ꯑꯌꯥꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯑꯃꯁꯨꯡ ꯑꯁꯣꯛ-ꯑꯄꯟ, ꯁꯔꯨ ꯇꯥꯡꯁꯤꯡꯗꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯅꯠꯠꯔꯒꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯑꯇꯣꯞꯄꯥ ꯑꯍꯣꯡꯕꯥ ꯑꯃꯥ ꯂꯥꯀꯄꯥ ꯌꯥꯏ? ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯑꯩꯈꯣꯌꯅꯥ ꯋꯥꯐꯃꯁꯤꯡ ꯑꯁꯤ ꯀꯥꯑꯣꯊꯣꯀꯏ, ꯃꯈꯣꯌ ꯑꯁꯤ ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯕꯥ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯍꯜ ꯑꯣꯏꯔꯀꯄꯅꯤ ꯍꯥꯌꯅꯥ ꯈꯟꯗꯨꯅꯥ꯫ ꯑꯗꯨꯕꯨ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯃꯔꯤ ꯂꯩꯅꯗꯕꯥ ꯑꯣꯏꯅꯥ ꯎꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯌꯥꯝꯅꯥ ꯂꯨꯅꯥ ꯊꯣꯛꯂꯤꯕꯥ ꯊꯧꯗꯣꯛ ꯑꯃꯒꯤ ꯈꯨꯗꯝ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫ ꯃꯗꯨ ꯉꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯒꯗꯧꯔꯤꯕꯥ ꯂꯥꯌꯅꯥꯁꯤꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯅꯤ꯫ ꯃꯗꯨ ꯀꯅꯦꯛꯇꯤꯕ ꯇꯤꯁ꯭ꯌꯨ ꯗꯤꯖꯤꯖꯅꯤ, ꯅꯠꯔꯒꯥ ꯑꯩꯈꯣꯌꯅꯥ ꯏꯪꯂꯤꯁꯇꯥ ꯍꯥꯌꯕꯒꯨꯝꯅꯥ ‘ꯀꯅꯦꯛꯇꯤꯕ ꯇꯤꯁ꯭ꯌꯨ ꯗꯤꯖꯤꯖ’ꯅꯤ꯫
ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯀꯅꯦꯛꯇꯤꯕ ꯇꯤꯁ꯭ꯌꯨ ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ?
ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡ ꯑꯁꯤ ꯕꯤꯜꯗꯤꯡ ꯑꯃꯥ ꯑꯣꯏꯅꯥ ꯈꯅꯕꯤꯌꯨ꯫ ꯑꯩꯈꯣꯌꯅꯥ ꯕꯤꯜꯗꯤꯡ ꯑꯁꯤꯒꯤ ꯁꯔꯨꯀꯁꯤꯡ ꯑꯁꯤ ꯁꯝꯅꯍꯟꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯊꯝꯅꯕꯥ, ꯃꯈꯣꯌꯕꯨ ꯃꯄꯥꯉ꯭ꯒꯜ ꯀꯂꯍꯟꯅꯕꯥ ꯁꯤꯃꯦꯟꯇ ꯑꯃꯁꯨꯡ ꯃꯣꯔꯇꯔꯒꯨꯝꯕꯥ ꯄꯣꯠꯂꯃꯁꯤꯡ ꯁꯤꯖꯤꯟꯅꯩ, ꯅꯠꯇꯦ? ꯃꯇꯧ ꯑꯁꯨꯝꯅꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯂꯩꯔꯤꯕꯥ ꯑꯣꯔꯒꯥꯅꯁꯤꯡ, ꯁꯔꯨꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯃꯁꯂꯁꯤꯡꯒꯨꯝꯕꯥ ꯄꯣꯠ ꯈꯨꯗꯤꯡꯃꯛ ꯁꯝꯅꯍꯜꯂꯤꯕꯥ, ꯁꯄꯣꯔꯠ ꯇꯧꯕꯥ ꯑꯃꯁꯨꯡ ꯉꯥꯀꯊꯣꯀꯄꯥ ꯉꯝꯕꯥ ꯇꯤꯁꯨ ꯃꯈꯜ ꯑꯁꯤꯕꯨ ꯀꯅꯦꯛꯇꯤꯕ ꯇꯤꯁ꯭ꯌꯨ ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯄ꯭ꯔꯣꯇꯤꯟ ꯌꯥꯝꯅꯥ ꯌꯥꯑꯣꯕꯥ ꯇꯤꯁ꯭ꯌꯨꯁꯤꯡꯅꯤ꯫ ꯐꯦꯠ, ꯁꯔꯨ ꯑꯃꯁꯨꯡ ꯀꯥꯔꯇꯤꯂꯦꯖ ꯑꯁꯤ ꯀꯅꯦꯛꯇꯤꯚ ꯇꯤꯁꯨ ꯑꯁꯤꯒꯤ ꯈꯨꯗꯝ ꯈꯔꯅꯤ꯫
ꯑꯗꯨꯅꯥ, ꯀꯅꯦꯛꯇꯤꯕ ꯇꯤꯁ꯭ꯌꯨꯗꯥ ꯁꯣꯀꯍꯜꯂꯤꯕꯥ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ ꯑꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ ‘ꯀꯅꯦꯛꯇꯤꯕ ꯇꯤꯁ꯭ꯌꯨ ꯗꯤꯖꯤꯖ’ ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ ꯀꯦꯇꯦꯒꯣꯔꯤ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡ ꯆꯅꯕꯥ ꯂꯥꯌꯅꯥ ꯃꯈꯜ ꯲꯰꯰ ꯍꯦꯟꯅꯥ ꯂꯩ꯫ ꯃꯁꯤꯅꯥ ꯃꯔꯨꯑꯣꯏꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯁꯔꯨ ꯇꯥꯡꯁꯤꯡ, ꯃꯁꯂꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯈꯣꯡꯗꯥ ꯁꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯃꯈꯣꯌꯅꯥ ꯃꯤꯠ, ꯍꯥꯔꯠ, ꯂꯪꯁ, ꯀꯤꯗꯅꯤ ꯑꯃꯁꯨꯡ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯂꯁꯤꯡꯒꯨꯝꯕꯥ ꯃꯅꯨꯡꯒꯤ ꯑꯣꯔꯒꯥꯅꯁꯤꯡꯗꯁꯨ ꯁꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫
ꯂꯥꯌꯅꯥꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯈꯜ ꯑꯅꯤ ꯂꯩ꯫
ꯂꯥꯌꯅꯥꯁꯤꯡꯒꯤ ꯀꯥꯡꯂꯨꯞ ꯑꯁꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯀꯦꯇꯦꯒꯣꯔꯤ ꯑꯅꯤꯗꯥ ꯈꯥꯌꯗꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯗꯨ ꯂꯧꯁꯤꯅꯕꯅꯥ ꯑꯗꯣꯝꯕꯨ ꯂꯥꯌꯅꯥꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯍꯦꯟꯅꯥ ꯂꯧꯁꯤꯡ ꯐꯪꯍꯅꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯒꯅꯤ꯫
| ꯂꯥꯌꯅꯥ ꯃꯈꯜ꯫ | ꯃꯔꯝ ꯑꯃꯁꯨꯡ ꯃꯌꯦꯛ ꯁꯦꯡꯅꯥ ꯇꯥꯀꯄꯥ꯫ |
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| ꯏꯅꯍꯦꯔꯤꯇꯦꯗ ꯗꯤꯁꯑꯣꯔꯗꯔꯁꯤꯡ꯫ | ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯖꯤꯅꯦꯇꯤꯛ ꯗꯤꯐꯦꯛꯇꯁꯤꯡꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯂꯥꯌꯅꯥꯁꯤꯡꯅꯤ꯫ ꯍꯥꯌꯕꯗꯤ ꯃꯃꯥ-ꯃꯄꯥꯗꯒꯤ ꯑꯉꯥꯡꯁꯤꯡꯗꯥ ꯏꯅꯍꯦꯔꯤ ꯇꯧꯕꯥ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ꯫ ꯃꯍꯧꯁꯥꯅꯥ ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯊꯣꯀꯏ꯫ |
| ꯑꯣꯇꯣꯏꯝꯌꯨꯟ ꯗꯤꯁꯑꯣꯔꯗꯔꯁꯤꯡ꯫ | ꯃꯐꯝ ꯑꯁꯤꯗꯥ ꯊꯣꯛꯂꯤꯕꯥ ꯑꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯕꯨ ꯉꯥꯀꯊꯣꯀꯄꯥ ꯉꯝꯕꯥ ꯏꯝꯝꯌꯨꯟ ꯁꯤꯁ꯭ꯇꯦꯝ ꯑꯁꯤꯅꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯏꯁꯥꯒꯤ ꯍꯀꯆꯥꯡ ꯐꯕꯥ ꯀꯅꯦꯛꯇꯤꯕ ꯇꯤꯁ꯭ꯌꯨꯗꯥ ꯑꯔꯥꯅꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯑꯦꯇꯦꯛ ꯇꯧꯏ꯫ ꯃꯁꯤꯒꯤ ꯑꯆꯨꯝꯕꯥ ꯃꯔꯝ ꯑꯗꯨ ꯈꯪꯂꯕꯁꯨ, ꯑꯀꯣꯌꯔꯣꯅꯒꯤ ꯃꯔꯃꯁꯤꯡ (ꯃꯩꯈꯨ, ꯃꯩꯁꯥ), ꯃꯆꯤ ꯑꯣꯏꯕꯥ ꯆꯤꯟꯖꯥꯛꯀꯤ ꯑꯋꯥꯠꯄꯥ (ꯚꯤꯇꯥꯃꯤꯟ D, C), ꯏꯅꯐꯦꯛꯁꯟ, ꯑꯃꯁꯨꯡ ꯅꯨꯃꯤꯠꯀꯤ ꯃꯉꯥꯂꯅꯥ ꯌꯥꯝꯅꯥ ꯋꯥꯅꯥ ꯊꯧꯗꯥꯡ ꯂꯧꯕꯥ ꯌꯥꯏ ꯍꯥꯌꯅꯥ ꯊꯥꯖꯅꯔꯤ꯫ |
ꯑꯆꯧꯕꯥ ꯍꯦꯔꯤꯇꯦꯖ ꯂꯥꯌꯅꯥ ꯈꯔꯗꯤ꯫
- ꯑꯦꯍꯂꯔꯁ-ꯗꯥꯅꯂꯣꯁ ꯁꯤꯟꯗ꯭ꯔꯣꯝ (EDS): ꯃꯁꯤꯅꯥ ꯁꯔꯨ ꯇꯥꯡꯁꯤꯡ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯌꯥꯡꯅꯥ ꯆꯦꯅꯕꯥ, ꯈꯣꯡ ꯍꯥꯝꯕꯥ ꯌꯥꯗꯕꯥ ꯑꯃꯁꯨꯡ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯐꯒꯠꯂꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯃꯍꯧꯁꯥꯅꯥ ꯁꯣꯀꯍꯜꯂꯀꯄꯥ (abnormal scarring) ꯊꯣꯀꯍꯜꯂꯤ꯫ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯗꯤꯐꯣꯔꯃꯤꯇꯤ ꯑꯃꯁꯨꯡ ꯍꯥꯔꯠ ꯚꯜꯌꯨꯒꯤ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯃꯁꯤꯡꯁꯨ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫
- ꯃꯥꯔꯐꯟ ꯁꯤꯟꯗꯣꯝ (Marfan Syndrome): ꯃꯍꯧꯁꯥꯅꯥ ꯃꯤꯑꯣꯏꯁꯤꯡ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯋꯥꯡꯏ꯫ ꯃꯈꯨꯠꯁꯤꯡ ꯑꯁꯤ ꯑꯁꯨꯛ ꯌꯥꯝꯅꯥ ꯁꯥꯡꯏ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯃꯈꯣꯌ ꯑꯁꯤ ꯁ꯭ꯄꯥꯏꯗꯔ ꯂꯦꯒꯒꯨꯝꯅꯥ ꯎꯕꯥ ꯌꯥꯏ꯫ ꯃꯤꯠ, ꯍꯥꯔꯠ ꯑꯃꯁꯨꯡ ꯃꯦꯟ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯜ (aorta)ꯗꯥ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯃꯁꯤꯡ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫
- ꯑꯣꯁ꯭ꯇꯤꯑꯣꯖꯦꯅꯦꯁꯤꯁ ꯏꯝꯄꯔꯐꯦꯛꯇ (Osteogenesis imperfecta): ꯃꯁꯤꯕꯨ "ꯕ꯭ꯔꯤꯇꯜ ꯕꯣꯟ ꯗꯤꯖꯤꯖ" ꯍꯥꯌꯅꯥꯁꯨ ꯈꯪꯅꯩ꯫ ꯁꯔꯨꯁꯤꯡ ꯐꯖꯅꯥ ꯁꯣꯀꯏ꯫ ꯂꯥꯏꯑꯣꯡꯁꯤꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯃꯤꯠꯀꯤ ꯑꯁꯪꯕꯥ ꯃꯆꯨꯗꯥ ꯅꯤꯜ/ꯑꯉꯧꯕꯥ ꯃꯆꯨ, ꯐꯖꯅꯥ ꯍꯥꯠꯄꯥ, ꯑꯃꯁꯨꯡ ꯇꯥꯕꯥ ꯉꯃꯗꯕꯥ ꯑꯁꯤꯅꯆꯤꯡꯕꯥ ꯌꯥꯎꯏ꯫ ꯃꯁꯤ ꯁꯔꯨ ꯑꯃꯁꯨꯡ ꯈꯣꯡꯗꯥ ꯇꯉꯥꯏꯐꯗꯕꯥ ꯄ꯭ꯔꯣꯇꯤꯟ ꯑꯃꯥ ꯑꯣꯏꯔꯤꯕꯥ ꯀꯣꯂꯥꯖꯦꯟ ꯄꯨꯊꯣꯀꯄꯗꯥ ꯖꯤꯅꯦꯇꯤꯛ ꯑꯣꯏꯕꯥ ꯑꯁꯣꯌꯕꯥ ꯑꯃꯅꯥ ꯊꯣꯀꯍꯅꯕꯅꯤ꯫
- ꯑꯦꯄꯤꯗꯥꯔꯃꯣꯂꯥꯏꯁꯤꯁ ꯕꯨꯂꯣꯁꯥ (EB): ꯈꯣꯡ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯁꯦꯟꯁꯤꯇꯤꯚ ꯑꯣꯏꯔꯀꯏ꯫ ꯑꯄꯤꯀꯄꯥ ꯁꯣꯛ-ꯄꯅꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯄꯣꯠꯁꯀꯁꯤꯡꯗꯥ ꯁꯣꯛ-ꯄꯅꯕꯥ ꯐꯥꯎꯕꯅꯥ ꯕ꯭ꯂꯤꯁ꯭ꯇꯔ ꯑꯃꯁꯨꯡ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫
ꯍꯥꯌꯔꯤꯕꯥ ꯍꯦꯔꯤꯇꯦꯖ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ ꯑꯁꯤ ꯃꯍꯧꯁꯥꯅꯥ ꯅꯍꯥ ꯑꯣꯏꯔꯤꯉꯩꯗꯥ ꯈꯪꯗꯣꯀꯄꯥ ꯉꯝꯃꯤ꯫
ꯑꯣꯇꯣꯏꯝꯌꯨꯟ ꯂꯥꯌꯅꯥ ꯀꯌꯥ꯫
ꯍꯥꯌꯔꯤꯕꯥ ꯑꯁꯤ ꯀꯅꯦꯛꯇꯤꯕ ꯇꯤꯁꯨꯒꯤ ꯂꯥꯌꯅꯥꯁꯤꯡꯒꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯃꯈꯂꯁꯤꯡꯅꯤ꯫
- ꯔꯤꯌꯨꯃꯦꯇꯣꯏꯗ ꯑꯔꯊ꯭ꯔꯥꯏꯇꯤꯁ (RA): ꯃꯁꯤ ꯁꯔꯨ ꯇꯥꯡꯒꯤ ꯂꯥꯌꯅꯥ ꯈꯛꯇꯒꯤ ꯅꯠꯇꯦ꯫ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤꯗꯥ, ꯏꯝꯝꯌꯨꯟ ꯁꯤꯁ꯭ꯇꯦꯃꯅꯥ ꯁꯔꯨ ꯇꯥꯡꯁꯤꯡꯕꯨ ꯀꯨꯄꯁꯤꯜꯂꯤꯕꯥ ꯑꯄꯤꯀꯄꯥ ꯃꯦꯝꯕ꯭ꯔꯦꯟ ꯑꯗꯨꯗꯥ ꯑꯦꯇꯦꯛ ꯇꯧꯏ꯫ ꯃꯁꯤꯅꯥ ꯁꯔꯨ ꯇꯥꯡꯁꯤꯡꯗꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ, ꯁꯣꯀꯄꯥ, ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯑꯃꯁꯨꯡ ꯑꯌꯨꯛ-ꯅꯨꯡꯊꯤꯂꯒꯤ ꯃꯇꯃꯗꯥ ꯁꯣꯀꯄꯥ ꯊꯣꯀꯍꯜꯂꯤ . ꯃꯁꯤꯒꯤ ꯃꯊꯛꯇꯥ, ꯁꯥꯊꯤꯕꯥ ꯋꯥꯈꯜ ꯆꯔꯥꯡꯅꯕꯥ, ꯑꯦꯅꯤꯃꯤꯌꯥ ꯑꯃꯁꯨꯡ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯐꯥꯎꯕꯥ ꯌꯥꯏ꯫
- ꯁꯤꯁ꯭ꯇꯦꯃꯤꯛ ꯂꯨꯄꯁ ꯏꯔꯤꯊꯦꯃꯦꯇꯣꯁꯁ (SLE) - ꯂꯨꯄꯁ : ꯂꯨꯄꯁ ꯍꯥꯌꯕꯁꯤ ꯃꯇꯝ ꯑꯃꯗꯥ ꯍꯀꯆꯥꯡꯒꯤ ꯃꯐꯝ ꯀꯌꯥꯗꯥ ꯁꯣꯀꯍꯅꯕꯥ ꯌꯥꯕꯥ ꯂꯥꯌꯅꯥ ꯑꯃꯅꯤ꯫ ꯕꯇꯔꯐ꯭ꯂꯥꯏ ꯔꯦꯁ ꯑꯁꯤ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯂꯥꯏꯑꯣꯡ ꯑꯃꯅꯤ꯫ ꯃꯁꯤꯒꯤ ꯃꯊꯛꯇꯥ, ꯃꯤꯠ ꯁꯣꯟꯊꯕꯥ, ꯆꯨꯝꯅꯥ ꯁꯣꯀꯄꯥ, ꯅꯨꯃꯤꯠꯀꯤ ꯃꯉꯥꯂꯗꯥ ꯁꯦꯟꯁꯤꯇꯤꯚ ꯑꯣꯏꯕꯥ, ꯀꯤꯗꯅꯤꯒꯤ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ, ꯑꯃꯁꯨꯡ ꯁꯔꯨ ꯇꯥꯡꯁꯤꯡꯗꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫
- ꯁ꯭ꯛꯂꯦꯔꯣꯗꯥꯔꯃꯥ (Scleroderma): ꯃꯁꯤꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯂꯥꯏꯑꯣꯡꯗꯤ ꯈꯣꯡ-ꯈꯨꯠ ꯁꯣꯟꯊꯕꯥ ꯑꯃꯁꯨꯡ ꯁꯣꯟꯊꯕꯥ ꯑꯁꯤꯅꯤ꯫ ꯃꯁꯤ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯆꯦꯠꯄꯥ ꯉꯃꯗꯦ꯫ ꯃꯁꯤ ꯈꯣꯡꯗꯥ ꯂꯤꯃꯤꯠ ꯂꯩꯕꯥ ꯌꯥꯏ, ꯅꯠꯠꯔꯒꯥ ꯃꯁꯤꯅꯥ ꯃꯅꯨꯡꯒꯤ ꯑꯣꯏꯕꯥ ꯑꯣꯔꯒꯥꯅꯁꯤꯡꯗꯥ ꯁꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫
- ꯁ꯭ꯖꯣꯒ꯭ꯔꯦꯟ ꯁꯤꯟꯗ꯭ꯔꯣꯝ (Sjögren’s Syndrome): ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤꯗꯥ, ꯏꯝꯝꯌꯨꯟ ꯁꯤꯁ꯭ꯇꯦꯃꯅꯥ ꯂꯦꯡ-ꯑꯣꯠꯄꯒꯤ ꯃꯑꯣꯡ ꯑꯃꯁꯨꯡ ꯏꯁꯤꯡ ꯊꯨꯃꯖꯤꯅꯕꯥ ꯒ꯭ꯜꯌꯥꯟꯗꯁꯤꯡꯗꯥ ꯑꯦꯇꯦꯛ ꯇꯧꯏ꯫ ꯃꯤꯠ ꯁꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯃꯤꯠ ꯁꯣꯀꯄꯥ ꯑꯁꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡꯅꯤ꯫ ꯋꯥꯈꯜ ꯆꯔꯥꯡꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯁꯔꯨ ꯇꯥꯡꯒꯤ ꯑꯅꯥꯕꯥ ꯑꯁꯤꯁꯨ ꯀꯃꯟ ꯑꯣꯏ꯫
- ꯄꯣꯂꯤꯃꯥꯏꯑꯣꯁꯥꯏꯇꯤꯁ ꯑꯃꯁꯨꯡ ꯗꯔꯃꯦꯇꯣꯃꯥꯏꯑꯣꯁꯥꯏꯇꯤꯁ: ꯂꯥꯌꯅꯥ ꯑꯅꯤꯃꯛ ꯑꯁꯤꯅꯥ ꯃꯁꯂꯁꯤꯡꯗꯥ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯁꯟ ꯊꯣꯀꯍꯜꯂꯤ, ꯃꯗꯨꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯃꯁꯂꯁꯤꯡ ꯁꯣꯟꯊꯕꯥ ꯊꯣꯀꯍꯜꯂꯤ ., ꯃꯔꯨꯑꯣꯏꯅꯥ ꯈꯨꯎ ꯑꯃꯁꯨꯡ ꯈꯣꯡꯗꯥ꯫ ꯆꯦꯌꯥꯔ ꯑꯃꯗꯒꯤ ꯊꯣꯔꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯊꯣꯡꯅꯥꯎ ꯍꯥꯡꯗꯣꯀꯄꯥ ꯑꯁꯤ ꯑꯔꯨꯕꯥ ꯑꯣꯏꯔꯀꯏ꯫ ꯗꯔꯃꯦꯇꯣꯃꯥꯌꯣꯁꯥꯏꯇꯤꯁꯅꯥ ꯈꯣꯡꯗꯥ ꯃꯔꯨꯑꯣꯏꯅꯥ ꯃꯤꯠꯀꯤ ꯑꯀꯣꯌꯕꯗꯥ ꯑꯃꯁꯨꯡ ꯈꯨꯠꯁꯥꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯜꯂꯤ꯫
ꯅꯍꯥꯛꯅꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯀꯔꯝꯅꯥ ꯈꯪꯒꯅꯤ?
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯂꯩꯔꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯇꯧꯕꯥ ꯌꯥꯕꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯊꯕꯛ ꯑꯗꯨꯗꯤ ꯀ꯭ꯕꯥꯂꯤꯐꯥꯏꯗ ꯗꯣꯛꯇꯔ ꯑꯃꯒꯥ ꯇꯥꯟꯅꯕꯅꯤ꯫ ꯃꯁꯥꯅꯥ ꯃꯁꯥꯕꯨ ꯊꯥꯖꯖꯕꯅꯥ ꯃꯊꯧ ꯇꯥꯗꯕꯥ ꯑꯀꯤꯕꯥ ꯈꯛꯇꯃꯛ ꯊꯣꯀꯍꯜꯂꯒꯅꯤ꯫ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯌꯦꯡꯁꯤꯅꯒꯅꯤ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯏꯃꯨꯡꯒꯤ ꯃꯦꯗꯤꯀꯦꯜ ꯍꯤꯁ꯭ꯇꯔꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯍꯪꯒꯅꯤ꯫
ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ, ꯗꯥꯏꯑꯦꯒ꯭ꯅꯣꯁꯤꯁ ꯑꯗꯨ ꯀꯅꯐꯥꯔꯝ ꯇꯧꯅꯕꯥ ꯇꯦꯁ꯭ꯠ ꯀꯌꯥ ꯑꯃꯥ ꯇꯧꯅꯕꯥ ꯔꯤꯀꯃꯦꯟꯗ ꯇꯧꯕꯥ ꯌꯥꯏ:
- ꯏ ꯑꯃꯁꯨꯡ ꯌꯨꯔꯤꯟ ꯇꯦꯁ꯭ꯠ: ꯍꯀꯆꯥꯡꯗꯥ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯁꯟ ꯑꯃꯁꯨꯡ ꯑꯀꯛꯅꯕꯥ ꯑꯦꯟꯇꯤꯕꯣꯗꯤꯁꯤꯡ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯆꯦꯛ ꯇꯧ꯫
- ꯑꯦꯛꯁ-ꯔꯦ ꯑꯃꯁꯨꯡ ꯑꯦꯝ.ꯑꯥꯔ.ꯑꯥꯏ.
- ꯇꯤꯁꯨ ꯕꯥꯏꯑꯣꯞꯁꯤ (Tissue Biopsy): ꯈꯣꯡ ꯅꯠꯠꯔꯒꯥ ꯃꯁꯂꯒꯤ ꯌꯥꯝꯅꯥ ꯄꯤꯀꯄꯥ ꯁꯔꯨꯛ ꯑꯃꯥ ꯂꯧꯗꯨꯅꯥ ꯃꯥꯏꯛꯔꯣꯁ꯭ꯀꯣꯄꯀꯤ ꯃꯈꯥꯗꯥ ꯌꯦꯡꯁꯤꯅꯕꯥ꯫
- ꯃꯤꯠ ꯑꯃꯁꯨꯡ ꯃꯤꯠ ꯁꯣꯀꯄꯥ ꯌꯥꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯆꯦꯛ ꯇꯧ: Sjögren’s Syndrome (Sjögren’s Syndrome)ꯒꯨꯝꯕꯥ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ ꯈꯪꯗꯣꯀꯄꯥ꯫
ꯂꯥꯌꯅꯥꯁꯤꯡ ꯑꯁꯤ ꯈꯪꯗꯣꯀꯄꯥ ꯑꯁꯤ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯌꯥꯝꯅꯥ ꯂꯨꯕꯥ ꯑꯣꯏꯔꯀꯄꯥ ꯌꯥꯏ ꯃꯔꯃꯗꯤ ꯆꯞ ꯃꯥꯟꯅꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯂꯥꯌꯅꯥ ꯀꯌꯥꯗꯥ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯗꯣꯛꯇꯔꯗꯥ ꯑꯆꯨꯝꯕꯥ ꯗꯥꯏꯑꯦꯒ꯭ꯅꯣꯁꯤꯁ ꯑꯃꯥ ꯁꯦꯝꯅꯕꯥ ꯃꯇꯝ ꯄꯤꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫
ꯃꯁꯤ ꯀꯔꯝꯅꯥ ꯂꯥꯌꯦꯡꯕꯒꯦ?
ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯑꯣꯄꯁꯅꯁꯤꯡ ꯑꯁꯤ ꯅꯍꯥꯛꯅꯥ ꯂꯩꯔꯤꯕꯥ ꯑꯀꯛꯅꯕꯥ ꯂꯥꯌꯅꯥ ꯃꯈꯜ ꯑꯗꯨꯒꯤ ꯑꯃꯁꯨꯡ ꯃꯁꯤꯒꯤ ꯁꯥꯊꯤꯕꯥ ꯃꯑꯣꯡ ꯑꯗꯨꯒꯤ ꯃꯈꯥ ꯄꯣꯜꯂꯤ꯫ ꯋꯥꯟ-ꯁꯥꯏꯖ-ꯐꯤꯠ-ꯑꯣꯜ ꯇ꯭ꯔꯤꯠꯃꯦꯟꯇ ꯑꯃꯠꯇꯥ ꯂꯩꯇꯦ꯫
- ꯃꯤꯑꯣꯏ ꯈꯔꯒꯤ ꯑꯣꯏꯅꯗꯤ, ꯃꯈꯣꯌꯗꯥ ꯚꯤꯇꯥꯃꯤꯟ ꯅꯠꯠꯔꯒꯥ ꯅ꯭ꯌꯨꯠꯔꯤꯁꯅꯦꯜ ꯁꯞꯂꯤꯃꯦꯟꯇꯁꯤꯡ ꯄꯤꯕꯅꯥ ꯃꯇꯤꯛ ꯆꯥꯕꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫
- ꯑꯣꯇꯣꯏꯝꯌꯨꯟ ꯂꯥꯌꯅꯥ ꯀꯌꯥꯒꯤ ꯑꯣꯏꯅꯗꯤ, ꯏꯝꯝꯌꯨꯟ ꯁꯤꯁ꯭ꯇꯦꯃꯒꯤ ꯑꯦꯛꯇꯤꯚꯤꯇꯤ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯥ ꯍꯤꯗꯥꯀꯁꯤꯡ ꯄꯤ꯫
- ꯑꯅꯥꯕꯥ ꯑꯃꯁꯨꯡ ꯁꯣꯛ-ꯄꯅꯕꯥ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯅꯕꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ ꯄꯤ꯫
- ꯐꯤꯖꯤꯑꯣꯊꯦꯔꯥꯄꯤ ꯂꯥꯌꯦꯡꯕꯅꯥ ꯁꯔꯨ ꯇꯥꯡ ꯑꯃꯁꯨꯡ ꯃꯁꯂꯒꯤ ꯑꯐꯕꯥ ꯐꯉ꯭ꯀꯁꯟ ꯂꯩꯍꯟꯅꯕꯒꯤꯗꯃꯛ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫
- ꯅꯍꯥꯛꯅꯥ ꯇꯣꯉꯥꯟ-ꯇꯣꯉꯥꯅꯕꯥ ꯁ꯭ꯄꯦꯁꯤꯑꯦꯂꯤꯁ꯭ꯇꯁꯤꯡ, ꯍꯥꯌꯕꯗꯤ ꯗꯥꯔꯃꯦꯇꯣꯂꯣꯖꯤꯁ꯭ꯠ ꯅꯠꯠꯔꯒꯥ ꯑꯥꯏ ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯦꯡꯁꯨ ꯂꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯏ꯫
ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯋꯥꯐꯃꯗꯤ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯀꯟꯇꯦꯛꯇ ꯇꯧꯕꯅꯤ . ꯀꯔꯤꯒꯨꯝꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡꯗꯥ ꯑꯍꯣꯡꯕꯥ ꯑꯃꯥ ꯂꯥꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯅꯧꯕꯥ ꯂꯥꯏꯑꯣꯡ ꯑꯃꯠꯇꯥ ꯂꯩꯠꯔꯕꯗꯤ, ꯈꯨꯗꯛꯇꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯈꯪꯍꯅꯕꯤꯌꯨ꯫
ꯍꯥꯌꯔꯤꯕꯥ ꯂꯥꯌꯅꯥꯁꯤꯡ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯕꯔꯥ?
ꯍꯣꯌ, ꯀꯅꯦꯛꯇꯤꯚ ꯇꯤꯁꯨꯒꯤ ꯂꯥꯌꯅꯥ ꯈꯔꯗꯤ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯂꯥꯏꯌꯦꯡꯗ꯭ꯔꯕꯗꯤ ꯁꯥꯊꯤꯕꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯈꯨꯗꯝ ꯑꯣꯏꯅ:
- ꯄꯂꯃꯣꯅꯥꯔꯤ ꯍꯥꯏꯄꯔꯇꯦꯟꯁꯟ꯫
- ꯏꯟꯇꯔꯁ꯭ꯇꯦꯁꯅꯦꯜ ꯂꯪꯁꯀꯤ ꯂꯥꯌꯅꯥ꯫
- ꯍꯥꯔꯇꯀꯤ ꯂꯥꯌꯅꯥ ꯑꯃꯁꯨꯡ ꯀꯤꯗꯅꯤꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯄꯥ꯫
- ꯑꯦꯅꯤꯃꯤꯌꯥ꯫
ꯑꯗꯨꯕꯨ ꯃꯐꯝ ꯑꯁꯤꯗꯥ ꯑꯗꯣꯝ ꯑꯀꯤꯕꯥ ꯄꯣꯀꯄꯥ ꯃꯊꯧ ꯇꯥꯗꯦ꯫ꯍꯥꯌꯔꯤꯕꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯟ ꯀꯌꯥ ꯑꯁꯤ ꯑꯆꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯂꯥꯌꯅꯥ ꯑꯁꯤ ꯈꯪꯗꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯃꯇꯤꯛ ꯆꯥꯕꯥ ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯂꯥꯏꯌꯦꯡ ꯑꯃꯁꯨꯡ ꯄꯥꯎꯇꯥꯛ ꯂꯧꯗꯨꯅꯥ ꯊꯤꯡꯕꯥ ꯑꯃꯁꯨꯡ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯥ ꯉꯝꯃꯤ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯑꯩꯈꯣꯌꯅꯥ ꯍꯥꯌꯔꯤ ꯃꯗꯨꯗꯤ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯑꯋꯥꯕꯥ ꯑꯃꯥ ꯐꯥꯑꯣꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯃꯗꯨ ꯌꯦꯡꯁꯤꯅꯕꯤꯌꯨ꯫
ꯇꯦꯛ-ꯍꯣꯝ ꯃꯦꯁꯦꯖ ꯇꯧꯕꯥ꯫
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- ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯏꯅꯍꯦꯔꯤꯇꯦꯗ ꯖꯦꯅꯦꯇꯤꯛ ꯗꯤꯖꯤꯖꯁꯤꯡ ꯅꯠꯠꯔꯒꯥ ꯏꯝꯝꯌꯨꯟ ꯁꯤꯁ꯭ꯇꯦꯃꯗꯥ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯃꯁꯤꯡꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯑꯣꯇꯣꯏꯝꯌꯨꯟ ꯗꯤꯖꯤꯖꯁꯤꯡ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯂꯩꯔꯛꯂꯕꯥ ꯃꯌꯦꯛ ꯁꯦꯡꯗꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯂꯩꯔꯕꯗꯤ, ꯁꯣꯌꯗꯅꯥ ꯗꯣꯛꯇꯔ ꯑꯃꯒꯥ ꯇꯥꯟꯅꯧ꯫ ꯏꯟꯇꯔꯅꯦꯇꯇꯥ ꯏꯅꯐꯣꯔꯃꯦꯁꯟ ꯌꯦꯡꯗꯨꯅꯥ ꯁꯦꯂꯐ-ꯗꯥꯏꯒ꯭ꯅꯣꯁꯤꯁ ꯇꯧꯒꯅꯨ꯫
- ꯑꯆꯨꯝꯕꯥ ꯗꯥꯏꯑꯦꯒ꯭ꯅꯣꯁꯤꯁ ꯑꯃꯁꯨꯡ ꯄꯔꯁꯣꯅꯦꯂꯥꯏꯖ ꯇꯧꯔꯕꯥ ꯂꯥꯏꯌꯦꯡꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ ꯑꯁꯤ ꯐꯖꯅꯥ ꯃꯦꯅꯦꯖ ꯇꯧꯕꯥ ꯉꯃꯒꯅꯤ ꯑꯃꯁꯨꯡ ꯃꯒꯨꯟ ꯂꯩꯕꯥ ꯄꯨꯟꯁꯤ ꯑꯃꯥ ꯐꯪꯍꯅꯕꯥ ꯉꯃꯒꯅꯤ꯫
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