ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯑꯔꯨꯝꯕꯥ ꯑꯗꯨꯗꯁꯨ ꯌꯥꯝꯅꯥ ꯋꯥꯅꯥ ꯊꯣꯛꯂꯤꯕ꯭ꯔꯥ? ꯅꯍꯥꯛꯅꯥ ꯀꯌꯥ ꯌꯥꯝꯅꯥ ꯍꯣꯠꯅꯔꯕꯁꯨ, ꯑꯔꯨꯝꯕꯥ ꯍꯟꯊꯍꯅꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯅꯍꯥꯛꯅꯥ ꯈꯜꯂꯤꯕꯥ ꯑꯗꯨꯒꯨꯝꯅꯥ ꯂꯥꯏꯕꯛ ꯐꯕꯅꯤ? ꯅꯍꯥꯛꯅꯥ ꯈꯜꯂꯃꯒꯅꯤ, "ꯑꯩꯅꯥ ꯆꯨꯝꯅꯥ ꯆꯥꯗꯦ, ꯑꯩꯒꯤ ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯇꯧꯕꯒꯤ ꯋꯥꯁꯛ ꯂꯩꯇꯦ꯫" ꯑꯗꯨꯕꯨ ꯇꯁꯦꯡꯕꯗꯤ ꯑꯣꯕꯦꯁꯤꯇꯤ ꯍꯥꯌꯕꯁꯤ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯆꯥꯕꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯗꯕꯥ ꯍꯥꯌꯕꯁꯤꯅꯤ꯫ ꯃꯁꯤ ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯃꯊꯧ ꯇꯥꯕꯥ ꯍꯦꯟꯅꯥ ꯀꯝꯞꯂꯦꯛꯁ ꯑꯣꯏꯕꯥ, ꯀ꯭ꯔꯣꯅꯤꯛ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫ ꯉꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯔꯤꯕꯥ ꯑꯁꯤ ꯃꯗꯨꯅꯤ꯫
ꯀ꯭ꯂꯥꯁ III ꯑꯣꯕꯦꯁꯤꯇꯤ ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ?
ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯀ꯭ꯂꯥꯁ III ꯑꯣꯕꯦꯁꯤꯇꯤ ꯑꯁꯤ ꯑꯣꯕꯦꯁꯤꯇꯤꯒꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯁꯥꯊꯤꯕꯥ ꯃꯑꯣꯡꯅꯤ꯫ ꯍꯥꯟꯅꯗꯤ ꯃꯁꯤꯕꯨ "ꯃꯣꯔꯕꯤꯗ ꯑꯣꯕꯦꯁꯤꯇꯤ" ꯍꯥꯌꯅꯥ ꯀꯧꯅꯔꯝꯃꯤ, ꯑꯗꯨꯕꯨ ꯋꯥꯍꯩ ꯑꯗꯨꯗꯤ ꯈꯔꯥ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯋꯥꯐꯝ ꯑꯃꯅꯤ, ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯍꯧꯖꯤꯛꯇꯤ ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ "ꯀ꯭ꯂꯥꯁ III ꯑꯣꯕꯦꯁꯤꯇꯤ" ꯍꯥꯌꯕꯥ ꯃꯃꯤꯡ ꯑꯁꯤ ꯁꯤꯖꯤꯟꯅꯔꯦ꯫
ꯑꯣꯕꯦꯁꯤꯇꯤ ꯌꯦꯡꯁꯤꯟꯅꯕꯥ ꯁꯤꯖꯤꯟꯅꯔꯤꯕꯥ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯈꯣꯡꯊꯥꯡ ꯑꯃꯗꯤ ꯕꯣꯗꯤ ꯃꯥꯁ ꯏꯟꯗꯦꯛꯁ (BMI) . ꯃꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯋꯥꯡꯕꯒꯤ ꯆꯥꯡ ꯑꯗꯨꯒꯤꯗꯃꯛ ꯍꯀꯁꯦꯜ ꯐꯕꯥ ꯑꯔꯨꯝꯕꯥ ꯑꯃꯗꯥ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯎꯠꯂꯤꯕꯥ ꯏꯆꯝ ꯆꯝꯕꯥ ꯍꯤꯁꯥꯕ ꯑꯃꯅꯤ꯫
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ BMI ꯑꯗꯨ 40 ꯅꯠꯠꯔꯒꯥ ꯃꯁꯤꯗꯒꯤ ꯍꯦꯅꯕꯥ ꯑꯣꯏꯔꯕꯗꯤ, ꯃꯁꯤ ꯀ꯭ꯂꯥꯁ III ꯑꯣꯕꯦꯁꯤꯇꯤ ꯍꯥꯌꯅꯥ ꯂꯧꯏ꯫
ꯑꯗꯨꯕꯨ ꯅꯤꯡꯁꯤꯡꯕꯤꯌꯨ, BMI ꯑꯁꯤ ꯃꯇꯝ ꯄꯨꯝꯅꯃꯛꯇꯥ 100% ꯑꯆꯨꯝꯕꯥ ꯃꯥꯄꯂꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯃꯁꯜ ꯌꯥꯝꯅꯥ ꯂꯩꯕꯥ ꯁꯥꯟꯅꯔꯣꯏ ꯑꯃꯅꯥ ꯕꯤ.ꯑꯦꯝ.ꯑꯥꯏ. ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯗꯣꯛꯇꯔ ꯑꯃꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯌꯦꯡꯁꯤꯅꯕꯥ ꯃꯇꯃꯗꯥ, ꯃꯍꯥꯛꯅꯥ ꯅꯍꯥꯛꯀꯤ BMI ꯑꯗꯨ ꯈꯛꯇꯥ ꯅꯠꯇꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯀꯣꯀꯊꯛꯇꯥ ꯂꯩꯕꯥ ꯃꯐꯝ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯒꯤ ꯐꯦꯠ ꯂꯦꯌꯥꯔꯒꯤ ꯑꯔꯨꯝꯕꯥ ꯑꯗꯨꯒꯨꯝꯕꯥ ꯑꯇꯩ ꯄꯣꯠꯁꯀꯁꯤꯡꯁꯨ ꯌꯦꯡꯁꯤꯅꯒꯅꯤ꯫
ꯃꯔꯨꯑꯣꯏꯕꯥ ꯋꯥꯐꯃꯗꯤ ꯃꯁꯤ ꯂꯥꯏꯌꯦꯡꯕꯥ ꯌꯥꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫ ꯅꯨꯃꯤꯠ ꯈꯨꯗꯤꯡꯒꯤ ꯁꯣꯂꯨꯁꯟ ꯑꯃꯠꯇꯥ ꯂꯩꯠꯔꯤꯉꯩꯗꯥ, ꯅꯍꯥꯛ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯄꯨꯟꯅꯥ ꯊꯕꯛ ꯇꯧꯃꯤꯟꯅꯗꯨꯅꯥ ꯅꯍꯥꯛꯀꯤꯗꯃꯛꯇꯥ ꯊꯕꯛ ꯇꯧꯕꯥ ꯉꯝꯕꯥ ꯍꯀꯁꯦꯜ ꯐꯕꯥ ꯑꯔꯨꯝꯕꯥ ꯑꯃꯥ ꯌꯧꯅꯕꯥ ꯊꯧꯔꯥꯡ ꯑꯃꯥ ꯁꯦꯝꯕꯥ ꯌꯥꯏ꯫
ꯑꯣꯕꯦꯁꯤꯇꯤꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?
ꯀ꯭ꯂꯥꯁ III ꯑꯣꯕꯦꯁꯤꯇꯤꯒꯤ ꯑꯀꯛꯅꯕꯥ ꯂꯥꯏꯑꯣꯡ ꯑꯃꯠꯇꯥ ꯂꯩꯇꯦ꯫ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯂꯥꯏꯑꯣꯡꯗꯤ BMI 40ꯗꯒꯤ ꯍꯦꯅꯕꯥ ꯑꯁꯤꯅꯤ, ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤꯅꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯇꯣꯉꯥꯟ-ꯇꯣꯉꯥꯅꯕꯥ ꯃꯐꯃꯁꯤꯡꯗꯥ ꯁꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ ꯑꯃꯁꯨꯡ ꯍꯀꯁꯦꯂꯒꯤ ꯑꯀꯅꯕꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯗꯥ ꯑꯩꯈꯣꯌꯅꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯄꯨꯛꯅꯤꯡ ꯆꯪꯕꯥ ꯃꯊꯧ ꯇꯥꯏ꯫
ꯃꯁꯤꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯕꯥ ꯑꯆꯧꯕꯥ ꯍꯀꯁꯦꯂꯒꯤ ꯁꯃꯁ꯭ꯌꯥ ꯈꯔꯥ ꯃꯈꯥꯗꯥ ꯌꯦꯡꯁꯤ꯫
| ꯍꯀꯆꯥꯡꯒꯤ ꯁꯤꯁ꯭ꯇꯦꯝ꯫ | ꯑꯣꯏꯊꯣꯀꯄꯥ ꯌꯥꯕꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯂꯥꯌꯅꯥꯁꯤꯡ꯫ |
|---|---|
| ꯍꯥꯔꯠ ꯑꯃꯁꯨꯡ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯂꯁꯤꯡ꯫ | ꯍꯥꯔꯇꯀꯤ ꯂꯥꯌꯅꯥ, ꯍꯥꯏ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ (Hypertension), ꯑꯥꯔꯇꯦꯔꯤꯁꯤꯡꯗꯥ ꯐꯦꯇꯤ ꯗꯤꯄꯣꯖꯤꯠ (Atherosclerosis) |
| ꯔꯦꯁ꯭ꯄꯤꯔꯦꯇꯔꯤ ꯁꯤꯁ꯭ꯇꯦꯝ꯫ | ꯅꯣꯡꯃꯩ ꯀꯥꯞꯄꯥ ꯑꯃꯁꯨꯡ ꯁ꯭ꯂꯤꯞ ꯑꯦꯄꯅꯤꯌꯥ (Obstructive Sleep Apnea), ꯑꯣꯕꯦꯁꯤꯇꯤꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ (Obesity Hypoventilation Syndrome - OHS) |
| ꯑꯦꯅꯗꯣꯛꯔꯥꯏꯟ ꯁꯤꯁ꯭ꯇꯦꯝ (ꯍꯣꯔꯃꯣꯅꯁꯤꯡ) . | ꯇꯥꯏꯞ 2 ꯗꯥꯏꯑꯦꯕꯦꯇꯤꯖ, ꯃꯦꯇꯥꯕꯣꯂꯤꯛ ꯁꯤꯟꯗ꯭ꯔꯣꯝ꯫ |
| ꯁꯔꯨ ꯑꯃꯁꯨꯡ ꯁꯔꯨ ꯇꯥꯡꯁꯤꯡ꯫ | ꯃꯔꯨꯑꯣꯏꯅꯥ ꯈꯨꯎ ꯑꯃꯁꯨꯡ ꯈꯣꯡꯗꯥ ꯑꯣꯁ꯭ꯇꯤꯑꯣꯑꯔꯊ꯭ꯔꯥꯏꯇꯤꯁ꯫ |
| ꯂꯤꯚꯔ ꯑꯃꯁꯨꯡ ꯀꯤꯗꯅꯤꯁꯤꯡ꯫ | ꯐꯦꯇꯤ ꯂꯤꯚꯔ ꯗꯤꯖꯤꯖ, ꯀꯤꯗꯅꯤ ꯗꯤꯖꯤꯖ꯫ |
| ꯀꯦꯟꯁꯔꯒꯤ ꯔꯤꯁ꯭ꯛ ꯂꯩꯕꯥ꯫ | ꯄꯦꯅꯛꯔꯤꯑꯦꯇꯤꯛ, ꯀꯣꯂꯣꯟ, ꯕ꯭ꯔꯦꯁ꯭ꯠ ꯑꯃꯁꯨꯡ ꯂꯤꯚꯔ ꯀꯦꯟꯁꯔꯒꯤ ꯔꯤꯁ꯭ꯛ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ꯫ |
| ꯃꯦꯟꯇꯦꯜ ꯍꯦꯜꯊ꯫ | ꯗꯤꯞꯔꯦꯁꯟ ꯑꯃꯁꯨꯡ ꯑꯇꯩ ꯃꯦꯟꯇꯦꯜ ꯍꯦꯂꯊ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯃꯁꯤꯡ꯫ |
| ꯔꯤꯞꯔꯗꯛꯇꯤꯚ ꯍꯦꯂꯊ꯫ | ꯅꯨꯄꯤ ꯑꯃꯁꯨꯡ ꯅꯨꯄꯥ ꯑꯅꯤꯃꯛꯀꯤ ꯑꯉꯥꯡ ꯄꯣꯀꯄꯒꯤ ꯇꯧꯕꯥ ꯉꯝꯕꯗꯥ ꯁꯣꯀꯍꯜꯂꯤꯕꯥ ꯐꯔꯇꯤꯂꯤꯇꯤꯒꯤ ꯋꯥꯐꯃꯁꯤꯡ꯫ |
ꯃꯁꯤ ꯀꯔꯤꯒꯤ ꯊꯣꯛꯂꯤꯕꯅꯣ? ꯑꯣꯕꯦꯁꯤꯇꯤꯒꯤ ꯃꯔꯃꯁꯤꯡ ꯀꯔꯤꯅꯣ?
ꯃꯤꯑꯣꯏ ꯀꯌꯥꯅꯥ ꯊꯥꯖꯩ ꯃꯗꯨꯗꯤ ꯑꯔꯨꯝꯕꯥ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ ꯑꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯆꯥꯔꯤꯕꯥ ꯆꯤꯟꯖꯥꯛꯀꯤ ꯆꯥꯡ ꯑꯃꯁꯨꯡ ꯑꯩꯈꯣꯌꯅꯥ ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯇꯧꯕꯒꯤ ꯆꯥꯡꯒꯤ ꯃꯔꯛꯇꯥ ꯕꯦꯂꯦꯟꯁ ꯂꯩꯇꯕꯅꯥ ꯊꯣꯀꯍꯅꯕꯅꯤ꯫ ꯃꯗꯨ ꯆꯥꯡ ꯈꯔꯗꯥ ꯑꯆꯨꯝꯕꯅꯤ꯫ ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯅꯥ ꯃꯩ ꯆꯥꯀꯄꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯀꯦꯂꯣꯔꯤ ꯍꯦꯟꯅꯥ ꯆꯥꯕꯥ ꯃꯇꯃꯗꯥ, ꯑꯍꯦꯅꯕꯥ ꯑꯦꯅꯔꯖꯤ ꯑꯗꯨ ꯍꯀꯆꯥꯡꯗꯥ ꯐꯦꯠ (adipose tissue) ꯑꯣꯏꯅꯥ ꯊꯃꯖꯤꯜꯂꯤ꯫
ꯑꯗꯨꯕꯨ ꯋꯥꯔꯤ ꯑꯁꯤꯗꯤ ꯃꯐꯝ ꯑꯗꯨꯗꯥ ꯂꯣꯏꯁꯤꯅꯈꯤꯗꯦ꯫ ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯀꯝꯞꯂꯦꯛꯁ ꯑꯣꯏꯕꯥ ꯋꯥꯐꯝ ꯑꯃꯅꯤ꯫
ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯗꯤ: ꯅꯤꯡꯁꯤꯡꯕꯤꯌꯨ, ꯀ꯭ꯂꯥꯁ III ꯑꯣꯕꯦꯁꯤꯇꯤ ꯑꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯅꯍꯥꯛꯀꯤ ꯆꯥꯅꯕꯥ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯥ ꯉꯃꯗꯕꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯅꯠꯇꯦ꯫
ꯃꯁꯤꯗꯥ ꯁꯣꯀꯍꯜꯂꯤꯕꯥ ꯑꯇꯣꯞꯄꯥ ꯃꯔꯝ ꯀꯌꯥ ꯑꯃꯁꯨ ꯂꯩꯔꯤ:
- ꯖꯦꯅꯦꯇꯤꯛꯁ: ꯑꯣꯕꯦꯁꯤꯇꯤꯒꯥ ꯃꯔꯤ ꯂꯩꯅꯕꯥ ꯖꯤꯟ ꯱꯵ ꯍꯦꯟꯅꯥ ꯈꯉꯗꯣꯀꯈ꯭ꯔꯦ ꯍꯥꯌꯕꯥ ꯈꯉꯕꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯉꯀꯄꯥ ꯄꯣꯛꯀꯅꯤ꯫ ꯃꯤꯑꯣꯏ ꯈꯔꯗꯤ ꯖꯤꯅꯦꯇꯤꯛ ꯑꯣꯏꯅꯥ ꯑꯔꯨꯝꯕꯥ ꯍꯦꯅꯒꯠꯂꯀꯄꯒꯤ ꯊꯧꯑꯣꯡ ꯂꯩ꯫ ꯄ꯭ꯔꯦꯗꯔ-ꯋꯤꯂꯤ ꯁꯤꯟꯗꯣꯃꯒꯨꯝꯕꯥ ꯖꯦꯅꯦꯇꯤꯛ ꯀꯟꯗꯤꯁꯟ ꯈꯔꯅꯁꯨ ꯑꯣꯕꯦꯁꯤꯇꯤ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫
- ꯍꯣꯔꯃꯣꯅꯒꯤ ꯏꯃꯕꯦꯂꯦꯟꯁ (hormonal imbalances): ꯍꯣꯔꯃꯣꯅꯁꯤꯡ ꯑꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯌꯥꯝꯅꯥ ꯄꯥꯉ꯭ꯒꯜ ꯂꯩꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡꯅꯤ꯫ ꯍꯥꯌꯄꯣꯊꯥꯏꯔꯣꯏꯗꯤꯖꯝ, ꯀ꯭ꯌꯨꯁꯤꯡ ꯁꯤꯟꯗꯣꯝ, ꯑꯃꯁꯨꯡ ꯄꯣꯂꯤꯁꯤꯁ꯭ꯇꯤꯛ ꯑꯣꯕꯦꯔꯤ ꯁꯤꯟꯗꯣꯝ (PCOS)ꯒꯨꯝꯕꯥ ꯍꯣꯔꯃꯣꯅꯒꯥ ꯃꯔꯤ ꯂꯩꯅꯕꯥ ꯀꯟꯗꯤꯁꯅꯁꯤꯡꯅꯥ ꯑꯄꯥꯝꯕꯥ ꯑꯔꯨꯝꯕꯥ ꯍꯦꯅꯒꯠꯍꯅꯕꯥ ꯌꯥꯏ꯫
- ꯑꯀꯛꯅꯕꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ: ꯅꯍꯥꯛꯅꯥ ꯂꯧꯔꯤꯕꯥ ꯍꯤꯗꯥꯛ ꯈꯔꯗꯤ ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯑꯦꯟꯇꯤꯗꯤꯞꯔꯦꯁꯦꯟꯇꯁꯤꯡ, ꯑꯦꯟꯇꯤꯁꯥꯏꯀꯣꯇꯤꯀꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯀꯣꯔꯇꯤꯀꯣꯁ꯭ꯇꯦꯔꯣꯏꯗꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯁꯥꯏꯗ ꯏꯐꯦꯛꯇ ꯑꯃꯥ ꯑꯣꯏꯅꯥ ꯑꯔꯨꯝꯕꯥ ꯍꯦꯅꯒꯠꯍꯅꯕꯁꯨ ꯌꯥꯏ꯫
- ꯁꯣꯁꯤꯑꯦꯜ ꯑꯃꯁꯨꯡ ꯀꯂꯆꯔꯦꯜ ꯐꯦꯛꯇꯔꯁꯤꯡ: ꯈꯟꯊꯕꯤꯌꯨ, ꯇꯦꯂꯤꯚꯤꯖꯟ ꯑꯃꯁꯨꯡ ꯏꯟꯇꯔꯅꯦꯇꯇꯥ ꯍꯥꯏ-ꯀꯦꯂꯣꯔꯤ, ꯐꯥꯁ꯭ꯠ ꯐꯨꯗꯀꯤ ꯑꯦꯗꯚꯥꯔꯇꯥꯏꯖꯃꯦꯟꯇ ꯀꯌꯥ ꯂꯩꯕꯒꯦ? ꯁ꯭ꯔꯤꯂꯉ꯭ꯀꯥꯗꯁꯨ ꯍꯧꯖꯤꯛꯇꯤ "ꯁꯣꯠ-ꯏꯇꯁ" ꯗꯨꯀꯥꯟ ꯑꯃꯥ ꯅꯠꯔꯒꯥ ꯕꯦꯀꯔꯤ ꯑꯃꯥ ꯐꯪꯕꯗꯥ ꯂꯥꯌꯕꯥ ꯑꯣꯏꯔꯦ, ꯑꯗꯨꯕꯨ ꯑꯐꯕꯥ ꯎꯍꯩ ꯑꯃꯁꯨꯡ ꯃꯅꯥ-ꯃꯁꯤꯡ ꯈꯔꯥ ꯐꯪꯕꯗꯥ ꯑꯋꯥꯕꯥ ꯑꯣꯏꯔꯦ꯫ ꯃꯁꯤꯗꯁꯨ ꯅꯠꯇꯅꯥ ꯑꯩꯈꯣꯌꯅꯥ ꯆꯥꯔꯤꯕꯥ ꯆꯤꯟꯖꯥꯀꯁꯤꯡꯒꯤ ꯄꯣꯔꯁꯟ ꯁꯥꯏꯖ ꯑꯁꯤ ꯍꯥꯟꯅꯗꯒꯤ ꯍꯧꯖꯤꯛ ꯌꯥꯝꯅꯥ ꯆꯥꯎꯔꯦ꯫
- ꯑꯦꯅꯚꯥꯏꯔꯅꯃꯦꯟꯇ ꯑꯃꯁꯨꯡ ꯏꯀꯣꯅꯣꯃꯤꯛ ꯐꯦꯛꯇꯔꯁꯤꯡ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯐꯥꯁ꯭ꯠ ꯐꯨꯗ ꯑꯁꯤ ꯃꯆꯤ ꯑꯣꯏꯕꯥ ꯆꯤꯟꯖꯥꯀꯁꯤꯡꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯁꯦꯟꯗꯣꯡ ꯂꯩꯕꯥ ꯑꯃꯁꯨꯡ ꯐꯪꯕꯗꯥ ꯂꯥꯌꯕꯥ ꯑꯣꯏ꯫ ꯃꯁꯤꯗꯁꯨ ꯅꯠꯇꯅꯥ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯈꯣꯡꯅꯥ ꯆꯠꯄꯥ ꯑꯃꯁꯨꯡ ꯁꯥꯖꯦꯜ ꯇꯧꯅꯕꯥ ꯁꯥꯐꯕꯥ ꯃꯐꯝ ꯅꯠꯠꯔꯒꯥ ꯄꯥꯔꯀꯁꯤꯡ ꯂꯩꯇꯕꯥ ꯃꯐꯝ ꯑꯃꯗꯥ ꯂꯩꯔꯕꯗꯤ, ꯃꯗꯨꯁꯨ ꯑꯔꯨꯝꯕꯥ ꯍꯦꯅꯒꯠꯍꯅꯕꯗꯁꯨ ꯃꯇꯦꯡ ꯄꯥꯡꯕꯥ ꯌꯥꯏ꯫
ꯑꯔꯨꯝꯕꯥ ꯍꯦꯅꯒꯠꯂꯀꯄꯒꯤ ꯔꯤꯁ꯭ꯛ ꯍꯦꯅꯒꯠꯍꯅꯕꯥ ꯑꯇꯩ ꯐꯦꯛꯇꯔꯁꯤꯡ꯫
ꯃꯊꯛꯇꯥ ꯄꯅꯈ꯭ꯔꯤꯕꯥ ꯃꯔꯃꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯊꯛꯇꯥ, ꯐꯦꯛꯇꯔꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯔꯤꯁ꯭ꯛ ꯑꯗꯨꯁꯨ ꯍꯦꯅꯒꯠꯍꯅꯕꯥ ꯌꯥꯏ:
- ꯇꯨꯝꯕꯥ ꯋꯥꯠꯄꯥ: ꯔꯤꯁꯔꯆꯅꯥ ꯅꯣꯡꯃꯗꯥ ꯄꯨꯡ ꯷ꯇꯒꯤ ꯇꯥꯅꯥ ꯇꯨꯝꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯕꯤ.ꯑꯦꯝ.ꯑꯥꯏ.
- ꯀ꯭ꯔꯣꯅꯤꯛ ꯁ꯭ꯠꯔꯦꯁ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯁ꯭ꯠꯔꯦꯁ ꯂꯩꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡꯅꯥ ``ꯀꯣꯔꯇꯤꯁꯣꯜ``ꯒꯨꯝꯕꯥ ꯍꯣꯔꯃꯣꯅꯁꯤꯡ ꯊꯥꯗꯣꯀꯏ꯫ꯍꯣꯔꯃꯣꯅꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯂꯃꯆꯠ-ꯁꯥꯖꯠ ꯑꯃꯁꯨꯡ ꯑꯦꯅꯔꯖꯤ ꯃꯦꯇꯥꯕꯣꯂꯤꯖꯝ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯏ, ꯃꯗꯨꯅꯥ ꯑꯔꯨꯝꯕꯥ ꯍꯦꯅꯒꯠꯍꯅꯕꯥ ꯌꯥꯏ꯫
- ꯆꯍꯤ: ꯅꯍꯥꯛꯅꯥ ꯆꯍꯤ ꯌꯥꯃꯈꯠꯂꯀꯄꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯃꯦꯇꯥꯕꯣꯂꯤꯖꯝ ꯑꯗꯨ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯍꯦꯅꯒꯠꯂꯀꯏ, ꯃꯗꯨꯅꯥ ꯑꯔꯨꯝꯕꯥ ꯍꯦꯅꯒꯠꯂꯀꯄꯒꯤ ꯔꯤꯁ꯭ꯛ ꯍꯦꯅꯒꯠꯍꯜꯂꯤ꯫
- ꯖꯦꯟꯗꯔ: ꯃꯍꯧꯁꯥꯅꯥ ꯅꯨꯄꯤꯁꯤꯡꯅꯥ ꯅꯨꯄꯥꯁꯤꯡꯗꯒꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯐꯦꯠ ꯍꯦꯟꯅꯥ ꯋꯥꯡꯏ, ꯑꯃꯁꯨꯡ ꯃꯈꯣꯌꯅꯥ ꯃꯤꯔꯣꯜꯂꯤꯉꯩ ꯑꯃꯁꯨꯡ ꯃꯦꯅꯣꯄꯣꯖꯒꯤ ꯃꯇꯃꯗꯁꯨ ꯑꯔꯨꯝꯕꯥ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ ꯌꯥꯏ꯫
ꯗꯣꯛꯇꯔ ꯑꯃꯅꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯈꯪꯗꯣꯀꯄꯥ ꯉꯃꯒꯅꯤ?
ꯅꯍꯥꯛꯅꯥ ꯗꯣꯛꯇꯔ ꯑꯃꯗꯥ ꯆꯠꯄꯥ ꯃꯇꯃꯗꯥ, ꯃꯍꯥꯛꯅꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯀꯅꯐꯥꯔꯝ ꯇꯧꯅꯕꯥ ꯈꯣꯡꯊꯥꯡ ꯀꯌꯥ ꯂꯧꯈꯠꯀꯅꯤ꯫
1. ꯕꯣꯗꯤ ꯃꯥꯁ ꯏꯟꯗꯦꯛꯁ (BMI) ꯀꯦꯂꯀꯨꯂꯦꯁꯟ: ꯑꯍꯥꯅꯕꯗꯥ, ꯅꯍꯥꯛꯀꯤ ꯑꯋꯥꯡꯕꯥ ꯑꯃꯁꯨꯡ ꯑꯔꯨꯝꯕꯥ ꯑꯗꯨ ꯂꯦꯄꯊꯣꯀꯏ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ BMI ꯑꯗꯨ ꯂꯦꯄꯊꯣꯀꯏ꯫
2. ꯀꯣꯛ ꯆꯤꯀꯄꯥ (waist circumference measurement): ꯃꯁꯤꯁꯨ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯥꯄꯜ ꯑꯃꯅꯤ, ꯃꯔꯃꯗꯤ ꯈꯣꯡꯒꯤ ꯑꯀꯣꯌꯕꯗꯥ ꯊꯥꯗꯣꯔꯀꯄꯥ ꯐꯦꯠꯅꯥ ꯍꯥꯔꯇꯀꯤ ꯂꯥꯌꯅꯥꯒꯨꯝꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡꯒꯤ ꯔꯤꯁ꯭ꯛ ꯍꯦꯅꯒꯠꯍꯜꯂꯤ꯫
- ꯅꯨꯄꯤꯁꯤꯡꯒꯤ ꯑꯣꯏꯅꯗꯤ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯁꯤ ꯏꯟꯆꯤ 35ꯗꯒꯤ ꯍꯦꯜꯂꯕꯗꯤ꯫
- ꯅꯨꯄꯥꯁꯤꯡꯒꯤ ꯑꯣꯏꯅꯗꯤ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯁꯤ ꯏꯟꯆꯤ 40ꯗꯒꯤ ꯍꯦꯜꯂꯕꯗꯤ꯫
- (ꯑꯩꯈꯣꯌꯒꯤ ꯈꯥ ꯑꯦꯁꯤꯌꯥꯒꯤ ꯃꯤꯑꯣꯏꯁꯤꯡꯒꯤ ꯑꯣꯏꯅꯗꯤ ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯍꯦꯟꯅꯥ ꯅꯦꯝꯕꯥ ꯚꯦꯜꯌꯨꯁꯤꯡ ꯑꯁꯤ ꯔꯤꯁ꯭ꯛ ꯂꯩꯕꯥ ꯑꯣꯏꯅꯥ ꯂꯧꯏ꯫)
3. ꯕ꯭ꯂꯗ ꯇꯦꯁ꯭ꯠ ꯑꯃꯁꯨꯡ ꯑꯇꯩ ꯇꯦꯁ꯭ꯇꯁꯤꯡ: ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯔꯨꯝꯕꯥ ꯍꯦꯅꯒꯠꯍꯅꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯂꯤꯕꯥ ꯑꯇꯩ ꯃꯦꯗꯤꯀꯦꯜ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯑꯣꯕꯦꯁꯤꯇꯤꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ ꯑꯗꯨ ꯈꯪꯗꯣꯛꯅꯕꯥ ꯇꯣꯉꯥꯟ-ꯇꯣꯉꯥꯅꯕꯥ ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯇꯧꯅꯕꯥ ꯄꯥꯎꯇꯥꯛ ꯄꯤꯕꯥ ꯌꯥꯏ꯫
| ꯇꯦꯁ꯭ꯇꯀꯤ ꯃꯃꯤꯡ꯫ | ꯀꯔꯤ ꯇꯦꯁ꯭ꯠ ꯇꯧꯔꯤꯕꯒꯦ? |
|---|---|
| ꯂꯤꯄꯤꯗ ꯄ꯭ꯔꯣꯐꯥꯏꯜ꯫ | ꯕ꯭ꯂꯗ ꯀꯣꯂꯦꯁ꯭ꯇꯦꯔꯣꯜ ꯑꯃꯁꯨꯡ ꯇ꯭ꯔꯥꯏꯒ꯭ꯂꯤꯁꯔꯥꯏꯗꯀꯤ ꯆꯥꯡ꯫ |
| ꯍꯤꯃꯣꯒ꯭ꯂꯣꯕꯤꯟ ꯑꯦ ꯱ꯁꯤ (HbA1C) ꯑꯃꯁꯨꯡ ꯑꯦꯟ. | ꯗꯥꯏꯑꯦꯕꯦꯇꯤꯖ ꯅꯠꯠꯔꯒꯥ ꯄ꯭ꯔꯤ-ꯗꯥꯏꯕꯦꯇꯤꯁ ꯈꯪꯗꯣꯛꯅꯕꯥ꯫ |
| ꯂꯤꯚꯔ ꯐꯉ꯭ꯀꯁꯟ ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯇꯧꯕꯥ꯫ | ꯂꯤꯚꯔꯒꯤ ꯐꯉ꯭ꯀꯁꯟ ꯑꯃꯁꯨꯡ ꯐꯦꯠ ꯗꯤꯄꯣꯖꯤꯁꯅꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯈꯪꯅꯕꯒꯤꯗꯃꯛ꯫ |
| ꯊꯥꯏꯔꯣꯏꯗ-ꯁ꯭ꯇꯤꯝꯌꯨꯂꯦꯇꯤꯡ ꯍꯣꯔꯃꯣꯟ (TSH) | ꯊꯥꯌꯔꯣꯏꯗꯀꯤ ꯐꯉ꯭ꯀꯁꯟ ꯌꯦꯡꯁꯤꯟꯅꯕꯥ꯫ |
| ꯏꯂꯦꯛꯠꯔꯣꯀꯥꯔꯗꯤꯑꯣꯒ꯭ꯔꯥꯐ (ꯏ.ꯀꯦ.ꯖꯤ.) | ꯍꯥꯔꯇꯀꯤ ꯐꯉ꯭ꯀꯁꯟ ꯆꯦꯛ ꯇꯧꯅꯕꯥ꯫ |
ꯂꯥꯏꯌꯦꯡꯕꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ? ꯃꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯀꯔꯝꯅꯥ ꯊꯦꯡꯅꯒꯅꯤ?
ꯃꯁꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯁꯔꯨꯛ ꯑꯃꯅꯤ꯫ ꯅꯤꯡꯁꯤꯡꯕꯤꯌꯨ, ꯋꯥꯟ-ꯁꯥꯏꯖ-ꯐꯤꯠ-ꯑꯣꯜ ꯇ꯭ꯔꯤꯠꯃꯦꯟꯇ ꯂꯩꯇꯦ꯫ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡ, ꯄꯨꯟꯁꯤ ꯃꯍꯤꯡ ꯑꯃꯁꯨꯡ ꯍꯀꯁꯦꯂꯒꯤ ꯄꯥꯟꯗꯃꯁꯤꯡꯗꯥ ꯌꯨꯝꯐꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯅꯍꯥꯛꯀꯤꯗꯃꯛꯇꯥ ꯑꯀꯛꯅꯕꯥ ꯂꯥꯏꯌꯦꯡꯒꯤ ꯄ꯭ꯂꯥꯟ ꯑꯃꯥ ꯃꯊꯧ ꯇꯥꯒꯅꯤ꯫ ꯃꯁꯤꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯒꯅꯤ꯫
ꯃꯔꯨꯑꯣꯏꯕꯥ ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯃꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯀꯦꯇꯦꯒꯣꯔꯤ ꯃꯔꯤꯗꯥ ꯈꯥꯌꯗꯣꯀꯄꯥ ꯌꯥꯏ:
꯱.ꯍꯀꯆꯥꯡ ꯐꯕꯥ ꯄꯨꯟꯁꯤ ꯃꯍꯤꯡꯗꯥ ꯑꯍꯣꯡꯕꯥ ꯄꯨꯔꯀꯄꯥ꯫
ꯃꯁꯤ ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯌꯨꯝꯐꯃꯅꯤ꯫
- ꯗꯥꯏꯇꯇꯥ ꯑꯍꯣꯡꯕꯥ ꯂꯥꯀꯄꯥ:ꯅꯍꯥꯛꯅꯥ ꯆꯨꯅꯕꯥ ꯕꯦꯂꯦꯟꯁ ꯗꯥꯏꯠ ꯑꯃꯥ ꯄ꯭ꯂꯥꯟ ꯇꯧꯅꯕꯥ ꯗꯥꯏꯑꯦꯇꯤꯁꯤꯌꯟ ꯑꯃꯒꯥ ꯎꯅꯗꯨꯅꯥ ꯂꯩꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯅꯥ ꯆꯥꯅꯕꯥ ꯊꯥꯗꯣꯀꯄꯥ ꯍꯥꯌꯕꯁꯤ ꯅꯠꯇꯦ, ꯑꯗꯨꯕꯨ ꯑꯆꯨꯝꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ, ꯑꯆꯨꯝꯕꯥ ꯃꯁꯤꯡꯗꯥ, ꯑꯆꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯆꯥꯕꯥ ꯍꯥꯌꯕꯁꯤꯅꯤ꯫
- ꯐꯤꯖꯤꯀꯦꯜ ꯑꯦꯛꯇꯤꯚꯤꯇꯤ: ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯇꯧꯕꯅꯥ ꯑꯔꯨꯝꯕꯥ ꯍꯟꯊꯍꯅꯕꯇꯥ ꯅꯠꯇꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯃꯦꯟꯇꯦꯜ ꯍꯦꯂꯊꯀꯤꯗꯃꯛꯇꯁꯨ ꯑꯐꯕꯥ ꯑꯣꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯑꯀꯅꯕꯥ ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯇꯧꯕꯥ ꯍꯧꯒꯅꯨ꯫ ꯅꯍꯥꯛꯀꯤꯗꯃꯛꯇꯥ ꯀꯔꯤ ꯃꯈꯂꯒꯤ ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯑꯁꯤ ꯆꯨꯝꯃꯤ ꯑꯃꯁꯨꯡ ꯀꯌꯥꯝ ꯁꯥꯡꯅꯥ ꯇꯧꯒꯗꯒꯦ ꯍꯥꯌꯕꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯇꯥꯟꯅꯧ꯫
- ꯑꯐꯕꯥ ꯇꯨꯝꯕꯥ: ꯅꯣꯡꯃꯗꯥ ꯄꯨꯡ 7-8 ꯐꯥꯎꯕꯥ ꯑꯐꯕꯥ ꯇꯨꯝꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫
- ꯁ꯭ꯠꯔꯦꯁ ꯃꯦꯅꯦꯖꯃꯦꯟꯇ: ꯁ꯭ꯠꯔꯦꯁ ꯑꯁꯤ ꯑꯔꯨꯝꯕꯥ ꯍꯦꯅꯒꯠꯂꯀꯄꯒꯤ ꯑꯆꯧꯕꯥ ꯃꯔꯝ ꯑꯃꯅꯤ꯫ ꯃꯦꯗꯤꯇꯦꯁꯟ ꯑꯃꯁꯨꯡ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯒꯤ ꯑꯦꯛꯁꯔꯁꯥꯏꯖꯒꯨꯝꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯁ꯭ꯠꯔꯦꯁ ꯃꯦꯅꯦꯖ ꯇꯧꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫
2. ꯂꯃꯆꯠ-ꯁꯥꯖꯠ ꯑꯃꯁꯨꯡ ꯁꯥꯏꯀꯣꯊꯦꯔꯥꯄꯤ꯫
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯆꯥꯅꯕꯥ ꯍꯩꯅꯕꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯁꯥꯏꯀꯣꯂꯣꯖꯤꯀꯦꯜ ꯑꯣꯏꯕꯥ ꯃꯔꯃꯁꯤꯡ ꯂꯩꯕꯥ ꯌꯥꯏ꯫ ꯗꯤꯞꯔꯦꯁꯟ ꯑꯃꯁꯨꯡ ꯑꯦꯟꯁꯤꯇꯤꯒꯨꯝꯕꯥ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ ꯑꯁꯤ ꯑꯌꯥꯝꯕꯗꯤ ꯑꯣꯕꯦꯁꯤꯇꯤꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯎꯕꯥ ꯐꯪꯏ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯁꯥꯏꯀꯣꯂꯣꯖꯤꯁ꯭ꯠ ꯑꯃꯒꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯕꯅꯥ (Talk Therapy) ꯌꯥꯝꯅꯥ ꯃꯇꯦꯡ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫ `(ꯀꯣꯒꯅꯤꯇꯤꯕ ꯕꯤꯍꯦꯕꯤꯌꯔꯜ ꯊꯦꯔꯥꯄꯤ - ꯁꯤ.ꯕꯤ.ꯇꯤ.)` ꯑꯁꯤ ꯃꯁꯤꯒꯤꯗꯃꯛꯇꯥ ꯁꯤꯖꯤꯟꯅꯔꯤꯕꯥ ꯏꯐꯦꯛꯇꯤꯕ ꯃꯦꯊꯗ ꯑꯃꯅꯤ꯫
ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ ꯳
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯄꯨꯟꯁꯤ ꯃꯍꯤꯡꯒꯤ ꯑꯍꯣꯡꯕꯥ ꯈꯛꯇꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯔꯨꯝꯕꯥ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯗꯥ ꯃꯇꯤꯛ ꯆꯥꯗ꯭ꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯔꯨꯝꯕꯥ ꯍꯟꯊꯍꯅꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯅꯕꯥ ꯍꯤꯗꯥꯀꯁꯤꯡ ꯄꯤꯕꯥ ꯌꯥꯏ꯫ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯃꯔꯨꯑꯣꯏꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯂꯃꯆꯠ-ꯁꯥꯖꯠ ꯑꯗꯨ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯗꯨꯅꯥ ꯑꯃꯁꯨꯡ ꯑꯄꯤꯀꯄꯥ ꯃꯆꯤꯟꯖꯥꯀꯁꯤꯡ ꯆꯥꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯃꯄꯨꯡ ꯐꯥꯅꯥ ꯋꯥꯈꯜ ꯇꯥꯍꯟꯗꯨꯅꯥ ꯊꯕꯛ ꯇꯧꯏ꯫
ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ: `(ꯑꯣꯔꯂꯤꯁ꯭ꯇꯦꯠ)`, `(ꯂꯤꯔꯥꯒ꯭ꯂꯨꯇꯥꯏꯗ)`, `(ꯁꯦꯃꯥꯒ꯭ꯂꯨꯇꯥꯏꯗ)`꯫
ꯍꯥꯌꯔꯤꯕꯥ ꯍꯤꯗꯥꯀꯁꯤꯡ ꯑꯁꯤ ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯄꯥꯎꯇꯥꯛ ꯃꯈꯥꯗꯥ ꯈꯛꯇꯃꯛ ꯂꯧꯒꯗꯕꯅꯤ . ꯃꯈꯣꯌꯅꯥ ꯁꯥꯏꯗ ꯏꯐꯦꯛꯇꯁꯤꯡ ꯂꯩꯕꯥ ꯌꯥꯏ, ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯛꯀꯤꯗꯃꯛꯇꯥ ꯑꯆꯨꯝꯕꯥ ꯍꯤꯗꯥꯛ ꯑꯃꯥ ꯈꯅꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯒꯅꯤ꯫
꯴.ꯑꯔꯨꯝꯕꯥ ꯍꯟꯊꯍꯅꯕꯒꯤ ꯁꯔꯖꯔꯤ ꯑꯃꯁꯨꯡ ꯊꯧꯑꯣꯡꯁꯤꯡ꯫
ꯍꯥꯌꯔꯤꯕꯥ ꯄꯥꯝꯕꯩꯁꯤꯡ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯂꯨꯕꯥ ꯑꯃꯁꯨꯡ ꯑꯇꯣꯞꯄꯥ ꯄꯥꯝꯕꯩ ꯄꯨꯝꯅꯃꯛ ꯃꯥꯌ ꯄꯥꯀꯄꯥ ꯉꯃꯗꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯒꯤꯗꯃꯛ ꯈꯟꯅꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯈꯜ ꯑꯅꯤ ꯂꯩ꯫
- ꯑꯦꯅꯗꯣꯁ꯭ꯀꯣꯄꯤꯛ ꯄ꯭ꯔꯣꯁꯤꯗ꯭ꯌꯨꯑꯣꯔꯁꯤꯡ: ꯅꯟ-ꯁꯔꯖꯤꯀꯦꯜ ꯄ꯭ꯔꯣꯁꯤꯗ꯭ꯌꯨꯑꯣꯔꯁꯤꯡ, ꯃꯈꯣꯌꯗꯨꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯦꯟꯗꯣꯁ꯭ꯀꯣꯞ (ꯀꯦꯃꯦꯔꯥ ꯑꯃꯥ ꯌꯥꯎꯕꯥ ꯇꯤꯎꯕ) ꯑꯃꯥ ꯃꯤꯠꯀꯤ ꯃꯅꯨꯡꯗꯥ ꯌꯥꯎꯍꯟꯗꯨꯅꯥ ꯈꯣꯡ ꯑꯗꯨ ꯍꯦꯟꯅꯥ ꯄꯤꯀꯄꯥ ꯑꯣꯏꯍꯜꯂꯤ꯫ ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ: ꯑꯦꯟꯗꯣꯁ꯭ꯀꯣꯄꯤꯛ ꯁ꯭ꯂꯤꯚ ꯒꯦꯁ꯭ꯠꯔꯣꯞꯂꯥꯁ꯭ꯇꯤ (ESG)꯫
- ꯕꯦꯔꯤꯌꯥꯠꯔꯤꯛ ꯁꯔꯖꯔꯤꯁꯤꯡ: ꯃꯁꯤ ꯁꯔꯖꯔꯤꯁꯤꯡꯅꯤ꯫
- ꯒ꯭ꯌꯥꯁ꯭ꯠꯔꯤꯛ ꯕꯥꯏꯄꯥꯁ ꯁꯔꯖꯔꯤ: ꯁ꯭ꯇꯣꯃꯥꯀꯀꯤ ꯑꯄꯤꯀꯄꯥ ꯁꯔꯨꯛ ꯑꯃꯥ ꯁꯦꯝꯃꯤ ꯑꯃꯁꯨꯡ ꯑꯄꯤꯀꯄꯥ ꯏꯟꯇꯦꯁ꯭ꯇꯥꯏꯅꯒꯥ ꯍꯀꯊꯦꯡꯅꯅꯥ ꯁꯝꯅꯍꯜꯂꯤ꯫
- ꯁ꯭ꯂꯤꯚ ꯒꯦꯁ꯭ꯠꯔꯦꯛꯇꯣꯃꯤ (Sleeve Gastrectomy): ꯁ꯭ꯇꯣꯃꯥꯀꯀꯤ ꯑꯆꯧꯕꯥ ꯁꯔꯨꯛ ꯑꯃꯥ ꯂꯧꯊꯣꯀꯏ, ꯃꯗꯨꯅꯥ ꯁ꯭ꯇꯣꯃꯥꯛ ꯑꯗꯨ ꯍꯦꯟꯅꯥ ꯄꯤꯀꯄꯥ ꯑꯣꯏꯍꯜꯂꯤ꯫
ꯁꯔꯖꯔꯤꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯌꯥꯝꯅꯥ ꯐꯕꯥ ꯐꯂꯁꯤꯡ ꯄꯨꯔꯀꯄꯥ ꯉꯝꯂꯕꯁꯨ, ꯃꯈꯣꯌꯗꯥ ꯔꯤꯁ꯭ꯛ ꯑꯃꯁꯨꯡ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡꯁꯨ ꯂꯩ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯂꯨꯕꯥ ꯋꯥꯔꯦꯞ ꯑꯃꯅꯤ꯫ ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯁꯥꯡꯅꯥ ꯈꯟꯅꯒꯗꯕꯅꯤ꯫
ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯍꯪꯒꯗꯕꯥ ꯋꯥꯍꯪꯁꯤꯡ꯫
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯔꯨꯝꯕꯥ ꯑꯗꯨ ꯃꯦꯅꯦꯖ ꯇꯧꯕꯗꯥ ꯑꯋꯥꯕꯥ ꯃꯥꯌꯣꯛꯅꯔꯕꯗꯤ, ꯗꯣꯛꯇꯔ ꯑꯃꯒꯥ ꯇꯥꯟꯅꯕꯗꯥ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯂꯩꯔꯣꯏꯗꯕꯅꯤ꯫ ꯃꯍꯥꯀꯄꯨ ꯎꯕꯥ ꯃꯇꯃꯗꯥ ꯋꯥꯍꯪꯁꯤꯡ ꯑꯁꯤ ꯍꯪꯕꯅꯥ ꯌꯥꯝꯅꯥ ꯃꯇꯦꯡ ꯑꯣꯏꯒꯅꯤ꯫
| ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯍꯪꯕꯤꯌꯨ꯫ |
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| - ꯑꯩꯒꯤ ꯑꯔꯨꯝꯕꯥ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ ꯌꯥꯕꯥ ꯑꯇꯣꯞꯄꯥ ꯑꯅꯥꯕꯥ ꯑꯃꯠꯇꯥ ꯂꯩꯕ꯭ꯔꯥ ? |
| - ꯑꯩꯅꯥ ꯂꯧꯔꯤꯕꯥ ꯍꯤꯗꯥꯀꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯑꯔꯨꯝꯕꯥ ꯍꯦꯅꯒꯠꯍꯅꯕꯥ ꯉꯃꯒꯗ꯭ꯔꯥ ? |
| - ꯑꯩꯒꯤ ꯄꯨꯟꯁꯤ ꯃꯍꯤꯡꯗꯥ ꯀꯔꯤ ꯂꯃꯆꯠ-ꯁꯥꯖꯠꯅꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤꯕꯨ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯁꯥꯐꯨ ꯄꯤꯈꯤꯕꯒꯦ? |
| - ꯑꯩꯒꯤ ꯑꯔꯨꯝꯕꯥ ꯑꯁꯤꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯑꯇꯣꯞꯄꯥ ꯀꯔꯤ ꯍꯀꯁꯦꯂꯒꯤ ꯁꯃꯁ꯭ꯌꯥ ꯂꯩꯕꯒꯦ ? |
| - ꯑꯩꯒꯤ ꯀꯔꯤ ꯂꯥꯌꯦꯡꯕꯒꯤ ꯑꯣꯄꯁꯅꯁꯤꯡ ꯂꯩꯕꯒꯦ ? |
| - ꯑꯩꯅꯥ ꯅ꯭ꯌꯨꯠꯔꯤꯁꯅꯒꯤ ꯃꯤꯑꯣꯏ ꯑꯃꯒꯥ ꯎꯅꯒꯗ꯭ꯔꯥ? |
| - ꯑꯔꯨꯝꯕꯥ ꯍꯟꯊꯍꯅꯕꯒꯤ ꯍꯤꯗꯥꯛ ꯅꯠꯔꯒꯥ ꯁꯔꯖꯔꯤ ꯑꯁꯤ ꯑꯩꯒꯤꯗꯃꯛꯇꯗꯤ ꯆꯨꯝꯂꯕꯔꯥ? |
ꯑꯔꯣꯏꯕꯗꯥ, ꯑꯔꯨꯝꯕꯥ ꯍꯟꯊꯍꯅꯕꯒꯤ ꯈꯣꯉꯆꯠ ꯑꯁꯤ ꯁꯤꯡꯅꯕꯥ ꯑꯃꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫ ꯂꯝꯕꯤꯗꯥ ꯑꯋꯥ-ꯑꯅꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯕꯨ ꯃꯁꯤ ꯑꯣꯏꯊꯣꯀꯄꯥ ꯉꯃꯗꯕꯥ ꯅꯠꯇꯦ꯫ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯑꯆꯧꯕꯥ ꯑꯍꯣꯡꯕꯥ ꯑꯃꯥ ꯄꯨꯔꯛꯅꯕꯥ ꯍꯣꯠꯅꯕꯒꯤ ꯃꯍꯨꯠꯇꯥ ꯃꯇꯝ ꯑꯃꯗꯥ ꯑꯄꯤꯀꯄꯥ ꯑꯍꯣꯡꯕꯥ ꯑꯃꯥ ꯄꯨꯔꯀꯎ꯫ ꯅꯍꯥꯛꯀꯤ ꯑꯄꯨꯅꯕꯥ ꯑꯔꯨꯝꯕꯥ 5% ꯅꯠꯠꯔꯒꯥ 10% ꯐꯥꯎꯕꯥ ꯍꯟꯊꯍꯅꯕꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ, ꯆꯤꯅꯤꯒꯤ ꯆꯥꯡ, ꯑꯃꯁꯨꯡ ꯀꯣꯂꯦꯁ꯭ꯇꯦꯔꯣꯂꯒꯤ ꯆꯥꯡꯒꯨꯝꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡꯗꯥ ꯑꯆꯧꯕꯥ ꯄꯣꯖꯤꯇꯤꯚ ꯑꯣꯏꯕꯥ ꯏꯝꯄꯦꯛꯇ ꯑꯃꯥ ꯄꯤꯕꯥ ꯉꯝꯃꯤ ꯍꯥꯌꯕꯁꯤ ꯅꯤꯡꯁꯤꯡꯕꯤꯌꯨ . ꯃꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯄꯨꯟꯁꯤꯒꯤ ꯃꯒꯨꯟ ꯁꯣꯏꯗꯅꯥ ꯐꯒꯠꯍꯅꯒꯅꯤ꯫
ꯇꯦꯛ-ꯍꯣꯝ ꯃꯦꯁꯦꯖ ꯇꯧꯕꯥ꯫
- ꯁꯥꯊꯤꯕꯥ ꯑꯣꯕꯦꯁꯤꯇꯤ (ꯀ꯭ꯂꯥꯁ III ꯑꯣꯕꯦꯁꯤꯇꯤ) ꯍꯥꯌꯕꯁꯤ ꯃꯤꯑꯣꯏꯕꯒꯤ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯑꯃꯅꯤ, ꯑꯗꯨꯕꯨ ꯃꯁꯤ ꯖꯦꯅꯦꯇꯤꯛ, ꯍꯣꯔꯃꯣꯟ ꯑꯃꯁꯨꯡ ꯑꯀꯣꯌꯔꯣꯅꯒꯤ ꯐꯦꯛꯇꯔ ꯀꯌꯥꯅꯥ ꯁꯣꯀꯍꯜꯂꯕꯥ ꯀꯝꯞꯂꯦꯛꯁ ꯃꯦꯗꯤꯀꯦꯜ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫
- ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤꯅꯥ ꯗꯥꯏꯑꯦꯕꯦꯇꯤꯖ, ꯍꯥꯔꯇꯀꯤ ꯂꯥꯌꯅꯥ, ꯑꯃꯁꯨꯡ ꯀꯦꯟꯁꯔꯒꯨꯝꯕꯥ ꯑꯆꯧꯕꯥ ꯍꯀꯁꯦꯂꯒꯤ ꯁꯃꯁ꯭ꯌꯥ ꯀꯌꯥ ꯊꯣꯀꯍꯜꯂꯤ, ꯑꯗꯨꯕꯨ ꯃꯁꯤ ꯃꯥꯌꯄꯥꯛꯅꯥ ꯂꯥꯏꯌꯦꯡꯕꯥ ꯉꯝꯃꯤ꯫
- ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯑꯣꯄꯁꯅꯁꯤꯡ ꯑꯁꯤ ꯃꯤꯑꯣꯏ ꯑꯃꯗꯒꯤ ꯃꯤꯑꯣꯏ ꯑꯃꯗꯥ ꯈꯦꯠꯅꯩ ꯑꯃꯁꯨꯡ ꯃꯁꯤꯗꯥ ꯄꯨꯟꯁꯤ ꯃꯍꯤꯡ ꯍꯣꯡꯗꯣꯀꯄꯥ, ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ, ꯑꯃꯁꯨꯡ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯁꯔꯖꯔꯤ ꯐꯥꯎꯕꯥ ꯌꯥꯎꯕꯥ ꯌꯥꯏ꯫
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯔꯨꯝꯕꯥ ꯑꯗꯨꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯈꯜ ꯇꯥꯔꯕꯗꯤ, ꯈꯨꯗꯛꯇꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯇꯥꯟꯅꯧ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤꯗꯃꯛꯇꯥ ꯆꯨꯅꯕꯥ ꯂꯥꯏꯌꯦꯡꯒꯤ ꯄ꯭ꯂꯥꯟ ꯑꯃꯥ ꯁꯦꯝꯃꯨ꯫
- ꯑꯄꯤꯀꯄꯥ ꯃꯥꯏꯄꯥꯀꯄꯁꯤꯡ ꯐꯥꯑꯣꯕꯥ ꯅꯤꯡꯁꯤꯡꯕꯤꯌꯨ! ꯅꯍꯥꯛꯀꯤ ꯑꯄꯨꯅꯕꯥ ꯑꯔꯨꯝꯕꯥ ꯑꯗꯨꯒꯤ 5% ꯐꯥꯎꯕꯥ ꯍꯟꯊꯍꯅꯕꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯁꯦꯂꯗꯥ ꯑꯆꯧꯕꯥ ꯑꯍꯣꯡꯕꯥ ꯑꯃꯥ ꯄꯨꯔꯀꯄꯥ ꯌꯥꯏ꯫
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