ꯅꯍꯥꯛꯅꯥ ꯆꯥꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯊꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯀꯅꯥꯒꯨꯝꯕꯥ ꯑꯃꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯀꯣꯛꯇꯥ ꯆꯦꯅꯁꯤꯜꯂꯀꯄꯒꯨꯝꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯊꯝꯃꯣꯌꯗꯥ ꯈꯉꯍꯧꯗꯅꯥ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯑꯋꯥꯕꯥ ꯑꯃꯥ ꯊꯦꯡꯅꯈꯤꯕ꯭ꯔꯥ? ꯅꯍꯥꯛꯀꯤ ꯀꯣꯛꯇꯥ ꯆꯥꯅꯕꯥ ꯄꯣꯠꯂꯃꯁꯤꯡ ꯊꯃꯖꯤꯜꯂꯀꯄꯒꯨꯝ ꯐꯥꯑꯣꯔꯤꯕꯔꯥ? ꯃꯤꯑꯣꯏ ꯀꯌꯥꯅꯥ ꯃꯁꯤ ꯍꯥꯔꯠ ꯑꯦꯇꯦꯛꯅꯤ ꯍꯥꯌꯅꯥ ꯑꯀꯤꯕꯥ ꯐꯥꯑꯣꯏ, ꯑꯗꯨꯕꯨ ꯃꯇꯝ ꯄꯨꯝꯅꯃꯛꯇꯥ ꯃꯗꯨ ꯑꯣꯏꯗꯦ꯫ ꯃꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯏꯁꯣꯐꯦꯒꯁꯇꯥ ꯂꯩꯕꯥ ꯃꯁꯂꯁꯤꯡꯒꯤ ꯑꯦꯕꯅꯣꯔꯃꯦꯜ ꯁ꯭ꯄꯥꯝ (abnormal spasm) ꯑꯃꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯉꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯏꯁꯣꯐꯦꯖꯤꯌꯜ ꯁ꯭ꯄꯥꯝ, ꯅꯠꯔꯒꯥ ``ꯏꯁꯣꯐꯦꯖꯤꯌꯜ ꯁ꯭ꯄꯥꯝ''ꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯑꯗꯣꯝꯅꯥ ꯈꯉꯕꯤꯕꯥ ꯌꯥꯕꯥ ꯏꯆꯝ ꯆꯝꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯒꯅꯤ꯫
ꯏꯁꯣꯐꯦꯖꯤꯌꯜ ꯁ꯭ꯄꯥꯝ (esophageal spasms) ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ?
ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯑꯩꯈꯣꯌꯒꯤ ꯏꯁꯣꯐꯦꯒꯁ ꯑꯁꯤ ꯃꯁꯂꯁꯤꯡꯅꯥ ꯁꯦꯝꯕꯥ ꯇꯤꯎꯕ ꯑꯃꯅꯤ ꯑꯃꯁꯨꯡ ꯃꯁꯤꯅꯥ ꯑꯩꯈꯣꯌꯅꯥ ꯊꯀꯄꯥ ꯆꯤꯟꯖꯥꯀꯁꯤꯡ ꯑꯗꯨ ꯑꯩꯈꯣꯌꯒꯤ ꯀꯣꯀꯊꯛꯇꯒꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯈꯣꯡꯗꯥ ꯄꯨꯗꯨꯅꯥ ꯆꯠꯂꯤ꯫ ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯅꯥ, ꯑꯩꯈꯣꯌꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯄꯣꯠꯁꯛ ꯑꯃꯥ ꯂꯧꯊꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯇꯤꯎꯕ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯂꯩꯕꯥ ꯃꯁꯂꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯔꯤꯗꯝ ꯑꯣꯏꯕꯥ ꯃꯑꯣꯡꯗꯥ, ꯏꯁꯤꯡ ꯇꯨꯡꯁꯤꯅꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯀꯟꯠꯔꯦꯛꯇ ꯇꯧꯗꯨꯅꯥ, ꯆꯤꯟꯖꯥꯛ ꯑꯗꯨ ꯑꯩꯈꯣꯌꯒꯤ ꯈꯣꯡꯗꯥ ꯊꯨꯅꯥ ꯌꯥꯡꯅꯥ ꯆꯦꯅꯁꯤꯜꯂꯀꯏ꯫ ꯃꯦꯗꯤꯁꯤꯅꯗꯥ ꯑꯩꯈꯣꯌꯅꯥ ꯊꯧꯑꯣꯡ ꯑꯁꯤꯕꯨ ``ꯄꯦꯔꯤꯁ꯭ꯇꯦꯂꯁꯤꯁ`` ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫
ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ``ꯏꯁꯣꯐꯦꯖꯤꯑꯦꯜ ꯁ꯭ꯄꯥꯝꯁ'' ꯀꯧꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯥ ꯂꯩꯔꯕꯗꯤ, ꯃꯁꯜ ꯀꯟꯠꯔꯦꯛꯇꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯔꯤꯗꯝ ꯑꯁꯤ ꯂꯦꯡꯗꯅꯥ ꯂꯩꯔꯀꯏ꯫ ꯃꯈꯣꯌ ꯑꯁꯤ ꯅꯠꯠꯔꯒꯥ ꯔꯦꯟꯗꯝ ꯑꯣꯏꯅꯥ ꯑꯃꯁꯨꯡ ꯀꯅꯦꯛꯁꯟ ꯑꯃꯠꯇꯥ ꯂꯩꯇꯅꯥ ꯁ꯭ꯄꯥꯝ ꯇꯧꯏ, ꯅꯠꯠꯔꯒꯥ ꯃꯈꯣꯌꯅꯥ ꯌꯥꯝꯅꯥ ꯍꯦꯟꯅꯥ ꯑꯃꯁꯨꯡ ꯐꯣꯔꯁ ꯑꯣꯏꯅꯥ ꯁ꯭ꯄꯥꯝ ꯇꯧꯏ꯫ ꯃꯐꯝ ꯑꯃꯗꯥ ꯈꯉꯍꯧꯗꯅꯥ ꯏꯁꯤꯡꯒꯤ ꯄꯥꯏꯞ ꯑꯃꯥ ꯊꯨꯒꯥꯏꯔꯀꯄꯒꯨꯝ ꯈꯅꯕꯤꯌꯨ꯫
ꯃꯁꯂꯁꯤꯡ ꯑꯗꯨ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯁꯣꯟꯊꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯆꯥꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯊꯛꯅꯕꯥ ꯏꯁꯤꯡ ꯐꯖꯅꯥ ꯍꯟꯊꯕꯥ ꯉꯃꯗꯦ꯫ ꯃꯁꯤ ꯅꯍꯥꯛꯅꯥ ꯂꯧꯅꯒꯅꯕꯥ ꯑꯋꯥꯕꯥ ꯑꯃꯁꯨꯡ ꯈꯣꯡꯗꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯄꯥ ꯃꯇꯃꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯂꯧꯅꯒꯅꯕꯥ ꯆꯤꯟꯖꯥꯛ ꯑꯗꯨ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯂꯥꯀꯄꯥ ꯌꯥꯏ (regurgitate)꯫
ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯈꯂꯁꯤꯡ ꯂꯩꯕ꯭ꯔꯥ?
ꯍꯣꯌ, ꯃꯔꯨ ꯑꯣꯏꯕꯥ ꯃꯈꯜ ꯑꯅꯤ ꯂꯩ꯫ ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯈꯉꯕꯥ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨ ꯑꯣꯏ꯫
| ꯁ꯭ꯄꯥꯃꯒꯤ ꯃꯈꯜ꯫ | ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯀꯔꯤ ꯑꯣꯏꯒꯅꯤ? |
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| ꯗꯤꯁ꯭ꯇꯦꯜ (ꯅꯠꯠꯔꯒꯥ ꯗꯤꯐ꯭ꯌꯨꯁꯟ) ꯏꯁꯣꯐꯦꯖꯤꯌꯜ ꯁ꯭ꯄꯥꯝ꯫ | ꯃꯁꯤꯗꯥ, ꯏꯁꯣꯐꯦꯒꯁꯀꯤ ꯃꯈꯥ ꯊꯪꯕꯥ ꯁꯔꯨꯛꯇꯥ ꯂꯩꯕꯥ ꯃꯁꯂꯁꯤꯡ ꯑꯁꯤ ꯃꯔꯨꯑꯣꯏꯅꯥ ꯑꯁꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯀꯣꯑꯣꯔꯗꯤꯅꯦꯠ ꯇꯧꯗꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯀꯟꯠꯔꯦꯛꯇ ꯇꯧꯏ꯫ ꯃꯁꯤꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯂꯧꯅꯒꯅꯕꯥ ꯆꯤꯟꯖꯥꯀꯁꯤꯡꯅꯥ ꯀꯣꯛꯇꯥ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯂꯥꯛꯅꯕꯥ ꯍꯣꯠꯅꯔꯀꯄꯥ ꯎꯕꯁꯤ ꯀꯃꯟ ꯑꯣꯏ꯫ |
| ꯍꯥꯏꯄꯔꯀꯟꯠꯔꯦꯛꯇꯥꯏꯜ (ꯅꯠꯛꯔꯦꯀꯔ ꯅꯠꯠꯔꯒꯥ ꯖꯦꯀꯍꯥꯃꯔ) ꯏꯁꯣꯐꯦꯒꯁ꯫ | ꯃꯁꯤꯒꯤ ꯀꯦꯁ ꯑꯁꯤꯗꯥ, ꯃꯁꯜ ꯀꯟꯠꯔꯦꯛꯇꯁꯤꯡꯒꯤ ꯔꯤꯗꯝ ꯑꯁꯤ ꯑꯆꯨꯝꯕꯥ ꯑꯣꯏꯔꯕꯁꯨ, ꯀꯟꯠꯔꯦꯛꯇꯁꯤꯡ ꯑꯁꯤ ꯃꯍꯧꯁꯥꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯐꯣꯔꯁ ꯑꯃꯁꯨꯡ ꯋꯥꯡꯅꯥ ꯊꯣꯀꯏ꯫ ꯍꯥꯃꯗꯣꯀꯄꯥ ꯌꯥꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯊꯦꯡꯅꯕꯒꯨꯝꯅꯥ꯫ ꯃꯁꯤꯅꯥ ꯊꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯅꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ ꯑꯃꯁꯨꯡ ꯈꯣꯡꯗꯥ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯁꯣꯀꯄꯥ ꯌꯥꯏ꯫ |
ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ? ꯀꯔꯝꯅꯥ ꯐꯥꯑꯣꯔꯤꯕꯅꯣ?
ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯑꯃꯁꯨꯡ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯂꯥꯏꯑꯣꯡ ꯑꯅꯤꯗꯤ ꯂꯧꯅꯒꯅꯕꯥ ꯂꯥꯌꯅꯥ (dysphagia) ꯑꯃꯁꯨꯡ ꯅꯟ-ꯀꯥꯔꯗꯤꯌꯦꯛ ꯆꯦꯁ꯭ꯠ ꯄꯦꯏꯟ ꯑꯁꯤꯅꯤ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯃꯤꯑꯣꯏ ꯈꯔꯗꯤ ꯂꯥꯏꯑꯣꯡ ꯑꯃꯠꯇꯥ ꯌꯥꯎꯗꯅꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯂꯩꯕꯥ ꯌꯥꯏ꯫
ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ: ꯃꯐꯃꯁꯤꯗꯥ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯋꯥꯐꯃꯗꯤ, ꯆꯦꯛꯀꯤ ꯑꯅꯥꯕꯥ ꯑꯁꯤ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯍꯥꯔꯠ ꯑꯦꯇꯦꯛ ꯑꯃꯒꯨꯝꯅꯥ ꯇꯁꯦꯡꯅꯥ ꯐꯥꯎꯕꯥ ꯌꯥꯏ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯤꯅꯠ ꯃꯉꯥꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯁꯥꯊꯤꯕꯥ, ꯃꯌꯦꯛ ꯁꯦꯡꯗꯕꯥ ꯆꯦꯛꯁꯤꯟ-ꯊꯧꯔꯥꯡ ꯑꯃꯥ ꯂꯩꯔꯕꯗꯤ, ꯃꯁꯤ ꯑꯇꯣꯞꯄꯥ ꯋꯥꯐꯝ ꯑꯃꯅꯤ ꯍꯥꯌꯅꯥ ꯂꯧꯒꯅꯨ꯫ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯜ ꯑꯃꯒꯤ ꯏꯃꯔꯖꯦꯟꯁꯤ ꯗꯤꯄꯥꯔꯇꯃꯦꯟꯇ (ETU)ꯗꯥ ꯈꯨꯗꯛꯇꯥ ꯆꯠꯂꯨ꯫ ꯑꯍꯥꯅꯕꯗꯥ ꯃꯁꯤ ꯍꯥꯔꯠ ꯑꯦꯇꯦꯀꯒꯨꯝꯕꯥ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯄꯣꯠꯁꯛ ꯑꯃꯅꯤ ꯍꯥꯌꯕꯁꯤ ꯁꯣꯌꯗꯅꯥ ꯈꯪꯗꯣꯀꯄꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫
ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯃꯌꯥꯏ ꯑꯣꯏꯕꯥ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫ ꯃꯤꯑꯣꯏ ꯈꯔꯒꯤ ꯑꯣꯏꯅꯗꯤ, ꯃꯈꯣꯌ ꯑꯁꯤ ꯆꯥꯕꯥ ꯂꯣꯌꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯈꯛꯇꯗꯥ ꯊꯣꯀꯏ꯫ ꯑꯇꯣꯞꯄꯁꯤꯡꯒꯤ ꯑꯣꯏꯅꯗꯤ ꯃꯈꯣꯌ ꯑꯁꯤ ꯃꯔꯝ ꯑꯃꯠꯇꯥ ꯂꯩꯇꯅꯥ ꯈꯉꯍꯧꯗꯅꯥ ꯂꯥꯀꯏ꯫ ꯃꯈꯣꯌ ꯑꯁꯤ ꯃꯤꯅꯠ ꯈꯔꯈꯛꯇꯃꯛ ꯅꯠꯠꯔꯒꯥ ꯄꯨꯡ ꯑꯃꯥ ꯅꯠꯠꯔꯒꯥ ꯃꯁꯤꯗꯒꯤ ꯍꯦꯅꯕꯥ ꯐꯥꯎꯕꯥ ꯂꯦꯡꯗꯅꯥ ꯂꯩꯕꯥ ꯌꯥꯏ꯫
| ꯃꯇꯧ ꯀꯔꯝꯅꯥ ꯐꯥꯑꯣꯔꯤꯕꯒꯦ꯫ | ꯋꯥꯔꯣꯜ |
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| ꯆꯦꯁ꯭ꯠ ꯁꯣꯀꯄꯥ/ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯁꯣꯀꯄꯥ꯫ | ꯀꯅꯥꯒꯨꯝꯕꯥ ꯑꯃꯅꯥ ꯆꯦꯡꯒꯤ ꯃꯔꯛꯇꯥ, ꯁ꯭ꯇꯦꯅꯃꯒꯤ ꯃꯈꯥꯗꯥ ꯂꯩꯕꯥ, ꯃꯗꯨꯗꯥ ꯑꯔꯨꯝꯕꯥ ꯑꯃꯥ ꯊꯃꯖꯤꯅꯕꯒꯨꯝꯅꯥ ꯐꯥꯎꯕꯥ ꯌꯥꯏ꯫ |
| ꯊꯝꯃꯣꯌ ꯁꯣꯀꯄꯥ꯫ | ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯃꯩꯁꯥ (burning sensation) ꯑꯃꯥ ꯐꯥꯎꯕꯥ ꯌꯥꯏ꯫ |
| ꯑꯅꯥꯕꯥ ꯁꯟꯗꯣꯀꯄꯥ꯫ | ꯈꯣꯡꯒꯤ ꯃꯌꯥꯏꯗꯥ ꯍꯧꯔꯀꯄꯥ ꯑꯅꯥꯕꯥ ꯑꯁꯤ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯈꯣꯡ, ꯂꯦꯡ-ꯑꯣꯠꯄꯗꯥ ꯅꯠꯠꯔꯒꯥ ꯈꯣꯡꯗꯥ ꯆꯠꯄꯒꯨꯝꯅꯥ ꯐꯥꯎꯕꯥ ꯌꯥꯏ꯫ |
| ꯂꯧꯅꯒꯅꯕꯥ ꯂꯥꯌꯅꯥ (Dysphagia) . |
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ꯃꯁꯤ ꯀꯔꯤꯒꯤ ꯊꯣꯛꯂꯤꯕꯅꯣ? ꯃꯔꯃꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?
ꯇꯁꯦꯡꯕꯗꯤ ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯃꯁꯤꯒꯤ ꯑꯀꯛꯅꯕꯥ ꯃꯔꯝ ꯑꯁꯤ ꯍꯧꯖꯤꯛ ꯐꯥꯑꯣꯕꯥ ꯈꯉꯕꯥ ꯉꯃꯗ꯭ꯔꯤ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯃꯍꯧꯁꯥꯅꯥ ꯃꯁꯤ ꯏꯁꯣꯐꯦꯒꯁꯀꯤ ꯃꯁꯂꯁꯤꯡ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯔꯤꯕꯥ ꯅꯔꯚꯁꯤꯡꯗꯥ ꯁꯣꯀꯍꯜꯂꯀꯄꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯊꯣꯀꯍꯅꯕꯅꯤ ꯍꯥꯌꯅꯥ ꯂꯧꯅꯩ꯫ ꯏꯂꯦꯛꯠꯔꯤꯀꯦꯜ ꯁꯔꯛꯌꯨꯏꯠ ꯑꯃꯗꯥ ꯁꯣꯔꯠ ꯇꯧꯕꯒꯨꯝꯅꯥ, ꯅꯔꯚꯁꯤꯡꯗꯒꯤ ꯃꯁꯂꯁꯤꯡꯗꯥ ꯂꯥꯀꯄꯥ ꯁꯤꯒꯅꯦꯂꯁꯤꯡ ꯑꯗꯨ ꯁꯣꯀꯍꯜꯂꯤ꯫
ꯃꯁꯤꯗꯥ ꯁꯣꯀꯍꯅꯕꯥ ꯌꯥꯕꯥ ꯑꯇꯣꯞꯄꯥ ꯐꯦꯛꯇꯔ ꯀꯌꯥ ꯑꯃꯁꯨ ꯂꯩꯔꯤ:
- GERD ꯀꯟꯗꯤꯁꯟ: ꯑꯌꯥꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯗꯁꯨ GERD (Gastroesophageal Reflux Disease) ꯂꯩ꯫ ꯑꯦꯁꯤꯗ ꯑꯁꯤ ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯁꯤꯖꯤꯟꯅꯕꯅꯥ ꯏꯁꯣꯐꯦꯒꯁꯇꯥ ꯂꯩꯕꯥ ꯅꯔꯚꯁꯤꯡꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ ꯍꯥꯌꯅꯥ ꯊꯥꯖꯅꯔꯤ꯫
- ꯑꯀꯛꯅꯕꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ: ꯑꯅꯧꯕꯥ ꯔꯤꯁꯔꯆ ꯑꯃꯅꯥ ꯇꯥꯛꯂꯤ ꯃꯗꯨꯗꯤ ꯑꯣꯄꯤꯑꯣꯏꯗꯒꯨꯝꯕꯥ ꯑꯀꯅꯕꯥ ꯄꯦꯟ ꯀꯤꯂꯔꯁꯤꯡ ꯊꯥ ꯑꯍꯨꯃꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯁꯤꯖꯤꯟꯅꯔꯤꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯗꯁꯨ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯂꯥꯀꯄꯒꯤ ꯆꯥꯡ ꯋꯥꯡꯏ꯫
ꯔꯦꯁ ꯑꯁꯤꯒꯤꯗꯃꯛꯇꯥ ꯇ꯭ꯔꯤꯒꯔꯁꯤꯡ꯫
ꯃꯤꯑꯣꯏ ꯈꯔꯒꯤ ꯑꯣꯏꯅꯗꯤ, ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯑꯀꯛꯅꯕꯥ ꯋꯥꯐꯝ ꯈꯔꯅꯥ ꯊꯣꯀꯍꯜꯂꯤ꯫ ꯑꯗꯣꯃꯁꯨ ꯋꯥꯐꯃꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯈꯔꯥ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯑꯣꯏꯔꯀꯄꯥ ꯌꯥꯏ꯫
- ꯆꯥꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯊꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯌꯥꯝꯅꯥ ꯅꯨꯡꯉꯥꯏꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯌꯥꯝꯅꯥ ꯅꯨꯡꯉꯥꯏꯕꯥ ꯑꯣꯏꯔꯕꯁꯨ .
- ꯑꯀꯅꯕꯥ ꯁ꯭ꯠꯔꯦꯁ ꯅꯠꯠꯔꯒꯥ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯃꯇꯃꯗꯥ .
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯇꯧꯕꯥ ꯃꯇꯃꯗꯥ .
ꯑꯗꯨꯕꯨ ꯃꯁꯤꯒꯤ ꯑꯋꯥꯕꯥ ꯑꯁꯤ ꯃꯇꯝ ꯑꯃꯠꯇꯗꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯏ, ꯃꯔꯝ ꯑꯃꯠꯇꯥ ꯂꯩꯇꯦ꯫
ꯃꯁꯤ ꯀꯔꯝꯅꯥ ꯐꯪꯒꯅꯤ ꯗꯣꯛꯇꯔ?
ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯑꯇꯩ ꯂꯥꯌꯅꯥ ꯀꯌꯥꯒꯥ ꯃꯥꯟꯅꯕꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ `(Esophageal Spasms)` ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ ꯍꯥꯌꯕꯁꯤ ꯈꯪꯗꯣꯀꯄꯥ ꯍꯥꯌꯕꯁꯤ ꯈꯔꯥ ꯍꯦꯟꯅꯥ ꯂꯨꯕꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫
1. ꯍꯥꯔꯠ ꯗꯤꯖꯤꯖ ꯂꯩꯇꯅꯕꯥ ꯁꯣꯌꯗꯅꯥ ꯈꯪꯗꯣꯀꯄꯥ: ꯅꯍꯥꯛꯅꯥ ꯆꯦꯛꯁꯤꯟꯅꯥ ꯌꯦꯡꯗꯨꯅꯥ ꯗꯣꯛꯇꯔꯗꯥ ꯆꯠꯄꯥ ꯃꯇꯃꯗꯥ, ꯗꯣꯛꯇꯔꯅꯥ ꯑꯍꯥꯅꯕꯥ ꯑꯣꯏꯅꯥ ꯇꯧꯒꯗꯕꯥ ꯊꯕꯛ ꯑꯗꯨꯗꯤ ꯍꯥꯔꯠ ꯑꯦꯇꯦꯀꯒꯨꯝꯕꯥ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯋꯥꯐꯝ ꯑꯃꯥ ꯁꯣꯌꯗꯅꯥ ꯂꯩꯍꯅꯕꯅꯤ꯫ ꯃꯗꯨꯒꯤꯗꯃꯛ ꯃꯈꯣꯌꯅꯥ ꯏ.ꯁꯤ.ꯖꯤ.(ꯏꯂꯦꯛꯠꯔꯣꯀꯥꯔꯗꯤꯑꯣꯒ꯭ꯔꯥꯝ) ꯒꯨꯝꯕꯥ ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯇꯧꯒꯅꯤ꯫
2. ꯑꯇꯣꯞꯄꯥ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯃꯔꯃꯁꯤꯡ ꯂꯧꯊꯣꯀꯄꯥ: ꯃꯊꯪꯗꯥ, ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯕꯥ ꯑꯇꯣꯞꯄꯥ ꯀꯃꯟ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ ꯂꯩꯇꯅꯕꯥ ꯇꯦꯁ꯭ꯠ ꯀꯌꯥ ꯄꯥꯡꯊꯣꯛꯀꯅꯤ꯫
- ꯑꯋꯥꯡꯕꯥ ꯑꯦꯟꯗꯣꯁ꯭ꯀꯣꯄꯤ (Upper Endoscopy): ꯃꯁꯤꯗꯥ ꯀꯦꯃꯦꯔꯥ ꯑꯃꯥ ꯌꯥꯎꯕꯥ ꯑꯄꯤꯀꯄꯥ, ꯐ꯭ꯂꯦꯛꯁꯤꯕꯜ ꯑꯣꯏꯕꯥ ꯇꯤꯎꯕ ꯑꯃꯥ ꯃꯤꯠꯀꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯁꯨꯡ ꯃꯅꯨꯡꯗꯥ ꯌꯦꯡꯅꯕꯒꯤꯗꯃꯛ ꯏꯁꯣꯐꯦꯒꯁ ꯑꯃꯁꯨꯡ ꯁ꯭ꯇꯣꯃꯥꯀꯇꯥ ꯊꯥꯏ꯫ ꯃꯁꯤꯅꯥ ꯑꯍꯣꯡꯕꯥ ꯑꯃꯠꯇꯥ ꯂꯩꯕ꯭ꯔꯥ, ꯁ꯭ꯠꯔꯀꯆꯔꯦꯜ ꯗꯤꯐꯦꯛꯇꯁꯤꯡ ꯂꯩꯕ꯭ꯔꯥ ꯅꯠꯠꯔꯒꯥ ꯕ꯭ꯂꯣꯀꯦꯖ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫
- ꯏꯁꯣꯐꯥꯒ꯭ꯔꯥꯝ (Barium Swallow): ꯃꯁꯤꯗꯥ ꯅꯍꯥꯀꯄꯨ ꯊꯛꯅꯕꯥ ꯕꯦꯔꯤꯌꯥꯝ ꯀꯧꯕꯥ ꯂꯤꯛꯌꯨꯏꯗ ꯑꯃꯥ ꯄꯤ ꯑꯃꯁꯨꯡ ꯑꯦꯛꯁ-ꯔꯦ ꯏꯃꯦꯖꯁꯤꯡ ꯂꯧꯏ꯫ ꯃꯁꯤꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯏꯁꯣꯐꯦꯒꯁꯀꯤ ꯃꯐꯝ ꯑꯃꯍꯦꯛꯇꯗꯥ ꯕ꯭ꯂꯣꯀꯦꯖ ꯅꯠꯠꯔꯒꯥ ꯅꯦꯔꯣꯏꯪ (stricture) ꯑꯃꯥ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯃꯌꯦꯛ ꯁꯦꯡꯅꯥ ꯎꯕꯥ ꯉꯃꯍꯜꯂꯤ꯫
꯳.ꯑꯈꯟꯅꯕꯥ ꯇꯦꯁ꯭ꯇꯁꯤꯡ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯊꯛꯇꯥ ꯄꯅꯈ꯭ꯔꯤꯕꯁꯤꯡ ꯑꯁꯤꯗꯒꯤ ꯃꯔꯝ ꯈꯉꯗꯣꯀꯄꯥ ꯉꯃꯗ꯭ꯔꯕꯗꯤ, ꯃꯁꯤ ꯑꯆꯨꯝꯕꯥ ꯂꯥꯌꯅꯥꯅꯤ ꯍꯥꯌꯕꯥ ꯈꯉꯗꯣꯛꯅꯕꯥ ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯑꯁꯤ ꯄꯥꯡꯊꯣꯀꯏ꯫
- ꯏꯁꯣꯐꯦꯖꯤꯌꯜ ꯃꯦꯅꯣꯃꯦꯠꯔꯤ: ꯃꯁꯤꯅꯥ ꯂꯥꯌꯅꯥ ꯑꯁꯤꯕꯨ ꯑꯆꯨꯝꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯈꯪꯗꯣꯛꯅꯕꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯥ ꯑꯃꯁꯨꯡ ꯊꯥꯖꯅꯤꯡꯉꯥꯏ ꯑꯣꯏꯕꯥ ꯇꯦꯁ꯭ꯇꯅꯤ (ꯒꯣꯜꯗ-ꯁ꯭ꯇꯦꯟꯗꯔꯗ)꯫. ꯃꯁꯤꯗꯥ ꯌꯥꯝꯅꯥ ꯂꯨꯕꯥ ꯇꯤꯎꯕ ꯑꯃꯥ ꯅꯥꯀꯣꯡꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯀꯣꯛꯇꯥ ꯆꯦꯜꯂꯤ꯫ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯏꯁꯤꯡ ꯈꯔꯥ ꯊꯀꯅꯕꯥ ꯍꯥꯌꯔꯀꯏ, ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯅꯥ ꯊꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯀꯣꯛ ꯆꯤꯀꯄꯥ ꯃꯁꯂꯁꯤꯡꯗꯥ ꯂꯩꯕꯥ ꯄ꯭ꯔꯦꯁꯔ ꯑꯗꯨ ꯍꯣꯡꯏ, ꯑꯃꯁꯨꯡ ꯀꯟꯠꯔꯦꯛꯇꯁꯤꯡꯒꯤ ꯃꯑꯣꯡ-ꯃꯇꯧ ꯑꯗꯨ ꯂꯦꯄꯊꯣꯀꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯝ ꯑꯃꯗꯥ ꯊꯣꯀꯄꯥ ꯑꯦꯕꯅꯣꯔꯃꯦꯜ ꯀꯟꯠꯔꯦꯀꯁꯟ ꯀꯌꯥ ꯂꯩꯔꯕꯗꯤ, ꯃꯗꯨ ꯂꯥꯌꯅꯥ ꯑꯁꯤꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯂꯥꯏꯑꯣꯡ ꯑꯃꯅꯤ꯫
ꯃꯁꯤꯒꯤ ꯂꯥꯏꯌꯦꯡꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯤꯅꯣ?
ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯄꯥꯟꯗꯃꯗꯤ ꯏꯎꯔꯦꯊ꯭ꯔꯥꯗꯥ ꯂꯩꯕꯥ ꯃꯁꯂꯁꯤꯡ ꯔꯤꯂꯥꯛꯁ ꯇꯧꯕꯥ ꯑꯃꯁꯨꯡ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯍꯟꯊꯍꯅꯕꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯥꯏꯑꯣꯡ ꯑꯃꯠꯇꯥ ꯂꯩꯠꯔꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯂꯥꯏꯌꯦꯡ ꯑꯃꯠꯇꯥ ꯃꯊꯧ ꯇꯥꯗꯕꯥ ꯌꯥꯏ꯫
ꯌꯨꯃꯗꯥ ꯇꯧꯕꯥ ꯌꯥꯕꯥ ꯊꯕꯀꯁꯤꯡ꯫
ꯔꯤꯁꯔꯆꯅꯥ ꯇꯥꯛꯂꯤ ꯃꯗꯨꯗꯤ ꯄꯦꯄꯔꯃꯤꯟꯇ ꯑꯣꯏꯂꯅꯥ ꯏꯁꯣꯐꯦꯒꯁꯀꯤ ꯂꯦꯡ-ꯑꯣꯠꯄꯒꯤ ꯃꯁꯂꯁꯤꯡ ꯔꯤꯂꯥꯛꯁ ꯇꯧꯕꯥ ꯉꯝꯃꯤ꯫ ꯏꯁꯤꯡ ꯒ꯭ꯂꯥꯁ ꯑꯃꯗꯥ ꯄꯦꯄꯔꯃꯤꯟꯇ ꯑꯣꯏꯜ ꯈꯔꯥ ꯍꯥꯄꯆꯤꯟꯗꯨꯅꯥ ꯃꯗꯨ ꯊꯀꯄꯅꯥ ꯑꯄꯤꯀꯄꯥ ꯂꯥꯏꯑꯣꯡ ꯈꯔꯗꯤ ꯂꯥꯀꯁꯤꯅꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫ ꯀꯗꯥꯏꯗꯥ ꯑꯃꯁꯨꯡ ꯀꯔꯤ ꯆꯤꯟꯖꯥꯀꯁꯤꯡꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯥꯔꯇꯀꯤ ꯂꯥꯌꯅꯥ ꯊꯣꯀꯍꯅꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯈꯪꯗꯣꯀꯄꯁꯨ ꯑꯃꯁꯨꯡ ꯆꯤꯟꯖꯥꯀꯁꯤꯡ ꯑꯗꯨꯗꯒꯤ ꯂꯥꯞꯅꯥ ꯂꯩꯕꯗꯁꯨ ꯃꯇꯦꯡ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫
ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛ ꯄꯤꯕꯥ꯫
ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯅꯕꯥ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ ꯄꯤꯕꯥ ꯌꯥꯏ:
- ꯀꯦꯂꯁꯤꯌꯝ ꯆꯦꯅꯦꯜ ꯕ꯭ꯂꯣꯀꯔꯁꯤꯡ: ꯃꯁꯤ ꯇꯁꯦꯡꯕꯗꯤ ꯍꯥꯏ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔꯒꯤ ꯍꯤꯗꯥꯀꯁꯤꯡꯅꯤ꯫ ꯆꯥꯗ꯭ꯔꯤꯉꯩ ꯃꯃꯥꯡꯗꯥ ꯂꯧꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯃꯈꯣꯌꯅꯥ ꯏꯁꯣꯐꯦꯒꯁꯇꯥ ꯂꯩꯕꯥ ꯃꯁꯂꯁꯤꯡ ꯑꯗꯨ ꯔꯤꯂꯥꯛꯁꯦꯁꯟ ꯇꯧꯍꯜꯂꯤ, ꯃꯗꯨꯅꯥ ꯂꯧꯊꯣꯀꯄꯗꯥ ꯍꯦꯟꯅꯥ ꯂꯥꯌꯍꯜꯂꯤ꯫
- ꯅꯥꯏꯠꯔꯣꯖꯦꯟ: ꯈꯣꯡꯗꯥ ꯑꯅꯥꯕꯥ ꯍꯟꯊꯍꯅꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫
- ꯇ꯭ꯔꯥꯏꯁꯥꯏꯛꯂꯤꯛ ꯑꯦꯟꯇꯤꯗꯤꯞꯔꯦꯁꯦꯟꯇꯁꯤꯡ: ꯌꯥꯝꯅꯥ ꯅꯦꯝꯕꯥ ꯗꯣꯖꯁꯤꯡꯗꯥ ꯄꯤꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯃꯁꯤꯅꯥ ꯑꯅꯥꯕꯥ ꯍꯟꯊꯍꯅꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ ꯑꯃꯁꯨꯡ ꯃꯁꯤꯅꯥ ꯑꯅꯥꯕꯥ ꯍꯟꯊꯍꯅꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫
ꯕꯣꯇꯨꯂꯤꯅꯝ ꯇꯣꯛꯁꯤꯟ (Botox®) ꯏꯅꯖꯦꯀꯁꯅꯁꯤꯡ꯫
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯇꯣꯞꯄꯥ ꯂꯥꯏꯌꯦꯡꯁꯤꯡ ꯃꯥꯌꯄꯥꯛꯠꯔꯕꯗꯤ, ꯑꯦꯟꯗꯣꯁ꯭ꯀꯣꯄꯤꯒꯥ ꯃꯥꯟꯅꯕꯥ ꯇꯤꯎꯕ ꯑꯃꯥ ꯊꯥꯏ ꯑꯃꯁꯨꯡ ꯕꯣꯇꯣꯛꯁ ꯑꯁꯤ ꯏꯁꯣꯐꯦꯒꯁꯀꯤ ꯃꯁꯂꯁꯤꯡꯗꯥ ꯊꯥꯏ꯫ ꯃꯁꯤꯅꯥ ꯃꯇꯝ ꯈꯔꯒꯤ ꯑꯣꯏꯅꯥ ꯃꯁꯂꯁꯤꯡ ꯑꯗꯨ ꯗꯤꯑꯦꯛꯇꯤꯚ ꯑꯣꯏꯍꯜꯂꯤ꯫ ꯑꯗꯨꯗꯒꯤ ꯁ꯭ꯄꯥꯝ ꯑꯗꯨ ꯂꯦꯄꯈꯤ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯃꯁꯤꯒꯤ ꯏꯐꯦꯛꯇ ꯑꯁꯤ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯊꯥ 6 ꯈꯛꯇꯃꯛ ꯂꯩ꯫
ꯂꯦꯟꯕ
ꯃꯁꯤ ꯑꯇꯣꯞꯄꯥ ꯂꯥꯏꯌꯦꯡ ꯑꯃꯠꯇꯥ ꯊꯕꯛ ꯇꯧꯗꯕꯥ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯀꯦꯁꯁꯤꯡꯗꯈꯛꯇꯗꯥ ꯇꯧꯏ꯫ ꯁꯔꯖꯔꯤ ꯑꯁꯤꯕꯨ ``ꯃꯥꯏꯑꯣꯇꯣꯃꯤ'' ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ꯗꯣꯛꯇꯔꯅꯥ ꯏꯁꯣꯐꯦꯒꯁꯀꯤ ꯃꯈꯥꯗꯥ ꯂꯩꯕꯥ ꯃꯁꯂꯁꯤꯡꯗꯥ ꯑꯄꯤꯀꯄꯥ ꯀꯀꯄꯥ ꯑꯃꯥ ꯇꯧꯏ꯫ ꯑꯗꯨꯗꯒꯤ, ꯃꯁꯂꯁꯤꯡꯅꯥ ꯃꯈꯣꯌꯒꯤ ꯀꯟꯠꯔꯦꯛꯇ ꯇꯧꯕꯒꯤ ꯇꯧꯕꯥ ꯉꯝꯕꯗꯨ ꯃꯥꯡꯈꯤ꯫ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ, ꯒ꯭ꯔꯦꯚꯤꯇꯤꯅꯥ ꯆꯤꯟꯖꯥꯛ ꯑꯗꯨ ꯃꯈꯥꯗꯥ ꯆꯠꯄꯥ ꯌꯥꯍꯜꯂꯤ꯫
ꯑꯩꯅꯥ ꯀꯗꯥꯏꯗꯥ ꯗꯣꯛꯇꯔꯒꯥ ꯎꯅꯒꯗꯒꯦ?
ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ ꯃꯔꯃꯗꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯍꯥꯔꯠ ꯑꯦꯇꯦꯛ ꯑꯃꯒꯥ ꯃꯥꯟꯅꯅꯥ ꯂꯩꯕꯥ ꯌꯥꯏ꯫
| ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯂꯩꯔꯕꯗꯤ, ꯈꯨꯗꯛꯇꯥ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯜ ꯑꯃꯒꯤ ꯏꯃꯔꯖꯦꯟꯁꯤ ꯇ꯭ꯔꯤꯇꯃꯦꯟꯇ ꯌꯨꯅꯤꯠ (ETU)ꯗꯥ ꯆꯠꯂꯨ! | |
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| ꯀꯔꯤꯒꯨꯝꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯅꯨꯃꯤꯠ ꯑꯅꯤꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯂꯩꯔꯕꯗꯤ ꯗꯣꯛꯇꯔ ꯑꯃꯒꯥ ꯇꯥꯟꯅꯧ꯫ | |
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯆꯦꯛꯁꯤꯟ-ꯊꯧꯔꯥꯡ ꯅꯠꯠꯔꯒꯥ ꯂꯧꯅꯒꯅꯕꯥ ꯂꯥꯌꯅꯥ ꯑꯁꯤꯅꯆꯤꯡꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯂꯩꯔꯕꯗꯤ, ꯃꯗꯨ ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯅꯥ ꯂꯧꯔꯣꯏꯗꯕꯅꯤ ꯑꯃꯁꯨꯡ ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯇꯥꯟꯅꯧ꯫ |
ꯇꯦꯛ-ꯍꯣꯝ ꯃꯦꯁꯦꯖ ꯇꯧꯕꯥ꯫
- ꯏꯁꯣꯐꯦꯖꯤꯌꯜ ꯁ꯭ꯄꯥꯝ (esophageal Spasms) ꯍꯥꯌꯕꯁꯤ ꯆꯥꯅꯕꯥ ꯆꯤꯟꯖꯥꯛ ꯊꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯆꯦꯛꯁꯤꯟꯅꯥ ꯅꯥꯕꯥ ꯑꯃꯁꯨꯡ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯁꯣꯀꯄꯥ ꯌꯥꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ, ꯃꯗꯨꯅꯥ ꯅꯨꯡꯇꯤꯒꯤ ꯄꯨꯟꯁꯤꯗꯥ ꯑꯀꯥꯌꯕꯥ ꯄꯤꯕꯥ ꯌꯥꯏ꯫
- ꯃꯁꯤꯒꯤ ꯆꯦꯁ꯭ꯠ ꯄꯦꯏꯟ ꯑꯁꯤ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯍꯥꯔꯠ ꯑꯦꯇꯦꯛ ꯑꯃꯒꯨꯝꯅꯥ ꯐꯥꯎꯕꯥ ꯌꯥꯏ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯈꯪꯍꯧꯗꯅꯥ, ꯃꯌꯦꯛ ꯁꯦꯡꯗꯕꯥ ꯆꯦꯛꯁꯤꯟ-ꯊꯧꯔꯥꯡ ꯑꯃꯥ ꯊꯦꯡꯅꯔꯕꯗꯤ, ꯑꯇꯣꯞꯄꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯃꯠꯇꯥ ꯈꯟꯊꯗꯅꯥ ꯈꯨꯗꯛꯇꯥ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯜ ꯑꯃꯒꯤ ꯏꯃꯔꯖꯦꯟꯁꯤ ꯗꯤꯄꯥꯔꯇꯃꯦꯟꯇ (ETU)ꯗꯥ ꯆꯠꯂꯨ꯫
- ꯃꯁꯤꯒꯤ ꯑꯆꯨꯝꯕꯥ ꯃꯔꯝ ꯈꯪꯗꯕꯁꯨ, ꯖꯤ.ꯏ.ꯑꯥꯔ.ꯗꯤ. ꯑꯃꯁꯨꯡ ꯑꯀꯛꯅꯕꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡꯅꯥ ꯊꯧꯗꯥꯡ ꯂꯧꯕꯥ ꯌꯥꯏ꯫
- ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯅꯕꯥ ꯑꯐꯕꯥ ꯂꯥꯏꯌꯦꯡꯁꯤꯡ ꯂꯩ, ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯂꯩꯔꯕꯗꯤ ꯃꯗꯨ ꯁꯨꯞꯅꯒꯤ ꯃꯤꯠꯌꯦꯡ ꯆꯪꯗꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯒꯅꯨ꯫
- ꯃꯁꯤ ꯄꯨꯟꯁꯤꯗꯥ ꯈꯨꯗꯣꯡꯊꯤꯕꯥ ꯊꯣꯀꯍꯜꯂꯤꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯀꯦꯟꯁꯔꯒꯨꯝꯕꯥ ꯑꯀꯅꯕꯥ ꯑꯅꯥꯕꯁꯤꯡ ꯊꯣꯀꯍꯜꯂꯤꯕꯥ ꯁꯥꯊꯤꯕꯥ ꯂꯥꯌꯅꯥ ꯑꯃꯅꯤ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯃꯊꯧ ꯇꯥꯗꯅꯥ ꯂꯥꯡꯇꯛꯅꯒꯅꯨ꯫
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