ꯑꯗꯣꯝꯅꯁꯨ ꯆꯤꯟꯖꯥꯛ ꯍꯖꯝ ꯇꯧꯕꯗꯥ ꯑꯋꯥꯕꯥ ꯃꯥꯌꯣꯛꯅꯔꯤꯕ꯭ꯔꯥ? ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡ ꯑꯗꯨ ꯃꯄꯨꯡ ꯐꯥꯅꯥ ꯂꯩꯕ꯭ꯔꯥ? ꯒꯦꯁ꯭ꯠꯔꯣꯄꯦꯔꯦꯁꯤꯁꯀꯤ ꯃꯇꯥꯡꯗꯥ ꯈꯉꯁꯤ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯆꯥꯅꯕꯥ ꯆꯤꯟꯖꯥꯛ ꯈꯔꯥ ꯆꯥꯔꯕꯥ ꯃꯇꯨꯡꯗꯁꯨ ꯃꯄꯨꯡ ꯐꯥꯅꯥ ꯊꯀꯄꯥ ꯐꯥꯑꯣꯕ꯭ꯔꯥ? ꯆꯥꯔꯕꯥ ꯃꯇꯨꯡ ꯄꯨꯡ ꯀꯌꯥ ꯐꯥꯎꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯑꯀꯅꯕꯥ, ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯐꯤꯚꯝ ꯑꯃꯥ ꯐꯥꯎꯕ꯭ꯔꯥ? ꯅꯠꯠꯔꯒꯥ ꯅꯍꯥꯛꯅꯥ ꯍꯀꯆꯥꯡ ꯁꯣꯛꯅ-ꯁꯝꯅꯗꯕꯥ ꯆꯤꯟꯖꯥꯀꯁꯤꯡ ꯊꯀꯄꯥ ꯌꯥꯕ꯭ꯔꯥ? ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯕꯥ ꯋꯥꯐꯃꯁꯤꯡ ꯈꯛꯇꯅꯤ ꯍꯥꯌꯅꯥ ꯈꯜꯂꯕꯁꯨ, ꯅꯍꯥꯛꯅꯥ ꯃꯤꯑꯣꯏ ꯀꯌꯥꯅꯥ ꯈꯪꯗꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯥ ꯂꯩꯕꯥ ꯌꯥꯏ, ꯑꯗꯨꯕꯨ ꯃꯁꯤ ꯈꯔꯥ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯐꯥꯎꯕꯥ ꯌꯥꯏ꯫ ꯉꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯒꯦꯁ꯭ꯠꯔꯣꯄꯦꯔꯦꯁꯤꯁ ꯀꯧꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯔꯤ꯫

ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯒꯦꯁ꯭ꯠꯔꯣꯄꯦꯔꯦꯁꯤꯁ ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ?

ꯃꯁꯤ ꯈꯔꯥ ꯌꯥꯝꯅꯥ ꯂꯨꯕꯥ ꯃꯤꯡ ꯑꯃꯅꯤ ꯑꯗꯨꯕꯨ ꯃꯁꯤ ꯂꯧꯁꯤꯅꯕꯥ ꯌꯥꯝꯅꯥ ꯂꯥꯏꯕꯛ ꯐꯕꯅꯤ꯫ ꯒꯦꯁ꯭ꯠꯔꯣꯄꯦꯔꯦꯁꯤꯁ ꯍꯥꯌꯕꯁꯤ ꯅꯍꯥꯛꯅꯥ ꯆꯥꯔꯤꯕꯥ ꯆꯤꯟꯖꯥꯛ ꯑꯗꯨ ꯅꯍꯥꯛꯀꯤ ꯁ꯭ꯇꯣꯃꯥꯀꯇꯒꯤ ꯅꯍꯥꯛꯀꯤ ꯏꯟꯇꯦꯁ꯭ꯇꯥꯏꯅꯁꯤꯡꯗꯥ ꯆꯠꯄꯗꯥ ꯅꯣꯔꯃꯦꯂꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯃꯇꯝ ꯆꯪꯕꯗꯨꯅꯤ꯫ ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯒꯤ ꯐꯉ꯭ꯀꯁꯟ ꯑꯗꯨ ꯁꯣꯀꯍꯜꯂꯤ꯫ ꯃꯁꯤ ꯂꯝꯕꯤꯗꯥ ꯇ꯭ꯔꯥꯐꯤꯛ ꯖ꯭ꯌꯥꯝ ꯑꯃꯒꯨꯝ ꯈꯅꯕꯤꯌꯨ꯫ ꯆꯤꯟꯖꯥꯛ ꯑꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯂꯩꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯃꯃꯥꯡꯗꯥ ꯄꯅꯈ꯭ꯔꯤꯕꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯑꯁꯤ ꯊꯣꯀꯄꯥ ꯍꯧꯏ꯫ ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯃꯁꯤꯕꯨ ꯀꯧꯕꯥ ꯑꯇꯣꯞꯄꯥ ꯃꯃꯤꯡ ꯑꯃꯗꯤ "ꯗꯦꯂꯤꯗ ꯒ꯭ꯌꯥꯁꯠꯔꯤꯛ ꯑꯦꯝꯞꯇꯤꯌꯤꯡ" ꯍꯥꯌꯕꯁꯤꯅꯤ꯫ ꯃꯁꯤꯅꯥ ꯁꯨꯞꯅꯒꯤ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯒꯤ ꯆꯥꯅꯕꯥ ꯆꯤꯟꯖꯥꯛ ꯊꯣꯡꯕꯗꯥ ꯊꯦꯡꯊꯕꯥ ꯍꯥꯌꯕꯁꯤꯅꯤ꯫

ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯤꯅꯣ?

ꯒꯦꯁ꯭ꯠꯔꯣꯄꯦꯔꯦꯁꯤꯁꯅꯥ ꯅꯥꯕꯥ ꯃꯤꯑꯣꯏ ꯈꯨꯗꯤꯡꯃꯛꯀꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯃꯥꯟꯅꯗꯦ꯫ ꯃꯤꯑꯣꯏ ꯈꯔꯗꯗꯤ ꯂꯥꯏꯑꯣꯡ ꯑꯃꯠꯇꯥ ꯂꯩꯇꯕꯁꯨ ꯌꯥꯏ꯫ ꯑꯗꯨꯕꯨ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯂꯥꯏꯑꯣꯡ ꯈꯔꯗꯤ ꯂꯩ꯫ ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯑꯗꯣꯃꯗꯥ ꯈꯉꯅꯔꯕꯥ ꯋꯥꯐꯝ ꯑꯃꯥ ꯑꯣꯏꯔꯤꯕꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯕꯤꯌꯨ꯫

ꯃꯁꯤ ꯀꯔꯤꯒꯤ ꯊꯣꯛꯂꯤꯕꯅꯣ? ꯃꯔꯃꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?

ꯑꯌꯥꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯑꯀꯛꯅꯕꯥ ꯃꯔꯝ ꯑꯃꯥ ꯈꯉꯗꯣꯀꯄꯥ ꯉꯃꯗꯦ, ꯑꯗꯨꯕꯨ ꯀꯦꯁ ꯈꯔꯗꯗꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤꯒꯤ ꯃꯇꯦꯡ ꯄꯥꯡꯂꯤꯕꯥ ꯐꯦꯛꯇꯔ ꯀꯌꯥ ꯑꯃꯥ ꯈꯉꯗꯣꯀꯈ꯭ꯔꯦ꯫

• ꯗꯥꯏꯑꯦꯕꯦꯇꯤꯖ ꯃꯦꯂꯤꯇꯁ: ꯗꯥꯏꯑꯦꯕꯦꯇꯤꯖ ꯑꯁꯤ ꯒꯦꯁ꯭ꯠꯔꯣꯄꯦꯔꯦꯁꯤꯁꯀꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯑꯃꯁꯨꯡ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯃꯔꯃꯅꯤ꯫ ꯕ꯭ꯂꯗ ꯁꯨꯒꯔꯒꯤ ꯆꯥꯡ ꯑꯁꯤ ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯗꯕꯥ ꯃꯇꯃꯗꯥ, ꯃꯁꯤꯅꯥ ꯍꯀꯆꯥꯡꯗꯥ ꯂꯩꯔꯤꯕꯥ ꯅꯔꯚꯁꯤꯡꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯜꯂꯤ꯫ ꯑꯩꯈꯣꯌꯒꯤ ꯗꯥꯏꯖꯦꯁ꯭ꯇꯤꯚ ꯁꯤꯁ꯭ꯇꯦꯃꯕꯨ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯔꯤꯕꯥ ꯚꯦꯒꯁ ꯅꯔꯚ (vagus nerve) ꯑꯁꯤ ꯁꯣꯀꯍꯜꯂꯕꯥ ꯃꯇꯃꯗꯥ, ꯁ꯭ꯇꯣꯃꯥꯀꯀꯤ ꯐꯉ꯭ꯀꯁꯟ ꯁꯣꯟꯊꯕꯥ ꯌꯥꯏ꯫
• ꯁꯔꯖꯔꯤ: ꯑꯦꯕꯗꯣꯃꯤꯅꯦꯜ ꯁꯔꯖꯔꯤ ꯈꯔꯅꯥ ꯃꯃꯥꯡꯗꯥ ꯄꯅꯈ꯭ꯔꯤꯕꯥ ꯚꯦꯒꯁ ꯅꯔꯚ ꯑꯗꯨꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫
• ꯚꯥꯏꯔꯁ ꯏꯅꯐꯦꯛꯁꯅꯁꯤꯡ: ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯁ꯭ꯇꯣꯃꯥꯛ ꯚꯥꯏꯔꯁ ꯏꯅꯐꯦꯛꯁꯟ (ꯒꯦꯁ꯭ꯠꯔꯣꯑꯦꯟꯇꯦꯔꯥꯏꯇꯤꯁ) ꯈꯔꯒꯤ ꯃꯇꯨꯡꯗꯁꯨ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫
• ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛ ꯈꯔꯗꯤ: ꯄꯦꯏꯅꯀꯤꯂꯔꯁꯤꯡ (ꯃꯔꯨꯑꯣꯏꯅꯥ ꯅꯥꯔꯀꯣꯇꯤꯀꯁꯤꯡ) ꯑꯃꯁꯨꯡ ꯑꯦꯟꯇꯤꯗꯤꯞꯔꯦꯁꯦꯟꯇ ꯈꯔꯅꯁꯨ ꯍꯀꯆꯥꯡ ꯁꯣꯛꯅꯕꯒꯤ ꯊꯧꯑꯣꯡ ꯑꯁꯤ ꯊꯤꯡꯕꯥ ꯉꯝꯃꯤ꯫
• ꯑꯇꯣꯞꯄꯥ ꯃꯦꯗꯤꯀꯦꯜ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ: ꯃꯁꯤ ꯊꯥꯌꯔꯣꯏꯗ ꯍꯣꯔꯃꯣꯟ ꯋꯥꯠꯄꯥ (ꯍꯥꯏꯄꯣꯊꯥꯏꯔꯣꯏꯗꯤꯖꯝ), ꯄꯥꯔꯀꯤꯅꯁꯅꯁ ꯗꯤꯖꯤꯖ, ꯃꯜꯇꯤꯄꯜ ꯁ꯭ꯛꯂꯦꯔꯣꯁꯤꯁꯒꯨꯝꯕꯥ ꯅꯔꯚ ꯁꯤꯁ꯭ꯇꯦꯃꯒꯤ ꯂꯥꯌꯅꯥꯁꯤꯡ, ꯑꯃꯁꯨꯡ ꯑꯦꯃꯤꯂꯣꯏꯗꯣꯁꯤꯁ ꯑꯃꯁꯨꯡ ꯁ꯭ꯛꯂꯦꯔꯣꯗꯥꯔꯃꯥꯒꯨꯝꯕꯥ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯊꯣꯀꯄꯥ ꯂꯥꯌꯅꯥꯁꯤꯡꯅꯁꯨ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫

ꯃꯁꯤꯅꯥ ꯀꯔꯤ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯕꯒꯦ?

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯒꯦꯁ꯭ꯠꯔꯣꯄꯦꯔꯦꯁꯤꯁ ꯑꯁꯤ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯂꯥꯏꯌꯦꯡꯗ꯭ꯔꯕꯗꯤ ꯃꯈꯥ ꯇꯥꯅꯥ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯃꯁꯤꯡ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫

• ꯕꯦꯛꯇꯦꯔꯤꯌꯥ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ: ꯆꯤꯟꯖꯥꯛ ꯑꯁꯤ ꯁ꯭ꯇꯣꯃꯥꯛꯇꯥ ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯂꯩꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯃꯗꯨ ꯐꯔꯃꯦꯟꯇ ꯇꯧꯕꯥ ꯍꯧꯔꯀꯄꯥ ꯌꯥꯏ ꯑꯃꯁꯨꯡ ꯃꯥꯡ-ꯇꯥꯛꯅꯤꯡꯉꯥꯏ ꯑꯣꯏꯕꯥ ꯕꯦꯛꯇꯦꯔꯤꯌꯥ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ ꯌꯥꯏ꯫
• ꯗꯤꯍꯥꯌꯗ꯭ꯔꯦꯁꯟ (dehydration): ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯌꯥꯝꯅꯥ ꯇꯣꯏꯅꯥ ꯃꯤꯠ ꯎꯗꯕꯥ ꯇꯥꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡꯗꯒꯤ ꯏꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯁꯣꯜꯇ ꯃꯥꯡꯈꯤꯕꯥ ꯌꯥꯏ, ꯃꯗꯨꯅꯥ ꯗꯤꯍꯥꯌꯗ꯭ꯔꯦꯁꯟ (dehydration) ꯊꯣꯀꯍꯜꯂꯤ꯫ ꯃꯁꯤ ꯈꯨꯗꯣꯡꯊꯤꯅꯤꯉꯥꯏ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫
• ꯃꯆꯤ ꯑꯣꯏꯕꯥ ꯆꯤꯟꯖꯥꯛ ꯆꯥꯗꯕꯥ: ꯱.ꯍꯀꯆꯥꯡꯅꯥ ꯆꯤꯟꯖꯥꯛ ꯑꯗꯨ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯆꯨꯃꯊꯣꯀꯄꯥ ꯉꯃꯗꯕꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯅ꯭ꯌꯨꯠꯔꯤꯁꯟ ꯋꯥꯠꯄꯥ ꯌꯥꯏ꯫
• ꯏꯟꯇꯦꯁ꯭ꯇꯥꯏꯅꯒꯤ ꯑꯣꯕꯁ꯭ꯠꯔꯥꯀꯁꯟ (intestinal obstruction): ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯁ꯭ꯇꯣꯃꯥꯀꯇꯥ ꯌꯥꯎꯗꯕꯥ ꯆꯤꯟꯖꯥꯀꯁꯤꯡꯅꯥ ꯌꯦꯔꯨꯝ ꯀꯣꯀꯄꯥ ꯌꯥꯏ ꯑꯃꯁꯨꯡ ꯁ꯭ꯇꯣꯟ ꯑꯃꯒꯨꯝꯅꯥ ꯀꯅꯕꯥ ꯌꯥꯏ, ꯃꯗꯨꯅꯥ ꯏꯟꯇꯦꯁ꯭ꯇꯥꯏꯅꯗꯥ ꯕ꯭ꯂꯣꯀꯦꯖ ꯑꯃꯥ ꯊꯣꯀꯍꯜꯂꯤ꯫ ꯃꯁꯤꯕꯨ ꯕꯦꯖꯣꯌꯥꯔ ꯍꯥꯌꯅꯥ ꯀꯧꯏ .
• ꯄꯨꯟꯁꯤꯒꯤ ꯃꯒꯨꯟ ꯍꯟꯊꯔꯀꯄꯥ: ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯅꯨꯃꯤꯠ ꯈꯨꯗꯤꯡꯒꯤ ꯊꯕꯛ ꯊꯧꯔꯃꯁꯤꯡ ꯄꯥꯡꯊꯣꯀꯄꯥ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯂꯨꯕꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫

ꯗꯣꯛꯇꯔ ꯑꯃꯅꯥ ꯃꯁꯤ ꯀꯔꯝꯅꯥ ꯐꯪꯒꯅꯤ?

ꯅꯍꯥꯛꯅꯥ ꯗꯣꯛꯇꯔ ꯑꯃꯗꯥ ꯆꯠꯄꯥ ꯃꯇꯃꯗꯥ, ꯃꯍꯥꯛꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯗꯨ ꯅꯤꯡꯊꯤꯅꯥ ꯇꯥꯒꯅꯤ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯀꯄꯨ ꯌꯦꯡꯁꯤꯅꯒꯅꯤ꯫ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ, ꯃꯍꯥꯛꯅꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯗꯨ ꯀꯅꯐꯥꯔꯝ ꯇꯧꯅꯕꯥ ꯇꯦꯁ꯭ꯠ ꯀꯌꯥ ꯑꯃꯥ ꯑꯣꯔꯗꯔ ꯇꯧꯕꯥ ꯌꯥꯏ꯫

• ꯒ꯭ꯌꯥꯁ꯭ꯠꯔꯤꯛ ꯁꯤꯟꯇꯤꯒ꯭ꯔꯥꯐꯤ: ꯃꯁꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯇꯦꯁ꯭ꯇꯅꯤ꯫ ꯇꯦꯁ꯭ꯠ ꯑꯁꯤꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯔꯦꯗꯤꯑꯣꯑꯦꯛꯇꯤꯚ ꯄꯣꯠꯁꯛ ꯑꯃꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯑꯄꯤꯀꯄꯥ ꯆꯤꯟꯖꯥꯛ (ꯉꯥꯒꯨꯝꯕꯥ) ꯑꯃꯥ ꯆꯥꯔꯤ꯫ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ, ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡ ꯑꯗꯨ ꯀꯌꯥꯝ ꯊꯨꯅꯥ ꯏꯁꯤꯡꯗꯥ ꯆꯦꯟꯊꯈꯤꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯁꯤꯟꯅꯕꯥ ꯁ꯭ꯀꯦꯅꯔ ꯑꯃꯥ ꯁꯤꯖꯤꯟꯅꯩ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯄꯨꯡ 4ꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯆꯥꯅꯕꯥ ꯆꯤꯟꯖꯥꯛꯀꯤ 10%ꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯂꯩꯔꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯒꯦꯁ꯭ꯠꯔꯣꯄꯦꯔꯦꯁꯤꯁ ꯂꯩꯔꯦ ꯍꯥꯌꯅꯥ ꯀꯅꯐꯥꯔꯝ ꯇꯧꯏ꯫
• ꯕ꯭ꯂꯗ ꯇꯦꯁ꯭ꯠ: ꯃꯁꯤꯅꯥ ꯗꯤꯍꯥꯌꯗ꯭ꯔꯦꯁꯟ, ꯅ꯭ꯌꯨꯠꯔꯤꯁꯅꯒꯤ ꯑꯋꯥꯠꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯆꯤꯅꯤꯒꯤ ꯆꯥꯡꯒꯤ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯃꯁꯤꯡ ꯆꯦꯛ ꯇꯧꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫
• ꯑꯋꯥꯡꯕꯥ ꯑꯦꯟꯗꯣꯁ꯭ꯀꯣꯄꯤ (Upper endoscopy) : ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯌꯦꯡꯁꯤꯟꯅꯕꯥ ꯀꯦꯃꯦꯔꯥ ꯌꯥꯎꯕꯥ ꯑꯄꯤꯀꯄꯥ ꯇꯤꯎꯕ ꯑꯃꯥ ꯅꯍꯥꯛꯀꯤ ꯃꯤꯠꯀꯤ ꯃꯅꯨꯡꯗꯥ ꯊꯥꯒꯅꯤ꯫ ꯃꯁꯤꯅꯥ ꯑꯇꯩ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ (ꯑꯂꯁꯔꯒꯨꯝꯕꯥ) ꯆꯦꯛꯁꯤꯅꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯕꯥ ꯌꯥꯏ꯫
• ꯕꯦꯔꯤꯌꯥꯝ ꯑꯦꯛꯁ-ꯔꯦ: ꯕꯦꯔꯤꯌꯥꯝ ꯌꯥꯎꯕꯥ ꯂꯤꯛꯌꯨꯏꯗ ꯑꯃꯥ ꯂꯧꯊꯣꯀꯏ ꯑꯃꯁꯨꯡ ꯑꯦꯛꯁ-ꯔꯦ ꯏꯃꯦꯖꯁꯤꯡ ꯂꯧꯏ꯫ ꯃꯁꯤꯅꯥ ꯁ꯭ꯇꯣꯃꯥꯀꯀꯤ ꯃꯑꯣꯡ-ꯃꯇꯧ ꯑꯃꯁꯨꯡ ꯐꯉ꯭ꯀꯁꯅꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯈꯜꯂꯣꯟ ꯑꯃꯥ ꯄꯤꯕꯥ ꯉꯃꯒꯅꯤ꯫

`ꯒꯦꯁ꯭ꯠꯔꯤꯛ ꯃꯦꯅꯣꯃꯦꯠꯔꯤ` ꯑꯃꯁꯨꯡ `ꯏꯂꯦꯛꯠꯔꯣꯒꯦꯁ꯭ꯠꯔꯣꯒ꯭ꯔꯥꯐꯤ`ꯒꯨꯝꯕꯥ ꯑꯇꯣꯞꯄꯥ ꯑꯈꯟꯅꯕꯥ ꯇꯦꯁ꯭ꯇꯁꯤꯡꯁꯨ ꯂꯩꯔꯤ꯫ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯀꯔꯤ ꯇꯦꯁ꯭ꯠ ꯃꯊꯧ ꯇꯥꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯂꯦꯄꯀꯅꯤ꯫

ꯃꯁꯤꯒꯤ ꯂꯥꯏꯌꯦꯡꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯤꯅꯣ?

ꯒꯦꯁ꯭ꯠꯔꯣꯄꯦꯔꯦꯁꯤꯁ ꯍꯥꯌꯕꯁꯤ ꯃꯇꯝ ꯁꯥꯡꯅꯥ (chronic) ꯑꯣꯏꯕꯥ ꯌꯥꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫ ꯑꯗꯨꯕꯨ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯂꯩꯔꯣꯏꯗꯕꯅꯤ꯫ ꯃꯁꯤ ꯃꯦꯅꯦꯖ ꯇꯧꯕꯥ ꯑꯃꯁꯨꯡ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯥ ꯌꯥꯏ꯫

ꯆꯥꯕꯒꯤ ꯃꯑꯣꯡ-ꯃꯇꯧꯗꯥ ꯑꯍꯣꯡꯕꯥ ꯂꯥꯀꯄꯥ꯫

ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯅꯕꯒꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯥ ꯑꯃꯁꯨꯡ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯄꯥꯝꯕꯩꯗꯤ ꯅꯍꯥꯛꯀꯤ ꯆꯥꯅꯕꯥ ꯍꯩꯅꯕꯤꯁꯤꯡ ꯍꯣꯡꯗꯣꯀꯄꯅꯤ꯫

• ꯑꯆꯧꯕꯥ ꯆꯤꯟꯖꯥꯀꯁꯤꯡꯒꯤ ꯃꯍꯨꯠꯇꯥ ꯑꯄꯤꯀꯄꯥ ꯆꯤꯟꯖꯥꯀꯁꯤꯡ: ꯅꯣꯡꯃꯗꯥ ꯑꯆꯧꯕꯥ ꯆꯥꯅꯕꯥ 3 ꯆꯥꯕꯒꯤ ꯃꯍꯨꯠꯇꯥ, ꯅꯣꯡꯃꯗꯥ ꯑꯄꯤꯀꯄꯥ ꯆꯤꯟꯖꯥꯀꯁꯤꯡ 5-6 ꯔꯛ ꯆꯥꯒꯗꯕꯅꯤ꯫ ꯃꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯁ꯭ꯇꯣꯃꯥꯛ ꯑꯗꯨ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯌꯥꯡꯅꯥ ꯄꯥꯌꯈꯠꯄꯥ ꯉꯃꯍꯜꯂꯣꯏ꯫
• ꯂꯤꯛꯌꯨꯏꯗ ꯑꯃꯁꯨꯡ ꯌꯥꯝꯅꯥ ꯌꯥꯎꯕꯥ ꯆꯤꯟꯖꯥꯀꯁꯤꯡ: ꯑꯦꯄꯜ ꯑꯃꯥ ꯆꯥꯕꯒꯤ ꯃꯍꯨꯠꯇꯥ, ꯑꯦꯄꯂꯁ, ꯎꯍꯩ-ꯋꯥꯍꯩꯒꯤ ꯁꯣꯞ, ꯐꯦꯠ ꯅꯦꯝꯕꯥ ꯕ꯭ꯔꯣꯊ, ꯑꯃꯁꯨꯡ ꯃꯅꯥ-ꯃꯁꯤꯡꯒꯤ ꯖꯨꯁꯒꯨꯝꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ ꯆꯥꯒꯗꯕꯅꯤ꯫
• ꯐꯦꯠ ꯑꯃꯁꯨꯡ ꯐꯥꯏꯕꯔ ꯍꯟꯊꯍꯅꯕꯥ: ꯇꯩꯁꯤꯅꯕꯥ, ꯐꯦꯠ ꯌꯥꯎꯕꯥ ꯆꯤꯟꯖꯥꯀꯁꯤꯡ (ꯐ꯭ꯔꯥꯏꯗ ꯐꯨꯗꯁꯤꯡ) ꯑꯃꯁꯨꯡ ꯐꯤꯕꯔ ꯌꯥꯝꯅꯥ ꯌꯥꯎꯕꯥ ꯆꯤꯟꯖꯥꯀꯁꯤꯡ (ꯃꯍꯩ-ꯃꯔꯣꯡꯁꯤꯡ, ꯍꯣꯜ ꯒ꯭ꯔꯦꯅꯁꯤꯡ) ꯑꯁꯤ ꯍꯟꯖꯤꯅꯕꯗꯥ ꯃꯇꯝ ꯍꯦꯟꯅꯥ ꯆꯪꯕꯅꯥ ꯂꯤꯃꯤꯠ ꯇꯧꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯩ꯫
• ꯆꯥꯕꯥ ꯂꯣꯌꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯀꯅꯁ꯭ꯇꯤꯄꯁꯟ (constipation) ꯊꯤꯡꯕꯥ: ꯆꯥꯕꯥ ꯂꯣꯌꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯌꯥꯃꯗ꯭ꯔꯕꯗꯥ ꯄꯨꯡ 2 ꯂꯦꯡꯗꯅꯥ ꯂꯩꯒꯅꯨ꯫ ꯅꯍꯥꯛꯅꯥ ꯂꯦꯞꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯈꯣꯡꯅꯥ ꯆꯠꯄꯥ ꯃꯇꯃꯗꯥ, ꯒ꯭ꯔꯦꯚꯤꯇꯤꯅꯥ ꯆꯤꯟꯖꯥꯛ ꯑꯗꯨ ꯃꯈꯥꯗꯥ ꯆꯠꯄꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫

ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ꯫

ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯗꯨ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯅꯕꯥ ꯍꯤꯗꯥꯛ ꯀꯌꯥ ꯄꯤꯕꯥ ꯌꯥꯏ꯫ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ ꯑꯁꯤ ꯗꯣꯛꯇꯔꯒꯤ ꯄꯥꯎꯇꯥꯛ ꯌꯥꯎꯗꯅꯥ ꯀꯩꯗꯧꯉꯩꯗꯥ ꯂꯧꯔꯣꯏꯗꯕꯅꯤ꯫

• ꯁ꯭ꯇꯣꯃꯥꯛ ꯑꯦꯛꯇꯤꯚꯤꯇꯤ ꯁ꯭ꯇꯤꯝꯌꯨꯜ ꯇꯧꯕꯥ ꯗ꯭ꯔꯒꯁꯤꯡ: `ꯃꯦꯇꯣꯛꯂꯣꯞꯔꯥꯃꯥꯏꯗ` ꯑꯃꯁꯨꯡ `ꯏꯔꯤꯊ꯭ꯔꯣꯃꯥꯏꯁꯤꯟ`ꯒꯨꯝꯕꯥ ꯗ꯭ꯔꯒꯁꯤꯡꯅꯥ ꯁ꯭ꯇꯣꯃꯥꯛ ꯃꯁꯂꯁꯤꯡꯒꯤ ꯀꯟꯠꯔꯦꯛꯇ ꯁ꯭ꯇꯤꯝꯌꯨꯜ ꯇꯧꯏ ꯑꯃꯁꯨꯡ ꯆꯤꯟꯖꯥꯛ ꯑꯁꯤ ꯏꯟꯇꯦꯁ꯭ꯇꯥꯏꯅꯁꯤꯡꯗꯥ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯆꯠꯍꯅꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫
• ꯑꯦꯟꯇꯤꯏꯃꯦꯇꯤꯀꯁꯤꯡ: ꯑꯣꯟꯗꯥꯟꯁꯦꯠꯔꯣꯟ ꯑꯃꯁꯨꯡ ꯄ꯭ꯔꯣꯛꯂꯣꯔꯄꯦꯔꯥꯖꯤꯅꯒꯨꯝꯕꯥ ꯑꯦꯟꯇꯤꯏꯃꯦꯇꯤꯀꯁꯤꯡꯅꯥ ꯅꯣꯡꯃꯩ ꯀꯥꯞꯄꯥ ꯑꯃꯁꯨꯡ ꯈꯣꯡ ꯍꯥꯝꯕꯥ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫

ꯑꯇꯣꯞꯄꯥ ꯂꯥꯏꯌꯦꯡꯁꯤꯡ꯫

ꯁꯥꯊꯤꯕꯥ ꯀꯦꯁ ꯈꯔꯗꯗꯤ, ꯗꯣꯛꯇꯔ ꯑꯗꯨꯅꯥ ꯑꯇꯩ ꯂꯥꯏꯌꯦꯡꯁꯤꯡꯒꯤ ꯃꯇꯦꯡ ꯂꯧꯕꯥ ꯌꯥꯏ꯫

• ꯄꯤꯖꯔꯤꯕꯥ ꯇꯤꯎꯕ (feeding tube): ꯀꯔꯤꯒꯨꯝꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯗꯨ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯑꯣꯏꯔꯕꯗꯤ, ꯆꯤꯟꯖꯥꯀꯁꯤꯡ ꯑꯗꯨ ꯃꯤꯠꯅꯥ ꯊꯀꯄꯥ ꯉꯃꯗ꯭ꯔꯕꯗꯤ, ꯇꯤꯎꯕ ꯑꯃꯥ ꯁ꯭ꯇꯣꯃꯥꯀꯀꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯍꯀꯊꯦꯡꯅꯅꯥ ꯑꯄꯤꯀꯄꯥ ꯏꯟꯇꯦꯁ꯭ꯇꯥꯏꯅꯗꯥ ꯍꯥꯄꯆꯤꯟꯗꯨꯅꯥ ꯂꯤꯛꯌꯨꯏꯗ ꯅ꯭ꯌꯨꯠꯔꯤꯁꯟ ꯄꯤꯕꯥ ꯌꯥꯏ꯫
• ꯕꯣꯇꯨꯂꯤꯅꯝ ꯇꯣꯛꯁꯤꯟ (Botulinum toxin ꯅꯠꯠꯔꯒꯥ Botox) ꯏꯅꯖꯦꯀꯁꯅꯁꯤꯡ: ꯏꯅꯖꯦꯀꯁꯟ ꯑꯁꯤ ꯆꯤꯟꯖꯥꯀꯁꯤꯡꯗꯒꯤ ꯏꯟꯇꯦꯁ꯭ꯇꯥꯏꯅꯁꯤꯡꯗꯥ ꯆꯦꯜꯂꯤꯕꯥ ꯚꯜꯌꯨ (pylorus) ꯑꯗꯨ ꯔꯤꯂꯥꯛꯁ ꯇꯧꯅꯕꯥ ꯁꯤꯖꯤꯟꯅꯩ꯫
• ꯏꯂꯦꯛꯠꯔꯤꯀꯦꯜ ꯁ꯭ꯇꯤꯝꯌꯨꯂꯦꯁꯟ: ꯏꯂꯦꯛꯠꯔꯣꯗꯁꯤꯡ ꯑꯁꯤ ꯁ꯭ꯇꯣꯃꯥꯛ ꯋꯥꯂꯗꯥ ꯆꯦꯜꯂꯤ ꯑꯃꯁꯨꯡ ꯏꯂꯦꯛꯠꯔꯤꯀꯦꯜ ꯁꯤꯒꯅꯦꯂꯁꯤꯡ ꯁꯤꯖꯤꯟꯅꯗꯨꯅꯥ ꯁ꯭ꯇꯣꯃꯥꯛ ꯀꯟꯠꯔꯦꯛꯇ ꯇꯧꯍꯜꯂꯤ꯫
• ꯁꯔꯖꯔꯤ: ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯇꯣꯏꯅꯥ ꯁꯤꯖꯤꯟꯅꯩ ꯑꯃꯁꯨꯡ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯇꯩ ꯂꯥꯏꯌꯦꯡ ꯑꯃꯠꯇꯥ ꯃꯥꯌꯄꯥꯀꯄꯥ ꯉꯃꯗ꯭ꯔꯕꯈꯛꯇꯗꯥ ꯁꯤꯖꯤꯟꯅꯩ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯗꯥꯏꯑꯦꯕꯦꯇꯤꯖ ꯂꯩꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯕ꯭ꯂꯗ ꯁꯨꯒꯔꯒꯤ ꯆꯥꯡ ꯑꯗꯨ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯗꯨꯅꯥ ꯊꯝꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯃꯦꯅꯦꯖ ꯇꯧꯅꯕꯒꯤꯗꯃꯛ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫