ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯁꯣꯀꯄꯥ, ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯃꯩꯅꯥ ꯆꯥꯀꯄꯥ (burning sensation) ꯑꯃꯁꯨ ꯂꯩꯕ꯭ꯔꯥ? ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯁꯤ.ꯇꯤ.ꯁ꯭ꯀꯦꯟ ꯅꯠꯠꯔꯒꯥ ꯑꯦꯝ.ꯑꯥꯔ.ꯑꯥꯏ.ꯗꯥ ꯇꯧꯔꯒꯥ ꯃꯗꯨꯗꯥ ꯑꯄꯤꯀꯄꯥ ꯄꯣꯠꯁꯛ ꯑꯃꯥ ꯎꯔꯒꯥ ꯍꯥꯌꯔꯀꯄꯥ ꯌꯥꯏ ꯃꯗꯨꯗꯤ ꯅꯍꯥꯛꯅꯥ ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯍꯦꯟꯅꯥ ꯈꯪꯅꯕꯒꯤꯗꯃꯛ ꯑꯈꯟꯅꯕꯥ ꯇꯦꯁ꯭ꯠ ꯑꯃꯥ ꯇꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯏ꯫ ꯃꯗꯨ ꯑꯩꯈꯣꯌꯅꯥ ꯉꯁꯤ ꯋꯥꯔꯤ ꯁꯥꯅꯔꯤꯕꯥ ꯑꯁꯤꯅꯤ, ꯑꯁꯤꯒꯨꯝꯕꯥ ꯃꯇꯝ ꯑꯁꯤꯗꯥ ꯄꯥꯡꯊꯣꯀꯄꯥ ꯌꯥꯝꯅꯥ ꯆꯥꯎꯈꯠꯄꯥ ꯇꯦꯁ꯭ꯠ ꯑꯃꯅꯤ꯫ ꯑꯦꯟꯗꯣꯁ꯭ꯀꯣꯄꯤꯛ ꯑꯂꯠꯔꯥꯁꯥꯎꯟꯗ, ꯅꯠꯠꯔꯒꯥ ꯊꯣꯏꯗꯣꯛ ꯍꯦꯟꯗꯣꯛꯅꯥ ꯏ.ꯌꯨ.ꯑꯦꯁ. ꯃꯤꯡ ꯑꯁꯤ ꯈꯔꯥ ꯍꯦꯟꯅꯥ ꯂꯨꯝꯂꯕꯁꯨ ꯇꯁꯦꯡꯅꯥ ꯌꯥꯝꯅꯥ ꯂꯥꯏꯕꯛ ꯐꯕꯅꯤ꯫ ꯑꯀꯨꯞꯄꯥ ꯃꯔꯣꯂꯁꯤꯡ ꯑꯗꯨ ꯌꯦꯡꯁꯤ꯫
ꯑꯦꯟꯗꯣꯁ꯭ꯀꯣꯄꯤꯛ ꯑꯂꯠꯔꯥꯁꯥꯎꯟꯗ (EUS) ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ?
ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯏ.ꯌꯨ.ꯑꯦꯁ.ꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯥꯏꯖꯦꯁ꯭ꯇꯤꯚ ꯁꯤꯁ꯭ꯇꯦꯃꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯂꯩꯕꯥ, ꯅꯠꯠꯔꯒꯥ ꯏꯟꯇꯦꯁ꯭ꯇꯥꯏꯅꯁꯤꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯌꯦꯡꯁꯤꯟꯅꯕꯥ ꯁꯤꯖꯤꯟꯅꯕꯥ ꯊꯧꯑꯣꯡ ꯑꯃꯅꯤ꯫ ꯃꯁꯤ ꯒꯦꯁ꯭ꯠꯔꯣꯏꯟꯇꯦꯔꯣꯂꯣꯖꯤꯁ꯭ꯠ ꯑꯃꯅꯥ ꯇꯧꯏ꯫
ꯈꯟꯊꯕꯤꯌꯨ, ꯃꯁꯤ ꯇꯦꯛꯅꯣꯂꯣꯖꯤ ꯑꯅꯤ ꯄꯨꯅꯁꯤꯅꯕꯒꯥ ꯃꯥꯟꯅꯩ꯫
1. ꯑꯦꯟꯗꯣꯁ꯭ꯀꯣꯞ: ꯃꯁꯤ ꯂꯝꯕꯤ ꯑꯃꯗꯥ ꯀꯦꯃꯦꯔꯥ ꯑꯃꯁꯨꯡ ꯃꯉꯥꯜ ꯂꯩꯕꯥ ꯁꯥꯡꯕꯥ, ꯂꯨꯝꯕꯥ, ꯐ꯭ꯂꯦꯛꯁꯤꯕꯜ ꯇꯨꯕ ꯑꯃꯅꯤ꯫ ꯃꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯂꯩꯔꯤꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ ꯑꯗꯨ ꯃꯌꯦꯛ ꯁꯦꯡꯅꯥ ꯎꯕꯥ ꯉꯝꯃꯤ꯫
2. ꯑꯂꯠꯔꯥꯁꯥꯎꯟꯗ: ꯇꯨꯕꯀꯤ ꯑꯔꯣꯏꯕꯗꯥ ꯑꯄꯤꯀꯄꯥ ꯁ꯭ꯀꯦꯅꯤꯡ ꯗꯤꯚꯥꯏꯁ (ꯄ꯭ꯔꯣꯕ) ꯑꯃꯥ ꯂꯩ꯫ ꯃꯁꯤꯅꯥ ꯁꯥꯎꯟꯗ ꯋꯦꯕ ꯊꯥꯗꯣꯀꯏ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯂꯩꯕꯥ ꯑꯣꯔꯒꯥꯅꯁꯤꯡ, ꯇꯤꯁꯨꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯂꯁꯤꯡꯒꯤ ꯏꯃꯦꯖꯁꯤꯡ ꯁꯦꯝꯃꯤ꯫
ꯑꯗꯨꯅꯥ ꯑꯅꯤ ꯑꯁꯤ ꯄꯨꯟꯅꯥ ꯊꯝꯂꯕꯥ ꯃꯇꯃꯗꯥ, ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯏꯟꯇꯦꯁ꯭ꯇꯥꯏꯅꯒꯤ ꯋꯥꯂꯁꯤꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯁꯨꯡ ꯑꯀꯣꯌꯕꯗꯥ ꯂꯩꯕꯥ ꯑꯣꯔꯒꯥꯅꯁꯤꯡ, ꯄꯦꯅꯛꯔꯤꯑꯦꯖ ꯑꯃꯁꯨꯡ ꯒꯥꯂꯕ꯭ꯂꯦꯗꯔꯒꯨꯝꯕꯥ ꯑꯣꯔꯒꯥꯅꯁꯤꯡ ꯑꯗꯨ ꯌꯥꯝꯅꯥ ꯅꯛꯅꯥ ꯑꯃꯁꯨꯡ ꯃꯌꯦꯛ ꯁꯦꯡꯅꯥ ꯌꯦꯡꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯅꯥ ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯁ꯭ꯀꯦꯟ ꯇꯧꯕꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯑꯀꯨꯞꯄꯥ ꯃꯔꯣꯜ ꯀꯌꯥ ꯎꯕꯥ ꯐꯪꯏ꯫
ꯀꯅꯥꯅꯥ ꯏ.ꯌꯨ.ꯑꯦꯁ.ꯀꯤ ꯇꯦꯁ꯭ꯠ ꯑꯃꯥ ꯃꯊꯧ ꯇꯥꯕꯒꯦ?
ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯇꯣꯉꯥꯟ ꯇꯣꯉꯥꯅꯕꯥ ꯃꯔꯃꯁꯤꯡꯅꯥ ꯏ.ꯌꯨ.ꯑꯦꯁ.ꯀꯤ ꯇꯦꯁ꯭ꯠ ꯑꯁꯤ ꯔꯤꯀꯃꯦꯟꯗ ꯇꯧꯔꯤ꯫ ꯃꯁꯤ ꯃꯔꯨꯑꯣꯏꯅꯥ ꯃꯦꯗꯤꯀꯦꯜ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯥ ꯑꯆꯨꯝꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯈꯪꯗꯣꯛꯅꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯀꯛꯅꯕꯥ ꯂꯥꯏꯑꯣꯡ ꯑꯃꯒꯤ ꯃꯔꯝ ꯈꯪꯗꯣꯛꯅꯕꯥ ꯁꯤꯖꯤꯟꯅꯩ꯫
| ꯂꯥꯏꯑꯣꯡ ꯅꯠꯠꯔꯒꯥ ꯀꯟꯗꯤꯁꯟ ꯂꯩꯕꯥ꯫ | ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯁꯟꯗꯣꯛꯅꯥ ꯇꯥꯀꯏ꯫ |
|---|---|
| ꯁ꯭ꯇꯣꯃꯥꯛ ꯅꯠꯠꯔꯒꯥ ꯈꯣꯡꯗꯥ ꯑꯅꯥꯕꯥ ꯂꯩꯕꯥ꯫ | ꯊꯦꯡꯅꯕꯥ ꯉꯃꯗꯕꯥ ꯂꯦꯡ-ꯑꯣꯠꯄꯒꯤ ꯑꯀꯛꯅꯕꯥ ꯃꯔꯝ ꯑꯗꯨ ꯌꯦꯡꯎ꯫ |
| ꯃꯦꯇꯥꯁ꯭ꯇꯦꯇꯤꯛ ꯀꯦꯟꯁꯔ꯫ | ꯀꯦꯟꯁꯔ ꯑꯁꯤ ꯃꯅꯥꯛ ꯅꯀꯄꯥ ꯂꯤꯝꯐ ꯅꯣꯗꯁꯤꯡ ꯅꯠꯠꯔꯒꯥ ꯑꯇꯩ ꯑꯣꯔꯒꯥꯅꯁꯤꯡꯗꯥ ꯁꯟꯗꯣꯀꯈ꯭ꯔꯕꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯎ꯫ |
| ꯂꯪꯁ ꯅꯠꯠꯔꯒꯥ ꯑꯦꯕꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯕꯥ ꯒ꯭ꯔꯣꯊꯁꯤꯡ꯫ | ꯃꯃꯥꯡꯒꯤ ꯁꯤ.ꯇꯤ. ꯅꯠꯠꯔꯒꯥ ꯑꯦꯝ.ꯑꯥꯔ.ꯑꯥꯏ. |
| ꯗꯥꯏꯖꯦꯁ꯭ꯇꯤꯚ ꯁꯤꯁ꯭ꯇꯦꯃꯒꯤ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯃꯁꯤꯡ꯫ | ꯏꯅꯐ꯭ꯂꯦꯃꯦꯇꯔꯤ ꯕꯣꯋꯦꯜ ꯗꯤꯖꯤꯖ (IBD) ꯑꯃꯁꯨꯡ ꯀꯣꯂꯣꯟ ꯀꯦꯟꯁꯔꯒꯨꯝꯕꯥ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯀꯨꯞꯅꯥ ꯌꯦꯡꯁꯤꯅꯕꯤꯌꯨ꯫ |
| ꯒꯥꯂꯕ꯭ꯂꯦꯗꯔꯒꯤ ꯂꯥꯌꯅꯥꯁꯤꯡ꯫ | ꯒꯥꯂꯁ꯭ꯇꯣꯟ ꯅꯠꯠꯔꯒꯥ ꯀꯣꯂꯦꯁ꯭ꯇꯦꯔꯣꯂꯒꯨꯝꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯆꯦꯛ ꯇꯧ꯫ |
| ꯂꯪꯁꯀꯥ ꯃꯔꯤ ꯂꯩꯅꯕꯥ ꯂꯥꯌꯅꯥꯁꯤꯡ꯫ | ꯂꯪꯁ ꯀꯦꯟꯁꯔꯒꯨꯝꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ ꯑꯁꯤ ꯆꯦꯛꯁꯤꯟꯅꯥ ꯌꯦꯡꯁꯤꯜꯂꯨ꯫ |
| ꯄꯦꯅꯛꯔꯤꯑꯦꯇꯤꯛ ꯂꯥꯌꯅꯥꯁꯤꯡ꯫ | ꯄꯦꯅꯛꯔꯤꯑꯦꯇꯤꯛ ꯀꯦꯟꯁꯔ, ꯁꯤꯁ꯭ꯇꯦꯝ, ꯅꯠꯠꯔꯒꯥ ꯄꯦꯅꯛꯔꯤꯑꯦꯇꯤꯁꯒꯨꯝꯕꯥ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ ꯈꯪꯗꯣꯀꯄꯥ꯫ |
| ꯂꯧꯅꯒꯅꯕꯥ ꯂꯥꯌꯅꯥ꯫ | ꯂꯦꯡ-ꯑꯣꯠꯄꯗꯥ ꯁꯣꯀꯍꯜꯂꯤꯕꯥ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ, ꯍꯥꯌꯕꯗꯤ ꯕꯦꯔꯦꯇꯀꯤ ꯏꯁꯣꯐꯦꯒꯁ (barret’s esophagus) ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯆꯦꯛ ꯇꯧ꯫ |
ꯏ.ꯌꯨ.ꯑꯦꯁ.ꯀꯤ ꯇꯦꯁ꯭ꯇꯁꯤꯡꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯈꯜ ꯑꯅꯤ ꯂꯩ:
ꯅꯍꯥꯛꯀꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯃꯊꯛꯀꯤ ꯅꯠꯠꯔꯒꯥ ꯃꯈꯥ ꯊꯪꯕꯥ ꯁꯔꯨꯛ ꯑꯗꯨ ꯌꯦꯡꯁꯤꯟꯅꯕꯥ ꯋꯥꯔꯦꯞ ꯂꯧꯒꯅꯤ꯫
꯱.ꯏ.ꯌꯨ.ꯑꯦꯁ.(ꯑꯋꯥꯡꯕꯥ ꯏ.ꯌꯨ.ꯑꯦꯁ.)
ꯃꯁꯤꯗꯥ, ꯅꯍꯥꯛꯀꯤ ꯃꯤꯠꯀꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯑꯦꯟꯗꯣꯁ꯭ꯀꯣꯞ ꯑꯃꯥ ꯊꯥꯗꯣꯀꯏ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯗꯥꯏꯖꯦꯁ꯭ꯇꯤꯚ ꯁꯤꯁ꯭ꯇꯦꯃꯒꯤ ꯃꯊꯛꯀꯤ ꯁꯔꯨꯛ ꯑꯗꯨ ꯌꯦꯡꯁꯤꯜꯂꯤ꯫
- ꯏꯁꯣꯐꯦꯒꯁ, ꯁ꯭ꯇꯣꯃꯥꯛ ꯑꯃꯁꯨꯡ ꯑꯄꯤꯀꯄꯥ ꯏꯟꯇꯦꯁ꯭ꯇꯥꯏꯅꯒꯤ ꯑꯍꯥꯅꯕꯥ ꯁꯔꯨꯛ꯫
- ꯑꯀꯣꯌꯕꯗꯥ ꯂꯩꯕꯥ ꯂꯤꯝꯐ ꯅꯣꯗꯁꯤꯡ, ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯂꯁꯤꯡ, ꯐ꯭ꯂꯨꯏꯗꯅꯥ ꯊꯜꯂꯕꯥ ꯁꯤꯁ꯭ꯇꯦꯃꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯀꯦꯟꯁꯔꯒꯤ ꯇꯤꯎꯃꯔꯁꯤꯡ꯫
- ꯄꯦꯅꯛꯔꯤꯑꯦꯖ, ꯒꯥꯂꯕ꯭ꯂꯦꯗꯔ ꯑꯃꯁꯨꯡ ꯕꯥꯏꯜ ꯗꯛꯇꯁꯤꯡꯒꯨꯝꯕꯥ ꯃꯅꯥꯛ ꯅꯀꯄꯥ ꯑꯣꯔꯒꯥꯅꯁꯤꯡ꯫
꯲.ꯏ.ꯌꯨ.ꯑꯦꯁ.(ꯂꯣꯌꯔꯕꯥ ꯏ.ꯌꯨ.ꯑꯦꯁ.) ꯴.
ꯃꯁꯤꯗꯥ ꯑꯦꯅꯗꯣꯁ꯭ꯀꯣꯞ ꯑꯁꯤ ꯃꯈꯨꯠꯀꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯊꯥꯗꯣꯀꯏ ꯑꯃꯁꯨꯡ ꯗꯥꯏꯖꯦꯁ꯭ꯇꯤꯕ ꯁꯤꯁ꯭ꯇꯦꯃꯒꯤ ꯃꯈꯥ ꯊꯪꯕꯥ ꯁꯔꯨꯛ ꯑꯗꯨ ꯌꯦꯡꯁꯤꯜꯂꯤ꯫
- ꯃꯅꯥ-ꯃꯁꯤꯡꯒꯤ ꯑꯀꯣꯌꯕꯗꯥ ꯂꯩꯕꯥ ꯃꯁꯂꯁꯤꯡ (Anal sphincter)꯫
- ꯑꯀꯣꯌꯕꯗꯥ ꯂꯩꯕꯥ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯂꯁꯤꯡ, ꯂꯤꯝꯐ ꯅꯣꯗꯁꯤꯡ, ꯐ꯭ꯂꯨꯏꯗꯅꯥ ꯊꯜꯂꯕꯥ ꯁꯤꯁ꯭ꯇꯦꯃꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯂꯪꯁꯁꯤꯡ꯫
- ꯑꯆꯧꯕꯥ ꯏꯟꯇꯦꯁ꯭ꯇꯥꯏꯅꯒꯤ ꯑꯔꯣꯏꯕꯥ ꯁꯔꯨꯛ (ꯔꯦꯛꯇꯝ ꯑꯃꯁꯨꯡ ꯀꯣꯂꯣꯟ)꯫
ꯏ.ꯌꯨ.ꯑꯦꯁ.ꯀꯥ ꯃꯇꯝ ꯑꯃꯗꯥ ꯄꯥꯡꯊꯣꯀꯈꯤꯕꯥ ꯕꯥꯏꯑꯣꯞꯁꯤ ꯇꯦꯁ꯭ꯠ꯫
ꯃꯁꯤ ꯏ.ꯌꯨ.ꯑꯦꯁ.ꯀꯤ ꯇꯦꯁ꯭ꯇꯀꯤ ꯑꯇꯣꯞꯄꯥ ꯑꯆꯧꯕꯥ ꯀꯥꯟꯅꯕꯥ ꯑꯃꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯗꯣꯛꯇꯔꯅꯥ ꯇꯦꯁ꯭ꯠ ꯇꯧꯕꯥ ꯃꯇꯃꯗꯥ ꯑꯀꯤꯕꯥ ꯄꯣꯀꯍꯅꯕꯥ ꯌꯥꯕꯥ ꯂꯝ ꯑꯃꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯦꯕꯅꯣꯔꯃꯦꯜ ꯇꯤꯁꯨ ꯑꯃꯥ ꯎꯔꯕꯗꯤ ꯃꯗꯨꯒꯤ ꯑꯄꯤꯀꯄꯥ ꯁꯦꯝꯄꯜ ꯑꯃꯥ ꯈꯨꯗꯛꯇꯥ ꯇꯦꯁ꯭ꯠ ꯇꯧꯅꯕꯥ ꯂꯧꯕꯥ ꯌꯥꯏ꯫
ꯃꯁꯤꯕꯨ ‘ꯐꯥꯏꯅꯦꯜ-ꯅꯤꯗꯜ ꯑꯦꯁ꯭ꯄꯤꯔꯦꯁꯟ’ ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ ꯇꯤꯁꯨꯒꯤ ꯁꯔꯨꯛ ꯑꯁꯤ ꯑꯦꯟꯗꯣꯁ꯭ꯀꯣꯄꯀꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯄꯥꯁ ꯇꯧꯕꯥ ꯑꯄꯤꯀꯄꯥ ꯅꯤꯗꯜ ꯑꯃꯥ ꯁꯤꯖꯤꯟꯅꯗꯨꯅꯥ ꯂꯧꯏ꯫ ꯅꯉꯅꯥ ꯃꯁꯤ ꯐꯥꯑꯣꯕꯥ ꯐꯥꯑꯣꯔꯔꯣꯏ꯫
ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯇꯤꯁ꯭ꯌꯨ ꯅꯠꯠꯔꯒꯥ ꯐ꯭ꯂꯨꯏꯗ ꯁꯦꯝꯄꯜ ꯑꯗꯨ ꯂꯦꯕ ꯑꯃꯗꯥ ꯊꯥꯏ꯫ ꯄꯦꯊꯣꯂꯣꯖꯤꯁ꯭ꯠ ꯑꯃꯅꯥ ꯃꯁꯤ ꯌꯦꯡꯁꯤꯜꯂꯤ ꯑꯃꯁꯨꯡ ꯃꯁꯤꯗꯥ ꯀꯦꯟꯁꯔ ꯁꯦꯂꯒꯨꯝꯕꯥ ꯑꯁꯣꯏ-ꯑꯉꯥꯝ ꯌꯥꯑꯣꯗꯕꯥ ꯄꯣꯠꯁꯛ ꯑꯃꯠꯇꯥ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯅꯥ ꯔꯤꯄꯣꯔꯠ ꯇꯧꯏ꯫
ꯏ.ꯌꯨ.ꯑꯦꯁ.ꯀꯤ ꯇꯦꯁ꯭ꯇꯀꯤ ꯃꯃꯥꯡꯗꯥ ꯃꯇꯧ ꯀꯔꯝꯅꯥ ꯁꯦꯝ ꯁꯥꯒꯗꯒꯦ?
ꯇꯦꯁ꯭ꯠ ꯇꯧꯗ꯭ꯔꯤꯉꯩꯒꯤ ꯃꯃꯥꯡꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯀꯔꯤ ꯇꯧꯒꯗꯒꯦ ꯑꯃꯁꯨꯡ ꯀꯔꯤ ꯇꯧꯔꯣꯏꯗꯒꯦ ꯍꯥꯌꯕꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯗꯣꯛꯇꯔꯅꯥ ꯃꯌꯦꯛ ꯁꯦꯡꯕꯥ ꯏꯅꯁ꯭ꯠꯔꯛꯁꯅꯁꯤꯡ ꯄꯤꯒꯅꯤ꯫ ꯃꯈꯣꯌꯅꯥ ꯃꯍꯧꯁꯥꯅꯥ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯋꯥꯐꯃꯁꯤꯡ ꯍꯥꯌꯒꯅꯤ:
- ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯗꯥꯏꯑꯦꯕꯦꯇꯤꯖꯒꯤꯗꯃꯛꯇꯥ ꯕ꯭ꯂꯗ ꯊꯤꯅꯔ ꯅꯠꯠꯔꯒꯥ ꯏꯅꯁꯨꯂꯤꯟ ꯂꯧꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯍꯤꯗꯥꯀꯁꯤꯡ ꯑꯗꯨꯒꯤ ꯗꯣꯖ ꯑꯗꯨ ꯀꯔꯝꯅꯥ ꯁꯦꯃꯗꯣꯛ-ꯁꯦꯃꯖꯤꯟ ꯇꯧꯒꯗꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯈꯪꯍꯜꯂꯛꯀꯅꯤ꯫ ꯅꯍꯥꯛꯀꯤ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ ꯃꯁꯥ ꯃꯊꯟꯇꯥ ꯀꯩꯗꯧꯉꯩꯗꯥ ꯂꯦꯄꯀꯅꯨ꯫
- ꯆꯥꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯊꯛꯅꯕꯥ ꯏꯁꯤꯡ : ꯇꯦꯁ꯭ꯠ ꯇꯧꯗ꯭ꯔꯤꯉꯩꯒꯤ ꯃꯃꯥꯡꯗꯥ ꯄꯨꯡ ꯈꯔꯒꯤ ꯑꯣꯏꯅꯥ ꯆꯥꯕꯥ ꯑꯃꯁꯨꯡ ꯊꯀꯄꯥ ꯂꯦꯄꯍꯟꯅꯕꯥ ꯍꯥꯌꯒꯅꯤ꯫ ꯃꯍꯧꯁꯥꯅꯥ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯄꯨꯡ 6-8 ꯐꯥꯎꯕꯥ꯫ ꯃꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯁ꯭ꯇꯣꯃꯥꯛ ꯑꯗꯨ ꯏꯝꯄꯣꯔꯠ ꯇꯧꯒꯅꯤ ꯑꯃꯁꯨꯡ ꯇꯦꯁ꯭ꯠ ꯑꯗꯨ ꯃꯌꯦꯛ ꯁꯦꯡꯅꯥ ꯇꯧꯕꯥ ꯌꯥꯍꯅꯒꯅꯤ꯫
- ꯕꯣꯋꯦꯜ ꯀ꯭ꯂꯤꯅꯁꯤꯡ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ EUS ꯍꯦꯟꯅꯥ ꯅꯦꯝꯂꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯏꯟꯇꯦꯁ꯭ꯇꯥꯏꯅꯁꯤꯡ ꯑꯗꯨ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯁꯦꯡꯗꯣꯛꯅꯕꯥ ꯑꯈꯟꯅꯕꯥ ꯍꯤꯗꯥꯛ (bowel prep) ꯑꯃꯥ ꯄꯤꯒꯅꯤ꯫ ꯃꯁꯤ ꯇꯥꯀꯄꯤ-ꯇꯝꯕꯤꯕꯒꯤ ꯃꯇꯨꯡ ꯏꯟꯅꯥ ꯆꯞ ꯃꯥꯟꯅꯅꯥ ꯁꯤꯖꯤꯟꯅꯒꯗꯕꯅꯤ꯫
- ꯗ꯭ꯔꯥꯏꯚꯔ: ꯇꯦꯁ꯭ꯠ ꯑꯁꯤ ꯅꯍꯥꯀꯄꯨ ꯂꯥꯏꯅꯥ ꯇꯨꯝꯕꯥ ꯌꯥꯅꯕꯥ ꯇꯧꯏ, ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯇꯦꯁ꯭ꯠ ꯇꯧꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯗ꯭ꯔꯥꯏꯚꯔ ꯇꯧꯕꯥ ꯉꯝꯂꯣꯏ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯅꯉꯕꯨ ꯌꯨꯃꯗꯥ ꯄꯨꯁꯤꯜꯂꯛꯀꯗꯕꯥ ꯀꯅꯥꯒꯨꯝꯕꯥ ꯑꯃꯒꯤ ꯃꯊꯧ ꯇꯥꯒꯅꯤ꯫
ꯇꯦꯁ꯭ꯠ ꯇꯧꯕꯥ ꯃꯇꯃꯗꯥ ꯀꯔꯤ ꯊꯣꯀꯏ?
ꯃꯁꯤ ꯃꯍꯧꯁꯥꯅꯥ ꯑꯥꯎꯇꯄꯦꯁꯦꯟꯇ ꯄ꯭ꯔꯣꯁꯤꯗ꯭ꯌꯨꯑꯣꯔꯅꯤ, ꯍꯥꯌꯕꯗꯤ ꯅꯍꯥꯛꯅꯥ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯂꯗꯥ ꯂꯩꯕꯥ ꯃꯊꯧ ꯇꯥꯗꯅꯥ ꯌꯨꯃꯗꯥ ꯆꯠꯄꯥ ꯌꯥꯏ꯫ ꯄ꯭ꯔꯣꯁꯤꯗ꯭ꯌꯨꯑꯣꯔ ꯄꯨꯝꯅꯃꯛ ꯑꯁꯤ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯃꯤꯅꯠ 60 ꯆꯪꯏ꯫
ꯑꯋꯥꯡ ꯏ.ꯌꯨ.ꯑꯦꯁ.(ꯑꯣꯔꯦꯜ) ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯄꯥꯡꯊꯣꯛꯀꯗꯒꯦ:
ꯅꯍꯥꯀꯄꯨ ꯅꯍꯥꯛꯀꯤ ꯂꯦꯃꯍꯧꯔꯤꯕꯥ ꯃꯐꯝ ꯑꯗꯨꯗꯥ ꯑꯣꯟꯊꯣꯛꯀꯅꯤ ꯑꯃꯁꯨꯡ ꯐꯃꯨꯡꯗꯥ ꯂꯦꯡꯗꯅꯥ ꯂꯩꯍꯅꯒꯅꯤ꯫ ꯑꯗꯨ ꯑꯣꯏꯔꯕꯗꯤ,
1. ꯅꯍꯥꯀꯄꯨ ꯅꯨꯡꯉꯥꯏꯅꯥ ꯂꯩꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯇꯨꯝꯕꯥ ꯌꯥꯗꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯅꯕꯥ ꯁꯦꯗꯦꯇꯤꯚ ꯑꯃꯥ ꯏꯅꯠꯔꯥꯚꯦꯅꯁ ꯑꯣꯏꯅꯥ ꯄꯤꯒꯅꯤ꯫
2. ꯀꯣꯛ ꯆꯤꯀꯄꯥ ꯊꯤꯡꯅꯕꯥ ꯍꯤꯗꯥꯛ ꯑꯃꯥ ꯊꯥꯎ꯫
3. ꯅꯍꯥꯛꯀꯤ ꯍꯥꯀꯆꯥꯡꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯟꯗꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯅꯥ ꯑꯦꯟꯗꯣꯁ꯭ꯀꯣꯞ ꯆꯦꯅꯕꯥ ꯊꯤꯡꯅꯕꯥ ꯄ꯭ꯂꯥꯁ꯭ꯇꯤꯛ ꯃꯥꯎꯊꯒꯥꯔꯗ ꯑꯃꯥ ꯅꯍꯥꯛꯀꯤ ꯃꯤꯠꯇꯥ ꯊꯃꯒꯅꯤ꯫
4. ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯗꯣꯛꯇꯔꯅꯥ ꯌꯥꯝꯅꯥ ꯆꯦꯀꯁꯤꯟꯅꯥ ꯑꯦꯟꯗꯣꯁ꯭ꯀꯣꯞ ꯑꯗꯨ ꯃꯤꯠꯀꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯊꯥꯗꯨꯅꯥ ꯏꯁꯣꯐꯦꯒꯁꯀꯤ ꯃꯈꯥꯗꯥ ꯁ꯭ꯇꯣꯃꯥꯛ ꯑꯃꯁꯨꯡ ꯑꯄꯤꯀꯄꯥ ꯏꯟꯇꯦꯁ꯭ꯇꯥꯏꯅꯒꯤ ꯑꯍꯥꯅꯕꯥ ꯁꯔꯨꯛ (duodenum)ꯗꯥ ꯊꯥꯏ꯫
5. ꯃꯇꯝ ꯑꯁꯤꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯋꯥꯕꯥ ꯑꯃꯠꯇꯥ ꯐꯥꯑꯣꯔꯣꯏ꯫ ꯅꯍꯥꯛꯅꯥ ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯅꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯌꯥꯏ꯫
6. ꯗꯣꯛꯇꯔꯅꯥ ꯃꯣꯅꯤꯇꯔ ꯑꯗꯨ ꯌꯦꯡꯁꯤꯜꯂꯤ ꯑꯃꯁꯨꯡ ꯃꯅꯨꯡꯒꯤ ꯑꯣꯏꯕꯥ ꯑꯣꯔꯒꯥꯅꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯂꯝꯕꯤꯁꯤꯡ ꯌꯦꯡꯁꯤꯜꯂꯤ꯫
7. ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯊꯧ ꯇꯥꯔꯕꯗꯤ, ꯃꯃꯥꯡꯗꯥ ꯍꯥꯌꯈꯤꯕꯒꯨꯝꯅꯥ ꯕꯥꯏꯑꯣꯞꯁꯤ (ꯇꯤꯁ꯭ꯌꯨꯒꯤ ꯁꯔꯨꯛ ꯑꯃꯥ) ꯂꯧꯒꯅꯤ꯫
8. ꯇꯦꯁ꯭ꯠ ꯂꯣꯏꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯗꯣꯛꯇꯔꯅꯥ ꯇꯨꯕ ꯑꯗꯨ ꯂꯧꯊꯣꯛꯀꯅꯤ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯀꯄꯨ ꯄꯤꯈꯤꯕꯥ ꯑꯦꯅꯥꯁ꯭ꯇꯦꯁꯤꯌꯥ ꯑꯗꯨ ꯊꯤꯡꯒꯅꯤ꯫ ꯅꯍꯥꯛꯅꯥ ꯔꯤꯀꯣꯚꯔꯤ ꯔꯨꯝ ꯑꯃꯗꯥ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯍꯧꯔꯒꯅꯤ꯫
ꯃꯇꯧ ꯀꯔꯝꯅꯥ ꯂꯣꯌꯔꯕꯥ ꯏ.ꯌꯨ.ꯑꯦꯁ.(ꯔꯦꯛꯇꯝ ꯑꯃꯗꯥ) ꯄꯥꯡꯊꯣꯛꯀꯗꯒꯦ:
ꯃꯁꯤ ꯃꯊꯛꯇꯥ ꯄꯅꯈ꯭ꯔꯤꯕꯥ ꯑꯁꯤꯒꯥ ꯃꯥꯟꯅꯩ꯫ ꯅꯍꯥꯀꯄꯨ ꯅꯍꯥꯛꯀꯤ ꯂꯦꯃꯍꯧꯔꯤꯕꯥ ꯃꯐꯝ ꯑꯗꯨꯗꯥ ꯊꯃꯖꯤꯜꯂꯤ ꯑꯃꯁꯨꯡ ꯃꯉꯥꯜ ꯌꯥꯝꯅꯥ ꯇꯨꯝꯕꯥ ꯑꯃꯗꯥ ꯊꯝꯃꯤ꯫ ꯑꯗꯨ ꯑꯣꯏꯔꯕꯗꯤ,
1. ꯗꯣꯛꯇꯔꯅꯥ ꯑꯦꯅꯗꯣꯁ꯭ꯀꯣꯞ ꯑꯗꯨ ꯈꯣꯡꯗꯥ ꯊꯥꯗꯨꯅꯥ ꯑꯆꯧꯕꯥ ꯏꯟꯇꯦꯁ꯭ꯇꯥꯏꯅꯒꯤ ꯃꯊꯛꯇꯥ ꯊꯥꯏ꯫
2. ꯄ꯭ꯔꯣꯁꯤꯗ꯭ꯌꯨꯑꯣꯔ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯋꯥꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯑꯃꯠꯇꯥ ꯐꯥꯑꯣꯔꯣꯏ꯫ ꯅꯍꯥꯛꯅꯥ ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯅꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯉꯝꯂꯒꯅꯤ꯫
3. ꯃꯣꯅꯤꯇꯔꯗꯥ ꯌꯦꯡꯗꯨꯅꯥ ꯂꯣꯌꯔꯕꯥ ꯗꯥꯏꯖꯦꯁ꯭ꯇꯤꯕ ꯁꯤꯁ꯭ꯇꯦꯝ ꯑꯃꯁꯨꯡ ꯑꯀꯣꯌꯕꯗꯥ ꯂꯩꯕꯥ ꯑꯣꯔꯒꯥꯅꯁꯤꯡ ꯌꯦꯡꯁꯤꯜꯂꯤ꯫
4. ꯇꯦꯁ꯭ꯠ ꯇꯧꯕꯥ ꯂꯣꯏꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯇꯤꯎꯕ ꯑꯗꯨ ꯂꯧꯊꯣꯀꯏ ꯑꯃꯁꯨꯡ ꯑꯦꯅꯥꯁ꯭ꯇꯦꯁꯤꯌꯥ ꯑꯗꯨ ꯊꯤꯡꯖꯤꯜꯂꯤ꯫
ꯏ.ꯌꯨ.ꯑꯦꯁ.ꯀꯤ ꯇꯦꯁ꯭ꯠ ꯇꯧꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯀꯔꯤ ꯑꯣꯏꯒꯅꯤ?
ꯅꯍꯥꯀꯄꯨ ꯄꯤꯈꯤꯕꯥ ꯇꯨꯝꯕꯥ ꯌꯥꯕꯥ ꯍꯤꯗꯥꯛ ꯑꯗꯨ ꯃꯤꯅꯠ 30-60ꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯁꯣꯀꯍꯜꯂꯛꯀꯅꯤ꯫ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ, ꯅꯍꯥꯛꯅꯥ ꯑꯄꯤꯀꯄꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯈꯔꯥ ꯐꯥꯎꯕꯥ ꯌꯥꯏ꯫
- ꯂꯣꯌꯔꯕꯥ ꯏ.ꯌꯨ.ꯑꯦꯁ.ꯀꯤ ꯃꯇꯨꯡꯗꯥ: ꯅꯍꯥꯛꯅꯥ ꯃꯄꯨꯡ-ꯃꯔꯩ ꯐꯥꯔꯕꯥ (gas) ꯑꯃꯁꯨꯡ ꯈꯔꯥ ꯁꯣꯀꯄꯥ ꯐꯥꯎꯕꯥ ꯌꯥꯏ꯫
- ꯑꯋꯥꯡꯕꯥ ꯏ.ꯌꯨ.ꯑꯦꯁ.ꯀꯤ ꯃꯇꯨꯡꯗꯥ: ꯅꯍꯥꯛꯀꯤ ꯀꯣꯛꯇꯥ ꯈꯔꯥ ꯁꯣꯀꯄꯥ ꯌꯥꯏ꯫
ꯃꯍꯧꯁꯥꯅꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯄꯨꯡ 24ꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯃꯥꯡꯈꯤ꯫ ꯅꯨꯃꯤꯠ ꯆꯨꯞꯄꯥ ꯂꯦꯞꯄꯥ ꯍꯥꯌꯕꯁꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯩ꯫ ꯃꯊꯪꯒꯤ ꯅꯨꯃꯤꯠꯇꯥ ꯅꯍꯥꯛꯀꯤ ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯕꯥ ꯊꯕꯛ ꯊꯧꯔꯃꯁꯤꯡꯗꯥ ꯍꯜꯂꯀꯄꯥ ꯌꯥꯏ꯫
ꯃꯁꯤꯗꯥ ꯔꯤꯁ꯭ꯛ ꯂꯩꯕ꯭ꯔꯥ?
ꯏ.ꯌꯨ.ꯑꯦꯁ.ꯅꯥ ꯌꯥꯝꯅꯥ ꯁꯥꯐꯕꯥ ꯊꯧꯑꯣꯡ ꯑꯃꯅꯤ, ꯑꯗꯨꯕꯨ ꯃꯦꯗꯤꯀꯦꯜ ꯄ꯭ꯔꯣꯁꯤꯗ꯭ꯌꯨꯑꯣꯔ ꯑꯃꯍꯦꯛꯇꯒꯥ ꯃꯥꯟꯅꯅꯥ, ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯕꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯟ ꯈꯔꯗꯤ ꯂꯩ꯫
- ꯑꯦꯅꯥꯁ꯭ꯇꯦꯇꯤꯀꯁꯤꯡꯗꯥ ꯑꯦꯂꯥꯔꯖꯤꯒꯤ ꯔꯤꯑꯦꯛꯁꯟ ꯂꯩꯕꯥ꯫
- ꯗꯥꯏꯖꯦꯁ꯭ꯇꯤꯚ ꯁꯤꯁ꯭ꯇꯦꯃꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯏ ꯊꯣꯀꯄꯥ꯫
- ꯑꯋꯥꯡꯕꯥ ꯑꯦꯕꯗꯣꯃꯤꯅꯦꯜ ꯑꯦꯀꯖꯥꯃꯤꯅꯦꯁꯟ ꯑꯃꯒꯤ ꯃꯅꯨꯡꯗꯥ, ꯃꯤꯠ ꯅꯠꯠꯔꯒꯥ ꯁ꯭ꯇꯣꯃꯥꯀꯇꯒꯤ ꯂꯥꯀꯄꯥ ꯐ꯭ꯂꯨꯏꯗ ꯑꯗꯨ ꯂꯪꯁꯇꯥ ꯆꯪꯂꯀꯄꯥ ꯌꯥꯏ (ꯂꯪꯁ ꯑꯦꯁ꯭ꯄꯤꯔꯦꯁꯟ)꯫
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯕꯥꯏꯑꯣꯞꯁꯤ ꯑꯃꯥ ꯂꯧꯔꯕꯗꯤ, ꯄꯦꯅꯛꯔꯤꯑꯦꯖ (pancreas) ꯏꯅꯐ꯭ꯂꯦꯃꯦꯁꯟ (pancreatitis) ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫
- ꯏꯟꯇꯦꯁ꯭ꯇꯥꯏꯅꯒꯤ ꯋꯥꯂꯗꯥ ꯍꯨꯔꯥꯅꯕꯥ (perforation)꯫
ꯍꯥꯌꯔꯤꯕꯥ ꯋꯥꯐꯃꯁꯤꯡ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯊꯣꯀꯏ꯫ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯔꯤꯁ꯭ꯀꯁꯤꯡ ꯑꯁꯤ ꯍꯟꯊꯍꯟꯅꯕꯥ ꯈꯣꯡꯊꯥꯡ ꯈꯨꯗꯤꯡꯃꯛ ꯂꯧꯈꯠꯀꯅꯤ꯫
ꯀꯗꯥꯏꯗꯥ ꯗꯣꯛꯇꯔꯒꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯒꯦ?
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯇꯦꯁ꯭ꯠ ꯑꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯑꯆꯝꯕꯥ ꯂꯥꯏꯑꯣꯡ ꯑꯃꯠꯇꯥ ꯎꯔꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯈꯨꯗꯛꯇꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯐꯣꯟ ꯇꯧꯒꯗꯕꯅꯤ꯫
| ꯈꯨꯗꯛꯇꯥ ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯃꯇꯦꯡ ꯃꯊꯧ ꯇꯥꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ꯫ | |
|---|---|
| ꯁꯥꯊꯤꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯂꯦꯡ-ꯑꯣꯠꯄꯒꯤ ꯑꯅꯥꯕꯥ꯫ | ꯈꯣꯝꯂꯥꯡ ꯅꯠꯠꯔꯒꯥ ꯈꯣꯡꯗꯥ ꯁꯣꯀꯄꯥ ꯌꯥꯗꯕꯥ ꯑꯅꯥꯕꯥ꯫ |
| ꯂꯥꯏꯍꯧ ꯍꯧꯕ | ꯏꯅꯐꯦꯛꯁꯅꯒꯤ ꯈꯨꯗꯃꯁꯤꯡ, ꯍꯥꯌꯕꯗꯤ ꯂꯥꯏꯍꯧ ꯅꯠꯠꯔꯒꯥ ꯆꯤꯀꯄꯥ ꯑꯁꯤꯅꯆꯤꯡꯕꯥ꯫ |
| ꯂꯧꯅꯒꯅꯕꯥ ꯂꯥꯌꯅꯥ꯫ | ꯆꯥꯅꯕꯥ ꯆꯤꯟꯖꯥꯛ ꯅꯠꯠꯔꯒꯥ ꯏꯁꯤꯡ ꯊꯀꯄꯥ ꯉꯃꯗꯕꯥ꯫ |
| ꯈꯣꯡ ꯍꯥꯝꯕꯥ꯫ | ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯈꯣꯡ ꯍꯥꯝꯕꯥ꯫ |
| ꯁ꯭ꯇꯣꯂꯗꯥ ꯏ ꯊꯣꯀꯄꯥ꯫ | ꯕ꯭ꯂꯦꯛ ꯅꯠꯠꯔꯒꯥ ꯏ ꯌꯥꯎꯕꯥ ꯁ꯭ꯇꯣꯂꯁꯤꯡ꯫ |
| ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ꯫ | ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ꯫ |
ꯇꯦꯛ-ꯍꯣꯝ ꯃꯦꯁꯦꯖ ꯇꯧꯕꯥ꯫
- ꯑꯦꯟꯗꯣꯁ꯭ꯀꯣꯄꯤꯛ ꯑꯂꯠꯔꯥꯁꯥꯎꯟꯗ (ꯏ.ꯌꯨ.ꯑꯦꯁ.) ꯑꯁꯤ ꯗꯥꯏꯖꯦꯁ꯭ꯇꯤꯕ ꯁꯤꯁ꯭ꯇꯦꯃꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯁꯨꯡ ꯑꯀꯣꯌꯕꯗꯥ ꯂꯩꯕꯥ ꯑꯣꯔꯒꯥꯅꯁꯤꯡ ꯌꯦꯡꯁꯤꯟꯅꯕꯥ ꯁꯤꯖꯤꯟꯅꯕꯥ ꯁꯥꯐꯕꯥ ꯑꯃꯁꯨꯡ ꯌꯥꯝꯅꯥ ꯏꯐꯦꯛꯇꯤꯕ ꯑꯣꯏꯕꯥ ꯄꯥꯝꯕꯩ ꯑꯃꯅꯤ꯫
- ꯃꯁꯤ ꯅꯍꯥꯀꯄꯨ ꯂꯥꯏꯅꯥ ꯇꯨꯝꯕꯥ ꯉꯃꯍꯟꯗꯨꯅꯥ ꯇꯧꯏ, ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯋꯥꯕꯥ ꯑꯃꯠꯇꯥ ꯐꯥꯑꯣꯔꯣꯏ꯫
- ꯃꯁꯤꯒꯤ ꯇꯦꯁ꯭ꯠ ꯑꯁꯤ ꯁ꯭ꯇꯣꯃꯥꯛ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯃꯁꯤꯡꯒꯤ ꯃꯔꯃꯁꯤꯡ ꯈꯉꯗꯣꯛꯅꯕꯥ, ꯀꯦꯟꯁꯔꯁꯤꯡ ꯈꯉꯗꯣꯛꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯃꯈꯣꯌ ꯁꯟꯗꯣꯀꯈꯤꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯕꯗꯥ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫
- ꯑꯦꯀꯖꯥꯃꯤꯅꯦꯁꯟ ꯇꯧꯕꯥ ꯃꯇꯃꯗꯥ ꯕꯥꯏꯑꯣꯞꯁꯤ (ꯇꯤꯁ꯭ꯌꯨꯒꯤ ꯁꯔꯨꯛ ꯑꯃꯥ) ꯑꯃꯁꯨ ꯂꯧꯕꯥ ꯌꯥꯏ꯫
- ꯇꯦꯁ꯭ꯠ ꯇꯧꯗ꯭ꯔꯤꯉꯩ ꯃꯃꯥꯡ ꯑꯃꯁꯨꯡ ꯃꯇꯨꯡꯗꯥ ꯗꯣꯛꯇꯔꯒꯤ ꯏꯅꯁ꯭ꯠꯔꯛꯁꯅꯁꯤꯡ ꯆꯦꯀꯁꯤꯟꯅꯥ ꯏꯅꯒꯗꯕꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯆꯝꯕꯥ ꯂꯥꯏꯑꯣꯡ ꯑꯃꯠꯇꯥ ꯎꯔꯕꯗꯤ, ꯈꯨꯗꯛꯇꯥ ꯗꯣꯛꯇꯔꯗꯥ ꯈꯪꯍꯅꯒꯗꯕꯅꯤ꯫
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