Skip to main content

ꯑꯗꯣꯃꯁꯨ ꯂꯧꯅꯒꯅꯕꯥ ꯑꯋꯥꯕꯥ ꯃꯥꯌꯣꯛꯅꯔꯤꯕ꯭ꯔꯥ? ‘ꯏꯁꯣꯐꯦꯖꯤꯌꯜ ꯃꯦꯅꯣꯃꯦꯠꯔꯤ ꯇꯦꯁ꯭ꯠ’ꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯁꯤ!

ꯑꯗꯣꯃꯁꯨ ꯂꯧꯅꯒꯅꯕꯥ ꯑꯋꯥꯕꯥ ꯃꯥꯌꯣꯛꯅꯔꯤꯕ꯭ꯔꯥ? ‘ꯏꯁꯣꯐꯦꯖꯤꯌꯜ ꯃꯦꯅꯣꯃꯦꯠꯔꯤ ꯇꯦꯁ꯭ꯠ’ꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯁꯤ!

ꯅꯍꯥꯛꯅꯥ ꯆꯥꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯊꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯊꯝꯃꯣꯌ ꯁꯣꯀꯄꯥ ꯐꯥꯎꯕ꯭ꯔꯥ? ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯀꯣꯛꯇꯥ ꯆꯥꯅꯕꯥ ꯆꯤꯟꯖꯥꯛ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯂꯥꯀꯄꯥ ꯐꯥꯎꯕ꯭ꯔꯥ? ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯗꯣꯃꯗꯥ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯃꯈꯂꯒꯤ ꯑꯋꯥꯕꯥ ꯑꯁꯤ ꯂꯩꯔꯕꯗꯤ ꯉꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯃꯔꯝ ꯑꯁꯤ ꯈꯉꯗꯣꯀꯄꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯕꯥ ꯌꯥꯕꯥ ꯑꯈꯟꯅꯕꯥ ꯇꯦꯁ꯭ꯠ ꯑꯃꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯔꯤ꯫ ꯃꯁꯤꯕꯨ ``ꯏꯁꯣꯐꯦꯖꯤꯌꯜ ꯃꯦꯅꯣꯃꯦꯠꯔꯤ ꯇꯦꯁ꯭ꯠ'' ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫

ꯃꯁꯤ ‘ꯏꯁꯣꯐꯦꯖꯤꯌꯜ ꯃꯦꯅꯣꯃꯦꯠꯔꯤ ꯇꯦꯁ꯭ꯠ’ ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ?

ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯃꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯏꯁꯣꯐꯦꯒꯁ (ꯐꯨꯗ ꯄꯥꯏꯞ)ꯗꯥ ꯂꯩꯕꯥ ꯃꯁꯂꯁꯤꯡꯅꯥ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯊꯕꯛ ꯇꯧꯔꯤꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯅꯕꯒꯤ ꯇꯦꯁ꯭ꯠ ꯑꯃꯅꯤ꯫ ꯑꯗꯣꯝꯅꯥ ꯈꯉꯕꯤꯔꯤꯕꯥ ꯑꯗꯨꯅꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯆꯤꯟꯖꯥꯛ ꯊꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯃꯤꯠꯇꯒꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯈꯣꯡꯗꯥ ꯏꯁꯣꯐꯦꯒꯁ ꯑꯁꯤꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯆꯠꯂꯤ꯫ ꯃꯁꯤ ꯇꯨꯕ ꯑꯃꯒꯨꯝꯕꯅꯤ꯫ ꯇꯤꯎꯕ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯂꯩꯕꯥ ꯃꯁꯂꯁꯤꯡꯅꯥ ꯆꯤꯟꯖꯥꯛ ꯑꯗꯨ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯁꯣꯀꯍꯜꯂꯤ꯫ ꯃꯁꯤꯗꯁꯨ ꯅꯠꯇꯅꯥ, ꯃꯁꯂꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯆꯤꯟꯖꯥꯛ ꯑꯗꯨ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯈꯣꯡꯗꯥ ꯂꯥꯀꯄꯥ ꯊꯤꯡꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫

ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯏꯁꯣꯐꯦꯒꯁ ꯑꯁꯤꯒꯤ ꯃꯁꯂꯁꯤꯡꯒꯤ ꯐꯉ꯭ꯀꯁꯅꯗꯥ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯈꯔꯥ ꯂꯩꯕꯥ ꯌꯥꯏ, ꯅꯠꯠꯔꯒꯥ ``ꯃꯣꯇꯤꯂꯤꯇꯤ``ꯒꯤ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯂꯩꯕꯥ ꯌꯥꯏ꯫ ꯃꯗꯨꯗꯥ ꯂꯧꯅꯒꯅꯕꯥ ꯑꯋꯥꯕꯥ, ꯊꯝꯃꯣꯌ ꯁꯣꯀꯄꯥ, ꯑꯃꯁꯨꯡ ꯀꯣꯛꯇꯥ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯂꯥꯀꯄꯥ ꯆꯤꯟꯖꯥꯀꯁꯤꯡ (ꯔꯤꯐ꯭ꯂꯛꯁ) ꯑꯁꯤꯅꯆꯤꯡꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ ꯊꯣꯀꯏ꯫ ꯑꯗꯨꯅꯥ, ``ꯏꯁꯣꯐꯦꯖꯤꯑꯦꯜ ꯃꯦꯅꯣꯃꯦꯠꯔꯤ ꯇꯦꯁ꯭ꯠ`` ꯑꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯏꯁꯣꯐꯦꯒꯁꯀꯤ ꯃꯁꯂꯁꯤꯡ ꯑꯗꯨ ꯀꯌꯥꯝ ꯐꯖꯅꯥ ꯑꯃꯁꯨꯡ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯀꯟꯠꯔꯦꯛꯇ ꯇꯧꯕꯒꯦ, ꯔꯤꯂꯥꯛꯁ ꯇꯧꯕꯒꯦ ꯑꯃꯁꯨꯡ ꯆꯤꯟꯖꯥꯛ ꯑꯗꯨ ꯀꯌꯥꯝ ꯊꯨꯅꯥ ꯌꯥꯡꯅꯥ ꯆꯦꯜꯂꯤꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯂꯦꯄꯊꯣꯀꯏ꯫

ꯑꯩꯈꯣꯌꯅꯥ ꯀꯔꯤꯒꯤꯗꯃꯛ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯃꯈꯂꯒꯤ ꯇꯦꯁ꯭ꯠ ꯇꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯔꯤꯕꯅꯣ? ꯑꯗꯣꯃꯗꯁꯨ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯂꯩꯕ꯭ꯔꯥ?

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯦꯡ-ꯑꯣꯠꯄꯗꯥ ꯂꯦꯞꯇꯅꯥ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯂꯩꯔꯕꯗꯤ ꯅꯠꯠꯔꯒꯥ ꯆꯥꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯊꯛꯅꯕꯥ ꯏꯁꯤꯡ ꯇꯨꯡꯁꯤꯅꯕꯗꯥ ꯑꯋꯥꯕꯥ ꯃꯥꯌꯣꯛꯅꯔꯕꯗꯤ ꯗꯣꯛꯇꯔ ꯑꯃꯅꯥ ꯃꯍꯧꯁꯥꯅꯥ ꯇꯦꯁ꯭ꯠ ꯑꯁꯤ ꯔꯦꯀꯃꯦꯟꯗ ꯇꯧꯏ꯫ ꯅꯍꯥꯛꯀꯤ ꯏꯁꯣꯐꯦꯒꯁꯀꯤ ꯑꯇꯩ ꯇꯦꯁ꯭ꯇꯁꯤꯡ, ꯍꯥꯌꯕꯗꯤ ꯑꯦꯟꯗꯣꯁ꯭ꯀꯣꯄꯤ ꯑꯁꯤ ꯍꯥꯟꯅꯅꯥ ꯇꯧꯈ꯭ꯔꯕꯁꯨ ꯌꯥꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯑꯗꯨꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡꯒꯤ ꯃꯌꯦꯛ ꯁꯦꯡꯕꯥ ꯃꯔꯝ ꯑꯃꯥ ꯐꯪꯗ꯭ꯔꯕꯗꯤ, ꯃꯊꯪꯒꯤ ꯈꯣꯡꯊꯥꯡ ꯑꯁꯤ ꯑꯌꯥꯝꯕꯅꯥ ꯏꯁꯣꯐꯦꯖꯤꯑꯦꯜ ꯃꯣꯇꯤꯂꯤꯇꯤ ꯇꯦꯁ꯭ꯠ ꯑꯃꯅꯤ, ꯃꯁꯤꯕꯨ ꯏꯁꯣꯐꯦꯖꯤꯑꯦꯜ ꯃꯦꯅꯣꯃꯦꯠꯔꯤ ꯇꯦꯁ꯭ꯠ ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫

ꯅꯍꯥꯛꯅꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯠꯇꯥ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯎ:

  • ꯆꯥꯅꯕꯥ ꯆꯤꯟꯖꯥꯛ ꯊꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯑꯋꯥꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯋꯥꯕꯥ ꯐꯥꯑꯣꯕ꯭ꯔꯥ?
  • ꯊꯀꯄꯥ (regurgitation) ꯃꯇꯨꯡꯗꯥ ꯆꯤꯟꯖꯥꯛ ꯑꯗꯨ ꯀꯣꯛꯇꯥ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯂꯥꯀꯄꯥ (regurgitation) ꯐꯥꯎꯕ꯭ꯔꯥ?
  • ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛ ꯂꯧꯔꯕꯥ ꯃꯇꯨꯡꯗꯁꯨ ꯂꯥꯀꯁꯤꯅꯕꯥ ꯉꯃꯗꯕꯥ ꯄꯔꯁꯤꯁ꯭ꯇꯦꯟꯇ ꯍꯥꯔꯇꯕꯔꯟ (ꯑꯦꯁꯤꯗ ꯔꯤꯐ꯭ꯂꯛꯁ) ꯂꯩꯕ꯭ꯔꯥ?
  • ꯍꯥꯔꯇꯀꯤ ꯂꯥꯌꯅꯥꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯅꯟ-ꯀꯥꯔꯗꯤꯌꯦꯛ ꯆꯦꯁ꯭ꯠ ꯄꯦꯏꯟ ꯂꯩꯕ꯭ꯔꯥ?

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯃꯗꯒꯤ ꯍꯦꯅꯕꯥ ꯂꯩꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯗꯨꯅꯥ ꯇꯦꯁ꯭ꯠ ꯑꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯍꯪꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯐꯩ꯫

ꯇꯦꯁ꯭ꯠ ꯑꯁꯤꯗꯥ ꯀꯔꯤ ꯐꯪꯒꯅꯤ?

``ꯃꯦꯅꯣꯃꯦꯠꯔꯤ`` ꯍꯥꯌꯕꯁꯤ ꯄ꯭ꯔꯦꯁꯔ ꯃꯥꯄꯜ ꯍꯥꯌꯕꯅꯤ꯫ ꯇꯦꯁ꯭ꯠ ꯑꯁꯤꯗꯥ ꯁꯤꯖꯤꯟꯅꯔꯤꯕꯥ ꯏꯅꯁ꯭ꯠꯔꯨꯃꯦꯟꯇ ꯑꯁꯤꯕꯨ ``ꯃꯦꯅꯣꯃꯤꯇꯔ`` ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ ꯃꯁꯤꯅꯥ ꯏꯁꯣꯐꯦꯒꯁꯀꯤ ꯃꯁꯂꯁꯤꯡꯅꯥ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯥ ꯃꯇꯃꯗꯥ ꯊꯣꯀꯄꯥ ꯄ꯭ꯔꯦꯁꯔ ꯑꯗꯨ ꯂꯦꯄꯊꯣꯀꯏ꯫ ``ꯏꯁꯣꯐꯦꯖꯤꯑꯦꯜ ꯃꯦꯅꯣꯃꯦꯠꯔꯤ ꯇꯦꯁ꯭ꯠ`` ꯑꯁꯤꯅꯥ ꯃꯔꯨꯑꯣꯏꯅꯥ ꯏꯁꯣꯐꯦꯒꯁꯇꯥ ꯂꯩꯕꯥ ꯃꯁꯂꯒꯤ ꯑꯦꯛꯇꯤꯚꯤꯇꯤ ꯃꯈꯜ ꯑꯅꯤ ꯌꯦꯡꯏ꯫

1. ꯗꯥꯏꯖꯦꯁ꯭ꯇꯤꯚ ꯇ꯭ꯔꯦꯛꯇ (ꯄꯦꯔꯤꯁ꯭ꯇꯦꯂꯁꯤꯁ)ꯒꯤ ꯃꯈꯥꯗꯥ ꯆꯥꯅꯕꯥ ꯆꯤꯟꯖꯥꯛ ꯆꯠꯊꯣꯛ-ꯆꯠꯁꯤꯟ ꯇꯧꯔꯤꯕꯥ ꯃꯁꯂꯁꯤꯡꯒꯤ ꯆꯠꯊꯣꯛ-ꯆꯠꯁꯤꯟꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯐꯣꯡꯗꯣꯛꯀꯅꯤ?

2. ꯏꯁꯣꯐꯦꯒꯁꯀꯤ ꯃꯊꯛ ꯑꯃꯁꯨꯡ ꯃꯈꯥ ꯊꯪꯕꯥ ꯁꯔꯨꯛꯇꯥ ꯂꯩꯕꯥ ꯚꯜꯌꯨꯁꯤꯡ ꯑꯗꯨ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯍꯥꯡꯗꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯊꯤꯡꯖꯤꯅꯕꯥ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯁꯂꯁꯤꯡ ꯑꯁꯤꯗꯥ ꯄ꯭ꯔꯦꯁꯔ ꯑꯗꯨꯗꯥ ꯑꯦꯕꯅꯣꯔꯃꯦꯂꯤꯇꯤ ꯂꯩꯔꯕꯗꯤ, ꯃꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯗꯨꯒꯤ ꯃꯔꯝ ꯑꯗꯨ ꯈꯪꯗꯣꯀꯄꯥ ꯉꯃꯒꯅꯤ ꯑꯃꯁꯨꯡ ꯑꯀꯛꯅꯕꯥ ꯃꯦꯗꯤꯀꯦꯜ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ ꯈꯪꯗꯣꯀꯄꯥ ꯉꯃꯒꯅꯤ꯫ ꯈꯨꯗꯝ ꯑꯣꯏꯅ:

  • `(Achalasia)` : ꯃꯁꯤ ꯂꯣꯌꯔꯕꯥ ꯏꯁꯣꯐꯦꯖꯤꯌꯜ ꯁ꯭ꯐꯤꯡꯛꯇꯔ ꯑꯗꯨ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯍꯥꯡꯗꯣꯀꯄꯥ ꯉꯃꯗꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ, ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯆꯥꯅꯕꯥ ꯆꯤꯟꯖꯥꯛ ꯑꯁꯤ ꯈꯣꯡꯗꯥ ꯌꯧꯍꯅꯕꯗꯥ ꯑꯋꯥꯕꯥ ꯑꯣꯏꯍꯜꯂꯤ꯫
  • `(ꯁ꯭ꯛꯂꯦꯔꯣꯗꯥꯔꯃꯥ)`꯫: ꯃꯁꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯀꯅꯦꯛꯇꯤꯕ ꯇꯤꯁ꯭ꯌꯨꯁꯤꯡꯗꯥ ꯁꯣꯀꯍꯜꯂꯤꯕꯥ ꯂꯥꯌꯅꯥ ꯑꯃꯅꯤ, ꯑꯃꯁꯨꯡ ꯃꯁꯤꯅꯥ ꯏꯁꯣꯐꯦꯒꯁꯀꯤ ꯃꯁꯂꯁꯤꯡꯁꯨ ꯁꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫
  • ꯏꯁꯣꯐꯦꯖꯤꯌꯜ ꯁ꯭ꯄꯥꯝ (esophageal spasms) : ꯃꯁꯤ ꯏꯁꯣꯐꯦꯖꯤꯌꯁ (esophageal spasms) ꯈꯪꯍꯧꯗꯅꯥ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯅꯥ ꯁꯣꯟꯊꯔꯀꯄꯅꯤ ꯑꯃꯁꯨꯡ ꯃꯁꯤꯅꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫
  • `(ꯔꯨꯃꯤꯅꯦꯁꯟ ꯁꯤꯟꯗꯣꯝ)` : ꯃꯁꯤ ꯍꯟꯗꯛꯇꯥ ꯊꯀꯈꯤꯕꯥ, ꯊꯀꯄꯥ ꯌꯥꯗꯕꯥ ꯆꯤꯟꯖꯥꯀꯁꯤꯡ ꯑꯗꯨ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯃꯤꯠꯇꯥ ꯂꯥꯀꯄꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫

ꯃꯁꯤꯒꯤ ‘ꯏꯁꯣꯐꯦꯖꯤꯌꯜ ꯃꯦꯅꯣꯃꯦꯠꯔꯤ’ ꯇꯦꯁ꯭ꯠ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯄꯥꯡꯊꯣꯀꯄꯒꯦ? ꯈꯔꯥ ꯁꯟꯗꯣꯛꯅꯥ ꯇꯥꯀꯄꯤꯔꯁꯤ꯫

ꯃꯁꯤꯒꯤꯗꯃꯛꯇꯥ ꯍꯧꯖꯤꯛ ꯁꯤꯖꯤꯟꯅꯔꯤꯕꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯆꯥꯎꯈꯠꯄꯥ ꯄꯥꯝꯕꯩ ꯑꯁꯤ ``ꯍꯥꯏ-ꯔꯤꯖꯣꯂꯨꯁꯟ ꯃꯦꯅꯣꯃꯦꯠꯔꯤ (HRM)`` ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ ꯃꯁꯤ ꯊꯣꯀꯄꯅꯤ: ꯌꯥꯝꯅꯥ ꯂꯨꯕꯥ, ꯌꯥꯝꯅꯥ ꯂꯨꯕꯥ ꯇꯤꯎꯕ ꯑꯃꯥ ``ꯀꯦꯇꯦꯇꯔ`` ꯑꯃꯥ ꯅꯍꯥꯛꯀꯤ ꯏꯁꯣꯐꯦꯒꯁꯇꯥ ꯄꯥꯁ ꯇꯧꯏ꯫ ꯇꯨꯕ ꯑꯁꯤꯗꯥ ꯑꯄꯤꯀꯄꯥ ꯄ꯭ꯔꯦꯁꯔ ꯁꯦꯟꯁꯔ ꯀꯌꯥ ꯂꯩ, ꯃꯈꯣꯌꯁꯤꯡ ꯑꯁꯤ ꯳꯶ ꯐꯥꯑꯣꯕꯥ ꯌꯥꯝꯅꯥ ꯋꯥꯡꯏ, ꯁꯦꯟꯁꯔꯁꯤꯡ ꯑꯁꯤ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯁꯦꯟꯇꯤꯃꯤꯇꯔ ꯑꯃꯒꯤ ꯃꯔꯛꯇꯥ ꯂꯩ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ, ꯁꯦꯟꯁꯔꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯆꯤꯟꯖꯥꯛ ꯊꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯏꯁꯣꯐꯦꯒꯁꯇꯥ ꯂꯩꯕꯥ ꯃꯁꯂꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯝꯅꯥ ꯀꯟꯠꯔꯦꯛꯇ ꯇꯧꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯂꯦꯄꯊꯣꯀꯏ꯫

ꯁꯦꯟꯁꯔꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯈꯣꯃꯖꯤꯜꯂꯀꯄꯥ ꯗꯦꯇꯥ ꯑꯁꯤ ꯀꯝꯞꯌꯨꯇꯔ ꯑꯃꯗꯥ ꯊꯥꯏ꯫ ꯀꯝꯞꯌꯨꯇꯔꯅꯥ ꯗꯦꯇꯥ ꯑꯗꯨ ꯑꯦꯅꯥꯂꯥꯏꯖ ꯇꯧꯏ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯏꯁꯣꯐꯦꯒꯁꯇꯥ ꯂꯩꯕꯥ ꯄ꯭ꯔꯦꯁꯔ ꯑꯗꯨꯒꯤ ꯃꯦꯞ ꯑꯃꯥ ꯁꯦꯝꯃꯤ, ꯃꯗꯨ ꯏꯁꯣꯐꯦꯖꯤꯑꯦꯜ ꯄ꯭ꯔꯦꯁꯔ ꯇꯣꯄꯣꯒ꯭ꯔꯥꯐꯤ, ꯅꯠꯠꯔꯒꯥ ꯏ.ꯄꯤ.ꯇꯤ. ꯃꯦꯞ ꯑꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯏꯁꯣꯐꯦꯖꯤꯌꯜ ꯃꯁꯂꯁꯤꯡꯅꯥ ꯀꯔꯝꯅꯥ ꯊꯕꯛ ꯇꯧꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯑꯆꯨꯝꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯌꯦꯡꯕꯥ ꯌꯥꯍꯜꯂꯤ꯫

ꯇꯦꯁ꯭ꯠ ꯇꯧꯗ꯭ꯔꯤꯉꯩ ꯃꯃꯥꯡꯗꯥ ꯑꯩꯈꯣꯌꯅꯥ ꯀꯔꯝꯅꯥ ꯁꯦꯝ ꯁꯥꯒꯗꯒꯦ?

ꯇꯦꯁ꯭ꯠ ꯑꯁꯤꯒꯤ ꯃꯃꯥꯡꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯈꯔꯥ ꯁꯦꯝ-ꯁꯥꯕꯥ ꯃꯊꯧ ꯇꯥꯏ꯫

  • ꯇꯦꯁ꯭ꯠ ꯇꯧꯗ꯭ꯔꯤꯉꯩꯒꯤ ꯃꯃꯥꯡꯗꯥ ꯄꯨꯡ ꯶ꯀꯤ ꯃꯅꯨꯡꯗꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯃꯠꯇꯥ ꯆꯥꯗꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯊꯀꯄꯥ ꯌꯥꯗꯕꯅꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯩ꯫ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡ ꯑꯗꯨ ꯏꯪꯅꯥ ꯂꯩꯒꯗꯕꯅꯤ꯫
  • ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯀꯛꯅꯕꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ ꯂꯧꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯇꯦꯁ꯭ꯠ ꯇꯧꯗ꯭ꯔꯤꯉꯩꯒꯤ ꯄꯨꯡ 24ꯒꯤ ꯃꯃꯥꯡꯗꯥ ꯃꯈꯣꯌꯗꯨ ꯊꯀꯄꯥ ꯂꯦꯄꯍꯟꯅꯕꯥ ꯍꯥꯌꯔꯀꯄꯥ ꯌꯥꯏ꯫ ꯈꯨꯗꯝ ꯑꯣꯏꯅ:
  • `(ꯀꯦꯂꯁꯤꯌꯝ ꯆꯦꯅꯦꯜ ꯕ꯭ꯂꯣꯀꯔꯁꯤꯡ)`
  • `(ꯅꯥꯏꯠꯔꯦꯠ)`꯫
  • `(ꯑꯣꯄꯤꯑꯣꯏꯗ)` (ꯑꯅꯥꯕꯥ ꯂꯥꯌꯦꯡꯕꯥ) .
  • `(ꯁꯦꯗꯦꯇꯤꯚꯁꯤꯡ)` (ꯇꯨꯝꯕꯥ ꯌꯥꯗꯅꯕꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ)

ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯧꯔꯤꯕꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛ ꯄꯨꯝꯅꯃꯛꯀꯤ ꯃꯇꯥꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯍꯥꯟꯅꯥ ꯈꯪꯍꯅꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫

ꯃꯁꯤ ꯇꯧꯕꯥ ꯃꯇꯃꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯦꯅꯥꯁ꯭ꯇꯦꯁꯤꯌꯥ ꯁꯤꯖꯤꯟꯅꯕ꯭ꯔꯥ? ꯑꯋꯥꯕꯥ ꯅꯪꯂꯕꯔꯥ ꯍꯥꯌꯕꯥ ꯑꯩ ꯈꯉꯗꯦ, ꯅꯠꯇꯦ?

ꯃꯍꯧꯁꯥꯅꯥ, ꯇꯦꯁ꯭ꯠ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯅꯍꯥꯛ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯑꯦꯅꯥꯁ꯭ꯇꯦꯇꯤꯛ ꯑꯣꯏꯗꯦ꯫ ꯃꯁꯤꯅꯥ ꯇꯥꯀꯄꯗꯤ ꯅꯍꯥꯛ ꯀꯟꯁꯤꯌꯦꯟꯇ ꯑꯣꯏꯔꯦ ꯍꯥꯌꯕꯅꯤ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯌꯥꯝꯅꯥ ꯀꯤꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯋꯥꯈꯜ ꯆꯔꯥꯡꯅꯕꯥ ꯂꯩꯔꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯃꯃꯥꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯕꯥ ꯌꯥꯏ ꯑꯃꯁꯨꯡ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯊꯧ ꯇꯥꯔꯕꯗꯤ, ꯂꯥꯏꯠ ꯑꯦꯅꯥꯁ꯭ꯇꯦꯁꯤꯌꯥ (ꯁꯦꯗꯦꯁꯟ)ꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯈꯟꯅ-ꯅꯩꯅꯕꯥ ꯌꯥꯏ꯫

ꯏꯁꯣꯐꯦꯖꯤꯌꯜ ꯃꯦꯅꯣꯃꯦꯠꯔꯤ ꯇꯦꯁ꯭ꯠ ꯑꯁꯤ ꯑꯋꯥꯕꯥ ꯇꯦꯁ꯭ꯠ ꯑꯃꯅꯤ . ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯇꯤꯎꯕ ꯑꯗꯨ ꯅꯍꯥꯛꯀꯤ ꯏꯁꯣꯐꯦꯒꯁꯇꯥ ꯂꯩꯕꯥ ꯃꯇꯃꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯈꯔꯥ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯁꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯒꯤ ꯑꯋꯥꯕꯥ ꯑꯁꯤ ꯍꯟꯊꯍꯟꯅꯕꯥ, ꯇꯤꯎꯕ ꯑꯗꯨ ꯊꯥꯗꯣꯛꯠꯔꯤꯉꯩ ꯃꯃꯥꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯀꯣꯛꯇꯥ ꯇꯣꯄꯤꯀꯦꯜ ꯑꯦꯅꯥꯁ꯭ꯇꯦꯇꯤꯛ ꯑꯃꯥ ꯊꯥꯏ꯫ ꯇꯦꯁ꯭ꯠ ꯇꯧꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯀꯣꯛꯇꯥ ꯅꯨꯃꯤꯠ ꯑꯃꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯅꯤ ꯐꯥꯎꯕꯥ ꯁꯣꯀꯄꯥ ꯌꯥꯏ, ꯃꯁꯤ ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏ꯫

ꯇꯦꯁ꯭ꯠ ꯑꯁꯤ ꯃꯇꯧ ꯀꯔꯝꯅꯥ ꯇꯁꯦꯡꯅꯥ ꯇꯧꯕꯒꯦ?

ꯑꯣꯀꯦ, ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯇꯦꯁ꯭ꯠ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯇꯧꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯈꯔꯥ ꯍꯦꯟꯅꯥ ꯌꯦꯡꯁꯤ꯫

1. ꯑꯍꯥꯅꯕꯗꯥ, ꯗꯣꯛꯇꯔ ꯅꯠꯠꯔꯒꯥ ꯇ꯭ꯔꯦꯟ ꯇꯧꯔꯕꯥ ꯅꯔꯁ ꯑꯃꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯅꯥꯀꯣꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯂꯩꯕꯥ ꯁꯦꯟꯁꯔꯁꯤꯡꯒꯥ ꯂꯣꯌꯅꯅꯥ ``ꯀꯦꯇꯦꯇꯔ`` ꯍꯥꯌꯅꯥ ꯀꯧꯕꯥ ꯊꯤꯟ ꯇꯨꯕ ꯑꯃꯥ ꯊꯥꯗꯣꯛꯀꯅꯤ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯏꯁꯣꯐꯦꯒꯁ ꯑꯗꯨ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯌꯧꯔꯛꯠꯔꯤꯕꯐꯥꯎꯕꯥ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯊꯃꯒꯅꯤ꯫ ꯃꯁꯤꯕꯨ ``ꯅꯥꯁꯣꯒꯦꯁ꯭ꯠꯔꯤꯛ ꯇꯨꯕ`` ꯍꯥꯌꯅꯥꯁꯨ ꯀꯧꯏ꯫

2. ꯇꯨꯕ ꯑꯗꯨ ꯊꯥꯗꯣꯛꯠꯔꯤꯉꯩ ꯃꯃꯥꯡꯗꯥ, ꯇꯤꯞ ꯑꯗꯨꯗꯥ ꯂꯨꯕ꯭ꯔꯤꯀꯦꯟꯇ ꯑꯃꯥ ꯊꯥꯏ꯫ ꯇꯣꯄꯤꯀꯦꯜ ꯑꯦꯅꯥꯁ꯭ꯇꯦꯇꯤꯛ ꯑꯃꯁꯨ ꯅꯍꯥꯛꯀꯤ ꯅꯥꯀꯣꯡ ꯑꯃꯁꯨꯡ ꯀꯣꯛꯇꯥ ꯊꯥꯏ꯫ ꯃꯁꯤꯅꯥ ꯇꯤꯎꯕꯀꯤ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯑꯗꯨ ꯌꯥꯝꯅꯥ ꯍꯟꯊꯍꯅꯒꯅꯤ꯫

3. ꯇꯤꯎꯕ ꯑꯗꯨ ꯃꯐꯃꯗꯨꯗꯥ ꯂꯩꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ, ꯅꯍꯥꯀꯄꯨ ꯐꯃꯨꯡ ꯑꯃꯗꯥ ꯂꯦꯡꯗꯅꯥ ꯂꯩꯅꯕꯥ ꯍꯥꯌꯒꯅꯤ ꯑꯃꯁꯨꯡ ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯅꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯍꯥꯌꯒꯅꯤ, ꯑꯃꯁꯨꯡ ꯕꯦꯖ ꯂꯥꯏꯟ ꯔꯤꯗꯤꯡ ꯑꯃꯥ ꯂꯧꯒꯅꯤ꯫

4. ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ, ꯅꯍꯥꯀꯄꯨ ꯏꯁꯤꯡ ꯈꯔꯥ ꯊꯛꯅꯕꯥ ꯍꯥꯌꯒꯅꯤ꯫ ꯃꯍꯧꯁꯥꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯆꯥꯎꯔꯥꯛꯅꯥ 7 ꯅꯠꯠꯔꯒꯥ 8 ꯔꯛ ꯊꯀꯄꯥ ꯇꯥꯒꯅꯤ꯫ ꯃꯇꯝ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯅꯍꯥꯀꯄꯨ ꯂꯦꯡꯗꯅꯥ ꯂꯩꯅꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯈꯔꯥ ꯂꯦꯡꯗꯅꯥ ꯂꯩꯅꯕꯥ ꯍꯥꯌꯒꯅꯤ꯫

5. ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯗꯣꯛꯇꯔꯅꯥ ꯄꯥꯝꯂꯕꯗꯤ ꯃꯈꯣꯌꯅꯥ ꯃꯁꯤ ꯑꯇꯣꯞꯄꯥ ꯃꯑꯣꯡ ꯑꯃꯗꯥ ꯇꯦꯁ꯭ꯠ ꯇꯧꯕꯥ ꯌꯥꯏ꯫ ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯃꯈꯣꯌꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯁꯣꯌꯗꯅꯥ ꯂꯪꯊꯣꯛꯅꯕꯥ ꯍꯥꯌꯔꯀꯄꯥ ꯌꯥꯏ, ꯅꯠꯠꯔꯒꯥ ꯃꯈꯣꯌꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯑꯦꯄꯂꯁꯁꯒꯨꯝꯕꯥ ꯈꯔꯥ ꯂꯨꯝꯕꯥ ꯄꯣꯠꯁꯛ ꯑꯃꯥ ꯂꯧꯊꯣꯛꯅꯕꯥ ꯍꯥꯌꯔꯀꯄꯥ ꯌꯥꯏ꯫

ꯃꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯏꯁꯣꯐꯦꯖꯤꯑꯦꯜ ꯃꯁꯂꯁꯤꯡꯒꯤ "ꯃꯄꯥꯉ꯭ꯒꯜ" ꯑꯗꯨ ꯂꯦꯄꯊꯣꯀꯄꯥ ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯑꯃꯒꯨꯝꯅꯥ ꯈꯅꯕꯤꯌꯨ꯫ ꯅꯍꯥꯛꯅꯥ ꯂꯧꯅꯒꯅꯕꯥ ꯃꯇꯝ ꯈꯨꯗꯤꯡꯗꯥ ꯃꯈꯣꯌꯅꯥ ꯃꯁꯂꯁꯤꯡ ꯑꯗꯨꯅꯥ ꯀꯌꯥ ꯌꯥꯝꯅꯥ ꯐꯖꯅꯥ ꯊꯕꯛ ꯇꯧꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯂꯦꯄꯊꯣꯛꯂꯤ꯫

ꯃꯁꯤꯒꯤ ꯔꯤꯁ꯭ꯛ ꯅꯠꯠꯔꯒꯥ ꯁꯥꯏꯗ ꯏꯐꯦꯛꯇ ꯑꯃꯠꯇꯥ ꯂꯩꯕ꯭ꯔꯥ?

ꯃꯁꯤꯒꯤ ꯇꯦꯁ꯭ꯠ ꯑꯁꯤ ꯃꯍꯧꯁꯥꯅꯥ ꯌꯥꯝꯅꯥ ꯁꯥꯐꯕꯥ ꯑꯣꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯃꯤꯑꯣꯏ ꯈꯔꯗꯤ ꯄ꯭ꯔꯣꯁꯤꯗ꯭ꯌꯨꯑꯣꯔ ꯑꯗꯨꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯀꯣꯛ ꯆꯤꯀꯄꯥ, ꯃꯈꯣꯌꯒꯤ ꯀꯣꯛꯇꯥ ꯂꯪꯊꯣꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ (gagging) ꯐꯥꯎꯕꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯃꯇꯝ ꯈꯔꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯂꯥꯛꯀꯅꯤ꯫ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ, ꯃꯤꯑꯣꯏ ꯈꯔꯗꯗꯤ ꯇꯤꯎꯕ ꯑꯗꯨ ꯃꯈꯣꯌꯒꯤ ꯅꯥꯀꯣꯡꯗꯥ ꯆꯦꯟꯊꯔꯀꯄꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯑꯄꯤꯀꯄꯥ ꯅꯥꯀꯣꯡꯒꯤ ꯏ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯂꯨꯕꯥ ꯋꯥꯐꯝ ꯅꯠꯇꯦ꯫

ꯃꯁꯤꯒꯤ ꯇꯦꯁ꯭ꯠ ꯑꯁꯤ ꯃꯇꯝ ꯀꯌꯥ ꯆꯪꯕꯒꯦ?

ꯃꯁꯤꯒꯤ ꯇꯦꯁ꯭ꯠ ꯄꯨꯝꯅꯃꯛ ꯑꯁꯤ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯃꯤꯅꯤꯠ ꯱꯵ ꯆꯪꯏ , ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯃꯁꯤ ꯑꯆꯧꯕꯥ ꯃꯇꯝ ꯌꯥꯝꯅꯥ ꯆꯪꯕꯥ ꯊꯕꯛ ꯑꯃꯅꯤ꯫

ꯇꯦꯁ꯭ꯠ ꯔꯤꯄꯣꯔꯇꯀꯤ ꯔꯤꯖꯜꯇꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯈꯉꯒꯅꯤ?

ꯇꯦꯁ꯭ꯠ ꯇꯧꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯀꯝꯞꯌꯨꯇꯔꯅꯥ ꯁꯦꯝꯕꯥ ꯏꯁꯣꯐꯦꯖꯤꯑꯦꯜ ꯄ꯭ꯔꯦꯁꯔ ꯇꯣꯄꯣꯒ꯭ꯔꯥꯐꯤ ꯃꯦꯞ ꯑꯗꯨ ꯌꯦꯡꯒꯅꯤ ꯑꯃꯁꯨꯡ ꯔꯤꯖꯜꯇꯁꯤꯡ ꯑꯗꯨ ꯁꯟꯗꯣꯛꯅꯥ ꯇꯥꯛꯀꯅꯤ꯫ ꯑꯩꯈꯣꯌ ꯏꯁꯥꯅꯥ ꯏꯁꯥꯕꯨ ꯂꯧꯁꯤꯅꯖꯕꯥ ꯑꯁꯤ ꯈꯔꯥ ꯑꯋꯥꯕꯥ ꯑꯃꯅꯤ꯫

ꯔꯤꯖꯜꯇꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯃꯔꯨ ꯑꯣꯏꯅꯥ ꯃꯈꯥꯒꯤ ꯑꯁꯤ ꯎꯠꯂꯤ:

  • ꯄꯦꯔꯤꯁ꯭ꯇꯦꯂꯇꯤꯛ ꯚꯤꯒꯣꯔ (Peristaltic vigor): ꯃꯁꯤꯅꯥ ꯏꯁꯣꯐꯦꯒꯁꯀꯤ ꯃꯈꯥꯗꯥ ꯂꯩꯕꯥ ꯃꯁꯂꯁꯤꯡꯒꯤ ꯀꯟꯠꯔꯦꯛꯇꯁꯤꯡ ꯑꯗꯨ ꯀꯌꯥꯝ ꯃꯄꯥꯉ꯭ꯒꯜ ꯀꯅꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯁꯣꯟꯊꯕꯒꯦ ꯍꯥꯌꯕꯗꯨꯕꯨ ꯈꯪꯅꯩ꯫
  • ꯄꯦꯔꯤꯁ꯭ꯇꯦꯂꯇꯤꯛ ꯏꯟꯇꯤꯒ꯭ꯔꯤꯇꯤ: ꯏꯁꯣꯐꯦꯖꯤꯑꯦꯜ ꯇ꯭ꯔꯦꯛꯇꯀꯤ ꯃꯅꯥꯛꯇꯥ ꯂꯩꯕꯥ ꯃꯁꯂꯁꯤꯡ ꯑꯗꯨ ꯂꯦꯞꯇꯅꯥ ꯀꯟꯠꯔꯦꯛꯇ ꯇꯧꯕꯥ, ꯊꯤꯡꯖꯤꯅꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯃꯔꯛꯇꯥ ꯒꯦꯞ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ꯫
  • ꯂꯣꯌꯔꯕꯥ ꯏꯁꯣꯐꯦꯖꯤꯌꯜ ꯁ꯭ꯐꯤꯡꯛꯇꯔ (LES)ꯒꯤ ꯃꯅꯥꯛꯇꯥ ꯂꯩꯕꯥ ꯃꯁꯜ ꯀꯟꯠꯔꯦꯛꯁꯅꯁꯤꯡꯅꯥ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯂꯥꯀꯄꯥ ꯃꯇꯃꯒꯤ ꯆꯥꯡ (ꯀꯟꯠꯔꯦꯛꯇꯥꯏꯜ ꯗꯤꯁꯤꯂꯦꯔꯦꯁꯟ ꯄꯣꯏꯟꯇꯇꯥ ꯗꯤꯁ꯭ꯇꯦꯜ ꯂꯦꯇꯦꯟꯁꯤ) : ꯃꯁꯤꯅꯥ ꯑꯔꯣꯏꯕꯥ ꯀꯟꯠꯔꯦꯛꯇꯀꯤ ꯃꯃꯥꯡꯗꯥ, ꯆꯤꯟꯖꯥꯛ ꯑꯁꯤ ꯁ꯭ꯇꯣꯃꯥꯀꯇꯥ ꯊꯥꯗ꯭ꯔꯤꯉꯩ ꯃꯃꯥꯡꯗꯥ ꯀꯟꯠꯔꯦꯛꯇꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯍꯟꯊꯔꯀꯄꯒꯤ ꯃꯇꯝ ꯑꯗꯨꯅꯤ꯫ ꯃꯁꯤ ꯈꯔꯥ ꯍꯦꯟꯅꯥ ꯂꯨꯝꯂꯕꯁꯨ ꯗꯣꯛꯇꯔꯒꯤꯗꯃꯛꯇꯥ ꯃꯔꯨꯑꯣꯏ꯫
  • ꯅꯍꯥꯛꯅꯥ ꯂꯦꯡ-ꯑꯣꯠꯄꯥ ꯃꯇꯃꯗꯥ ꯂꯣꯌꯔꯕꯥ ꯏꯁꯣꯐꯦꯖꯤꯑꯦꯜ ꯁ꯭ꯐꯤꯡꯛꯇꯔ ꯑꯗꯨ ꯍꯥꯡꯗꯣꯀꯄꯥ ꯃꯇꯃꯒꯤ ꯆꯥꯡ (`deglutitive LES relaxation`) : ꯃꯁꯤꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯊꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯆꯤꯟꯖꯥꯛ ꯑꯗꯨ ꯈꯣꯡꯗꯥ ꯌꯥꯎꯍꯟꯅꯕꯥ ꯚꯜꯌꯨ ꯑꯁꯤ ꯀꯌꯥꯝ ꯐꯖꯅꯥ ꯍꯥꯡꯗꯣꯀꯄꯒꯦ ꯍꯥꯌꯕꯗꯨꯅꯤ꯫

ꯑꯦꯕꯅꯣꯔꯃꯦꯜ ꯔꯤꯖꯜꯇ ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ?

ꯑꯦꯕꯅꯣꯔꯃꯦꯜ ꯔꯤꯖꯜꯇ ꯍꯥꯌꯕꯁꯤ ꯏꯎꯔꯦꯊ꯭ꯔꯥꯗꯥ ꯂꯩꯕꯥ ꯃꯁꯂꯁꯤꯡꯅꯥ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯊꯕꯛ ꯇꯧꯗꯕꯥ ꯍꯥꯌꯕꯁꯤꯅꯤ꯫ ꯃꯈꯥꯗꯥ ꯈꯨꯗꯝ ꯈꯔꯥ ꯄꯤꯔꯤ:

  • ꯍꯥꯏꯄꯔꯇꯦꯟꯁꯤꯚ ꯅꯠꯠꯔꯒꯥ ꯍꯥꯏꯄꯔꯀꯟꯠꯔꯦꯛꯇꯥꯏꯜ ꯄꯦꯔꯤꯁ꯭ꯇꯦꯂꯁꯤꯁ : ꯏꯁꯣꯐꯦꯒꯁꯇꯥ ꯂꯩꯕꯥ ꯃꯁꯂꯁꯤꯡ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯋꯥꯡꯅꯥ ꯅꯠꯠꯔꯒꯥ ꯌꯥꯝꯅꯥ ꯀꯟꯅꯥ ꯀꯟꯠꯔꯦꯛꯇ ꯇꯧꯏ꯫ ꯃꯁꯤꯅꯥ ꯆꯦꯡ-ꯍꯋꯥꯏ (chest pain) ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫
  • ꯋꯥꯠꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯂꯩꯇꯕꯥ ꯄꯦꯔꯤꯁ꯭ꯇꯦꯂꯁꯤꯁ : ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯁꯂꯁꯤꯡ ꯑꯗꯨ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯀꯟꯠꯔꯦꯛꯇ ꯇꯧꯗ꯭ꯔꯕꯗꯤ, ꯆꯤꯟꯖꯥꯀꯁꯤꯡꯅꯥ ꯃꯈꯥ ꯇꯥꯅꯥ ꯆꯪꯁꯤꯅꯕꯗꯥ ꯑꯋꯥꯕꯥ ꯑꯣꯏ꯫
  • ꯗꯤꯁ꯭ꯇꯦꯜ ꯂꯦꯇꯦꯟꯁꯤ ꯍꯟꯊꯔꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯃꯇꯝ ꯆꯥꯗꯅꯥ ꯊꯀꯄꯥ: ꯃꯁꯜ ꯀꯟꯠꯔꯦꯛꯇ ꯇꯧꯕꯒꯤ ꯆꯥꯡ ꯍꯟꯊꯍꯟꯗꯅꯥ ꯂꯣꯌꯔꯕꯥ ꯏꯁꯣꯐꯦꯖꯤꯌꯜ ꯁ꯭ꯐꯤꯡꯛꯇꯔꯗꯥ ꯆꯠꯄꯥ꯫
  • Abnormal deglutitive LES relaxation: The valve does not open properly to let food pass, or it suddenly tightens. ꯃꯁꯤ ꯑꯦꯆꯥꯂꯁꯤꯌꯥꯒꯨꯝꯕꯥ ꯀꯟꯗꯤꯁꯅꯁꯤꯡꯗꯥ ꯎꯕꯥ ꯐꯪꯏ꯫

ꯃꯁꯤꯒꯤ ꯐꯂꯁꯤꯡ ꯑꯁꯤꯗꯒꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯊꯕꯛ ꯇꯧꯕꯥ ꯉꯝꯕꯥ ꯂꯥꯌꯦꯡ ꯑꯃꯥ ꯊꯤꯕꯥ ꯉꯃꯒꯗ꯭ꯔꯥ?

ꯍꯣꯌ, ꯃꯄꯨꯡ ꯐꯥꯅꯥ꯫ ``ꯏꯁꯣꯐꯦꯖꯤꯑꯦꯜ ꯃꯦꯅꯣꯃꯦꯠꯔꯤ ꯇꯦꯁ꯭ꯠ''ꯒꯤ ꯐꯂꯁꯤꯡꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯊꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯏꯁꯣꯐꯦꯒꯁꯇꯥ ꯀꯔꯤ ꯊꯣꯛꯂꯤꯕꯒꯦ ꯑꯃꯁꯨꯡ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯑꯗꯨ ꯀꯗꯥꯏꯗꯥ ꯂꯩꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯆꯨꯝꯅꯥ ꯈꯪꯍꯅꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯒꯅꯤ꯫ ꯃꯁꯤꯅꯥ ꯃꯈꯣꯌꯗꯥ ꯅꯍꯥꯛꯀꯤꯗꯃꯛꯇꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯆꯨꯅꯕꯥ ꯂꯥꯏꯌꯦꯡ ꯑꯗꯨ ꯔꯤꯀꯃꯦꯟꯗ ꯇꯧꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯒꯅꯤ꯫

ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯍꯥꯟꯅꯅꯥ ꯂꯥꯏꯌꯦꯡ ꯑꯃꯥ ꯔꯤꯀꯃꯦꯟꯗ ꯇꯧꯔꯀꯄꯥ ꯌꯥꯏ, ꯍꯥꯌꯕꯗꯤ ꯑꯦꯟꯇꯤ-ꯔꯤꯐ꯭ꯂꯛꯁ ꯁꯔꯖꯔꯤ ꯅꯠꯠꯔꯒꯥ ꯍꯤꯌꯥꯇꯥꯜ ꯍꯔꯅꯤꯌꯥ ꯔꯤꯄꯦꯌꯥꯔ ꯇꯧꯕꯥ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯣꯏꯔꯕꯗꯤ, ꯇꯦꯁ꯭ꯠ ꯑꯁꯤꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯂꯥꯏꯌꯦꯡ ꯑꯗꯨ ꯅꯍꯥꯛꯀꯤꯗꯃꯛꯇꯥ ꯀꯌꯥ ꯌꯥꯝꯅꯥ ꯁꯥꯐꯕꯥ ꯑꯃꯁꯨꯡ ꯏꯐꯦꯛꯇꯤꯚ ꯑꯣꯏꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯈꯪꯗꯣꯀꯄꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯒꯅꯤ꯫

‘ꯏꯁꯣꯐꯦꯖꯤꯌꯜ ꯃꯦꯅꯣꯃꯦꯠꯔꯤ’ ꯑꯃꯁꯨꯡ ‘ꯕꯦꯔꯤꯌꯝ ꯁ꯭ꯕꯂꯣ’ ꯇꯦꯁ꯭ꯇꯁꯤꯡꯒꯤ ꯃꯔꯛꯇꯥ ꯀꯔꯤ ꯈꯦꯠꯅꯕꯥ ꯂꯩꯕꯒꯦ?

`(ꯕꯦꯔꯤꯌꯝ ꯁꯣꯂꯣ)` ꯍꯥꯌꯕꯁꯤ ꯏꯁꯣꯐꯦꯒꯁ ꯌꯦꯡꯁꯤꯟꯅꯕꯥ ꯁꯤꯖꯤꯟꯅꯕꯥ ꯑꯇꯣꯞꯄꯥ ꯃꯦꯊꯗ ꯑꯃꯅꯤ꯫ ꯃꯁꯤꯕꯨ `(ꯏꯁꯣꯐꯥꯒ꯭ꯔꯥꯝ)` ꯍꯥꯌꯅꯥꯁꯨ ꯀꯧꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯃꯁꯤ `(ꯃꯦꯅꯣꯃꯦꯠꯔꯤ)`ꯒꯨꯝꯕꯥ ꯃꯁꯂꯒꯤ ꯐꯉ꯭ꯀꯁꯟ ꯃꯥꯄꯂꯒꯤ ꯇꯦꯁ꯭ꯠ ꯑꯃꯗꯒꯤ ꯍꯦꯟꯅꯥ `(ꯏꯃꯦꯖꯤꯡ ꯇꯦꯁ꯭ꯠ)`ꯅꯤ꯫

`(ꯕꯦꯔꯤꯌꯝ ꯁꯣꯂꯣ)` ꯑꯃꯗꯥ, ꯅꯍꯥꯀꯄꯨ ꯊꯛꯅꯕꯥ `(ꯕꯦꯔꯤꯌꯝ)` ꯀꯧꯕꯥ ꯑꯈꯟꯅꯕꯥ ꯂꯤꯛꯌꯨꯏꯗ ꯑꯃꯥ ꯄꯤ꯫ ꯂꯤꯛꯌꯨꯏꯗ ꯑꯁꯤ ꯏꯁꯣꯐꯦꯒꯁꯀꯤ ꯃꯅꯨꯡꯗꯥ ꯊꯥꯕꯥ ꯃꯇꯃꯗꯥ, ꯏꯁꯣꯐꯦꯒꯁ ꯑꯁꯤ `(ꯑꯦꯛꯁ-ꯔꯦ)` ꯑꯃꯗꯥ ꯃꯌꯦꯛ ꯁꯦꯡꯅꯥ ꯎꯕꯥ ꯐꯪꯏ꯫ ꯅꯍꯥꯛꯅꯥ ꯂꯤꯛꯌꯨꯏꯗ ꯑꯁꯤ ꯊꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯗꯣꯛꯇꯔꯅꯥ `(ꯑꯦꯛꯁ-ꯔꯦ)` ꯚꯤꯗꯤꯑꯣ ꯑꯃꯗꯥ ꯌꯦꯡꯏ꯫

ꯃꯁꯤꯅꯥ ꯏꯁꯣꯐꯦꯒꯁꯀꯤ ꯃꯅꯨꯡꯗꯥ ꯂꯩꯕꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯅꯠꯠꯔꯒꯥ ꯕ꯭ꯂꯣꯀꯦꯖ ꯑꯃꯍꯦꯛꯇꯕꯨ ꯈꯪꯗꯣꯀꯄꯥ ꯉꯝꯃꯤ꯫ ꯚꯤꯗꯤꯑꯣ ꯑꯗꯨꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯂꯧꯊꯣꯀꯄꯗꯥ ꯑꯋꯥꯕꯥ ꯃꯥꯌꯣꯛꯅꯔꯤꯕꯥ ꯑꯗꯨ ꯎꯠꯂꯕꯁꯨ, ꯃꯁꯤꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯏꯁꯣꯐꯦꯒꯁꯀꯤ ꯃꯁꯂꯁꯤꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯇꯁꯦꯡꯅꯥ ꯀꯔꯤ ꯊꯣꯛꯂꯤꯕꯒꯦ, ꯃꯦꯀꯥꯅꯤꯀꯦꯜ ꯑꯣꯏꯅꯥ ꯀꯔꯤ ꯊꯣꯛꯂꯤꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯇꯁꯦꯡꯅꯥ ꯈꯪꯍꯅꯕꯥ ꯉꯃꯗꯦ꯫ ꯃꯔꯝ ꯑꯁꯤꯅꯥ ``ꯃꯦꯅꯣꯃꯦꯠꯔꯤ`` ꯇꯦꯁ꯭ꯠ ꯑꯁꯤ ꯃꯊꯧ ꯇꯥꯏ꯫

ꯃꯍꯧꯁꯥꯅꯥ ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯑꯍꯥꯅꯕꯗꯥ `(ꯕꯦꯔꯤꯌꯝ ꯁꯣꯂꯣ)` ꯇꯧꯏ ꯑꯃꯁꯨꯡ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯁꯤꯅꯥ ꯁꯃꯁ꯭ꯌꯥ ꯑꯃꯥ ꯂꯩꯔꯦ ꯍꯥꯌꯕꯥ ꯇꯥꯛꯂꯕꯗꯤ ꯃꯈꯣꯌꯅꯥ ꯃꯈꯥ ꯇꯥꯅꯥ ꯊꯤꯖꯤꯟꯅꯕꯥ `(ꯃꯦꯅꯣꯃꯦꯠꯔꯤ)` ꯇꯦꯁ꯭ꯠ ꯇꯧꯏ꯫

ꯑꯔꯣꯏꯕꯗꯥ, ꯃꯁꯤ ꯅꯤꯡꯁꯤꯡꯕꯤꯌꯨ (ꯇꯦꯛ-ꯍꯣꯝ ꯃꯦꯁꯦꯖ)

ꯅꯍꯥꯛꯀꯤ ꯏꯁꯣꯐꯦꯒꯁꯀꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯊꯕꯛ ꯑꯅꯤꯗꯤ ꯅꯍꯥꯛꯅꯥ ꯆꯤꯟꯖꯥꯛ ꯑꯃꯁꯨꯡ ꯊꯛꯅꯕꯥ ꯏꯁꯤꯡ ꯂꯧꯊꯣꯀꯄꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯕꯅꯤ, ꯑꯃꯁꯨꯡ ꯆꯤꯟꯖꯥꯛ ꯑꯗꯨ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯂꯥꯀꯄꯥ ꯊꯤꯡꯕꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯅꯤꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯗꯥ ꯈꯔꯥ ꯍꯦꯟꯅꯥ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯂꯩꯔꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯃꯈꯜ ꯀꯌꯥꯒꯤ ꯑꯁꯣꯛ-ꯑꯄꯅꯁꯤꯡ ꯊꯦꯡꯅꯕꯥ ꯌꯥꯏ꯫

ꯑꯗꯨꯅꯥ, `(ꯏꯁꯣꯐꯦꯖꯤꯌꯜ ꯃꯦꯅꯣꯃꯦꯠꯔꯤ ꯇꯦꯁ꯭ꯠ)` ꯑꯁꯤ ꯊꯧꯑꯣꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯑꯁꯤ ꯀꯗꯥꯏꯗꯥ ꯑꯃꯁꯨꯡ ꯀꯔꯝꯅꯥ ꯂꯩꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯗꯣꯛꯇꯔꯗꯥ ꯑꯆꯨꯝꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯎꯠꯂꯤꯕꯥ ꯃꯤꯔꯔ ꯑꯃꯒꯨꯝꯅꯥ ꯑꯣꯏ꯫ ꯃꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯀꯟꯗꯤꯁꯅꯒꯤ ꯑꯆꯨꯝꯕꯥ ꯃꯔꯝ ꯑꯗꯨ ꯈꯉꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯒꯅꯤ ꯑꯃꯁꯨꯡ ꯃꯁꯤꯒꯤꯗꯃꯛꯇꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯆꯨꯅꯕꯥ ꯂꯥꯌꯦꯡ ꯈꯅꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯒꯅꯤ . ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯗꯣꯛꯇꯔ ꯑꯃꯅꯥ ꯇꯦꯁ꯭ꯠ ꯑꯁꯤ ꯇꯧꯅꯕꯥ ꯔꯤꯀꯃꯦꯟꯗ ꯇꯧꯔꯕꯗꯤ ꯃꯁꯤꯕꯨ ꯀꯤꯒꯅꯨ꯫ ꯃꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯏꯁꯥꯒꯤ ꯌꯥꯏꯐꯅꯕꯥ ꯇꯧꯔꯤꯕꯥ ꯊꯕꯛ ꯑꯃꯅꯤ ꯍꯥꯌꯕꯥ ꯈꯉꯕꯤꯌꯨ꯫ ꯑꯗꯣꯝ ꯑꯊꯨꯕꯥ ꯃꯇꯃꯗꯥ ꯐꯒꯠꯂꯀꯄꯒꯤ ꯌꯥꯏꯐ-ꯄꯥꯎꯖꯦꯜ ꯄꯤꯖꯔꯤ!


` ꯏꯁꯣꯐꯦꯒꯁ, ꯂꯧꯅꯒꯅꯕꯥ ꯑꯋꯥꯕꯥ, ꯃꯦꯅꯣꯃꯦꯠꯔꯤ, ꯏꯁꯣꯐꯦꯖꯤꯌꯜ ꯑꯦꯀꯖꯥꯃꯤꯅꯦꯁꯟ, ꯆꯦꯁ꯭ꯠ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯁꯟ, ꯑꯦꯁꯤꯗ ꯔꯤꯐ꯭ꯂꯛꯁ, ꯑꯦꯆꯥꯂꯦꯁꯤꯌꯥ꯫

⚠️ Important: The medical articles and information on Nirogi Lanka are for general awareness only, and are by no means a substitute for professional medical advice, diagnosis, or treatment. For any medical problem you have, consult a qualified physician immediately.

💬 Comments (0)

No comments yet. Be the first to share your thoughts here.

Add Your Comment

Please calculate: 5 + 5 =
ꯑꯗꯣꯃꯁꯨ ꯂꯧꯅꯒꯅꯕꯥ ꯑꯋꯥꯕꯥ ꯃꯥꯌꯣꯛꯅꯔꯤꯕ꯭ꯔꯥ? ‘ꯏꯁꯣꯐꯦꯖꯤꯌꯜ ꯃꯦꯅꯣꯃꯦꯠꯔꯤ ꯇꯦꯁ꯭ꯠ’ꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯁꯤ!

ꯑꯗꯣꯃꯁꯨ ꯂꯧꯅꯒꯅꯕꯥ ꯑꯋꯥꯕꯥ ꯃꯥꯌꯣꯛꯅꯔꯤꯕ꯭ꯔꯥ? ‘ꯏꯁꯣꯐꯦꯖꯤꯌꯜ ꯃꯦꯅꯣꯃꯦꯠꯔꯤ ꯇꯦꯁ꯭ꯠ’ꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯁꯤ!

ꯅꯍꯥꯛꯅꯥ ꯆꯥꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯊꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯊꯝꯃꯣꯌ ꯁꯣꯀꯄꯥ ꯐꯥꯎꯕ꯭ꯔꯥ? ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯀꯣꯛꯇꯥ ꯆꯥꯅꯕꯥ ꯆꯤꯟꯖꯥꯛ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯂꯥꯀꯄꯥ ꯐꯥꯎꯕ꯭ꯔꯥ? ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯗꯣꯃꯗꯥ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯃꯈꯂꯒꯤ ꯑꯋꯥꯕꯥ ꯑꯁꯤ ꯂꯩꯔꯕꯗꯤ ꯉꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯃꯔꯝ ꯑꯁꯤ ꯈꯉꯗꯣꯀꯄꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯕꯥ ꯌꯥꯕꯥ ꯑꯈꯟꯅꯕꯥ ꯇꯦꯁ꯭ꯠ ꯑꯃꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯔꯤ꯫ ꯃꯁꯤꯕꯨ ``ꯏꯁꯣꯐꯦꯖꯤꯌꯜ ꯃꯦꯅꯣꯃꯦꯠꯔꯤ ꯇꯦꯁ꯭ꯠ'' ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫

ꯃꯁꯤ ‘ꯏꯁꯣꯐꯦꯖꯤꯌꯜ ꯃꯦꯅꯣꯃꯦꯠꯔꯤ ꯇꯦꯁ꯭ꯠ’ ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ?

ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯃꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯏꯁꯣꯐꯦꯒꯁ (ꯐꯨꯗ ꯄꯥꯏꯞ)ꯗꯥ ꯂꯩꯕꯥ ꯃꯁꯂꯁꯤꯡꯅꯥ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯊꯕꯛ ꯇꯧꯔꯤꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯅꯕꯒꯤ ꯇꯦꯁ꯭ꯠ ꯑꯃꯅꯤ꯫ ꯑꯗꯣꯝꯅꯥ ꯈꯉꯕꯤꯔꯤꯕꯥ ꯑꯗꯨꯅꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯆꯤꯟꯖꯥꯛ ꯊꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯃꯤꯠꯇꯒꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯈꯣꯡꯗꯥ ꯏꯁꯣꯐꯦꯒꯁ ꯑꯁꯤꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯆꯠꯂꯤ꯫ ꯃꯁꯤ ꯇꯨꯕ ꯑꯃꯒꯨꯝꯕꯅꯤ꯫ ꯇꯤꯎꯕ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯂꯩꯕꯥ ꯃꯁꯂꯁꯤꯡꯅꯥ ꯆꯤꯟꯖꯥꯛ ꯑꯗꯨ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯁꯣꯀꯍꯜꯂꯤ꯫ ꯃꯁꯤꯗꯁꯨ ꯅꯠꯇꯅꯥ, ꯃꯁꯂꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯆꯤꯟꯖꯥꯛ ꯑꯗꯨ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯈꯣꯡꯗꯥ ꯂꯥꯀꯄꯥ ꯊꯤꯡꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫

ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯏꯁꯣꯐꯦꯒꯁ ꯑꯁꯤꯒꯤ ꯃꯁꯂꯁꯤꯡꯒꯤ ꯐꯉ꯭ꯀꯁꯅꯗꯥ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯈꯔꯥ ꯂꯩꯕꯥ ꯌꯥꯏ, ꯅꯠꯠꯔꯒꯥ ``ꯃꯣꯇꯤꯂꯤꯇꯤ``ꯒꯤ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯂꯩꯕꯥ ꯌꯥꯏ꯫ ꯃꯗꯨꯗꯥ ꯂꯧꯅꯒꯅꯕꯥ ꯑꯋꯥꯕꯥ, ꯊꯝꯃꯣꯌ ꯁꯣꯀꯄꯥ, ꯑꯃꯁꯨꯡ ꯀꯣꯛꯇꯥ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯂꯥꯀꯄꯥ ꯆꯤꯟꯖꯥꯀꯁꯤꯡ (ꯔꯤꯐ꯭ꯂꯛꯁ) ꯑꯁꯤꯅꯆꯤꯡꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ ꯊꯣꯀꯏ꯫ ꯑꯗꯨꯅꯥ, ``ꯏꯁꯣꯐꯦꯖꯤꯑꯦꯜ ꯃꯦꯅꯣꯃꯦꯠꯔꯤ ꯇꯦꯁ꯭ꯠ`` ꯑꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯏꯁꯣꯐꯦꯒꯁꯀꯤ ꯃꯁꯂꯁꯤꯡ ꯑꯗꯨ ꯀꯌꯥꯝ ꯐꯖꯅꯥ ꯑꯃꯁꯨꯡ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯀꯟꯠꯔꯦꯛꯇ ꯇꯧꯕꯒꯦ, ꯔꯤꯂꯥꯛꯁ ꯇꯧꯕꯒꯦ ꯑꯃꯁꯨꯡ ꯆꯤꯟꯖꯥꯛ ꯑꯗꯨ ꯀꯌꯥꯝ ꯊꯨꯅꯥ ꯌꯥꯡꯅꯥ ꯆꯦꯜꯂꯤꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯂꯦꯄꯊꯣꯀꯏ꯫

ꯑꯩꯈꯣꯌꯅꯥ ꯀꯔꯤꯒꯤꯗꯃꯛ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯃꯈꯂꯒꯤ ꯇꯦꯁ꯭ꯠ ꯇꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯔꯤꯕꯅꯣ? ꯑꯗꯣꯃꯗꯁꯨ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯂꯩꯕ꯭ꯔꯥ?

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯦꯡ-ꯑꯣꯠꯄꯗꯥ ꯂꯦꯞꯇꯅꯥ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯂꯩꯔꯕꯗꯤ ꯅꯠꯠꯔꯒꯥ ꯆꯥꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯊꯛꯅꯕꯥ ꯏꯁꯤꯡ ꯇꯨꯡꯁꯤꯅꯕꯗꯥ ꯑꯋꯥꯕꯥ ꯃꯥꯌꯣꯛꯅꯔꯕꯗꯤ ꯗꯣꯛꯇꯔ ꯑꯃꯅꯥ ꯃꯍꯧꯁꯥꯅꯥ ꯇꯦꯁ꯭ꯠ ꯑꯁꯤ ꯔꯦꯀꯃꯦꯟꯗ ꯇꯧꯏ꯫ ꯅꯍꯥꯛꯀꯤ ꯏꯁꯣꯐꯦꯒꯁꯀꯤ ꯑꯇꯩ ꯇꯦꯁ꯭ꯇꯁꯤꯡ, ꯍꯥꯌꯕꯗꯤ ꯑꯦꯟꯗꯣꯁ꯭ꯀꯣꯄꯤ ꯑꯁꯤ ꯍꯥꯟꯅꯅꯥ ꯇꯧꯈ꯭ꯔꯕꯁꯨ ꯌꯥꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯑꯗꯨꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡꯒꯤ ꯃꯌꯦꯛ ꯁꯦꯡꯕꯥ ꯃꯔꯝ ꯑꯃꯥ ꯐꯪꯗ꯭ꯔꯕꯗꯤ, ꯃꯊꯪꯒꯤ ꯈꯣꯡꯊꯥꯡ ꯑꯁꯤ ꯑꯌꯥꯝꯕꯅꯥ ꯏꯁꯣꯐꯦꯖꯤꯑꯦꯜ ꯃꯣꯇꯤꯂꯤꯇꯤ ꯇꯦꯁ꯭ꯠ ꯑꯃꯅꯤ, ꯃꯁꯤꯕꯨ ꯏꯁꯣꯐꯦꯖꯤꯑꯦꯜ ꯃꯦꯅꯣꯃꯦꯠꯔꯤ ꯇꯦꯁ꯭ꯠ ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫

ꯅꯍꯥꯛꯅꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯠꯇꯥ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯎ:

  • ꯆꯥꯅꯕꯥ ꯆꯤꯟꯖꯥꯛ ꯊꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯑꯋꯥꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯋꯥꯕꯥ ꯐꯥꯑꯣꯕ꯭ꯔꯥ?
  • ꯊꯀꯄꯥ (regurgitation) ꯃꯇꯨꯡꯗꯥ ꯆꯤꯟꯖꯥꯛ ꯑꯗꯨ ꯀꯣꯛꯇꯥ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯂꯥꯀꯄꯥ (regurgitation) ꯐꯥꯎꯕ꯭ꯔꯥ?
  • ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛ ꯂꯧꯔꯕꯥ ꯃꯇꯨꯡꯗꯁꯨ ꯂꯥꯀꯁꯤꯅꯕꯥ ꯉꯃꯗꯕꯥ ꯄꯔꯁꯤꯁ꯭ꯇꯦꯟꯇ ꯍꯥꯔꯇꯕꯔꯟ (ꯑꯦꯁꯤꯗ ꯔꯤꯐ꯭ꯂꯛꯁ) ꯂꯩꯕ꯭ꯔꯥ?
  • ꯍꯥꯔꯇꯀꯤ ꯂꯥꯌꯅꯥꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯅꯟ-ꯀꯥꯔꯗꯤꯌꯦꯛ ꯆꯦꯁ꯭ꯠ ꯄꯦꯏꯟ ꯂꯩꯕ꯭ꯔꯥ?

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯃꯗꯒꯤ ꯍꯦꯅꯕꯥ ꯂꯩꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯗꯨꯅꯥ ꯇꯦꯁ꯭ꯠ ꯑꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯍꯪꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯐꯩ꯫

ꯇꯦꯁ꯭ꯠ ꯑꯁꯤꯗꯥ ꯀꯔꯤ ꯐꯪꯒꯅꯤ?

``ꯃꯦꯅꯣꯃꯦꯠꯔꯤ`` ꯍꯥꯌꯕꯁꯤ ꯄ꯭ꯔꯦꯁꯔ ꯃꯥꯄꯜ ꯍꯥꯌꯕꯅꯤ꯫ ꯇꯦꯁ꯭ꯠ ꯑꯁꯤꯗꯥ ꯁꯤꯖꯤꯟꯅꯔꯤꯕꯥ ꯏꯅꯁ꯭ꯠꯔꯨꯃꯦꯟꯇ ꯑꯁꯤꯕꯨ ``ꯃꯦꯅꯣꯃꯤꯇꯔ`` ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ ꯃꯁꯤꯅꯥ ꯏꯁꯣꯐꯦꯒꯁꯀꯤ ꯃꯁꯂꯁꯤꯡꯅꯥ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯥ ꯃꯇꯃꯗꯥ ꯊꯣꯀꯄꯥ ꯄ꯭ꯔꯦꯁꯔ ꯑꯗꯨ ꯂꯦꯄꯊꯣꯀꯏ꯫ ``ꯏꯁꯣꯐꯦꯖꯤꯑꯦꯜ ꯃꯦꯅꯣꯃꯦꯠꯔꯤ ꯇꯦꯁ꯭ꯠ`` ꯑꯁꯤꯅꯥ ꯃꯔꯨꯑꯣꯏꯅꯥ ꯏꯁꯣꯐꯦꯒꯁꯇꯥ ꯂꯩꯕꯥ ꯃꯁꯂꯒꯤ ꯑꯦꯛꯇꯤꯚꯤꯇꯤ ꯃꯈꯜ ꯑꯅꯤ ꯌꯦꯡꯏ꯫

1. ꯗꯥꯏꯖꯦꯁ꯭ꯇꯤꯚ ꯇ꯭ꯔꯦꯛꯇ (ꯄꯦꯔꯤꯁ꯭ꯇꯦꯂꯁꯤꯁ)ꯒꯤ ꯃꯈꯥꯗꯥ ꯆꯥꯅꯕꯥ ꯆꯤꯟꯖꯥꯛ ꯆꯠꯊꯣꯛ-ꯆꯠꯁꯤꯟ ꯇꯧꯔꯤꯕꯥ ꯃꯁꯂꯁꯤꯡꯒꯤ ꯆꯠꯊꯣꯛ-ꯆꯠꯁꯤꯟꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯐꯣꯡꯗꯣꯛꯀꯅꯤ?

2. ꯏꯁꯣꯐꯦꯒꯁꯀꯤ ꯃꯊꯛ ꯑꯃꯁꯨꯡ ꯃꯈꯥ ꯊꯪꯕꯥ ꯁꯔꯨꯛꯇꯥ ꯂꯩꯕꯥ ꯚꯜꯌꯨꯁꯤꯡ ꯑꯗꯨ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯍꯥꯡꯗꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯊꯤꯡꯖꯤꯅꯕꯥ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯁꯂꯁꯤꯡ ꯑꯁꯤꯗꯥ ꯄ꯭ꯔꯦꯁꯔ ꯑꯗꯨꯗꯥ ꯑꯦꯕꯅꯣꯔꯃꯦꯂꯤꯇꯤ ꯂꯩꯔꯕꯗꯤ, ꯃꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯗꯨꯒꯤ ꯃꯔꯝ ꯑꯗꯨ ꯈꯪꯗꯣꯀꯄꯥ ꯉꯃꯒꯅꯤ ꯑꯃꯁꯨꯡ ꯑꯀꯛꯅꯕꯥ ꯃꯦꯗꯤꯀꯦꯜ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ ꯈꯪꯗꯣꯀꯄꯥ ꯉꯃꯒꯅꯤ꯫ ꯈꯨꯗꯝ ꯑꯣꯏꯅ:

  • `(Achalasia)` : ꯃꯁꯤ ꯂꯣꯌꯔꯕꯥ ꯏꯁꯣꯐꯦꯖꯤꯌꯜ ꯁ꯭ꯐꯤꯡꯛꯇꯔ ꯑꯗꯨ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯍꯥꯡꯗꯣꯀꯄꯥ ꯉꯃꯗꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ, ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯆꯥꯅꯕꯥ ꯆꯤꯟꯖꯥꯛ ꯑꯁꯤ ꯈꯣꯡꯗꯥ ꯌꯧꯍꯅꯕꯗꯥ ꯑꯋꯥꯕꯥ ꯑꯣꯏꯍꯜꯂꯤ꯫
  • `(ꯁ꯭ꯛꯂꯦꯔꯣꯗꯥꯔꯃꯥ)`꯫: ꯃꯁꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯀꯅꯦꯛꯇꯤꯕ ꯇꯤꯁ꯭ꯌꯨꯁꯤꯡꯗꯥ ꯁꯣꯀꯍꯜꯂꯤꯕꯥ ꯂꯥꯌꯅꯥ ꯑꯃꯅꯤ, ꯑꯃꯁꯨꯡ ꯃꯁꯤꯅꯥ ꯏꯁꯣꯐꯦꯒꯁꯀꯤ ꯃꯁꯂꯁꯤꯡꯁꯨ ꯁꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫
  • ꯏꯁꯣꯐꯦꯖꯤꯌꯜ ꯁ꯭ꯄꯥꯝ (esophageal spasms) : ꯃꯁꯤ ꯏꯁꯣꯐꯦꯖꯤꯌꯁ (esophageal spasms) ꯈꯪꯍꯧꯗꯅꯥ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯅꯥ ꯁꯣꯟꯊꯔꯀꯄꯅꯤ ꯑꯃꯁꯨꯡ ꯃꯁꯤꯅꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫
  • `(ꯔꯨꯃꯤꯅꯦꯁꯟ ꯁꯤꯟꯗꯣꯝ)` : ꯃꯁꯤ ꯍꯟꯗꯛꯇꯥ ꯊꯀꯈꯤꯕꯥ, ꯊꯀꯄꯥ ꯌꯥꯗꯕꯥ ꯆꯤꯟꯖꯥꯀꯁꯤꯡ ꯑꯗꯨ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯃꯤꯠꯇꯥ ꯂꯥꯀꯄꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫

ꯃꯁꯤꯒꯤ ‘ꯏꯁꯣꯐꯦꯖꯤꯌꯜ ꯃꯦꯅꯣꯃꯦꯠꯔꯤ’ ꯇꯦꯁ꯭ꯠ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯄꯥꯡꯊꯣꯀꯄꯒꯦ? ꯈꯔꯥ ꯁꯟꯗꯣꯛꯅꯥ ꯇꯥꯀꯄꯤꯔꯁꯤ꯫

ꯃꯁꯤꯒꯤꯗꯃꯛꯇꯥ ꯍꯧꯖꯤꯛ ꯁꯤꯖꯤꯟꯅꯔꯤꯕꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯆꯥꯎꯈꯠꯄꯥ ꯄꯥꯝꯕꯩ ꯑꯁꯤ ``ꯍꯥꯏ-ꯔꯤꯖꯣꯂꯨꯁꯟ ꯃꯦꯅꯣꯃꯦꯠꯔꯤ (HRM)`` ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ ꯃꯁꯤ ꯊꯣꯀꯄꯅꯤ: ꯌꯥꯝꯅꯥ ꯂꯨꯕꯥ, ꯌꯥꯝꯅꯥ ꯂꯨꯕꯥ ꯇꯤꯎꯕ ꯑꯃꯥ ``ꯀꯦꯇꯦꯇꯔ`` ꯑꯃꯥ ꯅꯍꯥꯛꯀꯤ ꯏꯁꯣꯐꯦꯒꯁꯇꯥ ꯄꯥꯁ ꯇꯧꯏ꯫ ꯇꯨꯕ ꯑꯁꯤꯗꯥ ꯑꯄꯤꯀꯄꯥ ꯄ꯭ꯔꯦꯁꯔ ꯁꯦꯟꯁꯔ ꯀꯌꯥ ꯂꯩ, ꯃꯈꯣꯌꯁꯤꯡ ꯑꯁꯤ ꯳꯶ ꯐꯥꯑꯣꯕꯥ ꯌꯥꯝꯅꯥ ꯋꯥꯡꯏ, ꯁꯦꯟꯁꯔꯁꯤꯡ ꯑꯁꯤ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯁꯦꯟꯇꯤꯃꯤꯇꯔ ꯑꯃꯒꯤ ꯃꯔꯛꯇꯥ ꯂꯩ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ, ꯁꯦꯟꯁꯔꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯆꯤꯟꯖꯥꯛ ꯊꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯏꯁꯣꯐꯦꯒꯁꯇꯥ ꯂꯩꯕꯥ ꯃꯁꯂꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯝꯅꯥ ꯀꯟꯠꯔꯦꯛꯇ ꯇꯧꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯂꯦꯄꯊꯣꯀꯏ꯫

ꯁꯦꯟꯁꯔꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯈꯣꯃꯖꯤꯜꯂꯀꯄꯥ ꯗꯦꯇꯥ ꯑꯁꯤ ꯀꯝꯞꯌꯨꯇꯔ ꯑꯃꯗꯥ ꯊꯥꯏ꯫ ꯀꯝꯞꯌꯨꯇꯔꯅꯥ ꯗꯦꯇꯥ ꯑꯗꯨ ꯑꯦꯅꯥꯂꯥꯏꯖ ꯇꯧꯏ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯏꯁꯣꯐꯦꯒꯁꯇꯥ ꯂꯩꯕꯥ ꯄ꯭ꯔꯦꯁꯔ ꯑꯗꯨꯒꯤ ꯃꯦꯞ ꯑꯃꯥ ꯁꯦꯝꯃꯤ, ꯃꯗꯨ ꯏꯁꯣꯐꯦꯖꯤꯑꯦꯜ ꯄ꯭ꯔꯦꯁꯔ ꯇꯣꯄꯣꯒ꯭ꯔꯥꯐꯤ, ꯅꯠꯠꯔꯒꯥ ꯏ.ꯄꯤ.ꯇꯤ. ꯃꯦꯞ ꯑꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯏꯁꯣꯐꯦꯖꯤꯌꯜ ꯃꯁꯂꯁꯤꯡꯅꯥ ꯀꯔꯝꯅꯥ ꯊꯕꯛ ꯇꯧꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯑꯆꯨꯝꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯌꯦꯡꯕꯥ ꯌꯥꯍꯜꯂꯤ꯫

ꯇꯦꯁ꯭ꯠ ꯇꯧꯗ꯭ꯔꯤꯉꯩ ꯃꯃꯥꯡꯗꯥ ꯑꯩꯈꯣꯌꯅꯥ ꯀꯔꯝꯅꯥ ꯁꯦꯝ ꯁꯥꯒꯗꯒꯦ?

ꯇꯦꯁ꯭ꯠ ꯑꯁꯤꯒꯤ ꯃꯃꯥꯡꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯈꯔꯥ ꯁꯦꯝ-ꯁꯥꯕꯥ ꯃꯊꯧ ꯇꯥꯏ꯫

  • ꯇꯦꯁ꯭ꯠ ꯇꯧꯗ꯭ꯔꯤꯉꯩꯒꯤ ꯃꯃꯥꯡꯗꯥ ꯄꯨꯡ ꯶ꯀꯤ ꯃꯅꯨꯡꯗꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯃꯠꯇꯥ ꯆꯥꯗꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯊꯀꯄꯥ ꯌꯥꯗꯕꯅꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯩ꯫ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡ ꯑꯗꯨ ꯏꯪꯅꯥ ꯂꯩꯒꯗꯕꯅꯤ꯫
  • ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯀꯛꯅꯕꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ ꯂꯧꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯇꯦꯁ꯭ꯠ ꯇꯧꯗ꯭ꯔꯤꯉꯩꯒꯤ ꯄꯨꯡ 24ꯒꯤ ꯃꯃꯥꯡꯗꯥ ꯃꯈꯣꯌꯗꯨ ꯊꯀꯄꯥ ꯂꯦꯄꯍꯟꯅꯕꯥ ꯍꯥꯌꯔꯀꯄꯥ ꯌꯥꯏ꯫ ꯈꯨꯗꯝ ꯑꯣꯏꯅ:
  • `(ꯀꯦꯂꯁꯤꯌꯝ ꯆꯦꯅꯦꯜ ꯕ꯭ꯂꯣꯀꯔꯁꯤꯡ)`
  • `(ꯅꯥꯏꯠꯔꯦꯠ)`꯫
  • `(ꯑꯣꯄꯤꯑꯣꯏꯗ)` (ꯑꯅꯥꯕꯥ ꯂꯥꯌꯦꯡꯕꯥ) .
  • `(ꯁꯦꯗꯦꯇꯤꯚꯁꯤꯡ)` (ꯇꯨꯝꯕꯥ ꯌꯥꯗꯅꯕꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ)

ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯧꯔꯤꯕꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛ ꯄꯨꯝꯅꯃꯛꯀꯤ ꯃꯇꯥꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯍꯥꯟꯅꯥ ꯈꯪꯍꯅꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫

ꯃꯁꯤ ꯇꯧꯕꯥ ꯃꯇꯃꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯦꯅꯥꯁ꯭ꯇꯦꯁꯤꯌꯥ ꯁꯤꯖꯤꯟꯅꯕ꯭ꯔꯥ? ꯑꯋꯥꯕꯥ ꯅꯪꯂꯕꯔꯥ ꯍꯥꯌꯕꯥ ꯑꯩ ꯈꯉꯗꯦ, ꯅꯠꯇꯦ?

ꯃꯍꯧꯁꯥꯅꯥ, ꯇꯦꯁ꯭ꯠ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯅꯍꯥꯛ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯑꯦꯅꯥꯁ꯭ꯇꯦꯇꯤꯛ ꯑꯣꯏꯗꯦ꯫ ꯃꯁꯤꯅꯥ ꯇꯥꯀꯄꯗꯤ ꯅꯍꯥꯛ ꯀꯟꯁꯤꯌꯦꯟꯇ ꯑꯣꯏꯔꯦ ꯍꯥꯌꯕꯅꯤ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯌꯥꯝꯅꯥ ꯀꯤꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯋꯥꯈꯜ ꯆꯔꯥꯡꯅꯕꯥ ꯂꯩꯔꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯃꯃꯥꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯕꯥ ꯌꯥꯏ ꯑꯃꯁꯨꯡ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯊꯧ ꯇꯥꯔꯕꯗꯤ, ꯂꯥꯏꯠ ꯑꯦꯅꯥꯁ꯭ꯇꯦꯁꯤꯌꯥ (ꯁꯦꯗꯦꯁꯟ)ꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯈꯟꯅ-ꯅꯩꯅꯕꯥ ꯌꯥꯏ꯫

ꯏꯁꯣꯐꯦꯖꯤꯌꯜ ꯃꯦꯅꯣꯃꯦꯠꯔꯤ ꯇꯦꯁ꯭ꯠ ꯑꯁꯤ ꯑꯋꯥꯕꯥ ꯇꯦꯁ꯭ꯠ ꯑꯃꯅꯤ . ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯇꯤꯎꯕ ꯑꯗꯨ ꯅꯍꯥꯛꯀꯤ ꯏꯁꯣꯐꯦꯒꯁꯇꯥ ꯂꯩꯕꯥ ꯃꯇꯃꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯈꯔꯥ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯁꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯒꯤ ꯑꯋꯥꯕꯥ ꯑꯁꯤ ꯍꯟꯊꯍꯟꯅꯕꯥ, ꯇꯤꯎꯕ ꯑꯗꯨ ꯊꯥꯗꯣꯛꯠꯔꯤꯉꯩ ꯃꯃꯥꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯀꯣꯛꯇꯥ ꯇꯣꯄꯤꯀꯦꯜ ꯑꯦꯅꯥꯁ꯭ꯇꯦꯇꯤꯛ ꯑꯃꯥ ꯊꯥꯏ꯫ ꯇꯦꯁ꯭ꯠ ꯇꯧꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯀꯣꯛꯇꯥ ꯅꯨꯃꯤꯠ ꯑꯃꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯅꯤ ꯐꯥꯎꯕꯥ ꯁꯣꯀꯄꯥ ꯌꯥꯏ, ꯃꯁꯤ ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏ꯫

ꯇꯦꯁ꯭ꯠ ꯑꯁꯤ ꯃꯇꯧ ꯀꯔꯝꯅꯥ ꯇꯁꯦꯡꯅꯥ ꯇꯧꯕꯒꯦ?

ꯑꯣꯀꯦ, ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯇꯦꯁ꯭ꯠ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯇꯧꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯈꯔꯥ ꯍꯦꯟꯅꯥ ꯌꯦꯡꯁꯤ꯫

1. ꯑꯍꯥꯅꯕꯗꯥ, ꯗꯣꯛꯇꯔ ꯅꯠꯠꯔꯒꯥ ꯇ꯭ꯔꯦꯟ ꯇꯧꯔꯕꯥ ꯅꯔꯁ ꯑꯃꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯅꯥꯀꯣꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯂꯩꯕꯥ ꯁꯦꯟꯁꯔꯁꯤꯡꯒꯥ ꯂꯣꯌꯅꯅꯥ ``ꯀꯦꯇꯦꯇꯔ`` ꯍꯥꯌꯅꯥ ꯀꯧꯕꯥ ꯊꯤꯟ ꯇꯨꯕ ꯑꯃꯥ ꯊꯥꯗꯣꯛꯀꯅꯤ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯏꯁꯣꯐꯦꯒꯁ ꯑꯗꯨ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯌꯧꯔꯛꯠꯔꯤꯕꯐꯥꯎꯕꯥ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯊꯃꯒꯅꯤ꯫ ꯃꯁꯤꯕꯨ ``ꯅꯥꯁꯣꯒꯦꯁ꯭ꯠꯔꯤꯛ ꯇꯨꯕ`` ꯍꯥꯌꯅꯥꯁꯨ ꯀꯧꯏ꯫

2. ꯇꯨꯕ ꯑꯗꯨ ꯊꯥꯗꯣꯛꯠꯔꯤꯉꯩ ꯃꯃꯥꯡꯗꯥ, ꯇꯤꯞ ꯑꯗꯨꯗꯥ ꯂꯨꯕ꯭ꯔꯤꯀꯦꯟꯇ ꯑꯃꯥ ꯊꯥꯏ꯫ ꯇꯣꯄꯤꯀꯦꯜ ꯑꯦꯅꯥꯁ꯭ꯇꯦꯇꯤꯛ ꯑꯃꯁꯨ ꯅꯍꯥꯛꯀꯤ ꯅꯥꯀꯣꯡ ꯑꯃꯁꯨꯡ ꯀꯣꯛꯇꯥ ꯊꯥꯏ꯫ ꯃꯁꯤꯅꯥ ꯇꯤꯎꯕꯀꯤ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯑꯗꯨ ꯌꯥꯝꯅꯥ ꯍꯟꯊꯍꯅꯒꯅꯤ꯫

3. ꯇꯤꯎꯕ ꯑꯗꯨ ꯃꯐꯃꯗꯨꯗꯥ ꯂꯩꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ, ꯅꯍꯥꯀꯄꯨ ꯐꯃꯨꯡ ꯑꯃꯗꯥ ꯂꯦꯡꯗꯅꯥ ꯂꯩꯅꯕꯥ ꯍꯥꯌꯒꯅꯤ ꯑꯃꯁꯨꯡ ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯅꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯍꯥꯌꯒꯅꯤ, ꯑꯃꯁꯨꯡ ꯕꯦꯖ ꯂꯥꯏꯟ ꯔꯤꯗꯤꯡ ꯑꯃꯥ ꯂꯧꯒꯅꯤ꯫

4. ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ, ꯅꯍꯥꯀꯄꯨ ꯏꯁꯤꯡ ꯈꯔꯥ ꯊꯛꯅꯕꯥ ꯍꯥꯌꯒꯅꯤ꯫ ꯃꯍꯧꯁꯥꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯆꯥꯎꯔꯥꯛꯅꯥ 7 ꯅꯠꯠꯔꯒꯥ 8 ꯔꯛ ꯊꯀꯄꯥ ꯇꯥꯒꯅꯤ꯫ ꯃꯇꯝ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯅꯍꯥꯀꯄꯨ ꯂꯦꯡꯗꯅꯥ ꯂꯩꯅꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯈꯔꯥ ꯂꯦꯡꯗꯅꯥ ꯂꯩꯅꯕꯥ ꯍꯥꯌꯒꯅꯤ꯫

5. ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯗꯣꯛꯇꯔꯅꯥ ꯄꯥꯝꯂꯕꯗꯤ ꯃꯈꯣꯌꯅꯥ ꯃꯁꯤ ꯑꯇꯣꯞꯄꯥ ꯃꯑꯣꯡ ꯑꯃꯗꯥ ꯇꯦꯁ꯭ꯠ ꯇꯧꯕꯥ ꯌꯥꯏ꯫ ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯃꯈꯣꯌꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯁꯣꯌꯗꯅꯥ ꯂꯪꯊꯣꯛꯅꯕꯥ ꯍꯥꯌꯔꯀꯄꯥ ꯌꯥꯏ, ꯅꯠꯠꯔꯒꯥ ꯃꯈꯣꯌꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯑꯦꯄꯂꯁꯁꯒꯨꯝꯕꯥ ꯈꯔꯥ ꯂꯨꯝꯕꯥ ꯄꯣꯠꯁꯛ ꯑꯃꯥ ꯂꯧꯊꯣꯛꯅꯕꯥ ꯍꯥꯌꯔꯀꯄꯥ ꯌꯥꯏ꯫

ꯃꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯏꯁꯣꯐꯦꯖꯤꯑꯦꯜ ꯃꯁꯂꯁꯤꯡꯒꯤ "ꯃꯄꯥꯉ꯭ꯒꯜ" ꯑꯗꯨ ꯂꯦꯄꯊꯣꯀꯄꯥ ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯑꯃꯒꯨꯝꯅꯥ ꯈꯅꯕꯤꯌꯨ꯫ ꯅꯍꯥꯛꯅꯥ ꯂꯧꯅꯒꯅꯕꯥ ꯃꯇꯝ ꯈꯨꯗꯤꯡꯗꯥ ꯃꯈꯣꯌꯅꯥ ꯃꯁꯂꯁꯤꯡ ꯑꯗꯨꯅꯥ ꯀꯌꯥ ꯌꯥꯝꯅꯥ ꯐꯖꯅꯥ ꯊꯕꯛ ꯇꯧꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯂꯦꯄꯊꯣꯛꯂꯤ꯫

ꯃꯁꯤꯒꯤ ꯔꯤꯁ꯭ꯛ ꯅꯠꯠꯔꯒꯥ ꯁꯥꯏꯗ ꯏꯐꯦꯛꯇ ꯑꯃꯠꯇꯥ ꯂꯩꯕ꯭ꯔꯥ?

ꯃꯁꯤꯒꯤ ꯇꯦꯁ꯭ꯠ ꯑꯁꯤ ꯃꯍꯧꯁꯥꯅꯥ ꯌꯥꯝꯅꯥ ꯁꯥꯐꯕꯥ ꯑꯣꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯃꯤꯑꯣꯏ ꯈꯔꯗꯤ ꯄ꯭ꯔꯣꯁꯤꯗ꯭ꯌꯨꯑꯣꯔ ꯑꯗꯨꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯀꯣꯛ ꯆꯤꯀꯄꯥ, ꯃꯈꯣꯌꯒꯤ ꯀꯣꯛꯇꯥ ꯂꯪꯊꯣꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ (gagging) ꯐꯥꯎꯕꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯃꯇꯝ ꯈꯔꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯂꯥꯛꯀꯅꯤ꯫ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ, ꯃꯤꯑꯣꯏ ꯈꯔꯗꯗꯤ ꯇꯤꯎꯕ ꯑꯗꯨ ꯃꯈꯣꯌꯒꯤ ꯅꯥꯀꯣꯡꯗꯥ ꯆꯦꯟꯊꯔꯀꯄꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯑꯄꯤꯀꯄꯥ ꯅꯥꯀꯣꯡꯒꯤ ꯏ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯂꯨꯕꯥ ꯋꯥꯐꯝ ꯅꯠꯇꯦ꯫

ꯃꯁꯤꯒꯤ ꯇꯦꯁ꯭ꯠ ꯑꯁꯤ ꯃꯇꯝ ꯀꯌꯥ ꯆꯪꯕꯒꯦ?

ꯃꯁꯤꯒꯤ ꯇꯦꯁ꯭ꯠ ꯄꯨꯝꯅꯃꯛ ꯑꯁꯤ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯃꯤꯅꯤꯠ ꯱꯵ ꯆꯪꯏ , ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯃꯁꯤ ꯑꯆꯧꯕꯥ ꯃꯇꯝ ꯌꯥꯝꯅꯥ ꯆꯪꯕꯥ ꯊꯕꯛ ꯑꯃꯅꯤ꯫

ꯇꯦꯁ꯭ꯠ ꯔꯤꯄꯣꯔꯇꯀꯤ ꯔꯤꯖꯜꯇꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯈꯉꯒꯅꯤ?

ꯇꯦꯁ꯭ꯠ ꯇꯧꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯀꯝꯞꯌꯨꯇꯔꯅꯥ ꯁꯦꯝꯕꯥ ꯏꯁꯣꯐꯦꯖꯤꯑꯦꯜ ꯄ꯭ꯔꯦꯁꯔ ꯇꯣꯄꯣꯒ꯭ꯔꯥꯐꯤ ꯃꯦꯞ ꯑꯗꯨ ꯌꯦꯡꯒꯅꯤ ꯑꯃꯁꯨꯡ ꯔꯤꯖꯜꯇꯁꯤꯡ ꯑꯗꯨ ꯁꯟꯗꯣꯛꯅꯥ ꯇꯥꯛꯀꯅꯤ꯫ ꯑꯩꯈꯣꯌ ꯏꯁꯥꯅꯥ ꯏꯁꯥꯕꯨ ꯂꯧꯁꯤꯅꯖꯕꯥ ꯑꯁꯤ ꯈꯔꯥ ꯑꯋꯥꯕꯥ ꯑꯃꯅꯤ꯫

ꯔꯤꯖꯜꯇꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯃꯔꯨ ꯑꯣꯏꯅꯥ ꯃꯈꯥꯒꯤ ꯑꯁꯤ ꯎꯠꯂꯤ:

  • ꯄꯦꯔꯤꯁ꯭ꯇꯦꯂꯇꯤꯛ ꯚꯤꯒꯣꯔ (Peristaltic vigor): ꯃꯁꯤꯅꯥ ꯏꯁꯣꯐꯦꯒꯁꯀꯤ ꯃꯈꯥꯗꯥ ꯂꯩꯕꯥ ꯃꯁꯂꯁꯤꯡꯒꯤ ꯀꯟꯠꯔꯦꯛꯇꯁꯤꯡ ꯑꯗꯨ ꯀꯌꯥꯝ ꯃꯄꯥꯉ꯭ꯒꯜ ꯀꯅꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯁꯣꯟꯊꯕꯒꯦ ꯍꯥꯌꯕꯗꯨꯕꯨ ꯈꯪꯅꯩ꯫
  • ꯄꯦꯔꯤꯁ꯭ꯇꯦꯂꯇꯤꯛ ꯏꯟꯇꯤꯒ꯭ꯔꯤꯇꯤ: ꯏꯁꯣꯐꯦꯖꯤꯑꯦꯜ ꯇ꯭ꯔꯦꯛꯇꯀꯤ ꯃꯅꯥꯛꯇꯥ ꯂꯩꯕꯥ ꯃꯁꯂꯁꯤꯡ ꯑꯗꯨ ꯂꯦꯞꯇꯅꯥ ꯀꯟꯠꯔꯦꯛꯇ ꯇꯧꯕꯥ, ꯊꯤꯡꯖꯤꯅꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯃꯔꯛꯇꯥ ꯒꯦꯞ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ꯫
  • ꯂꯣꯌꯔꯕꯥ ꯏꯁꯣꯐꯦꯖꯤꯌꯜ ꯁ꯭ꯐꯤꯡꯛꯇꯔ (LES)ꯒꯤ ꯃꯅꯥꯛꯇꯥ ꯂꯩꯕꯥ ꯃꯁꯜ ꯀꯟꯠꯔꯦꯛꯁꯅꯁꯤꯡꯅꯥ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯂꯥꯀꯄꯥ ꯃꯇꯃꯒꯤ ꯆꯥꯡ (ꯀꯟꯠꯔꯦꯛꯇꯥꯏꯜ ꯗꯤꯁꯤꯂꯦꯔꯦꯁꯟ ꯄꯣꯏꯟꯇꯇꯥ ꯗꯤꯁ꯭ꯇꯦꯜ ꯂꯦꯇꯦꯟꯁꯤ) : ꯃꯁꯤꯅꯥ ꯑꯔꯣꯏꯕꯥ ꯀꯟꯠꯔꯦꯛꯇꯀꯤ ꯃꯃꯥꯡꯗꯥ, ꯆꯤꯟꯖꯥꯛ ꯑꯁꯤ ꯁ꯭ꯇꯣꯃꯥꯀꯇꯥ ꯊꯥꯗ꯭ꯔꯤꯉꯩ ꯃꯃꯥꯡꯗꯥ ꯀꯟꯠꯔꯦꯛꯇꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯍꯟꯊꯔꯀꯄꯒꯤ ꯃꯇꯝ ꯑꯗꯨꯅꯤ꯫ ꯃꯁꯤ ꯈꯔꯥ ꯍꯦꯟꯅꯥ ꯂꯨꯝꯂꯕꯁꯨ ꯗꯣꯛꯇꯔꯒꯤꯗꯃꯛꯇꯥ ꯃꯔꯨꯑꯣꯏ꯫
  • ꯅꯍꯥꯛꯅꯥ ꯂꯦꯡ-ꯑꯣꯠꯄꯥ ꯃꯇꯃꯗꯥ ꯂꯣꯌꯔꯕꯥ ꯏꯁꯣꯐꯦꯖꯤꯑꯦꯜ ꯁ꯭ꯐꯤꯡꯛꯇꯔ ꯑꯗꯨ ꯍꯥꯡꯗꯣꯀꯄꯥ ꯃꯇꯃꯒꯤ ꯆꯥꯡ (`deglutitive LES relaxation`) : ꯃꯁꯤꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯊꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯆꯤꯟꯖꯥꯛ ꯑꯗꯨ ꯈꯣꯡꯗꯥ ꯌꯥꯎꯍꯟꯅꯕꯥ ꯚꯜꯌꯨ ꯑꯁꯤ ꯀꯌꯥꯝ ꯐꯖꯅꯥ ꯍꯥꯡꯗꯣꯀꯄꯒꯦ ꯍꯥꯌꯕꯗꯨꯅꯤ꯫

ꯑꯦꯕꯅꯣꯔꯃꯦꯜ ꯔꯤꯖꯜꯇ ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ?

ꯑꯦꯕꯅꯣꯔꯃꯦꯜ ꯔꯤꯖꯜꯇ ꯍꯥꯌꯕꯁꯤ ꯏꯎꯔꯦꯊ꯭ꯔꯥꯗꯥ ꯂꯩꯕꯥ ꯃꯁꯂꯁꯤꯡꯅꯥ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯊꯕꯛ ꯇꯧꯗꯕꯥ ꯍꯥꯌꯕꯁꯤꯅꯤ꯫ ꯃꯈꯥꯗꯥ ꯈꯨꯗꯝ ꯈꯔꯥ ꯄꯤꯔꯤ:

  • ꯍꯥꯏꯄꯔꯇꯦꯟꯁꯤꯚ ꯅꯠꯠꯔꯒꯥ ꯍꯥꯏꯄꯔꯀꯟꯠꯔꯦꯛꯇꯥꯏꯜ ꯄꯦꯔꯤꯁ꯭ꯇꯦꯂꯁꯤꯁ : ꯏꯁꯣꯐꯦꯒꯁꯇꯥ ꯂꯩꯕꯥ ꯃꯁꯂꯁꯤꯡ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯋꯥꯡꯅꯥ ꯅꯠꯠꯔꯒꯥ ꯌꯥꯝꯅꯥ ꯀꯟꯅꯥ ꯀꯟꯠꯔꯦꯛꯇ ꯇꯧꯏ꯫ ꯃꯁꯤꯅꯥ ꯆꯦꯡ-ꯍꯋꯥꯏ (chest pain) ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫
  • ꯋꯥꯠꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯂꯩꯇꯕꯥ ꯄꯦꯔꯤꯁ꯭ꯇꯦꯂꯁꯤꯁ : ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯁꯂꯁꯤꯡ ꯑꯗꯨ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯀꯟꯠꯔꯦꯛꯇ ꯇꯧꯗ꯭ꯔꯕꯗꯤ, ꯆꯤꯟꯖꯥꯀꯁꯤꯡꯅꯥ ꯃꯈꯥ ꯇꯥꯅꯥ ꯆꯪꯁꯤꯅꯕꯗꯥ ꯑꯋꯥꯕꯥ ꯑꯣꯏ꯫
  • ꯗꯤꯁ꯭ꯇꯦꯜ ꯂꯦꯇꯦꯟꯁꯤ ꯍꯟꯊꯔꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯃꯇꯝ ꯆꯥꯗꯅꯥ ꯊꯀꯄꯥ: ꯃꯁꯜ ꯀꯟꯠꯔꯦꯛꯇ ꯇꯧꯕꯒꯤ ꯆꯥꯡ ꯍꯟꯊꯍꯟꯗꯅꯥ ꯂꯣꯌꯔꯕꯥ ꯏꯁꯣꯐꯦꯖꯤꯌꯜ ꯁ꯭ꯐꯤꯡꯛꯇꯔꯗꯥ ꯆꯠꯄꯥ꯫
  • Abnormal deglutitive LES relaxation: The valve does not open properly to let food pass, or it suddenly tightens. ꯃꯁꯤ ꯑꯦꯆꯥꯂꯁꯤꯌꯥꯒꯨꯝꯕꯥ ꯀꯟꯗꯤꯁꯅꯁꯤꯡꯗꯥ ꯎꯕꯥ ꯐꯪꯏ꯫

ꯃꯁꯤꯒꯤ ꯐꯂꯁꯤꯡ ꯑꯁꯤꯗꯒꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯊꯕꯛ ꯇꯧꯕꯥ ꯉꯝꯕꯥ ꯂꯥꯌꯦꯡ ꯑꯃꯥ ꯊꯤꯕꯥ ꯉꯃꯒꯗ꯭ꯔꯥ?

ꯍꯣꯌ, ꯃꯄꯨꯡ ꯐꯥꯅꯥ꯫ ``ꯏꯁꯣꯐꯦꯖꯤꯑꯦꯜ ꯃꯦꯅꯣꯃꯦꯠꯔꯤ ꯇꯦꯁ꯭ꯠ''ꯒꯤ ꯐꯂꯁꯤꯡꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯊꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯏꯁꯣꯐꯦꯒꯁꯇꯥ ꯀꯔꯤ ꯊꯣꯛꯂꯤꯕꯒꯦ ꯑꯃꯁꯨꯡ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯑꯗꯨ ꯀꯗꯥꯏꯗꯥ ꯂꯩꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯆꯨꯝꯅꯥ ꯈꯪꯍꯅꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯒꯅꯤ꯫ ꯃꯁꯤꯅꯥ ꯃꯈꯣꯌꯗꯥ ꯅꯍꯥꯛꯀꯤꯗꯃꯛꯇꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯆꯨꯅꯕꯥ ꯂꯥꯏꯌꯦꯡ ꯑꯗꯨ ꯔꯤꯀꯃꯦꯟꯗ ꯇꯧꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯒꯅꯤ꯫

ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯍꯥꯟꯅꯅꯥ ꯂꯥꯏꯌꯦꯡ ꯑꯃꯥ ꯔꯤꯀꯃꯦꯟꯗ ꯇꯧꯔꯀꯄꯥ ꯌꯥꯏ, ꯍꯥꯌꯕꯗꯤ ꯑꯦꯟꯇꯤ-ꯔꯤꯐ꯭ꯂꯛꯁ ꯁꯔꯖꯔꯤ ꯅꯠꯠꯔꯒꯥ ꯍꯤꯌꯥꯇꯥꯜ ꯍꯔꯅꯤꯌꯥ ꯔꯤꯄꯦꯌꯥꯔ ꯇꯧꯕꯥ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯣꯏꯔꯕꯗꯤ, ꯇꯦꯁ꯭ꯠ ꯑꯁꯤꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯂꯥꯏꯌꯦꯡ ꯑꯗꯨ ꯅꯍꯥꯛꯀꯤꯗꯃꯛꯇꯥ ꯀꯌꯥ ꯌꯥꯝꯅꯥ ꯁꯥꯐꯕꯥ ꯑꯃꯁꯨꯡ ꯏꯐꯦꯛꯇꯤꯚ ꯑꯣꯏꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯈꯪꯗꯣꯀꯄꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯒꯅꯤ꯫

‘ꯏꯁꯣꯐꯦꯖꯤꯌꯜ ꯃꯦꯅꯣꯃꯦꯠꯔꯤ’ ꯑꯃꯁꯨꯡ ‘ꯕꯦꯔꯤꯌꯝ ꯁ꯭ꯕꯂꯣ’ ꯇꯦꯁ꯭ꯇꯁꯤꯡꯒꯤ ꯃꯔꯛꯇꯥ ꯀꯔꯤ ꯈꯦꯠꯅꯕꯥ ꯂꯩꯕꯒꯦ?

`(ꯕꯦꯔꯤꯌꯝ ꯁꯣꯂꯣ)` ꯍꯥꯌꯕꯁꯤ ꯏꯁꯣꯐꯦꯒꯁ ꯌꯦꯡꯁꯤꯟꯅꯕꯥ ꯁꯤꯖꯤꯟꯅꯕꯥ ꯑꯇꯣꯞꯄꯥ ꯃꯦꯊꯗ ꯑꯃꯅꯤ꯫ ꯃꯁꯤꯕꯨ `(ꯏꯁꯣꯐꯥꯒ꯭ꯔꯥꯝ)` ꯍꯥꯌꯅꯥꯁꯨ ꯀꯧꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯃꯁꯤ `(ꯃꯦꯅꯣꯃꯦꯠꯔꯤ)`ꯒꯨꯝꯕꯥ ꯃꯁꯂꯒꯤ ꯐꯉ꯭ꯀꯁꯟ ꯃꯥꯄꯂꯒꯤ ꯇꯦꯁ꯭ꯠ ꯑꯃꯗꯒꯤ ꯍꯦꯟꯅꯥ `(ꯏꯃꯦꯖꯤꯡ ꯇꯦꯁ꯭ꯠ)`ꯅꯤ꯫

`(ꯕꯦꯔꯤꯌꯝ ꯁꯣꯂꯣ)` ꯑꯃꯗꯥ, ꯅꯍꯥꯀꯄꯨ ꯊꯛꯅꯕꯥ `(ꯕꯦꯔꯤꯌꯝ)` ꯀꯧꯕꯥ ꯑꯈꯟꯅꯕꯥ ꯂꯤꯛꯌꯨꯏꯗ ꯑꯃꯥ ꯄꯤ꯫ ꯂꯤꯛꯌꯨꯏꯗ ꯑꯁꯤ ꯏꯁꯣꯐꯦꯒꯁꯀꯤ ꯃꯅꯨꯡꯗꯥ ꯊꯥꯕꯥ ꯃꯇꯃꯗꯥ, ꯏꯁꯣꯐꯦꯒꯁ ꯑꯁꯤ `(ꯑꯦꯛꯁ-ꯔꯦ)` ꯑꯃꯗꯥ ꯃꯌꯦꯛ ꯁꯦꯡꯅꯥ ꯎꯕꯥ ꯐꯪꯏ꯫ ꯅꯍꯥꯛꯅꯥ ꯂꯤꯛꯌꯨꯏꯗ ꯑꯁꯤ ꯊꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯗꯣꯛꯇꯔꯅꯥ `(ꯑꯦꯛꯁ-ꯔꯦ)` ꯚꯤꯗꯤꯑꯣ ꯑꯃꯗꯥ ꯌꯦꯡꯏ꯫

ꯃꯁꯤꯅꯥ ꯏꯁꯣꯐꯦꯒꯁꯀꯤ ꯃꯅꯨꯡꯗꯥ ꯂꯩꯕꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯅꯠꯠꯔꯒꯥ ꯕ꯭ꯂꯣꯀꯦꯖ ꯑꯃꯍꯦꯛꯇꯕꯨ ꯈꯪꯗꯣꯀꯄꯥ ꯉꯝꯃꯤ꯫ ꯚꯤꯗꯤꯑꯣ ꯑꯗꯨꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯂꯧꯊꯣꯀꯄꯗꯥ ꯑꯋꯥꯕꯥ ꯃꯥꯌꯣꯛꯅꯔꯤꯕꯥ ꯑꯗꯨ ꯎꯠꯂꯕꯁꯨ, ꯃꯁꯤꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯏꯁꯣꯐꯦꯒꯁꯀꯤ ꯃꯁꯂꯁꯤꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯇꯁꯦꯡꯅꯥ ꯀꯔꯤ ꯊꯣꯛꯂꯤꯕꯒꯦ, ꯃꯦꯀꯥꯅꯤꯀꯦꯜ ꯑꯣꯏꯅꯥ ꯀꯔꯤ ꯊꯣꯛꯂꯤꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯇꯁꯦꯡꯅꯥ ꯈꯪꯍꯅꯕꯥ ꯉꯃꯗꯦ꯫ ꯃꯔꯝ ꯑꯁꯤꯅꯥ ``ꯃꯦꯅꯣꯃꯦꯠꯔꯤ`` ꯇꯦꯁ꯭ꯠ ꯑꯁꯤ ꯃꯊꯧ ꯇꯥꯏ꯫

ꯃꯍꯧꯁꯥꯅꯥ ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯑꯍꯥꯅꯕꯗꯥ `(ꯕꯦꯔꯤꯌꯝ ꯁꯣꯂꯣ)` ꯇꯧꯏ ꯑꯃꯁꯨꯡ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯁꯤꯅꯥ ꯁꯃꯁ꯭ꯌꯥ ꯑꯃꯥ ꯂꯩꯔꯦ ꯍꯥꯌꯕꯥ ꯇꯥꯛꯂꯕꯗꯤ ꯃꯈꯣꯌꯅꯥ ꯃꯈꯥ ꯇꯥꯅꯥ ꯊꯤꯖꯤꯟꯅꯕꯥ `(ꯃꯦꯅꯣꯃꯦꯠꯔꯤ)` ꯇꯦꯁ꯭ꯠ ꯇꯧꯏ꯫

ꯑꯔꯣꯏꯕꯗꯥ, ꯃꯁꯤ ꯅꯤꯡꯁꯤꯡꯕꯤꯌꯨ (ꯇꯦꯛ-ꯍꯣꯝ ꯃꯦꯁꯦꯖ)

ꯅꯍꯥꯛꯀꯤ ꯏꯁꯣꯐꯦꯒꯁꯀꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯊꯕꯛ ꯑꯅꯤꯗꯤ ꯅꯍꯥꯛꯅꯥ ꯆꯤꯟꯖꯥꯛ ꯑꯃꯁꯨꯡ ꯊꯛꯅꯕꯥ ꯏꯁꯤꯡ ꯂꯧꯊꯣꯀꯄꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯕꯅꯤ, ꯑꯃꯁꯨꯡ ꯆꯤꯟꯖꯥꯛ ꯑꯗꯨ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯂꯥꯀꯄꯥ ꯊꯤꯡꯕꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯅꯤꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯗꯥ ꯈꯔꯥ ꯍꯦꯟꯅꯥ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯂꯩꯔꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯃꯈꯜ ꯀꯌꯥꯒꯤ ꯑꯁꯣꯛ-ꯑꯄꯅꯁꯤꯡ ꯊꯦꯡꯅꯕꯥ ꯌꯥꯏ꯫

ꯑꯗꯨꯅꯥ, `(ꯏꯁꯣꯐꯦꯖꯤꯌꯜ ꯃꯦꯅꯣꯃꯦꯠꯔꯤ ꯇꯦꯁ꯭ꯠ)` ꯑꯁꯤ ꯊꯧꯑꯣꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯑꯁꯤ ꯀꯗꯥꯏꯗꯥ ꯑꯃꯁꯨꯡ ꯀꯔꯝꯅꯥ ꯂꯩꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯗꯣꯛꯇꯔꯗꯥ ꯑꯆꯨꯝꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯎꯠꯂꯤꯕꯥ ꯃꯤꯔꯔ ꯑꯃꯒꯨꯝꯅꯥ ꯑꯣꯏ꯫ ꯃꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯀꯟꯗꯤꯁꯅꯒꯤ ꯑꯆꯨꯝꯕꯥ ꯃꯔꯝ ꯑꯗꯨ ꯈꯉꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯒꯅꯤ ꯑꯃꯁꯨꯡ ꯃꯁꯤꯒꯤꯗꯃꯛꯇꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯆꯨꯅꯕꯥ ꯂꯥꯌꯦꯡ ꯈꯅꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯒꯅꯤ . ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯗꯣꯛꯇꯔ ꯑꯃꯅꯥ ꯇꯦꯁ꯭ꯠ ꯑꯁꯤ ꯇꯧꯅꯕꯥ ꯔꯤꯀꯃꯦꯟꯗ ꯇꯧꯔꯕꯗꯤ ꯃꯁꯤꯕꯨ ꯀꯤꯒꯅꯨ꯫ ꯃꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯏꯁꯥꯒꯤ ꯌꯥꯏꯐꯅꯕꯥ ꯇꯧꯔꯤꯕꯥ ꯊꯕꯛ ꯑꯃꯅꯤ ꯍꯥꯌꯕꯥ ꯈꯉꯕꯤꯌꯨ꯫ ꯑꯗꯣꯝ ꯑꯊꯨꯕꯥ ꯃꯇꯃꯗꯥ ꯐꯒꯠꯂꯀꯄꯒꯤ ꯌꯥꯏꯐ-ꯄꯥꯎꯖꯦꯜ ꯄꯤꯖꯔꯤ!


` ꯏꯁꯣꯐꯦꯒꯁ, ꯂꯧꯅꯒꯅꯕꯥ ꯑꯋꯥꯕꯥ, ꯃꯦꯅꯣꯃꯦꯠꯔꯤ, ꯏꯁꯣꯐꯦꯖꯤꯌꯜ ꯑꯦꯀꯖꯥꯃꯤꯅꯦꯁꯟ, ꯆꯦꯁ꯭ꯠ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯁꯟ, ꯑꯦꯁꯤꯗ ꯔꯤꯐ꯭ꯂꯛꯁ, ꯑꯦꯆꯥꯂꯦꯁꯤꯌꯥ꯫

⚠️ Important: The medical articles and information on Nirogi Lanka are for general awareness only, and are by no means a substitute for professional medical advice, diagnosis, or treatment. For any medical problem you have, consult a qualified physician immediately.

💬 Comments (0)

No comments yet. Be the first to share your thoughts here.

Add Your Comment

Please calculate: 5 + 5 =