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ꯅꯍꯥꯛꯅꯥ ꯕ꯭ꯂꯣꯛ ꯇꯧꯔꯕꯥ ꯕꯥꯏꯜ ꯗꯛꯇ ꯑꯃꯥ ꯂꯩꯕ꯭ꯔꯥ? (ꯕꯥꯏꯜ ꯗꯛꯇ ꯑꯣꯕꯁ꯭ꯠꯔꯥꯀꯁꯟ) - ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯈꯉꯂꯁꯤ!

ꯅꯍꯥꯛꯅꯥ ꯕ꯭ꯂꯣꯛ ꯇꯧꯔꯕꯥ ꯕꯥꯏꯜ ꯗꯛꯇ ꯑꯃꯥ ꯂꯩꯕ꯭ꯔꯥ? (ꯕꯥꯏꯜ ꯗꯛꯇ ꯑꯣꯕꯁ꯭ꯠꯔꯥꯀꯁꯟ) - ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯈꯉꯂꯁꯤ!

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯃꯊꯛ ꯊꯪꯕꯥ ꯁꯔꯨꯛꯇꯥ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ, ꯃꯤꯠ ꯎꯗꯕꯥ, ꯑꯃꯁꯨꯡ ꯈꯣꯡꯗꯥ ꯌꯦꯔꯨꯝ ꯀꯣꯀꯄꯥ (yellowing) ꯂꯩꯕ꯭ꯔꯥ? ꯅꯠꯠꯔꯒꯥ ꯅꯍꯥꯛꯀꯤ ꯁ꯭ꯇꯣꯂꯁꯤꯡ ꯑꯗꯨ ꯃꯌꯦꯛ ꯁꯦꯡꯅꯥ ꯃꯆꯨ ꯁꯪꯂꯛꯂꯕ꯭ꯔꯥ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯌꯨꯔꯤꯟ ꯑꯗꯨ ꯏꯪꯊꯔꯛꯂꯕ꯭ꯔꯥ? ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯌꯦꯡꯊꯤꯅꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯅꯠꯇꯦ꯫ ꯃꯈꯣꯌ ꯑꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯕꯥꯏꯜ ꯗꯛꯇꯁꯤꯡ ꯑꯗꯨ ꯕ꯭ꯂꯣꯛ ꯇꯧꯕꯥ ꯌꯥꯕꯥ ꯄꯣꯠꯁꯛ ꯑꯃꯒꯤ ꯈꯨꯗꯝ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫

ꯕꯥꯏꯜ ꯗꯛꯇ ꯑꯣꯕꯁ꯭ꯠꯔꯥꯀꯁꯟ ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ?

ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯕꯥꯏꯜ ꯗꯛꯇ ꯑꯣꯕꯁ꯭ꯠꯔꯥꯀꯁꯟ ꯍꯥꯌꯕꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯕꯥꯏꯜ ꯗꯛꯇꯁꯤꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯄꯣꯠꯁꯛ ꯑꯃꯅꯥ ꯆꯦꯟꯊꯈꯤꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ, ꯃꯗꯨꯅꯥ ꯃꯈꯣꯌꯒꯤ ꯃꯔꯛꯇꯥ ꯕꯥꯏꯜ ꯆꯦꯟꯊꯔꯀꯄꯥ ꯊꯤꯡꯏ꯫

ꯍꯧꯖꯤꯛ ꯑꯗꯣꯝꯅꯥ ꯈꯅꯕꯤꯔꯃꯒꯅꯤ ꯃꯗꯨꯗꯤ ꯕꯥꯏꯜ ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ ꯑꯃꯁꯨꯡ ꯕꯥꯏꯜ ꯗꯛꯇ ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ, ꯅꯠꯇꯦ? ꯑꯣꯀꯦ, ꯃꯗꯨꯁꯨ ꯐꯣꯡꯗꯣꯀꯆꯒꯦ꯫

ꯕꯥꯏꯜ ꯍꯥꯌꯕꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯆꯥꯔꯤꯕꯥ ꯆꯤꯟꯖꯥꯀꯁꯤꯡꯗꯥ ꯌꯥꯎꯔꯤꯕꯥ ꯐꯦꯇꯁꯤꯡ ꯑꯗꯨ ꯍꯟꯖꯤꯅꯍꯅꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯂꯤꯕꯥ ꯐ꯭ꯂꯨꯏꯗ ꯑꯃꯅꯤ꯫ ꯃꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯂꯤꯚꯔꯗꯥ ꯄꯨꯊꯣꯀꯏ꯫ ꯂꯤꯚꯔꯅꯥ ꯄꯨꯊꯣꯀꯄꯥ ꯕꯥꯏꯜ ꯑꯁꯤ ꯒꯥꯂꯕ꯭ꯂꯦꯗꯔꯗꯥ ꯊꯃꯖꯤꯜꯂꯤ꯫ ꯑꯩꯈꯣꯌꯅꯥ ꯆꯥꯕꯥ ꯃꯇꯃꯗꯥ, ꯃꯁꯤꯒꯤ ꯕꯥꯏꯜ ꯑꯁꯤ ꯒꯥꯂꯕ꯭ꯂꯦꯗꯔꯗꯒꯤ ꯊꯥꯗꯣꯀꯏ ꯑꯃꯁꯨꯡ ꯑꯄꯤꯀꯄꯥ ꯏꯟꯇꯦꯁ꯭ꯇꯥꯏꯅꯗꯥ ꯆꯠꯇꯨꯅꯥ ꯆꯤꯟꯖꯥꯛ ꯍꯟꯖꯤꯅꯍꯅꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫ ꯕꯥꯏꯜ ꯑꯁꯤꯗꯥ ꯑꯇꯣꯞꯄꯥ ꯄꯣꯠꯁꯛ ꯑꯃꯁꯨ ꯂꯩꯔꯤ, ꯑꯃꯁꯨꯡ ꯃꯗꯨ ꯕꯤꯂꯤꯔꯨꯕꯤꯟ ꯀꯧꯕꯥ ꯑꯃꯣꯠꯄꯥ ꯄꯣꯠꯁꯛ ꯑꯃꯅꯤ꯫ ꯃꯁꯤꯒꯤ ꯕꯤꯂꯤꯔꯨꯕꯤꯟ ꯑꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯏꯗꯥ ꯂꯩꯔꯤꯕꯥ ꯔꯦꯗ ꯕ꯭ꯂꯗ ꯁꯦꯂꯁꯤꯡ ꯁꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯄꯨꯊꯣꯀꯏ꯫ ꯂꯤꯚꯔꯅꯥ ꯕꯤꯂꯤꯔꯨꯕꯤꯟ ꯑꯁꯤ ꯍꯀꯆꯥꯡꯗꯒꯤ ꯕꯥꯏꯂꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯂꯧꯊꯣꯀꯏ꯫

ꯕꯥꯏꯜ ꯗꯛꯇꯁꯤꯡ ꯑꯁꯤ ꯑꯄꯤꯀꯄꯥ ꯄꯥꯏꯄꯁꯤꯡꯒꯤ ꯁꯤꯁ꯭ꯇꯦꯝ ꯑꯃꯒꯨꯝꯅꯥ ꯑꯣꯏ꯫ ꯃꯈꯣꯌꯁꯤꯡ ꯑꯁꯤ ꯏꯁꯤꯡ ꯄꯨꯕꯥ ꯑꯄꯤꯀꯄꯥ ꯄꯥꯏꯄꯁꯤꯡ ꯑꯣꯏꯅꯥ ꯈꯅꯕꯤꯌꯨ꯫ ꯄꯥꯏꯄꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯂꯤꯚꯔꯗꯥ ꯄꯨꯊꯣꯀꯄꯥ ꯕꯥꯏꯜ ꯑꯁꯤ ꯒꯥꯂꯕ꯭ꯂꯦꯗꯔꯗꯥ ꯑꯃꯁꯨꯡ ꯃꯇꯨꯡꯗꯥ ꯑꯄꯤꯀꯄꯥ ꯏꯟꯇꯦꯁ꯭ꯇꯥꯏꯅꯗꯥ ꯄꯨꯗꯨꯅꯥ ꯆꯠꯂꯤ꯫ ꯃꯈꯣꯌꯅꯥ ꯕꯤꯂꯤꯔꯨꯕꯤꯟ ꯑꯁꯤ ꯂꯤꯚꯔꯗꯒꯤ ꯂꯧꯊꯣꯀꯄꯗꯁꯨ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫

ꯃꯔꯝ ꯑꯗꯨꯅꯥ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯄꯣꯠꯁꯛ ꯑꯃꯅꯥ ꯕꯥꯏꯜ ꯗꯛꯇꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯊꯨꯒꯥꯌꯔꯕꯗꯤ, ꯕꯥꯏꯜ ꯗꯛꯇꯁꯤꯡ ꯑꯗꯨ ꯕ꯭ꯂꯣꯛ ꯇꯧꯔꯀꯏ, ꯑꯃꯁꯨꯡ ꯕꯥꯏꯜ ꯑꯗꯨꯅꯥ ꯂꯤꯚꯔꯗꯥ ꯕꯦꯛ ꯇꯧꯕꯥ ꯍꯧꯔꯀꯏ꯫ ꯃꯁꯤꯅꯥ ꯑꯀꯅꯕꯥ ꯑꯅꯥꯕꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ ꯑꯃꯁꯨꯡ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯂꯥꯌꯦꯡꯗ꯭ꯔꯕꯗꯤ ꯑꯀꯅꯕꯥ ꯍꯀꯁꯦꯂꯒꯤ ꯁꯃꯁ꯭ꯌꯥꯁꯤꯡ ꯊꯣꯀꯍꯜꯂꯀꯄꯥ ꯌꯥꯏ .

ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯀꯌꯥꯝ ꯀꯃꯟ ꯑꯣꯏꯕꯒꯦ?

ꯇꯁꯦꯡꯕꯗꯤ, ꯕꯥꯏꯜ ꯗꯛꯇꯁꯤꯡꯗꯥ ꯁꯣꯀꯍꯜꯂꯤꯕꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯑꯁꯤ ꯑꯣꯕꯁ꯭ꯠꯔꯥꯀꯁꯅꯁꯤꯡꯅꯤ . ꯈꯟꯊꯕꯤꯌꯨ, ꯃꯤꯑꯣꯏ 1,000ꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯆꯥꯎꯔꯥꯛꯅꯥ 5ꯗꯤ ꯒꯥꯂꯁ꯭ꯇꯣꯟ (gallstones) ꯂꯥꯀꯏ, ꯃꯗꯨꯅꯥ ꯕꯥꯏꯜ ꯗꯛꯇꯁꯤꯡ ꯊꯤꯡꯖꯤꯅꯕꯥ ꯉꯝꯃꯤ꯫ ꯒꯥꯂꯁ꯭ꯇꯣꯟ ꯍꯥꯌꯕꯁꯤ ꯕꯥꯏꯂꯗꯥ ꯂꯩꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡꯅꯥ ꯈꯣꯃꯖꯤꯜꯂꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯀꯅꯈꯠꯂꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯁꯦꯝꯕꯥ ꯁ꯭ꯇꯣꯟ ꯃꯈꯜ ꯑꯃꯅꯤ꯫ ꯒꯥꯂꯁ꯭ꯇꯣꯅꯁꯤꯡ ꯑꯁꯤ ꯕꯥꯏꯜ ꯗꯛꯇ ꯕ꯭ꯂꯣꯀꯦꯖꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯔꯃꯅꯤ꯫

ꯕꯥꯏꯜ ꯗꯛꯇ ꯑꯣꯕꯁ꯭ꯠꯔꯀꯆꯔꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?

ꯑꯌꯥꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯒꯥꯂꯁ꯭ꯇꯣꯟ ꯑꯃꯁꯨꯡ ꯖꯟꯗꯥꯁꯀꯥ ꯃꯥꯟꯅꯩ꯫ ꯖꯟꯗꯥꯁꯀꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯏꯗꯥ ꯕꯤꯂꯤꯔꯨꯕꯤꯟ ꯌꯥꯝꯅꯥ ꯌꯥꯎꯕꯒꯤ ꯈꯨꯗꯝ ꯑꯃꯅꯤ꯫

ꯍꯥꯌꯔꯤꯕꯥ ꯐꯤꯆꯔꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯌꯥꯝꯅꯥ ꯀꯨꯞꯅꯥ ꯌꯦꯡꯁꯤꯅꯕꯤꯌꯨ:

  • ꯃꯊꯛꯀꯤ ꯈꯣꯡꯄꯥꯛꯇꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ (upper abdominal pain): ꯃꯁꯤ ꯇꯞꯅꯥ ꯇꯞꯅꯥ, ꯈꯣꯡ ꯍꯥꯝꯂꯕꯥ, ꯂꯦꯡ-ꯑꯣꯠꯄꯒꯤ ꯃꯑꯣꯡ ꯑꯃꯥ ꯑꯣꯏꯅꯥ ꯐꯥꯎꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤ ꯃꯤꯅꯠ ꯀꯌꯥꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯍꯦꯅꯒꯠꯂꯀꯏ꯫
  • ꯈꯣꯡꯗꯥ ꯌꯦꯔꯨꯝ ꯀꯣꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯃꯃꯤꯠꯀꯤ ꯑꯉꯧꯕꯥ ꯁꯔꯨꯀꯁꯤꯡ ꯑꯗꯨ ꯌꯦꯔꯨꯝ ꯀꯣꯀꯄꯥ:ꯃꯁꯤꯕꯨ ꯑꯩꯈꯣꯌꯅꯥ ꯖꯟꯗꯥꯁ ꯍꯥꯌꯅꯥꯁꯨ ꯀꯧꯏ꯫
  • ꯀ꯭ꯂꯦ ꯃꯆꯨꯒꯤ ꯁ꯭ꯇꯣꯂꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯑꯉꯧꯕꯥ ꯌꯨꯔꯤꯟ: ꯕꯥꯏꯜ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯏꯟꯇꯦꯁ꯭ꯇꯥꯏꯅꯁꯤꯡꯗꯥ ꯆꯦꯟꯊꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯁ꯭ꯇꯣꯜ ꯑꯗꯨ ꯃꯆꯨ ꯍꯣꯡꯏ꯫ ꯃꯁꯤꯗꯁꯨ ꯅꯠꯇꯅꯥ, ꯌꯨꯔꯤꯅꯗꯥ ꯕꯤꯂꯤꯔꯨꯕꯤꯟ ꯍꯦꯟꯅꯥ ꯊꯥꯗꯣꯀꯄꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯌꯨꯔꯤꯟ ꯑꯗꯨ ꯑꯃꯝꯕꯥ ꯑꯣꯏꯔꯀꯏ꯫
  • ꯂꯥꯏꯍꯧ ꯑꯃꯁꯨꯡ ꯆꯤꯀꯄꯥ꯫
  • ꯅꯣꯡꯃꯩ ꯀꯥꯞꯄꯥ ꯑꯃꯁꯨꯡ ꯈꯣꯡ ꯍꯥꯝꯕꯥ꯫
  • ꯈꯣꯡ ꯍꯥꯝꯕꯥ (pruritus): ꯃꯁꯤ ꯈꯣꯡꯗꯥ ꯕꯥꯏꯜ ꯁꯣꯜꯇ (bill solts) ꯊꯥꯗꯣꯔꯀꯄꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫
  • ꯆꯤꯟꯖꯥꯛ ꯑꯁꯤ ꯃꯆꯤ ꯑꯣꯏꯗꯦ꯫
  • ꯃꯔꯝ ꯑꯃꯠꯇꯥ ꯂꯩꯇꯅꯥ ꯊꯤꯅꯥ ꯂꯩꯕꯥ꯫
  • ꯌꯥꯝꯅꯥ ꯋꯥꯅꯥ ꯊꯣꯀꯄꯥ (fatigue) ꯐꯥꯎꯕꯥ꯫

ꯕꯥꯏꯜ ꯗꯛꯇ ꯕ꯭ꯂꯣꯀꯦꯖ (bail duct blockage) ꯑꯁꯤ ꯀꯔꯤꯅꯥ ꯊꯣꯀꯍꯅꯕꯒꯦ?

ꯕꯥꯏꯜ ꯗꯛꯇ ꯕ꯭ꯂꯣꯀꯦꯖꯒꯤ ꯑꯣꯏꯊꯣꯀꯄꯥ ꯌꯥꯕꯥ ꯃꯔꯝ ꯀꯌꯥ ꯂꯩ꯫ ꯃꯔꯨ ꯑꯣꯏꯕꯥ ꯋꯥꯐꯃꯁꯤꯡ ꯌꯦꯡꯁꯤ:

  • ꯅꯍꯥꯛꯀꯤ ꯕꯥꯏꯜ ꯗꯛꯇꯁꯤꯡ ꯕ꯭ꯂꯣꯛ ꯇꯧꯕꯥ ꯒꯥꯂꯁ꯭ꯇꯣꯅꯁꯤꯡ: ꯃꯁꯤꯅꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯃꯔꯃꯅꯤ꯫
  • ꯀꯣꯂꯦꯗꯣꯀꯜ ꯁꯤꯁ꯭ꯇꯦꯃꯁꯤꯡ (choledochal cysts): ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯊꯣꯀꯄꯥ, ꯀꯣꯟꯖꯤꯅꯤꯑꯦꯜ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫ ꯁꯤꯁ꯭ꯇꯦꯃꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯕꯥꯏꯂꯒꯤ ꯏꯁꯤꯡ ꯇꯨꯡꯁꯤꯅꯕꯥ ꯊꯤꯡꯏ꯫
  • ꯕꯥꯏꯜ ꯗꯛꯇ ꯁ꯭ꯠꯔꯤꯛꯆꯔꯁꯤꯡ (Bile duct strictures) : ꯃꯁꯤ ꯕꯥꯏꯜ ꯗꯛꯇ ꯑꯃꯒꯤ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯄꯅꯤ꯫ ꯃꯁꯤ ꯃꯦꯗꯤꯀꯦꯜ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯥ ꯅꯠꯠꯔꯒꯥ ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯁꯣꯛ-ꯄꯅꯕꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫

ꯕꯥꯏꯜ ꯗꯛꯇ ꯁ꯭ꯠꯔꯤꯛꯆꯔꯁꯤꯡ ꯑꯁꯤ ꯃꯈꯜ ꯀꯌꯥꯒꯤ ꯃꯔꯝ (ꯀꯦꯟꯁꯔ ꯑꯃꯁꯨꯡ ꯅꯟ-ꯀꯦꯟꯁꯔ) ꯂꯩꯕꯥ ꯌꯥꯏ꯫ ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯃꯈꯣꯌ ꯑꯁꯤ ꯒꯥꯂꯕ꯭ꯂꯦꯗꯔ ꯔꯤꯃꯨꯚꯜ ꯁꯔꯖꯔꯤ (ꯀꯣꯂꯦꯁꯤꯁ꯭ꯇꯦꯛꯇꯣꯃꯤ)ꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯁꯣꯀꯄꯗꯒꯤ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫

ꯕꯥꯏꯜ ꯗꯛꯇ ꯕ꯭ꯂꯣꯀꯦꯖ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯕꯥ ꯕꯥꯏꯜ ꯗꯛꯇ ꯁ꯭ꯠꯔꯤꯀꯆꯔꯒꯤ ꯑꯇꯩ ꯃꯔꯝ ꯈꯔꯗꯤ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤ:

  • ꯀꯦꯟꯁꯔ: ꯄꯦꯅꯛꯔꯤꯑꯦꯇꯤꯛ ꯀꯦꯟꯁꯔ, ꯕꯥꯏꯜ ꯗꯛꯇ ꯀꯦꯟꯁꯔ, ꯂꯤꯚꯔ ꯀꯦꯟꯁꯔ ꯑꯃꯁꯨꯡ ꯃꯦꯇꯥꯁ꯭ꯇꯦꯇꯤꯛ ꯀꯦꯟꯁꯔ꯫
  • ꯀꯣꯟꯖꯤꯅꯤꯑꯦꯜ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ: ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ `(Biliary atresia)` ꯑꯃꯁꯨꯡ `(Alagille syndrome)`ꯒꯨꯝꯕꯥ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ ꯑꯁꯤ ꯌꯥꯎꯏ꯫
  • ꯕꯥꯏꯜ ꯗꯛꯇꯁꯤꯡꯒꯤ ꯀ꯭ꯔꯣꯅꯤꯛ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯁꯟ: `(ꯄ꯭ꯔꯥꯏꯃꯥꯔꯤ ꯕꯤꯂꯤꯌꯥꯔꯤ ꯀꯣꯂꯦꯅꯖꯥꯏꯇꯤꯁ)` ꯑꯃꯁꯨꯡ `(ꯄ꯭ꯔꯥꯏꯃꯥꯔꯤ ꯁ꯭ꯛꯂꯦꯔꯣꯁꯤꯡ ꯀꯣꯂꯦꯅꯖꯥꯏꯇꯤꯁ)`ꯒꯨꯝꯕꯥ ꯂꯥꯌꯅꯥꯁꯤꯡ꯫
  • ꯑꯣꯇꯣꯏꯝꯌꯨꯟ ꯄꯦꯅꯛꯔꯤꯑꯦꯇꯤꯁ ꯑꯃꯁꯨꯡ ꯅꯣꯔꯃꯦꯜ ꯄꯦꯅꯛꯔꯤꯑꯦꯇꯤꯁ꯫
  • ꯑꯁꯣꯛ-ꯑꯄꯟ, ꯕꯦꯛꯇꯦꯔꯤꯌꯥ ꯅꯠꯠꯔꯒꯥ ꯄꯦꯔꯥꯁꯥꯏꯇꯀꯤ ꯏꯅꯐꯦꯛꯁꯟ ꯑꯃꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯁꯟ꯫
  • `ꯃꯤꯔꯤꯖꯤ ꯁꯤꯟꯗꯣꯝ` ꯀꯧꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫
  • ꯒꯥꯂꯕ꯭ꯂꯦꯗꯔ ꯔꯤꯃꯨꯚꯜ ꯁꯔꯖꯔꯤ (ꯀꯣꯂꯦꯁꯤꯁ꯭ꯇꯦꯛꯇꯣꯃꯤ)꯫
  • ꯔꯦꯗꯤꯑꯦꯁꯟ ꯊꯦꯔꯥꯄꯤ ꯇꯧꯕꯥ꯫

ꯕꯥꯏꯜ ꯗꯛꯇ ꯑꯣꯕꯁ꯭ꯠꯔꯀꯆꯔꯒꯤ ꯑꯣꯏꯊꯣꯀꯄꯥ ꯌꯥꯕꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ ꯀꯔꯤꯅꯣ?

ꯑꯩꯈꯣꯌꯅꯥ ꯃꯃꯥꯡꯗꯥ ꯍꯥꯌꯈꯤꯕꯒꯨꯝꯅꯥ, ꯕ꯭ꯂꯣꯀꯦꯖ ꯑꯁꯤꯅꯥ ꯂꯤꯚꯔꯗꯥ ꯕꯥꯏꯜ ꯁꯦꯃꯒꯠꯂꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯁꯟ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ ꯑꯃꯁꯨꯡ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯂꯥꯏꯌꯦꯡꯗ꯭ꯔꯕꯗꯤ ꯄꯨꯟꯁꯤ ꯃꯥꯡꯍꯅꯕꯥ ꯌꯥꯕꯥ ꯏꯅꯐꯦꯛꯁꯅꯁꯤꯡ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ꯃꯁꯤꯅꯥ ꯃꯇꯝ ꯆꯨꯞꯄꯒꯤ ꯑꯣꯏꯅꯥ ꯂꯤꯚꯔꯗꯥ ꯁꯣꯀꯍꯅꯕꯁꯨ ꯌꯥꯏ, ꯃꯗꯨꯅꯥ `(ꯂꯤꯚꯔꯒꯤ ꯁꯤꯔꯣꯁꯤꯁ)` ꯀꯧꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯁꯨ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯃꯦꯅꯦꯖ ꯇꯧꯗ꯭ꯔꯕꯗꯤ, ꯂꯤꯚꯔ ꯐꯦꯜ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫

ꯈꯅꯕꯤꯌꯨ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯒꯥꯂꯕ꯭ꯂꯦꯗꯔꯒꯤ ꯃꯅꯥꯛꯇꯥ ꯂꯩꯕꯥ ꯗꯛꯇꯁꯤꯡꯗꯥ ꯕꯥꯏꯜ ꯑꯗꯨ ꯊꯤꯡꯖꯤꯜꯂꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯒꯥꯂꯕ꯭ꯂꯦꯗꯔ ꯏꯅꯐꯦꯛꯁꯟ (cholecystitis) ꯑꯃꯥ ꯂꯥꯀꯄꯥ ꯌꯥꯏ꯫

ꯃꯁꯤꯗꯁꯨ ꯅꯠꯇꯅꯥ, ꯕꯥꯏꯜ ꯃꯔꯥꯡ ꯀꯥꯌꯅꯥ ꯂꯩꯠꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯑꯄꯤꯀꯄꯥ ꯏꯟꯇꯦꯁ꯭ꯇꯥꯏꯅꯅꯥ ꯐꯦꯇꯁꯤꯡ ꯑꯗꯨ ꯍꯖꯝ ꯇꯧꯕꯥ ꯉꯃꯗꯦ꯫ ꯃꯁꯤꯅꯥ ꯃꯆꯤ ꯑꯣꯏꯕꯥ ꯆꯤꯟꯖꯥꯛ ꯐꯪꯗꯕꯒꯤ ꯊꯧꯑꯣꯡ ꯊꯣꯀꯍꯜꯂꯀꯄꯥ ꯌꯥꯏ .

ꯅꯍꯥꯛꯅꯥ ꯕꯥꯏꯜ ꯗꯛꯇ ꯕ꯭ꯂꯣꯀꯦꯖ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯀꯔꯝꯅꯥ ꯈꯪꯒꯅꯤ?

ꯅꯍꯥꯛꯅꯥ ꯗꯣꯛꯇꯔ ꯑꯃꯒꯥ ꯇꯥꯟꯅꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯃꯍꯥꯛꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯍꯤꯁ꯭ꯇꯔꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯍꯪꯒꯅꯤ, ꯃꯗꯨꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯅꯥ ꯂꯧꯔꯤꯕꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ ꯑꯗꯨꯁꯨ ꯌꯥꯎꯒꯅꯤ꯫ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ, ꯃꯈꯣꯌꯅꯥ ꯐꯤꯖꯤꯀꯦꯜ ꯑꯦꯀꯖꯥꯃꯤꯅꯦꯁꯟ ꯑꯃꯥ ꯇꯧꯗꯨꯅꯥ ꯑꯣꯕꯁ꯭ꯠꯔꯀꯆꯔꯒꯤ ꯈꯨꯗꯃꯁꯤꯡ, ꯍꯥꯌꯕꯗꯤ ꯈꯣꯡꯗꯥ ꯁꯣꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯈꯣꯡ ꯍꯥꯝꯕꯥ ꯌꯥꯗꯕꯒꯤ ꯈꯨꯗꯃꯁꯤꯡ ꯌꯦꯡꯒꯅꯤ꯫

ꯅꯤꯡꯁꯤꯡꯕꯤꯌꯨ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯂꯩꯔꯕꯗꯤ ꯌꯥꯔꯤꯕꯃꯈꯩ ꯊꯨꯅꯥ ꯗꯣꯛꯇꯔꯒꯥ ꯇꯥꯟꯅꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫

ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ, ꯕ꯭ꯂꯣꯀꯦꯖ ꯑꯗꯨ ꯀꯅꯐꯥꯔꯝ ꯇꯧꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯃꯁꯤꯒꯤ ꯃꯔꯝ ꯑꯁꯤ ꯀꯔꯤꯅꯣ ꯍꯥꯌꯕꯗꯨ ꯆꯨꯝꯅꯥ ꯈꯪꯗꯣꯛꯅꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯕ꯭ꯂꯗ ꯇꯦꯁ꯭ꯠ ꯑꯃꯁꯨꯡ ꯑꯈꯟꯅꯕꯥ ꯏꯃꯦꯖꯤꯡ ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯇꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯏ꯫

ꯕ꯭ꯂꯗ ꯇꯦꯁ꯭ꯠ ꯇꯧꯕꯥ꯫

ꯕ꯭ꯂꯗ ꯇꯦꯁ꯭ꯠ ꯇꯧꯕꯗꯥ ꯕ꯭ꯂꯣꯀꯦꯖꯒꯤ ꯈꯨꯗꯃꯁꯤꯡ ꯎꯕꯥ ꯐꯪꯏ꯫ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯑꯁꯤ ꯑꯣꯔꯗꯔ ꯇꯧꯕꯥ ꯌꯥꯏ:

  • ꯃꯄꯨꯡꯐꯥꯕꯥ ꯕ꯭ꯂꯗ ꯀꯥꯎꯟꯇ (CBC): ꯃꯄꯨꯡꯐꯥꯕꯥ ꯕ꯭ꯂꯗ ꯀꯥꯎꯟꯇ (CBC) ꯑꯃꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯄꯨꯅꯕꯥ ꯍꯀꯁꯦꯂꯒꯤ ꯋꯥꯈꯜꯂꯣꯟ ꯑꯃꯥ ꯄꯤꯕꯥ ꯉꯃꯒꯅꯤ꯫
  • ꯂꯤꯚꯔ ꯐꯉ꯭ꯀꯁꯟ ꯇꯦꯁ꯭ꯇꯁꯤꯡ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯕ꯭ꯂꯗ ꯕꯤꯂꯤꯔꯨꯕꯤꯅꯒꯤ ꯆꯥꯡ ꯋꯥꯡꯈꯠꯂꯕꯗꯤ, ꯃꯁꯤꯅꯥ ꯕ꯭ꯂꯣꯀꯦꯖꯒꯤ ꯈꯨꯗꯝ ꯑꯃꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯗꯁꯨ ꯅꯠꯇꯅꯥ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯂꯤꯚꯔꯒꯤ ꯑꯦꯅꯖꯥꯏꯃꯁꯤꯡ ꯍꯥꯌꯕꯗꯤ ꯑꯦꯂꯀꯥꯂꯥꯏꯟ ꯐꯣꯁꯐꯦꯇꯦꯖ (ALP) ꯑꯃꯁꯨꯡ ꯒꯥꯃꯥ-ꯒ꯭ꯂꯨꯇꯥꯃꯥꯏꯂꯠꯔꯥꯟꯁꯐꯦꯔꯦꯖ (GGT) ꯑꯁꯤ ꯅꯣꯔꯃꯦꯂꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯋꯥꯡꯂꯕꯗꯤ, ꯃꯁꯤꯅꯥ ꯂꯤꯚꯔ ꯑꯁꯤ ꯕ꯭ꯂꯣꯀꯦꯖ ꯑꯃꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯊꯕꯛ ꯇꯧꯗꯕꯥ ꯍꯥꯌꯕꯗꯨ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫
  • ꯄꯦꯅꯛꯔꯤꯑꯦꯖ ꯕ꯭ꯂꯗ ꯇꯦꯁ꯭ꯠ: ꯀꯔꯤꯒꯨꯝꯕꯥ ``(ꯑꯦꯃꯤꯂꯦꯖ)`` ꯑꯃꯁꯨꯡ ``(ꯂꯥꯏꯄꯦꯖ)``ꯒꯨꯝꯕꯥ ꯄꯦꯅꯛꯔꯤꯑꯦꯇꯤꯛ ꯑꯦꯅꯖꯥꯏꯃꯁꯤꯡ ꯋꯥꯡꯈꯠꯂꯕꯗꯤ, ꯃꯁꯤꯅꯥ ꯕꯥꯏꯜ ꯗꯛꯇ ꯕ꯭ꯂꯣꯀꯦꯖꯒꯥ ꯃꯔꯤ ꯂꯩꯅꯕꯥ ꯄꯦꯅꯛꯔꯤꯑꯦꯇꯤꯛ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯑꯃꯒꯤ ꯈꯨꯗꯝ ꯑꯃꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫

ꯏꯃꯦꯖꯤꯡ ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯇꯧꯕꯥ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯕ꯭ꯂꯗ ꯇꯦꯁ꯭ꯇꯀꯤ ꯔꯤꯖꯜꯇꯁꯤꯡꯅꯥ ꯕ꯭ꯂꯣꯀꯦꯖ ꯑꯃꯥ ꯂꯩꯔꯦ ꯍꯥꯌꯕꯥ ꯇꯥꯔꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯏꯃꯦꯖꯤꯡ ꯇꯦꯁ꯭ꯠ ꯇꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯏ꯫ ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯃꯗꯒꯤ ꯍꯦꯅꯕꯥ ꯑꯁꯤ ꯇꯧꯕꯥ ꯌꯥꯏ:

  • ꯑꯂꯠꯔꯥꯁꯥꯎꯟꯗ: ꯑꯂꯠꯔꯥꯁꯥꯎꯟꯗ ꯑꯃꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯃꯅꯨꯡꯒꯤ ꯑꯣꯏꯕꯥ ꯏꯃꯦꯖꯁꯤꯡ ꯁꯦꯝꯅꯕꯥ ꯁꯥꯎꯟꯗ ꯋꯦꯕꯁꯤꯡ ꯁꯤꯖꯤꯟꯅꯩ꯫ ꯃꯁꯤꯅꯥ ꯕ꯭ꯂꯣꯀꯦꯖ ꯑꯃꯥ ꯇꯥꯀꯄꯥ ꯌꯥꯕꯥ ꯑꯦꯕꯅꯣꯔꯃꯦꯂꯤꯇꯤꯁꯤꯡ ꯈꯪꯗꯣꯀꯄꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫ ꯅꯍꯥꯛꯅꯥ ꯑꯦꯟꯗꯣꯁ꯭ꯀꯣꯄꯤꯛ ꯑꯂꯠꯔꯥꯁꯥꯎꯟꯗ, ꯑꯦꯕꯗꯣꯃꯤꯅꯦꯜ ꯑꯂꯠꯔꯥꯁꯥꯎꯟꯗ ꯅꯠꯠꯔꯒꯥ ꯂꯤꯚꯔ ꯑꯂꯠꯔꯥꯁꯥꯎꯟꯗ ꯑꯃꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯏ꯫
  • ꯑꯦꯕꯗꯣꯃꯤꯅꯦꯜ ꯀꯝꯞꯌꯨꯇꯦꯠ ꯇꯣꯃꯣꯒ꯭ꯔꯥꯐꯤ (CT scan): ꯁꯤ.ꯇꯤ.ꯁ꯭ꯀꯦꯟ ꯑꯃꯅꯥ ꯑꯦꯛꯁ-ꯔꯦ ꯑꯃꯁꯨꯡ ꯀꯝꯞꯌꯨꯇꯔ ꯁꯤꯖꯤꯟꯅꯗꯨꯅꯥ ꯑꯀꯨꯞꯄꯥ ꯏꯃꯦꯖꯁꯤꯡ ꯁꯦꯝꯃꯤ꯫ ꯃꯁꯤꯅꯥ ꯑꯂꯠꯔꯥꯁꯥꯎꯟꯗꯗꯥ ꯎꯕꯥ ꯐꯪꯗꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡꯒꯤ ꯑꯇꯩ ꯃꯔꯃꯁꯤꯡꯁꯨ ꯊꯤꯡꯕꯥ ꯉꯝꯃꯤ꯫
  • ꯑꯦꯟꯗꯣꯁ꯭ꯀꯣꯄꯤꯛ ꯔꯦꯠꯔꯣꯒ꯭ꯔꯦꯗ ꯀꯣꯂꯦꯟꯖꯤꯑꯣꯄꯦꯅꯛꯔꯤꯑꯦꯇꯣꯒ꯭ꯔꯥꯐꯤ (ERCP): ERCP ꯀꯧꯕꯥ ꯇꯦꯁ꯭ꯠ ꯑꯃꯅꯥ ꯕ꯭ꯂꯣꯀꯦꯖ ꯑꯃꯒꯤ ꯃꯔꯝ ꯈꯪꯗꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯂꯥꯏꯌꯦꯡꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫ ꯇꯦꯁ꯭ꯠ ꯑꯁꯤꯗꯥ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯕꯥꯏꯜ ꯗꯛꯇꯁꯤꯡꯗꯥ ꯃꯩꯁꯥ ꯑꯃꯁꯨꯡ ꯀꯦꯃꯦꯔꯥ ꯑꯃꯥ ꯌꯥꯎꯕꯥ ꯐ꯭ꯂꯦꯛꯁꯤꯕꯜ ꯇꯤꯎꯕ (endoscope) ꯑꯃꯥ ꯍꯥꯄꯆꯤꯜꯂꯤ꯫ ꯏꯅꯁ꯭ꯠꯔꯨꯃꯦꯟꯇꯁꯤꯡ ꯑꯁꯤ ꯇꯤꯁꯨ ꯁꯦꯝꯄꯜ ꯑꯃꯥ ꯂꯧꯅꯕꯥ (ꯕꯥꯏꯑꯣꯞꯁꯤ) ꯅꯠꯠꯔꯒꯥ ꯕ꯭ꯂꯣꯀꯦꯖ ꯑꯗꯨ ꯔꯤꯄꯦꯌꯥꯔ ꯇꯧꯅꯕꯥ ꯁꯤꯖꯤꯟꯅꯕꯥ ꯌꯥꯏ꯫ ꯇꯦꯁ꯭ꯠ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯅꯍꯥꯀꯄꯨ ꯁꯦꯗꯦꯠ ꯇꯧꯒꯅꯤ꯫
  • ꯃꯦꯒ꯭ꯅꯦꯇꯤꯛ ꯔꯤꯖꯣꯅꯦꯟꯁ ꯀꯣꯂꯦꯅꯖꯤꯑꯣꯄꯦꯅꯛꯔꯤꯑꯦꯇꯣꯒ꯭ꯔꯥꯐꯤ (MRCP): ꯃꯁꯤ ꯑꯍꯣꯡꯕꯥ ꯑꯦꯝ.ꯑꯥꯔ.ꯑꯥꯏ. ꯑꯈꯟꯅꯕꯥ ꯗꯥꯏꯑꯦ ꯑꯃꯥ ꯅꯍꯥꯛꯀꯤ ꯕꯥꯏꯜ ꯗꯛꯇꯁꯤꯡꯗꯥ ꯆꯦꯟꯊꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯏꯅꯖꯦꯀꯁꯟ ꯇꯧꯏ꯫ ꯏ.ꯑꯥꯔ.ꯁꯤ.ꯄꯤ.ꯒꯨꯝꯅꯥ, ꯃꯁꯤꯅꯥ ꯕ꯭ꯂꯣꯀꯦꯖꯒꯤ ꯃꯔꯝ, ꯍꯥꯌꯕꯗꯤ ꯒꯥꯂꯁ꯭ꯇꯣꯟ ꯅꯠꯠꯔꯒꯥ ꯁ꯭ꯠꯔꯤꯛꯇꯔꯁꯤꯡ ꯎꯠꯄꯥ ꯉꯝꯃꯤ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯃꯁꯤ ꯏ.ꯑꯥꯔ.ꯁꯤ.ꯄꯤ.ꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯏꯅꯚꯦꯁꯤꯕ ꯑꯣꯏ꯫
  • ꯍꯦꯄꯥꯇꯣꯕꯤꯂꯤꯌꯥꯔꯤ ꯏꯃꯤꯅꯣꯗꯥꯏꯑꯦꯁꯦꯇꯤꯛ ꯑꯦꯁꯤꯗ (HIDA) ꯁ꯭ꯀꯦꯟ: HIDA ꯁ꯭ꯀꯦꯟ ꯑꯃꯗꯥ, ꯔꯦꯗꯤꯑꯣꯑꯦꯛꯇꯤꯚ ꯇ꯭ꯔꯦꯁꯔ ꯑꯃꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯕꯥꯏꯜ ꯗꯛꯇꯁꯤꯡꯗꯥ ꯆꯠꯄꯥ ꯃꯇꯃꯗꯥ ꯏꯃꯦꯖꯁꯤꯡ ꯁꯦꯝꯅꯕꯥ ꯁꯤꯖꯤꯟꯅꯩ꯫ ꯃꯁꯤꯅꯥ ꯕ꯭ꯂꯣꯀꯦꯖꯒꯤ ꯃꯔꯝ, ꯍꯥꯌꯕꯗꯤ ꯒꯥꯂꯕ꯭ꯂꯦꯗꯔꯒꯤ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯅꯠꯠꯔꯒꯥ ꯗꯛꯇꯁꯤꯡ ꯑꯗꯨ ꯀꯨꯄꯁꯤꯅꯕꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯕꯥ ꯀꯣꯟꯖꯤꯅꯤꯑꯦꯜ ꯗꯤꯁꯑꯣꯔꯗꯔꯁꯤꯡ ꯑꯁꯤ ꯎꯠꯄꯥ ꯌꯥꯏ꯫
  • ꯄꯔꯛꯌꯨꯇꯦꯅꯤꯌꯝ ꯇ꯭ꯔꯥꯟꯁꯍꯦꯄꯥꯇꯤꯛ ꯀꯣꯂꯦꯅꯖꯤꯑꯣꯒ꯭ꯔꯥꯐꯤ (PTC): ``PTC'' ꯇꯦꯁ꯭ꯠ ꯑꯃꯗꯥ, ꯑꯂꯠꯔꯥꯁꯥꯎꯟꯗ ꯅꯠꯠꯔꯒꯥ ꯑꯦꯛꯁ-ꯔꯦ ꯑꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯑꯄꯤꯀꯄꯥ ꯏꯟꯇꯦꯁ꯭ꯇꯥꯏꯅꯗꯥ ꯌꯧꯔꯛꯠꯔꯤꯕꯐꯥꯎꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯕꯥꯏꯜ ꯗꯛꯇꯁꯤꯡꯗꯥ ꯄꯥꯁ ꯇꯧꯕꯥ ꯑꯈꯟꯅꯕꯥ ꯗꯥꯏꯑꯦ ꯑꯃꯒꯤ ꯐꯣꯇꯣ ꯂꯧꯕꯗꯥ ꯁꯤꯖꯤꯟꯅꯩ꯫ ꯗꯥꯏꯑꯦ ꯑꯁꯤꯅꯥ ꯗꯛꯇꯁꯤꯡꯗꯥ ꯕ꯭ꯂꯣꯀꯦꯖ ꯑꯃꯍꯦꯛꯇꯕꯨ ꯎꯠꯂꯤ꯫

ꯕꯥꯏꯜ ꯗꯛꯇ ꯕ꯭ꯂꯣꯀꯦꯖ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯐꯍꯅꯒꯅꯤ?

ꯕꯥꯏꯜ ꯗꯛꯇ ꯕ꯭ꯂꯣꯀꯦꯖꯒꯤ ꯂꯥꯏꯌꯦꯡ ꯑꯁꯤ ꯅꯍꯥꯛꯅꯥ ꯀꯌꯥ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯃꯊꯧ ꯇꯥꯕꯒꯦ ꯑꯃꯁꯨꯡ ꯕ꯭ꯂꯣꯀꯦꯖ ꯑꯗꯨ ꯀꯔꯤꯅꯥ ꯊꯣꯀꯍꯅꯕꯒꯦ ꯍꯥꯌꯕꯗꯨꯒꯤ ꯃꯈꯥ ꯄꯣꯜꯂꯤ꯫

ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯃꯑꯣꯡ ꯀꯌꯥ ꯂꯩ:

  • ꯏ.ꯑꯥꯔ.ꯁꯤ.ꯄꯤ.(ꯑꯦꯟꯗꯣꯁ꯭ꯀꯣꯄꯤꯛ ꯔꯦꯠꯔꯣꯒ꯭ꯔꯦꯗ ꯀꯣꯂꯦꯅꯖꯤꯑꯣꯄꯦꯅꯛꯔꯤꯑꯦꯇꯣꯒ꯭ꯔꯥꯐꯤ): ꯏ.ꯑꯥꯔ.ꯁꯤ.ꯄꯤ.ꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯗꯣꯛꯇꯔꯅꯥ ꯕꯥꯏꯜ ꯗꯛꯇꯁꯤꯡꯗꯒꯤ ꯒꯥꯂꯁ꯭ꯇꯣꯅꯁꯤꯡ ꯂꯧꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯃꯥꯡꯗꯥ ꯄꯅꯈ꯭ꯔꯤꯕꯥ ꯇꯨꯕ (ꯑꯦꯟꯗꯣꯁ꯭ꯀꯣꯞ)ꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯂꯩꯕꯥ ꯏꯅꯁ꯭ꯠꯔꯨꯃꯦꯟꯇꯁꯤꯡ ꯁꯤꯖꯤꯟꯅꯗꯨꯅꯥ ꯁꯤꯂꯁꯤꯡ ꯑꯁꯤ ꯀꯨꯄꯁꯤꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯂꯧꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫
  • ꯒꯥꯂꯕ꯭ꯂꯦꯗꯔ ꯔꯤꯃꯨꯚꯜ ꯁꯔꯖꯔꯤ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯕꯥꯏꯜ ꯗꯛꯇꯁꯤꯡ ꯑꯗꯨ ꯕ꯭ꯂꯣꯛ ꯇꯧꯕꯥ ꯌꯥꯕꯥ ꯒꯥꯂꯁ꯭ꯇꯣꯟ ꯀꯌꯥ ꯂꯩꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯒꯥꯂꯕ꯭ꯂꯦꯗꯔ ꯑꯗꯨ ꯂꯧꯊꯣꯀꯄꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤ ꯑꯌꯥꯝꯕꯗꯤ ꯂꯦꯄꯔꯣꯁ꯭ꯀꯣꯄꯤ ꯀꯧꯕꯥ ꯃꯤꯅꯤꯃꯝ ꯏꯅꯚꯦꯁꯤꯚ ꯁꯔꯖꯔꯤ ꯑꯃꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯇꯧꯏ꯫ ꯅꯍꯥꯛꯅꯥ ꯒꯥꯂꯕ꯭ꯂꯦꯗꯔ ꯌꯥꯎꯗꯅꯥ ꯍꯀꯆꯥꯡ ꯐꯕꯥ ꯄꯨꯟꯁꯤ ꯑꯃꯥ ꯍꯤꯡꯕꯥ ꯉꯃꯒꯅꯤ꯫
  • ꯁ꯭ꯇꯦꯟꯇꯁꯤꯡ: ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯕꯥꯏꯜ ꯗꯛꯇ ꯑꯗꯨꯗꯥ ꯙꯥꯇꯨ ꯅꯠꯠꯔꯒꯥ ꯄ꯭ꯂꯥꯁ꯭ꯇꯤꯀꯅꯥ ꯁꯦꯝꯕꯥ ꯑꯄꯤꯀꯄꯥ ꯇꯤꯎꯕ ꯑꯃꯥ, ꯃꯗꯨꯕꯨ ꯄꯥꯀꯊꯣꯛ-ꯆꯥꯎꯊꯣꯀꯍꯟꯅꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯍꯥꯡꯗꯣꯛꯅꯕꯥ ꯊꯃꯖꯤꯅꯕꯥ ꯌꯥꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯕ꯭ꯂꯣꯀꯦꯖ ꯑꯗꯨ ꯁ꯭ꯠꯔꯤꯀꯆꯔꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯑꯣꯏꯔꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ``ꯁ꯭ꯇꯦꯟꯇ'' ꯑꯃꯥ ꯍꯥꯄꯆꯤꯅꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯏ꯫
  • ꯀꯦꯟꯁꯔꯒꯤ ꯂꯥꯏꯌꯦꯡꯁꯤꯡ: ꯱.ꯀꯔꯤꯒꯨꯝꯕꯥ ꯕ꯭ꯂꯣꯀꯦꯖ ꯑꯗꯨ ꯇꯤꯎꯃꯔ ꯑꯃꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯑꯣꯏꯔꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯁꯔꯖꯔꯤ ꯅꯠꯠꯔꯒꯥ ꯑꯇꯩ ꯀꯦꯟꯁꯔꯒꯤ ꯂꯥꯏꯌꯦꯡꯁꯤꯡ ꯍꯥꯌꯕꯗꯤ ꯀꯦꯃꯣꯊꯦꯔꯥꯄꯤ ꯑꯃꯁꯨꯡ ꯔꯦꯗꯤꯑꯦꯁꯟ ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯏ꯫

ꯐꯤꯚꯝ ꯑꯁꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯐꯒꯠꯂꯀꯄꯒꯤ ꯆꯥꯡ ꯀꯔꯤꯅꯣ?

ꯅꯍꯥꯛꯀꯤ ꯄ꯭ꯔꯣꯒ꯭ꯅꯣꯁꯤꯁ ꯑꯁꯤ ꯕ꯭ꯂꯣꯀꯦꯖ ꯑꯗꯨꯒꯤ ꯃꯔꯝ ꯑꯗꯨꯒꯤ ꯃꯈꯥ ꯄꯣꯜꯂꯤ꯫ ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯔꯝ ꯑꯗꯨ ꯒꯥꯂꯁ꯭ꯇꯣꯟ ꯑꯣꯏꯔꯕꯗꯤ, ꯉꯟꯅꯥ ꯈꯪꯗꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯂꯥꯏꯌꯦꯡꯕꯅꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ ꯊꯤꯡꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫ ꯂꯥꯏꯌꯦꯡꯕꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯃꯤꯑꯣꯏ ꯑꯌꯥꯝꯕꯅꯥ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯐꯒꯠꯂꯀꯏ꯫

ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯀꯦꯟꯁꯔ ꯅꯠꯠꯔꯒꯥ ꯀ꯭ꯔꯣꯅꯤꯛ ꯂꯤꯚꯔ ꯗꯤꯖꯤꯖꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯕꯥꯏꯜ ꯗꯛꯇ ꯕ꯭ꯂꯣꯀꯦꯖꯁꯤꯡ ꯑꯁꯤ ꯃꯦꯅꯦꯖ ꯇꯧꯕꯗꯥ ꯈꯔꯥ ꯍꯦꯟꯅꯥ ꯂꯨꯕꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫

ꯃꯤꯄꯨꯝ ꯈꯨꯗꯤꯡꯃꯛꯀꯤ ꯐꯤꯚꯝ ꯑꯁꯤ ꯑꯃꯒꯥ ꯑꯃꯒꯥ ꯃꯥꯟꯅꯗꯦ꯫ ꯕ꯭ꯂꯣꯀꯦꯖꯒꯤ ꯃꯔꯝ ꯑꯃꯁꯨꯡ ꯃꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯁꯦꯂꯗꯥ ꯀꯔꯝꯅꯥ ꯁꯣꯀꯍꯅꯕꯒꯦ ꯍꯥꯌꯕꯗꯨꯗꯥ ꯌꯨꯝꯐꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯂꯥꯏꯌꯦꯡꯕꯗꯒꯤ ꯅꯍꯥꯛꯅꯥ ꯀꯔꯤ ꯑꯥꯁꯥ ꯇꯧꯕꯥ ꯌꯥꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯈꯪꯍꯜꯂꯛꯀꯅꯤ꯫

ꯕꯥꯏꯜ ꯗꯛꯇ ꯕ꯭ꯂꯣꯀꯦꯖꯁꯤꯡ ꯊꯤꯡꯕꯥ ꯉꯃꯒꯗ꯭ꯔꯥ?

ꯕꯥꯏꯜ ꯗꯛꯇ ꯑꯣꯕꯁ꯭ꯠꯔꯥꯀꯁꯟ ꯑꯁꯤ ꯃꯇꯝ ꯄꯨꯝꯅꯃꯛꯇꯥ ꯊꯤꯡꯕꯥ ꯉꯃꯗꯦ꯫

ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯅꯍꯥꯛꯀꯤ ꯗꯥꯏꯇꯇꯥ ꯀꯣꯂꯦꯁ꯭ꯇꯦꯔꯣꯂꯒꯤ ꯆꯥꯡ ꯍꯟꯊꯍꯟꯗꯨꯅꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯔꯝ ꯑꯣꯏꯔꯤꯕꯥ ꯒꯥꯂꯁ꯭ꯇꯣꯟ ꯂꯥꯀꯄꯒꯤ ꯔꯤꯁ꯭ꯛ ꯍꯟꯊꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯅꯍꯥꯛꯅꯥ ꯁ꯭ꯠꯔꯤꯀꯆꯔ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯕꯥ ꯂꯤꯚꯔꯒꯤ ꯂꯥꯌꯅꯥ ꯀꯌꯥꯒꯤ ꯔꯤꯁ꯭ꯀꯁꯨ ꯍꯟꯊꯍꯅꯕꯥ ꯌꯥꯏ:

  • ꯃꯇꯤꯛ ꯆꯥꯅꯥ ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯇꯧꯕꯥ꯫
  • ꯁꯦꯆꯨꯔꯦꯇꯦꯗ ꯐꯦꯠ ꯌꯥꯝꯅꯥ ꯌꯥꯎꯕꯥ ꯃꯆꯤ ꯑꯣꯏꯕꯥ ꯆꯤꯟꯖꯥꯛ ꯆꯥꯕꯥ꯫
  • ꯅꯍꯥꯛꯅꯥ ꯆꯨꯅꯕꯥ ꯍꯀꯁꯦꯜ ꯐꯕꯥ ꯑꯔꯨꯝꯕꯥ ꯑꯃꯥ ꯊꯝꯕꯥ꯫
  • ꯌꯨ ꯊꯀꯄꯥ ꯊꯤꯡꯕꯥ, ꯅꯠꯠꯔꯒꯥ ꯌꯥꯝꯅꯥ ꯅꯦꯝꯕꯥ ꯃꯁꯤꯡ ꯈꯛꯇꯗꯥ ꯌꯨ ꯊꯀꯄꯥ꯫

ꯑꯩꯅꯥ ꯀꯗꯥꯏꯗꯥ ꯗꯣꯛꯇꯔꯒꯥ ꯎꯅꯒꯗꯒꯦ?

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯕꯥꯏꯜ ꯗꯛꯇ ꯑꯣꯕꯁ꯭ꯠꯔꯀꯆꯔꯒꯤ ꯂꯥꯏꯑꯣꯡ ꯂꯩꯔꯕꯗꯤ, ꯗꯣꯛꯇꯔ ꯑꯃꯗꯥ ꯁꯣꯌꯗꯅꯥ ꯇꯥꯀꯄꯤꯌꯨ . ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯂꯥꯏꯑꯣꯡ ꯀꯌꯥ, ꯍꯥꯌꯕꯗꯤ ꯈꯣꯡ-ꯈꯨꯠ ꯁꯣꯛ-ꯄꯅꯕꯥ, ꯋꯥꯈꯜ ꯆꯔꯥꯡꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯋꯥꯈꯜ ꯆꯔꯥꯡꯅꯕꯥ ꯑꯁꯤ ꯃꯈꯜ ꯀꯌꯥꯒꯤ ꯀꯟꯗꯤꯁꯅꯁꯤꯡꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ, ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯑꯗꯨ ꯇꯁꯦꯡꯅꯥ ꯕ꯭ꯂꯣꯀꯦꯖ ꯑꯣꯏꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯊꯨꯅꯥ ꯈꯪꯗꯣꯀꯄꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ – ꯕꯥꯏꯜ ꯁꯦꯃꯒꯠꯂꯀꯄꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ ꯂꯥꯀꯄꯥ ꯃꯃꯥꯡꯗꯥ꯫

ꯕ꯭ꯂꯣꯛ ꯇꯧꯔꯕꯥ ꯕꯥꯏꯜ ꯗꯛꯇ ꯑꯃꯥ ꯑꯦꯃꯔꯖꯦꯟꯁꯤ ꯑꯣꯏꯕ꯭ꯔꯥ?

ꯍꯣꯌ, ꯃꯁꯤ ꯏꯃꯔꯖꯦꯟꯁꯤ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫ ꯃꯔꯨꯑꯣꯏꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯕꯥꯏꯜ ꯔꯤꯐ꯭ꯂꯛꯁꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯁꯟ ꯑꯃꯁꯨꯡ ꯏꯅꯐꯦꯛꯁꯟ ꯊꯣꯀꯍꯅꯕꯥ ꯇꯥꯔꯕꯗꯤ꯫ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯥ ꯊꯕꯛ ꯑꯁꯤ ꯃꯁꯤ ꯊꯣꯀꯍꯟꯗꯅꯕꯥ ꯑꯍꯥꯅꯕꯥ ꯑꯣꯏꯅꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯎꯕꯥ ꯃꯇꯃꯗꯥ ꯗꯣꯛꯇꯔ ꯑꯃꯒꯥ ꯇꯥꯟꯅꯕꯅꯤ꯫

ꯕꯥꯏꯜ ꯑꯁꯤ ꯕꯥꯏꯜ ꯗꯛꯇꯁꯤꯡ ꯐꯖꯅꯥ ꯆꯠꯊꯣꯛ-ꯆꯠꯁꯤꯟ ꯇꯧꯕꯗꯥ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ, ꯃꯁꯤꯅꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯆꯤꯟꯖꯥꯛ ꯍꯟꯖꯤꯅꯍꯅꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ ꯑꯃꯁꯨꯡ ꯕꯤꯂꯤꯔꯨꯕꯤꯟ (ꯑꯃꯣꯠꯄꯥ ꯄꯣꯠꯁꯛ ꯑꯃꯥ) ꯂꯧꯊꯣꯀꯄꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫ ꯃꯔꯝ ꯑꯁꯤꯅꯥ ꯕ꯭ꯂꯣꯀꯦꯖꯁꯤꯡ ꯑꯁꯤ ꯁꯦꯝꯕꯥ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫ ꯐꯦꯇꯁꯤꯡ ꯊꯨꯒꯥꯏꯅꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯄꯤꯀꯄꯥ ꯏꯟꯇꯦꯁ꯭ꯇꯥꯏꯅꯗꯥ ꯕꯥꯏꯜ ꯆꯦꯅꯕꯥ ꯃꯊꯧ ꯇꯥꯏ꯫ ꯂꯤꯚꯔꯒꯤ ꯂꯥꯌꯅꯥ ꯅꯠꯠꯔꯒꯥ ꯏꯅꯐꯦꯛꯁꯅꯒꯨꯝꯕꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ ꯊꯤꯡꯅꯕꯒꯤꯗꯃꯛ ꯕꯤꯂꯤꯔꯨꯕꯤꯅꯁꯨ ꯅꯍꯥꯛꯀꯤ ꯂꯤꯚꯔꯗꯒꯤ ꯊꯣꯀꯄꯥ ꯃꯊꯧ ꯇꯥꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯕ꯭ꯂꯣꯀꯦꯖ ꯑꯃꯥ ꯂꯩꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯃꯗꯨ ꯂꯧꯊꯣꯛꯅꯕꯒꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯥ ꯑꯣꯄꯁꯅꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ ꯍꯥꯌꯕꯗꯨ ꯈꯪꯍꯅꯕꯥ ꯌꯥꯏ꯫

ꯑꯔꯣꯏꯕꯗꯥ, ꯅꯤꯡꯁꯤꯡꯒꯗꯕꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯋꯥꯐꯃꯁꯤꯡ꯫

ꯑꯣꯀꯦ, ꯑꯩꯈꯣꯌꯅꯥ ꯕꯥꯏꯜ ꯗꯛꯇ ꯑꯣꯕꯁ꯭ꯠꯔꯀꯁꯅꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯌꯥꯝꯅꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯈ꯭ꯔꯦ꯫ ꯋꯥꯔꯤ ꯑꯁꯤꯗꯒꯤ ꯅꯍꯥꯛꯅꯥ ꯅꯤꯡꯁꯤꯡꯒꯗꯕꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯋꯥꯐꯃꯁꯤꯡ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤ:

  • ꯕꯥꯏꯜ ꯗꯛꯇ ꯑꯣꯕꯁ꯭ꯠꯔꯥꯀꯁꯟ ꯑꯁꯤ ꯄꯨꯛꯅꯤꯡ ꯆꯪꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ . ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯊꯛ ꯊꯪꯕꯥ ꯁꯔꯨꯛꯇꯥ ꯁꯣꯀꯄꯥ, ꯃꯤꯠ ꯎꯗꯕꯥ, ꯅꯠꯠꯔꯒꯥ ꯁ꯭ꯇꯣꯂꯒꯤ ꯃꯆꯨ ꯍꯣꯡꯂꯀꯄꯥ ꯑꯁꯤꯅꯆꯤꯡꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯂꯩꯔꯕꯗꯤ , ꯃꯇꯝ ꯑꯃꯠꯇꯗꯥ ꯗꯣꯛꯇꯔꯒꯥ ꯇꯥꯟꯅꯧ꯫
  • ꯑꯌꯥꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯃꯁꯤ ꯒꯥꯂꯁ꯭ꯇꯣꯅꯅꯥ ꯊꯣꯀꯍꯅꯕꯅꯤ , ꯑꯗꯨꯕꯨ ꯑꯇꯩ ꯑꯀꯅꯕꯥ ꯃꯔꯃꯁꯤꯡꯁꯨ ꯂꯩꯕꯥ ꯌꯥꯏ, ꯍꯥꯌꯕꯗꯤ ꯀꯦꯟꯁꯔ꯫
  • ꯀꯔꯤꯒꯨꯝꯕꯥ ꯂꯥꯌꯅꯥ ꯑꯁꯤ ꯇꯣꯏꯅꯥ ꯈꯪꯗꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯂꯥꯏꯌꯦꯡꯕꯥ ꯇꯥꯔꯕꯗꯤ, ꯃꯄꯨꯡꯐꯥꯅꯥ ꯐꯒꯠꯂꯀꯄꯥ ꯑꯁꯤ ꯑꯌꯥꯝꯕꯅꯥ ꯐꯪꯕꯥ ꯉꯝꯃꯤ꯫
  • ꯍꯀꯁꯦꯜ ꯐꯕꯥ ꯄꯨꯟꯁꯤ ꯃꯍꯤꯡ ꯑꯃꯥ (ꯍꯀꯁꯦꯜ ꯐꯕꯥ ꯗꯥꯏꯠ, ꯑꯦꯛꯁꯔꯁꯥꯏꯖ, ꯌꯨ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯥ) ꯊꯝꯕꯅꯥ ꯔꯤꯁ꯭ꯛ ꯐꯦꯛꯇꯔ ꯈꯔꯗꯤ ꯍꯟꯊꯍꯅꯕꯥ ꯉꯝꯃꯤ꯫
  • ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯆꯤꯡꯅꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯋꯥꯍꯪ ꯑꯃꯠꯇꯥ ꯂꯩꯔꯕꯗꯤ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯍꯪꯕꯗꯥ ꯂꯥꯡꯇꯛꯅꯒꯅꯨ꯫ ꯃꯈꯣꯌꯅꯥ ꯑꯗꯣꯃꯒꯤ ꯃꯇꯦꯡ ꯄꯥꯡꯅꯕꯥ ꯂꯩꯔꯤ꯫

ꯅꯍꯥꯛꯀꯤ ꯍꯀꯁꯦꯜ ꯑꯁꯤ ꯅꯍꯥꯛꯀꯤꯗꯃꯛꯇꯥ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯃꯁꯤꯕꯨ ꯌꯦꯡꯁꯤꯅꯕꯤꯌꯨ꯫ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯂꯩꯔꯣꯏꯗꯕꯅꯤ, ꯁꯃꯁ꯭ꯌꯥ ꯈꯨꯗꯤꯡꯃꯛꯀꯤ ꯁꯣꯂꯨꯁꯟ ꯂꯩꯔꯤ!


` ꯕꯥꯏꯜ ꯗꯛꯇ ꯑꯣꯕꯁ꯭ꯠꯔꯥꯀꯁꯟ, ꯒꯥꯂꯁ꯭ꯇꯣꯟ, ꯖꯟꯗꯤꯁ, ꯂꯤꯚꯔ, ꯒꯥꯂꯕ꯭ꯂꯦꯗꯔ, ꯕꯥꯏꯜ ꯗꯛꯇ ꯑꯣꯕꯁ꯭ꯠꯔꯥꯀꯁꯟ, ꯖꯟꯗꯤꯁ꯫

⚠️ 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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ꯅꯍꯥꯛꯅꯥ ꯕ꯭ꯂꯣꯛ ꯇꯧꯔꯕꯥ ꯕꯥꯏꯜ ꯗꯛꯇ ꯑꯃꯥ ꯂꯩꯕ꯭ꯔꯥ? (ꯕꯥꯏꯜ ꯗꯛꯇ ꯑꯣꯕꯁ꯭ꯠꯔꯥꯀꯁꯟ) - ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯈꯉꯂꯁꯤ!

ꯅꯍꯥꯛꯅꯥ ꯕ꯭ꯂꯣꯛ ꯇꯧꯔꯕꯥ ꯕꯥꯏꯜ ꯗꯛꯇ ꯑꯃꯥ ꯂꯩꯕ꯭ꯔꯥ? (ꯕꯥꯏꯜ ꯗꯛꯇ ꯑꯣꯕꯁ꯭ꯠꯔꯥꯀꯁꯟ) - ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯈꯉꯂꯁꯤ!

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯃꯊꯛ ꯊꯪꯕꯥ ꯁꯔꯨꯛꯇꯥ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ, ꯃꯤꯠ ꯎꯗꯕꯥ, ꯑꯃꯁꯨꯡ ꯈꯣꯡꯗꯥ ꯌꯦꯔꯨꯝ ꯀꯣꯀꯄꯥ (yellowing) ꯂꯩꯕ꯭ꯔꯥ? ꯅꯠꯠꯔꯒꯥ ꯅꯍꯥꯛꯀꯤ ꯁ꯭ꯇꯣꯂꯁꯤꯡ ꯑꯗꯨ ꯃꯌꯦꯛ ꯁꯦꯡꯅꯥ ꯃꯆꯨ ꯁꯪꯂꯛꯂꯕ꯭ꯔꯥ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯌꯨꯔꯤꯟ ꯑꯗꯨ ꯏꯪꯊꯔꯛꯂꯕ꯭ꯔꯥ? ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯌꯦꯡꯊꯤꯅꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯅꯠꯇꯦ꯫ ꯃꯈꯣꯌ ꯑꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯕꯥꯏꯜ ꯗꯛꯇꯁꯤꯡ ꯑꯗꯨ ꯕ꯭ꯂꯣꯛ ꯇꯧꯕꯥ ꯌꯥꯕꯥ ꯄꯣꯠꯁꯛ ꯑꯃꯒꯤ ꯈꯨꯗꯝ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫

ꯕꯥꯏꯜ ꯗꯛꯇ ꯑꯣꯕꯁ꯭ꯠꯔꯥꯀꯁꯟ ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ?

ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯕꯥꯏꯜ ꯗꯛꯇ ꯑꯣꯕꯁ꯭ꯠꯔꯥꯀꯁꯟ ꯍꯥꯌꯕꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯕꯥꯏꯜ ꯗꯛꯇꯁꯤꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯄꯣꯠꯁꯛ ꯑꯃꯅꯥ ꯆꯦꯟꯊꯈꯤꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ, ꯃꯗꯨꯅꯥ ꯃꯈꯣꯌꯒꯤ ꯃꯔꯛꯇꯥ ꯕꯥꯏꯜ ꯆꯦꯟꯊꯔꯀꯄꯥ ꯊꯤꯡꯏ꯫

ꯍꯧꯖꯤꯛ ꯑꯗꯣꯝꯅꯥ ꯈꯅꯕꯤꯔꯃꯒꯅꯤ ꯃꯗꯨꯗꯤ ꯕꯥꯏꯜ ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ ꯑꯃꯁꯨꯡ ꯕꯥꯏꯜ ꯗꯛꯇ ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ, ꯅꯠꯇꯦ? ꯑꯣꯀꯦ, ꯃꯗꯨꯁꯨ ꯐꯣꯡꯗꯣꯀꯆꯒꯦ꯫

ꯕꯥꯏꯜ ꯍꯥꯌꯕꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯆꯥꯔꯤꯕꯥ ꯆꯤꯟꯖꯥꯀꯁꯤꯡꯗꯥ ꯌꯥꯎꯔꯤꯕꯥ ꯐꯦꯇꯁꯤꯡ ꯑꯗꯨ ꯍꯟꯖꯤꯅꯍꯅꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯂꯤꯕꯥ ꯐ꯭ꯂꯨꯏꯗ ꯑꯃꯅꯤ꯫ ꯃꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯂꯤꯚꯔꯗꯥ ꯄꯨꯊꯣꯀꯏ꯫ ꯂꯤꯚꯔꯅꯥ ꯄꯨꯊꯣꯀꯄꯥ ꯕꯥꯏꯜ ꯑꯁꯤ ꯒꯥꯂꯕ꯭ꯂꯦꯗꯔꯗꯥ ꯊꯃꯖꯤꯜꯂꯤ꯫ ꯑꯩꯈꯣꯌꯅꯥ ꯆꯥꯕꯥ ꯃꯇꯃꯗꯥ, ꯃꯁꯤꯒꯤ ꯕꯥꯏꯜ ꯑꯁꯤ ꯒꯥꯂꯕ꯭ꯂꯦꯗꯔꯗꯒꯤ ꯊꯥꯗꯣꯀꯏ ꯑꯃꯁꯨꯡ ꯑꯄꯤꯀꯄꯥ ꯏꯟꯇꯦꯁ꯭ꯇꯥꯏꯅꯗꯥ ꯆꯠꯇꯨꯅꯥ ꯆꯤꯟꯖꯥꯛ ꯍꯟꯖꯤꯅꯍꯅꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫ ꯕꯥꯏꯜ ꯑꯁꯤꯗꯥ ꯑꯇꯣꯞꯄꯥ ꯄꯣꯠꯁꯛ ꯑꯃꯁꯨ ꯂꯩꯔꯤ, ꯑꯃꯁꯨꯡ ꯃꯗꯨ ꯕꯤꯂꯤꯔꯨꯕꯤꯟ ꯀꯧꯕꯥ ꯑꯃꯣꯠꯄꯥ ꯄꯣꯠꯁꯛ ꯑꯃꯅꯤ꯫ ꯃꯁꯤꯒꯤ ꯕꯤꯂꯤꯔꯨꯕꯤꯟ ꯑꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯏꯗꯥ ꯂꯩꯔꯤꯕꯥ ꯔꯦꯗ ꯕ꯭ꯂꯗ ꯁꯦꯂꯁꯤꯡ ꯁꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯄꯨꯊꯣꯀꯏ꯫ ꯂꯤꯚꯔꯅꯥ ꯕꯤꯂꯤꯔꯨꯕꯤꯟ ꯑꯁꯤ ꯍꯀꯆꯥꯡꯗꯒꯤ ꯕꯥꯏꯂꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯂꯧꯊꯣꯀꯏ꯫

ꯕꯥꯏꯜ ꯗꯛꯇꯁꯤꯡ ꯑꯁꯤ ꯑꯄꯤꯀꯄꯥ ꯄꯥꯏꯄꯁꯤꯡꯒꯤ ꯁꯤꯁ꯭ꯇꯦꯝ ꯑꯃꯒꯨꯝꯅꯥ ꯑꯣꯏ꯫ ꯃꯈꯣꯌꯁꯤꯡ ꯑꯁꯤ ꯏꯁꯤꯡ ꯄꯨꯕꯥ ꯑꯄꯤꯀꯄꯥ ꯄꯥꯏꯄꯁꯤꯡ ꯑꯣꯏꯅꯥ ꯈꯅꯕꯤꯌꯨ꯫ ꯄꯥꯏꯄꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯂꯤꯚꯔꯗꯥ ꯄꯨꯊꯣꯀꯄꯥ ꯕꯥꯏꯜ ꯑꯁꯤ ꯒꯥꯂꯕ꯭ꯂꯦꯗꯔꯗꯥ ꯑꯃꯁꯨꯡ ꯃꯇꯨꯡꯗꯥ ꯑꯄꯤꯀꯄꯥ ꯏꯟꯇꯦꯁ꯭ꯇꯥꯏꯅꯗꯥ ꯄꯨꯗꯨꯅꯥ ꯆꯠꯂꯤ꯫ ꯃꯈꯣꯌꯅꯥ ꯕꯤꯂꯤꯔꯨꯕꯤꯟ ꯑꯁꯤ ꯂꯤꯚꯔꯗꯒꯤ ꯂꯧꯊꯣꯀꯄꯗꯁꯨ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫

ꯃꯔꯝ ꯑꯗꯨꯅꯥ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯄꯣꯠꯁꯛ ꯑꯃꯅꯥ ꯕꯥꯏꯜ ꯗꯛꯇꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯊꯨꯒꯥꯌꯔꯕꯗꯤ, ꯕꯥꯏꯜ ꯗꯛꯇꯁꯤꯡ ꯑꯗꯨ ꯕ꯭ꯂꯣꯛ ꯇꯧꯔꯀꯏ, ꯑꯃꯁꯨꯡ ꯕꯥꯏꯜ ꯑꯗꯨꯅꯥ ꯂꯤꯚꯔꯗꯥ ꯕꯦꯛ ꯇꯧꯕꯥ ꯍꯧꯔꯀꯏ꯫ ꯃꯁꯤꯅꯥ ꯑꯀꯅꯕꯥ ꯑꯅꯥꯕꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ ꯑꯃꯁꯨꯡ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯂꯥꯌꯦꯡꯗ꯭ꯔꯕꯗꯤ ꯑꯀꯅꯕꯥ ꯍꯀꯁꯦꯂꯒꯤ ꯁꯃꯁ꯭ꯌꯥꯁꯤꯡ ꯊꯣꯀꯍꯜꯂꯀꯄꯥ ꯌꯥꯏ .

ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯀꯌꯥꯝ ꯀꯃꯟ ꯑꯣꯏꯕꯒꯦ?

ꯇꯁꯦꯡꯕꯗꯤ, ꯕꯥꯏꯜ ꯗꯛꯇꯁꯤꯡꯗꯥ ꯁꯣꯀꯍꯜꯂꯤꯕꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯑꯁꯤ ꯑꯣꯕꯁ꯭ꯠꯔꯥꯀꯁꯅꯁꯤꯡꯅꯤ . ꯈꯟꯊꯕꯤꯌꯨ, ꯃꯤꯑꯣꯏ 1,000ꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯆꯥꯎꯔꯥꯛꯅꯥ 5ꯗꯤ ꯒꯥꯂꯁ꯭ꯇꯣꯟ (gallstones) ꯂꯥꯀꯏ, ꯃꯗꯨꯅꯥ ꯕꯥꯏꯜ ꯗꯛꯇꯁꯤꯡ ꯊꯤꯡꯖꯤꯅꯕꯥ ꯉꯝꯃꯤ꯫ ꯒꯥꯂꯁ꯭ꯇꯣꯟ ꯍꯥꯌꯕꯁꯤ ꯕꯥꯏꯂꯗꯥ ꯂꯩꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡꯅꯥ ꯈꯣꯃꯖꯤꯜꯂꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯀꯅꯈꯠꯂꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯁꯦꯝꯕꯥ ꯁ꯭ꯇꯣꯟ ꯃꯈꯜ ꯑꯃꯅꯤ꯫ ꯒꯥꯂꯁ꯭ꯇꯣꯅꯁꯤꯡ ꯑꯁꯤ ꯕꯥꯏꯜ ꯗꯛꯇ ꯕ꯭ꯂꯣꯀꯦꯖꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯔꯃꯅꯤ꯫

ꯕꯥꯏꯜ ꯗꯛꯇ ꯑꯣꯕꯁ꯭ꯠꯔꯀꯆꯔꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?

ꯑꯌꯥꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯒꯥꯂꯁ꯭ꯇꯣꯟ ꯑꯃꯁꯨꯡ ꯖꯟꯗꯥꯁꯀꯥ ꯃꯥꯟꯅꯩ꯫ ꯖꯟꯗꯥꯁꯀꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯏꯗꯥ ꯕꯤꯂꯤꯔꯨꯕꯤꯟ ꯌꯥꯝꯅꯥ ꯌꯥꯎꯕꯒꯤ ꯈꯨꯗꯝ ꯑꯃꯅꯤ꯫

ꯍꯥꯌꯔꯤꯕꯥ ꯐꯤꯆꯔꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯌꯥꯝꯅꯥ ꯀꯨꯞꯅꯥ ꯌꯦꯡꯁꯤꯅꯕꯤꯌꯨ:

  • ꯃꯊꯛꯀꯤ ꯈꯣꯡꯄꯥꯛꯇꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ (upper abdominal pain): ꯃꯁꯤ ꯇꯞꯅꯥ ꯇꯞꯅꯥ, ꯈꯣꯡ ꯍꯥꯝꯂꯕꯥ, ꯂꯦꯡ-ꯑꯣꯠꯄꯒꯤ ꯃꯑꯣꯡ ꯑꯃꯥ ꯑꯣꯏꯅꯥ ꯐꯥꯎꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤ ꯃꯤꯅꯠ ꯀꯌꯥꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯍꯦꯅꯒꯠꯂꯀꯏ꯫
  • ꯈꯣꯡꯗꯥ ꯌꯦꯔꯨꯝ ꯀꯣꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯃꯃꯤꯠꯀꯤ ꯑꯉꯧꯕꯥ ꯁꯔꯨꯀꯁꯤꯡ ꯑꯗꯨ ꯌꯦꯔꯨꯝ ꯀꯣꯀꯄꯥ:ꯃꯁꯤꯕꯨ ꯑꯩꯈꯣꯌꯅꯥ ꯖꯟꯗꯥꯁ ꯍꯥꯌꯅꯥꯁꯨ ꯀꯧꯏ꯫
  • ꯀ꯭ꯂꯦ ꯃꯆꯨꯒꯤ ꯁ꯭ꯇꯣꯂꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯑꯉꯧꯕꯥ ꯌꯨꯔꯤꯟ: ꯕꯥꯏꯜ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯏꯟꯇꯦꯁ꯭ꯇꯥꯏꯅꯁꯤꯡꯗꯥ ꯆꯦꯟꯊꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯁ꯭ꯇꯣꯜ ꯑꯗꯨ ꯃꯆꯨ ꯍꯣꯡꯏ꯫ ꯃꯁꯤꯗꯁꯨ ꯅꯠꯇꯅꯥ, ꯌꯨꯔꯤꯅꯗꯥ ꯕꯤꯂꯤꯔꯨꯕꯤꯟ ꯍꯦꯟꯅꯥ ꯊꯥꯗꯣꯀꯄꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯌꯨꯔꯤꯟ ꯑꯗꯨ ꯑꯃꯝꯕꯥ ꯑꯣꯏꯔꯀꯏ꯫
  • ꯂꯥꯏꯍꯧ ꯑꯃꯁꯨꯡ ꯆꯤꯀꯄꯥ꯫
  • ꯅꯣꯡꯃꯩ ꯀꯥꯞꯄꯥ ꯑꯃꯁꯨꯡ ꯈꯣꯡ ꯍꯥꯝꯕꯥ꯫
  • ꯈꯣꯡ ꯍꯥꯝꯕꯥ (pruritus): ꯃꯁꯤ ꯈꯣꯡꯗꯥ ꯕꯥꯏꯜ ꯁꯣꯜꯇ (bill solts) ꯊꯥꯗꯣꯔꯀꯄꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫
  • ꯆꯤꯟꯖꯥꯛ ꯑꯁꯤ ꯃꯆꯤ ꯑꯣꯏꯗꯦ꯫
  • ꯃꯔꯝ ꯑꯃꯠꯇꯥ ꯂꯩꯇꯅꯥ ꯊꯤꯅꯥ ꯂꯩꯕꯥ꯫
  • ꯌꯥꯝꯅꯥ ꯋꯥꯅꯥ ꯊꯣꯀꯄꯥ (fatigue) ꯐꯥꯎꯕꯥ꯫

ꯕꯥꯏꯜ ꯗꯛꯇ ꯕ꯭ꯂꯣꯀꯦꯖ (bail duct blockage) ꯑꯁꯤ ꯀꯔꯤꯅꯥ ꯊꯣꯀꯍꯅꯕꯒꯦ?

ꯕꯥꯏꯜ ꯗꯛꯇ ꯕ꯭ꯂꯣꯀꯦꯖꯒꯤ ꯑꯣꯏꯊꯣꯀꯄꯥ ꯌꯥꯕꯥ ꯃꯔꯝ ꯀꯌꯥ ꯂꯩ꯫ ꯃꯔꯨ ꯑꯣꯏꯕꯥ ꯋꯥꯐꯃꯁꯤꯡ ꯌꯦꯡꯁꯤ:

  • ꯅꯍꯥꯛꯀꯤ ꯕꯥꯏꯜ ꯗꯛꯇꯁꯤꯡ ꯕ꯭ꯂꯣꯛ ꯇꯧꯕꯥ ꯒꯥꯂꯁ꯭ꯇꯣꯅꯁꯤꯡ: ꯃꯁꯤꯅꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯃꯔꯃꯅꯤ꯫
  • ꯀꯣꯂꯦꯗꯣꯀꯜ ꯁꯤꯁ꯭ꯇꯦꯃꯁꯤꯡ (choledochal cysts): ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯊꯣꯀꯄꯥ, ꯀꯣꯟꯖꯤꯅꯤꯑꯦꯜ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫ ꯁꯤꯁ꯭ꯇꯦꯃꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯕꯥꯏꯂꯒꯤ ꯏꯁꯤꯡ ꯇꯨꯡꯁꯤꯅꯕꯥ ꯊꯤꯡꯏ꯫
  • ꯕꯥꯏꯜ ꯗꯛꯇ ꯁ꯭ꯠꯔꯤꯛꯆꯔꯁꯤꯡ (Bile duct strictures) : ꯃꯁꯤ ꯕꯥꯏꯜ ꯗꯛꯇ ꯑꯃꯒꯤ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯄꯅꯤ꯫ ꯃꯁꯤ ꯃꯦꯗꯤꯀꯦꯜ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯥ ꯅꯠꯠꯔꯒꯥ ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯁꯣꯛ-ꯄꯅꯕꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫

ꯕꯥꯏꯜ ꯗꯛꯇ ꯁ꯭ꯠꯔꯤꯛꯆꯔꯁꯤꯡ ꯑꯁꯤ ꯃꯈꯜ ꯀꯌꯥꯒꯤ ꯃꯔꯝ (ꯀꯦꯟꯁꯔ ꯑꯃꯁꯨꯡ ꯅꯟ-ꯀꯦꯟꯁꯔ) ꯂꯩꯕꯥ ꯌꯥꯏ꯫ ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯃꯈꯣꯌ ꯑꯁꯤ ꯒꯥꯂꯕ꯭ꯂꯦꯗꯔ ꯔꯤꯃꯨꯚꯜ ꯁꯔꯖꯔꯤ (ꯀꯣꯂꯦꯁꯤꯁ꯭ꯇꯦꯛꯇꯣꯃꯤ)ꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯁꯣꯀꯄꯗꯒꯤ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫

ꯕꯥꯏꯜ ꯗꯛꯇ ꯕ꯭ꯂꯣꯀꯦꯖ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯕꯥ ꯕꯥꯏꯜ ꯗꯛꯇ ꯁ꯭ꯠꯔꯤꯀꯆꯔꯒꯤ ꯑꯇꯩ ꯃꯔꯝ ꯈꯔꯗꯤ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤ:

  • ꯀꯦꯟꯁꯔ: ꯄꯦꯅꯛꯔꯤꯑꯦꯇꯤꯛ ꯀꯦꯟꯁꯔ, ꯕꯥꯏꯜ ꯗꯛꯇ ꯀꯦꯟꯁꯔ, ꯂꯤꯚꯔ ꯀꯦꯟꯁꯔ ꯑꯃꯁꯨꯡ ꯃꯦꯇꯥꯁ꯭ꯇꯦꯇꯤꯛ ꯀꯦꯟꯁꯔ꯫
  • ꯀꯣꯟꯖꯤꯅꯤꯑꯦꯜ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ: ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ `(Biliary atresia)` ꯑꯃꯁꯨꯡ `(Alagille syndrome)`ꯒꯨꯝꯕꯥ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ ꯑꯁꯤ ꯌꯥꯎꯏ꯫
  • ꯕꯥꯏꯜ ꯗꯛꯇꯁꯤꯡꯒꯤ ꯀ꯭ꯔꯣꯅꯤꯛ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯁꯟ: `(ꯄ꯭ꯔꯥꯏꯃꯥꯔꯤ ꯕꯤꯂꯤꯌꯥꯔꯤ ꯀꯣꯂꯦꯅꯖꯥꯏꯇꯤꯁ)` ꯑꯃꯁꯨꯡ `(ꯄ꯭ꯔꯥꯏꯃꯥꯔꯤ ꯁ꯭ꯛꯂꯦꯔꯣꯁꯤꯡ ꯀꯣꯂꯦꯅꯖꯥꯏꯇꯤꯁ)`ꯒꯨꯝꯕꯥ ꯂꯥꯌꯅꯥꯁꯤꯡ꯫
  • ꯑꯣꯇꯣꯏꯝꯌꯨꯟ ꯄꯦꯅꯛꯔꯤꯑꯦꯇꯤꯁ ꯑꯃꯁꯨꯡ ꯅꯣꯔꯃꯦꯜ ꯄꯦꯅꯛꯔꯤꯑꯦꯇꯤꯁ꯫
  • ꯑꯁꯣꯛ-ꯑꯄꯟ, ꯕꯦꯛꯇꯦꯔꯤꯌꯥ ꯅꯠꯠꯔꯒꯥ ꯄꯦꯔꯥꯁꯥꯏꯇꯀꯤ ꯏꯅꯐꯦꯛꯁꯟ ꯑꯃꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯁꯟ꯫
  • `ꯃꯤꯔꯤꯖꯤ ꯁꯤꯟꯗꯣꯝ` ꯀꯧꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫
  • ꯒꯥꯂꯕ꯭ꯂꯦꯗꯔ ꯔꯤꯃꯨꯚꯜ ꯁꯔꯖꯔꯤ (ꯀꯣꯂꯦꯁꯤꯁ꯭ꯇꯦꯛꯇꯣꯃꯤ)꯫
  • ꯔꯦꯗꯤꯑꯦꯁꯟ ꯊꯦꯔꯥꯄꯤ ꯇꯧꯕꯥ꯫

ꯕꯥꯏꯜ ꯗꯛꯇ ꯑꯣꯕꯁ꯭ꯠꯔꯀꯆꯔꯒꯤ ꯑꯣꯏꯊꯣꯀꯄꯥ ꯌꯥꯕꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ ꯀꯔꯤꯅꯣ?

ꯑꯩꯈꯣꯌꯅꯥ ꯃꯃꯥꯡꯗꯥ ꯍꯥꯌꯈꯤꯕꯒꯨꯝꯅꯥ, ꯕ꯭ꯂꯣꯀꯦꯖ ꯑꯁꯤꯅꯥ ꯂꯤꯚꯔꯗꯥ ꯕꯥꯏꯜ ꯁꯦꯃꯒꯠꯂꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯁꯟ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ ꯑꯃꯁꯨꯡ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯂꯥꯏꯌꯦꯡꯗ꯭ꯔꯕꯗꯤ ꯄꯨꯟꯁꯤ ꯃꯥꯡꯍꯅꯕꯥ ꯌꯥꯕꯥ ꯏꯅꯐꯦꯛꯁꯅꯁꯤꯡ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ꯃꯁꯤꯅꯥ ꯃꯇꯝ ꯆꯨꯞꯄꯒꯤ ꯑꯣꯏꯅꯥ ꯂꯤꯚꯔꯗꯥ ꯁꯣꯀꯍꯅꯕꯁꯨ ꯌꯥꯏ, ꯃꯗꯨꯅꯥ `(ꯂꯤꯚꯔꯒꯤ ꯁꯤꯔꯣꯁꯤꯁ)` ꯀꯧꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯁꯨ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯃꯦꯅꯦꯖ ꯇꯧꯗ꯭ꯔꯕꯗꯤ, ꯂꯤꯚꯔ ꯐꯦꯜ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫

ꯈꯅꯕꯤꯌꯨ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯒꯥꯂꯕ꯭ꯂꯦꯗꯔꯒꯤ ꯃꯅꯥꯛꯇꯥ ꯂꯩꯕꯥ ꯗꯛꯇꯁꯤꯡꯗꯥ ꯕꯥꯏꯜ ꯑꯗꯨ ꯊꯤꯡꯖꯤꯜꯂꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯒꯥꯂꯕ꯭ꯂꯦꯗꯔ ꯏꯅꯐꯦꯛꯁꯟ (cholecystitis) ꯑꯃꯥ ꯂꯥꯀꯄꯥ ꯌꯥꯏ꯫

ꯃꯁꯤꯗꯁꯨ ꯅꯠꯇꯅꯥ, ꯕꯥꯏꯜ ꯃꯔꯥꯡ ꯀꯥꯌꯅꯥ ꯂꯩꯠꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯑꯄꯤꯀꯄꯥ ꯏꯟꯇꯦꯁ꯭ꯇꯥꯏꯅꯅꯥ ꯐꯦꯇꯁꯤꯡ ꯑꯗꯨ ꯍꯖꯝ ꯇꯧꯕꯥ ꯉꯃꯗꯦ꯫ ꯃꯁꯤꯅꯥ ꯃꯆꯤ ꯑꯣꯏꯕꯥ ꯆꯤꯟꯖꯥꯛ ꯐꯪꯗꯕꯒꯤ ꯊꯧꯑꯣꯡ ꯊꯣꯀꯍꯜꯂꯀꯄꯥ ꯌꯥꯏ .

ꯅꯍꯥꯛꯅꯥ ꯕꯥꯏꯜ ꯗꯛꯇ ꯕ꯭ꯂꯣꯀꯦꯖ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯀꯔꯝꯅꯥ ꯈꯪꯒꯅꯤ?

ꯅꯍꯥꯛꯅꯥ ꯗꯣꯛꯇꯔ ꯑꯃꯒꯥ ꯇꯥꯟꯅꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯃꯍꯥꯛꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯍꯤꯁ꯭ꯇꯔꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯍꯪꯒꯅꯤ, ꯃꯗꯨꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯅꯥ ꯂꯧꯔꯤꯕꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ ꯑꯗꯨꯁꯨ ꯌꯥꯎꯒꯅꯤ꯫ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ, ꯃꯈꯣꯌꯅꯥ ꯐꯤꯖꯤꯀꯦꯜ ꯑꯦꯀꯖꯥꯃꯤꯅꯦꯁꯟ ꯑꯃꯥ ꯇꯧꯗꯨꯅꯥ ꯑꯣꯕꯁ꯭ꯠꯔꯀꯆꯔꯒꯤ ꯈꯨꯗꯃꯁꯤꯡ, ꯍꯥꯌꯕꯗꯤ ꯈꯣꯡꯗꯥ ꯁꯣꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯈꯣꯡ ꯍꯥꯝꯕꯥ ꯌꯥꯗꯕꯒꯤ ꯈꯨꯗꯃꯁꯤꯡ ꯌꯦꯡꯒꯅꯤ꯫

ꯅꯤꯡꯁꯤꯡꯕꯤꯌꯨ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯂꯩꯔꯕꯗꯤ ꯌꯥꯔꯤꯕꯃꯈꯩ ꯊꯨꯅꯥ ꯗꯣꯛꯇꯔꯒꯥ ꯇꯥꯟꯅꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫

ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ, ꯕ꯭ꯂꯣꯀꯦꯖ ꯑꯗꯨ ꯀꯅꯐꯥꯔꯝ ꯇꯧꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯃꯁꯤꯒꯤ ꯃꯔꯝ ꯑꯁꯤ ꯀꯔꯤꯅꯣ ꯍꯥꯌꯕꯗꯨ ꯆꯨꯝꯅꯥ ꯈꯪꯗꯣꯛꯅꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯕ꯭ꯂꯗ ꯇꯦꯁ꯭ꯠ ꯑꯃꯁꯨꯡ ꯑꯈꯟꯅꯕꯥ ꯏꯃꯦꯖꯤꯡ ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯇꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯏ꯫

ꯕ꯭ꯂꯗ ꯇꯦꯁ꯭ꯠ ꯇꯧꯕꯥ꯫

ꯕ꯭ꯂꯗ ꯇꯦꯁ꯭ꯠ ꯇꯧꯕꯗꯥ ꯕ꯭ꯂꯣꯀꯦꯖꯒꯤ ꯈꯨꯗꯃꯁꯤꯡ ꯎꯕꯥ ꯐꯪꯏ꯫ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯑꯁꯤ ꯑꯣꯔꯗꯔ ꯇꯧꯕꯥ ꯌꯥꯏ:

  • ꯃꯄꯨꯡꯐꯥꯕꯥ ꯕ꯭ꯂꯗ ꯀꯥꯎꯟꯇ (CBC): ꯃꯄꯨꯡꯐꯥꯕꯥ ꯕ꯭ꯂꯗ ꯀꯥꯎꯟꯇ (CBC) ꯑꯃꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯄꯨꯅꯕꯥ ꯍꯀꯁꯦꯂꯒꯤ ꯋꯥꯈꯜꯂꯣꯟ ꯑꯃꯥ ꯄꯤꯕꯥ ꯉꯃꯒꯅꯤ꯫
  • ꯂꯤꯚꯔ ꯐꯉ꯭ꯀꯁꯟ ꯇꯦꯁ꯭ꯇꯁꯤꯡ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯕ꯭ꯂꯗ ꯕꯤꯂꯤꯔꯨꯕꯤꯅꯒꯤ ꯆꯥꯡ ꯋꯥꯡꯈꯠꯂꯕꯗꯤ, ꯃꯁꯤꯅꯥ ꯕ꯭ꯂꯣꯀꯦꯖꯒꯤ ꯈꯨꯗꯝ ꯑꯃꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯗꯁꯨ ꯅꯠꯇꯅꯥ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯂꯤꯚꯔꯒꯤ ꯑꯦꯅꯖꯥꯏꯃꯁꯤꯡ ꯍꯥꯌꯕꯗꯤ ꯑꯦꯂꯀꯥꯂꯥꯏꯟ ꯐꯣꯁꯐꯦꯇꯦꯖ (ALP) ꯑꯃꯁꯨꯡ ꯒꯥꯃꯥ-ꯒ꯭ꯂꯨꯇꯥꯃꯥꯏꯂꯠꯔꯥꯟꯁꯐꯦꯔꯦꯖ (GGT) ꯑꯁꯤ ꯅꯣꯔꯃꯦꯂꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯋꯥꯡꯂꯕꯗꯤ, ꯃꯁꯤꯅꯥ ꯂꯤꯚꯔ ꯑꯁꯤ ꯕ꯭ꯂꯣꯀꯦꯖ ꯑꯃꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯊꯕꯛ ꯇꯧꯗꯕꯥ ꯍꯥꯌꯕꯗꯨ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫
  • ꯄꯦꯅꯛꯔꯤꯑꯦꯖ ꯕ꯭ꯂꯗ ꯇꯦꯁ꯭ꯠ: ꯀꯔꯤꯒꯨꯝꯕꯥ ``(ꯑꯦꯃꯤꯂꯦꯖ)`` ꯑꯃꯁꯨꯡ ``(ꯂꯥꯏꯄꯦꯖ)``ꯒꯨꯝꯕꯥ ꯄꯦꯅꯛꯔꯤꯑꯦꯇꯤꯛ ꯑꯦꯅꯖꯥꯏꯃꯁꯤꯡ ꯋꯥꯡꯈꯠꯂꯕꯗꯤ, ꯃꯁꯤꯅꯥ ꯕꯥꯏꯜ ꯗꯛꯇ ꯕ꯭ꯂꯣꯀꯦꯖꯒꯥ ꯃꯔꯤ ꯂꯩꯅꯕꯥ ꯄꯦꯅꯛꯔꯤꯑꯦꯇꯤꯛ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯑꯃꯒꯤ ꯈꯨꯗꯝ ꯑꯃꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫

ꯏꯃꯦꯖꯤꯡ ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯇꯧꯕꯥ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯕ꯭ꯂꯗ ꯇꯦꯁ꯭ꯇꯀꯤ ꯔꯤꯖꯜꯇꯁꯤꯡꯅꯥ ꯕ꯭ꯂꯣꯀꯦꯖ ꯑꯃꯥ ꯂꯩꯔꯦ ꯍꯥꯌꯕꯥ ꯇꯥꯔꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯏꯃꯦꯖꯤꯡ ꯇꯦꯁ꯭ꯠ ꯇꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯏ꯫ ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯃꯗꯒꯤ ꯍꯦꯅꯕꯥ ꯑꯁꯤ ꯇꯧꯕꯥ ꯌꯥꯏ:

  • ꯑꯂꯠꯔꯥꯁꯥꯎꯟꯗ: ꯑꯂꯠꯔꯥꯁꯥꯎꯟꯗ ꯑꯃꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯃꯅꯨꯡꯒꯤ ꯑꯣꯏꯕꯥ ꯏꯃꯦꯖꯁꯤꯡ ꯁꯦꯝꯅꯕꯥ ꯁꯥꯎꯟꯗ ꯋꯦꯕꯁꯤꯡ ꯁꯤꯖꯤꯟꯅꯩ꯫ ꯃꯁꯤꯅꯥ ꯕ꯭ꯂꯣꯀꯦꯖ ꯑꯃꯥ ꯇꯥꯀꯄꯥ ꯌꯥꯕꯥ ꯑꯦꯕꯅꯣꯔꯃꯦꯂꯤꯇꯤꯁꯤꯡ ꯈꯪꯗꯣꯀꯄꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫ ꯅꯍꯥꯛꯅꯥ ꯑꯦꯟꯗꯣꯁ꯭ꯀꯣꯄꯤꯛ ꯑꯂꯠꯔꯥꯁꯥꯎꯟꯗ, ꯑꯦꯕꯗꯣꯃꯤꯅꯦꯜ ꯑꯂꯠꯔꯥꯁꯥꯎꯟꯗ ꯅꯠꯠꯔꯒꯥ ꯂꯤꯚꯔ ꯑꯂꯠꯔꯥꯁꯥꯎꯟꯗ ꯑꯃꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯏ꯫
  • ꯑꯦꯕꯗꯣꯃꯤꯅꯦꯜ ꯀꯝꯞꯌꯨꯇꯦꯠ ꯇꯣꯃꯣꯒ꯭ꯔꯥꯐꯤ (CT scan): ꯁꯤ.ꯇꯤ.ꯁ꯭ꯀꯦꯟ ꯑꯃꯅꯥ ꯑꯦꯛꯁ-ꯔꯦ ꯑꯃꯁꯨꯡ ꯀꯝꯞꯌꯨꯇꯔ ꯁꯤꯖꯤꯟꯅꯗꯨꯅꯥ ꯑꯀꯨꯞꯄꯥ ꯏꯃꯦꯖꯁꯤꯡ ꯁꯦꯝꯃꯤ꯫ ꯃꯁꯤꯅꯥ ꯑꯂꯠꯔꯥꯁꯥꯎꯟꯗꯗꯥ ꯎꯕꯥ ꯐꯪꯗꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡꯒꯤ ꯑꯇꯩ ꯃꯔꯃꯁꯤꯡꯁꯨ ꯊꯤꯡꯕꯥ ꯉꯝꯃꯤ꯫
  • ꯑꯦꯟꯗꯣꯁ꯭ꯀꯣꯄꯤꯛ ꯔꯦꯠꯔꯣꯒ꯭ꯔꯦꯗ ꯀꯣꯂꯦꯟꯖꯤꯑꯣꯄꯦꯅꯛꯔꯤꯑꯦꯇꯣꯒ꯭ꯔꯥꯐꯤ (ERCP): ERCP ꯀꯧꯕꯥ ꯇꯦꯁ꯭ꯠ ꯑꯃꯅꯥ ꯕ꯭ꯂꯣꯀꯦꯖ ꯑꯃꯒꯤ ꯃꯔꯝ ꯈꯪꯗꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯂꯥꯏꯌꯦꯡꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫ ꯇꯦꯁ꯭ꯠ ꯑꯁꯤꯗꯥ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯕꯥꯏꯜ ꯗꯛꯇꯁꯤꯡꯗꯥ ꯃꯩꯁꯥ ꯑꯃꯁꯨꯡ ꯀꯦꯃꯦꯔꯥ ꯑꯃꯥ ꯌꯥꯎꯕꯥ ꯐ꯭ꯂꯦꯛꯁꯤꯕꯜ ꯇꯤꯎꯕ (endoscope) ꯑꯃꯥ ꯍꯥꯄꯆꯤꯜꯂꯤ꯫ ꯏꯅꯁ꯭ꯠꯔꯨꯃꯦꯟꯇꯁꯤꯡ ꯑꯁꯤ ꯇꯤꯁꯨ ꯁꯦꯝꯄꯜ ꯑꯃꯥ ꯂꯧꯅꯕꯥ (ꯕꯥꯏꯑꯣꯞꯁꯤ) ꯅꯠꯠꯔꯒꯥ ꯕ꯭ꯂꯣꯀꯦꯖ ꯑꯗꯨ ꯔꯤꯄꯦꯌꯥꯔ ꯇꯧꯅꯕꯥ ꯁꯤꯖꯤꯟꯅꯕꯥ ꯌꯥꯏ꯫ ꯇꯦꯁ꯭ꯠ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯅꯍꯥꯀꯄꯨ ꯁꯦꯗꯦꯠ ꯇꯧꯒꯅꯤ꯫
  • ꯃꯦꯒ꯭ꯅꯦꯇꯤꯛ ꯔꯤꯖꯣꯅꯦꯟꯁ ꯀꯣꯂꯦꯅꯖꯤꯑꯣꯄꯦꯅꯛꯔꯤꯑꯦꯇꯣꯒ꯭ꯔꯥꯐꯤ (MRCP): ꯃꯁꯤ ꯑꯍꯣꯡꯕꯥ ꯑꯦꯝ.ꯑꯥꯔ.ꯑꯥꯏ. ꯑꯈꯟꯅꯕꯥ ꯗꯥꯏꯑꯦ ꯑꯃꯥ ꯅꯍꯥꯛꯀꯤ ꯕꯥꯏꯜ ꯗꯛꯇꯁꯤꯡꯗꯥ ꯆꯦꯟꯊꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯏꯅꯖꯦꯀꯁꯟ ꯇꯧꯏ꯫ ꯏ.ꯑꯥꯔ.ꯁꯤ.ꯄꯤ.ꯒꯨꯝꯅꯥ, ꯃꯁꯤꯅꯥ ꯕ꯭ꯂꯣꯀꯦꯖꯒꯤ ꯃꯔꯝ, ꯍꯥꯌꯕꯗꯤ ꯒꯥꯂꯁ꯭ꯇꯣꯟ ꯅꯠꯠꯔꯒꯥ ꯁ꯭ꯠꯔꯤꯛꯇꯔꯁꯤꯡ ꯎꯠꯄꯥ ꯉꯝꯃꯤ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯃꯁꯤ ꯏ.ꯑꯥꯔ.ꯁꯤ.ꯄꯤ.ꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯏꯅꯚꯦꯁꯤꯕ ꯑꯣꯏ꯫
  • ꯍꯦꯄꯥꯇꯣꯕꯤꯂꯤꯌꯥꯔꯤ ꯏꯃꯤꯅꯣꯗꯥꯏꯑꯦꯁꯦꯇꯤꯛ ꯑꯦꯁꯤꯗ (HIDA) ꯁ꯭ꯀꯦꯟ: HIDA ꯁ꯭ꯀꯦꯟ ꯑꯃꯗꯥ, ꯔꯦꯗꯤꯑꯣꯑꯦꯛꯇꯤꯚ ꯇ꯭ꯔꯦꯁꯔ ꯑꯃꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯕꯥꯏꯜ ꯗꯛꯇꯁꯤꯡꯗꯥ ꯆꯠꯄꯥ ꯃꯇꯃꯗꯥ ꯏꯃꯦꯖꯁꯤꯡ ꯁꯦꯝꯅꯕꯥ ꯁꯤꯖꯤꯟꯅꯩ꯫ ꯃꯁꯤꯅꯥ ꯕ꯭ꯂꯣꯀꯦꯖꯒꯤ ꯃꯔꯝ, ꯍꯥꯌꯕꯗꯤ ꯒꯥꯂꯕ꯭ꯂꯦꯗꯔꯒꯤ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯅꯠꯠꯔꯒꯥ ꯗꯛꯇꯁꯤꯡ ꯑꯗꯨ ꯀꯨꯄꯁꯤꯅꯕꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯕꯥ ꯀꯣꯟꯖꯤꯅꯤꯑꯦꯜ ꯗꯤꯁꯑꯣꯔꯗꯔꯁꯤꯡ ꯑꯁꯤ ꯎꯠꯄꯥ ꯌꯥꯏ꯫
  • ꯄꯔꯛꯌꯨꯇꯦꯅꯤꯌꯝ ꯇ꯭ꯔꯥꯟꯁꯍꯦꯄꯥꯇꯤꯛ ꯀꯣꯂꯦꯅꯖꯤꯑꯣꯒ꯭ꯔꯥꯐꯤ (PTC): ``PTC'' ꯇꯦꯁ꯭ꯠ ꯑꯃꯗꯥ, ꯑꯂꯠꯔꯥꯁꯥꯎꯟꯗ ꯅꯠꯠꯔꯒꯥ ꯑꯦꯛꯁ-ꯔꯦ ꯑꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯑꯄꯤꯀꯄꯥ ꯏꯟꯇꯦꯁ꯭ꯇꯥꯏꯅꯗꯥ ꯌꯧꯔꯛꯠꯔꯤꯕꯐꯥꯎꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯕꯥꯏꯜ ꯗꯛꯇꯁꯤꯡꯗꯥ ꯄꯥꯁ ꯇꯧꯕꯥ ꯑꯈꯟꯅꯕꯥ ꯗꯥꯏꯑꯦ ꯑꯃꯒꯤ ꯐꯣꯇꯣ ꯂꯧꯕꯗꯥ ꯁꯤꯖꯤꯟꯅꯩ꯫ ꯗꯥꯏꯑꯦ ꯑꯁꯤꯅꯥ ꯗꯛꯇꯁꯤꯡꯗꯥ ꯕ꯭ꯂꯣꯀꯦꯖ ꯑꯃꯍꯦꯛꯇꯕꯨ ꯎꯠꯂꯤ꯫

ꯕꯥꯏꯜ ꯗꯛꯇ ꯕ꯭ꯂꯣꯀꯦꯖ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯐꯍꯅꯒꯅꯤ?

ꯕꯥꯏꯜ ꯗꯛꯇ ꯕ꯭ꯂꯣꯀꯦꯖꯒꯤ ꯂꯥꯏꯌꯦꯡ ꯑꯁꯤ ꯅꯍꯥꯛꯅꯥ ꯀꯌꯥ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯃꯊꯧ ꯇꯥꯕꯒꯦ ꯑꯃꯁꯨꯡ ꯕ꯭ꯂꯣꯀꯦꯖ ꯑꯗꯨ ꯀꯔꯤꯅꯥ ꯊꯣꯀꯍꯅꯕꯒꯦ ꯍꯥꯌꯕꯗꯨꯒꯤ ꯃꯈꯥ ꯄꯣꯜꯂꯤ꯫

ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯃꯑꯣꯡ ꯀꯌꯥ ꯂꯩ:

  • ꯏ.ꯑꯥꯔ.ꯁꯤ.ꯄꯤ.(ꯑꯦꯟꯗꯣꯁ꯭ꯀꯣꯄꯤꯛ ꯔꯦꯠꯔꯣꯒ꯭ꯔꯦꯗ ꯀꯣꯂꯦꯅꯖꯤꯑꯣꯄꯦꯅꯛꯔꯤꯑꯦꯇꯣꯒ꯭ꯔꯥꯐꯤ): ꯏ.ꯑꯥꯔ.ꯁꯤ.ꯄꯤ.ꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯗꯣꯛꯇꯔꯅꯥ ꯕꯥꯏꯜ ꯗꯛꯇꯁꯤꯡꯗꯒꯤ ꯒꯥꯂꯁ꯭ꯇꯣꯅꯁꯤꯡ ꯂꯧꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯃꯥꯡꯗꯥ ꯄꯅꯈ꯭ꯔꯤꯕꯥ ꯇꯨꯕ (ꯑꯦꯟꯗꯣꯁ꯭ꯀꯣꯞ)ꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯂꯩꯕꯥ ꯏꯅꯁ꯭ꯠꯔꯨꯃꯦꯟꯇꯁꯤꯡ ꯁꯤꯖꯤꯟꯅꯗꯨꯅꯥ ꯁꯤꯂꯁꯤꯡ ꯑꯁꯤ ꯀꯨꯄꯁꯤꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯂꯧꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫
  • ꯒꯥꯂꯕ꯭ꯂꯦꯗꯔ ꯔꯤꯃꯨꯚꯜ ꯁꯔꯖꯔꯤ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯕꯥꯏꯜ ꯗꯛꯇꯁꯤꯡ ꯑꯗꯨ ꯕ꯭ꯂꯣꯛ ꯇꯧꯕꯥ ꯌꯥꯕꯥ ꯒꯥꯂꯁ꯭ꯇꯣꯟ ꯀꯌꯥ ꯂꯩꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯒꯥꯂꯕ꯭ꯂꯦꯗꯔ ꯑꯗꯨ ꯂꯧꯊꯣꯀꯄꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤ ꯑꯌꯥꯝꯕꯗꯤ ꯂꯦꯄꯔꯣꯁ꯭ꯀꯣꯄꯤ ꯀꯧꯕꯥ ꯃꯤꯅꯤꯃꯝ ꯏꯅꯚꯦꯁꯤꯚ ꯁꯔꯖꯔꯤ ꯑꯃꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯇꯧꯏ꯫ ꯅꯍꯥꯛꯅꯥ ꯒꯥꯂꯕ꯭ꯂꯦꯗꯔ ꯌꯥꯎꯗꯅꯥ ꯍꯀꯆꯥꯡ ꯐꯕꯥ ꯄꯨꯟꯁꯤ ꯑꯃꯥ ꯍꯤꯡꯕꯥ ꯉꯃꯒꯅꯤ꯫
  • ꯁ꯭ꯇꯦꯟꯇꯁꯤꯡ: ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯕꯥꯏꯜ ꯗꯛꯇ ꯑꯗꯨꯗꯥ ꯙꯥꯇꯨ ꯅꯠꯠꯔꯒꯥ ꯄ꯭ꯂꯥꯁ꯭ꯇꯤꯀꯅꯥ ꯁꯦꯝꯕꯥ ꯑꯄꯤꯀꯄꯥ ꯇꯤꯎꯕ ꯑꯃꯥ, ꯃꯗꯨꯕꯨ ꯄꯥꯀꯊꯣꯛ-ꯆꯥꯎꯊꯣꯀꯍꯟꯅꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯍꯥꯡꯗꯣꯛꯅꯕꯥ ꯊꯃꯖꯤꯅꯕꯥ ꯌꯥꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯕ꯭ꯂꯣꯀꯦꯖ ꯑꯗꯨ ꯁ꯭ꯠꯔꯤꯀꯆꯔꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯑꯣꯏꯔꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ``ꯁ꯭ꯇꯦꯟꯇ'' ꯑꯃꯥ ꯍꯥꯄꯆꯤꯅꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯏ꯫
  • ꯀꯦꯟꯁꯔꯒꯤ ꯂꯥꯏꯌꯦꯡꯁꯤꯡ: ꯱.ꯀꯔꯤꯒꯨꯝꯕꯥ ꯕ꯭ꯂꯣꯀꯦꯖ ꯑꯗꯨ ꯇꯤꯎꯃꯔ ꯑꯃꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯑꯣꯏꯔꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯁꯔꯖꯔꯤ ꯅꯠꯠꯔꯒꯥ ꯑꯇꯩ ꯀꯦꯟꯁꯔꯒꯤ ꯂꯥꯏꯌꯦꯡꯁꯤꯡ ꯍꯥꯌꯕꯗꯤ ꯀꯦꯃꯣꯊꯦꯔꯥꯄꯤ ꯑꯃꯁꯨꯡ ꯔꯦꯗꯤꯑꯦꯁꯟ ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯏ꯫

ꯐꯤꯚꯝ ꯑꯁꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯐꯒꯠꯂꯀꯄꯒꯤ ꯆꯥꯡ ꯀꯔꯤꯅꯣ?

ꯅꯍꯥꯛꯀꯤ ꯄ꯭ꯔꯣꯒ꯭ꯅꯣꯁꯤꯁ ꯑꯁꯤ ꯕ꯭ꯂꯣꯀꯦꯖ ꯑꯗꯨꯒꯤ ꯃꯔꯝ ꯑꯗꯨꯒꯤ ꯃꯈꯥ ꯄꯣꯜꯂꯤ꯫ ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯔꯝ ꯑꯗꯨ ꯒꯥꯂꯁ꯭ꯇꯣꯟ ꯑꯣꯏꯔꯕꯗꯤ, ꯉꯟꯅꯥ ꯈꯪꯗꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯂꯥꯏꯌꯦꯡꯕꯅꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ ꯊꯤꯡꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫ ꯂꯥꯏꯌꯦꯡꯕꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯃꯤꯑꯣꯏ ꯑꯌꯥꯝꯕꯅꯥ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯐꯒꯠꯂꯀꯏ꯫

ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯀꯦꯟꯁꯔ ꯅꯠꯠꯔꯒꯥ ꯀ꯭ꯔꯣꯅꯤꯛ ꯂꯤꯚꯔ ꯗꯤꯖꯤꯖꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯕꯥꯏꯜ ꯗꯛꯇ ꯕ꯭ꯂꯣꯀꯦꯖꯁꯤꯡ ꯑꯁꯤ ꯃꯦꯅꯦꯖ ꯇꯧꯕꯗꯥ ꯈꯔꯥ ꯍꯦꯟꯅꯥ ꯂꯨꯕꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫

ꯃꯤꯄꯨꯝ ꯈꯨꯗꯤꯡꯃꯛꯀꯤ ꯐꯤꯚꯝ ꯑꯁꯤ ꯑꯃꯒꯥ ꯑꯃꯒꯥ ꯃꯥꯟꯅꯗꯦ꯫ ꯕ꯭ꯂꯣꯀꯦꯖꯒꯤ ꯃꯔꯝ ꯑꯃꯁꯨꯡ ꯃꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯁꯦꯂꯗꯥ ꯀꯔꯝꯅꯥ ꯁꯣꯀꯍꯅꯕꯒꯦ ꯍꯥꯌꯕꯗꯨꯗꯥ ꯌꯨꯝꯐꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯂꯥꯏꯌꯦꯡꯕꯗꯒꯤ ꯅꯍꯥꯛꯅꯥ ꯀꯔꯤ ꯑꯥꯁꯥ ꯇꯧꯕꯥ ꯌꯥꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯈꯪꯍꯜꯂꯛꯀꯅꯤ꯫

ꯕꯥꯏꯜ ꯗꯛꯇ ꯕ꯭ꯂꯣꯀꯦꯖꯁꯤꯡ ꯊꯤꯡꯕꯥ ꯉꯃꯒꯗ꯭ꯔꯥ?

ꯕꯥꯏꯜ ꯗꯛꯇ ꯑꯣꯕꯁ꯭ꯠꯔꯥꯀꯁꯟ ꯑꯁꯤ ꯃꯇꯝ ꯄꯨꯝꯅꯃꯛꯇꯥ ꯊꯤꯡꯕꯥ ꯉꯃꯗꯦ꯫

ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯅꯍꯥꯛꯀꯤ ꯗꯥꯏꯇꯇꯥ ꯀꯣꯂꯦꯁ꯭ꯇꯦꯔꯣꯂꯒꯤ ꯆꯥꯡ ꯍꯟꯊꯍꯟꯗꯨꯅꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯔꯝ ꯑꯣꯏꯔꯤꯕꯥ ꯒꯥꯂꯁ꯭ꯇꯣꯟ ꯂꯥꯀꯄꯒꯤ ꯔꯤꯁ꯭ꯛ ꯍꯟꯊꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯅꯍꯥꯛꯅꯥ ꯁ꯭ꯠꯔꯤꯀꯆꯔ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯕꯥ ꯂꯤꯚꯔꯒꯤ ꯂꯥꯌꯅꯥ ꯀꯌꯥꯒꯤ ꯔꯤꯁ꯭ꯀꯁꯨ ꯍꯟꯊꯍꯅꯕꯥ ꯌꯥꯏ:

  • ꯃꯇꯤꯛ ꯆꯥꯅꯥ ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯇꯧꯕꯥ꯫
  • ꯁꯦꯆꯨꯔꯦꯇꯦꯗ ꯐꯦꯠ ꯌꯥꯝꯅꯥ ꯌꯥꯎꯕꯥ ꯃꯆꯤ ꯑꯣꯏꯕꯥ ꯆꯤꯟꯖꯥꯛ ꯆꯥꯕꯥ꯫
  • ꯅꯍꯥꯛꯅꯥ ꯆꯨꯅꯕꯥ ꯍꯀꯁꯦꯜ ꯐꯕꯥ ꯑꯔꯨꯝꯕꯥ ꯑꯃꯥ ꯊꯝꯕꯥ꯫
  • ꯌꯨ ꯊꯀꯄꯥ ꯊꯤꯡꯕꯥ, ꯅꯠꯠꯔꯒꯥ ꯌꯥꯝꯅꯥ ꯅꯦꯝꯕꯥ ꯃꯁꯤꯡ ꯈꯛꯇꯗꯥ ꯌꯨ ꯊꯀꯄꯥ꯫

ꯑꯩꯅꯥ ꯀꯗꯥꯏꯗꯥ ꯗꯣꯛꯇꯔꯒꯥ ꯎꯅꯒꯗꯒꯦ?

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯕꯥꯏꯜ ꯗꯛꯇ ꯑꯣꯕꯁ꯭ꯠꯔꯀꯆꯔꯒꯤ ꯂꯥꯏꯑꯣꯡ ꯂꯩꯔꯕꯗꯤ, ꯗꯣꯛꯇꯔ ꯑꯃꯗꯥ ꯁꯣꯌꯗꯅꯥ ꯇꯥꯀꯄꯤꯌꯨ . ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯂꯥꯏꯑꯣꯡ ꯀꯌꯥ, ꯍꯥꯌꯕꯗꯤ ꯈꯣꯡ-ꯈꯨꯠ ꯁꯣꯛ-ꯄꯅꯕꯥ, ꯋꯥꯈꯜ ꯆꯔꯥꯡꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯋꯥꯈꯜ ꯆꯔꯥꯡꯅꯕꯥ ꯑꯁꯤ ꯃꯈꯜ ꯀꯌꯥꯒꯤ ꯀꯟꯗꯤꯁꯅꯁꯤꯡꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ, ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯑꯗꯨ ꯇꯁꯦꯡꯅꯥ ꯕ꯭ꯂꯣꯀꯦꯖ ꯑꯣꯏꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯊꯨꯅꯥ ꯈꯪꯗꯣꯀꯄꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ – ꯕꯥꯏꯜ ꯁꯦꯃꯒꯠꯂꯀꯄꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ ꯂꯥꯀꯄꯥ ꯃꯃꯥꯡꯗꯥ꯫

ꯕ꯭ꯂꯣꯛ ꯇꯧꯔꯕꯥ ꯕꯥꯏꯜ ꯗꯛꯇ ꯑꯃꯥ ꯑꯦꯃꯔꯖꯦꯟꯁꯤ ꯑꯣꯏꯕ꯭ꯔꯥ?

ꯍꯣꯌ, ꯃꯁꯤ ꯏꯃꯔꯖꯦꯟꯁꯤ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫ ꯃꯔꯨꯑꯣꯏꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯕꯥꯏꯜ ꯔꯤꯐ꯭ꯂꯛꯁꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯁꯟ ꯑꯃꯁꯨꯡ ꯏꯅꯐꯦꯛꯁꯟ ꯊꯣꯀꯍꯅꯕꯥ ꯇꯥꯔꯕꯗꯤ꯫ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯥ ꯊꯕꯛ ꯑꯁꯤ ꯃꯁꯤ ꯊꯣꯀꯍꯟꯗꯅꯕꯥ ꯑꯍꯥꯅꯕꯥ ꯑꯣꯏꯅꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯎꯕꯥ ꯃꯇꯃꯗꯥ ꯗꯣꯛꯇꯔ ꯑꯃꯒꯥ ꯇꯥꯟꯅꯕꯅꯤ꯫

ꯕꯥꯏꯜ ꯑꯁꯤ ꯕꯥꯏꯜ ꯗꯛꯇꯁꯤꯡ ꯐꯖꯅꯥ ꯆꯠꯊꯣꯛ-ꯆꯠꯁꯤꯟ ꯇꯧꯕꯗꯥ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ, ꯃꯁꯤꯅꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯆꯤꯟꯖꯥꯛ ꯍꯟꯖꯤꯅꯍꯅꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ ꯑꯃꯁꯨꯡ ꯕꯤꯂꯤꯔꯨꯕꯤꯟ (ꯑꯃꯣꯠꯄꯥ ꯄꯣꯠꯁꯛ ꯑꯃꯥ) ꯂꯧꯊꯣꯀꯄꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫ ꯃꯔꯝ ꯑꯁꯤꯅꯥ ꯕ꯭ꯂꯣꯀꯦꯖꯁꯤꯡ ꯑꯁꯤ ꯁꯦꯝꯕꯥ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫ ꯐꯦꯇꯁꯤꯡ ꯊꯨꯒꯥꯏꯅꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯄꯤꯀꯄꯥ ꯏꯟꯇꯦꯁ꯭ꯇꯥꯏꯅꯗꯥ ꯕꯥꯏꯜ ꯆꯦꯅꯕꯥ ꯃꯊꯧ ꯇꯥꯏ꯫ ꯂꯤꯚꯔꯒꯤ ꯂꯥꯌꯅꯥ ꯅꯠꯠꯔꯒꯥ ꯏꯅꯐꯦꯛꯁꯅꯒꯨꯝꯕꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ ꯊꯤꯡꯅꯕꯒꯤꯗꯃꯛ ꯕꯤꯂꯤꯔꯨꯕꯤꯅꯁꯨ ꯅꯍꯥꯛꯀꯤ ꯂꯤꯚꯔꯗꯒꯤ ꯊꯣꯀꯄꯥ ꯃꯊꯧ ꯇꯥꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯕ꯭ꯂꯣꯀꯦꯖ ꯑꯃꯥ ꯂꯩꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯃꯗꯨ ꯂꯧꯊꯣꯛꯅꯕꯒꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯥ ꯑꯣꯄꯁꯅꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ ꯍꯥꯌꯕꯗꯨ ꯈꯪꯍꯅꯕꯥ ꯌꯥꯏ꯫

ꯑꯔꯣꯏꯕꯗꯥ, ꯅꯤꯡꯁꯤꯡꯒꯗꯕꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯋꯥꯐꯃꯁꯤꯡ꯫

ꯑꯣꯀꯦ, ꯑꯩꯈꯣꯌꯅꯥ ꯕꯥꯏꯜ ꯗꯛꯇ ꯑꯣꯕꯁ꯭ꯠꯔꯀꯁꯅꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯌꯥꯝꯅꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯈ꯭ꯔꯦ꯫ ꯋꯥꯔꯤ ꯑꯁꯤꯗꯒꯤ ꯅꯍꯥꯛꯅꯥ ꯅꯤꯡꯁꯤꯡꯒꯗꯕꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯋꯥꯐꯃꯁꯤꯡ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤ:

  • ꯕꯥꯏꯜ ꯗꯛꯇ ꯑꯣꯕꯁ꯭ꯠꯔꯥꯀꯁꯟ ꯑꯁꯤ ꯄꯨꯛꯅꯤꯡ ꯆꯪꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ . ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯊꯛ ꯊꯪꯕꯥ ꯁꯔꯨꯛꯇꯥ ꯁꯣꯀꯄꯥ, ꯃꯤꯠ ꯎꯗꯕꯥ, ꯅꯠꯠꯔꯒꯥ ꯁ꯭ꯇꯣꯂꯒꯤ ꯃꯆꯨ ꯍꯣꯡꯂꯀꯄꯥ ꯑꯁꯤꯅꯆꯤꯡꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯂꯩꯔꯕꯗꯤ , ꯃꯇꯝ ꯑꯃꯠꯇꯗꯥ ꯗꯣꯛꯇꯔꯒꯥ ꯇꯥꯟꯅꯧ꯫
  • ꯑꯌꯥꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯃꯁꯤ ꯒꯥꯂꯁ꯭ꯇꯣꯅꯅꯥ ꯊꯣꯀꯍꯅꯕꯅꯤ , ꯑꯗꯨꯕꯨ ꯑꯇꯩ ꯑꯀꯅꯕꯥ ꯃꯔꯃꯁꯤꯡꯁꯨ ꯂꯩꯕꯥ ꯌꯥꯏ, ꯍꯥꯌꯕꯗꯤ ꯀꯦꯟꯁꯔ꯫
  • ꯀꯔꯤꯒꯨꯝꯕꯥ ꯂꯥꯌꯅꯥ ꯑꯁꯤ ꯇꯣꯏꯅꯥ ꯈꯪꯗꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯂꯥꯏꯌꯦꯡꯕꯥ ꯇꯥꯔꯕꯗꯤ, ꯃꯄꯨꯡꯐꯥꯅꯥ ꯐꯒꯠꯂꯀꯄꯥ ꯑꯁꯤ ꯑꯌꯥꯝꯕꯅꯥ ꯐꯪꯕꯥ ꯉꯝꯃꯤ꯫
  • ꯍꯀꯁꯦꯜ ꯐꯕꯥ ꯄꯨꯟꯁꯤ ꯃꯍꯤꯡ ꯑꯃꯥ (ꯍꯀꯁꯦꯜ ꯐꯕꯥ ꯗꯥꯏꯠ, ꯑꯦꯛꯁꯔꯁꯥꯏꯖ, ꯌꯨ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯥ) ꯊꯝꯕꯅꯥ ꯔꯤꯁ꯭ꯛ ꯐꯦꯛꯇꯔ ꯈꯔꯗꯤ ꯍꯟꯊꯍꯅꯕꯥ ꯉꯝꯃꯤ꯫
  • ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯆꯤꯡꯅꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯋꯥꯍꯪ ꯑꯃꯠꯇꯥ ꯂꯩꯔꯕꯗꯤ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯍꯪꯕꯗꯥ ꯂꯥꯡꯇꯛꯅꯒꯅꯨ꯫ ꯃꯈꯣꯌꯅꯥ ꯑꯗꯣꯃꯒꯤ ꯃꯇꯦꯡ ꯄꯥꯡꯅꯕꯥ ꯂꯩꯔꯤ꯫

ꯅꯍꯥꯛꯀꯤ ꯍꯀꯁꯦꯜ ꯑꯁꯤ ꯅꯍꯥꯛꯀꯤꯗꯃꯛꯇꯥ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯃꯁꯤꯕꯨ ꯌꯦꯡꯁꯤꯅꯕꯤꯌꯨ꯫ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯂꯩꯔꯣꯏꯗꯕꯅꯤ, ꯁꯃꯁ꯭ꯌꯥ ꯈꯨꯗꯤꯡꯃꯛꯀꯤ ꯁꯣꯂꯨꯁꯟ ꯂꯩꯔꯤ!


` ꯕꯥꯏꯜ ꯗꯛꯇ ꯑꯣꯕꯁ꯭ꯠꯔꯥꯀꯁꯟ, ꯒꯥꯂꯁ꯭ꯇꯣꯟ, ꯖꯟꯗꯤꯁ, ꯂꯤꯚꯔ, ꯒꯥꯂꯕ꯭ꯂꯦꯗꯔ, ꯕꯥꯏꯜ ꯗꯛꯇ ꯑꯣꯕꯁ꯭ꯠꯔꯥꯀꯁꯟ, ꯖꯟꯗꯤꯁ꯫

⚠️ 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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