ꯏꯁꯣꯐꯦꯒꯣꯁ꯭ꯀꯣꯄꯤ ꯇꯦꯁ꯭ꯇꯀꯤ ꯃꯇꯥꯡꯗꯥ ꯈꯉꯁꯤ꯫ ꯂꯥꯡꯇꯛꯅꯒꯅꯨ, ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯋꯥꯔꯤ ꯁꯥꯟꯅꯔꯁꯤ!

ꯅꯍꯥꯛꯅꯥ ꯂꯧꯅꯒꯗꯧꯔꯤꯕꯥ ꯃꯇꯃꯗꯁꯨ ꯅꯍꯥꯛꯅꯥ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯐꯥꯎꯕ꯭ꯔꯥ? ꯅꯠꯠꯔꯒꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯦꯡ-ꯑꯣꯠꯄꯒꯤ ꯃꯑꯣꯡ-ꯃꯇꯧ, ꯈꯣꯡ-ꯈꯨꯠ ꯁꯣꯀꯄꯥ, ꯑꯃꯁꯨꯡ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯑꯁꯤꯅꯆꯤꯡꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡꯅꯥ ꯅꯥꯔꯤꯕ꯭ꯔꯥ ? ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯄꯣꯠꯁꯀꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯔꯝ ꯈꯪꯗꯣꯛꯅꯕꯥ "ꯏꯁꯣꯐꯦꯒꯣꯁ꯭ꯀꯣꯄꯤ" ꯑꯃꯥ ꯇꯧꯅꯕꯥ ꯁꯖꯦꯁꯟ ꯄꯤꯔꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯤꯡ ꯑꯁꯤ ꯇꯥꯕꯗꯥ ꯈꯔꯥ ꯂꯥꯡꯇꯛꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯑꯆꯝꯕꯥ ꯋꯥꯈꯜ ꯂꯥꯀꯄꯥ ꯑꯁꯤ ꯅꯣꯔꯃꯦꯂꯅꯤ꯫ ꯑꯗꯨꯕꯨ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯂꯩꯔꯣꯏꯗꯕꯅꯤ꯫ ꯉꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯇꯦꯁ꯭ꯠ ꯑꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯑꯗꯣꯝꯅꯥ ꯈꯉꯕꯤꯕꯥ ꯌꯥꯕꯥ ꯌꯥꯝꯅꯥ ꯂꯥꯏꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯒꯅꯤ꯫

ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯏꯁꯣꯐꯦꯒꯣꯁ꯭ꯀꯣꯄꯤ ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ?

ꯏꯁꯣꯐꯦꯒꯣꯁ꯭ꯀꯣꯄꯤ ꯑꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯏꯁꯣꯐꯦꯒꯁꯀꯤ ꯃꯅꯨꯡꯗꯥ ꯌꯦꯡꯁꯤꯟꯅꯕꯥ ꯇꯦꯁ꯭ꯠ ꯑꯃꯅꯤ . ꯏꯁꯣꯐꯦꯒꯁ (esophagus) ꯍꯥꯌꯕꯁꯤ ꯀꯣꯛꯇꯒꯤ ꯊꯛꯅꯕꯥ ꯏꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯊꯛꯅꯕꯥ ꯏꯁꯤꯡ ꯄꯨꯊꯣꯛ ꯄꯨꯁꯤꯟ ꯇꯧꯕꯥ ꯇꯤꯎꯕꯅꯤ꯫ ꯃꯁꯤ ꯑꯦꯟꯗꯣꯁ꯭ꯀꯣꯄꯤ ꯀꯧꯕꯥ ꯇꯦꯁ꯭ꯠ ꯃꯈꯜ ꯑꯃꯅꯤ .

ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯑꯄꯤꯀꯄꯥ ꯀꯦꯃꯦꯔꯥ ꯑꯃꯥ ꯂꯩꯕꯥ ꯁꯥꯡꯕꯥ, ꯐ꯭ꯂꯦꯛꯁꯤꯕꯜ ꯇꯨꯕ (ꯑꯦꯟꯗꯣꯁ꯭ꯀꯣꯞ) ꯑꯃꯥ ꯁꯤꯖꯤꯟꯅꯗꯨꯅꯥ ꯇꯧꯏ ꯍꯥꯌꯅꯥ ꯈꯅꯕꯤꯌꯨ꯫ ꯗꯣꯛꯇꯔꯅꯥ ꯇꯤꯎꯕ ꯑꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯃꯤꯠ ꯅꯠꯠꯔꯒꯥ ꯅꯥꯀꯣꯡꯗꯥ ꯆꯦꯀꯁꯤꯟꯅꯥ ꯊꯥꯗꯣꯀꯏ, ꯅꯍꯥꯛꯀꯤ ꯏꯁꯣꯐꯦꯒꯁꯀꯤ ꯃꯈꯥꯗꯥ ꯄꯥꯁ ꯇꯧꯏ ꯑꯃꯁꯨꯡ ꯃꯗꯨꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯁ꯭ꯛꯔꯤꯟ ꯑꯃꯗꯥ ꯌꯦꯡꯏ꯫ ꯃꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯏꯁꯣꯐꯦꯒꯁꯇꯥ ꯂꯥꯌꯅꯥ, ꯑꯁꯣꯛ-ꯑꯄꯟ ꯅꯠꯠꯔꯒꯥ ꯑꯇꯩ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯑꯃꯥ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯃꯌꯦꯛ ꯁꯦꯡꯅꯥ ꯎꯕꯥ ꯉꯃꯍꯜꯂꯤ꯫

ꯀꯔꯤꯒꯤꯗꯃꯛꯇꯥ ꯇꯦꯁ꯭ꯠ ꯑꯁꯤ ꯇꯧꯕꯥ ꯄꯥꯝꯂꯤꯕꯅꯣ?

ꯗꯣꯛꯇꯔ ꯑꯃꯅꯥ ꯇꯦꯁ꯭ꯠ ꯑꯁꯤ ꯔꯤꯀꯃꯦꯟꯗ ꯇꯧꯕꯥ ꯌꯥꯕꯒꯤ ꯃꯔꯝ ꯀꯌꯥ ꯂꯩ꯫ ꯃꯔꯨꯑꯣꯏꯅꯥ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯂꯩꯔꯕꯗꯤ ꯇꯦꯁ꯭ꯠ ꯑꯁꯤ ꯇꯧꯅꯕꯥ ꯍꯥꯌꯔꯀꯄꯥ ꯌꯥꯏ:

ꯍꯥꯌꯔꯤꯕꯥ ꯃꯑꯣꯡꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯊꯛꯇꯥ, ꯃꯁꯤꯒꯤ ꯄꯥꯝꯕꯩ ꯑꯁꯤ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯏꯁꯣꯐꯦꯒꯁꯇꯥ ꯆꯦꯟꯊꯔꯀꯄꯥ ꯆꯤꯟꯖꯥꯛ ꯑꯃꯥꯒꯨꯝꯕꯥ ꯄꯣꯠꯁꯛ ꯑꯃꯥ ꯂꯧꯊꯣꯛꯅꯕꯥ, ꯅꯠꯠꯔꯒꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯁꯣꯏ-ꯑꯉꯥꯝ ꯌꯥꯑꯣꯗꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯃꯥ ꯂꯧꯊꯣꯀꯄꯗꯥ ꯁꯤꯖꯤꯟꯅꯩ꯫

ꯃꯁꯤꯗꯁꯨ ꯅꯠꯇꯅꯥ, ꯑꯀꯛꯅꯕꯥ ꯃꯦꯗꯤꯀꯦꯜ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ ꯑꯆꯨꯝꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯈꯉꯗꯣꯛꯅꯕꯥ ꯇꯦꯁ꯭ꯠ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫

• ꯖꯤ.ꯏ.ꯑꯥꯔ.ꯗꯤ. (ꯒꯦꯁ꯭ꯠꯔꯣꯏꯁꯣꯐꯦꯖꯤꯑꯦꯜ ꯔꯤꯐ꯭ꯂꯛꯁ ꯗꯤꯖꯤꯖ): ꯃꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯁꯨꯞꯅꯒꯤ ꯀꯣꯛꯇꯥ ꯂꯥꯀꯄꯥ ꯁ꯭ꯇꯣꯃꯥꯛ ꯑꯦꯁꯤꯗꯀꯤ ꯂꯥꯌꯅꯥ ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫
• ꯕꯦꯔꯦꯇꯀꯤ ꯏꯁꯣꯐꯦꯒꯁ : ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯖꯤ.ꯏ.ꯑꯥꯔ.ꯗꯤ.ꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯏꯁꯣꯐꯦꯒꯁꯀꯤ ꯁꯦꯂꯁꯤꯡꯗꯥ ꯑꯍꯣꯡꯕꯥ ꯑꯃꯥ꯫
• ꯗꯤꯁꯐꯦꯖꯤꯌꯥ (Disphagia ) : ꯆꯤꯟꯖꯥꯛ ꯊꯀꯄꯗꯥ ꯑꯋꯥꯕꯥ ꯄꯤꯕꯒꯤ ꯃꯔꯝ ꯈꯪꯗꯣꯀꯄꯥ꯫
• ꯏꯁꯣꯐꯦꯖꯤꯌꯜ ꯀꯦꯟꯁꯔ : ꯀꯦꯟꯁꯔ ꯁꯦꯂꯁꯤꯡ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯈꯉꯗꯣꯛꯅꯕꯥ .
• ꯂꯦꯔꯤꯉ꯭ꯒꯣꯐꯦꯔꯤꯟꯖꯦꯜ ꯔꯤꯐ꯭ꯂꯛꯁ (LPR): ꯁ꯭ꯇꯣꯃꯥꯛ ꯑꯦꯁꯤꯗ ꯑꯁꯤ ꯚꯣꯀꯦꯜ ꯀꯣꯔꯗ ꯑꯃꯁꯨꯡ ꯀꯣꯛꯇꯥ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯆꯦꯜꯂꯤ꯫

ꯇꯦꯁ꯭ꯠ ꯇꯧꯗ꯭ꯔꯤꯉꯩ ꯃꯃꯥꯡꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯀꯔꯝꯅꯥ ꯁꯦꯝ ꯁꯥꯔꯤꯕꯒꯦ?

ꯇꯦꯁ꯭ꯠ ꯑꯁꯤ ꯃꯍꯧꯁꯥꯅꯥ ꯑꯦꯅꯥꯁ꯭ꯇꯦꯁꯤꯌꯥꯒꯤ ꯃꯈꯥꯗꯥ ꯇꯧꯏ ꯃꯗꯨꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯅꯠꯠꯔꯒꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯑꯃꯠꯇꯥ ꯐꯥꯎꯗꯅꯕꯥ ꯇꯧꯏ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯃꯃꯥꯡꯗꯥ ꯃꯇꯧ ꯀꯔꯝꯅꯥ ꯁꯦꯝ-ꯁꯥꯒꯗꯒꯦ ꯍꯥꯌꯕꯒꯤ ꯃꯌꯦꯛ ꯁꯦꯡꯕꯥ ꯏꯅꯁ꯭ꯠꯔꯛꯁꯅꯁꯤꯡ ꯄꯤꯒꯅꯤ꯫ ꯃꯍꯧꯁꯥꯅꯥ, ꯅꯍꯥꯛꯅꯥ ꯋꯥꯐꯃꯁꯤꯡ ꯑꯁꯤ ꯈꯪꯖꯤꯅꯒꯗꯕꯅꯤ꯫

1. ꯀꯅꯥꯒꯨꯝꯕꯥ ꯑꯃꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯌꯨꯃꯗꯥ ꯄꯨꯔꯛꯅꯕꯥ ꯊꯧꯔꯥꯡ ꯇꯧꯕꯤꯌꯨ: ꯑꯦꯅꯥꯁ꯭ꯇꯦꯁꯤꯌꯥꯒꯤ ꯏꯐꯦꯛꯇꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯇꯦꯁ꯭ꯠ ꯇꯧꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯒꯥꯔꯤ ꯊꯧꯕꯥ ꯉꯃꯂꯣꯏ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯌꯨꯃꯗꯥ ꯒꯥꯔꯤ ꯊꯧꯅꯕꯥ ꯅꯍꯥꯛꯀꯥ ꯂꯣꯌꯅꯅꯥ ꯀꯅꯥꯒꯨꯝꯕꯥ ꯑꯃꯥ ꯂꯩꯕꯥ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫

2. ꯆꯥꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯊꯛꯅꯕꯥ ꯏꯁꯤꯡꯗꯒꯤ ꯂꯥꯞꯅꯥ ꯂꯩꯕꯥ: ꯃꯍꯧꯁꯥꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯇꯦꯁ꯭ꯠ ꯇꯧꯗ꯭ꯔꯤꯉꯩꯒꯤ ꯃꯃꯥꯡꯗꯥ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯄꯨꯡ 8 ꯐꯥꯎꯕꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯃꯠꯇꯥ ꯆꯥꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯊꯀꯄꯥ ꯌꯥꯗꯅꯕꯥ ꯄꯥꯎꯇꯥꯛ ꯄꯤꯒꯅꯤ꯫

3. ꯅꯍꯥꯛꯀꯤ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯈꯪꯍꯅꯕꯤꯌꯨ: ꯅꯍꯥꯛꯅꯥ ꯂꯧꯔꯤꯕꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ, ꯃꯔꯨꯑꯣꯏꯅꯥ ꯕ꯭ꯂꯗ ꯊꯤꯅꯔ ꯅꯠꯠꯔꯒꯥ ꯍꯔꯕꯦꯜ ꯁꯞꯂꯤꯃꯦꯟꯇꯁꯤꯡꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯍꯥꯟꯅꯥ ꯈꯪꯍꯅꯕꯤꯌꯨ꯫ ꯃꯍꯥꯛꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯃꯇꯝ ꯈꯔꯒꯤ ꯑꯣꯏꯅꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ ꯑꯗꯨ ꯂꯧꯕꯥ ꯂꯦꯄꯍꯟꯅꯕꯥ ꯍꯥꯌꯔꯀꯄꯥ ꯌꯥꯏ꯫

ꯇꯦꯁ꯭ꯠ ꯇꯧꯕꯥ ꯃꯇꯃꯗꯥ ꯀꯔꯤ ꯊꯣꯀꯏ?

ꯑꯍꯥꯅꯕꯗꯥ, ꯑꯦꯅꯥꯁ꯭ꯇꯦꯁꯤꯑꯣꯂꯣꯖꯤꯁ꯭ꯠ ꯑꯗꯨꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯂꯥꯏꯅꯥ ꯇꯨꯝꯕꯥ ꯌꯥꯅꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯅꯨꯡꯉꯥꯏꯅꯥ ꯂꯩꯅꯕꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛ ꯄꯤꯒꯅꯤ꯫ ꯑꯗꯨ ꯑꯣꯏꯔꯕꯗꯤ,

• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯇꯤꯎꯕ ꯑꯗꯨ ꯃꯤꯠꯅꯥ ꯊꯨꯒꯥꯌꯔꯕꯗꯤ , ꯀꯣꯛꯇꯥ ꯅꯣꯡꯃꯩ ꯀꯥꯞꯄꯥ ꯍꯤꯗꯥꯛ ꯑꯃꯥ ꯊꯥꯏ, ꯑꯃꯁꯨꯡ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯥꯀꯣꯡꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯊꯥꯔꯕꯗꯤ ꯅꯥꯀꯣꯡꯗꯥ ꯊꯥꯏ꯫
• ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯗꯣꯛꯇꯔꯅꯥ ꯌꯥꯝꯅꯥ ꯇꯞꯅꯥ ꯑꯃꯁꯨꯡ ꯆꯦꯀꯁꯤꯟꯅꯥ ꯑꯦꯟꯗꯣꯁ꯭ꯀꯣꯞ ꯇꯤꯎꯕ ꯑꯗꯨ ꯃꯤꯠ ꯅꯠꯠꯔꯒꯥ ꯅꯥꯀꯣꯡꯗꯥ ꯊꯥꯗꯨꯅꯥ ꯏꯁꯣꯐꯦꯒꯁꯀꯤ ꯃꯈꯥꯗꯥ ꯊꯥꯏ꯫
• ꯇꯨꯕꯇꯥ ꯂꯩꯕꯥ ꯀꯦꯃꯦꯔꯥꯗꯒꯤ ꯂꯥꯀꯄꯥ ꯏꯃꯦꯖꯁꯤꯡ ꯑꯗꯨ ꯀꯝꯞꯌꯨꯇꯔ ꯁ꯭ꯛꯔꯤꯟꯗꯥ ꯌꯦꯡꯏ ꯑꯃꯁꯨꯡ ꯏꯁꯣꯐꯦꯒꯁꯀꯤ ꯃꯅꯨꯡꯗꯥ ꯆꯦꯀꯁꯤꯟꯅꯥ ꯌꯦꯡꯁꯤꯜꯂꯤ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯆꯤꯡꯅꯕꯥ ꯂꯩꯕꯥ ꯃꯐꯝ ꯑꯃꯥ ꯂꯩꯔꯕꯗꯤ, ꯌꯥꯝꯅꯥ ꯑꯄꯤꯀꯄꯥ ꯇꯤꯁꯨ ꯑꯃꯥ ꯑꯦꯀꯖꯥꯃꯤꯅꯦꯁꯟ (ꯕꯥꯏꯑꯣꯞꯁꯤ)ꯒꯤꯗꯃꯛꯇꯥ ꯂꯧꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯅꯥ ꯑꯩꯈꯣꯌꯅꯥ ꯁꯦꯂꯁꯤꯡ ꯑꯗꯨꯒꯤ ꯑꯆꯨꯝꯕꯥ ꯃꯑꯣꯡ ꯃꯇꯧ ꯑꯗꯨ ꯈꯉꯕꯥ ꯉꯃꯍꯜꯂꯒꯅꯤ꯫

ꯃꯁꯤꯗꯥ ꯃꯇꯝ ꯀꯌꯥ ꯆꯪꯒꯅꯤ? ꯃꯁꯤꯅꯥ ꯑꯋꯥꯕꯥ ꯄꯤꯒꯅꯤ?

ꯂꯧꯈꯤꯕꯥ ꯃꯇꯝ ꯑꯁꯤ ꯑꯦꯀꯖꯥꯃꯤꯅꯦꯁꯅꯒꯤ ꯃꯑꯣꯡ ꯃꯇꯧꯒꯤ ꯃꯇꯨꯡ ꯏꯟꯅꯥ ꯈꯦꯠꯅꯩ꯫ ꯇ꯭ꯔꯥꯟꯁꯅꯦꯁꯦꯜ ꯏꯁꯣꯐꯦꯒꯣꯁ꯭ꯀꯣꯄꯤ ꯑꯃꯅꯥ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯃꯤꯅꯠ 15 ꯆꯪꯏ, ꯑꯗꯨꯒꯥ ꯇ꯭ꯔꯥꯟꯁꯑꯣꯔꯦꯜ ꯏꯁꯣꯐꯦꯒꯣꯁ꯭ꯀꯣꯄꯤ ꯑꯃꯅꯥ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯃꯤꯅꯠ 60 ꯆꯪꯏ꯫

ꯅꯠꯇꯦ, ꯃꯁꯤ ꯑꯋꯥꯕꯥ ꯇꯦꯁ꯭ꯠ ꯑꯃꯅꯤ꯫ ꯅꯍꯥꯀꯄꯨ ꯑꯦꯅꯥꯁ꯭ꯇꯦꯁꯤꯌꯥ ꯄꯤꯒꯅꯤ, ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯋꯥꯕꯥ ꯑꯃꯠꯇꯥ ꯐꯥꯑꯣꯔꯣꯏ꯫ ꯇꯤꯎꯕ ꯑꯗꯨ ꯊꯥꯗꯣꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯈꯔꯥ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯐꯥꯎꯔꯀꯄꯥ ꯌꯥꯏ, ꯑꯗꯨꯕꯨ ꯃꯗꯨ ꯁꯣꯀꯍꯜꯂꯣꯏꯗꯕꯅꯤ꯫

ꯇꯦꯁ꯭ꯠ ꯇꯧꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯀꯔꯤ ꯑꯣꯏꯒꯅꯤ?

ꯃꯁꯤ ꯃꯍꯧꯁꯥꯅꯥ ꯑꯥꯎꯇꯄꯦꯁꯦꯟꯇ ꯄ꯭ꯔꯣꯁꯤꯗ꯭ꯌꯨꯑꯣꯔ ꯑꯃꯅꯤ꯫ ꯃꯁꯤꯅꯥ ꯇꯥꯀꯄꯗꯤ ꯅꯍꯥꯛꯅꯥ ꯅꯨꯃꯤꯠ ꯑꯗꯨꯃꯛꯇꯗꯥ ꯌꯨꯃꯗꯥ ꯆꯠꯄꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯑꯦꯅꯥꯁ꯭ꯇꯦꯁꯤꯌꯥꯒꯤ ꯏꯐꯦꯛꯇꯁꯤꯡ ꯑꯗꯨ ꯂꯣꯌꯁꯤꯜꯂꯛꯠꯔꯤꯕꯐꯥꯎꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯜ ꯅꯠꯠꯔꯒꯥ ꯀ꯭ꯂꯤꯅꯤꯀꯇꯥ ꯄꯨꯡ ꯈꯔꯒꯤ ꯑꯣꯏꯅꯥ ꯂꯩꯕꯥ ꯃꯊꯧ ꯇꯥꯏ꯫ ꯅꯍꯥꯛꯀꯤ ꯀꯣꯛ ꯑꯃꯁꯨꯡ ꯅꯥꯀꯣꯡꯗꯥ ꯂꯩꯕꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯑꯗꯨ ꯂꯥꯀꯁꯤꯅꯕꯗꯁꯨ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯄꯨꯡ ꯑꯃꯥ ꯆꯪꯕꯥ ꯌꯥꯏ꯫

ꯇꯦꯁ꯭ꯠ ꯑꯁꯤꯒꯤ ꯀꯥꯟꯅꯕꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯈꯨꯗꯣꯡꯊꯤꯕꯁꯤꯡ ꯀꯔꯤꯅꯣ?

ꯇꯦꯁ꯭ꯠ ꯑꯁꯤꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯀꯥꯟꯅꯕꯁꯤꯡꯗꯤ:

• ꯖꯤ.ꯏ.ꯑꯥꯔ.ꯗꯤ. ꯑꯃꯁꯨꯡ ꯕꯦꯔꯦꯠꯀꯤ ꯏꯁꯣꯐꯦꯒꯁꯒꯨꯝꯕꯥ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ ꯑꯁꯤ ꯑꯆꯨꯝꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯈꯉꯗꯣꯀꯄꯥ ꯉꯝꯕꯥ .
• ꯏꯁꯣꯐꯦꯒꯁꯇꯥ ꯀꯦꯟꯁꯔ ꯁꯦꯂꯁꯤꯡ ꯉꯟꯅꯥ ꯈꯪꯗꯣꯀꯄꯥ ꯉꯝꯕꯅꯥ ꯂꯥꯏꯌꯦꯡ ꯊꯨꯅꯥ ꯍꯧꯕꯥ ꯉꯃꯍꯜꯂꯤ꯫
• ꯊꯣꯡꯅꯥꯎꯗꯥ ꯆꯦꯟꯊꯔꯀꯄꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ ꯁꯥꯐꯅꯥ ꯂꯧꯊꯣꯀꯄꯥ ꯉꯝꯕꯥ꯫

ꯏꯁꯣꯐꯦꯒꯣꯁ꯭ꯀꯣꯄꯤ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯁꯥꯐꯕꯥ ꯊꯧꯑꯣꯡ ꯑꯃꯅꯤ꯫ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯅꯦꯝꯃꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯈꯣꯌ ꯑꯁꯤ ꯊꯣꯛꯂꯕꯗꯤ, ꯃꯈꯣꯌ ꯑꯁꯤ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯁꯤꯡꯁꯤ ꯌꯥꯎꯕꯥ ꯌꯥꯏ:

• ꯈꯔꯥ ꯏ ꯊꯣꯀꯄꯥ꯫
• ꯀꯣꯛ ꯆꯤꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯁꯣꯀꯄꯥ ꯑꯃꯥ꯫
• ꯑꯦꯅꯥꯁ꯭ꯇꯦꯁꯤꯌꯥꯒꯤ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯑꯃꯥ꯫
• ꯏꯁꯣꯐꯦꯒꯁꯀꯤ ꯈꯣꯡꯖꯦꯜ (perforation of the esophagus) - ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯌꯥꯝꯅꯥ ꯇꯣꯏꯅꯥ ꯊꯣꯀꯏ꯫

ꯇꯦꯁ꯭ꯠ ꯇꯧꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯗꯣꯛꯇꯔꯒꯥ ꯇꯥꯟꯅꯕꯒꯤ ꯃꯊꯧ ꯇꯥꯕ꯭ꯔꯥ?

ꯃꯍꯧꯁꯥꯅꯥ, ꯗꯣꯛꯇꯔꯅꯥ ꯇꯦꯁ꯭ꯠ ꯑꯗꯨꯒꯤ ꯔꯤꯖꯜꯇ ꯑꯗꯨ ꯈꯨꯗꯛꯇꯥ ꯈꯪꯍꯜꯂꯛꯀꯅꯤ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯕꯥꯏꯑꯣꯞꯁꯤ ꯑꯃꯥ ꯄꯥꯡꯊꯣꯛꯂꯕꯗꯤ, ꯔꯤꯄꯣꯔꯠ ꯑꯗꯨ ꯍꯜꯂꯀꯄꯗꯥ ꯅꯨꯃꯤꯠ ꯈꯔꯅꯤ ꯅꯠꯠꯔꯒꯥ ꯅꯨꯃꯤꯠ ꯑꯃꯥ ꯆꯪꯂꯕꯥ ꯌꯥꯏ꯫ ꯑꯗꯨ ꯑꯣꯏꯔꯕꯗꯤ ꯔꯤꯄꯣꯔꯠ ꯑꯗꯨ ꯍꯜꯂꯛꯂꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯗꯣꯛꯇꯔꯒꯥ ꯎꯅꯅꯕꯥ ꯅꯨꯃꯤꯠ ꯑꯃꯥ ꯄꯤꯒꯅꯤ꯫

ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯇꯦꯁ꯭ꯠ ꯇꯧꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯌꯨꯃꯗꯥ ꯆꯠꯄꯥ ꯃꯇꯃꯗꯥ ꯑꯋꯥꯕꯥ ꯑꯃꯥ ꯍꯦꯛꯇꯥ ꯊꯦꯡꯅꯔꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯈꯨꯗꯛꯇꯥ ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯄꯥꯎꯇꯥꯛ ꯂꯧꯒꯗꯕꯅꯤ꯫