ꯑꯌꯥꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯀꯣꯛꯇꯥ ꯄꯣꯠꯁꯛ ꯑꯃꯥ ꯊꯨꯒꯥꯌꯕꯒꯨꯝ ꯐꯥꯑꯣꯕ꯭ꯔꯥ? ꯑꯌꯥꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯀꯣꯛ ꯁꯦꯡꯗꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ "ꯃꯝ... ꯑꯦꯝ..." ꯍꯥꯌꯅꯥ ꯍꯥꯌꯕꯥ ꯌꯥꯏ? ꯅꯍꯥꯛꯅꯥ ꯃꯁꯤ ꯀꯣꯜꯗ ꯅꯠꯠꯔꯒꯥ ꯃꯩꯁꯥꯒꯤ ꯑꯦꯂꯥꯔꯖꯤꯅꯤ ꯍꯥꯌꯅꯥ ꯈꯜꯂꯨꯕꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯕꯨ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯊꯥ ꯀꯌꯥꯗꯒꯤ ꯍꯟꯊꯔꯛꯠꯔꯕꯗꯤ ꯃꯔꯝ ꯑꯁꯤ ꯑꯗꯣꯝꯅꯥ ꯈꯜꯂꯤꯕꯗꯒꯤ ꯈꯔꯥ ꯇꯣꯉꯥꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯍꯦꯟꯅꯥ ꯂꯨꯝꯂꯕꯥ ꯋꯥꯐꯝ ꯑꯃꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫ ꯉꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯃꯤꯑꯣꯏ ꯀꯌꯥꯅꯥ ꯈꯉꯗꯕꯥ, ꯑꯗꯨꯕꯨ ꯃꯤꯑꯣꯏ ꯀꯌꯥ ꯑꯃꯅꯥ ꯈꯉꯗꯕꯥ "ꯂꯣꯠꯁꯤꯜꯂꯕꯥ" ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯑꯃꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯔꯤ꯫ ꯑꯩꯈꯣꯌꯅꯥ ꯃꯁꯤꯕꯨ ꯑꯦꯜ.ꯄꯤ.ꯑꯥꯔ., ꯅꯠꯔꯒꯥ ꯂꯦꯔꯤꯉ꯭ꯒꯣꯐꯦꯔꯤꯟꯖꯦꯜ ꯔꯤꯐ꯭ꯂꯛꯁ ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫
ꯑꯦꯜ.ꯄꯤ.ꯑꯥꯔ.ꯅꯥ ꯀꯔꯤꯅꯣ? ꯃꯁꯤꯕꯨ ‘ꯁꯥꯏꯂꯦꯟꯇ ꯔꯤꯐ꯭ꯂꯛꯁ’ ꯍꯥꯌꯅꯥꯁꯨ ꯀꯧꯕꯔꯥ?
ꯑꯣꯀꯦ, ꯃꯁꯤ ꯏꯆꯝ ꯆꯝꯅꯥ ꯊꯃꯁꯤ꯫ ꯅꯍꯥꯛꯅꯥ "ꯒꯦꯁ꯭ꯠꯔꯥꯏꯇꯤꯁ" ꯅꯠꯠꯔꯒꯥ "ꯑꯦꯁꯤꯗ ꯔꯤꯐ꯭ꯂꯛꯁ" ꯍꯥꯌꯅꯥ ꯇꯥꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤ ꯆꯤꯟꯖꯥꯛ ꯍꯟꯖꯤꯅꯍꯅꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯂꯤꯕꯥ ꯁ꯭ꯇꯣꯃꯥꯀꯀꯤ ꯖꯨꯁꯁꯤꯡ ꯑꯗꯨ ꯏꯁꯣꯐꯦꯒꯁꯇꯥ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯆꯦꯟꯊꯔꯀꯄꯥ ꯃꯇꯃꯅꯤ꯫ ꯃꯍꯧꯁꯥꯅꯥ, ꯃꯁꯤ ꯊꯣꯛꯂꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯑꯩꯈꯣꯌꯒꯤ ꯈꯣꯡꯗꯥ ꯅꯠꯠꯔꯒꯥ ꯈꯣꯡꯗꯥ ꯃꯩꯁꯥ (burning sensation) ꯑꯃꯥ ꯐꯥꯎꯏ꯫ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤꯕꯨ ꯑꯩꯈꯣꯌꯅꯥ ꯖꯤ.ꯏ.ꯑꯥꯔ.ꯗꯤ. (ꯒꯦꯁ꯭ꯠꯔꯣꯏꯁꯣꯐꯦꯖꯤꯑꯦꯜ ꯔꯤꯐ꯭ꯂꯛꯁ ꯗꯤꯖꯤꯖ) ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫
ꯑꯗꯨꯕꯨ ꯑꯦꯜ.ꯄꯤ.ꯑꯥꯔ.ꯅꯥ ꯈꯔꯥ ꯇꯣꯉꯥꯅꯕꯥ, ꯑꯈꯟꯅꯕꯥ ꯀꯦꯁ ꯑꯃꯅꯤ꯫ ꯃꯐꯃꯁꯤꯗꯥ ꯊꯣꯛꯂꯤꯕꯥ ꯑꯁꯤꯗꯤ, ꯈꯣꯡꯗꯒꯤ ꯂꯥꯀꯄꯥ ꯑꯦꯁꯤꯗ ꯑꯗꯨꯅꯥ ꯈꯣꯡꯗꯥ ꯊꯤꯡꯖꯤꯜꯂꯤ, ꯃꯗꯨꯒꯤ ꯃꯍꯨꯠꯇꯥ ꯅꯍꯥꯛꯀꯤ ꯀꯣꯛꯇꯥ (pharynx) ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯚꯣꯀꯦꯜ ꯀꯣꯔꯗꯁꯤꯡ ꯂꯩꯕꯥ ꯕꯣꯛꯁ ꯑꯗꯨꯗꯥ (larynx) ꯍꯦꯟꯅꯥ ꯋꯥꯡꯈꯠꯂꯀꯏ꯫
ꯃꯔꯨꯑꯣꯏꯕꯥ ꯋꯥꯐꯃꯗꯤ ꯑꯦꯜ.ꯄꯤ.ꯑꯥꯔ.ꯅꯥ ꯅꯥꯕꯥ ꯃꯤꯑꯣꯏ ꯈꯨꯗꯤꯡꯃꯛ ꯊꯝꯃꯣꯌ ꯁꯣꯀꯄꯥ ꯊꯦꯡꯅꯗꯦ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯃꯤꯑꯣꯏ ꯀꯌꯥ ꯑꯃꯅꯥ ꯃꯈꯣꯌꯗꯥ ꯑꯦꯁꯤꯗ ꯔꯤꯐ꯭ꯂꯛꯁꯀꯤ ꯁꯃꯁ꯭ꯌꯥ ꯂꯩ ꯍꯥꯌꯕꯥ ꯈꯉꯗꯦ꯫ ꯃꯔꯝ ꯑꯁꯤꯅꯥ ꯃꯁꯤꯕꯨ " ꯁꯥꯏꯂꯦꯟꯇ ꯔꯤꯐ꯭ꯂꯛꯁ " ꯍꯥꯌꯅꯥꯁꯨ ꯀꯧꯏ꯫ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯀꯣꯛ, ꯈꯣꯟꯖꯦꯜ ꯑꯃꯁꯨꯡ ꯅꯥꯀꯣꯡꯗꯥ ꯂꯩꯕꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯃꯤꯑꯣꯏ ꯀꯌꯥꯅꯥ ꯃꯁꯤ ꯑꯇꯣꯞꯄꯥ ꯋꯥꯐꯝ ꯑꯃꯅꯤ ꯍꯥꯌꯅꯥ ꯈꯜꯂꯤ꯫
ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯖꯤ.ꯏ.ꯑꯥꯔ.ꯗꯤ.ꯅꯥ ꯆꯦꯁ꯭ꯇꯇꯥ ꯍꯧꯔꯀꯄꯥ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯑꯃꯅꯤ꯫ LPR ꯑꯁꯤ ꯍꯦꯟꯅꯥ ꯋꯥꯡꯈꯠꯄꯥ ꯑꯃꯁꯨꯡ ꯀꯣꯛꯇꯥ ꯁꯣꯀꯍꯜꯂꯤꯕꯥ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯑꯃꯅꯤ꯫ ꯃꯤꯑꯣꯏ ꯈꯔꯗꯗꯤ ꯑꯅꯤꯃꯛ ꯂꯩꯕꯥ ꯌꯥꯏ꯫ ꯃꯤꯑꯣꯏ ꯈꯔꯗꯤ ꯁꯨꯞꯅꯒꯤ ꯑꯦꯜ.ꯄꯤ.ꯑꯥꯔ.
ꯑꯦꯜ.ꯄꯤ.ꯑꯥꯔ.ꯒꯤ ꯁꯖꯦꯁꯟ ꯄꯤꯔꯤꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯃꯗꯒꯤ ꯍꯦꯅꯕꯥ ꯂꯩꯔꯕꯗꯤ, ꯆꯤꯡꯅꯕꯥ ꯂꯩꯌꯨ꯫ ꯃꯔꯨ ꯑꯣꯏꯕꯁꯤꯡ ꯑꯗꯨ ꯌꯦꯡꯁꯤ꯫
| ꯂꯥꯏꯑꯣꯡ꯫ | ꯃꯁꯤꯅꯥ ꯑꯗꯣꯃꯗꯥ ꯀꯔꯝꯅꯥ ꯐꯥꯑꯣꯍꯜꯂꯤꯕꯅꯣ? |
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| ꯈꯣꯟꯖꯦꯂꯒꯤ ꯈꯣꯟꯖꯦꯜ ꯊꯣꯀꯄꯥ꯫ | ꯑꯌꯨꯛꯇꯥ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯍꯧꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯑꯩꯒꯤ ꯈꯣꯟꯖꯦꯜ ꯑꯁꯤ ꯇꯣꯉꯥꯅꯕꯥ ꯐꯥꯑꯣꯏ꯫ ꯑꯩꯒꯤ ꯈꯣꯟꯖꯦꯜ ꯑꯁꯤ ꯅꯨꯃꯤꯠ ꯈꯨꯗꯤꯡꯒꯤ ꯃꯌꯦꯛ ꯁꯦꯡꯗꯦ꯫ |
| ꯀꯔꯤꯒꯨꯝꯕꯥ ꯄꯣꯠꯁꯛ ꯑꯃꯅꯥ ꯀꯣꯛꯇꯥ ꯆꯦꯟꯊꯔꯀꯄꯒꯨꯝ ꯐꯥꯎꯕꯥ꯫ | ꯃꯇꯝ ꯄꯨꯝꯅꯃꯛꯇꯥ ꯑꯩꯒꯤ ꯀꯣꯛꯇꯥ ꯂꯪꯂꯥ ꯑꯃꯥ ꯅꯠꯠꯔꯒꯥ ꯃ꯭ꯌꯨꯀꯁꯀꯤ ꯕꯣꯜ ꯑꯃꯥ ꯊꯨꯒꯥꯌꯕꯒꯨꯝ ꯐꯥꯑꯣꯏ꯫ |
| ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯀꯣꯛ ꯁꯦꯡꯗꯣꯀꯄꯥ꯫ | ꯃꯈꯣꯌꯅꯥ ꯑꯇꯣꯞꯄꯁꯤꯡꯗꯥ ꯑꯋꯥꯕꯥ ꯄꯤꯕꯥ ꯉꯃꯒꯗꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯃꯈꯣꯌꯒꯤ ꯀꯣꯛ ‘ꯀ꯭ꯂꯤꯌꯥꯔ’ ꯇꯧꯅꯕꯥ ꯂꯦꯞꯄꯥ ꯂꯩꯇꯅꯥ ꯍꯣꯠꯅꯔꯤ꯫ |
| ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯀꯣꯛ ꯆꯤꯀꯄꯥ꯫ | ꯑꯩꯒꯤ ꯁꯨꯃꯍꯠꯄꯥ ꯀꯣꯛ ꯑꯃꯥ ꯂꯩ, ꯃꯗꯨ ꯊꯥ ꯀꯌꯥꯗꯒꯤ ꯆꯠꯊꯔꯛꯂꯤ, ꯃꯔꯝ ꯑꯃꯠꯇꯥ ꯂꯩꯇꯅꯥ꯫ |
| ꯑꯍꯦꯅꯕꯥ ꯃ꯭ꯌꯨꯀꯁ ꯅꯠꯠꯔꯒꯥ ꯐ꯭ꯂꯦꯒꯝ (flegm) ꯂꯩꯕꯥ꯫ | ꯀꯣꯛꯇꯥ ꯂꯦꯞꯇꯅꯥ ꯃ꯭ꯌꯨꯀꯁ ꯂꯩ꯫ ꯃꯁꯤꯅꯥ ꯅꯥꯀꯣꯡꯗꯒꯤ (postnasal drip) ꯀꯣꯛꯇꯥ ꯃ꯭ꯌꯨꯀꯁ ꯂꯥꯀꯄꯥ (postnasal drip) ꯐꯥꯎꯕꯥ ꯐꯥꯎꯏ꯫ |
| ꯂꯧꯅꯒꯅꯕꯥ ꯂꯥꯌꯅꯥ꯫ | ꯅꯍꯥꯛꯅꯥ ꯆꯥꯅꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯊꯛꯅꯕꯥ ꯏꯁꯤꯡ ꯊꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯀꯣꯛꯇꯥ ꯂꯪꯁ ꯑꯃꯥ ꯂꯩꯔꯀꯄꯒꯨꯝꯅꯥ ꯐꯥꯎꯏ꯫ |
| ꯂꯦꯞꯇꯅꯥ ꯁꯣꯀꯄꯥ (persistent sore troat)꯫ | ꯑꯩꯒꯤ ꯃꯇꯝ ꯄꯨꯝꯅꯃꯛꯇꯥ ꯂꯥꯏꯍꯧ ꯅꯠꯠꯔꯒꯥ ꯀꯣꯛ ꯅꯣꯟꯖꯗꯅꯥ ꯀꯣꯛ ꯅꯣꯟꯖꯩ꯫ |
| ꯑꯦꯖꯃꯥ ꯍꯦꯟꯅꯥ ꯁꯣꯀꯆꯤꯜꯂꯀꯄꯥ꯫ | ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯍꯥꯟꯅꯅꯥ ꯑꯦꯖꯃꯥ ꯂꯩꯔꯕꯗꯤ, ꯃꯗꯨ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯗꯥ ꯑꯋꯥꯕꯥ ꯑꯣꯏꯔꯀꯏ ꯅꯠꯠꯔꯒꯥ ꯑꯅꯧꯕꯥ ꯑꯦꯖꯃꯥꯒꯨꯝꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯊꯣꯔꯀꯏ꯫ |
ꯀꯔꯤꯒꯤꯗꯃꯛ ꯈꯣꯡꯗꯥ ꯂꯩꯔꯤꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ ꯑꯁꯤ ꯑꯁꯨꯝꯅꯥ ꯀꯣꯛꯇꯥ ꯂꯥꯀꯏ?
ꯃꯁꯤ ꯈꯉꯅꯕꯒꯤꯗꯃꯛ ꯑꯩꯈꯣꯌꯅꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯏꯁꯣꯐꯦꯒꯁꯀꯤ ꯃꯔꯃꯗꯥ ꯈꯔꯥ ꯈꯉꯕꯥ ꯃꯊꯧ ꯇꯥꯏ꯫ ꯃꯁꯤ ꯃꯊꯛꯇꯥ ꯑꯃꯁꯨꯡ ꯃꯈꯥꯗꯥ ꯚꯜꯌꯨ ꯑꯅꯤ ꯂꯩꯕꯥ ꯇꯨꯕ ꯑꯃꯥ ꯑꯣꯏꯅꯥ ꯈꯅꯕꯤꯌꯨ꯫ ꯑꯩꯈꯣꯌꯅꯥ ꯚꯜꯌꯨꯁꯤꯡ ꯑꯁꯤꯕꯨ ꯁ꯭ꯐꯤꯡꯛꯇꯔ ꯍꯥꯌꯅꯥ ꯀꯧꯏ .
1. ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯚꯜꯌꯨ (ꯂꯣꯌꯔꯕꯥ ꯏꯁꯣꯐꯦꯖꯤꯑꯦꯜ ꯁ꯭ꯐꯤꯡꯛꯇꯔ - LES):ꯃꯁꯤ ꯏꯁꯣꯐꯦꯒꯁ ꯑꯃꯁꯨꯡ ꯁ꯭ꯇꯣꯃꯥꯛ (esophagus)ꯒꯤ ꯃꯔꯛꯇꯥ ꯂꯩ꯫ ꯑꯩꯈꯣꯌꯅꯥ ꯆꯤꯟꯖꯥꯛ ꯊꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯃꯗꯨ ꯆꯤꯟꯖꯥꯀꯁꯤꯡ ꯑꯗꯨ ꯈꯣꯡꯗꯥ ꯆꯦꯟꯊꯍꯟꯅꯕꯥ ꯍꯥꯡꯗꯣꯀꯏ, ꯑꯃꯁꯨꯡ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯀꯟꯅꯥ ꯊꯤꯡꯖꯤꯜꯂꯤ꯫ ꯃꯁꯤꯅꯥ ꯁ꯭ꯇꯣꯃꯥꯛ ꯑꯦꯁꯤꯗ ꯑꯗꯨ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯂꯥꯀꯄꯥ ꯊꯤꯡꯏ꯫
2. ꯑꯋꯥꯡꯕꯥ ꯏꯁꯣꯐꯦꯖꯤꯑꯦꯜ ꯁ꯭ꯐꯤꯡꯛꯇꯔ (UES): ꯃꯁꯤꯒꯤ ꯚꯜꯌꯨ ꯑꯁꯤ ꯏꯁꯣꯐꯦꯒꯁ ꯑꯃꯁꯨꯡ ꯀꯣꯀꯊꯛꯇꯥ ꯂꯩ꯫ ꯃꯁꯤꯒꯤ ꯊꯕꯛ ꯑꯁꯤ ꯏꯁꯣꯐꯦꯒꯁꯇꯥ ꯆꯪꯂꯀꯄꯥ ꯄꯣꯠꯁꯛ ꯑꯃꯍꯦꯛꯇꯕꯨ ꯀꯣꯛꯇꯥ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯆꯠꯄꯥ ꯊꯤꯡꯕꯅꯤ꯫
LPR ꯊꯣꯛꯅꯕꯒꯤꯗꯃꯛ, ꯚꯜꯌꯨ ꯑꯅꯤꯃꯛ ꯑꯁꯤ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯊꯕꯛ ꯇꯧꯔꯣꯏꯗꯕꯅꯤ꯫ ꯑꯍꯥꯅꯕꯗꯥ, ꯂꯣꯌꯔꯕꯥ ꯚꯜꯌꯨ (LES) ꯑꯗꯨ ꯁꯣꯟꯊꯍꯅꯒꯗꯕꯅꯤ, ꯃꯗꯨꯅꯥ ꯁ꯭ꯇꯣꯃꯥꯛ ꯑꯦꯁꯤꯗ ꯑꯗꯨ ꯏꯁꯣꯐꯦꯒꯁꯇꯥ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯆꯦꯅꯕꯥ ꯌꯥꯍꯅꯒꯗꯕꯅꯤ꯫ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ, ꯑꯋꯥꯡꯕꯥ ꯚꯜꯌꯨ (UES) ꯑꯗꯨ ꯁꯣꯟꯊꯍꯅꯒꯗꯕꯅꯤ, ꯃꯗꯨꯅꯥ ꯑꯦꯁꯤꯗ ꯑꯗꯨ ꯏꯁꯣꯐꯦꯒꯁꯇꯥ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯆꯦꯅꯕꯥ ꯌꯥꯍꯅꯒꯗꯕꯅꯤ꯫
ꯑꯗꯨꯅꯥ, ꯀꯔꯤꯒꯤꯗꯃꯛꯇꯥ ꯚꯜꯌꯨꯁꯤꯡ ꯑꯁꯤ ꯋꯥꯠꯂꯤꯕꯅꯣ?
ꯃꯁꯤꯒꯤ ꯃꯔꯝ ꯀꯌꯥ ꯂꯩꯕꯥ ꯌꯥꯏ꯫ ꯈꯔꯅꯥ ꯃꯇꯝ ꯈꯔꯒꯤ ꯑꯣꯏꯕꯥ, ꯈꯔꯅꯥ ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯆꯠꯄꯥ꯫
꯱.ꯑꯦꯜ.ꯏ.ꯑꯦꯁ.ꯕꯨ ꯁꯣꯀꯍꯜꯂꯤꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ꯫
ꯑꯌꯥꯝꯕꯥ ꯀꯦꯁꯁꯤꯡꯗꯗꯤ, ꯅꯣꯔꯃꯦꯜ ꯒꯦꯁ꯭ꯠꯔꯤꯇꯤꯁꯇꯥ ꯁꯣꯀꯍꯜꯂꯤꯕꯥ ꯆꯞ ꯃꯥꯟꯅꯕꯥ ꯃꯔꯃꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯃꯁꯤꯗꯁꯨ ꯁꯣꯀꯍꯜꯂꯤ꯫
- ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛ ꯈꯔꯗꯤ: ꯄꯦꯏꯅꯀꯤꯂꯥꯔ (NSAIDs), ꯍꯥꯏ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔꯒꯤ ꯍꯤꯗꯥꯛ ꯈꯔꯗꯤ (ꯀꯦꯂꯁꯤꯌꯝ ꯆꯦꯅꯦꯜ ꯕ꯭ꯂꯣꯀꯔꯁꯤꯡ), ꯑꯃꯁꯨꯡ ꯃꯦꯟꯇꯦꯜ ꯍꯦꯂꯊ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯃꯁꯤꯡꯒꯤ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ (Tricyclic antidepressants) ꯑꯁꯤꯅꯥ ꯚꯜꯌꯨ ꯑꯁꯤ ꯂꯧꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫
- ꯃꯁꯤ ꯑꯀꯛꯅꯕꯥ ꯆꯤꯟꯖꯥꯛ ꯑꯃꯁꯨꯡ ꯊꯛꯅꯕꯁꯤꯡꯅꯁꯨ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ: ꯀꯣꯐꯤ, ꯆꯣꯀꯣꯂꯦꯠ, ꯃꯤꯟꯇ, ꯂꯐꯣꯏ, ꯌꯦꯔꯨꯝ, ꯑꯃꯁꯨꯡ ꯌꯨ꯫
- ꯐꯠꯇꯕꯥ ꯂꯃꯆꯠ-ꯁꯥꯖꯠꯁꯤꯡ: ꯱.
- ꯆꯥꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯄꯨꯡ 2-3 ꯐꯥꯎꯕꯥ ꯂꯦꯡꯗꯅꯥ ꯂꯩꯕꯥ꯫
- ꯃꯇꯝ ꯑꯃꯗꯥ ꯌꯥꯝꯅꯥ ꯆꯥꯕꯅꯥ ꯁ꯭ꯇꯣꯃꯥꯛ ꯁꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯅꯥ ꯁ꯭ꯇꯣꯃꯥꯀꯀꯤ ꯃꯅꯨꯡꯗꯥ ꯄ꯭ꯔꯦꯁꯔ ꯍꯦꯅꯒꯠꯍꯜꯂꯤ ꯑꯃꯁꯨꯡ ꯑꯦꯁꯤꯗ ꯑꯗꯨ ꯋꯥꯡꯈꯠꯍꯜꯂꯤ꯫
- ꯈꯣꯡꯗꯥ ꯇꯔꯨ-ꯇꯅꯥꯅꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ, ꯃꯔꯨꯑꯣꯏꯅꯥ ꯀꯣꯛ ꯆꯤꯀꯄꯥ꯫
- ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯆꯠꯀꯗꯕꯥ ꯃꯔꯃꯁꯤꯡ: ꯱.
- ꯍꯤꯌꯥꯇꯥꯜ ꯍꯔꯅꯤꯌꯥ (Hiatal Hernia): ꯃꯁꯤ ꯈꯣꯝꯂꯥꯡꯒꯤ ꯑꯄꯤꯀꯄꯥ ꯁꯔꯨꯛ ꯑꯃꯥ ꯈꯣꯡꯗꯥ ꯆꯦꯟꯊꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯑꯣꯏ꯫ ꯃꯁꯤꯅꯥ ꯂꯦꯁ ꯚꯜꯌꯨꯒꯤ ꯐꯉ꯭ꯀꯁꯟ ꯁꯣꯀꯍꯜꯂꯤ꯫
- ꯑꯣꯕꯦꯁꯤꯇꯤ: ꯑꯔꯨꯝꯕꯥ ꯍꯦꯅꯒꯠꯂꯀꯄꯒꯥ ꯂꯣꯌꯅꯅꯥ, ꯈꯣꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯄ꯭ꯔꯦꯁꯔ ꯍꯦꯅꯒꯠꯂꯀꯏ꯫ ꯃꯁꯤꯁꯨ ꯑꯆꯧꯕꯥ ꯃꯔꯝ ꯑꯃꯅꯤ꯫
- ꯃꯤꯔꯣꯅꯕꯥ: ꯃꯇꯝ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯍꯣꯔꯃꯣꯅꯒꯤ ꯑꯍꯣꯡꯕꯥ ꯑꯃꯁꯨꯡ ꯈꯣꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯄ꯭ꯔꯦꯁꯔ ꯍꯦꯅꯒꯠꯂꯀꯄꯅꯥ ꯃꯇꯝ ꯈꯔꯒꯤ ꯑꯣꯏꯅꯥ ꯒꯦꯁ꯭ꯠꯔꯥꯏꯇꯤꯁ ꯑꯃꯁꯨꯡ LPR ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫
- ꯃꯩꯈꯨ ꯊꯥꯗꯣꯀꯄꯥ: ꯃꯩꯈꯨ ꯊꯥꯗꯣꯀꯄꯥ ꯍꯥꯌꯕꯁꯤ ꯚꯜꯌꯨ ꯑꯁꯤ ꯂꯧꯊꯣꯀꯍꯜꯂꯤꯕꯥ ꯑꯆꯧꯕꯥ ꯌꯦꯛꯅꯕꯥ ꯑꯃꯅꯤ꯫
ꯑꯋꯥꯡꯕꯥ ꯏꯁꯣꯐꯦꯖꯤꯌꯜ ꯁ꯭ꯐꯤꯡꯛꯇꯔ (UES) ꯑꯁꯤ ꯁꯣꯀꯍꯜꯂꯤꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ꯫
ꯑꯦꯁꯤꯗ ꯑꯗꯨ ꯂꯣꯌꯔꯕꯥ ꯚꯜꯌꯨꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯂꯥꯀꯄꯥ ꯃꯇꯨꯡꯗꯥ, ꯃꯊꯛꯀꯤ ꯚꯜꯌꯨ ꯑꯗꯨꯅꯥ ꯀꯣꯛ ꯉꯥꯀꯊꯣꯀꯄꯥ ꯑꯔꯣꯏꯕꯥ ꯒꯥꯔꯗꯔꯦꯜ ꯑꯣꯏ꯫ ꯑꯩꯈꯣꯌꯒꯤ ꯀꯣꯛ ꯑꯁꯤ ꯏꯁꯣꯐꯦꯒꯁꯒꯨꯝꯕꯥ ꯑꯦꯁꯤꯗ ꯊꯦꯡꯅꯅꯕꯥ ꯁꯦꯃꯈꯤꯕꯅꯤ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯌꯥꯝꯅꯥ ꯄꯤꯀꯄꯥ ꯑꯦꯁꯤꯗ ꯑꯃꯅꯥ ꯐꯥꯑꯣꯕꯥ ꯑꯆꯧꯕꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫
- ꯂꯦꯡ-ꯑꯣꯠꯄꯥ: ꯑꯩꯈꯣꯌꯅꯥ ꯂꯦꯡ-ꯑꯣꯠꯄꯥ ꯃꯇꯃꯗꯥ, ꯚꯜꯌꯨ ꯑꯅꯤꯃꯛ ꯑꯁꯤ ꯈꯔꯥ ꯍꯦꯟꯅꯥ ꯂꯨꯝꯃꯤ꯫ ꯃꯁꯤꯅꯥ ꯑꯩꯈꯣꯌꯅꯥ ꯇꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯅꯨꯃꯤꯗꯥꯡꯗꯥ ꯑꯦꯜ.ꯄꯤ.ꯑꯥꯔ.
- ꯈꯣꯡ ꯍꯥꯝꯕꯥ: ꯅꯍꯥꯛꯅꯥ ꯈꯣꯡ ꯍꯥꯝꯂꯕꯥ ꯃꯇꯃꯗꯥ, ꯚꯜꯌꯨ ꯑꯅꯤꯃꯛ ꯍꯥꯡꯗꯣꯀꯏ, ꯃꯗꯨꯅꯥ ꯅꯨꯡꯁꯤꯠꯀꯥ ꯂꯣꯌꯅꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯀꯣꯛꯇꯥ ꯑꯦꯁꯤꯗꯀꯤ ꯆꯥꯡ ꯈꯔꯥ ꯆꯪꯂꯀꯄꯥ ꯌꯥꯍꯜꯂꯤ꯫
- ꯃꯃꯥꯡꯂꯣꯃꯗꯥ ꯀꯨꯄꯁꯤꯅꯕꯥ, ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯇꯧꯕꯥ, ꯏꯁꯩ ꯁꯀꯄꯥ: ꯑꯁꯤꯒꯨꯝꯕꯥ ꯊꯕꯛ ꯊꯧꯔꯃꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯃꯊꯛꯀꯤ ꯚꯜꯌꯨꯒꯤ ꯃꯈꯥꯗꯥ ꯂꯩꯕꯥ ꯄ꯭ꯔꯦꯁꯔ ꯑꯗꯨ ꯍꯦꯅꯒꯠꯍꯅꯕꯥ ꯉꯝꯃꯤ, ꯃꯗꯨꯅꯥ ꯃꯗꯨ ꯁꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫
- ꯃꯩꯈꯨ ꯑꯃꯁꯨꯡ ꯌꯨ ꯊꯀꯄꯥ: ꯑꯅꯤꯃꯛ ꯑꯁꯤ ꯚꯜꯌꯨ ꯑꯅꯤꯃꯛꯇꯥ ꯆꯞ ꯃꯥꯟꯅꯅꯥ ꯈꯨꯗꯣꯡꯊꯤꯅꯤꯉꯥꯏ ꯑꯣꯏ꯫
LPR ꯁ꯭ꯇꯦꯇꯁ ꯑꯗꯨ ꯌꯦꯡꯁꯤꯅꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯈꯨꯗꯣꯡꯊꯤꯅꯤꯉꯥꯏ ꯑꯣꯏꯕ꯭ꯔꯥ?
ꯍꯣꯌ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯂꯩꯔꯕꯗꯤ, ꯀꯃꯞꯂꯤꯀꯦꯁꯟ ꯈꯔꯗꯤ ꯂꯥꯀꯄꯥ ꯌꯥꯏ꯫
- ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯏꯅꯐꯦꯛꯁꯅꯁꯤꯡ : ꯀꯣꯛꯇꯥ ꯂꯩꯕꯥ ꯑꯦꯁꯤꯗ ꯑꯁꯤꯅꯥ ꯀꯣꯛ ꯑꯃꯁꯨꯡ ꯁꯥꯏꯅꯣꯁꯇꯥ ꯃꯍꯧꯁꯥꯒꯤ ꯑꯣꯏꯕꯥ ꯁꯦꯡꯗꯣꯀꯄꯒꯤ ꯊꯧꯑꯣꯡꯗꯥ ꯑꯀꯥꯌꯕꯥ ꯄꯤ꯫ ꯃꯁꯤꯅꯥ ꯃ꯭ꯌꯨꯀꯁ ꯁꯦꯃꯒꯠꯂꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯀꯣꯛ ꯑꯃꯁꯨꯡ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯒꯤ ꯂꯝꯕꯤꯗꯥ ꯏꯅꯐꯦꯛꯁꯅꯁꯤꯡ ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫
- ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯈꯣꯟꯖꯦꯜ ꯑꯃꯁꯨꯡ ꯀꯣꯛꯇꯥ ꯊꯣꯀꯄꯥ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯃꯁꯤꯡ: ꯑꯦꯁꯤꯗꯇꯥ ꯂꯦꯞꯇꯅꯥ ꯑꯦꯛꯁꯄꯣꯖ ꯇꯧꯕꯅꯥ ꯚꯣꯀꯦꯜ ꯀꯣꯔꯗꯁꯤꯡꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ, ꯃꯗꯨꯅꯥ ꯚꯣꯀꯦꯜ ꯀꯣꯔꯗꯀꯤ ꯂꯦꯡ-ꯑꯣꯠꯄꯒꯨꯝꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ ꯊꯣꯀꯍꯜꯂꯤ꯫ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤꯒꯤ ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯂꯩꯕꯅꯥ ꯂꯦꯡ-ꯑꯣꯠꯄꯒꯤ ꯔꯤꯁ꯭ꯛ ꯈꯔꯥ ꯍꯦꯅꯒꯠꯍꯅꯕꯥ ꯌꯥꯏ꯫
- ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯒꯤ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ: ꯀꯣꯛꯇꯥ ꯆꯪꯂꯀꯄꯥ ꯑꯦꯁꯤꯗꯀꯤ ꯑꯄꯤꯀꯄꯥ ꯃꯁꯤꯡ ꯑꯃꯅꯥ ꯇ꯭ꯔꯦꯀꯤꯌꯥꯒꯤ ꯃꯊꯛꯇꯥ ꯂꯪꯁꯇꯥ ꯆꯠꯄꯥ ꯌꯥꯏ, ꯃꯔꯨꯑꯣꯏꯅꯥ ꯇꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ꯫ ꯃꯁꯤꯕꯨ ꯁꯥꯏꯂꯦꯟꯇ ꯑꯦꯁ꯭ꯄꯤꯔꯦꯁꯟ ꯍꯥꯌꯅꯥ ꯀꯧꯏ . ꯃꯁꯤꯅꯥ ꯂꯪꯁꯀꯤ ꯏꯅꯐꯦꯛꯁꯟ ꯑꯃꯁꯨꯡ ꯕ꯭ꯔꯣꯉ꯭ꯀꯏꯇꯤꯁꯒꯨꯝꯕꯥ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫
ꯑꯩꯅꯥ ꯀꯔꯝꯅꯥ ꯑꯦꯜ.ꯄꯤ.ꯑꯥꯔ.
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯩꯈꯣꯌꯅꯥ ꯃꯃꯥꯡꯗꯥ ꯈꯟꯅꯈꯤꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯊꯦꯡꯅꯔꯛꯂꯕꯗꯤ, ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯥ ꯊꯕꯛ ꯑꯁꯤ ꯀꯥꯡ, ꯅꯥꯀꯣꯡ ꯑꯃꯁꯨꯡ ꯀꯣꯛꯇꯥ ꯁ꯭ꯄꯦꯁꯤꯑꯦꯂꯤꯁ꯭ꯠ (ENT Surgeon) ꯑꯃꯒꯥ ꯎꯅꯕꯅꯤ꯫ ꯃꯍꯥꯛꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯗꯨ ꯇꯥꯒꯅꯤ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯀꯣꯛ ꯑꯗꯨ ꯌꯦꯡꯁꯤꯅꯒꯅꯤ꯫
ꯃꯁꯤꯒꯤꯗꯃꯛꯇꯥ ꯃꯍꯧꯁꯥꯅꯥ ꯄꯥꯡꯊꯣꯀꯄꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯇꯦꯁ꯭ꯠ ꯑꯁꯤ ꯐ꯭ꯂꯦꯛꯁꯤꯕꯜ ꯂꯦꯔꯤꯉ꯭ꯒꯣꯁ꯭ꯀꯣꯄꯤꯅꯤ . ꯃꯁꯤꯗꯥ ꯌꯥꯝꯅꯥ ꯂꯨꯕꯥ, ꯀꯦꯃꯦꯔꯥ ꯌꯥꯎꯕꯥ ꯇꯤꯎꯕ ꯑꯃꯥ ꯅꯍꯥꯛꯀꯤ ꯅꯥꯀꯣꯡꯗꯥ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯀꯣꯛꯇꯥ ꯆꯦꯟꯊꯗꯨꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯚꯣꯀꯦꯜ ꯀꯣꯔꯗ ꯑꯃꯁꯨꯡ ꯀꯣꯛ ꯑꯗꯨꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯂꯩꯕꯥ ꯁꯔꯨꯛ ꯑꯗꯨ ꯌꯦꯡꯁꯤꯅꯕꯥ ꯌꯥꯎꯏ꯫ ꯃꯁꯤ ꯃꯤꯅꯠ ꯈꯔꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯄꯥꯡꯊꯣꯀꯄꯥ ꯌꯥꯕꯥ ꯑꯋꯥꯕꯥ ꯂꯩꯇꯕꯥ ꯊꯧꯑꯣꯡ ꯑꯃꯅꯤ꯫
ꯃꯁꯤꯒꯤ ꯇꯦꯁ꯭ꯠ ꯑꯁꯤꯅꯥ ꯀꯣꯛꯇꯥ ꯂꯥꯎꯕꯥ ꯑꯃꯁꯨꯡ ꯁꯣꯛ-ꯄꯅꯕꯥ ꯆꯦꯛ ꯇꯧꯕꯥ ꯌꯥꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯗꯥꯏꯑꯦꯒ꯭ꯅꯣꯁꯤꯁ ꯑꯗꯨ ꯀꯅꯐꯥꯔꯝ ꯇꯧꯅꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯇꯩ ꯃꯔꯃꯁꯤꯡ ꯊꯤꯡꯅꯕꯥ ꯃꯈꯥ ꯇꯥꯕꯥ ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯇꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯏ꯫
- ꯑꯋꯥꯡꯕꯥ ꯑꯦꯅꯗꯣꯁ꯭ꯀꯣꯄꯤ (Upper Endoscopy): ꯃꯁꯤꯗꯥ ꯏꯁꯣꯐꯦꯒꯁ ꯑꯃꯁꯨꯡ ꯁ꯭ꯇꯣꯃꯥꯛ ꯌꯦꯡꯁꯤꯟꯅꯕꯥ ꯀꯦꯃꯦꯔꯥ ꯑꯃꯥ ꯃꯤꯠꯀꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯊꯥꯗꯣꯀꯄꯅꯤ꯫ ꯃꯁꯤꯅꯥ ꯂꯣꯌꯔꯕꯥ ꯏꯁꯣꯐꯦꯖꯤꯌꯜ ꯁ꯭ꯐꯤꯡꯛꯇꯔ (LES) ꯑꯃꯁꯨꯡ ꯍꯤꯌꯥꯇꯥꯜ ꯍꯔꯅꯤꯌꯥꯗꯥ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯃꯁꯤꯡ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯆꯦꯛ ꯇꯧꯕꯥ ꯉꯝꯃꯤ꯫
- ꯏꯁꯣꯐꯦꯖꯤꯑꯦꯜ pH ꯇꯦꯁ꯭ꯠ: ꯃꯁꯤꯅꯥ ꯄꯨꯡ 24ꯒꯤ ꯃꯇꯃꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯀꯣꯛ ꯑꯃꯁꯨꯡ ꯏꯁꯣꯐꯦꯒꯁꯇꯥ ꯂꯩꯕꯥ ꯑꯦꯁꯤꯗꯀꯤ ꯆꯥꯡ ꯑꯗꯨ ꯂꯦꯄꯊꯣꯀꯏ꯫
- ꯏꯁꯣꯐꯦꯖꯤꯌꯜ ꯃꯦꯅꯣꯃꯦꯠꯔꯤ: ꯏꯁꯣꯐꯦꯖꯤꯌꯜ ꯃꯦꯅꯣꯃꯦꯠꯔꯤ (Esophageal Manometry) : ꯏꯁꯣꯐꯦꯒꯁ ꯑꯃꯁꯨꯡ ꯃꯁꯤꯒꯤ ꯚꯜꯌꯨꯁꯤꯡꯒꯤ ꯃꯁꯂꯁꯤꯡꯒꯤ ꯐꯉ꯭ꯀꯁꯟ ꯑꯃꯁꯨꯡ ꯄꯥꯉ꯭ꯒꯜ ꯑꯗꯨ ꯌꯦꯡꯁꯤꯜꯂꯤꯕꯥ ꯇꯦꯁ꯭ꯠ ꯑꯃꯅꯤ꯫
ꯑꯣꯀꯦ, ꯍꯧꯖꯤꯛ ꯑꯩꯈꯣꯌꯅꯥ ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯀꯔꯤ ꯇꯧꯒꯅꯤ? ꯂꯥꯏꯌꯦꯡꯕꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?
ꯑꯦꯜ.ꯄꯤ.ꯑꯥꯔ.ꯒꯤ ꯂꯥꯌꯦꯡꯕꯗꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯋꯥꯐꯃꯗꯤ ꯄꯨꯟꯁꯤ ꯃꯍꯤꯡ ꯑꯃꯁꯨꯡ ꯆꯥꯅꯕꯥ ꯄꯣꯠꯂꯃꯁꯤꯡꯗꯥ ꯑꯍꯣꯡꯕꯥ ꯄꯨꯔꯀꯄꯅꯤ . ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛ ꯑꯁꯤ ꯑꯅꯤꯁꯨꯕꯥ ꯃꯐꯃꯗꯥ ꯂꯥꯛꯂꯤ꯫
1. ꯄꯨꯟꯁꯤ ꯃꯍꯤꯡ ꯑꯃꯁꯨꯡ ꯆꯥꯕꯒꯤ ꯍꯩꯅꯕꯤ ꯍꯣꯡꯗꯣꯀꯄꯥ (ꯃꯁꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯅꯤ)
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯃꯆꯠ-ꯁꯥꯖꯠꯁꯤꯡ ꯑꯁꯤ ꯆꯨꯝꯅꯥ ꯆꯠꯂꯕꯗꯤ, ꯑꯌꯥꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛ ꯌꯥꯎꯗꯅꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯥ ꯉꯃꯒꯅꯤ꯫
| ꯀꯔꯤ ꯇꯧꯒꯗꯒꯦ꯫ | ꯋꯥꯔꯣꯜ |
|---|---|
| ꯆꯥꯅꯕꯥ ꯆꯤꯟꯖꯥꯛ ꯍꯦꯟꯅꯥ ꯄꯤꯀꯄꯥ ꯑꯣꯏꯍꯅꯒꯗꯕꯅꯤ꯫ | ꯑꯆꯧꯕꯥ ꯆꯥꯀꯁꯉ ꯑꯃꯥ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯆꯥꯕꯒꯤ ꯃꯍꯨꯠꯇꯥ, ꯅꯣꯡꯃꯗꯥ ꯃꯉꯥꯔꯛ ꯅꯠꯠꯔꯒꯥ ꯶ ꯔꯛ ꯑꯄꯤꯀꯄꯥ ꯃꯆꯤꯟꯖꯥꯀꯁꯤꯡ ꯆꯥꯒꯗꯕꯅꯤ꯫ |
| ꯑꯀꯛꯅꯕꯥ ꯆꯤꯟꯖꯥꯀꯁꯤꯡ ꯁꯤꯖꯤꯟꯅꯔꯣꯏꯗꯕꯅꯤ꯫ | ꯌꯥꯔꯤꯕꯃꯈꯩ ꯇꯩꯁꯤꯅꯕꯥ, ꯃꯆꯤꯟꯖꯥꯛ ꯌꯥꯎꯕꯥ, ꯌꯥꯝꯅꯥ ꯑꯦꯁꯤꯗ ꯌꯥꯎꯕꯥ ꯆꯤꯟꯖꯥꯀꯁꯤꯡ (ꯇꯣꯃꯦꯇꯣ, ꯑꯣꯔꯦꯟꯖ, ꯂꯥꯏꯝ), ꯀꯣꯐꯤ, ꯆꯣꯀꯣꯂꯦꯠ, ꯃꯤꯟꯇ, ꯑꯃꯁꯨꯡ ꯀꯥꯔꯕꯣꯟ ꯌꯥꯎꯕꯥ ꯊꯛꯅꯕꯥ ꯏꯁꯤꯡ (ꯁꯣꯗꯥ) ꯌꯥꯎꯕꯥ ꯌꯥꯔꯤꯕꯃꯈꯩ ꯍꯟꯊꯍꯅꯒꯗꯕꯅꯤ꯫ |
| ꯅꯨꯃꯤꯗꯥꯡꯒꯤ ꯆꯥꯛꯂꯦꯟ ꯇꯣꯌꯅꯥ ꯆꯥꯕꯥ꯫ | ꯌꯥꯃꯗ꯭ꯔꯕꯗꯥ ꯄꯨꯡ 3 ꯁꯨꯗ꯭ꯔꯤꯉꯩꯒꯤ ꯃꯃꯥꯡꯗꯥ ꯅꯨꯃꯤꯗꯥꯡꯒꯤ ꯆꯥꯛ ꯆꯥꯕꯥ꯫ ꯆꯥꯕꯥ ꯂꯣꯏꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯂꯦꯡꯗꯅꯥ ꯂꯩꯒꯅꯨ꯫ |
| ꯅꯍꯥꯛꯀꯤ ꯇꯨꯝꯕꯥ ꯄꯣꯖꯤꯁꯟ ꯑꯗꯨ ꯍꯣꯡꯗꯣꯀꯎ꯫ | ꯐꯃꯨꯡꯒꯤ ꯃꯀꯣꯛ ꯑꯗꯨ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯏꯟꯆꯤ 6 ꯋꯥꯡꯈꯠꯍꯟꯗꯨꯅꯥ ꯇꯨꯝꯃꯨ꯫ ꯅꯍꯥꯛꯀꯤ ꯃꯀꯣꯛ ꯑꯗꯨ ꯇꯔꯨ-ꯇꯅꯥꯅꯕꯥ ꯑꯅꯤ ꯅꯠꯠꯔꯒꯥ ꯑꯍꯨꯝ ꯈꯛꯇꯅꯥ ꯋꯥꯡꯈꯠꯍꯅꯒꯅꯨ, ꯑꯗꯨꯕꯨ ꯐꯃꯨꯡ ꯑꯗꯨ ꯃꯁꯥꯃꯛ ꯋꯥꯡꯈꯠꯍꯅꯒꯗꯕꯅꯤ꯫ ꯅꯍꯥꯛꯀꯤ ꯂꯦꯡ-ꯑꯣꯠꯄꯗꯥ ꯇꯨꯝꯕꯥ ꯑꯁꯤꯅꯥ ꯑꯦꯁꯤꯗ ꯔꯤꯐ꯭ꯂꯛꯁꯁꯨ ꯍꯟꯊꯍꯜꯂꯤ꯫ |
| ꯃꯩꯈꯨ ꯊꯥꯗꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯌꯨ ꯊꯀꯄꯥ ꯂꯦꯄꯀꯅꯨ꯫ | ꯍꯥꯌꯔꯤꯕꯥ ꯑꯅꯤ ꯑꯁꯤꯅꯥ ꯑꯦꯜ.ꯄꯤ.ꯑꯥꯔ.ꯒꯤ ꯐꯤꯚꯝ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯂꯨꯕꯥ ꯑꯣꯏꯍꯜꯂꯤ꯫ ꯃꯈꯣꯌꯕꯨ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯊꯤꯡꯖꯤꯅꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫ |
| ꯅꯍꯥꯛꯀꯤ ꯑꯔꯨꯝꯕꯥ ꯑꯗꯨ ꯀꯟꯠꯔꯣꯜ ꯇꯧ꯫ | ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯔꯨꯝꯕꯥ ꯍꯦꯜꯂꯕꯗꯤ, ꯑꯔꯨꯝꯕꯥ ꯍꯟꯊꯍꯅꯕꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯄ꯭ꯔꯦꯁꯔ ꯍꯟꯊꯍꯅꯕꯥ ꯉꯝꯃꯤ ꯑꯃꯁꯨꯡ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯗꯨ ꯌꯥꯝꯅꯥ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯥ ꯉꯝꯃꯤ꯫ |
ꯗ꯭ꯔꯒ ꯂꯥꯌꯦꯡꯕꯥ ꯲
ꯄꯨꯟꯁꯤ ꯃꯍꯤꯡꯗꯥ ꯑꯍꯣꯡꯕꯥ ꯄꯨꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯕꯥ ꯀꯣꯛ ꯆꯤꯀꯄꯒꯤ ꯇꯤꯁꯨꯁꯤꯡ ꯐꯒꯠꯍꯅꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯅꯕꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ ꯄꯤꯕꯥ ꯌꯥꯏ꯫
- ꯄ꯭ꯔꯣꯇꯣꯟ ꯄꯝꯄ ꯏꯅꯍꯤꯕꯤꯇꯔꯁꯤꯡ (PPIs): ꯑꯣꯃꯦꯞꯔꯥꯖꯣꯜ ꯑꯃꯁꯨꯡ ꯄꯦꯟꯇꯣꯞꯔꯥꯖꯣꯂꯒꯨꯝꯕꯥ ꯗ꯭ꯔꯒꯁꯤꯡꯅꯥ ꯈꯣꯡꯗꯥ ꯑꯦꯁꯤꯗ ꯄꯨꯊꯣꯀꯄꯥ ꯍꯟꯊꯍꯟꯗꯨꯅꯥ ꯊꯕꯛ ꯇꯧꯏ꯫ ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯃꯍꯧꯁꯥꯅꯥ ꯊꯥ ꯀꯌꯥꯒꯤ ꯑꯣꯏꯅꯥ ꯄꯤꯖꯩ꯫
- H2 ꯕ꯭ꯂꯣꯀꯔꯁꯤꯡ: ꯐꯥꯃꯣꯇꯤꯗꯤꯅꯒꯨꯝꯕꯥ ꯍꯤꯗꯥꯀꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯑꯦꯁꯤꯗ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯗꯁꯨ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫
- ꯑꯦꯂꯖꯤꯅꯦꯠꯁꯤꯡ: ꯃꯁꯤꯅꯥ ꯁ꯭ꯇꯣꯃꯥꯀꯇꯥ ꯉꯥꯀꯊꯣꯛꯅꯕꯥ ꯂꯦꯌꯔ ꯑꯃꯥ ꯁꯦꯝꯃꯤ, ꯃꯗꯨꯅꯥ ꯑꯦꯁꯤꯗ ꯂꯥꯀꯄꯥ ꯊꯤꯡꯏ꯫
ꯃꯔꯨꯑꯣꯏꯕꯥ: ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯍꯦꯛꯇꯕꯨ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯤ ꯄꯥꯎꯇꯥꯛ ꯃꯇꯨꯡꯏꯟꯅꯥ ꯁꯤꯖꯤꯟꯅꯒꯗꯕꯅꯤ꯫ ꯃꯁꯥ ꯃꯊꯟꯇꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛ ꯇꯧꯔꯣꯏꯗꯕꯅꯤ꯫
꯳.ꯁꯔꯖꯔꯤ ꯇꯧꯕꯥ꯫
ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯃꯊꯧ ꯇꯥꯗꯦ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯀꯛꯅꯕꯥ ꯍꯀꯆꯥꯡꯒꯤ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯑꯃꯥ ꯂꯩꯔꯕꯗꯤ, ꯍꯥꯌꯕꯗꯤ ꯍꯤꯌꯥꯇꯥꯜ ꯍꯔꯅꯤꯌꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯇꯩ ꯂꯥꯏꯌꯦꯡ ꯑꯃꯠꯇꯅꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯂꯛꯇꯕꯈꯛꯇꯗꯥ ꯁꯔꯖꯔꯤ ꯑꯁꯤ ꯈꯟꯅꯩ꯫
ꯂꯣꯏꯁꯤꯜꯂꯀꯄꯗꯥ, LPR ꯑꯁꯤ ꯈꯔꯥ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ, ꯑꯗꯨꯕꯨ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯃꯦꯅꯦꯖ ꯇꯧꯔꯕꯗꯤ ꯃꯗꯨ ꯐꯖꯅꯥ ꯃꯦꯅꯦꯖ ꯇꯧꯕꯥ ꯌꯥꯏ꯫ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯋꯥꯐꯃꯗꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯌꯦꯡꯊꯤꯅꯕꯥ, ꯑꯆꯨꯝꯕꯥ ꯗꯥꯏꯑꯦꯒ꯭ꯅꯣꯁꯤꯁ ꯑꯃꯥ ꯂꯧꯕꯥ ꯑꯃꯁꯨꯡ ꯃꯔꯨꯑꯣꯏꯅꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯄꯨꯟꯁꯤ ꯃꯍꯤꯡꯒꯤ ꯑꯍꯣꯡꯕꯁꯤꯡꯗꯥ ꯑꯁꯥꯑꯣꯕꯥ ꯄꯣꯀꯄꯥ ꯑꯁꯤꯅꯤ꯫
ꯇꯦꯛ-ꯍꯣꯝ ꯃꯦꯁꯦꯖ ꯇꯧꯕꯥ꯫
- LPR ꯍꯥꯌꯕꯁꯤ ꯁ꯭ꯇꯣꯃꯥꯛ ꯑꯦꯁꯤꯗ ꯑꯁꯤ ꯏꯁꯣꯐꯦꯒꯁꯇꯥ ꯆꯦꯟꯊꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯊꯣꯀꯄꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫ ꯃꯁꯤꯕꯨ ꯑꯌꯥꯝꯕꯗꯤ "ꯁꯥꯏꯂꯦꯟꯇ ꯔꯤꯐ꯭ꯂꯛꯁ" ꯍꯥꯌꯅꯥ ꯀꯧꯏ ꯃꯔꯃꯗꯤ ꯈꯣꯡꯗꯥ ꯃꯩꯅꯥ ꯆꯥꯀꯄꯥ (burning sensation) ꯂꯩꯇꯦ꯫
- ꯃꯔꯨꯑꯣꯏꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡꯗꯤ ꯂꯦꯡ-ꯑꯣꯠꯄꯗꯥ ꯋꯥꯕꯥ, ꯀꯣꯛꯇꯥ ꯃꯍꯤꯛ-ꯃꯇꯥꯏ ꯂꯩꯕꯥ, ꯈꯣꯡ-ꯈꯨꯠ ꯁꯣꯀꯄꯥ, ꯑꯃꯁꯨꯡ ꯀꯣꯛꯇꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯄꯣꯠꯁꯛ ꯑꯃꯥ ꯊꯨꯒꯥꯌꯕꯥ ꯍꯥꯌꯕꯁꯤꯅꯤ꯫
- ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯀꯣꯜꯗ ꯅꯠꯠꯔꯒꯥ ꯑꯦꯂꯥꯔꯖꯤ ꯍꯥꯌꯅꯥ ꯂꯧꯒꯅꯨ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯈꯣꯌꯅꯥ ꯂꯦꯞꯄꯥ ꯂꯩꯇꯅꯥ ꯍꯣꯠꯅꯔꯕꯗꯤ ꯗꯣꯛꯇꯔ ꯑꯃꯒꯥ ꯇꯥꯟꯅꯧ꯫
- ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯑꯃꯁꯨꯡ ꯑꯍꯥꯅꯕꯥ ꯈꯣꯡꯊꯥꯡꯗꯤ ꯅꯍꯥꯛꯀꯤ ꯗꯥꯏꯠ ꯑꯃꯁꯨꯡ ꯂꯥꯏꯐꯁ꯭ꯇꯥꯏꯜ ꯍꯣꯡꯗꯣꯀꯄꯅꯤ꯫ ꯍꯤꯗꯥꯀꯁꯤꯡꯒꯤ ꯃꯇꯦꯡ ꯄꯥꯡꯕꯒꯤ ꯊꯧꯗꯥꯡ ꯂꯩ꯫
- ꯆꯥꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯄꯨꯡ 3 ꯆꯨꯞꯅꯥ ꯂꯦꯡꯗꯅꯥ ꯂꯩꯔꯣꯏꯗꯕꯅꯤ꯫ ꯑꯌꯨꯛꯇꯥ ꯐꯃꯨꯡꯒꯤ ꯃꯀꯣꯛ ꯑꯗꯨ ꯋꯥꯡꯈꯠꯍꯟꯗꯨꯅꯥ ꯇꯨꯝꯃꯨ꯫ ꯃꯩꯈꯨ ꯑꯃꯁꯨꯡ ꯌꯨ ꯊꯀꯄꯥ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯊꯤꯡꯖꯤꯜꯂꯨ꯫
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯗꯨꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯆꯤꯡꯅꯕꯥ ꯂꯩꯔꯕꯗꯤ, ꯃꯇꯤꯛ ꯆꯥꯕꯥ ꯄꯥꯎꯇꯥꯛ ꯂꯧꯅꯕꯒꯤꯗꯃꯛ ꯀꯥꯡ, ꯅꯥꯀꯣꯡ ꯑꯃꯁꯨꯡ ꯀꯣꯛ ꯆꯤꯀꯄꯥ ꯁ꯭ꯄꯦꯁꯤꯑꯦꯂꯤꯁ꯭ꯠ (ENT ꯁꯔꯖꯔꯤ) ꯑꯃꯒꯥ ꯇꯥꯟꯅꯧ꯫
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