ꯅꯍꯥꯛꯅꯥ ꯏꯁꯤꯡ ꯇꯨꯡꯁꯤꯅꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯏꯪꯊꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯂꯥꯂꯍꯧꯕꯥ ꯃꯐꯃꯁꯤꯡꯁꯨ ꯊꯣꯀꯏꯕ꯭ꯔꯥ? ꯃꯁꯤ (ꯀꯣꯂꯤꯅꯔꯖꯤꯛ ꯎꯔꯇꯤꯀꯦꯔꯤꯌꯥ)ꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯑꯣꯏꯔꯤ!

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯇꯧꯕꯥ ꯃꯇꯃꯗꯥ, ꯅꯠꯠꯔꯒꯥ ꯅꯨꯃꯤꯠꯀꯤ ꯃꯉꯥꯂꯗꯥ ꯊꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯅꯠꯠꯔꯒꯥ ꯃꯆꯤ ꯑꯣꯏꯕꯥ ꯆꯤꯟꯖꯥꯛ ꯆꯥꯕꯥ ꯑꯃꯁꯨꯡ ꯏꯁꯤꯡ ꯇꯨꯡꯁꯤꯅꯕꯥ ꯃꯇꯃꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯑꯄꯤꯀꯄꯥ, ꯂꯥꯂꯍꯧꯕꯥ, ꯁꯣꯀꯄꯥ ꯌꯥꯕꯥ ꯃꯐꯃꯁꯤꯡ ꯂꯩꯕ꯭ꯔꯥ? ꯃꯗꯨ ꯑꯣꯏꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯈꯔꯥ ꯁꯣꯀꯄꯥ ꯍꯥꯌꯕꯁꯤ ꯅꯣꯔꯃꯦꯂꯅꯤ꯫ ꯈꯔꯒꯤ ꯑꯣꯏꯅꯗꯤ ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯊꯣꯀꯄꯥ ꯐꯥꯎꯕꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯅꯥ ꯉꯁꯤꯗꯤ ꯃꯁꯤꯕꯨ ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯑꯣꯏꯅꯥ ꯀꯔꯤ ꯀꯧꯕꯒꯦ, ꯀꯔꯤꯒꯤ ꯊꯣꯛꯂꯤꯕꯅꯣ, ꯑꯃꯁꯨꯡ ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯀꯔꯤ ꯇꯧꯕꯥ ꯌꯥꯕꯒꯦ ꯍꯥꯌꯕꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯁꯤ꯫

ꯃꯁꯤ ꯀꯔꯤꯅꯣ (ꯀꯣꯂꯤꯅꯔꯖꯤꯛ ꯎꯔꯇꯤꯀꯦꯔꯤꯌꯥ)? ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯂꯧꯁꯤꯅꯁꯤ!

ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯀꯣꯂꯤꯅꯔꯖꯤꯛ ꯎꯔꯇꯤꯀꯦꯔꯤꯌꯥ ꯍꯥꯌꯕꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯇꯦꯝꯄꯦꯔꯦꯆꯔ ꯋꯥꯡꯈꯠꯂꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯅꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯍꯧꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯒꯤ ꯃꯊꯛꯇꯥ ꯊꯣꯀꯄꯥ ꯂꯥꯂꯍꯧꯕꯥ, ꯋꯥꯡꯈꯠꯄꯥ, ꯁꯣꯀꯄꯥ ꯌꯥꯕꯥ ꯋꯦꯜꯇ (hives) ꯃꯈꯜ ꯑꯃꯅꯤ꯫ ꯃꯁꯤ ꯇꯁꯦꯡꯕꯗꯤ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯏꯝꯝꯌꯨꯟ ꯁꯤꯁ꯭ꯇꯦꯃꯗꯒꯤ ꯂꯥꯀꯄꯥ ꯔꯦꯁꯄꯣꯟꯁ ꯑꯃꯅꯤ꯫ ꯃꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯍꯤꯇꯇꯥ ꯑꯦꯂꯥꯔꯖꯤꯒꯤ ꯔꯤꯑꯦꯛꯁꯟ ꯂꯩꯔꯀꯄꯒꯨꯝꯅꯥ ꯑꯣꯏ꯫ ꯃꯤꯑꯣꯏ ꯈꯔꯅꯥ ꯃꯁꯤꯕꯨ "ꯍꯤꯠ ꯕꯝꯄꯁ" ꯅꯠꯠꯔꯒꯥ "ꯍꯤꯠ ꯍꯥꯏꯕꯁ" ꯍꯥꯌꯅꯥꯁꯨ ꯀꯧꯏ, ꯃꯁꯤꯒꯤ ꯑꯔꯊꯗꯤ ꯍꯤꯠ ꯔꯦꯁ ꯅꯠꯠꯔꯒꯥ ꯁ꯭ꯕꯦꯠ ꯔꯦꯁ ꯍꯥꯌꯕꯅꯤ꯫

ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯀꯅꯥꯒꯨꯝꯕꯥ ꯑꯃꯠꯇꯗꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯏ, ꯑꯗꯨꯕꯨ ꯑꯌꯥꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯆꯍꯤ 10 ꯑꯃꯁꯨꯡ 30ꯒꯤ ꯃꯔꯛꯇꯥ ꯂꯩꯕꯥ ꯅꯍꯥꯁꯤꯡꯗꯥ ꯑꯍꯥꯅꯕꯥ ꯑꯣꯏꯅꯥ ꯎꯕꯥ ꯐꯪꯏ꯫

"ꯀꯣꯂꯤꯅꯔꯖꯤꯛ" ꯍꯥꯌꯕꯥ ꯋꯥꯍꯩ ꯑꯁꯤꯅꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯅꯔꯚ ꯁꯤꯁ꯭ꯇꯦꯃꯗꯥ ꯂꯩꯕꯥ ꯑꯦꯁꯤꯇꯤꯂꯀꯣꯂꯤꯟ (Ach) ꯀꯧꯕꯥ ꯀꯦꯃꯤꯀꯦꯜ ꯃꯦꯁꯦꯟꯖꯔ ꯑꯃꯕꯨ ꯈꯪꯅꯩ꯫ ꯃꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯄꯦꯔꯥꯁꯤꯝꯄꯦꯇꯤꯛ ꯅꯔꯚ ꯁꯤꯁ꯭ꯇꯦꯃꯅꯥ ꯔꯤꯂꯤꯖ ꯇꯧꯏ꯫ "ꯎꯔꯇꯤꯀꯦꯔꯤꯌꯥ" ꯍꯥꯌꯕꯁꯤ ꯈꯣꯡ-ꯈꯨꯠꯀꯤ ꯃꯈꯂꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯃꯃꯤꯡꯅꯤ꯫

ꯃꯁꯤꯒꯤ ꯀꯟꯗꯤꯁꯟ (Cholinergic Urticaria) ꯑꯁꯤ ꯃꯤꯑꯣꯏ ꯀꯌꯥꯗꯥ ꯊꯣꯛꯀꯗ꯭ꯔꯥ?

ꯍꯣꯌ, ꯃꯁꯤ ꯑꯗꯣꯝꯅꯥ ꯈꯜꯂꯤꯕꯥ ꯑꯗꯨꯒꯨꯝꯅꯥ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯊꯣꯀꯄꯥ ꯅꯠꯇꯦ꯫ ꯈꯟꯗꯨꯅꯥ ꯌꯦꯡꯕꯤꯌꯨ, ꯃꯤꯑꯣꯏ ꯃꯉꯥꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯑꯃꯅꯥ ꯃꯈꯣꯌꯒꯤ ꯄꯨꯟꯁꯤꯒꯤ ꯃꯇꯝ ꯈꯔꯗꯥ ꯍꯤꯗꯥꯛ ꯂꯥꯡꯊꯛ ꯂꯥꯛꯀꯅꯤ꯫ ꯀꯣꯂꯤꯅꯔꯖꯤꯛ ꯎꯔꯇꯤꯀꯦꯔꯤꯌꯥ ꯍꯥꯌꯕꯁꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯃꯔꯝ ꯑꯃꯅꯥ (ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯑꯁꯥꯕꯥ, ꯅꯣꯡꯖꯨ-ꯅꯨꯡꯁꯥ, ꯅꯠꯠꯔꯒꯥ ꯁ꯭ꯠꯔꯦꯁ) ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯕꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ ꯊꯣꯀꯍꯜꯂꯤꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫ ꯅꯨꯃꯤꯠ 6ꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯁꯥꯡꯅꯥ ꯂꯩꯕꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ, ꯅꯠꯠꯔꯒꯥ ꯀ꯭ꯔꯣꯅꯤꯛ ꯍꯥꯏꯕꯁꯤ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯒꯤ ꯆꯥꯎꯔꯥꯛꯅꯥ 7%ꯗꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯂꯩ꯫ ꯑꯗꯨꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯁꯤ ꯅꯉꯣꯟꯗꯥ ꯊꯣꯛꯂꯤꯕꯥ ꯑꯣꯏꯔꯕꯗꯤ ꯅꯉꯅꯥ ꯅꯉꯒꯤ ꯅꯄꯥꯕꯨꯡꯒꯤ ꯃꯔꯃꯗꯥ ꯈꯉꯕꯤꯌꯨ꯫

ꯑꯩꯈꯣꯌꯅꯥ ꯀꯔꯤꯒꯤꯗꯃꯛꯇꯥ ꯀꯣꯂꯤꯅꯔꯖꯤꯛ ꯎꯔꯇꯤꯀꯦꯔꯤꯌꯥ ꯂꯧꯔꯤꯕꯅꯣ?

ꯃꯁꯤꯒꯤ ꯃꯔꯝ ꯑꯁꯤ ꯀꯔꯤꯅꯣ ꯍꯥꯌꯕꯁꯤ ꯍꯧꯖꯤꯛ ꯐꯥꯑꯣꯕꯥ ꯑꯈꯉ-ꯑꯍꯩꯁꯤꯡꯅꯥ ꯇꯁꯦꯡꯅꯥ ꯈꯉꯕꯥ ꯉꯃꯗ꯭ꯔꯤ꯫ ꯑꯗꯨꯕꯨ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯍꯥꯏꯄꯣꯇꯦꯁꯤꯁ ꯑꯃꯗꯤ ꯂꯩꯔꯤ꯫ ꯍꯥꯌꯕꯗꯤ ꯃꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯀꯣꯂꯤꯅꯔꯖꯤꯛ ꯅꯔꯚꯁ ꯁꯤꯁ꯭ꯇꯦꯃꯒꯤ ꯑꯦꯛꯇꯤꯚꯤꯇꯤꯅꯥ ꯊꯣꯀꯍꯅꯕꯅꯤ꯫ ꯃꯁꯤ ꯃꯇꯧ ꯀꯔꯝꯅꯥ ꯊꯣꯛꯀꯅꯤ ꯍꯥꯌꯅꯥ ꯈꯜꯂꯤꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤ:

1. ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯇꯦꯝꯄꯦꯔꯦꯆꯔ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯍꯧꯔꯀꯏ꯫ ꯃꯁꯤ ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡ ꯑꯗꯨ ꯀꯨꯄꯁꯤꯅꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫

2. ꯃꯁꯤꯒꯤ ꯄꯥꯎꯈꯨꯝ ꯑꯣꯏꯅꯥ, ꯅꯍꯥꯛꯀꯤ ꯅꯔꯚ ꯁꯤꯁ꯭ꯇꯦꯃꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯒꯤ ꯃꯊꯛꯇꯥ ꯂꯩꯕꯥ ꯅꯔꯚꯁꯤꯡꯒꯤ ꯑꯀꯣꯌꯕꯗꯥ ꯂꯩꯕꯥ ``ꯑꯦꯁꯤꯇꯤꯂꯀꯣꯂꯤꯟ'' ꯀꯧꯕꯥ ꯀꯦꯃꯤꯀꯦꯜ ꯑꯃꯥ ꯊꯥꯗꯣꯀꯏ꯫

3. ꯃꯁꯤꯒꯤ `(ꯑꯦꯁꯤꯇꯤꯂꯀꯣꯂꯤꯟ)` ꯑꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯁꯣꯛꯅ-ꯁꯝꯅꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯃꯁꯤꯅꯥ ꯈꯣꯡꯗꯥ ꯁꯣꯀꯍꯜꯂꯤ, ꯃꯗꯨꯅꯥ ꯑꯦꯂꯥꯔꯖꯤꯒꯤ ꯔꯤꯑꯦꯛꯁꯟ ꯑꯃꯥ ꯊꯣꯀꯍꯜꯂꯤ, ꯃꯗꯨꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯑꯗꯨꯒꯨꯝꯕꯥ ꯏꯆꯝ ꯆꯝꯕꯥ ꯃꯐꯃꯁꯤꯡ (ꯍꯥꯌꯕꯗꯤ) ꯑꯃꯁꯨꯡ ꯁꯣꯀꯍꯜꯂꯀꯄꯥ ꯌꯥꯏ꯫

ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯃꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯏꯁꯤꯡ ꯇꯨꯡꯁꯤꯅꯕꯥ ꯃꯇꯃꯗꯥ ꯊꯣꯀꯄꯥ ꯀꯦꯃꯤꯀꯦꯜ ꯑꯃꯗꯥ ꯈꯔꯥ ꯁꯦꯟꯁꯤꯇꯤꯚ ꯑꯣꯏꯕꯒꯨꯝꯅꯥ ꯑꯣꯏ꯫

ꯀꯣꯂꯤꯅꯔꯖꯤꯛ ꯎꯔꯇꯤꯀꯦꯔꯤꯌꯥ ꯂꯥꯀꯄꯒꯤ ꯔꯤꯁ꯭ꯛ ꯐꯦꯛꯇꯔꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?

ꯔꯤꯁ꯭ꯛ ꯐꯦꯛꯇꯔ ꯍꯥꯌꯕꯁꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯥ ꯂꯥꯀꯄꯒꯤ ꯆꯥꯡ ꯍꯦꯅꯒꯠꯍꯅꯕꯥ ꯉꯝꯕꯥ ꯄꯣꯠꯁꯛ ꯑꯃꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯀ꯭ꯔꯣꯅꯤꯛ ꯍꯥꯏꯕꯁꯤ ꯂꯩꯔꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯀꯣꯂꯤꯅꯔꯖꯤꯛ ꯎꯔꯇꯤꯀꯦꯔꯤꯌꯥ ꯂꯥꯀꯄꯒꯤ ꯆꯥꯡ ꯍꯦꯟꯅꯥ ꯋꯥꯡꯏ꯫ ꯃꯁꯤꯁꯨ:

• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ``ꯑꯦꯂꯥꯔꯖꯤꯛ ꯔꯥꯏꯅꯥꯏꯇꯤꯁ (ꯍꯦ ꯐꯤꯕꯔ)`` (ꯍꯦ ꯐꯤꯕꯔꯒꯥ ꯃꯥꯟꯅꯕꯥ ꯑꯦꯂꯥꯔꯖꯤ) ꯂꯩꯔꯕꯗꯤ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ `(ꯑꯦꯖꯃꯥ)` .
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯦꯛꯁꯤꯃꯥ ꯂꯩꯔꯕꯗꯤ .
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯏꯃꯨꯡꯗꯥ ꯀꯅꯥꯒꯨꯝꯕꯥ ꯑꯃꯅꯥ ꯀꯣꯂꯤꯅꯔꯖꯤꯛ ꯎꯔꯇꯤꯀꯦꯔꯤꯌꯥ ꯅꯠꯠꯔꯒꯥ ꯀ꯭ꯔꯣꯅꯤꯛ ꯍꯥꯏꯕꯁꯀꯤ ꯍꯤꯁ꯭ꯇꯔꯤ ꯂꯩꯔꯕꯗꯤ .
• ꯍꯥꯏꯄꯔꯍꯥꯏꯗ꯭ꯔꯣꯁꯤꯁ ꯍꯥꯌꯕꯁꯤ ꯅꯍꯥꯛꯅꯥ ꯅꯣꯔꯃꯦꯂꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ .

ꯍꯥꯌꯔꯤꯕꯥ ꯄꯣꯠꯂꯃꯁꯤꯡ ꯑꯁꯤ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏ ꯈꯨꯗꯤꯡꯃꯛꯅꯥ ꯃꯁꯤ ꯁꯦꯃꯒꯠꯀꯅꯤ ꯍꯥꯌꯕꯗꯤ ꯅꯠꯇꯦ, ꯑꯗꯨꯕꯨ ꯔꯤꯁ꯭ꯛ ꯑꯁꯤꯗꯤ ꯈꯔꯥ ꯍꯦꯟꯅꯥ ꯋꯥꯡꯏ꯫

ꯃꯐꯃꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯇ꯭ꯔꯤꯒꯔꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯤꯅꯣ?

ꯑꯉꯀꯄꯥ ꯑꯣꯏꯅꯥ, ꯃꯤꯑꯣꯏ ꯇꯔꯥꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯑꯅꯤꯗꯥ, ꯀꯣꯂꯤꯅꯔꯖꯤꯛ ꯁ꯭ꯄꯣꯠꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯔꯃꯗꯤ ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯅꯠꯠꯔꯒꯥ ꯐꯤꯖꯤꯀꯦꯜ ꯑꯦꯛꯁꯔꯁꯥꯏꯖꯅꯤ꯫ ꯃꯁꯤꯒꯤ ꯃꯊꯛꯇꯥ ꯑꯇꯣꯞꯄꯥ ꯃꯔꯝ ꯀꯌꯥ ꯑꯃꯁꯨ ꯂꯩꯔꯤ:

• ꯋꯥꯈꯜ ꯆꯔꯥꯡꯅꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯏꯔꯦꯁꯅꯦꯜ ꯑꯣꯏꯕꯥ ꯑꯀꯤꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯑꯃꯅꯤ꯫
• ꯅꯍꯥꯛꯅꯥ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ, ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯐꯥꯎꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ꯫
• ꯅꯍꯥꯛꯅꯥ ꯈꯪꯍꯧꯗꯅꯥ ꯅꯣꯡꯖꯨ-ꯅꯨꯡꯁꯥꯒꯤ ꯃꯐꯝ ꯑꯃꯗꯒꯤ ꯑꯁꯥꯕꯥ ꯔꯨꯝ ꯑꯃꯗꯥ ꯅꯠꯠꯔꯒꯥ ꯃꯄꯥꯟꯗꯥ ꯑꯀꯅꯕꯥ ꯅꯨꯃꯤꯠꯀꯤ ꯃꯉꯥꯂꯗꯥ ꯆꯠꯄꯥ ꯃꯇꯃꯗꯥ꯫
• ꯃꯔꯃꯗꯤ ꯅꯍꯥꯛꯅꯥ ꯂꯥꯏꯍꯧ ꯍꯧꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡ ꯑꯗꯨ ꯇꯔꯨ-ꯇꯅꯥꯅꯕꯥ ꯑꯣꯏꯔꯀꯏ꯫
• ꯑꯀꯅꯕꯥ ꯅꯣꯡꯖꯨ, ꯃꯔꯨꯑꯣꯏꯅꯥ ꯁ꯭ꯔꯤꯂꯉ꯭ꯀꯥꯒꯨꯝꯕꯥ ꯅꯨꯃꯤꯠꯀꯤ ꯅꯨꯃꯤꯠꯁꯤꯡꯗꯥ꯫
• ꯍꯣꯠ ꯕꯥꯊ, ꯁꯧꯅꯥ, ꯑꯃꯁꯨꯡ ꯍꯣꯠ ꯇꯕꯁꯤꯡꯒꯨꯝꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ꯫
• ꯅꯍꯥꯛꯅꯥ ꯃꯆꯤ ꯑꯣꯏꯕꯥ ꯆꯤꯟꯖꯥꯀꯁꯤꯡ ꯆꯥꯕꯥ ꯃꯇꯃꯗꯥ, ꯃꯔꯃꯗꯤ ꯃꯈꯣꯌꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡ ꯑꯗꯨ ꯇꯔꯨ-ꯇꯅꯥꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯏꯁꯤꯡ ꯇꯨꯡꯁꯤꯅꯕꯥ ꯉꯃꯍꯜꯂꯤ꯫
• ꯋꯥꯈꯜ ꯋꯥꯕ.
• ꯃꯁꯤ ꯅꯨꯡꯁꯤꯠ ꯑꯃꯁꯨꯡ ꯏꯁꯤꯡ ꯆꯪꯗꯅꯕꯥ ꯑꯁꯣꯀꯄꯥ ꯑꯃꯥ ꯊꯤꯡꯅꯕꯥ ꯁꯤꯖꯤꯟꯅꯔꯤꯕꯥ ꯑꯦꯌꯔ- ꯑꯃꯁꯨꯡ ꯋꯥꯇꯔ-ꯇꯥꯏꯠ ꯕꯦꯟꯗꯦꯖꯁꯤꯡꯅꯁꯨ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫

ꯀꯣꯂꯤꯅꯔꯖꯤꯛ ꯎꯔꯇꯤꯀꯦꯔꯤꯌꯥꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯀꯔꯤꯅꯣ?

ꯃꯍꯧꯁꯥꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ ꯃꯤꯅꯠ ꯈꯔꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯍꯤꯠ ꯕꯝꯄꯁꯤꯡ ꯂꯥꯀꯄꯥ ꯍꯧꯏ꯫ ꯃꯈꯣꯌ ꯑꯁꯤ ꯃꯤꯅꯠ 20ꯗꯒꯤ 30 ꯐꯥꯎꯕꯥ ꯂꯦꯡꯗꯅꯥ ꯂꯩꯕꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯕꯨ ꯃꯤꯑꯣꯏ ꯈꯔꯗꯗꯤ ꯃꯈꯣꯌ ꯑꯁꯤ ꯄꯨꯡ ꯑꯃꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯂꯩꯔꯤ꯫ ꯃꯈꯣꯌ ꯑꯁꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯀꯃꯟ ꯑꯣꯏꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯨꯠ, ꯃꯥꯌ ꯑꯃꯁꯨꯡ ꯃꯊꯛ ꯊꯪꯕꯥ ꯁꯔꯨꯛꯇꯥ ꯎꯕꯥ ꯐꯪꯏ꯫

ꯍꯥꯌꯔꯤꯕꯥ ꯃꯐꯃꯁꯤꯡ ꯑꯁꯤ ꯂꯥꯂꯍꯧꯕꯥ ꯃꯐꯝ (erythema) ꯑꯃꯗꯥ ꯑꯄꯤꯀꯄꯥ ꯂꯥꯂꯍꯧꯒꯤ ꯄꯤꯅꯄꯣꯏꯟꯇꯁꯤꯡ ꯑꯣꯏꯅꯥ ꯎꯕꯥ ꯐꯪꯏ꯫ ꯅꯠꯠꯔꯒꯥ, ꯑꯄꯤꯀꯄꯥ ꯃꯐꯃꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯄꯨꯟꯅꯥ ꯆꯠꯃꯤꯟꯅꯗꯨꯅꯥ ꯑꯆꯧꯕꯥ, ꯋꯥꯡꯈꯠꯄꯥ ꯋꯦꯂꯁꯤꯡ ꯁꯦꯝꯕꯥ ꯌꯥꯏ꯫

ꯃꯐꯃꯁꯤꯡ ꯑꯁꯤ ꯊꯣꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡ ꯑꯗꯨ ꯀꯔꯝꯅꯥ ꯐꯥꯎꯒꯅꯤ?

ꯀꯣꯂꯤꯅꯔꯖꯤꯛ ꯎꯔꯇꯤꯀꯦꯔꯤꯌꯥꯅꯥ ꯅꯥꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯅꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯊꯦꯡꯅꯔꯀꯄꯥ ꯌꯥꯏ:

• ꯌꯥꯝꯅꯥ ꯁꯣꯀꯄꯥ꯫
• ꯃꯩꯅꯥ ꯆꯥꯀꯄꯥ ꯑꯃꯥ꯫
• ꯃꯁꯤ ꯇꯤꯡꯂꯤꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯐꯥꯑꯣꯏ꯫
• ꯊꯦꯡꯅꯕꯗꯥ ꯋꯥꯔꯝ ꯐꯥꯑꯣꯏ꯫

ꯃꯐꯃꯁꯤꯡ ꯑꯁꯤꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯂꯥꯀꯄꯥ ꯌꯥꯕꯥ ꯑꯇꯩ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯂꯩꯕ꯭ꯔꯥ?

ꯃꯁꯤ ꯈꯔꯥ ꯊꯦꯡꯅꯩ, ꯍꯥꯌꯕꯗꯤ ꯃꯁꯤ ꯃꯤꯄꯨꯝ ꯈꯨꯗꯤꯡꯃꯛꯇꯥ ꯊꯣꯛꯇꯦ, ꯑꯗꯨꯕꯨ ꯃꯤꯑꯣꯏ ꯈꯔꯗꯤ ꯀꯣꯂꯤꯅꯔꯖꯤꯛ ꯎꯔꯇꯤꯀꯦꯔꯤꯌꯥꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯊꯦꯡꯅꯔꯀꯄꯥ ꯌꯥꯏ:

• ꯗ꯭ꯔꯣꯂꯤꯡ ꯇꯧꯕꯥ꯫
• ꯁꯤꯅꯀꯣꯞ (ꯃꯁꯥ ꯃꯎ ꯐꯕꯥ)꯫
• ꯃꯀꯣꯛ ꯊꯣꯡꯕꯥ꯫
• ꯍꯥꯔꯠ ꯄꯦꯂꯄꯤꯇꯦꯁꯟ ꯂꯩꯕꯥ꯫
• ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ (dyspnea)꯫
• ꯍꯀꯆꯥꯡ ꯁꯣꯟꯊꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯗꯥꯏꯔꯤꯌꯥ ꯂꯩꯕꯥ꯫
• ꯍꯨꯏ-ꯍꯧꯗꯣꯡꯁꯤꯡ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯁ꯭ꯄꯣꯠꯁꯤꯡ ꯊꯦꯡꯅꯔꯕꯗꯤ, ꯄꯥꯎꯇꯥꯛ ꯂꯧꯅꯕꯒꯤꯗꯃꯛ ꯗꯣꯛꯇꯔ ꯑꯃꯒꯥ ꯁꯣꯌꯗꯅꯥ ꯇꯥꯀꯄꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫

ꯗꯣꯛꯇꯔ ꯑꯃꯅꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ (Cholinergic Urticaria) ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯈꯪꯗꯣꯀꯄꯒꯦ?

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯗꯣꯛꯇꯔ ꯑꯃꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯍꯤꯠ ꯔꯦꯁ ꯂꯩꯔꯦ ꯍꯥꯌꯅꯥ ꯈꯜꯂꯕꯗꯤ, ꯃꯈꯣꯌꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯑꯦꯂꯥꯔꯖꯤ ꯅꯠꯠꯔꯒꯥ ꯗꯔꯃꯦꯇꯣꯂꯣꯖꯤꯁ꯭ꯠ ꯑꯃꯗꯥ ꯔꯤꯐꯔ ꯇꯧꯕꯥ ꯌꯥꯏ . ꯃꯈꯣꯌꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯌꯦꯡꯁꯤꯅꯒꯅꯤ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯗꯨ ꯅꯤꯡꯊꯤꯅꯥ ꯇꯥꯒꯅꯤ꯫

ꯃꯈꯣꯌꯅꯥ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯇꯦꯁ꯭ꯠ ꯈꯔꯁꯨ ꯇꯧꯕꯥ ꯌꯥꯏ:

• ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯇꯦꯁ꯭ꯇꯁꯤꯡ: ꯃꯈꯣꯌꯅꯥ ꯇ꯭ꯔꯦꯗꯃꯤꯂꯗꯥ ꯆꯦꯅꯕꯥ, ꯁ꯭ꯇꯦꯁꯅꯦꯔꯤ ꯕꯥꯏꯛ ꯑꯃꯥ ꯊꯧꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯇꯩ ꯏꯛꯌꯨꯏꯄꯃꯦꯟꯇꯁꯤꯡ ꯁꯤꯖꯤꯟꯅꯗꯨꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯋꯥꯈꯜ ꯇꯥꯍꯜꯂꯤ꯫
• ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡꯅꯥ ꯀꯣꯂꯤꯅꯔꯖꯤꯛ ꯀꯦꯃꯤꯀꯦꯂꯁꯤꯡꯗꯥ ꯀꯌꯥ ꯌꯥꯝꯅꯥ ꯁꯦꯟꯁꯤꯇꯤꯚ ꯑꯣꯏꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯅꯕꯒꯤꯗꯃꯛ ``(ꯃꯦꯊꯥꯀꯣꯂꯤꯟ)'' ꯀꯧꯕꯥ ꯀꯦꯃꯤꯀꯦꯜ ꯑꯃꯒꯤ ꯑꯄꯤꯀꯄꯥ ꯃꯁꯤꯡ ꯑꯃꯥ ꯏꯅꯖꯦꯀꯁꯟ ꯇꯧꯏ꯫
• ꯋꯥꯔꯝ-ꯑꯞ ꯇꯦꯁ꯭ꯇꯁꯤꯡ: ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯇꯦꯝꯄꯦꯔꯦꯆꯔ ꯑꯗꯨ ꯑꯁꯥꯕꯥ ꯇꯕꯗꯥ ꯃꯇꯝ ꯈꯔꯒꯤ ꯑꯣꯏꯅꯥ ꯐꯃꯗꯨꯅꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯁꯥꯕꯥ ꯔꯨꯝ ꯑꯃꯗꯥ ꯐꯃꯗꯨꯅꯥ ꯍꯦꯅꯒꯠꯂꯀꯏ꯫

ꯍꯥꯌꯔꯤꯕꯥ ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯇꯁꯦꯡꯅꯥ ꯀꯣꯂꯤꯅꯔꯖꯤꯛ ꯎꯔꯇꯤꯀꯦꯔꯤꯌꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯇꯩ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯃꯠꯇꯥ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯀꯅꯐꯥꯔꯝ ꯇꯧꯅꯕꯒꯤ ꯑꯃꯠꯇꯥ ꯉꯥꯏꯔꯕꯥ ꯄꯥꯝꯕꯩꯅꯤ꯫

ꯀꯟꯗꯤꯁꯟ (Cholinergic Urticaria) ꯑꯁꯤꯗꯒꯤ ꯔꯤꯂꯤꯐ ꯐꯪꯅꯕꯒꯤꯗꯃꯛ ꯀꯔꯤ ꯇꯧꯕꯥ ꯌꯥꯕꯒꯦ?

ꯑꯐꯕꯥ ꯄꯥꯎ ꯑꯃꯥ ꯂꯩꯔꯤ! ꯅꯍꯥꯛꯅꯥ ꯆꯍꯤ ꯌꯥꯃꯈꯠꯂꯀꯄꯒꯥ ꯂꯣꯌꯅꯅꯥ, ꯀꯟꯗꯤꯁꯟ ꯑꯗꯨꯒꯤ ꯁꯥꯊꯤꯕꯥ (Cholinergic Urticaria) ꯑꯃꯁꯨꯡ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛ ꯂꯥꯀꯄꯒꯤ ꯆꯥꯡ ꯍꯟꯊꯔꯀꯄꯥ ꯌꯥꯏ꯫ ꯆꯍꯤ ꯈꯔꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯃꯥꯡꯈꯤꯕꯥ ꯐꯥꯎꯕꯥ ꯌꯥꯏ꯫ ꯃꯇꯝ ꯑꯗꯨ ꯐꯥꯎꯕꯗꯥ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯗꯨ ꯃꯦꯅꯦꯖ ꯇꯧꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯅꯕꯥ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯂꯥꯏꯌꯦꯡꯁꯤꯡ ꯑꯁꯤ ꯁꯖꯦꯁꯟ ꯄꯤꯕꯥ ꯌꯥꯏ:

• ꯑꯦꯟꯇꯤꯍꯤꯁ꯭ꯇꯥꯃꯤꯅꯁꯤꯡ (Antihistamines): ꯃꯈꯣꯌ ꯑꯁꯤ ꯁꯣꯛ-ꯄꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯁꯣꯛ-ꯄꯅꯕꯥ ꯍꯟꯊꯍꯟꯅꯕꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯀꯃꯟ ꯑꯣꯏꯅꯥ ꯁꯤꯖꯤꯟꯅꯕꯥ ꯍꯤꯗꯥꯀꯁꯤꯡꯅꯤ꯫
• ꯑꯦꯖꯃꯥꯒꯤꯗꯃꯛꯇꯥ ꯄꯤꯕꯥ ꯍꯤꯗꯥꯛ ꯈꯔꯗꯤ꯫
• ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔꯒꯤ ꯍꯤꯗꯥꯛ ꯈꯔꯗꯤ꯫
• ꯑꯦꯟꯇꯤꯀꯣꯂꯤꯅꯔꯖꯤꯀꯁꯤꯡ ꯑꯁꯤ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯍꯟꯊꯍꯅꯕꯥ ꯉꯝꯕꯥ ꯗ꯭ꯔꯒꯁꯤꯡꯅꯤ꯫

ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯛꯀꯤꯗꯃꯛꯇꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯥ ꯂꯥꯏꯌꯦꯡ ꯑꯗꯨ ꯂꯦꯄꯀꯅꯤ꯫

ꯃꯁꯤꯅꯥ (Cholinergic Urticaria) ꯑꯇꯩ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯕ꯭ꯔꯥ?

ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯇꯣꯏꯅꯥ ꯊꯣꯀꯏ, ꯑꯗꯨꯕꯨ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ``ꯑꯦꯅꯥꯐꯤꯂꯦꯛꯁꯤꯁ'' ꯀꯧꯕꯥ ꯁꯥꯊꯤꯕꯥ ꯑꯦꯂꯥꯔꯖꯤꯒꯤ ꯔꯤꯑꯦꯛꯁꯟ ꯑꯃꯥ ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯇꯧꯕꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯏ (Cholinergic Urticaria)꯫ꯑꯦꯅꯥꯐꯤꯂꯦꯛꯁꯤꯁ ꯍꯥꯌꯕꯁꯤ ꯄꯨꯟꯁꯤꯗꯥ ꯈꯨꯗꯣꯡꯊꯤꯅꯤꯉꯥꯏ ꯑꯣꯏꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ, ꯃꯁꯤꯅꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯗꯥ ꯋꯥꯕꯥ ꯊꯣꯀꯍꯜꯂꯤ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯁꯤ ꯅꯍꯥꯛ ꯅꯠꯠꯔꯒꯥ ꯅꯍꯥꯛꯅꯥ ꯈꯪꯂꯤꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯗꯥ ꯊꯣꯛꯂꯕꯗꯤ, ꯈꯨꯗꯛꯇꯥ 1990 ꯁꯨꯋꯥꯁꯦꯔꯤꯌꯥ ꯑꯦꯝꯕꯨꯂꯦꯟꯁ ꯁꯔꯚꯤꯁꯇꯥ ꯐꯣꯟ ꯇꯧꯕꯤꯌꯨ ꯅꯠꯠꯔꯒꯥ ꯌꯥꯔꯤꯕꯃꯈꯩ ꯊꯨꯅꯥ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯜ ꯑꯃꯗꯥ ꯆꯠꯄꯤꯌꯨ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯑꯦꯂꯥꯔꯖꯤꯒꯤ ꯔꯤꯁ꯭ꯛ ꯂꯩꯔꯦ ꯍꯥꯌꯕꯥ ꯈꯪꯂꯕꯗꯤ, ꯅꯍꯥꯛꯀꯥ ꯂꯣꯌꯅꯅꯥ `(ꯑꯦꯄꯤꯅꯦꯐ꯭ꯔꯤꯟ ꯏꯅꯖꯦꯛꯇꯔ (EpiPen®))` ꯑꯃꯥ ꯄꯨꯗꯨꯅꯥ ꯆꯠꯄꯁꯨ ꯂꯧꯁꯤꯡꯅꯤ꯫ ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯕꯤꯌꯨ ꯑꯃꯁꯨꯡ ꯄꯥꯎꯇꯥꯛ ꯂꯧꯕꯤꯌꯨ꯫

ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ (Cholinergic Urticaria) ꯑꯁꯤ ꯀꯌꯥꯝ ꯁꯥꯡꯅꯥ ꯂꯩꯕꯒꯦ?

ꯀꯣꯂꯤꯅꯔꯖꯤꯛ ꯎꯔꯇꯤꯀꯦꯔꯤꯌꯥ ꯑꯁꯤ ꯃꯍꯧꯁꯥꯅꯥ ꯃꯇꯃꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ ꯐꯒꯠꯂꯀꯏ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯐꯒꯠꯂꯀꯏ꯫ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯒꯤ ꯆꯥꯎꯔꯥꯛꯅꯥ 15%ꯗꯤ ꯃꯈꯣꯌꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯗꯨꯗꯒꯤ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯐꯒꯠꯂꯀꯄꯥ ꯎꯏ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯂꯩꯔꯣꯏꯗꯕꯅꯤ꯫

ꯀꯣꯂꯤꯅꯔꯖꯤꯛ ꯎꯔꯇꯤꯀꯦꯔꯤꯌꯥ ꯑꯁꯤ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯊꯤꯡꯕꯥ ꯉꯃꯒꯗ꯭ꯔꯥ?

ꯆꯨꯝꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯅꯍꯥꯛꯅꯥ ꯏꯁꯤꯡ ꯇꯨꯡꯁꯤꯅꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯏꯁꯤꯡ ꯇꯨꯡꯁꯤꯅꯕꯥ ꯑꯁꯤ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯊꯤꯡꯕꯥ ꯉꯃꯗꯦ꯫ ꯃꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯕꯨ ꯀꯨꯄꯁꯤꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯃꯈꯣꯌꯒꯤ ꯇꯦꯝꯄꯦꯔꯦꯆꯔ ꯔꯤꯒꯨꯂꯦꯠ ꯇꯧꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯂꯤꯕꯥ ꯃꯍꯧꯁꯥꯒꯤ ꯊꯧꯑꯣꯡ ꯑꯃꯅꯤ꯫ ꯑꯃꯗꯤ, ꯐꯤꯖꯤꯀꯦꯜ ꯑꯦꯛꯇꯤꯚꯤꯇꯤ, ꯍꯥꯌꯕꯗꯤ ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯇꯧꯕꯥ ꯊꯤꯡꯕꯁꯤ ꯑꯐꯕꯥ ꯋꯥꯈꯜꯂꯣꯟ ꯑꯃꯅꯤ, ꯃꯔꯃꯗꯤ ꯃꯁꯤꯅꯥ ꯑꯩꯈꯣꯌꯕꯨ ꯍꯀꯆꯥꯡ ꯐꯅꯥ ꯂꯩꯍꯜꯂꯤ꯫

ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯍꯤꯠ ꯔꯦꯁ ꯂꯩꯔꯀꯄꯒꯤ ꯔꯤꯁ꯭ꯛ ꯍꯟꯊꯍꯟꯅꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯇꯧꯕꯥ ꯌꯥꯕꯥ ꯊꯕꯛ ꯈꯔꯥ ꯂꯩ:

• ꯌꯥꯔꯤꯕꯃꯈꯩ ꯃꯆꯤ ꯑꯣꯏꯕꯥ ꯆꯤꯟꯖꯥꯛ ꯍꯟꯊꯍꯅꯒꯗꯕꯅꯤ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯇꯧꯔꯕꯗꯤ, ꯃꯄꯥꯟꯗꯥ ꯇꯦꯝꯄꯦꯔꯦꯆꯔ ꯋꯥꯡꯈꯠꯄꯥ ꯃꯇꯃꯁꯤꯡ, ꯍꯥꯌꯕꯗꯤ ꯑꯌꯨꯛ-ꯅꯨꯡꯊꯤꯂꯒꯤ ꯃꯇꯃꯗꯥ ꯅꯠꯠꯔꯒꯥ ꯅꯨꯡꯊꯤꯂꯗꯥ ꯂꯩꯕꯥ ꯃꯇꯃꯁꯤꯡ ꯈꯜꯂꯨ꯫
• ꯁ꯭ꯠꯔꯦꯁ ꯑꯃꯁꯨꯡ ꯑꯦꯅꯖꯥꯏꯇꯤ ꯃꯦꯅꯦꯖ ꯇꯧꯅꯕꯒꯤ ꯑꯐꯕꯥ ꯄꯥꯝꯕꯩꯁꯤꯡ ꯊꯤꯌꯨ꯫ ꯃꯦꯗꯤꯇꯦꯁꯟ ꯅꯠꯔꯒꯥ ꯌꯣꯒꯅꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯂꯕꯁꯨ ꯌꯥꯏ꯫
• ꯂꯨ-ꯅꯥꯅꯕꯥ ꯃꯇꯃꯗꯥ, ꯑꯁꯥꯕꯥ ꯏꯁꯤꯡ ꯁꯤꯖꯤꯟꯅꯔꯣꯏꯗꯕꯅꯤ, ꯑꯁꯥꯕꯥ ꯏꯁꯤꯡ ꯁꯤꯖꯤꯟꯅꯧ꯫
• ꯂꯨꯖ, ꯂꯥꯏꯠꯋꯦꯠ, ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ ꯁꯤꯖꯤꯟꯅꯧ꯫ ꯃꯨꯒꯥꯒꯨꯝꯕꯥ ꯐꯦꯕ꯭ꯔꯤꯀꯁꯤꯡ ꯑꯁꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯩ꯫

ꯑꯩꯅꯥ ꯀꯗꯥꯏꯗꯥ ꯗꯣꯛꯇꯔꯒꯥ ꯎꯅꯒꯗꯒꯦ?

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯍꯦꯛꯇꯕꯨ ꯈꯪꯂꯕꯗꯤ ꯗꯣꯛꯇꯔ ꯑꯃꯒꯥ ꯇꯥꯟꯅꯧ:

• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯂꯩꯔꯤꯕꯥ ꯕ꯭ꯂꯤꯁ꯭ꯇꯔꯁꯤꯡ ꯅꯠꯠꯔꯒꯥ ꯁ꯭ꯄꯣꯠꯁꯤꯡ ꯑꯗꯨ ꯏꯅꯐꯦꯛꯁꯟ ꯂꯩꯔꯕꯥ ꯎꯔꯕꯗꯤ (ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯈꯣꯌꯗꯨ ꯄꯣꯠꯁꯛ ꯑꯃꯅꯥ ꯊꯜꯂꯕꯥ ꯑꯃꯁꯨꯡ ꯁꯣꯛꯅ-ꯁꯝꯅꯕꯗꯥ ꯑꯋꯥꯕꯥ ꯑꯣꯏꯔꯕꯗꯤ)꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯐꯃꯁꯤꯡ ꯑꯗꯨ ꯁꯣꯟꯊꯔꯀꯄꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯂꯩꯔꯕꯗꯤ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯔꯝ ꯑꯃꯠꯇꯥ ꯂꯩꯇꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯔꯦꯁꯝ ꯑꯃꯥ ꯂꯩꯔꯕꯗꯤ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯌꯥꯝꯅꯥ ꯀꯟꯅꯥ ꯁꯣꯀꯍꯜꯂꯕꯗꯤ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ ꯐꯥꯎꯔꯕꯗꯤ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ `(Anaphylaxis)`ꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯂꯩꯔꯕꯗꯤ (ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯁꯤ ꯊꯣꯛꯂꯕꯗꯤ, ꯈꯨꯗꯛꯇꯥ 1990ꯗꯥ ꯐꯣꯟ ꯇꯧꯕꯤꯌꯨ)꯫

ꯑꯩꯒꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯀꯔꯤ ꯍꯪꯒꯗꯒꯦ?

ꯅꯍꯥꯛꯅꯥ ꯗꯣꯛꯇꯔ ꯑꯃꯒꯥ ꯎꯅꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯅꯍꯥꯛꯅꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯋꯥꯍꯪꯁꯤꯡ ꯑꯁꯤ ꯍꯪꯂꯀꯄꯥ ꯌꯥꯏ:

• ꯑꯩꯉꯣꯟꯗꯥ ꯃꯁꯤ (ꯀꯣꯂꯤꯅꯔꯖꯤꯛ ꯎꯔꯇꯤꯀꯦꯔꯤꯌꯥ) ꯂꯩꯕꯒꯤ ꯃꯔꯝ ꯀꯔꯤ ꯑꯣꯏꯕꯥ ꯌꯥꯕꯒꯦ?
• ꯑꯩꯅꯥ ꯃꯇꯧ ꯀꯔꯝꯅꯥ ꯍꯤꯠ ꯔꯦꯁ ꯂꯩꯔꯀꯄꯒꯤ ꯔꯤꯁ꯭ꯛ ꯍꯟꯊꯍꯅꯒꯅꯤ?
• ꯑꯩꯒꯤꯗꯃꯛꯇꯗꯤ ꯀꯔꯤ ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯃꯑꯣꯡ ꯑꯁꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯒꯦ?

‘ꯍꯤꯠ ꯔꯦꯁ’ ꯑꯃꯁꯨꯡ ꯀꯣꯂꯤꯅꯔꯖꯤꯛ ꯎꯔꯇꯤꯀꯦꯔꯤꯌꯥꯒꯤ ꯃꯔꯛꯇꯥ ꯀꯔꯤ ꯈꯦꯠꯅꯕꯥ ꯂꯩꯕꯒꯦ?

ꯄ꯭ꯔꯤꯀꯂꯤ ꯍꯤꯠ ꯅꯠꯠꯔꯒꯥ ꯃꯤꯂꯤꯌꯥꯔꯤꯌꯥ ꯍꯥꯌꯅꯥ ꯈꯪꯅꯕꯥ ꯍꯤꯠ ꯔꯦꯁ ꯑꯁꯤ ꯍꯤꯠꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯑꯇꯣꯞꯄꯥ ꯈꯣꯡꯒꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫ ꯃꯁꯤ ꯇꯁꯦꯡꯕꯗꯤ ꯍꯤꯇꯀꯤ ꯂꯥꯌꯅꯥ ꯃꯈꯜ ꯑꯃꯅꯤ꯫ ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯑꯁꯥꯕꯥ ꯑꯃꯁꯨꯡ ꯏꯁꯤꯡꯒꯤ ꯏꯆꯦꯂꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯍꯀꯆꯥꯡꯅꯥ ꯃꯁꯥ ꯃꯊꯟꯇꯥ ꯆꯨꯃꯊꯣꯀꯄꯥ ꯉꯃꯗꯕꯥ ꯃꯇꯃꯗꯥ ꯊꯣꯀꯏ꯫ ꯍꯤꯠ ꯔꯦꯁ (heat rash) ꯍꯥꯌꯕꯁꯤ ꯍꯦꯟꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯍꯤꯇꯀꯤ ꯂꯥꯌꯅꯥ ꯑꯃꯒꯤ ꯈꯨꯗꯝ ꯑꯃꯁꯨ ꯑꯣꯏꯕꯥ ꯌꯥꯏ, ꯍꯥꯌꯕꯗꯤ ꯍꯤꯠ ꯑꯦꯛꯁꯣꯁ ꯅꯠꯠꯔꯒꯥ ꯍꯤꯇꯁ꯭ꯠꯔꯣꯛ ꯑꯁꯤꯅꯆꯤꯡꯕꯥ꯫

ꯀꯣꯂꯤꯅꯔꯖꯤꯛ ꯎꯔꯇꯤꯀꯦꯔꯤꯌꯥ ꯍꯥꯌꯕꯁꯤ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯃꯁꯤ ꯑꯦꯅꯥꯐꯤꯂꯦꯛꯁꯤꯁꯒꯨꯝꯕꯥ ꯁꯥꯊꯤꯕꯥ ꯑꯣꯏꯗ꯭ꯔꯕꯗꯤ, ꯃꯍꯧꯁꯥꯅꯥ ꯃꯁꯤ ꯍꯦꯟꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯍꯤꯠ ꯂꯥꯌꯅꯥꯒꯤ ꯈꯨꯗꯝ ꯑꯃꯥ ꯑꯣꯏꯗꯦ, ꯍꯥꯌꯕꯗꯤ ꯍꯤꯠ ꯔꯦꯁꯅꯒꯨꯝꯕꯥ꯫

ꯑꯔꯣꯏꯕꯗꯥ, ꯅꯍꯥꯛꯅꯥ ꯅꯤꯡꯁꯤꯡꯒꯗꯕꯥ ꯑꯗꯨ! (ꯇꯦꯛ-ꯍꯣꯝ ꯃꯦꯁꯦꯖ)

ꯀꯣꯂꯤꯅꯔꯖꯤꯛ ꯎꯔꯇꯤꯀꯦꯔꯤꯌꯥꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯅꯨꯡꯇꯤꯒꯤ ꯊꯕꯛ ꯊꯧꯔꯃꯁꯤꯡ, ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯇꯧꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯁꯥꯕꯥ ꯅꯣꯡꯖꯨ-ꯅꯨꯡꯁꯥꯒꯤ ꯅꯨꯡꯉꯥꯏꯕꯥ ꯂꯧꯕꯗꯥ ꯊꯤꯡꯕꯥ ꯃꯊꯧ ꯇꯥꯗꯦ꯫ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯗꯨꯒꯤ ꯃꯔꯝ ꯈꯪꯗꯣꯀꯄꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯒꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯀꯣꯂꯤꯅꯔꯖꯤꯛ ꯎꯔꯇꯤꯀꯦꯔꯤꯌꯥ ꯂꯩꯔꯕꯗꯤ ꯃꯇꯦꯡ ꯄꯥꯡꯕꯥ ꯌꯥꯕꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ ꯂꯩ꯫ ꯃꯍꯧꯁꯥꯅꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ ꯑꯁꯤ ꯄꯨꯡ ꯑꯃꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯃꯁꯥ ꯃꯊꯟꯇꯥ ꯂꯩꯖꯩ꯫ ꯅꯍꯥꯛꯅꯥ ꯆꯍꯤ ꯌꯥꯃꯈꯠꯂꯀꯄꯒꯥ ꯂꯣꯌꯅꯅꯥ, ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ ꯑꯁꯤ ꯍꯧꯈꯤꯕꯥ ꯃꯇꯃꯒꯤ ꯋꯥꯐꯝ ꯑꯃꯥ ꯑꯣꯏꯔꯀꯄꯥ ꯌꯥꯏ꯫

ꯑꯗꯨꯅꯥ, ꯃꯄꯥꯉ꯭ꯒꯜ ꯀꯟꯅꯥ ꯂꯩꯌꯨ, ꯃꯊꯧ ꯇꯥꯕꯥ ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯄꯥꯎꯇꯥꯀꯁꯤꯡ ꯂꯧꯕꯤꯌꯨ, ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯅꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯐꯖꯅꯥ ꯍꯤꯡꯕꯥ ꯉꯃꯒꯅꯤ!

` ꯀꯣꯂꯤꯅꯔꯖꯤꯛ ꯎꯔꯇꯤꯀꯦꯔꯤꯌꯥ, ꯁ꯭ꯕꯦꯠ ꯔꯦꯁ, ꯍꯤꯠ ꯍꯥꯏꯚ, ꯁ꯭ꯀꯤꯟ ꯑꯦꯂꯥꯔꯖꯤ, ꯑꯦꯁꯤꯇꯤꯂꯀꯣꯂꯤꯟ, ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯑꯦꯂꯥꯔꯖꯤ, ꯀꯣꯂꯤꯅꯔꯖꯤꯛ ꯎꯔꯇꯤꯀꯦꯔꯤꯌꯥ, ꯁ꯭ꯕꯦꯠ ꯔꯦꯁ, ꯍꯤꯠ ꯍꯥꯏꯚ, ꯁ꯭ꯀꯤꯟ ꯑꯦꯂꯥꯔꯖꯤ, ꯑꯦꯁꯤꯇꯤꯂꯀꯣꯂꯤꯟ, ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯑꯦꯂꯥꯔꯖꯤ꯫