ꯂꯤꯚꯔꯒꯤ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏ ꯈꯔꯗꯤ ꯈꯪꯍꯧꯗꯅꯥ ꯃꯤꯠꯇꯒꯤ ꯏ ꯊꯣꯀꯄꯥ ꯍꯧꯔꯀꯄꯥ ꯌꯥꯏ, ꯅꯠꯠꯔꯒꯥ ꯃꯈꯣꯌꯒꯤ ꯈꯣꯡꯗꯥ ꯏ ꯊꯣꯀꯄꯥ ꯎꯕꯥ ꯐꯪꯏ꯫ ꯃꯁꯤ ꯑꯣꯏꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯇꯁꯦꯡꯅꯥ ꯀꯔꯤ ꯊꯣꯛꯂꯤꯕꯅꯣ ꯍꯥꯌꯕꯗꯨ ꯈꯟꯊꯕꯥ ꯉꯃꯗꯦ꯫ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯔꯝ ꯑꯃꯗꯤ ꯅꯍꯥꯛꯀꯤ ꯏꯁꯣꯐꯦꯒꯁꯇꯥ ꯂꯩꯕꯥ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯂꯁꯤꯡ , ꯃꯗꯨ ꯆꯤꯟꯖꯥꯛ ꯆꯠꯂꯤꯕꯥ ꯇꯤꯎꯕ ꯑꯗꯨꯗꯥ, ꯁꯣꯟꯊꯔꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯐꯨꯃꯖꯤꯅꯕꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯏ ꯊꯣꯀꯄꯥ ꯊꯣꯀꯍꯅꯕꯅꯤ꯫ ꯃꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯚꯦꯔꯤꯀꯣꯁ ꯚꯦꯅꯃꯒꯨꯝꯅꯥ ꯑꯣꯏ, ꯑꯗꯨꯕꯨ ꯃꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯊꯣꯀꯏ꯫ ꯉꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯑꯣꯏꯅꯥ ꯏꯁꯣꯐꯦꯖꯤꯌꯜ ꯚꯦꯔꯤꯁ ꯍꯥꯌꯅꯥ ꯈꯉꯅꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯔꯤ꯫ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯂꯩꯔꯣꯏꯗꯕꯅꯤ, ꯃꯁꯤ ꯏꯆꯝ ꯆꯝꯅꯥ ꯊꯃꯁꯤ꯫
ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ (Esophageal Varices) ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ? ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ...
ꯈꯅꯕꯤꯌꯨ, ꯅꯍꯥꯛꯀꯤ ꯏꯁꯣꯐꯦꯒꯁ ꯑꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯃꯤꯠꯇꯒꯤ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯆꯤꯟꯖꯥꯛ ꯄꯨꯕꯥ ꯇꯤꯎꯕ ꯑꯃꯅꯤ꯫ ꯇꯤꯎꯕ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯐꯤꯅꯥ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯂꯁꯤꯡꯒꯤ ꯅꯦꯇꯋꯥꯔꯛ ꯑꯃꯥ ꯂꯩ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯔꯝ ꯈꯔꯗꯒꯤ, ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯂꯁꯤꯡ ꯑꯁꯤ ꯄ꯭ꯔꯦꯁꯔ ꯌꯥꯝꯅꯥ ꯋꯥꯡꯂꯕꯗꯤ, ꯃꯈꯣꯌ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯁꯣꯟꯊꯔꯀꯏ ꯑꯃꯁꯨꯡ ꯆꯥꯎꯈꯠꯄꯥ ꯍꯧꯔꯀꯏ꯫ ꯃꯁꯤꯕꯨ ꯏꯁꯣꯐꯦꯖꯤꯌꯜ ꯚꯦꯔꯤꯁ ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫
ꯃꯁꯤꯒꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯈꯨꯗꯣꯡꯊꯤꯅꯤꯉꯥꯏ ꯑꯣꯏꯕꯥ ꯋꯥꯐꯃꯗꯤ ꯁꯣꯟꯊꯔꯕꯥ ꯚꯦꯅꯃꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯋꯥꯂꯁꯤꯡ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯋꯥꯅꯥ ꯊꯣꯀꯏ꯫ ꯑꯣꯚꯔꯏꯅꯐ꯭ꯂꯦꯇꯦꯗ ꯕꯦꯂꯨꯟ ꯑꯃꯒꯨꯝꯅꯥ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ, ꯃꯈꯣꯌ ꯐꯖꯅꯥ ꯄꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯏ ꯊꯣꯀꯄꯥ ꯌꯥꯏ . ꯍꯀꯆꯥꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯏ ꯊꯣꯀꯄꯥ ꯑꯁꯤ ꯈꯪꯍꯧꯗꯅꯥ, ꯁꯥꯊꯤꯕꯥ ꯑꯃꯁꯨꯡ ꯄꯨꯟꯁꯤꯗꯥ ꯈꯨꯗꯣꯡꯊꯤꯕꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫
(Esophageal Varices) ꯑꯁꯤ ꯀꯌꯥ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯒꯦ?
ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯑꯃꯁꯨꯡ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯁꯥꯊꯤꯕꯥ ꯔꯤꯁ꯭ꯛ ꯑꯁꯤ ꯏ ꯊꯣꯀꯄꯥ ꯑꯁꯤꯅꯤ . ꯃꯤ ꯈꯨꯗꯤꯡꯃꯛ ꯏ ꯊꯣꯀꯄꯥ ꯌꯥꯗꯕꯁꯨ, ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯒꯤ ꯆꯥꯎꯔꯥꯛꯅꯥ 50%ꯗꯤ ꯏ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯃꯥꯡꯗꯥ ꯄꯅꯈ꯭ꯔꯤꯕꯒꯨꯝꯅꯥ, ꯂꯤꯚꯔꯗꯥ ꯆꯦꯜꯂꯤꯕꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯜ, ꯍꯥꯌꯕꯗꯤ (ꯄꯣꯔꯇꯦꯜ ꯍꯥꯏꯄꯔꯇꯦꯟꯁꯟ)ꯗꯥ ꯄ꯭ꯔꯦꯁꯔ ꯍꯦꯅꯒꯠꯂꯀꯄꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯔꯤꯁ꯭ꯛ ꯑꯁꯤ ꯍꯦꯅꯒꯠꯂꯀꯏ꯫ ꯑꯌꯥꯝꯕꯥ ꯀꯦꯁꯁꯤꯡꯗꯗꯤ, ꯀꯟꯗꯤꯁꯟ (Portal Hypertension) ꯑꯁꯤ ꯂꯤꯚꯔꯒꯤ ꯀ꯭ꯔꯣꯅꯤꯛ ꯂꯥꯌꯅꯥ ꯑꯃꯅꯥ ꯊꯣꯀꯍꯅꯕꯅꯤ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯂꯤꯚꯔꯒꯤ ꯂꯥꯌꯅꯥ ꯑꯁꯤ ꯍꯦꯟꯅꯥ ꯐꯒꯠꯂꯀꯄꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤꯁꯨ ꯍꯦꯟꯅꯥ ꯐꯒꯠꯂꯀꯏ꯫
ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯅꯥ ꯑꯅꯥꯕꯥ ꯂꯤꯚꯔꯁꯤꯡ, ꯍꯥꯌꯕꯗꯤ ꯁꯤꯔꯣꯁꯤꯁ ꯍꯥꯌꯕꯁꯤꯅꯥ ꯏꯁꯣꯐꯦꯖꯤꯌꯜ ꯚꯦꯔꯤꯁ (esophageal varices) ꯅꯠꯇꯕꯥ ꯑꯇꯩ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯃꯁꯤꯡ ꯂꯩꯕꯥ ꯌꯥꯏ꯫. ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯁꯤꯔꯣꯁꯤꯁꯅꯥ ꯅꯥꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯂꯗꯥ ꯊꯃꯖꯤꯜꯂꯀꯄꯒꯤ ꯑꯃꯁꯨꯡ ꯁꯤꯕꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯔꯃꯗꯤ ꯁꯣꯟꯊꯔꯕꯥ ꯚꯦꯅꯃꯁꯤꯡ ꯑꯁꯤ ꯁꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯏ ꯊꯣꯀꯄꯥ ꯑꯁꯤꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯏ ꯊꯣꯀꯄꯥ ꯃꯈꯜ ꯑꯁꯤ ꯊꯣꯛꯂꯕꯗꯤ ꯁꯤꯕꯒꯤ ꯆꯥꯡ ꯑꯁꯤ ꯆꯥꯎꯔꯥꯛꯅꯥ 20% ꯑꯣꯏ꯫ ꯃꯁꯤꯗꯁꯨ ꯅꯠꯇꯅꯥ, ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯏ ꯊꯣꯀꯄꯥ ꯃꯇꯨꯡꯗꯥ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯏ ꯊꯣꯀꯄꯒꯤ ꯔꯤꯁ꯭ꯛ ꯂꯩ꯫
(Esophageal Varices)ꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯤꯅꯣ?
ꯁꯣꯟꯊꯔꯕꯥ ꯚꯦꯅꯃꯁꯤꯡ ꯑꯁꯤ ꯈꯣꯡꯗꯥ ꯂꯩꯕꯒꯨꯝꯅꯥ ꯎꯕꯥ ꯐꯪꯗꯦ꯫ ꯃꯈꯣꯌ ꯑꯁꯤ ꯈꯣꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯂꯩ, ꯑꯌꯥꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯏꯁꯣꯐꯦꯒꯁꯅꯥ ꯁ꯭ꯇꯣꯃꯥꯀꯀꯥ ꯁꯝꯅꯍꯜꯂꯤ꯫ ꯅꯍꯥꯛꯅꯥ ꯃꯈꯣꯌꯕꯨ ꯂꯧꯁꯤꯅꯖꯕꯥ ꯃꯇꯃꯗꯥ ꯐꯥꯑꯣꯗꯦ꯫ ꯃꯈꯣꯌ ꯑꯁꯤ ꯃꯍꯧꯁꯥꯅꯥ ꯏ ꯊꯣꯀꯄꯥ ꯐꯥꯎꯕꯗꯥ ꯂꯥꯏꯑꯣꯡ ꯑꯃꯠꯇꯥ ꯊꯣꯀꯍꯟꯗꯦ꯫
ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯄꯣꯔꯇꯦꯜ ꯍꯥꯏꯄꯔꯇꯦꯟꯁꯟ ꯅꯠꯠꯔꯒꯥ ꯀ꯭ꯔꯣꯅꯤꯛ ꯂꯤꯚꯔ ꯗꯤꯖꯤꯖꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯇꯥꯀꯄꯥ ꯑꯇꯩ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯎꯔꯕꯗꯤ, ꯃꯍꯥꯛꯅꯥ ꯏꯁꯣꯐꯦꯖꯤꯌꯜ ꯚꯦꯔꯤꯁ (esophageal varices) ꯍꯥꯌꯕꯁꯤꯁꯨ ꯆꯤꯡꯅꯕꯥ ꯌꯥꯏ꯫ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯁꯤꯡꯁꯤ ꯌꯥꯎꯏ:
- ꯖꯟꯗꯥꯁ : ꯈꯣꯡ ꯑꯃꯁꯨꯡ ꯃꯃꯤꯠꯁꯤꯡ ꯌꯦꯔꯨꯝ ꯀꯣꯀꯄꯥ꯫
- ꯑꯦꯁꯤꯇꯤꯁ (Ascites) : ꯈꯣꯡꯗꯥ ꯐ꯭ꯂꯨꯏꯗ ꯊꯨꯃꯖꯤꯅꯕꯥ꯫
- ꯏꯗꯤꯃꯥ (edema) : ꯈꯣꯡ ꯑꯃꯁꯨꯡ ꯈꯣꯡꯗꯥ ꯁꯣꯀꯄꯥ꯫
- ꯃꯊꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯑꯅꯥꯕꯥ : ꯑꯅꯥꯕꯥ ꯑꯁꯤ ꯂꯤꯚꯔ ꯅꯠꯠꯔꯒꯥ ꯁ꯭ꯞꯂꯤꯟ ꯁꯣꯟꯊꯔꯀꯄꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫
- ꯄ꯭ꯔꯨꯔꯤꯇꯁ : ꯑꯁꯣꯛ-ꯑꯄꯟ ꯑꯃꯠꯇꯥ ꯂꯩꯇꯅꯥ ꯈꯣꯡꯗꯥ ꯁꯣꯀꯄꯥ꯫
- ꯋꯥꯈꯜ ꯋꯥꯕꯥ (Hepatic Encephalopathy) : ꯄꯨꯛꯅꯤꯡ ꯆꯪꯕꯥ ꯉꯃꯗꯕꯥ, ꯋꯥꯈꯜ ꯃꯥꯡꯈꯤꯕꯥ꯫
ꯏ ꯊꯣꯀꯄꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ꯫
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯁꯣꯟꯊꯔꯕꯥ ꯚꯦꯅꯝ ꯑꯃꯥ ꯈꯪꯍꯧꯗꯅꯥ ꯄꯣꯃꯈꯠꯂꯛꯂꯕꯗꯤ ꯑꯃꯁꯨꯡ ꯏ ꯊꯣꯀꯄꯥ ꯍꯧꯔꯛꯂꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯈꯨꯗꯛꯇꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯑꯃꯠꯇꯥ ꯐꯥꯎꯕꯥ ꯉꯃꯗꯕꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯅꯍꯥꯛꯅꯥ ꯗꯥꯏꯖꯦꯁ꯭ꯇꯤꯚ ꯇ꯭ꯔꯦꯛꯇꯇꯒꯤ ꯅꯠꯠꯔꯒꯥ ꯍꯀꯆꯥꯡꯗꯒꯤ ꯏ ꯊꯣꯀꯄꯒꯤ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯈꯨꯗꯃꯁꯤꯡ ꯑꯁꯤ ꯈꯪꯖꯤꯅꯒꯗꯕꯅꯤ :
| ꯏ ꯊꯣꯀꯄꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ꯫ | ꯃꯁꯤ ꯃꯇꯧ ꯀꯔꯝꯅꯥ ꯊꯣꯛꯂꯤꯕꯅꯣ... |
|---|---|
| ꯃꯤꯠꯇꯒꯤ ꯏ ꯊꯣꯀꯄꯥ꯫ | ꯅꯍꯥꯛꯅꯥ ꯏ ꯊꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯅꯍꯥꯛꯅꯥ ꯏ ꯊꯣꯀꯄꯥ ꯌꯥꯏ ꯑꯃꯁꯨꯡ ꯃꯗꯨ ꯀꯣꯐꯤ ꯒ꯭ꯔꯥꯎꯟꯗꯒꯨꯝꯅꯥ ꯎꯕꯥ ꯐꯪꯏ꯫ ꯑꯗꯨꯕꯨ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯚꯦꯅꯝ ꯑꯃꯥ ꯈꯪꯍꯧꯗꯅꯥ ꯊꯣꯛꯂꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯑꯅꯧꯕꯥ, ꯂꯥꯂꯍꯧꯕꯥ ꯏ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫ |
| ꯁ꯭ꯇꯣꯂꯗꯥ ꯏ ꯊꯣꯀꯄꯥ꯫ | ꯃꯤꯠꯇꯒꯤ ꯂꯥꯀꯄꯥ ꯏ ꯑꯗꯨ ꯍꯟꯖꯤꯜꯂꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯑꯃꯁꯨꯡ ꯁ꯭ꯇꯣꯂꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯊꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯃꯗꯨ ꯇꯔꯨ-ꯇꯅꯥꯅꯕꯥ ꯌꯦꯔꯨꯝ ꯅꯠꯠꯔꯒꯥ ꯕ꯭ꯂꯦꯛ ꯃꯆꯨ (melena) ꯑꯃꯥ ꯑꯣꯏꯔꯀꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯏ ꯊꯣꯀꯄꯥ ꯑꯗꯨ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯊꯣꯛꯂꯕꯗꯤ, ꯁ꯭ꯇꯣꯜ ꯑꯗꯨꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯑꯅꯧꯕꯥ ꯂꯥꯂꯍꯧꯒꯤ ꯏꯁꯨ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫ |
| ꯍꯀꯆꯥꯡꯒꯤ ꯑꯇꯩ ꯃꯑꯣꯡ-ꯃꯇꯧꯁꯤꯡ꯫ | ꯍꯀꯆꯥꯡꯗꯒꯤ ꯏ ꯌꯥꯝꯅꯥ ꯃꯥꯡꯈꯤꯕꯥ ꯃꯇꯃꯗꯥ, ꯃꯐꯃꯗꯨꯗꯥ ꯈꯣꯡ ꯍꯥꯝꯂꯕꯥ ꯌꯥꯏ, ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯅꯥ ꯌꯥꯝꯅꯥ ꯋꯥꯅꯥ ꯑꯃꯁꯨꯡ ꯄꯨꯟꯁꯤ ꯂꯩꯇꯕꯥ ꯐꯥꯎꯕꯥ ꯌꯥꯏ꯫ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ ꯅꯦꯝꯕꯥ ꯑꯁꯤꯅꯥ ꯃꯤꯠ ꯎꯗꯕꯁꯨ ꯌꯥꯏ꯫ |
ꯃꯔꯨꯑꯣꯏꯕꯥ: ꯑꯦꯃꯔꯖꯦꯟꯁꯤ ꯑꯃꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ (ꯍꯥꯏꯄꯣꯚꯣꯂꯦꯃꯤꯛ ꯁꯣꯛ)
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯈꯪꯍꯧꯗꯅꯥ ꯍꯥꯏꯄꯣꯚꯣꯂꯦꯃꯤꯛ ꯁꯣꯛ ꯀꯧꯕꯥ ꯈꯨꯗꯣꯡꯊꯤꯅꯤꯉꯥꯏ ꯑꯣꯏꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯒꯤ ꯂꯥꯏꯑꯣꯡ ꯂꯩꯔꯕꯗꯤ, ꯈꯨꯗꯛꯇꯥ ꯏ.ꯇꯤ.ꯌꯨ.ꯗꯥ ꯆꯠꯂꯨ! ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯁꯤꯡꯁꯤꯅꯤ:
- ꯍꯥꯔꯠ ꯄꯦꯂꯄꯤꯇꯦꯁꯟ ꯂꯩꯕꯥ꯫
- ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯒꯤ ꯆꯥꯡ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ꯫
- ꯀꯣꯜꯗ ꯑꯃꯁꯨꯡ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ꯫
- ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯑꯃꯁꯨꯡ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ꯫
- ꯋꯥꯈꯜ ꯃꯥꯡꯈꯤꯕꯥ꯫
ꯏꯁꯣꯐꯦꯖꯤꯌꯜ ꯚꯦꯔꯤꯁꯀꯤ ꯃꯔꯃꯁꯤꯡ ꯀꯔꯤꯅꯣ?
ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯔꯝ ꯑꯁꯤ ꯄꯣꯔꯇꯦꯜ ꯍꯥꯏꯄꯔꯇꯦꯟꯁꯟ ꯀꯧꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ , ꯃꯁꯤꯅꯥ ꯂꯤꯚꯔ (ꯄꯣꯔꯇꯦꯜ ꯚꯦꯅꯝ) ꯑꯃꯁꯨꯡ ꯃꯗꯨꯗꯒꯤ ꯂꯥꯄꯊꯣꯛꯅꯥ ꯂꯩꯕꯥ ꯑꯇꯩ ꯚꯦꯅꯃꯁꯤꯡꯗꯥ ꯆꯠꯂꯤꯕꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯜ ꯑꯗꯨꯗꯥ ꯂꯩꯕꯥ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ ꯋꯥꯡꯈꯠꯂꯀꯄꯅꯤ꯫
ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯅꯥ ꯑꯍꯦꯅꯕꯥ ꯏ ꯑꯗꯨ ꯍꯦꯟꯗꯜ ꯇꯧꯕꯥ ꯉꯃꯗꯕꯥ ꯑꯄꯤꯀꯄꯥ ꯚꯦꯅꯃꯁꯤꯡꯗꯥ ꯊꯥꯗꯣꯛꯇꯨꯅꯥ ꯍꯦꯅꯒꯠꯂꯛꯂꯤꯕꯥ ꯄ꯭ꯔꯦꯁꯔ ꯑꯁꯤꯒꯥ ꯆꯨꯁꯤꯟꯅꯅꯕꯥ ꯍꯣꯠꯅꯩ꯫ ꯃꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ, ꯃꯆꯤꯟꯖꯥꯛꯇꯥ ꯂꯩꯕꯥ ꯃꯆꯤꯟꯖꯥꯛ (delicate veins) ꯑꯁꯤꯅꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯁꯣꯀꯍꯜꯂꯤ꯫
ꯄꯣꯔꯇꯦꯜ ꯍꯥꯏꯄꯔꯇꯦꯟꯁꯅꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯔꯃꯁꯤꯡ꯫
ꯃꯁꯤꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯔꯝ ꯑꯁꯤ ꯁꯤꯔꯣꯁꯤꯁꯅꯤ, ꯃꯁꯤꯅꯥ ꯂꯤꯚꯔ ꯑꯁꯤ ꯍꯦꯟꯅꯥ ꯀꯅꯈꯠꯂꯀꯄꯅꯤ . ꯃꯁꯤ ꯂꯤꯚꯔꯗꯥ ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯅꯕꯅꯥ ꯊꯣꯀꯍꯅꯕꯅꯤ꯫ ꯂꯤꯚꯔ ꯁꯦꯂꯁꯤꯡ ꯑꯁꯤ ꯂꯦꯞꯇꯅꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯍꯜꯂꯤ ( ꯍꯦꯄꯥꯇꯥꯏꯇꯤꯁ ), ꯑꯃꯁꯨꯡ ꯑꯔꯣꯏꯕꯗꯥ ꯃꯈꯣꯌ ꯑꯁꯤ ꯁ꯭ꯀꯥꯔ ꯇꯤꯁꯨ ꯑꯣꯏꯔꯀꯏ꯫ ꯃꯁꯤꯒꯤ ꯁꯣꯛ-ꯄꯅꯕꯥ ꯑꯁꯤꯅꯥ ꯂꯤꯚꯔꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯏꯒꯤ ꯈꯣꯡꯖꯦꯜ ꯊꯤꯡꯏ꯫ ꯃꯁꯤ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯊꯣꯛꯇꯦ, ꯑꯗꯨꯕꯨ ꯆꯍꯤ ꯀꯌꯥꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯊꯣꯀꯏ꯫
ꯁꯤꯔꯣꯁꯤꯁ ꯍꯥꯌꯕꯁꯤ ꯀ꯭ꯔꯣꯅꯤꯛ ꯂꯤꯚꯔꯒꯤ ꯂꯥꯌꯅꯥ ꯑꯃꯍꯦꯛꯇꯒꯤ ꯑꯔꯣꯏꯕꯥ ꯁ꯭ꯇꯦꯖꯅꯤ꯫ ꯈꯨꯗꯝ ꯑꯣꯏꯅ:
- ꯌꯨ ꯊꯀꯄꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯍꯦꯄꯥꯇꯥꯏꯇꯤꯁ꯫
- ꯅꯟ-ꯑꯦꯂꯀꯣꯍꯣꯂꯤꯛ ꯁ꯭ꯇꯦꯇꯣꯍꯦꯄꯥꯇꯥꯏꯇꯤꯁ (ꯑꯦꯟ.ꯑꯦ.ꯑꯦꯁ.ꯑꯩꯆ.)
- ꯀ꯭ꯔꯣꯅꯤꯛ ꯚꯥꯏꯔꯁ ꯍꯦꯄꯥꯇꯥꯏꯇꯤꯁ (ꯕꯤ, ꯁꯤꯒꯨꯝꯕꯥ)
- ꯑꯣꯇꯣꯏꯝꯌꯨꯟ ꯍꯦꯄꯥꯇꯥꯏꯇꯤꯁ꯫
ꯄꯣꯔꯇꯦꯜ ꯍꯥꯏꯄꯔꯇꯦꯟꯁꯅꯒꯤ ꯑꯇꯣꯞꯄꯥ ꯑꯣꯏꯊꯣꯀꯄꯥ ꯌꯥꯕꯥ ꯃꯔꯃꯁꯤꯡꯁꯨ ꯂꯩꯔꯤ:
- ꯂꯤꯚꯔꯗꯥ ꯒ꯭ꯔꯦꯅꯨꯂꯣꯃꯥ : ꯃꯁꯤ ꯇꯣꯉꯥꯟ-ꯇꯣꯉꯥꯅꯕꯥ ꯏꯅꯐꯦꯛꯁꯅꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯇꯔꯤ ꯀꯟꯗꯤꯁꯅꯁꯤꯡꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯊꯣꯀꯄꯥ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯇꯔꯤ ꯁꯦꯂꯁꯤꯡꯒꯤ ꯈꯣꯃꯖꯤꯅꯕꯥ ꯑꯃꯅꯤ꯫ ꯃꯁꯤꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯔꯃꯗꯤ ꯁꯤꯁ꯭ꯇꯣꯁꯣꯃꯤꯌꯥꯁꯤꯁ ꯀꯧꯕꯥ ꯄꯦꯔꯥꯁꯥꯏꯠ ꯏꯅꯐꯦꯛꯁꯟ ꯑꯃꯅꯤ, ꯃꯁꯤꯅꯥ ꯃꯥꯂꯦꯝ ꯁꯤꯅꯕꯥ ꯊꯨꯡꯅꯥ ꯃꯤꯑꯣꯏ ꯃꯤꯂꯤꯌꯟ 230 ꯔꯣꯝ ꯁꯣꯀꯍꯜꯂꯤ꯫
- ꯊ꯭ꯔꯣꯝꯕꯣꯁꯤꯁ (thrombosis): ꯀꯔꯤꯒꯨꯝꯕꯥ ꯂꯤꯚꯔꯒꯥ ꯁꯝꯅꯕꯥ ꯚꯦꯅꯝ ꯁꯤꯁ꯭ꯇꯦꯃꯗꯥ ꯏ ꯊꯣꯀꯄꯥ (blood clot) ꯑꯃꯥ ꯁꯦꯝꯂꯕꯗꯤ, ꯕ꯭ꯂꯗ ꯐ꯭ꯂꯣꯗꯥ ꯑꯀꯥꯌꯕꯥ ꯄꯤꯕꯥ ꯌꯥꯏ (e.g. Budd-Chiari syndrome)꯫
- ꯁ꯭ꯞꯂꯤꯟ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ .
- ꯍꯥꯔꯇꯀꯤ ꯂꯥꯌꯅꯥ : ꯔꯥꯏꯠ-ꯁꯥꯏꯗ ꯍꯥꯔꯠ ꯐꯦꯜ ꯑꯣꯏꯕꯒꯨꯝꯕꯥ꯫
(ꯏꯁꯣꯐꯦꯖꯤꯌꯜ ꯚꯦꯔꯤꯁ) ꯗꯥꯏꯑꯦꯒ꯭ꯅꯣꯁꯤꯁ ꯑꯃꯁꯨꯡ ꯂꯥꯏꯌꯦꯡ꯫
ꯗꯣꯛꯇꯔ ꯑꯃꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯌꯦꯡꯁꯤꯅꯕꯤꯗ꯭ꯔꯤꯐꯥꯎꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯈꯪꯂꯔꯣꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯍꯥꯟꯅꯅꯥ ꯁꯤꯔꯣꯁꯤꯁ ꯂꯩꯔꯦ ꯍꯥꯌꯅꯥ ꯈꯪꯂꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯑꯌꯥꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯚꯦꯅꯃꯁꯤꯡꯒꯤ ꯈꯣꯡꯖꯦꯜ ꯑꯁꯤ ꯌꯦꯡꯁꯤꯟꯅꯕꯥ ꯄꯥꯎꯇꯥꯛ ꯄꯤꯒꯅꯤ꯫ ꯃꯁꯤꯒꯤꯗꯃꯛꯇꯥ ꯁꯤꯖꯤꯟꯅꯔꯤꯕꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯇꯦꯁ꯭ꯠ ꯑꯁꯤ ꯑꯋꯥꯡꯕꯥ ꯑꯦꯟꯗꯣꯁ꯭ꯀꯣꯄꯤꯅꯤ .
(ꯑꯋꯥꯡꯕꯥ ꯑꯦꯟꯗꯣꯁ꯭ꯀꯣꯄꯤ) ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ?
ꯏ.ꯖꯤ.ꯗꯤ . ꯃꯁꯤ ꯒꯦꯁ꯭ꯠꯔꯣꯑꯦꯟꯇꯦꯔꯣꯂꯣꯖꯤꯁ꯭ꯠ ꯑꯃꯅꯥ ꯇꯧꯏ, ꯗꯥꯏꯖꯦꯁ꯭ꯇꯤꯕ ꯁꯤꯁ꯭ꯇꯦꯃꯒꯤ ꯂꯥꯌꯅꯥꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯑꯦꯟꯗꯣꯁ꯭ꯀꯣꯄꯤꯒꯤ ꯊꯧꯑꯣꯡꯁꯤꯡꯗꯥ ꯑꯈꯟꯅꯕꯥ ꯗꯣꯛꯇꯔ ꯑꯃꯅꯥ ꯇꯧꯏ꯫ ꯑꯦꯟꯗꯣꯁ꯭ꯀꯣꯞ ꯑꯁꯤ ꯂꯝꯕꯤꯗꯥ ꯑꯄꯤꯀꯄꯥ ꯀꯦꯃꯦꯔꯥ ꯑꯃꯥ ꯂꯩꯕꯥ ꯁꯥꯡꯕꯥ, ꯑꯄꯤꯀꯄꯥ ꯇꯨꯕ ꯑꯃꯅꯤ꯫ ꯇꯤꯎꯕ ꯑꯗꯨ ꯅꯍꯥꯛꯀꯤ ꯃꯤꯠꯀꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯊꯥꯗꯣꯀꯏ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯏꯁꯣꯐꯦꯒꯁꯀꯤ ꯃꯈꯥꯗꯥ ꯄꯥꯁ ꯇꯧꯗꯨꯅꯥ ꯁꯣꯀꯄꯥ ꯑꯃꯠꯇꯥ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯍꯀꯊꯦꯡꯅꯅꯥ ꯌꯦꯡꯁꯤꯜꯂꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯈꯨꯗꯣꯡꯆꯥꯗꯕꯥ ꯑꯃꯠꯇꯥ ꯊꯦꯡꯅꯔꯕꯗꯤ, ꯃꯈꯣꯌꯕꯨ ꯂꯥꯏꯌꯦꯡꯅꯕꯥ ꯑꯦꯟꯗꯣꯁ꯭ꯀꯣꯄꯀꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯑꯄꯤꯀꯄꯥ ꯏꯅꯁ꯭ꯠꯔꯨꯃꯦꯟꯇꯁꯤꯡ ꯍꯥꯄꯆꯤꯅꯕꯥ ꯌꯥꯏ꯫
(Esophageal Varices)ꯒꯤ ꯂꯥꯏꯌꯦꯡꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯤꯅꯣ?
ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯄꯥꯟꯗꯃꯁꯤꯡꯗꯤ ꯍꯧꯖꯤꯛ ꯂꯩꯔꯤꯕꯥ ꯏ ꯊꯣꯀꯄꯥ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯥ, ꯇꯨꯡꯗꯥ ꯏ ꯊꯣꯀꯄꯥ ꯊꯤꯡꯕꯥ ꯑꯃꯁꯨꯡ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯌꯥꯕꯥ ꯇꯥꯔꯕꯗꯤ ꯄꯣꯔꯇꯦꯜ ꯍꯥꯏꯄꯔꯇꯦꯟꯁꯟ ꯍꯟꯊꯍꯅꯕꯅꯤ꯫
| ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯃꯑꯣꯡ꯫ | ꯃꯁꯤꯗꯥ ꯀꯔꯤ ꯑꯣꯏꯔꯤꯕꯒꯦ? |
|---|---|
| ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ꯫ | ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ ꯍꯟꯊꯍꯟꯅꯕꯥ ꯑꯣꯛꯠꯔꯤꯑꯣꯇꯥꯏꯗꯒꯨꯝꯕꯥ ꯏꯅꯠꯔꯥꯚꯦꯅꯁ ꯍꯤꯗꯥꯀꯁꯤꯡ ꯄꯤ꯫ ꯏ ꯊꯣꯀꯄꯥ ꯊꯤꯡꯅꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯧꯕꯥ ꯌꯥꯕꯥ ꯕꯦꯇꯥ-ꯕ꯭ꯂꯣꯀꯔꯒꯨꯝꯕꯥ ꯍꯤꯗꯥꯀꯁꯤꯡꯁꯨ ꯂꯩ꯫ |
| ꯚꯦꯔꯤꯀꯣꯁ ꯕꯦꯟꯗ ꯂꯥꯏꯌꯦꯡꯕꯥ꯫ | ꯑꯦꯟꯗꯣꯁ꯭ꯀꯣꯞ ꯑꯗꯨ ꯊꯥꯗꯣꯀꯈ꯭ꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ, ꯏ ꯊꯣꯀꯄꯥ ꯚꯦꯅꯝ ꯑꯗꯨꯒꯤ ꯑꯀꯣꯌꯕꯗꯥ ꯑꯄꯤꯀꯄꯥ ꯔꯕ꯭ꯕꯔ ꯕꯦꯟꯗ ꯑꯃꯥ ꯊꯝꯃꯤ, ꯅꯠꯠꯔꯒꯥ ꯏ ꯊꯣꯀꯄꯥ ꯌꯥꯕꯒꯤ ꯆꯤꯡꯅꯕꯥ ꯂꯩꯕꯥ ꯚꯦꯅꯝ ꯑꯗꯨꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯊꯝꯃꯤ ꯑꯃꯁꯨꯡ ꯆꯦꯠꯁꯤꯂꯍꯜꯂꯤ꯫ ꯃꯁꯤꯅꯥ ꯏ ꯊꯣꯀꯄꯥ ꯊꯤꯡꯏ꯫ |
| ꯁꯟꯊꯤꯒꯤ ꯊꯧꯑꯣꯡꯁꯤꯡ꯫ | ꯃꯁꯤ ꯈꯔꯥ ꯀꯝꯄꯤꯇꯤꯇꯤꯕ ꯑꯣꯏ꯫ ꯃꯦꯊꯗ ꯑꯅꯤ ꯂꯩ, ꯇꯤ.ꯑꯥꯏ.ꯄꯤ.ꯑꯦꯁ. ꯑꯃꯁꯨꯡ ꯗꯤ.ꯑꯦꯁ.ꯑꯥꯔ.ꯑꯦꯁ. ꯃꯁꯤꯗꯥ ꯂꯤꯚꯔꯕꯨ ꯕꯥꯏꯄꯥꯁ ꯇꯧꯅꯕꯥ ꯏꯒꯤ ꯑꯅꯧꯕꯥ ꯂꯝꯕꯤ ꯑꯃꯥ ꯁꯦꯝꯕꯥ ꯌꯥꯎꯏ꯫ ꯁꯔꯖꯔꯤ ꯅꯠꯠꯔꯒꯥ ꯑꯦꯛꯁ-ꯔꯦꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯅꯠꯠꯔꯒꯥ ꯂꯤꯚꯔꯗꯥ ꯂꯩꯕꯥ ꯚꯦꯅꯝ ꯑꯃꯥ ꯑꯇꯣꯞꯄꯥ ꯚꯦꯅꯝ ꯑꯃꯒꯥ ꯁꯝꯅꯍꯟꯗꯨꯅꯥ ꯄ꯭ꯔꯦꯁꯔ ꯍꯟꯊꯍꯜꯂꯤ꯫ |
| ꯃꯈꯥ ꯇꯥꯕꯥ ꯃꯔꯝ ꯑꯗꯨ ꯂꯥꯏꯌꯦꯡꯕꯥ꯫ | ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯋꯥꯐꯃꯗꯤ ꯃꯗꯨꯒꯤ ꯃꯈꯥ ꯄꯣꯜꯂꯤꯕꯥ ꯃꯔꯝ ꯑꯗꯨ ꯂꯥꯏꯌꯦꯡꯕꯅꯤ꯫ ꯍꯥꯌꯕꯗꯤ ꯌꯨ ꯊꯀꯄꯥ ꯂꯦꯄꯍꯅꯕꯥ, ꯑꯔꯨꯝꯕꯥ ꯍꯟꯊꯍꯅꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯍꯦꯄꯥꯇꯥꯏꯇꯤꯁ ꯁꯤꯒꯨꯝꯕꯥ ꯑꯟꯗꯔꯂꯥꯏꯟ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯒꯤꯗꯃꯛ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛ ꯂꯧꯕꯥ ꯍꯥꯌꯕꯁꯤꯅꯤ꯫ |
ꯐꯤꯚꯝ ꯑꯁꯤꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯍꯤꯡꯕꯥ꯫
ꯅꯍꯥꯛꯀꯤ ꯃꯤꯠꯌꯦꯡ ꯑꯗꯨ ꯅꯍꯥꯛꯀꯤ ꯚꯦꯅꯃꯁꯤꯡꯗꯒꯤ ꯏ ꯊꯣꯀꯄꯥ ꯂꯩꯕ꯭ꯔꯥ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯂꯤꯚꯔꯒꯤ ꯂꯥꯌꯅꯥ ꯑꯁꯤ ꯀꯌꯥꯝ ꯁꯥꯊꯤꯕꯒꯦ ꯍꯥꯌꯕꯗꯨꯒꯤ ꯃꯈꯥ ꯄꯣꯜꯂꯤ꯫ ꯁꯤꯔꯣꯁꯤꯁ ꯑꯃꯁꯨꯡ ꯏ ꯊꯣꯀꯄꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯒꯤ ꯆꯍꯤ ꯑꯃꯒꯤ ꯑꯣꯏꯅꯥ ꯍꯤꯡꯕꯒꯤ ꯆꯥꯡ ꯑꯁꯤ ꯆꯥꯎꯔꯥꯛꯅꯥ 50% ꯑꯣꯏ꯫ ꯑꯍꯥꯅꯕꯥ ꯏ ꯊꯣꯀꯄꯗꯒꯤ ꯁꯤꯕꯒꯤ ꯔꯤꯁ꯭ꯛ ꯑꯁꯤ 20% ꯑꯣꯏ, ꯑꯃꯁꯨꯡ ꯂꯥꯏꯌꯦꯡꯕꯗꯁꯨ ꯑꯅꯤꯁꯨꯕꯥ ꯏ ꯊꯣꯀꯄꯒꯤ ꯔꯤꯁ꯭ꯛ ꯑꯁꯤ 60% ꯐꯥꯎꯕꯥ ꯋꯥꯡꯏ꯫
ꯏꯁꯣꯐꯦꯖꯤꯌꯜ ꯚꯦꯔꯤꯁ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯂꯤꯚꯔꯒꯤ ꯂꯥꯌꯅꯥ ꯑꯁꯤ ꯇꯣꯏꯅꯥ ꯈꯪꯗꯣꯛꯂꯕꯗꯤ, ꯂꯥꯌꯅꯥ ꯑꯁꯤ ꯍꯦꯟꯅꯥ ꯁꯣꯀꯍꯟꯗꯅꯕꯥ ꯄꯨꯟꯁꯤ ꯃꯍꯤꯡꯗꯥ ꯑꯍꯣꯡꯕꯥ ꯄꯨꯔꯀꯄꯥ ꯌꯥꯏ, ꯑꯃꯁꯨꯡ ꯚꯦꯅꯃꯁꯤꯡ ꯑꯁꯤ ꯁꯣꯟꯊꯔꯀꯄꯗꯒꯤꯁꯨ ꯊꯤꯡꯕꯥ ꯌꯥꯏ꯫
ꯇꯦꯛ-ꯍꯣꯝ ꯃꯦꯁꯦꯖ ꯇꯧꯕꯥ꯫
- ꯏꯁꯣꯐꯦꯖꯤꯑꯦꯜ ꯚꯦꯔꯤꯁ ꯑꯁꯤ ꯑꯌꯥꯝꯕꯗꯤ ꯂꯤꯚꯔ ꯁꯤꯔꯣꯁꯤꯁꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯥ ꯑꯣꯏꯔꯤꯕꯥ ꯄꯣꯔꯇꯦꯜ ꯍꯥꯏꯄꯔꯇꯦꯟꯁꯅꯒꯤ ꯃꯍꯩꯅꯤ꯫
- ꯃꯁꯤꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯈꯨꯗꯣꯡꯊꯤꯕꯥ ꯑꯁꯤ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯜ ꯑꯃꯥ ꯁꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯏ ꯊꯣꯀꯄꯥ ꯌꯥꯕꯒꯤ ꯑꯣꯏꯊꯣꯀꯄꯥ ꯂꯩꯕꯅꯤ . ꯃꯁꯤꯅꯥ ꯄꯨꯟꯁꯤꯗꯥ ꯈꯨꯗꯣꯡꯊꯤꯕꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫
- ꯑꯍꯥꯅꯕꯗꯥ ꯑꯆꯧꯕꯥ ꯂꯥꯏꯑꯣꯡ ꯑꯃꯠꯇꯥ ꯎꯠꯂꯃꯗ꯭ꯔꯕꯁꯨ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯤꯠꯇꯒꯤ ꯏ ꯊꯣꯀꯄꯥ, ꯕ꯭ꯂꯦꯛ ꯁ꯭ꯇꯣꯜ, ꯈꯣꯡꯗꯥ ꯌꯦꯔꯨꯝ ꯀꯣꯀꯄꯥ, ꯅꯠꯠꯔꯒꯥ ꯈꯣꯡ ꯍꯥꯝꯕꯥ ꯌꯥꯗꯕꯥ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯂꯩꯔꯕꯗꯤ ꯈꯨꯗꯛꯇꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯇꯥꯟꯅꯧ .
- ꯃꯁꯤ ꯑꯀꯛꯅꯅꯥ ꯈꯪꯗꯣꯀꯏ ꯑꯃꯁꯨꯡ ꯂꯥꯏꯌꯦꯡ ꯈꯔꯗꯤ ꯑꯦꯟꯗꯣꯁ꯭ꯀꯣꯄꯤ ꯀꯧꯕꯥ ꯑꯦꯀꯖꯥꯃꯤꯅꯦꯁꯟ ꯑꯃꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯄꯥꯡꯊꯣꯀꯏ꯫
- ꯂꯥꯏꯌꯦꯡꯁꯤꯡ ꯂꯩ, ꯑꯗꯨꯕꯨ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯗꯤ ꯂꯤꯚꯔꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ (ꯌꯨ, ꯑꯀꯛꯅꯕꯥ ꯍꯀꯆꯥꯡ ꯐꯅꯥ ꯂꯩꯇꯕꯥ ꯆꯤꯟꯖꯥꯀꯁꯤꯡ) ꯊꯤꯡꯕꯥ ꯑꯃꯁꯨꯡ ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯄꯥꯎꯇꯥꯀꯁꯤꯡ ꯑꯗꯨ ꯆꯨꯝꯅꯥ ꯏꯅꯕꯅꯤ .
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯤꯚꯔꯒꯤ ꯂꯥꯌꯅꯥ ꯂꯩꯔꯕꯗꯤ, ꯑꯁꯤꯒꯨꯝꯕꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ ꯑꯁꯤ ꯌꯦꯡꯁꯤꯟꯅꯕꯥ ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯃꯦꯗꯤꯀꯦꯜ ꯇꯦꯁ꯭ꯠ ꯇꯧꯕꯥ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ .











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