ꯑꯩꯈꯣꯌꯅꯥ ꯆꯥꯔꯤꯕꯥ ꯆꯤꯟꯖꯥꯛ ꯑꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯈꯣꯡꯗꯥ ꯆꯪꯂꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯀꯔꯤ ꯑꯣꯏꯒꯅꯤ ꯍꯥꯌꯅꯥ ꯑꯗꯣꯝꯅꯥ ꯈꯅꯕꯤꯔꯝꯂꯒꯅꯤ? ꯑꯗꯨꯒꯨꯝꯕꯥ ꯆꯤꯟꯖꯥꯛ ꯑꯗꯨ ꯈꯣꯡꯎꯄꯀꯤ ꯃꯇꯨꯡꯗꯥ ꯀꯗꯥꯏꯗꯥ ꯆꯠꯂꯤꯕꯅꯣ? ꯉꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯈꯣꯡꯆꯠ ꯑꯗꯨꯗꯥ ꯌꯥꯝꯅꯥ ꯃꯔꯨ ꯑꯣꯏꯕꯥ ꯁ꯭ꯇꯞ ꯑꯃꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯔꯤ꯫ ꯃꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯗꯥꯏꯖꯦꯁ꯭ꯇꯤꯕ ꯁꯤꯁ꯭ꯇꯦꯃꯗꯥ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯑꯆꯧꯕꯥ ꯊꯕꯛ ꯑꯃꯥ ꯇꯧꯔꯤꯕꯥ ꯏꯆꯝ ꯆꯝꯕꯥ ꯍꯤꯔꯣ ꯑꯃꯅꯤ꯫ ꯃꯍꯥꯀꯄꯨ ꯑꯀꯨꯞꯄꯥ ꯃꯔꯣꯂꯗꯥ ꯈꯉꯅꯔꯁꯤ꯫
ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯗꯣꯑꯣꯗꯦꯅꯝ ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ ?
ꯗꯣꯑꯣꯗꯦꯅꯝ ꯑꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯑꯄꯤꯀꯄꯥ ꯏꯟꯇꯦꯁ꯭ꯇꯥꯏꯅꯒꯤ ꯑꯍꯥꯅꯕꯥ ꯁꯔꯨꯛꯅꯤ . ꯃꯁꯤꯕꯨ "ꯁ꯭ꯃꯣꯜ ꯏꯟꯇꯦꯁ꯭ꯇꯥꯏꯟ" ꯍꯥꯌꯅꯥ ꯀꯧꯔꯕꯁꯨ, ꯃꯁꯤ ꯇꯁꯦꯡꯅꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯗꯥꯏꯖꯦꯁ꯭ꯇꯤꯚ ꯁꯤꯁ꯭ꯇꯦꯃꯒꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯁꯥꯡꯕꯥ ꯁꯔꯨꯛ ꯑꯃꯅꯤ꯫ ꯃꯐꯝ ꯑꯁꯤꯗꯥ ꯑꯩꯈꯣꯌꯅꯥ ꯆꯥꯔꯤꯕꯥ ꯆꯤꯟꯖꯥꯛꯇꯥ ꯂꯩꯔꯤꯕꯥ ꯅ꯭ꯌꯨꯠꯔꯤꯑꯦꯟꯇꯁꯤꯡ (ꯄ꯭ꯔꯣꯇꯤꯟ, ꯐꯦꯠ, ꯚꯤꯇꯥꯃꯤꯟ , ꯑꯁꯤꯅꯆꯤꯡꯕꯥ) ꯑꯁꯤ ꯍꯀꯆꯥꯡꯅꯥ ꯁꯣꯀꯍꯅꯕꯥ ꯉꯝꯕꯥ ꯂꯤꯛꯌꯨꯏꯗ ꯃꯑꯣꯡ ꯑꯃꯗꯥ ꯈꯥꯌꯗꯣꯀꯏ꯫
ꯑꯄꯤꯀꯄꯥ ꯏꯟꯇꯦꯁ꯭ꯇꯥꯏꯟ ꯑꯁꯤ ‘C’ ꯑꯛꯁꯔꯒꯨꯝꯅꯥ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯁꯦꯝꯕꯥ ꯑꯄꯤꯀꯄꯥ ꯇꯤꯎꯕ ꯑꯃꯒꯨꯝꯅꯥ ꯑꯣꯏ꯫ ꯁ꯭ꯇꯣꯃꯥꯀꯇꯒꯤ ꯂꯥꯀꯄꯥ ꯆꯤꯟꯖꯥꯛ ꯑꯁꯤ ꯑꯍꯥꯅꯕꯗꯥ ꯑꯄꯤꯀꯄꯥ ꯏꯟꯇꯦꯁ꯭ꯇꯥꯏꯟ ꯑꯁꯤꯗꯥ ꯆꯪꯏ꯫ ꯑꯄꯤꯀꯄꯥ ꯏꯟꯇꯦꯁ꯭ꯇꯥꯏꯅꯒꯤ ꯃꯊꯪꯒꯤ ꯁꯔꯨꯛ ꯑꯅꯤꯗꯤ ꯖꯦꯖꯨꯅꯝ ꯑꯃꯁꯨꯡ ꯏꯂꯤꯌꯃꯅꯤ꯫
ꯒ꯭ꯔꯍ ꯑꯁꯤꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯊꯕꯀꯁꯤꯡ ꯀꯔꯤꯅꯣ?
ꯁ꯭ꯇꯣꯃꯥꯀꯀꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯊꯕꯛ ꯑꯁꯤ ꯃꯤꯠ ꯑꯃꯁꯨꯡ ꯁ꯭ꯇꯣꯃꯥꯀꯇꯥ ꯍꯧꯔꯀꯄꯥ ꯗꯥꯏꯖꯦꯁ꯭ꯇꯤꯚ ꯄ꯭ꯔꯣꯁꯦꯁ ꯑꯗꯨ ꯃꯈꯥ ꯆꯠꯊꯕꯥ ꯑꯃꯁꯨꯡ ꯏꯗꯥ ꯅ꯭ꯌꯨꯠꯔꯤꯑꯦꯟꯇꯁꯤꯡ ꯁꯣꯀꯄꯥ ꯍꯧꯕꯅꯤ꯫ ꯈꯣꯡꯗꯥ ꯌꯧꯗ꯭ꯔꯤꯉꯩꯗꯥ, ꯆꯤꯟꯖꯥꯛ ꯑꯁꯤ ꯁꯦꯂꯤꯚꯥ ꯑꯃꯁꯨꯡ ꯁ꯭ꯇꯣꯃꯥꯛ ꯑꯦꯁꯤꯗꯁꯤꯡꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯑꯀꯅꯕꯥ ꯂꯤꯛꯌꯨꯏꯗ ꯑꯃꯥ ꯁꯦꯝꯂꯦ ꯍꯥꯌꯅꯥ ꯈꯅꯕꯤꯌꯨ, ꯅꯠꯠꯔꯒꯥ "ꯐꯨꯗ ꯄꯣꯔꯤꯖ" (`chyme`) ꯍꯥꯌꯅꯥ ꯍꯥꯌꯔꯁꯤ꯫ ꯑꯗꯨꯒꯨꯝꯕꯥ ꯐꯨꯗ ꯄꯣꯔꯤꯖ ꯑꯗꯨ ꯍꯀꯆꯥꯡꯅꯥ ꯈꯣꯝꯂꯥꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯁꯤꯖꯤꯟꯅꯕꯥ ꯌꯥꯕꯥ ꯅ꯭ꯌꯨꯠꯔꯤꯑꯦꯟꯇꯁꯤꯡꯗꯥ ꯑꯣꯟꯊꯣꯀꯏ꯫
ꯒ꯭ꯔꯍ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯊꯣꯛꯂꯤꯕꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯋꯥꯐꯃꯁꯤꯡ ꯑꯁꯤ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤ:
| ꯃꯊꯧ | ꯊꯧꯑꯣꯡ ꯑꯁꯤ ꯏꯆꯝ ꯆꯝꯕꯥ ꯑꯃꯅꯤ꯫ |
|---|---|
| ꯆꯤꯟꯖꯥꯀꯁꯤꯡꯒꯤ ꯑꯦꯁꯤꯗꯤꯇꯤ ꯍꯟꯊꯍꯅꯕꯥ꯫ | ꯁ꯭ꯇꯣꯃꯥꯀꯇꯒꯤ ꯂꯥꯀꯄꯥ ꯆꯤꯟꯖꯥꯛ (ꯆꯥꯏꯝ) ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯑꯦꯁꯤꯗꯤꯛ ꯑꯣꯏ꯫ ꯄꯦꯅꯛꯔꯤꯑꯦꯖꯅꯥ ꯄꯨꯊꯣꯀꯄꯥ ꯍꯣꯔꯃꯣꯟ (secretin) ꯑꯃꯅꯥ ꯕꯥꯏꯀꯥꯔꯕꯣꯅꯥꯏꯠ ꯀꯧꯕꯥ ꯑꯦꯅꯖꯥꯏꯝ ꯑꯃꯥ ꯊꯥꯗꯣꯀꯏ, ꯃꯗꯨꯅꯥ ꯑꯦꯁꯤꯗꯤꯇꯤ ꯑꯁꯤ ꯍꯟꯊꯍꯜꯂꯤ꯫ ꯃꯁꯤꯅꯥ ꯅ꯭ꯌꯨꯠꯔꯤꯑꯦꯟꯇꯁꯤꯡ ꯁꯣꯀꯄꯗꯥ ꯂꯥꯌꯍꯜꯂꯤ ꯑꯃꯁꯨꯡ ꯑꯍꯦꯅꯕꯥ ꯑꯦꯁꯤꯗꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯑꯄꯤꯀꯄꯥ ꯏꯟꯇꯦꯁ꯭ꯇꯥꯏꯅꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯤꯡꯏ꯫ |
| ꯆꯤꯟꯖꯥꯛ ꯑꯁꯤ ꯅ꯭ꯌꯨꯠꯔꯤꯑꯦꯟꯇꯁꯤꯡꯗꯥ ꯑꯣꯟꯊꯣꯀꯄꯥ꯫ | ꯄꯦꯅꯛꯔꯤꯑꯦꯖꯅꯥ ꯑꯇꯣꯞꯄꯥ ꯍꯣꯔꯃꯣꯟ (cholecystokinin) ꯑꯃꯥ ꯄꯨꯊꯣꯀꯏ꯫ ꯃꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯄꯦꯅꯛꯔꯤꯑꯦꯖ, ꯒꯥꯂꯕ꯭ꯂꯦꯗꯔ ꯑꯃꯁꯨꯡ ꯂꯤꯚꯔꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯆꯤꯟꯖꯥꯛ ꯆꯥꯅꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ ꯊꯥꯗꯣꯛꯅꯕꯥ ꯁꯤꯒꯅꯦꯜ ꯄꯤ꯫ ꯒꯥꯂꯕ꯭ꯂꯦꯗꯔ ꯑꯃꯁꯨꯡ ꯂꯤꯚꯔꯗꯒꯤ ꯂꯥꯀꯄꯥ ꯕꯥꯏꯂꯅꯥ ꯐꯦꯇꯁꯤꯡ ꯊꯤꯡꯏ꯫ ꯄꯦꯅꯛꯔꯤꯑꯦꯖꯗꯒꯤ ꯂꯥꯀꯄꯥ ꯑꯦꯅꯖꯥꯏꯃꯁꯤꯡꯅꯥ ꯐꯦꯇꯁꯤꯡ, ꯀꯥꯔꯕꯣꯟ ꯑꯃꯁꯨꯡ ꯄ꯭ꯔꯣꯇꯤꯅꯁꯤꯡ ꯁꯣꯀꯍꯜꯂꯤ꯫ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯅ꯭ꯌꯨꯠꯔꯤꯑꯦꯟꯇꯁꯤꯡ ꯑꯁꯤ ꯏꯗꯥ ꯆꯦꯟꯊꯔꯀꯏ꯫ |
| ꯆꯤꯟꯖꯥꯛ ꯃꯥꯡꯂꯣꯃꯗꯥ ꯄꯨꯈꯠꯄꯥ꯫ | ꯂꯦꯃꯍꯧꯔꯤꯕꯥ ꯑꯁꯣꯀꯄꯥ ꯆꯤꯟꯖꯥꯛꯀꯤ ꯄꯥꯔꯇꯤꯀꯦꯂꯁꯤꯡ ꯑꯗꯨ ꯑꯄꯤꯀꯄꯥ ꯏꯟꯇꯦꯁ꯭ꯇꯥꯏꯅꯒꯤ ꯃꯊꯪꯒꯤ ꯁꯔꯨꯛ (jejunum)ꯗꯥ ꯄꯨꯁꯤꯜꯂꯀꯏ꯫ ꯃꯁꯤ ꯔꯤꯗꯃꯤꯛ ꯃꯨꯚꯃꯦꯟꯇ (peristalsis) ꯑꯃꯅꯥ ꯇꯧꯏ, ꯃꯗꯨꯗꯥ ꯖꯦꯖꯨꯅꯒꯤ ꯋꯥꯂꯁꯤꯡ ꯑꯗꯨ ꯀꯟꯠꯔꯦꯛꯇ ꯇꯧꯗꯨꯅꯥ ꯄꯥꯀꯊꯣꯛ-ꯆꯥꯎꯊꯣꯀꯏ꯫ |
ꯒ꯭ꯔꯍ ꯑꯁꯤꯒꯤ ꯁꯥꯏꯖ ꯑꯃꯁꯨꯡ ꯄꯣꯖꯤꯁꯟ ꯑꯁꯤ ꯀꯔꯤꯅꯣ?
ꯗꯣꯑꯣꯗꯦꯅꯝ ꯑꯁꯤ ꯑꯄꯤꯀꯄꯥ ꯏꯟꯇꯦꯁ꯭ꯇꯥꯏꯅꯒꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯀꯨꯞꯄꯥ ꯁꯔꯨꯛ ꯑꯃꯅꯤ꯫ ꯃꯁꯤ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯏꯟꯆꯤ ꯱꯰ ꯋꯥꯡꯏ꯫ ꯃꯗꯨ ꯐꯨꯠ ꯑꯃꯗꯒꯤ ꯈꯔꯥ ꯍꯦꯜꯂꯤ꯫ ꯂꯦꯇꯤꯟ ꯋꯥꯍꯩ "ꯗ꯭ꯌꯨꯑꯣꯗꯦꯅꯝ" ꯍꯥꯌꯕꯁꯤ "ꯈꯨꯠ 12" ꯍꯥꯌꯕꯅꯤ꯫ ꯍꯥꯌꯕꯗꯤ ꯃꯁꯤ ꯃꯅꯥꯛ ꯅꯀꯄꯗꯥ ꯂꯩꯕꯥ ꯐꯤꯉ꯭ꯒꯔ ꯱꯲ꯒꯨꯝꯅꯥ ꯁꯥꯡꯏ꯫
ꯈꯅꯕꯤꯌꯨ, ꯅꯍꯥꯛꯀꯤ ꯑꯄꯤꯀꯄꯥ ꯏꯟꯇꯦꯁ꯭ꯇꯥꯏꯟ ꯄꯨꯝꯅꯃꯛ ꯑꯁꯤ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯐꯨꯠ 22 ꯋꯥꯡꯏ꯫ ꯃꯗꯨ ꯇꯦꯅꯤꯁ ꯀꯣꯔꯠ ꯑꯃꯒꯤ ꯂꯝꯕꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯑꯣꯏꯔꯤ꯫ ꯑꯗꯨꯕꯨ ꯃꯁꯤꯒꯤ ꯂꯝꯕꯤ ꯑꯁꯤꯒꯤ ꯑꯄꯤꯀꯄꯥ ꯏꯟꯆꯤ ꯱꯰ꯒꯤ ꯁꯔꯨꯛ ꯑꯃꯈꯛꯇꯗꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯅ꯭ꯌꯨꯠꯔꯤꯑꯦꯟꯇ ꯑꯦꯕꯁꯣꯔꯁꯃꯦꯟꯇ ꯄꯨꯝꯅꯃꯛ ꯑꯁꯤ ꯊꯣꯀꯏ꯫
ꯏꯁꯣꯐꯦꯒꯁ ꯑꯁꯤ ꯁ꯭ꯇꯣꯃꯥꯀꯀꯤ ꯃꯈꯥꯗꯥ ꯂꯩ꯫ ꯃꯁꯤꯅꯥ ‘ꯁꯤ’ꯒꯤ ꯃꯑꯣꯡꯗꯥ ꯑꯔꯥꯞꯄꯥ ꯑꯃꯁꯨꯡ ꯃꯇꯨꯡꯗꯥ, ꯃꯈꯥꯗꯥ, ꯑꯃꯁꯨꯡ ꯃꯇꯨꯡꯗꯥ ꯂꯦꯡ-ꯑꯣꯠꯄꯗꯥ ꯀꯨꯄꯁꯤꯜꯂꯤ꯫ ꯅꯍꯥꯛꯀꯤ ꯄꯦꯅꯛꯔꯤꯑꯦꯖꯒꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯄꯥꯛ-ꯆꯥꯎꯕꯥ ꯁꯔꯨꯛ ꯑꯗꯨ ‘C’ ꯃꯑꯣꯡꯒꯤ ꯀꯔꯕ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯂꯩ꯫
ꯒ꯭ꯔꯍ ꯑꯁꯤꯒꯤ ꯁꯔꯨꯛ ꯃꯔꯤ꯫
ꯒ꯭ꯔꯍ ꯑꯁꯤ ꯃꯔꯨ ꯑꯣꯏꯕꯥ ꯁꯔꯨꯛ ꯃꯔꯤꯗꯥ ꯈꯥꯌꯗꯣꯀꯄꯥ ꯌꯥꯏ, ꯃꯈꯣꯌꯒꯤ ꯃꯐꯝ ꯑꯃꯁꯨꯡ ꯃꯑꯣꯡ ꯃꯇꯧꯒꯤ ꯃꯇꯨꯡ ꯏꯟꯅꯥ ꯃꯃꯤꯡ ꯊꯣꯅꯕꯥ ꯌꯥꯏ꯫
1. ꯁꯨꯄꯔꯤꯌꯔ ꯁꯦꯒꯃꯦꯟꯇ: ꯃꯁꯤ ꯁ꯭ꯇꯣꯃꯥꯀꯀꯥ ꯁꯝꯅꯕꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯊꯛ ꯊꯪꯕꯥ ꯁꯔꯨꯛ ꯑꯗꯨꯅꯤ꯫ ꯃꯁꯤ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯏꯟꯆꯤ ꯲ ꯋꯥꯡꯏ꯫ ꯃꯁꯤꯅꯥ ꯁ꯭ꯇꯣꯃꯥꯛ ꯑꯦꯁꯤꯗꯇꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯁꯣꯀꯍꯜꯂꯤꯕꯥ ꯃꯔꯝꯅꯥ, ꯑꯄꯤꯀꯄꯥ ꯏꯟꯇꯦꯁ꯭ꯇꯥꯏꯅꯒꯤ ꯑꯂꯁꯔꯁꯤꯡ ꯑꯁꯤ ꯁꯔꯨꯛ ꯑꯁꯤꯗꯥ ꯌꯥꯝꯅꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫
2. ꯍꯟꯊꯔꯀꯄꯥ ꯁꯦꯒꯃꯦꯟꯇ: ꯃꯃꯤꯡꯗꯥ ꯇꯥꯀꯄꯒꯨꯝꯅꯥ, ꯃꯁꯤ ꯃꯈꯥꯗꯥ ꯆꯠꯂꯤꯕꯥ ‘ꯁꯤ’ ꯃꯑꯣꯡꯒꯤ ꯁꯦꯛꯁꯟ ꯑꯗꯨꯅꯤ꯫ ꯃꯁꯤ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯏꯟꯆꯤ ꯴ ꯋꯥꯡꯏ꯫ ꯄꯦꯅꯛꯔꯤꯑꯦꯖ , ꯒꯥꯂꯕ꯭ꯂꯦꯗꯔ ꯑꯃꯁꯨꯡ ꯂꯤꯚꯔꯗꯒꯤ ꯂꯥꯀꯄꯥ ꯗꯛꯇꯁꯤꯡ ꯑꯁꯤ ꯁꯦꯛꯁꯟ ꯑꯁꯤꯒꯥ ꯁꯝꯅꯩ꯫ ꯑꯣꯔꯒꯥꯅꯁꯤꯡ ꯑꯁꯤꯗꯒꯤ ꯂꯥꯀꯄꯥ ꯕꯥꯏꯜ ꯑꯃꯁꯨꯡ ꯑꯦꯅꯖꯥꯏꯃꯁꯤꯡꯅꯥ ꯄꯨꯟꯅꯥ ꯐꯦꯇꯁꯤꯡ , ꯄ꯭ꯔꯣꯇꯤꯅꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯀꯥꯔꯕꯣꯟ ꯗꯥꯏꯑꯦꯇꯔꯤꯁꯤꯡ ꯁꯣꯀꯍꯜꯂꯤ꯫
꯳.ꯍꯣꯔꯥꯏꯖꯣꯟꯇꯦꯜ ꯁꯦꯒꯃꯦꯟꯇ: ꯱.ꯃꯁꯤꯁꯨ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯏꯟꯆꯤ ꯴ ꯋꯥꯡꯏ꯫ ꯃꯁꯤ ꯑꯔꯣꯏꯕꯗꯒꯤ ꯑꯋꯥꯡꯕꯗꯥ ꯆꯠꯂꯤ, ꯑꯃꯁꯨꯡ ꯃꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯂꯩꯕꯥ ꯑꯆꯧꯕꯥ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯜ ꯀꯌꯥꯒꯤ ꯃꯊꯛꯇꯥ ꯂꯩ꯫
4. ꯍꯦꯅꯒꯠꯂꯛꯂꯤꯕꯥ ꯁꯦꯒꯃꯦꯟꯇ: ꯃꯁꯤ ꯑꯄꯤꯀꯄꯥ ꯏꯟꯇꯦꯁ꯭ꯇꯥꯏꯅꯒꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯑꯄꯤꯀꯄꯥ ꯁꯔꯨꯛꯅꯤ꯫ ꯃꯁꯤ ꯏꯟꯆꯤ ꯑꯃꯗꯒꯤ ꯈꯔꯥ ꯍꯦꯟꯅꯥ ꯋꯥꯡꯏ꯫ ꯃꯁꯤ ꯃꯊꯛꯇꯥ ꯆꯦꯜꯂꯤ ꯑꯃꯁꯨꯡ ꯑꯄꯤꯀꯄꯥ ꯏꯟꯇꯦꯁ꯭ꯇꯥꯏꯅꯒꯤ ꯃꯊꯪꯒꯤ ꯁꯔꯨꯛ (jejunum)ꯒꯥ ꯁꯝꯅꯩ꯫
ꯒ꯭ꯔꯍ ꯑꯁꯤꯒꯤ ꯋꯥꯜ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯁꯦꯝꯕꯒꯦ?
ꯏꯎꯇꯦꯔꯥꯁꯀꯤ ꯋꯥꯜ ꯑꯁꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯂꯦꯌꯔ ꯃꯔꯤ ꯌꯥꯎꯏ꯫
- ꯃ꯭ꯌꯨꯀꯣꯁꯥ: ꯃꯁꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯅꯨꯡꯒꯤ ꯑꯣꯏꯕꯥ ꯂꯦꯡ-ꯑꯣꯠꯄꯅꯤ꯫ ꯃꯁꯤꯗꯥ ꯑꯄꯤꯀꯄꯥ ꯐꯤꯉ꯭ꯒꯔꯒꯨꯝꯕꯥ ꯄ꯭ꯔꯣꯖꯦꯛꯁꯅꯁꯤꯡ (ꯃꯥꯏꯛꯔꯣꯚꯤꯂꯤ) ꯂꯩ꯫ ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯏꯟꯇꯦꯁ꯭ꯇꯥꯏꯅꯒꯤ ꯁꯔꯐꯦꯁ ꯑꯦꯔꯤꯌꯥ ꯍꯦꯅꯒꯠꯍꯜꯂꯤ, ꯃꯗꯨꯅꯥ ꯅ꯭ꯌꯨꯠꯔꯤꯑꯦꯟꯇꯁꯤꯡ ꯍꯦꯟꯅꯥ ꯁꯣꯀꯍꯅꯕꯥ ꯉꯃꯍꯜꯂꯤ꯫
- ꯁꯕꯝꯌꯨꯀꯣꯁꯥ (submucosa): ꯂꯦꯡ-ꯑꯣꯠꯄꯗꯥ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯂꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯀꯅꯦꯛꯇꯤꯚ ꯇꯤꯁꯨꯁꯤꯡ ꯌꯥꯎꯏ꯫ ꯃꯁꯤꯗꯥ ꯕ꯭ꯔꯨꯅꯥꯔꯁ ꯒ꯭ꯜꯌꯥꯟꯗꯁꯤꯡꯁꯨ ꯌꯥꯑꯣꯏ, ꯃꯗꯨꯅꯥ ꯁ꯭ꯇꯣꯃꯥꯀꯇꯒꯤ ꯂꯥꯀꯄꯥ ꯆꯤꯟꯖꯥꯛꯀꯤ ꯑꯦꯁꯤꯗꯤꯇꯤ ꯍꯟꯊꯍꯅꯕꯥ ꯉꯝꯕꯥ ꯄꯣꯠꯁꯛ ꯑꯃꯥ ꯄꯨꯊꯣꯀꯏ꯫
- ꯃꯁꯜ: ꯃꯁꯤ ꯁ꯭ꯃꯨꯗ ꯃꯁꯂꯅꯥ ꯁꯦꯝꯕꯅꯤ꯫ ꯃꯁꯤꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯊꯕꯛ ꯑꯁꯤ ꯆꯤꯟꯖꯥꯛ ꯃꯤꯛꯁ ꯇꯧꯕꯥ ꯑꯃꯁꯨꯡ ꯃꯥꯡꯂꯣꯃꯗꯥ ꯄꯨꯈꯠꯄꯅꯤ꯫
- ꯁꯦꯔꯣꯁꯥ: ꯃꯁꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯄꯥꯟꯗꯥ ꯉꯥꯀꯊꯣꯀꯄꯥ ꯉꯝꯕꯥ ꯀꯚꯔꯅꯤ꯫
ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ ꯒ꯭ꯔꯥꯍꯤꯅꯤ ꯑꯁꯤ ꯍꯥꯏ-ꯇꯦꯛ ꯕ꯭ꯂꯦꯟꯗꯔ ꯑꯃꯁꯨꯡ ꯐꯤꯜꯇꯔ ꯃꯦꯁꯤꯟ ꯑꯃꯒꯨꯝꯕꯅꯤ꯫ ꯃꯁꯤꯅꯥ ꯆꯤꯟꯖꯥꯛꯀꯤ ꯑꯦꯁꯤꯗꯤꯇꯤ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯏ, ꯃꯊꯧ ꯇꯥꯕꯥ ꯑꯦꯅꯖꯥꯏꯃꯁꯤꯡ ꯍꯥꯄꯆꯤꯜꯂꯤ, ꯅ꯭ꯌꯨꯠꯔꯤꯑꯦꯟꯇꯁꯤꯡ ꯑꯗꯨ ꯇꯣꯈꯥꯌꯍꯜꯂꯤ ꯑꯃꯁꯨꯡ ꯑꯇꯩ ꯑꯗꯨ ꯃꯊꯪꯒꯤ ꯁ꯭ꯇꯦꯖꯗꯥ ꯊꯥꯏ꯫
ꯄ꯭ꯂꯥꯅꯦꯠ ꯑꯁꯤꯒꯥ ꯃꯔꯤ ꯂꯩꯅꯕꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯕꯥ ꯂꯥꯌꯅꯥꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯈꯨꯗꯣꯡꯆꯥꯗꯕꯁꯤꯡ꯫
ꯃꯁꯤ ꯁ꯭ꯇꯣꯃꯥꯀꯀꯤ ꯃꯅꯥꯛꯇꯥ ꯂꯩꯕꯥ ꯃꯔꯝꯅꯥ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯁ꯭ꯇꯣꯃꯥꯀꯀꯤ ꯑꯦꯁꯤꯗꯤꯇꯤ ꯍꯦꯅꯒꯠꯂꯛꯂꯕꯗꯤ ꯏꯁꯣꯐꯦꯒꯁ ꯑꯁꯤ ꯍꯦꯟꯅꯥ ꯁꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯒꯤ ꯑꯦꯁꯤꯗ ꯑꯁꯤꯅꯥ ꯁ꯭ꯇꯣꯃꯥꯛ ꯑꯃꯁꯨꯡ ꯏꯁꯣꯐꯦꯒꯁ ꯑꯂꯁꯔ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯔꯝ ꯑꯅꯤꯗꯤ `H. pylori` ꯑꯃꯁꯨꯡ `NSAIDs` (ꯅꯟ-ꯁ꯭ꯇꯦꯔꯣꯏꯗ ꯑꯦꯟꯇꯤ-ꯏꯅꯐ꯭ꯂꯦꯃꯦꯇꯔꯤ ꯗ꯭ꯔꯒꯁꯤꯡ) (ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ ꯑꯦꯁ꯭ꯄꯤꯔꯤꯟ, ꯏꯕꯨꯞꯔꯣꯐꯦꯟ) ꯀꯧꯕꯥ ꯄꯦꯏꯅꯀꯤꯂꯥꯔꯁꯤꯡ ꯌꯥꯝꯅꯥ ꯁꯤꯖꯤꯟꯅꯕꯥ꯫
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯂꯥꯏꯌꯦꯡꯗꯕꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯑꯃꯅꯥ ꯏꯎꯇꯦꯔꯥꯏꯟ ꯋꯥꯂꯗꯥ ꯆꯥꯎꯅꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯂꯩꯕꯥ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯜ ꯑꯃꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯇꯥꯔꯕꯗꯤ, ꯃꯁꯤꯅꯥ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯅꯥ ꯏ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯁꯤ ꯑꯦꯃꯔꯖꯦꯟꯁꯤ ꯃꯦꯗꯤꯀꯦꯜ ꯇ꯭ꯔꯤꯠꯃꯦꯟꯇ ꯃꯊꯧ ꯇꯥꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫
ꯑꯄꯤꯀꯄꯥ ꯏꯟꯇꯦꯁ꯭ꯇꯥꯏꯅꯗꯥ ꯁꯣꯀꯍꯜꯂꯤꯕꯥ ꯂꯥꯌꯅꯥ ꯀꯌꯥꯅꯥ ꯄꯦꯅꯛꯔꯤꯑꯦꯖꯗꯁꯨ ꯁꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫
- ꯀ꯭ꯔꯣꯅꯤꯛ ꯂꯥꯌꯅꯥ (crohn’s disease): ꯑꯄꯤꯀꯄꯥ ꯏꯟꯇꯦꯁ꯭ꯇꯥꯏꯅꯒꯤ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯁꯟ ꯑꯃꯁꯨꯡ ꯁꯣꯛ-ꯄꯅꯕꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫
- ꯁꯤꯂꯤꯌꯥꯛ ꯗꯤꯖꯤꯖ: ꯒ꯭ꯂꯨꯇꯦꯟ ꯌꯥꯎꯕꯥ ꯆꯤꯟꯖꯥꯀꯁꯤꯡ ꯆꯥꯕꯥ ꯃꯇꯃꯗꯥ ꯗꯥꯏꯖꯦꯁ꯭ꯇꯤꯚ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯊꯣꯀꯍꯅꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫
- ꯗꯣꯑꯣꯗꯦꯅꯦꯜ ꯀꯦꯟꯁꯔ (Doodenal cancer): ꯗꯣꯑꯣꯗꯦꯅꯃꯒꯤ ꯁꯦꯂꯁꯤꯡꯗꯥ ꯍꯧꯔꯀꯄꯥ ꯀꯦꯟꯁꯔ꯫
- ꯗ꯭ꯌꯨꯑꯣꯗꯦꯅꯤꯇꯤꯁ: ꯗꯣꯑꯣꯗꯦꯅꯃꯒꯤ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯁꯟ꯫
- ꯁ꯭ꯃꯣꯜ ꯕꯣꯋꯦꯜ ꯑꯣꯕꯁ꯭ꯠꯔꯥꯀꯁꯟ (small bowel obstruction): ꯔꯦꯛꯇꯝ ꯌꯥꯎꯅꯥ ꯑꯄꯤꯀꯄꯥ ꯏꯟꯇꯦꯁ꯭ꯇꯥꯏꯅꯒꯤ ꯃꯄꯨꯡꯐꯥꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯁꯔꯨꯛ ꯈꯔꯗꯤ ꯕ꯭ꯂꯣꯛ ꯇꯧꯕꯥ꯫ ꯃꯁꯤ ꯃꯦꯗꯤꯀꯦꯜ ꯏꯃꯔꯖꯦꯟꯁꯤ ꯑꯃꯁꯨ ꯑꯣꯏꯔꯤ꯫
ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯑꯃꯥ ꯂꯩꯔꯦ ꯍꯥꯌꯕꯥ ꯇꯥꯀꯄꯥ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ꯫
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯑꯃꯥ ꯂꯩꯔꯕꯗꯤ, ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯗꯨ ꯂꯥꯌꯅꯥ ꯑꯗꯨꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ ꯈꯦꯠꯅꯕꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯃꯐꯃꯁꯤꯗꯥ ꯃꯍꯧꯁꯥꯅꯥ ꯗꯥꯏꯖꯦꯁ꯭ꯇꯤꯚ ꯁꯤꯁ꯭ꯇꯦꯃꯒꯤ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯃꯁꯤꯡꯗꯥ ꯎꯕꯥ ꯐꯪꯂꯤꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯌꯥꯎꯔꯤ꯫
- ꯈꯣꯡꯗꯥ ꯁꯣꯀꯄꯥ꯫
- ꯁ꯭ꯇꯣꯃꯥꯛ ꯕ꯭ꯂꯣꯇꯤꯡ ꯑꯃꯁꯨꯡ ꯐ꯭ꯂꯦꯠꯌꯨꯂꯦꯟꯁ꯫
- ꯈꯣꯉ ꯍꯥꯝꯕ ꯌꯥꯗꯕ
- ꯈꯣꯡ ꯍꯥꯝꯗꯕ
- ꯅꯣꯡꯃꯩ ꯀꯥꯞꯄꯥ ꯑꯃꯁꯨꯡ ꯈꯣꯡ ꯍꯥꯝꯕꯥ꯫
- ꯆꯥꯕꯥ ꯂꯣꯌꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯈꯣꯡꯗꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ (Indigestion) .
- ꯏ ꯊꯣꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯁ꯭ꯇꯣꯂꯗꯥ ꯏ ꯊꯣꯀꯄꯥ (ꯃꯁꯤꯅꯥ ꯑꯁꯣꯀꯄꯥ ꯑꯃꯗꯒꯤ ꯏ ꯊꯣꯀꯄꯒꯤ ꯈꯨꯗꯝ ꯑꯣꯏꯕꯥ ꯌꯥꯏ)
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯂꯦꯡꯗꯅꯥ ꯂꯩꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯄꯥꯎꯇꯥꯛ ꯂꯧꯅꯕꯥ ꯁꯣꯌꯗꯅꯥ ꯆꯠꯀꯗꯕꯅꯤ .
ꯏꯎꯇꯦꯔꯥꯁꯀꯤ ꯍꯀꯁꯦꯜ ꯌꯦꯡꯅꯕꯒꯤ ꯄꯥꯝꯕꯩꯁꯤꯡ꯫
ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡꯗꯥ ꯌꯨꯝꯐꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯑꯣꯔꯗꯔ ꯇꯧꯒꯅꯤ꯫ ꯃꯈꯣꯌ ꯈꯔꯗꯤ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤ:
- H. pylori ꯏꯅꯐꯦꯛꯁꯅꯒꯤꯗꯃꯛꯇꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯇꯦꯁ꯭ꯠ ꯇꯧꯕꯥ꯫
- ꯁ꯭ꯀꯦꯅꯁꯤꯡ: ꯏꯎꯇꯦꯔꯥꯁꯀꯤ ꯃꯅꯨꯡꯗꯥ ꯂꯪꯁ ꯑꯃꯁꯨꯡ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯁꯟ ꯌꯦꯡꯁꯤꯟꯅꯕꯥ `ꯑꯂꯠꯔꯥꯁꯥꯎꯟꯗ`, `ꯑꯦꯛꯁ-ꯔꯦ`, `ꯁꯤ.ꯇꯤ.ꯁ꯭ꯀꯦꯟ` ꯅꯠꯠꯔꯒꯥ `ꯑꯦꯝ.ꯑꯥꯔ.ꯑꯥꯏ.`ꯒꯨꯝꯕꯥ ꯇꯦꯁ꯭ꯇꯁꯤꯡ꯫
- ꯑꯦꯟꯗꯣꯁ꯭ꯀꯣꯄꯤ (Endoscopy): ꯀꯦꯃꯦꯔꯥ ꯑꯃꯥ ꯌꯥꯎꯕꯥ ꯑꯄꯤꯀꯄꯥ ꯇꯤꯎꯕ ꯑꯃꯥ ꯃꯤꯠꯀꯤ ꯃꯅꯨꯡꯗꯥ ꯊꯥꯗꯨꯅꯥ ꯏꯁꯣꯐꯦꯒꯁꯀꯤ ꯃꯅꯨꯡꯗꯥ ꯌꯦꯡꯁꯤꯜꯂꯤ꯫
- ꯕꯥꯏꯑꯣꯞꯁꯤ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯦꯕꯅꯣꯔꯃꯦꯜ ꯂꯝ ꯑꯃꯥ ꯂꯩꯔꯕꯗꯤ ꯃꯗꯨꯗꯒꯤ ꯇꯤꯁꯨꯒꯤ ꯑꯄꯤꯀꯄꯥ ꯁꯔꯨꯛ ꯑꯃꯥ ꯂꯧꯊꯣꯀꯏ ꯑꯃꯁꯨꯡ ꯀꯦꯟꯁꯔ ꯁꯦꯂꯁꯤꯡꯒꯤꯗꯃꯛꯇꯥ ꯇꯦꯁ꯭ꯠ ꯇꯧꯏ꯫
ꯏꯎꯇꯦꯔꯥꯏꯅꯒꯤ ꯂꯥꯌꯅꯥꯁꯤꯡꯒꯤ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯂꯥꯏꯌꯦꯡꯁꯤꯡ꯫
ꯂꯥꯏꯌꯦꯡ ꯑꯁꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯗꯨꯅꯥ ꯂꯦꯄꯊꯣꯀꯏ꯫
- ꯑꯦꯟꯇꯤꯕꯥꯏꯑꯣꯇꯤꯀꯁꯤꯡ: H. pyloriꯒꯨꯝꯕꯥ ꯕꯦꯛꯇꯦꯔꯤꯌꯥ ꯏꯅꯐꯦꯛꯁꯅꯁꯤꯡꯒꯤꯗꯃꯛ꯫
- ꯁ꯭ꯇꯦꯔꯣꯏꯗ ꯍꯤꯗꯥꯀꯁꯤꯡ (ꯀꯣꯔꯇꯤꯀꯣꯁ꯭ꯇꯦꯔꯣꯏꯗꯁꯤꯡ): ꯌꯥꯝꯅꯥ ꯍꯦꯟꯅꯥ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯁꯟ ꯍꯟꯊꯍꯟꯅꯕꯥ꯫
- ꯁ꯭ꯇꯣꯃꯥꯛ ꯑꯦꯁꯤꯗ ꯍꯟꯊꯍꯅꯕꯥ ꯍꯤꯗꯥꯀꯁꯤꯡ: `ꯄ꯭ꯔꯣꯇꯣꯟ ꯄꯝꯄ ꯏꯅꯍꯤꯕꯤꯇꯔꯁꯤꯡ (ꯄꯤ.ꯄꯤ.ꯑꯥꯏ.ꯁꯤꯡ)`, `ꯑꯩꯆ.꯲ ꯕ꯭ꯂꯣꯀꯔꯁꯤꯡ` ꯑꯃꯁꯨꯡ `ꯑꯦꯟꯇꯥꯁꯤꯗꯁꯤꯡ`ꯒꯨꯝꯕꯥ ꯍꯤꯗꯥꯀꯁꯤꯡ꯫
- ꯁꯔꯖꯔꯤ: ꯀꯦꯟꯁꯔꯒꯤ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ ꯅꯠꯠꯔꯒꯥ ꯑꯇꯩ ꯁ꯭ꯠꯔꯀꯆꯔꯦꯜ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯃꯁꯤꯡꯒꯤꯗꯃꯛ ꯁꯔꯖꯔꯤ ꯇꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯏ꯫
ꯇꯦꯛ-ꯍꯣꯝ ꯃꯦꯁꯦꯖ ꯇꯧꯕꯥ꯫
- ꯗꯣꯑꯣꯗꯦꯅꯝ ꯑꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯑꯄꯤꯀꯄꯥ ꯏꯟꯇꯦꯁ꯭ꯇꯥꯏꯅꯒꯤ ꯑꯍꯥꯅꯕꯥ, ‘C’ ꯃꯑꯣꯡꯒꯤ ꯁꯔꯨꯛ ꯑꯃꯅꯤ꯫ ꯃꯁꯤ ꯑꯄꯤꯀꯄꯥ ꯑꯣꯏꯔꯕꯁꯨ, ꯃꯁꯤꯅꯥ ꯆꯤꯟꯖꯥꯛ ꯍꯟꯖꯤꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯅ꯭ꯌꯨꯠꯔꯤꯑꯦꯟꯇꯁꯤꯡ ꯁꯣꯀꯍꯅꯕꯗꯥ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯊꯧꯗꯥꯡ ꯂꯧꯏ꯫
- ꯃꯁꯤꯗꯥ ꯁ꯭ꯇꯣꯃꯥꯀꯇꯒꯤ ꯂꯥꯀꯄꯥ ꯌꯥꯝꯅꯥ ꯑꯦꯁꯤꯗꯤꯛ ꯑꯣꯏꯕꯥ ꯆꯤꯟꯖꯥꯀꯁꯤꯡꯒꯤ ꯑꯦꯁꯤꯗꯤꯇꯤ ꯍꯟꯊꯔꯀꯏ, ꯅ꯭ꯌꯨꯠꯔꯤꯑꯦꯟꯇꯁꯤꯡꯗꯥ ꯑꯣꯟꯊꯣꯀꯏ ꯑꯃꯁꯨꯡ ꯏꯗꯥ ꯌꯥꯎꯕꯥ ꯍꯧꯏ꯫
- ꯄꯦꯅꯀꯤꯂꯔꯁꯤꯡ (NSAIDs) ꯍꯦꯟꯅꯥ ꯁꯤꯖꯤꯟꯅꯕꯅꯥ ꯑꯃꯁꯨꯡ H. pylori ꯏꯅꯐꯦꯛꯁꯟ ꯂꯩꯔꯀꯄꯅꯥ ꯁ꯭ꯇꯣꯃꯥꯀꯇꯥ ꯑꯂꯁꯔ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯈꯣꯝꯂꯥꯡ ꯁꯣꯛ-ꯄꯅꯕꯥ, ꯈꯣꯡ ꯍꯥꯝꯕꯥ, ꯑꯃꯁꯨꯡ ꯈꯣꯡ ꯍꯥꯝꯕꯥ ꯑꯁꯤꯅꯆꯤꯡꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯂꯦꯡꯗꯅꯥ ꯂꯩꯔꯕꯗꯤ, ꯃꯈꯣꯌꯗꯨ ꯌꯦꯡꯁꯤꯅꯕꯤꯒꯅꯨ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯇꯥꯟꯅꯧ꯫
- ꯐꯤꯕꯔ ꯌꯥꯝꯅꯥ ꯌꯥꯎꯕꯥ ꯆꯤꯟꯖꯥꯀꯁꯤꯡ, ꯎꯍꯩ-ꯋꯥꯍꯩꯁꯤꯡ, ꯑꯃꯁꯨꯡ ꯏꯁꯤꯡ ꯃꯔꯥꯡ ꯀꯥꯌꯅꯥ ꯊꯀꯄꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯃꯩꯈꯨ ꯊꯥꯗꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯌꯨ ꯌꯥꯝꯅꯥ ꯊꯀꯄꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯥꯏꯖꯦꯁ꯭ꯇꯤꯚ ꯁꯤꯁ꯭ꯇꯦꯝ ꯄꯨꯝꯅꯃꯛ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯏꯎꯇꯦꯔꯥꯁꯇꯥ ꯌꯥꯝꯅꯥ ꯀꯥꯟꯅꯕꯥ ꯄꯤ꯫
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