ꯁꯦꯂꯤꯚꯥ ꯑꯁꯤ ꯁꯨꯞꯅꯒꯤ ꯋꯥꯐꯝ ꯑꯃꯈꯛꯇꯅꯤ! (ꯁꯥꯂꯤꯚꯥ) - ꯃꯁꯤ ꯀꯔꯤꯅꯣ ꯍꯥꯌꯕꯗꯨ ꯇꯁꯦꯡꯅꯥ ꯈꯉꯂꯁꯤ꯫

ꯑꯩꯈꯣꯌꯒꯤ ꯃꯔꯛꯇꯒꯤ ꯀꯅꯥꯒꯨꯝꯕꯥ ꯑꯃꯠꯇꯅꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯅꯨꯡꯇꯤꯒꯤ ꯄꯨꯟꯁꯤꯗꯥ "ꯁꯦꯂꯤꯚꯥ"ꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯌꯥꯝꯅꯥ ꯈꯅꯗꯦ, ꯅꯠꯇꯦ? ꯑꯩꯈꯣꯌꯅꯥ ꯃꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯃꯤꯠꯇꯥ ꯂꯩꯔꯤꯕꯥ ꯋꯥꯐꯝ ꯑꯃꯈꯛꯇꯅꯤ ꯍꯥꯌꯅꯥ ꯈꯜꯂꯤ꯫ ꯑꯗꯨꯕꯨ ꯑꯗꯣꯝꯅꯥ ꯈꯉꯕꯤꯔꯃꯒꯅꯤ ꯃꯗꯨꯗꯤ ꯃꯁꯤꯒꯤ ꯁꯦꯂꯤꯚꯥ ꯑꯁꯤ ꯌꯥꯑꯣꯗꯅꯥ ꯑꯗꯣꯝꯅꯥ ꯆꯥꯅꯕꯥ, ꯋꯥꯔꯤ ꯁꯥꯅꯕꯥ ꯅꯠꯔꯒꯥ ꯆꯥꯅꯕꯥ ꯊꯀꯄꯥ ꯉꯝꯂꯣꯏ? ꯁꯦꯂꯤꯚꯥ ꯑꯁꯤ ꯇꯁꯦꯡꯅꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯊꯧꯗꯥꯡ ꯂꯧꯔꯤꯕꯥ ꯑꯉꯀꯄꯥ ꯐ꯭ꯂꯨꯏꯗ ꯑꯃꯅꯤ꯫ ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯇꯁꯦꯡꯅꯥ, ꯑꯃꯁꯨꯡ ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ, ꯉꯁꯤ ꯋꯥꯔꯤ ꯁꯥꯁꯤ꯫

ꯁꯦꯂꯤꯚꯥꯅꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯀꯔꯤ ꯑꯆꯧꯕꯥ ꯀꯥꯟꯅꯕꯁꯤꯡ ꯄꯤꯕꯒꯦ?

ꯁꯦꯂꯤꯚꯥ ꯍꯥꯌꯕꯁꯤ ꯁꯨꯞꯅꯒꯤ ꯏꯁꯤꯡ ꯈꯔꯥ ꯈꯛꯇꯃꯛ ꯅꯠꯇꯦ꯫ ꯃꯁꯤꯅꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯑꯣꯔꯦꯜ ꯍꯦꯜꯊꯇꯥ ꯑꯆꯧꯕꯥ ꯁꯦꯕꯥ ꯑꯃꯥ ꯇꯧꯕꯇꯥ ꯅꯠꯇꯅꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯑꯄꯨꯅꯕꯥ ꯍꯀꯁꯦꯂꯗꯁꯨ ꯑꯆꯧꯕꯥ ꯁꯦꯕꯥ ꯇꯧꯔꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯩꯈꯣꯌꯅꯥ ꯁꯦꯂꯤꯚꯥ ꯃꯥꯡꯈꯤꯕꯥ ꯇꯥꯔꯕꯗꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯀꯌꯥ ꯌꯥꯝꯅꯥ ꯈꯨꯗꯣꯡꯆꯥꯗꯕꯥ ꯃꯥꯌꯣꯛꯅꯒꯅꯤ ꯍꯥꯌꯕꯗꯨ ꯈꯟꯗꯨꯅꯥ ꯌꯦꯡꯕꯤꯌꯨ꯫

ꯃꯐꯃꯁꯤꯗꯥ ꯁꯦꯂꯤꯚꯥꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯊꯣꯀꯄꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯊꯧꯗꯣꯛ ꯈꯔꯗꯤ ꯌꯥꯎꯔꯤ꯫

ꯃꯁꯤꯒꯤ ꯁꯦꯂꯤꯚꯥ ꯑꯁꯤ ꯀꯗꯥꯌꯗꯒꯤ ꯂꯥꯀꯄꯅꯣ?

ꯁꯦꯂꯤꯚꯥ ꯑꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯃꯤꯠ ꯑꯃꯁꯨꯡ ꯃꯅꯥꯛ ꯅꯀꯄꯗꯥ ꯂꯩꯕꯥ ꯁꯦꯂꯤꯚꯥꯔꯤ ꯒ꯭ꯜꯌꯥꯟꯗꯁꯤꯡꯅꯥ ꯄꯨꯊꯣꯀꯏ꯫ ꯒ꯭ꯜꯌꯥꯟꯗꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯄꯨꯊꯣꯀꯄꯥ ꯁꯦꯂꯤꯚꯥ ꯑꯁꯤ ꯑꯄꯤꯀꯄꯥ ꯇꯤꯎꯕꯁꯤꯡ (ducts)ꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯃꯤꯠꯇꯥ ꯆꯪꯏ꯫ ꯑꯩꯈꯣꯌꯒꯤ ꯁꯦꯂꯤꯚꯥꯔꯤ ꯒ꯭ꯜꯌꯥꯟꯗꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯄꯦꯔꯥ ꯑꯍꯨꯝ ꯂꯩ꯫

• ꯄꯦꯔꯣꯇꯤꯗ ꯒ꯭ꯜꯌꯥꯟꯗꯁꯤꯡ: ꯃꯈꯣꯌ ꯑꯁꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯆꯥꯎꯕꯥ ꯁꯦꯂꯤꯚꯔꯤ ꯒ꯭ꯜꯌꯥꯟꯗꯁꯤꯡꯅꯤ꯫ ꯃꯈꯣꯌ ꯑꯁꯤ ꯅꯥꯀꯣꯡꯒꯤ ꯃꯃꯥꯡꯗꯥ, ꯅꯥꯀꯣꯡꯗꯥ ꯂꯩ꯫ ꯃꯈꯣꯌꯅꯥ ꯃꯊꯛ ꯊꯪꯕꯥ ꯍꯥꯀꯆꯥꯡꯒꯤ ꯃꯅꯥꯛꯇꯥ ꯂꯩꯕꯥ ꯃꯤꯠꯇꯥ ꯂꯦꯡ-ꯑꯣꯠꯄꯗꯥ ꯆꯦꯟꯊꯍꯜꯂꯤ꯫
• ꯁꯕꯂꯤꯉ꯭ꯒꯨꯑꯦꯜ ꯒ꯭ꯜꯌꯥꯟꯗꯁꯤꯡ (sublingual glands): ꯃꯈꯣꯌ ꯑꯁꯤ ꯈꯣꯡꯒꯤ ꯃꯈꯥꯗꯥ ꯂꯩ꯫
• ꯁꯕꯃꯦꯟꯗꯤꯕꯨꯂꯔ ꯒ꯭ꯜꯌꯥꯟꯗꯁꯤꯡ (submandibular glands): ꯃꯈꯣꯌ ꯑꯁꯤ ꯃꯈꯥ ꯊꯪꯕꯥ ꯁꯔꯨꯛꯀꯤ ꯃꯈꯥꯗꯥ ꯂꯩ꯫ ꯒ꯭ꯜꯌꯥꯟꯗꯁꯤꯡ ꯑꯁꯤꯗꯒꯤ ꯂꯥꯀꯄꯥ ꯂꯦꯡ-ꯑꯣꯠꯄꯒꯤ ꯃꯑꯣꯡ-ꯃꯇꯧ ꯑꯗꯨ ꯂꯦꯡ-ꯑꯣꯠꯄꯒꯤ ꯃꯈꯥꯗꯥ ꯂꯩꯕꯥ ꯃꯤꯠꯇꯥ ꯆꯦꯟꯊꯈꯤ꯫

ꯃꯔꯨꯑꯣꯏꯕꯥ ꯒ꯭ꯜꯌꯥꯟꯗ ꯑꯍꯨꯝ ꯑꯁꯤꯅꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯁꯦꯂꯤꯚꯥꯒꯤ ꯹꯰% ꯄꯨꯊꯣꯀꯏ꯫ ꯂꯦꯃꯍꯧꯔꯤꯕꯥ 10% ꯑꯁꯤ ꯃꯤꯠ ꯄꯨꯝꯅꯃꯛꯇꯥ ꯂꯩꯕꯥ ꯑꯄꯤꯀꯄꯥ ꯁꯦꯂꯤꯚꯥꯔꯤ ꯒ꯭ꯜꯌꯥꯟꯗ ꯂꯤꯁꯤꯡ ꯀꯌꯥꯅꯥ ꯄꯨꯊꯣꯀꯏ꯫ ꯆꯥꯡꯆꯠꯇꯥ, ꯑꯍꯜ ꯑꯃꯅꯥ ꯅꯣꯡꯃꯗꯥ ꯂꯤꯇꯔ 0.5ꯗꯒꯤ 1.5 ꯐꯥꯎꯕꯒꯤ ꯁꯦꯂꯤꯚꯥ ꯄꯨꯊꯣꯀꯏ꯫

ꯁꯦꯂꯤꯚꯥ ꯄꯨꯊꯣꯀꯄꯥ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯒꯦ?

ꯁꯦꯂꯤꯚꯥ ꯄꯨꯊꯣꯀꯄꯥ ꯑꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯑꯣꯇꯣꯅꯣꯃꯤꯛ ꯅꯔꯚꯁ ꯁꯤꯁ꯭ꯇꯦꯝ (ANS)ꯅꯥ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯏ꯫ ꯃꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯈꯉꯅꯥ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯥ ꯉꯃꯗꯦ, ꯃꯁꯤ ꯃꯁꯥ ꯃꯊꯟꯇꯥ ꯊꯣꯀꯏ꯫ ꯁꯤꯁ꯭ꯇꯦꯝ ꯑꯁꯤꯒꯤ ꯁꯔꯨꯛ ꯑꯅꯤꯅꯥ ꯁꯦꯂꯤꯚꯥ ꯄꯨꯊꯣꯀꯄꯗꯥ ꯑꯀꯥꯌꯕꯥ ꯄꯤ꯫

1. ꯁꯤꯝꯄꯇꯃꯦꯇꯤꯛ ꯅꯔꯚꯁ ꯁꯤꯁ꯭ꯇꯦꯝ꯫

ꯃꯁꯤꯅꯥ ꯑꯩꯈꯣꯌꯕꯨ ꯏꯃꯔꯖꯦꯟꯁꯤ, ꯑꯀꯤꯕꯥ ꯑꯃꯁꯨꯡ ꯁ꯭ꯠꯔꯦꯁꯀꯤꯗꯃꯛ ꯁꯦꯝ ꯁꯥꯔꯤ꯫ ꯃꯁꯤ "ꯐꯥꯏꯠ-ꯑꯣꯔ-ꯐ꯭ꯂꯥꯏꯠ" ꯔꯦꯁ꯭ꯄꯣꯟꯁꯒꯨꯝꯅꯥ ꯑꯣꯏ꯫ ꯁꯤꯁ꯭ꯇꯦꯝ ꯑꯁꯤ ꯑꯦꯛꯇꯤꯚ ꯑꯣꯏꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯑꯀꯅꯕꯥ, ꯂꯦꯡ-ꯑꯣꯠꯄꯒꯤ ꯃꯑꯣꯡ-ꯃꯇꯧ ꯄꯨꯊꯣꯀꯏ꯫ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ, ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯄꯔꯤꯈꯥ ꯑꯃꯥ ꯄꯥꯡꯊꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯃꯤꯠ ꯑꯗꯨ ꯁꯨꯃꯍꯠꯄꯥ ꯐꯥꯑꯣꯏ꯫

2. ꯄꯦꯔꯥꯁꯤꯝꯄꯦꯇꯤꯛ ꯅꯔꯚꯁ ꯁꯤꯁ꯭ꯇꯦꯝ꯫

ꯃꯁꯤꯒꯤ ꯁꯤꯁ꯭ꯇꯦꯝ ꯑꯁꯤꯅꯥ ꯑꯇꯣꯞꯄꯥ ꯁꯤꯁ꯭ꯇꯦꯃꯁꯤꯡꯒꯤ ꯑꯣꯟꯅ-ꯇꯩꯅꯕꯥ ꯊꯕꯛ ꯇꯧꯏ꯫ ꯑꯩꯈꯣꯌꯕꯨ ꯅꯤꯡꯊꯤꯖꯅꯥ ꯑꯃꯁꯨꯡ ꯅꯨꯡꯉꯥꯏꯅꯥ ꯂꯩꯍꯜꯂꯤꯕꯥ ꯑꯁꯤꯅꯤ꯫ ꯃꯁꯤꯕꯨ "ꯔꯦꯁ꯭ꯠ-ꯑꯦꯟꯗ-ꯗꯥꯏꯖꯦꯁ꯭ꯠ" ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ ꯁꯤꯁ꯭ꯇꯦꯝ ꯑꯁꯤ ꯑꯦꯛꯇꯤꯚ ꯑꯣꯏꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯃꯁꯤꯅꯥ ꯂꯤꯛꯌꯨꯏꯗ, ꯏꯁꯤꯡ ꯌꯥꯎꯕꯥ ꯁꯦꯂꯤꯚꯥ ꯄꯨꯊꯣꯀꯏ꯫ ꯃꯁꯤꯒꯤ ꯏꯁꯤꯡꯒꯤ ꯏꯆꯦꯜ ꯑꯁꯤꯅꯥ ꯑꯩꯈꯣꯌꯕꯨ ꯆꯤꯟꯖꯥꯛ ꯆꯥꯕꯗꯥ ꯑꯃꯁꯨꯡ ꯂꯧꯊꯣꯀꯄꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫

ꯃꯁꯤꯗꯁꯨ ꯅꯠꯇꯅꯥ, ꯅꯨꯃꯤꯠ ꯈꯨꯗꯤꯡꯒꯤ ꯑꯣꯏꯕꯥ ꯄꯣꯠꯁꯛ ꯈꯔꯅꯥ ꯁꯦꯂꯤꯚꯥ ꯄꯨꯊꯣꯀꯄꯗꯥ ꯑꯍꯣꯡꯕꯥ ꯄꯨꯔꯀꯄꯥ ꯌꯥꯏ:

• ꯅꯍꯥꯛꯅꯥ ꯇꯔꯨ-ꯇꯅꯥꯅꯕꯥ ꯄꯣꯠꯁꯛ ꯑꯃꯥ ꯆꯥꯕꯥ ꯃꯇꯃꯗꯥ: ꯅꯍꯥꯛꯅꯥ ꯑꯥꯃꯒꯤ ꯁꯔꯨꯛ ꯑꯃꯥ ꯑꯃꯁꯨꯡ ꯂꯥꯏꯝ ꯈꯔꯥ ꯆꯥꯔꯤ ꯍꯥꯌꯅꯥ ꯈꯅꯕꯤꯌꯨ꯫ ꯅꯍꯥꯛꯀꯤ ꯃꯤꯠ ꯑꯗꯨ ꯁꯣꯀꯄꯥ ꯍꯧꯔꯀꯏ, ꯅꯠꯇꯦ? ꯃꯔꯃꯗꯤ ꯑꯀꯪꯕꯥ ꯆꯤꯟꯖꯥꯀꯁꯤꯡꯗꯥ ꯑꯦꯁꯤꯗ ꯌꯥꯝꯅꯥ ꯌꯥꯑꯣꯏ꯫ ꯍꯀꯆꯥꯡꯅꯥ ꯑꯦꯁꯤꯗ ꯑꯗꯨ ꯍꯟꯊꯍꯟꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯍꯥꯀꯆꯥꯡ ꯑꯗꯨ ꯉꯥꯀꯊꯣꯛꯅꯕꯥ ꯍꯦꯟꯅꯥ ꯁꯦꯂꯤꯚꯥ ꯄꯨꯊꯣꯀꯏ꯫
• ꯆꯥꯅꯕꯥ ꯆꯤꯟꯖꯥꯛꯀꯤ ꯃꯔꯃꯗꯥ ꯈꯅꯕꯗꯥ: ꯃꯆꯤ ꯑꯣꯏꯕꯥ ꯆꯤꯟꯖꯥꯛꯀꯤ ꯃꯔꯃꯗꯥ ꯈꯟꯗꯨꯅꯥ ꯐꯥꯑꯣꯕꯥ ꯑꯩꯒꯤ ꯃꯤꯠ ꯎꯏꯁꯤꯜꯂꯤ꯫
• ꯑꯌꯨꯛ-ꯅꯨꯡꯊꯤꯜ: ꯅꯨꯃꯤꯗꯥꯡꯗꯥ ꯁꯦꯂꯤꯚꯥ ꯄꯨꯊꯣꯀꯄꯥ ꯌꯥꯝꯅꯥ ꯋꯥꯡꯏ, ꯑꯗꯨꯕꯨ ꯅꯨꯃꯤꯗꯥꯡꯗꯥ, ꯑꯩꯈꯣꯌꯅꯥ ꯇꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯁꯦꯂꯤꯚꯥ ꯄꯨꯊꯣꯀꯄꯥ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯍꯟꯊꯔꯀꯏ꯫ ꯃꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯅꯣꯡꯃꯒꯤ ꯁꯥꯏꯀꯜ (Circadian rhythm)ꯒꯥ ꯃꯔꯤ ꯂꯩꯅꯩ ꯍꯥꯌꯅꯥ ꯂꯧꯅꯩ꯫

ꯁꯦꯂꯤꯚꯥꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯋꯥꯍꯪꯁꯤꯡ ꯀꯔꯤꯅꯣ?

ꯃꯦꯗꯤꯀꯦꯜ ꯀꯟꯗꯤꯁꯟ, ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯂꯥꯏꯌꯦꯡ ꯈꯔꯅꯥ ꯄꯨꯊꯣꯀꯄꯥ ꯁꯦꯂꯤꯚꯥꯒꯤ ꯆꯥꯡ ꯑꯃꯁꯨꯡ ꯃꯑꯣꯡ-ꯃꯇꯧ ꯍꯣꯡꯗꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯑꯅꯤ ꯂꯩ: ꯍꯥꯏꯄꯣꯁꯦꯂꯤꯚꯦꯁꯟ ꯑꯃꯁꯨꯡ ꯍꯥꯏꯄꯔꯁꯦꯂꯤꯚꯦꯁꯟ꯫ ꯃꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯍꯥꯏꯄꯣꯁꯦꯂꯤꯚꯦꯁꯟ ꯑꯁꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯀꯃꯟ ꯑꯣꯏ꯫

ꯍꯥꯏꯄꯣꯁꯦꯂꯤꯚꯦꯁꯟ ꯑꯃꯁꯨꯡ ꯃꯤꯠ ꯁꯣꯀꯄꯥ꯫

ꯃꯁꯤꯕꯨ `ꯍꯥꯏꯄꯣꯁꯦꯂꯤꯚꯦꯁꯟ` ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ ꯃꯁꯤꯗꯒꯤ ꯊꯣꯛꯂꯀꯄꯥ ꯂꯥꯏꯑꯣꯡ ꯑꯁꯤ ꯃꯤꯠ ꯁꯣꯀꯄꯥ `(Xerostomia) ꯑꯁꯤꯅꯤ꯫` ꯂꯦꯡ-ꯑꯣꯠꯄꯒꯤ ꯆꯥꯡ ꯃꯔꯥꯡ ꯀꯥꯌꯅꯥ ꯂꯩꯇꯕꯥ ꯃꯇꯃꯗꯥ ꯇꯣꯉꯥꯟ-ꯇꯣꯉꯥꯅꯕꯥ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯃꯁꯤꯡ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫

ꯃꯤꯠ ꯁꯣꯟꯊꯔꯀꯄꯒꯤ ꯃꯔꯃꯁꯤꯡ ꯀꯔꯤꯅꯣ?

• ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯀꯟꯗꯤꯁꯟ ꯈꯔꯗꯤ:ꯗꯤꯍꯥꯌꯗ꯭ꯔꯦꯁꯟ (ꯍꯀꯆꯥꯡꯗꯥ ꯏꯁꯤꯡ ꯋꯥꯠꯄꯥ), ꯐꯖꯅꯥ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯗꯕꯥ ꯗꯥꯏꯑꯦꯕꯦꯇꯤꯖ, ꯍꯥꯏ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ, HIV, Sjögren’s syndrome, ꯂꯨꯄꯁꯒꯨꯝꯕꯥ ꯑꯣꯇꯣꯏꯝꯌꯨꯟ ꯂꯥꯌꯅꯥꯁꯤꯡ꯫
• ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ: ꯗꯤꯞꯔꯦꯁꯟ ꯑꯃꯁꯨꯡ ꯋꯥꯈꯜ ꯆꯔꯥꯡꯅꯕꯥ ꯍꯤꯗꯥꯀꯁꯤꯡ, ꯑꯦꯂꯥꯔꯖꯤꯒꯤ ꯍꯤꯗꯥꯀꯁꯤꯡ (ꯑꯦꯟꯇꯤꯍꯤꯁ꯭ꯇꯥꯃꯤꯅꯁꯤꯡ), ꯄꯦꯏꯅꯀꯤꯂꯥꯔ ꯈꯔꯗꯤ, ꯍꯥꯏ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔꯒꯤ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ (ꯕꯦꯇꯥ-ꯕ꯭ꯂꯣꯀꯔꯁꯤꯡ), ꯑꯃꯁꯨꯡ ꯀꯦꯟꯁꯔꯒꯤ ꯀꯦꯃꯣꯊꯦꯔꯥꯄꯤꯁꯤꯡꯅꯥ ꯃꯤꯠ ꯁꯣꯀꯄꯥ ꯌꯥꯏ꯫
• ꯔꯦꯗꯤꯑꯦꯁꯟ ꯊꯦꯔꯥꯄꯤ: ꯃꯔꯨꯑꯣꯏꯅꯥ ꯍꯦꯗ ꯑꯃꯁꯨꯡ ꯅꯦꯛ ꯀꯦꯟꯁꯔꯒꯤꯗꯃꯛꯇꯥ ꯔꯦꯗꯤꯑꯦꯁꯟ ꯊꯦꯔꯥꯄꯤꯅꯥ ꯁꯦꯂꯤꯚꯥꯔꯤ ꯒ꯭ꯜꯌꯥꯟꯗꯁꯤꯡꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ ꯑꯃꯁꯨꯡ ꯁꯦꯂꯤꯚꯥ ꯄꯨꯊꯣꯀꯄꯥ ꯍꯟꯊꯍꯅꯕꯥ ꯌꯥꯏ꯫

ꯍꯥꯏꯄꯔꯁꯦꯂꯤꯚꯦꯁꯟ ꯂꯩꯕꯥ꯫

ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤꯕꯨ `ꯍꯥꯏꯄꯥꯔꯁꯦꯂꯤꯚꯦꯁꯟ` ꯅꯠꯠꯔꯒꯥ `ꯁꯤꯌꯥꯂꯣꯔꯤꯌꯥ` ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ ꯃꯁꯤ ꯁꯦꯂꯤꯚꯔꯤ ꯒ꯭ꯜꯌꯥꯟꯗꯁꯤꯡꯅꯥ ꯃꯊꯧ ꯇꯥꯕꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯁꯦꯂꯤꯚꯥ ꯄꯨꯊꯣꯀꯄꯥ ꯃꯇꯃꯅꯤ꯫ ꯃꯁꯤꯅꯥ ꯗ꯭ꯔꯣꯜ (drolling) ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯅꯍꯥ ꯑꯣꯏꯔꯤꯕꯥ ꯑꯉꯥꯡꯁꯤꯡꯅꯥ ꯃꯈꯣꯌꯒꯤ ꯃꯃꯤꯠꯀꯤ ꯃꯁꯂꯁꯤꯡ ꯑꯗꯨ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯥ ꯉꯃꯗꯕꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯗ꯭ꯔꯣꯜ ꯇꯧꯏ꯫

ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯅꯥ ꯁꯣꯛ-ꯄꯅꯕꯅꯥ ꯃꯤꯠ ꯎꯏꯁꯤꯅꯕꯥ (Angular cheilitis) ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯁꯥꯊꯤꯕꯥ ꯀꯦꯁꯁꯤꯡꯗꯗꯤ, ꯑꯍꯦꯅꯕꯥ ꯁꯦꯂꯤꯚꯥ ꯑꯁꯤꯅꯥ ꯑꯦꯌꯔꯋꯦꯖꯗꯥ ꯆꯪꯂꯀꯄꯥ ꯌꯥꯏ ꯑꯃꯁꯨꯡ ꯑꯦꯁ꯭ꯄꯤꯔꯦꯁꯟ ꯅ꯭ꯌꯨꯃꯣꯅꯤꯌꯥꯒꯨꯝꯕꯥ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫

ꯂꯦꯡ-ꯑꯣꯠꯄꯒꯤ ꯆꯥꯡ ꯍꯦꯅꯒꯠꯂꯀꯄꯒꯤ ꯃꯔꯃꯁꯤꯡ ꯀꯔꯤꯅꯣ?

• ꯂꯥꯏꯌꯦꯡꯗꯕꯥ ꯀꯦꯚꯤꯇꯤꯁꯤꯡ (cavities) : ꯍꯥꯀꯆꯥꯡ ꯁꯣꯛꯅ-ꯁꯝꯅꯕꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯃꯤꯠꯀꯤ ꯃꯅꯨꯡꯗꯥ ꯕꯦꯛꯇꯦꯔꯤꯌꯥ ꯍꯦꯅꯒꯠꯂꯀꯏ꯫ ꯕꯦꯛꯇꯦꯔꯤꯌꯥꯁꯤꯡ ꯑꯁꯤ ꯂꯧꯊꯣꯛꯅꯕꯥ ꯍꯣꯠꯅꯕꯗꯥ ꯍꯀꯆꯥꯡꯅꯥ ꯍꯦꯟꯅꯥ ꯁꯦꯂꯤꯚꯥ ꯄꯨꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫
• ꯒꯦꯁ꯭ꯠꯔꯥꯏꯇꯤꯁ (GERD): ꯁ꯭ꯇꯣꯃꯥꯛ ꯑꯦꯁꯤꯗ ꯑꯁꯤ ꯀꯣꯛꯇꯥ ꯂꯥꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯍꯀꯆꯥꯡꯅꯥ ꯃꯆꯤꯟꯖꯥꯛ ꯑꯗꯨ ꯑꯦꯁꯤꯗ ꯑꯗꯨꯗꯒꯤ ꯉꯥꯀꯊꯣꯀꯄꯥ ꯉꯝꯅꯕꯥ ꯂꯦꯡ-ꯑꯣꯠꯄꯒꯤ ꯆꯥꯡ ꯍꯦꯟꯅꯥ ꯄꯨꯊꯣꯀꯏ꯫
• ꯅꯣꯡꯃꯩ ꯀꯥꯞꯄꯥ ꯑꯃꯁꯨꯡ ꯈꯣꯝꯂꯥꯡ ꯁꯣꯀꯄꯥ: ꯅꯍꯥꯛꯅꯥ ꯈꯣꯡ ꯍꯥꯝꯕꯥ ꯍꯧꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯅꯍꯥꯛꯀꯤ ꯁꯦꯂꯤꯚꯔꯤ ꯒ꯭ꯜꯌꯥꯟꯗꯁꯤꯡꯅꯥ ꯁ꯭ꯇꯣꯃꯥꯛ ꯑꯦꯁꯤꯗꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯃꯤꯠꯇꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯟꯗꯅꯕꯥ ꯁꯦꯂꯤꯚꯥ ꯍꯦꯟꯅꯥ ꯄꯨꯊꯣꯀꯏ꯫
• ꯃꯤꯔꯣꯜꯂꯤꯉꯩ: ꯃꯤꯔꯣꯜꯂꯤꯉꯩ ꯃꯇꯃꯗꯥ ꯍꯣꯔꯃꯣꯅꯒꯤ ꯑꯍꯣꯡꯕꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯅꯣꯡꯃꯩ ꯀꯥꯞꯄꯥ ꯑꯁꯤꯅꯥ ꯃꯇꯝ ꯈꯔꯒꯤ ꯑꯣꯏꯅꯥ ꯂꯦꯡ-ꯑꯣꯠꯄꯒꯤ ꯆꯥꯡ ꯍꯦꯅꯒꯠꯍꯅꯕꯥ ꯌꯥꯏ꯫
• ꯑꯀꯛꯅꯕꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ: ꯋꯥꯈꯂꯒꯤ ꯑꯅꯥꯕꯁꯤꯡ ꯂꯥꯌꯦꯡꯕꯗꯥ ꯁꯤꯖꯤꯟꯅꯕꯥ ꯍꯤꯗꯥꯛ ꯈꯔꯗꯤ (ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯀ꯭ꯂꯣꯖꯥꯄꯤꯟ)ꯅꯥ ꯁꯥꯏꯗ ꯏꯐꯦꯛꯇ ꯑꯃꯥ ꯑꯣꯏꯅꯥ ꯁꯦꯂꯤꯚꯥ ꯄꯨꯊꯣꯀꯄꯥ ꯍꯦꯅꯒꯠꯍꯅꯕꯥ ꯌꯥꯏ꯫

ꯑꯁꯤꯒꯨꯝꯕꯥ ꯋꯥꯐꯝ ꯑꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯗꯣꯛꯇꯔ ꯑꯃꯒꯥ ꯇꯥꯟꯅꯒꯗ꯭ꯔꯥ?

ꯍꯣꯌ, ꯃꯄꯨꯡ ꯐꯥꯅꯥ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯦꯡ-ꯑꯣꯠꯄꯗꯥ ꯋꯥꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯂꯦꯡ-ꯑꯣꯠꯄꯗꯥ ꯋꯥꯕꯥ ꯑꯣꯏꯔꯕꯗꯤ, ꯃꯗꯨ ꯌꯦꯡꯁꯤꯜꯂꯣꯏꯗꯕꯅꯤ꯫ ꯈꯨꯗꯛꯇꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯇꯥꯟꯅꯧ꯫ ꯃꯍꯥꯛꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯌꯦꯡꯁꯤꯅꯕꯤꯕꯥ ꯌꯥꯏ ꯑꯃꯁꯨꯡ ꯃꯁꯤꯒꯤ ꯃꯔꯝ ꯀꯔꯤꯅꯣ ꯍꯥꯌꯕꯗꯨ ꯈꯪꯗꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯁꯤ ꯅꯍꯥꯛꯅꯥ ꯂꯧꯔꯤꯕꯥ ꯍꯤꯗꯥꯛ ꯑꯃꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ, ꯅꯠꯠꯔꯒꯥ ꯑꯇꯣꯞꯄꯥ ꯃꯦꯗꯤꯀꯦꯜ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯒꯤ ꯂꯥꯏꯑꯣꯡ ꯑꯃꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫ ꯃꯔꯝ ꯑꯗꯨ ꯈꯪꯗꯣꯛꯂꯕꯥ ꯃꯇꯨꯡꯗꯥ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯑꯆꯨꯝꯕꯥ ꯂꯥꯏꯌꯦꯡ ꯑꯗꯨ ꯄꯤꯕꯥ ꯌꯥꯏ꯫