ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯊꯥꯌꯔꯣꯏꯗ ꯒ꯭ꯜꯌꯥꯟꯗ ꯑꯗꯨ ꯑꯣꯚꯔꯑꯦꯛꯇꯤꯚ ꯑꯣꯏꯔꯦ (Hyperthyroidism) ꯍꯥꯌꯅꯥ ꯈꯪꯍꯅꯈꯤꯕ꯭ꯔꯥ? ꯅꯠꯔꯒꯥ ꯃꯍꯥꯛꯅꯥ ꯊꯥꯏꯔꯣꯏꯗ ꯀꯦꯟꯁꯔꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯈꯤꯕꯔꯥ? ꯑꯁꯤꯒꯨꯝꯕꯥ ꯀꯦꯁꯁꯤꯡ ꯑꯁꯤꯗꯥ ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯔꯤꯀꯃꯦꯟꯗ ꯇꯧꯕꯥ ꯃꯥꯌ ꯄꯥꯀꯄꯥ ꯂꯥꯌꯦꯡ ꯑꯃꯗꯤ ꯔꯦꯗꯤꯑꯣꯑꯦꯛꯇꯤꯚ ꯑꯥꯌꯣꯗꯤꯟ ꯊꯦꯔꯥꯄꯤꯅꯤ꯫ ꯑꯗꯨꯕꯨ ꯑꯩꯈꯣꯌꯅꯥ "ꯔꯦꯗꯤꯑꯣꯑꯦꯛꯇꯤꯚ" ꯍꯥꯌꯕꯥ ꯋꯥꯍꯩ ꯑꯁꯤ ꯇꯥꯕꯗꯥ ꯈꯔꯥ ꯂꯥꯡꯇꯛꯅꯕꯥ ꯑꯁꯤ ꯅꯣꯔꯃꯦꯂꯅꯤ, ꯅꯠꯇꯦ? ꯑꯗꯨꯕꯨ ꯃꯁꯤ ꯇꯁꯦꯡꯅꯥ ꯑꯀꯤꯕꯥ ꯄꯣꯀꯍꯅꯕꯥ ꯌꯥꯕꯥ ꯑꯃꯠꯇꯥ ꯅꯠꯇꯦ꯫ ꯃꯁꯤ ꯊꯥꯏꯔꯣꯏꯗ ꯁꯦꯜ ꯈꯛꯇꯗꯥ ꯑꯀꯛꯅꯅꯥ ꯇꯥꯔꯒꯦꯠ ꯇꯧꯕꯥ ꯌꯥꯝꯅꯥ ꯁꯥꯐꯕꯥ ꯂꯥꯏꯌꯦꯡ ꯑꯃꯅꯤ꯫ ꯑꯗꯨꯅꯥ ꯉꯁꯤ ꯄꯨꯝꯅꯃꯛ ꯃꯌꯦꯛ ꯁꯦꯡꯅꯥ ꯑꯃꯁꯨꯡ ꯂꯥꯏꯅꯥ ꯋꯥꯔꯤ ꯁꯥꯁꯤ꯫
ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯔꯦꯗꯤꯑꯣꯑꯦꯛꯇꯤꯚ ꯑꯥꯌꯣꯗꯤꯟ (RAI) ꯂꯥꯏꯌꯦꯡ ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ?
ꯑꯩꯈꯣꯌꯒꯤ ꯀꯣꯛꯇꯥ ꯂꯩꯕꯥ ꯊꯥꯌꯔꯣꯏꯗ ꯒ꯭ꯜꯌꯥꯟꯗ ꯑꯁꯤꯅꯥ ꯊꯥꯌꯔꯣꯏꯗ ꯍꯣꯔꯃꯣꯅꯁꯤꯡ ꯁꯦꯝꯅꯕꯒꯤꯗꯃꯛ "ꯑꯥꯏꯑꯣꯗꯤꯟ" ꯀꯧꯕꯥ ꯅ꯭ꯌꯨꯠꯔꯤꯑꯦꯟꯇ ꯑꯃꯥ ꯃꯊꯧ ꯇꯥꯏ꯫ ꯃꯍꯧꯁꯥꯅꯥ ꯑꯩꯈꯣꯌꯅꯥ ꯑꯥꯏꯑꯣꯗꯤꯟ ꯑꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯆꯥꯔꯤꯕꯥ ꯆꯤꯟꯖꯥꯀꯁꯤꯡꯗꯒꯤ ꯐꯪꯏ, ꯃꯔꯨꯑꯣꯏꯅꯥ ꯑꯥꯌꯣꯗꯤꯅꯥꯏꯖ ꯇꯧꯔꯕꯥ ꯁꯣꯜꯇꯇꯒꯤ꯫
ꯃꯁꯤꯒꯤ ꯂꯥꯌꯦꯡ ꯑꯁꯤꯗꯥ ꯑꯩꯈꯣꯌꯅꯥ ꯍꯀꯆꯥꯡꯗꯥ ꯑꯥꯌꯣꯗꯤꯟ (ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯑꯣꯏꯅꯥ ꯑꯥꯌꯣꯗꯤꯟ-꯱꯳꯱ ꯍꯥꯌꯅꯥ ꯀꯧꯕꯥ) ꯄꯤꯔꯤ ꯃꯗꯨꯗꯥ ꯑꯩꯈꯣꯌꯅꯥ ꯑꯈꯟꯅꯕꯥ ꯔꯦꯗꯤꯑꯣꯑꯦꯛꯇꯤꯚ ꯄ꯭ꯔꯣꯄꯔꯇꯤ ꯑꯃꯥ ꯍꯥꯄꯆꯤꯜꯂꯦ꯫ ꯊꯥꯌꯔꯣꯏꯗ ꯒ꯭ꯜꯌꯥꯟꯗ ꯑꯁꯤꯅꯥ ꯑꯥꯌꯣꯗꯤꯟ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯄꯥꯝꯃꯤ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯃꯁꯤꯒꯤ ꯑꯈꯟꯅꯕꯥ ꯑꯥꯌꯣꯗꯤꯟ ꯑꯁꯤ ꯍꯀꯊꯦꯡꯅꯅꯥ ꯁꯣꯀꯏ꯫ ꯑꯗꯨꯗꯒꯤ, ꯑꯗꯨꯒꯨꯝꯕꯥ ꯑꯥꯌꯣꯗꯤꯟ ꯑꯗꯨꯒꯤ ꯔꯦꯗꯤꯑꯣꯑꯦꯛꯇꯤꯚꯤꯇꯤꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ , ꯊꯥꯌꯔꯣꯏꯗ ꯒ꯭ꯜꯌꯥꯟꯗꯇꯥ ꯂꯩꯕꯥ ꯍꯥꯏꯄꯔꯑꯦꯛꯇꯤꯚ ꯁꯦꯜ ꯅꯠꯠꯔꯒꯥ ꯀꯦꯟꯁꯔ ꯁꯦꯜ ꯈꯛꯇꯃꯛ ꯈꯅꯒꯠꯂꯒꯥ ꯁꯦꯚ ꯇꯧꯏ ꯑꯃꯁꯨꯡ ꯃꯥꯡꯍꯜꯂꯤ꯫ ꯃꯁꯤꯅꯥ ꯍꯀꯆꯥꯡꯒꯤ ꯑꯇꯩ ꯁꯦꯂꯁꯤꯡꯗꯥ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯅꯥ ꯏꯐꯦꯛꯇ ꯇꯧꯗꯦ꯫ ꯃꯁꯤ ꯃꯍꯧꯁꯥꯅꯥ ꯀꯦꯄꯆꯔ ꯑꯃꯥ ꯑꯣꯏꯅꯥ ꯅꯠꯠꯔꯒꯥ ꯂꯤꯛꯌꯨꯏꯗ ꯑꯣꯏꯅꯥ ꯄꯤ꯫
ꯀꯔꯤ ꯐꯤꯚꯃꯁꯤꯡꯒꯤꯗꯃꯛ ꯂꯥꯏꯌꯦꯡ ꯑꯁꯤ ꯔꯦꯀꯃꯦꯟꯗ ꯇꯧꯔꯤꯕꯒꯦ?
ꯃꯁꯤꯒꯤ ꯂꯥꯌꯦꯡ ꯑꯁꯤ ꯃꯔꯨꯑꯣꯏꯅꯥ ꯃꯦꯗꯤꯀꯦꯜ ꯀꯟꯗꯤꯁꯟ ꯑꯅꯤꯗꯥ ꯁꯤꯖꯤꯟꯅꯩ꯫
꯱.ꯍꯥꯏꯄꯥꯔꯊꯥꯏꯔꯣꯏꯗꯤꯖꯝ꯫
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯊꯥꯌꯔꯣꯏꯗ ꯒ꯭ꯜꯌꯥꯟꯗ ꯄꯨꯝꯅꯃꯛꯅꯥ ꯍꯣꯔꯃꯣꯟ ꯌꯥꯝꯅꯥ ꯄꯨꯊꯣꯀꯏ꯫ ꯃꯁꯤꯕꯨ ``ꯒ꯭ꯔꯦꯚꯁ' ꯗꯤꯖꯤꯖ'' ꯍꯥꯌꯅꯥꯁꯨ ꯀꯧꯏ꯫ ꯅꯠꯠꯔꯒꯥ ꯒ꯭ꯜꯌꯥꯟꯗ ꯑꯗꯨꯅꯥ ꯅꯣꯗ꯭ꯌꯨꯂꯁꯤꯡ ꯁꯦꯃꯒꯠꯂꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯑꯣꯚꯔꯑꯦꯛꯇꯤꯚ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯀꯦꯁꯁꯤꯡ ꯑꯁꯤꯗꯥ: ꯱.
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯦꯟꯇꯤꯊꯥꯏꯔꯣꯏꯗꯀꯤ ꯍꯤꯗꯥꯀꯁꯤꯡꯅꯥ ꯊꯕꯛ ꯇꯧꯗ꯭ꯔꯕꯗꯤ ꯅꯠꯠꯔꯒꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯗꯨ ꯂꯧꯕꯥ ꯉꯃꯗ꯭ꯔꯕꯗꯤ꯫
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯁꯔꯖꯔꯤ (Thyroidectomy) ꯇꯧꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯁꯦꯂꯒꯤ ꯐꯤꯚꯃꯗꯥ ꯌꯨꯝꯐꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯔꯤꯁ꯭ꯛ ꯂꯩꯕꯥ ꯑꯣꯏꯔꯕꯗꯤ꯫
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯗꯣꯛꯇꯔꯅꯥ ꯃꯁꯤ ꯑꯇꯣꯞꯄꯥ ꯃꯔꯃꯁꯤꯡꯅꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯆꯨꯅꯕꯥ ꯑꯣꯏꯅꯥ ꯂꯧꯔꯕꯗꯤ꯫
ꯂꯥꯏꯌꯦꯡ ꯑꯁꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ, ꯅꯍꯥꯛꯀꯤ ꯊꯥꯌꯔꯣꯏꯗ ꯒ꯭ꯜꯌꯥꯟꯗ ꯑꯗꯨ ꯃꯇꯝ ꯆꯨꯞꯄꯒꯤ ꯑꯣꯏꯅꯥ ꯗꯤꯁꯑꯦꯕꯜ ꯑꯣꯏꯔꯛꯀꯅꯤ, ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯄꯨꯟꯁꯤ ꯆꯨꯞꯄꯥ ꯅꯨꯃꯤꯠ ꯈꯨꯗꯤꯡꯒꯤ ꯊꯥꯌꯔꯣꯏꯗ ꯍꯣꯔꯃꯣꯟ ꯄꯤꯂꯁꯤꯡ (Levothyroxine) ꯂꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯒꯅꯤ꯫ ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯏꯆꯝ ꯆꯝꯕꯥ ꯑꯃꯁꯨꯡ ꯃꯦꯅꯦꯖ ꯇꯧꯕꯥ ꯌꯥꯕꯥ ꯑꯃꯅꯤ꯫
2. ꯊꯥꯏꯔꯣꯏꯗ ꯀꯦꯟꯁꯔ ꯃꯈꯜ ꯈꯔꯗꯤ꯫
ꯃꯁꯤꯒꯤ ꯂꯥꯌꯦꯡ ꯑꯁꯤ `ꯄꯦꯄꯤꯂꯥꯔꯤ` ꯑꯃꯁꯨꯡ `ꯐꯣꯂꯤꯀꯨꯂꯥꯔ` ꯀꯧꯕꯥ ꯊꯥꯏꯔꯣꯏꯗ ꯀꯦꯟꯁꯔ ꯃꯈꯂꯁꯤꯡꯒꯤꯗꯃꯛ ꯌꯥꯝꯅꯥ ꯃꯥꯌ ꯄꯥꯀꯏ꯫
- ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯂꯦꯃꯍꯧꯔꯤꯕꯥ ꯑꯄꯤꯀꯄꯥ ꯀꯦꯟꯁꯔ ꯁꯦꯜ ꯑꯃꯠꯇꯥ ꯃꯥꯡꯍꯅꯕꯥ꯫
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯀꯦꯟꯁꯔ ꯑꯗꯨ ꯂꯤꯝꯐ ꯅꯣꯗꯁꯤꯡ ꯅꯠꯠꯔꯒꯥ ꯍꯀꯆꯥꯡꯒꯤ ꯑꯇꯩ ꯃꯐꯃꯁꯤꯡꯗꯥ ꯁꯟꯗꯣꯀꯈ꯭ꯔꯕꯗꯤ (ꯃꯦꯇꯥꯁ꯭ꯇꯦꯖ) ꯑꯣꯏꯔꯕꯗꯤ ꯁꯦꯂꯁꯤꯡ ꯑꯗꯨ ꯃꯥꯡꯍꯅꯒꯗꯕꯅꯤ꯫
ꯃꯔꯨꯑꯣꯏꯕꯥ: ꯂꯥꯏꯌꯦꯡ ꯑꯁꯤꯅꯥ `ꯑꯦꯅꯥꯞꯂꯥꯁ꯭ꯇꯤꯛ` ꯑꯃꯁꯨꯡ `ꯃꯦꯗꯨꯂꯥꯔꯤ` ꯀꯧꯕꯥ ꯊꯥꯏꯔꯣꯏꯗ ꯀꯦꯟꯁꯔ ꯃꯈꯂꯁꯤꯡꯗꯥ ꯏꯐꯦꯛꯇꯤꯚ ꯑꯣꯏꯗꯦ ꯃꯔꯃꯗꯤ ꯃꯈꯣꯌꯅꯥ ꯑꯥꯌꯣꯗꯤꯟ ꯁꯣꯀꯍꯟꯗꯦ꯫
ꯃꯁꯤꯒꯤ ꯂꯥꯏꯌꯦꯡ ꯑꯁꯤ ꯆꯨꯃꯗꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡ ꯂꯩꯕ꯭ꯔꯥ?
ꯍꯣꯌ, ꯃꯤꯑꯣꯏ ꯈꯔꯗꯗꯤ ꯃꯁꯤꯒꯤ ꯂꯥꯏꯌꯦꯡ ꯑꯁꯤ ꯄꯤꯗꯦ꯫
- ꯃꯤꯔꯣꯜꯂꯤꯕꯤ ꯃꯃꯥꯁꯤꯡꯒꯤ ꯑꯣꯏꯅꯗꯤ: ꯔꯦꯗꯤꯑꯣꯑꯦꯛꯇꯤꯚ ꯑꯥꯌꯣꯗꯤꯅꯅꯥ ꯄ꯭ꯂꯥꯁꯦꯟꯇꯥ ꯀ꯭ꯔꯣꯁ ꯇꯧꯕꯥ ꯌꯥꯏ ꯑꯃꯁꯨꯡ ꯃꯤꯔꯣꯜꯂꯤꯕꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯗꯥ ꯁꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫
- ꯈꯣꯝꯂꯥꯡ ꯄꯤꯊꯀꯄꯥ ꯃꯃꯥꯁꯤꯡꯒꯤꯗꯃꯛ꯫
- ꯁꯥꯊꯤꯕꯥ ꯊꯥꯌꯔꯣꯏꯗ ꯑꯥꯏ ꯗꯤꯖꯤꯖ (Graves’ ofthalmopathy) ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯒꯤ ꯑꯣꯏꯅꯗꯤ꯫
- ꯊꯥꯌꯔꯣꯏꯗ ꯍꯣꯔꯃꯣꯅꯒꯤ ꯆꯥꯡ ꯌꯥꯝꯅꯥ ꯋꯥꯡꯅꯥ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯒꯤ ꯑꯣꯏꯅꯗꯤ (ꯃꯌꯥꯏ ꯑꯣꯏꯕꯥ ꯊꯥꯏꯔꯣꯏꯗ ꯍꯣꯔꯃꯣꯅꯒꯤ ꯆꯥꯡ)꯫
- ꯈꯣꯝꯂꯥꯡ ꯅꯠꯠꯔꯒꯥ ꯗꯥꯏꯔꯤꯌꯥ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯒꯤꯗꯃꯛ (ꯃꯔꯃꯗꯤ ꯍꯤꯗꯥꯛ ꯑꯁꯤꯅꯥ ꯍꯀꯆꯥꯡꯗꯒꯤ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯏ)꯫
ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯃꯃꯥꯡꯗꯥ ꯃꯇꯧ ꯀꯔꯝꯅꯥ ꯁꯦꯝ-ꯁꯥꯒꯗꯒꯦ?
ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯑꯀꯨꯞꯄꯥ ꯃꯔꯣꯜ ꯄꯨꯝꯅꯃꯛ ꯍꯥꯟꯅꯥ ꯈꯪꯍꯜꯂꯛꯀꯅꯤ꯫ ꯃꯈꯣꯌꯅꯥ ꯃꯍꯧꯁꯥꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯊꯕꯀꯁꯤꯡ ꯑꯁꯤ ꯇꯧꯅꯕꯥ ꯍꯥꯌꯒꯅꯤ:
- ꯕ꯭ꯂꯗ ꯇꯦꯁ꯭ꯠ: ꯊꯥꯌꯔꯣꯏꯗ ꯍꯣꯔꯃꯣꯅꯒꯤ ꯆꯥꯡ ꯌꯦꯡꯁꯤꯅꯕꯥ꯫
- ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ ꯊꯤꯡꯕꯥ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯊꯥꯌꯔꯣꯏꯗ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯅꯕꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ, ꯍꯥꯌꯕꯗꯤ ꯄ꯭ꯔꯣꯄꯤꯂꯊꯤꯑꯣꯎꯔꯦꯁꯤꯜ ꯅꯠꯠꯔꯒꯥ ꯃꯦꯊꯤꯃꯥꯖꯣꯂꯒꯨꯝꯕꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ ꯂꯧꯔꯕꯗꯤ, ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯅꯨꯃꯤꯠ ꯑꯃꯥ ꯃꯃꯥꯡꯗꯥ ꯊꯤꯡꯅꯕꯥ ꯍꯥꯌꯒꯅꯤ꯫
- ꯑꯥꯌꯣꯗꯤꯟ ꯌꯥꯝꯅꯥ ꯌꯥꯎꯕꯥ ꯗꯥꯏꯠ: ꯅꯨꯃꯤꯠ ꯑꯃꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯅꯤꯒꯤ ꯑꯣꯏꯅꯥ ꯑꯥꯌꯣꯗꯤꯟ ꯌꯥꯝꯅꯥ ꯌꯥꯎꯕꯥ ꯗꯥꯏꯠ ꯑꯃꯥ ꯆꯥꯅꯕꯥ ꯄꯥꯎꯇꯥꯛ ꯄꯤꯔꯤ꯫ ꯃꯁꯤꯅꯥ ꯑꯥꯌꯣꯗꯤꯖ ꯇꯧꯔꯕꯥ ꯁꯣꯜꯇ, ꯁꯃꯨꯗ꯭ꯔꯒꯤ ꯆꯥꯛ, ꯑꯃꯁꯨꯡ ꯗꯥꯏꯔꯤꯒꯤ ꯄꯣꯠꯊꯣꯀꯁꯤꯡꯒꯨꯝꯕꯥ ꯄꯣꯠꯂꯃꯁꯤꯡ ꯍꯟꯊꯍꯅꯕꯥ ꯍꯥꯌꯕꯅꯤ꯫
- TSH ꯏꯅꯖꯦꯀꯁꯟ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯊꯥꯌꯔꯣꯏꯗ ꯁ꯭ꯇꯤꯝꯌꯨꯂꯦꯇꯤꯡ ꯍꯣꯔꯃꯣꯟ (TSH) ꯏꯅꯖꯦꯀꯁꯟ ꯑꯃꯥ ꯄꯤꯕꯥ ꯌꯥꯏ, ꯃꯗꯨꯅꯥ ꯊꯥꯌꯔꯣꯏꯗ ꯒ꯭ꯜꯌꯥꯟꯗ ꯑꯗꯨꯅꯥ ꯑꯥꯌꯣꯗꯤꯟ ꯍꯦꯟꯅꯥ ꯐꯅꯥ ꯁꯣꯀꯍꯅꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫
- ꯄ꯭ꯔꯦꯒꯅꯦꯟꯁꯤ ꯇꯦꯁ꯭ꯠ: ꯃꯁꯤꯅꯥ ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯃꯃꯥꯡꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯤꯔꯣꯅꯕꯥ ꯂꯩꯇꯦ ꯍꯥꯌꯕꯥ ꯀꯅꯐꯥꯔꯝ ꯇꯧꯒꯅꯤ꯫
ꯂꯥꯌꯦꯡꯕꯒꯤ ꯃꯇꯨꯡꯗꯥ... ꯆꯦꯀꯁꯤꯅꯒꯗꯕꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯋꯥꯐꯃꯁꯤꯡ!
ꯃꯁꯤ ꯅꯍꯥꯛꯅꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯄꯨꯛꯅꯤꯡ ꯆꯪꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯂꯥꯏꯌꯦꯡꯒꯤ ꯁꯔꯨꯛ ꯑꯗꯨꯅꯤ꯫ ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯅꯨꯃꯤꯠ ꯈꯔꯅꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ, ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡꯅꯥ ꯔꯦꯗꯤꯑꯣꯑꯦꯛꯇꯤꯚꯤꯇꯤꯒꯤ ꯆꯥꯡ ꯈꯔꯥ (ꯃꯔꯨꯑꯣꯏꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯌꯨꯔꯤꯟ, ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ, ꯑꯃꯁꯨꯡ ꯂꯦꯡ-ꯑꯣꯠꯄꯗꯥ) ꯔꯤꯂꯤꯖ ꯇꯧꯒꯅꯤ꯫ ꯃꯁꯤꯅꯥ ꯑꯗꯣꯃꯗꯥ ꯑꯀꯥꯌꯕꯥ ꯄꯤꯗꯕꯥ ꯑꯣꯏꯔꯕꯁꯨ, ꯑꯇꯣꯞꯄꯁꯤꯡꯗꯥ, ꯃꯔꯨꯑꯣꯏꯅꯥ ꯃꯤꯔꯣꯜꯂꯤꯕꯤ ꯅꯨꯄꯤꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯅꯍꯥ ꯑꯣꯏꯔꯤꯕꯥ ꯑꯉꯥꯡꯁꯤꯡꯒꯤꯗꯃꯛꯇꯗꯤ ꯑꯐꯕꯥ ꯑꯣꯏꯗꯦ . ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯗꯣꯛꯇꯔꯒꯤ ꯏꯅꯁ꯭ꯠꯔꯛꯁꯅꯁꯤꯡ ꯑꯗꯨ ꯆꯨꯝꯅꯥ ꯏꯅꯒꯗꯕꯅꯤ꯫
| ꯏꯅꯒꯗꯕꯥ ꯄꯥꯎꯇꯥꯀꯁꯤꯡ꯫ | ꯑꯈꯟꯅꯕꯥ ꯃꯤꯠꯌꯦꯡ ꯆꯪꯒꯗꯕꯥ ꯋꯥꯐꯃꯁꯤꯡ꯫ |
|---|---|
| ꯑꯇꯣꯞꯄꯗꯒꯤ ꯂꯥꯞꯅꯥ ꯂꯩꯕꯥ꯫ | ꯑꯍꯥꯅꯕꯥ ꯅꯨꯃꯤꯠ ꯈꯔꯅꯤꯒꯤ ꯑꯣꯏꯅꯥ ꯐꯨꯠ 3-6 ꯐꯥꯎꯕꯥ ꯂꯥꯞꯅꯥ ꯂꯩꯌꯨ꯫ ꯃꯤꯔꯣꯜꯂꯤꯕꯤ ꯅꯨꯄꯤꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯅꯍꯥ ꯑꯣꯏꯔꯤꯕꯥ ꯑꯉꯥꯡꯁꯤꯡꯗꯒꯤ ꯁꯣꯌꯗꯅꯥ ꯂꯥꯞꯅꯥ ꯂꯩꯌꯨ꯫ ꯇꯣꯉꯥꯅꯕꯥ ꯔꯨꯝ ꯑꯃꯗꯥ ꯃꯁꯥ ꯃꯊꯟꯇꯥ ꯇꯨꯝꯃꯨ꯫ ꯅꯨꯃꯤꯠ 3-4ꯅꯤ ꯐꯥꯎꯕꯥ ꯆꯨꯝꯅꯒꯤ ꯑꯃꯁꯨꯡ ꯁꯦꯛꯁ ꯇꯧꯕꯒꯨꯝꯕꯥ ꯏꯟꯇꯤꯃꯦꯇꯦꯗ ꯀꯟꯇꯦꯛꯇ ꯇꯧꯔꯣꯏꯗꯕꯅꯤ꯫ |
| ꯇꯣꯏꯂꯦꯠ ꯁꯤꯖꯤꯟꯅꯕꯥ꯫ | ꯀꯔꯤꯒꯨꯝꯕꯥ ꯌꯥꯕꯥ ꯇꯥꯔꯕꯗꯤ ꯇꯣꯉꯥꯅꯕꯥ ꯇꯣꯏꯂꯦꯠ ꯑꯃꯥ ꯁꯤꯖꯤꯟꯅꯧ꯫ ꯌꯨꯔꯤꯟ ꯇꯧꯕꯥ ꯃꯇꯃꯗꯥ ꯐꯃꯗꯨꯅꯥ ꯂꯩꯌꯨ (ꯃꯁꯤꯅꯥ ꯏꯁꯤꯡ ꯇꯨꯡꯁꯤꯅꯕꯥ ꯌꯥꯗꯅꯕꯥ)꯫ ꯃꯇꯝ ꯄꯨꯝꯅꯃꯛꯇꯥ ꯑꯅꯤꯔꯛ ꯐ꯭ꯂꯁ ꯇꯧ꯫ |
| ꯄꯔꯁꯣꯅꯦꯜ ꯍꯥꯏꯖꯤꯟ ꯇꯧꯕꯥ꯫ | ꯅꯨꯃꯤꯠ ꯈꯨꯗꯤꯡꯒꯤ ꯏꯁꯤꯡ ꯇꯨꯡꯁꯤꯅꯕꯥ꯫ ꯅꯍꯥꯛꯀꯤ ꯈꯨꯠꯁꯥꯁꯤꯡ ꯑꯗꯨ ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯁꯥꯄꯣꯟꯅꯥ ꯁꯦꯡꯗꯣꯀꯎ꯫ ꯏꯁꯤꯡ ꯃꯔꯥꯡ ꯀꯥꯌꯅꯥ ꯊꯀꯎ꯫ ꯃꯁꯤꯅꯥ ꯔꯦꯗꯤꯑꯣꯑꯦꯛꯇꯤꯚ ꯃꯦꯇꯔꯤꯑꯦꯜ ꯑꯗꯨ ꯌꯨꯔꯤꯅꯗꯥ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯊꯣꯀꯍꯅꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯒꯅꯤ꯫ |
| ꯄꯣꯠꯆꯩ ꯑꯃꯁꯨꯡ ꯄꯣꯠꯂꯃꯁꯤꯡ꯫ | ꯅꯍꯥꯛꯀꯤ ꯄꯣꯠꯆꯩꯁꯤꯡ, ꯐꯤ-ꯔꯣꯂꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯇꯣꯏꯂꯦꯠꯁꯤꯡ ꯑꯗꯨ ꯑꯇꯣꯞꯄꯒꯤ ꯄꯣꯠꯆꯩꯁꯤꯡꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯅꯠꯇꯅꯥ ꯇꯣꯉꯥꯟꯅꯥ ꯁꯦꯡꯗꯣꯀꯎ꯫ ꯅꯍꯥꯛꯀꯤ ꯆꯥꯀꯁꯉꯁꯤꯡ, ꯀꯄꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯀꯇꯂꯔꯤꯁꯤꯡ ꯑꯗꯨ ꯇꯣꯉꯥꯟꯅꯥ ꯁꯦꯡꯗꯣꯀꯎ꯫ ꯃꯈꯣꯌꯗꯨ ꯑꯇꯣꯞꯄꯅꯥ ꯁꯤꯖꯤꯟꯅꯍꯜꯂꯣꯏꯗꯕꯅꯤ꯫ |
| ꯆꯥꯅꯕꯥ ꯁꯦꯝ-ꯁꯥꯕꯥ ꯑꯃꯁꯨꯡ ꯆꯠꯊꯣꯛ-ꯆꯠꯁꯤꯟ ꯇꯧꯕꯥ꯫ | ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯑꯇꯣꯞꯄꯒꯥ ꯈꯨꯠꯁꯝꯅꯗꯨꯅꯥ ꯂꯩꯕꯥ ꯑꯃꯁꯨꯡ ꯆꯥꯅꯕꯥ ꯁꯦꯝ-ꯁꯥꯕꯥ ꯇꯧꯔꯣꯏꯗꯕꯅꯤ꯫ ꯅꯨꯃꯤꯠ ꯈꯔꯅꯤꯒꯤ ꯑꯣꯏꯅꯥ ꯃꯤꯌꯥꯃꯒꯤ ꯆꯠꯊꯣꯛ-ꯆꯠꯁꯤꯟ ꯑꯃꯁꯨꯡ ꯑꯇꯣꯞꯄꯁꯤꯡꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯂꯝꯕꯤ ꯆꯠꯄꯗꯥ ꯁꯤꯖꯤꯟꯅꯔꯣꯏꯗꯕꯅꯤ꯫ |
ꯅꯍꯥꯛꯅꯥ ꯏꯅꯁ꯭ꯠꯔꯛꯁꯅꯁꯤꯡ ꯑꯁꯤ ꯀꯌꯥꯝ ꯁꯥꯡꯅꯥ ꯏꯅꯒꯗꯒꯦ ꯍꯥꯌꯕꯁꯤ ꯅꯍꯥꯛꯅꯥ ꯐꯪꯈꯤꯕꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛꯀꯤ ꯗꯣꯖꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ ꯈꯦꯠꯅꯒꯅꯤ꯫ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯃꯁꯤ ꯃꯌꯦꯛ ꯁꯦꯡꯅꯥ ꯈꯪꯍꯜꯂꯛꯀꯅꯤ꯫
ꯃꯁꯤꯒꯤ ꯁꯥꯏꯗ ꯏꯐꯦꯛꯇ ꯑꯃꯁꯨꯡ ꯔꯤꯁ꯭ꯀꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯤꯅꯣ?
ꯑꯌꯥꯝꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯗꯥ ꯑꯆꯧꯕꯥ ꯁꯥꯏꯗ ꯏꯐꯦꯛꯇ ꯑꯃꯠꯇꯥ ꯊꯦꯡꯅꯗꯦ, ꯑꯗꯨꯕꯨ ꯃꯤꯑꯣꯏ ꯈꯔꯗꯗꯤ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯋꯥꯐꯃꯁꯤꯡ ꯑꯁꯤ ꯊꯦꯡꯅꯔꯀꯄꯥ ꯌꯥꯏ:
- ꯑꯇꯦꯅꯕꯥ ꯃꯇꯃꯒꯤ ꯑꯣꯏꯕꯥ ꯁꯥꯏꯗ ꯏꯐꯦꯛꯇꯁꯤꯡ:
- ꯈꯣꯡꯒꯤ ꯃꯐꯝ ꯑꯗꯨꯗꯥ ꯑꯅꯥꯕꯥ ꯑꯃꯁꯨꯡ ꯁꯣꯀꯄꯥ꯫
- ꯁꯦꯂꯤꯚꯥꯔꯤ ꯒ꯭ꯜꯌꯥꯟꯗꯁꯤꯡ (swelling cheeks) ꯁꯣꯀꯄꯥ (ꯁꯣꯀꯄꯥ ꯌꯥꯕꯥ ꯆꯦꯛꯁꯤꯟ-ꯊꯧꯔꯥꯡꯁꯤꯡ)꯫
- ꯃꯤꯠ ꯁꯣꯀꯄꯥ꯫
- ꯇꯦꯁ꯭ꯠ ꯇꯧꯕꯗꯥ ꯑꯍꯣꯡꯕꯥ ꯂꯥꯀꯄꯥ꯫
- ꯃꯤꯠ ꯁꯣꯀꯄꯥ꯫
- ꯒꯦꯁ꯭ꯠꯔꯥꯏꯇꯤꯁ꯫
- ꯂꯣꯡ-ꯇꯔꯝ ꯏꯐꯦꯛꯇ (ꯑꯦꯛꯁꯄꯦꯛꯇꯦꯗ):
- ꯂꯥꯏꯌꯦꯡ ꯑꯁꯤꯒꯤ ꯄꯥꯟꯗꯃꯗꯤ ꯊꯥꯌꯔꯣꯏꯗ ꯒ꯭ꯜꯌꯥꯟꯗ ꯑꯁꯤ ꯗꯤꯑꯦꯛꯇꯤꯚ ꯑꯣꯏꯍꯅꯕꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯄꯨꯟꯁꯤ ꯆꯨꯞꯄꯥ ꯊꯥꯌꯔꯣꯏꯗ ꯍꯣꯔꯃꯣꯟ ꯄꯤꯖ (Levothyroxine) ꯃꯊꯧ ꯇꯥꯏ꯫ ꯃꯁꯤ ꯂꯥꯏꯌꯦꯡꯒꯤ ꯀꯥꯟꯅꯕꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯁꯥꯏꯗ ꯏꯐꯦꯛꯇ ꯑꯣꯏ꯫
- ꯔꯦꯗꯤꯑꯣꯑꯦꯛꯇꯤꯚ ꯑꯥꯌꯣꯗꯤꯟ (RAI) ꯊꯦꯔꯥꯄꯤ ꯑꯁꯤ ꯊꯥꯌꯔꯣꯏꯗꯀꯤ ꯂꯥꯌꯅꯥꯒꯤ ꯌꯥꯝꯅꯥ ꯏꯐꯦꯛꯇꯤꯚ ꯑꯣꯏꯕꯥ ꯑꯃꯁꯨꯡ ꯁꯥꯐꯕꯥ ꯂꯥꯏꯌꯦꯡ ꯑꯃꯅꯤ꯫
- ‘ꯔꯦꯗꯤꯑꯣꯑꯦꯛꯇꯤꯚ’ ꯍꯥꯌꯕꯥ ꯋꯥꯍꯩ ꯑꯁꯤ ꯀꯤꯒꯅꯨ꯫ ꯃꯁꯤꯅꯥ ꯇꯥꯔꯒꯦꯠ ꯇꯧꯔꯕꯥ ꯊꯥꯌꯔꯣꯏꯗ ꯁꯦꯂꯁꯤꯡ ꯈꯛꯇꯗꯥ ꯑꯀꯥꯌꯕꯥ ꯄꯤ꯫
- ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯃꯇꯨꯡ ꯅꯨꯃꯤꯠꯁꯤꯡꯗꯥ ꯑꯇꯣꯞꯄꯁꯤꯡꯕꯨ ꯉꯥꯀꯊꯣꯛꯅꯕꯥ ꯗꯣꯛꯇꯔꯒꯤ ꯏꯅꯁ꯭ꯠꯔꯛꯁꯅꯁꯤꯡ ꯆꯦꯀꯁꯤꯟꯅꯥ ꯉꯥꯛꯅꯥ ꯆꯠꯄꯥ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫
- ꯑꯌꯥꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯂꯥꯏꯌꯦꯡ ꯑꯁꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ, ꯅꯍꯥꯛꯅꯥ ꯄꯨꯟꯁꯤ ꯆꯨꯞꯄꯥ ꯊꯥꯌꯔꯣꯏꯗ ꯍꯣꯔꯃꯣꯅꯒꯤ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ ꯂꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯒꯅꯤ꯫ ꯃꯁꯤ ꯐꯖꯅꯥ ꯃꯦꯅꯦꯖ ꯇꯧꯕꯥ ꯌꯥꯏ꯫
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯍꯪꯁꯤꯡ, ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯀꯤꯕꯥ ꯑꯃꯥ ꯂꯩꯔꯕꯗꯤ, ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯕꯗꯥ ꯀꯩꯗꯧꯉꯩꯗꯥ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯂꯩꯔꯣꯏꯗꯕꯅꯤ꯫
ꯆ꯭ꯌꯨꯏꯪ ꯒꯝ ꯅꯠꯠꯔꯒꯥ ꯃꯆꯤ ꯑꯣꯏꯕꯥ ꯇꯣꯐꯤ ꯑꯃꯥ ꯁꯣꯀꯄꯥ ꯑꯁꯤꯅꯆꯤꯡꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡꯅꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤꯗꯒꯤ ꯔꯤꯂꯤꯐ ꯄꯤꯕꯥ ꯉꯝꯃꯤ꯫
ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯊꯣꯀꯄꯥ ꯔꯤꯁ꯭ꯛ ꯈꯔꯁꯨ ꯂꯩ꯫ ꯅꯨꯄꯥꯁꯤꯡꯗꯥ ꯃꯇꯝ ꯈꯔꯒꯤ ꯑꯣꯏꯅꯥ ꯁ꯭ꯄꯥꯔꯝ ꯀꯥꯎꯟꯇ ꯍꯟꯊꯔꯀꯄꯥ, ꯅꯨꯄꯤꯁꯤꯡꯗꯥ ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯊꯥꯒꯤ ꯈꯣꯡꯀꯥꯞ ꯂꯥꯀꯄꯥ, ꯑꯃꯁꯨꯡ ꯀꯦꯟꯁꯔ ꯃꯈꯜ ꯈꯔꯒꯤ (`ꯂꯤꯎꯀꯦꯃꯤꯌꯥ`, ꯁ꯭ꯇꯣꯃꯥꯛ ꯀꯦꯟꯁꯔ) ꯌꯥꯝꯅꯥ ꯅꯦꯝꯕꯥ ꯔꯤꯁ꯭ꯛ ꯂꯩꯕꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯄꯅꯈ꯭ꯔꯕꯁꯨ, ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯊꯥꯖꯗꯕꯥ ꯋꯥꯐꯝ ꯑꯃꯅꯤ ꯍꯥꯌꯕꯁꯤ ꯅꯤꯡꯁꯤꯡꯕꯤꯌꯨ .
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯗꯥ ꯑꯋꯥꯕꯥ ꯑꯃꯥ ꯃꯥꯌꯣꯛꯅꯔꯕꯗꯤ, ꯈꯨꯗꯛꯇꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯅꯀꯄꯥ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯂꯒꯤ ꯏꯃꯔꯖꯦꯟꯁꯤ ꯗꯤꯄꯥꯔꯇꯃꯦꯟꯇ (ETU)ꯗꯥ ꯆꯠꯂꯨ꯫
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