ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯑꯩꯈꯣꯌꯅꯥ ꯈꯜꯂꯤ, ‘ꯉꯁꯤ ꯑꯩꯅꯥ ꯏꯁꯤꯡ ꯃꯔꯥꯡ ꯀꯥꯌꯅꯥ ꯊꯀꯈꯤꯗꯦ, ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯑꯩꯅꯥ ꯌꯨꯔꯤꯟ ꯈꯔꯥ ꯈꯛꯇꯃꯛ ꯄꯥꯁ ꯇꯧꯈꯤ’꯫ ꯑꯗꯨꯕꯨ ꯑꯗꯣꯝꯅꯥ ꯏꯁꯤꯡ ꯀꯌꯥ ꯊꯀꯂꯕꯁꯨ ꯅꯨꯃꯤꯠ ꯑꯃꯥ ꯅꯠꯔꯒꯥ ꯄꯨꯡ ꯈꯔꯅꯤ ꯐꯥꯑꯣꯕꯥ ꯌꯨ ꯊꯀꯄꯥ ꯉꯃꯗꯅꯥ ꯂꯩꯔꯝꯕꯥ ꯌꯥꯏ? ꯅꯠꯔꯒꯥ ꯑꯗꯣꯝꯅꯥ ꯄꯥꯁ ꯇꯧꯈꯤꯕꯥ ꯁꯦꯅꯐꯝ ꯑꯗꯨ ꯑꯗꯣꯝꯅꯥ ꯈꯟꯊꯕꯥ ꯉꯃꯗꯕꯥ ꯑꯁꯨꯛ ꯌꯥꯝꯅꯥ ꯅꯦꯝꯂꯕꯔꯥ? ꯃꯁꯤ ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯕꯥ ꯋꯥꯐꯝ ꯅꯠꯇꯦ꯫ ꯉꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯑꯅꯨꯔꯤꯌꯥ ꯀꯧꯕꯥ ꯑꯀꯅꯕꯥ ꯃꯦꯗꯤꯀꯦꯜ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯔꯤ ꯫ ꯃꯁꯤ ꯏꯃꯔꯖꯦꯟꯁꯤ ꯑꯃꯅꯤ, ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯀꯔꯤ ꯇꯧꯒꯗꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯆꯨꯝꯅꯥ ꯈꯉꯕꯥ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫
ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯑꯅꯨꯔꯤꯌꯥ ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ?
ꯑꯦꯅꯨꯔꯤꯌꯥ ꯍꯥꯌꯕꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯀꯤꯗꯅꯤꯁꯤꯡꯅꯥ ꯌꯨꯔꯤꯟ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯄꯨꯊꯣꯀꯄꯥ ꯂꯦꯄꯈꯤꯕꯥ ꯃꯇꯃꯅꯤ꯫ ꯅꯠꯠꯔꯒꯥ, ꯅꯍꯥꯛꯀꯤ ꯌꯨꯔꯤꯅꯔꯤ ꯁꯤꯁ꯭ꯇꯦꯃꯒꯤ ꯃꯐꯝ ꯑꯃꯗꯥ ꯕ꯭ꯂꯣꯀꯦꯖ ꯑꯃꯥ ꯂꯩꯕꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯌꯨꯔꯤꯟ ꯄꯥꯁ ꯇꯧꯕꯥ ꯂꯦꯄꯈꯤ꯫ ꯃꯁꯤ ꯑꯣꯂꯤꯒꯨꯔꯤꯌꯥ ꯀꯧꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯒꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯁꯥꯊꯤꯕꯥ ꯃꯑꯣꯡꯅꯤ . ꯑꯣꯂꯤꯒꯨꯔꯤꯌꯥ ꯍꯥꯌꯕꯁꯤ ꯅꯍꯥꯛꯅꯥ ꯄꯨꯊꯣꯀꯄꯥ ꯌꯨꯔꯤꯅꯒꯤ ꯆꯥꯡ ꯑꯗꯨ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯍꯅꯕꯥ ꯃꯇꯃꯗꯥ ꯑꯣꯏ꯫
ꯑꯩꯈꯣꯌꯅꯥ ꯌꯨꯔꯤꯅꯒꯤ ꯆꯥꯡ ꯑꯁꯤꯅꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯁꯦꯂꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯌꯥꯝꯅꯥ ꯍꯥꯌꯔꯤ꯫ ꯍꯀꯁꯦꯜ ꯐꯕꯥ ꯑꯍꯜ ꯑꯃꯒꯤ ꯀꯤꯗꯅꯤꯅꯥ ꯃꯍꯧꯁꯥꯅꯥ ꯅꯣꯡꯃꯗꯥ ꯌꯨꯔꯤꯟ ꯃꯤꯂꯤꯂꯤꯇꯔ 500 (500 ml) ꯍꯦꯟꯅꯥ ꯄꯨꯊꯣꯀꯏ꯫ ꯃꯗꯨ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯕꯣꯇꯜ ꯑꯃꯒꯤ ꯁꯥꯏꯖꯅꯤ꯫ ꯑꯉꯥꯡꯁꯤꯡꯗꯥ, ꯃꯁꯤꯒꯤ ꯆꯥꯡ ꯑꯁꯤ ꯆꯍꯤ ꯑꯃꯁꯨꯡ ꯍꯀꯆꯥꯡꯒꯤ ꯁꯥꯏꯖꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ ꯈꯦꯠꯅꯩ꯫
ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯑꯦꯅꯨꯔꯤꯌꯥꯅꯥ ꯅꯥꯕꯥ ꯑꯍꯜ ꯑꯃꯅꯥ ꯅꯣꯡꯃꯗꯥ ꯌꯥꯝꯅꯥ ꯅꯦꯝꯕꯥ ꯌꯨꯔꯤꯟ, ꯃꯤꯂꯤꯂꯤꯇꯔ 0 ꯑꯃꯁꯨꯡ 100ꯒꯤ ꯃꯔꯛꯇꯥ ꯊꯥꯗꯣꯀꯏ꯫
ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯋꯥꯐꯃꯗꯤ ꯑꯅꯨꯔꯤꯌꯥ ꯑꯁꯤ ꯃꯦꯗꯤꯀꯦꯜ ꯏꯃꯔꯖꯦꯟꯁꯤ ꯑꯃꯅꯤ . ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯍꯧꯁꯥꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯌꯨꯔꯤꯟ ꯄꯥꯁ ꯇꯧꯕꯥ ꯉꯃꯗ꯭ꯔꯕꯗꯤ, ꯈꯨꯗꯛꯇꯥ ꯗꯣꯛꯇꯔ ꯑꯃꯒꯥ ꯇꯥꯟꯅꯧ꯫ ꯌꯥꯔꯤꯕꯃꯈꯩ ꯊꯨꯅꯥ ꯂꯥꯏꯌꯦꯡ ꯐꯪꯕꯅꯥ ꯄꯨꯟꯁꯤ ꯀꯅꯕꯥ ꯉꯝꯃꯤ꯫
ꯑꯦꯅꯨꯔꯤꯌꯥꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?
ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤꯒꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯌꯦꯛ ꯁꯦꯡꯕꯥ ꯂꯥꯏꯑꯣꯡꯗꯤ ꯌꯨꯔꯤꯟ ꯑꯥꯎꯠꯄꯨꯠ ꯂꯩꯇꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯌꯥꯝꯅꯥ ꯅꯦꯝꯕꯥ ꯑꯁꯤꯅꯤ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯅꯍꯥꯛꯅꯥ ꯑꯦꯅꯨꯔꯤꯌꯥ ꯊꯣꯀꯍꯅꯈꯤꯕꯥ ꯑꯟꯗꯔꯂꯥꯏꯟ ꯃꯦꯗꯤꯀꯦꯜ ꯀꯟꯗꯤꯁꯟ ꯑꯗꯨꯒꯥ ꯃꯔꯤ ꯂꯩꯅꯕꯥ ꯑꯇꯩ ꯂꯥꯏꯑꯣꯡꯁꯤꯡꯁꯨ ꯂꯩꯕꯥ ꯌꯥꯏ꯫
ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯦꯅꯨꯔꯤꯌꯥ ꯑꯁꯤ ꯀꯤꯗꯅꯤꯒꯤ ꯂꯥꯌꯅꯥ, ꯂꯤꯚꯔꯒꯤ ꯂꯥꯌꯅꯥ, ꯅꯠꯠꯔꯒꯥ ꯍꯥꯔꯇꯀꯤ ꯂꯥꯌꯅꯥꯒꯨꯝꯕꯥ ꯀꯟꯗꯤꯁꯅꯁꯤꯡꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯑꯣꯏꯔꯕꯗꯤ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤꯁꯨ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫
| ꯃꯔꯨꯑꯣꯏꯕꯥ ꯐꯤꯆꯔ ꯑꯗꯨ꯫ | ꯃꯁꯤꯒꯥ ꯃꯔꯤ ꯂꯩꯅꯅꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯕꯥ ꯑꯇꯩ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ꯫ |
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| ꯌꯨꯔꯤꯟ ꯑꯥꯎꯇꯄꯨꯠ ꯂꯩꯇꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯌꯥꯝꯅꯥ ꯅꯦꯝꯕꯥ (ꯅꯣꯡꯃꯗꯥ 100mLꯗꯒꯤ ꯇꯥꯕꯥ)꯫ |
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ꯗꯥꯏꯑꯦꯕꯦꯇꯤꯖꯒꯨꯝꯕꯥ ꯂꯥꯌꯅꯥꯁꯤꯡꯅꯁꯨ ꯀꯤꯗꯅꯤꯁꯤꯡꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯌꯨꯔꯤꯟ ꯌꯥꯝꯅꯥ ꯍꯟꯊꯅꯥ ꯄꯥꯁ ꯇꯧꯔꯛꯂꯕꯗꯤ ꯑꯃꯁꯨꯡ ꯃꯊꯛꯇꯥ ꯄꯅꯈ꯭ꯔꯤꯕꯥ ꯑꯇꯩ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯠꯇꯥ ꯂꯩꯔꯕꯗꯤ, ꯈꯨꯗꯛꯇꯥ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯜ ꯑꯃꯒꯤ ꯏꯃꯔꯖꯦꯟꯁꯤ ꯔꯨꯝ (ETU)ꯗꯥ ꯆꯠꯂꯨ꯫
ꯑꯦꯅꯨꯔꯤꯌꯥꯅꯥ ꯀꯔꯤꯅꯥ ꯊꯣꯀꯍꯅꯕꯒꯦ?
ꯑꯦꯅꯨꯔꯤꯌꯥꯒꯤ ꯃꯔꯃꯁꯤꯡꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯀꯦꯇꯦꯒꯣꯔꯤ ꯑꯍꯨꯝ ꯂꯩ꯫ ꯃꯈꯣꯌꯁꯤꯡ ꯑꯗꯨ ꯑꯃꯨꯛ ꯑꯃꯨꯛ ꯌꯦꯡꯁꯤ꯫
1. ꯀꯤꯗꯅꯤꯗꯥ ꯏ ꯅꯠꯠꯔꯒꯥ ꯐ꯭ꯂꯨꯏꯗ ꯃꯔꯥꯡ ꯀꯥꯌꯅꯥ ꯐꯪꯗꯕꯥ: ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯊꯕꯛ ꯇꯧꯅꯕꯒꯤꯗꯃꯛ ꯀꯤꯗꯅꯤꯁꯤꯡꯅꯥ ꯑꯐꯕꯥ ꯏꯒꯤ ꯁꯞꯂꯥꯏ ꯃꯊꯧ ꯇꯥꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯁꯞꯂꯥꯏ ꯑꯁꯤ ꯍꯟꯊꯔꯛꯂꯕꯗꯤ, ꯌꯨꯔꯤꯟ ꯄꯨꯊꯣꯀꯄꯥ ꯂꯦꯄꯈꯤ꯫
2. ꯀꯤꯗꯅꯤꯅꯥ ꯏ ꯐꯤꯜꯇꯔ ꯇꯧꯕꯒꯤ ꯊꯧꯑꯣꯡꯗꯥ ꯑꯀꯥꯌꯕꯥ ꯄꯤꯕꯥ: ꯀꯤꯗꯅꯤꯅꯥ ꯏ ꯐꯪꯂꯕꯁꯨ ꯃꯔꯝ ꯈꯔꯗꯒꯤ ꯏ ꯑꯗꯨ ꯐꯤꯜꯇꯔ ꯇꯧꯕꯥ ꯑꯃꯁꯨꯡ ꯌꯨꯔꯤꯟ ꯁꯦꯝꯕꯒꯤ ꯊꯧꯑꯣꯡ ꯑꯗꯨ ꯊꯤꯡꯖꯤꯅꯕꯥ ꯌꯥꯏ꯫
3. ꯌꯨꯔꯤꯟ ꯁꯦꯝꯂꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯌꯨꯔꯤꯅꯔꯤ ꯇ꯭ꯔꯦꯛꯇ ꯕ꯭ꯂꯣꯛ ꯇꯧꯕꯥ: ꯌꯨꯔꯤꯟ ꯑꯁꯤ ꯀꯤꯗꯅꯤꯅꯥ ꯁꯦꯝꯂꯕꯁꯨ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯌꯨꯔꯤꯟ ꯕ꯭ꯂꯦꯗꯔꯗꯥ ꯆꯠꯄꯥ ꯑꯃꯁꯨꯡ ꯃꯄꯥꯟꯗꯥ ꯆꯠꯄꯥ ꯂꯝꯕꯤꯒꯤ ꯃꯐꯝ ꯑꯃꯗꯥ ꯕ꯭ꯂꯣꯀꯦꯖ ꯂꯩꯔꯕꯗꯤ ꯌꯨꯔꯤꯟ ꯊꯥꯗꯣꯛꯂꯣꯏ꯫
ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯇꯦꯕꯜ ꯑꯁꯤꯗꯥ ꯃꯔꯃꯁꯤꯡꯒꯤ ꯀꯦꯇꯦꯒꯣꯔꯤꯁꯤꯡ ꯑꯁꯤꯒꯥ ꯃꯔꯤ ꯂꯩꯅꯕꯥ ꯈꯨꯗꯝ ꯈꯔꯥ ꯌꯥꯑꯣꯔꯤ꯫
| ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯃꯅꯨꯡ ꯆꯅꯕꯥ ꯀꯦꯇꯦꯒꯣꯔꯤ ꯑꯗꯨ꯫ | ꯈꯨꯗꯃꯁꯤꯡ꯫ |
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| ꯀꯤꯗꯅꯤꯁꯤꯡꯗꯥ ꯏ/ ꯐ꯭ꯂꯨꯏꯗ ꯁꯞꯂꯥꯏ ꯍꯟꯊꯔꯀꯄꯥ꯫ |
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| ꯀꯤꯗꯅꯤꯁꯤꯡꯗꯥ ꯐꯤꯜꯇꯔ ꯇꯧꯕꯒꯤ ꯊꯧꯑꯣꯡꯗꯥ ꯑꯀꯥꯌꯕꯥ ꯄꯤꯕꯥ꯫ | |
| ꯌꯨꯔꯤꯅꯔꯤ ꯇ꯭ꯔꯦꯛꯇ ꯑꯣꯕꯁ꯭ꯠꯔꯥꯀꯁꯟ (Obstruction) . |
ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯀꯌꯥ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯒꯦ? ꯀꯃꯞꯂꯤꯀꯦꯁꯟ ꯑꯃꯠꯇꯥ ꯂꯩꯕ꯭ꯔꯥ?
ꯍꯣꯌ, ꯑꯅꯨꯔꯤꯌꯥ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯑꯃꯁꯨꯡ ꯄꯨꯟꯁꯤ ꯃꯥꯡꯍꯅꯕꯥ ꯌꯥꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫ ꯀꯤꯗꯅꯤꯁꯤꯡꯅꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯗꯒꯤ ꯑꯃꯣꯠꯄꯥ ꯑꯃꯁꯨꯡ ꯑꯍꯦꯅꯕꯥ ꯐ꯭ꯂꯨꯏꯗ ꯂꯧꯊꯣꯀꯏ꯫ ꯀꯤꯗꯅꯤꯁꯤꯡꯅꯥ ꯊꯕꯛ ꯇꯧꯗꯕꯥ ꯃꯇꯃꯗꯥ, ꯑꯃꯣꯠꯄꯥ ꯑꯃꯁꯨꯡ ꯐ꯭ꯂꯨꯏꯗ ꯑꯁꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯊꯨꯃꯖꯤꯜꯂꯤ꯫ ꯃꯁꯤꯅꯥ ꯁꯤꯕꯥ ꯐꯥꯎꯕꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯂꯥꯏꯌꯦꯡꯗ꯭ꯔꯕꯗꯤ, ꯑꯦꯅꯨꯔꯤꯌꯥꯅꯥ ꯀꯤꯗꯅꯤꯁꯤꯡꯗꯥ ꯃꯇꯝ ꯆꯨꯞꯄꯒꯤ ꯑꯣꯏꯅꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ, ꯃꯗꯨꯅꯥ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯁꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫
ꯁꯤꯗ꯭ꯔꯤꯉꯩ ꯃꯃꯥꯡꯗꯥ ꯀꯤꯗꯅꯤꯒꯤ ꯐꯉ꯭ꯀꯁꯟ ꯀꯌꯥ ꯍꯟꯊꯔꯀꯄꯒꯦ?
ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯏ.ꯖꯤ.ꯑꯦꯐ.ꯑꯥꯔ.(ꯑꯦꯁ꯭ꯇꯤꯃꯦꯠ ꯇꯧꯔꯕꯥ ꯒ꯭ꯂꯣꯃꯦꯔꯨꯂꯥꯔ ꯐꯤꯜꯠꯔꯦꯁꯟ ꯔꯦꯠ) ꯀꯧꯕꯥ ꯇꯦꯁ꯭ꯠ ꯑꯃꯅꯥ ꯀꯤꯗꯅꯤꯒꯤ ꯐꯉ꯭ꯀꯁꯟ ꯂꯦꯄꯊꯣꯀꯏ꯫ ꯀꯤꯗꯅꯤꯁꯤꯡꯅꯥ ꯑꯃꯣꯠꯄꯥ ꯄꯣꯠꯂꯃꯁꯤꯡ ꯐꯤꯜꯇꯔ ꯇꯧꯕꯒꯤ ꯇꯧꯕꯥ ꯉꯝꯕꯗꯨ ꯍꯟꯊꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯑꯩꯈꯣꯌꯅꯥ ꯃꯁꯤꯕꯨ ꯀ꯭ꯔꯣꯅꯤꯛ ꯀꯤꯗꯅꯤ ꯗꯤꯖꯤꯖ (CKD) ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫
ꯁꯤ.ꯀꯦ.ꯗꯤ.ꯒꯤ ꯁ꯭ꯇꯦꯖ ꯵ ꯂꯩ꯫
- ꯁ꯭ꯇꯦꯖ 1: eGFR ꯑꯁꯤ 90 ꯅꯠꯠꯔꯒꯥ ꯃꯁꯤꯗꯒꯤ ꯍꯦꯅꯕꯥ ꯑꯣꯏ꯫ ꯀꯤꯗꯅꯤꯁꯤꯡ ꯑꯁꯤ ꯐꯖꯅꯥ ꯊꯕꯛ ꯇꯧꯔꯤ, ꯑꯗꯨꯕꯨ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯈꯔꯥ ꯂꯩꯔꯀꯄꯥ ꯌꯥꯏ꯫
- ꯁ꯭ꯇꯦꯖ 5: eGFR ꯑꯁꯤ 15ꯗꯒꯤ ꯍꯦꯜꯂꯤ, ꯃꯁꯤꯅꯥ ꯇꯥꯀꯄꯗꯤ ꯀꯤꯗꯅꯤꯁꯤꯡ ꯑꯁꯤ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯁꯣꯀꯍꯜꯂꯀꯄꯥ ꯌꯥꯕꯒꯤ ꯌꯥꯝꯅꯥ ꯅꯛꯅꯥ ꯂꯩ, ꯅꯠꯠꯔꯒꯥ ꯍꯥꯟꯅꯅꯥ ꯁꯣꯀꯍꯜꯂꯦ꯫
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯁ꯭ꯇꯦꯖ 5ꯗꯥ ꯌꯧꯔꯛꯂꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯗꯥꯏꯑꯦꯂꯥꯏꯁꯤꯁ ꯅꯠꯠꯔꯒꯥ ꯀꯤꯗꯅꯤ ꯇ꯭ꯔꯥꯟꯁꯞꯂꯥꯟꯇ ꯇꯧꯗ꯭ꯔꯤꯐꯥꯎꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯄꯨꯟꯁꯤ ꯀꯅꯕꯥ ꯉꯃꯗꯕꯥ ꯌꯥꯏ꯫
ꯃꯁꯤ ꯀꯔꯝꯅꯥ ꯐꯪꯒꯅꯤ ꯗꯣꯛꯇꯔ?
ꯅꯍꯥꯛꯅꯥ ꯗꯣꯛꯇꯔ ꯑꯃꯒꯥ ꯎꯅꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯃꯍꯥꯛꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯃꯦꯗꯤꯀꯦꯜ ꯍꯤꯁ꯭ꯇꯔꯤ ꯑꯃꯁꯨꯡ ꯂꯥꯏꯑꯣꯡꯁꯤꯡꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯍꯪ ꯈꯔꯥ ꯍꯪꯒꯅꯤ꯫
- "ꯉꯁꯤ ꯀꯔꯤ ꯊꯀꯈꯤꯕꯒꯦ? ꯀꯌꯥ ꯌꯥꯝꯅꯥ ꯊꯀꯈꯤꯕꯒꯦ?"
- "ꯑꯗꯣꯝꯅꯥ ꯑꯔꯣꯏꯕꯥ ꯑꯣꯏꯅꯥ ꯀꯗꯥꯌꯗꯥ ꯄꯤꯖꯈꯤꯕꯒꯦ?"
- "ꯑꯗꯣꯝꯅꯥ ꯃꯍꯧꯁꯥꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯌꯨꯔꯤꯅꯔꯤꯕꯒꯨꯝ ꯐꯥꯑꯣꯔꯤꯕ꯭ꯔꯥ?"
- "ꯃꯃꯥꯡꯗꯥ ꯅꯉꯅꯥ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯃꯈꯂꯒꯤ ꯌꯨꯔꯤꯟ ꯇꯧꯕꯗꯥ ꯑꯋꯥꯕꯥ ꯃꯥꯌꯣꯛꯅꯈꯤꯕ꯭ꯔꯥ?"
- "ꯅꯉꯒꯤ ꯈꯣꯉ ꯑꯃꯁꯨꯡ ꯈꯣꯉꯅꯥ ꯁꯣꯀꯄꯥ ꯌꯥꯕ꯭ꯔꯥ?"
- "ꯅꯍꯥꯛꯀꯤ ꯌꯨꯔꯤꯅꯗꯥ ꯏ (ꯍꯦꯃꯥꯇꯨꯔꯤꯌꯥ) ꯎꯕꯥ ꯐꯪꯂꯕ꯭ꯔꯥ?"
- "ꯍꯧꯖꯤꯛ ꯅꯉꯅꯥ ꯌꯥꯝꯅꯥ ꯋꯥꯅꯥ ꯊꯣꯀꯈꯤꯕꯔꯥ?"
ꯋꯥꯍꯪꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯊꯛꯇꯥ ꯗꯣꯛꯇꯔꯅꯥ ꯑꯦꯅꯨꯔꯤꯌꯥꯒꯤ ꯀꯟꯗꯤꯁꯟ ꯀꯅꯐꯥꯔꯝ ꯇꯧꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯀꯤꯗꯅꯤꯒꯤ ꯍꯀꯁꯦꯜ ꯌꯦꯡꯁꯤꯟꯅꯕꯥ ꯇꯣꯉꯥꯟ ꯇꯣꯉꯥꯅꯕꯥ ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯇꯧꯅꯕꯥ ꯑꯣꯔꯗꯔ ꯇꯧꯕꯥ ꯌꯥꯏ꯫
ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?
| ꯇꯦꯁ꯭ꯠ ꯇꯧꯕꯒꯤ ꯃꯈꯜ꯫ | ꯋꯥꯔꯣꯜ |
|---|---|
| ꯀꯤꯗꯅꯤꯒꯤ ꯐꯉ꯭ꯀꯁꯟ ꯇꯦꯁ꯭ꯠ ꯇꯧꯕꯥ꯫ | ꯕ꯭ꯂꯗ ꯇꯦꯁ꯭ꯠ ꯑꯃꯁꯨꯡ ꯌꯨꯔꯤꯅꯂꯥꯏꯁꯤꯁꯅꯥ ꯀꯤꯗꯅꯤꯒꯤ ꯐꯉ꯭ꯀꯁꯟ ꯂꯦꯄꯊꯣꯀꯏ꯫ |
| ꯏꯃꯦꯖꯤꯡ ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯇꯧꯕꯥ꯫ | ꯁꯤ.ꯇꯤ.ꯁ꯭ꯀꯦꯟ ꯅꯠꯠꯔꯒꯥ ꯑꯦꯝ.ꯑꯥꯔ.ꯑꯥꯏ. |
| ꯀꯤꯗꯅꯤ ꯕꯥꯏꯑꯣꯞꯁꯤ ꯇꯧꯕꯥ꯫ | ꯂꯥꯌꯅꯥ ꯑꯁꯤ ꯀꯤꯗꯅꯤꯗꯒꯤ ꯑꯄꯤꯀꯄꯥ ꯇꯤꯁꯨ ꯑꯃꯥ ꯂꯧꯗꯨꯅꯥ ꯃꯥꯏꯛꯔꯣꯁ꯭ꯀꯣꯄꯀꯤ ꯃꯈꯥꯗꯥ ꯌꯦꯡꯁꯤꯟꯗꯨꯅꯥ ꯈꯉꯗꯣꯀꯏ꯫ |
| ꯔꯦꯅꯥꯜ ꯁ꯭ꯀꯦꯟ ꯇꯧꯕꯥ꯫ | ꯀꯤꯗꯅꯤꯗꯥ ꯏ ꯆꯦꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯃꯈꯣꯌꯒꯤ ꯐꯉ꯭ꯀꯁꯟ ꯌꯦꯡꯁꯤꯟꯅꯕꯥ ꯑꯈꯟꯅꯕꯥ ꯁ꯭ꯀꯦꯟ ꯑꯃꯥ꯫ |
ꯑꯅꯨꯔꯤꯌꯥ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯂꯥꯏꯌꯦꯡꯕꯒꯦ?
ꯃꯁꯤ ꯌꯨꯃꯗꯥ ꯂꯥꯏꯌꯦꯡꯕꯥ ꯌꯥꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯌꯨꯔꯤꯟ ꯍꯟꯊꯔꯛꯂꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯈꯨꯗꯛꯇꯥ ꯗꯣꯛꯇꯔ ꯑꯃꯒꯥ ꯇꯥꯟꯅꯒꯗꯕꯅꯤ꯫
ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯃꯑꯣꯡ ꯑꯁꯤ ꯑꯦꯅꯨꯔꯤꯌꯥꯒꯤ ꯃꯔꯝ ꯑꯗꯨꯒꯤ ꯃꯈꯥ ꯄꯣꯜꯂꯤ꯫
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯔꯝ ꯑꯗꯨ ꯍꯥꯔꯠ ꯑꯦꯇꯦꯛ, ꯁꯦꯄꯁꯤꯁ ꯅꯠꯠꯔꯒꯥ ꯁꯣꯛꯅ-ꯁꯝꯅꯒꯨꯝꯕꯥ ꯑꯦꯃꯔꯖꯦꯟꯁꯤ ꯑꯃꯥ ꯑꯣꯏꯔꯕꯗꯤ, ꯗꯣꯛꯇꯔꯁꯤꯡꯒꯤ ꯑꯍꯥꯅꯕꯥ ꯄ꯭ꯔꯥꯌꯣꯔꯤꯇꯤꯗꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯗꯨ ꯂꯥꯏꯌꯦꯡꯕꯅꯤ꯫
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯀꯤꯗꯅꯤꯒꯤ ꯂꯥꯌꯅꯥ ꯂꯩꯔꯕꯗꯤ ꯅꯍꯥꯛꯀꯤ ꯏ ꯁꯦꯡꯗꯣꯛꯅꯕꯥ ꯗꯥꯏꯑꯦꯂꯥꯏꯁꯤꯁ ꯅꯠꯠꯔꯒꯥ ꯀꯤꯗꯅꯤ ꯇ꯭ꯔꯥꯟꯁꯞꯂꯥꯟꯇ ꯇꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯏ꯫
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯌꯨꯔꯤꯅꯔꯤ ꯇ꯭ꯔꯦꯛꯇꯇꯥ ꯕ꯭ꯂꯣꯀꯦꯖ ꯑꯃꯥ ꯂꯩꯔꯕꯗꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯀꯦꯇꯦꯇꯔ ꯑꯃꯥ ꯍꯥꯄꯆꯤꯟꯗꯨꯅꯥ ꯌꯨꯔꯤꯟ ꯑꯗꯨ ꯕ꯭ꯂꯦꯗꯔꯗꯒꯤ ꯊꯨꯅꯥ ꯂꯧꯊꯣꯛꯀꯅꯤ꯫ ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯐꯣꯂꯦ ꯀꯦꯇꯦꯒꯣꯔꯤ ꯑꯃꯥ ꯅꯠꯠꯔꯒꯥ ꯁꯨꯞꯔꯥꯞꯌꯨꯕꯤꯛ ꯀꯦꯇꯦꯒꯣꯔꯤ ꯑꯃꯥ . ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯀꯤꯗꯅꯤꯗꯒꯤ ꯕ꯭ꯂꯦꯗꯔꯗꯥ ꯌꯨꯔꯤꯟ ꯄꯨꯕꯥ ꯇꯤꯎꯕꯁꯤꯡ ꯑꯗꯨ ꯍꯥꯡꯗꯣꯛꯇꯨꯅꯥ ꯊꯝꯅꯕꯒꯤꯗꯃꯛ ꯏꯎꯔꯦꯇꯦꯔꯦꯜ ꯁ꯭ꯇꯦꯟꯇ ꯀꯧꯕꯥ ꯗꯤꯚꯥꯏꯁꯁꯤꯡ ꯁꯤꯖꯤꯟꯅꯕꯥ ꯌꯥꯏ꯫
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯗꯤꯍꯥꯌꯗ꯭ꯔꯦꯁꯅꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯑꯣꯏꯔꯕꯗꯤ, ꯍꯀꯆꯥꯡ ꯑꯗꯨ ꯊꯛꯅꯕꯥ ꯏꯁꯤꯡ ꯄꯤꯗꯨꯅꯥ ꯅꯠꯠꯔꯒꯥ ꯚꯦꯅꯝ ꯑꯃꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯁꯦꯂꯟ (ꯏꯟꯠꯔꯥꯚꯦꯅꯁ - IV ꯐ꯭ꯂꯨꯏꯗ) ꯄꯤꯗꯨꯅꯥ ꯔꯤꯍꯥꯌꯗ꯭ꯔꯦꯠ ꯇꯧꯏ꯫
ꯑꯅꯨꯔꯤꯌꯥ ꯊꯤꯡꯕꯥ ꯉꯃꯒꯗ꯭ꯔꯥ? ꯀꯗꯥꯏꯗꯥ ꯗꯣꯛꯇꯔꯒꯥ ꯇꯥꯟꯅꯒꯗꯒꯦ?
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯗꯥꯏꯑꯦꯕꯦꯇꯤꯖ ꯅꯠꯠꯔꯒꯥ ꯍꯥꯔꯇꯀꯤ ꯂꯥꯌꯅꯥ ꯑꯁꯤꯅꯆꯤꯡꯕꯥ ꯑꯦꯅꯨꯔꯤꯌꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯕꯥ ꯀ꯭ꯔꯣꯅꯤꯛ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯥ ꯂꯩꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯗꯨ ꯃꯦꯅꯦꯖ ꯇꯧꯅꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯤ ꯏꯅꯁ꯭ꯠꯔꯛꯁꯅꯁꯤꯡ ꯉꯥꯛꯅꯥ ꯆꯠꯄꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫ ꯏꯅꯁ꯭ꯠꯔꯛꯁꯅꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯁꯤꯡꯁꯤ ꯌꯥꯎꯕꯥ ꯌꯥꯏ:
- ꯀꯔꯤ ꯆꯥꯒꯗꯒꯦ ꯑꯃꯁꯨꯡ ꯀꯔꯤ ꯊꯛꯀꯗꯒꯦ, ꯑꯃꯁꯨꯡ ꯀꯔꯤ ꯃꯁꯤꯡꯗꯥ ꯄꯤꯒꯗꯒꯦ꯫
- ꯅꯨꯃꯤꯠ ꯈꯨꯗꯤꯡꯒꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯑꯔꯨꯝꯕꯥ ꯔꯦꯀꯣꯔꯗ ꯇꯧꯕꯥ꯫
- ꯍꯀꯆꯥꯡꯗꯥ ꯁꯣꯛ-ꯄꯅꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯏꯁꯤꯡ ꯊꯨꯃꯖꯤꯅꯕꯒꯤ ꯈꯨꯗꯃꯁꯤꯡ ꯈꯪꯗꯣꯀꯄꯥ꯫
- ꯄ꯭ꯔꯦꯁ꯭ꯛꯔꯥꯏꯕ ꯇꯧꯔꯕꯥ ꯍꯤꯗꯥꯀꯁꯤꯡ ꯃꯇꯝ ꯆꯥꯅꯥ ꯂꯧꯕꯥ꯫
ꯃꯁꯤꯗꯁꯨ ꯅꯠꯇꯅꯥ, ꯗꯤꯍꯥꯌꯗ꯭ꯔꯦꯁꯟ ꯊꯣꯀꯄꯥ ꯌꯥꯕꯥ ꯐꯤꯚꯃꯁꯤꯡ, ꯍꯥꯌꯕꯗꯤ ꯈꯣꯡ ꯍꯥꯝꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯗꯥꯏꯔꯤꯌꯥ ꯑꯁꯤꯅꯆꯤꯡꯕꯗꯥ, ꯐ꯭ꯂꯨꯏꯗ ꯃꯇꯤꯛ ꯆꯥꯅꯥ ꯊꯀꯄꯥ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ .
ꯀꯗꯥꯏꯗꯥ ꯗꯣꯛꯇꯔꯒꯥ ꯇꯥꯟꯅꯒꯗꯒꯦ?
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯀꯤꯗꯅꯤ ꯅꯠꯠꯔꯒꯥ ꯍꯥꯔꯇꯀꯤ ꯂꯥꯌꯅꯥ ꯂꯩꯔꯕꯗꯤ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯅꯥ ꯃꯍꯧꯁꯥꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯌꯨꯔꯤꯅꯔꯤ ꯍꯥꯌꯕꯥ ꯈꯪꯂꯕꯗꯤ, ꯃꯔꯨꯑꯣꯏꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯐ꯭ꯂꯨꯏꯗ ꯌꯥꯝꯅꯥ ꯊꯀꯄꯥ ꯇꯥꯔꯕꯗꯤ, ꯈꯨꯗꯛꯇꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯀꯧ꯫ ꯃꯁꯤꯗꯁꯨ ꯅꯠꯇꯅꯥ, ꯅꯍꯥꯛꯀꯤ ꯌꯨꯔꯤꯅꯒꯤ ꯃꯆꯨ (ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯑꯉꯧꯕꯥ ꯃꯆꯨ)ꯗꯥ ꯑꯍꯣꯡꯕꯥ ꯑꯃꯠꯇꯥ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨꯁꯨ ꯈꯪꯖꯤꯅꯕꯤꯌꯨ꯫
ꯇꯦꯛ-ꯍꯣꯝ ꯃꯦꯁꯦꯖ ꯇꯧꯕꯥ꯫
- ꯑꯦꯅꯨꯔꯤꯌꯥ ꯍꯥꯌꯕꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡꯅꯥ ꯌꯨꯔꯤꯟ ꯑꯃꯠꯇꯥ ꯄꯨꯊꯣꯀꯄꯥ ꯉꯃꯗꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯌꯨꯔꯤꯟ ꯌꯥꯝꯅꯥ ꯅꯦꯝꯅꯥ ꯄꯨꯊꯣꯀꯄꯥ ꯍꯥꯌꯕꯁꯤꯅꯤ꯫ ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯃꯦꯗꯤꯀꯦꯜ ꯏꯃꯔꯖꯦꯟꯁꯤ ꯑꯃꯅꯤ .
- ꯃꯁꯤ ꯇꯣꯉꯥꯟ-ꯇꯣꯉꯥꯅꯕꯥ ꯃꯔꯃꯁꯤꯡꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ, ꯍꯥꯌꯕꯗꯤ ꯗꯤꯍꯥꯌꯗ꯭ꯔꯦꯁꯟ, ꯀꯤꯗꯅꯤꯒꯤ ꯂꯥꯌꯅꯥ, ꯍꯥꯔꯇꯀꯤ ꯂꯥꯌꯅꯥ, ꯑꯃꯁꯨꯡ ꯌꯨꯔꯤꯅꯔꯤ ꯇ꯭ꯔꯦꯛꯇ ꯑꯣꯕꯁ꯭ꯠꯔꯥꯀꯁꯟ꯫
- ꯃꯔꯨꯑꯣꯏꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡꯗꯤ ꯌꯨꯔꯤꯅꯔꯤ ꯏꯅꯀꯟꯇꯤꯅꯦꯟꯁ, ꯍꯀꯆꯥꯡ ꯁꯣꯟꯊꯕꯥ, ꯋꯥꯈꯜ ꯋꯥꯕꯥ, ꯑꯃꯁꯨꯡ ꯃꯤꯠ ꯎꯗꯕꯥ ꯑꯁꯤꯅꯤ꯫
- ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯀꯩꯗꯧꯉꯩꯗꯥ ꯌꯦꯡꯁꯤꯅꯕꯤꯒꯅꯨ꯫ ꯌꯥꯔꯤꯕꯃꯈꯩ ꯊꯨꯅꯥ ꯗꯣꯛꯇꯔ ꯑꯃꯒꯥ ꯇꯥꯟꯅꯧ꯫
- ꯂꯥꯏꯌꯦꯡ ꯑꯁꯤ ꯑꯦꯅꯨꯔꯤꯌꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤꯒꯤ ꯃꯔꯝ ꯑꯗꯨꯒꯤ ꯃꯈꯥ ꯄꯣꯜꯂꯤ, ꯑꯃꯁꯨꯡ ꯃꯁꯤ ꯌꯨꯃꯗꯥ ꯇꯧꯕꯥ ꯌꯥꯗꯦ꯫
- ꯉꯟꯅꯥ ꯈꯪꯗꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯂꯥꯏꯌꯦꯡꯕꯅꯥ ꯃꯇꯝ ꯆꯨꯞꯄꯒꯤ ꯑꯣꯏꯅꯥ ꯀꯤꯗꯅꯤꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯊꯤꯡꯕꯥ ꯉꯝꯃꯤ ꯑꯃꯁꯨꯡ ꯄꯨꯟꯁꯤ ꯀꯅꯕꯥ ꯉꯝꯃꯤ꯫











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