ꯀꯤꯗꯅꯤ ꯐꯦꯜ ꯑꯣꯏꯕꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯈꯪꯖꯤꯅꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯁꯤꯡ꯫

ꯀꯤꯗꯅꯤ ꯑꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯑꯄꯤꯀꯄꯥ ꯑꯗꯨꯕꯨ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯑꯣꯔꯒꯥꯟ ꯑꯃꯅꯤ꯫ ꯃꯈꯣꯌ ꯑꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯂꯩꯔꯤꯕꯥ ꯑꯃꯣꯠꯄꯁꯤꯡ ꯐꯤꯜꯇꯔ ꯇꯧꯕꯥ ꯁꯨꯄꯔ ꯐꯤꯜꯇꯔ ꯑꯅꯤꯒꯨꯝꯅꯥ ꯑꯣꯏ꯫ ꯑꯗꯨꯕꯨ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯐꯤꯜꯇꯔ ꯑꯅꯤ ꯑꯁꯤꯅꯥ ꯊꯕꯛ ꯇꯧꯕꯥ ꯂꯦꯄꯈ꯭ꯔꯕꯗꯤ, ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯅꯠꯠꯔꯒꯥ ꯈꯉꯍꯧꯗꯅꯥ ꯀꯔꯤ ꯑꯣꯏꯒꯅꯤ? ꯃꯗꯨ ꯑꯩꯈꯣꯌꯅꯥ ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯑꯣꯏꯅꯥ ꯀꯤꯗꯅꯤ ꯐꯦꯏꯂꯔ ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ ꯑꯩꯈꯣꯌ ꯄꯨꯝꯅꯃꯛꯀꯤ ꯑꯣꯏꯅꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯈꯉꯕꯥ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫ ꯃꯔꯃꯗꯤ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯩꯈꯣꯌꯅꯥ ꯃꯁꯤ ꯇꯣꯌꯅꯥ ꯈꯉꯂꯕꯗꯤ, ꯃꯁꯤꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯕꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯑꯗꯨ ꯑꯩꯈꯣꯌꯅꯥ ꯑꯆꯧꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯥ ꯉꯃꯒꯅꯤ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯑꯀꯨꯞꯄꯥ ꯃꯔꯣꯂꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯁꯤ꯫

ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯀꯤꯗꯅꯤꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯊꯕꯛ ꯑꯁꯤ ꯀꯔꯤꯅꯣ?

ꯅꯍꯥꯛꯀꯤ ꯀꯤꯗꯅꯤꯁꯤꯡ ꯑꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯈꯨꯠꯁꯥꯒꯤ ꯃꯌꯥꯏꯗꯥ ꯂꯩꯕꯥ ꯁꯉ꯭ꯒꯣꯃꯒꯤ ꯃꯑꯣꯡꯒꯤ ꯑꯣꯔꯒꯥꯟ ꯑꯅꯤꯅꯤ꯫ ꯃꯈꯣꯌ ꯑꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ, ꯅꯍꯥꯛꯀꯤ ꯔꯤꯕꯟ ꯀꯦꯖꯒꯤ ꯃꯈꯥꯗꯥ ꯂꯩ꯫ ꯑꯌꯥꯝꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯗꯥ ꯐꯉ꯭ꯀꯁꯟ ꯇꯧꯕꯥ ꯀꯤꯗꯅꯤ ꯑꯅꯤ ꯂꯩ, ꯑꯗꯨꯕꯨ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯀꯤꯗꯅꯤ ꯑꯃꯅꯥ ꯐꯖꯅꯥ ꯊꯕꯛ ꯇꯧꯔꯕꯗꯤ ꯃꯗꯨ ꯍꯀꯁꯦꯜ ꯐꯕꯥ ꯄꯨꯟꯁꯤ ꯑꯃꯥ ꯍꯤꯡꯕꯗꯥ ꯃꯇꯤꯛ ꯆꯥꯕꯅꯤ꯫

ꯀꯤꯗꯅꯤꯁꯤꯡꯗꯥ ꯊꯕꯛ ꯀꯌꯥ ꯂꯩ꯫ ꯃꯈꯣꯌꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯑꯃꯁꯨꯡ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯑꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯏ ꯁꯦꯡꯗꯣꯀꯄꯅꯤ . ꯌꯨꯃꯗꯥ ꯏꯁꯤꯡ ꯐꯤꯜꯇꯔ ꯑꯃꯒꯨꯝꯅꯥ, ꯀꯤꯗꯅꯤꯁꯤꯡꯅꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯏꯗꯒꯤ ꯑꯄꯥꯝꯕꯥ ꯑꯃꯣꯠꯄꯥ ꯑꯃꯁꯨꯡ ꯄꯣꯠꯁꯛ ꯄꯨꯝꯅꯃꯛ ꯐꯤꯜꯇꯔ ꯇꯧꯗꯨꯅꯥ ꯍꯀꯆꯥꯡꯗꯒꯤ ꯌꯨꯔꯤꯟ ꯑꯣꯏꯅꯥ ꯂꯧꯊꯣꯀꯏ .

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯐꯤꯜꯇꯔ ꯑꯁꯤ ꯊꯨꯒꯥꯏꯔꯕꯗꯤ ꯀꯔꯤ ꯑꯣꯏꯒꯅꯤ ꯍꯥꯌꯕꯗꯨ ꯈꯟꯗꯨꯅꯥ ꯌꯦꯡꯕꯤꯌꯨ꯫ ꯅꯍꯥꯛꯀꯤ ꯀꯤꯗꯅꯤꯁꯤꯡ ꯑꯗꯨ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯊꯕꯛ ꯇꯧꯗꯕꯥ ꯃꯇꯃꯗꯥ ꯊꯣꯀꯏ꯫ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯂꯩꯔꯤꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ ꯑꯁꯤ ꯊꯣꯀꯄꯥ ꯉꯃꯗꯕꯒꯤ ꯃꯍꯨꯠꯇꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯁꯦꯃꯒꯠꯄꯥ ꯍꯧꯏ꯫ ꯃꯗꯨ ꯑꯣꯏꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯅꯍꯥꯛꯅꯥ ꯑꯅꯥꯕꯥ ꯐꯥꯎꯕꯥ ꯍꯧꯔꯀꯏ, ꯑꯃꯁꯨꯡ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯂꯥꯏꯌꯦꯡꯗ꯭ꯔꯕꯗꯤ, ꯃꯁꯤꯅꯥ ꯄꯨꯟꯁꯤꯗꯥ ꯈꯨꯗꯣꯡꯊꯤꯕꯥ ꯐꯥꯎꯕꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯕꯨ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯂꯩꯔꯣꯏ, ꯃꯇꯤꯛ ꯆꯥꯕꯥ ꯂꯥꯏꯌꯦꯡꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯃꯤꯑꯣꯏ ꯀꯌꯥꯅꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯥ ꯉꯃꯒꯅꯤ ꯑꯃꯁꯨꯡ ꯑꯐꯕꯥ ꯄꯨꯟꯁꯤ ꯑꯃꯥ ꯍꯤꯡꯕꯥ ꯉꯃꯒꯅꯤ꯫

ꯀꯤꯗꯅꯤꯒꯤ ꯂꯥꯌꯅꯥꯒꯤ ꯁ꯭ꯇꯦꯖ ꯃꯉꯥ ꯑꯁꯤ ꯀꯔꯤꯅꯣ?

ꯀꯤꯗꯅꯤꯒꯤ ꯂꯥꯌꯅꯥ ꯑꯁꯤ ꯀꯌꯥ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯁꯤꯟꯅꯕꯥ ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯁꯤꯖꯤꯟꯅꯕꯥ ꯑꯈꯟꯅꯕꯥ ꯃꯥꯏꯄꯥꯀꯄꯥ ꯑꯃꯥ ꯂꯩ꯫ ꯃꯁꯤꯕꯨ ꯏ.ꯖꯤ.ꯑꯦꯐ.ꯑꯥꯔ.(ꯑꯦꯁ꯭ꯇꯤꯃꯦꯠ ꯇꯧꯔꯕꯥ ꯒ꯭ꯂꯣꯃꯦꯔꯨꯂꯥꯔ ꯐꯤꯜꯠꯔꯦꯁꯟ ꯔꯦꯠ) ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ ꯃꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯕ꯭ꯂꯗ ꯇꯦꯁ꯭ꯇꯇꯒꯤ ꯐꯪꯕꯥ ꯚꯦꯜꯌꯨ ꯑꯃꯅꯤ꯫ ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯏ.ꯖꯤ.ꯑꯦꯐ.ꯑꯥꯔ.ꯒꯤ ꯚꯦꯜꯌꯨ ꯑꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯀꯤꯗꯅꯤꯁꯤꯡꯅꯥ ꯑꯃꯣꯠꯄꯥ ꯄꯣꯠꯂꯃꯁꯤꯡ ꯀꯌꯥ ꯌꯥꯝꯅꯥ ꯐꯤꯜꯇꯔ ꯇꯧꯔꯤꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯈꯉꯍꯜꯂꯤ꯫ ꯍꯀꯁꯦꯜ ꯐꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯒꯤ eGFR ꯚꯦꯜꯌꯨ ꯑꯁꯤ 90ꯒꯤ ꯃꯊꯛꯇꯥ ꯂꯩ, ꯚꯦꯜꯌꯨ ꯑꯁꯤ ꯍꯦꯟꯅꯥ ꯅꯦꯝꯂꯕꯗꯤ ꯅꯍꯥꯛꯀꯤ ꯀꯤꯗꯅꯤꯁꯤꯡ ꯑꯗꯨ ꯍꯦꯟꯅꯥ ꯏꯐꯦꯛꯇꯤꯚ ꯑꯣꯏ꯫

ꯀꯤꯗꯅꯤꯒꯤ ꯂꯥꯌꯅꯥ ꯑꯁꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯁ꯭ꯇꯦꯖ ꯃꯉꯥꯗꯥ ꯈꯥꯌꯗꯣꯀꯄꯥ ꯌꯥꯏ꯫

ꯀꯤꯗꯅꯤ ꯐꯦꯜ ꯑꯣꯏꯕꯒꯤ ꯄ꯭ꯔꯥꯏꯃꯥꯔꯤ ꯋꯥꯔꯅꯤꯡ ꯁꯥꯏꯅꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?

ꯃꯃꯥꯡꯗꯥ ꯄꯅꯈ꯭ꯔꯤꯕꯥ ꯃꯇꯨꯡ ꯏꯟꯅꯥ, ꯑꯍꯥꯅꯕꯥ ꯇꯥꯉ꯭ꯀꯛꯇꯥ ꯂꯥꯏꯑꯣꯡ ꯑꯃꯠꯇꯥ ꯂꯩꯇꯕꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯀꯤꯗꯅꯤꯒꯤ ꯐꯉ꯭ꯀꯁꯟ ꯍꯟꯊꯔꯀꯄꯒꯥ ꯂꯣꯌꯅꯅꯥ, ꯅꯍꯥꯛꯅꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯃꯗꯒꯤ ꯍꯦꯅꯕꯥ ꯊꯦꯡꯅꯔꯀꯄꯥ ꯌꯥꯏ:

• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯃꯠꯇꯥ ꯇꯧꯗꯅꯥ ꯌꯥꯝꯅꯥ ꯋꯥꯅꯥ ꯊꯣꯀꯄꯥ (fatigue): ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯕꯥ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯈꯛꯇꯒꯤ ꯅꯠꯇꯅꯥ, ꯅꯍꯥꯛꯅꯥ ꯀꯌꯥ ꯌꯥꯝꯅꯥ ꯇꯨꯝꯕꯥ ꯌꯥꯗꯕꯁꯨ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯐꯥꯎꯕꯥ꯫
• ꯅꯣꯡꯃꯩ ꯀꯥꯞꯄꯥ ꯑꯃꯁꯨꯡ ꯈꯣꯝꯂꯥꯡ ꯁꯣꯛ-ꯄꯅꯕꯥ: ꯃꯆꯤꯟꯖꯥꯛ ꯊꯀꯄꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯅꯣꯡꯃꯩ ꯀꯥꯞꯄꯥ ꯑꯃꯁꯨꯡ ꯈꯣꯝꯂꯥꯡ ꯁꯣꯀꯄꯥ꯫
• ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯄꯨꯛꯅꯤꯡ ꯆꯪꯕꯗꯥ ꯑꯋꯥꯕꯥ: ꯄꯨꯛꯅꯤꯡ ꯆꯪꯕꯗꯥ ꯑꯋꯥꯕꯥ, ꯄꯣꯠꯁꯀꯁꯤꯡ ꯀꯥꯎꯕꯥ꯫
• ꯁꯣꯛ-ꯄꯅꯕꯥ (edema): ꯃꯔꯨꯑꯣꯏꯅꯥ ꯈꯨꯠ, ꯈꯣꯡ, ꯈꯣꯡ ꯑꯃꯁꯨꯡ ꯃꯥꯌꯗꯥ ꯁꯣꯀꯄꯥ꯫ ꯃꯁꯤ ꯐꯤꯅꯥ ꯀꯨꯄꯁꯤꯜꯂꯕꯥ ꯃꯇꯃꯗꯥ ꯗꯤꯝꯄꯂꯒꯨꯝꯅꯥ ꯐꯥꯑꯣꯏ꯫
• ꯌꯨꯔꯤꯅꯔꯤꯒꯤ ꯐ꯭ꯔꯤꯛꯕꯦꯟꯁꯤꯗꯥ ꯑꯍꯣꯡꯕꯥ ꯂꯥꯀꯄꯥ: ꯅꯍꯥꯛꯅꯥ ꯃꯍꯧꯁꯥꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯅꯠꯠꯔꯒꯥ ꯍꯟꯊꯅꯥ ꯌꯨꯔꯤꯟ ꯇꯧꯕꯥ ꯍꯧꯔꯀꯄꯥ ꯌꯥꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯐꯣꯝ ꯅꯠꯠꯔꯒꯥ ꯏ ꯊꯣꯀꯄꯥ ꯌꯨꯔꯤꯟ ꯎꯕꯥ ꯐꯪꯒꯅꯤ꯫
• ꯃꯁꯜ ꯁꯣꯟꯊꯕꯥ (muscle spasms) : ꯈꯣꯡ ꯑꯃꯁꯨꯡ ꯈꯨꯠꯁꯥꯗꯥ ꯃꯁꯜ ꯁꯣꯟꯊꯕꯥ꯫
• ꯈꯣꯡ ꯍꯥꯝꯕꯥ ꯑꯃꯁꯨꯡ ꯆꯤꯀꯄꯥ: ꯀꯤꯗꯅꯤꯗꯒꯤ ꯇꯣꯛꯁꯤꯅꯁꯤꯡ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯂꯧꯊꯣꯀꯄꯥ ꯉꯃꯗꯕꯥ ꯃꯇꯃꯗꯥ, ꯈꯣꯡ ꯑꯗꯨ ꯁꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯁꯣꯀꯄꯥ ꯌꯥꯗꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯁꯣꯀꯄꯥ ꯌꯥꯏ꯫
• ꯑꯦꯄꯦꯇꯥꯏꯠ: ꯅꯍꯥꯛꯅꯥ ꯆꯥꯕꯥ ꯉꯃꯗꯕꯥ ꯌꯥꯏ, ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯅꯥ ꯆꯥꯔꯤꯕꯥ ꯆꯤꯟꯖꯥꯛ ꯑꯗꯨꯗꯥ ꯙꯥꯇꯨꯒꯤ ꯃꯁꯛ (ꯑꯥꯏꯔꯅꯒꯨꯝꯕꯥ) ꯑꯃꯥ ꯎꯕꯥ ꯐꯪꯒꯅꯤ꯫

ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯂꯩꯕꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯀꯤꯗꯅꯤ ꯐꯦꯜ ꯑꯣꯏꯔꯦ ꯍꯥꯌꯕꯥ ꯇꯥꯀꯄꯥ ꯅꯠꯇꯦ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯃꯗꯒꯤ ꯍꯦꯅꯕꯥ ꯂꯩꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯈꯨꯗꯛꯇꯥ ꯄꯥꯎꯇꯥꯛ ꯂꯧꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ .

ꯀꯤꯗꯅꯤ ꯐꯦꯜ ꯑꯣꯏꯕꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯔꯃꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?

ꯀꯤꯗꯅꯤ ꯐꯦꯜ ꯑꯣꯏꯕꯥ ꯑꯁꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯑꯣꯡ ꯑꯅꯤꯗꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯑꯃꯅꯥ ꯃꯇꯃꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯂꯥꯀꯄꯥ ꯀ꯭ꯔꯣꯅꯤꯛ ꯀꯤꯗꯅꯤ ꯗꯤꯖꯤꯖ (CKD) ꯅꯤ . ꯑꯇꯣꯞꯄꯥ ꯑꯃꯅꯥ ꯈꯉꯍꯧꯗꯅꯥ ꯊꯣꯀꯄꯥ ꯑꯦꯛꯌꯨꯠ ꯀꯤꯗꯅꯤ ꯏꯅꯖꯨꯔꯤꯅꯤ .

ꯀ꯭ꯔꯣꯅꯤꯛ ꯀꯤꯗꯅꯤ ꯗꯤꯖꯤꯖ (CKD)ꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯔꯃꯁꯤꯡ

ꯑꯩꯈꯣꯌꯒꯤ ꯂꯩꯕꯥꯛ ꯑꯁꯤꯗꯥ ꯃꯤꯑꯣꯏ ꯀꯌꯥ ꯀꯤꯗꯅꯤꯒꯤ ꯂꯥꯌꯅꯥ ꯅꯥꯔꯀꯄꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯔꯝ ꯑꯅꯤ ꯂꯩꯔꯤ꯫

1. ꯗꯥꯏꯑꯦꯕꯦꯇꯤꯖ: ꯀꯟꯠꯔꯣꯜ ꯇꯧꯗꯕꯥ ꯗꯥꯏꯑꯦꯕꯦꯇꯤꯖꯅꯥ ꯕ꯭ꯂꯗ ꯁꯨꯒꯔꯒꯤ ꯆꯥꯡ ꯋꯥꯡꯅꯥ ꯂꯩꯍꯜꯂꯤ꯫ ꯃꯁꯤꯒꯤ ꯑꯍꯦꯅꯕꯥ ꯆꯤꯅꯤ ꯑꯁꯤꯅꯥ ꯀꯤꯗꯅꯤꯁꯤꯡꯗꯥ ꯂꯩꯕꯥ ꯃꯆꯤ ꯑꯣꯏꯕꯥ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯂꯁꯤꯡꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯜꯂꯤ, ꯃꯗꯨꯗꯤ ꯃꯩꯁꯥꯅꯥ ꯁꯤꯕꯥ ꯌꯥꯕꯥ ꯄꯣꯠꯁꯛ ꯑꯃꯥ ꯆꯥꯕꯒꯨꯝꯅꯥ꯫ ꯃꯇꯃꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ, ꯃꯁꯤꯒꯤ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯑꯁꯤꯅꯥ ꯀꯤꯗꯅꯤꯁꯤꯡꯅꯥ ꯏ ꯐꯤꯜꯇꯔ ꯇꯧꯕꯒꯤ ꯇꯧꯕꯥ ꯉꯝꯕꯗꯨ ꯍꯟꯊꯍꯜꯂꯤ꯫

2. ꯍꯥꯏ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ: ꯍꯥꯏ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ ꯍꯥꯌꯕꯁꯤꯅꯥ ꯏ ꯑꯗꯨ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯂꯁꯤꯡꯗꯥ ꯌꯥꯝꯅꯥ ꯋꯥꯡꯅꯥ ꯆꯪꯁꯤꯜꯂꯤ ꯍꯥꯌꯕꯅꯤ꯫ ꯃꯁꯤꯒꯤ ꯑꯍꯦꯅꯕꯥ ꯐꯣꯔꯁ ꯑꯁꯤ ꯃꯈꯥ ꯆꯠꯊꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯀꯤꯗꯅꯤꯒꯤ ꯃꯆꯤꯟ-ꯃꯅꯥꯑꯣ ꯑꯣꯏꯕꯥ ꯇꯤꯁꯨꯁꯤꯡꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯏ꯫ ꯃꯁꯤꯅꯥ ꯀꯤꯗꯅꯤ ꯐꯦꯜ ꯑꯣꯏꯕꯒꯤ ꯑꯆꯧꯕꯥ ꯃꯔꯝ ꯑꯃꯁꯨ ꯑꯣꯏꯔꯤ꯫

ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯔꯝ ꯑꯅꯤ ꯑꯁꯤꯒꯤ ꯃꯊꯛꯇꯥ ꯑꯇꯣꯞꯄꯥ ꯃꯔꯝ ꯀꯌꯥ ꯑꯃꯁꯨ ꯂꯩꯔꯤ:

• ꯄꯣꯂꯤꯁꯤꯁ꯭ꯇꯤꯛ ꯀꯤꯗꯅꯤ ꯗꯤꯖꯤꯖ (PKD): ꯃꯁꯤ ꯃꯤꯔꯣꯜ ꯀꯌꯥꯒꯤ ꯃꯔꯛꯇꯥ ꯂꯥꯀꯄꯥ ꯖꯦꯅꯦꯇꯤꯛ ꯗꯤꯁꯑꯣꯔꯗꯔ ꯑꯃꯅꯤ꯫ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤꯗꯥ, ꯐ꯭ꯂꯨꯏꯗꯅꯥ ꯊꯜꯂꯕꯥ ꯁꯤꯁ꯭ꯇꯦꯃꯁꯤꯡ (cysts) ꯑꯁꯤ ꯀꯤꯗꯅꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯁꯦꯝꯃꯤ, ꯃꯗꯨꯅꯥ ꯀꯤꯗꯅꯤꯁꯤꯡ ꯑꯁꯤ ꯍꯦꯅꯒꯠꯂꯀꯄꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫
• ꯒ꯭ꯂꯣꯃꯦꯔꯨꯂꯥꯔ ꯗꯤꯖꯤꯖꯁꯤꯡ: ꯃꯁꯤ ꯀꯤꯗꯅꯤꯒꯤ ꯐꯤꯜꯇꯔ ꯌꯨꯅꯤꯇꯁꯤꯡꯗꯥ ꯁꯣꯀꯍꯜꯂꯤꯕꯥ ꯂꯥꯌꯅꯥꯁꯤꯡꯅꯤ꯫
• ꯑꯣꯇꯣꯏꯝꯌꯨꯟ ꯂꯥꯌꯅꯥꯁꯤꯡ : ꯂꯨꯄꯁꯒꯨꯝꯕꯥ ꯂꯥꯌꯅꯥꯁꯤꯡꯗꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯏꯁꯥꯒꯤ ꯏꯝꯝꯌꯨꯟ ꯁꯤꯁ꯭ꯇꯦꯃꯅꯥ ꯀꯤꯗꯅꯤꯁꯤꯡꯗꯥ ꯑꯦꯇꯦꯛ ꯇꯧꯏ ꯑꯃꯁꯨꯡ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯜꯂꯤ꯫

ꯈꯪꯍꯧꯗꯅꯥ ꯑꯀꯅꯕꯥ ꯀꯤꯗꯅꯤ ꯐꯦꯜ ꯑꯣꯏꯔꯀꯄꯒꯤ ꯃꯔꯃꯁꯤꯡ꯫

ꯃꯁꯤ ꯈꯪꯍꯧꯗꯅꯥ, ꯄꯨꯡ ꯈꯔꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯅꯠꯠꯔꯒꯥ ꯅꯨꯃꯤꯠ ꯈꯔꯅꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯑꯌꯥꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯃꯇꯝ ꯈꯔꯒꯤ ꯑꯣꯏꯕꯥ ꯑꯣꯏ ꯑꯃꯁꯨꯡ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯂꯥꯏꯌꯦꯡꯕꯅꯥ ꯐꯍꯅꯕꯥ ꯉꯝꯃꯤ꯫

• ꯑꯀꯛꯅꯕꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ: ꯃꯔꯨꯑꯣꯏꯅꯥ ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯄꯦꯟ ꯀꯤꯂꯔꯁꯤꯡ ꯁꯤꯖꯤꯟꯅꯕꯥ꯫
• ꯁꯥꯊꯤꯕꯥ ꯗꯤꯍꯥꯌꯗ꯭ꯔꯦꯁꯟ: ꯍꯀꯆꯥꯡꯗꯥ ꯏꯁꯤꯡ ꯃꯔꯥꯡ ꯀꯥꯌꯅꯥ ꯐꯪꯗꯕꯥ꯫
• ꯌꯨꯔꯤꯅꯔꯤ ꯇ꯭ꯔꯦꯛꯇ ꯑꯣꯕꯁ꯭ꯠꯔꯥꯀꯁꯟ (Urinary tract obstruction): ꯌꯨꯔꯤꯅꯔꯤ ꯁ꯭ꯇꯣꯟ ꯅꯠꯠꯔꯒꯥ ꯑꯇꯩ ꯃꯔꯃꯁꯤꯡꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯌꯨꯔꯤꯟ ꯐ꯭ꯂꯣꯗꯥ ꯑꯀꯥꯌꯕꯥ ꯄꯤꯕꯥ꯫
• ꯂꯥꯏꯌꯦꯡꯗꯕꯥ ꯑꯇꯩ ꯂꯥꯌꯅꯥꯁꯤꯡ : ꯍꯥꯔꯇꯀꯤ ꯂꯥꯌꯅꯥ ꯅꯠꯠꯔꯒꯥ ꯂꯤꯚꯔꯒꯤ ꯂꯥꯌꯅꯥꯒꯨꯝꯕꯥ ꯁꯥꯊꯤꯕꯥ ꯑꯅꯥꯕꯁꯤꯡ꯫

ꯀꯤꯗꯅꯤꯒꯤ ꯂꯥꯌꯅꯥ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯈꯪꯗꯣꯛꯀꯅꯤ?

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯀꯤꯗꯅꯤꯒꯤ ꯂꯥꯌꯅꯥ ꯂꯩꯔꯦ ꯍꯥꯌꯅꯥ ꯆꯤꯡꯅꯔꯕꯗꯤ, ꯃꯈꯣꯌꯅꯥ ꯗꯥꯏꯑꯦꯒ꯭ꯅꯣꯁꯤꯁ ꯑꯗꯨ ꯀꯅꯐꯥꯔꯝ ꯇꯧꯅꯕꯥ ꯇꯦꯁ꯭ꯠ ꯀꯌꯥ ꯄꯥꯡꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫

• ꯕ꯭ꯂꯗ ꯇꯦꯁ꯭ꯠ: ꯃꯁꯤꯅꯥ ꯃꯔꯨꯑꯣꯏꯅꯥ ꯏꯗꯥ ꯂꯩꯔꯤꯕꯥ ꯀ꯭ꯔꯤꯌꯦꯇꯤꯅꯤꯟ ꯑꯃꯁꯨꯡ ꯌꯨꯔꯤꯌꯥꯒꯨꯝꯕꯥ ꯑꯃꯣꯠꯄꯥ ꯄꯣꯠꯂꯃꯁꯤꯡꯒꯤ ꯆꯥꯡ ꯌꯦꯡꯁꯤꯜꯂꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯀꯤꯗꯅꯤꯁꯤꯡꯅꯥ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯊꯕꯛ ꯇꯧꯗ꯭ꯔꯕꯗꯤ ꯃꯈꯣꯌꯒꯤ ꯂꯦꯚꯦꯜ ꯑꯗꯨ ꯏꯗꯥ ꯍꯦꯅꯒꯠꯂꯀꯏ꯫ ꯏ.ꯖꯤ.ꯑꯦꯐ.ꯑꯥꯔ.ꯒꯤ ꯚꯦꯜꯌꯨ ꯑꯁꯤꯁꯨ ꯕ꯭ꯂꯗ ꯇꯦꯁ꯭ꯠ ꯑꯁꯤꯗꯒꯤ ꯂꯦꯄꯊꯣꯀꯏ꯫
• ꯌꯨꯔꯤꯟ ꯇꯦꯁ꯭ꯇꯁꯤꯡ: ꯅꯍꯥꯛꯀꯤ ꯌꯨꯔꯤꯟ ꯑꯗꯨ ꯄ꯭ꯔꯣꯇꯤꯟ ꯅꯠꯠꯔꯒꯥ ꯏ ꯌꯥꯎꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯆꯦꯛ ꯇꯧꯒꯅꯤ꯫ ꯍꯀꯁꯦꯜ ꯐꯕꯥ ꯀꯤꯗꯅꯤꯁꯤꯡꯅꯥ ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯅꯥ ꯄ꯭ꯔꯣꯇꯤꯟ ꯊꯥꯗꯣꯀꯄꯥ ꯉꯃꯗꯦ꯫ ꯌꯨꯔꯤꯅꯗꯥ ꯌꯥꯎꯔꯤꯕꯥ ꯄ꯭ꯔꯣꯇꯤꯟ ꯑꯁꯤ ꯀꯤꯗꯅꯤꯒꯤ ꯐꯤꯜꯇꯔ ꯇꯧꯕꯒꯤ ꯁꯤꯁ꯭ꯇꯦꯝ ꯑꯁꯤ ꯁꯣꯀꯍꯜꯂꯀꯄꯒꯤ ꯈꯨꯗꯝ ꯑꯃꯅꯤ꯫
• ꯏꯃꯦꯖꯤꯡ ꯇꯦꯁ꯭ꯇꯁꯤꯡ: ꯀꯤꯗꯅꯤꯒꯤ ꯑꯂꯠꯔꯥꯁꯥꯎꯟꯗ ꯁ꯭ꯀꯦꯟ, ꯁꯤ.ꯇꯤ.ꯁ꯭ꯀꯦꯟ ꯅꯠꯠꯔꯒꯥ ꯑꯦꯝ.ꯑꯥꯔ.ꯑꯥꯏ.

ꯀꯤꯗꯅꯤ ꯐꯦꯜ ꯑꯣꯏꯕꯒꯤ ꯂꯥꯏꯌꯦꯡꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?

ꯀꯤꯗꯅꯤ ꯐꯦꯜ ꯑꯣꯏꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯂꯥꯏꯌꯦꯡꯕꯥ ꯉꯃꯗꯕꯥ, ꯄꯨꯟꯁꯤ ꯆꯨꯞꯄꯒꯤ ꯑꯣꯏꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫ ꯑꯗꯨꯕꯨ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯂꯩꯔꯣꯏꯗꯕꯅꯤ꯫ ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯄꯥꯟꯗꯃꯗꯤ ꯂꯦꯃꯍꯧꯔꯤꯕꯥ ꯀꯤꯗꯅꯤꯒꯤ ꯐꯉ꯭ꯀꯁꯟ ꯑꯗꯨ ꯌꯥꯔꯤꯕꯃꯈꯩ ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯉꯥꯛꯇꯨꯅꯥ ꯊꯝꯕꯥ ꯑꯃꯁꯨꯡ ꯂꯥꯌꯅꯥ ꯑꯁꯤꯒꯤ ꯄ꯭ꯔꯣꯒ꯭ꯔꯦꯁ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯅꯤ꯫

ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯃꯑꯣꯡ-ꯃꯇꯧꯁꯤꯡ ꯑꯁꯤ ꯂꯥꯌꯅꯥ ꯑꯁꯤꯒꯤ ꯃꯔꯝ ꯑꯃꯁꯨꯡ ꯁꯥꯊꯤꯕꯒꯤ ꯃꯇꯨꯡ ꯏꯟꯅꯥ ꯈꯦꯠꯅꯩ꯫

ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯂꯥꯏꯌꯦꯡꯕꯥ꯫

ꯀꯟꯗꯤꯁꯟ ꯑꯗꯨꯒꯤ ꯃꯔꯝ ꯑꯗꯨꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯍꯤꯗꯥꯀꯁꯤꯡ ꯑꯁꯤ ꯄꯤꯕꯥ ꯌꯥꯏ:

• ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔꯒꯤ ꯍꯤꯗꯥꯀꯁꯤꯡ: ACE ꯏꯅꯍꯤꯕꯤꯇꯔꯁꯤꯡ ꯅꯠꯠꯔꯒꯥ ARBꯁꯤꯡꯒꯨꯝꯕꯥ ꯍꯤꯗꯥꯀꯁꯤꯡ꯫
• ꯗꯥꯏꯑꯦꯕꯦꯇꯤꯖ (Diuretics): ꯌꯨꯔꯤꯅꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯍꯀꯆꯥꯡꯗꯒꯤ ꯑꯍꯦꯅꯕꯥ ꯏꯁꯤꯡ ꯂꯧꯊꯣꯀꯄꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯂꯤꯕꯥ ꯗ꯭ꯔꯒꯁꯤꯡ꯫
• ꯀꯣꯂꯦꯁ꯭ꯇꯦꯔꯣꯜ ꯍꯟꯊꯍꯅꯕꯥ ꯉꯝꯕꯥ ꯗ꯭ꯔꯒꯁꯤꯡ (Statins): ꯍꯥꯔꯇꯀꯤ ꯂꯥꯌꯅꯥꯒꯤ ꯔꯤꯁ꯭ꯛ ꯍꯟꯊꯍꯜꯂꯤ꯫
• ꯑꯦꯅꯤꯃꯤꯌꯥꯒꯤ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ: ꯀꯤꯗꯅꯤ ꯄꯦꯁꯦꯟꯇꯁꯤꯡꯅꯥ ꯔꯦꯗ ꯕ꯭ꯂꯗ ꯁꯦꯜ ꯄꯨꯊꯣꯀꯄꯥ ꯍꯟꯊꯔꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯂꯤꯕꯥ ꯍꯤꯗꯥꯀꯁꯤꯡ꯫
• ꯚꯤꯇꯥꯃꯤꯟ D ꯑꯃꯁꯨꯡ ꯀꯦꯂꯁꯤꯌꯝ: ꯁꯔꯨ ꯇꯥꯡꯁꯤꯡ ꯃꯄꯥꯉ꯭ꯒꯜ ꯀꯅꯈꯠꯍꯅꯒꯗꯕꯅꯤ꯫

ꯂꯥꯌꯅꯥ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯃꯇꯃꯗꯥ ꯂꯥꯏꯌꯦꯡꯕꯥ꯫

ꯀꯤꯗꯅꯤꯒꯤ ꯂꯥꯌꯅꯥ ꯑꯁꯤ ꯑꯔꯣꯏꯕꯥ ꯁ꯭ꯇꯦꯖ (ꯁ꯭ꯇꯦꯖ V)ꯗꯥ ꯌꯧꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯍꯤꯡꯅꯕꯒꯤꯗꯃꯛ ꯑꯈꯟꯅꯕꯥ ꯂꯥꯏꯌꯦꯡ ꯃꯊꯧ ꯇꯥꯏ꯫ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯃꯑꯣꯡ ꯑꯅꯤ ꯂꯩ꯫

꯱.ꯗꯥꯏꯑꯦꯂꯥꯏꯁꯤꯁ ꯇꯧꯕꯥ: ꯱.

ꯃꯁꯤꯗꯥ ꯁꯣꯀꯍꯜꯂꯕꯥ ꯀꯤꯗꯅꯤꯁꯤꯡꯒꯤ ꯃꯍꯨꯠꯇꯥ ꯏ ꯁꯦꯡꯗꯣꯛꯅꯕꯥ ꯃꯦꯁꯤꯟ ꯑꯃꯥ ꯁꯤꯖꯤꯟꯅꯕꯅꯤ꯫ ꯗꯥꯏꯑꯦꯂꯥꯏꯁꯤꯁ ꯑꯁꯤ ꯃꯈꯜ ꯑꯅꯤ ꯂꯩ:

• ꯍꯦꯃꯣꯗꯥꯏꯑꯦꯂꯥꯏꯁꯤꯁ: ꯃꯁꯤꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯏ ꯑꯗꯨ ꯑꯃꯣꯠꯄꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ ꯐꯤꯜꯇꯔ ꯇꯧꯕꯥ ꯑꯃꯁꯨꯡ ꯑꯁꯦꯡꯕꯥ ꯏ ꯑꯗꯨ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯍꯜꯂꯀꯄꯥ ꯃꯦꯁꯤꯟ ꯑꯃꯗꯥ ꯊꯥꯏ꯫ ꯃꯁꯤꯅꯥ ꯃꯍꯧꯁꯥꯅꯥ ꯅꯨꯃꯤꯠ ꯈꯨꯗꯤꯡꯒꯤ ꯅꯨꯃꯤꯠ ꯍꯨꯝꯅꯤ ꯅꯠꯠꯔꯒꯥ ꯃꯔꯤꯅꯤꯒꯤ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯜ ꯅꯠꯠꯔꯒꯥ ꯗꯥꯏꯑꯦꯂꯥꯏꯁꯤꯁ ꯁꯦꯟꯇꯔ ꯑꯃꯗꯥ ꯆꯠꯄꯥ ꯃꯊꯧ ꯇꯥꯏ꯫
• ꯄꯦꯔꯤꯇꯣꯅꯤꯑꯦꯜ ꯗꯥꯏꯑꯦꯂꯥꯏꯁꯤꯁ: ꯱.ꯃꯐꯝ ꯑꯁꯤꯗꯥ, ꯅꯍꯥꯛꯀꯤ ꯑꯦꯕꯗꯣꯃꯤꯅꯦꯜ ꯀꯦꯚꯤꯇꯤꯗꯥ ꯇꯤꯎꯕ (ꯀꯦꯇꯦꯇꯔ) ꯑꯃꯥ ꯊꯥꯗꯣꯀꯏ ꯑꯃꯁꯨꯡ ꯃꯗꯨꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯈꯟꯅꯕꯥ ꯐ꯭ꯂꯨꯏꯗ ꯑꯃꯥ ꯊꯥꯏ꯫ ꯐ꯭ꯂꯨꯏꯗ ꯑꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯏꯗꯒꯤ ꯑꯃꯣꯠꯄꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ ꯑꯗꯨ ꯑꯦꯕꯗꯣꯃꯤꯅꯦꯜ ꯀꯦꯚꯤꯇꯤꯗꯒꯤ ꯂꯧꯊꯣꯀꯏ꯫ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯑꯃꯣꯠꯄꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ ꯌꯥꯎꯕꯥ ꯐ꯭ꯂꯨꯏꯗ ꯑꯗꯨ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯂꯧꯊꯣꯀꯏ꯫ ꯃꯁꯤ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯌꯨꯃꯗꯥ ꯇꯧꯕꯥ ꯌꯥꯏ꯫

꯲.ꯀꯤꯗꯅꯤ ꯇ꯭ꯔꯥꯟꯁꯞꯂꯥꯟꯇ ꯇꯧꯕꯥ: ꯱.

ꯃꯁꯤꯅꯥ ꯑꯔꯣꯏꯕꯥ ꯇꯥꯡꯀꯛꯀꯤ ꯀꯤꯗꯅꯤꯒꯤ ꯂꯥꯌꯅꯥꯒꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯥ ꯂꯥꯏꯌꯦꯡꯅꯤ꯫ ꯃꯁꯤꯗꯥ ꯍꯀꯆꯥꯡ ꯐꯅꯥ ꯂꯩꯕꯥ ꯀꯤꯗꯅꯤ ꯑꯃꯥ ꯁꯔꯖꯤꯀꯦꯜ ꯑꯣꯏꯅꯥ ꯍꯀꯆꯥꯡꯗꯥ ꯇ꯭ꯔꯥꯟꯁꯞꯂꯥꯟꯇ ꯇꯧꯗꯨꯅꯥ ꯑꯁꯣꯀꯄꯥ ꯀꯤꯗꯅꯤ ꯑꯗꯨꯒꯤ ꯃꯍꯨꯠ ꯁꯤꯜꯂꯤ꯫ ꯃꯁꯤꯒꯤ ꯍꯀꯆꯥꯡ ꯐꯕꯥ ꯀꯤꯗꯅꯤ ꯑꯁꯤ ꯁꯤꯈ꯭ꯔꯕꯥ ꯗꯣꯅꯔ ꯑꯃꯗꯒꯤ ꯅꯠꯠꯔꯒꯥ ꯍꯤꯡꯂꯤꯕꯥ ꯗꯣꯅꯔ ꯑꯃꯗꯒꯤ ꯂꯧꯕꯥ ꯌꯥꯏ꯫ ꯀꯤꯗꯅꯤ ꯇ꯭ꯔꯥꯟꯁꯞꯂꯥꯟꯇ ꯇꯧꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ, ꯍꯀꯆꯥꯡꯅꯥ ꯑꯅꯧꯕꯥ ꯀꯤꯗꯅꯤ ꯑꯁꯤ ꯔꯤꯖꯦꯛꯇ ꯇꯧꯗꯅꯕꯥ ꯄꯨꯟꯁꯤ ꯆꯨꯞꯄꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ ꯂꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯒꯅꯤ꯫

ꯀꯤꯗꯅꯤꯒꯤ ꯂꯥꯌꯅꯥ ꯑꯁꯤ ꯊꯤꯡꯕꯥ ꯑꯃꯁꯨꯡ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯥ ꯉꯃꯒꯗ꯭ꯔꯥ?

ꯀꯤꯗꯅꯤꯒꯤ ꯂꯥꯌꯅꯥ ꯑꯁꯤ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯔꯤꯚꯔꯁ ꯇꯧꯕꯥ ꯉꯃꯗ꯭ꯔꯕꯁꯨ, ꯍꯀꯁꯦꯜ ꯐꯕꯥ ꯄꯨꯟꯁꯤ ꯃꯍꯤꯡ ꯑꯃꯥ ꯂꯧꯗꯨꯅꯥ ꯑꯃꯁꯨꯡ ꯃꯇꯤꯛ ꯆꯥꯕꯥ ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯄꯥꯎꯇꯥꯛ ꯂꯧꯗꯨꯅꯥ ꯂꯥꯌꯅꯥ ꯑꯁꯤꯒꯤ ꯄ꯭ꯔꯣꯒ꯭ꯔꯦꯁꯀꯤ ꯆꯥꯡ ꯑꯁꯤ ꯑꯆꯧꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯥ ꯌꯥꯏ꯫

• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯗꯥꯏꯑꯦꯕꯦꯇꯤꯖ ꯂꯩꯔꯕꯗꯤ ꯅꯍꯥꯛꯀꯤ ꯕ꯭ꯂꯗ ꯁꯨꯒꯔꯒꯤ ꯆꯥꯡ ꯑꯗꯨ ꯃꯇꯤꯛ ꯆꯥꯕꯥ ꯔꯦꯟꯖ ꯑꯗꯨꯗꯥ ꯊꯝꯃꯨ .
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯍꯥꯏ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ ꯂꯩꯔꯕꯗꯤ ꯃꯗꯨ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯒꯗꯕꯅꯤ .
• ꯃꯩꯈꯨ ꯁꯤꯖꯤꯟꯅꯕꯥ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯊꯤꯡꯖꯤꯜꯂꯨ꯫
• ꯁꯣꯜꯇ ꯑꯃꯁꯨꯡ ꯄꯣꯇꯥꯁꯤꯌꯝ ꯌꯥꯝꯅꯥ ꯌꯥꯎꯕꯥ ꯆꯤꯟꯖꯥꯀꯁꯤꯡ ꯂꯤꯃꯤꯠ ꯇꯧ꯫ ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔ ꯅꯠꯠꯔꯒꯥ ꯅ꯭ꯌꯨꯠꯔꯤꯁꯅꯒꯤ ꯃꯤꯑꯣꯏ ꯑꯃꯒꯥ ꯇꯥꯟꯅꯧ꯫
• ꯗꯣꯛꯇꯔ ꯑꯃꯒꯥ ꯇꯥꯟꯅꯗꯅꯥ ꯄꯦꯟ ꯀꯤꯂꯔ (NSAID) ꯃꯈꯥ ꯇꯥꯅꯥ ꯁꯤꯖꯤꯟꯅꯒꯅꯨ꯫
• ꯗꯣꯛꯇꯔꯅꯥ ꯄꯤꯕꯥ ꯇꯦꯁ꯭ꯠ ꯑꯃꯁꯨꯡ ꯑꯦꯄꯣꯏꯟꯇꯃꯦꯟꯇ ꯄꯨꯝꯅꯃꯛ ꯃꯇꯝ ꯆꯥꯅꯥ ꯊꯝꯃꯨ꯫