ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡ ꯑꯗꯨ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯐꯨꯕꯥ ꯑꯃꯁꯨꯡ ꯒ꯭ꯌꯥꯁꯅꯥ ꯊꯜꯂꯕꯥ ꯐꯥꯎꯕꯥ ꯂꯩꯕ꯭ꯔꯥ? ꯅꯍꯥꯛꯀꯤ ꯁ꯭ꯀꯥꯔꯠ ꯅꯠꯠꯔꯒꯥ ꯄꯦꯟꯇ ꯑꯗꯨ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯁꯣꯟꯊꯔꯀꯄꯒꯨꯝ ꯐꯥꯑꯣꯏ꯫ ꯃꯁꯤ ꯇꯁꯦꯡꯕꯗꯤ ꯃꯤꯑꯣꯏ ꯀꯌꯥꯅꯥ ꯊꯦꯡꯅꯔꯤꯕꯥ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫ ꯃꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯑꯣꯏꯅꯥ ꯕ꯭ꯂꯣꯇꯤꯡ, ꯅꯠꯠꯔꯒꯥ ‘ꯑꯦꯕꯗꯣꯃꯤꯅꯦꯜ ꯗꯤꯁꯇꯦꯟꯁꯟ’ ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ ꯃꯁꯤ ꯃꯇꯝ ꯈꯔꯗꯗꯤ ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯔꯕꯁꯨ, ꯃꯁꯤꯅꯥ ꯃꯦꯗꯤꯀꯦꯜ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯒꯤ ꯈꯨꯗꯝ ꯑꯃꯁꯨ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯅꯥ ꯉꯁꯤ ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯈꯔꯥ ꯍꯦꯟꯅꯥ ꯑꯀꯨꯞꯄꯥ ꯃꯔꯣꯂꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯁꯤ꯫
ꯃꯁꯤꯒꯤ ꯕ꯭ꯂꯣꯇꯤꯡ ꯑꯁꯤ ꯇꯁꯦꯡꯅꯥ ꯀꯔꯤꯅꯣ?
ꯕ꯭ꯂꯣꯇꯤꯡ ꯍꯥꯌꯕꯁꯤ ꯃꯄꯨꯡ ꯐꯥꯅꯥ "ꯐꯤꯜ" ꯇꯧꯕꯥ ꯈꯛꯇꯒꯤ ꯅꯠꯇꯦ꯫ ꯃꯁꯤ ꯇꯁꯦꯡꯕꯗꯤ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯃꯥꯄꯜ ꯁꯨꯕꯥ ꯌꯥꯕꯥ ꯁꯣꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯊꯣꯔꯀꯄꯥ (protrusion) ꯑꯃꯅꯤ, ꯃꯗꯨ ꯅꯣꯔꯃꯦꯂꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯆꯥꯎꯏ꯫ ꯅꯍꯥꯛꯅꯥ ꯆꯤꯟꯖꯥꯛ ꯆꯥꯗꯕꯒꯨꯝꯅꯥ ꯒ꯭ꯌꯥꯁ ꯑꯃꯁꯨꯡ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯐꯥꯎꯕꯁꯨ ꯀꯃꯟ ꯑꯣꯏ꯫
ꯑꯗꯨꯕꯨ ꯃꯁꯤꯒꯤ ꯃꯔꯝ ꯑꯁꯤꯗꯤ ꯃꯇꯝ ꯄꯨꯝꯅꯃꯛꯇꯥ ꯗꯥꯏꯖꯦꯁ꯭ꯇꯤꯚ ꯁꯤꯁ꯭ꯇꯦꯃꯗꯥ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯑꯃꯥ ꯑꯣꯏꯗꯦ꯫ ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯃꯁꯤꯗꯥ ꯁꯣꯀꯍꯜꯂꯤꯕꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯔꯝ ꯵ꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯩ꯫ ꯃꯈꯣꯏ ꯑꯁꯤ:
- ꯐ꯭ꯂꯦꯇꯁ (gas): ꯈꯣꯡꯗꯥ ꯌꯥꯝꯅꯥ ꯍꯦꯟꯅꯥ ꯒ꯭ꯌꯥꯁ ꯂꯩꯕꯥ꯫
- ꯐꯤꯇꯁ (pregnancy): ꯑꯉꯥꯡ ꯑꯃꯒꯤ ꯃꯤꯔꯣꯅꯕꯥ꯫
- ꯐꯤꯁ (feces): ꯁ꯭ꯇꯣꯜ ꯑꯣꯕꯁ꯭ꯠꯔꯥꯀꯁꯟ (ꯀꯟꯁꯇꯤꯄꯁꯟ)꯫
- ꯐ꯭ꯂꯨꯏꯗ (fluid): ꯈꯣꯡꯗꯥ ꯐ꯭ꯂꯨꯏꯗ ꯌꯥꯎꯕꯥ (ꯃꯁꯤꯅꯥ ꯃꯔꯝ ꯀꯌꯥ ꯂꯩꯕꯥ ꯌꯥꯏ)꯫
- ꯐꯦꯠ: ꯈꯣꯡꯒꯤ ꯑꯀꯣꯌꯕꯗꯥ ꯂꯩꯕꯥ ꯐꯦꯠꯁꯤꯡ (fat deposits)꯫
ꯃꯁꯤꯒꯤ ꯕ꯭ꯂꯣꯇꯤꯡ ꯑꯁꯤ ꯈꯪꯍꯧꯗꯅꯥ (acute) ꯀꯟꯗꯤꯁꯟ ꯑꯃꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ, ꯅꯠꯠꯔꯒꯥ ꯃꯁꯤ ꯍꯟꯖꯤꯟ ꯍꯟꯖꯤꯟ ꯂꯥꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯂꯥꯀꯄꯥ ꯀ꯭ꯔꯣꯅꯤꯛ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫ ꯑꯌꯥꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯏ ꯊꯣꯀꯄꯥ ꯑꯁꯤ ꯗꯥꯏꯖꯦꯁ꯭ꯇꯤꯚ ꯁꯤꯁ꯭ꯇꯦꯃꯗꯥ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯈꯔꯒꯥ ꯃꯔꯤ ꯂꯩꯅꯩ꯫
ꯈꯣꯡ ꯍꯥꯝꯂꯀꯄꯒꯤ ꯃꯔꯃꯁꯤꯡ ꯀꯔꯤꯅꯣ?
ꯃꯁꯤꯒꯤ ꯃꯔꯃꯁꯤꯡ ꯑꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯀꯦꯇꯦꯒꯣꯔꯤ ꯑꯅꯤꯗꯥ ꯈꯥꯌꯗꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯑꯃꯅꯥ ꯑꯀꯛꯅꯕꯥ ꯍꯀꯆꯥꯡꯒꯤ ꯑꯅꯥꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯕ꯭ꯂꯣꯇꯤꯡꯅꯤ . ꯑꯇꯣꯞꯄꯥ ꯑꯃꯅꯥ ꯍꯀꯆꯥꯡꯒꯤ ꯊꯕꯛ ꯊꯧꯔꯃꯗꯥ ꯈꯨꯗꯣꯡꯆꯥꯗꯕꯥ ꯈꯔꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯕ꯭ꯂꯣꯇꯤꯡꯅꯤ , ꯃꯌꯦꯛ ꯁꯦꯡꯕꯥ ꯑꯅꯥꯕꯥ ꯑꯃꯠꯇꯥ ꯂꯩꯇꯦ꯫
| ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯃꯅꯨꯡ ꯆꯅꯕꯥ ꯀꯦꯇꯦꯒꯣꯔꯤ ꯑꯗꯨ꯫ | ꯃꯁꯛ ꯈꯪꯗꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯈꯨꯗꯃꯁꯤꯡ꯫ |
|---|---|
| ꯍꯀꯆꯥꯡꯒꯤ ꯂꯥꯌꯅꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯀꯛꯅꯕꯥ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ (Organic Causes)ꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ 1. | |
| ꯃꯤꯔꯣꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯊꯥꯒꯤ ꯈꯣꯡꯀꯥꯞ ꯂꯩꯕꯥ꯫ | ꯃꯤꯔꯣꯜꯂꯤꯉꯩ ꯃꯇꯃꯗꯥ ꯏꯎꯇꯦꯔꯥꯁ ꯆꯥꯎꯔꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯊꯥꯒꯤ ꯈꯣꯡꯀꯥꯄꯀꯤ ꯃꯃꯥꯡꯗꯥ ꯍꯀꯆꯥꯡꯗꯥ ꯐ꯭ꯂꯨꯏꯗ ꯔꯤꯇꯦꯟꯁꯟ ꯂꯩꯔꯀꯄꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯕ꯭ꯂꯣꯇꯤꯡ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫ |
| ꯑꯔꯨꯝꯕꯥ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ꯫ | ꯑꯇꯦꯅꯕꯥ ꯃꯇꯃꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯔꯨꯝꯕꯥ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯐꯦꯠ ꯑꯁꯤ ꯈꯣꯡꯗꯥ ꯊꯨꯒꯥꯌꯕꯥ ꯌꯥꯏ ꯑꯃꯁꯨꯡ ꯍꯀꯆꯥꯡ ꯁꯣꯛꯅ-ꯁꯝꯅꯕꯗꯥ ꯑꯀꯥꯌꯕꯥ ꯄꯤꯕꯥ ꯌꯥꯏ꯫ |
| ꯗꯥꯏꯖꯦꯁ꯭ꯇꯤꯚ ꯁꯤꯁ꯭ꯇꯦꯃꯒꯤ ꯂꯥꯌꯅꯥꯁꯤꯡ꯫ | ꯒ꯭ꯌꯥꯁ ꯑꯃꯁꯨꯡ ꯕ꯭ꯂꯣꯇꯤꯡ ꯑꯁꯤ ꯁ꯭ꯃꯣꯜ ꯏꯟꯇꯦꯁ꯭ꯇꯤꯅꯦꯜ ꯕꯦꯛꯇꯦꯔꯤꯌꯥ ꯑꯣꯚꯔꯒ꯭ꯔꯣꯊ (ꯑꯦꯁ.ꯑꯥꯏ.ꯕꯤ.ꯑꯣ.) , ꯒ꯭ꯂꯨꯇꯦꯟ ꯑꯦꯂꯥꯔꯖꯤ (ꯁꯤꯂꯤꯌꯥꯛ ꯗꯤꯖꯤꯖ) , ꯑꯦꯛꯁꯣꯛꯔꯥꯏꯟ ꯄꯦꯅꯛꯔꯤꯑꯦꯇꯤꯛ ꯏꯅꯁꯨꯐꯤꯁꯤꯑꯦꯟꯁꯤ (ꯏ.ꯄꯤ.ꯑꯥꯏ.) , ꯑꯃꯁꯨꯡ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯇꯔꯤ ꯕꯣꯋꯦꯜ ꯗꯤꯖꯤꯖ (ꯑꯥꯏ.ꯕꯤ.ꯗꯤ.) ꯒꯨꯝꯕꯥ ꯀꯟꯗꯤꯁꯅꯁꯤꯡꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ |
| ꯑꯣꯔꯒꯥꯅꯒꯤ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯃꯁꯤꯡ꯫ | ꯂꯤꯚꯔꯒꯤ ꯂꯥꯌꯅꯥꯁꯤꯡꯅꯥ ꯑꯦꯕꯗꯣꯃꯦꯟꯗꯥ ꯐ꯭ꯂꯨꯏꯗ ꯑꯦꯛꯌꯨꯃꯨꯂꯦꯁꯟ (ascites) , ꯁ꯭ꯇꯣꯃꯥꯛ ꯐꯉ꯭ꯀꯁꯟ ꯁꯣꯟꯊꯕꯥ (gastroparesis) , ꯑꯦꯕꯗꯣꯃꯦꯅꯒꯤ ꯃꯅꯨꯡꯒꯤ ꯂꯥꯏꯅꯤꯡꯗꯥ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯁꯟ (peritonitis) , ꯑꯃꯁꯨꯡ ꯇꯤꯎꯃꯔ ꯅꯠꯠꯔꯒꯥ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯁꯅꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯂꯤꯚꯔ, ꯁ꯭ꯞꯂꯤꯟ, ꯑꯃꯁꯨꯡ ꯏꯎꯇꯦꯔꯥꯁꯒꯨꯝꯕꯥ ꯑꯣꯔꯒꯥꯅꯁꯤꯡ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ ꯌꯥꯏ꯫ |
| ꯕ꯭ꯂꯣꯀꯦꯖ ꯑꯃꯁꯨꯡ ꯏ ꯊꯣꯀꯄꯥ꯫ | ꯑꯄꯤꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯆꯧꯕꯥ ꯏꯟꯇꯦꯁ꯭ꯇꯥꯏꯅꯁꯤꯡꯗꯥ ꯑꯀꯥꯌꯕꯥ ꯄꯤꯕꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯒ꯭ꯌꯥꯁ ꯑꯃꯁꯨꯡ ꯁ꯭ꯇꯣꯜ ꯔꯤꯇꯦꯟꯁꯟ ꯇꯧꯕꯥ꯫ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ, ꯏꯟꯠꯔꯥ-ꯑꯦꯕꯗꯣꯃꯤꯅꯦꯜ ꯕ꯭ꯂꯤꯗꯤꯡ꯫ |
| ꯲.ꯐꯪꯐꯝ ꯊꯣꯀꯄꯥ ꯃꯔꯃꯁꯤꯡ꯫ | |
| ꯒ꯭ꯌꯥꯁ ꯐꯤꯜꯂꯤꯡ ꯇꯧꯕꯥ꯫ | ꯍꯀꯆꯥꯡ ꯁꯣꯟꯊꯕꯥ, ꯑꯀꯛꯅꯕꯥ ꯆꯤꯟꯖꯥꯀꯁꯤꯡꯒꯤ ꯏꯅꯇꯣꯂꯦꯔꯦꯟꯁ, ꯑꯃꯁꯨꯡ ꯏꯔꯤꯇꯦꯕꯜ ꯕꯣꯋꯦꯜ ꯁꯤꯟꯗ꯭ꯔꯣꯝ (IBS) ꯒꯨꯝꯕꯥ ꯀꯟꯗꯤꯁꯅꯁꯤꯡꯅꯥ ꯒ꯭ꯌꯥꯁ ꯌꯥꯝꯅꯥ ꯌꯥꯎꯕꯥ ꯑꯃꯁꯨꯡ ꯐꯨꯅꯕꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ |
| ꯀꯟꯁꯇꯤꯄꯁꯟ ꯑꯃꯁꯨꯡ ꯌꯨꯔꯤꯅꯔꯤ ꯔꯤꯇꯦꯟꯁꯟ꯫ | ꯁ꯭ꯇꯣꯂꯁꯤꯡ ꯑꯁꯤ ꯊꯣꯀꯍꯟꯗꯕꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯃꯈꯣꯌ ꯑꯁꯤ ꯏꯟꯇꯦꯁ꯭ꯇꯥꯏꯅꯁꯤꯡꯗꯥ ꯊꯨꯃꯖꯤꯜꯂꯤ ꯑꯃꯁꯨꯡ ꯐꯨꯅꯕꯥ ꯊꯣꯀꯍꯜꯂꯤ꯫ ꯃꯁꯤꯗꯁꯨ ꯅꯠꯇꯅꯥ, ꯌꯨꯔꯤꯟ ꯄꯥꯁ ꯇꯧꯗꯅꯥ ꯌꯨꯔꯤꯅꯗꯥ ꯊꯝꯕꯥ ꯍꯥꯌꯕꯁꯤꯁꯨ ꯃꯔꯝ ꯑꯃꯅꯤ꯫ |
| ꯃꯁꯜ ꯁꯣꯟꯊꯕꯥ꯫ | ꯑꯦꯕꯗꯣꯃꯤꯅꯦꯜ ꯃꯁꯂꯁꯤꯡ ꯑꯗꯨ ꯁꯣꯟꯊꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯑꯦꯕꯗꯣꯃꯤꯅꯦꯜ ꯑꯣꯔꯒꯥꯅꯁꯤꯡ ꯑꯗꯨ ꯃꯃꯥꯡꯂꯣꯃꯗꯥ ꯑꯃꯁꯨꯡ ꯃꯈꯥ ꯊꯪꯕꯥ ꯁꯔꯨꯛꯇꯥ (enteroptosis) ꯆꯦꯟꯊꯔꯀꯄꯥ ꯌꯥꯏ, ꯃꯗꯨꯅꯥ ꯁ꯭ꯇꯣꯃꯥꯛ ꯑꯗꯨ ꯂꯥꯀꯁꯤꯅꯕꯥ ꯉꯃꯍꯜꯂꯤ꯫ |
ꯗꯣꯛꯇꯔꯅꯥ ꯃꯁꯤ ꯀꯔꯝꯅꯥ ꯆꯦꯛ ꯇꯧꯒꯅꯤ?
ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯑꯁꯤꯒꯤꯗꯃꯛꯇꯥ ꯅꯍꯥꯛꯅꯥ ꯗꯣꯛꯇꯔ ꯑꯃꯗꯥ ꯆꯠꯄꯥ ꯃꯇꯃꯗꯥ, ꯃꯍꯥꯛꯅꯥ ꯑꯍꯥꯅꯕꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯍꯪꯒꯅꯤ ꯑꯃꯁꯨꯡ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡ ꯑꯗꯨ ꯌꯦꯡꯁꯤꯅꯒꯅꯤ꯫
- ꯑꯦꯀꯖꯥꯃꯤꯅꯦꯁꯟ: ꯁ꯭ꯇꯣꯃꯥꯛ ꯑꯗꯨ ꯃꯐꯝ ꯑꯃꯗꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯦꯕꯗꯣꯃꯦꯟ ꯄꯨꯝꯅꯃꯛꯇꯥ ꯐꯨꯃꯖꯤꯅꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯆꯦꯛ ꯇꯧ꯫
- ꯄꯥꯂꯄꯁꯟ (palpation): ꯈꯣꯡ ꯑꯗꯨ ꯈꯨꯠꯅꯥ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯁꯣꯟꯊꯕꯥ꯫ ꯃꯁꯤꯅꯥ ꯑꯣꯔꯒꯥꯟ ꯑꯃꯍꯦꯛꯇꯕꯨ ꯆꯥꯎꯊꯣꯛꯂꯕ꯭ꯔꯥ, ꯂꯝꯂꯛꯀꯤ ꯁꯥ-ꯎꯆꯦꯛ ꯑꯃꯥ ꯂꯩꯕ꯭ꯔꯥ ꯅꯠꯠꯔꯒꯥ ꯁꯣꯟꯊꯕꯥ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯈꯪꯗꯣꯀꯄꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫
- ꯇꯦꯞ ꯇꯧꯕꯥ: ꯗꯣꯛꯇꯔꯅꯥ ꯈꯣꯡꯄꯥꯛ ꯑꯗꯨ ꯈꯣꯟꯖꯦꯜ ꯑꯃꯅꯥ ꯇꯥꯕꯥ ꯈꯣꯟꯖꯦꯜ ꯑꯗꯨ ꯇꯥꯅꯕꯥ ꯈꯣꯡꯗꯥ ꯇꯦꯞ ꯇꯧꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯁꯤ ꯒ꯭ꯌꯥꯁꯅꯥ ꯊꯜꯂꯕꯥ ꯑꯣꯏꯔꯕꯗꯤ ꯇꯣꯉꯥꯅꯕꯥ ꯈꯣꯟꯖꯦꯜ ꯑꯃꯥ ꯇꯥꯕꯥ ꯐꯪꯒꯅꯤ, ꯑꯃꯁꯨꯡ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯗꯨ ꯂꯤꯛꯌꯨꯏꯗꯅꯥ ꯊꯜꯂꯕꯥ ꯑꯣꯏꯔꯕꯗꯤ ꯑꯇꯣꯞꯄꯥ ꯈꯣꯟꯖꯦꯜ ꯑꯃꯥ ꯇꯥꯕꯥ ꯐꯪꯒꯅꯤ꯫
ꯃꯁꯤꯒꯤ ꯑꯦꯀꯖꯥꯃꯤꯅꯦꯁꯟ ꯑꯁꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯗꯣꯛꯇꯔꯅꯥ ꯃꯁꯤꯒꯤ ꯃꯔꯝ ꯑꯁꯤ ꯀꯔꯤꯅꯣ ꯍꯥꯌꯕꯒꯤ ꯋꯥꯈꯜꯂꯣꯟ ꯈꯔꯥ ꯂꯧꯕꯥ ꯌꯥꯏ꯫ ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯂꯤꯚꯔ ꯅꯠꯠꯔꯒꯥ ꯏꯎꯇꯦꯔꯥꯁꯒꯨꯝꯕꯥ ꯁꯣꯂꯤꯗ ꯑꯣꯔꯒꯥꯟ ꯑꯃꯥ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯁꯟ ꯅꯠꯠꯔꯒꯥ ꯇꯤꯎꯃꯔ ꯑꯃꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯆꯥꯎꯈꯠꯂꯀꯄꯔꯥ ꯅꯠꯠꯔꯒꯥ ꯁ꯭ꯇꯣꯃꯥꯛ ꯅꯠꯠꯔꯒꯥ ꯏꯟꯇꯦꯁ꯭ꯇꯥꯏꯅꯒꯨꯝꯕꯥ ꯍꯣꯂꯣ ꯑꯣꯔꯒꯥꯟ ꯑꯃꯗꯥ ꯒ꯭ꯌꯥꯁ ꯅꯠꯠꯔꯒꯥ ꯐꯤꯅꯥ ꯊꯨꯃꯖꯤꯜꯂꯕꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯃꯍꯥꯛꯅꯥ ꯈꯉꯕꯥ ꯉꯝꯃꯤ꯫
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯀꯛꯅꯕꯥ ꯃꯔꯝ ꯑꯗꯨ ꯈꯪꯗꯣꯀꯄꯥ ꯃꯊꯧ ꯇꯥꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯑꯂꯠꯔꯥꯁꯥꯎꯟꯗ ꯁ꯭ꯀꯦꯅꯒꯨꯝꯕꯥ ꯏꯃꯦꯖꯤꯡ ꯇꯦꯁ꯭ꯠ ꯑꯃꯥ ꯇꯧꯅꯕꯥ ꯍꯥꯌꯒꯅꯤ꯫
ꯃꯁꯤꯒꯤ ꯂꯥꯏꯌꯦꯡꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯤꯅꯣ?
ꯂꯥꯏꯌꯦꯡ ꯑꯁꯤ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯃꯔꯝ ꯑꯗꯨꯒꯤ ꯃꯈꯥ ꯄꯣꯜꯂꯤ꯫
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯀꯛꯅꯕꯥ ꯂꯥꯌꯅꯥ ꯑꯃꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯑꯣꯏꯔꯕꯗꯤ: ꯂꯥꯏꯌꯦꯡ ꯑꯁꯤ ꯃꯔꯝ ꯑꯗꯨꯗꯥ ꯌꯨꯝꯐꯝ ꯑꯣꯏ꯫ ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯏꯅꯐꯦꯛꯁꯟ ꯑꯃꯒꯤ ꯑꯦꯟꯇꯤꯕꯥꯏꯑꯣꯇꯤꯛ, ꯇꯤꯎꯃꯔ ꯑꯃꯒꯤ ꯂꯥꯏꯌꯦꯡ, ꯏꯟꯇꯦꯁ꯭ꯇꯥꯏꯅꯗꯥ ꯕ꯭ꯂꯣꯀꯦꯖ ꯑꯃꯥ ꯂꯥꯏꯌꯦꯡꯕꯥ ꯑꯁꯤꯅꯆꯤꯡꯕꯥ꯫
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯁꯤ ꯐ꯭ꯂꯨꯏꯗ ꯔꯤꯇꯦꯟꯁꯟ (ascites)ꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯑꯣꯏꯔꯕꯗꯤ: ꯍꯀꯆꯥꯡꯗꯒꯤ ꯑꯍꯦꯅꯕꯥ ꯐ꯭ꯂꯨꯏꯗ ꯂꯧꯊꯣꯛꯅꯕꯥ ꯗꯥꯏꯌꯨꯔꯦꯇꯤꯀꯁꯤꯡ ꯄꯤ꯫
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯀꯟꯁꯇꯤꯄꯁꯟ ꯑꯁꯤꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯔꯕꯗꯤ: ꯂꯦꯛꯁꯦꯇꯤꯚꯁꯤꯡ ꯑꯁꯤ ꯕꯣꯋꯦꯜ ꯃꯨꯚꯃꯦꯟꯇꯁꯤꯡ ꯍꯦꯟꯅꯥ ꯂꯥꯌꯊꯣꯀꯍꯟꯅꯕꯥ ꯄꯤ꯫
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯁꯤ ꯒ꯭ꯌꯥꯁꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯑꯣꯏꯔꯕꯗꯤ: ꯒ꯭ꯌꯥꯁ ꯍꯟꯊꯍꯅꯕꯥ ꯉꯝꯕꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛ ꯈꯔꯗꯤ (ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯑꯦꯛꯇꯤꯚ ꯑꯣꯏꯕꯥ ꯊꯥꯎ) ꯄꯤ꯫
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯔꯝ ꯑꯃꯠꯇꯥ ꯐꯪꯗ꯭ꯔꯕꯗꯤ: ꯃꯇꯝ ꯑꯗꯨꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯥꯏꯠ ꯍꯣꯡꯗꯣꯀꯄꯥ, ꯄ꯭ꯔꯣꯕꯥꯏꯇꯤꯀꯁꯤꯡꯒꯨꯝꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ ꯍꯣꯠꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯇꯧꯅꯕꯥ ꯄꯥꯎꯇꯥꯛ ꯄꯤꯔꯀꯄꯥ ꯌꯥꯏ꯫
ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯌꯨꯃꯗꯥ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯥ ꯉꯃꯒꯗ꯭ꯔꯥ?
ꯍꯣꯌ, ꯑꯌꯥꯝꯕꯥ ꯀꯦꯁꯁꯤꯡꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯁꯤ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯥ ꯌꯥꯏ꯫ ꯃꯔꯨꯑꯣꯏꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯕ꯭ꯂꯣꯇꯤꯡ ꯑꯗꯨ ꯆꯥꯕꯥ ꯂꯣꯌꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯍꯦꯟꯅꯥ ꯊꯣꯛꯂꯕꯗꯤ, ꯄꯣꯠꯁꯀꯁꯤꯡ ꯑꯁꯤ ꯍꯣꯠꯅꯧ꯫
- ꯅꯍꯥꯛꯀꯤꯗꯃꯛꯇꯥ ꯑꯐꯕꯥ ꯑꯣꯏꯗꯕꯥ ꯆꯤꯟꯖꯥꯀꯁꯤꯡ ꯈꯪꯗꯣꯀꯎ:ꯃꯤꯑꯣꯏ ꯈꯔꯅꯥ ꯁꯉ꯭ꯒꯣꯝ, ꯒꯦꯍꯨꯒꯤ ꯃꯅꯥ-ꯃꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯎꯍꯩ-ꯋꯥꯍꯩ ꯈꯔꯗꯤ ꯄꯥꯃꯗꯦ꯫ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯆꯤꯟꯖꯥꯀꯁꯤꯡ ꯑꯁꯤ ꯈꯪꯗꯣꯀꯎ ꯑꯃꯁꯨꯡ ꯃꯈꯣꯌꯗꯨ ꯅꯍꯥꯛꯀꯤ ꯗꯥꯏꯇꯇꯒꯤ ꯍꯟꯊꯍꯜꯂꯨ꯫
- ꯑꯄꯤꯀꯄꯥ, ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯆꯤꯟꯖꯥꯀꯁꯤꯡ ꯆꯥꯕꯤꯌꯨ: ꯑꯆꯧꯕꯥ ꯆꯥꯅꯕꯥ ꯑꯃꯥ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯆꯥꯕꯒꯤ ꯃꯍꯨꯠꯇꯥ, ꯅꯣꯡꯃꯗꯥ ꯀꯌꯥꯃꯔꯨꯝ ꯑꯄꯤꯀꯄꯥ ꯃꯆꯤꯟꯖꯥꯀꯁꯤꯡ ꯆꯥꯒꯗꯕꯅꯤ꯫ ꯅꯍꯥꯛꯀꯤ ꯆꯤꯟꯖꯥꯛ ꯑꯗꯨ ꯐꯖꯅꯥ ꯊꯀꯎ ꯑꯃꯁꯨꯡ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯆꯥꯒꯗꯕꯅꯤ꯫
- ꯏꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯐꯤꯕꯔ ꯌꯥꯝꯅꯥ ꯌꯥꯎꯕꯥ ꯆꯤꯟꯖꯥꯀꯁꯤꯡ: ꯅꯨꯃꯤꯠ ꯈꯨꯗꯤꯡꯒꯤ ꯏꯁꯤꯡ ꯃꯔꯥꯡ ꯀꯥꯌꯅꯥ ꯊꯀꯎ꯫ ꯃꯁꯤꯗꯁꯨ ꯅꯠꯇꯅꯥ, ꯅꯍꯥꯛꯀꯤ ꯗꯥꯏꯇꯇꯥ ꯐꯤꯕꯔ ꯌꯥꯝꯅꯥ ꯌꯥꯎꯕꯥ ꯃꯅꯥ-ꯃꯁꯤꯡ, ꯎꯍꯩ-ꯋꯥꯍꯩꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯃꯅꯥ-ꯃꯁꯤꯡꯁꯤꯡ ꯌꯥꯎꯍꯅꯒꯗꯕꯅꯤ꯫ ꯃꯁꯤꯅꯥ ꯀꯟꯁꯇꯤꯄꯁꯟ ꯊꯤꯡꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫
- ꯑꯦꯛꯁꯔꯁꯥꯏꯖ: ꯅꯨꯃꯤꯠ ꯈꯨꯗꯤꯡꯒꯤ ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯈꯔꯥ ꯇꯧꯕꯅꯥ ꯍꯀꯆꯥꯡ ꯁꯣꯛꯅ-ꯁꯝꯅꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫
ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯑꯩꯈꯣꯌꯅꯥ ꯀꯗꯥꯌꯗꯥ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯂꯩꯒꯗꯒꯦ? ꯀꯗꯥꯏꯗꯥ ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯄꯥꯎꯇꯥꯛ ꯂꯧꯒꯗꯒꯦ꯫
ꯑꯌꯥꯝꯕꯗꯤ ꯕ꯭ꯂꯣꯇꯤꯡ ꯑꯁꯤ ꯃꯇꯝ ꯈꯔꯒꯤ ꯑꯣꯏꯕꯥ ꯗꯥꯏꯖꯦꯁ꯭ꯇꯤꯚ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯑꯃꯥ ꯑꯣꯏꯔꯕꯁꯨ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯑꯅꯥꯕꯥ ꯑꯃꯒꯤ ꯈꯨꯗꯝ ꯑꯃꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ, ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯄꯨꯛꯅꯤꯡ ꯆꯪꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯂꯩꯔꯕꯗꯤ , ꯁꯣꯌꯗꯅꯥ ꯗꯣꯛꯇꯔ ꯑꯃꯒꯥ ꯇꯥꯟꯅꯧ꯫
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯕ꯭ꯂꯣꯇꯤꯡ ꯑꯗꯨ ꯅꯨꯃꯤꯠ ꯈꯨꯗꯤꯡꯒꯤ ꯍꯦꯅꯒꯠꯂꯛꯂꯕꯗꯤ ꯑꯃꯁꯨꯡ ꯍꯟꯊꯔꯛꯠꯔꯕꯗꯤ꯫
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯈꯣꯡ ꯍꯥꯝꯕꯥ ꯌꯥꯗꯕꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯁꯥꯊꯤꯕꯥ, ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯈꯣꯝꯂꯥꯡꯒꯤ ꯑꯅꯥꯕꯥ ꯂꯩꯔꯕꯗꯤ꯫
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯇꯩ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯍꯥꯌꯕꯗꯤ ꯂꯥꯏꯍꯧ, ꯈꯣꯡ ꯍꯥꯝꯕꯥ, ꯑꯃꯁꯨꯡ ꯈꯣꯡꯗꯥ ꯏ ꯂꯩꯔꯕꯗꯤ .
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯁꯤ ꯍꯟꯖꯤꯟ ꯍꯟꯖꯤꯟ ꯊꯣꯀꯄꯥ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯑꯃꯥ ꯑꯣꯏꯔꯕꯗꯤ ꯑꯃꯁꯨꯡ ꯃꯔꯝ ꯑꯗꯨ ꯀꯔꯤꯅꯣ ꯍꯥꯌꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯈꯪꯗ꯭ꯔꯕꯗꯤ꯫
ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯅꯀꯄꯥ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯂꯒꯤ ꯏꯃꯔꯖꯦꯟꯁꯤ ꯗꯤꯄꯥꯔꯇꯃꯦꯟꯇ (ETU)ꯗꯥ ꯆꯠꯄꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ, ꯃꯔꯨꯑꯣꯏꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯁ꯭ꯇꯣꯃꯥꯛ ꯄꯦꯅꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯊꯣꯛꯂꯕꯗꯤ꯫
ꯇꯦꯛ-ꯍꯣꯝ ꯃꯦꯁꯦꯖ ꯇꯧꯕꯥ꯫
- ꯕ꯭ꯂꯣꯇꯤꯡ ꯑꯁꯤ ꯏꯆꯝ ꯆꯝꯕꯥ ꯏꯅꯗꯤꯖꯦꯁꯅꯗꯒꯤ ꯍꯧꯔꯒꯥ ꯃꯤꯔꯣꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯂꯤꯚꯔꯒꯤ ꯂꯥꯌꯅꯥꯒꯨꯝꯕꯥ ꯑꯀꯅꯕꯥ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ ꯐꯥꯎꯕꯒꯤ ꯂꯥꯏꯑꯣꯡ ꯑꯃꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫
- ꯅꯍꯥꯛꯀꯤ ꯑꯁꯣꯛ-ꯑꯄꯅꯒꯤ ꯑꯆꯨꯝꯕꯥ ꯃꯔꯝ ꯑꯗꯨ ꯈꯪꯗꯣꯀꯄꯥ ꯍꯥꯌꯕꯁꯤ ꯂꯥꯏꯌꯦꯡꯕꯗꯥ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ, ꯑꯃꯁꯨꯡ ꯃꯗꯨ ꯇꯧꯅꯕꯒꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯥ ꯄꯥꯝꯕꯩꯗꯤ ꯗꯣꯛꯇꯔ ꯑꯃꯒꯥ ꯇꯥꯟꯅꯕꯅꯤ꯫
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯌꯥꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯆꯥꯕꯥ ꯂꯣꯌꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯏꯪꯊꯕꯥ ꯐꯥꯎꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯗꯥꯏꯠ ꯑꯃꯁꯨꯡ ꯄꯨꯟꯁꯤ ꯃꯍꯤꯡꯗꯥ ꯑꯄꯤꯀꯄꯥ ꯑꯍꯣꯡꯕꯥ ꯈꯔꯥ ꯄꯨꯔꯛꯅꯕꯥ ꯍꯣꯠꯅꯧ꯫
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯁꯥꯊꯤꯕꯥ ꯑꯅꯥꯕꯥ, ꯂꯥꯏꯍꯧ, ꯑꯃꯁꯨꯡ ꯏꯁꯤꯡ ꯊꯨꯃꯖꯤꯅꯕꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯈꯣꯡ ꯍꯥꯝꯕꯥ ꯂꯩꯔꯕꯗꯤ, ꯃꯗꯨ ꯌꯦꯡꯁꯤꯜꯂꯣꯏꯗꯕꯅꯤ꯫ ꯈꯨꯗꯛꯇꯥ ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯄꯥꯎꯇꯥꯛ ꯂꯧꯕꯤꯌꯨ꯫
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