ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯍꯣꯔꯃꯣꯅꯁꯤꯡ ꯌꯦꯡꯁꯤꯜꯂꯤꯕꯥ ACTH ꯁ꯭ꯇꯤꯝꯌꯨꯂꯦꯁꯟ ꯇꯦꯁ꯭ꯇꯀꯤ ꯃꯇꯥꯡꯗꯥ ꯄꯨꯝꯅꯃꯛ!

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯑꯀꯛꯅꯕꯥ ꯄꯣꯠꯁꯛ ꯈꯔꯅꯥ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯊꯕꯛ ꯇꯧꯗꯕꯥ ꯃꯇꯃꯗꯥ ꯑꯩꯈꯣꯌꯅꯥ ꯇꯣꯉꯥꯟ ꯇꯣꯉꯥꯅꯕꯥ ꯍꯀꯁꯦꯂꯒꯤ ꯁꯃꯁ꯭ꯌꯥꯁꯤꯡ ꯊꯦꯡꯅꯔꯀꯄꯥ ꯌꯥꯏ, ꯅꯠꯇꯦ? ꯃꯔꯨꯑꯣꯏꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯍꯣꯔꯃꯣꯟ ꯁꯤꯁ꯭ꯇꯦꯃꯗꯥ ꯏꯃꯕꯦꯂꯦꯟꯁ ꯂꯩꯔꯕꯗꯤ ꯃꯁꯤꯅꯥ ꯑꯆꯧꯕꯥ ꯁꯥꯐꯨ ꯑꯃꯥ ꯄꯤꯕꯥ ꯌꯥꯏ꯫ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯀꯦꯁ ꯑꯃꯗꯥ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯑꯈꯟꯅꯕꯥ ꯇꯦꯁ꯭ꯠ ꯑꯃꯥ ꯇꯧꯅꯕꯥ ꯄꯥꯎꯇꯥꯛ ꯄꯤꯕꯥ ꯌꯥꯏ꯫ ꯃꯗꯨꯗꯤ `ꯑꯦ.ꯁꯤ.ꯇꯤ.ꯑꯩꯆ.ꯒꯤ ꯁ꯭ꯇꯤꯝꯌꯨꯂꯦꯁꯟ ꯇꯦꯁ꯭ꯠ`ꯅꯤ꯫ ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯋꯥꯔꯤ ꯁꯥꯁꯤ꯫

ACTH ꯇꯦꯁ꯭ꯠ (ACTH ꯁ꯭ꯇꯤꯝꯌꯨꯂꯦꯁꯟ ꯇꯦꯁ꯭ꯠ) ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ?

ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯃꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯂꯩꯕꯥ ꯑꯦꯗ꯭ꯔꯤꯅꯜ ꯒ꯭ꯜꯌꯥꯟꯗꯁꯤꯡꯅꯥ ACTH ꯀꯧꯕꯥ ꯍꯣꯔꯃꯣꯟ ꯑꯃꯗꯥ ꯀꯔꯝꯅꯥ ꯔꯦꯁꯄꯣꯟꯁ ꯇꯧꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯁꯤꯜꯂꯤꯕꯥ ꯑꯈꯟꯅꯕꯥ ꯇꯦꯁ꯭ꯠ ꯑꯃꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯃꯁꯤꯕꯨ ꯀꯣꯁꯤꯟꯠꯔꯣꯄꯤꯟ ꯁ꯭ꯇꯤꯝꯌꯨꯂꯦꯁꯟ ꯇꯦꯁ꯭ꯠ (CST) ꯍꯥꯌꯅꯥꯁꯨ ꯀꯧꯏ꯫ ꯃꯁꯤꯅꯥ ꯑꯦꯗ꯭ꯔꯤꯅꯜ ꯒ꯭ꯜꯌꯥꯟꯗꯁꯤꯡꯒꯤ ꯐꯉ꯭ꯀꯁꯟ ꯍꯟꯊꯔꯀꯄꯥ ꯍꯥꯌꯕꯁꯤ ꯑꯦꯗ꯭ꯔꯤꯅꯜ ꯏꯅꯁꯨꯐꯤꯁꯤꯑꯦꯟꯁꯤ ꯀꯧꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯥ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯈꯪꯗꯣꯛꯅꯕꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯇꯦꯁ꯭ꯇꯅꯤ꯫ ꯃꯁꯤ ꯄ꯭ꯔꯥꯏꯃꯥꯔꯤ, ꯁꯦꯀꯦꯟꯗꯔꯤ ꯅꯠꯠꯔꯒꯥ ꯇꯔꯁꯔꯤ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫

ꯇꯦꯁ꯭ꯠ ꯑꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯃꯁꯂꯗꯥ ꯁꯤꯟꯊꯦꯇꯤꯛ ACTH ꯍꯣꯔꯃꯣꯟ (Synthetic ACTH - Cosyntropin) ꯑꯃꯥ ꯏꯅꯖꯦꯀꯁꯟ ꯇꯧꯕꯥ ꯌꯥꯎꯏ꯫ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯄꯨꯡ ꯑꯍꯨꯝ ꯅꯠꯠꯔꯒꯥ ꯃꯈꯥꯌ ꯈꯨꯗꯤꯡꯒꯤ ꯅꯍꯥꯛꯀꯤ ꯏ ꯑꯗꯨ ꯂꯧꯊꯣꯀꯏ ꯑꯃꯁꯨꯡ ꯀꯣꯔꯇꯤꯁꯣꯜ ꯀꯧꯕꯥ ꯍꯣꯔꯃꯣꯟ ꯑꯃꯒꯤ ꯆꯥꯡ ꯑꯗꯨ ꯇꯦꯁ꯭ꯠ ꯇꯧꯏ꯫ ꯃꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯑꯦꯗ꯭ꯔꯤꯅꯜ ꯒ꯭ꯜꯌꯥꯟꯗꯁꯤꯡꯅꯥ ꯀꯌꯥ ꯌꯥꯝꯅꯥ ꯐꯖꯅꯥ ꯊꯕꯛ ꯇꯧꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯕꯅꯤ꯫

ACTH ꯑꯃꯁꯨꯡ ꯀꯣꯔꯇꯤꯁꯣꯜ ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ?

`ACTH`, ꯍꯥꯌꯕꯗꯤ `ꯑꯦꯗ꯭ꯔꯤꯅꯣꯀꯣꯔꯇꯤꯀꯣꯠꯔꯣꯄꯤꯛ ꯍꯣꯔꯃꯣꯟ` ꯍꯥꯌꯕꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯕ꯭ꯔꯦꯅꯗꯥ ꯂꯩꯕꯥ `ꯄꯤꯇꯨꯏꯇꯔꯤ ꯒ꯭ꯜꯌꯥꯟꯗ`ꯅꯥ ꯄꯨꯊꯣꯀꯄꯥ ꯍꯣꯔꯃꯣꯟ ꯑꯃꯅꯤ꯫ ꯃꯁꯤꯅꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯅꯥ ꯁ꯭ꯠꯔꯦꯁꯇꯥ ꯀꯔꯝꯅꯥ ꯔꯦꯁꯄꯣꯟꯁ ꯇꯧꯕꯒꯦ ꯍꯥꯌꯕꯗꯨꯗꯥ ꯑꯆꯧꯕꯥ ꯁꯥꯐꯨ ꯑꯃꯥ ꯄꯤ꯫ `ACTH` ꯊꯥꯗꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯃꯁꯤꯅꯥ ꯑꯦꯗ꯭ꯔꯤꯅꯜ ꯒ꯭ꯜꯌꯥꯟꯗꯁꯤꯡꯕꯨ `ꯀꯣꯔꯇꯤꯁꯣꯜ` ꯄꯨꯊꯣꯛꯅꯕꯥ ꯊꯧꯅꯥ ꯍꯥꯞꯄꯤ, ꯃꯁꯤꯕꯨ `ꯁ꯭ꯠꯔꯦꯁ ꯍꯣꯔꯃꯣꯟ` ꯍꯥꯌꯅꯥꯁꯨ ꯈꯪꯅꯩ꯫ ꯀꯣꯔꯇꯤꯁꯣꯜ ꯑꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯑꯣꯔꯒꯥꯟ ꯑꯃꯁꯨꯡ ꯇꯤꯁꯨ ꯈꯨꯗꯤꯡꯃꯛꯇꯥ ꯁꯣꯀꯍꯜꯂꯤꯕꯥ ꯇꯉꯥꯏꯐꯗꯕꯥ ꯍꯣꯔꯃꯣꯟ ꯑꯃꯅꯤ꯫

ꯑꯦꯗ꯭ꯔꯤꯅꯜ ꯏꯅꯁꯨꯐꯤꯁꯤꯑꯦꯟꯁꯤꯒꯤ ꯃꯈꯂꯁꯤꯡ꯫

ꯃꯁꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯑꯣꯡ ꯑꯍꯨꯃꯗꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯏ:

1. ꯄ꯭ꯔꯥꯏꯃꯥꯔꯤ ꯑꯦꯗ꯭ꯔꯤꯅꯜ ꯏꯅꯁꯨꯐꯤꯁꯤꯑꯦꯟꯁꯤ: ꯃꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯑꯦꯗ꯭ꯔꯤꯅꯜ ꯒ꯭ꯜꯌꯥꯟꯗꯁꯤꯡ ꯑꯗꯨ ꯁꯣꯀꯍꯜꯂꯕꯥ ꯑꯃꯁꯨꯡ ꯀꯣꯔꯇꯤꯁꯣꯜ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯄꯨꯊꯣꯀꯄꯥ ꯉꯃꯗꯕꯥ ꯃꯇꯃꯗꯥ ꯊꯣꯀꯏ꯫ ꯃꯁꯤꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯔꯃꯗꯤ ꯑꯦꯗꯤꯁꯅꯒꯤ ꯂꯥꯌꯅꯥ ꯑꯁꯤꯅꯤ꯫ ꯃꯁꯤ ꯑꯣꯇꯣꯏꯝꯌꯨꯟ ꯂꯥꯌꯅꯥ ꯑꯃꯅꯤ꯫

2. ꯁꯦꯀꯦꯟꯗꯔꯤ ꯑꯦꯗ꯭ꯔꯤꯅꯜ ꯏꯅꯁꯨꯐꯤꯁꯤꯑꯦꯟꯁꯤ: ꯃꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯄꯤꯇꯨꯏꯇꯔꯤ ꯒ꯭ꯜꯌꯥꯟꯗꯅꯥ ACTH ꯃꯇꯤꯛ ꯆꯥꯅꯥ ꯄꯨꯊꯣꯀꯄꯥ ꯉꯃꯗꯕꯥ ꯃꯇꯃꯗꯥ ꯊꯣꯀꯏ꯫ ꯑꯗꯨꯗꯒꯤ ꯑꯦꯗ꯭ꯔꯤꯅꯜ ꯒ꯭ꯜꯌꯥꯟꯗꯁꯤꯡ ꯑꯁꯤ ꯀꯣꯔꯇꯤꯁꯣꯜ ꯁꯦꯝꯅꯕꯥ ꯃꯇꯤꯛ ꯆꯥꯅꯥ ꯁ꯭ꯇꯤꯝꯌꯨꯜ ꯇꯧꯗꯦ꯫

3. ꯇꯔꯁꯔꯤ ꯑꯦꯗ꯭ꯔꯤꯅꯜ ꯏꯅꯁꯨꯐꯤꯁꯤꯑꯦꯟꯁꯤ: ꯃꯁꯤ ꯕ꯭ꯔꯦꯅꯗꯥ ꯂꯩꯕꯥ ꯍꯥꯏꯄꯣꯊꯦꯂꯥꯃꯁꯅꯥ `CRH (Corticotropin-Releasing Hormone)` ꯍꯣꯔꯃꯣꯟ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯄꯨꯊꯣꯀꯄꯥ ꯉꯃꯗꯕꯥ ꯃꯇꯃꯗꯥ ꯊꯣꯀꯏ꯫ `CRH` ꯍꯥꯌꯕꯁꯤ ꯄꯤꯇꯨꯏꯇꯔꯤ ꯒ꯭ꯜꯌꯥꯟꯗꯇꯥ `ACTH` ꯄꯨꯊꯣꯛꯅꯕꯥ ꯍꯥꯌꯕꯅꯤ꯫

ꯀꯗꯥꯏꯗꯥ ACTH ꯇꯦꯁ꯭ꯠ ꯇꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯒꯦ?

ꯇꯦꯁ꯭ꯠ ꯑꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯦꯗ꯭ꯔꯤꯅꯜ ꯒ꯭ꯜꯌꯥꯟꯗꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯄꯤꯇꯨꯏꯇꯔꯤ ꯒ꯭ꯜꯌꯥꯟꯗꯁꯤꯡ ꯑꯁꯤ ꯀꯣꯔꯇꯤꯁꯣꯜ ꯄꯨꯊꯣꯀꯄꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯊꯕꯛ ꯇꯧꯔꯤꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯈꯪꯗꯣꯀꯄꯥ ꯉꯃꯒꯅꯤ꯫ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯃꯔꯃꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯇꯦꯁ꯭ꯠ ꯑꯁꯤ ꯑꯣꯔꯗꯔ ꯇꯧꯕꯥ ꯌꯥꯏ:

• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯇꯣꯞꯄꯥ ꯇꯦꯁ꯭ꯠ ꯑꯃꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯀꯣꯔꯇꯤꯁꯣꯂꯒꯤ ꯆꯥꯡ ꯅꯦꯝꯅꯥ ꯂꯩꯔꯕꯗꯤ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯦꯗ꯭ꯔꯤꯅꯜ ꯏꯅꯁꯨꯐꯤꯁꯤꯑꯦꯟꯁꯤꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯂꯩꯔꯕꯗꯤ (ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯋꯥꯈꯜ ꯇꯥꯗꯕꯥ, ꯑꯔꯨꯝꯕꯥ ꯍꯟꯊꯕꯥ, ꯈꯣꯡ ꯍꯥꯝꯕꯥ, ꯋꯥꯈꯜ ꯆꯔꯥꯡꯅꯕꯥ, ꯋꯥꯈꯜ ꯆꯔꯥꯡꯅꯕꯥ, ꯈꯣꯡ ꯍꯥꯝꯕꯥ )꯫
• ꯅꯍꯥꯛꯅꯥ ꯃꯇꯝ ꯈꯔꯒꯤ ꯑꯣꯏꯅꯥ ꯄ꯭ꯔꯦꯗꯅꯤꯁꯣꯅꯒꯨꯝꯕꯥ ꯒ꯭ꯂꯨꯀꯣꯀꯣꯔꯇꯤꯀꯣꯏꯗ ꯍꯤꯗꯥꯀꯁꯤꯡ ꯁꯤꯖꯤꯟꯅꯕꯥ ꯂꯦꯄꯈ꯭ꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ, ꯅꯍꯥꯛꯀꯤ ꯄꯤꯇꯨꯏꯇꯔꯤ ꯑꯃꯁꯨꯡ ꯑꯦꯗ꯭ꯔꯤꯅꯜ ꯒ꯭ꯜꯌꯥꯟꯗꯁꯤꯡ ꯑꯗꯨ ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯅꯥ ꯍꯟꯖꯤꯜꯂꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯎ꯫

ꯃꯁꯤꯒꯤ ꯇꯦꯁ꯭ꯠ ꯑꯁꯤ ꯀꯅꯥꯅꯥ ꯇꯧꯔꯤꯕꯅꯣ?

ꯃꯍꯧꯁꯥꯅꯥ, ACTH ꯏꯅꯖꯦꯀꯁꯟ ꯑꯁꯤ ꯅꯔꯁ ꯑꯃꯅꯥ ꯇꯧꯏ꯫ ꯕ꯭ꯂꯗ ꯗ꯭ꯔꯣ, ꯍꯥꯌꯕꯗꯤ ꯕ꯭ꯂꯗ ꯁꯦꯝꯄꯜ ꯑꯁꯤ ꯐ꯭ꯂꯦꯕꯣꯇꯣꯃꯤꯁ꯭ꯠ ꯑꯃꯅꯥ ꯇꯧꯏ, ꯍꯥꯌꯕꯗꯤ ꯄꯥꯟꯗꯝ ꯑꯗꯨꯒꯤꯗꯃꯛꯇꯥ ꯑꯈꯟꯅꯕꯥ ꯇ꯭ꯔꯦꯅꯤꯡ ꯂꯧꯔꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯅꯥ ꯇꯧꯏ꯫ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯁꯦꯝꯄꯂꯁꯤꯡ ꯑꯁꯤ ꯂꯦꯕ ꯑꯃꯗꯥ ꯊꯥꯏ꯫ ꯃꯐꯝ ꯑꯗꯨꯗꯥ ꯃꯦꯗꯤꯀꯦꯜ ꯂꯦꯕꯣꯔꯦꯇꯔꯤꯒꯤ ꯁꯥꯏꯟꯇꯤꯁ꯭ꯠ ꯑꯃꯅꯥ ꯁꯦꯝꯄꯂꯁꯤꯡ ꯑꯁꯤ ꯇꯦꯁ꯭ꯠ ꯇꯧꯏ꯫

ꯃꯁꯤꯒꯤ ꯇꯦꯁ꯭ꯠ ꯑꯁꯤ ꯑꯌꯥꯝꯕꯅꯥ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯜ ꯑꯃꯗꯥ ꯅꯠꯠꯔꯒꯥ ꯍꯣꯔꯃꯣꯅꯒꯥ ꯃꯔꯤ ꯂꯩꯅꯕꯥ ꯂꯥꯌꯅꯥꯁꯤꯡꯗꯥ ꯑꯈꯟꯅꯕꯥ ꯗꯣꯛꯇꯔ ꯑꯃꯥ ꯑꯣꯏꯔꯤꯕꯥ ꯑꯦꯟꯗꯣꯛꯔꯥꯏꯅꯣꯂꯣꯖꯤꯁ꯭ꯠ ꯑꯃꯒꯤ ꯑꯣꯐꯤꯁꯇꯥ ꯇꯧꯏ꯫ ꯃꯁꯤꯗꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛ ꯏꯅꯖꯦꯀꯁꯟ ꯑꯃꯁꯨꯡ ꯏꯒꯤ ꯁꯦꯝꯄꯜ ꯂꯧꯕꯥ ꯌꯥꯑꯣꯔꯤ꯫ ꯑꯦꯟꯗꯣꯛꯔꯥꯏꯅꯣꯂꯣꯖꯤꯁ꯭ꯠ ꯍꯥꯌꯕꯁꯤ ꯍꯣꯔꯃꯣꯅꯒꯥ ꯃꯔꯤ ꯂꯩꯅꯕꯥ ꯂꯥꯌꯅꯥꯁꯤꯡꯗꯥ ꯑꯈꯟꯅꯕꯥ ꯃꯤꯠꯌꯦꯡ ꯆꯪꯕꯥ ꯗꯣꯛꯇꯔ ꯑꯃꯅꯤ꯫

ꯇꯦꯁ꯭ꯠ ꯇꯧꯗ꯭ꯔꯤꯉꯩꯒꯤ ꯃꯃꯥꯡꯗꯥ ꯑꯩꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯃꯠꯇꯥ ꯁꯦꯝ-ꯁꯥꯕꯥ ꯃꯊꯧ ꯇꯥꯕ꯭ꯔꯥ?

ꯍꯣꯌ, ꯋꯥꯐꯝ ꯈꯔꯥ ꯂꯩꯔꯤ꯫

• ꯅꯍꯥꯛꯀꯤ ꯑꯦꯛꯇꯤꯚꯤꯇꯤ ꯑꯗꯨ ꯂꯤꯃꯤꯠ ꯇꯧꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯇꯦꯁ꯭ꯠ ꯇꯧꯗ꯭ꯔꯤꯉꯩꯒꯤ ꯄꯨꯡ 12-24ꯒꯤ ꯃꯃꯥꯡꯗꯥ ꯀꯥꯔꯕꯣꯟ ꯌꯥꯝꯅꯥ ꯌꯥꯎꯕꯥ ꯗꯥꯏꯠ ꯑꯃꯥ ꯆꯥꯅꯕꯥ ꯍꯥꯌꯔꯀꯄꯥ ꯌꯥꯏ꯫
• ꯆꯥꯎꯔꯥꯛꯅꯥ ꯄꯨꯡ ꯶ ꯔꯣꯝ ꯔꯣꯖꯥ ꯇꯧꯒꯅꯤ ꯍꯥꯌꯕꯁꯨ ꯌꯥꯏ꯫ ꯍꯥꯌꯕꯗꯤ ꯏꯁꯤꯡ ꯅꯠꯇꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯃꯠꯇꯥ ꯆꯥꯕꯥ ꯅꯠꯔꯒꯥ ꯊꯀꯄꯥ ꯌꯥꯔꯣꯏ ꯍꯥꯌꯕꯅꯤ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯀꯣꯔꯇꯤꯁꯣꯜ ꯇꯦꯁ꯭ꯇꯇꯥ ꯁꯣꯀꯍꯅꯕꯥ ꯌꯥꯕꯥ ꯑꯀꯛꯅꯕꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ ꯂꯧꯔꯕꯗꯤ, ꯃꯈꯣꯌꯗꯨ ꯃꯇꯝ ꯈꯔꯒꯤ ꯑꯣꯏꯅꯥ ꯊꯤꯡꯅꯕꯥ ꯍꯥꯌꯔꯀꯄꯥ ꯌꯥꯏ꯫
• ꯀꯣꯔꯇꯤꯁꯣꯂꯒꯤ ꯆꯥꯡ ꯑꯁꯤ ꯅꯨꯃꯤꯠ ꯈꯨꯗꯤꯡꯒꯤ ꯈꯦꯠꯅꯕꯅꯥ (ꯑꯌꯨꯛꯇꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯋꯥꯡꯕꯥ) ꯃꯔꯝꯅꯥ, ꯇꯦꯁ꯭ꯠ ꯑꯁꯤ ꯑꯌꯨꯀꯇꯥ ꯇꯧꯕꯗꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯩ, ꯃꯁꯤꯅꯥ ꯑꯔꯥꯅꯕꯥ ꯔꯤꯖꯜꯇ ꯂꯥꯀꯄꯒꯤ ꯔꯤꯁ꯭ꯛ ꯍꯟꯊꯍꯜꯂꯤ꯫

ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯇꯦꯁ꯭ꯠ ꯑꯁꯤꯒꯤꯗꯃꯛꯇꯥ ꯀꯔꯝꯅꯥ ꯁꯦꯝ-ꯁꯥꯒꯗꯒꯦ ꯍꯥꯌꯕꯒꯤ ꯑꯀꯛꯅꯕꯥ ꯏꯅꯁ꯭ꯠꯔꯛꯁꯅꯁꯤꯡ ꯄꯤꯒꯅꯤ꯫ ꯅꯍꯥꯛꯅꯥ ꯏꯅꯁ꯭ꯠꯔꯛꯁꯅꯁꯤꯡ ꯑꯗꯨ ꯆꯨꯝꯅꯥ ꯏꯅꯒꯗꯕꯅꯤ꯫

ꯑꯦ.ꯁꯤ.ꯇꯤ.ꯑꯩꯆ.ꯒꯤ ꯇꯦꯁ꯭ꯠ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯇꯧꯕꯒꯦ?

ꯍꯥꯌꯔꯤꯕꯥ ꯑꯁꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯈꯣꯡꯊꯥꯡꯁꯤꯡꯅꯤ:

1. ꯑꯍꯥꯅꯕꯗꯥ, ꯅꯍꯥꯛꯀꯤ ꯈꯨꯠꯁꯥꯗꯥ ꯂꯩꯕꯥ ꯚꯦꯅꯝ ꯑꯃꯗꯒꯤ ꯏꯒꯤ ꯁꯦꯝꯄꯜ ꯑꯃꯥ ꯂꯧꯏ꯫ ꯃꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯕꯦꯖ ꯂꯥꯏꯟ ꯀꯣꯔꯇꯤꯁꯣꯂꯒꯤ ꯆꯥꯡ ꯑꯗꯨ ꯆꯦꯛ ꯇꯧꯒꯅꯤ꯫ ꯑꯇꯣꯞꯄꯥ ꯇꯦꯁ꯭ꯇꯁꯤꯡꯁꯨ ꯇꯧꯕꯥ ꯌꯥꯏ꯫

2. ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ, ꯅꯔꯁ ꯑꯃꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯃꯁꯂꯗꯥ `ACTH (Cosyntropin)` ꯀꯧꯕꯥ ꯁꯤꯟꯊꯦꯇꯤꯛ ꯍꯣꯔꯃꯣꯟ ꯑꯃꯥ ꯏꯅꯖꯦꯛꯇ ꯇꯧꯒꯅꯤ꯫ ꯃꯁꯤꯒꯤ ꯁꯤꯟꯊꯦꯇꯤꯛ `ACTH` ꯑꯁꯤꯅꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯅꯥ ꯄꯨꯊꯣꯀꯄꯥ `ACTH`ꯒꯥ ꯃꯥꯟꯅꯅꯥ ꯊꯕꯛ ꯇꯧꯏ, ꯃꯁꯤꯅꯥ ꯑꯦꯗ꯭ꯔꯤꯅꯜ ꯒ꯭ꯜꯌꯥꯟꯗꯁꯤꯡꯕꯨ ꯀꯣꯔꯇꯤꯁꯣꯜ ꯄꯨꯊꯣꯛꯅꯕꯥ ꯊꯧꯅꯥ ꯍꯥꯞꯄꯤ꯫

3. ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯃꯤꯅꯠ 30 ꯑꯃꯁꯨꯡ ꯃꯤꯅꯠ 60ꯒꯤ ꯃꯇꯨꯡꯗꯥ (ꯃꯍꯧꯁꯥꯅꯥ) ꯅꯍꯥꯛꯀꯤ ꯚꯦꯅꯝ ꯑꯗꯨꯗꯒꯤ ꯏꯒꯤ ꯁꯦꯝꯄꯂꯁꯤꯡ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯂꯧꯊꯣꯀꯏ ꯑꯃꯁꯨꯡ ꯀꯣꯔꯇꯤꯁꯣꯂꯒꯤ ꯆꯥꯡ ꯑꯗꯨ ꯌꯦꯡꯁꯤꯜꯂꯤ꯫

꯴.ꯏꯒꯤ ꯁꯦꯝꯄꯂꯁꯤꯡ ꯑꯁꯤ ꯂꯦꯕꯣꯔꯦꯇꯔꯤꯗꯥ ꯊꯥꯏ꯫

ꯇꯦꯁ꯭ꯠ ꯇꯧꯕꯥ ꯃꯇꯃꯗꯥ ꯑꯗꯣꯝꯅꯥ ꯀꯔꯤ ꯃꯈꯂꯒꯤ ꯑꯦꯛꯁꯄꯔꯤꯌꯦꯟꯁ ꯐꯪꯂꯤꯕꯒꯦ?

ꯅꯍꯥꯛꯀꯤ ꯏ ꯂꯧꯊꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯥꯁꯥ ꯇꯧꯕꯥ ꯌꯥꯕꯥ ꯋꯥꯐꯝ ꯈꯔꯗꯤ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤ:

• ꯅꯍꯥꯛꯅꯥ ꯆꯦꯌꯥꯔ ꯑꯃꯗꯥ ꯐꯃꯒꯅꯤ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯈꯨꯠꯁꯥꯗꯥ ꯐꯖꯅꯥ ꯚꯦꯅꯝ ꯑꯃꯥ ꯐꯪꯒꯅꯤ꯫ ꯑꯌꯥꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯃꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯈꯨꯠꯁꯥꯒꯤ ꯃꯅꯨꯡꯗꯥ, ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯂꯩꯒꯅꯤ꯫
• ꯚꯦꯅꯝ ꯑꯃꯥ ꯐꯪꯂꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯃꯐꯝ ꯑꯗꯨ ꯁꯦꯡꯗꯣꯀꯏ ꯑꯃꯁꯨꯡ ꯗꯤꯁꯏꯅꯐꯦꯛꯇ ꯇꯧꯏ꯫
• ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯑꯄꯤꯀꯄꯥ ꯅꯤꯜ ꯑꯃꯥ ꯚꯦꯅꯝ ꯑꯗꯨꯗꯥ ꯊꯥꯗꯨꯅꯥ ꯏꯒꯤ ꯁꯦꯝꯄꯜ ꯑꯃꯥ ꯂꯧꯏ꯫ ꯃꯁꯤ ꯈꯔꯥ ꯁꯣꯀꯆꯤꯜꯂꯀꯄꯒꯨꯝꯅꯥ ꯐꯥꯎꯕꯥ ꯌꯥꯏ꯫
• ꯅꯤꯗꯜ ꯑꯗꯨ ꯊꯥꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯇꯦꯁ꯭ꯠ ꯇꯤꯎꯕ ꯑꯃꯗꯥ ꯏ ꯈꯔꯥ ꯈꯣꯃꯒꯠꯀꯅꯤ꯫
• ꯇꯦꯁ꯭ꯠ ꯇꯧꯅꯕꯒꯤꯗꯃꯛ ꯏ ꯃꯇꯤꯛ ꯆꯥꯅꯥ ꯈꯣꯃꯖꯤꯜꯂꯕꯥ ꯃꯇꯨꯡꯗꯥ, ꯅꯤꯗꯜ ꯑꯗꯨ ꯂꯧꯊꯣꯀꯏ ꯑꯃꯁꯨꯡ ꯃꯐꯝ ꯑꯗꯨꯗꯥ ꯁꯨꯃꯍꯠꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯒꯣꯖ ꯑꯃꯥ ꯊꯃꯗꯨꯅꯥ ꯏ ꯊꯣꯀꯄꯥ ꯊꯤꯡꯅꯕꯥ ꯄ꯭ꯔꯦꯁꯔ ꯄꯤ꯫
• ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯃꯐꯝ ꯑꯗꯨꯗꯥ ꯄ꯭ꯂꯥꯁ꯭ꯇꯔ ꯑꯃꯥ ꯊꯥꯏ꯫

ꯅꯍꯥꯛꯅꯥ ꯀꯣꯁꯤꯟꯠꯔꯣꯄꯤꯟ ꯂꯧꯕꯥ ꯃꯇꯃꯗꯥ, ꯃꯍꯧꯁꯥꯅꯥ ꯃꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯃꯊꯛ ꯊꯪꯕꯥ ꯁꯔꯨꯛꯇꯥ, ꯅꯍꯥꯛꯀꯤ ꯈꯨꯎꯒꯤ ꯃꯊꯛꯇꯥ ꯏꯅꯖꯦꯀꯁꯟ ꯇꯧꯏ꯫ ꯅꯍꯥꯛꯅꯥ ꯏꯅꯖꯦꯀꯁꯟ ꯑꯗꯨ ꯂꯧꯕꯥ ꯃꯇꯃꯗꯥ ꯈꯔꯥ ꯁꯣꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯃꯩꯅꯥ ꯆꯥꯀꯄꯥ ꯐꯥꯎꯔꯀꯄꯥ ꯌꯥꯏ , ꯑꯗꯨꯕꯨ ꯃꯁꯤ ꯃꯇꯝ ꯈꯔꯒꯤ ꯑꯣꯏꯕꯥ ꯑꯣꯏ꯫

ꯇꯦꯁ꯭ꯠ ꯇꯧꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯀꯔꯤ ꯑꯣꯏꯒꯅꯤ?

ꯏꯒꯤ ꯁꯦꯝꯄꯂꯁꯤꯡ ꯂꯧꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯂꯦꯕꯇꯥ ꯊꯥꯏ꯫ ꯔꯤꯖꯜꯇ ꯑꯗꯨ ꯂꯥꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯃꯈꯣꯌꯒꯤ ꯃꯔꯃꯗꯥ ꯈꯪꯍꯜꯂꯛꯀꯅꯤ꯫

ꯇꯦꯁ꯭ꯠ ꯑꯁꯤꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯔꯤꯁ꯭ꯛ ꯂꯩꯕ꯭ꯔꯥ?

ꯕ꯭ꯂꯗ ꯇꯦꯁ꯭ꯠ ꯑꯁꯤ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛꯇꯥ ꯌꯥꯝꯅꯥ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯋꯥꯐꯝ ꯑꯃꯅꯤ꯫ ꯔꯤꯁ꯭ꯀꯁꯤꯡ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯅꯦꯝꯃꯤ꯫ ꯏ ꯂꯧꯊꯣꯀꯈꯤꯕꯥ ꯃꯐꯝ ꯑꯗꯨꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯈꯔꯥ ꯁꯣꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯁꯣꯀꯄꯥ ꯌꯥꯏ, ꯑꯗꯨꯕꯨ ꯃꯗꯨ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯂꯣꯏꯁꯤꯅꯒꯅꯤ꯫ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯑꯃꯠꯇꯥ ꯂꯩꯇꯦ꯫

ꯐꯂꯁꯤꯡ ꯈꯉꯕꯗꯥ ꯃꯇꯝ ꯀꯌꯥ ꯆꯪꯕꯒꯦ?

ꯑꯦ.ꯁꯤ.ꯇꯤ.ꯑꯩꯆ.ꯒꯤ ꯇꯦꯁ꯭ꯇꯀꯤ ꯔꯤꯖꯜꯇ ꯍꯜꯂꯀꯄꯗꯥ ꯅꯨꯃꯤꯠ ꯑꯃꯥ ꯐꯥꯑꯣꯕꯥ ꯆꯪꯂꯝꯕꯥ ꯌꯥꯏ, ꯃꯔꯃꯗꯤ ꯂꯦꯕꯀꯤ ꯔꯤꯖꯜꯇ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯂꯥꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯗꯣꯛꯇꯔꯅꯥ ꯃꯈꯣꯌꯕꯨ ꯅꯤꯡꯊꯤꯅꯥ ꯊꯤꯖꯤꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯋꯥꯔꯦꯞ ꯑꯃꯥ ꯂꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯏ꯫

ꯃꯁꯤꯒꯤ ꯐꯂꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯤꯅꯣ?

ACTH ꯇꯦꯁ꯭ꯇꯀꯤ ꯀꯣꯔꯇꯤꯁꯣꯜ ꯔꯤꯄꯣꯔꯇꯁꯤꯡ ꯌꯥꯎꯅꯥ ꯕ꯭ꯂꯗ ꯇꯦꯁ꯭ꯠ ꯔꯤꯄꯣꯔꯇꯁꯤꯡꯗꯥ ꯃꯍꯧꯁꯥꯅꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯏꯅꯐꯣꯔꯃꯦꯁꯟ ꯑꯁꯤ ꯌꯥꯎꯏ:

• ꯕ꯭ꯂꯗ ꯇꯦꯁ꯭ꯇꯀꯤ ꯃꯃꯤꯡ, ꯅꯠꯠꯔꯒꯥ ꯏꯗꯥ ꯀꯔꯤ ꯃꯥꯄꯂꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ꯫
• ꯅꯍꯥꯛꯀꯤ ꯕ꯭ꯂꯗ ꯇꯦꯁ꯭ꯇꯀꯤ ꯔꯤꯖꯜꯇ ꯑꯗꯨꯒꯤ ꯃꯁꯤꯡ ꯅꯠꯠꯔꯒꯥ ꯆꯥꯡ ꯑꯗꯨ꯫
• ꯃꯗꯨ ꯇꯦꯁ꯭ꯇꯀꯤꯗꯃꯛꯇꯥ ꯅꯣꯔꯃꯦꯜ ꯃꯦꯖꯔ ꯔꯦꯟꯖꯅꯤ꯫
• ꯅꯍꯥꯛꯀꯤ ꯔꯤꯖꯜꯇ ꯑꯗꯨ ꯅꯣꯔꯃꯦꯜ, ꯑꯦꯕꯅꯣꯔꯃꯦꯜ, ꯍꯥꯏ ꯅꯠꯠꯔꯒꯥ ꯂꯣꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯏꯅꯐꯣꯔꯃꯦꯁꯟ꯫

ꯆꯥꯡꯆꯠꯇꯥ ꯔꯤꯖꯜꯇꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯑꯣꯏꯒꯗꯒꯦ?

ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯕꯥ ꯐꯤꯚꯃꯁꯤꯡꯗꯥ, ꯑꯥꯔꯇꯤꯐꯤꯁꯤꯑꯦꯜ ACTH ꯁ꯭ꯇꯤꯝꯌꯨꯂꯦꯁꯅꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯀꯣꯔꯇꯤꯁꯣꯂꯒꯤ ꯆꯥꯡ ꯍꯦꯅꯒꯠꯍꯅꯒꯗꯕꯅꯤ꯫ ꯅꯣꯔꯃꯦꯜ ꯔꯤꯖꯜꯇ ꯑꯃꯗꯥ, ꯅꯍꯥꯛꯀꯤ ꯀꯣꯔꯇꯤꯁꯣꯂꯒꯤ ꯆꯥꯡ ꯑꯁꯤ ACTH ꯁ꯭ꯇꯤꯝꯌꯨꯂꯦꯁꯅꯒꯤ ꯃꯇꯨꯡꯗꯥ 12.6 mcg/dL (ꯗꯦꯁꯤꯂꯤꯇꯔ ꯑꯃꯗꯥ ꯃꯥꯏꯛꯔꯣꯒ꯭ꯔꯥꯝ)ꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯋꯥꯡꯒꯗꯕꯅꯤ꯫

ꯅꯤꯡꯁꯤꯡꯕꯤꯌꯨ, ꯅꯣꯔꯃꯦꯜ ꯔꯦꯟꯖꯁꯤꯡ ꯑꯁꯤ ꯂꯦꯕ ꯑꯃꯗꯒꯤ ꯂꯦꯕ ꯑꯃꯗꯥ, ꯇꯦꯁ꯭ꯠ ꯑꯃꯗꯒꯤ ꯇꯦꯁ꯭ꯠ ꯑꯃꯗꯥ, ꯑꯃꯁꯨꯡ ꯃꯤꯑꯣꯏ ꯑꯃꯗꯒꯤ ꯃꯤꯑꯣꯏ ꯑꯃꯗꯥ ꯈꯦꯠꯅꯕꯥ ꯌꯥꯏ꯫ ꯃꯇꯝ ꯄꯨꯝꯅꯃꯛꯇꯥ ꯅꯍꯥꯛꯀꯤ ꯔꯤꯄꯣꯔꯇꯇꯥ ꯄꯤꯔꯤꯕꯥ ꯅꯣꯔꯃꯦꯜ ꯔꯦꯟꯖ ꯑꯗꯨ ꯆꯦꯛ ꯇꯧ꯫

ACTH ꯇꯦꯁ꯭ꯠ ꯑꯃꯒꯤ ꯑꯣꯏꯅꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔ ꯅꯠꯠꯔꯒꯥ ꯑꯦꯟꯗꯣꯛꯔꯤꯅꯣꯂꯣꯖꯤꯁ꯭ꯇꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯌꯦꯡꯗ꯭ꯔꯤꯉꯩꯗꯥ ꯔꯤꯖꯜꯇꯁꯤꯡ ꯑꯗꯨ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯈꯪꯖꯤꯅꯕꯥ ꯃꯊꯧ ꯇꯥꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯔꯤꯖꯜꯇ ꯑꯗꯨꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯍꯪ ꯑꯃꯠꯇꯥ ꯍꯪꯂꯕꯗꯤ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯁꯣꯌꯗꯅꯥ ꯍꯪꯕꯤꯌꯨ꯫

ꯑꯦꯕꯅꯣꯔꯃꯦꯜ ꯔꯤꯖꯜꯇ ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ?

ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔ ꯅꯠꯠꯔꯒꯥ ꯑꯦꯟꯗꯣꯛꯔꯥꯏꯅꯣꯂꯣꯖꯤꯁ꯭ꯇꯅꯥ ꯅꯍꯥꯛꯀꯤ ACTH ꯇꯦꯁ꯭ꯇꯀꯤ ꯔꯤꯖꯜꯇꯁꯤꯡ ꯑꯗꯨ ꯆꯦꯀꯁꯤꯟꯅꯥ ꯑꯦꯅꯥꯂꯥꯏꯖ ꯇꯧꯒꯅꯤ꯫ ꯇꯦꯁ꯭ꯠ ꯑꯁꯤꯒꯤ ꯑꯆꯨꯝꯕꯥ ꯋꯥꯌꯦꯂꯗꯥ ꯑꯀꯥꯌꯕꯥ ꯄꯤꯕꯥ ꯌꯥꯕꯥ ꯐꯦꯛꯇꯔ ꯀꯌꯥ ꯂꯩꯔꯤ꯫ ꯑꯔꯥꯅꯕꯥ ꯄꯣꯖꯤꯇꯤꯕ ꯑꯣꯏꯕꯥ ꯔꯤꯖꯜꯇ ꯑꯃꯒꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯃꯔꯃꯗꯤ ꯍꯟꯗꯛꯇꯥ ꯀꯣꯔꯇꯤꯀꯣꯁ꯭ꯇꯦꯔꯣꯏꯗꯁꯤꯡ ꯁꯤꯖꯤꯟꯅꯕꯅꯤ꯫

ꯑꯦꯕꯅꯣꯔꯃꯦꯜ ACTH ꯇꯦꯁ꯭ꯇꯀꯤ ꯔꯤꯖꯜꯇꯁꯤꯡꯅꯥ ꯃꯍꯧꯁꯥꯅꯥ ꯄ꯭ꯔꯥꯏꯃꯥꯔꯤ ꯑꯃꯁꯨꯡ ꯁꯦꯀꯦꯟꯗꯔꯤ ꯑꯦꯗ꯭ꯔꯤꯅꯜ ꯏꯅꯁꯨꯐꯤꯁꯤꯑꯦꯟꯁꯤ ꯂꯩ ꯍꯥꯌꯕꯥ ꯇꯥꯀꯏ꯫

ꯄ꯭ꯔꯥꯏꯃꯥꯔꯤ ꯑꯦꯗ꯭ꯔꯤꯅꯜ ꯏꯅꯁꯨꯐꯤꯁꯤꯑꯦꯟꯁꯤ ꯂꯩꯕꯥ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯂꯩꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯑꯦꯗ꯭ꯔꯤꯅꯜ ꯒ꯭ꯜꯌꯥꯟꯗꯁꯤꯡꯅꯥ ꯅꯠꯠꯔꯒꯥ ꯀꯣꯔꯇꯤꯁꯣꯜ ꯁꯦꯝꯕꯥ ꯉꯃꯗꯦ ꯅꯠꯠꯔꯒꯥ ACTHꯗꯥ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯔꯦꯁꯄꯣꯟꯁ ꯇꯧꯗꯦ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ, ACTH ꯇꯦꯁ꯭ꯠ ꯇꯧꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯀꯣꯔꯇꯤꯁꯣꯂꯒꯤ ꯆꯥꯡꯗꯥ ꯆꯥꯎꯅꯥ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ ꯎꯕꯥ ꯐꯪꯂꯣꯏ꯫ ꯃꯁꯤꯒꯤ ꯃꯔꯃꯗꯤ ꯑꯥꯔꯇꯤꯐꯤꯁꯤꯑꯦꯜ ACTH ꯑꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯦꯗ꯭ꯔꯤꯟ ꯒ꯭ꯜꯌꯥꯟꯗꯁꯤꯡꯗꯥ ꯑꯀꯥꯌꯕꯥ ꯄꯤꯗꯦ꯫

ꯁꯦꯀꯦꯟꯗꯔꯤ ꯑꯦꯗ꯭ꯔꯤꯅꯜ ꯏꯅꯁꯨꯐꯤꯁꯤꯑꯦꯟꯁꯤ ꯂꯩꯕꯥ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯄꯤꯇꯨꯏꯇꯔꯤ ꯒ꯭ꯜꯌꯥꯟꯗ ꯑꯗꯨ ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯑꯟꯗꯔꯑꯦꯛꯇꯤꯚ ꯑꯣꯏꯔꯕꯗꯤ (ꯍꯥꯏꯄꯣꯄꯤꯇꯨꯏꯇꯥꯔꯤꯖꯝ), ꯑꯃꯁꯨꯡ ACTH ꯄꯨꯊꯣꯀꯄꯗꯥ ꯑꯀꯥꯌꯕꯥ ꯄꯤꯔꯕꯗꯤ, ꯃꯁꯤꯅꯥ ꯁꯦꯀꯦꯟꯗꯔꯤ ꯑꯦꯗ꯭ꯔꯤꯅꯜ ꯏꯅꯁꯨꯐꯤꯁꯤꯑꯦꯟꯁꯤ ꯊꯣꯀꯍꯜꯂꯤ꯫ ꯃꯁꯤꯒꯤ ꯃꯍꯩ ꯑꯣꯏꯅꯥ, ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯅꯥ ACTH ꯄꯨꯊꯣꯀꯄꯥ ꯁꯦꯂꯁꯤꯡ ꯑꯁꯤ ꯁ꯭ꯇꯤꯝꯌꯨꯜ ꯇꯧꯗꯦ, ꯑꯃꯁꯨꯡ ꯑꯦꯗ꯭ꯔꯤꯅꯜ ꯒ꯭ꯜꯌꯥꯟꯗꯁꯤꯡ ꯑꯁꯤ ꯑꯦꯠꯔꯣꯐꯤ ꯇꯧꯕꯥ ꯍꯧꯏ, ꯍꯥꯌꯕꯗꯤ ꯃꯈꯣꯌ ꯁꯣꯀꯄꯥ ꯍꯧꯏ .

ꯃꯔꯝ ꯑꯗꯨꯅꯥ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯍꯥꯏꯄꯣꯄꯤꯇꯨꯏꯇꯥꯔꯤꯖꯝ ꯑꯃꯁꯨꯡ ꯁꯦꯀꯦꯟꯗꯔꯤ ꯑꯦꯗ꯭ꯔꯤꯅꯜ ꯏꯅꯁꯨꯐꯤꯁꯤꯑꯦꯟꯁꯤ ꯂꯩꯔꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ACTH ꯇꯦꯁ꯭ꯠ ꯇꯧꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯀꯣꯔꯇꯤꯁꯣꯂꯒꯤ ꯆꯥꯡꯗꯥ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ ꯌꯥꯝꯅꯥ ꯅꯦꯝꯅꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯃꯠꯇꯥ ꯎꯕꯥ ꯐꯪꯗꯕꯥ ꯌꯥꯏ꯫

ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯍꯥꯏꯄꯣꯄꯤꯇꯨꯏꯇꯥꯔꯤꯖꯝ ꯑꯁꯤ ꯄꯥꯔꯁꯤꯑꯦꯜ ꯑꯣꯏꯔꯕꯗꯤ (ꯃꯁꯤꯅꯥ ꯇꯥꯀꯄꯗꯤ ꯄꯤꯇꯨꯏꯇꯔꯤ ꯒ꯭ꯜꯌꯥꯟꯗꯅꯥ ꯍꯧꯖꯤꯀꯁꯨ ACTH ꯈꯔꯥ ꯄꯨꯊꯣꯛꯂꯤ), ꯅꯠꯠꯔꯒꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯗꯨ ꯍꯟꯗꯛꯀꯤ ꯑꯣꯏꯔꯕꯗꯤ, ꯀꯣꯔꯇꯤꯁꯣꯂꯒꯤ ꯆꯥꯡ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ, ꯍꯥꯌꯕꯗꯤ "ꯅꯣꯔꯃꯦꯜ" ꯂꯦꯚꯦꯜ ꯑꯃꯥ ꯍꯥꯌꯕꯁꯤ ACTH ꯇꯦꯁ꯭ꯠ ꯇꯧꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯎꯕꯥ ꯐꯪꯒꯅꯤ꯫

ꯑꯔꯣꯏꯕꯥ ꯇꯦꯛ-ꯍꯣꯝ ꯃꯦꯁꯦꯖ꯫

ꯑꯦ.ꯁꯤ.ꯇꯤ.ꯑꯩꯆ.ꯁ꯭ꯇꯤꯃꯨꯂꯦꯁꯟ ꯇꯦꯁ꯭ꯠ ꯑꯁꯤ ꯑꯦꯗ꯭ꯔꯤꯅꯜ ꯏꯅꯁꯨꯐꯤꯁꯤꯑꯦꯟꯁꯤ ꯈꯉꯗꯣꯛꯅꯕꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯑꯃꯁꯨꯡ ꯊꯥꯖꯕꯥ ꯌꯥꯕꯥ ꯇꯦꯁ꯭ꯇꯅꯤ꯫ ꯗꯥꯏꯑꯦꯒ꯭ꯅꯣꯁ꯭ꯇꯤꯛ ꯇꯦꯁ꯭ꯠ ꯑꯃꯒꯤ ꯔꯤꯖꯜꯇ ꯉꯥꯏꯗꯨꯅꯥ ꯂꯩꯕꯥ ꯑꯁꯤ ꯈꯔꯥ ꯅꯔꯚ ꯁꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯕꯨ ꯅꯤꯡꯁꯤꯡꯕꯤꯌꯨ, ꯔꯤꯖꯜꯇ ꯑꯗꯨ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯈꯜ ꯑꯃꯠꯇꯒꯤ ꯑꯣꯏꯔꯕꯁꯨ, ꯅꯍꯥꯛꯀꯤ ꯃꯦꯗꯤꯀꯦꯜ ꯇꯤꯝ ꯑꯗꯨꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯃꯇꯦꯡ ꯄꯥꯡꯅꯕꯥ ꯂꯩꯔꯤ꯫ ꯅꯍꯥꯛꯀꯤ ꯇꯦꯁ꯭ꯠ ꯅꯠꯠꯔꯒꯥ ꯔꯤꯖꯜꯇ ꯑꯗꯨꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯍꯪꯕꯗꯥ ꯂꯥꯡꯇꯛꯅꯒꯅꯨ꯫ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯁꯦꯂꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯈꯪꯍꯅꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫

` ꯑꯦ.ꯁꯤ.ꯇꯤ.ꯑꯩꯆ.ꯒꯤ ꯇꯦꯁ꯭ꯠ, ꯀꯣꯔꯇꯤꯁꯣꯜ, ꯑꯦꯗ꯭ꯔꯤꯅꯜ ꯒ꯭ꯜꯌꯥꯟꯗ, ꯄꯤꯇꯨꯏꯇꯔꯤ ꯒ꯭ꯜꯌꯥꯟꯗ, ꯍꯣꯔꯃꯣꯟ, ꯑꯦꯗ꯭ꯔꯤꯅꯜ ꯏꯅꯁꯨꯐꯤꯁꯤꯑꯦꯟꯁꯤ, ꯃꯦꯗꯤꯀꯦꯜ ꯇꯦꯁ꯭ꯇꯁꯤꯡ꯫