ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯀꯤꯗꯅꯤꯁꯤꯡ ꯑꯗꯨ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯊꯕꯛ ꯇꯧꯗ꯭ꯔꯤ ꯍꯥꯌꯅꯥ ꯍꯥꯌꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯑꯃꯁꯨꯡ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯐꯥꯎꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯅꯣꯔꯃꯦꯂꯅꯤ꯫ ꯅꯍꯥꯀꯄꯨ ꯗꯥꯏꯑꯦꯂꯥꯏꯁꯤꯁ ꯇꯧꯒꯗꯕꯅꯤ ꯍꯥꯌꯅꯥ ꯍꯥꯌꯔꯀꯄꯥ ꯌꯥꯏ꯫ ꯋꯥꯍꯩꯁꯤꯡ ꯑꯁꯤ ꯇꯥꯕꯗꯥ ꯃꯤꯑꯣꯏ ꯀꯌꯥ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯍꯧꯔꯀꯏ, ꯑꯃꯁꯨꯡ ꯀꯔꯤ ꯊꯣꯛꯀꯗꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯃꯈꯣꯌꯅꯥ ꯈꯅꯕꯥ ꯉꯃꯗꯦ꯫ ꯑꯗꯨꯕꯨ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯩꯈꯣꯌꯅꯥ ꯂꯥꯌꯦꯡꯕꯒꯤ ꯃꯑꯣꯡ ꯑꯁꯤ ꯃꯇꯤꯛ ꯆꯥꯅꯥ ꯈꯉꯂꯕꯗꯤ, ꯃꯁꯤ ꯑꯗꯣꯃꯒꯤ ꯄꯨꯟꯁꯤ ꯀꯅꯕꯥ ꯉꯝꯕꯥ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯄꯥꯝꯕꯩ ꯑꯃꯅꯤ ꯍꯥꯌꯕꯁꯤ ꯑꯗꯣꯝꯅꯥ ꯈꯉꯕꯤꯒꯅꯤ꯫ ꯑꯗꯨꯅꯥ, ꯉꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯍꯦꯃꯣꯗꯥꯏꯑꯦꯂꯥꯏꯁꯤꯁꯀꯤ ꯃꯇꯥꯡꯗꯥ ꯏꯆꯝ ꯆꯝꯕꯥ ꯋꯥꯍꯟꯊꯣꯛ ꯑꯃꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯒꯅꯤ꯫
ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯍꯦꯃꯣꯗꯥꯏꯑꯦꯂꯥꯏꯁꯤꯁ ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ?
ꯅꯍꯥꯛꯀꯤ ꯀꯤꯗꯅꯤꯁꯤꯡ ꯑꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯁꯨꯄꯔ ꯐꯤꯜꯇꯔ ꯑꯅꯤ ꯑꯣꯏꯅꯥ ꯈꯅꯕꯤꯌꯨ꯫ ꯃꯈꯣꯌꯅꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯏꯗꯒꯤ ꯑꯄꯥꯝꯕꯥ ꯑꯃꯣꯠꯄꯥ, ꯄꯣꯠꯁꯀꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯑꯍꯦꯅꯕꯥ ꯐ꯭ꯂꯨꯏꯗꯁꯤꯡ ꯐꯤꯜꯇꯔ ꯇꯧꯗꯨꯅꯥ ꯌꯨꯔꯤꯟ ꯑꯣꯏꯅꯥ ꯂꯧꯊꯣꯀꯏ꯫ ꯑꯗꯨꯕꯨ ꯀꯤꯗꯅꯤꯒꯤ ꯂꯥꯌꯅꯥꯅꯥ ꯃꯈꯣꯌꯕꯨ ꯊꯕꯛ ꯑꯁꯤ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯄꯥꯡꯊꯣꯀꯄꯥ ꯉꯃꯍꯟꯗꯕꯥ ꯃꯇꯃꯗꯥ, ꯄꯣꯠꯁꯀꯁꯤꯡ ꯑꯗꯨ ꯍꯀꯆꯥꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯊꯨꯒꯥꯌꯕꯥ ꯍꯧꯔꯀꯏ꯫
ꯍꯤꯃꯣꯗꯥꯏꯑꯦꯂꯥꯏꯁꯤꯁ ꯍꯥꯌꯕꯁꯤ ꯅꯥꯏꯠꯔꯣꯖꯦꯅꯒꯤ ꯑꯃꯣꯠꯄꯁꯤꯡ (ꯌꯨꯔꯤꯌꯥ), ꯃꯁꯂꯁꯤꯡꯗꯒꯤ ꯊꯣꯀꯄꯥ ꯑꯃꯣꯠꯄꯁꯤꯡ (ꯀ꯭ꯔꯤꯑꯦꯇꯤꯅꯤꯟ), ꯑꯃꯁꯨꯡ ꯏꯗꯒꯤ ꯑꯦꯁꯤꯗꯁꯤꯡ ꯂꯧꯊꯣꯛꯇꯨꯅꯥ ꯁꯦꯡꯗꯣꯛꯂꯕꯥ ꯏ ꯑꯗꯨ ꯍꯀꯆꯥꯡꯗꯥ ꯍꯜꯂꯀꯄꯥ ꯃꯦꯁꯤꯟ ꯑꯃꯥ ꯁꯤꯖꯤꯟꯅꯗꯨꯅꯥ ꯏ ꯁꯦꯡꯗꯣꯀꯄꯒꯤ ꯊꯧꯑꯣꯡꯅꯤ꯫
ꯃꯁꯤꯒꯤ ꯃꯦꯁꯤꯟ ꯑꯁꯤꯅꯥ ꯃꯇꯧ ꯀꯔꯝꯅꯥ ꯏ ꯁꯦꯡꯗꯣꯀꯄꯒꯦ?
ꯃꯁꯤꯒꯤ ꯍꯦꯃꯣꯗꯥꯏꯑꯦꯂꯥꯏꯁꯤꯁ ꯃꯦꯁꯤꯟ ꯑꯁꯤꯗꯥ ꯑꯈꯟꯅꯕꯥ ꯐꯤꯜꯇꯔ ꯑꯃꯥ ꯂꯩ꯫ ꯃꯁꯤꯕꯨ ‘ꯗꯥꯏꯑꯦꯂꯥꯏꯖꯥꯔ’ ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ ꯃꯤꯑꯣꯏ ꯈꯔꯅꯥ ꯃꯁꯤꯕꯨ ‘ꯑꯥꯔꯇꯤꯐꯤꯁꯤꯑꯦꯜ ꯀꯤꯗꯅꯤ’ ꯍꯥꯌꯅꯥꯁꯨ ꯀꯧꯏ꯫ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡꯗꯒꯤ ꯂꯧꯊꯣꯀꯄꯥ ꯏ ꯑꯗꯨ ‘ꯗꯥꯏꯑꯦꯂꯥꯏꯖꯥꯔ’ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯆꯪꯏ꯫ ꯏ ꯑꯗꯨꯅꯥ ꯃꯅꯨꯡꯗꯥ ꯂꯩꯕꯥ ꯌꯥꯝꯅꯥ ꯐꯖꯕꯥ ꯃꯦꯁꯒꯨꯝꯕꯥ ꯇꯤꯎꯕꯁꯤꯡꯗꯥ ꯆꯦꯟꯊꯔꯀꯄꯒꯥ ꯂꯣꯌꯅꯅꯥ, ꯏꯗꯥ ꯌꯥꯎꯔꯤꯕꯥ ꯑꯃꯣꯠꯄꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯑꯍꯦꯅꯕꯥ ꯏꯁꯤꯡ ꯑꯗꯨ ꯈꯛꯇꯃꯛ ꯐꯤꯜꯇꯔ ꯇꯧꯏ꯫
ꯍꯥꯌꯔꯤꯕꯥ ꯑꯃꯣꯠꯄꯁꯤꯡ ꯑꯁꯤ ‘ꯗꯥꯏꯑꯦꯂꯥꯏꯁꯦꯠ’ ꯀꯧꯕꯥ ꯑꯈꯟꯅꯕꯥ ꯂꯤꯛꯌꯨꯏꯗ ꯑꯃꯗꯥ ꯈꯣꯃꯖꯤꯜꯂꯤ꯫ ꯃꯁꯤ ꯏꯁꯤꯡ, ꯁꯣꯜꯇ ꯑꯃꯁꯨꯡ ꯏꯂꯦꯛꯠꯔꯣꯂꯥꯏꯇꯁꯤꯡꯅꯥ ꯁꯦꯝꯕꯅꯤ꯫ ꯍꯧꯖꯤꯛꯇꯤ ꯑꯃꯣꯠꯄꯥ ꯄꯨꯝꯅꯃꯛ ꯂꯧꯊꯣꯛꯂꯕꯥ ꯁꯦꯡꯂꯕꯥ ꯏ ꯑꯗꯨ ꯃꯦꯁꯤꯟ ꯑꯗꯨꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯊꯥꯔꯀꯏ꯫ ꯑꯃꯣꯠꯄꯥ ꯄꯣꯠꯂꯃꯁꯤꯡ ꯌꯥꯑꯣꯕꯥ ‘ꯗꯥꯏꯑꯦꯂꯥꯏꯁꯦꯠ’ ꯂꯤꯛꯌꯨꯏꯗ ꯑꯁꯤ ꯃꯦꯁꯤꯟꯗꯒꯤ ꯂꯧꯊꯣꯀꯏ꯫ ꯃꯁꯤ ꯆꯥꯒꯤ ꯐꯤꯜꯇꯔ ꯑꯃꯒꯨꯝꯅꯥ ꯈꯅꯕꯤꯌꯨ, ꯃꯁꯤꯅꯥ ꯆꯥꯒꯤ ꯃꯅꯥ-ꯃꯁꯤꯡ ꯑꯗꯨ ꯐꯤꯜꯇꯔ ꯇꯧꯏ ꯑꯃꯁꯨꯡ ꯆꯥ ꯈꯛꯇꯃꯛ ꯀꯞ ꯑꯗꯨꯗꯥ ꯆꯦꯜꯂꯤ꯫
ꯍꯦꯃꯣꯗꯥꯏꯑꯦꯂꯥꯏꯁꯤꯁ ꯄꯥꯡꯊꯣꯛꯅꯕꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯑꯣꯡ ꯑꯅꯤ ꯂꯩ:
ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯗꯨꯅꯥ ꯅꯍꯥꯛꯀꯤꯗꯃꯛꯇꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯥ ꯃꯦꯊꯗ ꯑꯗꯨ ꯂꯦꯄꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫
| ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯃꯑꯣꯡ꯫ | ꯋꯥꯔꯣꯜ |
|---|---|
| ꯍꯣꯁ꯭ꯄꯤꯇꯥꯜ ꯅꯠꯠꯔꯒꯥ ꯁꯦꯟꯇꯔ ꯑꯃꯗꯥ ꯄꯥꯡꯊꯣꯀꯄꯥ ꯍꯦꯃꯣꯗꯥꯏꯑꯦꯂꯥꯏꯁꯤꯁ (ꯏꯟ-ꯁꯦꯟꯇꯔ ꯍꯦꯃꯣꯗꯥꯏꯑꯦꯂꯥꯏꯁꯤꯁ) | ꯃꯁꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯃꯦꯊꯗꯅꯤ꯫ ꯃꯁꯤꯒꯤꯗꯃꯛꯇꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯈꯟꯅꯕꯥ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯜ ꯅꯠꯠꯔꯒꯥ ꯗꯥꯏꯑꯦꯂꯥꯏꯁꯤꯁ ꯁꯦꯟꯇꯔ ꯑꯃꯗꯥ ꯆꯠꯄꯥ ꯃꯊꯧ ꯇꯥꯏ꯫ ꯃꯐꯝ ꯑꯗꯨꯗꯥ ꯇ꯭ꯔꯦꯟ ꯇꯧꯔꯕꯥ ꯅꯔꯁ ꯅꯠꯠꯔꯒꯥ ꯇꯦꯛꯅꯤꯁꯤꯌꯟ ꯑꯃꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯂꯥꯏꯌꯦꯡ ꯑꯁꯤ ꯄꯤꯒꯅꯤ꯫ ꯃꯍꯧꯁꯥꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯅꯨꯃꯤꯠ ꯈꯨꯗꯤꯡꯒꯤ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯅꯨꯃꯤꯠ ꯍꯨꯝꯅꯤ ꯆꯠꯄꯥ ꯃꯊꯧ ꯇꯥꯒꯅꯤ꯫ ꯁꯦꯁꯟ ꯈꯨꯗꯤꯡꯃꯛ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯄꯨꯡ ꯳-꯴ ꯆꯪꯒꯅꯤ꯫ |
| ꯍꯣꯝ ꯍꯦꯃꯣꯗꯥꯏꯑꯦꯂꯥꯏꯁꯤꯁ ꯇꯧꯕꯥ꯫ | ꯃꯁꯤꯒꯤ ꯀꯦꯁ ꯑꯁꯤꯗꯥ, ꯅꯍꯥꯛꯅꯥ ꯂꯥꯏꯌꯦꯡ ꯑꯁꯤ ꯌꯨꯃꯗꯥ ꯄꯥꯡꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯕꯨ ꯃꯗꯨꯒꯤ ꯅꯨꯃꯤꯠ ꯈꯔꯅꯤꯒꯤ ꯃꯃꯥꯡꯗꯥ ꯅꯠꯠꯔꯒꯥ ꯊꯥ ꯈꯔꯅꯤꯒꯤ ꯃꯃꯥꯡꯗꯥ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯜ ꯑꯗꯨꯅꯥ ꯃꯇꯧ ꯀꯔꯝꯅꯥ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯇꯧꯒꯗꯒꯦ ꯑꯃꯁꯨꯡ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯋꯥꯕꯥ ꯑꯃꯥ ꯂꯩꯔꯕꯗꯤ ꯀꯔꯤ ꯇꯧꯒꯗꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯇꯥꯀꯄꯤꯒꯅꯤ꯫ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯁꯥꯒꯤ ꯈꯨꯗꯣꯡꯆꯥꯗꯕꯥ ꯃꯇꯃꯗꯥ ꯃꯁꯥꯅꯥ ꯇꯧꯕꯥ ꯌꯥꯏ꯫ |
ꯍꯣꯝ ꯍꯦꯃꯣꯗꯥꯏꯑꯦꯂꯥꯏꯁꯤꯁꯀꯤ ꯃꯈꯂꯁꯤꯡꯁꯨ ꯂꯩ꯫
- ꯀꯟꯚꯦꯟꯁꯅꯦꯜ ꯍꯣꯝ ꯍꯦꯃꯣꯗꯥꯏꯑꯦꯂꯥꯏꯁꯤꯁ: ꯃꯦꯊꯗ ꯑꯁꯤꯗꯥ, ꯂꯥꯏꯌꯦꯡ ꯑꯁꯤ ꯅꯨꯃꯤꯠ ꯈꯨꯗꯤꯡꯒꯤ ꯅꯨꯃꯤꯠ ꯍꯨꯝꯅꯤ, ꯃꯇꯝ ꯑꯃꯗꯥ ꯄꯨꯡ 3-4 ꯐꯥꯎꯕꯥ ꯄꯥꯡꯊꯣꯀꯏ꯫
- ꯅꯣꯡꯃꯗꯥ ꯑꯇꯦꯅꯕꯥ ꯃꯇꯃꯒꯤ ꯌꯨꯃꯗꯥ ꯍꯦꯃꯣꯗꯥꯏꯑꯦꯂꯥꯏꯁꯤꯁ (Short daily home hemodialysis): ꯃꯁꯤ ꯑꯅꯧꯕꯥ ꯇꯦꯛꯅꯣꯂꯣꯖꯤ ꯁꯤꯖꯤꯟꯅꯗꯨꯅꯥ ꯄꯥꯡꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯁꯤ ꯅꯨꯃꯤꯠ ꯈꯨꯗꯤꯡꯒꯤ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯅꯨꯃꯤꯠ 5-7ꯅꯤ, ꯑꯗꯨꯕꯨ ꯃꯇꯝ ꯈꯔꯒꯤ ꯑꯣꯏꯅꯥ, ꯃꯇꯝ ꯑꯃꯗꯥ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯄꯨꯡ ꯑꯅꯤ ꯈꯛꯇꯃꯛ ꯆꯪꯏ꯫
- ꯅꯨꯃꯤꯗꯥꯡꯒꯤ ꯑꯣꯏꯕꯥ ꯌꯨꯃꯗꯥ ꯍꯦꯃꯣꯗꯥꯏꯑꯦꯂꯥꯏꯁꯤꯁ (Nocturnal home hemodialysis): ꯃꯁꯤ ꯅꯍꯥꯛꯅꯥ ꯇꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯑꯌꯨꯛ-ꯅꯨꯡꯊꯤꯂꯗꯥ ꯄꯥꯡꯊꯣꯀꯏ꯫ ꯃꯦꯁꯤꯟ ꯑꯁꯤ ꯃꯇꯝ ꯑꯃꯗꯥ ꯄꯨꯡ ꯶-꯸, ꯅꯨꯃꯤꯠ ꯈꯨꯗꯤꯡꯒꯤ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯅꯨꯃꯤꯠ ꯴-꯶ ꯆꯪꯏ꯫ ꯃꯁꯤꯅꯥ ꯏ ꯑꯗꯨ ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯁꯦꯡꯗꯣꯀꯄꯥ ꯉꯃꯍꯜꯂꯤ, ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯃꯁꯤꯅꯥ ꯑꯃꯣꯠꯄꯥ ꯄꯣꯠꯂꯃꯁꯤꯡ ꯑꯇꯣꯞꯄꯥ ꯄꯥꯝꯕꯩꯁꯤꯡꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯐꯅꯥ ꯂꯧꯊꯣꯀꯏ꯫
ꯃꯁꯤꯒꯤ ꯂꯥꯌꯦꯡ ꯑꯁꯤ ꯀꯅꯥꯅꯥ ꯇꯁꯦꯡꯅꯥ ꯃꯊꯧ ꯇꯥꯔꯤꯕꯅꯣ?
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯀꯤꯗꯅꯤꯒꯤ ꯂꯥꯌꯅꯥ ꯂꯩꯔꯕꯗꯤ, ꯃꯗꯨꯕꯨ ꯑꯦꯟꯗ-ꯁ꯭ꯇꯦꯖ ꯀꯤꯗꯅꯤ ꯗꯤꯖꯤꯖ (ESKD) ꯍꯥꯌꯅꯥ ꯀꯧꯏ, ꯅꯍꯥꯛꯅꯥ ꯍꯦꯃꯣꯗꯥꯏꯑꯦꯂꯥꯏꯁꯤꯁ ꯃꯊꯧ ꯇꯥꯒꯅꯤ꯫ ꯃꯁꯤꯗꯁꯨ ꯅꯠꯇꯅꯥ, ꯀꯤꯗꯅꯤ ꯇ꯭ꯔꯥꯟꯁꯞꯂꯥꯟꯇ ꯇꯧꯅꯕꯥ ꯉꯥꯏꯔꯤꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯒꯤ ꯑꯣꯏꯅꯗꯤ, ꯇ꯭ꯔꯥꯟꯁꯞꯂꯥꯟꯇ ꯇꯧꯕꯥ ꯐꯥꯎꯕꯗꯥ ꯍꯤꯡꯅꯕꯒꯤꯗꯃꯛ ꯂꯥꯏꯌꯦꯡ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫
ꯃꯁꯤ ꯈꯪꯖꯤꯅꯕꯥ ꯃꯔꯨꯑꯣꯏ: ꯍꯦꯃꯣꯗꯥꯏꯑꯦꯂꯥꯏꯁꯤꯁ ꯑꯁꯤ ꯀꯤꯗꯅꯤꯒꯤ ꯂꯥꯌꯅꯥꯒꯤ ꯂꯥꯏꯌꯦꯡ ꯑꯃꯅꯤ꯫ ꯃꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯀꯤꯗꯅꯤꯁꯤꯡꯕꯨ ꯃꯈꯣꯌꯅꯥ ꯇꯧꯒꯗꯕꯥ ꯊꯕꯛ ꯑꯗꯨ ꯇꯧꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ, ꯅꯍꯥꯀꯄꯨ ꯍꯦꯟꯅꯥ ꯁꯥꯡꯅꯥ ꯍꯤꯡꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯂꯥꯏꯌꯦꯡꯕꯗꯥ ꯑꯌꯥꯕꯥ ꯄꯤꯗꯕꯥ ꯇꯥꯔꯕꯗꯤ ꯀꯔꯤ ꯑꯣꯏꯒꯅꯤ?
ꯃꯁꯤ ꯈꯔꯥ ꯁꯦꯟꯁꯤꯇꯤꯕ ꯑꯣꯏꯕꯥ ꯍꯤꯔꯝ ꯑꯃꯅꯤ ꯑꯗꯨꯕꯨ ꯑꯩꯈꯣꯌꯅꯥ ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯕꯥ ꯃꯊꯧ ꯇꯥꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯀꯅꯥꯒꯨꯝꯕꯥ ꯑꯃꯅꯥ ꯍꯦꯃꯣꯗꯥꯏꯑꯦꯂꯥꯏꯁꯤꯁ ꯍꯧꯗꯣꯛꯂꯣꯏꯗꯕꯅꯤ ꯍꯥꯌꯅꯥ ꯋꯥꯔꯦꯞ ꯂꯧꯔꯕꯗꯤ, ꯅꯠꯠꯔꯒꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯈꯣꯌꯅꯥ ꯍꯧꯔꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯂꯦꯄꯈ꯭ꯔꯕꯗꯤ, ꯏꯗꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ (toxins) ꯌꯥꯎꯕꯥ ꯍꯧꯏ꯫ ꯑꯩꯈꯣꯌꯅꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤꯕꯨ `(ꯌꯨꯔꯦꯃꯤꯌꯥ)` ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯋꯥꯐꯝ ꯑꯃꯅꯥ, ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯁꯤꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯂꯥꯏꯌꯦꯡ ꯌꯥꯑꯣꯗꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯅꯨꯃꯤꯠ ꯈꯔꯅꯤ ꯅꯠꯠꯔꯒꯥ ꯅꯨꯃꯤꯠ ꯈꯔꯅꯤ ꯈꯛꯇꯃꯛ ꯍꯤꯡꯕꯥ ꯉꯃꯒꯅꯤ꯫
ꯃꯁꯤ ꯃꯄꯨꯡ ꯐꯥꯅꯥ ꯂꯅꯥꯏꯒꯤ ꯑꯣꯏꯕꯥ ꯋꯥꯔꯦꯞ ꯑꯃꯅꯤ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯑꯁꯤꯒꯨꯝꯕꯥ ꯋꯥꯔꯦꯞ ꯑꯃꯥ ꯂꯧꯗ꯭ꯔꯤꯉꯩ ꯃꯃꯥꯡꯗꯥ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔ ꯑꯃꯁꯨꯡ ꯏꯃꯨꯡ-ꯃꯅꯨꯡꯒꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯋꯥꯕꯁꯤꯡ, ꯑꯀꯤꯕꯥ ꯑꯃꯁꯨꯡ ꯐꯤꯚꯃꯁꯤꯡꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯁꯣꯌꯗꯅꯥ ꯋꯥꯔꯤ ꯁꯥꯒꯗꯕꯅꯤ꯫
ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯃꯃꯥꯡꯗꯥ ꯃꯇꯧ ꯀꯔꯝꯅꯥ ꯁꯦꯝ-ꯁꯥꯒꯗꯒꯦ?
ꯍꯦꯃꯣꯗꯥꯏꯑꯦꯂꯥꯏꯁꯤꯁ ꯍꯧꯗ꯭ꯔꯤꯉꯩꯗꯥ, ꯅꯨꯃꯤꯠ ꯈꯔꯅꯤꯒꯤ ꯃꯃꯥꯡꯗꯥ ꯅꯠꯠꯔꯒꯥ ꯊꯥ ꯑꯃꯒꯤ ꯃꯃꯥꯡꯗꯥ, ꯑꯄꯤꯀꯄꯥ ꯁꯦꯝ-ꯁꯥꯕꯥ ꯑꯃꯥ ꯇꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯏ꯫ ꯍꯥꯌꯕꯗꯤ ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯃꯇꯃꯗꯥ ꯍꯀꯆꯥꯡꯗꯒꯤ ꯏ ꯐꯖꯅꯥ ꯂꯧꯊꯣꯛꯇꯨꯅꯥ ꯍꯀꯆꯥꯡꯗꯥ ꯍꯜꯂꯀꯄꯥ ꯉꯝꯅꯕꯥ ‘ꯑꯦꯛꯁꯦꯁ’ ꯑꯃꯥ ꯁꯦꯝꯕꯥ ꯃꯊꯧ ꯇꯥꯏ꯫ ꯃꯁꯤꯗꯥ ꯑꯄꯤꯀꯄꯥ ꯑꯣꯄꯔꯦꯁꯟ ꯑꯃꯥ ꯃꯊꯧ ꯇꯥꯏ꯫
ꯃꯁꯤ ꯇꯧꯅꯕꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯑꯣꯡ ꯑꯅꯤ ꯂꯩ:
- AV ꯐꯤꯁ꯭ꯇꯨꯂꯥ (Arteriovenous fistula - AV fistula): ꯃꯁꯤꯗꯥ ꯁꯔꯖꯔꯤ ꯑꯃꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯨꯠꯁꯥꯗꯥ ꯂꯩꯕꯥ ꯑꯥꯔꯇꯦꯔꯤ ꯑꯃꯒꯥ ꯑꯃꯁꯨꯡ ꯚꯦꯅꯝ ꯑꯃꯒꯥ ꯁꯝꯅꯍꯜꯂꯤ꯫
- ꯑꯥꯔꯇꯦꯔꯤꯑꯣꯚꯦꯅꯁ ꯒ꯭ꯔꯥꯐ (AV graft): ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯨꯠꯁꯥꯗꯥ ꯂꯩꯕꯥ ꯑꯥꯔꯇꯦꯔꯤ ꯑꯃꯁꯨꯡ ꯚꯦꯅꯝ ꯑꯗꯨ ꯁꯝꯅꯍꯅꯕꯥ ꯉꯃꯗ꯭ꯔꯕꯗꯤ, ꯁꯔꯖꯔꯤ ꯑꯃꯅꯥ ꯑꯅꯤꯗꯨ ꯁꯝꯅꯍꯟꯅꯕꯥ ꯑꯄꯤꯀꯄꯥ, ꯇꯔꯨ-ꯇꯅꯥꯅꯕꯥ ꯇꯤꯎꯕ (graft) ꯑꯃꯥ ꯁꯤꯖꯤꯟꯅꯩ꯫
ꯃꯦꯊꯗ ꯑꯅꯤ ꯑꯁꯤꯅꯥ ꯍꯦꯃꯣꯗꯥꯏꯑꯦꯂꯥꯏꯁꯤꯁꯀꯤ ꯃꯇꯃꯗꯥ ꯅꯤꯗꯂꯁꯤꯡ ꯊꯥꯕꯗꯥ ꯍꯦꯟꯅꯥ ꯂꯥꯌꯕꯥ ꯑꯀꯅꯕꯥ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯜ ꯑꯃꯥ ꯁꯦꯝꯃꯤ꯫ ꯃꯁꯤꯅꯥ ꯏ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯆꯠꯄꯗꯁꯨ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯍꯦꯃꯣꯗꯥꯏꯑꯦꯂꯥꯏꯁꯤꯁ ꯈꯪꯍꯧꯗꯅꯥ ꯍꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯃꯇꯝ ꯈꯔꯒꯤ ꯑꯣꯏꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯀꯣꯛ, ꯈꯣꯡ ꯅꯠꯠꯔꯒꯥ ꯈꯣꯡꯗꯥ ꯂꯩꯕꯥ ꯑꯆꯧꯕꯥ ꯚꯦꯅꯝ ꯑꯃꯗꯥ ꯀꯦꯇꯦꯒꯣꯔꯤ ꯀꯧꯕꯥ ꯇꯔꯨ-ꯇꯅꯥꯅꯕꯥ ꯇꯤꯎꯕ ꯑꯃꯥ ꯊꯥꯕꯥ ꯌꯥꯏ꯫
ꯅꯍꯥꯛꯀꯤ ꯑꯦꯛꯁꯦꯁ ꯑꯗꯨ ꯌꯦꯡꯁꯤꯅꯕꯥ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ!
ꯅꯍꯥꯛꯅꯥ ꯁꯦꯝꯕꯥ ꯑꯦꯛꯁꯦꯁ ꯗꯤꯚꯥꯏꯁ ꯑꯁꯤ ꯃꯃꯜ ꯌꯥꯝꯂꯕꯥ ꯑꯦꯁꯦꯠ ꯑꯃꯒꯨꯝꯅꯥ ꯂꯧꯒꯗꯕꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯁꯤ ꯏꯅꯐꯦꯛꯁꯟ ꯊꯣꯛꯂꯕꯗꯤ ꯅꯠꯠꯔꯒꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯛꯂꯕꯗꯤ ꯂꯥꯏꯌꯦꯡꯕꯥ ꯉꯝꯂꯣꯏ꯫ ꯏꯅꯐꯦꯛꯁꯟ ꯑꯃꯒꯤ ꯈꯨꯗꯃꯁꯤꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯁꯤꯡꯁꯤ ꯌꯥꯎꯏ:
- ꯑꯅꯥꯕ
- ꯄ꯭ꯔꯦꯁꯔ ꯄꯤꯕꯥ ꯃꯇꯃꯗꯥ ꯑꯅꯥꯕꯥ꯫
- ꯄꯣꯝꯈꯠꯄ
- ꯃꯆꯨ ꯍꯣꯡꯗꯣꯀꯄꯥ (ꯂꯥꯜ, ꯑꯉꯧꯕꯥ, ꯄꯤꯀꯄꯥ, ꯑꯉꯧꯕꯥ, ꯅꯠꯠꯔꯒꯥ ꯕ꯭ꯂꯦꯛ)
- ꯂꯥꯏꯍꯧ ꯍꯧꯕ
ꯑꯦꯛꯁꯦꯁ ꯉꯥꯀꯊꯣꯛꯅꯕꯥ, ꯋꯥꯐꯃꯁꯤꯡ ꯑꯁꯤ ꯅꯤꯡꯁꯤꯡꯕꯤꯌꯨ:
- ꯑꯦꯛꯁꯦꯁ ꯁꯥꯏꯗ ꯑꯗꯨ ꯃꯈꯥꯗꯥ ꯊꯝꯂꯒꯥ ꯇꯨꯝꯂꯣꯏꯗꯕꯅꯤ꯫
- ꯈꯨꯠ ꯑꯗꯨꯗꯥ ꯆꯦꯟꯊꯔꯀꯄꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ ꯅꯠꯠꯔꯒꯥ ꯖꯨꯌꯦꯂꯁꯤꯡ ꯁꯤꯖꯤꯟꯅꯒꯅꯨ꯫
- ꯕꯦꯒ ꯁ꯭ꯠꯔꯦꯞ ꯑꯗꯨ ꯑꯦꯛꯁꯦꯁꯀꯤ ꯃꯊꯛꯇꯥ ꯆꯦꯟꯊꯍꯜꯂꯣꯏꯗꯕꯅꯤ꯫
- ꯀꯩꯗꯧꯉꯩꯗꯥ ꯀꯅꯥꯒꯨꯝꯕꯥ ꯑꯃꯒꯤ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ ꯆꯦꯛ ꯇꯧꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯦꯛꯁꯦꯁ ꯂꯩꯕꯥ ꯈꯨꯠꯁꯥ ꯑꯗꯨꯗꯒꯤ ꯏ ꯂꯧꯊꯣꯀꯄꯥ ꯌꯥꯍꯜꯂꯣꯏꯗꯕꯅꯤ꯫
ꯅꯍꯥꯛꯀꯤ ꯗꯥꯏꯇꯇꯥ ꯑꯍꯣꯡꯕꯥ ꯄꯨꯔꯀꯄꯥ ꯃꯊꯧ ꯇꯥꯕ꯭ꯔꯥ?
ꯍꯣꯌ, ꯃꯄꯨꯡ ꯐꯥꯅꯥ꯫ ꯅꯍꯥꯛꯅꯥ ꯆꯥꯔꯤꯕꯥ ꯑꯃꯁꯨꯡ ꯊꯀꯄꯥ ꯑꯗꯨꯅꯥ ꯍꯦꯃꯣꯗꯥꯏꯑꯦꯂꯥꯏꯁꯤꯁ ꯂꯥꯌꯦꯡꯕꯒꯤ ꯃꯥꯌꯄꯥꯀꯄꯗꯥ ꯍꯀꯊꯦꯡꯅꯅꯥ ꯁꯣꯀꯍꯜꯂꯤ꯫ ꯆꯤꯟꯖꯥꯀꯁꯤꯡꯅꯥ ꯏꯗꯥ ꯌꯥꯎꯔꯤꯕꯥ ꯑꯃꯣꯠꯄꯁꯤꯡ, ꯏꯁꯤꯡ ꯇꯨꯡꯁꯤꯅꯕꯥ, ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ ꯑꯃꯁꯨꯡ ꯍꯥꯔꯇꯀꯤ ꯔꯦꯠ ꯍꯦꯅꯒꯠꯍꯜꯂꯤ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯅꯍꯥꯛꯀꯤꯗꯃꯛꯇꯥ ꯆꯨꯅꯕꯥ ꯗꯥꯏꯠ ꯄ꯭ꯂꯥꯟ ꯑꯃꯥ ꯁꯦꯝꯅꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯔꯦꯅꯥꯜ ꯗꯥꯏꯑꯦꯇꯤꯁꯤꯌꯟ ꯑꯃꯒꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯒꯗꯕꯅꯤ꯫
ꯃꯍꯧꯁꯥꯅꯥ, ꯅꯍꯥꯛꯅꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ ꯑꯁꯤ ꯌꯥꯎꯕꯥ ꯆꯤꯟꯖꯥꯛ ꯑꯃꯁꯨꯡ ꯊꯛꯅꯕꯁꯤꯡ ꯂꯤꯃꯤꯠ ꯇꯧꯒꯗꯕꯅꯤ꯫
| ꯀꯔꯤ ꯂꯤꯃꯤꯠ ꯇꯧꯒꯗꯒꯦ꯫ | ꯃꯔꯝ ꯑꯃꯁꯨꯡ ꯈꯨꯗꯃꯁꯤꯡ꯫ |
|---|---|
| ꯄꯣꯇꯥꯁꯤꯌꯝ꯫ | ꯀꯔꯤꯒꯨꯝꯕꯥ ꯄꯣꯇꯥꯁꯤꯌꯃꯒꯤ ꯆꯥꯡ ꯍꯦꯅꯒꯠꯂꯛꯂꯕꯗꯤ, ꯍꯥꯔꯇꯀꯤ ꯔꯦꯠ ꯑꯁꯤ ꯃꯁꯥ ꯃꯊꯟꯇꯥ ꯌꯥꯡꯅꯥ ꯂꯥꯀꯄꯥ ꯌꯥꯏ꯫ ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ: ꯕꯦꯅꯥ, ꯑꯦꯚꯣꯀꯦꯗꯣ, ꯑꯣꯔꯦꯟꯖ, ꯄꯦꯌꯥꯔ, ꯁꯨꯡꯕꯥ ꯃꯅꯥ-ꯃꯁꯤꯡ (ꯈꯦꯖꯨꯔ, ꯀꯤꯁꯝ), ꯑꯥꯂꯨ꯫ |
| ꯐꯣꯁꯐꯔꯁ (ꯐꯣꯁꯐꯔꯁ)꯫ | ꯀꯔꯤꯒꯨꯝꯕꯥ ꯐꯣꯁꯐꯔꯁ ꯍꯦꯅꯒꯠꯂꯛꯂꯕꯗꯤ ꯁꯔꯨ ꯇꯥꯡꯁꯤꯡ ꯁꯣꯟꯊꯔꯀꯄꯥ ꯌꯥꯏ ꯑꯃꯁꯨꯡ ꯈꯣꯡ ꯍꯥꯝꯕꯥ ꯌꯥꯏ꯫ ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ: ꯁꯉ꯭ꯒꯣꯝ ꯑꯃꯁꯨꯡ ꯁꯉ꯭ꯒꯣꯃꯒꯤ ꯆꯤꯟꯖꯥꯀꯁꯤꯡ (ꯌꯣꯒꯔ, ꯆꯦꯡ), ꯉꯥ, ꯁꯁꯦꯖ, ꯀꯦꯟꯗꯜ ꯑꯣꯏꯕꯥ ꯆꯤꯟꯖꯥꯀꯁꯤꯡ, ꯂꯦꯟꯇꯤꯜ, ꯀꯥꯖꯨꯁꯤꯡ꯫ |
| ꯁꯣꯗꯤꯌꯝ - ꯂꯣꯟ꯫ | ꯅꯍꯥꯛꯅꯥ ꯂꯣꯟ ꯌꯥꯝꯅꯥ ꯆꯥꯕꯥ ꯃꯇꯃꯗꯥ, ꯅꯍꯥꯛꯅꯥ ꯍꯦꯟꯅꯥ ꯇꯀꯈꯥꯌꯔꯕꯥ ꯑꯣꯏꯔꯀꯏ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯏꯁꯤꯡ ꯊꯃꯖꯤꯜꯂꯤ꯫ ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ: ꯂꯣꯟ, ꯁꯁ, ꯀꯦꯆꯞ, ꯄꯦꯀꯦꯠ ꯇꯧꯔꯕꯥ ꯁ꯭ꯌꯨꯄꯁꯤꯡ, ꯏꯅꯁ꯭ꯇꯦꯟꯇ ꯅꯨꯡꯁꯤꯠ, ꯁ꯭ꯇꯣꯔꯗꯥ ꯌꯣꯅꯕꯥ ꯆꯤꯟꯖꯥꯀꯁꯤꯡ꯫ |
ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯃꯇꯃꯗꯥ ꯀꯔꯤ ꯊꯣꯀꯏ?
ꯅꯔꯁ ꯅꯠꯠꯔꯒꯥ ꯇꯦꯛꯅꯤꯁꯤꯌꯟ ꯑꯗꯨꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯨꯠꯁꯥꯗꯥ ꯁꯦꯝꯕꯥ ꯑꯦꯛꯁꯦꯁ ꯑꯗꯨꯗꯥ ꯅꯤꯗꯜ ꯑꯅꯤ ꯍꯥꯄꯀꯅꯤ꯫ ꯅꯤꯗꯜ ꯑꯃꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡꯗꯒꯤ ꯏ ꯂꯧꯊꯣꯛꯇꯨꯅꯥ ꯃꯦꯁꯤꯟ ꯑꯗꯨꯗꯥ ꯊꯥꯒꯅꯤ꯫ ꯃꯦꯁꯤꯟ ꯑꯗꯨꯗꯥ ꯂꯩꯔꯤꯕꯥ ꯗꯥꯏꯑꯦꯂꯥꯏꯖꯥꯔ ꯑꯗꯨꯅꯥ ꯏ ꯑꯗꯨ ꯁꯦꯡꯗꯣꯛꯂꯕꯥ ꯃꯇꯨꯡꯗꯥ, ꯑꯇꯣꯞꯄꯥ ꯅꯤꯜ ꯑꯗꯨꯅꯥ ꯑꯁꯦꯡꯕꯥ ꯏ ꯑꯗꯨ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯊꯥꯔꯛꯀꯅꯤ꯫
ꯃꯦꯁꯤꯟ ꯑꯁꯤꯅꯥ ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯃꯇꯝ ꯄꯨꯝꯅꯃꯛꯇꯥ ꯅꯍꯥꯛꯀꯤ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ ꯑꯗꯨ ꯌꯦꯡꯁꯤꯜꯂꯤ꯫ ꯃꯦꯁꯤꯟ ꯑꯁꯤꯅꯥ ꯃꯊꯧ ꯇꯥꯕꯒꯤ ꯃꯇꯨꯡ ꯏꯟꯅꯥ ꯏꯒꯤ ꯈꯣꯡꯖꯦꯜ ꯍꯦꯅꯒꯠꯍꯅꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯍꯟꯊꯍꯅꯕꯁꯨ ꯌꯥꯏ꯫
ꯃꯁꯤꯅꯥ ꯑꯋꯥꯕꯥ ꯄꯤꯔꯤꯕꯔꯥ?
ꯅꯍꯥꯛꯀꯤ ꯑꯦꯛꯁꯦꯁꯇꯥ ꯅꯤꯗꯜ ꯑꯅꯤ ꯑꯗꯨ ꯊꯥꯗꯣꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯈꯔꯥ ꯁꯣꯀꯄꯥ ꯐꯥꯎꯒꯅꯤ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯄꯨꯡ ꯀꯌꯥꯗꯤ ꯅꯍꯥꯛꯅꯥ ꯑꯅꯥꯕꯥ ꯑꯃꯠꯇꯥ ꯐꯥꯎꯔꯣꯏ꯫ ꯃꯇꯝ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯃꯤꯑꯣꯏ ꯀꯌꯥꯅꯥ ꯂꯥꯏꯔꯤꯛ ꯄꯥꯕꯥ, ꯇꯤ.ꯚꯤ.
ꯃꯁꯤ ꯀꯔꯤꯒꯤꯗꯃꯛ ꯃꯇꯝ ꯀꯨꯏꯅꯥ ꯆꯪꯂꯤꯕꯅꯣ?
ꯍꯀꯁꯦꯜ ꯐꯕꯥ ꯀꯤꯗꯅꯤ ꯑꯅꯤꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯇꯨꯝꯕꯥ ꯃꯇꯃꯗꯁꯨ ꯅꯣꯡꯃꯗꯥ ꯄꯨꯡ 24 ꯆꯨꯞꯅꯥ ꯏ ꯑꯗꯨ ꯂꯦꯞꯇꯅꯥ ꯁꯦꯡꯗꯣꯀꯏ꯫ ꯍꯦꯃꯣꯗꯥꯏꯑꯦꯂꯥꯏꯁꯤꯁ ꯃꯦꯁꯤꯟ ꯑꯃꯅꯥ ꯃꯗꯨ ꯇꯧꯕꯥ ꯉꯃꯗꯦ꯫ ꯍꯀꯁꯦꯜ ꯐꯕꯥ ꯀꯤꯗꯅꯤꯁꯤꯡꯅꯥ ꯅꯣꯡꯃꯗꯥ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯏ ꯂꯤꯇꯔ ꯱꯴꯰ ꯁꯨꯡꯏ꯫ ꯑꯗꯨꯕꯨ ꯍꯦꯃꯣꯗꯥꯏꯑꯦꯂꯥꯏꯁꯤꯁ ꯂꯥꯌꯦꯡꯕꯒꯤ ꯏꯐꯤꯁꯤꯑꯦꯟꯁꯤꯗꯤ ꯌꯥꯝꯅꯥ ꯅꯦꯝꯃꯤ꯫ ꯃꯔꯝ ꯑꯁꯤꯅꯥ ꯃꯇꯝ ꯑꯃꯗꯥ ꯌꯥꯃꯗ꯭ꯔꯕꯗꯥ ꯄꯨꯡ ꯳-꯴ ꯐꯥꯑꯣꯕꯥ ꯇꯧꯒꯗꯕꯅꯤ꯫
ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯑꯃꯁꯨꯡ ꯑꯣꯏꯊꯣꯀꯄꯥ ꯌꯥꯕꯥ ꯁꯥꯏꯗ ꯏꯐꯦꯛꯇꯁꯤꯡ꯫
ꯂꯥꯏꯌꯦꯡꯕꯥ ꯂꯣꯏꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯅꯤꯗꯂꯁꯤꯡ ꯑꯗꯨ ꯂꯧꯊꯣꯀꯏ, ꯃꯐꯃꯁꯤꯡ ꯑꯗꯨ ꯁꯦꯡꯗꯣꯀꯏ ꯑꯃꯁꯨꯡ ꯄ꯭ꯂꯥꯁ꯭ꯇꯔ ꯑꯃꯥ ꯊꯥꯏ꯫ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯃꯍꯧꯁꯥꯒꯨꯝ ꯌꯨꯃꯗꯥ ꯆꯠꯄꯥ ꯌꯥꯏ꯫
ꯃꯤꯑꯣꯏ ꯀꯌꯥꯅꯥ ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯈꯔꯥ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯐꯥꯎꯏ꯫ ꯃꯁꯤ ꯄꯨꯡ ꯈꯔꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯂꯩꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤ ꯅꯣꯔꯃꯦꯂꯅꯤ꯫ ꯑꯗꯨꯕꯨ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯌꯥꯝꯅꯥ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯐꯥꯎꯔꯕꯗꯤ, ꯃꯗꯨꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯈꯪꯍꯜꯂꯨ꯫
ꯍꯦꯃꯣꯗꯥꯏꯑꯦꯂꯥꯏꯁꯤꯁꯀꯥ ꯃꯔꯤ ꯂꯩꯅꯕꯥ ꯑꯇꯩ ꯁꯥꯏꯗ ꯏꯐꯦꯛꯇ ꯀꯌꯥꯁꯨ ꯂꯩ꯫ ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯃꯤꯄꯨꯝ ꯈꯨꯗꯤꯡꯃꯛꯅꯥ ꯊꯦꯡꯅꯔꯣꯏ, ꯑꯗꯨꯕꯨ ꯃꯈꯣꯌ ꯑꯁꯤ ꯈꯉꯖꯤꯅꯕꯥ ꯑꯁꯤ ꯑꯐꯕꯥ ꯑꯃꯅꯤ꯫
| ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯁꯥꯏꯗ ꯏꯐꯦꯛꯇꯁꯤꯡ꯫ | |
|---|---|
| ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ ꯅꯦꯝꯕꯥ (ꯍꯥꯌꯄꯣꯇꯦꯟꯁꯟ) . | ꯃꯤꯠ ꯎꯗꯕꯥ ꯑꯃꯁꯨꯡ ꯃꯁꯥ ꯃꯊꯟꯇꯥ ꯋꯥꯈꯜ ꯇꯥꯗꯕꯥ ꯌꯥꯏ꯫ |
| ꯃꯁꯜ ꯁꯣꯟꯊꯕꯥ꯫ | ꯃꯔꯨꯑꯣꯏꯅꯥ ꯈꯣꯡꯗꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫ |
| ꯅꯣꯡꯃꯩ ꯀꯥꯞꯄꯥ ꯑꯃꯁꯨꯡ ꯈꯣꯡ ꯍꯥꯝꯕꯥ꯫ | ꯃꯤꯑꯣꯏ ꯈꯔꯗꯤ ꯃꯁꯤꯒꯤ ꯑꯋꯥꯕꯥ ꯑꯁꯤ ꯊꯦꯡꯅꯩ꯫ |
| ꯏꯆꯝ ꯆꯝꯕꯥ (Pruritus) . | ꯃꯁꯤ ꯏꯗꯥ ꯐꯣꯁꯐꯔꯁꯀꯤ ꯆꯥꯡ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯗꯨꯅꯥ ꯍꯟꯊꯍꯅꯕꯥ ꯌꯥꯏ꯫ |
| ꯍꯦꯗ-ꯑꯦꯛ, ꯆꯦꯁ꯭ꯠ ꯅꯠꯠꯔꯒꯥ ꯀꯣꯛ ꯆꯤꯀꯄꯥ꯫ | ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫ |
ꯑꯩꯅꯥ ꯀꯔꯤ ꯃꯇꯃꯗꯥ ꯗꯣꯛꯇꯔꯒꯥ ꯎꯅꯒꯗꯒꯦ?
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯍꯦꯛꯇꯥ ꯂꯩꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯈꯨꯗꯛꯇꯥ ꯈꯪꯍꯅꯒꯗꯕꯅꯤ꯫
- ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ ꯅꯦꯃꯊꯔꯀꯄꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ (ꯃꯃꯤꯠ ꯇꯥꯡꯕꯥ, ꯃꯁꯥ ꯃꯎ ꯐꯕꯥ (syncope))
- ꯅꯣꯡꯃꯩ ꯀꯥꯞꯄꯥ ꯑꯃꯁꯨꯡ ꯈꯣꯡ ꯍꯥꯝꯕꯥ꯫
- ꯑꯦꯛꯁꯦꯁꯇꯥ ꯏꯅꯐꯦꯛꯁꯟ ꯑꯃꯥ ꯂꯩꯔꯀꯄꯒꯤ ꯈꯨꯗꯃꯁꯤꯡ (ꯁꯣꯀꯄꯥ, ꯂꯥꯎꯕꯥ, ꯑꯅꯥꯕꯥ, ꯂꯥꯏꯍꯧ)
- ꯁꯥꯊꯤꯕꯥ ꯈꯣꯡꯗꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯄꯥ꯫
ꯇꯦꯛ-ꯍꯣꯝ ꯃꯦꯁꯦꯖ ꯇꯧꯕꯥ꯫
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