ꯅꯍꯥꯀꯁꯨ ꯑꯌꯥꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯊꯝꯃꯣꯌ ꯁꯣꯀꯄꯥ ꯌꯥꯏ? ꯆꯥꯕꯥ ꯂꯣꯌꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯀꯣꯛꯇꯥ ꯇꯔꯨ-ꯇꯅꯥꯅꯕꯥ ꯃꯆꯤꯟꯖꯥꯛ ꯑꯃꯥ ꯂꯥꯀꯄꯥ ꯌꯥꯏ ꯅꯠꯠꯔꯒꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯀꯣꯛꯇꯥ ꯆꯥꯅꯕꯥ ꯄꯣꯠꯁꯛ ꯑꯃꯥ ꯂꯥꯀꯄꯥ ꯐꯥꯎꯕ꯭ꯔꯥ? ꯅꯠꯠꯔꯒꯥ ꯅꯍꯥꯛꯅꯥ ꯆꯥꯅꯕꯥ ꯆꯤꯟꯖꯥꯛ ꯊꯀꯄꯗꯥ ꯑꯋꯥꯕꯥ ꯃꯥꯌꯣꯛꯅꯔꯤꯕ꯭ꯔꯥ ꯅꯠꯠꯔꯒꯥ ꯅꯍꯥꯛꯀꯤ ꯀꯣꯛꯇꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯃꯥ ꯊꯨꯒꯥꯌꯕꯥ ꯐꯥꯎꯕ꯭ꯔꯥ? ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯑꯩꯈꯣꯌꯅꯥ ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤꯗꯥ ꯌꯥꯝꯅꯥ ꯄꯨꯛꯅꯤꯡ ꯆꯪꯗ꯭ꯔꯕꯁꯨ, ꯃꯁꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ "ꯍꯤꯌꯥꯇꯥꯜ ꯍꯔꯅꯤꯌꯥ" ꯀꯧꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯥ ꯂꯩꯕꯥ ꯌꯥꯏ꯫ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯂꯩꯔꯣꯏꯗꯕꯅꯤ, ꯃꯁꯤ ꯃꯤꯑꯣꯏ ꯀꯌꯥꯗꯥ ꯊꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯂꯥꯌꯦꯡꯕꯥ ꯌꯥꯕꯥ ꯋꯥꯐꯝ ꯑꯃꯅꯤ꯫ ꯉꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯑꯀꯨꯞꯄꯥ ꯃꯔꯣꯂꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯒꯅꯤ, ꯏꯃꯨꯡꯒꯤ ꯃꯤꯑꯣꯏ ꯑꯃꯒꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯔꯀꯄꯒꯨꯝ꯫
ꯍꯤꯌꯥꯇꯥꯜ ꯍꯔꯅꯤꯌꯥ ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ?
ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯍꯤꯌꯥꯇꯥꯜ ꯍꯔꯅꯤꯌꯥ ꯍꯥꯌꯕꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯒꯤ ꯃꯊꯛ ꯊꯪꯕꯥ ꯁꯔꯨꯛ ꯑꯗꯨ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯎꯞ ꯑꯗꯨ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯇꯣꯈꯥꯌꯅꯥ ꯇꯥꯍꯜꯂꯤꯕꯥ ꯃꯁꯜ ꯑꯗꯨꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯂꯩꯕꯥ ꯑꯄꯤꯀꯄꯥ ꯈꯣꯡꯎꯞ ꯑꯃꯗꯥ ꯆꯦꯟꯊꯈꯤꯕꯥ ꯃꯇꯃꯕꯨꯅꯤ꯫ ꯃꯁꯤ ꯋꯥꯜ ꯑꯃꯒꯨꯝ ꯈꯅꯕꯤꯌꯨ꯫ ꯋꯥꯜ ꯑꯁꯤꯒꯤ ꯑꯄꯤꯀꯄꯥ ꯍꯣꯜ (esophageal hiatus) ꯑꯃꯥ ꯂꯩ, ꯃꯐꯃꯗꯨꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯏꯁꯣꯐꯦꯒꯁ ꯑꯗꯨ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯁꯝꯅꯍꯜꯂꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯍꯨꯔꯥꯅꯕꯥ ꯑꯁꯤ ꯈꯔꯥ ꯍꯦꯟꯅꯥ ꯆꯥꯎꯈꯠꯂꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯒꯤ ꯁꯔꯨꯛ ꯑꯃꯥ ꯁꯣꯀꯏ꯫ ꯃꯗꯨ ꯑꯩꯈꯣꯌꯅꯥ ꯍꯤꯌꯥꯇꯥꯜ ꯍꯔꯅꯤꯌꯥ ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫
ꯍꯔꯅꯤꯌꯥ ꯍꯥꯌꯕꯥ ꯋꯥꯍꯩ ꯑꯁꯤꯅꯥ ꯑꯣꯔꯒꯥꯟ ꯅꯠꯠꯔꯒꯥ ꯇꯤꯁꯨ ꯑꯃꯅꯥ ꯃꯍꯧꯁꯥꯅꯥ ꯂꯩꯔꯤꯕꯥ ꯃꯐꯝ ꯑꯗꯨꯗꯒꯤ ꯍꯦꯟꯅꯥ, ꯃꯗꯨꯒꯤ ꯑꯀꯣꯌꯕꯗꯥ ꯂꯩꯕꯥ ꯇꯤꯁꯨ ꯕꯦꯔꯤꯌꯥꯔ ꯑꯗꯨꯗꯥ ꯂꯩꯕꯥ ꯑꯁꯣꯀꯄꯥ ꯃꯐꯝ ꯑꯃꯗꯥ ꯆꯦꯟꯊꯈꯤ ꯍꯥꯌꯕꯁꯤꯕꯨ ꯈꯪꯅꯩ꯫ ꯍꯔꯅꯤꯌꯥ ꯑꯁꯤ ꯀꯃꯟ ꯑꯣꯏ, ꯑꯃꯁꯨꯡ ꯃꯤꯑꯣꯏ ꯀꯌꯥꯅꯥ ꯍꯤꯌꯥꯇꯥꯜ ꯍꯔꯅꯤꯌꯥ ꯑꯁꯤ ꯊꯦꯡꯅꯩ꯫ ꯃꯁꯤ ꯃꯍꯧꯁꯥꯅꯥ ꯆꯍꯤ ꯀꯌꯥꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯍꯦꯅꯒꯠꯂꯀꯏ꯫ ꯈꯉꯍꯧꯗꯅꯥ ꯍꯣꯡꯂꯛꯂꯤꯕꯥ ꯋꯥꯐꯝ ꯅꯠꯇꯦ꯫
ꯍꯤꯌꯥꯇꯥꯜ ꯍꯔꯅꯤꯌꯥꯒꯤ ꯃꯈꯂꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯤꯅꯣ?
ꯍꯤꯌꯥꯇꯥꯜ ꯍꯔꯅꯤꯌꯥꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯈꯜ ꯑꯅꯤ ꯂꯩ:
ꯁ꯭ꯂꯥꯏꯗ ꯍꯤꯌꯥꯇꯥꯜ ꯍꯔꯅꯤꯌꯥ ꯑꯃꯁꯨꯡ
ꯄꯦꯔꯥꯏꯁꯣꯐꯦꯖꯤꯑꯦꯜ ꯍꯤꯌꯥꯇꯥꯜ ꯍꯔꯅꯤꯌꯥ . ꯑꯌꯥꯝꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯗꯥ ꯃꯁꯤꯒꯤ ꯁ꯭ꯂꯥꯏꯗ ꯃꯈꯜ ꯑꯁꯤ ꯂꯩ꯫
ꯃꯁꯤ
ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯃꯈꯂꯅꯤ (ꯆꯥꯎꯔꯥꯛꯅꯥ ꯹꯵%) . ꯊꯣꯛꯂꯤꯕꯥ ꯑꯁꯤꯗꯤ ꯅꯍꯥꯛꯀꯤ ꯏꯁꯣꯐꯦꯒꯁ (ꯐꯨꯗ ꯄꯥꯏꯞ) ꯑꯗꯨ ꯗꯥꯏꯑꯦꯐ꯭ꯔꯥꯃꯗꯥ ꯂꯩꯕꯥ ꯍꯨꯔꯥꯅꯕꯥ ꯑꯃꯗꯒꯤ ꯂꯥꯀꯏ, ꯃꯐꯃꯗꯨꯗꯥ ꯃꯗꯨ ꯅꯍꯥꯛꯀꯤ ꯁ꯭ꯇꯣꯃꯥꯛ (ꯒꯦꯁ꯭ꯠꯔꯣꯏꯁꯣꯐꯦꯖꯤꯑꯦꯜ ꯖꯉ꯭ꯀꯁꯟ)ꯒꯥ ꯁꯝꯅꯩ, ꯑꯃꯁꯨꯡ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯃꯈꯥꯗꯥ ꯆꯠꯂꯤ꯫ ꯃꯁꯤ ꯆꯦꯟꯊꯔꯀꯄꯒꯨꯝꯕꯅꯤ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯃꯁꯤꯕꯨ ꯁ꯭ꯂꯥꯏꯗ ꯍꯔꯅꯤꯌꯥ ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫
- ꯃꯈꯜ 2: ꯄꯦꯔꯥꯏꯁꯣꯐꯦꯖꯤꯑꯦꯜ ꯍꯤꯌꯥꯇꯥꯜ ꯍꯔꯅꯤꯌꯥ - ꯃꯁꯤꯕꯨ ꯔꯣꯂꯤꯡ ꯍꯤꯌꯥꯇꯥꯜ ꯍꯔꯅꯤꯌꯥ ꯍꯥꯌꯅꯥꯁꯨ ꯀꯧꯏ꯫
ꯃꯈꯜ ꯑꯁꯤꯗꯥ, ꯁ꯭ꯇꯣꯃꯥꯀꯀꯤ ꯃꯊꯛ ꯊꯪꯕꯥ ꯁꯔꯨꯛ ꯑꯗꯨ ꯏꯁꯣꯐꯦꯒꯁꯇꯥ ꯂꯩꯕꯥ ꯑꯍꯥꯡꯕꯥ ꯃꯐꯝ ꯑꯗꯨꯗꯒꯤ, ꯏꯁꯣꯐꯦꯒꯁꯀꯤ ꯃꯄꯥꯟꯗꯥ ꯊꯣꯀꯏ꯫ ꯃꯁꯤ ꯕꯣꯜ ꯃꯈꯂꯒꯤ ꯂꯪꯂꯥ ꯑꯃꯒꯨꯝꯅꯥ ꯎꯕꯥ ꯌꯥꯏ꯫
- ꯃꯈꯜ 3: ꯃꯤꯛꯁ ꯇꯧꯔꯕꯥ ꯍꯔꯅꯤꯌꯥ꯫
ꯃꯁꯤ ꯃꯊꯛꯇꯥ ꯄꯅꯈ꯭ꯔꯤꯕꯥ ꯃꯈꯜ ꯑꯅꯤ ꯑꯁꯤꯒꯤ ꯃꯔꯛꯇꯥ ꯌꯥꯑꯣꯕꯥ ꯑꯃꯒꯥ ꯃꯥꯟꯅꯩ꯫ ꯏꯁꯣꯐꯦꯒꯁ ꯑꯁꯤ ꯁ꯭ꯇꯣꯃꯥꯀꯀꯥ ꯁꯝꯅꯔꯤꯕꯥ ꯃꯐꯃꯗꯥ ꯊꯣꯛꯂꯀꯏ, ꯑꯃꯁꯨꯡ ꯃꯇꯝ ꯑꯗꯨꯃꯛꯇꯗꯥ ꯁ꯭ꯇꯣꯃꯥꯀꯀꯤ ꯑꯇꯣꯞꯄꯥ ꯁꯔꯨꯛ ꯑꯃꯁꯨ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫
- ꯃꯈꯜ 4: ꯀꯃꯞꯂꯦꯛꯁ ꯑꯣꯏꯕꯥ ꯍꯔꯅꯤꯌꯥ꯫
ꯃꯁꯤ ꯈꯔꯥ ꯊꯦꯡꯅꯩ, ꯑꯃꯁꯨꯡ ꯃꯁꯤ ꯈꯔꯥ ꯍꯦꯟꯅꯥ ꯂꯨꯝꯅꯥ ꯂꯧꯕꯥ ꯌꯥꯏ꯫ ꯊꯣꯛꯂꯤꯕꯥ ꯑꯁꯤꯗꯤ ꯗꯥꯏꯑꯦꯐ꯭ꯔꯥꯃꯗꯥ ꯂꯩꯕꯥ ꯍꯨꯔꯥꯅꯕꯥ ꯑꯗꯨ ꯌꯥꯝꯅꯥ ꯆꯥꯎꯏ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯁ꯭ꯇꯣꯃꯥꯛ ꯑꯃꯁꯨꯡ ꯑꯇꯣꯞꯄꯥ ꯑꯦꯕꯗꯣꯃꯤꯅꯦꯜ ꯑꯣꯔꯒꯥꯟ ꯑꯃꯥ, ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯏꯟꯇꯦꯁ꯭ꯇꯥꯏꯅꯒꯤ ꯁꯔꯨꯛ ꯑꯃꯥ, ꯄꯦꯅꯛꯔꯤꯑꯦꯖ ꯅꯠꯠꯔꯒꯥ ꯁ꯭ꯞꯂꯤꯅꯒꯤ ꯁꯔꯨꯛ ꯑꯃꯥ ꯂꯥꯀꯏ꯫
ꯍꯤꯌꯥꯇꯥꯜ ꯍꯔꯅꯤꯌꯥ ꯍꯥꯌꯅꯥ ꯀꯧꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯀꯌꯥꯝ ꯀꯃꯟ ꯑꯣꯏꯕꯒꯦ?
ꯃꯁꯤ ꯇꯁꯦꯡꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯈꯜꯂꯤꯕꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯀꯃꯟ ꯑꯣꯏ, ꯃꯔꯨꯑꯣꯏꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯆꯍꯤ ꯌꯥꯃꯈꯠꯂꯀꯄꯒꯥ ꯂꯣꯌꯅꯅꯥ꯫ ꯑꯃꯦꯔꯤꯀꯥꯒꯨꯝꯕꯥ ꯂꯩꯕꯥꯛ ꯑꯃꯗꯥ ꯃꯁꯤꯅꯥ ꯖꯦꯅꯦꯔꯦꯜ ꯄꯣꯄꯨꯂꯦꯁꯅꯒꯤ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯲꯰%ꯗꯥ ꯁꯣꯀꯍꯜꯂꯤ꯫ ꯍꯥꯌꯅꯩ ꯃꯗꯨꯗꯤ ꯆꯍꯤ ꯵꯰ ꯁꯨꯔꯀꯄꯗꯥ ꯵꯰%ꯗꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯂꯩꯒꯅꯤ, ꯆꯍꯤ ꯶꯰ ꯁꯨꯔꯀꯄꯗꯥ ꯶꯰%, ꯑꯃꯁꯨꯡ ꯆꯍꯤ ꯷꯰ ꯁꯨꯔꯀꯄꯗꯥ ꯷꯰%ꯗꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯂꯩꯒꯅꯤ꯫ ꯃꯁꯤꯒꯤ ꯐꯤꯚꯝ ꯑꯁꯤ ꯁ꯭ꯔꯤꯂꯉ꯭ꯀꯥꯗꯁꯨ ꯀꯃꯟ ꯑꯣꯏ꯫
ꯍꯤꯌꯥꯇꯥꯜ ꯍꯔꯅꯤꯌꯥꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯀꯔꯤꯅꯣ?
ꯃꯤꯑꯣꯏ ꯀꯌꯥꯗꯥ ꯂꯩꯕꯥ ꯁ꯭ꯂꯥꯏꯗ ꯍꯤꯌꯥꯇꯥꯜ ꯍꯔꯅꯤꯌꯥꯒꯤ ꯀꯦꯁꯇꯥ, ꯅꯍꯥꯛꯅꯥ ꯍꯔꯅꯤꯌꯥ ꯑꯗꯨ ꯐꯥꯎꯕꯥ ꯐꯥꯎꯕꯥ ꯉꯃꯗꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤ ꯑꯇꯣꯞꯄꯥ ꯃꯈꯂꯒꯤ ꯍꯔꯅꯤꯌꯥꯁꯤꯡꯒꯨꯝꯅꯥ ꯃꯄꯥꯟꯗꯥ ꯂꯝ ꯑꯃꯥ ꯑꯣꯏꯅꯥ ꯎꯕꯥ ꯐꯪꯗꯦ꯫
ꯍꯤꯌꯥꯇꯥꯜ ꯍꯔꯅꯤꯌꯥꯅꯥ ꯅꯥꯕꯥ ꯃꯤꯑꯣꯏ ꯀꯌꯥꯗꯤ ꯂꯥꯏꯑꯣꯡ ꯑꯃꯠꯇꯥ ꯎꯕꯥ ꯐꯪꯗꯦ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯒꯤ ꯑꯌꯥꯝꯕꯅꯥ ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯑꯦꯁꯤꯗ ꯔꯤꯐ꯭ꯂꯛꯁ ꯂꯥꯌꯅꯥ (ꯒꯦꯁ꯭ꯠꯔꯣꯏꯁꯣꯐꯦꯖꯤꯑꯦꯜ ꯔꯤꯐ꯭ꯂꯛꯁ ꯗꯤꯖꯤꯖ - ꯖꯤ.ꯏ.ꯑꯥꯔ.ꯗꯤ. ) ꯒꯥ ꯃꯔꯤ ꯂꯩꯅꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯂꯩ꯫
ꯃꯈꯣꯏ ꯑꯁꯤ:
- ꯍꯥꯔꯇꯕꯔꯟ : ꯃꯔꯨꯑꯣꯏꯅꯥ ꯆꯥꯕꯥ ꯂꯣꯌꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯈꯣꯡꯗꯥ ꯃꯩꯅꯥ ꯆꯥꯀꯄꯥ꯫
- ꯅꯟ-ꯀꯥꯔꯗꯤꯌꯦꯛ ꯆꯦꯁ꯭ꯠ ꯄꯦꯏꯟ : ꯔꯤꯀꯣꯚꯔꯤ ꯆꯦꯁ꯭ꯠ ꯄꯦꯏꯟ , ꯑꯦꯅꯖꯥꯏꯅꯥꯒꯥ ꯃꯥꯟꯅꯕꯥ , ꯑꯗꯨꯕꯨ ꯍꯥꯔꯇꯀꯥ ꯃꯔꯤ ꯂꯩꯅꯗꯕꯥ .
- ꯍꯀꯆꯥꯡ ꯁꯣꯟꯊꯕꯥ (indigestion): ꯃꯆꯤꯟꯖꯥꯛ ꯃꯔꯥꯡ ꯀꯥꯌꯅꯥ ꯆꯥꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯃꯄꯨꯡ-ꯃꯔꯩ ꯐꯥꯔꯕꯥ ꯐꯤꯚꯝ ꯑꯃꯥ, ꯃꯗꯨꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯈꯣꯝꯂꯥꯡꯗꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯏ꯫
- ꯕꯔꯄꯤꯡ ꯑꯃꯁꯨꯡ ꯔꯤꯒꯔꯖꯤꯇꯦꯁꯟ: ꯆꯤꯟꯖꯥꯛ, ꯅꯨꯡꯁꯤꯠ ꯑꯃꯁꯨꯡ ꯑꯦꯁꯤꯗ ꯑꯁꯤ ꯀꯣꯛꯇꯥ ꯔꯤꯒꯔꯖꯤꯇꯦꯁꯟ ꯇꯧꯕꯥ꯫
- ꯂꯧꯅꯒꯅꯕꯥ ꯂꯥꯌꯅꯥ ꯅꯠꯠꯔꯒꯥ ꯅꯍꯥꯛꯀꯤ ꯀꯣꯛꯇꯥ ꯂꯪꯊꯣꯀꯄꯥ꯫
- ꯀꯣꯛ ꯆꯤꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯈꯣꯟꯖꯦꯜ ꯊꯣꯀꯄꯥ: ꯀꯣꯛꯇꯥ ꯂꯩꯕꯥ ꯑꯦꯁꯤꯗ ꯑꯁꯤꯅꯥ ꯀꯣꯛ ꯆꯤꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯈꯣꯟꯖꯦꯜ ꯍꯣꯡꯍꯅꯕꯥ ꯌꯥꯏ꯫
ꯑꯗꯨꯕꯨ ꯅꯤꯡꯁꯤꯡꯕꯤꯌꯨ꯫ ꯑꯗꯨꯕꯨ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯍꯦꯟꯅꯥ ꯊꯦꯡꯅꯔꯕꯗꯤ, ꯃꯁꯤ ꯍꯔꯅꯤꯌꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫ ꯑꯇꯣꯞꯄꯥ ꯆꯦꯀꯁꯤꯅꯋꯥꯒꯤ ꯈꯨꯗꯃꯁꯤꯡꯗꯤ:
- ꯅꯣꯡꯃꯩ ꯀꯥꯞꯄꯥ: ꯅꯣꯡꯃꯩ ꯀꯥꯞꯄꯥ ꯑꯁꯤ ꯁ꯭ꯇꯣꯃꯥꯛ ꯄ꯭ꯔꯦꯁꯔ, ꯑꯦꯁꯤꯗ ꯔꯤꯐ꯭ꯂꯛꯁ ꯅꯠꯠꯔꯒꯥ ꯑꯅꯤꯃꯛꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫
- ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ:ꯀꯔꯤꯒꯨꯝꯕꯥ ꯍꯔꯅꯤꯌꯥꯅꯥ ꯂꯪꯁꯇꯥ ꯀꯝꯞꯔꯦꯁꯟ ꯇꯧꯔꯕꯗꯤ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯗꯥ ꯑꯋꯥꯕꯥ ꯑꯣꯏꯔꯀꯄꯥ ꯌꯥꯏ꯫
- ꯃꯊꯛꯀꯤ ꯈꯣꯡꯄꯥꯛ ꯅꯠꯠꯔꯒꯥ ꯃꯈꯥ ꯊꯪꯕꯥ ꯁꯔꯨꯛꯇꯥ ꯄ꯭ꯔꯦꯁꯔ ꯅꯠꯠꯔꯒꯥ ꯑꯅꯥꯕꯥ ꯂꯩꯕꯥ꯫
ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯑꯆꯧꯕꯥ ꯄꯦꯔꯥꯏꯁꯣꯐꯦꯖꯤꯌꯜ ꯍꯔꯅꯤꯌꯥ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯗꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯀꯃꯟ ꯑꯣꯏꯅꯥ ꯎꯕꯥ ꯐꯪꯏ꯫
ꯍꯤꯌꯥꯇꯥꯜ ꯍꯔꯅꯤꯌꯥꯒꯤ ꯑꯅꯥꯕꯥ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯐꯥꯎꯕꯒꯦ?
ꯍꯤꯌꯥꯇꯥꯜ ꯍꯔꯅꯤꯌꯥ ꯍꯥꯌꯕꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡ ꯑꯃꯁꯨꯡ ꯈꯣꯡꯄꯥꯛ ꯑꯗꯨ ꯊꯦꯡꯅꯔꯤꯕꯥ ꯃꯐꯝ ꯑꯗꯨꯅꯤ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯍꯔꯅꯤꯌꯥꯗꯒꯤ ꯑꯅꯥꯕꯥ ꯂꯩꯔꯕꯗꯤ, ꯃꯗꯨ ꯆꯦꯛꯁꯤꯟ-ꯊꯧꯔꯥꯡ ꯅꯠꯠꯔꯒꯥ ꯈꯣꯡ-ꯈꯨꯠ ꯁꯣꯛꯅꯕꯒꯨꯝꯅꯥ ꯐꯥꯎꯕꯥ ꯌꯥꯏ꯫ ꯅꯍꯥꯛꯅꯥ ꯑꯀꯛꯅꯕꯥ ꯊꯕꯛ ꯈꯔꯥ ꯇꯧꯕꯥ ꯃꯇꯃꯗꯥ ꯅꯠꯠꯔꯒꯥ ꯅꯍꯥꯛꯅꯥ ꯍꯔꯅꯤꯌꯥꯅꯥ ꯁꯣꯀꯍꯜꯂꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯁꯣꯀꯄꯥ ꯌꯥꯕꯥ ꯄꯣꯖꯤꯁꯟ ꯑꯃꯗꯥ ꯂꯩꯕꯥ ꯃꯇꯃꯗꯥ ꯑꯅꯥꯕꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯆꯧꯕꯥ ꯍꯔꯅꯤꯌꯥ ꯑꯃꯥ ꯂꯩꯔꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯃꯃꯥꯡꯂꯣꯃꯗꯥ ꯀꯨꯄꯁꯤꯅꯕꯥ, ꯀꯣꯛ ꯆꯤꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯄꯣꯠꯁꯛ ꯑꯃꯥ ꯂꯧꯊꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫
ꯑꯋꯥꯕꯥ ꯑꯁꯤ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯃꯥ ꯑꯁꯣꯌꯕꯥ ꯂꯩꯔꯦ ꯍꯥꯌꯕꯒꯤ ꯈꯨꯗꯝ ꯑꯃꯁꯨ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯕꯨ ꯑꯌꯥꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯍꯤꯌꯥꯇꯥꯜ ꯍꯔꯅꯤꯌꯥꯗꯒꯤ ꯂꯥꯀꯄꯥ ꯑꯅꯥꯕꯥ ꯑꯁꯤ ꯍꯔꯅꯤꯌꯥ ꯃꯁꯥꯃꯛꯇꯒꯤ ꯅꯠꯇꯦ, ꯑꯗꯨꯕꯨ ꯑꯦꯁꯤꯗ ꯔꯤꯐ꯭ꯂꯛꯁꯇꯒꯤꯅꯤ꯫ ꯑꯦꯁꯤꯗ ꯑꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯏꯁꯣꯐꯦꯒꯁꯇꯥ ꯁꯣꯀꯍꯜꯂꯤ꯫ ꯏꯁꯣꯐꯦꯒꯁ ꯑꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯒꯤ ꯃꯌꯥꯏꯗꯒꯤ ꯅꯍꯥꯛꯀꯤ ꯀꯣꯛꯇꯥ ꯆꯦꯟꯊꯔꯀꯄꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ, ꯑꯅꯥꯕꯥ ꯑꯗꯨ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯒꯤ ꯃꯊꯛꯇꯥ, ꯃꯈꯥꯗꯥ ꯅꯠꯠꯔꯒꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯄꯨꯝꯅꯃꯛ ꯔꯦꯗꯤꯑꯦꯠ ꯇꯧꯔꯀꯄꯒꯨꯝꯅꯥ ꯐꯥꯎꯕꯥ ꯌꯥꯏ꯫ ꯑꯌꯥꯝꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯅꯥ ꯃꯁꯤ ꯃꯩꯁꯥ (burning sensation) ꯑꯃꯒꯨꯝꯅꯥ ꯐꯥꯑꯣꯏ꯫ ꯃꯤꯑꯣꯏ ꯈꯔꯗꯗꯤ ꯃꯁꯤ ꯍꯥꯔꯠ ꯑꯦꯇꯦꯛ ꯑꯃꯒꯨꯝꯅꯥ ꯐꯥꯎꯕꯥ ꯐꯥꯎꯕꯥ ꯌꯥꯏ꯫
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯆꯤꯡꯅꯕꯥ ꯂꯩꯔꯕꯗꯤ, ꯅꯠꯠꯔꯒꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯆꯦꯛꯁꯤꯟꯅꯥ ꯌꯦꯡꯂꯕꯗꯤ, ꯗꯣꯛꯇꯔ ꯑꯃꯒꯥ ꯇꯥꯟꯅꯗꯨꯅꯥ ꯆꯦꯛ-ꯑꯥꯎꯠ ꯇꯧꯕꯅꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯩ꯫ ꯍꯔꯅꯤꯌꯥꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯑꯦꯁꯤꯗ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯀꯣꯛꯇꯥ ꯆꯪꯂꯀꯄꯒꯦ?
ꯈꯅꯕꯤꯌꯨ, ꯃꯐꯃꯗꯨꯗꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯏꯁꯣꯐꯦꯒꯁ ꯑꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯁ꯭ꯇꯣꯃꯥꯛ (gastroesophageal junction)ꯒꯥ ꯁꯝꯅꯩ꯫ ꯃꯐꯝ ꯑꯗꯨꯗꯥ ꯗꯥꯏꯑꯦꯐ꯭ꯔꯥꯝ ꯑꯁꯤ ꯆꯠꯂꯤ, ꯑꯃꯁꯨꯡ ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯅꯥ ꯑꯦꯁꯤꯗ ꯑꯁꯤ ꯀꯣꯛꯇꯥ ꯆꯠꯄꯥ ꯊꯤꯡꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯂꯤꯕꯥ ꯃꯁꯂꯁꯤꯡ ꯑꯗꯨ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯁꯣꯀꯆꯤꯜꯂꯀꯏ꯫ ꯃꯁꯂꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯁꯣꯟꯊꯔꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯏꯁꯣꯐꯦꯒꯁ ꯑꯗꯨ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯊꯤꯡꯖꯤꯅꯕꯥ ꯉꯃꯗꯕꯥ ꯃꯇꯃꯗꯥ, ꯁ꯭ꯇꯣꯃꯥꯀꯇꯥ ꯂꯩꯕꯥ ꯑꯦꯁꯤꯗ ꯑꯗꯨ ꯏꯁꯣꯐꯦꯒꯁꯇꯥ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯂꯥꯀꯄꯥ ꯍꯧꯏ꯫ ꯃꯁꯤꯗꯁꯨ ꯅꯠꯇꯅꯥ, ꯍꯔꯅꯤꯌꯥꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯑꯦꯁꯤꯗ ꯈꯔꯗꯤ ꯁ꯭ꯇꯣꯃꯥꯀꯀꯤ ꯃꯊꯛ ꯊꯪꯕꯥ ꯁꯔꯨꯛꯇꯥ ꯆꯦꯟꯊꯈꯤ, ꯑꯃꯁꯨꯡ ꯃꯗꯨ ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯟꯊꯗꯦ꯫ ꯃꯁꯤ ꯁꯨꯞꯅꯇꯒꯤ ꯊꯣꯀꯄꯅꯤ꯫
ꯍꯤꯌꯥꯇꯥꯜ ꯍꯔꯅꯤꯌꯥꯒꯤ ꯃꯔꯃꯁꯤꯡ ꯀꯔꯤꯅꯣ?
ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯇꯣꯉꯥꯟ-ꯇꯣꯉꯥꯅꯕꯥ ꯁꯔꯨꯀꯁꯤꯡ ꯇꯣꯈꯥꯌꯍꯜꯂꯤꯕꯥ ꯇꯤꯁꯨꯁꯤꯡꯗꯥ ꯑꯁꯣꯀꯄꯥ ꯃꯐꯝ ꯑꯃꯥ ꯂꯩꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯍꯔꯅꯤꯌꯥ ꯂꯥꯀꯄꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯒꯨꯝꯕꯥ ꯋꯥꯠꯄꯥ ꯃꯐꯝ ꯑꯗꯨꯗꯤ ꯍꯔꯅꯤꯌꯥ ꯊꯣꯀꯄꯥ ꯃꯐꯝ ꯑꯗꯨꯅꯤ꯫ ꯍꯤꯌꯥꯇꯥꯜ ꯍꯔꯅꯤꯌꯥ ꯑꯁꯤ, ꯃꯃꯥꯡꯗꯥ ꯄꯅꯈ꯭ꯔꯤꯕꯥ ꯃꯇꯨꯡꯏꯟꯅꯥ, ꯏꯁꯣꯐꯦꯖꯤꯌꯜ ꯍꯤꯌꯥꯇꯁ ꯀꯧꯕꯥ ꯗꯥꯏꯑꯦꯐ꯭ꯔꯥꯃꯗꯥ ꯂꯩꯕꯥ ꯍꯣꯜ ꯑꯗꯨ ꯌꯥꯝꯅꯥ ꯆꯥꯎꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯊꯣꯀꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯑꯀꯛꯅꯕꯥ ꯑꯦꯛꯁꯤꯗꯦꯟꯇ, ꯁꯔꯖꯔꯤ ꯅꯠꯠꯔꯒꯥ ꯄꯣꯀꯄꯗꯥ ꯉꯥꯏꯔꯤꯕꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯑꯃꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯑꯁꯤ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯕꯨ
ꯑꯌꯥꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯃꯁꯤ ꯃꯇꯃꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ ꯂꯥꯀꯄꯥ ꯆꯍꯤ ꯀꯌꯥꯒꯤ ꯅꯣꯡꯃꯒꯤ ꯑꯣꯏꯕꯥ ꯁ꯭ꯠꯔꯦꯁ ꯑꯃꯁꯨꯡ ꯁ꯭ꯠꯔꯦꯅꯁꯤꯡꯅꯥ ꯊꯣꯀꯍꯅꯕꯅꯤ꯫ ꯅꯍꯥꯛꯀꯤ ꯑꯦꯕꯗꯣꯃꯤꯅꯦꯜ ꯀꯦꯚꯤꯇꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯍꯦꯅꯕꯥ ꯄ꯭ꯔꯦꯁꯔ ꯊꯣꯀꯍꯅꯕꯥ ꯄꯣꯠꯁꯛ ꯑꯃꯍꯦꯛꯇꯅꯥ ꯃꯇꯃꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ ꯗꯥꯏꯑꯦꯐ꯭ꯔꯥꯝ ꯑꯗꯨꯗꯥ ꯄ꯭ꯔꯦꯁꯔ ꯄꯤꯕꯥ ꯌꯥꯏ꯫ ꯍꯤꯌꯥꯇꯥꯜ ꯍꯔꯅꯤꯌꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯕꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯐꯦꯛꯇꯔ ꯈꯔꯗꯤ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤ:
- ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯀꯣꯛ ꯆꯤꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯆꯤꯀꯄꯥ: ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯈꯟꯊꯕꯤꯌꯨ, ꯃꯤꯑꯣꯏ ꯈꯔꯗꯗꯤ ꯀ꯭ꯔꯣꯅꯤꯛ ꯀꯣꯛ ꯆꯤꯀꯄꯥ ꯌꯥꯏ꯫ ꯅꯍꯥꯛꯅꯥ ꯂꯦꯞꯇꯅꯥ ꯀꯣꯛ ꯆꯤꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯅꯥꯀꯣꯡ ꯁꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯅꯍꯥꯛꯀꯤ ꯎꯅꯁꯥꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯂꯩꯕꯥ ꯄ꯭ꯔꯦꯁꯔ ꯑꯗꯨ ꯍꯦꯅꯒꯠꯂꯀꯏ꯫
- ꯀꯟꯁꯇꯤꯄꯁꯟ (constipation): ꯀꯟꯁꯇꯤꯄꯁꯟ ( constipation)ꯅꯥ ꯅꯥꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯅꯥ ꯃꯁꯤ ꯈꯪꯏ꯫
- ꯑꯣꯕꯦꯁꯤꯇꯤ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯕꯣꯗꯤ ꯃꯥꯁ ꯏꯟꯗꯦꯛꯁ (BMI) ꯑꯁꯤ 30ꯗꯒꯤ ꯍꯦꯜꯂꯕꯗꯤ꯫
- ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯈꯣꯡ ꯍꯥꯝꯕꯥ꯫
- ꯑꯀꯅꯕꯥ ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯅꯠꯠꯔꯒꯥ ꯋꯦꯠ ꯂꯤꯐꯇꯤꯡ: ꯑꯀꯅꯕꯥ ꯑꯔꯨꯝꯕꯥ ꯂꯧꯕꯥ ꯃꯇꯃꯗꯥ, ꯖꯤꯃꯗꯥ ꯇꯧꯕꯒꯨꯝꯅꯥ꯫
- ꯃꯤꯔꯣꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯑꯉꯥꯡ ꯄꯣꯀꯄꯥ: ꯃꯇꯃꯁꯤꯡ ꯑꯁꯤꯗꯥ ꯑꯦꯕꯗꯣꯃꯤꯅꯦꯜ ꯄ꯭ꯔꯦꯁꯔꯁꯨ ꯍꯦꯅꯒꯠꯂꯀꯏ꯫
ꯃꯁꯤ ꯍꯤꯌꯥꯇꯥꯜ ꯍꯔꯅꯤꯌꯥ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ ꯍꯥꯌꯕꯔꯥ?
ꯑꯌꯥꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯅꯠꯇꯦ꯫
ꯑꯌꯥꯝꯕꯥ ꯍꯤꯌꯥꯇꯥꯜ ꯍꯔꯅꯤꯌꯥꯁꯤꯡꯗꯤ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯑꯣꯏꯗꯦ꯫ ꯑꯌꯥꯝꯕꯗꯤ ꯂꯥꯏꯑꯣꯡ ꯑꯃꯠꯇꯥ ꯊꯣꯀꯍꯟꯗꯦ꯫ ꯅꯍꯥꯛꯀꯤ ꯂꯩ ꯍꯥꯌꯕꯁꯤ ꯅꯍꯥꯛꯅꯥ ꯈꯪꯂꯕꯁꯨ ꯌꯥꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯑꯆꯧꯕꯥ ꯍꯔꯅꯤꯌꯥ ꯑꯃꯅꯥ ꯃꯇꯃꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯑꯣꯏꯔꯀꯄꯥ ꯌꯥꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯁꯤ ꯑꯆꯧꯕꯥ ꯑꯣꯏꯔꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯑꯌꯥꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯎꯕꯥ ꯐꯪꯒꯅꯤ꯫
ꯑꯣꯏꯊꯣꯀꯄꯥ ꯌꯥꯕꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?
ꯍꯤꯌꯥꯇꯥꯜ ꯍꯔꯅꯤꯌꯥꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯑꯁꯤ ꯀ꯭ꯔꯣꯅꯤꯛ ꯑꯦꯁꯤꯗ ꯔꯤꯐ꯭ꯂꯛꯁ ꯑꯁꯤꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯑꯣꯏꯔꯕꯗꯤ ꯑꯃꯁꯨꯡ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡꯅꯥ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯗ꯭ꯔꯕꯗꯤ, ꯃꯁꯤꯅꯥ ꯑꯔꯣꯏꯕꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯏꯁꯣꯐꯦꯒꯁꯇꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯀ꯭ꯔꯣꯅꯤꯛ ꯑꯦꯁꯤꯗ ꯔꯤꯐ꯭ꯂꯛꯁꯇꯒꯤ ꯂꯥꯀꯄꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯁꯤꯡꯁꯤ ꯌꯥꯎꯏ:
- ꯏꯁꯣꯐꯦꯖꯤꯇꯤꯁ (Esophagitis): ꯏꯁꯣꯐꯦꯒꯁꯇꯥ ꯑꯦꯁꯤꯗ ꯔꯤꯐ꯭ꯂꯛꯁ ꯇꯧꯔꯀꯄꯅꯥ ꯏꯁꯣꯐꯦꯒꯁꯀꯤ ꯂꯥꯏꯅꯤꯡ ꯑꯗꯨ ꯁꯣꯟꯊꯍꯜꯂꯤ ꯑꯃꯁꯨꯡ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯁꯟ ꯊꯣꯀꯍꯜꯂꯤ꯫ ꯃꯁꯤꯅꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ, ꯂꯧꯅꯒꯅꯕꯥ ꯂꯥꯌꯅꯥ, ꯑꯂꯁꯔ, ꯑꯃꯁꯨꯡ ꯏ ꯊꯣꯀꯄꯥ ꯐꯥꯎꯕꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫
- ꯏꯁꯣꯐꯦꯖꯤꯌꯜ ꯁ꯭ꯠꯔꯤꯀꯆꯔ (Esophageal stricture): ꯃꯈꯥ ꯇꯥꯅꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯍꯅꯕꯅꯥ ꯏꯁꯣꯐꯦꯖꯤꯌꯁ (esophageal tissue) ꯊꯣꯀꯍꯜꯂꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯒꯤ ꯁꯣꯛ-ꯄꯅꯕꯥ ꯑꯁꯤꯅꯥ ꯂꯦꯡ-ꯑꯣꯠꯄꯒꯤ ꯃꯇꯃꯗꯥ ꯊꯕꯛ ꯇꯧꯔꯤꯕꯥ ꯃꯁꯂꯁꯤꯡꯗꯥ ꯑꯀꯥꯌꯕꯥ ꯄꯤꯗꯨꯅꯥ ꯏꯁꯣꯐꯦꯒꯁ (esophagus) ꯁꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫
- ꯕꯦꯔꯦꯇꯀꯤ ꯏꯁꯣꯐꯦꯒꯁ: ꯂꯦꯞꯇꯅꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯄꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯏꯁꯣꯐꯦꯒꯁꯀꯤ ꯂꯥꯏꯅꯤꯡꯗꯥ ꯑꯍꯣꯡꯕꯥ ꯂꯥꯀꯄꯥ ꯌꯥꯏ (``ꯕꯦꯔꯦꯇꯀꯤ ꯏꯁꯣꯐꯦꯒꯁ'' ꯀꯧꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫'' ꯃꯁꯤ ꯃꯁꯥ ꯃꯊꯟꯇꯥ ꯈꯨꯗꯣꯡꯊꯤꯅꯤꯉꯥꯏ ꯑꯣꯏꯗ꯭ꯔꯕꯁꯨ, ꯃꯁꯤ ꯄ꯭ꯔꯤꯀꯦꯟꯁꯔ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ ꯍꯥꯌꯅꯥ ꯂꯧꯅꯩ .
ꯌꯥꯝꯅꯥ ꯇꯣꯏꯅꯥ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯍꯤꯌꯥꯇꯥꯜ ꯍꯔꯅꯤꯌꯥ ꯑꯃꯥ ꯊꯤꯡꯖꯤꯜꯂꯕꯗꯤ ꯅꯠꯠꯔꯒꯥ ꯑꯍꯥꯡꯕꯥ ꯃꯐꯃꯗꯥ ꯊꯨꯒꯥꯌꯔꯕꯗꯤ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯁꯤ ꯃꯍꯧꯁꯥꯅꯥ ꯌꯥꯝꯅꯥ ꯇꯣꯏꯅꯥ ꯊꯣꯀꯄꯥ ꯍꯔꯅꯤꯌꯥ ꯃꯈꯂꯁꯤꯡꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯊꯣꯀꯏ꯫ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯁꯤꯡꯁꯤ ꯌꯥꯎꯏ:
- ꯒꯦꯁ꯭ꯠꯔꯣꯏꯟꯇꯦꯁ꯭ꯇꯥꯏꯅꯦꯜ ꯑꯣꯕꯁ꯭ꯠꯔꯥꯀꯁꯟ: ꯅꯍꯥꯛꯀꯤ ꯁ꯭ꯇꯣꯃꯥꯛ ꯅꯠꯠꯔꯒꯥ ꯑꯇꯣꯞꯄꯥ ꯑꯣꯔꯒꯥꯟ ꯑꯃꯅꯥ ꯑꯍꯥꯡꯕꯥ ꯃꯐꯃꯗꯥ ꯆꯦꯟꯊꯈꯤꯕꯥ, ꯁꯣꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯁꯣꯀꯄꯥ ꯌꯥꯏ, ꯃꯗꯨꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯥꯏꯖꯦꯁ꯭ꯇꯤꯚ ꯇ꯭ꯔꯦꯛꯇ ꯑꯗꯨ ꯊꯤꯡꯖꯤꯅꯕꯥ ꯌꯥꯏ꯫
- ꯒꯦꯁ꯭ꯠꯔꯥꯏꯇꯤꯁ (Gastritis): ꯁ꯭ꯇꯣꯃꯥꯀꯀꯤ ꯍꯔꯅꯤꯌꯥꯒꯤ ꯁꯔꯨꯛ ꯑꯗꯨꯗꯥ ꯑꯦꯁꯤꯗ ꯔꯤꯐ꯭ꯂꯛꯁ ꯇꯧꯕꯅꯥ ꯁꯣꯛ-ꯄꯅꯕꯥ, ꯁ꯭ꯇꯣꯃꯥꯛ ꯑꯂꯁꯔ ꯑꯃꯁꯨꯡ ꯃꯅꯨꯡꯒꯤ ꯏ ꯊꯣꯀꯄꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫
- ꯏꯁ꯭ꯀꯦꯃꯤꯛ (ischemia): ꯀꯔꯤꯒꯨꯝꯕꯥ ꯍꯔꯅꯤꯌꯥ ꯑꯗꯨ ꯑꯁꯨꯛ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯅꯥ ꯁꯣꯀꯍꯜꯂꯕꯗꯤ, ꯃꯗꯨꯗꯥ ꯏꯒꯤ ꯁꯞꯂꯥꯏ ꯑꯗꯨ ꯀꯀꯊꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯅꯥ ꯁꯣꯛ-ꯄꯅꯕꯥ, ꯑꯅꯥꯕꯥ ꯑꯃꯁꯨꯡ ꯑꯔꯣꯌꯕꯗꯥ ꯇꯤꯁꯨꯁꯤꯡ ꯁꯤꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤ ꯏꯃꯔꯖꯦꯟꯁꯤ ꯑꯃꯅꯤ꯫
ꯍꯤꯌꯥꯇꯥꯜ ꯍꯔꯅꯤꯌꯥ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯈꯪꯗꯣꯀꯄꯒꯦ?
ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯏꯁꯣꯐꯦꯒꯁ ꯑꯃꯁꯨꯡ ꯁ꯭ꯇꯣꯃꯥꯀꯀꯤ ꯏꯃꯦꯖꯁꯤꯡ ꯌꯦꯡꯗꯨꯅꯥ ꯍꯤꯌꯥꯇꯥꯜ ꯍꯔꯅꯤꯌꯥ ꯑꯃꯥ ꯈꯪꯗꯣꯀꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯑꯇꯣꯞꯄꯥ ꯋꯥꯐꯝ ꯑꯃꯥ ꯊꯤꯕꯥ ꯃꯇꯃꯗꯥ ꯊꯧꯗꯣꯛ ꯑꯃꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯈꯉꯗꯣꯀꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯦꯁꯤꯗ ꯔꯤꯐ꯭ꯂꯛꯁꯀꯤ ꯂꯥꯏꯑꯣꯡ ꯂꯩꯔꯕꯗꯤ ꯗꯣꯛꯇꯔ ꯑꯃꯅꯥ ꯃꯁꯤ ꯌꯦꯡꯁꯤꯅꯕꯥ ꯄꯥꯝꯂꯕꯁꯨ ꯌꯥꯏ꯫ ꯑꯍꯥꯅꯕꯗꯥ,
ꯃꯈꯣꯌꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯏꯁꯣꯐꯦꯖꯤꯑꯦꯜ pH ꯇꯦꯁ꯭ꯠ ꯑꯃꯥ ꯇꯧꯗꯨꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯏꯁꯣꯐꯦꯒꯁꯇꯥ ꯑꯦꯁꯤꯗ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯒꯅꯤ꯫ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯑꯦꯁꯤꯗ ꯑꯁꯤ ꯂꯩꯔꯕꯗꯤ ꯃꯔꯝ ꯑꯗꯨ ꯈꯉꯗꯣꯛꯅꯕꯥ ꯏꯃꯦꯖꯤꯡ ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯄꯥꯡꯊꯣꯛꯀꯅꯤ꯫ ꯍꯤꯌꯥꯇꯥꯜ ꯍꯔꯅꯤꯌꯥ ꯑꯃꯥ ꯈꯪꯗꯣꯀꯄꯥ ꯉꯝꯕꯥ ꯇꯦꯁ꯭ꯇꯁꯤꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯁꯤꯡꯁꯤ ꯌꯥꯎꯏ:
- ꯆꯦꯁ꯭ꯠ ꯑꯦꯛꯁ-ꯔꯦ: ꯃꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯆꯦꯁ꯭ꯇꯀꯤ ꯃꯅꯨꯡꯗꯥ ꯂꯩꯕꯥ, ꯇ꯭ꯔꯦꯀꯤꯌꯥ (trachea) ꯂꯩꯕꯥ ꯃꯐꯝ ꯑꯗꯨꯒꯤ ꯁ꯭ꯇꯤꯜ, ꯕ꯭ꯂꯦꯛ ꯑꯃꯁꯨꯡ ꯍꯣꯏꯠ ꯄꯤꯀꯆꯔꯁꯤꯡ ꯂꯧꯏ꯫
- ꯏꯁꯣꯐꯦꯒ꯭ꯔꯥꯝ / ꯕꯦꯔꯤꯌꯥꯝ ꯁꯣꯂꯣ: ꯃꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯏꯁꯣꯐꯦꯒꯁꯀꯤ ꯚꯤꯗꯤꯑꯣ ꯑꯃꯒꯨꯝꯅꯥ ꯑꯣꯏ꯫ ꯃꯁꯤꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯦꯡ-ꯑꯣꯠꯄꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯏꯁꯣꯐꯦꯒꯁꯀꯤ ꯃꯅꯨꯡꯗꯥ ꯂꯩꯕꯥ ꯃꯐꯝ ꯑꯗꯨ ꯔꯤꯑꯦꯜ-ꯇꯥꯏꯝ ꯑꯣꯏꯅꯥ ꯎꯕꯥ ꯉꯃꯍꯜꯂꯤ꯫ ꯃꯁꯤꯒꯤ ꯃꯃꯥꯡꯗꯥ, ꯅꯍꯥꯀꯄꯨ ꯊꯛꯅꯕꯥ ꯕꯦꯔꯤꯌꯥꯝ ꯀꯧꯕꯥ ꯂꯤꯛꯌꯨꯏꯗ ꯑꯃꯥ ꯄꯤꯒꯅꯤ꯫
- ꯃꯊꯛꯀꯤ ꯑꯦꯟꯗꯣꯁ꯭ꯀꯣꯄꯤ (Upper endoscopy): ꯑꯄꯤꯀꯄꯥ ꯀꯦꯃꯦꯔꯥ ꯑꯃꯥ ꯌꯥꯎꯕꯥ ꯁꯥꯡꯕꯥ ꯇꯤꯎꯕ ꯑꯃꯥ ꯃꯤꯠꯀꯤ ꯃꯅꯨꯡꯗꯥ ꯊꯥꯗꯨꯅꯥ ꯏꯁꯣꯐꯦꯒꯁ ꯑꯃꯁꯨꯡ ꯁ꯭ꯇꯣꯃꯥꯀꯀꯤ ꯃꯅꯨꯡꯗꯥ ꯌꯦꯡꯁꯤꯜꯂꯤ꯫ ꯃꯁꯤꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯥꯏꯕ ꯁ꯭ꯛꯔꯤꯟ ꯑꯃꯗꯥ ꯏꯁꯣꯐꯦꯒꯁꯀꯤ ꯃꯅꯨꯡꯒꯤ ꯁꯔꯨꯛ ꯑꯗꯨ ꯌꯦꯡꯕꯥ ꯌꯥꯍꯜꯂꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯊꯧ ꯇꯥꯔꯕꯗꯤ, ꯇꯤꯁꯨꯒꯤ ꯑꯄꯤꯀꯄꯥ ꯁꯔꯨꯀꯁꯤꯡ (ꯕꯥꯏꯑꯣꯞꯁꯤ) ꯌꯦꯡꯁꯤꯟꯅꯕꯥ ꯂꯧꯕꯥ ꯌꯥꯏ꯫
- ꯏꯁꯣꯐꯦꯖꯤꯌꯜ ꯃꯦꯅꯣꯃꯦꯠꯔꯤ (esophageal manometry): ꯏꯁꯣꯐꯦꯒꯁꯀꯤ ꯃꯁꯂꯁꯤꯡꯗꯥ ꯂꯩꯕꯥ ꯄ꯭ꯔꯦꯁꯔ ꯑꯗꯨ ꯌꯦꯡꯁꯤꯟꯅꯕꯥ ꯀꯦꯇꯦꯒꯣꯔꯤ ꯑꯃꯥ ꯏꯁꯣꯐꯦꯒꯁꯇꯥ ꯊꯥꯏ꯫
ꯃꯁꯤꯒꯤ ꯍꯔꯅꯤꯌꯥ ꯑꯁꯤ ꯃꯁꯥ ꯃꯊꯟꯇꯥ ꯂꯣꯏꯁꯤꯅꯈꯤꯒꯗ꯭ꯔꯥ?
ꯅꯠꯇꯦ, ꯍꯔꯅꯤꯌꯥ ꯑꯁꯤ ꯃꯁꯥ ꯃꯊꯟꯇꯥ ꯐꯒꯠꯂꯀꯄꯥ ꯉꯃꯗꯦ꯫
ꯃꯍꯧꯁꯥꯅꯥ ꯃꯈꯣꯌ ꯑꯁꯤ ꯃꯇꯃꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ ꯐꯒꯠꯂꯀꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯃꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯔꯅꯤꯌꯥꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯑꯃꯠꯇꯥ ꯊꯣꯀꯍꯜꯂꯣꯏ ꯍꯥꯌꯕꯗꯤ ꯅꯠꯇꯦ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯤꯌꯥꯇꯥꯜ ꯍꯔꯅꯤꯌꯥꯗꯒꯤ ꯂꯥꯏꯑꯣꯡ ꯑꯃꯠꯇꯥ ꯂꯩꯠꯔꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯃꯊꯧ ꯇꯥꯗꯕꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯕꯨ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯂꯩꯔꯕꯗꯤ, ꯃꯈꯣꯌꯗꯨ ꯂꯦꯡꯗꯅꯥ ꯂꯩꯕꯥ ꯌꯥꯏ ꯑꯃꯁꯨꯡ ꯍꯦꯟꯅꯥ ꯐꯠꯆꯤꯜꯂꯛꯇꯕꯥ ꯌꯥꯏ꯫ ꯃꯥꯏꯜꯗ ꯑꯦꯁꯤꯗ ꯔꯤꯐ꯭ꯂꯛꯁ ꯑꯁꯤ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯃꯦꯅꯦꯖ ꯇꯧꯕꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯕꯨ ꯍꯦꯟꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯀꯦꯁꯁꯤꯡꯗꯤ ꯁꯔꯖꯤꯀꯦꯜ ꯔꯤꯄꯦꯌꯥꯔ ꯇꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯏ꯫
ꯍꯤꯌꯥꯇꯥꯜ ꯍꯔꯅꯤꯌꯥꯒꯤ ꯃꯦꯗꯤꯀꯦꯜ ꯇ꯭ꯔꯤꯠꯃꯦꯟꯇꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?
ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯔꯅꯤꯌꯥꯒꯤ ꯃꯑꯣꯡ-ꯃꯇꯧ, ꯅꯍꯥꯛꯀꯤ ꯍꯔꯅꯤꯌꯥꯒꯤ ꯁꯥꯏꯖ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯗꯨ ꯆꯦꯀꯁꯤꯟꯅꯥ ꯌꯦꯡꯁꯤꯟꯗꯨꯅꯥ ꯅꯍꯥꯛꯀꯤꯗꯃꯛꯇꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯥ ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯂꯥꯌꯦꯡꯕꯒꯤ ꯑꯣꯄꯁꯟ ꯑꯗꯨ ꯈꯪꯗꯣꯛꯀꯅꯤ꯫ ꯐꯪꯂꯤꯕꯥ ꯑꯣꯄꯁꯅꯁꯤꯡ ꯑꯗꯨꯗꯤ:
- ꯉꯥꯏꯌꯨ ꯑꯃꯁꯨꯡ ꯌꯦꯡꯎ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯔꯅꯤꯌꯥ ꯑꯗꯨꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯁꯣꯀꯍꯜꯂꯣꯏꯗꯕꯗꯤ, ꯃꯗꯨ ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯃꯊꯧ ꯇꯥꯗꯕꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯕꯨ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯃꯗꯨꯗꯥ ꯃꯤꯠꯌꯦꯡ ꯊꯃꯒꯅꯤ, ꯃꯔꯃꯗꯤ ꯃꯇꯃꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ ꯍꯦꯟꯅꯥ ꯆꯥꯎꯈꯠꯂꯀꯄꯥ ꯌꯥꯏ꯫
- ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ ꯁꯤꯖꯤꯟꯅꯧ: ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡꯅꯥ ꯀꯣꯛꯇꯥ ꯑꯦꯁꯤꯗ ꯂꯥꯀꯄꯥ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯊꯤꯡꯕꯥ ꯉꯃꯗꯦ꯫ ꯑꯗꯨꯕꯨ ꯃꯈꯣꯌꯅꯥ ꯈꯣꯡꯗꯥ ꯂꯩꯔꯤꯕꯥ ꯑꯦꯁꯤꯗꯀꯤ ꯆꯥꯡ ꯍꯟꯊꯍꯅꯕꯥ ꯉꯝꯃꯤ꯫ ꯑꯗꯨꯗꯒꯤ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯗꯨ ꯀꯣꯛꯇꯥ ꯋꯥꯡꯈꯠꯂꯛꯂꯕꯁꯨ, ꯃꯁꯤꯅꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯍꯟꯊꯍꯅꯒꯅꯤ ꯑꯃꯁꯨꯡ ꯑꯅꯥꯕꯥ ꯑꯗꯨ ꯍꯟꯊꯍꯅꯒꯅꯤ꯫
- ꯁꯔꯖꯔꯤ: ꯑꯄꯤꯀꯄꯥ ꯑꯣꯄꯔꯦꯁꯟ ꯑꯃꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯤꯌꯥꯇꯥꯜ ꯍꯔꯅꯤꯌꯥ ꯑꯗꯨ ꯔꯤꯄꯦꯌꯥꯔ ꯇꯧꯕꯥ ꯌꯥꯏ꯫ ꯁꯔꯖꯔꯤ ꯑꯁꯤ ꯃꯤꯄꯨꯝ ꯈꯨꯗꯤꯡꯃꯛꯀꯤ ꯑꯣꯄꯁꯟ ꯑꯃꯅꯤ, ꯑꯗꯨꯕꯨ ꯃꯤꯄꯨꯝ ꯈꯨꯗꯤꯡꯃꯛꯅꯥ ꯃꯊꯧ ꯇꯥꯗꯦ꯫ ꯃꯤꯑꯣꯏ ꯈꯔꯅꯥ ꯊꯨꯅꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯏ, ꯑꯗꯨꯒꯥ ꯑꯇꯩ ꯈꯔꯅꯥ ꯇꯨꯡꯗꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯏ꯫
ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ꯫
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯇꯝ ꯃꯇꯃꯒꯤ ꯑꯣꯏꯅꯥ ꯍꯥꯔꯇꯀꯤ ꯂꯥꯌꯅꯥ ꯂꯩꯔꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯑꯣꯚꯔ-ꯗꯤ
-ꯀꯎꯟꯇꯔ ꯑꯦꯟꯇꯤꯑꯦꯁꯤꯗꯁꯤꯡ (Digene, Gelusil)ꯅꯥ ꯔꯤꯂꯤꯐ ꯐꯪꯂꯕꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯗꯨ ꯂꯦꯡꯗꯅꯥ ꯂꯩꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯃꯇꯝ ꯁꯥꯡꯅꯥ, ꯅꯨꯃꯤꯠ ꯈꯨꯗꯤꯡꯒꯤ ꯍꯤꯗꯥꯛ ꯑꯃꯥ ꯄꯤꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯗꯥ ꯃꯍꯧꯁꯥꯅꯥ
ꯄ꯭ꯔꯣꯇꯣꯟ ꯄꯝꯄ ꯏꯅꯍꯤꯕꯤꯇꯔꯁꯤꯡ (PPIs) ꯌꯥꯎꯏ꯫(ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ ꯑꯣꯃꯦꯞꯔꯥꯖꯣꯜ, ꯏꯁꯣꯃꯦꯞꯔꯥꯖꯣꯜ, ꯄꯥꯟꯇꯣꯞꯔꯥꯖꯣꯜ) ꯑꯁꯤ ꯄ꯭ꯔꯦꯁ꯭ꯛꯔꯥꯏꯕ ꯇꯧꯏ꯫ ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯏꯁꯣꯐꯦꯒꯁꯇꯥ ꯑꯦꯁꯤꯗ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯟꯗꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯄꯥ ꯃꯐꯃꯁꯤꯡ ꯐꯒꯠꯍꯅꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯍꯤꯗꯥꯀꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯆꯤꯟꯖꯥꯛ ꯑꯁꯤ ꯀꯣꯛꯇꯥ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯂꯥꯀꯄꯥ ꯊꯤꯡꯕꯥ ꯉꯃꯗꯦ (regurgitation) ꯅꯠꯠꯔꯒꯥ ꯍꯔꯅꯤꯌꯥ ꯑꯁꯤ ꯍꯦꯟꯅꯥ ꯆꯥꯎꯈꯠꯂꯀꯄꯥ ꯊꯤꯡꯕꯥ ꯉꯃꯗꯦ꯫
ꯂꯦꯟꯕ
ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯀꯦꯁꯁꯤꯡ ꯑꯁꯤꯗꯥ ꯍꯔꯅꯤꯌꯥ ꯔꯤꯄꯦꯌꯥꯔ ꯁꯔꯖꯔꯤ ꯇꯧꯅꯕꯥ ꯄꯥꯎꯇꯥꯛ ꯄꯤꯔꯤ:
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯔꯅꯤꯌꯥꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯅꯠꯠꯔꯒꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ ꯑꯗꯨ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛꯅꯥ ꯊꯤꯡꯕꯥ ꯉꯃꯗ꯭ꯔꯕꯗꯤ꯫
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯁꯦꯜ ꯅꯠꯠꯔꯒꯥ ꯄꯨꯟꯁꯤꯒꯤ ꯃꯒꯨꯅꯗꯥ ꯑꯀꯥꯌꯕꯥ ꯄꯤꯕꯥ ꯁꯥꯏꯗ ꯏꯐꯦꯛꯇꯁꯤꯡ ꯂꯩꯔꯕꯗꯤ꯫
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯔꯅꯤꯌꯥ ꯑꯗꯨ ꯇꯨꯡꯗꯥ ꯑꯆꯧꯕꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯕꯥ ꯆꯥꯎꯔꯕꯗꯤ꯫
ꯍꯤꯌꯥꯇꯥꯜ ꯍꯔꯅꯤꯌꯥ ꯁꯔꯖꯔꯤꯅꯥ ꯍꯔꯅꯤꯌꯥ ꯑꯃꯁꯨꯡ ꯑꯦꯁꯤꯗ ꯔꯤꯐ꯭ꯂꯛꯁ ꯑꯁꯤ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯃꯑꯣꯡ ꯑꯁꯤꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ ꯀꯣꯀꯍꯜꯂꯤ:
- ꯅꯍꯥꯛꯀꯤ ꯁ꯭ꯇꯣꯃꯥꯛ ꯑꯃꯁꯨꯡ ꯂꯣꯌꯔꯕꯥ ꯏꯁꯣꯐꯦꯒꯁ ꯑꯗꯨ ꯗꯥꯏꯑꯦꯐ꯭ꯔꯥꯃꯒꯤ ꯃꯈꯥꯗꯥ ꯂꯩꯕꯥ ꯃꯈꯣꯌꯒꯤ ꯑꯆꯨꯝꯕꯥ ꯃꯐꯃꯗꯥ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯄꯨꯔꯀꯏ꯫
- ꯍꯔꯅꯤꯌꯥ ꯊꯣꯀꯈꯤꯕꯥ ꯗꯥꯏꯑꯦꯐ꯭ꯔꯥꯃꯗꯥ ꯂꯩꯕꯥ ꯍꯣꯜ ꯑꯗꯨ ꯊꯤꯡꯖꯤꯜꯂꯤ꯫
- ꯁ꯭ꯇꯣꯃꯥꯛ ꯑꯃꯁꯨꯡ ꯏꯁꯣꯐꯦꯒꯁꯀꯤ ꯃꯔꯛꯇꯥ ꯂꯩꯕꯥ ꯖꯉ꯭ꯀꯁꯟ ꯑꯗꯨ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯁꯣꯟꯊꯔꯀꯏ꯫
ꯃꯁꯤꯒꯤ ꯁꯔꯖꯔꯤ ꯑꯁꯤꯕꯨ
ꯐꯟꯗꯣꯞꯂꯤꯀꯦꯁꯟ ꯍꯥꯌꯅꯥ ꯀꯧꯏ . ꯃꯃꯤꯡ ꯑꯁꯤ "ꯐꯟꯗꯁ" ꯍꯥꯌꯕꯥ ꯋꯥꯍꯩ ꯑꯁꯤꯗꯒꯤ ꯂꯥꯀꯄꯅꯤ, ꯃꯁꯤꯅꯥ ꯈꯣꯡꯒꯤ ꯃꯊꯛ ꯊꯪꯕꯥ ꯁꯔꯨꯛ ꯑꯗꯨꯕꯨ ꯈꯪꯍꯜꯂꯤ꯫ ꯁꯔꯖꯔꯤ꯫ ꯃꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯀꯣꯛꯇꯥ ꯈꯣꯡꯎꯞ ꯑꯃꯥ ꯀꯨꯄꯁꯤꯅꯕꯒꯨꯝꯅꯥ ꯈꯅꯕꯤꯌꯨ꯫ ꯃꯁꯤꯅꯥ ꯑꯣꯔꯒꯥꯟ ꯑꯅꯤ (lower esophageal sphincter) ꯑꯁꯤ ꯇꯣꯈꯥꯌꯅꯥ ꯇꯥꯍꯜꯂꯤꯕꯥ ꯃꯁꯜ ꯑꯗꯨ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯁꯣꯀꯍꯜꯂꯤ꯫ ꯌꯥꯔꯤꯕꯃꯈꯩ, ꯃꯁꯤ
ꯃꯤꯅꯤꯃꯝ ꯏꯅꯚꯦꯁꯤꯕ ꯂꯦꯄꯔꯣꯁ꯭ꯀꯣꯄꯤꯛ ꯁꯔꯖꯔꯤꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯇꯧꯏ . ꯍꯥꯌꯕꯗꯤ ꯑꯄꯤꯀꯄꯥ ꯏꯅꯁꯤꯁꯟ ꯈꯔꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯀꯦꯃꯦꯔꯥ ꯑꯃꯁꯨꯡ ꯏꯅꯁ꯭ꯠꯔꯨꯃꯦꯟꯇꯁꯤꯡ ꯍꯥꯄꯆꯤꯅꯕꯥ ꯌꯥꯕꯥ ꯁꯔꯖꯔꯤ꯫
ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯐꯒꯠꯂꯀꯄꯥ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯑꯣꯏꯕꯒꯦ?
ꯅꯍꯥꯛꯀꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯁꯨꯡ ꯁꯔꯖꯔꯤꯒꯤ ꯃꯈꯜ ꯑꯗꯨꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ, ꯅꯍꯥꯛꯅꯥ ꯅꯨꯃꯤꯠ ꯑꯃꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯅꯤꯒꯤ ꯑꯣꯏꯅꯥ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯂꯗꯥ ꯂꯩꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯏ꯫
ꯂꯦꯄꯔꯣꯁ꯭ꯀꯣꯄꯤꯛ ꯅꯠꯠꯔꯒꯥ
ꯔꯣꯕꯣꯇꯤꯛ ꯁꯔꯖꯔꯤꯗꯒꯤ ꯐꯒꯠꯂꯀꯄꯥ ꯑꯁꯤ ꯃꯍꯧꯁꯥꯅꯥ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯑꯃꯁꯨꯡ ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯊꯣꯀꯏ꯫ ꯃꯁꯤꯒꯤ ꯃꯔꯃꯗꯤ ꯃꯁꯤ ꯑꯣꯄꯟ ꯁꯔꯖꯔꯤꯒꯨꯝꯕꯥ ꯑꯆꯧꯕꯥ ꯏꯅꯁꯤꯁꯅꯁꯤꯡꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯇꯧꯗꯅꯥ, ꯑꯄꯤꯀꯄꯥ ꯏꯅꯁꯤꯁꯅꯁꯤꯡꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯇꯧꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯑꯣꯄꯟ ꯁꯔꯖꯔꯤ ꯇꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯏ꯫ ꯅꯍꯥꯛꯅꯥ ꯌꯨꯃꯗꯥ ꯍꯜꯂꯛꯂꯕꯥ ꯃꯇꯨꯡꯗꯁꯨ ꯅꯍꯥꯛꯅꯥ ꯑꯇꯣꯞꯄꯥ ꯅꯨꯃꯤꯠ ꯑꯅꯤꯗꯒꯤ ꯶ ꯐꯥꯎꯕꯥ ꯐꯒꯠꯂꯀꯄꯥ ꯃꯊꯧ ꯇꯥꯒꯅꯤ꯫ ꯃꯇꯝ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ, ꯅꯍꯥꯛꯀꯤ ꯁꯔꯖꯔꯤ ꯑꯗꯨ ꯐꯒꯠꯂꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯃꯇꯝ ꯈꯔꯒꯤ ꯑꯣꯏꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯁꯥꯏꯗ ꯏꯐꯦꯛꯇꯁꯤꯡꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯅꯥ ꯆꯥꯕꯥ ꯉꯃꯗꯕꯥ ꯌꯥꯏ꯫ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯌꯥꯝꯅꯥ ꯂꯤꯃꯤꯇꯦꯗ ꯑꯣꯏꯕꯥ ꯗꯥꯏꯠ ꯑꯃꯥ ꯄꯤꯒꯅꯤ꯫ ꯅꯍꯥꯛꯅꯥ ꯂꯤꯛꯌꯨꯏꯗꯁꯤꯡꯗꯒꯤ ꯍꯧꯗꯨꯅꯥ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯇꯔꯨ-ꯇꯅꯥꯅꯕꯥ ꯆꯤꯟꯖꯥꯀꯁꯤꯡꯗꯥ ꯆꯪꯁꯤꯜꯂꯛꯀꯅꯤ, ꯑꯃꯁꯨꯡ ꯑꯔꯣꯏꯕꯗꯥ ꯑꯀꯅꯕꯥ ꯆꯤꯟꯖꯥꯀꯁꯤꯡꯗꯥ ꯆꯪꯁꯤꯅꯒꯅꯤ꯫ ꯍꯤꯌꯥꯇꯥꯜ ꯍꯔꯅꯤꯌꯥ ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ
ꯑꯔꯨꯝꯕꯥ ꯍꯟꯊꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯅꯣꯔꯃꯦꯂꯅꯤ - ꯃꯍꯧꯁꯥꯅꯥ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯄꯥꯎꯟꯗ 10-15 (ꯀꯤꯂꯣꯒ꯭ꯔꯥꯝ 4.5-6.8)꯫
ꯍꯤꯌꯥꯇꯥꯜ ꯍꯔꯅꯤꯌꯥ ꯁꯔꯖꯔꯤ ꯑꯁꯤ ꯀꯌꯥ ꯌꯥꯝꯅꯥ ꯃꯥꯌꯄꯥꯀꯄꯒꯦ?
ꯍꯤꯌꯥꯇꯥꯜ ꯍꯔꯅꯤꯌꯥ ꯁꯔꯖꯔꯤ
ꯑꯁꯤ ꯹꯰% ꯃꯥꯌ ꯄꯥꯛꯂꯦ꯫ꯑꯌꯥꯝꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯅꯥ ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯃꯈꯣꯌꯒꯤ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ ꯊꯀꯄꯥ ꯂꯦꯄꯇꯨꯅꯥ ꯑꯦꯁꯤꯗ ꯔꯤꯐ꯭ꯂꯛꯁꯀꯤ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯂꯩꯍꯟꯗꯅꯥ ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯕꯥ ꯄꯨꯟꯁꯤ ꯑꯃꯥ ꯍꯤꯡꯕꯥ ꯉꯝꯃꯤ꯫ ꯐꯒꯠꯂꯕꯥ ꯃꯇꯨꯡꯗꯥ, ꯅꯍꯥꯛꯅꯥ ꯆꯍꯤ ꯑꯃꯗꯥ ꯌꯥꯃꯗ꯭ꯔꯕꯗꯥ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯗꯣꯛꯇꯔꯒꯥ ꯇꯥꯟꯅꯗꯨꯅꯥ ꯔꯤꯄꯦꯌꯥꯔ ꯇꯧꯔꯕꯥ ꯍꯔꯅꯤꯌꯥ ꯑꯗꯨ ꯌꯦꯡꯁꯤꯟꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯄꯨꯝꯅꯃꯛ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯊꯕꯛ ꯇꯧꯔꯤꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯁꯤꯅꯕꯥ ꯃꯊꯧ ꯇꯥꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯅꯧꯕꯥ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯑꯃꯍꯦꯛꯇꯥ ꯂꯥꯀꯄꯥ ꯇꯥꯔꯕꯗꯤ ꯅꯠꯠꯔꯒꯥ ꯑꯔꯤꯕꯥ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯃꯁꯤꯡ ꯑꯗꯨ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯂꯥꯀꯄꯥ ꯇꯥꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯃꯗꯨꯁꯨ ꯌꯦꯡꯁꯤꯅꯒꯅꯤ꯫ ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯄꯥꯡꯊꯣꯀꯄꯥ ꯁ꯭ꯇꯗꯤꯁꯤꯡꯅꯥ ꯇꯥꯛꯂꯤ
ꯃꯗꯨꯗꯤ ꯍꯤꯌꯥꯇꯥꯜ ꯍꯔꯅꯤꯌꯥꯒꯤ ꯆꯥꯎꯔꯥꯛꯅꯥ 50%ꯗꯤ ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯃꯇꯝ ꯈꯔꯒꯤ ꯃꯇꯨꯡꯗꯥ (ꯃꯍꯧꯁꯥꯅꯥ ꯆꯍꯤ ꯀꯌꯥ) ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯂꯥꯛꯀꯅꯤ꯫ ꯃꯁꯤꯒꯤ ꯃꯔꯃꯗꯤ ꯁꯔꯖꯔꯤꯒꯤ ꯁꯔꯨꯛ ꯈꯔꯗꯤ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯇꯧꯈꯤꯗꯕꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ, ꯅꯠꯠꯔꯒꯥ ꯑꯔꯤꯕꯥ ꯍꯔꯅꯤꯌꯥ ꯑꯗꯨ ꯊꯣꯀꯍꯅꯈꯤꯕꯥ ꯐꯦꯛꯇꯔꯁꯤꯡ ꯑꯗꯨ ꯍꯧꯖꯤꯀꯁꯨ ꯑꯦꯛꯇꯤꯕ ꯑꯣꯏꯔꯤ ꯑꯃꯁꯨꯡ ꯑꯅꯧꯕꯥ ꯑꯃꯥ ꯊꯣꯀꯍꯜꯂꯦ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯂꯥꯀꯄꯥ ꯍꯔꯅꯤꯌꯥ ꯄꯨꯝꯅꯃꯛꯇꯥ ꯆꯞ ꯃꯥꯟꯅꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯂꯩꯔꯣꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯈꯣꯌꯅꯥ ꯇꯧꯔꯕꯗꯤ, ꯑꯅꯧꯕꯥ ꯁꯔꯖꯔꯤ ꯑꯃꯅꯥ ꯑꯌꯥꯝꯕꯅꯥ ꯃꯈꯣꯌꯕꯨ ꯃꯇꯝ ꯆꯨꯞꯄꯒꯤ ꯑꯣꯏꯅꯥ ꯀꯣꯀꯍꯅꯕꯥ ꯉꯝꯃꯤ꯫
ꯑꯩꯒꯤ ꯍꯤꯌꯥꯇꯥꯜ ꯍꯔꯅꯤꯌꯥꯒꯤꯗꯃꯛ ꯑꯩꯅꯥ ꯌꯨꯃꯗꯥ ꯀꯔꯤ ꯇꯧꯕꯥ ꯌꯥꯕꯒꯦ?
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯇꯝ ꯃꯇꯃꯒꯤ ꯑꯣꯏꯅꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯊꯣꯀꯍꯜꯂꯤꯕꯥ ꯍꯤꯌꯥꯇꯥꯜ ꯍꯔꯅꯤꯌꯥ ꯑꯃꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯍꯤꯡꯂꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯌꯨꯃꯗꯥ ꯔꯤꯂꯤꯐ ꯐꯪꯅꯕꯥ ꯍꯣꯠꯅꯕꯥ ꯌꯥꯏ, ꯀꯥꯎꯟꯇꯔꯗꯒꯤ ꯂꯧꯕꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯄꯨꯟꯁꯤ ꯃꯍꯤꯡꯗꯥ ꯑꯍꯣꯡꯕꯥ ꯂꯥꯀꯄꯅꯥ꯫
ꯑꯦꯟꯇꯤꯑꯦꯁꯤꯗꯁꯤꯡ - ꯍꯥꯌꯕꯗꯤ ꯇꯨꯃꯁ®, ꯔꯣꯂꯥꯏꯗꯁ®, ꯄꯦꯄꯇꯣ-ꯕꯤꯁꯃꯣꯜ® (ꯃꯁꯤꯒꯥ ꯃꯥꯟꯅꯕꯥ ꯗ꯭ꯔꯒꯁꯤꯡ ꯑꯁꯤ ꯁ꯭ꯔꯤꯂꯉ꯭ꯀꯥꯗꯥ ꯐꯪꯏ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔ ꯅꯠꯠꯔꯒꯥ ꯐꯥꯔꯃꯥꯁꯤꯁ꯭ꯇꯇꯥ ꯍꯪꯕꯤꯌꯨ) -ꯅꯥ ꯃꯇꯝ ꯃꯇꯃꯒꯤ ꯑꯣꯏꯅꯥ ꯊꯝꯃꯣꯌ ꯁꯣꯀꯄꯥ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ, ꯑꯗꯨꯕꯨ ꯃꯈꯣꯌ ꯑꯁꯤ ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯁꯤꯖꯤꯟꯅꯕꯗꯥ ꯔꯦꯀꯃꯦꯟꯗ ꯇꯧꯗꯦ꯫ ꯅꯍꯥꯛꯅꯥ ꯄꯨꯟꯁꯤ ꯃꯍꯤꯡꯒꯤ ꯑꯍꯣꯡꯕꯥ ꯈꯔꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯍꯥꯔꯇꯀꯤ ꯂꯥꯌꯅꯥꯒꯤ ꯆꯥꯡ ꯑꯃꯁꯨꯡ ꯁꯥꯊꯤꯕꯥ ꯍꯟꯊꯍꯅꯕꯁꯨ ꯌꯥꯏ꯫ ꯈꯨꯗꯝ ꯑꯣꯏꯅ:
- ꯅꯍꯥꯛꯀꯤꯗꯃꯛꯇꯥ ꯍꯀꯁꯦꯜ ꯐꯕꯥ ꯕꯣꯗꯤ ꯃꯥꯁ ꯏꯟꯗꯦꯛꯁ (BMI) ꯑꯃꯥ ꯊꯝꯃꯨ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯔꯨꯝꯕꯥ ꯍꯦꯅꯒꯠꯂꯀꯄꯅꯥ ꯑꯦꯁꯤꯗꯀꯤ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯂꯩꯔꯕꯗꯤ, ꯑꯔꯨꯝꯕꯥ ꯍꯟꯊꯍꯅꯕꯅꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫
- ꯑꯄꯤꯀꯄꯥ ꯆꯤꯟꯖꯥꯀꯁꯤꯡ ꯆꯥꯕꯤꯌꯨ: ꯑꯆꯧꯕꯥ ꯆꯤꯟꯖꯥꯀꯁꯤꯡ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯆꯥꯕꯒꯤ ꯃꯍꯨꯠꯇꯥ ꯑꯄꯤꯀꯄꯥ ꯆꯤꯟꯖꯥꯀꯁꯤꯡ ꯆꯥꯕꯤꯌꯨ꯫ ꯃꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯄ꯭ꯔꯦꯁꯔ ꯑꯗꯨ ꯍꯟꯊꯍꯅꯒꯅꯤ꯫
- ꯇꯩꯁꯤꯅꯕꯥ ꯆꯤꯟꯖꯥꯀꯁꯤꯡ ꯍꯟꯊꯍꯅꯕꯥ : ꯊꯥꯎ ꯑꯃꯁꯨꯡ ꯐꯦꯠ ꯌꯥꯝꯅꯥ ꯌꯥꯎꯕꯥ ꯆꯤꯟꯖꯥꯀꯁꯤꯡꯅꯥ ꯈꯣꯝꯂꯥꯡꯗꯥ ꯑꯦꯁꯤꯗ ꯑꯃꯁꯨꯡ ꯑꯦꯅꯖꯥꯏꯃꯁꯤꯡ ꯍꯦꯟꯅꯥ ꯄꯨꯊꯣꯀꯍꯜꯂꯤ꯫
- ꯅꯨꯃꯤꯗꯥꯡꯒꯤ ꯆꯥꯛꯂꯦꯟ ꯇꯣꯌꯅꯥ ꯆꯥꯕꯤꯌꯨ: ꯆꯥꯕꯥ ꯂꯣꯌꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯄꯨꯡ ꯈꯔꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯂꯦꯡꯗꯅꯥ ꯂꯩꯔꯣꯏꯗꯕꯅꯤ꯫ ꯑꯗꯨꯗꯒꯤ ꯒ꯭ꯔꯦꯚꯤꯇꯤꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯃꯇꯦꯡ ꯄꯥꯡꯒꯅꯤ꯫
- ꯅꯍꯥꯛꯀꯤ ꯇꯨꯝꯕꯥ ꯄꯣꯖꯤꯁꯟ ꯑꯗꯨ ꯍꯣꯡꯗꯣꯀꯎ꯫ ꯃꯁꯤꯒꯤꯗꯃꯛꯇꯥ ꯑꯈꯟꯅꯅꯥ ꯗꯤꯖꯥꯏꯟ ꯇꯧꯔꯕꯥ ꯍꯀꯆꯥꯡꯒꯤ ꯇꯥꯎꯅꯁꯤꯡ ꯂꯩꯔꯤ꯫
- ꯃꯩꯈꯨ ꯊꯥꯗꯣꯀꯄꯥ ꯂꯦꯄꯀꯅꯨ: ꯃꯩꯈꯨ ꯁꯤꯖꯤꯟꯅꯕꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯂꯣꯌꯔꯕꯥ ꯏꯁꯣꯐꯦꯖꯤꯑꯦꯜ ꯁ꯭ꯐꯤꯡꯛꯇꯔ ꯑꯗꯨ ꯁꯣꯀꯍꯜꯂꯤ꯫ ꯃꯁꯤꯅꯥ ꯀ꯭ꯔꯣꯅꯤꯛ ꯀꯣꯛ ꯆꯤꯀꯄꯥ (chronic cough) ꯑꯃꯁꯨ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ, ꯃꯗꯨꯅꯥ ꯍꯤꯌꯥꯇꯥꯜ ꯍꯔꯅꯤꯌꯥꯒꯤ ꯑꯀꯣꯌꯕꯗꯥ ꯂꯩꯕꯥ ꯃꯁꯂꯁꯤꯡꯗꯥ ꯄ꯭ꯔꯦꯁꯔ ꯄꯤ꯫
ꯅꯍꯥꯛꯅꯥ ꯑꯇꯣꯞꯄꯥ ꯃꯔꯝ ꯑꯃꯒꯤꯗꯃꯛ ꯗꯣꯛꯇꯔꯒꯥ ꯇꯥꯟꯅꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯍꯤꯌꯥꯇꯥꯜ ꯍꯔꯅꯤꯌꯥ ꯂꯩꯔꯦ ꯍꯥꯌꯅꯥ ꯈꯪꯗꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯀꯃꯟ ꯑꯣꯏ꯫ ꯅꯠꯠꯔꯒꯥ, ꯅꯍꯥꯛꯅꯥ ꯆꯍꯤ ꯀꯌꯥꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯂꯩꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯍꯤꯌꯥꯇꯥꯜ ꯍꯔꯅꯤꯌꯥ ꯑꯃꯥ ꯂꯩꯔꯦ ꯍꯥꯌꯅꯥ ꯈꯪꯗꯣꯀꯄꯥ ꯌꯥꯏ ꯑꯃꯁꯨꯡ ꯑꯔꯣꯏꯕꯗꯥ ꯄꯥꯎꯈꯨꯝ ꯑꯃꯁꯨꯡ ꯔꯤꯂꯤꯐ ꯊꯤꯕꯥ ꯌꯥꯏ꯫ ꯅꯍꯥꯛꯀꯤ ꯑꯦꯁꯤꯗ ꯔꯤꯐ꯭ꯂꯛꯁ ꯑꯁꯤ ꯍꯔꯅꯤꯌꯥ ꯑꯃꯅꯥ ꯊꯣꯀꯍꯅꯕꯅꯤ ꯍꯥꯌꯕꯥ ꯈꯪꯕꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯉꯀꯄꯥ ꯄꯣꯛꯀꯅꯤ꯫ ꯅꯨꯡꯉꯥꯏꯕꯥ ꯋꯥꯐꯃꯗꯤ, ꯑꯦꯁꯤꯗ ꯔꯤꯐ꯭ꯂꯛꯁ ꯑꯃꯁꯨꯡ ꯍꯤꯌꯥꯇꯥꯜ ꯍꯔꯅꯤꯌꯥ ꯑꯅꯤꯃꯛꯀꯤ ꯂꯥꯏꯌꯦꯡ ꯂꯩ꯫ ꯅꯍꯥꯛꯅꯥ ꯃꯊꯧ ꯇꯥꯔꯤꯕꯥ ꯂꯥꯏꯌꯦꯡ ꯑꯗꯨ ꯍꯔꯅꯤꯌꯥꯒꯤ ꯃꯈꯜ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡꯒꯤ ꯃꯈꯥ ꯄꯣꯜꯂꯤ꯫ ꯀꯦꯁ ꯀꯌꯥꯗꯥ, ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛ ꯑꯃꯁꯨꯡ ꯄꯨꯟꯁꯤ ꯃꯍꯤꯡꯗꯥ ꯑꯍꯣꯡꯕꯥ ꯂꯥꯀꯄꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯦꯁꯤꯗ ꯔꯤꯐ꯭ꯂꯛꯁ ꯑꯗꯨ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫ ꯍꯦꯟꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯀꯦꯁꯁꯤꯡꯗꯥ, ꯍꯔꯅꯤꯌꯥ ꯑꯗꯨ ꯔꯤꯄꯦꯌꯥꯔ ꯇꯧꯅꯕꯥ ꯁꯔꯖꯔꯤ ꯇꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯒꯤ ꯁꯔꯖꯔꯤ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯥꯌ ꯄꯥꯛꯂꯦ꯫ ꯅꯍꯥꯛꯀꯤ ꯗꯥꯏꯑꯦꯒ꯭ꯅꯣꯁꯤꯁ ꯑꯗꯨ ꯃꯌꯦꯛ ꯁꯦꯡꯂꯕꯥ ꯃꯇꯨꯡꯗꯥ, ꯅꯍꯥꯛꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯗꯨꯗꯒꯤ ꯔꯤꯂꯤꯐ ꯐꯪꯅꯕꯒꯤ ꯂꯝꯕꯤꯗꯥ ꯆꯠꯂꯒꯅꯤ꯫
ꯑꯔꯣꯏꯕꯗꯥ ꯅꯤꯡꯁꯤꯡꯒꯗꯕꯥ ꯋꯥꯐꯃꯁꯤꯡ꯫
ꯍꯤꯌꯥꯇꯥꯜ ꯍꯔꯅꯤꯌꯥ ꯍꯥꯌꯕꯁꯤ ꯑꯀꯤꯕꯥ ꯄꯣꯀꯍꯅꯕꯥ ꯌꯥꯕꯥ ꯑꯃꯠꯇꯥ ꯅꯠꯇꯦ꯫ ꯃꯤꯑꯣꯏ ꯀꯌꯥꯗꯥ ꯃꯁꯤ ꯂꯩ ꯑꯃꯁꯨꯡ ꯈꯨꯗꯝ ꯑꯃꯠꯇꯥ ꯎꯕꯥ ꯐꯪꯗꯦ꯫
ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯈꯥ ꯇꯥꯅꯥ ꯆꯦꯛꯁꯤꯟꯅꯥ ꯌꯦꯡꯁꯤꯅꯕꯥ, ꯅꯍꯥꯛꯀꯤ ꯀꯣꯛꯇꯥ ꯆꯥꯅꯕꯥ ꯆꯤꯟꯖꯥꯛ ꯂꯥꯀꯄꯥ, ꯅꯠꯠꯔꯒꯥ ꯂꯧꯅꯒꯅꯕꯥ ꯂꯥꯌꯅꯥ ꯑꯁꯤꯅꯆꯤꯡꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯂꯩꯔꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯁꯣꯌꯗꯅꯥ ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯄꯥꯎꯇꯥꯛ ꯂꯧꯒꯗꯕꯅꯤ꯫ ꯃꯔꯃꯗꯤ ꯃꯔꯝ ꯑꯁꯤ ꯍꯤꯌꯥꯇꯥꯜ ꯍꯔꯅꯤꯌꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯇꯩ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯃꯠꯇꯅꯤ ꯍꯥꯌꯕꯁꯤ ꯆꯨꯝꯅꯥ ꯈꯪꯗꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯃꯊꯧ ꯇꯥꯕꯥ ꯂꯥꯏꯌꯦꯡ ꯂꯧꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫
ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯄꯨꯟꯁꯤ ꯃꯍꯤꯡꯗꯥ ꯑꯍꯣꯡꯕꯥ ꯂꯥꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯐꯖꯅꯥ ꯃꯦꯅꯦꯖ ꯇꯧꯕꯥ ꯌꯥꯏ꯫ ꯁꯔꯖꯔꯤ꯫ ꯑꯗꯨꯅꯥ, ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯂꯩꯔꯣꯏꯗꯕꯅꯤ꯫ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯇꯥꯟꯅꯧ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤꯗꯃꯛꯇꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯥ ꯁꯣꯂꯨꯁꯟ ꯑꯗꯨ ꯊꯤꯌꯨ꯫
ꯍꯤꯌꯥꯇꯥꯜ ꯍꯔꯅꯤꯌꯥ, ꯍꯥꯔꯇꯕꯔꯟ, ꯑꯦꯁꯤꯗ ꯔꯤꯐ꯭ꯂꯛꯁ, ꯖꯤ.ꯏ.ꯑꯥꯔ.ꯗꯤ., ꯁ꯭ꯇꯣꯃꯥꯛ, ꯏꯁꯣꯐꯦꯒꯁ, ꯍꯔꯅꯤꯌꯥ ꯁꯔꯖꯔꯤ꯫
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