"ꯗꯣꯛꯇꯔ, ꯑꯩꯍꯥꯛ ꯆꯍꯤ ꯱꯵ ꯔꯣꯝ ꯗꯥꯏꯕꯦꯇꯤꯁ ꯂꯩꯔꯦ꯫ ꯍꯟꯗꯛꯀꯤ ꯃꯇꯝ ꯑꯁꯤꯗꯥ ꯑꯩꯍꯥꯛꯀꯤ ꯈꯣꯡ ꯑꯃꯁꯨꯡ ꯈꯣꯡꯗꯥ ꯁꯣꯀꯄꯥ ꯍꯧꯔꯦ꯫ ꯂꯦꯕꯀꯤ ꯔꯤꯄꯣꯔꯠ ꯑꯗꯨꯗꯥ ꯑꯩꯍꯥꯛꯀꯤ ꯏ.ꯖꯤ.ꯑꯦꯐ.ꯑꯥꯔ.ꯅꯥ ꯴꯵ ꯑꯣꯏꯔꯦ ꯍꯥꯌꯅꯥ ꯍꯥꯌꯔꯤ꯫ ꯑꯩꯍꯥꯛꯀꯤ ꯀꯤꯗꯅꯤꯁꯤꯡ ꯁꯣꯀꯄꯥ ꯌꯥꯏ ꯗꯣꯛꯇꯔ? ꯑꯩꯍꯥꯛꯅꯥ ꯗꯥꯏꯑꯦꯂꯥꯏꯁꯤꯁ ꯇꯧꯕꯥ ꯇꯥꯕꯔꯥ?" ꯆꯍꯤ ꯵꯸ ꯁꯨꯔꯕꯤ ꯖꯌꯁꯦꯅꯥ ꯌꯥꯝꯅꯥ ꯋꯥꯅꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯀ꯭ꯂꯤꯅꯤꯀꯇꯥ ꯂꯥꯀꯈꯤ꯫
ꯁ꯭ꯔꯤ ꯖꯌꯁꯦꯅꯥ ꯗꯥꯏꯕꯦꯇꯤꯁꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯥ ꯑꯣꯏꯔꯤꯕꯥ ꯗꯥꯏꯕꯦꯇꯤꯛ ꯅꯦꯐ꯭ꯔꯣꯄꯦꯊꯤꯒꯤ ꯁ꯭ꯇꯦꯖ ꯳ꯅꯥ ꯅꯥꯔꯤ꯫ ꯗꯥꯏꯑꯦꯕꯦꯇꯤꯖꯒꯤ ꯆꯍꯤ 10-15ꯒꯤ ꯃꯇꯨꯡꯗꯥ, ꯕ꯭ꯂꯗ ꯁꯨꯒꯔ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯗꯕꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯀꯤꯗꯅꯤꯒꯤ ꯐꯤꯜꯇꯔ ꯁꯤꯁ꯭ꯇꯦꯃꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯏ꯫
ꯑꯗꯨꯕꯨ ꯑꯀꯤꯕꯥ ꯄꯣꯀꯍꯅꯕꯒꯤ ꯃꯊꯧ ꯇꯥꯗꯦ꯫ ꯁ꯭ꯇꯦꯖ 3ꯗꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯈꯪꯗꯣꯛꯇꯨꯅꯥ, ꯃꯇꯤꯛ ꯆꯥꯕꯥ ꯃꯦꯗꯤꯀꯦꯜ ꯑꯦꯗꯚꯥꯏꯖꯔꯤ ꯑꯃꯁꯨꯡ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡꯅꯥ ꯃꯈꯥ ꯇꯥꯅꯥ ꯀꯤꯗꯅꯤ ꯐꯦꯜ ꯑꯣꯏꯕꯥ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯥ ꯉꯝꯃꯤ ꯑꯃꯁꯨꯡ ꯗꯥꯏꯑꯦꯂꯥꯏꯁꯤꯁꯀꯤ ꯃꯊꯧ ꯇꯥꯕꯥ ꯑꯗꯨ ꯊꯤꯡꯕꯥ ꯉꯝꯃꯤ꯫ ꯃꯐꯃꯁꯤꯗꯥ ꯗꯥꯏꯑꯦꯕꯦꯇꯤꯖ ꯅꯦꯐ꯭ꯔꯣꯄꯦꯊꯤ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯀꯤꯗꯅꯤꯁꯤꯡꯕꯨ ꯀꯔꯝꯅꯥ ꯉꯥꯀꯊꯣꯛꯀꯗꯒꯦ ꯍꯥꯌꯕꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯃꯦꯗꯤꯀꯦꯜ ꯏꯅꯐꯣꯔꯃꯦꯁꯟ ꯄꯤꯔꯤ꯫
ꯗꯥꯏꯑꯦꯕꯦꯇꯤꯖ ꯀꯤꯗꯅꯤꯒꯤ ꯂꯥꯌꯅꯥ ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ?
ꯗꯥꯏꯑꯦꯕꯦꯇꯤꯖ ꯅꯦꯐ꯭ꯔꯣꯄꯦꯊꯤ ꯍꯥꯌꯕꯁꯤ ꯃꯇꯃꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ ꯕ꯭ꯂꯗ ꯁꯨꯒꯔ (ꯒ꯭ꯂꯨꯀꯣꯖ)ꯒꯤ ꯆꯥꯡ ꯋꯥꯡꯕꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯀꯤꯗꯅꯤꯁꯤꯡꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯍꯥꯌꯕꯁꯤꯅꯤ꯫ ꯃꯁꯤ ꯇꯥꯏꯞ 1 ꯑꯃꯁꯨꯡ ꯇꯥꯏꯞ 2 ꯗꯥꯏꯑꯦꯕꯦꯇꯤꯖ ꯑꯅꯤꯃꯛꯀꯤ ꯔꯤꯁ꯭ꯛ ꯐꯦꯛꯇꯔ ꯑꯃꯅꯤ꯫
ꯑꯩꯈꯣꯌꯒꯤ ꯀꯤꯗꯅꯤꯁꯤꯡꯅꯥ ꯏꯗꯒꯤ ꯑꯃꯣꯠꯄꯥ ꯄꯣꯠꯂꯃꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯑꯍꯦꯅꯕꯥ ꯏꯁꯤꯡ ꯐꯤꯜꯇꯔ ꯇꯧꯗꯨꯅꯥ ꯌꯨꯔꯤꯅꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯊꯥꯗꯣꯀꯏ꯫ ꯃꯁꯤꯒꯤ ꯃꯊꯛꯇꯥ, ꯀꯤꯗꯅꯤꯅꯥ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯕꯥ, ꯔꯦꯗ ꯕ꯭ꯂꯗ ꯁꯦꯂꯁꯤꯡ ꯄꯨꯊꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯁꯔꯨꯁꯤꯡ ꯃꯄꯥꯉ꯭ꯒꯜ ꯀꯅꯈꯠꯍꯅꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯂꯤꯕꯥ ꯍꯣꯔꯃꯣꯅꯁꯤꯡ ꯄꯨꯊꯣꯀꯏ꯫
ꯃꯇꯃꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ ꯕ꯭ꯂꯗ ꯁꯨꯒꯔꯒꯤ ꯆꯥꯡ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯀꯤꯗꯅꯤꯁꯤꯡꯗꯥ ꯂꯩꯕꯥ ꯌꯥꯝꯅꯥ ꯐꯖꯕꯥ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯂꯁꯤꯡ (glomeruli) ꯑꯁꯤ ꯁꯣꯀꯍꯜꯂꯤ꯫ ꯃꯁꯤꯒꯤ ꯃꯍꯩ ꯑꯣꯏꯅꯥ ꯀꯤꯗꯅꯤꯁꯤꯡꯅꯥ ꯏ ꯐꯤꯜꯇꯔ ꯇꯧꯕꯒꯤ ꯇꯧꯕꯥ ꯉꯝꯕꯗꯨ ꯃꯥꯡꯈꯤ, ꯃꯗꯨꯅꯥ ꯀꯤꯗꯅꯤ ꯐꯦꯜ ꯑꯣꯏꯔꯀꯄꯥ ꯌꯥꯏ꯫ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯀꯦꯁ ꯑꯃꯗꯥ, ꯑꯅꯥꯕꯥ ꯑꯗꯨꯒꯤ ꯄꯨꯟꯁꯤ ꯀꯅꯕꯥ ꯉꯝꯅꯕꯥ ꯗꯥꯏꯑꯦꯂꯥꯏꯁꯤꯁ ꯂꯥꯌꯦꯡꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯀꯤꯗꯅꯤ ꯇ꯭ꯔꯥꯟꯁꯞꯂꯥꯟꯇ ꯇꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯏ꯫
ꯀꯤꯗꯅꯤꯒꯤ ꯂꯥꯌꯅꯥꯒꯤ ꯔꯤꯁ꯭ꯛ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯍꯟꯊꯍꯅꯒꯅꯤ?
ꯗꯥꯏꯑꯦꯕꯦꯇꯤꯖꯒꯤ ꯀꯤꯗꯅꯤꯒꯤ ꯂꯥꯌꯅꯥ ꯑꯁꯤ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯇꯣꯏꯅꯥ ꯈꯪꯗꯣꯛꯂꯕꯗꯤ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯄ꯭ꯔꯣꯒ꯭ꯔꯦꯁ ꯊꯤꯡꯕꯥ ꯌꯥꯏ꯫ ꯅꯍꯥꯛꯀꯤ ꯀꯤꯗꯅꯤꯁꯤꯡ ꯉꯥꯀꯊꯣꯛꯅꯕꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯁ꯭ꯇꯦꯄꯁꯤꯡ ꯑꯁꯤ ꯂꯧꯈꯠꯀꯗꯕꯅꯤ:
- ꯕ꯭ꯂꯗ ꯁꯨꯒꯔ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯥ: ꯕ꯭ꯂꯗ ꯒ꯭ꯂꯨꯀꯣꯖꯒꯤ ꯆꯥꯡ (ꯃꯔꯨꯑꯣꯏꯅꯥ HbA1c ꯚꯦꯜꯌꯨꯁꯤꯡ ꯑꯁꯤ 7%ꯒꯤ ꯃꯈꯥꯗꯥ ꯂꯩꯕꯥ) ꯑꯗꯨ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯔꯤꯀꯃꯦꯟꯗ ꯇꯧꯕꯥ ꯂꯦꯚꯦꯜ ꯑꯗꯨꯗꯥ ꯊꯝꯃꯨ꯫
- ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯥ: ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ ꯑꯁꯤ 130/80 mmHgꯒꯤ ꯃꯈꯥꯗꯥ ꯊꯝꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯀꯤꯗꯅꯤꯁꯤꯡꯕꯨ ꯉꯥꯀꯊꯣꯛꯅꯕꯥ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫
- ꯄꯦꯅꯀꯤꯂꯔꯁꯤꯡ ꯁꯤꯖꯤꯟꯅꯕꯗꯥ ꯂꯤꯃꯤꯠ ꯂꯩꯍꯅꯒꯗꯕꯅꯤ: ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯄꯥꯎꯇꯥꯛ ꯌꯥꯎꯗꯅꯥ ꯐꯥꯔꯃꯥꯁꯤꯁꯤꯡꯗꯒꯤ ꯐꯪꯂꯀꯄꯥ ꯏꯕꯨꯞꯔꯣꯐꯦꯟ, ꯃꯦꯐꯦꯅꯥꯃꯤꯛ ꯑꯦꯁꯤꯗ (ꯄꯣꯟꯁꯇꯥꯟ), ꯑꯃꯁꯨꯡ ꯗꯤꯛꯂꯣꯐꯦꯅꯥꯛ (ꯑꯣꯂꯐꯦꯟ)ꯒꯨꯝꯕꯥ NSAID ꯄꯦꯏꯅꯀꯤꯂꯥꯔꯁꯤꯡ ꯑꯁꯤ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯂꯧꯔꯣꯏꯗꯕꯅꯤ (ꯃꯁꯤꯅꯥ ꯀꯤꯗꯅꯤꯗꯥ ꯍꯀꯊꯦꯡꯅꯅꯥ ꯁꯣꯀꯍꯜꯂꯤ)꯫
- ꯗꯥꯏꯠ: ꯗꯣꯛꯇꯔ ꯅꯠꯠꯔꯒꯥ ꯅ꯭ꯌꯨꯠꯔꯤꯁꯅꯒꯤ ꯃꯤꯑꯣꯏ ꯑꯃꯅꯥ ꯇꯥꯀꯄꯥ ꯃꯇꯨꯡꯏꯟꯅꯥ ꯄ꯭ꯔꯣꯇꯤꯟ, ꯁꯣꯗꯤꯌꯝ (ꯁꯣꯜꯇ) ꯑꯃꯁꯨꯡ ꯄꯣꯇꯥꯁꯤꯌꯝ ꯌꯥꯝꯅꯥ ꯌꯥꯎꯕꯥ ꯗꯥꯏꯠ ꯑꯃꯥ ꯏꯅꯒꯗꯕꯅꯤ꯫
- ꯄꯨꯟꯁꯤ ꯃꯍꯤꯡꯗꯥ ꯑꯍꯣꯡꯕꯥ ꯂꯥꯀꯄꯥ: ꯃꯩꯈꯨ ꯁꯤꯖꯤꯟꯅꯕꯥ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯊꯤꯡꯖꯤꯜꯂꯨ, ꯀꯣꯂꯦꯁ꯭ꯇꯦꯔꯣꯂꯒꯤ ꯆꯥꯡ ꯀꯟꯠꯔꯣꯜ ꯇꯧ ꯑꯃꯁꯨꯡ ꯅꯨꯃꯤꯠ ꯈꯨꯗꯤꯡꯒꯤ ꯑꯀꯅꯕꯥ ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯇꯧ꯫
🚨 ꯀꯤꯗꯅꯤꯒꯤ ꯐꯉ꯭ꯀꯁꯟ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯍꯟꯊꯔꯀꯄꯥ ꯇꯥꯀꯄꯥ ꯔꯦꯗ ꯐ꯭ꯂꯦꯒꯁꯤꯡ꯫
ꯗꯥꯏꯑꯦꯕꯦꯇꯤꯖ ꯂꯩꯕꯥ ꯄꯦꯁꯦꯟꯇ ꯑꯃꯗꯥ ꯀꯤꯗꯅꯤ ꯐꯦꯜ ꯑꯣꯏꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯂꯥꯀꯏ:
- ꯍꯀꯆꯥꯡ ꯁꯣꯛ-ꯄꯅꯕꯥ (Edema): ꯐ꯭ꯂꯨꯏꯗ ꯑꯦꯛꯌꯨꯃꯨꯂꯦꯁꯟ ꯑꯃꯁꯨꯡ ꯁꯣꯀꯄꯥ (swelling) ꯑꯁꯤ ꯈꯣꯡ, ꯈꯣꯡ, ꯈꯨꯠ ꯑꯃꯁꯨꯡ ꯃꯥꯌꯗꯥ ꯎꯕꯥ ꯐꯪꯏ꯫
- ꯌꯨꯔꯤꯅꯗꯥ ꯑꯍꯣꯡꯕꯥ ꯂꯥꯀꯄꯥ: ꯐꯣꯃꯕꯥ ꯌꯨꯔꯤꯟ (ꯌꯨꯔꯤꯅꯗꯥ ꯄ꯭ꯔꯣꯇꯤꯟ ꯌꯥꯝꯅꯥ ꯊꯥꯗꯣꯀꯄꯒꯤ ꯈꯨꯗꯝ ꯑꯃꯥ - ꯄ꯭ꯔꯣꯇꯤꯅꯌꯨꯔꯤꯌꯥ) ꯑꯃꯁꯨꯡ ꯌꯨꯔꯤꯅꯔꯤꯒꯤ ꯆꯥꯡꯗꯥ ꯑꯍꯣꯡꯕꯥ ꯂꯥꯀꯄꯥ꯫
- ꯁꯥꯊꯤꯕꯥ ꯋꯥꯈꯜ ꯆꯔꯥꯡꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯂꯦꯡ-ꯑꯣꯠꯄꯒꯤ ꯃꯑꯣꯡ-ꯃꯇꯧ: ꯀꯤꯗꯅꯤꯁꯤꯡꯅꯥ ꯍꯣꯔꯃꯣꯟ ꯏꯔꯤꯊ꯭ꯔꯣꯄꯣꯏꯇꯤꯟ ꯄꯨꯊꯣꯀꯄꯥ ꯍꯟꯊꯔꯀꯄꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯁꯥꯊꯤꯕꯥ ꯑꯦꯅꯤꯃꯤꯌꯥ꯫
- ꯅꯣꯡꯃꯩ ꯀꯥꯞꯄꯥ ꯑꯃꯁꯨꯡ ꯈꯣꯝꯂꯥꯡ ꯁꯣꯀꯄꯥ: ꯅꯥꯕꯥ, ꯈꯣꯝꯂꯥꯡ ꯁꯣꯀꯄꯥ, ꯑꯃꯁꯨꯡ ꯆꯥꯛ ꯆꯥꯕꯥ ꯋꯥꯠꯄꯥ ꯑꯁꯤ ꯌꯨꯔꯦꯃꯤꯌꯥꯒꯤ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡꯅꯤ, ꯃꯈꯣꯌ ꯑꯁꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯌꯨꯔꯤꯌꯥ ꯑꯃꯁꯨꯡ ꯀ꯭ꯔꯤꯌꯦꯇꯤꯅꯤꯅꯒꯨꯝꯕꯥ ꯑꯃꯣꯠꯄꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ ꯊꯃꯖꯤꯅꯕꯗꯒꯤ ꯊꯣꯀꯏ꯫
- ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ: ꯂꯪꯁꯇꯥ ꯐ꯭ꯂꯨꯏꯗ ꯑꯦꯛꯌꯨꯃꯨꯂꯦꯁꯟ (pulmonary edema) ꯅꯠꯠꯔꯒꯥ ꯏꯗꯥ ꯑꯦꯁꯤꯗꯤꯇꯤ ꯍꯦꯅꯒꯠꯂꯀꯄꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ꯫
🛠️ ꯑꯦꯛꯁꯟ ꯅꯍꯥꯛꯀꯤ ꯀꯤꯗꯅꯤ ꯉꯥꯀꯊꯣꯛꯅꯕꯥ ꯂꯧꯈꯠꯀꯗꯕꯥ ꯈꯣꯡꯊꯥꯡꯁꯤꯡ꯫
- ꯁ꯭ꯇꯦꯞ 1: ꯗꯥꯏꯑꯦꯕꯦꯇꯤꯖ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏ ꯈꯨꯗꯤꯡꯃꯛ ꯆꯍꯤ ꯑꯃꯗꯥ ꯌꯥꯃꯗ꯭ꯔꯕꯗꯥ ꯑꯃꯨꯀꯈꯛꯇꯪ ꯀꯤꯗꯅꯤ ꯇꯦꯁ꯭ꯠ (ꯌꯨꯔꯤꯟ ꯑꯃꯁꯨꯡ ꯕ꯭ꯂꯗ ꯇꯦꯁ꯭ꯠ) ꯇꯧꯒꯗꯕꯅꯤ꯫
- ꯁꯕ-ꯑꯦꯛꯁꯟ/ ꯁ꯭ꯇꯦꯞ 2: ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯅꯕꯥ (ꯍꯤꯗꯥꯀꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯗꯨꯅꯥ ꯃꯈꯥ ꯇꯥꯅꯥ ꯀꯤꯗꯅꯤꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯟꯗꯅꯕꯥ) ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯄꯤꯕꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡꯒꯤ ꯑꯈꯟꯅꯕꯥ ꯀ꯭ꯂꯥꯁꯁꯤꯡ, ꯍꯥꯌꯕꯗꯤ ACE ꯏꯅꯍꯤꯕꯤꯇꯔꯁꯤꯡ (ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯑꯦꯅꯥꯂꯥꯞꯔꯤꯜ) ꯅꯠꯠꯔꯒꯥ ARBꯁꯤꯡ (ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯂꯣꯁꯥꯔꯇꯥꯟ) ꯑꯁꯤ ꯂꯧ꯫
- ꯈꯣꯡꯊꯥꯡ ꯑꯍꯨꯝ: ꯅꯍꯥꯛꯀꯤ ꯏ.ꯖꯤ.ꯑꯦꯐ.ꯑꯥꯔ.
- ꯁ꯭ꯇꯦꯞ ꯃꯔꯤ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯗꯥꯏꯑꯦꯕꯦꯇꯤꯖ ꯀꯤꯗꯅꯤ ꯗꯤꯖꯤꯖꯒꯤ ꯁ꯭ꯇꯦꯖ 3 ꯅꯠꯠꯔꯒꯥ 4ꯗꯥ ꯂꯩꯔꯕꯗꯤ, ꯀ꯭ꯂꯤꯅꯤꯀꯦꯜ ꯑꯦꯗꯚꯥꯏꯖꯔꯤꯒꯤꯗꯃꯛꯇꯥ ꯅꯦꯐ꯭ꯔꯣꯂꯣꯖꯤꯁ꯭ꯠ ꯑꯃꯒꯥ ꯇꯥꯟꯅꯧ꯫
- ꯈꯣꯡꯊꯥꯡ ꯃꯉꯥ: ꯍꯀꯆꯥꯡꯒꯤ ꯑꯔꯨꯝꯕꯥ ꯃꯇꯤꯛ ꯆꯥꯅꯥ ꯊꯝꯃꯨ ꯑꯃꯁꯨꯡ ꯃꯆꯤ ꯑꯣꯏꯕꯥ, ꯂꯣꯏꯕꯥ ꯅꯥꯏꯗꯕꯥ ꯑꯃꯁꯨꯡ ꯐꯦꯠ ꯌꯥꯎꯕꯥ ꯆꯤꯟꯖꯥꯀꯁꯤꯡ ꯆꯥꯕꯥ ꯍꯟꯊꯍꯅꯒꯗꯕꯅꯤ꯫
📊 ꯗꯥꯏꯕꯦꯇꯤꯛ ꯀꯤꯗꯅꯤ ꯂꯥꯌꯅꯥꯒꯤ ꯁ꯭ꯇꯦꯖ ꯃꯉꯥ (eGFR Stages)
| ꯐꯝꯄꯥꯛ | ꯏ.ꯖꯤ.ꯑꯦꯐ.ꯑꯥꯔ.ꯒꯤ ꯚꯦꯜꯌꯨ (mL/min/1.73m2) | ꯀꯤꯗꯅꯤꯒꯤ ꯐꯉ꯭ꯀꯁꯟ ꯑꯃꯁꯨꯡ ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯄꯥꯎꯇꯥꯛ ꯄꯤꯕꯥ꯫ |
|---|---|---|
| ꯁ꯭ꯇꯦꯖ ꯱ | ꯹꯰ ꯍꯦꯟꯅꯥ ꯂꯩꯔꯤ꯫ | ꯀꯤꯗꯅꯤꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯄꯥ ꯂꯩ ꯑꯗꯨꯕꯨ ꯐꯉ꯭ꯀꯁꯟ ꯑꯁꯤ ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏ꯫ ꯆꯤꯅꯤ ꯑꯃꯁꯨꯡ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯥ꯫ |
| ꯁ꯭ꯇꯦꯖ ꯲ | ꯶꯰ - ꯸꯹ ꯐꯥꯑꯣꯕꯥ ꯂꯩ꯫ | ꯀꯤꯗꯅꯤꯒꯤ ꯐꯉ꯭ꯀꯁꯟ ꯈꯔꯥ ꯍꯟꯊꯕꯥ꯫ ꯆꯍꯤ ꯈꯨꯗꯤꯡꯒꯤ ꯇꯦꯁ꯭ꯠ ꯇꯧꯕꯥ꯫ |
| ꯁ꯭ꯇꯦꯖ ꯳ | ꯳꯰ - ꯵꯹ ꯐꯥꯑꯣꯕꯥ ꯂꯩ꯫ | ꯀꯤꯗꯅꯤꯒꯤ ꯐꯉ꯭ꯀꯁꯟ ꯃꯌꯥꯏ ꯑꯣꯏꯕꯥ ꯍꯟꯊꯕꯥ꯫ (ꯁ꯭ꯔꯤ ꯖꯌꯁꯦꯅꯥ ꯃꯐꯝ ꯑꯁꯤꯗꯥ ꯂꯩꯔꯤ)꯫ ꯁ꯭ꯄꯦꯁꯤꯑꯦꯂꯤꯁ꯭ꯠ ꯑꯃꯒꯥ ꯇꯥꯟꯅꯧ꯫ |
| ꯁ꯭ꯇꯦꯖ ꯴ | ꯱꯵ - ꯲꯹ ꯐꯥꯑꯣꯕꯥ ꯂꯩ꯫ | ꯀꯤꯗꯅꯤꯒꯤ ꯐꯉ꯭ꯀꯁꯟ ꯌꯥꯝꯅꯥ ꯍꯟꯊꯕꯥ꯫ ꯗꯥꯏꯑꯦꯂꯥꯏꯁꯤꯁ ꯅꯠꯠꯔꯒꯥ ꯇ꯭ꯔꯥꯟꯁꯞꯂꯥꯟꯇ ꯇꯧꯅꯕꯥ ꯁꯦꯝ-ꯁꯥꯕꯥ꯫ |
| ꯁ꯭ꯇꯦꯖ ꯵ꯗꯥ ꯂꯩ꯫ | ꯱꯵ꯗꯒꯤ ꯇꯥꯅꯥ ꯂꯩ꯫ | ꯑꯦꯟꯗ-ꯁ꯭ꯇꯦꯖ ꯔꯦꯅꯥꯜ ꯗꯤꯖꯤꯖ (ESRD) ꯑꯁꯤ ꯍꯤꯡꯅꯕꯒꯤꯗꯃꯛ ꯗꯥꯏꯑꯦꯂꯥꯏꯁꯤꯁ ꯅꯠꯠꯔꯒꯥ ꯇ꯭ꯔꯥꯟꯁꯞꯂꯥꯟꯇ ꯇꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯏ꯫ |
❓ ꯑꯗꯣꯃꯗꯥ ꯍꯪꯂꯀꯄꯥ ꯌꯥꯕꯥ ꯑꯇꯣꯞꯄꯥ ꯋꯥꯍꯪ ꯈꯔꯥ (FAQ)
ꯏ.ꯖꯤ.ꯑꯦꯐ.ꯑꯥꯔ.ꯅꯥ ꯀꯔꯤꯅꯣ? ꯃꯁꯤꯅꯥ ꯀꯤꯗꯅꯤꯒꯤ ꯐꯉ꯭ꯀꯁꯟ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯃꯥꯄꯂꯅꯤ? ▼
ꯏ.ꯖꯤ.ꯑꯦꯐ.ꯑꯥꯔ.(ꯑꯦꯁ꯭ꯇꯤꯃꯦꯇꯦꯗ ꯒ꯭ꯂꯣꯃꯦꯔꯨꯂꯥꯔ ꯐꯤꯜꯠꯔꯦꯁꯟ ꯔꯦꯠ) ꯍꯥꯌꯕꯁꯤ ꯀꯤꯗꯅꯤꯁꯤꯡꯅꯥ ꯑꯃꯣꯠꯄꯥ ꯄꯣꯠꯂꯃꯁꯤꯡ ꯐꯤꯜꯇꯔ ꯇꯧꯕꯒꯤ ꯆꯥꯡꯅꯤ꯫ ꯅꯣꯔꯃꯦꯜ ꯃꯤꯑꯣꯏ ꯑꯃꯒꯤ eGFR ꯑꯁꯤ 90ꯒꯤ ꯃꯊꯛꯇꯥ ꯂꯩ, ꯑꯗꯨꯒꯥ 60ꯒꯤ ꯃꯈꯥꯗꯥ ꯂꯩꯕꯥ ꯚꯦꯜꯌꯨ ꯑꯃꯅꯥ ꯀꯤꯗꯅꯤꯒꯤ ꯂꯥꯌꯅꯥ ꯇꯥꯀꯏ꯫
ꯗꯥꯏꯑꯦꯕꯦꯇꯤꯖ ꯂꯩꯕꯥ ꯄꯦꯁꯦꯟꯇꯁꯤꯡꯅꯥ ꯃꯈꯣꯌꯒꯤ ꯀꯤꯗꯅꯤꯁꯤꯡ ꯑꯗꯨ ꯀꯌꯥꯝ ꯀꯨꯏꯅꯥ ꯆꯦꯛ ꯇꯧꯒꯗꯒꯦ? ▼
ꯗꯥꯏꯑꯦꯕꯦꯇꯤꯖꯅꯥ ꯌꯥꯃꯗ꯭ꯔꯕꯗꯥ ꯆꯍꯤ ꯑꯃꯗꯥ ꯌꯨꯔꯤꯟ ꯃꯥꯏꯛꯔꯣꯑꯦꯂꯕꯨꯃꯤꯟ ꯇꯦꯁ꯭ꯠ ꯑꯃꯁꯨꯡ ꯁꯦꯔꯥꯝ ꯀ꯭ꯔꯤꯌꯦꯇꯤꯅꯤꯟ ꯇꯦꯁ꯭ꯠ ꯇꯧꯒꯗꯕꯅꯤ꯫
ꯗꯥꯏꯑꯦꯕꯦꯇꯤꯖ ꯀꯤꯗꯅꯤꯒꯤ ꯂꯥꯌꯅꯥ ꯑꯁꯤ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯐꯍꯅꯕꯥ ꯉꯃꯒꯗ꯭ꯔꯥ? ▼
ꯀꯤꯗꯅꯤꯁꯤꯡꯗꯥ ꯊꯣꯀꯄꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯑꯗꯨ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯔꯤꯚꯔꯁ ꯇꯧꯕꯥ ꯉꯃꯗ꯭ꯔꯕꯁꯨ, ꯑꯍꯥꯅꯕꯥ ꯁ꯭ꯇꯦꯖ (ꯁ꯭ꯇꯦꯖ 1, 2, ꯑꯃꯁꯨꯡ 3)ꯗꯥ ꯕ꯭ꯂꯗ ꯁꯨꯒꯔ ꯑꯃꯁꯨꯡ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ ꯃꯇꯤꯛ ꯆꯥꯅꯥ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯅꯥ ꯂꯥꯌꯅꯥ ꯑꯁꯤ ꯍꯦꯟꯅꯥ ꯁꯣꯀꯆꯤꯜꯂꯀꯄꯗꯒꯤ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯊꯤꯡꯕꯥ ꯉꯝꯃꯤ꯫
ꯀꯔꯤꯒꯤꯗꯃꯛꯇꯥ NSAID ꯄꯦꯏꯅꯀꯤꯂꯥꯔꯁꯤꯡꯅꯥ ꯀꯤꯗꯅꯤꯁꯤꯡꯗꯥ ꯈꯨꯗꯣꯡꯊꯤꯅꯤꯉꯥꯏ ꯑꯣꯏꯔꯤꯕꯅꯣ? ▼
ꯏꯕꯨꯞꯔꯣꯐꯦꯟ ꯑꯃꯁꯨꯡ ꯗꯤꯛꯂꯣꯐꯦꯅꯦꯀꯒꯨꯝꯕꯥ ꯍꯤꯗꯥꯀꯁꯤꯡꯅꯥ ꯀꯤꯗꯅꯤꯗꯥ ꯏ ꯆꯦꯅꯕꯥ ꯍꯟꯊꯍꯜꯂꯤ꯫ ꯗꯥꯏꯑꯦꯕꯦꯇꯤꯖꯅꯥ ꯍꯥꯟꯅꯅꯥ ꯁꯣꯀꯍꯜꯂꯕꯥ ꯀꯤꯗꯅꯤꯁꯤꯡꯗꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ ꯑꯁꯤ ꯄꯤꯕꯅꯥ ꯃꯈꯣꯌꯕꯨ ꯍꯦꯟꯅꯥ ꯊꯨꯅꯥ ꯁꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫
📖 ꯁꯣꯔꯁꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯁꯥꯏꯟꯇꯤꯐꯤꯛ ꯔꯤꯐꯔꯦꯟꯁꯁꯤꯡ꯫
- ꯗꯥꯏꯑꯦꯕꯦꯇꯤꯖ ꯀꯤꯗꯅꯤ ꯗꯤꯖꯤꯖꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯑꯦꯟ.ꯑꯩꯆ.ꯑꯦꯁ.(ꯌꯨ.ꯀꯦ.)ꯒꯤ ꯒꯥꯏꯗꯂꯥꯏꯅꯁꯤꯡ: ꯑꯦꯟ.ꯑꯩꯆ.ꯑꯦꯁ.ꯀꯤ ꯀ꯭ꯔꯣꯅꯤꯛ ꯀꯤꯗꯅꯤ ꯗꯤꯖꯤꯖ ꯑꯣꯚꯔꯚꯤꯌꯨ (ꯑꯦꯛꯁꯦꯁ ꯇꯧꯈꯤꯕꯥ ꯲꯰꯲꯶)
- ꯑꯦꯟ.ꯁꯤ.ꯕꯤ.ꯑꯥꯏ.ꯒꯤ ꯕꯨꯀꯁꯦꯂꯐ ꯅꯦꯐ꯭ꯔꯣꯂꯣꯖꯤ ꯔꯤꯚꯤꯌꯨ: ꯗꯥꯏꯕꯦꯇꯤꯛ ꯅꯦꯐ꯭ꯔꯣꯄꯦꯊꯤ ꯄꯦꯊꯣꯐꯤꯖꯤꯑꯣꯂꯣꯖꯤ ꯑꯃꯁꯨꯡ ꯃꯦꯅꯦꯖꯃꯦꯟꯇ (ꯁ꯭ꯇꯦꯠꯄꯔꯂꯁ - ꯑꯦꯟ.ꯕꯤ.ꯀꯦ.꯴꯸꯲꯲꯰꯰)
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