ ꯔꯤꯒꯔꯖꯤꯇꯦꯁꯟ (ꯍꯥꯔꯠ ꯚꯜꯌꯨꯁꯤꯡꯗꯒꯤ ꯏ ꯊꯣꯀꯄꯥ)
• ꯍꯥꯔꯇꯀꯤ ꯚꯦꯟꯇꯤꯂꯦꯁꯅꯁꯤꯡ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ꯫
• ꯍꯥꯔꯠ ꯏꯅꯐꯦꯛꯁꯟ (Endocarditis) ꯑꯁꯤꯅꯆꯤꯡꯕꯥ꯫
• ꯑꯦꯕꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯕꯥ ꯍꯥꯔꯇꯀꯤ ꯈꯣꯡꯖꯦꯜ꯫
• ꯌꯩꯕ

ꯃꯁꯤ ꯀꯔꯝꯅꯥ ꯐꯪꯒꯅꯤ ꯗꯣꯛꯇꯔ?

ꯑꯌꯥꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯗꯣꯛꯇꯔꯅꯥ ꯑꯉꯥꯡ ꯑꯗꯨꯕꯨ ꯌꯦꯡꯁꯤꯜꯂꯒꯥ ꯁ꯭ꯇꯦꯊꯣꯁ꯭ꯀꯣꯞ ꯑꯃꯅꯥ ꯆꯦꯛꯁꯤꯟꯅꯥ ꯌꯦꯡꯕꯗꯥ, "ꯍꯥꯔꯠ ꯃꯨꯔꯃꯔ" ꯀꯧꯕꯥ ꯑꯍꯦꯅꯕꯥ ꯈꯣꯟꯖꯦꯜ ꯑꯃꯥ ꯇꯥꯕꯥ ꯐꯪꯏ꯫ ꯈꯣꯟꯖꯦꯜ ꯑꯁꯤ ꯇꯥꯕꯅꯥ ꯚꯤ.ꯑꯦꯁ.ꯗꯤ.

ꯑꯀꯤꯕꯥ ꯑꯗꯨ ꯀꯅꯐꯤꯗ ꯇꯧꯅꯕꯥ ꯗꯣꯛꯇꯔꯅꯥ ꯇꯦꯁ꯭ꯠ ꯀꯌꯥ ꯑꯃꯥ ꯇꯧꯅꯕꯥ ꯄꯥꯎꯇꯥꯛ ꯄꯤꯔꯤ ꯃꯗꯨꯗꯤ:

• ꯏꯀꯣꯀꯥꯔꯗꯤꯑꯣꯒ꯭ꯔꯥꯐ (Echo): ꯃꯁꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯇꯦꯁ꯭ꯇꯅꯤ꯫ ꯃꯁꯤ ꯃꯤꯔꯣꯜꯂꯤꯉꯩ ꯃꯇꯃꯗꯥ ꯑꯉꯥꯡ ꯑꯃꯒꯤ ꯁ꯭ꯀꯦꯟ ꯇꯧꯕꯒꯨꯝꯕꯅꯤ꯫ ꯃꯁꯤꯅꯥ ꯊꯝꯃꯣꯌꯒꯤ ꯚꯤꯗꯤꯑꯣ ꯑꯃꯥ ꯂꯧꯗꯨꯅꯥ ꯍꯨꯔꯥꯅꯕꯥ ꯃꯐꯝ, ꯃꯁꯤꯒꯤ ꯁꯥꯏꯖ ꯑꯃꯁꯨꯡ ꯏ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯆꯦꯜꯂꯤꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯎꯠꯂꯤ꯫
• ꯏꯂꯦꯛꯠꯔꯣꯀꯥꯔꯗꯤꯑꯣꯒ꯭ꯔꯥꯐ (ECG/EKG): ꯍꯥꯔꯇꯀꯤ ꯏꯂꯦꯛꯠꯔꯤꯀꯦꯜ ꯑꯦꯛꯇꯤꯚꯤꯇꯤ ꯑꯗꯨ ꯇꯦꯁ꯭ꯠ ꯇꯧꯏ꯫
• ꯆꯦꯁ꯭ꯠ ꯑꯦꯛꯁ-ꯔꯦ: ꯆꯦꯁ꯭ꯠ ꯑꯦꯛꯁ-ꯔꯦ ꯑꯦꯀꯖꯥꯃꯤꯅꯦꯁꯟ ꯑꯃꯅꯤ꯫
• ꯀꯥꯔꯗꯤꯌꯦꯛ ꯑꯦꯝ.ꯑꯥꯔ.ꯑꯥꯏ ꯅꯠꯠꯔꯒꯥ ꯁꯤ.ꯇꯤ.ꯁ꯭ꯀꯦꯟ: ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯃꯊꯧ ꯇꯥꯗꯦ꯫
• ꯀꯥꯔꯗꯤꯌꯦꯛ ꯀꯦꯇꯦꯒꯣꯔꯤ (cardiac Catheterization): ꯍꯥꯔꯇꯇꯥ ꯑꯄꯤꯀꯄꯥ ꯇꯤꯎꯕ ꯑꯃꯥ ꯊꯥꯕꯥ ꯇꯦꯁ꯭ꯠ ꯑꯃꯅꯤ꯫ ꯃꯁꯤꯁꯨ ꯃꯇꯝ ꯄꯨꯝꯅꯃꯛꯇꯥ ꯇꯉꯥꯏꯐꯗꯕꯥ ꯑꯣꯏꯗꯦ꯫

ꯚꯤ.ꯑꯦꯁ.ꯗꯤ.ꯒꯤ ꯂꯥꯏꯌꯦꯡꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?

ꯃꯁꯤ ꯂꯥꯏꯌꯦꯡꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯂꯥꯏꯌꯦꯡꯗꯕꯥ, ꯑꯃꯁꯨꯡ ꯀꯔꯝꯅꯥ ꯂꯥꯏꯌꯦꯡꯕꯒꯦ ꯍꯥꯌꯕꯁꯤ ꯍꯣꯜ ꯑꯗꯨꯒꯤ ꯁꯥꯏꯖ ꯑꯃꯁꯨꯡ ꯑꯉꯥꯡ ꯑꯗꯨꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡꯒꯤ ꯃꯈꯥ ꯄꯣꯜꯂꯤ꯫

ꯋꯥꯆꯐꯨꯜ ꯋꯦꯇꯤꯡ ꯇꯧꯕꯥ꯫

ꯑꯌꯥꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯍꯥꯌꯕꯗꯤ ꯚꯤ.ꯑꯦꯁ.ꯗꯤ.ꯒꯤ ꯍꯣꯂꯁꯤꯡꯒꯤ ꯑꯌꯥꯝꯕꯥ ꯁꯔꯨꯛ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯄꯤꯀꯄꯥ ꯑꯣꯏ꯫ ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯅꯥ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯆꯍꯤ 6 ꯁꯨꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯃꯁꯥ ꯃꯊꯟꯇꯥ ꯂꯣꯏꯁꯤꯜꯂꯤ꯫ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯀꯦꯁꯁꯤꯡ ꯑꯁꯤꯗꯥ ꯗꯣꯛꯇꯔꯅꯥ ꯂꯥꯏꯌꯦꯡ ꯑꯃꯠꯇꯥ ꯇꯧꯗꯦ, ꯑꯗꯨꯕꯨ ꯀ꯭ꯂꯤꯅꯤꯀꯇꯥ ꯑꯉꯥꯡ ꯑꯗꯨꯒꯤ ꯒ꯭ꯔꯣꯊ ꯑꯃꯁꯨꯡ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯗꯨ ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯌꯦꯡꯁꯤꯜꯂꯤ꯫

ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯅꯥ ꯍꯨꯔꯥꯅꯕꯥ ꯃꯇꯃꯗꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯂꯩꯔꯕꯗꯤ, ꯅꯠꯠꯔꯒꯥ ꯁꯔꯖꯔꯤꯒꯤꯗꯃꯛꯇꯥ ꯁꯦꯝ-ꯁꯥꯗꯨꯅꯥ ꯂꯩꯔꯕꯗꯤ, ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛ ꯈꯔꯥ ꯄꯤꯕꯥ ꯌꯥꯏ꯫

• ꯗꯥꯏꯑꯦꯕꯦꯇꯤꯖ: ꯃꯁꯤꯅꯥ ꯍꯀꯆꯥꯡ ꯑꯃꯁꯨꯡ ꯂꯪꯁꯇꯥ ꯁꯦꯃꯒꯠꯂꯀꯄꯥ ꯑꯍꯦꯅꯕꯥ ꯐ꯭ꯂꯨꯏꯗꯀꯤ ꯆꯥꯡ ꯍꯟꯊꯍꯅꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫
• ꯍꯥꯔꯇꯀꯤ ꯂꯥꯌꯅꯥꯒꯤ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ: ꯃꯈꯣꯌꯅꯥ ꯍꯥꯔꯇꯀꯤ ꯐꯉ꯭ꯀꯁꯟ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫

ꯁꯔꯖꯔꯤ ꯑꯃꯁꯨꯡ ꯑꯇꯩ ꯄꯥꯝꯕꯩꯁꯤꯡ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯍꯨꯔꯥꯅꯕꯥ ꯑꯗꯨ ꯑꯆꯧꯕꯥ ꯑꯣꯏꯔꯕꯗꯤ ꯑꯃꯁꯨꯡ ꯑꯉꯥꯡ ꯑꯗꯨꯗꯥ ꯈꯨꯗꯣꯡꯆꯥꯗꯕꯥ ꯊꯣꯀꯍꯜꯂꯕꯗꯤ ꯃꯗꯨ ꯊꯤꯡꯖꯤꯅꯕꯥ ꯃꯊꯧ ꯇꯥꯒꯅꯤ꯫ ꯃꯁꯤ ꯇꯧꯅꯕꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯄꯥꯝꯕꯩ ꯑꯅꯤ ꯂꯩ꯫

1. ꯑꯣꯄꯟ-ꯍꯥꯔꯠ ꯁꯔꯖꯔꯤ: ꯄ꯭ꯔꯣꯁꯤꯗ꯭ꯌꯨꯑꯣꯔ ꯑꯁꯤꯗꯥ, ꯁꯔꯖꯔꯤ ꯑꯃꯅꯥ ꯍꯣꯜ ꯑꯗꯨ ꯁ꯭ꯇꯤꯆ ꯅꯠꯠꯔꯒꯥ ꯑꯥꯔꯇꯤꯐꯤꯁꯤꯑꯦꯜ "ꯄꯦꯆ" ꯑꯃꯅꯥ ꯊꯤꯡꯏ꯫ ꯃꯇꯃꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ, ꯑꯉꯥꯡ ꯑꯗꯨꯒꯤ ꯍꯥꯔꯇꯀꯤ ꯇꯤꯁꯨ ꯑꯗꯨ ꯄꯦꯠ ꯑꯗꯨꯒꯤ ꯑꯀꯣꯌꯕꯗꯥ ꯍꯦꯅꯒꯠꯂꯀꯏ, ꯑꯃꯁꯨꯡ ꯍꯥꯔꯇꯀꯤ ꯋꯥꯂꯒꯤ ꯁꯔꯨꯛ ꯑꯃꯥ ꯑꯣꯏꯔꯀꯏ꯫

2. ꯇ꯭ꯔꯥꯟꯁꯀꯦꯇꯦꯇꯔ ꯄ꯭ꯔꯣꯁꯤꯗ꯭ꯌꯨꯑꯣꯔ: ꯃꯁꯤꯗꯥ ꯆꯦꯁ꯭ꯇꯇꯥ ꯏꯅꯁꯤꯁꯟ ꯑꯃꯥ ꯌꯥꯎꯗꯦ꯫ ꯃꯗꯨꯒꯤ ꯃꯍꯨꯠꯇꯥ, ꯈꯣꯡꯗꯥ ꯂꯩꯕꯥ ꯑꯆꯧꯕꯥ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯜ ꯑꯃꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯄꯤꯀꯄꯥ ꯇꯤꯎꯕ (catheter) ꯑꯃꯥ ꯍꯥꯔꯇꯇꯥ ꯊꯥꯏ, ꯑꯃꯁꯨꯡ ꯃꯗꯨꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯈꯨꯠꯁꯥ ꯑꯃꯥ ꯊꯤꯡꯖꯤꯟꯗꯨꯅꯥ ꯍꯨꯔꯥꯅꯕꯥ ꯑꯗꯨ ꯊꯤꯡꯖꯤꯜꯂꯤ꯫ ꯃꯁꯤ ꯁꯔꯖꯔꯤꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯂꯥꯏꯕꯥ ꯊꯧꯑꯣꯡ ꯑꯃꯅꯤ꯫

ꯀꯗꯥꯏꯗꯥ ꯈꯨꯗꯛꯇꯥ ꯗꯣꯛꯇꯔꯒꯥ ꯇꯥꯟꯅꯒꯗꯒꯦ?

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯗꯥ VSD ꯂꯩꯔꯕꯗꯤ, ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤꯒꯤꯗꯃꯛ ꯃꯇꯝ ꯄꯨꯝꯅꯃꯛꯇꯥ ꯌꯦꯡꯁꯤꯅꯕꯤꯌꯨ꯫

ꯃꯁꯤꯒꯤ ꯃꯊꯛꯇꯥ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯎꯔꯕꯗꯤ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯇꯥꯟꯅꯧ:

• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯉꯥꯡ ꯑꯗꯨꯒꯤ ꯑꯔꯨꯝꯕꯥ ꯑꯗꯨ ꯊꯥꯖꯕꯥ ꯌꯥꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯍꯦꯅꯒꯠꯂꯛꯠꯔꯕꯗꯤ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯁꯉ꯭ꯒꯣꯝ ꯊꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯃꯁꯥ ꯃꯊꯟꯇꯥ ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯇꯧꯔꯕꯗꯤ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯒꯤ ꯏꯅꯐꯦꯛꯁꯅꯁꯤꯡ (ꯆꯦꯁ꯭ꯠ ꯃ꯭ꯌꯨꯀꯁ) ꯀꯌꯥ ꯊꯣꯛꯂꯕꯗꯤ꯫

ꯇꯨꯡꯗꯥ ꯑꯩꯈꯣꯌꯅꯥ ꯀꯔꯤ ꯑꯥꯁꯥ ꯇꯧꯕꯥ ꯌꯥꯕꯒꯦ?

ꯃꯁꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯥ ꯄꯥꯎꯅꯤ꯫ VSD ꯂꯩꯕꯥ ꯑꯉꯥꯡꯁꯤꯡ ꯑꯌꯥꯝꯕꯗꯤ ꯅꯣꯔꯃꯦꯜ, ꯍꯀꯁꯦꯜ ꯐꯕꯥ ꯄꯨꯟꯁꯤ ꯃꯍꯤꯡ ꯑꯃꯥ ꯂꯩ꯫ ꯃꯔꯨꯑꯣꯏꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯍꯨꯔꯥꯅꯕꯥ ꯑꯗꯨ ꯑꯄꯤꯀꯄꯥ ꯑꯣꯏꯔꯕꯗꯤ ꯅꯠꯠꯔꯒꯥ ꯂꯥꯌꯦꯡꯗꯨꯅꯥ ꯃꯄꯨꯡ ꯐꯥꯅꯥ ꯐꯒꯠꯂꯛꯂꯕꯗꯤ ꯇꯨꯡꯒꯤ ꯐꯤꯕꯃꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯑꯀꯤꯕꯥ ꯑꯃꯠꯇꯥ ꯂꯩꯇꯦ꯫

ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯆꯧꯕꯥ VSD ꯑꯃꯥ ꯈꯨꯗꯛꯇꯥ ꯂꯥꯏꯌꯦꯡꯗ꯭ꯔꯕꯗꯤ ꯑꯃꯁꯨꯡ ꯂꯪꯁꯇꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯅꯕꯥ (Eisenmenger syndrome) ꯑꯣꯏꯔꯕꯗꯤ, ꯄꯨꯟꯁꯤꯒꯤ ꯃꯇꯝ ꯀꯨꯏꯅꯥ ꯆꯠꯄꯥ ꯌꯥꯏ꯫ ꯃꯔꯝ ꯑꯁꯤꯅꯥ ꯃꯇꯝ ꯆꯥꯅꯥ ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯄꯥꯎꯇꯥꯛ ꯂꯧꯕꯥ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫