ꯅꯍꯥꯛꯀꯤ ꯏꯟꯇꯦꯁ꯭ꯇꯥꯏꯅꯁꯤꯡꯗꯥ ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯂꯩꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯋꯥꯕꯥ ꯀꯌꯥ ꯃꯥꯌꯣꯛꯅꯔꯀꯄꯥ ꯌꯥꯏ꯫ ꯌꯥꯑꯣꯔꯃꯒꯗꯕꯗꯤ, ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛ ꯄꯤꯖꯔꯕꯁꯨ, ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯗꯥ ꯑꯋꯥꯕꯥ ꯑꯣꯏꯔꯀꯄꯥ ꯌꯥꯏ꯫ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯐꯤꯚꯝ ꯑꯁꯤꯗꯥ, ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯛꯀꯤꯗꯃꯛꯇꯥ ꯂꯥꯌꯅꯥ ꯂꯩꯕꯥ ꯑꯆꯧꯕꯥ ꯏꯟꯇꯦꯁ꯭ꯇꯥꯏꯟ ꯑꯗꯨ ꯁꯔꯖꯤꯀꯦꯜ ꯑꯣꯏꯅꯥ ꯂꯧꯊꯣꯛꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯍꯀꯆꯥꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯣꯠꯄꯥ ꯈꯣꯃꯖꯤꯅꯕꯥ ꯌꯥꯕꯥ ꯑꯈꯟꯅꯕꯥ ꯄꯥꯎꯆꯦ ꯑꯃꯥ ꯁꯦꯝꯅꯕꯥ ꯁꯣꯂꯨꯁꯟ ꯑꯃꯥ ꯄꯤꯔꯀꯄꯥ ꯌꯥꯏ꯫ ꯑꯩꯈꯣꯌꯅꯥ ꯏꯂꯤꯌꯥꯜ ꯄꯥꯎꯆꯦ ꯍꯥꯌꯅꯥ ꯀꯧꯔꯤꯕꯥ ꯑꯁꯤꯅꯤ꯫ ꯋꯥꯐꯝ ꯈꯨꯗꯤꯡꯃꯛ ꯏꯆꯝ ꯆꯝꯕꯥ ꯋꯥꯍꯟꯊꯣꯛ ꯑꯃꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯁꯤ꯫
ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯏꯂꯤꯌꯥꯜ ꯄꯥꯎꯆꯦ ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ?
ꯂꯥꯌꯅꯥ ꯑꯃꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯂꯥꯔꯖ ꯏꯟꯇꯦꯁ꯭ꯇꯥꯏꯟ (ꯀꯣꯂꯣꯟ) ꯑꯃꯁꯨꯡ ꯔꯦꯛꯇꯝ ꯄꯨꯝꯅꯃꯛ ꯁꯔꯖꯤꯀꯦꯜ ꯑꯣꯏꯅꯥ ꯂꯧꯊꯣꯀꯈ꯭ꯔꯦ ꯍꯥꯌꯅꯥ ꯈꯅꯕꯤꯌꯨ꯫ ꯃꯁꯤꯒꯤ ꯁꯔꯖꯔꯤ ꯑꯁꯤꯕꯨ ``ꯇꯣꯇꯦꯜ ꯄ꯭ꯔꯣꯛꯇꯣꯀꯣꯂꯦꯛꯇꯣꯃꯤ'' ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯃꯁꯤ ꯂꯧꯊꯣꯛꯂꯕꯥ ꯃꯇꯨꯡꯗꯥ, ꯅꯍꯥꯛꯅꯥ ꯍꯀꯆꯥꯡꯗꯒꯤ ꯊꯣꯛꯂꯛꯠꯔꯤꯉꯩ ꯃꯃꯥꯡꯗꯥ ꯆꯤꯟꯖꯥꯛ ꯍꯟꯖꯤꯜꯂꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯁꯦꯝꯕꯥ ꯑꯃꯣꯠꯄꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ (ꯁ꯭ꯇꯣꯜ) ꯑꯗꯨ ꯈꯣꯃꯖꯤꯟꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯊꯝꯅꯕꯥ ꯃꯐꯝ ꯑꯃꯥ ꯃꯊꯧ ꯇꯥꯏ꯫
ꯃꯗꯨ ꯁꯔꯖꯔꯤꯁꯤꯡꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯄꯤꯀꯄꯥ ꯄꯥꯎꯆꯦ ꯑꯃꯥ ꯁꯦꯝꯅꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯏꯁꯥꯒꯤ ꯑꯄꯤꯀꯄꯥ ꯏꯟꯇꯦꯁ꯭ꯇꯥꯏꯟ (ꯏꯂꯤꯌꯝ)ꯒꯤ ꯑꯔꯣꯏꯕꯥ ꯑꯗꯨ ꯁꯤꯖꯤꯟꯅꯔꯀꯄꯥ ꯃꯇꯃꯅꯤ꯫ ꯃꯁꯤꯕꯨ ꯏꯂꯤꯌꯥꯜ ꯄꯥꯎꯆꯦ ꯍꯥꯌꯅꯥ ꯀꯧꯏ .
ꯃꯁꯤꯒꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯆꯥꯎꯕꯥ ꯀꯥꯟꯅꯕꯗꯤ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯒꯤ ꯃꯄꯥꯟꯗꯥ ꯂꯩꯕꯥ ꯑꯃꯣꯠꯄꯁꯤꯡ ꯈꯣꯃꯖꯤꯟꯅꯕꯥ ꯃꯄꯥꯅꯒꯤ ꯄꯥꯎꯆꯦ/ ꯕꯦꯒ ꯑꯃꯥ ꯁꯤꯖꯤꯟꯅꯕꯒꯤ ꯃꯊꯧ ꯇꯥꯗꯦ꯫ ꯅꯍꯥꯛꯅꯥ ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯅꯥ ꯕꯣꯋꯦꯜ ꯀꯟꯠꯔꯣꯜ ꯊꯝꯕꯥ ꯌꯥꯏ꯫
ꯁꯔꯖꯔꯤ ꯑꯁꯤ ꯀꯔꯤ ꯃꯈꯂꯒꯤ ꯃꯦꯗꯤꯀꯦꯜ ꯀꯟꯗꯤꯁꯅꯁꯤꯡꯗꯥ ꯄꯥꯡꯊꯣꯀꯄꯥ ꯃꯊꯧ ꯇꯥꯕꯒꯦ?
ꯃꯤꯄꯨꯝ ꯈꯨꯗꯤꯡꯃꯛꯀꯤ ꯁꯔꯖꯔꯤ ꯑꯁꯤ ꯇꯧꯗꯦ꯫ ꯃꯔꯨꯑꯣꯏꯅꯥ ꯑꯀꯛꯅꯕꯥ ꯃꯦꯗꯤꯀꯦꯜ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ ꯑꯁꯤ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛꯅꯥ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯥ ꯉꯃꯗꯕꯥ ꯃꯇꯃꯗꯥ ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯑꯣꯄꯁꯟ ꯑꯁꯤ ꯈꯟꯅꯩ꯫ `(Ileal Pouch-Anal Anastomosis - IPAA)` ꯀꯧꯕꯥ ꯁꯔꯖꯔꯤ ꯑꯁꯤ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯐꯤꯚꯃꯁꯤꯡ ꯑꯁꯤꯗꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯌꯥꯝꯅꯥ ꯁꯤꯖꯤꯟꯅꯩ:
- ꯑꯂꯁꯦꯔꯦꯇꯤꯚ ꯀꯣꯂꯥꯏꯇꯤꯁ (ulcerative Colitis): ꯃꯁꯤ ꯑꯆꯧꯕꯥ ꯏꯟꯇꯦꯁ꯭ꯇꯥꯏꯅꯗꯥ ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯁꯟ ꯑꯃꯁꯨꯡ ꯁꯣꯀꯄꯥ ꯊꯣꯀꯍꯜꯂꯤꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡꯅꯥ ꯊꯕꯛ ꯇꯧꯗꯕꯥ ꯃꯇꯃꯗꯥ ꯃꯁꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯥ ꯑꯣꯄꯁꯅꯅꯤ꯫
- ꯐꯦꯃꯤꯂꯤꯑꯦꯜ ꯑꯦꯗꯦꯅꯣꯃꯦꯇꯁ ꯄꯣꯂꯤꯄꯣꯁꯤꯁ (FAP): ꯃꯁꯤ ꯀꯦꯟꯁꯔ ꯑꯣꯏꯔꯀꯄꯥ ꯌꯥꯕꯥ ꯀꯣꯂꯣꯅꯗꯥ ꯑꯄꯤꯀꯄꯥ ꯒ꯭ꯔꯣꯊ (polyps) ꯂꯤꯁꯤꯡ ꯀꯌꯥ ꯊꯣꯀꯍꯜꯂꯤꯕꯥ ꯍꯦꯔꯤꯇꯦꯖ ꯂꯥꯌꯅꯥ ꯑꯃꯅꯤ꯫
- ꯀꯣꯂꯣꯔꯦꯛꯇꯜ/ ꯀꯣꯂꯣꯟ ꯀꯦꯟꯁꯔ: ꯀꯦꯟꯁꯔꯒꯤ ꯀꯦꯁ ꯈꯔꯗꯗꯤ꯫
- ꯔꯦꯛꯇꯝ ꯀꯦꯟꯁꯔ: ꯔꯦꯛꯇꯃꯒꯤ ꯃꯊꯛ ꯊꯪꯕꯥ ꯁꯔꯨꯛꯇꯥ ꯊꯣꯀꯄꯥ ꯀꯦꯟꯁꯔ ꯈꯔꯒꯤꯗꯃꯛ, ꯃꯈꯥꯒꯤ ꯁꯔꯨꯛ ꯑꯗꯨꯗꯒꯤ ꯍꯦꯟꯅꯥ꯫
ꯄꯥꯎꯆꯦꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯈꯜ ꯀꯌꯥ ꯂꯩꯕꯒꯦ?
ꯍꯣꯌ, ꯁꯔꯖꯔꯤꯁꯤꯡꯅꯥ ꯁꯦꯝꯕꯥ ꯏꯟꯇꯔꯅꯦꯜ ꯄꯥꯎꯆꯦꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯈꯜ ꯑꯍꯨꯝ ꯂꯩ꯫
| ꯄꯥꯎꯆꯦ ꯃꯈꯜ꯫ | ꯏꯆꯝ ꯆꯝꯕꯥ ꯃꯁꯛ ꯇꯥꯀꯄꯥ꯫ |
|---|---|
| ꯖꯦ-ꯄꯥꯎꯆ꯫ | ꯃꯁꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯌꯥꯝꯅꯥ ꯁꯤꯖꯤꯟꯅꯕꯥ ꯃꯈꯂꯅꯤ . ꯄꯥꯎꯆꯦ ꯑꯁꯤ ꯑꯄꯤꯀꯄꯥ ꯏꯟꯇꯦꯁ꯭ꯇꯥꯏꯟ ꯑꯗꯨ ‘ꯖꯦ’ ꯍꯥꯌꯕꯥ ꯑꯛꯁꯔ ꯑꯁꯤꯒꯤ ꯃꯑꯣꯡꯗꯥ ꯁꯦꯃꯖꯤꯟꯗꯨꯅꯥ ꯁꯦꯝꯕꯅꯤ꯫ ꯃꯁꯤ ꯍꯀꯊꯦꯡꯅꯅꯥ ꯃꯁꯥ ꯃꯊꯟꯇꯥ ꯁꯝꯅꯩ, ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯅꯥ ꯈꯣꯡ ꯍꯥꯝꯕꯥ ꯌꯥꯏ꯫ |
| ꯑꯦꯁ-ꯄꯥꯎꯆ꯫ | ꯃꯁꯤ ‘ꯑꯦꯁ’ ꯍꯥꯌꯕꯥ ꯑꯛꯁꯔ ꯑꯁꯤꯒꯤ ꯃꯑꯣꯡꯗꯥ ꯁꯦꯝꯕꯅꯤ꯫ ꯃꯁꯤ ꯖꯦ-ꯄꯥꯎꯆ ꯑꯃꯒꯥ ꯌꯥꯝꯅꯥ ꯃꯥꯟꯅꯩ꯫ ꯃꯁꯤ ꯃꯁꯥ ꯃꯊꯟꯇꯥꯁꯨ ꯁꯝꯅꯍꯜꯂꯤ꯫ |
| ꯀꯣꯛ ꯄꯥꯎꯆꯦ / ꯀꯦ-ꯄꯥꯎꯆ꯫ | ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯇꯣꯏꯅꯥ ꯊꯣꯀꯄꯥ ꯃꯈꯜ ꯑꯃꯅꯤ꯫ ꯃꯁꯤ ꯑꯇꯣꯞꯄꯥ ꯃꯈꯜ ꯑꯅꯤ ꯑꯁꯤ ꯂꯩꯕꯥ ꯉꯃꯗꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯒꯤꯗꯃꯛ ꯇꯧꯏ꯫ ꯃꯐꯝ ꯑꯁꯤꯗꯥ, ꯄꯥꯎꯆꯦ ꯑꯁꯤ ꯈꯣꯡꯒꯤ ꯈꯣꯡꯗꯥ ꯁꯦꯝꯕꯥ ꯑꯍꯥꯡꯕꯥ (stoma) ꯑꯃꯒꯥ ꯁꯝꯅꯍꯜꯂꯤ꯫ |
ꯑꯗꯨꯅꯥ ꯁꯔꯖꯔꯤ ꯑꯁꯤ ꯀꯅꯥꯒꯤꯗꯃꯛ ꯆꯨꯝꯃꯤ ꯑꯃꯁꯨꯡ ꯀꯅꯥꯒꯤꯗꯃꯛ ꯆꯨꯃꯗ꯭ꯔꯤꯕꯅꯣ?
ꯁꯔꯖꯔꯤ ꯑꯁꯤ ꯃꯥꯌꯄꯥꯛꯅꯥ ꯄꯥꯡꯊꯣꯛꯅꯕꯒꯤꯗꯃꯛ, ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯑꯀꯛꯅꯕꯥ ꯁꯔꯨꯛ ꯈꯔꯗꯤ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯊꯕꯛ ꯇꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯏ꯫ ꯃꯁꯤꯗꯁꯨ ꯅꯠꯇꯅꯥ, ꯃꯁꯤ ꯑꯀꯛꯅꯕꯥ ꯃꯦꯗꯤꯀꯦꯜ ꯀꯟꯗꯤꯁꯟ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯒꯤꯗꯃꯛꯇꯁꯨ ꯆꯨꯅꯕꯥ ꯑꯣꯏꯗꯕꯥ ꯌꯥꯏ꯫
| ꯁꯔꯖꯔꯤ ꯑꯁꯤꯒꯤꯗꯃꯛꯇꯥ ꯑꯐꯕꯥ ꯀꯦꯟꯗꯤꯗꯦꯠꯁꯤꯡ꯫ | ꯁꯔꯖꯔꯤꯒꯤꯗꯃꯛꯇꯥ ꯔꯤꯀꯃꯦꯟꯗ ꯇꯧꯗꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡ (ꯏꯂꯤꯖꯤꯕꯜ ꯑꯣꯏꯗꯕꯥ ꯌꯥꯏ) |
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| ꯗꯥꯏꯖꯦꯁ꯭ꯇꯤꯚ ꯁꯤꯁ꯭ꯇꯦꯃꯒꯤ ꯂꯦꯃꯍꯧꯔꯤꯕꯥ ꯁꯔꯨꯀꯁꯤꯡ ꯑꯗꯨ ꯐꯖꯅꯥ ꯊꯕꯛ ꯇꯧꯔꯤꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡ꯫ | ꯀ꯭ꯔꯣꯅꯤꯛ ꯂꯥꯌꯅꯥꯅꯥ ꯅꯥꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡ (ꯃꯔꯃꯗꯤ ꯂꯥꯌꯅꯥ ꯑꯁꯤꯅꯥ ꯅꯧꯅꯥ ꯁꯦꯝꯕꯥ ꯄꯥꯎꯆꯦꯗꯁꯨ ꯁꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ)꯫ |
| ꯐꯖꯅꯥ ꯊꯕꯛ ꯇꯧꯕꯥ ꯑꯦꯅꯥꯜ ꯁ꯭ꯐꯤꯡꯛꯇꯔ ꯃꯁꯂꯁꯤꯡ ꯂꯩꯕꯥ ꯑꯃꯁꯨꯡ ꯃꯈꯣꯌꯒꯤ ꯕꯣꯋꯦꯜ ꯃꯨꯚꯃꯦꯟꯇ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯥ ꯉꯝꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡ꯫ | ꯍꯥꯟꯅꯅꯥ ꯐꯤꯖꯤꯀꯦꯜ ꯏꯅꯀꯟꯇꯤꯅꯦꯟꯁ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡ . |
| ꯄꯦꯂꯚꯤꯛ ꯅꯔꯚꯁꯤꯡꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯈꯤꯗꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡ꯫ | ꯁꯥꯊꯤꯕꯥ ꯑꯣꯕꯦꯁꯤꯇꯤ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡ (ꯀ꯭ꯂꯥꯁ III ꯑꯣꯕꯦꯁꯤꯇꯤ) . |
| ꯃꯁꯤꯒꯤ ꯐꯂꯁꯤꯡ ꯑꯁꯤ ꯆꯍꯤ ꯲꯰ꯗꯒꯤ ꯵꯰ ꯐꯥꯑꯣꯕꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯗꯥ ꯌꯥꯝꯅꯥ ꯃꯥꯌ ꯄꯥꯀꯏ ꯑꯗꯨꯕꯨ ꯆꯍꯤ ꯵꯰ꯒꯤ ꯃꯊꯛꯇꯥ ꯂꯩꯕꯥ ꯍꯀꯆꯥꯡ ꯐꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯅꯁꯨ ꯃꯁꯤ ꯇꯧꯕꯥ ꯌꯥꯏ꯫ | ꯔꯦꯛꯇꯜ ꯀꯦꯟꯁꯔ ꯅꯦꯝꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡ꯫ |
ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯀꯔꯤ ꯑꯥꯁꯥ ꯇꯧꯒꯗꯒꯦ?
ꯃꯁꯤ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯄꯥꯡꯊꯣꯀꯄꯥ ꯁꯔꯖꯔꯤ ꯅꯠꯇꯦ꯫ ꯃꯍꯧꯁꯥꯅꯥ ꯃꯁꯤ ꯁ꯭ꯇꯦꯖ ꯑꯅꯤ ꯅꯠꯔꯒꯥ ꯑꯍꯨꯃꯗꯥ ꯇꯧꯏ . ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯅꯨꯃꯤꯠ ꯑꯃꯥ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯂꯗꯥ ꯂꯩꯒꯗꯕꯅꯤ꯫
ꯑꯍꯥꯅꯕꯗꯥ, ꯅꯧꯅꯥ ꯁꯦꯝꯕꯥ ꯄꯥꯎꯆꯦ ꯑꯗꯨ ꯐꯒꯠꯂꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯃꯇꯝ ꯈꯔꯒꯤ ꯑꯣꯏꯕꯥ ꯄꯥꯎꯆꯦ ꯑꯃꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯒꯤ ꯃꯄꯥꯟꯗꯥ ꯊꯃꯒꯅꯤ꯫ ꯃꯁꯤ ꯊꯥ ꯑꯍꯨꯃꯗꯒꯤ ꯶ ꯐꯥꯎꯕꯥ ꯆꯠꯄꯥ ꯌꯥꯏ꯫ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ, ꯃꯁꯤ ꯂꯧꯊꯣꯛꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯃꯅꯨꯡꯒꯤ ꯄꯥꯎꯆꯦ ꯑꯗꯨ ꯊꯕꯛ ꯍꯧꯕꯥ ꯌꯥꯅꯕꯥ ꯑꯄꯤꯀꯄꯥ ꯑꯣꯄꯔꯦꯁꯟ ꯑꯃꯥ ꯄꯥꯡꯊꯣꯛꯀꯅꯤ꯫ ꯃꯇꯝ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯃꯦꯗꯤꯀꯦꯜ ꯇꯤꯃꯅꯥ ꯑꯗꯣꯃꯕꯨ ꯌꯥꯝꯅꯥ ꯐꯖꯅꯥ ꯌꯦꯡꯁꯤꯅꯕꯤꯒꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯋꯥꯍꯪ ꯑꯃꯠꯇꯥ ꯍꯪꯂꯕꯗꯤ ꯃꯈꯣꯌꯒꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯕꯗꯥ ꯂꯥꯡꯇꯛꯅꯒꯅꯨ꯫
ꯃꯁꯤ ꯀꯌꯥꯗꯥ ꯃꯥꯌ ꯄꯥꯀꯄꯒꯦ? ꯔꯤꯁ꯭ꯛ ꯑꯃꯠꯇꯥ ꯂꯩꯕ꯭ꯔꯥ?
ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯥꯌ ꯄꯥꯀꯄꯥ ꯁꯔꯖꯔꯤ ꯑꯃꯅꯤ꯫ ꯃꯥꯌ ꯄꯥꯀꯄꯒꯤ ꯆꯥꯡ ꯑꯁꯤ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯹꯵% . ꯃꯇꯃꯒꯤ ꯃꯇꯨꯡ ꯏꯟꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯄꯨꯟꯁꯤꯒꯤ ꯃꯒꯨꯟ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯐꯒꯠꯂꯛꯀꯅꯤ꯫ ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, `(ꯑꯂꯁꯦꯔꯦꯇꯤꯚ ꯀꯣꯂꯥꯏꯇꯤꯁ)` ꯅꯥꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯅꯥ ꯍꯥꯟꯅꯅꯥ ꯂꯩꯔꯝꯕꯥ ꯕꯥꯊꯔꯨꯃꯗꯥ ꯆꯠꯄꯒꯤ ꯈꯉꯍꯧꯗꯅꯥ ꯋꯥꯈꯜ ꯂꯥꯀꯄꯥ ꯍꯧꯔꯔꯣꯏ꯫
ꯆꯥꯡꯆꯠꯇꯥ, ꯅꯍꯥꯛꯅꯥ ꯅꯣꯡꯃꯗꯥ ꯆꯥꯎꯔꯥꯛꯅꯥ 7 ꯔꯛ ꯁꯨꯃꯗꯣꯀꯄꯥ ꯃꯊꯧ ꯇꯥꯏ꯫ ꯑꯗꯨꯕꯨ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯋꯥꯐꯃꯗꯤ ꯃꯊꯧ ꯇꯥꯕꯥ ꯃꯇꯃꯗꯥ ꯂꯥꯡꯇꯛꯅꯕꯥ ꯂꯩꯇꯅꯥ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯥ ꯉꯝꯕꯥ ꯑꯁꯤꯅꯤ꯫
ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯑꯆꯧꯕꯥ ꯁꯔꯖꯔꯤ ꯄꯨꯝꯅꯃꯀꯒꯨꯝꯅꯥ, ꯔꯤꯁ꯭ꯛ ꯑꯃꯁꯨꯡ ꯀꯃꯞꯂꯤꯀꯦꯁꯟ ꯂꯩ꯫
- ꯄꯧꯆꯤꯇꯤꯁ: ꯃꯁꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯅꯤ꯫ ꯃꯁꯤ ꯅꯧꯅꯥ ꯁꯦꯝꯕꯥ ꯄꯥꯎꯆꯦ ꯑꯗꯨꯒꯤ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯁꯟ ꯅꯠꯠꯔꯒꯥ ꯏꯅꯐꯦꯛꯁꯟ ꯑꯃꯅꯤ꯫
- ꯑꯇꯣꯞꯄꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ: ꯱.
- ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯄꯥꯎꯆꯦ ꯑꯗꯨꯗꯒꯤ ꯂꯤꯛ ꯑꯣꯏꯕꯥ꯫
- ꯁ꯭ꯃꯣꯜ ꯕꯣꯋꯦꯜ ꯑꯣꯕꯁ꯭ꯠꯔꯥꯀꯁꯟ ꯂꯩꯕꯥ꯫
- ꯏ ꯊꯣꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯏ ꯊꯣꯀꯄꯥ꯫
- ꯄꯥꯎꯆꯦ ꯑꯃꯁꯨꯡ ꯑꯇꯣꯞꯄꯥ ꯑꯣꯔꯒꯥꯟ ꯑꯃꯒꯤ ꯃꯔꯛꯇꯥ ꯑꯦꯕꯅꯣꯔꯃꯦꯜ ꯀꯅꯦꯛꯁꯟ (ꯐꯤꯁ꯭ꯇꯨꯂꯥ) ꯑꯃꯥ ꯁꯦꯝꯕꯥ꯫
- ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯕꯣꯋꯦꯜ ꯃꯨꯚꯃꯦꯟꯇ ꯇꯧꯕꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯃꯈꯨꯠꯀꯤ ꯑꯀꯣꯌꯕꯗꯥ ꯂꯩꯕꯥ ꯈꯣꯡꯗꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯄꯥ꯫
ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯔꯤꯁ꯭ꯛ ꯑꯁꯤ 5% ꯑꯃꯁꯨꯡ 10%ꯒꯤ ꯃꯔꯛꯇꯥ ꯂꯩ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯁꯤ ꯑꯣꯏꯔꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯑꯇꯣꯞꯄꯥ ꯑꯣꯄꯔꯦꯁꯟ ꯑꯃꯥ ꯇꯧꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯄꯔꯃꯦꯅꯦꯟꯇ ꯁ꯭ꯇꯣꯃꯥ ꯑꯃꯥ ꯇꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯏ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯃꯁꯤ ꯄꯨꯝꯅꯃꯛ ꯑꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯈꯟꯅ-ꯅꯩꯅꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫
ꯀꯗꯥꯏꯗꯥ ꯈꯨꯗꯛꯀꯤ ꯑꯣꯏꯕꯥ ꯗꯣꯛꯇꯔꯒꯥ ꯇꯥꯟꯅꯒꯗꯒꯦ?
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯑꯅꯧꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯆꯝꯕꯥ ꯂꯥꯏꯑꯣꯡ ꯑꯃꯠꯇꯥ ꯊꯦꯡꯅꯔꯕꯗꯤ ꯈꯨꯗꯛꯇꯥ ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯄꯥꯎꯇꯥꯛ ꯂꯧꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯍꯦꯛꯇꯥ ꯂꯩꯔꯕꯗꯤ, ꯈꯨꯗꯛꯇꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯈꯪꯍꯜꯂꯨ꯫
| ꯌꯦꯡꯁꯤꯅꯒꯗꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ꯫ |
|---|
| ꯄꯨꯡ ꯑꯅꯤꯗꯒꯤ ꯑꯍꯨꯝ ꯐꯥꯎꯕꯥ ꯍꯦꯟꯅꯥ ꯁꯥꯡꯅꯥ ꯂꯩꯕꯥ ꯑꯦꯕꯗꯣꯃꯤꯅꯦꯜ ꯁꯣꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯀ꯭ꯔꯌꯥꯝꯄꯁꯤꯡ꯫ |
| ꯏ ꯊꯣꯀꯄꯥ꯫ |
| (ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯝ ꯈꯔꯒꯤ ꯑꯣꯏꯕꯥ ꯄꯥꯎꯆꯦ ꯑꯃꯥ ꯂꯩꯔꯕꯗꯤ) ꯁ꯭ꯇꯣꯃꯥꯗꯥ ꯑꯍꯣꯡꯕꯥ ꯑꯃꯥ ꯂꯥꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯄꯥ꯫ |
| ꯃꯆꯤꯟꯖꯥꯛ ꯊꯥꯗꯣꯀꯄꯗꯥ ꯑꯋꯥꯕꯥ꯫ |
| ꯑꯍꯦꯅꯕꯥ ꯂꯤꯛ ꯑꯣꯏꯕꯥ꯫ |
| ꯁꯥꯊꯤꯕꯥ ꯑꯅꯥꯕꯥ꯫ |
| ꯁꯥꯊꯤꯕꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ, ꯈꯣꯡ ꯍꯥꯝꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯗꯥꯏꯔꯤꯌꯥ ꯂꯩꯕꯥ꯫ |
ꯅꯣꯔꯃꯦꯜ ꯂꯥꯏꯐꯇꯥ ꯍꯜꯂꯀꯄꯗꯥ ꯃꯇꯝ ꯀꯌꯥ ꯆꯪꯒꯅꯤ? ꯆꯥꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯊꯛꯅꯕꯥ ꯏꯁꯤꯡꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯀꯔꯤ ꯍꯥꯌꯒꯅꯤ?
ꯃꯍꯧꯁꯥꯅꯥ ꯅꯨꯃꯤꯠ ꯃꯔꯤꯗꯒꯤ ꯸ ꯐꯥꯑꯣꯕꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯊꯕꯛ ꯑꯃꯁꯨꯡ ꯊꯕꯛ ꯊꯧꯔꯃꯁꯤꯡꯗꯥ ꯍꯜꯂꯀꯄꯥ ꯌꯥꯏ . ꯅꯍꯥꯛꯅꯥ ꯐꯒꯠꯂꯛꯂꯕꯥ ꯃꯇꯨꯡꯗꯥ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯆꯍꯤ ꯑꯃꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯅꯤ ꯈꯨꯗꯤꯡꯒꯤ ꯄꯥꯎꯆꯣꯁ꯭ꯀꯣꯄꯤ (ꯄꯥꯎꯆ ꯑꯗꯨꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯌꯦꯡꯂꯤꯕꯥ ꯑꯄꯤꯀꯄꯥ ꯀꯦꯃꯦꯔꯥ ꯑꯃꯥ) ꯑꯃꯥ ꯄꯥꯡꯊꯣꯛꯀꯅꯤ, ꯃꯗꯨꯅꯥ ꯄꯨꯝꯅꯃꯛ ꯑꯐꯕꯥ ꯑꯣꯏꯔꯦ ꯍꯥꯌꯕꯥ ꯁꯣꯌꯗꯅꯥ ꯈꯪꯗꯣꯛꯀꯅꯤ꯫
ꯆꯤꯟꯖꯥꯛꯀꯤ ꯃꯇꯥꯡꯗꯥ ꯍꯥꯌꯔꯒꯗꯤ , ꯑꯍꯥꯅꯕꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯅꯧꯕꯥ ꯗꯥꯏꯖꯦꯁ꯭ꯇꯤꯚ ꯁꯤꯁ꯭ꯇꯦꯝ ꯑꯗꯨ ꯌꯥꯎꯍꯟꯅꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯥꯏꯇꯇꯥ ꯑꯍꯣꯡꯕꯥ ꯈꯔꯥ ꯄꯨꯔꯀꯄꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯏ꯫ ꯄꯥꯎꯇꯥꯛ ꯂꯧꯅꯕꯒꯤꯗꯃꯛ ꯅ꯭ꯌꯨꯠꯔꯤꯁꯅꯒꯤ ꯃꯤꯑꯣꯏ ꯑꯃꯒꯥ ꯇꯥꯟꯅꯕꯅꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯩ꯫ ꯑꯗꯨꯕꯨ ꯃꯤꯑꯣꯏ ꯑꯌꯥꯝꯕꯅꯥ ꯑꯔꯣꯏꯕꯗꯥ ꯃꯈꯣꯌꯅꯥ ꯄꯥꯝꯂꯤꯕꯗꯨ ꯆꯥꯕꯥ ꯉꯝꯂꯒꯅꯤ꯫
ꯃꯤꯔꯣꯜꯂꯤꯉꯩꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯍꯥꯌꯔꯒꯗꯤ , ꯁꯔꯖꯔꯤ ꯑꯁꯤꯅꯥ ꯃꯍꯧꯁꯥꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯄꯣꯀꯄꯒꯤ ꯇꯧꯕꯥ ꯉꯝꯕꯗꯥ ꯑꯀꯥꯌꯕꯥ ꯄꯤꯗꯦ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯑꯉꯥꯡ ꯄꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯔꯦꯛꯇꯃꯒꯤ ꯃꯁꯂꯁꯤꯡꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯟꯗꯅꯕꯥ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯁꯤꯖꯔꯤꯌꯥꯟ ꯁꯦꯛꯁꯟ ꯑꯃꯥ ꯇꯧꯅꯕꯥ ꯄꯥꯎꯇꯥꯛ ꯄꯤꯕꯥ ꯌꯥꯏ꯫
ꯇꯦꯛ-ꯍꯣꯝ ꯃꯦꯁꯦꯖ ꯇꯧꯕꯥ꯫
- ꯏꯂꯤꯌꯥꯜ ꯄꯥꯎꯆ ꯁꯔꯖꯔꯤ ꯑꯁꯤ ꯀꯣꯂꯣꯟ ꯀꯟꯗꯤꯁꯅꯁꯤꯡꯅꯥ ꯅꯥꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯒꯤꯗꯃꯛ ꯃꯈꯣꯌꯒꯤ ꯈꯣꯡꯗꯥ ꯄꯥꯎꯆꯦ ꯑꯃꯠꯇꯥ ꯌꯥꯑꯣꯗꯅꯥ ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯕꯥ ꯄꯨꯟꯁꯤ ꯑꯃꯥ ꯍꯤꯡꯅꯕꯒꯤ ꯑꯆꯧꯕꯥ ꯈꯨꯗꯣꯡꯆꯥꯕꯥ ꯑꯃꯅꯤ꯫
- ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯋꯥꯡꯕꯥ ꯃꯥꯌ ꯄꯥꯀꯄꯒꯤ ꯆꯥꯡ (꯹꯵%) ꯂꯩꯕꯥ ꯑꯃꯁꯨꯡ ꯄꯨꯟꯁꯤꯒꯤ ꯃꯒꯨꯟ ꯌꯥꯝꯅꯥ ꯐꯒꯠꯍꯅꯕꯥ ꯁꯔꯖꯔꯤ ꯑꯃꯅꯤ꯫
- ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯃꯁꯤ ꯔꯤꯁ꯭ꯛ ꯑꯃꯁꯨꯡ ꯀꯃꯞꯂꯤꯀꯦꯁꯟ ꯂꯩꯇꯕꯥ ꯑꯆꯧꯕꯥ ꯁꯔꯖꯔꯤ ꯑꯃꯅꯤ꯫ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯟ ꯑꯁꯤ ꯄꯥꯎꯆꯦ (pouchitis) ꯀꯧꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫
- ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯐꯒꯠꯂꯀꯄꯗꯥ ꯃꯇꯝ ꯈꯔꯥ ꯆꯪꯏ, ꯑꯃꯁꯨꯡ ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯍꯀꯁꯦꯂꯒꯤꯗꯃꯛꯇꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯆꯦꯀꯑꯞ ꯇꯧꯕꯥ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯍꯪ ꯑꯃꯠꯇꯥ ꯍꯪꯂꯕꯗꯤ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯍꯪꯕꯗꯥ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯂꯩꯔꯣꯏꯗꯕꯅꯤ꯫
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