ꯃꯁꯤ (Boerhaave’s Syndrome) ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ?
ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯃꯁꯤꯒꯤ `(Boerhaave's Syndrome)` ꯑꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯐꯨꯗ ꯄꯥꯏꯄꯀꯤ ꯋꯥꯜ, ꯍꯥꯌꯕꯗꯤ `(esophagus),` ꯈꯉꯍꯧꯗꯅꯥ ꯊꯨꯒꯥꯏꯔꯀꯄꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫ ꯃꯁꯤ ꯐꯨꯗ ꯄꯥꯏꯄꯇꯥ ꯈꯅꯕꯗꯥ ꯋꯥꯕꯥ ꯄ꯭ꯔꯦꯁꯔ ꯑꯃꯥ, ꯍꯥꯌꯕꯗꯤ ꯊ꯭ꯔꯁ꯭ꯠ ꯑꯃꯥ ꯂꯩꯕꯥ ꯃꯇꯃꯗꯥ ꯊꯣꯀꯏ꯫ ꯆꯨꯝꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯃꯁꯤ ꯅꯍꯥꯛꯅꯥ ꯐꯣꯔꯁ ꯑꯣꯏꯅꯥ ꯋꯥꯈꯜ ꯇꯥꯗꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯇꯣꯞꯄꯥ ꯃꯑꯣꯡ ꯑꯃꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯁꯥꯃꯀꯄꯨ ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯇꯧꯕꯥ ꯃꯇꯃꯗꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯊꯣꯀꯏ꯫ ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯃꯁꯤꯕꯨ `(ꯑꯦꯐꯣꯔꯠ ꯔꯄꯆꯔ)` ꯅꯠꯠꯔꯒꯥ `(ꯁ꯭ꯄꯣꯟꯇꯦꯅꯦꯜ ꯔꯄꯆꯔ)` ꯍꯥꯌꯅꯥꯁꯨ ꯀꯧꯏ, ꯃꯔꯃꯗꯤ ꯃꯁꯤ ꯐꯨꯗ ꯄꯥꯏꯄꯇꯥ ꯍꯀꯊꯦꯡꯅꯅꯥ ꯊꯣꯀꯄꯥ ꯊꯧꯗꯣꯛ ꯑꯃꯅꯤ꯫ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯇꯁꯦꯡꯕꯗꯤ ꯌꯥꯝꯅꯥ ꯇꯣꯏꯅꯥ ꯊꯣꯀꯏ, ꯍꯥꯌꯕꯗꯤ ꯃꯁꯤꯅꯥ ꯃꯤꯁꯤꯡꯒꯤ ꯆꯥꯎꯔꯥꯛꯅꯥ 0.0003%ꯗꯥ ꯁꯣꯀꯍꯜꯂꯤ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯐꯨꯗ ꯄꯥꯏꯄꯀꯤ ꯑꯦꯛꯁꯤꯗꯦꯟꯇ ꯄꯨꯝꯅꯃꯛꯀꯤ 15%ꯗꯤ ꯃꯁꯤꯒꯤ `(Boerhaave's Syndrome)` ꯑꯁꯤꯅꯥ ꯊꯣꯀꯍꯜꯂꯤ꯫(Boerhaave’s Syndrome) ꯑꯃꯁꯨꯡ (Mallory Weiss Syndrome)ꯒꯤ ꯃꯔꯛꯇꯥ ꯀꯔꯤ ꯈꯦꯠꯅꯕꯥ ꯂꯩꯕꯒꯦ?
ꯍꯧꯖꯤꯛ ꯅꯍꯥꯛꯅꯥ ꯈꯅꯕꯤꯔꯃꯒꯅꯤ, ‘ꯑꯩꯅꯥ ꯏꯁꯣꯐꯦꯒꯁꯇꯥ ꯏꯁꯤꯡ ꯁꯣꯀꯄꯥ ꯇꯥꯕꯥ ꯃꯇꯃꯗꯥ ꯑꯩꯅꯥ ꯇꯥꯕꯥ ꯐꯪꯈꯤꯕꯥ ꯑꯗꯨꯅꯤ?’꯫ ꯇꯁꯦꯡꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ ꯑꯅꯤꯁꯤꯒꯤ ꯃꯔꯛꯇꯥ ꯈꯔꯥ ꯈꯦꯠꯅꯕꯥ ꯂꯩ꯫ ꯃꯦꯂꯣꯔꯤ ꯋꯦꯏꯁ (Mallory Weiss tear) ꯍꯥꯌꯕꯁꯤ ꯅꯍꯥꯛꯅꯥ ꯐꯣꯔꯁ ꯑꯣꯏꯅꯥ ꯈꯣꯡ ꯍꯥꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯅꯠꯠꯔꯒꯥ ꯅꯍꯥꯛꯅꯥ ꯁ꯭ꯠꯔꯦꯁ ꯂꯩꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯊꯣꯀꯄꯥ ꯇꯤꯌꯥꯔ ꯑꯃꯅꯤ꯫ ꯃꯁꯤ ꯏꯁꯣꯐꯦꯒꯁꯀꯤ ꯂꯥꯏꯅꯤꯡꯗꯥ ꯁꯣꯀꯄꯥ (terar) ꯑꯃꯅꯤ꯫ ꯑꯅꯤꯃꯛ ꯑꯁꯤ ꯌꯨ ꯌꯥꯝꯅꯥ ꯊꯀꯄꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯗꯥ ꯀꯃꯟ ꯑꯣꯏ . ꯃꯦꯂꯣꯔꯤ ꯋꯦꯏꯁ ꯇꯤꯌꯥꯔ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯅꯥ ꯏ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯏꯁꯣꯐꯦꯒꯁ ꯑꯁꯤ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯁꯣꯀꯍꯟꯗꯦ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯕꯣꯔꯍꯥꯚꯦꯒꯤ ꯁꯤꯟꯗꯣꯝ ꯑꯁꯤ ꯍꯦꯟꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯑꯣꯏꯔꯤ . ꯃꯁꯤ ꯏꯁꯣꯐꯦꯒꯁ ꯋꯥꯂꯒꯤ ꯑꯁꯥꯡꯕꯥ ꯃꯐꯝ ꯄꯨꯝꯅꯃꯛꯇꯥ ꯆꯦꯟꯊꯈꯤꯕꯥ ꯇꯤꯌꯥꯔ ꯑꯃꯅꯤ꯫ ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯁꯨ ꯃꯁꯤꯕꯨ ꯇ꯭ꯔꯥꯟꯁꯝꯌꯨꯔꯦꯜ ꯇꯤꯌꯥꯔ ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ ꯃꯄꯨꯡ ꯐꯥꯅꯥ ꯁꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯃꯁꯤ ꯏꯃꯔꯖꯦꯟꯁꯤ ꯁꯔꯖꯔꯤꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯁꯦꯃꯖꯤꯅꯒꯗꯕꯅꯤ . ꯃꯁꯤ ꯄꯨꯟꯁꯤ ꯅꯠꯠꯔꯒꯥ ꯁꯤꯕꯒꯤ ꯐꯤꯚꯝ ꯑꯃꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫ꯐꯨꯗ ꯇꯤꯎꯕ ꯑꯃꯥ ꯄꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯀꯔꯤ ꯊꯣꯀꯏ?
ꯑꯩꯈꯣꯌꯒꯤ ꯏꯁꯣꯐꯦꯒꯁ (esophagus) ꯁꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯀꯔꯤ ꯊꯣꯀꯄꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯈꯟꯗꯨꯅꯥ ꯌꯦꯡꯕꯤꯌꯨ꯫ ꯃꯁꯤ ꯇꯁꯦꯡꯅꯥ ꯏꯃꯔꯖꯦꯟꯁꯤ ꯑꯃꯅꯤ , ꯑꯃꯁꯨꯡ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯈꯨꯗꯛꯇꯥ ꯂꯥꯌꯦꯡꯗ꯭ꯔꯕꯗꯤ ꯃꯁꯤ ꯄꯨꯟꯁꯤꯗꯥ ꯈꯨꯗꯣꯡꯊꯤꯕꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ . ꯀꯔꯤꯒꯤꯅꯣ ꯍꯥꯌꯕꯥ ꯅꯍꯥꯛ ꯈꯉꯕ꯭ꯔꯥ? ꯑꯩꯈꯣꯌꯒꯤ ꯏꯁꯣꯐꯦꯒꯁ ꯑꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯗꯥꯏꯖꯦꯁ꯭ꯇꯤꯚ ꯁꯤꯁ꯭ꯇꯦꯝ (ꯒꯦꯁ꯭ꯠꯔꯣꯏꯟꯇꯦꯁ꯭ꯇꯥꯏꯅꯦꯜ ꯇ꯭ꯔꯦꯛꯇ)ꯒꯤ ꯁꯔꯨꯛ ꯑꯃꯅꯤ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ, ꯏꯁꯣꯐꯦꯒꯁ (esophagus) ꯊꯨꯒꯥꯌꯕꯥ ꯃꯇꯃꯗꯥ, ꯐꯨꯗ ꯄꯥꯔꯇꯤꯀꯦꯂꯁꯤꯡ, ꯕꯦꯛꯇꯦꯔꯤꯌꯥ ꯑꯃꯁꯨꯡ ꯗꯥꯏꯖꯦꯁ꯭ꯇꯤꯚ ꯀꯦꯃꯤꯀꯦꯂꯁꯤꯡ ꯑꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯆꯦꯁ꯭ꯠ ꯀꯦꯚꯤꯇꯤ ꯅꯠꯠꯔꯒꯥ ꯁ꯭ꯇꯣꯃꯥꯛ ꯀꯦꯚꯤꯇꯤꯗꯥ ꯂꯤꯛ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯗꯨ ꯑꯣꯏꯔꯕꯗꯤ, ꯁꯥꯊꯤꯕꯥ ꯕꯦꯛꯇꯦꯔꯤꯌꯥ ꯏꯅꯐꯦꯛꯁꯅꯁꯤꯡ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫ꯀꯔꯤꯒꯨꯝꯕꯥ ꯏꯅꯐꯦꯛꯁꯟ ꯑꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡ ꯄꯨꯝꯕꯒꯤ ꯏꯗꯥ ꯆꯪꯂꯕꯗꯤ, ``ꯁꯦꯞꯇꯤꯁꯦꯃꯤꯌꯥ'' ꯑꯃꯁꯨꯡ ``ꯁꯦꯄꯁꯤꯁ'' ꯀꯧꯕꯥ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯒꯤ ``ꯁꯦꯄꯁꯤꯁ'' ꯑꯁꯤ ꯄꯨꯟꯁꯤꯕꯨ ꯈꯨꯗꯣꯡꯊꯤꯍꯅꯕꯥ ꯌꯥꯕꯥ ꯔꯤꯑꯦꯛꯁꯟ ꯑꯃꯅꯤ꯫ ꯃꯁꯤꯅꯥ ``ꯁꯣꯛ'', ꯃꯜꯇꯤꯄꯜ ꯑꯣꯔꯒꯥꯟ ꯐꯦꯜ ꯑꯣꯏꯕꯥ, ꯑꯃꯁꯨꯡ ꯑꯔꯣꯏꯕꯗꯥ ꯁꯤꯍꯅꯕꯥ ꯌꯥꯏ꯫
ꯃꯁꯤꯅꯥ ꯀꯅꯥꯗꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯁꯥꯐꯨ ꯄꯤꯕꯒꯦ?
ꯀꯅꯥꯒꯨꯝꯕꯥ ꯑꯃꯅꯥ ꯃꯁꯤꯒꯤ `(Boerhaave's Syndrome) ꯑꯁꯤ ꯂꯥꯀꯄꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ,ꯃꯁꯤ ꯅꯨꯄꯥꯁꯤꯡꯗꯥ ꯑꯃꯁꯨꯡ ꯆꯍꯤ 50ꯒꯤ ꯃꯊꯛꯇꯥ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯗꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯀꯃꯟ ꯑꯣꯏ꯫ ꯃꯁꯤ ꯌꯨ ꯌꯥꯝꯅꯥ ꯊꯀꯄꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯗꯁꯨ ꯌꯥꯝꯅꯥ ꯊꯦꯡꯅꯩ .ꯕꯣꯔꯍꯥꯚ ꯁꯤꯟꯗꯣꯃꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯤꯅꯣ?
ꯑꯣꯀꯦ, ꯍꯧꯖꯤꯛ `(Boerhaave's Syndrome)`ꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯤꯅꯣ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯁꯤ꯫ ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯈꯉꯕꯥ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨ ꯑꯣꯏ꯫- ꯈꯪꯍꯧꯗꯅꯥ, ꯁꯥꯊꯤꯕꯥ ꯆꯦꯛꯁꯤꯟ-ꯊꯧꯔꯥꯡ꯫ ꯃꯁꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯂꯥꯏꯑꯣꯡꯅꯤ꯫
- ꯅꯣꯡꯃꯩ ꯀꯥꯞꯄꯥ ꯑꯃꯁꯨꯡ ꯋꯥꯈꯜ ꯋꯥꯕꯥ . ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯈꯣꯝꯂꯥꯡꯗꯥ ꯏ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫
- ꯊꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯑꯅꯥꯕꯥ ꯐꯥꯎꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯀꯣꯛ ꯆꯤꯀꯄꯥ ꯍꯥꯌꯕꯁꯤ ꯑꯐꯕꯥ ꯑꯃꯅꯤ꯫
- ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ ꯍꯟꯊꯔꯀꯏ ꯑꯃꯁꯨꯡ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯌꯥꯡꯅꯥ ꯆꯠꯂꯤ꯫
- ꯆꯦꯁ꯭ꯠ ꯀꯦꯚꯤꯇꯤꯗꯥ ꯂꯩꯕꯥ ꯇꯤꯁꯨꯁꯤꯡ ꯑꯁꯤ ꯅꯨꯡꯁꯤꯠ ꯅꯠꯠꯔꯒꯥ ꯐ꯭ꯂꯨꯏꯗꯅꯥ ꯊꯨꯃꯖꯤꯜꯂꯀꯄꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯁꯣꯛ-ꯄꯅꯕꯥ ꯊꯣꯀꯍꯜꯂꯤ꯫
- ꯑꯩꯒꯤ ꯈꯣꯉꯅꯥ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯁꯣꯟꯊꯔꯀꯏ, ꯁꯤꯜ ꯑꯃꯒꯨꯝ꯫
- ꯂꯥꯏꯍꯧ ꯑꯃꯁꯨꯡ ꯏꯁꯤꯡ ꯇꯨꯡꯁꯤꯅꯕꯥ ꯑꯁꯤꯅꯆꯤꯡꯕꯥ ꯏꯅꯐꯦꯛꯁꯅꯒꯤ ꯈꯨꯗꯃꯁꯤꯡ .
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯃꯗꯒꯤ ꯍꯦꯅꯕꯥ ꯈꯪꯍꯧꯗꯅꯥ ꯂꯥꯀꯄꯥ ꯇꯥꯔꯕꯗꯤ, ꯃꯔꯨꯑꯣꯏꯅꯥ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯅꯥ ꯁꯣꯀꯄꯥ ꯃꯇꯨꯡꯗꯥ, ꯈꯨꯗꯛꯇꯥ ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯄꯥꯎꯇꯥꯛ ꯂꯧꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ .
ꯑꯋꯥꯕꯥ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯑꯣꯏꯕꯒꯦ?
`(Boerhaave's Syndrome)`ꯒꯤ ꯑꯋꯥꯕꯥ ꯑꯁꯤ ꯀꯌꯥꯗꯥ ꯐꯠꯇꯕꯅꯣ? ꯃꯤꯑꯣꯏ ꯈꯔꯅꯥ ꯍꯥꯌꯔꯤ ꯃꯗꯨꯗꯤ ꯃꯁꯤ ꯇꯁꯦꯡꯅꯥ ꯌꯥꯝꯅꯥ ꯋꯥꯅꯥ . ꯑꯅꯥꯕꯥ ꯑꯗꯨ ꯁꯣꯀꯍꯜꯂꯕꯥ ꯃꯐꯝ ꯑꯗꯨꯗꯥ ꯊꯨꯅꯥ ꯐꯥꯎꯏ꯫ ꯑꯌꯥꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯃꯁꯤꯒꯤ ꯔꯄꯆꯔ ꯑꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯏꯁꯣꯐꯦꯒꯁꯀꯤ ꯃꯈꯥ ꯊꯪꯕꯥ ꯁꯔꯨꯛꯇꯥ ꯊꯣꯀꯏ꯫ ꯍꯥꯌꯕꯗꯤ ꯂꯣꯌꯔꯕꯥ ꯆꯦꯁ꯭ꯠ ꯀꯦꯚꯤꯇꯤ ꯑꯃꯁꯨꯡ ꯃꯊꯛꯀꯤ ꯁ꯭ꯇꯣꯃꯥꯛ ꯀꯦꯚꯤꯇꯤꯒꯤ ꯃꯔꯛꯇꯥ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ ꯃꯁꯤꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯋꯥꯡꯕꯥ ꯑꯣꯏꯕꯁꯨ ꯌꯥꯏ꯫ ꯃꯁꯤꯒꯤ ꯑꯅꯥꯕꯥ ꯑꯁꯤ ꯈꯣꯡ ꯅꯠꯠꯔꯒꯥ ꯈꯨꯎꯗꯁꯨ ꯁꯟꯗꯣꯀꯄꯥ ꯌꯥꯏ .ꯑꯣꯏꯊꯣꯀꯄꯥ ꯌꯥꯕꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯃꯦꯅꯦꯖ ꯇꯧꯗ꯭ꯔꯕꯗꯤ ꯊꯣꯀꯄꯥ ꯌꯥꯕꯥ ꯁꯥꯏꯗ ꯏꯐꯦꯛꯇ ꯀꯌꯥ ꯂꯩ:- ꯅꯍꯥꯛꯀꯤ ꯆꯦꯁ꯭ꯠ ꯀꯦꯚꯤꯇꯤꯗꯥ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯁꯟ ꯑꯃꯁꯨꯡ ꯁꯣꯀꯄꯥ꯫
- ꯆꯦꯁ꯭ꯠ ꯀꯦꯚꯤꯇꯤꯗꯥ ꯄꯣꯃꯈꯠꯄꯥ (empiema) ꯀꯂꯦꯛꯁꯟ ꯇꯧꯕꯥ꯫
- ꯆꯦꯁ꯭ꯠ ꯀꯦꯚꯤꯇꯤꯗꯥ ꯅꯠꯠꯔꯒꯥ ꯈꯣꯡꯒꯤ ꯃꯈꯥꯗꯥ ꯂꯩꯕꯥ ꯇꯤꯁꯨꯁꯤꯡꯗꯥ ꯅꯨꯡꯁꯤꯠ ꯁꯤꯠꯄꯥ꯫
- ꯄ꯭ꯂꯦꯎꯔꯦꯜ ꯏꯐ꯭ꯌꯨꯁꯟ ( ꯆꯦꯁ꯭ꯠ ꯀꯦꯚꯤꯇꯤꯒꯤ ꯂꯥꯏꯅꯤꯡꯗꯥ ꯐ꯭ꯂꯨꯏꯗ ꯑꯦꯛꯌꯨꯃꯨꯂꯦꯁꯟ )꯫
- ꯑꯦꯛꯌꯨꯠ ꯔꯦꯁ꯭ꯄꯤꯔꯦꯇꯔꯤ ꯗꯤꯁ꯭ꯠꯔꯤꯁ ꯁꯤꯟꯗꯣꯝ ( ꯑꯦ.ꯑꯥꯔ.ꯗꯤ.ꯑꯦꯁ. ) .
- ꯁꯦꯄꯇꯤꯁꯃꯤꯌꯥ, ꯁꯦꯄꯁꯤꯁ ꯑꯃꯁꯨꯡ ꯁꯣꯀꯄꯥ꯫ ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯄꯨꯟꯁꯤꯗꯥ ꯈꯨꯗꯣꯡꯊꯤꯕꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫
ꯕꯣꯔꯍꯥꯚ ꯁꯤꯟꯗꯣꯃꯒꯤ ꯃꯔꯃꯁꯤꯡ ꯀꯔꯤꯅꯣ?
ꯀꯔꯤꯒꯤꯗꯃꯛꯇꯥ ꯕꯣꯔꯍꯥꯚ ꯁꯤꯟꯗꯣꯝ ꯑꯁꯤ ꯊꯣꯛꯂꯤꯕꯅꯣ? ꯃꯁꯤꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯔꯝ ꯑꯅꯤ ꯂꯩ꯫ ꯑꯃꯅꯥ ꯑꯆꯝꯕꯥ ꯁ꯭ꯠꯔꯦꯟ ꯅꯠꯠꯔꯒꯥ ꯁ꯭ꯠꯔꯦꯟ ꯇꯧꯕꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯏꯁꯣꯐꯦꯒꯁꯀꯤ ꯃꯅꯨꯡꯗꯥ ꯂꯩꯕꯥ ꯄ꯭ꯔꯦꯁꯔ ꯍꯦꯅꯒꯠꯂꯀꯏ . ꯑꯇꯣꯞꯄꯥ ꯑꯃꯅꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯀꯣꯀꯊꯛꯇꯥ ꯂꯩꯕꯥ ꯀ꯭ꯔꯤꯀꯣꯐꯦꯔꯤꯟꯖꯤꯌꯁ ꯃꯁꯜ (ꯑꯋꯥꯡꯕꯥ ꯏꯁꯣꯐꯦꯖꯤꯌꯜ ꯁ꯭ꯐꯤꯡꯛꯇꯔ) ꯑꯁꯤꯅꯥ ꯄ꯭ꯔꯦꯁꯔ ꯑꯁꯤꯒꯤ ꯃꯇꯨꯡ ꯏꯟꯅꯥ ꯔꯤꯂꯥꯛꯁ ꯇꯧꯗꯕꯥ ꯃꯇꯃꯗꯥ ꯏꯁꯣꯐꯦꯒꯁꯀꯤ ꯃꯄꯥꯟꯗꯥ ꯅꯦꯒꯦꯇꯤꯕ ꯄ꯭ꯔꯦꯁꯔ ꯑꯃꯥ ꯊꯣꯀꯏ꯫. ꯃꯁꯤꯒꯤ `(Boerhaave's Syndrome)` ꯑꯁꯤꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯔꯃꯗꯤ ꯌꯥꯝꯅꯥ ꯋꯥꯅꯥ ꯅꯠꯠꯔꯒꯥ ꯂꯦꯞꯇꯅꯥ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯊꯣꯀꯄꯅꯤ . ꯃꯁꯤꯒꯤ ꯃꯊꯛꯇꯥ, ꯑꯉꯥꯡ ꯄꯣꯀꯄꯥ, ꯀꯅꯚꯂꯁꯟ, ꯍꯦꯚꯤ ꯂꯤꯐꯇꯤꯡ, ꯑꯃꯁꯨꯡ ꯀꯣꯁ꯭ꯇꯤꯛ ꯅꯠꯠꯔꯒꯥ ꯀꯣꯔꯣꯁꯤꯚ ꯄꯣꯠꯁꯀꯁꯤꯡ ꯊꯀꯄꯅꯁꯨ ꯃꯁꯤ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯅꯥ, ꯑꯁꯤꯒꯨꯝꯕꯥ ꯀꯦꯁꯁꯤꯡꯗꯗꯤ, ꯅꯔꯚ ꯁꯤꯒꯅꯦꯂꯁꯤꯡꯅꯥ `(cricopharyngeus muscle)` ꯔꯤꯂꯦꯛꯁ ꯇꯧꯒꯗꯕꯅꯤ ꯑꯃꯁꯨꯡ ꯃꯅꯨꯡꯗꯥ ꯄ꯭ꯔꯦꯁꯔ ꯑꯗꯨ ꯔꯤꯂꯤꯖ ꯇꯧꯒꯗꯕꯅꯤ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, `(ꯕꯣꯔꯍꯥꯚꯦꯒꯤ ꯁꯤꯟꯗꯣꯝ)`ꯗꯥ, ꯃꯔꯝ ꯈꯔꯗꯒꯤ ꯅ꯭ꯌꯨꯔꯣꯃꯁꯀꯨꯂꯥꯔ ꯀꯣꯑꯣꯔꯗꯤꯅꯦꯁꯟ `(ꯅ꯭ꯌꯨꯔꯣꯃꯁꯀꯨꯂꯥꯔ ꯀꯣꯑꯣꯔꯗꯤꯅꯦꯁꯟ)` ꯑꯁꯤ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯊꯕꯛ ꯇꯧꯗꯦ꯫ꯌꯨ ꯁꯤꯖꯤꯟꯅꯕꯅꯥ ꯑꯀꯥꯌꯕꯥ ꯄꯤꯕꯔꯥ?
ꯌꯨ ꯊꯀꯄꯅꯥ ꯏꯁꯣꯐꯦꯒꯁ (esophagus) ꯁꯣꯀꯍꯅꯕꯥ ꯌꯥꯕ꯭ꯔꯥ? ꯌꯨ ꯌꯥꯝꯅꯥ ꯊꯀꯄꯥ ꯑꯁꯤ ꯔꯤꯁ꯭ꯛ ꯐꯦꯛꯇꯔ ꯑꯃꯅꯤ . ꯕꯣꯔꯍꯥꯚ ꯁꯤꯟꯗꯣꯃꯒꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯃꯑꯣꯡꯗꯤ ꯑꯆꯧꯕꯥ ꯆꯥꯛ ꯆꯥꯕꯥ ꯊꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯌꯨ ꯊꯀꯄꯥ ꯂꯣꯌꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯋꯥꯈꯜ ꯆꯔꯥꯡꯅꯕꯥ ꯑꯁꯤꯅꯤ꯫ ꯌꯨ ꯊꯀꯄꯒꯤ ꯗꯤꯁꯑꯣꯔꯗꯔ, ꯌꯥꯝꯅꯥ ꯆꯥꯎꯅꯥ ꯆꯥꯕꯥ ꯑꯃꯁꯨꯡ ꯕꯨꯂꯤꯃꯤꯌꯥ ꯑꯁꯤ ꯔꯤꯁ꯭ꯛ ꯐꯦꯛꯇꯔꯁꯤꯡꯅꯤ꯫ ꯑꯇꯣꯞꯄꯥ ꯔꯤꯁ꯭ꯛ ꯐꯦꯛꯇꯔꯁꯤꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯏꯁꯣꯐꯦꯒꯁꯇꯥ ꯂꯩꯕꯥ ꯑꯟꯗꯔꯂꯥꯏꯟ ꯃꯦꯗꯤꯀꯦꯜ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ, ꯍꯥꯌꯕꯗꯤ ꯏꯁꯣꯐꯦꯖꯤꯇꯤꯁ ꯑꯃꯁꯨꯡ ꯏꯑꯣꯁꯤꯅꯣꯐꯤꯂꯤꯛ ꯏꯁꯣꯐꯦꯖꯤꯇꯤꯁ, ꯕꯦꯔꯦꯇꯀꯤ ꯏꯁꯣꯐꯦꯒꯁ, ꯑꯃꯁꯨꯡ ꯄꯦꯄꯇꯤꯛ ꯑꯂꯁꯔ ꯗꯤꯖꯤꯖ ꯑꯁꯤ ꯌꯥꯎꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯕꯣꯔꯍꯥꯚ ꯁꯤꯟꯗ꯭ꯔꯣꯝ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯌꯥꯝꯕꯗꯤ ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯕꯥ ꯏꯁꯣꯐꯦꯒꯁ ꯂꯩ꯫ꯕꯣꯔꯍꯥꯚ ꯁꯤꯟꯗꯣꯝ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯈꯪꯗꯣꯀꯄꯒꯦ?
ꯕꯣꯔꯍꯥꯚꯦꯒꯤ ꯁꯤꯟꯗꯣꯝ ꯑꯁꯤ ꯂꯥꯌꯦꯡꯕꯗꯥ ꯑꯋꯥꯕꯥ ꯑꯣꯏꯔꯀꯄꯥ ꯌꯥꯏ , ꯑꯗꯨꯕꯨ ꯃꯁꯤ ꯈꯨꯗꯛꯇꯥ ꯂꯧꯕꯥ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ . ꯃꯦꯀꯂꯔ ꯇ꯭ꯔꯥꯏꯑꯦꯗ ꯍꯥꯌꯅꯥ ꯈꯪꯅꯕꯥ ꯂꯥꯏꯑꯣꯡ ꯑꯍꯨꯝ ꯂꯩꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯈꯪꯗꯣꯀꯄꯗꯥ ꯍꯦꯟꯅꯥ ꯂꯥꯌꯕꯥ ꯑꯣꯏ꯫ ꯃꯈꯣꯌꯁꯤꯡ ꯑꯗꯨꯗꯤ: 1. ꯁꯥꯊꯤꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯄꯣꯃꯈꯠꯄꯥ꯫ 2. ꯈꯪꯍꯧꯗꯅꯥ ꯊꯝꯃꯣꯌ ꯁꯣꯀꯄꯥ ꯍꯧꯔꯀꯄꯥ꯫ ꯳.ꯁꯕꯛꯌꯨꯇꯦꯅꯤꯌꯝ ꯑꯦꯝꯐꯥꯏꯁꯦꯃꯥ꯫ ꯃꯁꯤꯒꯤ ꯑꯔꯣꯏꯕꯥ ꯂꯥꯏꯑꯣꯡ ꯑꯁꯤꯅꯥ ꯃꯔꯨꯑꯣꯏꯅꯥ ꯏꯁꯣꯐꯦꯒꯁ (ruptured esophagus) ꯂꯩꯔꯀꯄꯒꯤ ꯈꯨꯗꯝ ꯑꯣꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯃꯤꯄꯨꯝ ꯈꯨꯗꯤꯡꯃꯛꯇꯥ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯀ꯭ꯂꯥꯁꯤꯀꯦꯜ ꯁꯤꯝꯄꯇꯃꯁꯤꯡ ꯑꯁꯤ ꯂꯩꯔꯣꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯔꯄꯆꯔ ꯑꯗꯨ ꯑꯆꯝꯕꯥ ꯃꯐꯝ ꯑꯃꯗꯥ ꯊꯣꯛꯂꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯑꯆꯝꯕꯥ ꯃꯐꯝ ꯑꯃꯗꯥ, ꯍꯥꯌꯕꯗꯤ ꯈꯣꯡ ꯅꯠꯠꯔꯒꯥ ꯀꯣꯂꯥꯔꯕꯣꯅꯁꯤꯡꯗꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯁꯤ ꯃꯤꯠ ꯎꯗꯕꯥ ꯅꯠꯇꯕꯥ ꯑꯇꯩ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯃꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ, ꯅꯠꯠꯔꯒꯥ ꯃꯁꯤꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯑꯆꯝꯕꯥ ꯁꯥꯏꯗ ꯏꯐꯦꯛꯇꯁꯤꯡ ꯂꯩꯕꯥ ꯌꯥꯏ꯫ ꯏꯆꯝ ꯆꯝꯕꯥ ꯆꯦꯁ꯭ꯠ ꯑꯦꯛꯁ-ꯔꯦ ꯑꯃꯅꯥ ꯀ꯭ꯂꯨ ꯑꯃꯥ ꯄꯤꯕꯥ ꯌꯥꯏ, ꯑꯗꯨꯕꯨ ꯀꯟꯗꯤꯁꯟ ꯑꯗꯨ ꯈꯪꯗꯣꯛꯅꯕꯥ ꯍꯦꯟꯅꯥ ꯁꯦꯟꯁꯤꯇꯤꯚ ꯑꯣꯏꯕꯥ ꯏꯃꯦꯖꯤꯡ ꯇꯦꯁ꯭ꯠ ꯑꯃꯥ ꯃꯊꯧ ꯇꯥꯏ꯫ꯗꯥꯏꯑꯦꯒ꯭ꯅꯣꯁꯤꯁꯀꯤꯗꯃꯛꯇꯥ ꯁꯤꯖꯤꯟꯅꯔꯤꯕꯥ ꯔꯦꯗꯤꯑꯣꯂꯣꯖꯤꯀꯦꯜ ꯇꯦꯁ꯭ꯇꯁꯤꯡ꯫
``ꯕꯣꯔꯍꯥꯚꯦꯁ ꯁꯤꯟꯗꯣꯝ'' ꯈꯪꯗꯣꯛꯅꯕꯥ ꯀꯔꯤ ꯔꯦꯗꯤꯑꯣꯂꯣꯖꯤꯀꯦꯜ ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯁꯤꯖꯤꯟꯅꯕꯒꯦ?`(ꯏꯁꯣꯐꯥꯒ꯭ꯔꯥꯝ)` (ꯏꯁꯣꯐꯥꯒ꯭ꯔꯥꯝ)
ꯗꯣꯛꯇꯔ ꯑꯃꯅꯥ ꯕꯣꯔꯍꯥꯚ ꯁꯤꯟꯗꯣꯃꯒꯤ ꯆꯤꯡꯅꯕꯥ ꯂꯩꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯃꯈꯣꯌꯅꯥ ꯃꯍꯧꯁꯥꯅꯥ ꯇꯧꯕꯥ ꯑꯍꯥꯅꯕꯥ ꯊꯕꯛ ꯑꯁꯤ ꯑꯦꯛꯁ-ꯔꯦ ꯂꯧꯕꯅꯤ꯫ ꯃꯈꯣꯌꯅꯥ ꯀꯟꯠꯔꯁ꯭ꯠ ꯗꯥꯏ ꯑꯃꯥ ꯁꯤꯖꯤꯟꯅꯩ꯫ ꯃꯁꯤꯕꯨ ꯏꯁꯣꯐꯥꯒ꯭ꯔꯥꯝ ꯍꯥꯌꯅꯥꯁꯨ ꯀꯧꯏ꯫ ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯑꯆꯨꯝꯕꯥ, ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ, ꯅꯟ-ꯏꯅꯚꯦꯁꯤꯕ ꯇꯦꯁ꯭ꯠ ꯑꯃꯅꯤ꯫ ꯇꯦꯁ꯭ꯠ ꯑꯁꯤꯒꯤꯗꯃꯛꯇꯥ, ꯅꯍꯥꯛꯅꯥ ꯏꯁꯤꯡꯗꯥ ꯌꯥꯎꯕꯥ ꯀꯟꯠꯔꯁ꯭ꯠ ꯗꯥꯏ ꯑꯃꯥ ꯌꯥꯎꯕꯥ ꯁꯣꯜꯌꯨꯁꯟ ꯑꯃꯥ ꯊꯀꯏ꯫ ꯃꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯐꯨꯗ ꯄꯥꯏꯄꯀꯤ ꯃꯅꯨꯡꯗꯥ ꯂꯩꯕꯥ ꯃꯐꯝ ꯑꯗꯨ ꯑꯦꯛꯁ-ꯔꯦꯗꯥ ꯎꯕꯥ ꯐꯪꯍꯜꯂꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯇꯤꯟ ꯑꯃꯥ ꯂꯩꯔꯕꯗꯤ ꯃꯈꯣꯌꯅꯥ ꯀꯟꯠꯔꯁ꯭ꯠ ꯗꯥꯏ ꯑꯗꯨ ꯀꯗꯥꯏꯗꯥ ꯂꯤꯛ ꯑꯣꯏꯔꯤꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯎꯕꯥ ꯉꯃꯒꯅꯤ꯫(ꯁꯤ.ꯇꯤ. ꯁ꯭ꯀꯦꯟ ꯇꯧꯕꯥ)
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯏꯁꯣꯐꯦꯒꯣꯒ꯭ꯔꯥꯝ ꯇꯧꯕꯥ ꯉꯃꯗ꯭ꯔꯕꯗꯤ, ꯅꯠꯠꯔꯒꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯑꯀꯣꯌꯕꯗꯥ ꯂꯩꯔꯤꯕꯥ ꯑꯣꯔꯒꯥꯅꯁꯤꯡꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯍꯦꯟꯅꯥ ꯏꯅꯐꯣꯔꯃꯦꯁꯟ ꯄꯥꯝꯂꯕꯗꯤ, ꯁꯤ.ꯇꯤ. ꯃꯁꯤꯅꯥ ꯃꯤꯠꯀꯨꯞ ꯑꯗꯨꯒꯤ ꯑꯆꯨꯝꯕꯥ ꯃꯐꯝ ꯑꯗꯨ ꯎꯠꯄꯥ ꯉꯃꯗ꯭ꯔꯕꯁꯨ, ꯃꯁꯤꯅꯥ ꯏꯁꯣꯐꯦꯒꯁꯇꯒꯤ ꯑꯀꯣꯌꯕꯗꯥ ꯂꯩꯕꯥ ꯇꯤꯁ꯭ꯌꯨꯁꯤꯡꯗꯥ ꯂꯤꯛ ꯇꯧꯔꯕꯥ ꯀꯟꯠꯔꯁ꯭ꯠ ꯗꯥꯏ ꯅꯠꯠꯔꯒꯥ ꯑꯦꯌꯔꯒꯤ ꯑꯄꯤꯀꯄꯥ ꯃꯁꯤꯡꯁꯤꯡ ꯈꯉꯗꯣꯀꯄꯥ ꯉꯝꯃꯤ꯫ ꯃꯁꯤ ꯆꯦꯁ꯭ꯠ ꯅꯠꯠꯔꯒꯥ ꯑꯦꯕꯗꯣꯃꯦꯅꯗꯥ ꯏꯁꯤꯡ ꯇꯨꯡꯁꯤꯅꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯐ꯭ꯂꯨꯏꯗ ꯕꯤꯜꯗ-ꯑꯞ ꯊꯤꯕꯗꯁꯨ ꯁꯤꯖꯤꯟꯅꯕꯥ ꯌꯥꯏ꯫ꯕꯣꯔꯍꯥꯚꯦꯁ ꯁꯤꯟꯗ꯭ꯔꯣꯝ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯂꯥꯏꯌꯦꯡꯕꯒꯦ?
ꯑꯣꯀꯦ, ꯍꯧꯖꯤꯛ `(Boerhaave's Syndrome)` ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯂꯥꯌꯦꯡꯒꯅꯤ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯁꯤ꯫ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯈꯣꯡꯊꯥꯡꯁꯤꯡ ꯑꯁꯤ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤ:- ꯏꯅꯠꯔꯥꯚꯦꯅꯁ ꯐ꯭ꯂꯨꯏꯗ (IV ꯐ꯭ꯂꯨꯏꯗ) ꯄꯤꯕꯥ: ꯃꯤꯑꯣꯏ ꯀꯌꯥꯗꯤ ꯗꯤꯍꯥꯌꯗ꯭ꯔꯦꯁꯟ ꯂꯩ, ꯃꯔꯝ ꯑꯗꯨꯅꯥ IV ꯐ꯭ꯂꯨꯏꯗꯁꯤꯡ ꯑꯁꯤ ꯊꯨꯅꯥ ꯄꯤꯕꯥ ꯃꯊꯧ ꯇꯥꯏ꯫
- ꯑꯦꯟꯇꯤꯕꯥꯏꯑꯣꯇꯤꯀꯁꯤꯡ : ꯕ꯭ꯔꯣꯗ-ꯁ꯭ꯄꯦꯛꯠꯔꯦꯝ ꯑꯦꯟꯇꯤꯕꯥꯏꯑꯣꯇꯤꯀꯁꯤꯡ ꯑꯁꯤ ꯏꯅꯐꯦꯛꯁꯅꯁꯤꯡ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯅꯕꯥ ꯏꯅꯠꯔꯥꯚꯦꯅꯁ ꯑꯣꯏꯅꯥ ꯄꯤ꯫
- ꯁꯔꯖꯤꯀꯦꯜ ꯀꯟꯁꯂꯇꯦꯁꯟ: ꯃꯤꯑꯣꯏ ꯑꯌꯥꯝꯕꯒꯤ ꯑꯣꯏꯅꯗꯤ ꯁꯔꯖꯔꯤ ꯑꯁꯤ ꯁ꯭ꯇꯦꯟꯗꯔꯗ ꯑꯣꯏꯕꯥ ꯂꯥꯏꯌꯦꯡꯅꯤ꯫ ꯑꯄꯤꯀꯄꯥ, ꯂꯣꯀꯦꯂꯥꯏꯖ ꯑꯦꯕꯁꯦꯁ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏ ꯈꯔꯗꯤ ꯁꯔꯖꯔꯤ ꯇꯧꯗꯅꯥ, ꯑꯣꯕꯖꯥꯔꯚꯦꯁꯟ ꯑꯃꯁꯨꯡ IV ꯑꯦꯟꯇꯤꯕꯥꯏꯑꯣꯇꯤꯀꯁꯤꯡ ꯅꯠꯠꯔꯒꯥ ꯑꯦꯟꯗꯣꯁ꯭ꯀꯣꯄꯤ ꯑꯃꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯂꯥꯏꯌꯦꯡꯕꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯀꯦꯁꯁꯤꯡ ꯑꯁꯤꯗꯁꯨ ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯃꯇꯝ ꯄꯨꯝꯅꯃꯛꯇꯥ ꯁꯔꯖꯔꯤꯒꯤꯗꯃꯛꯇꯥ ꯀꯟꯇꯤꯟꯖꯦꯟꯁꯤ ꯄ꯭ꯂꯥꯟ ꯑꯃꯥ ꯃꯐꯝ ꯆꯥꯅꯥ ꯊꯃꯒꯅꯤ꯫
- ꯁꯔꯖꯤꯀꯦꯜ ꯔꯤꯄꯦꯌꯥꯔ: ꯔꯄꯆꯔ ꯑꯗꯨ ꯔꯤꯄꯦꯌꯥꯔ ꯇꯧꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯄꯨꯡ 24ꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯔꯤꯄꯦꯌꯥꯔ ꯇꯧꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯩ꯫ ꯅꯍꯥꯛꯀꯤ ꯀꯟꯗꯤꯁꯅꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯃꯤꯅꯤꯃꯝ ꯏꯅꯚꯦꯁꯤꯚ ꯁꯔꯖꯔꯤ ꯑꯃꯥ ꯁꯤꯖꯤꯟꯅꯕꯥ ꯌꯥꯏ꯫ ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯚꯤꯗꯤꯑꯣ-ꯑꯦꯁꯤꯁ꯭ꯇꯦꯗ ꯊꯣꯔꯥꯀꯣꯁ꯭ꯀꯣꯄꯤꯛ ꯁꯔꯖꯔꯤ (VATS)꯫ ꯑꯦꯃꯔꯖꯦꯟꯁꯤ ꯈꯔꯗꯗꯤ, ꯆꯦꯁ꯭ꯠ ꯀꯦꯚꯤꯇꯤꯗꯥ ꯊꯨꯅꯥ ꯑꯃꯁꯨꯡ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯑꯦꯛꯁꯦꯁ ꯇꯧꯕꯥ ꯉꯝꯅꯕꯥ ꯑꯣꯄꯟ ꯊꯣꯔꯥꯀꯣꯇꯣꯃꯤ ꯑꯃꯥ ꯇꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯏ꯫
- ꯏꯁꯤꯡ ꯇꯨꯡꯁꯤꯅꯕꯥ/ ꯏꯁꯤꯡ ꯇꯨꯡꯁꯤꯅꯕꯥ: ꯇꯤꯟ-ꯀꯥꯡ ꯑꯗꯨ ꯔꯤꯄꯦꯌꯥꯔ ꯇꯧꯕꯇꯥ ꯅꯠꯇꯅꯥ, ꯀꯦꯚꯤꯇꯤꯗꯥ ꯈꯣꯃꯖꯤꯜꯂꯀꯄꯥ ꯏꯅꯐꯦꯛꯁꯟ ꯂꯩꯔꯕꯥ ꯐ꯭ꯂꯨꯏꯗ ꯑꯃꯍꯦꯛꯇꯕꯨ ꯏꯁꯤꯡ ꯇꯨꯡꯁꯤꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯗꯤꯁꯏꯅꯐꯦꯛꯇ ꯇꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯏ꯫ ꯏꯅꯐꯦꯛꯁꯟ ꯂꯩꯔꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯁꯤꯔꯕꯥ (ꯅꯦꯛꯔꯣꯇꯤꯛ) ꯇꯤꯁꯨ ꯑꯃꯍꯦꯛꯇꯕꯨꯁꯨ ꯂꯧꯊꯣꯛꯀꯗꯕꯅꯤ꯫ ꯁꯥꯊꯤꯕꯥ ꯀꯦꯁ ꯈꯔꯗꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯏꯁꯣꯐꯦꯒꯁꯀꯤ ꯁꯔꯨꯛ ꯑꯃꯥ ꯂꯧꯊꯣꯀꯄꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯏ꯫
- ꯑꯦꯗꯚꯥꯟꯁ ꯃꯦꯅꯦꯖꯃꯦꯟꯇ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯔꯄꯆꯔꯒꯤ ꯄꯨꯡ 24ꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯁꯔꯖꯔꯤ ꯇꯧꯕꯥ ꯉꯃꯗ꯭ꯔꯕꯗꯤ, ꯍꯀꯊꯦꯡꯅꯅꯥ ꯔꯤꯄꯦꯌꯥꯔ ꯇꯧꯕꯥ ꯉꯃꯗꯕꯥ ꯌꯥꯏ꯫ ꯑꯁꯣꯀꯄꯥ ꯑꯗꯨꯒꯤ ꯃꯅꯥꯛ ꯅꯛꯅꯥ ꯂꯩꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯁꯣꯟꯊꯕꯥ ꯍꯧꯔꯀꯄꯥ ꯌꯥꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯁꯤ ꯑꯣꯏꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯏꯁꯣꯐꯦꯒꯁꯀꯤ ꯁꯔꯨꯛ ꯑꯃꯥ ꯅꯠꯠꯔꯒꯥ ꯄꯨꯝꯅꯃꯛ ꯂꯧꯊꯣꯀꯄꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯏ (ꯏꯁꯣꯐꯦꯖꯦꯛꯇꯣꯃꯤ)꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯍꯨꯠ ꯁꯤꯅꯕꯥ ꯏꯁꯣꯐꯦꯒꯁ ꯑꯃꯥ ꯃꯊꯧ ꯇꯥꯔꯕꯗꯤ, ꯃꯁꯤ ꯅꯨꯃꯤꯠ 6ꯅꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯄꯥꯡꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫
- ꯑꯇꯣꯞꯄꯥ ꯄꯤꯖꯕꯒꯤ ꯃꯑꯣꯡ-ꯃꯇꯧꯁꯤꯡ: ꯅꯍꯥꯛꯀꯤ ꯐꯨꯗ ꯄꯥꯏꯞ ꯑꯗꯨ ꯐꯒꯠꯂꯛꯠꯔꯤꯐꯥꯎꯕꯥ, ꯅꯍꯥꯛꯅꯥ ꯃꯗꯨꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯆꯤꯟꯖꯥꯛ ꯊꯀꯄꯥ ꯉꯃꯂꯣꯏ, ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯇꯣꯞꯄꯥ ꯃꯑꯣꯡ ꯑꯃꯗꯥ ꯅ꯭ꯌꯨꯠꯔꯤꯁꯟ ꯂꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯒꯅꯤ꯫ ꯃꯁꯤ ꯇꯤꯎꯕ ꯑꯃꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯅꯠꯠꯔꯒꯥ ꯚꯦꯅꯝ ꯑꯃꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫
ꯐꯒꯠꯂꯀꯄꯒꯤ ꯄ꯭ꯔꯣꯁ꯭ꯄꯦꯛꯇ ꯀꯔꯤꯅꯣ?
``ꯕꯣꯔꯍꯥꯚ ꯁꯤꯟꯗꯣꯝ'' ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯒꯤ ꯄ꯭ꯔꯣꯒ꯭ꯅꯣꯁꯤꯁ ꯑꯁꯤ ꯀꯔꯤꯅꯣ? ꯉꯟꯅꯥ ꯈꯪꯗꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯂꯥꯏꯌꯦꯡꯕꯅꯥ ꯏꯅꯐꯦꯛꯁꯅꯗꯒꯤ ꯁꯤꯕꯥ ꯌꯥꯎꯅꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ ꯊꯤꯡꯅꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯇꯧꯕꯥ ꯌꯥꯕꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯊꯕꯀꯁꯤꯡꯅꯤ꯫. ꯄꯨꯡ ꯲꯴ꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯂꯥꯏꯌꯦꯡ ꯐꯪꯂꯕꯁꯤꯡꯅꯥ ꯑꯐꯕꯥ ꯐꯒꯠꯂꯀꯄꯥ ꯌꯥꯏ ꯍꯥꯌꯅꯥ ꯊꯥꯖꯕꯥ ꯌꯥꯏ, ꯍꯤꯡꯕꯒꯤ ꯆꯥꯡ ꯑꯁꯤ ꯷꯵%ꯅꯤ꯫ ꯄꯨꯡ 24ꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯁꯤꯕꯒꯤ ꯆꯥꯡ ꯑꯁꯤ 50%ꯗꯒꯤ ꯍꯦꯜꯂꯤ, ꯑꯃꯁꯨꯡ ꯄꯨꯡ 48ꯒꯤ ꯃꯇꯨꯡꯗꯥ 90% ꯑꯣꯏ꯫ ꯑꯄꯨꯅꯕꯥ ꯑꯣꯏꯅꯥ ꯁꯤꯕꯒꯤ ꯆꯥꯡ ꯑꯁꯤ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯳꯵%ꯅꯤ꯫ ꯃꯇꯝ ꯆꯥꯅꯥ ꯑꯃꯁꯨꯡ ꯃꯥꯌꯄꯥꯛꯅꯥ ꯂꯥꯏꯌꯦꯡꯕꯥ ꯐꯪꯂꯕꯁꯤꯡꯅꯥ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯐꯒꯠꯂꯀꯄꯥ ꯌꯥꯏ, ꯑꯗꯨꯕꯨ ꯃꯁꯤꯗꯥ ꯊꯥ ꯀꯌꯥ ꯆꯪꯂꯝꯕꯥ ꯌꯥꯏ꯫ `(Boerhaave's Syndrome)` ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯊꯣꯀꯄꯥ ꯑꯗꯨꯕꯨ ꯌꯥꯝꯅꯥ ꯑꯆꯝꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ ꯑꯃꯁꯨꯡ ꯃꯁꯤꯅꯥ ꯋꯥꯈꯜ ꯈꯅꯕꯥ ꯀꯌꯥ ꯊꯃꯍꯜꯂꯤ . ꯃꯁꯤ ꯈꯉꯍꯧꯗꯅꯥ ꯂꯥꯀꯄꯥ ꯌꯥꯏ, ꯆꯦꯀꯁꯤꯅꯋꯥ ꯑꯃꯠꯇꯥ ꯌꯥꯑꯣꯗꯅꯥ – ꯑꯗꯨꯕꯨ ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯊꯀꯄꯥ ꯑꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯉꯥꯀꯊꯣꯀꯄꯥ ꯉꯝꯕꯥ ꯃꯌꯦꯛ ꯁꯦꯡꯕꯥ ꯆꯦꯀꯁꯤꯅꯋꯥ ꯑꯃꯅꯤ꯫ `(Boerhaave's Syndrome)`ꯒꯤ ꯃꯔꯃꯗꯥ ꯑꯩꯈꯣꯌꯅꯥ ꯄꯨꯝꯅꯃꯛ ꯈꯉꯕꯥ ꯉꯃꯗꯦ꯫ ꯀꯦꯁꯁꯤꯡ ꯑꯁꯤꯗꯥ ꯏꯁꯣꯐꯦꯒꯁꯅꯥ ꯃꯁꯥꯃꯀꯄꯨ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯟꯗꯅꯕꯥ ꯀꯔꯤꯒꯤꯗꯃꯛꯇꯥ ꯉꯥꯀꯊꯣꯀꯄꯥ ꯉꯃꯗ꯭ꯔꯤꯕꯅꯣ ꯍꯥꯌꯕꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯈꯉꯗꯦ꯫ ꯑꯗꯨꯕꯨ ꯑꯩꯈꯣꯌꯅꯥ ꯈꯉꯏ ꯃꯗꯨꯗꯤ ꯃꯁꯤ ꯉꯟꯅꯥ ꯈꯉꯗꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯂꯥꯌꯦꯡꯗꯕꯥ ꯑꯣꯏꯔꯕꯗꯤ ꯁꯤꯍꯅꯕꯥ ꯌꯥꯏ꯫ꯅꯍꯥꯛꯅꯥ ꯅꯤꯡꯁꯤꯡꯒꯗꯕꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯋꯥꯐꯃꯁꯤꯡ꯫
ꯑꯣꯀꯦ, ꯑꯗꯨꯅꯥ ꯍꯧꯖꯤꯛꯇꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯔꯤꯕꯥ ꯑꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯍꯦꯟꯅꯥ ꯂꯧꯁꯤꯡ ꯂꯩꯔꯦ, ``ꯕꯣꯔꯍꯥꯚ ꯁꯤꯟꯗꯣꯝ꯫'' ꯃꯈꯥꯗꯥ ꯅꯤꯡꯁꯤꯡꯒꯗꯕꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯋꯥꯐꯝ ꯈꯔꯥ ꯌꯥꯑꯣꯔꯤ:- ꯕꯣꯔꯍꯥꯚ ꯁꯤꯟꯗꯣꯝ ꯍꯥꯌꯕꯁꯤ ꯏꯁꯣꯐꯦꯒꯁ (esophagus) ꯁꯣꯟꯊꯔꯀꯄꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯃꯦꯗꯤꯀꯦꯜ ꯏꯃꯔꯖꯦꯟꯁꯤ ꯑꯃꯅꯤ꯫
- ꯃꯁꯤ ꯑꯌꯥꯝꯕꯅꯥ ꯐꯣꯔꯁ ꯑꯣꯏꯅꯥ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯊꯣꯀꯏ .
- ꯃꯔꯨꯑꯣꯏꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡꯗꯤ ꯈꯪꯍꯧꯗꯅꯥ, ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯅꯥ ꯁꯣꯀꯄꯥ, ꯈꯣꯡ ꯍꯥꯝꯕꯥ, ꯑꯃꯁꯨꯡ ꯂꯧꯅꯒꯅꯕꯥ ꯂꯥꯌꯅꯥ ꯑꯁꯤꯅꯤ .
- ꯌꯥꯝꯅꯥ ꯊꯀꯄꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯗꯥ ꯍꯦꯟꯅꯥ ꯔꯤꯁ꯭ꯛ ꯂꯩ꯫
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯥꯏꯑꯣꯡ ꯎꯠꯂꯕꯗꯤ ꯈꯨꯗꯛꯇꯥ ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯄꯥꯎꯇꯥꯛ ꯂꯧꯕꯤꯌꯨ . ꯅꯍꯥꯛꯅꯥ ꯂꯥꯏꯌꯦꯡꯕꯥ ꯍꯧꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯅꯍꯥꯛꯀꯤ ꯐꯒꯠꯂꯀꯄꯒꯤ ꯆꯥꯡ ꯍꯦꯅꯒꯠꯂꯀꯏ꯫
- ꯑꯌꯥꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯃꯑꯣꯡꯗꯥ ꯁꯔꯖꯔꯤ ꯇꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯏ꯫
ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯈꯪꯖꯤꯅꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛ ꯅꯠꯠꯔꯒꯥ ꯅꯍꯥꯛꯅꯥ ꯈꯪꯂꯤꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯅꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯍꯦꯛꯇꯕꯨ ꯊꯦꯡꯅꯔꯕꯗꯤ, ꯃꯈꯣꯌꯗꯨ ꯌꯦꯡꯁꯤꯅꯕꯤꯒꯅꯨ꯫ ꯈꯨꯗꯛꯇꯥ ꯗꯣꯛꯇꯔ ꯑꯃꯒꯥ ꯇꯥꯟꯅꯧ꯫
` ꯕꯣꯔꯦꯒꯣ ꯁꯤꯟꯗꯣꯝ, ꯏꯁꯣꯐꯦꯖꯤꯌꯜ ꯔꯄꯆꯔ, ꯆꯦꯁ꯭ꯠ ꯄꯦꯏꯟ, ꯚꯣꯃꯤꯠ, ꯌꯨ, ꯏꯁꯣꯐꯦꯖꯤꯑꯦꯜ ꯔꯄꯆꯔ, ꯃꯦꯛꯂꯔ ꯇ꯭ꯔꯥꯏꯑꯦꯗ, ꯁꯦꯄꯁꯤꯁ, ꯏꯁꯣꯐꯦꯖꯤꯑꯦꯜ ꯁꯔꯖꯔꯤ꯫
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