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ꯃꯁꯤ ꯍꯣꯔꯃꯣꯅꯒꯤ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯑꯃꯅꯤ ꯍꯥꯌꯕꯁꯤꯅꯤ? ꯀꯣꯟꯖꯤꯅꯤꯑꯦꯜ ꯑꯦꯗ꯭ꯔꯤꯅꯜ ꯍꯥꯏꯄꯔꯞꯂꯥꯁꯤꯌꯥ (CAH)ꯒꯤ ꯃꯔꯃꯗꯥ ꯏꯆꯝ ꯆꯝꯕꯥ ꯋꯥꯍꯟꯊꯣꯛ ꯑꯃꯗꯥ ꯈꯪꯖꯤꯅꯁꯤ꯫

ꯃꯁꯤ ꯍꯣꯔꯃꯣꯅꯒꯤ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯑꯃꯅꯤ ꯍꯥꯌꯕꯁꯤꯅꯤ? ꯀꯣꯟꯖꯤꯅꯤꯑꯦꯜ ꯑꯦꯗ꯭ꯔꯤꯅꯜ ꯍꯥꯏꯄꯔꯞꯂꯥꯁꯤꯌꯥ (CAH)ꯒꯤ ꯃꯔꯃꯗꯥ ꯏꯆꯝ ꯆꯝꯕꯥ ꯋꯥꯍꯟꯊꯣꯛ ꯑꯃꯗꯥ ꯈꯪꯖꯤꯅꯁꯤ꯫

ꯅꯍꯥꯛꯀꯤ ꯅꯧꯅꯥ ꯄꯣꯀꯄꯥ ꯃꯆꯥꯅꯨꯄꯤꯒꯤ ꯖꯤꯅꯒꯤ ꯃꯑꯣꯡ-ꯃꯇꯧꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯑꯍꯣꯡꯕꯥ ꯑꯃꯥ ꯂꯥꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯑꯃꯠꯇꯥ ꯅꯍꯥꯛꯅꯥ ꯎꯕꯥ ꯐꯪꯂꯕ꯭ꯔꯥ? ꯅꯠꯠꯔꯒꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯅꯥ ꯃꯍꯥꯛꯀꯤ ꯄꯣꯀꯄꯒꯤ ꯇꯥꯡ ꯑꯗꯨꯒꯤ ꯃꯃꯥꯡꯗꯥ ꯃꯤꯔꯣꯅꯕꯥ ꯍꯧꯔꯀꯄꯒꯤ ꯈꯨꯗꯃꯁꯤꯡ ꯎꯕꯥ ꯍꯧꯔꯀꯄꯔꯥ? ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨ ꯋꯥꯈꯜ ꯇꯥꯗꯕꯥ, ꯏꯪꯊꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯁꯨꯞꯅꯒꯤ ꯂꯦꯡ-ꯑꯣꯠꯄꯗꯥ ꯋꯥꯕꯥ ꯑꯣꯏꯔꯕꯁꯨ ꯌꯥꯏ? ꯉꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯋꯥꯐꯃꯁꯤꯡ ꯑꯁꯤ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯕꯥ ꯖꯦꯅꯦꯇꯤꯛ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯔꯤ꯫ ꯑꯩꯈꯣꯌꯅꯥ ꯃꯁꯤꯕꯨ ꯀꯣꯟꯖꯤꯅꯤꯑꯦꯜ ꯑꯦꯗ꯭ꯔꯤꯅꯜ ꯍꯥꯏꯄꯔꯞꯂꯥꯁꯤꯌꯥ, ꯅꯠꯠꯔꯒꯥ ꯊꯣꯏꯗꯣꯛꯅꯥ ꯁꯤ.ꯑꯦ.ꯑꯩꯆ. ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯂꯩꯔꯣꯏꯗꯕꯅꯤ, ꯃꯃꯤꯡ ꯑꯁꯤ ꯈꯔꯥ ꯍꯦꯟꯅꯥ ꯂꯨꯝꯂꯕꯁꯨ ꯌꯥꯏ, ꯑꯗꯨꯕꯨ ꯃꯁꯤ ꯏꯆꯝ ꯆꯝꯅꯥ ꯊꯃꯁꯤ꯫

ꯁꯤ.ꯑꯦ.ꯑꯩꯆ.ꯅꯥ ꯁꯨꯞꯅꯒꯤ ꯀꯔꯤ ꯍꯥꯌꯔꯤꯕꯒꯦ?

ꯑꯣꯀꯦ, ꯑꯍꯥꯅꯕꯗꯥ ꯁꯤ.ꯑꯦ.ꯑꯩꯆ. ꯑꯩꯈꯣꯌ ꯄꯨꯝꯅꯃꯛꯀꯤ ꯀꯤꯗꯅꯤꯒꯤ ꯃꯊꯛꯇꯥ ꯑꯄꯤꯀꯄꯥ ꯍꯦꯇꯆꯔꯤꯁꯤꯡꯒꯨꯝꯅꯥ ꯒ꯭ꯜꯌꯥꯟꯗ ꯑꯅꯤ ꯂꯩ꯫ ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯑꯦꯗ꯭ꯔꯤꯅꯜ ꯒ꯭ꯜꯌꯥꯟꯗ ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ ꯑꯄꯤꯀꯄꯥ ꯒ꯭ꯜꯌꯥꯟꯗ ꯑꯅꯤ ꯑꯁꯤꯅꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯊꯕꯛ ꯊꯧꯔꯃꯁꯤꯡꯗꯥ ꯇꯉꯥꯏꯐꯗꯕꯥ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯍꯣꯔꯃꯣꯟ ꯀꯌꯥ ꯄꯨꯊꯣꯀꯏ꯫

  • ꯀꯣꯔꯇꯤꯁꯣꯜ: ꯃꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯂꯩꯔꯤꯕꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯁ꯭ꯠꯔꯦꯁ ꯍꯣꯔꯃꯣꯅꯅꯤ꯫ ꯃꯁꯤꯅꯥ ꯍꯀꯆꯥꯡꯕꯨ ꯑꯅꯥꯕꯥ, ꯈꯨꯗꯣꯡꯊꯤꯕꯥ ꯑꯃꯁꯨꯡ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯊꯦꯡꯅꯅꯕꯥ ꯁꯦꯝ-ꯁꯥꯍꯜꯂꯤ꯫ ꯃꯁꯤꯅꯥ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ, ꯑꯦꯅꯔꯖꯤꯒꯤ ꯆꯥꯡ, ꯑꯃꯁꯨꯡ ꯕ꯭ꯂꯗ ꯁꯨꯒꯔꯒꯤ ꯆꯥꯡ ꯔꯤꯒꯨꯂꯦꯠ ꯇꯧꯕꯗꯁꯨ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫
  • ꯑꯦꯂꯗꯣꯁ꯭ꯇꯦꯔꯣꯟ: ꯍꯣꯔꯃꯣꯟ ꯑꯁꯤꯅꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯁꯣꯜꯇ (ꯁꯣꯗꯤꯌꯝ) ꯑꯃꯁꯨꯡ ꯏꯁꯤꯡꯒꯤ ꯑꯆꯨꯝꯕꯥ ꯕꯦꯂꯦꯟꯁ ꯊꯝꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ, ꯃꯗꯨꯅꯥ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ ꯑꯃꯁꯨꯡ ꯕ꯭ꯂꯗ ꯚꯣꯜꯌꯨꯝ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯏ꯫
  • ꯑꯦꯟꯗ꯭ꯔꯣꯖꯦꯅꯁꯤꯡ: ꯃꯁꯤ ꯅꯨꯄꯥꯒꯤ ꯁꯦꯛꯁ ꯍꯣꯔꯃꯣꯅꯁꯤꯡꯅꯤ꯫ ꯇꯦꯁ꯭ꯇꯣꯁ꯭ꯇꯦꯔꯣꯟ ꯑꯁꯤ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯍꯣꯔꯃꯣꯟ ꯑꯃꯅꯤ꯫ ꯍꯥꯌꯔꯤꯕꯥ ꯍꯣꯔꯃꯣꯅꯁꯤꯡ ꯑꯁꯤ ꯃꯤꯔꯣꯅꯕꯥ ꯍꯧꯕꯥ, ꯅꯣꯔꯃꯦꯜ ꯒ꯭ꯔꯣꯊ ꯑꯃꯁꯨꯡ ꯗꯤꯚꯦꯂꯄꯃꯦꯟꯇꯗꯥ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫

ꯍꯧꯖꯤꯛ ꯁꯤ.ꯑꯦ.ꯑꯩꯆ.ꯅꯥ ꯅꯥꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯗꯥ ꯀꯔꯤ ꯊꯣꯛꯂꯤꯕꯅꯣ ꯍꯥꯌꯕꯁꯤꯗꯤ ꯍꯣꯔꯃꯣꯅꯁꯤꯡ ꯑꯁꯤ ꯄꯨꯊꯣꯛꯅꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯑꯀꯛꯅꯕꯥ ꯑꯦꯅꯖꯥꯏꯝ ꯑꯃꯥ ꯍꯀꯆꯥꯡꯗꯥ ꯌꯥꯑꯣꯗꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯍꯟꯊꯔꯀꯄꯥ ꯑꯁꯤꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯆꯥꯀꯁꯉ ꯑꯃꯗꯥ ꯃꯁꯛ ꯑꯃꯥ ꯌꯥꯑꯣꯗ꯭ꯔꯕꯗꯤ ꯆꯥꯀꯁꯉꯒꯤ ꯃꯁꯛ ꯍꯣꯡꯂꯀꯄꯒꯨꯝꯅꯥ, ꯑꯦꯅꯖꯥꯏꯝ ꯑꯁꯤ ꯌꯥꯑꯣꯗꯕꯥ ꯃꯇꯃꯗꯥ ꯑꯦꯗ꯭ꯔꯤꯅꯜ ꯒ꯭ꯜꯌꯥꯟꯗꯁꯤꯡꯅꯥ ꯍꯣꯔꯃꯣꯅꯁꯤꯡ ꯑꯁꯤ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯄꯨꯊꯣꯀꯄꯥ ꯉꯃꯗꯦ꯫

ꯑꯗꯨꯅꯥ ꯀꯔꯤ ꯑꯣꯏꯒꯅꯤ?

  • ꯍꯣꯔꯃꯣꯟ ꯀꯣꯔꯇꯤꯁꯣꯜ ꯑꯁꯤ ꯃꯊꯧ ꯇꯥꯕꯥ ꯃꯇꯨꯡ ꯏꯟꯅꯥ ꯄꯨꯊꯣꯀꯄꯥ ꯉꯃꯗꯕꯥ ꯌꯥꯏ꯫
  • ꯍꯣꯔꯃꯣꯟ ꯑꯦꯂꯗꯣꯁ꯭ꯇꯦꯔꯣꯟ ꯑꯁꯤ ꯃꯊꯧ ꯇꯥꯕꯥ ꯃꯇꯨꯡ ꯏꯟꯅꯥ ꯄꯨꯊꯣꯀꯄꯥ ꯉꯃꯗꯕꯥ ꯌꯥꯏ꯫
  • ꯃꯗꯨꯒꯤ ꯃꯍꯨꯠꯇꯥ, ꯑꯦꯟꯗ꯭ꯔꯣꯖꯦꯟ ꯀꯧꯕꯥ ꯅꯨꯄꯥꯒꯤ ꯍꯣꯔꯃꯣꯅꯁꯤꯡ ꯑꯁꯤ ꯑꯍꯦꯅꯕꯥ ꯄꯨꯊꯣꯀꯄꯥ ꯍꯧꯏ .

ꯃꯁꯤꯒꯤ ꯍꯣꯔꯃꯣꯅꯒꯤ ꯏꯃꯕꯦꯂꯦꯟꯁ ꯑꯁꯤꯅꯥ ꯁꯤ.ꯑꯦ.ꯑꯩꯆ.ꯗꯥ ꯊꯣꯀꯄꯥ ꯁꯃꯁ꯭ꯌꯥ ꯄꯨꯝꯅꯃꯛꯀꯤ ꯃꯔꯨꯝ ꯑꯣꯏꯔꯤ꯫

ꯁꯤ.ꯑꯦ.ꯑꯩꯆ.ꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯈꯂꯁꯤꯡ ꯂꯩꯕꯔꯥ?

ꯍꯣꯌ, ꯁꯤ.ꯑꯦ.ꯑꯩꯆ.ꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯈꯜ ꯑꯅꯤ ꯂꯩ꯫ ꯗꯥꯏꯑꯦꯒ꯭ꯅꯣꯁ꯭ꯇꯤꯛ ꯄꯦꯁꯦꯟꯇꯁꯤꯡꯒꯤ 95%ꯗꯤ ꯃꯈꯜ ꯑꯅꯤ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯆꯜꯂꯤ꯫

1. ꯀ꯭ꯂꯥꯁꯤꯛ ꯁꯤ.ꯑꯦ.ꯑꯩꯆ.: ꯃꯁꯤ ꯁꯤ.ꯑꯦ.ꯑꯩꯆ.ꯒꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯁꯥꯊꯤꯕꯥ ꯑꯃꯁꯨꯡ ꯁꯥꯊꯤꯕꯥ ꯃꯑꯣꯡꯅꯤ꯫ ꯃꯍꯧꯁꯥꯅꯥ ꯃꯁꯤ ꯄꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯈꯪꯗꯣꯀꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯂꯥꯏꯌꯦꯡꯗ꯭ꯔꯕꯗꯤ, ꯁꯣꯀꯄꯥ, ꯀꯣꯃꯥ ꯑꯃꯁꯨꯡ ꯁꯤꯕꯥ ꯐꯥꯎꯕꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯇꯣꯏꯅꯥ ꯈꯪꯗꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯂꯥꯏꯌꯦꯡꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫ꯃꯁꯤꯒꯤ ꯃꯈꯜ ꯑꯁꯤꯒꯤ ꯁꯕ-ꯇꯥꯏꯞ ꯑꯅꯤ ꯂꯩ꯫

  • ꯁꯣꯜꯇ-ꯋꯥꯁ꯭ꯇꯤꯡ ꯁꯤ.ꯑꯦ.ꯑꯩꯆ.: ꯃꯁꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯁꯥꯊꯤꯕꯥ ꯁꯤ.ꯑꯦ.ꯑꯩꯆ. ꯃꯁꯤꯒꯤ ꯀꯦꯁ ꯑꯁꯤꯗꯥ ꯍꯣꯔꯃꯣꯟ ꯑꯦꯂꯗꯣꯁ꯭ꯇꯦꯔꯣꯟ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯅꯦꯝꯅꯥ ꯄꯨꯊꯣꯀꯏ꯫ ꯃꯁꯤꯅꯥ ꯍꯀꯆꯥꯡꯅꯥ ꯃꯁꯥꯒꯤ ꯁꯣꯜꯇ (ꯁꯣꯗꯤꯌꯝ) ꯂꯦꯚꯦꯜ ꯑꯗꯨ ꯔꯤꯒꯨꯂꯦꯠ ꯇꯧꯕꯥ ꯉꯃꯍꯟꯗꯦ꯫ ꯃꯁꯤꯒꯤ ꯃꯍꯩ ꯑꯣꯏꯅꯥ ꯑꯍꯦꯅꯕꯥ ꯁꯣꯜꯇ ꯑꯁꯤ ꯌꯨꯔꯤꯅꯗꯥ ꯊꯥꯗꯣꯀꯏ꯫ ꯃꯇꯝ ꯑꯗꯨꯃꯛꯇꯗꯥ ꯍꯣꯔꯃꯣꯟ ꯀꯣꯔꯇꯤꯁꯣꯂꯁꯨ ꯍꯟꯊꯔꯀꯏ, ꯑꯃꯁꯨꯡ ꯍꯣꯔꯃꯣꯟ ꯑꯦꯟꯗ꯭ꯔꯣꯖꯦꯟ ꯑꯁꯤꯁꯨ ꯑꯍꯦꯅꯕꯥ ꯑꯣꯏꯅꯥ ꯄꯨꯊꯣꯀꯏ꯫
  • ꯁꯤꯝꯄꯜ-ꯚꯥꯏꯔꯤꯂꯥꯏꯖꯤꯡ CAH (ꯅꯟ-ꯁꯣꯜꯇ-ꯑꯦꯛꯁꯛꯔꯤꯇꯤꯡ, ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯃꯈꯜ): ꯃꯁꯤ ꯈꯔꯥ ꯍꯦꯟꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫ ꯃꯐꯝ ꯑꯁꯤꯗꯥ ꯑꯦꯂꯗꯣꯁ꯭ꯇꯦꯔꯣꯟ ꯍꯣꯔꯃꯣꯅꯒꯤ ꯑꯋꯥꯠꯄꯥ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯑꯣꯏꯗꯦ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯄꯨꯟꯁꯤꯗꯥ ꯈꯨꯗꯣꯡꯊꯤꯅꯤꯉꯥꯏ ꯑꯣꯏꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯊꯣꯛꯇꯦ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ ꯀꯣꯔꯇꯤꯁꯣꯜ ꯍꯣꯔꯃꯣꯟ ꯑꯁꯤ ꯍꯧꯖꯤꯀꯁꯨ ꯅꯦꯝꯅꯥ ꯂꯩꯔꯤ ꯑꯃꯁꯨꯡ ꯑꯦꯟꯗ꯭ꯔꯣꯖꯦꯟ ꯍꯣꯔꯃꯣꯟ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯋꯥꯡꯏ꯫ ꯃꯁꯤꯅꯥ ꯁꯦꯛꯁꯨꯑꯦꯜ ꯗꯤꯚꯦꯂꯄꯃꯦꯟꯇꯒꯥ ꯃꯔꯤ ꯂꯩꯅꯕꯥ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯃꯁꯤꯡ ꯊꯣꯀꯍꯜꯂꯤ꯫

2. ꯅꯟ-ꯀ꯭ꯂꯥꯁꯤꯛ ꯁꯤ.ꯑꯦ.ꯑꯩꯆ.: ꯃꯁꯤ ꯁꯤ.ꯑꯦ.ꯑꯩꯆ.ꯒꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯌꯥꯏ ꯑꯣꯏꯕꯥ ꯃꯑꯣꯡꯅꯤ꯫ ꯃꯍꯧꯁꯥꯅꯥ ꯃꯁꯤ ꯑꯉꯥꯡ ꯑꯣꯏꯔꯤꯉꯩꯗꯥ, ꯏꯅꯈꯠꯂꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯅꯠꯠꯔꯒꯥ ꯏꯅꯈꯠꯂꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯈꯪꯗꯣꯀꯏ꯫ ꯃꯤꯑꯣꯏ ꯈꯔꯗꯗꯤ ꯂꯥꯏꯑꯣꯡ ꯑꯃꯠꯇꯥ ꯂꯩꯇꯕꯁꯨ ꯌꯥꯏ꯫ ꯃꯐꯃꯁꯤꯗꯁꯨ, ꯑꯦꯟꯗ꯭ꯔꯣꯖꯦꯟ ꯍꯣꯔꯃꯣꯅꯁꯤꯡ ꯍꯦꯟꯅꯥ ꯄꯨꯊꯣꯀꯄꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯁꯦꯛꯁꯨꯑꯦꯜ ꯗꯤꯚꯦꯂꯄꯃꯦꯟꯇꯒꯥ ꯃꯔꯤ ꯂꯩꯅꯕꯥ ꯂꯥꯏꯑꯣꯡ ꯈꯔꯗꯤ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫

CAHꯒꯤ ꯑꯣꯏꯊꯣꯀꯄꯥ ꯌꯥꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?

CAHꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯃꯈꯜ ꯑꯃꯁꯨꯡ ꯖꯦꯟꯗꯔꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ ꯈꯦꯠꯅꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤ ꯃꯌꯦꯛ ꯁꯦꯡꯅꯥ ꯈꯉꯅꯕꯒꯤꯗꯃꯛ ꯃꯈꯥꯒꯤ ꯇꯦꯕꯜ ꯑꯁꯤ ꯌꯦꯡꯁꯤ꯫

ꯁꯤ.ꯑꯦ.ꯑꯩꯆ.ꯒꯤ ꯃꯈꯜ꯫ ꯎꯕꯥ ꯐꯪꯒꯗꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ꯫
ꯀ꯭ꯂꯥꯁꯤꯛ ꯁꯤ.ꯑꯦ.ꯑꯩꯆ.(ꯁꯤꯚꯤꯌꯔ ꯇꯥꯏꯞ - ꯅꯨꯄꯤꯃꯆꯥꯁꯤꯡ)

  • ꯄꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯑꯦꯝꯕꯤꯒ꯭ꯌꯁ ꯖꯦꯅꯤꯇꯥꯂꯤꯌꯥ꯫ ꯃꯁꯤꯅꯥ ꯇꯥꯀꯄꯗꯤ ꯃꯄꯥꯟꯊꯪꯕꯥ ꯁꯔꯨ ꯇꯥꯡꯁꯤꯡ ꯑꯁꯤ ꯅꯨꯄꯥ ꯑꯉꯥꯡ ꯑꯃꯒꯥ ꯃꯥꯟꯅꯩ, ꯑꯗꯨꯕꯨ ꯃꯅꯨꯡꯗꯥ ꯃꯈꯣꯌꯗꯥ ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯕꯥ ꯅꯨꯄꯤꯒꯤ ꯑꯣꯔꯒꯥꯅꯁꯤꯡ, ꯍꯥꯌꯕꯗꯤ ꯏꯎꯇꯦꯔꯥꯁ ꯑꯃꯁꯨꯡ ꯑꯣꯕꯦꯔꯤꯁꯤꯡ ꯂꯩ꯫
  • ꯃꯇꯝ ꯆꯥꯗꯅꯥ ꯃꯤꯔꯣꯜꯂꯤꯉꯩꯒꯤ ꯈꯨꯗꯃꯁꯤꯡ (ꯈꯣꯟꯖꯦꯜ ꯁꯣꯀꯄꯥ, ꯑꯦꯛꯅꯤ, ꯈꯣꯡ ꯑꯃꯁꯨꯡ ꯂꯅꯥꯏꯒꯤ ꯃꯐꯃꯁꯤꯡꯗꯥ ꯆꯨꯃꯊꯣꯀꯄꯥ)꯫
  • ꯅꯨꯄꯥꯒꯤ ꯃꯒꯨꯅꯁꯤꯡꯒꯤ ꯃꯑꯣꯡ-ꯃꯇꯧ (ꯃꯁꯜ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ, ꯈꯣꯟꯖꯦꯜ ꯋꯥꯡꯈꯠꯂꯀꯄꯥ, ꯃꯥꯌꯒꯤ ꯈꯣꯡꯎꯞ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ)꯫
  • ꯑꯆꯝꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯌꯥꯡꯅꯥ ꯆꯥꯎꯈꯠꯄꯥ ꯂꯩꯕꯥ꯫
  • ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯊꯥꯒꯤ ꯈꯣꯡꯀꯥꯞ ꯂꯩꯕꯥ꯫
  • ꯃꯤꯔꯣꯅꯕꯥ ꯌꯥꯗꯕꯥ꯫

ꯀ꯭ꯂꯥꯁꯤꯛ ꯁꯤ.ꯑꯦ.ꯑꯩꯆ.(ꯁꯤꯚꯤꯌꯔ ꯇꯥꯏꯞ - ꯅꯨꯄꯥꯃꯆꯥ)

  • ꯄꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯂꯤꯟ ꯑꯁꯤ ꯍꯦꯟꯅꯥ ꯆꯥꯎꯈꯠꯂꯀꯏ꯫
  • ꯃꯇꯝ ꯆꯥꯗꯅꯥ ꯃꯤꯔꯣꯅꯕꯥ (voice change, acne, hair growth)ꯒꯤ ꯈꯨꯗꯃꯁꯤꯡ꯫
  • ꯑꯆꯝꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯌꯥꯡꯅꯥ ꯆꯥꯎꯈꯠꯄꯥ ꯂꯩꯕꯥ꯫
  • ꯅꯟ-ꯀꯦꯟꯁꯔ ꯇꯦꯁ꯭ꯇꯤꯀꯨꯂꯥꯔ ꯇꯤꯎꯃꯔꯁꯤꯡ (ꯕꯦꯅꯤꯟ ꯇꯦꯁ꯭ꯇꯤꯀꯨꯂꯥꯔ ꯇꯤꯎꯃꯔꯁꯤꯡ) ꯊꯣꯀꯄꯥ꯫
  • ꯃꯤꯔꯣꯅꯕꯥ ꯌꯥꯗꯕꯥ꯫

ꯁꯣꯜꯇ-ꯋꯥꯁ꯭ꯇꯤꯡ CAHꯒꯤ ꯑꯀꯛꯅꯕꯥ ꯌꯥꯝꯅꯥ ꯈꯨꯗꯣꯡꯊꯤꯅꯤꯉꯥꯏ ꯑꯣꯏꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ:

ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯑꯉꯥꯡ ꯑꯗꯨ ꯄꯣꯀꯄꯥ ꯃꯇꯨꯡ ꯑꯍꯥꯅꯕꯥ ꯅꯨꯃꯤꯠ ꯈꯔꯅꯤꯗꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯍꯥꯌꯔꯤꯕꯥ ꯑꯁꯤ ꯑꯦꯃꯔꯖꯦꯟꯁꯤ ꯃꯦꯗꯤꯀꯦꯜ ꯇ꯭ꯔꯤꯠꯃꯦꯟꯇ ꯃꯊꯧ ꯇꯥꯕꯥ ꯀꯟꯗꯤꯁꯅꯁꯤꯡꯅꯤ꯫

  • ꯗꯤꯍꯥꯌꯗ꯭ꯔꯦꯁꯟ ꯂꯩꯕꯥ꯫
  • ꯏꯗꯥ ꯁꯣꯗꯤꯌꯝ (ꯁꯣꯜꯇ)ꯒꯤ ꯆꯥꯡ ꯍꯟꯊꯔꯀꯄꯥ (Hyponatremia)꯫
  • ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ ꯅꯦꯝꯕꯥ (Hypotension)꯫
  • ꯍꯥꯔꯇꯀꯤ ꯈꯣꯡꯖꯦꯜ ꯌꯥꯡꯕꯥ (Arrhythmia)꯫
  • ꯕ꯭ꯂꯗ ꯁꯨꯒꯔꯒꯤ ꯆꯥꯡ ꯅꯦꯝꯕꯥ꯫
  • ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯈꯣꯡ ꯍꯥꯝꯕꯥ ꯑꯃꯁꯨꯡ ꯗꯥꯏꯔꯤꯌꯥ ꯂꯩꯕꯥ꯫
  • ꯑꯔꯨꯝꯕꯥ ꯍꯟꯊꯕꯥ꯫
  • ꯁꯣꯀꯄꯗꯥ ꯆꯠꯄꯥ꯫

ꯅꯟ-ꯀ꯭ꯂꯥꯁꯤꯛ ꯁꯤ.ꯑꯦ.ꯑꯩꯆ.(ꯃꯥꯏꯜꯗ ꯇꯥꯏꯞ)

ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯑꯉꯥꯡ ꯑꯣꯏꯔꯤꯉꯩꯗꯥ, ꯏꯅꯈꯠꯂꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯅꯠꯠꯔꯒꯥ ꯇꯨꯡꯗꯥ ꯂꯥꯀꯄꯥ ꯌꯥꯏ꯫

  • ꯌꯥꯡꯅꯥ ꯆꯥꯎꯈꯠꯄꯥ ꯂꯩꯕꯥ꯫
  • ꯑꯍꯦꯅꯕꯥ ꯑꯦꯛꯅꯤ ꯂꯩꯕꯥ꯫
  • ꯃꯇꯝ ꯆꯥꯗꯅꯥ ꯃꯤꯔꯣꯅꯕꯥ꯫
  • ꯅꯨꯄꯤꯁꯤꯡꯗꯥ ꯃꯥꯌ ꯅꯠꯠꯔꯒꯥ ꯍꯀꯆꯥꯡꯗꯥ ꯍꯦꯟꯅꯥ ꯆꯨꯃꯊꯣꯀꯄꯥ꯫
  • ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯊꯥꯒꯤ ꯈꯣꯡꯀꯥꯞ ꯂꯩꯕꯥ꯫
  • ꯃꯤꯔꯣꯅꯕꯥ ꯌꯥꯗꯕꯥ꯫
  • ꯅꯨꯄꯥꯒꯤ ꯃꯑꯣꯡ-ꯃꯇꯧꯒꯤ ꯃꯑꯣꯡ-ꯃꯇꯧ ꯂꯩꯕꯥ꯫
  • ꯅꯨꯄꯥꯁꯤꯡꯅꯥ ꯑꯆꯧꯕꯥ ꯄꯦꯅꯤꯁꯁꯤꯡ ꯂꯩꯔꯕꯁꯨ ꯃꯈꯣꯌꯒꯤ ꯇꯦꯁ꯭ꯇꯤꯀꯂꯁꯤꯡ ꯑꯁꯤ ꯑꯄꯤꯀꯄꯥ ꯑꯣꯏ꯫

ꯀꯔꯤꯒꯤꯗꯃꯛꯇꯥ ꯁꯤ.ꯑꯦ.ꯑꯩꯆ.ꯅꯥ ꯁꯦꯃꯒꯠꯂꯤꯕꯅꯣ? ꯃꯁꯤꯒꯤ ꯃꯔꯝ ꯀꯔꯤꯅꯣ?

ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯁꯤ.ꯑꯦ.ꯑꯩꯆ.ꯅꯥ ꯖꯦꯅꯦꯇꯤꯛ ꯑꯣꯏꯕꯥ ꯂꯥꯌꯅꯥ ꯑꯃꯅꯤ . ꯃꯁꯤꯅꯥ ꯇꯥꯀꯄꯗꯤ ꯃꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯏꯃꯥ-ꯏꯄꯥꯗꯒꯤ ꯂꯧꯔꯀꯄꯥ ꯄꯣꯠꯁꯛ ꯑꯃꯅꯤ꯫ ꯃꯁꯤ ꯂꯧꯅꯒꯅꯕꯥ ꯂꯥꯌꯅꯥ ꯑꯃꯅꯤ꯫

ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯂꯩꯔꯤꯕꯥ ꯂꯃꯆꯠ ꯈꯨꯗꯤꯡꯃꯛꯀꯤꯗꯃꯛ ꯖꯤꯟ ꯑꯅꯤ ꯂꯩ, ꯑꯃꯅꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯏꯃꯥꯗꯒꯤ ꯑꯃꯁꯨꯡ ꯑꯃꯅꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯃꯄꯥꯗꯒꯤ꯫ CAH ꯊꯣꯛꯅꯕꯒꯤꯗꯃꯛ, ꯑꯉꯥꯡ ꯑꯃꯅꯥ ꯃꯈꯣꯌꯒꯤ ꯃꯃꯥ ꯑꯃꯁꯨꯡ ꯃꯄꯥ ꯑꯅꯤꯃꯛꯇꯒꯤ ꯑꯁꯣꯀꯄꯥ ꯖꯤꯟ ꯑꯗꯨ ꯏꯅꯍꯦꯔꯤ ꯇꯧꯒꯗꯕꯅꯤ . ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤꯕꯨ ꯑꯣꯇꯣꯁꯣꯃꯜ ꯔꯤꯁꯦꯁꯤꯚ ꯗꯤꯁꯑꯣꯔꯗꯔ ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫

CAH ꯑꯁꯤ ꯑꯌꯥꯝꯕꯅꯥ ꯑꯦꯅꯖꯥꯏꯝ 21-ꯍꯥꯏꯗ꯭ꯔꯣꯛꯁꯤꯂꯦꯖꯒꯤ ꯑꯋꯥꯠꯄꯥ ꯂꯩꯕꯅꯥ ꯊꯣꯀꯍꯅꯕꯅꯤ꯫ ꯃꯁꯤ ꯑꯦꯅꯖꯥꯏꯝ ꯑꯁꯤꯒꯤ ꯀꯣꯗ ꯇꯧꯔꯤꯕꯥ ꯖꯤꯟ ꯑꯗꯨꯗꯥ ꯃ꯭ꯌꯨꯇꯦꯁꯟ ꯑꯃꯅꯥ ꯊꯣꯀꯍꯅꯕꯅꯤ꯫

ꯃꯔꯨꯑꯣꯏꯕꯥ ꯋꯥꯐꯃꯗꯤ ꯃꯃꯥ-ꯃꯄꯥ ꯑꯅꯤꯃꯛ ꯑꯁꯣꯏ-ꯑꯉꯥꯝ ꯌꯥꯑꯣꯗꯕꯥ ꯖꯤꯟ ꯑꯁꯤꯒꯤ ꯀꯦꯔꯤꯌꯔ ꯑꯣꯏꯔꯕꯁꯨ ꯃꯈꯣꯌꯗꯥ ꯂꯥꯏꯑꯣꯡ ꯑꯃꯠꯇꯥ ꯎꯕꯥ ꯐꯪꯗꯕꯥ ꯌꯥꯏ꯫ ꯃꯈꯣꯌ ꯍꯀꯆꯥꯡ ꯐꯅꯥ ꯂꯩꯕꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯕꯨ ꯃꯈꯣꯌꯅꯥ ꯄꯣꯀꯄꯥ ꯑꯉꯥꯡ ꯑꯃꯅꯥ CAH ꯂꯥꯀꯄꯒꯤ ꯔꯤꯁ꯭ꯛ 25% ꯂꯩ꯫

ꯅꯍꯥꯛꯅꯥ CAH ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯀꯔꯝꯅꯥ ꯈꯪꯒꯅꯤ?

ꯀ꯭ꯂꯥꯁꯤꯛ ꯁꯤ.ꯑꯦ.ꯑꯩꯆ.(ꯑꯀꯅꯕꯥ ꯃꯈꯜ)

ꯃꯁꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯥ ꯄꯥꯎꯅꯤ꯫ ꯁ꯭ꯔꯤꯂꯉ꯭ꯀꯥꯒꯤ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯜ ꯀꯌꯥ ꯑꯃꯅꯥ ꯍꯧꯖꯤꯛ ꯄꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯄꯥꯡꯊꯣꯀꯄꯥ ꯇꯦꯁ꯭ꯇꯁꯤꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯀ꯭ꯂꯥꯁꯤꯛ ꯁꯤ.ꯑꯦ.ꯑꯩꯆ. ꯃꯁꯤ ꯑꯉꯥꯡ ꯑꯗꯨ ꯄꯣꯀꯄꯥ ꯃꯇꯨꯡ ꯅꯨꯃꯤꯠ ꯈꯔꯅꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ, ꯑꯉꯥꯡ ꯑꯗꯨꯒꯤ ꯃꯀꯣꯛ ꯑꯗꯨꯗꯒꯤ ꯂꯧꯊꯣꯀꯄꯥ ꯏꯒꯤ ꯑꯄꯤꯀꯄꯥ ꯊꯣꯡꯅꯥꯎ ꯑꯃꯥ ꯁꯤꯖꯤꯟꯅꯗꯨꯅꯥ ꯄꯥꯡꯊꯣꯀꯏ . ꯃꯁꯤꯒꯤ ꯇꯦꯁ꯭ꯠ (ꯅꯧꯅꯥ ꯄꯣꯀꯄꯥ ꯑꯉꯥꯡꯁꯤꯡꯒꯤ ꯁ꯭ꯛꯔꯤꯅꯤꯡ) ꯑꯁꯤꯅꯥ ꯑꯉꯥꯡ ꯑꯗꯨꯗꯥ ꯀ꯭ꯂꯥꯁꯤꯛ ꯁꯤ.ꯑꯦ.ꯑꯩꯆ. ꯃꯁꯤꯅꯥ ꯇꯥꯀꯄꯗꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯂꯥꯛꯠꯔꯤꯉꯩ ꯃꯃꯥꯡꯗꯥ ꯂꯥꯏꯌꯦꯡ ꯍꯧꯕꯥ ꯌꯥꯏ, ꯃꯗꯨꯅꯥ ꯑꯉꯥꯡ ꯑꯗꯨꯒꯤ ꯄꯨꯟꯁꯤ ꯀꯅꯕꯥ ꯉꯝꯃꯤ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯍꯥꯟꯅꯅꯥ CAH ꯅꯥꯔꯕꯥ ꯑꯉꯥꯡ ꯑꯃꯥ ꯂꯩꯕꯥ ꯏꯃꯨꯡ ꯑꯃꯅꯥ ꯑꯇꯣꯞꯄꯥ ꯑꯉꯥꯡ ꯑꯃꯥ ꯄꯣꯀꯄꯥ ꯇꯥꯔꯕꯗꯤ, ꯃꯤꯔꯣꯜꯂꯤꯉꯩ ꯃꯇꯃꯗꯥ ꯑꯉꯥꯡ ꯑꯗꯨꯕꯨ ꯀꯟꯗꯤꯁꯟ ꯑꯗꯨꯒꯤꯗꯃꯛ ꯇꯦꯁ꯭ꯠ ꯇꯧꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯒꯤꯗꯃꯛꯇꯥ ꯑꯈꯟꯅꯕꯥ ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯂꯩꯔꯤ, ꯃꯈꯣꯌꯁꯤꯡ ꯑꯗꯨꯗꯤ ꯑꯦꯝꯅꯤꯑꯣꯁꯦꯟꯇꯦꯁꯤꯁꯅꯤ꯫ ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯇꯥꯟꯅꯧ꯫

ꯅꯟ-ꯀ꯭ꯂꯥꯁꯤꯛ ꯁꯤ.ꯑꯦ.ꯑꯩꯆ.(ꯃꯥꯏꯜꯗ ꯇꯥꯏꯞ)

ꯃꯁꯤꯒꯤ ꯃꯌꯥꯏ ꯑꯣꯏꯕꯥ ꯃꯑꯣꯡ ꯑꯁꯤ ꯈꯪꯖꯤꯅꯕꯗꯥ ꯈꯔꯥ ꯊꯦꯡꯊꯕꯥ ꯌꯥꯏ ꯃꯔꯃꯗꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯇꯨꯡꯗꯥ ꯂꯥꯀꯏ꯫ ꯅꯍꯥꯛꯅꯥ ꯅꯠꯠꯔꯒꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯅꯥ ꯃꯊꯛꯇꯥ ꯄꯅꯈ꯭ꯔꯤꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯊꯦꯡꯅꯕꯥ ꯍꯧꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯅꯍꯥꯛꯅꯥ ꯗꯣꯛꯇꯔ ꯑꯃꯒꯥ ꯇꯥꯟꯅꯒꯗꯕꯅꯤ꯫ ꯗꯣꯛꯇꯔꯅꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯁꯤꯡꯁꯤ ꯄꯤꯒꯅꯤ:

  • ꯐꯤꯖꯤꯀꯦꯜ ꯑꯦꯀꯖꯥꯃꯤꯅꯦꯁꯟ ꯑꯃꯥ ꯄꯥꯡꯊꯣꯀꯏ꯫
  • ꯕ꯭ꯂꯗ ꯇꯦꯁ꯭ꯠ ꯑꯃꯁꯨꯡ ꯌꯨꯔꯤꯟ ꯇꯦꯁ꯭ꯇꯁꯤꯡꯅꯥ ꯍꯣꯔꯃꯣꯅꯒꯤ ꯆꯥꯡ ꯌꯦꯡꯁꯤꯜꯂꯤ꯫
  • ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯖꯦꯅꯦꯇꯤꯛ ꯇꯦꯁ꯭ꯠ ꯇꯧꯕꯅꯥ ꯂꯥꯌꯅꯥ ꯑꯁꯤ ꯀꯅꯐꯥꯔꯝ ꯇꯧꯕꯥ ꯉꯝꯃꯤ꯫

ꯃꯁꯤꯒꯤ ꯂꯥꯏꯌꯦꯡꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯤꯅꯣ?

CAH ꯑꯁꯤ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯐꯍꯅꯕꯥ ꯉꯃꯗꯦ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯂꯥꯌꯦꯡꯕꯅꯥ ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯐꯖꯅꯥ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯥ ꯉꯃꯒꯅꯤ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯅꯥ ꯃꯄꯨꯡ ꯐꯥꯅꯥ ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯕꯥ, ꯍꯀꯆꯥꯡ ꯐꯕꯥ ꯄꯨꯟꯁꯤ ꯑꯃꯥ ꯍꯤꯡꯕꯥ ꯉꯃꯒꯅꯤ . ꯂꯥꯏꯌꯦꯡ ꯑꯁꯤ ꯂꯥꯌꯅꯥ ꯑꯁꯤꯒꯤ ꯃꯈꯜ ꯑꯃꯁꯨꯡ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯁꯥꯊꯤꯕꯒꯤ ꯃꯈꯥ ꯄꯣꯜꯂꯤ꯫

ꯀ꯭ꯂꯥꯁꯤꯛ ꯁꯤ.ꯑꯦ.ꯑꯩꯆ.ꯒꯤꯗꯃꯛ ꯂꯥꯌꯦꯡꯕꯥ꯫

ꯍꯥꯌꯔꯤꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯄꯨꯟꯁꯤ ꯆꯨꯞꯄꯥ ꯅꯨꯃꯤꯠ ꯈꯨꯗꯤꯡꯒꯤ ꯍꯤꯗꯥꯛ ꯂꯥꯡꯊꯛ ꯂꯧꯒꯗꯕꯅꯤ . ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯄꯥꯟꯗꯃꯗꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯑꯋꯥꯠꯄꯥ ꯂꯩꯕꯥ ꯍꯣꯔꯃꯣꯅꯁꯤꯡ ꯄꯤꯗꯨꯅꯥ ꯍꯣꯔꯃꯣꯅꯒꯤ ꯆꯥꯡ ꯑꯗꯨ ꯕꯦꯂꯦꯟꯁ ꯇꯧꯕꯅꯤ꯫ ꯃꯁꯤꯅꯥ ꯅꯣꯔꯃꯦꯜ ꯒ꯭ꯔꯣꯊ ꯑꯃꯁꯨꯡ ꯁꯦꯛꯁꯨꯑꯦꯜ ꯗꯤꯚꯦꯂꯄꯃꯦꯟꯇ ꯁꯣꯌꯗꯅꯥ ꯂꯩꯍꯅꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫

  • ꯒ꯭ꯂꯨꯀꯣꯀꯣꯔꯇꯤꯀꯣꯏꯗꯁꯤꯡ: ꯍꯤꯗꯥꯀꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯍꯀꯆꯥꯡꯅꯥ ꯄꯨꯊꯣꯀꯄꯥ ꯉꯃꯗꯕꯥ ꯀꯣꯔꯇꯤꯁꯣꯜ ꯍꯣꯔꯃꯣꯅꯒꯤ ꯃꯍꯨꯠ ꯁꯤꯜꯂꯤ꯫ ꯑꯉꯥꯡ ꯑꯗꯨꯅꯥ ꯂꯥꯏꯍꯧ, ꯏꯅꯐꯦꯛꯁꯟ, ꯅꯠꯠꯔꯒꯥ ꯁꯔꯖꯔꯤꯒꯨꯝꯕꯥ ꯁ꯭ꯠꯔꯦꯁ ꯂꯩꯕꯥ ꯐꯤꯚꯃꯁꯤꯡꯒꯤ ꯃꯇꯃꯗꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯗꯣꯖ ꯑꯁꯤ ꯍꯦꯅꯒꯠꯍꯅꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯏ꯫
  • ꯃꯤꯅꯔꯦꯂꯣꯀꯣꯔꯇꯤꯀꯣꯏꯗꯁꯤꯡ: ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯄꯨꯊꯣꯀꯄꯥ ꯉꯃꯗꯕꯥ ꯍꯣꯔꯃꯣꯟ ꯑꯦꯂꯗꯣꯁ꯭ꯇꯦꯔꯣꯅꯒꯤ ꯃꯍꯨꯠ ꯁꯤꯟꯅꯕꯥ ꯄꯤꯕꯅꯤ꯫
  • ꯁꯣꯜꯇ ꯁꯞꯂꯤꯃꯦꯟꯇꯁꯤꯡ: ꯁꯣꯜꯇ-ꯋꯥꯁ꯭ꯇꯤꯡ ꯁꯤꯟꯗ꯭ꯔꯣꯝ ꯂꯩꯕꯥ ꯅꯧꯅꯥ ꯄꯣꯀꯄꯥ ꯑꯉꯥꯡꯁꯤꯡꯗꯥ ꯍꯀꯆꯥꯡꯗꯒꯤ ꯃꯥꯡꯈꯤꯕꯥ ꯁꯣꯜꯇ ꯑꯗꯨꯒꯤ ꯃꯍꯨꯠꯇꯥ ꯁꯣꯗꯤꯌꯝ ꯀ꯭ꯂꯣꯔꯥꯏꯗ ꯄꯤ꯫

ꯅꯤꯡꯁꯤꯡꯕꯤꯌꯨ, ꯅꯍꯥꯛꯅꯥ ꯍꯤꯗꯥꯛ ꯑꯁꯤ ꯂꯧꯕꯥ ꯂꯦꯄꯈ꯭ꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯗꯨ ꯍꯜꯂꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ, ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯄꯥꯎꯇꯥꯛ ꯌꯥꯎꯗꯅꯥ ꯀꯩꯗꯧꯉꯩꯗꯥ ꯂꯧꯕꯥ ꯂꯦꯄꯍꯜꯂꯣꯏꯗꯕꯅꯤ ꯅꯠꯠꯔꯒꯥ ꯗꯣꯖ ꯑꯗꯨ ꯍꯣꯡꯗꯣꯛꯂꯣꯏꯗꯕꯅꯤ꯫

ꯑꯇꯣꯞꯄꯥ ꯂꯥꯏꯌꯦꯡꯒꯤ ꯑꯣꯄꯁꯟ ꯑꯃꯗꯤ ꯅꯨꯄꯤꯃꯆꯥꯁꯤꯡꯗꯥ ꯌꯥꯎꯔꯤꯕꯥ ꯑꯁꯣꯛ-ꯑꯄꯅꯁꯤꯡ (ambiguous genitalia) ꯀꯣꯀꯍꯟꯅꯕꯥ ꯁꯔꯖꯔꯤ ꯑꯁꯤꯅꯤ꯫ ꯃꯁꯤ ꯃꯍꯧꯁꯥꯅꯥ ꯑꯉꯥꯡ ꯑꯗꯨ ꯄꯣꯀꯄꯥ ꯃꯇꯨꯡ ꯊꯥ 2 ꯑꯃꯁꯨꯡ 6ꯒꯤ ꯃꯔꯛꯇꯥ ꯄꯥꯡꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫

ꯅꯟ-ꯀ꯭ꯂꯥꯁꯤꯛ ꯁꯤ.ꯑꯦ.ꯑꯩꯆ.ꯒꯤꯗꯃꯛ ꯂꯥꯌꯦꯡꯕꯥ꯫

ꯃꯁꯤꯒꯤ ꯃꯌꯥꯏ ꯑꯣꯏꯕꯥ ꯃꯑꯣꯡ ꯑꯁꯤ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯂꯥꯏꯑꯣꯡ ꯎꯠꯇꯕꯥ ꯑꯣꯏꯔꯕꯗꯤ ꯂꯥꯏꯌꯦꯡ ꯑꯃꯠꯇꯥ ꯃꯊꯧ ꯇꯥꯗꯕꯥ ꯌꯥꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯈꯣꯌꯗꯥ ꯃꯌꯥꯏ ꯑꯣꯏꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯂꯩꯔꯕꯗꯤ ꯃꯈꯣꯌꯗꯥ ꯒ꯭ꯂꯨꯀꯣꯀꯣꯔꯇꯤꯀꯣꯏꯗꯀꯤ ꯗꯣꯖ ꯅꯦꯝꯅꯥ ꯄꯤꯕꯥ ꯌꯥꯏ꯫ ꯍꯥꯌꯔꯤꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡ ꯑꯁꯤ ꯑꯌꯥꯝꯕꯅꯥ ꯄꯨꯟꯁꯤ ꯆꯨꯞꯄꯥ ꯂꯥꯌꯦꯡꯕꯒꯤ ꯃꯊꯧ ꯇꯥꯗꯦ꯫

ꯐꯤꯚꯃꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯍꯦꯛꯇꯗꯥ, ꯑꯉꯥꯡ ꯑꯃꯁꯨꯡ ꯃꯃꯥ-ꯃꯄꯥꯁꯤꯡꯅꯥ ꯊꯦꯡꯅꯔꯀꯄꯥ ꯌꯥꯕꯥ ꯁ꯭ꯠꯔꯦꯁ ꯑꯃꯁꯨꯡ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯃꯁꯤꯡꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯔꯤ-ꯋꯥꯇꯥꯏ ꯁꯥꯅꯕꯥ ꯃꯦꯟꯇꯦꯜ ꯍꯦꯂꯊ ꯀꯥꯎꯟꯁꯦꯂꯤꯡ ꯂꯧꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯁꯔꯨꯛ ꯑꯃꯅꯤ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯂꯥꯏꯌꯦꯡꯗ꯭ꯔꯕꯗꯤ ꯀꯔꯤ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ ꯊꯣꯀꯄꯥ ꯌꯥꯕꯒꯦ?

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯂꯥꯏꯌꯦꯡꯗꯅꯥ ꯊꯃꯖꯤꯜꯂꯕꯗꯤ, ꯃꯔꯨꯑꯣꯏꯅꯥ ꯀ꯭ꯂꯥꯁꯤꯛ ꯁꯤ.ꯑꯦ.ꯑꯩꯆ.ꯒꯤ ꯂꯧꯎ-ꯁꯤꯡꯎꯒꯤ ꯃꯈꯜ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯈꯨꯗꯣꯡꯊꯤꯅꯤꯉꯥꯏ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫ ꯍꯀꯆꯥꯡꯗꯒꯤ ꯌꯥꯝꯅꯥ ꯍꯦꯟꯅꯥ ꯁꯣꯜꯇ ꯑꯃꯁꯨꯡ ꯏꯁꯤꯡ ꯊꯨꯃꯖꯤꯅꯕꯅꯥ ꯄꯨꯟꯁꯤꯗꯥ ꯈꯨꯗꯣꯡꯊꯤꯕꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯕꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯉꯥꯡ ꯑꯗꯨꯅꯥ ꯌꯥꯝꯅꯥ ꯋꯥꯅꯥ ꯊꯣꯛꯂꯛꯂꯕꯗꯤ, ꯂꯦꯡ-ꯑꯣꯠꯄꯗꯥ ꯋꯥꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯆꯤꯀꯄꯥ ꯉꯃꯗ꯭ꯔꯕꯗꯤ , ꯃꯈꯣꯌꯕꯨ ꯈꯨꯗꯛꯇꯥ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯜ ꯑꯃꯒꯤ ꯏꯃꯔꯖꯦꯟꯁꯤ ꯇ꯭ꯔꯤꯇꯃꯦꯟꯇ ꯌꯨꯅꯤꯠ (ETU)ꯗꯥ ꯄꯨꯈꯠꯀꯗꯕꯅꯤ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯂꯥꯏꯌꯦꯡꯗꯅꯥ ꯊꯃꯖꯤꯜꯂꯕꯗꯤ ꯀꯔꯤ ꯊꯣꯀꯄꯥ ꯌꯥꯕꯒꯦ:

  • ꯍꯥꯔꯇꯀꯤ ꯂꯥꯌꯅꯥ (irrhythmia) .
  • ꯀꯥꯔꯗꯤꯌꯦꯛ ꯑꯦꯔꯦꯁ꯭ꯠ ꯇꯧꯕꯥ꯫
  • ꯁꯤꯕꯥ ꯐꯥꯑꯣꯕꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫

ꯅꯟ-ꯀ꯭ꯂꯥꯁꯤꯛ ꯁꯤ.ꯑꯦ.ꯑꯩꯆ.ꯅꯥ ꯂꯥꯌꯦꯡꯗꯅꯥ ꯂꯩꯔꯕꯁꯨ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯃꯤꯔꯣꯅꯕꯥ, ꯃꯤꯔꯣꯅꯕꯥ ꯌꯥꯗꯕꯥ, ꯊꯥꯒꯤ ꯈꯣꯡꯀꯥꯞ ꯊꯣꯀꯄꯥ, ꯑꯃꯁꯨꯡ ꯅꯨꯄꯤꯁꯤꯡꯗꯥ ꯃꯇꯝ ꯆꯨꯞꯄꯒꯤ ꯑꯣꯏꯅꯥ ꯅꯨꯄꯥꯒꯤ ꯃꯑꯣꯡ-ꯃꯇꯧ ꯂꯩꯕꯥ꯫

ꯇꯦꯛ-ꯍꯣꯝ ꯃꯦꯁꯦꯖ ꯇꯧꯕꯥ꯫

  • ꯀꯣꯟꯖꯤꯅꯤꯑꯦꯜ ꯑꯦꯗ꯭ꯔꯤꯅꯜ ꯍꯥꯏꯄꯔꯞꯂꯥꯁꯤꯌꯥ (CAH) ꯍꯥꯌꯕꯁꯤ ꯑꯦꯗ꯭ꯔꯤꯅꯜ ꯒ꯭ꯜꯌꯥꯟꯗꯁꯤꯡꯗꯥ ꯍꯣꯔꯃꯣꯅꯁꯤꯡ ꯄꯨꯊꯣꯀꯄꯗꯥ ꯁꯣꯀꯍꯜꯂꯤꯕꯥ ꯖꯦꯅꯦꯇꯤꯛ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫
  • ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯈꯜ ꯑꯅꯤ ꯂꯩ: ꯀ꯭ꯂꯥꯁꯤꯛ ꯑꯃꯁꯨꯡ ꯅꯟ-ꯀ꯭ꯂꯥꯁꯤꯛ꯫ ꯀ꯭ꯂꯥꯁꯤꯛ CAH ꯑꯁꯤ ꯄꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯈꯪꯗꯣꯀꯏ ꯑꯃꯁꯨꯡ ꯃꯁꯤꯅꯥ ꯄꯨꯟꯁꯤꯗꯥ ꯈꯨꯗꯣꯡꯊꯤꯕꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫
  • ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯅꯧꯅꯥ ꯄꯣꯀꯄꯥ ꯑꯉꯥꯡ ꯑꯗꯨꯅꯥ ꯌꯥꯝꯅꯥ ꯋꯥꯅꯥ ꯏꯪꯊꯕꯥ, ꯏꯁꯤꯡ ꯊꯨꯃꯖꯤꯅꯕꯥ, ꯑꯃꯁꯨꯡ ꯑꯆꯝꯕꯥ ꯇꯨꯝꯕꯥ ꯌꯥꯗꯕꯒꯨꯝꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯎꯠꯂꯕꯗꯤ, ꯃꯁꯤꯅꯥ ꯂꯧꯎ-ꯁꯤꯡꯎꯒꯤ ꯁꯤ.ꯑꯦ.ꯑꯩꯆ.ꯒꯤ ꯈꯨꯗꯝ ꯑꯃꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ ꯑꯃꯁꯨꯡ ꯈꯨꯗꯛꯇꯥ ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯃꯇꯦꯡ ꯃꯊꯧ ꯇꯥꯏ꯫
  • ꯀ꯭ꯂꯥꯁꯤꯛ ꯁꯤ.ꯑꯦ.ꯑꯩꯆ.ꯅꯥ ꯄꯨꯟꯁꯤ ꯆꯨꯞꯄꯥ ꯅꯨꯃꯤꯠ ꯈꯨꯗꯤꯡꯒꯤ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛ ꯃꯊꯧ ꯇꯥꯕꯁꯨ, ꯃꯄꯨꯡ ꯐꯥꯅꯥ ꯅꯣꯔꯃꯦꯜ ꯑꯃꯁꯨꯡ ꯍꯀꯁꯦꯜ ꯐꯕꯥ ꯄꯨꯟꯁꯤ ꯑꯃꯥ ꯍꯤꯡꯕꯥ ꯌꯥꯏ꯫
  • ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯤ ꯏꯅꯁ꯭ꯠꯔꯛꯁꯅꯁꯤꯡ ꯉꯥꯛꯅꯥ ꯆꯠꯄꯥ ꯑꯃꯁꯨꯡ ꯁꯦꯗ꯭ꯌꯨꯂꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ ꯀ꯭ꯂꯤꯅꯤꯀꯁꯤꯡꯗꯥ ꯆꯠꯄꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫ ꯃꯔꯝ ꯑꯃꯠꯇꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯇꯥꯟꯅꯗꯅꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ ꯊꯤꯡꯖꯤꯜꯂꯨ꯫
  • ꯀꯔꯤꯒꯨꯝꯕꯥ CAHꯒꯤ ꯐꯦꯃꯤꯂꯤ ꯍꯤꯁ꯭ꯇꯔꯤ ꯂꯩꯔꯕꯗꯤ ꯅꯠꯠꯔꯒꯥ ꯅꯍꯥꯛꯅꯥ CAH ꯅꯥꯕꯥ ꯑꯉꯥꯡ ꯑꯃꯥ ꯂꯩꯔꯕꯗꯤ, ꯇꯨꯡꯒꯤꯗꯃꯛ ꯊꯧꯔꯥꯡ ꯇꯧꯕꯗꯥ ꯖꯦꯅꯦꯇꯤꯛ ꯀꯥꯎꯟꯁꯦꯂꯤꯡ ꯑꯁꯤ ꯃꯔꯨꯑꯣꯏ꯫

ꯀꯣꯟꯖꯤꯅꯤꯑꯦꯜ ꯑꯦꯗ꯭ꯔꯤꯅꯜ ꯍꯥꯏꯄꯔꯞꯂꯥꯁꯤꯌꯥ, ꯁꯤ.ꯑꯦ.ꯑꯩꯆ., ꯍꯣꯔꯃꯣꯅꯒꯤ ꯁꯃꯁ꯭ꯌꯥꯁꯤꯡ, ꯑꯦꯗ꯭ꯔꯤꯅꯜ ꯒ꯭ꯜꯌꯥꯟꯗꯁꯤꯡ, ꯖꯦꯅꯦꯇꯤꯛ ꯂꯥꯌꯅꯥꯁꯤꯡ, ꯄꯦꯗꯤꯑꯦꯠꯔꯤꯛ ꯂꯥꯌꯅꯥꯁꯤꯡ, ꯄꯣꯀꯄꯗꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯄꯥ, ꯑꯔꯥꯅꯕꯥ ꯖꯦꯅꯤꯇꯥꯂꯤꯌꯥ꯫
⚠️ Important: The medical articles and information on Nirogi Lanka are for general awareness only, and are by no means a substitute for professional medical advice, diagnosis, or treatment. For any medical problem you have, consult a qualified physician immediately.

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ꯃꯁꯤ ꯍꯣꯔꯃꯣꯅꯒꯤ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯑꯃꯅꯤ ꯍꯥꯌꯕꯁꯤꯅꯤ? ꯀꯣꯟꯖꯤꯅꯤꯑꯦꯜ ꯑꯦꯗ꯭ꯔꯤꯅꯜ ꯍꯥꯏꯄꯔꯞꯂꯥꯁꯤꯌꯥ (CAH)ꯒꯤ ꯃꯔꯃꯗꯥ ꯏꯆꯝ ꯆꯝꯕꯥ ꯋꯥꯍꯟꯊꯣꯛ ꯑꯃꯗꯥ ꯈꯪꯖꯤꯅꯁꯤ꯫
ꯍꯣꯔꯃꯣꯅꯒꯤ ꯏꯁꯨꯁꯤꯡ꯫জুলাই ৭, ২০২৬

ꯃꯁꯤ ꯍꯣꯔꯃꯣꯅꯒꯤ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯑꯃꯅꯤ ꯍꯥꯌꯕꯁꯤꯅꯤ? ꯀꯣꯟꯖꯤꯅꯤꯑꯦꯜ ꯑꯦꯗ꯭ꯔꯤꯅꯜ ꯍꯥꯏꯄꯔꯞꯂꯥꯁꯤꯌꯥ (CAH)ꯒꯤ ꯃꯔꯃꯗꯥ ꯏꯆꯝ ꯆꯝꯕꯥ ꯋꯥꯍꯟꯊꯣꯛ ꯑꯃꯗꯥ ꯈꯪꯖꯤꯅꯁꯤ꯫

ꯅꯍꯥꯛꯀꯤ ꯅꯧꯅꯥ ꯄꯣꯀꯄꯥ ꯃꯆꯥꯅꯨꯄꯤꯒꯤ ꯖꯤꯅꯒꯤ ꯃꯑꯣꯡ-ꯃꯇꯧꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯑꯍꯣꯡꯕꯥ ꯑꯃꯥ ꯂꯥꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯑꯃꯠꯇꯥ ꯅꯍꯥꯛꯅꯥ ꯎꯕꯥ ꯐꯪꯂꯕ꯭ꯔꯥ? ꯅꯠꯠꯔꯒꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯅꯥ ꯃꯍꯥꯛꯀꯤ ꯄꯣꯀꯄꯒꯤ ꯇꯥꯡ ꯑꯗꯨꯒꯤ ꯃꯃꯥꯡꯗꯥ ꯃꯤꯔꯣꯅꯕꯥ ꯍꯧꯔꯀꯄꯒꯤ ꯈꯨꯗꯃꯁꯤꯡ ꯎꯕꯥ ꯍꯧꯔꯀꯄꯔꯥ? ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨ ꯋꯥꯈꯜ ꯇꯥꯗꯕꯥ, ꯏꯪꯊꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯁꯨꯞꯅꯒꯤ ꯂꯦꯡ-ꯑꯣꯠꯄꯗꯥ ꯋꯥꯕꯥ ꯑꯣꯏꯔꯕꯁꯨ ꯌꯥꯏ? ꯉꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯋꯥꯐꯃꯁꯤꯡ ꯑꯁꯤ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯕꯥ ꯖꯦꯅꯦꯇꯤꯛ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯔꯤ꯫ ꯑꯩꯈꯣꯌꯅꯥ ꯃꯁꯤꯕꯨ ꯀꯣꯟꯖꯤꯅꯤꯑꯦꯜ ꯑꯦꯗ꯭ꯔꯤꯅꯜ ꯍꯥꯏꯄꯔꯞꯂꯥꯁꯤꯌꯥ, ꯅꯠꯠꯔꯒꯥ ꯊꯣꯏꯗꯣꯛꯅꯥ ꯁꯤ.ꯑꯦ.ꯑꯩꯆ. ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯂꯩꯔꯣꯏꯗꯕꯅꯤ, ꯃꯃꯤꯡ ꯑꯁꯤ ꯈꯔꯥ ꯍꯦꯟꯅꯥ ꯂꯨꯝꯂꯕꯁꯨ ꯌꯥꯏ, ꯑꯗꯨꯕꯨ ꯃꯁꯤ ꯏꯆꯝ ꯆꯝꯅꯥ ꯊꯃꯁꯤ꯫

ꯁꯤ.ꯑꯦ.ꯑꯩꯆ.ꯅꯥ ꯁꯨꯞꯅꯒꯤ ꯀꯔꯤ ꯍꯥꯌꯔꯤꯕꯒꯦ?

ꯑꯣꯀꯦ, ꯑꯍꯥꯅꯕꯗꯥ ꯁꯤ.ꯑꯦ.ꯑꯩꯆ. ꯑꯩꯈꯣꯌ ꯄꯨꯝꯅꯃꯛꯀꯤ ꯀꯤꯗꯅꯤꯒꯤ ꯃꯊꯛꯇꯥ ꯑꯄꯤꯀꯄꯥ ꯍꯦꯇꯆꯔꯤꯁꯤꯡꯒꯨꯝꯅꯥ ꯒ꯭ꯜꯌꯥꯟꯗ ꯑꯅꯤ ꯂꯩ꯫ ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯑꯦꯗ꯭ꯔꯤꯅꯜ ꯒ꯭ꯜꯌꯥꯟꯗ ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ ꯑꯄꯤꯀꯄꯥ ꯒ꯭ꯜꯌꯥꯟꯗ ꯑꯅꯤ ꯑꯁꯤꯅꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯊꯕꯛ ꯊꯧꯔꯃꯁꯤꯡꯗꯥ ꯇꯉꯥꯏꯐꯗꯕꯥ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯍꯣꯔꯃꯣꯟ ꯀꯌꯥ ꯄꯨꯊꯣꯀꯏ꯫

  • ꯀꯣꯔꯇꯤꯁꯣꯜ: ꯃꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯂꯩꯔꯤꯕꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯁ꯭ꯠꯔꯦꯁ ꯍꯣꯔꯃꯣꯅꯅꯤ꯫ ꯃꯁꯤꯅꯥ ꯍꯀꯆꯥꯡꯕꯨ ꯑꯅꯥꯕꯥ, ꯈꯨꯗꯣꯡꯊꯤꯕꯥ ꯑꯃꯁꯨꯡ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯊꯦꯡꯅꯅꯕꯥ ꯁꯦꯝ-ꯁꯥꯍꯜꯂꯤ꯫ ꯃꯁꯤꯅꯥ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ, ꯑꯦꯅꯔꯖꯤꯒꯤ ꯆꯥꯡ, ꯑꯃꯁꯨꯡ ꯕ꯭ꯂꯗ ꯁꯨꯒꯔꯒꯤ ꯆꯥꯡ ꯔꯤꯒꯨꯂꯦꯠ ꯇꯧꯕꯗꯁꯨ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫
  • ꯑꯦꯂꯗꯣꯁ꯭ꯇꯦꯔꯣꯟ: ꯍꯣꯔꯃꯣꯟ ꯑꯁꯤꯅꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯁꯣꯜꯇ (ꯁꯣꯗꯤꯌꯝ) ꯑꯃꯁꯨꯡ ꯏꯁꯤꯡꯒꯤ ꯑꯆꯨꯝꯕꯥ ꯕꯦꯂꯦꯟꯁ ꯊꯝꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ, ꯃꯗꯨꯅꯥ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ ꯑꯃꯁꯨꯡ ꯕ꯭ꯂꯗ ꯚꯣꯜꯌꯨꯝ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯏ꯫
  • ꯑꯦꯟꯗ꯭ꯔꯣꯖꯦꯅꯁꯤꯡ: ꯃꯁꯤ ꯅꯨꯄꯥꯒꯤ ꯁꯦꯛꯁ ꯍꯣꯔꯃꯣꯅꯁꯤꯡꯅꯤ꯫ ꯇꯦꯁ꯭ꯇꯣꯁ꯭ꯇꯦꯔꯣꯟ ꯑꯁꯤ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯍꯣꯔꯃꯣꯟ ꯑꯃꯅꯤ꯫ ꯍꯥꯌꯔꯤꯕꯥ ꯍꯣꯔꯃꯣꯅꯁꯤꯡ ꯑꯁꯤ ꯃꯤꯔꯣꯅꯕꯥ ꯍꯧꯕꯥ, ꯅꯣꯔꯃꯦꯜ ꯒ꯭ꯔꯣꯊ ꯑꯃꯁꯨꯡ ꯗꯤꯚꯦꯂꯄꯃꯦꯟꯇꯗꯥ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫

ꯍꯧꯖꯤꯛ ꯁꯤ.ꯑꯦ.ꯑꯩꯆ.ꯅꯥ ꯅꯥꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯗꯥ ꯀꯔꯤ ꯊꯣꯛꯂꯤꯕꯅꯣ ꯍꯥꯌꯕꯁꯤꯗꯤ ꯍꯣꯔꯃꯣꯅꯁꯤꯡ ꯑꯁꯤ ꯄꯨꯊꯣꯛꯅꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯑꯀꯛꯅꯕꯥ ꯑꯦꯅꯖꯥꯏꯝ ꯑꯃꯥ ꯍꯀꯆꯥꯡꯗꯥ ꯌꯥꯑꯣꯗꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯍꯟꯊꯔꯀꯄꯥ ꯑꯁꯤꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯆꯥꯀꯁꯉ ꯑꯃꯗꯥ ꯃꯁꯛ ꯑꯃꯥ ꯌꯥꯑꯣꯗ꯭ꯔꯕꯗꯤ ꯆꯥꯀꯁꯉꯒꯤ ꯃꯁꯛ ꯍꯣꯡꯂꯀꯄꯒꯨꯝꯅꯥ, ꯑꯦꯅꯖꯥꯏꯝ ꯑꯁꯤ ꯌꯥꯑꯣꯗꯕꯥ ꯃꯇꯃꯗꯥ ꯑꯦꯗ꯭ꯔꯤꯅꯜ ꯒ꯭ꯜꯌꯥꯟꯗꯁꯤꯡꯅꯥ ꯍꯣꯔꯃꯣꯅꯁꯤꯡ ꯑꯁꯤ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯄꯨꯊꯣꯀꯄꯥ ꯉꯃꯗꯦ꯫

ꯑꯗꯨꯅꯥ ꯀꯔꯤ ꯑꯣꯏꯒꯅꯤ?

  • ꯍꯣꯔꯃꯣꯟ ꯀꯣꯔꯇꯤꯁꯣꯜ ꯑꯁꯤ ꯃꯊꯧ ꯇꯥꯕꯥ ꯃꯇꯨꯡ ꯏꯟꯅꯥ ꯄꯨꯊꯣꯀꯄꯥ ꯉꯃꯗꯕꯥ ꯌꯥꯏ꯫
  • ꯍꯣꯔꯃꯣꯟ ꯑꯦꯂꯗꯣꯁ꯭ꯇꯦꯔꯣꯟ ꯑꯁꯤ ꯃꯊꯧ ꯇꯥꯕꯥ ꯃꯇꯨꯡ ꯏꯟꯅꯥ ꯄꯨꯊꯣꯀꯄꯥ ꯉꯃꯗꯕꯥ ꯌꯥꯏ꯫
  • ꯃꯗꯨꯒꯤ ꯃꯍꯨꯠꯇꯥ, ꯑꯦꯟꯗ꯭ꯔꯣꯖꯦꯟ ꯀꯧꯕꯥ ꯅꯨꯄꯥꯒꯤ ꯍꯣꯔꯃꯣꯅꯁꯤꯡ ꯑꯁꯤ ꯑꯍꯦꯅꯕꯥ ꯄꯨꯊꯣꯀꯄꯥ ꯍꯧꯏ .

ꯃꯁꯤꯒꯤ ꯍꯣꯔꯃꯣꯅꯒꯤ ꯏꯃꯕꯦꯂꯦꯟꯁ ꯑꯁꯤꯅꯥ ꯁꯤ.ꯑꯦ.ꯑꯩꯆ.ꯗꯥ ꯊꯣꯀꯄꯥ ꯁꯃꯁ꯭ꯌꯥ ꯄꯨꯝꯅꯃꯛꯀꯤ ꯃꯔꯨꯝ ꯑꯣꯏꯔꯤ꯫

ꯁꯤ.ꯑꯦ.ꯑꯩꯆ.ꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯈꯂꯁꯤꯡ ꯂꯩꯕꯔꯥ?

ꯍꯣꯌ, ꯁꯤ.ꯑꯦ.ꯑꯩꯆ.ꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯈꯜ ꯑꯅꯤ ꯂꯩ꯫ ꯗꯥꯏꯑꯦꯒ꯭ꯅꯣꯁ꯭ꯇꯤꯛ ꯄꯦꯁꯦꯟꯇꯁꯤꯡꯒꯤ 95%ꯗꯤ ꯃꯈꯜ ꯑꯅꯤ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯆꯜꯂꯤ꯫

1. ꯀ꯭ꯂꯥꯁꯤꯛ ꯁꯤ.ꯑꯦ.ꯑꯩꯆ.: ꯃꯁꯤ ꯁꯤ.ꯑꯦ.ꯑꯩꯆ.ꯒꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯁꯥꯊꯤꯕꯥ ꯑꯃꯁꯨꯡ ꯁꯥꯊꯤꯕꯥ ꯃꯑꯣꯡꯅꯤ꯫ ꯃꯍꯧꯁꯥꯅꯥ ꯃꯁꯤ ꯄꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯈꯪꯗꯣꯀꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯂꯥꯏꯌꯦꯡꯗ꯭ꯔꯕꯗꯤ, ꯁꯣꯀꯄꯥ, ꯀꯣꯃꯥ ꯑꯃꯁꯨꯡ ꯁꯤꯕꯥ ꯐꯥꯎꯕꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯇꯣꯏꯅꯥ ꯈꯪꯗꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯂꯥꯏꯌꯦꯡꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫ꯃꯁꯤꯒꯤ ꯃꯈꯜ ꯑꯁꯤꯒꯤ ꯁꯕ-ꯇꯥꯏꯞ ꯑꯅꯤ ꯂꯩ꯫

  • ꯁꯣꯜꯇ-ꯋꯥꯁ꯭ꯇꯤꯡ ꯁꯤ.ꯑꯦ.ꯑꯩꯆ.: ꯃꯁꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯁꯥꯊꯤꯕꯥ ꯁꯤ.ꯑꯦ.ꯑꯩꯆ. ꯃꯁꯤꯒꯤ ꯀꯦꯁ ꯑꯁꯤꯗꯥ ꯍꯣꯔꯃꯣꯟ ꯑꯦꯂꯗꯣꯁ꯭ꯇꯦꯔꯣꯟ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯅꯦꯝꯅꯥ ꯄꯨꯊꯣꯀꯏ꯫ ꯃꯁꯤꯅꯥ ꯍꯀꯆꯥꯡꯅꯥ ꯃꯁꯥꯒꯤ ꯁꯣꯜꯇ (ꯁꯣꯗꯤꯌꯝ) ꯂꯦꯚꯦꯜ ꯑꯗꯨ ꯔꯤꯒꯨꯂꯦꯠ ꯇꯧꯕꯥ ꯉꯃꯍꯟꯗꯦ꯫ ꯃꯁꯤꯒꯤ ꯃꯍꯩ ꯑꯣꯏꯅꯥ ꯑꯍꯦꯅꯕꯥ ꯁꯣꯜꯇ ꯑꯁꯤ ꯌꯨꯔꯤꯅꯗꯥ ꯊꯥꯗꯣꯀꯏ꯫ ꯃꯇꯝ ꯑꯗꯨꯃꯛꯇꯗꯥ ꯍꯣꯔꯃꯣꯟ ꯀꯣꯔꯇꯤꯁꯣꯂꯁꯨ ꯍꯟꯊꯔꯀꯏ, ꯑꯃꯁꯨꯡ ꯍꯣꯔꯃꯣꯟ ꯑꯦꯟꯗ꯭ꯔꯣꯖꯦꯟ ꯑꯁꯤꯁꯨ ꯑꯍꯦꯅꯕꯥ ꯑꯣꯏꯅꯥ ꯄꯨꯊꯣꯀꯏ꯫
  • ꯁꯤꯝꯄꯜ-ꯚꯥꯏꯔꯤꯂꯥꯏꯖꯤꯡ CAH (ꯅꯟ-ꯁꯣꯜꯇ-ꯑꯦꯛꯁꯛꯔꯤꯇꯤꯡ, ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯃꯈꯜ): ꯃꯁꯤ ꯈꯔꯥ ꯍꯦꯟꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫ ꯃꯐꯝ ꯑꯁꯤꯗꯥ ꯑꯦꯂꯗꯣꯁ꯭ꯇꯦꯔꯣꯟ ꯍꯣꯔꯃꯣꯅꯒꯤ ꯑꯋꯥꯠꯄꯥ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯑꯣꯏꯗꯦ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯄꯨꯟꯁꯤꯗꯥ ꯈꯨꯗꯣꯡꯊꯤꯅꯤꯉꯥꯏ ꯑꯣꯏꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯊꯣꯛꯇꯦ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ ꯀꯣꯔꯇꯤꯁꯣꯜ ꯍꯣꯔꯃꯣꯟ ꯑꯁꯤ ꯍꯧꯖꯤꯀꯁꯨ ꯅꯦꯝꯅꯥ ꯂꯩꯔꯤ ꯑꯃꯁꯨꯡ ꯑꯦꯟꯗ꯭ꯔꯣꯖꯦꯟ ꯍꯣꯔꯃꯣꯟ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯋꯥꯡꯏ꯫ ꯃꯁꯤꯅꯥ ꯁꯦꯛꯁꯨꯑꯦꯜ ꯗꯤꯚꯦꯂꯄꯃꯦꯟꯇꯒꯥ ꯃꯔꯤ ꯂꯩꯅꯕꯥ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯃꯁꯤꯡ ꯊꯣꯀꯍꯜꯂꯤ꯫

2. ꯅꯟ-ꯀ꯭ꯂꯥꯁꯤꯛ ꯁꯤ.ꯑꯦ.ꯑꯩꯆ.: ꯃꯁꯤ ꯁꯤ.ꯑꯦ.ꯑꯩꯆ.ꯒꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯌꯥꯏ ꯑꯣꯏꯕꯥ ꯃꯑꯣꯡꯅꯤ꯫ ꯃꯍꯧꯁꯥꯅꯥ ꯃꯁꯤ ꯑꯉꯥꯡ ꯑꯣꯏꯔꯤꯉꯩꯗꯥ, ꯏꯅꯈꯠꯂꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯅꯠꯠꯔꯒꯥ ꯏꯅꯈꯠꯂꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯈꯪꯗꯣꯀꯏ꯫ ꯃꯤꯑꯣꯏ ꯈꯔꯗꯗꯤ ꯂꯥꯏꯑꯣꯡ ꯑꯃꯠꯇꯥ ꯂꯩꯇꯕꯁꯨ ꯌꯥꯏ꯫ ꯃꯐꯃꯁꯤꯗꯁꯨ, ꯑꯦꯟꯗ꯭ꯔꯣꯖꯦꯟ ꯍꯣꯔꯃꯣꯅꯁꯤꯡ ꯍꯦꯟꯅꯥ ꯄꯨꯊꯣꯀꯄꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯁꯦꯛꯁꯨꯑꯦꯜ ꯗꯤꯚꯦꯂꯄꯃꯦꯟꯇꯒꯥ ꯃꯔꯤ ꯂꯩꯅꯕꯥ ꯂꯥꯏꯑꯣꯡ ꯈꯔꯗꯤ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫

CAHꯒꯤ ꯑꯣꯏꯊꯣꯀꯄꯥ ꯌꯥꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?

CAHꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯃꯈꯜ ꯑꯃꯁꯨꯡ ꯖꯦꯟꯗꯔꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ ꯈꯦꯠꯅꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤ ꯃꯌꯦꯛ ꯁꯦꯡꯅꯥ ꯈꯉꯅꯕꯒꯤꯗꯃꯛ ꯃꯈꯥꯒꯤ ꯇꯦꯕꯜ ꯑꯁꯤ ꯌꯦꯡꯁꯤ꯫

ꯁꯤ.ꯑꯦ.ꯑꯩꯆ.ꯒꯤ ꯃꯈꯜ꯫ ꯎꯕꯥ ꯐꯪꯒꯗꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ꯫
ꯀ꯭ꯂꯥꯁꯤꯛ ꯁꯤ.ꯑꯦ.ꯑꯩꯆ.(ꯁꯤꯚꯤꯌꯔ ꯇꯥꯏꯞ - ꯅꯨꯄꯤꯃꯆꯥꯁꯤꯡ)

  • ꯄꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯑꯦꯝꯕꯤꯒ꯭ꯌꯁ ꯖꯦꯅꯤꯇꯥꯂꯤꯌꯥ꯫ ꯃꯁꯤꯅꯥ ꯇꯥꯀꯄꯗꯤ ꯃꯄꯥꯟꯊꯪꯕꯥ ꯁꯔꯨ ꯇꯥꯡꯁꯤꯡ ꯑꯁꯤ ꯅꯨꯄꯥ ꯑꯉꯥꯡ ꯑꯃꯒꯥ ꯃꯥꯟꯅꯩ, ꯑꯗꯨꯕꯨ ꯃꯅꯨꯡꯗꯥ ꯃꯈꯣꯌꯗꯥ ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯕꯥ ꯅꯨꯄꯤꯒꯤ ꯑꯣꯔꯒꯥꯅꯁꯤꯡ, ꯍꯥꯌꯕꯗꯤ ꯏꯎꯇꯦꯔꯥꯁ ꯑꯃꯁꯨꯡ ꯑꯣꯕꯦꯔꯤꯁꯤꯡ ꯂꯩ꯫
  • ꯃꯇꯝ ꯆꯥꯗꯅꯥ ꯃꯤꯔꯣꯜꯂꯤꯉꯩꯒꯤ ꯈꯨꯗꯃꯁꯤꯡ (ꯈꯣꯟꯖꯦꯜ ꯁꯣꯀꯄꯥ, ꯑꯦꯛꯅꯤ, ꯈꯣꯡ ꯑꯃꯁꯨꯡ ꯂꯅꯥꯏꯒꯤ ꯃꯐꯃꯁꯤꯡꯗꯥ ꯆꯨꯃꯊꯣꯀꯄꯥ)꯫
  • ꯅꯨꯄꯥꯒꯤ ꯃꯒꯨꯅꯁꯤꯡꯒꯤ ꯃꯑꯣꯡ-ꯃꯇꯧ (ꯃꯁꯜ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ, ꯈꯣꯟꯖꯦꯜ ꯋꯥꯡꯈꯠꯂꯀꯄꯥ, ꯃꯥꯌꯒꯤ ꯈꯣꯡꯎꯞ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ)꯫
  • ꯑꯆꯝꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯌꯥꯡꯅꯥ ꯆꯥꯎꯈꯠꯄꯥ ꯂꯩꯕꯥ꯫
  • ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯊꯥꯒꯤ ꯈꯣꯡꯀꯥꯞ ꯂꯩꯕꯥ꯫
  • ꯃꯤꯔꯣꯅꯕꯥ ꯌꯥꯗꯕꯥ꯫

ꯀ꯭ꯂꯥꯁꯤꯛ ꯁꯤ.ꯑꯦ.ꯑꯩꯆ.(ꯁꯤꯚꯤꯌꯔ ꯇꯥꯏꯞ - ꯅꯨꯄꯥꯃꯆꯥ)

  • ꯄꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯂꯤꯟ ꯑꯁꯤ ꯍꯦꯟꯅꯥ ꯆꯥꯎꯈꯠꯂꯀꯏ꯫
  • ꯃꯇꯝ ꯆꯥꯗꯅꯥ ꯃꯤꯔꯣꯅꯕꯥ (voice change, acne, hair growth)ꯒꯤ ꯈꯨꯗꯃꯁꯤꯡ꯫
  • ꯑꯆꯝꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯌꯥꯡꯅꯥ ꯆꯥꯎꯈꯠꯄꯥ ꯂꯩꯕꯥ꯫
  • ꯅꯟ-ꯀꯦꯟꯁꯔ ꯇꯦꯁ꯭ꯇꯤꯀꯨꯂꯥꯔ ꯇꯤꯎꯃꯔꯁꯤꯡ (ꯕꯦꯅꯤꯟ ꯇꯦꯁ꯭ꯇꯤꯀꯨꯂꯥꯔ ꯇꯤꯎꯃꯔꯁꯤꯡ) ꯊꯣꯀꯄꯥ꯫
  • ꯃꯤꯔꯣꯅꯕꯥ ꯌꯥꯗꯕꯥ꯫

ꯁꯣꯜꯇ-ꯋꯥꯁ꯭ꯇꯤꯡ CAHꯒꯤ ꯑꯀꯛꯅꯕꯥ ꯌꯥꯝꯅꯥ ꯈꯨꯗꯣꯡꯊꯤꯅꯤꯉꯥꯏ ꯑꯣꯏꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ:

ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯑꯉꯥꯡ ꯑꯗꯨ ꯄꯣꯀꯄꯥ ꯃꯇꯨꯡ ꯑꯍꯥꯅꯕꯥ ꯅꯨꯃꯤꯠ ꯈꯔꯅꯤꯗꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯍꯥꯌꯔꯤꯕꯥ ꯑꯁꯤ ꯑꯦꯃꯔꯖꯦꯟꯁꯤ ꯃꯦꯗꯤꯀꯦꯜ ꯇ꯭ꯔꯤꯠꯃꯦꯟꯇ ꯃꯊꯧ ꯇꯥꯕꯥ ꯀꯟꯗꯤꯁꯅꯁꯤꯡꯅꯤ꯫

  • ꯗꯤꯍꯥꯌꯗ꯭ꯔꯦꯁꯟ ꯂꯩꯕꯥ꯫
  • ꯏꯗꯥ ꯁꯣꯗꯤꯌꯝ (ꯁꯣꯜꯇ)ꯒꯤ ꯆꯥꯡ ꯍꯟꯊꯔꯀꯄꯥ (Hyponatremia)꯫
  • ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ ꯅꯦꯝꯕꯥ (Hypotension)꯫
  • ꯍꯥꯔꯇꯀꯤ ꯈꯣꯡꯖꯦꯜ ꯌꯥꯡꯕꯥ (Arrhythmia)꯫
  • ꯕ꯭ꯂꯗ ꯁꯨꯒꯔꯒꯤ ꯆꯥꯡ ꯅꯦꯝꯕꯥ꯫
  • ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯈꯣꯡ ꯍꯥꯝꯕꯥ ꯑꯃꯁꯨꯡ ꯗꯥꯏꯔꯤꯌꯥ ꯂꯩꯕꯥ꯫
  • ꯑꯔꯨꯝꯕꯥ ꯍꯟꯊꯕꯥ꯫
  • ꯁꯣꯀꯄꯗꯥ ꯆꯠꯄꯥ꯫

ꯅꯟ-ꯀ꯭ꯂꯥꯁꯤꯛ ꯁꯤ.ꯑꯦ.ꯑꯩꯆ.(ꯃꯥꯏꯜꯗ ꯇꯥꯏꯞ)

ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯑꯉꯥꯡ ꯑꯣꯏꯔꯤꯉꯩꯗꯥ, ꯏꯅꯈꯠꯂꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯅꯠꯠꯔꯒꯥ ꯇꯨꯡꯗꯥ ꯂꯥꯀꯄꯥ ꯌꯥꯏ꯫

  • ꯌꯥꯡꯅꯥ ꯆꯥꯎꯈꯠꯄꯥ ꯂꯩꯕꯥ꯫
  • ꯑꯍꯦꯅꯕꯥ ꯑꯦꯛꯅꯤ ꯂꯩꯕꯥ꯫
  • ꯃꯇꯝ ꯆꯥꯗꯅꯥ ꯃꯤꯔꯣꯅꯕꯥ꯫
  • ꯅꯨꯄꯤꯁꯤꯡꯗꯥ ꯃꯥꯌ ꯅꯠꯠꯔꯒꯥ ꯍꯀꯆꯥꯡꯗꯥ ꯍꯦꯟꯅꯥ ꯆꯨꯃꯊꯣꯀꯄꯥ꯫
  • ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯊꯥꯒꯤ ꯈꯣꯡꯀꯥꯞ ꯂꯩꯕꯥ꯫
  • ꯃꯤꯔꯣꯅꯕꯥ ꯌꯥꯗꯕꯥ꯫
  • ꯅꯨꯄꯥꯒꯤ ꯃꯑꯣꯡ-ꯃꯇꯧꯒꯤ ꯃꯑꯣꯡ-ꯃꯇꯧ ꯂꯩꯕꯥ꯫
  • ꯅꯨꯄꯥꯁꯤꯡꯅꯥ ꯑꯆꯧꯕꯥ ꯄꯦꯅꯤꯁꯁꯤꯡ ꯂꯩꯔꯕꯁꯨ ꯃꯈꯣꯌꯒꯤ ꯇꯦꯁ꯭ꯇꯤꯀꯂꯁꯤꯡ ꯑꯁꯤ ꯑꯄꯤꯀꯄꯥ ꯑꯣꯏ꯫

ꯀꯔꯤꯒꯤꯗꯃꯛꯇꯥ ꯁꯤ.ꯑꯦ.ꯑꯩꯆ.ꯅꯥ ꯁꯦꯃꯒꯠꯂꯤꯕꯅꯣ? ꯃꯁꯤꯒꯤ ꯃꯔꯝ ꯀꯔꯤꯅꯣ?

ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯁꯤ.ꯑꯦ.ꯑꯩꯆ.ꯅꯥ ꯖꯦꯅꯦꯇꯤꯛ ꯑꯣꯏꯕꯥ ꯂꯥꯌꯅꯥ ꯑꯃꯅꯤ . ꯃꯁꯤꯅꯥ ꯇꯥꯀꯄꯗꯤ ꯃꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯏꯃꯥ-ꯏꯄꯥꯗꯒꯤ ꯂꯧꯔꯀꯄꯥ ꯄꯣꯠꯁꯛ ꯑꯃꯅꯤ꯫ ꯃꯁꯤ ꯂꯧꯅꯒꯅꯕꯥ ꯂꯥꯌꯅꯥ ꯑꯃꯅꯤ꯫

ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯂꯩꯔꯤꯕꯥ ꯂꯃꯆꯠ ꯈꯨꯗꯤꯡꯃꯛꯀꯤꯗꯃꯛ ꯖꯤꯟ ꯑꯅꯤ ꯂꯩ, ꯑꯃꯅꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯏꯃꯥꯗꯒꯤ ꯑꯃꯁꯨꯡ ꯑꯃꯅꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯃꯄꯥꯗꯒꯤ꯫ CAH ꯊꯣꯛꯅꯕꯒꯤꯗꯃꯛ, ꯑꯉꯥꯡ ꯑꯃꯅꯥ ꯃꯈꯣꯌꯒꯤ ꯃꯃꯥ ꯑꯃꯁꯨꯡ ꯃꯄꯥ ꯑꯅꯤꯃꯛꯇꯒꯤ ꯑꯁꯣꯀꯄꯥ ꯖꯤꯟ ꯑꯗꯨ ꯏꯅꯍꯦꯔꯤ ꯇꯧꯒꯗꯕꯅꯤ . ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤꯕꯨ ꯑꯣꯇꯣꯁꯣꯃꯜ ꯔꯤꯁꯦꯁꯤꯚ ꯗꯤꯁꯑꯣꯔꯗꯔ ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫

CAH ꯑꯁꯤ ꯑꯌꯥꯝꯕꯅꯥ ꯑꯦꯅꯖꯥꯏꯝ 21-ꯍꯥꯏꯗ꯭ꯔꯣꯛꯁꯤꯂꯦꯖꯒꯤ ꯑꯋꯥꯠꯄꯥ ꯂꯩꯕꯅꯥ ꯊꯣꯀꯍꯅꯕꯅꯤ꯫ ꯃꯁꯤ ꯑꯦꯅꯖꯥꯏꯝ ꯑꯁꯤꯒꯤ ꯀꯣꯗ ꯇꯧꯔꯤꯕꯥ ꯖꯤꯟ ꯑꯗꯨꯗꯥ ꯃ꯭ꯌꯨꯇꯦꯁꯟ ꯑꯃꯅꯥ ꯊꯣꯀꯍꯅꯕꯅꯤ꯫

ꯃꯔꯨꯑꯣꯏꯕꯥ ꯋꯥꯐꯃꯗꯤ ꯃꯃꯥ-ꯃꯄꯥ ꯑꯅꯤꯃꯛ ꯑꯁꯣꯏ-ꯑꯉꯥꯝ ꯌꯥꯑꯣꯗꯕꯥ ꯖꯤꯟ ꯑꯁꯤꯒꯤ ꯀꯦꯔꯤꯌꯔ ꯑꯣꯏꯔꯕꯁꯨ ꯃꯈꯣꯌꯗꯥ ꯂꯥꯏꯑꯣꯡ ꯑꯃꯠꯇꯥ ꯎꯕꯥ ꯐꯪꯗꯕꯥ ꯌꯥꯏ꯫ ꯃꯈꯣꯌ ꯍꯀꯆꯥꯡ ꯐꯅꯥ ꯂꯩꯕꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯕꯨ ꯃꯈꯣꯌꯅꯥ ꯄꯣꯀꯄꯥ ꯑꯉꯥꯡ ꯑꯃꯅꯥ CAH ꯂꯥꯀꯄꯒꯤ ꯔꯤꯁ꯭ꯛ 25% ꯂꯩ꯫

ꯅꯍꯥꯛꯅꯥ CAH ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯀꯔꯝꯅꯥ ꯈꯪꯒꯅꯤ?

ꯀ꯭ꯂꯥꯁꯤꯛ ꯁꯤ.ꯑꯦ.ꯑꯩꯆ.(ꯑꯀꯅꯕꯥ ꯃꯈꯜ)

ꯃꯁꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯥ ꯄꯥꯎꯅꯤ꯫ ꯁ꯭ꯔꯤꯂꯉ꯭ꯀꯥꯒꯤ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯜ ꯀꯌꯥ ꯑꯃꯅꯥ ꯍꯧꯖꯤꯛ ꯄꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯄꯥꯡꯊꯣꯀꯄꯥ ꯇꯦꯁ꯭ꯇꯁꯤꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯀ꯭ꯂꯥꯁꯤꯛ ꯁꯤ.ꯑꯦ.ꯑꯩꯆ. ꯃꯁꯤ ꯑꯉꯥꯡ ꯑꯗꯨ ꯄꯣꯀꯄꯥ ꯃꯇꯨꯡ ꯅꯨꯃꯤꯠ ꯈꯔꯅꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ, ꯑꯉꯥꯡ ꯑꯗꯨꯒꯤ ꯃꯀꯣꯛ ꯑꯗꯨꯗꯒꯤ ꯂꯧꯊꯣꯀꯄꯥ ꯏꯒꯤ ꯑꯄꯤꯀꯄꯥ ꯊꯣꯡꯅꯥꯎ ꯑꯃꯥ ꯁꯤꯖꯤꯟꯅꯗꯨꯅꯥ ꯄꯥꯡꯊꯣꯀꯏ . ꯃꯁꯤꯒꯤ ꯇꯦꯁ꯭ꯠ (ꯅꯧꯅꯥ ꯄꯣꯀꯄꯥ ꯑꯉꯥꯡꯁꯤꯡꯒꯤ ꯁ꯭ꯛꯔꯤꯅꯤꯡ) ꯑꯁꯤꯅꯥ ꯑꯉꯥꯡ ꯑꯗꯨꯗꯥ ꯀ꯭ꯂꯥꯁꯤꯛ ꯁꯤ.ꯑꯦ.ꯑꯩꯆ. ꯃꯁꯤꯅꯥ ꯇꯥꯀꯄꯗꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯂꯥꯛꯠꯔꯤꯉꯩ ꯃꯃꯥꯡꯗꯥ ꯂꯥꯏꯌꯦꯡ ꯍꯧꯕꯥ ꯌꯥꯏ, ꯃꯗꯨꯅꯥ ꯑꯉꯥꯡ ꯑꯗꯨꯒꯤ ꯄꯨꯟꯁꯤ ꯀꯅꯕꯥ ꯉꯝꯃꯤ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯍꯥꯟꯅꯅꯥ CAH ꯅꯥꯔꯕꯥ ꯑꯉꯥꯡ ꯑꯃꯥ ꯂꯩꯕꯥ ꯏꯃꯨꯡ ꯑꯃꯅꯥ ꯑꯇꯣꯞꯄꯥ ꯑꯉꯥꯡ ꯑꯃꯥ ꯄꯣꯀꯄꯥ ꯇꯥꯔꯕꯗꯤ, ꯃꯤꯔꯣꯜꯂꯤꯉꯩ ꯃꯇꯃꯗꯥ ꯑꯉꯥꯡ ꯑꯗꯨꯕꯨ ꯀꯟꯗꯤꯁꯟ ꯑꯗꯨꯒꯤꯗꯃꯛ ꯇꯦꯁ꯭ꯠ ꯇꯧꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯒꯤꯗꯃꯛꯇꯥ ꯑꯈꯟꯅꯕꯥ ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯂꯩꯔꯤ, ꯃꯈꯣꯌꯁꯤꯡ ꯑꯗꯨꯗꯤ ꯑꯦꯝꯅꯤꯑꯣꯁꯦꯟꯇꯦꯁꯤꯁꯅꯤ꯫ ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯇꯥꯟꯅꯧ꯫

ꯅꯟ-ꯀ꯭ꯂꯥꯁꯤꯛ ꯁꯤ.ꯑꯦ.ꯑꯩꯆ.(ꯃꯥꯏꯜꯗ ꯇꯥꯏꯞ)

ꯃꯁꯤꯒꯤ ꯃꯌꯥꯏ ꯑꯣꯏꯕꯥ ꯃꯑꯣꯡ ꯑꯁꯤ ꯈꯪꯖꯤꯅꯕꯗꯥ ꯈꯔꯥ ꯊꯦꯡꯊꯕꯥ ꯌꯥꯏ ꯃꯔꯃꯗꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯇꯨꯡꯗꯥ ꯂꯥꯀꯏ꯫ ꯅꯍꯥꯛꯅꯥ ꯅꯠꯠꯔꯒꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯅꯥ ꯃꯊꯛꯇꯥ ꯄꯅꯈ꯭ꯔꯤꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯊꯦꯡꯅꯕꯥ ꯍꯧꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯅꯍꯥꯛꯅꯥ ꯗꯣꯛꯇꯔ ꯑꯃꯒꯥ ꯇꯥꯟꯅꯒꯗꯕꯅꯤ꯫ ꯗꯣꯛꯇꯔꯅꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯁꯤꯡꯁꯤ ꯄꯤꯒꯅꯤ:

  • ꯐꯤꯖꯤꯀꯦꯜ ꯑꯦꯀꯖꯥꯃꯤꯅꯦꯁꯟ ꯑꯃꯥ ꯄꯥꯡꯊꯣꯀꯏ꯫
  • ꯕ꯭ꯂꯗ ꯇꯦꯁ꯭ꯠ ꯑꯃꯁꯨꯡ ꯌꯨꯔꯤꯟ ꯇꯦꯁ꯭ꯇꯁꯤꯡꯅꯥ ꯍꯣꯔꯃꯣꯅꯒꯤ ꯆꯥꯡ ꯌꯦꯡꯁꯤꯜꯂꯤ꯫
  • ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯖꯦꯅꯦꯇꯤꯛ ꯇꯦꯁ꯭ꯠ ꯇꯧꯕꯅꯥ ꯂꯥꯌꯅꯥ ꯑꯁꯤ ꯀꯅꯐꯥꯔꯝ ꯇꯧꯕꯥ ꯉꯝꯃꯤ꯫

ꯃꯁꯤꯒꯤ ꯂꯥꯏꯌꯦꯡꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯤꯅꯣ?

CAH ꯑꯁꯤ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯐꯍꯅꯕꯥ ꯉꯃꯗꯦ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯂꯥꯌꯦꯡꯕꯅꯥ ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯐꯖꯅꯥ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯥ ꯉꯃꯒꯅꯤ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯅꯥ ꯃꯄꯨꯡ ꯐꯥꯅꯥ ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯕꯥ, ꯍꯀꯆꯥꯡ ꯐꯕꯥ ꯄꯨꯟꯁꯤ ꯑꯃꯥ ꯍꯤꯡꯕꯥ ꯉꯃꯒꯅꯤ . ꯂꯥꯏꯌꯦꯡ ꯑꯁꯤ ꯂꯥꯌꯅꯥ ꯑꯁꯤꯒꯤ ꯃꯈꯜ ꯑꯃꯁꯨꯡ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯁꯥꯊꯤꯕꯒꯤ ꯃꯈꯥ ꯄꯣꯜꯂꯤ꯫

ꯀ꯭ꯂꯥꯁꯤꯛ ꯁꯤ.ꯑꯦ.ꯑꯩꯆ.ꯒꯤꯗꯃꯛ ꯂꯥꯌꯦꯡꯕꯥ꯫

ꯍꯥꯌꯔꯤꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯄꯨꯟꯁꯤ ꯆꯨꯞꯄꯥ ꯅꯨꯃꯤꯠ ꯈꯨꯗꯤꯡꯒꯤ ꯍꯤꯗꯥꯛ ꯂꯥꯡꯊꯛ ꯂꯧꯒꯗꯕꯅꯤ . ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯄꯥꯟꯗꯃꯗꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯑꯋꯥꯠꯄꯥ ꯂꯩꯕꯥ ꯍꯣꯔꯃꯣꯅꯁꯤꯡ ꯄꯤꯗꯨꯅꯥ ꯍꯣꯔꯃꯣꯅꯒꯤ ꯆꯥꯡ ꯑꯗꯨ ꯕꯦꯂꯦꯟꯁ ꯇꯧꯕꯅꯤ꯫ ꯃꯁꯤꯅꯥ ꯅꯣꯔꯃꯦꯜ ꯒ꯭ꯔꯣꯊ ꯑꯃꯁꯨꯡ ꯁꯦꯛꯁꯨꯑꯦꯜ ꯗꯤꯚꯦꯂꯄꯃꯦꯟꯇ ꯁꯣꯌꯗꯅꯥ ꯂꯩꯍꯅꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫

  • ꯒ꯭ꯂꯨꯀꯣꯀꯣꯔꯇꯤꯀꯣꯏꯗꯁꯤꯡ: ꯍꯤꯗꯥꯀꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯍꯀꯆꯥꯡꯅꯥ ꯄꯨꯊꯣꯀꯄꯥ ꯉꯃꯗꯕꯥ ꯀꯣꯔꯇꯤꯁꯣꯜ ꯍꯣꯔꯃꯣꯅꯒꯤ ꯃꯍꯨꯠ ꯁꯤꯜꯂꯤ꯫ ꯑꯉꯥꯡ ꯑꯗꯨꯅꯥ ꯂꯥꯏꯍꯧ, ꯏꯅꯐꯦꯛꯁꯟ, ꯅꯠꯠꯔꯒꯥ ꯁꯔꯖꯔꯤꯒꯨꯝꯕꯥ ꯁ꯭ꯠꯔꯦꯁ ꯂꯩꯕꯥ ꯐꯤꯚꯃꯁꯤꯡꯒꯤ ꯃꯇꯃꯗꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯗꯣꯖ ꯑꯁꯤ ꯍꯦꯅꯒꯠꯍꯅꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯏ꯫
  • ꯃꯤꯅꯔꯦꯂꯣꯀꯣꯔꯇꯤꯀꯣꯏꯗꯁꯤꯡ: ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯄꯨꯊꯣꯀꯄꯥ ꯉꯃꯗꯕꯥ ꯍꯣꯔꯃꯣꯟ ꯑꯦꯂꯗꯣꯁ꯭ꯇꯦꯔꯣꯅꯒꯤ ꯃꯍꯨꯠ ꯁꯤꯟꯅꯕꯥ ꯄꯤꯕꯅꯤ꯫
  • ꯁꯣꯜꯇ ꯁꯞꯂꯤꯃꯦꯟꯇꯁꯤꯡ: ꯁꯣꯜꯇ-ꯋꯥꯁ꯭ꯇꯤꯡ ꯁꯤꯟꯗ꯭ꯔꯣꯝ ꯂꯩꯕꯥ ꯅꯧꯅꯥ ꯄꯣꯀꯄꯥ ꯑꯉꯥꯡꯁꯤꯡꯗꯥ ꯍꯀꯆꯥꯡꯗꯒꯤ ꯃꯥꯡꯈꯤꯕꯥ ꯁꯣꯜꯇ ꯑꯗꯨꯒꯤ ꯃꯍꯨꯠꯇꯥ ꯁꯣꯗꯤꯌꯝ ꯀ꯭ꯂꯣꯔꯥꯏꯗ ꯄꯤ꯫

ꯅꯤꯡꯁꯤꯡꯕꯤꯌꯨ, ꯅꯍꯥꯛꯅꯥ ꯍꯤꯗꯥꯛ ꯑꯁꯤ ꯂꯧꯕꯥ ꯂꯦꯄꯈ꯭ꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯗꯨ ꯍꯜꯂꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ, ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯄꯥꯎꯇꯥꯛ ꯌꯥꯎꯗꯅꯥ ꯀꯩꯗꯧꯉꯩꯗꯥ ꯂꯧꯕꯥ ꯂꯦꯄꯍꯜꯂꯣꯏꯗꯕꯅꯤ ꯅꯠꯠꯔꯒꯥ ꯗꯣꯖ ꯑꯗꯨ ꯍꯣꯡꯗꯣꯛꯂꯣꯏꯗꯕꯅꯤ꯫

ꯑꯇꯣꯞꯄꯥ ꯂꯥꯏꯌꯦꯡꯒꯤ ꯑꯣꯄꯁꯟ ꯑꯃꯗꯤ ꯅꯨꯄꯤꯃꯆꯥꯁꯤꯡꯗꯥ ꯌꯥꯎꯔꯤꯕꯥ ꯑꯁꯣꯛ-ꯑꯄꯅꯁꯤꯡ (ambiguous genitalia) ꯀꯣꯀꯍꯟꯅꯕꯥ ꯁꯔꯖꯔꯤ ꯑꯁꯤꯅꯤ꯫ ꯃꯁꯤ ꯃꯍꯧꯁꯥꯅꯥ ꯑꯉꯥꯡ ꯑꯗꯨ ꯄꯣꯀꯄꯥ ꯃꯇꯨꯡ ꯊꯥ 2 ꯑꯃꯁꯨꯡ 6ꯒꯤ ꯃꯔꯛꯇꯥ ꯄꯥꯡꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫

ꯅꯟ-ꯀ꯭ꯂꯥꯁꯤꯛ ꯁꯤ.ꯑꯦ.ꯑꯩꯆ.ꯒꯤꯗꯃꯛ ꯂꯥꯌꯦꯡꯕꯥ꯫

ꯃꯁꯤꯒꯤ ꯃꯌꯥꯏ ꯑꯣꯏꯕꯥ ꯃꯑꯣꯡ ꯑꯁꯤ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯂꯥꯏꯑꯣꯡ ꯎꯠꯇꯕꯥ ꯑꯣꯏꯔꯕꯗꯤ ꯂꯥꯏꯌꯦꯡ ꯑꯃꯠꯇꯥ ꯃꯊꯧ ꯇꯥꯗꯕꯥ ꯌꯥꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯈꯣꯌꯗꯥ ꯃꯌꯥꯏ ꯑꯣꯏꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯂꯩꯔꯕꯗꯤ ꯃꯈꯣꯌꯗꯥ ꯒ꯭ꯂꯨꯀꯣꯀꯣꯔꯇꯤꯀꯣꯏꯗꯀꯤ ꯗꯣꯖ ꯅꯦꯝꯅꯥ ꯄꯤꯕꯥ ꯌꯥꯏ꯫ ꯍꯥꯌꯔꯤꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡ ꯑꯁꯤ ꯑꯌꯥꯝꯕꯅꯥ ꯄꯨꯟꯁꯤ ꯆꯨꯞꯄꯥ ꯂꯥꯌꯦꯡꯕꯒꯤ ꯃꯊꯧ ꯇꯥꯗꯦ꯫

ꯐꯤꯚꯃꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯍꯦꯛꯇꯗꯥ, ꯑꯉꯥꯡ ꯑꯃꯁꯨꯡ ꯃꯃꯥ-ꯃꯄꯥꯁꯤꯡꯅꯥ ꯊꯦꯡꯅꯔꯀꯄꯥ ꯌꯥꯕꯥ ꯁ꯭ꯠꯔꯦꯁ ꯑꯃꯁꯨꯡ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯃꯁꯤꯡꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯔꯤ-ꯋꯥꯇꯥꯏ ꯁꯥꯅꯕꯥ ꯃꯦꯟꯇꯦꯜ ꯍꯦꯂꯊ ꯀꯥꯎꯟꯁꯦꯂꯤꯡ ꯂꯧꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯁꯔꯨꯛ ꯑꯃꯅꯤ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯂꯥꯏꯌꯦꯡꯗ꯭ꯔꯕꯗꯤ ꯀꯔꯤ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ ꯊꯣꯀꯄꯥ ꯌꯥꯕꯒꯦ?

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯂꯥꯏꯌꯦꯡꯗꯅꯥ ꯊꯃꯖꯤꯜꯂꯕꯗꯤ, ꯃꯔꯨꯑꯣꯏꯅꯥ ꯀ꯭ꯂꯥꯁꯤꯛ ꯁꯤ.ꯑꯦ.ꯑꯩꯆ.ꯒꯤ ꯂꯧꯎ-ꯁꯤꯡꯎꯒꯤ ꯃꯈꯜ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯈꯨꯗꯣꯡꯊꯤꯅꯤꯉꯥꯏ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫ ꯍꯀꯆꯥꯡꯗꯒꯤ ꯌꯥꯝꯅꯥ ꯍꯦꯟꯅꯥ ꯁꯣꯜꯇ ꯑꯃꯁꯨꯡ ꯏꯁꯤꯡ ꯊꯨꯃꯖꯤꯅꯕꯅꯥ ꯄꯨꯟꯁꯤꯗꯥ ꯈꯨꯗꯣꯡꯊꯤꯕꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯕꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯉꯥꯡ ꯑꯗꯨꯅꯥ ꯌꯥꯝꯅꯥ ꯋꯥꯅꯥ ꯊꯣꯛꯂꯛꯂꯕꯗꯤ, ꯂꯦꯡ-ꯑꯣꯠꯄꯗꯥ ꯋꯥꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯆꯤꯀꯄꯥ ꯉꯃꯗ꯭ꯔꯕꯗꯤ , ꯃꯈꯣꯌꯕꯨ ꯈꯨꯗꯛꯇꯥ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯜ ꯑꯃꯒꯤ ꯏꯃꯔꯖꯦꯟꯁꯤ ꯇ꯭ꯔꯤꯇꯃꯦꯟꯇ ꯌꯨꯅꯤꯠ (ETU)ꯗꯥ ꯄꯨꯈꯠꯀꯗꯕꯅꯤ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯂꯥꯏꯌꯦꯡꯗꯅꯥ ꯊꯃꯖꯤꯜꯂꯕꯗꯤ ꯀꯔꯤ ꯊꯣꯀꯄꯥ ꯌꯥꯕꯒꯦ:

  • ꯍꯥꯔꯇꯀꯤ ꯂꯥꯌꯅꯥ (irrhythmia) .
  • ꯀꯥꯔꯗꯤꯌꯦꯛ ꯑꯦꯔꯦꯁ꯭ꯠ ꯇꯧꯕꯥ꯫
  • ꯁꯤꯕꯥ ꯐꯥꯑꯣꯕꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫

ꯅꯟ-ꯀ꯭ꯂꯥꯁꯤꯛ ꯁꯤ.ꯑꯦ.ꯑꯩꯆ.ꯅꯥ ꯂꯥꯌꯦꯡꯗꯅꯥ ꯂꯩꯔꯕꯁꯨ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯃꯤꯔꯣꯅꯕꯥ, ꯃꯤꯔꯣꯅꯕꯥ ꯌꯥꯗꯕꯥ, ꯊꯥꯒꯤ ꯈꯣꯡꯀꯥꯞ ꯊꯣꯀꯄꯥ, ꯑꯃꯁꯨꯡ ꯅꯨꯄꯤꯁꯤꯡꯗꯥ ꯃꯇꯝ ꯆꯨꯞꯄꯒꯤ ꯑꯣꯏꯅꯥ ꯅꯨꯄꯥꯒꯤ ꯃꯑꯣꯡ-ꯃꯇꯧ ꯂꯩꯕꯥ꯫

ꯇꯦꯛ-ꯍꯣꯝ ꯃꯦꯁꯦꯖ ꯇꯧꯕꯥ꯫

  • ꯀꯣꯟꯖꯤꯅꯤꯑꯦꯜ ꯑꯦꯗ꯭ꯔꯤꯅꯜ ꯍꯥꯏꯄꯔꯞꯂꯥꯁꯤꯌꯥ (CAH) ꯍꯥꯌꯕꯁꯤ ꯑꯦꯗ꯭ꯔꯤꯅꯜ ꯒ꯭ꯜꯌꯥꯟꯗꯁꯤꯡꯗꯥ ꯍꯣꯔꯃꯣꯅꯁꯤꯡ ꯄꯨꯊꯣꯀꯄꯗꯥ ꯁꯣꯀꯍꯜꯂꯤꯕꯥ ꯖꯦꯅꯦꯇꯤꯛ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫
  • ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯈꯜ ꯑꯅꯤ ꯂꯩ: ꯀ꯭ꯂꯥꯁꯤꯛ ꯑꯃꯁꯨꯡ ꯅꯟ-ꯀ꯭ꯂꯥꯁꯤꯛ꯫ ꯀ꯭ꯂꯥꯁꯤꯛ CAH ꯑꯁꯤ ꯄꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯈꯪꯗꯣꯀꯏ ꯑꯃꯁꯨꯡ ꯃꯁꯤꯅꯥ ꯄꯨꯟꯁꯤꯗꯥ ꯈꯨꯗꯣꯡꯊꯤꯕꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫
  • ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯅꯧꯅꯥ ꯄꯣꯀꯄꯥ ꯑꯉꯥꯡ ꯑꯗꯨꯅꯥ ꯌꯥꯝꯅꯥ ꯋꯥꯅꯥ ꯏꯪꯊꯕꯥ, ꯏꯁꯤꯡ ꯊꯨꯃꯖꯤꯅꯕꯥ, ꯑꯃꯁꯨꯡ ꯑꯆꯝꯕꯥ ꯇꯨꯝꯕꯥ ꯌꯥꯗꯕꯒꯨꯝꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯎꯠꯂꯕꯗꯤ, ꯃꯁꯤꯅꯥ ꯂꯧꯎ-ꯁꯤꯡꯎꯒꯤ ꯁꯤ.ꯑꯦ.ꯑꯩꯆ.ꯒꯤ ꯈꯨꯗꯝ ꯑꯃꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ ꯑꯃꯁꯨꯡ ꯈꯨꯗꯛꯇꯥ ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯃꯇꯦꯡ ꯃꯊꯧ ꯇꯥꯏ꯫
  • ꯀ꯭ꯂꯥꯁꯤꯛ ꯁꯤ.ꯑꯦ.ꯑꯩꯆ.ꯅꯥ ꯄꯨꯟꯁꯤ ꯆꯨꯞꯄꯥ ꯅꯨꯃꯤꯠ ꯈꯨꯗꯤꯡꯒꯤ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛ ꯃꯊꯧ ꯇꯥꯕꯁꯨ, ꯃꯄꯨꯡ ꯐꯥꯅꯥ ꯅꯣꯔꯃꯦꯜ ꯑꯃꯁꯨꯡ ꯍꯀꯁꯦꯜ ꯐꯕꯥ ꯄꯨꯟꯁꯤ ꯑꯃꯥ ꯍꯤꯡꯕꯥ ꯌꯥꯏ꯫
  • ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯤ ꯏꯅꯁ꯭ꯠꯔꯛꯁꯅꯁꯤꯡ ꯉꯥꯛꯅꯥ ꯆꯠꯄꯥ ꯑꯃꯁꯨꯡ ꯁꯦꯗ꯭ꯌꯨꯂꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ ꯀ꯭ꯂꯤꯅꯤꯀꯁꯤꯡꯗꯥ ꯆꯠꯄꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫ ꯃꯔꯝ ꯑꯃꯠꯇꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯇꯥꯟꯅꯗꯅꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ ꯊꯤꯡꯖꯤꯜꯂꯨ꯫
  • ꯀꯔꯤꯒꯨꯝꯕꯥ CAHꯒꯤ ꯐꯦꯃꯤꯂꯤ ꯍꯤꯁ꯭ꯇꯔꯤ ꯂꯩꯔꯕꯗꯤ ꯅꯠꯠꯔꯒꯥ ꯅꯍꯥꯛꯅꯥ CAH ꯅꯥꯕꯥ ꯑꯉꯥꯡ ꯑꯃꯥ ꯂꯩꯔꯕꯗꯤ, ꯇꯨꯡꯒꯤꯗꯃꯛ ꯊꯧꯔꯥꯡ ꯇꯧꯕꯗꯥ ꯖꯦꯅꯦꯇꯤꯛ ꯀꯥꯎꯟꯁꯦꯂꯤꯡ ꯑꯁꯤ ꯃꯔꯨꯑꯣꯏ꯫

ꯀꯣꯟꯖꯤꯅꯤꯑꯦꯜ ꯑꯦꯗ꯭ꯔꯤꯅꯜ ꯍꯥꯏꯄꯔꯞꯂꯥꯁꯤꯌꯥ, ꯁꯤ.ꯑꯦ.ꯑꯩꯆ., ꯍꯣꯔꯃꯣꯅꯒꯤ ꯁꯃꯁ꯭ꯌꯥꯁꯤꯡ, ꯑꯦꯗ꯭ꯔꯤꯅꯜ ꯒ꯭ꯜꯌꯥꯟꯗꯁꯤꯡ, ꯖꯦꯅꯦꯇꯤꯛ ꯂꯥꯌꯅꯥꯁꯤꯡ, ꯄꯦꯗꯤꯑꯦꯠꯔꯤꯛ ꯂꯥꯌꯅꯥꯁꯤꯡ, ꯄꯣꯀꯄꯗꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯄꯥ, ꯑꯔꯥꯅꯕꯥ ꯖꯦꯅꯤꯇꯥꯂꯤꯌꯥ꯫
⚠️ Important: The medical articles and information on Nirogi Lanka are for general awareness only, and are by no means a substitute for professional medical advice, diagnosis, or treatment. For any medical problem you have, consult a qualified physician immediately.

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