ꯅꯍꯥꯛꯅꯥ ꯍꯤꯗꯥꯛ ꯑꯁꯤ ꯑꯔꯊ꯭ꯔꯥꯏꯇꯤꯁꯀꯤ ꯑꯅꯥꯕꯁꯤꯡꯗꯁꯨ ꯁꯤꯖꯤꯟꯅꯕ꯭ꯔꯥ? (ꯗꯤꯛꯂꯣꯐꯦꯅꯥꯛ; ꯃꯤꯁꯣꯞꯔꯣꯁ꯭ꯇꯣꯜ) - ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯁꯤ꯫

ꯅꯍꯥꯛꯅꯥ ꯁꯔꯨ ꯇꯥꯡꯒꯤ ꯑꯅꯥꯕꯥ, ꯍꯥꯌꯕꯗꯤ ꯑꯔꯊ꯭ꯔꯥꯏꯇꯤꯁꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯂꯦꯞꯇꯅꯥ ꯄꯦꯟ ꯀꯤꯂꯔꯁꯤꯡꯁꯨ ꯁꯤꯖꯤꯟꯅꯕꯥ ꯇꯥꯈꯤꯕ꯭ꯔꯥ? ꯑꯁꯤꯒꯨꯝꯕꯥ ꯄꯦꯅꯀꯤꯂꯥꯔꯁꯤꯡ ꯑꯁꯤ ꯂꯧꯕꯥ ꯃꯇꯃꯗꯥ, ꯃꯤꯑꯣꯏ ꯈꯔꯗꯗꯤ ꯁ꯭ꯇꯣꯃꯥꯛ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯁꯟ ꯑꯃꯁꯨꯡ ꯒꯦꯁ꯭ꯠꯔꯥꯏꯇꯤꯁꯒꯨꯝꯕꯥ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯃꯁꯤꯡ ꯊꯦꯡꯅꯩ꯫ ꯉꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯗꯥ ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯑꯌꯥꯝꯕꯅꯥ ꯔꯤꯀꯃꯦꯟꯗ ꯇꯧꯕꯥ ꯑꯈꯟꯅꯕꯥ ꯍꯤꯗꯥꯛ ꯑꯃꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯔꯤ꯫ ꯃꯁꯤꯒꯤ ꯃꯃꯤꯡꯗꯤ ꯗꯤꯛꯂꯣꯐꯦꯅꯥꯛ ꯑꯃꯁꯨꯡ ꯃꯤꯁꯣꯞꯔꯣꯁ꯭ꯇꯣꯜ (ꯗꯤꯛꯂꯣꯐꯦꯅꯥꯛ; ꯃꯤꯁꯣꯞꯔꯣꯁ꯭ꯇꯣꯜ)ꯒꯤ ꯀꯝꯕꯤꯅꯦꯁꯟ ꯍꯥꯌꯕꯅꯤ꯫

ꯍꯤꯗꯥꯛ ꯑꯁꯤꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯇꯁꯦꯡꯅꯥ ꯀꯔꯤ ꯊꯣꯛꯂꯤꯕꯅꯣ?

ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ ꯃꯁꯤ ꯍꯤꯗꯥꯛ ꯃꯈꯜ ꯑꯅꯤꯒꯤ ꯀꯝꯕꯤꯅꯦꯁꯟ ꯑꯃꯅꯤ꯫

1. ꯗꯤꯛꯂꯣꯐꯦꯅꯥꯛ: ꯃꯁꯤ ꯅꯍꯥꯛꯅꯥ ꯇꯥꯕꯥ ꯌꯥꯕꯥ ꯄꯦꯟ ꯀꯤꯂꯥꯔ ꯑꯃꯅꯤ꯫ ꯃꯁꯤ NSAID (Non-Steroidal Anti-Inflammatory Drug) ꯀꯧꯕꯥ ꯗ꯭ꯔꯒꯁꯤꯡꯒꯤ ꯀ꯭ꯂꯥꯁ ꯑꯃꯒꯤ ꯃꯅꯨꯡ ꯆꯜꯂꯤ꯫ ꯃꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯁꯔꯨ ꯇꯥꯡꯁꯤꯡꯗꯥ ꯑꯅꯥꯕꯥ ꯑꯃꯁꯨꯡ ꯁꯣꯀꯄꯥ ꯍꯟꯊꯍꯟꯗꯨꯅꯥ ꯊꯕꯛ ꯇꯧꯏ꯫

2. ꯃꯤꯁꯣꯞꯔꯣꯁ꯭ꯇꯣꯜ: ꯃꯁꯤ ꯍꯤꯗꯥꯛ ꯑꯁꯤꯒꯤ ꯁ꯭ꯄꯦꯁꯤꯑꯦꯂꯤꯇꯤꯅꯤ꯫ ꯃꯁꯤ ꯗꯤꯛꯂꯣꯐꯦꯅꯥꯀꯒꯨꯝꯕꯥ ꯄꯦꯟ ꯀꯤꯂꯔꯁꯤꯡꯅꯥ ꯈꯣꯡꯗꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯕꯥ ꯑꯃꯥꯡ-ꯑꯇꯥꯁꯤꯡ ꯊꯤꯡꯅꯕꯥ ꯍꯥꯄꯆꯤꯜꯂꯤ꯫ ꯃꯁꯤꯅꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯊꯕꯛ ꯑꯅꯤ ꯇꯧꯏ꯫ ꯑꯃꯅꯥ ꯁ꯭ꯇꯣꯃꯥꯀꯇꯥ ꯄꯨꯊꯣꯀꯄꯥ ꯑꯦꯁꯤꯗꯀꯤ ꯆꯥꯡ ꯍꯟꯊꯍꯅꯕꯅꯤ꯫ ꯑꯇꯣꯞꯄꯥ ꯑꯃꯅꯥ ꯁ꯭ꯇꯣꯃꯥꯀꯀꯤ ꯂꯥꯏꯅꯤꯡ (gastric wall) ꯉꯥꯀꯊꯣꯀꯄꯅꯤ꯫

ꯃꯁꯤꯅꯥ ꯇꯥꯀꯄꯗꯤ ꯃꯁꯤꯒꯤ ꯍꯤꯗꯥꯛ ꯑꯁꯤꯅꯥ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯊꯕꯛ ꯑꯅꯤ ꯇꯧꯏ꯫ ꯑꯅꯥꯕꯥ ꯍꯟꯊꯍꯅꯕꯇꯥ ꯅꯠꯇꯅꯥ, ꯃꯁꯤꯅꯥ ꯄꯦꯅꯀꯤꯂꯔꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯕꯥ ꯑꯃꯥꯡ-ꯑꯇꯥꯁꯤꯡꯁꯨ ꯊꯤꯡꯏ꯫

ꯍꯤꯗꯥꯛ ꯑꯁꯤ ꯍꯧꯗ꯭ꯔꯤꯉꯩꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯈꯪꯍꯅꯒꯗꯕꯥ ꯋꯥꯐꯃꯁꯤꯡ꯫

ꯍꯤꯗꯥꯛ ꯑꯁꯤ ꯃꯤꯄꯨꯝ ꯈꯨꯗꯤꯡꯃꯛꯀꯤꯗꯃꯛ ꯆꯨꯃꯗꯦ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯍꯤꯗꯥꯛ ꯑꯁꯤ ꯄꯤꯗ꯭ꯔꯤꯉꯩꯗꯥ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯩꯔꯤꯕꯥ ꯑꯇꯩ ꯃꯦꯗꯤꯀꯦꯜ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯍꯦꯛꯇꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯃꯌꯦꯛ ꯁꯦꯡꯅꯥ ꯈꯪꯍꯅꯒꯗꯕꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯍꯦꯛꯇꯥ ꯂꯩꯔꯕꯗꯤ, ꯃꯈꯣꯌꯗꯥ ꯃꯗꯨꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯁꯣꯌꯗꯅꯥ ꯈꯪꯍꯅꯕꯤꯌꯨ꯫

ꯍꯤꯗꯥꯛ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯁꯤꯖꯤꯟꯅꯒꯗꯒꯦ?

• ꯍꯤꯗꯥꯛ ꯑꯁꯤ ꯏꯁꯤꯡꯒꯤ ꯒ꯭ꯂꯥꯁ ꯑꯃꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯆꯥꯕꯤꯌꯨ꯫
• ꯅꯨꯃꯤꯠ ꯈꯨꯗꯤꯡꯒꯤ ꯃꯇꯝ ꯑꯃꯗꯥ ꯂꯧꯅꯕꯥ ꯍꯣꯠꯅꯧ , ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯍꯥꯌꯔꯀꯄꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ꯫
• ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ: ꯇꯦꯕ꯭ꯂꯦꯠ ꯑꯁꯤ ꯊꯨꯒꯥꯌꯒꯅꯨ, ꯀꯨꯄꯁꯤꯜꯂꯨ ꯅꯠꯠꯔꯒꯥ ꯆꯥꯀꯎ꯫ ꯇꯦꯕꯜ ꯑꯗꯨ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯂꯧꯊꯣꯀꯎ꯫ ꯅꯠꯠꯔꯕꯗꯤ, ꯁ꯭ꯇꯣꯃꯥꯛ-ꯄ꯭ꯔꯣꯇꯦꯛꯇ ꯇꯧꯕꯥ ꯁꯔꯨꯛ ꯑꯗꯨꯅꯥ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯊꯕꯛ ꯇꯧꯔꯣꯏ꯫
• ꯅꯍꯥꯛꯅꯥ ꯃꯗꯨ ꯆꯥꯗ꯭ꯔꯤꯉꯩ ꯃꯃꯥꯡꯗꯥ ꯅꯠꯠꯔꯒꯥ ꯃꯇꯨꯡꯗꯥ ꯂꯧꯕꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯑꯁꯣꯀꯄꯥ ꯂꯩꯔꯕꯗꯤ ꯃꯗꯨ ꯆꯥꯅꯕꯥ ꯆꯤꯟꯖꯥꯛꯀꯥ ꯂꯣꯌꯅꯅꯥ ꯂꯧꯕꯅꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯩ꯫
• ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯊꯤꯡꯅꯕꯥ ꯍꯥꯌꯔꯀꯄꯥ ꯐꯥꯎꯕꯗꯥ ꯃꯈꯥ ꯇꯥꯅꯥ ꯁꯤꯖꯤꯟꯅꯧ꯫

ꯃꯁꯤꯒꯤ ꯍꯤꯗꯥꯛ ꯑꯁꯤ ꯑꯗꯣꯝ ꯈꯛꯇꯒꯤꯅꯤ꯫ ꯅꯍꯥꯛꯀꯥ ꯃꯥꯟꯅꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯂꯩꯕꯥ ꯑꯇꯣꯞꯄꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯗꯥ ꯄꯤꯕꯤꯒꯅꯨ꯫

ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛ ꯂꯧꯕꯥ ꯃꯇꯃꯗꯥ ꯆꯦꯀꯁꯤꯅꯒꯗꯕꯥ ꯋꯥꯐꯃꯁꯤꯡ꯫

ꯍꯤꯗꯥꯛ ꯑꯁꯤ ꯁꯤꯖꯤꯟꯅꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯋꯥꯐꯝ ꯈꯔꯗꯥ ꯈꯔꯥ ꯍꯦꯟꯅꯥ ꯆꯦꯀꯁꯤꯅꯕꯥ ꯃꯊꯧ ꯇꯥꯏ꯫

ꯁ꯭ꯇꯣꯃꯥꯛ ꯑꯂꯁꯔ ꯑꯃꯁꯨꯡ ꯏ ꯊꯣꯀꯄꯥ꯫

ꯍꯤꯗꯥꯛ ꯑꯁꯤꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯔꯤꯁ꯭ꯛ ꯑꯁꯤ ꯁ꯭ꯇꯣꯃꯥꯛ ꯑꯂꯁꯔ ꯑꯃꯁꯨꯡ ꯏ ꯊꯣꯀꯄꯥ ꯌꯥꯕꯒꯤ ꯑꯣꯏꯊꯣꯀꯄꯥ ꯂꯩꯕꯅꯤ꯫ ꯃꯁꯤ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯆꯦꯀꯁꯤꯅꯋꯥ ꯌꯥꯑꯣꯗꯅꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯁꯥꯊꯤꯕꯥ ꯑꯅꯥꯕꯥ ꯂꯩꯔꯕꯗꯤ, ꯏ ꯊꯣꯀꯄꯥ, ꯀꯣꯐꯤ ꯒ꯭ꯔꯥꯎꯟꯗꯒꯨꯝꯕꯥ ꯄꯣꯠꯁꯛ ꯑꯃꯥ ꯁꯣꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯕ꯭ꯂꯦꯛ, ꯇꯦꯔꯤ ꯁ꯭ꯇꯣꯜ ꯅꯠꯠꯔꯒꯥ ꯏ ꯄꯥꯁ ꯇꯧꯔꯕꯗꯤ, ꯈꯨꯗꯛꯇꯥ ꯗꯣꯛꯇꯔ ꯑꯃꯒꯥ ꯇꯥꯟꯅꯧ꯫ ꯊꯛꯅꯕꯥ ꯏꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯌꯨ ꯊꯀꯄꯅꯥ ꯔꯤꯁ꯭ꯛ ꯑꯁꯤ ꯍꯦꯅꯒꯠꯍꯜꯂꯤ꯫

ꯍꯥꯔꯠ ꯑꯦꯇꯦꯛ ꯑꯃꯁꯨꯡ ꯁ꯭ꯠꯔꯣꯀꯀꯤ ꯔꯤꯁ꯭ꯛ ꯂꯩꯕꯥ꯫

ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯁꯤꯖꯤꯟꯅꯔꯕꯥ ꯃꯇꯃꯗꯥ, ꯍꯤꯗꯥꯛ ꯑꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯥꯔꯠ ꯑꯦꯇꯦꯛ ꯅꯠꯠꯔꯒꯥ ꯁ꯭ꯠꯔꯣꯀꯀꯤ ꯔꯤꯁ꯭ꯛ ꯈꯔꯥ ꯍꯦꯅꯒꯠꯍꯅꯕꯥ ꯌꯥꯏ, ꯃꯔꯨꯑꯣꯏꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯍꯥꯟꯅꯅꯥ ꯍꯥꯔꯇꯀꯤ ꯂꯥꯌꯅꯥ ꯂꯩꯔꯕꯗꯤ꯫ ꯃꯁꯤ ꯍꯥꯔꯠ ꯑꯦꯇꯦꯛ ꯅꯠꯠꯔꯒꯥ ꯁ꯭ꯠꯔꯣꯛ ꯑꯃꯥ ꯊꯤꯡꯕꯥ ꯉꯝꯕꯥ ꯍꯤꯗꯥꯛ ꯑꯃꯅꯤ꯫

ꯁꯥꯊꯤꯕꯥ ꯁ꯭ꯀꯤꯟ ꯔꯤꯑꯦꯛꯁꯅꯁꯤꯡ꯫

ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ, ꯃꯤꯑꯣꯏ ꯈꯔꯗꯗꯤ ꯍꯤꯗꯥꯛ ꯑꯁꯤ ꯁꯤꯖꯤꯟꯅꯔꯕꯥ ꯃꯇꯨꯡ ꯅꯨꯃꯤꯠ ꯈꯔꯅꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯁꯥꯊꯤꯕꯥ ꯁ꯭ꯀꯤꯟ ꯔꯤꯑꯦꯛꯁꯟ ꯑꯃꯥ ꯂꯥꯀꯄꯥ ꯌꯥꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯍꯥꯌꯕꯗꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ, ꯍꯀꯆꯥꯡ ꯁꯣꯛ-ꯄꯅꯕꯥ, ꯂꯥꯂꯍꯧꯕꯥ, ꯈꯣꯡ-ꯈꯨꯠ ꯁꯣꯀꯄꯥ, ꯈꯣꯡ ꯍꯥꯝꯕꯥ, ꯈꯣꯡ-ꯈꯨꯠ ꯁꯣꯀꯄꯥ, ꯃꯆꯤꯟ-ꯃꯅꯥꯎ, ꯅꯥꯀꯣꯡꯗꯥ ꯁꯣꯀꯄꯥ, ꯅꯠꯠꯔꯒꯥ ꯈꯣꯡ ꯅꯠꯠꯔꯒꯥ ꯈꯣꯡꯗꯥ ꯁꯣꯀꯄꯥ ꯑꯁꯤꯅꯆꯤꯡꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯂꯩꯔꯕꯗꯤ ꯈꯨꯗꯛꯇꯥ ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯄꯥꯎꯇꯥꯛ ꯂꯧꯕꯤꯌꯨ꯫

ꯃꯤꯔꯣꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯑꯉꯥꯡ ꯄꯣꯀꯄꯥ꯫

ꯑꯇꯣꯞꯄꯥ ꯋꯥꯐꯃꯁꯤꯡ꯫

ꯍꯤꯗꯥꯛ ꯑꯁꯤꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯇꯨꯝꯕꯥ ꯌꯥꯗꯕꯥ ꯑꯣꯏꯍꯅꯕꯥ ꯌꯥꯏ . ꯃꯔꯝ ꯑꯗꯨꯅꯥ , ꯃꯁꯤꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯀꯔꯝꯅꯥ ꯁꯣꯀꯍꯅꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯅꯍꯥꯛꯅꯥ ꯈꯪꯗ꯭ꯔꯤꯐꯥꯎꯕꯥ ꯗ꯭ꯔꯥꯏꯚꯤꯡ ꯅꯠꯠꯔꯒꯥ ꯈꯨꯗꯣꯡꯊꯤꯅꯤꯉꯥꯏ ꯑꯣꯏꯕꯥ ꯃꯦꯁꯤꯅꯔꯤꯁꯤꯡ ꯑꯣꯄꯔꯦꯠ ꯇꯧꯔꯣꯏꯗꯕꯅꯤ꯫ ꯃꯁꯤꯗꯁꯨ ꯅꯠꯇꯅꯥ, ꯅꯍꯥꯛꯀꯤ ꯍꯥꯀꯆꯥꯡ ꯕ꯭ꯔꯁ ꯇꯧꯕꯥ ꯑꯃꯁꯨꯡ ꯐ꯭ꯂꯣꯁ ꯇꯧꯕꯥ ꯃꯇꯃꯗꯥ ꯆꯦꯀꯁꯤꯅꯒꯗꯕꯅꯤ, ꯃꯔꯃꯗꯤ ꯍꯤꯗꯥꯛ ꯑꯁꯤ ꯁꯤꯖꯤꯟꯅꯔꯤꯉꯩꯗꯥ ꯏ ꯊꯣꯀꯄꯥ ꯈꯔꯥ ꯍꯦꯅꯒꯠꯂꯀꯏ꯫

ꯑꯣꯏꯊꯣꯀꯄꯥ ꯌꯥꯕꯥ ꯁꯥꯏꯗ ꯏꯐꯦꯛꯇꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?

ꯍꯤꯗꯥꯛ ꯑꯃꯍꯦꯛꯇꯒꯨꯝꯅꯥ ꯃꯁꯤꯒꯤ ꯑꯃꯅꯥ ꯁꯥꯏꯗ ꯏꯐꯦꯛꯇ ꯂꯩꯕꯥ ꯌꯥꯏ꯫ ꯈꯔꯗꯤ ꯁꯤꯔꯤꯌꯁ ꯑꯣꯏ, ꯈꯔꯗꯤ ꯀꯃꯟ ꯑꯣꯏ꯫