ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯚꯦꯖꯤꯅꯦꯜ ꯑꯦꯔꯤꯌꯥ ꯑꯗꯨꯗꯥ ꯑꯆꯝꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯄꯣꯠꯁꯛ ꯑꯃꯥ ꯂꯩꯔꯦ ꯍꯥꯌꯅꯥ ꯈꯜꯂꯕ꯭ꯔꯥ? ꯋꯥꯔꯤ ꯁꯥꯅꯕꯗꯥ ꯈꯔꯥ ꯂꯥꯡꯇꯛꯅꯕꯥ ꯄꯣꯀꯄꯥ ꯌꯥꯏ ꯑꯗꯨꯕꯨ ꯃꯁꯤ ꯑꯋꯥꯕꯥ ꯋꯥꯐꯝ ꯑꯃꯁꯨ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫ ꯉꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯈꯔꯥ ꯁꯦꯟꯁꯤꯇꯤꯕ ꯑꯣꯏꯕꯥ ꯍꯤꯔꯝ ꯑꯃꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯔꯤ, ꯑꯗꯨꯕꯨ ꯃꯁꯤ ꯃꯤꯑꯣꯏ ꯀꯌꯥꯒꯤꯗꯃꯛ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫ ꯍꯥꯌꯕꯗꯤ, ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯋꯥꯍꯟꯊꯣꯛꯀꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ (Rectovaginal Fistula) ꯀꯧꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯥ ꯑꯣꯏꯔꯤꯕꯥ, ꯈꯣꯡ ꯑꯃꯁꯨꯡ ꯈꯣꯡꯒꯤ ꯃꯔꯛꯇꯥ ꯂꯩꯕꯥ ꯑꯦꯕꯅꯣꯔꯃꯦꯜ ꯀꯅꯦꯛꯁꯟ ꯑꯃꯥ꯫
ꯃꯁꯤ ꯀꯔꯤꯅꯣ (ꯔꯦꯛꯇꯣꯚꯦꯖꯤꯅꯦꯜ ꯐꯤꯁ꯭ꯇꯨꯂꯥ)? ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯂꯧꯁꯤꯅꯁꯤ!
ꯑꯣꯀꯦ, ꯍꯧꯖꯤꯛ ꯃꯁꯤ (Rectovaginal Fistula) ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯁꯤ꯫ ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯃꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯔꯦꯛꯇꯝ (rectum) - ꯅꯍꯥꯛꯀꯤ ꯌꯦꯅꯒꯣꯟꯗꯒꯤ ꯅꯍꯥꯛꯀꯤ ꯔꯦꯛꯇꯝ ꯐꯥꯎꯕꯥ ꯆꯠꯂꯤꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯆꯧꯕꯥ ꯏꯟꯇꯦꯁ꯭ꯇꯥꯏꯟ (colon)ꯒꯤ ꯁꯔꯨꯛ ꯑꯗꯨ - ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯚꯦꯖꯤꯅꯦꯂꯒꯤ ꯃꯔꯛꯇꯥ ꯁꯦꯝꯕꯥ ꯑꯅꯧꯕꯥ ꯇꯤꯎꯕꯒꯨꯝꯕꯥ ꯍꯣꯜ ꯑꯃꯅꯤ꯫ ꯈꯟꯊꯕꯤꯌꯨ, ꯑꯣꯔꯒꯥꯟ ꯑꯅꯤ ꯑꯁꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯑꯃꯒꯥ ꯑꯃꯒꯥ ꯌꯥꯝꯅꯥ ꯅꯛꯅꯅꯥ ꯂꯩ꯫ ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯅꯥ ꯑꯅꯤꯁꯤꯒꯤ ꯃꯔꯛꯇꯥ ꯀꯅꯦꯛꯁꯟ ꯑꯃꯠꯇꯥ ꯂꯩꯇꯦ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯔꯝ ꯈꯔꯗꯒꯤ ꯑꯅꯤ ꯑꯁꯤꯒꯤ ꯃꯔꯛꯇꯥ ꯂꯩꯕꯥ ꯇꯤꯁꯨ ꯑꯗꯨ ꯁꯣꯀꯍꯜꯂꯕꯥ ꯑꯃꯁꯨꯡ ꯁꯤꯔꯕꯗꯤ, ꯍꯨꯔꯥꯅꯕꯥ ꯑꯃꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯩꯈꯣꯌꯅꯥ ꯀꯧꯔꯤꯕꯥ ꯐꯤꯁ꯭ꯇꯨꯂꯥ ꯑꯃꯥ ꯁꯦꯝꯃꯤ꯫
ꯃꯁꯤꯒꯤ ꯃꯑꯣꯡ ꯑꯁꯤꯅꯥ ꯐꯤꯁ꯭ꯇꯨꯂꯥ ꯑꯃꯥ ꯁꯦꯝꯂꯕꯥ ꯃꯇꯃꯗꯥ, ꯅꯍꯥꯛꯀꯤ ꯔꯦꯛꯇꯃꯗꯒꯤ ꯂꯥꯀꯄꯥ ꯁ꯭ꯇꯣꯜ ꯑꯃꯁꯨꯡ ꯒ꯭ꯌꯥꯁ ꯑꯗꯨ ꯅꯍꯥꯛꯀꯤ ꯚꯦꯖꯤꯅꯦꯂꯗꯥ ꯆꯪꯂꯀꯄꯥ ꯍꯧꯏ꯫ ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯐꯤꯚꯝ ꯑꯃꯅꯤ꯫ ꯍꯥꯌꯔꯤꯕꯥ ꯐꯤꯁ꯭ꯇꯨꯂꯥꯁꯤꯡ ꯑꯁꯤ ꯁꯥꯏꯖ ꯑꯃꯁꯨꯡ ꯃꯑꯣꯡ ꯄꯨꯝꯅꯃꯛꯇꯥ ꯂꯥꯀꯄꯥ ꯌꯥꯏ꯫ ꯈꯔꯅꯥ ꯑꯄꯤꯀꯄꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ, ꯑꯗꯨꯒꯥ ꯈꯔꯅꯥ ꯑꯆꯧꯕꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫
ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯅꯣꯡꯃꯒꯤ ꯑꯣꯏꯕꯥ ꯊꯕꯛ ꯊꯧꯔꯃꯁꯤꯡ ꯄꯥꯡꯊꯣꯀꯄꯗꯥ ꯑꯋꯥꯕꯥ ꯑꯃꯁꯨꯡ ꯑꯋꯥꯕꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯕꯨ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯥ ꯋꯥꯐꯃꯗꯤ ꯃꯁꯤ ꯂꯥꯌꯦꯡꯕꯥ ꯌꯥꯏ, ꯑꯃꯁꯨꯡ ꯑꯌꯥꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯃꯁꯤ ꯁꯔꯖꯔꯤꯅꯥ ꯐꯍꯅꯕꯥ ꯉꯝꯃꯤ꯫ ꯅꯍꯥꯛꯀꯤ ꯃꯦꯗꯤꯀꯦꯜ ꯇꯤꯃꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯃꯊꯧ ꯇꯥꯕꯥ ꯂꯥꯏꯌꯦꯡ ꯑꯃꯁꯨꯡ ꯄꯥꯎꯇꯥꯀꯁꯤꯡ ꯄꯤꯅꯕꯥ ꯁꯦꯝ ꯁꯥꯗꯨꯅꯥ ꯂꯩꯔꯤ꯫
ꯑꯗꯣꯃꯗꯁꯨ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯂꯩꯕ꯭ꯔꯥ? (ꯔꯦꯛꯇꯣꯚꯦꯖꯤꯅꯦꯜ ꯐꯤꯁ꯭ꯇꯨꯂꯥ) ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ꯫
ꯍꯧꯖꯤꯛ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤꯒꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ (Rectovaginal Fistula) ꯑꯁꯤ ꯀꯔꯤꯅꯣ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯁꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯃꯗꯒꯤ ꯍꯦꯅꯕꯥ ꯂꯩꯔꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯁꯣꯌꯗꯅꯥ ꯗꯣꯛꯇꯔ ꯑꯃꯒꯥ ꯇꯥꯟꯅꯒꯗꯕꯅꯤ꯫
- ꯈꯣꯝꯂꯥꯡꯗꯒꯤ ꯂꯥꯀꯄꯥ ꯑꯀꯥꯌ-ꯑꯇꯣꯌꯁꯤꯡ (foul-smelling discharge) ꯑꯃꯥ : ꯃꯁꯤ ꯃꯤꯑꯣꯏ ꯀꯌꯥꯅꯥ ꯑꯍꯥꯅꯕꯥ ꯑꯣꯏꯅꯥ ꯈꯪꯖꯤꯅꯕꯥ ꯋꯥꯐꯝ ꯑꯃꯅꯤ꯫
- ꯚꯦꯖꯤꯅꯦꯜ ꯗꯤꯁꯆꯥꯔꯖ ꯅꯠꯠꯔꯒꯥ ꯒ꯭ꯌꯥꯁ: ꯃꯁꯤꯅꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯑꯃꯁꯨꯡ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯌꯦꯛ ꯁꯦꯡꯕꯥ ꯂꯥꯏꯑꯣꯡꯅꯤ꯫
- ꯁꯦꯛꯁꯀꯤ ꯃꯇꯃꯗꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ (Dyspareunia): ꯃꯁꯤꯁꯨ ꯃꯤꯑꯣꯏ ꯀꯌꯥꯅꯥ ꯊꯦꯡꯅꯔꯤꯕꯥ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯑꯃꯅꯤ꯫
- ꯄꯦꯂꯚꯤꯛ ꯑꯦꯔꯤꯌꯥ ꯄꯦꯏꯟ (Pelvic area pain): ꯃꯁꯤꯅꯥ ꯃꯈꯥ ꯊꯪꯕꯥ ꯁꯔꯨꯛꯇꯥ ꯂꯦꯡ-ꯑꯣꯠꯄꯒꯤ ꯃꯑꯣꯡ ꯑꯃꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫
- ꯔꯦꯛꯇꯝ ꯅꯠꯠꯔꯒꯥ ꯚꯦꯖꯤꯅꯦꯂꯗꯒꯤ ꯏ ꯊꯣꯀꯄꯥ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯏ ꯊꯣꯀꯄꯥ ꯃꯈꯜ ꯑꯁꯤ ꯎꯕꯥ ꯐꯪꯏ꯫
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯍꯦꯛꯇꯥ ꯂꯩꯔꯕꯗꯤ, ꯆꯥꯅꯕꯤꯗꯨꯅꯥ ꯈꯨꯗꯛꯇꯥ ꯗꯣꯛꯇꯔ ꯑꯃꯗꯥ ꯇꯥꯀꯄꯤꯌꯨ, ꯃꯔꯃꯗꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯂꯥꯏꯌꯦꯡꯗ꯭ꯔꯕꯗꯤ ꯃꯈꯥ ꯇꯥꯅꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫
ꯃꯁꯤ ꯀꯔꯤꯒꯤ ꯊꯣꯛꯂꯤꯕꯅꯣ? (ꯔꯦꯛꯇꯣꯚꯦꯖꯤꯅꯦꯜ ꯐꯤꯁ꯭ꯇꯨꯂꯥ) ꯃꯔꯃꯁꯤꯡ꯫
ꯔꯦꯛꯇꯣꯚꯦꯖꯤꯅꯦꯜ ꯐꯤꯁ꯭ꯇꯨꯂꯥ (rectovaginal fistula) ꯑꯁꯤ ꯃꯍꯧꯁꯥꯅꯥ ꯚꯦꯖꯤꯅꯦꯜ ꯑꯃꯁꯨꯡ ꯑꯦꯅꯨꯁꯀꯤ ꯃꯔꯛꯇꯥ ꯂꯩꯕꯥ ꯇꯤꯁꯨ ꯑꯗꯨ ꯁꯣꯀꯍꯜꯂꯕꯥ ꯑꯃꯁꯨꯡ ꯁꯤꯕꯥ ꯃꯇꯃꯗꯥ ꯊꯣꯀꯏ꯫ ꯃꯁꯤ ꯍꯣꯜ ꯅꯠꯠꯔꯒꯥ ꯐꯤꯁ꯭ꯇꯨꯂꯥ (fistula) ꯁꯦꯝꯕꯥ ꯃꯇꯃꯅꯤ꯫ ꯃꯁꯤ ꯅꯨꯃꯤꯠ ꯈꯔꯅꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯂꯥꯀꯄꯥ ꯌꯥꯏ, ꯅꯠꯠꯔꯒꯥ ꯆꯍꯤ ꯀꯌꯥꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ ꯌꯥꯏ꯫
ꯔꯦꯛꯇꯣꯚꯦꯖꯤꯅꯦꯜ ꯐꯤꯁ꯭ꯇꯨꯂꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯕꯥ ꯃꯔꯝ ꯀꯌꯥ ꯂꯩ꯫ ꯃꯈꯣꯌꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯤꯅꯣ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯁꯤ:
- ꯑꯉꯥꯡ ꯄꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯄꯥ : ꯑꯌꯥꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯃꯁꯤꯅꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯔꯃꯅꯤ꯫ ꯐꯤꯁ꯭ꯇꯨꯂꯥ ꯃꯈꯜ ꯑꯁꯤ ꯚꯦꯖꯤꯅꯦꯜ ꯑꯗꯨ ꯁꯣꯀꯄꯥ (vaginal tears) ꯅꯠꯠꯔꯒꯥ ꯑꯉꯥꯡ ꯄꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯏꯄꯤꯁꯤꯑꯣꯇꯣꯃꯤꯒꯤ ꯑꯁꯣꯀꯄꯥ ꯑꯃꯥ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯐꯒꯠꯂꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯂꯥꯀꯄꯥ ꯌꯥꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯗꯦꯂꯤꯚꯔꯤ ꯑꯗꯨ ꯈꯔꯥ ꯑꯋꯥꯕꯥ ꯑꯣꯏꯔꯕꯗꯤ, ꯅꯠꯠꯔꯒꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯏꯅꯁ꯭ꯠꯔꯨꯃꯦꯟꯇꯁꯤꯡ ꯁꯤꯖꯤꯟꯅꯔꯕꯗꯤ ꯃꯁꯤ ꯍꯦꯟꯅꯥ ꯊꯣꯀꯏ꯫
- ꯗꯥꯏꯚꯔꯇꯤꯀꯨꯂꯥꯏꯇꯤꯁꯀꯤ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯀꯣꯂꯣꯅꯒꯤ ꯋꯥꯂꯗꯥ ꯁꯦꯝꯕꯥ ꯑꯄꯤꯀꯄꯥ ꯄꯥꯎꯆꯦꯁꯤꯡ (diverticulum) ꯑꯗꯨ ꯏꯅꯐꯦꯛꯁꯟ ꯂꯩꯔꯕꯥ ꯑꯃꯁꯨꯡ ꯑꯦꯕꯁꯦꯁ ꯑꯃꯥ ꯁꯦꯝꯂꯕꯗꯤ, ꯃꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯚꯦꯖꯤꯅꯦꯂꯒꯤ ꯋꯥꯜ ꯑꯗꯨꯗꯥ ꯁꯟꯗꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ, ꯐꯤꯁ꯭ꯇꯨꯂꯥ ꯑꯃꯥ ꯁꯦꯝꯕꯥ ꯌꯥꯏ꯫
- ꯏꯅꯐ꯭ꯂꯦꯃꯦꯇꯔꯤ ꯕꯣꯋꯦꯜ ꯗꯤꯖꯤꯖ (IBDs): ꯀ꯭ꯔꯣꯅꯤꯛ ꯂꯥꯌꯅꯥ ꯑꯃꯁꯨꯡ ꯑꯂꯁꯦꯔꯦꯇꯤꯚ ꯀꯣꯂꯥꯏꯇꯤꯁꯒꯨꯝꯕꯥ ꯂꯥꯌꯅꯥꯁꯤꯡꯅꯥ ꯔꯦꯛꯇꯝ ꯑꯃꯁꯨꯡ ꯚꯦꯖꯤꯅꯦꯂꯒꯤ ꯇꯤꯁꯨꯁꯤꯡꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ, ꯃꯗꯨꯅꯥ ꯐꯤꯁ꯭ꯇꯨꯂꯥ (fistulas) ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫
- ꯑꯦꯕꯗꯣꯃꯤꯅꯦꯜ ꯅꯠꯠꯔꯒꯥ ꯄꯦꯂꯚꯤꯛ ꯁꯔꯖꯔꯤ: ꯁꯔꯖꯔꯤ ꯈꯔꯒꯤ ꯃꯅꯨꯡꯗꯥ, ꯍꯥꯌꯕꯗꯤ ꯍꯥꯏꯁ꯭ꯇꯦꯔꯦꯛꯇꯣꯃꯤ, ꯍꯦꯃꯣꯔꯦꯖ, ꯖꯦ-ꯄꯥꯎꯆ ꯁꯔꯖꯔꯤ, ꯅꯠꯠꯔꯒꯥ ꯄꯦꯂꯚꯤꯛ ꯑꯣꯔꯒꯥꯟ ꯄ꯭ꯔꯣꯂꯥꯄꯁ ꯁꯔꯖꯔꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯔꯦꯛꯇꯝ ꯅꯠꯠꯔꯒꯥ ꯚꯦꯖꯤꯅꯦꯜ ꯑꯗꯨ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯛꯂꯕꯗꯤ, ꯅꯠꯠꯔꯒꯥ ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯑꯁꯣꯛ-ꯑꯄꯅꯁꯤꯡ ꯑꯗꯨ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯐꯒꯠꯂꯛꯠꯔꯕꯗꯤ ꯐꯤꯁ꯭ꯇꯨꯂꯥ ꯑꯃꯥ ꯂꯥꯀꯄꯥ ꯌꯥꯏ꯫
- ꯀꯦꯟꯁꯔ: ꯑꯁꯤꯒꯨꯝꯕꯥ ꯐꯤꯁ꯭ꯇꯨꯂꯥꯁꯤꯡ ꯑꯁꯤ ꯁꯔꯚꯤꯀꯦꯜ ꯀꯦꯟꯁꯔ ꯅꯠꯠꯔꯒꯥ ꯀꯣꯂꯣꯔꯦꯛꯇꯜ ꯀꯦꯟꯁꯔꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯑꯩꯈꯣꯌꯅꯥ ꯃꯁꯤꯕꯨ ꯃꯦꯂꯤꯒꯅꯦꯟꯇ ꯐꯤꯁ꯭ꯇꯨꯂꯥ ꯍꯥꯌꯅꯥ ꯀꯧꯏ .
- ꯄꯦꯂꯚꯤꯛ ꯑꯦꯔꯤꯌꯥꯗꯥ ꯔꯦꯗꯤꯑꯦꯁꯟ ꯊꯦꯔꯥꯄꯤ: ꯀꯦꯟꯁꯔꯒꯨꯝꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡꯒꯤꯗꯃꯛꯇꯥ ꯔꯦꯗꯤꯑꯦꯁꯟ ꯊꯦꯔꯥꯄꯤ ꯄꯤꯕꯥ ꯃꯇꯃꯗꯥ, ꯃꯐꯝ ꯑꯗꯨꯗꯥ ꯂꯩꯔꯤꯕꯥ ꯇꯤꯁꯨꯁꯤꯡꯗꯥ ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ, ꯃꯈꯣꯌꯒꯤ ꯐꯒꯠꯂꯀꯄꯒꯤ ꯇꯧꯕꯥ ꯉꯝꯕꯁꯤꯡ ꯍꯟꯊꯍꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯐꯤꯁ꯭ꯇꯨꯂꯥ ꯁꯦꯝꯕꯥ ꯌꯥꯏ꯫
- ꯁꯦꯛꯁ ꯇꯧꯕꯥ ꯃꯇꯃꯗꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯇꯣꯞꯄꯥ ꯃꯄꯥꯟꯊꯣꯡꯒꯤ ꯄꯣꯠꯁꯛ ꯑꯃꯗꯒꯤ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯄꯥ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯁꯦꯛꯁꯀꯤ ꯃꯇꯃꯗꯥ ꯚꯦꯖꯤꯅꯦꯜ ꯅꯠꯠꯔꯒꯥ ꯑꯦꯅꯥꯁ ꯑꯗꯨ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯅꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯛꯂꯕꯗꯤ, ꯅꯠꯠꯔꯒꯥ ꯃꯍꯧꯁꯥꯗꯒꯤ ꯂꯥꯀꯄꯥ ꯄꯣꯠꯁꯛ ꯑꯃꯥ ꯚꯦꯖꯤꯅꯦꯂꯗꯥ ꯆꯪꯂꯕꯗꯤ ꯐꯤꯁ꯭ꯇꯨꯂꯥ (fistula) ꯂꯥꯀꯄꯥ ꯌꯥꯏ꯫
- ꯏꯅꯐꯦꯛꯁꯅꯁꯤꯡ: ꯑꯦꯅꯥꯜ ꯒ꯭ꯜꯌꯥꯟꯗꯁꯤꯡ ꯅꯠꯠꯔꯒꯥ ꯕꯥꯔꯊꯣꯂꯤꯟ ꯒ꯭ꯜꯌꯥꯟꯗꯁꯤꯡꯗꯥ ꯏꯅꯐꯦꯛꯁꯅꯁꯤꯡꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯐꯤꯁ꯭ꯇꯨꯂꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫
ꯌꯥꯝꯅꯥ ꯇꯣꯏꯅꯥ, ꯃꯤꯑꯣꯏ ꯑꯃꯕꯨ ꯔꯦꯛꯇꯣꯚꯦꯖꯤꯅꯦꯜ ꯐꯤꯁ꯭ꯇꯨꯂꯥ (rectovaginal fistula)ꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯄꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯃꯁꯤꯕꯨ ꯀꯣꯟꯖꯦꯅꯤꯑꯦꯜ ꯑꯥꯔ.ꯚꯤ.ꯑꯦꯐ .
ꯃꯁꯤꯒꯤ ꯑꯣꯏꯊꯣꯀꯄꯥ ꯌꯥꯕꯥ ꯁꯥꯏꯗ ꯏꯐꯦꯛꯇꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯔꯦꯛꯇꯣꯚꯦꯖꯤꯅꯦꯜ ꯐꯤꯁ꯭ꯇꯨꯂꯥ ꯑꯃꯥ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯂꯥꯏꯌꯦꯡꯗ꯭ꯔꯕꯗꯤ, ꯃꯁꯤꯅꯥ ꯃꯈꯜ-ꯃꯈꯥ ꯀꯌꯥꯒꯤ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯃꯔꯝ ꯑꯁꯤꯅꯥ ꯂꯥꯏꯑꯣꯡ ꯎꯠꯇꯕꯥ ꯃꯇꯃꯗꯥ ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯄꯥꯎꯇꯥꯛ ꯂꯧꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫
- ꯑꯦꯕꯁꯦꯁ ꯅꯠꯠꯔꯒꯥ ꯏꯅꯐꯦꯛꯁꯟ (abscess or infection): ꯀꯔꯤꯒꯨꯝꯕꯥ ꯂꯥꯏꯌꯦꯡꯗꯅꯥ ꯊꯝꯂꯕꯗꯤ ꯄꯨꯟꯁꯤ ꯃꯥꯡꯍꯅꯕꯥ ꯌꯥꯏ꯫
- ꯐꯤꯁ꯭ꯇꯨꯂꯥ ꯔꯤꯀꯣꯚꯔꯤ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯃꯇꯨꯡꯗꯁꯨ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯂꯥꯀꯄꯥ ꯌꯥꯏ꯫
- ꯚꯦꯖꯤꯅꯦꯜ, ꯋꯨꯂꯚꯥ, ꯄꯦꯔꯤꯅꯤꯌꯝ ꯅꯠꯠꯔꯒꯥ ꯑꯦꯅꯥꯁꯀꯤ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯁꯟ ꯑꯃꯁꯨꯡ ꯏꯆꯝ ꯆꯝꯕꯥ꯫
- ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯌꯨꯔꯤꯅꯔꯤ ꯇ꯭ꯔꯦꯛꯇ ꯏꯅꯐꯦꯛꯁꯟ (UTIs) ꯅꯠꯠꯔꯒꯥ ꯚꯦꯖꯦꯅꯥꯏꯇꯤꯁ꯫
ꯍꯀꯆꯥꯡꯒꯤ ꯑꯁꯣꯛ-ꯑꯄꯅꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯊꯛꯇꯥ, ꯔꯦꯛꯇꯣꯚꯦꯖꯤꯅꯦꯜ ꯐꯤꯁ꯭ꯇꯨꯂꯥꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯃꯦꯟꯇꯦꯜ ꯍꯦꯂꯊꯇꯥꯁꯨ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯁꯥꯐꯨ ꯑꯃꯥ ꯄꯤꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯑꯃꯁꯨꯡ ꯁꯣꯁꯤꯑꯦꯜ ꯑꯥꯏꯁꯣꯂꯦꯇꯦꯗ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯐꯥꯎꯔꯕꯗꯤ, ꯃꯦꯟꯇꯦꯜ ꯍꯦꯂꯊ ꯄ꯭ꯔꯣꯐꯦꯁꯅꯦꯜ ꯑꯃꯗꯒꯤ ꯃꯇꯦꯡ ꯂꯧꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫
ꯗꯣꯛꯇꯔ ꯑꯃꯅꯥ ꯃꯁꯤ ꯀꯔꯝꯅꯥ ꯈꯉꯗꯣꯀꯄꯥ ꯉꯃꯒꯅꯤ?
ꯅꯍꯥꯛꯅꯥ ꯗꯣꯛꯇꯔ ꯑꯃꯗꯥ ꯆꯠꯄꯥ ꯃꯇꯃꯗꯥ, ꯃꯍꯥꯛꯅꯥ ꯑꯍꯥꯅꯕꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯃꯦꯗꯤꯀꯦꯜ ꯍꯤꯁ꯭ꯇꯔꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯍꯪꯒꯅꯤ꯫ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯃꯈꯣꯌꯅꯥ ꯐꯤꯖꯤꯀꯦꯜ ꯑꯦꯀꯖꯥꯝ ꯑꯃꯁꯨꯡ ꯄꯦꯂꯚꯤꯛ ꯑꯦꯀꯖꯥꯝ ꯇꯧꯒꯅꯤ꯫
ꯃꯊꯪꯗꯥ, ꯃꯈꯣꯌꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯔꯦꯛꯇꯣꯚꯦꯖꯤꯅꯦꯜ ꯐꯤꯁ꯭ꯇꯨꯂꯥ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯀꯅꯐꯥꯔꯝ ꯇꯧꯅꯕꯥ, ꯃꯔꯝ ꯑꯗꯨ ꯈꯪꯗꯣꯛꯅꯕꯥ (ꯀꯔꯤꯒꯨꯝꯕꯥ ꯇꯁꯦꯡꯅꯥ ꯈꯪꯂꯕꯗꯤ), ꯑꯃꯁꯨꯡ ꯐꯤꯁ꯭ꯇꯨꯂꯥ ꯑꯗꯨꯒꯤ ꯆꯥꯡ ꯑꯗꯨ ꯈꯪꯗꯣꯛꯅꯕꯥ ꯑꯈꯟꯅꯕꯥ ꯇꯦꯁ꯭ꯠ ꯀꯌꯥ ꯑꯃꯥ ꯑꯣꯔꯗꯔ ꯇꯧꯒꯅꯤ꯫
ꯃꯁꯤꯒꯤꯗꯃꯛꯇꯥ ꯄꯥꯡꯊꯣꯀꯄꯥ ꯇꯦꯁ꯭ꯠ ꯈꯔꯗꯤ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤ:
- ꯑꯦꯟꯗꯣꯁ꯭ꯀꯣꯄꯤ: ꯀꯣꯂꯄꯣꯁ꯭ꯀꯣꯄꯤ ꯑꯃꯁꯨꯡ/ꯅꯠꯠꯔꯒꯥ ꯄ꯭ꯔꯣꯛꯇꯣꯁꯤꯒꯃꯣꯏꯗꯣꯁ꯭ꯀꯣꯄꯤꯒꯨꯝꯕꯥ ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯑꯁꯤ ꯐꯤꯁ꯭ꯇꯨꯂꯥ ꯈꯪꯗꯣꯛꯅꯕꯥ ꯁꯤꯖꯤꯟꯅꯩ꯫ ꯃꯁꯤꯗꯥ ꯀꯦꯃꯦꯔꯥ ꯑꯃꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯇꯤꯎꯕ ꯑꯃꯥ ꯔꯦꯛꯇꯃꯗꯥ ꯍꯥꯄꯆꯤꯅꯕꯥ ꯌꯥꯎꯏ꯫
- ꯑꯦꯅꯥꯁ꯭ꯇꯦꯁꯤꯌꯥꯒꯤ ꯃꯈꯥꯗꯥ ꯌꯦꯡꯁꯤꯅꯕꯥ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯐꯤꯁ꯭ꯇꯨꯂꯥ ꯑꯗꯨ ꯍꯦꯟꯅꯥ ꯅꯛꯅꯥ ꯌꯦꯡꯁꯤꯟꯅꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯦꯅꯥꯁ꯭ꯇꯦꯇꯤꯛ ꯇꯧꯕꯥ ꯌꯥꯏ꯫
- ꯃꯄꯨꯡꯐꯥꯕꯥ ꯕ꯭ꯂꯗ ꯀꯥꯎꯟꯇ (CBC) ꯑꯃꯁꯨꯡ ꯌꯨꯔꯤꯅꯂꯥꯏꯁꯤꯁ: ꯏꯅꯐꯦꯛꯁꯅꯁꯤꯡ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯆꯦꯛ ꯇꯧ꯫
- ꯄꯦꯂꯚꯤꯛ ꯑꯦꯔꯤꯌꯥꯒꯤ MRI ꯅꯠꯠꯔꯒꯥ CT ꯁ꯭ꯀꯦꯟ ꯇꯧꯕꯥ: ꯚꯦꯖꯤꯅꯦꯜ ꯑꯃꯁꯨꯡ ꯔꯦꯛꯇꯃꯒꯤ ꯃꯌꯦꯛ ꯁꯦꯡꯕꯥ ꯏꯃꯦꯖꯁꯤꯡ ꯂꯧꯕꯥ꯫
- ꯕꯥꯏꯑꯣꯞꯁꯤ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯁꯤ ꯀꯦꯟꯁꯔꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯑꯣꯏꯔꯀꯄꯥ ꯌꯥꯏ ꯍꯥꯌꯕꯒꯤ ꯆꯤꯡꯅꯕꯥ ꯂꯩꯔꯕꯗꯤ, ꯇꯤꯁꯨ ꯑꯃꯒꯤ ꯁꯔꯨꯛ ꯑꯃꯥ ꯂꯧꯗꯨꯅꯥ ꯌꯦꯡꯁꯤꯅꯒꯅꯤ꯫
ꯂꯥꯏꯌꯦꯡꯕꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ? ꯑꯩꯈꯣꯌ ꯐꯒꯠꯂꯛꯀꯅꯤ!
ꯔꯦꯛꯇꯣꯚꯦꯖꯤꯅꯦꯜ ꯐꯤꯁ꯭ꯇꯨꯂꯥ ꯂꯥꯏꯌꯦꯡꯕꯥ ꯃꯇꯃꯗꯥ ꯈꯟꯅꯒꯗꯕꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯋꯥꯐꯝ ꯑꯍꯨꯝ ꯂꯩ:
1. ꯐꯤꯁ꯭ꯇꯨꯂꯥꯒꯤ ꯃꯔꯝ ꯑꯗꯨ ꯂꯥꯏꯌꯦꯡꯕꯥ꯫
2. ꯐꯤꯁ꯭ꯇꯨꯂꯥ ꯃꯁꯥꯃꯛ ꯂꯥꯏꯌꯦꯡꯕꯥ꯫
ꯃꯔꯤ ꯂꯩꯅꯕꯥ ꯁꯥꯏꯗ ꯏꯐꯦꯛꯇꯁꯤꯡ ꯂꯥꯌꯦꯡꯕꯥ ꯳.
ꯅꯍꯥꯛ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯄꯨꯟꯅꯥ ꯅꯍꯥꯛꯀꯤꯗꯃꯛꯇꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯥ ꯂꯥꯏꯌꯦꯡꯒꯤ ꯄ꯭ꯂꯥꯟ ꯑꯗꯨ ꯂꯦꯄꯀꯅꯤ꯫
ꯃꯍꯧꯁꯥꯅꯥ, ꯑꯄꯤꯀꯄꯥ ꯐꯤꯁ꯭ꯇꯨꯂꯥꯁꯤꯡꯒꯤꯗꯃꯛꯇꯥ ꯅꯟ-ꯁꯔꯖꯤꯀꯦꯜ (ꯀꯟꯖꯔꯚꯦꯇꯤꯚ) ꯂꯥꯏꯌꯦꯡꯁꯤꯡ ꯑꯁꯤ ꯑꯍꯥꯅꯕꯗꯥ ꯍꯧꯏ꯫ ꯃꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯌꯥꯑꯣꯔꯤ:
- ꯏꯅꯐꯦꯛꯁꯅꯁꯤꯡꯒꯤꯗꯃꯛꯇꯥ ꯑꯦꯟꯇꯤꯕꯥꯏꯑꯣꯇꯤꯀꯁꯤꯡ꯫
- ꯑꯟꯗꯔꯂꯥꯏꯟ ꯀꯟꯗꯤꯁꯟ (e.g., IBD)ꯒꯤꯗꯃꯛꯇꯥ ꯍꯤꯗꯥꯀꯁꯤꯡ꯫
- ꯁ꯭ꯇꯣꯜ-ꯕꯜꯀꯤꯡ ꯐꯥꯏꯕꯔ ꯁꯞꯂꯤꯃꯦꯟꯇꯁꯤꯡ꯫
- ꯋꯥꯎꯟꯗ ꯀꯦꯌꯔ ꯑꯃꯁꯨꯡ ꯗꯤꯕ꯭ꯔꯥꯏꯗꯃꯦꯟꯇ꯫
ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯐꯤꯁ꯭ꯇꯨꯂꯥ ꯑꯁꯤ ꯊꯤꯡꯅꯕꯒꯤꯗꯃꯛ ꯅꯨꯄꯤ ꯀꯌꯥꯅꯥ ꯁꯔꯖꯔꯤ ꯇꯧꯒꯗꯕꯅꯤ꯫ꯁꯔꯖꯔꯤ ꯑꯁꯤ ꯄꯥꯡꯊꯣꯛꯅꯕꯒꯤ ꯃꯑꯣꯡ ꯀꯌꯥ ꯂꯩ꯫ ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯅꯍꯥꯛꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯏꯁꯥꯒꯤ ꯍꯀꯆꯥꯡꯗꯒꯤ ꯇꯤꯁꯨ ꯅꯠꯠꯔꯒꯥ ꯂꯦꯕꯣꯔꯦꯇꯔꯤ ꯑꯃꯗꯥ ꯊꯥꯕꯥ ꯇꯤꯁꯨ ꯁꯤꯖꯤꯟꯅꯗꯨꯅꯥ ꯍꯨꯔꯥꯅꯕꯥ ꯑꯗꯨ ꯊꯤꯡꯖꯤꯅꯕꯥ ꯌꯥꯏ꯫ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯐꯤꯚꯃꯒꯤꯗꯃꯛꯇꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯥ ꯁꯔꯖꯤꯀꯦꯜ ꯃꯦꯊꯗ ꯑꯗꯨ ꯂꯦꯄꯀꯅꯤ ꯑꯃꯁꯨꯡ ꯁꯔꯖꯔꯤꯒꯤ ꯃꯃꯥꯡꯗꯥ ꯅꯍꯥꯀꯄꯨ ꯈꯪꯍꯜꯂꯛꯀꯅꯤ꯫
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯐꯤꯁ꯭ꯇꯨꯂꯥ ꯑꯗꯨ ꯌꯥꯝꯅꯥ ꯆꯥꯎꯔꯕꯗꯤ ꯅꯠꯠꯔꯒꯥ ꯌꯥꯝꯅꯥ ꯂꯨꯕꯥ ꯑꯣꯏꯔꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯃꯇꯝ ꯈꯔꯒꯤ ꯑꯣꯏꯕꯥ ꯀꯣꯂꯣꯁ꯭ꯇꯣꯃꯤ ꯑꯃꯥ ꯇꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯗꯥ ꯐꯤꯁ꯭ꯇꯨꯂꯥ ꯑꯗꯨ ꯐꯒꯠꯂꯛꯠꯔꯤꯕꯐꯥꯎꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯀꯣꯂꯣꯟ ꯑꯃꯁꯨꯡ ꯔꯦꯛꯇꯃꯗꯒꯤ ꯁ꯭ꯇꯣꯜ ꯐ꯭ꯂꯣ ꯑꯗꯨ ꯊꯤꯡꯖꯤꯅꯕꯥ, ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯁꯦꯝꯕꯥ ꯑꯄꯤꯀꯄꯥ ꯑꯍꯥꯡꯕꯥ ꯃꯐꯝ (stoma) ꯑꯃꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯁ꯭ꯇꯣꯜ ꯑꯗꯨ ꯕꯦꯒ ꯑꯃꯗꯥ ꯈꯣꯃꯖꯤꯅꯕꯥ ꯌꯥꯍꯅꯕꯁꯤ ꯌꯥꯎꯏ꯫ ꯅꯍꯥꯛꯅꯥ ꯕꯦꯒ ꯑꯁꯤ ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯍꯣꯡꯗꯣꯀꯄꯥ ꯃꯊꯧ ꯇꯥꯒꯅꯤ꯫ ꯐꯤꯁ꯭ꯇꯨꯂꯥ ꯑꯗꯨ ꯐꯒꯠꯂꯕꯥ ꯃꯇꯨꯡꯗꯥ, ꯅꯍꯥꯛꯀꯤ ꯕꯣꯋꯦꯜ ꯑꯗꯨ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯁꯝꯅꯍꯟꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯑꯍꯥꯡꯕꯥ ꯃꯐꯝ ꯑꯗꯨ ꯊꯤꯡꯖꯤꯟꯅꯕꯥ ꯑꯇꯣꯞꯄꯥ ꯑꯣꯄꯔꯦꯁꯟ ꯑꯃꯥ ꯇꯧꯒꯅꯤ꯫ ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯅꯥ ꯁꯣꯀꯄꯥ ꯌꯥꯏ, ꯑꯗꯨꯕꯨ ꯃꯁꯤ ꯃꯇꯝ ꯈꯔꯒꯤ ꯑꯣꯏꯕꯥ ꯈꯛꯇꯅꯤ꯫
ꯐꯒꯠꯂꯀꯄꯗꯥ ꯃꯇꯝ ꯀꯌꯥ ꯆꯪꯕꯒꯦ?
ꯑꯌꯥꯝꯕꯥ ꯀꯦꯁꯁꯤꯡꯗꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯅꯨꯃꯤꯠ ꯑꯃꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯅꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯕꯥ ꯊꯕꯛ ꯊꯧꯔꯃꯁꯤꯡꯗꯥ ꯍꯜꯂꯀꯄꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯐꯤꯁ꯭ꯇꯨꯂꯥ ꯑꯃꯥ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯐꯒꯠꯂꯀꯄꯗꯥ ꯊꯥ ꯀꯌꯥ ꯆꯪꯂꯝꯕꯥ ꯌꯥꯏ꯫ ꯅꯍꯥꯛꯅꯥ ꯐꯒꯠꯂꯀꯄꯗꯥ ꯆꯪꯕꯥ ꯃꯇꯝ ꯑꯁꯤ ꯐꯤꯁ꯭ꯇꯨꯂꯥꯒꯤ ꯁꯥꯏꯖ ꯑꯃꯁꯨꯡ ꯁꯔꯖꯔꯤꯒꯤ ꯃꯑꯣꯡ-ꯃꯇꯧ ꯑꯁꯤꯅꯆꯤꯡꯕꯥ ꯐꯦꯛꯇꯔ ꯀꯌꯥꯒꯤ ꯃꯈꯥ ꯄꯣꯜꯂꯤ꯫
ꯀꯗꯥꯏꯗꯥ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯗꯣꯛꯇꯔꯒꯥ ꯇꯥꯟꯅꯒꯗꯒꯦ?
ꯅꯍꯥꯛꯅꯥ ꯂꯥꯏꯌꯦꯡ ꯍꯧꯔꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯁꯔꯖꯔꯤ ꯇꯧꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ , ꯅꯍꯥꯛꯀꯤ ꯐꯤꯁ꯭ꯇꯨꯂꯥ ꯑꯗꯨ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯐꯒꯠꯂꯛꯂꯤꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯁꯣꯌꯗꯅꯥ ꯈꯪꯗꯣꯛꯅꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯐꯣꯂꯣ-ꯑꯞ ꯑꯦꯄꯣꯏꯟꯇꯃꯦꯟꯇꯁꯤꯡꯒꯤꯗꯃꯛꯇꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯇꯥꯟꯅꯒꯗꯕꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯗꯨ ꯍꯦꯟꯅꯥ ꯐꯠꯆꯤꯜꯂꯛꯂꯕꯗꯤ ꯅꯠꯠꯔꯒꯥ ꯑꯅꯧꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯂꯥꯀꯄꯥ ꯇꯥꯔꯕꯗꯤ ꯈꯨꯗꯛꯇꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯈꯪꯍꯜꯂꯨ꯫
ꯅꯍꯥꯛꯅꯥ ꯗꯣꯛꯇꯔꯗꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯋꯥꯍꯪꯁꯤꯡ ꯑꯁꯤ ꯍꯪꯂꯀꯄꯥ ꯌꯥꯏ:
- ꯁꯔꯖꯔꯤꯗꯒꯤ ꯀꯔꯤ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ ꯊꯣꯀꯄꯥ ꯌꯥꯕꯒꯦ?
- ꯌꯨꯃꯗꯥ ꯐꯤꯁ꯭ꯇꯨꯂꯥ ꯑꯃꯥ ꯀꯔꯝꯅꯥ ꯌꯦꯡꯁꯤꯅꯒꯅꯤ?
- ꯔꯦꯛꯇꯣꯚꯦꯖꯤꯅꯦꯜ ꯐꯤꯁ꯭ꯇꯨꯂꯥ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯊꯣꯀꯍꯟꯗꯅꯕꯥ ꯑꯩꯅꯥ ꯇꯧꯕꯥ ꯌꯥꯕꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯃꯠꯇꯥ ꯂꯩꯕ꯭ꯔꯥ?
- ꯑꯩꯅꯥ ꯑꯇꯣꯞꯄꯥ ꯃꯈꯂꯒꯤ ꯚꯦꯖꯤꯅꯦꯜ ꯐꯤꯁ꯭ꯇꯨꯂꯥ ꯂꯥꯀꯄꯒꯤ ꯔꯤꯁ꯭ꯛ ꯂꯩꯕ꯭ꯔꯥ?
ꯇꯨꯡꯗꯥ ꯀꯔꯤ ꯑꯣꯏꯒꯅꯤ? ꯑꯥꯁꯥ ꯇꯧꯗꯨꯅꯥ ꯂꯩꯌꯨ!
ꯅꯍꯥꯛꯀꯤ ꯄ꯭ꯔꯣꯒ꯭ꯅꯣꯁꯤꯁ ꯑꯁꯤ ꯐꯦꯛꯇꯔ ꯀꯌꯥꯒꯤ ꯃꯈꯥ ꯄꯣꯜꯂꯤ:
- ꯑꯥꯔ.ꯚꯤ.ꯑꯦꯐ.ꯀꯤ ꯁꯥꯏꯖ ꯑꯃꯁꯨꯡ ꯁꯦꯚꯤꯔꯤꯇꯤ꯫
- (ꯑꯥꯔ.ꯚꯤ.ꯑꯦꯐ.) ꯑꯁꯤꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯑꯣꯏꯔꯤ꯫
- ꯑꯗꯣꯃꯒꯤ ꯑꯄꯨꯅꯕꯥ ꯍꯀꯁꯦꯜ꯫
- ꯅꯍꯥꯛꯅꯥ ꯐꯪꯂꯤꯕꯥ ꯂꯥꯏꯌꯦꯡ ꯅꯠꯠꯔꯒꯥ ꯁꯔꯖꯔꯤꯒꯤ ꯃꯈꯜ ꯑꯗꯨ꯫
ꯃꯍꯧꯁꯥꯅꯥ, ꯀꯃꯞꯂꯦꯛꯁ ꯑꯣꯏꯕꯥ ꯑꯥꯔ.ꯚꯤ.ꯑꯦꯐ.ꯁꯤꯡ ꯑꯁꯤ ꯏꯆꯝ ꯆꯝꯕꯥ ꯑꯥꯔ.ꯚꯤ.ꯑꯦꯐ. ꯅꯍꯥꯛꯅꯥ ꯁꯔꯖꯔꯤ ꯑꯃꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯇꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯏ꯫ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯐꯤꯚꯝ ꯑꯗꯨꯗꯥ ꯌꯨꯝꯐꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯀꯔꯤ ꯑꯥꯁꯥ ꯇꯧꯒꯗꯒꯦ ꯍꯥꯌꯕꯒꯤ ꯑꯐꯕꯥ ꯋꯥꯈꯜꯂꯣꯟ ꯑꯃꯥ ꯄꯤꯕꯥ ꯌꯥꯏ꯫
ꯅꯍꯥꯛꯅꯥ ꯃꯃꯥꯡꯗꯥ ꯐꯤꯁ꯭ꯇꯨꯂꯥꯒꯤ ꯃꯔꯃꯗꯥ ꯇꯥꯈꯤꯗꯕꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯕꯨ ꯅꯍꯥꯛꯅꯥ ꯑꯃꯨꯛ ꯍꯟꯅꯥ (Rectovaginal Fistula) ꯂꯩꯔꯦ ꯍꯥꯌꯕꯥ ꯈꯪꯂꯕꯥ ꯃꯇꯨꯡꯗꯥ, ꯃꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯄꯨꯛꯅꯤꯡ ꯄꯨꯝꯅꯃꯛꯇꯥ ꯂꯩꯕꯥ ꯌꯥꯏ꯫ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯅꯨꯡꯇꯤꯒꯤ ꯄꯨꯟꯁꯤꯗꯥ, ꯅꯍꯥꯛꯀꯤ ꯏꯁꯥꯒꯤ ꯊꯥꯖꯕꯥ ꯐꯥꯎꯕꯗꯥ ꯁꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯕꯨ, ꯅꯤꯡꯁꯤꯡꯕꯤꯌꯨ, ꯂꯥꯏꯌꯦꯡꯕꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡꯕꯨ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯃꯁꯤ ꯐꯒꯠꯂꯀꯄꯗꯥ ꯃꯇꯝ ꯈꯔꯥ ꯆꯪꯂꯝꯕꯥ ꯌꯥꯏ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯋꯥꯔꯤ ꯁꯥꯕꯤꯌꯨ ꯑꯃꯁꯨꯡ ꯃꯈꯣꯌꯒꯤ ꯂꯃꯖꯤꯡ-ꯂꯃꯇꯥꯛ ꯑꯃꯁꯨꯡ ꯁꯄꯣꯔꯠ ꯂꯧꯕꯤꯌꯨ꯫
ꯑꯔꯣꯏꯕꯗꯥ ꯃꯁꯤ ꯅꯤꯡꯁꯤꯡꯕꯤꯌꯨ꯫
ꯉꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯈꯟꯅꯔꯤꯕꯥ ꯀꯟꯗꯤꯁꯟ (ꯔꯦꯛꯇꯣꯚꯦꯖꯤꯅꯦꯜ ꯐꯤꯁ꯭ꯇꯨꯂꯥ) ꯑꯁꯤ ꯈꯔꯥ ꯍꯦꯟꯅꯥ ꯂꯨꯝꯂꯕꯁꯨ ꯑꯃꯁꯨꯡ ꯑꯔꯨꯕꯥ ꯑꯣꯏꯔꯕꯁꯨ,ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯋꯥꯐꯃꯗꯤ ꯃꯁꯤꯒꯤ ꯂꯥꯏꯌꯦꯡ ꯑꯃꯥ ꯂꯩꯕꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯂꯩꯔꯕꯗꯤ, ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯄꯥꯎꯇꯥꯛ ꯂꯧꯕꯗꯥ ꯂꯥꯡꯇꯛꯅꯒꯅꯨ ꯅꯠꯠꯔꯒꯥ ꯂꯥꯡꯇꯛꯅꯒꯅꯨ꯫ ꯂꯥꯏꯌꯦꯡ ꯇꯣꯏꯅꯥ ꯍꯧꯕꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯌꯥꯡꯅꯥ ꯐꯒꯠꯂꯀꯄꯗꯥ ꯑꯃꯁꯨꯡ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ ꯊꯤꯡꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫ ꯑꯗꯣꯝ ꯈꯛꯇꯒꯤ ꯅꯠꯇꯦ, ꯑꯃꯁꯨꯡ ꯑꯗꯣꯃꯒꯤ ꯃꯇꯦꯡ ꯄꯥꯡꯅꯕꯥ ꯗꯣꯛꯇꯔꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯍꯦꯜꯊ ꯋꯥꯔꯀꯔꯁꯤꯡ ꯂꯩꯔꯤ꯫ ꯃꯁꯤ ꯊꯧꯅꯥ ꯐꯅꯥ ꯃꯥꯌꯣꯛꯅꯕꯤꯌꯨ!
` ꯔꯦꯛꯇꯣꯚꯦꯖꯤꯅꯦꯜ ꯐꯤꯁ꯭ꯇꯨꯂꯥ, ꯑꯥꯔ.ꯚꯤ.ꯑꯦꯐ., ꯚꯦꯖꯤꯅꯦꯜ ꯗꯤꯁꯆꯥꯔꯖ, ꯚꯦꯖꯤꯅꯦꯜ ꯑꯦꯌꯔ, ꯁꯔꯖꯔꯤ, ꯅꯨꯄꯤꯒꯤ ꯍꯀꯁꯦꯜ, ꯔꯦꯛꯇꯝ, ꯚꯦꯖꯤꯅꯥ, ꯐꯤꯁ꯭ꯇꯨꯂꯥ ꯂꯥꯌꯦꯡꯕꯥ꯫
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