ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯐꯨꯕꯥ ꯑꯃꯁꯨꯡ ꯒ꯭ꯌꯥꯁ ꯂꯩꯕꯥ ꯐꯥꯎꯕ꯭ꯔꯥ? ꯅꯠꯔꯒꯥ ꯆꯥꯕꯥ ꯂꯣꯏꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯊꯝꯃꯣꯌꯗꯥ ꯃꯩ ꯆꯥꯀꯄꯒꯨꯝ ꯐꯥꯑꯣꯕ꯭ꯔꯥ? ꯑꯩꯈꯣꯌ ꯄꯨꯝꯅꯃꯛꯅꯥ ꯃꯇꯝ ꯃꯇꯃꯒꯤ ꯑꯣꯏꯅꯥ ꯑꯄꯤꯀꯄꯥ ꯗꯥꯏꯖꯦꯁ꯭ꯇꯤꯕ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯃꯁꯤꯡ ꯑꯁꯤ ꯊꯦꯡꯅꯩ꯫ ꯑꯗꯨꯕꯨ ꯅꯨꯡꯉꯥꯏꯕꯥ ꯄꯥꯎ ꯑꯃꯗꯤ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯐꯤꯚꯝ ꯀꯌꯥꯒꯤ ꯏꯆꯝ ꯆꯝꯕꯥ ꯁꯣꯂꯨꯁꯟ ꯂꯩꯔꯤ꯫ ꯉꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯃꯈꯣꯌ ꯑꯁꯤ ꯀꯔꯤꯅꯥ ꯊꯣꯀꯍꯅꯕꯒꯦ, ꯀꯔꯝꯅꯥ ꯉꯥꯀꯊꯣꯛꯀꯗꯒꯦ ꯑꯃꯁꯨꯡ ꯀꯗꯥꯏꯗꯥ ꯗꯣꯛꯇꯔꯒꯥ ꯎꯅꯒꯗꯒꯦ ꯍꯥꯌꯕꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯒꯅꯤ꯫
ꯑꯍꯥꯅꯕꯗꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯗꯥꯏꯖꯦꯁ꯭ꯇꯤꯕ ꯁꯤꯁ꯭ꯇꯦꯝ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯊꯕꯛ ꯇꯧꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯁꯤ꯫
ꯃꯤꯑꯣꯏ ꯀꯌꯥꯅꯥ ꯗꯥꯏꯖꯦꯁꯟ ꯑꯁꯤ ꯈꯣꯡꯗꯥ ꯈꯛꯇꯗꯥ ꯊꯣꯀꯏ ꯍꯥꯌꯅꯥ ꯈꯜꯂꯤ꯫ ꯑꯗꯨꯕꯨ ꯇꯁꯦꯡꯕꯗꯤ ꯃꯁꯤ ꯑꯣꯔꯒꯥꯟ ꯀꯌꯥ ꯌꯥꯑꯣꯕꯥ ꯁꯥꯡꯂꯕꯥ ꯊꯧꯑꯣꯡ ꯑꯃꯅꯤ꯫ ꯃꯁꯤ ꯂꯝꯕꯤ ꯄꯥꯏꯄꯀꯤ ꯁꯤꯁ꯭ꯇꯦꯝ ꯑꯃꯒꯨꯝꯅꯥ ꯈꯅꯕꯤꯌꯨ꯫
ꯃꯁꯤꯒꯤ ꯈꯣꯡꯆꯠ ꯑꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯃꯤꯠꯇꯒꯤ ꯍꯧꯏ꯫ ꯑꯩꯈꯣꯌꯅꯥ ꯆꯥꯅꯕꯥ ꯆꯤꯟꯖꯥꯛ ꯊꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯑꯩꯈꯣꯌꯒꯤ ꯃꯤꯠꯇꯥ ꯂꯩꯔꯤꯕꯥ ꯂꯦꯡ-ꯑꯣꯠꯄꯅꯥ ꯃꯗꯨ ꯍꯖꯝ ꯇꯧꯕꯥ ꯍꯧꯏ꯫ ꯑꯩꯈꯣꯌꯅꯥ ꯊꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯆꯤꯟꯖꯥꯛ ꯑꯁꯤ ꯏꯁꯣꯐꯦꯒꯁ (esophagus)ꯒꯤ ꯃꯈꯥꯗꯥ ꯆꯠꯂꯤ, ꯃꯁꯤꯅꯥ ꯀꯣꯛꯇꯒꯤ ꯈꯣꯡꯗꯥ ꯆꯠꯂꯤꯕꯥ ꯇꯤꯎꯕ ꯑꯗꯨꯗꯥ ꯆꯠꯂꯤ꯫ ꯃꯐꯃꯗꯨꯗꯥ ꯂꯩꯕꯥ ꯃꯁꯂꯁꯤꯡꯅꯥ ꯆꯤꯟꯖꯥꯛ ꯑꯗꯨ ꯈꯣꯡꯗꯥ ꯆꯦꯟꯊꯍꯜꯂꯤ꯫
ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ, ꯆꯤꯟꯖꯥꯛ ꯑꯗꯨ ꯃꯈꯥ ꯇꯥꯅꯥ ꯆꯦꯟꯊꯈꯤꯗꯨꯅꯥ ꯈꯣꯡꯗꯥ ꯂꯩꯔꯤꯕꯥ ꯑꯦꯁꯤꯗꯁꯤꯡꯅꯥ ꯍꯟꯖꯤꯜꯂꯀꯏ꯫ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯆꯤꯟꯖꯥꯛ ꯑꯗꯨ ꯑꯄꯤꯀꯄꯥ ꯏꯟꯇꯦꯁ꯭ꯇꯥꯏꯅꯗꯥ ꯆꯠꯂꯤ꯫ ꯃꯐꯃꯗꯨꯗꯥ, ꯄꯦꯅꯛꯔꯤꯑꯦꯖ ꯑꯃꯁꯨꯡ ꯒꯥꯂꯕ꯭ꯂꯦꯗꯔꯒꯨꯝꯕꯥ ꯑꯣꯔꯒꯥꯅꯁꯤꯡꯗꯒꯤ ꯂꯥꯀꯄꯥ ꯖꯨꯁꯁꯤꯡ ꯑꯁꯤ ꯄꯨꯟꯅꯥ ꯆꯠꯃꯤꯟꯅꯗꯨꯅꯥ ꯆꯤꯟꯖꯥꯛ ꯑꯗꯨ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯍꯟꯖꯤꯅꯍꯜꯂꯤ ꯑꯃꯁꯨꯡ ꯍꯀꯆꯥꯡꯅꯥ ꯃꯊꯧ ꯇꯥꯔꯤꯕꯥ ꯅ꯭ꯌꯨꯠꯔꯤꯑꯦꯟꯇꯁꯤꯡ ꯑꯗꯨ ꯁꯣꯀꯍꯜꯂꯤ꯫ ꯑꯇꯣꯞꯄꯥ ꯑꯗꯨ ꯑꯆꯧꯕꯥ ꯏꯟꯇꯦꯁ꯭ꯇꯥꯏꯅꯗꯥ ꯆꯠꯂꯤ꯫ ꯃꯐꯝ ꯑꯗꯨꯗꯥ ꯏꯁꯤꯡ ꯁꯣꯀꯏ, ꯑꯃꯁꯨꯡ ꯂꯦꯃꯍꯧꯔꯤꯕꯥ ꯑꯃꯣꯠꯄꯁꯤꯡ ꯑꯗꯨ ꯍꯀꯆꯥꯡꯗꯒꯤ ꯐꯤꯁ ꯑꯣꯏꯅꯥ ꯊꯥꯗꯣꯀꯏ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ, ꯁꯥꯡꯂꯕꯥ ꯈꯣꯡꯆꯠ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯃꯇꯝ ꯑꯃꯠꯇꯗꯥ ꯗꯥꯏꯖꯦꯁ꯭ꯇꯤꯕ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯃꯁꯤꯡ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫
ꯒ꯭ꯌꯥꯁ ꯑꯃꯁꯨꯡ ꯕ꯭ꯂꯣꯇꯤꯡ꯫
ꯃꯄꯨꯡꯐꯥꯕꯥ ꯈꯣꯡꯄꯥꯛ ꯑꯃꯥ ꯂꯩꯕꯥ ꯑꯃꯁꯨꯡ ꯏꯪꯊꯕꯥ ꯐꯥꯎꯕꯅꯥ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯑꯃꯁꯨꯡ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯏꯀꯥꯏꯕꯥ ꯄꯤꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤ ꯅꯣꯔꯃꯦꯂꯅꯤ꯫ ꯍꯀꯁꯦꯜ ꯐꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯅꯥ ꯅꯣꯡꯃꯗꯥ ꯆꯥꯎꯔꯥꯛꯅꯥ 13-21 ꯔꯛ ꯑꯦꯌꯔ ꯄꯥꯁ ꯇꯧꯏ꯫ ꯑꯩꯈꯣꯌꯅꯥ ꯆꯥꯕꯥ ꯑꯃꯁꯨꯡ ꯊꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯅꯨꯡꯁꯤꯠ ꯁꯤꯠꯄꯒꯤ ꯃꯊꯛꯇꯥ, ꯍꯀꯆꯥꯡ ꯁꯣꯛꯅ-ꯁꯝꯅꯕꯒꯤ ꯃꯇꯃꯗꯁꯨ ꯅꯨꯡꯁꯤꯠ ꯄꯨꯊꯣꯀꯏ꯫
ꯈꯣꯝꯂꯥꯡꯗꯥ ꯒ꯭ꯌꯥꯁ ꯍꯦꯟꯅꯥ ꯊꯣꯀꯍꯜꯂꯤꯕꯥ ꯆꯤꯟꯖꯥꯀꯁꯤꯡ꯫
ꯑꯀꯛꯅꯕꯥ ꯆꯤꯟꯖꯥꯀꯁꯤꯡꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯒ꯭ꯌꯥꯁ ꯍꯦꯟꯅꯥ ꯄꯨꯊꯣꯀꯄꯥ ꯉꯃꯍꯜꯂꯤ ꯍꯥꯌꯕꯁꯤ ꯅꯍꯥꯛꯅꯥ ꯈꯪꯂꯝꯕꯥ ꯌꯥꯏ꯫ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯆꯤꯟꯖꯥꯀꯁꯤꯡ ꯑꯗꯨꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯈꯔꯗꯤ ꯌꯥꯎꯔꯤ꯫
| ꯆꯤꯟꯖꯥꯛ ꯃꯈꯜ꯫ | ꯈꯨꯗꯃꯁꯤꯡ꯫ |
|---|---|
| ꯃꯍꯩ-ꯃꯔꯣꯡꯁꯤꯡ꯫ | ꯑꯦꯄꯜ, ꯄꯤꯆ, ꯄꯦꯌꯥꯔ, ꯄ꯭ꯔꯨꯟ꯫ |
| ꯃꯅꯥꯃꯁꯤꯡ | ꯁꯉ꯭ꯒꯣꯝ, ꯕ꯭ꯔꯣꯀꯣꯂꯤ, ꯀꯣꯕꯤ, ꯀꯣꯂꯤꯐ꯭ꯂꯣꯔ, ꯌꯦꯔꯨꯝ, ꯃꯁꯛ ꯊꯣꯀꯄꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ꯫ |
| ꯁꯉ꯭ꯒꯣꯝ ꯑꯃꯁꯨꯡ ꯗꯥꯏꯔꯤꯒꯤ ꯆꯤꯟꯖꯥꯀꯁꯤꯡ꯫ | ꯁꯉ꯭ꯒꯣꯝ, ꯆꯦꯡ, ꯌꯣꯒꯔ (ꯈꯔꯗꯗꯤ) |
| ꯑꯇꯣꯞꯄ | ꯒꯦꯍꯨꯒꯤ ꯃꯅꯥ-ꯃꯁꯤꯡꯗꯒꯤ ꯁꯦꯝꯕꯥ ꯆꯤꯟꯖꯥꯀꯁꯤꯡ꯫ |
ꯃꯁꯤꯒꯤ ꯑꯋꯥꯕꯥ ꯑꯁꯤ ꯍꯟꯊꯍꯟꯅꯕꯥ ꯀꯔꯤ ꯇꯧꯕꯥ ꯌꯥꯕꯒꯦ?
- ꯇꯩꯂꯥꯛꯇꯒꯤ ꯂꯥꯀꯄꯥ ꯆꯤꯟꯖꯥꯀꯁꯤꯡ ꯍꯟꯊꯍꯅꯕꯥ .
- ꯆꯤꯅꯤ ꯌꯥꯎꯕꯥ ꯊꯛꯅꯕꯥ ꯏꯁꯤꯡ (ꯐꯤꯖꯤꯀꯦꯜ ꯗ꯭ꯔꯤꯉ꯭ꯀꯁꯤꯡ) ꯊꯀꯄꯥ ꯂꯦꯄꯀꯅꯨ .
- ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯆꯥꯕꯥ ꯑꯃꯁꯨꯡ ꯊꯀꯄꯥ .
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯩꯈꯨ ꯊꯥꯗꯣꯛꯂꯕꯗꯤ , ꯊꯤꯡꯖꯤꯜꯂꯨ꯫
- ꯆ꯭ꯌꯨꯏꯪ ꯒꯝ .
- ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯇꯧꯕꯥ .
- ꯅꯍꯥꯛꯅꯥ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯐꯥꯎꯍꯜꯂꯤꯕꯥ ꯆꯤꯟꯖꯥꯀꯁꯤꯡꯗꯒꯤ ꯂꯥꯞꯅꯥ ꯂꯩꯌꯨ꯫
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ `ꯏꯔꯤꯇꯦꯕꯜ ꯕꯣꯋꯦꯜ ꯁꯤꯟꯗ꯭ꯔꯣꯝ (IBS)`ꯒꯨꯝꯕꯥ ꯃꯦꯗꯤꯀꯦꯜ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯒꯤ ꯂꯥꯏꯑꯣꯡ ꯑꯃꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯂꯦꯞꯇꯅꯥ ꯂꯩꯔꯕꯗꯤ ꯗꯣꯛꯇꯔ ꯑꯃꯒꯥ ꯇꯥꯟꯅꯕꯁꯤ ꯑꯐꯕꯥ ꯋꯥꯈꯜꯂꯣꯟ ꯑꯃꯅꯤ꯫
ꯍꯥꯔꯇꯕꯔꯟ ꯑꯃꯁꯨꯡ ꯖꯤ.ꯏ.ꯑꯥꯔ.ꯗꯤ
ꯆꯦꯁ꯭ꯠ ꯄꯦꯏꯟ ꯍꯥꯌꯕꯁꯤ ꯆꯦꯁ꯭ꯠ (chest)ꯒꯤ ꯃꯔꯛꯇꯥ ꯅꯠꯠꯔꯒꯥ ꯃꯊꯛ ꯊꯪꯕꯥ ꯁꯔꯨꯛꯇꯥ ꯂꯩꯕꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯄꯅꯤ꯫ ꯃꯁꯤꯒꯤ ꯑꯅꯥꯕꯥ ꯑꯁꯤ ꯅꯥꯀꯣꯡ, ꯈꯣꯡꯗꯥ ꯅꯠꯠꯔꯒꯥ ꯈꯨꯠꯁꯥꯗꯥ ꯁꯟꯗꯣꯀꯄꯥ ꯌꯥꯏ꯫
ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯑꯩꯈꯣꯌꯒꯤ ꯈꯣꯡꯗꯥ ꯒꯦꯠ ꯃꯈꯂꯒꯤ ꯃꯁꯜ (Lower Esophageal Sphincter - LES) ꯑꯃꯥ ꯂꯩ꯫ ꯃꯁꯤ ꯆꯥꯅꯕꯥ ꯆꯤꯟꯖꯥꯛ ꯆꯪꯂꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯊꯤꯡꯖꯤꯜꯂꯤ ꯑꯗꯨꯕꯨ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯒꯦꯠ ꯑꯁꯤ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯊꯤꯡꯖꯤꯜꯂꯣꯏꯗꯕꯗꯤ, ꯈꯣꯡꯗꯥ ꯂꯩꯕꯥ ꯑꯀꯅꯕꯥ ꯑꯦꯁꯤꯗꯁꯤꯡ ꯑꯗꯨ ꯂꯥꯀꯏ, ꯍꯥꯌꯕꯗꯤ ꯏꯁꯣꯐꯦꯒꯁꯇꯥ ꯂꯥꯀꯏ꯫ ꯃꯗꯨꯗꯥ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯁꯟ ꯑꯁꯤ ꯊꯣꯀꯏ꯫
ꯆꯦꯁ꯭ꯠ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯁꯟ ꯍꯦꯅꯒꯠꯍꯅꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ꯫
- ꯌꯥꯝꯅꯥ ꯆꯥꯕꯥ꯫
- ꯃꯆꯤ ꯑꯣꯏꯕꯥ, ꯇꯩꯁꯤꯅꯕꯥ, ꯇꯔꯨ-ꯇꯅꯥꯅꯕꯥ ꯆꯤꯟꯖꯥꯀꯁꯤꯡ꯫
- ꯀꯣꯐꯤ, ꯆꯥ ꯑꯃꯁꯨꯡ ꯌꯨ ꯊꯀꯄꯥ꯫
- ꯃꯩꯈꯨ ꯊꯥꯗꯣꯀꯄꯥ꯫
- ꯆꯥꯕꯥ ꯂꯣꯏꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯂꯦꯡꯗꯅꯥ ꯂꯩꯕꯥ꯫
- ꯋꯥꯈꯜ ꯋꯥꯕ.
- ꯑꯣꯕꯦꯁꯤꯇꯤ (Obesity): ꯁ꯭ꯇꯣꯃꯥꯀꯇꯥ ꯑꯍꯦꯅꯕꯥ ꯑꯔꯨꯝꯕꯥ ꯂꯩꯕꯅꯥ ꯁ꯭ꯇꯣꯃꯥꯛ ꯑꯦꯁꯤꯗ ꯍꯦꯅꯒꯠꯍꯅꯕꯥ ꯌꯥꯏ꯫
- ꯃꯤꯔꯣꯅꯕꯥ꯫
ꯖꯤ.ꯏ.ꯑꯥꯔ.ꯗꯤ. ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ?
ꯃꯤꯄꯨꯝ ꯈꯨꯗꯤꯡꯃꯛ ꯃꯇꯝ ꯃꯇꯃꯒꯤ ꯑꯣꯏꯅꯥ ꯊꯝꯃꯣꯌ ꯁꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯕꯨ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯅꯨꯃꯤꯠ ꯈꯨꯗꯤꯡꯒꯤ ꯑꯅꯤꯔꯛ ꯍꯦꯟꯅꯥ ꯍꯥꯔꯇꯀꯤ ꯂꯥꯌꯅꯥ ꯂꯩꯔꯕꯗꯤ ꯑꯃꯁꯨꯡ ꯃꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯅꯨꯡꯇꯤꯒꯤ ꯊꯕꯛ ꯊꯧꯔꯃꯁꯤꯡꯗꯥ ꯑꯀꯥꯌꯕꯥ ꯄꯤꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯒꯦꯁ꯭ꯠꯔꯣꯏꯁꯣꯐꯦꯖꯤꯑꯦꯜ ꯔꯤꯐ꯭ꯂꯛꯁ ꯗꯤꯖꯤꯖ (GERD) ꯀꯧꯕꯥ ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯂꯩꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯥ ꯂꯩꯔꯦ ꯍꯥꯌꯅꯥ ꯍꯥꯌꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯅꯥ ꯏꯁꯣꯐꯦꯒꯁꯇꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫
ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ: ꯍꯥꯔꯠ ꯑꯦꯇꯦꯛ ꯑꯃꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯍꯥꯔꯠ ꯑꯦꯇꯦꯛ ꯑꯃꯒꯥ ꯌꯥꯝꯅꯥ ꯃꯥꯟꯅꯕꯥ ꯌꯥꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯁꯣꯀꯄꯥ, ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ, ꯃꯤꯠ ꯎꯗꯕꯥ, ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ, ꯅꯠꯠꯔꯒꯥ ꯅꯍꯥꯛꯀꯤ ꯀꯣꯛ ꯅꯠꯠꯔꯒꯥ ꯈꯨꯠꯁꯥꯗꯥ ꯔꯦꯗꯤꯑꯦꯠ ꯇꯧꯕꯥ ꯑꯅꯥꯕꯥ ꯂꯩꯔꯕꯗꯤ ,ꯃꯁꯤ ꯀꯩꯗꯧꯉꯩꯗꯥ ꯌꯦꯡꯁꯤꯅꯕꯤꯒꯅꯨ꯫ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯜ ꯑꯃꯒꯤ ꯏꯃꯔꯖꯦꯟꯁꯤ ꯇ꯭ꯔꯤꯇꯃꯦꯟꯇ ꯌꯨꯅꯤꯠ (ETU)ꯗꯥ ꯈꯨꯗꯛꯇꯥ ꯆꯠꯂꯨ꯫
ꯍꯥꯔꯇꯀꯤ ꯂꯥꯌꯅꯥ ꯑꯃꯁꯨꯡ ꯖꯤ.ꯏ.ꯑꯥꯔ.ꯗꯤ
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯄꯨꯟꯁꯤ ꯃꯍꯤꯡꯗꯥ ꯑꯍꯣꯡꯕꯥ ꯂꯥꯀꯄꯅꯥ ꯃꯗꯨ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯥ ꯉꯃꯗ꯭ꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛ ꯄꯤꯕꯥ ꯌꯥꯏ꯫
- ꯑꯦꯟꯇꯤꯑꯦꯁꯤꯗꯁꯤꯡ: ꯃꯁꯤꯅꯥ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯊꯕꯛ ꯇꯧꯏ ꯑꯃꯁꯨꯡ ꯁ꯭ꯇꯣꯃꯥꯛ ꯑꯦꯁꯤꯗꯁꯤꯡ ꯅ꯭ꯌꯨꯠꯔꯤꯂꯥꯏꯖ ꯇꯧꯏ꯫
- H2 ꯕ꯭ꯂꯣꯀꯔꯁꯤꯡ: ꯃꯁꯤꯅꯥ ꯁ꯭ꯇꯣꯃꯥꯛ ꯑꯦꯁꯤꯗ ꯄꯨꯊꯣꯀꯄꯥ ꯍꯟꯊꯍꯜꯂꯤ꯫
- ꯄ꯭ꯔꯣꯇꯣꯟ-ꯄꯝꯄ ꯏꯅꯍꯤꯕꯤꯇꯔꯁꯤꯡ (PPIs): ꯃꯁꯤꯅꯥ H2 ꯕ꯭ꯂꯣꯀꯔꯁꯤꯡꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯏꯐꯦꯛꯇꯤꯚ ꯑꯣꯏꯅꯥ ꯑꯦꯁꯤꯗ ꯄꯨꯊꯣꯀꯄꯥ ꯍꯟꯊꯍꯜꯂꯤ꯫
ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯍꯦꯛꯇꯕꯨ ꯁꯤꯖꯤꯟꯅꯗ꯭ꯔꯤꯉꯩꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯁꯣꯌꯗꯅꯥ ꯋꯥꯔꯤ ꯁꯥꯒꯗꯕꯅꯤ꯫
ꯈꯣꯉ ꯍꯥꯝꯕ ꯌꯥꯗꯕ
ꯕꯣꯋꯦꯜ ꯃꯨꯚꯃꯦꯟꯇꯀꯤ ꯐ꯭ꯔꯤꯛꯕꯦꯟꯁꯤ ꯑꯁꯤ ꯃꯤꯑꯣꯏ ꯑꯃꯗꯒꯤ ꯃꯤꯑꯣꯏ ꯑꯃꯗꯥ ꯈꯦꯠꯅꯩ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯕꯣꯋꯦꯜ ꯃꯨꯚꯃꯦꯟꯇ ꯇꯧꯕꯥ ꯃꯇꯃꯗꯥ ꯁ꯭ꯠꯔꯦꯟ ꯇꯧꯕꯗꯥ ꯑꯋꯥꯕꯥ ꯃꯥꯌꯣꯛꯅꯔꯕꯗꯤ , ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯁ꯭ꯇꯣꯜ ꯑꯗꯨ ꯁꯤꯜ ꯑꯃꯒꯨꯝꯅꯥ ꯀꯟꯅꯥ ꯁꯣꯟꯊꯔꯕꯗꯤ ꯅꯠꯠꯔꯒꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯄꯥꯁ ꯇꯧꯗꯕꯥ ꯐꯥꯎꯔꯕꯗꯤ, ꯅꯍꯥꯛ ꯁꯣꯀꯄꯥ ꯌꯥꯏ꯫
ꯀꯅꯁ꯭ꯇꯤꯄꯦꯁꯅꯒꯤ ꯃꯔꯃꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?
- ꯏꯁꯤꯡ ꯃꯔꯥꯡ ꯀꯥꯌꯅꯥ ꯊꯀꯄꯥ ꯉꯃꯗꯕꯥ .
- ꯗꯥꯏꯇꯇꯥ ꯐꯥꯏꯕꯔ ꯍꯟꯊꯔꯀꯄꯥ꯫
- ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯇꯧꯕꯥ ꯉꯃꯗꯕꯥ꯫
- ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛ ꯈꯔꯗꯤ (ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯑꯥꯏꯔꯟ ꯇꯦꯕ꯭ꯂꯦꯇꯁꯤꯡ, ꯄꯦꯟ ꯀꯤꯂꯥꯔ ꯈꯔꯗꯤ)꯫
- ꯃꯤꯔꯣꯅꯕꯥ꯫
- ꯑꯀꯛꯅꯕꯥ ꯃꯦꯗꯤꯀꯦꯜ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ (ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯗꯥꯏꯑꯦꯕꯦꯇꯤꯖ, ꯊꯥꯌꯔꯣꯏꯗꯀꯤ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯃꯁꯤꯡ)꯫
ꯀꯅꯁ꯭ꯇꯤꯄꯁꯟ ꯊꯤꯡꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯂꯥꯏꯌꯦꯡꯅꯕꯥ ꯀꯔꯤ ꯇꯧꯕꯥ ꯌꯥꯕꯒꯦ?
- ꯅꯣꯡꯃꯗꯥ ꯌꯥꯃꯗ꯭ꯔꯕꯗꯥ ꯏꯁꯤꯡ ꯒ꯭ꯂꯥꯁ 8-10 ꯊꯀꯎ꯫
- ꯐꯤꯕꯔ ꯌꯥꯝꯅꯥ ꯌꯥꯎꯕꯥ ꯆꯤꯟꯖꯥꯀꯁꯤꯡ (ꯃꯅꯥ-ꯃꯁꯤꯡ, ꯎꯍꯩ-ꯋꯥꯍꯩꯁꯤꯡ, ꯍꯣꯜ ꯒ꯭ꯔꯦꯅꯁꯤꯡ, ꯑꯃꯁꯨꯡ ꯂꯤꯒꯨꯃꯁꯤꯡ) ꯍꯦꯟꯅꯥ ꯆꯥꯒꯗꯕꯅꯤ꯫
- ꯅꯨꯃꯤꯠ ꯈꯨꯗꯤꯡꯒꯤ ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯇꯧꯕꯥ꯫
- ꯑꯌꯨꯛꯇꯥ ꯑꯁꯥꯕꯥ ꯏꯁꯤꯡꯒꯤ ꯒ꯭ꯂꯥꯁ ꯑꯃꯥ ꯊꯀꯄꯅꯥ ꯃꯤꯑꯣꯏ ꯈꯔꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯅꯨꯃꯤꯠ ꯑꯅꯤꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯀꯅꯁ꯭ꯇꯤꯄꯁꯟ ꯂꯩꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯏ ꯂꯩꯔꯕꯗꯤ, ꯈꯣꯡꯗꯥ ꯁꯥꯊꯤꯅꯥ ꯁꯣꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯔꯨꯝꯕꯥ ꯍꯟꯊꯔꯕꯗꯤ ꯈꯨꯗꯛꯇꯥ ꯗꯣꯛꯇꯔꯗꯥ ꯇꯥꯀꯄꯤꯌꯨ . ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯑꯀꯅꯕꯥ ꯑꯅꯥꯕꯥ ꯑꯃꯒꯤ ꯈꯨꯗꯃꯁꯤꯡ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫
ꯍꯦꯃꯣꯔꯦꯖ ꯑꯃꯁꯨꯡ ꯗꯥꯏꯔꯤꯌꯥ꯫
ꯍꯦꯃꯣꯔꯦꯖ꯫
ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯔꯦꯛꯇꯝ ꯑꯃꯁꯨꯡ ꯑꯦꯅꯨꯁꯀꯤ ꯑꯀꯣꯌꯕꯗꯥ ꯂꯩꯕꯥ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯂꯁꯤꯡꯅꯤ꯫ ꯃꯈꯣꯌ ꯑꯁꯤ ꯈꯣꯡ ꯍꯥꯝꯕꯥ, ꯃꯤꯔꯣꯅꯕꯥ, ꯑꯃꯁꯨꯡ ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯃꯐꯝ ꯑꯃꯗꯥ ꯐꯃꯗꯨꯅꯥ ꯂꯩꯕꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯁ꯭ꯠꯔꯦꯁ ꯂꯩꯔꯀꯄꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫
- ꯂꯥꯏꯑꯣꯡꯁꯤꯡ: ꯕꯣꯋꯦꯜ ꯃꯨꯚꯃꯦꯟꯇꯀꯤ ꯃꯇꯃꯗꯥ ꯏ ꯊꯣꯀꯄꯥ, ꯈꯣꯡ ꯍꯥꯝꯕꯥ, ꯑꯁꯣꯛ-ꯑꯄꯟ ꯑꯃꯁꯨꯡ ꯃꯅꯥ-ꯃꯁꯤꯡꯒꯤ ꯃꯅꯥꯛꯇꯥ ꯂꯩꯕꯥ ꯂꯪꯁꯁꯤꯡ꯫
- ꯂꯥꯏꯌꯦꯡ: ꯐꯥꯏꯕꯔ ꯌꯥꯝꯅꯥ ꯌꯥꯎꯕꯥ ꯗꯥꯏꯠ ꯑꯃꯥ ꯆꯥꯕꯥ, ꯁ꯭ꯇꯣꯜ ꯁꯣꯐꯇꯦꯅꯔꯁꯤꯡ ꯁꯤꯖꯤꯟꯅꯕꯥ, ꯑꯁꯥꯕꯥ ꯏꯁꯤꯡꯅꯥ ꯒꯥꯔꯒꯜ ꯇꯧꯕꯥ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯄꯤꯕꯥ ꯃꯍꯤꯀꯁꯤꯡ ꯁꯤꯖꯤꯟꯅꯕꯥ꯫
ꯈꯣꯡ ꯍꯥꯝꯗꯕ
ꯃꯁꯤꯒꯤ ꯃꯁꯛ ꯑꯁꯤ ꯆꯥꯡ ꯅꯥꯏꯅꯥ, ꯏꯁꯤꯡ ꯌꯥꯎꯕꯥ ꯁ꯭ꯇꯣꯂꯁꯤꯡꯅꯤ꯫ ꯚꯥꯏꯔꯁ, ꯕꯦꯛꯇꯦꯔꯤꯌꯥ ꯏꯅꯐꯦꯛꯁꯟ, ꯑꯀꯛꯅꯕꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ, ꯑꯃꯁꯨꯡ ꯆꯥꯟꯅꯗꯕꯥ ꯆꯤꯟꯖꯥꯀꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯔꯃꯁꯤꯡ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫
ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯋꯥꯐꯃꯗꯤ ꯗꯤꯍꯥꯌꯗ꯭ꯔꯦꯁꯟ . ꯃꯔꯝ ꯑꯗꯨꯅ,
- ꯐ꯭ꯂꯨꯏꯗ (ꯏꯁꯤꯡ, ꯕ꯭ꯔꯣꯗ, ꯄꯣꯔꯤꯖ, ꯃꯅꯥ-ꯃꯁꯤꯡꯒꯤ ꯖꯨꯁ) ꯃꯔꯥꯡ ꯀꯥꯌꯅꯥ ꯊꯀꯎ꯫
- ꯁꯉ꯭ꯒꯣꯝ ꯑꯃꯁꯨꯡ ꯁꯉ꯭ꯒꯣꯃꯒꯤ ꯄꯣꯠꯊꯣꯀꯁꯤꯡ, ꯑꯃꯁꯨꯡ ꯇꯩꯁꯤꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯃꯆꯤ ꯑꯣꯏꯕꯥ ꯆꯤꯟꯖꯥꯀꯁꯤꯡꯗꯒꯤ ꯅꯨꯃꯤꯠ ꯈꯔꯅꯤꯒꯤ ꯑꯣꯏꯅꯥ ꯂꯥꯞꯅꯥ ꯂꯩꯌꯨ꯫
- ꯕꯦꯅꯥ, ꯆꯦꯡ, ꯕ꯭ꯔꯦꯗ, ꯑꯃꯁꯨꯡ ꯀ꯭ꯔꯦꯀꯔꯒꯨꯝꯕꯥ ꯂꯥꯏꯠ ꯑꯣꯏꯕꯥ ꯆꯤꯟꯖꯥꯀꯁꯤꯡ ꯆꯥꯕꯤꯌꯨ꯫
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯗꯥꯏꯔꯤꯌꯥ ꯑꯗꯨ ꯅꯨꯃꯤꯠ ꯑꯅꯤꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯂꯩꯔꯕꯗꯤ, ꯂꯥꯏꯍꯧ ꯍꯧꯔꯀꯄꯥ, ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯅꯥ ꯁꯣꯀꯄꯥ, ꯈꯣꯡꯗꯥ ꯏ ꯊꯣꯀꯄꯥ, ꯅꯠꯠꯔꯒꯥ ꯗꯤꯍꯥꯌꯗ꯭ꯔꯦꯁꯅꯒꯤ ꯈꯨꯗꯃꯁꯤꯡ (ꯃꯤꯠ ꯁꯣꯀꯄꯥ, ꯏꯁꯤꯡ ꯇꯨꯡꯁꯤꯅꯕꯥ ꯍꯟꯊꯕꯥ) ꯂꯩꯔꯕꯗꯤ , ꯗꯣꯛꯇꯔ ꯑꯃꯗꯥ ꯁꯣꯌꯗꯅꯥ ꯇꯥꯀꯄꯤꯌꯨ .
ꯇꯦꯛ-ꯍꯣꯝ ꯃꯦꯁꯦꯖ ꯇꯧꯕꯥ꯫
- ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡ ꯑꯗꯨ ꯇꯥꯕꯤꯌꯨ꯫ ꯅꯍꯥꯀꯄꯨ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯄꯣꯀꯍꯜꯂꯤꯕꯥ ꯆꯤꯟꯖꯥꯀꯁꯤꯡ ꯈꯪꯗꯣꯀꯎ ꯑꯃꯁꯨꯡ ꯊꯤꯡꯖꯤꯜꯂꯨ꯫
- ꯍꯀꯁꯦꯜ ꯐꯕꯥ ꯗꯥꯏꯠ ꯑꯃꯁꯨꯡ ꯑꯦꯛꯇꯤꯚ ꯑꯣꯏꯕꯥ ꯄꯨꯟꯁꯤ ꯃꯍꯤꯡ ꯑꯁꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯥ ꯍꯤꯗꯥꯛꯅꯤ꯫ ꯅꯨꯃꯤꯠ ꯈꯨꯗꯤꯡꯒꯤ ꯏꯁꯤꯡ ꯃꯔꯥꯡ ꯀꯥꯌꯅꯥ ꯊꯀꯎ, ꯐꯤꯕꯔ ꯌꯥꯝꯅꯥ ꯌꯥꯎꯕꯥ ꯆꯤꯟꯖꯥꯀꯁꯤꯡ ꯆꯥꯒꯗꯕꯅꯤ ꯑꯃꯁꯨꯡ ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯇꯧꯒꯗꯕꯅꯤ꯫
- ꯃꯇꯝ ꯃꯇꯃꯒꯤ ꯑꯣꯏꯅꯥ ꯑꯄꯤꯀꯄꯥ ꯑꯁꯣꯛ-ꯑꯄꯅꯁꯤꯡ ꯑꯁꯤ ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯗꯨ ꯂꯦꯡꯗꯅꯥ ꯂꯩꯔꯕꯗꯤ, ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯑꯣꯏꯔꯕꯗꯤ, ꯅꯠꯠꯔꯒꯥ ꯑꯇꯩ ꯔꯤꯁ꯭ꯛ ꯐꯦꯛꯇꯔꯁꯤꯡ ꯍꯥꯌꯕꯗꯤ ꯁ꯭ꯇꯣꯂꯗꯥ ꯏ ꯅꯠꯠꯔꯒꯥ ꯑꯔꯨꯝꯕꯥ ꯍꯟꯊꯔꯀꯄꯥ ꯑꯁꯤꯅꯆꯤꯡꯕꯥ ꯂꯩꯔꯕꯗꯤ, ꯃꯈꯣꯌꯕꯨ ꯌꯦꯡꯁꯤꯅꯕꯤꯒꯅꯨ .
- ꯍꯤꯗꯥꯛ ꯑꯃꯠꯇꯥ ꯁꯤꯖꯤꯟꯅꯗ꯭ꯔꯤꯉꯩ ꯃꯃꯥꯡꯗꯥ, ꯃꯔꯨꯑꯣꯏꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯇꯩ ꯀꯟꯗꯤꯁꯅꯁꯤꯡꯒꯤꯗꯃꯛꯇꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛ ꯂꯧꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯁꯣꯌꯗꯅꯥ ꯇꯥꯀꯄꯤꯌꯨ .
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