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á€’á€«á€Ÿá€Źá€á€°á€Šá€źá€á€Čá€·á€Ąá€›á€Źá€Ąá€Źá€žá€œá€Żá€¶á€žá€€á€­á€Żá€›á€œá€’á€șမျဏသကို: သငá€șရုံဥိပá€șမရနိုငá€șပါ။ ဒါပေမá€Č့ဥိပá€șမပျေဏá€șáá€Ąá€á€Œá€±á€á€¶á€Ąá€€á€Œá€±á€Źá€„á€șá€žá€á€›á€Źá€žá€™á€»á€Źá€žá€™á€»á€­á€Żá€žá€…á€Żá€¶á€–á€Œá€…á€șကဌသညá€șကို၎ငá€șှ, á€•á€Œá€Żá€œá€Żá€•á€ș, á€‡á€źá€á€†á€±á€žá€•á€Šá€Źá€†á€­á€Żá€„á€șá€›á€Źá€”á€Ÿá€„á€ș့စိတá€șပိုငá€șှဆိုငá€șá€›á€Źá€•á€Œá€żá€”á€Źá€™á€»á€Źá€žá€€á€­á€Żá€á€…á€șá€„á€źá€žá€›á€±á€Źá€”á€Ÿá€±á€Źá€–á€Œá€…á€șစေခဌငá€șသငဟါ, မိုကá€șကယá€ș Perlis, Pennsylvania ပဌညá€șနယá€șတကá€čကသိုလá€șá€™á€Ÿá€Źá€Ąá€•á€Œá€Żá€Ąá€™á€°á€Ąá€­á€•á€șစကá€șခဌငá€șသဆေသပညဏဥစဟဥစဉá€ș၏ညလဟနá€șá€€á€Œá€Źá€žá€›á€±á€žá€™á€Ÿá€°á€žá€€á€›á€Ÿá€„á€șသပဌသညá€ș။ အိပá€șမပျေဏá€șá€žá€„á€»á€žá€Šá€»á€•á€Œá€żá€”á€Źá€™á€»á€Źá€žá€Ąá€­á€•á€șပျေဏá€șနေသေဏဥခါညဉ့á€șá€›á€Ÿá€­á€žá€°á€™á€»á€Źá€žá€€á€Œá€­á€™á€șဥပေါá€șá€Ąá€á€Œá€±á€á€¶á€•á€Œá€źá€žá€Ąá€™á€»á€Źá€žá€Ąá€•á€Œá€Źá€žá€€á€»á€šá€șပဌနá€ș့ဥမျိုသဥစဏသသို့ကျရေဏကá€ș, á€€á€€á€­á€Żá€€á€Œá€­á€Żá€á€„á€șခနá€ș့မဟနá€șá€žá€Ąá€…á€•á€»á€­á€Żá€žá€á€Œá€„á€șသနဟငá€ș့ဥတူ align လေ့ရဟိပါတယá€ș။ "လကá€șမ၏တစá€șá€„á€źá€žá€€á€šá€±á€˜á€Żá€šá€»á€…á€Šá€șသမျဉá€șှကိုသငá€șညငá€ș့ရá€Č့ start á€™á€Ÿá€Źá€Ąá€­á€•á€șပျေဏá€șဖို့ရုနá€șှကနá€șနေလျဟငá€ș, ထိုစိုှရိမá€șပူပနá€șá€™á€Ÿá€Żá€žá€­á€Żá€·á€™á€Ÿá€Żá€á€șစိတá€șá€–á€­á€…á€źá€žá€˜á€á€–á€Œá€…á€șရပá€șá€™á€»á€Źá€žá€€á€Œá€±á€Źá€„á€ș့ယá€șဖဌစá€șပါတယá€ș" ဟု Perlis á€€á€•á€Œá€±á€Źá€•á€«á€á€šá€ș။ ပတá€șဝနá€șသကျငá€șထိနá€șှသိမá€șသရေသတစá€șá€„á€źá€žá€œá€Šá€șှ-တေဏကá€șပတá€Č့ဥခနá€șှနá€Č့တူကိစá€čစရပá€șမျဏသကို-, á€’á€«á€™á€Ÿá€™á€Ÿá€Żá€á€șအိပá€șပျေဏá€șရနá€șသငá€ș့စလမá€șှရညá€șနဟငá€ș့ဥတူ device ကိုဖနá€șá€žá€Źá€žá€•á€Œá€„á€ș-နိုငá€șပါတယá€șလညá€șá€žá€›á€Ÿá€Żá€•á€șá€‘á€œá€±á€žá€™á€Ÿá€Źá€…á€­á€Żá€€á€șကဌညá€ș့။ á€Ąá€á€Œá€Źá€žá€á€…á€șဖကá€șတလငá€ș, Perlis စိတá€șကျရေဏဂါ "á€”á€Ÿá€±á€Źá€„á€șှပိုငá€șသတလငá€șအိပá€șမပျေဏá€ș" နá€Čá€·á€’á€«á€”á€Ÿá€±á€Źá€„á€șှပိုငá€șသကညဉ့á€șáŒá€žá€„á€»á€”á€±á€·á€Ąá€˜á€­á€Żá€·á€…á€±á€Źá€…á€±á€Źá€‘á€›á€”á€șအတငá€șသဥကျပá€șခိုငá€șá€žá€…á€±á€”á€±á€á€Źá€€á€Œá€±á€Źá€„á€ș့ဥိပá€șပျေဏá€șá€›á€Źá€™á€Ÿá€žá€„á€»á€žá€Šá€» wrests á€€á€Œá€±á€Źá€„á€șá€žá€–á€œá€™á€»á€­á€Żá€žá€”á€Ÿá€„á€ș့ဆကá€șစပá€șနေသညá€șဟုဆိုသညá€ș။
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gastroesophageal reflux ရေဏဂါ, á€’á€«á€™á€Ÿá€™á€Ÿá€Żá€á€ș GERD နဟငá€ș့ဥိပá€șပျေဏá€șစဉá€șအသကá€șရဟူကျပá€ș: ကသငျသညျဥိပá€șပျေဏá€șငá€șá€·á€•á€Œá€źá€žá€”á€±á€Źá€€á€șနာရြအနညá€șှငယá€șသငá€ș၏မျကá€șစိပလင့á€șလငá€șသတလနá€șသဥဏသပေသရဏ "အလယá€șတနá€șှအိပá€șမပျေဏá€ș," á€™á€Ÿá€€á€Œá€œá€œá€Źá€žá€±á€Źá€Ąá€á€«, Perlis နဟစá€șá€á€Żá€˜á€Żá€¶á€†á€±á€žá€˜á€€á€șဆိုငá€șá€›á€Źá€Ąá€á€Œá€±á€Ąá€”á€±á€™á€»á€Źá€žá€™á€€á€Œá€Źá€á€á€Ąá€•á€Œá€…á€șတငá€șá€–á€­á€Żá€·á€•á€Œá€±á€Źá€•á€«á€á€šá€ș။ "သငá€șအသကá€șá€›á€Ÿá€Żá€›á€•á€șတနá€șá€·á€•á€«á€˜á€°á€žá€˜á€Źá€–á€Œá€…á€șá€œá€­á€Żá€·á€œá€Čဆိုတေဏ့ဥိပá€șပျေဏá€șစဉá€șအသကá€șရဟူကျပá€șá€Ąá€™á€Ÿá€ŻáŒ, သငá€șá€”á€Ÿá€­á€Żá€žá€•á€«" á€Ÿá€Żá€žá€°á€€á€›á€Ÿá€„á€șသပဌသညá€ș။ "အစာအိမá€șအကá€șဆစá€șသငá€ș့ရá€Čá€·á€Ąá€…á€Źá€•á€Œá€œá€”á€șá€€á€­á€Żá€™á€źá€žá€›á€Ÿá€­á€Żá€·á€€á€Œá€±á€Źá€„á€·á€ș GERD နဟင့á€șအတူ, á€žá€„á€»á€žá€Šá€»á€”á€Ÿá€­á€Żá€žá‹ " ဥမျဏသဆုံသဥစိတá€șအပိုငá€șá€žá€Ąá€á€œá€€á€șသူတို့ကိုသငá€șမဟတá€șá€™á€­á€–á€­á€Żá€·á€œá€Żá€¶á€œá€±á€Źá€€á€șတá€Č့ရဟညá€șá€œá€»á€Źá€žá€”á€­á€Żá€žá€™á€Ÿá€Żá€á€șá€•á€«á€˜á€°á€žá€žá€±á€Źá€șလညá€șသတေဏငá€șမဟကျနá€șသမဏရေသပဏ, ညဉ့á€șနေစဉá€șá€Ąá€á€œá€„á€șá€žá€Ąá€€á€Œá€­á€™á€șအနညá€șှငယá€șနိုှ, Perlis á€€á€•á€Œá€±á€Źá€•á€«á€á€šá€ș။ သငá€șတို့မူကဏသတစá€șငဟသဥချိနá€ș-တစá€șငဟသဥိပá€șပျေဏá€șစဉá€șအသကá€șရဟူကျပá€șတူသေဏနေဏကá€șခံဆေသဘကá€șဆိုငá€șá€›á€Źá€•á€Œá€żá€”á€Źá€™á€Ÿá€Źá€•á€Čမိနစá€șအနညá€șှငယá€șá€Ąá€˜á€­á€Żá€·á€Šá€‰á€·á€ș-á€™á€»á€Źá€žá€žá€±á€Źá€Ąá€Źá€žá€–á€Œá€„á€ș့တစá€șá€œá€»á€Ÿá€±á€Źá€€á€șá€œá€Żá€¶á€žá€á€±á€á€čá€á€”á€Ÿá€­á€Żá€žá€‘á€™á€Ÿá€á€șမိနိုငá€șမယá€șဆိုရငá€șဖလယá€șá€›á€Ÿá€­á€•á€Œá€żá€”á€Źá€–á€Œá€…á€șတယá€ș, á€žá€„á€»á€žá€Šá€»á€†á€›á€Źá€á€”á€șတစá€șá€„á€źá€žá€€á€­á€Żá€á€œá€±á€·á€™á€Œá€„á€șသငျ့သညျ။ TIME á€€á€€á€”á€»á€Œá€žá€™á€Źá€›á€±á€žá€žá€á€„á€șá€žá€œá€œá€Ÿá€Ź နေဏကá€șဆုံသပေါá€șကျနá€șá€žá€™á€Źá€›á€±á€žá€”á€Ÿá€„á€ș့သိပá€čပံသတငá€șှ Get ပေါငá€șှ: á€™á€źá€žá€œá€±á€Źá€„á€șá€›á€Źá€™á€±á€žá€á€œá€”á€șá€žá€™á€»á€Źá€žá€”á€Ÿá€„á€·á€șကျလမá€șသကျငá€șá€žá€°á€Ąá€€á€Œá€¶á€•á€±á€žá€á€»á€€á€șမျဏသ။ ကဌညá€ș့ရနá€șနမူနာ ယခုဝငá€șမညá€ș အသကá€șá€Ąá€›á€œá€šá€șလညá€șá€žá€•á€Œá€źá€žá€…á€­á€á€șပျကá€șအိပá€șစကá€șခဌငá€șá€žá€Ąá€á€œá€€á€șဥချကá€șတစá€șá€á€Żá€–á€Œá€…á€șနိုငá€șပါတယá€ș။ "ကျနေဏá€șá€á€­á€Żá€·á€€á€»á€œá€”á€șတေဏá€șတို့ရá€Č့ဥိပá€șပျေဏá€șခဌငá€șသထိရေဏကá€șá€™á€Ÿá€Żá€œá€»á€Ÿá€±á€Źá€€á€șá€œá€»á€±á€Źá€·á€”á€Šá€șá€žá€Ąá€Ÿá€±á€Źá€„á€șသမျဏသဥရကျနေဏá€șá€á€­á€Żá€·á€€á€­á€Żá€•á€­á€Żá€•á€Œá€źá€žá€Ąá€œá€„á€șှဇာတá€șစငá€ș-One အိပá€șပျေဏá€șခဌငá€șသရဟိသကá€Č့သို့," á€Ÿá€Żá€’á€±á€«á€€á€șတာစနá€șဒရာ Horowitz, အိပá€șစကá€șခဌငá€șသဆေသပညဏ Harvard Medical School ကရá€Čá€·á€Œá€Źá€”á€á€œá€Čနá€Č့လကá€șတလေ့နညá€șá€žá€•á€Œá€†á€›á€Źá€€á€•á€Œá€±á€Źá€•á€«á€á€šá€ș။ ပိုမိုပေါ့ပါသဥိပá€șပျေဏá€șခဌငá€șá€žá€€á€­á€Żá€•á€­á€Żá€”á€Ÿá€­á€Żá€žá€…á€±á€•á€«á€á€šá€ș။ တချို့ကဆေသ, á€Ąá€‘á€°á€žá€žá€–á€Œá€„á€ș့ beta ကို
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blockers နဟငá€șá€·á€Ąá€á€Œá€Źá€žá€”á€Ÿá€œá€Żá€¶á€ž meds ကဥသကá€șá€Ąá€›á€œá€šá€ș-related အိပá€șပျေဏá€șခဌငá€șá€žá€”á€Ÿá€±á€Źá€„á€șá€·á€Ąá€šá€Ÿá€€á€șပိုဆိုသစေနိုငá€șသညá€ș, သူကထပá€șá€•á€Œá€±á€Źá€žá€Šá€ș။ tossing နဟငá€ș့လဟညá€șá€·á€Ąá€˜á€­á€Żá€·á€™á€»á€Źá€žá€…á€œá€Źá€žá€±á€Źá€Ąá€á€Œá€Źá€žá€›á€Ÿá€„á€șှလငá€șသချကá€șရဟိပါတယá€ș။ အခနá€șှရá€Č့ဥပူချိနá€șá€€á€”á€±á€Ąá€œá€Żá€•á€șá€œá€Żá€¶á€á€Œá€Żá€¶á€›á€±á€žá€”á€Ÿá€„á€ș့ပတá€șသကá€șá€•á€Œá€źá€žá€…á€­á€Żá€žá€›á€­á€™á€șပူပနá€șá€™á€Ÿá€Żá€™á€»á€Źá€žá€™á€Ÿá€Ąá€›á€Źá€Ąá€Źá€žá€œá€Żá€¶á€žá€€á€­á€Żá€„á€­á€Żá€€á€șá€”á€Ÿá€±á€Źá€„á€·á€șá€Ąá€šá€Ÿá€€á€șပေသနိုငá€șသညá€ș။ သငá€șတို့မူကဏသဥစဉá€șá€Ąá€™á€Œá€Čá€–á€Œá€±á€Źá€„á€·á€șမတá€ș 3 a.m. -á€žá€­á€Żá€·á€™á€Ÿá€Żá€á€șသငá€șအိတá€ș-အရကá€șá€Ąá€•á€Œá€…á€șတငá€șá€–á€­á€Żá€·á€–á€Œá€…á€șကေဏငá€șသဖဌစá€șပါတယá€ș hit ငá€șá€·á€•á€Œá€źá€žá€”á€±á€Źá€€á€șá€Ąá€á€»á€­á€Żá€·á€žá€±á€Źá€€á€Œá€­á€Żá€á€„á€șခနá€ș့မဟနá€șá€žá€€á€Œá€Źá€žá€€á€Źá€œá€•á€á€șလညá€șá€”á€­á€Żá€žá€œá€»á€Ÿá€„á€șမူကာှ, ဒေါကá€șတာ Damien Stevens, Kansas ပဌညá€șနယá€șဆေသရုံတကá€čကသိုလá€șá€™á€Ÿá€Ąá€­á€•á€șစကá€șခဌငá€șသနဟငá€ș့ဥဆုတá€șá€†á€±á€žá€•á€Šá€Źá€†á€›á€Źá€á€”á€șတစá€șá€„á€źá€žá€€á€•á€Œá€±á€Źá€•á€«á€á€šá€ș။ "သငá€șáá€‡á€źá€á€Œá€–á€…á€șပေါá€ș မူတညá€ș. အရကá€șနာရြအနညá€șှငယá€șá€Ąá€€á€Œá€Źá€á€œá€„á€șသငá€ș၏ system စလနá€șá€·á€á€œá€Źá€žá€œá€Źá€ž," Stevens ကရဟငá€șသပဌသညá€ș။ "အá€Čá€’á€źá€–á€Œá€…á€șပျကá€șလာတá€Č့ဥခါ, သငá€șá€”á€Ÿá€­á€Żá€žá‹ " á€’á€«á€€á€Œá€±á€Źá€„á€ș့နဟစá€șá€„á€źá€žá€…á€œá€Żá€¶á€žá€€á€°á€Šá€źá€•á€±á€žá€žá€Šá€șနဟငá€ș့ဥရညá€șá€Ąá€žá€œá€±á€žá€”á€Źá€€á€»á€„á€șသေဏတိမေဏသေ
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Roehrs, ဒကá€șá€‘á€›á€œá€­á€Żá€€á€șá€Ąá€á€œá€€á€șဟငá€șနရြ FordHospital á€™á€Ÿá€Źá€Ąá€­á€•á€șစကá€șခဌငá€șသမမဟနá€șá€žá€Żá€á€±á€žá€”áá€’á€«á€›á€­á€Żá€€á€șတာ၏အဆိုအရအရကá€șမျဏသကိုသင့á€șငိုကá€șဥပေါá€șတစá€șငဟသ "á€á€­á€›á€±á€Źá€“á€­" ဥကျိုသသကá€șရေဏကá€șá€™á€Ÿá€Żá€›á€Ÿá€­á€•á€«á€á€šá€ș။ Roehrs ရá€Č့ဥသကá€șမလေသဝမá€șသကျေဏငá€șှတာအရကá€șအိပá€șစကá€șခဌငá€șသဥပေါá€șရဟိပါတယá€șသကá€șရေဏကá€șá€™á€Ÿá€Żá€™á€»á€Źá€žá€€á€­á€Żá€Ąá€Źá€›á€Żá€¶á€…á€­á€Żá€€á€șလာခá€Č့သညá€ș။ Hisresearch သငျသညျဥရကá€șá€œá€±á€Źá€„á€șá€™á€€á€Œá€Źá€™á€źá€•á€Œá€źá€žá€”á€±á€Źá€€á€ș, bourbon ၏စပျစá€șရညá€șá€€á€­á€Żá€žá€­á€Żá€·á€™á€Ÿá€Żá€á€ș tumbler ၏ဖနá€șငိုကá€șသို့သငá€ș့ရá€Č့နလယá€șá€–á€œá€Źá€žá€™á€Œá€”á€șဆနá€șကူညဟပေသသညá€șá€€á€Œá€±á€Źá€„á€șá€žá€Ąá€€á€Œá€¶á€•á€Œá€Żá€‘á€Źá€žá€žá€Šá€ș။ "အရကá€ș induces ဥဆိုပါဥိပá€șစကá€șခဌငá€șှအိပá€șစကá€șခဌငá€șှ၏အနကá€șá€›á€Ÿá€­á€Żá€„á€șá€žá€†á€Żá€¶á€žá€Ąá€™á€»á€Źá€žá€…á€Żá€•á€œá€”á€»á€œá€Šá€»á€‘á€°á€‘á€±á€Źá€„á€»á€™á€»á€­á€Żá€žá€–á€Œá€…á€șဖို့စဉá€șá€žá€…á€Źá€žá€žá€±á€Źá€•á€Œá€„á€șှထနá€șá€žá€±á€Źá€Ąá€”á€Ÿá€±á€žá€œá€Ÿá€­á€Żá€„á€șá€žá€„á€źá€žá€”á€Ÿá€±á€Źá€€á€șá€œá€Ÿá€Żá€•á€șá€›á€Ÿá€Źá€žá€™á€Ÿá€Żá€”á€Ÿá€„á€ș့ဥတူဆကá€șစပá€șနေပါတယá€ș" ဟုသူကဆိုသညá€ș။ ဒါကနကá€șá€›á€Ÿá€­á€Żá€„á€șသသေဏဥိပá€șစကá€șခဌငá€șှသငá€ș့ရá€Č့ညငá€ș့ရá€Č့ပထမငဟသဆုံသဥစိတá€șအပိုငá€șှတစá€șခုလကá€șá€á€«á€žá€€á€Œá€źá€žá€Ąá€Żá€•á€șချယá€șလဟယá€ș။ ဒါပေမယá€ș့သငá€ș့ခနá€čဓာကိုယá€șá€–á€Œá€­á€Żá€–á€»á€€á€șá€•á€Œá€źá€žá€Ąá€œá€œá€”á€șလျငá€șမဌနá€șá€…á€œá€Źá€Ąá€›á€€á€ș metabolizes နဟငá€șá€·á€€á€€á€»á€á€¶á€‘á€Źá€žá€”á€Ÿá€„á€șá€·á€Ąá€á€°á€•á€Œá€źá€žá€†á€Żá€¶á€žá€›á€Č့တစá€șချိနá€șက, သငá€ș့ဥိပá€șပျေဏá€șခဌငá€șှ fitful ဖဌစá€șလာသညá€ș။ ဘယá€șá€žá€°á€™á€Ÿá€Ąá€á€­á€Ąá€€á€»á€Ąá€˜á€šá€șá€€á€Œá€±á€Źá€„á€ș့သိတယá€ș, Roehrs á€€á€•á€Œá€±á€Źá€•á€«á€á€šá€ș။ ဒါပေမá€Č့သူနဟငá€șá€·á€Ąá€á€Œá€Źá€žá€€á€»á€œá€™á€șသကျငá€șသူမျဏသသငá€șáá€Ąá€œá€±á€Źá€„á€șှသညá€șá€Ąá€žá€œá€±á€žáŒá€Ąá€›á€€á€șá€€á€­á€Żá€á€»á€œá€á€șလညá€șá€žá€™á€źá€žá€œá€±á€Źá€„á€șá€•á€Œá€źá€žá€žá€œá€Źá€žá€žá€Šá€șá€·á€Ąá€á€«á€”á€­á€Żá€žá€”á€­á€Żá€žá€€á€œá€Źá€žá€€á€œá€Źá€žá€–á€Œá€…á€șပေါá€șစေသညá€șá€Ÿá€Żá€„á€źá€žá€”á€Ÿá€±á€Źá€€á€șဓာတုပစá€čစညá€șှတစá€șနညá€șှနညá€șှနá€Čá€·á€”á€Ÿá€­á€Żá€žá€†á€œá€”á€±á€€á€Œá€á€šá€șထငá€șပါတယá€ș။ သငá€ș့ခနá€čဓာကိုယá€șအရကá€șá€–á€Œá€­á€Żá€–á€»á€€á€șá€žá€±á€Źá€Ąá€†á€­á€Żá€•á€«á€–á€Œá€…á€șစဉá€șá€€á€­á€Żá€Ąá€™á€»á€Źá€žá€€á€Œá€źá€žá€€á€œá€Čá€•á€Œá€Źá€žá€á€Œá€Źá€žá€”á€Źá€žá€™á€‘á€Źá€žá€˜á€°á€žá‹ á€žá€„á€»á€žá€Šá€»á€Ąá€™á€»á€Źá€žá€Ąá€Źá€žá€–á€Œá€„á€ș့တစá€șငဟသချငá€șသစဟညငá€ș့ကိုစပျစá€șရညá€șá€žá€­á€Żá€·á€™á€Ÿá€Żá€á€șá€˜á€źá€šá€Źáá€á€°á€Šá€źá€žá€±á€Źá€„á€œá€±á€•á€™á€Źá€á€€á€­á€Żá€™á€»á€­á€Żá€á€Œá€„á€șသနဟငá€ș့တစá€șချိနá€șတညá€șှတစá€șဝဟမá€șှအိပá€șá€žá€œá€Źá€žá€œá€»á€Ÿá€„á€șဒဟတေဏ့သငá€șတစá€șá€„á€źá€žá€€á€­á€Żá€€á€Œá€­á€Żá€á€„á€șခနá€ș့မဟနá€șá€žá€”á€Źá€›á€źá€™á€Ÿá€Źá€”á€­á€Żá€žá€á€Źá€•á€±á€«á€·, Roehrs á€€á€•á€Œá€±á€Źá€•á€«á€á€šá€ș။ သို့သေဏá€șတစá€șငဟသ nightcap ပျေဏá€șá€™á€œá€±á€·á€žá€±á€Źá€žá€°á€á€­á€Żá€·á€Ąá€˜á€­á€Żá€·á€€á€±á€Źá€„á€șသသေဏသတငá€șသရဟိပါတယá€ș။ အရကá€șá€Ąá€˜á€­á€Żá€·á€žá€„á€·á€șသညá€șသခံစိတá€șဥပေါá€ș မူတညá€ș. ကပငá€șဥနိမ့á€șá€žá€­á€Żá€·á€™á€Ÿá€Żá€á€șအလယá€șအလတá€șá€•á€™á€Źá€á€žá€±á€á€»á€Źá€•á€±á€«á€€á€șသငá€ș့ရá€Č့ဥိပá€șစကá€șခဌငá€șá€žá€”á€Ÿá€±á€Źá€„á€·á€șá€Ąá€šá€Ÿá€€á€șမညá€șမဟုတá€ș, Perlis á€€á€•á€Œá€±á€Źá€•á€«á€á€šá€ș။ "ဘယá€șá€œá€±á€Źá€€á€șကိုသငá€șရဟိသညá€șနိုငá€șသငá€ș့ရá€Č့ဥသကá€șá€Ąá€›á€œá€šá€șနဟငá€șá€·á€Ąá€á€Œá€Źá€žá€Ąá€™á€Ÿá€Żá€Ąá€›á€Ź, သငá€șဘယá€șá€œá€±á€Źá€€á€șá€€á€Œá€źá€žá€€á€Œá€źá€ž, သငá€ș့သေဏကá€șသုံသသမိုငá€șသပေါá€șတလငá€șမူတညá€șသညá€ș" á€Ÿá€Żá€žá€°á€€á€•á€Œá€±á€Źá€•á€«á€á€šá€ș။ "သငá€șမသေဏကá€șá€›á€”á€Ÿá€„á€»á€·á€žá€„á€»á€œá€»á€±á€Źá€·á€•á€«á€žá€žá€œá€Źá€žá€™á€Šá€șဖဌစá€șသလိုသငá€șကအိပá€șá€€á€­á€Żá€žá€œá€Źá€žá€žá€Żá€¶á€žá€™á€Ÿá€„á€«á€žá€”á€Źá€›á€źá€Ąá€€á€Œá€Źá€á€œá€„á€șá€”á€Ÿá€­á€Żá€žá€‘á€”á€±á€œá€»á€Ÿá€„á€șမူကာှ, ထိုအရကá€șကိစá€čá€…á€€á€­á€Żá€žá€±á€Źá€Ąá€œá€œá€”á€șá€€á€Œá€źá€žá€…á€œá€Źá€žá€±á€Źá€Šá€œá€Ÿá€”á€șပဌချကá€șပါပá€Č။ " အရကá€șမျဏသဥပေါá€șပဌနá€ș Cut, သငá€ș၏အိပá€șစကá€șခဌငá€șသမဟဖဌစá€șပျကá€șá€€á€­á€Żá€€á€Œá€Šá€ș့ပါ။
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darhar tuunyetae aararaarrloneko raladmyarrko: sain rone aiut maraninepar . darpaymae aiutmapyaw eat aahkyayhkan aakyaunggtararrmyarr myoehcone hpyitkyasai ko ၎inn, pyulote, jew sayypanyarsinerar nhaint hcatepinesinerar pyaဿnarmyarrko tait u rawnhaaw hpyithcay hkyinn nghaar, mitekaal Perlis, Pennsylvania pyinaal takkasolmhar aapyuaamuu aiuthcaathkyinn sayypanyar aahceaahcain eat nywhaankyarrrayymhauu k shinnpyasai . aiutmapyaw s ngya s nyya pyaဿnarmyarr aiutpyawnaysaw aahkar ny ny shisuumyarr kyaain aapaw aahkyayhkanpyee aamyarraapyarr kyaal pya ant aamyoeaahcarr shoet kyarout, i ko kyaotain hkaant mhaann aahcapyoe hkyinn nhaintaatuu align lae shipartaal . " laat meat tait u k yaybhuyya hcaee myain ko sain ny inrae start mhar aiutpyaw hphoet ronekaan nay shin, hto hcoerain puupaan mhu shoetmahote hcate hpi hcee bhaw hpyitrautmyarr kyount y hpyitpartaal" hu Perlis k pyawwpartaal . paatwaannkyinhteinsaimrayy tait u laee- toutpatae aahkaann nae tuu kihchcarautmyarrko-, darmhamahote aiutpyaw raan saint hcwmrai nhaintaatuu device ko hpaansarrpyin- ninepartaal laee shotehtway mhar hcite kyi . aahkyarrtaithpaat twin, Perlis hcatekyarawgar " nhaawinnpine twin aiutmapyaw" nae dar nhaawinnpine k ny ny s ngya nae a bhhoet hcawhcaw ht raan aatainnaakyaut hkine hcay naytar kyount aiutpyaw rar mha s ngya sanyya wrests kyaungg hpw myoe nhaint saathcaut naysaihu sosai . gastroesophageal reflux rawgar, darmhamahote GERD nhaint aiutpyaw hcain aasaatshuu kyaut: k s ngya s nyya aiutpyaw int pyeenout narre aanaeengaal saineat myethci pw ng lainn twannaarrpayyrar " aalaaltaann aiutmapyaw," mha kyaw lar sawaahkar, Perlis nhaithku bhone sayybhaat sinerar aahkyayaanaymyarr makyaarhkan aapyittain hphoet pyawwpartaal . " sain aasaatshu rautt ant parbhuu bharhpyitlhoetlellsotot aiutpyaw hcain aasaatshuu kyaut a mhu , sain nhaoe par" hu suu k shinnpyasai . " aahcaraain aaatsait saint rae a hcar pyawan ko meeshhoetkyawwng GERD nhang aatuu, s ngya s nyya nhaoe . " aamyarrsone aahcateaapine aatwat suuthoetko sain mhaatmi hphoet lonelouttae shilyarr noe mahoteparbhuu sawlaee taungmha kyannmarrayy par, ny ny nay hcainaatwin aakyaain aanaeengaal noe, Perlis k pyawwpartaal . sainthoet muu karr tait u aahkyane- tait u aiutpyaw hcain aasaatshuu kyaut tuusaw nouthkan sayybhaat sinerar pyaဿnarmhar pell minait aanaeengaal a bhhoet ny ny - myarrsaw aarr hpyint tait shoutlone hkaytt nhaoe ht mhaatmi nine maalsorain hpwalshi pyaဿnar hpyittaal, s ngya s nyya sararwaan tait u ko twaemyin sangya s nyya . TIME k k nyaya mar rayysatainnlwhar noutsonepaw kyannmarrayy nhaint sippansatainn Get paungg: meelaungrar mayyhkwannmyarr nhang kyawmkyinsuu aakyaanpayyhkyetmyarr . kyiraannamuunar yahkuwainmai aasaataarwal laee pyee hcatepyet aiuthcaathkyinn aatwat aahkyet taithku hpyitninepartaal . " kyanawthoet kyawantawthoetrae aiutpyawhkyinn htiroutmhu shout lyawwnaee aahaunggmyarr a r kyanawthoet ko popyee aalainn jarathcain-One aiutpyawhkyinn shi sakaeshoet," hu douttar hcaan darar Horowitz, aiuthcaathkyinnsayypanyar Harvard Medical School k rae htarnahkwal nae laattwae naeepya sarar k pyawwpartaal . pomo potparr aiutpyawhkyinn ko po nhaoe hcaypartaal . tahkyahoetk sayy, aahtuu sahpyint beta ko blockers nhaint aahkyarrnhalone meds i aasaataarwal-related aiutpyawhkyinn nhaaw int aayhaat posoe hcay ninesai, suu k htaut pyawwsai . tossing nhaint lha eet a bhhoet myarrhcwarsaw aahkyarr shinnlainnhkyet shipartaal . aahkaann rae aapuuhkyane k nay aalote lonehkyuanrayy nhaint paatsaatpyee hcoerain puupaan mhumyarr mha aararaarrloneko ngite nhaaw ng aayhaat payynine sai . sainthoet muu karr a hcain aamyaell hpyaww ng maat 3 a.m. - shoetmahote sain aate- a raat aapyittain hphoet hpyitkaungghpyitpartaal hit int pyeenout aahkyahoetsaw kyaotain hkaant mhaann kyarrkarl paatlai noe shin muu karr, douttar Damien Stevens, Kansas pyinaal sayyrone takkasolmha aiuthcaathkyinn nhaint aasote sayypanyar sararwaan tait u k pyawwpartaal . " saineat je wya hpaitpaw muutai. a raat narre aanaeengaal aakyaartwinsaineat system hcw ant hkwar swarr," Stevens k shinnpyasai . " aellde hpyitpyet lar taeaahkar, sain nhaoe . " dar kyount nhait u hc lone kuunye payysai nhaint aaraiaasway narkyin saw ti mawsay Roehrs, daat ht rwite aatwathainnare FordHospital mhar aiuthcaathkyinn mamhaan sutaysan eat darritetar eat aasoaar a raatmyarr ko sang ngite aapaw tait u " wirawdhi" aakyoesaatroutmhu shipartaal . Roehrs rae aasaatmwaywamkyaungg tar a raat aiuthcaathkyinn aapaw shipartaal saatroutmhu myarrko aarronehcite larhkaesai . Hisresearch s ngya s nyya a raat laung makyaarme pyeenout, bourbon eat hc pyit rai koshoetmahote tumbler eat hpaan ngite shoet saint rae nwal hpwarr myansaan kuunye payysai kyaungg aakyaanpyu htarrsai . " aaraat induces aasopar aiuthcaathkyinn aiuthcaathkyinn eat aanaatshinesone aamyarrhcu pwnyalanyya htuu htaw ngya myoe hpyithphoet hcain hcarr saw pyinnhtaansaw a nhaayy lhaine u nhaout lhuutsharrmhu nhaint aatuu saathcaut naypartaal" hu suu k sosai . dark naat shine saw aiuthcaathkyinn saint rae ny in rae pahtam u sone aahcateaapine taithku laatwarrkyeeaote hkyaal lhaal . darpaymaae saint hkandharko hpyaohpyet pyee aalwan lyinmyanhcwar aaraat metabolizes nhaint k kya hkanhtarr nhaint aatuu pyeesone rae taithkyanek, saintaiutpyawhkyinn fitful hpyitlarsai . bhaalsuumha aatiaakya a bhaal kyount sitaal, Roehrs k pyawwpartaal . darpaymae suu nhaint aahkyarr kyawmkyinsuumyarr saineat aalaungg sai aasway a raat ko hkyawat laee meelaungpyee swarr saeet aahkar noenoe kwarr kwarr hpyitpaw hcay saihu u nhaout dhartupahchcaee tait naeenaeenae nhaoe sw naykyataal htainpartaal . saint hkandharko a raat hpyaohpyet saw aasopar hpyithcain ko aamyarrkyee kwalpyarr hkyarrnarr m htarr bhuu . s ngya s nyya a myarraarr hpyint tait u hkyinn hce ny in ko hc pyit rai shoetmahote bheyar eat tuunyesaw ngwaypamarn ko myao hkyinn nhaint taithkyanetaee tait wham aiut swarr shin detot sain tait u ko kyaotain hkaant mhaann narremhar noe tarpot, Roehrs k pyawwpartaal . shoetsaw tait u nightcap pyaw mwae saw suuthoet a bhhoet kaunggsaw satainn shipartaal . a raat a bhhoet sang saeehkanhcateaapaw muutai. k pain a ni m shoetmahote aalaalaalaat pamarn sayhkyaarpout saint rae aiuthcaathkyinn nhaaw ng aayhaat mai mahote, Perlis k pyawwpartaal . " bhaallout ko sain shisai nine saint rae aasaataarwal nhaint aahkyarr a mhu a rar, sain bhaalloutkyeekyee, saint soutsone samine pawtwin muutai sai" hu suu k pyawwpartaal . " sain m sout r nhangya s ngya lyawwparr swarrmai hpyitsalo sain k aiut ko swarr sone mha ngarrnarre aakyaartwin nhaoe ht nay shin muu karr, hto a raat kihchcako saw aalwan kyeehcwarsaw nywhaan pyahkyet parpell . " a raat myarraapawpyan Cut, saineat aiuthcaathkyinn mha hpyitpyet ko kyi par

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