ꯃꯃꯥ ꯑꯃꯥ ꯑꯣꯏꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯏꯆꯥꯅꯨꯄꯤ ꯑꯗꯨꯅꯥ ꯗ꯭ꯔꯣꯜ ꯇꯧꯕꯥ ꯃꯇꯃꯗꯥ ꯑꯁꯨꯛ ꯌꯥꯝꯅꯥ ꯅꯨꯡꯉꯥꯏꯕꯥ ꯐꯥꯑꯣꯏ, ꯅꯠꯇꯦ? ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏ, ꯃꯔꯨꯑꯣꯏꯅꯥ ꯆꯍꯤ 4 ꯑꯃꯁꯨꯡ 19ꯒꯤ ꯃꯔꯛꯇꯥ ꯂꯩꯕꯥ ꯃꯇꯃꯗꯥ꯫ ꯑꯗꯨꯕꯨ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯅꯥ ꯆꯍꯤ 4 ꯁꯨꯔꯕꯥ ꯃꯇꯨꯡꯗꯁꯨ ꯌꯥꯝꯅꯥ ꯋꯥꯅꯥ ꯊꯀꯄꯥ ꯇꯥꯔꯕꯗꯤ, ꯃꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯋꯥꯈꯜ ꯇꯥꯒꯗꯕꯥ ꯋꯥꯐꯝ ꯑꯃꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫ ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯋꯥꯍꯟꯊꯣꯛꯀꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ, ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤꯕꯨ ꯁꯤꯌꯥꯂꯣꯔꯤꯌꯥ ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯉꯁꯤ ꯏꯆꯝ ꯆꯝꯕꯥ ꯑꯃꯁꯨꯡ ꯑꯔꯥꯏꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯁꯤ꯫
ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯁꯤꯌꯥꯂꯣꯔꯤꯌꯥ ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ?
ꯁꯤꯌꯥꯂꯣꯔꯤꯌꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯍꯦꯟꯅꯥ ꯁꯣꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯏꯁꯤꯡ ꯇꯨꯡꯁꯤꯅꯕꯥ ꯍꯥꯌꯕꯁꯤꯅꯤ꯫ ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯅꯥ, ꯑꯉꯥꯡ ꯑꯃꯒꯤ ꯃꯤꯠꯅꯥ ꯅꯣꯡꯃꯗꯥ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯂꯤꯇꯔ 1.5 ꯔꯣꯝ ꯄꯨꯊꯣꯀꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯂꯩꯕꯥ ꯑꯉꯥꯡ ꯑꯃꯅꯥ ꯅꯣꯡꯃꯗꯥ ꯂꯤꯇꯔ 5 ꯐꯥꯎꯕꯥ ꯁꯦꯂꯤꯚꯥ ꯄꯨꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯄꯨꯊꯣꯀꯄꯥ ꯂꯦꯡ-ꯑꯣꯠꯄꯒꯤ ꯆꯥꯡ ꯑꯁꯤ ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯔꯕꯁꯨ, ꯑꯉꯥꯡ ꯑꯗꯨꯅꯥ ꯃꯗꯨ ꯃꯇꯤꯛ ꯆꯥꯅꯥ ꯊꯀꯄꯥ ꯉꯃꯗꯦ꯫ ꯃꯇꯝ ꯑꯗꯨꯗꯁꯨ, ꯂꯦꯡꯖꯨꯝ ꯑꯁꯤ ꯍꯧꯖꯤꯀꯁꯨ ꯃꯤꯠꯀꯤ ꯃꯄꯥꯟꯗꯥ ꯆꯦꯟꯊꯔꯀꯏ꯫
ꯃꯁꯤꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯈꯜ ꯑꯅꯤ ꯂꯩ:
- ꯑꯦꯟꯇꯤꯔꯤꯑꯣꯔ ꯁꯤꯑꯦꯂꯣꯔꯤꯌꯥ (Anterior Sialorrhea): ꯃꯁꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯗ꯭ꯔꯣꯂꯤꯡ ꯃꯈꯜ ꯑꯃꯅꯤ꯫ ꯃꯤꯠꯀꯤ ꯃꯄꯥꯟꯗꯥ ꯑꯃꯁꯨꯡ ꯃꯃꯥꯌꯒꯤ ꯃꯈꯥꯗꯥ ꯑꯃꯁꯨꯡ ꯄꯣꯠꯁꯀꯁꯤꯡꯗꯥ ꯆꯦꯟꯊꯈꯤ꯫ ꯃꯁꯤꯅꯥ ꯆꯤꯟ ꯑꯃꯁꯨꯡ ꯃꯤꯠꯀꯤ ꯑꯀꯣꯌꯕꯗꯥ ꯂꯩꯕꯥ ꯈꯣꯡꯗꯥ ꯂꯥꯎꯕꯥ ꯑꯃꯁꯨꯡ ꯈꯣꯡ ꯍꯥꯝꯂꯀꯄꯥ ꯌꯥꯏ, ꯑꯃꯁꯨꯡ ꯈꯣꯡꯗꯥ ꯏꯅꯐꯦꯛꯁꯟ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯅꯥ ꯑꯉꯥꯡ ꯑꯗꯨꯕꯨ ꯑꯇꯣꯞꯄꯥ ꯑꯉꯥꯡꯁꯤꯡꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯁꯣꯁꯤꯑꯦꯂꯥꯏꯖ ꯇꯧꯕꯗꯥ ꯈꯔꯥ ꯂꯥꯡꯇꯛꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯐꯥꯑꯣꯍꯅꯕꯁꯨ ꯌꯥꯏ꯫
- ꯄꯣꯁ꯭ꯇꯦꯔꯤꯌꯥꯜ (Posterior Sialorrhea) (ꯈꯣꯡꯕꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯏꯁꯤꯡ ꯇꯨꯡꯁꯤꯅꯕꯥ): ꯃꯁꯤ ꯀꯣꯛꯇꯥ ꯆꯦꯟꯊꯈꯤꯕꯒꯤ ꯃꯍꯨꯠꯇꯥ, ꯀꯣꯛꯇꯥ ꯆꯦꯟꯊꯈꯤꯕꯥ, ꯑꯦꯌꯔꯋꯦ (airway)ꯗꯥ ꯆꯦꯟꯊꯈꯤꯕꯥ ꯃꯇꯃꯅꯤ꯫ ꯃꯁꯤ ꯈꯔꯥ ꯈꯨꯗꯣꯡꯊꯤꯅꯤꯡꯉꯥꯏ ꯑꯣꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯂꯦꯡ-ꯑꯣꯠꯄꯅꯥ ꯃꯈꯥ ꯇꯥꯅꯥ ꯂꯪꯁꯇꯥ ꯆꯦꯟꯊꯔꯀꯄꯥ ꯇꯥꯔꯕꯗꯤ, ꯃꯁꯤꯅꯥ ꯂꯪꯁꯇꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ ꯑꯃꯁꯨꯡ ꯌꯥꯝꯅꯥ ꯇꯣꯏꯅꯥ ꯈꯣꯡ ꯍꯥꯝꯕꯥ ꯑꯃꯁꯨꯡ ꯀꯣꯛ ꯆꯤꯀꯄꯥ ꯊꯣꯀꯍꯜꯂꯀꯄꯥ ꯌꯥꯏ꯫
ꯑꯌꯥꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯂꯩꯕꯥ ꯑꯉꯥꯡꯁꯤꯡꯅꯥ ꯃꯈꯜ ꯑꯅꯤꯃꯛꯀꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯄꯨꯟꯅꯥ ꯎꯕꯥ ꯐꯪꯏ꯫
ꯏꯁꯤꯡ ꯇꯨꯡꯁꯤꯅꯕꯒꯤ ꯃꯔꯃꯁꯤꯡ ꯀꯔꯤꯅꯣ?
ꯑꯉꯥꯡ ꯑꯃꯅꯥ ꯌꯥꯝꯅꯥ ꯋꯥꯅꯥ ꯏꯁꯤꯡ ꯇꯨꯡꯁꯤꯅꯕꯥ ꯌꯥꯕꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯔꯝ ꯀꯌꯥ ꯂꯩ꯫ ꯑꯌꯥꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯃꯁꯤ ꯑꯇꯣꯞꯄꯥ ꯑꯟꯗꯔꯂꯥꯏꯟ ꯃꯦꯗꯤꯀꯦꯜ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯒꯤ ꯂꯥꯏꯑꯣꯡ ꯑꯃꯅꯤ꯫
ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯋꯥꯐꯃꯗꯤ ꯗꯣꯛꯇꯔ ꯑꯃꯒꯥ ꯎꯅꯗꯨꯅꯥ ꯑꯆꯨꯝꯕꯥ ꯋꯥꯔꯦꯞ ꯑꯃꯥ ꯂꯧꯕꯅꯤ , ꯃꯔꯝ ꯑꯗꯨ ꯃꯁꯥꯅꯥ ꯈꯉꯖꯕꯗꯒꯤ꯫
ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯇꯦꯕꯜ ꯑꯁꯤꯗꯥ ꯃꯔꯃꯁꯤꯡ ꯑꯗꯨ ꯃꯈꯥ ꯇꯥꯅꯥ ꯌꯦꯡꯁꯤ꯫
| ꯃꯔꯝ | ꯏꯆꯝ ꯆꯝꯕꯥ ꯃꯌꯦꯛ ꯁꯦꯡꯅꯥ ꯇꯥꯀꯄꯥ꯫ |
|---|---|
| ꯅꯔꯚ ꯁꯤꯁ꯭ꯇꯦꯝ ꯑꯃꯁꯨꯡ ꯕ꯭ꯔꯦꯅꯒꯤ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯃꯁꯤꯡ꯫ | ꯕ꯭ꯔꯦꯅꯅꯥ ꯃꯤꯠ ꯑꯃꯁꯨꯡ ꯊꯕꯥꯛꯀꯤ ꯃꯁꯂꯁꯤꯡ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯗꯥ ꯑꯋꯥꯕꯥ ꯃꯥꯌꯣꯛꯅꯔꯤ꯫ ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯁꯦꯔꯤꯕ꯭ꯔꯦꯜ ꯄꯥꯂꯁꯤ ꯀꯧꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯥ ꯂꯩꯕꯥ ꯑꯉꯥꯡꯁꯤꯡꯒꯤ ꯆꯥꯎꯔꯥꯛꯅꯥ 58%ꯗꯁꯨ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯂꯩ꯫ ꯃꯁꯤ ꯕ꯭ꯔꯦꯅꯗꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯅꯠꯠꯔꯒꯥ ꯁ꯭ꯠꯔꯣꯀꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ |
| ꯑꯦꯅꯥꯇꯣꯃꯤꯛ ꯑꯦꯕꯅꯣꯔꯃꯦꯂꯤꯇꯤꯁꯤꯡ꯫ | ꯂꯦꯡ-ꯑꯣꯠꯄꯗꯥ ꯑꯋꯥꯕꯥ ꯑꯣꯏꯍꯜꯂꯤꯕꯥ ꯍꯀꯆꯥꯡꯒꯤ ꯑꯍꯣꯡꯕꯁꯤꯡ꯫ ꯈꯨꯗꯃꯁꯤꯡ: ꯅꯣꯔꯃꯦꯂꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯆꯥꯎꯕꯥ ꯖꯤꯕ ꯑꯃꯥ, ꯈꯣꯡ ꯅꯠꯠꯔꯒꯥ ꯀꯣꯛꯇꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯄꯥ, ꯂꯤꯞ ꯅꯠꯠꯔꯒꯥ ꯄꯦꯂꯦꯠ ꯁꯣꯟꯊꯕꯥ, ꯍꯥꯀꯆꯥꯡꯒꯤ ꯄꯣꯖꯤꯁꯅꯗꯥ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯂꯩꯕꯥ꯫ |
| ꯑꯍꯦꯅꯕꯥ ꯁꯦꯂꯤꯚꯥ ꯄꯨꯊꯣꯀꯄꯥ꯫ | ꯑꯉꯥꯡ ꯑꯗꯨꯅꯥ ꯂꯦꯡ-ꯑꯣꯠꯄꯥ ꯉꯝꯂꯕꯁꯨ, ꯍꯀꯆꯥꯡꯅꯥ ꯃꯊꯧ ꯇꯥꯕꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯂꯦꯡ-ꯑꯣꯠꯄꯒꯤ ꯃꯑꯣꯡ-ꯃꯇꯧ ꯄꯨꯊꯣꯀꯏ꯫ ꯃꯁꯤ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛ ꯈꯔꯒꯤ ꯁꯥꯏꯗ ꯏꯐꯦꯛꯇ ꯅꯠꯠꯔꯒꯥ ꯑꯇꯩ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯒꯤ ꯂꯥꯌꯅꯥꯁꯤꯡꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ |
| ꯃꯤꯠ ꯎꯏꯁꯤꯅꯕꯥ꯫ | ꯑꯉꯥꯡ ꯈꯔꯗꯤ ꯃꯈꯣꯌꯒꯤ ꯅꯥꯀꯣꯡꯗꯒꯤ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯒꯤ ꯃꯍꯨꯠꯇꯥ ꯃꯈꯣꯌꯒꯤ ꯃꯀꯣꯀꯊꯣꯡꯕꯗꯒꯤ ꯁ꯭ꯕꯔ ꯍꯣꯜꯂꯤ꯫ ꯃꯇꯝ ꯑꯗꯨꯗꯁꯨ, ꯃꯤꯠ ꯑꯗꯨ ꯍꯥꯡꯗꯣꯛꯇꯨꯅꯥ ꯂꯩ, ꯃꯗꯨꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯂꯦꯡ-ꯑꯣꯠꯄꯒꯤ ꯃꯑꯣꯡ-ꯃꯇꯧ ꯑꯗꯨ ꯂꯥꯀꯁꯤꯅꯕꯥ ꯌꯥꯍꯜꯂꯤ꯫ |
ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯤ ꯑꯣꯏꯕꯥ ꯌꯥꯕꯒꯦ?
ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯂꯦꯡ-ꯑꯣꯠꯄꯒꯤ ꯃꯑꯣꯡ-ꯃꯇꯧ ꯑꯗꯨ ꯊꯣꯛꯂꯀꯄꯗꯥ (anterior) ꯅꯠꯠꯔꯒꯥ ꯀꯣꯛꯇꯥ (posterior) ꯆꯦꯟꯊꯈꯤꯕꯔꯥ ꯍꯥꯌꯕꯗꯨꯒꯤ ꯃꯈꯥ ꯄꯣꯜꯂꯤ꯫
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯁꯦꯂꯤꯚꯥ ꯑꯗꯨ ꯃꯃꯥꯡꯂꯣꯃꯗꯥ ꯆꯦꯜꯂꯕꯗꯤ (Anterior Sialorrhea):
- ꯃꯇꯝ ꯄꯨꯝꯅꯃꯛꯇꯥ ꯇꯔꯨ ꯇꯅꯥꯅꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯇꯥꯎꯅꯁꯤꯡ ꯂꯩꯕꯥ꯫
- ꯃꯤꯠ ꯑꯃꯁꯨꯡ ꯆꯤꯅꯒꯤ ꯑꯀꯣꯌꯕꯗꯥ ꯂꯩꯕꯥ ꯈꯣꯡ ꯑꯗꯨ ꯂꯥꯂꯍꯧꯕꯥ, ꯁꯨꯡꯕꯥ ꯑꯃꯁꯨꯡ ꯂꯦꯡ-ꯑꯣꯠꯄꯒꯤ ꯃꯑꯣꯡ ꯂꯩ꯫
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯍꯀꯆꯥꯡꯗꯥ ꯏꯁꯤꯡꯒꯤ ꯑꯋꯥꯠꯄꯥ ꯈꯔꯥ ꯂꯩꯔꯀꯄꯥ (mild dehydration)꯫
- ꯋꯥ ꯉꯥꯡꯕꯗꯥ ꯑꯃꯁꯨꯡ ꯆꯥꯕꯗꯥ ꯑꯋꯥꯕꯥ ꯈꯔꯥ ꯂꯩ꯫
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯂꯦꯡ-ꯑꯣꯠꯄꯒꯤ ꯃꯑꯣꯡ-ꯃꯇꯧ (Posterior Sialorrhea) (Posterior Sialorrhea): ꯃꯁꯤꯅꯥ ꯑꯀꯅꯕꯥ ꯂꯥꯏꯑꯣꯡ ꯈꯔꯗꯤ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫
- ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ, ꯀꯣꯛ ꯆꯤꯀꯄꯥ, ꯋꯥꯈꯜ ꯆꯔꯥꯡꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ .
- ꯆꯦꯁ꯭ꯠ ꯀꯟꯖꯦꯁꯟ ꯂꯩꯕꯥ꯫
- ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ꯫
- ꯑꯦꯁ꯭ꯄꯤꯔꯦꯁꯟ (Aspiration): ꯃꯁꯤꯅꯥ ꯂꯪꯁꯇꯥ ꯂꯦꯡ-ꯑꯣꯠꯄꯒꯨꯝꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ ꯁꯣꯀꯍꯅꯕꯥ ꯍꯥꯌꯕꯁꯤꯅꯤ꯫ ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯈꯨꯗꯣꯡꯊꯤꯅꯤꯡꯉꯥꯏ ꯑꯣꯏ ꯃꯔꯃꯗꯤ ꯃꯁꯤꯅꯥ ꯅ꯭ꯌꯨꯃꯣꯅꯤꯌꯥꯒꯨꯝꯕꯥ ꯑꯀꯅꯕꯥ ꯏꯅꯐꯦꯛꯁꯅꯁꯤꯡ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ .
ꯃꯁꯤ ꯃꯦꯗꯤꯀꯦꯜ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ ꯍꯥꯌꯕꯁꯤ ꯀꯔꯝꯅꯥ ꯈꯪꯒꯅꯤ?
ꯑꯦꯟꯇꯤꯔꯤꯑꯣꯔ ꯁꯤꯑꯦꯂꯣꯔꯤꯌꯥ ꯑꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨ ꯌꯦꯡꯁꯤꯜꯂꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯑꯃꯁꯨꯡ ꯑꯀꯨꯞꯄꯥ ꯃꯔꯣꯂꯁꯤꯡ ꯄꯤꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯗꯣꯛꯇꯔ ꯑꯃꯅꯥ ꯐꯖꯅꯥ ꯈꯪꯗꯣꯀꯄꯥ ꯌꯥꯏ꯫
ꯑꯗꯨꯕꯨ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯗꯥ ꯗ꯭ꯔꯣꯂꯤꯡ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯑꯃꯥ ꯂꯩꯔꯦ ꯍꯥꯌꯅꯥ ꯆꯤꯡꯅꯔꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯃꯗꯨ ꯀꯅꯐꯥꯔꯝ ꯇꯧꯅꯕꯥ ꯑꯈꯟꯅꯕꯥ ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯇꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯏ꯫ ꯑꯈꯟꯅꯕꯥ ꯈꯨꯠꯂꯥꯌꯁꯤꯡ ꯑꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡꯒꯤ ꯀꯣꯛ, ꯈꯣꯝꯂꯥꯡ ꯑꯃꯁꯨꯡ ꯋꯥ ꯉꯥꯡꯕꯒꯤ ꯃꯑꯣꯡ-ꯃꯇꯧ ꯌꯦꯡꯁꯤꯟꯅꯕꯥ ꯁꯤꯖꯤꯟꯅꯩ꯫ ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯚꯤꯗꯤꯑꯣꯐ꯭ꯂꯨꯑꯣꯔꯣꯁ꯭ꯀꯣꯄꯤ ꯀꯧꯕꯥ ꯑꯈꯟꯅꯕꯥ ꯑꯦꯛꯁ-ꯔꯦ ꯑꯃꯅꯥ ꯑꯉꯥꯡ ꯑꯗꯨꯅꯥ ꯃꯇꯧ ꯀꯔꯝꯅꯥ ꯂꯤꯛꯌꯨꯏꯗꯁꯤꯡ ꯊꯀꯄꯒꯦ ꯑꯃꯁꯨꯡ ꯃꯈꯣꯌ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯀꯣꯛꯇꯥ ꯆꯠꯄꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯆꯨꯝꯅꯥ ꯎꯠꯄꯥ ꯉꯝꯃꯤ꯫ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯂꯩꯔꯣꯏꯗꯕꯅꯤ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯇꯦꯁ꯭ꯠ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯊꯧ ꯇꯥꯔꯕꯈꯛꯇꯗꯥ ꯑꯣꯔꯗꯔ ꯇꯧꯒꯅꯤ꯫
ꯂꯥꯌꯦꯡ ꯑꯣꯏꯅꯥ ꯀꯔꯤ ꯇꯧꯔꯤꯕꯒꯦ?
ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯥ ꯋꯥꯐꯃꯗꯤ ꯃꯁꯤꯒꯤꯗꯃꯛꯇꯥ ꯂꯥꯏꯌꯦꯡ ꯀꯌꯥ ꯑꯃꯥ ꯂꯩꯔꯤ꯫ ꯑꯉꯥꯡ ꯑꯗꯨꯒꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯁꯨꯡ ꯃꯔꯃꯒꯤ ꯃꯇꯨꯡ ꯏꯟꯅꯥ ꯗꯣꯛꯇꯔꯅꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯆꯨꯅꯕꯥ ꯂꯥꯏꯌꯦꯡ ꯈꯅꯒꯅꯤ꯫
- ꯃꯤꯠꯀꯤ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ: ꯂꯦꯡ-ꯑꯣꯠꯄꯒꯤ ꯆꯥꯡ ꯍꯟꯊꯍꯅꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯦꯌꯔꯋꯦ (ꯁ꯭ꯕꯔ ꯍꯣꯟꯅꯕꯥ ꯎꯇꯣꯡ) ꯍꯦꯟꯅꯥ ꯂꯥꯌꯊꯣꯀꯍꯅꯕꯥ ꯍꯤꯗꯥꯀꯁꯤꯡ ꯄꯤꯕꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯈꯔꯗꯤ ꯃꯤꯠ ꯁꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯈꯣꯡ ꯍꯥꯝꯕꯥ (constipation)ꯒꯨꯝꯕꯥ ꯁꯥꯏꯗ ꯏꯐꯦꯛꯇꯁꯤꯡ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯗꯣꯛꯇꯔꯅꯥ ꯆꯦꯀꯁꯤꯟꯅꯥ ꯈꯟꯅꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯄꯤꯒꯅꯤ꯫
- ꯕꯣꯇꯣꯛꯁ ꯏꯅꯖꯦꯀꯁꯅꯁꯤꯡ: ꯕꯣꯇꯨꯂꯤꯅꯝ ꯇꯣꯛꯁꯤꯟ (Botox) ꯑꯁꯤ ꯁꯦꯂꯤꯚꯥꯔꯤ ꯒ꯭ꯜꯌꯥꯟꯗꯁꯤꯡꯗꯥ ꯏꯅꯖꯦꯀꯁꯟ ꯇꯧꯗꯨꯅꯥ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯊꯥ 4ꯒꯤ ꯑꯣꯏꯅꯥ ꯁꯦꯂꯤꯚꯥ ꯄꯨꯊꯣꯀꯄꯥ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯏ꯫ ꯃꯁꯤ ꯍꯧꯖꯤꯛ ꯑꯉꯥꯡꯁꯤꯡꯒꯤꯗꯃꯛ ꯁꯥꯐꯕꯥ ꯂꯥꯏꯌꯦꯡ ꯑꯃꯅꯤ꯫
- ꯁꯔꯖꯤꯀꯦꯂꯒꯤ ꯊꯧꯑꯣꯡꯁꯤꯡ: ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯀꯦꯁꯁꯤꯡꯗꯥ, ꯁꯦꯂꯤꯚꯥꯔꯤ ꯒ꯭ꯜꯌꯥꯟꯗ ꯀꯌꯥ ꯂꯧꯊꯣꯛꯅꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯃꯈꯣꯌꯒꯤ ꯐꯉ꯭ꯀꯁꯟ ꯍꯣꯡꯗꯣꯛꯅꯕꯥ ꯁꯔꯖꯔꯤꯁꯤꯡ ꯂꯩ꯫ ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯃꯇꯝ ꯆꯨꯞꯄꯒꯤ ꯑꯣꯏꯅꯥ ꯁꯣꯂꯨꯁꯟ ꯑꯃꯥ ꯄꯤꯕꯥ ꯉꯃꯒꯅꯤ꯫
- ꯑꯣꯔꯦꯜ ꯃꯣꯇꯣꯔ ꯇ꯭ꯔꯦꯅꯤꯡ: ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯂꯥꯏꯌꯦꯡ ꯑꯃꯅꯤ꯫ ꯃꯔꯨꯑꯣꯏꯅꯥ ꯍꯀꯆꯥꯡꯗꯥ ꯁ꯭ꯠꯔꯀꯆꯔꯦꯜ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯑꯃꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯗ꯭ꯔꯣꯜ ꯇꯧꯕꯥ ꯑꯉꯥꯡꯁꯤꯡꯒꯤꯗꯃꯛ, ꯁ꯭ꯄꯤꯆ ꯊꯦꯔꯥꯄꯤꯁ꯭ꯇꯁꯤꯡꯅꯥ ꯃꯈꯣꯌꯕꯨ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯂꯧꯊꯣꯀꯄꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯃꯤꯠꯀꯤ ꯃꯁꯂꯁꯤꯡ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯅꯕꯥ ꯇ꯭ꯔꯦꯅꯤꯡ ꯄꯤꯔꯤ꯫
ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯗꯥ ꯃꯌꯥꯏ ꯑꯣꯏꯕꯥ, ꯅꯟ-ꯁꯤꯔꯤꯌꯁ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯥ ꯂꯩꯔꯕꯗꯤ, ꯃꯗꯨ ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯃꯊꯧ ꯇꯥꯗꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤ ꯅꯍꯥꯛꯅꯥ ꯕꯤꯕ ꯁꯤꯖꯤꯟꯅꯗꯨꯅꯥ ꯈꯣꯡꯎꯞ ꯑꯗꯨ ꯉꯥꯀꯊꯣꯛꯇꯨꯅꯥ ꯑꯃꯁꯨꯡ ꯈꯣꯡꯒꯤ ꯑꯀꯣꯌꯕꯗꯥ ꯕꯦꯔꯤꯌꯥꯔ ꯀ꯭ꯔꯤꯝ ꯑꯃꯥ ꯊꯥꯗꯨꯅꯥ ꯃꯦꯅꯦꯖ ꯇꯧꯕꯥ ꯌꯥꯏ .
ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨ ꯀꯗꯥꯏꯗꯥ ꯌꯦꯡꯁꯤꯅꯒꯗꯒꯦ?
ꯑꯩꯈꯣꯌꯅꯥ ꯃꯃꯥꯡꯗꯥ ꯍꯥꯌꯈꯤꯕꯒꯨꯝꯅꯥ, ꯅꯍꯥ ꯑꯣꯏꯔꯤꯕꯥ ꯑꯉꯥꯡ ꯑꯃꯅꯥ ꯗ꯭ꯔꯣꯜ ꯇꯧꯕꯥ ꯑꯁꯤ ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯆꯍꯤ ꯃꯔꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯌꯥꯝꯅꯥ ꯋꯥꯅꯥ ꯏꯁꯤꯡ ꯊꯨꯃꯖꯤꯅꯕꯥ ꯃꯈꯥ ꯆꯠꯊꯔꯕꯗꯤ, ꯗꯣꯛꯇꯔ ꯑꯃꯒꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯕꯅꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯩ, ꯃꯔꯃꯗꯤ ꯃꯁꯤꯅꯥ ꯃꯈꯥ ꯇꯥꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯒꯤ ꯈꯨꯗꯝ ꯑꯃꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫
ꯈꯟꯅꯒꯗꯕꯥ ꯑꯇꯣꯞꯄꯥ ꯋꯥꯐꯝ ꯑꯃꯗꯤ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯅꯥ ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯆꯠꯂꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯈꯪꯍꯧꯗꯅꯥ ꯑꯋꯥꯕꯥ ꯑꯃꯠꯇꯥ ꯂꯩꯍꯟꯗꯅꯥ ꯌꯥꯝꯅꯥ ꯋꯥꯅꯥ ꯏꯁꯤꯡ ꯇꯨꯡꯁꯤꯅꯕꯥ ꯍꯧꯔꯛꯂꯕꯗꯤ꯫ ꯃꯁꯤ ꯀꯣꯛ ꯏꯅꯐꯦꯛꯁꯟ ꯅꯠꯠꯔꯒꯥ ꯑꯉꯥꯡ ꯑꯗꯨꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯄꯣꯠꯁꯛ ꯑꯃꯥ (ꯈꯨꯠꯂꯥꯏ ꯅꯠꯠꯔꯒꯥ ꯀꯣꯏꯅꯒꯨꯝꯕꯥ) ꯂꯧꯊꯣꯀꯄꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯆꯤꯡꯅꯕꯥ ꯂꯩꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨ ꯈꯨꯗꯛꯇꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯅꯀꯄꯥ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯂꯒꯤ ꯏꯃꯔꯖꯦꯟꯁꯤ ꯗꯤꯄꯥꯔꯇꯃꯦꯟꯇ (ETU)ꯗꯥ ꯄꯨꯁꯤꯜꯂꯨ .
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯉꯥꯡ ꯑꯃꯅꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯛꯂꯕꯗꯤ ꯄꯣꯏꯖꯟ ꯅꯠꯠꯔꯒꯥ ꯑꯇꯩ ꯑꯁꯣꯌ-ꯑꯉꯥꯝ ꯌꯥꯑꯣꯗꯕꯥ ꯄꯣꯠꯁꯛ ꯑꯃꯥ ꯊꯀꯄꯥ ꯇꯥꯔꯕꯗꯤ, ꯈꯨꯗꯛꯇꯥ ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯄꯥꯎꯇꯥꯛ ꯂꯧꯒꯗꯕꯅꯤ꯫ꯅꯍꯥꯛꯅꯥ ꯀꯣꯂꯝꯕꯣ ꯅꯦꯁꯅꯦꯜ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯂꯗꯥ ꯂꯩꯕꯥ ꯅꯦꯁꯅꯦꯜ ꯄꯣꯏꯖꯟ ꯏꯅꯐꯣꯔꯃꯦꯁꯟ ꯁꯦꯟꯇꯔꯗꯥ ꯐꯣꯟ ꯇꯧꯕꯁꯨ ꯌꯥꯏ꯫
ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯒꯤ ꯗ꯭ꯔꯣꯂꯤꯡ ꯑꯗꯨꯅꯥ ꯃꯈꯣꯌꯒꯤ ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯕꯥ ꯄꯨꯟꯁꯤ ꯑꯃꯁꯨꯡ ꯅꯨꯡꯉꯥꯏꯕꯗꯥ ꯑꯀꯥꯌꯕꯥ ꯄꯤꯔꯕꯗꯤ, ꯗꯣꯛꯇꯔ ꯑꯃꯗꯥ ꯁꯣꯌꯗꯅꯥ ꯇꯥꯀꯄꯤꯌꯨ ꯑꯃꯁꯨꯡ ꯃꯇꯤꯛ ꯆꯥꯕꯥ ꯄꯥꯎꯇꯥꯛ ꯑꯃꯁꯨꯡ ꯂꯥꯏꯌꯦꯡ ꯂꯧꯕꯤꯌꯨ꯫
ꯇꯦꯛ-ꯍꯣꯝ ꯃꯦꯁꯦꯖ ꯇꯧꯕꯥ꯫
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- ꯃꯁꯤ ꯅꯔꯚ ꯀꯟꯠꯔꯣꯂꯒꯤ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯑꯃꯥ, ꯍꯀꯆꯥꯡꯗꯥ ꯁ꯭ꯠꯔꯀꯆꯔꯦꯜ ꯑꯣꯏꯕꯥ ꯑꯍꯣꯡꯕꯥ ꯑꯃꯥ ꯂꯥꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯌꯥꯝꯅꯥ ꯍꯦꯟꯅꯥ ꯁꯦꯂꯤꯚꯥ ꯄꯨꯊꯣꯀꯄꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫
- ꯄꯣꯁ꯭ꯇꯦꯔꯤꯌꯥꯜ ꯁꯤꯌꯥꯂꯣꯔꯤꯌꯥ ꯑꯁꯤ ꯆꯦꯀꯁꯤꯟꯅꯥ ꯂꯥꯏꯌꯦꯡꯒꯗꯕꯅꯤ ꯃꯔꯃꯗꯤ ꯃꯁꯤꯅꯥ ꯅ꯭ꯌꯨꯃꯣꯅꯤꯌꯥꯒꯨꯝꯕꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫
- ꯃꯁꯤꯒꯤꯗꯃꯛꯇꯥ ꯃꯥꯌ ꯄꯥꯛꯂꯕꯥ ꯂꯥꯌꯦꯡ ꯀꯌꯥ ꯂꯩꯔꯤ, ꯃꯗꯨꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ, ꯕꯣꯇꯣꯛꯁ ꯏꯅꯖꯦꯀꯁꯟ, ꯁꯔꯖꯔꯤ, ꯑꯃꯁꯨꯡ ꯁ꯭ꯄꯤꯆ ꯊꯦꯔꯥꯄꯤ ꯌꯥꯑꯣꯔꯤ꯫
- ꯅꯍꯥꯛꯀꯤ ꯋꯥꯈꯂꯗꯥ ꯑꯀꯤꯕꯥ ꯑꯃꯠꯇꯥ ꯊꯃꯒꯅꯨ꯫ ꯃꯇꯝ ꯑꯃꯠꯇꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯐꯦꯃꯤꯂꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯕꯤꯌꯨ ꯑꯃꯁꯨꯡ ꯑꯆꯨꯝꯕꯥ ꯂꯃꯖꯤꯡ-ꯂꯃꯇꯥꯛ ꯂꯧꯕꯤꯌꯨ꯫
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