ꯈꯔꯥ ꯆꯥꯕꯥ ꯂꯣꯏꯔꯕꯥ ꯃꯇꯨꯡꯗꯁꯨ ꯃꯄꯨꯡ ꯐꯥꯕꯥ ꯐꯥꯑꯣꯕꯥ? ꯃꯁꯤ ꯒꯦꯁ꯭ꯠꯔꯣꯄꯦꯔꯦꯁꯤꯁ ꯑꯣꯏꯕꯥ ꯌꯥꯏ!

ꯑꯄꯤꯀꯄꯥ ꯆꯥꯀꯁꯉ ꯑꯃꯥ ꯆꯥꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯄꯨꯡ ꯐꯥꯕꯥ ꯐꯥꯑꯣꯕ꯭ꯔꯥ? ꯅꯠꯠꯔꯒꯥ ꯄꯨꯡ ꯀꯌꯥ ꯆꯥꯕꯥ ꯃꯇꯃꯗꯥ ꯌꯥꯝꯅꯥ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯐꯥꯎꯕ꯭ꯔꯥ? ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯦꯞꯇꯅꯥ ꯋꯥꯈꯜ ꯇꯥꯗꯕꯥ, ꯃꯄꯨꯡ ꯐꯥꯅꯥ ꯋꯥꯈꯜ ꯇꯥꯕꯥ ꯑꯃꯁꯨꯡ ꯆꯥꯕꯗꯥ ꯑꯋꯥꯕꯥ ꯇꯥꯔꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯉꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯋꯥꯔꯤ ꯁꯥꯔꯤꯕꯥ ꯒꯦꯁ꯭ꯠꯔꯣꯄꯦꯔꯦꯁꯤꯁ ꯀꯧꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯁꯣꯌꯗꯅꯥ ꯈꯪꯖꯤꯅꯒꯗꯕꯅꯤ꯫ ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯂꯨꯕꯥ ꯋꯥꯍꯩ ꯑꯃꯥ ꯑꯣꯏꯅꯥ ꯁꯣꯅꯕꯥ ꯌꯥꯏ, ꯑꯗꯨꯕꯨ ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯁꯨꯞꯅꯇꯒꯤ ꯋꯥꯔꯤ ꯁꯥꯁꯤ꯫

ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯒꯦꯁ꯭ꯠꯔꯣꯄꯦꯔꯦꯁꯤꯁ ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ?

ꯒꯦꯁ꯭ꯠꯔꯣꯄꯦꯔꯦꯁꯤꯁ ꯍꯥꯌꯕꯥ ꯋꯥꯍꯩ ꯑꯁꯤꯒꯤ ꯑꯔꯊꯗꯤ "ꯁ꯭ꯇꯣꯃꯥꯛ ꯗꯤꯁꯐꯉ꯭ꯀꯁꯟ" ꯅꯠꯠꯔꯒꯥ "ꯁ꯭ꯇꯣꯃꯥꯛ ꯄꯦꯔꯥꯂꯥꯏꯁꯤꯁ" ꯍꯥꯌꯕꯅꯤ꯫ ꯆꯨꯝꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯃꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯂꯩꯔꯤꯕꯥ ꯅꯔꯚꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯃꯁꯂꯁꯤꯡꯗꯥ ꯁꯣꯀꯍꯜꯂꯤꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫ ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯅꯥ ꯑꯩꯈꯣꯌꯅꯥ ꯆꯥꯕꯥ ꯃꯇꯃꯗꯥ, ꯈꯣꯡꯗꯥ ꯂꯩꯔꯤꯕꯥ ꯃꯁꯂꯁꯤꯡ ꯑꯁꯤ ꯀꯟꯠꯔꯦꯛꯇ ꯇꯧꯏ, ꯃꯁꯤꯅꯥ ꯇꯥꯀꯄꯗꯤ ꯃꯈꯣꯌꯅꯥ ꯏꯁꯤꯡ ꯇꯨꯡꯁꯤꯅꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯆꯠꯊꯣꯛ-ꯆꯠꯁꯤꯟ ꯇꯧꯗꯨꯅꯥ, ꯆꯤꯟꯖꯥꯛ ꯑꯗꯨ ꯌꯥꯟꯁꯤꯟꯅꯗꯨꯅꯥ ꯑꯃꯁꯨꯡ ꯀꯨꯄꯁꯤꯟꯗꯨꯅꯥ ꯑꯃꯁꯨꯡ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯑꯄꯤꯀꯄꯥ ꯏꯟꯇꯦꯁ꯭ꯇꯥꯏꯅꯗꯥ ꯄꯨꯁꯤꯜꯂꯀꯏ꯫ ꯊꯧꯑꯣꯡ ꯑꯁꯤꯕꯨ ``ꯄꯦꯔꯤꯁ꯭ꯇꯦꯂꯁꯤꯁ'' ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫

ꯑꯗꯨꯕꯨ ꯒꯦꯁ꯭ꯠꯔꯣꯄꯦꯔꯦꯁꯤꯁꯅꯥ ꯅꯥꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯗꯥ, ꯈꯣꯡꯗꯥ ꯂꯩꯔꯤꯕꯥ ꯃꯁꯂꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯅꯔꯚꯁꯤꯡꯅꯥ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯊꯕꯛ ꯇꯧꯗꯦ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯆꯤꯟꯖꯥꯛ ꯑꯁꯤ ꯈꯣꯡꯗꯒꯤ ꯑꯄꯤꯀꯄꯥ ꯏꯟꯇꯦꯁ꯭ꯇꯥꯏꯅꯗꯥ ꯆꯠꯄꯗꯥ ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯆꯪꯏ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯆꯪꯗꯦ꯫ ꯇ꯭ꯔꯥꯐꯤꯀꯇꯥ ꯊꯨꯡꯂꯕꯥ ꯒꯥꯔꯤ ꯑꯃꯒꯨꯝ, ꯆꯥꯅꯕꯥ ꯄꯣꯠꯂꯃꯁꯤꯡꯁꯨ ꯈꯣꯡꯗꯥ ꯆꯦꯟꯊꯔꯀꯏ꯫ ꯃꯁꯤꯅꯥ ꯃꯃꯥꯡꯗꯥ ꯄꯅꯈꯤꯕꯥ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯂꯥꯏꯑꯣꯡ ꯄꯨꯝꯅꯃꯛ ꯊꯣꯀꯍꯜꯂꯤ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯂꯦꯡꯗꯅꯥ ꯂꯩꯔꯕꯗꯤ, ꯑꯇꯩ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯃꯁꯤꯡ ꯂꯥꯀꯄꯥ ꯌꯥꯏ꯫ ꯆꯥꯛ ꯆꯥꯕꯥ ꯋꯥꯠꯄꯅꯥ ꯅ꯭ꯌꯨꯠꯔꯤꯁꯅꯒꯤ ꯑꯋꯥꯠꯄꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ , ꯑꯃꯁꯨꯡ ꯕ꯭ꯂꯗ ꯁꯨꯒꯔꯒꯤ ꯆꯥꯡ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯗꯥ ꯑꯋꯥꯕꯥ ꯑꯣꯏꯔꯀꯄꯥ ꯌꯥꯏ ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯗꯥꯏꯖꯦꯁ꯭ꯠ ꯇꯧꯗꯕꯥ ꯆꯤꯟꯖꯥꯛꯀꯤ ꯄꯥꯔꯇꯤꯀꯦꯂꯁꯤꯡ ꯑꯁꯤ ꯁ꯭ꯇꯣꯃꯥꯀꯇꯥ ꯊꯨꯒꯥꯌꯗꯨꯅꯥ ꯁꯣꯂꯤꯗ ꯃꯥꯁ ꯑꯃꯥ ꯁꯦꯝꯃꯤ꯫ ꯃꯁꯤꯕꯨ ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯋꯥꯍꯟꯊꯣꯛꯇꯥ ``ꯕꯦꯖꯣꯌꯥꯔ'' ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫

ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤꯒꯤ ꯇꯣꯉꯥꯟ-ꯇꯣꯉꯥꯅꯕꯥ ꯃꯈꯂꯁꯤꯡ ꯂꯩꯕ꯭ꯔꯥ?

ꯍꯣꯌ, ꯃꯍꯧꯁꯥꯅꯥ ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯃꯁꯤꯒꯤ ꯃꯔꯃꯒꯤ ꯃꯇꯨꯡ ꯏꯟꯅꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯀ꯭ꯂꯥꯁꯤꯐꯥꯏ ꯇꯧꯏ꯫

• ꯗꯥꯏꯑꯦꯕꯦꯇꯤꯖꯒꯥ ꯃꯔꯤ ꯂꯩꯅꯕꯥ ꯒꯦꯁ꯭ꯠꯔꯣꯄꯦꯔꯦꯁꯤꯁ: ꯃꯁꯤ ꯗꯥꯏꯑꯦꯕꯦꯇꯤꯖꯒꯤ ꯁꯥꯏꯗ ꯏꯐꯦꯛꯇ ꯑꯃꯥ ꯑꯣꯏꯅꯥ ꯊꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤꯒꯤ ꯃꯃꯤꯡꯅꯤ꯫
• ꯄꯣꯁ꯭ꯠ-ꯁꯔꯖꯤꯀꯦꯜ ꯒꯦꯁ꯭ꯠꯔꯣꯄꯦꯔꯦꯁꯤꯁ (post-surgical gastroparesis): ꯃꯁꯤꯒꯤ ꯃꯈꯜ ꯑꯁꯤꯒꯤ ꯒꯦꯁ꯭ꯠꯔꯣꯄꯦꯔꯦꯁꯤꯁ ꯑꯁꯤ ꯁ꯭ꯇꯣꯃꯥꯀꯇꯥ ꯁꯔꯖꯔꯤꯒꯤ ꯀꯃꯞꯂꯤꯀꯦꯁꯟ ꯑꯃꯥ ꯑꯣꯏꯅꯥ ꯊꯣꯀꯏ꯫
• ꯏꯗꯤꯑꯣꯄꯦꯊꯤꯛ ꯒꯦꯁ꯭ꯠꯔꯣꯄꯦꯔꯦꯁꯤꯁ: ꯑꯉꯀꯄꯥ ꯑꯣꯏꯅꯥ, ꯑꯌꯥꯝꯕꯥ ꯀꯦꯁꯁꯤꯡꯗꯗꯤ, ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤꯒꯤ ꯑꯀꯛꯅꯕꯥ ꯃꯔꯝ ꯑꯃꯠꯇꯥ ꯐꯪꯗꯦ꯫ ꯄꯦꯁꯦꯟꯇꯁꯤꯡꯒꯤ ꯁꯔꯨꯛ ꯇꯪꯈꯥꯌ ꯑꯃꯒꯥ ꯃꯈꯥꯌꯒꯤ ꯃꯔꯛꯇꯥ ꯀꯦꯇꯦꯒꯣꯔꯤ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡ ꯆꯜꯂꯤ꯫

ꯃꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯑꯃꯁꯨꯡ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯃꯤꯡ ꯆꯠꯄꯥ ꯃꯔꯃꯗꯤ ꯗꯥꯏꯑꯦꯕꯦꯇꯤꯖꯅꯤ , ꯃꯁꯤꯅꯥ ꯒꯦꯁ꯭ꯠꯔꯣꯄꯦꯔꯦꯁꯤꯁꯀꯤ ꯀꯦꯁꯁꯤꯡꯒꯤ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯁꯔꯨꯛ ꯑꯍꯨꯝ ꯊꯣꯀꯄꯒꯤ ꯑꯃꯥ ꯑꯣꯏꯔꯤ꯫

ꯒꯦꯁ꯭ꯠꯔꯣꯄꯦꯔꯦꯁꯤꯁꯅꯥ ꯅꯥꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?

ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯃꯤꯄꯨꯝ ꯈꯨꯗꯤꯡꯃꯛꯀꯤ ꯑꯣꯏꯅꯥ ꯃꯥꯟꯅꯗꯦ, ꯈꯔꯗꯤ ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯏ, ꯑꯗꯨꯒꯥ ꯑꯇꯩ ꯈꯔꯅꯥ ꯅꯣꯡꯃꯒꯤ ꯑꯣꯏꯕꯥ ꯊꯕꯛ-ꯊꯧꯔꯃꯁꯤꯡ ꯄꯥꯡꯊꯣꯀꯄꯥ ꯉꯃꯍꯟꯗꯕꯥ ꯌꯥꯏ꯫ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯗꯨ ꯌꯦꯡꯁꯤ꯫

ꯒꯦꯁ꯭ꯠꯔꯣꯄꯦꯔꯦꯁꯤꯁꯀꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯔꯃꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?

ꯃꯃꯥꯡꯗꯥ ꯍꯥꯌꯈꯤꯕꯒꯨꯝꯅꯥ ꯑꯌꯥꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯃꯔꯝ ꯑꯁꯤ ꯐꯪꯗꯦ꯫ ꯑꯗꯨꯕꯨ ꯑꯣꯏꯊꯣꯀꯄꯥ ꯌꯥꯕꯥ ꯃꯔꯝ ꯈꯔꯗꯤ ꯂꯩ꯫ ꯃꯁꯤ ꯄꯨꯝꯅꯃꯛ ꯑꯁꯤ ꯁ꯭ꯇꯣꯃꯥꯛ ꯃꯁꯂꯁꯤꯡꯕꯨ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯔꯤꯕꯥ ꯅꯔꯚꯁꯤꯡꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯅꯕꯅꯥ ꯊꯣꯀꯍꯅꯕꯅꯤ꯫

ꯗꯥꯏꯕꯤꯇꯤꯖ

ꯃꯁꯤꯅꯥ ꯃꯔꯨ ꯑꯣꯏꯕꯥ ꯃꯔꯃꯅꯤ꯫ ꯕ꯭ꯂꯗ ꯁꯨꯒꯔꯒꯤ ꯆꯥꯡ ꯑꯁꯤ ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯗꯕꯥ ꯑꯃꯁꯨꯡ ꯋꯥꯡꯈꯠꯂꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯃꯁꯤꯅꯥ ꯍꯀꯆꯥꯡꯗꯥ ꯂꯩꯔꯤꯕꯥ ꯃꯆꯤ ꯑꯣꯏꯕꯥ ꯅꯔꯚꯁꯤꯡꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯜꯂꯤ꯫ ꯑꯩꯈꯣꯌꯅꯥ ꯃꯁꯤꯕꯨ ``ꯗꯥꯏꯕꯦꯇꯤꯛ ꯅ꯭ꯌꯨꯔꯣꯄꯦꯊꯤ`` ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ ꯃꯁꯤꯒꯤ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯑꯁꯤꯅꯥ ꯁ꯭ꯇꯣꯃꯥꯀꯀꯤ ꯅꯔꯚꯁꯤꯡꯗꯁꯨ ꯁꯣꯀꯍꯜꯂꯤ꯫ ꯑꯗꯨꯗꯒꯤ ꯁ꯭ꯇꯣꯃꯥꯛ ꯃꯁꯂꯁꯤꯡꯗꯥ "ꯀꯟꯠꯔꯦꯛꯇ" ꯇꯧꯅꯕꯥ ꯁꯤꯒꯅꯦꯜ ꯑꯗꯨ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯆꯠꯄꯥ ꯉꯃꯗꯦ꯫

ꯂꯦꯟꯕ

ꯁ꯭ꯇꯣꯃꯥꯛ, ꯆꯦꯁ꯭ꯠ ꯅꯠꯠꯔꯒꯥ ꯑꯀꯣꯌꯕꯗꯥ ꯂꯩꯕꯥ ꯃꯐꯃꯁꯤꯡꯗꯥ ꯁꯔꯖꯔꯤ ꯇꯧꯕꯥ ꯃꯇꯃꯗꯥ, ꯁ꯭ꯇꯣꯃꯥꯀꯀꯤ ꯐꯉ꯭ꯀꯁꯟ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯔꯤꯕꯥ ꯑꯆꯧꯕꯥ ꯅꯔꯚ ꯑꯃꯥ ꯑꯣꯏꯔꯤꯕꯥ ꯚꯦꯒꯁ ꯅꯔꯚ ꯑꯁꯤ ꯁꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ . ꯃꯁꯤꯒꯤ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯑꯁꯤꯅꯥ ꯒꯦꯁ꯭ꯠꯔꯣꯄꯦꯔꯦꯁꯤꯁ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ `(ꯒꯦꯁ꯭ꯠꯔꯦꯛꯇꯣꯃꯤ)` (ꯁ꯭ꯇꯣꯃꯥꯀꯀꯤ ꯁꯔꯨꯛ ꯑꯃꯥ ꯂꯧꯊꯣꯀꯄꯥ) ꯅꯠꯠꯔꯒꯥ `(ꯀꯣꯂꯦꯁꯤꯁ꯭ꯇꯦꯛꯇꯣꯃꯤ)` (ꯒꯥꯂꯕ꯭ꯂꯦꯗꯔ ꯂꯧꯊꯣꯀꯄꯥ)ꯒꯨꯝꯕꯥ ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯎꯕꯥ ꯐꯪꯏ꯫

ꯏꯅꯐꯦꯛꯁꯅꯁꯤꯡ ꯂꯩꯕꯥ꯫

ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯑꯀꯛꯅꯕꯥ ꯚꯥꯏꯔꯁꯁꯤꯡ (`ꯅꯣꯔꯣꯚꯥꯏꯔꯁ`, `ꯔꯣꯇꯥꯚꯥꯏꯔꯁ`ꯒꯨꯝꯕꯥ) ꯅꯠꯠꯔꯒꯥ ꯕꯦꯛꯇꯦꯔꯤꯌꯥ ꯏꯅꯐꯦꯛꯁꯅꯁꯤꯡꯒꯤ ꯃꯇꯨꯡꯗꯁꯨ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯁꯤ ꯀꯔꯝꯅꯥ ꯊꯣꯀꯄꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯇꯁꯦꯡꯅꯥ ꯃꯌꯦꯛ ꯁꯦꯡꯗ꯭ꯔꯕꯁꯨ, ꯃꯁꯤ ꯏꯅꯐꯦꯛꯁꯟ ꯃꯁꯥꯃꯛꯅꯥ ꯅꯠꯠꯔꯒꯥ ꯏꯅꯐꯦꯛꯁꯟ ꯑꯗꯨꯒꯥ ꯂꯥꯟꯊꯦꯡꯅꯔꯤꯉꯩꯗꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯏꯝꯝꯌꯨꯟ ꯁꯤꯁ꯭ꯇꯦꯃꯅꯥ ꯑꯁꯣꯌꯕꯥ ꯂꯩꯇꯅꯥ ꯅꯔꯚꯁꯤꯡꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯅꯕꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ ꯍꯥꯌꯅꯥ ꯈꯟꯅꯩ꯫

ꯑꯀꯛꯅꯕꯥ ꯗ꯭ꯔꯒꯁꯤꯡ꯫

ꯅꯍꯥꯛꯅꯥ ꯂꯧꯔꯤꯕꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡꯅꯥ ꯃꯇꯝ ꯈꯔꯒꯤ ꯑꯣꯏꯅꯥ ꯁ꯭ꯇꯣꯃꯥꯛ ꯐꯉ꯭ꯀꯁꯅꯁꯨ ꯁꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯍꯥꯟꯅꯅꯥ ꯒꯦꯁ꯭ꯠꯔꯣꯄꯦꯔꯦꯁꯤꯁ ꯂꯩꯔꯕꯗꯤ ꯍꯤꯗꯥꯀꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯃꯔꯨꯑꯣꯏꯅꯥ ꯆꯦꯀꯁꯤꯅꯒꯗꯕꯅꯤ꯫

• ꯑꯀꯅꯕꯥ ꯄꯦꯟ ꯀꯤꯂꯥꯔꯁꯤꯡ - `(ꯑꯣꯄꯤꯑꯣꯏꯗ)`꯫
• ꯇꯝꯕꯥ - `(ꯅꯤꯀꯣꯇꯤꯟ)`꯫
• ꯑꯦꯟꯇꯤꯗꯤꯞꯔꯦꯁꯦꯟꯇ ꯈꯔꯗꯤ - `(ꯇ꯭ꯔꯥꯏꯁꯥꯏꯛꯂꯤꯛ ꯑꯦꯟꯇꯤꯗꯤꯞꯔꯦꯁꯦꯟꯇꯁꯤꯡ)`꯫
• ꯍꯥꯌ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔꯒꯤ ꯍꯤꯗꯥꯛ ꯈꯔꯗꯤ - `(ꯀꯦꯂꯁꯤꯌꯝ ꯆꯦꯅꯦꯜ ꯕ꯭ꯂꯣꯀꯔꯁꯤꯡ)`꯫
• ꯗꯥꯏꯑꯦꯕꯦꯇꯤꯖꯒꯤ ꯍꯤꯗꯥꯛ ꯈꯔꯗꯤ - `(GLP-1 ꯑꯦꯟꯇꯥꯒꯣꯅꯤꯁ꯭ꯇꯁꯤꯡ)`꯫

ꯑꯁꯤꯒꯨꯝꯕꯥ ꯑꯇꯣꯞꯄꯥ ꯃꯈꯂꯒꯤ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡꯁꯨ ꯂꯩ, ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯧꯔꯤꯕꯥ ꯍꯤꯗꯥꯛ ꯄꯨꯝꯅꯃꯛꯀꯤ ꯃꯇꯥꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯈꯪꯍꯅꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫

ꯃꯁꯤꯒꯤ ꯑꯣꯏꯊꯣꯀꯄꯥ ꯌꯥꯕꯥ ꯁꯥꯏꯗ ꯏꯐꯦꯛꯇꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?

ꯒꯦꯁ꯭ꯠꯔꯣꯄꯦꯔꯦꯁꯤꯁ ꯍꯥꯌꯕꯁꯤ ꯁꯨꯞꯅꯒꯤ ꯈꯣꯡꯗꯥ ꯁꯣꯀꯄꯥ ꯈꯛꯇꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯃꯦꯅꯦꯖ ꯇꯧꯗ꯭ꯔꯕꯗꯤ ꯃꯁꯤꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫

• ꯑꯔꯨꯝꯕꯥ ꯍꯟꯊꯕꯥ ꯑꯃꯁꯨꯡ ꯃꯆꯤ ꯑꯣꯏꯕꯥ ꯆꯤꯟꯖꯥꯛ ꯋꯥꯠꯄꯥ: ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯅꯥꯕꯥ, ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯑꯃꯁꯨꯡ ꯆꯥꯛ ꯆꯥꯕꯥ ꯋꯥꯠꯄꯅꯥ ꯃꯆꯤ ꯑꯣꯏꯕꯥ ꯆꯤꯟꯖꯥꯛ ꯋꯥꯠꯄꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ, ꯃꯗꯨꯅꯥ ꯑꯔꯨꯝꯕꯥ ꯍꯟꯊꯍꯅꯕꯥ, ꯏꯁꯤꯡ ꯌꯥꯎꯗꯕꯥ ꯑꯃꯁꯨꯡ ꯃꯆꯤ ꯑꯣꯏꯕꯥ ꯆꯤꯟꯖꯥꯛ ꯋꯥꯠꯄꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ .
• ꯕ꯭ꯂꯗ ꯁꯨꯒꯔ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯥ ꯉꯃꯗꯕꯥ:ꯃꯁꯤ ꯃꯔꯨꯑꯣꯏꯅꯥ ꯗꯥꯏꯑꯦꯕꯦꯇꯤꯖꯅꯥ ꯅꯥꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯗꯥ ꯑꯆꯧꯕꯥ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯑꯃꯅꯤ꯫ ꯆꯤꯟꯖꯥꯀꯁꯤꯡꯅꯥ ꯈꯣꯝꯂꯥꯡꯗꯒꯤ ꯊꯣꯛꯂꯀꯄꯒꯤ ꯃꯇꯝ ꯑꯁꯤ ꯁꯣꯀꯍꯜꯂꯀꯄꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯏꯗꯥ ꯆꯤꯅꯤꯅꯥ ꯆꯪꯂꯀꯄꯒꯤ ꯃꯑꯣꯡ-ꯃꯇꯧ ꯑꯗꯨ ꯁꯣꯀꯍꯜꯂꯤ꯫ ꯆꯤꯅꯤꯒꯤ ꯆꯥꯡ ꯑꯁꯤ ꯈꯪꯍꯧꯗꯅꯥ ꯌꯥꯝꯅꯥ ꯅꯦꯝꯅꯥ ꯍꯟꯊꯔꯀꯄꯥ (`ꯍꯥꯏꯄꯣꯒ꯭ꯂꯥꯏꯁꯦꯃꯤꯌꯥ`) ꯅꯠꯠꯔꯒꯥ ꯈꯪꯍꯧꯗꯅꯥ ꯌꯥꯝꯅꯥ ꯋꯥꯡꯈꯠꯄꯥ (`ꯍꯥꯏꯄꯥꯔꯒ꯭ꯂꯥꯏꯁꯦꯃꯤꯌꯥ`)꯫ ꯃꯁꯤ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯗꯥ ꯌꯥꯝꯅꯥ ꯂꯨꯕꯥ ꯑꯃꯅꯤ꯫
• ꯕꯦꯖꯣꯌꯥꯔ ꯁꯦꯝꯕꯥ (bezoar formation): ꯃꯃꯥꯡꯗꯥ ꯄꯅꯈ꯭ꯔꯤꯕꯥ ꯃꯇꯨꯡꯏꯟꯅꯥ, ꯍꯀꯆꯥꯡꯗꯥ ꯌꯥꯎꯗꯕꯥ ꯆꯤꯟꯖꯥꯛꯀꯤ ꯄꯥꯔꯇꯤꯀꯦꯂꯁꯤꯡꯅꯥ ꯁ꯭ꯇꯣꯃꯥꯛ (stomach)ꯗꯥ ꯊꯨꯒꯥꯌꯗꯨꯅꯥ ꯁꯤꯠꯄꯥ ꯌꯥꯕꯥ ꯁꯣꯂꯤꯗ ꯂꯪꯁꯁꯤꯡ ꯁꯦꯝꯕꯥ ꯌꯥꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯑꯆꯧꯕꯥ ꯑꯣꯏꯔꯕꯗꯤ, ꯃꯈꯣꯌꯅꯥ ꯆꯤꯟꯖꯥꯀꯁꯤꯡ ꯑꯗꯨ ꯈꯣꯝꯂꯥꯡꯗꯒꯤ ꯊꯣꯔꯀꯄꯥ ꯊꯤꯡꯕꯥ ꯉꯝꯃꯤ꯫ ꯃꯁꯤ ꯏꯃꯔꯖꯦꯟꯁꯤ ꯑꯃꯅꯤ꯫

ꯗꯣꯛꯇꯔ ꯑꯃꯅꯥ ꯂꯥꯌꯅꯥ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯑꯆꯨꯝꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯈꯪꯗꯣꯀꯄꯥ ꯉꯃꯒꯅꯤ?

ꯅꯍꯥꯛꯅꯥ ꯗꯣꯛꯇꯔ ꯑꯃꯗꯥ ꯆꯠꯄꯥ ꯃꯇꯃꯗꯥ, ꯃꯍꯥꯛꯅꯥ ꯑꯍꯥꯅꯕꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ, ꯅꯍꯥꯛꯅꯥ ꯊꯦꯡꯅꯔꯤꯕꯥ ꯑꯇꯩ ꯃꯦꯗꯤꯀꯦꯜ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ (ꯗꯥꯏꯕꯦꯇꯤꯁꯒꯨꯝꯕꯥ), ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯅꯥ ꯇꯧꯈꯤꯕꯥ ꯁꯔꯖꯔꯤ ꯑꯃꯍꯦꯛꯇꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯍꯪꯒꯅꯤ꯫ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ, ꯃꯍꯥꯛꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯗꯨ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯑꯇꯣꯞꯄꯥ ꯕ꯭ꯂꯣꯀꯦꯖ ꯑꯃꯅꯥ ꯊꯣꯀꯍꯅꯕꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯅꯕꯥ ꯇꯦꯁ꯭ꯠ ꯈꯔꯥ ꯄꯥꯡꯊꯣꯛꯀꯅꯤ꯫

1. ꯑꯀꯥꯌꯕꯥ ꯑꯃꯠꯇꯥ ꯂꯩꯇꯦ ꯍꯥꯌꯕꯥ ꯁꯣꯌꯗꯅꯥ ꯈꯪꯗꯣꯀꯄꯥ:

• ꯑꯋꯥꯡꯕꯥ ꯑꯦꯟꯗꯣꯁ꯭ꯀꯣꯄꯤ (Upper Endoscopy): ꯇꯤꯎꯃꯔ, ꯑꯂꯁꯔ ꯅꯠꯠꯔꯒꯥ ꯑꯇꯩ ꯑꯀꯥꯌ-ꯑꯇꯣꯌꯁꯤꯡ ꯌꯦꯡꯁꯤꯟꯅꯕꯥ ꯁ꯭ꯇꯣꯃꯥꯀꯀꯤ ꯃꯅꯨꯡꯗꯥ ꯌꯦꯡꯅꯕꯥ ꯑꯄꯤꯀꯄꯥ ꯀꯦꯃꯦꯔꯥ ꯑꯃꯥ ꯃꯤꯠꯀꯤ ꯃꯅꯨꯡꯗꯥ ꯊꯥꯏ꯫
• ꯑꯇꯣꯞꯄꯥ ꯁ꯭ꯀꯦꯅꯁꯤꯡ: ꯁꯤ.ꯇꯤ.ꯁ꯭ꯀꯦꯟ ꯅꯠꯠꯔꯒꯥ ꯑꯦꯝ.ꯑꯥꯔ.ꯑꯥꯏ.ꯒꯨꯝꯕꯥ ꯇꯦꯁ꯭ꯇꯁꯤꯡꯅꯥ ꯈꯣꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯌꯦꯡꯕꯥ ꯌꯥꯏ꯫

2. ꯁ꯭ꯇꯣꯃꯥꯛ ꯐꯉ꯭ꯀꯁꯟ ꯃꯥꯄꯜ: 1.1.

• ꯑꯊꯤꯡꯕꯥ ꯑꯃꯠꯇꯥ ꯂꯩꯇꯦ ꯍꯥꯌꯕꯥ ꯀꯅꯐꯥꯔꯝ ꯇꯧꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ, ꯁ꯭ꯇꯣꯃꯥꯛ ꯑꯁꯤ ꯀꯌꯥ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯏꯁꯤꯡꯗꯥ ꯆꯦꯟꯊꯈꯤꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯅꯕꯒꯤꯗꯃꯛ ꯑꯈꯟꯅꯕꯥ ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯄꯥꯡꯊꯣꯀꯏ꯫
• ꯒ꯭ꯌꯥꯁ꯭ꯠꯔꯤꯛ ꯑꯦꯝꯞꯇꯦꯟꯇ ꯁꯤꯟꯇꯤꯒ꯭ꯔꯥꯐꯤ (GES): ꯃꯁꯤꯒꯤꯗꯃꯛꯇꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯇꯦꯁ꯭ꯇꯅꯤ꯫ ꯇꯦꯁ꯭ꯠ ꯑꯁꯤꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯔꯦꯗꯤꯑꯣꯑꯦꯛꯇꯤꯚ ꯄꯣꯠꯁꯛ ꯑꯃꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯆꯥꯅꯕꯥ ꯆꯤꯟꯖꯥꯛ (ꯃꯍꯧꯁꯥꯅꯥ ꯉꯥ) ꯈꯔꯥ ꯆꯥꯔꯤ꯫ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯄꯨꯡ ꯀꯌꯥꯒꯤ ꯃꯇꯃꯒꯤ ꯃꯅꯨꯡꯗꯥ, ꯆꯤꯟꯖꯥꯛ ꯑꯗꯨ ꯈꯣꯝꯂꯥꯡꯗꯒꯤ ꯂꯥꯞꯅꯥ ꯂꯩꯕꯗꯥ ꯀꯌꯥꯝ ꯁꯥꯡꯅꯥ ꯆꯪꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯅꯕꯒꯤꯗꯃꯛ ꯁ꯭ꯀꯦꯟ ꯇꯧꯏ꯫
• ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯒꯤ ꯇꯦꯁ꯭ꯠ: ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯑꯈꯟꯅꯕꯥ ꯀꯥꯔꯕꯣꯟ ꯃꯣꯂꯤꯛꯌꯨꯜ ꯑꯃꯥ ꯌꯥꯎꯕꯥ ꯆꯤꯟꯖꯥꯛ ꯑꯃꯥ ꯄꯤꯗꯨꯅꯥ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯅꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯌꯥꯕꯥ ꯒ꯭ꯌꯥꯁ ꯑꯗꯨ ꯂꯦꯄꯊꯣꯛꯇꯨꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯒꯤ ꯐꯉ꯭ꯀꯁꯅꯒꯤ ꯋꯥꯈꯜꯂꯣꯟ ꯑꯃꯥ ꯂꯧꯕꯥ ꯌꯥꯏ꯫

ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯒꯦꯁ꯭ꯠꯔꯣꯄꯦꯔꯦꯁꯤꯁ ꯂꯩꯕ꯭ꯔꯥ ꯅꯠꯠꯔꯒꯥ ꯂꯩꯇꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯁꯣꯌꯗꯅꯥ ꯈꯪꯍꯅꯕꯥ ꯌꯥꯏ꯫

ꯒꯦꯁ꯭ꯠꯔꯣꯄꯦꯔꯦꯁꯤꯁꯀꯤ ꯂꯥꯏꯌꯦꯡꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?

ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯊꯣꯀꯍꯜꯂꯤꯕꯥ ꯅꯔꯚꯀꯤ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯑꯗꯨ ꯔꯤꯚꯔꯁ ꯇꯧꯕꯥ ꯉꯃꯗꯦ꯫ ꯃꯁꯤꯅꯥ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯂꯥꯏꯌꯦꯡꯕꯗꯥ ꯑꯋꯥꯕꯥ ꯑꯣꯏ ꯍꯥꯌꯕꯅꯤ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯕꯥ ꯉꯝꯕꯥ ꯑꯃꯁꯨꯡ ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯕꯥ ꯄꯨꯟꯁꯤ ꯑꯃꯥ ꯍꯤꯡꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯕꯥ ꯌꯥꯕꯥ ꯏꯐꯦꯛꯇꯤꯕ ꯑꯣꯏꯕꯥ ꯂꯥꯌꯦꯡ ꯀꯌꯥ ꯂꯩꯔꯤ .

ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯄꯥꯟꯗꯃꯁꯤꯡꯗꯤ:

• ꯈꯣꯝꯂꯥꯡꯒꯤ ꯃꯁꯂꯁꯤꯡ (stomach) ꯁ꯭ꯇꯤꯝꯌꯨꯜ ꯇꯧꯕꯥ, ꯆꯤꯟꯖꯥꯀꯁꯤꯡ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯏꯪꯊꯍꯅꯕꯥ꯫
• ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡꯅꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯅ꯭ꯌꯨꯠꯔꯤꯁꯟ ꯑꯃꯁꯨꯡ ꯐ꯭ꯂꯨꯏꯗꯁꯤꯡ ꯑꯗꯨ ꯁꯣꯌꯗꯅꯥ ꯐꯪꯍꯅꯒꯗꯕꯅꯤ꯫
• ꯅꯣꯡꯃꯩ ꯀꯥꯞꯄꯥ ꯑꯃꯁꯨꯡ ꯑꯅꯥꯕꯥ ꯑꯁꯤꯅꯆꯤꯡꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯥ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯁꯤꯒꯤ ꯃꯔꯝ ꯑꯃꯥ ꯂꯩꯔꯕꯗꯤ (ꯗꯥꯏꯕꯦꯇꯤꯖꯒꯨꯝꯕꯥ) ꯃꯗꯨ ꯐꯖꯅꯥ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫

ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ꯫

• ꯄ꯭ꯔꯣꯀꯥꯏꯅꯦꯇꯤꯛꯁ: ꯱.ꯍꯥꯌꯔꯤꯕꯥ ꯑꯁꯤ ꯁ꯭ꯇꯣꯃꯥꯛ ꯃꯁꯂꯁꯤꯡ ꯀꯟꯠꯔꯦꯛꯇ ꯇꯧꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯂꯤꯕꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯍꯤꯗꯥꯛ ꯃꯈꯂꯁꯤꯡꯅꯤ꯫ `ꯃꯦꯇꯣꯛꯂꯣꯞꯔꯥꯃꯥꯏꯗ` ꯑꯁꯤ ꯃꯁꯤꯒꯤꯗꯃꯛꯇꯥ ꯑꯌꯥꯕꯥ ꯄꯤꯔꯕꯥ ꯍꯤꯗꯥꯛ ꯑꯃꯅꯤ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯁꯥꯏꯗ ꯏꯐꯦꯛꯇ ꯈꯔꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ, ꯃꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯇꯥꯀꯄꯥ ꯃꯇꯨꯡꯏꯟꯅꯥ ꯈꯛꯇꯃꯛ ꯁꯤꯖꯤꯟꯅꯒꯗꯕꯅꯤ꯫
• ꯑꯦꯟꯇꯤꯏꯃꯦꯇꯤꯛꯁ: ꯃꯁꯤꯅꯥ ꯅꯣꯡꯃꯩ ꯀꯥꯞꯄꯥ ꯑꯃꯁꯨꯡ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ .
• ꯑꯇꯣꯞꯄꯥ ꯍꯤꯗꯥꯀꯁꯤꯡ: ꯆꯦꯁ꯭ꯠ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯁꯟ, ꯄꯦꯏꯟ, ꯑꯃꯁꯨꯡ ꯗꯥꯏꯑꯦꯕꯦꯇꯤꯖ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯅꯕꯒꯤ ꯍꯤꯗꯥꯀꯁꯤꯡꯁꯨ ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯄ꯭ꯂꯥꯟ ꯑꯗꯨꯗꯥ ꯌꯥꯎꯍꯅꯕꯥ ꯌꯥꯏ꯫

ꯗꯥꯏꯇꯇꯥ ꯑꯍꯣꯡꯕꯥ ꯂꯥꯀꯄꯥ꯫

ꯃꯁꯤ ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯁꯔꯨꯛ ꯑꯃꯅꯤ꯫

• ꯅꯣꯡꯃꯗꯥ ꯑꯍꯨꯃꯂꯛ ꯆꯥꯕꯒꯤ ꯃꯍꯨꯠꯇꯥ ꯑꯄꯤꯀꯄꯥ ꯆꯥꯅꯕꯥ 5-6 ꯆꯥꯒꯗꯕꯅꯤ꯫
• ꯐꯦꯠ ꯑꯃꯁꯨꯡ ꯐꯥꯏꯕꯔ ꯌꯥꯝꯅꯥ ꯌꯥꯎꯕꯥ ꯆꯤꯟꯖꯥꯀꯁꯤꯡ (ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯐ꯭ꯔꯥꯏꯗ ꯆꯤꯟꯖꯥꯀꯁꯤꯡ, ꯎꯍꯩ-ꯋꯥꯍꯩ ꯀꯌꯥ, ꯃꯅꯥ-ꯃꯁꯤꯡꯒꯤ ꯃꯅꯥ-ꯃꯁꯤꯡ) ꯍꯟꯊꯍꯅꯕꯥ ꯃꯔꯃꯗꯤ ꯃꯈꯣꯌ ꯑꯁꯤ ꯍꯟꯖꯤꯅꯕꯗꯥ ꯃꯇꯝ ꯍꯦꯟꯅꯥ ꯆꯪꯏ꯫
• ꯂꯤꯛꯌꯨꯏꯗ ꯅꯠꯠꯔꯒꯥ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯌꯥꯡꯅꯥ ꯄꯥꯌꯈꯠꯄꯥ ꯆꯤꯟꯖꯥꯀꯁꯤꯡ (ꯁ꯭ꯌꯨꯞ, ꯄꯣꯔꯤꯖ, ꯖꯨꯁ)ꯗꯥ ꯍꯦꯟꯅꯥ ꯄꯨꯛꯅꯤꯡ ꯆꯪꯕꯥ꯫

ꯂꯦꯟꯕ

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯇꯩ ꯂꯥꯏꯌꯦꯡ ꯄꯨꯝꯅꯃꯛ ꯃꯥꯌꯄꯥꯛꯠꯔꯕꯗꯤ ꯁꯔꯖꯔꯤ ꯑꯁꯤ ꯑꯔꯣꯏꯕꯥ ꯄꯥꯝꯕꯩ ꯑꯣꯏꯅꯥ ꯂꯧꯒꯗꯕꯅꯤ꯫

• ꯄꯥꯏꯂꯣꯔꯣꯞꯂꯥꯁ꯭ꯇꯤ (pyloroplasty) : ꯈꯣꯝꯂꯥꯡꯗꯒꯤ ꯃꯆꯤꯟꯖꯥꯛ ꯆꯦꯜꯂꯤꯕꯥ ꯃꯁꯜ ꯔꯤꯡ (pylorus) ꯑꯗꯨ ꯈꯔꯥ ꯄꯥꯀꯊꯣꯛ-ꯆꯥꯎꯊꯣꯀꯍꯟꯅꯕꯥ ꯁꯔꯖꯔꯤ ꯑꯃꯅꯤ꯫ ꯃꯁꯤ ꯍꯧꯖꯤꯛꯇꯤ ꯑꯦꯟꯗꯣꯁ꯭ꯀꯣꯞ (`G-POEM` ꯃꯦꯊꯗ) ꯁꯤꯖꯤꯟꯅꯗꯨꯅꯥ ꯏꯅꯁꯤꯁꯟ ꯇꯧꯗꯅꯥ ꯇꯧꯕꯥ ꯌꯥꯔꯦ꯫
• ꯒ꯭ꯌꯥꯁꯠꯔꯤꯛ ꯕꯥꯏꯄꯥꯁ (Gastric Bypass): ꯁ꯭ꯇꯣꯃꯥꯀꯀꯤ ꯗꯤꯁꯐꯉ꯭ꯀꯁꯅꯦꯜ ꯑꯣꯏꯕꯥ ꯁꯔꯨꯛ ꯑꯗꯨ ꯕꯥꯏꯄꯥꯁ ꯇꯧꯕꯥ ꯑꯃꯁꯨꯡ ꯆꯤꯟꯖꯥꯛ ꯑꯗꯨ ꯑꯄꯤꯀꯄꯥ ꯏꯟꯇꯦꯁ꯭ꯇꯥꯏꯅꯗꯥ ꯍꯀꯊꯦꯡꯅꯅꯥ ꯆꯠꯄꯒꯤ ꯑꯅꯧꯕꯥ ꯂꯝꯕꯤ ꯑꯃꯥ ꯁꯦꯝꯕꯥ ꯁꯔꯖꯔꯤ ꯑꯃꯅꯤ꯫

ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯍꯤꯡꯂꯤꯉꯩꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯀꯔꯤꯒꯤꯗꯃꯛꯇꯥ ꯆꯦꯀꯁꯤꯅꯒꯗꯒꯦ?

ꯒꯦꯁ꯭ꯠꯔꯣꯄꯦꯔꯦꯁꯤꯁ ꯑꯁꯤ ꯄꯨꯟꯁꯤ ꯆꯨꯞꯄꯒꯤ ꯑꯣꯏꯅꯥ ꯊꯣꯀꯄꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ ꯃꯁꯤꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯐꯖꯅꯥ ꯍꯤꯡꯕꯥ ꯌꯥꯏ꯫ ꯅꯍꯥꯛꯀꯤ ꯄꯨꯟꯁꯤ ꯃꯍꯤꯡꯗꯥ ꯑꯄꯤꯀꯄꯥ ꯑꯍꯣꯡꯕꯥ ꯄꯨꯔꯀꯄꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫

• ꯀꯔꯤ ꯆꯤꯟꯖꯥꯀꯁꯤꯡꯅꯥ ꯅꯍꯥꯛꯀꯤꯗꯃꯛꯇꯥ ꯑꯐꯕꯥ ꯑꯣꯏꯕꯒꯦ ꯑꯃꯁꯨꯡ ꯀꯔꯤ ꯆꯤꯟꯖꯥꯀꯁꯤꯡꯅꯥ ꯅꯍꯥꯛꯀꯤꯗꯃꯛꯇꯥ ꯐꯠꯇꯕꯥ ꯑꯣꯏꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯈꯪꯗꯣꯀꯎ꯫ ꯐꯨꯗ ꯗꯥꯏꯔꯤ ꯑꯃꯥ ꯊꯝꯕꯅꯥ ꯃꯁꯤꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯕꯥ ꯌꯥꯏ꯫
• ꯆꯥꯕꯥ ꯂꯣꯌꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯈꯣꯡꯅꯥ ꯆꯠꯂꯨ꯫ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯈꯣꯡꯅꯥ ꯆꯠꯄꯅꯥ ꯁ꯭ꯇꯣꯃꯥꯛ ꯐꯉ꯭ꯀꯁꯅꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫
• ꯌꯨ, ꯊꯛꯅꯕꯥ ꯏꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯑꯇꯩ ꯗ꯭ꯔꯒꯁꯤꯡ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯊꯤꯡꯖꯤꯜꯂꯨ꯫ ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯁ꯭ꯇꯣꯃꯥꯛ ꯐꯉ꯭ꯀꯁꯟ ꯃꯈꯥ ꯇꯥꯅꯥ ꯁꯣꯀꯍꯜꯂꯤ꯫
• ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯄꯥꯎ ꯐꯥꯎꯅꯕꯤꯌꯨ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡꯗꯥ ꯑꯍꯣꯡꯕꯥ ꯑꯃꯥ ꯂꯩꯔꯕꯗꯤ ꯅꯠꯠꯔꯒꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡꯗꯥ ꯑꯋꯥꯕꯥ ꯃꯥꯌꯣꯛꯅꯔꯕꯗꯤ ꯃꯍꯥꯀꯄꯨ ꯈꯪꯍꯜꯂꯨ꯫

ꯒꯦꯁ꯭ꯠꯔꯣꯄꯦꯔꯦꯁꯤꯁ ꯑꯁꯤ ꯁꯤꯡꯅꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ, ꯑꯗꯨꯕꯨ ꯑꯆꯨꯝꯕꯥ ꯂꯥꯏꯌꯦꯡ ꯑꯃꯁꯨꯡ ꯄꯨꯟꯁꯤ ꯃꯍꯤꯡꯗꯥ ꯑꯍꯣꯡꯕꯥ ꯂꯥꯀꯄꯒꯥ ꯂꯣꯌꯅꯅꯥ, ꯅꯍꯥꯛꯅꯥ ꯃꯁꯤ ꯐꯖꯅꯥ ꯃꯦꯅꯦꯖ ꯇꯧꯕꯥ ꯉꯝꯃꯤ ꯑꯃꯁꯨꯡ ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯕꯥ ꯄꯨꯟꯁꯤ ꯑꯃꯥ ꯍꯤꯡꯕꯥ ꯉꯝꯃꯤ꯫