ꯅꯍꯥꯛꯅꯥ ꯀꯩꯗꯧꯉꯩꯗꯥ ꯈꯣꯡꯗꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯄꯥ, ꯃꯄꯨꯡ-ꯃꯔꯩ ꯐꯥꯔꯕꯥ ꯐꯤꯚꯝ ꯑꯃꯥ ꯅꯠꯠꯔꯒꯥ ꯂꯦꯞꯇꯅꯥ ꯁꯣꯀꯄꯥ ꯂꯩꯕ꯭ꯔꯥ? ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯑꯩꯈꯣꯌꯅꯥ ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯕꯥ ꯋꯥꯐꯃꯁꯤꯡꯅꯤ ꯍꯥꯌꯅꯥ ꯈꯜꯂꯤ, ꯑꯗꯨꯕꯨ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯊꯣꯀꯄꯥ ꯀꯦꯁꯁꯤꯡꯗꯗꯤ, ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯑꯇꯣꯞꯄꯥ ꯃꯔꯝ ꯑꯃꯁꯨ ꯂꯩꯕꯥ ꯌꯥꯏ꯫ ꯉꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯌꯥꯝꯅꯥ ꯇꯣꯏꯅꯥ ꯊꯣꯀꯄꯥ, ꯑꯗꯨꯕꯨ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯀꯦꯟꯁꯔ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯔꯤ꯫ ꯃꯗꯨ `ꯁ꯭ꯌꯨꯗꯣꯃꯥꯏꯛꯁꯣꯃꯥ ꯄꯦꯔꯤꯇꯣꯅꯦꯏ` ꯀꯧꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ, ꯃꯁꯤꯕꯨ ꯑꯩꯈꯣꯌꯅꯥ ꯊꯣꯏꯗꯣꯛꯅꯥ `(PMP)` ꯍꯥꯌꯅꯥꯁꯨ ꯀꯧꯏ꯫
ꯁ꯭ꯌꯨꯗꯣꯃꯥꯏꯛꯁꯣꯃꯥ ꯄꯦꯔꯤꯇꯣꯅꯤ (PMP) ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ?
ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, `ꯁ꯭ꯌꯨꯗꯣꯃꯥꯏꯛꯁꯣꯃꯥ ꯄꯦꯔꯤꯇꯣꯅꯦꯏ` ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯊꯣꯀꯄꯥ ꯀꯦꯟꯁꯔ ꯃꯈꯜ ꯑꯃꯅꯤ꯫ ꯃꯁꯤꯗꯥ ꯊꯣꯛꯂꯤꯕꯥ ꯑꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯑꯦꯕꯗꯣꯃꯤꯅꯦꯜ ꯀꯦꯚꯤꯇꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ, ꯍꯥꯌꯕꯗꯤ ꯁ꯭ꯇꯣꯃꯥꯛ ꯑꯃꯁꯨꯡ ꯃꯁꯤꯒꯤ ꯑꯀꯣꯌꯕꯗꯥ ꯂꯩꯕꯥ ꯃꯐꯝ (`(ꯄꯦꯔꯤꯇꯣꯅꯤꯑꯦꯜ ꯀꯦꯚꯤꯇꯤ)`) ꯑꯁꯤ ꯀꯦꯟꯁꯔ ꯁꯦꯂꯁꯤꯡꯅꯥ ꯊꯜꯂꯕꯥ ꯌꯥꯏ꯫ ꯀꯦꯟꯁꯔ ꯁꯦꯂꯁꯤꯡ ꯑꯁꯤꯅꯥ ``ꯃ꯭ꯌꯨꯁꯤꯟ`` ꯀꯧꯕꯥ ꯖꯦꯂꯤꯒꯨꯝꯕꯥ, ꯂꯦꯡ-ꯑꯣꯠꯄꯒꯤ ꯃꯑꯣꯡ ꯑꯃꯥ ꯑꯆꯧꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯄꯨꯊꯣꯀꯏ꯫ ꯈꯅꯕꯤꯌꯨ, ꯃꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯎꯄꯀꯤ ꯃꯅꯨꯡꯗꯥ ꯖꯦꯂꯤꯅꯥ ꯊꯜꯂꯕꯥ ꯑꯗꯨꯒꯨꯝꯅꯥ ꯑꯣꯏꯒꯅꯤ! ꯃꯁꯤꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯃꯤꯑꯣꯏ ꯈꯔꯅꯥ ꯂꯥꯌꯅꯥ ꯑꯁꯤꯕꯨ ``ꯖꯦꯂꯤ ꯕꯦꯂꯤ.`` ꯍꯥꯌꯅꯥꯁꯨ ꯀꯧꯏ꯫
"ꯁ꯭ꯌꯨꯗꯣꯃꯥꯏꯛꯁꯣꯃꯥ ꯄꯦꯔꯤꯇꯣꯅꯦꯏ" ꯍꯥꯌꯕꯥ ꯃꯤꯡ ꯑꯁꯤꯅꯥ "ꯄꯦꯔꯤꯇꯣꯅꯤꯑꯦꯜ ꯀꯦꯚꯤꯇꯤꯒꯤ ꯑꯔꯥꯅꯕꯥ ꯃ꯭ꯌꯨꯁꯤꯅꯁ ꯇꯤꯎꯃꯔ"ꯒꯨꯝꯕꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯃꯠꯇꯥ ꯍꯥꯌꯕꯅꯤ꯫ ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯃꯁꯤꯕꯨ "ꯑꯔꯥꯅꯕꯥ ꯇꯤꯎꯃꯔ" ꯍꯥꯌꯅꯥ ꯀꯧꯏ ꯃꯔꯃꯗꯤ ꯃꯁꯤ ꯃꯐꯝ ꯑꯃꯗꯒꯤ ꯍꯧꯔꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯁꯟꯗꯣꯀꯄꯥ ꯑꯇꯩ ꯀꯦꯟꯁꯔꯁꯤꯡꯒꯥ ꯃꯥꯟꯅꯗꯦ꯫ ꯃꯁꯤ ꯇꯁꯦꯡꯕꯗꯤ ꯅꯍꯥꯛꯀꯤ ꯑꯦꯄꯦꯟꯗꯤꯛꯁꯇꯥ ꯁꯦꯝꯕꯥ ``ꯄꯣꯂꯤꯞ'' ꯀꯧꯕꯥ ꯑꯄꯤꯀꯄꯥ ꯂꯝꯕꯤ ꯑꯃꯗꯒꯤ ꯍꯧꯏ, ꯑꯦꯄꯦꯟꯗꯤꯛꯁ .
ꯄꯣꯂꯤꯞ ꯑꯁꯤ ꯑꯦꯄꯦꯟꯗꯤꯛꯁꯇꯒꯤ ꯊꯣꯛꯂꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯑꯩꯅꯥ ꯍꯥꯌꯈꯤꯕꯥ ꯖꯦꯂꯤꯒꯨꯝꯕꯥ ꯄꯣꯠꯁꯛ ꯑꯗꯨ ꯁꯦꯝꯂꯤꯕꯥ ꯀꯦꯟꯁꯔ ꯁꯦꯂꯁꯤꯡ ꯑꯗꯨ ꯈꯣꯡꯎꯞ ꯄꯨꯝꯅꯃꯛꯇꯥ ꯁꯟꯗꯣꯀꯄꯥ ꯍꯧꯔꯀꯏ꯫ ꯃꯇꯃꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ, ꯃꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯥꯏꯖꯦꯁ꯭ꯇꯤꯚ ꯁꯤꯁ꯭ꯇꯦꯃꯗꯥ ꯁꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫
ꯑꯩꯈꯣꯌꯅꯥ PMP ꯂꯥꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯑꯩꯈꯣꯌꯅꯥ ꯊꯦꯡꯅꯔꯤꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?
ꯄꯤ.ꯑꯦꯝ.ꯄꯤ.ꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯑꯌꯥꯝꯕꯗꯤ ꯌꯥꯝꯅꯥ ꯈꯪꯍꯧꯗꯅꯥ ꯂꯥꯀꯏ꯫ ꯅꯍꯥꯛꯅꯥ ꯃꯈꯣꯌꯗꯨ ꯑꯍꯥꯅꯕꯗꯥ ꯎꯕꯥ ꯐꯪꯗꯕꯥ ꯌꯥꯏ, ꯅꯠꯠꯔꯒꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯈꯣꯌ ꯑꯁꯤ ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯕꯥ ꯄꯣꯠꯁꯛ ꯑꯃꯅꯤ ꯍꯥꯌꯅꯥ ꯈꯜꯂꯀꯄꯥ ꯌꯥꯏ, ꯍꯥꯌꯕꯗꯤ ꯀꯟꯁꯇꯤꯄꯁꯟ ꯅꯠꯠꯔꯒꯥ ꯏꯅꯗꯤꯖꯦꯁꯅꯒꯨꯝꯕꯥ꯫ ꯑꯗꯨꯕꯨ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯂꯦꯡꯗꯅꯥ ꯂꯩꯔꯕꯗꯤ ꯅꯠꯠꯔꯒꯥ ꯍꯦꯟꯅꯥ ꯐꯠꯆꯤꯜꯂꯛꯂꯕꯗꯤ ꯅꯍꯥꯛꯅꯥ ꯋꯥꯈꯜ ꯇꯥꯒꯗꯕꯅꯤ꯫
ꯃꯔꯨꯑꯣꯏꯕꯥ ꯂꯥꯏꯑꯣꯡ ꯈꯔꯗꯤ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤ:
- ꯑꯦꯕꯗꯣꯃꯤꯅꯦꯜ ꯗꯤꯁꯇꯦꯟꯁꯟ (abdominal distension): ꯑꯦꯕꯗꯣꯃꯤꯅꯦꯜ ꯑꯗꯨ ꯅꯣꯛꯅꯤꯡꯉꯥꯏ ꯑꯣꯏꯅꯥ ꯁꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯆꯥꯎꯈꯠꯄꯥ ꯎꯕꯥ ꯐꯪꯏ꯫
- ꯑꯦꯕꯗꯣꯃꯤꯅꯦꯜ ꯄꯦꯏꯟ (abdominal pain): ꯈꯣꯡꯗꯥ ꯂꯩꯔꯤꯕꯥ ꯖꯦꯂꯤꯒꯨꯝꯕꯥ ꯄꯣꯠꯁꯛ ꯑꯁꯤꯅꯥ ꯖꯦꯅꯦꯔꯦꯜ ꯑꯣꯏꯅꯥ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯅꯥꯕꯥ ꯑꯃꯒꯨꯝꯅꯥ ꯐꯥꯎꯕꯥ ꯌꯥꯏ꯫
- ꯀꯟꯁꯇꯤꯄꯁꯟ (constipation): ꯕ꯭ꯂꯇꯤꯡꯅꯥ ꯑꯆꯧꯕꯥ ꯏꯟꯇꯦꯁ꯭ꯇꯥꯏꯟ ꯑꯗꯨ ꯕ꯭ꯂꯣꯛ ꯇꯧꯕꯥ ꯌꯥꯏ ꯑꯃꯁꯨꯡ ꯁ꯭ꯇꯣꯜ ꯄꯥꯁ ꯇꯧꯕꯗꯥ ꯑꯋꯥꯕꯥ ꯑꯣꯏꯍꯅꯕꯥ ꯌꯥꯏ꯫
- ꯃꯤꯔꯣꯅꯕꯥ ꯈꯨꯗꯣꯡꯆꯥꯗꯕꯥ: ꯃꯔꯨꯑꯣꯏꯅꯥ ꯅꯨꯄꯤꯁꯤꯡꯒꯤ ꯑꯣꯏꯅꯗꯤ, ꯖꯦꯂꯤꯅꯥ ꯊꯜꯂꯕꯥ ꯏꯎꯇꯦꯔꯥꯁ ꯑꯁꯤꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯄ꯭ꯔꯦꯁꯔ ꯅꯠꯠꯔꯒꯥ ꯔꯤꯞꯔꯗꯛꯇꯤꯚ ꯑꯣꯔꯒꯥꯅꯁꯤꯡꯗꯥ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯁꯟ ꯂꯩꯔꯀꯄꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯑꯉꯥꯡ ꯄꯣꯀꯄꯗꯥ ꯑꯋꯥꯕꯥ ꯑꯣꯏꯔꯀꯄꯥ ꯌꯥꯏ꯫
- ꯍꯔꯅꯤꯌꯥ (Hernias): ꯈꯣꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯄ꯭ꯔꯦꯁꯔ ꯍꯦꯅꯒꯠꯂꯀꯄꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯣꯔꯒꯥꯟ ꯑꯃꯕꯨ ꯃꯁꯂꯁꯤꯡꯒꯤ ꯃꯔꯛꯇꯥ ꯆꯦꯟꯊꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯅꯨꯄꯥꯁꯤꯡꯗꯥ, ꯏꯅꯒꯨꯏꯅꯦꯜ ꯍꯔꯅꯤꯌꯥ ꯑꯁꯤ PMPꯒꯤ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯂꯥꯏꯑꯣꯡ ꯑꯃꯅꯤ꯫
- ꯆꯤꯟꯖꯥꯛ ꯑꯁꯤ ꯃꯆꯤ ꯑꯣꯏꯗꯦ꯫
- ꯀꯣꯛ ꯉꯥꯎꯕ.
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯗꯣꯛꯇꯔ ꯑꯃꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯆꯍꯤꯒꯤ ꯑꯣꯏꯕꯥ ꯆꯦꯛ-ꯑꯄꯀꯤ ꯃꯇꯃꯗꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯇꯣꯞꯄꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯒꯤꯗꯃꯛ ꯇꯦꯁ꯭ꯠ ꯇꯧꯕꯥ ꯃꯇꯃꯗꯥ `PMP` ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯇꯣꯌꯅꯥ ꯊꯦꯡꯅꯔꯀꯄꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯕꯨ ꯃꯤꯑꯣꯏ ꯑꯌꯥꯝꯕꯅꯥ ꯃꯈꯣꯌꯒꯤ ꯁ꯭ꯇꯣꯃꯥꯛ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯃꯁꯤꯡ ꯑꯗꯨ ꯂꯦꯡꯗꯅꯥ ꯂꯩꯔꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯍꯦꯟꯅꯥ ꯐꯒꯠꯂꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯈꯛꯇꯗꯥ ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯈꯪꯏ꯫
ꯀꯔꯤꯒꯤꯗꯃꯛꯇꯥ ꯄꯤ.ꯑꯦꯝ.ꯄꯤ. ꯃꯔꯝ ꯀꯔꯤꯅꯣ?
ꯇꯁꯦꯡꯕꯗꯤ, ꯀꯔꯤ ꯆꯦꯟ ꯑꯣꯐ ꯏꯚꯦꯟꯇꯁꯤꯡꯅꯥ ꯄꯤ.ꯑꯦꯝ.ꯄꯤ.ꯗꯥ ꯄꯨꯔꯀꯄꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯍꯧꯖꯤꯛ ꯐꯥꯑꯣꯕꯥ ꯑꯈꯉ-ꯑꯍꯩꯁꯤꯡꯅꯥ ꯇꯁꯦꯡꯅꯥ ꯈꯉꯗ꯭ꯔꯤ꯫ ꯑꯗꯨꯕꯨ ꯃꯈꯣꯌꯅꯥ ꯈꯉꯏ ꯃꯗꯨꯗꯤ ꯃꯁꯤ ꯑꯦꯄꯦꯟꯗꯤꯛꯁꯇꯥ ꯄꯣꯂꯤꯞ ꯀꯧꯕꯥ ꯑꯄꯤꯀꯄꯥ ꯒ꯭ꯔꯣꯊ ꯑꯃꯗꯒꯤ ꯍꯧꯏ꯫ ꯃꯐꯝ ꯑꯗꯨꯗꯒꯤ ꯃ꯭ꯌꯨꯁꯤꯟ ꯁꯦꯃꯒꯠꯂꯤꯕꯥ ꯀꯦꯟꯁꯔ ꯁꯦꯂꯁꯤꯡꯅꯥ ꯈꯣꯡꯗꯥ ꯆꯠꯂꯤ꯫
ꯅꯤꯡꯁꯤꯡꯕꯤꯌꯨ, `ꯄꯤ.ꯑꯦꯝ.ꯄꯤ.` ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯊꯣꯀꯄꯥ ꯂꯥꯌꯅꯥ ꯑꯃꯅꯤ . ꯃꯁꯤꯅꯥ ꯆꯍꯤ ꯑꯃꯗꯥ ꯃꯤꯑꯣꯏ ꯃꯤꯂꯤꯌꯟ ꯑꯃꯗꯥ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯗꯒꯤ ꯃꯔꯤ ꯐꯥꯎꯕꯥ ꯁꯣꯀꯍꯜꯂꯤ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯇꯥꯕꯗꯥ ꯃꯊꯧ ꯇꯥꯗꯅꯥ ꯂꯥꯡꯇꯛꯅꯒꯅꯨ꯫
ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯃꯈꯣꯌꯗꯥ ꯄꯤ.ꯑꯦꯝ.ꯄꯤ.
ꯅꯍꯥꯛꯅꯥ ꯗꯣꯛꯇꯔ ꯑꯃꯗꯥ ꯆꯠꯄꯥ ꯃꯇꯃꯗꯥ, ꯃꯈꯣꯌꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯍꯪꯒꯅꯤ꯫ ꯃꯇꯝ ꯀꯌꯥꯒꯤ ꯃꯃꯥꯡꯗꯒꯤ ꯅꯈꯣꯌꯗꯥ ꯃꯈꯣꯌꯁꯤꯡ ꯑꯁꯤ ꯂꯩꯔꯛꯂꯤꯕꯅꯣ, ꯑꯃꯁꯨꯡ ꯃꯈꯣꯌ ꯑꯁꯤ ꯍꯦꯟꯅꯥ ꯐꯠꯆꯤꯜꯂꯛꯂꯤꯕꯔꯥ? ꯑꯗꯨꯗꯒꯤ ꯃꯈꯣꯌꯅꯥ ꯐꯤꯖꯤꯀꯦꯜ ꯑꯦꯀꯖꯥꯝ ꯑꯃꯥ ꯇꯧꯒꯅꯤ꯫ ꯃꯈꯣꯌꯅꯥ ꯕ꯭ꯂꯗ ꯇꯦꯁ꯭ꯠ ꯑꯃꯁꯨꯡ ꯏꯃꯦꯖꯤꯡ ꯇꯦꯁ꯭ꯇꯁꯤꯡꯁꯨ ꯑꯣꯔꯗꯔ ꯇꯧꯒꯅꯤ꯫
ꯕ꯭ꯂꯗ ꯇꯦꯁ꯭ꯠ ꯇꯧꯕꯥ꯫
ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯃꯄꯨꯡꯐꯥꯕꯥ ꯕ꯭ꯂꯗ ꯀꯥꯎꯟꯇ (CBC) ꯑꯃꯥ ꯑꯣꯔꯗꯔ ꯇꯧꯕꯥ ꯌꯥꯏ꯫ ꯃꯈꯣꯌꯅꯥ ꯇꯤꯎꯃꯔ ꯃꯥꯔꯀꯔꯁꯤꯡ ꯌꯦꯡꯅꯕꯒꯤꯗꯃꯛ ꯕ꯭ꯂꯗ ꯇꯦꯁ꯭ꯠ ꯇꯧꯅꯕꯥ ꯑꯣꯔꯗꯔ ꯇꯧꯕꯁꯨ ꯌꯥꯏ꯫ ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯀꯦꯟꯁꯔ ꯂꯩꯔꯦ ꯍꯥꯌꯕꯥ ꯇꯥꯀꯄꯥ ꯌꯥꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡꯅꯤ꯫
ꯏꯃꯦꯖꯤꯡ ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯇꯧꯕꯥ꯫
ꯅꯍꯥꯛꯀꯤ ꯑꯦꯕꯗꯣꯃꯤꯅꯦꯜ ꯑꯣꯔꯒꯥꯅꯁꯤꯡ ꯑꯗꯨ ꯍꯦꯟꯅꯥ ꯆꯥꯎꯈꯠꯄꯥ, ꯐ꯭ꯂꯨꯏꯗ (ascites)ꯅꯥ ꯊꯜꯂꯕꯥ ꯅꯠꯠꯔꯒꯥ "ꯖꯦꯂꯤ ꯕꯦꯂꯤ"ꯒꯨꯝꯕꯥ ꯃ꯭ꯌꯨꯁꯤꯟ ꯁꯦꯃꯒꯠꯂꯀꯄꯥ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯅꯕꯥ ꯇꯦꯁ꯭ꯠ ꯇꯧꯕꯥ ꯌꯥꯏ:
- ꯑꯦꯕꯗꯣꯃꯤꯅꯦꯜ ꯑꯂꯠꯔꯥꯁꯥꯎꯟꯗ ꯇꯧꯕꯥ꯫
- ꯁꯤ.ꯇꯤ.ꯒꯤ ꯁ꯭ꯀꯦꯟ ꯑꯃꯥ꯫
- ꯑꯦꯝ.ꯑꯥꯔ.ꯑꯥꯏ.ꯒꯤ ꯁ꯭ꯀꯦꯟ ꯑꯃꯥ꯫
ꯃꯁꯤꯒꯤ ꯃꯊꯛꯇꯥ, ꯗꯣꯛꯇꯔ ꯑꯃꯅꯥ ꯅꯤꯗꯜ ꯕꯥꯏꯑꯣꯞꯁꯤ ꯇꯧꯕꯥ ꯌꯥꯏ, ꯃꯁꯤꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯒꯤ ꯃꯅꯨꯡꯗꯒꯤ ꯐ꯭ꯂꯨꯏꯗ ꯅꯠꯠꯔꯒꯥ ꯇꯤꯁꯨꯒꯤ ꯑꯄꯤꯀꯄꯥ ꯁꯦꯝꯄꯜ ꯑꯃꯥ ꯂꯧꯕꯥ ꯌꯥꯏ꯫ ꯃꯦꯗꯤꯀꯦꯜ ꯄꯦꯊꯣꯂꯣꯖꯤꯁ꯭ꯠ ꯑꯃꯅꯥ ꯁꯦꯝꯄꯜ ꯑꯗꯨ ꯃꯥꯏꯛꯔꯣꯁ꯭ꯀꯣꯞ (ꯁꯥꯏꯇꯣꯂꯣꯖꯤ)ꯒꯤ ꯃꯈꯥꯗꯥ ꯌꯦꯡꯁꯤꯅꯒꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯌꯦꯡꯁꯤꯟꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯇꯤꯁꯨꯒꯤ ꯁꯦꯝꯄꯂꯁꯤꯡ ꯂꯧꯅꯕꯥ ꯂꯦꯄꯔꯣꯁ꯭ꯀꯣꯄꯤ ꯇꯧꯕꯥ ꯌꯥꯏ꯫
ꯄꯤ.ꯑꯦꯝ.ꯄꯤ.ꯒꯤ ꯂꯥꯏꯌꯦꯡꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ? ꯃꯁꯤ ꯐꯍꯅꯕꯥ ꯉꯃꯒꯗ꯭ꯔꯥ?
ꯂꯥꯏꯌꯦꯡ ꯑꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯑꯄꯨꯅꯕꯥ ꯍꯀꯁꯦꯜ ꯌꯥꯑꯣꯅꯥ ꯐꯦꯛꯇꯔ ꯀꯌꯥꯒꯤ ꯃꯈꯥ ꯄꯣꯜꯂꯤ꯫ ꯀꯦꯁ ꯈꯔꯗꯗꯤ ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯁ꯭ꯌꯨꯗꯣꯃꯥꯏꯛꯁꯣꯃꯥ ꯄꯦꯔꯤꯇꯣꯅꯤ ꯂꯥꯌꯦꯡꯕꯥ ꯑꯃꯁꯨꯡ ꯂꯥꯌꯦꯡꯕꯥ ꯐꯥꯎꯕꯥ ꯌꯥꯏ꯫
ꯑꯌꯥꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯂꯥꯏꯌꯦꯡ ꯑꯁꯤ ꯁꯔꯖꯔꯤꯒꯥ ꯃꯔꯤ ꯂꯩꯅꯩ꯫ ꯃꯁꯤꯗꯥ ꯀꯦꯟꯁꯔ ꯁꯦꯂꯁꯤꯡ ꯌꯥꯑꯣꯕꯥ ꯑꯣꯔꯒꯥꯟ ꯄꯨꯝꯅꯃꯛ ꯂꯧꯊꯣꯀꯄꯥ ꯌꯥꯑꯣꯏ꯫ ꯁꯔꯖꯔꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯅꯍꯥꯀꯄꯨ ꯀꯦꯃꯣꯊꯦꯔꯥꯄꯤ (ꯏꯟꯠꯔꯥꯄꯦꯔꯤꯇꯣꯅꯤꯑꯦꯜ ꯀꯦꯃꯣꯊꯦꯔꯥꯄꯤ) ꯁꯨ ꯄꯤꯕꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯕꯨ ꯁꯔꯖꯔꯤ ꯑꯗꯨꯅꯥ ꯀꯦꯟꯁꯔ ꯅꯠꯠꯔꯒꯥ ꯃ꯭ꯌꯨꯁꯤꯟ ꯄꯨꯝꯅꯃꯛ ꯅꯠꯠꯔꯒꯥ ꯑꯌꯥꯝꯕꯥ ꯂꯧꯊꯣꯀꯄꯥ ꯉꯝꯂꯕꯈꯛꯇꯗꯥ ꯁꯔꯖꯔꯤꯅꯥ ꯃꯁꯤ ꯇꯧꯒꯅꯤ꯫ ꯑꯗꯨꯒꯨꯝꯕꯥ ꯋꯥꯔꯦꯞ ꯑꯗꯨ ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯃꯗꯥ ꯂꯧꯏ꯫
ꯄꯤ.ꯑꯦꯝ.ꯄꯤ.ꯒꯤ ꯂꯥꯌꯦꯡꯅꯕꯥ ꯇꯣꯉꯥꯟ ꯇꯣꯉꯥꯅꯕꯥ ꯃꯈꯂꯒꯤ ꯁꯔꯖꯔꯤꯁꯤꯡ ꯂꯩ꯫
ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯄꯤꯀꯄꯥ ꯏꯟꯇꯦꯁ꯭ꯇꯥꯏꯟ ꯅꯠꯠꯔꯒꯥ ꯑꯆꯧꯕꯥ ꯏꯟꯇꯦꯁ꯭ꯇꯥꯏꯅꯗꯥ ꯃ꯭ꯌꯨꯁꯤꯟ ꯂꯩꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯕꯣꯋꯦꯜ ꯔꯤꯁꯦꯛꯁꯟ ꯑꯃꯥ ꯄꯥꯡꯊꯣꯛꯀꯅꯤ꯫ ꯑꯀꯛꯅꯕꯥ ꯑꯣꯔꯒꯥꯅꯁꯤꯡ ꯂꯧꯊꯣꯀꯄꯥ ꯑꯇꯣꯞꯄꯥ ꯃꯈꯂꯒꯤ ꯁꯔꯖꯔꯤꯁꯤꯡꯁꯨ ꯂꯩꯔꯤ:
- ꯀꯣꯂꯦꯁꯤꯁ꯭ꯇꯦꯛꯇꯣꯃꯤ (cholecystectomy): ꯅꯍꯥꯛꯀꯤ ꯒꯥꯂꯕ꯭ꯂꯦꯗꯔ ꯑꯗꯨ ꯂꯧꯊꯣꯀꯄꯥ꯫
- ꯕꯥꯏꯂꯦꯇꯔꯦꯜ ꯁꯥꯂꯄꯤꯉ꯭ꯒꯣ-ꯑꯣꯐꯣꯔꯦꯛꯇꯣꯃꯤꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯍꯥꯏꯁ꯭ꯇꯦꯔꯦꯛꯇꯣꯃꯤ : ꯅꯍꯥꯛꯀꯤ ꯐꯦꯂꯣꯄꯤꯌꯥꯟ ꯇꯤꯎꯕꯁꯤꯡ, ꯑꯣꯚꯔꯋꯦꯠ ꯑꯃꯁꯨꯡ ꯏꯎꯇꯦꯔꯥꯁ ꯂꯧꯊꯣꯀꯄꯥ꯫
- ꯂꯤꯚꯔ ꯀꯦꯄꯁꯨꯂꯦꯛꯇꯣꯃꯤ: ꯅꯍꯥꯛꯀꯤ ꯂꯤꯚꯔꯒꯤ ꯃꯊꯛꯇꯥ ꯂꯩꯕꯥ ꯁꯔꯨꯛ ꯑꯃꯥ ꯂꯧꯊꯣꯀꯄꯥ꯫
- ꯑꯣꯃꯦꯅꯦꯛꯇꯣꯃꯤ: ꯁ꯭ꯇꯣꯃꯥꯀꯀꯤ ꯃꯃꯥꯡꯗꯥ ꯂꯩꯕꯥ ꯐꯦꯠ ꯂꯦꯌꯥꯔ ꯑꯗꯨ ꯂꯧꯊꯣꯀꯄꯥ .
- ꯄꯦꯔꯤꯇꯣꯅꯦꯛꯇꯣꯃꯤ : ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡ ꯑꯃꯁꯨꯡ ꯄꯦꯂꯚꯤꯁ (peritoneum)ꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯂꯩꯕꯥ ꯂꯥꯏꯟ ꯑꯗꯨ ꯂꯧꯊꯣꯀꯄꯥ꯫
- ꯁ꯭ꯞꯂꯦꯅꯦꯛꯇꯣꯃꯤ : ꯅꯍꯥꯛꯀꯤ ꯁ꯭ꯞꯂꯤꯟ ꯑꯗꯨ ꯂꯧꯊꯣꯀꯄꯥ꯫
ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯃꯗꯥ ꯀꯔꯤ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ ꯊꯣꯀꯄꯥ ꯌꯥꯕꯒꯦ?
ꯅꯍꯥꯛꯅꯥ ꯑꯣꯔꯒꯥꯅꯁꯤꯡ ꯂꯧꯊꯣꯛꯅꯕꯥ ꯁꯔꯖꯔꯤ ꯇꯧꯕꯥ ꯃꯇꯃꯗꯥ, ꯃꯇꯝ ꯄꯨꯝꯅꯃꯛꯇꯥ ꯏ ꯌꯥꯝꯅꯥ ꯊꯣꯀꯄꯥ , ꯏꯅꯐꯦꯛꯁꯟ ꯅꯠꯠꯔꯒꯥ ꯑꯦꯅꯥꯁ꯭ꯇꯣꯃꯣꯇꯤꯛ ꯂꯤꯛ ꯑꯁꯤꯅꯆꯤꯡꯕꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡꯒꯤ ꯆꯥꯡ ꯂꯩ꯫ ꯑꯆꯧꯕꯥ ꯁꯔꯖꯔꯤꯁꯤꯡꯅꯥ ꯄꯨꯟꯁꯤ ꯃꯥꯡꯍꯅꯕꯥ ꯌꯥꯕꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡꯁꯨ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯍꯥꯌꯅꯩ ꯃꯗꯨꯗꯤ ꯄꯦꯁꯦꯟꯇꯁꯤꯡꯒꯤ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯆꯥꯗꯥ ꯑꯃꯗꯒꯤ ꯑꯅꯤ ꯐꯥꯎꯕꯥ (1-2%) ꯑꯆꯧꯕꯥ ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯁꯤꯏ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯍꯥꯌꯔꯤꯕꯥ ꯄꯨꯝꯅꯃꯛ ꯑꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯈꯟꯅ-ꯅꯩꯅꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫
ꯁꯔꯖꯔꯤ ꯌꯥꯎꯗꯕꯥ ꯑꯇꯩ ꯂꯥꯏꯌꯦꯡꯁꯤꯡ ꯂꯩꯕ꯭ꯔꯥ?
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯑꯇꯩ ꯅꯟ-ꯁꯔꯖꯤꯀꯦꯜ ꯂꯥꯏꯌꯦꯡꯁꯤꯡ, ꯍꯥꯌꯕꯗꯤ:
- ꯑꯦꯛꯇꯤꯕ ꯁꯔꯚꯤꯂꯦꯟꯁ : ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯍꯥꯅꯕꯥ ꯇꯥꯉ꯭ꯀꯛꯀꯤ PMP ꯂꯩꯔꯕꯗꯤ, ꯅꯠꯠꯔꯒꯥ ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯃꯑꯣꯡ ꯑꯃꯥ ꯑꯣꯏꯔꯕꯗꯤ, ꯑꯃꯁꯨꯡ ꯁꯔꯖꯔꯤꯒꯤ ꯔꯤꯁ꯭ꯛ ꯑꯁꯤ ꯂꯥꯌꯅꯥ ꯑꯁꯤꯒꯤ ꯔꯤꯁ꯭ꯀꯇꯒꯤ ꯍꯦꯟꯅꯥ ꯋꯥꯡꯂꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯑꯦꯛꯇꯤꯕ ꯁꯔꯚꯤꯂꯦꯟꯁ ꯇꯧꯅꯕꯥ ꯄꯥꯎꯇꯥꯛ ꯄꯤꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯁꯦꯜ ꯑꯗꯨ ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯌꯦꯡꯁꯤꯅꯕꯥ ꯌꯥꯎꯏ꯫ ꯃꯈꯣꯌꯅꯥ ꯏꯃꯦꯖꯤꯡ ꯇꯦꯁ꯭ꯠ ꯑꯃꯁꯨꯡ ꯕ꯭ꯂꯗ ꯇꯦꯁ꯭ꯠ ꯇꯧꯗꯨꯅꯥ ꯄꯤ.ꯑꯦꯝ.ꯄꯤ.
- ꯄꯦꯂꯤꯑꯣꯇꯤꯛ ꯀꯦꯌꯔ : ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯁꯔꯖꯔꯤ ꯇꯧꯕꯥ ꯉꯃꯗ꯭ꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯄꯤ.ꯑꯦꯝ.ꯄꯤ.ꯒꯤ ꯀꯟꯗꯤꯁꯟ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯥ ꯉꯝꯕꯥ ꯑꯃꯁꯨꯡ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯍꯟꯊꯍꯅꯕꯥ ꯉꯝꯕꯥ ꯀꯦꯃꯣꯊꯦꯔꯥꯄꯤ ꯅꯠꯠꯔꯒꯥ ꯔꯦꯗꯤꯑꯦꯁꯟ ꯊꯦꯔꯥꯄꯤꯒꯨꯝꯕꯥ ꯂꯥꯏꯌꯦꯡꯁꯤꯡ ꯔꯤꯀꯃꯦꯟꯗ ꯇꯧꯕꯥ ꯌꯥꯏ꯫
ꯍꯧꯖꯤꯛ ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯁ꯭ꯃꯣꯜ ꯏꯟꯇꯦꯁ꯭ꯇꯤꯅꯗꯥ ꯄꯤ.ꯑꯦꯝ.ꯄꯤ.
ꯄꯤ.ꯑꯦꯝ.ꯄꯤ.ꯒꯤ ꯃꯤꯑꯣꯏ ꯑꯃꯅꯥ ꯀꯔꯝꯕꯥ ꯃꯈꯂꯒꯤ ꯇꯨꯡꯂꯃꯆꯠ ꯂꯥꯛꯀꯅꯤ ꯍꯥꯌꯅꯥ ꯊꯥꯖꯕꯥ ꯌꯥꯕꯒꯦ?
ꯀꯦꯁ ꯈꯔꯗꯗꯤ, ꯈꯣꯡꯗꯥ ꯂꯩꯔꯤꯕꯥ ꯀꯦꯟꯁꯔ ꯁꯦꯜ ꯄꯨꯝꯅꯃꯛ ꯂꯧꯊꯣꯛꯅꯕꯥ ꯁꯔꯖꯔꯤ ꯇꯧꯕꯅꯥ ꯂꯥꯌꯅꯥ ꯑꯁꯤ ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯕꯥ ꯉꯝꯃꯤ . ꯑꯇꯣꯞꯄꯥ ꯂꯥꯏꯌꯦꯡꯁꯤꯡꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯂꯥꯌꯅꯥ ꯑꯁꯤꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯍꯤꯡꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫
``ꯁꯔꯚꯥꯏꯚꯜ ꯔꯦꯠ``ꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯕꯥ ꯃꯇꯃꯗꯥ, ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯋꯥꯐꯃꯗꯤ ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯊꯣꯀꯄꯥ ꯂꯥꯌꯅꯥ ꯑꯃꯅꯤ꯫ ꯃꯁꯤꯅꯥ ꯇꯥꯀꯄꯗꯤ ꯃꯤꯑꯣꯏ ꯈꯔꯈꯛꯇꯅꯥ ꯃꯁꯤ ꯗꯤꯚꯦꯂꯞ ꯇꯧꯏ꯫ ꯔꯤꯁꯔꯆꯔꯁꯤꯡꯅꯥ ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯃꯈꯣꯌꯅꯥ ꯈꯉꯂꯤꯕꯁꯤꯡ ꯑꯗꯨ ꯌꯥꯝꯅꯥ ꯑꯄꯤꯀꯄꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯗꯒꯤ ꯈꯉꯕꯥ ꯉꯝꯂꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯥꯌꯅꯥ ꯑꯁꯤ ꯂꯩꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ``ꯁꯔꯚꯥꯏꯚꯜ ꯔꯦꯠ`` ꯔꯤꯁꯔꯆ ꯑꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯑꯃꯁꯨꯡ ꯃꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯗꯨꯗꯥ ꯀꯔꯝꯅꯥ ꯁꯣꯀꯍꯅꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯍꯪꯕꯅꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯩ꯫
ꯑꯩꯅꯥ ꯃꯇꯧ ꯀꯔꯝꯅꯥ ꯏꯁꯥꯕꯨ ꯌꯦꯡꯁꯤꯅꯕꯤꯒꯅꯤ? (ꯁꯦꯜꯐ-ꯀꯦꯌꯔ) ꯑꯃꯁꯨꯡ ꯑꯦꯟ.
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯀꯦꯟꯁꯔ ꯁꯦꯂꯁꯤꯡ ꯂꯧꯊꯣꯛꯅꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯀꯛꯅꯕꯥ ꯑꯣꯔꯒꯥꯅꯁꯤꯡ ꯂꯧꯊꯣꯛꯅꯕꯥ ꯁꯔꯖꯔꯤ ꯇꯧꯈ꯭ꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡꯅꯥ ꯐꯒꯠꯂꯀꯄꯗꯥ ꯃꯇꯝ ꯑꯃꯁꯨꯡ ꯅꯨꯡꯉꯥꯏꯕꯥ ꯃꯊꯧ ꯇꯥꯏ ꯍꯥꯌꯕꯁꯤ ꯅꯤꯡꯁꯤꯡꯕꯥ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫ ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯁ꯭ꯞꯂꯤꯟ ꯑꯗꯨ ꯂꯧꯊꯣꯛꯅꯕꯥ ꯁꯔꯖꯔꯤ ꯇꯧꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯃꯁꯤꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯀꯔꯝꯅꯥ ꯁꯣꯀꯍꯅꯒꯅꯤ ꯍꯥꯌꯕꯗꯨ ꯈꯪꯍꯜꯂꯛꯀꯅꯤ꯫
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯄꯦꯂꯤꯑꯣꯇꯤꯚ ꯀꯦꯌꯔ ꯈꯅꯕꯤꯔꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯄꯨꯟꯁꯤ ꯆꯨꯞꯄꯥ ꯀꯦꯃꯣꯊꯦꯔꯥꯄꯤ ꯑꯃꯁꯨꯡ ꯔꯦꯗꯤꯑꯦꯁꯟ ꯊꯦꯔꯥꯄꯤꯒꯨꯝꯕꯥ ꯀꯦꯟꯁꯔꯒꯤ ꯂꯥꯏꯌꯦꯡꯁꯤꯡ ꯂꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯏ꯫ ꯃꯄꯥꯉ꯭ꯒꯜ ꯀꯟꯅꯥ ꯂꯩꯕꯥ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯤ ꯏꯅꯁ꯭ꯠꯔꯛꯁꯅꯁꯤꯡ ꯆꯦꯀꯁꯤꯟꯅꯥ ꯏꯅꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫
ꯑꯩꯅꯥ ꯀꯔꯤ ꯃꯇꯃꯗꯥ ꯗꯣꯛꯇꯔꯒꯥ ꯎꯅꯒꯗꯒꯦ?
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ `PMP` ꯂꯩꯔꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯀꯦꯁꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯁꯣꯌꯗꯅꯥ ꯈꯪꯍꯅꯒꯗꯕꯅꯤ:
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ ꯂꯥꯀꯄꯥ ꯇꯥꯔꯕꯗꯤ꯫ ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯏ ꯌꯥꯝꯅꯥ ꯊꯣꯀꯄꯥ ꯂꯩꯔꯕꯗꯤ, ꯅꯠꯠꯔꯒꯥ ꯁꯔꯖꯔꯤꯒꯤ ꯑꯁꯣꯀꯄꯥ ꯑꯗꯨꯗꯥ ꯏꯅꯐꯦꯛꯁꯅꯒꯤ ꯈꯨꯗꯃꯁꯤꯡ ꯂꯩꯔꯕꯗꯤ꯫
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯁꯥꯏꯗ ꯏꯐꯦꯛꯇꯁꯤꯡ ꯑꯗꯨ ꯅꯍꯥꯛꯅꯥ ꯈꯜꯂꯤꯕꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯐꯠꯆꯤꯜꯂꯛꯂꯕꯗꯤ꯫
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ `ꯁ꯭ꯌꯨꯗꯣꯃꯥꯏꯛꯁꯣꯃꯥ ꯄꯦꯔꯤꯇꯣꯅꯦꯏ`ꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯂꯩꯔꯕꯗꯤ꯫
ꯑꯔꯣꯏꯕꯗꯥ, ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯄꯥꯎꯖꯦꯜ (ꯇꯦꯛ-ꯍꯣꯝ ꯃꯦꯁꯦꯖ)
ꯁ꯭ꯌꯨꯗꯣꯃꯥꯏꯛꯁꯣꯃꯥ ꯄꯦꯔꯤꯇꯣꯅꯤ (PMP) ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯇꯣꯏꯅꯥ ꯊꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯁꯤꯡꯅꯕꯥ ꯌꯥꯕꯥ ꯂꯥꯌꯅꯥ ꯑꯃꯅꯤ꯫ ꯀꯔꯤꯒꯤꯗꯃꯛꯇꯥ ꯃꯁꯤ ꯁꯦꯃꯒꯠꯂꯤꯕꯅꯣ ꯍꯥꯌꯕꯁꯤ ꯍꯧꯖꯤꯛ ꯐꯥꯑꯣꯕꯥ ꯑꯈꯉ-ꯑꯍꯩꯁꯤꯡꯅꯥ ꯇꯁꯦꯡꯅꯥ ꯈꯉꯕꯥ ꯉꯃꯗ꯭ꯔꯤ꯫ ꯅꯍꯥꯛꯅꯥ ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯂꯩꯔꯀꯄꯥ ꯌꯥꯏ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯑꯆꯧꯕꯥ ꯑꯍꯣꯡꯕꯥ ꯑꯃꯠꯇꯥ ꯎꯕꯥ ꯐꯪꯗꯕꯥ ꯌꯥꯏ꯫ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯂꯥꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯃꯈꯣꯌ ꯑꯁꯤ ꯈꯣꯡ ꯍꯥꯝꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯈꯣꯡ ꯍꯥꯝꯕꯥ (bloating)ꯒꯨꯝꯅꯥ ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫
ꯃꯔꯝ ꯑꯗꯨꯅꯥ, ꯅꯍꯥꯛꯀꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯊꯣꯀꯄꯥ ꯂꯥꯌꯅꯥ ꯑꯁꯤꯅꯥ ꯊꯣꯀꯍꯅꯕꯅꯤ ꯍꯥꯌꯕꯥ ꯈꯉꯕꯗꯥ ꯁꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯂꯥꯏꯌꯦꯡꯕꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯂꯩꯔꯤꯕꯥ ꯑꯣꯔꯒꯥꯟ ꯑꯃꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯃꯗꯒꯤ ꯍꯦꯅꯕꯥ ꯑꯗꯨ ꯂꯧꯊꯣꯛꯅꯕꯥ ꯁꯔꯖꯔꯤ ꯇꯧꯒꯅꯤ ꯍꯥꯌꯅꯥ ꯍꯥꯌꯕꯗꯥ ꯌꯥꯝꯅꯥ ꯋꯥꯕꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤ ꯄꯨꯝꯅꯃꯛ ꯑꯁꯤ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯈꯉꯕꯥ ꯉꯃꯗꯕꯥ ꯌꯥꯏ꯫
ꯑꯗꯨꯕꯨ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯂꯩꯔꯣꯏꯗꯕꯅꯤ꯫ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯋꯥꯍꯪ ꯀꯌꯥ ꯍꯪꯂꯀꯄꯥ ꯌꯥꯏ ꯍꯥꯌꯕꯁꯤ ꯈꯪꯏ – ꯋꯥꯍꯪ ꯀꯌꯥꯃꯔꯨꯝ ꯐꯥꯑꯣꯕꯥ ꯋꯥꯍꯪ ꯀꯌꯥ ꯍꯪꯂꯀꯄꯥ ꯌꯥꯏ꯫ ꯅꯍꯥꯛꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯂꯥꯏꯌꯦꯡꯒꯤ ꯑꯣꯄꯁꯅꯁꯤꯡꯒꯤ ꯃꯔꯃꯗꯥ ꯈꯪꯂꯕꯥ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯃꯊꯪꯒꯤ ꯈꯣꯡꯊꯥꯡꯁꯤꯡ ꯑꯗꯨ ꯈꯟꯅꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯃꯈꯣꯌꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯋꯥꯈꯂꯗꯥ ꯂꯩꯔꯤꯕꯥ ꯄꯨꯝꯅꯃꯛ ꯑꯗꯨ ꯇꯥꯕꯥ ꯄꯥꯝꯃꯤ꯫ ꯃꯗꯨ ꯅꯉꯒꯤ ꯍꯀꯅꯤ꯫ ꯑꯐꯕꯥ ꯋꯥꯈꯂꯒꯤ ꯐꯤꯚꯃꯗꯥ ꯂꯩꯕꯅꯥ ꯂꯥꯏꯌꯦꯡꯕꯗꯁꯨ ꯌꯥꯝꯅꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫
` ꯁ꯭ꯌꯨꯗꯣꯃꯥꯏꯛꯁꯣꯃꯥ ꯄꯦꯔꯤꯇꯣꯅꯤ, ꯄꯤ.ꯑꯦꯝ.ꯄꯤ., ꯀꯦꯟꯁꯔ, ꯑꯦꯕꯗꯣꯃꯤꯅꯦꯜ ꯀꯦꯚꯤꯇꯤ, ꯃ꯭ꯌꯨꯁꯤꯟ, ꯖꯦꯂꯤ ꯕꯦꯂꯤ, ꯑꯦꯄꯦꯟꯗꯤꯛꯁ, ꯁꯔꯖꯔꯤ꯫
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