ꯁ꯭ꯠꯔꯦꯁ ꯅꯠꯠꯔꯒꯥ ꯑꯩꯈꯣꯌ ꯄꯨꯝꯅꯃꯛꯅꯥ ‘ꯁ꯭ꯠꯔꯦꯁ’ ꯍꯥꯌꯅꯥ ꯀꯧꯔꯤꯕꯥ ꯑꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯄꯨꯟꯁꯤꯒꯤ ꯇꯉꯥꯏꯐꯗꯕꯥ ꯁꯔꯨꯛ ꯑꯃꯥ ꯑꯣꯏꯔꯦ꯫ ꯑꯩꯈꯣꯌꯅꯥ ꯅꯨꯃꯤꯠ ꯈꯨꯗꯤꯡꯒꯤ ꯋꯥꯐꯝ ꯂꯤꯁꯤꯡ ꯑꯃꯒꯥ ꯂꯥꯟꯊꯦꯡꯅꯔꯤ, ꯃꯗꯨꯗꯤ ꯊꯕꯛꯀꯤ ꯁꯃꯁ꯭ꯌꯥ, ꯏꯃꯨꯡꯒꯤ ꯁꯃꯁ꯭ꯌꯥ, ꯁꯦꯜ-ꯊꯨꯃꯒꯤ ꯁꯃꯁ꯭ꯌꯥ ꯑꯁꯤꯅꯆꯤꯡꯕꯥ꯫ ꯑꯗꯨꯕꯨ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛ ꯑꯁꯤ ꯗꯥꯏꯑꯦꯕꯦꯇꯤꯖ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯥ ꯑꯣꯏꯔꯕꯗꯤ, ꯁ꯭ꯠꯔꯦꯁ ꯑꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯋꯥꯈꯂꯗꯥ ꯁꯣꯀꯍꯅꯕꯇꯥ ꯅꯠꯇꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯕ꯭ꯂꯗ ꯁꯨꯒꯔꯒꯤ ꯆꯥꯡꯗꯁꯨ ꯍꯀꯊꯦꯡꯅꯅꯥ ꯁꯣꯀꯍꯜꯂꯤ ꯍꯥꯌꯕꯁꯤ ꯅꯍꯥꯛꯅꯥ ꯈꯪꯂꯕ꯭ꯔꯥ? ꯉꯁꯤ ꯗꯥꯏꯕꯦꯇꯤꯁ ꯑꯃꯁꯨꯡ ꯁ꯭ꯠꯔꯦꯁꯀꯤ ꯃꯔꯛꯇꯥ ꯂꯩꯔꯤꯕꯥ ꯑꯆꯦꯠꯄꯥ ꯃꯔꯤ ꯑꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯁꯤ꯫
ꯁ꯭ꯠꯔꯦꯁꯅꯥ ꯇꯁꯦꯡꯅꯥ ꯗꯥꯏꯑꯦꯕꯦꯇꯤꯖ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯕ꯭ꯔꯥ?
ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯍꯣꯌ꯫ ꯃꯁꯤꯗꯥ ꯄꯣꯇꯦꯟꯁꯤꯌꯦꯜ ꯈꯔꯥ ꯂꯩꯔꯤ꯫ ꯁ꯭ꯠꯔꯦꯁ ꯍꯥꯌꯕꯁꯤ ꯅꯍꯥꯛꯅꯥ ꯐꯥꯑꯣꯔꯤꯕꯥ ꯋꯥꯐꯝ ꯑꯃꯈꯛꯇꯅꯤ꯫ ꯃꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯍꯣꯔꯃꯣꯟ ꯁꯤꯁ꯭ꯇꯦꯃꯗꯥ ꯁꯣꯀꯍꯜꯂꯤꯕꯥ ꯄꯣꯠꯁꯛ ꯑꯃꯅꯤ꯫ ꯑꯩꯈꯣꯌꯅꯥ ꯐꯤꯖꯤꯀꯦꯜ ꯅꯠꯠꯔꯒꯥ ꯃꯦꯟꯇꯦꯜ ꯁ꯭ꯠꯔꯦꯁ ꯌꯥꯝꯅꯥ ꯂꯩꯕꯥ ꯃꯇꯃꯗꯥ, ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯅꯥ ꯏꯅꯁꯨꯂꯤꯟ (insulin resistance)ꯒꯤ ꯔꯦꯁꯄꯣꯟꯁ ꯍꯟꯊꯔꯀꯏ ꯑꯃꯁꯨꯡ ꯕ꯭ꯂꯗ ꯁꯨꯒꯔꯒꯤ ꯆꯥꯡ ꯍꯦꯅꯒꯠꯂꯀꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯃꯃꯥꯡꯗꯥ ꯀꯩꯗꯧꯉꯩꯗꯥ ꯗꯥꯏꯑꯦꯕꯦꯇꯤꯖ ꯂꯩꯈꯤꯗꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯗꯁꯨ, ꯑꯩꯈꯣꯌꯅꯥ ꯑꯆꯧꯕꯥ ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ, ꯐꯤꯖꯤꯀꯦꯜ ꯁ꯭ꯠꯔꯦꯁ ꯌꯥꯝꯅꯥ ꯂꯩꯕꯥ ꯃꯇꯃꯗꯥ ꯃꯇꯝ ꯈꯔꯒꯤ ꯑꯣꯏꯅꯥ ꯕ꯭ꯂꯗ ꯁꯨꯒꯔꯒꯤ ꯆꯥꯡ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ ꯎꯏ꯫
ꯈꯅꯕꯤꯌꯨ, ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡ ꯑꯁꯤ ꯈꯉꯍꯧꯗꯅꯥ ꯈꯨꯗꯣꯡꯊꯤꯕꯥ ꯑꯃꯥ ꯃꯥꯌꯣꯛꯅꯅꯕꯥ ꯁꯦꯝ ꯁꯥꯔꯤ꯫ ꯃꯁꯤꯕꯨ ‘ꯐꯥꯏꯠ-ꯑꯣꯔ-ꯐ꯭ꯂꯥꯏꯠ’ ꯔꯦꯁ꯭ꯄꯣꯟꯁ ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ ꯍꯥꯌꯕꯗꯤ ꯍꯀꯆꯥꯡ ꯑꯁꯤ ꯂꯥꯟꯊꯦꯡꯅꯅꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯂꯥꯟꯊꯣꯛꯅꯕꯥ ꯁꯦꯝ ꯁꯥꯔꯤ ꯍꯥꯌꯕꯅꯤ꯫ ꯃꯇꯝ ꯑꯁꯤꯗꯥ ꯍꯀꯆꯥꯡꯗꯥ ꯈꯨꯗꯛꯀꯤ ꯑꯣꯏꯕꯥ ꯑꯦꯅꯔꯖꯤ ꯃꯊꯧ ꯇꯥꯏ꯫ ꯃꯁꯤꯒꯤ ꯑꯦꯅꯔꯖꯤ ꯑꯁꯤ ꯏꯗꯥ ꯌꯥꯎꯔꯤꯕꯥ ꯒ꯭ꯂꯨꯀꯣꯖꯗꯒꯤ ꯂꯥꯀꯏ꯫
ꯃꯁꯤꯒꯤ ꯊꯧꯑꯣꯡ ꯑꯁꯤ ꯑꯁꯤꯒꯨꯝꯅꯥ ꯊꯣꯀꯏ:
| ꯈꯣꯡꯊꯥꯡꯁꯤꯡ꯫ | ꯍꯀꯆꯥꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯀꯔꯤ ꯊꯣꯛꯂꯤꯕꯒꯦ꯫ |
|---|---|
| ꯁ꯭ꯇꯦꯞ 1: ꯕ꯭ꯔꯦꯅꯗꯒꯤ ꯂꯥꯀꯄꯥ ꯁꯤꯒꯅꯦꯜ ꯑꯃꯥ꯫ | ꯅꯍꯥꯛꯅꯥ ꯁ꯭ꯠꯔꯦꯁ ꯂꯩꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯅꯍꯥꯛꯀꯤ ꯕ꯭ꯔꯦꯅꯅꯥ CRH (Corticotropin-releasing hormone) ꯀꯧꯕꯥ ꯍꯣꯔꯃꯣꯟ ꯑꯃꯥ ꯔꯤꯂꯤꯖ ꯇꯧꯏ꯫ |
| ꯁ꯭ꯇꯦꯞ 2: ꯄꯤꯇꯨꯏꯇꯔꯤ ꯒ꯭ꯜꯌꯥꯟꯗꯇꯥ ꯀꯃꯥꯟꯗ ꯑꯃꯥ꯫ | CRHꯅꯥ ꯄꯤꯇꯨꯏꯇꯔꯤ ꯒ꯭ꯜꯌꯥꯟꯗꯇꯥ ACTH (Adrenocorticotropic hormone) ꯀꯧꯕꯥ ꯑꯇꯣꯞꯄꯥ ꯍꯣꯔꯃꯣꯟ ꯑꯃꯥ ꯄꯨꯊꯣꯛꯅꯕꯥ ꯁꯤꯒꯅꯦꯜ ꯄꯤ꯫ |
| ꯁ꯭ꯇꯦꯞ 3: ꯀꯣꯔꯇꯤꯁꯣꯜ ꯔꯤꯂꯤꯖ ꯇꯧꯕꯥ꯫ | ACTHꯅꯥ ꯑꯦꯗ꯭ꯔꯤꯅꯜ ꯒ꯭ꯜꯌꯥꯟꯗꯁꯤꯡꯗꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯁ꯭ꯠꯔꯦꯁ ꯍꯣꯔꯃꯣꯟ ꯀꯣꯔꯇꯤꯁꯣꯜ ꯔꯤꯂꯤꯖ ꯇꯧꯅꯕꯥ ꯁꯤꯒꯅꯦꯜ ꯄꯤ꯫ |
| ꯁ꯭ꯇꯦꯞ 4: ꯆꯤꯅꯤꯒꯤ ꯆꯥꯡ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ꯫ | ꯀꯣꯔꯇꯤꯁꯣꯂꯅꯥ ꯂꯤꯚꯔꯗꯥ ꯏꯗꯥ ꯒ꯭ꯂꯨꯀꯣꯖ (ꯆꯤꯅꯤ) ꯍꯦꯟꯅꯥ ꯊꯥꯗꯣꯛꯅꯕꯥ ꯁꯤꯒꯅꯦꯜ ꯄꯤ, ꯃꯗꯨꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯈꯨꯗꯛꯇꯥ ꯑꯦꯅꯔꯖꯤ ꯄꯤ꯫ |
ꯃꯁꯤ ꯏꯃꯔꯖꯦꯟꯁꯤ ꯑꯃꯗꯥ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯁ꯭ꯠꯔꯦꯁ ꯑꯗꯨ ꯃꯈꯥ ꯆꯠꯊꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯀꯣꯔꯇꯤꯁꯣꯂꯒꯤ ꯆꯥꯡ ꯑꯗꯨ ꯋꯥꯡꯅꯥ ꯂꯩꯒꯅꯤ꯫ ꯃꯇꯃꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ, ꯃꯁꯤꯅꯥ ꯏꯅꯁꯨꯂꯤꯟ ꯔꯦꯁꯤꯁ꯭ꯇꯦꯟꯁ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ, ꯃꯗꯨꯅꯥ ꯇꯥꯏꯞ 2 ꯗꯥꯏꯑꯦꯕꯦꯇꯤꯖ ꯂꯥꯀꯄꯒꯤ ꯔꯤꯁ꯭ꯛ ꯍꯦꯅꯒꯠꯍꯜꯂꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯍꯥꯟꯅꯅꯥ ꯗꯥꯏꯑꯦꯕꯦꯇꯤꯖ ꯂꯩꯔꯕꯗꯤ ꯃꯗꯨ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯗꯥ ꯍꯦꯟꯅꯥ ꯂꯨꯝꯂꯒꯅꯤ꯫
ꯅꯍꯥꯛꯀꯤ ꯁ꯭ꯠꯔꯦꯁ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯆꯤꯅꯤꯒꯤ ꯆꯥꯡꯒꯤ ꯃꯔꯛꯇꯥ ꯀꯅꯦꯛꯁꯟ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯈꯪꯗꯣꯛꯂꯁꯤ꯫
ꯁ꯭ꯠꯔꯦꯁꯅꯥ ꯕ꯭ꯂꯗ ꯁꯨꯒꯔ ꯍꯦꯅꯒꯠꯂꯕꯁꯨ, ꯃꯁꯤꯅꯥ ꯀꯌꯥꯝ ꯍꯦꯅꯒꯠꯍꯅꯕꯒꯦ? ꯃꯁꯤ ꯃꯤꯑꯣꯏ ꯑꯃꯗꯒꯤ ꯃꯤꯑꯣꯏ ꯑꯃꯗꯥ ꯑꯃꯁꯨꯡ ꯐꯤꯚꯃꯒꯤ ꯃꯇꯨꯡ ꯏꯟꯅꯥ ꯈꯦꯠꯅꯩ꯫ ꯁꯣꯌꯗꯅꯥ ꯈꯪꯅꯕꯒꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯥ ꯄꯥꯝꯕꯩꯗꯤ ꯅꯍꯥꯛꯀꯤ ꯁ꯭ꯠꯔꯦꯁꯀꯤ ꯆꯥꯡ ꯑꯃꯁꯨꯡ ꯕ꯭ꯂꯗ ꯁꯨꯒꯔꯒꯤ ꯆꯥꯡ ꯑꯗꯨ ꯌꯦꯡꯁꯤꯅꯕꯅꯤ꯫
ꯅꯍꯥꯛꯅꯥ ꯁ꯭ꯠꯔꯦꯁ ꯂꯩꯔꯀꯄꯥ ꯈꯨꯗꯤꯡꯗꯥ, ꯃꯦꯟꯇꯦꯜ ꯅꯠꯠꯔꯒꯥ ꯐꯤꯖꯤꯀꯦꯜ ꯑꯣꯏꯔꯕꯁꯨ, ꯈꯔꯥ ꯅꯣꯠ ꯇꯧꯕꯤꯌꯨ:
- ꯁ꯭ꯠꯔꯦꯁꯀꯤ ꯊꯥꯛ: 1ꯗꯒꯤ 10 ꯐꯥꯎꯕꯒꯤ ꯆꯥꯡ (1 = ꯁ꯭ꯠꯔꯦꯁ ꯑꯃꯠꯇꯥ ꯂꯩꯇꯕꯥ, 10 = ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯌꯥꯡꯅꯥ ꯆꯠꯄꯥ ꯉꯃꯗꯕꯥ ꯁ꯭ꯠꯔꯦꯁ)꯫
- ꯕ꯭ꯂꯗ ꯁꯨꯒꯔꯒꯤ ꯆꯥꯡ: ꯃꯇꯝ ꯑꯗꯨꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯒ꯭ꯂꯨꯀꯣꯖ ꯃꯤꯇꯔꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯕ꯭ꯂꯗ ꯁꯨꯒꯔꯒꯤ ꯆꯥꯡ ꯑꯗꯨ ꯂꯦꯄꯊꯣꯀꯎ ꯑꯃꯁꯨꯡ ꯃꯗꯨ ꯏꯌꯨ꯫
- ꯊꯧꯗꯣꯛ: ꯃꯇꯝ ꯑꯗꯨꯗꯥ ꯊꯣꯀꯈꯤꯕꯥ ꯊꯧꯗꯣꯀꯁꯤꯡꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯁꯟꯗꯣꯛꯅꯥ ꯏꯕꯤꯌꯨ (ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯅꯍꯥꯛꯀꯤ ꯕꯁꯀꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯕꯥ, ꯑꯦꯃꯔꯖꯦꯟꯁꯤ ꯇ꯭ꯔꯥꯐꯤꯛ ꯑꯃꯗꯥ ꯆꯠꯄꯥ ꯃꯊꯧ ꯇꯥꯕꯥ)꯫
ꯅꯨꯃꯤꯠ ꯈꯔꯅꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯃꯁꯤ ꯇꯧꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯄꯦꯇꯔꯟ ꯑꯃꯥ ꯎꯕꯥ ꯍꯧꯔꯒꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯁ꯭ꯠꯔꯦꯁ ꯂꯩꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯆꯤꯅꯤꯒꯤ ꯆꯥꯡ ꯍꯦꯅꯒꯠꯂꯛꯂꯕꯗꯤ ꯅꯍꯥꯛꯅꯥ ꯈꯪꯕꯥ ꯉꯃꯒꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯁꯤ.ꯖꯤ.ꯑꯦꯝ.(ꯀꯟꯇꯤꯟꯌꯨꯑꯣꯁ ꯒ꯭ꯂꯨꯀꯣꯖ ꯃꯣꯅꯤꯇꯔ) ꯑꯃꯥ ꯁꯤꯖꯤꯟꯅꯔꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯆꯤꯅꯤꯒꯤ ꯆꯥꯡꯗꯥ ꯈꯪꯍꯧꯗꯅꯥ ꯂꯥꯀꯄꯥ ꯑꯍꯣꯡꯕꯁꯤꯡ ꯑꯁꯤ ꯐꯥꯎꯕꯥ ꯂꯧꯕꯥ ꯌꯥꯏ꯫
ꯏꯁꯥꯗꯥ ꯃꯤꯅꯨꯡꯁꯤ ꯂꯩꯕꯤꯌꯨ, ꯃꯁꯤ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯒꯨꯝꯕꯅꯤ꯫
ꯑꯩꯈꯣꯌ ꯄꯨꯝꯅꯃꯛ ꯑꯁꯣꯏꯕꯥ ꯇꯧꯏ꯫ ꯗꯥꯏꯑꯦꯕꯦꯇꯤꯖꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯍꯤꯡꯂꯤꯉꯩꯗꯥ, ꯅꯍꯥꯛꯀꯤ ꯗꯥꯏꯇꯇꯥ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯥ ꯉꯃꯗꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯇꯧꯕꯥ ꯉꯃꯗꯕꯥ ꯃꯇꯝ ꯂꯩ꯫ ꯃꯇꯃꯁꯤꯡ ꯑꯗꯨꯒꯤꯗꯃꯛ ꯏꯁꯥꯕꯨ ꯗꯣꯁ ꯇꯧꯕꯤꯒꯅꯨ꯫ ꯏꯁꯥꯕꯨ ꯊꯧꯖꯥꯜ ꯄꯤꯕꯤꯌꯨ ꯑꯃꯁꯨꯡ ꯃꯤꯅꯨꯡꯁꯤ ꯂꯩꯕꯤꯌꯨ꯫ ꯃꯁꯤꯕꯨ ‘ꯁꯦꯜꯐ-ꯀꯝꯄꯥꯁꯟ’ ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫
ꯁ꯭ꯇꯗꯤꯁꯤꯡꯅꯥ ꯇꯥꯛꯂꯤ ꯃꯗꯨꯗꯤ ꯅꯍꯥꯛꯀꯤ ꯏꯁꯥꯗꯥ ꯃꯤꯅꯨꯡꯁꯤ ꯂꯩꯕꯥ ꯑꯁꯤꯅꯥ ꯁ꯭ꯠꯔꯦꯁ, ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯑꯃꯁꯨꯡ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯍꯟꯊꯍꯅꯕꯥ ꯉꯝꯃꯤ꯫ ꯃꯁꯤꯗꯁꯨ ꯅꯠꯇꯅꯥ...
- ꯄꯨꯟꯁꯤꯗꯥ ꯑꯄꯦꯅꯕꯥ ꯄꯣꯀꯏ꯫
- ꯕ꯭ꯂꯗ ꯁꯨꯒꯔꯒꯤ ꯆꯥꯡ ꯑꯁꯤ ꯍꯦꯟꯅꯥ ꯐꯅꯥ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯏ꯫
- ꯗꯥꯏꯑꯦꯕꯦꯇꯤꯖ ꯑꯁꯤ ꯃꯦꯅꯦꯖ ꯇꯧꯕꯗꯥ ꯍꯦꯟꯅꯥ ꯂꯥꯌꯕꯥ ꯑꯣꯏꯔꯀꯏ꯫
- ꯃꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ A1cꯒꯤ ꯆꯥꯡ ꯑꯗꯨ ꯍꯀꯁꯦꯜ ꯐꯕꯥ ꯊꯥꯛ ꯑꯃꯗꯥ ꯊꯝꯕꯗꯁꯨ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫
ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯑꯁꯤ ꯁ꯭ꯠꯔꯦꯁ ꯍꯟꯊꯍꯟꯅꯕꯒꯤ ꯑꯆꯧꯕꯥ ꯃꯑꯣꯡ ꯑꯃꯅꯤ꯫
ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯇꯧꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯏꯅꯁꯨꯂꯤꯟ ꯁꯣꯠꯊꯔꯀꯄꯒꯥ ꯃꯥꯟꯅꯩ꯫ ꯃꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯃꯁꯂꯁꯤꯡꯗꯥ ꯒ꯭ꯂꯨꯀꯣꯖ ꯂꯧꯁꯤꯅꯕꯥ ꯍꯦꯅꯒꯠꯍꯜꯂꯤ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯏꯅꯁꯨꯂꯤꯟ ꯔꯦꯁꯤꯁ꯭ꯇꯦꯟꯁ ꯂꯩꯔꯕꯁꯨ꯫ ꯃꯁꯤꯅꯥ ꯃꯍꯧꯁꯥꯅꯥ ꯕ꯭ꯂꯗ ꯁꯨꯒꯔꯒꯤ ꯆꯥꯡ ꯍꯟꯊꯍꯜꯂꯤ꯫
ꯃꯁꯤ ꯈꯛꯇꯥ ꯅꯠꯇꯅꯥ, ꯑꯆꯨꯝꯕꯥ ꯑꯦꯛꯁꯔꯁꯥꯏꯖꯁꯤꯡ ꯇꯧꯗꯨꯅꯥ:
- ꯍꯀꯆꯥꯡꯗꯥ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯁꯟ ꯑꯃꯁꯨꯡ ꯀꯣꯔꯇꯤꯁꯣꯂꯒꯤ ꯆꯥꯡ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯏ꯫
- ꯅꯍꯥꯛꯀꯤ ꯋꯥꯈꯜ ꯑꯃꯁꯨꯡ ꯋꯥꯈꯜ ꯈꯅꯕꯥ ꯉꯝꯕꯒꯤ ꯁꯛꯇꯤ ꯑꯗꯨ ꯐꯒꯠꯂꯛꯀꯅꯤ꯫
- ꯁ꯭ꯠꯔꯦꯁ, ꯑꯦꯅꯖꯥꯏꯇꯤ ꯑꯃꯁꯨꯡ ꯗꯤꯞꯔꯦꯁꯅꯒꯨꯝꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯀꯣꯀꯍꯜꯂꯤ꯫
- ꯍꯀꯁꯦꯜ ꯐꯕꯥ ꯑꯔꯨꯝꯕꯥ ꯑꯃꯥ ꯊꯝꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫
- ꯍꯥꯔꯠ ꯔꯦꯠ ꯑꯃꯁꯨꯡ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ ꯍꯟꯊꯔꯀꯏ꯫
ꯅꯣꯡꯃꯗꯥ ꯌꯥꯃꯗ꯭ꯔꯕꯗꯥ ꯃꯤꯅꯠ 30, ꯅꯨꯃꯤꯠ ꯑꯌꯥꯝꯕꯗꯥ ꯈꯣꯡꯅꯥ ꯅꯠꯠꯔꯒꯥ ꯁꯥꯏꯀꯜ ꯊꯧꯕꯒꯨꯝꯕꯥ ꯊꯕꯛ ꯑꯃꯥ ꯇꯧꯅꯕꯥ ꯍꯣꯠꯅꯧ꯫ ꯅꯨꯃꯤꯠ ꯑꯅꯤ ꯅꯠꯠꯔꯒꯥ ꯑꯍꯨꯝ ꯊꯣꯛꯅꯥ ꯃꯁꯜ ꯁꯣꯟꯊꯍꯅꯕꯥ ꯑꯦꯛꯁꯔꯁꯥꯏꯖꯁꯤꯡ ꯍꯥꯄꯆꯤꯜꯂꯨ꯫
ꯑꯗꯨꯕꯨ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯗꯤ ꯅꯍꯥꯛꯅꯥ ꯅꯨꯡꯉꯥꯏꯕꯥ ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯑꯃꯥ ꯈꯅꯕꯅꯤ . ꯃꯇꯧ ꯑꯁꯨꯝꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯈꯥ ꯇꯥꯅꯥ ꯇꯧꯕꯥ ꯄꯥꯝꯂꯒꯅꯤ꯫ ꯑꯅꯧꯕꯥ ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯄ꯭ꯔꯣꯒ꯭ꯔꯥꯝ ꯑꯃꯥ ꯍꯧꯗ꯭ꯔꯤꯉꯩꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯕꯥ ꯀꯥꯎꯒꯅꯨ꯫
ꯑꯩꯈꯣꯌꯅꯥ ꯅꯨꯃꯤꯠ ꯈꯨꯗꯤꯡꯒꯤ ꯊꯋꯥꯏ ꯌꯥꯑꯣꯕꯥ ꯂꯃꯆꯠ ꯈꯔꯥ ꯍꯣꯠꯅꯒꯗ꯭ꯔꯥ?
ꯑꯁꯤꯒꯨꯝꯕꯥ ꯏꯆꯝ ꯆꯝꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯅꯨꯃꯤꯠ ꯈꯨꯗꯤꯡꯒꯤ ꯊꯨꯒꯥꯌꯔꯤꯕꯥ ꯁ꯭ꯠꯔꯦꯁ ꯑꯗꯨ ꯍꯟꯊꯍꯅꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫
- ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ: ꯆꯦꯌꯥꯔ ꯑꯃꯗꯥ ꯐꯝꯃꯨ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯃꯤꯠ ꯎꯗꯕꯥ꯫ ꯅꯍꯥꯛꯀꯤ ꯅꯥꯀꯣꯡꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯒꯗꯕꯅꯤ꯫ ꯅꯍꯥꯛꯀꯤ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯑꯗꯨ ꯁꯦꯀꯦꯟꯗ ꯈꯔꯒꯤ ꯑꯣꯏꯅꯥ ꯊꯃꯖꯤꯜꯂꯨ, ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯃꯤꯠ ꯑꯗꯨ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯒꯗꯕꯅꯤ꯫ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡ ꯑꯗꯨ ꯔꯤꯂꯥꯛꯁꯦꯁꯟ ꯇꯧꯔꯤ ꯍꯥꯌꯅꯥ ꯈꯅꯕꯤꯌꯨ, ꯕꯦꯂꯨꯟ ꯑꯃꯅꯥ ꯏꯁꯤꯡ ꯇꯨꯡꯁꯤꯅꯕꯒꯨꯝꯅꯥ꯫ ꯅꯍꯥꯛꯀꯤ ꯋꯥꯈꯜ ꯑꯗꯨ ꯇꯪꯗꯨ ꯂꯩꯇꯥꯗ꯭ꯔꯤꯐꯥꯎꯕꯥ ꯃꯁꯤ ꯀꯌꯥꯃꯔꯨꯝ ꯇꯧ꯫
- ꯃꯁꯜ ꯔꯤꯂꯥꯛꯁꯦꯁꯟ (Muscle Relaxation): ꯅꯍꯥꯛꯀꯤ ꯃꯤꯠ ꯑꯗꯨ ꯀꯨꯄꯁꯤꯜꯂꯨ ꯑꯃꯁꯨꯡ ꯅꯨꯡꯉꯥꯏꯅꯥ ꯂꯩꯕꯥ ꯄꯣꯖꯤꯁꯟ ꯑꯃꯗꯥ ꯂꯩꯌꯨ꯫ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯍꯧꯗꯨꯅꯥ, ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯁꯔꯨꯛ ꯈꯨꯗꯤꯡꯃꯛ (ꯆꯥꯎꯔꯥꯛꯅꯥ ꯁꯦꯀꯦꯟꯗ 5) ꯇꯦꯟꯁꯟ ꯇꯧ, ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯔꯤꯂꯥꯛꯁ ꯇꯧ꯫ ꯃꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡ, ꯈꯣꯡ, ꯈꯣꯡ, ꯃꯈꯨꯠ, ꯈꯣꯡ ꯑꯃꯁꯨꯡ ꯃꯥꯌ ꯐꯥꯎꯕꯥ ꯇꯧ꯫
- ꯌꯣꯒ: ꯌꯣꯒ ꯍꯥꯌꯕꯁꯤ ꯍꯀꯆꯥꯡ ꯑꯃꯁꯨꯡ ꯋꯥꯈꯂꯕꯨ ꯁꯝꯅꯍꯜꯂꯤꯕꯥ ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯑꯃꯅꯤ꯫ ꯏꯆꯝ ꯆꯝꯕꯥ ꯌꯣꯒꯒꯤ ꯄꯣꯖ ꯈꯔꯥ ꯄ꯭ꯔꯦꯛꯇꯤꯁ ꯇꯧꯕꯤꯌꯨ꯫ ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯍꯧꯖꯤꯛꯇꯤ ꯅꯍꯥꯛꯅꯥ ꯑꯣꯅꯂꯥꯏꯟꯗꯥ ꯇꯝꯕꯥ ꯌꯥꯔꯦ꯫ ꯅꯣꯡꯃꯗꯥ ꯃꯤꯅꯤꯠ ꯵-꯱꯰ ꯈꯛꯇꯅꯥ ꯐꯥꯑꯣꯕꯥ ꯃꯇꯤꯛ ꯆꯥꯕꯅꯤ꯫
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯁꯥ ꯃꯊꯟꯇꯥ ꯇꯧꯕꯥ ꯉꯃꯗ꯭ꯔꯕꯗꯤ, ꯀꯩꯗꯧꯉꯩꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯅꯕꯥ ꯍꯥꯌꯖꯒꯅꯨ꯫
‘ꯗꯥꯏꯕꯦꯇꯤꯁ ꯗꯤꯁ꯭ꯠꯔꯤꯁ’ ꯍꯥꯌꯕꯁꯤ ꯗꯥꯏꯑꯦꯕꯦꯇꯤꯖꯅꯥ ꯅꯥꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯅꯥ ꯊꯦꯡꯅꯔꯤꯕꯥ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯃꯦꯟꯇꯦꯜ ꯁ꯭ꯇꯦꯠ ꯑꯃꯅꯤ꯫ ꯃꯁꯤꯅꯥ ꯂꯥꯌꯅꯥ ꯑꯁꯤꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ, ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯑꯃꯁꯨꯡ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯑꯗꯨꯕꯨ ꯈꯪꯍꯜꯂꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯐꯤꯚꯝ ꯑꯁꯤ ꯐꯥꯑꯣꯔꯕꯗꯤ, ꯅꯍꯥꯛ ꯅꯁꯥꯃꯀꯁꯨ ꯅꯠꯇꯦ ꯍꯥꯌꯕꯁꯤ ꯅꯤꯡꯁꯤꯡꯕꯤꯌꯨ꯫
ꯃꯈꯥꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯕꯥ ꯌꯥꯕꯥ ꯃꯐꯝ ꯈꯔꯗꯤ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤ:
- ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔ ꯅꯠꯠꯔꯒꯥ ꯗꯥꯏꯑꯦꯕꯦꯇꯤꯖ ꯑꯦꯖꯨꯀꯦꯇꯔ: ꯅꯍꯥꯛꯀꯤ ꯐꯤꯚꯃꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯃꯈꯣꯌꯒꯥ ꯑꯃꯨꯛꯇꯪ ꯋꯥꯔꯤ ꯁꯥꯕꯤꯌꯨ꯫ ꯃꯈꯣꯌꯅꯥ ꯑꯗꯣꯃꯒꯤꯗꯃꯛꯇꯥ ꯊꯕꯛ ꯇꯧꯕꯥ ꯌꯥꯕꯥ ꯁꯣꯂꯨꯁꯟ ꯑꯃꯥ ꯊꯤꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯕꯥ ꯉꯃꯒꯅꯤ꯫
- ꯃꯦꯟꯇꯦꯜ ꯍꯦꯂꯊ ꯄ꯭ꯔꯣꯐꯦꯁꯅꯦꯜ : ꯁꯤ.ꯕꯤ.ꯇꯤ.(ꯀꯣꯒꯅꯤꯇꯤꯚ ꯕꯤꯍꯦꯕꯤꯌꯔꯜ ꯊꯦꯔꯥꯄꯤ)ꯒꯨꯝꯕꯥ ꯂꯥꯏꯌꯦꯡꯁꯤꯡꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯅꯦꯒꯦꯇꯤꯚ ꯑꯣꯏꯕꯥ ꯋꯥꯈꯜꯂꯣꯅꯒꯤ ꯃꯑꯣꯡ-ꯃꯇꯧ ꯑꯗꯨ ꯍꯣꯡꯗꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯁ꯭ꯠꯔꯦꯁ ꯃꯦꯅꯦꯖ ꯇꯧꯅꯕꯒꯤ ꯄꯥꯝꯕꯩꯁꯤꯡ ꯇꯝꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫
- ꯁꯄꯣꯔꯠ ꯒ꯭ꯔꯨꯄꯁꯤꯡ: ꯱.ꯑꯗꯣꯃꯒꯨꯝꯕꯥ ꯗꯥꯏꯕꯦꯇꯤꯁꯅꯥ ꯅꯥꯕꯥ ꯑꯇꯣꯞꯄꯁꯤꯡꯒꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯕꯅꯥ ꯑꯆꯧꯕꯥ ꯔꯤꯂꯤꯐ ꯑꯃꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫
ꯅꯤꯡꯁꯤꯡꯕꯤꯌꯨ, ꯃꯦꯟꯇꯦꯜ ꯍꯦꯜꯊꯇꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯅꯕꯥ ꯍꯥꯌꯖꯕꯥ ꯑꯁꯤ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯅꯠꯇꯦ, ꯃꯁꯤ ꯄꯥꯉ꯭ꯒꯂꯒꯤ ꯈꯨꯗꯝꯅꯤ꯫
ꯇꯦꯛ-ꯍꯣꯝ ꯃꯦꯁꯦꯖ ꯇꯧꯕꯥ꯫
- ꯁ꯭ꯠꯔꯦꯁ ꯑꯁꯤ ꯗꯥꯏꯑꯦꯕꯦꯇꯤꯖ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯗꯥ ꯕ꯭ꯂꯗ ꯁꯨꯒꯔꯒꯤ ꯆꯥꯡ ꯍꯦꯅꯒꯠꯍꯅꯕꯥ ꯑꯆꯧꯕꯥ ꯐꯦꯛꯇꯔ ꯑꯃꯅꯤ꯫
- ꯅꯍꯥꯛꯀꯤ ꯁ꯭ꯠꯔꯦꯁꯀꯤ ꯆꯥꯡ ꯑꯃꯁꯨꯡ ꯕ꯭ꯂꯗ ꯁꯨꯒꯔꯒꯤ ꯆꯥꯡ ꯔꯦꯀꯣꯔꯗ ꯇꯧꯗꯨꯅꯥ, ꯅꯍꯥꯛꯅꯥ ꯑꯆꯝꯕꯥ ꯃꯑꯣꯡ-ꯃꯇꯧꯁꯤꯡ ꯈꯪꯗꯣꯀꯄꯥ ꯉꯃꯒꯅꯤ꯫
- ꯁ꯭ꯠꯔꯦꯁ ꯑꯁꯤ ꯅꯨꯃꯤꯠ ꯈꯨꯗꯤꯡꯒꯤ ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯇꯧꯕꯥ, ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ, ꯑꯃꯁꯨꯡ ꯌꯣꯒ ꯑꯁꯤꯅꯆꯤꯡꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ ꯇꯧꯕꯅꯥ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯥ ꯉꯝꯃꯤ꯫
- ꯃꯤꯅꯨꯡꯁꯤ ꯂꯩꯕꯥ, ꯏꯁꯥꯕꯨ ꯗꯣꯁ ꯇꯧꯗꯅꯥ, ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯅꯥ ꯂꯩꯅꯕꯒꯤꯗꯃꯛꯇꯁꯨ ꯇꯉꯥꯏꯐꯗꯕꯥ ꯑꯃꯅꯤ꯫
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯗꯥꯏꯑꯦꯕꯦꯇꯤꯖꯒꯤ ꯁ꯭ꯠꯔꯦꯁ ꯑꯗꯨ ꯊꯦꯡꯅꯅꯕꯥ ꯍꯣꯠꯅꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔ ꯅꯠꯠꯔꯒꯥ ꯃꯦꯟꯇꯦꯜ ꯍꯦꯂꯊ ꯄ꯭ꯔꯣꯐꯦꯁꯅꯦꯜ ꯑꯃꯗꯒꯤ ꯄꯥꯎꯇꯥꯛ ꯂꯧꯕꯗꯥ ꯀꯩꯗꯧꯉꯩꯗꯥ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯂꯩꯔꯣꯏꯗꯕꯅꯤ꯫











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