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ꯍꯀꯆꯥꯡꯅꯥ ꯌꯦꯛꯅꯕꯥ ꯑꯃꯥ ꯑꯣꯏꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯑꯃꯁꯨꯡ ꯄꯦꯅꯛꯔꯤꯑꯦꯖꯗꯥ ꯑꯦꯇꯦꯛ ꯇꯧꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ - ꯑꯣꯇꯣꯏꯝꯌꯨꯟ ꯄꯦꯅꯛꯔꯤꯑꯦꯇꯤꯁꯀꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯁꯤ!

ꯍꯀꯆꯥꯡꯅꯥ ꯌꯦꯛꯅꯕꯥ ꯑꯃꯥ ꯑꯣꯏꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯑꯃꯁꯨꯡ ꯄꯦꯅꯛꯔꯤꯑꯦꯖꯗꯥ ꯑꯦꯇꯦꯛ ꯇꯧꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ - ꯑꯣꯇꯣꯏꯝꯌꯨꯟ ꯄꯦꯅꯛꯔꯤꯑꯦꯇꯤꯁꯀꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯁꯤ!

ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯗꯤꯐꯦꯟꯁ ꯁꯤꯁ꯭ꯇꯦꯝ, ꯏꯝꯝꯌꯨꯟ ꯁꯤꯁ꯭ꯇꯦꯝ ꯑꯁꯤ ꯂꯩꯕꯥꯛ ꯑꯃꯕꯨ ꯉꯥꯀꯊꯣꯀꯄꯥ ꯂꯥꯟꯃꯤ ꯑꯃꯒꯨꯝꯕꯅꯤ꯫ ꯂꯥꯟꯃꯤ ꯑꯁꯤꯒꯤ ꯊꯕꯛ ꯑꯁꯤ ꯃꯄꯥꯟꯗꯒꯤ ꯂꯥꯀꯄꯥ ꯖꯔꯝ ꯑꯃꯁꯨꯡ ꯚꯥꯏꯔꯁꯒꯨꯝꯕꯥ ꯌꯦꯛꯅꯕꯁꯤꯡ ꯈꯉꯗꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯑꯦꯇꯦꯛ ꯇꯧꯕꯥ, ꯑꯃꯁꯨꯡ ꯑꯩꯈꯣꯌꯕꯨ ꯂꯥꯌꯅꯥꯁꯤꯡꯗꯒꯤ ꯀꯅꯕꯅꯤ꯫ ꯑꯗꯨꯕꯨ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯂꯥꯟꯃꯤ ꯑꯁꯤꯅꯥ ꯈꯔꯥ ꯂꯥꯟꯅꯥ ꯆꯠꯂꯒꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯏꯁꯥꯒꯤ ꯂꯩꯕꯥꯛꯇꯥ ꯂꯩꯔꯤꯕꯥ ꯑꯐꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯕꯨ ꯌꯦꯛꯅꯕꯥ ꯑꯣꯏꯅꯥ ꯈꯟꯗꯨꯅꯥ ꯑꯦꯇꯦꯛ ꯇꯧꯕꯥ ꯍꯧꯔꯕꯗꯤ ꯀꯔꯝꯕꯥ ꯃꯈꯂꯒꯤ ꯃꯥꯡꯍꯟ ꯇꯥꯀꯍꯅꯕꯥ ꯑꯣꯏꯒꯅꯤ ꯍꯥꯌꯕꯗꯨ ꯈꯟꯗꯨꯅꯥ ꯌꯦꯡꯕꯤꯌꯨ? ꯃꯁꯤ ꯑꯣꯇꯣꯏꯝꯌꯨꯟ ꯄꯦꯅꯛꯔꯤꯑꯦꯇꯤꯁ (AIP) ꯀꯧꯕꯥ ꯂꯥꯌꯅꯥ ꯑꯃꯗꯥ ꯊꯣꯀꯏ꯫ ꯃꯐꯝ ꯑꯁꯤꯗꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯏꯁꯥꯒꯤ ꯗꯤꯐꯦꯟꯁ ꯁꯤꯁ꯭ꯇꯦꯃꯅꯥ ꯑꯔꯥꯅꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯏꯁꯥꯒꯤ ꯄꯦꯅꯛꯔꯤꯑꯦꯖ ꯑꯁꯤ ꯌꯦꯛꯅꯕꯥ ꯑꯃꯅꯤ ꯍꯥꯌꯅꯥ ꯈꯜꯂꯤ ꯑꯃꯁꯨꯡ ꯃꯁꯤꯗꯥ ꯑꯦꯇꯦꯛ ꯇꯧꯕꯥ ꯍꯧꯏ꯫

ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯑꯣꯇꯣꯏꯝꯌꯨꯟ ꯄꯦꯅꯛꯔꯤꯑꯦꯇꯤꯁ (AIP) ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ?

ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯊꯣꯀꯄꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫ ꯑꯩꯈꯣꯌꯅꯥ ꯃꯃꯥꯡꯗꯥ ꯍꯥꯌꯈꯤꯕꯒꯨꯝꯅꯥ, ꯑꯩꯈꯣꯌꯒꯤ ꯏꯝꯝꯌꯨꯟ ꯁꯤꯁ꯭ꯇꯦꯃꯅꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯄꯦꯅꯛꯔꯤꯑꯦꯖꯗꯥ ꯑꯦꯇꯦꯛ ꯇꯧꯏ, ꯃꯗꯨꯅꯥ ꯀ꯭ꯔꯣꯅꯤꯛ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯁꯟ ꯅꯠꯠꯔꯒꯥ ꯄꯦꯅꯛꯔꯤꯑꯦꯇꯤꯁ ꯊꯣꯀꯍꯜꯂꯤ꯫ ꯃꯇꯃꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯑꯁꯤ ꯊꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯈꯛꯇꯗꯥ ꯑꯆꯧꯕꯥ ꯁꯃꯁ꯭ꯌꯥꯁꯤꯡ ꯂꯥꯀꯄꯥ ꯍꯧꯏ꯫ ꯑꯌꯥꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯃꯁꯛ ꯊꯣꯀꯄꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯛꯂꯛꯠꯔꯤꯐꯥꯎꯕꯥ ꯑꯩꯈꯣꯌꯅꯥ ꯂꯥꯏꯑꯣꯡ ꯑꯃꯠꯇꯥ ꯎꯕꯥ ꯐꯪꯗꯕꯥ ꯌꯥꯏ꯫

ꯂꯥꯌꯅꯥ ꯑꯁꯤ ꯈꯪꯗꯣꯀꯄꯗꯥ ꯑꯋꯥꯕꯥ ꯑꯣꯏꯔꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯒꯤ ꯃꯔꯃꯗꯤ ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯊꯣꯀꯄꯥ ꯂꯥꯌꯅꯥ ꯑꯃꯅꯤ, ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯃꯇꯝ ꯄꯨꯝꯅꯃꯛꯇꯥ ꯎꯕꯥ ꯐꯪꯗꯦ, ꯑꯃꯁꯨꯡ ꯁ꯭ꯀꯦꯅꯁꯤꯡꯗꯁꯨ ꯃꯁꯤ ꯑꯇꯣꯞꯄꯥ ꯂꯥꯌꯅꯥꯁꯤꯡ, ꯃꯔꯨꯑꯣꯏꯅꯥ ꯄꯦꯅꯛꯔꯤꯑꯦꯇꯤꯛ ꯀꯦꯟꯁꯔꯒꯨꯝꯕꯥ ꯎꯕꯥ ꯐꯪꯏ . ꯃꯁꯤ ꯃꯤꯑꯣꯏ ꯀꯌꯥꯒꯤꯗꯃꯛ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯕꯨ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯥ ꯋꯥꯐꯃꯗꯤ ꯅꯍꯥꯛꯅꯥ ꯗꯥꯏꯑꯦꯒ꯭ꯅꯣꯁ꯭ꯇꯤꯛ ꯇꯧꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯑꯃꯁꯨꯡ ꯑꯆꯨꯝꯕꯥ ꯂꯥꯏꯌꯦꯡ ꯍꯧꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯊꯨꯅꯥ ꯐꯒꯠꯂꯀꯄꯥ ꯌꯥꯏ .

ꯑꯣꯇꯣꯏꯝꯌꯨꯟ ꯄꯦꯅꯛꯔꯤꯑꯦꯇꯤꯁ (AIP)ꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯈꯜ ꯑꯅꯤ ꯂꯩ:

ꯂꯥꯌꯅꯥ ꯑꯁꯤꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯈꯜ ꯑꯅꯤ ꯂꯩ꯫ ꯃꯈꯣꯌꯅꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯁꯣꯀꯍꯜꯂꯤꯕꯥ ꯃꯑꯣꯡ ꯑꯁꯤ ꯈꯔꯥ ꯇꯣꯉꯥꯜꯂꯤ꯫ ꯃꯈꯣꯌꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯤꯅꯣ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯁꯤ꯫

ꯃꯑꯣꯡ ꯃꯇꯧ ꯃꯈꯜ ꯱ (ꯇꯥꯏꯞ ꯱ ꯑꯦ.ꯑꯥꯏ.ꯄꯤ.) ꯃꯈꯜ ꯲ (ꯇꯥꯏꯞ ꯲ ꯑꯦ.ꯑꯥꯏ.ꯄꯤ.)
ꯑꯇꯣꯞꯄꯥ ꯃꯃꯤꯡꯁꯤꯡ꯫ IgG4ꯒꯥ ꯃꯔꯤ ꯂꯩꯅꯕꯥ ꯂꯥꯌꯅꯥ ꯍꯥꯌꯅꯥꯁꯨ ꯈꯪꯅꯩ꯫ ꯏꯗꯤꯑꯣꯄꯦꯊꯤꯛ ꯗꯛꯇ-ꯁꯦꯟꯠꯔꯤꯛ ꯀ꯭ꯔꯣꯅꯤꯛ ꯄꯦꯅꯛꯔꯤꯑꯦꯇꯤꯁ (IDCP) ꯍꯥꯌꯅꯥꯁꯨ ꯈꯪꯅꯩ꯫
ꯁꯣꯀꯍꯜꯂꯕꯥ ꯑꯣꯔꯒꯥꯅꯁꯤꯡ꯫ꯄꯦꯅꯛꯔꯤꯑꯦꯖꯒꯤ ꯃꯊꯛꯇꯥ, ꯕꯥꯏꯜ ꯗꯛꯇꯁꯤꯡ, ꯀꯤꯗꯅꯤꯁꯤꯡ, ꯂꯤꯚꯔ, ꯂꯪꯁ, ꯑꯃꯁꯨꯡ ꯁꯦꯂꯤꯚꯥꯔꯤ ꯒ꯭ꯜꯌꯥꯟꯗꯁꯤꯡꯒꯨꯝꯕꯥ ꯑꯇꯩ ꯑꯣꯔꯒꯥꯅꯁꯤꯡꯗꯁꯨ ꯁꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤ ꯑꯌꯥꯝꯕꯅꯥ ꯄꯦꯅꯛꯔꯤꯑꯦꯖꯗꯥ ꯂꯤꯃꯤꯠ ꯇꯧꯏ .
ꯕ꯭ꯂꯗ ꯇꯦꯁ꯭ꯠ ꯇꯧꯕꯥ꯫ ꯏꯗꯥ IgG4 ꯑꯦꯟꯇꯤꯕꯣꯗꯤꯁꯤꯡꯒꯤ ꯆꯥꯡ ꯍꯦꯅꯒꯠꯂꯀꯏ꯫ IgG4ꯒꯤ ꯆꯥꯡ ꯑꯁꯤ ꯃꯍꯧꯁꯥꯅꯥ ꯍꯦꯅꯒꯠꯂꯛꯇꯦ꯫
ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯆꯍꯤ꯫ ꯃꯍꯧꯁꯥꯅꯥ ꯆꯍꯤ 60ꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯊꯣꯀꯏ꯫ꯅꯨꯄꯥꯁꯤꯡꯗꯥ ꯍꯦꯟꯅꯥ ꯀꯃꯟ ꯑꯣꯏ꯫ ꯃꯍꯧꯁꯥꯅꯥ ꯅꯍꯥ ꯑꯣꯏꯔꯤꯕꯥ ꯆꯍꯤꯗꯥ ꯊꯣꯀꯏ . ꯃꯁꯤꯅꯥ ꯁꯦꯛꯁ ꯑꯅꯤꯃꯛꯇꯥ ꯆꯞ ꯃꯥꯟꯅꯅꯥ ꯁꯣꯀꯍꯜꯂꯤ꯫
ꯃꯔꯤ ꯂꯩꯅꯕꯥ ꯑꯇꯩ ꯂꯥꯌꯅꯥꯁꯤꯡ꯫ ꯑꯇꯣꯞꯄꯥ ꯑꯣꯇꯣꯏꯝꯌꯨꯟ ꯂꯥꯌꯅꯥꯁꯤꯡꯒꯥ ꯃꯔꯤ ꯂꯩꯅꯕꯥ ꯌꯥꯏ꯫ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯄꯦꯁꯦꯟꯇ 30%ꯗꯤ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯇꯔꯤ ꯕꯣꯋꯦꯜ ꯗꯤꯖꯤꯖ (IBD) ꯀꯧꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯁꯨ ꯂꯩꯕꯥ ꯌꯥꯏ꯫
ꯔꯤꯂꯦꯄꯁꯟ ꯇꯧꯕꯥ꯫ ꯂꯥꯏꯌꯦꯡ ꯂꯦꯄꯈ꯭ꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯍꯟꯖꯤꯅꯍꯅꯕꯒꯤ ꯆꯥꯡ ꯋꯥꯡꯏ꯫ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯂꯥꯀꯄꯒꯤ ꯆꯥꯡ ꯑꯁꯤ ꯅꯦꯝꯃꯤ .

ꯇꯥꯏꯞ ꯱ ꯑꯦ.ꯑꯥꯏ.ꯄꯤ.ꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯈꯔꯥ ꯍꯦꯟꯅꯥ...

ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯃꯁꯤ ꯑꯥꯏ.ꯖꯤ.ꯖꯤ.꯴ꯒꯥ ꯃꯔꯤ ꯂꯩꯅꯕꯥ ꯂꯥꯌꯅꯥꯁꯤꯡ ꯀꯧꯕꯥ ꯑꯆꯧꯕꯥ ꯂꯥꯌꯅꯥ ꯀꯥꯡꯂꯨꯞ ꯑꯃꯒꯤ ꯁꯔꯨꯛ ꯑꯃꯅꯤ꯫ IgG4 ꯑꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯅꯥ ꯁꯦꯝꯕꯥ ꯑꯦꯟꯇꯤꯕꯣꯗꯤ ꯃꯈꯜ ꯑꯃꯅꯤ꯫ ꯂꯥꯌꯅꯥ ꯑꯁꯤꯗꯥ ꯑꯥꯏ.ꯖꯤ.ꯖꯤ.꯴ ꯑꯃꯁꯨꯡ ꯄ꯭ꯂꯥꯖꯃꯥ ꯁꯦꯂ ꯀꯧꯕꯥ ꯏꯝꯝꯌꯨꯟ ꯁꯦꯂꯁꯤꯡꯅꯥ ꯄꯨꯟꯅꯥ ꯄꯦꯅꯛꯔꯤꯑꯦꯖꯒꯤ ꯇꯤꯁ꯭ꯌꯨꯁꯤꯡꯗꯥ ꯆꯠꯊꯣꯛ-ꯆꯠꯁꯤꯟ ꯇꯧꯗꯨꯅꯥ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯁꯟ ꯑꯃꯁꯨꯡ ꯁꯣꯀꯄꯥ ꯊꯣꯀꯍꯜꯂꯤ꯫

ꯇꯥꯏꯞ ꯲ ꯑꯦ.ꯑꯥꯏ.ꯄꯤ.ꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯈꯔꯥ ꯍꯦꯟꯅꯥ...

ꯃꯁꯤꯒꯤ ꯃꯈꯜ ꯑꯁꯤꯗꯥ, IgG4ꯒꯤ ꯆꯥꯡ ꯑꯁꯤ ꯍꯦꯅꯒꯠꯂꯀꯏ꯫ ꯑꯃꯁꯨꯡ ꯑꯇꯩ ꯑꯣꯔꯒꯥꯅꯁꯤꯡꯗꯥ ꯁꯣꯀꯍꯟꯗꯦ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯃꯤꯑꯣꯏꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯑꯦꯛꯌꯨꯠ ꯄꯦꯅꯛꯔꯤꯑꯦꯇꯤꯁꯀꯤ ꯔꯤꯀꯣꯚꯔꯤ ꯑꯦꯄꯤꯁꯣꯗꯁꯤꯡ ꯂꯥꯀꯄꯥ ꯌꯥꯏ꯫ ꯍꯥꯌꯕꯗꯤ, ꯄꯦꯅꯛꯔꯤꯑꯦꯖ ꯑꯁꯤ ꯈꯪꯍꯧꯗꯅꯥ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯁꯟ (inflame) ꯑꯣꯏꯔꯀꯏ ꯑꯃꯁꯨꯡ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ (simptoms) ꯂꯥꯀꯏ, ꯃꯗꯨ ꯅꯨꯃꯤꯠ ꯈꯔꯅꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯍꯟꯊꯔꯀꯏ꯫

ꯂꯥꯌꯅꯥ ꯑꯁꯤꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯀꯔꯤꯅꯣ?

ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯂꯥꯏꯑꯣꯡ ꯑꯃꯠꯇꯥ ꯂꯩꯇꯕꯁꯨ, ꯑꯌꯥꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯎꯕꯥ ꯐꯪꯂꯤꯕꯥ ꯑꯍꯥꯅꯕꯥ ꯈꯨꯗꯃꯗꯤ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯂꯩꯇꯕꯥ ꯖꯟꯗꯥꯁꯤꯁꯅꯤ . ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯈꯨꯗꯝ ꯑꯃꯅꯤ꯫ ꯃꯤꯑꯣꯏ ꯈꯔꯗꯤ ꯃꯊꯛ ꯊꯪꯕꯥ ꯁꯔꯨꯛꯇꯥ ꯅꯠꯠꯔꯒꯥ ꯀꯣꯛꯇꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯒꯤ ꯃꯔꯃꯗꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯄꯦꯅꯛꯔꯤꯑꯦꯖ ꯑꯁꯤ ꯁ꯭ꯇꯣꯃꯥꯛ ꯑꯃꯁꯨꯡ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗꯀꯤ ꯃꯔꯛꯇꯥ ꯂꯩ꯫

ꯈꯅꯕꯤꯌꯨ, ꯆꯥꯎꯔꯥꯛꯅꯥ ꯆꯍꯤ ꯶꯵ ꯁꯨꯔꯕꯥ ꯅꯨꯄꯥ ꯑꯃꯥ ꯂꯩꯔꯤ꯫ ꯃꯍꯥꯛꯀꯤ ꯃꯤꯠꯌꯦꯡ ꯑꯗꯨ ꯈꯉꯍꯧꯗꯅꯥ ꯌꯦꯜꯂꯣꯏ, ꯃꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡ ꯑꯗꯨ ꯌꯦꯜꯂꯣꯏ꯫ ꯃꯍꯥꯛꯀꯤ ꯑꯔꯨꯝꯕꯥ ꯍꯟꯊꯔꯦ꯫ ꯑꯗꯨꯕꯨ ꯃꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯑꯆꯧꯕꯥ ꯑꯋꯥꯕꯥ ꯑꯃꯠꯇꯥ ꯂꯩꯇꯦ꯫ ꯀꯅꯥꯒꯨꯝꯕꯥ ꯑꯃꯅꯥ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯋꯥꯐꯝ ꯑꯃꯥ ꯎꯕꯗꯥ ꯂꯥꯡꯇꯛꯅꯒꯅꯤ꯫ ꯃꯍꯥꯛꯅꯥ ꯗꯣꯛꯇꯔ ꯑꯃꯗꯥ ꯆꯠꯇꯨꯅꯥ ꯇꯣꯉꯥꯟ ꯇꯣꯉꯥꯅꯕꯥ ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯇꯧꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯈꯛꯇꯗꯥ ꯃꯁꯤ ꯀꯦꯟꯁꯔ ꯅꯠꯇꯦ, ꯑꯗꯨꯕꯨ ꯑꯣꯇꯣꯏꯝꯌꯨꯟ ꯄꯦꯅꯛꯔꯤꯑꯦꯇꯤꯁꯅꯤ ꯍꯥꯌꯕꯥ ꯈꯉꯏ꯫

ꯃꯁꯤꯒꯤ ꯃꯊꯛꯇꯥ, ꯅꯍꯥꯛꯅꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤꯁꯨ ꯎꯕꯥ ꯐꯪꯒꯅꯤ:

  • ꯑꯟꯙ꯭ꯔ ꯄ꯭ꯔꯗꯦꯁꯀꯤ ꯌꯨꯔꯤꯟ ꯑꯃꯁꯨꯡ ꯂꯦꯡ-ꯑꯣꯠꯄꯒꯤ ꯃꯑꯣꯡ (fading to white) .
  • ꯋꯥꯕ
  • ꯏꯟꯗꯖꯦꯁꯟ (indigestion) ꯂꯩꯕꯥ꯫
  • ꯆꯥꯛ ꯆꯥꯕꯥ ꯋꯥꯠꯄꯥ ꯑꯃꯁꯨꯡ ꯑꯔꯨꯝꯕꯥ ꯍꯟꯊꯕꯥ꯫
  • ꯅꯣꯡꯃꯩ ꯀꯥꯞꯄꯥ ꯑꯃꯁꯨꯡ ꯈꯣꯡ ꯍꯥꯝꯕꯥ꯫

ꯀꯔꯤꯒꯤꯗꯃꯛꯇꯥ ꯂꯥꯌꯅꯥ ꯑꯁꯤ ꯊꯣꯛꯂꯤꯕꯅꯣ? ꯔꯤꯁ꯭ꯛ ꯐꯦꯛꯇꯔꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?

ꯇꯁꯦꯡꯕꯗꯤ ꯁꯥꯏꯟꯇꯤꯁ꯭ꯇꯁꯤꯡꯅꯥ ꯍꯧꯖꯤꯛ ꯐꯥꯑꯣꯕꯥ ꯀꯔꯤꯒꯤꯗꯃꯛꯇꯥ ꯑꯣꯇꯣꯏꯝꯌꯨꯟ ꯂꯥꯌꯅꯥꯁꯤꯡ ꯑꯁꯤ ꯊꯣꯛꯂꯤꯕꯅꯣ ꯍꯥꯌꯕꯁꯤ ꯱꯰꯰% ꯁꯣꯏꯗꯅꯥ ꯍꯥꯌꯕꯥ ꯉꯃꯗ꯭ꯔꯤ꯫ ꯃꯈꯣꯌꯅꯥ ꯊꯥꯖꯩ ꯃꯗꯨꯗꯤ ꯃꯁꯤ ꯖꯤꯟ ꯑꯃꯁꯨꯡ ꯑꯀꯣꯌꯕꯒꯤ ꯐꯤꯕꯃꯒꯤ ꯐꯦꯛꯇꯔ ꯑꯅꯤꯃꯛꯀꯤ ꯀꯝꯕꯤꯅꯦꯁꯟ ꯑꯃꯅꯤ . ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯁꯥꯊꯤꯕꯥ ꯏꯅꯐꯦꯛꯁꯟ ꯑꯃꯥ ꯂꯥꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯑꯩꯈꯣꯌꯒꯤ ꯏꯝꯝꯌꯨꯟ ꯁꯤꯁ꯭ꯇꯦꯝ ꯑꯁꯤ ꯃꯗꯨ ꯂꯥꯀꯁꯤꯟꯅꯕꯥ ꯑꯣꯚꯔꯑꯦꯛꯇꯤꯚ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯂꯥꯟ ꯂꯣꯏꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯁꯤꯁ꯭ꯇꯦꯝ ꯑꯁꯤꯅꯥ ꯃꯇꯧ ꯀꯔꯝꯅꯥ ꯅꯤꯡꯊꯤꯖꯅꯥ ꯊꯃꯒꯗꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯀꯥꯑꯣꯊꯣꯀꯄꯥ ꯌꯥꯏ ꯑꯃꯁꯨꯡ ꯃꯁꯥꯒꯤ ꯁꯦꯂꯁꯤꯡꯗꯥ ꯑꯦꯇꯦꯛ ꯇꯧꯕꯥ ꯍꯧꯕꯥ ꯌꯥꯏ꯫

ꯃꯁꯤꯗꯁꯨ ꯅꯠꯇꯅꯥ, ꯍꯥꯟꯅꯅꯥ ꯑꯇꯣꯞꯄꯥ ꯑꯣꯇꯣꯏꯝꯌꯨꯟ ꯂꯥꯌꯅꯥ ꯑꯃꯥ ꯂꯩꯔꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯅꯥ ꯑꯦ.ꯑꯥꯏ.ꯄꯤ. ꯈꯨꯗꯝ ꯑꯣꯏꯅ:

  • ꯍꯥꯁꯤꯃꯣꯇꯣꯒꯤ ꯂꯥꯌꯅꯥ (ꯊꯥꯏꯔꯣꯏꯗ ꯒ꯭ꯜꯌꯥꯟꯗꯒꯥ ꯃꯔꯤ ꯂꯩꯅꯕꯥ ꯂꯥꯌꯅꯥ)
  • ꯑꯂꯁꯦꯔꯦꯇꯤꯚ ꯀꯣꯂꯥꯏꯇꯤꯁ (ꯑꯆꯧꯕꯥ ꯏꯟꯇꯦꯁ꯭ꯇꯥꯏꯅꯒꯤ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯁꯟ)
  • ꯔꯤꯌꯨꯃꯦꯇꯣꯏꯗ ꯑꯔꯊ꯭ꯔꯥꯏꯇꯤꯁ ꯂꯩꯕꯥ꯫
  • ꯁ꯭ꯖꯣꯒ꯭ꯔꯦꯟ ꯁꯤꯟꯗ꯭ꯔꯣꯝ (ꯁꯦꯂꯤꯚꯔꯤ ꯑꯃꯁꯨꯡ ꯇꯤꯌꯥꯔ ꯒ꯭ꯜꯌꯥꯟꯗꯁꯤꯡ ꯁꯣꯟꯊꯔꯀꯄꯥ ꯂꯥꯌꯅꯥ ꯑꯃꯥ)

ꯂꯥꯌꯅꯥ ꯑꯁꯤꯒꯤ ꯑꯣꯏꯊꯣꯀꯄꯥ ꯌꯥꯕꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ ꯀꯔꯤꯅꯣ?

ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯁꯅꯅꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯑꯣꯔꯒꯥꯅꯁꯤꯡꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯅꯥ ꯁ꯭ꯀꯥꯔ ꯇꯤꯁꯨ ꯁꯦꯃꯒꯠꯄꯗꯥ ꯊꯣꯀꯍꯜꯂꯤ꯫ ꯃꯁꯤꯒꯤ ꯁꯣꯛ-ꯄꯅꯕꯥ ꯑꯁꯤꯅꯥ ꯄꯦꯅꯛꯔꯤꯑꯦꯖꯒꯤ ꯊꯕꯛ ꯊꯧꯔꯃꯁꯤꯡꯗꯥ ꯑꯀꯥꯌꯕꯥ ꯄꯤꯕꯥ ꯌꯥꯏ꯫ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ, ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯅꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯍꯣꯔꯃꯣꯅꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯑꯦꯅꯖꯥꯏꯃꯁꯤꯡ ꯄꯨꯊꯣꯀꯄꯥ ꯂꯦꯄꯈꯤ, ꯃꯗꯨꯅꯥ ꯗꯥꯏꯖꯦꯁ꯭ꯇꯤꯚ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯑꯃꯁꯨꯡ ꯗꯥꯏꯑꯦꯕꯦꯇꯤꯖ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫

ꯎꯕꯥ ꯐꯪꯒꯗꯕꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯟ ꯑꯅꯤ ꯂꯩ:

1. ꯕꯤꯂꯤꯌꯔꯤ ꯁ꯭ꯠꯔꯤꯀꯆꯔ (Biliary stricture): ꯑꯩꯈꯣꯌꯒꯤ ꯂꯤꯚꯔꯗꯥ ꯄꯨꯊꯣꯀꯄꯥ ꯐ꯭ꯂꯨꯏꯗ ꯑꯃꯥ ꯑꯣꯏꯔꯤꯕꯥ ꯕꯥꯏꯜ ꯑꯁꯤ ꯏꯟꯇꯦꯁ꯭ꯇꯥꯏꯅꯁꯤꯡꯗꯥ ꯄꯨꯗꯨꯅꯥ ꯆꯠꯂꯤꯕꯥ ꯕꯥꯏꯜ ꯗꯛꯇꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯄꯦꯅꯛꯔꯤꯑꯦꯖꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯆꯠꯂꯤ꯫ ꯄꯦꯅꯛꯔꯤꯑꯦꯖ ꯑꯁꯤ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯁꯟ ꯅꯠꯠꯔꯒꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ ꯃꯇꯃꯗꯥ, ꯗꯛꯇꯁꯤꯡ ꯑꯁꯤ ꯊꯤꯡꯖꯤꯅꯕꯥ ꯌꯥꯏ꯫ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ, ꯕꯥꯏꯜ ꯑꯗꯨ ꯍꯀꯆꯥꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯄꯨꯁꯤꯜꯂꯀꯏ, ꯃꯗꯨꯅꯥ ꯖꯟꯗꯥꯁꯤꯁ ꯊꯣꯀꯍꯜꯂꯤ꯫

2. ꯄꯦꯅꯛꯔꯤꯑꯦꯇꯤꯛ ꯀꯦꯟꯁꯔꯒꯤ ꯔꯤꯁ꯭ꯛ: ꯃꯁꯤ ꯃꯤꯑꯣꯏ ꯀꯌꯥꯅꯥ ꯂꯥꯡꯇꯛꯅꯔꯤꯕꯥ ꯑꯃꯅꯤ꯫ ꯑꯣꯇꯣꯏꯝꯌꯨꯟ ꯄꯦꯅꯛꯔꯤꯑꯦꯇꯤꯁ ꯑꯁꯤ ꯀꯦꯟꯁꯔ ꯅꯠꯇꯦ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯀ꯭ꯔꯣꯅꯤꯛ ꯄꯦꯅꯛꯔꯤꯑꯦꯇꯤꯁꯅꯥ ꯅꯥꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯅꯥ, ꯃꯔꯝ ꯑꯃꯍꯦꯛꯇꯗꯒꯤ, ꯄꯦꯅꯛꯔꯤꯑꯦꯇꯤꯛ ꯀꯦꯟꯁꯔ ꯂꯥꯀꯄꯒꯤ ꯔꯤꯁ꯭ꯛ ꯌꯥꯝꯅꯥ ꯅꯦꯝꯃꯤ (ꯆꯥꯎꯔꯥꯛꯅꯥ 1% - 2%) ꯫ ꯂꯥꯌꯅꯥ ꯑꯅꯤꯃꯛꯀꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯃꯥꯟꯅꯕꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯑꯅꯤꯁꯤꯒꯤ ꯃꯔꯛꯇꯥ ꯈꯦꯟꯅꯕꯥ ꯊꯝꯕꯥ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯃꯁꯤ ꯆꯦꯀꯁꯤꯟꯅꯥ ꯌꯦꯡꯁꯤꯅꯒꯅꯤ꯫

ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯃꯇꯧ ꯀꯔꯝꯅꯥ ꯂꯥꯌꯅꯥ ꯑꯁꯤ ꯑꯆꯨꯝꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯈꯉꯗꯣꯀꯄꯥ ꯉꯃꯒꯅꯤ?

ꯃꯁꯤ ꯗꯤꯇꯦꯛꯇꯤꯚ ꯋꯥꯔꯤ ꯑꯃꯒꯨꯝꯕꯅꯤ꯫ ꯇꯦꯁ꯭ꯠ ꯑꯃꯈꯛꯇꯅꯥ ꯂꯥꯌꯅꯥ ꯑꯁꯤ ꯀꯅꯐꯔꯝ ꯇꯧꯕꯥ ꯉꯃꯗꯦ꯫ ꯑꯇꯣꯞꯄꯥ ꯂꯥꯌꯅꯥꯁꯤꯡ, ꯃꯔꯨꯑꯣꯏꯅꯥ ꯀꯦꯟꯁꯔ ꯂꯥꯀꯁꯤꯅꯕꯁꯨ ꯃꯊꯧ ꯇꯥꯏ꯫ ꯃꯔꯝ ꯑꯁꯤꯅꯥ ꯗꯣꯛꯇꯔꯅꯥ ꯇꯦꯁ꯭ꯠ ꯀꯌꯥ ꯑꯃꯥ ꯇꯧꯒꯅꯤ꯫

ꯇꯦꯁ꯭ꯠ ꯇꯧꯕꯒꯤ ꯃꯑꯣꯡ꯫ ꯀꯔꯤ ꯇꯧꯔꯤꯕꯒꯦ?
ꯕ꯭ꯂꯗ ꯇꯦꯁ꯭ꯠ ꯇꯧꯕꯥ꯫ IgG4 ꯑꯦꯟꯇꯤꯕꯣꯗꯤꯒꯤ ꯆꯥꯡ, ꯂꯤꯚꯔ ꯑꯃꯁꯨꯡ ꯄꯦꯅꯛꯔꯤꯑꯦꯇꯤꯛ ꯑꯦꯅꯖꯥꯏꯃꯒꯤ ꯆꯥꯡ ꯌꯦꯡꯁꯤꯜꯂꯤ꯫ ꯀꯦꯟꯁꯔ ꯃꯥꯔꯀꯔꯒꯨꯝꯕꯥ ꯄꯣꯠꯂꯃꯁꯤꯡ ꯑꯁꯤꯁꯨ ꯀꯦꯟꯁꯔꯒꯤ ꯀꯟꯗꯤꯁꯟ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯅꯥ ꯇꯦꯁ꯭ꯠ ꯇꯧꯕꯥ ꯌꯥꯏ꯫
ꯏꯃꯦꯖꯤꯡ ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯇꯧꯕꯥ꯫ ꯑꯦꯝ.ꯑꯥꯔ.ꯑꯥꯏ. ꯅꯠꯠꯔꯒꯥ ꯁꯤ.ꯇꯤ. ꯑꯦꯝ ꯑꯥꯔ ꯁꯤ ꯄꯤ ꯀꯧꯕꯥ ꯑꯈꯟꯅꯕꯥ ꯑꯦꯝ ꯑꯥꯔ ꯑꯥꯏ ꯁ꯭ꯀꯦꯟ ꯑꯃꯅꯥ ꯕꯥꯏꯜ ꯗꯛꯇꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯄꯦꯅꯛꯔꯤꯑꯦꯇꯤꯛ ꯗꯛꯇ ꯁꯤꯁ꯭ꯇꯦꯃꯗꯥ ꯅꯤꯡꯊꯤꯅꯥ ꯌꯦꯡꯁꯤꯜꯂꯤ꯫
ꯕꯥꯏꯑꯣꯞꯁꯤ ꯇꯧꯕꯥ꯫ ꯑꯦꯟꯗꯣꯁ꯭ꯀꯣꯄꯤꯛ ꯑꯂꯠꯔꯥꯁꯥꯎꯟꯗ, ꯑꯦꯟꯗꯣꯁ꯭ꯀꯣꯞ ꯁꯤꯖꯤꯟꯅꯗꯨꯅꯥ ꯄꯦꯅꯛꯔꯤꯑꯦꯖꯗꯒꯤ ꯇꯤꯁ꯭ꯌꯨꯒꯤ ꯑꯄꯤꯀꯄꯥ ꯁꯔꯨꯛ ꯑꯃꯥ ꯂꯧꯊꯣꯛꯇꯨꯅꯥ ꯃꯥꯏꯛꯔꯣꯁ꯭ꯀꯣꯄꯀꯤ ꯃꯈꯥꯗꯥ ꯌꯦꯡꯁꯤꯅꯕꯥ ꯑꯁꯤꯅꯥ ꯂꯥꯌꯅꯥ ꯑꯁꯤ ꯈꯉꯗꯣꯀꯄꯗꯥ ꯱꯰꯰% ꯑꯆꯨꯝꯕꯥ ꯑꯣꯏ꯫
ꯂꯥꯌꯦꯡꯕꯒꯤ ꯇ꯭ꯔꯥꯏꯑꯦꯜ ꯇꯧꯕꯥ꯫ꯀꯦꯁ ꯈꯔꯗꯗꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯑꯦ.ꯑꯥꯏ.ꯄꯤ.(ꯀꯣꯔꯇꯤꯀꯣꯁ꯭ꯇꯦꯔꯣꯏꯗ)ꯒꯤꯗꯃꯛꯇꯥ ꯁꯤꯖꯤꯟꯅꯔꯤꯕꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ ꯑꯗꯨ ꯍꯧꯗꯣꯛꯀꯅꯤ ꯑꯃꯁꯨꯡ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯗꯨ ꯐꯒꯠꯂꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯒꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯗꯨ ꯊꯨꯅꯥ ꯐꯒꯠꯂꯛꯂꯕꯗꯤ, ꯃꯗꯨꯁꯨ ꯗꯥꯏꯑꯦꯒ꯭ꯅꯣꯁꯤꯁ ꯑꯗꯨꯕꯨ ꯁꯄꯣꯔꯠ ꯇꯧꯅꯕꯥ ꯄ꯭ꯔꯃꯥꯟ ꯑꯃꯅꯤ꯫

ꯂꯥꯏꯌꯦꯡꯕꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?

ꯑꯣꯇꯣꯏꯝꯌꯨꯟ ꯄꯦꯅꯛꯔꯤꯑꯦꯇꯤꯁꯀꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯑꯃꯁꯨꯡ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯏꯐꯦꯛꯇꯤꯕ ꯑꯣꯏꯕꯥ ꯂꯥꯌꯦꯡ ꯑꯁꯤ ꯀꯣꯔꯇꯤꯀꯣꯁ꯭ꯇꯦꯔꯣꯏꯗ ꯀꯧꯕꯥ ꯗ꯭ꯔꯒꯁꯤꯡꯒꯤ ꯀ꯭ꯂꯥꯁ ꯑꯃꯅꯤ . ꯄ꯭ꯔꯦꯗꯅꯤꯁꯟ ꯑꯁꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯌꯥꯝꯅꯥ ꯁꯤꯖꯤꯟꯅꯕꯥ ꯗ꯭ꯔꯒꯅꯤ꯫ ꯗ꯭ꯔꯒꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯑꯣꯚꯔꯑꯦꯛꯇꯤꯕ ꯏꯝꯝꯌꯨꯟ ꯁꯤꯁ꯭ꯇꯦꯝ ꯑꯁꯤ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯊꯃꯗꯨꯅꯥ ꯑꯃꯁꯨꯡ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯁꯟ ꯍꯟꯊꯍꯟꯗꯨꯅꯥ ꯊꯕꯛ ꯇꯧꯏ꯫

ꯃꯍꯧꯁꯥꯅꯥ ꯂꯥꯏꯌꯦꯡ ꯑꯁꯤ ꯗ꯭ꯔꯒꯀꯤ ꯑꯋꯥꯡꯕꯥ ꯗꯣꯖ ꯑꯃꯗꯒꯤ ꯍꯧꯏ . ꯅꯍꯥꯛꯀꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯇꯦꯁ꯭ꯇꯀꯤ ꯐꯂꯁꯤꯡ ꯐꯒꯠꯂꯀꯄꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯗꯣꯖ ꯑꯗꯨ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯍꯟꯊꯍꯅꯒꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯅꯍꯥꯛꯅꯥ ꯁ꯭ꯇꯦꯔꯣꯏꯗꯁꯤꯡ ꯂꯧꯕꯥ ꯂꯦꯄꯈ꯭ꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ, ꯂꯥꯌꯅꯥ ꯑꯁꯤ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯅꯕꯥ ꯑꯇꯩ ꯏꯝꯝꯌꯨꯅꯣꯁꯞꯔꯦꯁꯦꯟꯇ ꯍꯤꯗꯥꯀꯁꯤꯡ ꯄꯤꯕꯥ ꯌꯥꯏ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ ꯂꯩꯔꯕꯗꯤ, ꯍꯥꯌꯕꯗꯤ ꯕꯥꯏꯜ ꯗꯛꯇ ꯑꯣꯕꯁ꯭ꯠꯔꯀꯆꯔ ꯑꯁꯤꯅꯆꯤꯡꯕꯥ, ꯃꯁꯤ ꯇꯣꯉꯥꯟꯅꯥ ꯂꯥꯏꯌꯦꯡꯕꯥ ꯃꯊꯧ ꯇꯥꯒꯅꯤ꯫ ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯕ꯭ꯂꯣꯛ ꯇꯧꯔꯕꯥ ꯗꯛꯇ ꯑꯗꯨ ꯍꯥꯡꯗꯣꯛꯅꯕꯥ ꯁ꯭ꯇꯦꯟꯇ ꯑꯃꯥ ꯊꯝꯕꯥ ꯌꯥꯏ꯫ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ, ꯁꯔꯖꯔꯤꯒꯤ ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯏ꯫

ꯂꯥꯌꯅꯥ ꯑꯁꯤꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯄꯨꯟꯁꯤ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯑꯣꯏꯒꯅꯤ?

ꯅꯨꯡꯉꯥꯏꯕꯥ ꯄꯥꯎ ꯑꯃꯗꯤ ꯑꯣꯇꯣꯏꯝꯌꯨꯟ ꯄꯦꯅꯛꯔꯤꯑꯦꯇꯤꯁ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯂꯥꯏꯌꯦꯡꯕꯥ ꯌꯥꯕꯥ ꯂꯥꯌꯅꯥ ꯑꯃꯅꯤ . ꯁ꯭ꯇꯦꯔꯣꯏꯗ ꯂꯥꯏꯌꯦꯡ ꯍꯧꯔꯕꯥ ꯃꯇꯨꯡ ꯅꯨꯃꯤꯠ ꯈꯔꯅꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡꯗꯥ ꯃꯁꯛ ꯊꯣꯀꯄꯥ ꯑꯍꯣꯡꯕꯥ ꯑꯃꯥ ꯎꯕꯥ ꯐꯪꯒꯅꯤ꯫ ꯃꯤꯑꯣꯏ ꯀꯌꯥꯅꯥ ꯃꯇꯃꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛ ꯑꯁꯤ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯊꯤꯡꯕꯥ ꯉꯝꯃꯤ꯫

ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ (ꯃꯔꯨꯑꯣꯏꯅꯥ ꯇꯥꯏꯞ 1 AIPꯗꯥ) ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯂꯥꯏꯌꯦꯡꯕꯥ ꯂꯦꯄꯈ꯭ꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯍꯜꯂꯀꯄꯥ (ꯔꯤꯂꯦꯄꯁꯟ) ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯀꯦꯁꯁꯤꯡꯗꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯍꯤꯗꯥꯛ ꯑꯗꯨ ꯍꯦꯟꯅꯥ ꯅꯦꯝꯕꯥ ꯗꯣꯖꯗꯥ ꯃꯈꯥ ꯇꯥꯅꯥ ꯂꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯏ꯫ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯗꯨ ꯃꯈꯥ ꯇꯥꯅꯥ ꯌꯦꯡꯁꯤꯅꯒꯅꯤ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤꯗꯃꯛꯇꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯥ ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯄ꯭ꯂꯥꯟ ꯑꯃꯥ ꯁꯦꯃꯒꯅꯤ꯫

ꯃꯁꯤ ꯈꯔꯥ ꯍꯦꯟꯅꯥ ꯂꯨꯝꯂꯕꯥ ꯂꯥꯌꯅꯥ ꯑꯃꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯆꯍꯤ ꯀꯌꯥ ꯈꯪꯗꯣꯀꯄꯥ ꯉꯃꯗꯅꯥ ꯂꯩꯕꯥ ꯌꯥꯏ, ꯑꯃꯁꯨꯡ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯂꯥꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯃꯈꯣꯌ ꯑꯁꯤ ꯋꯥꯈꯜ ꯇꯥꯗꯕꯥ ꯌꯥꯏ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯑꯆꯨꯝꯕꯥ ꯗꯥꯏꯑꯦꯒ꯭ꯅꯣꯁꯤꯁ ꯑꯃꯥ ꯐꯪꯕꯗꯥ ꯃꯇꯝ ꯈꯔꯥ ꯆꯪꯂꯝꯕꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯂꯥꯌꯅꯥ ꯑꯁꯤꯒꯤ ꯌꯥꯝꯅꯥ ꯏꯐꯦꯛꯇꯤꯚ ꯑꯣꯏꯕꯥ ꯂꯥꯏꯌꯦꯡꯁꯤꯡ ꯂꯩ ꯍꯥꯌꯕꯁꯤ ꯅꯤꯡꯁꯤꯡꯕꯤꯌꯨ, ꯑꯃꯁꯨꯡ ꯂꯥꯏꯌꯦꯡꯕꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯑꯗꯣꯝ ꯊꯨꯅꯥ ꯐꯒꯠꯂꯀꯄꯥ ꯉꯃꯒꯅꯤ꯫ ꯃꯗꯨꯅꯥ ꯑꯗꯣꯃꯗꯥ ꯑꯆꯧꯕꯥ ꯄꯥꯉ꯭ꯒꯜ ꯑꯃꯥ ꯄꯤꯒꯅꯤ꯫

ꯇꯦꯛ-ꯍꯣꯝ ꯃꯦꯁꯦꯖ ꯇꯧꯕꯥ꯫

  • ꯑꯣꯇꯣꯏꯝꯌꯨꯟ ꯄꯦꯅꯛꯔꯤꯑꯦꯇꯤꯁ (AIP) ꯍꯥꯌꯕꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯏꯁꯥꯒꯤ ꯏꯝꯝꯌꯨꯟ ꯁꯤꯁ꯭ꯇꯦꯃꯅꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯄꯦꯅꯛꯔꯤꯑꯦꯖꯗꯥ ꯑꯦꯇꯦꯛ ꯇꯧꯕꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯂꯥꯌꯅꯥ ꯑꯃꯅꯤ꯫
  • ꯑꯁꯣꯛ-ꯑꯄꯟ ꯂꯩꯇꯕꯥ ꯖꯟꯗꯥꯁꯤꯁ ꯑꯃꯁꯨꯡ ꯃꯌꯦꯛ ꯁꯦꯡꯗꯕꯥ ꯑꯔꯨꯝꯕꯥ ꯍꯟꯊꯔꯀꯄꯥ ꯑꯁꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫
  • ꯁ꯭ꯀꯦꯅꯁꯤꯡꯗꯥ ꯄꯦꯅꯛꯔꯤꯑꯦꯇꯤꯛ ꯀꯦꯟꯁꯔꯒꯨꯝꯅꯥ ꯎꯕꯥ ꯐꯪꯂꯕꯁꯨ, ꯑꯦ.ꯑꯥꯏ.ꯄꯤ. ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯇꯦꯁ꯭ꯠ ꯇꯧꯕꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯑꯅꯤ ꯑꯁꯤ ꯈꯦꯠꯅꯍꯅꯕꯥ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫
  • ꯂꯥꯌꯅꯥ ꯑꯁꯤꯅꯥ ꯀꯣꯔꯇꯤꯀꯣꯁ꯭ꯇꯦꯔꯣꯏꯗꯁꯤꯡ ꯂꯥꯌꯦꯡꯕꯗꯥ ꯌꯥꯝꯅꯥ ꯐꯖꯅꯥ ꯔꯦꯁꯄꯣꯟꯁ ꯇꯧꯏ ꯑꯃꯁꯨꯡ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯐꯍꯅꯕꯥ ꯉꯝꯃꯤ꯫
  • ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯂꯩꯔꯕꯗꯤ, ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯂꯩꯔꯣꯏꯗꯕꯅꯤ ꯑꯃꯁꯨꯡ ꯌꯥꯔꯤꯕꯃꯈꯩ ꯊꯨꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯇꯥꯟꯅꯗꯨꯅꯥ ꯄꯥꯎꯇꯥꯛ ꯂꯧꯕꯤꯌꯨ꯫

ꯑꯣꯇꯣꯏꯝꯌꯨꯟ ꯄꯦꯅꯛꯔꯤꯑꯦꯇꯤꯁ, ꯄꯦꯅꯛꯔꯤꯑꯦꯇꯤꯁ, ꯖꯟꯗꯥꯁꯤꯁ, ꯑꯥꯏ.ꯖꯤ.ꯖꯤ.꯴, ꯁ꯭ꯇꯦꯔꯣꯏꯗ, ꯏꯝꯝꯌꯨꯟ ꯁꯤꯁ꯭ꯇꯦꯝ, ꯄꯦꯅꯛꯔꯤꯑꯦꯇꯤꯁ, ꯖꯟꯗꯤꯁ, ꯑꯣꯇꯣꯏꯝꯌꯨꯟ ꯂꯥꯌꯅꯥ꯫
⚠️ 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.

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ꯍꯀꯆꯥꯡꯅꯥ ꯌꯦꯛꯅꯕꯥ ꯑꯃꯥ ꯑꯣꯏꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯑꯃꯁꯨꯡ ꯄꯦꯅꯛꯔꯤꯑꯦꯖꯗꯥ ꯑꯦꯇꯦꯛ ꯇꯧꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ - ꯑꯣꯇꯣꯏꯝꯌꯨꯟ ꯄꯦꯅꯛꯔꯤꯑꯦꯇꯤꯁꯀꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯁꯤ!

ꯍꯀꯆꯥꯡꯅꯥ ꯌꯦꯛꯅꯕꯥ ꯑꯃꯥ ꯑꯣꯏꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯑꯃꯁꯨꯡ ꯄꯦꯅꯛꯔꯤꯑꯦꯖꯗꯥ ꯑꯦꯇꯦꯛ ꯇꯧꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ - ꯑꯣꯇꯣꯏꯝꯌꯨꯟ ꯄꯦꯅꯛꯔꯤꯑꯦꯇꯤꯁꯀꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯁꯤ!

ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯗꯤꯐꯦꯟꯁ ꯁꯤꯁ꯭ꯇꯦꯝ, ꯏꯝꯝꯌꯨꯟ ꯁꯤꯁ꯭ꯇꯦꯝ ꯑꯁꯤ ꯂꯩꯕꯥꯛ ꯑꯃꯕꯨ ꯉꯥꯀꯊꯣꯀꯄꯥ ꯂꯥꯟꯃꯤ ꯑꯃꯒꯨꯝꯕꯅꯤ꯫ ꯂꯥꯟꯃꯤ ꯑꯁꯤꯒꯤ ꯊꯕꯛ ꯑꯁꯤ ꯃꯄꯥꯟꯗꯒꯤ ꯂꯥꯀꯄꯥ ꯖꯔꯝ ꯑꯃꯁꯨꯡ ꯚꯥꯏꯔꯁꯒꯨꯝꯕꯥ ꯌꯦꯛꯅꯕꯁꯤꯡ ꯈꯉꯗꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯑꯦꯇꯦꯛ ꯇꯧꯕꯥ, ꯑꯃꯁꯨꯡ ꯑꯩꯈꯣꯌꯕꯨ ꯂꯥꯌꯅꯥꯁꯤꯡꯗꯒꯤ ꯀꯅꯕꯅꯤ꯫ ꯑꯗꯨꯕꯨ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯂꯥꯟꯃꯤ ꯑꯁꯤꯅꯥ ꯈꯔꯥ ꯂꯥꯟꯅꯥ ꯆꯠꯂꯒꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯏꯁꯥꯒꯤ ꯂꯩꯕꯥꯛꯇꯥ ꯂꯩꯔꯤꯕꯥ ꯑꯐꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯕꯨ ꯌꯦꯛꯅꯕꯥ ꯑꯣꯏꯅꯥ ꯈꯟꯗꯨꯅꯥ ꯑꯦꯇꯦꯛ ꯇꯧꯕꯥ ꯍꯧꯔꯕꯗꯤ ꯀꯔꯝꯕꯥ ꯃꯈꯂꯒꯤ ꯃꯥꯡꯍꯟ ꯇꯥꯀꯍꯅꯕꯥ ꯑꯣꯏꯒꯅꯤ ꯍꯥꯌꯕꯗꯨ ꯈꯟꯗꯨꯅꯥ ꯌꯦꯡꯕꯤꯌꯨ? ꯃꯁꯤ ꯑꯣꯇꯣꯏꯝꯌꯨꯟ ꯄꯦꯅꯛꯔꯤꯑꯦꯇꯤꯁ (AIP) ꯀꯧꯕꯥ ꯂꯥꯌꯅꯥ ꯑꯃꯗꯥ ꯊꯣꯀꯏ꯫ ꯃꯐꯝ ꯑꯁꯤꯗꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯏꯁꯥꯒꯤ ꯗꯤꯐꯦꯟꯁ ꯁꯤꯁ꯭ꯇꯦꯃꯅꯥ ꯑꯔꯥꯅꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯏꯁꯥꯒꯤ ꯄꯦꯅꯛꯔꯤꯑꯦꯖ ꯑꯁꯤ ꯌꯦꯛꯅꯕꯥ ꯑꯃꯅꯤ ꯍꯥꯌꯅꯥ ꯈꯜꯂꯤ ꯑꯃꯁꯨꯡ ꯃꯁꯤꯗꯥ ꯑꯦꯇꯦꯛ ꯇꯧꯕꯥ ꯍꯧꯏ꯫

ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯑꯣꯇꯣꯏꯝꯌꯨꯟ ꯄꯦꯅꯛꯔꯤꯑꯦꯇꯤꯁ (AIP) ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ?

ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯊꯣꯀꯄꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫ ꯑꯩꯈꯣꯌꯅꯥ ꯃꯃꯥꯡꯗꯥ ꯍꯥꯌꯈꯤꯕꯒꯨꯝꯅꯥ, ꯑꯩꯈꯣꯌꯒꯤ ꯏꯝꯝꯌꯨꯟ ꯁꯤꯁ꯭ꯇꯦꯃꯅꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯄꯦꯅꯛꯔꯤꯑꯦꯖꯗꯥ ꯑꯦꯇꯦꯛ ꯇꯧꯏ, ꯃꯗꯨꯅꯥ ꯀ꯭ꯔꯣꯅꯤꯛ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯁꯟ ꯅꯠꯠꯔꯒꯥ ꯄꯦꯅꯛꯔꯤꯑꯦꯇꯤꯁ ꯊꯣꯀꯍꯜꯂꯤ꯫ ꯃꯇꯃꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯑꯁꯤ ꯊꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯈꯛꯇꯗꯥ ꯑꯆꯧꯕꯥ ꯁꯃꯁ꯭ꯌꯥꯁꯤꯡ ꯂꯥꯀꯄꯥ ꯍꯧꯏ꯫ ꯑꯌꯥꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯃꯁꯛ ꯊꯣꯀꯄꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯛꯂꯛꯠꯔꯤꯐꯥꯎꯕꯥ ꯑꯩꯈꯣꯌꯅꯥ ꯂꯥꯏꯑꯣꯡ ꯑꯃꯠꯇꯥ ꯎꯕꯥ ꯐꯪꯗꯕꯥ ꯌꯥꯏ꯫

ꯂꯥꯌꯅꯥ ꯑꯁꯤ ꯈꯪꯗꯣꯀꯄꯗꯥ ꯑꯋꯥꯕꯥ ꯑꯣꯏꯔꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯒꯤ ꯃꯔꯃꯗꯤ ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯊꯣꯀꯄꯥ ꯂꯥꯌꯅꯥ ꯑꯃꯅꯤ, ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯃꯇꯝ ꯄꯨꯝꯅꯃꯛꯇꯥ ꯎꯕꯥ ꯐꯪꯗꯦ, ꯑꯃꯁꯨꯡ ꯁ꯭ꯀꯦꯅꯁꯤꯡꯗꯁꯨ ꯃꯁꯤ ꯑꯇꯣꯞꯄꯥ ꯂꯥꯌꯅꯥꯁꯤꯡ, ꯃꯔꯨꯑꯣꯏꯅꯥ ꯄꯦꯅꯛꯔꯤꯑꯦꯇꯤꯛ ꯀꯦꯟꯁꯔꯒꯨꯝꯕꯥ ꯎꯕꯥ ꯐꯪꯏ . ꯃꯁꯤ ꯃꯤꯑꯣꯏ ꯀꯌꯥꯒꯤꯗꯃꯛ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯕꯨ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯥ ꯋꯥꯐꯃꯗꯤ ꯅꯍꯥꯛꯅꯥ ꯗꯥꯏꯑꯦꯒ꯭ꯅꯣꯁ꯭ꯇꯤꯛ ꯇꯧꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯑꯃꯁꯨꯡ ꯑꯆꯨꯝꯕꯥ ꯂꯥꯏꯌꯦꯡ ꯍꯧꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯊꯨꯅꯥ ꯐꯒꯠꯂꯀꯄꯥ ꯌꯥꯏ .

ꯑꯣꯇꯣꯏꯝꯌꯨꯟ ꯄꯦꯅꯛꯔꯤꯑꯦꯇꯤꯁ (AIP)ꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯈꯜ ꯑꯅꯤ ꯂꯩ:

ꯂꯥꯌꯅꯥ ꯑꯁꯤꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯈꯜ ꯑꯅꯤ ꯂꯩ꯫ ꯃꯈꯣꯌꯅꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯁꯣꯀꯍꯜꯂꯤꯕꯥ ꯃꯑꯣꯡ ꯑꯁꯤ ꯈꯔꯥ ꯇꯣꯉꯥꯜꯂꯤ꯫ ꯃꯈꯣꯌꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯤꯅꯣ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯁꯤ꯫

ꯃꯑꯣꯡ ꯃꯇꯧ ꯃꯈꯜ ꯱ (ꯇꯥꯏꯞ ꯱ ꯑꯦ.ꯑꯥꯏ.ꯄꯤ.) ꯃꯈꯜ ꯲ (ꯇꯥꯏꯞ ꯲ ꯑꯦ.ꯑꯥꯏ.ꯄꯤ.)
ꯑꯇꯣꯞꯄꯥ ꯃꯃꯤꯡꯁꯤꯡ꯫ IgG4ꯒꯥ ꯃꯔꯤ ꯂꯩꯅꯕꯥ ꯂꯥꯌꯅꯥ ꯍꯥꯌꯅꯥꯁꯨ ꯈꯪꯅꯩ꯫ ꯏꯗꯤꯑꯣꯄꯦꯊꯤꯛ ꯗꯛꯇ-ꯁꯦꯟꯠꯔꯤꯛ ꯀ꯭ꯔꯣꯅꯤꯛ ꯄꯦꯅꯛꯔꯤꯑꯦꯇꯤꯁ (IDCP) ꯍꯥꯌꯅꯥꯁꯨ ꯈꯪꯅꯩ꯫
ꯁꯣꯀꯍꯜꯂꯕꯥ ꯑꯣꯔꯒꯥꯅꯁꯤꯡ꯫ꯄꯦꯅꯛꯔꯤꯑꯦꯖꯒꯤ ꯃꯊꯛꯇꯥ, ꯕꯥꯏꯜ ꯗꯛꯇꯁꯤꯡ, ꯀꯤꯗꯅꯤꯁꯤꯡ, ꯂꯤꯚꯔ, ꯂꯪꯁ, ꯑꯃꯁꯨꯡ ꯁꯦꯂꯤꯚꯥꯔꯤ ꯒ꯭ꯜꯌꯥꯟꯗꯁꯤꯡꯒꯨꯝꯕꯥ ꯑꯇꯩ ꯑꯣꯔꯒꯥꯅꯁꯤꯡꯗꯁꯨ ꯁꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤ ꯑꯌꯥꯝꯕꯅꯥ ꯄꯦꯅꯛꯔꯤꯑꯦꯖꯗꯥ ꯂꯤꯃꯤꯠ ꯇꯧꯏ .
ꯕ꯭ꯂꯗ ꯇꯦꯁ꯭ꯠ ꯇꯧꯕꯥ꯫ ꯏꯗꯥ IgG4 ꯑꯦꯟꯇꯤꯕꯣꯗꯤꯁꯤꯡꯒꯤ ꯆꯥꯡ ꯍꯦꯅꯒꯠꯂꯀꯏ꯫ IgG4ꯒꯤ ꯆꯥꯡ ꯑꯁꯤ ꯃꯍꯧꯁꯥꯅꯥ ꯍꯦꯅꯒꯠꯂꯛꯇꯦ꯫
ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯆꯍꯤ꯫ ꯃꯍꯧꯁꯥꯅꯥ ꯆꯍꯤ 60ꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯊꯣꯀꯏ꯫ꯅꯨꯄꯥꯁꯤꯡꯗꯥ ꯍꯦꯟꯅꯥ ꯀꯃꯟ ꯑꯣꯏ꯫ ꯃꯍꯧꯁꯥꯅꯥ ꯅꯍꯥ ꯑꯣꯏꯔꯤꯕꯥ ꯆꯍꯤꯗꯥ ꯊꯣꯀꯏ . ꯃꯁꯤꯅꯥ ꯁꯦꯛꯁ ꯑꯅꯤꯃꯛꯇꯥ ꯆꯞ ꯃꯥꯟꯅꯅꯥ ꯁꯣꯀꯍꯜꯂꯤ꯫
ꯃꯔꯤ ꯂꯩꯅꯕꯥ ꯑꯇꯩ ꯂꯥꯌꯅꯥꯁꯤꯡ꯫ ꯑꯇꯣꯞꯄꯥ ꯑꯣꯇꯣꯏꯝꯌꯨꯟ ꯂꯥꯌꯅꯥꯁꯤꯡꯒꯥ ꯃꯔꯤ ꯂꯩꯅꯕꯥ ꯌꯥꯏ꯫ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯄꯦꯁꯦꯟꯇ 30%ꯗꯤ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯇꯔꯤ ꯕꯣꯋꯦꯜ ꯗꯤꯖꯤꯖ (IBD) ꯀꯧꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯁꯨ ꯂꯩꯕꯥ ꯌꯥꯏ꯫
ꯔꯤꯂꯦꯄꯁꯟ ꯇꯧꯕꯥ꯫ ꯂꯥꯏꯌꯦꯡ ꯂꯦꯄꯈ꯭ꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯍꯟꯖꯤꯅꯍꯅꯕꯒꯤ ꯆꯥꯡ ꯋꯥꯡꯏ꯫ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯂꯥꯀꯄꯒꯤ ꯆꯥꯡ ꯑꯁꯤ ꯅꯦꯝꯃꯤ .

ꯇꯥꯏꯞ ꯱ ꯑꯦ.ꯑꯥꯏ.ꯄꯤ.ꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯈꯔꯥ ꯍꯦꯟꯅꯥ...

ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯃꯁꯤ ꯑꯥꯏ.ꯖꯤ.ꯖꯤ.꯴ꯒꯥ ꯃꯔꯤ ꯂꯩꯅꯕꯥ ꯂꯥꯌꯅꯥꯁꯤꯡ ꯀꯧꯕꯥ ꯑꯆꯧꯕꯥ ꯂꯥꯌꯅꯥ ꯀꯥꯡꯂꯨꯞ ꯑꯃꯒꯤ ꯁꯔꯨꯛ ꯑꯃꯅꯤ꯫ IgG4 ꯑꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯅꯥ ꯁꯦꯝꯕꯥ ꯑꯦꯟꯇꯤꯕꯣꯗꯤ ꯃꯈꯜ ꯑꯃꯅꯤ꯫ ꯂꯥꯌꯅꯥ ꯑꯁꯤꯗꯥ ꯑꯥꯏ.ꯖꯤ.ꯖꯤ.꯴ ꯑꯃꯁꯨꯡ ꯄ꯭ꯂꯥꯖꯃꯥ ꯁꯦꯂ ꯀꯧꯕꯥ ꯏꯝꯝꯌꯨꯟ ꯁꯦꯂꯁꯤꯡꯅꯥ ꯄꯨꯟꯅꯥ ꯄꯦꯅꯛꯔꯤꯑꯦꯖꯒꯤ ꯇꯤꯁ꯭ꯌꯨꯁꯤꯡꯗꯥ ꯆꯠꯊꯣꯛ-ꯆꯠꯁꯤꯟ ꯇꯧꯗꯨꯅꯥ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯁꯟ ꯑꯃꯁꯨꯡ ꯁꯣꯀꯄꯥ ꯊꯣꯀꯍꯜꯂꯤ꯫

ꯇꯥꯏꯞ ꯲ ꯑꯦ.ꯑꯥꯏ.ꯄꯤ.ꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯈꯔꯥ ꯍꯦꯟꯅꯥ...

ꯃꯁꯤꯒꯤ ꯃꯈꯜ ꯑꯁꯤꯗꯥ, IgG4ꯒꯤ ꯆꯥꯡ ꯑꯁꯤ ꯍꯦꯅꯒꯠꯂꯀꯏ꯫ ꯑꯃꯁꯨꯡ ꯑꯇꯩ ꯑꯣꯔꯒꯥꯅꯁꯤꯡꯗꯥ ꯁꯣꯀꯍꯟꯗꯦ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯃꯤꯑꯣꯏꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯑꯦꯛꯌꯨꯠ ꯄꯦꯅꯛꯔꯤꯑꯦꯇꯤꯁꯀꯤ ꯔꯤꯀꯣꯚꯔꯤ ꯑꯦꯄꯤꯁꯣꯗꯁꯤꯡ ꯂꯥꯀꯄꯥ ꯌꯥꯏ꯫ ꯍꯥꯌꯕꯗꯤ, ꯄꯦꯅꯛꯔꯤꯑꯦꯖ ꯑꯁꯤ ꯈꯪꯍꯧꯗꯅꯥ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯁꯟ (inflame) ꯑꯣꯏꯔꯀꯏ ꯑꯃꯁꯨꯡ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ (simptoms) ꯂꯥꯀꯏ, ꯃꯗꯨ ꯅꯨꯃꯤꯠ ꯈꯔꯅꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯍꯟꯊꯔꯀꯏ꯫

ꯂꯥꯌꯅꯥ ꯑꯁꯤꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯀꯔꯤꯅꯣ?

ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯂꯥꯏꯑꯣꯡ ꯑꯃꯠꯇꯥ ꯂꯩꯇꯕꯁꯨ, ꯑꯌꯥꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯎꯕꯥ ꯐꯪꯂꯤꯕꯥ ꯑꯍꯥꯅꯕꯥ ꯈꯨꯗꯃꯗꯤ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯂꯩꯇꯕꯥ ꯖꯟꯗꯥꯁꯤꯁꯅꯤ . ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯈꯨꯗꯝ ꯑꯃꯅꯤ꯫ ꯃꯤꯑꯣꯏ ꯈꯔꯗꯤ ꯃꯊꯛ ꯊꯪꯕꯥ ꯁꯔꯨꯛꯇꯥ ꯅꯠꯠꯔꯒꯥ ꯀꯣꯛꯇꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯒꯤ ꯃꯔꯃꯗꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯄꯦꯅꯛꯔꯤꯑꯦꯖ ꯑꯁꯤ ꯁ꯭ꯇꯣꯃꯥꯛ ꯑꯃꯁꯨꯡ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗꯀꯤ ꯃꯔꯛꯇꯥ ꯂꯩ꯫

ꯈꯅꯕꯤꯌꯨ, ꯆꯥꯎꯔꯥꯛꯅꯥ ꯆꯍꯤ ꯶꯵ ꯁꯨꯔꯕꯥ ꯅꯨꯄꯥ ꯑꯃꯥ ꯂꯩꯔꯤ꯫ ꯃꯍꯥꯛꯀꯤ ꯃꯤꯠꯌꯦꯡ ꯑꯗꯨ ꯈꯉꯍꯧꯗꯅꯥ ꯌꯦꯜꯂꯣꯏ, ꯃꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡ ꯑꯗꯨ ꯌꯦꯜꯂꯣꯏ꯫ ꯃꯍꯥꯛꯀꯤ ꯑꯔꯨꯝꯕꯥ ꯍꯟꯊꯔꯦ꯫ ꯑꯗꯨꯕꯨ ꯃꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯑꯆꯧꯕꯥ ꯑꯋꯥꯕꯥ ꯑꯃꯠꯇꯥ ꯂꯩꯇꯦ꯫ ꯀꯅꯥꯒꯨꯝꯕꯥ ꯑꯃꯅꯥ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯋꯥꯐꯝ ꯑꯃꯥ ꯎꯕꯗꯥ ꯂꯥꯡꯇꯛꯅꯒꯅꯤ꯫ ꯃꯍꯥꯛꯅꯥ ꯗꯣꯛꯇꯔ ꯑꯃꯗꯥ ꯆꯠꯇꯨꯅꯥ ꯇꯣꯉꯥꯟ ꯇꯣꯉꯥꯅꯕꯥ ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯇꯧꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯈꯛꯇꯗꯥ ꯃꯁꯤ ꯀꯦꯟꯁꯔ ꯅꯠꯇꯦ, ꯑꯗꯨꯕꯨ ꯑꯣꯇꯣꯏꯝꯌꯨꯟ ꯄꯦꯅꯛꯔꯤꯑꯦꯇꯤꯁꯅꯤ ꯍꯥꯌꯕꯥ ꯈꯉꯏ꯫

ꯃꯁꯤꯒꯤ ꯃꯊꯛꯇꯥ, ꯅꯍꯥꯛꯅꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤꯁꯨ ꯎꯕꯥ ꯐꯪꯒꯅꯤ:

  • ꯑꯟꯙ꯭ꯔ ꯄ꯭ꯔꯗꯦꯁꯀꯤ ꯌꯨꯔꯤꯟ ꯑꯃꯁꯨꯡ ꯂꯦꯡ-ꯑꯣꯠꯄꯒꯤ ꯃꯑꯣꯡ (fading to white) .
  • ꯋꯥꯕ
  • ꯏꯟꯗꯖꯦꯁꯟ (indigestion) ꯂꯩꯕꯥ꯫
  • ꯆꯥꯛ ꯆꯥꯕꯥ ꯋꯥꯠꯄꯥ ꯑꯃꯁꯨꯡ ꯑꯔꯨꯝꯕꯥ ꯍꯟꯊꯕꯥ꯫
  • ꯅꯣꯡꯃꯩ ꯀꯥꯞꯄꯥ ꯑꯃꯁꯨꯡ ꯈꯣꯡ ꯍꯥꯝꯕꯥ꯫

ꯀꯔꯤꯒꯤꯗꯃꯛꯇꯥ ꯂꯥꯌꯅꯥ ꯑꯁꯤ ꯊꯣꯛꯂꯤꯕꯅꯣ? ꯔꯤꯁ꯭ꯛ ꯐꯦꯛꯇꯔꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?

ꯇꯁꯦꯡꯕꯗꯤ ꯁꯥꯏꯟꯇꯤꯁ꯭ꯇꯁꯤꯡꯅꯥ ꯍꯧꯖꯤꯛ ꯐꯥꯑꯣꯕꯥ ꯀꯔꯤꯒꯤꯗꯃꯛꯇꯥ ꯑꯣꯇꯣꯏꯝꯌꯨꯟ ꯂꯥꯌꯅꯥꯁꯤꯡ ꯑꯁꯤ ꯊꯣꯛꯂꯤꯕꯅꯣ ꯍꯥꯌꯕꯁꯤ ꯱꯰꯰% ꯁꯣꯏꯗꯅꯥ ꯍꯥꯌꯕꯥ ꯉꯃꯗ꯭ꯔꯤ꯫ ꯃꯈꯣꯌꯅꯥ ꯊꯥꯖꯩ ꯃꯗꯨꯗꯤ ꯃꯁꯤ ꯖꯤꯟ ꯑꯃꯁꯨꯡ ꯑꯀꯣꯌꯕꯒꯤ ꯐꯤꯕꯃꯒꯤ ꯐꯦꯛꯇꯔ ꯑꯅꯤꯃꯛꯀꯤ ꯀꯝꯕꯤꯅꯦꯁꯟ ꯑꯃꯅꯤ . ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯁꯥꯊꯤꯕꯥ ꯏꯅꯐꯦꯛꯁꯟ ꯑꯃꯥ ꯂꯥꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯑꯩꯈꯣꯌꯒꯤ ꯏꯝꯝꯌꯨꯟ ꯁꯤꯁ꯭ꯇꯦꯝ ꯑꯁꯤ ꯃꯗꯨ ꯂꯥꯀꯁꯤꯟꯅꯕꯥ ꯑꯣꯚꯔꯑꯦꯛꯇꯤꯚ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯂꯥꯟ ꯂꯣꯏꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯁꯤꯁ꯭ꯇꯦꯝ ꯑꯁꯤꯅꯥ ꯃꯇꯧ ꯀꯔꯝꯅꯥ ꯅꯤꯡꯊꯤꯖꯅꯥ ꯊꯃꯒꯗꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯀꯥꯑꯣꯊꯣꯀꯄꯥ ꯌꯥꯏ ꯑꯃꯁꯨꯡ ꯃꯁꯥꯒꯤ ꯁꯦꯂꯁꯤꯡꯗꯥ ꯑꯦꯇꯦꯛ ꯇꯧꯕꯥ ꯍꯧꯕꯥ ꯌꯥꯏ꯫

ꯃꯁꯤꯗꯁꯨ ꯅꯠꯇꯅꯥ, ꯍꯥꯟꯅꯅꯥ ꯑꯇꯣꯞꯄꯥ ꯑꯣꯇꯣꯏꯝꯌꯨꯟ ꯂꯥꯌꯅꯥ ꯑꯃꯥ ꯂꯩꯔꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯅꯥ ꯑꯦ.ꯑꯥꯏ.ꯄꯤ. ꯈꯨꯗꯝ ꯑꯣꯏꯅ:

  • ꯍꯥꯁꯤꯃꯣꯇꯣꯒꯤ ꯂꯥꯌꯅꯥ (ꯊꯥꯏꯔꯣꯏꯗ ꯒ꯭ꯜꯌꯥꯟꯗꯒꯥ ꯃꯔꯤ ꯂꯩꯅꯕꯥ ꯂꯥꯌꯅꯥ)
  • ꯑꯂꯁꯦꯔꯦꯇꯤꯚ ꯀꯣꯂꯥꯏꯇꯤꯁ (ꯑꯆꯧꯕꯥ ꯏꯟꯇꯦꯁ꯭ꯇꯥꯏꯅꯒꯤ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯁꯟ)
  • ꯔꯤꯌꯨꯃꯦꯇꯣꯏꯗ ꯑꯔꯊ꯭ꯔꯥꯏꯇꯤꯁ ꯂꯩꯕꯥ꯫
  • ꯁ꯭ꯖꯣꯒ꯭ꯔꯦꯟ ꯁꯤꯟꯗ꯭ꯔꯣꯝ (ꯁꯦꯂꯤꯚꯔꯤ ꯑꯃꯁꯨꯡ ꯇꯤꯌꯥꯔ ꯒ꯭ꯜꯌꯥꯟꯗꯁꯤꯡ ꯁꯣꯟꯊꯔꯀꯄꯥ ꯂꯥꯌꯅꯥ ꯑꯃꯥ)

ꯂꯥꯌꯅꯥ ꯑꯁꯤꯒꯤ ꯑꯣꯏꯊꯣꯀꯄꯥ ꯌꯥꯕꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ ꯀꯔꯤꯅꯣ?

ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯁꯅꯅꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯑꯣꯔꯒꯥꯅꯁꯤꯡꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯅꯥ ꯁ꯭ꯀꯥꯔ ꯇꯤꯁꯨ ꯁꯦꯃꯒꯠꯄꯗꯥ ꯊꯣꯀꯍꯜꯂꯤ꯫ ꯃꯁꯤꯒꯤ ꯁꯣꯛ-ꯄꯅꯕꯥ ꯑꯁꯤꯅꯥ ꯄꯦꯅꯛꯔꯤꯑꯦꯖꯒꯤ ꯊꯕꯛ ꯊꯧꯔꯃꯁꯤꯡꯗꯥ ꯑꯀꯥꯌꯕꯥ ꯄꯤꯕꯥ ꯌꯥꯏ꯫ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ, ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯅꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯍꯣꯔꯃꯣꯅꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯑꯦꯅꯖꯥꯏꯃꯁꯤꯡ ꯄꯨꯊꯣꯀꯄꯥ ꯂꯦꯄꯈꯤ, ꯃꯗꯨꯅꯥ ꯗꯥꯏꯖꯦꯁ꯭ꯇꯤꯚ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯑꯃꯁꯨꯡ ꯗꯥꯏꯑꯦꯕꯦꯇꯤꯖ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫

ꯎꯕꯥ ꯐꯪꯒꯗꯕꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯟ ꯑꯅꯤ ꯂꯩ:

1. ꯕꯤꯂꯤꯌꯔꯤ ꯁ꯭ꯠꯔꯤꯀꯆꯔ (Biliary stricture): ꯑꯩꯈꯣꯌꯒꯤ ꯂꯤꯚꯔꯗꯥ ꯄꯨꯊꯣꯀꯄꯥ ꯐ꯭ꯂꯨꯏꯗ ꯑꯃꯥ ꯑꯣꯏꯔꯤꯕꯥ ꯕꯥꯏꯜ ꯑꯁꯤ ꯏꯟꯇꯦꯁ꯭ꯇꯥꯏꯅꯁꯤꯡꯗꯥ ꯄꯨꯗꯨꯅꯥ ꯆꯠꯂꯤꯕꯥ ꯕꯥꯏꯜ ꯗꯛꯇꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯄꯦꯅꯛꯔꯤꯑꯦꯖꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯆꯠꯂꯤ꯫ ꯄꯦꯅꯛꯔꯤꯑꯦꯖ ꯑꯁꯤ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯁꯟ ꯅꯠꯠꯔꯒꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ ꯃꯇꯃꯗꯥ, ꯗꯛꯇꯁꯤꯡ ꯑꯁꯤ ꯊꯤꯡꯖꯤꯅꯕꯥ ꯌꯥꯏ꯫ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ, ꯕꯥꯏꯜ ꯑꯗꯨ ꯍꯀꯆꯥꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯄꯨꯁꯤꯜꯂꯀꯏ, ꯃꯗꯨꯅꯥ ꯖꯟꯗꯥꯁꯤꯁ ꯊꯣꯀꯍꯜꯂꯤ꯫

2. ꯄꯦꯅꯛꯔꯤꯑꯦꯇꯤꯛ ꯀꯦꯟꯁꯔꯒꯤ ꯔꯤꯁ꯭ꯛ: ꯃꯁꯤ ꯃꯤꯑꯣꯏ ꯀꯌꯥꯅꯥ ꯂꯥꯡꯇꯛꯅꯔꯤꯕꯥ ꯑꯃꯅꯤ꯫ ꯑꯣꯇꯣꯏꯝꯌꯨꯟ ꯄꯦꯅꯛꯔꯤꯑꯦꯇꯤꯁ ꯑꯁꯤ ꯀꯦꯟꯁꯔ ꯅꯠꯇꯦ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯀ꯭ꯔꯣꯅꯤꯛ ꯄꯦꯅꯛꯔꯤꯑꯦꯇꯤꯁꯅꯥ ꯅꯥꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯅꯥ, ꯃꯔꯝ ꯑꯃꯍꯦꯛꯇꯗꯒꯤ, ꯄꯦꯅꯛꯔꯤꯑꯦꯇꯤꯛ ꯀꯦꯟꯁꯔ ꯂꯥꯀꯄꯒꯤ ꯔꯤꯁ꯭ꯛ ꯌꯥꯝꯅꯥ ꯅꯦꯝꯃꯤ (ꯆꯥꯎꯔꯥꯛꯅꯥ 1% - 2%) ꯫ ꯂꯥꯌꯅꯥ ꯑꯅꯤꯃꯛꯀꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯃꯥꯟꯅꯕꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯑꯅꯤꯁꯤꯒꯤ ꯃꯔꯛꯇꯥ ꯈꯦꯟꯅꯕꯥ ꯊꯝꯕꯥ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯃꯁꯤ ꯆꯦꯀꯁꯤꯟꯅꯥ ꯌꯦꯡꯁꯤꯅꯒꯅꯤ꯫

ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯃꯇꯧ ꯀꯔꯝꯅꯥ ꯂꯥꯌꯅꯥ ꯑꯁꯤ ꯑꯆꯨꯝꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯈꯉꯗꯣꯀꯄꯥ ꯉꯃꯒꯅꯤ?

ꯃꯁꯤ ꯗꯤꯇꯦꯛꯇꯤꯚ ꯋꯥꯔꯤ ꯑꯃꯒꯨꯝꯕꯅꯤ꯫ ꯇꯦꯁ꯭ꯠ ꯑꯃꯈꯛꯇꯅꯥ ꯂꯥꯌꯅꯥ ꯑꯁꯤ ꯀꯅꯐꯔꯝ ꯇꯧꯕꯥ ꯉꯃꯗꯦ꯫ ꯑꯇꯣꯞꯄꯥ ꯂꯥꯌꯅꯥꯁꯤꯡ, ꯃꯔꯨꯑꯣꯏꯅꯥ ꯀꯦꯟꯁꯔ ꯂꯥꯀꯁꯤꯅꯕꯁꯨ ꯃꯊꯧ ꯇꯥꯏ꯫ ꯃꯔꯝ ꯑꯁꯤꯅꯥ ꯗꯣꯛꯇꯔꯅꯥ ꯇꯦꯁ꯭ꯠ ꯀꯌꯥ ꯑꯃꯥ ꯇꯧꯒꯅꯤ꯫

ꯇꯦꯁ꯭ꯠ ꯇꯧꯕꯒꯤ ꯃꯑꯣꯡ꯫ ꯀꯔꯤ ꯇꯧꯔꯤꯕꯒꯦ?
ꯕ꯭ꯂꯗ ꯇꯦꯁ꯭ꯠ ꯇꯧꯕꯥ꯫ IgG4 ꯑꯦꯟꯇꯤꯕꯣꯗꯤꯒꯤ ꯆꯥꯡ, ꯂꯤꯚꯔ ꯑꯃꯁꯨꯡ ꯄꯦꯅꯛꯔꯤꯑꯦꯇꯤꯛ ꯑꯦꯅꯖꯥꯏꯃꯒꯤ ꯆꯥꯡ ꯌꯦꯡꯁꯤꯜꯂꯤ꯫ ꯀꯦꯟꯁꯔ ꯃꯥꯔꯀꯔꯒꯨꯝꯕꯥ ꯄꯣꯠꯂꯃꯁꯤꯡ ꯑꯁꯤꯁꯨ ꯀꯦꯟꯁꯔꯒꯤ ꯀꯟꯗꯤꯁꯟ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯅꯥ ꯇꯦꯁ꯭ꯠ ꯇꯧꯕꯥ ꯌꯥꯏ꯫
ꯏꯃꯦꯖꯤꯡ ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯇꯧꯕꯥ꯫ ꯑꯦꯝ.ꯑꯥꯔ.ꯑꯥꯏ. ꯅꯠꯠꯔꯒꯥ ꯁꯤ.ꯇꯤ. ꯑꯦꯝ ꯑꯥꯔ ꯁꯤ ꯄꯤ ꯀꯧꯕꯥ ꯑꯈꯟꯅꯕꯥ ꯑꯦꯝ ꯑꯥꯔ ꯑꯥꯏ ꯁ꯭ꯀꯦꯟ ꯑꯃꯅꯥ ꯕꯥꯏꯜ ꯗꯛꯇꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯄꯦꯅꯛꯔꯤꯑꯦꯇꯤꯛ ꯗꯛꯇ ꯁꯤꯁ꯭ꯇꯦꯃꯗꯥ ꯅꯤꯡꯊꯤꯅꯥ ꯌꯦꯡꯁꯤꯜꯂꯤ꯫
ꯕꯥꯏꯑꯣꯞꯁꯤ ꯇꯧꯕꯥ꯫ ꯑꯦꯟꯗꯣꯁ꯭ꯀꯣꯄꯤꯛ ꯑꯂꯠꯔꯥꯁꯥꯎꯟꯗ, ꯑꯦꯟꯗꯣꯁ꯭ꯀꯣꯞ ꯁꯤꯖꯤꯟꯅꯗꯨꯅꯥ ꯄꯦꯅꯛꯔꯤꯑꯦꯖꯗꯒꯤ ꯇꯤꯁ꯭ꯌꯨꯒꯤ ꯑꯄꯤꯀꯄꯥ ꯁꯔꯨꯛ ꯑꯃꯥ ꯂꯧꯊꯣꯛꯇꯨꯅꯥ ꯃꯥꯏꯛꯔꯣꯁ꯭ꯀꯣꯄꯀꯤ ꯃꯈꯥꯗꯥ ꯌꯦꯡꯁꯤꯅꯕꯥ ꯑꯁꯤꯅꯥ ꯂꯥꯌꯅꯥ ꯑꯁꯤ ꯈꯉꯗꯣꯀꯄꯗꯥ ꯱꯰꯰% ꯑꯆꯨꯝꯕꯥ ꯑꯣꯏ꯫
ꯂꯥꯌꯦꯡꯕꯒꯤ ꯇ꯭ꯔꯥꯏꯑꯦꯜ ꯇꯧꯕꯥ꯫ꯀꯦꯁ ꯈꯔꯗꯗꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯑꯦ.ꯑꯥꯏ.ꯄꯤ.(ꯀꯣꯔꯇꯤꯀꯣꯁ꯭ꯇꯦꯔꯣꯏꯗ)ꯒꯤꯗꯃꯛꯇꯥ ꯁꯤꯖꯤꯟꯅꯔꯤꯕꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ ꯑꯗꯨ ꯍꯧꯗꯣꯛꯀꯅꯤ ꯑꯃꯁꯨꯡ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯗꯨ ꯐꯒꯠꯂꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯒꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯗꯨ ꯊꯨꯅꯥ ꯐꯒꯠꯂꯛꯂꯕꯗꯤ, ꯃꯗꯨꯁꯨ ꯗꯥꯏꯑꯦꯒ꯭ꯅꯣꯁꯤꯁ ꯑꯗꯨꯕꯨ ꯁꯄꯣꯔꯠ ꯇꯧꯅꯕꯥ ꯄ꯭ꯔꯃꯥꯟ ꯑꯃꯅꯤ꯫

ꯂꯥꯏꯌꯦꯡꯕꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?

ꯑꯣꯇꯣꯏꯝꯌꯨꯟ ꯄꯦꯅꯛꯔꯤꯑꯦꯇꯤꯁꯀꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯑꯃꯁꯨꯡ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯏꯐꯦꯛꯇꯤꯕ ꯑꯣꯏꯕꯥ ꯂꯥꯌꯦꯡ ꯑꯁꯤ ꯀꯣꯔꯇꯤꯀꯣꯁ꯭ꯇꯦꯔꯣꯏꯗ ꯀꯧꯕꯥ ꯗ꯭ꯔꯒꯁꯤꯡꯒꯤ ꯀ꯭ꯂꯥꯁ ꯑꯃꯅꯤ . ꯄ꯭ꯔꯦꯗꯅꯤꯁꯟ ꯑꯁꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯌꯥꯝꯅꯥ ꯁꯤꯖꯤꯟꯅꯕꯥ ꯗ꯭ꯔꯒꯅꯤ꯫ ꯗ꯭ꯔꯒꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯑꯣꯚꯔꯑꯦꯛꯇꯤꯕ ꯏꯝꯝꯌꯨꯟ ꯁꯤꯁ꯭ꯇꯦꯝ ꯑꯁꯤ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯊꯃꯗꯨꯅꯥ ꯑꯃꯁꯨꯡ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯁꯟ ꯍꯟꯊꯍꯟꯗꯨꯅꯥ ꯊꯕꯛ ꯇꯧꯏ꯫

ꯃꯍꯧꯁꯥꯅꯥ ꯂꯥꯏꯌꯦꯡ ꯑꯁꯤ ꯗ꯭ꯔꯒꯀꯤ ꯑꯋꯥꯡꯕꯥ ꯗꯣꯖ ꯑꯃꯗꯒꯤ ꯍꯧꯏ . ꯅꯍꯥꯛꯀꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯇꯦꯁ꯭ꯇꯀꯤ ꯐꯂꯁꯤꯡ ꯐꯒꯠꯂꯀꯄꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯗꯣꯖ ꯑꯗꯨ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯍꯟꯊꯍꯅꯒꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯅꯍꯥꯛꯅꯥ ꯁ꯭ꯇꯦꯔꯣꯏꯗꯁꯤꯡ ꯂꯧꯕꯥ ꯂꯦꯄꯈ꯭ꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ, ꯂꯥꯌꯅꯥ ꯑꯁꯤ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯅꯕꯥ ꯑꯇꯩ ꯏꯝꯝꯌꯨꯅꯣꯁꯞꯔꯦꯁꯦꯟꯇ ꯍꯤꯗꯥꯀꯁꯤꯡ ꯄꯤꯕꯥ ꯌꯥꯏ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ ꯂꯩꯔꯕꯗꯤ, ꯍꯥꯌꯕꯗꯤ ꯕꯥꯏꯜ ꯗꯛꯇ ꯑꯣꯕꯁ꯭ꯠꯔꯀꯆꯔ ꯑꯁꯤꯅꯆꯤꯡꯕꯥ, ꯃꯁꯤ ꯇꯣꯉꯥꯟꯅꯥ ꯂꯥꯏꯌꯦꯡꯕꯥ ꯃꯊꯧ ꯇꯥꯒꯅꯤ꯫ ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯕ꯭ꯂꯣꯛ ꯇꯧꯔꯕꯥ ꯗꯛꯇ ꯑꯗꯨ ꯍꯥꯡꯗꯣꯛꯅꯕꯥ ꯁ꯭ꯇꯦꯟꯇ ꯑꯃꯥ ꯊꯝꯕꯥ ꯌꯥꯏ꯫ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ, ꯁꯔꯖꯔꯤꯒꯤ ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯏ꯫

ꯂꯥꯌꯅꯥ ꯑꯁꯤꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯄꯨꯟꯁꯤ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯑꯣꯏꯒꯅꯤ?

ꯅꯨꯡꯉꯥꯏꯕꯥ ꯄꯥꯎ ꯑꯃꯗꯤ ꯑꯣꯇꯣꯏꯝꯌꯨꯟ ꯄꯦꯅꯛꯔꯤꯑꯦꯇꯤꯁ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯂꯥꯏꯌꯦꯡꯕꯥ ꯌꯥꯕꯥ ꯂꯥꯌꯅꯥ ꯑꯃꯅꯤ . ꯁ꯭ꯇꯦꯔꯣꯏꯗ ꯂꯥꯏꯌꯦꯡ ꯍꯧꯔꯕꯥ ꯃꯇꯨꯡ ꯅꯨꯃꯤꯠ ꯈꯔꯅꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡꯗꯥ ꯃꯁꯛ ꯊꯣꯀꯄꯥ ꯑꯍꯣꯡꯕꯥ ꯑꯃꯥ ꯎꯕꯥ ꯐꯪꯒꯅꯤ꯫ ꯃꯤꯑꯣꯏ ꯀꯌꯥꯅꯥ ꯃꯇꯃꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛ ꯑꯁꯤ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯊꯤꯡꯕꯥ ꯉꯝꯃꯤ꯫

ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ (ꯃꯔꯨꯑꯣꯏꯅꯥ ꯇꯥꯏꯞ 1 AIPꯗꯥ) ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯂꯥꯏꯌꯦꯡꯕꯥ ꯂꯦꯄꯈ꯭ꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯍꯜꯂꯀꯄꯥ (ꯔꯤꯂꯦꯄꯁꯟ) ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯀꯦꯁꯁꯤꯡꯗꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯍꯤꯗꯥꯛ ꯑꯗꯨ ꯍꯦꯟꯅꯥ ꯅꯦꯝꯕꯥ ꯗꯣꯖꯗꯥ ꯃꯈꯥ ꯇꯥꯅꯥ ꯂꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯏ꯫ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯗꯨ ꯃꯈꯥ ꯇꯥꯅꯥ ꯌꯦꯡꯁꯤꯅꯒꯅꯤ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤꯗꯃꯛꯇꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯥ ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯄ꯭ꯂꯥꯟ ꯑꯃꯥ ꯁꯦꯃꯒꯅꯤ꯫

ꯃꯁꯤ ꯈꯔꯥ ꯍꯦꯟꯅꯥ ꯂꯨꯝꯂꯕꯥ ꯂꯥꯌꯅꯥ ꯑꯃꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯆꯍꯤ ꯀꯌꯥ ꯈꯪꯗꯣꯀꯄꯥ ꯉꯃꯗꯅꯥ ꯂꯩꯕꯥ ꯌꯥꯏ, ꯑꯃꯁꯨꯡ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯂꯥꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯃꯈꯣꯌ ꯑꯁꯤ ꯋꯥꯈꯜ ꯇꯥꯗꯕꯥ ꯌꯥꯏ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯑꯆꯨꯝꯕꯥ ꯗꯥꯏꯑꯦꯒ꯭ꯅꯣꯁꯤꯁ ꯑꯃꯥ ꯐꯪꯕꯗꯥ ꯃꯇꯝ ꯈꯔꯥ ꯆꯪꯂꯝꯕꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯂꯥꯌꯅꯥ ꯑꯁꯤꯒꯤ ꯌꯥꯝꯅꯥ ꯏꯐꯦꯛꯇꯤꯚ ꯑꯣꯏꯕꯥ ꯂꯥꯏꯌꯦꯡꯁꯤꯡ ꯂꯩ ꯍꯥꯌꯕꯁꯤ ꯅꯤꯡꯁꯤꯡꯕꯤꯌꯨ, ꯑꯃꯁꯨꯡ ꯂꯥꯏꯌꯦꯡꯕꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯑꯗꯣꯝ ꯊꯨꯅꯥ ꯐꯒꯠꯂꯀꯄꯥ ꯉꯃꯒꯅꯤ꯫ ꯃꯗꯨꯅꯥ ꯑꯗꯣꯃꯗꯥ ꯑꯆꯧꯕꯥ ꯄꯥꯉ꯭ꯒꯜ ꯑꯃꯥ ꯄꯤꯒꯅꯤ꯫

ꯇꯦꯛ-ꯍꯣꯝ ꯃꯦꯁꯦꯖ ꯇꯧꯕꯥ꯫

  • ꯑꯣꯇꯣꯏꯝꯌꯨꯟ ꯄꯦꯅꯛꯔꯤꯑꯦꯇꯤꯁ (AIP) ꯍꯥꯌꯕꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯏꯁꯥꯒꯤ ꯏꯝꯝꯌꯨꯟ ꯁꯤꯁ꯭ꯇꯦꯃꯅꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯄꯦꯅꯛꯔꯤꯑꯦꯖꯗꯥ ꯑꯦꯇꯦꯛ ꯇꯧꯕꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯂꯥꯌꯅꯥ ꯑꯃꯅꯤ꯫
  • ꯑꯁꯣꯛ-ꯑꯄꯟ ꯂꯩꯇꯕꯥ ꯖꯟꯗꯥꯁꯤꯁ ꯑꯃꯁꯨꯡ ꯃꯌꯦꯛ ꯁꯦꯡꯗꯕꯥ ꯑꯔꯨꯝꯕꯥ ꯍꯟꯊꯔꯀꯄꯥ ꯑꯁꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫
  • ꯁ꯭ꯀꯦꯅꯁꯤꯡꯗꯥ ꯄꯦꯅꯛꯔꯤꯑꯦꯇꯤꯛ ꯀꯦꯟꯁꯔꯒꯨꯝꯅꯥ ꯎꯕꯥ ꯐꯪꯂꯕꯁꯨ, ꯑꯦ.ꯑꯥꯏ.ꯄꯤ. ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯇꯦꯁ꯭ꯠ ꯇꯧꯕꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯑꯅꯤ ꯑꯁꯤ ꯈꯦꯠꯅꯍꯅꯕꯥ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫
  • ꯂꯥꯌꯅꯥ ꯑꯁꯤꯅꯥ ꯀꯣꯔꯇꯤꯀꯣꯁ꯭ꯇꯦꯔꯣꯏꯗꯁꯤꯡ ꯂꯥꯌꯦꯡꯕꯗꯥ ꯌꯥꯝꯅꯥ ꯐꯖꯅꯥ ꯔꯦꯁꯄꯣꯟꯁ ꯇꯧꯏ ꯑꯃꯁꯨꯡ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯐꯍꯅꯕꯥ ꯉꯝꯃꯤ꯫
  • ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯂꯩꯔꯕꯗꯤ, ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯂꯩꯔꯣꯏꯗꯕꯅꯤ ꯑꯃꯁꯨꯡ ꯌꯥꯔꯤꯕꯃꯈꯩ ꯊꯨꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯇꯥꯟꯅꯗꯨꯅꯥ ꯄꯥꯎꯇꯥꯛ ꯂꯧꯕꯤꯌꯨ꯫

ꯑꯣꯇꯣꯏꯝꯌꯨꯟ ꯄꯦꯅꯛꯔꯤꯑꯦꯇꯤꯁ, ꯄꯦꯅꯛꯔꯤꯑꯦꯇꯤꯁ, ꯖꯟꯗꯥꯁꯤꯁ, ꯑꯥꯏ.ꯖꯤ.ꯖꯤ.꯴, ꯁ꯭ꯇꯦꯔꯣꯏꯗ, ꯏꯝꯝꯌꯨꯟ ꯁꯤꯁ꯭ꯇꯦꯝ, ꯄꯦꯅꯛꯔꯤꯑꯦꯇꯤꯁ, ꯖꯟꯗꯤꯁ, ꯑꯣꯇꯣꯏꯝꯌꯨꯟ ꯂꯥꯌꯅꯥ꯫
⚠️ 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.

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