ꯀꯥ ꯑꯃꯒꯤ ꯏꯟꯖꯤꯅꯒꯨꯝꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯂꯩꯕꯥ ꯑꯄꯤꯀꯄꯥ ꯒ꯭ꯜꯌꯥꯟꯗ ꯑꯃꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡ ꯄꯨꯝꯕꯥ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯏ ꯍꯥꯌꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯈꯜꯂꯨꯕꯥ ꯂꯩꯕ꯭ꯔꯥ? ꯑꯉꯀꯄꯥ ꯑꯣꯏꯔꯃꯒꯗ꯭ꯔꯥ? ꯑꯉꯀꯄꯥ ꯊꯕꯛ ꯀꯌꯥ ꯇꯧꯕꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯕ꯭ꯔꯦꯅꯒꯤ ꯃꯈꯥꯗꯥ ꯂꯩꯕꯥ ꯃꯅꯥ-ꯃꯁꯤꯡꯒꯨꯝꯕꯥ ꯑꯄꯤꯀꯄꯥ ꯒ꯭ꯜꯌꯥꯟꯗ ꯑꯁꯤꯕꯨ ꯄꯤꯇꯨꯏꯇꯔꯤ ꯒ꯭ꯜꯌꯥꯟꯗ ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ ꯉꯁꯤ ꯑꯄꯤꯀꯄꯥ ‘ꯕꯣꯁ’ ꯑꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯑꯀꯨꯞꯄꯥ ꯃꯔꯣꯂꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯁꯤ, ꯅꯠꯇꯦ?
ꯄꯤꯇꯨꯏꯇꯔꯤ ꯒ꯭ꯜꯌꯥꯟꯗ ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ? ꯃꯁꯤ ꯀꯗꯥꯏꯗꯥ ꯂꯩꯕꯒꯦ?
ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯅꯍꯥꯛꯀꯤ ꯄꯤꯇꯨꯏꯇꯔꯤ ꯒ꯭ꯜꯌꯥꯟꯗ ꯑꯁꯤ ꯃꯅꯥ-ꯃꯁꯤꯡꯒꯤ ꯁꯥꯏꯖꯒꯤ ꯑꯄꯤꯀꯄꯥ ꯒ꯭ꯜꯌꯥꯟꯗ ꯑꯃꯅꯤ, ꯃꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯕ꯭ꯔꯦꯅꯒꯤ ꯃꯈꯥꯗꯥ ꯂꯩꯕꯥ, ꯍꯥꯏꯄꯣꯊꯦꯂꯥꯃꯁ ꯀꯧꯕꯥ ꯑꯇꯣꯞꯄꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯁꯔꯨꯛ ꯑꯃꯒꯤ ꯃꯈꯥꯗꯥ ꯂꯩ꯫ ꯃꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯕ꯭ꯔꯦꯅꯒꯤ ꯃꯈꯥꯗꯥ ꯂꯩꯕꯥ ꯑꯄꯤꯀꯄꯥ, ꯉꯥꯀꯊꯣꯛꯂꯕꯥ ꯆꯦꯝꯕꯔ ꯑꯃꯗꯥ ꯂꯩ꯫ ꯑꯩꯈꯣꯌꯅꯥ ꯆꯦꯝꯕꯔ ꯑꯁꯤꯕꯨ ꯁꯦꯜꯂꯥ ꯇꯨꯔꯁꯤꯀꯥ ꯍꯥꯌꯅꯥ ꯀꯧꯏ . ꯃꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯑꯦꯟꯗꯣꯛꯔꯥꯏꯟ ꯁꯤꯁ꯭ꯇꯦꯃꯒꯤ ꯁꯔꯨꯛ ꯑꯃꯅꯤ . ꯃꯁꯤꯅꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯇꯉꯥꯏꯐꯗꯕꯥ ꯍꯣꯔꯃꯣꯟ ꯃꯈꯜ ꯀꯌꯥ ꯁꯦꯝꯃꯤ, ꯑꯃꯁꯨꯡ ꯃꯁꯤꯅꯥ ꯑꯇꯣꯞꯄꯥ ꯑꯦꯟꯗꯣꯛꯔꯥꯏꯟ ꯒ꯭ꯜꯌꯥꯟꯗꯁꯤꯡꯗꯥ ꯍꯣꯔꯃꯣꯅꯁꯤꯡ ꯑꯁꯤ ꯊꯥꯗꯣꯛꯅꯕꯥ ꯍꯥꯌꯔꯤ꯫ ꯃꯁꯤ ꯑꯄꯤꯀꯄꯥ ꯑꯃꯅꯤ ꯑꯗꯨꯕꯨ ꯃꯁꯤꯅꯥ ꯑꯆꯧꯕꯥ ꯊꯕꯛ ꯑꯃꯥ ꯇꯧꯏ, ꯅꯠꯇꯦ?
ꯍꯧꯖꯤꯛꯇꯤ ꯅꯍꯥꯛꯅꯥ ꯒ꯭ꯜꯌꯥꯟꯗ ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ ꯑꯃꯁꯨꯡ ꯍꯣꯔꯃꯣꯟ ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ ꯍꯥꯌꯅꯥ ꯈꯅꯕꯤꯔꯃꯒꯅꯤ꯫
ꯒ꯭ꯜꯌꯥꯟꯗ ꯍꯥꯌꯕꯁꯤ ꯍꯣꯔꯃꯣꯟ, ꯗꯥꯏꯖꯦꯁ꯭ꯇꯤꯚ ꯖ꯭ꯌꯨꯁ, ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ, ꯑꯃꯁꯨꯡ ꯃꯤꯠꯀꯨꯞ ꯑꯁꯤꯅꯆꯤꯡꯕꯥ ꯄꯣꯠꯁꯛ ꯑꯃꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯃꯗꯒꯤ ꯍꯦꯅꯕꯥ ꯄꯨꯊꯣꯀꯄꯥ ꯑꯣꯔꯒꯥꯟ ꯑꯃꯅꯤ꯫ ꯑꯦꯟꯗꯣꯛꯔꯥꯏꯟ ꯒ꯭ꯜꯌꯥꯟꯗꯁꯤꯡꯅꯥ ꯏꯗꯥ ꯍꯀꯊꯦꯡꯅꯅꯥ ꯍꯣꯔꯃꯣꯅꯁꯤꯡ ꯊꯥꯗꯣꯀꯏ꯫
ꯍꯣꯔꯃꯣꯅꯁꯤꯡ ꯑꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯊꯕꯛ ꯊꯧꯔꯃꯁꯤꯡ ꯀꯣꯑꯣꯔꯗꯤꯅꯦꯠ ꯇꯧꯔꯤꯕꯥ ꯀꯦꯃꯤꯀꯦꯜ ꯃꯦꯁꯦꯟꯖꯔꯁꯤꯡꯒꯨꯝꯅꯥ ꯑꯣꯏ꯫ ꯃꯈꯣꯌꯅꯥ ꯏꯒꯤ ꯃꯔꯛꯇꯥ ꯆꯠꯂꯤ ꯑꯃꯁꯨꯡ ꯑꯣꯔꯒꯥꯅꯁꯤꯡ, ꯈꯣꯡ, ꯃꯁꯂꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯑꯇꯩ ꯇꯤꯁꯨꯁꯤꯡꯗꯥ ꯄꯥꯎꯖꯦꯂꯁꯤꯡ ꯄꯨꯔꯀꯏ꯫ ꯍꯥꯌꯔꯤꯕꯥ ꯄꯥꯎꯖꯦꯂꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯍꯀꯆꯥꯡꯗꯥ ꯀꯔꯤ ꯇꯧꯒꯗꯒꯦ ꯑꯃꯁꯨꯡ ꯀꯗꯥꯏꯗꯥ ꯇꯧꯒꯗꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯇꯥꯀꯏ꯫
ꯅꯍꯥꯛꯀꯤ ꯄꯤꯇꯨꯏꯇꯔꯤ ꯒ꯭ꯜꯌꯥꯟꯗ ꯑꯁꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯁꯔꯨꯛ ꯑꯅꯤꯗꯥ ꯈꯥꯌꯗꯣꯀꯏ: ꯑꯦꯟꯇꯤꯔꯤꯑꯣꯔ ꯄꯤꯇꯨꯏꯇꯔꯤ ( ꯐ꯭ꯔꯟꯇ ꯂꯣꯕ) ꯑꯃꯁꯨꯡ ꯄꯣꯁ꯭ꯇꯦꯔꯤꯌꯥꯜ ꯄꯤꯇꯨꯏꯇꯔꯤ ( ꯕꯦꯛ ꯂꯣꯕ)꯫ ꯒ꯭ꯜꯌꯥꯟꯗ ꯑꯁꯤ ꯍꯥꯏꯄꯣꯊꯦꯂꯥꯃꯥꯁꯀꯥ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯂꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯅꯔꯚꯁꯤꯡꯒꯤ ꯑꯄꯤꯀꯄꯥ ꯁ꯭ꯇꯣꯜ ꯑꯃꯅꯥ ꯄꯤꯇꯨꯏꯇꯔꯤ ꯁ꯭ꯇꯣꯛ ꯅꯠꯠꯔꯒꯥ ꯏꯅꯐꯨꯟꯗꯤꯕꯨꯂꯝ ꯀꯧꯕꯥ ꯁ꯭ꯇꯣꯜ ꯑꯃꯅꯥ ꯁꯝꯅꯍꯜꯂꯤ꯫
ꯄꯤꯇꯨꯏꯇꯔꯤ ꯒ꯭ꯜꯌꯥꯟꯗꯅꯥ ꯄꯨꯊꯣꯀꯄꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯍꯣꯔꯃꯣꯅꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?
ꯍꯧꯖꯤꯛ ꯑꯄꯤꯀꯄꯥ ꯒ꯭ꯜꯌꯥꯟꯗ ꯑꯁꯤꯗꯒꯤ ꯀꯔꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯍꯣꯔꯃꯣꯅꯁꯤꯡ ꯂꯥꯀꯄꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯁꯤ꯫
ꯑꯦꯟꯇꯤꯔꯤꯑꯣꯔ ꯂꯣꯕꯇꯒꯤ ꯂꯥꯀꯄꯥ ꯍꯣꯔꯃꯣꯅꯁꯤꯡ꯫
ꯃꯁꯤꯒꯤ ꯁꯔꯨꯛ ꯑꯁꯤꯅꯥ ꯏꯗꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯍꯣꯔꯃꯣꯟ ꯀꯌꯥ ꯄꯨꯊꯣꯀꯏ ꯑꯃꯁꯨꯡ ꯊꯥꯗꯣꯀꯏ꯫
- ꯑꯦꯗ꯭ꯔꯤꯅꯣꯀꯣꯔꯇꯤꯀꯣꯠꯔꯣꯄꯤꯛ ꯍꯣꯔꯃꯣꯟ (ACTH) ꯅꯠꯠꯔꯒꯥ ꯀꯣꯔꯇꯤꯀꯣꯠꯔꯣꯐꯤꯟ: ꯃꯁꯤꯅꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯅꯥ ꯁ꯭ꯠꯔꯦꯁꯇꯥ ꯔꯦꯁꯄꯣꯟꯁ ꯇꯧꯕꯒꯤ ꯃꯑꯣꯡꯗꯥ ꯁꯣꯀꯍꯜꯂꯤ . ꯃꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯦꯗ꯭ꯔꯤꯅꯜ ꯒ꯭ꯜꯌꯥꯟꯗꯁꯤꯡꯕꯨ "ꯁ꯭ꯠꯔꯦꯁ ꯍꯣꯔꯃꯣꯟ" ꯀꯣꯔꯇꯤꯁꯣꯜ ꯄꯨꯊꯣꯛꯅꯕꯥ ꯊꯧꯅꯥ ꯍꯥꯞꯄꯤ꯫ ꯀꯣꯔꯇꯤꯁꯣꯂꯒꯤ ꯊꯕꯛ ꯀꯌꯥ ꯂꯩ꯫ ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯃꯁꯤꯅꯥ ꯃꯦꯇꯥꯕꯣꯂꯤꯖꯝ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯏ , ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ ꯊꯝꯃꯤ , ꯕ꯭ꯂꯗ ꯒ꯭ꯂꯨꯀꯣꯖꯒꯤ ꯆꯥꯡ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯏ ꯑꯃꯁꯨꯡ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯁꯟ ꯍꯟꯊꯍꯜꯂꯤ ꯫
- ꯐꯣꯂꯤꯀꯜ-ꯁ꯭ꯇꯤꯝꯌꯨꯂꯦꯇꯤꯡ ꯍꯣꯔꯃꯣꯟ (FSH):ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛ ꯑꯁꯤ ꯅꯨꯄꯥ ꯑꯣꯏꯔꯕꯗꯤ, FSHꯅꯥ ꯁ꯭ꯄꯥꯔꯝ ꯄꯨꯊꯣꯀꯄꯗꯥ ꯊꯧꯅꯥ ꯍꯥꯞꯄꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛ ꯑꯁꯤ ꯅꯨꯄꯤ ꯑꯣꯏꯔꯕꯗꯤ, FSHꯅꯥ ꯑꯣꯚꯔꯋꯦꯠꯁꯤꯡꯕꯨ ꯏꯁ꯭ꯠꯔꯣꯖꯦꯟ ꯄꯨꯊꯣꯛꯅꯕꯥ ꯊꯧꯅꯥ ꯍꯥꯞꯄꯤ, ꯃꯗꯨꯅꯥ ꯉꯥꯕꯨ ꯄꯤꯀꯄꯥ ꯉꯃꯍꯅꯕꯗꯁꯨ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫ ꯃꯁꯤꯕꯨ ꯒꯣꯅꯥꯗꯣꯠꯔꯣꯐꯤꯛ ꯍꯣꯔꯃꯣꯟ ꯍꯥꯌꯅꯥꯁꯨ ꯀꯧꯏ .
- ꯒ꯭ꯔꯣꯊ ꯍꯣꯔꯃꯣꯟ (GH): ꯃꯁꯤꯅꯥ ꯑꯉꯥꯡꯁꯤꯡꯕꯨ ꯍꯦꯟꯅꯥ ꯆꯥꯎꯈꯠꯍꯅꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ, ꯍꯥꯌꯕꯗꯤ ꯃꯈꯣꯌ ꯍꯦꯟꯅꯥ ꯋꯥꯡꯈꯠꯄꯥ ꯍꯥꯌꯕꯁꯤꯅꯤ꯫ ꯑꯍꯜ ꯑꯣꯏꯔꯕꯁꯤꯡꯗꯥ, ꯃꯁꯤꯅꯥ ꯍꯀꯁꯦꯜ ꯐꯕꯥ ꯃꯁꯂꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯁꯔꯨꯁꯤꯡ ꯊꯝꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ ꯑꯃꯁꯨꯡ ꯐꯦꯠ ꯁ꯭ꯇꯣꯔꯦꯖ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫ ꯖꯤ.ꯑꯩꯆ.ꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯃꯦꯇꯥꯕꯣꯂꯤꯖꯃꯗꯁꯨ ꯁꯣꯀꯍꯜꯂꯤ (ꯅꯍꯥꯛꯅꯥ ꯆꯥꯔꯤꯕꯥ ꯆꯤꯟꯖꯥꯛ ꯑꯗꯨ ꯑꯦꯅꯔꯖꯤꯗꯥ ꯑꯣꯟꯊꯣꯀꯄꯒꯤ ꯃꯑꯣꯡ)꯫
- ꯂꯨꯇꯤꯅꯥꯏꯖꯤꯡ ꯍꯣꯔꯃꯣꯟ (LH): ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯣꯚꯔꯑꯣꯜ ꯂꯩꯔꯕꯗꯤ ꯑꯣꯚꯨꯂꯦꯁꯟ ꯁ꯭ꯇꯤꯝꯌꯨꯜ ꯇꯧꯏ, ꯑꯃꯁꯨꯡ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯇꯦꯁ꯭ꯇꯤꯀꯜ ꯂꯩꯔꯕꯗꯤ ꯇꯦꯁ꯭ꯇꯣꯁ꯭ꯇꯦꯔꯣꯟ ꯄꯨꯊꯣꯀꯄꯥ ꯍꯦꯅꯒꯠꯍꯜꯂꯤ꯫ LH ꯑꯁꯤꯁꯨ ꯒꯣꯅꯥꯗꯣꯠꯔꯣꯐꯤꯛ ꯍꯣꯔꯃꯣꯟ ꯑꯃꯅꯤ ꯃꯔꯃꯗꯤ ꯃꯁꯤꯅꯥ ꯑꯣꯚꯔꯑꯣꯜ ꯑꯃꯁꯨꯡ ꯇꯦꯁ꯭ꯇꯤꯀꯂꯁꯤꯡ ( ꯒꯣꯅꯥꯗꯁꯤꯡꯁꯨ ꯀꯧꯏ)ꯒꯤ ꯐꯉ꯭ꯀꯁꯟ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯏ꯫
- ꯄ꯭ꯔꯣꯂꯥꯛꯇꯤꯟ: ꯃꯁꯤꯅꯥ ꯑꯉꯥꯡ ꯄꯣꯀꯄꯥ ꯃꯇꯨꯡꯗꯥ ꯈꯣꯝꯂꯥꯡ ꯄꯤꯊꯀꯄꯥ ꯍꯦꯅꯒꯠꯍꯜꯂꯤ꯫ ꯃꯁꯤꯅꯥ ꯑꯍꯜ ꯑꯣꯏꯔꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯗꯥ ꯃꯤꯔꯣꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯁꯦꯛꯁꯨꯑꯦꯜ ꯐꯉ꯭ꯀꯁꯅꯗꯁꯨ ꯁꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫
- ꯊꯥꯌꯔꯣꯏꯗ-ꯁ꯭ꯇꯤꯝꯌꯨꯂꯦꯇꯤꯡ ꯍꯣꯔꯃꯣꯟ (TSH): TSHꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯊꯥꯌꯔꯣꯏꯗ ꯒ꯭ꯜꯌꯥꯟꯗꯇꯥ ꯊꯥꯌꯔꯣꯏꯗ ꯍꯣꯔꯃꯣꯅꯁꯤꯡ ꯄꯨꯊꯣꯛꯅꯕꯥ ꯊꯧꯅꯥ ꯍꯥꯞꯄꯤ, ꯃꯗꯨꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯃꯦꯇꯥꯕꯣꯂꯤꯖꯝ, ꯑꯦꯅꯔꯖꯤꯒꯤ ꯆꯥꯡ ꯑꯃꯁꯨꯡ ꯅꯔꯚꯁ ꯁꯤꯁ꯭ꯇꯦꯝ ꯃꯦꯅꯦꯖ ꯇꯧꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ .
ꯄꯣꯁ꯭ꯇꯦꯔꯤꯌꯥꯜ ꯂꯣꯕꯇꯒꯤ ꯂꯥꯀꯄꯥ ꯍꯣꯔꯃꯣꯅꯁꯤꯡ꯫
ꯃꯁꯤꯒꯤ ꯁꯔꯨꯛ ꯑꯁꯤꯅꯥ ꯍꯣꯔꯃꯣꯟ ꯄꯨꯊꯣꯛꯇꯦ, ꯑꯗꯨꯕꯨ ꯍꯥꯏꯄꯣꯊꯦꯂꯥꯃꯥꯁꯅꯥ ꯄꯨꯊꯣꯀꯄꯥ ꯍꯣꯔꯃꯣꯟ ꯑꯅꯤꯗꯤ ꯃꯐꯃꯁꯤꯗꯥ ꯊꯃꯖꯤꯜꯂꯤ ꯑꯃꯁꯨꯡ ꯃꯊꯧ ꯇꯥꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯏꯗꯥ ꯊꯥꯗꯣꯀꯏ꯫
- ꯑꯦꯟꯇꯤꯗꯥꯏꯌꯨꯔꯦꯇꯤꯛ ꯍꯣꯔꯃꯣꯟ (ADH) ꯅꯠꯠꯔꯒꯥ ꯚꯦꯁꯣꯞꯔꯦꯁꯤꯟ: ꯍꯣꯔꯃꯣꯟ ꯑꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯏꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯁꯣꯗꯤꯌꯃꯒꯤ ꯆꯥꯡ ꯑꯗꯨ ꯕꯦꯂꯦꯟꯁ ꯇꯧꯏ꯫
- ꯑꯣꯛꯁꯤꯖꯦꯟ: ꯑꯣꯛꯁꯤꯖꯦꯟ ꯑꯁꯤ ꯍꯥꯏꯄꯣꯊꯦꯂꯥꯃꯥꯁꯅꯥ ꯄꯨꯊꯣꯀꯏ ꯑꯃꯁꯨꯡ ꯄꯤꯇꯨꯏꯇꯔꯤ ꯒ꯭ꯜꯌꯥꯟꯗꯅꯥ ꯊꯃꯖꯤꯜꯂꯤ ꯑꯃꯁꯨꯡ ꯊꯥꯗꯣꯀꯏ꯫ ꯃꯁꯤꯅꯥ ꯂꯦꯕꯔꯒꯤ ꯃꯇꯃꯗꯥ ꯀꯟꯠꯔꯦꯛꯇ ꯇꯧꯅꯕꯥ ꯏꯎꯇꯦꯔꯥꯁꯇꯥ ꯁꯤꯒꯅꯦꯂꯁꯤꯡ ꯊꯥꯗꯨꯅꯥ ꯂꯦꯕꯔ ꯂꯥꯏꯊꯣꯀꯍꯅꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫ ꯃꯁꯤꯅꯥ ꯁꯉ꯭ꯒꯣꯝ ꯂꯦꯠ-ꯗꯥꯎꯟ ꯇꯧꯕꯗꯁꯨ ꯃꯇꯦꯡ ꯄꯥꯡꯏ ꯑꯃꯁꯨꯡ ꯃꯃꯥ-ꯃꯄꯥ ꯑꯃꯁꯨꯡ ꯑꯉꯥꯡꯁꯤꯡꯒꯤ ꯃꯔꯛꯇꯥ ꯕꯣꯟꯗꯦꯖ ꯍꯦꯅꯒꯠꯍꯜꯂꯤ꯫ ꯑꯣꯛꯁꯤꯇꯣꯁꯤꯅꯅꯥ ꯁ꯭ꯄꯥꯔꯝ ꯃꯣꯇꯤꯂꯤꯇꯤꯗꯁꯨ ꯊꯧꯗꯥꯡ ꯂꯧꯔꯤ꯫
ꯄꯤꯇꯨꯏꯇꯔꯤ ꯒ꯭ꯜꯌꯥꯟꯗꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯊꯕꯀꯁꯤꯡ ꯀꯔꯤꯅꯣ?
ꯃꯁꯤꯒꯤ ꯑꯄꯤꯀꯄꯥ ꯒ꯭ꯜꯌꯥꯟꯗ ꯑꯁꯤ ꯀꯌꯥ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯍꯧꯖꯤꯛ ꯑꯗꯣꯝꯅꯥ ꯈꯉꯂꯝꯂꯒꯅꯤ꯫ ꯃꯁꯤꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯊꯕꯛ ꯈꯔꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤ:
- ꯁꯥꯍꯧ ꯂꯩꯕ
- ꯃꯦꯇꯥꯕꯣꯂꯤꯖꯝ (ꯑꯗꯨꯗꯤ ꯅꯍꯥꯛꯅꯥ ꯆꯥꯔꯤꯕꯥ ꯆꯤꯟꯖꯥꯛ ꯑꯗꯨ ꯀꯔꯝꯅꯥ ꯑꯦꯅꯔꯖꯤꯗꯥ ꯑꯣꯟꯊꯣꯀꯄꯒꯦ ꯑꯃꯁꯨꯡ ꯑꯦꯅꯔꯖꯤ ꯑꯗꯨ ꯀꯔꯝꯅꯥ ꯃꯦꯅꯦꯖ ꯇꯧꯕꯒꯦ)
- ꯔꯤꯞꯔꯗꯛꯁꯟ ꯇꯧꯕꯥ꯫
- ꯁ꯭ꯠꯔꯦꯁ ꯅꯠꯠꯔꯒꯥ ꯍꯀꯆꯥꯡꯒꯤ ꯑꯁꯣꯛ-ꯑꯄꯅꯁꯤꯡꯗꯥ ꯔꯦꯁꯄꯣꯟꯁ ꯇꯧꯕꯥ꯫
- ꯈꯣꯝꯂꯥꯡ ꯄꯤꯊꯀꯄꯥ꯫
- ꯏꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯁꯣꯗꯤꯌꯝ (ꯁꯣꯜꯇ) ꯕꯦꯂꯦꯟꯁ꯫
- ꯑꯉꯥꯡ ꯄꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯑꯉꯥꯡ ꯄꯣꯀꯄꯥ꯫
ꯅꯍꯥꯛꯀꯤ ꯌꯨꯃꯗꯥ ꯂꯩꯕꯥ ꯊꯥꯔꯃꯣꯁ꯭ꯇꯦꯠ ꯑꯗꯨ ꯈꯅꯕꯤꯌꯨ꯫ꯃꯁꯤ ꯑꯃꯒꯥ ꯃꯥꯟꯅꯩ꯫ ꯊꯥꯔꯃꯣꯁ꯭ꯇꯦꯠ ꯑꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯌꯨꯃꯗꯥ ꯇꯦꯝꯄꯦꯔꯦꯆꯔ ꯑꯗꯨ ꯂꯦꯞꯇꯅꯥ ꯌꯦꯡꯁꯤꯜꯂꯤ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯀꯄꯨ ꯅꯨꯡꯉꯥꯏꯅꯥ ꯂꯩꯍꯟꯅꯕꯥ ꯊꯕꯛ ꯇꯧꯏ, ꯅꯠꯇꯦ? ꯃꯁꯤꯅꯥ ꯇꯦꯝꯄꯦꯔꯦꯆꯔ ꯑꯁꯤ ꯆꯥꯡ ꯑꯁꯤ ꯍꯦꯅꯒꯠꯍꯟꯅꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯍꯟꯊꯍꯟꯅꯕꯥ, ꯅꯍꯥꯛꯀꯤ ꯌꯨꯃꯗꯥ ꯇꯦꯝꯄꯦꯔꯦꯆꯔ ꯑꯗꯨ ꯑꯀꯛꯅꯕꯥ ꯊꯥꯛ ꯑꯃꯗꯥ ꯊꯝꯅꯕꯥ ꯍꯤꯇꯔ ꯑꯃꯁꯨꯡ ꯀꯨꯂꯔꯗꯥ ꯁꯤꯒꯅꯦꯂꯁꯤꯡ ꯊꯥꯏ꯫
ꯅꯍꯥꯛꯀꯤ ꯄꯤꯇꯨꯏꯇꯔꯤ ꯒ꯭ꯜꯌꯥꯟꯗ ꯑꯁꯤ ꯅꯍꯥꯛꯀꯥ ꯃꯥꯟꯅꯩ, ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯊꯕꯛ ꯊꯧꯔꯃꯁꯤꯡ ꯌꯦꯡꯁꯤꯜꯂꯤ꯫ ꯄꯤꯇꯨꯏꯇꯔꯤ ꯒ꯭ꯜꯌꯥꯟꯗꯅꯥ ꯃꯁꯤꯒꯤ ꯍꯣꯔꯃꯣꯅꯁꯤꯡꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯣꯔꯒꯥꯅꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯒ꯭ꯜꯌꯥꯟꯗꯁꯤꯡꯗꯥ ꯄꯥꯎꯖꯦꯜ ꯊꯥꯏ, ‘ꯃꯐꯃꯁꯤꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯇꯧꯒꯗꯕꯥ ꯊꯕꯛ ꯑꯗꯨ ꯂꯩꯔꯤ, ꯃꯇꯝ ꯑꯁꯤꯗꯥ’꯫ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡꯒꯤꯗꯃꯛꯇꯥ ꯀꯔꯤ ꯁꯦꯇꯤꯡꯁꯤꯡ ꯑꯗꯨ ꯆꯨꯝꯃꯤ ꯍꯥꯌꯕꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯆꯍꯤ ꯑꯃꯁꯨꯡ ꯖꯦꯟꯗꯔꯒꯨꯝꯕꯥ ꯐꯦꯛꯇꯔ ꯀꯌꯥꯒꯤ ꯃꯈꯥ ꯄꯣꯜꯂꯤ꯫
ꯍꯥꯏꯄꯣꯊꯦꯂꯥꯃꯥꯁ ꯑꯃꯁꯨꯡ ꯄꯤꯇꯨꯏꯇꯔꯤ ꯒ꯭ꯜꯌꯥꯟꯗꯒꯤ ꯃꯔꯛꯇꯥ ꯀꯔꯤ ꯃꯔꯤ ꯂꯩꯅꯕꯒꯦ?
ꯅꯍꯥꯛꯀꯤ ꯄꯤꯇꯨꯏꯇꯔꯤ ꯒ꯭ꯜꯌꯥꯟꯗ ꯑꯃꯁꯨꯡ ꯍꯥꯏꯄꯣꯊꯦꯂꯥꯃꯥꯁꯅꯥ ꯄꯨꯟꯅꯥ ꯊꯕꯛ ꯇꯧꯃꯤꯟꯅꯗꯨꯅꯥ ꯍꯥꯏꯄꯣꯊꯦꯂꯥꯃꯥꯁ-ꯄꯤꯇꯨꯏꯇꯔꯤ ꯀꯃꯞꯂꯦꯛꯁ ꯁꯦꯝꯃꯤ . ꯃꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯕ꯭ꯔꯦꯅꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯀꯟꯠꯔꯣꯜ ꯁꯦꯟꯇꯔꯒꯨꯝꯅꯥ, ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯊꯕꯀꯁꯤꯡ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯏ꯫
ꯍꯥꯌꯄꯣꯊꯦꯂꯥꯃꯁ ꯍꯥꯌꯕꯁꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯊꯕꯛ ꯈꯔꯒꯤ ꯗꯥꯌꯠꯕ ꯂꯧꯔꯤꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯕ꯭ꯔꯦꯅꯒꯤ ꯁꯔꯨꯛ ꯑꯃꯅꯤ꯫ ꯃꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯣꯇꯣꯅꯣꯃꯤꯛ ꯅꯔꯚ ꯁꯤꯁ꯭ꯇꯦꯃꯗꯥ ꯄꯥꯎꯖꯦꯂꯁꯤꯡ ꯊꯥꯏ , ꯃꯗꯨꯅꯥ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ, ꯍꯥꯔꯠ ꯔꯦꯠ, ꯑꯃꯁꯨꯡ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯅꯆꯤꯡꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯏ꯫ ꯃꯁꯤꯅꯥ ꯄꯤꯇꯨꯏꯇꯔꯤ ꯒ꯭ꯜꯌꯥꯟꯗꯇꯥ ꯍꯀꯆꯥꯡꯒꯤ ꯑꯇꯩ ꯁꯔꯨꯀꯁꯤꯡꯗꯥ ꯁꯣꯀꯍꯜꯂꯤꯕꯥ ꯍꯣꯔꯃꯣꯅꯁꯤꯡ ꯄꯨꯊꯣꯛꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯔꯤꯂꯤꯖ ꯇꯧꯕꯗꯁꯨ ꯍꯥꯌꯔꯤ꯫
ꯑꯩꯈꯣꯌꯅꯥ ꯍꯥꯟꯅꯅꯥ ꯍꯥꯌꯈ꯭ꯔꯕꯒꯨꯝꯅꯥ, ꯄꯤꯇꯨꯏꯇꯔꯤ ꯒ꯭ꯜꯌꯥꯟꯗ ꯑꯁꯤ ꯍꯥꯏꯄꯣꯊꯦꯂꯥꯃꯥꯁꯀꯥ ꯄꯤꯇꯨꯏꯇꯔꯤ ꯁ꯭ꯇꯣꯀꯅꯥ ꯁꯝꯅꯍꯜꯂꯤ . ꯃꯁꯤꯒꯤ ꯁ꯭ꯇꯣꯜ ꯑꯁꯤꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯍꯥꯏꯄꯣꯊꯦꯂꯥꯃꯥꯁꯅꯥ ꯍꯣꯔꯃꯣꯅꯁꯤꯡꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯑꯦꯟꯇꯤꯔꯤꯑꯣꯔ ꯄꯤꯇꯨꯏꯇꯔꯤ ꯒ꯭ꯜꯌꯥꯟꯗꯀꯥ ꯑꯃꯁꯨꯡ ꯅꯔꯚ ꯏꯝꯄꯂꯁꯁꯤꯡꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯄꯣꯁ꯭ꯇꯦꯔꯤꯌꯥꯜ ꯄꯤꯇꯨꯏꯇꯔꯤ ꯒ꯭ꯜꯌꯥꯟꯗꯒꯥ ꯄꯥꯎ ꯐꯥꯎꯗꯣꯀꯏ꯫ ꯑꯣꯛꯁꯤꯇꯣꯁꯤꯟ ꯑꯃꯁꯨꯡ ꯑꯦꯟꯇꯤꯗꯥꯏꯌꯨꯔꯦꯇꯤꯛ ꯍꯣꯔꯃꯣꯅꯁꯨ ꯍꯥꯏꯄꯣꯊꯦꯂꯥꯃꯥꯁꯅꯥ ꯄꯨꯊꯣꯀꯏ꯫ ꯍꯥꯌꯄꯣꯊꯦꯂꯥꯃꯁꯅꯥ ꯍꯣꯔꯃꯣꯅꯁꯤꯡ ꯑꯁꯤ ꯄꯣꯁ꯭ꯇꯦꯔꯤꯌꯥꯜ ꯄꯤꯇꯨꯏꯇꯔꯤ ꯒ꯭ꯜꯌꯥꯟꯗꯇꯥ ꯊꯃꯖꯤꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯊꯥꯗꯣꯀꯄꯒꯤ ꯊꯧꯗꯥꯡ ꯂꯧꯏ꯫
ꯍꯥꯏꯄꯣꯊꯦꯂꯥꯃꯥꯁꯅꯥ ꯄꯤꯇꯨꯏꯇꯔꯤ ꯒ꯭ꯜꯌꯥꯟꯗꯒꯥ ꯄꯥꯎ ꯐꯥꯎꯗꯣꯀꯏ ꯑꯃꯁꯨꯡ ꯁ꯭ꯇꯤꯝꯌꯨꯜ ꯇꯧꯏ, ꯃꯗꯨꯅꯥ ꯃꯈꯥꯒꯤ ꯍꯣꯔꯃꯣꯅꯁꯤꯡ ꯄꯨꯊꯣꯀꯏ:
- ꯀꯣꯔꯇꯤꯀꯣꯠꯔꯣꯐꯤꯟ-ꯔꯤꯂꯤꯖꯤꯡ ꯍꯣꯔꯃꯣꯟ (ꯁꯤ.ꯑꯥꯔ.ꯑꯩꯆ.)
- ꯗꯣꯄꯥꯃꯥꯏꯟ꯫
- ꯒꯣꯅꯥꯗꯣꯠꯔꯣꯄꯤꯟ ꯔꯤꯂꯤꯖ ꯇꯧꯕꯥ ꯍꯣꯔꯃꯣꯟ (GnRH)
- ꯒ꯭ꯔꯣꯊ ꯍꯣꯔꯃꯣꯟ ꯔꯤꯂꯤꯖ ꯇꯧꯕꯥ ꯍꯣꯔꯃꯣꯟ (GHRH)
- ꯁꯣꯃꯥꯇꯣꯁ꯭ꯇꯦꯇꯤꯟ꯫
- ꯊꯥꯏꯔꯣꯠꯔꯣꯄꯤꯟ ꯔꯤꯂꯤꯖ ꯇꯧꯕꯥ ꯍꯣꯔꯃꯣꯟ (TRH) .
ꯃꯔꯃꯗꯤ ꯑꯅꯤ ꯑꯁꯤꯅꯥ (ꯍꯥꯏꯄꯣꯊꯦꯂꯥꯃꯁ ꯑꯃꯁꯨꯡ ꯄꯤꯇꯨꯏꯇꯔꯤ) ꯌꯥꯝꯅꯥ ꯅꯛꯅꯥ ꯊꯕꯛ ꯇꯧꯃꯤꯟꯅꯕꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯃꯅꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯛꯂꯕꯗꯤ, ꯃꯁꯤꯅꯥ ꯑꯇꯣꯞꯄꯥ ꯑꯃꯒꯤ ꯍꯣꯔꯃꯣꯅꯒꯤ ꯐꯉ꯭ꯀꯁꯅꯗꯁꯨ ꯁꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫
ꯄꯤꯇꯨꯏꯇꯔꯤ ꯒ꯭ꯜꯌꯥꯟꯗ ꯌꯥꯎꯗꯅꯥ ꯍꯤꯡꯕꯥ ꯌꯥꯕ꯭ꯔꯥ?
ꯍꯣꯌ, ꯅꯍꯥꯛꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯄꯤꯇꯨꯏꯇꯔꯤ ꯒ꯭ꯜꯌꯥꯟꯗ ꯌꯥꯎꯗꯅꯥ ꯍꯤꯡꯕꯥ ꯌꯥꯏ, ꯑꯗꯨꯕꯨ ꯃꯗꯨ ꯇꯧꯅꯕꯒꯤꯗꯃꯛꯇꯥ, ꯅꯍꯥꯛꯅꯥ ꯔꯤꯞꯂꯦꯁꯃꯦꯟꯇ ꯊꯦꯔꯥꯄꯤ ꯀꯧꯕꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ ꯂꯧꯒꯗꯕꯅꯤ, ꯃꯗꯨꯅꯥ ꯃꯥꯡꯈꯤꯕꯥ ꯄꯤꯇꯨꯏꯇꯔꯤ ꯍꯣꯔꯃꯣꯅꯁꯤꯡ ꯑꯗꯨ ꯃꯍꯨꯠ ꯁꯤꯅꯒꯅꯤ꯫ ꯃꯔꯃꯗꯤ ꯄꯤꯇꯨꯏꯇꯔꯤ ꯍꯣꯔꯃꯣꯅꯁꯤꯡ ꯑꯁꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯇꯣꯉꯥꯟ-ꯇꯣꯉꯥꯅꯕꯥ ꯐꯉ꯭ꯀꯁꯅꯁꯤꯡ ꯊꯝꯅꯕꯒꯤꯗꯃꯛ ꯇꯉꯥꯏꯐꯗꯕꯥ ꯑꯣꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯄꯤꯇꯨꯏꯇꯔꯤ ꯍꯣꯔꯃꯣꯟ ꯄꯨꯝꯅꯃꯛ ꯃꯥꯡꯈ꯭ꯔꯕꯥ ꯑꯃꯁꯨꯡ ꯂꯥꯏꯌꯦꯡꯗꯅꯥ ꯊꯃꯖꯤꯜꯂꯕꯗꯤ, ꯃꯁꯤꯅꯥ ꯄꯨꯟꯁꯤꯗꯥ ꯈꯨꯗꯣꯡꯊꯤꯕꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫
ꯄꯤꯇꯨꯏꯇꯔꯤ ꯒ꯭ꯜꯌꯥꯟꯗꯇꯥ ꯁꯣꯀꯍꯜꯂꯤꯕꯥ ꯂꯥꯌꯅꯥꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯤꯅꯣ?
ꯄꯤꯇꯨꯏꯇꯔꯤ ꯒ꯭ꯜꯌꯥꯟꯗꯒꯤ ꯃꯊꯧ ꯇꯧꯕꯗꯥ ꯁꯣꯀꯍꯜꯂꯤꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯃꯦꯗꯤꯀꯦꯜ ꯀꯟꯗꯤꯁꯟ ꯀꯌꯥ ꯂꯩ꯫ ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯀꯦꯇꯦꯒꯣꯔꯤ ꯃꯔꯤꯗꯥ ꯈꯥꯌꯗꯣꯀꯄꯥ ꯌꯥꯏ:
- ꯄꯤꯇꯨꯏꯇꯔꯤ ꯑꯦꯗꯦꯅꯣꯃꯥꯁꯤꯡ꯫
- ꯍꯥꯏꯄꯣꯄꯤꯇꯨꯏꯇꯥꯔꯤꯖꯝ꯫
- ꯍꯥꯏꯄꯔꯄꯤꯇꯨꯏꯇꯥꯔꯤꯖꯝ꯫
- ꯏꯝꯄꯦꯛꯇ ꯁꯦꯜꯂꯥ ꯁꯤꯟꯗꯣꯝ꯫
ꯃꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯃꯃꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯈꯔꯥ ꯍꯦꯟꯅꯥ ꯑꯀꯨꯞꯄꯥ ꯃꯔꯣꯂꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯁꯤ꯫
ꯄꯤꯇꯨꯏꯇꯔꯤ ꯑꯦꯗꯦꯅꯣꯃꯥꯁ (pituitary Adenomas)꯫
ꯃꯁꯤ ꯄꯤꯇꯨꯏꯇꯔꯤ ꯒ꯭ꯜꯌꯥꯟꯗꯇꯥ ꯊꯣꯀꯄꯥ ꯕꯦꯅꯤꯐꯤꯁꯔꯤ ꯇꯤꯎꯃꯔ ꯃꯈꯜ ꯑꯃꯅꯤ꯫ ꯕ꯭ꯔꯦꯅꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯊꯣꯀꯄꯥ ꯇꯤꯎꯃꯔ ꯄꯨꯝꯅꯃꯛꯀꯤ ꯆꯥꯎꯔꯥꯛꯅꯥ 10%ꯗꯒꯤ 15% ꯐꯥꯎꯕꯗꯤ ꯄꯤꯇꯨꯏꯇꯔꯤ ꯑꯦꯗꯦꯅꯣꯃꯥꯁꯤꯡꯅꯤ꯫
ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯃꯍꯧꯁꯥꯅꯥ ꯌꯥꯝꯅꯥ ꯆꯥꯎꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯈꯣꯌ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯆꯥꯎꯔꯕꯗꯤ, ꯃꯈꯣꯌꯅꯥ ꯃꯅꯥꯛ ꯅꯀꯄꯥ ꯄꯣꯠꯁꯀꯁꯤꯡꯗꯥ ꯆꯦꯅꯁꯤꯟꯗꯨꯅꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯃꯈꯣꯌꯅꯥ ꯑꯣꯄꯇꯤꯛ ꯅꯔꯚꯇꯥ ꯄ꯭ꯔꯦꯁꯔ ꯄꯤꯕꯥ ꯌꯥꯏ, ꯃꯗꯨꯅꯥ ꯃꯤꯠ ꯎꯗꯕꯒꯤ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯃꯁꯤꯡ (ꯄꯦꯔꯤꯐꯦꯔꯦꯜ ꯚꯤꯖꯟ ꯃꯥꯡꯈꯤꯕꯒꯨꯝꯕꯥ) ꯊꯣꯀꯍꯜꯂꯤ꯫ ꯌꯥꯝꯅꯥ ꯇꯣꯏꯅꯥ, ꯑꯆꯧꯕꯥ ꯄꯤꯇꯨꯏꯇꯔꯤ ꯑꯦꯗꯦꯅꯣꯃꯥꯁꯤꯡꯅꯥ ꯏ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫
ꯄꯤꯇꯨꯏꯇꯔꯤ ꯑꯦꯗꯦꯅꯣꯃꯥ ꯈꯔꯅꯥ ꯄꯤꯇꯨꯏꯇꯔꯤ ꯍꯣꯔꯃꯣꯟ ꯌꯥꯝꯅꯥ ꯄꯨꯊꯣꯀꯏ꯫ ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤꯕꯨ ``ꯐꯪꯐꯝ ꯊꯣꯀꯄꯥ/ꯁꯦꯛꯔꯦꯇꯤꯡ`` ꯑꯦꯗꯦꯅꯣꯃꯥ ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ ꯈꯔꯅꯥ ꯍꯣꯔꯃꯣꯟ ꯑꯃꯠꯇꯥ ꯄꯨꯊꯣꯛꯇꯦ꯫ ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤꯕꯨ ``ꯅꯟ-ꯐꯉ꯭ꯀꯁꯟ`` ꯑꯦꯗꯦꯅꯣꯃꯥ ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫
ꯃꯈꯣꯌꯅꯥ ꯄꯨꯊꯣꯀꯄꯥ ꯍꯣꯔꯃꯣꯅꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ ꯐꯉ꯭ꯀꯁꯅꯦꯜ ꯑꯦꯗꯦꯅꯣꯃꯥ ꯃꯈꯜ ꯀꯌꯥ ꯂꯩ꯫ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯐꯉ꯭ꯀꯁꯅꯦꯜ ꯑꯦꯗꯦꯅꯣꯃꯥ ꯑꯁꯤ ꯄ꯭ꯔꯣꯂꯥꯛꯇꯤꯅꯣꯃꯥꯅꯤ . ꯃꯁꯤꯅꯥ ꯄ꯭ꯔꯣꯂꯥꯛꯇꯤꯟ ꯌꯥꯝꯅꯥ ꯄꯨꯊꯣꯀꯏ꯫ ꯄ꯭ꯔꯣꯂꯥꯛꯇꯤꯅꯣꯃꯥꯁꯤꯡ ꯑꯁꯤ ꯃꯍꯧꯁꯥꯅꯥ ꯍꯤꯗꯥꯛ ꯂꯥꯡꯊꯀꯁꯤꯡꯅꯥ ꯂꯥꯏꯌꯦꯡꯏ꯫
ꯌꯥꯝꯅꯥ ꯆꯥꯎꯕꯥ ꯑꯃꯁꯨꯡ/ꯅꯠꯠꯔꯒꯥ ꯍꯣꯔꯃꯣꯟ ꯄꯨꯊꯣꯀꯄꯥ ꯄꯤꯇꯨꯏꯇꯔꯤ ꯇꯤꯎꯃꯔꯁꯤꯡ ꯑꯁꯤ ꯂꯥꯏꯌꯦꯡꯕꯥ ꯃꯊꯧ ꯇꯥꯏ, ꯃꯍꯧꯁꯥꯅꯥ ꯁꯔꯖꯔꯤ .
ꯍꯥꯏꯄꯣꯄꯤꯇꯨꯏꯇꯥꯔꯤꯖꯝ꯫
ꯃꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯄꯤꯇꯨꯏꯇꯔꯤ ꯒ꯭ꯜꯌꯥꯟꯗꯅꯥ ꯄꯨꯊꯣꯀꯄꯥ ꯍꯣꯔꯃꯣꯟ ꯑꯃꯥ, ꯀꯌꯥ ꯅꯠꯠꯔꯒꯥ ꯄꯨꯝꯅꯃꯛ ꯌꯥꯝꯅꯥ ꯅꯦꯝꯅꯥ ꯄꯨꯊꯣꯀꯄꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫
ꯑꯌꯥꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯍꯣꯔꯃꯣꯟ ꯑꯃꯒꯤ ꯑꯋꯥꯠꯄꯥ ꯎꯕꯥ ꯐꯪꯏ꯫ ꯄꯤꯇꯨꯏꯇꯔꯤ ꯍꯣꯔꯃꯣꯟ ꯑꯅꯤ ꯅꯠꯠꯔꯒꯥ ꯃꯁꯤꯗꯒꯤ ꯍꯦꯅꯕꯥ ꯋꯥꯠꯄꯕꯨ ꯄꯦꯅꯍꯥꯏꯄꯣꯄꯤꯇꯨꯏꯇꯥꯔꯤꯖꯝ ꯍꯥꯌꯅꯥ ꯀꯧꯏ . ꯃꯁꯤ ꯃꯍꯧꯁꯥꯅꯥ ꯄꯤꯇꯨꯏꯇꯔꯤ ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯅꯠꯠꯔꯒꯥ ꯕ꯭ꯔꯦꯟ ꯔꯦꯗꯤꯑꯦꯁꯅꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯏ .
ꯍꯥꯌꯄꯣꯄꯤꯇꯨꯏꯇꯥꯔꯤꯖꯃꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯔꯃꯗꯤ ꯄꯤꯇꯨꯏꯇꯔꯤ ꯒ꯭ꯜꯌꯥꯟꯗ ꯅꯠꯠꯔꯒꯥ ꯍꯥꯏꯄꯣꯊꯦꯂꯥꯃꯥꯁꯇꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯄꯅꯤ꯫
ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤꯒꯥ ꯃꯔꯤ ꯂꯩꯅꯕꯥ ꯑꯀꯛꯅꯕꯥ ꯂꯥꯌꯅꯥ ꯀꯌꯥ ꯂꯩ:
- ꯒ꯭ꯔꯣꯊ ꯍꯣꯔꯃꯣꯟ ꯋꯥꯠꯄꯥ: ꯃꯁꯤ ꯄꯤꯇꯨꯏꯇꯔꯤ ꯒ꯭ꯜꯌꯥꯟꯗꯅꯥ ꯒ꯭ꯔꯣꯊ ꯍꯣꯔꯃꯣꯟ (GH) ꯃꯇꯤꯛ ꯆꯥꯅꯥ ꯄꯨꯊꯣꯀꯄꯥ ꯉꯃꯗꯕꯥ ꯃꯇꯃꯗꯥ ꯊꯣꯀꯏ꯫ ꯑꯉꯥꯡꯁꯤꯡꯗꯥ, ꯒ꯭ꯔꯣꯊ ꯑꯃꯁꯨꯡ ꯗꯤꯚꯦꯂꯄꯃꯦꯟꯇꯗꯥ ꯑꯀꯥꯌꯕꯥ ꯄꯤ, ꯑꯃꯁꯨꯡ ꯃꯤꯔꯣꯅꯕꯥ ꯑꯁꯤ ꯊꯦꯡꯊꯍꯜꯂꯤ꯫ ꯑꯍꯜ ꯑꯣꯏꯔꯕꯁꯤꯡꯗꯥ, ꯃꯦꯇꯥꯕꯣꯂꯤꯛ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯃꯁꯤꯡ ꯊꯣꯀꯏ꯫
- ꯁꯦꯟꯠꯔꯦꯜ ꯗꯥꯏꯑꯦꯕꯦꯇꯤꯖ ꯏꯅꯁꯤꯄꯤꯗꯁ:ꯃꯁꯤ ꯄꯤꯇꯨꯏꯇꯔꯤ ꯒ꯭ꯜꯌꯥꯟꯗꯅꯥ ꯑꯦꯟꯇꯤꯗꯥꯏꯎꯔꯦꯇꯤꯛ ꯍꯣꯔꯃꯣꯟ (ADH) ꯃꯇꯤꯛ ꯆꯥꯅꯥ ꯄꯨꯊꯣꯀꯄꯥ ꯉꯃꯗꯕꯥ ꯃꯇꯃꯗꯥ ꯊꯣꯀꯏ꯫ ꯃꯁꯤꯅꯥ ꯍꯀꯆꯥꯡꯗꯥ ꯌꯨꯔꯤꯟ ꯃꯔꯥꯡ ꯀꯥꯌꯅꯥ ꯊꯣꯀꯍꯜꯂꯤ ꯑꯃꯁꯨꯡ ꯏꯁꯤꯡ ꯇꯨꯡꯁꯤꯅꯕꯥ ꯉꯃꯗꯕꯥ ꯊꯣꯀꯍꯜꯂꯤ꯫
- ꯁꯦꯟꯠꯔꯦꯜ ꯍꯥꯏꯄꯣꯒꯣꯅꯥꯗꯤꯖꯝ: ꯃꯁꯤ ꯄꯤꯇꯨꯏꯇꯔꯤ ꯒ꯭ꯜꯌꯥꯟꯗꯅꯥ ꯂꯨꯇꯤꯅꯤꯖꯝ ꯍꯣꯔꯃꯣꯟ (LH) ꯑꯃꯁꯨꯡ ꯐꯣꯂꯤꯀꯜ-ꯁ꯭ꯇꯤꯝꯌꯨꯂꯦꯇꯤꯡ ꯍꯣꯔꯃꯣꯟ (FSH) ꯃꯇꯤꯛ ꯆꯥꯅꯥ ꯄꯨꯊꯣꯀꯄꯥ ꯉꯃꯗꯕꯥ ꯃꯇꯃꯗꯥ ꯊꯣꯀꯏ꯫ ꯃꯁꯤꯅꯥ ꯁꯦꯛꯁꯨꯑꯦꯜ ꯐꯉ꯭ꯀꯁꯟ, ꯗꯤꯚꯦꯂꯄꯃꯦꯟꯇ ꯑꯃꯁꯨꯡ ꯐꯔꯇꯤꯂꯤꯇꯤꯗꯥ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯃꯁꯤꯡ ꯊꯣꯀꯍꯜꯂꯤ꯫
- ꯁꯦꯟꯠꯔꯦꯜ ꯑꯦꯗ꯭ꯔꯤꯅꯜ ꯏꯅꯁꯨꯐꯤꯁꯤꯑꯦꯟꯁꯤ: ꯃꯁꯤ ꯄꯤꯇꯨꯏꯇꯔꯤ ꯒ꯭ꯜꯌꯥꯟꯗꯅꯥ ACTH ꯃꯇꯤꯛ ꯆꯥꯅꯥ ꯄꯨꯊꯣꯀꯄꯥ ꯉꯃꯗꯕꯥ ꯃꯇꯃꯗꯥ ꯊꯣꯀꯏ꯫ ꯃꯁꯤꯅꯥ ꯍꯀꯆꯥꯡꯗꯥ ꯀꯣꯔꯇꯤꯁꯣꯜ ꯄꯨꯊꯣꯀꯄꯥ ꯉꯃꯍꯟꯗꯦ꯫
- ꯁꯦꯟꯠꯔꯦꯜ ꯍꯥꯏꯄꯣꯊꯥꯏꯔꯣꯏꯗꯤꯖꯝ: ꯃꯁꯤ ꯄꯤꯇꯨꯏꯇꯔꯤ ꯒ꯭ꯜꯌꯥꯟꯗꯅꯥ ꯊꯥꯌꯔꯣꯏꯗ-ꯁ꯭ꯇꯤꯝꯌꯨꯂꯦꯇꯤꯡ ꯍꯣꯔꯃꯣꯟ (TSH) ꯃꯇꯤꯛ ꯆꯥꯅꯥ ꯄꯨꯊꯣꯀꯄꯥ ꯉꯃꯗꯕꯥ ꯃꯇꯃꯗꯥ ꯊꯣꯀꯏ, ꯃꯗꯨꯅꯥ ꯊꯥꯌꯔꯣꯏꯗ ꯍꯣꯔꯃꯣꯅꯒꯤ ꯆꯥꯡ ꯅꯦꯝꯕꯥ ꯊꯣꯀꯍꯜꯂꯤ꯫
ꯍꯥꯏꯄꯣꯄꯤꯇꯨꯏꯇꯥꯔꯤꯖꯝ ꯑꯁꯤ ꯑꯋꯥꯠꯄꯥ ꯍꯣꯔꯃꯣꯅꯁꯤꯡ ꯑꯗꯨ ꯃꯄꯥꯟꯗꯥ ꯄꯤꯗꯨꯅꯥ ꯑꯃꯁꯨꯡ ꯏꯒꯤ ꯇꯦꯁ꯭ꯇꯀꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯂꯦꯚꯦꯂꯁꯤꯡ ꯑꯗꯨ ꯌꯦꯡꯁꯤꯟꯗꯨꯅꯥ ꯂꯥꯌꯦꯡꯏ꯫
ꯍꯥꯏꯄꯔꯄꯤꯇꯨꯏꯇꯥꯔꯤꯖꯝ꯫
ꯃꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯄꯤꯇꯨꯏꯇꯔꯤ ꯒ꯭ꯜꯌꯥꯟꯗꯅꯥ ꯍꯣꯔꯃꯣꯟ ꯑꯃꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯃꯗꯒꯤ ꯍꯦꯅꯕꯥ ꯌꯥꯝꯅꯥ ꯄꯨꯊꯣꯀꯄꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫ ꯃꯁꯤ ꯑꯌꯥꯝꯕꯗꯤ ꯐꯉ꯭ꯀꯁꯅꯦꯜ ꯄꯤꯇꯨꯏꯇꯔꯤ ꯑꯦꯗꯦꯅꯣꯃꯥ (ꯅꯟ-ꯀꯦꯟꯁꯔ ꯇꯤꯎꯃꯔ) ꯑꯃꯅꯥ ꯊꯣꯀꯍꯅꯕꯁꯨ ꯌꯥꯏ꯫
ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤꯒꯥ ꯃꯔꯤ ꯂꯩꯅꯕꯥ ꯑꯀꯛꯅꯕꯥ ꯂꯥꯌꯅꯥ ꯀꯌꯥ ꯂꯩ:
- ꯑꯦꯛꯔꯣꯃꯦꯒꯥꯂꯤ (Acromegaly): ꯃꯁꯤ ꯃꯤꯔꯣꯜꯂꯤꯉꯩ ꯃꯇꯃꯗꯥ ꯄꯤꯇꯨꯏꯇꯔꯤ ꯒ꯭ꯜꯌꯥꯟꯗꯅꯥ ꯒ꯭ꯔꯣꯊ ꯍꯣꯔꯃꯣꯟ (GH) ꯌꯥꯝꯅꯥ ꯄꯨꯊꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯊꯣꯀꯏ꯫ ꯃꯁꯤꯅꯥ ꯍꯀꯆꯥꯡꯒꯤ ꯑꯀꯛꯅꯕꯥ ꯁꯔꯨꯀꯁꯤꯡ, ꯍꯥꯌꯕꯗꯤ ꯈꯨꯠ, ꯈꯣꯡ, ꯑꯃꯁꯨꯡ/ꯅꯠꯠꯔꯒꯥ ꯃꯅꯨꯡꯒꯤ ꯑꯣꯏꯕꯥ ꯑꯣꯔꯒꯥꯅꯁꯤꯡ ꯑꯁꯤ ꯆꯥꯎꯈꯠꯂꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯃꯦꯇꯥꯕꯣꯂꯤꯛ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯃꯁꯤꯡ ꯊꯣꯀꯍꯜꯂꯤ꯫
- ꯖꯤꯒꯅꯇꯤꯖꯝ: ꯃꯁꯤ ꯑꯉꯥꯡ ꯑꯣꯏꯔꯤꯉꯩ ꯅꯠꯠꯔꯒꯥ ꯏꯅꯈꯠꯂꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯄꯤꯇꯨꯏꯇꯔꯤ ꯒ꯭ꯜꯌꯥꯟꯗꯅꯥ ꯒ꯭ꯔꯣꯊ ꯍꯣꯔꯃꯣꯟ (GH) ꯌꯥꯝꯅꯥ ꯄꯨꯊꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯊꯣꯀꯏ꯫ ꯃꯁꯤꯅꯥ ꯌꯥꯡꯅꯥ ꯆꯥꯎꯈꯠꯄꯥ ꯑꯃꯁꯨꯡ ꯌꯥꯝꯅꯥ ꯋꯥꯡꯅꯥ ꯋꯥꯡꯈꯠꯄꯥ ꯊꯣꯀꯍꯜꯂꯤ꯫
- ꯀꯨꯁꯤꯡꯒꯤ ꯂꯥꯌꯅꯥ: ꯃꯁꯤ ꯄꯤꯇꯨꯏꯇꯔꯤ ꯒ꯭ꯜꯌꯥꯟꯗꯅꯥ ACTH ꯌꯥꯝꯅꯥ ꯄꯨꯊꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ (ꯃꯁꯤꯅꯥ ꯑꯦꯗ꯭ꯔꯤꯅꯜ ꯒ꯭ꯜꯌꯥꯟꯗꯅꯥ ꯀꯣꯔꯇꯤꯁꯣꯜ ꯌꯥꯝꯅꯥ ꯄꯨꯊꯣꯀꯄꯥ ꯉꯃꯍꯜꯂꯤ) ꯊꯣꯀꯏ꯫ ꯃꯁꯤꯅꯥ ꯍꯀꯆꯥꯡꯒꯤ ꯑꯀꯛꯅꯕꯥ ꯃꯐꯝ ꯈꯔꯗꯥ ꯈꯪꯍꯧꯗꯅꯥ ꯑꯔꯨꯝꯕꯥ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ, ꯕ꯭ꯂꯗ ꯁꯨꯒꯔꯒꯤ ꯆꯥꯡ ꯋꯥꯡꯈꯠꯂꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯇꯥꯏꯞ 2 ꯗꯥꯏꯑꯦꯕꯦꯇꯤꯖ ꯐꯥꯎꯕꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫
- ꯍꯥꯌꯄꯔꯞꯔꯣꯂꯦꯛꯇꯤꯅꯦꯃꯤꯌꯥ: ꯃꯁꯤ ꯄꯤꯇꯨꯏꯇꯔꯤ ꯒ꯭ꯜꯌꯥꯟꯗꯅꯥ ꯄ꯭ꯔꯣꯂꯥꯛꯇꯤꯟ ꯌꯥꯝꯅꯥ ꯄꯨꯊꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯊꯣꯀꯏ꯫ ꯃꯁꯤꯅꯥ ꯃꯤꯔꯣꯅꯕꯥ ꯍꯟꯊꯍꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯌꯦꯅꯁꯤꯡꯗꯒꯤ ꯁꯉ꯭ꯒꯣꯝ ꯊꯣꯀꯄꯥ (galectorrhea) ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫
ꯏꯝꯄꯣꯔꯠ ꯁꯦꯜꯂꯥ ꯁꯤꯟꯗꯣꯝ꯫
ꯑꯦꯝꯞꯂꯤ ꯁꯦꯂꯥ ꯁꯤꯟꯗ꯭ꯔꯣꯝ (ESS) ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯊꯣꯀꯄꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫ ꯃꯁꯤ ꯄꯤꯇꯨꯏꯇꯔꯤ ꯒ꯭ꯜꯌꯥꯟꯗ ꯑꯗꯨ ꯀꯨꯄꯁꯤꯜꯂꯕꯥ ꯑꯃꯁꯨꯡ ꯉꯥꯀꯊꯣꯀꯄꯥ ꯉꯝꯕꯥ ꯁꯔꯨꯒꯤ ꯁ꯭ꯠꯔꯀꯆꯔꯗꯥ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯑꯃꯥ ꯂꯩꯕꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯂꯦꯡ-ꯑꯣꯠꯄꯗꯥ ꯁꯣꯀꯍꯜꯂꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯁꯣꯟꯊꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯊꯣꯀꯏ, ꯃꯗꯨꯕꯨ ꯁꯦꯂꯥ ꯇꯨꯔꯁꯤꯀꯥ ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ ꯁꯦꯂꯥ ꯇꯨꯔꯁꯤꯀꯥ ꯑꯁꯤ ꯁꯦꯗ꯭ꯌꯨꯜ ꯃꯑꯣꯡꯒꯤ ꯆꯦꯝꯕꯔ ꯑꯃꯅꯤ꯫ ꯃꯁꯤ "ꯇꯨꯔꯀꯤ ꯁꯤꯠ" ꯍꯥꯌꯕꯥ ꯂꯦꯇꯤꯟ ꯋꯥꯍꯩꯗꯒꯤ ꯂꯥꯀꯄꯅꯤ꯫
ꯏꯝꯄꯣꯔꯠ ꯁꯦꯜ ꯍꯥꯌꯕꯁꯤ ꯔꯦꯗꯤꯑꯣꯒ꯭ꯔꯥꯐꯤꯛ ꯗꯥꯏꯑꯦꯒ꯭ꯅꯣꯁꯤꯁ ꯑꯃꯅꯤ꯫ꯑꯌꯥꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯃꯁꯤ ꯇꯁꯦꯡꯕꯥ ꯃꯦꯗꯤꯀꯦꯜ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯥ ꯑꯣꯏꯗꯦ, ꯑꯃꯁꯨꯡ ꯁ꯭ꯀꯦꯟ ꯑꯃꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯊꯧꯗꯣꯛ ꯑꯃꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯈꯪꯗꯣꯀꯏ꯫
ꯀꯦꯁ ꯈꯔꯗꯗꯤ, ꯏ.ꯑꯦꯁ.ꯑꯦꯁ.ꯅꯥ ꯍꯣꯔꯃꯣꯅꯒꯤ ꯏꯃꯕꯦꯂꯦꯟꯁ, ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯃꯀꯣꯛ ꯁꯣꯀꯄꯥ, ꯑꯃꯁꯨꯡ ꯃꯤꯠ ꯎꯗꯕꯥ ꯑꯁꯤꯅꯆꯤꯡꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯄꯤꯇꯨꯏꯇꯔꯤ ꯍꯣꯔꯃꯣꯅꯒꯤ ꯆꯥꯡ ꯑꯁꯤ ꯅꯣꯔꯃꯦꯜ ꯔꯦꯟꯖꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯂꯩꯔꯕꯗꯤ, ꯃꯁꯤ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯑꯃꯠꯇꯥ ꯂꯩꯇꯦ꯫
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯄꯤꯇꯨꯏꯇꯔꯤ ꯒ꯭ꯜꯌꯥꯟꯗꯇꯥ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯂꯩꯔꯕꯗꯤ ꯀꯔꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯊꯣꯛꯀꯗꯒꯦ?
ꯑꯆꯧꯕꯥ ꯄꯤꯇꯨꯏꯇꯔꯤ ꯑꯦꯗꯦꯅꯣꯃꯥꯁꯤꯡ (ꯃꯁꯤ ꯅꯟ-ꯀꯦꯟꯁꯔ ꯇꯤꯎꯃꯔꯁꯤꯡꯅꯤ)ꯅꯥ ꯃꯅꯥꯛ ꯅꯀꯄꯥ ꯇꯤꯁꯨꯁꯤꯡꯗꯥ ꯁꯣꯀꯍꯅꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯃꯥꯡꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯅꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤꯅꯆꯤꯡꯕꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ:
- ꯃꯤꯠ ꯎꯗꯕꯒꯤ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯃꯁꯤꯡ (ꯄꯦꯔꯤꯐꯦꯔꯦꯜ ꯚꯤꯖꯟ ꯃꯥꯡꯈꯤꯕꯒꯨꯝꯕꯥ)
- ꯀꯣꯛ ꯆꯤꯛꯄ
- ꯄꯤꯇꯨꯏꯇꯔꯤ ꯍꯣꯔꯃꯣꯅꯁꯤꯡ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯍꯟꯊꯔꯀꯄꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯍꯣꯔꯃꯣꯅꯒꯤ ꯏꯃꯕꯦꯂꯦꯟꯁ ꯂꯩꯕꯥ꯫
ꯄꯤꯇꯨꯏꯇꯔꯤ ꯍꯣꯔꯃꯣꯟ ꯏꯃꯕꯦꯂꯦꯟꯁꯅꯥ ꯁꯣꯀꯍꯜꯂꯕꯥ ꯍꯣꯔꯃꯣꯟ ꯑꯗꯨꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ ꯃꯈꯜ ꯀꯌꯥꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯈꯨꯗꯝ ꯈꯔꯗꯤ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤ:
- ꯑꯉꯥꯡꯁꯤꯡꯗꯥ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯍꯦꯟꯅꯥ ꯆꯥꯎꯈꯠꯄꯥ꯫
- ꯅꯨꯄꯤ ꯑꯃꯁꯨꯡ ꯅꯨꯄꯥꯁꯤꯡꯗꯥ ꯃꯤꯔꯣꯅꯕꯥ ꯍꯟꯊꯔꯀꯄꯥ (Infertility)
- ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯊꯥꯒꯤ ꯈꯣꯡꯀꯥꯞ ꯊꯣꯀꯄꯥ꯫
- ꯃꯔꯝ ꯑꯃꯠꯇꯥ ꯂꯩꯇꯅꯥ ꯑꯔꯨꯝꯕꯥ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯍꯟꯊꯕꯥ꯫
- ꯗꯤꯞꯔꯦꯁꯟ ꯑꯃꯁꯨꯡ/ꯅꯠꯠꯔꯒꯥ ꯑꯦꯟꯁꯤꯇꯤ ꯂꯩꯕꯥ꯫
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯅꯧꯕꯥ, ꯂꯦꯡ-ꯑꯣꯠꯄꯒꯤ ꯂꯥꯏꯑꯣꯡ ꯑꯃꯥ ꯂꯩꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯁꯣꯌꯗꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫ ꯃꯈꯣꯌꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯗꯨ ꯍꯣꯔꯃꯣꯅꯒꯤ ꯏꯁꯨ ꯑꯃꯅꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯇꯩ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯃꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯑꯣꯏꯔꯀꯄꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯈꯪꯗꯣꯛꯅꯕꯥ ꯏꯆꯝ ꯆꯝꯕꯥ ꯕ꯭ꯂꯗ ꯇꯦꯁ꯭ꯇꯁꯤꯡꯒꯨꯝꯕꯥ ꯊꯕꯀꯁꯤꯡ ꯇꯧꯕꯥ ꯌꯥꯏ꯫
ꯑꯁꯤꯒꯨꯝꯕꯥ ꯁꯃꯁ꯭ꯌꯥ ꯑꯃꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯑꯩꯈꯣꯌꯅꯥ ꯀꯅꯥꯗꯥ ꯍꯥꯌꯒꯗꯒꯦ?
ꯄꯤꯇꯨꯏꯇꯔꯤ ꯒ꯭ꯜꯌꯥꯟꯗꯒꯤ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯃꯁꯤꯡ ꯑꯁꯤ ꯃꯍꯧꯁꯥꯅꯥ ꯑꯦꯟꯗꯣꯛꯔꯥꯏꯅꯣꯂꯣꯖꯤꯁ꯭ꯇꯁꯤꯡꯅꯥ ꯂꯥꯌꯦꯡꯏ .
ꯑꯦꯟꯗꯣꯛꯔꯥꯏꯅꯣꯂꯣꯖꯤꯁ꯭ꯠ ꯍꯥꯌꯕꯁꯤ ꯍꯣꯔꯃꯣꯅꯒꯥ ꯃꯔꯤ ꯂꯩꯅꯕꯥ ꯂꯥꯌꯅꯥꯁꯤꯡꯗꯥ ꯑꯈꯟꯅꯕꯥ ꯃꯤꯠꯌꯦꯡ ꯆꯪꯕꯥ ꯗꯣꯛꯇꯔ ꯑꯃꯅꯤ꯫ ꯃꯍꯥꯛꯅꯥ ꯑꯦꯟꯗꯣꯛꯔꯥꯏꯟ (ꯍꯣꯔꯃꯣꯟ) ꯂꯥꯌꯅꯥꯁꯤꯡ ꯈꯪꯗꯣꯀꯄꯥ ꯌꯥꯏ, ꯂꯥꯏꯌꯦꯡ ꯑꯃꯁꯨꯡ ꯃꯦꯅꯦꯖꯃꯦꯟꯇ ꯄ꯭ꯂꯥꯅꯁꯤꯡ ꯁꯦꯝꯕꯥ ꯌꯥꯏ ꯑꯃꯁꯨꯡ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ ꯄꯤꯕꯥ ꯌꯥꯏ꯫
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯕ꯭ꯔꯦꯅꯒꯤ ꯁ꯭ꯠꯔꯀꯆꯔꯁꯤꯡꯗꯥ ꯁꯣꯀꯍꯜꯂꯤꯕꯥ ꯑꯃꯁꯨꯡ/ꯅꯠꯠꯔꯒꯥ ꯁꯔꯖꯔꯤꯒꯤ ꯃꯊꯧ ꯇꯥꯕꯥ ꯄꯤꯇꯨꯏꯇꯔꯤ ꯒ꯭ꯜꯌꯥꯟꯗ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯑꯃꯥ ꯂꯩꯔꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯅ꯭ꯌꯨꯔꯣꯁꯔꯖꯔꯤ ꯑꯃꯒꯥ ꯇꯥꯟꯅꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯏ꯫
ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯄꯤꯇꯨꯏꯇꯔꯤ ꯒ꯭ꯜꯌꯥꯟꯗꯒꯤ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯃꯁꯤꯡ ꯀꯔꯝꯅꯥ ꯈꯪꯗꯣꯀꯄꯒꯦ?
ꯅꯍꯥꯛꯀꯤ ꯄꯤꯇꯨꯏꯇꯔꯤ ꯒ꯭ꯜꯌꯥꯟꯗꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯏꯗꯥ ꯍꯀꯊꯦꯡꯅꯅꯥ ꯍꯣꯔꯃꯣꯅꯁꯤꯡ ꯊꯥꯗꯣꯀꯄꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ, ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯑꯌꯥꯝꯕꯅꯥ ꯏꯒꯤ ꯇꯦꯁ꯭ꯇꯀꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯄꯤꯇꯨꯏꯇꯔꯤ ꯍꯣꯔꯃꯣꯅꯒꯤ ꯆꯥꯡ ꯑꯗꯨ ꯂꯦꯄꯊꯣꯀꯏ .
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯣꯔꯃꯣꯅꯒꯤ ꯆꯥꯡ ꯑꯗꯨ ꯔꯤꯒꯨꯂꯔ ꯑꯣꯏꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯄꯤꯇꯨꯏꯇꯔꯤ ꯒ꯭ꯜꯌꯥꯟꯗꯇꯥ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯑꯃꯥ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯅꯕꯒꯤꯗꯃꯛ ꯏꯃꯦꯖꯤꯡ ꯇꯦꯁ꯭ꯇꯁꯤꯡ, ꯍꯥꯌꯕꯗꯤ ꯁꯤ.ꯇꯤ.ꯁ꯭ꯀꯦꯟ ꯅꯠꯠꯔꯒꯥ ꯑꯦꯝ.ꯑꯥꯔ.ꯑꯥꯏ. ꯃꯍꯧꯁꯥꯅꯥ, ꯄꯤꯇꯨꯏꯇꯔꯤ ꯒ꯭ꯜꯌꯥꯟꯗ ꯑꯃꯁꯨꯡ ꯃꯁꯤꯒꯤ ꯁ꯭ꯇꯣꯜ ꯑꯗꯨ ꯃꯌꯦꯛ ꯁꯦꯡꯅꯥ ꯎꯕꯥ ꯐꯪꯅꯕꯥ ꯑꯈꯟꯅꯕꯥ ꯄꯤꯇꯨꯏꯇꯔꯤ ꯑꯦꯝ.ꯑꯥꯔ.ꯑꯥꯏ.
ꯑꯩꯈꯣꯌꯒꯤ ꯄꯤꯇꯨꯏꯇꯔꯤ ꯒ꯭ꯜꯌꯥꯟꯗ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯍꯀꯆꯥꯡ ꯐꯅꯥ ꯊꯃꯒꯅꯤ?
ꯅꯍꯥꯛꯀꯤ ꯄꯤꯇꯨꯏꯇꯔꯤ ꯒ꯭ꯜꯌꯥꯟꯗ ꯑꯗꯨ ꯍꯀꯁꯦꯜ ꯐꯅꯥ ꯊꯝꯅꯕꯒꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯥ ꯄꯥꯝꯕꯩꯗꯤ ꯅꯍꯥꯛꯀꯤ ꯃꯀꯣꯛ ꯑꯗꯨ ꯉꯥꯀꯊꯣꯀꯄꯅꯤ꯫ ꯍꯦꯗ ꯏꯅꯖꯨꯔꯤꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯇ꯭ꯔꯣꯃꯥꯇꯤꯛ ꯕ꯭ꯔꯦꯟ ꯏꯅꯖꯨꯔꯤꯁꯤꯡ (TBIs)ꯃꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯄꯤꯇꯨꯏꯇꯔꯤ ꯒ꯭ꯜꯌꯥꯟꯗꯇꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ, ꯃꯗꯨꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯍꯣꯔꯃꯣꯟ ꯌꯥꯝꯅꯥ ꯅꯠꯠꯔꯒꯥ ꯌꯥꯝꯅꯥ ꯅꯦꯝꯅꯥ ꯄꯨꯊꯣꯀꯄꯥ ꯉꯝꯃꯤ꯫
ꯃꯀꯣꯛ ꯑꯃꯁꯨꯡ ꯕ꯭ꯔꯦꯅꯒꯤ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯤꯡꯅꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯇꯧꯕꯥ ꯌꯥꯕꯥ ꯊꯕꯛ ꯈꯔꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤ:
- ꯒꯥꯔꯤ ꯑꯃꯗꯥ ꯂꯩꯕꯥ ꯃꯇꯝ ꯈꯨꯗꯤꯡꯗꯥ ꯁꯤꯠ ꯕꯦꯜꯇ ꯑꯃꯥ ꯁꯤꯖꯤꯟꯅꯧ꯫
- ꯁꯥꯐꯅꯥ ꯊꯧꯕꯥ꯫
- ꯁꯥꯏꯀꯜ, ꯃꯣꯇꯣꯔꯁꯥꯏꯀꯜ ꯅꯠꯠꯔꯒꯥ ꯀꯟꯇꯦꯛꯇ ꯌꯥꯎꯕꯥ ꯁꯥꯟꯅꯄꯣꯠꯁꯤꯡ ꯁꯥꯟꯅꯕꯥ ꯃꯇꯃꯗꯥ ꯍꯦꯂꯃꯦꯠ ꯑꯃꯥ ꯁꯤꯖꯤꯟꯅꯧ꯫
- ꯃꯔꯨꯑꯣꯏꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯁꯣꯀꯄꯒꯤ ꯔꯤꯁ꯭ꯛ ꯌꯥꯝꯅꯥ ꯂꯩꯔꯕꯗꯤ, ꯁꯣꯀꯄꯥ ꯊꯤꯡꯅꯕꯥ ꯈꯣꯡꯊꯥꯡꯁꯤꯡ ꯂꯧꯈꯠꯀꯗꯕꯅꯤ꯫ ꯃꯁꯤꯗꯥ ꯄꯥꯉ꯭ꯒꯜ ꯑꯃꯁꯨꯡ ꯕꯦꯂꯦꯟꯁ ꯍꯦꯅꯒꯠꯍꯅꯕꯥ ꯉꯝꯕꯥ ꯑꯦꯛꯁꯔꯁꯥꯏꯖꯁꯤꯡ, ꯅꯍꯥꯛꯀꯤ ꯌꯨꯃꯗꯥ ꯂꯩꯔꯤꯕꯥ ꯑꯀꯥꯌ-ꯑꯇꯣꯌꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯂꯦꯡ-ꯑꯣꯠꯄꯒꯤ ꯄꯣꯠꯁꯀꯁꯤꯡ ꯂꯧꯊꯣꯀꯄꯥ, ꯈꯣꯡꯅꯥ ꯆꯠꯄꯒꯤ ꯃꯇꯦꯡ ꯑꯃꯥ ꯁꯤꯖꯤꯟꯅꯕꯥ, ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯃꯤꯠ ꯎꯗꯕꯥ ꯌꯦꯡꯁꯤꯅꯕꯥ ꯑꯁꯤ ꯌꯥꯎꯏ꯫
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯄꯤꯀꯄꯥ ꯑꯉꯥꯡꯁꯤꯡ ꯂꯩꯔꯕꯗꯤ, ꯃꯈꯣꯌꯅꯥ ꯂꯩꯔꯤꯕꯥ ꯑꯃꯁꯨꯡ ꯁꯥꯟꯅꯔꯤꯕꯥ ꯃꯐꯃꯁꯤꯡ ꯑꯗꯨ ꯁꯥꯐꯕꯥ ꯑꯣꯏꯍꯅꯒꯗꯕꯅꯤ꯫
ꯄꯤꯇꯨꯏꯇꯔꯤ ꯒ꯭ꯜꯌꯥꯟꯗꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯀꯗꯥꯏꯗꯥ ꯗꯣꯛꯇꯔꯒꯥ ꯇꯥꯟꯅꯒꯗꯒꯦ?
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯄꯤꯇꯨꯏꯇꯔꯤ ꯑꯦꯗꯦꯅꯣꯃꯥꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯃꯁꯨꯡ/ꯅꯠꯠꯔꯒꯥ ꯍꯣꯔꯃꯣꯅꯒꯤ ꯏꯃꯕꯦꯂꯦꯟꯁꯀꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯂꯩꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯕꯥ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫ ꯃꯈꯣꯌꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯄꯤꯇꯨꯏꯇꯔꯤ ꯒ꯭ꯜꯌꯥꯟꯗꯇꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯅꯕꯒꯤꯗꯃꯛ ꯇꯦꯁ꯭ꯠ ꯈꯔꯥ ꯇꯧꯕꯥ ꯌꯥꯏ꯫
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯍꯟꯗꯛꯇꯥ ꯕ꯭ꯔꯦꯅꯗꯥ ꯁꯥꯊꯤꯕꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ (Traumatic Brain Injury - TBI) ꯑꯃꯥ ꯊꯦꯡꯅꯔꯕꯗꯤ , ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯄꯤꯇꯨꯏꯇꯔꯤ ꯒ꯭ꯜꯌꯥꯟꯗ ꯑꯗꯨꯒꯤ ꯐꯉ꯭ꯀꯁꯟ ꯑꯗꯨ ꯌꯦꯡꯁꯤꯟꯗꯨꯅꯥ ꯃꯗꯨ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯊꯕꯛ ꯇꯧꯔꯤꯕ꯭ꯔꯥ ꯑꯃꯁꯨꯡ ꯃꯗꯨ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯑꯗꯨꯅꯥ ꯁꯣꯀꯍꯜꯂꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯁꯤꯅꯕꯥ ꯌꯥꯏ꯫
ꯈꯪꯖꯤꯅꯒꯗꯕꯥ ꯑꯃꯅꯥ, ꯃꯐꯃꯁꯤꯗꯥ ꯑꯩꯈꯣꯌꯅꯥ ꯅꯤꯡꯁꯤꯡꯒꯗꯕꯥ ꯋꯥꯐꯃꯁꯤꯡ (ꯇꯦꯛ-ꯍꯣꯝ ꯃꯦꯁꯦꯖ) ꯌꯥꯑꯣꯔꯤ:
ꯅꯍꯥꯛꯀꯤ ꯄꯤꯇꯨꯏꯇꯔꯤ ꯒ꯭ꯜꯌꯥꯟꯗ ꯑꯁꯤ ꯇꯁꯦꯡꯅꯥ ꯑꯄꯤꯀꯄꯥ, ꯑꯗꯨꯕꯨ ꯁꯛꯇꯤ ꯂꯩꯕꯥ ꯒ꯭ꯜꯌꯥꯟꯗ ꯑꯃꯅꯤ ꯑꯃꯁꯨꯡ ꯃꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡ ꯄꯨꯝꯅꯃꯛꯇꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯊꯧꯑꯣꯡ ꯀꯌꯥ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯏ! ꯃꯁꯤ ꯈꯔꯥ ‘ꯕꯣꯁ’ ꯑꯃꯒꯨꯝꯕꯅꯤ꯫
ꯃꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯒ꯭ꯔꯣꯊ, ꯗꯥꯏꯖꯦꯁꯟ, ꯐꯔꯇꯤꯂꯥꯏꯖꯔ, ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯅꯥ ꯁ꯭ꯠꯔꯦꯁ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯊꯦꯡꯅꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯌꯥꯎꯅꯥ ꯄꯣꯠꯁꯛ ꯀꯌꯥ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯥ ꯍꯣꯔꯃꯣꯅꯁꯤꯡ ꯄꯨꯊꯣꯀꯏ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ, ꯑꯄꯤꯀꯄꯥ ꯒ꯭ꯜꯌꯥꯟꯗ ꯑꯁꯤ ꯍꯀꯆꯥꯡ ꯐꯅꯥ ꯊꯝꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫
- ꯅꯍꯥꯛꯀꯤ ꯃꯀꯣꯛ ꯑꯗꯨ ꯌꯦꯡꯁꯤꯜꯂꯨ: ꯍꯦꯂꯃꯦꯠ ꯑꯃꯥ ꯁꯤꯖꯤꯟꯅꯧ, ꯁꯥꯐꯅꯥ ꯂꯩꯌꯨ꯫
- ꯑꯆꯝꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯈꯪꯖꯤꯅꯕꯤꯌꯨ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯦꯞꯇꯅꯥ ꯃꯀꯣꯛ ꯁꯣꯀꯄꯥ, ꯃꯤꯠ ꯎꯗꯕꯒꯤ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯂꯩꯕꯥ, ꯈꯪꯍꯧꯗꯅꯥ ꯑꯔꯨꯝꯕꯥ ꯍꯣꯡꯂꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯌꯥꯝꯅꯥ ꯋꯥꯅꯥ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯂꯩꯔꯕꯗꯤ ꯗꯣꯛꯇꯔ ꯑꯃꯗꯥ ꯍꯥꯌꯌꯨ꯫
- ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯂꯩꯔꯣꯏꯗꯕꯅꯤ: ꯑꯌꯥꯝꯕꯥ ꯄꯤꯇꯨꯏꯇꯔꯤ ꯒ꯭ꯜꯌꯥꯟꯗꯒꯤ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯃꯁꯤꯡ ꯑꯁꯤ ꯑꯐꯕꯥ ꯂꯥꯏꯌꯦꯡ ꯂꯩ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯇꯣꯌꯅꯥ ꯈꯪꯗꯣꯛꯂꯕꯗꯤ ꯃꯈꯣꯌ ꯑꯁꯤ ꯐꯖꯅꯥ ꯃꯦꯅꯦꯖ ꯇꯧꯕꯥ ꯌꯥꯏ꯫
ꯍꯧꯖꯤꯛ ꯑꯗꯣꯝꯅꯥ ꯑꯗꯣꯃꯒꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯑꯉꯀꯄꯥ ꯑꯄꯤꯀꯄꯥ ꯁꯔꯨꯛ ꯑꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯌꯥꯝꯅꯥ ꯈꯉꯂꯦ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯋꯥꯍꯪꯁꯤꯡ ꯅꯠꯠꯔꯒꯥ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯑꯃꯠꯇꯥ ꯂꯩꯔꯕꯗꯤ, ꯗꯣꯛꯇꯔ ꯑꯃꯒꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯕꯗꯥ ꯀꯩꯗꯧꯉꯩꯗꯥ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯂꯩꯔꯣꯏꯗꯕꯅꯤ꯫ ꯍꯀꯆꯥꯡ ꯐꯅꯥ ꯂꯩꯌꯨ!
` ꯄꯤꯇꯨꯏꯇꯔꯤ ꯒ꯭ꯜꯌꯥꯟꯗ, ꯍꯣꯔꯃꯣꯟ, ꯕ꯭ꯔꯦꯟ, ꯑꯦꯟꯗꯣꯛꯔꯥꯏꯟ ꯁꯤꯁ꯭ꯇꯦꯝ, ꯄꯤꯇꯨꯏꯇꯔꯤ ꯂꯥꯌꯅꯥ, ꯍꯥꯏꯄꯣꯊꯦꯂꯥꯃꯥꯁ, ꯒ꯭ꯔꯣꯊ ꯍꯣꯔꯃꯣꯟ꯫
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