ꯑꯔꯨꯝꯕꯥ ꯍꯟꯊꯍꯅꯕꯒꯤ ꯁꯔꯖꯔꯤ (ꯕꯦꯔꯤꯌꯥꯠꯔꯤꯛ ꯁꯔꯖꯔꯤ)ꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯄꯨꯝꯅꯃꯛ ꯏꯆꯝ ꯆꯝꯕꯥ ꯋꯥꯍꯟꯊꯣꯛ ꯑꯃꯗꯥ꯫

ꯑꯔꯨꯝꯕꯥ ꯍꯟꯊꯍꯟꯅꯕꯥ ꯍꯣꯠꯅꯕꯗꯥ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯂꯩꯕ꯭ꯔꯥ? ꯅꯍꯥꯛꯅꯥ ꯗꯥꯏꯠ, ꯔꯣꯖꯥ ꯑꯃꯁꯨꯡ ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯇꯧꯕꯗꯥ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯂꯩꯕ꯭ꯔꯥ? ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯑꯣꯕꯦꯁꯤꯇꯤ ꯑꯁꯤ ꯐꯖꯅꯥ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯥ ꯉꯝꯕꯥ ꯄꯣꯠꯁꯛ ꯑꯃꯅꯤ꯫ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯀꯦꯁꯁꯤꯡ ꯑꯁꯤꯗꯥ ꯑꯇꯣꯞꯄꯥ ꯄꯥꯝꯕꯩ ꯄꯨꯝꯅꯃꯛ ꯃꯥꯌ ꯄꯥꯀꯄꯥ ꯉꯃꯗꯕꯥ ꯃꯇꯃꯗꯥ ꯑꯩꯈꯣꯌꯅꯥ ꯉꯁꯤ ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯁꯖꯦꯁ꯭ꯠ ꯇꯧꯔꯤꯕꯥ ꯑꯈꯟꯅꯕꯥ ꯁꯣꯂꯨꯁꯟ ꯑꯃꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯔꯤ꯫ ꯍꯥꯌꯕꯗꯤ ꯑꯔꯨꯝꯕꯥ ꯍꯟꯊꯍꯅꯕꯒꯤ ꯁꯔꯖꯔꯤ, ꯅꯠꯔꯒꯥ ꯕꯦꯔꯤꯌꯥꯠꯔꯤꯛ ꯁꯔꯖꯔꯤꯅꯤ꯫

ꯕꯦꯔꯤꯌꯥꯠꯔꯤꯛ ꯁꯔꯖꯔꯤ ꯍꯥꯌꯕꯁꯤ ꯇꯁꯦꯡꯅꯥ ꯀꯔꯤꯅꯣ?

ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ ꯃꯁꯤ ꯁꯔꯖꯤꯀꯦꯜ ꯄ꯭ꯔꯣꯁꯤꯖꯔ ꯑꯃꯅꯤ꯫ ꯃꯁꯤ ꯑꯣꯕꯦꯁꯤꯇꯤ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯗꯥ ꯑꯔꯨꯝꯕꯥ ꯍꯟꯊꯍꯅꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯕꯗꯥ ꯁꯤꯖꯤꯟꯅꯩ꯫ ꯑꯗꯨꯕꯨ ꯃꯁꯤ ꯂꯥꯏꯄꯣꯀꯅꯒꯨꯝꯕꯥ ꯍꯀꯆꯥꯡꯗꯒꯤ ꯐꯦꯠ ꯂꯧꯊꯣꯀꯄꯥ ꯉꯝꯕꯥ ꯁꯔꯖꯔꯤ ꯈꯛꯇꯒꯤ ꯅꯠꯇꯦ꯫ ꯃꯐꯝ ꯑꯁꯤꯗꯥ ꯇꯧꯔꯤꯕꯥ ꯑꯁꯤ ꯑꯗꯣꯃꯒꯤ ꯗꯥꯏꯖꯦꯁ꯭ꯇꯤꯕ ꯁꯤꯁ꯭ꯇꯦꯃꯗꯥ ꯑꯍꯣꯡꯕꯥ ꯈꯔꯥ ꯄꯨꯔꯀꯄꯅꯤ .

ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯈꯟꯊꯕꯤꯌꯨ, ꯁꯔꯖꯔꯤ ꯑꯁꯤꯅꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯊꯕꯛ ꯑꯅꯤ ꯇꯧꯏ:

1. ꯃꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯁꯣꯀꯍꯜꯂꯤ꯫ ꯃꯁꯤꯅꯥ ꯃꯇꯝ ꯑꯃꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯆꯥꯕꯥ ꯌꯥꯕꯥ ꯆꯤꯟꯖꯥꯛꯀꯤ ꯆꯥꯡ ꯑꯗꯨ ꯌꯥꯝꯅꯥ ꯂꯤꯃꯤꯠ ꯇꯧꯏ꯫ ꯈꯔꯥ ꯆꯥꯕꯥ ꯂꯣꯏꯔꯕꯥ ꯃꯇꯨꯡꯗꯁꯨ ꯅꯍꯥꯛꯅꯥ ꯍꯧꯖꯤꯀꯁꯨ ꯃꯄꯨꯡ ꯐꯥꯕꯥ ꯐꯥꯑꯣꯏ꯫

2. ꯁꯔꯖꯔꯤ ꯃꯈꯜ ꯈꯔꯗꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯑꯄꯤꯀꯄꯥ ꯏꯟꯇꯦꯁ꯭ꯇꯥꯏꯅꯒꯤ ꯁꯔꯨꯛ ꯑꯃꯥ ꯕꯥꯏꯄꯥꯁ ꯇꯧꯏ꯫ ꯃꯁꯤꯅꯥ ꯇꯥꯀꯄꯗꯤ ꯍꯀꯆꯥꯡꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯆꯥꯔꯤꯕꯥ ꯆꯤꯟꯖꯥꯛ ꯑꯗꯨꯗꯒꯤ ꯀꯦꯂꯣꯔꯤ ꯑꯃꯁꯨꯡ ꯅ꯭ꯌꯨꯠꯔꯤꯑꯦꯟꯇꯁꯤꯡ ꯍꯟꯊꯅꯥ ꯂꯧꯊꯣꯀꯏ꯫

ꯃꯦꯊꯗ ꯑꯅꯤ ꯑꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡꯅꯥ ꯂꯧꯔꯤꯕꯥ ꯀꯦꯂꯣꯔꯤꯒꯤ ꯆꯥꯡ ꯍꯟꯊꯍꯜꯂꯤ, ꯃꯁꯤ ꯈꯛꯇꯥ ꯅꯠꯇꯅꯥ, ꯁꯔꯖꯔꯤ ꯑꯁꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ , ꯅꯍꯥꯛꯀꯤ ꯕ꯭ꯔꯦꯅꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯃꯍꯥꯡꯗꯥ ꯈꯣꯉ ꯍꯥꯃꯗꯕꯅꯤ ꯍꯥꯌꯅꯥ ꯇꯥꯀꯄꯥ ꯍꯣꯔꯃꯣꯅꯒꯤ ꯁꯤꯒꯅꯦꯂꯁꯤꯡ (ꯂꯃꯍꯥꯡꯗꯥ ꯈꯣꯉꯍꯥꯃꯗꯕꯥ ꯁꯤꯒꯅꯦꯂꯁꯤꯡ)ꯁꯨ ꯍꯟꯊꯔꯀꯏ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯂꯦꯞꯄꯥ ꯂꯩꯇꯅꯥ ꯆꯥꯕꯥ ꯄꯥꯃꯖꯕꯒꯤ ꯐꯤꯚꯝ ꯑꯗꯨꯁꯨ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯏ꯫

ꯀꯔꯤꯒꯤꯗꯃꯛꯇꯥ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯃꯈꯂꯒꯤ ꯁꯔꯖꯔꯤ ꯑꯁꯤ ꯇꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯔꯤꯕꯅꯣ?

ꯃꯤꯑꯣꯏ ꯀꯌꯥ ꯑꯃꯅꯥ ꯑꯐꯕꯥ ꯗꯥꯏꯠ ꯑꯃꯁꯨꯡ ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯇꯧꯗꯨꯅꯥ ꯀꯅꯥꯒꯨꯝꯕꯥ ꯑꯃꯅꯥ ꯑꯔꯨꯝꯕꯥ ꯍꯟꯊꯍꯅꯕꯥ ꯉꯃꯒꯅꯤ ꯍꯥꯌꯅꯥ ꯈꯜꯂꯤ꯫ ꯃꯗꯨ ꯃꯍꯧꯁꯥꯅꯥ ꯑꯆꯨꯝꯕꯅꯤ꯫ ꯑꯗꯨꯕꯨ ꯁꯥꯊꯤꯕꯥ ꯑꯣꯕꯦꯁꯤꯇꯤ ꯂꯩꯕꯥ (ꯀ꯭ꯂꯥꯁ III ꯑꯣꯕꯦꯁꯤꯇꯤ) ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯒꯤꯗꯃꯛꯇꯗꯤ ꯃꯁꯤ ꯑꯁꯨꯛ ꯌꯥꯝꯅꯥ ꯂꯥꯏꯕꯛ ꯐꯕꯅꯤ꯫ ꯔꯤꯁꯔꯆꯅꯥ ꯇꯥꯛꯂꯤ ꯃꯗꯨꯗꯤ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯃꯈꯂꯒꯤ ꯑꯣꯕꯦꯁꯤꯇꯤ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯅꯥ ꯗꯥꯏꯠ ꯑꯃꯁꯨꯡ ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯈꯛꯇꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯂꯣꯡ ꯇꯔꯃꯗꯥ ꯑꯔꯨꯝꯕꯥ ꯍꯟꯊꯍꯅꯕꯒꯤ ꯆꯥꯡ ꯍꯟꯊꯩ꯫

ꯃꯔꯃꯗꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯅꯥ ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯑꯔꯨꯝꯕꯥ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯑꯔꯨꯝꯕꯥ ꯑꯁꯤ ꯃꯁꯤꯒꯤ ‘ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯕꯥ ꯑꯔꯨꯝꯕꯥ’ꯅꯤ ꯍꯥꯌꯅꯥ ꯈꯜꯂꯤ꯫ ꯑꯩꯈꯣꯌꯅꯥ ꯑꯔꯨꯝꯕꯥ ꯍꯟꯊꯍꯟꯅꯕꯥ ꯍꯣꯠꯅꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯍꯀꯆꯥꯡꯅꯥ ꯃꯇꯝ ꯄꯨꯝꯅꯃꯛꯇꯥ ꯑꯗꯨꯒꯨꯝꯕꯥ ‘ꯅꯣꯔꯃꯦꯜ’ ꯑꯔꯨꯝꯕꯥ ꯑꯗꯨꯗꯥ ꯍꯜꯂꯛꯅꯕꯥ ꯍꯣꯠꯅꯩ꯫ ꯃꯁꯤꯒꯤ ꯁꯔꯖꯔꯤ ꯑꯁꯤꯅꯥ ꯊꯧꯑꯣꯡ ꯑꯗꯨ ꯍꯣꯡꯗꯣꯀꯄꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ ꯑꯃꯁꯨꯡ ꯑꯩꯈꯣꯌꯅꯥ ꯍꯀꯆꯥꯡ ꯐꯅꯥ ꯆꯥꯕꯥ ꯑꯃꯁꯨꯡ ꯁꯥꯖꯦꯜ ꯇꯧꯕꯗꯒꯤ ꯇꯁꯦꯡꯅꯥ ꯐꯜ ꯐꯪꯒꯗꯕꯥ ꯐꯤꯚꯝ ꯑꯃꯥ ꯁꯦꯃꯒꯠꯂꯤ꯫

ꯁꯔꯖꯔꯤ ꯑꯁꯤꯅꯥ ꯑꯇꯣꯞꯄꯥ ꯀꯔꯤ ꯂꯥꯌꯅꯥ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯥ ꯉꯃꯒꯅꯤ?

ꯑꯣꯕꯦꯁꯤꯇꯤ ꯍꯥꯌꯕꯁꯤ ꯑꯔꯨꯝꯕꯥ ꯍꯦꯅꯒꯠꯂꯀꯄꯈꯛꯇꯒꯤ ꯅꯠꯇꯦ꯫ ꯃꯁꯤꯅꯥ ꯄꯨꯟꯁꯤ ꯃꯥꯡꯍꯅꯕꯥ ꯌꯥꯕꯥ ꯂꯥꯌꯅꯥ ꯀꯌꯥ ꯑꯃꯁꯨ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯅꯨꯡꯉꯥꯏꯕꯥ ꯄꯥꯎ ꯑꯃꯗꯤ ꯕꯦꯔꯤꯌꯥꯠꯔꯤꯛ ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯑꯔꯨꯝꯕꯥ ꯍꯟꯊꯔꯀꯄꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯀꯌꯥ ꯑꯁꯤ ꯔꯤꯚꯔꯁ ꯇꯧꯕꯥ ꯌꯥꯏ꯫ꯃꯁꯛ ꯊꯣꯛꯅꯥ ꯐꯒꯠꯂꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯃꯄꯨꯡ ꯐꯥꯅꯥ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯥ꯫

ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯈꯔꯗꯤ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤ:

ꯁꯔꯖꯔꯤ ꯑꯁꯤꯒꯤꯗꯃꯛꯇꯥ ꯀꯅꯥꯅꯥ ꯏꯂꯤꯖꯤꯕꯜ ꯑꯣꯏꯕꯒꯦ?

ꯃꯁꯤꯒꯤ ꯁꯔꯖꯔꯤ ꯑꯁꯤ ꯃꯤꯄꯨꯝ ꯈꯨꯗꯤꯡꯃꯛꯀꯤꯗꯃꯛ ꯇꯧꯕꯥ ꯅꯠꯇꯦ꯫ ꯃꯁꯤꯒꯤꯗꯃꯛꯇꯥ ꯑꯀꯛꯅꯕꯥ ꯀ꯭ꯔꯥꯏꯇꯦꯔꯤꯌꯥ ꯂꯩ꯫ ꯌꯦꯡꯂꯤꯕꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯋꯥꯐꯃꯗꯤ ꯅꯍꯥꯛꯀꯤ ꯕꯣꯗꯤ ꯃꯥꯁ ꯏꯟꯗꯦꯛꯁ, ꯅꯠꯠꯔꯒꯥ BMI (Body Mass Index) . BMI ꯑꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯋꯥꯡꯕꯒꯤ ꯆꯥꯡ ꯑꯗꯨꯒꯤꯗꯃꯛ ꯍꯀꯁꯦꯜ ꯐꯕꯥ ꯑꯔꯨꯝꯕꯥ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯂꯦꯄꯊꯣꯀꯄꯥ ꯏꯆꯝ ꯆꯝꯕꯥ ꯈꯣꯡꯊꯥꯡ ꯑꯃꯅꯤ꯫

ꯃꯍꯧꯁꯥꯅꯥ, ꯁꯔꯖꯔꯤꯒꯤꯗꯃꯛꯇꯥ ꯀ꯭ꯕꯥꯂꯤꯐꯥꯏ ꯑꯣꯏꯔꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯗꯤ:

• ꯀꯔꯤꯒꯨꯝꯕꯥ BMI ꯑꯁꯤ 40 ꯅꯠꯠꯔꯒꯥ ꯃꯁꯤꯗꯒꯤ ꯍꯦꯅꯕꯥ ꯑꯣꯏꯔꯕꯗꯤ , ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯑꯣꯕꯦꯁꯤꯇꯤꯅꯤ ꯍꯥꯌꯅꯥ ꯂꯧꯅꯩ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ BMI 35 ꯅꯠꯠꯔꯒꯥ ꯃꯁꯤꯗꯒꯤ ꯍꯦꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯑꯣꯕꯦꯁꯤꯇꯤꯒꯥ ꯃꯔꯤ ꯂꯩꯅꯕꯥ ꯃꯊꯛꯇꯥ ꯄꯅꯈ꯭ꯔꯤꯕꯥ ꯃꯦꯗꯤꯀꯦꯜ ꯀꯟꯗꯤꯁꯅꯁꯤꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯃꯗꯒꯤ ꯍꯦꯅꯕꯥ (ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯗꯥꯏꯑꯦꯕꯦꯇꯤꯖ, ꯍꯥꯏ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ) ꯂꯩꯔꯕꯗꯤ꯫

ꯃꯁꯤꯒꯤ ꯏꯂꯤꯖꯤꯕꯤꯂꯤꯇꯤ ꯑꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯌꯦꯡꯁꯤꯜꯂꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯑꯃꯁꯨꯡ ꯃꯊꯧ ꯇꯥꯕꯥ ꯃꯦꯗꯤꯀꯦꯜ ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯄꯥꯡꯊꯣꯛꯂꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯂꯦꯞꯄꯤ꯫

ꯁꯔꯖꯔꯤꯒꯤ ꯃꯃꯥꯡꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯀꯔꯝꯅꯥ ꯁꯦꯝ-ꯁꯥꯕꯒꯦ?

ꯅꯍꯥꯛꯅꯥ ꯁꯔꯖꯔꯤ ꯇꯧꯅꯕꯥ ꯅꯨꯃꯤꯠ ꯑꯃꯥ ꯄꯤꯗ꯭ꯔꯤꯉꯩ ꯃꯃꯥꯡꯗꯥ, ꯃꯦꯗꯤꯀꯦꯜ ꯇꯤꯃꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯃꯁꯤꯒꯤꯗꯃꯛꯇꯥ ꯐꯤꯖꯤꯀꯦꯜ ꯑꯃꯁꯨꯡ ꯃꯦꯟꯇꯦꯜ ꯑꯣꯏꯅꯥ ꯁꯦꯝ-ꯁꯥꯗꯨꯅꯥ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯁꯤꯅꯒꯅꯤ꯫

• ꯑꯈꯟꯅꯕꯥ ꯗꯣꯛꯇꯔꯁꯤꯡꯒꯤ ꯀꯥꯡꯕꯨ ꯑꯃꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯌꯦꯡꯁꯤꯅꯒꯅꯤ꯫
• ꯁꯔꯖꯔꯤꯒꯤ ꯀꯥꯟꯅꯕꯁꯤꯡ, ꯈꯨꯗꯣꯡꯆꯥꯗꯕꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯔꯤꯁ꯭ꯀꯁꯤꯡ ꯑꯗꯨ ꯑꯗꯣꯃꯗꯥ ꯑꯀꯨꯞꯄꯥ ꯃꯔꯣꯂꯗꯥ ꯈꯪꯍꯜꯂꯛꯀꯅꯤ꯫
• ꯁꯔꯖꯔꯤ ꯑꯁꯤ ꯑꯁꯣꯏ ꯑꯉꯥꯝ ꯌꯥꯑꯣꯗꯅꯥ ꯄꯥꯡꯊꯣꯀꯄꯥ ꯉꯝꯅꯕꯥ ꯗꯔꯀꯥꯔ ꯑꯣꯏꯕꯥ ꯕ꯭ꯂꯗ ꯇꯦꯁ꯭ꯠ ꯑꯃꯁꯨꯡ ꯁ꯭ꯀꯦꯅꯁꯤꯡ ꯄꯥꯡꯊꯣꯀꯏ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯩꯈꯨ ꯁꯤꯖꯤꯟꯅꯔꯕꯗꯤ, ꯗ꯭ꯔꯒ ꯁꯤꯖꯤꯟꯅꯔꯕꯗꯤ ꯅꯠꯠꯔꯒꯥ ꯌꯥꯝꯅꯥ ꯊꯀꯄꯥ ꯇꯥꯔꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯁꯔꯖꯔꯤꯒꯤ ꯏꯂꯤꯖꯤꯕꯜ ꯑꯣꯏꯗ꯭ꯔꯤꯉꯩꯗꯥ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯊꯤꯡꯖꯤꯅꯕꯥ ꯃꯊꯧ ꯇꯥꯒꯅꯤ .
• ꯁꯔꯖꯔꯤꯒꯤ ꯅꯨꯃꯤꯠ ꯈꯔꯅꯤꯒꯤ ꯃꯃꯥꯡꯗꯥ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯑꯈꯟꯅꯕꯥ ꯗꯥꯏꯠ (pre-bariatric surgery diet) ꯑꯃꯥ ꯆꯠꯅꯕꯥ ꯍꯥꯌꯒꯅꯤ꯫ ꯃꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯂꯩꯔꯤꯕꯥ ꯐꯦꯇꯀꯤ ꯆꯥꯡ ꯍꯟꯊꯍꯟꯗꯨꯅꯥ ꯁꯔꯖꯔꯤ ꯑꯗꯨ ꯍꯦꯟꯅꯥ ꯁꯥꯐꯕꯥ ꯑꯃꯁꯨꯡ ꯂꯥꯏꯊꯣꯀꯍꯅꯕꯅꯤ꯫

ꯑꯔꯨꯝꯕꯥ ꯍꯟꯊꯍꯅꯕꯒꯤ ꯁꯔꯖꯔꯤꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯈꯂꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?

ꯕꯦꯔꯤꯌꯥꯠꯔꯤꯛ ꯁꯔꯖꯔꯤꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯈꯜ ꯀꯌꯥ ꯂꯩ꯫ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯁꯦꯜ ꯑꯃꯁꯨꯡ ꯗꯔꯀꯥꯔ ꯑꯣꯏꯕꯁꯤꯡꯗꯥ ꯌꯨꯝꯐꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯛꯀꯤꯗꯃꯛꯇꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯥ ꯃꯈꯜ ꯑꯗꯨ ꯂꯦꯄꯀꯅꯤ꯫ ꯍꯥꯌꯔꯤꯕꯥ ꯁꯔꯖꯔꯤꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯑꯌꯥꯝꯕꯗꯤ ꯂꯦꯄꯔꯣꯁ꯭ꯀꯣꯄꯤꯛ ꯑꯣꯏꯅꯥ ꯄꯥꯡꯊꯣꯀꯏ, ꯃꯁꯤꯗꯥ ꯈꯣꯡꯗꯥ ꯑꯄꯤꯀꯄꯥ ꯏꯅꯁꯤꯁꯟ ꯈꯔꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯊꯥꯗꯣꯀꯄꯥ ꯀꯦꯃꯦꯔꯥ ꯑꯃꯥ ꯁꯤꯖꯤꯟꯅꯩ꯫ ꯃꯁꯤꯅꯥ ꯔꯤꯀꯣꯚꯔꯤꯒꯤ ꯃꯇꯝ ꯀꯨꯏꯅꯥ ꯑꯃꯁꯨꯡ ꯁꯣꯀꯄꯥ ꯍꯟꯊꯍꯜꯂꯤ꯫

ꯁꯔꯖꯔꯤ ꯑꯁꯤꯒꯤ ꯔꯤꯁ꯭ꯀꯁꯤꯡ ꯀꯔꯤꯅꯣ?

ꯁꯔꯖꯔꯤ ꯑꯃꯍꯦꯛꯇꯒꯥ ꯃꯥꯟꯅꯅꯥ, ꯕꯦꯔꯤꯌꯥꯠꯔꯤꯛ ꯁꯔꯖꯔꯤꯅꯥ ꯔꯤꯁ꯭ꯛ ꯑꯃꯁꯨꯡ ꯁꯥꯏꯗ ꯏꯐꯦꯛꯇ ꯈꯔꯥ ꯂꯩꯕꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯕꯨ ꯅꯤꯡꯁꯤꯡꯒꯗꯕꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯋꯥꯐꯃꯗꯤ ꯑꯌꯥꯝꯕꯥ ꯀꯦꯁꯁꯤꯡꯗꯥ , ꯑꯣꯕꯦꯁꯤꯇꯤꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯂꯥꯌꯅꯥꯁꯤꯡꯒꯤ ꯈꯨꯗꯣꯡꯊꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯁꯔꯖꯔꯤ ꯑꯁꯤꯒꯤ ꯈꯨꯗꯣꯡꯊꯤꯕꯁꯤꯡꯗꯒꯤ ꯌꯥꯝꯅꯥ ꯍꯦꯜꯂꯤ꯫

ꯔꯤꯁ꯭ꯛ ꯑꯁꯤꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯈꯜ ꯑꯅꯤ ꯂꯩ꯫

1. ꯁꯔꯖꯔꯤꯒꯥ ꯃꯔꯤ ꯂꯩꯅꯕꯥ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ: ꯏ ꯊꯣꯀꯄꯥ, ꯏꯅꯐꯦꯛꯁꯟ, ꯏ ꯊꯣꯀꯄꯥ, ꯍꯔꯅꯤꯌꯥ ꯁꯦꯝꯕꯥ, ꯑꯦꯅꯥꯁ꯭ꯇꯦꯁꯤꯌꯥꯒꯥ ꯃꯔꯤ ꯂꯩꯅꯕꯥ ꯁꯃꯁ꯭ꯌꯥꯁꯤꯡ꯫

꯲.ꯗꯥꯏꯖꯦꯁ꯭ꯇꯤꯚ ꯁꯤꯁ꯭ꯇꯦꯃꯗꯥ ꯑꯍꯣꯡꯕꯥ ꯂꯥꯀꯄꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯕꯥ ꯁꯥꯏꯗ ꯏꯐꯦꯛꯇꯁꯤꯡ:

• ꯗꯝꯄꯤꯡ ꯁꯤꯟꯗ꯭ꯔꯣꯝ (Damping Syndrome) : ꯆꯤꯟꯖꯥꯀꯁꯤꯡ ꯑꯁꯤ ꯈꯣꯝꯂꯥꯡꯗꯒꯤ ꯑꯄꯤꯀꯄꯥ ꯏꯟꯇꯦꯁ꯭ꯇꯥꯏꯅꯗꯥ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯆꯪꯁꯤꯜꯂꯀꯄꯗꯒꯤ ꯋꯥꯈꯜ ꯆꯔꯥꯡꯅꯕꯥ, ꯈꯣꯡ ꯍꯥꯝꯕꯥ, ꯗꯥꯏꯔꯤꯌꯥ, ꯑꯃꯁꯨꯡ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ ꯑꯁꯤꯅꯆꯤꯡꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯊꯣꯀꯏ꯫ ꯃꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯗꯥꯏꯠ ꯍꯣꯡꯗꯣꯛ ꯍꯣꯡꯖꯤꯟ ꯇꯧꯗꯨꯅꯥ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯥ ꯌꯥꯏ꯫
• ꯃꯆꯤ ꯑꯣꯏꯕꯥ ꯆꯤꯟꯖꯥꯛ ꯆꯥꯗꯕꯥ (malnutrition): ꯚꯤꯇꯥꯃꯤꯟ ꯑꯃꯁꯨꯡ ꯃꯤꯅꯔꯦꯂꯒꯤ ꯑꯋꯥꯠꯄꯥ ꯑꯁꯤ ꯍꯀꯆꯥꯡꯅꯥ ꯅ꯭ꯌꯨꯠꯔꯤꯑꯦꯟꯇꯁꯤꯡ ꯁꯣꯀꯄꯥ ꯍꯟꯊꯔꯀꯄꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯒꯤꯗꯃꯛꯇꯥ ꯗꯣꯛꯇꯔ ꯑꯃꯅꯥ ꯄꯤꯕꯥ ꯃꯇꯨꯡꯏꯟꯅꯥ ꯄꯨꯟꯁꯤ ꯆꯨꯞꯄꯥ ꯚꯤꯇꯥꯃꯤꯟ ꯁꯞꯂꯤꯃꯦꯟꯇꯁꯤꯡ ꯃꯊꯧ ꯇꯥꯏ꯫
• ꯒꯥꯂꯁ꯭ꯇꯣꯟ: ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯑꯔꯨꯝꯕꯥ ꯍꯟꯊꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯒꯥꯂꯁ꯭ꯇꯣꯟ ꯂꯥꯀꯄꯒꯤ ꯔꯤꯁ꯭ꯛ ꯂꯩ꯫

ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯔꯤꯁ꯭ꯛ ꯄꯨꯝꯅꯃꯛ ꯑꯁꯤ ꯅꯍꯥꯀꯄꯨ ꯈꯪꯍꯜꯂꯛꯀꯅꯤ꯫

ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯀꯔꯤ ꯑꯣꯏꯒꯅꯤ?

ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯅꯨꯃꯤꯠ ꯈꯔꯅꯤ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯂꯗꯥ ꯂꯩꯕꯥ ꯃꯊꯧ ꯇꯥꯒꯅꯤ꯫ ꯅꯍꯥꯛꯅꯥ ꯌꯨꯃꯗꯥ ꯆꯠꯂꯕꯥ ꯃꯇꯨꯡꯗꯥ, ꯅꯨꯡꯉꯥꯏꯅꯥ ꯂꯩꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯕꯥ ꯊꯕꯛ ꯊꯧꯔꯃꯁꯤꯡꯗꯥ ꯍꯜꯂꯀꯄꯗꯥ ꯅꯨꯃꯤꯠ ꯈꯔꯅꯤ ꯆꯪꯒꯅꯤ꯫

• ꯗꯥꯏꯠ: ꯑꯍꯥꯅꯕꯗꯥ ꯂꯤꯛꯌꯨꯏꯗꯇꯒꯤ ꯍꯧꯒꯗꯕꯅꯤ, ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯄ꯭ꯌꯨꯔꯤꯗ ꯆꯤꯟꯖꯥꯀꯁꯤꯡ, ꯇꯔꯨ-ꯇꯅꯥꯅꯕꯥ ꯆꯤꯟꯖꯥꯀꯁꯤꯡꯗꯥ ꯇ꯭ꯔꯥꯟꯁꯤꯁꯟ ꯇꯧꯒꯗꯕꯅꯤ ꯑꯃꯁꯨꯡ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯅꯨꯃꯤꯠ 12ꯅꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯈꯛꯇꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯁꯣꯂꯤꯗ ꯆꯤꯟꯖꯥꯀꯁꯤꯡ ꯁꯤꯖꯤꯟꯅꯕꯥ ꯍꯧꯔꯀꯏ꯫
• ꯃꯦꯗꯤꯀꯦꯜ ꯆꯦꯀꯑꯄꯁꯤꯡ: ꯑꯍꯥꯅꯕꯥ ꯆꯍꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯌꯦꯡꯁꯤꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯑꯔꯨꯝꯕꯥ ꯍꯟꯊꯕꯥ ꯑꯃꯁꯨꯡ ꯍꯀꯁꯦꯜ ꯌꯦꯡꯁꯤꯟꯅꯕꯥ ꯕ꯭ꯂꯗ ꯇꯦꯁ꯭ꯠ ꯇꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯏ꯫
• ꯑꯔꯨꯝꯕꯥ ꯍꯟꯊꯕꯥ: ꯆꯥꯡꯆꯠꯇꯥ, ꯆꯥꯎꯔꯥꯛꯅꯥ ꯃꯤꯑꯣꯏ 90%ꯗꯤ ꯃꯈꯣꯌꯒꯤ ꯑꯍꯦꯅꯕꯥ ꯑꯔꯨꯝꯕꯥ 50%ꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯍꯟꯊꯍꯜꯂꯤ꯫ ꯃꯁꯤꯒꯤ ꯑꯔꯨꯝꯕꯥ ꯍꯟꯊꯕꯥ ꯑꯁꯤ ꯑꯍꯥꯅꯕꯥ ꯆꯍꯤ ꯑꯅꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯊꯣꯀꯏ꯫
• ꯑꯍꯦꯅꯕꯥ ꯈꯣꯡꯎꯞ: ꯅꯍꯥꯛꯅꯥ ꯑꯔꯨꯝꯕꯥ ꯌꯥꯝꯅꯥ ꯍꯟꯊꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯖꯦꯜ ꯑꯗꯨ ꯂꯦꯡꯗꯅꯥ ꯂꯩꯕꯥ ꯌꯥꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯊꯧ ꯇꯥꯔꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯆꯍꯤ ꯑꯃꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯅꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯑꯍꯦꯅꯕꯥ ꯈꯣꯡꯎꯞ ꯑꯗꯨ ꯂꯧꯊꯣꯛꯅꯕꯥ ꯇꯣꯉꯥꯅꯕꯥ ꯁꯔꯖꯔꯤ (ꯕꯣꯗꯤ ꯀꯟꯇꯨꯔꯤꯡ ꯁꯔꯖꯔꯤ) ꯑꯃꯥ ꯄꯥꯡꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫