ꯑꯣꯍ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯃꯔꯨꯑꯣꯏꯅꯥ ꯅꯧꯅꯥ ꯄꯣꯀꯄꯥ ꯑꯉꯥꯡꯁꯤꯡꯗꯥ ꯍꯀꯆꯥꯡ ꯑꯁꯤ ꯌꯦꯔꯨꯝ ꯑꯣꯏꯅꯥ ꯎꯕꯥ ꯐꯪꯂꯕ꯭ꯔꯥ? ꯅꯠꯔꯒꯥ ꯗꯣꯛꯇꯔ ꯑꯃꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯅꯠꯠꯔꯒꯥ ꯅꯍꯥꯛꯅꯥ ꯈꯉꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯗꯥ `(ꯕꯤꯂꯤꯔꯨꯕꯤꯟ)` ꯇꯦꯁ꯭ꯠ ꯇꯧꯅꯕꯥ ꯍꯥꯌꯕꯤꯔꯝꯂꯕꯔꯥ? ꯕꯤꯂꯤꯔꯨꯕꯤꯟ ꯍꯥꯌꯕꯥ ꯋꯥꯍꯩ ꯑꯁꯤ ꯇꯥꯕꯗꯥ ꯈꯔꯥ ꯋꯥꯈꯜ ꯇꯥꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯅꯣꯔꯃꯦꯂꯅꯤ꯫ ꯑꯗꯨꯕꯨ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯂꯩꯔꯣꯏꯗꯕꯅꯤ! ꯉꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ, ꯑꯗꯣꯝꯅꯥ ꯈꯉꯕꯤꯕꯥ ꯌꯥꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯒꯅꯤ꯫
ꯕꯤꯂꯤꯔꯨꯕꯤꯟ ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ? ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯂꯧꯁꯤꯅꯁꯤ!
ꯈꯟꯊꯕꯤꯌꯨ, ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯂꯩꯔꯤꯕꯥ ꯔꯦꯗ ꯕ꯭ꯂꯗ ꯁꯦꯂꯁꯤꯡ (ꯕ꯭ꯂꯗ ꯁꯦꯂꯁꯤꯡꯁꯨ ꯀꯧꯏ) ꯑꯁꯤ ꯂꯦꯞꯇꯅꯥ ꯍꯣꯡꯂꯛꯂꯤ꯫ ꯑꯔꯤꯕꯥ ꯔꯦꯗ ꯕ꯭ꯂꯗ ꯁꯦꯂꯁꯤꯡꯅꯥ ꯁꯣꯀꯍꯜꯂꯕꯥ ꯃꯇꯃꯗꯥ ꯃꯈꯣꯌꯅꯥ ꯕꯤꯂꯤꯔꯨꯕꯤꯟ ꯀꯧꯕꯥ ꯌꯦꯜꯂꯣꯝ ꯄꯣꯠꯁꯛ ꯑꯃꯥ ꯄꯨꯊꯣꯀꯏ꯫ ꯑꯔꯤꯕꯥ ꯄꯣꯠꯂꯃꯁꯤꯡꯗꯒꯤ ꯂꯥꯄꯊꯣꯛꯂꯕꯥ ꯃꯇꯃꯗꯥ ꯂꯦꯃꯍꯧꯔꯤꯕꯥ ꯑꯗꯨꯒꯥ ꯃꯥꯟꯅꯩ꯫
ꯍꯧꯖꯤꯛ ꯃꯁꯤꯒꯤ ꯕꯤꯂꯤꯔꯨꯕꯤꯟ ꯑꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯏꯗꯥ ꯆꯠꯂꯤ ꯑꯃꯁꯨꯡ ꯂꯤꯚꯔꯗꯥ ꯆꯠꯂꯤ꯫ ꯂꯤꯚꯔ ꯑꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯐꯦꯛꯇꯔꯤ ꯑꯃꯒꯨꯝꯅꯥ, ꯑꯄꯥꯝꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ ꯁꯦꯡꯗꯣꯀꯏ꯫ ꯂꯤꯚꯔꯅꯥ ꯕꯤꯂꯤꯔꯨꯕꯤꯟ ꯑꯁꯤ ꯈꯣꯃꯖꯤꯟꯗꯨꯅꯥ ꯑꯇꯩ ꯑꯃꯣꯠꯄꯥ ꯄꯣꯠꯁꯀꯁꯤꯡꯒꯥ ꯄꯨꯅꯁꯤꯟꯗꯨꯅꯥ "ꯕꯥꯏꯜ" ꯀꯧꯕꯥ ꯂꯤꯛꯌꯨꯏꯗ ꯑꯃꯥ ꯁꯦꯝꯃꯤ꯫ ꯑꯗꯣꯝꯅꯥ ꯈꯉꯕꯤꯔꯤꯕꯥ ꯑꯗꯨꯅꯤ, ꯃꯁꯤꯒꯤ ꯕꯤꯂꯤꯔꯨꯕꯤꯟ ꯑꯁꯤꯅꯥ ꯕꯥꯏꯂꯗꯥ ꯃꯁꯥꯒꯤ ꯌꯦꯜꯂꯣ ꯃꯆꯨ ꯄꯤꯔꯤ꯫ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯃꯁꯤꯒꯤ ꯕꯥꯏꯜ ꯑꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯏꯟꯇꯦꯁ꯭ꯇꯥꯏꯅꯁꯤꯡꯗꯥ ꯑꯃꯁꯨꯡ ꯍꯀꯆꯥꯡꯗꯒꯤ ꯂꯥꯞꯅꯥ ꯆꯠꯂꯤ꯫ ꯍꯣꯌ, ꯃꯁꯤꯒꯤ ꯕꯤꯂꯤꯔꯨꯕꯤꯟ ꯑꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯁ꯭ꯇꯣꯂꯗꯥ ꯃꯆꯨ ꯄꯤꯕꯒꯤ ꯑꯆꯧꯕꯥ ꯁꯔꯨꯛ ꯑꯃꯅꯤ꯫
ꯑꯗꯨꯅꯥ, ꯕꯤꯂꯤꯔꯨꯕꯤꯟ ꯕ꯭ꯂꯗ ꯇꯦꯁ꯭ꯠ ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ?
ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯏꯆꯝ ꯆꯝꯕꯥ ꯋꯥꯐꯝꯅꯤ꯫ ꯗꯣꯛꯇꯔ ꯑꯃꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯨꯠꯁꯥꯗꯥ ꯂꯩꯕꯥ ꯚꯦꯅꯝ ꯑꯃꯗꯒꯤ ꯏꯒꯤ ꯑꯄꯤꯀꯄꯥ ꯁꯦꯝꯄꯜ ꯑꯃꯥ ꯂꯧꯗꯨꯅꯥ ꯇꯦꯁ꯭ꯠ ꯇꯧꯅꯕꯥ ꯂꯦꯕ ꯑꯃꯗꯥ ꯊꯥꯏ꯫ ꯂꯦꯕ ꯑꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯏꯗꯥ ꯕꯤꯂꯤꯔꯨꯕꯤꯟ ꯀꯌꯥꯝ ꯌꯥꯎꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯁꯤꯜꯂꯤ꯫ ꯃꯈꯣꯌꯅꯥ ꯂꯦꯚꯦꯜ ꯑꯗꯨ ꯅꯣꯔꯃꯦꯜ ꯔꯦꯟꯖꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯂꯩꯕ꯭ꯔꯥ, ꯅꯠꯠꯔꯒꯥ ꯌꯥꯝꯅꯥ ꯋꯥꯡꯏ ꯅꯠꯠꯔꯒꯥ ꯌꯥꯝꯅꯥ ꯅꯦꯝꯂꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯕꯤꯂꯤꯔꯨꯕꯤꯅꯒꯤ ꯆꯥꯡ ꯑꯁꯤ ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯔꯕꯗꯤ, ꯃꯁꯤꯅꯥ ꯇꯥꯀꯄꯗꯤ ꯊꯧꯑꯣꯡ ꯑꯗꯨꯒꯤ ꯃꯐꯝ ꯑꯃꯗꯥ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯑꯃꯥ ꯂꯩꯕꯥ ꯌꯥꯏ, ꯃꯗꯨ ꯑꯔꯤꯕꯥ ꯔꯦꯗ ꯕ꯭ꯂꯗ ꯁꯦꯂꯁꯤꯡ ꯑꯗꯨ ꯁꯣꯀꯄꯗꯒꯤ ꯍꯧꯗꯨꯅꯥ ꯕꯤꯂꯤꯔꯨꯕꯤꯟ ꯑꯗꯨ ꯍꯀꯆꯥꯡꯗꯒꯤ ꯂꯧꯊꯣꯀꯄꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯂꯣꯌꯁꯤꯜꯂꯤ꯫
ꯏꯗꯥ ꯕꯤꯂꯤꯔꯨꯕꯤꯅꯒꯤ ꯆꯥꯡ ꯑꯁꯤꯅꯥ ꯑꯩꯈꯣꯌꯗꯥ ꯀꯔꯤ ꯍꯥꯌꯔꯤꯕꯒꯦ?
ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯑꯌꯥꯝꯕꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯂꯤꯚꯔꯒꯤ ꯍꯀꯁꯦꯜ ꯌꯦꯡꯁꯤꯟꯅꯕꯥ ꯕꯤꯂꯤꯔꯨꯕꯤꯟ ꯇꯦꯁ꯭ꯠ ꯑꯁꯤ ꯇꯧꯏ . ꯃꯁꯤ ꯂꯤꯚꯔ ꯐꯉ꯭ꯀꯁꯟ ꯇꯦꯁ꯭ꯠ ꯀꯌꯥꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯈꯛꯇꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯚꯦꯜꯌꯨꯁꯤꯡ ꯑꯁꯤ ꯋꯥꯡꯈꯠꯂꯕꯗꯤ ꯅꯠꯠꯔꯒꯥ ꯅꯦꯝꯂꯕꯗꯤ, ꯃꯁꯤꯅꯥ ꯂꯤꯚꯔ ꯑꯁꯤ ꯃꯈꯜ ꯑꯃꯒꯤ ꯁ꯭ꯠꯔꯦꯁꯀꯤ ꯃꯈꯥꯗꯥ ꯂꯩ ꯍꯥꯌꯕꯥ ꯇꯥꯀꯄꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯑꯦꯕꯅꯣꯔꯃꯦꯜ ꯕꯤꯂꯤꯔꯨꯕꯤꯅꯒꯤ ꯆꯥꯡ ꯑꯁꯤꯅꯥ ꯃꯇꯝ ꯄꯨꯝꯅꯃꯛꯇꯥ ꯂꯤꯚꯔꯗꯥ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯑꯃꯥ ꯂꯩꯔꯦ ꯍꯥꯌꯕꯥ ꯇꯥꯀꯄꯥ ꯅꯠꯇꯦ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯑꯗꯨ ꯑꯇꯣꯞꯄꯥ ꯃꯐꯝ ꯑꯃꯗꯥ ꯂꯩꯕꯥ ꯌꯥꯏ꯫
ꯀꯔꯤꯒꯤꯗꯃꯛꯇꯥ ꯕꯤꯂꯤꯔꯨꯕꯤꯅꯒꯤ ꯆꯥꯡ ꯑꯁꯤ ꯍꯦꯅꯒꯠꯂꯛꯂꯤꯕꯅꯣ? (ꯍꯥꯏꯄꯥꯔꯕꯤꯂꯤꯔꯨꯕꯤꯅꯦꯃꯤꯌꯥ) ꯑꯃꯁꯨꯡ ꯑꯦꯟ.
ꯅꯍꯥꯛꯀꯤ ꯏꯗꯥ ꯕꯤꯂꯤꯔꯨꯕꯤꯟ ꯁꯦꯃꯒꯠꯂꯀꯄꯒꯤ ꯃꯔꯝ ꯀꯌꯥ ꯂꯩꯕꯥ ꯌꯥꯏ꯫ ꯃꯈꯣꯌꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯤꯅꯣ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯁꯤ:
- ꯅꯍꯥꯛꯀꯤ ꯔꯦꯗ ꯕ꯭ꯂꯗ ꯁꯦꯂꯁꯤꯡ ꯑꯗꯨ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯁꯣꯀꯍꯜꯂꯤ: ꯕ꯭ꯂꯗ ꯗꯤꯁꯑꯣꯔꯗꯔ ꯈꯔꯗꯤ, ꯍꯥꯌꯕꯗꯤ ꯍꯦꯃꯣꯂꯥꯏꯇꯤꯛ ꯑꯦꯅꯤꯃꯤꯌꯥꯅꯥ ꯔꯦꯗ ꯕ꯭ꯂꯗ ꯁꯦꯂꯁꯤꯡ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯁꯣꯀꯍꯜꯂꯤ, ꯃꯗꯨꯅꯥ ꯕꯤꯂꯤꯔꯨꯕꯤꯟ ꯍꯦꯟꯅꯥ ꯌꯥꯎꯍꯜꯂꯤ꯫ ꯃꯁꯤ ꯐꯦꯛꯇꯔꯤ ꯑꯃꯅꯥ ꯄꯣꯠꯊꯣꯛ ꯌꯥꯝꯅꯥ ꯐꯪꯕꯒꯨꯝꯅꯥ ꯈꯅꯕꯤꯌꯨ꯫
- ꯅꯍꯥꯛꯀꯤ ꯂꯤꯚꯔꯅꯥ ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯕꯥ ꯕꯤꯂꯤꯔꯨꯕꯤꯅꯒꯤ ꯆꯥꯡ ꯑꯗꯨ ꯐꯥꯎꯕꯥ ꯀ꯭ꯂꯤꯌꯔ ꯇꯧꯕꯗꯥ ꯑꯋꯥꯕꯥ ꯃꯥꯌꯣꯛꯅꯔꯀꯄꯥ ꯌꯥꯏ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯂꯤꯚꯔ ꯑꯗꯨ ꯈꯪꯍꯧꯗꯅꯥ ꯄꯣꯠꯁꯛ ꯑꯃꯅꯥ ꯁꯣꯀꯍꯜꯂꯕꯗꯤ ꯃꯁꯤ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯅꯠꯠꯔꯒꯥ, ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯂꯤꯚꯔꯒꯤ ꯂꯥꯌꯅꯥ (`(Chronic liver disease)`)ꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯂꯤꯚꯔ ꯑꯁꯤ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯊꯕꯛ ꯇꯧꯗꯕꯥ ꯌꯥꯏ꯫
- ꯅꯍꯥꯛꯀꯤ ꯕꯤꯂꯤꯌꯔ ꯁꯤꯁ꯭ꯇꯦꯝ ꯑꯗꯨꯅꯥ ꯕꯥꯏꯜ ꯑꯗꯨ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯔꯤꯂꯤꯖ ꯇꯧꯗ꯭ꯔꯤ:ꯕꯥꯏꯜ ꯗꯛꯇꯁꯤꯡ ꯅꯠꯠꯔꯒꯥ ꯒꯥꯂꯕ꯭ꯂꯦꯗꯔꯗꯥ ꯕ꯭ꯂꯣꯀꯦꯖ ꯑꯃꯥ ꯂꯩꯔꯀꯄꯥ ꯌꯥꯏ, ꯃꯗꯨꯅꯥ ꯕꯥꯏꯜ ꯑꯗꯨ ꯏꯗꯥ ꯕꯦꯛ ꯇꯧꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤ ꯒꯥꯂꯁ꯭ꯇꯣꯟ ꯂꯩꯕꯥ ꯃꯇꯃꯗꯁꯨ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫
ꯈꯟꯗꯨꯅꯥ ꯌꯦꯡꯕꯤꯌꯨ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯏꯁꯤꯡꯒꯤ ꯇꯦꯉ꯭ꯛ ꯑꯃꯗꯥ ꯏꯁꯤꯡ ꯄꯨꯔꯀꯄꯥ ꯄꯥꯏꯞ ꯑꯗꯨ ꯆꯥꯎꯊꯣꯛꯂꯕꯗꯤ ꯑꯃꯁꯨꯡ ꯇꯦꯉ꯭ꯛ ꯑꯗꯨꯗꯒꯤ ꯏꯁꯤꯡ ꯄꯨꯔꯀꯄꯥ ꯄꯥꯏꯞ ꯑꯗꯨ ꯊꯨꯒꯥꯌꯔꯕꯗꯤ ꯇꯦꯉ꯭ꯛ ꯑꯗꯨ ꯀꯨꯄꯁꯤꯜꯂꯛꯀꯅꯤ꯫
ꯕꯤꯂꯤꯔꯨꯕꯤꯅꯒꯤ ꯆꯥꯡ ꯑꯁꯤ ꯅꯦꯝꯅꯥ ꯂꯩꯕꯥ ꯌꯥꯕ꯭ꯔꯥ? (ꯍꯥꯏꯄꯣꯕꯤꯂꯤꯔꯨꯕꯤꯅꯦꯃꯤꯌꯥ) ꯑꯃꯁꯨꯡ ꯑꯦꯟ.
ꯍꯣꯌ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯕꯤꯂꯤꯔꯨꯕꯤꯅꯒꯤ ꯆꯥꯡ ꯑꯁꯤ ꯅꯦꯝꯅꯥ ꯂꯩꯕꯥ ꯌꯥꯏ꯫ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛ ꯈꯔꯅꯥ ꯃꯁꯤ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯑꯦꯟꯇꯤꯕꯥꯏꯑꯣꯇꯤꯛ ꯈꯔꯗꯤ, ꯕꯔꯊ ꯀꯟꯠꯔꯣꯜ ꯄꯤꯂꯁꯤꯡ, ꯇꯨꯝꯕꯥ ꯌꯥꯗꯕꯒꯤ ꯍꯤꯗꯥꯀꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯁꯤꯖ꯭ꯌꯨꯔ ꯍꯤꯗꯥꯀꯁꯤꯡꯅꯥ ꯕꯤꯂꯤꯔꯨꯕꯤꯅꯒꯤ ꯆꯥꯡ ꯍꯟꯊꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯕꯤꯂꯤꯔꯨꯕꯤꯅꯒꯤ ꯆꯥꯡ ꯅꯦꯝꯕꯥ ꯑꯁꯤ ꯃꯍꯧꯁꯥꯅꯥ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯑꯃꯠꯇꯥ ꯂꯩꯇꯦ꯫
ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯕꯤꯂꯤꯔꯨꯕꯤꯟ ꯑꯁꯤ ꯇꯁꯦꯡꯅꯥ ꯀꯔꯤ ꯊꯣꯀꯏ?
ꯕꯤꯂꯤꯔꯨꯕꯤꯟ ꯑꯁꯤ ꯑꯔꯤꯕꯥ ꯔꯦꯗ ꯕ꯭ꯂꯗ ꯁꯦꯂꯁꯤꯡꯗꯒꯤ ꯂꯧꯊꯣꯀꯄꯥ ꯑꯃꯣꯠꯄꯥ ꯄꯣꯠꯁꯛ ꯑꯃꯅꯤ꯫ ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯅꯥ, ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯅꯥ ꯃꯁꯤ ꯏꯟꯇꯦꯁ꯭ꯇꯥꯏꯅꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯊꯥꯗꯣꯀꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯃꯁꯤ ꯊꯣꯀꯍꯅꯕꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯃꯁꯤꯒꯤ ꯑꯄꯤꯀꯄꯥ ꯀꯥꯟꯅꯕꯁꯤꯡ ꯈꯔꯥ ꯂꯩ ꯍꯥꯌꯕꯁꯤ ꯍꯧꯖꯤꯛ ꯈꯪꯂꯦ꯫ ꯑꯅꯧꯕꯥ ꯔꯤꯁꯔꯆ ꯑꯃꯅꯥ ꯇꯥꯛꯂꯤ ꯃꯗꯨꯗꯤ ꯕꯤꯂꯤꯔꯨꯕꯤꯅꯅꯥ ꯑꯦꯟꯇꯤꯑꯣꯛꯁꯤꯗꯦꯟꯇ ꯑꯃꯥ ꯑꯣꯏꯅꯥ ꯊꯕꯛ ꯇꯧꯏ ꯑꯃꯁꯨꯡ ꯃꯁꯤꯅꯥ ꯑꯩꯈꯣꯌꯕꯨ ꯀꯥꯔꯗꯤꯑꯣꯚꯥꯁ꯭ꯀꯨꯂꯥꯔ ꯗꯤꯖꯤꯖꯗꯒꯤ ꯉꯥꯀꯊꯣꯀꯄꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯕꯥ ꯌꯥꯏ꯫
ꯑꯗꯨꯕꯨ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯄꯣꯠꯁꯛ ꯑꯃꯒꯨꯝꯅꯥ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯋꯥꯡꯂꯕꯗꯤ, ꯃꯁꯤ ꯄꯣꯠꯁꯛ ꯑꯃꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ . ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯏꯗꯥ ꯕꯤꯂꯤꯔꯨꯕꯤꯟ ꯌꯥꯝꯅꯥ ꯌꯥꯎꯔꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯐꯥꯎꯔꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯒꯤ ꯃꯈꯥꯗꯥ ꯂꯩꯕꯥ ꯅꯔꯚꯁꯤꯡꯁꯨ ꯁ꯭ꯇꯤꯝꯌꯨꯜ ꯇꯧꯕꯥ ꯌꯥꯏ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯀꯄꯨ ꯁꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫
ꯕꯤꯂꯤꯔꯨꯕꯤꯟ ꯋꯥꯡꯕꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯤꯅꯣ?
ꯕꯤꯂꯤꯔꯨꯕꯤꯟ ꯋꯥꯡꯕꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯂꯥꯏꯑꯣꯡꯗꯤ ꯖꯟꯗꯥꯁꯅꯤ . ꯃꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯃꯤꯠꯀꯤ ꯋꯥꯏꯇꯦꯄꯁꯤꯡ ꯑꯗꯨ ꯌꯦꯔꯨꯝ ꯑꯣꯏꯔꯀꯄꯅꯤ꯫ ꯃꯁꯤ ꯑꯌꯥꯝꯕꯗꯤ ꯗꯣꯛꯇꯔ ꯑꯃꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯕꯤꯂꯤꯔꯨꯕꯤꯅꯒꯤ ꯆꯥꯡ ꯑꯗꯨ ꯆꯦꯛ ꯇꯧꯕꯥ ꯃꯇꯃꯗꯥ ꯌꯦꯡꯒꯗꯕꯥ ꯑꯍꯥꯅꯕꯥ ꯈꯨꯗꯃꯅꯤ꯫
ꯃꯁꯤꯗꯁꯨ ꯅꯠꯇꯅꯥ, ꯏꯗꯥ ꯕꯤꯂꯤꯔꯨꯕꯤꯅꯒꯤ ꯆꯥꯡ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯃꯁꯤꯅꯥ ꯌꯨꯔꯤꯅꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯄꯥꯁ ꯇꯧꯅꯕꯥ ꯍꯣꯠꯅꯩ꯫ ꯃꯁꯤꯅꯥ ꯌꯨꯔꯤꯟ ꯑꯗꯨ ꯃꯆꯨ ꯁꯪꯍꯅꯕꯥ (ꯆꯥꯒꯤ ꯃꯆꯨꯒꯨꯝꯅꯥ) ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫
ꯃꯁꯤꯗꯁꯨ ꯅꯠꯇꯅꯥ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯕꯤꯂꯤꯔꯨꯕꯤꯟ ꯑꯁꯤ ꯁ꯭ꯇꯣꯂꯗꯥ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯊꯥꯗꯣꯀꯄꯥ ꯉꯃꯗ꯭ꯔꯕꯗꯤ, ꯁ꯭ꯇꯣꯜ ꯑꯗꯨ ꯃꯌꯦꯛ ꯁꯦꯡꯅꯥ ꯃꯆꯨ ꯁꯪꯂꯕꯥ (ꯀ꯭ꯂꯦꯒꯨꯝꯅꯥ) ꯑꯣꯏꯔꯀꯄꯥ ꯌꯥꯏ꯫
ꯃꯤꯑꯣꯏ ꯈꯔꯗꯤ ꯃꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯌꯥꯝꯅꯥ ꯁꯣꯀꯄꯥ ꯐꯥꯑꯣꯕꯥ ꯌꯥꯏ .
ꯕꯤꯂꯤꯔꯨꯕꯤꯟ ꯕ꯭ꯂꯗ ꯇꯦꯁ꯭ꯠ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯇꯧꯕꯒꯦ?
ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯂꯥꯏꯕꯛ ꯐꯕꯅꯤ꯫
- ꯃꯍꯧꯁꯥꯅꯥ, ꯑꯍꯜ ꯑꯃꯒꯤ ꯑꯣꯏꯅꯗꯤ, ꯗꯣꯛꯇꯔ ꯅꯠꯠꯔꯒꯥ ꯅꯔꯁ ꯑꯃꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯨꯠꯁꯥꯗꯥ ꯂꯩꯕꯥ ꯚꯦꯅꯝ ꯑꯃꯗꯒꯤ ꯑꯄꯤꯀꯄꯥ ꯏꯒꯤ ꯁꯦꯝꯄꯜ ꯑꯃꯥ ꯂꯧꯒꯅꯤ . ꯇꯦꯁ꯭ꯠ ꯇꯧꯗ꯭ꯔꯤꯉꯩꯒꯤ ꯃꯃꯥꯡꯗꯥ ꯄꯨꯡ ꯈꯔꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯃꯠꯇꯥ ꯆꯥꯗꯅꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯊꯛꯅꯕꯥ ꯍꯥꯌꯔꯀꯄꯥ ꯌꯥꯏ꯫ ꯅꯤꯗꯜ ꯑꯗꯨ ꯏꯅꯈꯠꯂꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯂꯧꯊꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯈꯔꯥ ꯁꯣꯀꯄꯥ ꯌꯥꯏ, ꯑꯗꯨꯕꯨ ꯃꯗꯨ ꯃꯤꯅꯠ ꯈꯔꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯂꯣꯏꯁꯤꯅꯒꯅꯤ꯫ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯏꯒꯤ ꯁꯦꯝꯄꯜ ꯑꯗꯨ ꯂꯦꯕ ꯑꯃꯗꯥ ꯊꯥꯏ꯫ ꯔꯤꯄꯣꯔꯠ ꯑꯁꯤ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯂꯥꯀꯄꯗꯥ ꯃꯇꯝ ꯈꯔꯥ ꯆꯪꯏ꯫
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯧꯅꯥ ꯄꯣꯀꯄꯥ ꯑꯉꯥꯡ ꯑꯃꯅꯥ ꯖꯟꯗꯥꯁꯤꯁ ꯂꯩꯔꯕꯗꯤ , ꯗꯣꯛꯇꯔꯅꯥ ꯕꯤꯂꯤꯔꯨꯕꯤꯅꯒꯤ ꯆꯥꯡ ꯑꯗꯨ ꯌꯥꯝꯅꯥ ꯋꯥꯡꯅꯥ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯒꯅꯤ꯫ ꯖꯟꯗꯥꯁꯤꯁ ꯑꯁꯤ ꯅꯧꯅꯥ ꯄꯣꯀꯄꯥ ꯑꯉꯥꯡꯁꯤꯡꯗꯥ ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏ ꯑꯃꯁꯨꯡ ꯃꯍꯧꯁꯥꯅꯥ ꯃꯁꯤ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯑꯃꯠꯇꯥ ꯂꯩꯇꯦ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯕꯤꯂꯤꯔꯨꯕꯤꯅꯒꯤ ꯆꯥꯡ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯋꯥꯡꯂꯕꯗꯤ, ꯃꯁꯤꯅꯥ ꯑꯉꯥꯡ ꯑꯗꯨꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ꯃꯍꯧꯁꯥꯅꯥ ꯑꯉꯥꯡꯁꯤꯡꯗꯒꯤ ꯏ ꯑꯁꯤ ꯑꯄꯤꯀꯄꯥ ꯈꯣꯡꯎꯞ (heel stick) ꯑꯃꯅꯥ ꯁꯣꯀꯍꯟꯗꯨꯅꯥ ꯂꯧꯏ꯫ ꯃꯁꯤ ꯅꯧꯅꯥ ꯄꯣꯀꯄꯥ ꯑꯉꯥꯡꯁꯤꯡꯗꯥ ꯄꯥꯡꯊꯣꯀꯄꯥ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯇꯦꯁ꯭ꯠ ꯑꯃꯅꯤ꯫
ꯑꯩꯅꯥ ꯐꯪꯂꯤꯕꯥ ꯔꯤꯄꯣꯔꯠ ꯑꯗꯨꯗꯥ ꯀꯔꯤ ꯂꯩꯔꯤꯕꯒꯦ? ꯃꯁꯤꯒꯤ ꯑꯔꯊ ꯀꯔꯤꯅꯣ?
ꯅꯍꯥꯛꯅꯥ ꯐꯪꯂꯤꯕꯥ ꯇꯦꯁ꯭ꯠ ꯔꯤꯄꯣꯔꯠ ꯑꯗꯨꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯏꯗꯥ ꯂꯩꯔꯤꯕꯥ ꯕꯤꯂꯤꯔꯨꯕꯤꯅꯒꯤ ꯆꯥꯡ ꯑꯗꯨ ꯃꯁꯤꯡ ꯌꯥꯝꯅꯥ ꯎꯠꯀꯅꯤ꯫ ꯇꯁꯦꯡꯕꯗꯤ ꯅꯍꯥꯛꯀꯤ ꯏꯗꯥ ꯕꯤꯂꯤꯔꯨꯕꯤꯟ ꯃꯈꯜ ꯑꯅꯤ ꯂꯩ: ꯁꯦꯡꯗꯣꯛꯅꯕꯥ ꯂꯤꯚꯔꯗꯥ ꯆꯠꯄꯥ ꯕꯤꯂꯤꯔꯨꯕꯤꯟ, ꯑꯃꯁꯨꯡ ꯁꯦꯡꯗꯣꯛꯂꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯂꯤꯚꯔꯗꯒꯤ ꯊꯣꯀꯄꯥ ꯕꯤꯂꯤꯔꯨꯕꯤꯟ꯫ ꯅꯍꯥꯛꯀꯤ ꯔꯤꯄꯣꯔꯠ ꯑꯗꯨꯅꯥ ꯃꯈꯜ ꯑꯅꯤ ꯑꯁꯤ ꯇꯣꯉꯥꯟꯅꯥ ꯎꯠꯀꯅꯤ, ꯃꯁꯤꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯑꯄꯨꯅꯕꯥ ꯕꯤꯂꯤꯔꯨꯕꯤꯟ ꯑꯗꯨꯁꯨ ꯎꯠꯀꯅꯤ꯫ ꯃꯁꯤ ꯃꯍꯧꯁꯥꯅꯥ ꯗꯦꯁꯤꯂꯤꯇꯔ ꯑꯃꯗꯥ ꯃꯤꯂꯤꯒ꯭ꯔꯥꯝ (mg/dL) ꯀꯧꯕꯥ ꯌꯨꯅꯤꯇꯁꯤꯡꯗꯥ ꯎꯠꯂꯤ꯫
ꯗꯥꯏꯔꯦꯛꯇ ꯑꯃꯁꯨꯡ ꯏꯟꯗꯔꯦꯛꯇ ꯕꯤꯂꯤꯔꯨꯕꯤꯟ ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ? (ꯀꯟꯖꯨꯒꯦꯠ ꯕꯅꯥꯝ ꯑꯅꯀꯟꯖꯨꯒꯦꯠ)
ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ:
- ꯁꯦꯡꯗꯣꯛꯀꯗꯕꯥ ꯂꯤꯚꯔꯗꯥ ꯆꯠꯂꯤꯕꯥ ꯕꯤꯂꯤꯔꯨꯕꯤꯅꯒꯤ ꯃꯈꯜ ꯑꯁꯤ "ꯑꯅꯀꯟꯖꯨꯒꯦꯠ" ꯕꯤꯂꯤꯔꯨꯕꯤꯅꯅꯤ꯫ ꯃꯁꯤ ꯏꯁꯤꯡꯗꯥ ꯂꯨꯄꯊꯣꯛꯇꯦ꯫ ꯃꯁꯤ ꯏꯗꯥ ꯑꯦꯂꯕꯨꯃꯤꯟ ꯀꯧꯕꯥ ꯄ꯭ꯔꯣꯇꯤꯟ ꯑꯃꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯂꯤꯚꯔꯗꯥ ꯆꯠꯂꯤ꯫ ꯃꯁꯤꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯃꯁꯤꯕꯨ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯔꯤꯄꯣꯔꯠ ꯑꯁꯤꯗꯥ "ꯏꯟꯗꯥꯏꯔꯦꯛꯇ" ꯕꯤꯂꯤꯔꯨꯕꯤꯟ ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ ꯃꯔꯃꯗꯤ ꯃꯁꯤ ꯍꯀꯊꯦꯡꯅꯅꯥ ꯃꯥꯄꯜ ꯁꯨꯕꯥ ꯉꯃꯗꯦ꯫ ꯃꯁꯤ ꯑꯄꯨꯅꯕꯥ ꯕꯤꯂꯤꯔꯨꯕꯤꯅꯗꯒꯤ ꯀꯟꯖꯨꯒꯦꯠ ꯇꯧꯔꯕꯥ ꯕꯤꯂꯤꯔꯨꯕꯤꯟ ꯂꯧꯊꯣꯛꯇꯨꯅꯥ ꯐꯪꯏ꯫
- ꯂꯤꯚꯔꯅꯥ ꯕꯤꯂꯤꯔꯨꯕꯤꯟ ꯑꯁꯤ ꯁꯦꯡꯗꯣꯛꯂꯕꯥ ꯃꯇꯨꯡꯗꯥ, ꯃꯁꯤꯅꯥ ꯃꯁꯤꯕꯨ ꯆꯤꯅꯤꯒꯤ ꯃꯣꯂꯤꯛꯌꯨꯜ ꯑꯃꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯏꯁꯤꯡꯗꯥ ꯌꯥꯎꯍꯜꯂꯤ꯫ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯈꯛꯇꯗꯥ ꯃꯁꯤꯅꯥ ꯕꯥꯏꯂꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯃꯤꯛꯁ ꯇꯧꯔꯕꯥ ꯏꯟꯇꯦꯁ꯭ꯇꯥꯏꯅꯁꯤꯡꯗꯥ ꯆꯠꯄꯥ ꯉꯃꯒꯅꯤ꯫ ꯂꯤꯚꯔꯅꯥ ꯁꯦꯡꯗꯣꯀꯄꯥ ꯕꯤꯂꯤꯔꯨꯕꯤꯟ ꯑꯁꯤꯕꯨ "ꯀꯟꯖꯨꯒꯦꯠ" ꯕꯤꯂꯤꯔꯨꯕꯤꯟ ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ ꯔꯤꯄꯣꯔꯠ ꯑꯁꯤꯗꯥ ꯃꯁꯤꯕꯨ "ꯗꯥꯏꯔꯦꯛꯇ" ꯕꯤꯂꯤꯔꯨꯕꯤꯟ ꯍꯥꯌꯅꯥꯁꯨ ꯀꯧꯏ, ꯃꯔꯃꯗꯤ ꯃꯁꯤ ꯍꯀꯊꯦꯡꯅꯅꯥ ꯃꯥꯄꯜ ꯁꯨꯕꯥ ꯌꯥꯏ꯫
ꯑꯗꯣꯝꯅꯥ ꯈꯉꯕꯤꯔꯤꯕꯔꯥ? ꯑꯃꯅꯥ ꯂꯤꯚꯔꯗꯥ ꯆꯠꯠꯔꯤꯉꯩꯒꯤ ꯃꯃꯥꯡꯗꯥ, ꯑꯗꯨꯒꯥ ꯑꯇꯣꯞꯄꯥ ꯑꯃꯅꯥ ꯂꯤꯚꯔꯅꯥ ꯁꯦꯡꯗꯣꯛꯂꯕꯥ ꯃꯇꯨꯡꯗꯥ꯫
ꯑꯩꯈꯣꯌꯅꯥ ꯕꯤꯂꯤꯔꯨꯕꯤꯅꯒꯤ ꯀꯔꯝꯕꯥ ꯊꯥꯛ ꯑꯗꯨꯗꯥ ꯋꯥꯈꯜ ꯇꯥꯒꯗꯒꯦ?
ꯂꯦꯕ ꯈꯨꯗꯤꯡꯃꯛꯅꯥ ꯅꯣꯔꯃꯦꯜ ꯕꯤꯂꯤꯔꯨꯕꯤꯅꯒꯤ ꯆꯥꯡꯗꯥ ꯈꯔꯥ ꯈꯦꯠꯅꯕꯥ ꯂꯩꯕꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯕꯨ ꯃꯍꯧꯁꯥꯅꯥ, ꯑꯄꯨꯅꯕꯥ ꯕꯤꯂꯤꯔꯨꯕꯤꯅꯒꯤ ꯆꯥꯡ ꯑꯁꯤ 0.2 ꯑꯃꯁꯨꯡ 1.3 mg/dLꯒꯤ ꯃꯔꯛꯇꯥ ꯂꯩꯕꯥ ꯑꯁꯤ ꯑꯍꯂꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯑꯉꯥꯡꯁꯤꯡꯒꯤ ꯑꯣꯏꯅꯥ ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯅꯥ ꯂꯧꯏ . ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯂꯦꯚꯦꯜ ꯑꯗꯨ ꯃꯁꯤꯗꯒꯤ ꯍꯦꯜꯂꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯃꯔꯝ ꯑꯗꯨ ꯈꯪꯗꯣꯛꯅꯕꯥ ꯃꯈꯥ ꯇꯥꯕꯥ ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯇꯧꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯅꯥ ꯄꯨꯛꯅꯤꯡ ꯆꯪꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯥ ꯇꯥꯀꯄꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯕꯤꯂꯤꯔꯨꯕꯤꯟ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ ꯑꯁꯤ ꯃꯁꯥꯃꯛ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ ꯑꯃꯁꯨꯡ ꯃꯍꯧꯁꯥꯅꯥ ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯃꯊꯧ ꯇꯥꯗꯦ꯫
ꯑꯗꯨꯕꯨ ꯅꯧꯅꯥ ꯄꯣꯀꯄꯥ ꯑꯉꯥꯡꯁꯤꯡꯒꯤ ꯑꯣꯏꯅꯗꯤ ꯋꯥꯔꯤ ꯑꯁꯤ ꯈꯔꯥ ꯇꯣꯉꯥꯜꯂꯤ꯫ ꯑꯉꯥꯡꯁꯤꯡꯗꯥ ꯅꯣꯔꯃꯦꯜ ꯕꯤꯂꯤꯔꯨꯕꯤꯅꯒꯤ ꯆꯥꯡ ꯑꯁꯤ 1.0 mg/dLꯗꯒꯤ 12.0 mg/dL ꯐꯥꯎꯕꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫ ꯑꯌꯥꯝꯕꯥ ꯀꯦꯁꯁꯤꯡꯗꯗꯤ, ꯅꯧꯅꯥ ꯄꯣꯀꯄꯥ ꯑꯉꯥꯡꯁꯤꯡꯗꯥ ꯍꯥꯏꯄꯔꯕꯤꯂꯤꯔꯨꯕꯤꯅꯦꯃꯤꯌꯥ (hyperbilirubinamia) ꯑꯁꯤ ꯃꯁꯥ ꯃꯊꯟꯇꯥ ꯂꯥꯀꯁꯤꯜꯂꯛꯀꯅꯤ ꯍꯥꯌꯅꯥ ꯄꯥꯅꯔꯤ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯃꯈꯥ ꯇꯥꯅꯥ ꯌꯦꯡꯁꯤꯅꯒꯅꯤ ꯃꯗꯨꯗꯤ ꯕꯤꯂꯤꯔꯨꯕꯤꯅꯒꯤ ꯆꯥꯡ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯍꯦꯅꯒꯠꯂꯛꯂꯤꯕꯔꯥ ꯅꯠꯠꯔꯒꯥ ꯌꯥꯝꯅꯥ ꯅꯦꯝꯂꯕꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯁꯤꯅꯒꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯈꯣꯌꯅꯥ ꯇꯧꯔꯕꯗꯤ, ꯃꯁꯤ ꯁꯥꯊꯤꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ ꯑꯃꯁꯨꯡ ꯑꯉꯥꯡ ꯑꯗꯨꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫
ꯅꯧꯅꯥ ꯄꯣꯀꯄꯥ ꯑꯉꯥꯡ ꯑꯃꯒꯤꯗꯃꯛꯇꯥ ꯕꯤꯂꯤꯔꯨꯕꯤꯅꯒꯤ ꯀꯔꯝꯕꯥ ꯊꯥꯛ ꯑꯗꯨ ꯈꯨꯗꯣꯡꯊꯤꯅꯤꯉꯥꯏ ꯑꯣꯏꯕꯒꯦ?
ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯅꯧꯅꯥ ꯄꯣꯀꯄꯥ ꯑꯉꯥꯡꯁꯤꯡꯗꯥ ꯕꯤꯂꯤꯔꯨꯕꯤꯅꯒꯤ ꯆꯥꯡꯗꯥ ꯌꯨꯝꯐꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯂꯥꯏꯌꯦꯡ ꯍꯧꯅꯕꯥ ꯄꯥꯎꯇꯥꯛ ꯄꯤꯔꯤ꯫ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯍꯥꯅꯕꯥ ꯄꯨꯡ 48ꯒꯤ ꯃꯅꯨꯡꯗꯥ 15 mg/dL ꯍꯦꯜꯂꯕꯗꯤ, ꯅꯠꯠꯔꯒꯥ ꯄꯨꯡ 72ꯒꯤ ꯃꯇꯨꯡꯗꯥ 20 mg/dL ꯍꯦꯜꯂꯕꯗꯤ꯫ ꯍꯥꯌꯔꯤꯕꯥ ꯊꯥꯀꯁꯤꯡ ꯑꯁꯤꯗꯥ, ꯑꯅꯀꯟꯖꯨꯒꯦꯠ ꯕꯤꯂꯤꯔꯨꯕꯤꯅꯒꯤ ꯆꯥꯡ ꯑꯁꯤ ꯃꯁꯤꯕꯨ ꯆꯦꯠꯁꯤꯂꯍꯟꯅꯕꯥ ꯐꯪꯂꯤꯕꯥ ꯑꯦꯂꯕꯨꯃꯤꯅꯒꯤ ꯆꯥꯡꯗꯒꯤ ꯍꯦꯜꯂꯤ꯫ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯑꯅꯀꯟꯖꯨꯒꯦꯠ ꯕꯤꯂꯤꯔꯨꯕꯤꯟ ꯑꯁꯤꯅꯥ ꯕ꯭ꯂꯗ-ꯕ꯭ꯔꯦꯟ ꯕꯦꯔꯤꯌꯥꯔ ꯑꯗꯨ ꯅꯧꯅꯥ ꯄꯣꯀꯄꯥ ꯑꯉꯥꯡ ꯑꯗꯨꯒꯤ ꯕ꯭ꯔꯦꯅꯗꯥ ꯆꯦꯟꯊꯈꯤꯗꯨꯅꯥ ꯆꯥꯎꯈꯠꯂꯛꯂꯤꯕꯥ ꯕ꯭ꯔꯦꯟ ꯑꯗꯨꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯅꯥ ꯕ꯭ꯔꯦꯅꯗꯥ ꯇꯣꯉꯥꯟ-ꯇꯣꯉꯥꯅꯕꯥ ꯗꯤꯒ꯭ꯔꯤꯁꯤꯡꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ, ꯃꯁꯤ ꯀꯦꯔꯅꯤꯛꯇꯔꯁ ꯀꯧꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫
ꯃꯁꯤꯒꯤ ꯔꯤꯁ꯭ꯛ ꯑꯁꯤ ꯑꯍꯜ ꯑꯣꯏꯔꯕꯥ ꯑꯃꯁꯨꯡ ꯑꯍꯜ ꯑꯣꯏꯔꯕꯥ ꯑꯉꯥꯡꯁꯤꯡꯒꯤ ꯑꯣꯏꯅꯗꯤ ꯃꯥꯟꯅꯗꯦ꯫ ꯃꯄꯨꯡ-ꯃꯔꯩ ꯐꯥꯔꯕꯁꯤꯡꯒꯤ ꯕ꯭ꯔꯦꯟ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯁꯦꯟꯁꯤꯇꯤꯚ ꯑꯣꯏꯗꯦ, ꯑꯃꯁꯨꯡ ꯑꯅꯀꯟꯖꯨꯒꯦꯠ ꯇꯧꯔꯕꯥ ꯕꯤꯂꯤꯔꯨꯕꯤꯅꯒꯤ ꯆꯥꯡ ꯑꯁꯤ ꯑꯍꯜ ꯑꯣꯏꯔꯕꯁꯤꯡꯗꯥ ꯌꯥꯝꯅꯥ ꯋꯥꯡꯅꯥ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯊꯦꯡꯅꯩ꯫ ꯅꯧꯅꯥ ꯄꯣꯀꯄꯥ ꯑꯉꯥꯡꯁꯤꯡꯅꯥ ꯑꯍꯂꯁꯤꯡꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯌꯥꯡꯅꯥ ꯕꯤꯂꯤꯔꯨꯕꯤꯟ ꯄꯨꯊꯣꯀꯏ, ꯑꯃꯁꯨꯡ ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯇꯞꯅꯥ ꯀꯟꯖ꯭ꯌꯨꯝ ꯇꯧꯏ꯫
ꯀꯟꯖꯨꯒꯦꯠ ꯕꯤꯂꯤꯔꯨꯕꯤꯟ ``(ꯀꯟꯖꯨꯒꯦꯠ ꯍꯥꯏꯄꯔꯕꯤꯂꯤꯔꯨꯕꯤꯅꯦꯃꯤꯌꯥ)`` ꯑꯁꯤ ꯑꯍꯂꯁꯤꯡꯗꯥ ꯍꯦꯅꯒꯠꯂꯀꯄꯒꯤ ꯃꯔꯝ ꯀꯌꯥ ꯂꯩ꯫ ꯑꯍꯜ ꯑꯣꯏꯔꯕꯁꯤꯡꯗꯗꯤ, ꯕꯤꯂꯤꯔꯨꯕꯤꯟ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ ꯑꯁꯤ ꯈꯨꯗꯣꯡꯊꯤꯅꯤꯉꯥꯏ ꯑꯣꯏꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯒꯤ ꯈꯨꯗꯝ ꯑꯃꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ, ꯑꯗꯨꯕꯨ ꯕꯤꯂꯤꯔꯨꯕꯤꯟ ꯃꯁꯥꯃꯛꯅꯥ ꯑꯆꯧꯕꯥ ꯈꯨꯗꯣꯡꯊꯤꯕꯥ ꯑꯃꯥ ꯄꯤꯗꯦ (ꯑꯉꯥꯡꯁꯤꯡꯗꯥ ꯃꯥꯟꯅꯗꯕꯥ)꯫
ꯅꯍꯥꯛꯀꯤ ꯕꯤꯂꯤꯔꯨꯕꯤꯅꯒꯤ ꯆꯥꯡ ꯋꯥꯡꯈꯠꯂꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯃꯁꯤꯒꯤ ꯑꯔꯊ ꯀꯔꯤꯅꯣ?
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡꯅꯥ ꯔꯦꯗ ꯕ꯭ꯂꯗ ꯁꯦꯂꯁꯤꯡ ꯑꯗꯨ ꯅꯍꯥꯛꯀꯤ ꯂꯤꯚꯔꯅꯥ ꯁꯦꯡꯗꯣꯀꯄꯥ ꯉꯝꯕꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯌꯥꯡꯅꯥ ꯁꯣꯀꯍꯜꯂꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯑꯅꯀꯅꯖꯨꯒꯦꯠ (indirect) ꯕꯤꯂꯤꯔꯨꯕꯤꯅꯒꯤ ꯆꯥꯡ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯅꯥ ꯃꯈꯥꯒꯤ ꯑꯁꯤꯅꯆꯤꯡꯕꯥ ꯋꯥꯐꯃꯁꯤꯡ ꯇꯥꯀꯄꯥ ꯌꯥꯏ:
- ꯍꯦꯃꯣꯂꯥꯏꯇꯤꯛ ꯂꯥꯌꯅꯥ꯫
- ꯁꯤꯛꯀꯜ ꯁꯦꯜ ꯂꯥꯌꯅꯥ꯫
- ꯏ ꯊꯥꯗꯣꯀꯄꯒꯤ ꯑꯁꯣꯛ-ꯑꯄꯟ (adverse reaction) ꯑꯃꯥ꯫
ꯅꯧꯅꯥ ꯄꯣꯀꯄꯥ ꯑꯉꯥꯡꯁꯤꯡꯗꯥ ꯑꯅꯀꯟꯖꯨꯒꯦꯠ ꯕꯤꯂꯤꯔꯨꯕꯤꯟ ꯍꯦꯅꯒꯠꯂꯀꯄꯒꯤ ꯃꯁꯛ ꯊꯣꯀꯄꯥ ꯃꯔꯃꯁꯤꯡ:
- ꯃꯇꯝ ꯆꯥꯗꯅꯥ ꯄꯣꯀꯄꯥ꯫
- ꯑꯉꯥꯡ ꯑꯃꯁꯨꯡ ꯃꯃꯥꯒꯤ ꯃꯔꯛꯇꯥ ꯕ꯭ꯂꯗ ꯇꯥꯏꯞ ꯃꯥꯟꯅꯗꯕꯥ꯫
- ꯈꯣꯝꯂꯥꯡꯗꯥ ꯌꯥꯎꯔꯤꯕꯥ ꯑꯀꯛꯅꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡꯒꯤ ꯔꯤꯑꯦꯛꯁꯟ꯫
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯕꯤꯂꯤꯔꯨꯕꯤꯟ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯂꯧꯊꯣꯀꯄꯗꯥ ꯑꯋꯥꯕꯥ ꯂꯩꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯀꯟꯖ꯭ꯌꯨꯃꯔ (ꯗꯥꯏꯔꯦꯛꯇ) ꯕꯤꯂꯤꯔꯨꯕꯤꯅꯒꯤ ꯂꯦꯚꯦꯜ ꯑꯗꯨ ꯋꯥꯡꯈꯠꯂꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯕꯤꯂꯤꯌꯔ ꯗꯤꯖꯤꯖ ꯅꯠꯠꯔꯒꯥ ꯒꯥꯂꯁ꯭ꯇꯣꯟ ꯂꯩꯔꯦ ꯍꯥꯌꯕꯥ ꯇꯥꯀꯄꯥ ꯌꯥꯏ꯫ ꯈꯨꯗꯃꯁꯤꯡ: ꯱.
- ꯒꯥꯂꯁ꯭ꯇꯣꯅꯁꯤꯡ ꯂꯩꯕꯥ꯫
- ꯀꯣꯂꯦꯔꯥꯁꯤꯁ꯭ꯇꯦꯇꯤꯁ ꯂꯩꯕꯥ꯫
- ꯕꯥꯏꯜ ꯗꯛꯇꯁꯤꯡꯗꯥ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯁꯟ (Cholangitis) .
ꯕꯤꯂꯤꯔꯨꯕꯤꯟ ꯃꯈꯜ ꯑꯅꯤꯃꯛ ꯑꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯂꯤꯚꯔꯅꯥ ꯕꯤꯂꯤꯔꯨꯕꯤꯟ ꯀ꯭ꯂꯤꯌꯔ ꯇꯧꯕꯒꯤ ꯇꯧꯕꯥ ꯉꯝꯕꯗꯥ ꯁꯣꯀꯍꯜꯂꯤꯕꯥ ꯀꯟꯗꯤꯁꯅꯁꯤꯡꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯏꯗꯥ ꯁꯦꯃꯒꯠꯄꯥ ꯌꯥꯏ꯫
ꯅꯍꯥꯛꯀꯤ ꯑꯄꯨꯅꯕꯥ ꯕꯤꯂꯤꯔꯨꯕꯤꯅꯒꯤ ꯆꯥꯡ ꯑꯁꯤ ꯅꯍꯥꯛꯅꯥ ꯑꯅꯧꯕꯥ ꯍꯤꯗꯥꯛ ꯑꯃꯥ ꯍꯧꯕꯥ ꯃꯇꯃꯗꯥ ꯅꯠꯠꯔꯒꯥ ꯌꯨ ꯌꯥꯝꯅꯥ ꯊꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯅꯠꯠꯔꯒꯥ ꯂꯤꯚꯔꯗꯥ ꯃꯇꯝ ꯈꯔꯒꯤ ꯑꯣꯏꯅꯥ ꯁꯣꯀꯄꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ ꯌꯥꯏ꯫ ꯅꯠꯠꯔꯒꯥ, ꯃꯁꯤ ꯑꯦꯛꯌꯨꯠ ꯅꯠꯠꯔꯒꯥ ꯀ꯭ꯔꯣꯅꯤꯛ ꯂꯤꯚꯔ ꯗꯤꯖꯤꯖꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫ ꯃꯔꯝ ꯈꯔꯗꯤ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯁꯤꯡꯁꯤꯅꯤ:
- ꯚꯥꯏꯔꯁ ꯍꯦꯄꯥꯇꯥꯏꯇꯤꯁ ꯑꯃꯁꯨꯡ ꯃꯣꯅꯣꯟꯌꯨꯛꯂꯤꯑꯣꯁꯤꯁꯒꯨꯝꯕꯥ ꯏꯅꯐꯦꯛꯁꯅꯁꯤꯡ꯫
- ꯕꯤꯂꯤꯔꯨꯕꯤꯟ ꯃꯦꯇꯥꯕꯣꯂꯤꯖꯃꯗꯥ ꯁꯣꯀꯍꯜꯂꯤꯕꯥ ꯖꯦꯅꯦꯇꯤꯛ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ, ꯍꯥꯌꯕꯗꯤ ꯒꯤꯂꯕꯔꯊ ꯁꯤꯟꯗꯣꯝ, ꯋꯤꯂꯁꯅꯒꯤ ꯂꯥꯌꯅꯥ, ꯑꯃꯁꯨꯡ ꯀ꯭ꯔꯤꯒꯂꯔ-ꯅꯖꯖꯥꯔ ꯁꯤꯟꯗꯣꯝ꯫
- ꯇꯣꯛꯁꯤꯀꯦꯜ ꯍꯦꯄꯥꯇꯥꯏꯇꯤꯁ (ꯌꯨ ꯅꯠꯠꯔꯒꯥ ꯗ꯭ꯔꯒꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ)
- ꯁꯤꯔꯣꯁꯤꯁ ꯑꯃꯁꯨꯡ ꯀ꯭ꯔꯣꯅꯤꯛ ꯂꯤꯚꯔ ꯐꯦꯜ ꯑꯣꯏꯕꯥ꯫
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯩꯒꯤ ꯇꯦꯁ꯭ꯠ ꯔꯤꯄꯣꯔꯇꯇꯥ ꯑꯦꯕꯅꯣꯔꯃꯦꯂꯤꯇꯤ ꯂꯩꯔꯕꯗꯤ ꯃꯊꯪꯗꯥ ꯀꯔꯤ ꯑꯣꯏꯒꯅꯤ?
ꯗꯣꯛꯇꯔ ꯑꯃꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯃꯦꯗꯤꯀꯦꯜ ꯍꯤꯁ꯭ꯇꯔꯤ ꯑꯗꯨ ꯌꯦꯡꯗꯨꯅꯥ ꯑꯣꯏꯊꯣꯀꯄꯥ ꯌꯥꯕꯥ ꯃꯔꯃꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ ꯍꯥꯌꯕꯗꯨ ꯈꯪꯗꯣꯛꯅꯕꯥ ꯍꯣꯠꯅꯒꯅꯤ꯫ ꯃꯔꯝ ꯈꯨꯗꯤꯡꯃꯛꯀꯤ ꯇꯣꯉꯥꯟ-ꯇꯣꯉꯥꯅꯕꯥ ꯂꯥꯏꯌꯦꯡꯒꯤ ꯑꯣꯄꯁꯅꯁꯤꯡ ꯂꯩ꯫ ꯃꯈꯣꯌꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯀꯟꯗꯤꯁꯅꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯍꯦꯟꯅꯥ ꯐꯕꯥ ꯋꯥꯈꯜꯂꯣꯟ ꯑꯃꯥ ꯐꯪꯅꯕꯒꯤꯗꯃꯛ ꯕ꯭ꯂꯗ ꯇꯦꯁ꯭ꯠ ꯑꯃꯁꯨꯡ ꯏꯃꯦꯖꯤꯡ ꯇꯦꯁ꯭ꯠ ꯍꯦꯟꯅꯥ ꯑꯣꯔꯗꯔ ꯇꯧꯕꯥ ꯌꯥꯏ꯫ ꯃꯈꯣꯌꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯕꯤꯂꯤꯔꯨꯕꯤꯅꯒꯤ ꯆꯥꯡ ꯑꯗꯨ ꯃꯈꯥ ꯇꯥꯅꯥ ꯍꯦꯅꯒꯠꯂꯛꯂꯤꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨꯁꯨ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯇꯦꯁ꯭ꯠ ꯇꯧꯕꯥ ꯌꯥꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯅꯧꯅꯥ ꯄꯣꯀꯄꯥ ꯑꯉꯥꯡ ꯑꯗꯨꯒꯤ ꯕꯤꯂꯤꯔꯨꯕꯤꯅꯒꯤ ꯆꯥꯡ ꯑꯗꯨ ꯌꯥꯝꯅꯥ ꯋꯥꯡꯂꯕꯗꯤ, ꯃꯈꯣꯌꯅꯥ ꯃꯗꯨ ꯍꯟꯊꯍꯟꯅꯕꯥ ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯄꯥꯎꯇꯥꯛ ꯄꯤꯕꯥ ꯌꯥꯏ꯫
ꯅꯧꯅꯥ ꯄꯣꯀꯄꯥ ꯑꯉꯥꯡꯁꯤꯡꯗꯥ ꯕꯤꯂꯤꯔꯨꯕꯤꯟ ꯍꯦꯅꯒꯠꯂꯀꯄꯒꯤ ꯂꯥꯏꯌꯦꯡꯁꯤꯡ ꯀꯔꯤꯅꯣ?
ꯅꯧꯅꯥ ꯄꯣꯀꯄꯥ ꯑꯉꯥꯡꯁꯤꯡꯗꯥ ꯕꯤꯂꯤꯔꯨꯕꯤꯅꯒꯤ ꯆꯥꯡ ꯍꯟꯊꯍꯟꯅꯕꯒꯤ ꯁ꯭ꯇꯦꯟꯗꯔꯗ ꯇ꯭ꯔꯤꯠꯃꯦꯟꯇ ꯑꯁꯤ ꯐꯣꯇꯣꯊꯦꯔꯥꯄꯤꯅꯤ . ꯃꯁꯤꯅꯥ ꯇꯥꯀꯄꯗꯤ ꯗꯣꯛꯇꯔ ꯑꯃꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯕꯨ ꯑꯈꯟꯅꯕꯥ ꯃꯉꯥꯜ ꯑꯃꯒꯤ ꯃꯈꯥꯗꯥ ꯊꯝꯃꯤ꯫ ꯃꯁꯤꯒꯤ ꯃꯉꯥꯜ ꯑꯁꯤꯅꯥ ꯅꯤꯜ ꯃꯆꯨꯒꯤ ꯃꯉꯥꯜ ꯑꯃꯥ ꯊꯣꯀꯏ꯫ ꯃꯁꯤꯒꯤ ꯃꯉꯥꯜ ꯑꯁꯤꯅꯥ ꯕꯤꯂꯤꯔꯨꯕꯤꯟ ꯑꯁꯤ ꯁꯣꯀꯍꯟꯗꯨꯅꯥ ꯏꯁꯤꯡꯗꯥ ꯂꯨꯄꯊꯣꯀꯄꯥ ꯉꯃꯍꯜꯂꯤ꯫ ꯃꯁꯤꯅꯥ ꯂꯤꯚꯔꯗꯥ ꯀꯟꯖꯨꯒꯦꯠ ꯇꯧꯗꯅꯥ ꯍꯀꯆꯥꯡꯗꯒꯤ ꯂꯧꯊꯣꯀꯄꯥ ꯉꯃꯍꯜꯂꯤ꯫ ꯃꯁꯤꯅꯥ ꯑꯉꯥꯡ ꯑꯗꯨꯒꯤ ꯕ꯭ꯔꯦꯟ ꯇꯤꯁꯨꯗꯥ ꯑꯅꯀꯅꯖꯨꯒꯦꯠ ꯕꯤꯂꯤꯔꯨꯕꯤꯟ (bilirubin) ꯊꯨꯒꯥꯌꯕꯥ ꯊꯤꯡꯏ꯫
ꯅꯍꯥꯛꯀꯤ ꯕꯤꯂꯤꯔꯨꯕꯤꯅꯒꯤ ꯆꯥꯡ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯍꯟꯊꯍꯅꯒꯅꯤ?
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯕꯤꯂꯤꯔꯨꯕꯤꯅꯒꯤ ꯆꯥꯡ ꯍꯦꯅꯒꯠꯂꯀꯄꯒꯤ ꯃꯔꯝ ꯑꯣꯏꯔꯤꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯗꯨ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯂꯥꯏꯌꯦꯡꯕꯥ ꯑꯃꯁꯨꯡ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯔꯕꯗꯤ ꯅꯍꯥꯛꯀꯤ ꯕꯤꯂꯤꯔꯨꯕꯤꯅꯒꯤ ꯆꯥꯡ ꯍꯟꯊꯔꯛꯀꯅꯤ꯫ ꯃꯁꯤ ꯃꯔꯃꯒꯤ ꯃꯈꯥ ꯄꯣꯜꯂꯤ꯫ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯗꯨ ꯂꯥꯏꯌꯦꯡꯅꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯃꯁꯤꯒꯤ ꯏꯐꯦꯛꯇꯁꯤꯡ ꯍꯟꯊꯍꯟꯅꯕꯥ ꯑꯣꯄꯁꯅꯁꯤꯡꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯅꯍꯥꯛꯀꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯒꯅꯤ꯫
ꯃꯍꯧꯁꯥꯅꯥ, ꯅꯍꯥꯛꯅꯥ ꯌꯨ ꯑꯃꯁꯨꯡ ꯃꯊꯧ ꯇꯥꯗꯕꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ (ꯌꯥꯔꯤꯕꯃꯈꯩ ꯑꯣꯚꯔ-ꯗꯤ-ꯀꯎꯟꯇꯔ (OTC) ꯍꯤꯗꯥꯀꯁꯤꯡ ꯐꯥꯎꯕꯥ), ꯑꯃꯁꯨꯡ ꯍꯀꯁꯦꯜ ꯐꯕꯥ ꯗꯥꯏꯠ ꯑꯃꯥ ꯆꯥꯗꯨꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯂꯤꯚꯔꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯁ꯭ꯠꯔꯦꯟ ꯑꯗꯨ ꯍꯟꯊꯍꯅꯕꯥ ꯌꯥꯏ꯫
ꯕꯤꯂꯤꯔꯨꯕꯤꯟ ꯌꯨꯔꯤꯟ ꯇꯦꯁ꯭ꯠ ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ?
ꯅꯍꯥꯛꯅꯥ ꯌꯨꯔꯤꯟ ꯕꯤꯂꯤꯔꯨꯕꯤꯟ ꯇꯦꯁ꯭ꯠ ꯑꯃꯥ ꯌꯨꯔꯤꯟ ꯑꯦꯅꯥꯂꯥꯏꯁꯤꯁꯀꯤ ꯁꯔꯨꯛ ꯑꯃꯥ ꯑꯣꯏꯅꯥ ꯄꯥꯡꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯁꯤ ꯔꯨꯇꯤꯟ ꯍꯦꯂꯊ ꯆꯦꯛꯀꯤ ꯁꯔꯨꯛ ꯑꯃꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫ ꯅꯠꯠꯔꯒꯥ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯖꯟꯗꯥꯁ ꯅꯠꯠꯔꯒꯥ ꯗꯥꯔꯛ ꯌꯨꯔꯤꯟ ꯂꯩꯔꯕꯗꯤ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯇꯦꯁ꯭ꯠ ꯑꯁꯤ ꯑꯀꯛꯅꯅꯥ ꯑꯣꯔꯗꯔ ꯇꯧꯕꯥ ꯌꯥꯏ . ꯅꯍꯥꯛꯀꯤ ꯌꯨꯔꯤꯅꯗꯥ ꯂꯩꯕꯥ ꯕꯤꯂꯤꯔꯨꯕꯤꯟ (bilirubinuria) ꯑꯁꯤ ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯗꯦ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯀꯟꯖ꯭ꯌꯨꯃꯔ ꯕꯤꯂꯤꯔꯨꯕꯤꯅꯒꯤ ꯆꯥꯡ ꯑꯗꯨ ꯌꯥꯝꯅꯥ ꯋꯥꯡꯂꯕꯗꯤ, ꯃꯁꯤ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫
ꯇꯦꯁ꯭ꯠ ꯑꯁꯤꯒꯤꯗꯃꯛꯇꯥ ꯗꯣꯛꯇꯔ ꯑꯃꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯌꯨꯔꯤꯟ ꯁꯦꯝꯄꯜ ꯑꯃꯥ ꯂꯧꯅꯕꯥ ꯑꯄꯤꯀꯄꯥ ꯕꯣꯇꯜ ꯑꯃꯥ ꯄꯤꯒꯅꯤ꯫ ꯃꯈꯣꯌꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯌꯨꯔꯤꯟ ꯇꯧꯗ꯭ꯔꯤꯉꯩ ꯃꯃꯥꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯖꯦꯅꯤꯇꯦꯜ ꯑꯦꯔꯤꯌꯥ ꯑꯗꯨ ꯁꯦꯡꯗꯣꯛꯅꯕꯥ ``ꯁꯦꯅꯤꯇꯔꯤ ꯋꯥꯏꯞ`` ꯑꯃꯁꯨ ꯄꯤꯒꯅꯤ꯫ ꯕꯣꯇꯜ ꯑꯗꯨꯗꯥ ꯌꯨꯔꯤꯟ ꯀꯌꯥ ꯈꯣꯃꯖꯤꯅꯒꯗꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯇꯥꯀꯄꯥ ꯃꯥꯔꯛ ꯑꯃꯥ ꯂꯩꯒꯅꯤ꯫ ꯕꯣꯇꯂꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯁꯣꯛꯅ-ꯁꯝꯅꯗꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯁꯦꯝꯄꯜ ꯑꯗꯨ ꯈꯣꯃꯖꯤꯟꯗꯨꯅꯥ ꯗꯣꯛꯇꯔꯗꯥ ꯄꯤꯒꯅꯤ꯫ ꯃꯈꯣꯌꯅꯥ ꯃꯁꯤ ꯇꯦꯁ꯭ꯠ ꯇꯧꯅꯕꯥ ꯂꯦꯕ ꯑꯃꯗꯥ ꯊꯥꯒꯅꯤ꯫
ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯋꯥꯐꯝ - ꯅꯍꯥꯛꯅꯥ ꯅꯤꯡꯁꯤꯡꯒꯗꯕꯥ ꯋꯥꯐꯃꯁꯤꯡ (ꯇꯦꯛ-ꯍꯣꯝ ꯃꯦꯁꯦꯖ)
ꯑꯣꯀꯦ, ꯑꯗꯨꯅꯥ ꯑꯩꯈꯣꯌꯅꯥ ꯍꯧꯖꯤꯛ ꯕꯤꯂꯤꯔꯨꯕꯤꯅꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯌꯥꯝꯅꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯔꯦ, ꯅꯠꯇꯦ?
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡ ꯅꯠꯠꯔꯒꯥ ꯃꯤꯠꯇꯥ ꯌꯦꯜꯂꯣ ꯃꯆꯨ ꯑꯃꯥ (ꯖꯣꯟꯗꯤꯁ) ꯎꯕꯥ ꯐꯪꯂꯕꯗꯤ, ꯃꯁꯤꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯁꯣꯌꯗꯅꯥ ꯗꯣꯛꯇꯔ ꯑꯃꯒꯥ ꯇꯥꯟꯅꯒꯗꯕꯅꯤ ꯑꯃꯁꯨꯡ ꯕꯤꯂꯤꯔꯨꯕꯤꯟ ꯇꯦꯁ꯭ꯠ ꯇꯧꯒꯗꯕꯅꯤ ꯍꯥꯌꯕꯒꯤ ꯈꯨꯗꯝ ꯑꯃꯅꯤ꯫ꯕꯤꯂꯤꯔꯨꯕꯤꯅꯒꯤ ꯆꯥꯡ ꯑꯁꯤ ꯅꯣꯔꯃꯦꯜ ꯂꯦꯚꯦꯂꯗꯒꯤ ꯁꯔꯨꯛ ꯑꯅꯤꯗꯒꯤ ꯑꯍꯨꯝ ꯐꯥꯎꯕꯥ ꯌꯧꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯖꯟꯗꯤꯁ ꯂꯥꯀꯄꯥ ꯍꯧꯏ꯫ ꯅꯍꯥꯛꯀꯤ ꯌꯨꯔꯤꯟ ꯑꯗꯨ ꯂꯦꯚꯦꯜ ꯑꯁꯤꯗꯥ ꯑꯃꯝꯕꯥ (ꯆꯥ ꯃꯆꯨꯒꯤ) ꯑꯣꯏꯔꯀꯄꯁꯨ ꯅꯍꯥꯛꯅꯥ ꯎꯕꯥ ꯐꯪꯒꯅꯤ꯫
ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯕꯤꯂꯤꯔꯨꯕꯤꯅꯒꯤ ꯆꯥꯡ ꯑꯁꯤ ꯂꯥꯏꯑꯣꯡ ꯑꯃꯠꯇꯥ ꯌꯥꯎꯗꯅꯥ ꯋꯥꯡꯈꯠꯄꯥ ꯌꯥꯏ꯫ ꯕꯤꯂꯤꯔꯨꯕꯤꯟ ꯇꯦꯁ꯭ꯠ ꯑꯃꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯑꯀꯛꯅꯕꯥ ꯆꯤꯡꯅꯕꯥ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ ꯀꯅꯐꯥꯔꯝ ꯇꯧꯕꯗꯥ ꯑꯃꯁꯨꯡ ꯃꯔꯝ ꯑꯗꯨ ꯀꯔꯤꯅꯣ ꯍꯥꯌꯕꯗꯨ ꯈꯪꯗꯣꯀꯄꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫
ꯃꯔꯝ ꯑꯗꯨꯅꯥ, ꯕꯤꯂꯤꯔꯨꯕꯤꯟ ꯍꯥꯌꯕꯥ ꯋꯥꯍꯩ ꯑꯁꯤ ꯇꯥꯕꯗꯥ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯂꯩꯔꯣꯏꯗꯕꯅꯤ꯫ ꯃꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯅꯣꯔꯃꯦꯜ ꯄ꯭ꯔꯣꯁꯦꯁ ꯑꯃꯒꯤ ꯁꯔꯨꯛ ꯑꯃꯅꯤ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯃꯁꯤꯒꯤ ꯊꯥꯛ ꯑꯁꯤ ꯍꯣꯡꯂꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯃꯔꯝ ꯑꯗꯨ ꯈꯪꯗꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯊꯧ ꯇꯥꯔꯕꯗꯤ ꯂꯥꯏꯌꯦꯡꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯋꯥꯍꯪ ꯑꯃꯠꯇꯥ ꯍꯪꯂꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯕꯗꯥ ꯀꯩꯗꯧꯉꯩꯗꯥ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯂꯩꯔꯣꯏꯗꯕꯅꯤ꯫ ꯃꯈꯣꯌꯅꯥ ꯑꯗꯣꯃꯒꯤ ꯃꯇꯦꯡ ꯄꯥꯡꯅꯕꯥ ꯂꯩꯔꯤ꯫
👩🏽 ⚕️ ꯑꯍꯦꯅꯕꯥ ꯋꯥꯍꯪꯁꯤꯡ (FAQs)
💬 ꯕꯤꯂꯤꯔꯨꯕꯤꯟ ꯇꯦꯁ꯭ꯇꯅꯥ ꯀꯔꯤ ꯈꯉꯗꯣꯀꯏ?
ꯕꯤꯂꯤꯔꯨꯕꯤꯟ ꯑꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯑꯁꯤꯕꯥ ꯔꯦꯗ ꯕ꯭ꯂꯗ ꯁꯦꯂꯁꯤꯡꯅꯥ ꯁꯣꯀꯍꯜꯂꯕꯥ ꯃꯇꯃꯗꯥ ꯂꯤꯚꯔꯅꯥ ꯄꯨꯊꯣꯀꯄꯥ ꯌꯦꯜꯂꯣ ꯋꯦꯁ꯭ꯠ ꯄ꯭ꯔꯗꯛꯇ ꯑꯃꯅꯤ꯫ ꯃꯁꯤꯒꯤ ꯕ꯭ꯂꯗ ꯇꯦꯁ꯭ꯠ ꯑꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯂꯤꯚꯔ ꯑꯁꯤ ꯃꯇꯤꯛ ꯆꯥꯅꯥ ꯊꯕꯛ ꯇꯧꯔꯤꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯅꯕꯒꯤꯗꯃꯛ ꯇꯧꯏ꯫
💬 ꯕꯤꯂꯤꯔꯨꯕꯤꯟ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯈꯣꯡꯒꯤ ꯃꯆꯨ ꯍꯣꯡꯂꯛꯀꯗ꯭ꯔꯥ?
ꯍꯣꯏ! ꯏꯗꯥ ꯕꯤꯂꯤꯔꯨꯕꯤꯅꯒꯤ ꯆꯥꯡ ꯑꯁꯤ ꯑꯆꯝꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯃꯁꯤꯅꯥ ꯃꯤꯠꯀꯤ ꯋꯥꯏꯇꯦꯄꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯈꯣꯡꯒꯤ ꯃꯈꯥꯗꯥ ꯍꯀꯊꯦꯡꯅꯅꯥ ꯊꯃꯖꯤꯅꯕꯥ ꯍꯧꯏ꯫ ꯑꯗꯨꯗꯒꯤ ꯃꯃꯤꯠ ꯑꯃꯁꯨꯡ ꯍꯀꯆꯥꯡ ꯄꯨꯝꯕꯥ ꯌꯦꯔꯨꯝ (Jaundice) ꯑꯣꯏꯔꯀꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯍꯀꯆꯥꯡ ꯑꯗꯨ ꯈꯪꯍꯧꯗꯅꯥ ꯌꯦꯔꯨꯝ ꯑꯣꯏꯔꯕꯗꯤ, ꯇꯦꯁ꯭ꯠ ꯑꯁꯤ ꯃꯦꯟꯗꯦꯇꯔꯤ ꯑꯣꯏ꯫
💬 ꯅꯧꯅꯥ ꯄꯣꯀꯄꯥ ꯑꯉꯥꯡꯁꯤꯡꯗꯥ ꯂꯤꯚꯔꯒꯤ ꯂꯥꯌꯅꯥ ꯂꯩꯇꯕꯁꯨ ꯀꯔꯤꯒꯤꯗꯃꯛꯇꯥ ꯕꯤꯂꯤꯔꯨꯕꯤꯟ ꯍꯦꯅꯒꯠꯂꯀꯄꯒꯦ?
ꯅꯧꯅꯥ ꯄꯣꯀꯄꯥ ꯑꯉꯥꯡ ꯑꯃꯒꯤ ꯂꯤꯚꯔ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯄꯤꯀꯄꯥ ꯉꯝꯕꯗꯥ ꯅꯨꯃꯤꯠ ꯈꯔꯅꯤ ꯆꯪꯏ꯫ ꯃꯇꯝ ꯑꯗꯨꯒꯤ ꯃꯅꯨꯡꯗꯥ, ꯂꯤꯚꯔꯅꯥ ꯑꯉꯥꯡ ꯑꯗꯨꯒꯤ ꯍꯀꯆꯥꯡꯗꯒꯤ ꯕꯤꯂꯤꯔꯨꯕꯤꯟ ꯂꯧꯊꯣꯀꯄꯥ ꯉꯃꯗꯦ, ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯃꯗꯨ ꯏꯗꯥ ꯆꯦꯟꯊꯈꯤꯗꯨꯅꯥ ꯑꯉꯥꯡ ꯑꯗꯨ ꯌꯦꯔꯨꯝ (neonatal jaundice) ꯑꯣꯏꯔꯀꯏ꯫ ꯃꯁꯤ ꯅꯣꯔꯃꯦꯂꯅꯤ, ꯑꯃꯁꯨꯡ ꯃꯁꯤ ꯐꯣꯇꯣꯊꯦꯔꯥꯄꯤꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯍꯟꯊꯔꯛꯀꯅꯤ꯫
` ꯕꯤꯂꯤꯔꯨꯕꯤꯟ, ꯕꯤꯂꯤꯔꯨꯕꯤꯟ ꯇꯦꯁ꯭ꯠ, ꯖꯟꯗꯥꯁꯤꯁ, ꯌꯦꯂꯣ ꯐꯤꯕꯔ, ꯂꯤꯚꯔ, ꯔꯦꯗ ꯕ꯭ꯂꯗ ꯁꯦꯂꯁꯤꯡ, ꯅꯧꯅꯥ ꯄꯣꯀꯄꯥ ꯑꯉꯥꯡꯁꯤꯡ꯫
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