ꯑꯩꯈꯣꯌꯒꯤ ꯕ꯭ꯔꯦꯅꯒꯤ ꯃꯈꯥꯗꯥ, ꯑꯄꯤꯀꯄꯥ, ꯑꯗꯨꯕꯨ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯒ꯭ꯜꯌꯥꯟꯗ ꯑꯃꯥ ꯂꯩ꯫ ꯑꯩꯈꯣꯌꯅꯥ ꯃꯁꯤꯕꯨ ꯄꯤꯇꯨꯏꯇꯔꯤ ꯒ꯭ꯜꯌꯥꯟꯗ ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ ꯃꯁꯤ ꯑꯄꯤꯀꯄꯥ ꯑꯣꯏꯔꯕꯁꯨ, ꯃꯁꯤꯅꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯑꯆꯧꯕꯥ ꯕꯣꯁꯒꯨꯝꯅꯥ ꯊꯕꯛ ꯇꯧꯏ꯫ ꯃꯁꯤꯅꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯒ꯭ꯔꯣꯊ, ꯍꯥꯔꯠ ꯔꯦꯠ, ꯑꯃꯁꯨꯡ ꯑꯉꯥꯡ ꯄꯣꯀꯄꯥ ꯉꯝꯕꯒꯤ ꯃꯄꯥꯉ꯭ꯒꯜ ꯑꯁꯤꯅꯆꯤꯡꯕꯥ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯋꯥꯐꯝ ꯀꯌꯥ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯏ꯫ ꯃꯁꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯑꯇꯣꯞꯄꯥ ꯒ꯭ꯜꯌꯥꯟꯗꯁꯤꯡꯗꯥ "ꯑꯣꯀꯦ, ꯍꯧꯖꯤꯛ ꯅꯍꯥꯛꯀꯤ ꯍꯣꯔꯃꯣꯅꯁꯤꯡ ꯁꯦꯝꯃꯨ" ꯍꯥꯌꯅꯥ ꯍꯥꯌꯔꯤꯕꯥ ꯑꯗꯨꯁꯨꯅꯤ꯫ ꯃꯔꯝ ꯑꯁꯤꯅꯥ ꯑꯩꯈꯣꯌꯅꯥ ꯃꯁꯤꯕꯨ "ꯃꯥꯁ꯭ꯇꯔ ꯒ꯭ꯜꯌꯥꯟꯗ" ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫
ꯑꯗꯨꯅꯥ, ꯄꯤꯇꯨꯏꯇꯔꯤ ꯒ꯭ꯜꯌꯥꯟꯗ ꯁꯦꯂꯁꯤꯡ ꯑꯁꯤ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯍꯅꯕꯥ ꯍꯧꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯑꯃꯁꯨꯡ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯗꯅꯥ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ ꯍꯧꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯑꯩꯈꯣꯌꯅꯥ ꯃꯁꯤꯕꯨ ꯄꯤꯇꯨꯏꯇꯔꯤ ꯇꯤꯎꯃꯔ ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ ꯑꯗꯨꯕꯨ ꯃꯐꯝ ꯑꯁꯤꯗꯥ ꯃꯤꯑꯣꯏ ꯀꯌꯥꯅꯥ ꯂꯥꯡꯇꯛꯅꯔꯤꯕꯥ ꯑꯁꯤꯗꯤ ꯃꯁꯤ ꯀꯦꯟꯁꯔ ꯑꯣꯏꯕꯔꯥ ꯍꯥꯌꯕꯁꯤꯅꯤ꯫ ꯇꯁꯦꯡꯕꯗꯤ, ꯑꯌꯥꯝꯕꯥ ꯄꯤꯇꯨꯏꯇꯔꯤ ꯇꯤꯎꯃꯔꯁꯤꯡꯗꯤ ꯀꯦꯟꯁꯔ ꯑꯣꯏꯗꯦ꯫ ꯄꯤꯇꯨꯏꯇꯔꯤ ꯀꯦꯟꯁꯔ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯇꯣꯏꯅꯥ ꯊꯣꯀꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯇꯤꯎꯃꯔꯁꯤꯡ ꯑꯁꯤ ꯀꯦꯟꯁꯔ ꯑꯣꯏꯗ꯭ꯔꯕꯁꯨ, ꯃꯈꯣꯌꯒꯤ ꯁꯥꯏꯖ (ꯑꯆꯧꯕꯥ ꯇꯤꯎꯃꯔꯁꯤꯡ) ꯅꯠꯠꯔꯒꯥ ꯍꯀꯆꯥꯡꯅꯥ ꯃꯊꯧ ꯇꯥꯗꯕꯥ ꯑꯍꯦꯅꯕꯥ ꯍꯣꯔꯃꯣꯅꯁꯤꯡ ꯄꯨꯊꯣꯀꯄꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ (ꯐꯉ꯭ꯀꯁꯅꯦꯜ ꯇꯤꯎꯃꯔꯁꯤꯡ) ꯑꯆꯧꯕꯥ ꯁꯃꯁ꯭ꯌꯥꯁꯤꯡ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤ ꯃꯍꯧꯁꯥꯅꯥ ꯁꯔꯖꯔꯤ, ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛ ꯅꯠꯠꯔꯒꯥ ꯔꯦꯗꯤꯑꯦꯁꯟ ꯊꯦꯔꯥꯄꯤꯅꯥ ꯂꯥꯏꯌꯦꯡꯏ꯫
ꯀꯔꯤꯒꯤꯗꯃꯛꯇꯥ ꯄꯤꯇꯨꯏꯇꯔꯤ ꯇꯤꯎꯃꯔꯁꯤꯡ ꯑꯁꯤ ꯊꯣꯛꯂꯤꯕꯅꯣ?
ꯇꯁꯦꯡꯕꯗꯤ, ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯍꯧꯖꯤꯛ ꯐꯥꯑꯣꯕꯗꯥ ꯇꯤꯎꯃꯔꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯔꯝ ꯀꯔꯤꯅꯣ ꯍꯥꯌꯕꯁꯤ ꯈꯉꯕꯥ ꯉꯃꯗ꯭ꯔꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯄꯤꯇꯨꯏꯇꯔꯤ ꯁꯦꯂꯁꯤꯡꯒꯤ ꯖꯤꯅꯁꯤꯡꯗꯥ ꯑꯍꯣꯡꯕꯥ ꯂꯥꯀꯏ, ꯑꯗꯨꯕꯨ ꯃꯁꯤ ꯔꯦꯟꯗꯝ ꯑꯣꯏꯅꯥ ꯊꯣꯀꯄꯥ ꯎꯕꯥ ꯐꯪꯏ꯫
ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯃꯈꯣꯌꯒꯥ ꯂꯣꯌꯅꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯗꯥ ꯄꯤꯇꯨꯏꯇꯔꯤ ꯇꯤꯎꯃꯔꯁꯤꯡ ꯍꯦꯟꯅꯥ ꯊꯣꯀꯍꯜꯂꯤꯕꯥ ꯑꯀꯛꯅꯕꯥ ꯖꯦꯅꯦꯇꯤꯛ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ ꯂꯩ꯫ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯈꯔꯗꯤ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯁꯤꯡꯁꯤꯅꯤ:
- ꯀꯥꯔꯅꯤ ꯀꯃꯞꯂꯦꯛꯁ: ꯃꯁꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯅꯟ-ꯀꯦꯟꯁꯔ ꯇꯤꯎꯃꯔ ꯀꯌꯥ ꯊꯣꯀꯍꯜꯂꯤꯕꯥ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯊꯣꯀꯄꯥ ꯖꯦꯅꯦꯇꯤꯛ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫
- ꯐꯦꯃꯤꯂꯤ ꯑꯥꯏꯁꯣꯂꯦꯇꯦꯗ ꯄꯤꯇꯨꯏꯇꯔꯤ ꯑꯦꯗꯦꯅꯣꯃꯥ (FIPA): ꯃꯁꯤꯁꯨ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯊꯣꯀꯄꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫ ꯃꯁꯤꯅꯥ ꯍꯀꯆꯥꯡ ꯑꯁꯤ ꯅꯣꯔꯃꯦꯂꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯆꯥꯎꯕꯥ ꯑꯣꯏꯍꯜꯂꯤ꯫
- ꯑꯥꯏꯁꯣꯂꯦꯇꯦꯗ ꯐꯦꯃꯤꯂꯤ ꯑꯦꯛꯔꯣꯃꯦꯒꯥꯂꯤ: ꯃꯁꯤ ꯐꯤꯄꯥꯒꯥ ꯃꯥꯟꯅꯩ꯫
- ꯃꯦꯀꯀꯨꯟ-ꯑꯂꯕ꯭ꯔꯥꯏꯠ ꯁꯤꯟꯗ꯭ꯔꯣꯝ: ꯃꯁꯤꯒꯤ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯊꯣꯀꯄꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤꯅꯥ ꯁꯔꯨ ꯑꯃꯁꯨꯡ ꯈꯣꯡꯗꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯍꯜꯂꯤ꯫
- ꯃꯜꯇꯤꯄꯜ ꯑꯦꯟꯗꯣꯛꯔꯥꯏꯟ ꯅꯤꯑꯣꯞꯂꯥꯁꯤꯌꯥ, ꯇꯥꯏꯞ I ꯑꯃꯁꯨꯡ ꯇꯥꯏꯞ IV (MEN1, MEN4): ꯀꯟꯗꯤꯁꯅꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯍꯀꯆꯥꯡꯒꯤ ꯒ꯭ꯜꯌꯥꯟꯗꯁꯤꯡꯗꯥ ꯇꯤꯎꯃꯔꯁꯤꯡ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫
ꯇꯤꯎꯃꯔ ꯍꯦꯅꯒꯠꯂꯀꯄꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ꯫
ꯄꯤꯇꯨꯏꯇꯔꯤ ꯒ꯭ꯜꯌꯥꯟꯗ ꯑꯁꯤ ꯕ꯭ꯔꯦꯅꯒꯤ ꯃꯈꯥꯗꯥ ꯂꯩꯕꯥ ꯌꯥꯝꯅꯥ ꯄꯤꯀꯄꯥ ꯃꯐꯝ ꯑꯃꯗꯥ ꯂꯩ, ꯃꯗꯨ ꯃꯤꯠ ꯑꯃꯁꯨꯡ ꯕ꯭ꯔꯦꯅꯒꯤ ꯃꯔꯛꯇꯥ ꯄꯥꯎꯖꯦꯂꯁꯤꯡ ꯄꯨꯔꯀꯄꯥ ꯑꯣꯄꯇꯤꯛ ꯅꯔꯚꯁꯤꯡꯒꯥ ꯌꯥꯝꯅꯥ ꯅꯛꯅꯥ ꯂꯩ꯫ ꯑꯗꯨꯅꯥ, ꯑꯄꯤꯀꯄꯥ ꯃꯐꯝ ꯑꯁꯤꯗꯥ ꯑꯆꯧꯕꯥ ꯇꯤꯎꯃꯔ ꯑꯃꯥ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯃꯗꯨꯒꯤ ꯑꯀꯣꯌꯕꯗꯥ ꯂꯩꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡꯗꯥ ꯆꯦꯟꯊꯕꯥ ꯍꯧꯏ꯫ ꯃꯁꯤꯅꯥ ꯃꯈꯜ-ꯃꯈꯥ ꯀꯌꯥꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫
ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯑꯁꯤꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯑꯁꯤ ꯇꯤꯎꯃꯔ ꯑꯗꯨꯅꯥ ꯍꯦꯅꯒꯠꯂꯀꯄꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯃꯗꯨꯒꯤ ꯑꯀꯣꯌꯕꯗꯥ ꯂꯩꯕꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯑꯣꯔꯒꯥꯅꯁꯤꯡ ꯑꯗꯨ ꯆꯦꯟꯊꯈꯤꯗꯨꯅꯥ ꯃꯐꯝ ꯍꯟꯊꯅꯥ ꯁꯦꯃꯒꯠꯂꯤ꯫
ꯀꯟꯖꯦꯁꯟ ꯑꯁꯤꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡꯗꯤ:
- ꯍꯦꯗ-ꯑꯦꯛ (headache): ꯌꯥꯝꯅꯥ ꯇꯣꯏꯅꯥ ꯊꯣꯀꯄꯥ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯍꯦꯗ-ꯑꯦꯛ꯫
- ꯃꯤꯠ ꯎꯗꯕꯒꯤ ꯁꯃꯁ꯭ꯌꯥꯁꯤꯡ: ꯱.ꯄꯦꯔꯤꯐꯦꯔꯦꯜ ꯚꯤꯖꯟ ꯃꯥꯡꯈꯤꯕꯥ ꯑꯃꯁꯨꯡ ꯗꯕꯜ ꯚꯤꯖꯟꯒꯨꯝꯕꯥ ꯋꯥꯐꯃꯁꯤꯡ, ꯃꯔꯨꯑꯣꯏꯅꯥ ꯃꯥꯡꯂꯣꯃꯗꯥ ꯆꯪꯁꯤꯜꯂꯀꯄꯥ ꯃꯇꯃꯗꯥ꯫
ꯃꯁꯤꯗꯁꯨ ꯅꯠꯇꯅꯥ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯇꯤꯎꯃꯔ ꯑꯁꯤꯅꯥ ꯄꯤꯇꯨꯏꯇꯔꯤ ꯒ꯭ꯜꯌꯥꯟꯗ ꯃꯁꯥꯃꯛꯇꯗꯥ ꯄ꯭ꯔꯦꯁꯔ ꯄꯤꯔꯕꯗꯤ, ꯒ꯭ꯜꯌꯥꯟꯗ ꯑꯗꯨꯅꯥ ꯄꯨꯊꯣꯀꯄꯥ ꯍꯣꯔꯃꯣꯅꯁꯤꯡꯒꯤ ꯆꯥꯡ ꯍꯟꯊꯔꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ, ꯑꯁꯤꯒꯨꯝꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯂꯥꯀꯄꯥ ꯌꯥꯏ:
- ꯅꯨꯄꯥꯁꯤꯡꯒꯤ ꯑꯣꯏꯅꯗꯤ: ꯕ꯭ꯔꯦꯁ꯭ꯠ ꯗꯤꯚꯦꯂꯄꯃꯦꯟꯇ, ꯐꯦꯁꯤꯑꯦꯜ ꯍꯦꯌꯥꯔ ꯁꯣꯀꯄꯥ, ꯑꯃꯁꯨꯡ ꯁꯦꯛꯁꯨꯑꯦꯜ ꯗꯤꯁꯐꯉ꯭ꯀꯁꯟ꯫
- ꯅꯨꯄꯤꯁꯤꯡꯒꯤ ꯑꯣꯏꯅꯗꯤ: ꯃꯤꯔꯣꯜꯂꯤꯉꯩ ꯃꯇꯃꯗꯥ ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯅꯠꯠꯔꯒꯥ ꯊꯤꯡꯖꯤꯅꯕꯥ, ꯑꯉꯥꯡ ꯄꯣꯛꯠꯔꯤꯉꯩꯗꯥ ꯈꯣꯝꯂꯥꯡ ꯄꯤꯊꯀꯄꯥ ꯂꯦꯄꯈꯤꯕꯥ꯫
- ꯑꯉꯥꯡꯁꯤꯡꯒꯤ ꯑꯣꯏꯅꯗꯤ: ꯊꯦꯡꯊꯕꯥ ꯒ꯭ꯔꯣꯊ ꯑꯃꯁꯨꯡ ꯁꯦꯛꯁꯨꯑꯦꯜ ꯃꯦꯆ꯭ꯌꯨꯔꯦꯁꯟ꯫
- ꯀꯃꯟ ꯑꯣꯏꯕꯥ: ꯁꯦꯛꯁꯀꯤ ꯑꯄꯥꯝꯕꯥ ꯍꯟꯊꯔꯀꯄꯥ, ꯈꯣꯡ ꯍꯥꯝꯕꯥ, ꯈꯣꯡꯗꯥ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ, ꯑꯔꯨꯝꯕꯥ ꯍꯣꯡꯂꯀꯄꯥ, ꯑꯃꯁꯨꯡ ꯃꯇꯝ ꯄꯨꯝꯅꯃꯛꯇꯥ ꯅꯣꯡꯃꯩ ꯀꯥꯞꯄꯥ꯫
ꯍꯣꯔꯃꯣꯟ ꯄꯨꯊꯣꯀꯄꯥ ꯇꯤꯎꯃꯔꯁꯤꯡꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ꯫
ꯇꯤꯎꯃꯔ ꯈꯔꯅꯥ (functioning tumors) ꯍꯀꯆꯥꯡꯗꯥ ꯃꯊꯧ ꯇꯥꯗꯕꯥ ꯑꯍꯦꯅꯕꯥ ꯍꯣꯔꯃꯣꯅꯁꯤꯡ ꯄꯨꯊꯣꯀꯏ꯫ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯊꯣꯀꯄꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯝꯕꯥ ꯍꯣꯔꯃꯣꯟ ꯑꯗꯨ ꯑꯍꯦꯅꯕꯥ ꯄꯨꯊꯣꯛꯂꯤꯕꯒꯦ ꯍꯥꯌꯕꯗꯨꯒꯤ ꯃꯈꯥ ꯄꯣꯜꯂꯤ꯫ ꯃꯗꯨ ꯀꯔꯝꯅꯥ ꯊꯕꯛ ꯇꯧꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯁꯤ꯫
| ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯄꯨꯊꯣꯀꯄꯥ ꯍꯣꯔꯃꯣꯟ ꯑꯗꯨ꯫ | ꯀꯟꯗꯤꯁꯟ ꯑꯃꯁꯨꯡ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ꯫ |
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| ꯑꯦꯗ꯭ꯔꯤꯅꯣꯀꯣꯔꯇꯤꯀꯣꯠꯔꯣꯄꯤꯛ ꯍꯣꯔꯃꯣꯟ (ACTH) ꯑꯁꯤ ꯑꯦꯟ. | ꯃꯁꯤꯅꯥ ꯍꯣꯔꯃꯣꯟ ꯀꯣꯔꯇꯤꯁꯣꯜ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯏ꯫ ACTH ꯍꯦꯅꯒꯠꯂꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯀ꯭ꯌꯨꯁꯤꯡ ꯁꯤꯟꯗ꯭ꯔꯣꯝ ꯀꯧꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯥ ꯊꯣꯀꯏ꯫ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ: ꯐꯖꯅꯥ ꯁꯣꯀꯄꯥ, ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ ꯋꯥꯡꯈꯠꯄꯥ, ꯕ꯭ꯂꯗ ꯁꯨꯒꯔ ꯋꯥꯡꯈꯠꯄꯥ, ꯃꯆꯨ ꯃꯆꯨꯒꯤ ꯅꯠꯠꯔꯒꯥ ꯄꯤꯀꯄꯥ ꯁ꯭ꯠꯔꯦꯁ ꯃꯥꯔꯀꯁꯤꯡ, ꯌꯥꯝꯅꯥ ꯀꯨꯡꯅꯥ ꯇꯥꯕꯥ ꯃꯐꯝ, ꯃꯁꯜ ꯁꯣꯟꯊꯕꯥ, ꯂꯦꯡ-ꯑꯣꯠꯄꯒꯤ ꯃꯑꯣꯡ-ꯃꯇꯧ ꯑꯃꯁꯨꯡ ꯃꯃꯥꯌ, ꯈꯣꯡ ꯑꯃꯁꯨꯡ ꯈꯣꯡꯄꯥꯛ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ꯫ |
| ꯒ꯭ꯔꯣꯊ ꯍꯣꯔꯃꯣꯟ꯫ | ꯃꯁꯤꯅꯥ ꯍꯀꯆꯥꯡꯒꯤ ꯒ꯭ꯔꯣꯊ, ꯆꯤꯅꯤ ꯑꯃꯁꯨꯡ ꯐꯦꯠ ꯌꯨꯇꯤꯂꯥꯏꯖꯦꯁꯟ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯁꯤ ꯍꯦꯅꯒꯠꯂꯛꯂꯕꯗꯤ: ꯑꯉꯥꯡꯁꯤꯡ: ꯅꯣꯔꯃꯦꯂꯗꯒꯤ ꯌꯥꯝꯅꯥ ꯍꯦꯟꯅꯥ ꯋꯥꯡꯈꯠꯄꯥ ( Gigantism ) . ꯃꯄꯨꯡ-ꯃꯔꯩ ꯐꯥꯔꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡ: ꯃꯥꯌ, ꯃꯈꯨꯠ ꯑꯃꯁꯨꯡ ꯈꯣꯡꯒꯤ ꯁꯔꯨ ꯇꯥꯡꯁꯤꯡ (Acromegaly) ꯍꯦꯅꯒꯠꯂꯀꯄꯥ ( Acromegaly )꯫ ꯑꯇꯣꯞꯄꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ: ꯍꯥꯔꯇꯀꯤ ꯂꯥꯌꯅꯥ, ꯕ꯭ꯂꯗ ꯁꯨꯒꯔ ꯋꯥꯡꯈꯠꯄꯥ, ꯁꯔꯨ ꯇꯥꯡꯁꯤꯡꯗꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯄꯥ, ꯌꯥꯝꯅꯥ ꯋꯥꯅꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ꯫ |
| ꯄ꯭ꯔꯣꯂꯥꯛꯇꯤꯟ꯫ | ꯃꯁꯤꯅꯥ ꯅꯨꯄꯤꯁꯤꯡꯗꯥ ꯈꯣꯝꯂꯥꯡꯒꯤ ꯁꯉ꯭ꯒꯣꯝ ꯄꯨꯊꯣꯀꯄꯗꯥ ꯄꯨꯛꯅꯤꯡ ꯊꯧꯒꯠꯂꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯁꯤ ꯍꯦꯅꯒꯠꯂꯛꯂꯕꯗꯤ: ꯅꯨꯄꯤꯁꯤꯡꯒꯤ ꯑꯣꯏꯅꯗꯤ: ꯃꯤꯔꯣꯜꯂꯤꯉꯩ ꯅꯠꯠꯔꯒꯥ ꯃꯤꯔꯣꯜꯂꯤꯉꯩ ꯃꯇꯃꯗꯥ ꯈꯣꯝꯂꯥꯡꯒꯤ ꯁꯉ꯭ꯒꯣꯝ ꯂꯤꯛ ꯑꯣꯏꯕꯥ, ꯁꯦꯛꯁꯀꯤ ꯑꯄꯥꯝꯕꯥ ꯍꯟꯊꯔꯀꯄꯥ, ꯊꯥꯒꯤ ꯈꯣꯡꯀꯥꯞ ꯂꯦꯄꯈꯤꯕꯥ, ꯃꯤꯔꯣꯜꯂꯤꯉꯩ ꯃꯇꯃꯗꯥ ꯈꯨꯗꯣꯡꯆꯥꯗꯕꯥ ꯊꯣꯀꯄꯥ꯫ ꯅꯨꯄꯥꯁꯤꯡꯒꯤ ꯑꯣꯏꯅꯗꯤ: ꯁ꯭ꯄꯥꯔꯝ ꯀꯥꯎꯟꯇ ꯍꯟꯊꯔꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯁꯦꯛꯁꯨꯑꯦꯜ ꯗꯤꯁꯐꯉ꯭ꯀꯁꯟ ꯂꯩꯕꯥ꯫ |
| ꯊꯥꯏꯔꯣꯏꯗ ꯁ꯭ꯇꯤꯝꯌꯨꯂꯦꯇꯤꯡ ꯍꯣꯔꯃꯣꯟ (TSH) . | ꯃꯁꯤꯅꯥ ꯊꯥꯌꯔꯣꯏꯗ ꯒ꯭ꯜꯌꯥꯟꯗꯇꯥ ꯍꯣꯔꯃꯣꯟ ꯄꯨꯊꯣꯛꯅꯕꯥ ꯍꯥꯌꯔꯤ꯫ ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯒ꯭ꯔꯣꯊ, ꯇꯦꯝꯄꯦꯔꯦꯆꯔ ꯑꯃꯁꯨꯡ ꯍꯥꯔꯇꯀꯤ ꯔꯦꯠ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ TSH ꯑꯁꯤ ꯋꯥꯡꯂꯕꯗꯤ: ꯂꯥꯏꯑꯣꯡꯁꯤꯡ: ꯍꯥꯔꯇꯀꯤ ꯈꯣꯡꯖꯦꯜ ꯌꯥꯡꯅꯥ ꯅꯠꯠꯔꯒꯥ ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯁꯣꯀꯄꯥ, ꯈꯣꯡ ꯍꯥꯝꯕꯥ ꯌꯥꯗꯕꯥ, ꯇꯨꯝꯕꯥ ꯉꯃꯗꯕꯥ, ꯊꯕꯥꯛ-ꯂꯥꯡꯊꯛ ꯊꯣꯀꯄꯥ, ꯌꯥꯝꯅꯥ ꯋꯥꯅꯥ ꯏꯪꯊꯕꯥ, ꯑꯔꯨꯝꯕꯥ ꯍꯟꯊꯕꯥ꯫ |
ꯃꯁꯤ ꯀꯔꯝꯅꯥ ꯐꯪꯒꯅꯤ ꯗꯣꯛꯇꯔ?
ꯅꯍꯥꯛꯅꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯗꯣꯛꯇꯔ ꯑꯃꯗꯥ ꯆꯠꯄꯥ ꯃꯇꯃꯗꯥ, ꯃꯍꯥꯛꯅꯥ ꯑꯍꯥꯅꯕꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯍꯀꯁꯦꯂꯒꯤ ꯍꯤꯁ꯭ꯇꯔꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯑꯀꯨꯞꯄꯥ ꯋꯥꯍꯪ ꯑꯃꯥ ꯍꯪꯒꯅꯤ꯫ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ, ꯃꯈꯣꯌꯅꯥ ꯐꯤꯖꯤꯀꯦꯜ ꯑꯦꯀꯖꯥꯃꯤꯅꯦꯁꯟ ꯑꯃꯥ ꯄꯥꯡꯊꯣꯛꯀꯅꯤ꯫
ꯃꯁꯤꯒꯤ ꯃꯊꯛꯇꯥ, ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯑꯁꯤ ꯄꯥꯡꯊꯣꯀꯄꯥ ꯌꯥꯏ:
- ꯃꯤꯠꯀꯤ ꯑꯦꯀꯖꯥꯃꯤꯅꯦꯁꯟ: ꯇꯤꯎꯃꯔ ꯑꯗꯨꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯃꯤꯠꯌꯦꯡꯗꯥ ꯑꯀꯥꯌꯕꯥ ꯄꯤꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯎ꯫
- ꯅ꯭ꯌꯨꯔꯣꯂꯣꯖꯤꯀꯦꯜ ꯑꯦꯀꯖꯥꯃꯤꯅꯦꯁꯟ: ꯅꯍꯥꯛꯀꯤ ꯕ꯭ꯔꯦꯟ, ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗ ꯑꯃꯁꯨꯡ ꯅꯔꯚꯁꯤꯡꯅꯥ ꯀꯔꯝꯅꯥ ꯊꯕꯛ ꯇꯧꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯆꯦꯛ ꯇꯧ꯫
- ꯕ꯭ꯂꯗ ꯑꯃꯁꯨꯡ ꯌꯨꯔꯤꯟ ꯇꯦꯁ꯭ꯠ: ꯅꯍꯥꯛꯀꯤ ꯍꯣꯔꯃꯣꯅꯒꯤ ꯆꯥꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ ꯍꯥꯌꯕꯗꯨ ꯆꯨꯝꯅꯥ ꯌꯦꯡꯁꯤꯟꯅꯕꯥ ꯆꯦꯛ ꯇꯧ꯫
- ꯏꯃꯦꯖꯤꯡ: ꯍꯀꯆꯥꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯌꯦꯡꯗꯨꯅꯥ ꯇꯤꯎꯃꯔ ꯑꯃꯥ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯀꯅꯐꯥꯔꯝ ꯇꯧꯅꯕꯥ꯫ ꯃꯁꯤ ꯃꯍꯧꯁꯥꯅꯥ ꯁꯤ.ꯇꯤ.ꯁ꯭ꯀꯦꯅꯅꯥ ꯇꯧꯏ , ꯑꯃꯁꯨꯡ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯑꯦꯝ.ꯑꯥꯔ.ꯑꯥꯏ .
ꯃꯁꯤꯒꯤ ꯂꯥꯏꯌꯦꯡꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯤꯅꯣ?
ꯑꯌꯥꯝꯕꯥ ꯄꯤꯇꯨꯏꯇꯔꯤ ꯇꯤꯎꯃꯔꯁꯤꯡꯗꯤ ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯃꯊꯧ ꯇꯥꯗꯦ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯇꯤꯎꯃꯔ ꯑꯗꯨ ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯃꯊꯧ ꯇꯥꯔꯕꯗꯤ, ꯈꯅꯒꯠꯂꯕꯥ ꯃꯦꯊꯗ ꯑꯗꯨ ꯇꯤꯎꯃꯔꯒꯤ ꯃꯈꯜ, ꯃꯁꯤꯒꯤ ꯁꯥꯏꯖ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯑꯄꯨꯅꯕꯥ ꯍꯀꯁꯦꯂꯒꯤ ꯃꯈꯥ ꯄꯣꯜꯂꯤ꯫
ꯂꯦꯟꯕ
ꯃꯁꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯂꯥꯏꯌꯦꯡꯅꯤ꯫ ꯄ꯭ꯔꯣꯂꯥꯛꯇꯤꯟ ꯄꯨꯊꯣꯀꯄꯥ ꯇꯤꯎꯃꯔ ꯑꯃꯥ ꯑꯣꯏꯗ꯭ꯔꯕꯗꯤ, ꯑꯇꯩ ꯇꯤꯎꯃꯔ ꯑꯌꯥꯝꯕꯗꯤ ꯁꯔꯖꯤꯀꯦꯜ ꯑꯣꯏꯅꯥ ꯂꯧꯊꯣꯀꯏ꯫ ꯁꯔꯖꯔꯤ꯫ ꯃꯍꯧꯁꯥꯅꯥ ꯁꯔꯖꯔꯤ ꯑꯁꯤ ꯑꯆꯧꯕꯥ ꯇꯤꯎꯃꯔꯁꯤꯡꯒꯤꯗꯃꯛꯇꯥ ꯅꯠꯠꯔꯒꯥ ꯀꯝꯞꯂꯦꯛꯁ ꯑꯣꯏꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯁꯟꯗꯣꯀꯄꯥ ꯇꯤꯎꯃꯔꯁꯤꯡꯒꯤꯗꯃꯛꯇꯥ ꯁ꯭ꯀꯨꯂꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯄꯥꯡꯊꯣꯀꯏ꯫
ꯔꯦꯗꯤꯑꯦꯁꯟ ꯊꯦꯔꯥꯄꯤ ꯇꯧꯕꯥ꯫
ꯃꯁꯤꯒꯤ ꯂꯥꯌꯦꯡ ꯑꯁꯤꯅꯥ ꯇꯤꯎꯃꯔ ꯑꯗꯨ ꯃꯥꯡꯍꯟ ꯇꯥꯀꯍꯟꯅꯕꯥ ꯍꯥꯏ-ꯑꯦꯅꯔꯖꯤ ꯑꯦꯛꯁ-ꯔꯦ ꯁꯤꯖꯤꯟꯅꯩ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯇꯤꯎꯃꯔ ꯑꯗꯨ ꯁꯔꯖꯔꯤ ꯇꯧꯗꯨꯅꯥ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯂꯧꯊꯣꯀꯄꯥ ꯉꯃꯗ꯭ꯔꯕꯗꯤ, ꯅꯠꯠꯔꯒꯥ ꯇꯤꯎꯃꯔ ꯑꯗꯨ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯂꯥꯛꯂꯕꯗꯤ ꯂꯥꯏꯌꯦꯡ ꯑꯁꯤ ꯀꯥꯟꯅꯩ꯫ ꯔꯦꯗꯤꯑꯦꯁꯟ ꯊꯦꯔꯥꯄꯤꯒꯤ ꯇꯣꯉꯥꯟ-ꯇꯣꯉꯥꯅꯕꯥ ꯃꯈꯂꯁꯤꯡ ꯂꯩ, ꯃꯈꯣꯌ ꯑꯁꯤ ꯍꯥꯏ-ꯗꯣꯖ ꯂꯥꯏꯌꯦꯡ ꯑꯃꯈꯛꯇꯗꯒꯤ (ꯁ꯭ꯇꯦꯔꯤꯑꯣꯇꯦꯛꯇꯤꯛ ꯔꯦꯗꯤꯑꯣꯁꯔꯖꯔꯤ)ꯗꯒꯤ ꯍꯧꯔꯒꯥ ꯅꯨꯃꯤꯠ 4-6ꯅꯤꯒꯤ ꯑꯣꯏꯅꯥ ꯅꯨꯃꯤꯠ ꯈꯨꯗꯤꯡꯒꯤ ꯀꯌꯥꯃꯔꯨꯝ ꯄꯤꯕꯥ ꯂꯣ-ꯗꯣꯖ ꯇ꯭ꯔꯤꯠꯃꯦꯟꯇ ꯐꯥꯎꯕꯥ ꯌꯥꯎꯏ꯫
ꯍꯤꯗꯥꯛ ꯂꯥꯡꯊꯛ
ꯅꯍꯥꯛꯅꯥ ꯂꯩꯔꯤꯕꯥ ꯇꯤꯎꯃꯔ ꯃꯈꯜ ꯑꯗꯨꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯑꯍꯥꯅꯕꯗꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛ ꯍꯣꯠꯅꯕꯥ ꯌꯥꯏ꯫ ꯃꯔꯨꯑꯣꯏꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯇꯤꯎꯃꯔ ꯑꯗꯨꯅꯥ ꯄ꯭ꯔꯣꯂꯥꯛꯇꯤꯟ ꯄꯨꯊꯣꯛꯂꯕꯗꯤ, ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡꯅꯥ ꯍꯣꯔꯃꯣꯟ ꯑꯗꯨ ꯄꯨꯊꯣꯀꯄꯥ ꯍꯟꯊꯍꯅꯕꯥ ꯉꯝꯃꯤ ꯑꯃꯁꯨꯡ ꯇꯤꯎꯃꯔ ꯑꯗꯨ ꯍꯟꯊꯍꯅꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫ ꯍꯤꯗꯥꯀꯁꯤꯡ ꯑꯁꯤ ꯒ꯭ꯔꯣꯊ ꯍꯣꯔꯃꯣꯟ ꯄꯨꯊꯣꯀꯄꯥ ꯇꯤꯎꯃꯔꯁꯤꯡꯒꯤꯗꯃꯛꯇꯁꯨ ꯑꯃꯁꯨꯡ ꯀꯨꯁꯤꯡ ꯁꯤꯟꯗꯣꯝ ꯑꯃꯁꯨꯡ ꯑꯦꯛꯔꯣꯃꯦꯒꯥꯂꯤꯒꯨꯝꯕꯥ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ ꯃꯦꯅꯦꯖ ꯇꯧꯕꯗꯁꯨ ꯀꯥꯟꯅꯕꯥ ꯑꯣꯏ꯫
ꯇꯦꯛ-ꯍꯣꯝ ꯃꯦꯁꯦꯖ ꯇꯧꯕꯥ꯫
- ꯑꯌꯥꯝꯕꯥ ꯄꯤꯇꯨꯏꯇꯔꯤ ꯇꯤꯎꯃꯔꯁꯤꯡꯗꯤ ꯀꯦꯟꯁꯔ ꯑꯣꯏꯗꯦ , ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯃꯊꯧ ꯇꯥꯗꯅꯥ ꯑꯦꯂꯥꯔꯝ ꯄꯤꯒꯅꯨ꯫
- ꯍꯦꯗ-ꯑꯦꯛ ꯑꯃꯁꯨꯡ ꯚꯤꯖꯟ ꯍꯣꯡꯂꯀꯄꯒꯨꯝꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯇꯤꯎꯃꯔꯒꯤ ꯁꯥꯏꯖꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯍꯀꯆꯥꯡꯗꯥ ꯍꯣꯔꯃꯣꯅꯁꯤꯡꯗꯥ ꯑꯍꯣꯡꯕꯥ ꯂꯥꯀꯄꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤꯁꯨ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯂꯩꯔꯕꯗꯤ, ꯌꯥꯔꯤꯕꯃꯈꯩ ꯊꯨꯅꯥ ꯀ꯭ꯕꯥꯂꯤꯐꯥꯏꯗ ꯗꯣꯛꯇꯔ ꯑꯃꯒꯥ ꯇꯥꯟꯅꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫
- ꯃꯁꯤꯒꯤꯗꯃꯛꯇꯥ ꯁꯔꯖꯔꯤ, ꯔꯦꯗꯤꯑꯦꯁꯟ ꯊꯦꯔꯥꯄꯤ, ꯑꯃꯁꯨꯡ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ ꯑꯁꯤꯅꯆꯤꯡꯕꯥ ꯏꯐꯦꯛꯇꯤꯚ ꯑꯣꯏꯕꯥ ꯂꯥꯏꯌꯦꯡꯁꯤꯡ ꯂꯩ꯫
- ꯅꯍꯥꯛꯀꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯁꯨꯡ ꯂꯥꯏꯌꯦꯡꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯍꯪꯂꯀꯄꯥ ꯋꯥꯍꯪ ꯑꯃꯍꯦꯛꯇꯕꯨ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯑꯃꯨꯛꯇꯪ ꯈꯟꯅꯕꯤꯌꯨ꯫
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