ꯅꯍꯥꯛꯅꯥ ꯁꯔꯨ ꯇꯥꯡꯒꯤ ꯑꯅꯥꯕꯥ, ꯀꯣꯛ ꯆꯤꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯇꯩ ꯑꯅꯥꯕꯁꯤꯡꯒꯤꯗꯃꯛ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯄꯤꯕꯥ ꯄꯦꯏꯅꯀꯤꯂꯥꯔꯁꯤꯡ ꯂꯧꯕꯥ ꯃꯇꯃꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ, ꯈꯣꯡꯗꯥ ꯃꯩꯅꯥ ꯆꯥꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯒꯦꯁ꯭ꯠꯔꯥꯏꯇꯤꯁꯁꯨ ꯊꯦꯡꯅꯕ꯭ꯔꯥ? ꯃꯁꯤ ꯇꯁꯦꯡꯅꯥ ꯃꯤꯑꯣꯏ ꯀꯌꯥꯒꯤ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯁꯃꯁ꯭ꯌꯥ ꯑꯃꯅꯤ꯫ ꯑꯅꯥꯕꯥ ꯍꯟꯊꯍꯟꯅꯕꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛ ꯆꯥꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯑꯇꯣꯞꯄꯥ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯑꯃꯥ ꯂꯩꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯑꯃꯅꯤ꯫ ꯑꯗꯨꯕꯨ ꯑꯗꯣꯝꯅꯥ ꯈꯉꯕꯤꯔꯃꯒꯅꯤ ꯃꯗꯨꯗꯤ ꯈꯣꯝꯂꯥꯡꯒꯤ ꯑꯅꯥꯕꯥ ꯑꯁꯤ ꯍꯟꯊꯍꯅꯕꯥ ꯉꯝꯕꯥ ꯑꯃꯁꯨꯡ ꯑꯅꯥꯕꯥ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯥ ꯉꯝꯕꯥ ꯑꯈꯟꯅꯕꯥ ꯀ꯭ꯂꯥꯁꯀꯤ ꯗ꯭ꯔꯒ ꯑꯃꯥ ꯂꯩꯔꯤ? ꯗ꯭ꯔꯒꯁꯤꯡꯒꯤ ꯀ꯭ꯂꯥꯁ ꯑꯗꯨꯕꯨ ꯁꯤ.ꯑꯣ.ꯑꯦꯛꯁ.-꯲ ꯏꯅꯍꯤꯕꯤꯇꯔꯁꯤꯡ ꯍꯥꯌꯅꯥ ꯀꯧꯏ . ꯉꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯃꯗꯨꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯔꯤ꯫
ꯀꯣꯛꯁ-꯲ ꯏꯅꯍꯤꯕꯤꯇꯔꯁꯤꯡ ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ? ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯂꯧꯁꯤꯅꯁꯤ꯫
ꯁꯤ.ꯑꯣ.ꯑꯦꯛꯁ.-꯲ ꯏꯅꯍꯤꯕꯤꯇꯔꯁꯤꯡ ꯑꯁꯤ ꯇꯁꯦꯡꯅꯥ ꯑꯦꯟ.ꯑꯦꯁ.ꯑꯦ.ꯑꯥꯏ.ꯗꯤ.ꯁꯤꯡ (ꯅꯟ-ꯁ꯭ꯇꯦꯔꯣꯏꯗ ꯑꯦꯟꯇꯤ-ꯏꯅꯐ꯭ꯂꯦꯃꯦꯇꯔꯤ ꯗ꯭ꯔꯒꯁꯤꯡ) ꯍꯥꯌꯅꯥ ꯈꯉꯅꯕꯥ ꯄꯦꯏꯅꯀꯤꯂꯔꯁꯤꯡꯒꯤ ꯏꯃꯨꯡ ꯑꯃꯒꯤ ꯃꯦꯝꯕꯔ ꯑꯃꯅꯤ꯫ ꯅꯍꯥꯛꯅꯥ ꯑꯌꯥꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯁꯤꯖꯤꯟꯅꯔꯤꯕꯥ ꯗ꯭ꯔꯒꯁꯤꯡ, ꯍꯥꯌꯕꯗꯤ ꯏꯕꯨꯞꯔꯣꯐꯦꯟ , ꯗꯤꯛꯂꯣꯐꯦꯅꯥꯛ, ꯑꯃꯁꯨꯡ ꯅꯥꯞꯔꯣꯛꯁꯦꯟ ꯑꯁꯤ NSAIDꯁꯤꯡꯒꯤ ꯀꯥꯡꯂꯨꯞ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡ ꯆꯜꯂꯤ꯫ ꯍꯤꯗꯥꯀꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯊꯕꯛ ꯑꯁꯤ ꯑꯅꯥꯕꯥ ꯍꯟꯊꯍꯅꯕꯥ, ꯁꯣꯛ-ꯄꯅꯕꯥ ꯍꯟꯊꯍꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯂꯥꯏꯍꯧ ꯍꯟꯊꯍꯅꯕꯅꯤ꯫
ꯑꯗꯨꯅꯥ ꯁꯤ.ꯑꯣ.ꯑꯦꯛꯁ.-꯲ ꯏꯅꯍꯤꯕꯤꯇꯔꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯑꯁꯨꯛ ꯌꯥꯝꯅꯥ ꯑꯈꯟꯅꯕꯥ ꯀꯔꯤ ꯂꯩꯔꯤꯕꯒꯦ? ꯃꯗꯨ ꯈꯉꯗꯣꯛꯅꯕꯥ ꯑꯩꯈꯣꯌꯅꯥ ꯑꯍꯥꯅꯕꯗꯥ ꯃꯁꯛ ꯊꯣꯀꯄꯥ ꯑꯦꯟ.ꯑꯦꯁ.ꯑꯦ.ꯑꯥꯏ.ꯗꯤ.ꯅꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯀꯔꯝꯅꯥ ꯊꯕꯛ ꯇꯧꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯁꯤꯅꯕꯥ ꯃꯊꯧ ꯇꯥꯏ꯫
ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯂꯩꯔꯤꯕꯥ "ꯋꯥꯔꯀꯔ" ꯑꯅꯤ: ꯀꯣꯛꯁ-꯱ ꯑꯃꯁꯨꯡ ꯀꯣꯛꯁ-꯲꯫
ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯁꯥꯏꯛꯂꯣꯑꯣꯛꯁꯤꯖꯦꯅꯦꯖ ( COX ) ꯀꯧꯕꯥ ꯑꯦꯅꯖꯥꯏꯝ ꯃꯈꯜ ꯑꯃꯥ ꯂꯩ ꯍꯥꯌꯅꯥ ꯈꯅꯕꯤꯌꯨ꯫ ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯇꯣꯉꯥꯟ ꯇꯣꯉꯥꯅꯕꯥ ꯊꯕꯀꯁꯤꯡ ꯄꯥꯡꯊꯣꯀꯄꯥ ꯑꯄꯤꯀꯄꯥ ꯁꯤꯟꯃꯤꯁꯤꯡꯒꯨꯝꯕꯅꯤ꯫ ꯃꯔꯨ ꯑꯣꯏꯅꯥ ꯀꯣꯛꯁ ꯋꯥꯔꯀꯔꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯈꯜ ꯑꯅꯤ ꯂꯩ꯫
꯱.ꯀꯣꯛꯁ -꯱: ꯃꯁꯤ "ꯑꯐꯕꯥ" ꯁꯤꯟꯃꯤ ꯑꯃꯅꯤ꯫ ꯃꯁꯤꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯊꯕꯛ ꯑꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯁ꯭ꯇꯣꯃꯥꯛ ꯑꯃꯁꯨꯡ ꯏꯟꯇꯦꯁ꯭ꯇꯥꯏꯅꯒꯤ ꯂꯥꯏꯅꯤꯡ ꯉꯥꯀꯊꯣꯀꯄꯅꯤ꯫ ꯃꯁꯤꯅꯥ ꯑꯩꯈꯣꯌꯅꯥ ꯆꯥꯕꯥ ꯑꯃꯁꯨꯡ ꯊꯀꯄꯥ ꯆꯤꯟꯖꯥꯀꯁꯤꯡꯗꯥ ꯌꯥꯎꯔꯤꯕꯥ ꯗꯥꯏꯖꯦꯁ꯭ꯇꯤꯚ ꯑꯦꯁꯤꯗꯁꯤꯡꯗꯒꯤ ꯉꯥꯀꯊꯣꯀꯄꯥ ꯉꯝꯕꯥ ꯂꯦꯌꯔ ꯑꯃꯥ ꯁꯦꯝꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫ ꯃꯁꯤ ꯕ꯭ꯂꯗ ꯀ꯭ꯂꯣꯇꯤꯡ ꯄ꯭ꯔꯣꯁꯦꯁꯇꯥꯁꯨ ꯌꯥꯎꯏ꯫
2. ꯀꯣꯛꯁ-꯲: ꯃꯁꯤ ꯑꯌꯥꯝꯕꯅꯥ "ꯇ꯭ꯔꯥꯕꯂꯃꯦꯀꯔ" ꯑꯣꯏ꯫ ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ, ꯏꯅꯐꯦꯛꯁꯟ ꯅꯠꯠꯔꯒꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯃꯐꯃꯗꯨꯗꯥ ꯆꯠꯇꯨꯅꯥ ꯄ꯭ꯔꯣꯁ꯭ꯇꯥꯒ꯭ꯂꯥꯟꯗꯤꯟ ꯀꯧꯕꯥ ꯀꯦꯃꯤꯀꯦꯂꯁꯤꯡ ꯄꯨꯊꯣꯀꯏ꯫ ꯄ꯭ꯔꯣꯁ꯭ꯇꯥꯒ꯭ꯂꯥꯟꯗꯤꯅꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯑꯅꯥꯕꯥ, ꯁꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯂꯥꯏꯍꯧ ꯊꯣꯀꯍꯜꯂꯤ꯫ ꯃꯁꯤ ꯇꯁꯦꯡꯅꯥ ꯍꯀꯆꯥꯡꯗꯥ ꯉꯥꯀꯊꯣꯛꯅꯕꯥ ꯊꯧꯑꯣꯡ ꯑꯃꯥ ꯑꯣꯏꯔꯕꯁꯨ, ꯑꯔꯊ꯭ꯔꯥꯏꯇꯤꯁꯒꯨꯝꯕꯥ ꯀ꯭ꯔꯣꯅꯤꯛ ꯂꯥꯌꯅꯥꯁꯤꯡꯗꯥ, ꯊꯧꯑꯣꯡ ꯑꯁꯤꯅꯥ ꯃꯈꯥ ꯇꯥꯅꯥ ꯑꯋꯥꯕꯥ ꯊꯣꯀꯍꯜꯂꯤ꯫
ꯍꯧꯖꯤꯛ ꯌꯦꯡꯕꯤꯌꯨ꯫ ꯁꯤ.ꯑꯣ.ꯑꯦꯛꯁ.-꯲ ꯕ꯭ꯂꯣꯛ ꯇꯧꯕꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯑꯅꯥꯕꯥ ꯑꯃꯁꯨꯡ ꯁꯣꯀꯄꯥ ꯍꯟꯊꯔꯀꯏ꯫ ꯃꯗꯨꯗꯤ ꯌꯥꯝꯅ ꯐꯕꯅꯤ. ꯑꯗꯨꯕꯨ ꯁꯤ.ꯑꯣ.ꯑꯦꯛꯁ.-꯱ ꯑꯁꯤ ꯕ꯭ꯂꯣꯛ ꯇꯧꯕꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯁ꯭ꯇꯣꯃꯥꯀꯀꯤ ꯄ꯭ꯔꯣꯇꯦꯛꯁꯅꯁꯨ ꯊꯤꯡꯏ, ꯑꯃꯁꯨꯡ ꯁ꯭ꯇꯣꯃꯥꯛ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯁꯟ, ꯒꯦꯁ꯭ꯠꯔꯥꯏꯇꯤꯁ, ꯑꯃꯁꯨꯡ ꯁ꯭ꯇꯣꯃꯥꯛ ꯑꯂꯁꯔ ꯐꯥꯎꯕꯒꯤ ꯆꯥꯡ ꯍꯦꯅꯒꯠꯂꯀꯏ꯫
ꯃꯁꯤꯒꯤ ꯁꯃꯁ꯭ꯌꯥ ꯑꯁꯤ ꯀꯣꯀꯍꯟꯅꯕꯥ ꯁꯥꯏꯟꯇꯤꯁ꯭ꯇꯁꯤꯡꯅꯥ ꯁꯤ.ꯑꯣ.ꯑꯦꯛꯁ.-꯲ ꯏꯅꯍꯤꯕꯤꯇꯔ ꯀꯧꯕꯥ ꯗ꯭ꯔꯒꯁꯤꯡ ꯊꯤꯗꯣꯀꯈ꯭ꯔꯦ꯫ ꯍꯥꯌꯔꯤꯕꯥ ꯗ꯭ꯔꯒꯁꯤꯡ ꯑꯁꯤ ꯁ꯭ꯅꯥꯏꯄꯥꯔꯁꯤꯡꯒꯨꯝꯅꯥ ꯑꯣꯏ꯫ ꯃꯈꯣꯌꯅꯥ ꯍꯀꯆꯥꯡꯗꯥ ꯆꯪꯂꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯃꯈꯣꯌꯅꯥ ꯑꯋꯥꯕꯥ ꯇꯥꯔꯕꯥ ꯀꯣꯛꯁ-꯲ ꯋꯥꯔꯀꯔ ꯑꯗꯨꯗꯥ ꯍꯀꯊꯦꯡꯅꯅꯥ ꯇꯥꯔꯒꯦꯠ ꯇꯧꯏ꯫ ꯑꯐꯕꯥ ꯁꯤꯟꯃꯤ ꯁꯤ.ꯑꯣ.ꯑꯦꯛꯁ.-꯱ ꯑꯁꯤꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯃꯠꯇꯗꯥ ꯑꯀꯥꯌꯕꯥ ꯄꯤꯗꯦ꯫ ꯃꯁꯤꯅꯥ ꯃꯁꯥꯒꯤ ꯊꯕꯛ ꯑꯗꯨ ꯈꯛꯇꯥ ꯇꯧꯏ꯫
ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯁ꯭ꯇꯣꯃꯥꯛ ꯑꯁꯤ ꯃꯈꯥ ꯇꯥꯅꯥ ꯉꯥꯀꯊꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯑꯅꯥꯕꯥ ꯑꯃꯁꯨꯡ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯁꯟ ꯊꯣꯀꯍꯜꯂꯤꯕꯥ ꯁꯤ.ꯑꯣ.ꯑꯦꯛꯁ.-꯲ ꯑꯦꯅꯖꯥꯏꯝ ꯈꯛꯇꯃꯛ ꯊꯤꯡꯏ꯫ ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯁꯤ.ꯑꯣ.ꯑꯦꯛꯁ.-꯲ ꯏꯅꯍꯤꯕꯤꯇꯔꯁꯤꯡꯒꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯆꯥꯎꯕꯥ ꯀꯥꯟꯅꯕꯗꯤ ꯃꯈꯣꯌꯅꯥ ꯑꯅꯥꯕꯥ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯁ꯭ꯇꯣꯃꯥꯛ ꯁꯥꯏꯗ ꯏꯐꯦꯛꯇꯁꯤꯡ ꯍꯟꯊꯍꯅꯕꯅꯤ꯫
ꯁꯤ.ꯑꯣ.ꯑꯦꯛꯁ.-꯲ ꯏꯅꯍꯤꯕꯤꯇꯔꯁꯤꯡ ꯑꯁꯤ ꯃꯔꯨꯑꯣꯏꯅꯥ ꯀꯔꯤ ꯀꯟꯗꯤꯁꯅꯁꯤꯡꯗꯥ ꯁꯤꯖꯤꯟꯅꯔꯤꯕꯒꯦ?
ꯍꯤꯗꯥꯛ ꯃꯈꯜ ꯑꯁꯤ ꯃꯈꯜ ꯀꯌꯥꯒꯤ ꯑꯅꯥꯕꯥ ꯑꯃꯁꯨꯡ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯇꯔꯤ ꯀꯟꯗꯤꯁꯅꯁꯤꯡꯒꯤꯗꯃꯛ ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯔꯤꯀꯃꯦꯟꯗ ꯇꯧꯏ꯫ ꯃꯈꯥꯗꯥ ꯃꯔꯨ ꯑꯣꯏꯕꯥ ꯈꯔꯥ ꯄꯤꯔꯤ꯫
| ꯃꯦꯗꯤꯀꯦꯜ ꯀꯟꯗꯤꯁꯟ ꯂꯩꯕꯥ꯫ | ꯏꯆꯝ ꯆꯝꯕꯥ ꯄꯥꯎꯈꯨꯝ ꯑꯃꯥ꯫ |
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| ꯑꯣꯁ꯭ꯇꯤꯑꯣꯑꯔꯊ꯭ꯔꯥꯏꯇꯤꯁ ꯂꯩꯕꯥ꯫ | ꯆꯍꯤ ꯌꯥꯃꯈꯠꯂꯀꯄꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯇꯩ ꯃꯔꯃꯁꯤꯡꯅꯥ ꯁꯔꯨ ꯇꯥꯡꯁꯤꯡꯒꯤ ꯃꯔꯛꯇꯥ ꯂꯩꯕꯥ ꯀꯥꯔꯇꯤꯂꯦꯖ ꯑꯗꯨ ꯁꯣꯟꯊꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯊꯣꯀꯄꯥ ꯁꯔꯨ ꯇꯥꯡꯁꯤꯡꯗꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯑꯃꯁꯨꯡ ꯁꯣꯟꯊꯕꯥ꯫ ꯃꯁꯤꯅꯥ ꯑꯌꯥꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯈꯨꯎ ꯑꯃꯁꯨꯡ ꯈꯣꯡꯎꯄꯒꯨꯝꯕꯥ ꯁꯔꯨ ꯇꯥꯡꯁꯤꯡꯗꯥ ꯁꯣꯀꯍꯜꯂꯤ꯫ |
| ꯔꯤꯌꯨꯃꯦꯇꯣꯏꯗ ꯑꯔꯊ꯭ꯔꯥꯏꯇꯤꯁ ꯂꯩꯕꯥ꯫ | ꯍꯀꯆꯥꯡꯒꯤ ꯏꯝꯝꯌꯨꯟ ꯁꯤꯁ꯭ꯇꯦꯃꯗꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯑꯃꯅꯥ ꯁꯔꯨ ꯇꯥꯡꯁꯤꯡꯗꯥ ꯑꯦꯇꯦꯛ ꯇꯧꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯊꯣꯀꯄꯥ ꯀ꯭ꯔꯣꯅꯤꯛ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯁꯟ ꯑꯃꯁꯨꯡ ꯁꯥꯊꯤꯕꯥ ꯑꯅꯥꯕꯥ ꯑꯃꯅꯤ꯫ |
| ꯖꯨꯚꯦꯅꯥꯏꯜ ꯑꯔꯊ꯭ꯔꯥꯏꯇꯤꯁ꯫ | ꯅꯍꯥ ꯑꯣꯏꯔꯤꯕꯥ ꯑꯉꯥꯡꯁꯤꯡꯗꯥ ꯑꯔꯊ꯭ꯔꯥꯏꯇꯤꯁꯀꯤ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ꯫ |
| ꯑꯦꯟꯀꯤꯂꯣꯁꯤꯡ ꯁ꯭ꯄꯣꯟꯗꯤꯂꯥꯏꯇꯤꯁ꯫ | ꯃꯔꯨꯑꯣꯏꯅꯥ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗꯀꯤ ꯁꯔꯨ ꯇꯥꯡꯁꯤꯡ (joints) ꯁꯣꯟꯊꯍꯜꯂꯤꯕꯥ ꯑꯃꯁꯨꯡ ꯃꯇꯃꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ ꯐ꯭ꯌꯨꯖ ꯇꯧꯗꯨꯅꯥ, ꯁꯣꯟꯊꯕꯥ ꯊꯣꯀꯍꯜꯂꯤꯕꯥ ꯂꯥꯌꯅꯥ ꯑꯃꯅꯤ꯫ |
| ꯊꯥꯒꯤ ꯈꯣꯡꯀꯥꯄꯀꯤ ꯑꯅꯥꯕꯥ / ꯗꯤꯁꯃꯦꯅꯣꯔꯤꯌꯥ꯫ | ꯅꯨꯄꯤꯁꯤꯡꯗꯥ ꯊꯥꯒꯤ ꯈꯣꯡꯀꯥꯞ ꯂꯥꯀꯄꯒꯥ ꯃꯔꯤ ꯂꯩꯅꯕꯥ ꯁꯥꯊꯤꯕꯥ ꯂꯣꯌꯔꯕꯥ ꯑꯦꯕꯗꯣꯃꯤꯅꯦꯜ ꯄꯦꯏꯟ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯅꯕꯥ꯫ |
| ꯑꯇꯦꯅꯕꯥ ꯃꯇꯃꯒꯤ ꯑꯣꯏꯕꯥ ꯑꯅꯥꯕꯥ꯫ | ꯃꯁꯤ ꯑꯇꯦꯅꯕꯥ ꯃꯇꯃꯒꯤ ꯑꯅꯥꯕꯁꯤꯡ, ꯍꯥꯌꯕꯗꯤ ꯁꯥꯟꯅꯄꯣꯠꯀꯤ ꯑꯁꯣꯛ-ꯑꯄꯟ, ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯑꯅꯥꯕꯥ, ꯑꯃꯁꯨꯡ ꯍꯥꯀꯆꯥꯡ ꯂꯧꯊꯣꯛꯂꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯑꯅꯥꯕꯗꯁꯨ ꯁꯤꯖꯤꯟꯅꯩ꯫ |
ꯃꯁꯤꯒꯤ ꯃꯊꯛꯇꯥ, ꯍꯤꯗꯥꯀꯁꯤꯡ ꯑꯁꯤ ꯗꯣꯛꯇꯔꯒꯤ ꯑꯄꯥꯝꯕꯒꯤ ꯃꯇꯨꯡ ꯏꯟꯅꯥ, ꯒꯥꯎꯠ ꯑꯃꯁꯨꯡ ꯃꯥꯏꯒ꯭ꯔꯦꯅꯒꯨꯝꯕꯥ ꯑꯇꯩ ꯀꯟꯗꯤꯁꯅꯁꯤꯡꯗꯁꯨ ꯁꯤꯖꯤꯟꯅꯕꯥ ꯌꯥꯏ꯫
ꯁ꯭ꯔꯤꯂꯉ꯭ꯀꯥ ꯑꯃꯁꯨꯡ ꯃꯥꯂꯦꯃꯗꯥ ꯁꯤꯖꯤꯟꯅꯔꯤꯕꯥ ꯁꯤ.ꯑꯣ.ꯑꯦꯛꯁ.-꯲ ꯏꯅꯍꯤꯕꯤꯇꯔꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯤꯅꯣ?
ꯃꯥꯂꯦꯃꯗꯥ ꯑꯃꯁꯨꯡ ꯁ꯭ꯔꯤꯂꯉ꯭ꯀꯥꯗꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯌꯥꯝꯅꯥ ꯁꯤꯖꯤꯟꯅꯕꯥ ꯁꯤ.ꯑꯣ.ꯑꯦꯛꯁ.-꯲ ꯏꯅꯍꯤꯕꯤꯇꯔ ꯑꯁꯤ ꯁꯦꯂꯦꯀꯣꯛꯁꯤꯕ . ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯕ꯭ꯔꯥꯟꯗ ꯅꯦꯝ ꯁꯦꯂꯦꯕ꯭ꯔꯦꯛꯁ® .
ꯃꯁꯤꯒꯤ ꯃꯊꯛꯇꯥ, ꯏꯇꯣꯔꯤꯀꯣꯛꯁꯤꯕ (ꯑꯥꯔꯀꯣꯛꯁꯤꯌꯥ®) ꯑꯃꯁꯨꯡ ꯄꯦꯔꯦꯀꯣꯛꯁꯤꯕ (ꯗꯥꯏꯅꯥꯁ꯭ꯇꯦꯠ®) ꯒꯨꯝꯕꯥ ꯑꯇꯣꯞꯄꯥ ꯁꯤ.ꯑꯣ.ꯑꯦꯛꯁ.-꯲ ꯏꯅꯍꯤꯕꯤꯇꯔꯁꯤꯡꯁꯨ ꯃꯥꯂꯦꯃꯒꯤ ꯇꯣꯉꯥꯟ ꯇꯣꯉꯥꯅꯕꯥ ꯂꯩꯕꯥꯀꯁꯤꯡꯗꯥ ꯁꯤꯖꯤꯟꯅꯔꯤ꯫
ꯑꯗꯨꯕꯨ ꯃꯁꯤ ꯑꯗꯣꯃꯁꯨ ꯈꯉꯕꯤꯒꯗꯕꯅꯤ꯫ ꯆꯍꯤ ꯀꯌꯥꯒꯤ ꯃꯃꯥꯡꯗꯥ ꯔꯣꯐꯦꯀꯣꯛꯁꯤꯕ (Vioxx®) ꯑꯃꯁꯨꯡ Valdecoxib (Bextra®) ꯒꯨꯝꯕꯥ ꯑꯇꯣꯞꯄꯥ COX-2 ꯏꯅꯍꯤꯕꯤꯇꯔꯁꯤꯡ ꯀꯩꯊꯦꯂꯗꯥ ꯂꯩꯔꯝꯃꯤ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯃꯇꯨꯡ ꯇꯥꯔꯀꯄꯥ ꯁ꯭ꯇꯗꯤꯁꯤꯡꯅꯥ ꯗ꯭ꯔꯒꯁꯤꯡ ꯑꯁꯤ ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯁꯤꯖꯤꯟꯅꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯍꯥꯔꯠ ꯑꯦꯇꯦꯛ ꯑꯃꯁꯨꯡ ꯁ꯭ꯠꯔꯣꯀꯀꯤ ꯔꯤꯁ꯭ꯛ ꯌꯥꯝꯅꯥ ꯍꯦꯅꯒꯠꯍꯅꯈꯤ ꯍꯥꯌꯕꯥ ꯈꯉꯈꯤ꯫ ꯃꯈꯣꯌꯅꯥ ꯃꯤꯑꯣꯏ ꯈꯔꯗꯥ ꯑꯀꯅꯕꯥ ꯈꯣꯡꯎꯄꯀꯤ ꯂꯥꯌꯅꯥꯁꯤꯡꯁꯨ ꯊꯣꯀꯍꯅꯈꯤ꯫ ꯃꯔꯃꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯗ꯭ꯔꯒꯁꯤꯡ ꯑꯁꯤ ꯀꯩꯊꯦꯂꯗꯒꯤ ꯂꯧꯊꯣꯀꯈꯤ꯫
ꯊꯧꯗꯣꯀꯁꯤꯡ ꯑꯁꯤꯗꯒꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯇꯃꯖꯅꯤꯡꯉꯥꯏ ꯑꯣꯏꯕꯥ ꯋꯥꯐꯃꯗꯤ ꯄꯦꯅꯀꯤꯂꯔ ꯑꯃꯠꯇꯥ ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯄꯥꯎꯇꯥꯛ ꯌꯥꯑꯣꯗꯅꯥ ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯁꯤꯖꯤꯟꯅꯔꯣꯏꯗꯕꯅꯤ . ꯍꯤꯗꯥꯛ ꯈꯨꯗꯤꯡꯃꯛꯀꯤ ꯀꯥꯟꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯈꯨꯗꯣꯡꯊꯤꯕꯥ ꯂꯩ꯫ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔ ꯈꯛꯇꯅꯥ ꯅꯍꯥꯛꯀꯤꯗꯃꯛꯇꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯆꯨꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯁꯥꯐꯕꯥ ꯍꯤꯗꯥꯛ ꯈꯅꯕꯥ ꯌꯥꯏ꯫
ꯍꯤꯗꯥꯛ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯂꯧꯒꯅꯤ? ꯑꯩꯅꯥ ꯃꯇꯝ ꯀꯌꯥ ꯂꯧꯒꯗꯒꯦ?
ꯀꯣꯛꯁ-꯲ ꯏꯅꯍꯤꯕꯤꯇꯔꯁꯤꯡ ꯑꯁꯤ ꯃꯍꯧꯁꯥꯅꯥ ꯍꯤꯗꯥꯛ ꯂꯥꯡꯊꯛꯀꯤ ꯃꯑꯣꯡꯗꯥ ꯂꯥꯀꯏ, ꯑꯗꯨꯕꯨ ꯃꯈꯣꯌ ꯑꯁꯤ ꯑꯣꯔꯦꯜ ꯁꯣꯜꯌꯨꯁꯟ ꯑꯃꯥ ꯑꯣꯏꯅꯥꯁꯨ ꯐꯪꯂꯕꯥ ꯌꯥꯏ꯫
ꯍꯤꯗꯥꯛ ꯑꯁꯤ ꯂꯧꯔꯕꯥ ꯃꯇꯨꯡ ꯄꯨꯡ ꯑꯃꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯅꯥꯕꯥ ꯑꯗꯨ ꯍꯟꯊꯕꯥ ꯍꯧꯏ꯫ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯃꯄꯨꯡꯐꯥꯕꯥ ꯑꯦꯟꯇꯤ-ꯏꯅꯐ꯭ꯂꯦꯃꯦꯇꯔꯤ ꯀꯥꯟꯅꯕꯁꯤꯡ, ꯍꯥꯌꯕꯗꯤ ꯁꯣꯛ-ꯄꯅꯕꯥ ꯍꯟꯊꯍꯅꯕꯅꯆꯤꯡꯕꯥ ꯊꯦꯡꯅꯕꯗꯥ ꯅꯨꯃꯤꯠ ꯈꯔꯅꯤ ꯆꯪꯂꯝꯕꯥ ꯌꯥꯏ꯫
ꯍꯤꯗꯥꯛ ꯑꯁꯤ ꯀꯌꯥꯝ ꯁꯥꯡꯅꯥ ꯂꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯒꯦ ꯍꯥꯌꯕꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯃꯦꯗꯤꯀꯦꯜ ꯀꯟꯗꯤꯁꯅꯒꯤ ꯃꯈꯥ ꯄꯣꯜꯂꯤ꯫
- ꯑꯇꯦꯅꯕꯥ ꯃꯇꯃꯒꯤ ꯑꯣꯏꯕꯥ ꯑꯅꯥꯕꯒꯤꯗꯃꯛ (ꯅꯨꯃꯤꯠ ꯈꯔꯅꯤ ꯅꯠꯠꯔꯒꯥ ꯅꯨꯃꯤꯠ ꯑꯅꯤꯅꯤ): ꯃꯇꯝ ꯄꯨꯝꯅꯃꯛꯇꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯅꯦꯝꯕꯥ ꯏꯐꯦꯛꯇꯤꯚ ꯑꯣꯏꯕꯥ ꯗꯣꯖ ꯑꯗꯨ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯊꯨꯅꯥ ꯂꯧꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯔꯦꯀꯃꯦꯟꯗ ꯇꯧꯏ .
- ꯑꯔꯊ꯭ꯔꯥꯏꯇꯤꯁꯒꯨꯝꯕꯥ ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯆꯠꯀꯗꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯒꯤꯗꯃꯛ: ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯃꯄꯨꯡꯐꯥꯕꯥ ꯍꯀꯁꯦꯂꯒꯤ ꯍꯤꯁ꯭ꯇꯔꯤ, ꯅꯍꯥꯛꯅꯥ ꯂꯧꯔꯤꯕꯥ ꯑꯇꯩ ꯍꯤꯗꯥꯀꯁꯤꯡ, ꯑꯃꯁꯨꯡ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯊꯧ ꯇꯥꯔꯕꯗꯤ ꯕ꯭ꯂꯗ ꯇꯦꯁ꯭ꯇꯀꯤ ꯔꯤꯖꯜꯇꯁꯤꯡ ꯐꯥꯎꯕꯥ ꯌꯦꯡꯁꯤꯅꯒꯅꯤ, ꯃꯗꯨꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯍꯤꯗꯥꯛ ꯑꯁꯤ ꯃꯈꯥ ꯇꯥꯅꯥ ꯂꯧꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯁꯥꯐꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯈꯪꯗꯣꯛꯀꯅꯤ꯫
ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯋꯥꯐꯃꯗꯤ ꯃꯇꯝ ꯄꯨꯝꯅꯃꯛꯇꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯄꯤꯕꯥ ꯗꯣꯖ ꯑꯗꯨ, ꯄꯤꯔꯤꯕꯥ ꯃꯇꯨꯡꯏꯟꯅꯥ, ꯑꯃꯁꯨꯡ ꯄꯤꯔꯤꯕꯥ ꯃꯇꯝ ꯑꯗꯨꯒꯤ ꯑꯣꯏꯅꯥ ꯂꯧꯕꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯋꯥꯈꯜ ꯆꯔꯥꯡꯅꯕꯥ ꯑꯃꯥ ꯂꯩꯔꯕꯗꯤ, ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛ ꯑꯗꯨ ꯊꯤꯡꯗ꯭ꯔꯤꯉꯩ ꯅꯠꯠꯔꯒꯥ ꯗꯣꯖ ꯑꯗꯨ ꯍꯣꯡꯗꯣꯛ-ꯍꯣꯡꯖꯤꯟ ꯇꯧꯗ꯭ꯔꯤꯉꯩꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯁꯣꯌꯗꯅꯥ ꯋꯥꯔꯤ ꯁꯥꯕꯤꯌꯨ꯫
ꯀꯣꯛꯁ-꯲ ꯏꯅꯍꯤꯕꯤꯇꯔꯁꯤꯡꯒꯤ ꯔꯤꯁ꯭ꯛ ꯑꯃꯁꯨꯡ ꯁꯥꯏꯗ ꯏꯐꯦꯛꯇꯁꯤꯡ ꯀꯔꯤꯅꯣ?
ꯑꯩꯈꯣꯌꯅꯥ ꯃꯃꯥꯡꯗꯥ ꯈꯟꯅꯈꯤꯕꯒꯨꯝꯅꯥ, ꯗ꯭ꯔꯒꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯀꯥꯟꯅꯕꯗꯤ ꯃꯈꯣꯌꯅꯥ ꯁ꯭ꯇꯣꯃꯥꯛ ꯑꯃꯁꯨꯡ ꯏꯟꯇꯦꯁ꯭ꯇꯥꯏꯅꯗꯥ ꯏꯝꯄꯦꯛꯇ ꯍꯟꯊꯍꯅꯕꯅꯤ꯫ ꯑꯗꯨꯕꯨ ꯃꯈꯣꯌꯅꯥ ꯔꯤꯁ꯭ꯛ ꯂꯩꯇꯕꯥ ꯍꯥꯌꯕꯗꯨꯗꯤ ꯅꯠꯇꯦ꯫ ꯃꯔꯨꯑꯣꯏꯅꯥ ꯑꯋꯥꯡꯕꯥ ꯗꯣꯖꯁꯤꯡꯗꯥ ꯑꯃꯁꯨꯡ ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯂꯧꯕꯥ ꯃꯇꯃꯗꯥ ꯁꯥꯏꯗ ꯏꯐꯦꯛꯇ ꯈꯔꯗꯤ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫
ꯃꯔꯨꯑꯣꯏꯕꯥ ꯔꯤꯁ꯭ꯛ ꯑꯅꯤ ꯑꯁꯤ: ꯱.
1. ꯍꯥꯔꯠ ꯑꯦꯇꯦꯛ ꯑꯃꯁꯨꯡ ꯁ꯭ꯠꯔꯣꯀꯀꯤ ꯔꯤꯁ꯭ꯛ: COX-2 ꯏꯅꯍꯤꯕꯤꯇꯔ ꯌꯥꯎꯅꯥ NSAID ꯄꯨꯝꯅꯃꯛꯅꯥ ꯍꯥꯔꯠ ꯑꯦꯇꯦꯛ ꯑꯃꯁꯨꯡ ꯁ꯭ꯠꯔꯣꯀꯀꯤ ꯔꯤꯁ꯭ꯛ ꯑꯁꯤ ꯆꯥꯡ ꯈꯔꯗꯥ ꯍꯦꯅꯒꯠꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯒꯤ ꯔꯤꯁ꯭ꯛ ꯑꯁꯤ ꯍꯥꯟꯅꯅꯥ ꯍꯥꯔꯇꯀꯤ ꯂꯥꯌꯅꯥꯒꯤ ꯔꯤꯁ꯭ꯛ ꯐꯦꯛꯇꯔꯁꯤꯡ, ꯍꯥꯌꯕꯗꯤ ꯍꯥꯏ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ ꯑꯃꯁꯨꯡ ꯍꯥꯏ ꯀꯣꯂꯦꯁ꯭ꯇꯦꯔꯣꯜ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯗꯥ ꯍꯦꯟꯅꯥ ꯋꯥꯡꯏ꯫
2. ꯁ꯭ꯇꯣꯃꯥꯛ ꯑꯃꯁꯨꯡ ꯏꯟꯇꯦꯁ꯭ꯇꯥꯏꯅꯒꯤ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯃꯁꯤꯡ: ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯄꯤꯕꯥ NSAIDꯁꯤꯡꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯀꯃꯟ ꯑꯣꯏꯔꯕꯁꯨ, COX-2 ꯏꯅꯍꯤꯕꯤꯇꯔꯁꯤꯡꯅꯥ ꯃꯤꯑꯣꯏ ꯈꯔꯗꯗꯤ ꯁ꯭ꯇꯣꯃꯥꯛ ꯕ꯭ꯂꯤꯗꯤꯡ ꯑꯃꯁꯨꯡ ꯑꯂꯁꯔ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯒꯤ ꯔꯤꯁ꯭ꯛ ꯑꯁꯤ ꯃꯔꯨꯑꯣꯏꯅꯥ ꯑꯍꯜ ꯑꯣꯏꯔꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯁ꯭ꯇꯣꯃꯥꯛ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯁꯟ ꯊꯣꯀꯍꯅꯕꯥ ꯑꯇꯩ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ ꯂꯧꯔꯤꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯗꯥ ꯌꯥꯝꯅꯥ ꯋꯥꯡꯏ꯫
ꯑꯇꯣꯞꯄꯥ ꯑꯣꯏꯊꯣꯀꯄꯥ ꯌꯥꯕꯥ ꯁꯥꯏꯗ ꯏꯐꯦꯛꯇꯁꯤꯡ:
| ꯍꯀꯆꯥꯡꯒꯤ ꯁꯤꯁ꯭ꯇꯦꯝ꯫ | ꯑꯣꯏꯊꯣꯀꯄꯥ ꯌꯥꯕꯥ ꯁꯥꯏꯗ ꯏꯐꯦꯛꯇꯁꯤꯡ꯫ |
|---|---|
| ꯗꯥꯏꯖꯦꯁ꯭ꯇꯤꯚ ꯁꯤꯁ꯭ꯇꯦꯝ꯫ | ꯈꯣꯡ ꯍꯥꯝꯕꯥ, ꯈꯣꯡ ꯍꯥꯝꯕꯥ, ꯋꯥꯈꯜ ꯆꯔꯥꯡꯅꯕꯥ, ꯈꯣꯡ ꯍꯥꯝꯕꯥ, ꯗꯥꯏꯔꯤꯌꯥ, ꯈꯣꯡ ꯍꯥꯝꯕꯥ, ꯑꯃꯁꯨꯡ ꯊꯝꯃꯣꯌ ꯁꯣꯀꯄꯥ꯫ |
| ꯍꯥꯔꯠ ꯑꯃꯁꯨꯡ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯂꯁꯤꯡ꯫ | ꯍꯥꯏ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ (Hypertension), ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯅꯠꯠꯔꯒꯥ ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯍꯥꯔꯠ ꯕꯤꯠ (Palpitations), ꯍꯥꯔꯠ ꯑꯦꯇꯦꯛ ꯅꯠꯠꯔꯒꯥ ꯁ꯭ꯠꯔꯣꯛ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯊꯣꯀꯄꯥ꯫ |
| ꯀꯤꯗꯅꯤꯁꯤꯡ꯫ | ꯀꯤꯗꯅꯤꯒꯤ ꯐꯉ꯭ꯀꯁꯟ ꯍꯟꯊꯔꯀꯄꯥ, ꯍꯀꯆꯥꯡꯗꯥ ꯏꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯁꯣꯜꯇ ꯌꯥꯎꯔꯀꯄꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯈꯣꯡ ꯁꯣꯀꯄꯥ (edema) ꯑꯃꯁꯨꯡ ꯏꯗꯥ ꯄꯣꯇꯥꯁꯤꯌꯃꯒꯤ ꯆꯥꯡ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ꯫ |
| ꯅꯔꯚꯁ ꯁꯤꯁ꯭ꯇꯦꯝ꯫ | ꯃꯀꯣꯛ ꯁꯣꯀꯄꯥ, ꯋꯥꯈꯜ ꯋꯥꯕꯥ꯫ |
ꯂꯤꯁ꯭ꯠ ꯑꯁꯤꯗꯥ ꯌꯥꯎꯔꯤꯕꯥ ꯁꯥꯏꯗ ꯏꯐꯦꯛꯇ ꯄꯨꯝꯅꯃꯛ ꯑꯁꯤ ꯃꯤꯄꯨꯝ ꯈꯨꯗꯤꯡꯃꯛꯅꯥ ꯐꯪꯗꯦ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯍꯦꯛꯇꯕꯨ ꯊꯦꯡꯅꯔꯕꯗꯤ ꯅꯠꯠꯔꯒꯥ ꯑꯆꯝꯕꯥ ꯋꯥꯐꯝ ꯑꯃꯥ ꯎꯔꯕꯗꯤ, ꯈꯨꯗꯛꯇꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯈꯪꯍꯜꯂꯨ꯫
ꯍꯤꯗꯥꯛ ꯑꯁꯤ ꯀꯅꯥꯅꯥ ꯂꯧꯔꯣꯏꯗꯒꯦ?
ꯑꯀꯛꯅꯕꯥ ꯃꯦꯗꯤꯀꯦꯜ ꯀꯟꯗꯤꯁꯟ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏ ꯈꯔꯗꯤ ꯁꯤ.ꯑꯣ.ꯑꯦꯛꯁ.-꯲ ꯏꯅꯍꯤꯕꯤꯇꯔꯁꯤꯡꯒꯤꯗꯃꯛꯇꯥ ꯆꯨꯃꯗꯦ꯫ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯛꯀꯤꯗꯃꯛꯇꯥ ꯍꯤꯗꯥꯛ ꯂꯥꯡꯊꯛ ꯄꯤꯗ꯭ꯔꯤꯉꯩꯗꯥ ꯍꯥꯌꯔꯤꯕꯥ ꯄꯨꯝꯅꯃꯛ ꯑꯁꯤ ꯈꯟꯅꯒꯅꯤ꯫
ꯁꯤ.ꯑꯣ.ꯑꯦꯛꯁ.-꯲ ꯏꯅꯍꯤꯕꯤꯇꯔꯁꯤꯡ ꯂꯧꯔꯣꯏꯗꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡ:
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯃꯥꯡꯗꯥ ꯁ꯭ꯠꯔꯣꯛ ꯑꯃꯥ ꯂꯩꯔꯕꯗꯤ꯫
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯀꯣꯔꯣꯅꯥꯒꯤ ꯑꯥꯔꯇꯦꯔꯤ ꯕꯥꯏꯄꯥꯁ ꯁꯔꯖꯔꯤꯒꯤꯗꯃꯛ ꯁꯦꯝ-ꯁꯥꯔꯤꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯍꯟꯗꯛꯇꯥ ꯇꯧꯈ꯭ꯔꯕꯗꯤ꯫
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯀꯤꯗꯅꯤꯒꯤ ꯂꯥꯌꯅꯥ ꯅꯠꯠꯔꯒꯥ ꯂꯤꯚꯔ ꯐꯦꯜ ꯑꯣꯏꯔꯕꯗꯤ꯫
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯦꯁ꯭ꯄꯤꯔꯤꯟ ꯅꯠꯠꯔꯒꯥ ꯑꯇꯣꯞꯄꯥ NSAID ꯑꯃꯥ ꯂꯧꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯑꯦꯖꯃꯥ ꯑꯦꯇꯦꯛ ꯑꯃꯥ ꯅꯠꯠꯔꯒꯥ ꯁꯥꯊꯤꯕꯥ ꯑꯦꯂꯥꯔꯖꯤꯒꯤ ꯔꯤꯑꯦꯛꯁꯟ ꯑꯃꯥ ꯂꯩꯔꯕꯗꯤ꯫
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯁꯂꯐꯣꯅꯥꯃꯥꯏꯗ ꯑꯦꯟꯇꯤꯕꯥꯏꯑꯣꯇꯤꯀꯁꯤꯡꯗꯥ ꯑꯦꯂꯥꯔꯖꯤ ꯂꯩꯔꯕꯗꯤ꯫
ꯃꯔꯨꯑꯣꯏꯅꯥ ꯆꯦꯀꯁꯤꯅꯒꯗꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡ:
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯍꯥꯟꯅꯅꯥ ꯁ꯭ꯇꯣꯃꯥꯛ ꯑꯂꯁꯔ ꯅꯠꯠꯔꯒꯥ ꯏ ꯊꯣꯀꯄꯥ ꯂꯩꯔꯕꯗꯤ꯫
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯤꯔꯣꯜꯂꯤꯉꯩꯒꯤ ꯑꯔꯣꯏꯕꯥ ꯊꯥ 3ꯗꯥ ꯂꯩꯔꯕꯗꯤ꯫
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯈꯣꯝꯂꯥꯡ ꯄꯤꯊꯀꯄꯥ ꯃꯃꯥ ꯑꯃꯥ ꯑꯣꯏꯔꯕꯗꯤ꯫
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯍꯦꯛꯇꯥ ꯂꯩꯔꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯁꯣꯌꯗꯅꯥ ꯈꯪꯍꯅꯒꯗꯕꯅꯤ꯫
ꯈꯨꯗꯛꯇꯥ ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯃꯇꯦꯡ ꯃꯊꯧ ꯇꯥꯕꯥ ꯆꯦꯀꯁꯤꯅꯋꯥ ꯈꯨꯗꯃꯁꯤꯡ!
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ COX-2 ꯏꯅꯍꯤꯕꯤꯇꯔꯁꯤꯡ ꯂꯧꯔꯤꯉꯩꯗꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯍꯦꯛꯇꯕꯨ ꯂꯥꯀꯄꯥ ꯇꯥꯔꯕꯗꯤ, ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛ ꯑꯗꯨ ꯊꯤꯡꯖꯤꯜꯂꯨ ꯑꯃꯁꯨꯡ ꯈꯨꯗꯛꯇꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯇꯥꯟꯅꯧ ꯅꯠꯠꯔꯒꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯅꯀꯄꯥ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯜ ꯏꯃꯔꯖꯦꯟꯁꯤ ꯗꯤꯄꯥꯔꯇꯃꯦꯟꯇ (ETU)ꯗꯥ ꯆꯠꯂꯨ꯫
- ꯂꯤꯚꯔꯒꯤ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯃꯁꯤꯡꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ: ꯌꯨꯔꯤꯟ ꯑꯃꯝꯕꯥ, ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯅꯥ ꯁꯣꯀꯄꯥ, ꯈꯣꯡ ꯅꯠꯠꯔꯒꯥ ꯃꯤꯠꯁꯤꯡ ꯑꯗꯨ ꯌꯦꯔꯨꯝ ꯀꯣꯀꯄꯥ, ꯃꯆꯨ ꯃꯔꯥꯡ ꯀꯥꯌꯅꯥ ꯁꯣꯀꯄꯥ, ꯈꯣꯡ ꯍꯥꯝꯕꯥ꯫
- ꯏ ꯊꯣꯀꯄꯒꯤ ꯈꯨꯗꯃꯁꯤꯡ: ꯏ ꯊꯣꯀꯄꯥ, ꯀꯣꯐꯤ ꯒ꯭ꯔꯥꯎꯟꯗꯒꯨꯝꯕꯥ ꯎꯅꯁꯥ, ꯁ꯭ꯇꯣꯜ ꯅꯠꯠꯔꯒꯥ ꯕ꯭ꯂꯦꯛ ꯇꯦꯔꯤ ꯁ꯭ꯇꯣꯂꯁꯤꯡꯗꯥ ꯏ, ꯌꯨꯔꯤꯅꯗꯥ ꯏ, ꯈꯣꯡꯗꯥ ꯏ ꯊꯣꯀꯄꯥ, ꯑꯃꯁꯨꯡ ꯐꯖꯅꯥ ꯁꯣꯀꯄꯥ꯫
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ꯇꯦꯛ-ꯍꯣꯝ ꯃꯦꯁꯦꯖ ꯇꯧꯕꯥ꯫
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