ꯅꯍꯥꯛꯅꯥ ꯑꯦꯟꯀꯤꯂꯣꯁꯤꯡ ꯁ꯭ꯄꯣꯟꯗꯤꯂꯥꯏꯇꯤꯁ, ꯅꯠꯠꯔꯒꯥ ꯊꯣꯏꯗꯣꯛꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ ꯑꯦ.ꯑꯦꯁ. ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯃꯁꯤꯅꯥ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗ ꯑꯃꯁꯨꯡ ꯍꯤꯄꯐꯃꯒꯤ ꯃꯔꯛꯇꯥ ꯂꯩꯕꯥ ꯁꯔꯨ ꯇꯥꯡꯁꯤꯡꯗꯥ ꯀꯌꯥ ꯌꯥꯝꯅꯥ ꯁꯣꯀꯍꯅꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯅꯍꯥꯛꯅꯥ ꯈꯪꯂꯃꯒꯅꯤ꯫ ꯑꯗꯨꯕꯨ ꯅꯍꯥꯛꯅꯥ ꯈꯪꯂꯃꯗꯕꯥ ꯋꯥꯐꯃꯗꯤ ꯑꯦ.ꯑꯦꯁ.ꯅꯥ ꯅꯥꯕꯥ ꯃꯤꯑꯣꯏ ꯈꯔꯗꯗꯤ ꯀꯤꯗꯅꯤꯒꯤ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯃꯁꯤꯡꯁꯨ ꯂꯥꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯁꯤ ꯃꯤꯄꯨꯝ ꯈꯨꯗꯤꯡꯃꯛꯇꯥ ꯊꯣꯛꯇꯦ, ꯑꯗꯨꯕꯨ ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯆꯦꯀꯁꯤꯟꯅꯥ ꯂꯩꯕꯥ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫
ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯑꯦꯟꯀꯤꯂꯣꯁꯤꯡ ꯁ꯭ꯄꯣꯟꯗꯤꯂꯥꯏꯇꯤꯁ (AS) ꯍꯥꯌꯕꯁꯤ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗ ꯑꯃꯁꯨꯡ ꯃꯁꯤꯒꯥ ꯃꯔꯤ ꯂꯩꯅꯕꯥ ꯁꯔꯨ ꯇꯥꯡꯁꯤꯡꯗꯥ ꯁꯣꯀꯍꯜꯂꯤꯕꯥ ꯑꯔꯊ꯭ꯔꯥꯏꯇꯤꯁ ꯃꯈꯜ ꯑꯃꯅꯤ꯫ ꯃꯁꯤꯗꯥ ꯊꯣꯛꯂꯤꯕꯥ ꯑꯁꯤꯗꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯁꯟ ꯂꯩꯔꯀꯄꯅꯤ꯫ ꯍꯀꯆꯥꯡꯗꯥ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯗꯕꯥ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯁꯟ ꯑꯁꯤ ꯃꯐꯃꯗꯨꯗꯥ ꯐꯃꯗꯨꯅꯥ ꯂꯩꯕꯥ ꯅꯠꯇꯦ꯫ ꯃꯁꯤꯅꯥ ꯍꯀꯆꯥꯡꯒꯤ ꯇꯣꯉꯥꯟ-ꯇꯣꯉꯥꯅꯕꯥ ꯃꯐꯃꯁꯤꯡꯗꯥ ꯁꯣꯀꯍꯅꯕꯥ ꯍꯧꯏ꯫ ꯀꯤꯗꯅꯤ ꯑꯁꯤ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯃꯐꯝ ꯑꯃꯅꯤ꯫ ꯑꯅꯧꯕꯥ ꯔꯤꯁꯔꯆ ꯑꯃꯅꯥ ꯇꯥꯛꯂꯤ ꯃꯗꯨꯗꯤ ꯃꯁꯤꯒꯤ ꯃꯔꯤ ꯑꯁꯤ ꯍꯧꯖꯤꯛꯇꯤ ꯍꯥꯟꯅꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯀꯃꯟ ꯑꯣꯏꯔꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯉꯁꯤ ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯁꯤ꯫
ASꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯀꯔꯤ ꯀꯤꯗꯅꯤꯒꯤ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯃꯁꯤꯡ ꯊꯣꯀꯄꯥ ꯌꯥꯕꯒꯦ?
ꯑꯦ.ꯑꯦꯁ.ꯅꯥ ꯀꯤꯗꯅꯤꯁꯤꯡꯗꯥ ꯁꯣꯀꯍꯅꯕꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯑꯣꯡ ꯀꯌꯥ ꯂꯩ꯫ ꯃꯈꯣꯌꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯤꯅꯣ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯁꯤ꯫
ꯁꯦꯀꯦꯟꯗꯔꯤ ꯔꯦꯅꯥꯜ ꯑꯦꯃꯤꯂꯣꯏꯗꯣꯁꯤꯁ꯫
ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯂꯨꯕꯥ ꯃꯤꯡ ꯑꯃꯥ ꯑꯣꯏꯅꯥ ꯁꯣꯅꯕꯥ ꯌꯥꯏ, ꯑꯗꯨꯕꯨ ꯃꯁꯤ ꯏꯆꯝ ꯆꯝꯕꯥ ꯑꯃꯅꯤ꯫ ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯇꯔꯤ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ ꯂꯩꯕꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ‘ꯑꯦꯃꯤꯂꯣꯏꯗ’ ꯀꯧꯕꯥ ꯑꯦꯕꯅꯣꯔꯃꯦꯜ ꯄ꯭ꯔꯣꯇꯤꯟ ꯑꯃꯥ ꯄꯨꯊꯣꯀꯄꯥ ꯉꯝꯃꯤ꯫ ꯃꯁꯤꯒꯤ ꯄ꯭ꯔꯣꯇꯤꯟ ꯑꯁꯤ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯀꯤꯗꯅꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯁꯦꯃꯒꯠꯄꯥ ꯍꯧꯏ꯫ ꯃꯁꯤ ꯄꯥꯏꯄꯀꯤ ꯃꯅꯨꯡꯗꯥ ꯃꯩꯁꯥ ꯁꯦꯃꯒꯠꯂꯀꯄꯒꯨꯝꯕꯅꯤ꯫ ꯄ꯭ꯔꯣꯇꯤꯟ ꯑꯁꯤ ꯁꯦꯃꯒꯠꯂꯀꯄꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯀꯤꯗꯅꯤꯁꯤꯡꯅꯥ ꯃꯈꯣꯌꯒꯤ ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯕꯥ ꯊꯕꯛ ꯑꯗꯨ ꯇꯧꯕꯥ ꯉꯃꯗ꯭ꯔꯦ, ꯃꯗꯨꯗꯤ ꯏ ꯑꯗꯨ ꯐꯤꯜꯇꯔ ꯇꯧꯕꯅꯤ꯫ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤꯕꯨ ‘ꯑꯦ.ꯑꯦ.ꯑꯦꯃꯤꯂꯣꯏꯗꯣꯁꯤꯁ’ ꯍꯥꯌꯅꯥꯁꯨ ꯀꯧꯏ꯫
ꯏꯝꯝꯌꯨꯅꯣꯒ꯭ꯂꯣꯕꯨꯂꯤꯟ ꯑꯦ ꯅꯦꯐ꯭ꯔꯣꯄꯦꯊꯤ (IgAN) ꯴.
ꯃꯁꯤ ꯑꯦ.ꯑꯦꯁ.ꯀꯤ ꯑꯅꯥꯕꯁꯤꯡꯗꯥ ꯎꯕꯥ ꯐꯪꯒꯗꯕꯥ ꯑꯇꯣꯞꯄꯥ ꯀꯤꯗꯅꯤꯒꯤ ꯂꯥꯌꯅꯥ ꯑꯃꯅꯤ꯫ ꯃꯁꯤꯗꯥ ꯊꯣꯛꯂꯤꯕꯥ ꯑꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯏꯝꯝꯌꯨꯟ ꯁꯤꯁ꯭ꯇꯦꯃꯒꯤ ꯁꯔꯨꯛ ꯑꯃꯥ ꯑꯣꯏꯔꯤꯕꯥ ꯑꯥꯏ.ꯖꯤ.ꯑꯦ. ꯃꯁꯤ ꯇꯁꯦꯡꯅꯥ ꯑꯣꯏꯔꯤꯕꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯀꯅꯐꯥꯔꯝ ꯇꯧꯅꯕꯥ , ꯕꯥꯏꯑꯣꯞꯁꯤ ꯑꯃꯥ ꯃꯊꯧ ꯇꯥꯏ, ꯃꯁꯤ ꯀꯤꯗꯅꯤꯗꯒꯤ ꯂꯧꯊꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯌꯦꯡꯁꯤꯅꯕꯒꯤ ꯑꯄꯤꯀꯄꯥ ꯇꯤꯁ꯭ꯌꯨ ꯑꯃꯅꯤ꯫
ꯀ꯭ꯔꯣꯅꯤꯛ ꯀꯤꯗꯅꯤ ꯗꯤꯖꯤꯖ (ꯁꯤ.ꯀꯦ.ꯗꯤ.) ꯳.
ꯀ꯭ꯔꯣꯅꯤꯛ ꯀꯤꯗꯅꯤ ꯗꯤꯖꯤꯖ, ꯅꯠꯠꯔꯒꯥ CKD ꯍꯥꯌꯕꯁꯤ ꯃꯇꯃꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ ꯀꯤꯗꯅꯤꯁꯤꯡꯗꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯍꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯃꯈꯣꯌꯒꯤ ꯐꯉ꯭ꯀꯁꯟ ꯃꯥꯡꯈꯤꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫ ꯑꯦ.ꯑꯦꯁ.ꯅꯥ ꯃꯔꯝ ꯑꯃꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ, ꯑꯗꯨꯕꯨ ꯗꯥꯏꯑꯦꯕꯦꯇꯤꯖ ꯑꯃꯁꯨꯡ ꯍꯥꯏ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔꯒꯨꯝꯕꯥ ꯑꯇꯩ ꯀꯟꯗꯤꯁꯅꯁꯤꯡꯅꯁꯨ ꯀꯟꯗꯤꯁꯟ ꯑꯗꯨꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯕꯥ ꯌꯥꯏ꯫ ꯀꯤꯗꯅꯤꯁꯤꯡꯅꯥ ꯏꯗꯒꯤ ꯑꯃꯣꯠꯄꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯐꯤꯜꯇꯔ ꯇꯧꯕꯥ ꯉꯃꯗꯕꯥ ꯃꯇꯃꯗꯥ, ꯑꯃꯣꯠꯄꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ ꯑꯗꯨ ꯍꯀꯆꯥꯡꯗꯥ ꯁꯦꯃꯒꯠꯂꯀꯏ, ꯃꯗꯨꯅꯥ ꯍꯥꯔꯇꯀꯤ ꯂꯥꯌꯅꯥ ꯑꯃꯁꯨꯡ ꯁ꯭ꯠꯔꯣꯀꯒꯨꯝꯕꯥ ꯑꯆꯧꯕꯥ ꯁꯃꯁ꯭ꯌꯥꯁꯤꯡꯒꯤ ꯔꯤꯁ꯭ꯛ ꯍꯦꯅꯒꯠꯍꯜꯂꯤ꯫
꯴.ꯀꯤꯗꯅꯤ ꯁ꯭ꯇꯣꯟ ꯂꯩꯕꯥ꯫
ꯁ꯭ꯇꯗꯤ ꯈꯔꯅꯥ ꯇꯥꯛꯂꯤ ꯃꯗꯨꯗꯤ ꯑꯦ.ꯑꯦꯁ.ꯅꯥ ꯅꯥꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡ, ꯃꯔꯨꯑꯣꯏꯅꯥ ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯂꯩꯔꯛꯂꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯗꯥ ꯍꯀꯆꯥꯡ ꯐꯅꯥ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯀꯤꯗꯅꯤꯗꯥ ꯁ꯭ꯇꯣꯟ ꯂꯥꯀꯄꯥ ꯌꯥꯏ꯫ ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯁꯣꯜꯇ ꯑꯃꯁꯨꯡ ꯃꯤꯅꯔꯦꯂꯁꯤꯡꯅꯥ ꯁꯦꯝꯕꯥ ꯑꯄꯤꯀꯄꯥ, ꯑꯀꯅꯕꯥ ꯗꯤꯄꯣꯖꯤꯇꯁꯤꯡꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯃꯈꯣꯌ ꯑꯁꯤ ꯌꯨꯔꯤꯅꯗꯥ ꯄꯥꯁ ꯇꯧꯔꯀꯏ, ꯑꯗꯨꯕꯨ ꯃꯗꯨ ꯌꯥꯝꯅꯥ ꯁꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ꯃꯁꯤ ꯑꯣꯏꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯁ꯭ꯇꯣꯅꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯌꯨꯔꯤꯅꯔꯤ ꯇ꯭ꯔꯦꯛꯇꯇꯥ ꯆꯦꯟꯊꯈꯤꯗꯨꯅꯥ ꯏꯅꯐꯦꯛꯁꯟ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫
ꯀꯤꯗꯅꯤꯒꯤ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯃꯁꯤꯡꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?
ꯀꯟꯗꯤꯁꯟ ꯈꯨꯗꯤꯡꯃꯛꯀꯤ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯑꯃꯁꯨꯡ ꯑꯀꯛꯅꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯂꯩ꯫ ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯅꯍꯥꯛꯅꯥ ꯈꯪꯖꯤꯅꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ, ꯃꯔꯃꯗꯤ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯗꯣꯛꯇꯔ ꯑꯃꯒꯥ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯌꯦꯡꯁꯤꯅꯕꯥ ꯌꯥꯏ꯫
ꯃꯔꯨꯑꯣꯏꯕꯥ ꯋꯥꯐꯃꯗꯤ ꯀꯤꯗꯅꯤꯒꯤ ꯂꯥꯌꯅꯥꯒꯤ ꯑꯍꯥꯅꯕꯥ ꯇꯥꯉ꯭ꯀꯛꯇꯥ ꯂꯥꯏꯑꯣꯡ ꯑꯃꯠꯇꯥ ꯎꯕꯥ ꯐꯪꯗꯕꯥ ꯌꯥꯏ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯑꯦ.ꯑꯦꯁ.ꯅꯥ ꯅꯥꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯥ ꯑꯣꯏꯅꯥ ꯃꯇꯝ ꯄꯨꯝꯅꯃꯛꯇꯥ ꯃꯁꯤ ꯈꯉꯒꯗꯕꯅꯤ꯫
| ꯃꯦꯗꯤꯀꯦꯜ ꯀꯟꯗꯤꯁꯟ ꯂꯩꯕꯥ꯫ | ꯎꯕꯥ ꯐꯪꯒꯗꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ꯫ |
|---|---|
| ꯑꯦꯃꯤꯂꯣꯏꯗꯣꯁꯤꯁ꯫ |
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| ꯀ꯭ꯔꯣꯅꯤꯛ ꯀꯤꯗꯅꯤ ꯗꯤꯖꯤꯖ (ꯁꯤ.ꯀꯦ.ꯗꯤ.) | |
| ꯑꯥꯏ.ꯖꯤ.ꯑꯦ.ꯅꯦꯐ꯭ꯔꯣꯄꯦꯊꯤ (ꯑꯥꯏ.ꯖꯤ.ꯑꯦ.ꯑꯦꯟ.) |
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯦ.ꯑꯦꯁ.ꯅꯥ ꯅꯥꯕꯥ ꯑꯃꯁꯨꯡ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯃꯗꯒꯤ ꯍꯦꯅꯕꯥ ꯊꯦꯡꯅꯔꯕꯗꯤ, ꯆꯥꯅꯕꯤꯗꯨꯅꯥ ꯃꯁꯤ ꯌꯦꯡꯁꯤꯅꯕꯤꯒꯅꯨ꯫ ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯁꯣꯌꯗꯅꯥ ꯋꯥꯔꯤ ꯁꯥꯕꯤꯌꯨ꯫
ꯀꯔꯤꯒꯤꯗꯃꯛꯇꯥ ꯈꯨꯗꯣꯡꯆꯥꯗꯕꯁꯤꯡ ꯑꯁꯤ ꯊꯣꯛꯂꯤꯕꯅꯣ? ꯔꯤꯁ꯭ꯛ ꯐꯦꯛꯇꯔꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯀꯤꯗꯅꯤꯒꯤ ꯂꯥꯌꯅꯥ ꯑꯁꯤꯒꯤ ꯑꯆꯨꯝꯕꯥ ꯃꯔꯝ ꯑꯗꯨ ꯈꯪꯗꯣꯀꯄꯥ ꯉꯃꯗꯦ, ꯑꯗꯨꯕꯨ ꯃꯁꯤ ꯑꯦ.ꯑꯦꯁ.ꯒꯥ ꯃꯔꯤ ꯂꯩꯅꯍꯅꯕꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯔꯝ ꯀꯌꯥꯗꯤ ꯂꯩ꯫
- ꯀꯟꯠꯔꯣꯜ ꯇꯧꯗꯕꯥ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯁꯟ: ASꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯁꯛ ꯑꯃꯥ ꯑꯣꯏꯔꯤꯕꯥ ꯀ꯭ꯔꯣꯅꯤꯛ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯁꯟ ꯑꯁꯤꯅꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯗꯣꯁꯤꯅꯤ꯫ ꯃꯁꯤꯅꯥ ꯑꯦꯃꯤꯂꯣꯏꯗꯣꯁꯤꯁ ꯑꯃꯁꯨꯡ ꯑꯥꯏ.ꯖꯤ.ꯑꯦ.ꯑꯦꯟ.ꯒꯨꯝꯕꯥ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ ꯊꯣꯀꯍꯜꯂꯤ꯫
- ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ: ꯑꯦ.ꯑꯦꯁ. ꯑꯃꯁꯨꯡ ꯑꯔꯊ꯭ꯔꯥꯏꯇꯤꯁꯀꯤ ꯄꯦꯏꯅꯀꯤꯂꯥꯔ ꯈꯔꯗꯤ ꯃꯔꯨꯑꯣꯏꯅꯥ NSAIDꯁꯤꯡ (ꯅꯟ-ꯁ꯭ꯇꯦꯔꯣꯏꯗ ꯑꯦꯟꯇꯤ-ꯏꯅꯐ꯭ꯂꯦꯃꯦꯇꯔꯤ ꯗ꯭ꯔꯒꯁꯤꯡ) ꯑꯁꯤ ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯁꯤꯖꯤꯟꯅꯔꯕꯗꯤ ꯀꯤꯗꯅꯤꯗꯥ ꯑꯀꯥꯌꯕꯥ ꯄꯤꯕꯥ ꯌꯥꯏ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯗꯣꯛꯇꯔꯒꯥ ꯇꯥꯟꯅꯗꯅꯥ ꯃꯁꯥ ꯃꯊꯟꯇꯥ ꯄꯦꯅꯀꯤꯂꯔꯁꯤꯡ ꯂꯧꯔꯣꯏꯗꯕꯅꯤ꯫
- ꯑꯇꯣꯞꯄꯥ ꯃꯦꯗꯤꯀꯦꯜ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯍꯥꯏ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ, ꯗꯥꯏꯑꯦꯕꯦꯇꯤꯖ, ꯍꯥꯔꯠ ꯗꯤꯖꯤꯖ, ꯑꯃꯁꯨꯡ ꯑꯣꯕꯦꯁꯤꯇꯤꯒꯨꯝꯕꯥ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ ꯂꯩꯔꯕꯗꯤ ꯀꯤꯗꯅꯤꯒꯤ ꯂꯥꯌꯅꯥ ꯂꯥꯀꯄꯒꯤ ꯔꯤꯁ꯭ꯛ ꯑꯁꯤ ꯍꯦꯟꯅꯥ ꯋꯥꯡꯏ꯫
- ꯃꯩꯈꯨ ꯊꯥꯗꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯏꯃꯨꯡ-ꯃꯅꯨꯡꯒꯤ ꯍꯤꯁ꯭ꯇꯔꯤ: ꯃꯩꯈꯨ ꯊꯥꯗꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯏꯃꯨꯡ-ꯃꯅꯨꯡꯗꯥ ꯀꯤꯗꯅꯤꯒꯤ ꯂꯥꯌꯅꯥꯒꯤ ꯍꯤꯁ꯭ꯇꯔꯤ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯗꯥ ꯍꯦꯟꯅꯥ ꯔꯤꯁ꯭ꯛ ꯂꯩ꯫
ꯃꯇꯧ ꯀꯔꯝꯅꯥ ꯂꯥꯏꯌꯦꯡꯒꯗꯒꯦ ꯑꯃꯁꯨꯡ ꯃꯦꯅꯦꯖ ꯇꯧꯒꯗꯒꯦ?
ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯥ ꯋꯥꯐꯃꯗꯤ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ ꯑꯁꯤ ꯃꯦꯅꯦꯖ ꯇꯧꯕꯥ ꯉꯝꯕꯅꯤ꯫ ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯑꯣꯄꯁꯅꯁꯤꯡ ꯑꯁꯤ ꯅꯍꯥꯛꯅꯥ ꯂꯩꯔꯤꯕꯥ ꯀꯤꯗꯅꯤꯒꯤ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯃꯈꯜ ꯑꯗꯨꯒꯤ ꯃꯈꯥ ꯄꯣꯜꯂꯤ꯫
ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯋꯥꯐꯃꯗꯤ ꯅꯍꯥꯛꯀꯤ ꯑꯦ.ꯑꯦꯁ. ꯅꯍꯥꯛꯅꯥ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯁꯟ ꯍꯦꯟꯅꯥ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯀꯤꯗꯅꯤꯁꯤꯡꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯤ ꯂꯥꯏꯌꯦꯡ, ꯍꯥꯌꯕꯗꯤ ꯕꯥꯏꯑꯣꯂꯣꯖꯤꯀꯦꯜ ꯑꯦꯖꯦꯟꯇꯁꯤꯡ (ꯇꯤ.ꯑꯦꯟ.ꯑꯦꯐ. ꯕ꯭ꯂꯣꯀꯔꯁꯤꯡꯒꯨꯝꯕꯥ) ꯑꯗꯨ ꯆꯞ ꯆꯥꯅꯥ ꯇꯨꯡ ꯏꯟꯕꯥ ꯍꯥꯌꯕꯅꯤ꯫
ꯃꯁꯤꯒꯤ ꯃꯊꯛꯇ,
- ꯅꯍꯥꯛꯅꯥ ꯂꯧꯔꯤꯕꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯇꯥꯟꯅꯧ (ꯄꯦꯏꯅꯀꯤꯂꯔꯁꯤꯡ ꯌꯥꯎꯅꯥ) ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯀꯤꯗꯅꯤꯁꯤꯡꯗꯥ ꯑꯀꯥꯌꯕꯥ ꯄꯤꯗꯕꯥ ꯑꯂꯇꯔꯅꯦꯇꯤꯚꯁꯤꯡꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯈꯟꯅꯧ꯫
- ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ ꯑꯃꯁꯨꯡ ꯗꯥꯏꯑꯦꯕꯦꯇꯤꯖꯒꯨꯝꯕꯥ ꯑꯇꯩ ꯃꯦꯗꯤꯀꯦꯜ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯗꯨꯅꯥ ꯊꯝꯃꯨ꯫
- ꯏꯁꯤꯡ ꯃꯔꯥꯡ ꯀꯥꯌꯅꯥ ꯊꯀꯎ꯫
- ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯤ ꯄꯥꯎꯇꯥꯛ ꯏꯅꯒꯗꯕꯅꯤ ꯑꯃꯁꯨꯡ ꯁꯣꯜꯇ ꯑꯃꯁꯨꯡ ꯄ꯭ꯔꯣꯇꯤꯟ ꯌꯥꯝꯅꯥ ꯌꯥꯎꯕꯥ ꯗꯥꯏꯠ ꯑꯃꯥ ꯏꯅꯒꯗꯕꯅꯤ꯫
- ꯗꯣꯛꯇꯔꯒꯥ ꯇꯥꯟꯅꯗꯅꯥ ꯚꯤꯇꯥꯃꯤꯟ ꯅꯠꯠꯔꯒꯥ ꯁꯞꯂꯤꯃꯦꯟꯇ ꯑꯃꯠꯇꯥ ꯂꯧꯔꯣꯏꯗꯕꯅꯤ꯫
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯀ꯭ꯔꯣꯅꯤꯛ ꯀꯤꯗꯅꯤ ꯗꯤꯖꯤꯖ (CKD) ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯑꯣꯏꯔꯕꯗꯤ, ꯃꯁꯤꯅꯥ ꯗꯥꯏꯑꯦꯂꯥꯏꯁꯤꯁ ꯅꯠꯠꯔꯒꯥ ꯀꯤꯗꯅꯤ ꯇ꯭ꯔꯥꯟꯁꯞꯂꯥꯟꯇ ꯇꯧꯕꯥ ꯌꯥꯏ, ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯃꯁꯤ ꯇꯣꯏꯅꯥ ꯌꯦꯡꯁꯤꯅꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯩ꯫
ꯇꯦꯛ-ꯍꯣꯝ ꯃꯦꯁꯦꯖ ꯇꯧꯕꯥ꯫
- ꯑꯦꯟꯀꯤꯂꯣꯁꯤꯡ ꯁ꯭ꯄꯣꯟꯗꯤꯂꯥꯏꯇꯤꯁ (AS) ꯍꯥꯌꯕꯁꯤ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗꯇꯥ ꯁꯣꯀꯍꯜꯂꯤꯕꯥ ꯂꯥꯌꯅꯥ ꯑꯃꯈꯛꯇꯃꯛ ꯅꯠꯇꯦ꯫ ꯃꯁꯤꯅꯥ ꯀꯤꯗꯅꯤ ꯌꯥꯑꯣꯅꯥ ꯍꯀꯆꯥꯡꯒꯤ ꯑꯇꯩ ꯑꯣꯔꯒꯥꯅꯁꯤꯡꯗꯁꯨ ꯁꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ AS ꯂꯩꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯁꯣꯛ-ꯄꯅꯕꯥ, ꯅꯍꯥꯛꯀꯤ ꯌꯨꯔꯤꯅꯗꯥ ꯑꯍꯣꯡꯕꯥ ꯂꯥꯀꯄꯥ, ꯑꯃꯁꯨꯡ ꯌꯥꯝꯅꯥ ꯋꯥꯅꯥ ꯋꯥꯈꯜ ꯇꯥꯕꯥ ꯑꯁꯤꯅꯆꯤꯡꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯃꯇꯝ ꯄꯨꯝꯅꯃꯛꯇꯥ ꯈꯪꯖꯤꯅꯒꯗꯕꯅꯤ꯫
- ꯄꯦꯅꯀꯤꯂꯔꯁꯤꯡ (ꯃꯔꯨꯑꯣꯏꯅꯥ NSAIDꯁꯤꯡ) ꯑꯁꯤ ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯄꯥꯎꯇꯥꯛ ꯌꯥꯎꯗꯅꯥ ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯁꯤꯖꯤꯟꯅꯒꯅꯨ꯫
- ꯅꯍꯥꯛꯀꯤ AS ꯑꯃꯁꯨꯡ ꯃꯔꯤ ꯂꯩꯅꯕꯥ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯁꯟ ꯑꯗꯨ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯗꯨꯅꯥ ꯊꯝꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯀꯤꯗꯅꯤꯁꯤꯡꯕꯨ ꯉꯥꯀꯊꯣꯛꯅꯕꯒꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯥ ꯄꯥꯝꯕꯩꯅꯤ꯫
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯆꯤꯡꯅꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯂꯥꯏꯑꯣꯡ ꯑꯃꯠꯇꯥ ꯂꯩꯠꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯕꯗꯥ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯂꯩꯔꯣꯏꯗꯕꯅꯤ ꯑꯃꯁꯨꯡ ꯃꯊꯧ ꯇꯥꯕꯥ ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯄꯥꯡꯊꯣꯛꯀꯗꯕꯅꯤ꯫
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