ꯅꯍꯥꯛꯅꯥ ꯀꯣꯐꯤ ꯒ꯭ꯔꯥꯎꯟꯗꯒꯨꯝꯅꯥ ꯈꯣꯡ ꯍꯥꯝꯂꯤꯕ꯭ꯔꯥ? (ꯀꯣꯐꯤ ꯒ꯭ꯔꯥꯎꯟꯗ ꯏꯃꯦꯁꯤꯁ) - ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯂꯧꯔꯣꯏꯗꯕꯅꯤ!

ꯈꯣꯡ ꯍꯥꯝꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯀꯅꯥꯒꯨꯝꯕꯥ ꯑꯃꯠꯇꯗꯥ ꯌꯥꯝꯅꯥ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯑꯃꯁꯨꯡ ꯑꯔꯨꯕꯥ ꯑꯦꯛꯁꯄꯔꯤꯌꯦꯟꯁ ꯑꯃꯅꯤ꯫ ꯑꯗꯨꯕꯨ ꯈꯟꯗꯨꯅꯥ ꯌꯦꯡꯎ, ꯅꯍꯥꯛꯅꯥ ꯋꯥꯈꯜ ꯇꯥꯗꯕꯥ ꯋꯥꯈꯜ ꯑꯗꯨ ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯗꯦ, ꯑꯗꯨꯕꯨ ꯃꯗꯨ ꯀꯣꯐꯤ ꯒ꯭ꯔꯥꯎꯟꯗꯒꯨꯝꯅꯥ ꯃꯌꯦꯛ ꯁꯦꯡꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯕ꯭ꯂꯦꯛ ꯑꯣꯏꯅꯥ ꯎꯕꯥ ꯐꯪꯏ꯫ ꯀꯅꯥꯒꯨꯝꯕꯥ ꯑꯃꯅꯥ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯋꯥꯐꯝ ꯑꯃꯥ ꯎꯕꯗꯥ ꯌꯥꯝꯅꯥ ꯂꯥꯡꯇꯛꯅꯒꯅꯤ꯫ ꯃꯁꯤ ꯇꯁꯦꯡꯅꯥ ꯑꯀꯤꯕꯥ ꯄꯣꯀꯍꯅꯕꯥ ꯌꯥꯕꯥ ꯋꯥꯐꯝ ꯑꯃꯅꯤ ꯍꯥꯌꯕꯔꯥ? ꯍꯣꯏ. ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯂꯨꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ , ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯂꯧꯔꯣꯏꯗꯕꯅꯤ . ꯉꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ ‘ ꯀꯣꯐꯤ ꯒ꯭ꯔꯥꯎꯟꯗ ꯏꯃꯦꯁꯤꯁ ’ ꯅꯠꯔꯒꯥ ꯑꯩꯈꯣꯌꯅꯥ ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯑꯣꯏꯅꯥ ꯀꯧꯔꯤꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯔꯤ꯫

ꯀꯣꯐꯤ ꯒ꯭ꯔꯥꯎꯟꯗꯒꯨꯝꯕꯥ ꯃꯈꯂꯒꯤ ꯚꯣꯠ ꯑꯁꯤ ꯀꯔꯤꯅꯣ?

ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯃꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯊꯣꯀꯄꯥ ꯏꯅꯤ꯫ ꯑꯗꯨꯕꯨ ꯃꯁꯤꯒꯤ ꯏ ꯑꯁꯤ ꯑꯅꯧꯕꯥ ꯅꯠꯇꯦ, ꯂꯥꯂꯍꯧꯒꯤ ꯏꯅꯤ꯫ ꯃꯁꯤ ꯑꯔꯤꯕꯥ ꯏꯅꯤ꯫ ꯃꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯗꯥꯏꯖꯦꯁ꯭ꯇꯤꯚ ꯁꯤꯁ꯭ꯇꯦꯃꯒꯤ ꯃꯊꯛꯀꯤ ꯁꯔꯨꯛ ꯑꯃꯗꯒꯤ, ꯍꯥꯌꯕꯗꯤ ꯏꯁꯣꯐꯦꯒꯁ, ꯁ꯭ꯇꯣꯃꯥꯛ ꯅꯠꯠꯔꯒꯥ ꯑꯄꯤꯀꯄꯥ ꯏꯟꯇꯦꯁ꯭ꯇꯥꯏꯅꯒꯤ ꯑꯍꯥꯅꯕꯥ ꯁꯔꯨꯛ (duodenum)ꯗꯒꯤ ꯏ ꯂꯥꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯊꯣꯀꯏ, ꯑꯃꯁꯨꯡ ꯏ ꯑꯗꯨ ꯃꯇꯝ ꯈꯔꯒꯤ ꯑꯣꯏꯅꯥ ꯁ꯭ꯇꯣꯃꯥꯛꯇꯥ ꯐꯃꯗꯨꯅꯥ ꯂꯩꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯊꯣꯀꯏ꯫

ꯈꯅꯕꯤꯌꯨ, ꯏ ꯑꯁꯤꯅꯥ ꯈꯣꯡꯗꯥ ꯂꯩꯔꯤꯕꯥ ꯑꯀꯅꯕꯥ ꯑꯦꯁꯤꯗꯁꯤꯡꯒꯥ ꯄꯨꯟꯅꯥ ꯆꯠꯃꯤꯟꯅꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯏꯗꯥ ꯂꯩꯔꯤꯕꯥ ꯍꯦꯃꯣꯒ꯭ꯂꯣꯕꯤꯟ ꯑꯁꯤ ꯍꯣꯡꯏ, ꯃꯗꯨꯅꯥ ꯃꯗꯨ ꯃꯌꯦꯛ ꯁꯦꯡꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯕ꯭ꯂꯦꯛ ꯑꯣꯏꯍꯜꯂꯤ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯃꯁꯤ ꯀꯣꯐꯤ ꯒ꯭ꯔꯥꯎꯟꯗꯒꯨꯝꯅꯥ ꯎꯕꯥ ꯐꯪꯏ꯫ ꯃꯁꯤꯅꯥ ꯇꯥꯀꯄꯗꯤ ꯅꯍꯥꯛꯅꯥ ꯏ ꯊꯣꯛꯂꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯈꯔꯥ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯊꯣꯀꯈꯤ ꯍꯥꯌꯕꯅꯤ꯫ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛꯇꯥ ꯑꯩꯈꯣꯌꯅꯥ ꯏ ꯊꯣꯀꯄꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯍꯦꯛꯇꯕꯨ ꯍꯦꯃꯥꯇꯦꯃꯦꯁꯤꯁ ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ ꯃꯁꯤꯒꯤ ꯀꯣꯐꯤ ꯒ꯭ꯔꯥꯎꯟꯗ ꯚꯣꯃꯤꯇꯤꯡ ꯑꯁꯤ ꯍꯦꯃꯥꯇꯦꯃꯦꯁꯤꯁꯀꯤ ꯃꯈꯜ ꯑꯃꯅꯤ꯫

ꯀꯔꯤꯒꯤꯗꯃꯛꯇꯥ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯑꯁꯤ ꯊꯣꯛꯂꯤꯕꯅꯣ? ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯔꯃꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?

ꯀꯣꯐꯤ ꯒ꯭ꯔꯥꯎꯟꯗꯒꯨꯝꯅꯥ ꯈꯣꯡ ꯍꯥꯝꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯑꯋꯥꯡꯕꯥ ꯒꯦꯁ꯭ꯠꯔꯣꯏꯟꯇꯦꯁ꯭ꯇꯥꯏꯅꯦꯜ ꯕ꯭ꯂꯤꯗꯤꯡꯒꯤ ꯑꯀꯅꯕꯥ ꯈꯨꯗꯝ ꯑꯃꯅꯤ꯫ ꯃꯁꯤꯒꯤ ꯃꯔꯝ ꯀꯌꯥ ꯂꯩꯕꯥ ꯌꯥꯏ꯫

ꯃꯤꯑꯣꯏ ꯈꯔꯅꯥ ꯃꯁꯤ ꯕꯣꯋꯦꯜ ꯑꯣꯕꯁ꯭ꯠꯔꯀꯆꯔ ꯑꯃꯅꯥ ꯊꯣꯀꯍꯅꯕꯅꯤ ꯍꯥꯌꯅꯥ ꯈꯜꯂꯤ꯫ ꯑꯗꯨꯕꯨ ꯃꯗꯨ ꯑꯆꯨꯝꯕꯥ ꯅꯠꯇꯦ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯏꯟꯇꯦꯁ꯭ꯇꯥꯏꯅꯁꯤꯡꯒꯤ ꯃꯈꯥ ꯊꯪꯕꯥ ꯁꯔꯨꯛꯇꯥ ꯏ ꯊꯣꯀꯄꯥ ꯂꯩꯔꯕꯗꯤ, ꯏ ꯑꯗꯨ ꯁ꯭ꯇꯣꯜ (black in color)ꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯊꯣꯛꯂꯛꯀꯅꯤ, ꯈꯣꯡ ꯍꯥꯝꯂꯒꯥ ꯊꯣꯛꯀꯅꯤ꯫

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ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤꯒꯤꯗꯃꯛꯇꯥ ꯀꯅꯥꯅꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯔꯤꯁ꯭ꯛ ꯂꯩꯕꯒꯦ?

ꯀꯅꯥꯒꯨꯝꯕꯥ ꯑꯃꯠꯇꯅꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯂꯥꯀꯄꯥ ꯌꯥꯏ ꯑꯗꯨꯕꯨ ꯃꯤꯑꯣꯏ ꯈꯔꯗꯤ ꯍꯦꯟꯅꯥ ꯔꯤꯁ꯭ꯛ ꯂꯩ꯫

ꯗꯣꯛꯇꯔ ꯑꯃꯅꯥ ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯀꯔꯤ ꯇꯧꯔꯤꯕꯒꯦ?

ꯅꯍꯥꯛꯅꯥ ꯀꯣꯐꯤ ꯒ꯭ꯔꯥꯎꯟꯗꯁꯤꯡ ꯁꯣꯀꯄꯥ ꯃꯔꯝꯅꯥ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯂꯗꯥ ꯆꯠꯄꯥ ꯃꯇꯃꯗꯥ, ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯑꯍꯥꯅꯕꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯗꯨ ꯁ꯭ꯇꯦꯕꯜ ꯇꯧꯅꯕꯥ ꯍꯣꯠꯅꯩ ꯑꯃꯁꯨꯡ ꯏ ꯊꯣꯀꯄꯒꯤ ꯑꯆꯨꯝꯕꯥ ꯃꯔꯝ ꯑꯗꯨ ꯈꯪꯗꯣꯛꯅꯕꯥ ꯍꯣꯠꯅꯩ꯫

1. ꯑꯗꯣꯃꯗꯥ ꯑꯀꯨꯞꯄꯥ ꯃꯔꯣꯂꯁꯤꯡ ꯍꯪꯂꯀꯄꯥ꯫

ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯃꯦꯗꯤꯀꯦꯜ ꯍꯤꯁ꯭ꯇꯔꯤ, ꯅꯍꯥꯛꯅꯥ ꯂꯧꯔꯤꯕꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ (ꯃꯔꯨꯑꯣꯏꯅꯥ ꯄꯦꯟ ꯀꯤꯂꯔꯁꯤꯡ), ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯅꯥ ꯌꯨ ꯊꯀꯄꯔꯥ ꯍꯥꯌꯅꯥ ꯍꯪꯒꯅꯤ꯫ ꯃꯈꯣꯌꯅꯥ ꯑꯇꯩ ꯂꯥꯏꯑꯣꯡꯁꯤꯡꯒꯤ ꯃꯇꯥꯡꯗꯁꯨ ꯍꯪꯒꯅꯤ, ꯃꯗꯨꯗꯤ ꯈꯣꯝꯂꯥꯡ ꯁꯣꯀꯄꯥ, ꯈꯣꯡꯗꯥ ꯁꯣꯀꯄꯥ, ꯑꯃꯁꯨꯡ ꯕ꯭ꯂꯦꯛ ꯁ꯭ꯇꯣꯜ (melena) ꯑꯁꯤꯅꯆꯤꯡꯕꯥ꯫

ꯃꯊꯧ ꯇꯥꯕꯥ ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯄꯥꯡꯊꯣꯀꯄꯥ ꯲

ꯃꯔꯝ ꯑꯗꯨ ꯈꯪꯗꯣꯛꯅꯕꯥ ꯇꯦꯁ꯭ꯠ ꯀꯌꯥ ꯇꯧꯕꯥ ꯌꯥꯏ꯫

• ꯕ꯭ꯂꯗ ꯇꯦꯁ꯭ꯇꯁꯤꯡ: ꯅꯍꯥꯛꯀꯤ ꯕ꯭ꯂꯗ ꯀꯥꯎꯟꯇ ꯑꯁꯤ ꯀꯌꯥꯝ ꯅꯦꯝꯂꯤꯕꯅꯣ (ꯍꯦꯃꯣꯒ꯭ꯂꯣꯕꯤꯅꯒꯤ ꯂꯦꯚꯦꯜ), ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯂꯤꯚꯔ ꯑꯃꯁꯨꯡ ꯀꯤꯗꯅꯤꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯊꯕꯛ ꯇꯧꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯆꯦꯛ ꯇꯧ꯫
• ꯑꯋꯥꯡꯕꯥ ꯑꯦꯟꯗꯣꯁ꯭ꯀꯣꯄꯤ (EGD ꯇꯦꯁ꯭ꯠ): ꯃꯁꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯇꯦꯁ꯭ꯇꯅꯤ꯫ ꯅꯍꯥꯀꯄꯨ ꯇꯨꯝꯂꯃꯒꯅꯤ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯏꯁꯣꯐꯦꯒꯁ, ꯁ꯭ꯇꯣꯃꯥꯛ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯑꯄꯤꯀꯄꯥ ꯏꯟꯇꯦꯁ꯭ꯇꯥꯏꯅꯒꯤ ꯑꯍꯥꯅꯕꯥ ꯁꯔꯨꯛ ꯑꯗꯨ ꯌꯦꯡꯁꯤꯟꯅꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯃꯤꯠꯀꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯄꯤꯀꯄꯥ ꯀꯦꯃꯦꯔꯥ ꯇꯤꯎꯕ ꯑꯃꯥ ꯊꯥꯒꯅꯤ꯫ ꯃꯁꯤꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯏ ꯊꯣꯀꯄꯥ ꯑꯗꯨ ꯀꯗꯥꯏꯗꯒꯤ ꯂꯥꯀꯄꯅꯣ ꯍꯥꯌꯕꯗꯨ ꯆꯨꯝꯅꯥ ꯈꯪꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯒꯅꯤ꯫

꯳.ꯂꯥꯌꯦꯡꯕꯒꯤ ꯊꯧꯑꯣꯡ꯫

ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯥ ꯋꯥꯐꯃꯗꯤ ꯑꯌꯥꯝꯕꯥ ꯀꯦꯁꯁꯤꯡꯗꯗꯤ ꯂꯥꯏꯌꯦꯡ ꯑꯁꯤ ꯑꯦꯟꯗꯣꯁ꯭ꯀꯣꯄꯤꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯄꯥꯡꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫

• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯏ ꯊꯣꯀꯄꯥ ꯃꯐꯝ ꯑꯃꯥ ꯎꯔꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯏ ꯊꯣꯀꯄꯥ ꯊꯤꯡꯅꯕꯥ ꯏ ꯊꯣꯀꯄꯥ ꯚꯦꯅꯝ ꯑꯗꯨ ꯀ꯭ꯂꯤꯞ ꯇꯧꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯀꯣꯇꯦꯔꯥꯏꯖ ꯇꯧꯅꯕꯥ ꯇꯤꯎꯕ ꯑꯗꯨꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯄꯥꯁ ꯇꯧꯔꯕꯥ ꯑꯄꯤꯀꯄꯥ ꯏꯅꯁ꯭ꯠꯔꯨꯃꯦꯟꯇꯁꯤꯡ ꯁꯤꯖꯤꯟꯅꯕꯥ ꯌꯥꯏ .
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯏ ꯌꯥꯝꯅꯥ ꯃꯥꯡꯈꯤꯕꯥ ꯑꯃꯁꯨꯡ ꯗꯤꯍꯥꯌꯗ꯭ꯔꯦꯁꯟ ꯂꯩꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯗꯨ ꯁ꯭ꯇꯦꯕꯜ ꯑꯣꯏꯍꯟꯅꯕꯥ ꯅꯍꯥꯛꯅꯥ IV ꯐ꯭ꯂꯨꯏꯗ ꯅꯠꯠꯔꯒꯥ ꯕ꯭ꯂꯗ ꯇ꯭ꯔꯥꯟꯁꯐ꯭ꯌꯨꯁꯟ ꯇꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯏ꯫
• ꯏ ꯊꯣꯀꯄꯥ ꯂꯦꯄꯈ꯭ꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ, ꯃꯗꯨꯒꯤ ꯃꯈꯥ ꯄꯣꯜꯂꯤꯕꯥ ꯃꯔꯝ ꯑꯗꯨ ꯂꯥꯏꯌꯦꯡꯏ꯫ ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯁ꯭ꯇꯣꯃꯥꯛ ꯑꯂꯁꯔ ꯑꯣꯏꯔꯕꯗꯤ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛ ꯄꯤ꯫

ꯑꯩꯅꯥ ꯀꯗꯥꯏꯗꯥ ꯗꯣꯛꯇꯔꯒꯥ ꯎꯅꯒꯗꯒꯦ?

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯀꯣꯐꯤ ꯒ꯭ꯔꯥꯎꯟꯗꯁꯤꯡ ꯁꯣꯛꯂꯕꯗꯤ, ꯃꯁꯤꯅꯥ ꯇꯥꯀꯄꯗꯤ ꯈꯣꯝꯂꯥꯡ ꯑꯗꯨ ꯕ꯭ꯂꯦꯛ ꯅꯠꯠꯔꯒꯥ ꯗꯥꯔꯛ ꯕ꯭ꯔꯥꯎꯟ ꯑꯣꯏꯔꯕꯗꯤ, ꯈꯨꯗꯛꯇꯥ ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯃꯇꯦꯡ ꯂꯧꯒꯗꯕꯅꯤ꯫ ꯃꯁꯤ ꯅꯍꯥꯛꯅꯥ ꯌꯨꯃꯗꯥ ꯂꯥꯌꯦꯡꯕꯥ ꯌꯥꯕꯥ ꯋꯥꯐꯝ ꯅꯠꯇꯦ꯫ ꯊꯦꯡꯊꯕꯥ ꯇꯧꯔꯣꯏꯗꯕꯅꯤ꯫

ꯃꯔꯨꯑꯣꯏꯅꯥ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯀꯣꯐꯤ ꯒ꯭ꯔꯥꯎꯟꯗꯁꯤꯡ ꯁꯣꯛꯂꯕꯗꯤ, ꯃꯁꯤ ꯑꯦꯃꯔꯖꯦꯟꯁꯤ ꯑꯃꯅꯤ꯫ ꯀꯅꯥꯒꯨꯝꯕꯥ ꯑꯃꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯈꯨꯗꯛꯇꯥ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯂꯗꯥ ꯆꯠꯂꯨ꯫ꯏꯃꯔꯖꯦꯟꯁꯤ ꯇ꯭ꯔꯤꯇꯃꯦꯟꯇ ꯌꯨꯅꯤꯠ (ETU)ꯗꯥ ꯆꯠꯂꯨ꯫