ꯅꯍꯥꯛꯀꯤ ꯃꯀꯣꯛ ꯑꯗꯨꯒꯤ ꯃꯄꯥꯟꯊꯪꯕꯥ ꯁꯔꯨꯛ ꯑꯃꯗꯥ ꯈꯪꯍꯧꯗꯅꯥ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯃꯀꯣꯛ ꯁꯣꯀꯄꯥ, ꯃꯗꯨꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯅꯣꯡꯃꯩ ꯀꯥꯞꯄꯥ, ꯃꯉꯥꯜ ꯌꯦꯡꯕꯥ ꯉꯃꯗꯕꯥ, ꯑꯃꯁꯨꯡ ꯈꯣꯟꯖꯦꯜ ꯑꯃꯥ ꯇꯥꯕꯥ ꯃꯇꯃꯗꯥ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯐꯥꯎꯔꯀꯄꯥ ꯂꯩꯕ꯭ꯔꯥ? ꯃꯁꯤ ꯃꯤꯑꯣꯏ ꯀꯌꯥ ꯑꯃꯅꯥ ꯈꯉꯅꯔꯤ꯫ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤꯕꯨ ꯑꯩꯈꯣꯌꯅꯥ ꯃꯥꯏꯒ꯭ꯔꯦꯟ ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ ꯑꯗꯨꯅꯥ, ꯑꯁꯤꯒꯨꯝꯕꯥ ꯁꯥꯊꯤꯕꯥ ꯑꯅꯥꯕꯥ ꯑꯁꯤ ꯊꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯃꯁꯤꯕꯨ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯅꯕꯥ ꯗꯤꯛꯂꯣꯐꯦꯅꯥꯛ ꯂꯤꯛꯌꯨꯏꯗ ꯀꯧꯕꯥ ꯑꯈꯟꯅꯕꯥ ꯍꯤꯗꯥꯛ ꯑꯃꯥ ꯄꯤ꯫ ꯉꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯍꯤꯗꯥꯛ ꯑꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯏꯆꯝ ꯆꯝꯕꯥ ꯋꯥꯍꯟꯊꯣꯛ ꯑꯃꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯒꯅꯤ, ꯃꯁꯤ ꯀꯔꯝꯅꯥ ꯁꯤꯖꯤꯟꯅꯒꯅꯤ, ꯑꯃꯁꯨꯡ ꯆꯦꯀꯁꯤꯅꯒꯗꯕꯥ ꯋꯥꯐꯃꯁꯤꯡꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯒꯅꯤ꯫
ꯃꯁꯤ ꯀꯔꯝꯕꯥ ꯃꯈꯂꯒꯤ ꯍꯤꯗꯥꯛꯅꯣ?
ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯗꯤꯛꯂꯣꯐꯦꯅꯥꯛ ꯑꯁꯤ ꯅꯍꯥꯛꯅꯥ ꯃꯥꯏꯒ꯭ꯔꯦꯟ ꯍꯦꯗ-ꯑꯦꯛ ꯑꯃꯥ ꯂꯩꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯑꯅꯥꯕꯥ ꯑꯃꯁꯨꯡ ꯃꯔꯤ ꯂꯩꯅꯕꯥ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯁꯟ ꯍꯟꯊꯍꯟꯅꯕꯥ ꯄꯤꯕꯥ ꯍꯤꯗꯥꯛ ꯑꯃꯅꯤ . ꯃꯁꯤ ꯄꯦꯟ ꯀꯤꯂꯥꯔ ꯀꯥꯡꯂꯨꯞ ꯑꯃꯒꯤ ꯃꯅꯨꯡ ꯆꯜꯂꯤ, ꯃꯗꯨꯕꯨ ꯑꯩꯈꯣꯌꯅꯥ NSAIDs (Nonsteroidal Anti-inflammatory Drugs) ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫
ꯃꯔꯨꯑꯣꯏꯕꯥ ꯋꯥꯐꯃꯗꯤ ꯃꯁꯤ ꯃꯥꯏꯒ꯭ꯔꯦꯟ ꯍꯦꯗ-ꯑꯦꯀꯁꯤꯡ ꯊꯤꯡꯅꯕꯥ ꯍꯤꯗꯥꯛ ꯑꯃꯥ ꯅꯠꯇꯦ꯫ ꯃꯁꯤ ꯍꯦꯗ-ꯑꯦꯀꯁꯤꯡ ꯂꯥꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯈꯛꯇꯗꯥ ꯁꯤꯖꯤꯟꯅꯩ꯫
ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛ ꯂꯧꯗ꯭ꯔꯤꯉꯩ ꯃꯃꯥꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯈꯪꯍꯅꯒꯗꯕꯥ ꯋꯥꯐꯃꯁꯤꯡ꯫
ꯍꯤꯗꯥꯛ ꯑꯁꯤ ꯄꯤꯗ꯭ꯔꯤꯉꯩꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯁꯦꯂꯒꯤ ꯐꯤꯚꯝ ꯑꯗꯨ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯈꯪꯖꯤꯅꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫ ꯃꯁꯤꯒꯤ ꯍꯤꯗꯥꯛ ꯑꯁꯤ ꯃꯦꯗꯤꯀꯦꯜ ꯀꯟꯗꯤꯁꯟ ꯈꯔꯒꯥ ꯆꯨꯅꯕꯥ ꯑꯣꯏꯗꯕꯥ ꯌꯥꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯍꯦꯛꯇꯥ ꯂꯩꯔꯕꯗꯤ, ꯃꯗꯨꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯁꯣꯌꯗꯅꯥ ꯈꯪꯍꯅꯕꯤꯌꯨ꯫
| ꯅꯍꯥꯛꯀꯤ ꯍꯀꯁꯦꯂꯒꯤ ꯐꯤꯚꯝ ꯅꯠꯠꯔꯒꯥ ꯂꯃꯆꯠ-ꯁꯥꯖꯠ꯫ | ꯀꯔꯤꯒꯤ ꯈꯉꯍꯅꯒꯗꯒꯦ? |
|---|---|
| ꯑꯦꯖꯃꯥ, ꯃꯔꯨꯑꯣꯏꯅꯥ ꯑꯦꯁ꯭ꯄꯤꯔꯤꯅꯅꯥ ꯍꯦꯟꯅꯥ ꯁꯣꯀꯍꯜꯂꯕꯥ ꯑꯦꯖꯃꯥ꯫ | ꯑꯦꯟ.ꯑꯦꯁ.ꯑꯦ.ꯑꯥꯏ.ꯗꯤ.ꯒꯤ ꯍꯤꯗꯥꯀꯁꯤꯡꯅꯥ ꯃꯤꯑꯣꯏ ꯈꯔꯗꯗꯤ ꯑꯦꯖꯃꯥ ꯍꯦꯟꯅꯥ ꯐꯒꯠꯍꯅꯕꯥ ꯌꯥꯏ꯫ |
| ꯍꯟꯗꯛꯀꯤ (ꯅꯨꯃꯤꯠ 2ꯅꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ) ꯕꯥꯏꯄꯥꯁ ꯁꯔꯖꯔꯤ (CABG ꯁꯔꯖꯔꯤ) ꯑꯃꯥ꯫ | ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯏ ꯊꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯍꯥꯔꯇꯀꯤ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯃꯁꯤꯡꯒꯤ ꯔꯤꯁ꯭ꯛ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ ꯌꯥꯏ꯫ |
| ꯅꯣꯡꯃꯗꯥ ꯌꯨ ꯊꯀꯄꯥ꯫ | ꯌꯨ ꯑꯃꯁꯨꯡ ꯍꯤꯗꯥꯛ ꯑꯁꯤ ꯄꯨꯟꯅꯥ ꯁꯤꯖꯤꯟꯅꯕꯅꯥ ꯁ꯭ꯇꯣꯃꯥꯛ ꯑꯂꯁꯔ ꯑꯃꯁꯨꯡ ꯏ ꯊꯣꯀꯄꯒꯤ ꯔꯤꯁ꯭ꯛ ꯍꯦꯅꯒꯠꯍꯜꯂꯤ꯫ |
| ꯍꯥꯔꯠ ꯗꯤꯖꯤꯖ, ꯍꯥꯔꯠ ꯑꯦꯇꯦꯛ, ꯑꯃꯁꯨꯡ ꯈꯣꯡ ꯁꯣꯀꯄꯥ ꯑꯁꯤꯅꯆꯤꯡꯕꯥ ꯁꯔꯛꯌꯨꯂꯦꯇꯔꯤ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯃꯁꯤꯡ꯫ | ꯍꯤꯗꯥꯛ ꯑꯁꯤꯅꯥ ꯍꯥꯔꯠ ꯑꯦꯇꯦꯛ ꯑꯃꯁꯨꯡ ꯁ꯭ꯠꯔꯣꯀꯀꯤ ꯔꯤꯁ꯭ꯛ ꯈꯔꯥ ꯍꯦꯅꯒꯠꯍꯅꯕꯥ ꯌꯥꯏ꯫ |
| ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ ꯋꯥꯡꯈꯠꯄꯥ꯫ | ꯍꯤꯗꯥꯛ ꯑꯁꯤꯅꯥ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ ꯍꯦꯟꯅꯥ ꯋꯥꯡꯈꯠꯍꯅꯕꯥ ꯌꯥꯏ꯫ |
| ꯀꯤꯗꯅꯤꯒꯤ ꯂꯥꯌꯅꯥ꯫ | ꯃꯔꯃꯗꯤ ꯃꯁꯤꯅꯥ ꯀꯤꯗꯅꯤꯁꯤꯡꯗꯥ ꯁꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ |
| ꯂꯤꯚꯔꯒꯤ ꯂꯥꯌꯅꯥ꯫ | ꯃꯔꯃꯗꯤ ꯃꯁꯤꯅꯥ ꯂꯤꯚꯔꯒꯤ ꯐꯉ꯭ꯀꯁꯅꯗꯥ ꯑꯀꯥꯌꯕꯥ ꯄꯤꯕꯥ ꯌꯥꯏ꯫ |
| ꯁ꯭ꯇꯣꯃꯥꯛ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯁꯟ, ꯒꯦꯁ꯭ꯠꯔꯥꯏꯇꯤꯁ ꯅꯠꯠꯔꯒꯥ ꯁ꯭ꯇꯣꯃꯥꯛ ꯑꯂꯁꯔ ꯂꯩꯕꯥ꯫ | ꯍꯧꯖꯤꯛ ꯂꯩꯔꯤꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯍꯦꯟꯅꯥ ꯐꯠꯆꯤꯜꯂꯛꯇꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯏ ꯊꯣꯀꯄꯥ ꯌꯥꯕꯒꯤ ꯑꯣꯏꯊꯣꯀꯄꯥ ꯂꯩ꯫ |
| ꯗꯤꯛꯂꯣꯐꯦꯅꯥꯛ, ꯑꯦꯁ꯭ꯄꯤꯔꯤꯟ ꯅꯠꯠꯔꯒꯥ ꯑꯇꯩ NSAIDꯁꯤꯡꯒꯤ ꯑꯦꯂꯥꯔꯖꯤ ꯂꯩꯕꯥ꯫ | ꯁꯥꯊꯤꯕꯥ ꯑꯦꯂꯥꯔꯖꯤꯒꯤ ꯔꯤꯁ꯭ꯛ ꯂꯩꯍꯟꯗꯅꯕꯥ꯫ |
| ꯃꯤꯔꯣꯅꯕꯥ, ꯃꯤꯔꯣꯅꯕꯥ ꯍꯣꯠꯅꯕꯥ, ꯅꯠꯠꯔꯒꯥ ꯈꯣꯝꯂꯥꯡ ꯄꯤꯊꯀꯄꯥ꯫ | ꯍꯤꯗꯥꯛ ꯑꯁꯤ ꯃꯤꯔꯣꯜꯂꯤꯉꯩ ꯃꯇꯃꯗꯥ (ꯃꯔꯨꯑꯣꯏꯅꯥ ꯍꯧꯈꯤꯕꯥ ꯊꯥꯁꯤꯡꯗꯥ) ꯑꯃꯁꯨꯡ ꯈꯣꯝꯂꯥꯡ ꯄꯤꯊꯀꯄꯥ ꯃꯃꯥꯁꯤꯡꯗꯥ ꯁꯤꯖꯤꯟꯅꯕꯗꯥ ꯆꯨꯃꯗꯦ꯫ |
ꯑꯩꯅꯥ ꯍꯤꯗꯥꯛ ꯑꯁꯤ ꯃꯇꯧ ꯀꯔꯝꯅꯥ ꯇꯁꯦꯡꯅꯥ ꯁꯤꯖꯤꯟꯅꯒꯗꯒꯦ?
ꯃꯁꯤ ꯂꯤꯛꯌꯨꯏꯗ ꯃꯑꯣꯡꯗꯥ ꯂꯥꯀꯄꯥ ꯍꯤꯗꯥꯛ ꯑꯃꯅꯤ꯫ ꯃꯍꯧꯁꯥꯅꯥ ꯃꯁꯤ ꯄꯥꯎꯗꯔ ꯑꯃꯥ ꯌꯥꯎꯕꯥ ꯄꯦꯀꯦꯠ ꯑꯃꯗꯥ ꯂꯥꯀꯏ꯫
1. ꯒ꯭ꯂꯥꯁ ꯑꯃꯗꯥ ꯏꯁꯤꯡ ꯈꯔꯥ (ꯑꯎꯟꯁ 1-2, ꯍꯥꯌꯕꯗꯤ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯃꯤꯂꯤꯂꯤꯇꯔ 30-60) ꯊꯀꯎ꯫
2. ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛ ꯄꯦꯀꯦꯠ ꯑꯗꯨꯗꯒꯤ ꯂꯥꯀꯄꯥ ꯄꯥꯎꯗꯔ ꯑꯗꯨ ꯏꯁꯤꯡ ꯑꯗꯨꯗꯥ ꯍꯥꯄꯆꯤꯜꯂꯨ ꯑꯃꯁꯨꯡ ꯃꯗꯨ ꯌꯥꯝꯅꯥ ꯐꯖꯅꯥ ꯌꯥꯟꯁꯤꯟꯅꯧ꯫
3. ꯅꯍꯥꯛꯅꯥ ꯃꯗꯨ ꯇꯀꯈꯥꯌꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯊꯀꯎ꯫
ꯃꯔꯨꯑꯣꯏꯕꯥ: ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯇꯥꯀꯄꯥ ꯃꯇꯨꯡꯏꯟꯅꯥ ꯈꯛꯇꯃꯛ ꯁꯤꯖꯤꯟꯅꯧ, ꯑꯃꯁꯨꯡ ꯄꯤꯔꯤꯕꯥ ꯆꯥꯡ ꯑꯗꯨꯗꯥ ꯁꯤꯖꯤꯟꯅꯧ꯫ꯀꯩꯗꯧꯉꯩꯗꯥ ꯄ꯭ꯔꯦꯁ꯭ꯛꯔꯥꯏꯕ ꯇꯧꯔꯕꯥ ꯗꯣꯖ ꯑꯗꯨꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯂꯧꯔꯣꯏꯗꯕꯅꯤ꯫ ꯍꯤꯗꯥꯛ ꯑꯁꯤ ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯂꯦꯞꯇꯅꯥ ꯁꯤꯖꯤꯟꯅꯕꯅꯥ ꯍꯥꯔꯠ ꯑꯦꯇꯦꯛ ꯅꯠꯠꯔꯒꯥ ꯁ꯭ꯠꯔꯣꯀꯀꯤ ꯔꯤꯁ꯭ꯛ ꯍꯦꯅꯒꯠꯍꯅꯕꯥ ꯌꯥꯏ꯫
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯆꯍꯤ 65ꯒꯤ ꯃꯊꯛꯇꯥ ꯂꯩꯔꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯍꯤꯗꯥꯛ ꯑꯁꯤꯒꯤ ꯏꯐꯦꯛꯇ ꯈꯔꯥ ꯍꯦꯟꯅꯥ ꯀꯅꯈꯠꯂꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯛꯀꯤꯗꯃꯛꯇꯥ ꯍꯦꯟꯅꯥ ꯅꯦꯝꯕꯥ ꯗꯣꯖ ꯑꯃꯥ ꯄꯤꯕꯥ ꯌꯥꯏ꯫
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛ ꯌꯥꯝꯅꯥ ꯂꯧꯔꯕꯗꯤ ꯀꯔꯤ ꯇꯧꯒꯗꯒꯦ?
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛ ꯌꯥꯝꯅꯥ ꯊꯀꯈ꯭ꯔꯦ ꯍꯥꯌꯅꯥ ꯈꯜꯂꯕꯗꯤ, ꯈꯨꯗꯛꯇꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯅꯀꯄꯥ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯜ ꯏꯃꯔꯖꯦꯟꯁꯤ ꯗꯤꯄꯥꯔꯇꯃꯦꯟꯇ (ETU)ꯗꯥ ꯆꯠꯂꯨ꯫ ꯅꯠꯠꯔꯒꯥ ꯄꯥꯎꯇꯥꯛ ꯂꯧꯅꯕꯒꯤꯗꯃꯛ ꯀꯣꯂꯝꯕꯣ ꯅꯦꯁꯅꯦꯜ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯂꯗꯥ ꯂꯩꯕꯥ ꯅꯦꯁꯅꯦꯜ ꯄꯣꯏꯖꯅꯁ ꯏꯅꯐꯣꯔꯃꯦꯁꯟ ꯁꯦꯟꯇꯔꯗꯥ ꯐꯣꯟ ꯇꯧꯕꯤꯌꯨ꯫ ꯃꯁꯤ ꯑꯦꯃꯔꯖꯦꯟꯁꯤ ꯑꯃꯥ ꯑꯣꯏꯅꯥ ꯂꯧꯕꯤꯌꯨ꯫
ꯍꯤꯗꯥꯛ ꯑꯁꯤꯒꯥ ꯃꯔꯤ ꯂꯩꯅꯕꯥ ꯑꯇꯩ ꯄꯣꯠꯁꯀꯁꯤꯡ (Interactions)
ꯗꯤꯛꯂꯣꯐꯦꯅꯥꯛ ꯂꯧꯕꯥ ꯃꯇꯃꯗꯥ, ꯅꯍꯥꯛꯅꯥ ꯂꯧꯔꯤꯕꯥ ꯑꯇꯩ ꯍꯤꯗꯥꯀꯁꯤꯡꯒꯥ ꯏꯟꯇꯔꯦꯛꯁꯅꯁꯤꯡ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯧꯔꯤꯕꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛ ꯄꯨꯝꯅꯃꯛ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯈꯪꯍꯅꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫
| ꯍꯤꯗꯥꯛ ꯑꯁꯤꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯀꯩꯗꯧꯉꯩꯗꯥ ꯗꯤꯛꯂꯣꯐꯦꯅꯥꯛ ꯂꯧꯔꯣꯏꯗꯕꯅꯤ꯫ | |
|---|---|
| ꯁꯤꯗꯣꯐꯣꯚꯤꯔ ꯑꯁꯤꯅꯆꯤꯡꯕꯥ꯫ | ꯀꯦꯇꯣꯔꯣꯂꯥꯛ ꯍꯥꯌꯅꯥ ꯈꯉꯅꯕꯥ꯫ |
| ꯃꯦꯊꯣꯠꯔꯦꯛꯁꯦꯠ꯫ | |
| ꯄꯣꯠꯁꯀꯁꯤꯡ ꯑꯁꯤꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯗꯤꯛꯂꯣꯐꯦꯅꯥꯛ ꯂꯧꯕꯥ ꯃꯇꯃꯗꯥ ꯃꯔꯨꯑꯣꯏꯅꯥ ꯆꯦꯀꯁꯤꯅꯒꯗꯕꯅꯤ꯫ | |
| ꯌꯨ | ꯑꯦꯁ꯭ꯄꯤꯔꯤꯟ ꯑꯃꯁꯨꯡ ꯃꯁꯤꯒꯥ ꯃꯥꯟꯅꯕꯥ ꯍꯤꯗꯥꯀꯁꯤꯡ꯫ |
| ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔꯒꯤ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ꯫ | ꯏ ꯊꯣꯀꯄꯥ ꯊꯤꯡꯅꯕꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ (ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯋꯥꯔꯐꯦꯔꯤꯟ) |
| ꯑꯇꯣꯞꯄꯥ ꯑꯦꯟ.ꯑꯦꯁ.ꯑꯦ.ꯑꯥꯏ.ꯗꯤ.ꯁꯤꯡ (ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯏꯕꯨꯞꯔꯣꯐꯦꯟ, ꯅꯥꯞꯔꯣꯛꯁꯦꯟ) | ꯗꯥꯏꯑꯦꯕꯦꯇꯤꯖꯒꯤ ꯊꯧꯑꯣꯡꯁꯤꯡ꯫ |
| ꯂꯤꯊꯤꯌꯥꯝ꯫ | ꯁ꯭ꯇꯦꯔꯣꯏꯗ ꯃꯈꯂꯒꯤ ꯍꯤꯗꯥꯀꯁꯤꯡ (ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯄ꯭ꯔꯦꯗꯅꯤꯁꯟ) |
| ꯁꯥꯏꯛꯂꯣꯁ꯭ꯄꯣꯔꯤꯟ꯫ | ꯄꯦꯃꯦꯠꯔꯦꯛꯁꯦꯗ ꯇꯧꯕꯥ꯫ |
ꯃꯁꯤꯒꯤ ꯂꯤꯁ꯭ꯠ ꯑꯁꯤ ꯃꯄꯨꯡ ꯐꯥꯗ꯭ꯔꯤ꯫ ꯅꯍꯥꯛꯅꯥ ꯂꯧꯔꯤꯕꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ, ꯚꯤꯇꯥꯃꯤꯟ, ꯍꯔꯕꯁ, ꯑꯃꯁꯨꯡ ꯁꯞꯂꯤꯃꯦꯟꯇꯁꯤꯡ ꯐꯥꯎꯕꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯈꯪꯍꯅꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫
ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛ ꯂꯧꯕꯥ ꯃꯇꯃꯗꯥ ꯆꯦꯀꯁꯤꯅꯒꯗꯕꯥ ꯋꯥꯐꯃꯁꯤꯡ꯫
ꯁ꯭ꯇꯣꯃꯥꯛ ꯑꯂꯁꯔ ꯑꯃꯁꯨꯡ ꯏ ꯊꯣꯀꯄꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯆꯦꯀꯁꯤꯅꯒꯗꯕꯅꯤ꯫
ꯍꯤꯗꯥꯛ ꯑꯁꯤꯅꯥ ꯆꯦꯀꯁꯤꯅꯋꯥ ꯌꯥꯑꯣꯗꯅꯥ ꯑꯀꯅꯕꯥ ꯁ꯭ꯇꯣꯃꯥꯛ ꯑꯂꯁꯔ ꯑꯃꯁꯨꯡ ꯏ ꯊꯣꯀꯄꯥ ꯌꯥꯏ . ꯃꯩꯈꯨ ꯊꯥꯗꯣꯀꯄꯥ, ꯌꯨ ꯊꯀꯄꯥ, ꯆꯍꯤ ꯌꯥꯃꯈꯠꯄꯥ ꯑꯃꯁꯨꯡ ꯍꯀꯁꯦꯂꯒꯤ ꯐꯤꯚꯝ ꯐꯠꯇꯕꯅꯥ ꯔꯤꯁ꯭ꯛ ꯑꯁꯤ ꯍꯦꯅꯒꯠꯍꯜꯂꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯈꯣꯡꯗꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯂꯩꯔꯕꯗꯤ, ꯀꯣꯐꯤ ꯒ꯭ꯔꯥꯎꯟꯗ, ꯅꯠꯠꯔꯒꯥ ꯕ꯭ꯂꯦꯛ ꯁ꯭ꯇꯣꯜ (black stools)ꯒꯨꯝꯕꯥ ꯎꯅꯁꯥ ꯑꯃꯥ ꯂꯩꯔꯕꯗꯤ, ꯈꯨꯗꯛꯇꯥ ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯄꯥꯎꯇꯥꯛ ꯂꯧꯒꯗꯕꯅꯤ꯫
ꯍꯥꯔꯠ ꯑꯦꯇꯦꯛ ꯑꯃꯁꯨꯡ ꯁ꯭ꯠꯔꯣꯛ ꯔꯤꯁ꯭ꯛ ꯂꯩꯕꯥ꯫
ꯍꯤꯗꯥꯛ ꯑꯁꯤꯅꯥ ꯍꯥꯔꯠ ꯑꯦꯇꯦꯛ ꯅꯠꯠꯔꯒꯥ ꯁ꯭ꯠꯔꯣꯛ ꯊꯤꯡꯗꯦ꯫ ꯇꯁꯦꯡꯕꯗꯤ, ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯁꯤꯖꯤꯟꯅꯕꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯔꯤꯁ꯭ꯛ ꯍꯦꯅꯒꯠꯍꯅꯕꯥ ꯌꯥꯏ, ꯃꯔꯨꯑꯣꯏꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯍꯥꯔꯇꯀꯤ ꯂꯥꯌꯅꯥ ꯂꯩꯔꯕꯗꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯍꯥꯔꯠ ꯑꯦꯇꯦꯛ ꯇꯧꯗꯅꯕꯥ ꯑꯦꯁ꯭ꯄꯤꯔꯤꯟ ꯂꯧꯔꯕꯗꯤ, ꯍꯤꯗꯥꯛ ꯑꯁꯤ ꯂꯧꯗ꯭ꯔꯤꯉꯩꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯇꯥꯟꯅꯧ꯫
ꯁꯥꯊꯤꯕꯥ ꯁ꯭ꯀꯤꯟ ꯔꯤꯑꯦꯛꯁꯅꯁꯤꯡ꯫
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛ ꯍꯧꯔꯕꯥ ꯃꯇꯨꯡ ꯅꯨꯃꯤꯠ ꯈꯔꯅꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯐꯥꯎꯕꯥ ꯁꯥꯊꯤꯕꯥ ꯁ꯭ꯀꯤꯟ ꯔꯤꯑꯦꯛꯁꯅꯁꯤꯡ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯂꯥꯏꯍꯧ, ꯍꯀꯆꯥꯡ ꯁꯣꯛ-ꯄꯅꯕꯥ, ꯈꯣꯡ-ꯈꯨꯠ ꯁꯣꯀꯄꯥ, ꯅꯠꯠꯔꯒꯥ ꯅꯍꯥꯛꯀꯤ ꯃꯥꯌ, ꯊꯕꯥꯛ, ꯈꯣꯡ ꯅꯠꯠꯔꯒꯥ ꯈꯣꯡꯗꯥ ꯂꯤꯝꯐ ꯅꯣꯗꯁꯤꯡ ꯁꯣꯟꯊꯔꯀꯄꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯂꯥꯂꯍꯧꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯃꯆꯨ ꯃꯆꯨꯒꯤ ꯐꯤ-ꯔꯣꯂꯁꯤꯡ ꯂꯩꯔꯕꯗꯤ ꯈꯨꯗꯛꯇꯥ ꯗꯣꯛꯇꯔꯗꯥ ꯇꯥꯀꯄꯤꯌꯨ꯫
ꯃꯤꯔꯣꯜꯂꯤꯉꯩ ꯃꯇꯃꯗꯥ ꯆꯦꯀꯁꯤꯅꯒꯗꯕꯅꯤ꯫
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯤꯔꯣꯜꯂꯤꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯃꯤꯔꯣꯅꯕꯥ ꯍꯣꯠꯅꯔꯕꯗꯤ, ꯍꯤꯗꯥꯛ ꯑꯁꯤ ꯁꯤꯖꯤꯟꯅꯗ꯭ꯔꯤꯉꯩꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯇꯥꯟꯅꯧ꯫ ꯃꯤꯔꯣꯜꯂꯤꯉꯩꯒꯤ ꯅꯨꯃꯤꯠ 20ꯗꯒꯤ 30 ꯐꯥꯎꯕꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯍꯤꯗꯥꯛ ꯑꯁꯤ ꯂꯧꯕꯅꯥ ꯄꯣꯀꯄꯗꯥ ꯉꯥꯏꯔꯤꯕꯥ ꯑꯉꯥꯡ ꯑꯗꯨꯗꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯍꯤꯗꯥꯛ ꯑꯁꯤ ꯅꯨꯃꯤꯠ 30ꯅꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯂꯧꯔꯣꯏꯗꯕꯅꯤ꯫
ꯍꯤꯗꯥꯛ ꯑꯗꯨꯒꯤ ꯑꯣꯏꯊꯣꯀꯄꯥ ꯌꯥꯕꯥ ꯁꯥꯏꯗ ꯏꯐꯦꯛꯇꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?
ꯍꯤꯗꯥꯛ ꯑꯃꯍꯦꯛꯇꯒꯨꯝꯅꯥ ꯗꯤꯛꯂꯣꯐꯦꯅꯥꯛ ꯑꯁꯤꯅꯥ ꯁꯥꯏꯗ ꯏꯐꯦꯛꯇꯁꯤꯡ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯈꯔꯗꯤ ꯌꯥꯝꯅꯥ ꯂꯨꯕꯥ ꯑꯣꯏ, ꯑꯗꯨꯒꯥ ꯑꯇꯩ ꯈꯔꯗꯤ ꯀꯃꯟ ꯑꯣꯏ꯫
| ꯈꯨꯗꯛꯇꯥ ꯗꯣꯛꯇꯔꯗꯥ ꯔꯤꯄꯣꯔꯠ ꯇꯧꯒꯗꯕꯥ ꯁꯥꯊꯤꯕꯥ ꯁꯥꯏꯗ ꯏꯐꯦꯛꯇꯁꯤꯡ꯫ | |
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| ꯑꯦꯂꯥꯔꯖꯤꯒꯤ ꯔꯤꯑꯦꯛꯁꯅꯁꯤꯡ꯫ | ꯈꯣꯡ-ꯈꯨꯠ ꯁꯣꯛ-ꯄꯅꯕꯥ, ꯁꯣꯛ-ꯄꯅꯕꯥ, ꯃꯥꯌ, ꯃꯤꯠ, ꯖꯤꯕ ꯅꯠꯠꯔꯒꯥ ꯀꯣꯛ ꯆꯤꯀꯄꯥ꯫ |
| ꯏ ꯊꯣꯀꯄꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ꯫ | ꯕ꯭ꯂꯦꯛ/ꯇꯥꯔꯤ ꯁ꯭ꯇꯣꯂꯁꯤꯡ, ꯀꯣꯐꯤ ꯒ꯭ꯔꯥꯎꯟꯗꯒꯨꯝꯅꯥ ꯎꯕꯥ ꯐꯪꯕꯥ ꯈꯣꯡꯎꯞ, ꯂꯥꯂꯍꯧꯕꯥ/ ꯃꯆꯨ ꯁꯪꯂꯕꯥ ꯌꯨꯔꯤꯟ, ꯈꯣꯡꯗꯥ ꯂꯥꯂꯍꯧꯕꯥ/ ꯃꯆꯨ ꯃꯆꯨꯒꯤ ꯃꯐꯃꯁꯤꯡ꯫ |
| ꯍꯥꯔꯠ ꯑꯦꯇꯦꯛ ꯑꯃꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ꯫ | ꯈꯣꯡ, ꯈꯨꯎ, ꯈꯨꯎ, ꯅꯠꯠꯔꯒꯥ ꯈꯣꯡꯗꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ/ ꯁꯣꯀꯄꯥ, ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ, ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ꯫ |
| ꯁ꯭ꯠꯔꯣꯛ ꯑꯃꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ꯫ | ꯈꯪꯍꯧꯗꯅꯥ ꯃꯥꯌ, ꯃꯈꯨꯠ ꯅꯠꯠꯔꯒꯥ ꯈꯣꯡꯗꯥ ꯁꯣꯟꯊꯕꯥ/ ꯋꯥꯈꯜ ꯋꯥꯕꯥ, ꯋꯥ ꯉꯥꯡꯕꯗꯥ ꯑꯋꯥꯕꯥ, ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ, ꯈꯣꯡꯗꯥ ꯑꯋꯥꯕꯥ꯫ |
| ꯀꯤꯗꯅꯤ ꯃꯥꯡꯈꯤꯕꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ꯫ | ꯌꯨꯔꯤꯟ ꯑꯥꯎꯠꯄꯨꯠ ꯍꯟꯊꯔꯀꯄꯥ, ꯈꯣꯡ, ꯈꯨꯠ ꯅꯠꯠꯔꯒꯥ ꯈꯣꯡꯗꯥ ꯁꯣꯀꯄꯥ꯫ |
| ꯂꯤꯚꯔꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯅꯕꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ꯫ | ꯁ꯭ꯇꯣꯃꯥꯀꯀꯤ ꯃꯊꯛ ꯊꯪꯕꯥ ꯁꯔꯨꯛꯇꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯄꯥ, ꯆꯥꯛ ꯆꯥꯕꯥ ꯋꯥꯠꯄꯥ, ꯈꯣꯡ ꯅꯠꯠꯔꯒꯥ ꯃꯤꯠꯁꯤꯡ ꯑꯗꯨ ꯌꯦꯔꯨꯝ ꯀꯣꯀꯄꯥ꯫ |
| ꯃꯍꯧꯁꯥꯅꯥ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯑꯣꯏꯗꯕꯥ ꯁꯥꯏꯗ ꯏꯐꯦꯛꯇꯁꯤꯡ, ꯑꯗꯨꯕꯨ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯈꯣꯌ ꯑꯁꯤ ꯂꯦꯡꯗꯅꯥ ꯂꯩꯔꯕꯗꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯔꯤꯄꯣꯔꯠ ꯇꯧꯒꯗꯕꯅꯤ꯫ | |
| ꯀꯣꯛ ꯆꯤꯛꯄ | ꯀꯣꯛ ꯉꯥꯎꯕ |
| ꯆꯥꯅꯤꯡꯕ ꯊꯛꯅꯤꯡꯕ ꯐꯥꯎꯕ | ꯁ꯭ꯇꯣꯃꯥꯛ ꯗꯤꯁꯀꯝꯄꯣꯔꯠ/ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯁꯟ ꯂꯩꯕꯥ꯫ |
ꯇꯦꯛ-ꯍꯣꯝ ꯃꯦꯁꯦꯖ ꯇꯧꯕꯥ꯫
- ꯗꯤꯛꯂꯣꯐꯦꯅꯦꯛ ꯂꯤꯛꯌꯨꯏꯗ ꯑꯁꯤ ꯃꯥꯏꯒ꯭ꯔꯦꯅꯒꯤ ꯃꯀꯣꯛ ꯊꯣꯡꯕꯥ ꯑꯅꯥꯕꯁꯤꯡ ꯂꯥꯀꯁꯤꯟꯅꯕꯥ ꯁꯤꯖꯤꯟꯅꯩ , ꯃꯗꯨ ꯊꯣꯀꯍꯟꯗꯅꯕꯥ ꯁꯤꯖꯤꯟꯅꯗꯦ .
- ꯍꯤꯗꯥꯛ ꯑꯁꯤ ꯂꯧꯗ꯭ꯔꯤꯉꯩ ꯃꯃꯥꯡꯗꯥ, ꯅꯍꯥꯛꯀꯤ ꯃꯦꯗꯤꯀꯦꯜ ꯀꯟꯗꯤꯁꯟ ꯄꯨꯝꯅꯃꯛ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯅꯥ ꯂꯧꯔꯤꯕꯥ ꯍꯤꯗꯥꯛ ꯄꯨꯝꯅꯃꯛ (ꯇ꯭ꯔꯦꯗꯤꯁꯅꯦꯜ ꯍꯤꯗꯥꯀꯁꯤꯡ ꯌꯥꯎꯅꯥ)ꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯁꯣꯌꯗꯅꯥ ꯈꯪꯍꯅꯕꯤꯌꯨ꯫
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯈꯣꯡꯗꯥ ꯁꯣꯀꯄꯥ, ꯕ꯭ꯂꯦꯛ ꯁ꯭ꯇꯣꯜ, ꯈꯣꯡꯗꯥ ꯁꯣꯀꯄꯥ, ꯅꯠꯠꯔꯒꯥ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯈꯣꯡꯎꯄꯀꯤ ꯔꯤꯑꯦꯛꯁꯟ ꯑꯁꯤꯅꯆꯤꯡꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯂꯩꯔꯕꯗꯤ, ꯃꯗꯨ ꯌꯦꯡꯁꯤꯅꯕꯤꯒꯅꯨ ꯑꯃꯁꯨꯡ ꯈꯨꯗꯛꯇꯥ ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯄꯥꯎꯇꯥꯛ ꯂꯧꯕꯤꯌꯨ .
- ꯃꯁꯤꯒꯤ ꯍꯤꯗꯥꯛ ꯑꯁꯤ ꯑꯗꯣꯝ ꯈꯛꯇꯒꯤꯅꯤ꯫ ꯅꯍꯥꯛꯀꯤ ꯍꯤꯗꯥꯛ ꯑꯗꯨ ꯀꯩꯗꯧꯉꯩꯗꯥ ꯑꯇꯣꯞꯄꯗꯥ ꯁꯦꯌꯔ ꯇꯧꯔꯣꯏꯗꯕꯅꯤ꯫
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯤꯔꯣꯜꯂꯤꯕꯤ, ꯃꯤꯔꯣꯅꯕꯥ ꯍꯣꯠꯅꯔꯕꯗꯤ ꯅꯠꯠꯔꯒꯥ ꯈꯣꯝꯂꯥꯡ ꯄꯤꯊꯛꯂꯤꯕꯥ ꯑꯣꯏꯔꯕꯗꯤ, ꯍꯤꯗꯥꯛ ꯑꯁꯤ ꯅꯍꯥꯛꯅꯥ ꯂꯧꯕꯗꯥ ꯁꯥꯐꯕꯥ ꯑꯣꯏꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯁꯣꯌꯗꯅꯥ ꯍꯪꯕꯤꯌꯨ꯫
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