ꯅꯍꯥꯛꯀꯤ ꯃꯊꯛ ꯊꯪꯕꯥ ꯁꯔꯨꯛꯇꯥꯁꯨ ꯅꯨꯃꯤꯠ ꯀꯌꯥꯅꯤ ꯂꯥꯀꯄꯥ ꯑꯆꯝꯕꯥ ꯑꯅꯥꯕꯥ ꯑꯃꯥ ꯂꯩꯕ꯭ꯔꯥ? ꯅꯍꯥꯛꯀꯤ ꯃꯤꯠ ꯑꯗꯨ ꯌꯦꯔꯨꯝ ꯑꯣꯏꯔꯀꯄꯥ ꯌꯥꯏ, ꯖꯟꯗꯥꯁꯀꯥ ꯃꯥꯟꯅꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯂꯩꯔꯀꯄꯥ ꯌꯥꯏ? ꯑꯁꯤꯒꯨꯝꯕꯥ ꯃꯇꯝ ꯑꯁꯤꯗꯥ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯀꯄꯨ "ERCP" ꯇꯦꯁ꯭ꯠ ꯇꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯏ ꯍꯥꯌꯅꯥ ꯍꯥꯌꯔꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯃꯃꯤꯡ ꯑꯗꯨ ꯇꯥꯕꯗꯥ ꯈꯔꯥ ꯋꯥꯈꯜ ꯇꯥꯕꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯕꯨ ꯇꯁꯦꯡꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯅꯠꯇꯦ꯫ ꯉꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯏ.ꯑꯥꯔ.ꯁꯤ.ꯄꯤ.ꯅꯥ ꯀꯧꯕꯥ ꯇꯦꯁ꯭ꯠ ꯑꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯃꯌꯦꯛ ꯁꯦꯡꯅꯥ ꯑꯃꯁꯨꯡ ꯂꯥꯏꯅꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯒꯅꯤ꯫
ꯏꯆꯝ ꯆꯝꯕꯥ ꯋꯥꯍꯟꯊꯣꯛ ꯑꯃꯗꯥ ꯏ.ꯑꯥꯔ.ꯁꯤ.ꯄꯤ.
ꯏ.ꯑꯥꯔ.ꯁꯤ.ꯄꯤ.ꯒꯤ ꯃꯃꯤꯡ ꯑꯁꯤ ꯈꯔꯥ ꯁꯥꯡꯕꯥ ꯑꯃꯁꯨꯡ ꯌꯥꯝꯅꯥ ꯂꯨꯕꯥ ꯑꯣꯏꯅꯥ ꯁꯣꯜꯂꯤ, ꯅꯠꯇꯦ? ꯃꯁꯤꯕꯨ ꯊꯨꯒꯥꯏꯔꯁꯤ꯫ ꯏ.ꯑꯥꯔ.ꯁꯤ.ꯄꯤ.ꯅꯥ ꯑꯦꯟꯗꯣꯁ꯭ꯀꯣꯄꯤꯛ ꯔꯦꯠꯔꯣꯒ꯭ꯔꯦꯗ ꯀꯣꯂꯦꯉ꯭ꯒꯤꯑꯣꯄꯦꯅꯛꯔꯤꯑꯦꯇꯣꯒ꯭ꯔꯥꯐꯤꯒꯤ ꯑꯦꯛꯔꯣꯅꯤꯝ ꯑꯃꯅꯤ ꯫
ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯃꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯕꯥꯏꯜ ꯗꯛꯇ ꯑꯃꯁꯨꯡ ꯄꯦꯅꯛꯔꯤꯑꯦꯇꯤꯛ ꯗꯛꯇꯀꯤ ꯃꯅꯨꯡꯗꯥ ꯌꯦꯡꯁꯤꯜꯂꯤꯕꯥ ꯑꯈꯟꯅꯕꯥ ꯇꯦꯁ꯭ꯠ ꯑꯃꯅꯤ . ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯑꯄꯤꯀꯄꯥ ꯇꯨꯕꯒꯨꯝꯕꯥ ꯁꯔꯨꯀꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯀꯦꯃꯦꯔꯥ ꯑꯃꯥ ꯊꯝꯕꯒꯨꯝꯅꯥ ꯈꯅꯕꯤꯌꯨ꯫
- ꯑꯦꯟꯗꯣꯁ꯭ꯀꯣꯄꯤꯛ: ꯃꯁꯤꯅꯥ ꯑꯦꯟꯗꯣꯁ꯭ꯀꯣꯞ ꯍꯥꯌꯕꯁꯤꯕꯨ ꯈꯪꯅꯩ, ꯃꯁꯤꯅꯥ ꯇꯥꯀꯄꯗꯤ ꯃꯁꯤꯒꯤꯗꯃꯛꯇꯥ ꯀꯦꯃꯦꯔꯥ ꯑꯃꯥ ꯌꯥꯎꯕꯥ ꯑꯄꯤꯀꯄꯥ, ꯐ꯭ꯂꯦꯛꯁꯤꯕꯜ ꯇꯨꯕ ꯑꯃꯥ ꯁꯤꯖꯤꯟꯅꯩ꯫
- ꯔꯦꯠꯔꯣꯒ꯭ꯔꯦꯗ: ꯃꯁꯤꯒꯤ ꯑꯔꯊꯗꯤ "ꯃꯇꯨꯡꯗꯥ ꯆꯠꯄꯥ" ꯍꯥꯌꯕꯅꯤ꯫ ꯇꯦꯁ꯭ꯠ ꯑꯁꯤꯗꯥ, ꯅꯣꯔꯃꯦꯜ ꯐ꯭ꯂꯣꯒꯥ ꯃꯥꯟꯅꯗꯕꯥ ꯃꯥꯌꯀꯩꯗꯥ ꯚꯦꯁꯦꯂꯁꯤꯡ ꯑꯁꯤꯗꯥ ꯂꯤꯛꯌꯨꯏꯗ (ꯀꯟꯠꯔꯁ꯭ꯠ ꯗꯥꯏ) ꯑꯃꯥ ꯏꯅꯖꯦꯀꯁꯟ ꯇꯧꯏ꯫
- ꯀꯣꯂꯦꯅꯖꯤꯑꯣꯄꯦꯅꯛꯔꯤꯑꯦꯇꯣꯒ꯭ꯔꯥꯐꯤ: ꯃꯁꯤ ꯁꯔꯨꯛ ꯑꯅꯤ ꯊꯣꯛꯅꯥ ꯈꯥꯌꯗꯣꯀꯄꯥ ꯌꯥꯏ꯫ "ꯀꯣꯂꯥꯟꯖꯤꯑꯣ" ꯍꯥꯌꯕꯁꯤ ꯕꯥꯏꯜ ꯗꯛꯇꯁꯤꯡ ꯍꯥꯌꯕꯅꯤ꯫ "ꯄꯦꯅꯛꯔꯤꯑꯦꯇꯣ" ꯍꯥꯌꯕꯁꯤ ꯄꯦꯅꯛꯔꯤꯑꯦꯇꯤꯛ ꯗꯛꯇꯁꯤꯡꯕꯨ ꯈꯪꯅꯩ꯫ "ꯒ꯭ꯔꯥꯐꯤ" ꯍꯥꯌꯕꯁꯤꯅꯥ ꯐꯣꯇꯣ ꯂꯧꯕꯥ ꯍꯥꯌꯕꯅꯤ꯫ ꯍꯥꯌꯕꯗꯤ ꯕꯥꯏꯜ ꯗꯛꯇ ꯑꯃꯁꯨꯡ ꯄꯦꯅꯛꯔꯤꯑꯦꯇꯤꯛ ꯗꯛꯇꯀꯤ ꯑꯦꯛꯁ-ꯔꯦ ꯄꯤꯀꯆꯔ ꯂꯧꯕꯥ꯫
ꯃꯁꯤꯒꯤ ꯇꯦꯁ꯭ꯠ ꯑꯁꯤꯅꯥ ꯑꯈꯟꯅꯕꯥ ꯗꯥꯏ ꯑꯃꯥ ꯁꯤꯖꯤꯟꯅꯩ, ꯃꯁꯤꯅꯥ ꯑꯄꯤꯀꯄꯥ ꯗꯛꯇꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯦꯛꯁ-ꯔꯦꯗꯥ ꯌꯥꯝꯅꯥ ꯎꯕꯥ ꯐꯪꯏ꯫ ꯃꯁꯤꯅꯥ ꯗꯣꯛꯇꯔꯅꯥ ꯗꯛꯇꯁꯤꯡ ꯑꯁꯤꯗꯥ ꯕ꯭ꯂꯣꯀꯦꯖ ꯑꯃꯥ ꯂꯩꯕ꯭ꯔꯥ, ꯍꯥꯌꯕꯗꯤ ꯒꯥꯂꯁ꯭ꯇꯣꯟ , ꯇꯤꯎꯃꯔ ꯑꯃꯥ ꯅꯠꯠꯔꯒꯥ ꯁ꯭ꯀꯥꯔ ꯇꯤꯁꯨ ꯑꯃꯥ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯕꯥ ꯌꯥꯍꯜꯂꯤ꯫ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯥ ꯋꯥꯐꯃꯗꯤ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯑꯃꯥ ꯊꯦꯡꯅꯔꯕꯗꯤ ꯃꯗꯨ ꯈꯨꯗꯛꯇꯥ ꯂꯥꯏꯌꯦꯡꯕꯥ ꯉꯝꯃꯤ꯫
ꯀꯔꯤꯒꯤꯗꯃꯛꯇꯥ ꯑꯩꯅꯥ ꯏ.ꯑꯥꯔ.ꯁꯤ.ꯄꯤ.
ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯏ.ꯑꯥꯔ.ꯁꯤ.ꯄꯤ. ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯑꯁꯤ ꯃꯈꯣꯌꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯒꯥꯂꯕ꯭ꯂꯦꯗꯔ, ꯕꯥꯏꯜ ꯗꯛꯇꯁꯤꯡ ꯅꯠꯠꯔꯒꯥ ꯄꯦꯅꯛꯔꯤꯑꯦꯖꯗꯥ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯑꯃꯥ ꯂꯩꯔꯦ ꯍꯥꯌꯅꯥ ꯆꯤꯡꯅꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯑꯣꯏ꯫
ꯏ.ꯑꯥꯔ.ꯁꯤ.ꯄꯤ. ꯑꯃꯥ ꯄꯥꯡꯊꯣꯀꯄꯒꯤ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯃꯔꯃꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯅꯕꯒꯤꯗꯃꯛ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯇꯦꯕꯜ ꯑꯁꯤ ꯌꯦꯡꯁꯤ꯫
| ꯂꯥꯏꯑꯣꯡ ꯅꯠꯠꯔꯒꯥ ꯀꯟꯗꯤꯁꯟ ꯂꯩꯕꯥ꯫ | ꯏ.ꯑꯥꯔ.ꯁꯤ.ꯄꯤ.ꯅꯥ ꯀꯔꯤ ꯈꯪꯗꯣꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯂꯥꯌꯦꯡꯂꯤꯕꯒꯦ? |
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| ꯃꯔꯝ ꯑꯃꯠꯇꯥ ꯂꯩꯇꯅꯥ ꯃꯊꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯄꯥ꯫ | ꯒꯥꯂꯁ꯭ꯇꯣꯅꯁꯤꯡ, ꯗꯛꯇꯁꯤꯡ ꯑꯗꯨ ꯀꯨꯄꯁꯤꯅꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯇꯩ ꯑꯀꯥꯌ-ꯑꯇꯣꯌꯁꯤꯡ ꯈꯪꯗꯣꯀꯄꯥ꯫ |
| ꯖꯟꯗꯥꯁ - ꯃꯤꯠ ꯑꯃꯁꯨꯡ ꯈꯣꯡꯗꯥ ꯌꯦꯔꯨꯝ ꯀꯣꯀꯄꯥ꯫ | ꯒꯥꯂꯕ꯭ꯂꯦꯗꯔꯗꯒꯤ ꯕꯥꯏꯂꯒꯤ ꯐ꯭ꯂꯣꯗꯥ ꯑꯀꯥꯌꯕꯥ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯆꯦꯛ ꯇꯧꯕꯥ꯫ ꯁ꯭ꯇꯣꯟ, ꯇꯤꯎꯃꯔ ꯅꯠꯠꯔꯒꯥ ꯑꯇꯩ ꯑꯀꯥꯌ-ꯑꯇꯣꯌꯁꯤꯡ ꯂꯧꯊꯣꯀꯄꯥ꯫ |
| ꯀꯃꯟ ꯕꯥꯏꯜ ꯗꯛꯇꯇꯥ ꯂꯩꯕꯥ ꯒꯥꯂꯁ꯭ꯇꯣꯅꯁꯤꯡ꯫ | ꯁꯤꯂꯁꯤꯡ ꯑꯁꯤ ꯃꯁꯛ ꯈꯪꯗꯣꯀꯎ ꯑꯃꯁꯨꯡ ꯃꯈꯣꯌꯗꯨ ꯀꯨꯄꯁꯤꯜꯂꯨ ꯅꯠꯠꯔꯒꯥ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯂꯧꯊꯣꯀꯎ꯫ |
| ꯀꯣꯂꯦꯉ꯭ꯒꯥꯏꯇꯤꯁ ꯅꯠꯠꯔꯒꯥ ꯕꯥꯏꯜ ꯗꯛꯇꯁꯤꯡꯒꯤ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯁꯟ ꯂꯩꯕꯥ꯫ | ꯏꯅꯐꯦꯛꯁꯅꯒꯤ ꯃꯔꯝ ꯈꯪꯗꯣꯀꯄꯥ, ꯕ꯭ꯂꯣꯀꯦꯖ ꯑꯗꯨ ꯂꯧꯊꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯕꯥꯏꯜ ꯐ꯭ꯂꯣ ꯑꯗꯨ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯁꯦꯃꯒꯠꯄꯥ꯫ |
| ꯕꯤꯂꯤꯌꯔ ꯁ꯭ꯠꯔꯤꯀꯆꯔ (Biliary stricture) ꯂꯩꯕꯥ꯫ | ꯀꯨꯄꯁꯤꯜꯂꯕꯥ ꯑꯥꯔꯇꯦꯔꯤ ꯑꯗꯨ ꯄꯥꯀꯊꯣꯛ-ꯆꯥꯎꯊꯣꯀꯍꯅꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯃꯗꯨ ꯍꯥꯡꯗꯣꯛꯅꯕꯥ ꯑꯄꯤꯀꯄꯥ ꯇꯤꯎꯕ (ꯁ꯭ꯇꯦꯟꯇ) ꯑꯃꯥ ꯍꯥꯄꯆꯤꯟꯗꯨꯅꯥ ꯊꯝꯕꯥ꯫ |
| ꯕꯥꯏꯜ ꯗꯛꯇ ꯅꯠꯠꯔꯒꯥ ꯄꯦꯅꯛꯔꯤꯑꯦꯖꯒꯤ ꯇꯤꯎꯃꯔ ꯅꯠꯠꯔꯒꯥ ꯀꯦꯟꯁꯔꯁꯤꯡ꯫ | ꯇꯤꯎꯃꯔ ꯑꯃꯥ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯁꯤꯟꯅꯕꯥ ꯇꯤꯁꯨꯒꯤ ꯑꯄꯤꯀꯄꯥ ꯁꯔꯨꯛ ꯑꯃꯥ (ꯕꯥꯏꯑꯣꯞꯁꯤ) ꯂꯧꯕꯥ꯫ |
ꯇꯦꯁ꯭ꯠ ꯇꯧꯗ꯭ꯔꯤꯉꯩꯒꯤ ꯃꯃꯥꯡꯗꯥ ꯑꯩꯅꯥ ꯀꯔꯝꯅꯥ ꯁꯦꯝ-ꯁꯥꯒꯗꯒꯦ?
ꯇꯦꯁ꯭ꯠ ꯑꯁꯤꯒꯤ ꯃꯃꯥꯡꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯁꯦꯝ-ꯁꯥꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯀꯔꯤ ꯇꯧꯒꯗꯒꯦ ꯍꯥꯌꯕꯒꯤ ꯃꯌꯦꯛ ꯁꯦꯡꯕꯥ ꯏꯅꯁ꯭ꯠꯔꯛꯁꯅꯁꯤꯡ ꯄꯤꯒꯅꯤ꯫ ꯃꯍꯧꯁꯥꯅꯥ, ꯅꯍꯥꯛꯅꯥ ꯏꯅꯁ꯭ꯠꯔꯛꯁꯅꯁꯤꯡ ꯑꯁꯤ ꯏꯅꯒꯗꯕꯅꯤ:
- ꯆꯥꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯊꯛꯅꯕꯥ ꯏꯁꯤꯡ: ꯅꯍꯥꯛꯅꯥ ꯇꯦꯁ꯭ꯠ ꯇꯧꯗ꯭ꯔꯤꯉꯩꯒꯤ ꯃꯃꯥꯡꯗꯥ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯄꯨꯡ 8 ꯔꯣꯝ ꯆꯥꯕꯥ, ꯊꯀꯄꯥ (ꯏꯁꯤꯡ ꯅꯠꯇꯕꯥ), ꯅꯠꯠꯔꯒꯥ ꯆꯦꯡ-ꯍꯋꯥꯏ ꯊꯀꯄꯥ ꯌꯥꯔꯣꯏꯗꯕꯅꯤ꯫ ꯁꯥꯐꯕꯥ ꯑꯃꯁꯨꯡ ꯃꯌꯦꯛ ꯁꯦꯡꯕꯥ ꯇꯦꯁ꯭ꯠ ꯑꯃꯒꯤꯗꯃꯛꯇꯥ ꯑꯍꯥꯡꯕꯥ ꯈꯣꯡꯎꯞ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫
- ꯅꯍꯥꯛꯀꯤ ꯍꯤꯗꯥꯀꯁꯤꯡꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯕꯤꯌꯨ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯇꯩ ꯃꯦꯗꯤꯀꯦꯜ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ, ꯍꯥꯌꯕꯗꯤ ꯗꯥꯏꯑꯦꯕꯦꯇꯤꯖ ꯅꯠꯠꯔꯒꯥ ꯍꯥꯏ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ, ꯃꯔꯨꯑꯣꯏꯅꯥ ꯕ꯭ꯂꯗ ꯊꯤꯅꯔꯁꯤꯡꯒꯤ ꯍꯤꯗꯥꯀꯁꯤꯡ ꯂꯧꯔꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯃꯃꯥꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯁꯣꯌꯗꯅꯥ ꯈꯪꯍꯅꯒꯗꯕꯅꯤ꯫ ꯃꯈꯣꯌꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯅꯨꯃꯤꯠ ꯈꯔꯅꯤꯒꯤ ꯑꯣꯏꯅꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ ꯑꯗꯨ ꯊꯀꯄꯥ ꯂꯦꯄꯍꯟꯅꯕꯥ ꯍꯥꯌꯔꯀꯄꯥ ꯌꯥꯏ꯫
- ꯑꯦꯂꯥꯔꯖꯤꯁꯤꯡ: ꯱.ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯃꯥꯡꯗꯥ ꯑꯦꯅꯥꯁ꯭ꯇꯦꯁꯤꯌꯥ ꯅꯠꯠꯔꯒꯥ ꯀꯟꯠꯔꯁ꯭ꯠ ꯗꯥꯏꯑꯦꯗꯥ ꯁꯤꯖꯤꯟꯅꯔꯤꯕꯥ ꯍꯤꯗꯥꯛ ꯑꯗꯨꯒꯤ ꯑꯦꯂꯥꯔꯖꯤ ꯂꯩꯔꯕꯗꯤ, ꯃꯗꯨꯒꯤ ꯃꯇꯥꯡꯗꯁꯨ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯈꯪꯍꯅꯕꯤꯌꯨ꯫
- ꯅꯍꯥꯀꯄꯨ ꯌꯨꯃꯗꯥ ꯄꯨꯁꯤꯜꯂꯛꯀꯗꯕꯥ ꯀꯅꯥꯒꯨꯝꯕꯥ ꯑꯃꯅꯥ: ꯇꯦꯁ꯭ꯠ ꯇꯧꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯅꯍꯥꯀꯄꯨ ꯁꯦꯗ꯭ꯌꯨꯜ ꯄꯤꯒꯅꯤ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯁꯥ ꯃꯊꯟꯇꯥ ꯒꯥꯔꯤ ꯊꯧꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯌꯨꯃꯗꯥ ꯆꯠꯄꯥ ꯉꯃꯂꯣꯏ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯌꯨꯃꯗꯥ ꯒꯥꯔꯤ ꯊꯧꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯥ ꯂꯩꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫
ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯋꯥꯐꯃꯗꯤ ꯇꯦꯁ꯭ꯠ ꯇꯧꯗ꯭ꯔꯤꯉꯩꯒꯤ ꯃꯃꯥꯡꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯍꯪꯂꯀꯄꯥ ꯋꯥꯍꯪꯁꯤꯡ ꯅꯠꯠꯔꯒꯥ ꯑꯀꯤꯕꯥ ꯑꯃꯠꯇꯥ ꯗꯣꯛꯇꯔꯒꯥ ꯑꯃꯨꯛꯇꯪ ꯈꯟꯅ-ꯅꯩꯅꯕꯅꯤ꯫ ꯃꯁꯤꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯍꯦꯟꯅꯥ ꯂꯧꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯅꯨꯡꯉꯥꯏꯕꯥ ꯑꯃꯥ ꯐꯪꯍꯅꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯒꯅꯤ꯫
ꯇꯦꯁ꯭ꯠ ꯇꯧꯕꯥ ꯃꯇꯃꯗꯥ ꯀꯔꯤ ꯊꯣꯀꯏ?
ꯏ.ꯑꯥꯔ.ꯁꯤ.ꯄꯤ.ꯅꯥ ꯃꯍꯧꯁꯥꯅꯥ ꯅꯨꯃꯤꯠ ꯑꯃꯗꯥ ꯇꯦꯁ꯭ꯠ ꯇꯧꯕꯅꯤ, ꯃꯁꯤꯅꯥ ꯇꯥꯀꯄꯗꯤ ꯅꯍꯥꯛꯅꯥ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯂꯗꯥ ꯂꯩꯕꯥ ꯃꯊꯧ ꯇꯥꯗꯅꯥ ꯌꯨꯃꯗꯥ ꯆꯠꯄꯥ ꯌꯥꯏ꯫ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯄꯨꯡ ꯑꯃꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯅꯤ ꯆꯪꯕꯥ ꯌꯥꯏ꯫
1. ꯁꯦꯗꯦꯁꯟ: ꯑꯍꯥꯅꯕꯗꯥ, ꯅꯍꯥꯛꯀꯤ ꯈꯨꯠꯁꯥꯗꯥ ꯂꯩꯕꯥ ꯚꯦꯅꯝ ꯑꯃꯗꯥ ꯀꯦꯟꯌꯨꯜ ꯑꯃꯥ ꯊꯥꯗꯨꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯇꯨꯝꯕꯥ ꯌꯥꯍꯟꯗꯅꯕꯥ ꯁꯦꯗꯦꯇꯤꯚ ꯑꯃꯥ ꯄꯤ꯫ ꯃꯁꯤꯅꯥ ꯇꯦꯁ꯭ꯠ ꯇꯧꯕꯥ ꯃꯇꯃꯗꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯅꯠꯠꯔꯒꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯑꯃꯠꯇꯥ ꯊꯣꯀꯍꯟꯗꯒꯅꯤ꯫ ꯃꯇꯝ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯗꯣꯝꯅꯥ ꯑꯇꯣꯞꯄꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯃꯠꯇꯥ ꯅꯤꯡꯁꯤꯡꯕꯥ ꯉꯃꯗꯕꯥ ꯌꯥꯏ꯫
2. ꯑꯦꯟꯗꯣꯁ꯭ꯀꯣꯞ ꯊꯥꯗꯣꯀꯄꯥ: ꯃꯊꯪꯗꯥ, ꯗꯣꯛꯇꯔꯅꯥ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯑꯦꯟꯗꯣꯁ꯭ꯀꯣꯞ (ꯀꯦꯃꯦꯔꯥ ꯑꯃꯥ ꯌꯥꯎꯕꯥ ꯇꯤꯎꯕ ꯑꯃꯥ) ꯑꯗꯨ ꯅꯍꯥꯛꯀꯤ ꯃꯤꯠꯀꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ, ꯅꯍꯥꯛꯀꯤ ꯏꯁꯣꯐꯦꯒꯁ ꯑꯃꯁꯨꯡ ꯁ꯭ꯇꯣꯃꯥꯀꯀꯤ ꯃꯈꯥꯗꯥ, ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯑꯄꯤꯀꯄꯥ ꯏꯟꯇꯦꯁ꯭ꯇꯥꯏꯅꯒꯤ ꯑꯍꯥꯅꯕꯥ ꯁꯔꯨꯛ (ꯗꯨꯑꯣꯗꯦꯅꯝ)ꯗꯥ ꯊꯥꯒꯅꯤ꯫ ꯃꯁꯤ ꯄꯨꯝꯅꯃꯛ ꯑꯁꯤ ꯃꯣꯅꯤꯇꯔ ꯑꯃꯗꯥ ꯌꯦꯡꯗꯨꯅꯥ ꯇꯧꯏ꯫
3. ꯗꯛꯇꯁꯤꯡ ꯑꯗꯨ ꯈꯪꯗꯣꯀꯄꯥ: ꯑꯄꯤꯀꯄꯥ ꯏꯟꯇꯦꯁ꯭ꯇꯥꯏꯅꯗꯥ ꯕꯥꯏꯜ ꯗꯛꯇꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯄꯦꯅꯛꯔꯤꯑꯦꯇꯤꯛ ꯗꯛꯇꯁꯤꯡꯒꯤ ꯑꯍꯥꯡꯕꯥ ꯃꯐꯝ ꯑꯗꯨ ꯈꯪꯗꯣꯀꯎ꯫
4. ꯀꯟꯠꯔꯁ꯭ꯠ ꯗꯥꯏ ꯏꯅꯖꯦꯀꯁꯟ ꯇꯧꯕꯥ: ꯃꯊꯪꯗꯥ, ꯑꯦꯟꯗꯣꯁ꯭ꯀꯣꯄꯀꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯑꯇꯣꯞꯄꯥ ꯊꯤꯟ ꯇꯨꯕ ꯑꯃꯥ ꯊꯥꯗꯣꯀꯏ, ꯑꯃꯁꯨꯡ ꯃꯁꯤꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯀꯟꯠꯔꯁ꯭ꯠ ꯗꯥꯏ ꯑꯁꯤ ꯗꯛꯇꯇꯥ ꯏꯅꯖꯦꯀꯁꯟ ꯇꯧꯏ꯫
5. ꯑꯦꯛꯁ-ꯔꯦ (ꯐ꯭ꯂꯨꯑꯣꯔꯣꯁ꯭ꯀꯣꯄꯤ): ꯗꯥꯏꯅꯥ ꯇꯨꯕꯀꯤ ꯃꯅꯨꯡꯗꯥ ꯆꯪꯁꯤꯜꯂꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯃꯁꯤ ꯆꯠꯊꯣꯛ-ꯆꯠꯁꯤꯟ ꯇꯧꯕꯥ ꯑꯦꯛꯁ-ꯔꯦ ꯚꯤꯗꯤꯑꯣ (ꯐ꯭ꯂꯨꯑꯣꯔꯣꯁ꯭ꯀꯣꯄꯤ) ꯁꯤꯖꯤꯟꯅꯗꯨꯅꯥ ꯎꯕꯥ ꯐꯪꯏ꯫ ꯃꯁꯤꯒꯤ ꯑꯦꯛꯁ-ꯔꯦ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯁꯥꯐꯩ ꯃꯔꯃꯗꯤ ꯔꯦꯗꯤꯑꯦꯁꯅꯒꯤ ꯆꯥꯡ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯅꯦꯝꯃꯤ꯫
6. ꯗꯥꯏꯑꯦꯒ꯭ꯅꯣꯁꯤꯁ ꯑꯃꯁꯨꯡ ꯂꯥꯏꯌꯦꯡ: ꯑꯦꯛꯁ-ꯔꯦ ꯏꯃꯦꯖꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯗꯣꯛꯇꯔꯅꯥ ꯇꯨꯕꯁꯤꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯀꯔꯤ ꯕ꯭ꯂꯣꯀꯦꯖ, ꯁ꯭ꯇꯣꯟ, ꯇꯤꯎꯃꯔ ꯅꯠꯠꯔꯒꯥ ꯑꯇꯩ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯃꯁꯤꯡ ꯂꯩꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯆꯨꯝꯅꯥ ꯎꯕꯥ ꯉꯃꯍꯜꯂꯤ꯫
ꯑꯦꯀꯖꯥꯃꯤꯅꯦꯁꯅꯒꯤ ꯃꯇꯃꯗꯥ ꯂꯥꯌꯦꯡꯕꯒꯤ ꯀꯦꯁꯁꯤꯡ꯫
ꯃꯁꯤ ꯏ.ꯑꯥꯔ.ꯁꯤ.ꯄꯤ.ꯒꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯆꯥꯎꯕꯥ ꯀꯥꯟꯅꯕꯁꯤꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯑꯃꯥ ꯈꯪꯗꯣꯛꯂꯕꯗꯤ, ꯑꯄꯤꯀꯄꯥ ꯏꯅꯁ꯭ꯠꯔꯨꯃꯦꯟꯇꯁꯤꯡ ꯑꯗꯨ ꯑꯦꯟꯗꯣꯁ꯭ꯀꯣꯄꯀꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯄꯥꯁ ꯇꯧꯗꯨꯅꯥ ꯈꯨꯗꯛꯇꯥ ꯂꯥꯏꯌꯦꯡꯕꯥ ꯌꯥꯏ꯫
- ꯁ꯭ꯇꯣꯟ ꯂꯧꯊꯣꯀꯄꯥ: ꯕꯥꯏꯜ ꯗꯛꯇꯁꯤꯡꯗꯥ ꯆꯦꯟꯊꯈꯤꯕꯥ ꯁ꯭ꯇꯣꯅꯁꯤꯡ ꯑꯗꯨ ꯀꯨꯄꯁꯤꯅꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯂꯧꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫
- ꯕꯥꯏꯑꯣꯞꯁꯤ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯆꯤꯡꯅꯕꯥ ꯂꯩꯕꯥ ꯇꯤꯎꯃꯔ ꯅꯠꯠꯔꯒꯥ ꯇꯤꯁꯨ ꯑꯃꯥ ꯂꯩꯔꯕꯗꯤ ꯃꯗꯨꯒꯤ ꯑꯄꯤꯀꯄꯥ ꯁꯔꯨꯛ ꯑꯃꯥ ꯃꯈꯥ ꯇꯥꯅꯥ ꯇꯦꯁ꯭ꯠ ꯇꯧꯅꯕꯒꯤꯗꯃꯛ ꯂꯧꯕꯥ ꯌꯥꯏ꯫
- ꯚꯦꯁꯀꯨꯂꯥꯔ ꯗꯤꯂꯥꯏꯁꯟ (Vescular dilation): ꯁꯣꯛ-ꯄꯅꯕꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯀꯨꯄꯁꯤꯜꯂꯕꯥ ꯚꯦꯁꯀꯨꯂꯥꯔ ꯚꯦꯁꯦꯂꯁꯤꯡ ꯑꯗꯨ ꯗꯤꯂꯥꯏꯠ ꯇꯧꯕꯥ ꯌꯥꯏ꯫
- ꯁ꯭ꯇꯦꯟꯇ ꯊꯝꯕꯥ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯚꯦꯁꯦꯜ ꯑꯃꯥ ꯍꯥꯡꯗꯣꯛꯇꯨꯅꯥ ꯊꯝꯕꯥ ꯃꯊꯧ ꯇꯥꯔꯕꯗꯤ, ꯃꯗꯨꯗꯥ ꯑꯄꯤꯀꯄꯥ ꯃꯦꯁ ꯇꯨꯕ (ꯁ꯭ꯇꯦꯟꯇ) ꯑꯃꯥ ꯍꯥꯄꯆꯤꯅꯕꯥ ꯌꯥꯏ꯫
- ꯁ꯭ꯐꯤꯡꯛꯇꯦꯔꯣꯇꯣꯃꯤ: ꯱.ꯗꯛꯇ ꯍꯥꯡꯗꯣꯛꯂꯤꯕꯥ ꯃꯁꯜ ꯑꯗꯨꯗꯥ ꯑꯄꯤꯀꯄꯥ ꯏꯅꯁꯤꯁꯟ ꯑꯃꯥ ꯁꯦꯝꯕꯥ ꯌꯥꯏ, ꯃꯗꯨꯅꯥ ꯑꯍꯥꯡꯕꯥ ꯃꯐꯝ ꯑꯗꯨ ꯆꯥꯎꯊꯣꯀꯍꯟꯗꯨꯅꯥ ꯑꯃꯁꯨꯡ ꯁ꯭ꯇꯣꯟ ꯅꯠꯠꯔꯒꯥ ꯕꯥꯏꯜ ꯑꯗꯨ ꯍꯦꯟꯅꯥ ꯐꯖꯅꯥ ꯆꯠꯄꯥ ꯌꯥꯍꯜꯂꯤ꯫
ꯇꯦꯁ꯭ꯠ ꯇꯧꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯀꯔꯤ ꯑꯥꯁꯥ ꯇꯧꯕꯥ ꯌꯥꯕꯒꯦ?
ꯇꯦꯁ꯭ꯠ ꯇꯧꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ, ꯅꯍꯥꯛꯅꯥ ꯑꯦꯅꯥꯁ꯭ꯇꯦꯇꯤꯛ ꯑꯗꯨꯒꯤ ꯏꯐꯦꯛꯇꯁꯤꯡ ꯑꯗꯨ ꯂꯣꯌꯁꯤꯜꯂꯛꯠꯔꯤꯕꯐꯥꯎꯕꯥ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯄꯨꯡ ꯑꯃꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯅꯤ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯂꯗꯥ ꯂꯩꯕꯥ ꯃꯊꯧ ꯇꯥꯏ꯫ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯅꯉꯕꯨ ꯌꯨꯃꯗꯥ ꯄꯨꯔꯛꯅꯕꯥ ꯂꯥꯀꯈꯤꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯗꯨꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯌꯨꯃꯗꯥ ꯆꯠꯄꯥ ꯌꯥꯏ꯫
ꯅꯍꯥꯛꯅꯥ ꯅꯨꯃꯤꯠ ꯑꯃꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯅꯤꯒꯤ ꯑꯣꯏꯅꯥ ꯑꯄꯤꯀꯄꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯄꯥ ꯌꯥꯏ, ꯃꯈꯣꯌ ꯑꯗꯨꯗꯤ:
- ꯀꯣꯛ ꯆꯤꯀꯄꯥ: ꯑꯦꯟꯗꯣꯁ꯭ꯀꯣꯄꯅꯥ ꯀꯣꯛ ꯆꯤꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯁꯤ ꯂꯤꯛꯌꯨꯏꯗ ꯑꯃꯁꯨꯡ ꯇꯔꯨ-ꯇꯅꯥꯅꯕꯥ ꯆꯤꯟꯖꯥꯀꯁꯤꯡ ꯆꯥꯕꯅꯥ ꯍꯟꯊꯍꯅꯕꯥ ꯌꯥꯏ꯫
- ꯁ꯭ꯇꯣꯃꯥꯛ ꯐꯤꯜꯂꯤꯡ ꯅꯠꯠꯔꯒꯥ ꯏꯚꯥꯛꯌꯨꯑꯦꯁꯟ: ꯇꯦꯁ꯭ꯠ ꯇꯧꯕꯥ ꯃꯇꯃꯗꯥ, ꯃꯅꯨꯡꯗꯥ ꯍꯦꯟꯅꯥ ꯐꯖꯅꯥ ꯎꯕꯥ ꯐꯪꯅꯕꯥ ꯁ꯭ꯇꯣꯃꯥꯛ ꯑꯃꯁꯨꯡ ꯏꯟꯇꯦꯁ꯭ꯇꯥꯏꯅꯁꯤꯡꯗꯥ ꯅꯨꯡꯁꯤꯠ ꯄꯝꯄ ꯇꯧꯏ꯫ ꯃꯁꯤꯅꯥ ꯈꯣꯝꯂꯥꯡꯗꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯈꯔꯥ ꯊꯣꯀꯍꯜꯂꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯁꯤ ꯃꯇꯝ ꯈꯔꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯍꯟꯊꯔꯛꯀꯅꯤ꯫
- ꯅꯣꯡꯃꯩ ꯀꯥꯞꯄꯥ: ꯃꯤꯑꯣꯏ ꯈꯔꯗꯗꯤ ꯑꯦꯅꯥꯁ꯭ꯇꯦꯇꯤꯛ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯈꯔꯥ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯁꯤ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯂꯣꯏꯁꯤꯅꯒꯅꯤ꯫
ꯏ.ꯑꯥꯔ.ꯁꯤ.ꯄꯤ.ꯒꯤ ꯇꯦꯁ꯭ꯠ ꯑꯃꯒꯤ ꯔꯤꯁ꯭ꯀꯁꯤꯡ ꯀꯔꯤꯅꯣ?
ꯃꯦꯗꯤꯀꯦꯜ ꯄ꯭ꯔꯣꯁꯤꯗ꯭ꯌꯨꯔ ꯑꯃꯍꯦꯛꯇꯒꯥ ꯃꯥꯟꯅꯅꯥ, ꯏ.ꯑꯥꯔ.ꯁꯤ.ꯄꯤ.ꯅꯥ ꯑꯄꯤꯀꯄꯥ ꯔꯤꯁ꯭ꯛ ꯑꯃꯥ ꯄꯨꯗꯨꯅꯥ ꯆꯠꯂꯤ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯁꯥꯊꯤꯕꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯅꯦꯝꯃꯤ꯫ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ ꯑꯁꯤ ERCP ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯒꯤ 5%ꯗꯒꯤ 10% ꯐꯥꯎꯕꯈꯛꯇꯗꯥ ꯊꯣꯀꯏ꯫
ꯑꯣꯏꯊꯣꯀꯄꯥ ꯌꯥꯕꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯟ ꯈꯔꯗꯤ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯁꯤꯡꯁꯤꯅꯤ:
- ꯄꯦꯅꯛꯔꯤꯑꯦꯇꯤꯁ: ꯃꯁꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯅꯤ꯫ ꯇꯦꯁ꯭ꯠ ꯑꯁꯤꯅꯥ ꯄꯦꯅꯛꯔꯤꯑꯦꯖ (pncreas) ꯁꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫
- ꯏꯅꯐꯦꯛꯁꯟ: ꯏꯅꯐꯦꯛꯁꯟ ꯑꯃꯥ ꯕꯥꯏꯜ ꯗꯛꯇꯁꯤꯡꯗꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫
- ꯏ ꯊꯣꯀꯄꯥ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯇꯤꯁꯨ ꯁꯦꯝꯄꯜ ꯑꯃꯥ ꯂꯧꯔꯕꯗꯤ ꯅꯠꯠꯔꯒꯥ ꯏꯅꯁꯤꯁꯟ ꯑꯃꯥ ꯂꯧꯔꯕꯗꯤ ꯑꯄꯤꯀꯄꯥ ꯏ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫
- ꯄꯣꯃꯈꯠꯄꯥ (perforation): ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ, ꯑꯦꯟꯗꯣꯁ꯭ꯀꯣꯄꯅꯥ ꯏꯁꯣꯐꯦꯒꯁ, ꯁ꯭ꯇꯣꯃꯥꯛ ꯅꯠꯠꯔꯒꯥ ꯑꯄꯤꯀꯄꯥ ꯏꯟꯇꯦꯁ꯭ꯇꯥꯏꯅꯒꯤ ꯋꯥꯂꯗꯥ ꯍꯨꯔꯥꯅꯕꯥ ꯌꯥꯏ꯫
ꯇꯦꯁ꯭ꯠ ꯇꯧꯗ꯭ꯔꯤꯉꯩꯒꯤ ꯃꯃꯥꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯔꯤꯁ꯭ꯛ ꯄꯨꯝꯅꯃꯛ ꯑꯁꯤ ꯅꯍꯥꯀꯄꯨ ꯈꯪꯍꯜꯂꯛꯀꯅꯤ꯫ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯂꯩꯔꯣꯏ, ꯃꯁꯤꯒꯤ ꯇꯦꯁ꯭ꯠ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯇ꯭ꯔꯦꯟ ꯇꯧꯔꯕꯥ ꯁ꯭ꯄꯦꯁꯤꯑꯦꯂꯤꯁ꯭ꯇꯁꯤꯡꯅꯥ ꯄꯥꯡꯊꯣꯀꯏ꯫
ꯗꯣꯛꯇꯔꯒꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯒꯗꯕꯥ ꯑꯈꯟꯅꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯇꯦꯁ꯭ꯠ ꯇꯧꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯌꯨꯃꯗꯥ ꯆꯠꯂꯕꯥ ꯃꯇꯨꯡꯗꯥ, ꯅꯍꯥꯛꯅꯥ ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯅꯥ ꯊꯦꯡꯅꯔꯤꯕꯥ ꯑꯄꯤꯀꯄꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯅꯠꯇꯕꯥ ꯑꯇꯩ ꯁꯥꯊꯤꯕꯥ ꯂꯥꯏꯑꯣꯡ ꯑꯃꯠꯇꯥ ꯂꯩꯠꯔꯕꯗꯤ, ꯈꯨꯗꯛꯇꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯀꯧꯕꯤꯌꯨ ꯅꯠꯠꯔꯒꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯅꯀꯄꯥ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯂꯒꯤ ꯏꯃꯔꯖꯦꯟꯁꯤ ꯗꯤꯄꯥꯔꯇꯃꯦꯟꯇ (ETU)ꯗꯥ ꯆꯠꯄꯤꯌꯨ꯫
ꯌꯦꯡꯁꯤꯅꯒꯗꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ:
- ꯁꯥꯊꯤꯕꯥ ꯈꯣꯡꯄꯥꯛ ꯅꯠꯠꯔꯒꯥ ꯈꯣꯡ ꯍꯥꯝꯕꯥ (bloating)꯫
- ꯂꯥꯏꯍꯧ ꯅꯠꯠꯔꯒꯥ ꯆꯤꯀꯄꯥ꯫
- ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯈꯣꯡ ꯍꯥꯝꯕꯥ꯫
- ꯈꯣꯡꯗꯥ ꯁꯣꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ꯫
- ꯔꯦꯛꯇꯃꯗꯒꯤ ꯏ ꯊꯣꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯕ꯭ꯂꯦꯛ, ꯇꯦꯔꯤ ꯁ꯭ꯇꯣꯂꯁꯤꯡ ꯄꯥꯁ ꯇꯧꯕꯥ꯫
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯥ ꯍꯦꯛꯇꯥ ꯂꯩꯔꯕꯗꯤ ꯃꯗꯨ ꯌꯦꯡꯁꯤꯜꯂꯣꯏꯗꯕꯅꯤ꯫ ꯈꯨꯗꯛꯇꯥ ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯄꯥꯎꯇꯥꯛ ꯂꯧꯕꯤꯌꯨ꯫
ꯇꯦꯛ-ꯍꯣꯝ ꯃꯦꯁꯦꯖ ꯇꯧꯕꯥ꯫
- ꯏ.ꯑꯥꯔ.ꯁꯤ.ꯄꯤ.ꯅꯥ ꯕꯥꯏꯜ ꯗꯛꯇ ꯑꯃꯁꯨꯡ ꯄꯦꯅꯛꯔꯤꯑꯦꯇꯤꯛ ꯗꯛꯇꯀꯥ ꯃꯔꯤ ꯂꯩꯅꯕꯥ ꯂꯥꯌꯅꯥꯁꯤꯡ ꯈꯉꯗꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯂꯥꯌꯦꯡꯕꯗꯥ ꯁꯤꯖꯤꯟꯅꯕꯥ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯑꯃꯁꯨꯡ ꯑꯍꯣꯡꯕꯥ ꯇꯦꯁ꯭ꯠ ꯑꯃꯅꯤ꯫
- ꯇꯦꯁ꯭ꯠ ꯑꯁꯤ ꯅꯍꯥꯀꯄꯨ ꯇꯨꯝꯕꯥ ꯌꯥꯗꯕꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ ꯄꯤꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯄꯥꯡꯊꯣꯀꯏ, ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯃꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯅꯠꯠꯔꯒꯥ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯑꯃꯠꯇꯥ ꯐꯥꯑꯣꯔꯣꯏ꯫
- ꯇꯦꯁ꯭ꯠ ꯇꯧꯗ꯭ꯔꯤꯉꯩ ꯃꯃꯥꯡꯗꯥ ꯗꯣꯛꯇꯔꯒꯤ ꯏꯅꯁ꯭ꯠꯔꯛꯁꯅꯁꯤꯡ ꯆꯦꯀꯁꯤꯟꯅꯥ ꯉꯥꯛꯅꯥ ꯆꯠꯄꯥ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ, ꯃꯔꯨꯑꯣꯏꯅꯥ ꯔꯣꯖꯥ ꯑꯃꯁꯨꯡ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡꯒꯤ ꯃꯇꯥꯡꯗꯥ꯫
- ꯃꯦꯗꯤꯀꯦꯜ ꯄ꯭ꯔꯣꯁꯤꯗ꯭ꯌꯨꯑꯣꯔ ꯑꯃꯍꯦꯛꯇꯒꯥ ꯃꯔꯤ ꯂꯩꯅꯕꯥ ꯔꯤꯁ꯭ꯛ ꯈꯔꯗꯤ ꯂꯩꯔꯕꯁꯨ, ꯏ.ꯑꯥꯔ.ꯁꯤ.ꯄꯤ. ꯁꯥꯊꯤꯕꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯇꯣꯏꯅꯥ ꯊꯣꯀꯏ꯫
- ꯇꯦꯁ꯭ꯠ ꯇꯧꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯕꯥ ꯆꯦꯀꯁꯤꯅꯋꯥꯒꯤ ꯈꯨꯗꯃꯁꯤꯡ ꯑꯗꯨ ꯈꯪꯖꯤꯅꯕꯤꯌꯨ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯀꯤꯕꯥ ꯑꯃꯥ ꯂꯩꯔꯕꯗꯤ ꯈꯨꯗꯛꯇꯥ ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯄꯥꯎꯇꯥꯛ ꯂꯧꯕꯤꯌꯨ꯫
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