ꯅꯍꯥꯛꯅꯥ ꯆꯥꯕꯥ ꯃꯇꯃꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯀꯣꯛꯇꯥ ꯆꯥꯅꯕꯥ ꯄꯣꯠꯁꯛ ꯑꯃꯥ ꯊꯨꯒꯥꯌꯕꯒꯨꯝ ꯐꯥꯑꯣꯕ꯭ꯔꯥ? ꯅꯍꯥꯛꯅꯥ ꯏꯁꯤꯡ ꯊꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯊꯝꯃꯣꯌ ꯑꯗꯨ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯁꯣꯀꯄꯥ ꯌꯥꯏ ꯍꯥꯌꯅꯥ ꯈꯜꯂꯤꯕ꯭ꯔꯥ? ꯑꯁꯤꯒꯨꯝꯕꯥ ꯑꯋꯥꯕꯥ ꯑꯁꯤꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯍꯤꯡꯕꯥ ꯑꯁꯤ ꯀꯌꯥꯗꯥ ꯑꯋꯥꯕꯥ ꯑꯣꯏꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯃꯁꯤꯗꯒꯤ ꯅꯥꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡ ꯈꯛꯇꯅꯥ ꯈꯉꯏ꯫ ꯃꯤꯑꯣꯏ ꯀꯌꯥꯅꯥ ꯃꯁꯤ ꯒꯦꯁ꯭ꯠꯔꯥꯏꯇꯤꯁꯅꯤ ꯍꯥꯌꯅꯥ ꯈꯜꯂꯕꯁꯨ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤꯒꯤ ꯃꯔꯝ ꯑꯁꯤ ꯏꯑꯣꯁꯤꯅꯣꯐꯤꯂꯤꯛ ꯏꯁꯣꯐꯦꯖꯤꯇꯤꯁ, ꯅꯠꯠꯔꯒꯥ ꯑꯩꯈꯣꯌꯅꯥ ꯊꯣꯏꯗꯣꯛꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ `(EoE)` ꯍꯥꯌꯅꯥ ꯀꯧꯕꯥ ꯑꯁꯤꯅꯤ꯫
ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯏꯑꯣꯁꯤꯅꯣꯐꯤꯂꯤꯛ ꯏꯁꯣꯐꯦꯖꯤꯇꯤꯁ (EoE) ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ?
ꯑꯣꯀꯦ, ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯁꯤ꯫ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯏꯝꯝꯌꯨꯟ ꯁꯤꯁ꯭ꯇꯦꯃꯗꯥ ꯏꯑꯣꯁꯤꯅꯣꯐꯤꯜ ꯀꯧꯕꯥ ꯑꯈꯟꯅꯕꯥ ꯃꯈꯂꯒꯤ ꯁꯦꯜ ꯑꯃꯥ ꯂꯩ꯫ ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯅꯥ, ꯁꯦꯂꯁꯤꯡ ꯑꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯆꯪꯂꯀꯄꯥ ꯄꯦꯔꯥꯁꯥꯏꯇꯒꯨꯝꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡꯒꯥ ꯂꯥꯟꯊꯦꯡꯅꯅꯕꯥ ꯂꯩ꯫ ꯑꯗꯨꯕꯨ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯃꯔꯨꯑꯣꯏꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯦꯂꯥꯔꯖꯤ ꯂꯩꯔꯕꯗꯤ, ꯏꯑꯣꯁꯤꯅꯣꯐꯤꯂꯁꯤꯡ ꯑꯁꯤ ꯑꯁꯣꯌꯕꯥ ꯂꯩꯇꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯏꯁꯣꯐꯦꯒꯁꯇꯥ - ꯅꯍꯥꯛꯀꯤ ꯃꯤꯠꯇꯒꯤ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯆꯤꯟꯖꯥꯛ ꯄꯨꯕꯥ ꯇꯤꯎꯕ ꯑꯗꯨꯗꯥ ꯌꯥꯎꯕꯥ ꯍꯧꯏ꯫
ꯃꯁꯤ ꯊꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯏꯁꯣꯐꯦꯒꯁ (esophagus) ꯑꯁꯤ ꯃꯅꯨꯡꯗꯒꯤ ꯁꯣꯀꯄꯥ, ꯂꯥꯂꯍꯧꯕꯥ ꯑꯃꯁꯨꯡ ꯁꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯁꯤ ꯈꯣꯡꯗꯥ ꯊꯣꯀꯄꯥ ꯔꯦꯁꯃꯒꯨꯝꯅꯥ ꯑꯣꯏ꯫ ꯃꯁꯤ ꯑꯌꯥꯝꯕꯗꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯆꯥꯔꯤꯕꯥ ꯑꯀꯛꯅꯕꯥ ꯆꯤꯟꯖꯥꯀꯁꯤꯡꯅꯥ ꯊꯣꯀꯍꯅꯕꯅꯤ꯫ ꯃꯁꯤꯒꯤ ꯁꯣꯛ-ꯄꯅꯕꯥ ꯑꯁꯤꯅꯥ ꯏꯁꯣꯐꯦꯒꯁ (esophagus) ꯑꯗꯨ ꯀꯨꯄꯁꯤꯜꯂꯤ, ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯆꯥꯅꯕꯥ ꯆꯤꯟꯖꯥꯛ ꯊꯀꯄꯗꯥ ꯑꯋꯥꯕꯥ ꯑꯣꯏꯍꯜꯂꯤ, ꯑꯃꯁꯨꯡ ꯆꯤꯟꯖꯥꯛ ꯑꯗꯨ ꯊꯤꯡꯖꯤꯜꯂꯤ꯫
ꯍꯧꯖꯤꯛ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯂꯩꯔꯦ ꯍꯥꯌꯅꯥ ꯀꯅꯐꯥꯔꯝ ꯇꯧꯔꯦ, ꯅꯍꯥꯛꯅꯥ ꯑꯍꯥꯅꯕꯥ ꯑꯣꯏꯅꯥ ꯈꯜꯂꯀꯄꯥ ꯌꯥꯕꯥ ꯋꯥꯐꯃꯗꯤ "ꯑꯣꯀꯦ, ꯍꯧꯖꯤꯛ ꯑꯩꯒꯤꯗꯃꯛꯇꯗꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯥ ꯂꯥꯏꯌꯦꯡ ꯀꯔꯤꯅꯣ?" ꯍꯧꯖꯤꯛ ꯃꯗꯨꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯁꯤ꯫
ꯏ.ꯑꯣ.ꯏ.ꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯂꯥꯏꯌꯦꯡꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?
ꯏ.ꯑꯣ.ꯏ.ꯒꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯥ ꯂꯥꯌꯦꯡ ꯑꯃꯠꯇꯥ ꯂꯩꯇꯦ꯫ ꯃꯁꯤ ꯃꯤꯑꯣꯏ ꯑꯃꯗꯥ ꯆꯨꯃꯊꯣꯀꯄꯥ ꯁꯨꯠ ꯑꯃꯅꯥ ꯑꯇꯣꯞꯄꯥ ꯑꯃꯗꯥ ꯆꯨꯃꯗ꯭ꯔꯤꯡꯅꯥ ꯌꯥꯑꯣꯗꯕꯥ ꯌꯥꯏ꯫ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯀꯟꯗꯤꯁꯟ, ꯄꯨꯟꯁꯤ ꯃꯍꯤꯡ ꯑꯃꯁꯨꯡ ꯄꯁꯟꯗꯁꯤꯡ ꯌꯥꯎꯅꯥ, ꯅꯍꯥꯛꯀꯤꯗꯃꯛꯇꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯥ ꯂꯥꯏꯌꯦꯡꯒꯤ ꯄ꯭ꯂꯥꯟ ꯑꯃꯥ ꯁꯦꯝꯅꯕꯥ ꯐꯦꯛꯇꯔ ꯀꯌꯥ ꯈꯟꯅꯒꯅꯤ꯫
ꯃꯔꯨꯑꯣꯏꯕꯥ ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯃꯑꯣꯡ ꯃꯔꯤ ꯂꯩ꯫
| ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯃꯑꯣꯡ꯫ | ꯃꯁꯤꯗꯥ ꯀꯔꯤ ꯑꯣꯏꯔꯤꯕꯒꯦ? |
|---|---|
| ꯄ꯭ꯔꯣꯇꯣꯟ ꯄꯝꯄ ꯏꯅꯍꯤꯕꯤꯇꯔꯁꯤꯡ (ꯄꯤ.ꯄꯤ.ꯑꯥꯏ.ꯁꯤꯡ) | ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯃꯍꯧꯁꯥꯅꯥ ꯒꯦꯁ꯭ꯠꯔꯥꯏꯇꯤꯁꯀꯤꯗꯃꯛꯇꯥ ꯄ꯭ꯔꯦꯁ꯭ꯛꯔꯥꯏꯕ ꯇꯧꯏ, ꯑꯗꯨꯕꯨ ꯃꯈꯣꯌꯅꯥ ꯏꯁꯣꯐꯦꯒꯁꯇꯥ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯁꯟ ꯍꯟꯊꯍꯅꯕꯁꯨ ꯌꯥꯏ꯫ ꯑꯌꯥꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯑꯍꯥꯅꯕꯗꯥ ꯂꯥꯏꯌꯦꯡ ꯑꯁꯤꯗꯒꯤ ꯍꯧꯏ꯫ |
| ꯇꯣꯄꯤꯀꯦꯜ ꯁ꯭ꯇꯦꯔꯣꯏꯗꯁꯤꯡ꯫ | ꯍꯥꯌꯔꯤꯕꯥ ꯑꯁꯤ ꯑꯈꯟꯅꯕꯥ ꯏꯅꯍꯦꯂꯔ ꯑꯃꯗꯥ ꯅꯠꯠꯔꯒꯥ ꯂꯣꯖꯦꯟꯖ ꯑꯣꯏꯅꯥ ꯂꯥꯀꯄꯥ ꯍꯤꯗꯥꯀꯁꯤꯡꯅꯤ꯫ ꯅꯍꯥꯛꯅꯥ ꯃꯈꯣꯌꯗꯨ ꯊꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯍꯤꯗꯥꯛ ꯑꯗꯨꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯦꯌꯔꯋꯦꯒꯤ ꯋꯥꯂꯁꯤꯡꯗꯥ ꯂꯦꯡꯗꯅꯥ ꯂꯩ ꯑꯃꯁꯨꯡ ꯏꯑꯣꯁꯤꯅꯣꯐꯤꯜ ꯁꯦꯂꯁꯤꯡ ꯑꯗꯨꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯁꯣꯀꯄꯥ ꯑꯗꯨ ꯍꯀꯊꯦꯡꯅꯅꯥ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯏ꯫ |
| ꯗꯥꯏꯑꯦꯇꯔꯤ ꯍꯣꯡꯂꯀꯄꯥ꯫ | ꯑꯩꯍꯥꯛꯅꯥ ꯃꯃꯥꯡꯗꯥ ꯍꯥꯌꯈꯤꯕꯒꯨꯝꯅꯥ ꯏ.ꯑꯣ.ꯏ.ꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯔꯃꯗꯤ ꯐꯨꯗ ꯑꯦꯂꯥꯔꯖꯤꯅꯤ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ, ꯃꯐꯃꯁꯤꯗꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯋꯥꯐꯃꯗꯤ ꯅꯍꯥꯛꯅꯥ ꯀꯔꯤ ꯆꯤꯟꯖꯥꯀꯁꯤꯡꯗꯥ ꯑꯦꯂꯥꯔꯖꯤ ꯂꯩꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯈꯪꯗꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯃꯈꯣꯌꯗꯨ ꯅꯍꯥꯛꯀꯤ ꯗꯥꯏꯇꯇꯒꯤ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯂꯧꯊꯣꯀꯄꯅꯤ꯫ |
| ꯏꯁꯣꯐꯦꯖꯤꯌꯜ ꯗꯥꯏꯂꯦꯁꯟ ꯇꯧꯕꯥ꯫ | ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯂꯩꯔꯛꯂꯕꯥ ꯏ.ꯑꯣ.ꯏ.ꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯏꯁꯣꯐꯦꯒꯁ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯀꯨꯞꯅꯥ ꯂꯩꯔꯕꯗꯤ ꯑꯃꯁꯨꯡ ꯆꯤꯟꯖꯥꯛ ꯑꯁꯤ ꯑꯌꯥꯝꯕꯅꯥ ꯊꯤꯡꯖꯤꯜꯂꯕꯗꯤ, ꯏꯁꯣꯐꯦꯒꯁ ꯑꯁꯤ ꯈꯔꯥ ꯄꯥꯀꯊꯣꯛ-ꯆꯥꯎꯊꯣꯛꯅꯕꯥ ꯑꯦꯟꯗꯣꯁ꯭ꯀꯣꯄꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯈꯟꯅꯕꯥ ꯕꯦꯂꯨꯅꯒꯨꯝꯕꯥ ꯈꯨꯠꯂꯥꯌ ꯑꯃꯥ ꯊꯥꯏ꯫ ꯃꯁꯤꯅꯥ ꯂꯧꯅꯒꯅꯕꯥ ꯂꯥꯌꯅꯥꯁꯤꯡꯗꯒꯤ ꯈꯨꯗꯛꯇꯥ ꯔꯤꯂꯤꯐ ꯄꯤ꯫ |
ꯗꯣꯛꯇꯔ ꯑꯃꯅꯥ ꯅꯍꯥꯛꯀꯤꯗꯃꯛꯇꯥ ꯆꯨꯅꯕꯥ ꯂꯥꯏꯌꯦꯡ ꯑꯗꯨ ꯀꯔꯝꯅꯥ ꯈꯅꯕꯒꯦ?
ꯍꯧꯖꯤꯛ ꯑꯗꯣꯝꯅꯥ ꯈꯅꯕꯤꯔꯃꯒꯅꯤ, "ꯑꯩꯒꯤꯗꯃꯛꯇꯗꯤ ꯃꯔꯤ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯀꯅꯥꯅꯥ ꯆꯨꯝꯃꯤ?" ꯋꯥꯔꯦꯞ ꯑꯃꯥ ꯂꯧꯗ꯭ꯔꯤꯉꯩꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯋꯥꯐꯝ ꯀꯌꯥ ꯆꯦꯀꯁꯤꯟꯅꯥ ꯈꯟꯅꯒꯅꯤ꯫
1. ꯅꯍꯥꯛꯀꯤ ꯑꯇꯩ ꯑꯦꯂꯥꯔꯖꯤꯁꯤꯡꯒꯤ ꯍꯤꯁ꯭ꯇꯔꯤ꯫
ꯅꯍꯥꯛꯅꯥ ꯑꯉꯥꯡ ꯑꯣꯏꯔꯤꯉꯩꯗꯒꯤ ꯍꯧꯅꯥ ꯑꯦꯖꯃꯥ, ꯑꯦꯛꯁꯤꯃꯥ, ꯅꯠꯠꯔꯒꯥ ꯃꯩꯁꯥ ꯑꯃꯁꯨꯡ ꯄꯣꯂꯅꯒꯨꯝꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡꯒꯤ ꯑꯦꯂꯥꯔꯖꯤ ꯂꯩꯕ꯭ꯔꯥ? ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯣꯏꯔꯒꯗꯤ, ꯅꯍꯥꯛꯀꯤ EoE ꯀꯟꯗꯤꯁꯟ ꯑꯗꯨꯁꯨ ꯐꯨꯗ ꯑꯦꯂꯥꯔꯖꯤ ꯑꯃꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯕꯒꯤ ꯆꯥꯡ ꯋꯥꯡꯏ꯫ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯀꯦꯁꯁꯤꯡꯗꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯗꯥꯏꯑꯦꯇꯔꯤ ꯍꯣꯡꯗꯣꯀꯄꯗꯥ ꯍꯦꯟꯅꯥ ꯃꯤꯠꯌꯦꯡ ꯊꯝꯕꯥ ꯌꯥꯏ꯫ ꯅꯍꯥꯀꯄꯨ ꯑꯦꯂꯥꯔꯖꯤꯒꯤ ꯃꯤꯑꯣꯏ ꯑꯃꯗꯥ, ꯑꯦꯂꯥꯔꯖꯤꯒꯤ ꯁ꯭ꯄꯦꯁꯤꯑꯦꯂꯤꯁ꯭ꯠ ꯑꯃꯗꯥ ꯔꯤꯐꯔ ꯇꯧꯕꯁꯨ ꯌꯥꯏ꯫
2. ꯅꯍꯥꯛꯀꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡꯒꯤ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯃꯑꯣꯡ꯫
ꯀꯅꯥꯒꯨꯝꯕꯥ ꯑꯃꯅꯥ ꯆꯥꯅꯕꯥ ꯆꯤꯟꯖꯥꯛ ꯂꯧꯊꯣꯀꯄꯗꯥ ꯈꯔꯥ ꯍꯦꯟꯅꯥ ꯑꯋꯥꯕꯥ ꯃꯥꯌꯣꯛꯅꯔꯤ ꯍꯥꯌꯅꯥ ꯈꯅꯕꯤꯌꯨ꯫ ꯑꯇꯣꯞꯄꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯅꯥ ꯂꯦꯞꯄꯥ ꯂꯩꯇꯅꯥ ꯆꯥꯅꯕꯥ ꯆꯤꯟꯖꯥꯛ ꯊꯀꯏ ꯑꯃꯁꯨꯡ ꯃꯗꯨ ꯊꯨꯒꯥꯌꯅꯕꯥ ꯏꯁꯤꯡ ꯊꯀꯄꯥ ꯇꯥꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯆꯤꯟꯖꯥꯛ ꯃꯄꯨꯡ ꯐꯥꯅꯥ ꯊꯤꯡꯖꯤꯜꯂꯤ ꯑꯃꯁꯨꯡ ꯃꯈꯣꯌꯅꯥ ꯏꯃꯔꯖꯦꯟꯁꯤ ꯗꯤꯄꯥꯔꯇꯃꯦꯟꯇ (ꯏ.ꯇꯤ.ꯌꯨ.)ꯗꯥ ꯆꯠꯀꯗꯕꯅꯤ꯫
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯗꯨ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯑꯣꯏꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔ ꯑꯗꯨꯅꯥ PPIꯒꯨꯝꯕꯥ ꯏꯆꯝ ꯆꯝꯕꯥ ꯋꯥꯐꯝ ꯑꯃꯗꯒꯤ ꯍꯧꯔꯀꯄꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯆꯥꯅꯕꯥ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯊꯦꯡꯅꯔꯕꯗꯤ ꯅꯠꯠꯔꯒꯥ ꯅꯍꯥꯛꯀꯤ ꯏꯁꯣꯐꯦꯒꯁ ꯑꯗꯨ ꯌꯥꯝꯅꯥ ꯁꯣꯀꯆꯤꯜꯂꯀꯄꯒꯤ ꯆꯤꯡꯅꯕꯥ ꯂꯩꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯏꯁꯣꯐꯦꯖꯤꯑꯦꯜ ꯗꯥꯏꯂꯦꯁꯟ ꯌꯥꯎꯕꯥ ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯄ꯭ꯂꯥꯟ ꯑꯃꯥ ꯔꯤꯀꯃꯦꯟꯗ ꯇꯧꯕꯥ ꯌꯥꯏ꯫
꯳.ꯅꯍꯥꯛꯀꯤ ꯄꯨꯟꯁꯤ ꯃꯍꯤꯡ ꯑꯃꯁꯨꯡ ꯄꯁꯟꯗꯁꯤꯡ꯫
ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯛꯀꯥ ꯋꯥꯔꯤ ꯁꯥꯟꯅꯒꯅꯤ ꯑꯃꯁꯨꯡ ꯋꯥꯐꯃꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯍꯪꯒꯅꯤ꯫
- ꯅꯍꯥꯛꯀꯤ ꯗꯥꯏꯠ ꯑꯗꯨ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯥ ꯉꯃꯒꯗ꯭ꯔꯥ?ꯅꯍꯥꯛ ꯑꯁꯤ ꯃꯄꯥꯟꯗꯥ ꯌꯥꯝꯅꯥ ꯆꯥꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯅꯤ ꯍꯥꯌꯅꯥ ꯈꯅꯕꯤꯌꯨ꯫ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯒꯤ ꯑꯣꯏꯅꯗꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯆꯤꯟꯖꯥꯛ 6 (ꯗꯥꯏꯔꯤ, ꯉꯥ, ꯁꯣꯌ, ꯒꯦꯍꯨ, ꯉꯥ/ ꯁꯃꯨꯗ꯭ꯔꯒꯤ ꯆꯥꯀꯆꯥ-ꯏꯊꯛ, ꯅꯠ) ꯂꯧꯊꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯃꯗꯨ ꯆꯥꯕꯥ (Elimination Diet) ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯂꯨꯕꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯐꯤꯚꯝ ꯑꯁꯤꯗꯥ, ꯅꯍꯥꯛꯅꯥ ꯅꯣꯡꯃꯗꯥ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯊꯀꯄꯥ ꯌꯥꯕꯥ ꯍꯤꯗꯥꯛ ꯑꯃꯥ ꯁꯤꯖꯤꯟꯅꯕꯗꯥ ꯍꯦꯟꯅꯥ ꯂꯥꯌꯕꯥ ꯑꯣꯏꯔꯀꯄꯥ ꯌꯥꯏ꯫
- ꯅꯍꯥꯛꯅꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛ ꯄꯥꯝꯕꯤꯕ꯭ꯔꯥ? ꯃꯤꯑꯣꯏ ꯈꯔꯗꯤ ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛ ꯂꯧꯕꯥ ꯄꯥꯃꯗꯦ꯫ ꯃꯈꯣꯌꯅꯥ ꯂꯥꯌꯅꯥ ꯑꯁꯤꯒꯤ ꯃꯔꯝ ꯈꯪꯗꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯗꯥꯏꯇꯀꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯥ ꯄꯥꯝꯃꯤ꯫ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯒꯤ ꯑꯣꯏꯅꯗꯤ, ꯗꯥꯏꯠ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯥ ꯑꯣꯄꯁꯟ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫
ꯍꯥꯌꯕꯗꯤ, ꯃꯁꯤ ꯑꯗꯣꯝ ꯑꯃꯁꯨꯡ ꯗꯣꯛꯇꯔꯅꯥ ꯄꯨꯟꯅꯥ ꯂꯧꯒꯗꯕꯥ ꯋꯥꯔꯦꯞ ꯑꯃꯅꯤ꯫
ꯗꯥꯏꯇꯅꯥ ꯏ.ꯑꯣ.ꯏ.ꯕꯨ ꯂꯥꯌꯦꯡꯕꯥ ꯉꯃꯒꯗ꯭ꯔꯥ?
ꯃꯁꯤ ꯃꯤꯑꯣꯏ ꯀꯌꯥꯒꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯆꯥꯎꯕꯥ ꯈꯨꯗꯣꯡꯆꯥꯗꯕꯅꯤ꯫ ꯏ.ꯑꯣ.ꯏ.ꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯔꯃꯗꯤ ꯗꯥꯏꯇꯅꯤ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯁꯤꯕꯨ ꯊꯣꯀꯍꯜꯂꯤꯕꯥ ꯑꯀꯛꯅꯕꯥ ꯆꯤꯟꯖꯥꯛ ꯑꯗꯨ ꯈꯪꯗꯣꯀꯄꯥ ꯉꯝꯂꯕꯗꯤ ꯑꯃꯁꯨꯡ ꯊꯤꯡꯖꯤꯅꯕꯥ ꯉꯝꯂꯕꯗꯤ, ꯑꯌꯥꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯗꯨ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯐꯍꯅꯕꯥ ꯉꯃꯒꯅꯤ꯫ ꯑꯗꯨꯕꯨ ꯁꯤꯡꯅꯕꯥ ꯑꯁꯤꯗꯤ ꯆꯤꯟꯖꯥꯛ ꯑꯁꯤ ꯀꯔꯤꯅꯣ ꯍꯥꯌꯕꯗꯨ ꯈꯉꯗꯣꯀꯄꯅꯤ꯫
ꯁ꯭ꯀꯤꯟ ꯄ꯭ꯔꯤꯛ ꯇꯦꯁ꯭ꯇꯒꯨꯝꯕꯥ ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯑꯦꯂꯥꯔꯖꯤ ꯇꯦꯁ꯭ꯠ ꯇꯧꯗꯨꯅꯥ ꯏ.ꯑꯣ.ꯏ. ꯏ.ꯑꯣ.ꯏ.ꯅꯥ ꯈꯔꯥ ꯇꯣꯉꯥꯅꯕꯥ ꯃꯈꯂꯒꯤ ꯑꯦꯂꯥꯔꯖꯤꯒꯤ ꯔꯤꯑꯦꯛꯁꯟ ꯑꯃꯥ ꯑꯣꯏꯕꯅꯥ ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯑꯈꯟꯅꯕꯥ ꯄꯥꯝꯕꯩ ꯑꯅꯤ ꯁꯤꯖꯤꯟꯅꯩ꯫
1. ꯏꯂꯤꯃꯤꯅꯦꯁꯟ ꯗꯥꯏꯠ: ꯃꯁꯤꯗꯥ ꯅꯨꯃꯤꯠ ꯈꯔꯅꯤꯒꯤ ꯑꯣꯏꯅꯥ ꯏ.ꯑꯣ.ꯏ. ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ, ꯑꯩꯈꯣꯌꯅꯥ ꯃꯈꯣꯌꯕꯨ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯂꯥꯀꯁꯤꯜꯂꯤ, ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯗꯨ ꯐꯒꯠꯂꯛꯂꯤꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯅꯕꯥ꯫ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯑꯩꯈꯣꯌꯅꯥ ꯀꯔꯝꯕꯥ ꯆꯤꯟꯖꯥꯀꯁꯤꯡꯅꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯗꯨ ꯍꯟꯖꯤꯅꯍꯅꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯕꯥ ꯌꯥꯏ꯫
2. ꯏꯂꯤꯃꯦꯟꯇꯔꯤ ꯗꯥꯏꯠ: ꯃꯁꯤ ꯈꯔꯥ ꯍꯦꯟꯅꯥ ꯂꯨꯝꯃꯤ꯫ ꯃꯐꯝ ꯑꯁꯤꯗꯥ, ꯅꯍꯥꯛꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯆꯥꯅꯕꯥ ꯆꯤꯟꯖꯥꯛ ꯄꯨꯝꯅꯃꯛ ꯆꯥꯕꯥ ꯂꯦꯄꯈꯤ ꯑꯃꯁꯨꯡ ꯑꯈꯟꯅꯕꯥ ꯂꯤꯛꯌꯨꯏꯗ ꯅ꯭ꯌꯨꯠꯔꯤꯁꯅꯦꯜ ꯗ꯭ꯔꯤꯉ꯭ꯛ (ꯑꯦꯃꯤꯅꯣ ꯑꯦꯁꯤꯗ ꯐꯣꯔꯃꯨꯂꯥ) ꯈꯛꯇꯃꯛ ꯊꯀꯏ꯫ ꯃꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯏꯁꯣꯐꯦꯒꯁ ꯑꯗꯨ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯂꯦꯡꯗꯅꯥ ꯂꯩꯍꯜꯂꯤ ꯑꯃꯁꯨꯡ ꯁꯣꯀꯄꯥ ꯑꯗꯨ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯐꯒꯠꯍꯜꯂꯤ꯫ ꯑꯗꯨꯗꯒꯤ, ꯅꯍꯥꯛꯅꯥ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯆꯤꯟꯖꯥꯀꯁꯤꯡ ꯍꯥꯄꯆꯤꯜꯂꯤ꯫
ꯍꯥꯌꯔꯤꯕꯥ ꯄꯥꯝꯕꯩ ꯑꯅꯤ ꯑꯁꯤ ꯗꯣꯛꯇꯔ ꯑꯃꯗꯤ ꯗꯥꯏꯇꯤꯁꯤꯌꯟ ꯑꯃꯒꯤ ꯄꯥꯎꯇꯥꯛ ꯃꯇꯨꯡ ꯏꯟꯅꯥ ꯈꯛꯇꯃꯛ ꯇꯧꯒꯗꯕꯅꯤ . ꯃꯁꯤ ꯈꯛꯇꯅꯥ ꯇꯧꯕꯅꯥ ꯅ꯭ꯌꯨꯠꯔꯤꯁꯅꯒꯤ ꯑꯋꯥꯠꯄꯥ ꯂꯩꯍꯅꯕꯥ ꯌꯥꯏ꯫
| ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯀꯃꯟ ꯑꯣꯏꯅꯥ ꯏ.ꯑꯣ.ꯏ | |
|---|---|
| ꯁꯉ꯭ꯒꯣꯝ ꯑꯃꯁꯨꯡ ꯁꯉ꯭ꯒꯣꯃꯒꯤ ꯄꯣꯠꯊꯣꯀꯁꯤꯡ꯫ | ꯒꯦꯍꯨ (ꯕ꯭ꯔꯦꯗ, ꯄꯥꯁ꯭ꯇꯥ, ꯀꯦꯛ) ꯴. |
| ꯉꯥ꯫ | ꯁꯣꯌ꯫ |
| ꯅꯇꯁ (ꯀꯥꯖꯨꯝ, ꯃꯅꯥ-ꯃꯁꯤꯡꯒꯨꯝꯕꯥ) . | ꯉꯥ ꯑꯃꯁꯨꯡ ꯁꯃꯨꯗ꯭ꯔꯒꯤ ꯄꯣꯠꯊꯣꯀꯁꯤꯡ꯫ |
| ꯁꯟ ꯁꯥ | ꯆꯨꯖꯥꯛ |
ꯑꯔꯣꯏꯕꯗꯥ, ꯏ.ꯑꯣ.ꯏ.ꯅꯥ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯑꯃꯠꯇꯥ ꯂꯩꯇꯦ꯫ ꯃꯁꯤ ꯃꯦꯅꯦꯖ ꯇꯧꯕꯥ ꯌꯥꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯋꯥꯐꯃꯗꯤ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯑꯃꯨꯛꯇꯪ ꯋꯥꯔꯤ ꯁꯥꯅꯕꯅꯤ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯄꯨꯟꯁꯤ ꯃꯍꯤꯡ, ꯄꯁꯟꯗ ꯑꯃꯁꯨꯡ ꯀꯟꯗꯤꯁꯅꯒꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯆꯨꯅꯕꯥ ꯂꯥꯏꯌꯦꯡꯒꯤ ꯄ꯭ꯂꯥꯟ ꯑꯃꯥ ꯁꯦꯝꯅꯕꯥ ꯄꯨꯟꯅꯥ ꯊꯕꯛ ꯇꯧꯃꯤꯟꯅꯕꯅꯤ꯫
ꯇꯦꯛ-ꯍꯣꯝ ꯃꯦꯁꯦꯖ ꯇꯧꯕꯥ꯫
- ꯏꯑꯣꯁꯤꯅꯣꯐꯤꯂꯤꯛ ꯏꯁꯣꯐꯦꯖꯤꯇꯤꯁ (EoE) ꯍꯥꯌꯕꯁꯤ ꯏꯁꯣꯐꯦꯒꯁꯇꯥ ꯁꯣꯀꯍꯜꯂꯤꯕꯥ ꯑꯦꯂꯥꯔꯖꯤꯒꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫ ꯃꯁꯤꯅꯥ ꯂꯧꯅꯒꯅꯕꯥ ꯂꯥꯌꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫
- ꯃꯁꯤꯒꯤꯗꯃꯛꯇꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯂꯥꯏꯌꯦꯡ ꯃꯔꯤ ꯂꯩ: ꯄꯤ.ꯄꯤ.ꯑꯥꯏ.ꯒꯤ ꯍꯤꯗꯥꯛ, ꯑꯣꯔꯦꯜ ꯁ꯭ꯇꯦꯔꯣꯏꯗ, ꯗꯥꯏꯠ, ꯑꯃꯁꯨꯡ ꯗꯥꯏꯂꯦꯁꯟ꯫
- ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ, ꯑꯇꯩ ꯑꯦꯂꯥꯔꯖꯤꯁꯤꯡ, ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯄꯨꯟꯁꯤ ꯃꯍꯤꯡ ꯑꯁꯤꯅꯆꯤꯡꯕꯥ ꯐꯦꯛꯇꯔꯁꯤꯡ ꯌꯦꯡꯁꯤꯟꯗꯨꯅꯥ ꯅꯍꯥꯛꯀꯤꯗꯃꯛꯇꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯥ ꯂꯥꯏꯌꯦꯡ ꯑꯗꯨ ꯈꯅꯒꯅꯤ꯫
- ꯗꯥꯏꯠ ꯑꯁꯤ ꯏ.ꯑꯣ.ꯏ.ꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯔꯝ ꯑꯣꯏꯕꯅꯥ, ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯕꯥ ꯆꯤꯟꯖꯥꯀꯁꯤꯡ ꯈꯪꯗꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯊꯤꯡꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯏꯐꯦꯛꯇꯤꯚ ꯑꯣꯏꯕꯥ ꯂꯥꯏꯌꯦꯡ ꯑꯃꯅꯤ꯫
- ꯂꯥꯏꯌꯦꯡ ꯑꯃꯠꯇꯥ ꯍꯧꯗ꯭ꯔꯤꯉꯩꯗꯥ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯃꯗꯨꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯆꯦꯀꯁꯤꯟꯅꯥ ꯋꯥꯔꯤ ꯁꯥꯕꯤꯌꯨ꯫ ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯊꯧꯑꯣꯡ ꯑꯁꯤ ꯅꯍꯥꯛ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯤ ꯃꯔꯛꯇꯥ ꯄꯨꯟꯅꯥ ꯊꯕꯛ ꯇꯧꯃꯤꯟꯅꯕꯅꯤ꯫
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