ꯃꯤꯑꯣꯏ ꯀꯌꯥꯅꯥ ꯊꯦꯡꯅꯔꯤꯕꯥ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯑꯃꯗꯤ ꯃꯁꯤꯒꯤ ‘ꯄ꯭ꯔꯦꯁꯔ’ ꯅꯠꯠꯔꯒꯥ ꯍꯥꯏ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ ꯑꯁꯤꯅꯤ꯫ ꯃꯈꯣꯌꯅꯥ ꯗꯣꯛꯇꯔꯗꯥ ꯆꯠꯇꯨꯅꯥ "ꯑꯩꯒꯤ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔꯒꯤ ꯍꯤꯗꯥꯛ ꯂꯧꯒꯗꯕꯅꯤ" ꯍꯥꯌꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯃꯤꯑꯣꯏ ꯈꯔꯗꯤ ꯈꯔꯥ ꯂꯥꯡꯇꯛꯅꯩ꯫ "ꯑꯩꯍꯥꯛꯅꯥ ꯄꯨꯟꯁꯤ ꯆꯨꯞꯄꯥ ꯍꯤꯗꯥꯛ ꯂꯥꯡꯊꯛ ꯂꯧꯕꯥ ꯇꯥꯕꯔꯥ?" ꯑꯃꯁꯨꯡ "ꯃꯁꯤꯒꯤ ꯁꯥꯏꯗ ꯏꯐꯦꯛꯇ ꯂꯩꯕꯔꯥ?" ꯋꯥꯈꯂꯗꯥ ꯂꯥꯀꯄꯥ꯫ ꯑꯗꯨꯕꯨ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯗꯣꯃꯗꯥ ꯍꯤꯗꯥꯛ ꯃꯈꯂꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯃꯇꯤꯛ ꯆꯥꯅꯥ ꯈꯉꯂꯕꯗꯤ, ꯑꯀꯤꯕꯥ ꯑꯗꯨ ꯑꯆꯧꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯂꯣꯏꯁꯤꯅꯕꯥ ꯉꯃꯒꯅꯤ꯫ ꯉꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯃꯤꯑꯣꯏ ꯀꯌꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯍꯤꯗꯥꯛ ꯃꯈꯜ ꯑꯃꯥ ꯑꯣꯏꯔꯤꯕꯥ ꯀꯦꯂꯁꯤꯌꯝ ꯆꯦꯅꯦꯜ ꯕ꯭ꯂꯣꯀꯔꯁꯤꯡꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯔꯤ꯫
ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯀꯦꯂꯁꯤꯌꯝ ꯆꯦꯅꯦꯜ ꯕ꯭ꯂꯣꯀꯔꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯤꯅꯣ?
ꯃꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ ꯍꯟꯊꯍꯅꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯂꯤꯕꯥ ꯍꯤꯗꯥꯛ ꯑꯃꯅꯤ꯫ ꯑꯩꯈꯣꯌꯒꯤ ꯍꯥꯔꯠ ꯑꯃꯁꯨꯡ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯂꯁꯤꯡꯗꯥ ꯂꯩꯕꯥ ꯁꯦꯂꯁꯤꯡꯒꯤ ꯃꯔꯃꯗꯥ ꯈꯟꯊꯕꯤꯌꯨ꯫ ꯁꯦꯂꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯃꯤꯅꯔꯦꯜ ꯀꯦꯂꯁꯤꯌꯝ ꯑꯁꯤ ꯆꯪꯂꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯊꯣꯀꯄꯥ ꯌꯥꯕꯥ ꯑꯄꯤꯀꯄꯥ ‘ꯒꯦꯠ’ꯁꯤꯡ ꯂꯩ꯫ ꯑꯩꯈꯣꯌꯅꯥ ꯃꯁꯤꯕꯨ ꯀꯦꯂꯁꯤꯌꯝ ꯆꯦꯅꯦꯂꯁꯤꯡ ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫
ꯀꯦꯂꯁꯤꯌꯝ ꯆꯦꯅꯦꯜ ꯕ꯭ꯂꯣꯀꯔ ꯗ꯭ꯔꯒꯁꯤꯡꯅꯥ ꯍꯥꯌꯔꯤꯕꯥ ‘ꯒꯦꯠ’ ꯈꯔꯗꯤ ꯕ꯭ꯂꯣꯛ ꯇꯧꯗꯨꯅꯥ ꯊꯕꯛ ꯇꯧꯏ꯫ ꯃꯁꯤꯅꯥ ꯁꯦꯂꯁꯤꯡꯗꯥ ꯆꯪꯂꯀꯄꯥ ꯌꯥꯕꯥ ꯀꯦꯂꯁꯤꯌꯃꯒꯤ ꯆꯥꯡ ꯑꯗꯨ ꯂꯤꯃꯤꯠ ꯇꯧꯏ꯫ ꯃꯁꯤꯅꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯊꯕꯛ ꯑꯅꯤ ꯇꯧꯏ:
1. ꯚꯦꯁꯣꯗꯤꯂꯦꯁꯟ: ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯂꯁꯤꯡꯒꯤ ꯋꯥꯂꯁꯤꯡꯗꯥ ꯂꯩꯕꯥ ꯃꯁꯂꯁꯤꯡ ꯑꯁꯤ ꯈꯔꯥ ꯔꯤꯂꯥꯛꯁ ꯇꯧꯏ꯫ ꯃꯁꯤꯅꯥ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯂꯁꯤꯡ ꯄꯥꯀꯊꯣꯛ-ꯆꯥꯎꯊꯣꯀꯍꯟꯗꯨꯅꯥ ꯏ ꯍꯦꯟꯅꯥ ꯐꯖꯅꯥ ꯆꯦꯅꯕꯥ ꯉꯃꯍꯜꯂꯤ꯫ ꯃꯁꯤꯅꯥ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ ꯍꯟꯊꯍꯜꯂꯤ꯫
2. ꯍꯥꯔꯇꯀꯤ ꯐꯉ꯭ꯀꯁꯟ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯥ: ꯍꯥꯔꯠ ꯁꯦꯂꯁꯤꯡꯗꯥ ꯆꯪꯂꯀꯄꯥ ꯀꯦꯂꯁꯤꯌꯝ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯥ ꯃꯇꯃꯗꯥ ꯍꯥꯔꯇꯀꯤ ꯔꯦꯠ ꯑꯃꯁꯨꯡ ꯈꯣꯟꯖꯦꯂꯒꯤ ꯆꯥꯡ ꯍꯟꯊꯔꯀꯏ꯫ ꯃꯁꯤꯅꯥ ꯍꯥꯔꯇꯇꯥ ꯂꯣꯗ ꯍꯟꯊꯍꯜꯂꯤ ꯑꯃꯁꯨꯡ ꯃꯁꯤꯒꯤ ꯐꯉ꯭ꯀꯁꯟ ꯐꯒꯠꯍꯜꯂꯤ꯫
ꯍꯤꯗꯥꯛ ꯑꯁꯤ ꯀꯔꯤ ꯀꯟꯗꯤꯁꯅꯁꯤꯡꯗꯥ ꯁꯤꯖꯤꯟꯅꯕꯒꯦ?
ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯃꯔꯨꯑꯣꯏꯅꯥ ꯍꯥꯔꯠ ꯑꯃꯁꯨꯡ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯂꯒꯥ ꯃꯔꯤ ꯂꯩꯅꯕꯥ ꯂꯥꯌꯅꯥꯁꯤꯡꯒꯤꯗꯃꯛ ꯍꯤꯗꯥꯛ ꯃꯈꯜ ꯑꯁꯤ ꯔꯤꯀꯃꯦꯟꯗ ꯇꯧꯏ꯫ ꯃꯁꯤꯒꯤ ꯃꯊꯛꯇꯥ, ꯃꯈꯣꯌ ꯑꯁꯤ ꯑꯇꯣꯞꯄꯥ ꯂꯥꯌꯅꯥꯁꯤꯡꯗꯁꯨ ꯁꯤꯖꯤꯟꯅꯕꯒꯤ ꯀꯦꯁ ꯂꯩꯔꯤ꯫ ꯃꯈꯣꯌꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯤꯅꯣ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯁꯤ꯫
| ꯐꯤꯚꯝ | ꯏꯆꯝ ꯆꯝꯕꯥ ꯄꯥꯎꯈꯨꯝ ꯑꯃꯥ꯫ |
|---|---|
| ꯍꯥꯏ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ ꯂꯩꯕꯥ꯫ | ꯃꯁꯤ ꯍꯤꯗꯥꯛ ꯑꯁꯤ ꯄꯤꯕꯒꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯃꯇꯃꯅꯤ꯫ ꯃꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ ‘ꯄ꯭ꯔꯦꯁꯔ’ ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ |
| ꯍꯥꯔꯇꯀꯤ ꯈꯣꯡꯖꯦꯜ ꯌꯥꯡꯕꯥ (Arrhythmias) . | ꯍꯤꯗꯥꯛ ꯑꯁꯤꯅꯥ ꯍꯥꯔꯇꯀꯤ ꯂꯥꯌꯅꯥ ꯑꯁꯤ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫ |
| ꯑꯦꯟꯖꯤꯅꯥ (ꯆꯦꯁ꯭ꯠ ꯄꯦꯏꯟ) . | ꯍꯤꯗꯥꯛ ꯑꯁꯤꯅꯥ ꯍꯥꯔꯇꯅꯥ ꯏ ꯃꯔꯥꯡ ꯀꯥꯌꯅꯥ ꯐꯪꯗꯕꯥ ꯃꯇꯃꯗꯥ ꯊꯣꯀꯄꯥ ꯆꯦꯁ꯭ꯠ ꯄꯦꯏꯟ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫ |
| ꯀꯣꯔꯣꯅꯥꯔꯤ ꯑꯥꯔꯇꯦꯔꯤ ꯁ꯭ꯄꯥꯝ꯫ | ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯍꯥꯔꯇꯇꯥ ꯏ ꯄꯤꯔꯤꯕꯥ ꯑꯥꯔꯇꯦꯔꯤꯁꯤꯡ ꯑꯁꯤ ꯈꯪꯍꯧꯗꯅꯥ ꯀꯨꯄꯁꯤꯅꯕꯥ ꯊꯤꯡꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫ |
| ꯑꯇꯣꯞꯄꯥ (Off-label) ꯁꯤꯖꯤꯟꯅꯕꯁꯤꯡ꯫ | |
| ꯔꯦꯌꯅꯥꯎꯗꯀꯤ ꯐꯤꯚꯝ꯫ | ꯅꯣꯡꯖꯨ-ꯅꯨꯡꯁꯥꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯃꯈꯨꯠ ꯑꯃꯁꯨꯡ ꯈꯣꯡꯗꯥ ꯂꯩꯕꯥ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯂꯁꯤꯡ (blood vessels) ꯁꯣꯟꯊꯕꯥ ꯑꯃꯁꯨꯡ ꯂꯦꯡ-ꯑꯣꯠꯄꯒꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫ |
| ꯃꯥꯏꯒ꯭ꯔꯦꯟ ꯉꯥꯀꯊꯣꯀꯄꯥ꯫ | ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯃꯤꯑꯣꯏ ꯈꯔꯗꯗꯤ ꯃꯥꯏꯒ꯭ꯔꯦꯟ ꯍꯟꯊꯍꯟꯅꯕꯒꯤꯗꯃꯛ ꯔꯦꯀꯃꯦꯟꯗ ꯇꯧꯏ꯫ |
| ꯑꯦꯅꯥꯜ ꯐꯤꯁꯔꯁꯤꯡ꯫ | ꯈꯣꯡꯒꯤ ꯑꯀꯣꯌꯕꯗꯥ ꯂꯩꯕꯥ ꯃꯁꯂꯁꯤꯡ ꯔꯤꯂꯥꯛꯁꯦꯁꯟ ꯇꯧꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯃꯗꯨ ꯐꯒꯠꯍꯅꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯅꯕꯥ꯫ |
ꯀꯦꯂꯁꯤꯌꯝ ꯆꯦꯅꯦꯜ ꯕ꯭ꯂꯣꯀꯔꯁꯤꯡꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯈꯜ ꯑꯅꯤ ꯂꯩ:
ꯍꯤꯗꯥꯀꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯈꯜ ꯑꯅꯤ ꯂꯩ꯫ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯛꯀꯤꯗꯃꯛꯇꯥ ꯀꯔꯝꯕꯥ ꯃꯈꯂꯒꯤ ꯄ꯭ꯔꯦꯁ꯭ꯛꯔꯥꯏꯕ ꯇꯧꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯈꯪꯖꯤꯅꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫
1. ꯗꯥꯏꯍꯥꯏꯗ꯭ꯔꯣꯄꯥꯏꯔꯤꯗꯤꯅꯁꯤꯡ (DHP): ꯃꯈꯜ ꯑꯁꯤꯅꯥ ꯃꯔꯨꯑꯣꯏꯅꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯂꯁꯤꯡꯗꯥ ꯄꯥꯟꯗꯝ ꯊꯝꯂꯤ . ꯃꯈꯣꯌꯅꯥ ꯇꯧꯔꯤꯕꯥ ꯑꯁꯤ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯂꯁꯤꯡ ꯔꯤꯂꯥꯛꯁ ꯇꯧꯕꯥ ꯑꯃꯁꯨꯡ ꯄꯥꯀꯊꯣꯛ-ꯆꯥꯎꯊꯣꯀꯍꯅꯕꯅꯤ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯃꯈꯣꯌ ꯑꯁꯤ ꯍꯥꯏ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔꯒꯤꯗꯃꯛꯇꯥ ꯌꯥꯝꯅꯥ ꯏꯐꯦꯛꯇꯤꯕ ꯑꯣꯏ꯫ ꯑꯃꯂꯣꯗꯤꯄꯤꯟ, ꯅꯤꯐꯦꯗꯤꯄꯤꯟ, ꯑꯃꯁꯨꯡ ꯐꯦꯂꯣꯗꯤꯄꯤꯅꯒꯨꯝꯕꯥ ꯃꯍꯧꯁꯥꯅꯥ ꯄꯤꯕꯥ ꯗ꯭ꯔꯒꯁꯤꯡ ꯑꯁꯤ ꯀꯥꯡꯂꯨꯞ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡ ꯆꯜꯂꯤ꯫
2. ꯅꯟ-ꯗꯥꯏꯍꯥꯏꯗ꯭ꯔꯣꯄꯥꯏꯔꯤꯗꯤꯅꯁꯤꯡ (Non-DHP): ꯃꯈꯜ ꯑꯁꯤꯅꯥ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯂꯁꯤꯡꯗꯥ ꯍꯀꯊꯦꯡꯅꯅꯥ ꯁꯣꯀꯍꯅꯕꯇꯥ ꯅꯠꯇꯅꯥ ꯍꯥꯔꯇꯀꯤ ꯃꯁꯂꯗꯁꯨ ꯁꯣꯀꯍꯜꯂꯤ . ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯃꯈꯣꯌ ꯑꯁꯤ ꯍꯥꯔꯠ ꯔꯦꯠ ꯑꯃꯁꯨꯡ ꯔꯤꯗꯃꯒꯨꯝꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯗꯥ ꯁꯤꯖꯤꯟꯅꯩ꯫ ꯀꯥꯡꯂꯨꯞ ꯑꯁꯤꯒꯤ ꯗ꯭ꯔꯒꯁꯤꯡꯒꯤ ꯈꯨꯗꯃꯁꯤꯡꯗꯤ ꯚꯦꯔꯥꯄꯥꯃꯤꯜ ꯑꯃꯁꯨꯡ ꯗꯤꯂꯇꯤꯌꯥꯖꯦꯃꯅꯤ꯫
ꯍꯤꯗꯥꯛ ꯑꯁꯤ ꯀꯌꯥꯝ ꯁꯥꯡꯅꯥ ꯂꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯒꯦ?
ꯃꯁꯤ ꯃꯤꯑꯣꯏ ꯀꯌꯥ ꯑꯃꯅꯥ ꯍꯪꯂꯀꯄꯥ ꯋꯥꯍꯪ ꯑꯃꯅꯤ꯫ ꯃꯁꯤꯒꯤ ꯄꯥꯎꯈꯨꯝ ꯑꯁꯤ ꯅꯍꯥꯛꯅꯥ ꯍꯤꯗꯥꯛ ꯑꯁꯤ ꯄꯤꯔꯤꯕꯥ ꯃꯦꯗꯤꯀꯦꯜ ꯀꯟꯗꯤꯁꯟ ꯑꯗꯨꯒꯤ ꯃꯈꯥ ꯄꯣꯜꯂꯤ꯫
ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯍꯥꯏ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔꯒꯤꯗꯃꯛꯇꯥ ꯍꯤꯗꯥꯛ ꯑꯁꯤ ꯄꯤꯔꯕꯗꯤ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯥꯏꯠ ꯑꯗꯨ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯔꯕꯗꯤ, ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯇꯧꯔꯕꯗꯤ, ꯑꯔꯨꯝꯕꯥ ꯍꯟꯊꯔꯕꯗꯤ, ꯑꯃꯁꯨꯡ ꯍꯀꯁꯦꯜ ꯐꯕꯥ ꯄꯨꯟꯁꯤ ꯃꯍꯤꯡ ꯑꯃꯥ ꯂꯧꯈꯠꯂꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯍꯤꯗꯥꯛ ꯑꯗꯨꯒꯤ ꯗꯣꯖ ꯑꯗꯨ ꯍꯟꯊꯍꯅꯕꯥ ꯉꯃꯒꯅꯤ ꯅꯠꯠꯔꯒꯥ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯊꯤꯡꯕꯁꯨ ꯉꯃꯒꯅꯤ꯫
ꯑꯗꯨꯕꯨ ꯅꯤꯡꯁꯤꯡꯒꯗꯕꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯋꯥꯐꯃꯗꯤ ꯅꯍꯥꯛꯅꯥ ꯀꯩꯗꯧꯉꯩꯗꯥ ꯍꯤꯗꯥꯛ ꯑꯁꯤ ꯈꯉꯍꯧꯗꯅꯥ ꯂꯧꯕꯥ ꯂꯦꯄꯂꯣꯏꯗꯕꯅꯤ꯫ ꯅꯍꯥꯛꯅꯥ ꯇꯞꯅꯥ ꯇꯞꯅꯥ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯤ ꯂꯃꯖꯤꯡ ꯃꯈꯥꯗꯥ ꯈꯛꯇꯃꯛ ꯇꯧꯒꯗꯕꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯈꯪꯍꯧꯗꯅꯥ ꯂꯧꯕꯥ ꯂꯦꯄꯈ꯭ꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ ꯑꯗꯨ ꯈꯪꯍꯧꯗꯅꯥ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ ꯌꯥꯏ꯫
ꯑꯗꯨꯕꯨ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯍꯤꯗꯥꯛ ꯑꯁꯤ ꯑꯦꯔꯤꯊꯃꯤꯌꯥ (ꯍꯥꯔꯇꯕꯤꯠ)ꯒꯨꯝꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯒꯤꯗꯃꯛ ꯄꯤꯔꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯍꯤꯗꯥꯛ ꯑꯁꯤ ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯂꯧꯕꯥ ꯇꯥꯕꯅꯤ꯫
ꯃꯁꯤꯒꯤ ꯀꯥꯟꯅꯕꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯁꯥꯏꯗ ꯏꯐꯦꯛꯇꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?
ꯍꯤꯗꯥꯛ ꯑꯃꯍꯦꯛꯇꯒꯨꯝꯅꯥ, ꯃꯁꯤꯅꯥ ꯀꯥꯟꯅꯕꯇꯥ ꯅꯠꯇꯅꯥ ꯑꯄꯤꯀꯄꯥ ꯁꯥꯏꯗ ꯏꯐꯦꯛꯇꯁꯤꯡꯁꯨ ꯂꯩꯕꯥ ꯌꯥꯏ꯫
ꯃꯔꯨꯑꯣꯏꯕꯥ ꯀꯥꯟꯅꯕꯁꯤꯡ: ꯱.
- ꯌꯥꯝꯅꯥ ꯏꯐꯦꯛꯇꯤꯕ ꯑꯣꯏꯕꯥ: ꯍꯤꯗꯥꯛ ꯑꯁꯤꯅꯥ ꯍꯥꯏ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯗꯥ ꯌꯥꯝꯅꯥ ꯏꯐꯦꯛꯇꯤꯕ ꯑꯣꯏ꯫
- ꯇꯥꯔꯒꯦꯠ ꯇꯧꯔꯕꯥ ꯊꯦꯔꯥꯄꯤ: ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯗꯨꯒꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯆꯨꯅꯕꯥ ꯀꯦꯂꯁꯤꯌꯝ ꯆꯦꯅꯦꯜ ꯕ꯭ꯂꯣꯀꯔ ꯃꯈꯜ ꯑꯗꯨ ꯈꯅꯕꯥ ꯌꯥꯏ꯫
- ꯑꯇꯩ ꯍꯤꯗꯥꯀꯁꯤꯡꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯄꯤꯕꯥ ꯌꯥꯏ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯃꯈꯣꯌ ꯑꯁꯤ ꯀꯣꯂꯦꯁ꯭ꯇꯦꯔꯣꯂꯒꯤ ꯍꯤꯗꯥꯀꯁꯤꯡꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯄꯤꯖꯕꯥ ꯌꯥꯕꯥ ꯍꯤꯗꯥꯛ ꯑꯃꯈꯛꯇꯗꯥ ꯂꯥꯀꯏ꯫ ꯃꯗꯨꯅꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛ ꯂꯧꯕꯗꯥ ꯍꯦꯟꯅꯥ ꯂꯥꯌꯍꯜꯂꯤ꯫
ꯑꯣꯏꯊꯣꯀꯄꯥ ꯌꯥꯕꯥ ꯁꯥꯏꯗ ꯏꯐꯦꯛꯇꯁꯤꯡ:
ꯍꯥꯌꯔꯤꯕꯥ ꯁꯥꯏꯗ ꯏꯐꯦꯛꯇꯁꯤꯡ ꯑꯁꯤ ꯃꯤꯄꯨꯝ ꯈꯨꯗꯤꯡꯃꯛꯇꯥ ꯊꯣꯛꯇꯦ꯫ ꯃꯈꯣꯌꯁꯤꯡ ꯑꯁꯤ ꯃꯤꯑꯣꯏ ꯈꯔꯈꯛꯇꯗꯥ ꯊꯣꯀꯏ꯫ ꯑꯃꯁꯨꯡ ꯃꯇꯝ ꯑꯗꯨꯗꯁꯨ ꯃꯈꯣꯌ ꯑꯁꯤ ꯃꯍꯧꯁꯥꯅꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛ ꯂꯧꯕꯒꯤ ꯑꯍꯥꯅꯕꯥ ꯇꯥꯉ꯭ꯀꯀꯁꯤꯡꯗꯥ ꯍꯦꯟꯅꯥ ꯀꯃꯟ ꯑꯣꯏ꯫
- ꯗꯤꯍꯥꯏꯗ꯭ꯔꯣꯄꯥꯏꯔꯤꯗꯤꯟ (ꯑꯃꯂꯣꯗꯤꯄꯤꯟ, ꯅꯤꯐꯦꯗꯤꯄꯤꯅꯒꯨꯝꯕꯥ) ꯃꯈꯂꯒꯤ ꯁꯥꯏꯗ ꯏꯐꯦꯛꯇꯁꯤꯡ:
- ꯋꯥꯈꯜ ꯋꯥꯕꯥ , ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯄꯥ꯫
- ꯈꯣꯡ ꯑꯃꯁꯨꯡ ꯈꯣꯡꯗꯥ ꯁꯣꯀꯄꯥ꯫
- ꯀꯣꯛ ꯆꯤꯛꯄ
- ꯃꯥꯌꯗꯥ ꯂꯥꯂꯍꯧꯕꯥ, ꯁꯣꯛꯅ-ꯁꯝꯅꯕꯗꯥ ꯅꯨꯡꯉꯥꯏꯕꯥ ꯐꯥꯎꯕꯥ꯫
- ꯅꯟ-ꯗꯥꯏꯍꯥꯏꯗ꯭ꯔꯣꯄꯥꯏꯔꯤꯗꯤꯟ (ꯚꯦꯔꯥꯄꯥꯃꯤꯜ, ꯗꯤꯂꯇꯤꯌꯥꯖꯦꯃꯒꯨꯝꯕꯥ) ꯃꯈꯂꯒꯤ ꯁꯥꯏꯗ ꯏꯐꯦꯛꯇꯁꯤꯡ:
- ꯈꯣꯉ ꯍꯥꯝꯕ ꯌꯥꯗꯕ
- ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯐꯥꯎꯕꯥ꯫
- ꯊꯝꯃꯣꯌꯒꯤ ꯈꯣꯡꯖꯦꯜ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯁꯣꯀꯄꯥ꯫
ꯃꯁꯤꯒꯤ ꯃꯊꯛꯇꯥ, ꯃꯤꯑꯣꯏ ꯈꯔꯗꯗꯤ ꯍꯤꯗꯥꯛ ꯑꯁꯤꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯒꯝ ꯑꯣꯚꯔꯒ꯭ꯔꯣꯊ ꯅꯠꯠꯔꯒꯥ ꯒꯦꯁ꯭ꯠꯔꯥꯏꯇꯤꯁ (GERD)ꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ ꯌꯥꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯍꯦꯛꯇꯕꯨ ꯊꯦꯡꯅꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯈꯪꯍꯅꯕꯤꯌꯨ꯫
ꯈꯨꯗꯛꯇꯥ ꯗꯣꯛꯇꯔ ꯑꯃꯒꯥ ꯇꯥꯟꯅꯒꯗꯕꯥ ꯐꯤꯚꯃꯁꯤꯡ꯫
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯍꯤꯗꯥꯛ ꯑꯁꯤ ꯂꯧꯔꯕꯗꯤ ꯑꯃꯁꯨꯡ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯍꯦꯛꯇꯕꯨ ꯊꯦꯡꯅꯔꯕꯗꯤ, ꯈꯨꯗꯛꯇꯥ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯜ ꯑꯃꯒꯤ ꯏꯃꯔꯖꯦꯟꯁꯤ ꯗꯤꯄꯥꯔꯇꯃꯦꯟꯇ (ETU)ꯗꯥ ꯆꯠꯂꯨ ꯅꯠꯠꯔꯒꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯇꯥꯟꯅꯧ꯫
- ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ꯫
- ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯆꯦꯛꯁꯤꯟ-ꯊꯧꯔꯥꯡ꯫
- ꯍꯥꯔꯠ ꯄꯦꯂꯄꯤꯇꯦꯁꯟ (ꯍꯥꯔꯇꯀꯤ ꯈꯣꯡꯖꯦꯜ ꯌꯥꯡꯕꯥ, ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯍꯥꯔꯇꯀꯤ ꯈꯣꯡꯖꯦꯜ ꯌꯥꯡꯕꯥ, ꯅꯠꯠꯔꯒꯥ ꯊꯤꯡꯕꯥ ꯉꯃꯗꯕꯥ)
- ꯃꯁꯥ ꯃꯊꯟꯇꯥ ꯋꯥꯈꯜ ꯇꯥꯗꯕꯥ꯫
- ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯅꯥ ꯃꯤꯠ ꯎꯗꯕꯥ꯫
- ꯑꯦꯂꯥꯔꯖꯤꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯍꯥꯌꯕꯗꯤ ꯃꯥꯌ, ꯃꯈꯣꯡ, ꯅꯠꯠꯔꯒꯥ ꯌꯦꯔꯨꯝ ꯀꯣꯀꯄꯥ ꯑꯁꯤꯅꯆꯤꯡꯕꯥ꯫
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛꯀꯤ ꯗꯣꯖ ꯑꯃꯥ ꯁꯣꯟꯊꯔꯕꯗꯤ ꯀꯔꯤ ꯇꯧꯒꯗꯒꯦ?
ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫ ꯀꯩꯗꯧꯉꯩꯗꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛꯀꯤ ꯗꯣꯖ ꯑꯅꯤ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯂꯧꯔꯣꯏꯗꯕꯅꯤ, ꯃꯔꯃꯗꯤ ꯅꯍꯥꯛꯅꯥ ꯗꯣꯖ ꯑꯃꯥ ꯂꯧꯕꯥ ꯀꯥꯎꯈꯤꯕꯅꯤ꯫ ꯃꯁꯤ ꯇꯧꯕꯅꯥ ꯑꯣꯚꯔꯗꯣꯖ ꯑꯃꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ, ꯃꯗꯨꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ ꯑꯗꯨ ꯈꯨꯗꯣꯡꯊꯤꯅꯤꯉꯥꯏ ꯑꯣꯏꯅꯥ ꯍꯟꯊꯍꯅꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯥꯔꯇꯀꯤ ꯐꯉ꯭ꯀꯁꯅꯗꯥ ꯑꯀꯥꯌꯕꯥ ꯄꯤꯕꯥ ꯌꯥꯏ꯫
ꯃꯍꯧꯁꯥꯅꯥ ꯇꯧꯒꯗꯕꯥ ꯊꯕꯛ ꯑꯗꯨꯗꯤ ꯃꯥꯡꯈꯤꯕꯥ ꯗꯣꯖ ꯑꯗꯨ ꯀꯥꯎꯊꯣꯛꯇꯨꯅꯥ ꯃꯊꯪꯒꯤ ꯗꯣꯖ ꯑꯗꯨ ꯂꯦꯞꯂꯕꯥ ꯃꯇꯃꯗꯥ ꯂꯧꯕꯅꯤ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯍꯪꯂꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯃꯌꯦꯛ ꯁꯦꯡꯕꯥ ꯄꯥꯎꯇꯥꯛ ꯂꯧꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯩ꯫
ꯑꯇꯣꯞꯄꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯆꯤꯟꯖꯥꯀꯁꯤꯡꯗꯥ ꯈꯨꯗꯣꯡꯆꯥꯗꯕꯥ ꯂꯩꯕ꯭ꯔꯥ?
ꯍꯣꯏ. ꯀꯦꯂꯁꯤꯌꯝ ꯆꯦꯅꯦꯜ ꯕ꯭ꯂꯣꯀꯔꯁꯤꯡꯅꯥ ꯑꯇꯩ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡꯒꯥ ꯏꯟꯇꯔꯦꯛꯇ ꯇꯧꯕꯥ ꯌꯥꯏ꯫ ꯃꯈꯣꯌꯗꯨ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ ꯍꯟꯊꯍꯅꯕꯥ ꯑꯇꯩ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯅꯠꯠꯔꯒꯥ ꯍꯥꯔꯠ ꯔꯦꯇꯇꯥ ꯁꯣꯀꯍꯜꯂꯤꯕꯥ ꯍꯤꯗꯥꯀꯁꯤꯡꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯂꯧꯕꯥ ꯃꯇꯃꯗꯥ ꯆꯦꯀꯁꯤꯅꯒꯗꯕꯅꯤ꯫
ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏꯅꯥ ꯈꯪꯖꯤꯅꯕꯥ ꯌꯥꯏ ꯃꯗꯨꯗꯤ ꯀꯦꯂꯁꯤꯌꯝ ꯆꯦꯅꯦꯜ ꯕ꯭ꯂꯣꯀꯔ ꯈꯔꯗꯤ ꯒ꯭ꯔꯦꯄꯐ꯭ꯔꯨꯠ (ꯒ꯭ꯔꯦꯄꯐ꯭ꯔꯨꯠ ꯖꯨꯁ ꯌꯥꯎꯅꯥ)ꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯏꯟꯇꯔꯦꯛꯁꯟ ꯇꯧꯕꯥ ꯉꯝꯃꯤ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯍꯤꯗꯥꯛ ꯑꯁꯤ ꯂꯧꯔꯕꯗꯤ, ꯒ꯭ꯔꯦꯄꯐ꯭ꯔꯨꯠ ꯆꯥꯕꯥ/ꯊꯀꯄꯥ ꯌꯥꯗꯕꯅꯤ꯫
ꯅꯍꯥꯛꯅꯥ ꯂꯧꯔꯤꯕꯥ ꯑꯇꯩ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ (ꯑꯇꯣꯞꯄꯥ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯚꯤꯇꯥꯃꯤꯅꯁꯤꯡ ꯌꯥꯎꯅꯥ)ꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯈꯪꯍꯜꯂꯨ꯫ ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯅꯍꯥꯀꯄꯨ ꯄꯥꯎꯇꯥꯛ ꯄꯤꯕꯤꯅꯕꯥ ꯃꯍꯥꯛꯅꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯥ ꯃꯤꯁꯛ ꯑꯣꯏꯒꯅꯤ꯫
ꯇꯦꯛ-ꯍꯣꯝ ꯃꯦꯁꯦꯖ ꯇꯧꯕꯥ꯫
- ꯀꯦꯂꯁꯤꯌꯝ ꯆꯦꯅꯦꯜ ꯕ꯭ꯂꯣꯀꯔꯁꯤꯡ ꯑꯁꯤ ꯍꯥꯏ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ ꯑꯃꯁꯨꯡ ꯍꯥꯔꯇꯀꯤ ꯂꯥꯌꯅꯥꯒꯤꯗꯃꯛꯇꯥ ꯃꯍꯧꯁꯥꯅꯥ ꯄꯤꯕꯥ ꯌꯥꯝꯅꯥ ꯏꯐꯦꯛꯇꯤꯕ ꯑꯣꯏꯕꯥ ꯍꯤꯗꯥꯛ ꯃꯈꯜ ꯑꯃꯅꯤ꯫
- ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯤ ꯄꯥꯎꯇꯥꯛ ꯌꯥꯎꯗꯅꯥ ꯍꯤꯗꯥꯛ ꯑꯁꯤ ꯈꯪꯍꯧꯗꯅꯥ ꯂꯧꯕꯥ ꯀꯩꯗꯧꯉꯩꯗꯥ ꯂꯦꯄꯀꯅꯨ꯫
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯗꯣꯖ ꯑꯃꯥ ꯃꯥꯡꯈꯤꯕꯥ ꯇꯥꯔꯕꯗꯤ, ꯃꯊꯪꯒꯤ ꯗꯣꯖ ꯑꯗꯨ ꯁꯦꯗ꯭ꯌꯨꯜ ꯇꯧꯔꯕꯥ ꯃꯇꯝ ꯑꯗꯨꯗꯥ ꯂꯧ꯫ ꯀꯩꯗꯧꯉꯩꯗꯥ ꯃꯇꯝ ꯑꯃꯗꯥ ꯗꯣꯖ ꯑꯅꯤ ꯂꯧꯔꯣꯏꯗꯕꯅꯤ꯫
- ꯈꯣꯡ ꯍꯥꯝꯕꯥ ꯑꯃꯁꯨꯡ ꯋꯥꯈꯜ ꯆꯔꯥꯡꯅꯕꯥ ꯑꯁꯤꯅꯆꯤꯡꯕꯥ ꯑꯄꯤꯀꯄꯥ ꯁꯥꯏꯗ ꯏꯐꯦꯛꯇꯁꯤꯡ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯈꯪꯍꯅꯕꯤꯌꯨ꯫
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯁꯥꯊꯤꯅꯥ ꯁꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯗꯥ ꯋꯥꯕꯥ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯂꯩꯔꯕꯗꯤ, ꯈꯨꯗꯛꯇꯥ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯜ ꯑꯃꯒꯤ ꯏꯃꯔꯖꯦꯟꯁꯤ ꯗꯤꯄꯥꯔꯇꯃꯦꯟꯇ (ETU)ꯗꯥ ꯆꯠꯂꯨ꯫
- ꯅꯍꯥꯛꯅꯥ ꯂꯧꯔꯤꯕꯥ ꯑꯇꯩ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛ ꯄꯨꯝꯅꯃꯛꯀꯤ ꯃꯇꯥꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯈꯪꯍꯜꯂꯨ ꯑꯃꯁꯨꯡ ꯒ꯭ꯔꯦꯄꯐ꯭ꯔꯨꯠ ꯆꯥꯕꯗꯒꯤ ꯂꯥꯞꯅꯥ ꯂꯩꯌꯨ꯫
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