ꯀꯣꯔꯇꯤꯁꯣꯂꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯈꯪꯖꯤꯅꯕꯤꯌꯨ: ꯐꯉ꯭ꯀꯁꯟ ꯑꯃꯁꯨꯡ ꯍꯀꯁꯦꯂꯒꯤ ꯏꯐꯦꯛꯇꯁꯤꯡ꯫

"ꯗꯣꯛꯇꯔ, ꯊꯕꯛꯀꯤ ꯄ꯭ꯔꯦꯁꯔꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯑꯩꯍꯥꯛ ꯃꯇꯝ ꯈꯔꯒꯤ ꯑꯣꯏꯅꯥ ꯁ꯭ꯠꯔꯦꯁ ꯌꯥꯝꯅꯥ ꯂꯩꯔꯛꯂꯤ꯫ ꯍꯟꯗꯛꯀꯤ ꯃꯇꯝ ꯑꯁꯤꯗꯥ ꯑꯩꯒꯤ ꯈꯣꯡ ꯑꯃꯁꯨꯡ ꯃꯥꯌꯊꯣꯡ ꯑꯁꯤ ꯍꯦꯟꯅꯥ ꯆꯥꯎꯈꯠꯂꯛꯂꯤ, ꯑꯃꯁꯨꯡ ꯑꯩꯒꯤ ꯈꯨꯠ ꯑꯃꯁꯨꯡ ꯈꯣꯡꯎꯞ ꯑꯁꯤ ꯍꯦꯟꯅꯥ ꯂꯨꯃꯁꯤꯜꯂꯛꯂꯤ꯫ ꯑꯩꯍꯥꯛ ꯌꯥꯝꯅꯥ ꯋꯥꯅꯥ ꯐꯥꯑꯣꯏ ꯑꯃꯁꯨꯡ ꯑꯌꯨꯛꯇꯥ ꯇꯨꯝꯕꯥ ꯉꯃꯗꯦ꯫" ꯆꯍꯤ ꯳꯵ ꯁꯨꯔꯕꯤ ꯔꯨꯋꯥꯟ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯋꯥꯅꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯀ꯭ꯂꯤꯅꯤꯀꯇꯥ ꯂꯥꯀꯈꯤ꯫ ꯃꯍꯥꯛꯅꯥ ꯃꯍꯥꯛ "ꯑꯦꯗ꯭ꯔꯤꯅꯜ ꯐꯦꯇꯤꯒꯦꯁꯟ" ꯀꯧꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯗꯥ ꯅꯥꯔꯤ ꯍꯥꯌꯅꯥ ꯈꯜꯂꯝꯃꯤ꯫

ꯑꯗꯨꯕꯨ ꯑꯁꯦꯡꯕꯥ ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯃꯔꯝ ꯑꯁꯤꯗꯤ ꯇꯣꯉꯥꯜꯂꯤ꯫ ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯁ꯭ꯠꯔꯦꯁ ꯃꯦꯅꯦꯖ ꯇꯧꯔꯤꯕꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯍꯣꯔꯃꯣꯟ ꯑꯁꯤ ꯍꯣꯔꯃꯣꯟ ꯀꯣꯔꯇꯤꯁꯣꯂꯅꯤ꯫ ꯔꯨꯋꯥꯅꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯂꯩꯔꯤꯕꯥ ꯑꯁꯦꯡꯕꯥ ꯃꯦꯗꯤꯀꯦꯜ ꯕꯦꯀꯒ꯭ꯔꯥꯎꯟꯗ ꯑꯃꯁꯨꯡ ꯍꯣꯔꯃꯣꯟ ꯀꯣꯔꯇꯤꯁꯣꯂꯅꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯊꯕꯛ ꯊꯧꯔꯃꯁꯤꯡꯗꯥ ꯀꯔꯝꯅꯥ ꯁꯣꯀꯍꯅꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯁꯨꯞꯅꯇꯒꯤ ꯈꯉꯂꯁꯤ꯫

ꯀꯣꯔꯇꯤꯁꯣꯜ ꯑꯁꯤ ꯒ꯭ꯂꯨꯀꯣꯀꯣꯔꯇꯤꯀꯣꯏꯗꯁꯤꯡꯒꯤ ꯀꯥꯡꯂꯨꯄꯀꯤ ꯁ꯭ꯇꯦꯔꯣꯏꯗ ꯍꯣꯔꯃꯣꯟ ꯑꯃꯅꯤ꯫ ꯃꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯀꯤꯗꯅꯤꯒꯤ ꯃꯊꯛꯇꯥ ꯂꯩꯕꯥ ꯑꯦꯗ꯭ꯔꯤꯅꯜ ꯒ꯭ꯜꯌꯥꯟꯗꯁꯤꯡꯅꯥ ꯄꯨꯊꯣꯀꯏ ꯑꯃꯁꯨꯡ ꯊꯣꯀꯍꯜꯂꯤ꯫ ꯀꯣꯔꯇꯤꯁꯣꯂꯅꯥ ꯍꯀꯆꯥꯡꯒꯤ ꯃꯍꯧꯁꯥꯒꯤ ꯑꯣꯏꯕꯥ ꯑꯦꯂꯥꯔꯝ ꯁꯤꯁ꯭ꯇꯦꯃꯒꯨꯝꯅꯥ ꯊꯕꯛ ꯇꯧꯏ꯫ ꯃꯁꯤꯅꯥ ꯍꯀꯆꯥꯡꯗꯥ ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯊꯣꯀꯄꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯊꯧꯑꯣꯡ ꯀꯌꯥ ꯃꯦꯅꯦꯖ ꯇꯧꯕꯗꯁꯨ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫ ꯃꯁꯤꯒꯤ ꯄꯨꯊꯣꯀꯄꯥ ꯑꯁꯤ ꯕ꯭ꯔꯦꯟ (ꯃꯔꯨꯑꯣꯏꯅꯥ ꯍꯥꯏꯄꯣꯊꯦꯂꯥꯃꯁ ꯑꯃꯁꯨꯡ ꯄꯤꯇꯨꯏꯇꯔꯤ ꯒ꯭ꯜꯌꯥꯟꯗ) ꯑꯃꯁꯨꯡ ꯑꯦꯗ꯭ꯔꯤꯅꯜ ꯒ꯭ꯜꯌꯥꯟꯗꯁꯤꯡꯒꯤ ꯃꯔꯛꯇꯥ ꯂꯩꯕꯥ ꯀꯝꯝꯌꯨꯅꯤꯀꯦꯁꯅꯒꯤ ꯀꯝꯞꯂꯦꯛꯁ ꯅꯦꯇꯋꯥꯔꯛ ꯑꯃꯅꯥ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯏ꯫

ꯀꯣꯔꯇꯤꯁꯣꯂꯒꯤ ꯇꯣꯉꯥꯟ-ꯇꯣꯉꯥꯅꯕꯥ ꯐꯉ꯭ꯀꯁꯅꯁꯤꯡ: ꯁ꯭ꯠꯔꯦꯁ ꯔꯦꯁ꯭ꯄꯣꯟꯁꯀꯤ ꯃꯊꯛꯇꯥ꯫

ꯁ꯭ꯠꯔꯦꯁ ꯃꯦꯅꯦꯖꯃꯦꯟꯇ ꯑꯁꯤ ꯑꯆꯧꯕꯥ ꯊꯕꯛ ꯑꯃꯥ ꯑꯣꯏꯔꯕꯁꯨ, ꯀꯣꯔꯇꯤꯁꯣꯂꯅꯥ ꯇꯁꯦꯡꯅꯥ ꯍꯀꯆꯥꯡꯒꯤ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯑꯣꯔꯒꯥꯟ ꯁꯤꯁ꯭ꯇꯦꯝ ꯈꯨꯗꯤꯡꯃꯛꯇꯥ ꯁꯣꯀꯍꯜꯂꯤ꯫ ꯃꯁꯤꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯊꯕꯛ ꯈꯔꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤ:

#### 1. ꯍꯀꯆꯥꯡꯒꯤ ꯁ꯭ꯠꯔꯦꯁ ꯔꯦꯁ꯭ꯄꯣꯟꯁ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯥ꯫

ꯁꯣꯔꯠ-ꯇꯔꯝ ꯅꯠꯠꯔꯒꯥ ꯂꯣꯡ-ꯇꯔꯝ ꯁ꯭ꯠꯔꯦꯁꯔ ꯑꯃꯥ ꯊꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯍꯀꯆꯥꯡꯅꯥ ꯔꯦꯁ꯭ꯄꯣꯟꯁ ꯇꯧꯅꯕꯥ (i.e., "ꯐꯥꯏꯠ ꯅꯠꯠꯔꯒꯥ ꯐ꯭ꯂꯥꯏꯠ") ꯑꯦꯗ꯭ꯔꯤꯅꯥꯂꯥꯏꯅꯒꯨꯝꯕꯥ ꯍꯣꯔꯃꯣꯅꯁꯤꯡ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯊꯥꯗꯣꯀꯏ꯫ ꯀꯣꯔꯇꯤꯁꯣꯂꯅꯥ ꯌꯥꯎꯏ, ꯃꯁꯤꯅꯥ ꯍꯀꯆꯥꯡꯕꯨ ꯆꯦꯀꯁꯤꯟꯅꯥ ꯊꯝꯕꯗꯥ ꯑꯃꯁꯨꯡ ꯃꯊꯧ ꯇꯥꯕꯥ ꯑꯦꯅꯔꯖꯤ ꯄꯤꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫ ꯃꯁꯤꯅꯥ ꯂꯤꯚꯔꯗꯒꯤ ꯒ꯭ꯂꯨꯀꯣꯖ – ꯆꯤꯅꯤ ꯑꯃꯥ – ꯊꯥꯗꯣꯛꯇꯨꯅꯥ ꯇꯧꯏ꯫ ꯃꯁꯤꯅꯥ ꯁ꯭ꯠꯔꯦꯁ ꯑꯗꯨ ꯊꯦꯡꯅꯕꯗꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯑꯦꯅꯔꯖꯤ ꯑꯗꯨ ꯄꯤ꯫

#### 2. ꯃꯦꯇꯥꯕꯣꯂꯤꯖꯝ ꯑꯃꯁꯨꯡ ꯕ꯭ꯂꯗ ꯁꯨꯒꯔ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯥ꯫

ꯀꯣꯔꯇꯤꯁꯣꯜ ꯑꯁꯤ ꯃꯦꯇꯥꯕꯣꯂꯤꯖꯃꯒꯤꯗꯃꯛꯇꯥ ꯇꯉꯥꯏ ꯐꯗꯕꯥ ꯍꯣꯔꯃꯣꯟ ꯑꯃꯅꯤ – ꯍꯀꯆꯥꯡꯅꯥ ꯏꯅꯔꯖꯤ ꯁꯤꯖꯤꯟꯅꯕꯒꯤ ꯃꯑꯣꯡ – ꯑꯃꯁꯨꯡ ꯃꯁꯤꯅꯥ ꯏꯅꯁꯨꯂꯤꯟ ꯑꯃꯁꯨꯡ ꯒ꯭ꯂꯨꯀꯣꯒꯅꯅꯥ ꯀꯔꯝꯅꯥ ꯊꯕꯛ ꯇꯧꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯗꯨꯅꯥ, ꯐꯦꯠ, ꯃꯁꯜ ꯑꯃꯁꯨꯡ ꯂꯤꯚꯔ ꯁꯦꯂꯁꯤꯡꯅꯥ ꯒ꯭ꯂꯨꯀꯣꯖ ꯀꯔꯝꯅꯥ ꯁꯤꯖꯤꯟꯅꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯗꯨꯅꯥ ꯕ꯭ꯂꯗ ꯁꯨꯒꯔꯒꯤ ꯆꯥꯡ ꯔꯤꯒꯨꯂꯦꯠ ꯇꯧꯕꯗꯁꯨ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫

#### ꯳.ꯏꯅꯐ꯭ꯂꯦꯃꯦꯁꯟ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯥ꯫

ꯑꯇꯦꯅꯕꯥ ꯃꯇꯃꯒꯤ ꯑꯣꯏꯅꯥ ꯀꯣꯔꯇꯤꯁꯣꯂꯅꯥ ꯃꯍꯧꯁꯥꯒꯤ ꯑꯣꯏꯕꯥ ꯑꯦꯟꯇꯤ-ꯏꯅꯐ꯭ꯂꯦꯃꯦꯇꯔꯤ ꯑꯃꯥ ꯑꯣꯏꯅꯥ ꯊꯕꯛ ꯇꯧꯏ, ꯃꯗꯨꯅꯥ ꯍꯀꯆꯥꯡꯗꯥ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯁꯟ ꯍꯟꯊꯍꯅꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯀꯣꯔꯇꯤꯁꯣꯂꯒꯤ ꯆꯥꯡ ꯑꯁꯤ ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯋꯥꯡꯂꯕꯗꯤ, ꯃꯁꯤꯒꯤ ꯑꯣꯟꯅ-ꯇꯩꯅꯕꯥ ꯏꯐꯦꯛꯇ ꯂꯩꯕꯥ ꯌꯥꯏ꯫ ꯍꯥꯌꯕꯗꯤ ꯃꯁꯤꯅꯥ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯁꯟ ꯍꯦꯅꯒꯠꯍꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯃꯇꯃꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ ꯏꯝꯝꯌꯨꯟ ꯁꯤꯁ꯭ꯇꯦꯝ ꯁꯣꯀꯍꯅꯕꯥ ꯉꯝꯃꯤ꯫

#### ꯴.ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ ꯃꯦꯅꯦꯖ ꯇꯧꯕꯥ꯫

ꯀꯣꯔꯇꯤꯁꯣꯂꯅꯥ ꯃꯦꯗꯤꯀꯦꯜ ꯁꯥꯏꯟꯁꯗꯁꯨ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ ꯔꯤꯒꯨꯂꯦꯠ ꯇꯧꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ ꯍꯥꯌꯕꯥ ꯎꯠꯂꯦ꯫ ꯀꯣꯔꯇꯤꯁꯣꯂꯒꯤ ꯆꯥꯡ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯍꯟꯊꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯍꯟꯊꯔꯀꯄꯒꯤ ꯃꯔꯛꯇꯥ ꯍꯀꯊꯦꯡꯅꯅꯥ ꯃꯔꯤ ꯂꯩꯅꯩ꯫

#### ꯵.ꯁꯔꯀꯦꯗꯤꯌꯟ ꯔꯤꯗꯃꯗꯥ ꯁꯣꯀꯍꯅꯕꯥ꯫

ꯀꯣꯔꯇꯤꯁꯣꯂꯒꯤ ꯆꯥꯡ ꯑꯁꯤ ꯃꯍꯧꯁꯥꯅꯥ ꯅꯨꯃꯤꯠ ꯈꯨꯗꯤꯡꯒꯤ ꯍꯦꯅꯒꯠꯂꯀꯏ ꯑꯃꯁꯨꯡ ꯍꯟꯊꯔꯀꯏ꯫ ꯃꯈꯣꯌ ꯑꯁꯤ ꯅꯍꯥꯛꯅꯥ ꯑꯌꯨꯛꯇꯥ ꯇꯨꯝꯕꯥ ꯍꯧꯗ꯭ꯔꯤꯉꯩꯗꯥ ꯄꯤꯛ ꯊꯟꯅꯥ ꯂꯥꯀꯏ ꯑꯃꯁꯨꯡ ꯇꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯃꯈꯣꯌꯒꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯅꯦꯝꯕꯥ ꯊꯥꯛ ꯑꯗꯨꯗꯥ ꯍꯟꯊꯔꯀꯏ꯫ ꯃꯁꯤꯒꯤ ꯁꯔꯀꯦꯗꯤꯌꯝ ꯔꯤꯗꯝ ꯑꯁꯤ ꯑꯐꯕꯥ ꯇꯨꯝꯕꯥ ꯑꯃꯁꯨꯡ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯅꯥ ꯂꯩꯕꯥ ꯑꯅꯤꯃꯛꯀꯤꯗꯃꯛ ꯃꯔꯨꯑꯣꯏ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯀꯣꯔꯇꯤꯁꯣꯂꯒꯤ ꯆꯥꯡ ꯌꯥꯝꯅꯥ ꯋꯥꯡꯂꯕꯗꯤ ꯀꯔꯤ ꯇꯧꯒꯅꯤ? (ꯍꯥꯏꯄꯥꯔꯀꯣꯔꯇꯤꯁꯣꯂꯤꯖꯝ) ꯑꯃꯁꯨꯡ ꯑꯦꯟ.

ꯃꯇꯝ ꯄꯨꯝꯅꯃꯛꯇꯥ ꯀꯣꯔꯇꯤꯁꯣꯂꯒꯤ ꯆꯥꯡ ꯋꯥꯡꯅꯥ ꯂꯩꯕꯥ (ꯀꯨꯁꯤꯡ ꯁꯤꯟꯗ꯭ꯔꯣꯝ ꯀꯧꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯥ) ꯑꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯁꯦꯂꯒꯤꯗꯃꯛꯇꯥ ꯑꯐꯕꯥ ꯑꯣꯏꯗꯦ꯫ ꯃꯁꯤ ꯅꯨꯃꯤꯠ ꯈꯨꯗꯤꯡꯒꯤ ꯁ꯭ꯠꯔꯦꯁ ꯈꯛꯇꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯝꯅꯥ ꯊꯦꯡꯅꯩ꯫ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯃꯔꯃꯁꯤꯡꯗꯤ:

• ꯍꯤꯗꯥꯀꯁꯤꯡ: ꯀꯣꯔꯇꯤꯀꯣꯁ꯭ꯇꯦꯔꯣꯏꯗ ꯍꯤꯗꯥꯀꯁꯤꯡ (ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯄ꯭ꯔꯦꯗꯅꯤꯁꯣꯂꯣꯟ)ꯒꯤ ꯑꯋꯥꯡꯕꯥ ꯗꯣꯖꯁꯤꯡ ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯁꯤꯖꯤꯟꯅꯕꯥ꯫
• ꯇꯤꯎꯃꯔꯁꯤꯡ: ꯄꯤꯇꯨꯏꯇꯔꯤ ꯒ꯭ꯜꯌꯥꯟꯗ ꯅꯠꯠꯔꯒꯥ ꯑꯦꯗ꯭ꯔꯤꯅꯜ ꯒ꯭ꯜꯌꯥꯟꯗꯁꯤꯡꯗꯥ ꯂꯩꯕꯥ ꯇꯤꯎꯃꯔꯁꯤꯡꯅꯥ ꯀꯣꯔꯇꯤꯁꯣꯜ ꯅꯠꯠꯔꯒꯥ ꯃꯁꯤ ꯄꯨꯊꯣꯀꯄꯗꯥ ꯊꯧꯒꯠꯄꯥ ꯍꯣꯔꯃꯣꯅꯁꯤꯡ (ꯃꯔꯨꯑꯣꯏꯅꯥ ACTH - ꯑꯦꯗ꯭ꯔꯤꯅꯣꯀꯣꯔꯇꯤꯀꯣꯠꯔꯣꯄꯤꯛ ꯍꯣꯔꯃꯣꯟ) ꯌꯥꯝꯅꯥ ꯄꯨꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫

#### ꯀꯣꯔꯇꯤꯁꯣꯂꯒꯤ ꯆꯥꯡ ꯋꯥꯡꯕꯒꯤ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ:

ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯀꯣꯔꯇꯤꯁꯣꯂꯒꯤ ꯆꯥꯡ ꯋꯥꯡꯅꯥ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯅꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯊꯦꯡꯅꯔꯀꯄꯥ ꯌꯥꯏ:

• ꯃꯔꯨꯑꯣꯏꯅꯥ ꯃꯥꯌꯗꯥ ("ꯊꯥꯒꯤ ꯃꯐꯝ") ꯑꯃꯁꯨꯡ ꯈꯣꯡꯗꯥ ꯑꯔꯨꯝꯕꯥ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ꯫ ꯂꯤꯝꯐꯁꯤꯡ ꯑꯗꯨ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯁꯣꯟꯊꯔꯀꯄꯁꯨ ꯌꯥꯏ꯫
• ꯈꯨꯎꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯂꯩꯕꯥ ꯐꯦꯠ ꯗꯤꯄꯣꯖꯤꯇꯁꯤꯡ ("Buffalo hump")꯫
• ꯄꯥꯛ-ꯆꯥꯎꯕꯥ, ꯃꯆꯨ ꯃꯆꯨꯒꯤ ꯁ꯭ꯠꯔꯦꯁ ꯃꯥꯔꯀꯁꯤꯡ, ꯃꯔꯨꯑꯣꯏꯅꯥ ꯈꯣꯡꯗꯥ꯫
• ꯃꯁꯜ ꯁꯣꯟꯊꯕꯥ꯫
• ꯕ꯭ꯂꯗ ꯁꯨꯒꯔꯒꯤ ꯆꯥꯡ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ (ꯃꯁꯤꯅꯥ ꯇꯥꯏꯞ 2 ꯗꯥꯏꯑꯦꯕꯦꯇꯤꯖ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ)꯫
• ꯍꯥꯏ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ (ꯍꯥꯌꯄꯔꯇꯦꯟꯁꯟ)꯫
• ꯐꯖꯅꯥ ꯕ꯭ꯔꯨꯁ ꯇꯧꯕꯥ꯫
• ꯐ꯭ꯔꯦꯏꯖ ꯑꯣꯏꯕꯥ ꯁꯔꯨꯁꯤꯡ (Osteoporosis)꯫
• ꯅꯨꯄꯤꯁꯤꯡꯗꯗꯤ, ꯅꯨꯄꯥꯁꯤꯡꯒꯨꯝꯅꯥ ꯍꯦꯌꯥꯔ ꯐꯣꯂꯤꯀꯜ ꯒ꯭ꯔꯣꯊ (hirsutism) ꯅꯠꯠꯔꯒꯥ ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯊꯥꯒꯤ ꯈꯣꯡꯀꯥꯞ ꯂꯩꯕꯥ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯀꯣꯔꯇꯤꯁꯣꯂꯒꯤ ꯆꯥꯡ ꯌꯥꯝꯅꯥ ꯅꯦꯝꯅꯥ ꯂꯩꯔꯕꯗꯤ ꯀꯔꯤ ꯇꯧꯒꯅꯤ? (ꯑꯦꯗ꯭ꯔꯤꯅꯜ ꯏꯅꯁꯨꯐꯤꯁꯤꯑꯦꯟꯁꯤ) ꯑꯃꯁꯨꯡ ꯑꯦꯟ.

ꯑꯦꯗ꯭ꯔꯤꯅꯜ ꯏꯅꯁꯨꯐꯤꯁꯤꯑꯦꯟꯁꯤ ꯍꯥꯌꯕꯁꯤ ꯀꯣꯔꯇꯤꯁꯣꯂꯒꯤ ꯆꯥꯡ ꯌꯥꯝꯅꯥ ꯅꯦꯝꯅꯥ ꯂꯩꯕꯅꯤ꯫ ꯃꯁꯤꯅꯥ ꯇꯥꯀꯄꯗꯤ ꯑꯦꯗ꯭ꯔꯤꯅꯜ ꯒ꯭ꯜꯌꯥꯟꯗꯁꯤꯡꯅꯥ ꯀꯣꯔꯇꯤꯁꯣꯜ ꯃꯇꯤꯛ ꯆꯥꯅꯥ ꯄꯨꯊꯣꯀꯄꯥ ꯉꯃꯗꯦ꯫ ꯃꯁꯤꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯔꯃꯁꯤꯡꯗꯤ:

• ꯄ꯭ꯔꯥꯏꯃꯥꯔꯤ ꯑꯦꯗ꯭ꯔꯤꯅꯜ ꯏꯅꯁꯨꯐꯤꯁꯤꯑꯦꯟꯁꯤ (ꯑꯦꯗꯤꯁꯅꯒꯤ ꯂꯥꯌꯅꯥ): ꯃꯁꯤ ꯃꯍꯧꯁꯥꯅꯥ ꯑꯣꯇꯣꯏꯝꯌꯨꯟ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯥ ꯊꯣꯀꯍꯅꯕꯅꯤ꯫ ꯃꯁꯤꯅꯥ ꯇꯥꯀꯄꯗꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯃꯁꯥꯒꯤ ꯏꯝꯝꯌꯨꯟ ꯁꯤꯁ꯭ꯇꯦꯃꯅꯥ ꯑꯦꯗ꯭ꯔꯤꯅꯜ ꯒ꯭ꯜꯌꯥꯟꯗꯁꯤꯡꯗꯥ ꯑꯦꯇꯦꯛ ꯇꯧꯏ꯫ ꯏꯅꯐꯦꯛꯁꯟ ꯅꯠꯠꯔꯒꯥ ꯑꯇꯩ ꯑꯃꯥꯡ-ꯑꯇꯥꯁꯤꯡꯅꯁꯨ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫
• ꯌꯥꯅꯕꯥ/ꯁꯦꯀꯦꯟꯗꯔꯤ ꯑꯦꯗ꯭ꯔꯤꯅꯜ ꯏꯅꯁꯨꯐꯤꯁꯤꯑꯦꯟꯁꯤ: ꯄꯤꯇꯨꯏꯇꯔꯤ ꯒ꯭ꯜꯌꯥꯟꯗꯒꯤ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯃꯁꯤꯡ (ꯇꯤꯎꯃꯔ, ꯐꯉ꯭ꯀꯁꯟ ꯍꯟꯊꯔꯀꯄꯥ) ꯑꯁꯤꯅꯥ ꯍꯀꯆꯥꯡꯗꯥ ꯀꯣꯔꯇꯤꯁꯣꯜ ꯁꯦꯝꯕꯒꯤ ꯁꯤꯒꯅꯦꯜ ꯄꯤꯔꯤꯕꯥ ꯍꯣꯔꯃꯣꯟ ACTH ꯄꯨꯊꯣꯀꯄꯥ ꯍꯟꯊꯍꯜꯂꯤ꯫ ꯃꯁꯤ ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯀꯣꯔꯇꯤꯀꯣꯁ꯭ꯇꯦꯔꯣꯏꯗ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ ꯈꯪꯍꯧꯗꯅꯥ ꯊꯤꯡꯂꯕꯥ ꯃꯇꯨꯡꯗꯁꯨ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫

#### ꯀꯣꯔꯇꯤꯁꯣꯂꯒꯤ ꯆꯥꯡ ꯅꯦꯝꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ:

• ꯂꯦꯞꯇꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯑꯃꯁꯨꯡ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯐꯥꯎꯕꯥ꯫
• ꯃꯔꯝ ꯑꯃꯠꯇꯥ ꯂꯩꯇꯅꯥ ꯑꯔꯨꯝꯕꯥ ꯍꯟꯊꯕꯥ꯫
• ꯆꯤꯟꯖꯥꯛ ꯑꯁꯤ ꯃꯆꯤ ꯑꯣꯏꯗꯦ꯫
• ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ ꯅꯦꯝꯕꯥ (ꯍꯥꯏꯄꯣꯇꯦꯟꯁꯟ) (ꯂꯦꯡꯗꯅꯥ ꯂꯩꯕꯥ ꯃꯇꯃꯗꯥ ꯃꯁꯥ ꯃꯊꯟꯇꯥ ꯋꯥꯈꯜ ꯇꯥꯗꯕꯥ)꯫
• ꯅꯣꯡꯃꯩ ꯀꯥꯞꯄꯥ, ꯈꯣꯡ ꯍꯥꯝꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯈꯣꯡ ꯍꯥꯝꯕꯥ ꯌꯥꯗꯕꯥ꯫
• ꯃꯁꯜ ꯅꯠꯠꯔꯒꯥ ꯁꯔꯨ ꯇꯥꯡꯁꯤꯡꯗꯥ ꯑꯅꯥꯕꯥ꯫
• ꯈꯣꯡꯗꯥ ꯕ꯭ꯔꯎꯅꯤꯡ (Hyperpigmentation) - ꯃꯔꯨꯑꯣꯏꯅꯥ ꯑꯦꯗꯤꯁꯅꯒꯤ ꯂꯥꯌꯅꯥꯗꯥ꯫

🚨 ꯈꯨꯗꯛꯇꯥ ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯃꯇꯦꯡ ꯃꯊꯧ ꯇꯥꯕꯥ ꯑꯦꯗ꯭ꯔꯤꯅꯜ ꯀ꯭ꯔꯥꯏꯁꯤꯁꯀꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ꯫

ꯀꯣꯔꯇꯤꯁꯣꯜ ꯍꯣꯔꯃꯣꯟ ꯑꯁꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯅꯣꯔꯃꯦꯜ ꯂꯦꯚꯦꯂꯗꯒꯤ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯍꯟꯊꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯁꯤꯍꯅꯕꯥ ꯌꯥꯕꯥ ꯑꯦꯗ꯭ꯔꯤꯅꯜ ꯀ꯭ꯔꯥꯏꯁꯤꯁ ꯑꯃꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯊꯦꯡꯅꯔꯕꯗꯤ ꯈꯨꯗꯛꯇꯥ ꯑꯦꯃꯔꯖꯦꯟꯁꯤ ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯃꯇꯦꯡ ꯂꯧꯒꯗꯕꯅꯤ:

• ꯈꯪꯍꯧꯗꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯑꯅꯥꯕꯥ (severe pain): ꯈꯪꯍꯧꯗꯅꯥ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯑꯅꯥꯕꯥ (lower back, abdomen or legs)꯫
• ꯁꯥꯊꯤꯕꯥ ꯈꯣꯝꯂꯥꯡ ꯑꯃꯁꯨꯡ ꯗꯥꯏꯔꯤꯌꯥ (severe vomiting and diarrea) : ꯍꯀꯆꯥꯡ ꯁꯣꯛꯅ-ꯁꯝꯅꯍꯟꯗꯨꯅꯥ ꯂꯦꯡ-ꯑꯣꯠꯄꯗꯥ ꯋꯥꯕꯥ ꯑꯃꯁꯨꯡ ꯗꯥꯏꯔꯤꯌꯥ꯫
• ꯁꯣꯀꯄꯥ (Shock): ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ ꯍꯟꯊꯔꯀꯄꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯋꯥꯈꯜ ꯃꯥꯡꯈꯤꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯋꯥꯈꯜ ꯃꯥꯡꯈꯤꯕꯥ꯫
• ꯇꯨꯝꯕꯥ ꯌꯥꯗꯕꯥ ꯑꯃꯁꯨꯡ ꯋꯥꯈꯜ ꯆꯔꯥꯡꯅꯕꯥ: ꯑꯋꯥꯡꯕꯥ ꯂꯥꯏꯍꯧꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯊꯣꯀꯄꯥ ꯇꯨꯝꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ꯫

🛠️ ꯀꯣꯔꯇꯤꯁꯣꯜ ꯍꯣꯔꯃꯣꯟ ꯕꯦꯂꯦꯟꯁ ꯊꯝꯅꯕꯥ ꯑꯦꯛꯁꯅꯒꯤ ꯈꯣꯡꯊꯥꯡꯁꯤꯡ꯫

• ꯈꯣꯡꯊꯥꯡ ꯑꯃꯥ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯀꯣꯔꯇꯤꯁꯣꯜ ꯍꯣꯔꯃꯣꯅꯒꯤ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯑꯃꯥ ꯂꯩꯔꯦ ꯍꯥꯌꯅꯥ ꯆꯤꯡꯅꯔꯕꯗꯤ, ꯈꯨꯗꯛꯇꯥ ꯑꯦꯟꯗꯣꯛꯔꯥꯏꯅꯣꯂꯣꯖꯤꯁ꯭ꯠ ꯑꯃꯒꯥ ꯇꯥꯟꯅꯧ ꯑꯃꯁꯨꯡ ꯍꯣꯔꯃꯣꯟ ꯇꯦꯁ꯭ꯠ (ꯁꯦꯂꯤꯚꯥ, ꯏ, ꯅꯠꯠꯔꯒꯥ ꯄꯨꯡ 24ꯒꯤ ꯌꯨꯔꯤꯟ ꯇꯦꯁ꯭ꯠ) ꯑꯃꯥ ꯄꯥꯡꯊꯣꯀꯎ꯫
• ꯈꯣꯡꯊꯥꯡ ꯑꯅꯤ: ꯗꯣꯛꯇꯔꯒꯤ ꯄ꯭ꯔꯦꯁꯛꯔꯤꯄꯁꯟ ꯌꯥꯎꯗꯅꯥ ꯐꯥꯔꯃꯥꯁꯤꯁꯤꯡꯗꯒꯤ ꯐꯪꯕꯥ ꯄ꯭ꯔꯦꯗꯅꯤꯁꯣꯂꯣꯟ ꯅꯠꯠꯔꯒꯥ ꯗꯦꯛꯁꯥꯃꯦꯊꯥꯁꯣꯅꯒꯨꯝꯕꯥ ꯁ꯭ꯇꯦꯔꯣꯏꯗ ꯍꯤꯗꯥꯀꯁꯤꯡ ꯁꯤꯖꯤꯟꯅꯔꯣꯏꯗꯕꯅꯤ꯫
• ꯈꯣꯡꯊꯥꯡ ꯑꯍꯨꯝ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯀ꯭ꯌꯨꯁꯤꯡ ꯁꯤꯟꯗꯣꯝ ꯅꯠꯠꯔꯒꯥ ꯑꯦꯗ꯭ꯔꯤꯅꯜ ꯏꯅꯁꯨꯐꯤꯁꯤꯑꯦꯟꯁꯤꯒꯨꯝꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯥ ꯂꯩꯔꯦ ꯍꯥꯌꯅꯥ ꯈꯪꯂꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯇꯥꯀꯄꯥ ꯍꯣꯔꯃꯣꯟ ꯔꯤꯞꯂꯦꯁꯃꯦꯟꯇ ꯍꯤꯗꯥꯛ ꯑꯗꯨ ꯂꯧꯊꯣꯀꯎ꯫
• ꯈꯣꯡꯊꯥꯡ ꯃꯔꯤ: ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯁꯔꯀꯤꯌꯥꯗꯤꯌꯥꯟ ꯔꯤꯗꯝ ꯑꯗꯨ ꯂꯦꯡꯗꯅꯥ ꯊꯝꯅꯕꯒꯤꯗꯃꯛ ꯅꯨꯃꯤꯠ ꯈꯨꯗꯤꯡꯒꯤ ꯃꯇꯝ ꯑꯃꯗꯥ ꯇꯨꯝꯕꯥ ꯑꯃꯁꯨꯡ ꯋꯥꯈꯜ ꯇꯥꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯆꯠꯅꯕꯤ ꯑꯃꯥ ꯑꯣꯏꯍꯅꯒꯗꯕꯅꯤ꯫
• ꯈꯣꯡꯊꯥꯡ ꯃꯉꯥ: ꯁ꯭ꯠꯔꯦꯁ ꯍꯟꯊꯍꯟꯅꯕꯥ ꯃꯦꯗꯤꯇꯦꯁꯟ, ꯗꯤꯞ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯑꯦꯛꯇꯤꯕ ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯇꯧꯕꯥ꯫

📊 ꯍꯣꯔꯃꯣꯅꯒꯤ ꯏꯃꯕꯦꯂꯦꯟꯁꯀꯤ ꯈꯦꯠꯅꯕꯥ (ꯀꯨꯁꯤꯡ ꯕꯅꯥꯝ ꯑꯦꯗꯤꯁꯅꯒꯤ)

📖 ꯁꯣꯔꯁꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯁꯥꯏꯟꯇꯤꯐꯤꯛ ꯔꯤꯐꯔꯦꯟꯁꯁꯤꯡ꯫

• ꯑꯦꯗꯤꯁꯅꯒꯤ ꯂꯥꯌꯅꯥꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯑꯦꯟ.ꯑꯩꯆ.ꯑꯦꯁ.(ꯌꯨ.ꯀꯦ.)ꯒꯤ ꯒꯥꯏꯗꯂꯥꯏꯅꯁꯤꯡ: ꯑꯦꯟ.ꯑꯩꯆ.ꯑꯦꯁ.ꯑꯦꯗꯤꯁꯅꯒꯤ ꯂꯥꯌꯅꯥꯒꯤ ꯑꯣꯚꯔꯚꯤꯌꯨ (꯲꯰꯲꯶ꯗꯥ ꯌꯧꯈꯤꯕꯥ)
• ꯑꯦꯟ.ꯁꯤ.ꯕꯤ.ꯑꯥꯏ.ꯒꯤ ꯕꯨꯀꯁꯦꯂꯐ ꯑꯦꯟꯗꯣꯛꯔꯥꯏꯟ ꯔꯤꯚꯤꯌꯨ: ꯀꯣꯔꯇꯤꯁꯣꯜ ꯑꯃꯁꯨꯡ ꯑꯦꯗ꯭ꯔꯤꯅꯜ ꯐꯉ꯭ꯀꯁꯅꯒꯤ ꯐꯤꯖꯤꯑꯣꯂꯣꯖꯤ (ꯁ꯭ꯇꯦꯠꯄꯔꯂꯁ - ꯑꯦꯟ.ꯕꯤ.ꯀꯦ.꯵꯳꯸꯲꯳꯹)