ꯁ꯭ꯇꯣꯂꯗꯥ ꯏ ꯂꯩꯕ꯭ꯔꯥ? ꯂꯥꯡꯇꯛꯅꯒꯅꯨ, ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯁꯤ (Blood in Stool)

ꯅꯍꯥꯛꯀꯤ ꯁ꯭ꯇꯣꯂꯗꯥ ꯅꯠꯠꯔꯒꯥ ꯇꯣꯏꯂꯦꯠꯀꯤ ꯄꯦꯄꯔꯗꯥ ꯏ ꯎꯕꯥ ꯃꯇꯃꯗꯥ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯑꯃꯁꯨꯡ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯐꯥꯎꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯅꯣꯔꯃꯦꯂꯅꯤ꯫ ꯑꯗꯨꯕꯨ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯐꯥꯑꯣꯒꯅꯨ꯫ ꯃꯁꯤ ꯃꯇꯝ ꯄꯨꯝꯅꯃꯛꯇꯥ ꯑꯀꯅꯕꯥ ꯑꯅꯥꯕꯥ ꯑꯃꯒꯤ ꯈꯨꯗꯝ ꯑꯣꯏꯗꯦ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯌꯥꯝꯅꯥ ꯏꯆꯝ ꯆꯝꯕꯥ ꯃꯔꯝ ꯑꯃꯒꯤꯗꯃꯛ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯄꯨꯝꯅꯃꯛ ꯑꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯃꯌꯦꯛ ꯁꯦꯡꯅꯥ ꯋꯥꯔꯤ ꯁꯥꯁꯤ꯫

ꯁ꯭ꯇꯣꯂꯗꯥ ꯂꯩꯕꯥ ꯏ ꯑꯗꯨ ꯀꯔꯝꯅꯥ ꯑꯣꯏꯕꯒꯦ? ꯃꯆꯨ ꯑꯗꯨꯗꯒꯤ ꯀꯔꯤ ꯈꯉꯕꯥ ꯉꯃꯒꯅꯤ?

ꯅꯍꯥꯛꯀꯤ ꯁ꯭ꯇꯣꯂꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯂꯥꯀꯄꯥ ꯏ ꯑꯗꯨ ꯇꯣꯉꯥꯟ-ꯇꯣꯉꯥꯅꯕꯥ ꯃꯆꯨꯗꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯑꯉꯀꯄꯥ ꯐꯥꯑꯣꯔꯣꯏꯗꯕꯅꯤ, ꯏ ꯑꯁꯤꯒꯤ ꯃꯆꯨ ꯑꯁꯤꯅꯥ ꯑꯩꯈꯣꯌꯗꯥ ꯏ ꯑꯁꯤ ꯀꯗꯥꯌꯗꯒꯤ ꯂꯥꯀꯄꯅꯣ ꯍꯥꯌꯕꯒꯤ ꯋꯥꯈꯜꯂꯣꯟ ꯈꯔꯥ ꯄꯤꯕꯥ ꯉꯃꯒꯅꯤ꯫

ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯏ ꯑꯗꯨ ꯀꯗꯥꯏꯗꯒꯤ ꯂꯥꯀꯄꯒꯦ ꯍꯥꯌꯕꯒꯤ ꯃꯇꯨꯡ ꯏꯟꯅꯥ ꯃꯆꯨ ꯑꯗꯨ ꯍꯣꯡꯏ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯅꯍꯥꯛꯀꯤ ꯃꯤꯠꯅꯥ ꯏ ꯊꯣꯀꯄꯥ ꯑꯃꯠꯇꯥ ꯎꯕꯥ ꯐꯪꯗꯕꯥ ꯌꯥꯏ, ꯑꯗꯨꯕꯨ ꯏ ꯑꯗꯨ ꯅꯍꯥꯛꯅꯥ ꯁ꯭ꯇꯣꯜ ꯇꯦꯁ꯭ꯠ ꯇꯧꯕꯥ ꯃꯇꯃꯗꯥ ꯃꯥꯏꯛꯔꯣꯁ꯭ꯀꯣꯄꯀꯤ ꯃꯈꯥꯗꯥ ꯌꯦꯡꯕꯈꯛꯇꯗꯥ ꯈꯪꯗꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯕꯨ ``ꯑꯀꯛꯅꯕꯥ ꯏ ꯊꯣꯀꯄꯥ'' ꯅꯠꯠꯔꯒꯥ "ꯂꯣꯠꯄꯥ ꯏ ꯊꯣꯀꯄꯥ" ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫

ꯀꯗꯥꯏꯗꯥ ꯗꯣꯛꯇꯔꯒꯥ ꯇꯥꯟꯅꯒꯗꯒꯦ?

ꯑꯌꯥꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯃꯁꯤ ꯏꯆꯝ ꯆꯝꯕꯥ ꯃꯔꯝ ꯑꯃꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ ꯑꯗꯨꯕꯨ ꯅꯍꯥꯛꯅꯥ ꯁꯣꯌꯗꯅꯥ ꯗꯣꯛꯇꯔ ꯑꯃꯒꯥ ꯇꯥꯟꯅꯒꯗꯕꯥ ꯀꯦꯁ ꯈꯔꯗꯤ ꯂꯩ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯂꯩꯔꯕꯗꯤ ꯃꯗꯨ ꯂꯦꯄꯍꯜꯂꯣꯏꯗꯕꯅꯤ:

• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯅꯨꯃꯤꯠ 3ꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯏ ꯌꯥꯎꯔꯕꯗꯤ .
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯁꯥꯊꯤꯕꯥ ꯑꯅꯥꯕꯥ ꯂꯩꯔꯕꯗꯤ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯨꯠꯇꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯃꯥ ꯐꯥꯑꯣꯔꯕꯗꯤ, ꯃꯗꯨꯗꯤ ꯈꯣꯡꯗꯥ ꯁꯣꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯅꯣꯡꯃꯩ ꯀꯥꯞꯄꯥ .
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯏ ꯌꯥꯝꯅꯥ ꯊꯣꯛꯂꯤ ꯍꯥꯌꯅꯥ ꯈꯜꯂꯕꯗꯤ .
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯁ꯭ꯇꯣꯂꯒꯤ ꯃꯑꯣꯡ-ꯃꯇꯧ (ꯏꯁꯤꯡ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ, ꯇꯔꯨ-ꯇꯅꯥꯅꯕꯥ, ꯂꯦꯡ-ꯑꯣꯠꯄꯥ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ) ꯑꯗꯨ ꯅꯨꯃꯤꯠ 3ꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯍꯣꯡꯂꯛꯂꯕꯗꯤ .
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯀꯔꯤꯒꯤꯗꯃꯛꯇꯥ ꯏ ꯊꯣꯛꯂꯤꯕꯅꯣ ꯍꯥꯌꯕꯒꯤ ꯋꯥꯈꯜꯂꯣꯟ ꯂꯩꯠꯔꯕꯗꯤ (i.e. ꯈꯪꯂꯕꯥ ꯃꯔꯝ ꯑꯃꯥ ꯂꯩꯠꯔꯕꯥ, ꯍꯥꯌꯕꯗꯤ ꯈꯣꯡ ꯍꯥꯝꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯗꯥꯏꯔꯤꯌꯥ)꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯏ ꯊꯣꯀꯄꯥ ꯑꯗꯨꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯑꯇꯩ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯍꯥꯌꯕꯗꯤ ꯂꯥꯏꯍꯧ, ꯆꯤꯀꯄꯥ, ꯃꯁꯥ ꯃꯊꯟꯇꯥ ꯋꯥꯈꯜ ꯇꯥꯗꯕꯥ, ꯂꯦꯡ-ꯑꯣꯠꯄꯒꯤ ꯊꯧꯑꯣꯡ ꯂꯩꯔꯕꯗꯤ .

ꯑꯁꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯁꯤꯡ ꯑꯁꯤꯗꯥ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯄꯥꯎꯇꯥꯛ ꯂꯧꯅꯕꯥ ꯁꯣꯌꯗꯅꯥ ꯆꯠꯀꯗꯕꯅꯤ꯫

ꯁ꯭ꯇꯣꯂꯗꯥ ꯏ ꯊꯣꯀꯄꯒꯤ ꯃꯔꯃꯁꯤꯡ ꯀꯔꯤꯅꯣ?

ꯅꯍꯥꯛꯀꯤ ꯁ꯭ꯇꯣꯂꯗꯥ ꯏ ꯌꯥꯎꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯗꯥꯏꯖꯦꯁ꯭ꯇꯤꯚ ꯁꯤꯁ꯭ꯇꯦꯃꯒꯤ ꯃꯐꯝ ꯑꯃꯗꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ, ꯁꯣꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯏ ꯊꯣꯀꯄꯥ ꯍꯥꯌꯕꯁꯤꯅꯤ꯫ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯃꯔꯝ ꯈꯔꯗꯤ ꯌꯦꯡꯁꯤ꯫

ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯃꯔꯃꯁꯤꯡ꯫

• ꯍꯦꯃꯣꯔꯦꯖ (Hemorrhoids): ꯁ꯭ꯇꯣꯂꯗꯥ ꯏ ꯊꯣꯀꯄꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯑꯃꯁꯨꯡ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯃꯔꯃꯗꯤ ꯍꯦꯃꯣꯔꯦꯖꯅꯤ꯫ ꯃꯁꯤ ꯔꯦꯛꯇꯃꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯅꯠꯠꯔꯒꯥ ꯃꯄꯥꯟꯗꯥ ꯂꯩꯕꯥ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯂꯁꯤꯡ (blood vessels) ꯁꯣꯟꯊꯔꯀꯄꯅꯥ ꯊꯣꯀꯍꯅꯕꯅꯤ꯫ ꯃꯈꯣꯌ ꯑꯁꯤ ꯕꯣꯋꯦꯜ ꯃꯨꯚꯃꯦꯟꯇ (constipation) ꯅꯠꯠꯔꯒꯥ ꯑꯔꯨꯝꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ ꯂꯧꯊꯣꯀꯄꯒꯨꯝꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯁꯣꯟꯊꯔꯕꯥ ꯚꯦꯅꯃꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯁꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯏ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯈꯨꯠ-ꯃꯁꯥꯒꯤ ꯑꯀꯣꯌꯕꯗꯥ ꯁꯣꯛ-ꯄꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯄꯁꯨ ꯃꯁꯤꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡꯅꯤ꯫
• ꯑꯦꯅꯥꯜ ꯐꯤꯁꯔ (Anal Fissure): ꯃꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯅꯥꯀꯣꯡꯗꯥ ꯊꯣꯀꯄꯥ ꯑꯁꯣꯀꯄꯥ ꯑꯃꯒꯥ ꯃꯥꯟꯅꯅꯥ, ꯃꯈꯨꯠꯀꯤ ꯑꯀꯣꯌꯕꯗꯥ ꯂꯩꯕꯥ ꯈꯣꯡꯗꯥ ꯊꯣꯀꯄꯥ ꯑꯄꯤꯀꯄꯥ ꯑꯁꯣꯀꯄꯥ ꯑꯃꯅꯤ꯫ ꯃꯁꯤꯒꯤ ꯇꯤꯟ ꯑꯁꯤ ꯑꯀꯅꯕꯥ, ꯑꯆꯧꯕꯥ ꯁ꯭ꯇꯣꯜ ꯑꯃꯥ ꯄꯥꯁ ꯇꯧꯕꯥ ꯃꯇꯃꯗꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯋꯥꯅꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫
• ꯏꯅꯐ꯭ꯂꯦꯃꯦꯇꯔꯤ ꯕꯣꯋꯦꯜ ꯗꯤꯖꯤꯖ (IBD): ꯃꯁꯤ ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯂꯩꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯅꯨꯃꯤꯠ ꯀꯌꯥꯅꯤꯒꯤ ꯃꯃꯥꯡꯗꯒꯤ ꯈꯣꯡ ꯍꯥꯝꯕꯥ, ꯑꯔꯨꯝꯕꯥ ꯍꯟꯊꯕꯥ, ꯑꯃꯁꯨꯡ ꯏ ꯊꯣꯀꯄꯥ ꯗꯥꯏꯔꯤꯌꯥ ꯂꯩꯔꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ IBD ꯂꯩꯕꯥ ꯌꯥꯏ꯫ ꯑꯂꯁꯦꯔꯦꯇꯤꯚ ꯀꯣꯂꯥꯏꯇꯤꯁ ꯑꯃꯁꯨꯡ ꯀ꯭ꯔꯣꯅꯤꯛ ꯗꯤꯖꯤꯖ ꯑꯁꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯈꯜ ꯑꯅꯤꯅꯤ꯫
• ꯗꯤꯚꯥꯔꯇꯤꯀꯨꯂꯥꯔ ꯗꯤꯖꯤꯖ (Diverticular Disease): ꯃꯈꯣꯌ ꯑꯁꯤ ꯑꯆꯧꯕꯥ ꯏꯟꯇꯦꯁ꯭ꯇꯥꯏꯅꯒꯤ ꯋꯥꯂꯗꯒꯤ ꯊꯣꯔꯀꯄꯥ ꯑꯄꯤꯀꯄꯥ ꯄꯥꯎꯆꯦꯁꯤꯡꯅꯤ꯫ ꯃꯈꯣꯌ ꯑꯁꯤ ꯃꯍꯧꯁꯥꯅꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯂꯩꯇꯕꯁꯨ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯃꯈꯣꯌ ꯑꯁꯤ ꯏ ꯊꯣꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯏꯅꯐꯦꯛꯁꯟ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫
• ꯁ꯭ꯇꯣꯃꯥꯛ ꯅꯠꯠꯔꯒꯥ ꯏꯟꯇꯦꯁ꯭ꯇꯥꯏꯅꯒꯤ ꯑꯂꯁꯔ (Peptic Ulcer):ꯁ꯭ꯇꯣꯃꯥꯛ ꯅꯠꯠꯔꯒꯥ ꯑꯄꯤꯀꯄꯥ ꯏꯟꯇꯦꯁ꯭ꯇꯥꯏꯅꯒꯤ ꯂꯥꯏꯅꯤꯡꯗꯥ ꯊꯣꯀꯄꯥ ꯑꯂꯁꯔꯁꯤꯡ꯫ ꯕꯦꯛꯇꯦꯔꯤꯌꯥ ꯍꯦꯂꯤꯀꯣꯕꯦꯛꯇꯔ ꯄꯥꯏꯂꯣꯔꯤ (H. pylori)ꯅꯥ ꯏꯅꯐꯦꯛꯁꯟ ꯂꯩꯕꯥ ꯑꯃꯁꯨꯡ ꯑꯦꯁ꯭ꯄꯤꯔꯤꯟ ꯑꯃꯁꯨꯡ ꯏꯕꯨꯞꯔꯣꯐꯦꯅꯒꯨꯝꯕꯥ ꯄꯦꯏꯅꯀꯤꯂꯥꯔꯁꯤꯡ ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯁꯤꯖꯤꯟꯅꯕꯅꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯔꯃꯁꯤꯡꯅꯤ꯫
• ꯒꯦꯁ꯭ꯠꯔꯣꯑꯦꯟꯇꯦꯔꯥꯏꯇꯤꯁ: ꯚꯥꯏꯔꯁ ꯅꯠꯠꯔꯒꯥ ꯕꯦꯛꯇꯦꯔꯤꯌꯥꯒꯤ ꯏꯅꯐꯦꯛꯁꯟ (ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯐꯨꯗ ꯄꯣꯏꯖꯟ) ꯑꯃꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯗꯥꯏꯔꯤꯌꯥ ꯑꯁꯤ ꯏ ꯊꯣꯀꯄꯥ ꯌꯥꯏ ꯑꯃꯁꯨꯡ ꯃꯁꯤꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯅꯣꯡꯃꯩ ꯀꯥꯞꯄꯥ ꯑꯃꯁꯨꯡ ꯋꯥꯈꯜ ꯆꯔꯥꯡꯅꯕꯥ ꯑꯁꯤꯅꯆꯤꯡꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡꯁꯨ ꯌꯥꯎꯕꯥ ꯌꯥꯏ꯫

ꯑꯇꯣꯞꯄꯥ ꯃꯔꯃꯁꯤꯡ꯫

• ꯄꯣꯂꯤꯄꯁ ꯅꯠꯠꯔꯒꯥ ꯀꯦꯟꯁꯔ: ꯄꯣꯂꯤꯄꯁ ꯍꯥꯌꯕꯁꯤ ꯀꯣꯂꯣꯅꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯁꯦꯝꯕꯥ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯒ꯭ꯔꯣꯊꯁꯤꯡꯅꯤ꯫ ꯃꯈꯣꯌ ꯑꯁꯤ ꯏ ꯊꯣꯀꯄꯥ ꯌꯥꯏ, ꯑꯃꯁꯨꯡ ꯃꯈꯜ ꯈꯔꯗꯤ ꯃꯇꯃꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ ꯀꯦꯟꯁꯔ ꯑꯣꯏꯔꯀꯄꯥ ꯌꯥꯏ꯫ ꯀꯣꯂꯣꯔꯦꯛꯇꯜ ꯀꯦꯟꯁꯔ ꯑꯁꯤ ꯁ꯭ꯇꯣꯂꯗꯥ ꯏ ꯊꯣꯀꯄꯥ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯃꯔꯝ ꯑꯃꯅꯤ꯫
• ꯏꯁꯣꯐꯦꯖꯤꯌꯃꯒꯤ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯃꯁꯤꯡ: ꯏꯁꯣꯐꯦꯖꯤꯑꯦꯜ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯃꯁꯤꯡ (esophageal problems) (ꯑꯩꯈꯣꯌꯅꯥ ꯆꯥꯅꯕꯥ ꯆꯤꯟꯖꯥꯛ ꯊꯀꯄꯥ ꯌꯥꯕꯥ ꯇꯤꯎꯕ)ꯗꯥ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯂꯁꯤꯡꯗꯥ ꯁꯣꯛ-ꯄꯅꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯏꯁꯤꯡ ꯊꯨꯃꯖꯤꯅꯕꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯌꯥꯝꯅꯥ ꯍꯦꯟꯅꯥ ꯏ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫
• ꯁꯦꯛꯁꯨꯑꯦꯜꯂꯤ ꯇ꯭ꯔꯥꯟꯁꯃꯤꯇꯦꯗ ꯗꯤꯖꯤꯖ (STIs): ꯁꯦꯛꯁꯨꯑꯦꯜꯂꯤ ꯇ꯭ꯔꯥꯟꯁꯃꯤꯇꯦꯗ ꯗꯤꯖꯤꯖ ꯈꯔꯗꯗꯤ ꯔꯦꯛꯇꯜ ꯕ꯭ꯂꯤꯗꯤꯡꯁꯨ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫

ꯅꯍꯥ ꯑꯣꯏꯔꯤꯕꯥ ꯑꯉꯥꯡꯁꯤꯡꯒꯤ ꯈꯣꯡꯗꯥ ꯏ ꯊꯣꯀꯄꯒꯤ ꯃꯔꯃꯁꯤꯡ꯫

ꯑꯍꯂꯁꯤꯡꯗꯥ ꯁꯣꯀꯍꯜꯂꯤꯕꯥ ꯃꯔꯃꯁꯤꯡꯒꯥ ꯂꯣꯌꯅꯅꯥ, ꯑꯉꯥꯡꯁꯤꯡꯒꯤꯗꯃꯛꯇꯥ ꯑꯀꯛꯅꯕꯥ ꯃꯔꯝ ꯀꯌꯥ ꯂꯩ꯫

• ꯀꯅꯁ꯭ꯇꯤꯄꯁꯟ (Constipation): ꯃꯁꯤꯅꯥ ꯑꯉꯥꯡ ꯑꯃꯒꯤ ꯃꯆꯤꯟꯖꯥꯛꯇꯥ ꯏ ꯊꯣꯀꯍꯅꯕꯒꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯃꯔꯃꯅꯤ꯫ ꯀꯟꯁꯇꯤꯄꯁꯟ (constipation) ꯑꯁꯤꯅꯥ ꯑꯦꯅꯥꯜ ꯐꯤꯁꯔ (anal fissure) ꯑꯃꯥ ꯊꯣꯀꯍꯟꯗꯨꯅꯥ ꯏ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫
• ꯐꯨꯗ ꯑꯦꯂꯥꯔꯖꯤ: ꯑꯉꯥꯡ ꯑꯃꯗꯥ ꯃꯔꯨꯑꯣꯏꯅꯥ ꯁꯉ꯭ꯒꯣꯃꯒꯤ ꯄꯥꯎꯗꯔ ꯅꯠꯠꯔꯒꯥ ꯈꯣꯝꯂꯥꯡ ꯄꯤꯊꯛꯂꯤꯕꯥ ꯃꯃꯥ ꯑꯃꯅꯥ ꯆꯥꯕꯥ ꯑꯀꯛꯅꯕꯥ ꯆꯤꯟꯖꯥꯀꯁꯤꯡ (ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯁꯟ-ꯏꯔꯣꯏ, ꯁꯣꯌ, ꯃꯅꯥ-ꯃꯁꯤꯡ)ꯅꯥ ꯑꯦꯂꯥꯔꯖꯤ ꯂꯩꯔꯀꯄꯥ ꯌꯥꯏ, ꯃꯗꯨꯅꯥ ꯀꯣꯂꯥꯏꯇꯤꯁ ꯑꯃꯁꯨꯡ ꯏ ꯊꯣꯀꯄꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫
• ꯁ꯭ꯇꯣꯃꯥꯛ ꯑꯂꯁꯔ: ꯑꯉꯥꯡꯁꯤꯡꯗꯁꯨ ꯕꯦꯛꯇꯦꯔꯤꯌꯥ (H. pylori)ꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯁ꯭ꯇꯣꯃꯥꯛ ꯑꯂꯁꯔ ꯂꯥꯀꯄꯥ ꯌꯥꯏ꯫
• ꯃꯦꯀꯦꯂꯒꯤ ꯗꯤꯚꯥꯔꯇꯤꯀꯨꯂꯝ: ꯃꯁꯤ ꯀꯣꯟꯖꯤꯅꯤꯑꯦꯜ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫ ꯏꯟꯇꯦꯁ꯭ꯇꯥꯏꯅꯒꯤ ꯋꯥꯂꯗꯥ ꯁꯦꯝꯕꯥ ꯑꯃꯁꯨꯡ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯂꯩꯇꯅꯥ ꯏ ꯊꯣꯀꯄꯥ ꯌꯥꯕꯥ ꯇꯤꯁꯨꯒꯤ ꯑꯍꯦꯅꯕꯥ ꯄꯥꯎꯆꯦ ꯑꯃꯥ꯫ ꯃꯁꯤ ꯁꯔꯖꯔꯤꯅꯥ ꯂꯥꯏꯌꯦꯡꯕꯥ ꯌꯥꯏ꯫

ꯗꯣꯛꯇꯔꯅꯥ ꯀꯔꯝꯅꯥ ꯗꯥꯏꯑꯦꯒ꯭ꯅꯣꯁꯤꯁ ꯇꯧꯒꯅꯤ?

ꯅꯍꯥꯛꯅꯥ ꯗꯣꯛꯇꯔꯗꯥ ꯆꯠꯄꯥ ꯃꯇꯃꯗꯥ ꯃꯍꯥꯛꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯋꯥꯍꯪ ꯈꯔꯥ ꯍꯪꯒꯅꯤ꯫ ꯏ ꯊꯣꯀꯄꯥ ꯃꯈꯜ, ꯃꯆꯨ ꯑꯃꯁꯨꯡ ꯑꯇꯩ ꯂꯥꯏꯑꯣꯡꯁꯤꯡꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯄꯤꯔꯤꯕꯥ ꯑꯀꯨꯞꯄꯥ ꯃꯔꯣꯂꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯗꯥꯏꯑꯦꯒ꯭ꯅꯣꯁꯤꯁ ꯑꯃꯥ ꯁꯦꯝꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯒꯅꯤ꯫ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ, ꯃꯈꯣꯌꯅꯥ ꯐꯤꯖꯤꯀꯦꯜ ꯑꯦꯀꯖꯥꯃꯤꯅꯦꯁꯟ (ꯔꯦꯛꯇꯜ ꯑꯦꯀꯖꯥꯝ ꯌꯥꯎꯅꯥ) ꯑꯃꯥ ꯄꯥꯡꯊꯣꯛꯀꯅꯤ꯫ ꯑꯆꯨꯝꯕꯥ ꯃꯔꯝ ꯑꯗꯨ ꯈꯪꯗꯣꯛꯅꯕꯥ ꯃꯈꯣꯌꯅꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯃꯗꯒꯤ ꯍꯦꯅꯕꯥ ꯔꯤꯀꯃꯦꯟꯗ ꯇꯧꯕꯥ ꯌꯥꯏ:

• ꯑꯦꯅꯗꯣꯁ꯭ꯀꯣꯄꯤ (EGD): ꯃꯤꯠꯀꯤ ꯃꯅꯨꯡꯗꯥ ꯀꯦꯃꯦꯔꯥ ꯑꯃꯥ ꯊꯥꯗꯨꯅꯥ ꯑꯄꯤꯀꯄꯥ ꯇꯤꯎꯕ ꯑꯃꯥ ꯁꯤꯖꯤꯟꯅꯗꯨꯅꯥ ꯏꯁꯣꯐꯦꯒꯁ, ꯁ꯭ꯇꯣꯃꯥꯛ ꯑꯃꯁꯨꯡ ꯑꯄꯤꯀꯄꯥ ꯏꯟꯇꯦꯁ꯭ꯇꯥꯏꯅꯒꯤ ꯍꯧꯔꯀꯐꯝ ꯑꯗꯨ ꯌꯦꯡꯁꯤꯅꯕꯥ꯫
• ꯀꯣꯂꯣꯅꯣꯁ꯭ꯀꯣꯄꯤ (Colonoscopy): ꯃꯈꯨꯠꯀꯤ ꯃꯅꯨꯡꯗꯥ ꯀꯦꯃꯦꯔꯥ ꯑꯃꯥ ꯊꯥꯗꯨꯅꯥ ꯇꯤꯎꯕ ꯑꯃꯥ ꯁꯤꯖꯤꯟꯅꯗꯨꯅꯥ ꯑꯆꯧꯕꯥ ꯏꯟꯇꯦꯁ꯭ꯇꯥꯏꯟ ꯄꯨꯝꯅꯃꯛ ꯌꯦꯡꯁꯤꯅꯕꯥ꯫ ꯇꯤꯁꯨꯒꯤ ꯑꯄꯤꯀꯄꯥ ꯁꯔꯨꯛ ꯑꯃꯁꯨ ꯑꯦꯀꯖꯥꯃꯤꯅꯦꯁꯟ (ꯕꯥꯏꯑꯣꯞꯁꯤ)ꯒꯤꯗꯃꯛ ꯂꯧꯕꯥ ꯌꯥꯏ꯫
• ꯁ꯭ꯇꯣꯜ ꯇꯦꯁ꯭ꯠ: ꯁ꯭ꯇꯣꯜ ꯁꯦꯝꯄꯜ ꯑꯃꯥ ꯂꯧꯗꯨꯅꯥ ꯂꯣꯠꯁꯤꯜꯂꯕꯥ ꯏ, ꯕꯦꯛꯇꯦꯔꯤꯌꯥ ꯏꯅꯐꯦꯛꯁꯅꯁꯤꯡ ꯑꯁꯤꯅꯆꯤꯡꯕꯥ ꯌꯦꯡꯁꯤꯜꯂꯤ꯫
• ꯏꯃꯦꯖꯤꯡ ꯇꯦꯁ꯭ꯇꯁꯤꯡ: ꯑꯦꯕꯗꯣꯃꯦꯅꯒꯤ ꯁꯤ.ꯇꯤ.ꯁ꯭ꯀꯦꯅꯒꯨꯝꯕꯥ ꯊꯕꯛ ꯑꯃꯁꯨ ꯄꯥꯡꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫

ꯂꯥꯏꯌꯦꯡꯕꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?

ꯑꯌꯥꯝꯕꯥ ꯀꯦꯁꯁꯤꯡꯗꯗꯤ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯏ ꯊꯣꯀꯄꯥ ꯑꯁꯤ ꯏꯆꯝ ꯆꯝꯕꯥ ꯃꯔꯝ ꯑꯃꯅꯥ, ꯍꯥꯌꯕꯗꯤ ꯍꯦꯃꯣꯔꯦꯖ ꯅꯠꯠꯔꯒꯥ ꯀꯅꯁ꯭ꯇꯤꯄꯁꯅꯒꯨꯝꯕꯥ ꯑꯣꯏꯔꯕꯗꯤ, ꯀꯟꯗꯤꯁꯟ ꯑꯗꯨ ꯂꯥꯏꯌꯦꯡꯕꯅꯥ ꯃꯁꯥ ꯃꯊꯟꯇꯥ ꯏ ꯊꯣꯀꯄꯥ ꯊꯤꯡꯒꯅꯤ꯫ ꯂꯥꯏꯌꯦꯡ ꯑꯁꯤ ꯏ ꯊꯣꯀꯄꯒꯤ ꯑꯀꯛꯅꯕꯥ ꯃꯔꯝ ꯑꯗꯨꯒꯤ ꯃꯈꯥ ꯄꯣꯜꯂꯤ꯫

ꯌꯨꯃꯗꯥ ꯇꯧꯕꯥ ꯌꯥꯕꯥ ꯊꯕꯀꯁꯤꯡ꯫

ꯍꯥꯌꯔꯤꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯍꯦꯃꯣꯔꯦꯖ ꯑꯃꯁꯨꯡ ꯑꯦꯅꯥꯜ ꯐꯤꯁꯔꯒꯨꯝꯕꯥ ꯀꯟꯗꯤꯁꯅꯁꯤꯡꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯕꯥ ꯌꯥꯏ:

• ꯐꯤꯕꯔ ꯌꯥꯝꯅꯥ ꯌꯥꯎꯕꯥ ꯆꯤꯟꯖꯥꯀꯁꯤꯡ (ꯂꯤꯒꯝ, ꯎꯍꯩ-ꯋꯥꯍꯩ, ꯃꯅꯥ-ꯃꯁꯤꯡ, ꯍꯣꯜ ꯒ꯭ꯔꯦꯅꯁꯤꯡ) ꯍꯦꯟꯅꯥ ꯆꯥꯕꯥ꯫ ꯃꯁꯤꯅꯥ ꯀꯟꯁꯇꯤꯄꯁꯟ ꯍꯟꯊꯍꯅꯒꯅꯤ꯫
• ꯅꯣꯡꯃꯗꯥ ꯏꯁꯤꯡ ꯌꯥꯝꯅꯥ ꯊꯀꯄꯥ .
• ꯁꯤꯠ ꯕꯥꯊ ꯑꯃꯥ ꯂꯧꯕꯥ . ꯃꯁꯤꯅꯥ ꯑꯀꯪꯕꯥ ꯏꯁꯤꯡꯒꯤ ꯕꯦꯁꯤꯟ ꯑꯃꯗꯥ ꯃꯤꯅꯠ 10-15 ꯐꯥꯎꯕꯥ ꯐꯃꯗꯨꯅꯥ ꯂꯩꯕꯥ ꯍꯥꯌꯕꯁꯤꯅꯤ꯫ ꯃꯁꯤꯅꯥ ꯑꯅꯥꯕꯥ ꯑꯃꯁꯨꯡ ꯁꯣꯛ-ꯄꯅꯕꯥ ꯍꯟꯊꯍꯅꯒꯅꯤ꯫
• ꯗꯣꯛꯇꯔ ꯑꯃꯅꯥ ꯇꯥꯀꯄꯥ ꯃꯇꯨꯡꯏꯟꯅꯥ ꯍꯦꯃꯣꯔꯦꯖ ꯀ꯭ꯔꯤꯃꯁꯤꯡ ꯁꯤꯖꯤꯟꯅꯧ꯫

ꯃꯦꯗꯤꯀꯦꯜ ꯇ꯭ꯔꯤꯠꯃꯦꯟꯇ꯫

ꯂꯥꯏꯌꯦꯡ ꯑꯁꯤ ꯃꯔꯃꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ ꯈꯦꯠꯅꯩ꯫

• ꯕꯦꯛꯇꯦꯔꯤꯌꯥ ꯏꯅꯐꯦꯛꯁꯅꯁꯤꯡꯒꯤꯗꯃꯛ ꯑꯦꯟꯇꯤꯕꯥꯏꯑꯣꯇꯤꯀꯁꯤꯡ꯫
• ꯁ꯭ꯇꯣꯃꯥꯛ ꯑꯂꯁꯔꯒꯤꯗꯃꯛ ꯁ꯭ꯇꯣꯃꯥꯛ ꯑꯦꯁꯤꯗ ꯍꯟꯊꯍꯅꯕꯥ ꯉꯝꯕꯥ ꯍꯤꯗꯥꯀꯁꯤꯡ꯫
• ꯑꯥꯏ.ꯕꯤ.ꯗꯤ.ꯒꯨꯝꯕꯥ ꯀꯟꯗꯤꯁꯅꯁꯤꯡꯒꯤꯗꯃꯛ ꯑꯦꯟꯇꯤ-ꯏꯅꯐ꯭ꯂꯦꯃꯦꯇꯔꯤ ꯍꯤꯗꯥꯀꯁꯤꯡ꯫
• ꯄꯣꯂꯤꯞ ꯅꯠꯠꯔꯒꯥ ꯀꯦꯟꯁꯔ ꯁꯔꯖꯤꯀꯦꯜ ꯑꯣꯏꯅꯥ ꯂꯧꯊꯣꯀꯄꯥ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯏ ꯊꯣꯀꯄꯥ ꯊꯤꯡꯕꯥ ꯉꯃꯗ꯭ꯔꯕꯗꯤ, ꯏ ꯊꯣꯀꯄꯥ ꯃꯐꯝ ꯑꯗꯨ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛ ꯁꯤꯖꯤꯟꯅꯗꯨꯅꯥ ꯏꯅꯖꯦꯀꯁꯟ ꯇꯧꯕꯥ ꯌꯥꯏ, ꯃꯩ ꯅꯠꯠꯔꯒꯥ ꯂꯦꯖꯔꯅꯥ ꯀꯣꯎꯇꯦꯔꯥꯏꯖ ꯇꯧꯕꯥ ꯌꯥꯏ ꯅꯠꯠꯔꯒꯥ ꯑꯦꯟꯗꯣꯁ꯭ꯀꯣꯄꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯀ꯭ꯂꯤꯞ ꯇꯧꯕꯥ ꯌꯥꯏ꯫