ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯃꯇꯝ ꯄꯨꯝꯅꯃꯛꯇꯥ ꯃꯀꯣꯛ ꯁꯣꯀꯄꯥ ꯂꯩꯕ꯭ꯔꯥ? ꯅꯠꯔꯒꯥ ꯃꯁꯤ ꯍꯣꯔꯃꯣꯅꯒꯥ ꯃꯔꯤ ꯂꯩꯅꯕꯥ ꯋꯥꯐꯝ ꯑꯃꯅꯤ ꯍꯥꯌꯅꯥ ꯈꯜꯂꯤꯕꯔꯥ? ꯀꯔꯤꯒꯨꯝꯕꯥ ꯗꯣꯛꯇꯔ ꯑꯃꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯃꯀꯣꯛ ꯑꯗꯨꯒꯤ (CT) ꯁ꯭ꯀꯦꯟ ꯑꯃꯥ ꯅꯠꯠꯔꯒꯥ (MRI) ꯁ꯭ꯀꯦꯟ ꯑꯃꯥ ꯇꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯏ ꯍꯥꯌꯅꯥ ꯍꯥꯌꯔꯕꯗꯤ, ꯃꯈꯣꯌꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯄꯤꯇꯨꯏꯇꯔꯤ ꯒ꯭ꯜꯌꯥꯟꯗ ꯑꯗꯨ ꯂꯩꯔꯤꯕꯥ ꯃꯐꯝ ꯑꯗꯨ "ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ" ꯎꯕꯥ ꯐꯪꯒꯅꯤ꯫ ꯑꯩꯈꯣꯌꯅꯥ ꯏꯝꯄꯣꯔꯠ ꯁꯦꯜ ꯍꯥꯌꯅꯥ ꯀꯧꯔꯤꯕꯥ ꯑꯁꯤꯅꯤ꯫ ꯑꯗꯨꯕꯨ ꯃꯇꯝ ꯄꯨꯝꯅꯃꯛꯇꯥ ꯑꯆꯧꯕꯥ ꯁꯃꯁ꯭ꯌꯥ ꯑꯃꯥ ꯑꯣꯏꯔꯤꯕꯔꯥ? ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯑꯀꯨꯞꯄꯥ ꯃꯔꯣꯂꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯁꯤ꯫

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ꯑꯦꯝꯞꯂꯤ ꯁꯦꯂꯥ ꯁꯤꯟꯗ꯭ꯔꯣꯝ (ESS) ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ?

ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯑꯦꯝꯞꯂꯤ ꯁꯦꯂꯥ ꯁꯤꯟꯗ꯭ꯔꯣꯝ (ESS) ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯊꯣꯀꯄꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫ ꯃꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯄꯤꯇꯨꯏꯇꯔꯤ ꯒ꯭ꯜꯌꯥꯟꯗ – ꯅꯍꯥꯛꯀꯤ ꯕ꯭ꯔꯦꯅꯒꯤ ꯕꯦꯖꯗꯥ ꯂꯩꯕꯥ ꯑꯄꯤꯀꯄꯥ ꯑꯗꯨꯕꯨ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯒ꯭ꯜꯌꯥꯟꯗ ꯑꯃꯥ – ꯃꯗꯨꯒꯤ ꯃꯍꯨꯠꯇꯥ ꯂꯦꯡ-ꯑꯣꯠꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯁꯣꯟꯊꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯊꯣꯀꯏ, ꯃꯗꯨ ꯁꯦꯂꯥ ꯇꯨꯔꯁꯤꯀꯥ ꯀꯧꯕꯥ ꯁꯔꯨ ꯇꯥꯡꯒꯤ ꯀꯦꯚꯤꯇꯤ ꯑꯃꯅꯤ꯫ ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯈꯟꯊꯕꯤꯌꯨ, ꯁꯦꯂꯥ ꯇꯨꯔꯁꯤꯀꯥ ꯑꯁꯤ ꯄꯤꯇꯨꯏꯇꯔꯤ ꯒ꯭ꯜꯌꯥꯟꯗ ꯉꯥꯀꯊꯣꯀꯄꯥ ꯉꯝꯕꯥ ꯌꯨꯝ ꯑꯃꯒꯨꯝꯅꯥ ꯑꯣꯏ꯫ ꯃꯔꯝ ꯈꯔꯗꯒꯤ ‘ꯌꯨꯝ’ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯆꯥꯎꯔꯀꯄꯥ ꯌꯥꯏ, ꯃꯗꯨꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯄꯤꯇꯨꯏꯇꯔꯤ ꯒ꯭ꯜꯌꯥꯟꯗ ꯑꯁꯤ ꯁꯣꯟꯊꯕꯥ ꯑꯃꯁꯨꯡ ꯑꯄꯤꯀꯄꯥ ꯑꯣꯏꯔꯀꯄꯥ ꯌꯥꯏ꯫

‘ꯁꯦꯂꯥ ꯇꯨꯔꯁꯤꯀꯥ’ ꯍꯥꯌꯕꯥ ꯋꯥꯍꯩ ꯑꯁꯤ ꯂꯦꯇꯤꯅꯗꯒꯤ ꯂꯥꯀꯄꯅꯤ, ꯃꯁꯤꯒꯤ ꯑꯔꯊꯗꯤ ‘ꯇꯨꯔꯀꯤ ꯁꯤꯠ’ ꯍꯥꯌꯕꯅꯤ꯫ ꯃꯁꯤ ꯍꯨꯏꯒꯤ ꯈꯣꯡꯎꯄꯀꯤ ꯃꯑꯣꯡ ꯃꯇꯧꯒꯥ ꯃꯥꯟꯅꯕꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯃꯃꯤꯡ ꯊꯣꯅꯈꯤꯕꯅꯤ꯫ ꯏ .ꯑꯦꯁ .

ꯑꯗꯣꯝꯅꯥ ꯈꯉꯕꯤꯔꯃꯒꯅꯤ ꯃꯗꯨꯗꯤ ꯄꯤꯇꯨꯏꯇꯔꯤ ꯒ꯭ꯜꯌꯥꯟꯗ ꯑꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯑꯦꯟꯗꯣꯛꯔꯥꯏꯟ ꯁꯤꯁ꯭ꯇꯦꯃꯒꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯁꯔꯨꯛ ꯑꯃꯅꯤ , ꯃꯁꯤ ꯍꯣꯔꯃꯣꯟ ꯄꯨꯊꯣꯀꯄꯥ ꯁꯤꯁ꯭ꯇꯦꯃꯅꯤ꯫ ꯃꯁꯤꯅꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯍꯣꯔꯃꯣꯟ ꯀꯌꯥ ꯄꯨꯊꯣꯀꯏ꯫ ꯍꯣꯔꯃꯣꯅꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯂꯩꯔꯤꯕꯥ ꯑꯇꯩ ꯒ꯭ꯜꯌꯥꯟꯗꯁꯤꯡ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯏ꯫

ꯑꯦꯝꯞꯂꯤ ꯁꯦꯂꯥ ꯑꯃꯁꯨꯡ ꯑꯦꯝꯞꯂꯤ ꯁꯦꯂꯥ ꯁꯤꯟꯗ꯭ꯔꯣꯃꯒꯤ ꯃꯔꯛꯇꯥ ꯀꯔꯤ ꯈꯦꯠꯅꯕꯥ ꯂꯩꯕꯒꯦ?

ꯃꯁꯤ ꯈꯔꯥ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯋꯥꯐꯝ ꯑꯃꯅꯤ, ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯆꯦꯀꯁꯤꯟꯅꯥ ꯇꯥꯕꯤꯌꯨ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ‘ꯏꯝꯄꯦꯇꯤ ꯁꯦꯜ’ ꯑꯃꯁꯨꯡ ‘ꯏꯝꯄꯇꯤ ꯁꯦꯜ ꯁꯤꯟꯗꯣꯝ’ ꯍꯥꯌꯕꯥ ꯋꯥꯍꯩꯁꯤꯡ ꯑꯁꯤ ꯑꯃꯒꯥ ꯑꯃꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯁꯤꯖꯤꯟꯅꯔꯕꯁꯨ, ꯈꯔꯥ ꯈꯦꯠꯅꯕꯥ ꯂꯩ꯫ ꯋꯥꯍꯪ ꯑꯃꯗꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯏꯝꯄꯣꯔꯠ ꯁꯦꯜ ꯑꯁꯤ ꯔꯦꯗꯤꯑꯣꯂꯣꯖꯤꯀꯦꯜ ꯐꯥꯏꯟꯗꯤꯡ ꯑꯃꯅꯤ , ꯑꯗꯨꯒꯥ ꯏꯝꯄꯣꯔꯠ ꯁꯦꯜ ꯁꯤꯟꯗꯣꯝ ꯑꯁꯤ ꯃꯦꯗꯤꯀꯦꯜ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫

‘Empty Sella’ ꯍꯥꯌꯕꯁꯤ ꯁ꯭ꯀꯦꯟ ꯑꯃꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯄꯤꯇꯨꯏꯇꯔꯤ ꯒ꯭ꯜꯌꯥꯟꯗ ꯑꯗꯨ ꯂꯦꯡꯗꯅꯥ ꯂꯩꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯁꯣꯟꯊꯔꯀꯄꯥ ꯎꯕꯥ ꯃꯇꯃꯅꯤ꯫ ꯃꯁꯤꯒꯤ ꯀꯦꯁ ꯑꯁꯤꯗꯥ ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯁ꯭ꯀꯦꯟ ꯑꯗꯨꯗꯥ ꯄꯤꯇꯨꯏꯇꯔꯤ ꯒ꯭ꯜꯌꯥꯟꯗ ꯑꯗꯨ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯎꯕꯥ ꯉꯃꯗꯦ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯄꯤꯇꯨꯏꯇꯔꯤ ꯒ꯭ꯜꯌꯥꯟꯗ ꯂꯩꯕꯥ ꯃꯐꯝ, ꯁꯦꯂꯥ ꯇꯨꯔꯁꯤꯀꯥ ꯀꯧꯕꯥ ꯃꯐꯝ ꯑꯗꯨ ‘ꯈꯨꯗꯣꯡꯆꯥꯕꯥ’ ꯑꯣꯏꯅꯥ ꯎꯕꯥ ꯐꯪꯏ꯫ ꯃꯐꯝ ꯑꯗꯨꯗꯒꯤ ‘ꯏꯪꯂꯤꯁ ꯁꯦꯜꯂꯥ’ ꯍꯥꯌꯕꯥ ꯃꯤꯡ ꯑꯁꯤ ꯂꯥꯀꯄꯅꯤ꯫

ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯁꯦꯂꯥ ꯇꯨꯔꯁꯤꯀꯥ ꯑꯁꯤ ꯇꯁꯦꯡꯅꯥ ꯏꯪꯅꯥ ꯂꯩꯇꯦ꯫ ꯑꯌꯥꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯃꯁꯤ ꯁꯦꯔꯤꯕ꯭ꯔꯣꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯐ꯭ꯂꯨꯏꯗ (CSF) . ꯃꯁꯤꯒꯤ ꯁꯤ.ꯑꯦꯁ.ꯑꯦꯐ.ꯅꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯕ꯭ꯔꯦꯟ ꯑꯃꯁꯨꯡ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗꯄꯨ ꯀꯨꯄꯁꯤꯜꯂꯤꯕꯥ ꯑꯃꯁꯨꯡ ꯉꯥꯀꯊꯣꯀꯄꯥ ꯉꯝꯕꯥ ꯐ꯭ꯂꯨꯏꯗꯅꯤ꯫ ‘ꯏꯝꯄꯇꯤ ꯁꯦꯂꯥ’ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯗꯥ, ꯁꯤ.ꯑꯦꯁ.ꯑꯦꯐ.ꯀꯤ ꯐ꯭ꯂꯨꯏꯗ ꯑꯁꯤꯅꯥ ꯁꯦꯂꯥ ꯇꯨꯔꯁꯤꯀꯥꯗꯥ ꯂꯤꯛ ꯑꯣꯏ ꯑꯃꯁꯨꯡ ꯄꯤꯇꯨꯏꯇꯔꯤ ꯒ꯭ꯜꯌꯥꯟꯗꯇꯥ ꯄ꯭ꯔꯦꯁꯔ ꯄꯤ꯫ ꯄ꯭ꯔꯦꯁꯔ ꯑꯗꯨꯅꯥ ꯒ꯭ꯜꯌꯥꯟꯗ ꯑꯗꯨ ꯁꯣꯟꯊꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯂꯦꯡ-ꯑꯣꯠꯄꯥ ꯊꯣꯀꯍꯜꯂꯤ꯫

ꯑꯌꯥꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ‘ꯈꯨꯗꯣꯡꯆꯥꯗꯕꯥ ꯁꯦꯜ’ ꯑꯁꯤ ꯈꯨꯗꯣꯡꯊꯤꯕꯥ ꯊꯣꯀꯄꯗꯒꯤ ꯈꯉꯗꯣꯀꯏ꯫ ꯍꯥꯌꯕꯗꯤ ꯃꯈꯣꯌꯅꯥ ꯑꯇꯣꯞꯄꯥ ꯃꯔꯝ ꯈꯔꯗꯒꯤ ꯃꯀꯣꯛ ꯑꯗꯨꯒꯤ (CT) ꯁ꯭ꯀꯦꯟ ꯅꯠꯠꯔꯒꯥ (MRI) ꯁ꯭ꯀꯦꯟ ꯇꯧꯕꯥ ꯃꯇꯃꯗꯥ꯫

ꯃꯤꯑꯣꯏ ꯈꯔꯗꯗꯤ ꯃꯈꯣꯌꯒꯤ ꯁ꯭ꯀꯦꯅꯁꯤꯡꯗꯥ ‘ꯈꯨꯗꯣꯡꯆꯥꯗꯕꯥ ꯁꯦꯜ’ ꯂꯩꯔꯕꯁꯨ ꯃꯈꯣꯌꯗꯥ ꯂꯥꯏꯑꯣꯡ ꯑꯃꯠꯇꯥ ꯎꯕꯥ ꯐꯪꯗꯦ ꯑꯃꯁꯨꯡ ꯃꯈꯣꯌꯒꯤ ꯄꯤꯇꯨꯏꯇꯔꯤ ꯒ꯭ꯜꯌꯥꯟꯗ ꯑꯗꯨ ꯐꯖꯅꯥ ꯊꯕꯛ ꯇꯧꯕꯥ ꯉꯝꯃꯤ꯫

ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯀꯅꯥꯒꯨꯝꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯅꯥ ‘ꯏꯝꯄꯇꯤ ꯁꯦꯜꯂꯥ’ ꯑꯃꯥ ꯂꯩꯔꯕꯗꯤ ꯑꯃꯁꯨꯡ ꯃꯈꯣꯌꯒꯤ ꯄꯤꯇꯨꯏꯇꯔꯤ ꯒ꯭ꯜꯌꯥꯟꯗ ꯑꯗꯨ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯊꯕꯛ ꯇꯧꯗ꯭ꯔꯕꯗꯤ, ꯃꯗꯨ ꯑꯩꯈꯣꯌꯅꯥ ꯏꯝꯄꯇꯤ ꯁꯦꯂꯥ ꯁꯤꯟꯗꯣꯝ (ESS) ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ ꯁꯤꯟꯗ꯭ꯔꯣꯝ ꯍꯥꯌꯕꯁꯤ ꯃꯔꯤ ꯂꯩꯅꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡꯒꯤ ꯈꯣꯃꯖꯤꯅꯕꯥ ꯑꯃꯅꯤ꯫ ꯏ.ꯑꯦꯁ.ꯑꯦꯁ.ꯅꯥ ꯅꯥꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯅꯥ ꯍꯣꯔꯃꯣꯅꯒꯤ ꯏꯃꯕꯦꯂꯦꯟꯁ, ꯃꯤꯠ ꯎꯗꯕꯥ, ꯑꯃꯁꯨꯡ ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯃꯀꯣꯛ ꯁꯣꯀꯄꯥ ꯑꯁꯤꯅꯆꯤꯡꯕꯥ ꯋꯥꯐꯃꯁꯤꯡ ꯊꯦꯡꯅꯕꯥ ꯌꯥꯏ꯫

ꯏꯝꯄꯣꯔꯠ ꯁꯦꯜꯂꯥ ꯃꯈꯜ ꯑꯅꯤ ꯂꯩ, ꯅꯠꯇꯦ?

ꯍꯣꯌ, ꯅꯍꯥꯛꯀꯤ ꯁ꯭ꯀꯦꯟ ꯑꯗꯨꯅꯥ ‘ꯏꯝꯄꯇꯤ ꯁꯦꯜ’ ꯑꯃꯥ ꯈꯪꯗꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯃꯗꯨ ꯃꯈꯜ ꯑꯅꯤꯗꯥ ꯈꯥꯌꯗꯣꯀꯏ: ꯄ꯭ꯔꯥꯏꯃꯥꯔꯤ ꯑꯃꯁꯨꯡ ꯁꯦꯀꯦꯟꯗꯔꯤ꯫

ꯄ꯭ꯔꯥꯏꯃꯥꯔꯤ ꯑꯦꯝꯞꯂꯤ ꯁꯦꯂꯥ (PES): ꯃꯁꯤ ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯄꯤꯇꯨꯏꯇꯔꯤ ꯒ꯭ꯜꯌꯥꯟꯗ ꯑꯗꯨ ꯂꯦꯡꯗꯅꯥ ꯂꯩꯔꯀꯄꯒꯤ ꯃꯌꯦꯛ ꯁꯦꯡꯕꯥ ꯃꯔꯝ ꯑꯃꯥ ꯊꯤꯕꯥ ꯉꯃꯗꯕꯥ ꯃꯇꯃꯅꯤ꯫ ꯑꯌꯥꯝꯕꯥ ꯀꯦꯁꯁꯤꯡꯗꯗꯤ, ꯄ꯭ꯔꯥꯏꯃꯥꯔꯤ ꯏꯝꯄꯣꯔꯠ ꯁꯦꯂꯅꯥ ꯏꯝꯄꯣꯔꯠ ꯁꯦꯂꯁꯤꯡ ꯁꯤꯟꯗ꯭ꯔꯣꯝ ꯊꯣꯀꯍꯟꯗꯦ꯫ ꯃꯁꯤꯅꯥ ꯇꯥꯀꯄꯗꯤ ꯃꯁꯤꯅꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯊꯣꯀꯍꯜꯂꯤ꯫
ꯁꯦꯀꯦꯟꯗꯔꯤ ꯑꯦꯝꯞꯂꯤ ꯁꯦꯜ (SES): ꯃꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯄꯤꯇꯨꯏꯇꯔꯤ ꯒ꯭ꯜꯌꯥꯟꯗ ꯅꯠꯠꯔꯒꯥ ꯁꯦꯂꯥ ꯇꯨꯔꯁꯤꯀꯥꯒꯤ ꯁ꯭ꯠꯔꯀꯆꯔꯗꯥ ꯁꯣꯀꯍꯜꯂꯤꯕꯥ ꯑꯇꯣꯞꯄꯥ ꯃꯁꯛ ꯈꯪꯗꯣꯛꯂꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯥ ꯊꯣꯀꯍꯅꯕꯅꯤ꯫ ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯃꯁꯤ ꯑꯇꯣꯞꯄꯥ ꯂꯥꯌꯅꯥ ꯅꯠꯠꯔꯒꯥ ꯊꯧꯗꯣꯛ ꯑꯃꯗꯒꯤ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯄꯅꯥ ꯊꯣꯀꯍꯅꯕꯅꯤ꯫ ꯁꯦꯀꯦꯟꯗꯔꯤ꯫

ꯃꯁꯤꯒꯤ ꯑꯦꯝꯞꯂꯤ ꯁꯦꯂꯥ ꯁꯤꯟꯗ꯭ꯔꯣꯝ (ESS) ꯑꯁꯤꯅꯥ ꯄꯨꯟꯁꯤꯗꯥ ꯈꯨꯗꯣꯡꯊꯤꯕꯥ ꯊꯣꯀꯍꯅꯕꯔꯥ?

ꯅꯠꯇꯦ, ꯑꯦꯝꯞꯂꯤ ꯁꯦꯂꯥ ꯁꯤꯟꯗ꯭ꯔꯣꯝ (ESS) ꯑꯁꯤ ꯄꯨꯟꯁꯤꯗꯥ ꯈꯨꯗꯣꯡꯊꯤꯅꯤꯉꯥꯏ ꯑꯣꯏꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫ ꯃꯁꯤ ꯍꯣꯔꯃꯣꯅꯒꯤ ꯍꯤꯗꯥꯀꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯁꯔꯖꯔꯤꯅꯥ ꯂꯥꯏꯌꯦꯡꯕꯥ ꯌꯥꯏ꯫

ꯃꯁꯤꯗꯁꯨ ꯅꯠꯇꯅꯥ, ꯅꯍꯥꯛꯀꯤ ꯕ꯭ꯔꯦꯟ ꯁ꯭ꯀꯦꯅꯅꯥ ‘ꯏꯝꯄꯇꯤ ꯁꯦꯜ’ ꯍꯥꯌꯕꯈꯛꯇꯅꯥ ꯄꯨꯟꯁꯤꯗꯥ ꯈꯨꯗꯣꯡꯊꯤꯕꯥ ꯊꯣꯀꯍꯜꯂꯤ ꯍꯥꯌꯕꯗꯤ ꯅꯠꯇꯦ꯫ ‘ꯏꯝꯄꯇꯤ ꯁꯦꯜ’ꯒꯤ ꯑꯌꯥꯝꯕꯥ ꯀꯦꯁꯁꯤꯡꯗꯗꯤ, ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯅꯠꯠꯔꯒꯥ ꯏꯝꯄꯇꯤ ꯁꯦꯜ ꯁꯤꯟꯗ꯭ꯔꯣꯝ ꯑꯃꯠꯇꯥ ꯂꯩꯇꯦ꯫

ꯄꯤꯇꯨꯏꯇꯔꯤ ꯒ꯭ꯜꯌꯥꯟꯗꯒꯤ ꯊꯕꯛ ꯑꯁꯤ ꯀꯔꯤꯅꯣ?

ꯄꯤꯇꯨꯏꯇꯔꯤ ꯒ꯭ꯜꯌꯥꯟꯗ ꯑꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯑꯦꯟꯗꯣꯛꯔꯥꯏꯟ ꯒ꯭ꯜꯌꯥꯟꯗ ꯑꯃꯅꯤ꯫ ꯃꯁꯤꯅꯥ ꯇꯣꯉꯥꯟ-ꯇꯣꯉꯥꯅꯕꯥ ꯍꯣꯔꯃꯣꯟ ꯀꯌꯥ ꯄꯨꯊꯣꯀꯏ꯫ ꯃꯁꯤꯅꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯑꯦꯟꯗꯣꯛꯔꯥꯏꯟ ꯁꯤꯁ꯭ꯇꯦꯃꯗꯥ ꯂꯩꯕꯥ ꯑꯇꯣꯞꯄꯥ ꯒ꯭ꯜꯌꯥꯟꯗꯁꯤꯡꯗꯁꯨ ꯍꯣꯔꯃꯣꯟ ꯔꯤꯂꯤꯖ ꯇꯧꯅꯕꯥ ꯍꯥꯌꯔꯤ꯫ ꯍꯥꯏꯕꯗꯤ:

ꯑꯦꯗ꯭ꯔꯤꯅꯜ ꯒ꯭ꯜꯌꯥꯟꯗꯁꯤꯡ꯫
ꯑꯣꯚꯔꯑꯣꯜ (ꯅꯨꯄꯤꯁꯤꯡꯗꯥ) ꯅꯠꯠꯔꯒꯥ ꯇꯦꯁ꯭ꯇꯤꯀꯜ (ꯅꯨꯄꯥꯁꯤꯡꯗꯥ)
ꯊꯥꯌꯔꯣꯏꯗ ꯒ꯭ꯜꯌꯥꯟꯗ꯫

ꯍꯣꯔꯃꯣꯅꯁꯤꯡ ꯑꯁꯤ ꯀꯦꯃꯤꯀꯦꯜ ꯃꯦꯁꯦꯟꯖꯔꯁꯤꯡꯒꯨꯝꯅꯥ ꯑꯣꯏ꯫ ꯃꯈꯣꯌꯅꯥ ꯏꯒꯤ ꯃꯔꯛꯇꯥ ꯆꯠꯂꯤ ꯑꯃꯁꯨꯡ ꯑꯩꯈꯣꯌꯒꯤ ꯑꯣꯔꯒꯥꯅꯁꯤꯡ, ꯃꯁꯂꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯑꯇꯩ ꯇꯤꯁꯨꯁꯤꯡꯗꯥ ꯄꯥꯎꯖꯦꯂꯁꯤꯡ ꯄꯨꯔꯀꯏ꯫ ꯍꯥꯌꯔꯤꯕꯥ ꯄꯥꯎꯖꯦꯂꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯍꯀꯆꯥꯡꯗꯥ ꯀꯔꯤ ꯇꯧꯒꯗꯒꯦ ꯑꯃꯁꯨꯡ ꯀꯗꯥꯏꯗꯥ ꯇꯧꯒꯗꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯇꯥꯀꯏ꯫

ꯄꯤꯇꯨꯏꯇꯔꯤ ꯒ꯭ꯜꯌꯥꯟꯗ ꯑꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯕ꯭ꯔꯦꯅꯗꯥ ꯂꯩꯕꯥ ꯍꯥꯏꯄꯣꯊꯦꯂꯥꯃꯥꯁꯀꯥ ꯁꯝꯅꯩ꯫ꯃꯁꯤ ꯏꯒꯤ ꯈꯣꯡꯖꯦꯜ ꯑꯃꯁꯨꯡ ꯅꯔꯚꯁꯤꯡꯅꯥ ꯁꯦꯝꯕꯥ ꯈꯣꯡꯎꯞ ꯑꯃꯅꯥ ꯁꯝꯅꯍꯜꯂꯤ꯫ ꯃꯁꯤꯕꯨ ꯄꯤꯇꯨꯏꯇꯔꯤ ꯁ꯭ꯇꯣꯛ ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ ꯃꯁꯤꯒꯤ ꯁ꯭ꯇꯣꯜ ꯑꯁꯤꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯍꯥꯏꯄꯣꯊꯦꯂꯥꯃꯥꯁꯅꯥ ꯄꯤꯇꯨꯏꯇꯔꯤ ꯒ꯭ꯜꯌꯥꯟꯗꯒꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯩ ꯑꯃꯁꯨꯡ ꯍꯥꯌ, ‘ꯑꯣꯀꯦ, ꯍꯧꯖꯤꯛ ꯍꯣꯔꯃꯣꯅꯁꯤꯡ ꯑꯁꯤ ꯊꯥꯗꯣꯀꯎ’꯫ ꯍꯥꯌꯄꯣꯊꯦꯂꯥꯃꯁ ꯍꯥꯌꯕꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯕ꯭ꯔꯦꯅꯒꯤ ꯁꯔꯨꯛ ꯑꯃꯅꯤ ꯃꯗꯨꯅꯥ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ, ꯍꯥꯔꯠ ꯔꯦꯠ, ꯍꯀꯆꯥꯡꯒꯤ ꯇꯦꯝꯄꯦꯔꯦꯆꯔ, ꯑꯃꯁꯨꯡ ꯗꯥꯏꯖꯦꯁ꯭ꯇꯤꯚꯅꯆꯤꯡꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯏ꯫

ꯄꯤꯇꯨꯏꯇꯔꯤ ꯒ꯭ꯜꯌꯥꯟꯗꯅꯥ ꯃꯔꯨꯑꯣꯏꯅꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯍꯣꯔꯃꯣꯅꯁꯤꯡ ꯑꯁꯤ ꯄꯨꯊꯣꯀꯏ:

ꯑꯦꯗ꯭ꯔꯤꯅꯣꯀꯣꯔꯇꯤꯀꯣꯠꯔꯣꯄꯤꯛ ꯍꯣꯔꯃꯣꯟ (ACTH): ꯃꯁꯤꯅꯥ ꯑꯦꯗ꯭ꯔꯤꯅꯜ ꯒ꯭ꯜꯌꯥꯟꯗꯁꯤꯡꯕꯨ ꯁ꯭ꯠꯔꯦꯁꯇꯥ ꯔꯦꯁꯄꯣꯟꯁ ꯇꯧꯕꯥ ꯍꯣꯔꯃꯣꯅꯁꯤꯡ (e.g. cortisol) ꯄꯨꯊꯣꯛꯅꯕꯥ ꯄꯨꯛꯅꯤꯡ ꯊꯧꯒꯠꯂꯤ꯫
ꯑꯦꯟꯇꯤꯗꯥꯏꯌꯨꯔꯦꯇꯤꯛ ꯍꯣꯔꯃꯣꯟ (ADH ꯅꯠꯠꯔꯒꯥ ꯚꯦꯁꯣꯞꯔꯦꯁꯤꯟ): ꯍꯀꯆꯥꯡꯒꯤ ꯏꯁꯤꯡꯒꯤ ꯆꯥꯡ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯏ꯫
ꯐꯣꯂꯤꯀꯜ-ꯁ꯭ꯇꯤꯝꯌꯨꯂꯦꯇꯤꯡ ꯍꯣꯔꯃꯣꯟ (FSH): ꯅꯨꯄꯤꯁꯤꯡꯗꯥ ꯉꯥ ꯌꯣꯀꯄꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ ꯑꯃꯁꯨꯡ ꯅꯨꯄꯥꯁꯤꯡꯗꯥ ꯁ꯭ꯄꯥꯔꯝ ꯄꯨꯊꯣꯀꯄꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫
ꯒ꯭ꯔꯣꯊ ꯍꯣꯔꯃꯣꯟ (GH): ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡ ꯑꯁꯤ ꯑꯉꯥꯡ ꯑꯣꯏꯔꯤꯉꯩꯗꯒꯤ ꯍꯧꯅꯥ ꯑꯍꯜ ꯑꯣꯏꯔꯀꯄꯐꯥꯎꯕꯥ, ꯃꯔꯨꯑꯣꯏꯅꯥ ꯁꯔꯨ ꯑꯃꯁꯨꯡ ꯃꯁꯂꯁꯤꯡꯗꯥ ꯆꯥꯎꯈꯠꯍꯅꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫
ꯂꯨꯇꯤꯅꯏꯖꯤꯡ ꯍꯣꯔꯃꯣꯟ (LH): ꯔꯤꯞꯔꯗꯛꯇꯤꯚ ꯁꯤꯁ꯭ꯇꯦꯃꯒꯤ ꯊꯕꯛ ꯇꯧꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯅꯕꯥ FSHꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯊꯕꯛ ꯇꯧꯏ꯫ ꯃꯁꯤ ꯅꯨꯄꯤꯁꯤꯡꯗꯥ ꯑꯣꯚꯨꯂꯦꯁꯅꯒꯤꯗꯃꯛ ꯑꯃꯁꯨꯡ ꯅꯨꯄꯥꯁꯤꯡꯗꯥ ꯇꯦꯁ꯭ꯇꯣꯁ꯭ꯇꯦꯔꯣꯟ ꯄꯨꯊꯣꯀꯄꯗꯥ ꯃꯔꯨꯑꯣꯏ꯫
ꯑꯣꯛꯁꯤꯇꯣꯁꯤꯟ: ꯑꯉꯥꯡ ꯄꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯏꯎꯇꯦꯔꯥꯁ ꯀꯟꯠꯔꯦꯛꯇ ꯇꯧꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ ꯑꯃꯁꯨꯡ ꯈꯣꯝꯂꯥꯡ ꯄꯤꯊꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯁꯉ꯭ꯒꯣꯝ ꯊꯥꯗꯣꯀꯄꯥ ꯉꯃꯍꯜꯂꯤ꯫
ꯄ꯭ꯔꯣꯂꯥꯛꯇꯤꯟ: ꯈꯣꯝꯂꯥꯡꯒꯤ ꯁꯉ꯭ꯒꯣꯝ ꯄꯨꯊꯣꯀꯄꯗꯥ ꯄꯨꯛꯅꯤꯡ ꯊꯧꯒꯠꯂꯤ꯫
ꯊꯥꯌꯔꯣꯏꯗ-ꯁ꯭ꯇꯤꯝꯌꯨꯂꯦꯇꯤꯡ ꯍꯣꯔꯃꯣꯟ (TSH): ꯈꯣꯡꯗꯥ ꯂꯩꯕꯥ ꯊꯥꯌꯔꯣꯏꯗ ꯒ꯭ꯜꯌꯥꯟꯗ ꯑꯗꯨꯗꯥ ꯊꯥꯌꯔꯣꯏꯗ ꯍꯣꯔꯃꯣꯅꯁꯤꯡ ꯁꯦꯝꯅꯕꯥ ꯍꯥꯌ꯫ ꯊꯥꯌꯔꯣꯏꯗ ꯍꯣꯔꯃꯣꯅꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯅꯥ ꯑꯦꯅꯔꯖꯤ (ꯃꯦꯇꯥꯕꯣꯂꯤꯖꯝ) ꯁꯤꯖꯤꯟꯅꯕꯒꯤ ꯆꯥꯡ ꯑꯗꯨ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯏ꯫

ꯍꯥꯌꯔꯤꯕꯥ ꯍꯣꯔꯃꯣꯟ ꯄꯨꯝꯅꯃꯛ ꯑꯁꯤ ꯂꯦꯞꯇꯅꯥ ꯄꯨꯊꯣꯀꯄꯥ ꯉꯃꯗꯦ꯫ ꯑꯌꯥꯝꯕꯗꯤ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯄꯨꯡ ꯑꯃꯗꯒꯤ ꯑꯍꯨꯝ ꯐꯥꯎꯕꯒꯤ ꯃꯅꯨꯡꯗꯥ, ꯄꯣꯠꯁꯛ ꯑꯃꯗꯥ ꯔꯤꯂꯤꯖ ꯇꯧꯏ꯫

ꯑꯦꯝꯞꯂꯤ ꯁꯦꯂꯥ ꯁꯤꯟꯗ꯭ꯔꯣꯝ (ESS)ꯅꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯁꯣꯀꯍꯜꯂꯤꯕꯥ ꯀꯅꯥꯅꯣ?

ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯇꯣꯏꯅꯥ ꯊꯣꯀꯄꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ ꯍꯥꯌꯔꯕꯁꯨ, ꯑꯉꯥꯡ ꯑꯃꯁꯨꯡ ꯑꯍꯂꯁꯤꯡ ꯑꯅꯤꯃꯛꯇꯥ ꯑꯦꯝꯞꯂꯤ ꯁꯦꯂꯥ ꯁꯤꯟꯗ꯭ꯔꯣꯝ (ESS) ꯂꯥꯀꯄꯥ ꯌꯥꯏ꯫

ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ , ꯄ꯭ꯔꯥꯏꯃꯥꯔꯤ꯫

PES ꯑꯁꯤ ꯆꯍꯤ 30 ꯑꯃꯁꯨꯡ 40ꯒꯤ ꯃꯔꯛꯇꯥ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯗꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯀꯃꯟ ꯑꯣꯏ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯃꯁꯤ ꯅꯨꯄꯥꯁꯤꯡꯗꯒꯤ ꯅꯨꯄꯤꯁꯤꯡꯗꯥ ꯉꯟꯅꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯄꯨꯡꯐꯥꯕꯥ ꯃꯤꯔꯣꯜꯂꯤꯕꯤ ꯅꯨꯄꯤꯁꯤꯡꯅꯥ ꯃꯔꯨꯑꯣꯏꯅꯥ ꯄꯤ.ꯏ.ꯑꯦꯁ.

ꯄꯤ.ꯏ.ꯑꯦꯁ.ꯅꯥ ꯑꯉꯥꯡꯁꯤꯡꯗꯥ ꯑꯍꯂꯁꯤꯡꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯀꯃꯟ ꯑꯣꯏ꯫ ꯃꯁꯤ ꯊꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯃꯁꯤ ꯑꯌꯥꯝꯕꯗꯤ ꯑꯇꯩ ꯃꯦꯗꯤꯀꯦꯜ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ, ꯍꯥꯌꯕꯗꯤ ꯇꯔꯅꯔ ꯁꯤꯟꯗꯣꯝ, ꯃꯣꯌꯥꯃꯣꯌꯥ ꯗꯤꯖꯤꯖ, ꯑꯃꯁꯨꯡ ꯄ꯭ꯔꯦꯗꯔ-ꯋꯤꯂꯤ ꯁꯤꯟꯗꯣꯃꯒꯥ ꯃꯔꯤ ꯂꯩꯅꯩ꯫

ꯃꯁꯤ ꯀꯌꯥ ꯌꯥꯝꯅꯥ ꯀꯃꯟ ꯑꯣꯏꯕꯒꯦ?

ꯑꯦꯝꯞꯂꯤ ꯁꯦꯂꯥ ꯁꯤꯟꯗ꯭ꯔꯣꯝ (ESS) ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯇꯣꯏꯅꯥ ꯊꯣꯀꯏ꯫ ꯔꯤꯁꯔꯆꯔ ꯈꯔꯅꯥ ‘ꯏꯝꯄꯇꯤ ꯁꯦꯜ’ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯒꯤ 1%ꯗꯒꯤ ꯇꯥꯅꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ (i.e., ESS) ꯂꯥꯀꯏ ꯍꯥꯌꯅꯥ ꯄꯥꯅꯔꯤ꯫

ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯂꯥꯏꯑꯣꯡ ꯂꯩꯇꯕꯥ ꯑꯁꯪꯕꯥ ꯁꯦꯜ ꯑꯃꯥ ꯂꯩꯕꯥ ꯑꯁꯤꯗꯤ ꯌꯥꯝꯅꯥ ꯍꯦꯟꯅꯥ ꯀꯃꯟ ꯑꯣꯏ꯫ ꯔꯤꯄꯣꯔꯠ ꯈꯔꯅꯥ ꯍꯥꯌꯔꯤ ꯃꯗꯨꯗꯤ ꯃꯤꯁꯤꯡꯒꯤ ꯸% ꯑꯃꯁꯨꯡ ꯳꯵%ꯒꯤ ꯃꯔꯛꯇꯥ ꯑꯁꯪꯕꯥ ꯁꯦꯜ ꯑꯃꯥ ꯂꯩꯕꯥ ꯌꯥꯏ꯫ ꯑꯇꯣꯞꯄꯥ ꯔꯤꯄꯣꯔꯇꯁꯤꯡꯅꯥ ꯕ꯭ꯔꯦꯟ ꯁ꯭ꯀꯦꯅꯒꯤ ꯔꯤꯖꯜꯇꯁꯤꯡꯗꯥ ꯌꯨꯝꯐꯝ ꯑꯣꯏꯔꯒꯥ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯃꯤꯑꯣꯏ ꯱꯲%ꯗꯥ ꯑꯍꯥꯡꯕꯥ ꯁꯦꯜ ꯑꯃꯥ ꯂꯩ ꯍꯥꯌꯅꯥ ꯐꯣꯉꯗꯣꯛꯂꯤ꯫

ꯑꯦꯝꯞꯂꯤ ꯁꯦꯂꯥ ꯁꯤꯟꯗ꯭ꯔꯣꯝ (ESS)ꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?

ꯑꯦꯝꯞꯂꯤ ꯁꯦꯂꯥ ꯁꯤꯟꯗ꯭ꯔꯣꯝ (ESS)ꯒꯥ ꯃꯔꯤ ꯂꯩꯅꯕꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯂꯥꯏꯑꯣꯡꯗꯤ ꯀ꯭ꯔꯣꯅꯤꯛ ꯍꯦꯗ-ꯑꯦꯀꯁꯤꯡꯅꯤ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯔꯤꯁꯔꯆꯔꯁꯤꯡꯅꯥ ꯍꯧꯖꯤꯛ ꯐꯥꯑꯣꯕꯗꯥ ꯃꯀꯣꯛ ꯊꯣꯡꯕꯥ ꯑꯁꯤ ꯏ.ꯑꯦꯁ.ꯑꯦꯁ.ꯅꯥ ꯊꯣꯀꯍꯅꯕꯔꯥ ꯅꯠꯔꯒꯥ ꯃꯁꯤ ꯁꯨꯞꯅꯇꯒꯤ ꯊꯧꯗꯣꯛ ꯑꯃꯈꯛꯇꯅꯤ ꯍꯥꯌꯕꯁꯤ ꯁꯣꯏꯗꯅꯥ ꯈꯉꯕꯥ ꯉꯃꯗ꯭ꯔꯤ꯫ ꯃꯁꯤꯒꯤ ꯃꯔꯃꯗꯤ ꯏ.ꯑꯦꯁ.ꯑꯦꯁ.ꯅꯥ ꯅꯥꯕꯥ ꯃꯤꯑꯣꯏ ꯀꯌꯥꯗꯁꯨ ꯍꯥꯏ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ (ꯍꯥꯌꯄꯔꯇꯦꯟꯁꯟ) ꯂꯩ, ꯃꯗꯨꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯑꯣꯏꯔꯕꯗꯤ ꯍꯦꯗ-ꯑꯦꯀꯁꯨ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫

ꯃꯍꯧꯁꯥꯅꯥ ꯏ.ꯑꯦꯁ.ꯑꯦꯁ.ꯅꯥ ꯄꯤꯇꯨꯏꯇꯔꯤ ꯒ꯭ꯜꯌꯥꯟꯗꯇꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯅꯕꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯍꯣꯔꯃꯣꯅꯒꯤ ꯏꯃꯕꯦꯂꯦꯟꯁ ꯊꯣꯀꯍꯜꯂꯤ꯫ ꯏ.ꯑꯦꯁ.ꯑꯦꯁ.ꯅꯥ ꯅꯥꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯅꯥ ꯃꯈꯣꯌꯒꯤ ꯄꯤꯇꯨꯏꯇꯔꯤ ꯒ꯭ꯜꯌꯥꯟꯗꯇꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯀꯔꯤ ꯍꯣꯔꯃꯣꯅꯁꯤꯡꯅꯥ ꯁꯣꯀꯍꯅꯕꯒꯦ ꯍꯥꯌꯕꯒꯤ ꯃꯇꯨꯡ ꯏꯟꯅꯥ ꯇꯣꯉꯥꯟ-ꯇꯣꯉꯥꯅꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯎꯕꯥ ꯐꯪꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ESS ꯂꯩꯔꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯂꯥꯏꯑꯣꯡ ꯈꯔꯗꯤ ꯂꯩꯕꯥ ꯌꯥꯏ:

ꯕ꯭ꯔꯦꯁ꯭ꯇꯇꯒꯤ ꯅꯟ-ꯃꯤꯜꯀꯤ ꯗꯤꯁꯆꯥꯔꯖ (ꯒꯦꯂꯦꯛꯇꯔꯔꯤꯌꯥ) (ꯃꯁꯤ ꯅꯨꯄꯥꯁꯤꯡꯗꯁꯨ ꯊꯣꯀꯄꯥ ꯌꯥꯏ)
ꯏꯔꯦꯛꯇꯥꯏꯜ ꯗꯤꯁꯐꯉ꯭ꯀꯁꯟ ( ꯅꯨꯄꯥꯁꯤꯡꯒꯤ ꯑꯣꯏꯅꯥ) .
ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯊꯥꯒꯤ ꯈꯣꯡꯀꯥꯞ ꯅꯠꯠꯔꯒꯥ ꯊꯥꯒꯤ ꯈꯣꯡꯀꯥꯞ ꯃꯄꯨꯡ ꯐꯥꯅꯥ ꯂꯩꯇꯕꯥ (ꯑꯦꯃꯦꯅꯣꯔꯤꯌꯥ) (ꯅꯨꯄꯤꯁꯤꯡꯒꯤ ꯑꯣꯏꯅꯥ)
ꯁꯦꯛꯁꯀꯤ ꯑꯄꯥꯝꯕꯥ ꯍꯟꯊꯔꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯃꯥꯡꯈꯤꯕꯥ (low libido) .
ꯃꯇꯝ ꯄꯨꯝꯅꯃꯛꯇꯥ ꯋꯥꯈꯜ ꯋꯥꯕꯥ (Fatigue) .

ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ, ꯏ.ꯑꯦꯁ.ꯑꯦꯁ.ꯅꯥ ꯅꯥꯕꯥ ꯃꯤꯑꯣꯏ ꯈꯔꯗꯗꯤ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤꯁꯨ ꯊꯦꯡꯅꯔꯀꯄꯥ ꯌꯥꯏ:

ꯁ꯭ꯀꯨꯂꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯄ꯭ꯔꯦꯁꯔ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ (ꯕꯦꯅꯤꯟ ꯏꯟꯠꯔꯥꯛꯔꯦꯅꯤꯑꯦꯜ ꯄ꯭ꯔꯦꯁꯔ)
ꯁꯦꯔꯤꯕ꯭ꯔꯣꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯔꯥꯏꯅꯣꯔꯤꯌꯥ (ꯅꯥꯀꯣꯡꯗꯒꯤ ꯁꯤ.ꯑꯦꯁ.ꯑꯦꯐ.
ꯁ꯭ꯀꯨꯂꯗꯥ ꯄ꯭ꯔꯦꯁꯔ ꯍꯦꯅꯒꯠꯂꯀꯄꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯃꯤꯠꯀꯤ ꯃꯅꯨꯡꯗꯥ ꯂꯩꯕꯥ ꯑꯣꯄꯇꯤꯛ ꯗꯤꯁ꯭ꯛ (papilledema) ꯁꯣꯀꯄꯥ (papilledema)꯫
ꯚꯤꯖꯟ ꯍꯣꯡꯏ, ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯕ꯭ꯂꯔ ꯚꯤꯖꯟ꯫

ꯑꯃꯨꯛ ꯍꯟꯅꯥ, ꯅꯍꯥꯛꯅꯥ ꯕ꯭ꯔꯦꯟ ꯁ꯭ꯀꯦꯟ ꯑꯃꯗꯥ ‘ꯏꯝꯄꯇꯤ ꯁꯦꯜ’ ꯑꯃꯥ ꯂꯩꯕꯥ ꯌꯥꯏ, ꯑꯗꯨꯕꯨ ꯅꯍꯥꯛꯅꯥ ꯂꯥꯏꯑꯣꯡ ꯑꯃꯠꯇꯥ ꯎꯕꯥ ꯐꯪꯗꯕꯥ ꯌꯥꯏ꯫ ꯇꯁꯦꯡꯕꯗꯤ, ‘ꯏꯪꯂꯤꯁ ꯁꯦꯜ’ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏ ꯀꯌꯥꯗꯥ ꯂꯥꯏꯑꯣꯡ ꯑꯃꯠꯇꯥ ꯂꯩꯇꯦ ꯑꯃꯁꯨꯡ ꯀꯩꯗꯧꯉꯩꯗꯥ ꯂꯩꯔꯣꯏ꯫

ꯑꯦꯝꯞꯂꯤ ꯁꯦꯂꯥ ꯁꯤꯟꯗ꯭ꯔꯣꯝ (ESS)ꯅꯥ ꯑꯔꯨꯝꯕꯥ ꯍꯦꯅꯒꯠꯍꯅꯕꯔꯥ?

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯄꯤꯇꯨꯏꯇꯔꯤ ꯒ꯭ꯜꯌꯥꯟꯗ ꯑꯗꯨꯅꯥ ꯏꯝꯄꯦꯇꯤ ꯁꯦꯂꯥ ꯁꯤꯟꯗ꯭ꯔꯣꯝ (ESS)ꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯊꯥꯌꯔꯣꯏꯗ-ꯁ꯭ꯇꯤꯝꯌꯨꯂꯦꯇꯤꯡ ꯍꯣꯔꯃꯣꯟ (TSH) ꯃꯇꯤꯛ ꯆꯥꯅꯥ ꯄꯨꯊꯣꯀꯄꯥ ꯉꯃꯗ꯭ꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯑꯔꯨꯝꯕꯥ ꯍꯦꯅꯒꯠꯂꯀꯄꯒꯤ ꯆꯥꯡ ꯂꯩ꯫

TSHꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯒꯤ ꯃꯃꯥꯡꯗꯥ ꯂꯩꯕꯥ, ꯈꯣꯡꯒꯤ ꯃꯈꯥꯗꯥ ꯂꯩꯕꯥ ꯊꯥꯌꯔꯣꯏꯗ ꯒ꯭ꯜꯌꯥꯟꯗ ꯑꯗꯨꯕꯨ ꯊꯥꯌꯔꯣꯏꯗ ꯍꯣꯔꯃꯣꯅꯁꯤꯡ ꯊꯥꯗꯣꯛꯅꯕꯥ ꯊꯧꯅꯥ ꯍꯥꯞꯄꯤ꯫ ꯊꯥꯌꯔꯣꯏꯗ ꯒ꯭ꯜꯌꯥꯟꯗꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯊꯕꯛ ꯑꯁꯤ ꯊꯥꯏꯔꯣꯏꯗ ꯍꯣꯔꯃꯣꯅꯁꯤꯡ ꯄꯨꯊꯣꯀꯄꯅꯤ, ꯃꯈꯣꯌꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯆꯥꯔꯤꯕꯥ ꯆꯤꯟꯖꯥꯛ ꯑꯗꯨ ꯑꯦꯅꯔꯖꯤꯗꯥ ꯑꯣꯟꯊꯣꯀꯄꯒꯤ ꯆꯥꯡ, ꯅꯠꯠꯔꯒꯥ ꯅꯍꯥꯛꯀꯤ ꯃꯦꯇꯥꯕꯣꯂꯤꯛ ꯔꯦꯠ ꯑꯗꯨ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯏ .

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯄꯤꯇꯨꯏꯇꯔꯤ ꯒ꯭ꯜꯌꯥꯟꯗꯅꯥ ꯏ.ꯑꯦꯁ.ꯑꯦꯁ.ꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ TSH ꯃꯇꯤꯛ ꯆꯥꯅꯥ ꯄꯨꯊꯣꯀꯄꯥ ꯉꯃꯗ꯭ꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯊꯥꯌꯔꯣꯏꯗ ꯒ꯭ꯜꯌꯥꯟꯗꯅꯥ ꯊꯥꯌꯔꯣꯏꯗ ꯍꯣꯔꯃꯣꯟ ꯃꯇꯤꯛ ꯆꯥꯅꯥ ꯄꯨꯊꯣꯀꯄꯥ ꯉꯃꯗꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯅꯥ ꯊꯥꯌꯔꯣꯏꯗ ꯍꯣꯔꯃꯣꯅꯒꯤ ꯆꯥꯡ ꯅꯦꯝꯕꯥ ꯑꯁꯤꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯃꯦꯇꯥꯕꯣꯂꯤꯖꯝ ꯑꯗꯨ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯁꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ, ꯃꯗꯨꯅꯥ ꯑꯔꯨꯝꯕꯥ ꯍꯦꯅꯒꯠꯍꯅꯕꯥ ꯌꯥꯏ꯫

ꯑꯦꯝꯞꯂꯤ ꯁꯦꯂꯥ ꯁꯤꯟꯗ꯭ꯔꯣꯝ (ESS) ꯑꯁꯤ ꯀꯔꯤꯅꯥ ꯊꯣꯀꯍꯅꯕꯒꯦ?

ꯑꯦꯝꯞꯂꯤ ꯁꯦꯂꯥ ꯁꯤꯟꯗ꯭ꯔꯣꯝ (ESS) ꯑꯁꯤ ꯄ꯭ꯔꯥꯏꯃꯥꯔꯤ ꯑꯦꯝꯞꯂꯤ ꯁꯦꯜꯂꯥ (PES) ꯅꯠꯠꯔꯒꯥ ꯁꯦꯀꯦꯟꯗꯔꯤ ꯑꯦꯝꯞꯂꯤ ꯁꯦꯂꯥ (SES) ꯑꯃꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯁꯦꯀꯦꯟꯗꯔꯤ ꯑꯦꯝꯞꯂꯤ ꯁꯦꯜꯂꯥ (SES)ꯅꯥ ꯏ.ꯑꯦꯁ.ꯑꯦꯁ.

ꯄ꯭ꯔꯥꯏꯃꯥꯔꯤ ꯑꯦꯝꯞꯂꯤ ꯁꯦꯂꯥ ꯁꯤꯟꯗ꯭ꯔꯣꯝ (PES)ꯒꯤ ꯃꯔꯃꯁꯤꯡ

ꯄ꯭ꯔꯥꯏꯃꯥꯔꯤ꯫

ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯍꯧꯖꯤꯛ ꯐꯥꯑꯣꯕꯥ ꯄ꯭ꯔꯥꯏꯃꯥꯔꯤ ꯑꯦꯝꯞꯂꯤ ꯁꯦꯂꯥ ꯁꯤꯟꯗꯣꯃꯒꯤ ꯑꯆꯨꯝꯕꯥ ꯃꯔꯝ ꯑꯗꯨ ꯈꯉꯕꯥ ꯉꯃꯗ꯭ꯔꯤ꯫

ꯊꯤꯑꯣꯔꯤ꯫ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯀꯦꯁꯁꯤꯡꯗꯗꯤ, ꯄꯤꯇꯨꯏꯇꯔꯤ ꯒ꯭ꯜꯌꯥꯟꯗ ꯑꯁꯤ ꯑꯌꯥꯝꯕꯗꯤ ꯁ꯭ꯀꯦꯟ ꯑꯃꯗꯥ ꯎꯕꯥ ꯐꯪꯗꯦ, ꯑꯗꯨꯕꯨ ꯃꯁꯤ ꯑꯌꯥꯝꯕꯗꯤ ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯅꯥ ꯊꯕꯛ ꯇꯧꯏ, ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯑꯦꯝꯞꯂꯤ ꯁꯦꯂꯥ ꯁꯤꯟꯗ꯭ꯔꯣꯝ ꯊꯣꯛꯇꯦ꯫

ꯁꯦꯀꯦꯟꯗꯔꯤ ꯏꯔꯦꯛꯇꯥꯏꯜ ꯗꯤꯁꯐꯉ꯭ꯀꯁꯟ (SES)ꯒꯤ ꯃꯔꯃꯁꯤꯡ

ꯁꯦꯀꯦꯟꯗꯔꯤ ꯑꯦꯝꯞꯂꯤ ꯁꯦꯂꯥ (SES) ꯑꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯄꯤꯇꯨꯏꯇꯔꯤ ꯒ꯭ꯜꯌꯥꯟꯗ ꯅꯠꯠꯔꯒꯥ ꯁꯦꯂꯥ ꯇꯨꯔꯁꯤꯀꯥ ꯑꯁꯤ ꯑꯇꯣꯞꯄꯥ ꯂꯥꯌꯅꯥ ꯅꯠꯠꯔꯒꯥ ꯊꯧꯗꯣꯛ ꯑꯃꯅꯥ ꯁꯣꯀꯍꯜꯂꯕꯥ ꯃꯇꯃꯗꯥ ꯊꯣꯀꯏ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯑꯦꯁ.ꯏ.ꯑꯦꯁ.ꯀꯤ ꯑꯣꯏꯊꯣꯀꯄꯥ ꯌꯥꯕꯥ ꯃꯔꯝ ꯀꯌꯥ ꯂꯩꯔꯤ꯫ ꯃꯍꯧꯁꯥꯅꯥ, ꯑꯃꯥꯡ-ꯑꯇꯥ ꯑꯁꯤꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯔꯃꯁꯤꯡꯗꯤ:

ꯕ꯭ꯔꯦꯟ ꯇꯤꯎꯃꯔ ꯑꯃꯥ .
ꯔꯦꯗꯤꯑꯦꯁꯟ ꯊꯦꯔꯥꯄꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ .
ꯄꯤꯇꯨꯏꯇꯔꯤ ꯒ꯭ꯜꯌꯥꯟꯗꯒꯤ ꯑꯀꯣꯌꯕꯗꯥ ꯂꯩꯕꯥ ꯃꯐꯃꯗꯥ ꯕ꯭ꯔꯦꯟ ꯁꯔꯖꯔꯤ ꯄꯥꯡꯊꯣꯀꯈꯤ꯫
ꯃꯀꯣꯛ ꯑꯗꯨꯗꯥ ꯁꯥꯊꯤꯕꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯑꯃꯥ, ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯕ꯭ꯔꯦꯅꯒꯤ ꯑꯁꯣꯛ-ꯑꯄꯟ (traumatic brain injury) ꯑꯃꯥ꯫

ꯕ꯭ꯂꯦꯗꯔꯒꯤ ꯁꯦꯀꯦꯟꯗꯔꯤ ꯏꯝꯞꯌꯥꯇꯤꯡꯗꯥ ꯁꯣꯀꯍꯅꯕꯥ ꯌꯥꯕꯥ ꯑꯇꯩ ꯑꯀꯛꯅꯕꯥ ꯃꯔꯝ ꯈꯔꯗꯤ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤ:

ꯕ꯭ꯔꯦꯟ ꯇꯤꯎꯃꯔꯁꯤꯡ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯕ꯭ꯔꯦꯟ ꯇꯤꯎꯃꯔꯁꯤꯡꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯕ꯭ꯔꯦꯅꯒꯤ ꯑꯀꯣꯌꯕꯗꯥ ꯄ꯭ꯔꯦꯁꯔ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ (intracranial pressure) ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ, ꯃꯗꯨꯅꯥ ꯄꯤꯇꯨꯏꯇꯔꯤ ꯒ꯭ꯜꯌꯥꯟꯗꯇꯥ ꯄ꯭ꯔꯦꯁꯔ ꯄꯤꯕꯥ ꯌꯥꯏ꯫
ꯏꯗꯤꯑꯣꯄꯦꯊꯤꯛ ꯏꯟꯠꯔꯥꯛꯔꯦꯅꯤꯑꯦꯜ ꯍꯥꯏꯄꯔꯇꯦꯟꯁꯟ (IIH): IIH ꯍꯥꯌꯕꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯕ꯭ꯔꯦꯅꯒꯤ ꯑꯀꯣꯌꯕꯗꯥ ꯁꯦꯔꯤꯕ꯭ꯔꯣꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯐ꯭ꯂꯨꯏꯗ (CSF) ꯌꯥꯎꯔꯀꯄꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯃꯀꯣꯛ ꯑꯗꯨꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯄ꯭ꯔꯦꯁꯔ ꯍꯦꯅꯒꯠꯂꯀꯄꯅꯤ꯫ ꯃꯁꯤꯒꯤ ꯑꯍꯦꯅꯕꯥ ꯄ꯭ꯔꯦꯁꯔ ꯑꯁꯤꯅꯥ ꯄꯤꯇꯨꯏꯇꯔꯤ ꯒ꯭ꯜꯌꯥꯟꯗ ꯑꯗꯨ ꯀꯝꯞꯔꯦꯁꯟ ꯇꯧꯕꯥ ꯌꯥꯏ꯫
ꯄꯤꯇꯨꯏꯇꯔꯤ ꯑꯦꯗꯦꯅꯣꯃꯥꯁ (pituitary adenomas) : ꯃꯁꯤ ꯄꯤꯇꯨꯏꯇꯔꯤ ꯒ꯭ꯜꯌꯥꯟꯗꯇꯥ ꯊꯣꯀꯄꯥ ꯇꯤꯎꯃꯔꯁꯤꯡꯅꯤ꯫ ꯑꯌꯥꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯃꯈꯣꯌ ꯑꯁꯤ ꯅꯟ-ꯀꯦꯟꯁꯔ (benign) ꯑꯣꯏ꯫ ꯍꯥꯌꯔꯤꯕꯥ ꯑꯦꯗꯦꯅꯣꯃꯥꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯄꯤꯇꯨꯏꯇꯔꯤ ꯒ꯭ꯜꯌꯥꯟꯗꯇꯥ ꯄ꯭ꯔꯦꯁꯔ ꯄꯤꯗꯨꯅꯥ ꯃꯥꯡꯍꯅꯕꯥ ꯌꯥꯏ꯫
ꯁꯤꯍꯥꯟ ꯁꯤꯟꯗ꯭ꯔꯣꯝ (Shehan’s syndrome): ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯑꯉꯥꯡ ꯄꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯌꯥꯝꯅꯥ ꯍꯦꯟꯅꯥ, ꯄꯨꯟꯁꯤ ꯃꯥꯡꯍꯅꯕꯥ ꯌꯥꯕꯥ ꯏ ꯊꯣꯀꯄꯥ ꯂꯩꯔꯕꯗꯤ ꯊꯣꯀꯄꯥ ꯌꯥꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫ ꯃꯁꯤꯅꯥ ꯍꯀꯆꯥꯡꯗꯥ ꯑꯣꯛꯁꯤꯖꯦꯟ ꯋꯥꯠꯄꯥ ꯑꯃꯁꯨꯡ ꯄꯤꯇꯨꯏꯇꯔꯤ ꯒ꯭ꯜꯌꯥꯟꯗꯇꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫

ꯑꯦꯝꯞꯂꯤ ꯁꯦꯂꯥ ꯁꯤꯟꯗ꯭ꯔꯣꯝ (ESS) ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯈꯪꯗꯣꯀꯄꯒꯦ?

ꯑꯌꯥꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯑꯇꯣꯞꯄꯥ ꯃꯔꯝ ꯑꯃꯒꯤꯗꯃꯛ ꯍꯦꯗ ꯁ꯭ꯀꯦꯟ ꯇꯧꯕꯥ ꯃꯇꯃꯗꯥ, ꯑꯁꯣꯏ-ꯑꯉꯥꯝ ꯌꯥꯑꯣꯗꯕꯥ ꯁꯦꯜꯂꯥ ꯑꯃꯥ ꯊꯦꯡꯅꯩ꯫ ꯃꯁꯤꯗꯁꯨ ꯅꯠꯇꯅꯥ, ꯏꯝꯄꯣꯔꯠ ꯁꯦꯂꯥ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏ ꯀꯌꯥꯗꯤ ꯀꯩꯗꯧꯉꯩꯗꯥ ꯏꯝꯄꯣꯔꯠ ꯁꯦꯜꯂꯥ ꯁꯤꯟꯗ꯭ꯔꯣꯝ ꯊꯣꯀꯍꯟꯗꯦ ꯅꯠꯠꯔꯒꯥ ꯂꯥꯏꯑꯣꯡ ꯑꯃꯠꯇꯥ ꯊꯦꯡꯅꯗꯦ꯫

ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯏꯝꯄꯦꯇꯤ ꯁꯦꯜ ꯁꯤꯟꯗ꯭ꯔꯣꯃꯒꯥ ꯃꯔꯤ ꯂꯩꯅꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ, ꯍꯥꯌꯕꯗꯤ ꯌꯥꯝꯅꯥ ꯇꯣꯏꯅꯥ ꯍꯦꯗ-ꯑꯦꯛ ꯑꯃꯁꯨꯡ ꯍꯣꯔꯃꯣꯅꯒꯤ ꯏꯃꯕꯦꯂꯦꯟꯁ ꯂꯩꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯃꯦꯗꯤꯀꯦꯜ ꯍꯤꯁ꯭ꯇꯔꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯍꯪꯒꯅꯤ, ꯐꯤꯖꯤꯀꯦꯜ ꯑꯦꯀꯖꯥꯃꯤꯅꯦꯁꯟ ꯑꯃꯥ ꯇꯧꯒꯅꯤ ꯑꯃꯁꯨꯡ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯌꯥꯝꯅꯥ ꯍꯦꯗ ꯑꯃꯁꯨꯡ ꯕ꯭ꯔꯦꯟ ꯁ꯭ꯀꯦꯟ ꯇꯧꯅꯕꯥ ꯑꯣꯔꯗꯔ ꯇꯧꯒꯅꯤ꯫

ꯏ.ꯑꯦꯁ.ꯑꯦꯁ.ꯀꯤ ꯂꯥꯏꯑꯣꯡ ꯈꯪꯗꯣꯛꯅꯕꯥ ꯁꯤꯖꯤꯟꯅꯔꯤꯕꯥ ꯁ꯭ꯀꯦꯅꯁꯤꯡ ꯑꯗꯨꯗꯤ:

ꯕ꯭ꯔꯦꯟ ꯁꯤ.ꯇꯤ.(ꯀꯝꯄꯤꯎꯇꯦꯗ ꯇꯣꯃꯣꯒ꯭ꯔꯥꯐꯤ) ꯁ꯭ꯀꯦꯟ ꯑꯃꯥ: ꯁꯤ.ꯇꯤ.ꯁ꯭ꯀꯦꯟ ꯍꯥꯌꯕꯁꯤ ꯑꯦꯛꯁ-ꯔꯦ ꯑꯃꯁꯨꯡ ꯀꯝꯞꯌꯨꯇꯔ ꯁꯤꯖꯤꯟꯅꯗꯨꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯕ꯭ꯔꯦꯟ ꯑꯃꯁꯨꯡ ꯄꯤꯇꯨꯏꯇꯔꯤ ꯒ꯭ꯜꯌꯥꯟꯗꯒꯤ ꯃꯌꯦꯛ ꯁꯦꯡꯕꯥ ꯐꯣꯇꯣ ꯂꯧꯕꯒꯤ ꯃꯑꯣꯡ ꯑꯃꯅꯤ꯫
ꯕ꯭ꯔꯦꯅꯒꯤ ꯃꯦꯒ꯭ꯅꯦꯇꯤꯛ ꯔꯤꯖꯣꯅꯦꯟꯁ ꯏꯃꯦꯖꯤꯡ (MRI) ꯁ꯭ꯀꯦꯟ ꯑꯃꯥ: ꯑꯦꯝ.ꯑꯥꯔ.ꯑꯥꯏ.

ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯣꯔꯃꯣꯅꯒꯤ ꯆꯥꯡ ꯌꯦꯡꯁꯤꯟꯅꯕꯥ ꯑꯍꯦꯅꯕꯥ ꯇꯦꯁ꯭ꯇꯁꯤꯡ, ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ ꯕ꯭ꯂꯗ ꯇꯦꯁ꯭ꯇꯁꯤꯡꯁꯨ ꯑꯣꯔꯗꯔ ꯇꯧꯕꯥ ꯌꯥꯏ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯕ꯭ꯔꯦꯅꯗꯥ ꯄ꯭ꯔꯦꯁꯔ ꯍꯦꯅꯒꯠꯂꯀꯄꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯌꯦꯡꯁꯤꯟꯅꯕꯥ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯇꯦꯁ꯭ꯇꯁꯤꯡꯁꯨ ꯇꯧꯕꯥ ꯌꯥꯏ:

ꯅꯍꯥꯛꯀꯤ ꯃꯤꯠꯀꯤ ꯃꯅꯨꯡꯗꯥ ꯂꯩꯕꯥ ꯔꯦꯇꯤꯅꯥ ꯑꯗꯨ ꯑꯣꯐꯊꯥꯂꯃꯣꯂꯣꯖꯤꯁ꯭ꯠ ꯑꯃꯅꯥ ꯌꯦꯡꯁꯤꯜꯂꯨ꯫
ꯂꯝꯕꯔ ꯄꯉ꯭ꯀꯆꯔ (spinal tap) – ꯃꯁꯤꯅꯥ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯐ꯭ꯂꯨꯏꯗꯀꯤ ꯄ꯭ꯔꯦꯁꯔ ꯑꯗꯨ ꯂꯦꯄꯊꯣꯀꯏ꯫

ꯑꯦꯝꯞꯂꯤ ꯁꯦꯂꯥ ꯁꯤꯟꯗ꯭ꯔꯣꯝ (ESS)ꯒꯤ ꯂꯥꯏꯌꯦꯡꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯁ꯭ꯀꯦꯅꯁꯤꯡꯗꯥ ‘ꯏꯪꯂꯤꯁ ꯁꯦꯜ’ ꯑꯃꯥ ꯎꯕꯥ ꯐꯪꯂꯕꯁꯨ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯄꯤꯇꯨꯏꯇꯔꯤ ꯒ꯭ꯜꯌꯥꯟꯗ ꯑꯗꯨ ꯐꯖꯅꯥ ꯊꯕꯛ ꯇꯧꯔꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯂꯥꯏꯌꯦꯡ ꯑꯃꯠꯇꯥ ꯃꯊꯧ ꯇꯥꯗꯦ꯫ ꯑꯌꯥꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯃꯁꯤ ꯊꯣꯀꯏ꯫

ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯦꯝꯞꯂꯤ ꯁꯦꯂꯥ ꯁꯤꯟꯗ꯭ꯔꯣꯝ (ESS) ꯂꯩꯔꯕꯗꯤ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯄꯤꯇꯨꯏꯇꯔꯤ ꯒ꯭ꯜꯌꯥꯟꯗ ꯑꯗꯨ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯊꯕꯛ ꯇꯧꯗ꯭ꯔꯕꯗꯤ, ꯂꯥꯏꯌꯦꯡ ꯑꯁꯤ ꯍꯣꯔꯃꯣꯅꯒꯤ ꯆꯥꯡ ꯅꯦꯝꯕꯥ ꯑꯗꯨ ꯀꯣꯀꯍꯟꯅꯕꯥ ꯍꯤꯗꯥꯀꯁꯤꯡꯅꯤ꯫ ꯍꯥꯌꯕꯗꯤ ꯍꯤꯗꯥꯛ ꯑꯁꯤ ꯀꯔꯝꯕꯥ ꯍꯣꯔꯃꯣꯟ ꯅꯦꯝꯅꯥ ꯂꯩꯕꯒꯦ ꯍꯥꯌꯕꯗꯨꯗꯥ ꯌꯨꯝꯐꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯂꯦꯄꯊꯣꯀꯏ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯏ.ꯑꯦꯁ.ꯑꯦꯁ.ꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯅꯥꯀꯣꯡꯗꯒꯤ ꯁꯦꯔꯤꯕ꯭ꯔꯣꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯐ꯭ꯂꯨꯏꯗ (CSF) ꯂꯤꯛ ꯇꯧꯔꯕꯗꯤ (CSF ꯔꯥꯏꯅꯣꯔꯤꯌꯥ) ꯅꯍꯥꯛꯀꯤ ꯁꯦꯂꯥ ꯇꯨꯔꯁꯤꯀꯥ ꯑꯗꯨ ꯔꯤꯄꯦꯌꯥꯔ ꯇꯧꯅꯕꯥ ꯁꯔꯖꯔꯤ ꯇꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯏ꯫

ꯑꯦꯝꯞꯂꯤ ꯁꯦꯂꯥ ꯁꯤꯟꯗ꯭ꯔꯣꯝ (ESS)ꯒꯤ ꯔꯤꯁ꯭ꯛ ꯐꯦꯛꯇꯔꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?

ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯏꯝꯄꯣꯔꯠ ꯁꯦꯜꯂꯥ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏ ꯈꯔꯗꯗꯤ ꯀꯔꯤꯅꯥ ꯑꯦꯝꯞꯂꯤ ꯁꯦꯂꯥ ꯁꯤꯟꯗꯣꯝ ꯊꯣꯀꯍꯅꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯇꯁꯦꯡꯅꯥ ꯈꯪꯗꯦ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯑꯦꯝꯞꯂꯤ ꯁꯦꯂꯥ ꯁꯤꯟꯗ꯭ꯔꯣꯝ ꯑꯁꯤ ꯄ꯭ꯔꯥꯏꯃꯥꯔꯤ ꯏꯝꯄꯦꯇꯤ ꯁꯦꯜꯂꯥ (PES)ꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯁꯦꯀꯦꯟꯗꯔꯤ ꯑꯦꯝꯞꯂꯤ ꯁꯦꯜꯂꯥ (SES)ꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯂꯥꯀꯄꯒꯤ ꯆꯥꯡ ꯍꯦꯜꯂꯤ꯫ ꯃꯁꯤꯅꯥ ꯇꯥꯀꯄꯗꯤ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯁꯪꯕꯥ ꯁꯦꯜ ꯑꯗꯨ ꯑꯇꯣꯞꯄꯥ ꯄꯣꯠꯁꯛ ꯑꯃꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯑꯣꯏꯔꯕꯗꯤ, ꯍꯥꯌꯕꯗꯤ ꯕ꯭ꯔꯦꯟ ꯇꯤꯎꯃꯔ, ꯔꯦꯗꯤꯑꯦꯁꯟ ꯊꯦꯔꯥꯄꯤ ꯅꯠꯠꯔꯒꯥ ꯃꯀꯣꯛ ꯑꯗꯨꯗꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯍꯅꯕꯥ ꯇꯥꯔꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯍꯦꯟꯅꯥ ꯎꯕꯥ ꯐꯪꯒꯅꯤ꯫

ꯑꯦꯝꯞꯂꯤ ꯁꯦꯂꯥ ꯁꯤꯟꯗ꯭ꯔꯣꯝ (ESS) ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯒꯤ ꯄ꯭ꯔꯣꯒ꯭ꯅꯣꯁꯤꯁ ꯑꯁꯤ ꯀꯔꯤꯅꯣ?

ꯑꯦꯝꯞꯂꯤ ꯁꯦꯂꯥ ꯁꯤꯟꯗ꯭ꯔꯣꯝ (ESS) ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯒꯤ ꯑꯥꯎꯠꯂꯨꯛ ꯑꯁꯤ ꯃꯍꯧꯁꯥꯅꯥ ꯑꯐꯕꯥ ꯑꯣꯏ꯫ ꯍꯣꯔꯃꯣꯅꯒꯤ ꯏꯃꯕꯦꯂꯦꯟꯁ ꯂꯥꯌꯦꯡꯅꯕꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ ꯂꯩ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯏ.ꯑꯦꯁ.ꯑꯦꯁ.ꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯍꯣꯔꯃꯣꯅꯒꯤ ꯏꯃꯕꯦꯂꯦꯟꯁ ꯂꯩꯔꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯄꯨꯟꯁꯤ ꯆꯨꯞꯄꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛ ꯂꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯏ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯏꯝꯄꯇꯤ ꯁꯦꯜ ꯁꯤꯟꯗ꯭ꯔꯣꯝ ꯂꯩꯔꯕꯗꯤ ꯅꯍꯥꯛꯅꯥ ꯀꯗꯥꯏꯗꯥ ꯗꯣꯛꯇꯔꯒꯥ ꯇꯥꯟꯅꯒꯗꯒꯦ?

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯦꯝꯞꯂꯤ ꯁꯦꯂꯥ ꯁꯤꯟꯗ꯭ꯔꯣꯝ (ESS) ꯂꯩꯔꯦ ꯍꯥꯌꯅꯥ ꯈꯪꯂꯕꯗꯤ, ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯅꯥ ꯑꯅꯧꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯂꯥꯀꯄꯥ ꯇꯥꯔꯕꯗꯤ ꯅꯠꯠꯔꯒꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯧꯖꯤꯛ ꯂꯩꯔꯤꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯗꯨ ꯍꯦꯟꯅꯥ ꯐꯠꯆꯤꯜꯂꯛꯂꯕꯗꯤ, ꯈꯨꯗꯛꯇꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯇꯥꯟꯅꯧ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯏꯝꯄꯦꯇꯤ ꯁ꯭ꯇꯣꯃꯥꯛ ꯁꯤꯟꯗꯣꯃꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯍꯣꯔꯃꯣꯅꯒꯤ ꯏꯃꯕꯦꯂꯦꯟꯁꯀꯤ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛ ꯂꯧꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ ꯑꯗꯨ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯊꯕꯛ ꯇꯧꯔꯤꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯁꯣꯌꯗꯅꯥ ꯈꯪꯗꯣꯛꯅꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯌꯦꯡꯁꯤꯅꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫

ꯑꯗꯨꯅꯥ, ꯃꯁꯤꯗꯒꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯀꯔꯤ ꯅꯤꯡꯁꯤꯡꯒꯗꯒꯦ?

ꯋꯥꯐꯝ ꯑꯁꯤ, ꯑꯦꯝꯞꯂꯤ ꯁꯦꯂꯥ ꯁꯤꯟꯗꯣꯝ (ESS) ꯑꯁꯤ ꯇꯁꯦꯡꯅꯥ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯊꯣꯀꯄꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯕ꯭ꯔꯦꯟ ꯁ꯭ꯀꯦꯟ ꯑꯃꯗꯥ ꯅꯍꯥꯛꯀꯤ ‘ꯏꯝꯄꯇꯤ ꯁꯦꯜ’ ꯀꯧꯕꯥ ꯄꯣꯠꯁꯛ ꯑꯃꯥ ꯂꯩ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯀꯃꯟ ꯑꯣꯏ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯗꯣꯛꯇꯔ ꯑꯃꯅꯥ ꯍꯥꯌꯔꯀꯄꯗꯒꯤ ꯈꯖꯤꯛꯇꯪ ꯂꯥꯡꯇꯛꯅꯒꯅꯨ꯫ ꯑꯌꯥꯝꯕꯥ ꯃꯇꯃꯗꯥ, ‘ꯏꯝꯄꯇꯤ ꯁꯦꯜ’ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯗꯥ ꯂꯥꯏꯑꯣꯡ ꯑꯃꯠꯇꯥ ꯎꯕꯥ ꯐꯪꯗꯦ ꯑꯃꯁꯨꯡ ꯏꯝꯄꯇꯤ ꯁꯦꯂꯥ ꯁꯤꯟꯗ꯭ꯔꯣꯝ ꯂꯥꯀꯄꯥ ꯉꯃꯗꯦ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯁ꯭ꯀꯦꯟ ꯔꯤꯄꯣꯔꯇꯀꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯍꯪ ꯑꯃꯠꯇꯥ ꯍꯪꯂꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯍꯪꯕꯗꯥ ꯂꯥꯡꯇꯛꯅꯒꯅꯨ꯫ ꯃꯈꯣꯌꯅꯥ ꯑꯗꯣꯃꯒꯤ ꯃꯇꯦꯡ ꯄꯥꯡꯅꯕꯥ ꯂꯩꯔꯤ꯫ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯁꯦꯜ ꯌꯦꯡꯁꯤꯅꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯅꯤ꯫

ꯅꯍꯥꯛꯀꯤ ꯄꯤꯇꯨꯏꯇꯔꯤ ꯒ꯭ꯜꯌꯥꯟꯗ ꯑꯗꯨ "ꯏꯝꯄꯣꯔꯠ" ꯑꯣꯏꯕ꯭ꯔꯥ? ꯑꯦꯝꯞꯂꯤ ꯁꯦꯂꯥ ꯁꯤꯟꯗꯣꯝ (ꯏ.ꯑꯦꯁ.ꯑꯦꯁ.)ꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯈꯉꯂꯁꯤ!