ꯔꯦꯛꯇꯜ ꯄ꯭ꯔꯣꯂꯥꯄꯁꯀꯤ ꯃꯇꯥꯡꯗꯥ ꯍꯦꯟꯅꯥ ꯈꯪꯖꯤꯅꯁꯤ꯫

ꯅꯍꯥꯛꯅꯥ ꯕꯥꯊꯔꯨꯃꯗꯥ ꯆꯠꯄꯥ ꯃꯇꯃꯗꯥ, ꯅꯍꯥꯛꯀꯤ ꯕꯣꯋꯦꯂꯒꯤ ꯁꯔꯨꯛ ꯑꯃꯥ ꯅꯍꯥꯛꯀꯤ ꯅꯥꯀꯣꯡꯗꯒꯤ ꯂꯥꯀꯄꯥ ꯎꯕꯥ ꯐꯪꯕ꯭ꯔꯥ? ꯅꯠꯠꯔꯒꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯃꯇꯝ ꯄꯨꯝꯅꯃꯛꯇꯥ ꯃꯄꯨꯡꯐꯥꯕꯥ, ꯂꯨꯝꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯐꯥꯎꯕ꯭ꯔꯥ? ꯃꯤꯑꯣꯏ ꯀꯌꯥ ꯑꯃꯅꯥ ꯂꯖ꯭ꯖꯥ ꯅꯠꯔꯒꯥ ꯑꯀꯤꯕꯥ ꯄꯣꯀꯄꯗꯒꯤ ꯋꯥꯐꯃꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯀꯅꯥꯒꯨꯝꯕꯥ ꯑꯃꯠꯇꯗꯥ ꯍꯥꯌꯗꯦ꯫ ꯑꯗꯨꯕꯨ ꯉꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ ‘ ꯔꯦꯛꯇꯜ ꯄ꯭ꯔꯣꯂꯥꯄꯁ ’ ꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯔꯤ, ꯃꯁꯤ ꯃꯤꯑꯣꯏ ꯀꯌꯥꯗꯥ ꯁꯣꯀꯍꯜꯂꯤꯕꯥ, ꯑꯗꯨꯕꯨ ꯋꯥꯔꯤ ꯁꯥꯅꯕꯗꯥ ꯈꯔꯥ ꯂꯥꯡꯇꯛꯅꯔꯤꯕꯥ ꯑꯗꯨꯕꯨ ꯑꯗꯣꯝꯅꯥ ꯈꯉꯖꯤꯅꯒꯗꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫

ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯔꯦꯛꯇꯜ ꯄ꯭ꯔꯣꯂꯥꯄꯁ ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ?

ꯑꯩꯈꯣꯌꯒꯤ ꯗꯥꯏꯖꯦꯁ꯭ꯇꯤꯕ ꯁꯤꯁ꯭ꯇꯦꯃꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯈꯅꯕꯤꯌꯨ꯫ ꯑꯩꯈꯣꯌꯅꯥ ꯆꯥꯔꯤꯕꯥ ꯆꯤꯟꯖꯥꯀꯁꯤꯡ ꯑꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯏꯟꯇꯦꯁ꯭ꯇꯥꯏꯅꯁꯤꯡꯗꯥ ꯆꯠꯂꯤ, ꯍꯀꯆꯥꯡꯗꯥ ꯁꯣꯀꯍꯜꯂꯤ ꯑꯃꯁꯨꯡ ꯑꯃꯣꯠꯄꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ ꯑꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯗꯒꯤ ꯐꯤꯁ ꯑꯣꯏꯅꯥ ꯂꯧꯊꯣꯀꯏ꯫ ꯄꯥꯁ ꯇꯧꯗ꯭ꯔꯤꯉꯩ ꯃꯃꯥꯡꯗꯥ, ꯃꯁꯤꯒꯤ ꯐꯤꯁ ꯑꯁꯤ ꯃꯇꯝ ꯈꯔꯒꯤ ꯑꯣꯏꯅꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯑꯆꯧꯕꯥ ꯏꯟꯇꯦꯁ꯭ꯇꯥꯏꯅꯒꯤ ꯑꯔꯣꯏꯕꯥ ꯁꯔꯨꯛꯇꯥ ꯊꯃꯖꯤꯜꯂꯤ꯫ ꯃꯁꯤꯕꯨ ꯔꯦꯛꯇꯝ ꯍꯥꯌꯅꯥ ꯀꯧꯏ . ꯔꯦꯛꯇꯝ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯂꯩꯕꯥ ꯃꯁꯂꯁꯤꯡꯅꯥ ꯃꯗꯨ ꯃꯐꯃꯗꯨꯗꯥ ꯊꯝꯃꯤ꯫

ꯍꯧꯖꯤꯛꯇꯤ, ꯔꯦꯛꯇꯝ (Rectal Prolapse) ꯍꯥꯌꯕꯁꯤ ꯔꯦꯛꯇꯝ ꯑꯗꯨ ꯃꯐꯃꯗꯨꯗꯥ ꯊꯝꯂꯤꯕꯥ ꯃꯁꯂꯁꯤꯡ ꯑꯗꯨ ꯁꯣꯟꯊꯔꯀꯄꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯔꯦꯛꯇꯝ ꯑꯗꯨ ꯃꯁꯥꯒꯤ ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯕꯥ ꯄꯣꯖꯤꯁꯅꯗꯒꯤ ꯂꯥꯞꯅꯥ ꯂꯩꯕꯥ, ꯃꯅꯥ-ꯃꯁꯤꯡꯒꯤ ꯃꯈꯥꯗꯥ ꯂꯩꯕꯥ, ꯑꯃꯁꯨꯡ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯍꯀꯆꯥꯡꯗꯒꯤ ꯂꯥꯞꯅꯥ ꯂꯩꯕꯥ ꯃꯇꯃꯅꯤ꯫ ꯃꯁꯤ ꯇꯦꯂꯤꯁ꯭ꯀꯣꯞ ꯑꯃꯅꯥ ꯆꯪꯂꯀꯄꯒꯨꯝꯅꯥ, ꯃꯐꯃꯗꯨꯗꯥ ꯏꯟꯇꯦꯁ꯭ꯇꯥꯏꯅꯒꯤ ꯁꯔꯨꯛ ꯑꯃꯥ ꯆꯪꯂꯀꯏ ꯑꯃꯁꯨꯡ ꯔꯦꯛꯇꯃꯒꯤ ꯁꯔꯨꯛ ꯑꯃꯥ ꯊꯣꯛꯂꯀꯏ꯫

ꯃꯁꯤ ꯀꯔꯤꯒꯤ ꯊꯣꯛꯂꯤꯕꯅꯣ? ꯃꯁꯤꯒꯤ ꯃꯔꯃꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯤꯅꯣ?

ꯔꯦꯛꯇꯝ ꯑꯗꯨ ꯃꯐꯃꯗꯨꯗꯥ ꯊꯝꯂꯤꯕꯥ ꯃꯁꯂꯁꯤꯡ ꯑꯗꯨ ꯁꯣꯟꯊꯕꯥ ꯌꯥꯕꯒꯤ ꯃꯔꯝ ꯀꯌꯥ ꯂꯩ꯫ ꯃꯁꯤ ꯃꯔꯝ ꯑꯃꯈꯛꯇꯃꯛ ꯑꯣꯏꯕꯥ ꯌꯥꯏ, ꯑꯗꯨꯕꯨ ꯃꯔꯝ ꯀꯌꯥꯒꯤ ꯃꯔꯛꯇꯥ ꯌꯥꯎꯕꯥ ꯌꯥꯏ꯫

ꯃꯁꯤ ꯍꯦꯃꯣꯔꯦꯖ ꯅꯠꯇꯦ? ꯑꯅꯤꯗꯨꯕꯨ ꯀꯔꯝꯅꯥ ꯇꯣꯉꯥꯟꯅꯥ ꯇꯥꯀꯄꯤꯒꯅꯤ?

ꯃꯁꯤ ꯃꯤꯑꯣꯏ ꯀꯌꯥꯒꯤ ꯑꯆꯧꯕꯥ ꯈꯨꯗꯣꯡꯆꯥꯗꯕꯥ ꯑꯃꯅꯤ꯫ ꯃꯤꯑꯣꯏ ꯀꯌꯥꯅꯥ ꯑꯅꯤꯁꯤꯕꯨ ꯂꯥꯟꯅꯥ ꯂꯧꯅꯩ ꯃꯔꯃꯗꯤ ꯔꯦꯛꯇꯦꯜ ꯄ꯭ꯔꯣꯂꯥꯄꯁ ꯑꯃꯁꯨꯡ ꯍꯦꯃꯣꯔꯦꯖ ꯑꯅꯤꯃꯛꯀꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯃꯥꯟꯅꯩ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯍꯥꯌꯔꯤꯕꯥ ꯑꯅꯤ ꯑꯁꯤ ꯃꯄꯨꯡ ꯐꯥꯅꯥ ꯇꯣꯉꯥꯅꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯅꯤꯅꯤ꯫

ꯑꯅꯤꯁꯤꯒꯤ ꯃꯔꯛꯇꯥ ꯂꯩꯔꯤꯕꯥ ꯈꯦꯟꯅꯕꯥ ꯑꯗꯨ ꯃꯌꯦꯛ ꯁꯦꯡꯅꯥ ꯈꯉꯁꯤ꯫

ꯃꯁꯤꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯤꯅꯣ?

ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯅꯥ ꯃꯈꯜ-ꯃꯈꯥ ꯀꯌꯥꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯊꯦꯡꯅꯔꯀꯄꯥ ꯌꯥꯏ꯫ ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯑꯍꯥꯅꯕꯗꯥ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯑꯣꯏꯗꯕꯥ ꯌꯥꯏ ꯑꯗꯨꯕꯨ ꯃꯇꯃꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ ꯃꯈꯣꯌ ꯑꯁꯤ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ ꯌꯥꯏ꯫

• ꯈꯣꯡꯗꯥ ꯕꯣꯜ ꯑꯃꯒꯨꯝꯕꯥ ꯄꯣꯠꯁꯛ ꯑꯃꯥ ꯂꯩꯕꯒꯨꯝꯅꯥ ꯐꯤꯚꯝ ꯑꯃꯥ ꯅꯠꯠꯔꯒꯥ ꯃꯄꯨꯡ ꯐꯥꯅꯥ ꯂꯩꯕꯥ꯫
• ꯇꯣꯏꯂꯦꯠꯇꯥ ꯆꯠꯂꯕꯥ ꯃꯇꯨꯡꯗꯁꯨ ꯇꯁꯦꯡꯅꯥ ꯄꯣꯀꯄꯥ ꯉꯃꯗꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯐꯥꯑꯣꯏ .
• ꯅꯍꯥꯛꯅꯥ ꯇꯣꯏꯂꯦꯠꯇꯥ ꯆꯠꯄꯥ ꯃꯇꯃꯗꯥ ꯂꯥꯂꯍꯧꯕꯥ, ꯃꯁꯥ ꯃꯎ ꯐꯕꯥ ꯂꯪꯂꯥ ꯑꯃꯥ ꯊꯣꯀꯏ꯫ ꯑꯍꯥꯅꯕꯗꯥ ꯃꯁꯤ ꯃꯁꯥ ꯃꯊꯟꯇꯥ ꯆꯪꯂꯀꯏ, ꯑꯗꯨꯕꯨ ꯃꯇꯨꯡꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯦꯅꯨꯑꯦꯜ ꯑꯣꯏꯅꯥ ꯏꯅꯁꯥꯔꯠ ꯇꯧꯒꯗꯕꯅꯤ꯫
• ꯃ꯭ꯌꯨꯀꯁꯒꯨꯝꯕꯥ ꯐ꯭ꯂꯨꯏꯗ, ꯏ ꯅꯠꯠꯔꯒꯥ ꯁ꯭ꯇꯣꯜ (Fecal Incontinence) ꯂꯤꯛ ꯑꯣꯏꯕꯥ (Fecal Incontinence)꯫
• ꯃꯈꯨꯠꯀꯤ ꯑꯀꯣꯌꯕꯗꯥ ꯁꯣꯛ-ꯄꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯄꯥ꯫
• ꯀꯟꯁꯇꯤꯄꯁꯟ ꯅꯠꯠꯔꯒꯥ ꯁ꯭ꯇꯣꯜ ꯄꯥꯁ ꯇꯧꯕꯗꯥ ꯑꯋꯥꯕꯥ꯫

ꯗꯣꯛꯇꯔ ꯑꯃꯅꯥ ꯃꯁꯤ ꯀꯔꯝꯅꯥ ꯐꯪꯒꯅꯤ?

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯂꯩꯔꯕꯗꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯥ ꯊꯕꯛ ꯑꯗꯨꯗꯤ ꯗꯣꯛꯇꯔ ꯑꯃꯒꯥ ꯇꯥꯟꯅꯕꯅꯤ꯫ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯍꯪꯒꯅꯤ ꯑꯃꯁꯨꯡ ꯐꯤꯖꯤꯀꯦꯜ ꯑꯦꯀꯖꯥꯃꯤꯅꯦꯁꯟ ꯑꯃꯥ ꯇꯧꯒꯅꯤ꯫ ꯃꯈꯣꯌꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯅꯍꯥꯛꯅꯥ ꯕꯥꯊꯔꯨꯃꯗꯥ ꯆꯠꯂꯤꯕꯒꯨꯝꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯔꯦꯛꯇꯝ ꯑꯗꯨ ꯌꯦꯡꯁꯤꯟꯅꯕꯥ ꯍꯥꯌꯔꯀꯄꯥ ꯌꯥꯏ꯫

ꯃꯁꯤꯒꯤ ꯃꯊꯛꯇꯥ, ꯅꯍꯥꯛꯅꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯗꯨ ꯀꯅꯐꯥꯔꯝ ꯇꯧꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯑꯇꯩ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯃꯁꯤꯡ ꯌꯦꯡꯁꯤꯟꯅꯕꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯑꯁꯤ ꯄꯥꯡꯊꯣꯀꯄꯥ ꯌꯥꯏ:

• ꯗꯤꯖꯤꯇꯦꯜ ꯔꯦꯛꯇꯜ ꯑꯦꯀꯖꯥꯝ: ꯗꯣꯛꯇꯔꯅꯥ ꯒ꯭ꯂꯣꯕꯦꯜ ꯐꯤꯉ꯭ꯒꯔ ꯁꯤꯖꯤꯟꯅꯗꯨꯅꯥ ꯄꯥꯡꯊꯣꯀꯄꯥ ꯔꯨꯇꯤꯟ ꯑꯦꯀꯖꯥꯃꯤꯅꯦꯁꯟ ꯑꯃꯅꯤ꯫
• ꯑꯦꯅꯣꯔꯦꯛꯇꯜ ꯃꯦꯅꯣꯃꯦꯠꯔꯤ (Anorectal Manometry): ꯔꯦꯛꯇꯝ ꯑꯃꯁꯨꯡ ꯑꯦꯅꯨꯁꯇꯥ ꯂꯩꯕꯥ ꯃꯁꯂꯁꯤꯡꯒꯤ ꯃꯄꯥꯉ꯭ꯒꯜ ꯑꯗꯨ ꯂꯦꯄꯊꯣꯀꯄꯥ ꯇꯦꯁ꯭ꯠ ꯑꯃꯅꯤ꯫
• ꯗꯤꯐꯦꯀꯣꯒ꯭ꯔꯥꯐꯤ (Defecography): ꯅꯍꯥꯛꯅꯥ ꯈꯣꯡ ꯍꯥꯝꯂꯤꯉꯩꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯔꯦꯛꯇꯃꯒꯤ ꯑꯦꯛꯇꯤꯚꯤꯇꯤ ꯑꯗꯨ ꯚꯤꯗꯤꯑꯣ ꯇꯦꯞ ꯇꯧꯅꯕꯥ ꯑꯦꯛꯁ-ꯔꯦ ꯅꯠꯠꯔꯒꯥ MRI ꯁ꯭ꯀꯦꯟ ꯁꯤꯖꯤꯟꯅꯗꯨꯅꯥ ꯇꯦꯁ꯭ꯠ ꯑꯃꯅꯤ꯫
• ꯀꯣꯂꯣꯅꯣꯁ꯭ꯀꯣꯄꯤ (Colonoscopy): ꯀꯦꯃꯦꯔꯥ ꯑꯃꯥ ꯌꯥꯎꯕꯥ ꯐ꯭ꯂꯦꯛꯁꯤꯕꯜ ꯇꯤꯎꯕ ꯑꯃꯥ ꯃꯁꯥ ꯃꯊꯟꯇꯥ ꯆꯦꯟꯊꯈꯤꯗꯨꯅꯥ ꯀꯣꯂꯣꯟ ꯄꯨꯝꯕꯥ ꯌꯦꯡꯁꯤꯜꯂꯤ꯫
• ꯂꯣꯌꯔꯕꯥ ꯖꯤ.ꯑꯥꯏ.ꯁꯤꯔꯤꯖ (ꯕꯦꯔꯤꯌꯥꯝ ꯑꯦꯅꯤꯃꯥ): .ꯕꯦꯔꯤꯌꯥꯝ ꯀꯧꯕꯥ ꯂꯤꯛꯌꯨꯏꯗ ꯑꯃꯥ ꯄꯤꯔꯤ, ꯑꯃꯁꯨꯡ ꯃꯁꯤꯅꯥ ꯏꯟꯇꯦꯁ꯭ꯇꯥꯏꯅꯁꯤꯡꯗꯥ ꯆꯠꯄꯥ ꯃꯇꯃꯗꯥ ꯑꯦꯛꯁ-ꯔꯦ ꯚꯤꯗꯤꯑꯣꯁꯤꯡꯒꯤ ꯁꯤꯔꯤꯖ ꯑꯃꯥ ꯂꯧꯏ꯫
• ꯏꯂꯦꯛꯠꯔꯣꯃꯥꯌꯣꯒ꯭ꯔꯥꯐꯤ (EMG): ꯃꯁꯂꯒꯤ ꯐꯉ꯭ꯀꯁꯟ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯔꯤꯕꯥ ꯅꯔꯚꯁꯤꯡꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯆꯦꯛ ꯇꯧꯕꯥ ꯇꯦꯁ꯭ꯠ ꯑꯃꯅꯤ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯂꯥꯏꯌꯦꯡꯗꯅꯥ ꯊꯃꯖꯤꯜꯂꯕꯗꯤ ꯀꯔꯤ ꯑꯣꯏꯒꯅꯤ?

ꯃꯁꯤ ꯄꯨꯟꯁꯤꯗꯥ ꯈꯨꯗꯣꯡꯊꯤꯅꯤꯉꯥꯏ ꯑꯣꯏꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ, ꯑꯗꯨꯕꯨ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯂꯥꯏꯌꯦꯡꯗꯅꯥ ꯂꯩꯔꯕꯗꯤ, ꯑꯁꯣꯛ-ꯑꯄꯟ ꯑꯁꯤ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ ꯌꯥꯏ ꯑꯃꯁꯨꯡ ꯁꯥꯊꯤꯕꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫

• ꯐꯤꯀꯦꯜ ꯏꯅꯀꯟꯇꯤꯅꯦꯟꯁ (fecal incontinence): ꯃꯁꯤ ꯔꯦꯛꯇꯃꯗꯥ ꯂꯩꯕꯥ ꯃꯁꯂꯁꯤꯡꯅꯥ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯁꯣꯟꯊꯔꯀꯄꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯁ꯭ꯇꯣꯜ ꯑꯃꯁꯨꯡ ꯑꯦꯌꯔꯒꯤ ꯈꯣꯡꯖꯦꯜ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯥ ꯉꯃꯗꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫ ꯃꯁꯤꯒꯤ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯑꯁꯤꯅꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯒꯤ 50%-75%ꯗꯥ ꯁꯣꯀꯍꯜꯂꯤ꯫
• ꯔꯦꯛꯇꯃꯒꯤ ꯑꯂꯁꯔꯁꯤꯡ (rectal Ulcers): ꯔꯦꯛꯇꯃꯒꯤ ꯃꯄꯥꯟꯗꯥ ꯊꯣꯀꯄꯥ ꯁꯔꯨꯛ ꯑꯗꯨ ꯄꯣꯠꯁꯀꯁꯤꯡꯗꯥ ꯁꯣꯛ-ꯄꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯁꯣꯀꯄꯗꯒꯤ ꯏ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫
• ꯏꯅꯀꯔꯁꯦꯁꯟ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯔꯦꯛꯇꯃꯒꯤ ꯂꯥꯀꯄꯥ ꯁꯔꯨꯛ ꯑꯗꯨ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯊꯃꯖꯤꯅꯕꯥ ꯉꯃꯗꯦ, ꯃꯁꯤ ꯈꯔꯥ ꯈꯨꯗꯣꯡꯊꯤꯅꯤꯉꯥꯏ ꯑꯣꯏꯕꯥ ꯐꯤꯚꯝ ꯑꯃꯅꯤ꯫

ꯃꯁꯤꯒꯤ ꯂꯥꯏꯌꯦꯡꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯤꯅꯣ?

ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯃꯄꯨꯡ-ꯃꯔꯩ ꯐꯥꯔꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯗꯥ ꯊꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯃꯁꯥ ꯃꯊꯟꯇꯥ ꯐꯒꯠꯂꯀꯄꯥ ꯉꯃꯗꯦ꯫ ꯃꯍꯧꯁꯥꯅꯥ ꯃꯁꯤꯒꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯥ ꯂꯥꯌꯦꯡꯗꯤ ꯁꯔꯖꯔꯤꯅꯤ . ꯀꯔꯤꯒꯨꯝꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯅꯍꯥ ꯑꯣꯏꯔꯤꯕꯥ ꯑꯉꯥꯡꯁꯤꯡꯗꯥ ꯊꯣꯛꯂꯕꯗꯤ, ꯃꯔꯝ (e.g. constipation) ꯑꯗꯨ ꯂꯧꯊꯣꯀꯈ꯭ꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯃꯁꯥ ꯃꯊꯟꯇꯥ ꯐꯒꯠꯂꯀꯄꯥ ꯌꯥꯏ꯫

ꯁꯔꯖꯔꯤꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯈꯜ ꯑꯅꯤ ꯂꯩ꯫ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯁꯦꯂꯒꯤ ꯐꯤꯚꯝ ꯑꯃꯁꯨꯡ ꯄ꯭ꯔꯣꯂꯥꯄꯁꯀꯤ ꯃꯑꯣꯡ-ꯃꯇꯧ ꯑꯗꯨꯗꯥ ꯌꯨꯝꯐꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯛꯀꯤꯗꯃꯛꯇꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯆꯨꯅꯕꯥ ꯁꯔꯖꯔꯤ ꯑꯗꯨ ꯂꯦꯄꯀꯅꯤ꯫

1. ꯑꯦꯕꯗꯣꯃꯤꯅꯦꯜ ꯑꯦꯞꯔꯣꯆ - ꯔꯦꯛꯇꯣꯄꯦꯛꯁꯤ꯫

ꯃꯁꯤꯗꯥ ꯈꯣꯡꯗꯥ ꯏꯅꯁꯤꯁꯟ ꯑꯃꯥ (ꯑꯃꯨꯛꯇꯪ ꯁꯔꯖꯔꯤ ꯅꯠꯠꯔꯒꯥ ꯂꯦꯄꯔꯣꯁ꯭ꯀꯣꯄꯤꯛ ꯑꯣꯏꯅꯥ ꯅꯠꯠꯔꯒꯥ ꯀꯤꯍꯣꯜ ꯁꯔꯖꯔꯤꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ), ꯄ꯭ꯔꯣꯂꯥꯄꯁ ꯇꯧꯔꯕꯥ ꯔꯦꯛꯇꯝ ꯑꯗꯨ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯃꯊꯛꯇꯥ ꯄꯨꯁꯤꯜꯂꯀꯄꯥ, ꯑꯃꯁꯨꯡ ꯃꯗꯨ ꯄꯦꯂꯚꯤꯛ ꯀꯦꯚꯤꯇꯤꯒꯤ ꯃꯇꯨꯡꯒꯤ ꯋꯥꯂꯗꯥ ꯐꯤꯛꯁ ꯇꯧꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯃꯦꯁꯒꯨꯝꯕꯥ ꯄꯣꯠꯁꯛ ꯑꯃꯅꯥ ꯐꯤꯛꯁ ꯇꯧꯕꯥ ꯑꯁꯤ ꯌꯥꯎꯏ꯫ ꯍꯥꯌꯔꯤꯕꯥ ꯁꯔꯖꯔꯤꯁꯤꯡ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯥꯌ ꯄꯥꯛꯂꯤ꯫

꯲.ꯄꯦꯔꯤꯅꯦꯜ ꯑꯦꯞꯔꯣꯆ ꯇꯧꯕꯥ꯫

ꯃꯁꯤꯒꯤ ꯃꯦꯊꯗ ꯑꯁꯤ ꯑꯦꯕꯗꯣꯃꯤꯅꯦꯜ ꯁꯔꯖꯔꯤ ꯇꯧꯕꯥ ꯉꯃꯗꯕꯥ, ꯑꯍꯜ ꯑꯣꯏꯔꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯇꯩ ꯃꯦꯗꯤꯀꯦꯜ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯗꯥ ꯁꯤꯖꯤꯟꯅꯩ꯫ ꯃꯁꯤꯒꯤ ꯃꯦꯊꯗ ꯑꯁꯤꯗꯥ ꯁꯔꯖꯔꯤ ꯑꯁꯤ ꯃꯁꯥ ꯃꯊꯟꯇꯥ ꯄꯥꯡꯊꯣꯀꯏ꯫

• ꯑꯂꯇꯦꯃꯦꯌꯔ ꯄ꯭ꯔꯣꯁꯤꯗ꯭ꯌꯨꯑꯣꯔ: ꯄ꯭ꯔꯣꯁꯤꯗ꯭ꯌꯨꯑꯣꯔ ꯑꯁꯤꯗꯥ, ꯏꯟꯇꯦꯁ꯭ꯇꯥꯏꯅꯒꯤ ꯃꯄꯥꯟꯗꯥ ꯊꯣꯀꯄꯥ ꯁꯔꯨꯛ ꯑꯗꯨ ꯀꯀꯊꯠꯇꯨꯅꯥ ꯂꯧꯊꯣꯀꯏ, ꯑꯃꯁꯨꯡ ꯂꯦꯃꯍꯧꯔꯤꯕꯥ ꯁꯔꯨꯛ ꯑꯅꯤ ꯑꯗꯨ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯁꯦꯃꯖꯤꯜꯂꯤ꯫
• ꯗꯦꯂꯣꯔꯃꯦ ꯄ꯭ꯔꯣꯁꯤꯗ꯭ꯌꯨꯑꯣꯔ: ꯄ꯭ꯔꯣꯁꯤꯗ꯭ꯌꯨꯑꯣꯔ ꯑꯁꯤꯗꯥ, ꯔꯦꯛꯇꯃꯒꯤ ꯄ꯭ꯔꯣꯂꯥꯄꯁ ꯇꯧꯔꯕꯥ ꯃ꯭ꯌꯨꯀꯣꯁꯥꯜ ꯂꯥꯏꯅꯤꯡ ꯈꯛꯇꯃꯛ ꯂꯧꯊꯣꯀꯏ, ꯑꯃꯁꯨꯡ ꯃꯁꯜ ꯂꯦꯌꯥꯔ ꯑꯗꯨ ꯀꯨꯄꯁꯤꯟꯗꯨꯅꯥ ꯊꯃꯖꯤꯜꯂꯤ꯫

ꯃꯁꯤꯒꯤ ꯐꯤꯚꯝ ꯑꯁꯤ ꯊꯤꯡꯕꯥ ꯉꯃꯒꯗ꯭ꯔꯥ?

ꯍꯣꯌ, ꯃꯁꯤꯒꯤ ꯔꯤꯁ꯭ꯛ ꯑꯁꯤ ꯆꯥꯡ ꯈꯔꯗꯥ ꯍꯟꯊꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯂꯥꯀꯄꯥ ꯊꯤꯡꯅꯕꯒꯤꯗꯃꯛꯇꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ ꯑꯁꯤꯁꯨ ꯃꯔꯨꯑꯣꯏ꯫

• ꯀꯟꯁꯇꯤꯄꯁꯟ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯥ: ꯐꯤꯕꯔ (ꯃꯅꯥ-ꯃꯁꯤꯡ, ꯎꯍꯩ-ꯋꯥꯍꯩ, ꯌꯦꯔꯨꯝ) ꯌꯥꯝꯅꯥ ꯌꯥꯎꯕꯥ ꯗꯥꯏꯠ ꯑꯃꯥ ꯆꯥꯒꯗꯕꯅꯤ꯫ ꯅꯣꯡꯃꯗꯥ ꯌꯥꯃꯗ꯭ꯔꯕꯗꯥ ꯏꯁꯤꯡ ꯒ꯭ꯂꯥꯁ 8-10 ꯊꯀꯎ꯫ ꯕꯥꯊꯔꯨꯃꯗꯥ ꯆꯠꯄꯥ ꯃꯇꯃꯗꯥ ꯁ꯭ꯠꯔꯦꯁ ꯂꯩꯔꯣꯏꯗꯕꯅꯤ꯫
• ꯅꯍꯥꯛꯀꯤ ꯄꯦꯂꯚꯤꯛ ꯐ꯭ꯂꯣꯔꯒꯤ ꯃꯁꯂꯁꯤꯡ ꯃꯄꯥꯉ꯭ꯒꯜ ꯀꯅꯈꯠꯍꯅꯒꯗꯕꯅꯤ: ꯃꯁꯤ ꯇꯧꯅꯕꯒꯤꯗꯃꯛ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯥ ꯑꯦꯛꯁꯔꯁꯥꯏꯖꯗꯤ ꯀꯦꯒꯦꯜ ꯑꯦꯛꯁꯔꯁꯥꯏꯖꯅꯤ . ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯇꯧꯒꯗꯒꯦ ꯍꯥꯌꯕꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔ ꯅꯠꯠꯔꯒꯥ ꯐꯤꯖꯤꯀꯦꯜ ꯊꯦꯔꯥꯄꯤꯁ꯭ꯠ ꯑꯗꯨꯗꯥ ꯄꯥꯎꯇꯥꯛ ꯂꯧꯕꯥ ꯌꯥꯏ꯫
• ꯍꯀꯁꯦꯜ ꯐꯕꯥ ꯑꯔꯨꯝꯕꯥ ꯑꯃꯥ ꯊꯝꯕꯥ: ꯑꯍꯦꯅꯕꯥ ꯑꯔꯨꯝꯕꯥ ꯑꯁꯤꯅꯥ ꯄꯦꯂꯚꯤꯛ ꯐ꯭ꯂꯣꯔꯒꯤ ꯃꯁꯂꯁꯤꯡꯗꯥ ꯑꯍꯦꯅꯕꯥ ꯄ꯭ꯔꯦꯁꯔ ꯄꯤ꯫