ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯒꯤ ꯑꯔꯥꯞꯄꯥ ꯃꯐꯃꯗꯥ, ꯅꯍꯥꯛꯀꯤ ꯔꯤꯕꯅꯒꯤ ꯃꯈꯥꯗꯥ ꯂꯩꯕꯥ, ꯋꯥꯈꯜ ꯆꯔꯥꯡꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯈꯣꯡ ꯍꯥꯝꯂꯀꯄꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯑꯅꯥꯕꯁꯨ ꯂꯩꯕ꯭ꯔꯥ? ꯑꯌꯥꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯑꯩꯈꯣꯌꯅꯥ ꯃꯁꯤ ꯒꯦꯁ꯭ꯠꯔꯥꯏꯇꯤꯁꯅꯤ ꯍꯥꯌꯅꯥ ꯈꯜꯂꯤ, ꯑꯗꯨꯕꯨ ꯃꯁꯤ ꯍꯦꯟꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯋꯥꯐꯝ ꯑꯃꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫ ꯉꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯃꯤꯑꯣꯏ ꯀꯌꯥꯅꯥ ꯈꯉꯗꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯔꯤ, ꯑꯗꯨꯕꯨ ꯈꯉꯕꯥ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫ ꯃꯗꯨꯗꯤ ꯒꯥꯂꯕ꯭ꯂꯦꯗꯔꯒꯤ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯁꯟ, ꯅꯠꯠꯔꯒꯥ ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯋꯥꯍꯟꯊꯣꯛꯀꯤ ꯃꯇꯨꯡ ꯏꯟꯅꯥ ꯀꯣꯂꯦꯁꯤꯁ꯭ꯇꯦꯇꯤꯁꯅꯤ꯫
ꯃꯁꯤ ꯒꯥꯂꯕ꯭ꯂꯦꯗꯔ ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ? ꯃꯁꯤꯒꯤ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯁꯟ ꯑꯁꯤ ꯀꯔꯤꯅꯣ?
ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯒꯥꯂꯕ꯭ꯂꯦꯗꯔ ꯑꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯂꯤꯚꯔꯒꯤ ꯃꯈꯥꯗꯥ ꯂꯩꯕꯥ ꯑꯄꯤꯀꯄꯥ ꯄꯦꯌꯥꯔ ꯃꯑꯣꯡꯒꯤ ꯁꯦꯛ ꯃꯈꯂꯒꯤ ꯑꯣꯔꯒꯥꯟ ꯑꯃꯅꯤ꯫ ꯃꯁꯤꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯊꯕꯛ ꯑꯁꯤ ꯂꯤꯚꯔꯅꯥ ꯄꯨꯊꯣꯀꯄꯥ "ꯕꯥꯏꯜ" ꯀꯧꯕꯥ ꯂꯤꯛꯌꯨꯏꯗ ꯑꯃꯥ ꯃꯇꯝ ꯈꯔꯒꯤ ꯑꯣꯏꯅꯥ ꯊꯃꯖꯤꯅꯕꯅꯤ꯫ ꯑꯩꯈꯣꯌꯅꯥ ꯐꯦꯠ ꯅꯠꯠꯔꯒꯥ ꯑꯣꯏꯜ ꯌꯥꯝꯅꯥ ꯌꯥꯎꯕꯥ ꯆꯤꯟꯖꯥꯛ ꯑꯃꯥ ꯆꯥꯕꯥ ꯃꯇꯃꯗꯥ, ꯒꯥꯂꯕ꯭ꯂꯦꯗꯔꯅꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯑꯄꯤꯀꯄꯥ ꯏꯟꯇꯦꯁ꯭ꯇꯥꯏꯅꯗꯥ ꯕꯥꯏꯜ ꯈꯔꯥ ꯊꯥꯗꯣꯀꯏ ꯃꯗꯨꯅꯥ ꯃꯗꯨ ꯍꯟꯖꯤꯅꯍꯅꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫ ꯃꯁꯤꯒꯤ ꯕꯥꯏꯜ ꯑꯁꯤ ꯏꯁꯤꯡꯒꯤ ꯄꯥꯏꯄꯒꯨꯝꯕꯥ ꯑꯄꯤꯀꯄꯥ ꯇꯤꯎꯕꯁꯤꯡꯒꯤ ꯁꯤꯁ꯭ꯇꯦꯝ ꯑꯃꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯆꯠꯂꯤ꯫ ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤꯕꯨ "ꯕꯥꯏꯜ ꯗꯛꯇ" ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫
ꯍꯧꯖꯤꯛ ꯈꯅꯕꯤꯌꯨ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯔꯝ ꯈꯔꯗꯒꯤ ꯕꯥꯏꯜ ꯗꯛꯇꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯅꯥ ꯕ꯭ꯂꯣꯛ ꯇꯧꯔꯕꯗꯤ, ꯅꯠꯠꯔꯒꯥ ꯒꯥꯂꯕ꯭ꯂꯦꯗꯔꯗꯥ ꯏꯅꯐꯦꯛꯁꯟ ꯂꯩꯔꯕꯗꯤ ꯀꯔꯤ ꯑꯣꯏꯒꯅꯤ? ꯃꯗꯨꯗꯥ ꯒꯥꯂꯕ꯭ꯂꯦꯗꯔ ꯑꯗꯨ ꯁꯣꯟꯊꯔꯀꯏ ꯑꯃꯁꯨꯡ ꯁꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯁꯟ ꯑꯣꯏꯔꯀꯏ꯫ ꯑꯩꯈꯣꯌꯅꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤꯕꯨ ꯀꯣꯂꯦꯁꯤꯁ꯭ꯇꯦꯇꯤꯁ ꯍꯥꯌꯅꯥ ꯀꯧꯏ .
ꯒꯥꯂꯕ꯭ꯂꯦꯗꯔ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯁꯅꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯈꯂꯁꯤꯡ ꯂꯩꯕ꯭ꯔꯥ?
ꯍꯣꯌ, ꯃꯁꯤꯒꯤ ꯐꯤꯚꯝ ꯑꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯑꯣꯡ ꯑꯅꯤꯗꯥ ꯎꯕꯥ ꯐꯪꯂꯤ꯫
1. ꯑꯦꯛꯌꯨꯠ ꯀꯣꯂꯦꯁꯤꯁ꯭ꯇꯦꯇꯤꯁ (acute cholecystitis): ꯃꯁꯤ ꯈꯪꯍꯧꯗꯅꯥ ꯍꯧꯔꯀꯄꯥ ꯁꯥꯊꯤꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫ ꯑꯅꯥꯕꯥ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯅꯥ ꯁꯣꯀꯏ꯫
2. ꯀ꯭ꯔꯣꯅꯤꯛ ꯀꯣꯂꯦꯁ꯭ꯇꯦꯔꯣꯜ: ꯃꯁꯤ ꯈꯪꯍꯧꯗꯅꯥ ꯊꯣꯀꯄꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ . ꯃꯁꯤ ꯃꯇꯃꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ ꯒꯥꯂꯕ꯭ꯂꯦꯗꯔ ꯑꯗꯨ ꯁꯣꯟꯊꯔꯀꯄꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯂꯦꯡ-ꯑꯣꯠꯄꯗꯥ ꯋꯥꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫
ꯃꯁꯤꯒꯤ ꯃꯊꯛꯇꯥ ꯃꯔꯃꯒꯤ ꯃꯇꯨꯡ ꯏꯟꯅꯥ ꯀ꯭ꯂꯥꯁꯤꯐꯥꯏ ꯇꯧꯕꯁꯨ ꯌꯥꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯁꯤ ꯒꯥꯂꯁ꯭ꯇꯣꯅꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯑꯣꯏꯔꯕꯗꯤ, ꯃꯁꯤꯕꯨ ``ꯀꯦꯂꯀꯨꯂꯁ ꯀꯣꯂꯦꯁꯤꯁ꯭ꯇꯦꯇꯤꯁ'' ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯁꯤ ꯁ꯭ꯇꯣꯟ ꯌꯥꯎꯗꯅꯥ ꯑꯇꯩ ꯃꯔꯃꯁꯤꯡꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯑꯣꯏꯔꯕꯗꯤ, ꯃꯁꯤꯕꯨ ``ꯑꯦꯀꯦꯂꯀꯨꯂꯁ ꯀꯣꯂꯦꯁꯤꯁ꯭ꯇꯦꯇꯤꯁ'' ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯃꯁꯤ ꯅꯤꯡꯁꯤꯡꯕꯥ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ ꯃꯗꯨꯗꯤ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯀꯦꯁ ꯹꯵%ꯗꯥ ꯃꯔꯝ ꯑꯁꯤ ꯒꯥꯂꯁ꯭ꯇꯣꯅꯅꯤ .
ꯒꯥꯂꯕ꯭ꯂꯦꯗꯔ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯁꯅꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?
ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯑꯆꯨꯝꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯈꯪꯗꯣꯀꯄꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ, ꯃꯗꯨꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯄꯥꯎꯇꯥꯛ ꯊꯨꯅꯥ ꯂꯧꯕꯥ ꯉꯃꯒꯅꯤ꯫
| ꯂꯥꯏꯑꯣꯡ꯫ | ꯋꯥꯔꯣꯜ |
|---|---|
| ꯈꯣꯡꯒꯤ ꯃꯊꯛ ꯊꯪꯕꯥ ꯁꯔꯨꯛꯇꯥ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯅꯥ ꯁꯣꯀꯄꯥ꯫ | ꯃꯁꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯂꯥꯏꯑꯣꯡꯅꯤ꯫ ꯑꯅꯥꯕꯥ ꯑꯗꯨ ꯈꯪꯍꯧꯗꯅꯥ ꯍꯦꯅꯒꯠꯂꯀꯏ ꯑꯃꯁꯨꯡ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯋꯥꯡꯕꯥ ꯊꯥꯛꯇꯥ ꯌꯧꯔꯀꯏ꯫ ꯃꯤꯑꯣꯏ ꯈꯔꯗꯗꯤ ꯑꯅꯥꯕꯥ ꯑꯁꯤ ꯑꯔꯣꯏꯕꯥ ꯈꯨꯎ ꯅꯠꯠꯔꯒꯥ ꯈꯣꯡꯗꯥ ꯆꯪꯁꯤꯜꯂꯀꯄꯥ ꯐꯥꯎꯕꯥ ꯌꯥꯏ꯫ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ ꯃꯇꯃꯗꯥ ꯑꯅꯥꯕꯥ ꯑꯗꯨ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯤꯑꯣꯏ ꯈꯔꯅꯥ ꯃꯁꯤꯕꯨ ꯆꯦꯛꯁꯤꯟꯅꯥ ꯌꯦꯡꯁꯤꯅꯕꯤꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯍꯥꯔꯠ ꯑꯦꯇꯦꯛ ꯇꯧꯔꯀꯄꯅꯤ ꯍꯥꯌꯅꯥ ꯐꯥꯎꯕꯥ ꯂꯧꯏ꯫ |
| ꯅꯣꯡꯃꯩ ꯀꯥꯞꯄꯥ ꯑꯃꯁꯨꯡ ꯈꯣꯡ ꯍꯥꯝꯕꯥ꯫ | ꯅꯣꯡꯃꯩ ꯀꯥꯞꯄꯥ ꯑꯃꯁꯨꯡ ꯋꯥꯈꯜ ꯃꯥꯡꯕꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯈꯣꯡ ꯍꯥꯝꯕꯥ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯀꯃꯟ ꯑꯣꯏ꯫ |
| ꯂꯥꯏꯍꯧ ꯍꯧꯕ | ꯃꯤꯑꯣꯏ ꯈꯔꯗꯤ ꯗꯤꯒ꯭ꯔꯤ ꯐꯥꯔꯦꯅꯍꯥꯏꯠ 100ꯒꯤ ꯃꯊꯛꯇꯥ ꯂꯩꯕꯥ ꯂꯥꯏꯍꯧ ꯍꯧꯕꯥ ꯌꯥꯏ꯫ ꯂꯥꯏꯍꯧ ꯑꯃꯥ ꯍꯥꯌꯕꯁꯤꯅꯥ ꯍꯦꯟꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯏꯅꯐꯦꯛꯁꯟ ꯅꯠꯠꯔꯒꯥ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯁꯟ ꯑꯃꯥ ꯂꯩꯔꯦ ꯍꯥꯌꯕꯅꯤ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯑꯍꯜ ꯑꯣꯏꯔꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯗꯥ ꯂꯥꯏꯍꯧ ꯍꯧꯕꯒꯤ ꯆꯥꯡ ꯍꯟꯊꯩ꯫ |
| ꯑꯇꯣꯞꯄꯥ ꯐꯤꯆꯔꯁꯤꯡ꯫ | ꯃꯔꯨꯑꯣꯏꯅꯥ ꯑꯍꯜ ꯑꯣꯏꯔꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯗꯥ ꯐꯨꯕꯥ, ꯈꯣꯡ ꯍꯥꯝꯂꯕꯥ ꯃꯇꯃꯗꯥ ꯑꯅꯥꯕꯥ, ꯂꯦꯡ-ꯑꯣꯠꯄꯒꯤ ꯃꯑꯣꯡ-ꯃꯇꯧ, ꯑꯃꯁꯨꯡ ꯆꯥꯛ ꯆꯥꯕꯥ ꯋꯥꯠꯄꯥ ꯑꯁꯤꯅꯆꯤꯡꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯎꯕꯥ ꯐꯪꯏ꯫ |
ꯃꯔꯨꯑꯣꯏꯕꯥ ꯋꯥꯐꯃꯗꯤ ꯀ꯭ꯔꯣꯅꯤꯛ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯗꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯑꯣꯏꯗꯕꯥ ꯌꯥꯏ꯫ ꯃꯔꯨꯑꯣꯏꯅꯥ ꯐꯦꯠ ꯌꯥꯝꯅꯥ ꯌꯥꯎꯕꯥ ꯆꯤꯟꯖꯥꯛ ꯑꯃꯥ ꯆꯥꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ, ꯅꯍꯥꯛꯅꯥ ꯄꯨꯡ ꯈꯔꯒꯤ ꯑꯣꯏꯅꯥ ꯈꯣꯡꯗꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯑꯃꯁꯨꯡ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯐꯥꯎꯔꯀꯄꯥ ꯌꯥꯏ ꯑꯃꯁꯨꯡ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯃꯗꯨ ꯂꯥꯀꯁꯤꯜꯂꯛꯀꯅꯤ꯫
ꯀꯔꯤꯒꯤꯗꯃꯛꯇꯥ ꯒꯥꯂꯕ꯭ꯂꯦꯗꯔ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯁꯟ ꯑꯁꯤ ꯊꯣꯛꯂꯤꯕꯅꯣ?
ꯑꯩꯈꯣꯌꯅꯥ ꯃꯃꯥꯡꯗꯥ ꯍꯥꯌꯈꯤꯕꯒꯨꯝꯅꯥ, ꯃꯔꯨꯑꯣꯏꯕꯥ ꯑꯃꯁꯨꯡ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯃꯔꯝ ꯑꯁꯤ ꯒꯥꯂꯁ꯭ꯇꯣꯅꯅꯤ . ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯕꯥꯏꯂꯗꯥ ꯂꯩꯕꯥ ꯇꯣꯉꯥꯟ-ꯇꯣꯉꯥꯅꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡꯅꯥ ꯀꯨꯄꯁꯤꯜꯂꯕꯥ ꯑꯃꯁꯨꯡ ꯃꯇꯃꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ ꯀꯀꯊꯠꯄꯥ ꯃꯇꯃꯗꯥ ꯁꯦꯃꯒꯠꯂꯀꯏ, ꯃꯗꯨꯗꯤ ꯈꯣꯡꯎꯄꯒꯨꯝꯅꯥ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯁ꯭ꯇꯣꯅꯁꯤꯡ ꯑꯁꯤ ꯒꯥꯂꯕ꯭ꯂꯦꯗꯔꯗꯥ ꯅꯠꯠꯔꯒꯥ ꯕꯥꯏꯜ ꯗꯛꯇ ꯑꯃꯗꯥ ꯊꯨꯒꯥꯌꯔꯕꯗꯤ, ꯕꯥꯏꯜ ꯑꯗꯨ ꯃꯄꯥꯟꯗꯥ ꯊꯣꯀꯄꯥ ꯉꯃꯗꯦ ꯑꯃꯁꯨꯡ ꯒꯥꯂꯕ꯭ꯂꯦꯗꯔꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯊꯨꯒꯥꯌ꯫ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯒꯥꯂꯕ꯭ꯂꯦꯗꯔ ꯑꯗꯨ ꯁꯣꯟꯊꯔꯀꯏ, ꯏꯅꯐꯦꯛꯁꯟ ꯂꯩꯔꯀꯏ ꯑꯃꯁꯨꯡ ꯕꯦꯛꯇꯦꯔꯤꯌꯥꯅꯥ ꯏꯅꯐꯦꯛꯁꯟ ꯐꯥꯎꯕꯥ ꯌꯥꯏ꯫
ꯑꯗꯨꯕꯨ ꯃꯁꯤ ꯁꯤꯜ ꯈꯛꯇꯒꯤ ꯅꯠꯇꯦ, ꯑꯇꯣꯞꯄꯥ ꯃꯔꯃꯁꯤꯡꯁꯨ ꯂꯩꯕꯥ ꯌꯥꯏ꯫
- ꯕꯤꯂꯤꯌꯔ ꯁ꯭ꯠꯔꯤꯀꯆꯔ (Biliary stricture): ꯑꯇꯩ ꯂꯥꯌꯅꯥꯁꯤꯡꯅꯥ ꯕꯥꯏꯜ ꯗꯛꯇꯁꯤꯡ (biliary ducts) ꯁꯣꯟꯊꯍꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯃꯈꯣꯌꯗꯨ ꯀꯨꯄꯁꯤꯅꯕꯥ ꯌꯥꯏ꯫
- ꯕꯤꯂꯤꯌꯔ ꯗꯤꯁꯀꯤꯅꯦꯁꯤꯌꯥ (Biliary dyskinesia): ꯒꯥꯂꯕ꯭ꯂꯦꯗꯔꯗꯥ ꯂꯩꯕꯥ ꯃꯁꯂꯁꯤꯡ ꯑꯗꯨ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯀꯟꯠꯔꯦꯛꯇ ꯇꯧꯗꯕꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯕꯥꯏꯜ ꯑꯗꯨ ꯊꯥꯗꯣꯀꯄꯥ ꯉꯃꯍꯟꯗꯦ꯫
- ꯒꯥꯂꯕ꯭ꯂꯦꯗꯔ ꯀꯦꯟꯁꯔ: ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ, ꯒꯥꯂꯕ꯭ꯂꯦꯗꯔ ꯅꯠꯠꯔꯒꯥ ꯕꯥꯏꯜ ꯗꯛꯇꯀꯤ ꯀꯦꯟꯁꯔꯅꯥ ꯕꯥꯏꯜ ꯗꯛꯇꯁꯤꯡꯗꯥ ꯕ꯭ꯂꯣꯛ ꯇꯧꯕꯁꯨ ꯌꯥꯏ꯫
- ꯏꯒꯤ ꯁꯞꯂꯥꯏ ꯍꯟꯊꯔꯀꯄꯥ (Ischemia): ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯔꯝ ꯈꯔꯗꯒꯤ ꯒꯥꯂꯕ꯭ꯂꯦꯗꯔꯗꯥ ꯏꯒꯤ ꯁꯞꯂꯥꯏ ꯍꯟꯊꯔꯀꯄꯥ ꯇꯥꯔꯕꯗꯤ, ꯏꯅꯐ꯭ꯂꯦꯃꯦꯁꯟ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫
- ꯏꯅꯐꯦꯛꯁꯅꯁꯤꯡ: ꯱.ꯒꯥꯂꯁ꯭ꯇꯣꯟ ꯂꯩꯇꯕꯁꯨ, ꯕꯦꯛꯇꯦꯔꯤꯌꯥꯒꯤ ꯏꯅꯐꯦꯛꯁꯅꯁꯤꯡꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯒꯥꯂꯕ꯭ꯂꯦꯗꯔ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯏꯅꯐꯦꯛꯁꯟ ꯂꯩꯕꯥ ꯌꯥꯏ꯫
ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯂꯥꯀꯄꯒꯤ ꯔꯤꯁ꯭ꯛ ꯂꯩꯕꯥ ꯀꯅꯥꯅꯣ?
ꯒꯥꯂꯁ꯭ꯇꯣꯟ ꯂꯥꯀꯄꯒꯤ ꯔꯤꯁ꯭ꯛ ꯍꯦꯟꯅꯥ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯗꯥ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯁꯟ ꯑꯁꯤ ꯂꯥꯀꯄꯒꯤ ꯔꯤꯁ꯭ꯛ ꯍꯦꯟꯅꯥ ꯂꯩ꯫ ꯃꯈꯣꯏ ꯑꯁꯤ:
- ꯅꯨꯄꯤ
- ꯃꯤꯔꯣꯜꯂꯤꯕꯤ ꯃꯃꯥꯁꯤꯡ꯫
- ꯑꯣꯕꯦꯁꯤꯇꯤ (ꯑꯔꯨꯝꯕꯥ ꯍꯦꯅꯕꯥ) .
- ꯗꯥꯏꯑꯦꯕꯦꯇꯤꯖ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡ꯫
- ꯕ꯭ꯂꯗ ꯀꯣꯂꯦꯁ꯭ꯇꯦꯔꯣꯂꯒꯤ ꯆꯥꯡ ꯋꯥꯡꯅꯥ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡ꯫
- ꯈꯪꯍꯧꯗꯅꯥ ꯑꯔꯨꯝꯕꯥ ꯌꯥꯝꯅꯥ ꯍꯟꯊꯔꯀꯄꯥ ꯃꯤꯑꯣꯏꯁꯤꯡ꯫
- ꯆꯍꯤ ꯴꯰ꯒꯤ ꯃꯊꯛꯇꯥ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡ꯫
ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ ꯍꯥꯌꯕꯔꯥ? ꯑꯣꯏꯊꯣꯀꯄꯥ ꯌꯥꯕꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?
ꯍꯣꯌ, ꯃꯁꯤ ꯂꯥꯏꯅꯥ ꯂꯧꯕꯥ ꯌꯥꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ . ꯑꯀꯅꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯗꯥ, ꯕꯥꯏꯜ ꯗꯛꯇ ꯑꯗꯨ ꯕ꯭ꯂꯣꯛ ꯇꯧꯔꯀꯏ, ꯃꯗꯨꯅꯥ ꯕꯥꯏꯜ ꯑꯗꯨ ꯏꯗꯥ ꯕꯦꯛ ꯇꯧꯕꯥ ꯉꯃꯍꯜꯂꯤ꯫ ꯃꯁꯤꯅꯥ ꯍꯀꯆꯥꯡ ꯄꯨꯝꯅꯃꯀꯄꯨ ꯑꯔꯨꯝꯕꯥ ꯐꯥꯎꯕꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯂꯥꯏꯌꯦꯡꯗ꯭ꯔꯕꯗꯤ ꯊꯣꯀꯄꯥ ꯌꯥꯕꯥ ꯁꯥꯊꯤꯕꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯟ ꯈꯔꯗꯤ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯁꯤꯡꯁꯤꯅꯤ:
- ꯒꯦꯡꯒ꯭ꯔꯤꯟ (Gangrine): ꯌꯥꯝꯅꯥ ꯆꯥꯎꯅꯥ ꯁꯣꯛ-ꯄꯅꯕꯅꯥ ꯒꯥꯂꯕ꯭ꯂꯦꯗꯔꯗꯥ ꯏꯒꯤ ꯈꯣꯡꯖꯦꯜ ꯊꯤꯡꯖꯤꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯇꯤꯁꯨ ꯑꯗꯨ ꯁꯤꯍꯅꯕꯥ ꯌꯥꯏ꯫
- ꯒꯥꯂꯕ꯭ꯂꯦꯗꯔꯗꯥ ꯄꯣꯃꯈꯠꯄꯥ (gallbladder perforation): ꯇꯤꯁꯨꯁꯤꯡ ꯁꯤꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ, ꯒꯥꯂꯕ꯭ꯂꯦꯗꯔꯒꯤ ꯋꯥꯜ ꯑꯗꯨ ꯄꯣꯃꯈꯠꯄꯥ (perforation) ꯊꯣꯀꯍꯜꯂꯤ, ꯃꯗꯨꯅꯥ ꯕꯥꯏꯜ ꯑꯃꯁꯨꯡ ꯄꯣꯠꯁꯀꯁꯤꯡ (toxins) ꯑꯗꯨ ꯈꯣꯡꯗꯥ ꯆꯦꯟꯊꯔꯀꯄꯥ ꯌꯥꯍꯜꯂꯤ꯫
- ꯄꯦꯔꯤꯇꯣꯅꯤꯇꯤꯁ (Paritonitis): ꯌꯦꯔꯨꯃꯗꯥ ꯕꯥꯏꯜ ꯂꯤꯛ ꯇꯧꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯖꯔꯃꯁꯤꯡꯅꯥ ꯌꯦꯔꯨꯃꯒꯤ ꯃꯆꯤꯟꯖꯥꯛ ꯌꯥꯎꯕꯥ ꯂꯥꯏꯅꯤꯡꯗꯥ ꯆꯪꯂꯀꯄꯥ ꯌꯥꯏ ꯑꯃꯁꯨꯡ ꯁꯥꯊꯤꯕꯥ ꯏꯅꯐꯦꯛꯁꯟ ꯑꯃꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫
- ꯁꯦꯄꯇꯤꯁꯃꯤꯌꯥ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯏꯅꯐꯦꯛꯁꯟ ꯑꯁꯤ ꯏꯗꯥ ꯆꯪꯂꯛꯂꯕꯗꯤ, ꯃꯁꯤꯅꯥ ꯄꯨꯟꯁꯤ ꯃꯥꯡꯍꯅꯕꯥ ꯌꯥꯏ꯫
- ꯄꯦꯅꯛꯔꯤꯑꯦꯇꯤꯁ: ꯁ꯭ꯇꯣꯟ ꯑꯗꯨꯒꯤ ꯃꯐꯃꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ ꯄꯦꯅꯛꯔꯤꯑꯦꯖꯗꯁꯨ ꯁꯣꯀꯍꯜꯂꯀꯄꯥ ꯌꯥꯏ꯫
ꯃꯔꯝ ꯑꯗꯨꯅꯥ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯂꯩꯔꯕꯗꯤ, ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯥ ꯊꯕꯛ ꯑꯁꯤ ꯈꯨꯗꯛꯇꯥ ꯗꯣꯛꯇꯔ ꯑꯃꯒꯥ ꯇꯥꯟꯅꯕꯅꯤ , ꯌꯨꯃꯗꯥ ꯂꯩꯗꯨꯅꯥ "ꯃꯁꯤ ꯒꯦꯁ꯭ꯠꯔꯥꯏꯇꯤꯁ ꯑꯣꯏꯕꯥ ꯌꯥꯏ" ꯍꯥꯌꯅꯥ ꯈꯟꯗꯨꯅꯥ ꯂꯩꯕꯗꯒꯤ꯫
ꯗꯣꯛꯇꯔ ꯑꯃꯅꯥ ꯃꯁꯤ ꯀꯔꯝꯅꯥ ꯂꯥꯌꯦꯡꯒꯅꯤ?
ꯅꯍꯥꯛꯅꯥ ꯗꯣꯛꯇꯔꯗꯥ ꯆꯠꯄꯥ ꯃꯇꯃꯗꯥ, ꯃꯍꯥꯛꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡꯒꯤ ꯃꯔꯃꯗꯥ ꯍꯪꯒꯅꯤ꯫ ꯑꯗꯨꯗꯒꯤ ꯃꯍꯥꯛꯅꯥ ꯅꯈꯣꯌꯕꯨ ꯌꯦꯡꯁꯤꯅꯒꯅꯤ꯫ ꯒꯥꯂꯕ꯭ꯂꯦꯗꯔ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯁꯟ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯁꯤꯟꯅꯕꯥ ꯃꯃꯤꯡ ꯂꯩꯔꯕꯥ ꯇꯦꯁ꯭ꯠ ꯑꯃꯥ ꯂꯩ꯫ ꯃꯁꯤꯗꯥ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯒꯤ ꯃꯊꯛ ꯊꯪꯕꯥ ꯁꯔꯨꯛꯇꯥ ꯆꯦꯟꯊꯈꯤꯒꯅꯤ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯀꯄꯨ ꯊꯋꯥꯏ ꯌꯥꯑꯣꯅꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯅꯕꯥ ꯍꯥꯌꯒꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯑꯅꯥꯕꯥ ꯂꯩꯔꯕꯗꯤ, ꯃꯗꯨ ꯒꯥꯂꯕ꯭ꯂꯦꯗꯔ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯁꯟ (`Murphy's sign`)ꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯈꯨꯗꯝ ꯑꯃꯅꯤ꯫
ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ, ꯅꯍꯥꯛꯅꯥ ꯂꯥꯌꯅꯥ ꯑꯁꯤ ꯀꯅꯐꯥꯔꯝ ꯇꯧꯅꯕꯥ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯄꯥꯡꯊꯣꯀꯄꯥ ꯌꯥꯏ:
- ꯕ꯭ꯂꯗ ꯇꯦꯁ꯭ꯠ: ꯃꯄꯨꯡꯐꯥꯕꯥ ꯕ꯭ꯂꯗ ꯀꯥꯎꯟꯇ (CBC) ꯑꯃꯁꯨꯡ ꯂꯤꯚꯔ ꯐꯉ꯭ꯀꯁꯟ ꯇꯦꯁ꯭ꯠ ꯇꯧꯕꯥ꯫
- ꯑꯦꯕꯗꯣꯃꯤꯅꯦꯜ ꯑꯂꯠꯔꯥꯁꯥꯎꯟꯗ: ꯃꯁꯤꯅꯥ ꯒꯥꯂꯁ꯭ꯇꯣꯟ ꯑꯃꯁꯨꯡ ꯁꯣꯀꯄꯥ ꯑꯁꯤꯅꯆꯤꯡꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ ꯃꯌꯦꯛ ꯁꯦꯡꯅꯥ ꯎꯕꯥ ꯐꯪꯏ꯫
- ꯁꯤ.ꯇꯤ.ꯁ꯭ꯀꯦꯟ: ꯃꯁꯤ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯍꯦꯟꯅꯥ ꯃꯌꯦꯛ ꯁꯦꯡꯕꯥ ꯐꯣꯇꯣ ꯑꯃꯥ ꯃꯊꯧ ꯇꯥꯔꯕꯗꯤ ꯇꯧꯏ꯫
- HIDA ꯁ꯭ꯀꯦꯟ: ꯃꯁꯤꯅꯥ ꯒꯥꯂꯕ꯭ꯂꯦꯗꯔ ꯑꯁꯤ ꯀꯌꯥꯝ ꯐꯖꯅꯥ ꯊꯕꯛ ꯇꯧꯔꯤꯕꯒꯦ ꯑꯃꯁꯨꯡ ꯕꯥꯏꯜ ꯗꯛꯇꯁꯤꯡꯗꯥ ꯕ꯭ꯂꯣꯀꯦꯖ ꯑꯃꯥ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯑꯆꯨꯝꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯈꯪꯗꯣꯀꯄꯥ ꯉꯝꯃꯤ꯫
ꯃꯁꯤ ꯀꯔꯝꯅꯥ ꯂꯥꯌꯦꯡꯕꯒꯦ? ꯃꯁꯤ ꯐꯍꯅꯕꯥ ꯉꯃꯒꯗ꯭ꯔꯥ?
ꯍꯣꯌ, ꯃꯄꯨꯡ ꯐꯥꯅꯥ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯒꯥꯂꯕ꯭ꯂꯦꯗꯔ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯁꯟ ꯂꯩꯔꯦ ꯍꯥꯌꯅꯥ ꯈꯪꯂꯕꯗꯤ, ꯅꯍꯥꯀꯄꯨ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯂꯗꯥ ꯂꯥꯌꯦꯡꯒꯅꯤ ꯑꯃꯁꯨꯡ ꯂꯥꯏꯌꯦꯡ ꯍꯧꯒꯅꯤ꯫
ꯑꯍꯥꯅꯕꯥ ꯂꯥꯏꯌꯦꯡ: ꯱.
- ꯁꯦꯂꯥꯏꯟ (IV ꯐ꯭ꯂꯨꯏꯗ): ꯃꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯐ꯭ꯂꯨꯏꯗꯁꯤꯡ ꯄꯤꯗꯨꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯥꯏꯖꯦꯁ꯭ꯇꯤꯚ ꯁꯤꯁ꯭ꯇꯦꯃꯗꯥ ꯅꯨꯡꯉꯥꯏꯕꯥ ꯄꯤꯖꯕꯥ ꯐ꯭ꯂꯨꯏꯗ ꯏꯅꯐ꯭ꯌꯨꯖꯟ ꯑꯃꯅꯤ꯫
- IV ꯑꯦꯟꯇꯤꯕꯥꯏꯑꯣꯇꯤꯀꯁꯤꯡ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯏꯅꯐꯦꯛꯁꯟ ꯂꯩꯔꯕꯗꯤ ꯊꯤꯡꯅꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯂꯥꯏꯌꯦꯡꯅꯕꯥ ꯑꯦꯟꯇꯤꯕꯥꯏꯑꯣꯇꯤꯀꯁꯤꯡ ꯑꯁꯤ ꯚꯦꯅꯝ ꯑꯃꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯄꯤ꯫
- IV ꯄꯦꯏꯟ ꯔꯤꯂꯤꯐ: ꯑꯀꯅꯕꯥ ꯑꯅꯥꯕꯥ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯅꯕꯥ ꯑꯀꯅꯕꯥ ꯄꯦꯟ ꯀꯤꯂꯔꯁꯤꯡ ꯄꯤ꯫
ꯃꯔꯨꯑꯣꯏꯕꯥ ꯑꯃꯁꯨꯡ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯄꯔꯃꯦꯅꯦꯟꯇ ꯑꯣꯏꯕꯥ ꯂꯥꯏꯌꯦꯡ:
ꯒꯥꯂꯁ꯭ꯇꯣꯅꯒꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯄꯔꯃꯦꯅꯦꯟꯇ ꯑꯃꯁꯨꯡ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯥ ꯂꯥꯏꯌꯦꯡꯗꯤ ꯒꯥꯂꯕ꯭ꯂꯦꯗꯔ ꯁꯔꯖꯤꯀꯦꯜ ꯑꯣꯏꯅꯥ ꯂꯧꯊꯣꯀꯄꯥ (`ꯀꯣꯂꯦꯁꯤꯁ꯭ꯇꯦꯛꯇꯣꯃꯤ`) ꯅꯤ꯫ ꯑꯌꯥꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯄꯨꯝꯅꯃꯛ ꯑꯁꯤꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯔꯃꯗꯤ ꯒꯥꯂꯕ꯭ꯂꯦꯗꯔ ꯑꯃꯁꯨꯡ ꯃꯗꯨꯗꯥ ꯌꯥꯎꯔꯤꯕꯥ ꯁꯤꯂꯁꯤꯡ ꯑꯁꯤꯅꯤ, ꯑꯃꯁꯨꯡ ꯃꯗꯨ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯂꯧꯊꯣꯀꯄꯅꯥ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯑꯗꯨ ꯀꯣꯀꯍꯜꯂꯤ꯫
"ꯑꯣꯍ, ꯁꯔꯖꯔꯤ!" ꯃꯁꯤ ꯍꯧꯖꯤꯛ ꯌꯥꯝꯅꯥ ꯀꯃꯟ ꯑꯣꯏꯕꯥ, ꯔꯤꯁ꯭ꯛ ꯅꯦꯝꯕꯥ ꯁꯔꯖꯔꯤ ꯑꯃꯅꯤ꯫ ꯑꯌꯥꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯃꯁꯤ ꯂꯦꯄꯔꯣꯁ꯭ꯀꯣꯄꯤꯛ ꯑꯣꯏꯅꯥ ꯇꯧꯏ . ꯃꯁꯤꯅꯥ ꯇꯥꯀꯄꯗꯤ ꯒꯥꯂꯕ꯭ꯂꯦꯗꯔ ꯑꯁꯤ ꯈꯣꯡꯗꯥ ꯑꯆꯧꯕꯥ ꯏꯅꯁꯤꯁꯟ ꯑꯃꯒꯤ ꯃꯍꯨꯠꯇꯥ ꯀꯦꯃꯦꯔꯥ ꯁꯤꯖꯤꯟꯅꯗꯨꯅꯥ ꯂꯧꯊꯣꯀꯏ꯫ ꯃꯁꯤꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯌꯥꯡꯅꯥ ꯐꯒꯠꯍꯅꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯒꯅꯤ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯂꯗꯥ ꯂꯩꯕꯥ ꯍꯟꯊꯍꯅꯕꯥ ꯉꯃꯒꯅꯤ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯀꯃꯞꯂꯦꯛꯁ ꯑꯣꯏꯕꯥ ꯀꯦꯁ ꯈꯔꯗꯗꯤ, ꯑꯣꯄꯟ ꯁꯔꯖꯔꯤ ꯇꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯏ꯫
ꯁꯔꯖꯔꯤ ꯇꯧꯕꯥ ꯉꯃꯗꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯒꯤꯗꯃꯛ ꯑꯇꯣꯞꯄꯥ ꯑꯣꯄꯁꯅꯁꯤꯡ ꯂꯩꯕ꯭ꯔꯥ?
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯑꯇꯩ ꯑꯀꯅꯕꯥ ꯃꯦꯗꯤꯀꯦꯜ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯅꯥ ꯈꯨꯗꯛꯇꯥ ꯁꯔꯖꯔꯤ ꯇꯧꯕꯥ ꯉꯃꯗꯕꯥ ꯌꯥꯏ꯫ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯀꯦꯁꯁꯤꯡꯗꯗꯤ, ꯗ꯭ꯔꯦꯅꯦꯖ ꯀꯧꯕꯥ ꯃꯇꯝ ꯈꯔꯒꯤ ꯑꯣꯏꯕꯥ ꯄ꯭ꯔꯣꯁꯤꯗ꯭ꯌꯨꯑꯣꯔ ꯑꯃꯥ ꯁꯤꯖꯤꯟꯅꯗꯨꯅꯥ ꯒꯥꯂꯕ꯭ꯂꯦꯗꯔꯗꯥ ꯄ꯭ꯔꯦꯁꯔ ꯍꯟꯊꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯅꯠꯠꯔꯒꯥ, ꯑꯦꯟꯗꯣꯁ꯭ꯀꯣꯄꯤꯛ ꯔꯦꯠꯔꯣꯒ꯭ꯔꯦꯗ ꯀꯣꯂꯦꯅꯖꯤꯑꯣꯄꯦꯅꯛꯔꯤꯑꯦꯇꯣꯒ꯭ꯔꯥꯐꯤ (ERCP) ꯀꯧꯕꯥ ꯄ꯭ꯔꯣꯁꯤꯗ꯭ꯌꯨꯑꯣꯔ ꯑꯃꯥ ꯕꯥꯏꯜ ꯗꯛꯇꯁꯤꯡꯗꯒꯤ ꯁ꯭ꯇꯣꯅꯁꯤꯡ ꯂꯧꯊꯣꯛꯅꯕꯥ ꯁꯤꯖꯤꯟꯅꯕꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯑꯌꯥꯝꯕꯅꯥ ꯃꯇꯝ ꯈꯔꯒꯤ ꯑꯣꯏꯕꯥ ꯁꯣꯂꯨꯁꯅꯁꯤꯡꯅꯤ꯫ ꯑꯔꯣꯏꯕꯗꯥ, ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯥ ꯁꯣꯂꯨꯁꯅꯗꯤ ꯒꯥꯂꯕ꯭ꯂꯦꯗꯔ ꯑꯗꯨ ꯂꯧꯊꯣꯀꯄꯅꯤ꯫
ꯒꯥꯂꯕ꯭ꯂꯦꯗꯔ ꯑꯗꯨ ꯂꯧꯊꯣꯛꯂꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯑꯃꯠꯇꯥ ꯂꯩꯕ꯭ꯔꯥ?
ꯃꯁꯤ ꯃꯤꯑꯣꯏ ꯀꯌꯥ ꯑꯃꯅꯥ ꯍꯪꯂꯀꯄꯥ ꯋꯥꯍꯪ ꯑꯃꯅꯤ꯫ ꯒꯥꯂꯕ꯭ꯂꯦꯗꯔ ꯌꯥꯎꯗꯅꯥ ꯍꯤꯡꯕꯥ ꯌꯥꯕ꯭ꯔꯥ? ꯆꯞ ꯆꯥꯅꯥ ꯌꯥꯕ. ꯒꯥꯂꯕ꯭ꯂꯦꯗꯔꯒꯤ ꯑꯃꯠꯇꯥ ꯉꯥꯏꯔꯕꯥ ꯊꯕꯛ ꯑꯗꯨꯗꯤ ꯕꯥꯏꯜ ꯁ꯭ꯇꯣꯔ ꯇꯧꯕꯅꯤ꯫ ꯃꯁꯤ ꯂꯧꯊꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯂꯤꯚꯔꯗꯒꯤ ꯂꯥꯀꯄꯥ ꯕꯥꯏꯂꯅꯥ ꯍꯀꯊꯦꯡꯅꯅꯥ ꯑꯄꯤꯀꯄꯥ ꯏꯟꯇꯦꯁ꯭ꯇꯥꯏꯅꯗꯥ ꯃꯈꯣꯌꯒꯤ ꯃꯐꯝ ꯑꯃꯥ ꯁꯦꯝꯃꯤ꯫
ꯍꯀꯆꯥꯡꯅꯥ ꯑꯅꯧꯕꯥ ꯁꯤꯁ꯭ꯇꯦꯝ ꯑꯁꯤꯒꯥ ꯆꯨꯁꯤꯟꯅꯍꯅꯕꯗꯥ ꯅꯨꯃꯤꯠ ꯈꯔꯅꯤ ꯅꯠꯠꯔꯒꯥ ꯊꯥ ꯈꯔꯥ ꯆꯪꯂꯝꯕꯥ ꯌꯥꯏ꯫ ꯃꯇꯝ ꯑꯗꯨꯒꯤ ꯃꯅꯨꯡꯗꯥ, ꯃꯤꯑꯣꯏ ꯈꯔꯗꯤ ꯃꯇꯝ ꯈꯔꯒꯤ ꯑꯣꯏꯅꯥ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯐꯥꯎꯔꯀꯄꯥ ꯌꯥꯏ, ꯃꯈꯣꯌ ꯑꯗꯨꯗꯤ:
- ꯇꯩꯁꯤꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯐꯦꯠ ꯌꯥꯎꯕꯥ ꯆꯤꯟꯖꯥꯀꯁꯤꯡ ꯍꯖꯝ ꯇꯧꯕꯗꯥ ꯈꯔꯥ ꯑꯋꯥꯕꯥ ꯑꯣꯏ꯫
- ꯃꯤꯑꯣꯏ ꯈꯔꯗꯗꯤ ꯗꯥꯏꯔꯤꯌꯥꯒꯨꯝꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯎꯕꯥ ꯐꯪꯏ꯫
ꯑꯗꯨꯕꯨ ꯃꯇꯃꯒꯤ ꯃꯇꯨꯡ ꯏꯟꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡꯅꯥ ꯃꯁꯤꯗꯥ ꯑꯦꯗꯖꯁ꯭ꯠ ꯇꯧꯔꯛꯀꯅꯤ꯫ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯃꯇꯤꯛ ꯆꯥꯕꯥ ꯗꯥꯏꯠ ꯑꯃꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯄꯥꯎꯇꯥꯛ ꯄꯤꯒꯅꯤ꯫
ꯇꯦꯛ-ꯍꯣꯝ ꯃꯦꯁꯦꯖ ꯇꯧꯕꯥ꯫
- ꯈꯣꯡꯒꯤ ꯃꯊꯛ ꯊꯪꯕꯥ ꯁꯔꯨꯛꯇꯥ ꯁꯥꯊꯤꯅꯥ ꯁꯣꯀꯄꯥ, ꯅꯥꯕꯥ, ꯑꯃꯁꯨꯡ ꯂꯥꯏꯍꯧ ꯑꯁꯤ ꯒꯥꯂꯕ꯭ꯂꯦꯗꯔ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯁꯅꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤ "ꯒꯦꯁ꯭ꯠꯔꯥꯏꯇꯤꯁ" ꯍꯥꯌꯅꯥ ꯈꯟꯗꯨꯅꯥ ꯌꯦꯡꯊꯤꯒꯅꯨ꯫
- ꯃꯁꯤꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯔꯃꯗꯤ ꯒꯥꯂꯁ꯭ꯇꯣꯅꯁꯤꯡꯅꯤ꯫
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯂꯥꯏꯌꯦꯡꯗ꯭ꯔꯕꯗꯤ, ꯃꯁꯤꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯥ ꯑꯣꯏꯔꯀꯄꯥ ꯌꯥꯏ ꯑꯃꯁꯨꯡ ꯃꯁꯤꯅꯥ ꯒꯥꯂꯕ꯭ꯂꯦꯗꯔ ꯔꯄꯆꯔ, ꯑꯦꯕꯗꯣꯃꯤꯅꯦꯜ ꯏꯅꯐꯦꯛꯁꯅꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯄꯨꯟꯁꯤꯕꯨ ꯈꯨꯗꯣꯡꯊꯤꯍꯅꯕꯥ ꯌꯥꯕꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ ꯐꯥꯎꯕꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯂꯩꯔꯕꯗꯤ ꯈꯨꯗꯛꯇꯥ ꯗꯣꯛꯇꯔ ꯑꯃꯒꯥ ꯇꯥꯟꯅꯧ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯊꯧ ꯇꯥꯔꯕꯗꯤ, ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯅꯀꯄꯥ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯂꯒꯤ ꯏꯃꯔꯖꯦꯟꯁꯤ ꯗꯤꯄꯥꯔꯇꯃꯦꯟꯇ (ETU)ꯗꯥ ꯆꯠꯂꯨ꯫
- ꯒꯥꯂꯕ꯭ꯂꯦꯗꯔꯒꯤ ꯁꯔꯖꯤꯀꯦꯜ ꯔꯤꯃꯨꯚꯜ ꯑꯁꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯄꯔꯃꯦꯅꯦꯟꯇ ꯑꯃꯁꯨꯡ ꯁꯥꯐꯕꯥ ꯂꯥꯏꯌꯦꯡꯅꯤ꯫ ꯒꯥꯂꯕ꯭ꯂꯦꯗꯔ ꯌꯥꯑꯣꯗꯅꯥ ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯕꯥ ꯄꯨꯟꯁꯤ ꯑꯃꯥ ꯍꯤꯡꯕꯗꯥ ꯑꯊꯤꯡꯕꯥ ꯑꯃꯠꯇꯥ ꯂꯩꯇꯦ꯫
💬 Comments (0)
No comments yet. Be the first to share your thoughts here.
Add Your Comment