ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯆꯥꯅꯕꯥ ꯆꯤꯟꯖꯥꯛ ꯈꯔꯥ ꯊꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯏꯁꯤꯡ ꯊꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯁꯣꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯁꯣꯀꯄꯥ ꯐꯥꯎꯕ꯭ꯔꯥ? ꯃꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯀꯣꯛꯇꯥ ꯆꯥꯅꯕꯥ ꯆꯤꯟꯖꯥꯛ ꯊꯣꯡ-ꯊꯥꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯀꯅꯥꯒꯨꯝꯕꯥ ꯑꯃꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯆꯦꯟꯊꯔꯀꯄꯒꯨꯝꯅꯥ ꯐꯥꯎꯏ꯫ ꯃꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯉꯁꯤ ꯋꯥꯔꯤ ꯁꯥꯅꯒꯗꯧꯔꯤꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤꯅꯤ, ꯃꯁꯤꯕꯨ
ꯏꯁꯣꯐꯦꯖꯤꯌꯜ ꯁ꯭ꯄꯥꯝ ꯍꯥꯌꯅꯥ ꯀꯧꯏ . ꯃꯁꯤ ꯈꯔꯥ ꯂꯥꯡꯇꯛꯅꯔꯕꯁꯨ, ꯑꯩꯈꯣꯌꯅꯥ ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯍꯦꯟꯅꯥ ꯈꯉꯂꯕꯥ ꯃꯇꯃꯗꯥ ꯋꯥꯐꯝ ꯀꯌꯥ ꯑꯃꯥ ꯐꯣꯡꯗꯣꯀꯄꯥ ꯉꯃꯒꯅꯤ꯫
ꯃꯁꯤꯒꯤ ꯃꯈꯨꯠꯀꯤ ꯃꯁꯂꯁꯤꯡꯒꯤ ꯀꯟꯠꯔꯦꯛꯇ ꯑꯁꯤ ꯀꯔꯤꯅꯣ?
ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯅꯍꯥꯛꯅꯥ ꯆꯤꯟꯖꯥꯛ ꯅꯠꯠꯔꯒꯥ ꯊꯛꯅꯕꯥ ꯏꯁꯤꯡ ꯊꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯅꯍꯥꯛꯀꯤ ꯃꯤꯠꯇꯒꯤ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯂꯧꯁꯤꯜꯂꯤꯕꯥ ꯇꯤꯎꯕꯒꯨꯝꯕꯥ ꯁꯔꯨꯛ ꯑꯃꯥ ꯂꯩ꯫ ꯑꯩꯈꯣꯌꯅꯥ ꯃꯁꯤꯕꯨ
ꯏꯁꯣꯐꯦꯒꯁ ꯍꯥꯌꯅꯥ ꯀꯧꯏ . ꯏꯁꯣꯐꯦꯒꯁ ꯑꯁꯤꯒꯤ ꯋꯥꯂꯁꯤꯡ ꯑꯁꯤ ꯃꯁꯂꯁꯤꯡꯅꯥ ꯁꯦꯝꯕꯅꯤ꯫ ꯅꯍꯥꯛꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯄꯣꯠꯁꯛ ꯑꯃꯥ ꯊꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯃꯁꯂꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯃꯊꯛꯇꯒꯤ ꯃꯈꯥ ꯐꯥꯎꯕꯥ ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯀꯟꯠꯔꯦꯛꯇ ꯇꯧꯏ ꯑꯃꯁꯨꯡ ꯔꯤꯂꯥꯛꯁ ꯇꯧꯏ, ꯃꯗꯨꯅꯥ ꯆꯥꯅꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯊꯛꯅꯕꯥ ꯏꯁꯤꯡ ꯑꯗꯨ ꯈꯣꯡꯗꯥ ꯆꯦꯟꯊꯍꯜꯂꯤ꯫ ꯇꯝꯄꯥꯛ ꯑꯃꯒꯨꯝ꯫ ꯑꯩꯈꯣꯌꯅꯥ ꯊꯧꯑꯣꯡ ꯑꯁꯤꯕꯨ
``(ꯄꯦꯔꯤꯁ꯭ꯇꯦꯂꯁꯤꯁ)`` ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ``(Esophageal Spasms)`` ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯗꯥ, ꯃꯁꯂꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯏꯁꯣꯐꯦꯒꯁꯇꯥ ꯀꯟꯠꯔꯦꯛꯇ ꯇꯧꯕꯒꯤ ꯃꯑꯣꯡ-ꯃꯇꯧꯗꯥ ꯈꯔꯥ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯂꯩ꯫ ꯅꯠꯠꯔꯒꯥ ꯃꯁꯂꯁꯤꯡ ꯑꯗꯨ ꯈꯪꯍꯧꯗꯅꯥ ꯑꯃꯁꯨꯡ ꯃꯄꯥꯉ꯭ꯒꯜ ꯀꯟꯅꯥ ꯀꯟꯠꯔꯦꯛꯇ ꯇꯧꯏ, ꯅꯠꯠꯔꯒꯥ ꯃꯈꯣꯌ ꯑꯁꯤ ꯑꯥꯏꯟꯅꯥ ꯌꯥꯗꯕꯥ ꯑꯃꯁꯨꯡ ꯑꯔꯥꯞꯄꯥ ꯃꯑꯣꯡꯗꯥ ꯀꯟꯠꯔꯦꯛꯇ ꯇꯧꯏ꯫ ꯑꯗꯨꯗꯒꯤ ꯆꯥꯅꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯊꯛꯅꯕꯥ ꯏꯁꯤꯡ ꯑꯗꯨ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯆꯠꯄꯗꯥ ꯑꯋꯥꯕꯥ ꯃꯥꯌꯣꯛꯅꯔꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯂꯧꯅꯒꯅꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ ꯑꯗꯨ ꯀꯣꯛꯇꯥ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯂꯥꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯗꯁꯨ ꯅꯠꯇꯅꯥ, ꯃꯁꯤꯅꯥ ꯆꯦꯛꯁꯤꯟꯅꯥ ꯁꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫
ꯃꯁꯤꯒꯤ ꯇꯣꯉꯥꯟ ꯇꯣꯉꯥꯅꯕꯥ ꯃꯈꯂꯁꯤꯡ ꯂꯩꯕꯔꯥ?
ꯍꯣꯌ, ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯈꯜ ꯑꯅꯤ ꯂꯩ: 1.
ꯗꯤꯁ꯭ꯇꯦꯜ ꯏꯁꯣꯐꯦꯖꯤꯑꯦꯜ ꯁ꯭ꯄꯥꯝ (Distal Esophageal Spasm) : ꯃꯁꯤ ꯏꯁꯣꯐꯦꯒꯁꯀꯤ ꯃꯈꯥ ꯊꯪꯕꯥ ꯁꯔꯨꯛꯇꯥ ꯂꯩꯕꯥ ꯃꯁꯂꯁꯤꯡꯅꯥ ꯑꯁꯣꯀꯄꯥ, ꯑꯁꯣꯅꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯀꯟꯠꯔꯦꯛꯇ ꯇꯧꯕꯥ ꯃꯇꯃꯗꯥ ꯑꯣꯏ꯫ ꯃꯁꯤꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ
ꯔꯤꯒꯔꯖꯤꯇꯦꯁꯟ ꯑꯁꯤ ꯍꯦꯟꯅꯥ ꯀꯃꯟ ꯑꯣꯏ꯫ 2.
ꯍꯥꯏꯄꯔꯀꯟꯠꯔꯦꯛꯇꯥꯏꯜ ꯏꯁꯣꯐꯦꯒꯁ: ꯃꯁꯤꯕꯨ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯅꯇꯛꯔꯦꯀꯔ ꯏꯁꯣꯐꯦꯒꯁ ꯅꯠꯠꯔꯒꯥ ꯖꯦꯀꯍꯥꯃꯔ ꯏꯁꯣꯐꯦꯒꯁ ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ ꯃꯁꯤ ꯏꯁꯣꯐꯦꯒꯁꯇꯥ ꯂꯩꯕꯥ ꯃꯁꯂꯁꯤꯡ ꯑꯁꯤ
ꯌꯥꯝꯅꯥ ꯀꯟꯅꯥ ꯑꯃꯁꯨꯡ ꯌꯥꯡꯅꯥ ꯀꯟꯠꯔꯦꯛꯇ ꯇꯧꯕꯥ ꯃꯇꯃꯗꯥ ꯑꯣꯏ . ꯃꯁꯤꯅꯥ ꯃꯔꯨꯑꯣꯏꯅꯥ ꯂꯦꯡ-ꯑꯣꯠꯄꯗꯥ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯆꯦꯛꯁꯤꯟ-ꯊꯧꯔꯥꯡ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯃꯤꯑꯣꯏ ꯈꯔꯗꯗꯤ ꯃꯈꯣꯌꯒꯤ ꯃꯀꯣꯀꯊꯣꯡꯕꯗꯨ ꯁꯣꯟꯊꯔꯀꯄꯒꯨꯝ ꯐꯥꯑꯣꯔꯀꯄꯥ ꯌꯥꯏ꯫
ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯀꯌꯥꯝ ꯀꯃꯟ ꯑꯣꯏꯕꯒꯦ?
ꯇꯁꯦꯡꯕꯗꯤ, `(Esophageal Spasms)` ꯀꯧꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ
ꯌꯥꯝꯅꯥ ꯀꯃꯟ ꯑꯣꯏꯗꯦ . ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯗꯣꯛꯇꯔꯁꯤꯡꯒꯤ ꯃꯇꯨꯡ ꯏꯟꯅꯥ, `ꯗꯤꯁ꯭ꯇꯦꯜ ꯏꯁꯣꯐꯦꯖꯤꯑꯦꯜ ꯁ꯭ꯄꯥꯝ` ꯀꯧꯕꯥ ꯃꯈꯜ ꯑꯁꯤ ꯆꯍꯤ ꯑꯃꯗꯥ ꯃꯤꯑꯣꯏ ꯂꯤꯁꯤꯡ ꯑꯃꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯗꯥ ꯊꯣꯀꯏ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯃꯊꯧ ꯇꯥꯗꯅꯥ ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯂꯩꯔꯣꯏꯗꯕꯅꯤ꯫
ꯃꯁꯤꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯤꯅꯣ?
ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯑꯃꯁꯨꯡ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯂꯥꯏꯑꯣꯡ ꯑꯅꯤꯗꯤ
ꯂꯧꯅꯒꯅꯕꯥ ꯂꯥꯌꯅꯥ (dysphagia) ꯑꯃꯁꯨꯡ
ꯅꯟ-ꯀꯥꯔꯗꯤꯌꯦꯛ ꯆꯦꯁ꯭ꯠ ꯄꯦꯏꯟ ꯑꯁꯤꯅꯤ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯃꯤꯄꯨꯝ ꯈꯨꯗꯤꯡꯃꯛꯅꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯊꯦꯡꯅꯔꯣꯏ꯫ ꯀꯦꯁ ꯈꯔꯗꯗꯤ, ꯃꯁꯜ ꯀꯟꯠꯔꯦꯛꯇ ꯑꯁꯤꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯆꯦꯛꯁꯤꯟ-ꯊꯧꯔꯥꯡ ꯑꯁꯤ
ꯍꯥꯔꯠ ꯑꯦꯇꯦꯛ ꯑꯃꯒꯤ ꯑꯅꯥꯕꯒꯨꯝꯅꯥ ꯐꯥꯎꯕꯥ ꯌꯥꯏ .
ꯃꯔꯨꯑꯣꯏꯕꯥ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯤꯅꯠ ꯃꯉꯥꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯁꯥꯊꯤꯕꯥ, ꯃꯌꯦꯛ ꯁꯦꯡꯗꯕꯥ ꯆꯦꯛꯁꯤꯟ-ꯊꯧꯔꯥꯡ ꯑꯃꯥ ꯂꯩꯔꯕꯗꯤ, ꯆꯥꯅꯕꯤꯗꯨꯅꯥ ꯈꯨꯗꯛꯇꯥ ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯃꯇꯦꯡ ꯂꯧꯕꯤꯌꯨ꯫ ꯃꯁꯤ ꯍꯥꯔꯠ ꯑꯦꯇꯦꯛ ꯑꯣꯏꯕ꯭ꯔꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯣꯏꯗꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯈꯪꯗꯣꯀꯄꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫
ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯃꯤꯑꯣꯏ ꯈꯔꯗꯗꯤ ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯏ, ꯑꯃꯁꯨꯡ ꯑꯇꯩ ꯈꯔꯗꯗꯤ ꯍꯦꯟꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯃꯈꯣꯌ ꯑꯁꯤ ꯑꯀꯛꯅꯕꯥ ꯃꯇꯃꯗꯥ ꯍꯧꯕꯥ ꯌꯥꯏ, ꯍꯥꯌꯕꯗꯤ ꯆꯥꯕꯥ ꯂꯣꯌꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ꯫ ꯑꯗꯨꯕꯨ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯃꯔꯝ ꯑꯃꯠꯇꯥ ꯂꯩꯇꯅꯥ ꯈꯉꯍꯧꯗꯅꯥ ꯂꯥꯀꯄꯥ ꯌꯥꯏ꯫ ꯀꯟꯠꯔꯦꯛꯇꯁꯤꯡ ꯑꯁꯤ ꯍꯧꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯃꯈꯣꯌ ꯑꯁꯤ ꯃꯤꯅꯠ ꯈꯔꯗꯒꯤ ꯄꯨꯡ ꯑꯃꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯂꯩꯕꯥ ꯌꯥꯏ꯫
ꯆꯦꯁ꯭ꯠ ꯄꯦꯏꯟ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯐꯥꯎꯕꯒꯦ?
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯏꯁꯣꯐꯦꯖꯤꯌꯜ ꯁ꯭ꯄꯥꯝ (esophageal spasms) ꯂꯩꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯑꯁꯤ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯁꯤꯒꯨꯝꯅꯥ ꯐꯥꯎꯕꯥ ꯌꯥꯏ:
- ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯒꯤ ꯃꯌꯥꯏꯗꯥ, ꯃꯔꯨꯑꯣꯏꯅꯥ ꯕ꯭ꯔꯦꯁ꯭ꯇꯕꯣꯟ (sternum)ꯒꯤ ꯃꯇꯨꯡꯗꯥ , ꯁꯣꯀꯄꯥ, ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯁꯣꯀꯄꯥ, ꯄ꯭ꯔꯦꯁꯔ ꯄꯤꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯌꯥꯝꯅꯥ ꯂꯨꯕꯥ ꯑꯃꯥ ꯐꯥꯎꯕꯥ ꯌꯥꯏ꯫
- ꯃꯤꯑꯣꯏ ꯈꯔꯗꯤ ꯊꯝꯃꯣꯌ ꯁꯣꯀꯄꯥ ꯌꯥꯏ , ꯃꯁꯤꯅꯥ ꯇꯥꯀꯄꯗꯤ ꯊꯝꯃꯣꯌꯗꯥ ꯃꯩꯅꯥ ꯆꯥꯀꯄꯥ ꯌꯥꯏ .
- ꯑꯅꯥꯕꯥ ꯑꯁꯤ ꯑꯔꯥꯞꯄꯥ ꯃꯐꯃꯗꯥ, ꯂꯦꯡ-ꯑꯣꯠꯄꯗꯥ ꯅꯠꯠꯔꯒꯥ ꯈꯣꯡꯒꯤ ꯃꯌꯥꯏꯗꯥ ꯂꯩꯕꯥ ꯌꯥꯏ, ꯑꯃꯁꯨꯡ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯈꯣꯡ, ꯂꯦꯡ-ꯑꯣꯠꯄꯗꯥ ꯅꯠꯠꯔꯒꯥ ꯈꯣꯡꯗꯥ ꯁꯟꯗꯣꯀꯄꯥ ꯌꯥꯏ .
ꯂꯧꯅꯒꯅꯕꯥ ꯂꯥꯌꯅꯥ (Dysphagia) ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯐꯥꯎꯕꯒꯦ?
ꯃꯁꯤꯒꯤ ꯑꯋꯥꯕꯥ ꯑꯁꯤꯒꯥ ꯂꯣꯌꯅꯅꯥ, ꯅꯍꯥꯛꯅꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯑꯁꯤ ꯊꯦꯡꯅꯔꯀꯄꯥ ꯌꯥꯏ:
- ꯅꯍꯥꯛꯀꯤ ꯀꯣꯀꯊꯛꯇꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯈꯔꯥ ꯊꯃꯖꯤꯜꯂꯀꯄꯒꯨꯝ ꯐꯥꯑꯣꯏ .
- ꯆꯥꯅꯕꯥ ꯆꯤꯟꯖꯥꯛꯅꯥ ꯀꯣꯛꯇꯥ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯂꯥꯛꯅꯕꯥ ꯍꯣꯠꯅꯔꯀꯄꯒꯨꯝ ꯐꯤꯚꯝ ꯑꯃꯥ .
ꯃꯁꯤ ꯀꯔꯤꯒꯤ ꯊꯣꯛꯂꯤꯕꯅꯣ? ꯃꯔꯃꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?
ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯍꯧꯖꯤꯛ ꯐꯥꯑꯣꯕꯥ ꯃꯁꯤꯒꯤ
ꯃꯔꯝ ꯑꯁꯤ ꯇꯁꯦꯡꯅꯥ ꯈꯉꯕꯥ ꯉꯃꯗ꯭ꯔꯤ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯈꯔꯅꯥ ꯃꯁꯤ ꯏꯁꯣꯐꯦꯒꯁꯇꯥ ꯂꯩꯕꯥ ꯃꯁꯂꯁꯤꯡ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯔꯤꯕꯥ
ꯅꯔꯚꯁꯤꯡꯗꯥ ꯂꯩꯕꯥ ꯑꯁꯣꯀꯄꯥ ꯅꯔꯚꯁꯤꯡꯅꯥ ꯊꯣꯀꯍꯅꯕꯅꯤ ꯍꯥꯌꯅꯥ ꯂꯧꯅꯩ꯫ ꯀꯦꯁ ꯈꯔꯗꯗꯤ, ꯑꯁꯣꯀꯄꯥ ꯅꯔꯚꯁꯤꯡ ꯑꯁꯤ ꯏꯁꯣꯐꯦꯒꯁꯇꯥ ꯑꯦꯁꯤꯗ ꯌꯥꯝꯅꯥ ꯌꯥꯎꯕꯒꯥ ꯃꯔꯤ ꯂꯩꯅꯔꯀꯄꯥ ꯌꯥꯏ꯫ ꯏꯁꯣꯐꯦꯖꯤꯌꯜ ꯁ꯭ꯄꯥꯝ (esophageal spasm) ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏ ꯀꯌꯥꯗꯥ
ꯒꯦꯁ꯭ꯠꯔꯣꯏꯁꯣꯐꯦꯖꯤꯑꯦꯜ ꯔꯤꯐ꯭ꯂꯛꯁ ꯗꯤꯖꯤꯖ (GERD) ꯀꯧꯕꯥ ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯂꯩꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯥ ꯂꯩ꯫ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤꯅꯥ ꯁ꯭ꯇꯣꯃꯥꯛ ꯑꯦꯁꯤꯗ ꯑꯗꯨ ꯏꯁꯣꯐꯦꯒꯁꯇꯥ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯆꯦꯟꯊꯍꯜꯂꯤ꯫ ꯃꯁꯤꯒꯤ ꯑꯦꯁꯤꯗ ꯑꯁꯤꯅꯥ ꯏꯁꯣꯐꯦꯒꯁꯇꯥ ꯂꯩꯕꯥ ꯅꯔꯚꯁꯤꯡꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ ꯍꯥꯌꯅꯥ ꯈꯟꯅꯩ꯫ ꯍꯟꯗꯛꯀꯤ ꯔꯤꯁꯔꯆ ꯑꯃꯅꯥ ꯇꯥꯛꯂꯤ ꯃꯗꯨꯗꯤ
ꯊꯥ ꯑꯍꯨꯃꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯑꯣꯄꯤꯑꯣꯏꯗ ꯂꯧꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯗꯥ ꯏꯁꯣꯐꯦꯖꯤꯌꯜ ꯁ꯭ꯄꯥꯝ (esophageal spasms) ꯂꯥꯀꯄꯒꯤ ꯆꯥꯡ ꯍꯦꯟꯅꯥ ꯋꯥꯡꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯑꯀꯛꯅꯕꯥ ꯃꯔꯝ ꯑꯃꯁꯨꯡ ꯔꯤꯁ꯭ꯛ ꯐꯦꯛꯇꯔꯁꯤꯡ ꯈꯉꯗꯣꯛꯅꯕꯥ ꯍꯦꯟꯅꯥ ꯔꯤꯁꯔꯆ ꯇꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯏ꯫
ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤꯒꯤ ꯇ꯭ꯔꯤꯒꯔꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯤꯅꯣ?
ꯃꯤꯑꯣꯏ ꯈꯔꯅꯥ ꯏꯁꯣꯐꯦꯖꯤꯌꯜ ꯁ꯭ꯄꯥꯃꯁꯀꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯑꯀꯛꯅꯕꯥ ꯋꯥꯐꯝ ꯈꯔꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯍꯦꯟꯅꯥ ꯐꯠꯆꯤꯜꯂꯀꯄꯥ ꯎꯏ꯫ ꯈꯨꯗꯝ ꯑꯣꯏꯅ:
- ꯌꯥꯝꯅꯥ ꯑꯁꯥꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯌꯥꯝꯅꯥ ꯀꯨꯡꯅꯥ ꯇꯥꯕꯥ ꯆꯤꯟꯖꯥꯛ ꯅꯠꯠꯔꯒꯥ ꯊꯛꯅꯕꯥ ꯏꯁꯤꯡ ꯆꯥꯕꯥ ꯃꯇꯨꯡꯗꯥ꯫
- ꯁꯥꯊꯤꯕꯥ ꯁ꯭ꯠꯔꯦꯁ ꯅꯠꯠꯔꯒꯥ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯃꯇꯝ ꯑꯃꯒꯤ ꯃꯃꯥꯡꯗꯥ, ꯃꯅꯨꯡꯗꯥ ꯅꯠꯠꯔꯒꯥ ꯃꯇꯨꯡꯗꯥ .
- ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯇꯧꯔꯤꯉꯩꯗꯥ .
ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯀꯟꯠꯔꯦꯛꯇꯁꯤꯡ ꯑꯁꯤ ꯃꯇꯝ ꯑꯃꯠꯇꯗꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫
ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯃꯁꯤ ꯀꯔꯝꯅꯥ ꯈꯉꯗꯣꯀꯄꯥ ꯉꯃꯒꯅꯤ?
ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯑꯍꯥꯅꯕꯗꯥ ꯅꯍꯥꯀꯄꯨ ꯌꯦꯡꯁꯤꯅꯒꯅꯤ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯗꯨ ꯅꯤꯡꯊꯤꯅꯥ ꯇꯥꯒꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯑꯅꯥꯕꯥ ꯂꯩꯔꯕꯗꯤ, .
ꯍꯥꯔꯇꯀꯤ ꯂꯥꯌꯅꯥ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯅꯕꯒꯤꯗꯃꯛ ꯏꯂꯦꯛꯠꯔꯣꯀꯥꯔꯗꯤꯑꯣꯒ꯭ꯔꯥꯐ (EKG)ꯒꯨꯝꯕꯥ ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯇꯧꯅꯕꯥ ꯍꯥꯌꯔꯀꯄꯥ ꯌꯥꯏ꯫ ꯅꯍꯥꯛꯅꯥ ꯍꯥꯔꯇꯀꯤ ꯂꯥꯌꯅꯥ ꯂꯥꯀꯁꯤꯜꯂꯕꯥ ꯃꯇꯨꯡꯗꯥ, ꯅꯍꯥꯛꯀꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯗꯨ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯕꯥ ꯑꯇꯩ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ ꯊꯤꯡꯅꯕꯥ ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯇꯧꯅꯕꯥ ꯍꯥꯌꯒꯅꯤ꯫ ꯃꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯁꯤꯡꯁꯤ ꯌꯥꯎꯕꯥ ꯌꯥꯏ: ꯃꯍꯧꯁꯥꯅꯥ ꯄꯥꯡꯊꯣꯀꯄꯥ ꯇꯦꯁ꯭ꯇꯁꯤꯡ꯫
- ꯑꯋꯥꯡꯕꯥ ꯑꯦꯟꯗꯣꯁ꯭ꯀꯣꯄꯤ (Upper Endoscopy) : ꯃꯁꯤꯗꯥ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯏꯁꯣꯐꯦꯒꯁꯇꯥ ꯑꯄꯤꯀꯄꯥ ꯇꯤꯎꯕ (endoscope ꯀꯧꯕꯥ) ꯑꯃꯥ ꯊꯥꯗꯣꯀꯄꯅꯤ꯫ ꯇꯨꯕ ꯑꯁꯤꯒꯤ ꯃꯊꯛꯇꯥ ꯑꯄꯤꯀꯄꯥ ꯃꯉꯥꯜ ꯑꯃꯁꯨꯡ ꯀꯦꯃꯦꯔꯥ ꯑꯃꯥ ꯂꯩ꯫ ꯃꯁꯤꯅꯥ ꯗꯣꯛꯇꯔ ꯑꯗꯨꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯏꯁꯣꯐꯦꯒꯁꯀꯤ ꯃꯅꯨꯡꯗꯥ ꯌꯦꯡꯕꯥ ꯌꯥꯍꯜꯂꯤ꯫ ꯃꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯂꯧꯅꯒꯅꯕꯥ ꯂꯥꯌꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯕꯥ ꯁ꯭ꯠꯔꯀꯆꯔꯦꯜ ꯍꯣꯡꯗꯣꯛ-ꯍꯣꯡꯖꯤꯟ ꯑꯃꯠꯇꯥ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯆꯦꯛ ꯇꯧꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫
- ꯕꯦꯔꯤꯌꯥꯝ ꯁꯣꯂꯣ (`Esophagram` ꯅꯠꯠꯔꯒꯥ `Barium Swallow`): ꯇꯦꯁ꯭ꯠ ꯑꯁꯤꯗꯥ, ꯅꯍꯥꯛꯅꯥ ꯕꯦꯔꯤꯌꯥꯝ ꯀꯧꯕꯥ ꯄꯣꯠꯁꯛ ꯑꯃꯥ ꯌꯥꯎꯕꯥ ꯂꯤꯛꯌꯨꯏꯗ ꯑꯃꯥ ꯊꯀꯏ꯫ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯗꯣꯛꯇꯔ ꯑꯗꯨꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯏꯁꯣꯐꯦꯒꯁꯀꯤ ꯃꯈꯥꯗꯥ ꯆꯠꯂꯤꯕꯥ ꯕꯦꯔꯤꯌꯥꯝ ꯑꯗꯨꯒꯤ ꯑꯦꯛꯁ-ꯔꯦ ꯏꯃꯦꯖꯁꯤꯡ ꯂꯧꯏ꯫ ꯃꯁꯤꯅꯥ ꯑꯇꯩ ꯃꯔꯃꯁꯤꯡ, ꯍꯥꯌꯕꯗꯤ ꯏꯁꯣꯐꯦꯒꯁ (`stricture`) ꯑꯁꯤ ꯊꯤꯡꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫
ꯃꯁꯜ ꯁ꯭ꯄꯥꯃꯁꯤꯡ ꯈꯉꯗꯣꯛꯅꯕꯥ ꯑꯈꯟꯅꯕꯥ ꯇꯦꯁ꯭ꯇꯁꯤꯡ꯫
- ꯏꯁꯣꯐꯦꯖꯤꯌꯜ ꯃꯦꯅꯣꯃꯦꯠꯔꯤ: ꯃꯁꯤ ꯏꯁꯣꯐꯦꯖꯤꯌꯜ ꯁ꯭ꯄꯥꯃꯁꯤꯡ ꯈꯉꯗꯣꯛꯅꯕꯥ ꯒꯣꯜꯗ-ꯁ꯭ꯇꯦꯟꯗꯔꯗ ꯇꯦꯁ꯭ꯇꯅꯤ꯫ ꯃꯁꯤꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯊꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯏꯁꯣꯐꯦꯒꯁꯀꯤ ꯃꯅꯨꯡꯗꯥ ꯊꯣꯀꯄꯥ ꯄ꯭ꯔꯦꯁꯔ ꯋꯦꯕꯁꯤꯡ ꯑꯗꯨ ꯂꯦꯄꯊꯣꯀꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯇꯝ ꯑꯃꯠꯇꯗꯥ ꯏꯁꯣꯐꯦꯒꯁꯀꯤ ꯃꯈꯥ ꯊꯪꯕꯥ ꯁꯔꯨꯛꯇꯥ ꯑꯦꯕꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯕꯥ ꯃꯁꯜ ꯀꯟꯠꯔꯦꯛꯇ ꯀꯌꯥ ꯂꯩꯔꯕꯗꯤ, ꯃꯁꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤꯒꯤ ꯈꯨꯗꯝ ꯑꯃꯅꯤ꯫
- ꯐꯉ꯭ꯀꯁ꯭ꯅꯦꯜ ꯂꯨꯃꯦꯟ ꯏꯃꯦꯖꯤꯡ ꯄ꯭ꯔꯣꯕ (FLIP): ꯃꯁꯤ ꯑꯅꯧꯕꯥ ꯇꯦꯁ꯭ꯠ ꯑꯃꯅꯤ ꯃꯁꯤꯅꯥ ꯑꯦꯅꯥꯁꯀꯤ ꯆꯠꯊꯣꯛ-ꯆꯠꯁꯤꯟ ꯑꯃꯁꯨꯡ ꯄ꯭ꯔꯦꯁꯔ ꯍꯣꯡꯂꯀꯄꯗꯥ ꯑꯦꯅꯁ ꯋꯥꯂꯅꯥ ꯀꯔꯝꯅꯥ ꯔꯦꯁꯄꯣꯟꯁ ꯇꯧꯕꯒꯦ ꯍꯥꯌꯕꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯏꯅꯐꯣꯔꯃꯦꯁꯟ ꯄꯤꯕꯥ ꯉꯃꯒꯅꯤ꯫
ꯑꯇꯣꯞꯄꯥ ꯀꯔꯤ ꯀꯟꯗꯤꯁꯅꯁꯤꯡꯗꯥ ꯃꯥꯟꯅꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯂꯩꯕꯒꯦ?
ꯏꯁꯣꯐꯦꯖꯤꯌꯜ ꯁ꯭ꯄꯥꯃꯁꯤꯡ ꯑꯁꯤ ꯈꯪꯗꯣꯀꯄꯗꯥ ꯈꯔꯥ ꯋꯥꯕꯥ ꯌꯥꯏ, ꯃꯔꯃꯗꯤ ꯆꯦꯛꯁꯤꯟꯅꯥ ꯌꯦꯡꯁꯤꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯂꯧꯅꯒꯅꯕꯥ ꯂꯥꯌꯅꯥꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯕꯥ ꯑꯇꯩ ꯀꯟꯗꯤꯁꯟ ꯀꯌꯥ ꯑꯃꯁꯨ ꯂꯩ . ꯅꯍꯥꯛꯀꯤ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯑꯗꯨ ꯍꯥꯔꯇꯀꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯅꯠꯇꯦ ꯍꯥꯌꯕꯥ ꯁꯣꯌꯗꯅꯥ ꯈꯪꯗꯣꯛꯂꯕꯥ ꯃꯇꯨꯡꯗꯥ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯃꯥꯟꯅꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯕꯥ ꯑꯇꯩ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯗꯥꯏꯖꯦꯁ꯭ꯇꯤꯚ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ ꯑꯗꯨ ꯂꯧꯊꯣꯛꯀꯅꯤ꯫ ꯃꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯁꯤꯡꯁꯤ ꯌꯥꯎꯕꯥ ꯌꯥꯏ:- `( GERD )` (ꯃꯁꯤ `( Esophageal Spasms)`ꯒꯥ ꯂꯣꯌꯅꯅꯥꯁꯨ ꯊꯣꯀꯄꯥ ꯌꯥꯏ)꯫
- ꯏꯁꯣꯐꯦꯖꯤꯌꯜ ꯁ꯭ꯠꯔꯤꯛꯇꯔꯁꯤꯡ꯫
- ꯍꯤꯌꯥꯇꯥꯜ ꯍꯔꯅꯤꯌꯥ .
ꯃꯁꯤꯒꯤ ꯂꯥꯏꯌꯦꯡꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯤꯅꯣ?
ꯏꯁꯣꯐꯦꯖꯤꯌꯜ ꯁ꯭ꯄꯥꯃꯁꯤꯡ ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯄꯥꯟꯗꯃꯗꯤ ꯏꯁꯣꯐꯦꯖꯤꯌꯜ ꯁ꯭ꯄꯥꯃꯁꯤꯡꯗꯥ ꯂꯩꯕꯥ ꯃꯁꯂꯁꯤꯡ ꯑꯗꯨ ꯔꯤꯂꯥꯛꯁꯦꯁꯟ ꯇꯧꯕꯥ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯍꯟꯊꯍꯅꯕꯅꯤ꯫ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯁꯜ ꯁ꯭ꯄꯥꯃꯁꯤꯡ ꯑꯁꯤꯗꯒꯤ ꯂꯥꯏꯑꯣꯡ ꯑꯃꯠꯇꯥ ꯂꯩꯠꯔꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯃꯊꯧ ꯇꯥꯗꯕꯥ ꯌꯥꯏ꯫ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯂꯥꯏꯌꯦꯡꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯃꯗꯒꯤ ꯍꯦꯅꯕꯥ ꯔꯤꯀꯃꯦꯟꯗ ꯇꯧꯕꯥ ꯌꯥꯏ:- ꯌꯨꯃꯗꯥ ꯁꯤꯖꯤꯟꯅꯕꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ: ꯔꯤꯁꯔꯆꯅꯥ ꯇꯥꯛꯂꯤ ꯃꯗꯨꯗꯤ ꯄꯦꯄꯔꯃꯤꯟꯇ ꯑꯣꯏꯂꯅꯥ ꯈꯣꯡꯗꯥ ꯂꯩꯕꯥ ꯃꯁꯂꯁꯤꯡ ꯔꯤꯂꯥꯛꯁ ꯇꯧꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫ ꯏꯁꯤꯡꯗꯥ ꯄꯦꯄꯔꯃꯤꯟꯇ ꯑꯣꯏꯜ ꯈꯔꯥ ꯊꯀꯄꯅꯥ ꯑꯄꯤꯀꯄꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯂꯥꯀꯁꯤꯅꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫ ꯃꯁꯤꯗꯁꯨ ꯅꯠꯇꯅꯥ, ꯅꯍꯥꯛꯀꯤ ꯇ꯭ꯔꯤꯒꯔꯁꯤꯡ ꯈꯪꯗꯣꯀꯄꯅꯥ ꯇꯨꯡꯗꯥ ꯂꯥꯛꯀꯗꯕꯥ ꯀꯟꯠꯔꯦꯛꯇꯁꯤꯡ ꯊꯤꯡꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫
- ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛ: ꯱.
- ꯆꯥꯗ꯭ꯔꯤꯉꯩ ꯃꯃꯥꯡꯗꯥ ꯀꯦꯂꯁꯤꯌꯝ ꯆꯦꯅꯦꯜ ꯕ꯭ꯂꯣꯀꯔꯁꯤꯡ (ꯍꯥꯌꯕꯗꯤ ꯍꯥꯏ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ ꯂꯥꯌꯦꯡꯕꯗꯥ ꯁꯤꯖꯤꯟꯅꯕꯥ ꯍꯤꯗꯥꯛ ꯃꯈꯜ ꯑꯃꯥ) ꯂꯧꯕꯅꯥ ꯃꯤꯑꯣꯏ ꯀꯌꯥꯅꯥ ꯍꯦꯟꯅꯥ ꯐꯖꯅꯥ ꯊꯀꯄꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫
- ꯅꯥꯏꯠꯔꯣꯖꯦꯅꯅꯥ ꯆꯦꯁ꯭ꯠ ꯄꯦꯏꯟ ꯍꯟꯊꯍꯅꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ .
- ꯇ꯭ꯔꯥꯏꯁꯥꯏꯛꯂꯤꯛ ꯑꯦꯟꯇꯤꯗꯤꯞꯔꯦꯁꯦꯟꯇꯁꯤꯡꯅꯥ ꯅꯥꯀꯣꯡꯗꯥ ꯁꯣꯀꯍꯜꯂꯕꯥ ꯅꯔꯚꯁꯤꯡꯗꯥ ꯇꯥꯔꯒꯦꯠ ꯇꯧꯕꯥ ꯉꯝꯃꯤ ꯑꯃꯁꯨꯡ ꯑꯅꯥꯕꯥ ꯍꯟꯊꯍꯅꯕꯥ ꯉꯝꯃꯤ꯫
- ꯕꯣꯇꯨꯂꯤꯅꯝ ꯇꯣꯛꯁꯤꯟ ( Botox ®) ꯏꯅꯖꯦꯀꯁꯅꯁꯤꯡ: ꯕꯣꯇꯣꯛꯁ® ꯏꯅꯖꯦꯀꯁꯅꯁꯤꯡꯅꯥ ꯃꯇꯝ ꯈꯔꯒꯤ ꯑꯣꯏꯅꯥ ꯈꯣꯡꯗꯥ ꯂꯩꯕꯥ ꯃꯁꯂꯁꯤꯡ ꯑꯗꯨ ꯁꯣꯀꯍꯟꯗꯨꯅꯥ ꯃꯈꯣꯌꯕꯨ ꯀꯟꯠꯔꯦꯛꯇ ꯇꯧꯕꯥ ꯊꯤꯡꯕꯥ ꯉꯝꯃꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯇꯩ ꯂꯥꯏꯌꯦꯡꯁꯤꯡꯅꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯂꯃꯗ꯭ꯔꯕꯗꯤ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯃꯁꯤ ꯔꯤꯀꯃꯦꯟꯗ ꯇꯧꯕꯥ ꯌꯥꯏ꯫ ꯂꯥꯏꯌꯦꯡ ꯑꯁꯤꯒꯤ ꯏꯐꯦꯛꯇ ꯑꯁꯤ ꯃꯍꯧꯁꯥꯅꯥ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯊꯥ 6 ꯐꯥꯎꯕꯥ ꯂꯩ꯫
- ꯁꯔꯖꯔꯤ : ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯗꯨ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯑꯣꯏꯔꯕꯗꯤ ꯑꯃꯁꯨꯡ ꯑꯇꯩ ꯂꯥꯏꯌꯦꯡꯁꯤꯡꯅꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯗ꯭ꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯃꯥꯌꯣꯇꯣꯃꯤ ꯀꯧꯕꯥ ꯁꯔꯖꯔꯤ ꯑꯃꯥ ꯔꯤꯀꯃꯦꯟꯗ ꯇꯧꯕꯥ ꯌꯥꯏ꯫ ꯃꯥꯌꯣꯇꯣꯃꯤ ꯑꯃꯗꯥ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯏꯁꯣꯐꯦꯒꯁꯀꯤ ꯃꯈꯥꯗꯥ ꯂꯩꯕꯥ ꯃꯁꯜ ꯑꯗꯨꯒꯤ ꯃꯊꯛꯇꯥ ꯀꯀꯊꯠꯂꯤ꯫ ꯃꯁꯤꯒꯤ ꯀꯀꯄꯥ ꯑꯁꯤꯅꯥ ꯃꯁꯜ ꯑꯗꯨ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯏꯅꯑꯦꯛꯇꯤꯚ ꯑꯣꯏꯍꯜꯂꯤ꯫ ꯃꯁꯤꯅꯥ ꯑꯦꯕꯅꯣꯔꯃꯦꯜ ꯀꯟꯠꯔꯦꯛꯇꯁꯤꯡ ꯊꯤꯡꯏ꯫ ꯅꯍꯥꯛꯀꯤ ꯏꯁꯣꯐꯦꯒꯁꯇꯥ ꯂꯩꯕꯥ ꯃꯁꯜ ꯑꯗꯨ ꯁꯤꯖꯤꯟꯅꯗꯕꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ, ꯒ꯭ꯔꯦꯚꯤꯇꯤꯅꯥ ꯆꯤꯟꯖꯥꯛ ꯑꯃꯁꯨꯡ ꯊꯛꯅꯕꯥ ꯏꯁꯤꯡ ꯑꯗꯨ ꯅꯍꯥꯛꯀꯤ ꯏꯁꯣꯐꯦꯒꯁꯀꯤ ꯃꯈꯥꯗꯥ ꯆꯠꯄꯥ ꯌꯥꯍꯜꯂꯤ꯫
ꯏꯁꯣꯐꯦꯖꯤꯌꯜ ꯁ꯭ꯄꯥꯝ ꯑꯃꯁꯨꯡ ꯖꯤ.ꯏ.ꯑꯥꯔ.ꯗꯤ . ꯍꯤꯗꯥꯀꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯁ꯭ꯇꯣꯃꯥꯛ ꯑꯦꯁꯤꯗ ꯄꯨꯊꯣꯀꯄꯥ ꯍꯟꯊꯍꯟꯗꯨꯅꯥ ꯊꯕꯛ ꯇꯧꯏ꯫ ꯑꯣꯄꯤꯑꯣꯏꯗꯁꯤꯡꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯏꯁꯣꯐꯦꯖꯤꯌꯜ ꯁ꯭ꯄꯥꯃꯁꯤꯡ ꯑꯁꯤ ꯑꯌꯥꯝꯕꯗꯤ ꯅꯍꯥꯛꯅꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ ꯂꯧꯕꯥ ꯂꯦꯄꯈ꯭ꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯂꯩꯔꯀꯏ꯫ ꯃꯁꯤ ꯊꯤꯡꯕꯥ ꯉꯃꯒꯗ꯭ꯔꯥ?
ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯋꯥꯐꯝ ꯑꯃꯅꯥ, ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯊꯣꯀꯍꯟꯗꯅꯕꯥ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯊꯤꯡꯕꯥ ꯉꯃꯗꯦ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯅꯍꯥꯛꯀꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯗꯨ ꯍꯦꯟꯅꯥ ꯁꯣꯀꯍꯜꯂꯤꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ (ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯑꯀꯛꯅꯕꯥ ꯆꯤꯟꯖꯥꯀꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯊꯛꯅꯕꯁꯤꯡ) ꯈꯪꯗꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯊꯤꯡꯗꯨꯅꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯕꯥ ꯌꯥꯏ꯫ꯃꯁꯤꯅꯥ ꯃꯁꯜ ꯁꯣꯟꯊꯕꯥ ꯍꯧꯔꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯍꯦꯟꯅꯥ ꯐꯠꯆꯤꯜꯂꯛꯇꯕꯥ ꯊꯤꯡꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫ ꯃꯁꯤ ꯈꯨꯗꯣꯡꯊꯤꯅꯤꯡꯉꯥꯏ ꯑꯣꯏꯕꯥ ꯐꯤꯚꯝ ꯑꯃꯅꯤ ꯍꯥꯌꯕꯔꯥ?
ꯏꯁꯣꯐꯦꯖꯤꯌꯜ ꯁ꯭ꯄꯥꯃꯁꯤꯡꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯈꯣꯡꯗꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ ꯑꯃꯁꯨꯡ ꯂꯧꯅꯒꯅꯕꯥ ꯂꯥꯌꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯁꯦꯂꯗꯥ ꯑꯆꯧꯕꯥ ꯈꯨꯗꯣꯡꯊꯤꯕꯥ ꯑꯃꯥ ꯑꯣꯏꯅꯥ ꯂꯧꯗꯦ . ꯂꯧꯅꯒꯅꯕꯥ ꯑꯋꯥꯕꯥ ꯑꯁꯤꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯁꯣꯀꯍꯜꯂꯀꯄꯥ ꯌꯥꯏ, ꯑꯗꯨꯕꯨ ꯏꯁꯣꯐꯦꯖꯤꯑꯦꯜ ꯁ꯭ꯄꯥꯃꯁꯤꯡꯗꯤ ꯄꯨꯟꯁꯤꯗꯥ ꯈꯨꯗꯣꯡꯊꯤꯕꯥ ꯊꯣꯀꯍꯜꯂꯣꯏꯗꯕꯅꯤ . ꯃꯈꯣꯌꯅꯥ ꯃꯍꯧꯁꯥꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯅ꯭ꯌꯨꯠꯔꯤꯁꯟ ꯑꯗꯨ ꯐꯪꯍꯅꯕꯗꯥ ꯑꯊꯤꯡꯕꯥ ꯊꯃꯗꯦ꯫ ꯏꯁꯣꯐꯦꯖꯤꯌꯜ ꯁ꯭ꯄꯥꯃꯁꯤꯡꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯏꯁꯣꯐꯦꯖꯤꯌꯜ ꯀꯦꯟꯁꯔ ꯅꯠꯠꯔꯒꯥ ꯏꯁꯣꯐꯦꯖꯤꯌꯥꯗꯥ ꯁꯣꯀꯍꯜꯂꯤꯕꯥ ꯑꯇꯩ ꯁꯥꯊꯤꯕꯥ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ ꯂꯥꯀꯄꯒꯤ ꯔꯤꯁ꯭ꯛ ꯍꯦꯅꯒꯠꯍꯜꯂꯣꯏ꯫ ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯀꯔꯤ ꯑꯣꯏꯒꯅꯤ? (ꯑꯥꯎꯠꯂꯨꯛ) ꯑꯃꯁꯨꯡ ꯑꯦꯟ.
ꯏꯁꯣꯐꯦꯖꯤꯌꯜ ꯁ꯭ꯄꯥꯃꯁꯤꯡꯒꯤ ꯄ꯭ꯔꯣꯒ꯭ꯅꯣꯁꯤꯁ ꯑꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡꯒꯤ ꯃꯑꯣꯡ-ꯃꯇꯧꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ ꯈꯦꯠꯅꯩ꯫ ꯑꯌꯥꯝꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯗꯥ ꯃꯌꯥꯏ ꯑꯣꯏꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯈꯛꯇꯃꯛ ꯎꯕꯥ ꯐꯪꯏ꯫ ꯂꯥꯏꯌꯦꯡꯕꯅꯥ ꯏꯁꯣꯐꯦꯖꯤꯌꯜ ꯁ꯭ꯄꯥꯃꯁꯀꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯐꯒꯠꯍꯅꯕꯥ ꯉꯝꯃꯤ꯫ ꯅꯍꯥꯛꯅꯥ ꯂꯧꯔꯤꯕꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ ꯑꯗꯨ ꯊꯕꯛ ꯑꯣꯏꯅꯥ ꯄꯥꯡꯊꯣꯛꯂꯤꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯌꯦꯡꯁꯤꯅꯒꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯁꯔꯖꯔꯤ ꯇꯧꯔꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯐꯖꯅꯥ ꯐꯒꯠꯂꯛꯂꯤꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯁꯣꯌꯗꯅꯥ ꯈꯪꯗꯣꯛꯅꯕꯥ ꯐꯣꯂꯣ-ꯑꯞ ꯑꯦꯄꯣꯏꯟꯇꯃꯦꯟꯇꯁꯤꯡ ꯂꯦꯄꯀꯅꯤ꯫ ꯀꯗꯥꯏꯗꯥ ꯁꯣꯌꯗꯅꯥ ꯗꯣꯛꯇꯔꯒꯥ ꯇꯥꯟꯅꯒꯗꯒꯦ?
ꯏꯁꯣꯐꯦꯖꯤꯌꯜ ꯁ꯭ꯄꯥꯃꯁꯤꯡꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯍꯥꯔꯠ ꯑꯦꯇꯦꯛ ꯑꯃꯒꯥ ꯃꯥꯟꯅꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯍꯥꯔꯠ ꯑꯦꯇꯦꯛ ꯑꯃꯥ ꯈꯨꯗꯛꯇꯥ ꯂꯥꯏꯌꯦꯡꯗ꯭ꯔꯕꯗꯤ ꯄꯨꯟꯁꯤ ꯃꯥꯡꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯍꯦꯛꯇꯕꯨ ꯊꯦꯡꯅꯔꯕꯗꯤ , 911ꯗꯥ ꯐꯣꯟ ꯇꯧꯕꯤꯌꯨ ꯅꯠꯠꯔꯒꯥ ꯈꯨꯗꯛꯇꯥ ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯃꯇꯦꯡ ꯂꯧꯕꯤꯌꯨ:- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯃꯤꯅꯠ ꯃꯉꯥꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯁꯥꯡꯅꯥ ꯂꯩꯕꯥ ꯑꯀꯅꯕꯥ, ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯐꯤꯚꯝ ꯑꯃꯥ ꯂꯩꯔꯕꯗꯤ꯫
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯑꯇꯣꯞꯄꯥ ꯃꯐꯝ ꯑꯃꯗꯥ, ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯈꯨꯎ, ꯃꯈꯨꯠ ꯅꯠꯠꯔꯒꯥ ꯈꯣꯡꯗꯥ ꯑꯅꯥꯕꯥ ꯂꯩꯔꯕꯗꯤ .
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ (dyspnea) .
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯍꯥꯔꯇꯀꯤ ꯂꯥꯌꯅꯥ (hart palpitations) ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯅꯠꯠꯔꯒꯥ ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯁꯣꯀꯄꯥ (hart palpitations) ꯑꯃꯥ ꯂꯩꯔꯕꯗꯤ .
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯋꯥꯈꯜ ꯃꯥꯡꯈꯤꯕꯥ, ꯋꯥꯈꯜ ꯃꯥꯡꯈꯤꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯋꯥꯈꯜ ꯇꯥꯗꯕꯥ (ꯅꯍꯥꯛꯅꯥ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯍꯧꯔꯀꯄꯒꯨꯝꯅꯥ) .
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯀꯣꯜꯗ ꯁ꯭ꯕꯦꯠ ꯑꯃꯥ ꯂꯩꯔꯕꯗꯤ .
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯅꯣꯡꯃꯩ ꯀꯥꯞꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯂꯩꯔꯕꯗꯤ .
ꯈꯣꯡꯗꯥ ꯁꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯂꯧꯅꯒꯅꯕꯥ ꯂꯥꯌꯅꯥ ꯑꯁꯤ ꯑꯌꯥꯝꯕꯗꯤ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯑꯃꯒꯤ ꯈꯨꯗꯃꯁꯤꯡꯅꯤ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯃꯈꯣꯌ ꯑꯁꯤ ꯀꯦꯟꯁꯔꯒꯨꯝꯕꯥ ꯍꯦꯟꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯒꯤ ꯈꯨꯗꯝ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯅꯨꯃꯤꯠ ꯑꯅꯤꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯂꯩꯔꯕꯗꯤ, ꯃꯇꯝ ꯄꯨꯝꯅꯃꯛꯇꯥ ꯗꯣꯛꯇꯔ ꯑꯃꯒꯥ ꯇꯥꯟꯅꯗꯨꯅꯥ ꯆꯦꯀꯑꯞ ꯇꯧꯒꯗꯕꯅꯤ꯫ ꯗꯣꯛꯇꯔꯗꯥ ꯀꯔꯤ ꯋꯥꯍꯪ ꯍꯪꯒꯗꯒꯦ?
ꯅꯍꯥꯛꯅꯥ ꯗꯣꯛꯇꯔꯗꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯋꯥꯍꯪꯁꯤꯡ ꯑꯁꯤ ꯍꯪꯂꯀꯄꯥ ꯌꯥꯏ:- ꯃꯁꯜ ꯁꯣꯟꯊꯕꯥ ꯑꯁꯤꯒꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯌꯥꯝꯅꯥ ꯊꯣꯀꯄꯥ ꯃꯔꯝ ꯀꯔꯤꯅꯣ?
- ꯑꯩꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯤꯅꯥ ꯊꯣꯀꯍꯜꯂꯤꯕꯅꯣ ꯍꯥꯌꯕꯁꯤ ꯑꯩꯅꯥ ꯀꯔꯝꯅꯥ ꯈꯪꯗꯣꯛꯀꯅꯤ?
- ꯑꯩꯉꯣꯟꯗꯥ ꯀꯔꯤ ꯃꯈꯂꯒꯤ ꯂꯥꯌꯦꯡꯕꯒꯤ ꯔꯤꯀꯃꯦꯟꯗ ꯇꯧꯔꯤꯕꯒꯦ?
- ꯂꯥꯏꯌꯦꯡꯁꯤꯡ ꯑꯗꯨꯒꯤ ꯑꯣꯏꯊꯣꯀꯄꯥ ꯌꯥꯕꯥ ꯁꯥꯏꯗ ꯏꯐꯦꯛꯇꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?
- ꯑꯩꯅꯥ ꯃꯇꯝ ꯀꯌꯥꯒꯤ ꯃꯃꯥꯡꯗꯒꯤ ꯂꯥꯏꯌꯦꯡꯕꯥ ꯑꯃꯁꯨꯡ ꯌꯦꯡꯁꯤꯅꯕꯥ ꯃꯊꯧ ꯇꯥꯒꯅꯤ?
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯂꯥꯏꯌꯦꯡꯗ꯭ꯔꯕꯗꯤ, ꯃꯌꯥꯏ ꯑꯣꯏꯕꯥ ꯑꯃꯁꯨꯡ ꯁꯥꯊꯤꯕꯥ ꯏꯁꯣꯐꯦꯖꯤꯌꯜ ꯁ꯭ꯄꯥꯃꯁꯤꯡꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯄꯨꯟꯁꯤꯒꯤ ꯃꯒꯨꯅꯗꯥ ꯑꯀꯥꯌꯕꯥ ꯄꯤꯕꯥ ꯌꯥꯏ꯫ ꯅꯍꯥꯛꯅꯥ ꯅꯨꯡꯉꯥꯏꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ, ꯍꯥꯌꯕꯗꯤ ꯆꯥꯕꯒꯨꯝꯕꯥ, ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯇꯧꯕꯗꯥ ꯑꯋꯥꯕꯥ ꯑꯣꯏꯔꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯂꯩꯕꯥ ꯑꯅꯥꯕꯥ ꯑꯁꯤꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯅꯨꯡꯉꯥꯏꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡꯗꯒꯤ ꯂꯥꯞꯅꯥ ꯂꯩꯕꯥ ꯌꯥꯏ, ꯅꯠꯠꯔꯒꯥ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯐꯥꯎꯕꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯆꯦꯛꯁꯤꯟꯅꯥ ꯌꯦꯡꯕꯗꯥ ꯋꯥꯕꯥ , ꯂꯧꯅꯒꯅꯕꯥ ꯂꯥꯌꯅꯥ ꯅꯠꯠꯔꯒꯥ ꯏꯁꯣꯐꯦꯖꯤꯌꯜ ꯁ꯭ꯄꯥꯝ (esophageal spasms) ꯒꯤ ꯑꯇꯩ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯂꯩꯔꯕꯗꯤ, ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯑꯣꯄꯁꯅꯁꯤꯡ ꯈꯟꯅꯅꯕꯥ ꯗꯣꯛꯇꯔ ꯑꯃꯒꯥ ꯇꯥꯟꯅꯧ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯔꯝ ꯆꯥꯗꯕꯥ ꯆꯦꯛꯁꯤꯟ-ꯊꯧꯔꯥꯡꯒꯤ ꯑꯅꯥꯕꯥ ꯂꯩꯔꯕꯗꯤ ꯃꯇꯝ ꯄꯨꯝꯅꯃꯛꯇꯥ ꯈꯨꯗꯛꯇꯥ ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯃꯇꯦꯡ ꯂꯧꯒꯗꯕꯅꯤ꯫
ꯑꯔꯣꯏꯕꯗꯥ ꯅꯤꯡꯁꯤꯡꯒꯗꯕꯥ ꯋꯥꯐꯝ ꯈꯔꯥ꯫
ꯑꯣꯀꯦ, ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯑꯩꯈꯣꯌꯅꯥ `(Esophageal Spasms)`ꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯌꯥꯝꯅꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯈ꯭ꯔꯦ꯫ ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ ꯍꯥꯌꯕꯁꯤ ꯅꯤꯡꯁꯤꯡꯕꯤꯌꯨ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯌꯥꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯆꯥꯅꯕꯥ ꯆꯤꯟꯖꯥꯛ ꯊꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯕ꯭ꯂꯣꯀꯦꯖꯒꯨꯝꯕꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯃꯥ ꯐꯥꯑꯣꯔꯕꯗꯤ, ꯍꯥꯌꯕꯗꯤ ꯈꯣꯡꯗꯥ ꯁꯣꯀꯄꯥ ꯑꯁꯤꯅꯆꯤꯡꯕꯥ, ꯃꯗꯨ ꯌꯦꯡꯁꯤꯅꯕꯤꯒꯅꯨ꯫ ꯃꯔꯨꯑꯣꯏꯅꯥ ꯆꯦꯁ꯭ꯠ ꯄꯦꯏꯟ ꯑꯁꯤ ꯍꯥꯔꯠ ꯑꯦꯇꯦꯛ ꯑꯃꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡꯒꯥ ꯃꯥꯟꯅꯅꯥ ꯂꯩꯕꯥ ꯌꯥꯏ, ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯆꯦꯀꯁꯤꯅꯒꯗꯕꯅꯤ꯫ ꯃꯁꯤꯒꯤꯗꯃꯛꯇꯥ ꯑꯐꯕꯥ ꯂꯥꯏꯌꯦꯡꯁꯤꯡ ꯂꯩꯔꯤ꯫ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡꯒꯤ ꯑꯆꯨꯝꯕꯥ ꯃꯔꯝ ꯑꯗꯨ ꯈꯪꯗꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯆꯨꯅꯕꯥ ꯂꯥꯏꯌꯦꯡ ꯈꯅꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯒꯅꯤ꯫ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯂꯩꯔꯣꯏꯗꯕꯅꯤ, ꯑꯆꯨꯝꯕꯥ ꯂꯥꯏꯌꯦꯡꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯐꯖꯅꯥ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯥ ꯉꯝꯃꯤ꯫ ꯅꯍꯥꯛꯀꯤ ꯄꯨꯟꯁꯤꯒꯤ ꯃꯒꯨꯟ ꯑꯗꯨ ꯉꯥꯛꯇꯨꯅꯥ ꯊꯝꯕꯥ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫
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