ꯑꯩꯈꯣꯌꯅꯥ ꯀꯦꯂꯁꯤꯌꯝ ꯈꯅꯕꯗꯥ ꯃꯄꯥꯉ꯭ꯒꯜ ꯀꯅꯕꯥ ꯁꯔꯨ ꯑꯃꯁꯨꯡ ꯍꯀꯆꯥꯡ ꯐꯕꯥ ꯍꯥꯀꯆꯥꯡꯒꯤ ꯃꯔꯃꯗꯥ ꯈꯜꯂꯤ, ꯅꯠꯇꯦ? ꯀꯦꯂꯁꯤꯌꯝ ꯑꯁꯤ ꯇꯁꯦꯡꯅꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯒꯤꯗꯃꯛ ꯇꯉꯥꯏꯐꯗꯕꯥ ꯅ꯭ꯌꯨꯠꯔꯤꯑꯦꯟꯇ ꯑꯃꯅꯤ꯫ ꯑꯗꯨꯕꯨ ꯑꯗꯣꯝꯅꯥ ꯈꯉꯕꯤꯔꯃꯒꯅꯤ ꯃꯗꯨꯗꯤ ꯄꯣꯠ ꯑꯃꯠꯇꯥ ꯌꯥꯝꯅꯥ ꯌꯥꯑꯣꯕꯒꯨꯝꯅꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯏꯗꯥ ꯀꯦꯂꯁꯤꯌꯝ ꯌꯥꯝꯅꯥ ꯌꯥꯑꯣꯕꯅꯥ ꯍꯀꯁꯦꯂꯒꯤ ꯁꯃꯁ꯭ꯌꯥ ꯀꯌꯥ ꯑꯃꯁꯨ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ? ꯑꯌꯥꯝꯕꯥ ꯀꯦꯁꯁꯤꯡꯗꯗꯤ, ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯑꯍꯥꯅꯕꯥ ꯁ꯭ꯇꯦꯖꯁꯤꯡꯗꯥ ꯂꯥꯏꯑꯣꯡ ꯑꯃꯠꯇꯥ ꯌꯥꯎꯗꯅꯥ ꯂꯩꯕꯥ ꯌꯥꯏ꯫ ꯉꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯏꯗꯥ ꯀꯦꯂꯁꯤꯌꯝ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ ꯑꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯒꯅꯤ, ꯅꯠꯔꯒꯥ ꯃꯁꯤꯕꯨ ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯑꯣꯏꯅꯥ ꯍꯥꯏꯄꯔꯀꯦꯂꯁꯤꯃꯤꯌꯥ ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫
ꯀꯔꯤꯒꯤꯗꯃꯛꯇꯥ ꯏꯗꯥ ꯌꯥꯎꯔꯤꯕꯥ ꯀꯦꯂꯁꯤꯌꯝ ꯑꯁꯤ ꯑꯁꯤꯒꯨꯝꯅꯥ ꯍꯦꯅꯒꯠꯂꯛꯂꯤꯕꯅꯣ?
ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯅꯥ, ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯅꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯏꯗꯥ ꯌꯥꯎꯔꯤꯕꯥ ꯀꯦꯂꯁꯤꯌꯝ ꯑꯁꯤ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯗꯥ ꯌꯥꯝꯅꯥ ꯐꯩ꯫ ꯃꯁꯤꯗꯥ ꯍꯣꯔꯃꯣꯟ ꯀꯌꯥꯅꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯑꯀꯛꯅꯕꯥ ꯂꯥꯌꯅꯥꯁꯤꯡ, ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ, ꯀꯤꯗꯅꯤꯒꯤ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯃꯁꯤꯡ ꯅꯠꯠꯔꯒꯥ ꯗꯤꯍꯥꯌꯗ꯭ꯔꯦꯁꯅꯒꯨꯝꯕꯥ ꯃꯔꯝ 25 ꯍꯦꯟꯅꯥ ꯂꯩ, ꯃꯗꯨꯅꯥ ꯀꯟꯠꯔꯣꯜ ꯑꯁꯤ ꯃꯥꯡꯍꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯑꯩꯈꯣꯌꯒꯤ ꯕ꯭ꯂꯗ ꯀꯦꯂꯁꯤꯌꯝ ꯂꯦꯚꯦꯜ ꯍꯦꯅꯒꯠꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯃꯔꯨ ꯑꯣꯏꯕꯥ ꯃꯔꯝ ꯈꯔꯥ ꯌꯦꯡꯁꯤ꯫
ꯄꯦꯔꯥꯊꯥꯏꯔꯣꯏꯗ ꯒ꯭ꯜꯌꯥꯟꯗꯁꯤꯡꯒꯤ ꯑꯦꯛꯇꯤꯚꯤꯇꯤ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ (Hyperparathyroidism)
ꯃꯁꯤꯅꯥ ꯕ꯭ꯂꯗ ꯀꯦꯂꯁꯤꯌꯝ ꯋꯥꯡꯈꯠꯂꯀꯄꯒꯤ
ꯃꯔꯨꯑꯣꯏꯕꯥ ꯑꯃꯁꯨꯡ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯃꯔꯃꯅꯤ꯫ ꯇꯁꯦꯡꯕꯗꯤ ꯃꯁꯤꯅꯥ `ꯍꯥꯏꯄꯥꯔꯀꯦꯂꯁꯤꯃꯤꯌꯥ`ꯒꯤ ꯀꯦꯁꯁꯤꯡꯒꯤ ꯆꯥꯎꯔꯥꯛꯅꯥ 90%ꯒꯤ ꯃꯔꯃꯅꯤ꯫ ꯑꯩꯈꯣꯌꯒꯤ ꯀꯣꯛꯇꯥ ꯊꯥꯌꯔꯣꯏꯗ ꯒ꯭ꯜꯌꯥꯟꯗꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯑꯄꯤꯀꯄꯥ, ꯁꯔꯨꯒꯨꯝꯕꯥ ꯒ꯭ꯜꯌꯥꯟꯗ ꯃꯔꯤ ꯂꯩ, ꯃꯗꯨꯕꯨ ꯑꯩꯈꯣꯌꯅꯥ ꯄꯦꯔꯥꯊꯥꯏꯔꯣꯏꯗ ꯒ꯭ꯜꯌꯥꯟꯗ ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯄꯦꯔꯥꯊꯥꯏꯔꯣꯏꯗ ꯍꯣꯔꯃꯣꯟ `(ꯄꯦꯔꯥꯊꯥꯏꯔꯣꯏꯗ ꯍꯣꯔꯃꯣꯟ - ꯄꯤ.ꯇꯤ.ꯑꯩꯆ.) ꯊꯥꯗꯣꯀꯏ꯫` ꯍꯣꯔꯃꯣꯟ ꯑꯁꯤꯅꯥ ꯏꯗꯥ ꯀꯦꯂꯁꯤꯌꯃꯒꯤ ꯆꯥꯡ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫ `ꯍꯥꯏꯄꯥꯔꯄꯦꯔꯥꯊꯥꯏꯔꯣꯏꯗꯤꯖꯝ`ꯗꯥ, ꯒ꯭ꯜꯌꯥꯟꯗꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯅꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯃꯗꯒꯤ ꯍꯦꯅꯕꯅꯥ ꯑꯣꯚꯔꯑꯦꯛꯇꯤꯚ ꯑꯣꯏꯔꯀꯏ ꯑꯃꯁꯨꯡ ꯏꯗꯥ ꯀꯦꯂꯁꯤꯌꯝ ꯀꯌꯥ ꯌꯥꯎꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯗꯅꯥ `PTH` ꯍꯣꯔꯃꯣꯟ ꯃꯈꯥ ꯇꯥꯅꯥ ꯄꯨꯊꯣꯀꯏ꯫ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯏꯗꯥ ꯀꯦꯂꯁꯤꯌꯝ ꯂꯦꯚꯦꯜ ꯑꯗꯨ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯛꯅꯥ ꯍꯦꯅꯒꯠꯂꯀꯏ꯫ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯃꯔꯨꯑꯣꯏꯅꯥ ꯄꯣꯁ꯭ꯠ-ꯃꯦꯅꯣꯄꯣꯖꯒꯤ ꯅꯨꯄꯤꯁꯤꯡꯗꯥ ꯌꯥꯝꯅꯥ ꯀꯃꯟ ꯑꯣꯏ꯫
ꯅꯍꯥꯛꯅꯥ ꯂꯧꯔꯤꯕꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛ ꯈꯔꯗꯤ꯫
ꯅꯍꯥꯛꯅꯥ ꯂꯧꯔꯤꯕꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛ ꯑꯃꯁꯨꯡ ꯁꯞꯂꯤꯃꯦꯟꯇ ꯈꯔꯅꯁꯨ ꯅꯍꯥꯛꯀꯤ ꯏꯗꯥ ꯀꯦꯂꯁꯤꯌꯝ ꯂꯦꯚꯦꯜ ꯍꯦꯅꯒꯠꯍꯅꯕꯥ ꯌꯥꯏ꯫
| ꯗ꯭ꯔꯒ/ꯁꯞꯂꯤꯃꯦꯟꯇ ꯃꯈꯜ꯫ | ꯋꯥꯔꯣꯜ |
|---|
| ꯍꯥꯏꯗ꯭ꯔꯣꯛꯂꯣꯔꯣꯊꯤꯌꯥꯖꯥꯏꯗ꯫ | ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ ꯋꯥꯡꯕꯥ ꯑꯃꯁꯨꯡ ꯍꯀꯆꯥꯡꯗꯥ ꯁꯣꯛ-ꯄꯅꯕꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯕꯥ ꯗꯥꯏꯑꯦꯔꯦꯇꯤꯛ ꯄꯤꯜ ꯑꯃꯅꯤ꯫ |
| ꯂꯤꯊꯤꯌꯥꯝ꯫ | ꯑꯀꯛꯅꯕꯥ ꯋꯥꯈꯂꯒꯤ ꯑꯅꯥꯕꯁꯤꯡ ꯂꯥꯌꯦꯡꯕꯗꯥ ꯁꯤꯖꯤꯟꯅꯕꯥ ꯍꯤꯗꯥꯛ ꯑꯃꯅꯤ꯫ |
| ꯚꯤꯇꯥꯃꯤꯟ ꯑꯦ ꯑꯃꯁꯨꯡ ꯚꯤꯇꯥꯃꯤꯟ ꯗꯤ | ꯃꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ (Hypervitaminosis D) ꯌꯥꯝꯅꯥ ꯊꯀꯄꯅꯥ ꯀꯦꯂꯁꯤꯌꯝ ꯂꯦꯚꯦꯜ ꯍꯦꯅꯒꯠꯍꯅꯕꯥ ꯉꯝꯃꯤ꯫ |
| ꯀꯦꯂꯁꯤꯌꯝ ꯁꯞꯂꯤꯃꯦꯟꯇꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯑꯦꯟꯇꯤꯑꯦꯁꯤꯗꯁꯤꯡ꯫ | ꯀꯦꯂꯁꯤꯌꯝ ꯄꯤꯂꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯒꯦꯁ꯭ꯠꯔꯥꯏꯇꯤꯁꯀꯤꯗꯃꯛꯇꯥ ꯁꯤꯖꯤꯟꯅꯕꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ (ꯇꯨꯃꯁ, ꯔꯣꯂꯥꯏꯗꯁꯤꯡꯒꯨꯝꯕꯥ) ꯌꯥꯝꯅꯥ ꯊꯀꯄꯥ꯫ |
ꯂꯥꯏꯔꯦꯜ ꯁꯖꯤꯛ
ꯂꯪꯁ, ꯕ꯭ꯔꯦꯁ꯭ꯠ ꯅꯠꯠꯔꯒꯥ ꯕ꯭ꯂꯗ ꯀꯦꯟꯁꯔ ꯃꯈꯜ ꯈꯔꯅꯁꯨ ꯕ꯭ꯂꯗ ꯀꯦꯂꯁꯤꯌꯝ ꯂꯦꯚꯦꯜ ꯋꯥꯡꯈꯠꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤ ꯀꯦꯟꯁꯔ ꯁꯦꯂꯁꯤꯡꯅꯥ ꯁꯔꯨ ꯇꯥꯡꯁꯤꯡꯗꯥ ꯁꯟꯗꯣꯔꯀꯄꯅꯥ (bone metastases) ꯅꯠꯠꯔꯒꯥ ꯀꯦꯟꯁꯔ ꯃꯈꯜ ꯈꯔꯅꯥ ꯄꯨꯊꯣꯀꯄꯥ ꯍꯣꯔꯃꯣꯅꯁꯤꯡꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫
ꯑꯇꯣꯞꯄꯥ ꯌꯥꯝꯅꯥ ꯀꯃꯟ ꯑꯣꯏꯗꯕꯥ ꯃꯔꯃꯁꯤꯡ꯫
ꯃꯁꯤꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯤꯅꯣ?
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯥꯏꯜꯗ ꯍꯥꯏꯄꯔꯀꯦꯂꯁꯤꯃꯤꯌꯥ ꯂꯩꯔꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯂꯥꯏꯑꯣꯡ ꯑꯃꯠꯇꯥ ꯎꯕꯥ ꯐꯪꯗꯕꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯕꯨ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯁꯥꯊꯤꯕꯥ ꯑꯣꯏꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯃꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯁꯔꯨꯛ ꯀꯌꯥꯗꯥ ꯁꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯆꯦꯀꯁꯤꯟꯅꯥ ꯂꯩꯌꯨ꯫
- ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯌꯨ ꯊꯀꯄꯥ꯫
- ꯑꯆꯝꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯇꯀꯈꯥꯌꯕꯥ ꯐꯥꯎꯕꯥ꯫
- ꯍꯀꯆꯥꯡꯗꯥ ꯋꯥꯈꯜ ꯆꯔꯥꯡꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯋꯥꯈꯜ ꯆꯔꯥꯡꯅꯕꯥ꯫
- ꯁꯔꯨ ꯇꯥꯡꯒꯤ ꯑꯅꯥꯕꯥ꯫
- ꯀꯣꯛ ꯆꯤꯛꯄ
- ꯅꯣꯡꯃꯩ ꯀꯥꯞꯄꯥ ꯑꯃꯁꯨꯡ ꯈꯣꯡ ꯍꯥꯝꯕꯥ꯫
- ꯈꯣꯉ ꯍꯥꯝꯕ ꯌꯥꯗꯕ
- ꯆꯥꯅꯤꯡꯕ ꯊꯛꯅꯤꯡꯕ ꯐꯥꯎꯕ
- ꯃꯁꯜ ꯁꯣꯟꯊꯕꯥ, ꯁꯣꯟꯊꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯁꯣꯟꯊꯕꯥ꯫
- ꯀꯥꯑꯣꯊꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ꯫
- ꯗꯤꯞꯔꯦꯁꯟ ꯑꯃꯁꯨꯡ ꯀ꯭ꯔꯦꯉ꯭ꯀꯤꯅꯦꯁ꯫
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯈꯥ ꯇꯥꯅꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯃꯗꯒꯤ ꯍꯦꯅꯕꯥ ꯂꯩꯔꯕꯗꯤ, ꯃꯈꯣꯌꯒꯤ ꯃꯔꯃꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯁꯣꯌꯗꯅꯥ ꯈꯪꯍꯅꯕꯤꯌꯨ꯫
ꯀꯦꯂꯁꯤꯌꯝ ꯍꯦꯅꯒꯠꯂꯀꯄꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?
ꯏꯗꯥ ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯀꯦꯂꯁꯤꯌꯝ ꯌꯥꯝꯅꯥ ꯌꯥꯎꯕꯅꯥ ꯑꯀꯅꯕꯥ ꯍꯀꯁꯦꯂꯒꯤ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯀꯌꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫
- ꯑꯣꯁ꯭ꯇꯤꯑꯣꯄꯣꯔꯣꯁꯤꯁ (Osteoporosis): ꯍꯥꯏꯄꯔꯄꯦꯔꯥꯊꯥꯏꯔꯣꯏꯗꯤꯖꯃꯒꯨꯝꯕꯥ ꯀꯟꯗꯤꯁꯅꯁꯤꯡꯗꯥ, ꯁꯔꯨ ꯇꯥꯡꯗꯒꯤ ꯏꯗꯥ ꯌꯥꯝꯅꯥ ꯆꯥꯎꯅꯥ ꯀꯦꯂꯁꯤꯌꯝ ꯊꯥꯗꯣꯀꯏ꯫ ꯃꯁꯤꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯁꯔꯨꯁꯤꯡ ꯑꯗꯨ ꯇꯔꯨ-ꯇꯅꯥꯅꯕꯥ, ꯁꯣꯟꯊꯕꯥ ꯑꯃꯁꯨꯡ ꯐꯖꯅꯥ ꯁꯣꯀꯄꯥ ꯊꯣꯀꯍꯜꯂꯤ꯫ ꯃꯁꯤꯕꯨ ꯑꯣꯁ꯭ꯇꯤꯑꯣꯄꯣꯔꯣꯁꯤꯁ ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫
- ꯀꯤꯗꯅꯤ ꯁ꯭ꯇꯣꯟ (kidney stones): ꯌꯨꯔꯤꯅꯗꯥ ꯀꯦꯂꯁꯤꯌꯝ ꯌꯥꯎꯕꯥ ꯆꯥꯡ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯃꯁꯤꯅꯥ ꯀꯤꯗꯅꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯈꯣꯃꯖꯤꯟꯗꯨꯅꯥ ꯑꯄꯤꯀꯄꯥ ꯁ꯭ꯇꯣꯅꯁꯤꯡ ꯁꯦꯝꯕꯥ ꯌꯥꯏ꯫ ꯁ꯭ꯇꯣꯅꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯌꯨꯔꯤꯅꯔꯤ ꯇ꯭ꯔꯦꯛꯇꯀꯤ ꯃꯈꯥꯗꯥ ꯆꯠꯄꯥ ꯃꯇꯃꯗꯥ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯅꯥ ꯁꯣꯀꯄꯥ ꯌꯥꯏ꯫
- ꯀꯤꯗꯅꯤ ꯐꯦꯜ ꯑꯣꯏꯕꯥ: ꯀꯦꯂꯁꯤꯌꯝ ꯂꯦꯚꯦꯜ ꯋꯥꯡꯕꯅꯥ ꯀꯤꯗꯅꯤꯒꯤ ꯃꯊꯧ ꯇꯧꯕꯗꯥ ꯍꯀꯊꯦꯡꯅꯅꯥ ꯁꯣꯀꯍꯜꯂꯤ꯫ ꯃꯁꯤꯅꯥ ꯃꯈꯣꯌꯒꯤ ꯏ ꯁꯦꯡꯗꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯑꯃꯣꯠꯄꯥ ꯂꯧꯊꯣꯀꯄꯥ ꯉꯝꯕꯒꯤ ꯁꯛꯇꯤ ꯍꯟꯊꯍꯅꯕꯥ ꯉꯝꯃꯤ, ꯑꯃꯁꯨꯡ ꯀꯤꯗꯅꯤ ꯐꯦꯜ ꯑꯣꯏꯍꯅꯕꯥ ꯐꯥꯎꯕꯥ ꯌꯥꯏ꯫
- ꯕ꯭ꯔꯦꯅꯒꯤ ꯐꯉ꯭ꯀꯁꯅꯗꯥ ꯄꯤꯕꯥ ꯏꯐꯦꯛꯇꯁꯤꯡ: ꯏꯗꯥ ꯀꯦꯂꯁꯤꯌꯝ ꯍꯦꯅꯒꯠꯂꯀꯄꯅꯥ ꯅꯔꯚꯁ ꯁꯤꯁ꯭ꯇꯦꯃꯗꯥ ꯁꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ, ꯑꯃꯁꯨꯡ ꯃꯦꯃꯣꯔꯤꯗꯥ ꯁꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ ꯍꯥꯌꯅꯥ ꯈꯟꯅꯩ꯫ ꯃꯁꯤꯅꯥ ꯋꯥꯈꯜ ꯋꯥꯕꯥ, ꯗꯤꯃꯦꯅꯁꯤꯌꯥ, ꯑꯃꯁꯨꯡ ꯁꯥꯊꯤꯕꯥ ꯀꯦꯁꯁꯤꯡꯗꯗꯤ ꯀꯣꯃꯥ ꯐꯥꯎꯕꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫
- ꯍꯥꯔꯇꯀꯤ ꯂꯥꯌꯅꯥ: ꯃꯍꯧꯁꯥꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯋꯥꯡꯕꯥ ꯀꯦꯂꯁꯤꯌꯝ ꯂꯦꯚꯦꯂꯅꯥ ꯍꯥꯔꯇꯀꯤ ꯏꯂꯦꯛꯠꯔꯤꯀꯦꯜ ꯁꯤꯒꯅꯦꯂꯁꯤꯡ ꯁꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ, ꯃꯗꯨꯅꯥ ꯍꯥꯔꯇꯀꯤ ꯈꯣꯡꯖꯦꯜ ꯌꯥꯡꯕꯥ (arrhythmia) ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫
ꯗꯣꯛꯇꯔ ꯑꯃꯅꯥ ꯃꯁꯤ ꯀꯔꯝꯅꯥ ꯐꯪꯒꯅꯤ?
ꯑꯌꯥꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯃꯌꯦꯛ ꯁꯦꯡꯕꯥ ꯂꯥꯏꯑꯣꯡ ꯑꯃꯠꯇꯥ ꯂꯩꯇꯕꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ, ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯑꯇꯣꯞꯄꯥ ꯃꯔꯝ ꯑꯃꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯇꯧꯔꯤꯕꯥ ꯕ꯭ꯂꯗ ꯇꯦꯁ꯭ꯠ ꯑꯃꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯊꯧꯗꯣꯛ ꯑꯃꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯈꯪꯗꯣꯀꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯗꯨ ꯆꯤꯡꯅꯕꯥ ꯂꯩꯔꯕꯗꯤ, ꯃꯍꯥꯛꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯀꯦꯂꯁꯤꯌꯝ ꯂꯦꯚꯦꯜ ꯑꯗꯨ ꯌꯦꯡꯁꯤꯟꯅꯕꯥ ꯕ꯭ꯂꯗ ꯇꯦꯁ꯭ꯠ ꯇꯧꯅꯕꯥ ꯑꯣꯔꯗꯔ ꯇꯧꯒꯅꯤ꯫ ꯕ꯭ꯂꯗ ꯇꯦꯁ꯭ꯠ ꯑꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯄꯦꯔꯥꯊꯥꯏꯔꯣꯏꯗ ꯍꯣꯔꯃꯣꯟ (PTH)ꯒꯤ ꯆꯥꯡꯁꯨ ꯌꯦꯡꯁꯤꯅꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯍꯥꯏꯄꯔꯄꯦꯔꯥꯊꯥꯏꯔꯣꯏꯗꯤꯖꯝ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯐꯖꯅꯥ ꯈꯪꯗꯣꯀꯄꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫ ꯃꯁꯤꯒꯤ ꯃꯊꯛꯇꯥ, ꯃꯔꯝ ꯑꯗꯨ ꯈꯪꯗꯣꯛꯅꯕꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯑꯁꯤ ꯇꯧꯕꯥ ꯌꯥꯏ:
- ꯚꯤꯇꯥꯃꯤꯟ Dꯒꯤ ꯆꯥꯡ ꯌꯦꯡꯁꯤꯟꯅꯕꯥ ꯕ꯭ꯂꯗ ꯇꯦꯁ꯭ꯠ ꯇꯧꯕꯥ꯫
- ꯕꯣꯟ ꯗꯦꯟꯁꯤꯇꯤ ꯇꯦꯁ꯭ꯠ ꯇꯧꯕꯥ꯫
- ꯀꯤꯗꯅꯤꯒꯤ ꯁ꯭ꯇꯣꯅꯁꯤꯡ ꯌꯦꯡꯁꯤꯟꯅꯕꯥ ꯑꯂꯠꯔꯥꯁꯥꯎꯟꯗ ꯁ꯭ꯀꯦꯟ ꯇꯧꯕꯥ꯫
- ꯌꯨꯔꯤꯟ ꯁꯦꯝꯄꯜ ꯑꯃꯅꯥ ꯌꯨꯔꯤꯅꯗꯥ ꯀꯦꯂꯁꯤꯌꯝ ꯀꯌꯥ ꯊꯥꯗꯣꯀꯄꯒꯦ ꯑꯃꯁꯨꯡ ꯀꯤꯗꯅꯤꯁꯤꯡ ꯑꯁꯤ ꯀꯌꯥ ꯌꯥꯝꯅꯥ ꯐꯖꯅꯥ ꯊꯕꯛ ꯇꯧꯔꯤꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯅꯕꯥ ꯇꯦꯁ꯭ꯠ ꯇꯧꯕꯥ ꯌꯥꯏ꯫
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯀꯦꯟꯁꯔꯒꯨꯝꯕꯥ ꯑꯇꯣꯞꯄꯥ ꯃꯔꯝ ꯑꯃꯅꯥ ꯆꯤꯡꯅꯕꯥ ꯂꯩꯔꯕꯗꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯑꯦꯛꯁ-ꯔꯦ, ꯑꯦꯝ.ꯑꯥꯔ.ꯑꯥꯏ., ꯅꯠꯠꯔꯒꯥ ꯁꯤ.ꯇꯤ.
ꯃꯁꯤ ꯀꯔꯝꯅꯥ ꯂꯥꯌꯦꯡꯕꯒꯦ?
ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯄ꯭ꯂꯥꯟ ꯑꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯍꯥꯏꯄꯔꯀꯦꯂꯁꯤꯌꯃꯒꯤ ꯃꯑꯣꯡ-ꯃꯇꯧ ꯑꯃꯁꯨꯡ ꯃꯁꯤꯒꯤ ꯃꯔꯃꯒꯤ ꯃꯈꯥ ꯄꯣꯜꯂꯤ꯫
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯗꯨ ꯌꯥꯝꯅꯥ ꯅꯦꯝꯂꯕꯗꯤ (ꯃꯥꯏꯜꯗ ꯍꯥꯏꯄꯔꯀꯦꯂꯁꯤꯃꯤꯌꯥ): ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯂꯥꯏꯌꯦꯡꯗꯅꯕꯥ ꯋꯥꯔꯦꯞ ꯂꯧꯕꯥ ꯌꯥꯏ, ꯑꯗꯨꯕꯨ ꯅꯍꯥꯛꯀꯤ ꯀꯦꯂꯁꯤꯌꯝ ꯂꯦꯚꯦꯜ ꯑꯗꯨ ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯌꯦꯡꯁꯤꯅꯕꯥ ꯌꯥꯏ꯫ ꯃꯍꯥꯛꯅꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯑꯁꯤꯁꯨ ꯔꯤꯀꯃꯦꯟꯗ ꯇꯧꯕꯥ ꯌꯥꯏ:
- ꯏꯁꯤꯡ ꯃꯔꯥꯡ ꯀꯥꯌꯅꯥ ꯊꯀꯎ꯫
- ꯅꯍꯥꯛꯅꯥ ꯂꯧꯔꯤꯕꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ, ꯍꯥꯌꯕꯗꯤ ꯗꯥꯏꯑꯦꯕꯦꯇꯤꯖ ꯑꯁꯤ ꯊꯤꯡꯖꯤꯜꯂꯨ ꯅꯠꯠꯔꯒꯥ ꯍꯣꯡꯗꯣꯀꯎ꯫
- ꯀꯦꯂꯁꯤꯌꯝ ꯌꯥꯎꯕꯥ ꯑꯦꯟꯇꯤꯑꯦꯁꯤꯗ ꯇꯦꯕ꯭ꯂꯦꯇꯁꯤꯡ ꯆꯥꯕꯥ ꯂꯦꯄꯀꯅꯨ꯫
- ꯀꯦꯂꯁꯤꯌꯝ ꯁꯞꯂꯤꯃꯦꯟꯇꯁꯤꯡ ꯂꯧꯕꯥ ꯂꯦꯄꯀꯅꯨ꯫
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯗꯨ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯑꯣꯏꯔꯕꯗꯤ (Severe Hypercalcemia): ꯀꯦꯁ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ, ꯅꯍꯥꯛꯅꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛ ꯅꯠꯠꯔꯒꯥ ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯦꯡ ꯂꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯏ꯫
- ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ: ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯁꯥꯂꯃꯣꯅꯗꯒꯤ ꯐꯪꯕꯥ ꯍꯣꯔꯃꯣꯟ `ꯀꯦꯂꯁꯤꯇꯣꯅꯤꯟ`, ꯚꯤꯇꯥꯃꯤꯟ D ꯍꯦꯅꯒꯠꯂꯀꯄꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯀꯟꯗꯤꯁꯅꯁꯤꯡꯒꯤꯗꯃꯛꯇꯥ `ꯄ꯭ꯔꯦꯗꯅꯤꯁꯣꯟ`ꯒꯨꯝꯕꯥ ꯁ꯭ꯇꯦꯔꯣꯏꯗꯁꯤꯡ, ꯑꯃꯁꯨꯡ ꯀꯦꯟꯁꯔꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯁꯔꯨ ꯇꯥꯡꯒꯤ ꯑꯁꯣꯛ-ꯑꯄꯅꯒꯤꯗꯃꯛ `ꯕꯤꯁꯐꯣꯁꯐꯣꯅꯦꯠꯁꯤꯡ` ꯑꯃꯁꯨꯡ `ꯗꯦꯅꯣꯁꯨꯃꯕ (ꯄ꯭ꯔꯣꯂꯤꯌꯥ, Xgeva)`ꯒꯨꯝꯕꯥ ꯍꯤꯗꯥꯀꯁꯤꯡ ꯄꯤꯕꯥ ꯌꯥꯏ꯫
- ꯁꯔꯖꯔꯤ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯥꯏꯄꯔꯀꯦꯂꯁꯤꯃꯤꯌꯥ ꯑꯁꯤ ꯑꯣꯚꯔꯑꯦꯛꯇꯤꯚ ꯄꯦꯔꯥꯊꯥꯏꯔꯣꯏꯗ ꯒ꯭ꯜꯌꯥꯟꯗꯁꯤꯡꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯑꯣꯏꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯁꯣꯀꯍꯜꯂꯕꯥ ꯒ꯭ꯜꯌꯥꯟꯗ ꯅꯠꯠꯔꯒꯥ ꯒ꯭ꯜꯌꯥꯟꯗꯁꯤꯡ ꯑꯗꯨ ꯁꯔꯖꯤꯀꯦꯜ ꯑꯣꯏꯅꯥ ꯂꯧꯊꯣꯛꯅꯕꯥ ꯄꯥꯎꯇꯥꯛ ꯄꯤꯕꯥ ꯌꯥꯏ꯫
ꯑꯗꯣꯝꯅꯥ ꯈꯉꯒꯗꯕꯥ ꯑꯍꯦꯅꯕꯥ ꯋꯥꯐꯝ ꯈꯔꯥ꯫
`ꯍꯥꯏꯄꯥꯔꯀꯦꯂꯁꯤꯃꯤꯌꯥ`ꯒꯤ ꯀꯦꯁꯇꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯁꯦꯂꯒꯤ ꯐꯤꯚꯝ ꯑꯁꯤ ꯂꯥꯌꯅꯥ ꯑꯁꯤꯒꯤ ꯁꯥꯊꯤꯕꯥ ꯃꯑꯣꯡ ꯑꯃꯁꯨꯡ ꯃꯁꯤꯒꯤ ꯃꯈꯥ ꯄꯣꯜꯂꯤꯕꯥ ꯃꯔꯝ ꯑꯗꯨꯒꯤ ꯃꯈꯥ ꯄꯣꯜꯂꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯗꯨ ꯃꯌꯥꯏ ꯑꯣꯏꯕꯥ ꯑꯣꯏꯔꯕꯗꯤ, ꯑꯇꯩ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ ꯂꯩꯕꯥ ꯌꯥꯏ꯫ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯤ ꯏꯅꯁ꯭ꯠꯔꯛꯁꯅꯁꯤꯡ ꯉꯥꯛꯅꯥ ꯆꯠꯇꯨꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯀꯦꯂꯁꯤꯌꯝ ꯂꯦꯚꯦꯜ ꯑꯗꯨ ꯃꯦꯅꯦꯖ ꯇꯧꯕꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯗꯨ ꯁꯥꯊꯤꯕꯥ ꯑꯣꯏꯔꯕꯗꯤ, ꯃꯔꯝ ꯑꯗꯨꯗꯥ ꯌꯨꯝꯐꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯊꯧꯔꯥꯡ ꯑꯃꯥ ꯁꯦꯃꯒꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯔꯝ ꯑꯗꯨ ꯀꯦꯟꯁꯔ ꯑꯣꯏꯔꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯏꯟꯠꯔꯥꯚꯦꯅꯁ ꯐ꯭ꯂꯨꯏꯗ (IV ꯐ꯭ꯂꯨꯏꯗ) ꯑꯃꯁꯨꯡ ꯑꯇꯩ ꯂꯥꯏꯌꯦꯡꯁꯤꯡꯒꯤꯗꯃꯛ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯂꯗꯥ ꯊꯝꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯏ꯫ ꯀꯦꯟꯁꯔꯒꯨꯝꯕꯥ ꯑꯇꯩ ꯃꯦꯗꯤꯀꯦꯜ ꯀꯟꯗꯤꯁꯅꯁꯤꯡꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ `ꯍꯥꯏꯄꯥꯔꯀꯦꯂꯁꯤꯃꯤꯌꯥ` ꯑꯁꯤ ꯊꯤꯡꯕꯥ ꯉꯃꯗꯕꯥ ꯃꯇꯃꯗꯥ, ꯅꯍꯥꯛꯀꯤ ꯏꯗꯥ ꯀꯦꯂꯁꯤꯌꯝ ꯂꯦꯚꯦꯜ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯅꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯇꯧꯕꯥ ꯌꯥꯕꯥ ꯊꯕꯛ ꯀꯌꯥ ꯂꯩ꯫
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯏꯃꯨꯡꯗꯥ ꯀꯅꯥꯒꯨꯝꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯅꯥ ꯍꯥꯏꯄꯔꯄꯦꯔꯥꯊꯥꯏꯔꯣꯏꯗꯤꯖꯝ, ꯀꯤꯗꯅꯤ ꯁ꯭ꯇꯣꯟ ꯅꯠꯠꯔꯒꯥ ꯀꯦꯂꯁꯤꯌꯝ ꯂꯦꯚꯦꯜ ꯋꯥꯡꯕꯒꯤ ꯍꯤꯁ꯭ꯇꯔꯤ ꯂꯩꯔꯕꯗꯤ, ꯃꯗꯨꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯈꯪꯍꯅꯕꯤꯌꯨ꯫
- ꯗꯣꯛꯇꯔ ꯑꯃꯒꯥ ꯇꯥꯟꯅꯗꯅꯥ ꯀꯩꯗꯧꯉꯩꯗꯥ ꯀꯦꯂꯁꯤꯌꯝ ꯁꯞꯂꯤꯃꯦꯟꯇꯁꯤꯡ ꯅꯠꯠꯔꯒꯥ ꯀꯦꯂꯁꯤꯌꯝ ꯌꯥꯝꯅꯥ ꯌꯥꯎꯕꯥ ꯑꯦꯟꯇꯤꯑꯦꯁꯤꯗꯁꯤꯡ ꯂꯧꯔꯣꯏꯗꯕꯅꯤ .
- ꯚꯤꯇꯥꯃꯤꯟ, ꯃꯤꯅꯔꯦꯂꯁꯤꯡ ꯅꯠꯠꯔꯒꯥ ꯑꯇꯩ ꯁꯞꯂꯤꯃꯦꯟꯇꯁꯤꯡ ꯁꯤꯖꯤꯟꯅꯗ꯭ꯔꯤꯉꯩꯗꯥ ꯃꯇꯝ ꯄꯨꯝꯅꯃꯛꯇꯥ ꯗꯣꯛꯇꯔ ꯑꯃꯒꯥ ꯇꯥꯟꯅꯧ꯫
ꯇꯦꯛ-ꯍꯣꯝ ꯃꯦꯁꯦꯖ ꯇꯧꯕꯥ꯫
- ꯍꯥꯌꯄꯔꯀꯦꯂꯁꯤꯃꯤꯌꯥ ꯍꯥꯌꯕꯁꯤ ꯏꯗꯥ ꯀꯦꯂꯁꯤꯌꯃꯒꯤ ꯆꯥꯡ ꯋꯥꯡꯈꯠꯂꯀꯄꯅꯤ꯫ ꯑꯌꯥꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯑꯍꯥꯅꯕꯥ ꯁ꯭ꯇꯦꯖꯁꯤꯡꯗꯥ ꯃꯌꯦꯛ ꯁꯦꯡꯕꯥ ꯂꯥꯏꯑꯣꯡ ꯑꯃꯠꯇꯥ ꯂꯩꯇꯦ꯫
- ꯃꯁꯤꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯔꯃꯗꯤ ꯍꯥꯏꯄꯔꯄꯦꯔꯥꯊꯥꯏꯔꯣꯏꯗꯤꯖꯝ ꯑꯁꯤꯅꯤ, ꯑꯗꯨꯕꯨ ꯃꯁꯤ ꯑꯀꯛꯅꯕꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯀꯦꯟꯁꯔꯒꯨꯝꯕꯥ ꯀꯟꯗꯤꯁꯅꯁꯤꯡꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯌꯥꯝꯅꯥ ꯇꯣꯏꯅꯥ ꯇꯀꯈꯥꯌꯔꯕꯥ, ꯌꯥꯝꯅꯥ ꯇꯣꯏꯅꯥ ꯆꯤꯀꯄꯥ, ꯋꯥꯈꯜ ꯇꯥꯗꯕꯥ, ꯑꯃꯁꯨꯡ ꯁꯔꯨ ꯇꯥꯡ ꯁꯣꯀꯄꯥ ꯑꯁꯤꯅꯆꯤꯡꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯂꯩꯔꯕꯗꯤ ꯈꯨꯗꯛꯇꯥ ꯗꯣꯛꯇꯔꯒꯥ ꯇꯥꯟꯅꯧ꯫
- ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯄꯥꯎꯇꯥꯛ ꯌꯥꯎꯗꯅꯥ ꯀꯩꯗꯧꯉꯩꯗꯥ ꯀꯦꯂꯁꯤꯌꯝ ꯅꯠꯠꯔꯒꯥ ꯚꯤꯇꯥꯃꯤꯟ D ꯁꯞꯂꯤꯃꯦꯟꯇꯁꯤꯡ ꯂꯧꯔꯣꯏꯗꯕꯅꯤ꯫
- ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯃꯑꯣꯡ ꯑꯁꯤ ꯂꯥꯌꯅꯥ ꯑꯁꯤꯒꯤ ꯁꯥꯊꯤꯕꯥ ꯑꯃꯁꯨꯡ ꯃꯁꯤꯕꯨ ꯊꯣꯀꯍꯜꯂꯤꯕꯥ ꯃꯈꯥ ꯇꯥꯕꯥ ꯃꯦꯗꯤꯀꯦꯜ ꯀꯟꯗꯤꯁꯟ ꯑꯗꯨꯒꯤ ꯃꯈꯥ ꯄꯣꯜꯂꯤ꯫
ꯍꯥꯏꯄꯔꯀꯦꯂꯁꯤꯃꯤꯌꯥ, ꯀꯦꯂꯁꯤꯌꯝ, ꯀꯦꯂꯁꯤꯌꯝ ꯋꯥꯡꯕꯥ, ꯏꯗꯥ ꯀꯦꯂꯁꯤꯌꯝ, ꯄꯦꯔꯥꯊꯥꯏꯔꯣꯏꯗ, ꯀꯤꯗꯅꯤ ꯁ꯭ꯇꯣꯟ, ꯁꯔꯨ ꯇꯥꯡ ꯁꯣꯀꯄꯥ꯫
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