ꯅꯍꯥꯛꯀꯤ ꯂꯤꯚꯔꯒꯤ ꯍꯀꯁꯦꯂꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯈꯪꯍꯜꯂꯤꯕꯥ ALT ꯇꯦꯁ꯭ꯠ (Alanine Transaminase - ALT) ꯑꯁꯤ ꯇꯁꯦꯡꯅꯥ ꯀꯔꯤꯅꯣ?

ꯅꯍꯥꯛꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ALT ꯕ꯭ꯂꯗ ꯇꯦꯁ꯭ꯠ ꯇꯧꯈꯤꯕ꯭ꯔꯥ? ꯅꯠꯔꯒꯥ ꯗꯣꯛꯇꯔ ꯑꯃꯅꯥ ꯑꯗꯣꯃꯗꯥ ꯇꯦꯁ꯭ꯠ ꯑꯁꯤ ꯇꯧꯅꯕꯥ ꯍꯥꯌꯕꯤꯔꯝꯂꯕꯔꯥ? ꯃꯤꯑꯣꯏ ꯀꯌꯥ ꯑꯃꯅꯥ ꯑꯦ.ꯑꯦꯜ.ꯇꯤ.ꯅꯥ ꯀꯔꯤꯅꯣ ꯑꯃꯁꯨꯡ ꯀꯔꯤꯒꯤꯗꯃꯛꯇꯥ ꯇꯧꯔꯤꯕꯅꯣ ꯍꯥꯌꯕꯗꯨ ꯇꯁꯦꯡꯅꯥ ꯈꯉꯗꯦ꯫ ꯑꯗꯨꯅꯥ ꯉꯁꯤꯗꯤ ꯑꯦ.ꯑꯦꯜ.ꯇꯤ.ꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯏꯆꯝ ꯆꯝꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯁꯤ, ꯑꯣꯀꯦ?

ALT (ꯑꯦꯂꯥꯅꯤꯟ ꯇ꯭ꯔꯥꯟꯁꯑꯦꯃꯤꯅꯦꯖ) ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ?

ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯑꯦ.ꯑꯦꯜ.ꯇꯤ.ꯅꯥ ꯑꯦꯂꯥꯅꯤꯟ ꯇ꯭ꯔꯥꯟꯁꯑꯦꯃꯤꯅꯦꯖ ꯀꯧꯕꯥ ꯑꯦꯅꯖꯥꯏꯝ ꯑꯃꯒꯤ ꯊꯣꯏꯗꯣꯀꯄꯥ ꯃꯃꯤꯡꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯃꯁꯤꯕꯨ ꯑꯦꯂꯥꯅꯤꯟ ꯑꯦꯃꯤꯅꯣꯠꯔꯥꯟꯁꯐꯦꯔꯦꯖ ꯍꯥꯌꯅꯥꯁꯨ ꯀꯧꯏ . ꯃꯁꯤꯒꯤ ꯑꯦꯅꯖꯥꯏꯝ ꯑꯁꯤ ꯃꯔꯨꯑꯣꯏꯅꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯂꯤꯚꯔꯒꯤ ꯁꯦꯂꯁꯤꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯌꯥꯑꯣꯏ . ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯃꯁꯤ ꯀꯤꯗꯅꯤ, ꯍꯥꯔꯠ, ꯑꯃꯁꯨꯡ ꯃꯁꯂꯒꯨꯝꯕꯥ ꯃꯐꯃꯁꯤꯡꯗꯁꯨ ꯑꯄꯤꯀꯄꯥ ꯃꯁꯤꯡꯗꯥ ꯐꯪꯕꯁꯨ ꯌꯥꯏ꯫

ꯑꯦꯅꯖꯥꯏꯃꯁꯤꯡ ꯑꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯑꯄꯤꯀꯄꯥ ꯁꯤꯟꯃꯤꯁꯤꯡꯅꯤ ꯍꯥꯌꯅꯥ ꯈꯅꯕꯤꯌꯨ꯫ ꯃꯈꯣꯌ ꯑꯁꯤ ꯄ꯭ꯔꯣꯇꯤꯟ ꯃꯈꯜ ꯑꯃꯅꯤ꯫ ꯃꯈꯣꯌꯅꯥ ꯍꯀꯆꯥꯡꯗꯥ ꯇꯣꯉꯥꯟ-ꯇꯣꯉꯥꯅꯕꯥ ꯀꯦꯃꯤꯀꯦꯜ ꯄ꯭ꯔꯣꯁꯦꯁꯁꯤꯡꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ, ꯍꯥꯌꯕꯗꯤ ꯃꯈꯣꯌꯅꯥ ꯀꯦꯇꯥꯂꯤꯁ꯭ꯠ ꯑꯣꯏꯅꯥ ꯊꯕꯛ ꯇꯧꯏ꯫ ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯑꯦꯅꯖꯥꯏꯝ ꯂꯤꯁꯤꯡ ꯀꯌꯥ ꯂꯩꯔꯤ, ꯃꯈꯣꯌ ꯈꯨꯗꯤꯡꯃꯛꯅꯥ ꯑꯀꯛꯅꯕꯥ ꯊꯕꯛ ꯑꯃꯥ ꯄꯥꯡꯊꯣꯀꯏ꯫

ꯑꯗꯨꯅꯥ ꯑꯦ.ꯑꯦꯜ.ꯇꯤ.ꯒꯤ ꯕ꯭ꯂꯗ ꯇꯦꯁ꯭ꯠ ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ?

ALT ꯕ꯭ꯂꯗ ꯇꯦꯁ꯭ꯠ ꯑꯃꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯏꯗꯥ ALT ꯀꯌꯥꯝ ꯌꯥꯎꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯂꯦꯄꯊꯣꯀꯏ꯫ ꯃꯍꯧꯁꯥꯅꯥ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯄꯣꯠꯁꯛ ꯑꯃꯅꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯂꯤꯚꯔꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯃꯇꯃꯗꯥ, ꯂꯤꯚꯔ ꯁꯦꯂꯁꯤꯡ ꯑꯁꯤ ꯁꯣꯀꯏ ꯑꯃꯁꯨꯡ ꯃꯈꯣꯌꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯂꯩꯕꯥ ALT ꯑꯦꯅꯖꯥꯏꯝ ꯑꯁꯤ ꯏꯗꯥ ꯊꯥꯗꯣꯀꯏ꯫ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯏꯗꯥ ꯂꯩꯕꯥ ALT ꯂꯦꯚꯦꯜ ꯑꯗꯨ ꯍꯦꯅꯒꯠꯂꯀꯏ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ, ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯂꯤꯚꯔꯒꯤ ꯍꯀꯁꯦꯜ ꯑꯗꯨ ꯌꯦꯡꯁꯤꯟꯅꯕꯥ ꯑꯦ.ꯑꯦꯜ.ꯇꯤ.

ꯑꯗꯨꯕꯨ ꯅꯤꯡꯁꯤꯡꯒꯗꯕꯥ ꯋꯥꯐꯝ ꯑꯃꯗꯤ ꯂꯩꯔꯤ꯫ ꯂꯤꯚꯔꯒꯤ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯃꯈꯜ ꯀꯌꯥꯗꯥ ALTꯒꯤ ꯆꯥꯡ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ ꯌꯥꯏ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ALT ꯇꯦꯁ꯭ꯠ ꯈꯛꯇꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯀꯔꯤ ꯂꯥꯌꯅꯥ ꯂꯩꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯆꯨꯝꯅꯥ ꯈꯪꯍꯅꯕꯥ ꯉꯃꯗꯦ꯫ ꯑꯌꯥꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯑꯦ.ꯑꯦꯜ.ꯇꯤ.ꯒꯤ ꯇꯦꯁ꯭ꯠ ꯑꯁꯤ ꯑꯇꯣꯞꯄꯥ ꯇꯦꯁ꯭ꯠ ꯀꯌꯥꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯄꯥꯡꯊꯣꯀꯏ꯫ ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ALT ꯑꯁꯤ ꯂꯤꯚꯔ ꯑꯦꯅꯖꯥꯏꯝ ꯄꯦꯅꯦꯜ (HFP ꯅꯠꯠꯔꯒꯥ LFT) ꯅꯠꯠꯔꯒꯥ ꯀꯝꯞꯔꯦꯍꯦꯟꯁꯤꯚ ꯃꯦꯇꯥꯕꯣꯂꯤꯛ ꯄꯦꯅꯦꯜ (CMP) ꯀꯧꯕꯥ ꯕ꯭ꯂꯗ ꯇꯦꯁ꯭ꯠ ꯀꯌꯥꯒꯤ ꯁꯔꯨꯛ ꯑꯃꯥ ꯑꯣꯏꯅꯥ ꯆꯦꯛ ꯇꯧꯏ꯫ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯇꯦꯁ꯭ꯠ ꯀꯌꯥ (ꯕ꯭ꯂꯗ ꯄꯦꯅꯦꯜ) ꯑꯁꯤꯅꯥ ꯏꯒꯤ ꯁꯦꯝꯄꯜ ꯑꯃꯈꯛꯇꯗꯥ ꯄꯣꯠ ꯀꯌꯥ ꯑꯃꯥ ꯃꯥꯄꯂꯅꯤ, ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯄꯨꯅꯕꯥ ꯍꯀꯁꯦꯂꯒꯤ ꯑꯐꯕꯥ ꯋꯥꯈꯜꯂꯣꯟ ꯑꯃꯥ ꯂꯧꯕꯥ ꯌꯥꯏ꯫

ꯑꯦ.ꯑꯦꯜ.ꯇꯤ.ꯒꯤ ꯇꯦꯁ꯭ꯇꯀꯤꯗꯃꯛꯇꯥ ꯁꯤꯖꯤꯟꯅꯔꯤꯕꯥ ꯑꯇꯣꯞꯄꯥ ꯃꯃꯤꯡ ꯀꯌꯥ ꯑꯃꯁꯨ ꯂꯩꯔꯤ:

• ꯑꯦꯂꯥꯅꯤꯟ ꯇ꯭ꯔꯥꯟꯁꯑꯦꯃꯤꯅꯦꯖ (ꯑꯦ.ꯑꯦꯜ.ꯇꯤ.) ꯑꯃꯁꯨꯡ ꯑꯦꯟ.
• ꯑꯦꯂꯥꯅꯤꯟ ꯑꯦꯃꯤꯅꯣꯠꯔꯥꯟꯁꯐꯦꯔꯦꯖ꯫
• ꯑꯦꯁ.ꯖꯤ.ꯄꯤ.ꯇꯤ.(ꯁꯦꯔꯥꯝ ꯒ꯭ꯂꯨꯇꯥꯃꯤꯛ-ꯄꯥꯏꯔꯨꯚꯤꯛ ꯇ꯭ꯔꯥꯟꯁꯑꯦꯃꯤꯅꯦꯖ) - ꯃꯁꯤ ꯈꯔꯥ ꯑꯔꯤꯕꯥ ꯃꯤꯡ ꯑꯃꯅꯤ, ꯑꯗꯨꯕꯨ ꯃꯁꯤ ꯔꯤꯄꯣꯔꯠ ꯈꯔꯗꯥ ꯎꯕꯥ ꯐꯪꯏ꯫
• ꯖꯤ.ꯄꯤ.ꯇꯤ.(ꯒ꯭ꯂꯨꯇꯥꯃꯤꯛ-ꯄꯥꯏꯔꯨꯚꯤꯛ ꯇ꯭ꯔꯥꯟꯁꯑꯦꯃꯤꯅꯦꯖ) - ꯃꯁꯤ ꯑꯃꯒꯥ ꯑꯃꯒꯥ ꯃꯥꯟꯅꯩ꯫

ALT (ꯑꯦꯂꯥꯅꯤꯟ ꯇ꯭ꯔꯥꯟꯁꯑꯦꯃꯤꯅꯦꯖ) ꯑꯃꯁꯨꯡ AST (ꯑꯦꯁ꯭ꯄꯥꯔꯇꯦꯠ ꯇ꯭ꯔꯥꯟꯁꯑꯦꯃꯤꯅꯦꯖ)ꯒꯤ ꯃꯔꯛꯇꯥ ꯂꯩꯕꯥ ꯈꯦꯠꯅꯕꯥ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?

ꯑꯗꯣꯝꯅꯥ ꯑꯦ.ꯑꯦꯁ.ꯇꯤ.ꯒꯤ ꯃꯇꯥꯡꯗꯁꯨ ꯇꯥꯕꯤꯔꯝꯂꯒꯅꯤ꯫ ꯑꯦꯁ꯭ꯄꯥꯔꯇꯦꯠ ꯇ꯭ꯔꯥꯟꯁꯑꯦꯃꯤꯅꯦꯖ (ꯑꯦ.ꯑꯦꯁ.ꯇꯤ.) ꯑꯁꯤ ꯂꯤꯚꯔꯒꯤ ꯊꯕꯛ ꯊꯧꯔꯃꯁꯤꯡ ꯌꯦꯡꯁꯤꯟꯅꯕꯥ ꯑꯦ.ꯑꯦꯜ.ꯇꯤ.ꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯂꯦꯄꯊꯣꯀꯄꯥ ꯑꯇꯣꯞꯄꯥ ꯑꯦꯅꯖꯥꯏꯝ ꯑꯃꯅꯤ꯫ ꯑꯅꯤꯃꯛ ꯑꯁꯤ ꯃꯍꯧꯁꯥꯅꯥ ꯃꯃꯥꯡꯗꯥ ꯄꯅꯈꯤꯕꯥ ꯑꯦꯜ.ꯑꯦꯐ.ꯇꯤ. ꯅꯠꯔꯒꯥ ꯁꯤ.ꯑꯦꯝ.ꯄꯤ. ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯁꯦꯜ ꯈꯔꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯍꯥꯌꯔꯤꯕꯥ ꯑꯦꯅꯖꯥꯏꯝ ꯑꯅꯤ ꯑꯁꯤ ꯏꯗꯥ ꯊꯨꯃꯖꯤꯅꯕꯥ ꯌꯥꯏ꯫

ꯑꯦ.ꯑꯦꯁ.ꯇꯤ. ꯑꯃꯁꯨꯡ ꯑꯦ.ꯑꯦꯜ.ꯇꯤ. ꯑꯅꯤꯃꯛ ꯂꯤꯚꯔ ꯑꯦꯅꯖꯥꯏꯃꯁꯤꯡꯅꯤ꯫(ꯂꯤꯚꯔ ꯑꯦꯅꯖꯥꯏꯃꯁꯤꯡ) ꯑꯁꯤ ꯑꯌꯥꯝꯕꯅꯥ ꯈꯟꯅꯩ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯑꯦꯅꯖꯥꯏꯝ ꯑꯦ.ꯑꯦꯁ.ꯇꯤ.ꯅꯥ ꯑꯦ.ꯑꯦꯜ.ꯇꯤ.ꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯍꯥꯔꯠ, ꯁ꯭ꯀꯦꯂꯦꯇꯦꯜ ꯃꯁꯂꯁꯤꯡ, ꯑꯃꯁꯨꯡ ꯄꯦꯅꯛꯔꯤꯑꯦꯖꯒꯨꯝꯕꯥ ꯃꯐꯃꯁꯤꯡꯗꯁꯨ ꯃꯁꯤꯡ ꯌꯥꯝꯅꯥ ꯐꯪꯏ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ, ALT ꯑꯁꯤ ꯂꯤꯚꯔꯒꯤ ꯍꯀꯁꯦꯂꯒꯥ ꯍꯦꯟꯅꯥ ꯑꯀꯛꯅꯅꯥ ꯃꯔꯤ ꯂꯩꯅꯩ ꯍꯥꯌꯅꯥ ꯈꯟꯅꯩ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯂꯤꯚꯔꯒꯤ ꯐꯤꯚꯝ ꯑꯁꯤ ꯑꯆꯨꯝꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯈꯉꯗꯣꯛꯅꯕꯥ ꯍꯥꯌꯔꯤꯕꯥ ꯃꯥꯏꯄꯥꯀꯄꯥ ꯑꯅꯤ ꯑꯁꯤ ꯁꯤꯖꯤꯟꯅꯩ꯫

ꯀꯔꯤꯒꯤꯗꯃꯛꯇꯥ ꯑꯩꯅꯥ ALT ꯕ꯭ꯂꯗ ꯇꯦꯁ꯭ꯠ ꯇꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯔꯤꯕꯅꯣ?

ALT ꯕ꯭ꯂꯗ ꯇꯦꯁ꯭ꯠ ꯑꯃꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯄꯥꯟꯗꯃꯗꯤ ꯅꯍꯥꯛꯀꯤ ꯂꯤꯚꯔꯒꯤ ꯍꯀꯁꯦꯜ ꯑꯗꯨ ꯌꯦꯡꯁꯤꯅꯕꯅꯤ꯫ ꯇꯦꯁ꯭ꯠ ꯑꯁꯤꯅꯥ ꯂꯤꯚꯔꯒꯤ ꯁꯃꯁ꯭ꯌꯥꯁꯤꯡ ꯈꯉꯗꯣꯀꯄꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯒꯅꯤ, ꯃꯔꯃꯗꯤ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯂꯤꯚꯔ ꯁꯦꯂꯁꯤꯡꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯛꯂꯕꯗꯤ ꯑꯦ.ꯑꯦꯜ.ꯇꯤ.

ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ALT ꯇꯦꯁ꯭ꯠ ꯑꯃꯥ ꯑꯣꯔꯗꯔ ꯇꯧꯕꯥ ꯌꯥꯕꯒꯤ ꯃꯔꯝ ꯀꯌꯥ ꯂꯩ (ꯑꯌꯥꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯇꯦꯁ꯭ꯠ ꯀꯌꯥꯒꯤ ꯁꯔꯨꯛ ꯑꯃꯥ ꯑꯣꯏꯅꯥ):

ꯂꯥꯏꯑꯣꯡ ꯎꯠꯠꯔꯤꯉꯩ ꯃꯃꯥꯡꯗꯥ ꯁ꯭ꯛꯔꯤꯅꯤꯡ ꯇꯧꯕꯥ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯥꯏꯑꯣꯡ ꯑꯃꯠꯇꯥ ꯂꯩꯠꯔꯕꯁꯨ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯤꯚꯔꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯅꯕꯒꯤ ꯔꯤꯁ꯭ꯛ ꯐꯦꯛꯇꯔꯁꯤꯡ ꯂꯩꯔꯕꯗꯤ ꯗꯣꯛꯇꯔ ꯑꯃꯅꯥ ALT ꯇꯦꯁ꯭ꯠ ꯇꯧꯅꯕꯥ ꯑꯣꯔꯗꯔ ꯇꯧꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤ ꯂꯥꯌꯅꯥ ꯑꯃꯥ ꯂꯥꯛꯠꯔꯤꯉꯩ ꯃꯃꯥꯡꯗꯥ ꯈꯉꯗꯣꯛꯅꯕꯥ ꯍꯣꯠꯅꯕꯅꯤ꯫ ꯔꯤꯁ꯭ꯛ ꯐꯦꯛꯇꯔꯁꯤꯡ ꯑꯁꯤ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯁꯤꯡꯁꯤꯅꯤ:

• ꯌꯨ ꯌꯥꯝꯅꯥ ꯊꯀꯄꯥ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯏꯃꯨꯡ ꯑꯗꯨꯒꯤ ꯀꯅꯥꯒꯨꯝꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯗꯥ ꯂꯤꯚꯔ ꯗꯤꯖꯤꯖ ꯂꯩꯔꯕꯗꯤ (Family history of liver disease)
• ꯗꯥꯏꯑꯦꯕꯦꯇꯤꯖ (ꯗꯥꯏꯕꯦꯇꯤꯁ ꯃꯦꯂꯤꯇꯁ)
• ꯀꯥ ꯍꯦꯟꯅ ꯅꯣꯏꯕ
• ꯑꯇꯣꯞꯄꯁꯤꯡꯅꯥ ꯁꯤꯖꯤꯟꯅꯔꯤꯕꯥ ꯅꯤꯗꯂꯁꯤꯡꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯗ꯭ꯔꯒꯁꯤꯡ ꯏꯅꯖꯦꯀꯁꯟ ꯇꯧꯕꯥ꯫

ALT ꯑꯁꯤ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯕ꯭ꯂꯗ ꯇꯦꯁ꯭ꯠ ꯀꯤꯇꯁꯤꯡ (e.g. CMP)ꯗꯥ ꯌꯥꯎꯕꯅꯥ, ꯅꯍꯥꯛꯅꯥ ꯂꯤꯚꯔꯒꯤ ꯂꯥꯌꯅꯥꯒꯤ ꯔꯤꯁ꯭ꯛ ꯂꯩꯠꯔꯕꯁꯨ ꯇꯦꯁ꯭ꯠ ꯑꯁꯤ ꯄꯥꯡꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫

ꯂꯥꯌꯅꯥꯒꯤ ꯐꯤꯚꯃꯁꯤꯡ ꯌꯦꯡꯁꯤꯅꯕꯥ ꯲

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯍꯥꯟꯅꯅꯥ ꯂꯤꯚꯔꯒꯤ ꯂꯥꯌꯅꯥ ꯂꯩꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯑꯌꯥꯝꯕꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯗꯨ ꯐꯒꯠꯂꯛꯂꯤꯕ꯭ꯔꯥ, ꯍꯦꯟꯅꯥ ꯐꯒꯠꯂꯛꯂꯤꯕ꯭ꯔꯥ ꯅꯠꯠꯔꯒꯥ ꯂꯥꯏꯌꯦꯡꯕꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯂꯩꯔꯤꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯅꯕꯒꯤꯗꯃꯛ ALT ꯇꯦꯁ꯭ꯠ (ꯑꯌꯥꯝꯕꯥ ꯃꯇꯃꯗꯥ LFT) ꯑꯃꯥ ꯑꯣꯔꯗꯔ ꯇꯧꯒꯅꯤ꯫ ꯃꯁꯤꯗꯁꯨ ꯅꯠꯇꯅꯥ, ꯅꯍꯥꯛꯅꯥ ꯂꯧꯔꯤꯕꯥ ꯍꯤꯗꯥꯛ ꯈꯔꯗꯤ ꯅꯍꯥꯛꯀꯤ ꯂꯤꯚꯔꯗꯥ ꯁꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ ꯑꯁꯤ ꯂꯧꯔꯕꯗꯤ, ꯃꯁꯤꯒꯤ ALT ꯇꯦꯁ꯭ꯠ ꯑꯁꯤꯁꯨ ꯃꯈꯣꯌꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯂꯤꯚꯔꯗꯥ ꯁꯣꯀꯍꯜꯂꯤꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯅꯕꯒꯤꯗꯃꯛ ꯇꯧꯏ꯫

꯳.ꯗꯥꯏꯒ꯭ꯅꯣꯁꯤꯁ (ꯗꯥꯏꯒ꯭ꯅꯣꯁꯤꯁ)ꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯕꯥ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯤꯚꯔꯒꯤ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯑꯃꯥ ꯂꯩꯔꯦ ꯍꯥꯌꯕꯥ ꯇꯥꯀꯄꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯎꯠꯂꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯗꯥꯏꯑꯦꯒ꯭ꯅꯣꯁ꯭ꯇꯤꯛ ꯄ꯭ꯔꯣꯁꯦꯁꯀꯤ ꯁꯔꯨꯛ ꯑꯃꯥ ꯑꯣꯏꯅꯥ ALT ꯇꯦꯁ꯭ꯠ ꯑꯃꯥ ꯁꯤꯖꯤꯟꯅꯒꯅꯤ꯫ ALT ꯂꯦꯚꯦꯜ ꯈꯛꯇꯅꯥ ꯂꯥꯌꯅꯥ ꯑꯃꯥ ꯈꯪꯗꯣꯀꯄꯥ ꯉꯃꯗ꯭ꯔꯤꯉꯩꯗꯥ, ꯃꯈꯣꯌ ꯑꯁꯤ ꯂꯥꯏꯑꯣꯡ ꯈꯪꯗꯣꯀꯄꯗꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯄ꯭ꯔꯃꯥꯟ ꯑꯃꯅꯤ꯫

ꯂꯤꯚꯔꯒꯤ ꯂꯥꯌꯅꯥꯁꯤꯡꯗꯥ ꯎꯕꯥ ꯐꯪꯒꯗꯕꯥ ꯂꯥꯏꯑꯣꯡ ꯈꯔꯗꯤ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯁꯤꯡꯁꯤꯅꯤ:

• ꯅꯣꯡꯃꯩ ꯀꯥꯞꯄꯥ ꯑꯃꯁꯨꯡ/ꯅꯠꯠꯔꯒꯥ ꯈꯣꯡ ꯍꯥꯝꯕꯥ꯫
• ꯁ꯭ꯇꯣꯃꯥꯛ ꯄꯦꯏꯟ (ꯃꯔꯨꯑꯣꯏꯅꯥ ꯈꯣꯡꯒꯤ ꯃꯊꯛ ꯊꯪꯕꯥ ꯁꯔꯨꯛꯇꯥ)
• ꯈꯣꯡ ꯍꯥꯝꯂꯕꯥ ꯈꯣꯡꯎꯞ꯫
• ꯃꯤꯠ ꯑꯃꯁꯨꯡ ꯈꯣꯡꯗꯥ ꯌꯦꯔꯨꯝ ꯀꯣꯀꯄꯥ - ꯑꯩꯈꯣꯌꯅꯥ ꯃꯁꯤꯕꯨ ꯖꯟꯗꯥꯁ ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫
• ꯑꯀꯅꯕꯥ ꯋꯥꯈꯜ ꯋꯥꯕꯥ (Fatigue) .
• ꯆꯥꯅꯤꯡꯕ ꯊꯛꯅꯤꯡꯕ ꯐꯥꯎꯕ

ꯑꯦ.ꯑꯦꯜ.ꯇꯤ.ꯒꯤ ꯕ꯭ꯂꯗ ꯇꯦꯁ꯭ꯠ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯇꯧꯕꯒꯦ? ꯀꯅꯥꯅꯥ ꯇꯧꯔꯤꯕꯅꯣ?

ꯏ ꯑꯁꯤ ꯃꯍꯧꯁꯥꯅꯥ ꯐ꯭ꯂꯦꯕꯣꯇꯣꯃꯤꯁ꯭ꯠ ꯑꯃꯅꯥ ꯂꯧꯊꯣꯀꯏ꯫ꯐ꯭ꯂꯦꯕꯣꯇꯣꯃꯤꯁ꯭ꯠ ꯀꯧꯕꯥ ꯑꯈꯟꯅꯕꯥ ꯇ꯭ꯔꯦꯟ ꯇꯧꯔꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯅꯥ ꯃꯁꯤ ꯇꯧꯕꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯕꯨ ꯏ ꯂꯧꯊꯣꯛꯅꯕꯥ ꯇ꯭ꯔꯦꯟ ꯇꯧꯔꯕꯥ ꯍꯦꯜꯊꯀꯦꯌꯔ ꯋꯥꯔꯀꯔ ꯑꯃꯅꯥ ꯇꯧꯕꯥ ꯌꯥꯏ꯫ ꯏꯒꯤ ꯁꯦꯝꯄꯜ ꯑꯗꯨ ꯂꯦꯕꯣꯔꯦꯇꯔꯤ ꯑꯃꯗꯥ ꯊꯥꯏ꯫ ꯃꯐꯝ ꯑꯗꯨꯗꯥ ꯃꯦꯗꯤꯀꯦꯜ ꯂꯦꯕꯣꯔꯦꯇꯔꯤꯒꯤ ꯁꯥꯏꯟꯇꯤꯁ꯭ꯠ ꯑꯃꯅꯥ ꯁꯦꯝꯄꯜ ꯑꯗꯨ ꯁꯦꯝ-ꯁꯥꯗꯨꯅꯥ ꯑꯈꯟꯅꯕꯥ ꯃꯦꯁꯤꯅꯁꯤꯡ (ꯑꯦꯅꯥꯂꯥꯏꯖꯥꯔ) ꯁꯤꯖꯤꯟꯅꯗꯨꯅꯥ ꯇꯦꯁ꯭ꯠ ꯇꯧꯏ꯫

ALT ꯇꯦꯁ꯭ꯠ ꯑꯃꯒꯤ ꯃꯃꯥꯡꯗꯥ ꯑꯩꯅꯥ ꯔꯣꯖꯥ ꯇꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯕ꯭ꯔꯥ? (ꯔꯣꯖꯥ ꯇꯧꯕꯥ)

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ALT ꯇꯦꯁ꯭ꯠ ꯑꯗꯨ ꯃꯃꯥꯡꯗꯥ ꯄꯅꯈ꯭ꯔꯤꯕꯥ ꯀꯝꯞꯔꯦꯍꯦꯟꯁꯤꯚ ꯃꯦꯇꯥꯕꯣꯂꯤꯛ ꯄꯦꯅꯦꯜ (CMP)ꯒꯤ ꯁꯔꯨꯛ ꯑꯃꯥ ꯑꯣꯏꯅꯥ ꯄꯥꯡꯊꯣꯛꯂꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯄꯨꯡ 10-12 ꯔꯣꯝ ꯔꯣꯖꯥ ꯂꯩꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯅꯥ ꯇꯥꯀꯄꯗꯤ ꯅꯍꯥꯛꯅꯥ ꯏꯁꯤꯡ ꯅꯠꯇꯅꯥ ꯑꯇꯩ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯃꯠꯇꯥ ꯆꯥꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯊꯀꯄꯥ ꯌꯥꯔꯣꯏ꯫

ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ALT ꯇꯦꯁ꯭ꯠ (ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯅꯦꯝꯃꯤ) ꯈꯛꯇꯃꯛ ꯇꯧꯔꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯌꯥꯡꯅꯥ ꯆꯠꯄꯒꯤ ꯃꯊꯧ ꯇꯥꯗꯦ꯫

ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯅꯍꯥꯛꯅꯥ ꯇꯦꯁ꯭ꯠ ꯇꯧꯕꯥ ꯃꯇꯃꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯇꯦꯁ꯭ꯠ ꯑꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯏꯅꯁ꯭ꯠꯔꯛꯁꯅꯁꯤꯡ ꯄꯤꯒꯅꯤ꯫ ꯍꯥꯌꯔꯤꯕꯥ ꯏꯅꯁ꯭ꯠꯔꯛꯁꯅꯁꯤꯡ ꯑꯗꯨ ꯑꯆꯨꯝꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯉꯥꯛꯅꯥ ꯆꯠꯄꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫

ꯇꯦꯁ꯭ꯠ ꯇꯧꯗ꯭ꯔꯤꯉꯩꯒꯤ ꯃꯃꯥꯡꯗꯥ ꯑꯀꯛꯅꯅꯥ ꯁꯦꯝ ꯁꯥꯅꯕꯥ ꯑꯩꯅꯥ ꯇꯧꯒꯗꯕꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯈꯔꯥ ꯂꯩꯕ꯭ꯔꯥ?

ꯅꯍꯥꯛꯅꯥ ꯂꯧꯔꯤꯕꯥ ꯇꯣꯉꯥꯟ-ꯇꯣꯉꯥꯅꯕꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯁꯞꯂꯤꯃꯦꯟꯇꯁꯤꯡꯅꯥ ꯅꯍꯥꯛꯀꯤ ALT ꯂꯦꯚꯦꯂꯗꯥ ꯁꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯇꯦꯁ꯭ꯠ ꯇꯧꯗ꯭ꯔꯤꯉꯩ ꯃꯃꯥꯡꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯧꯔꯤꯕꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛ ꯄꯨꯝꯅꯃꯛ ꯗꯣꯛꯇꯔꯗꯥ ꯈꯪꯍꯅꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯇꯦꯁ꯭ꯠ ꯑꯗꯨꯒꯤ ꯅꯨꯃꯤꯠ ꯈꯔꯅꯤꯒꯤ ꯃꯃꯥꯡꯗꯥ ꯑꯀꯛꯅꯕꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ ꯊꯀꯄꯥ ꯂꯦꯄꯍꯟꯅꯕꯥ ꯍꯥꯌꯔꯀꯄꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯍꯥꯌꯔꯛꯂꯕꯗꯤ ꯃꯈꯣꯌꯗꯨ ꯂꯧꯕꯥ ꯂꯦꯄꯀꯅꯨ꯫

ꯃꯁꯤꯗꯁꯨ ꯅꯠꯇꯅꯥ, ꯑꯀꯅꯕꯥ ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯇꯧꯕꯅꯥ ALTꯒꯤ ꯊꯥꯀꯁꯤꯡ ꯍꯣꯡꯗꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯀꯟꯅꯥ ꯁꯥꯖꯦꯜ ꯇꯧꯔꯕꯗꯤ, ꯇꯦꯁ꯭ꯠ ꯇꯧꯗ꯭ꯔꯤꯉꯩ ꯃꯃꯥꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯃꯗꯨꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯈꯪꯍꯅꯕꯤꯌꯨ꯫

ALT ꯇꯦꯁ꯭ꯠ ꯑꯃꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯀꯔꯤ ꯊꯣꯀꯏ?

ꯃꯁꯤ ꯃꯍꯧꯁꯥꯅꯥ ꯏ ꯂꯧꯊꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯊꯣꯀꯄꯅꯤ:

• ꯅꯍꯥꯛꯅꯥ ꯆꯦꯌꯥꯔ ꯑꯃꯗꯥ ꯐꯃꯗꯨꯅꯥ ꯂꯩꯔꯤꯉꯩꯗꯥ, ꯍꯦꯂꯊ ꯀꯦꯌꯔ ꯄ꯭ꯔꯣꯚꯥꯏꯗꯔ ꯑꯗꯨꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯨꯠꯁꯥꯗꯥ ꯏ ꯂꯧꯊꯣꯀꯄꯥ ꯌꯥꯕꯥ ꯏꯆꯝ ꯆꯝꯕꯥ ꯚꯦꯅꯝ ꯑꯃꯥ ꯌꯦꯡꯒꯅꯤ꯫ ꯑꯌꯥꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯚꯦꯅꯝ ꯑꯗꯨ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯂꯩ꯫
• ꯚꯦꯅꯝ ꯑꯃꯥ ꯐꯪꯂꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯃꯐꯝ ꯑꯗꯨ ꯁꯦꯡꯗꯣꯀꯏ ꯑꯃꯁꯨꯡ ꯗꯤꯁꯏꯅꯐꯦꯛꯇ ꯇꯧꯏ꯫
• ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯑꯄꯤꯀꯄꯥ ꯅꯤꯜ ꯑꯃꯥ ꯚꯦꯅꯝ ꯑꯗꯨꯗꯥ ꯊꯥꯗꯨꯅꯥ ꯏꯒꯤ ꯁꯦꯝꯄꯜ ꯑꯃꯥ ꯂꯧꯏ꯫ ꯃꯇꯝ ꯑꯁꯤꯗꯥ, ꯅꯍꯥꯛꯅꯥ ꯃꯍꯤꯛ-ꯃꯇꯥꯏ ꯑꯃꯅꯥ ꯁꯣꯀꯍꯅꯕꯒꯨꯝꯅꯥ ꯈꯔꯥ ꯁꯣꯀꯄꯥ ꯌꯥꯏ꯫
• ꯅꯤꯗꯜ ꯑꯗꯨ ꯊꯥꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ, ꯇꯦꯁ꯭ꯠ ꯇꯤꯎꯕ ꯑꯃꯗꯥ ꯏꯒꯤ ꯆꯥꯡ ꯈꯔꯥ ꯈꯣꯃꯖꯤꯜꯂꯤ꯫
• ꯏꯒꯤ ꯁꯦꯝꯄꯜ ꯑꯗꯨ ꯂꯧꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ, ꯅꯤꯗꯜ ꯑꯗꯨ ꯂꯧꯊꯣꯀꯏ ꯑꯃꯁꯨꯡ ꯃꯐꯝ ꯑꯗꯨꯗꯥ ꯁꯨꯃꯍꯠꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯒꯣꯖ ꯑꯃꯥ ꯊꯥꯗꯨꯅꯥ ꯏ ꯊꯣꯀꯄꯥ ꯊꯤꯡꯅꯕꯥ ꯈꯔꯥ ꯄ꯭ꯔꯦꯁꯔ ꯄꯤ꯫
• ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯃꯐꯝ ꯑꯗꯨꯗꯥ ꯕꯦꯟꯗꯦꯖ ꯑꯃꯥ ꯊꯥꯏ꯫ ꯃꯗꯨꯅꯤ, ꯊꯕꯛ ꯑꯗꯨ ꯂꯣꯏꯔꯦ꯫

ꯃꯁꯤꯒꯤ ꯊꯧꯑꯣꯡ ꯄꯨꯝꯅꯃꯛ ꯑꯁꯤ ꯃꯍꯧꯁꯥꯅꯥ ꯃꯤꯅꯤꯠ ꯃꯉꯥꯗꯒꯤ ꯇꯥꯅꯥ ꯆꯪꯏ꯫

ꯑꯦ.ꯑꯦꯜ.ꯇꯤ.ꯒꯤ ꯇꯦꯁ꯭ꯇꯀꯤ ꯃꯇꯨꯡꯗꯥ ꯀꯔꯤ ꯉꯥꯏꯔꯤꯕꯒꯦ?

ꯅꯍꯥꯛꯀꯤ ꯏꯒꯤ ꯁꯦꯝꯄꯜ ꯑꯗꯨ ꯂꯧꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ, ꯃꯗꯨ ꯂꯦꯕꯣꯔꯦꯇꯔꯤ ꯑꯃꯗꯥ ꯊꯥꯏ꯫ ꯇꯦꯁ꯭ꯇꯀꯤ ꯔꯤꯖꯜꯇ ꯑꯗꯨ ꯂꯥꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯔꯤꯖꯜꯇ ꯑꯗꯨ ꯈꯪꯍꯜꯂꯛꯀꯅꯤ꯫

ALT ꯕ꯭ꯂꯗ ꯇꯦꯁ꯭ꯠ ꯇꯧꯕꯗꯥ ꯔꯤꯁ꯭ꯛ ꯂꯩꯕ꯭ꯔꯥ?

ꯕ꯭ꯂꯗ ꯇꯦꯁ꯭ꯠ ꯑꯁꯤ ꯃꯦꯗꯤꯀꯦꯜ ꯇꯦꯁ꯭ꯇꯤꯡꯒꯤ ꯌꯥꯝꯅꯥ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯑꯃꯁꯨꯡ ꯃꯊꯧ ꯇꯥꯕꯥ ꯁꯔꯨꯛ ꯑꯃꯅꯤ꯫ ꯏ ꯂꯧꯊꯣꯀꯄꯒꯤ ꯈꯨꯗꯣꯡꯊꯤꯕꯥ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯅꯦꯝꯃꯤ . ꯏ ꯂꯧꯊꯣꯀꯈꯤꯕꯥ ꯃꯐꯝ ꯑꯗꯨꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯁꯣꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯁꯣꯀꯄꯥ ꯈꯔꯥ ꯊꯦꯡꯅꯔꯀꯄꯥ ꯌꯥꯏ, ꯑꯗꯨꯕꯨ ꯃꯁꯤ ꯅꯨꯃꯤꯠ ꯑꯃꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯅꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯂꯣꯏꯁꯤꯅꯒꯅꯤ꯫

ꯑꯦ.ꯑꯦꯜ.ꯇꯤ.ꯒꯤ ꯇꯦꯁ꯭ꯇꯀꯤ ꯔꯤꯖꯜꯇ ꯐꯪꯕꯗꯥ ꯃꯇꯝ ꯀꯌꯥ ꯆꯪꯕꯒꯦ?

ꯑꯌꯥꯝꯕꯥ ꯀꯦꯁꯁꯤꯡꯗꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯇꯦꯁ꯭ꯇꯀꯤ ꯔꯤꯖꯜꯇ ꯑꯗꯨ ꯕꯤꯖꯤꯅꯦꯁ ꯅꯨꯃꯤꯠ ꯑꯃꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯅꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯐꯪꯒꯗꯕꯅꯤ, ꯑꯗꯨꯕꯨ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯃꯁꯤ ꯈꯔꯥ ꯍꯦꯟꯅꯥ ꯂꯧꯕꯥ ꯌꯥꯏ꯫

ꯑꯦ.ꯑꯦꯜ.ꯇꯤ.ꯒꯤ ꯇꯦꯁ꯭ꯇꯀꯤ ꯔꯤꯖꯜꯇꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯀꯔꯤ ꯍꯥꯌꯔꯤꯕꯒꯦ?

ꯕ꯭ꯂꯗ ꯇꯦꯁ꯭ꯠ ꯔꯤꯄꯣꯔꯠ ꯑꯃꯗꯥ, ꯍꯥꯌꯕꯗꯤ ALT ꯇꯦꯁ꯭ꯠ ꯔꯤꯄꯣꯔꯠ ꯑꯃꯗꯥ ꯃꯍꯧꯁꯥꯅꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯏꯅꯐꯣꯔꯃꯦꯁꯟ ꯑꯁꯤ ꯌꯥꯎꯏ:

• ꯕ꯭ꯂꯗ ꯇꯦꯁ꯭ꯇꯀꯤ ꯃꯃꯤꯡ ꯅꯠꯠꯔꯒꯥ ꯅꯍꯥꯛꯀꯤ ꯏꯗꯥ ꯀꯔꯤ ꯃꯥꯄꯂꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ꯫
• ꯅꯍꯥꯛꯀꯤ ꯕ꯭ꯂꯗ ꯇꯦꯁ꯭ꯇꯀꯤ ꯔꯤꯖꯜꯇ ꯑꯗꯨꯒꯤ ꯚꯦꯜꯌꯨ (ꯃꯁꯤꯡ ꯅꯠꯠꯔꯒꯥ ꯃꯥꯌꯄꯥꯀꯄꯥ) ꯑꯗꯨ꯫
• ꯃꯗꯨ ꯇꯦꯁ꯭ꯇꯀꯤꯗꯃꯛꯇꯥ ꯅꯣꯔꯃꯦꯜ ꯃꯦꯖꯔ ꯔꯦꯟꯖꯅꯤ꯫
• ꯅꯍꯥꯛꯀꯤ ꯔꯤꯖꯜꯇ ꯑꯗꯨ ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯕ꯭ꯔꯥ, ꯑꯦꯕꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯕ꯭ꯔꯥ ꯅꯠꯠꯔꯒꯥ ꯋꯥꯡꯕ꯭ꯔꯥ ꯅꯠꯠꯔꯒꯥ ꯅꯦꯝꯂꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯇꯥꯀꯄꯥ ꯏꯅꯐꯣꯔꯃꯦꯁꯟ꯫

ꯃꯔꯨꯑꯣꯏꯕꯥ: ꯃꯁꯤꯒꯤ ꯅꯣꯔꯃꯦꯜ ꯔꯦꯟꯖ ꯑꯁꯤ ꯂꯦꯕ ꯑꯃꯗꯒꯤ ꯂꯦꯕ ꯑꯃꯗꯥ ꯈꯔꯥ ꯈꯦꯠꯅꯕꯥ ꯌꯥꯏ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯔꯤꯄꯣꯔꯇꯇꯥ ꯂꯦꯕ ꯑꯗꯨꯒꯤ ꯅꯣꯔꯃꯦꯜ ꯔꯦꯟꯖ ꯑꯗꯨ ꯆꯦꯛ ꯇꯧꯕꯥ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫

ALT ꯇꯦꯁ꯭ꯠ ꯑꯃꯒꯤ ꯅꯣꯔꯃꯦꯜ ꯔꯦꯟꯖ ꯑꯁꯤ ꯀꯔꯤꯅꯣ?

ꯑꯦꯂꯥꯅꯤꯟ ꯇ꯭ꯔꯥꯟꯁꯑꯦꯃꯤꯅꯦꯖ (ALT)ꯒꯤ ꯅꯣꯔꯃꯦꯜ ꯔꯦꯟꯖ ꯑꯁꯤ ꯂꯦꯕꯣꯔꯦꯇꯔꯤ ꯑꯃꯗꯒꯤ ꯂꯦꯕꯣꯔꯦꯇꯔꯤ ꯑꯃꯗꯥ ꯈꯦꯠꯅꯩ꯫ ꯃꯍꯧꯁꯥꯅꯥ ꯌꯥꯅꯔꯕꯥ ꯅꯣꯔꯃꯦꯜ ꯔꯦꯟꯖ ꯑꯃꯅꯥ ꯂꯤꯇꯔ ꯑꯃꯗꯥ ꯌꯨꯅꯤꯠ 7ꯗꯒꯤ 56 ꯐꯥꯎꯕꯥ (U/L 7ꯗꯒꯤ 56 ꯐꯥꯎꯕꯥ) ꯑꯣꯏ꯫ ꯅꯨꯄꯥꯁꯤꯡꯅꯥ ꯅꯨꯄꯤꯁꯤꯡꯗꯒꯤ ꯈꯔꯥ ꯍꯦꯟꯅꯥ ꯋꯥꯡꯕꯥ ALT ꯂꯦꯚꯦꯜ ꯂꯩꯕꯥ ꯊꯦꯡꯅꯩ꯫

ꯑꯩꯍꯥꯛꯅꯥ ꯃꯃꯥꯡꯗꯥ ꯍꯥꯌꯈꯤꯕꯒꯨꯝꯅꯥ, ꯔꯦꯟꯖꯁꯤꯡ ꯑꯁꯤ ꯂꯦꯕ ꯑꯃꯗꯒꯤ ꯂꯦꯕ ꯑꯃꯗꯥ ꯈꯦꯠꯅꯕꯥ ꯌꯥꯏ, ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯇꯦꯁ꯭ꯇꯀꯤ ꯔꯤꯖꯜꯇ ꯔꯤꯄꯣꯔꯇꯇꯥ ꯍꯥꯌꯈꯤꯕꯒꯨꯝꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯂꯦꯕꯀꯤꯗꯃꯛꯇꯥ ꯔꯦꯐꯥꯔꯦꯟꯁ ꯔꯦꯟꯖ ꯑꯁꯤ ꯀꯔꯤꯅꯣ ꯍꯥꯌꯕꯗꯨ ꯑꯆꯨꯝꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯌꯦꯡꯁꯤꯅꯕꯥ ꯃꯊꯧ ꯇꯥꯏ꯫

ꯑꯩꯒꯤ ALT (ꯑꯦꯂꯥꯅꯤꯟ ꯇ꯭ꯔꯥꯟꯁꯑꯦꯃꯤꯅꯦꯖ) ꯂꯦꯚꯦꯜ ꯋꯥꯡꯈꯠꯂꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯃꯁꯤꯒꯤ ꯑꯔꯊ ꯀꯔꯤꯅꯣ?

ꯅꯍꯥꯛꯀꯤ ꯏꯗꯥ ALTꯒꯤ ꯆꯥꯡ ꯋꯥꯡꯕꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯂꯤꯚꯔ ꯁꯦꯂꯁꯤꯡꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯈꯔꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯏ ꯍꯥꯌꯕꯁꯤꯅꯤ꯫ ꯑꯦ.ꯑꯦꯜ.ꯇꯤ.ꯒꯤ ꯆꯥꯡ ꯋꯥꯡꯈꯠꯂꯀꯄꯅꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ ꯑꯁꯤ ꯇꯥꯀꯄꯥ ꯌꯥꯏ:

• ꯌꯨ -ꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯂꯤꯚꯔꯒꯤ ꯑꯁꯣꯛ-ꯑꯄꯟ꯫
• ꯐꯦꯇꯤ ꯂꯤꯚꯔ ꯗꯤꯖꯤꯖ (ꯂꯤꯚꯔꯗꯥ ꯐꯦꯠ ꯌꯥꯝꯅꯥ ꯌꯥꯎꯕꯥ)
• ꯍꯦꯄꯥꯇꯥꯏꯇꯤꯁ (ꯂꯤꯚꯔꯗꯥ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯁꯟ/ ꯁꯣꯀꯄꯥ)
• ꯁꯤꯔꯣꯁꯤꯁ (ꯂꯤꯚꯔꯗꯥ ꯁꯣꯀꯄꯥ) .
• ꯂꯤꯚꯔꯗꯥ ꯇꯣꯛꯁꯤꯛ ꯑꯣꯏꯕꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ ꯂꯧꯕꯥ꯫
• ꯂꯤꯚꯔ ꯇꯤꯎꯃꯔ ꯅꯠꯠꯔꯒꯥ ꯂꯤꯚꯔ ꯀꯦꯟꯁꯔ꯫
• ꯂꯤꯚꯔꯗꯥ ꯏꯒꯤ ꯈꯣꯡꯖꯦꯜ ꯍꯟꯊꯔꯀꯄꯥ (ꯂꯤꯚꯔ ꯏꯁ꯭ꯀꯦꯃꯤꯛ - ꯃꯁꯤꯅꯥ ꯂꯤꯚꯔꯒꯤ ꯇꯤꯁꯨꯁꯤꯡ ꯁꯤꯍꯅꯕꯥ ꯌꯥꯏ)
• ꯍꯦꯃꯣꯛꯔꯣꯃꯦꯇꯣꯁꯤꯁ (ꯍꯀꯆꯥꯡꯗꯥ ꯑꯥꯏꯔꯟ ꯍꯦꯟꯅꯥ ꯌꯥꯎꯕꯥ)
• ꯃꯣꯅꯣꯟꯌꯨꯛꯂꯤꯑꯣꯁꯤꯁ ("ꯃꯣꯅꯣ" ꯍꯥꯌꯅꯥꯁꯨ ꯀꯧꯏ)
• ꯂꯤꯚꯔꯗꯥ ꯁꯣꯀꯍꯜꯂꯤꯕꯥ ꯖꯦꯅꯦꯇꯤꯛ ꯀꯟꯗꯤꯁꯟ ꯈꯔꯗꯤ꯫

ꯃꯁꯤꯒꯤ ꯃꯊꯛꯇꯥ, ꯑꯦ.ꯑꯦꯜ.ꯇꯤ.

ꯑꯗꯨꯕꯨ ꯅꯍꯥꯛꯅꯥ ꯃꯁꯤꯁꯨ ꯅꯤꯡꯁꯤꯡꯒꯗꯕꯅꯤ: ꯅꯍꯥꯛꯀꯤ ALT ꯔꯤꯖꯜꯇ ꯑꯗꯨ ꯋꯥꯡꯕꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ, ꯃꯁꯤꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯂꯥꯌꯅꯥ ꯑꯃꯥ ꯂꯩꯔꯦ ꯅꯠꯠꯔꯒꯥ ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯃꯊꯧ ꯇꯥꯔꯦ ꯍꯥꯌꯕꯁꯤ ꯁꯣꯌꯗꯅꯥ ꯇꯥꯀꯄꯥ ꯅꯠꯇꯦ꯫ALT ꯂꯦꯚꯦꯜ ꯋꯥꯡꯈꯠꯄꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯒꯤ 5%ꯗꯒꯤ ꯇꯥꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯂꯤꯚꯔꯒꯤ ꯂꯥꯌꯅꯥ ꯂꯩ꯫ ꯅꯍꯥꯛꯀꯤ ꯔꯤꯖꯜꯇ ꯑꯗꯨ ꯑꯦꯅꯥꯂꯥꯏꯖ ꯇꯧꯕꯥ ꯃꯇꯃꯗꯥ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯑꯇꯩ ꯐꯦꯛꯇꯔ ꯀꯌꯥ (ꯑꯇꯣꯞꯄꯥ ꯕ꯭ꯂꯗ ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯃꯦꯗꯤꯀꯦꯜ ꯍꯤꯁ꯭ꯇꯔꯤꯒꯨꯝꯕꯥ) ꯌꯦꯡꯒꯅꯤ꯫

ꯑꯩꯒꯤ ALT (ꯑꯦꯂꯥꯅꯤꯟ ꯇ꯭ꯔꯥꯟꯁꯑꯦꯃꯤꯅꯦꯖ) ꯂꯦꯚꯦꯜ ꯅꯦꯃꯊꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯃꯁꯤꯒꯤ ꯑꯔꯊ ꯀꯔꯤꯅꯣ?

ꯑꯦ.ꯑꯦꯜ.ꯇꯤ.ꯒꯤ ꯆꯥꯡ ꯑꯁꯤ ꯅꯣꯔꯃꯦꯂꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯅꯦꯝꯕꯥ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯊꯦꯡꯅꯩ , ꯑꯃꯁꯨꯡ ꯃꯍꯧꯁꯥꯅꯥ ꯃꯁꯤ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯃꯔꯝ ꯑꯃꯥ ꯑꯣꯏꯗꯦ . ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯊꯣꯀꯄꯥ ꯀꯦꯁꯁꯤꯡꯗꯥ, ALTꯒꯤ ꯆꯥꯡ ꯅꯦꯝꯕꯥ ꯑꯁꯤꯅꯥ ꯚꯤꯇꯥꯃꯤꯟ B6 ꯋꯥꯠꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯀ꯭ꯔꯣꯅꯤꯛ ꯀꯤꯗꯅꯤꯒꯤ ꯂꯥꯌꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ .

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ALT ꯔꯤꯖꯜꯇ ꯑꯗꯨ ꯅꯣꯔꯃꯦꯂꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯅꯦꯝꯂꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯂꯦꯚꯦꯜ ꯅꯦꯝꯕꯥ ꯑꯗꯨꯒꯤ ꯃꯔꯝ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯈꯪꯗꯣꯛꯅꯕꯥ ꯍꯟꯖꯤꯟ ꯍꯟꯖꯤꯟ ꯇꯦꯁ꯭ꯠ ꯇꯧꯅꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯇꯩ ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯇꯧꯅꯕꯥ ꯑꯣꯔꯗꯔ ꯇꯧꯕꯥ ꯌꯥꯏ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯩꯒꯤ ALT (ꯑꯦꯂꯥꯅꯤꯟ ꯇ꯭ꯔꯥꯟꯁꯑꯦꯃꯤꯅꯦꯖ) ꯇꯦꯁ꯭ꯇꯀꯤ ꯔꯤꯖꯜꯇ ꯋꯥꯡꯈꯠꯂꯕꯗꯤ ꯅꯠꯠꯔꯒꯥ ꯅꯦꯝꯅꯥ ꯂꯩꯔꯕꯗꯤ ꯑꯩꯅꯥ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯂꯩꯒꯗ꯭ꯔꯥ?

ꯅꯍꯥꯛꯀꯤ ALT ꯇꯦꯁ꯭ꯇꯀꯤ ꯔꯤꯖꯜꯇ ꯑꯗꯨ ꯋꯥꯡꯈꯠꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯅꯦꯝꯕꯥ ꯍꯥꯌꯕꯁꯤꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯃꯊꯧ ꯇꯥꯕꯥ ꯃꯦꯗꯤꯀꯦꯜ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯥ ꯂꯩꯔꯦ ꯍꯥꯌꯕꯥ ꯇꯥꯀꯄꯥ ꯅꯠꯇꯦ꯫ ꯅꯍꯥꯛꯀꯤ ALTꯒꯤ ꯊꯥꯀꯁꯤꯡꯗꯥ ꯁꯣꯀꯍꯅꯕꯥ ꯌꯥꯕꯥ ꯑꯇꯩ ꯐꯦꯛꯇꯔ ꯀꯌꯥꯁꯨ ꯂꯩ:

• ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯇꯧꯕꯥ: ꯑꯍꯦꯅꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯀꯅꯕꯥ ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯇꯧꯕꯅꯥ ꯃꯇꯝ ꯈꯔꯒꯤ ꯑꯣꯏꯅꯥ ALTꯒꯤ ꯆꯥꯡ ꯍꯦꯅꯒꯠꯍꯅꯕꯥ ꯌꯥꯏ꯫
• ꯍꯤꯗꯥꯀꯁꯤꯡ: ꯄꯦꯟ ꯔꯤꯂꯤꯚꯔꯁꯤꯡ (ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ , ꯑꯦꯁꯤꯇꯥꯃꯤꯅꯣꯐꯦꯟ ) ꯌꯥꯎꯅꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯁꯞꯂꯤꯃꯦꯟꯇ ꯀꯌꯥꯅꯥ ALTꯒꯤ ꯆꯥꯡꯗꯥ ꯁꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫
• ꯁꯦꯛꯁ: ꯁꯥꯏꯟꯇꯤꯁ꯭ꯇꯁꯤꯡꯅꯥ ꯍꯣꯔꯃꯣꯅꯒꯤ ꯑꯍꯣꯡꯕꯁꯤꯡꯅꯥ ꯅꯨꯄꯥ ꯑꯃꯁꯨꯡ ꯅꯨꯄꯤꯒꯤ ꯃꯔꯛꯇꯥ ALTꯒꯤ ꯆꯥꯡꯗꯥ ꯈꯦꯠꯅꯕꯥ ꯊꯣꯀꯍꯜꯂꯤ (ꯃꯍꯧꯁꯥꯅꯥ ꯅꯨꯄꯥꯁꯤꯡꯗꯥ ꯍꯦꯟꯅꯥ ꯋꯥꯡꯏ) ꯍꯥꯌꯅꯥ ꯂꯧꯏ꯫
• ꯊꯥꯒꯤ ꯈꯣꯡꯀꯥꯞ: ꯊꯥꯒꯤ ꯈꯣꯡꯀꯥꯄꯀꯤ ꯃꯅꯨꯡꯗꯥ ALTꯒꯤ ꯆꯥꯡ ꯑꯁꯤ ꯍꯣꯡꯂꯀꯄꯥ ꯌꯥꯏ꯫
• ꯆꯍꯤ: ꯆꯍꯤ ꯌꯥꯃꯈꯠꯂꯀꯄꯒꯥ ꯂꯣꯌꯅꯅꯥ ALTꯒꯤ ꯆꯥꯡ ꯍꯟꯊꯔꯀꯄꯥ ꯌꯥꯏ꯫
• ꯍꯦꯔꯤꯇꯦꯖ: ꯔꯤꯁꯔꯆ ꯈꯔꯅꯥ ꯃꯦꯛꯁꯤꯀꯥꯟ-ꯑꯃꯦꯔꯤꯀꯥꯟ ꯂꯃꯗꯃꯒꯤ ꯃꯤꯑꯣꯏꯁꯤꯡꯅꯥ ꯑꯦ.ꯑꯦꯜ.ꯇꯤ. (ꯃꯁꯤ ꯑꯩꯈꯣꯌꯒꯥ ꯃꯔꯤ ꯂꯩꯅꯗꯕꯥ ꯑꯣꯏꯔꯝꯕꯥ ꯌꯥꯏ, ꯑꯗꯨꯕꯨ ꯈꯉꯕꯗꯥ ꯑꯐꯕꯥ ꯑꯃꯅꯤ꯫)
• ꯕꯣꯗꯤ ꯃꯥꯁ ꯏꯟꯗꯦꯛꯁ (BMI): ꯁ꯭ꯇꯗꯤ ꯀꯌꯥ ꯑꯃꯅꯥ ALTꯒꯤ ꯆꯥꯡ ꯑꯃꯁꯨꯡ BMIꯒꯤ ꯃꯔꯛꯇꯥ ꯂꯩꯕꯥ ꯃꯔꯤ ꯑꯃꯥ ꯎꯠꯂꯦ, ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯃꯁꯤꯅꯥ ꯑꯣꯕꯦꯁꯤꯇꯤ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯗꯥ ꯇꯦꯁ꯭ꯇꯀꯤ ꯔꯤꯖꯜꯇꯁꯤꯡꯒꯤ ꯏꯟꯇꯔꯞꯔꯤꯇꯦꯁꯅꯗꯥ ꯑꯀꯥꯌꯕꯥ ꯄꯤꯕꯥ ꯌꯥꯏ꯫

ꯐꯦꯛꯇꯔꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯊꯛꯇꯥ, ꯅꯍꯥꯛꯀꯤ ALTꯒꯤ ꯔꯤꯖꯜꯇꯁꯤꯡ ꯑꯗꯨ ꯑꯦꯅꯥꯂꯥꯏꯖ ꯇꯧꯕꯥ ꯃꯇꯃꯗꯥ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯁꯦꯜ ꯑꯃꯁꯨꯡ ꯀꯟꯗꯤꯁꯅꯒꯤ ꯃꯁꯛ ꯀꯌꯥ ꯌꯦꯡꯁꯤꯅꯒꯅꯤ, ꯃꯈꯣꯌ ꯑꯗꯨꯗꯤ:

• ꯑꯗꯣꯃꯒꯤ ꯃꯄꯨꯡ ꯐꯥꯕꯥ ꯃꯦꯗꯤꯀꯦꯜ ꯍꯤꯁ꯭ꯇꯔꯤ .
• ꯅꯍꯥꯛꯀꯤ ALT ꯔꯤꯖꯜꯇ ꯑꯗꯨ ꯀꯌꯥ ꯌꯥꯝꯅꯥ ꯋꯥꯡꯕꯒꯦ ꯅꯠꯠꯔꯒꯥ ꯅꯦꯝꯕꯒꯦ꯫
• ꯅꯍꯥꯛꯀꯤ ꯃꯃꯥꯡꯒꯤ ALT ꯇꯦꯁ꯭ꯇꯁꯤꯡꯒꯤ ꯔꯤꯖꯜꯇꯁꯤꯡ (ꯀꯔꯤꯒꯨꯝꯕꯥ ꯂꯩꯔꯕꯗꯤ)꯫
• ꯃꯍꯧꯁꯥꯅꯥ ꯑꯦ.ꯑꯦꯜ.ꯇꯤ.ꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯇꯧꯕꯥ ꯑꯇꯣꯞꯄꯥ ꯇꯦꯁ꯭ꯇꯁꯤꯡꯒꯤ ꯔꯤꯖꯜꯇꯁꯤꯡ꯫
• ꯅꯍꯥꯛꯀꯤ ꯂꯥꯏꯑꯣꯡ ꯑꯃꯠꯇꯥ ꯂꯩꯕ꯭ꯔꯥ ?

ꯑꯗꯨꯅꯥ, ꯑꯗꯣꯝꯅꯥ ꯈꯉꯕꯤꯔꯤꯕꯔꯥ? ꯔꯤꯄꯣꯔꯠ ꯑꯗꯨꯗꯥ ꯂꯩꯔꯤꯕꯥ ꯚꯦꯜꯌꯨ ꯑꯃꯥ ꯈꯉꯍꯧꯗꯅꯥ ꯍꯣꯡꯂꯛꯀꯅꯤ ꯍꯥꯌꯅꯥ ꯂꯥꯡꯇꯛꯅꯒꯅꯨ꯫ ꯗꯣꯛꯇꯔ ꯑꯃꯅꯥ ꯃꯁꯤ ꯄꯨꯝꯅꯃꯛ ꯑꯁꯤ ꯌꯦꯡꯒꯅꯤ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯅꯥ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯑꯃꯥ ꯂꯩꯕ꯭ꯔꯥ ꯅꯠꯠꯔꯒꯥ ꯂꯩꯇꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯂꯦꯄꯀꯅꯤ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯩꯒꯤ ALT ꯔꯤꯖꯜꯇ ꯑꯗꯨ ꯑꯦꯕꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯔꯕꯗꯤ ꯑꯩꯅꯥ ꯃꯈꯥ ꯇꯥꯅꯥ ꯇꯦꯁ꯭ꯠ ꯇꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯕ꯭ꯔꯥ?

ꯍꯣꯌ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ALTꯒꯤ ꯆꯥꯡ ꯑꯗꯨ ꯑꯁꯣꯀꯄꯥ ꯑꯣꯏꯔꯕꯗꯤ, ꯃꯍꯧꯁꯥꯅꯥ ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯃꯈꯥ ꯇꯥꯕꯥ ꯇꯦꯁ꯭ꯇꯁꯤꯡ (ꯐꯣꯂꯣ-ꯑꯞ ꯇꯦꯁ꯭ꯇꯁꯤꯡ) ꯇꯧꯅꯕꯥ ꯄꯥꯎꯇꯥꯛ ꯄꯤꯒꯅꯤ꯫

ꯑꯍꯦꯅꯕꯥ ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯁꯤꯡꯁꯤ ꯌꯥꯎꯕꯥ ꯌꯥꯏ:

• ꯑꯦ.ꯑꯦꯜ.ꯇꯤ.ꯒꯤ ꯕ꯭ꯂꯗ ꯇꯦꯁ꯭ꯠ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯇꯧꯕꯥ .
• ꯑꯇꯩ ꯕ꯭ꯂꯗ ꯇꯦꯁ꯭ꯇꯁꯤꯡ (ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯃꯄꯨꯡꯐꯥꯕꯥ LFT ꯑꯃꯥ, ꯍꯦꯄꯥꯇꯥꯏꯇꯤꯁ ꯚꯥꯏꯔꯁꯁꯤꯡꯒꯤ ꯇꯦꯁ꯭ꯠ)꯫
• ꯏꯃꯦꯖꯤꯡ ꯇꯦꯁ꯭ꯇꯁꯤꯡ (ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ ꯑꯂꯠꯔꯥꯁꯥꯎꯟꯗ ꯁ꯭ꯀꯦꯟ, ꯁꯤ.ꯇꯤ. ꯁ꯭ꯀꯦꯟ)꯫
• ꯕꯥꯏꯑꯣꯞꯁꯤ (ꯑꯦꯀꯖꯥꯃꯤꯅꯦꯁꯅꯒꯤꯗꯃꯛꯇꯥ ꯂꯤꯚꯔꯗꯒꯤ ꯇꯤꯁꯨꯒꯤ ꯑꯄꯤꯀꯄꯥ ꯁꯔꯨꯛ ꯑꯃꯥ ꯂꯧꯕꯥ)꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ALTꯒꯤ ꯆꯥꯡ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯋꯥꯡꯂꯕꯗꯤ ꯑꯃꯁꯨꯡ/ꯅꯠꯠꯔꯒꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯤꯚꯔꯒꯤ ꯂꯥꯌꯅꯥꯒꯤ ꯂꯥꯏꯑꯣꯡ ꯂꯩꯔꯕꯗꯤ, ꯑꯍꯦꯅꯕꯥ ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯑꯁꯤ ꯊꯨꯅꯥ ꯇꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯏ꯫

ꯃꯤꯄꯨꯝ ꯈꯨꯗꯤꯡꯃꯛꯀꯤ ꯐꯤꯚꯝ ꯇꯣꯉꯥꯟ-ꯇꯣꯉꯥꯅꯕꯥ ꯑꯣꯏꯕꯅꯥ ꯑꯍꯦꯅꯕꯥ ꯇꯦꯁ꯭ꯠ ꯇꯧꯅꯕꯒꯤꯗꯃꯛ ꯋꯥꯟ-ꯁꯥꯏꯖ-ꯐꯤꯠ-ꯑꯣꯜ ꯄ꯭ꯂꯥꯟ ꯂꯩꯇꯦ꯫ ꯅꯍꯥꯛ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯥ ꯄ꯭ꯂꯥꯟ ꯑꯗꯨ ꯀꯔꯤꯅꯣ ꯍꯥꯌꯕꯗꯨ ꯄꯨꯟꯅꯥ ꯂꯦꯄꯀꯅꯤ꯫

ꯑꯩꯅꯥ ꯀꯗꯥꯌꯗꯥ ꯗꯣꯛꯇꯔꯒꯥ ꯎꯅꯒꯗꯒꯦ?

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯤꯚꯔꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ, ꯍꯥꯌꯕꯗꯤ ꯖꯟꯗꯥꯁ ꯅꯠꯠꯔꯒꯥ ꯁ꯭ꯇꯣꯃꯥꯛ ꯄꯦꯅꯒꯨꯝꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯂꯩꯔꯕꯗꯤ, ꯗꯣꯛꯇꯔ ꯑꯃꯗꯥ ꯁꯣꯌꯗꯅꯥ ꯇꯥꯀꯄꯤꯌꯨ .

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯤꯚꯔ ꯗꯤꯖꯤꯖ ꯂꯩꯔꯦ ꯍꯥꯌꯕꯥ ꯍꯥꯟꯅꯅꯥ ꯈꯪꯂꯕꯗꯤ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯅꯧꯕꯥ ꯂꯥꯏꯑꯣꯡ ꯑꯃꯥ ꯂꯥꯀꯄꯥ ꯇꯥꯔꯕꯗꯤ, ꯅꯠꯠꯔꯒꯥ ꯅꯍꯥꯛꯀꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯗꯨ ꯍꯦꯟꯅꯥ ꯐꯠꯆꯤꯜꯂꯛꯂꯤ ꯍꯥꯌꯅꯥ ꯈꯜꯂꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯀꯧꯕꯤꯌꯨ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ALT ꯇꯦꯁ꯭ꯇꯀꯤ ꯔꯤꯖꯜꯇ ꯑꯗꯨꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯍꯪ ꯑꯃꯠꯇꯥ ꯍꯪꯂꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯍꯪꯕꯗꯥ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯂꯩꯔꯣꯏꯗꯕꯅꯤ꯫

ꯑꯗꯨꯅꯥ, ꯑꯦꯜ.ꯇꯤ.ꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯑꯩꯈꯣꯌꯅꯥ ꯅꯤꯡꯁꯤꯡꯒꯗꯕꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯋꯥꯐꯃꯁꯤꯡ ꯀꯔꯤꯅꯣ?

ꯑꯣꯀꯦ, ꯑꯩꯈꯣꯌꯅꯥ ꯈꯟꯅꯈꯤꯕꯁꯤꯡ ꯑꯗꯨꯗꯒꯤ ꯑꯗꯣꯝꯅꯥ ꯑꯦ.ꯑꯦꯜ.ꯇꯤ.

ꯅꯍꯥꯛꯅꯥ ꯑꯦꯕꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯕꯥ ꯇꯦꯁ꯭ꯇꯀꯤ ꯔꯤꯖꯜꯇ ꯑꯃꯥ ꯎꯕꯥ ꯃꯇꯃꯗꯥ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯐꯥꯎꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯅꯣꯔꯃꯦꯂꯅꯤ꯫ ꯑꯗꯨꯕꯨ ꯅꯤꯡꯁꯤꯡꯕꯤꯌꯨ, ALT ꯂꯦꯚꯦꯜ ꯋꯥꯡꯈꯠꯂꯀꯄꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯑꯅꯥꯕꯥ ꯑꯃꯥ ꯂꯩꯔꯦ ꯅꯠꯠꯔꯒꯥ ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯃꯊꯧ ꯇꯥꯔꯦ ꯍꯥꯌꯕꯥ ꯇꯥꯀꯄꯥ ꯅꯠꯇꯦ꯫

ꯐꯦꯛꯇꯔ ꯀꯌꯥꯅꯥ ꯅꯍꯥꯛꯀꯤ ALTꯒꯤ ꯆꯥꯡꯗꯥ ꯁꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ, ꯑꯃꯁꯨꯡ ꯍꯀꯁꯦꯜ ꯐꯕꯥ ꯃꯤꯑꯣꯏ 20ꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯆꯥꯎꯔꯥꯛꯅꯥ 1ꯗꯤ ꯅꯣꯔꯃꯦꯜ ꯔꯦꯟꯖꯒꯤ ꯃꯄꯥꯟꯗꯥ ꯂꯩꯕꯥ ꯔꯤꯖꯜꯇ ꯂꯩꯕꯥ ꯌꯥꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯦꯕꯅꯣꯔꯃꯦꯜ ꯚꯦꯜꯌꯨ ꯑꯗꯨꯒꯤ ꯃꯔꯝ ꯈꯪꯗꯣꯛꯅꯕꯥ ꯃꯈꯥ ꯇꯥꯕꯥ ꯇꯦꯁ꯭ꯠ ꯇꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯔꯕꯗꯤ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯈꯪꯍꯜꯂꯛꯀꯅꯤ꯫

ꯅꯍꯥꯛꯅꯥ ꯍꯪꯂꯀꯄꯥ ꯋꯥꯍꯪꯁꯤꯡ ꯅꯠꯠꯔꯒꯥ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯑꯃꯍꯦꯛꯇꯕꯨ ꯗꯣꯛꯇꯔꯗꯥ ꯍꯪꯕꯗꯥ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯂꯩꯔꯣꯏꯗꯕꯅꯤ꯫ ꯃꯈꯣꯌꯅꯥ ꯑꯗꯣꯃꯒꯤ ꯃꯇꯦꯡ ꯄꯥꯡꯅꯕꯥ ꯃꯐꯝ ꯑꯁꯤꯗꯥ ꯂꯩꯔꯤ꯫

ꯂꯤꯚꯔ ꯑꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯑꯣꯔꯒꯥꯟ ꯑꯃꯅꯤ꯫ ꯑꯩꯈꯣꯌ ꯄꯨꯝꯅꯃꯛꯅꯥ ꯃꯁꯤ ꯍꯀꯆꯥꯡ ꯐꯅꯥ ꯊꯝꯅꯕꯥ ꯍꯣꯠꯅꯒꯗꯕꯅꯤ꯫ ꯑꯦ.ꯑꯦꯜ.ꯇꯤ.ꯒꯤ ꯇꯦꯁ꯭ꯠ ꯑꯁꯤ ꯃꯗꯨꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯕꯥ ꯉꯝꯕꯥ ꯈꯨꯠꯂꯥꯌ ꯑꯃꯈꯛꯇꯅꯤ꯫

` ꯂꯤꯚꯔ, ꯑꯦ.ꯑꯦꯜ.ꯇꯤ., ꯑꯦꯂꯥꯅꯤꯟ ꯇ꯭ꯔꯥꯟꯁꯑꯦꯃꯤꯅꯦꯖ, ꯕ꯭ꯂꯗ ꯇꯦꯁ꯭ꯠ, ꯂꯤꯚꯔ ꯑꯦꯅꯖꯥꯏꯃꯁꯤꯡ, ꯂꯤꯚꯔ ꯗꯤꯖꯤꯖ, ꯑꯦꯁ.ꯖꯤ.ꯄꯤ.ꯇꯤ., ꯑꯦꯜ.ꯑꯦꯐ.ꯇꯤ., ꯂꯤꯚꯔ ꯍꯦꯜꯊ꯫