ꯑꯦꯟꯀꯤꯂꯣꯁꯤꯡ ꯁ꯭ꯄꯣꯟꯗꯤꯂꯥꯏꯇꯤꯁ (AS)ꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯕꯦꯛ ꯄꯦꯅꯒꯤ ꯑꯅꯧꯕꯥ ꯁꯣꯜꯌꯨꯁꯟ ꯑꯃꯥ: JAK ꯏꯅꯍꯤꯕꯤꯇꯔꯁꯤꯡꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯄꯨꯝꯅꯃꯛ꯫

ꯅꯍꯥꯛꯅꯥ ꯑꯌꯨꯛꯇꯥ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯍꯧꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯅꯨꯃꯤꯠ ꯑꯗꯨꯁꯨ ꯀꯣꯛ ꯆꯤꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯑꯁꯣꯛ-ꯑꯄꯅꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯍꯧꯒꯗ꯭ꯔꯥ? ꯅꯍꯥꯛꯅꯥ ꯈꯔꯥ ꯈꯣꯡꯅꯥ ꯆꯠꯄꯥ ꯃꯇꯃꯗꯥ, ꯀꯥꯟꯅꯕꯥ ꯊꯕꯛ ꯑꯃꯥ ꯇꯧꯕꯥ ꯃꯇꯃꯗꯥ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯅꯥ ꯍꯧꯖꯤꯀꯁꯨ ꯂꯩꯔꯤꯉꯩꯗꯥ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯑꯋꯥꯕꯥ ꯑꯁꯤ ꯍꯟꯊꯔꯀꯄꯔꯥ? ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯑꯦꯟꯀꯤꯂꯣꯁꯤꯡ ꯁ꯭ꯄꯣꯟꯗꯤꯂꯥꯏꯇꯤꯁ (AS) ꯀꯧꯕꯥ ꯂꯥꯌꯅꯥ ꯑꯃꯒꯤ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤ ꯅꯨꯡꯇꯤꯒꯤ ꯄꯨꯟꯁꯤꯗꯥ ꯑꯀꯥꯌꯕꯥ ꯄꯤꯔꯤꯕꯥ ꯇꯁꯦꯡꯅꯥ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫ ꯃꯁꯤꯒꯤ ꯂꯥꯏꯌꯦꯡ ꯑꯃꯥ ꯑꯣꯏꯅꯥ ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯑꯍꯥꯅꯕꯗꯥ ꯄꯦꯅꯀꯤꯂꯔꯁꯤꯡ (NSAIDs) ꯄꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯂꯥꯌꯅꯥ ꯑꯁꯤ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯗ꯭ꯔꯕꯗꯤ, ꯃꯈꯣꯌꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯕꯥꯏꯑꯣꯂꯣꯖꯤꯀꯦꯜ ꯀꯧꯕꯥ ꯏꯅꯖꯦꯀꯁꯅꯁꯤꯡꯗꯥ ꯔꯤꯐꯔ ꯇꯧꯕꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯃꯤꯑꯣꯏ ꯈꯔꯗꯤ ꯂꯥꯏꯌꯦꯡꯁꯤꯡ ꯑꯁꯤꯗꯒꯤ ꯔꯤꯂꯤꯐ ꯐꯪꯗꯦ, ꯅꯠꯠꯔꯒꯥ ꯃꯈꯣꯌꯒꯤ ꯁꯥꯏꯗ ꯏꯐꯦꯛꯇꯁꯤꯡ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯋꯥꯅꯥ ꯊꯣꯀꯏ꯫ ꯑꯗꯣꯃꯁꯨ ꯃꯁꯤꯃꯛ ꯊꯦꯡꯅꯔꯤꯕꯔꯥ? ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯣꯏꯔꯒꯗꯤ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯂꯩꯔꯣꯏꯗꯕꯅꯤ꯫ ꯃꯦꯗꯤꯀꯦꯜ ꯁꯥꯏꯟꯁꯀꯤ ꯆꯥꯎꯈꯠꯂꯀꯄꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯍꯧꯖꯤꯛ ꯑꯇꯣꯞꯄꯥ ꯑꯅꯧꯕꯥ ꯑꯃꯗꯤ ꯃꯥꯌ ꯄꯥꯀꯄꯥ ꯂꯥꯌꯦꯡ ꯑꯃꯥ ꯂꯥꯛꯂꯦ꯫ ꯍꯥꯌꯕꯗꯤ ꯖꯥꯅꯨꯁ ꯀꯤꯅꯥꯁ (ꯖꯦ.ꯑꯦ.ꯀꯦ.) ꯏꯅꯍꯤꯕꯤꯇꯔꯁꯤꯡꯅꯤ . ꯉꯁꯤ ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯁꯤ꯫

ꯖꯦ.ꯑꯦ.ꯀꯦ.ꯒꯤ ꯏꯅꯍꯤꯕꯤꯇꯔꯁꯤꯡ ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ?

ꯖꯦ.ꯑꯦ.ꯀꯦ.ꯒꯤ ꯏꯅꯍꯤꯕꯤꯇꯔꯁꯤꯡ ꯑꯁꯤ ꯑꯦꯟꯀꯤꯂꯣꯁꯤꯡ ꯁ꯭ꯄꯣꯟꯗꯤꯂꯥꯏꯇꯤꯁ ꯂꯥꯌꯦꯡꯅꯕꯥ ꯑꯅꯧꯕꯥ ꯀ꯭ꯂꯥꯁꯀꯤ ꯗ꯭ꯔꯒ ꯑꯃꯅꯤ꯫ ꯕꯥꯏꯑꯣꯂꯣꯖꯤꯀꯦꯂꯁꯤꯡꯒꯨꯝꯅꯥ ꯃꯈꯣꯌ ꯑꯁꯤ ꯗꯤꯖꯤꯖ-ꯃꯣꯗꯤꯐꯥꯏꯌꯤꯡ ꯑꯦꯟꯇꯤꯔꯤꯎꯃꯦꯇꯤꯛ ꯗ꯭ꯔꯒꯁꯤꯡ (DMARDs) ꯀꯧꯕꯥ ꯗ꯭ꯔꯒꯁꯤꯡꯒꯤ ꯀ꯭ꯂꯥꯁ ꯑꯃꯒꯤ ꯃꯅꯨꯡ ꯆꯜꯂꯤ꯫ "ꯗꯤꯖꯤꯖ-ꯃꯣꯗꯤꯐꯥꯏꯌꯤꯡ" ꯍꯥꯌꯕꯁꯤꯅꯥ ꯗ꯭ꯔꯒꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯑꯅꯥꯕꯥ ꯍꯟꯊꯍꯅꯕꯈꯛꯇꯗꯥ ꯅꯠꯇꯅꯥ ꯍꯥꯌꯕꯅꯤ꯫ ꯃꯈꯣꯌꯅꯥ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗ ꯑꯃꯁꯨꯡ ꯑꯇꯩ ꯁꯔꯨ ꯇꯥꯡꯁꯤꯡꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯅꯕꯁꯨ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯏ, ꯃꯗꯨꯅꯥ ꯂꯥꯌꯅꯥ ꯑꯁꯤꯒꯤ ꯄ꯭ꯔꯣꯒ꯭ꯔꯦꯁ ꯑꯗꯨ ꯊꯤꯡꯏ꯫

ꯑꯗꯨꯕꯨ ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯑꯦꯟꯀꯤꯂꯣꯁꯤꯡ ꯁ꯭ꯄꯣꯟꯗꯤꯂꯥꯏꯇꯤꯁꯀꯤꯗꯃꯛꯇꯗꯤ ꯁꯤꯖꯤꯟꯅꯕꯈꯛꯇꯗꯥ ꯁꯤꯖꯤꯟꯅꯗꯦ꯫ ꯍꯤꯗꯥꯛ ꯃꯈꯜ ꯑꯁꯤ ꯑꯇꯣꯞꯄꯥ ꯑꯣꯇꯣꯏꯝꯌꯨꯟ ꯂꯥꯌꯅꯥ ꯀꯌꯥꯒꯤꯗꯃꯛꯇꯁꯨ ꯑꯌꯥꯕꯥ ꯄꯤꯈ꯭ꯔꯦ꯫ ꯍꯥꯌꯕꯗꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯏꯝꯝꯌꯨꯟ ꯁꯤꯁ꯭ꯇꯦꯃꯅꯥ ꯃꯁꯥꯒꯤ ꯁꯦꯂꯁꯤꯡꯗꯥ ꯑꯦꯇꯦꯛ ꯇꯧꯕꯥ ꯂꯥꯌꯅꯥꯁꯤꯡ꯫

• ꯔꯤꯌꯨꯃꯦꯇꯣꯏꯗ ꯑꯔꯊ꯭ꯔꯥꯏꯇꯤꯁ ꯂꯩꯕꯥ꯫
• ꯄꯣꯂꯤꯌꯥꯔꯇꯤꯀꯨꯂꯥꯔ ꯀꯣꯔꯁ ꯖꯨꯚꯦꯅꯥꯏꯜ ꯏꯗꯤꯑꯣꯄꯦꯊꯤꯛ ꯑꯔꯊ꯭ꯔꯥꯏꯇꯤꯁ (ꯖꯤ.ꯑꯥꯏ.ꯑꯦ.)
• ꯁꯣꯔꯤꯌꯥꯇꯤꯛ ꯑꯔꯊ꯭ꯔꯥꯏꯇꯤꯁ ꯂꯩꯕꯥ꯫
• ꯑꯂꯁꯦꯔꯦꯇꯤꯚ ꯀꯣꯂꯥꯏꯇꯤꯁ꯫

ꯑꯈꯟꯅꯕꯥ ꯋꯥꯐꯃꯗꯤ ꯕꯥꯏꯑꯣꯂꯣꯖꯤꯀꯦꯂꯒꯨꯝꯕꯥ ꯏꯅꯖꯦꯀꯁꯅꯁꯤꯡ ꯂꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯒꯤ ꯃꯍꯨꯠꯇꯥ ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯍꯤꯗꯥꯛ ꯑꯣꯏꯅꯥ ꯂꯧꯕꯥ ꯌꯥꯏ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯃꯁꯤ ꯏꯅꯖꯦꯀꯁꯅꯒꯤ ꯑꯀꯤꯕꯥ ꯂꯩꯕꯁꯤꯡꯒꯤꯗꯃꯛ ꯑꯆꯧꯕꯥ ꯔꯤꯂꯤꯐ ꯑꯃꯅꯤ꯫

ꯑꯦꯟꯀꯤꯂꯣꯁꯤꯡ ꯁ꯭ꯄꯣꯟꯗꯤꯂꯥꯏꯇꯤꯁꯀꯤꯗꯃꯛꯇꯥ ꯀꯔꯤ ꯃꯈꯂꯁꯤꯡ ꯁꯤꯖꯤꯟꯅꯕꯒꯦ?

ꯍꯧꯖꯤꯛꯀꯤ ꯑꯣꯏꯅꯥ ꯑꯦꯟꯀꯤꯂꯣꯁꯤꯡ ꯁ꯭ꯄꯣꯟꯗꯤꯂꯥꯏꯇꯤꯁ ꯂꯥꯌꯦꯡꯕꯗꯥ ꯖꯦ.ꯑꯦ.ꯀꯦ.ꯒꯤ ꯏꯅꯍꯤꯕꯤꯇꯔ ꯃꯈꯜ ꯑꯅꯤ ꯑꯌꯥꯕꯥ ꯄꯤꯈ꯭ꯔꯦ꯫

• ꯇꯣꯐꯦꯁꯤꯇꯤꯅꯤꯕ (ꯕ꯭ꯔꯦꯟꯗꯒꯤ ꯃꯃꯤꯡ: ꯖꯦꯂꯖꯥꯟꯖ, ꯖꯦꯂꯖꯥꯟꯖ-ꯑꯦꯛꯁ.ꯑꯥꯔ.)
• ꯎꯄꯥꯗꯥꯁꯤꯇꯤꯅꯤꯕ (ꯕ꯭ꯔꯦꯟꯗ ꯃꯃꯤꯡ: ꯔꯤꯅꯚꯣꯛ)

ꯃꯍꯧꯁꯥꯅꯥ ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯇꯤ.ꯑꯦꯟ.ꯑꯦꯐ.ꯀꯤ ꯏꯅꯍꯤꯕꯤꯇꯔꯁꯤꯡ ꯀꯧꯕꯥ ꯕꯥꯏꯑꯣꯂꯣꯖꯤꯀꯦꯜ ꯍꯤꯗꯥꯛ ꯑꯃꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯃꯗꯒꯤ ꯍꯦꯅꯕꯅꯥ ꯃꯈꯣꯌꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯗꯕꯥ, ꯅꯠꯠꯔꯒꯥ ꯍꯤꯗꯥꯀꯁꯤꯡ ꯑꯗꯨꯒꯤ ꯁꯥꯏꯗ ꯏꯐꯦꯛꯇꯁꯤꯡ ꯑꯗꯨ ꯊꯦꯡꯅꯕꯥ ꯉꯃꯗꯕꯥ ꯑꯅꯥꯕꯁꯤꯡꯗꯥ ꯄꯤ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯍꯤꯗꯥꯛ ꯑꯁꯤ ꯄꯤꯗ꯭ꯔꯤꯉꯩꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯃꯄꯨꯡꯐꯥꯕꯥ ꯃꯦꯗꯤꯀꯦꯜ ꯍꯤꯁ꯭ꯇꯔꯤ ꯑꯗꯨ ꯆꯦꯀꯁꯤꯟꯅꯥ ꯌꯦꯡꯁꯤꯅꯒꯅꯤ꯫

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ꯍꯤꯗꯥꯛ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯊꯕꯛ ꯇꯧꯕꯒꯦ?

ꯃꯁꯤ ꯈꯉꯅꯕꯒꯤꯗꯃꯛ, ꯑꯄꯤꯀꯄꯥ ꯈꯨꯗꯝ ꯑꯃꯥ ꯂꯧꯔꯁꯤ꯫ ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯏꯝꯝꯌꯨꯟ ꯁꯤꯁ꯭ꯇꯦꯝ ꯑꯁꯤ ꯑꯆꯧꯕꯥ ꯂꯥꯟꯃꯤ ꯑꯃꯅꯤ ꯍꯥꯌꯅꯥ ꯈꯅꯕꯤꯌꯨ꯫ ꯑꯦꯟꯀꯤꯂꯣꯁꯤꯡ ꯁ꯭ꯄꯣꯟꯗꯤꯂꯥꯏꯇꯤꯁꯒꯨꯝꯕꯥ ꯂꯥꯌꯅꯥ ꯑꯃꯗꯥ ꯂꯥꯟꯃꯤ ꯑꯁꯤꯅꯥ ꯑꯔꯥꯅꯕꯥ ꯄꯥꯎꯖꯦꯜ ꯐꯪꯏ ꯑꯃꯁꯨꯡ ꯃꯁꯥꯒꯤ ꯂꯩꯕꯥꯛꯀꯤ (ꯑꯩꯈꯣꯌꯒꯤ ꯏꯁꯥꯒꯤ ꯍꯀꯆꯥꯡꯒꯤ) ꯁꯔꯨ ꯇꯥꯡꯁꯤꯡꯗꯥ ꯑꯦꯇꯦꯛ ꯇꯧꯕꯥ ꯍꯧꯏ꯫ ꯃꯁꯤꯒꯤ ꯑꯦꯇꯦꯛ ꯑꯁꯤꯅꯥ ꯑꯅꯥꯕꯥ ꯑꯃꯁꯨꯡ ꯁꯣꯀꯄꯥ (inflammation) ꯊꯣꯀꯍꯜꯂꯤ꯫

ꯑꯔꯥꯅꯕꯥ ꯄꯥꯎꯖꯦꯂꯁꯤꯡ ꯑꯁꯤ ꯊꯥꯔꯀꯄꯥ "ꯃꯦꯁꯦꯟꯖꯔ" ​​ꯈꯔꯁꯨ ꯂꯩ꯫ ꯃꯈꯣꯌꯁꯤꯡ ꯑꯁꯤ ꯖꯦ.ꯑꯦ.ꯀꯦ.ꯒꯤ ꯑꯦꯅꯖꯥꯏꯝ ꯍꯥꯌꯅꯥ ꯀꯧꯏ . ꯍꯥꯌꯔꯤꯕꯥ ꯑꯦꯅꯖꯥꯏꯃꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯏꯝꯝꯌꯨꯟ ꯁꯦꯂꯁꯤꯡꯗꯥ "ꯆꯠꯂꯨ ꯑꯃꯁꯨꯡ ꯑꯦꯇꯦꯛ ꯇꯧꯅꯕꯥ" ꯁꯤꯒꯅꯦꯜ ꯄꯤꯔꯤ, ꯃꯈꯣꯌꯁꯤꯡ ꯑꯁꯤ ꯁꯥꯏꯇꯣꯀꯥꯏꯟ ꯀꯧꯕꯥ ꯀꯦꯃꯤꯀꯦꯂꯁꯤꯡꯅꯤ꯫

JAK ꯏꯅꯍꯤꯕꯤꯇꯔ ꯀꯧꯕꯥ ꯗ꯭ꯔꯒꯁꯤꯡꯅꯥ ꯇꯧꯔꯤꯕꯥ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯦꯁꯦꯟꯖꯔꯁꯤꯡ (JAK ꯑꯦꯅꯖꯥꯏꯃꯁꯤꯡ) ꯑꯗꯨ ꯕ꯭ꯂꯣꯛ ꯇꯧꯕꯅꯤ꯫ ꯃꯁꯤꯅꯥ ꯑꯔꯥꯅꯕꯥ ꯄꯥꯎꯖꯦꯂꯁꯤꯡ ꯑꯗꯨꯒꯤ ꯆꯠꯊꯣꯛ-ꯆꯠꯁꯤꯟ ꯊꯤꯡꯏ ꯑꯃꯁꯨꯡ ꯏꯝꯝꯌꯨꯟ ꯁꯤꯁ꯭ꯇꯦꯃꯅꯥ ꯁꯔꯨ ꯇꯥꯡꯁꯤꯡꯗꯥ ꯑꯦꯇꯦꯛ ꯇꯧꯕꯒꯤ ꯇꯧꯕꯥ ꯉꯝꯕꯗꯨ ꯍꯟꯊꯍꯜꯂꯤ꯫

ꯕꯥꯏꯑꯣꯂꯣꯖꯤꯀꯦꯜ ꯗ꯭ꯔꯒꯁꯤꯡꯅꯥ ꯈꯔꯥ ꯇꯣꯉꯥꯟꯅꯥ ꯊꯕꯛ ꯇꯧꯏ꯫ ꯕꯥꯏꯑꯣꯂꯣꯖꯤꯀꯦꯜ ꯑꯃꯅꯥ ꯇꯤ.ꯑꯦꯟ.ꯑꯦꯐ. ꯅꯠꯠꯔꯒꯥ ꯑꯥꯏ.ꯑꯦꯜ.-꯱꯷ꯒꯨꯝꯕꯥ ꯑꯀꯛꯅꯕꯥ ꯁꯥꯏꯇꯣꯀꯥꯏꯟ ꯑꯃꯥ ꯇꯥꯔꯒꯦꯠ ꯇꯧꯏ ꯑꯃꯁꯨꯡ ꯕ꯭ꯂꯣꯛ ꯇꯧꯏ꯫ ꯖꯦ.ꯑꯦ.ꯀꯦ.ꯒꯤ ꯏꯅꯍꯤꯕꯤꯇꯔꯁꯤꯡꯅꯥ ꯃꯁꯤꯡ ꯌꯥꯝꯂꯕꯥ ꯁꯥꯏꯇꯣꯀꯥꯏꯅꯁꯤꯡ ꯄꯨꯊꯣꯀꯄꯗꯥ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯊꯤꯡꯏ꯫ ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯃꯈꯣꯌꯅꯥ ꯑꯍꯥꯅꯕꯥ ꯃꯐꯃꯗꯥ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯑꯗꯨ ꯕ꯭ꯂꯣꯛ ꯇꯧꯏ꯫

ꯁꯥꯏꯗ ꯏꯐꯦꯛꯇꯁꯤꯡ ꯂꯩꯕ꯭ꯔꯥ?

ꯍꯤꯗꯥꯛ ꯑꯃꯍꯦꯛꯇꯒꯥ ꯃꯥꯟꯅꯅꯥ, ꯁꯥꯏꯗ ꯏꯐꯦꯛꯇꯀꯤ ꯆꯥꯡ ꯂꯩ꯫ ꯑꯗꯨꯕꯨ ꯃꯤꯑꯣꯏ ꯑꯌꯥꯝꯕꯒꯤ ꯑꯣꯏꯅꯗꯤ ꯃꯈꯣꯌ ꯑꯁꯤ ꯁꯥꯐꯩ꯫ ꯅꯍꯥꯛꯅꯥ ꯍꯤꯗꯥꯛ ꯑꯁꯤ ꯂꯧꯕꯥ ꯍꯧꯗ꯭ꯔꯤꯉꯩꯗꯥ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯅꯥ ꯂꯧꯔꯤꯉꯩꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯀꯨꯞꯅꯥ ꯌꯦꯡꯁꯤꯅꯒꯅꯤ꯫

ꯑꯀꯅꯕꯥ ꯁꯥꯏꯗ ꯏꯐꯦꯛꯇꯁꯤꯡꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯈꯔꯥ ꯍꯦꯟꯅꯥ ꯈꯪꯖꯤꯅꯕꯤꯌꯨ꯫

ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯏꯝꯝꯌꯨꯟ ꯁꯤꯁ꯭ꯇꯦꯝ ꯊꯤꯡꯕꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯍꯀꯆꯥꯡꯅꯥ ꯕꯦꯛꯇꯦꯔꯤꯌꯥ ꯑꯃꯁꯨꯡ ꯚꯥꯏꯔꯁꯒꯨꯝꯕꯥ ꯖꯔꯃꯁꯤꯡ ꯊꯦꯡꯅꯕꯒꯤ ꯇꯧꯕꯥ ꯉꯝꯕꯗꯨ ꯈꯔꯥ ꯍꯟꯊꯔꯀꯏ꯫ ꯃꯁꯤꯅꯥ ꯏꯅꯐꯦꯛꯁꯅꯒꯤ ꯔꯤꯁ꯭ꯛ ꯍꯦꯅꯒꯠꯍꯜꯂꯤ꯫

ꯇ꯭ꯌꯨꯕꯔꯀꯨꯂꯣꯁꯤꯁ (TB) ꯇꯦꯁ꯭ꯠ ꯇꯧꯕꯥ: ꯍꯤꯗꯥꯛ ꯑꯁꯤ ꯍꯧꯗ꯭ꯔꯤꯉꯩꯗꯥ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯇ꯭ꯌꯨꯕꯔꯀꯨꯂꯣꯁꯤꯁꯀꯤꯗꯃꯛꯇꯥ ꯁꯣꯌꯗꯅꯥ ꯇꯦꯁ꯭ꯠ ꯇꯧꯒꯅꯤ꯫ ꯃꯤꯑꯣꯏ ꯈꯔꯒꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯂꯦꯡ-ꯑꯣꯠꯄꯒꯤ ꯇꯤ.ꯕꯤ. ꯅꯍꯥꯛꯅꯥ JAK ꯏꯅꯍꯤꯕꯤꯇꯔ ꯑꯃꯥ ꯁꯤꯖꯤꯟꯅꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯁꯨꯔꯕꯥ ꯕꯦꯛꯇꯦꯔꯤꯌꯥ ꯑꯁꯤ ꯑꯦꯛꯇꯤꯚ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯃꯇꯃꯗꯥ ꯃꯁꯤꯒꯤꯗꯃꯛꯇꯥ ꯅꯍꯥꯀꯄꯨ ꯃꯣꯅꯤꯇꯔ ꯇꯧꯒꯅꯤ꯫

ꯃꯔꯨꯑꯣꯏꯕꯥ: ꯍꯤꯗꯥꯛ ꯑꯁꯤ ꯂꯧꯕꯥ ꯃꯇꯃꯗꯥ, ꯅꯍꯥꯛꯅꯥ ꯂꯥꯏꯕ ꯚꯦꯛꯁꯤꯟ ꯂꯧꯕꯗꯒꯤ ꯂꯥꯞꯅꯥ ꯂꯩꯒꯗꯕꯅꯤ꯫ ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯃꯤꯖꯂꯁ, ꯃꯝꯄꯁ, ꯔꯨꯕꯦꯂꯥ (MMR), ꯑꯃꯁꯨꯡ ꯔꯣꯇꯥꯚꯥꯏꯔꯁ ꯑꯁꯤꯅꯆꯤꯡꯕꯥ ꯌꯥꯎꯏ꯫ ꯇꯤꯀꯥꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯑꯅꯥꯕꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ ꯃꯔꯃꯗꯤ ꯃꯇꯝ ꯑꯗꯨꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯏꯝꯝꯌꯨꯟ ꯁꯤꯁ꯭ꯇꯦꯝ ꯑꯗꯨ ꯁꯣꯟꯊꯔꯀꯏ꯫ ꯇꯤꯀꯥ ꯑꯃꯠꯇꯥ ꯂꯧꯗ꯭ꯔꯤꯉꯩꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯁꯣꯌꯗꯅꯥ ꯋꯥꯔꯤ ꯁꯥꯕꯤꯌꯨ꯫

ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛ ꯍꯧꯕꯥ ꯃꯇꯃꯗꯥ ꯑꯩꯅꯥ ꯀꯔꯤ ꯑꯥꯁꯥ ꯇꯧꯒꯗꯒꯦ?

ꯃꯤꯑꯣꯏ ꯈꯔꯗꯤ ꯍꯤꯗꯥꯛ ꯑꯁꯤ ꯍꯧꯔꯀꯄꯗꯒꯤ ꯅꯨꯃꯤꯠ ꯑꯅꯤꯈꯛꯇꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯃꯈꯣꯌꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡꯗꯒꯤ ꯔꯤꯂꯤꯐ ꯂꯩꯕꯥ ꯍꯧꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯃꯤꯑꯣꯏ ꯈꯔꯗꯗꯤ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯔꯤꯂꯤꯐ ꯂꯩꯔꯀꯄꯗꯥ ꯊꯥ 6 ꯐꯥꯎꯕꯥ ꯆꯪꯂꯝꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤ ꯃꯤꯑꯣꯏ ꯑꯃꯗꯒꯤ ꯃꯤꯑꯣꯏ ꯑꯃꯗꯥ ꯈꯦꯠꯅꯩ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯊꯥ ꯈꯔꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛ ꯂꯧꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯍꯦꯟꯅꯥ ꯐꯒꯠꯂꯛꯠꯔꯕꯗꯤ, ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯂꯩꯔꯣꯏꯗꯕꯅꯤ ꯑꯃꯁꯨꯡ ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯕꯤꯌꯨ ꯑꯃꯁꯨꯡ ꯃꯊꯪꯗꯥ ꯀꯔꯤ ꯇꯧꯒꯗꯒꯦ ꯍꯥꯌꯕꯒꯤ ꯄꯥꯎꯇꯥꯛ ꯂꯧꯕꯤꯌꯨ꯫