ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯅꯨꯃꯤꯠ ꯑꯃꯗꯥ ꯃꯤꯔꯔꯗꯥ ꯌꯦꯡꯂꯨꯔꯒꯥ ꯅꯍꯥꯛꯀꯤ ꯂꯣꯜ, ꯅꯠꯠꯔꯒꯥ ꯅꯍꯥꯛꯀꯤ ꯏꯆꯥꯅꯨꯄꯤꯒꯤ ꯂꯣꯜ ꯑꯗꯨ ꯃꯍꯧꯁꯥꯗꯒꯤ ꯌꯥꯝꯅꯥ ꯍꯦꯟꯅꯥ ꯂꯥꯎꯕꯥ ꯎꯔꯕꯗꯤ, ꯁ꯭ꯠꯔꯣꯕꯦꯔꯤꯒꯤ ꯃꯊꯛꯇꯥ ꯂꯩꯕꯥ ꯃꯍꯩ ꯃꯔꯣꯡꯁꯤꯡꯒꯨꯝꯅꯥ ꯑꯄꯤꯀꯄꯥ ꯈꯣꯡꯎꯄꯁꯤꯡ ꯎꯕꯥ ꯐꯪꯂꯕꯗꯤ ꯈꯔꯥ ꯂꯥꯡꯇꯛꯅꯒꯅꯤ꯫ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛꯇꯥ ꯃꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ ‘ꯁ꯭ꯠꯔꯣꯕꯦꯔꯤ ꯂꯣꯜ’ ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ ꯃꯤꯑꯣꯏ ꯈꯔꯅꯥ ꯃꯁꯤꯒꯤ ꯃꯑꯣꯡ-ꯃꯇꯧ ꯑꯁꯤꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ‘ꯔꯥꯁꯕꯦꯔꯤ ꯇꯣꯉ꯭ꯒꯨ’ ꯍꯥꯌꯅꯥꯁꯨ ꯀꯧꯏ꯫ ꯃꯤꯡ ꯑꯁꯤꯅꯥ ꯑꯗꯣꯃꯗꯥ ꯃꯆꯤ ꯑꯣꯏꯕꯥ ꯆꯤꯟꯖꯥꯛ ꯑꯃꯥ ꯅꯤꯡꯁꯤꯡꯍꯅꯕꯥ ꯌꯥꯏ ꯑꯗꯨꯕꯨ ꯃꯁꯤꯒꯤ ꯐꯤꯚꯝ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯐꯕꯥ ꯋꯥꯐꯝ ꯅꯠꯇꯦ꯫ ꯑꯗꯨꯕꯨ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯂꯩꯔꯣꯏꯗꯕꯅꯤ꯫ ꯉꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯃꯁꯤ ꯎꯔꯕꯗꯤ ꯀꯔꯤ ꯇꯧꯒꯗꯒꯦ ꯑꯃꯁꯨꯡ ꯃꯁꯤꯒꯤ ꯃꯔꯝ ꯀꯔꯤ ꯑꯣꯏꯔꯀꯄꯥ ꯌꯥꯕꯒꯦ ꯍꯥꯌꯕꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯒꯅꯤ꯫
‘ꯁ꯭ꯠꯔꯣꯕꯦꯔꯤ ꯇꯦꯉ꯭ꯒꯨꯏ’ ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ?
ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯍꯀꯁꯦꯜ ꯐꯕꯥ ꯖꯤꯕ ꯑꯁꯤ ꯃꯍꯧꯁꯥꯅꯥ ꯄꯤꯀꯄꯥ ꯑꯣꯏ, ꯑꯃꯁꯨꯡ ꯃꯁꯤꯒꯤ ꯃꯊꯛꯇꯥ ꯌꯥꯝꯅꯥ ꯐꯖꯅꯥ ꯑꯄꯤꯀꯄꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ (papillae) ꯂꯩ꯫ ꯑꯗꯨꯕꯨ ‘ꯁ꯭ꯠꯔꯣꯕꯦꯔꯤ ꯂꯣꯜ’ꯒꯤ ꯑꯣꯏꯅꯗꯤ, ꯖꯤꯕ ꯑꯗꯨ ꯃꯌꯦꯛ ꯁꯦꯡꯅꯥ ꯂꯥꯂꯍꯧꯕꯥ ꯑꯣꯏꯔꯀꯏ, ꯑꯃꯁꯨꯡ ꯑꯗꯨꯒꯨꯝꯕꯥ ꯐꯖꯔꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ ꯑꯗꯨ ꯁꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯑꯆꯧꯕꯥ ꯑꯣꯏꯔꯀꯏ, ꯁ꯭ꯠꯔꯣꯕꯦꯔꯤꯒꯤ ꯃꯅꯥ-ꯃꯁꯤꯡꯒꯨꯝꯅꯥ ꯎꯕꯥ ꯐꯪꯏ꯫
ꯃꯔꯨꯑꯣꯏꯕꯥ ꯋꯥꯐꯃꯗꯤ, ‘ꯁ꯭ꯠꯔꯣꯕꯦꯔꯤ ꯇꯣꯡ’ ꯑꯁꯤ ꯂꯥꯌꯅꯥ ꯑꯃꯅꯤ꯫ ꯃꯁꯤ ꯑꯇꯣꯞꯄꯥ ꯂꯥꯌꯅꯥ ꯑꯃꯒꯤ ꯂꯥꯏꯑꯣꯡ ꯑꯃꯅꯤ꯫ ꯂꯥꯏꯍꯧ ꯍꯧꯔꯀꯄꯒꯨꯝꯅꯥ꯫ ꯂꯥꯏꯍꯧ ꯑꯁꯤ ꯂꯥꯌꯅꯥ ꯑꯃꯅꯤ, ꯃꯁꯤ ꯏꯅꯐꯦꯛꯁꯟ ꯑꯃꯒꯤ ꯂꯥꯏꯑꯣꯡꯅꯤ꯫ ꯑꯗꯨꯒꯥ ꯃꯁꯤꯁꯨ ꯑꯗꯨꯃꯛ ꯑꯣꯏꯔꯤ꯫
ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛ ꯅꯠꯠꯔꯒꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯗꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯠꯇꯥ ꯂꯩꯔꯕꯗꯤ, ꯃꯗꯨ ꯀꯔꯤꯅꯥ ꯊꯣꯀꯍꯅꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯆꯨꯝꯅꯥ ꯈꯪꯗꯣꯛꯅꯕꯥ ꯗꯣꯛꯇꯔ ꯑꯃꯒꯥ ꯇꯥꯟꯅꯕꯅꯥ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫
‘ꯁ꯭ꯠꯔꯣꯕꯦꯔꯤ ꯇꯣꯡ’ꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯔꯃꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?
‘ꯁ꯭ꯠꯔꯣꯕꯦꯔꯤ ꯇꯣꯡ’ꯒꯤ ꯂꯥꯏꯑꯣꯡ ꯑꯁꯤ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯕꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯦꯗꯤꯀꯦꯜ ꯀꯟꯗꯤꯁꯟ ꯑꯍꯨꯝ ꯂꯩ꯫ ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯑꯊꯨꯕꯥ ꯃꯇꯃꯗꯥ ꯂꯥꯌꯦꯡꯕꯥ ꯃꯊꯧ ꯇꯥꯏ꯫
1. ꯁ꯭ꯀꯥꯔꯂꯦꯠ ꯐꯤꯕꯔ ꯂꯩꯕꯥ꯫
ꯇꯣꯛꯁꯤꯛ ꯁꯣꯛ ꯁꯤꯟꯗꯣꯝ (ꯇꯤ.ꯑꯦꯁ.ꯑꯦꯁ.) ꯑꯁꯤ ꯲.
꯳.ꯀꯋꯥꯁꯥꯀꯤ ꯂꯥꯌꯅꯥ꯫
ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯔꯝ ꯑꯍꯨꯝ ꯑꯁꯤꯒꯤ ꯃꯊꯛꯇꯥ, ꯂꯥꯏꯑꯣꯡ ꯑꯁꯤ ꯑꯇꯣꯞꯄꯥ, ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯊꯣꯀꯄꯥ, ꯃꯔꯃꯁꯤꯡꯗꯒꯤꯁꯨ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯑꯀꯛꯅꯕꯥ ꯆꯤꯟꯖꯥꯛ ꯅꯠꯠꯔꯒꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡꯒꯤ ꯑꯦꯂꯥꯔꯖꯤ, ꯚꯤꯇꯥꯃꯤꯟ B12 ꯋꯥꯠꯄꯥ, ꯑꯃꯁꯨꯡ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯂꯧꯅꯒꯅꯕꯥ ꯂꯥꯌꯅꯥ ꯈꯔꯗꯤ (ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯌꯦꯔꯁꯤꯅꯤꯌꯥ ꯁ꯭ꯌꯨꯗꯣꯇ꯭ꯌꯨꯕꯔꯀꯨꯂꯣꯁꯤꯁ, ꯌꯦꯔꯨꯝ ꯀꯣꯀꯄꯥ)꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯑꯍꯥꯅꯕꯥ ꯃꯔꯝ ꯑꯍꯨꯝ ꯑꯁꯤꯗꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯀꯃꯟ ꯑꯣꯏ꯫
ꯍꯧꯖꯤꯛ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯦꯗꯤꯀꯦꯜ ꯀꯟꯗꯤꯁꯟ ꯑꯍꯨꯝ ꯑꯁꯤ ꯌꯦꯡꯁꯤ ꯑꯃꯁꯨꯡ ꯇꯦꯕꯜ ꯑꯁꯤꯗꯥ ꯌꯥꯑꯣꯔꯤꯕꯥ ‘ꯁ꯭ꯠꯔꯣꯕꯦꯔꯤ ꯇꯣꯡ’ꯒꯤ ꯂꯥꯏꯑꯣꯡ ꯑꯁꯤꯒꯤ ꯃꯊꯛꯇꯥ ꯃꯈꯣꯌꯗꯥ ꯀꯔꯤ ꯑꯇꯣꯞꯄꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯂꯩꯕꯥ ꯌꯥꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯁꯤ꯫ ꯃꯁꯤꯅꯥ ꯑꯗꯣꯃꯗꯥ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯔꯛꯇꯥ ꯂꯩꯔꯤꯕꯥ ꯈꯦꯠꯅꯕꯁꯤꯡ ꯈꯉꯕꯗꯥ ꯂꯥꯏꯊꯣꯀꯍꯜꯂꯒꯅꯤ꯫
| ꯐꯤꯚꯝ | ꯃꯔꯤ ꯂꯩꯅꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ꯫ |
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| ꯁ꯭ꯀꯥꯔꯂꯦꯠ ꯐꯤꯕꯔ꯫ |
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| ꯇꯣꯛꯁꯤꯛ ꯁꯣꯛ ꯁꯤꯟꯗ꯭ꯔꯣꯝ (ꯇꯤ.ꯑꯦꯁ.ꯑꯦꯁ.) ꯑꯁꯤ ꯑꯦꯟ. |
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| ꯀꯥꯋꯥꯁꯥꯀꯤ ꯂꯥꯌꯅꯥ꯫ |
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ꯁ꯭ꯀꯥꯔꯂꯦꯠ ꯐꯤꯕꯔꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯈꯔꯥ ꯍꯦꯟꯅꯥ꯫
ꯃꯁꯤ ꯒ꯭ꯔꯨꯞ ꯑꯦ ꯁ꯭ꯠꯔꯦꯄꯇꯣꯀꯣꯀꯁ ꯀꯧꯕꯥ ꯕꯦꯛꯇꯦꯔꯤꯌꯥ ꯑꯃꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯏꯅꯐꯦꯛꯁꯟ ꯑꯃꯅꯤ꯫ ꯃꯁꯤ ꯁ꯭ꯠꯔꯦꯞ ꯊ꯭ꯔꯣꯠ ꯊꯣꯀꯍꯜꯂꯤꯕꯥ ꯕꯦꯛꯇꯦꯔꯤꯌꯥ ꯑꯗꯨꯃꯀꯅꯤ꯫ ꯑꯗꯨꯕꯨ ꯁ꯭ꯀꯥꯔꯂꯦꯠ ꯐꯤꯕꯔꯗꯥ, ꯕꯦꯛꯇꯦꯔꯤꯌꯥ ꯑꯁꯤꯅꯥ ꯄꯣꯠꯁꯛ ꯑꯃꯥ ꯄꯨꯊꯣꯀꯏ꯫ ꯑꯗꯨꯒꯨꯝꯕꯥ ꯄꯣꯠꯁꯛ ꯑꯗꯨꯅꯥ ꯂꯥꯂꯍꯧꯒꯤ ꯑꯁꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ‘ꯁ꯭ꯠꯔꯣꯕꯦꯔꯤ ꯇꯣꯡ’ ꯊꯣꯀꯍꯜꯂꯤ꯫ ꯂꯥꯌꯅꯥ ꯑꯁꯤꯅꯥ ꯆꯍꯤ ꯑꯃꯍꯦꯛꯇꯒꯤ ꯃꯤꯑꯣꯏ ꯑꯃꯍꯦꯛꯇꯗꯥ ꯁꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ ꯑꯗꯨꯕꯨ ꯆꯍꯤ 5ꯗꯒꯤ 15 ꯐꯥꯎꯕꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯂꯩꯕꯥ ꯑꯉꯥꯡꯁꯤꯡꯗꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯊꯣꯀꯏ, ꯈꯣꯟꯖꯦꯜ ꯑꯁꯤ ꯑꯍꯧꯕꯗꯥ ꯋꯥꯏꯇꯦꯞ ꯑꯣꯏꯕꯥ ꯌꯥꯏ, ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯅꯨꯃꯤꯠ ꯈꯔꯅꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯂꯥꯂꯍꯧꯕꯥ ꯌꯥꯏ꯫
ꯇꯣꯛꯁꯤꯛ ꯁꯣꯛ ꯁꯤꯟꯗ꯭ꯔꯣꯝ (ꯇꯤ.ꯑꯦꯁ.ꯑꯦꯁ.) ꯑꯁꯤ ꯑꯦꯟ.
ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯇꯣꯏꯅꯥ ꯊꯣꯀꯄꯥ ꯑꯗꯨꯕꯨ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫ ꯃꯁꯤ ꯁ꯭ꯇꯦꯐꯥꯏꯂꯣꯀꯣꯀꯁ ꯑꯃꯁꯨꯡ ꯁ꯭ꯠꯔꯦꯄꯇꯣꯀꯣꯀꯁ ꯕꯦꯛꯇꯦꯔꯤꯌꯥ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯗꯅꯥ ꯍꯦꯅꯒꯠꯂꯀꯄꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯊꯣꯀꯍꯅꯕꯅꯤ ꯑꯃꯁꯨꯡ ꯃꯈꯣꯌꯅꯥ ꯄꯨꯊꯣꯀꯄꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ ꯑꯁꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯆꯪꯂꯀꯏ꯫ ꯃꯤꯑꯣꯏ ꯀꯌꯥꯅꯥ ꯃꯁꯤ ꯅꯨꯄꯤꯁꯤꯡꯗꯥ ꯇꯦꯝꯄꯣꯟ ꯁꯤꯖꯤꯟꯅꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯈꯛꯇꯗꯥ ꯊꯣꯀꯄꯥ ꯊꯧꯗꯣꯛ ꯑꯃꯅꯤ ꯍꯥꯌꯅꯥ ꯈꯜꯂꯤ, ꯑꯗꯨꯕꯨ ꯃꯁꯤ ꯑꯆꯨꯝꯕꯥ ꯅꯠꯇꯦ꯫ ꯀꯅꯥꯒꯨꯝꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯅꯥ, ꯖꯦꯟꯗꯔꯒꯤ ꯃꯇꯨꯡ ꯏꯟꯅꯥ, ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯂꯥꯀꯄꯥ ꯌꯥꯏ꯫ ꯇꯤ.ꯑꯦꯁ.ꯑꯦꯁ.ꯀꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯊꯣꯛꯂꯀꯄꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯂꯩꯔꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯈꯨꯗꯛꯇꯥ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯜ ꯑꯃꯒꯤ ꯏꯃꯔꯖꯦꯟꯁꯤ ꯗꯤꯄꯥꯔꯇꯃꯦꯟꯇ (ETU)ꯗꯥ ꯆꯠꯀꯗꯕꯅꯤ꯫
ꯀꯥꯋꯥꯁꯥꯀꯤ ꯂꯥꯌꯅꯥ꯫
ꯃꯁꯤꯁꯨ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯊꯣꯀꯄꯥ ꯂꯥꯌꯅꯥ ꯑꯃꯅꯤ꯫ ꯃꯁꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯂꯩꯔꯤꯕꯥ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯂꯁꯤꯡꯗꯥ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯁꯟ (inflammation) ꯇꯧꯕꯅꯥ ꯊꯣꯀꯍꯅꯕꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯂꯥꯏꯌꯦꯡꯗ꯭ꯔꯕꯗꯤ, ꯍꯥꯔꯇꯇꯥ ꯏ ꯁꯞꯂꯥꯏ ꯇꯧꯔꯤꯕꯥ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯂꯁꯤꯡ (ꯀꯣꯔꯣꯅꯥꯔꯤ ꯑꯥꯔꯇꯦꯔꯤꯁꯤꯡ) ꯁꯣꯟꯊꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯒꯤ ꯑꯆꯨꯝꯕꯥ ꯃꯔꯝ ꯑꯁꯤ ꯍꯧꯖꯤꯛ ꯐꯥꯑꯣꯕꯥ ꯈꯉꯕꯥ ꯉꯃꯗ꯭ꯔꯤ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯃꯁꯤ ꯊꯥ 6 ꯑꯃꯁꯨꯡ ꯆꯍꯤ 5ꯒꯤ ꯃꯔꯛꯇꯥ ꯂꯩꯕꯥ ꯅꯍꯥ ꯑꯣꯏꯔꯤꯕꯥ ꯑꯉꯥꯡꯁꯤꯡꯗꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯀꯃꯟ ꯑꯣꯏ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥ ꯑꯣꯏꯔꯤꯕꯥ ꯑꯉꯥꯡ ꯑꯃꯅꯥ ꯁ꯭ꯠꯔꯣꯕꯦꯔꯤ ꯃꯆꯨꯒꯤ ꯂꯣꯜ ꯑꯃꯥ ꯂꯩꯔꯕꯗꯤ ꯑꯃꯁꯨꯡ ꯃꯊꯛꯇꯥ ꯄꯅꯈ꯭ꯔꯤꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯂꯩꯔꯕꯗꯤ ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯃꯔꯨꯑꯣꯏꯅꯥ ꯆꯤꯡꯅꯕꯥ ꯄꯣꯀꯏ꯫
ꯑꯗꯨꯅꯥ ꯑꯗꯣꯝꯅꯥ ꯃꯁꯤꯕꯨ ꯀꯔꯝꯅꯥ ꯂꯥꯌꯦꯡꯒꯅꯤ?
‘ꯁ꯭ꯠꯔꯣꯕꯦꯔꯤ ꯇꯣꯡ’ ꯑꯁꯤ ꯂꯥꯏꯑꯣꯡ ꯑꯃꯥ ꯑꯣꯏꯕꯅꯥ ꯂꯥꯏꯌꯦꯡ ꯑꯁꯤ ꯊꯣꯀꯍꯅꯈꯤꯕꯥ ꯃꯈꯥ ꯄꯣꯜꯂꯤꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯗꯨꯗꯥ ꯂꯃꯖꯤꯡꯏ꯫ ꯀꯟꯗꯤꯁꯟ ꯑꯗꯨ ꯐꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ, ꯖꯤꯕ ꯑꯗꯨ ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯅꯥ ꯍꯜꯂꯛꯀꯅꯤ꯫
- ꯑꯦꯟꯇꯤꯕꯥꯏꯑꯣꯇꯤꯀꯁꯤꯡ: ꯁ꯭ꯀꯥꯔꯂꯦꯠ ꯐꯤꯕꯔ ꯑꯃꯁꯨꯡ ꯇꯤ.ꯑꯦꯁ.ꯑꯦꯁ.ꯒꯨꯝꯕꯥ ꯕꯦꯛꯇꯦꯔꯤꯌꯥ ꯏꯅꯐꯦꯛꯁꯅꯁꯤꯡꯒꯤꯗꯃꯛ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯑꯦꯟꯇꯤꯕꯥꯏꯑꯣꯇꯤꯀꯁꯤꯡ ꯄꯤꯒꯅꯤ꯫ ꯃꯍꯧꯁꯥꯅꯥ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯅꯨꯃꯤꯠ 10ꯅꯤꯒꯤ ꯂꯥꯏꯌꯦꯡꯒꯤ ꯀꯣꯔꯁ ꯑꯃꯥ ꯃꯊꯧ ꯇꯥꯏ꯫
- ꯏꯝꯝꯌꯨꯟ ꯒ꯭ꯂꯣꯕꯨꯂꯤꯟ (IVIG): ꯂꯥꯏꯌꯦꯡ ꯑꯁꯤ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯜ ꯑꯃꯗꯥ ꯀꯥꯋꯥꯁꯥꯀꯤ ꯂꯥꯌꯅꯥ ꯂꯩꯕꯥ ꯑꯉꯥꯡ ꯑꯃꯗꯥ ꯏꯅꯠꯔꯥꯚꯦꯅꯁ ꯑꯣꯏꯅꯥ (IV) ꯄꯤ꯫ ꯃꯁꯤꯅꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯊꯣꯀꯍꯜꯂꯤꯕꯥ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯁꯟ ꯑꯗꯨ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯏ꯫
- ꯑꯦꯟꯇꯤꯍꯤꯁ꯭ꯇꯥꯃꯤꯅꯁꯤꯡ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯂꯥꯏꯑꯣꯡ ꯑꯗꯨ ꯑꯦꯂꯥꯔꯖꯤꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯑꯣꯏꯔꯕꯗꯤ, ꯍꯤꯗꯥꯀꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯁꯣꯛ-ꯄꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯂꯥꯎꯕꯥ ꯍꯟꯊꯍꯅꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫
- ꯚꯤꯇꯥꯃꯤꯟ B12: ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯇꯣꯏꯅꯥ ꯊꯣꯀꯄꯥ ꯃꯔꯝ ꯑꯃꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯚꯤꯇꯥꯃꯤꯟ B12 ꯋꯥꯠꯄꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯑꯣꯏꯔꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯚꯤꯇꯥꯃꯤꯟ B12 ꯌꯥꯎꯕꯥ ꯆꯤꯟꯖꯥꯀꯁꯤꯡ ꯍꯦꯟꯅꯥ ꯆꯥꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯇꯥꯀꯄꯥ ꯃꯇꯨꯡꯏꯟꯅꯥ ꯁꯞꯂꯤꯃꯦꯟꯇ ꯑꯃꯥ ꯂꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯏ꯫
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯂꯥꯏꯌꯦꯡꯗꯅꯥ ꯊꯃꯖꯤꯜꯂꯕꯗꯤ ꯀꯔꯤ ꯑꯣꯏꯕꯥ ꯌꯥꯕꯒꯦ?
ꯃꯁꯤ ꯑꯩꯈꯣꯌ ꯄꯨꯝꯅꯃꯛꯅꯥ ꯑꯀꯤꯕꯥ ꯄꯣꯀꯍꯜꯂꯤ꯫ ꯑꯗꯨꯕꯨ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯐꯥꯑꯣꯒꯅꯨ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯗꯣꯛꯇꯔ ꯑꯃꯒꯥ ꯇꯣꯌꯅꯥ ꯎꯅꯔꯒꯥ ꯂꯥꯏꯌꯦꯡꯂꯕꯗꯤ, ꯔꯤꯁ꯭ꯛ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯠꯇꯥ ꯊꯣꯛꯂꯣꯏ꯫ ꯑꯗꯨꯕꯨ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯥꯏꯌꯦꯡ ꯐꯪꯗ꯭ꯔꯕꯗꯤ, ꯃꯁꯤꯅꯥ ꯍꯀꯁꯦꯂꯒꯤ ꯑꯆꯧꯕꯥ ꯈꯨꯗꯣꯡꯊꯤꯕꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫
ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯂꯥꯏꯌꯦꯡꯗꯅꯥ ꯂꯩꯔꯕꯗꯤ, ꯀꯥꯋꯥꯁꯥꯀꯤ ꯂꯥꯌꯅꯥ ꯑꯁꯤꯅꯥ ꯑꯉꯥꯡ ꯑꯃꯒꯤ ꯍꯥꯔꯇꯇꯥ ꯂꯩꯕꯥ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯂꯁꯤꯡꯗꯥ ꯃꯇꯝ ꯆꯨꯞꯄꯒꯤ ꯑꯣꯏꯅꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ, ꯃꯗꯨꯅꯥ ꯄꯨꯟꯁꯤ ꯆꯨꯞꯄꯥ ꯍꯥꯔꯇꯀꯤ ꯂꯥꯌꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯃꯇꯧ ꯑꯁꯨꯝꯅꯥ ꯂꯥꯌꯦꯡꯗꯕꯥ ꯁ꯭ꯀꯥꯔꯂꯦꯠ ꯐꯤꯕꯔ ꯑꯃꯁꯨꯡ ꯇꯤ.ꯑꯦꯁ.ꯑꯦꯁ.
ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯅꯍꯥꯛꯅꯥ ‘ꯁ꯭ꯠꯔꯣꯕꯦꯔꯤ ꯇꯣꯡ’ꯒꯤ ꯂꯥꯏꯑꯣꯡ ꯎꯕꯥ ꯃꯇꯃꯗꯥ, ꯑꯁꯤꯒꯨꯝꯕꯥ ꯁꯥꯊꯤꯕꯥ ꯐꯂꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯃꯊꯧ ꯇꯥꯗꯅꯥ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯂꯩꯔꯣꯏꯗꯕꯅꯤ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯃꯁꯤ ꯗꯣꯛꯇꯔ ꯑꯃꯗꯥ ꯎꯠꯄꯥ ꯌꯥꯕꯥ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯂꯥꯏꯑꯣꯡ ꯑꯃꯅꯤ ꯍꯥꯌꯕꯁꯤ ꯅꯤꯡꯁꯤꯡꯕꯤꯌꯨ꯫
ꯇꯦꯛ-ꯍꯣꯝ ꯃꯦꯁꯦꯖ ꯇꯧꯕꯥ꯫
- ‘ꯁ꯭ꯠꯔꯣꯕꯦꯔꯤ ꯇꯣꯉ꯭ꯒꯣꯏ’ ꯍꯥꯌꯕꯁꯤ ꯂꯥꯌꯅꯥ ꯅꯠꯇꯦ, ꯃꯁꯤ ꯑꯇꯣꯞꯄꯥ ꯂꯥꯌꯅꯥ ꯑꯃꯒꯤ ꯂꯥꯏꯑꯣꯡꯅꯤ꯫
- ꯃꯁꯤ ꯁ꯭ꯀꯥꯔꯂꯦꯠ ꯐꯤꯕꯔ, ꯇꯣꯛꯁꯤꯛ ꯁꯣꯛ ꯁꯤꯟꯗꯣꯝ (TSS), ꯅꯠꯠꯔꯒꯥ ꯀꯥꯋꯥꯁꯥꯀꯤ ꯂꯥꯌꯅꯥꯒꯨꯝꯕꯥ ꯑꯀꯅꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯒꯤ ꯈꯨꯗꯝ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯅꯠꯠꯔꯒꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡꯒꯤ ꯂꯣꯂꯗꯥ ꯂꯥꯏꯑꯣꯡ ꯑꯁꯤ ꯎꯔꯕꯗꯤ, ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯂꯩꯔꯣꯏꯗꯕꯅꯤ ꯑꯃꯁꯨꯡ ꯈꯨꯗꯛꯇꯥ ꯀ꯭ꯕꯥꯂꯤꯐꯥꯏꯗ ꯗꯣꯛꯇꯔ ꯑꯃꯒꯥ ꯇꯥꯟꯅꯧ꯫
- ꯂꯥꯏꯑꯣꯡ ꯑꯁꯤ ꯊꯣꯀꯍꯜꯂꯤꯕꯥ ꯑꯟꯗꯔꯂꯥꯏꯟ ꯗꯤꯖꯤꯖ ꯑꯗꯨ ꯊꯨꯅꯥ ꯂꯥꯏꯌꯦꯡꯕꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯊꯤꯡꯕꯥ ꯉꯝꯃꯤ꯫
- ꯃꯁꯤ ꯃꯁꯥ ꯃꯊꯟꯇꯥ ꯐꯒꯠꯂꯛꯀꯗꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ, ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯃꯁꯤ ꯀꯩꯗꯧꯉꯩꯗꯥ ꯌꯦꯡꯁꯤꯅꯕꯤꯒꯅꯨ꯫
👩🏽 ⚕️ ꯑꯍꯦꯅꯕꯥ ꯋꯥꯍꯪꯁꯤꯡ (FAQs)
💬 ꯁ꯭ꯀꯤꯟ ꯇꯔꯒꯔ ꯍꯟꯊꯔꯀꯄꯥ ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ?
ꯃꯁꯤ ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯕꯥ ꯑꯍꯜ ꯑꯣꯏꯔꯀꯄꯅꯤ! ‘ꯗꯤꯛꯔꯤꯑꯦꯖ ꯁ꯭ꯀꯤꯟ ꯇꯨꯔꯒꯣꯔ’ ꯍꯥꯌꯕꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯈꯨꯠꯁꯥꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯂꯩꯕꯥ (ꯍꯦꯟꯗ ꯗꯣꯔꯁꯝ) ꯅꯠꯠꯔꯒꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯂꯩꯕꯥ ꯈꯣꯡ (ꯄꯤꯟꯆ ꯇꯦꯁ꯭ꯠ) ꯑꯗꯨ ꯈꯨꯗꯛꯇꯥ ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯅꯥ ꯍꯟꯖꯤꯜꯂꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯃꯗꯨꯒꯤ ꯃꯍꯨꯠꯇꯥ ꯁꯦꯀꯦꯟꯗ/ꯃꯤꯅꯤꯠ ꯈꯔꯒꯤ ꯑꯣꯏꯅꯥ ‘ꯇꯦꯟꯇ’ (ꯇꯦꯟꯇ ꯁꯥꯏꯟ / ꯁ꯭ꯀꯤꯟ ꯇꯦꯟꯇ ꯇꯧꯕꯥ) ꯑꯃꯁꯨꯡ ꯌꯥꯝꯅꯥ ꯈꯨꯗꯣꯡꯊꯤꯅꯤꯉꯥꯏ ꯑꯣꯏꯕꯥ ꯃꯦꯗꯤꯀꯦꯜ ꯏꯃꯔꯖꯦꯟꯁꯤ ꯑꯃꯥ ꯑꯣꯏꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ! ꯃꯁꯤꯅꯥ ꯇꯥꯀꯄꯗꯤ ꯄꯦꯁꯦꯟꯇ ꯑꯗꯨꯒꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯏꯁꯤꯡ ꯑꯗꯨ 100% ꯍꯟꯊꯔꯦ (Severe Dehydration)꯫
💬 ꯃꯤꯑꯣꯏ ꯑꯃꯒꯤ ꯈꯣꯡꯗꯥ ꯏꯂꯥꯁ꯭ꯇꯤꯁꯤꯇꯤ/ꯁꯦꯒ (Decreased Turgor) ꯃꯥꯡꯈꯤꯕꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯔꯃꯁꯤꯡ ꯀꯔꯤꯅꯣ?
ꯃꯥꯂꯦꯃꯗꯥ ꯃꯁꯤꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯑꯃꯁꯨꯡ ꯑꯃꯠꯇꯥ ꯉꯥꯏꯔꯕꯥ ꯃꯔꯃꯗꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯂꯩꯔꯤꯕꯥ ꯏꯁꯤꯡ ꯂꯤꯇꯔ ꯀꯌꯥ ꯈꯉꯍꯧꯗꯅꯥ ꯊꯥꯗꯣꯛꯇꯨꯅꯥ ‘Severe Dehydration’ ꯊꯣꯀꯄꯅꯤ! ꯱) ꯇꯪꯗꯨ ꯂꯩꯇꯥꯗꯕꯥ ‘ꯗꯥꯏꯔꯤꯌꯥ (Severe Diarrhea/ Cholera-like)’ ꯑꯃꯁꯨꯡ ꯂꯦꯞꯇꯅꯥ ꯈꯣꯡ ꯍꯥꯝꯕꯥ (Vomiting)꯫ ꯲) ꯗꯥꯏꯕꯦꯇꯤꯛ ꯄꯦꯁꯦꯟꯇꯁꯤꯡꯗꯥ ꯆꯤꯅꯤꯒꯤ ꯆꯥꯡ ꯑꯁꯤ ꯵꯰꯰-꯶꯰꯰ ꯑꯣꯏ ꯑꯃꯁꯨꯡ ꯅꯨꯃꯤꯠ ꯈꯨꯗꯤꯡꯒꯤ ꯌꯨꯔꯤꯟ ꯇꯧꯏ (DKA / Hyperosmolar state)꯫ ꯳) ꯑꯀꯅꯕꯥ ꯅꯨꯡꯁꯤꯠꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ (Heat stroke)꯫ ꯴) ꯑꯍꯜ ꯑꯣꯏꯔꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯅꯥ ꯏꯁꯤꯡ ꯀꯥꯑꯣꯊꯣꯀꯄꯥ/ꯊꯀꯄꯥ ꯉꯃꯗꯦ꯫
💬 ꯀꯔꯤꯒꯤꯗꯃꯛ ꯄꯨꯊꯣꯛꯇꯨꯅꯥ ꯊꯥꯗꯣꯀꯈ꯭ꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯐꯒꯠꯂꯀꯄꯥ ꯉꯃꯗꯕꯥ ꯇꯔꯒꯔ ꯍꯟꯊꯔꯀꯄꯥ ꯑꯅꯥꯕꯥ ꯑꯃꯕꯨ ꯌꯨꯃꯗꯥ ꯑꯣ.ꯑꯥꯔ.ꯑꯦꯁ.
ꯑꯁꯤꯒꯨꯝꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯈꯣꯡꯎꯞ ꯑꯁꯤ ꯇꯦꯟꯇ ꯇꯧꯕꯥ ꯍꯥꯌꯕꯁꯤꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯌꯨꯃꯗꯥ ꯏꯁꯤꯡ/ꯂꯤꯛꯌꯨꯏꯗ ꯀꯌꯥ ꯊꯀꯂꯕꯁꯨ, ꯃꯗꯨꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯑꯃꯠꯇꯥ ꯂꯩꯇꯦ! ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯆꯥꯎꯕꯥ ꯑꯃꯁꯨꯡ ꯁꯤꯕꯥ ꯌꯥꯕꯥ ꯈꯨꯗꯣꯡꯊꯤꯕꯥ! ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤꯒꯥ ꯂꯣꯌꯅꯅꯥ, 1) ‘ꯀꯟꯐꯤꯎꯖꯟ/ ꯂꯦꯇꯥꯔꯖꯤ’, 2) ꯅꯨꯃꯤꯠ ꯈꯨꯗꯤꯡꯒꯤ ꯌꯨꯔꯤꯟ ꯇꯧꯗꯕꯥ/ ꯌꯨꯔꯤꯟ ꯑꯁꯤ ꯃꯌꯦꯛ ꯁꯦꯡꯕꯥ ꯌꯦꯔꯨꯝ ꯑꯣꯏꯔꯀꯄꯥ (Oliguria-kidney failure!), 3) ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯍꯥꯔꯠ ꯔꯦꯠ (ꯐꯥꯁ꯭ꯠ ꯍꯥꯔꯠ ꯔꯦꯠ >120), ꯄꯦꯁꯦꯟꯇ ꯑꯗꯨꯅꯥ ꯄꯨꯡ ꯈꯔꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯀꯣꯃꯥ (Hypovolemic shock)ꯗꯥ ꯆꯪꯂꯀꯄꯥ ꯌꯥꯏ, ꯑꯃꯁꯨꯡ ꯅꯍꯥꯀꯄꯨ ꯈꯨꯗꯛꯇꯥ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯂꯒꯤ ꯏꯃꯔꯖꯦꯟꯁꯤ ꯗꯤꯄꯥꯔꯇꯃꯦꯟꯇꯇꯥ ꯄꯨꯔꯀꯄꯥ ꯑꯃꯁꯨꯡ IV ꯄꯤꯕꯥ ꯃꯊꯧ ꯇꯥꯏ꯫ ꯐ꯭ꯂꯨꯏꯗꯁꯤꯡ!
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