ꯅꯍꯥꯛꯅꯥ ꯀꯗꯥꯌꯗꯅꯣ ꯏ ꯊꯣꯀꯄꯥ ꯂꯩꯕ꯭ꯔꯥ? ꯅꯠꯔꯒꯥ ꯅꯍꯥꯛꯅꯥ ꯀꯣꯐꯤ ꯒ꯭ꯔꯥꯎꯟꯗꯒꯨꯝꯕꯥ ꯑꯉꯧꯕꯥ ꯄꯣꯠꯁꯛ ꯑꯃꯥ ꯚꯣꯠ ꯊꯥꯗꯈꯤꯕ꯭ꯔꯥ? ꯃꯁꯤ ꯎꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯅꯥ ꯑꯆꯧꯕꯥ ꯑꯀꯤꯕꯥ ꯑꯃꯁꯨꯡ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯑꯃꯥ ꯐꯥꯑꯣꯕꯁꯤ ꯅꯣꯔꯃꯦꯂꯅꯤ꯫ ꯃꯔꯃꯗꯤ ꯑꯩꯈꯣꯌ ꯄꯨꯝꯅꯃꯛ ꯏ ꯎꯕꯥ ꯃꯇꯃꯗꯥ ꯂꯥꯡꯇꯛꯅꯩ꯫ ꯑꯗꯨꯕꯨ ꯑꯩꯈꯣꯌꯅꯥ ꯂꯥꯡꯇꯛꯅꯗ꯭ꯔꯤꯉꯩ ꯃꯃꯥꯡꯗꯥ, ꯏ ꯊꯣꯀꯄꯥ (ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯑꯣꯏꯅꯥ ꯑꯩꯈꯣꯌꯅꯥ ꯃꯁꯤꯕꯨ ꯍꯦꯃꯥꯇꯦꯃꯦꯁꯤꯁ ꯍꯥꯌꯅꯥ ꯀꯧꯕꯥ) ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯇꯁꯦꯡꯅꯥ ꯀꯔꯤꯅꯣ ꯑꯃꯁꯨꯡ ꯀꯔꯤꯒꯤꯗꯃꯛꯇꯥ ꯊꯣꯛꯂꯤꯕꯅꯣ ꯍꯥꯌꯕꯗꯨ ꯈꯪꯖꯤꯅꯁꯤ꯫
ꯏ ꯊꯣꯀꯄꯥ ꯍꯥꯌꯕꯁꯤ ꯇꯁꯦꯡꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ ꯍꯥꯌꯕꯁꯤꯅꯤ?
ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯍꯣꯌ . ꯏ ꯊꯣꯀꯄꯥ ꯍꯥꯌꯕꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯀꯩꯗꯧꯉꯩꯗꯥ ꯂꯥꯏꯅꯥ ꯂꯧꯔꯣꯏꯗꯕꯅꯤ꯫ ꯃꯁꯤꯒꯤ ꯃꯔꯝ ꯀꯌꯥ ꯂꯩꯕꯥ ꯌꯥꯏ꯫ ꯃꯔꯝ ꯈꯔꯗꯤ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯑꯣꯏꯗꯕꯥ ꯌꯥꯏ, ꯑꯗꯨꯕꯨ ꯃꯈꯣꯌ ꯈꯔꯗꯤ ꯄꯨꯟꯁꯤꯗꯥ ꯁꯣꯀꯍꯅꯕꯥ ꯌꯥꯕꯥ ꯁꯥꯊꯤꯕꯥ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫
ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯁꯨ ꯅꯍꯥꯀꯄꯨ ꯌꯦꯡꯁꯤꯅꯕꯤꯗꯅꯥ ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯔꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯣꯏꯗꯕꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯍꯥꯌꯕꯥ ꯉꯃꯗꯦ꯫ ꯃꯔꯝ ꯑꯁꯤꯅꯅꯤ ꯗꯣꯛꯇꯔ ꯑꯣꯏꯅꯥ ꯑꯩꯈꯣꯌꯅꯥ ꯃꯇꯝ ꯄꯨꯝꯅꯃꯛꯇꯥ ꯏ ꯊꯣꯀꯄꯥ ꯌꯥꯕꯥ ꯀꯦꯁ ꯑꯃꯥ ꯍꯦꯛꯇꯕꯨ ꯏꯃꯔꯖꯦꯟꯁꯤ ꯑꯣꯏꯅꯥ ꯂꯧꯏ ꯃꯗꯨꯗꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯑꯆꯨꯝꯕꯥ ꯃꯔꯝ ꯑꯗꯨ ꯈꯉꯗꯣꯀꯄꯥ ꯉꯃꯗ꯭ꯔꯤꯐꯥꯑꯣꯕꯥ꯫ ꯑꯗꯣꯃꯒꯤꯗꯃꯛꯇꯁꯨ ꯆꯞ ꯃꯥꯟꯅꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯈꯅꯕꯁꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯁꯥꯐꯕꯅꯤ꯫
ꯏ ꯈꯔꯥ ꯂꯩꯔꯕꯗꯤ ꯑꯐꯕꯥ ꯑꯣꯏꯒꯗ꯭ꯔꯥ?
ꯅꯠꯇꯦ, ꯏ ꯊꯣꯀꯄꯥ ꯑꯁꯤ ꯀꯩꯗꯧꯉꯩꯗꯥ ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯗꯦ . ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯅꯍꯥꯛꯅꯥ ꯌꯥꯝꯅꯥ ꯋꯥꯅꯥ ꯈꯣꯡ ꯍꯥꯝꯂꯕꯥ ꯃꯇꯃꯗꯥ, ꯅꯍꯥꯛꯀꯤ ꯀꯣꯛꯇꯥ ꯁꯣꯛ-ꯄꯅꯕꯥ ꯑꯃꯥ ꯂꯩꯔꯀꯄꯥ ꯌꯥꯏ ꯑꯃꯁꯨꯡ ꯏ ꯑꯃꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯅꯤ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯕꯨ ꯃꯁꯤꯅꯤ ꯍꯥꯌꯅꯥ ꯑꯩꯈꯣꯌꯅꯥ ꯂꯣꯏꯁꯤꯅꯕꯥ ꯉꯃꯗꯦ꯫ ꯃꯔꯃꯗꯤ ꯏꯒꯤ ꯑꯄꯤꯀꯄꯥ ꯏꯁꯤꯡ ꯊꯨꯃꯖꯤꯅꯕꯁꯨ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯏ ꯊꯣꯀꯄꯒꯤ ꯍꯧꯔꯀꯐꯝ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯏ ꯁꯣꯀꯄꯥ ꯇꯥꯔꯕꯗꯤ, ꯀꯌꯥ ꯌꯥꯝꯅꯥ ꯄꯤꯀꯄꯥ ꯑꯣꯏꯔꯕꯁꯨ, ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯗꯣꯛꯇꯔ ꯑꯃꯗꯥ ꯈꯪꯍꯅꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ .
ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯂꯩꯔꯤꯕꯥ ꯏꯒꯤ ꯆꯥꯡ ꯑꯗꯨ ꯑꯄꯤꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯆꯧꯕꯥ ꯏꯁꯤꯡꯒꯤ ꯆꯥꯡ ꯑꯗꯨ ꯌꯦꯡꯁꯤꯅꯕꯤꯒꯅꯨ꯫ ꯃꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯂꯩꯕꯥ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯑꯃꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯈꯨꯗꯝ ꯑꯃꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫
ꯑꯩꯒꯤ ꯈꯣꯡꯗꯥ ꯀꯔꯤꯒꯤ ꯏ ꯂꯩꯔꯤꯕꯅꯣ? ꯃꯁꯤꯒꯤ ꯑꯔꯊ ꯀꯔꯤꯅꯣ?
ꯑꯌꯥꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯂꯩꯔꯤꯕꯥ ꯏ ꯑꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯗꯥꯏꯖꯦꯁ꯭ꯇꯤꯚ ꯁꯤꯁ꯭ꯇꯦꯃꯒꯤ ꯃꯊꯛꯀꯤ ꯁꯔꯨꯛ ꯑꯃꯗꯒꯤ, ꯅꯍꯥꯛꯀꯤ ꯏꯁꯣꯐꯦꯒꯁ, ꯁ꯭ꯇꯣꯃꯥꯛ ꯅꯠꯠꯔꯒꯥ ꯗꯣꯑꯣꯗꯦꯅꯃꯒꯨꯝꯕꯥ ꯃꯐꯝ ꯑꯃꯗꯒꯤ ꯂꯥꯀꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯅꯍꯥꯛꯀꯤ ꯅꯥꯀꯣꯡꯗꯒꯤ ꯏ ꯊꯣꯛꯂꯀꯏ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯅꯥ ꯃꯗꯨ ꯊꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯎꯅꯁꯥꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯊꯣꯀꯏ꯫ ꯑꯗꯨꯕꯨ ꯅꯠꯠꯔꯕꯗꯤ ꯏ ꯑꯗꯨ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯒꯤ ꯃꯅꯨꯡꯗꯒꯤ ꯂꯥꯛꯂꯤ꯫
ꯑꯩꯈꯣꯌꯅꯥ ꯏ ꯑꯁꯤꯒꯤ ꯃꯆꯨꯗꯒꯤ ꯀ꯭ꯂꯨ ꯈꯔꯥ ꯂꯧꯕꯥ ꯌꯥꯏ:
- ꯃꯌꯦꯛ ꯁꯦꯡꯕꯥ ꯂꯥꯂꯍꯧꯒꯤ ꯏ: ꯃꯁꯤꯅꯥ ꯇꯥꯀꯄꯗꯤ ꯑꯅꯧꯕꯥ ꯏ ꯂꯩ ꯍꯥꯌꯕꯅꯤ꯫ ꯃꯁꯤꯅꯥ ꯇꯥꯀꯄꯗꯤ ꯍꯧꯖꯤꯛ ꯏ ꯊꯣꯀꯄꯥ ꯌꯥꯕꯒꯤ ꯑꯣꯏꯊꯣꯀꯄꯥ ꯂꯩ ꯍꯥꯌꯕꯅꯤ . ꯃꯁꯤ ꯈꯔꯥ ꯍꯦꯟꯅꯥ ꯌꯥꯡꯅꯥ ꯄꯥꯡꯊꯣꯀꯄꯥ ꯌꯥꯏ ꯑꯃꯁꯨꯡ ꯈꯨꯗꯛꯇꯥ ꯃꯤꯠꯌꯦꯡ ꯆꯪꯕꯥ ꯃꯊꯧ ꯇꯥꯏ꯫
- ꯕ꯭ꯔꯥꯎꯟ/ꯕ꯭ꯂꯦꯛ ꯕ꯭ꯂꯗ, ꯀꯣꯐꯤ ꯒ꯭ꯔꯥꯎꯟꯗꯒꯨꯝꯅꯥ: ꯃꯁꯤ ꯑꯔꯤꯕꯥ ꯏꯅꯤ꯫ ꯃꯁꯤꯒꯤ ꯏ ꯑꯁꯤ ꯃꯇꯝ ꯈꯔꯒꯤ ꯑꯣꯏꯅꯥ ꯁ꯭ꯇꯣꯃꯥꯀꯇꯥ ꯂꯩꯔꯛꯂꯤ ꯑꯃꯁꯨꯡ ꯁ꯭ꯇꯣꯃꯥꯛ ꯑꯦꯁꯤꯗꯁꯤꯡꯒꯥ ꯔꯤꯑꯦꯛꯇ ꯇꯧꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯃꯆꯨ ꯑꯁꯤ ꯑꯣꯟꯊꯣꯀꯈ꯭ꯔꯦ꯫ ꯃꯁꯤꯅꯥ ꯇꯥꯀꯄꯗꯤ ꯏ ꯊꯣꯀꯄꯥ ꯑꯗꯨ ꯈꯔꯥ ꯍꯦꯟꯅꯥ ꯂꯨꯝꯕꯥ ꯌꯥꯏ, ꯅꯠꯠꯔꯒꯥ ꯏ ꯊꯣꯀꯄꯥ ꯑꯗꯨ ꯂꯦꯄꯈꯤꯕꯥ ꯌꯥꯏ꯫
ꯃꯍꯧꯁꯥꯅꯥ, ꯏꯁꯤꯡ ꯊꯨꯃꯖꯤꯅꯕꯥ ꯊꯣꯀꯍꯟꯅꯕꯒꯤꯗꯃꯛ ꯍꯀꯆꯥꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯃꯁꯛ ꯊꯣꯀꯄꯥ ꯏꯒꯤ ꯆꯥꯡ ꯑꯃꯥ ꯃꯥꯡꯍꯅꯕꯥ ꯇꯥꯏ꯫
ꯈꯣꯡ ꯍꯥꯝꯂꯀꯄꯗꯥ ꯏ ꯊꯣꯀꯄꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯔꯃꯁꯤꯡ꯫
ꯈꯣꯡ ꯍꯥꯝꯂꯀꯄꯗꯥ ꯏ ꯊꯣꯀꯍꯅꯕꯒꯤ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯑꯃꯁꯨꯡ ꯁꯥꯊꯤꯕꯥ ꯃꯔꯝ ꯀꯌꯥ ꯂꯩ꯫ ꯃꯈꯣꯌ ꯈꯔꯥ ꯌꯦꯡꯁꯤ꯫
| ꯃꯔꯝ | ꯏꯆꯝ ꯆꯝꯕꯥ ꯃꯌꯦꯛ ꯁꯦꯡꯅꯥ ꯇꯥꯀꯄꯥ꯫ |
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| ꯄꯦꯄꯇꯤꯛ ꯑꯂꯁꯔ (ꯁ꯭ꯇꯣꯃꯥꯛ ꯅꯠꯠꯔꯒꯥ ꯁ꯭ꯃꯣꯜ ꯏꯟꯇꯦꯁ꯭ꯇꯥꯏꯅꯒꯤ ꯑꯂꯁꯔ) | ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯈꯣꯡꯗꯥ ꯊꯣꯀꯄꯥ ꯑꯂꯁꯔꯁꯤꯡꯅꯤ꯫ ꯃꯈꯣꯌ ꯑꯁꯤ ꯑꯀꯛꯅꯕꯥ ꯕꯦꯛꯇꯦꯔꯤꯌꯥ ꯏꯅꯐꯦꯛꯁꯅꯁꯤꯡ ꯅꯠꯠꯔꯒꯥ ꯑꯦꯁ꯭ꯄꯤꯔꯤꯟ ꯑꯃꯁꯨꯡ ꯑꯇꯩ ꯄꯦꯏꯅꯀꯤꯂꯥꯔꯁꯤꯡ (NSAIDs) ꯃꯈꯥ ꯇꯥꯅꯥ ꯁꯤꯖꯤꯟꯅꯕꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯏ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫ |
| ꯁ꯭ꯇꯣꯃꯥꯛ ꯅꯠꯠꯔꯒꯥ ꯏꯁꯣꯐꯦꯒꯁꯇꯥ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯁꯟ (Gastritis/Esophagitis) . | ꯌꯨ ꯌꯥꯝꯅꯥ ꯊꯀꯄꯅꯥ, ꯄꯦꯏꯅꯀꯤꯂꯥꯔ ꯈꯔꯗꯤ ꯁꯤꯖꯤꯟꯅꯕꯅꯥ, ꯑꯃꯁꯨꯡ ꯑꯦꯁꯤꯗ ꯔꯤꯐ꯭ꯂꯛꯁ ꯇꯧꯕꯅꯥ ꯁ꯭ꯇꯣꯃꯥꯛ ꯅꯠꯠꯔꯒꯥ ꯏꯁꯣꯐꯦꯒꯁꯀꯤ ꯃꯅꯨꯡꯒꯤ ꯑꯣꯏꯕꯥ ꯋꯥꯂꯁꯤꯡꯗꯥ ꯁꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯃꯈꯥꯗꯥ ꯂꯩꯕꯥ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯂꯁꯤꯡꯗꯒꯤ ꯏ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫ |
| ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯂꯁꯤꯡ ꯁꯣꯀꯄꯥ (Oesophageal Varices) . | ꯂꯤꯚꯔꯒꯤ ꯁꯤꯔꯣꯁꯤꯁ (cirhosis of the liver)ꯒꯨꯝꯕꯥ ꯀꯟꯗꯤꯁꯅꯁꯤꯡꯅꯥ ꯏꯁꯣꯐꯦꯒꯁ ꯑꯃꯁꯨꯡ ꯁ꯭ꯇꯣꯃꯥꯀꯀꯤ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯂꯁꯤꯡ (blood vessels) ꯁꯣꯟꯊꯕꯥ ꯑꯃꯁꯨꯡ ꯌꯥꯝꯅꯥ ꯂꯨꯕꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯐꯖꯅꯥ ꯐꯨꯕꯥ ꯌꯥꯏ ꯑꯃꯁꯨꯡ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯅꯥ ꯏ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫ |
| ꯃꯦꯂꯣꯔꯤ-ꯋꯦꯏꯁ ꯁꯤꯟꯗꯣꯝ꯫ | ꯈꯣꯝꯂꯥꯡ ꯌꯥꯝꯅꯥ ꯇꯥꯕꯥ ꯑꯃꯁꯨꯡ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯃꯇꯃꯗꯥ, ꯏꯁꯣꯐꯦꯒꯁꯀꯤ ꯋꯥꯂꯗꯥ ꯏꯁꯤꯡ ꯊꯨꯃꯖꯤꯅꯕꯥ (trear) ꯑꯃꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯕꯨ ꯃꯦꯂꯣꯔꯤ-ꯋꯦꯏꯁ ꯁꯤꯟꯗ꯭ꯔꯣꯝ ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯑꯌꯥꯝꯕꯗꯤ ꯌꯨ ꯌꯥꯝꯅꯥ ꯊꯀꯄꯥ ꯃꯇꯨꯡꯗꯥ ꯎꯕꯥ ꯐꯪꯏ꯫ |
| ꯂꯝꯐꯃꯁꯤꯡ ꯅꯠꯠꯔꯒꯥ ꯇꯤꯎꯃꯔꯁꯤꯡ꯫ | ꯏ ꯊꯣꯀꯄꯥ ꯑꯁꯤ ꯀꯦꯟꯁꯔ ꯅꯠꯠꯔꯒꯥ ꯀꯦꯟꯁꯔ ꯅꯠꯇꯕꯥ ꯇꯤꯎꯃꯔꯁꯤꯡꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯁ꯭ꯇꯣꯃꯥꯛ, ꯏꯁꯣꯐꯦꯒꯁ ꯅꯠꯠꯔꯒꯥ ꯄꯦꯅꯛꯔꯤꯑꯦꯖꯒꯤ ꯀꯦꯟꯁꯔ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯆꯦꯛ ꯇꯧꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫ |
| ꯇ꯭ꯔꯥꯎꯃꯦꯇꯤꯛ ꯏꯅꯖꯨꯔꯤ ꯂꯩꯕꯥ꯫ | ꯌꯦꯔꯨꯝ ꯅꯠꯠꯔꯒꯥ ꯈꯣꯡꯗꯥ ꯁꯥꯊꯤꯅꯥ ꯁꯣꯀꯄꯅꯥ ꯃꯅꯨꯡꯒꯤ ꯑꯣꯏꯕꯥ ꯏ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫ |
ꯗꯣꯛꯇꯔꯅꯥ ꯃꯁꯤ ꯀꯔꯝꯅꯥ ꯂꯥꯌꯦꯡꯒꯅꯤ?
ꯅꯍꯥꯛꯅꯥ ꯏ ꯊꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯑꯃꯁꯨꯡ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯂꯗꯥ ꯆꯠꯄꯥ ꯃꯇꯃꯗꯥ, ꯃꯦꯗꯤꯀꯦꯜ ꯇꯤꯃꯅꯥ ꯃꯁꯤ ꯑꯦꯃꯔꯖꯦꯟꯁꯤ ꯑꯃꯥ ꯑꯣꯏꯅꯥ ꯃꯦꯅꯦꯖ ꯇꯧꯏ꯫
1. ꯑꯍꯥꯅꯕꯥ ꯊꯕꯛ ꯑꯁꯤ ꯅꯍꯥꯀꯄꯨ ꯁ꯭ꯇꯦꯕꯤꯂꯥꯏꯖ ꯇꯧꯕꯅꯤ (ꯔꯤꯁꯁꯁꯤꯇꯦꯁꯟ): ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡꯗꯒꯤ ꯏ ꯌꯥꯝꯅꯥ ꯃꯥꯡꯈ꯭ꯔꯕꯗꯤ, ꯍꯥꯌꯕꯗꯤ ꯅꯍꯥꯛꯅꯥ ꯃꯤꯠ ꯎꯗꯕꯥ, ꯂꯦꯡ-ꯑꯣꯠꯄꯒꯤ ꯃꯑꯣꯡ ꯑꯁꯤꯅꯆꯤꯡꯕꯥ ꯑꯣꯏꯔꯕꯗꯤ, ꯑꯍꯥꯅꯕꯥ ꯊꯕꯛ ꯑꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯗꯨ ꯁ꯭ꯇꯦꯕꯤꯂꯥꯏꯖ ꯇꯧꯕꯅꯤ꯫ ꯃꯁꯤꯗꯥ ꯅꯍꯥꯀꯄꯨ IV ꯐ꯭ꯂꯨꯏꯗ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯊꯧ ꯇꯥꯔꯕꯗꯤ ꯕ꯭ꯂꯗ ꯇ꯭ꯔꯥꯟꯁꯐ꯭ꯌꯨꯁꯟ, ꯑꯃꯁꯨꯡ ꯑꯣꯛꯁꯤꯖꯦꯟ ꯄꯤꯕꯥ ꯌꯥꯎꯏ꯫
2. ꯃꯔꯝ ꯑꯗꯨ ꯈꯪꯗꯣꯀꯄꯥ: ꯅꯍꯥꯛꯀꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯗꯨ ꯂꯦꯡꯗꯅꯥ ꯂꯩꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯏ ꯊꯣꯀꯄꯒꯤ ꯃꯔꯝ ꯑꯗꯨ ꯊꯤꯕꯥ ꯍꯧꯔꯒꯅꯤ꯫ ꯃꯈꯣꯌꯅꯥ ꯅꯉꯣꯟꯗꯥ ꯋꯥꯍꯪ ꯍꯪꯒꯅꯤ - ꯏ ꯊꯣꯀꯄꯥ ꯑꯁꯤ ꯀꯌꯥ ꯀꯨꯏꯅꯥ ꯂꯩꯔꯛꯂꯤꯕꯅꯣ? ꯏ ꯑꯁꯤ ꯀꯔꯤ ꯃꯆꯨꯅꯣ? ꯃꯁꯤ ꯃꯃꯥꯡꯗꯥ ꯊꯣꯀꯈꯤꯕꯔꯥ? ꯃꯈꯣꯌꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯧꯔꯤꯕꯥ ꯍꯤꯗꯥꯀꯁꯤꯡꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯁꯣꯌꯗꯅꯥ ꯍꯪꯒꯅꯤ, ꯃꯔꯨꯑꯣꯏꯅꯥ ꯑꯦꯁ꯭ꯄꯤꯔꯤꯟ ꯑꯃꯁꯨꯡ ꯏꯕꯨꯞꯔꯣꯐꯦꯅꯒꯨꯝꯕꯥ ꯄꯦꯏꯅꯀꯤꯂꯔꯁꯤꯡ (NSAIDs)ꯒꯤ ꯃꯇꯥꯡꯗꯥ꯫
3. ꯑꯦꯟꯗꯣꯁ꯭ꯀꯣꯄꯤ: ꯃꯁꯤꯅꯥ ꯏ ꯊꯣꯀꯄꯥ ꯑꯗꯨꯒꯤ ꯑꯆꯨꯝꯕꯥ ꯃꯐꯝ ꯑꯗꯨ ꯈꯪꯗꯣꯛꯅꯕꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯇꯦꯁ꯭ꯇꯅꯤ꯫ ꯃꯁꯤꯗꯥ ꯅꯍꯥꯀꯄꯨ ꯃꯌꯥꯏ ꯑꯣꯏꯕꯥ ꯁꯦꯗꯦꯇꯤꯚ ꯑꯃꯥ ꯄꯤꯕꯥ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯏꯁꯣꯐꯦꯒꯁ, ꯁ꯭ꯇꯣꯃꯥꯛ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯑꯄꯤꯀꯄꯥ ꯏꯟꯇꯦꯁ꯭ꯇꯥꯏꯅꯒꯤ ꯑꯍꯥꯅꯕꯥ ꯁꯔꯨꯛ ꯑꯗꯨ ꯌꯦꯡꯁꯤꯟꯅꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯃꯤꯠꯀꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯀꯦꯃꯦꯔꯥ ꯑꯃꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯊꯤꯟ ꯇꯨꯕ ꯑꯃꯥ ꯍꯥꯄꯆꯤꯅꯕꯥ ꯑꯁꯤ ꯌꯥꯎꯏ꯫
- ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯥ ꯋꯥꯐꯃꯗꯤ ꯃꯁꯤꯒꯤ ꯇꯦꯁ꯭ꯠ ꯑꯁꯤ ꯏ ꯊꯣꯀꯄꯥ ꯂꯥꯌꯦꯡꯕꯗꯁꯨ ꯁꯤꯖꯤꯟꯅꯕꯥ ꯌꯥꯏ꯫ ꯗꯣꯛꯇꯔꯅꯥ ꯏ ꯊꯣꯀꯄꯥ ꯃꯐꯝ ꯑꯗꯨ ꯈꯪꯂꯕꯥ ꯃꯇꯨꯡꯗꯥ, ꯃꯍꯥꯛꯅꯥ ꯏ ꯊꯣꯀꯄꯥ ꯊꯤꯡꯅꯕꯥ ꯇꯤꯎꯕ ꯑꯗꯨꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯄꯤꯀꯄꯥ ꯏꯅꯁ꯭ꯠꯔꯨꯃꯦꯟꯇꯁꯤꯡ (e.g., ꯀ꯭ꯂꯤꯞ ꯅꯠꯠꯔꯒꯥ ꯀꯣꯎꯇꯦꯔꯥꯏꯖ) ꯄꯤꯕꯥ ꯌꯥꯏ꯫
4. ꯕꯥꯏꯑꯣꯞꯁꯤ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯦꯀꯖꯥꯃꯤꯅꯦꯁꯟ ꯇꯧꯕꯥ ꯃꯇꯃꯗꯥ ꯆꯤꯡꯅꯕꯥ ꯃꯐꯝ ꯑꯃꯥ ꯂꯩꯔꯕꯗꯤ ꯃꯐꯝ ꯑꯗꯨꯗꯒꯤ ꯇꯤꯁꯨꯒꯤ ꯑꯄꯤꯀꯄꯥ ꯁꯔꯨꯛ ꯑꯃꯥ ꯂꯧꯊꯣꯛꯇꯨꯅꯥ ꯂꯦꯕꯣꯔꯦꯇꯔꯤꯗꯥ ꯊꯥꯏ꯫
ꯑꯌꯥꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯀꯟꯗꯤꯁꯅꯁꯤꯡ ꯑꯁꯤ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛ ꯁꯤꯖꯤꯟꯅꯗꯨꯅꯥ ꯂꯥꯏꯌꯦꯡꯕꯥ ꯌꯥꯏ, ꯑꯗꯨꯕꯨ ꯁꯥꯊꯤꯕꯥ ꯀꯦꯁ ꯈꯔꯗꯗꯤ, ꯁꯔꯖꯔꯤ ꯇꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯏ꯫
ꯑꯩꯅꯥ ꯀꯗꯥꯏꯗꯥ ꯈꯨꯗꯛꯇꯥ ꯗꯣꯛꯇꯔꯒꯥ ꯇꯥꯟꯅꯒꯗꯒꯦ?
ꯃꯁꯤꯒꯤ ꯄꯥꯎꯈꯨꯝ ꯑꯃꯈꯛꯇꯃꯛ ꯂꯩ꯫ ꯅꯍꯥꯛꯅꯥ ꯏ ꯊꯣꯛꯂꯤ ꯍꯥꯌꯕꯥ ꯈꯪꯂꯕꯥ ꯃꯇꯨꯡꯗꯥ꯫ ꯊꯦꯡꯊꯕꯥ ꯇꯧꯔꯣꯏꯗꯕꯅꯤ꯫ ꯃꯔꯨꯑꯣꯏꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯏ ꯁꯣꯀꯄꯥ ꯇꯥꯔꯕꯗꯤ, ꯌꯥꯔꯤꯕꯃꯈꯩ ꯊꯨꯅꯥ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯜ ꯑꯃꯒꯤ ꯏꯃꯔꯖꯦꯟꯁꯤ ꯗꯤꯄꯥꯔꯇꯃꯦꯟꯇ (ETU) ꯗꯥ ꯆꯠꯂꯨ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯊꯧ ꯇꯥꯔꯕꯗꯤ ꯑꯦꯝꯕꯨꯂꯦꯟꯁ ꯑꯃꯗꯥ ꯀꯧꯕꯤꯌꯨ꯫
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯅꯥ ꯃꯤꯠ ꯎꯗꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯋꯥꯈꯜ ꯃꯥꯡꯈꯤꯕꯥ ꯂꯩꯔꯕꯗꯤ꯫
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯐꯥꯎꯔꯕꯗꯤ꯫
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯁꯥꯊꯤꯕꯥ ꯑꯅꯥꯕꯥ ꯂꯩꯔꯕꯗꯤ꯫
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯁꯥꯊꯤꯕꯥ ꯑꯅꯥꯕꯥ ꯂꯩꯔꯕꯗꯤ꯫
ꯏ ꯊꯣꯀꯄꯥ ꯍꯥꯌꯕꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯊꯧꯗꯣꯛ ꯑꯃꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯏ ꯍꯥꯌꯕꯒꯤ ꯆꯦꯀꯁꯤꯅꯋꯥ ꯑꯃꯥ ꯑꯣꯏꯔꯤ, ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯃꯁꯤ ꯀꯩꯗꯧꯉꯩꯗꯥ ꯌꯦꯡꯁꯤꯅꯕꯤꯒꯅꯨ꯫
ꯇꯦꯛ-ꯍꯣꯝ ꯃꯦꯁꯦꯖ ꯇꯧꯕꯥ꯫
- ꯏꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯈꯣꯡ ꯍꯥꯝꯕꯥ ꯑꯁꯤ ꯀꯩꯗꯧꯉꯩꯗꯥ ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯗꯦ . ꯃꯁꯤ ꯃꯇꯝ ꯄꯨꯝꯅꯃꯛꯇꯥ ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯃꯇꯦꯡ ꯃꯊꯧ ꯇꯥꯕꯥ ꯑꯦꯃꯔꯖꯦꯟꯁꯤ ꯑꯃꯅꯤ꯫
- ꯏꯒꯤ ꯃꯆꯨ (ꯃꯌꯦꯛ ꯁꯦꯡꯕꯥ ꯂꯥꯂꯍꯧ ꯅꯠꯠꯔꯒꯥ ꯀꯣꯐꯤ ꯒ꯭ꯔꯥꯎꯟꯗ) ꯑꯁꯤꯅꯥ ꯀ꯭ꯂꯨ ꯈꯔꯥ ꯄꯤꯔꯕꯁꯨ, ꯗꯣꯛꯇꯔ ꯑꯃꯈꯛꯇꯅꯥ ꯑꯀꯛꯅꯕꯥ ꯃꯔꯝ ꯑꯗꯨ ꯈꯪꯗꯣꯀꯄꯥ ꯉꯃꯒꯅꯤ꯫
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯏ ꯊꯣꯀꯄꯥ ꯇꯥꯔꯕꯗꯤ, ꯃꯔꯨꯑꯣꯏꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯇꯣꯞꯄꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯍꯥꯌꯕꯗꯤ ꯃꯤꯠ ꯎꯗꯕꯥ ꯑꯃꯁꯨꯡ ꯁꯥꯊꯤꯕꯥ ꯑꯅꯥꯕꯥ ꯂꯩꯔꯕꯗꯤ, ꯈꯨꯗꯛꯇꯥ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯜ ꯑꯃꯒꯤ ꯏꯃꯔꯖꯦꯟꯁꯤ ꯗꯤꯄꯥꯔꯇꯃꯦꯟꯇ (ETU) ꯗꯥ ꯆꯠꯂꯨ꯫
- ꯅꯍꯥꯛꯅꯥ ꯂꯧꯔꯤꯕꯥ ꯍꯤꯗꯥꯛ ꯄꯨꯝꯅꯃꯛ, ꯃꯔꯨꯑꯣꯏꯅꯥ ꯑꯦꯁ꯭ꯄꯤꯔꯤꯟ ꯑꯃꯁꯨꯡ ꯏꯕꯨꯞꯔꯣꯐꯦꯅꯒꯨꯝꯕꯥ ꯄꯦꯟ ꯔꯤꯂꯤꯚꯔꯁꯤꯡ (NSAIDꯁꯤꯡ)ꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯈꯪꯍꯜꯂꯨ꯫
- ꯋꯥꯒꯅꯨ. ꯃꯇꯝ ꯆꯥꯅꯥ ꯂꯥꯏꯌꯦꯡꯕꯅꯥ, ꯑꯌꯥꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯏ ꯊꯣꯀꯄꯥ ꯊꯤꯡꯕꯥ ꯉꯝꯃꯤ ꯑꯃꯁꯨꯡ ꯃꯗꯨ ꯊꯣꯀꯍꯅꯈꯤꯕꯥ ꯃꯈꯥ ꯇꯥꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯗꯨ ꯂꯥꯏꯌꯦꯡꯕꯥ ꯉꯝꯃꯤ꯫
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