ꯅꯍꯥꯛꯀꯤ ꯀꯤꯗꯅꯤꯁꯤꯡ ꯑꯗꯨ ꯍꯀꯆꯥꯡ ꯐꯅꯥ ꯂꯩꯕ꯭ꯔꯥ? ꯀꯤꯗꯅꯤ ꯐꯉ꯭ꯀꯁꯟ ꯇꯦꯁ꯭ꯇꯁꯤꯡꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯏꯆꯝ ꯆꯝꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯈꯉꯂꯁꯤ!

ꯑꯩꯈꯣꯌꯒꯤ ꯀꯤꯗꯅꯤ ꯑꯁꯤ ꯐꯤꯜꯇꯔ ꯑꯃꯒꯨꯝꯅꯥ ꯂꯩꯕꯔꯥ ꯍꯥꯌꯅꯥ ꯑꯗꯣꯝꯅꯥ ꯈꯅꯕꯤꯔꯝꯂꯕꯔꯥ? ꯍꯣꯌ, ꯃꯁꯤ ꯑꯆꯨꯝꯕꯅꯤ꯫ ꯀꯤꯗꯅꯤ ꯑꯅꯤ ꯑꯁꯤꯅꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯗꯒꯤ ꯑꯃꯣꯠꯄꯥ ꯂꯧꯊꯣꯛꯇꯨꯅꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯕꯨ ꯍꯀꯆꯥꯡ ꯐꯅꯥ ꯊꯝꯅꯕꯒꯤ ꯑꯆꯧꯕꯥ ꯊꯕꯛ ꯑꯃꯥ ꯇꯧꯏ꯫ ꯑꯗꯨꯅꯥ, ꯉꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯃꯁꯤꯒꯤ ꯀꯤꯗꯅꯤꯁꯤꯡ ꯑꯁꯤ ꯃꯇꯤꯛ ꯆꯥꯅꯥ ꯊꯕꯛ ꯇꯧꯔꯤꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯥ ꯈꯉꯅꯕꯥ ꯇꯧꯔꯤꯕꯥ ꯇꯦꯁ꯭ꯇꯁꯤꯡꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯔꯤ꯫ ꯑꯩꯈꯣꯌꯅꯥ ꯃꯁꯤꯕꯨ ꯀꯤꯗꯅꯤ ꯐꯉ꯭ꯀꯁꯟ ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯍꯥꯌꯅꯥ ꯀꯧꯏ, ꯅꯠꯔꯒꯥ ꯏꯪꯂꯤꯁꯇꯥ `(ꯀꯤꯗꯅꯤ ꯐꯉ꯭ꯀꯁꯟ ꯇꯦꯁ꯭ꯇꯁꯤꯡ)` ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯃꯁꯤꯕꯨ `(ꯔꯦꯅꯥꯜ ꯐꯉ꯭ꯀꯁꯟ ꯇꯦꯁ꯭ꯠ)` ꯍꯥꯌꯅꯥꯁꯨ ꯀꯧꯏ꯫ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯂꯩꯔꯣꯏꯗꯕꯅꯤ, ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯂꯥꯏꯕꯛ ꯐꯕꯅꯤ꯫ ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯤꯅꯣ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯁꯤ꯫

ꯀꯤꯗꯅꯤ ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ? ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯃꯈꯣꯌꯒꯤ ꯊꯧꯗꯥꯡ ꯀꯔꯤꯅꯣ?

ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯀꯤꯗꯅꯤ ꯑꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯌꯨꯔꯤꯅꯔꯤ ꯁꯤꯁ꯭ꯇꯦꯃꯒꯤ ꯁꯔꯨꯛ ꯑꯃꯅꯤ꯫ ꯑꯌꯥꯝꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯗꯥ ꯀꯤꯗꯅꯤ ꯑꯅꯤ ꯂꯩ꯫ ꯃꯈꯣꯌ ꯑꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯈꯣꯡꯒꯤ ꯃꯇꯨꯡꯗꯥ, ꯑꯩꯈꯣꯌꯒꯤ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗꯀꯤ ꯅꯥꯀꯜ ꯑꯃꯗꯥ, ꯑꯩꯈꯣꯌꯒꯤ ꯔꯤꯕ ꯀꯦꯖꯒꯤ ꯃꯈꯥꯗꯥ ꯂꯩ꯫ ꯃꯈꯣꯌ ꯑꯁꯤ ꯕꯤꯟ ꯄꯣꯗ ꯑꯅꯤꯒꯨꯝꯅꯥ ꯃꯑꯣꯡ ꯁꯦꯝꯃꯤ꯫

ꯑꯄꯤꯀꯄꯥ ꯑꯣꯔꯒꯥꯟ ꯑꯅꯤ ꯑꯁꯤꯅꯥ ꯇꯧꯔꯤꯕꯥ ꯊꯕꯛ ꯑꯁꯤ ꯑꯉꯀꯄꯅꯤ꯫ ꯈꯟꯗꯨꯅꯥ ꯌꯦꯡꯕꯤꯌꯨ:

• ꯑꯃꯣꯠꯄꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ ꯐꯤꯜꯇꯔ ꯇꯧꯕꯥ: ꯃꯁꯤꯅꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯏꯗꯥ ꯂꯩꯔꯤꯕꯥ ꯑꯄꯥꯝꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯑꯃꯣꯠꯄꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ ꯐꯤꯜꯇꯔ ꯇꯧꯗꯨꯅꯥ ꯍꯀꯆꯥꯡꯗꯒꯤ ꯌꯨꯔꯤꯟ ꯑꯣꯏꯅꯥ ꯂꯧꯊꯣꯀꯄꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫ ꯃꯁꯤꯒꯤ ꯐꯤꯜꯇꯔ ꯇꯧꯕꯒꯤ ꯊꯕꯛ ꯑꯁꯤ ꯃꯔꯨꯑꯣꯏꯅꯥ ꯀꯤꯗꯅꯤꯗꯥ ꯂꯩꯕꯥ `(ꯒ꯭ꯂꯣꯃꯦꯔꯨꯂꯤ)` ꯀꯧꯕꯥ ꯑꯄꯤꯀꯄꯥ ꯐꯤꯜꯇꯔꯁꯤꯡꯅꯥ ꯇꯧꯏ꯫
• ꯍꯀꯆꯥꯡꯗꯥ ꯐ꯭ꯂꯨꯏꯗ ꯑꯃꯁꯨꯡ ꯁꯣꯜꯇ ꯕꯦꯂꯦꯟꯁ: ꯀꯤꯗꯅꯤꯁꯤꯡꯅꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯏꯁꯤꯡꯒꯤ ꯆꯥꯡ ꯆꯨꯝꯅꯥ ꯊꯝꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ, ꯃꯁꯤꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯁꯣꯗꯤꯌꯝ ꯑꯃꯁꯨꯡ ꯄꯣꯇꯥꯁꯤꯌꯃꯒꯨꯝꯕꯥ ꯇꯉꯥꯏꯐꯗꯕꯥ ꯁꯣꯜꯇꯁꯤꯡ (ꯏꯂꯦꯛꯠꯔꯣꯂꯥꯏꯠꯁꯤꯡ) ꯊꯝꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫
• ꯍꯣꯔꯃꯣꯟ ꯄꯨꯊꯣꯀꯄꯥ: ꯱.
• ꯃꯁꯤꯅꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯥ ꯍꯣꯔꯃꯣꯅꯁꯤꯡ ꯄꯨꯊꯣꯀꯏ꯫
• ꯀꯤꯗꯅꯤꯁꯤꯡꯅꯥ ``ꯏꯔꯤꯊ꯭ꯔꯣꯄꯣꯏꯇꯤꯟ'' ꯀꯧꯕꯥ ꯍꯣꯔꯃꯣꯟ ꯑꯃꯥ ꯄꯨꯊꯣꯀꯏ, ꯃꯗꯨꯅꯥ ꯔꯦꯗ ꯕ꯭ꯂꯗ ꯁꯦꯂꯁꯤꯡ ꯄꯨꯊꯣꯀꯄꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫ ꯔꯦꯗ ꯕ꯭ꯂꯗ ꯁꯦꯂꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯍꯀꯆꯥꯡ ꯄꯨꯝꯕꯗꯥ ꯑꯣꯛꯁꯤꯖꯦꯟ ꯄꯨꯗꯨꯅꯥ ꯆꯠꯂꯤ꯫
• ꯀꯤꯗꯅꯤꯁꯤꯡꯅꯥ ꯚꯤꯇꯥꯃꯤꯟ D ꯑꯦꯛꯇꯤꯚ ꯑꯣꯏꯍꯅꯕꯗꯁꯨ ꯃꯇꯦꯡ ꯄꯥꯡꯏ, ꯃꯗꯨꯅꯥ ꯁꯔꯨ ꯑꯃꯁꯨꯡ ꯃꯁꯂꯁꯤꯡꯕꯨ ꯍꯀꯆꯥꯡ ꯐꯅꯥ ꯊꯝꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫

ꯑꯗꯣꯝꯅꯥ ꯎꯕꯤꯔꯃꯒꯅꯤ, ꯑꯄꯤꯀꯄꯥ ꯑꯣꯏꯔꯕꯁꯨ, ꯀꯤꯗꯅꯤꯅꯥ ꯑꯆꯧꯕꯥ ꯊꯕꯛ ꯑꯃꯥ ꯇꯧꯏ!

ꯀꯔꯤꯒꯤꯗꯃꯛꯇꯥ ꯑꯩꯈꯣꯌꯅꯥ ꯀꯤꯗꯅꯤ ꯐꯉ꯭ꯀꯁꯟ ꯇꯦꯁ꯭ꯠ ꯇꯧꯕꯥ ꯇꯥꯕꯅꯣ?

ꯂꯥꯌꯅꯥ ꯈꯔꯗꯤ ꯂꯩ, ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯗꯥꯏꯑꯦꯕꯦꯇꯤꯖ ꯅꯠꯠꯔꯒꯥ ꯍꯥꯏ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ, ꯃꯗꯨꯅꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯀꯤꯗꯅꯤꯒꯤ ꯐꯉ꯭ꯀꯁꯅꯗꯥ ꯑꯀꯥꯌꯕꯥ ꯄꯤꯕꯥ ꯌꯥꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯥ ꯂꯩꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯀꯤꯗꯅꯤꯒꯤ ꯍꯀꯁꯦꯜ ꯌꯦꯡꯁꯤꯟꯅꯕꯥ ꯀꯤꯗꯅꯤ ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯑꯁꯤ ꯔꯤꯀꯃꯦꯟꯗ ꯇꯧꯕꯥ ꯌꯥꯏ꯫

ꯃꯁꯤꯗꯁꯨ ꯅꯠꯇꯅꯥ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯀꯤꯗꯅꯤꯒꯤ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯑꯃꯥ ꯂꯩꯔꯦ ꯍꯥꯌꯕꯥ ꯇꯥꯀꯄꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯂꯩꯔꯕꯗꯤ, ꯅꯍꯥꯀꯄꯨ ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯑꯁꯤ ꯇꯧꯅꯕꯥ ꯍꯥꯌꯕꯁꯨ ꯌꯥꯏ꯫ ꯍꯥꯌꯔꯤꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯤꯅꯣ?

• ꯌꯨꯔꯤꯅꯗꯥ ꯏ ꯊꯣꯀꯄꯥ (Hematuria) .
• ꯐꯣꯝ ꯌꯥꯎꯕꯥ ꯌꯨꯔꯤꯟ (ꯃꯁꯤꯅꯥ ꯄ꯭ꯔꯣꯇꯤꯟ ꯌꯨꯔꯤꯌꯥꯒꯤ ꯃꯑꯣꯡ-ꯃꯇꯧ ꯇꯥꯀꯄꯥ ꯌꯥꯏ)
• ꯌꯨꯔꯤꯟ ꯇꯧꯕꯥ ꯃꯇꯃꯗꯥ ꯑꯅꯥꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯃꯩꯅꯥ ꯆꯥꯀꯄꯥ (Dysuria)
• ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯌꯨꯔꯤꯟ ꯇꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯥ꯫
• ꯑꯣꯂꯤꯒꯨꯔꯤꯌꯥ (ꯃꯈꯥ ꯇꯥꯅꯥ ꯌꯨꯔꯤꯟ ꯊꯥꯗꯣꯀꯄꯥ)
• ꯌꯨꯔꯤꯟ ꯍꯧꯕꯥ ꯃꯇꯃꯗꯥ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯐꯥꯎꯕꯥ꯫
• ꯍꯀꯆꯥꯡ, ꯃꯔꯨꯑꯣꯏꯅꯥ ꯈꯨꯠ, ꯈꯣꯡ ꯑꯃꯁꯨꯡ ꯈꯣꯡꯗꯥ ꯁꯣꯀꯄꯥ (Edema) .
• ꯌꯥꯝꯅꯥ ꯋꯥꯅꯥ ꯊꯣꯀꯄꯥ (Fatigue) .
• ꯅꯣꯡꯃꯩ ꯀꯥꯞꯄꯥ ꯑꯃꯁꯨꯡ ꯈꯣꯡ ꯍꯥꯝꯕꯥ꯫
• ꯆꯥꯅꯤꯡꯕ ꯊꯛꯅꯤꯡꯕ ꯐꯥꯎꯕ

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯃꯗꯒꯤ ꯍꯦꯅꯕꯥ ꯂꯩꯔꯕꯗꯤ, ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯄꯥꯎꯇꯥꯛ ꯂꯧꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯩ꯫

ꯀꯤꯗꯅꯤꯒꯤ ꯐꯉ꯭ꯀꯁꯟ ꯇꯦꯁ꯭ꯠ ꯃꯈꯂꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯤꯅꯣ?

ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯇꯦꯁ꯭ꯠ ꯑꯃꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯃꯗꯒꯤ ꯍꯦꯅꯕꯥ ꯔꯦꯀꯃꯦꯟꯗ ꯇꯧꯕꯥ ꯌꯥꯏ꯫ ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯀꯦꯇꯦꯒꯣꯔꯤ ꯑꯅꯤꯗꯥ ꯈꯥꯌꯗꯣꯀꯄꯥ ꯌꯥꯏ: ꯕ꯭ꯂꯗ ꯇꯦꯁ꯭ꯠ ꯑꯃꯁꯨꯡ ꯌꯨꯔꯤꯟ ꯇꯦꯁ꯭ꯠ꯫

ꯕ꯭ꯂꯗ ꯇꯦꯁ꯭ꯠ ꯇꯧꯕꯥ꯫

ꯃꯁꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯀꯃꯟ ꯑꯣꯏꯅꯥ ꯄꯥꯡꯊꯣꯀꯄꯥ ꯕ꯭ꯂꯗ ꯇꯦꯁ꯭ꯠ ꯈꯔꯅꯤ:

• ꯕ꯭ꯂꯗ ꯌꯨꯔꯤꯌꯥ ꯅꯥꯏꯠꯔꯣꯖꯦꯟ (BUN): ꯃꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯏꯗꯥ ꯂꯩꯔꯤꯕꯥ ꯅꯥꯏꯠꯔꯣꯖꯦꯅꯒꯤ ꯆꯥꯡ ꯑꯗꯨ ꯂꯦꯄꯊꯣꯀꯏ꯫ ꯃꯁꯤꯒꯤ ꯅꯥꯏꯠꯔꯣꯖꯦꯟ ꯑꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯆꯥꯔꯤꯕꯥ ꯄ꯭ꯔꯣꯇꯤꯟ ꯑꯁꯤ ꯍꯟꯖꯤꯜꯂꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯆꯦꯟꯊꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯄꯨꯊꯣꯀꯏ꯫
• ꯑꯦꯁ꯭ꯇꯤꯃꯦꯠ ꯇꯧꯔꯕꯥ ꯖꯤ.ꯑꯦꯐ.ꯑꯥꯔ.(eGFR): ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯇꯦꯁ꯭ꯠ ꯑꯃꯅꯤ꯫ ꯃꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯏꯗꯥ ꯌꯥꯎꯔꯤꯕꯥ ꯄ꯭ꯔꯣꯇꯤꯅꯒꯤ ꯆꯥꯡ, ꯆꯍꯤ, ꯖꯦꯟꯗꯔ (`(ꯁꯦꯛꯁ)`), ꯋꯥꯡꯈꯠꯄꯥ, ꯑꯃꯁꯨꯡ ꯑꯔꯨꯝꯕꯥ ꯑꯁꯤꯅꯆꯤꯡꯕꯥ ꯐꯦꯛꯇꯔꯁꯤꯡ ꯑꯁꯤ ꯌꯦꯡꯂꯒꯥ, ꯅꯍꯥꯛꯀꯤ ꯏ ꯑꯗꯨ ꯀꯌꯥꯝ ꯏꯐꯤꯁꯤꯑꯦꯟꯇ ꯑꯣꯏꯅꯥ ꯐꯤꯜꯇꯔ ꯇꯧꯕꯒꯦ (`(ꯐꯤꯜꯇꯔꯦꯁꯟ ꯔꯦꯠ)`) ꯂꯦꯄꯊꯣꯀꯏ꯫
• ꯁꯦꯔꯥꯝ ꯀ꯭ꯔꯤꯌꯦꯇꯤꯅꯤꯟ: ꯃꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯏꯗꯥ ``ꯀ꯭ꯔꯤꯑꯦꯇꯤꯅꯤꯟ'' ꯀꯧꯕꯥ ꯑꯃꯣꯠꯄꯥ ꯄꯣꯠꯁꯛ ꯑꯃꯒꯤ ꯆꯥꯡ ꯑꯗꯨ ꯂꯦꯄꯊꯣꯀꯏ꯫ ``ꯀ꯭ꯔꯤꯑꯦꯇꯤꯅꯤꯟ'' ꯀꯧꯕꯥ ꯑꯃꯣꯠꯄꯥ ꯄꯣꯠꯁꯛ ꯑꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯃꯁꯜ ꯇꯤꯁꯨꯁꯤꯡ ꯁꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯄꯨꯊꯣꯀꯏ꯫

ꯌꯨꯔꯤꯟ ꯇꯦꯁ꯭ꯠ ꯇꯧꯕꯥ꯫

ꯗꯣꯛꯇꯔ ꯑꯗꯨꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯄꯨꯡ 24ꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯈꯣꯃꯖꯤꯜꯂꯀꯄꯥ ꯌꯨꯔꯤꯟ ꯁꯦꯝꯄꯜ ꯑꯃꯥ ꯇꯦꯁ꯭ꯠ ꯇꯧꯅꯕꯥ ꯍꯥꯌꯕꯁꯨ ꯌꯥꯏ꯫

• ꯃꯥꯏꯛꯔꯣꯑꯦꯂꯕꯨꯃꯤꯅꯨꯔꯤꯌꯥ: ꯃꯁꯤꯅꯥ ꯑꯀꯛꯅꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯌꯨꯔꯤꯅꯗꯥ `(ꯑꯦꯂꯕꯨꯃꯤꯟ)` ꯀꯧꯕꯥ ꯄ꯭ꯔꯣꯇꯤꯟ ꯃꯈꯜ ꯑꯃꯥ ꯌꯦꯡꯏ꯫ ꯍꯀꯆꯥꯡ ꯐꯕꯥ ꯀꯤꯗꯅꯤꯁꯤꯡꯅꯥ ꯌꯨꯔꯤꯅꯗꯥ `(ꯑꯦꯂꯕꯨꯃꯤꯟ)` ꯄ꯭ꯔꯣꯇꯤꯟ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯅꯦꯝꯅꯥ ꯄꯨꯊꯣꯀꯏ꯫
• ꯌꯨꯔꯤꯅꯂꯥꯏꯁꯤꯁ: ꯃꯁꯤ ꯖꯦꯅꯦꯔꯦꯜ ꯌꯨꯔꯤꯟ ꯇꯦꯁ꯭ꯠ ꯑꯃꯅꯤ꯫ ꯃꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯌꯨꯔꯤꯟ ꯑꯗꯨ ꯏ, ꯄ꯭ꯔꯣꯇꯤꯟ, ꯌꯨꯔꯤꯟ ꯑꯦꯁꯤꯗꯤꯇꯤ, ꯁ꯭ꯄꯦꯁꯤꯐꯤꯛ ꯒ꯭ꯔꯦꯚꯤꯇꯤ, ꯑꯃꯁꯨꯡ ꯑꯄꯤꯀꯄꯥ, ꯇꯤꯎꯕꯜ ꯄꯥꯔꯇꯤꯀꯦꯂꯁꯤꯡ (ꯀꯥꯁ꯭ꯇꯁꯤꯡ) ꯑꯃꯁꯨꯡ ꯀ꯭ꯔꯤꯁ꯭ꯇꯦꯂꯁꯤꯡ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯁꯤꯜꯂꯤ꯫

ꯑꯩꯈꯣꯌꯅꯥ ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯑꯁꯤꯒꯤꯗꯃꯛ ꯃꯇꯧ ꯀꯔꯝꯅꯥ ꯁꯦꯝ ꯁꯥꯔꯤꯕꯒꯦ?

ꯅꯍꯥꯛꯅꯥ ꯁꯦꯝ-ꯁꯥꯕꯒꯤ ꯃꯑꯣꯡ ꯑꯁꯤ ꯅꯍꯥꯛꯅꯥ ꯄꯥꯡꯊꯣꯛꯅꯕꯥ ꯍꯥꯌꯔꯀꯄꯥ ꯇꯦꯁ꯭ꯠ ꯃꯈꯜ ꯑꯗꯨꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ ꯈꯦꯠꯅꯒꯅꯤ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯕ꯭ꯂꯗ ꯇꯦꯁ꯭ꯠ ꯇꯧꯕꯥ ꯇꯥꯔꯕꯗꯤ, ꯋꯥꯐꯃꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯈꯟꯊꯕꯤꯌꯨ:

• ꯕ꯭ꯂꯗ ꯇꯦꯁ꯭ꯠ ꯈꯔꯗꯗꯤ ꯅꯍꯥꯛꯅꯥ ꯄꯨꯡ ꯀꯌꯥ ꯔꯣꯖꯥ ꯇꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯍꯥꯟꯅꯥ ꯈꯪꯍꯜꯂꯛꯀꯅꯤ꯫
• ꯐ꯭ꯂꯦꯕꯣꯇꯣꯃꯤꯁ꯭ꯠ ꯑꯗꯨꯅꯥ ꯅꯤꯜ ꯑꯗꯨ ꯐꯖꯅꯥ ꯊꯥꯕꯥ ꯉꯝꯅꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯨꯠꯁꯥꯒꯤ ꯈꯣꯡ ꯑꯗꯨ ꯇꯔꯨ-ꯇꯅꯥꯟꯅꯥ ꯊꯃꯒꯗꯕꯅꯤ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯅꯤꯗꯂꯁꯤꯡꯒꯤ ꯑꯀꯤꯕꯥ ꯂꯩꯔꯕꯗꯤ (`(Trypanophobia)`) ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔ ꯅꯠꯠꯔꯒꯥ ꯅꯍꯥꯛꯀꯤ ꯏ ꯑꯗꯨ ꯂꯧꯊꯣꯛꯂꯤꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯗꯨꯗꯥ ꯃꯃꯥꯡꯗꯥ ꯈꯪꯍꯜꯂꯨ꯫ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯃꯈꯣꯌꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯄ꯭ꯔꯣꯁꯤꯗ꯭ꯌꯨꯑꯣꯔ ꯑꯗꯨꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯀꯔꯝꯅꯥ ꯔꯤꯂꯥꯛꯁꯦꯁꯟ ꯇꯧꯒꯗꯒꯦ ꯍꯥꯌꯕꯒꯤ ꯏꯅꯁ꯭ꯠꯔꯛꯁꯅꯁꯤꯡ ꯄꯤꯒꯅꯤ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯌꯨꯔꯤꯟ ꯇꯦꯁ꯭ꯠ ꯇꯧꯕꯥ ꯇꯥꯔꯕꯗꯤ, ꯃꯍꯧꯁꯥꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯁꯦꯝ-ꯁꯥꯕꯥ ꯌꯥꯝꯅꯥ ꯃꯊꯧ ꯇꯥꯗꯦ꯫

• ꯇꯦꯁ꯭ꯠ ꯇꯧꯗ꯭ꯔꯤꯉꯩ ꯃꯃꯥꯡꯗꯥ ꯑꯍꯦꯅꯕꯥ ꯏꯁꯤꯡ ꯒ꯭ꯂꯥꯁ ꯑꯃꯈꯛꯇꯃꯛ ꯊꯀꯎ꯫ ꯃꯁꯤꯅꯥ ꯇꯦꯁ꯭ꯠ ꯇꯧꯅꯕꯒꯤꯗꯃꯛ ꯃꯇꯤꯛ ꯆꯥꯕꯥ ꯌꯨꯔꯤꯟ ꯁꯦꯝꯄꯜ ꯑꯃꯥ ꯄꯤꯕꯗꯥ ꯂꯥꯏꯊꯣꯀꯍꯜꯂꯒꯅꯤ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯊꯥꯒꯤ ꯈꯣꯡꯀꯥꯞ ꯂꯩꯔꯕꯗꯤ, ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯁꯨ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯈꯪꯍꯅꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯐꯩ, ꯃꯔꯃꯗꯤ ꯊꯥꯒꯤ ꯈꯣꯡꯀꯥꯄꯀꯤ ꯏ ꯑꯃꯁꯨꯡ ꯚꯦꯖꯤꯅꯦꯜ ꯗꯤꯁꯆꯥꯔꯖꯅꯥ ꯔꯤꯖꯜꯇ ꯑꯗꯨꯗꯥ ꯑꯀꯥꯌꯕꯥ ꯄꯤꯕꯥ ꯌꯥꯏ꯫

ꯇꯦꯁ꯭ꯠ ꯇꯧꯕꯥ ꯃꯇꯃꯗꯥ ꯀꯔꯤ ꯊꯣꯀꯏ?

ꯃꯁꯤꯁꯨ ꯌꯥꯝꯅꯥ ꯏꯆꯝ ꯆꯝꯕꯥ ꯊꯧꯑꯣꯡ ꯑꯃꯅꯤ꯫

ꯌꯨꯔꯤꯟ ꯇꯦꯁ꯭ꯠ ꯀꯔꯝꯅꯥ ꯇꯧꯒꯗꯒꯦ? (ꯃꯔꯨꯑꯣꯏꯅꯥ ꯄꯨꯡ ꯲꯴ꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯌꯨꯔꯤꯟ ꯈꯣꯃꯖꯤꯅꯕꯥ)

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯄꯨꯡ ꯲꯴ꯒꯤ ꯌꯨꯔꯤꯟ ꯀꯂꯦꯛꯁꯟ ꯇꯦꯁ꯭ꯠ ꯑꯃꯥ ꯇꯧꯔꯕꯗꯤ ꯅꯍꯥꯛꯅꯥ ꯌꯨꯃꯗꯥ ꯇꯧꯕꯥ ꯌꯥꯏ꯫ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯌꯨꯔꯤꯟ ꯈꯣꯃꯖꯤꯟꯅꯕꯥ ꯑꯈꯟꯅꯕꯥ ꯀꯟꯇꯦꯅꯔ ꯑꯃꯥ ꯄꯤꯒꯅꯤ꯫

1. ꯇꯦꯁ꯭ꯠ ꯇꯧꯕꯥ ꯅꯨꯃꯤꯠꯇꯥ, ꯑꯍꯥꯅꯕꯥ ꯑꯣꯏꯅꯥ ꯑꯌꯨꯛꯇꯥ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯍꯧꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯃꯍꯧꯁꯥꯒꯨꯝꯅꯥ ꯇꯣꯏꯂꯦꯠꯇꯥ ꯌꯨꯔꯤꯟ ꯇꯧ꯫ ꯌꯨꯔꯤꯟ ꯑꯗꯨ ꯈꯣꯃꯖꯤꯜꯂꯣꯏꯗꯕꯅꯤ꯫

2. ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯅꯨꯃꯤꯠ ꯈꯨꯗꯤꯡꯒꯤ, ꯅꯍꯥꯛꯅꯥ ꯌꯨꯔꯤꯟ ꯇꯧꯕꯥ ꯈꯨꯗꯤꯡꯗꯥ, ꯄꯤꯔꯤꯕꯥ ꯕꯣꯇꯜ ꯑꯗꯨꯗꯥ ꯌꯨꯔꯤꯟ ꯍꯥꯄꯆꯤꯜꯂꯨ꯫

3. ꯃꯊꯪꯒꯤ ꯑꯌꯨꯛꯇꯥ, ꯅꯍꯥꯛꯅꯥ ꯄꯥꯁ ꯇꯧꯔꯤꯕꯥ ꯌꯨꯔꯤꯟ ꯑꯗꯨ ꯆꯞ ꯃꯥꯟꯅꯕꯥ ꯕꯣꯇꯜ ꯑꯗꯨꯗꯥ ꯈꯣꯃꯖꯤꯜꯂꯨ꯫

4. ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯌꯨꯔꯤꯟ ꯁꯦꯝꯄꯜ ꯑꯗꯨ ꯗꯣꯛꯇꯔꯒꯤ ꯑꯣꯐꯤꯁꯇꯥ ꯅꯠꯠꯔꯒꯥ ꯂꯦꯕꯇꯥ ꯂꯧꯈꯠꯀꯗꯕꯅꯤ꯫

ꯃꯁꯛ ꯊꯣꯀꯄꯥ ꯌꯨꯔꯤꯟ ꯇꯦꯁ꯭ꯠ ꯑꯃꯗꯥ ꯂꯦꯕꯅꯥ ꯄꯤꯕꯥ ꯑꯄꯤꯀꯄꯥ ꯀꯞ ꯑꯃꯗꯥ ꯌꯨꯔꯤꯟ ꯈꯔꯥ ꯍꯥꯄꯆꯤꯅꯕꯈꯛꯇꯅꯤ꯫

ꯃꯇꯧ ꯀꯔꯝꯅꯥ ꯕ꯭ꯂꯗ ꯇꯦꯁ꯭ꯠ ꯇꯧꯒꯗꯒꯦ?

ꯕ꯭ꯂꯗ ꯇꯦꯁ꯭ꯠ ꯇꯧꯅꯕꯒꯤꯗꯃꯛ ꯗꯣꯛꯇꯔꯒꯤ ꯑꯣꯐꯤꯁ ꯅꯠꯔꯒꯥ ꯂꯦꯕꯇꯥ ꯆꯠꯀꯗꯕꯅꯤ꯫ ꯃꯐꯃꯗꯨꯗꯥ ꯇ꯭ꯔꯦꯟ ꯇꯧꯔꯕꯥ ꯐ꯭ꯂꯦꯕꯣꯇꯣꯃꯤꯁ꯭ꯠ (ꯐ꯭ꯂꯦꯕꯣꯇꯣꯃꯤꯁ꯭ꯠ) ꯑꯃꯅꯥ ꯑꯄꯤꯀꯄꯥ ꯅꯤꯗꯜ ꯑꯃꯥ ꯁꯤꯖꯤꯟꯅꯗꯨꯅꯥ ꯏꯒꯤ ꯑꯄꯤꯀꯄꯥ ꯃꯁꯤꯡ ꯑꯃꯥ ꯂꯧꯊꯣꯀꯏ, ꯃꯍꯧꯁꯥꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯨꯠꯁꯥꯗꯥ ꯂꯩꯕꯥ ꯚꯦꯅꯝ ꯑꯃꯗꯒꯤ꯫ ꯃꯁꯤꯗꯥ ꯃꯤꯅꯤꯠ ꯈꯔꯅꯤ ꯆꯪꯏ꯫ ꯅꯍꯥꯛꯅꯥ ꯑꯄꯤꯀꯄꯥ ꯄꯣꯠꯁꯛ ꯑꯃꯥ ꯐꯥꯎꯕꯥ ꯌꯥꯏ, ꯑꯗꯨꯕꯨ ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯑꯃꯅꯤ꯫

ꯃꯤꯑꯣꯏ ꯈꯔꯒꯤ ꯑꯣꯏꯅꯗꯤ ꯏ ꯄꯤꯖꯕꯥ ꯑꯁꯤ ꯈꯔꯥ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫ ꯃꯗꯨ ꯅꯣꯔꯃꯦꯂꯅꯤ꯫ ꯑꯗꯨꯕꯨ ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯑꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯀꯤꯗꯅꯤꯒꯤ ꯍꯀꯁꯦꯂꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯈꯉꯕꯥ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫ ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯃꯁꯤ ꯈꯉꯏ, ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯃꯈꯣꯌꯅꯥ ꯃꯁꯤ ꯌꯥꯔꯤꯕꯃꯈꯩ ꯂꯥꯏꯅꯥ ꯇꯧꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯒꯅꯤ꯫

ꯇꯦꯁ꯭ꯠ ꯇꯧꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯀꯔꯤ ꯑꯥꯁꯥ ꯇꯧꯕꯥ ꯌꯥꯕꯒꯦ?

ꯀꯤꯗꯅꯤꯒꯤ ꯐꯉ꯭ꯀꯁꯟ ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯑꯁꯤ ꯏꯆꯝ ꯆꯝꯕꯥ ꯅꯠꯇꯦ ꯑꯃꯁꯨꯡ ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯆꯠꯀꯗꯕꯥ ꯔꯤꯁ꯭ꯛ ꯑꯃꯠꯇꯥ ꯄꯨꯊꯣꯛꯇꯦ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯃꯤꯑꯣꯏ ꯈꯔꯅꯥ ꯏ ꯄꯤꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯃꯈꯥꯒꯤꯁꯤꯡ ꯑꯁꯤ ꯊꯦꯡꯅꯔꯀꯄꯥ ꯌꯥꯏ:

• ꯅꯤꯗꯜ ꯑꯗꯨ ꯊꯥꯗꯣꯀꯈꯤꯕꯥ ꯃꯐꯝ ꯑꯗꯨꯗꯥ ꯈꯔꯥ ꯁꯣꯀꯄꯥ ꯌꯥꯏ꯫
• ꯅꯍꯥꯛꯅꯥ ꯈꯔꯥ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯍꯧꯔꯀꯄꯥ ꯌꯥꯏ꯫
• ꯃꯤꯑꯣꯏ ꯈꯔꯗꯤ ꯈꯔꯥ ꯋꯥꯈꯜ ꯇꯥꯕꯥ ꯌꯥꯏ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯂꯦꯡꯗꯅꯥ ꯂꯩꯔꯕꯗꯤ, ꯅꯠꯠꯔꯒꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯇꯣꯞꯄꯥ ꯑꯆꯝꯕꯥ ꯋꯥꯐꯝ ꯑꯃꯥ ꯎꯕꯥ ꯐꯪꯂꯕꯗꯤ , ꯗꯣꯛꯇꯔ ꯑꯃꯒꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯕꯥ ꯑꯁꯤ ꯑꯐꯕꯥ ꯋꯥꯈꯜꯂꯣꯟ ꯑꯃꯅꯤ꯫

ꯇꯦꯁ꯭ꯇꯀꯤ ꯔꯤꯖꯜꯇꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯀꯔꯤ ꯍꯥꯌꯔꯤꯕꯒꯦ?

ꯃꯁꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯁꯔꯨꯛ ꯑꯃꯅꯤ꯫ ꯇꯦꯁ꯭ꯇꯀꯤ ꯔꯤꯖꯜꯇꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯀꯤꯗꯅꯤꯁꯤꯡꯅꯥ ꯊꯥꯖꯕꯥ ꯌꯥꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯊꯕꯛ ꯇꯧꯔꯤꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯈꯪꯍꯜꯂꯤ꯫ ꯑꯌꯥꯝꯕꯥ ꯀꯤꯗꯅꯤ ꯇꯦꯁ꯭ꯇꯁꯤꯡꯅꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯥꯌꯄꯥꯀꯄꯥ ꯑꯅꯤꯗꯥ ꯃꯤꯠꯌꯦꯡ ꯊꯝꯃꯤ: `eGFR` (ꯑꯦꯁ꯭ꯇꯤꯃꯦꯠ ꯇꯧꯔꯕꯥ ꯒ꯭ꯂꯣꯃꯦꯔꯨꯂꯥꯔ ꯐꯤꯜꯠꯔꯦꯁꯟ ꯔꯦꯠ) ꯑꯃꯁꯨꯡ `uACR` (ꯌꯨꯔꯤꯟ ꯑꯦꯂꯕꯨꯃꯤꯟ-ꯀ꯭ꯔꯤꯑꯦꯇꯤꯅꯤꯟ ꯔꯦꯁꯤꯑꯣ)꯫

ꯏ.ꯖꯤ.ꯑꯦꯐ.ꯑꯥꯔ.(ꯑꯦꯁ꯭ꯇꯤꯃꯦꯠ ꯇꯧꯔꯕꯥ ꯒ꯭ꯂꯣꯃꯦꯔꯨꯂꯥꯔ ꯐꯤꯜꯠꯔꯦꯁꯟ ꯔꯦꯠ) ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ?

`eGFR`ꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯀꯤꯗꯅꯤꯁꯤꯡꯅꯥ ꯃꯤꯅꯠ ꯑꯃꯗꯥ (ꯃꯤꯂꯤꯂꯤꯇꯔꯗꯥ) ꯀꯌꯥꯝ ꯏꯒꯤ ꯐꯤꯜꯇꯔ ꯇꯧꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯂꯦꯄꯊꯣꯀꯏ꯫

• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯍꯜ ꯑꯃꯒꯤ ꯆꯥꯡꯆꯠꯇꯥ `eGFR` ꯚꯦꯜꯌꯨ ꯑꯁꯤ 100 ꯅꯠꯠꯔꯒꯥ ꯃꯁꯤꯗꯒꯤ ꯍꯦꯜꯂꯕꯗꯤ ꯑꯐꯕꯥ ꯑꯣꯏꯒꯅꯤ .
• ꯀꯔꯤꯒꯨꯝꯕꯥ `eGFR` ꯚꯦꯜꯌꯨ ꯑꯁꯤ 60 ꯑꯃꯁꯨꯡ 100ꯒꯤ ꯃꯔꯛꯇꯥ ꯂꯩꯔꯕꯗꯤ, ꯃꯁꯤꯅꯥ ꯇꯥꯀꯄꯗꯤ ꯀꯤꯗꯅꯤꯁꯤꯡꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯈꯔꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯏ, ꯑꯗꯨꯕꯨ ꯀꯤꯗꯅꯤꯁꯤꯡꯗꯤ ꯍꯧꯖꯤꯀꯁꯨ ꯐꯖꯅꯥ ꯊꯕꯛ ꯇꯧꯔꯤ꯫
• 60ꯗꯒꯤ ꯇꯥꯕꯥ eGFR ꯚꯦꯜꯌꯨ ꯑꯃꯅꯥ ꯀ꯭ꯔꯣꯅꯤꯛ ꯀꯤꯗꯅꯤ ꯗꯤꯖꯤꯖ (CKD) ꯂꯩꯔꯦ ꯍꯥꯌꯕꯥ ꯇꯥꯀꯄꯥ ꯌꯥꯏ꯫

ꯆꯍꯤꯒꯥ ꯂꯣꯌꯅꯅꯥ `eGFR` ꯚꯦꯜꯌꯨ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯍꯣꯡꯂꯀꯄꯒꯦ?

ꯑꯩꯈꯣꯌꯅꯥ ꯆꯍꯤ ꯌꯥꯃꯈꯠꯂꯀꯄꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯏ.ꯖꯤ.ꯑꯦꯐ.ꯑꯥꯔ. ꯃꯁꯤ ꯅꯍꯥꯛꯅꯥ ꯀ꯭ꯔꯣꯅꯤꯛ ꯀꯤꯗꯅꯤꯒꯤ ꯂꯥꯌꯅꯥ ꯂꯩꯠꯔꯕꯁꯨ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯇꯣꯉꯥꯟ-ꯇꯣꯉꯥꯅꯕꯥ ꯆꯍꯤ ꯀꯥꯡꯂꯨꯄꯁꯤꯡꯒꯤ ꯑꯣꯏꯅꯥ ꯃꯁꯛ ꯊꯣꯀꯄꯥ ꯏ.ꯖꯤ.ꯑꯦꯐ.ꯑꯥꯔ.

• ꯆꯍꯤ 20-29: ꯆꯥꯡꯆꯠꯇꯥ ꯏ.ꯖꯤ.ꯑꯦꯐ.ꯑꯥꯔ
• ꯆꯍꯤ ꯳꯰-꯳꯹: ꯆꯥꯡꯆꯠꯇꯥ ꯏ.ꯖꯤ.ꯑꯦꯐ.ꯑꯥꯔ
• ꯆꯍꯤ 40-49: ꯆꯥꯡꯆꯠꯇꯥ ꯏ.ꯖꯤ.ꯑꯦꯐ.ꯑꯥꯔ
• ꯆꯍꯤ 50-59: ꯆꯥꯡꯆꯠꯇꯥ ꯏ.ꯖꯤ.ꯑꯦꯐ.ꯑꯥꯔ
• ꯆꯍꯤ ꯶꯰-꯶꯹: ꯆꯥꯡꯆꯠꯇꯥ ꯏ.ꯖꯤ.ꯑꯦꯐ.ꯑꯥꯔ
• ꯆꯍꯤ 70+: ꯆꯥꯡꯆꯠꯇꯥ ꯏ.ꯖꯤ.ꯑꯦꯐ.ꯑꯥꯔ

ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯆꯥꯡꯆꯠꯇꯥ ꯚꯦꯜꯌꯨ ꯈꯛꯇꯅꯤ꯫ ꯅꯍꯥꯛꯀꯤ ꯏ.ꯖꯤ.ꯑꯦꯐ.ꯑꯥꯔ.

uACR (ꯌꯨꯔꯤꯟ ꯑꯦꯂꯕꯨꯃꯤꯟ-ꯀ꯭ꯔꯤꯑꯦꯇꯤꯅꯤꯟ ꯔꯦꯁꯤꯑꯣ) ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ?

`uACR`ꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯌꯨꯔꯤꯅꯗꯥ `(ꯑꯦꯂꯕꯨꯃꯤꯟ)` (ꯄ꯭ꯔꯣꯇꯤꯟ ꯃꯈꯜ ꯑꯃꯥ) ꯑꯃꯁꯨꯡ `(ꯀ꯭ꯔꯤꯑꯦꯇꯤꯅꯤꯟ)` (ꯑꯃꯣꯠꯄꯥ ꯄꯣꯠꯁꯛ ꯑꯃꯥ)ꯒꯤ ꯆꯥꯡ ꯑꯗꯨ ꯂꯦꯄꯊꯣꯀꯏ꯫ ꯃꯁꯤ ꯑꯅꯤ ꯑꯁꯤꯒꯤ ꯔꯦꯁꯤꯑꯣ ꯑꯁꯤ ꯌꯦꯡꯁꯤꯜꯂꯤ (ꯒ꯭ꯔꯥꯝ ꯑꯃꯗꯥ ꯃꯤꯂꯤꯒ꯭ꯔꯥꯝ - ꯃꯤꯒ꯭ꯔꯦꯗ/ꯒ꯭ꯔꯥꯃꯗꯥ)꯫

• ꯅꯣꯔꯃꯦꯜ `uACR` ꯚꯦꯜꯌꯨ ꯑꯃꯅꯥ 30 mg/gꯗꯒꯤ ꯇꯥꯅꯥ ꯂꯩꯒꯗꯕꯅꯤ꯫

uACR ꯚꯦꯜꯌꯨ ꯑꯁꯤ ꯀꯌꯥꯝ ꯋꯥꯡꯕꯒꯦ, ꯀꯤꯗꯅꯤ ꯐꯦꯜ ꯑꯣꯏꯕꯒꯤ ꯔꯤꯁ꯭ꯛ ꯍꯦꯟꯅꯥ ꯋꯥꯡꯕꯒꯦ?

ꯀꯔꯤꯒꯨꯝꯕꯥ `uACR` ꯚꯦꯜꯌꯨ ꯑꯁꯤ 300 mg/g ꯅꯠꯠꯔꯒꯥ ꯃꯁꯤꯗꯒꯤ ꯍꯦꯅꯕꯥ ꯑꯣꯏꯔꯕꯗꯤ, ꯃꯁꯤꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯀꯤꯗꯅꯤ ꯐꯦꯜ ꯑꯣꯏꯕꯒꯤ ꯔꯤꯁ꯭ꯛ ꯌꯥꯝꯅꯥ ꯋꯥꯡꯏ ꯍꯥꯌꯕꯅꯤ꯫ ꯃꯁꯤꯗꯁꯨ ꯅꯠꯇꯅꯥ, ꯍꯥꯔꯠ ꯑꯦꯇꯦꯛ `(Myocardial Infarction)` ꯅꯠꯠꯔꯒꯥ ꯁ꯭ꯠꯔꯣꯛ `(Stroke)` ꯂꯥꯀꯄꯒꯤ ꯔꯤꯁ꯭ꯀꯁꯨ ꯌꯥꯝꯅꯥ ꯋꯥꯡꯏ꯫

ꯐꯂꯁꯤꯡ ꯈꯉꯕꯗꯥ ꯃꯇꯝ ꯀꯌꯥ ꯆꯪꯕꯒꯦ?

ꯃꯁꯤ ꯃꯐꯝ ꯑꯃꯗꯒꯤ ꯃꯐꯝ ꯑꯃꯗꯥ ꯈꯦꯠꯅꯕꯥ ꯌꯥꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯨꯃꯤꯠ ꯑꯗꯨꯃꯛꯇꯗꯥ ꯔꯤꯖꯜꯇ ꯑꯗꯨꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯅꯍꯥꯛꯀꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯒꯅꯤ꯫ ꯅꯠꯔꯒꯥ, ꯁꯦꯝꯄꯜ ꯑꯗꯨ ꯂꯦꯕ ꯑꯃꯗꯥ ꯊꯥꯔꯀꯄꯥ ꯌꯥꯏ ꯑꯃꯁꯨꯡ ꯔꯤꯖꯜꯇꯁꯤꯡ ꯑꯗꯨ ꯅꯨꯃꯤꯠ ꯈꯔꯅꯤ ꯆꯪꯂꯕꯥ ꯌꯥꯏ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯔꯤꯖꯜꯇ ꯑꯗꯨꯅꯥ ꯀꯤꯗꯅꯤꯒꯤ ꯂꯥꯌꯅꯥꯒꯤ ꯇꯣꯏꯅꯥ ꯊꯣꯀꯄꯥ ꯈꯨꯗꯃꯁꯤꯡ ꯎꯠꯂꯕꯗꯤ ꯀꯔꯤ ꯇꯧꯒꯅꯤ?

ꯋꯥꯒꯅꯨ. ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯀꯤꯗꯅꯤ ꯇꯦꯁ꯭ꯇꯀꯤ ꯔꯤꯖꯜꯇ ꯑꯗꯨꯅꯥ ꯀꯤꯗꯅꯤꯒꯤ ꯂꯥꯌꯅꯥꯒꯤ ꯇꯣꯏꯅꯥ ꯊꯣꯀꯄꯥ ꯈꯨꯗꯃꯁꯤꯡ ꯎꯕꯥ ꯐꯪꯂꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯃꯊꯪꯒꯤ ꯊꯕꯛ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯂꯥꯏꯌꯦꯡꯒꯤ ꯑꯣꯄꯁꯅꯁꯤꯡꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯅꯍꯥꯛꯀꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯒꯅꯤ꯫ ꯅꯍꯥꯛꯀꯤ ꯍꯥꯏ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯅꯕꯥ ꯑꯦꯟꯇꯤꯍꯥꯏꯄꯥꯔꯇꯦꯟꯁꯤꯚꯁꯤꯡ ꯄꯤꯕꯥ ꯌꯥꯏ꯫ ꯅꯍꯥꯀꯄꯨ ꯀꯤꯗꯅꯤꯒꯤ ꯂꯥꯌꯅꯥꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯃꯁꯛ ꯈꯪꯗꯣꯛꯂꯕꯥ ꯗꯣꯛꯇꯔ (ꯅꯦꯐ꯭ꯔꯣꯂꯣꯖꯤꯁ꯭ꯠ) ꯑꯃꯗꯥ ꯔꯤꯐꯔ ꯇꯧꯕꯁꯨ ꯌꯥꯏ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯔꯤꯖꯜꯇ ꯑꯗꯨ ꯊꯥꯖꯕꯥ ꯌꯥꯕꯥ ꯑꯣꯏꯔꯕꯗꯤ ꯅꯠꯠꯔꯒꯥ ꯑꯦꯕꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯇꯨꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯁꯦꯜ ꯑꯃꯁꯨꯡ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯍꯦꯛꯇꯕꯨ ꯌꯦꯡꯁꯤꯟꯅꯕꯥ ꯍꯦꯟꯅꯥ ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯀꯤꯗꯅꯤ ꯇꯦꯁ꯭ꯠ ꯇꯧꯅꯕꯥ ꯄꯥꯎꯇꯥꯛ ꯄꯤꯕꯥ ꯌꯥꯏ꯫

ꯀꯗꯥꯏꯗꯥ ꯗꯣꯛꯇꯔꯒꯥ ꯇꯥꯟꯅꯒꯗꯒꯦ?

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯀ꯭ꯔꯣꯅꯤꯛ ꯀꯤꯗꯅꯤ ꯗꯤꯖꯤꯖ (CKD) ꯂꯩꯔꯕꯗꯤ, ꯅꯠꯠꯔꯒꯥ CKD ꯂꯥꯀꯄꯒꯤ ꯔꯤꯁ꯭ꯛ ꯂꯩꯔꯕꯗꯤ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯍꯦꯛꯇꯕꯨ ꯊꯦꯡꯅꯔꯕꯗꯤ ꯈꯨꯗꯛꯇꯥ ꯗꯣꯛꯇꯔ ꯑꯃꯒꯥ ꯇꯥꯟꯅꯧ:

• ꯃꯍꯧꯁꯥꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯌꯨꯔꯤꯟ ꯄꯥꯁ ꯇꯧꯕꯥ꯫
• ꯌꯨꯔꯤꯅꯗꯥ ꯏ ꯊꯣꯀꯄꯥ꯫
• ꯐꯣꯝ ꯂꯩꯕꯥ ꯌꯨꯔꯤꯟ꯫
• ꯌꯥꯝꯅꯥ ꯋꯥꯅꯥ ꯊꯣꯀꯄꯥ ꯐꯥꯎꯕꯥ꯫
• ꯃꯁꯜ ꯁꯣꯟꯊꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯁꯣꯀꯄꯥ꯫
• ꯅꯣꯡꯃꯩ ꯀꯥꯞꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯋꯥꯈꯜ ꯆꯔꯥꯡꯅꯕꯥ꯫
• ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ (Dyspnea) .
• ꯃꯔꯨꯑꯣꯏꯅꯥ ꯈꯨꯠ, ꯈꯣꯡ ꯅꯠꯠꯔꯒꯥ ꯈꯣꯡꯗꯥ ꯁꯣꯀꯄꯥ꯫

ꯊꯛꯅꯕꯥ ꯏꯁꯤꯡꯅꯥ ꯀ꯭ꯔꯤꯌꯦꯇꯤꯅꯤꯟ ꯍꯟꯊꯍꯅꯕꯥ ꯉꯃꯒꯗ꯭ꯔꯥ? - ꯃꯁꯤ ꯑꯆꯨꯝꯕꯔꯥ ?

ꯃꯁꯤ ꯃꯤꯑꯣꯏ ꯀꯌꯥꯅꯥ ꯍꯪꯂꯀꯄꯥ ꯋꯥꯍꯪ ꯑꯃꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯀꯤꯗꯅꯤꯒꯤ ꯕ꯭ꯂꯗ ꯇꯦꯁ꯭ꯠ ꯇꯧꯗ꯭ꯔꯤꯉꯩꯗꯥ ꯏꯁꯤꯡ ꯌꯥꯝꯅꯥ ꯊꯀꯄꯥ ꯇꯥꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯀ꯭ꯔꯦꯇꯤꯅꯤꯅꯒꯤ ꯆꯥꯡ ꯑꯗꯨ ꯑꯇꯦꯅꯕꯥ ꯃꯇꯃꯒꯤ ꯑꯣꯏꯅꯥ ꯈꯔꯥ ꯍꯟꯊꯔꯀꯄꯥ ꯎꯕꯥ ꯐꯪꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ ꯃꯁꯤꯅꯥ ꯇꯦꯁ꯭ꯇꯀꯤ ꯔꯤꯖꯜꯇꯁꯤꯡꯗꯥ ꯃꯇꯝ ꯈꯔꯒꯤ ꯑꯣꯏꯅꯥ ꯁꯣꯀꯍꯜꯂꯒꯅꯤ꯫ꯏꯁꯤꯡ ꯌꯥꯝꯅꯥ ꯊꯀꯄꯅꯥ ꯀꯤꯗꯅꯤꯒꯤ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯑꯗꯨ ꯂꯥꯀꯁꯤꯅꯕꯥ ꯉꯃꯗꯦ ꯅꯠꯠꯔꯒꯥ ꯀ꯭ꯔꯤꯌꯦꯇꯤꯅꯤꯅꯒꯤ ꯆꯥꯡꯗꯥ ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯄꯣꯖꯤꯇꯤꯕ ꯑꯣꯏꯕꯥ ꯏꯐꯦꯛꯇ ꯑꯃꯥ ꯄꯤꯕꯥ ꯉꯃꯗꯦ ꯍꯥꯌꯕꯁꯤ ꯅꯤꯡꯁꯤꯡꯕꯥ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯍꯥꯅꯕꯥ ꯇꯥꯉ꯭ꯀꯛꯀꯤ ꯀ꯭ꯔꯣꯅꯤꯛ ꯀꯤꯗꯅꯤ ꯗꯤꯖꯤꯖ (CKD) ꯂꯩꯔꯕꯗꯤ, ꯀꯤꯗꯅꯤ-ꯐ꯭ꯔꯦꯟꯗꯂꯤ ꯗꯥꯏꯠ ꯑꯃꯥ ꯁꯦꯝꯅꯕꯒꯤꯗꯃꯛ ꯅꯦꯐ꯭ꯔꯣꯂꯣꯖꯤꯁ꯭ꯠ ꯑꯃꯁꯨꯡ ꯔꯦꯅꯥꯜ ꯗꯥꯏꯑꯦꯇꯤꯁꯤꯌꯟ ꯑꯃꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯊꯕꯛ ꯇꯧꯃꯤꯟꯅꯕꯅꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯩ꯫

ꯑꯔꯣꯏꯕꯗꯥ, ꯋꯥꯈꯂꯗꯥ ꯊꯃꯒꯗꯕꯥ ꯋꯥꯐꯝ ꯈꯔꯥ (ꯇꯦꯛ-ꯍꯣꯝ ꯃꯦꯁꯦꯖ)

ꯀꯤꯗꯅꯤꯒꯤ ꯐꯉ꯭ꯀꯁꯟ ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯑꯁꯤ ꯈꯔꯥ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯑꯃꯁꯨꯡ ꯂꯥꯡꯇꯛꯅꯍꯅꯕꯥ ꯌꯥꯏ, ꯑꯗꯨꯕꯨ ꯃꯈꯣꯌ ꯑꯁꯤ ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯀꯤꯗꯅꯤꯒꯤ ꯍꯀꯁꯦꯜ ꯌꯦꯡꯁꯤꯅꯕꯗꯥ ꯑꯃꯁꯨꯡ ꯃꯈꯣꯌꯗꯥ ꯁꯣꯀꯍꯜꯂꯤꯕꯥ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ ꯈꯉꯗꯣꯀꯄꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯂꯤꯕꯥ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯈꯨꯠꯂꯥꯌꯁꯤꯡꯅꯤ꯫

ꯏ ꯇꯦꯁ꯭ꯠ ꯇꯧꯕꯥ ꯃꯇꯃꯗꯥ ꯑꯄꯤꯀꯄꯥ ꯅꯤꯗꯜ ꯄꯤꯛ ꯑꯃꯥ ꯑꯣꯏꯅꯥ ꯐꯥꯑꯣꯔꯕꯁꯨ, ꯊꯧꯑꯣꯡ ꯄꯨꯝꯅꯃꯛ ꯑꯁꯤ ꯃꯤꯅꯤꯠ ꯈꯔꯈꯛꯇꯃꯛ ꯆꯪꯏ꯫ ꯌꯨꯔꯤꯟ ꯇꯦꯁ꯭ꯠ ꯍꯥꯌꯕꯁꯤ ꯅꯍꯥꯛꯅꯥ ꯌꯨꯃꯗꯥ ꯐꯖꯅꯥ ꯇꯧꯕꯥ ꯌꯥꯕꯥ ꯑꯅꯥꯕꯥ ꯂꯩꯇꯕꯥ ꯇꯦꯁ꯭ꯠ ꯑꯃꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯌꯨꯔꯤꯟ ꯁꯦꯝꯄꯜ ꯑꯗꯨ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯄꯤꯕꯗꯥ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯐꯥꯎꯔꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯃꯗꯨ ꯕꯦꯒ ꯑꯃꯗꯥ ꯊꯃꯗꯨꯅꯥ ꯃꯈꯣꯌꯗꯥ ꯄꯤꯗꯨꯅꯥ ꯈꯨꯗꯣꯡꯆꯥꯗꯕꯥ ꯑꯗꯨ ꯊꯤꯡꯕꯥ ꯌꯥꯏ꯫

ꯅꯤꯡꯁꯤꯡꯕꯤꯌꯨ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯋꯥꯍꯪꯁꯤꯡ ꯅꯠꯠꯔꯒꯥ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯑꯃꯠꯇꯥ ꯂꯩꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯕꯗꯥ ꯀꯩꯗꯧꯉꯩꯗꯥ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯂꯩꯔꯣꯏꯗꯕꯅꯤ꯫ ꯃꯈꯣꯌꯅꯥ ꯑꯗꯣꯃꯒꯤ ꯃꯇꯦꯡ ꯄꯥꯡꯅꯕꯥ ꯂꯩꯔꯤ꯫ ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯀꯤꯗꯅꯤꯁꯤꯡ ꯑꯗꯨ ꯍꯀꯆꯥꯡ ꯐꯅꯥ ꯂꯩꯍꯅꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯒꯅꯤ!

` ꯀꯤꯗꯅꯤ, ꯀꯤꯗꯅꯤ ꯇꯦꯁ꯭ꯠ, ꯏ.ꯖꯤ.ꯑꯦꯐ.ꯑꯥꯔ., ꯀ꯭ꯔꯤꯌꯦꯇꯤꯅꯤꯟ, ꯌꯨꯔꯤꯟ ꯇꯦꯁ꯭ꯠ, ꯏ ꯇꯦꯁ꯭ꯠ, ꯀꯤꯗꯅꯤꯒꯤ ꯂꯥꯌꯅꯥ꯫