ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯂꯩꯔꯤꯕꯥ ꯀꯦꯂꯁꯤꯌꯝ ꯑꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯀꯔꯤ ꯈꯪꯂꯤꯕꯒꯦ? ꯑꯩꯈꯣꯌ ꯄꯨꯝꯅꯃꯛꯅꯥ ꯈꯉꯏ ꯃꯗꯨꯗꯤ ꯁꯔꯨ ꯑꯃꯁꯨꯡ ꯍꯥꯀꯆꯥꯡꯗꯥ ꯀꯦꯂꯁꯤꯌꯝ ꯃꯊꯧ ꯇꯥꯏ꯫ ꯑꯗꯨꯕꯨ ꯏꯗꯥ ꯈꯔꯥ ꯑꯈꯟꯅꯕꯥ ꯀꯦꯂꯁꯤꯌꯝ ꯃꯈꯜ ꯑꯃꯥ ꯂꯩ ꯍꯥꯌꯕꯁꯤ ꯑꯗꯣꯝꯅꯥ ꯈꯉꯕꯤꯔꯤꯕꯔꯥ꯫ ꯉꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ ‘ꯑꯥꯏꯑꯣꯅꯥꯏꯖꯗ ꯀꯦꯂꯁꯤꯌꯝ ’ ꯀꯧꯕꯥ ꯃꯈꯜ ꯑꯗꯨꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯔꯤ ꯫ ꯃꯁꯤꯅꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯊꯧꯗꯥꯡ ꯂꯧꯔꯤ꯫ ꯃꯁꯤ ꯀꯔꯤꯅꯣ, ꯃꯁꯤ ꯀꯔꯤꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯅꯣ, ꯑꯃꯁꯨꯡ ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯅꯦꯝꯂꯕꯗꯤ ꯅꯠꯠꯔꯒꯥ ꯌꯥꯝꯅꯥ ꯋꯥꯡꯂꯕꯗꯤ ꯀꯔꯤ ꯑꯣꯏꯒꯅꯤ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯁꯤ꯫
‘ꯑꯥꯏꯑꯣꯅꯏꯖꯗ ꯀꯦꯂꯁꯤꯌꯝ’ ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ?
ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯅꯍꯥꯛꯀꯤ ꯏꯗꯥ ꯌꯥꯎꯔꯤꯕꯥ ꯀꯦꯂꯁꯤꯌꯝ ꯈꯔꯗꯤ ꯄ꯭ꯔꯣꯇꯤꯟ ꯑꯃꯠꯇꯥ ꯌꯥꯎꯗꯅꯥ ꯆꯦꯟꯊꯔꯀꯏ . ꯑꯗꯨꯒꯨꯝꯕꯥ ꯐ꯭ꯔꯤ, ꯑꯦꯛꯇꯤꯕ ꯀꯦꯂꯁꯤꯌꯝ ꯑꯗꯨ ꯑꯩꯈꯣꯌꯅꯥ ‘ꯑꯥꯏꯑꯣꯅꯥꯏꯖꯗ ꯀꯦꯂꯁꯤꯌꯝ’ ꯅꯠꯠꯔꯒꯥ ‘ꯐ꯭ꯔꯤ ꯀꯦꯂꯁꯤꯌꯝ’ ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ ꯈꯅꯕꯤꯌꯨ, ꯃꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯇꯁꯦꯡꯅꯥ ꯊꯕꯛ ꯇꯧꯔꯤꯕꯥ ‘ꯑꯦꯛꯇꯤꯕ’ ꯀꯦꯂꯁꯤꯌꯝ ꯑꯁꯤꯅꯤ꯫ ꯅꯍꯥꯛꯀꯤ ꯏꯗꯥ ꯂꯩꯔꯤꯕꯥ ꯑꯄꯨꯅꯕꯥ ꯀꯦꯂꯁꯤꯌꯝ ꯑꯗꯨꯒꯤ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯁꯔꯨꯛ ꯑꯍꯨꯝ ꯊꯣꯀꯄꯒꯤ ꯑꯃꯥ, ꯅꯠꯠꯔꯒꯥ ꯆꯥꯎꯔꯥꯛꯅꯥ 50%ꯗꯤ ꯑꯥꯏꯑꯣꯅꯥꯏꯖ ꯇꯧꯔꯕꯥ ꯀꯦꯂꯁꯤꯌꯝ ꯑꯣꯏ꯫
ꯀꯦꯂꯁꯤꯌꯝ ꯑꯁꯤꯒꯤ ꯑꯇꯣꯞꯄꯥ ꯁꯔꯨꯛ ꯑꯗꯨꯗꯥ ꯀꯔꯤ ꯊꯣꯀꯏ? ꯃꯁꯤ ꯏꯗꯥ ꯂꯩꯕꯥ ꯄ꯭ꯔꯣꯇꯤꯅꯁꯤꯡꯒꯥ ꯃꯔꯨꯑꯣꯏꯅꯥ ‘ ꯑꯦꯂꯕꯨꯃꯤꯟ ’ ꯀꯧꯕꯥ ꯄ꯭ꯔꯣꯇꯤꯟ ꯑꯃꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯆꯦꯜꯂꯤ꯫ ꯑꯩꯈꯣꯌꯅꯥ ꯃꯁꯤꯕꯨ ‘ꯕꯥꯎꯟꯗ ꯀꯦꯂꯁꯤꯌꯝ’ ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ ꯃꯁꯤꯒꯤ ꯕꯥꯎꯟꯗ ꯀꯦꯂꯁꯤꯌꯝ ꯑꯁꯤꯅꯥ ꯊꯕꯛ ꯀꯌꯥ ꯇꯧꯗꯦ, ꯃꯁꯤ ‘ꯏꯅꯑꯦꯛꯇꯤꯚ’ ꯈꯛꯇꯅꯤ, ꯍꯥꯌꯕꯗꯤ ꯃꯁꯤ ꯏꯅꯑꯦꯛꯇꯤꯚ ꯑꯣꯏ꯫ ꯃꯔꯝ ꯑꯁꯤꯅꯥ ꯃꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯊꯕꯛ ꯊꯧꯔꯃꯁꯤꯡꯗꯥ ꯍꯀꯊꯦꯡꯅꯅꯥ ꯁꯤꯖꯤꯟꯅꯕꯥ ꯐ꯭ꯔꯤ, ꯑꯥꯏꯑꯣꯅꯥꯏꯖꯗ ꯀꯦꯂꯁꯤꯌꯝ ꯑꯁꯤꯅꯤ꯫
ꯍꯧꯖꯤꯛ ꯌꯦꯡꯕꯤꯌꯨ, ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯂꯩꯔꯤꯕꯥ ꯑꯄꯨꯅꯕꯥ ꯀꯦꯂꯁꯤꯌꯝ ꯁꯞꯂꯥꯏꯒꯤ ꯹꯹%ꯗꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯁꯔꯨ ꯑꯃꯁꯨꯡ ꯍꯥꯀꯆꯥꯡꯗꯥ ꯂꯩꯔꯤ . ꯃꯗꯨ ꯑꯩꯈꯣꯌ ꯄꯨꯝꯅꯃꯛꯅꯥ ꯈꯉꯏ꯫ ꯂꯦꯃꯍꯧꯔꯤꯕꯥ ꯱%ꯗꯤ ꯏꯗꯥ ꯆꯪꯁꯤꯜꯂꯤ . ꯑꯗꯨꯅꯥ, ꯑꯩꯈꯣꯌꯅꯥ ꯋꯥꯔꯤ ꯁꯥꯔꯤꯕꯥ ꯑꯥꯏꯑꯣꯅꯥꯏꯖꯗ ꯀꯦꯂꯁꯤꯌꯝ (ꯐ꯭ꯔꯤ ꯀꯦꯂꯁꯤꯌꯝ) ꯑꯁꯤ ꯇꯁꯦꯡꯅꯥ ꯑꯄꯤꯀꯄꯥ ꯃꯁꯤꯡ ꯑꯃꯅꯤ, ꯍꯀꯆꯥꯡꯗꯥ ꯂꯩꯔꯤꯕꯥ ꯑꯄꯨꯅꯕꯥ ꯀꯦꯂꯁꯤꯌꯝ ꯑꯁꯤꯒꯤ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯰.꯵%ꯅꯤ꯫ ꯅꯍꯥꯛꯅꯥ ꯈꯜꯂꯃꯒꯅꯤ, ‘ꯋꯥꯍ, ꯃꯁꯤ ꯑꯁꯨꯛ ꯌꯥꯝꯅꯥ ꯑꯄꯤꯀꯄꯥ ꯁꯦꯅꯐꯝ ꯑꯃꯅꯤ꯫’ ꯑꯗꯨꯕꯨ, ꯆꯤꯂꯤ ꯄꯦꯄꯔ ꯑꯃꯒꯨꯝꯅꯥ , ꯑꯥꯏꯑꯣꯅꯥꯏꯖ ꯇꯧꯔꯕꯥ ꯀꯦꯂꯁꯤꯌꯝ ꯑꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯑꯄꯨꯅꯕꯥ ꯍꯀꯁꯦꯂꯒꯤꯗꯃꯛ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫ ꯀꯔꯤ ꯈꯉꯕꯒꯦ?
ꯃꯁꯤꯒꯤ ꯑꯥꯏꯑꯣꯅꯥꯏꯖꯗ ꯀꯦꯂꯁꯤꯌꯝ ꯑꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ:
- ꯅꯔꯚꯁ ꯁꯤꯁ꯭ꯇꯦꯝ ꯑꯁꯤ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯊꯕꯛ ꯇꯧꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫ ꯃꯁꯤ ꯄꯥꯎꯖꯦꯂꯁꯤꯡ ꯄꯨꯗꯨꯅꯥ ꯆꯠꯄꯗꯥ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫
- ꯃꯁꯤꯅꯥ ꯃꯁꯂꯁꯤꯡꯕꯨ ꯀꯟꯠꯔꯦꯛꯇ ꯇꯧꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ, ꯍꯥꯌꯕꯗꯤ ꯃꯈꯣꯌꯅꯥ ꯀꯟꯠꯔꯦꯛꯇ ꯇꯧꯕꯥ ꯑꯃꯁꯨꯡ ꯂꯦꯡ-ꯑꯣꯠꯄꯥ, ꯑꯃꯁꯨꯡ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯊꯕꯛ ꯇꯧꯕꯥ ꯍꯥꯌꯕꯁꯤꯅꯤ꯫
- ꯍꯀꯆꯥꯡ ꯐꯅꯥ ꯂꯩꯅꯕꯥ ꯍꯥꯔꯇꯀꯤ ꯐꯉ꯭ꯀꯁꯟ ꯑꯃꯁꯨꯡ ꯍꯥꯔꯇꯀꯤ ꯔꯤꯗꯃꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ .
- ꯏ ꯊꯣꯀꯄꯥ꯫ꯃꯁꯤ ꯊꯧꯑꯣꯡ ꯑꯁꯤꯒꯤꯗꯃꯛꯇꯁꯨ ꯇꯉꯥꯏꯐꯗꯕꯥ ꯑꯃꯅꯤ꯫ ꯃꯁꯤ ꯑꯁꯣꯀꯄꯥ ꯑꯃꯥ ꯂꯩꯕꯥ ꯃꯇꯃꯗꯥ ꯏ ꯊꯣꯀꯄꯥ ꯊꯤꯡꯅꯕꯥ ꯃꯊꯧ ꯇꯥꯏ꯫
ꯍꯥꯌꯔꯤꯕꯥ ꯋꯥꯐꯃꯁꯤꯡ ꯑꯁꯤ ꯀꯌꯥ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯈꯅꯕꯤꯌꯨ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯏꯗꯥ ꯑꯥꯏꯑꯣꯅꯥꯏꯖ ꯇꯧꯔꯕꯥ ꯀꯦꯂꯁꯤꯌꯝ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯋꯥꯡꯂꯕꯗꯤ ꯅꯠꯠꯔꯒꯥ ꯌꯥꯝꯅꯥ ꯅꯦꯝꯂꯕꯗꯤ, ꯃꯁꯤꯅꯥ ꯍꯀꯆꯥꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯍꯀꯁꯦꯂꯒꯤ ꯁꯃꯁ꯭ꯌꯥ ꯈꯔꯥ ꯂꯩ ꯍꯥꯌꯕꯥ ꯇꯥꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯔꯝ ꯑꯁꯤꯅꯥ ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯈꯉꯕꯥ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫
ꯀꯔꯤꯒꯤꯗꯃꯛꯇꯥ ‘ꯑꯥꯏꯑꯣꯅꯥꯏꯖꯗ ꯀꯦꯂꯁꯤꯌꯝ’ ꯇꯦꯁ꯭ꯠ ꯑꯁꯤ ꯇꯧꯔꯤꯕꯅꯣ?
ꯃꯍꯧꯁꯥꯅꯥ ꯑꯩꯈꯣꯌꯅꯥ ꯏꯗꯥ ꯀꯦꯂꯁꯤꯌꯝ ꯆꯦꯛ ꯇꯧꯕꯥ ꯃꯇꯃꯗꯥ ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯑꯄꯨꯅꯕꯥ ꯀꯦꯂꯁꯤꯌꯝ ꯑꯗꯨ ꯌꯦꯡꯏ, ꯃꯁꯤꯅꯥ ꯕꯥꯎꯟꯗ ꯀꯦꯂꯁꯤꯌꯝ ꯑꯃꯁꯨꯡ ꯐ꯭ꯔꯤ ꯀꯦꯂꯁꯤꯌꯝ ꯑꯅꯤꯃꯛꯀꯤ ꯆꯥꯡ ꯑꯗꯨꯅꯤ꯫ ꯑꯗꯨꯕꯨ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯅꯍꯥꯛꯅꯥ ꯀꯌꯥ ꯌꯥꯝꯅꯥ ꯐ꯭ꯔꯤ, ꯑꯦꯛꯇꯤꯕ ꯀꯦꯂꯁꯤꯌꯝ ꯂꯩꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯑꯆꯨꯝꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯈꯉꯕꯥ ꯄꯥꯝꯃꯤ꯫ ꯃꯗꯨꯗꯥ ꯃꯁꯤꯒꯤ ‘ꯑꯥꯏꯑꯣꯅꯥꯏꯖꯗ ꯀꯦꯂꯁꯤꯌꯝ’ ꯇꯦꯁ꯭ꯠ ꯑꯁꯤ ꯇꯧꯏ . ꯃꯁꯤꯅꯥ ꯐ꯭ꯔꯤ, ꯑꯦꯛꯇꯤꯕ ꯀꯦꯂꯁꯤꯌꯝ ꯈꯛꯇꯃꯛ ꯂꯦꯄꯊꯣꯀꯏ꯫
ꯇꯦꯁ꯭ꯠ ꯑꯁꯤ ꯇꯧꯅꯕꯒꯤꯗꯃꯛ, ꯅꯍꯥꯛꯀꯤ ꯃꯐꯃꯗꯒꯤ ꯑꯄꯤꯀꯄꯥ ꯏꯒꯤ ꯁꯦꯝꯄꯜ ꯑꯃꯥ ꯂꯧꯒꯅꯤ꯫ ꯃꯗꯨꯅꯤ꯫
ꯍꯧꯖꯤꯛ ꯗꯣꯛꯇꯔ ꯑꯃꯅꯥ ꯀꯔꯤ ꯐꯤꯚꯃꯁꯤꯡꯗꯥ ꯑꯥꯏꯑꯣꯅꯥꯏꯖ ꯇꯧꯔꯕꯥ ꯀꯦꯂꯁꯤꯌꯝ ꯇꯦꯁ꯭ꯠ ꯇꯧꯅꯕꯥ ꯍꯥꯌꯖꯔꯀꯄꯥ ꯌꯥꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯁꯤ:
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯣꯇꯤꯅꯒꯤ ꯆꯥꯡ (ꯃꯔꯨꯑꯣꯏꯅꯥ ꯑꯦꯂꯕꯨꯃꯤꯟ) ꯑꯗꯨ ꯑꯁꯣꯀꯄꯥ ꯑꯣꯏꯔꯕꯗꯤ . ꯃꯔꯃꯗꯤ ꯑꯦꯂꯕꯨꯃꯤꯟ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯍꯟꯊꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯑꯄꯨꯅꯕꯥ ꯀꯦꯂꯁꯤꯌꯝ ꯂꯦꯚꯦꯜ ꯑꯁꯤ ꯍꯣꯡꯂꯀꯄꯥ ꯌꯥꯏ, ꯑꯗꯨꯕꯨ ꯑꯥꯏꯑꯣꯅꯥꯏꯖ ꯇꯧꯔꯕꯥ ꯀꯦꯂꯁꯤꯌꯝ ꯂꯦꯚꯦꯜ ꯑꯁꯤꯅꯥ ꯑꯆꯨꯝꯕꯥ ꯐꯤꯚꯝ ꯑꯗꯨ ꯈꯉꯅꯕꯒꯤ ꯑꯃꯠꯇꯥ ꯉꯥꯏꯔꯕꯥ ꯄꯥꯝꯕꯩꯅꯤ꯫
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯌꯥꯝꯅꯥ ꯅꯥꯕꯥ ꯑꯣꯏꯔꯕꯗꯤ ꯑꯃꯁꯨꯡ IV ꯐ꯭ꯂꯨꯏꯗ (ꯈꯨꯠꯂꯥꯏꯗꯥ ꯄꯤꯕꯥ ꯁꯦꯂꯅꯒꯨꯝꯕꯥ ꯐ꯭ꯂꯨꯏꯗ) ꯄꯤꯕꯥ ꯃꯊꯧ ꯇꯥꯔꯕꯗꯤ . ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯑꯅꯥꯕꯥ ꯂꯩꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯍꯀꯆꯥꯡꯒꯤ ꯕꯦꯂꯦꯟꯁ ꯌꯦꯡꯁꯤꯟꯅꯕꯥ ꯃꯔꯨꯑꯣꯏ꯫
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯆꯧꯕꯥ ꯁꯔꯖꯔꯤ ꯑꯃꯥ ꯇꯧꯕꯥ ꯇꯥꯔꯕꯗꯤ , ꯁꯔꯖꯔꯤꯒꯤ ꯃꯃꯥꯡ ꯑꯃꯁꯨꯡ ꯃꯇꯨꯡꯗꯥ ꯂꯦꯚꯦꯜ ꯑꯁꯤ ꯌꯦꯡꯁꯤꯅꯕꯥ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯏ ꯊꯥꯗꯣꯀꯈ꯭ꯔꯕꯗꯤ . ꯄꯤꯈꯤꯕꯥ ꯏ ꯑꯗꯨꯗꯥ ꯌꯥꯎꯔꯤꯕꯥ ꯄꯣꯠꯁꯛ ꯈꯔꯅꯥ ꯀꯦꯂꯁꯤꯌꯝ ꯂꯦꯚꯦꯂꯗꯥ ꯑꯍꯣꯡꯕꯥ ꯄꯨꯔꯀꯄꯥ ꯌꯥꯏ꯫
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯤꯔꯣꯜꯂꯤꯕꯤ ꯑꯃꯁꯨꯡ ꯅꯤꯑꯣꯅꯦꯇꯦꯜ ꯃꯣꯅꯤꯇꯔ ꯇꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯔꯕꯗꯤ .
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯦꯛꯌꯨꯠ ꯄꯦꯅꯛꯔꯤꯑꯦꯇꯤꯁꯀꯤ ꯂꯥꯏꯑꯣꯡ ꯂꯩꯔꯕꯗꯤ . ꯀꯦꯂꯁꯤꯌꯝ ꯂꯦꯚꯦꯜ ꯑꯁꯤ ꯄꯦꯅꯛꯔꯤꯑꯦꯇꯤꯛ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯃꯁꯤꯡꯅꯥ ꯁꯣꯀꯍꯜꯂꯤ꯫
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯄꯦꯔꯥꯊꯥꯏꯔꯣꯏꯗ ꯗꯤꯁꯑꯣꯔꯗꯔ ꯑꯃꯥ ꯂꯩꯔꯦ ꯍꯥꯌꯅꯥ ꯆꯤꯡꯅꯔꯕꯗꯤ , ꯒ꯭ꯜꯌꯥꯟꯗꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯀꯦꯂꯁꯤꯌꯝ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯥ ꯍꯣꯔꯃꯣꯅꯁꯤꯡ ꯄꯨꯊꯣꯀꯏ꯫
ꯇꯦꯁ꯭ꯇꯀꯤꯗꯃꯛ ꯃꯇꯧ ꯀꯔꯝꯅꯥ ꯁꯦꯝ ꯁꯥꯒꯗꯒꯦ?
ꯑꯥꯏꯑꯣꯅꯥꯏꯖ ꯇꯧꯔꯕꯥ ꯀꯦꯂꯁꯤꯌꯝ ꯇꯦꯁ꯭ꯠ ꯑꯁꯤꯒꯤꯗꯃꯛꯇꯥ ꯆꯠꯠꯔꯤꯉꯩꯒꯤ ꯃꯃꯥꯡꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯇꯧꯒꯗꯕꯥ ꯁꯦꯝ ꯁꯥꯕꯥ ꯈꯔꯥ ꯂꯩ꯫
- ꯃꯍꯧꯁꯥꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯇꯦꯁ꯭ꯠ ꯇꯧꯗ꯭ꯔꯤꯉꯩꯒꯤ ꯃꯃꯥꯡꯗꯥ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯄꯨꯡ 6 (6) ꯐꯥꯎꯕꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯃꯠꯇꯥ ꯆꯥꯔꯣꯏꯗꯕꯅꯤ ꯅꯠꯠꯔꯒꯥ ꯊꯛꯂꯣꯏꯗꯕꯅꯤ ꯍꯥꯌꯅꯥ ꯍꯥꯌꯔꯤ . ꯏꯁꯤꯡ ꯈꯔꯥ ꯊꯀꯄꯥ ꯑꯁꯤ ꯑꯐꯕꯥ ꯑꯃꯅꯤ꯫ ꯃꯁꯤꯒꯤ ꯃꯔꯃꯗꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯆꯥꯔꯤꯕꯥ ꯆꯤꯟꯖꯥꯛꯀꯤ ꯃꯇꯨꯡ ꯏꯟꯅꯥ ꯏꯗꯥ ꯌꯥꯑꯣꯔꯤꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡꯒꯤ ꯆꯥꯡ ꯑꯁꯤ ꯈꯔꯥ ꯍꯣꯡꯂꯀꯄꯥ ꯌꯥꯏ, ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯑꯆꯨꯝꯕꯥ ꯔꯤꯗꯤꯡ ꯑꯃꯥ ꯐꯪꯕꯗꯥ ꯑꯋꯥꯕꯥ ꯑꯣꯏꯍꯜꯂꯤ꯫
- ꯃꯁꯤꯗꯁꯨ ꯅꯠꯇꯅꯥ, ꯅꯍꯥꯛꯅꯥ ꯂꯧꯔꯤꯕꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ, ꯚꯤꯇꯥꯃꯤꯟ ꯑꯃꯁꯨꯡ ꯁꯞꯂꯤꯃꯦꯟꯇ ꯄꯨꯝꯅꯃꯛꯀꯤ ꯃꯇꯥꯡꯗꯁꯨ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯈꯪꯍꯅꯒꯗꯕꯅꯤ . ꯍꯤꯗꯥꯛ ꯈꯔꯅꯥ ꯇꯦꯁ꯭ꯠ ꯑꯁꯤꯒꯤ ꯐꯂꯗꯥ ꯑꯀꯥꯌꯕꯥ ꯄꯤꯕꯥ ꯌꯥꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯣꯏꯔꯒꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯇꯦꯁ꯭ꯠ ꯇꯧꯗ꯭ꯔꯤꯉꯩꯒꯤ ꯃꯃꯥꯡꯗꯥ ꯅꯨꯃꯤꯠ ꯈꯔꯅꯤꯒꯤ ꯑꯣꯏꯅꯥ ꯃꯈꯣꯌ ꯑꯁꯤ ꯂꯧꯕꯥ ꯂꯦꯄꯍꯟꯅꯕꯥ ꯍꯥꯌꯔꯀꯄꯥ ꯌꯥꯏ꯫ꯑꯗꯨꯕꯨ ꯅꯤꯡꯁꯤꯡꯕꯤꯌꯨ, ꯅꯍꯥꯛꯀꯤ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ ꯑꯗꯨ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯤ ꯄꯥꯎꯇꯥꯛ ꯌꯥꯎꯗꯅꯥ ꯀꯩꯗꯧꯉꯩꯗꯥ ꯂꯦꯄꯀꯅꯨ꯫
ꯑꯥꯏꯑꯣꯅꯥꯏꯖ ꯇꯧꯔꯕꯥ ꯀꯦꯂꯁꯤꯌꯝ ꯂꯦꯚꯦꯜ ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ?
ꯅꯍꯥꯛꯀꯤ ꯑꯥꯏꯑꯣꯅꯥꯏꯖ ꯇꯧꯔꯕꯥ ꯀꯦꯂꯁꯤꯌꯝ ꯂꯦꯚꯦꯜ ꯑꯗꯨ ꯌꯦꯡꯗꯨꯅꯥ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯁꯦꯂꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯌꯥꯝꯅꯥ ꯈꯪꯕꯥ ꯉꯃꯒꯅꯤ꯫ ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯃꯁꯤꯅꯥ ꯄꯦꯅꯛꯔꯤꯑꯦꯇꯤꯁ, ꯀꯤꯗꯅꯤꯒꯤ ꯂꯥꯌꯅꯥ, ꯑꯃꯁꯨꯡ ꯄꯦꯔꯥꯊꯥꯏꯔꯣꯏꯗ ꯒ꯭ꯜꯌꯥꯟꯗꯒꯤ ꯀꯟꯗꯤꯁꯅꯁꯤꯡꯒꯨꯝꯕꯥ ꯇꯣꯉꯥꯟ ꯇꯣꯉꯥꯅꯕꯥ ꯃꯦꯗꯤꯀꯦꯜ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ ꯈꯉꯗꯣꯀꯄꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯕꯥ ꯉꯃꯒꯅꯤ .
ꯅꯍꯥꯛꯀꯤ ꯑꯥꯏꯑꯣꯅꯥꯏꯖ ꯇꯧꯔꯕꯥ ꯀꯦꯂꯁꯤꯌꯝ ꯂꯦꯚꯦꯜ ꯑꯗꯨ ꯃꯇꯤꯛ ꯆꯥꯕꯥ ꯔꯦꯟꯖ ꯑꯃꯗꯥ ꯂꯩꯕꯥ ꯍꯥꯌꯕꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡ ꯑꯗꯨ ꯀꯦꯂꯁꯤꯌꯝ ꯌꯥꯎꯅꯥ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯊꯕꯛ ꯇꯧꯔꯤ ꯍꯥꯌꯕꯁꯤꯅꯤ꯫
ꯃꯈꯥꯗꯥ ꯑꯥꯏꯑꯣꯅꯥꯏꯖ ꯇꯧꯔꯕꯥ ꯀꯦꯂꯁꯤꯌꯃꯒꯤ ꯅꯣꯔꯃꯦꯜ ꯔꯦꯟꯖꯁꯤꯡ ꯑꯁꯤ ꯄꯤꯔꯤ (ꯚꯦꯜꯌꯨꯁꯤꯡ ꯑꯁꯤ ꯂꯦꯕ ꯑꯃꯗꯒꯤ ꯂꯦꯕ ꯑꯃꯗꯥ ꯈꯔꯥ ꯈꯦꯠꯅꯕꯥ ꯌꯥꯏ, ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯔꯤꯄꯣꯔꯇꯇꯥ ꯅꯣꯔꯃꯦꯜ ꯔꯦꯟꯖ ꯑꯗꯨ ꯆꯦꯛ ꯇꯧꯕꯤꯌꯨ):
- ꯅꯧꯅꯥ ꯄꯣꯀꯄꯥ ꯑꯉꯥꯡ: 4.8 – 5.5 mg/dL (ꯗꯦꯁꯤꯂꯤꯇꯔ ꯑꯃꯗꯥ ꯃꯤꯂꯤꯒ꯭ꯔꯥꯝ)
- ꯑꯉꯥꯡꯁꯤꯡꯒꯤ ꯑꯣꯏꯅꯥ: 4.8 – 5.3 mg/dL
- ꯑꯍꯜ ꯑꯣꯏꯔꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯗꯥ: 4.6 – 5.3 mg/dL
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯥꯏꯑꯣꯅꯏꯖꯗ ꯀꯦꯂꯁꯤꯌꯝ ꯍꯟꯊꯔꯛꯂꯕꯗꯤ ꯀꯔꯤ ꯑꯣꯏꯒꯅꯤ? (ꯍꯥꯏꯄꯣꯀꯦꯂꯁꯤꯃꯤꯌꯥ) ꯑꯃꯁꯨꯡ ꯑꯦꯟ.
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯕ꯭ꯂꯗ ꯑꯥꯏꯑꯣꯅꯥꯏꯖꯗ ꯀꯦꯂꯁꯤꯌꯝ ꯂꯦꯚꯦꯜ ꯅꯦꯃꯊꯔꯕꯗꯤ, ꯑꯩꯈꯣꯌꯅꯥ ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯑꯣꯏꯅꯥ ꯃꯁꯤꯕꯨ ‘ꯍꯥꯏꯄꯣꯀꯦꯂꯁꯤꯃꯤꯌꯥ’ ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ ꯃꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯁꯦꯂꯒꯤ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯑꯃꯥ ꯂꯩꯔꯦ ꯍꯥꯌꯕꯥ ꯇꯥꯀꯄꯥ ꯌꯥꯏ꯫
ꯍꯟꯊꯔꯀꯄꯒꯤ ꯃꯔꯃꯁꯤꯡ ꯀꯔꯤꯅꯣ?
ꯑꯥꯏꯑꯣꯅꯥꯏꯖ ꯇꯧꯔꯕꯥ ꯀꯦꯂꯁꯤꯌꯝ ꯂꯦꯚꯦꯜ ꯍꯟꯊꯔꯀꯄꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯔꯝ ꯀꯌꯥ ꯂꯩ:
- ꯍꯥꯏꯄꯣꯄꯦꯔꯥꯊꯥꯏꯔꯣꯏꯗꯤꯖꯝ: ꯃꯁꯤꯅꯥ ꯇꯥꯀꯄꯗꯤ ꯅꯍꯥꯛꯀꯤ ꯄꯦꯔꯥꯊꯥꯏꯔꯣꯏꯗ ꯒ꯭ꯜꯌꯥꯟꯗꯁꯤꯡꯅꯥ ꯏꯗꯥ ꯀꯦꯂꯁꯤꯌꯝ ꯂꯦꯚꯦꯜ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯥ ꯍꯣꯔꯃꯣꯟ ꯑꯃꯥ ꯑꯣꯏꯔꯤꯕꯥ ꯄꯦꯔꯥꯊꯥꯏꯔꯣꯏꯗ ꯍꯣꯔꯃꯣꯟ (PTH) ꯃꯇꯤꯛ ꯆꯥꯅꯥ ꯄꯨꯊꯣꯀꯄꯥ ꯉꯃꯗꯦ꯫
- ꯄꯦꯅꯛꯔꯤꯑꯦꯇꯤꯁ: ꯄꯦꯅꯛꯔꯤꯑꯦꯖꯗꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯍꯅꯕꯥ꯫
- ꯃꯥꯂꯕꯁꯣꯔꯄꯁꯟ (Malabsorption): ꯍꯀꯆꯥꯡꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯆꯥꯔꯤꯕꯥ ꯆꯤꯟꯖꯥꯀꯁꯤꯡꯗꯒꯤ ꯀꯦꯂꯁꯤꯌꯝ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯂꯧꯁꯤꯅꯗꯦ꯫
- ꯔꯤꯀꯦꯇꯁ (Reckets): ꯑꯉꯥꯡꯁꯤꯡꯒꯤ ꯁꯔꯨ ꯇꯥꯡꯁꯤꯡ ꯑꯁꯤ ꯇꯔꯨ-ꯇꯅꯥꯅꯕꯥ ꯑꯣꯏꯔꯀꯄꯥ ꯂꯥꯌꯅꯥ ꯑꯃꯅꯤ, ꯃꯔꯨꯑꯣꯏꯅꯥ ꯚꯤꯇꯥꯃꯤꯟ D ꯋꯥꯠꯄꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯂꯥꯌꯅꯥ ꯑꯃꯅꯤ꯫
- ꯀꯤꯗꯅꯤ ꯐꯦꯜ ꯑꯣꯏꯕꯥ : ꯀꯤꯗꯅꯤꯁꯤꯡꯅꯥ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯊꯕꯛ ꯇꯧꯕꯥ ꯂꯦꯄꯈꯤꯕꯥ ꯃꯇꯃꯗꯥ ꯀꯦꯂꯁꯤꯌꯝ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯗꯥ ꯑꯀꯥꯌꯕꯥ ꯄꯤ꯫
- ꯚꯤꯇꯥꯃꯤꯟ D ꯋꯥꯠꯄꯥ: ꯚꯤꯇꯥꯃꯤꯟ D ꯑꯁꯤ ꯍꯀꯆꯥꯡꯅꯥ ꯀꯦꯂꯁꯤꯌꯝ ꯆꯨꯃꯊꯣꯛꯅꯕꯥ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯗꯨ ꯃꯇꯤꯛ ꯆꯥꯅꯥ ꯂꯩꯠꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯀꯦꯂꯁꯤꯌꯝ ꯂꯦꯚꯦꯜ ꯑꯗꯨ ꯍꯟꯊꯔꯀꯄꯥ ꯌꯥꯏ꯫
ꯀꯦꯂꯁꯤꯌꯝ ꯂꯦꯚꯦꯜ ꯅꯦꯃꯊꯔꯀꯄꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?
ꯑꯥꯏꯑꯣꯅꯥꯏꯖ ꯇꯧꯔꯕꯥ ꯀꯦꯂꯁꯤꯌꯝ ꯂꯦꯚꯦꯜ ꯅꯦꯃꯊꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ (Hypocalcemia) ꯇꯣꯉꯥꯟ-ꯇꯣꯉꯥꯅꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯂꯥꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯤꯄꯨꯝ ꯈꯨꯗꯤꯡꯃꯛꯅꯥ ꯂꯥꯏꯑꯣꯡ ꯄꯨꯝꯅꯃꯛ ꯑꯁꯤ ꯊꯦꯡꯅꯔꯣꯏ, ꯑꯃꯁꯨꯡ ꯃꯤꯑꯣꯏ ꯈꯔꯗꯗꯤ ꯂꯥꯏꯑꯣꯡ ꯑꯃꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯅꯤ ꯊꯦꯡꯅꯔꯀꯄꯥ ꯌꯥꯏ꯫
- ꯃꯁꯜ ꯁꯣꯟꯊꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯀ꯭ꯔꯌꯥꯝꯄꯤꯡ (Muscle cramps)꯫
- ꯆꯃꯝꯅꯕ.
- ꯃꯦꯃꯣꯔꯤ ꯂꯣꯁ ꯇꯧꯕꯥ꯫
- ꯋꯥꯠꯄꯥ, ꯁꯣꯟꯊꯕꯥ ꯅꯥꯀꯣꯡꯁꯤꯡ꯫
- ꯂꯤꯝꯐꯇꯥ ꯁꯣꯟꯊꯕꯥ ꯑꯃꯁꯨꯡ ꯇꯤꯟ ꯁꯤꯠꯄꯥ꯫
- ꯋꯥꯈꯜ ꯑꯋꯥꯕ ꯈꯟꯖꯤꯟꯕ.
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯂꯩꯔꯕꯗꯤ, ꯄꯥꯎꯇꯥꯛ ꯂꯧꯅꯕꯒꯤꯗꯃꯛ ꯗꯣꯛꯇꯔ ꯑꯃꯒꯥ ꯇꯥꯟꯅꯕꯅꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯩ꯫
ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯂꯥꯏꯌꯦꯡꯕꯒꯦ?
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯥꯏꯑꯣꯅꯥꯏꯖ ꯇꯧꯔꯕꯥ ꯀꯦꯂꯁꯤꯌꯝ ꯂꯦꯚꯦꯜ ꯑꯗꯨ ꯅꯦꯝꯅꯥ ꯂꯩꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯃꯔꯝ ꯑꯗꯨ ꯂꯦꯄꯊꯣꯛꯀꯅꯤ ꯑꯃꯁꯨꯡ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ ꯂꯥꯏꯌꯦꯡ ꯄꯤꯒꯅꯤ꯫ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯂꯥꯏꯌꯦꯡ ꯈꯔꯗꯤ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤ:
- ꯀꯦꯂꯁꯤꯌꯝ ꯁꯞꯂꯤꯃꯦꯟꯇꯁꯤꯡ: ꯀꯦꯂꯁꯤꯌꯝ ꯑꯁꯤ ꯄꯤꯜ ꯅꯠꯠꯔꯒꯥ ꯂꯤꯛꯌꯨꯏꯗ ꯃꯑꯣꯡꯗꯥ ꯄꯤ꯫
- ꯚꯤꯇꯥꯃꯤꯟ D ꯁꯞꯂꯤꯃꯦꯟꯇꯁꯤꯡ: ꯍꯀꯆꯥꯡꯗꯥ ꯀꯦꯂꯁꯤꯌꯝ ꯆꯨꯃꯊꯣꯀꯄꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫
- ꯀꯦꯂꯁꯤꯌꯝ ꯒ꯭ꯂꯨꯀꯣꯅꯦꯠ ꯏꯅꯖꯦꯀꯁꯟ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯀꯦꯂꯁꯤꯌꯝ ꯂꯦꯚꯦꯜ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯅꯦꯝꯂꯕꯗꯤ, ꯏꯅꯖꯦꯀꯁꯟ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯍꯦꯅꯒꯠꯍꯟꯅꯕꯥ ꯄꯤ꯫
- ꯄꯦꯔꯥꯊꯥꯏꯔꯣꯏꯗ ꯍꯣꯔꯃꯣꯟ (PTH) ꯔꯤꯞꯂꯦꯁꯃꯦꯟꯇ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯍꯥꯏꯄꯣꯄꯦꯔꯥꯊꯥꯏꯔꯣꯏꯗꯤꯖꯝ ꯂꯩꯔꯕꯗꯤ ꯂꯥꯏꯌꯦꯡ ꯑꯁꯤ ꯄꯤꯕꯥ ꯌꯥꯏ꯫
ꯃꯁꯤꯒꯤ ꯂꯥꯌꯦꯡ ꯑꯁꯤꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯀꯦꯂꯁꯤꯌꯝ ꯋꯥꯠꯄꯒꯤ ꯃꯔꯝ ꯑꯣꯏꯔꯤꯕꯥ ꯃꯈꯥ ꯇꯥꯕꯥ ꯃꯦꯗꯤꯀꯦꯜ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯂꯥꯌꯦꯡꯕꯥ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯥꯏꯑꯣꯅꯏꯖꯗ ꯀꯦꯂꯁꯤꯌꯝ ꯍꯦꯅꯒꯠꯂꯛꯂꯕꯗꯤ ꯀꯔꯤ ꯑꯣꯏꯒꯅꯤ? (ꯍꯥꯏꯄꯥꯔꯀꯦꯂꯁꯤꯃꯤꯌꯥ) ꯑꯃꯁꯨꯡ ꯑꯦꯟ.
ꯏꯗꯥ ꯑꯥꯏꯑꯣꯅꯥꯏꯖ ꯇꯧꯔꯕꯥ ꯀꯦꯂꯁꯤꯌꯝ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯋꯥꯡꯈꯠꯂꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯑꯩꯈꯣꯌꯅꯥ ꯃꯁꯤꯕꯨ ‘ꯍꯥꯏꯄꯥꯔꯀꯦꯂꯁꯤꯃꯤꯌꯥ’ ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ ꯃꯁꯤꯁꯨ ꯑꯀꯛꯅꯕꯥ ꯍꯀꯁꯦꯂꯒꯤ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯃꯁꯤꯡꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫
ꯍꯦꯅꯒꯠꯂꯀꯄꯒꯤ ꯃꯔꯃꯁꯤꯡ ꯀꯔꯤꯅꯣ?
ꯑꯥꯏꯑꯣꯅꯥꯏꯖ ꯇꯧꯔꯕꯥ ꯀꯦꯂꯁꯤꯌꯝ ꯍꯦꯅꯒꯠꯂꯀꯄꯒꯤ ꯃꯔꯝ ꯀꯌꯥ ꯂꯩ:
- ꯍꯥꯌꯄꯔꯊꯥꯏꯔꯣꯏꯗꯤꯖꯝ: ꯑꯣꯚꯔꯑꯦꯛꯇꯤꯚ ꯑꯣꯏꯕꯥ ꯊꯥꯌꯔꯣꯏꯗ ꯒ꯭ꯜꯌꯥꯟꯗ꯫
- ꯍꯥꯏꯄꯔꯄꯦꯔꯥꯊꯥꯏꯔꯣꯏꯗꯤꯖꯝ: ꯄꯦꯔꯥꯊꯥꯏꯔꯣꯏꯗ ꯒ꯭ꯜꯌꯥꯟꯗꯁꯤꯡꯅꯥ ꯄꯦꯔꯥꯊꯥꯏꯔꯣꯏꯗ ꯍꯣꯔꯃꯣꯟ (PTH) ꯌꯥꯝꯅꯥ ꯄꯨꯊꯣꯀꯄꯥ꯫ ꯃꯁꯤꯅꯥ ꯍꯥꯏꯄꯔꯀꯦꯂꯁꯤꯌꯃꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯔꯃꯅꯤ꯫
- ꯁꯔꯨꯒꯤ ꯄꯦꯖꯦꯇꯀꯤ ꯂꯥꯌꯅꯥ (paget’s disease of the bone): ꯁꯔꯨꯒꯤ ꯇꯤꯁꯨꯁꯤꯡ ꯑꯁꯤ ꯁꯣꯀꯍꯜꯂꯕꯥ ꯑꯃꯁꯨꯡ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ ꯂꯥꯌꯅꯥ ꯑꯃꯅꯤ꯫
- ꯊ꯭ꯔꯣꯝꯕꯣꯁꯥꯏꯇꯣꯁꯤꯁ (thrombocytosis): ꯏꯗꯥ ꯌꯥꯎꯔꯤꯕꯥ ꯄ꯭ꯂꯦꯇꯂꯦꯇꯁꯤꯡꯒꯤ ꯃꯁꯤꯡ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ꯫
- ꯁꯥꯔꯀꯣꯏꯗꯣꯁꯤꯁ (Sarcoidosis): ꯍꯀꯆꯥꯡꯒꯤ ꯇꯣꯉꯥꯟ-ꯇꯣꯉꯥꯅꯕꯥ ꯃꯐꯃꯁꯤꯡꯗꯥ ꯒ꯭ꯔꯦꯅꯨꯂꯣꯃꯥ (granulomas) ꯀꯧꯕꯥ ꯑꯄꯤꯀꯄꯥ ꯂꯪꯁꯁꯤꯡ (lumps) ꯁꯦꯝꯕꯒꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫
- ꯃꯜꯇꯤꯄꯜ ꯃꯥꯏꯂꯣꯃꯥ: ꯕ꯭ꯂꯗ ꯀꯦꯟꯁꯔ ꯌꯥꯝꯅꯥ ꯇꯣꯏꯅꯥ ꯊꯣꯀꯄꯥ ꯃꯈꯜ ꯑꯃꯅꯤ꯫
ꯀꯦꯂꯁꯤꯌꯝ ꯂꯦꯚꯦꯜ ꯋꯥꯡꯈꯠꯂꯀꯄꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯀꯔꯤꯅꯣ?
ꯑꯥꯏꯑꯣꯅꯥꯏꯖ ꯇꯧꯔꯕꯥ ꯀꯦꯂꯁꯤꯌꯝ ꯂꯦꯚꯦꯜ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ ꯃꯇꯃꯗꯥ (Hypercalcemia) ꯇꯣꯉꯥꯟ-ꯇꯣꯉꯥꯅꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯂꯥꯀꯄꯥ ꯌꯥꯏ:
- ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯌꯨꯔꯤꯟ ꯇꯧꯕꯥ꯫
- ꯃꯁꯜ ꯁꯣꯟꯊꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯁꯣꯀꯄꯥ꯫
- ꯅꯣꯡꯃꯩ ꯀꯥꯞꯄꯥ ꯑꯃꯁꯨꯡ ꯈꯣꯡ ꯍꯥꯝꯕꯥ꯫
- ꯃꯀꯣꯛ ꯊꯣꯡꯕꯥ꯫
- ꯋꯥꯕ.
- ꯁꯔꯨ ꯇꯥꯡꯒꯤ ꯑꯅꯥꯕꯥ꯫
- ꯈꯣꯉ ꯍꯥꯝꯕ ꯌꯥꯗꯕ.
- ꯃꯦꯃꯣꯔꯤ ꯂꯣꯁ ꯇꯧꯕꯥ꯫
- ꯋꯥꯈꯜ ꯑꯋꯥꯕ ꯈꯟꯖꯤꯟꯕ.
- ꯆꯥꯛ ꯆꯥꯕꯥ ꯋꯥꯠꯄꯥ꯫
ꯃꯔꯨꯑꯣꯏꯕꯥ: ꯌꯥꯝꯅꯥ ꯋꯥꯡꯕꯥ ꯀꯦꯂꯁꯤꯌꯝ ꯂꯦꯚꯦꯜ ꯑꯁꯤ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯃꯦꯗꯤꯀꯦꯜ ꯏꯃꯔꯖꯦꯟꯁꯤ ꯑꯣꯏꯕꯥ ꯌꯥꯏ, ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯈꯪꯖꯤꯅꯕꯤꯌꯨ꯫
ꯃꯁꯤ ꯀꯔꯝꯅꯥ ꯐꯤꯛꯁ ꯇꯧꯒꯅꯤ?
ꯑꯥꯏꯑꯣꯅꯥꯏꯖꯗ ꯀꯦꯂꯁꯤꯌꯝ ꯍꯦꯅꯒꯠꯂꯀꯄꯒꯤ ꯂꯥꯏꯌꯦꯡ ꯑꯁꯤ ꯃꯔꯝ ꯑꯗꯨꯒꯤ ꯃꯈꯥ ꯄꯣꯜꯂꯤ꯫ ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯑꯣꯄꯁꯟ ꯀꯌꯥ ꯂꯩ:
- ꯀꯦꯂꯁꯤꯃꯤꯃꯦꯇꯤꯛꯁ: ꯍꯤꯗꯥꯀꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯑꯣꯚꯔꯑꯦꯛꯇꯤꯚ ꯄꯦꯔꯥꯊꯥꯏꯔꯣꯏꯗ ꯒ꯭ꯜꯌꯥꯟꯗꯁꯤꯡ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫
- ꯀꯦꯂꯁꯤꯇꯣꯅꯤꯟ ꯁꯞꯂꯤꯃꯦꯟꯇꯁꯤꯡ: ꯏꯗꯥ ꯀꯦꯂꯁꯤꯌꯝ ꯂꯦꯚꯦꯜ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫
- ꯕꯤꯁꯐꯣꯁꯐꯣꯅꯦꯇꯁꯤꯡ: ꯃꯁꯤ ꯑꯣꯁ꯭ꯇꯤꯑꯣꯄꯣꯔꯣꯁꯤꯁ (ꯁꯔꯨ ꯇꯥꯡ ꯁꯣꯀꯄꯥ) ꯂꯥꯌꯦꯡꯕꯗꯥ ꯁꯤꯖꯤꯟꯅꯕꯥ ꯍꯤꯗꯥꯀꯁꯤꯡꯅꯤ꯫ ꯃꯈꯣꯌ ꯑꯁꯤ ꯀꯦꯟꯁꯔꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯍꯥꯏꯄꯔꯀꯦꯂꯁꯤꯃꯤꯌꯥ ꯍꯟꯊꯍꯅꯕꯗꯁꯨ ꯁꯤꯖꯤꯟꯅꯩ꯫
- ꯗꯦꯅꯣꯁꯨꯃꯕ: ꯃꯁꯤ ꯕꯤꯁꯐꯣꯁꯐꯣꯅꯦꯇꯁꯤꯡꯗꯥ ꯔꯦꯁ꯭ꯄꯣꯟꯁ ꯇꯧꯗꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯗꯥ ꯁꯤꯖꯤꯟꯅꯩ꯫
- ꯄ꯭ꯔꯦꯗꯅꯤꯁꯟ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯍꯥꯏꯄꯔꯀꯦꯂꯁꯤꯃꯤꯌꯥ ꯑꯁꯤ ꯚꯤꯇꯥꯃꯤꯟ Dꯒꯤ ꯆꯥꯡ ꯍꯦꯅꯒꯠꯂꯀꯄꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯑꯣꯏꯔꯕꯗꯤ ꯁ꯭ꯇꯦꯔꯣꯏꯗ ꯑꯁꯤ ꯄꯤ꯫
- IV ꯐ꯭ꯂꯨꯏꯗ (intravenous saline): ꯀꯔꯤꯒꯨꯝꯕꯥ ꯍꯥꯏꯄꯔꯀꯦꯂꯁꯤꯃꯤꯌꯥ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯑꯣꯏꯔꯕꯗꯤ ꯂꯥꯏꯌꯦꯡ ꯑꯁꯤ ꯑꯦꯃꯔꯖꯦꯟꯁꯤ ꯑꯃꯗꯥ ꯄꯤ꯫
- ꯄꯦꯔꯥꯊꯥꯏꯔꯣꯏꯗꯛꯇꯣꯃꯤ: ꯄꯦꯔꯥꯊꯥꯏꯔꯣꯏꯗ ꯒ꯭ꯜꯌꯥꯟꯗꯁꯤꯡꯗꯒꯤ ꯁꯣꯀꯍꯜꯂꯕꯥ ꯇꯤꯁꯨꯁꯤꯡ ꯑꯗꯨ ꯁꯔꯖꯤꯀꯦꯜ ꯑꯣꯏꯅꯥ ꯂꯧꯊꯣꯀꯄꯥ꯫
ꯃꯁꯤꯒꯤ ꯃꯊꯛꯇꯥ, ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯗꯨ ꯊꯣꯀꯍꯅꯈꯤꯕꯥ ꯑꯟꯗꯔꯂꯥꯏꯟ ꯂꯥꯌꯅꯥ ꯑꯗꯨꯒꯤ ꯂꯥꯏꯌꯦꯡꯁꯨ ꯄꯤꯒꯅꯤ꯫
ꯑꯔꯣꯏꯕꯗꯥ, ꯀꯔꯤ ꯈꯉꯒꯗꯒꯦ꯫
ꯃꯁꯤꯒꯤ ꯑꯥꯏꯑꯣꯅꯥꯏꯖ ꯇꯧꯔꯕꯥ ꯀꯦꯂꯁꯤꯌꯝ ꯑꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯁꯦꯂꯒꯤꯗꯃꯛꯇꯥ ꯀꯌꯥ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯍꯧꯖꯤꯛ ꯑꯗꯣꯝꯅꯥ ꯈꯉꯂꯝꯂꯒꯅꯤ꯫ ꯏꯗꯥ ꯌꯥꯝꯅꯥ ꯋꯥꯅꯥ ꯅꯠꯠꯔꯒꯥ ꯌꯥꯝꯅꯥ ꯅꯦꯝꯂꯕꯁꯨ, ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡ ꯑꯁꯤ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯊꯕꯛ ꯇꯧꯕꯥ ꯉꯃꯗꯦ꯫
ꯑꯥꯏꯑꯣꯅꯥꯏꯖ ꯇꯧꯔꯕꯥ ꯀꯦꯂꯁꯤꯌꯝ ꯇꯦꯁ꯭ꯠ ꯑꯃꯈꯛꯇꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯀꯔꯤ ꯂꯥꯌꯅꯥ ꯂꯩꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯆꯨꯝꯅꯥ ꯈꯪꯍꯅꯕꯥ ꯉꯃꯗꯦ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯃꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯁꯦꯂꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯃꯃꯜ ꯌꯥꯝꯂꯕꯥ ꯏꯅꯐꯣꯔꯃꯦꯁꯟ ꯀꯌꯥ ꯄꯤꯔꯤ꯫ ꯏꯅꯐꯣꯔꯃꯦꯁꯟ ꯑꯗꯨ ꯁꯤꯖꯤꯟꯅꯗꯨꯅꯥ ꯃꯍꯥꯛꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯑꯆꯨꯝꯕꯥ ꯗꯥꯏꯑꯦꯒ꯭ꯅꯣꯁꯤꯁ ꯑꯃꯥ ꯄꯤꯕꯥ ꯉꯃꯒꯅꯤ ꯑꯃꯁꯨꯡ ꯃꯊꯧ ꯇꯥꯕꯥ ꯂꯥꯏꯌꯦꯡ ꯍꯧꯕꯥ ꯉꯃꯒꯅꯤ꯫
ꯑꯗꯨꯅꯥ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯍꯪ ꯑꯃꯠꯇꯥ ꯍꯪꯂꯕꯗꯤ ꯅꯠꯠꯔꯒꯥ ꯆꯤꯡꯅꯕꯥ ꯂꯩꯔꯕꯗꯤ, ꯂꯥꯡꯇꯛꯅꯒꯅꯨ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯕꯤꯌꯨ . ꯃꯍꯥꯛꯅꯥ ꯅꯈꯣꯌꯗꯥ ꯋꯥꯐꯝ ꯈꯨꯗꯤꯡꯃꯛ ꯈꯉꯍꯅꯒꯅꯤ꯫ ꯍꯀꯆꯥꯡ ꯐꯅꯥ ꯂꯩꯌꯨ!
` ꯑꯥꯏꯑꯣꯅꯥꯏꯖꯗ ꯀꯦꯂꯁꯤꯌꯝ, ꯀꯦꯂꯁꯤꯌꯝ, ꯕ꯭ꯂꯗ ꯇꯦꯁ꯭ꯠ, ꯍꯥꯏꯄꯣꯀꯦꯂꯁꯤꯃꯤꯌꯥ, ꯍꯥꯏꯄꯔꯀꯦꯂꯁꯤꯃꯤꯌꯥ, ꯍꯀꯁꯦꯜ, ꯂꯥꯏꯑꯣꯡꯁꯤꯡ꯫
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