ꯅꯍꯥꯛꯀꯤ ꯏꯟꯇꯦꯁ꯭ꯇꯥꯏꯅꯁꯤꯡꯗꯁꯨ ꯂꯦꯞꯇꯅꯥ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯁꯟ ꯑꯃꯁꯨꯡ ꯑꯅꯥꯕꯥ ꯂꯩꯕ꯭ꯔꯥ? ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ (ꯏꯅꯐ꯭ꯂꯦꯃꯦꯇꯔꯤ ꯕꯣꯋꯦꯜ ꯗꯤꯖꯤꯖ - ꯑꯥꯏ.ꯕꯤ.ꯗꯤ.) ꯋꯥꯔꯤ ꯁꯥꯁꯤ!

ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯁꯣꯀꯄꯥ, ꯅꯨꯃꯤꯠ ꯀꯌꯥꯅꯤ ꯆꯨꯞꯅꯥ ꯏꯁꯤꯡ ꯊꯨꯃꯖꯤꯅꯕꯥ, ꯅꯠꯠꯔꯒꯥ ꯈꯣꯡ ꯍꯥꯝꯕꯥ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯏ ꯊꯣꯀꯄꯥ ꯌꯥꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯂꯩꯕ꯭ꯔꯥ? ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯑꯩꯈꯣꯌꯅꯥ ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯅꯣꯔꯃꯦꯜ ꯁ꯭ꯇꯣꯃꯥꯛ ꯑꯄꯁꯦꯠ ꯈꯛꯇꯅꯤ ꯍꯥꯌꯅꯥ ꯈꯜꯂꯤ, ꯑꯗꯨꯕꯨ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ ꯑꯁꯤ ꯃꯈꯥ ꯆꯠꯊꯔꯕꯗꯤ ꯃꯁꯤ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯇꯔꯤ ꯕꯣꯋꯦꯜ ꯗꯤꯖꯤꯖ ( IBD ) ꯀꯧꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯒꯤ ꯂꯥꯏꯑꯣꯡ ꯑꯃꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫ ꯃꯤꯡ ꯑꯁꯤ ꯇꯥꯕꯗꯥ ꯂꯥꯡꯇꯛꯅꯒꯅꯨ꯫ ꯉꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯑꯥꯏ.ꯕꯤ.ꯗꯤ.

`(ꯑꯥꯏ.ꯕꯤ.ꯗꯤ.)` ꯍꯥꯌꯕꯁꯤ ꯇꯁꯦꯡꯅꯥ ꯀꯔꯤꯅꯣ?

ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, IBD ꯑꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯗꯥꯏꯖꯦꯁ꯭ꯇꯤꯚ ꯁꯤꯁ꯭ꯇꯦꯃꯗꯥ, ꯃꯔꯨꯑꯣꯏꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯏꯟꯇꯦꯁ꯭ꯇꯥꯏꯅꯁꯤꯡꯒꯤ ꯀ꯭ꯔꯣꯅꯤꯛ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯁꯟ ꯑꯃꯅꯤ꯫ “ꯀ꯭ꯔꯣꯅꯤꯛ” ꯍꯥꯌꯕꯁꯤꯅꯥ ꯃꯇꯝ ꯈꯔꯒꯤ ꯑꯣꯏꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ, ꯃꯇꯝ ꯈꯔꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯂꯥꯀꯄꯥ ꯂꯥꯌꯅꯥ ꯑꯃꯅꯤ ꯍꯥꯌꯕꯁꯤꯅꯤ꯫ “ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯁꯟ ” ꯍꯥꯌꯕꯥ ꯋꯥꯍꯩ ꯑꯁꯤ ꯇꯥꯕꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯅꯤꯡꯁꯤꯡꯒꯗꯕꯗꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯈꯣꯡꯗꯥ ꯀꯀꯊꯠꯄꯥ ꯃꯇꯃꯗꯥ ꯃꯗꯨ ꯂꯥꯂꯍꯧꯕꯥ, ꯁꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯁꯣꯀꯄꯥ ꯑꯣꯏꯔꯀꯄꯒꯨꯝꯅꯥ, ꯏꯟꯇꯦꯁ꯭ꯇꯥꯏꯅꯁꯤꯡꯗꯁꯨ ꯃꯁꯤꯃꯛ ꯊꯣꯀꯏ꯫

IBDꯅꯥ ꯈꯪꯍꯧꯗꯅꯥ, ꯁꯥꯊꯤꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯍꯥꯌꯕꯗꯤ ꯈꯣꯡ ꯍꯥꯝꯕꯥ ꯑꯃꯁꯨꯡ ꯗꯥꯏꯔꯤꯌꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯑꯩꯈꯣꯌꯅꯥ ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤꯕꯨ “ꯐ꯭ꯂꯦꯌꯔ” ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ ꯑꯗꯨꯕꯨ ꯑꯥꯏ.ꯕꯤ.ꯗꯤ.ꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯒꯠꯇꯥ ꯁꯣꯀꯍꯅꯕꯈꯛꯇꯗꯥ ꯁꯣꯀꯍꯜꯂꯣꯏ꯫ ꯃꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯄꯨꯅꯕꯥ ꯍꯀꯁꯦꯜ, ꯅꯍꯥꯛꯀꯤ ꯃꯦꯟꯇꯦꯜ ꯋꯦꯂꯐꯦꯌꯔ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯅꯨꯡꯇꯤꯒꯤ ꯄꯨꯟꯁꯤꯗꯥ ꯑꯀꯥꯌꯕꯥ ꯄꯤꯕꯥ ꯌꯥꯏ꯫

IBD ꯑꯁꯤ ꯍꯧꯖꯤꯛꯀꯤ ꯑꯣꯏꯅꯥ ꯂꯥꯏꯌꯦꯡꯕꯥ ꯉꯃꯗꯕꯥ ꯄꯨꯟꯁꯤ ꯆꯨꯞꯄꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ ꯍꯥꯌꯕꯥ ꯇꯥꯕꯗꯥ, ꯅꯍꯥꯛꯅꯥ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯑꯃꯁꯨꯡ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯐꯥꯎꯕꯥ ꯌꯥꯏ꯫ ꯃꯗꯨ ꯂꯧꯁꯤꯅꯕꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯕꯨ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯋꯥꯐꯃꯗꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯅꯕꯥ ꯏꯐꯦꯛꯇꯤꯕ ꯑꯣꯏꯕꯥ ꯂꯥꯌꯦꯡꯁꯤꯡ ꯂꯩꯔꯤ꯫ ꯑꯃꯁꯨꯡ ꯑꯥꯏ.ꯕꯤ.ꯗꯤ.ꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯄꯨꯟꯁꯤꯗꯥ ꯑꯀꯥꯌꯕꯥ ꯄꯤꯗꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯄꯨꯟꯁꯤ ꯑꯗꯨ ꯌꯥꯔꯤꯕꯃꯈꯩ ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯍꯅꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯅꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯇꯧꯕꯥ ꯌꯥꯕꯥ ꯊꯕꯛ ꯀꯌꯥ ꯂꯩ꯫

ꯑꯥꯏ.ꯕꯤ.ꯗꯤ.ꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯈꯂꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?

`(IBD)`ꯒꯤ ꯃꯈꯥꯗꯥ ꯑꯩꯈꯣꯌꯅꯥ ꯃꯔꯨꯑꯣꯏꯅꯥ ꯂꯥꯌꯅꯥ ꯃꯈꯜ ꯑꯅꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯩ:

ꯑꯥꯏ.ꯕꯤ.ꯗꯤ.ꯅꯥ ꯀꯌꯥ ꯌꯥꯝꯅꯥ ꯀꯃꯟ ꯑꯣꯏꯕꯒꯦ?

ꯃꯥꯂꯦꯝ ꯁꯤꯅꯕꯥ ꯊꯨꯡꯅꯥ ꯃꯤꯑꯣꯏ ꯂꯥꯈ ꯀꯌꯥꯅꯥ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯇꯔꯤ ꯕꯣꯋꯦꯜ ꯗꯤꯖꯤꯖ (IBD)ꯅꯥ ꯅꯥꯔꯤ꯫ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤꯅꯥ ꯅꯍꯥ ꯑꯣꯏꯔꯤꯕꯥ ꯑꯉꯥꯡꯁꯤꯡꯗꯒꯤ ꯍꯧꯔꯒꯥ ꯆꯍꯤ 65ꯒꯤ ꯃꯊꯛꯇꯥ ꯂꯩꯕꯥ ꯑꯍꯂꯁꯤꯡ ꯐꯥꯎꯕꯥ, ꯃꯤꯑꯣꯏ ꯑꯃꯍꯦꯛꯇꯗꯥ ꯁꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ, ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯃꯁꯤ ꯑꯌꯥꯝꯕꯗꯤ ꯆꯍꯤ 15 ꯑꯃꯁꯨꯡ 35ꯒꯤ ꯃꯔꯛꯇꯥ ꯂꯩꯕꯥ ꯅꯍꯥꯁꯤꯡꯗꯥ ꯈꯪꯗꯣꯀꯏ꯫

`(IBD)`ꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?

ꯑꯥꯏ.ꯕꯤ.ꯗꯤ.ꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯃꯤꯑꯣꯏ ꯈꯔꯗꯗꯤ ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯏ, ꯑꯃꯁꯨꯡ ꯑꯇꯩ ꯈꯔꯗꯗꯤ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯃꯇꯝ ꯄꯨꯝꯅꯃꯛꯇꯥ ꯊꯣꯛꯇꯦ, ꯃꯈꯣꯌ ꯂꯥꯀꯏ ꯑꯃꯁꯨꯡ ꯆꯠꯂꯤ꯫ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯂꯥꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯅꯍꯥꯀꯄꯨ "IBD ꯐ꯭ꯂꯦꯌꯔ" ꯅꯠꯠꯔꯒꯥ "ꯐ꯭ꯂꯦꯌꯔ-ꯑꯞ" ꯑꯃꯥ ꯂꯩꯔꯦ ꯍꯥꯌꯅꯥ ꯍꯥꯌꯒꯅꯤ꯫ ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯗꯨ ꯂꯥꯀꯁꯤꯜꯂꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯃꯈꯣꯌꯕꯨ "ꯔꯤꯃꯤꯁꯟ" ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫

ꯃꯍꯧꯁꯥꯅꯥ ꯎꯕꯥ ꯐꯪꯂꯤꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ:

• ꯃꯈꯥ ꯊꯪꯕꯥ ꯁꯔꯨꯛꯇꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ, ꯁꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯈꯣꯝꯂꯥꯡ ꯑꯗꯨ ꯁꯣꯀꯄꯥ (stomach cramps )꯫
• ꯁ꯭ꯇꯣꯂꯗꯥ ꯏ ꯊꯣꯀꯄꯥ꯫ ꯃꯁꯤ ꯈꯔꯥ ꯅꯠꯠꯔꯒꯥ ꯃꯌꯦꯛ ꯁꯦꯡꯕꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫
• ꯀ꯭ꯔꯣꯅꯤꯛ ꯗꯥꯏꯔꯤꯌꯥ : ꯅꯣꯡꯃꯗꯥ ꯀꯌꯥꯃꯔꯨꯝ ꯇꯣꯏꯂꯦꯠꯇꯥ ꯆꯠꯄꯥ ꯃꯊꯧ ꯇꯥꯕꯥ꯫
• ꯌꯥꯝꯅꯥ ꯋꯥꯅꯥ ꯊꯣꯀꯄꯥ (` Fatigue` ). ꯍꯀꯆꯥꯡ ꯑꯁꯤ ꯑꯁꯨꯛ ꯌꯥꯝꯅꯥ ꯋꯥꯅꯥ ꯊꯣꯀꯏ ꯃꯗꯨꯗꯤ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯃꯠꯇꯥ ꯇꯧꯕꯥ ꯉꯃꯗꯦ꯫
• ꯑꯅꯤꯡꯕꯥ ꯑꯔꯨꯝꯕꯥ ꯍꯟꯊꯍꯅꯕꯥ : ꯑꯔꯨꯝꯕꯥ ꯍꯟꯊꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯗꯥꯏꯠ ꯑꯗꯨ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯅꯕꯥ ꯍꯣꯠꯅꯗꯅꯥ ꯑꯔꯨꯝꯕꯥ ꯍꯟꯊꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯊꯣꯀꯏ꯫

ꯑꯥꯏ.ꯕꯤ.ꯗꯤ.ꯒꯤ ꯃꯔꯃꯁꯤꯡ ꯀꯔꯤꯅꯣ? ꯃꯁꯤ ꯀꯔꯤꯒꯤ ꯊꯣꯛꯂꯤꯕꯅꯣ?

ꯔꯤꯁꯔꯆꯔꯁꯤꯡꯅꯥ ꯍꯧꯖꯤꯛ ꯐꯥꯑꯣꯕꯥ ꯑꯥꯏ.ꯕꯤ.ꯗꯤ. ꯑꯗꯨꯕꯨ ꯑꯩꯈꯣꯌꯅꯥ ꯈꯉꯏ ꯃꯗꯨꯗꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯏꯁꯥꯒꯤ ꯏꯝꯝꯌꯨꯟ ꯁꯤꯁ꯭ꯇꯦꯃꯅꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯗꯥꯏꯖꯦꯁ꯭ꯇꯤꯕ ꯁꯤꯁ꯭ꯇꯦꯃꯗꯥ ꯂꯩꯕꯥ ꯍꯀꯆꯥꯡ ꯐꯕꯥ ꯇꯤꯁ꯭ꯌꯨꯁꯤꯡꯗꯥ ꯑꯁꯣꯏꯕꯥ ꯌꯥꯑꯣꯗꯅꯥ ꯑꯦꯇꯦꯛ ꯇꯧꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯊꯣꯀꯏ꯫ ꯃꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯂꯩꯕꯥꯛ ꯑꯁꯤꯕꯨ ꯉꯥꯀꯊꯣꯛꯂꯤꯕꯥ ꯃꯤꯂꯤꯇꯔꯤꯅꯥ ꯑꯔꯥꯅꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯃꯁꯥꯒꯤ ꯃꯤꯌꯥꯃꯗꯥ ꯑꯦꯇꯦꯛ ꯇꯧꯕꯒꯨꯝꯕꯅꯤ꯫ ꯃꯁꯤꯒꯤ ꯑꯦꯇꯦꯛ ꯑꯁꯤꯅꯥ ꯑꯩꯈꯣꯌꯅꯥ ꯃꯃꯥꯡꯗꯥ ꯄꯅꯈꯤꯕꯥ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯁꯟ, ꯁꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯁꯣꯀꯄꯥ ꯊꯣꯀꯍꯜꯂꯤ꯫

ꯔꯤꯁꯔꯆꯔꯁꯤꯡꯅꯥ ꯃꯁꯤꯗꯥ ꯊꯧꯗꯥꯡ ꯂꯧꯔꯤ ꯍꯥꯌꯅꯥ ꯈꯟꯅꯔꯤꯕꯥ ꯑꯀꯛꯅꯕꯥ ꯖꯤꯟ ꯀꯌꯥꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯊꯤꯖꯤꯜꯂꯤ꯫ ꯖꯤꯅꯁꯤꯡ ꯑꯁꯤꯗꯥ ꯑꯀꯛꯅꯕꯥ ꯑꯍꯣꯡꯕꯥ (ꯃ꯭ꯌꯨꯇꯦꯁꯟ) ꯑꯃꯥ ꯂꯥꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯑꯥꯏ.ꯕꯤ.ꯗꯤ. ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤꯕꯨ “ꯁꯁ꯭ꯄꯦꯛꯇꯤꯕꯤꯂꯤꯇꯤ ꯖꯤꯅꯁꯤꯡ” ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯖꯤꯅꯁꯤꯡ ꯑꯁꯤ ꯏꯅꯍꯦꯔꯤ ꯇꯧꯔꯕꯗꯤ, ꯅꯨꯃꯤꯠ ꯈꯨꯗꯤꯡꯒꯤ ꯑꯣꯏꯕꯥ ꯑꯀꯛꯅꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡꯅꯥ IBDꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯕꯨ ꯅꯤꯡꯁꯤꯡꯕꯤꯌꯨ, ꯋꯥꯐꯃꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯂꯥꯌꯅꯥ ꯑꯁꯤ ꯊꯣꯀꯍꯟꯗꯦ, ꯂꯥꯌꯅꯥ ꯑꯁꯤ ꯍꯦꯟꯅꯥ ꯐꯠꯆꯤꯜꯂꯀꯏ ꯑꯃꯁꯨꯡ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯗꯨ ꯍꯦꯟꯅꯥ ꯐꯠꯆꯤꯜꯂꯀꯏ꯫

ꯑꯥꯏ.ꯕꯤ.ꯗꯤ.ꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡꯒꯤ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯇ꯭ꯔꯤꯒꯔꯁꯤꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯁꯤꯡꯁꯤ ꯌꯥꯎꯏ:

• ꯑꯦꯟꯇꯤꯕꯥꯏꯑꯣꯇꯤꯛ ꯈꯔꯗꯤ .
• ꯄꯦꯟ ꯀꯤꯂꯥꯔ ꯈꯔꯗꯤ, ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ ``NSAIDS – ꯅꯟ-ꯁ꯭ꯇꯦꯔꯣꯏꯗ ꯑꯦꯟꯇꯤ-ꯏꯅꯐ꯭ꯂꯦꯃꯦꯇꯔꯤ ꯗ꯭ꯔꯒꯁꯤꯡ`` (ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ ꯏꯕꯨꯞꯔꯣꯐꯦꯟ, ꯗꯤꯛꯂꯣꯐꯦꯅꯥꯛ)꯫
• ꯃꯩꯈꯨ ꯊꯥꯗꯣꯀꯄꯥ .
• ꯋꯥꯈꯜ ꯋꯥꯕ.

ꯑꯥꯏ.ꯕꯤ.ꯗꯤ.ꯒꯤ ꯑꯣꯏꯊꯣꯀꯄꯥ ꯌꯥꯕꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?

ꯅꯍꯥꯛꯅꯥ ꯑꯥꯏ.ꯕꯤ.ꯗꯤ.ꯅꯥ ꯅꯥꯕꯥ ꯃꯇꯃꯗꯥ, ꯃꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯥꯏꯖꯦꯁ꯭ꯇꯤꯚ ꯁꯤꯁ꯭ꯇꯦꯝ ꯈꯛꯇꯥ ꯅꯠꯇꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯑꯇꯩ ꯃꯐꯃꯁꯤꯡꯗꯁꯨ ꯁꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ, ꯑꯃꯁꯨꯡ ꯑꯇꯩ ꯍꯀꯁꯦꯂꯒꯤ ꯁꯃꯁ꯭ꯌꯥꯁꯤꯡ ꯊꯣꯀꯍꯜꯂꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯈꯣꯌ ꯈꯔꯗꯤ ꯑꯦꯃꯔꯖꯦꯟꯁꯤ ꯃꯦꯗꯤꯀꯦꯜ ꯇ꯭ꯔꯤꯠꯃꯦꯟꯇ ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫

ꯗꯥꯏꯖꯦꯁ꯭ꯇꯤꯚ ꯁꯤꯁ꯭ꯇꯦꯃꯒꯥ ꯃꯔꯤ ꯂꯩꯅꯕꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯕꯥ ꯁꯥꯊꯤꯕꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ:

• ꯀꯣꯂꯣꯟ ꯀꯦꯟꯁꯔ: ꯑꯥꯏ.ꯕꯤ.ꯗꯤ.ꯅꯥ ꯅꯥꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯅꯥ ꯀꯣꯂꯣꯟ ꯀꯦꯟꯁꯔ ꯂꯥꯀꯄꯒꯤ ꯔꯤꯁ꯭ꯛ ꯑꯁꯤ ꯖꯦꯅꯦꯔꯦꯜ ꯄꯣꯄꯨꯂꯦꯁꯅꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯋꯥꯡꯏ꯫
• ꯄꯣꯃꯈꯠꯄꯥ ꯕꯣꯋꯦꯜ (perforated bowel): ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯑꯦꯕꯗꯣꯃꯤꯅꯦꯜ ꯄꯦꯏꯟ, ꯕ꯭ꯂꯣꯇꯤꯡ ꯑꯃꯁꯨꯡ ꯇꯦꯟꯗꯔꯅꯦꯁꯅꯥ ꯃꯁꯛ ꯇꯥꯀꯄꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫ ꯃꯁꯤ ꯏꯃꯔꯖꯦꯟꯁꯤ ꯑꯃꯅꯤ꯫
• ꯇꯣꯛꯁꯤꯀꯦꯜ ꯃꯦꯒꯥꯀꯣꯂꯣꯟ (Toxic megacolon): ꯑꯆꯧꯕꯥ ꯏꯟꯇꯦꯁ꯭ꯇꯥꯏꯟ ꯑꯗꯨ ꯌꯥꯝꯅꯥ ꯁꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯃꯊꯧ ꯇꯧꯕꯥ ꯉꯃꯗꯕꯥ ꯈꯨꯗꯣꯡꯊꯤꯅꯤꯉꯥꯏ ꯑꯣꯏꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫ ꯂꯥꯏꯑꯣꯡꯁꯤꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯁ꯭ꯇꯣꯜ (stool)ꯗꯥ ꯏ ꯌꯥꯎꯕꯥ ꯑꯃꯁꯨꯡ ꯁꯥꯊꯤꯕꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ (abdominal pain) ꯑꯁꯤꯅꯆꯤꯡꯕꯥ ꯌꯥꯎꯏ꯫ ꯃꯁꯤꯁꯨ ꯏꯃꯔꯖꯦꯟꯁꯤ ꯑꯃꯅꯤ꯫

ꯍꯀꯆꯥꯡꯒꯤ ꯑꯇꯩ ꯁꯔꯨꯀꯁꯤꯡꯗꯥ ꯁꯣꯀꯍꯜꯂꯤꯕꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ:

• ꯑꯦꯅꯤꯃꯤꯌꯥ ( ꯕ꯭ꯂꯗ ꯋꯥꯠꯄꯥ)꯫
• ꯏ ꯊꯣꯀꯄꯥ꯫
• ꯃꯤꯠꯀꯤ ꯑꯅꯥꯕꯥ ꯑꯃꯁꯨꯡ ꯏꯅꯐꯦꯛꯁꯅꯁꯤꯡ꯫
• ꯀꯤꯗꯅꯤꯗꯥ ꯁ꯭ꯇꯣꯟ ꯂꯩꯕꯥ꯫
• ꯃꯆꯤꯟꯖꯥꯛ ꯁꯣꯀꯄꯥ꯫
• ꯂꯤꯚꯔꯒꯤ ꯂꯥꯌꯅꯥꯁꯤꯡ (ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯁꯤꯔꯣꯁꯤꯁ)꯫
• ꯃꯥꯂꯕꯁꯣꯔꯄꯁꯟ ꯑꯃꯁꯨꯡ ꯃꯥꯂꯟꯌꯨꯠꯔꯤꯁꯟ .
• ꯁꯔꯨ ꯇꯥꯡ ꯁꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯑꯁꯣꯛ-ꯑꯄꯟ (`ꯁꯣꯀꯄꯥ ꯁꯔꯨ ꯇꯥꯡꯁꯤꯡ`)꯫
• ꯈꯣꯡꯒꯤ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯑꯃꯁꯨꯡ ꯈꯣꯡ-ꯈꯨꯠ ꯁꯣꯛ-ꯄꯅꯕꯥ꯫
• ꯁꯔꯨ ꯇꯥꯡꯁꯤꯡ ꯁꯣꯟꯊꯕꯥ (osteoporosis)꯫

ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯀꯔꯝꯅꯥ ꯑꯥꯏ.ꯕꯤ.ꯗꯤ.

ꯅꯍꯥꯛꯅꯥ ꯗꯣꯛꯇꯔ ꯑꯃꯒꯥ ꯇꯥꯟꯅꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯃꯍꯥꯛꯅꯥ ꯑꯍꯥꯅꯕꯥ ꯑꯣꯏꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡꯒꯤ ꯃꯔꯃꯗꯥ ꯍꯪꯒꯅꯤ꯫ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ, ꯃꯈꯣꯌꯅꯥ ꯐꯤꯖꯤꯀꯦꯜ ꯑꯦꯀꯖꯥꯝ ꯑꯃꯥ ꯇꯧꯒꯅꯤ꯫ ꯃꯁꯤꯒꯤ ꯃꯊꯛꯇꯥ, ꯃꯈꯣꯌꯅꯥ ꯅꯍꯥꯛꯅꯥ IBD ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯈꯪꯗꯣꯛꯅꯕꯥ ꯇꯦꯁ꯭ꯠ ꯀꯌꯥ ꯑꯃꯁꯨ ꯇꯧꯕꯥ ꯌꯥꯏ:

• ꯃꯄꯨꯡꯐꯥꯕꯥ ꯕ꯭ꯂꯗ ꯀꯥꯎꯟꯇ (CBC)꯫
• ꯀꯦꯄꯁꯨꯜ ꯑꯦꯟꯗꯣꯁ꯭ꯀꯣꯄꯤ ꯇꯧꯕꯥ꯫
• ꯀꯣꯂꯣꯅꯣꯁ꯭ꯀꯣꯄꯤ ꯇꯧꯕꯥ꯫
• ꯁꯤ.ꯇꯤ.ꯁ꯭ꯀꯦꯟ (`ꯀꯝꯞꯌꯨꯇꯦꯠ ꯇꯣꯃꯣꯒ꯭ꯔꯥꯐꯤ – ꯁꯤ.ꯇꯤ. ꯁ꯭ꯀꯦꯟ`)꯫
• ꯑꯦꯟꯗꯣꯁ꯭ꯀꯣꯄꯤꯛ ꯑꯂꯠꯔꯥꯁꯥꯎꯟꯗ (`EUS – ꯑꯦꯟꯗꯣꯁ꯭ꯀꯣꯄꯤꯛ ꯑꯂꯠꯔꯥꯁꯥꯎꯟꯗ`)꯫
• ꯐ꯭ꯂꯦꯛꯁꯤꯕꯜ ꯁꯤꯒꯃꯣꯏꯗꯣꯁ꯭ꯀꯣꯄꯤ ꯇꯧꯕꯥ꯫
• ꯑꯦꯝ.ꯑꯥꯔ.ꯑꯥꯏ.ꯒꯤ ꯁ꯭ꯀꯦꯟ (ꯃꯦꯒ꯭ꯅꯦꯇꯤꯛ ꯔꯤꯖꯣꯅꯦꯟꯁ ꯏꯃꯦꯖꯤꯡ – ꯑꯦꯝ.ꯑꯥꯔ.ꯑꯥꯏ. ꯁ꯭ꯀꯦꯟ)꯫
• ꯑꯋꯥꯡꯕꯥ ꯑꯦꯟꯗꯣꯁ꯭ꯀꯣꯄꯤ ꯇꯧꯕꯥ꯫

ꯑꯥꯏ.ꯕꯤ.ꯗꯤ.ꯕꯨ ꯀꯔꯝꯅꯥ ꯂꯥꯌꯦꯡꯕꯒꯦ?

IBDꯒꯤ ꯂꯥꯏꯌꯦꯡ ꯑꯁꯤ ꯅꯍꯥꯛꯅꯥ ꯂꯩꯔꯤꯕꯥ IBDꯒꯤ ꯃꯈꯜ (Crohn’s ꯅꯠꯠꯔꯒꯥ ulcerative colitis)ꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ ꯈꯔꯥ ꯈꯦꯠꯅꯕꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ , ꯂꯥꯏꯌꯦꯡ ꯄꯨꯝꯅꯃꯛꯀꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯄꯥꯟꯗꯃꯗꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯥ, ꯂꯥꯌꯅꯥ ꯑꯁꯤ ꯔꯤꯃꯤꯁꯅꯗꯥ ꯊꯝꯕꯥ, ꯑꯃꯁꯨꯡ ꯔꯤꯃꯤꯁꯟ ꯑꯗꯨ ꯂꯦꯡꯗꯅꯥ ꯂꯩꯍꯅꯕꯅꯤ꯫

ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯍꯟꯊꯍꯅꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯅꯕꯥ ꯍꯤꯗꯥꯀꯁꯤꯡ ꯄꯤꯒꯅꯤ꯫ ꯀꯦꯁ ꯈꯔꯗꯗꯤ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ ꯈꯛꯇꯅꯥ ꯃꯇꯤꯛ ꯆꯥꯗꯕꯥ ꯑꯣꯏꯔꯕꯗꯤ, ꯁꯔꯖꯔꯤ ꯇꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯏ꯫