ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯗꯥ ꯈꯣꯡ ꯍꯥꯝꯂꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯀꯟꯠꯔꯁ꯭ꯠ ꯑꯦꯅꯤꯃꯥ ꯑꯃꯥ ꯁꯤꯖꯤꯟꯅꯅꯕꯥ ꯍꯥꯌꯕꯤꯔꯝꯂꯕ꯭ꯔꯥ? ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯑꯀꯨꯞꯄꯥ ꯃꯔꯣꯂꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯁꯤ!

ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯗꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯁ꯭ꯇꯣꯃꯥꯛ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯂꯩ, ꯅꯠꯇꯦ? ꯀꯟꯁꯇꯤꯄꯁꯟ, ꯅꯠꯠꯔꯒꯥ ꯂꯦꯞꯇꯅꯥ ꯕꯣꯋꯦꯜ ꯃꯨꯚꯃꯦꯟꯇꯒꯨꯝꯕꯥ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯃꯁꯤꯡ ꯂꯩꯕꯥ ꯌꯥꯏ꯫ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯃꯇꯝ ꯑꯁꯤꯗꯥ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯗꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯅꯕꯒꯤꯗꯃꯛ ꯇꯦꯁ꯭ꯠ ꯈꯔꯥ ꯇꯧꯅꯕꯥ ꯍꯥꯌꯒꯅꯤ꯫ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯇꯦꯁ꯭ꯠ ꯑꯃꯕꯨ ‘ ꯀꯟꯠꯔꯁ꯭ꯠ ꯑꯦꯅꯤꯃꯥ ’ ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ ꯃꯤꯑꯣꯏ ꯈꯔꯅꯥ ꯃꯁꯤꯕꯨ ‘ꯕꯦꯔꯤꯌꯥꯝ ꯑꯦꯅꯤꯃꯥ’ ꯍꯥꯌꯅꯥꯁꯨ ꯀꯧꯏ꯫ ꯃꯤꯡ ꯑꯁꯤ ꯇꯥꯕꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯈꯔꯥ ꯂꯥꯡꯇꯛꯅꯕꯥ ꯐꯥꯑꯣꯔꯀꯄꯥ ꯌꯥꯏ, "ꯑꯣꯍ, ꯃꯈꯣꯌꯅꯥ ꯑꯩꯒꯤ ꯑꯉꯥꯡꯗꯥ ꯀꯔꯤ ꯇꯧꯒꯅꯤ ꯍꯥꯌꯕꯥ ꯑꯩ ꯈꯉꯗꯦ꯫" ꯑꯗꯨꯕꯨ ꯂꯥꯡꯇꯛꯅꯒꯅꯨ . ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯑꯃꯁꯨꯡ ꯃꯌꯦꯛ ꯁꯦꯡꯅꯥ ꯁꯟꯗꯣꯛꯅꯥ ꯇꯥꯀꯄꯤꯁꯤ, ꯑꯩꯈꯣꯌꯅꯥ ꯇꯧꯒꯗ꯭ꯔꯥ?

‘ꯀꯟꯠꯔꯁ꯭ꯠ ꯑꯦꯅꯤꯃꯥ’ ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ? ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ...

ꯃꯁꯤ ꯑꯉꯥꯡ ꯑꯃꯒꯤ ꯀꯣꯂꯣꯅꯒꯤ ꯐꯖꯕꯥ ꯑꯃꯥ ꯂꯧꯕꯒꯨꯝꯅꯥ ꯈꯅꯕꯤꯌꯨ . ꯑꯗꯨꯕꯨ ꯃꯁꯤ ꯁꯨꯞꯅꯒꯤ ꯄꯤꯀꯆꯔ ꯑꯃꯈꯛꯇꯃꯛ ꯅꯠꯇꯦ꯫ ꯃꯁꯤ ꯄꯦꯗꯤꯑꯦꯠꯔꯤꯛ ꯔꯦꯗꯤꯑꯣꯂꯣꯖꯤꯁ꯭ꯠ ꯑꯃꯅꯥ ꯇꯧꯏ, ꯃꯍꯥꯛ ꯑꯁꯤ ꯅꯍꯥ ꯑꯣꯏꯔꯤꯕꯥ ꯑꯉꯥꯡꯁꯤꯡꯒꯤ ꯑꯦꯛꯁ-ꯔꯦꯒꯨꯝꯕꯥ ꯋꯥꯐꯃꯁꯤꯡꯗꯥ ꯑꯈꯟꯅꯕꯥ ꯃꯤꯠꯌꯦꯡ ꯆꯪꯕꯥ ꯗꯣꯛꯇꯔ ꯑꯃꯅꯤ꯫

ꯃꯁꯤꯗꯥ ꯑꯈꯟꯅꯕꯥ ꯂꯤꯛꯌꯨꯏꯗ ꯑꯃꯥ ꯑꯉꯥꯡ ꯑꯗꯨꯒꯤ ꯑꯆꯧꯕꯥ ꯏꯟꯇꯦꯁ꯭ꯇꯥꯏꯅꯗꯥ ꯏꯅꯖꯦꯀꯁꯟ ꯇꯧꯏ꯫ ꯃꯁꯤꯒꯤ ꯂꯤꯛꯌꯨꯏꯗ ꯑꯁꯤꯕꯨ ‘ꯀꯟꯠꯔꯁ꯭ꯠ ꯃꯦꯇꯔꯤꯑꯦꯜ’ ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ, ꯑꯆꯧꯕꯥ ꯏꯟꯇꯦꯁ꯭ꯇꯥꯏꯅꯒꯤ ꯃꯑꯣꯡ ꯑꯃꯁꯨꯡ ꯄꯣꯖꯤꯁꯟ, ꯑꯃꯁꯨꯡ ꯃꯗꯨꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯑꯃꯠꯇꯥ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯅꯕꯒꯤꯗꯃꯛ ꯑꯦꯛꯁ-ꯔꯦ ꯂꯧꯏ꯫ ꯃꯁꯤꯒꯤꯗꯃꯛꯇꯥ ꯁꯤꯖꯤꯟꯅꯔꯤꯕꯥ ꯑꯈꯟꯅꯕꯥ ꯑꯦꯛꯁ-ꯔꯦ ꯃꯦꯊꯗ ꯑꯁꯤ `( ꯐ꯭ꯂꯨꯑꯣꯔꯣꯁ꯭ꯀꯣꯄꯤ )` ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ ꯃꯁꯤ ꯚꯤꯗꯤꯑꯣ ꯑꯃꯒꯨꯝꯅꯥ ꯏꯟꯇꯦꯁ꯭ꯇꯥꯏꯅꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯆꯠꯊꯣꯛ-ꯆꯠꯁꯤꯟ ꯇꯧꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯕꯗꯁꯨ ꯁꯤꯖꯤꯟꯅꯕꯥ ꯌꯥꯏ꯫

ꯑꯩꯒꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯅꯥ ꯀꯔꯤꯒꯤꯗꯃꯛꯇꯥ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯃꯈꯂꯒꯤ ꯇꯦꯁ꯭ꯠ ꯇꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯔꯤꯕꯅꯣ?

ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯇꯦꯁ꯭ꯠ ꯑꯁꯤ ꯑꯣꯔꯗꯔ ꯇꯧꯕꯥ ꯌꯥꯕꯒꯤ ꯃꯔꯝ ꯀꯌꯥ ꯂꯩ꯫ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯑꯃꯗꯤ ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡꯒꯤ ꯑꯆꯧꯕꯥ ꯏꯟꯇꯦꯁ꯭ꯇꯥꯏꯅꯒꯤ ꯃꯑꯣꯡ ꯑꯃꯁꯨꯡ ꯄꯣꯖꯤꯁꯟ ꯑꯗꯨ ꯌꯦꯡꯕꯅꯤ꯫ ꯃꯍꯧꯁꯥꯅꯥ, ꯗꯣꯛꯇꯔ ꯑꯃꯅꯥ ꯑꯉꯥꯡ ꯑꯃꯕꯨ ꯌꯦꯡꯁꯤꯅꯕꯥ ꯃꯇꯃꯗꯥ, ꯃꯄꯥꯟꯊꯣꯡꯗꯒꯤ ꯄꯣꯠꯁꯀꯁꯤꯡ ꯑꯁꯤ ꯎꯕꯥ ꯐꯪꯕꯗꯥ ꯑꯋꯥꯕꯥ ꯑꯣꯏ꯫

ꯇꯦꯁ꯭ꯠ ꯑꯁꯤ ꯑꯌꯥꯝꯕꯅꯥ ꯑꯉꯥꯡ ꯑꯃꯅꯥ ꯀꯔꯤꯒꯤꯗꯃꯛꯇꯥ ꯄꯣꯄꯊꯣꯛꯅꯕꯥ ꯑꯋꯥꯕꯥ ꯃꯥꯌꯣꯛꯅꯔꯤꯕꯅꯣ ꯍꯥꯌꯕꯗꯨ ꯈꯉꯗꯣꯛꯅꯕꯥ ꯁꯤꯖꯤꯟꯅꯩ . ꯇꯦꯁ꯭ꯠ ꯑꯁꯤꯅꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ ꯑꯁꯤ ꯈꯪꯗꯣꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯍꯦꯟꯅꯥ ꯈꯪꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯕꯥ ꯌꯥꯏ:

• ꯀꯟꯁꯇꯤꯄꯁꯟ (constipation): ꯑꯉꯥꯡ ꯈꯔꯗꯤ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯄꯣꯀꯄꯥ ꯉꯃꯗꯦ꯫ ꯃꯈꯣꯌꯅꯥ ꯅꯨꯃꯤꯠ ꯀꯌꯥꯅꯤ ꯄꯣꯞ ꯇꯧꯗꯅꯥ ꯆꯠꯄꯥ ꯌꯥꯏ, ꯅꯠꯠꯔꯒꯥ ꯃꯈꯣꯌꯅꯥ ꯄꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯑꯋꯥꯕꯥ ꯑꯃꯁꯨꯡ ꯑꯋꯥꯕꯥ ꯃꯥꯌꯣꯛꯅꯔꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯅꯥ ꯃꯈꯣꯌꯗꯥ ꯁꯥꯊꯤꯕꯥ ꯀꯟꯁ꯭ꯇꯤꯄꯁꯟ ꯂꯩꯕ꯭ꯔꯥ ꯑꯃꯁꯨꯡ ꯃꯁꯤꯒꯤ ꯃꯔꯝ ꯀꯔꯤꯅꯣ ꯍꯥꯌꯕꯗꯨ ꯈꯪꯗꯣꯀꯄꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯒꯅꯤ꯫
• ꯀ꯭ꯔꯣꯅꯤꯛ ꯗꯥꯏꯔꯤꯌꯥ : ꯃꯁꯤꯅꯥ ꯇꯥꯀꯄꯗꯤ ꯕꯣꯋꯦꯜ ꯃꯨꯚꯃꯦꯟꯇꯁꯤꯡ ꯑꯁꯤ ꯂꯦꯞꯇꯅꯥ ꯆꯠꯊꯔꯤ ꯍꯥꯌꯕꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯅꯨꯃꯤꯠ ꯀꯌꯥꯅꯤ ꯊꯪꯟ-ꯊꯪꯅꯅꯥ ꯗꯥꯏꯔꯤꯌꯥ ꯃꯈꯜ ꯑꯁꯤ ꯂꯩꯔꯕꯗꯤ, ꯇꯦꯁ꯭ꯠ ꯑꯁꯤ ꯃꯔꯝ ꯑꯗꯨ ꯈꯪꯗꯣꯛꯅꯕꯥ ꯃꯔꯨꯑꯣꯏ꯫
• ꯍꯤꯔꯁꯁ꯭ꯞꯔꯤꯡ ꯗꯤꯖꯤꯖ: ꯃꯁꯤ ꯅꯍꯥꯛꯅꯥ ꯃꯃꯥꯡꯗꯥ ꯇꯥꯈꯤꯗꯕꯥ ꯋꯥꯍꯩ ꯑꯃꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫ ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯃꯁꯤ ꯄꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯂꯩꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫ ꯑꯉꯥꯡꯒꯤ ꯑꯆꯧꯕꯥ ꯏꯟꯇꯦꯁ꯭ꯇꯥꯏꯅꯒꯤ ꯃꯐꯝ ꯈꯔꯗꯥ ꯂꯩꯕꯥ ꯅꯔꯚ ꯁꯦꯂꯁꯤꯡ ꯑꯁꯤ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯆꯥꯎꯈꯠꯄꯥ ꯉꯃꯗꯕꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯃꯈꯣꯌꯅꯥ ꯁ꯭ꯇꯣꯜ ꯄꯥꯁ ꯇꯧꯕꯗꯥ ꯑꯋꯥꯕꯥ ꯑꯣꯏꯍꯜꯂꯤ꯫ ꯃꯁꯤ ꯇꯦꯁ꯭ꯠ ꯑꯁꯤꯒꯥ ꯂꯣꯌꯅꯅꯥꯁꯨ ꯈꯉꯗꯣꯀꯄꯥ ꯌꯥꯏ꯫
• ꯃꯌꯦꯛ ꯁꯦꯡꯗꯕꯥ ꯑꯔꯨꯝꯕꯥ ꯍꯟꯊꯕꯥ:ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯉꯥꯡ ꯑꯗꯨꯅꯥ ꯐꯖꯅꯥ ꯆꯥꯕꯥ ꯑꯗꯨꯕꯨ ꯑꯔꯨꯝꯕꯥ ꯍꯟꯊꯔꯛꯂꯕꯗꯤ, ꯃꯁꯤ ꯃꯔꯝ ꯑꯣꯏꯅꯥ ꯏꯟꯇꯦꯁ꯭ꯇꯥꯏꯅꯒꯤ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯑꯃꯥ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨꯁꯨ ꯌꯦꯡꯁꯤꯜꯂꯤ꯫

ꯃꯁꯤꯒꯤ ‘ꯀꯟꯠꯔꯁ꯭ꯠ ꯑꯦꯅꯤꯃꯥ’ ꯑꯁꯤꯅꯥ ꯀꯔꯝꯅꯥ ꯊꯕꯛ ꯇꯧꯕꯒꯦ?

ꯃꯁꯤꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡꯒꯤ ꯒꯦꯁ꯭ꯠꯔꯣꯏꯟꯇꯦꯁ꯭ꯇꯥꯏꯅꯦꯜ (GI) ꯇ꯭ꯔꯦꯛꯇꯀꯤ ꯑꯦꯛꯁ-ꯔꯦ ꯂꯧꯕꯥ ꯌꯥꯎꯏ꯫ ꯑꯗꯨꯕꯨ ꯑꯈꯟꯅꯕꯥ ꯋꯥꯐꯝ ꯑꯃꯒꯥ ꯂꯣꯌꯅꯅꯥ꯫ ꯑꯦꯛꯁ-ꯔꯦ ꯂꯧꯗ꯭ꯔꯤꯉꯩ ꯃꯃꯥꯡꯗꯥ, ꯗꯣꯛꯇꯔ ꯅꯠꯠꯔꯒꯥ ꯅꯔꯁ ꯑꯃꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯒꯤ ꯃꯅꯥ-ꯃꯁꯤꯡ ꯅꯠꯠꯔꯒꯥ ꯕꯇꯊꯣꯜ (ꯃꯐꯝ ꯑꯗꯨꯗꯥ ꯄꯣꯃꯈꯠꯄꯥ ꯃꯐꯝ)ꯗꯥ ꯑꯄꯤꯀꯄꯥ ꯇꯤꯎꯕ ꯑꯃꯥ ꯊꯥꯗꯨꯅꯥ ꯃꯗꯨꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯈꯟꯅꯕꯥ ꯂꯤꯛꯌꯨꯏꯗ ꯑꯃꯥ ꯊꯥꯏ꯫

ꯃꯁꯤꯒꯤ ꯂꯤꯛꯌꯨꯏꯗ ꯑꯁꯤꯕꯨ `(ꯕꯦꯔꯤꯌꯝ)` ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ `(ꯕꯦꯔꯤꯌꯥꯝ)` ꯑꯁꯤ ꯂꯨꯄꯥꯒꯤ ꯃꯆꯨꯒꯤ, ꯆꯣꯀꯊꯕꯥ ꯅꯥꯏꯗꯕꯥ ꯀꯦꯃꯤꯀꯦꯜ ꯑꯃꯅꯤ꯫ ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯃꯁꯤ ‘ꯀꯟꯠꯔꯁ꯭ꯠ’ ꯑꯃꯥ ꯑꯣꯏꯅꯥ ꯁꯤꯖꯤꯟꯅꯩ꯫ ꯃꯁꯤꯒꯤ ꯂꯤꯛꯌꯨꯏꯗ ꯑꯁꯤ ꯑꯦꯛꯁ-ꯔꯦꯗꯥ ꯋꯥꯏꯇꯦꯞ ꯑꯣꯏꯅꯥ ꯎꯕꯥ ꯐꯪꯏ . ꯑꯗꯨꯅꯥ, `(ꯕꯦꯔꯤꯌꯥꯝ)` ꯂꯤꯛꯌꯨꯏꯗ ꯑꯁꯤ ꯑꯉꯥꯡꯒꯤ ꯏꯟꯇꯦꯁ꯭ꯇꯥꯏꯅꯒꯤ ꯋꯥꯂꯁꯤꯡꯗꯥ ꯊꯥꯕꯥ ꯃꯇꯃꯗꯥ, ꯗꯣꯛꯇꯔꯅꯥ ꯏꯟꯇꯦꯁ꯭ꯇꯥꯏꯅꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯊꯕꯛ ꯇꯧꯕꯒꯦ ꯑꯃꯁꯨꯡ ꯃꯈꯣꯌꯒꯤ ꯃꯑꯣꯡ ꯃꯇꯧ ꯑꯗꯨ ꯀꯔꯤꯅꯣ ꯍꯥꯌꯕꯗꯨ ꯃꯌꯦꯛ ꯁꯦꯡꯅꯥ ꯎꯕꯥ ꯉꯃꯒꯅꯤ꯫

ꯃꯐꯝ ꯑꯁꯤꯗꯥ ꯊꯣꯛꯂꯤꯕꯥ ꯊꯧꯗꯣꯀꯁꯤꯡ ꯑꯁꯤ ꯑꯃꯝꯕꯥ ꯔꯨꯝ ꯑꯃꯗꯥ ꯋꯥꯜ ꯑꯃꯗꯥ ꯑꯉꯧꯕꯥ ꯄꯦꯟꯇ ꯈꯔꯥ ꯊꯥꯗꯨꯅꯥ ꯃꯗꯨꯒꯤ ꯃꯑꯣꯡ ꯃꯇꯧ ꯑꯗꯨ ꯌꯦꯡꯕꯒꯨꯝꯕꯅꯤ꯫

ꯇꯦꯁ꯭ꯠ ꯇꯧꯗ꯭ꯔꯤꯉꯩ ꯃꯃꯥꯡꯗꯥ ꯑꯉꯥꯡ ꯑꯗꯨ ꯀꯔꯝꯅꯥ ꯁꯦꯝ-ꯁꯥꯒꯗꯒꯦ?

ꯑꯌꯥꯝꯕꯥ ꯀꯦꯁꯁꯤꯡꯗꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯑꯇꯣꯞꯄꯥ ꯃꯑꯣꯡ ꯑꯃꯗꯥ ꯄꯥꯎꯇꯥꯛ ꯄꯤꯗ꯭ꯔꯤꯐꯥꯎꯕꯥ, ꯇꯦꯁ꯭ꯠ ꯑꯁꯤꯒꯤꯗꯃꯛꯇꯥ ꯑꯈꯟꯅꯕꯥ ꯁꯦꯝ-ꯁꯥꯕꯥ ꯑꯃꯠꯇꯥ ꯃꯊꯧ ꯇꯥꯗꯦ꯫ ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯅꯥ ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯅꯥ ꯆꯥꯕꯥ ꯑꯃꯁꯨꯡ ꯊꯀꯄꯥ ꯌꯥꯏ꯫

ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯒꯤ ꯆꯍꯤꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ, ꯃꯍꯥꯛꯀꯥ ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯈꯔꯥ ꯋꯥꯔꯤ ꯁꯥꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯑꯐꯕꯥ ꯋꯥꯈꯜꯂꯣꯟ ꯑꯃꯅꯤ꯫ ꯃꯍꯥꯛꯅꯥ ꯂꯧꯁꯤꯅꯕꯥ ꯉꯝꯕꯥ ꯏꯆꯝ ꯆꯝꯕꯥ ꯋꯥꯍꯩꯁꯤꯡꯗꯥ ꯊꯣꯛꯀꯗꯧꯔꯤꯕꯥ ꯊꯧꯗꯣꯀꯁꯤꯡ ꯑꯗꯨ ꯐꯣꯡꯗꯣꯀꯄꯤꯌꯨ꯫ ꯅꯍꯥꯛꯅꯥ ꯍꯥꯌꯕꯥ ꯌꯥꯏ, "ꯗꯨꯗ, ꯑꯩꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡꯒꯤ ꯈꯣꯡꯎꯄꯀꯤ ꯐꯣꯇꯣ ꯑꯃꯥ ꯂꯧꯔꯒꯥ ꯃꯗꯨꯗꯥ ꯂꯪꯂꯥ ꯑꯗꯨ ꯂꯩꯔꯤꯕꯥ ꯃꯐꯝ ꯑꯗꯨꯗꯥ ꯍꯤꯗꯥꯛ ꯈꯔꯥ ꯊꯃꯖꯒꯦ, ꯃꯗꯨ ꯁꯣꯀꯍꯜꯂꯣꯏ꯫" ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯄꯥꯝꯂꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯅꯥ ꯄꯥꯝꯂꯤꯕꯥ ꯄꯣꯠꯁꯛ ꯑꯃꯥ, ꯍꯥꯌꯕꯗꯤ ꯁꯥꯟꯅꯄꯣꯠ ꯅꯠꯠꯔꯒꯥ ꯀꯝꯕꯜ ꯑꯃꯥ ꯄꯨꯔꯀꯄꯥ ꯌꯥꯏ, ꯃꯗꯨꯅꯥ ꯃꯍꯥꯀꯄꯨ ꯍꯦꯟꯅꯥ ꯅꯨꯡꯉꯥꯏꯅꯥ ꯂꯩꯍꯅꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯒꯅꯤ꯫

ꯇꯦꯁ꯭ꯠ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯇꯧꯕꯒꯦ? ꯃꯁꯤ ꯑꯀꯤꯕꯥ ꯄꯣꯀꯍꯅꯕꯥ ꯌꯥꯕꯥ ꯋꯥꯐꯝ ꯑꯃꯥ ꯑꯣꯏꯕꯔꯥ?

ꯅꯍꯥꯛꯅꯥ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯜ ꯅꯠꯠꯔꯒꯥ ꯀ꯭ꯂꯤꯅꯤꯀꯇꯥ ꯆꯠꯄꯥ ꯃꯇꯃꯗꯥ, ꯗꯣꯛꯇꯔ ꯅꯠꯠꯔꯒꯥ ꯅꯔꯁ ꯑꯃꯅꯥ ꯅꯍꯥꯛ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯕꯨ ꯑꯦꯛꯁ -ꯔꯦ ꯔꯨꯝ ꯑꯃꯗꯥ ꯄꯨꯔꯛꯀꯅꯤ꯫ ꯃꯐꯝ ꯑꯗꯨꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯕꯨ ꯒꯥꯎꯟ ꯑꯃꯗꯥ ꯍꯣꯡꯗꯣꯛꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯑꯦꯀꯖꯥꯃꯤꯅꯦꯁꯟ ꯇꯦꯕꯜ ꯑꯃꯗꯥ ꯂꯦꯡꯗꯅꯥ ꯂꯩꯅꯕꯥ ꯍꯥꯌꯒꯅꯤ꯫

ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯋꯥꯐꯃꯗꯤ ꯑꯉꯥꯡ ꯑꯗꯨ ꯇꯦꯁ꯭ꯠ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯀꯟꯁꯤꯌꯦꯟꯇ ꯑꯣꯏꯕꯥ ꯍꯥꯌꯕꯁꯤꯅꯤ꯫ ꯃꯍꯥꯀꯄꯨ ꯑꯦꯅꯥꯁ꯭ꯇꯦꯁꯤꯌꯥ ꯄꯤꯗꯦ꯫ ꯇꯦꯁ꯭ꯠ ꯄꯨꯝꯅꯃꯛ ꯑꯁꯤ ꯃꯍꯧꯁꯥꯅꯥ ꯃꯤꯅꯠ 30 ꯑꯃꯁꯨꯡ 45ꯒꯤ ꯃꯔꯛꯇꯥ ꯆꯪꯏ꯫

ꯇꯦꯁ꯭ꯠ ꯇꯧꯕꯥ ꯃꯇꯃꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯂꯩꯕꯥ ꯌꯥꯏ꯫ ꯁꯦꯐꯇꯤꯒꯤꯗꯃꯛꯇꯥ ꯁꯤꯖꯤꯟꯅꯅꯕꯥ ꯅꯍꯥꯀꯄꯨ ꯂꯤꯗ ꯚꯦꯁ꯭ꯠ ꯑꯃꯁꯨ ꯄꯤꯒꯅꯤ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯤꯔꯣꯜꯂꯤꯕꯥ ꯑꯣꯏꯔꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯑꯦꯛꯁ-ꯔꯦꯗꯥ ꯑꯦꯛꯁꯄꯣꯖꯔ ꯑꯗꯨ ꯂꯤꯃꯤꯠ ꯇꯧꯒꯗꯕꯅꯤ꯫ ꯃꯇꯝ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯂꯩꯃꯤꯟꯅꯕꯥ ꯌꯥꯕꯥ ꯊꯥꯖꯕꯥ ꯌꯥꯕꯥ ꯏꯃꯨꯡꯒꯤ ꯃꯤꯑꯣꯏ ꯑꯃꯥ ꯅꯍꯥꯛꯀꯥ ꯂꯣꯌꯅꯅꯥ ꯄꯨꯔꯀꯄꯥ ꯍꯥꯌꯕꯁꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯩ꯫

ꯅꯍꯥꯛ ꯑꯅꯤꯃꯛ ꯁꯦꯝ-ꯁꯥꯕꯥ ꯃꯇꯃꯗꯥ, ꯔꯦꯗꯤꯑꯣꯂꯣꯖꯤꯁ꯭ꯠ ꯑꯗꯨꯅꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯃꯑꯣꯡ ꯑꯁꯤꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ ꯇꯦꯁ꯭ꯠ ꯑꯗꯨ ꯄꯥꯡꯊꯣꯛꯀꯅꯤ:

1. ꯑꯍꯥꯅꯕꯗꯥ, ꯑꯉꯥꯡ ꯑꯗꯨꯒꯤ ꯃꯀꯣꯛ ꯑꯗꯨ ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯑꯦꯛꯁ-ꯔꯦ ꯇꯧꯏ꯫

2. ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯑꯉꯥꯡ ꯑꯗꯨꯕꯨ ꯅꯥꯀꯜ ꯑꯃꯗꯥ ꯊꯝꯃꯨ ꯑꯃꯁꯨꯡ ꯃꯍꯥꯛꯀꯤ ꯈꯨꯎ ꯑꯗꯨ ꯃꯍꯥꯛꯀꯤ ꯃꯀꯣꯀꯊꯣꯡꯕꯗꯥ ꯄꯨꯔꯛꯅꯕꯥ ꯍꯥꯌꯌꯨ꯫

3. ꯃꯊꯪꯗꯥ, ꯑꯉꯥꯡ ꯑꯗꯨꯒꯤ ꯔꯦꯛꯇꯝ (ꯑꯆꯧꯕꯥ ꯏꯟꯇꯦꯁ꯭ꯇꯥꯏꯅꯒꯤ ꯑꯔꯣꯏꯕꯥ ꯁꯔꯨꯛ)ꯗꯥ ꯑꯄꯤꯀꯄꯥ ꯑꯦꯅꯤꯃꯥ ꯇꯤꯎꯕ ꯑꯃꯥ ꯆꯦꯀꯁꯤꯟꯅꯥ ꯊꯥꯏ꯫ ꯇꯤꯎꯕ ꯑꯁꯤꯒꯤ ꯑꯇꯣꯞꯄꯥ ꯃꯌꯥꯏ ꯑꯗꯨ ``ꯕꯦꯔꯤꯌꯥꯝ'' ꯀꯧꯕꯥ ꯂꯤꯛꯌꯨꯏꯗ ꯑꯃꯥ ꯌꯥꯎꯕꯥ ꯕꯦꯒ ꯑꯃꯒꯥ ꯁꯝꯅꯩ꯫

4. ꯇꯤꯎꯕ ꯑꯗꯨ ꯊꯣꯔꯀꯄꯥ ꯊꯤꯡꯅꯕꯥ, ꯃꯗꯨ ꯑꯉꯥꯡ ꯑꯗꯨꯒꯤ ꯃꯈꯥ ꯊꯪꯕꯥ ꯁꯔꯨꯛꯇꯥ ꯇꯦꯞ ꯇꯧ꯫

5. ꯍꯧꯖꯤꯛ ꯑꯦꯅꯤꯃꯥ ꯕꯦꯒ ꯑꯗꯨꯗꯒꯤ ꯂꯥꯀꯄꯥ ꯂꯤꯛꯌꯨꯏꯗ `(ꯕꯦꯔꯤꯌꯝ)` ꯑꯗꯨ ꯑꯉꯥꯡꯒꯤ ꯔꯦꯛꯇꯃꯗꯥ ꯊꯥꯗꯣꯀꯏ ꯑꯃꯁꯨꯡ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯑꯆꯧꯕꯥ ꯏꯟꯇꯦꯁ꯭ꯇꯥꯏꯅꯗꯥ ꯊꯥꯗꯣꯀꯏ . ꯃꯇꯝ ꯑꯁꯤꯗꯥ ꯑꯉꯥꯡ ꯑꯗꯨꯅꯥ ꯄꯣꯀꯄꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯐꯥꯎꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏ꯫ ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯂꯩꯔꯣꯏꯗꯕꯅꯤ꯫

6. ꯂꯤꯛꯌꯨꯏꯗ ꯑꯗꯨ ꯊꯥꯗꯣꯔꯀꯄꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯀꯣꯂꯣꯅꯒꯤ ꯑꯦꯛꯁ-ꯔꯦ ꯄꯤꯀꯆꯔ ꯀꯌꯥ ꯂꯧꯏ꯫ ꯅꯍꯥꯛꯅꯥ ꯑꯉꯥꯡ ꯑꯗꯨꯕꯨ ꯇꯣꯉꯥꯟ-ꯇꯣꯉꯥꯅꯕꯥ ꯑꯦꯉ꯭ꯒꯂꯁꯤꯡꯗꯒꯤ ꯐꯣꯇꯣ ꯂꯧꯅꯕꯥ ꯃꯥꯌꯀꯩ ꯑꯃꯗꯒꯤ ꯃꯥꯌꯀꯩ ꯑꯃꯗꯥ ꯑꯣꯟꯊꯣꯛꯅꯕꯥ ꯍꯥꯌꯔꯀꯄꯥ ꯌꯥꯏ꯫

ꯑꯦꯛꯁ-ꯔꯦ ꯂꯧꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯗꯣꯛꯇꯔꯅꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯁꯤꯡꯁꯤ ꯇꯧꯒꯅꯤ:

• ꯇꯤꯎꯕ ꯑꯗꯨ ꯑꯉꯥꯡ ꯑꯗꯨꯒꯤ ꯃꯈꯨꯠꯇꯒꯤ ꯂꯧꯊꯣꯀꯏ꯫
• ꯑꯉꯥꯡ ꯑꯗꯨ ꯇꯣꯏꯂꯦꯠꯇꯥ ꯆꯠꯇꯨꯅꯥ ꯄꯣꯀꯄꯥ ꯌꯥꯍꯜꯂꯤ꯫
• ꯑꯉꯥꯡ ꯑꯗꯨꯅꯥ ꯇꯣꯏꯂꯦꯠꯇꯥ ꯆꯠꯂꯕꯥ ꯃꯇꯨꯡꯗꯥ, ꯑꯔꯣꯌꯕꯥ ꯑꯣꯏꯅꯥ ꯑꯇꯣꯞꯄꯥ ꯑꯦꯛꯁ-ꯔꯦ ꯑꯃꯥ ꯂꯧꯏ꯫

ꯌꯦꯡꯎ, ꯃꯁꯤ ꯑꯗꯣꯝꯅꯥ ꯈꯜꯂꯤꯕꯥ ꯑꯗꯨꯒꯨꯝꯅꯥ ꯑꯆꯧꯕꯥ ꯋꯥꯐꯝ ꯅꯠꯇꯦ, ꯅꯠꯇꯦ?

ꯇꯦꯁ꯭ꯠ ꯇꯧꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯀꯔꯤ ꯑꯥꯁꯥ ꯇꯧꯒꯗꯒꯦ?

ꯃꯍꯧꯁꯥꯅꯥ, ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯅꯥ ꯃꯈꯣꯌꯒꯤ ꯅꯣꯔꯃꯦꯜ ꯑꯦꯛꯇꯤꯚꯤꯇꯤꯁꯤꯡ ꯑꯗꯨ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯍꯧꯕꯥ ꯌꯥꯏ ꯑꯃꯁꯨꯡ ꯇꯦꯁ꯭ꯠ ꯑꯗꯨ ꯂꯣꯌꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯆꯥꯕꯥ ꯑꯃꯁꯨꯡ ꯊꯀꯄꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯕꯨ ꯋꯥꯐꯃꯁꯤꯡ ꯑꯁꯤ ꯋꯥꯈꯂꯗꯥ ꯊꯝꯃꯨ:

• ꯇꯦꯁ꯭ꯠ ꯇꯧꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ , ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯗꯥ ꯏꯁꯤꯡꯒꯨꯝꯕꯥ ꯐ꯭ꯂꯨꯏꯗ ꯃꯔꯥꯡ ꯀꯥꯌꯅꯥ ꯄꯤꯌꯨ꯫ ꯃꯁꯤꯅꯥ ꯕꯦꯔꯤꯌꯥꯝ ꯂꯤꯛꯌꯨꯏꯗ ꯑꯗꯨ ꯍꯀꯆꯥꯡꯗꯒꯤ ꯊꯨꯅꯥ ꯌꯥꯡꯅꯥ ꯆꯠꯄꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯒꯅꯤ꯫
• ꯑꯉꯥꯡ ꯑꯗꯨꯒꯤ ꯄꯣꯠꯁꯛ ꯑꯗꯨ ꯅꯨꯃꯤꯠ ꯑꯅꯤꯗꯒꯤ ꯑꯍꯨꯝ ꯐꯥꯎꯕꯥ ꯑꯉꯧꯕꯥ ꯃꯆꯨ ꯑꯃꯥ ꯂꯧꯕꯥ ꯌꯥꯏ . ꯃꯁꯤ ꯅꯣꯔꯃꯦꯂꯅꯤ, ꯃꯔꯃꯗꯤ ꯕꯦꯔꯤꯌꯥꯝ ꯑꯁꯤ ꯃꯗꯨꯒꯨꯝꯅꯥ ꯄꯥꯁ ꯇꯧꯔꯛꯂꯤ꯫
• ꯅꯨꯃꯤꯠ ꯈꯔꯅꯤꯒꯤ ꯑꯣꯏꯅꯥ, ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯅꯥ ꯃꯍꯧꯁꯥꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯄꯣꯀꯄꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯏ .

ꯃꯁꯤꯒꯤ ꯁꯥꯏꯗ ꯏꯐꯦꯛꯇ ꯅꯠꯠꯔꯒꯥ ꯔꯤꯁ꯭ꯛ ꯂꯩꯕ꯭ꯔꯥ?

ꯀꯟꯠꯔꯁ꯭ꯠ ꯑꯦꯅꯤꯃꯥ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯁꯥꯐꯕꯥ ꯊꯧꯑꯣꯡ ꯑꯃꯅꯤ . ꯑꯦꯛꯁ-ꯔꯦꯗꯒꯤ ꯂꯥꯀꯄꯥ ꯔꯦꯗꯤꯑꯦꯁꯅꯒꯤ ꯆꯥꯡ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯅꯦꯝꯃꯤ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯃꯦꯗꯤꯀꯦꯜ ꯄ꯭ꯔꯣꯁꯤꯗ꯭ꯌꯨꯑꯣꯔ ꯑꯃꯍꯦꯛꯇꯒꯥ ꯃꯥꯟꯅꯅꯥ, ꯔꯤꯁ꯭ꯛ ꯈꯔꯗꯤ ꯂꯩ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯋꯥꯐꯃꯁꯤꯡ ꯑꯁꯤ ꯊꯣꯀꯄꯥ ꯌꯥꯏ:

• ꯕ꯭ꯂꯣꯛ ꯇꯧꯕꯥ꯫
• ꯀꯟꯁꯇꯤꯄꯁꯟ - ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯃꯁꯤ `(ꯕꯦꯔꯤꯌꯥꯝ)`ꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫
• ꯈꯣꯡ ꯍꯥꯝꯗꯕ
• ꯍꯦꯗ-ꯑꯦꯛ - ꯃꯁꯤ ꯁꯤꯡꯍꯗꯥ ‘ꯍꯤꯁꯥꯔꯥꯗꯥ’ ꯍꯥꯌꯕꯅꯤ꯫
• ꯀꯣꯛ ꯉꯥꯎꯕ
• ꯑꯦꯂꯥꯔꯖꯤꯒꯤ ꯔꯤꯑꯦꯛꯁꯟ - ꯑꯗꯨꯕꯨ ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯊꯣꯀꯏ .
• ꯑꯉꯥꯡꯒꯤ ꯏꯟꯇꯦꯁ꯭ꯇꯥꯏꯅꯁꯤꯡꯗꯥ ꯑꯄꯤꯀꯄꯥ ꯕ꯭ꯂꯣꯀꯦꯖ ꯅꯠꯠꯔꯒꯥ ꯍꯣꯜ ꯑꯃꯥ (Gastrointestinal perforation) - ꯃꯁꯤꯁꯨ ꯌꯥꯝꯅꯥ ꯌꯥꯝꯅꯥ ꯊꯣꯀꯏ .

ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯍꯥꯌꯔꯤꯕꯥ ꯈꯨꯗꯣꯡꯊꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯈꯉꯏ, ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯃꯈꯣꯌꯅꯥ ꯇꯦꯁ꯭ꯠ ꯑꯁꯤ ꯌꯥꯔꯤꯕꯃꯈꯩ ꯆꯦꯀꯁꯤꯟꯅꯥ ꯄꯥꯡꯊꯣꯀꯏ꯫

ꯑꯩꯒꯤ ꯑꯉꯥꯡꯒꯤ ꯇꯦꯁ꯭ꯇꯀꯤ ꯔꯤꯖꯜꯇꯁꯤꯡꯅꯥ ꯀꯔꯤ ꯍꯥꯌꯔꯤꯕꯒꯦ?

ꯃꯍꯧꯁꯥꯅꯥ, ꯀꯟꯠꯔꯁ꯭ꯠ ꯑꯦꯅꯤꯃꯥ ꯇꯦꯁ꯭ꯠ ꯑꯃꯒꯤ ꯔꯤꯖꯜꯇ ꯑꯁꯤ ‘ꯅꯦꯒꯦꯇꯤꯚ’ ꯅꯠꯠꯔꯒꯥ ‘ꯄꯣꯖꯤꯇꯤꯚ’ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫

• ‘ꯅꯦꯒꯦꯇꯤꯕ’ ꯔꯤꯖꯜꯇ ꯍꯥꯌꯕꯁꯤꯅꯥ ꯗꯣꯛꯇꯔꯅꯥ ꯑꯉꯥꯡ ꯑꯗꯨꯒꯤ ꯀꯣꯂꯣꯅꯗꯥ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯅꯠꯠꯔꯒꯥ ꯑꯦꯕꯅꯣꯔꯃꯦꯂꯤꯇꯤ ꯑꯃꯠꯇꯥ ꯊꯦꯡꯅꯕꯥ ꯉꯃꯈꯤꯗꯦ ꯍꯥꯌꯕꯅꯤ꯫ ꯃꯁꯤꯅꯥ ꯇꯥꯀꯄꯗꯤ ꯀꯣꯂꯣꯟ ꯑꯁꯤ ꯍꯀꯆꯥꯡ ꯐꯅꯥ ꯂꯩꯕꯥ ꯃꯆꯨ ꯑꯃꯅꯤ꯫
• ‘ꯄꯣꯖꯤꯇꯤꯚ’ ꯔꯤꯖꯜꯇ ꯍꯥꯌꯕꯁꯤ ꯗꯣꯛꯇꯔ ꯑꯗꯨꯅꯥ ꯕ꯭ꯂꯣꯀꯦꯖꯒꯨꯝꯕꯥ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯑꯃꯥ ꯊꯦꯡꯅꯔꯦ ꯍꯥꯌꯕꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯁꯤ ꯊꯣꯛꯂꯕꯗꯤ, ꯑꯉꯥꯡ ꯑꯗꯨ ꯃꯈꯥ ꯇꯥꯅꯥ ꯇꯦꯁ꯭ꯠ ꯇꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯏ꯫

ꯐꯂꯁꯤꯡ ꯈꯉꯕꯗꯥ ꯃꯇꯝ ꯀꯌꯥ ꯆꯪꯕꯒꯦ?

ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯕꯨ ꯌꯦꯡꯁꯤꯅꯈꯤꯕꯥ ꯔꯦꯗꯤꯑꯣꯂꯣꯖꯤꯁ꯭ꯠ ꯑꯗꯨꯅꯥ ꯔꯤꯄꯣꯔꯠ ꯑꯃꯥ ꯏꯒꯅꯤ ꯑꯃꯁꯨꯡ ꯃꯗꯨ ꯑꯦꯛꯁ-ꯔꯦ ꯏꯃꯦꯖꯁꯤꯡꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯒꯤ ꯄꯦꯗꯤꯑꯦꯠꯔꯤꯛ ꯗꯣꯛꯇꯔꯗꯥ ꯊꯥꯒꯅꯤ꯫ ꯃꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯀꯟꯗꯤꯁꯅꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ ꯅꯨꯃꯤꯠ ꯑꯃꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯅꯤ, ꯅꯠꯠꯔꯒꯥ ꯅꯨꯃꯤꯠ ꯈꯔꯅꯤ ꯐꯥꯎꯕꯥ ꯆꯪꯂꯝꯕꯥ ꯌꯥꯏ꯫

ꯀꯗꯥꯌꯗꯥ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯗꯣꯛꯇꯔꯒꯥ ꯎꯅꯕꯥ ꯄꯥꯝꯂꯤꯕꯅꯣ?

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯗꯥ ꯇꯦꯁ꯭ꯠ ꯇꯧꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯍꯦꯛꯇꯕꯨ ꯂꯥꯀꯄꯥ ꯇꯥꯔꯕꯗꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯁꯣꯌꯗꯅꯥ ꯈꯪꯍꯅꯕꯤꯌꯨ :

• ꯑꯦꯕꯗꯣꯃꯤꯅꯦꯜ ꯁꯣꯀꯄꯥ (abdominal swelling)꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯁ꯭ꯇꯣꯜ ꯑꯗꯨꯗꯥ ꯏ ꯂꯩꯔꯕꯗꯤ (rectal bleeding) .
• ꯃꯃꯤꯠ ꯇꯥꯡꯕꯥ꯫
• ꯂꯥꯏꯍꯧ ꯍꯧꯕ
• ꯁꯥꯊꯤꯕꯥ ꯑꯦꯕꯗꯣꯃꯤꯅꯦꯜ ꯄꯦꯏꯟ (abdominal pain)꯫
• ꯅꯨꯃꯤꯠ ꯑꯅꯤꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯄꯣꯀꯄꯥ ꯉꯃꯗꯕꯥ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯄꯣꯠꯁꯛ ꯑꯃꯥ ꯎꯔꯕꯗꯤ, ꯊꯦꯡꯊꯕꯥ ꯂꯩꯇꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯐꯣꯟ ꯇꯧꯕꯅꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯩ꯫

ꯇꯦꯁ꯭ꯠ ꯇꯧꯕꯥ ꯃꯇꯃꯗꯥ ꯑꯩꯒꯤ ꯑꯉꯥꯡ ꯑꯗꯨ ꯅꯨꯡꯉꯥꯏꯅꯥ ꯂꯩꯅꯕꯥ ꯑꯩꯅꯥ ꯀꯔꯤ ꯇꯧꯕꯥ ꯌꯥꯕꯒꯦ?

ꯀꯟꯠꯔꯁ꯭ꯠ ꯑꯦꯅꯤꯃꯥ ꯑꯃꯥ ꯄꯤꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯑꯍꯂꯁꯤꯡꯗꯁꯨ ꯇꯁꯦꯡꯅꯥ ꯅꯨꯡꯉꯥꯏꯕꯥ ꯑꯃꯅꯤ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯅꯥ ꯃꯗꯨ ꯇꯧꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯈꯔꯥ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯑꯃꯁꯨꯡ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯐꯥꯎꯔꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯗꯨ ꯅꯣꯔꯃꯦꯂꯅꯤ꯫ ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯒꯤ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯍꯟꯊꯍꯅꯕꯗꯥ ꯑꯃꯁꯨꯡ ꯃꯈꯣꯌꯕꯨ ꯅꯨꯡꯉꯥꯏꯅꯥ ꯂꯩꯍꯟꯅꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯇꯧꯕꯥ ꯌꯥꯕꯥ ꯊꯕꯛ ꯈꯔꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤ:

• ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯅꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯄꯥꯝꯅꯕꯥ ꯁꯥꯟꯅꯄꯣꯠ, ꯀꯝꯕꯜ ꯅꯠꯠꯔꯒꯥ ꯁ꯭ꯇꯐ ꯑꯦꯅꯤꯃꯦꯜ ꯑꯗꯨ ꯂꯧꯊꯣꯀꯎ ꯑꯃꯁꯨꯡ ꯃꯗꯨ ꯊꯝꯃꯨ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨ ꯈꯔꯥ ꯍꯦꯟꯅꯥ ꯂꯨꯝꯂꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯂꯥꯏꯔꯤꯛ ꯑꯃꯥ ꯅꯠꯠꯔꯒꯥ ꯍꯦꯟꯗꯍꯦꯜꯗ ꯚꯤꯗꯤꯑꯣ ꯒꯦꯝ ꯑꯃꯥ ꯄꯨꯔꯀꯄꯥ ꯌꯥꯏ .
• ꯇꯦꯁ꯭ꯠ ꯇꯧꯕꯥ ꯃꯇꯃꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯒꯥ ꯅꯛꯅꯅꯥ ꯂꯩꯌꯨ꯫ ꯃꯍꯥꯛꯀꯤ ꯈꯨꯠꯁꯥ ꯑꯗꯨ ꯊꯃꯖꯤꯜꯂꯨ, ꯃꯍꯥꯛꯀꯥ ꯅꯨꯡꯁꯤꯅꯥ ꯋꯥꯔꯤ ꯁꯥꯟꯅꯧ, ꯑꯃꯁꯨꯡ ꯍꯥꯌꯌꯨ, "ꯃꯆꯥꯅꯨꯄꯥ, ꯃꯃꯥ/ꯗꯥꯗꯤ ꯃꯐꯃꯁꯤꯗꯥ ꯂꯩꯔꯦ꯫"
• ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯒꯤ ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯑꯃꯁꯨꯡ ꯔꯤꯂꯥꯛꯁꯦꯁꯅꯒꯤ ꯇꯦꯛꯅꯤꯀꯁꯤꯡ , ꯍꯥꯌꯕꯗꯤ "ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ ꯑꯃꯁꯨꯡ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯊꯥꯗꯣꯀꯄꯥ" ꯑꯁꯤꯅꯆꯤꯡꯕꯥ ꯄ꯭ꯔꯦꯛꯇꯤꯁ ꯇꯧꯕꯤꯌꯨ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯇꯣꯞꯄꯥ ꯅꯍꯥ ꯑꯣꯏꯔꯤꯕꯥ ꯑꯉꯥꯡꯁꯤꯡ ꯂꯩꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯇꯦꯁ꯭ꯠ ꯇꯧꯅꯕꯥ ꯆꯠꯂꯤꯉꯩꯗꯥ ꯑꯇꯣꯞꯄꯥ ꯑꯉꯥꯡꯁꯤꯡꯕꯨ ꯀꯅꯥꯒꯨꯝꯕꯥ ꯑꯃꯅꯥ ꯌꯦꯡꯁꯤꯅꯕꯤꯅꯕꯥ ꯊꯧꯔꯥꯡ ꯇꯧ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯤꯔꯣꯜꯂꯕꯗꯤ, ꯑꯉꯥꯡ ꯑꯗꯨꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯂꯩꯃꯤꯟꯅꯕꯥ ꯉꯝꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯥ, ꯑꯉꯥꯡ ꯑꯗꯨꯒꯥ ꯃꯔꯤ ꯂꯩꯅꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯥ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯅꯥ ꯊꯥꯖꯕꯥ ꯌꯥꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯥ ꯁꯣꯌꯗꯅꯥ ꯄꯨꯔꯀꯎ . ꯃꯤꯔꯣꯜꯂꯤꯕꯤ ꯅꯨꯄꯤꯁꯤꯡꯅꯥ ꯌꯥꯔꯤꯕꯃꯈꯩ ꯃꯈꯣꯌꯒꯤ ꯔꯦꯗꯤꯑꯦꯁꯅꯒꯤ ꯑꯦꯛꯁꯄꯣꯖꯔ ꯑꯗꯨ ꯍꯟꯊꯍꯅꯒꯗꯕꯅꯤ꯫

ꯅꯤꯡꯁꯤꯡꯕꯤꯌꯨ꯫ ꯑꯁꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯗꯁꯨ ꯄꯥꯉ꯭ꯒꯂꯒꯤ ꯑꯆꯧꯕꯥ ꯁꯣꯔꯁ ꯑꯃꯅꯤ꯫

ꯇꯦꯛ-ꯍꯣꯝ ꯃꯦꯁꯦꯖ ꯇꯧꯕꯥ꯫

ꯄꯦꯗꯤꯑꯦꯠꯔꯤꯛ ꯕꯦꯔꯤꯌꯥꯝ ꯑꯦꯅꯤꯃꯥ ꯑꯃꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯒꯤ ꯒꯦꯁ꯭ꯠꯔꯣꯏꯟꯇꯦꯁ꯭ꯇꯥꯏꯅꯦꯜ ꯍꯦꯂꯊꯀꯤ ꯃꯇꯥꯡꯗꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯏꯅꯐꯣꯔꯃꯦꯁꯟ ꯀꯌꯥ ꯄꯤꯕꯥ ꯉꯝꯃꯤ꯫ ꯃꯃꯥ-ꯃꯄꯥ ꯑꯃꯥ ꯑꯣꯏꯅꯥ, ꯇꯦꯁ꯭ꯠ ꯑꯁꯤꯒꯤ ꯃꯃꯥꯡꯗꯥ ꯅꯍꯥꯛ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯅꯥ ꯈꯔꯥ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯑꯃꯁꯨꯡ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯐꯥꯎꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯅꯣꯔꯃꯦꯂꯅꯤ꯫ ꯑꯗꯨꯕꯨ ꯅꯤꯡꯁꯤꯡꯕꯤꯌꯨ, ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯑꯃꯁꯨꯡ ꯁꯥꯐꯕꯥ ꯇꯦꯁ꯭ꯠ ꯑꯃꯅꯤ . ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯅꯥ ꯑꯦꯅꯥꯁ꯭ꯇꯦꯁꯤꯌꯥꯒꯤ ꯃꯊꯧ ꯇꯥꯗꯦ, ꯑꯃꯁꯨꯡ ꯃꯁꯤ ꯄꯨꯡ ꯑꯃꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯂꯣꯌꯁꯤꯅꯕꯥ ꯌꯥꯏ꯫

ꯇꯦꯁ꯭ꯠ ꯇꯧꯗ꯭ꯔꯤꯉꯩ ꯃꯃꯥꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯒꯥ ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯕꯅꯥ ꯃꯍꯥꯀꯄꯨ ꯑꯦꯛꯁꯄꯔꯤꯌꯦꯟꯁ ꯑꯗꯨ ꯍꯦꯟꯅꯥ ꯐꯅꯥ ꯊꯦꯡꯅꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯒꯅꯤ꯫ ꯅꯍꯥꯛꯅꯥ ꯍꯪꯂꯀꯄꯥ ꯋꯥꯍꯪꯁꯤꯡ ꯅꯠꯠꯔꯒꯥ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯑꯃꯍꯦꯛꯇꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯕꯥ ꯀꯥꯎꯒꯅꯨ꯫ ꯃꯈꯣꯌꯅꯥ ꯑꯗꯣꯃꯒꯤ ꯃꯇꯦꯡ ꯄꯥꯡꯅꯕꯥ ꯂꯩꯔꯤ꯫

` ꯀꯟꯠꯔꯁ꯭ꯠ ꯑꯦꯅꯤꯃꯥ, ꯕꯦꯔꯤꯌꯥꯝ ꯑꯦꯅꯤꯃꯥ, ꯑꯉꯥꯡꯒꯤ ꯍꯀꯁꯦꯜ, ꯈꯣꯡ ꯍꯥꯝꯕꯥ, ꯀꯣꯂꯣꯅꯣꯁ꯭ꯀꯣꯄꯤ, ꯑꯦꯛꯁ-ꯔꯦ, ꯍꯤꯔꯁꯁ꯭ꯞꯔꯨꯡꯒꯤ ꯂꯥꯌꯅꯥ꯫