ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯂꯩꯔꯤꯕꯥ ꯄꯣꯠꯂꯝ ꯀꯌꯥ, ꯍꯥꯌꯕꯗꯤ ꯅꯍꯥꯛꯀꯤ ꯆꯥꯎꯈꯠꯄꯥ, ꯑꯔꯨꯝꯕꯥ, ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯑꯃꯁꯨꯡ ꯑꯉꯥꯡ ꯄꯣꯀꯄꯥ ꯉꯝꯕꯒꯤ ꯃꯑꯣꯡ ꯑꯁꯤ ꯀꯅꯥꯅꯥ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯔꯤꯕꯅꯣ ꯍꯥꯌꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯈꯜꯂꯨꯕꯥ ꯂꯩꯕ꯭ꯔꯥ? ꯃꯁꯤ ꯄꯨꯝꯅꯃꯛ ꯑꯁꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯑꯄꯤꯀꯄꯥ ꯑꯗꯨꯕꯨ ꯌꯥꯝꯅꯥ ꯄꯥꯉ꯭ꯒꯜ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯥ ꯂꯩꯔꯤ꯫ ꯍꯥꯌꯕꯗꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯕ꯭ꯔꯦꯅꯒꯤ ꯃꯈꯥ ꯊꯪꯕꯥ ꯁꯔꯨꯛꯇꯥ ꯂꯩꯕꯥ ꯑꯦꯟꯇꯤꯔꯤꯑꯣꯔ ꯄꯤꯇꯨꯏꯇꯔꯤ ꯀꯧꯕꯥ ꯒ꯭ꯜꯌꯥꯟꯗ ꯑꯗꯨꯅꯤ꯫ ꯉꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯃꯁꯤꯒꯤ ꯑꯄꯤꯀꯄꯥ ꯕꯣꯁ ꯑꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯒꯅꯤ꯫
ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯑꯦꯟꯇꯤꯔꯤꯑꯣꯔ ꯄꯤꯇꯨꯏꯇꯔꯤ ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ?
ꯑꯦꯟꯇꯤꯔꯤꯑꯣꯔ ꯄꯤꯇꯨꯏꯇꯔꯤ ꯍꯥꯌꯕꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯄꯤꯇꯨꯏꯇꯔꯤ ꯒ꯭ꯜꯌꯥꯟꯗꯒꯤ ꯃꯃꯥꯡꯒꯤ ꯁꯔꯨꯛ ꯑꯗꯨꯕꯨ ꯈꯪꯅꯩ꯫ ꯃꯁꯤ ꯃꯦꯗꯤꯀꯦꯜ ꯁꯥꯏꯟꯁꯇꯥ ``ꯑꯦꯗꯦꯅꯣꯍꯥꯏꯄꯣꯐꯤꯁꯤꯁ`` ꯍꯥꯌꯅꯥꯁꯨ ꯀꯧꯏ꯫ ꯃꯁꯤꯒꯤ ꯄꯤꯇꯨꯏꯇꯔꯤ ꯒ꯭ꯜꯌꯥꯟꯗ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯄꯤꯀꯄꯥ, ꯃꯅꯥ-ꯃꯁꯤꯡꯒꯨꯝꯅꯥ꯫ ꯑꯗꯨꯕꯨ ꯃꯁꯤꯒꯤ ꯊꯕꯛ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯆꯥꯎꯏ꯫ ꯃꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯕ꯭ꯔꯦꯅꯒꯤ ꯃꯈꯥ ꯊꯪꯕꯥ ꯁꯔꯨꯛꯇꯥ, ``ꯍꯥꯏꯄꯣꯊꯦꯂꯥꯃꯁ``ꯒꯤ ꯃꯈꯥꯗꯥ ꯂꯩ꯫
ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡ ꯑꯁꯤ ꯑꯆꯧꯕꯥ ꯑꯣꯔꯀꯦꯁ꯭ꯠꯔꯥ ꯑꯃꯒꯨꯝꯅꯥ ꯂꯩ ꯍꯥꯌꯅꯥ ꯈꯅꯕꯤꯌꯨ꯫ ꯑꯗꯨꯗꯒꯤ ꯃꯁꯤꯒꯤ ꯑꯦꯟꯇꯤꯔꯤꯑꯣꯔ ꯄꯤꯇꯨꯏꯇꯔꯤ ꯒ꯭ꯜꯌꯥꯟꯗ ꯑꯁꯤꯅꯥ ꯑꯣꯔꯀꯦꯁ꯭ꯠꯔꯥ ꯑꯗꯨꯒꯤ ꯀꯟꯗꯥꯛꯇꯔꯅꯤ꯫ ꯃꯁꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯑꯇꯣꯞꯄꯥ ꯒ꯭ꯜꯌꯥꯟꯗ ꯀꯌꯥꯗꯥ ꯊꯕꯛ ꯁꯤꯟꯅꯔꯤꯕꯥ ꯑꯃꯁꯨꯡ ꯃꯈꯣꯌꯅꯥ ꯃꯗꯨ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯇꯧꯕꯥ ꯉꯝꯅꯕꯥ ꯌꯦꯡꯁꯤꯜꯂꯤꯕꯥ ꯑꯗꯨꯅꯤ꯫ ꯑꯇꯣꯞꯄꯥ ꯋꯥꯍꯟꯊꯣꯛ ꯑꯃꯗꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯃꯁꯤꯅꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯍꯣꯔꯃꯣꯟ ꯁꯤꯁ꯭ꯇꯦꯃꯒꯤ ꯕꯦꯂꯦꯟꯁ ꯊꯝꯅꯕꯒꯤ ꯑꯆꯧꯕꯥ ꯊꯕꯛ ꯑꯃꯥ ꯇꯧꯏ꯫
ꯄꯤꯇꯨꯏꯇꯔꯤ ꯒ꯭ꯜꯌꯥꯟꯗ ꯑꯁꯤꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯁꯔꯨꯛ ꯑꯅꯤ ꯂꯩ:
1. ꯑꯦꯟꯇꯤꯔꯤꯑꯣꯔ ꯂꯣꯕ: ꯃꯁꯤ ꯉꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯋꯥꯔꯤ ꯁꯥꯔꯤꯕꯥ ꯑꯦꯟꯇꯤꯔꯤꯑꯣꯔ ꯄꯤꯇꯨꯏꯇꯔꯤꯅꯤ꯫
2. ꯄꯣꯁ꯭ꯇꯦꯔꯤꯌꯥꯜ ꯂꯣꯕ: ꯃꯁꯤꯅꯥ ꯑꯇꯣꯞꯄꯥ ꯊꯕꯛ ꯈꯔꯥ ꯄꯥꯡꯊꯣꯀꯏ꯫
ꯑꯦꯟꯇꯤꯔꯤꯑꯣꯔ ꯄꯤꯇꯨꯏꯇꯔꯤꯅꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯇꯉꯥꯏꯐꯗꯕꯥ ꯑꯆꯧꯕꯥ ꯍꯣꯔꯃꯣꯟ ꯶ (6) ꯄꯨꯊꯣꯀꯏ ꯑꯃꯁꯨꯡ ꯏꯗꯥ ꯊꯥꯗꯣꯀꯏ꯫ ꯍꯣꯔꯃꯣꯅꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯂꯩꯔꯤꯕꯥ ꯄꯣꯠꯂꯝ ꯀꯌꯥ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯏ꯫
- ꯁꯥꯍꯧ ꯂꯩꯕ
- ꯃꯦꯇꯥꯕꯣꯂꯤꯖꯝ (ꯃꯦꯇꯥꯕꯣꯂꯤꯖꯝ)꯫
- ꯔꯤꯞꯔꯗꯛꯁꯟ ꯇꯧꯕꯥ꯫
- ꯁ꯭ꯠꯔꯦꯁ ꯔꯦꯁꯄꯣꯟꯁ ꯇꯧꯕꯥ꯫
- ꯈꯣꯝꯂꯥꯡꯒꯤ ꯁꯉ꯭ꯒꯣꯝ ꯄꯨꯊꯣꯀꯄꯥ (Lectation) .
ꯑꯦꯟꯇꯤꯔꯤꯑꯣꯔ ꯄꯤꯇꯨꯏꯇꯔꯤ ꯒ꯭ꯜꯌꯥꯟꯗꯅꯥ ꯀꯔꯤ ꯍꯣꯔꯃꯣꯅꯁꯤꯡ ꯄꯨꯊꯣꯀꯄꯒꯦ?
ꯑꯣꯀꯦ, ꯍꯧꯖꯤꯛ ꯃꯁꯤꯒꯤ ꯑꯄꯤꯀꯄꯥ ꯕꯣꯁ ꯑꯁꯤꯅꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯊꯥꯗꯣꯀꯄꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯍꯣꯔꯃꯣꯟ ꯶ ꯑꯗꯨ ꯌꯦꯡꯁꯤ, ꯑꯃꯁꯨꯡ ꯃꯈꯣꯌꯗꯥ ꯀꯔꯤ ꯊꯣꯀꯄꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯁꯤ꯫ ꯃꯁꯤ ꯅꯤꯡꯁꯤꯡꯕꯗꯥ ꯂꯥꯏꯍꯟꯅꯕꯥ ꯇꯦꯕꯜ ꯑꯃꯥ ꯌꯦꯡꯁꯤ꯫
| ꯍꯣꯔꯃꯣꯟ꯫ | ꯁꯨꯞꯅꯇꯒꯤ ꯀꯔꯤ ꯇꯧꯒꯗꯒꯦ꯫ |
|---|---|
| ꯑꯦꯗ꯭ꯔꯤꯅꯣꯀꯣꯔꯇꯤꯀꯣꯠꯔꯣꯄꯤꯛ ꯍꯣꯔꯃꯣꯟ (ꯑꯦ.ꯁꯤ.ꯇꯤ.ꯑꯩꯆ.) | ꯃꯁꯤꯅꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯀꯤꯗꯅꯤꯒꯤ ꯃꯊꯛꯇꯥ ꯂꯩꯕꯥ ꯑꯦꯗ꯭ꯔꯤꯅꯜ ꯒ꯭ꯜꯌꯥꯟꯗꯁꯤꯡꯕꯨ ꯍꯣꯔꯃꯣꯟ ꯀꯣꯔꯇꯤꯁꯣꯜ ꯄꯨꯊꯣꯛꯅꯕꯥ ꯊꯧꯅꯥ ꯍꯥꯞꯄꯤ, ꯃꯗꯨꯅꯥ ꯑꯩꯈꯣꯌꯗꯥ ꯁ꯭ꯠꯔꯦꯁ ꯊꯦꯡꯅꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫ |
| ꯐꯣꯂꯤꯀꯜ-ꯁ꯭ꯇꯤꯝꯌꯨꯂꯦꯇꯤꯡ ꯍꯣꯔꯃꯣꯟ (ꯑꯦꯐ.ꯑꯦꯁ.ꯑꯩꯆ.) | ꯃꯁꯤꯅꯥ ꯅꯨꯄꯤꯁꯤꯡꯗꯥ ꯑꯣꯚꯔꯑꯣꯜ ꯁ꯭ꯇꯤꯝꯌꯨꯜ ꯇꯧꯗꯨꯅꯥ ꯃꯈꯣꯌꯕꯨ ꯄꯤꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯍꯣꯔꯃꯣꯟ ꯏꯁ꯭ꯠꯔꯣꯖꯦꯟ ꯄꯨꯊꯣꯀꯄꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ . ꯃꯁꯤꯅꯥ ꯅꯨꯄꯥꯁꯤꯡꯗꯥ ꯇꯦꯁ꯭ꯇꯤꯀꯂꯁꯤꯡꯕꯨ ꯁ꯭ꯇꯤꯝꯌꯨꯜ ꯇꯧꯗꯨꯅꯥ ꯃꯈꯣꯌꯅꯥ ꯁ꯭ꯄꯥꯔꯝ ꯄꯨꯊꯣꯀꯄꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫ |
| ꯂꯨꯇꯤꯅꯥꯏꯖꯤꯡ ꯍꯣꯔꯃꯣꯟ (ꯑꯦꯜ.ꯑꯩꯆ.) | ꯃꯁꯤꯅꯥ ꯅꯨꯄꯤꯁꯤꯡꯒꯤ ꯑꯣꯚꯔꯋꯦꯠ ꯍꯣꯔꯃꯣꯟ ꯄ꯭ꯔꯣꯖꯦꯁ꯭ꯇꯦꯔꯣꯟ ꯄꯨꯊꯣꯀꯄꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ . ꯃꯁꯤꯅꯥ ꯅꯨꯄꯥꯁꯤꯡꯗꯥ ꯍꯣꯔꯃꯣꯟ ꯇꯦꯁ꯭ꯇꯣꯁ꯭ꯇꯦꯔꯣꯟ ꯄꯨꯊꯣꯀꯄꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ . |
| ꯍ꯭ꯌꯨꯃꯦꯟ ꯒ꯭ꯔꯣꯊ ꯍꯣꯔꯃꯣꯟ (ꯑꯩꯆ.ꯖꯤ.ꯑꯩꯆ.) | ꯑꯉꯥꯡꯁꯤꯡꯒꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯆꯥꯎꯈꯠꯄꯒꯤꯗꯃꯛ ꯇꯉꯥꯏꯐꯗꯕꯥ꯫ ꯑꯍꯂꯁꯤꯡꯗꯥ ꯍꯀꯆꯥꯡ ꯐꯅꯥ ꯂꯩꯕꯥ ꯃꯁꯜ ꯑꯃꯁꯨꯡ ꯁꯔꯨꯁꯤꯡ ꯊꯝꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ ꯑꯃꯁꯨꯡ ꯍꯀꯆꯥꯡꯒꯤ ꯐꯦꯠ ꯌꯦꯟꯊꯣꯀꯄꯒꯤ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯏ꯫ |
| ꯄ꯭ꯔꯣꯂꯥꯛꯇꯤꯟ꯫ | ꯃꯁꯤꯅꯥ ꯑꯉꯥꯡ ꯄꯣꯛꯂꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯈꯣꯝꯂꯥꯡꯒꯤ ꯁꯉ꯭ꯒꯣꯝ ꯄꯨꯊꯣꯀꯄꯗꯥ ꯄꯨꯛꯅꯤꯡ ꯊꯧꯒꯠꯂꯤ꯫ ꯃꯁꯤꯅꯥ ꯊꯥꯒꯤ ꯈꯣꯡꯀꯥꯞ, ꯃꯤꯔꯣꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯁꯦꯛꯁꯨꯑꯦꯜ ꯐꯉ꯭ꯀꯁꯅꯗꯁꯨ ꯁꯣꯀꯍꯜꯂꯤ꯫ |
| ꯊꯥꯏꯔꯣꯏꯗ-ꯁ꯭ꯇꯤꯝꯌꯨꯂꯦꯇꯤꯡ ꯍꯣꯔꯃꯣꯟ (TSH) | ꯃꯁꯤꯅꯥ ꯅꯥꯀꯣꯡꯗꯥ ꯂꯩꯕꯥ ꯊꯥꯌꯔꯣꯏꯗ ꯒ꯭ꯜꯌꯥꯟꯗ ꯑꯗꯨ ꯁ꯭ꯇꯤꯝꯌꯨꯜ ꯇꯧꯏ, ꯃꯗꯨꯅꯥ ꯊꯥꯌꯔꯣꯏꯗ ꯍꯣꯔꯃꯣꯅꯁꯤꯡ ꯄꯨꯊꯣꯀꯍꯜꯂꯤ꯫ ꯍꯥꯌꯔꯤꯕꯥ ꯍꯣꯔꯃꯣꯅꯁꯤꯡ ꯑꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯃꯦꯇꯥꯕꯣꯂꯤꯛ ꯔꯦꯠ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯗꯥ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫ |
ꯑꯦꯟꯇꯤꯔꯤꯑꯣꯔ ꯄꯤꯇꯨꯏꯇꯔꯤ ꯒ꯭ꯜꯌꯥꯟꯗꯀꯥ ꯃꯔꯤ ꯂꯩꯅꯕꯥ ꯂꯥꯌꯅꯥꯁꯤꯡ ꯀꯔꯤꯅꯣ?
ꯒ꯭ꯜꯌꯥꯟꯗ ꯑꯁꯤꯅꯥ ꯍꯣꯔꯃꯣꯟ ꯀꯌꯥ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ, ꯃꯁꯤꯒꯥ ꯃꯔꯤ ꯂꯩꯅꯕꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯅꯦꯝꯕꯥ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯑꯃꯅꯥ ꯐꯥꯎꯕꯗꯤ ꯍꯀꯁꯦꯂꯒꯤ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯀꯌꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯍꯥꯌꯔꯤꯕꯥ ꯁꯃꯁ꯭ꯌꯥꯁꯤꯡ ꯑꯁꯤ ꯃꯍꯧꯁꯥꯅꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯈꯜ ꯑꯅꯤꯗꯥ ꯈꯥꯌꯗꯣꯀꯄꯥ ꯌꯥꯏ꯫
1. ꯍꯥꯏꯄꯣꯄꯤꯇꯨꯏꯇꯥꯔꯤꯖꯝ: ꯃꯁꯤꯅꯥ ꯇꯥꯀꯄꯗꯤ ꯄꯤꯇꯨꯏꯇꯔꯤ ꯒ꯭ꯜꯌꯥꯟꯗ ꯑꯁꯤ ꯑꯟꯗꯔꯑꯦꯛꯇꯤꯚ ꯑꯣꯏ, ꯍꯥꯌꯕꯗꯤ ꯃꯊꯧ ꯇꯥꯕꯥ ꯍꯣꯔꯃꯣꯅꯁꯤꯡ ꯃꯇꯤꯛ ꯆꯥꯅꯥ ꯄꯨꯊꯣꯀꯄꯥ ꯉꯃꯗꯦ꯫
2. ꯍꯥꯏꯄꯔꯄꯤꯇꯨꯏꯇꯥꯔꯤꯖꯝ: ꯃꯁꯤꯅꯥ ꯇꯥꯀꯄꯗꯤ ꯄꯤꯇꯨꯏꯇꯔꯤ ꯒ꯭ꯜꯌꯥꯟꯗ ꯑꯁꯤ ꯑꯣꯚꯔꯑꯦꯛꯇꯤꯚ ꯑꯣꯏ, ꯃꯊꯧ ꯇꯥꯕꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯍꯣꯔꯃꯣꯟ ꯄꯨꯊꯣꯀꯏ꯫
ꯐꯤꯚꯃꯁꯤꯡ ꯑꯁꯤ ꯊꯣꯀꯄꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯔꯝ ꯀꯌꯥ ꯂꯩ:
- ꯄꯤꯇꯨꯏꯇꯔꯤ ꯒ꯭ꯜꯌꯥꯟꯗꯇꯥ ꯊꯣꯀꯄꯥ ꯇꯤꯎꯃꯔꯁꯤꯡ - ꯃꯁꯤꯕꯨ ``ꯄꯤꯇꯨꯏꯇꯔꯤ ꯑꯦꯗꯦꯅꯣꯃꯥ`` ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫
- ꯑꯁꯣꯛ-ꯑꯄꯟ, ꯏꯅꯐꯦꯛꯁꯟ ꯅꯠꯠꯔꯒꯥ ꯏ ꯊꯣꯀꯄꯥ (`(pituitary apoplexy)`)ꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯑꯦꯟꯇꯤꯔꯤꯑꯣꯔ ꯄꯤꯇꯨꯏꯇꯔꯤ, ꯍꯥꯏꯄꯣꯊꯦꯂꯥꯃꯁ, ꯅꯠꯠꯔꯒꯥ ꯃꯈꯣꯌꯕꯨ ꯁꯝꯅꯍꯜꯂꯤꯕꯥ ꯗꯛꯇꯁꯤꯡꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯄꯥ꯫
- ꯖꯦꯅꯦꯇꯤꯛ ꯀꯟꯗꯤꯁꯟ ꯈꯔꯗꯤ, ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ `ꯃꯜꯇꯤꯄꯜ ꯑꯦꯟꯗꯣꯛꯔꯥꯏꯟ ꯅꯤꯑꯣꯞꯂꯥꯁꯤꯌꯥ (MEN)`꯫
ꯍꯣꯔꯃꯣꯅꯒꯤ ꯆꯥꯡ ꯅꯦꯝꯕꯥ (Hypopituitarism)ꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯂꯥꯌꯅꯥꯁꯤꯡ (Hypopituitarism)
ꯍꯥꯌꯔꯤꯕꯥ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ ꯑꯁꯤ ꯄꯤꯇꯨꯏꯇꯔꯤ ꯒ꯭ꯜꯌꯥꯟꯗꯅꯥ ꯄꯨꯊꯣꯀꯄꯥ ꯍꯣꯔꯃꯣꯟ ꯑꯃꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯃꯗꯒꯤ ꯍꯦꯅꯕꯥ ꯍꯟꯊꯔꯀꯄꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫
| ꯃꯦꯗꯤꯀꯦꯜ ꯀꯟꯗꯤꯁꯟ ꯂꯩꯕꯥ꯫ | ꯏꯆꯝ ꯆꯝꯕꯥ ꯃꯌꯦꯛ ꯁꯦꯡꯅꯥ ꯇꯥꯀꯄꯥ꯫ |
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| ꯁꯦꯀꯦꯟꯗꯔꯤ ꯑꯦꯗ꯭ꯔꯤꯅꯜ ꯏꯅꯁꯨꯐꯤꯁꯤꯑꯦꯟꯁꯤ ꯂꯩꯕꯥ꯫ | ACTH ꯍꯣꯔꯃꯣꯟ ꯄꯨꯊꯣꯀꯄꯥ ꯍꯟꯊꯔꯀꯄꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯑꯦꯗ꯭ꯔꯤꯅꯜ ꯒ꯭ꯜꯌꯥꯟꯗꯁꯤꯡꯒꯤ ꯐꯉ꯭ꯀꯁꯟ ꯍꯟꯊꯔꯀꯏ꯫ |
| ꯒ꯭ꯔꯣꯊ ꯍꯣꯔꯃꯣꯟ ꯋꯥꯠꯄꯥ (GHD) . | ꯒ꯭ꯔꯣꯊ ꯍꯣꯔꯃꯣꯟ (HGH) ꯑꯁꯤ ꯃꯇꯤꯛ ꯆꯥꯅꯥ ꯄꯨꯊꯣꯀꯄꯥ ꯉꯃꯗꯦ꯫ ꯃꯁꯤꯅꯥ ꯑꯉꯥꯡꯁꯤꯡꯅꯥ ꯌꯥꯝꯅꯥ ꯋꯥꯅꯥ ꯆꯥꯎꯔꯀꯄꯒꯤ ꯃꯔꯃꯁꯤꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯅꯤ꯫ |
| ꯁꯦꯟꯠꯔꯦꯜ ꯍꯥꯏꯄꯣꯒꯣꯅꯥꯗꯤꯖꯝ꯫ | FSH ꯑꯃꯁꯨꯡ LH ꯍꯣꯔꯃꯣꯅꯁꯤꯡ ꯍꯟꯊꯔꯀꯄꯅꯥ ꯑꯣꯚꯔꯑꯣꯜ ꯅꯠꯠꯔꯒꯥ ꯇꯦꯁ꯭ꯇꯤꯀꯂꯁꯤꯡꯗꯒꯤ ꯁꯦꯛꯁ ꯍꯣꯔꯃꯣꯅꯁꯤꯡ ꯄꯨꯊꯣꯀꯄꯥ ꯍꯟꯊꯍꯜꯂꯤ꯫ |
| ꯁꯦꯟꯠꯔꯦꯜ ꯍꯥꯏꯄꯣꯊꯥꯏꯔꯣꯏꯗꯤꯖꯝ꯫ | TSH ꯍꯣꯔꯃꯣꯟ ꯍꯟꯊꯔꯀꯄꯅꯥ ꯊꯥꯌꯔꯣꯏꯗꯀꯤ ꯐꯉ꯭ꯀꯁꯟ ꯍꯟꯊꯍꯜꯂꯤ꯫ |
ꯍꯣꯔꯃꯣꯅꯒꯤ ꯆꯥꯡ ꯍꯦꯅꯒꯠꯂꯀꯄꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯂꯥꯌꯅꯥꯁꯤꯡ (Hyperpituitarism)
ꯍꯥꯌꯔꯤꯕꯥ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ ꯑꯁꯤ ꯄꯤꯇꯨꯏꯇꯔꯤ ꯍꯣꯔꯃꯣꯟ ꯑꯃꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯃꯗꯒꯤ ꯍꯦꯅꯕꯥ ꯍꯦꯟꯅꯥ ꯄꯨꯊꯣꯀꯄꯅꯥ ꯊꯣꯀꯍꯅꯕꯅꯤ꯫
| ꯃꯦꯗꯤꯀꯦꯜ ꯀꯟꯗꯤꯁꯟ ꯂꯩꯕꯥ꯫ | ꯏꯆꯝ ꯆꯝꯕꯥ ꯃꯌꯦꯛ ꯁꯦꯡꯅꯥ ꯇꯥꯀꯄꯥ꯫ |
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| ꯑꯦꯛꯔꯣꯃꯦꯒꯥꯂꯤ ꯂꯩꯕꯥ꯫ | ꯑꯦꯗꯜꯇ ꯒ꯭ꯔꯣꯊ ꯍꯣꯔꯃꯣꯟ (HGH) ꯍꯦꯟꯅꯥ ꯄꯨꯊꯣꯀꯄꯥ, ꯃꯗꯨꯅꯥ ꯁꯔꯨ ꯑꯃꯁꯨꯡ ꯇꯤꯁꯨꯁꯤꯡꯗꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯍꯅꯕꯥ (ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯃꯈꯨꯠ, ꯈꯣꯡ ꯑꯃꯁꯨꯡ ꯃꯥꯌꯗꯥ ꯍꯦꯟꯅꯥ ꯆꯥꯎꯈꯠꯄꯥ) ꯊꯣꯀꯍꯜꯂꯤ꯫ |
| ꯖꯤꯒꯅꯇꯤꯖꯝ꯫ | ꯑꯉꯥꯡ ꯑꯣꯏꯔꯤꯉꯩ ꯅꯠꯠꯔꯒꯥ ꯏꯅꯈꯠꯂꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯒ꯭ꯔꯣꯊ ꯍꯣꯔꯃꯣꯟ ꯌꯥꯝꯅꯥ ꯄꯨꯊꯣꯀꯄꯥ, ꯃꯗꯨꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯃꯍꯧꯁꯥꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯋꯥꯡꯈꯠꯄꯥ ꯐꯤꯚꯃꯗꯥ ꯊꯣꯀꯍꯜꯂꯤ꯫ |
| ꯀꯨꯁꯤꯡꯒꯤ ꯂꯥꯌꯅꯥ꯫ | ꯍꯣꯔꯃꯣꯟ ACTH ꯌꯥꯝꯅꯥ ꯄꯨꯊꯣꯀꯄꯅꯥ ꯍꯀꯆꯥꯡꯗꯥ ꯀꯣꯔꯇꯤꯁꯣꯂꯒꯤ ꯆꯥꯡ ꯌꯥꯝꯅꯥ ꯄꯨꯊꯣꯀꯏ꯫ ꯃꯁꯤ `ꯀꯨꯁꯤꯡ ꯁꯤꯟꯗꯣꯝ' ꯀꯧꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯃꯈꯜ ꯑꯃꯅꯤ꯫ |
| ꯍꯥꯏꯄꯔꯞꯔꯣꯂꯥꯛꯇꯤꯅꯦꯃꯤꯌꯥ꯫ | ꯍꯣꯔꯃꯣꯟ ꯄ꯭ꯔꯣꯂꯥꯛꯇꯤꯟ ꯑꯁꯤ ꯑꯍꯦꯅꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯄꯨꯊꯣꯀꯏ꯫ |
| ꯁꯦꯟꯠꯔꯦꯜ ꯍꯥꯏꯄꯔꯊꯥꯏꯔꯣꯏꯗꯤꯖꯝ꯫ | ꯊꯥꯌꯔꯣꯏꯗ ꯒ꯭ꯜꯌꯥꯟꯗ ꯑꯁꯤ ꯍꯣꯔꯃꯣꯟ TSH ꯌꯥꯝꯅꯥ ꯄꯨꯊꯣꯀꯄꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯑꯣꯚꯔꯑꯦꯛꯇꯤꯚ ꯑꯣꯏꯔꯀꯏ (ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯇꯣꯏꯅꯥ ꯊꯣꯀꯄꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ)꯫ |
ꯃꯔꯨꯑꯣꯏꯕꯥ ꯋꯥꯐꯃꯗꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯑꯌꯥꯝꯕꯗꯤ ꯑꯇꯩ ꯂꯥꯌꯅꯥꯁꯤꯡꯒꯥ ꯃꯥꯟꯅꯅꯥ ꯂꯩꯕꯥ ꯌꯥꯏ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯑꯃꯥ ꯂꯩꯔꯦ ꯍꯥꯌꯅꯥ ꯆꯤꯡꯅꯔꯕꯗꯤ ꯈꯨꯗꯛꯇꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯇꯥꯟꯅꯗꯨꯅꯥ ꯄꯥꯎꯇꯥꯛ ꯂꯧꯕꯤꯌꯨ꯫
ꯗꯣꯛꯇꯔ ꯑꯃꯅꯥ ꯒ꯭ꯜꯌꯥꯟꯗ ꯑꯁꯤꯒꯤ ꯍꯀꯁꯦꯜ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯌꯦꯡꯁꯤꯜꯂꯤꯕꯅꯣ?
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯄꯤꯇꯨꯏꯇꯔꯤ ꯒ꯭ꯜꯌꯥꯟꯗ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯑꯃꯒꯤ ꯂꯥꯏꯑꯣꯡ ꯂꯩꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯑꯍꯥꯅꯕꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯣꯔꯃꯣꯅꯒꯤ ꯆꯥꯡ ꯑꯗꯨ ꯌꯦꯡꯁꯤꯅꯒꯅꯤ꯫ ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯃꯍꯧꯁꯥꯅꯥ ꯏꯒꯤ ꯇꯦꯁ꯭ꯠ ꯇꯧꯗꯨꯅꯥ ꯇꯧꯕꯥ ꯌꯥꯏ .
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯇꯦꯁ꯭ꯠ ꯔꯤꯄꯣꯔꯇꯁꯤꯡ ꯑꯗꯨꯗꯥ ꯑꯁꯣꯏ-ꯑꯉꯥꯝ ꯌꯥꯑꯣꯗꯕꯥ ꯑꯃꯥ ꯂꯩꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯄꯤꯇꯨꯏꯇꯔꯤ ꯒ꯭ꯜꯌꯥꯟꯗ ꯑꯗꯨ ꯍꯦꯟꯅꯥ ꯅꯛꯅꯥ ꯌꯦꯡꯁꯤꯟꯅꯕꯥ ꯑꯦꯝ.ꯑꯥꯔ.ꯑꯥꯏ.
ꯑꯩꯒꯤ ꯑꯦꯟꯇꯤꯔꯤꯑꯣꯔ ꯄꯤꯇꯨꯏꯇꯔꯤ ꯒ꯭ꯜꯌꯥꯟꯗ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯍꯀꯆꯥꯡ ꯐꯅꯥ ꯊꯃꯒꯗꯒꯦ?
ꯇꯁꯦꯡꯕꯗꯤ, ꯒ꯭ꯜꯌꯥꯟꯗ ꯑꯁꯤꯒꯤ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯃꯁꯤꯡ ꯑꯁꯤ ꯃꯇꯝ ꯄꯨꯝꯅꯃꯛꯇꯥ ꯊꯤꯡꯕꯥ ꯉꯃꯗꯦ꯫ ꯑꯗꯨꯕꯨ ꯑꯩꯈꯣꯌꯅꯥ ꯇꯧꯕꯥ ꯌꯥꯕꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯊꯕꯛ ꯑꯃꯥ ꯂꯩꯔꯤ꯫ ꯑꯗꯨꯒꯥ ꯃꯗꯨ ꯑꯩꯈꯣꯌꯒꯤ ꯃꯀꯣꯛ ꯉꯥꯀꯄꯅꯤ꯫
ꯍꯦꯗ ꯏꯅꯖꯨꯔꯤ ꯑꯃꯁꯨꯡ ꯇ꯭ꯔꯣꯃꯥꯇꯤꯛ ꯕ꯭ꯔꯦꯟ ꯏꯅꯖꯨꯔꯤ (TBIs)ꯅꯥ ꯄꯤꯇꯨꯏꯇꯔꯤ ꯒ꯭ꯜꯌꯥꯟꯗꯇꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ, ꯃꯗꯨꯅꯥ ꯍꯣꯔꯃꯣꯟ ꯄꯨꯊꯣꯀꯄꯥ ꯍꯟꯊꯍꯅꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯍꯦꯅꯒꯠꯍꯅꯕꯥ ꯌꯥꯏ꯫
ꯑꯗꯨꯅꯥ, ꯅꯍꯥꯛꯀꯤ ꯃꯀꯣꯛ ꯑꯗꯨ ꯉꯥꯀꯊꯣꯛꯅꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯇꯧꯕꯥ ꯌꯥꯕꯥ ꯊꯕꯛ ꯈꯔꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤ:
- ꯒꯥꯔꯤ ꯑꯃꯗꯥ ꯂꯩꯕꯥ ꯃꯇꯝ ꯈꯨꯗꯤꯡꯗꯥ ꯁꯤꯠ ꯕꯦꯜꯇ ꯑꯃꯥ ꯁꯤꯖꯤꯟꯅꯧ꯫
- ꯁꯥꯐꯅꯥ ꯊꯧꯕꯥ꯫
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- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯄꯤꯀꯄꯥ ꯑꯉꯥꯡꯁꯤꯡ ꯂꯩꯔꯕꯗꯤ, ꯃꯈꯣꯌꯅꯥ ꯁꯥꯟꯅꯔꯤꯕꯥ ꯑꯃꯁꯨꯡ ꯂꯦꯡ-ꯑꯣꯠꯄꯒꯤ ꯃꯐꯃꯁꯤꯡ ꯑꯗꯨ ꯁꯣꯌꯗꯅꯥ ꯂꯩꯍꯅꯒꯗꯕꯅꯤ꯫
ꯑꯦꯟꯇꯤꯔꯤꯑꯣꯔ ꯄꯤꯇꯨꯏꯇꯔꯤ ꯑꯁꯤ ꯑꯄꯤꯀꯄꯥ ꯑꯗꯨꯕꯨ ꯁꯛꯇꯤ ꯂꯩꯕꯥ ꯒ꯭ꯜꯌꯥꯟꯗ ꯑꯃꯅꯤ ꯑꯃꯁꯨꯡ ꯃꯁꯤꯅꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯁꯦꯂꯒꯤ ꯃꯁꯛ ꯀꯌꯥꯗꯥ ꯁꯥꯐꯨ ꯄꯤꯔꯤ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯅꯧꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯂꯥꯏꯑꯣꯡ ꯑꯃꯠꯇꯥ ꯂꯩꯔꯕꯗꯤ, ꯃꯗꯨ ꯑꯇꯣꯞꯄꯥ ꯋꯥꯐꯝ ꯑꯃꯅꯤ ꯍꯥꯌꯅꯥ ꯂꯧꯕꯈꯛꯇꯗꯥ ꯅꯠꯇꯅꯥ ꯃꯇꯝ ꯄꯨꯝꯅꯃꯛꯇꯥ ꯗꯣꯛꯇꯔ ꯑꯃꯒꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯕꯤꯌꯨ꯫ ꯃꯈꯣꯌꯅꯥ ꯏꯆꯝ ꯆꯝꯕꯥ ꯇꯦꯁ꯭ꯠ ꯈꯔꯈꯛꯇꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯁꯦꯂꯒꯤ ꯑꯆꯨꯝꯕꯥ ꯋꯥꯐꯝ ꯑꯃꯥ ꯂꯧꯕꯥ ꯌꯥꯏ꯫
ꯇꯦꯛ-ꯍꯣꯝ ꯃꯦꯁꯦꯖ ꯇꯧꯕꯥ꯫
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