ꯑꯩꯈꯣꯌꯒꯤ ꯀꯤꯗꯅꯤ ꯑꯁꯤ ꯁꯨꯄꯔ ꯐꯤꯜꯇꯔ ꯑꯅꯤꯒꯨꯝꯕꯅꯤ ꯍꯥꯌꯅꯥ ꯑꯗꯣꯝꯅꯥ ꯈꯜꯂꯝꯕꯔꯥ? ꯍꯣꯌ, ꯇꯁꯦꯡꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ ꯃꯗꯨꯅꯤ꯫ ꯀꯤꯗꯅꯤꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯊꯕꯛ ꯑꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯏꯗꯥ ꯌꯥꯎꯔꯤꯕꯥ ꯑꯄꯥꯝꯕꯥ ꯑꯃꯣꯠꯄꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ, ꯄꯣꯠꯁꯀꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯑꯍꯦꯅꯕꯥ ꯏꯁꯤꯡ ꯑꯗꯨ ꯐꯤꯜꯇꯔ ꯇꯧꯕꯅꯤ꯫ ꯑꯗꯨꯕꯨ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯐꯤꯜꯇꯔ ꯑꯁꯤꯅꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯏ ꯑꯃꯁꯨꯡ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯊꯕꯛ ꯇꯧꯕꯥ ꯂꯦꯄꯈꯤ꯫ ꯃꯇꯃꯒꯤ ꯃꯇꯨꯡ ꯏꯟꯅꯥ ꯀꯤꯗꯅꯤꯒꯤ ꯐꯉ꯭ꯀꯁꯟ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯍꯟꯊꯔꯀꯄꯥ ꯑꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯀ꯭ꯔꯣꯅꯤꯛ ꯀꯤꯗꯅꯤ ꯗꯤꯖꯤꯖ (CKD) ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫
ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯀ꯭ꯔꯣꯅꯤꯛ ꯀꯤꯗꯅꯤ ꯗꯤꯖꯤꯖ (CKD) ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ?
ꯅꯍꯥꯛꯀꯤ ꯌꯨꯃꯒꯤ ꯏꯁꯤꯡꯒꯤ ꯐꯤꯜꯇꯔ ꯑꯗꯨ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯁꯣꯀꯆꯤꯜꯂꯛꯂꯤ ꯍꯥꯌꯅꯥ ꯈꯅꯕꯤꯌꯨ꯫ ꯑꯍꯥꯅꯕꯗꯥ, ꯑꯗꯣꯝꯅꯥ ꯈꯦꯠꯅꯕꯥ ꯀꯌꯥ ꯎꯕꯥ ꯐꯪꯂꯣꯏ, ꯑꯗꯨꯕꯨ ꯃꯇꯃꯒꯤ ꯃꯇꯨꯡ ꯏꯟꯅꯥ ꯏꯁꯤꯡꯒꯤ ꯈꯣꯡꯖꯦꯜ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯆꯠꯂꯤ ꯑꯃꯁꯨꯡ ꯏꯁꯤꯡꯒꯤ ꯃꯃꯤ ꯍꯣꯡꯂꯀꯏ꯫ ꯅꯍꯥꯛꯀꯤ ꯀꯤꯗꯅꯤꯁꯤꯡ ꯑꯗꯨ ꯁꯣꯀꯍꯜꯂꯕꯥ ꯃꯇꯃꯗꯥ ꯃꯗꯨ ꯑꯣꯏꯔꯀꯏ꯫
ꯀꯤꯗꯅꯤꯁꯤꯡꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯃꯈꯣꯌꯅꯥ ꯏꯗꯒꯤ ꯑꯃꯣꯠꯄꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯐꯤꯜꯇꯔ ꯇꯧꯕꯥ ꯑꯃꯁꯨꯡ ꯂꯧꯊꯣꯀꯄꯥ ꯉꯃꯗꯦ꯫ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯑꯃꯣꯠꯄꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ ꯑꯁꯤ ꯏꯗꯥ ꯊꯨꯒꯥꯌꯕꯥ ꯍꯧꯔꯀꯏ꯫ "ꯀ꯭ꯔꯣꯅꯤꯛ" ꯍꯥꯌꯕꯥ ꯋꯥꯍꯩ ꯑꯁꯤ ꯁꯤꯖꯤꯟꯅꯩ ꯃꯔꯃꯗꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯃꯇꯃꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ ꯂꯥꯀꯏ꯫ ꯃꯁꯤ ꯅꯨꯃꯤꯠ ꯑꯃꯗꯥ ꯊꯣꯀꯄꯥ ꯂꯥꯌꯅꯥ ꯑꯃꯅꯤ꯫
ꯃꯔꯨꯑꯣꯏꯕꯥ ꯋꯥꯐꯃꯗꯤ ꯂꯥꯌꯅꯥ ꯑꯁꯤꯅꯥ ꯅꯥꯕꯥ ꯃꯤꯑꯣꯏ ꯈꯨꯗꯤꯡꯃꯛꯇꯥ ꯀꯤꯗꯅꯤ ꯐꯦꯜ ꯑꯣꯏꯔꯀꯄꯥ ꯌꯥꯔꯣꯏ꯫ ꯃꯇꯤꯛ ꯆꯥꯕꯥ ꯂꯥꯏꯌꯦꯡ ꯑꯃꯁꯨꯡ ꯄꯨꯟꯁꯤ ꯃꯍꯤꯡꯗꯥ ꯑꯍꯣꯡꯕꯥ ꯄꯨꯔꯀꯄꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯑꯩꯈꯣꯌꯅꯥ ꯀꯤꯗꯅꯤꯗꯥ ꯊꯣꯀꯄꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯑꯗꯨ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯥ ꯉꯃꯒꯅꯤ ꯑꯃꯁꯨꯡ ꯃꯈꯣꯌꯒꯤ ꯊꯕꯛ ꯑꯗꯨ ꯌꯥꯔꯤꯕꯃꯈꯩ ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯉꯥꯛꯇꯨꯅꯥ ꯊꯝꯕꯥ ꯉꯃꯒꯅꯤ꯫
ꯑꯩꯈꯣꯌꯒꯤ ꯀꯤꯗꯅꯤꯁꯤꯡꯗꯥ ꯇꯁꯦꯡꯅꯥ ꯀꯔꯤ ꯊꯣꯀꯏ?
ꯑꯩꯈꯣꯌꯒꯤ ꯀꯤꯗꯅꯤ ꯑꯅꯤ ꯂꯩꯔꯤ꯫ ꯁꯉ꯭ꯒꯣꯃꯒꯤ ꯃꯑꯣꯡꯗꯥ ꯁꯦꯝꯕꯥ ꯑꯣꯔꯒꯥꯅꯁꯤꯡ ꯑꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯈꯣꯡꯗꯥ, ꯑꯩꯈꯣꯌꯒꯤ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗꯀꯤ ꯅꯥꯀꯜ ꯑꯃꯗꯥ, ꯑꯩꯈꯣꯌꯒꯤ ꯔꯤꯕ ꯀꯦꯖꯒꯤ ꯃꯈꯥꯗꯥ ꯂꯩ꯫ ꯀꯤꯗꯅꯤ ꯑꯃꯈꯛꯇꯒꯤ ꯁꯥꯏꯖ ꯑꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯈꯨꯠꯁꯥꯒꯤ ꯈꯣꯡꯎꯄꯀꯤ ꯆꯥꯡꯒꯥ ꯃꯥꯟꯅꯩ꯫ ꯃꯈꯣꯌꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯊꯕꯛ ꯑꯁꯤ ꯏ ꯐꯤꯜꯇꯔ ꯇꯧꯕꯅꯤ ꯍꯥꯌꯔꯕꯁꯨ ꯃꯈꯣꯌꯅꯥ ꯑꯇꯣꯞꯄꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯊꯕꯛ ꯀꯌꯥꯁꯨ ꯄꯥꯡꯊꯣꯀꯏ꯫
- ꯏ ꯁꯦꯡꯗꯣꯀꯄꯥ: ꯑꯃꯣꯠꯄꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ, ꯄꯣꯠꯁꯀꯁꯤꯡ, ꯑꯃꯁꯨꯡ ꯏꯗꯥ ꯌꯥꯎꯔꯤꯕꯥ ꯑꯍꯦꯅꯕꯥ ꯏꯁꯤꯡ ꯑꯁꯤ ꯌꯨꯔꯤꯟ ꯑꯣꯏꯅꯥ ꯊꯥꯗꯣꯀꯏ꯫
- ꯁꯣꯜꯇ ꯑꯃꯁꯨꯡ ꯃꯤꯅꯔꯦꯂꯁꯤꯡ ꯕꯦꯂꯦꯟꯁ ꯇꯧꯕꯥ: ꯍꯀꯆꯥꯡꯅꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯏꯂꯦꯛꯠꯔꯣꯂꯥꯏꯠꯁꯤꯡ (ꯁꯣꯜꯇ)ꯒꯤ ꯑꯆꯨꯝꯕꯥ ꯃꯁꯤꯡ, ꯍꯥꯌꯕꯗꯤ ꯁꯣꯗꯤꯌꯝ ꯑꯃꯁꯨꯡ ꯄꯣꯇꯥꯁꯤꯌꯃꯕꯨ ꯊꯝꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫
- ꯍꯣꯔꯃꯣꯟ ꯄꯨꯊꯣꯀꯄꯥ: ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯥ ꯍꯣꯔꯃꯣꯅꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯔꯦꯗ ꯕ꯭ꯂꯗ ꯁꯦꯂꯁꯤꯡ ꯁꯦꯝꯕꯥ ꯍꯣꯔꯃꯣꯅꯁꯤꯡ ꯑꯁꯤ ꯀꯤꯗꯅꯤꯅꯥ ꯄꯨꯊꯣꯀꯏ꯫
- ꯁꯔꯨꯁꯤꯡꯕꯨ ꯃꯄꯥꯉ꯭ꯒꯜ ꯀꯅꯈꯠꯍꯜꯂꯤ: ꯚꯤꯇꯥꯃꯤꯟ Dꯅꯥ ꯑꯦꯛꯇꯤꯚ ꯑꯣꯏꯍꯜꯂꯤ ꯑꯃꯁꯨꯡ ꯁꯔꯨꯁꯤꯡꯕꯨ ꯃꯄꯥꯉ꯭ꯒꯜ ꯀꯅꯈꯠꯍꯅꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯊꯕꯀꯁꯤꯡ ꯑꯁꯤ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯇꯧꯗ꯭ꯔꯕꯗꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯑꯃꯣꯠꯄꯥ ꯄꯣꯠꯂꯃꯁꯤꯡ ꯊꯃꯖꯤꯜꯂꯀꯏ ꯑꯃꯁꯨꯡ ꯑꯩꯈꯣꯌ ꯑꯅꯥꯕꯥ ꯑꯣꯏꯔꯀꯏ꯫
ꯀꯤꯗꯅꯤꯒꯤ ꯂꯥꯌꯅꯥꯒꯤ ꯁ꯭ꯇꯦꯖ 5 ꯑꯁꯤ ꯀꯔꯤꯅꯣ?
ꯗꯣꯛꯇꯔꯁꯤꯡ, ꯅꯈꯣꯌꯒꯤ ꯀꯤꯗꯅꯤꯁꯤꯡ ꯑꯁꯤ ꯀꯌꯥ ꯌꯥꯝꯅꯥ ꯐꯖꯅꯥ ꯊꯕꯛ ꯇꯧꯕꯒꯦ ꯍꯥꯌꯕꯒꯤ ꯆꯥꯡ ꯑꯃꯥ ꯂꯩ꯫ ꯃꯁꯤꯕꯨ ꯖꯤ.ꯑꯦꯐ.ꯑꯥꯔ.(ꯒ꯭ꯂꯣꯃꯦꯔꯨꯂꯥꯔ ꯐꯤꯜꯠꯔꯦꯁꯟ ꯔꯦꯠ) ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯃꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯀꯤꯗꯅꯤꯁꯤꯡꯅꯥ ꯃꯤꯅꯠ ꯑꯃꯗꯥ ꯏ ꯃꯤꯂꯤꯂꯤꯇꯔ ꯀꯌꯥ ꯐꯤꯜꯇꯔ ꯇꯧꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯂꯦꯄꯊꯣꯀꯏ꯫ ꯃꯁꯤꯒꯤ ꯖꯤ.ꯑꯦꯐ.ꯑꯥꯔ.ꯒꯤ ꯚꯦꯜꯌꯨ ꯑꯁꯤ ꯂꯥꯌꯅꯥ ꯑꯁꯤꯕꯨ ꯁ꯭ꯇꯦꯖ ꯃꯉꯥꯗꯥ ꯈꯥꯌꯗꯣꯀꯄꯗꯥ ꯁꯤꯖꯤꯟꯅꯩ꯫ ꯃꯁꯤꯒꯤ ꯚꯦꯜꯌꯨ ꯑꯁꯤ ꯏ ꯑꯃꯁꯨꯡ ꯌꯨꯔꯤꯟ ꯇꯦꯁ꯭ꯇꯀꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯐꯪꯕꯥ ꯌꯥꯏ꯫
| ꯐꯝꯄꯥꯛ | ꯖꯤ.ꯑꯦꯐ.ꯑꯥꯔ.ꯒꯤ ꯚꯦꯜꯌꯨ (ꯑꯦꯝ.ꯑꯦꯜ./ꯃꯤꯅꯤꯠ) | ꯋꯥꯡꯟꯊꯣꯛ |
|---|---|---|
| ꯁ꯭ꯇꯦꯖ ꯱ | ꯹꯰ ꯅꯠꯔꯒꯥ ꯃꯁꯤꯒꯤ ꯃꯊꯛꯇꯥ ꯂꯩ꯫ | ꯀꯤꯗꯅꯤꯁꯤꯡꯗꯥ ꯑꯄꯤꯀꯄꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯂꯩꯔꯕꯁꯨ ꯃꯈꯣꯌꯒꯤ ꯐꯉ꯭ꯀꯁꯟ ꯑꯁꯤ ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏ꯫ |
| ꯁ꯭ꯇꯦꯖ ꯲ | ꯶꯰ - ꯸꯹ ꯐꯥꯑꯣꯕꯥ ꯂꯩ꯫ | ꯀꯤꯗꯅꯤꯒꯤ ꯐꯉ꯭ꯀꯁꯟ ꯈꯔꯥ ꯍꯟꯊꯔꯀꯏ꯫ |
| ꯁ꯭ꯇꯦꯖ ꯳ | ꯳꯰ - ꯵꯹ ꯐꯥꯑꯣꯕꯥ ꯂꯩ꯫ | ꯀꯤꯗꯅꯤꯒꯤ ꯐꯉ꯭ꯀꯁꯟ ꯑꯁꯤ ꯃꯌꯥꯏ ꯑꯣꯏꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯍꯟꯊꯔꯀꯏ꯫ |
| ꯁ꯭ꯇꯦꯖ ꯴ | ꯱꯵ - ꯲꯹ ꯐꯥꯑꯣꯕꯥ ꯂꯩ꯫ | ꯀꯤꯗꯅꯤꯒꯤ ꯐꯉ꯭ꯀꯁꯟ ꯌꯥꯝꯅꯥ ꯍꯟꯊꯔꯦ꯫ |
| ꯁ꯭ꯇꯦꯖ ꯵ꯗꯥ ꯂꯩ꯫ | ꯱꯵ꯒꯤ ꯃꯈꯥꯗꯥ ꯂꯩꯕꯥ꯫ | ꯀꯤꯗꯅꯤꯁꯤꯡ ꯑꯁꯤ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯁꯣꯀꯍꯜꯂꯀꯄꯥ (Kidney Failure)ꯒꯥ ꯅꯛꯅꯅꯥ ꯂꯩ꯫ |
ꯂꯥꯌꯅꯥ ꯑꯁꯤꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯀꯔꯤꯅꯣ?
ꯂꯥꯌꯅꯥ ꯑꯁꯤꯒꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯆꯥꯎꯕꯥ ꯁꯃꯁ꯭ꯌꯥꯗꯤ ꯃꯁꯤꯒꯤ ꯑꯍꯥꯅꯕꯥ ꯇꯥꯉ꯭ꯀꯛꯇꯥ ꯂꯥꯏꯑꯣꯡ ꯑꯃꯠꯇꯥ ꯎꯠꯄꯥ ꯉꯃꯗꯕꯅꯤ . ꯑꯃꯣꯠꯄꯁꯤꯡ ꯑꯗꯨ ꯍꯀꯆꯥꯡꯗꯥ ꯁꯦꯃꯒꯠꯂꯀꯄꯗꯥ ꯑꯃꯁꯨꯡ ꯂꯥꯏꯑꯣꯡ ꯎꯠꯄꯗꯥ ꯆꯍꯤ ꯀꯌꯥ ꯆꯪꯂꯝꯕꯥ ꯌꯥꯏ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯃꯤꯑꯣꯏ ꯀꯌꯥꯅꯥ ꯃꯈꯣꯌꯗꯥ ꯂꯥꯌꯅꯥ ꯑꯁꯤ ꯂꯩ ꯍꯥꯌꯕꯥ ꯈꯉꯗꯦ꯫ ꯂꯥꯌꯅꯥ ꯑꯁꯤꯅꯥ ꯍꯦꯟꯅꯥ ꯁꯣꯀꯆꯤꯜꯂꯀꯄꯒꯥ ꯂꯣꯌꯅꯅꯥ, ꯅꯍꯥꯛꯅꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯑꯁꯤꯅꯆꯤꯡꯕꯥ ꯋꯥꯐꯃꯁꯤꯡ ꯑꯁꯤ ꯊꯦꯡꯅꯔꯀꯄꯥ ꯌꯥꯏ꯫
- ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯌꯨꯔꯤꯟ ꯇꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯥ꯫
- ꯌꯥꯝꯅꯥ ꯋꯥꯅꯥ ꯑꯃꯁꯨꯡ ꯄꯨꯟꯁꯤ ꯂꯩꯇꯕꯥ ꯐꯥꯎꯕꯥ꯫
- ꯆꯤꯟꯖꯥꯛ ꯑꯁꯤ ꯃꯆꯤ ꯑꯣꯏꯗꯦ꯫
- ꯈꯨꯠ, ꯈꯣꯡ ꯑꯃꯁꯨꯡ ꯈꯣꯡꯗꯥ ꯁꯣꯀꯄꯥ꯫
- ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ꯫
- ꯐꯣꯝ (bubbly) ꯌꯨꯔꯤꯟ꯫
- ꯃꯤꯠꯀꯤ ꯃꯈꯥꯗꯥ ꯁꯣꯀꯄꯥ꯫
- ꯁꯨꯡꯕꯥ ꯑꯃꯁꯨꯡ ꯁꯣꯀꯄꯥ ꯌꯥꯕꯥ ꯈꯣꯡꯎꯞ꯫
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯃꯗꯥ ꯄꯨꯛꯅꯤꯡ ꯆꯪꯕꯗꯥ ꯑꯋꯥꯕꯥ꯫
- ꯇꯨꯝꯕ ꯌꯥꯗꯕ.
- ꯍꯀꯆꯥꯡꯒꯤ ꯃꯐꯝ ꯈꯔꯗꯥ ꯇꯤꯟ ꯁꯤꯠꯄꯥ꯫
- ꯅꯣꯡꯃꯩ ꯀꯥꯞꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯋꯥꯈꯜ ꯆꯔꯥꯡꯅꯕꯥ꯫
- ꯃꯁꯜ ꯁꯣꯟꯊꯕꯥ꯫
- ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ꯫
- ꯈꯣꯡꯗꯥ ꯃꯍꯤꯛ ꯆꯦꯜꯂꯀꯄꯥ꯫
ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯑꯇꯣꯞꯄꯥ ꯂꯥꯌꯅꯥꯁꯤꯡꯗꯁꯨ ꯊꯣꯀꯄꯥ ꯌꯥꯏ, ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯊꯧꯗꯣꯛ ꯑꯃꯥ ꯊꯦꯡꯅꯔꯕꯗꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯥ ꯊꯕꯛ ꯑꯗꯨꯗꯤ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯇꯥꯟꯅꯗꯨꯅꯥ ꯄꯥꯎꯇꯥꯛ ꯂꯧꯕꯅꯤ꯫
ꯀꯤꯗꯅꯤꯒꯤ ꯂꯥꯌꯅꯥ ꯂꯥꯀꯄꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯔꯃꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?
ꯂꯥꯌꯅꯥ ꯑꯁꯤ ꯀꯤꯗꯅꯤꯁꯤꯡ ꯑꯁꯤ ꯁꯣꯀꯍꯜꯂꯕꯥ ꯑꯃꯁꯨꯡ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯊꯕꯛ ꯇꯧꯕꯥ ꯉꯃꯗꯕꯥ ꯃꯇꯃꯗꯥ ꯊꯣꯀꯏ꯫ ꯀ꯭ꯔꯣꯅꯤꯛ ꯀꯤꯗꯅꯤ ꯗꯤꯖꯤꯖꯗꯥ, ꯃꯁꯤꯒꯤ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯑꯁꯤ ꯇꯞꯅꯥ ꯇꯞꯅꯥ, ꯆꯍꯤ ꯀꯌꯥꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯊꯣꯀꯏ꯫ ꯁ꯭ꯔꯤꯂꯉ꯭ꯀꯥ ꯑꯃꯁꯨꯡ ꯃꯥꯂꯦꯝ ꯁꯤꯅꯕꯥ ꯊꯨꯡꯅꯥ ꯂꯥꯌꯅꯥ ꯑꯁꯤ ꯂꯥꯀꯁꯤꯅꯕꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯔꯝ ꯑꯅꯤ ꯂꯩꯔꯤ꯫
1. ꯍꯥꯏ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ: ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯀꯤꯗꯅꯤꯗꯥ ꯏ ꯄꯤꯔꯤꯕꯥ ꯃꯆꯤ ꯑꯣꯏꯕꯥ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯂꯁꯤꯡ ꯑꯗꯨ ꯁꯣꯀꯍꯜꯂꯤ꯫ ꯃꯇꯃꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ, ꯃꯁꯤꯒꯤ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯑꯁꯤꯅꯥ ꯀꯤꯗꯅꯤꯁꯤꯡꯅꯥ ꯏ ꯐꯤꯜꯇꯔ ꯇꯧꯕꯒꯤ ꯇꯧꯕꯥ ꯉꯝꯕꯗꯨ ꯍꯟꯊꯍꯜꯂꯤ꯫
2. ꯗꯥꯏꯑꯦꯕꯦꯇꯤꯖ: ꯕ꯭ꯂꯗ ꯁꯨꯒꯔꯒꯤ ꯆꯥꯡ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯃꯁꯤꯅꯥ ꯀꯤꯗꯅꯤꯁꯤꯡꯗꯥ ꯂꯩꯕꯥ ꯐꯥꯏꯅꯦꯜ ꯐꯤꯜꯇꯔ ꯌꯨꯅꯤꯠꯁꯤꯡ (ꯒ꯭ꯂꯣꯃꯦꯔꯨꯂꯤ)ꯗꯁꯨ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯜꯂꯤ꯫
ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯔꯝ ꯑꯅꯤ ꯑꯁꯤꯒꯤ ꯃꯊꯛꯇꯥ ꯑꯇꯣꯞꯄꯥ ꯃꯔꯝ ꯀꯌꯥ ꯑꯃꯁꯨ ꯂꯩꯕꯥ ꯌꯥꯏ꯫
| ꯃꯔꯝ | ꯏꯆꯝ ꯆꯝꯕꯥ ꯃꯌꯦꯛ ꯁꯦꯡꯅꯥ ꯇꯥꯀꯄꯥ꯫ |
|---|---|
| ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯔꯃꯁꯤꯡ꯫ | ꯍꯥꯏ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ (Hypertension) ꯑꯃꯁꯨꯡ ꯗꯥꯏꯑꯦꯕꯦꯇꯤꯖ꯫ |
| ꯒ꯭ꯂꯣꯃꯦꯔꯨꯂꯣꯅꯦꯐ꯭ꯔꯥꯏꯇꯤꯁ ꯂꯩꯕꯥ꯫ | ꯀꯤꯗꯅꯤꯁꯤꯡꯗꯥ ꯂꯩꯕꯥ ꯐꯤꯜꯇꯔ ꯌꯨꯅꯤꯇꯁꯤꯡ (glomeruli)ꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯄꯥ꯫ |
| ꯄꯣꯂꯤꯁꯤꯁ꯭ꯇꯤꯛ ꯀꯤꯗꯅꯤꯒꯤ ꯂꯥꯌꯅꯥ꯫ | ꯃꯁꯤ ꯍꯦꯔꯤꯇꯦꯖ ꯑꯣꯏꯕꯥ ꯂꯥꯌꯅꯥ ꯑꯃꯅꯤ ꯑꯃꯁꯨꯡ ꯃꯁꯤꯅꯥ ꯀꯤꯗꯅꯤꯗꯥ ꯐ꯭ꯂꯨꯏꯗꯅꯥ ꯊꯜꯂꯕꯥ ꯁꯤꯁ꯭ꯇꯦꯝ ꯀꯌꯥ ꯊꯣꯀꯍꯜꯂꯤ꯫ |
| ꯌꯨꯔꯤꯅꯔꯤ ꯇ꯭ꯔꯦꯛꯇ ꯑꯣꯕꯁ꯭ꯠꯔꯥꯀꯁꯟ ꯂꯩꯕꯥ꯫ | ꯀꯤꯗꯅꯤꯗꯥ ꯁ꯭ꯇꯣꯟ, ꯄ꯭ꯔꯣꯁ꯭ꯇꯦꯠ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ, ꯅꯠꯠꯔꯒꯥ ꯀꯦꯟꯁꯔꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯌꯨꯔꯤꯅꯔꯤꯌꯦꯁꯟ ꯊꯤꯡꯕꯥ꯫ |
| ꯔꯤꯀꯣꯔꯗ ꯑꯣꯏꯕꯥ ꯀꯤꯗꯅꯤ ꯏꯅꯐꯦꯛꯁꯅꯁꯤꯡ (Pyelonephritis) . | ꯀꯤꯗꯅꯤꯁꯤꯡꯗꯥ ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯕꯦꯛꯇꯦꯔꯤꯌꯥ ꯏꯅꯐꯦꯛꯁꯅꯁꯤꯡ ꯂꯩꯕꯥ꯫ |
| ꯑꯇꯣꯞꯄꯥ ꯂꯥꯌꯅꯥꯁꯤꯡ꯫ | ꯂꯨꯄꯁꯒꯨꯝꯕꯥ ꯏꯝꯝꯌꯨꯟ ꯁꯤꯁ꯭ꯇꯦꯃꯒꯤ ꯂꯥꯌꯅꯥꯁꯤꯡ꯫ |
ꯀꯅꯥꯅꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯔꯤꯁ꯭ꯛ ꯂꯩꯕꯒꯦ?
ꯀꯅꯥꯒꯨꯝꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯗꯥ ꯀ꯭ꯔꯣꯅꯤꯛ ꯀꯤꯗꯅꯤꯒꯤ ꯂꯥꯌꯅꯥ ꯂꯥꯀꯄꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯍꯦꯛꯇꯕꯨ ꯂꯩꯔꯕꯗꯤ ꯅꯍꯥꯛꯅꯥ ꯍꯦꯟꯅꯥ ꯔꯤꯁ꯭ꯛ ꯂꯩꯒꯅꯤ:
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯗꯥꯏꯑꯦꯕꯦꯇꯤꯖ ꯂꯩꯔꯕꯗꯤ꯫
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ ꯋꯥꯡꯈꯠꯂꯕꯗꯤ꯫
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯍꯥꯔꯇꯀꯤ ꯂꯥꯌꯅꯥ ꯂꯩꯔꯕꯗꯤ꯫
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯏꯃꯨꯡ ꯑꯗꯨꯒꯤ ꯀꯅꯥꯒꯨꯝꯕꯥ ꯑꯃꯅꯥ ꯀꯤꯗꯅꯤꯒꯤ ꯂꯥꯌꯅꯥ ꯂꯩꯔꯕꯗꯤ꯫
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯆꯍꯤ 60ꯒꯤ ꯃꯊꯛꯇꯥ ꯂꯩꯔꯕꯗꯤ꯫
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯄꯦꯅꯀꯤꯂꯥꯔꯁꯤꯡ (NSAIDs) , ꯍꯥꯌꯕꯗꯤ ꯅꯍꯥꯛꯅꯥ ꯐꯥꯔꯃꯥꯁꯤꯗꯥ ꯂꯧꯕꯥ ꯌꯥꯕꯥ ꯑꯀꯛꯅꯕꯥ ꯃꯈꯂꯒꯤ ꯄꯦꯅꯀꯤꯂꯥꯔꯁꯤꯡ, ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯂꯧꯔꯛꯂꯕꯗꯤ꯫
ꯂꯥꯌꯅꯥ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯈꯪꯗꯣꯛꯀꯅꯤ?
ꯅꯍꯥꯛꯅꯥ ꯗꯣꯛꯇꯔ ꯑꯃꯗꯥ ꯆꯠꯄꯥ ꯃꯇꯃꯗꯥ, ꯃꯍꯥꯛꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯃꯦꯗꯤꯀꯦꯜ ꯍꯤꯁ꯭ꯇꯔꯤ, ꯐꯦꯃꯤꯂꯤ ꯍꯤꯁ꯭ꯇꯔꯤ, ꯅꯍꯥꯛꯅꯥ ꯂꯧꯔꯤꯕꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯅꯥ ꯊꯦꯡꯅꯔꯤꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯍꯪꯒꯅꯤ꯫ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ, ꯃꯈꯣꯌꯅꯥ ꯐꯤꯖꯤꯀꯦꯜ ꯑꯦꯀꯖꯥꯃꯤꯅꯦꯁꯟ ꯑꯃꯥ ꯄꯥꯡꯊꯣꯛꯀꯅꯤ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯀꯤꯗꯅꯤꯒꯤ ꯐꯉ꯭ꯀꯁꯟ ꯌꯦꯡꯁꯤꯟꯅꯕꯥ ꯏ ꯑꯃꯁꯨꯡ ꯌꯨꯔꯤꯟ ꯇꯦꯁ꯭ꯠ ꯀꯌꯥ ꯑꯃꯥ ꯑꯣꯔꯗꯔ ꯇꯧꯒꯅꯤ꯫
- ꯕ꯭ꯂꯗ ꯇꯦꯁ꯭ꯇꯁꯤꯡ: ꯃꯁꯤꯅꯥ ꯃꯔꯨꯑꯣꯏꯅꯥ ꯅꯍꯥꯛꯀꯤ GFR ꯑꯃꯁꯨꯡ ꯁꯦꯔꯥꯝ ꯀ꯭ꯔꯤꯌꯦꯇꯤꯅꯤꯅꯒꯤ ꯆꯥꯡ ꯑꯗꯨ ꯌꯦꯡꯏ꯫ ꯀ꯭ꯔꯤꯌꯦꯇꯤꯅꯤꯟ ꯑꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯃꯁꯂꯁꯤꯡꯅꯥ ꯄꯨꯊꯣꯀꯄꯥ ꯑꯃꯣꯠꯄꯥ ꯄꯣꯠꯁꯛ ꯑꯃꯅꯤ꯫ ꯍꯀꯁꯦꯜ ꯐꯕꯥ ꯀꯤꯗꯅꯤꯁꯤꯡꯅꯥ ꯃꯁꯤ ꯌꯨꯔꯤꯅꯗꯥ ꯊꯥꯗꯣꯀꯏ꯫ ꯀꯤꯗꯅꯤꯁꯤꯡꯅꯥ ꯁꯣꯀꯍꯜꯂꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯏꯗꯥ ꯀ꯭ꯔꯤꯌꯦꯇꯤꯅꯤꯟ ꯁꯦꯃꯒꯠꯂꯀꯏ꯫
- ꯌꯨꯔꯤꯟ ꯇꯦꯁ꯭ꯠ: ꯃꯁꯤꯅꯥ ꯌꯨꯔꯤꯅꯗꯥ ꯄ꯭ꯔꯣꯇꯤꯟ (ꯑꯦꯂꯕꯨꯃꯤꯟ) ꯅꯠꯠꯔꯒꯥ ꯏ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯆꯦꯛ ꯇꯧꯏ꯫ ꯍꯀꯁꯦꯜ ꯐꯕꯥ ꯀꯤꯗꯅꯤꯁꯤꯡꯅꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ ꯑꯁꯤ ꯌꯨꯔꯤꯅꯗꯥ ꯆꯠꯄꯥ ꯌꯥꯍꯟꯗꯦ꯫
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯀꯤꯗꯅꯤꯒꯤ ꯁꯥꯏꯖ ꯑꯃꯁꯨꯡ ꯃꯑꯣꯡ-ꯃꯇꯧ ꯑꯗꯨ ꯌꯦꯡꯁꯤꯟꯅꯕꯥ ꯑꯂꯠꯔꯥꯁꯥꯎꯟꯗ ꯁ꯭ꯀꯦꯅꯒꯨꯝꯕꯥ ꯊꯕꯛ ꯑꯃꯥ ꯄꯥꯡꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯅꯠꯠꯔꯒꯥ, ꯀꯤꯗꯅꯤꯒꯤ ꯕꯥꯏꯑꯣꯞꯁꯤ ꯇꯧꯕꯥ ꯌꯥꯏ, ꯃꯁꯤꯗꯥ ꯀꯤꯗꯅꯤꯒꯤ ꯌꯥꯝꯅꯥ ꯑꯄꯤꯀꯄꯥ ꯁꯔꯨꯛ ꯑꯃꯥ ꯂꯧꯗꯨꯅꯥ ꯃꯗꯨ ꯌꯦꯡꯁꯤꯅꯕꯥ ꯌꯥꯎꯏ꯫
ꯃꯁꯤ ꯀꯔꯝꯅꯥ ꯂꯥꯌꯦꯡꯕꯒꯦ?
ꯀ꯭ꯔꯣꯅꯤꯛ ꯀꯤꯗꯅꯤꯒꯤ ꯂꯥꯌꯅꯥ ꯑꯁꯤ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯐꯍꯅꯕꯥ ꯉꯃꯗꯦ꯫ ꯑꯗꯨꯕꯨ ꯑꯩꯈꯣꯌꯅꯥ ꯀꯤꯗꯅꯤꯒꯤ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯍꯟꯊꯍꯅꯕꯥ ꯉꯃꯒꯅꯤ ꯑꯃꯁꯨꯡ ꯌꯥꯔꯤꯕꯃꯈꯩ ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯑꯐꯕꯥ ꯊꯥꯛ ꯑꯃꯗꯥ ꯊꯕꯛ ꯇꯧꯕꯥ ꯉꯃꯒꯅꯤ꯫ ꯃꯈꯥꯗꯥ ꯇꯧꯒꯗꯕꯥ ꯊꯕꯛ ꯈꯔꯥ ꯌꯥꯑꯣꯔꯤ꯫
ꯅꯤꯡꯁꯤꯡꯕꯤꯌꯨ, ꯃꯁꯤ ꯄꯨꯝꯅꯃꯛ ꯑꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯤ ꯏꯅꯁ꯭ꯠꯔꯛꯁꯅꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ ꯇꯧꯒꯗꯕꯅꯤ꯫
ꯄꯨꯟꯁꯤ ꯃꯍꯤꯡꯗꯥ ꯑꯍꯣꯡꯕꯥ ꯂꯥꯀꯄꯥ꯫
- ꯗꯣꯛꯇꯔꯗꯥ ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯆꯠꯄꯥ:ꯁꯦꯗ꯭ꯌꯨꯜ ꯇꯧꯔꯕꯥ ꯇꯥꯡꯁꯤꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯅꯦꯐ꯭ꯔꯣꯂꯣꯖꯤꯁ꯭ꯠ ꯑꯗꯨꯒꯥ ꯎꯅꯕꯤꯌꯨ ꯑꯃꯁꯨꯡ ꯃꯊꯧ ꯇꯥꯕꯥ ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯄꯥꯡꯊꯣꯛꯀꯗꯕꯅꯤ꯫
- ꯗꯥꯏꯑꯦꯕꯦꯇꯤꯖ ꯑꯃꯁꯨꯡ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯥ : ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯗꯥꯏꯑꯦꯕꯦꯇꯤꯖ ꯅꯠꯠꯔꯒꯥ ꯍꯥꯏ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ ꯂꯩꯔꯕꯗꯤ ꯃꯈꯣꯌꯕꯨ ꯐꯖꯅꯥ ꯀꯟꯠꯔꯣꯜ ꯇꯧ꯫
- ꯀꯤꯗꯅꯤꯗꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯕꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ ꯁꯤꯖꯤꯟꯅꯔꯣꯏꯗꯕꯅꯤ: ꯃꯔꯨꯑꯣꯏꯅꯥ ꯗꯣꯛꯇꯔꯒꯤ ꯄꯥꯎꯇꯥꯛ ꯌꯥꯎꯗꯅꯥ ꯄꯦꯟ ꯀꯤꯂꯔꯁꯤꯡ ꯃꯈꯥ ꯇꯥꯅꯥ ꯂꯧꯔꯣꯏꯗꯕꯅꯤ꯫
- ꯀꯤꯗꯅꯤ-ꯐ꯭ꯔꯦꯟꯗꯂꯤ ꯗꯥꯏꯠ: ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫ ꯅꯍꯥꯛꯅꯥ ꯁꯣꯜꯇ (ꯁꯣꯗꯤꯌꯝ), ꯄꯣꯇꯥꯁꯤꯌꯝ ꯍꯟꯊꯍꯅꯕꯥ, ꯄ꯭ꯔꯣꯇꯤꯟ ꯌꯥꯝꯅꯥ ꯌꯥꯎꯕꯥ ꯑꯃꯁꯨꯡ ꯀꯣꯂꯦꯁ꯭ꯇꯦꯔꯣꯜ ꯅꯦꯝꯕꯥ ꯆꯤꯟꯖꯥꯀꯁꯤꯡ ꯆꯥꯅꯕꯥ ꯄꯥꯎꯇꯥꯛ ꯄꯤꯒꯅꯤ꯫
- ꯃꯩꯈꯨ ꯊꯥꯗꯣꯀꯄꯥ ꯊꯤꯡꯖꯤꯜꯂꯨ꯫
- ꯑꯦꯛꯁꯔꯁꯥꯏꯖ: ꯅꯣꯡꯃꯗꯥ ꯃꯤꯅꯠ 30, ꯌꯥꯃꯗ꯭ꯔꯕꯗꯥ ꯅꯨꯃꯤꯠ 5ꯅꯤ ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯇꯧ꯫
- ꯍꯀꯁꯦꯜ ꯐꯕꯥ ꯑꯔꯨꯝꯕꯥ ꯑꯃꯥ ꯊꯝꯕꯥ꯫
ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ꯫
ꯅꯍꯥꯛꯀꯤ ꯀꯟꯗꯤꯁꯅꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯇꯣꯉꯥꯟ-ꯇꯣꯉꯥꯅꯕꯥ ꯍꯤꯗꯥꯀꯁꯤꯡ ꯄꯤꯕꯥ ꯌꯥꯏ꯫ ꯈꯨꯗꯝ ꯑꯣꯏꯅ:
- ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ ꯍꯟꯊꯍꯅꯕꯥ ꯍꯤꯗꯥꯀꯁꯤꯡ (ACE inhibitors, ARBs)꯫
- ꯗꯥꯏꯑꯦꯕꯦꯇꯤꯖ ꯍꯥꯌꯕꯁꯤ ꯍꯀꯆꯥꯡꯗꯒꯤ ꯑꯍꯦꯅꯕꯥ ꯏꯁꯤꯡ ꯂꯧꯊꯣꯀꯄꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡꯅꯤ꯫
- ꯀꯣꯂꯦꯁ꯭ꯇꯦꯔꯣꯜ ꯍꯟꯊꯍꯅꯕꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ꯫
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯦꯅꯤꯃꯤꯌꯥ ꯂꯩꯔꯕꯗꯤ, ꯔꯦꯗ ꯕ꯭ꯂꯗ ꯁꯦꯂꯁꯤꯡ ꯄꯨꯊꯣꯀꯄꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯒꯗꯕꯥ ꯍꯤꯗꯥꯀꯁꯤꯡ ꯆꯥꯒꯗꯕꯅꯤ꯫
- ꯁꯔꯨ ꯇꯥꯡ ꯁꯣꯀꯄꯥ ꯊꯤꯡꯅꯕꯥ ꯚꯤꯇꯥꯃꯤꯟ Dꯒꯨꯝꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ꯫
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯀꯤꯗꯅꯤꯁꯤꯡ ꯑꯗꯨ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯁꯣꯀꯍꯜꯂꯕꯗꯤ (End-Stage Kidney Disease) ꯀꯔꯤ ꯇꯧꯒꯗꯒꯦ?
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯂꯥꯌꯅꯥ ꯑꯁꯤꯅꯥ ꯁ꯭ꯇꯦꯖ 5ꯗꯥ ꯌꯧꯔꯛꯂꯕꯗꯤ, ꯃꯁꯤꯅꯥ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯀꯤꯗꯅꯤ ꯐꯦꯜ ꯑꯣꯏꯔꯦ ꯍꯥꯌꯕꯅꯤ, ꯅꯍꯥꯛꯅꯥ ꯍꯤꯡꯅꯕꯒꯤꯗꯃꯛ ꯑꯇꯩ ꯃꯦꯊꯗꯁꯤꯡ ꯁꯤꯖꯤꯟꯅꯒꯗꯕꯅꯤ꯫ ꯃꯗꯨꯒꯤꯗꯃꯛ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯑꯣꯄꯁꯟ ꯑꯅꯤ ꯂꯩ꯫
1. ꯗꯥꯏꯑꯦꯂꯥꯏꯁꯤꯁ: ꯗꯥꯏꯑꯦꯂꯥꯏꯁꯤꯁ ꯍꯥꯌꯕꯁꯤ ꯃꯦꯁꯤꯟ ꯑꯃꯒꯤ ꯃꯇꯦꯡꯅꯥ ꯀꯤꯗꯅꯤꯅꯥ ꯇꯧꯕꯥ ꯉꯃꯗꯕꯥ ꯏ ꯑꯗꯨ ꯁꯦꯡꯗꯣꯀꯄꯒꯤ ꯊꯧꯑꯣꯡꯅꯤ꯫
- ꯍꯦꯃꯣꯗꯥꯏꯑꯦꯂꯥꯏꯁꯤꯁ: ꯃꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯏ ꯑꯗꯨ ꯃꯦꯁꯤꯟ ꯑꯃꯗꯥ ꯊꯥꯗꯣꯀꯏ, ꯃꯐꯃꯗꯨꯗꯥ ꯑꯃꯣꯠꯄꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ ꯂꯧꯊꯣꯀꯏ ꯑꯃꯁꯨꯡ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯍꯟꯖꯤꯅꯍꯜꯂꯤ꯫ ꯃꯁꯤ ꯃꯍꯧꯁꯥꯅꯥ ꯅꯨꯃꯤꯠ ꯈꯨꯗꯤꯡꯒꯤ ꯑꯍꯨꯝ ꯊꯣꯛꯅꯥ ꯇꯧꯏ, ꯃꯇꯝ ꯈꯨꯗꯤꯡꯒꯤ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯄꯨꯡ 4꯫
- ꯄꯦꯔꯤꯇꯣꯅꯤꯑꯦꯜ ꯗꯥꯏꯑꯦꯂꯥꯏꯁꯤꯁ: ꯃꯁꯤꯗꯥ, ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯊꯝꯂꯤꯕꯥ ꯇꯤꯎꯕ ꯑꯃꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯑꯈꯟꯅꯕꯥ ꯐ꯭ꯂꯨꯏꯗ ꯑꯃꯥ ꯏꯅꯖꯦꯀꯁꯟ ꯇꯧꯏ꯫ ꯐ꯭ꯂꯨꯏꯗ ꯑꯗꯨꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡꯗꯒꯤ ꯑꯃꯣꯠꯄꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ ꯂꯧꯊꯣꯛꯂꯕꯥ ꯃꯇꯨꯡꯗꯥ, ꯃꯗꯨ ꯆꯞ ꯃꯥꯟꯅꯕꯥ ꯇꯤꯎꯕ ꯑꯗꯨꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯂꯧꯊꯣꯀꯏ꯫ ꯃꯁꯤ ꯌꯨꯃꯗꯥ, ꯍꯣꯁ꯭ꯄꯤꯇꯥꯂꯗꯥ ꯆꯠꯍꯟꯗꯅꯥ ꯄꯥꯡꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫
2. ꯀꯤꯗꯅꯤ ꯇ꯭ꯔꯥꯟꯁꯞꯂꯥꯟꯇ: ꯑꯁꯣꯀꯄꯥ ꯀꯤꯗꯅꯤ ꯑꯃꯕꯨ ꯍꯀꯁꯦꯜ ꯐꯕꯥ ꯀꯤꯗꯅꯤ ꯑꯃꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯁꯔꯖꯤꯀꯦꯜ ꯑꯣꯏꯅꯥ ꯃꯍꯨꯠ ꯁꯤꯅꯕꯥ꯫ ꯃꯁꯤ ꯍꯤꯡꯂꯤꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯗꯒꯤ (ꯃꯍꯧꯁꯥꯅꯥ ꯏꯃꯨꯡꯒꯤ ꯃꯤꯑꯣꯏ ꯑꯃꯗꯒꯤ) ꯅꯠꯠꯔꯒꯥ ꯁꯤꯈ꯭ꯔꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯗꯒꯤ (ꯑꯣꯔꯒꯥꯟ ꯗꯣꯅꯔ) ꯇꯧꯕꯥ ꯌꯥꯏ꯫
ꯇꯦꯛ-ꯍꯣꯝ ꯃꯦꯁꯦꯖ ꯇꯧꯕꯥ꯫
- ꯀ꯭ꯔꯣꯅꯤꯛ ꯀꯤꯗꯅꯤ ꯗꯤꯖꯤꯖ ꯍꯥꯌꯕꯁꯤ ꯃꯇꯃꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ ꯀꯤꯗꯅꯤꯒꯤ ꯐꯉ꯭ꯀꯁꯟ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯍꯟꯊꯔꯀꯄꯅꯤ꯫
- ꯃꯁꯤꯒꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯆꯥꯎꯕꯥ ꯈꯨꯗꯣꯡꯊꯤꯕꯥ ꯑꯁꯤꯗꯤ ꯃꯁꯤꯅꯥ ꯑꯍꯥꯅꯕꯥ ꯇꯥꯉ꯭ꯀꯛꯇꯥ ꯂꯥꯏꯑꯣꯡ ꯎꯠꯄꯥ ꯉꯃꯗꯕꯥ ꯌꯥꯏ . ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯗꯥꯏꯑꯦꯕꯦꯇꯤꯖ ꯑꯃꯁꯨꯡ ꯍꯥꯏ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯅꯥ ꯃꯈꯣꯌꯒꯤ ꯀꯤꯗꯅꯤꯁꯤꯡ ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯆꯦꯛ ꯇꯧꯕꯥ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫
- ꯂꯥꯌꯅꯥ ꯑꯁꯤ ꯃꯄꯨꯡ ꯐꯥꯅꯥ ꯐꯍꯅꯕꯥ ꯉꯃꯗ꯭ꯔꯕꯁꯨ, [...]ꯀꯤꯗꯅꯤꯁꯤꯡꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯄꯥ ꯑꯁꯤ ꯃꯇꯤꯛ ꯆꯥꯕꯥ ꯂꯥꯏꯌꯦꯡ ꯑꯃꯁꯨꯡ ꯄꯨꯟꯁꯤ ꯃꯍꯤꯡꯗꯥ ꯑꯍꯣꯡꯕꯥ ꯄꯨꯔꯛꯇꯨꯅꯥ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯥ ꯌꯥꯏ꯫
- ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯤ ꯏꯅꯁ꯭ꯠꯔꯛꯁꯅꯁꯤꯡ ꯑꯗꯨ ꯆꯞ ꯆꯥꯅꯥ ꯏꯅꯒꯗꯕꯅꯤ꯫ ꯅꯍꯥꯛꯀꯤ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ ꯑꯗꯨ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯂꯧ, ꯅꯍꯥꯛꯀꯤ ꯗꯥꯏꯠ ꯑꯗꯨ ꯀꯟꯠꯔꯣꯜ ꯇꯧ ꯑꯃꯁꯨꯡ ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯇꯧ꯫
- ꯑꯗꯣꯃꯗꯥ ꯂꯥꯌꯅꯥ ꯑꯁꯤ ꯂꯩ ꯍꯥꯌꯕꯥ ꯈꯉꯕꯗꯥ ꯑꯀꯤꯕꯥ ꯂꯩꯔꯣꯏꯗꯕꯅꯤ꯫ ꯃꯇꯤꯛ ꯆꯥꯕꯥ ꯃꯦꯅꯦꯖꯃꯦꯟꯇꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯕꯥ ꯄꯨꯟꯁꯤ ꯑꯃꯥ ꯍꯤꯡꯕꯥ ꯉꯃꯒꯅꯤ꯫ ꯃꯁꯤꯗꯁꯨ ꯅꯠꯇꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯏꯃꯨꯡ-ꯃꯅꯨꯡ ꯑꯃꯁꯨꯡ ꯃꯔꯨꯞ-ꯃꯄꯥꯡꯁꯤꯡꯒꯤ ꯃꯇꯦꯡꯁꯨ ꯂꯧꯕꯤꯌꯨ꯫
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