ꯅꯍꯥꯛꯀꯤ ALT ꯔꯤꯄꯣꯔꯠ ꯑꯗꯨ ꯋꯥꯡꯕ꯭ꯔꯥ? ALT (Alanine Transaminase)ꯒꯤ ꯃꯔꯃꯗꯥ ꯏꯆꯝ ꯆꯝꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯈꯉꯂꯁꯤ!

ꯅꯍꯥꯛꯅꯥ ꯕ꯭ꯂꯗ ꯇꯦꯁ꯭ꯠ ꯇꯧꯕꯥ ꯃꯇꯃꯗꯥ, ꯅꯍꯥꯛꯅꯥ ꯃꯁꯤꯒꯤ ꯚꯦꯜꯌꯨ ꯑꯃꯥ ALT ꯅꯠꯠꯔꯒꯥ SGPT ꯂꯩꯕꯥ ꯎꯔꯝꯕꯥ ꯌꯥꯏ꯫ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯉꯣꯟꯗꯥ ꯍꯥꯌꯕꯤꯔꯀꯄꯥ ꯌꯥꯏ ꯃꯗꯨꯗꯤ ꯚꯦꯜꯌꯨ ꯑꯁꯤ ꯈꯔꯥ ꯋꯥꯡꯏ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯂꯤꯚꯔꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯈꯔꯥ ꯆꯦꯀꯁꯤꯅꯕꯥ ꯃꯊꯧ ꯇꯥꯏ꯫ ꯃꯗꯨ ꯇꯥꯕꯗꯥ ꯈꯔꯥ ꯂꯥꯡꯇꯛꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯐꯥꯎꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯅꯣꯔꯃꯦꯂꯅꯤ꯫ ꯑꯗꯨꯅꯥ ꯃꯁꯤ ꯀꯔꯤꯅꯣ ꯑꯦꯜ.ꯇꯤ. ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯒꯤꯗꯃꯛ ꯀꯔꯤꯒꯤ ꯃꯔꯨ ꯑꯣꯏꯔꯤꯕꯅꯣ? ꯂꯥꯡꯇꯛꯅꯒꯅꯨ, ꯃꯁꯤ ꯄꯨꯝꯅꯃꯛ ꯑꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯑꯃꯁꯨꯡ ꯃꯌꯦꯛ ꯁꯦꯡꯅꯥ ꯋꯥꯔꯤ ꯁꯥꯁꯤ꯫

ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯑꯦ.ꯑꯦꯜ.ꯇꯤ.

ꯑꯦꯂꯥꯅꯤꯟ ꯇ꯭ꯔꯥꯟꯁꯑꯦꯃꯤꯅꯦꯖ (ALT) ꯑꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯂꯩꯕꯥ ꯑꯦꯅꯖꯥꯏꯝ ꯑꯃꯅꯤ꯫ ꯆꯨꯝꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ ꯃꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯁꯦꯂꯁꯤꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯈꯔꯥ ꯁꯤꯟꯃꯤ ꯑꯃꯒꯨꯝꯕꯅꯤ꯫ ꯃꯁꯤꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯊꯕꯛ ꯑꯁꯤ ꯂꯤꯚꯔꯗꯥ . ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯂꯤꯚꯔꯒꯤ ꯃꯊꯛꯇꯥ, ꯃꯁꯤꯒꯤ ꯑꯦ.ꯑꯦꯜ.ꯇꯤ.ꯒꯤ ꯑꯦꯅꯖꯥꯏꯝ ꯑꯁꯤ ꯑꯇꯣꯞꯄꯥ ꯃꯐꯃꯁꯤꯡꯗꯁꯨ ꯑꯄꯤꯀꯄꯥ ꯃꯁꯤꯡꯗꯥ ꯂꯩ꯫

ꯑꯦꯅꯖꯥꯏꯝ ꯍꯥꯌꯕꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯇꯣꯉꯥꯟ-ꯇꯣꯉꯥꯅꯕꯥ ꯊꯧꯑꯣꯡꯁꯤꯡꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯂꯤꯕꯥ ꯄ꯭ꯔꯣꯇꯤꯟ ꯃꯈꯜ ꯑꯃꯅꯤ꯫ ꯒꯥꯔꯤ ꯑꯃꯥ ꯍꯧꯕꯗꯥ ꯁ꯭ꯄꯥꯔꯛ ꯄ꯭ꯂꯒ ꯑꯃꯥ ꯃꯊꯧ ꯇꯥꯕꯒꯨꯝꯅꯥ, ꯍꯀꯆꯥꯡꯅꯥ ꯑꯀꯛꯅꯕꯥ ꯊꯕꯛ ꯈꯔꯥ ꯇꯧꯅꯕꯒꯤꯗꯃꯛ ꯑꯦꯅꯖꯥꯏꯝ ꯀꯧꯕꯥ ꯍꯦꯜꯄꯔꯁꯤꯡ ꯑꯁꯤ ꯃꯊꯧ ꯇꯥꯏ꯫

ꯑꯗꯨꯅꯥ ꯑꯦ.ꯑꯦꯜ.ꯇꯤ.ꯒꯤ ꯕ꯭ꯂꯗ ꯇꯦꯁ꯭ꯇꯅꯥ ꯀꯔꯤ ꯇꯧꯔꯤꯕꯒꯦ?

ALT ꯕ꯭ꯂꯗ ꯇꯦꯁ꯭ꯠ ꯑꯃꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯏꯗꯥ ꯂꯩꯔꯤꯕꯥ ALTꯒꯤ ꯆꯥꯡ ꯑꯗꯨ ꯂꯦꯄꯊꯣꯀꯏ꯫ ꯂꯤꯚꯔ ꯑꯁꯤ ꯌꯨꯝ ꯑꯃꯥ ꯑꯣꯏꯅꯥ ꯈꯅꯕꯤꯌꯨ, ꯑꯃꯁꯨꯡ ꯑꯦ.ꯑꯦꯜ.ꯇꯤ.ꯕꯨ ꯌꯨꯝ ꯑꯗꯨꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯂꯩꯕꯥ ꯁꯤꯟꯃꯤꯁꯤꯡ ꯑꯣꯏꯅꯥ ꯈꯅꯕꯤꯌꯨ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯌꯨꯝ ꯑꯁꯤꯒꯤ ꯋꯥꯂꯁꯤꯡ ꯑꯁꯤ ꯃꯑꯣꯡ ꯑꯃꯠꯇꯗꯥ ꯁꯣꯀꯍꯜꯂꯕꯗꯤ ꯃꯅꯨꯡꯗꯥ ꯂꯩꯕꯥ ꯁꯤꯟꯃꯤꯁꯤꯡꯅꯥ ꯂꯤꯛ ꯑꯣꯏꯔꯀꯏ (i.e. ꯏꯗꯥ)꯫

ꯃꯁꯤꯅꯥ ꯇꯥꯀꯄꯗꯤ ꯅꯍꯥꯛꯀꯤ ꯂꯤꯚꯔ ꯁꯦꯂꯁꯤꯡꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯁꯦꯂꯁꯤꯡ ꯑꯗꯨꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯂꯩꯕꯥ ALT ꯑꯦꯅꯖꯥꯏꯝ ꯑꯗꯨ ꯏꯗꯥ ꯊꯥꯗꯣꯀꯏ꯫ ꯃꯁꯤꯅꯥ ꯕ꯭ꯂꯗ ꯇꯦꯁ꯭ꯠ ꯑꯃꯗꯥ ꯑꯦ.ꯑꯦꯜ.ꯇꯤ. ꯃꯁꯤꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯇꯦꯁ꯭ꯠ ꯑꯁꯤ ꯁꯤꯖꯤꯟꯅꯗꯨꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯂꯤꯚꯔꯒꯤ ꯍꯀꯁꯦꯂꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯈꯜꯂꯣꯟ ꯑꯃꯥ ꯂꯧꯏ꯫

ꯑꯦ.ꯑꯦꯜ.ꯇꯤ.ꯒꯤ ꯇꯦꯁ꯭ꯠ ꯑꯁꯤ ꯃꯍꯧꯁꯥꯅꯥ ꯃꯁꯥ ꯃꯊꯟꯇꯥ ꯇꯧꯗꯦ꯫ ꯃꯁꯤ ꯂꯤꯚꯔ ꯑꯦꯅꯖꯥꯏꯝ ꯄꯦꯅꯦꯜ (ꯑꯦꯜ.ꯑꯦꯐ.ꯇꯤ.) ꯅꯠꯠꯔꯒꯥ ꯀꯝꯞꯔꯦꯍꯦꯟꯁꯤꯕ ꯃꯦꯇꯥꯕꯣꯂꯤꯛ ꯄꯦꯅꯦꯜ (ꯁꯤ.ꯑꯦꯝ.ꯄꯤ.)ꯒꯤ ꯁꯔꯨꯛ ꯑꯃꯥ ꯑꯣꯏꯅꯥ ꯇꯧꯏ꯫

ꯑꯦ.ꯑꯦꯜ.ꯇꯤ.ꯒꯤ ꯇꯦꯁ꯭ꯠ ꯑꯁꯤ ꯑꯇꯣꯞꯄꯥ ꯃꯃꯤꯡ ꯀꯌꯥ ꯑꯃꯁꯨ ꯈꯉꯅꯩ:

• ꯑꯦꯂꯥꯅꯤꯟ ꯑꯦꯃꯤꯅꯣꯠꯔꯥꯟꯁꯐꯦꯔꯦꯖ꯫
• ꯑꯦꯁ.ꯖꯤ.ꯄꯤ.ꯇꯤ.(ꯁꯦꯔꯥꯝ ꯒ꯭ꯂꯨꯇꯥꯃꯤꯛ-ꯄꯥꯏꯔꯨꯚꯤꯛ ꯇ꯭ꯔꯥꯟꯁꯑꯦꯃꯤꯅꯦꯖ)
• ꯖꯤ.ꯄꯤ.ꯇꯤ

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ꯑꯦ.ꯑꯦꯜ.ꯇꯤ. ꯑꯃꯁꯨꯡ ꯑꯦ.ꯑꯦꯁ.ꯇꯤ.ꯒꯤ ꯃꯔꯛꯇꯥ ꯀꯔꯤ ꯈꯦꯠꯅꯕꯥ ꯂꯩꯕꯒꯦ?

ꯅꯍꯥꯛꯅꯥ ꯈꯪꯂꯃꯒꯅꯤ ꯃꯗꯨꯗꯤ ALTꯒꯥ ꯂꯣꯌꯅꯅꯥ, AST ꯀꯧꯕꯥ ꯑꯇꯣꯞꯄꯥ ꯚꯦꯜꯌꯨ ꯑꯃꯁꯨ ꯅꯍꯥꯛꯀꯤ ꯔꯤꯄꯣꯔꯇꯇꯥ ꯂꯤꯁ꯭ꯠ ꯇꯧꯏ꯫ ꯑꯦ.ꯑꯦꯁ.ꯇꯤ.(ꯑꯦꯁ꯭ꯄꯥꯔꯇꯦꯠ ꯇ꯭ꯔꯥꯟꯁꯑꯦꯃꯤꯅꯦꯖ) ꯑꯁꯤ ꯑꯦ.ꯑꯦꯜ.ꯇꯤ.ꯒꯨꯝꯕꯥ ꯑꯇꯣꯞꯄꯥ ꯑꯦꯅꯖꯥꯏꯝ ꯑꯃꯅꯤ꯫ ꯁꯦꯂꯁꯤꯡꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯃꯈꯣꯌ ꯑꯅꯤ ꯑꯁꯤ ꯏꯗꯥ ꯊꯨꯃꯖꯤꯅꯕꯥ ꯌꯥꯏ꯫

ꯑꯗꯨꯕꯨ ꯃꯐꯝ ꯑꯁꯤꯗꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯈꯦꯟꯅꯕꯥ ꯑꯃꯥ ꯂꯩꯔꯤ꯫ ALT ꯑꯁꯤ ꯃꯔꯨꯑꯣꯏꯅꯥ ꯂꯤꯚꯔꯗꯥ ꯐꯪꯏ꯫ ꯑꯗꯨꯕꯨ ꯑꯦꯅꯖꯥꯏꯝ ꯑꯦ.ꯑꯦꯁ.ꯇꯤ.ꯅꯥ ꯂꯤꯚꯔꯒꯤ ꯃꯊꯛꯇꯥ ꯍꯥꯔꯠ, ꯁ꯭ꯀꯦꯂꯦꯇꯦꯜ ꯃꯁꯜ, ꯑꯃꯁꯨꯡ ꯄꯦꯅꯛꯔꯤꯑꯦꯖꯗꯁꯨ ꯃꯁꯛ ꯊꯣꯀꯄꯥ ꯃꯁꯤꯡꯗꯥ ꯐꯪꯏ꯫

ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯂꯤꯚꯔꯒꯤ ꯍꯀꯁꯦꯂꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯕꯥ ꯃꯇꯃꯗꯥ ꯑꯩꯈꯣꯌꯅꯥ ꯑꯦ.ꯑꯦꯜ.ꯇꯤ.ꯕꯨ ꯑꯦ.ꯑꯦꯁ.ꯇꯤ.ꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯂꯤꯚꯔꯗꯥ ꯍꯦꯟꯅꯥ ꯑꯀꯛꯅꯕꯥ ꯑꯣꯏꯅꯥ ꯂꯧꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯚꯦꯜꯌꯨ ꯑꯅꯤꯃꯛ ꯑꯃꯁꯨꯡ ꯑꯇꯣꯞꯄꯥ ꯇꯦꯁ꯭ꯇꯀꯤ ꯔꯤꯖꯜꯇꯁꯤꯡ ꯑꯁꯤ ꯄꯨꯟꯅꯥ ꯌꯦꯡꯗꯨꯅꯥ ꯑꯆꯨꯝꯕꯥ ꯋꯥꯔꯦꯞ ꯑꯃꯥ ꯂꯧꯏ꯫

ꯀꯔꯤꯒꯤꯗꯃꯛꯇꯥ ꯅꯍꯥꯀꯄꯨ ALT ꯇꯦꯁ꯭ꯠ ꯇꯧꯅꯕꯥ ꯍꯥꯌꯔꯤꯕꯅꯣ?

ꯗꯣꯛꯇꯔ ꯑꯃꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯑꯦ.ꯑꯦꯜ.ꯇꯤ.ꯒꯤ ꯇꯦꯁ꯭ꯠ ꯇꯧꯕꯥ ꯌꯥꯕꯥ ꯕ꯭ꯂꯗ ꯇꯦꯁ꯭ꯠ ꯇꯧꯅꯕꯥ ꯍꯥꯌꯔꯀꯄꯥ ꯌꯥꯕꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯔꯝ ꯑꯍꯨꯝ ꯂꯩ꯫

ꯂꯥꯏꯑꯣꯡ ꯎꯠꯠꯔꯤꯉꯩ ꯃꯃꯥꯡꯗꯥ ꯁ꯭ꯛꯔꯤꯅꯤꯡ ꯇꯧꯕꯥ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯥꯏꯑꯣꯡ ꯑꯃꯠꯇꯥ ꯎꯕꯥ ꯐꯪꯗꯕꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯕꯨ ꯃꯁꯤꯒꯤ ꯇꯦꯁ꯭ꯠ ꯑꯁꯤꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯇꯨꯡꯗꯥ ꯂꯤꯚꯔꯒꯤ ꯂꯥꯌꯅꯥ ꯂꯥꯀꯄꯒꯤ ꯔꯤꯁ꯭ꯛ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯈꯪꯗꯣꯀꯄꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯒꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯔꯤꯁ꯭ꯛ ꯐꯦꯛꯇꯔꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯍꯦꯛꯇꯥ ꯂꯩꯔꯕꯗꯤ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯇꯦꯁ꯭ꯠ ꯑꯁꯤ ꯔꯤꯀꯃꯦꯟꯗ ꯇꯧꯕꯥ ꯌꯥꯏ:

• ꯌꯨ ꯌꯥꯝꯅꯥ ꯊꯀꯄꯥ꯫
• ꯂꯤꯚꯔ ꯗꯤꯖꯤꯖꯒꯤ ꯏꯃꯨꯡꯒꯤ ꯍꯤꯁ꯭ꯇꯔꯤ ꯂꯩꯕꯥ꯫
• ꯗꯥꯏꯑꯦꯕꯦꯇꯤꯖ ꯂꯩꯕꯥ꯫
• ꯀꯥ ꯍꯦꯟꯅ ꯅꯣꯏꯕ .
• ꯑꯇꯣꯞꯄꯁꯤꯡꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯁꯦꯌꯔ ꯇꯧꯕꯥ ꯅꯤꯗꯂꯁꯤꯡ ꯁꯤꯖꯤꯟꯅꯗꯨꯅꯥ ꯗ꯭ꯔꯒꯁꯤꯡ ꯏꯅꯖꯦꯀꯁꯟ ꯇꯧꯕꯥ꯫

ꯃꯦꯗꯤꯀꯦꯜ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯥ ꯌꯦꯡꯁꯤꯅꯕꯥ (ꯃꯣꯅꯤꯇꯔ ꯇꯧꯕꯥ) ꯲.

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯍꯥꯟꯅꯅꯥ ꯂꯤꯚꯔꯒꯤ ꯀꯟꯗꯤꯁꯟ ꯂꯩꯔꯕꯗꯤ, ꯇꯦꯁ꯭ꯠ ꯑꯁꯤ ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯇꯧꯗꯨꯅꯥ ꯃꯗꯨ ꯐꯒꯠꯂꯛꯂꯤꯕ꯭ꯔꯥ, ꯍꯦꯟꯅꯥ ꯐꯒꯠꯂꯛꯂꯤꯕ꯭ꯔꯥ ꯅꯠꯠꯔꯒꯥ ꯂꯥꯏꯌꯦꯡꯕꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯁꯤꯜꯂꯤ꯫ ꯃꯁꯤ ꯅꯍꯥꯛꯅꯥ ꯂꯤꯚꯔꯗꯥ ꯁꯣꯀꯍꯅꯕꯥ ꯌꯥꯕꯥ ꯑꯀꯛꯅꯕꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ ꯆꯥꯕꯥ ꯃꯇꯃꯗꯥ ꯂꯤꯚꯔꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯛꯂꯤꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨꯁꯨ ꯌꯦꯡꯁꯤꯜꯂꯤ꯫

ꯂꯥꯌꯅꯥ ꯑꯃꯥ ꯈꯉꯗꯣꯀꯄꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯅꯕꯥ (Diagnosing) ꯳.

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯤꯚꯔꯒꯤ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯑꯃꯥ ꯂꯩꯔꯦ ꯍꯥꯌꯕꯥ ꯇꯥꯀꯄꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯂꯩꯔꯕꯗꯤ, ꯃꯔꯝ ꯑꯗꯨ ꯈꯪꯗꯣꯛꯅꯕꯥ ꯇꯦꯁ꯭ꯠ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫ ALT ꯂꯦꯚꯦꯜ ꯈꯛꯇꯅꯥ ꯂꯥꯌꯅꯥ ꯑꯃꯥ ꯈꯪꯗꯣꯀꯄꯥ ꯉꯃꯗ꯭ꯔꯕꯁꯨ, ꯃꯁꯤ ꯗꯥꯏꯑꯦꯒ꯭ꯅꯣꯁ꯭ꯇꯤꯛ ꯄ꯭ꯔꯣꯁꯦꯁꯀꯤ ꯇꯉꯥꯏꯐꯗꯕꯥ ꯁꯔꯨꯛ ꯑꯃꯅꯤ꯫

ꯕ꯭ꯂꯗ ꯇꯦꯁ꯭ꯠ ꯑꯁꯤꯒꯤ ꯃꯃꯥꯡꯗꯥ ꯁꯦꯝ-ꯁꯥꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯂꯩꯕ꯭ꯔꯥ?

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯦ.ꯑꯦꯜ.ꯇꯤ . ꯔꯣꯖꯥ ꯍꯥꯌꯕꯁꯤ ꯏꯁꯤꯡ ꯅꯠꯇꯅꯥ ꯑꯇꯩ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯃꯠꯇꯥ ꯆꯥꯗꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯊꯀꯄꯥ ꯍꯥꯌꯕꯁꯤꯅꯤ꯫

ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ALT ꯇꯦꯁ꯭ꯠ ꯈꯛꯇꯃꯛ ꯇꯧꯔꯕꯗꯤ, ꯃꯍꯧꯁꯥꯅꯥ ꯔꯣꯖꯥ ꯇꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯗꯦ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯤ ꯏꯅꯁ꯭ꯠꯔꯛꯁꯅꯁꯤꯡ ꯑꯗꯨ ꯆꯨꯝꯅꯥ ꯏꯅꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫

ꯃꯁꯤꯒꯤ ꯃꯊꯛꯇꯥ, ꯅꯍꯥꯛꯅꯥ ꯂꯧꯔꯤꯕꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛ, ꯚꯤꯇꯥꯃꯤꯟ ꯅꯠꯠꯔꯒꯥ ꯁꯞꯂꯤꯃꯦꯟꯇ ꯑꯃꯍꯦꯛꯇꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯈꯪꯍꯅꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ, ꯃꯔꯃꯗꯤ ꯍꯤꯗꯥꯛ ꯈꯔꯗꯤ ALTꯒꯤ ꯆꯥꯡꯗꯥ ꯁꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯍꯥꯌꯔꯛꯠꯔꯤꯕꯐꯥꯎꯕꯥ ꯇꯦꯁ꯭ꯠ ꯇꯧꯗ꯭ꯔꯤꯉꯩꯗꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛ ꯑꯃꯠꯇꯥ ꯊꯀꯄꯥ ꯂꯦꯄꯀꯅꯨ꯫ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯤ ꯄꯥꯎꯇꯥꯛ ꯌꯥꯎꯗꯅꯥ ꯀꯩꯗꯧꯉꯩꯗꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛ ꯑꯃꯠꯇꯥ ꯂꯧꯕꯥ ꯂꯦꯄꯀꯅꯨ꯫

ꯑꯀꯅꯕꯥ ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯇꯧꯕꯅꯥ ALTꯒꯤ ꯆꯥꯡꯗꯁꯨ ꯁꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ ꯃꯔꯝ ꯑꯗꯨꯅꯥ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯑꯀꯅꯕꯥ ꯐꯤꯖꯤꯀꯦꯜ ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯇꯧꯔꯕꯗꯤ, ꯃꯗꯨꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯍꯥꯟꯅꯥ ꯈꯪꯍꯅꯕꯤꯌꯨ꯫

ꯏ ꯂꯧꯊꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯀꯔꯤ ꯊꯣꯀꯏ?

ꯏ ꯄꯤꯕꯒꯤ ꯊꯧꯑꯣꯡ ꯑꯁꯤ ꯃꯍꯧꯁꯥꯅꯥ ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯊꯣꯀꯏ꯫

• ꯅꯍꯥꯀꯄꯨ ꯆꯦꯌꯥꯔ ꯑꯃꯗꯥ ꯐꯃꯒꯅꯤ, ꯑꯃꯁꯨꯡ ꯅꯔꯁ ꯅꯠꯠꯔꯒꯥ ꯃꯦꯗꯤꯀꯦꯜ ꯑꯣꯐꯤꯁꯔ ꯑꯃꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯨꯠꯁꯥꯗꯥ ꯏ ꯂꯧꯊꯣꯛꯅꯕꯥ ꯈꯨꯗꯣꯡꯆꯥꯕꯥ ꯌꯥꯕꯥ ꯚꯦꯅꯝ ꯑꯃꯥ ꯐꯪꯒꯅꯤ꯫ ꯃꯍꯧꯁꯥꯅꯥ, ꯈꯣꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯚꯦꯅꯝ ꯑꯃꯥ ꯈꯅꯒꯠꯂꯤ꯫
• ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯃꯐꯝ ꯑꯗꯨ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯁꯦꯡꯗꯣꯀꯎ ꯑꯃꯁꯨꯡ ꯗꯤꯁꯏꯅꯐꯦꯛꯇꯦꯟꯇ ꯑꯃꯥ ꯁꯤꯖꯤꯟꯅꯧ꯫
• ꯌꯥꯝꯅꯥ ꯑꯄꯤꯀꯄꯥ ꯅꯤꯜ ꯑꯃꯥ ꯚꯦꯅꯝ ꯑꯃꯗꯥ ꯊꯥꯗꯨꯅꯥ ꯏꯒꯤ ꯁꯦꯝꯄꯜ ꯑꯃꯥ ꯂꯧꯏ꯫ ꯃꯇꯝ ꯑꯁꯤꯗꯥ, ꯑꯄꯤꯀꯄꯥ ꯃꯩꯁꯥ ꯑꯃꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯁꯣꯀꯍꯅꯕꯒꯨꯝꯅꯥ ꯐꯥꯎꯕꯥ ꯌꯥꯏ꯫
• ꯅꯤꯗꯜ ꯑꯗꯨ ꯊꯥꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ, ꯃꯊꯧ ꯇꯥꯕꯥ ꯏꯒꯤ ꯆꯥꯡ ꯑꯗꯨ ꯇꯦꯁ꯭ꯠ ꯇꯤꯎꯕ ꯑꯃꯗꯥ ꯈꯣꯃꯖꯤꯜꯂꯤ꯫
• ꯏ ꯑꯗꯨ ꯂꯧꯊꯣꯀꯈ꯭ꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ, ꯅꯤꯜ ꯑꯗꯨ ꯂꯧꯊꯣꯀꯏ ꯑꯃꯁꯨꯡ ꯏ ꯊꯣꯀꯄꯥ ꯊꯤꯡꯅꯕꯥ ꯌꯦꯔꯨꯝ ꯑꯃꯥ ꯊꯥꯗꯨꯅꯥ ꯆꯦꯠꯅꯥ ꯊꯃꯖꯤꯜꯂꯤ꯫
• ꯃꯐꯝ ꯑꯗꯨꯗꯥ ꯄ꯭ꯂꯥꯁ꯭ꯇꯔ ꯑꯃꯥ ꯊꯥꯗꯣꯀꯎ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯅꯥ ꯂꯣꯏꯔꯦ꯫ ꯊꯧꯑꯣꯡ ꯄꯨꯝꯅꯃꯛ ꯑꯁꯤ ꯃꯤꯅꯤꯠ ꯃꯉꯥꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯆꯪꯂꯣꯏꯗꯕꯅꯤ꯫

ALT ꯚꯦꯜꯌꯨꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯇꯁꯦꯡꯅꯥ ꯀꯔꯤ ꯍꯥꯌꯔꯤꯕꯒꯦ?

ꯅꯍꯥꯛꯀꯤ ꯕ꯭ꯂꯗ ꯇꯦꯁ꯭ꯇꯀꯤ ꯔꯤꯄꯣꯔꯠ ꯑꯗꯨ ꯂꯧꯕꯥ ꯃꯇꯃꯗꯥ, ꯃꯗꯨꯗꯥ ꯏꯅꯐꯣꯔꯃꯦꯁꯟ ꯀꯌꯥ ꯑꯃꯥ ꯌꯥꯎꯏ꯫ ꯃꯍꯧꯁꯥꯅꯥ ꯃꯁꯤꯗꯥ ꯃꯈꯥꯒꯤꯁꯤꯡ ꯑꯁꯤ ꯌꯥꯑꯣꯔꯤ:

• ꯄꯥꯡꯊꯣꯀꯈꯤꯕꯥ ꯇꯦꯁ꯭ꯠ ꯑꯗꯨꯒꯤ ꯃꯃꯤꯡ (ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ ꯑꯦꯂꯥꯅꯤꯟ ꯇ꯭ꯔꯥꯟꯁꯑꯦꯃꯤꯅꯦꯖ - ꯑꯦ.ꯑꯦꯜ.ꯇꯤ.)꯫
• ꯅꯍꯥꯛꯀꯤ ꯔꯤꯖꯜꯇ (ꯅꯍꯥꯛꯀꯤ ꯕ꯭ꯂꯗ ꯀꯥꯎꯟꯇ)꯫
• ꯃꯗꯨ ꯇꯦꯁ꯭ꯠ ꯇꯧꯅꯕꯒꯤꯗꯃꯛ ꯅꯣꯔꯃꯦꯜ ꯔꯦꯟꯖꯅꯤ꯫
• ꯅꯍꯥꯛꯀꯤ ꯔꯤꯖꯜꯇ ꯑꯗꯨ ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯦꯕꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯕꯥ (ꯍꯥꯌꯕꯗꯤ ꯅꯠꯠꯔꯒꯥ ꯅꯦꯝꯕꯥ) ꯑꯣꯏꯔꯕꯁꯨ꯫

ꯅꯣꯔꯃꯦꯜ ALT ꯚꯦꯜꯌꯨ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?

ꯑꯦ.ꯑꯦꯜ.ꯇꯤ.ꯒꯤ ꯅꯣꯔꯃꯦꯜ ꯔꯦꯟꯖ ꯑꯁꯤ ꯂꯦꯕ ꯑꯃꯗꯒꯤ ꯑꯇꯣꯞꯄꯥ ꯑꯃꯗꯥ ꯈꯔꯥ ꯈꯦꯠꯅꯕꯥ ꯌꯥꯏ꯫ ꯃꯍꯧꯁꯥꯅꯥ ꯌꯥꯅꯔꯕꯥ ꯚꯦꯜꯌꯨ ꯑꯃꯅꯥ ꯂꯤꯇꯔ ꯑꯃꯗꯥ ꯌꯨꯅꯤꯠ 7 ꯑꯃꯁꯨꯡ 56ꯒꯤ ꯃꯔꯛꯇꯥ ꯂꯩ (7ꯗꯒꯤ 56 U/L ꯐꯥꯎꯕꯥ)꯫ ꯅꯨꯄꯥꯁꯤꯡꯒꯤ ALTꯒꯤ ꯆꯥꯡ ꯑꯁꯤ ꯃꯍꯧꯁꯥꯅꯥ ꯅꯨꯄꯤꯁꯤꯡꯗꯒꯤ ꯈꯔꯥ ꯍꯦꯟꯅꯥ ꯋꯥꯡꯏ꯫

ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯋꯥꯐꯃꯗꯤ ꯅꯍꯥꯛꯀꯤ ꯔꯤꯄꯣꯔꯇꯇꯥ ꯄꯅꯈ꯭ꯔꯤꯕꯥ ‘ꯔꯦꯐꯥꯔꯦꯟꯁ ꯔꯦꯟꯖ’ ꯑꯗꯨꯒꯥ ꯅꯍꯥꯛꯀꯤ ꯚꯦꯜꯌꯨ ꯑꯗꯨ ꯆꯥꯡꯗꯝꯅꯕꯅꯤ꯫

ꯑꯦ.ꯑꯦꯜ.ꯇꯤ.ꯒꯤ ꯊꯥꯛ ꯋꯥꯡꯈꯠꯂꯀꯄꯥ ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ?

ꯏꯗꯥ ALTꯒꯤ ꯆꯥꯡ ꯋꯥꯡꯈꯠꯂꯀꯄꯅꯥ ꯂꯤꯚꯔ ꯁꯦꯂꯁꯤꯡꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯅꯠꯠꯔꯒꯥ ꯗꯤꯁꯐꯉ꯭ꯀꯁꯟ ꯂꯩꯕꯥ ꯌꯥꯏ ꯍꯥꯌꯕꯥ ꯇꯥꯀꯏ꯫ ALT ꯂꯦꯚꯦꯜ ꯋꯥꯡꯈꯠꯂꯀꯄꯒꯤ ꯃꯔꯝ ꯈꯔꯗꯤ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯁꯤꯡꯁꯤꯅꯤ:

• ꯌꯨꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯂꯤꯚꯔꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯄꯥ꯫
• ꯐꯦꯇꯤ ꯂꯤꯚꯔ ꯗꯤꯖꯤꯖ꯫
• ꯍꯦꯄꯥꯇꯥꯏꯇꯤꯁ (ꯂꯤꯚꯔꯒꯤ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯁꯟ)꯫
• ꯁꯤꯔꯣꯁꯤꯁ (ꯂꯤꯚꯔꯗꯥ ꯁꯣꯀꯄꯥ)꯫
• ꯂꯤꯚꯔꯗꯥ ꯈꯨꯗꯣꯡꯊꯤꯅꯤꯉꯥꯏ ꯑꯣꯏꯕꯥ (ꯇꯣꯛꯁꯤꯀꯦꯜ) ꯑꯀꯛꯅꯕꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ ꯁꯤꯖꯤꯟꯅꯕꯥ꯫
• ꯂꯤꯚꯔ ꯇꯤꯎꯃꯔ ꯅꯠꯠꯔꯒꯥ ꯂꯤꯚꯔ ꯀꯦꯟꯁꯔ꯫
• ꯂꯤꯚꯔꯗꯥ ꯏꯒꯤ ꯁꯞꯂꯥꯏ ꯍꯟꯊꯔꯀꯄꯥ (Liver Ischemia)꯫
• ꯍꯀꯆꯥꯡꯗꯥ ꯑꯥꯏꯔꯟ ꯌꯥꯝꯅꯥ ꯌꯥꯎꯕꯥ (Hemochromatosis)꯫
• ꯃꯣꯅꯣꯟꯌꯨꯛꯂꯤꯑꯣꯁꯤꯁꯒꯨꯝꯕꯥ ꯏꯅꯐꯦꯛꯁꯟ ꯈꯔꯗꯤ꯫
• ꯂꯤꯚꯔꯗꯥ ꯁꯣꯀꯍꯜꯂꯤꯕꯥ ꯖꯦꯅꯦꯇꯤꯛ ꯀꯟꯗꯤꯁꯟ ꯈꯔꯗꯤ꯫

ꯑꯗꯨꯕꯨ ꯅꯤꯡꯁꯤꯡꯕꯤꯌꯨ, ALT ꯑꯁꯤ ꯂꯤꯚꯔ ꯈꯛꯇꯗꯥ ꯐꯪꯗꯦ, ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ, ꯑꯇꯣꯞꯄꯥ ꯃꯐꯝ ꯑꯃꯗꯥ ꯁꯦꯂꯁꯤꯡꯅꯥ ꯁꯣꯀꯍꯜꯂꯕꯁꯨ ALTꯒꯤ ꯆꯥꯡ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ ꯌꯥꯏ꯫

ꯃꯔꯨꯑꯣꯏꯕꯥ: ALT ꯂꯦꯚꯦꯜ ꯋꯥꯡꯈꯠꯄꯥ ꯍꯥꯌꯕꯁꯤꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯤꯚꯔꯒꯤ ꯂꯥꯌꯅꯥ ꯂꯩꯔꯦ ꯍꯥꯌꯕꯥ ꯇꯥꯀꯄꯥ ꯅꯠꯇꯦ꯫ ALT ꯂꯦꯚꯦꯜ ꯋꯥꯡꯈꯠꯄꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯒꯤ 5%ꯗꯒꯤ ꯇꯥꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯂꯤꯚꯔꯒꯤ ꯂꯥꯌꯅꯥ ꯂꯩ꯫ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯋꯥꯔꯦꯞ ꯑꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯔꯤꯄꯣꯔꯇꯇꯥ ꯌꯥꯎꯔꯤꯕꯥ ꯑꯇꯩ ꯚꯦꯜꯌꯨꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯍꯦꯂꯊ ꯍꯤꯁ꯭ꯇꯔꯤꯗꯥ ꯌꯨꯝꯐꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯂꯧꯒꯅꯤ꯫

ALT ꯂꯦꯚꯦꯜ ꯅꯦꯝꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ?

ꯑꯦ.ꯑꯦꯜ.ꯇꯤ.ꯒꯤ ꯆꯥꯡ ꯑꯁꯤ ꯅꯣꯔꯃꯦꯂꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯅꯦꯝꯅꯥ ꯎꯕꯥ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯊꯦꯡꯅꯩ꯫ ꯑꯗꯨꯒꯥ ꯃꯍꯧꯁꯥꯅꯥ ꯃꯁꯤ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯋꯥꯐꯝ ꯑꯃꯅꯤ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯀꯦꯁ ꯈꯔꯗꯗꯤ, ꯚꯤꯇꯥꯃꯤꯟ B6 ꯋꯥꯠꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯀ꯭ꯔꯣꯅꯤꯛ ꯀꯤꯗꯅꯤꯒꯤ ꯂꯥꯌꯅꯥꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ALTꯒꯤ ꯆꯥꯡ ꯅꯦꯝꯅꯥ ꯂꯩꯕꯥ ꯌꯥꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯔꯤꯖꯜꯇ ꯑꯗꯨ ꯅꯦꯝꯅꯥ ꯂꯩꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯃꯔꯝ ꯑꯃꯥ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯅꯕꯒꯤꯗꯃꯛ ꯃꯈꯥ ꯇꯥꯕꯥ ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯇꯧꯕꯥ ꯌꯥꯏ꯫

ALTꯒꯤ ꯊꯥꯀꯁꯤꯡꯗꯥ ꯑꯍꯣꯡꯕꯥ ꯂꯥꯀꯄꯗꯥ ꯑꯀꯥꯌꯕꯥ ꯄꯤꯕꯥ ꯌꯥꯕꯥ ꯑꯇꯩ ꯐꯦꯛꯇꯔꯁꯤꯡ ꯂꯩꯕ꯭ꯔꯥ?

ꯍꯣꯏ. ꯃꯦꯗꯤꯀꯦꯜ ꯀꯟꯗꯤꯁꯅꯁꯤꯡꯒꯤ ꯃꯊꯛꯇꯥ, ꯅꯍꯥꯛꯀꯤ ALT ꯂꯦꯚꯦꯂꯁꯤꯡꯗꯥ ꯁꯣꯀꯍꯅꯕꯥ ꯌꯥꯕꯥ ꯑꯇꯩ ꯐꯦꯛꯇꯔ ꯀꯌꯥꯁꯨ ꯂꯩ꯫ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯔꯤꯖꯜꯇ ꯑꯗꯨ ꯑꯦꯅꯥꯂꯥꯏꯖ ꯇꯧꯕꯥ ꯃꯇꯃꯗꯥ ꯍꯥꯌꯔꯤꯕꯥ ꯄꯨꯝꯅꯃꯛ ꯑꯁꯤ ꯂꯧꯈꯠꯀꯅꯤ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯆꯝꯕꯥ ꯐꯜ ꯑꯃꯥ ꯐꯪꯂꯕꯗꯤ ꯃꯊꯪꯗꯥ ꯀꯔꯤ ꯇꯧꯒꯅꯤ?

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ALT ꯂꯦꯚꯦꯜ ꯑꯗꯨ ꯑꯦꯕꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯃꯔꯝ ꯑꯗꯨ ꯈꯪꯗꯣꯛꯅꯕꯥ ꯑꯍꯦꯅꯕꯥ ꯇꯦꯁ꯭ꯠ ꯀꯌꯥ ꯑꯃꯥ ꯇꯧꯅꯕꯥ ꯄꯥꯎꯇꯥꯛ ꯄꯤꯕꯥ ꯌꯥꯏ꯫

• ALT ꯇꯦꯁ꯭ꯠ ꯑꯗꯨ ꯍꯟꯖꯤꯟ ꯍꯟꯖꯤꯟ ꯇꯧꯕꯥ꯫
• ꯑꯇꯣꯞꯄꯥ ꯕ꯭ꯂꯗ ꯇꯦꯁ꯭ꯇꯁꯤꯡ꯫
• ꯑꯂꯠꯔꯥꯁꯥꯎꯟꯗꯒꯨꯝꯕꯥ ꯁ꯭ꯀꯦꯅꯁꯤꯡ꯫
• ꯂꯤꯚꯔꯗꯒꯤ ꯇꯤꯁꯨꯒꯤ ꯑꯄꯤꯀꯄꯥ ꯁꯔꯨꯛ ꯑꯃꯥ ꯑꯦꯀꯖꯥꯃꯤꯅꯦꯁꯅꯒꯤꯗꯃꯛꯇꯥ ꯂꯧꯕꯥ (ꯕꯥꯏꯑꯣꯞꯁꯤ)꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ALT ꯂꯦꯚꯦꯜ ꯑꯗꯨ ꯌꯥꯝꯅꯥ ꯋꯥꯡꯂꯕꯗꯤ ꯅꯠꯠꯔꯒꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯤꯚꯔꯒꯤ ꯂꯥꯌꯅꯥꯒꯤ ꯂꯥꯏꯑꯣꯡ ꯂꯩꯔꯕꯗꯤ, ꯃꯈꯥ ꯇꯥꯕꯥ ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯑꯁꯤ ꯈꯨꯗꯛꯇꯥ ꯇꯧꯒꯗꯕꯅꯤ꯫

ꯀꯗꯥꯏꯗꯥ ꯗꯣꯛꯇꯔꯒꯥ ꯇꯥꯟꯅꯒꯗꯒꯦ?

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯤꯚꯔꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯅꯕꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ, ꯍꯥꯌꯕꯗꯤ ꯖꯟꯗꯥꯁ (ꯈꯣꯡꯆꯠ ꯁꯣꯀꯄꯥ) ꯅꯠꯠꯔꯒꯥ ꯈꯣꯡ ꯍꯥꯝꯕꯥ ꯌꯥꯗꯕꯥ (abdominal pain) ꯑꯁꯤꯅꯆꯤꯡꯕꯥ ꯂꯩꯔꯕꯗꯤ, ꯈꯨꯗꯛꯇꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯇꯥꯟꯅꯧ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯍꯥꯟꯅꯅꯥ ꯂꯤꯚꯔ ꯗꯤꯖꯤꯖ ꯂꯩꯔꯦ ꯍꯥꯌꯅꯥ ꯈꯪꯂꯕꯥ ꯑꯃꯁꯨꯡ ꯑꯅꯧꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯂꯥꯀꯄꯥ ꯇꯥꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯄꯥꯎ ꯐꯥꯎꯅꯕꯤꯌꯨ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ALT ꯔꯤꯖꯜꯇ ꯑꯗꯨꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯍꯪ ꯑꯃꯠꯇꯥ ꯍꯪꯂꯕꯗꯤ ꯅꯠꯠꯔꯒꯥ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯂꯩꯔꯕꯗꯤ, ꯃꯗꯨꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯀꯩꯗꯧꯉꯩꯗꯥ ꯍꯪꯕꯤꯒꯅꯨ꯫