ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯗꯥ ꯀꯤꯗꯅꯤ ꯂꯩꯕ꯭ꯔꯥ? ꯅꯠꯔꯒꯥ ꯃꯍꯥꯛꯀꯤ ꯀꯤꯗꯅꯤ ꯑꯃꯈꯛꯇꯃꯛ ꯂꯩꯕꯔꯥ? (ꯔꯦꯅꯥꯜ ꯑꯦꯖꯦꯅꯦꯁꯤꯁ)ꯒꯤ ꯃꯔꯃꯗꯥ ꯈꯉꯂꯁꯤ!

ꯑꯉꯥꯡ ꯈꯔꯗꯤ ꯀꯤꯗꯅꯤ ꯑꯃꯈꯛꯇꯃꯛ ꯄꯣꯀꯄꯥ, ꯅꯠꯠꯔꯒꯥ ꯀꯤꯗꯅꯤ ꯑꯅꯤꯃꯛ ꯌꯥꯎꯗꯅꯥ ꯐꯥꯎꯕꯥ ꯄꯣꯀꯏ ꯍꯥꯌꯕꯁꯤ ꯅꯍꯥꯛꯅꯥ ꯇꯥꯕꯤꯔꯝꯂꯒꯗ꯭ꯔꯥ? ꯃꯁꯤ ꯈꯔꯥ ꯁꯣꯀꯆꯤꯜꯂꯀꯄꯥ ꯌꯥꯏ, ꯑꯗꯨꯕꯨ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤꯗꯤ ꯈꯪꯖꯤꯅꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫ ꯉꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ (ꯔꯦꯅꯥꯜ ꯑꯦꯖꯦꯅꯦꯁꯤꯁ) ꯀꯧꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯔꯤ꯫ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯂꯩꯔꯣꯏꯗꯕꯅꯤ, ꯄꯨꯝꯅꯃꯛ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯐꯣꯡꯗꯣꯀꯆꯁꯤ꯫

(ꯔꯦꯅꯥꯜ ꯑꯦꯖꯦꯅꯦꯁꯤꯁ) ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ? ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯂꯧꯁꯤꯅꯁꯤ, ꯑꯩꯈꯣꯌꯅꯥ ꯈꯉꯒꯗ꯭ꯔꯥ?

ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, (ꯔꯦꯅꯥꯜ ꯑꯦꯖꯦꯅꯦꯁꯤꯁ) ꯍꯥꯌꯕꯁꯤ ꯑꯉꯥꯡ ꯑꯃꯕꯨ ꯀꯤꯗꯅꯤ ꯑꯃꯈꯛꯇꯃꯛ ꯂꯩꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯀꯤꯗꯅꯤ ꯑꯅꯤꯃꯛ ꯌꯥꯎꯗꯅꯥ ꯄꯣꯀꯄꯥ ꯃꯇꯃꯅꯤ꯫ ꯑꯩꯈꯣꯌ ꯄꯨꯝꯅꯃꯛꯀꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯅꯥ ꯀꯤꯗꯅꯤ ꯑꯅꯤ ꯂꯩ꯫ ꯌꯥꯃꯗ꯭ꯔꯕꯗꯥ ꯀꯤꯗꯅꯤ ꯑꯃꯅꯥ ꯍꯤꯡꯅꯕꯒꯤꯗꯃꯛ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯊꯕꯛ ꯇꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯏ꯫ ꯃꯁꯤ (Congenital) ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ, ꯃꯁꯤꯅꯥ ꯇꯥꯀꯄꯗꯤ ꯃꯁꯤ ꯄꯣꯀꯄꯗꯒꯤ ꯍꯧꯅꯥ ꯂꯩꯕꯥ ꯄꯣꯠꯁꯛ ꯑꯃꯅꯤ꯫

ꯍꯧꯖꯤꯛ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯋꯥꯍꯩ ꯑꯅꯤ ꯑꯁꯤꯒꯤ ꯑꯔꯊ ꯇꯣꯉꯥꯟꯅꯥ ꯌꯦꯡꯂꯕꯗꯤ ꯅꯍꯥꯛꯀꯤꯗꯃꯛꯇꯥ ꯍꯦꯟꯅꯥ ꯃꯌꯦꯛ ꯁꯦꯡꯂꯒꯅꯤ:

• ꯔꯦꯅꯥꯜ : ꯃꯁꯤ " ꯀꯤꯗꯅꯤ " ꯒꯤ ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯃꯃꯤꯡꯅꯤ꯫
• ꯑꯦꯖꯦꯅꯦꯁꯤꯁ (Agenesis): ꯃꯁꯤꯅꯥ ꯑꯉꯥꯡ ꯑꯃꯅꯥ ꯃꯃꯥꯒꯤ ꯈꯣꯡꯗꯥ ꯂꯩꯔꯤꯉꯩꯗꯥ, ꯍꯥꯌꯕꯗꯤ ꯏꯎꯇꯦꯔꯥꯁꯇꯥ ꯂꯩꯕꯥ ꯃꯇꯃꯗꯥ ꯑꯀꯛꯅꯕꯥ ꯑꯣꯔꯒꯥꯟ ꯑꯃꯅꯥ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯆꯥꯎꯈꯠꯄꯥ ꯉꯃꯗꯕꯕꯨ ꯈꯪꯅꯩ꯫

ꯑꯗꯨꯅꯥ ꯑꯩꯈꯣꯌꯅꯥ (ꯔꯦꯅꯥꯜ ꯑꯦꯖꯦꯅꯦꯁꯤꯁ) ꯍꯥꯌꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯑꯉꯥꯡ ꯑꯗꯨꯒꯤ ꯀꯤꯗꯅꯤꯁꯤꯡ ꯑꯗꯨ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯁꯦꯃꯒꯠꯄꯥ ꯉꯃꯗ꯭ꯔꯤ ꯍꯥꯌꯕꯅꯤ꯫

(ꯔꯦꯅꯥꯜ ꯑꯦꯖꯦꯅꯦꯁꯤꯁ)ꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯈꯂꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯤꯅꯣ?

ꯃꯁꯤꯒꯤ ꯐꯤꯚꯝ ꯑꯁꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯑꯣꯡ ꯑꯅꯤꯗꯥ ꯎꯕꯥ ꯐꯪꯏ:

꯱.ꯌꯨꯅꯤꯂꯦꯇꯦꯔꯦꯜ ꯔꯦꯅꯥꯜ ꯑꯦꯖꯦꯅꯦꯁꯤꯁ꯫

ꯃꯁꯤꯗꯥ ꯀꯔꯤ ꯊꯣꯛꯂꯤꯕꯅꯣ, ꯃꯃꯤꯡ ꯑꯁꯤꯅꯥ ꯇꯥꯀꯄꯒꯨꯝꯅꯥ, ꯑꯉꯥꯡ ꯑꯗꯨꯒꯤ ꯃꯥꯌꯀꯩ ꯑꯃꯗꯥ ꯀꯤꯗꯅꯤ ꯑꯃꯥ ꯂꯩꯇꯕꯅꯤ꯫ ꯍꯥꯌꯕꯗꯤ ꯑꯇꯣꯞꯄꯥ ꯀꯤꯗꯅꯤ ꯑꯗꯨ ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏ ꯍꯥꯌꯕꯅꯤ꯫ ꯅꯨꯡꯉꯥꯏꯕꯥ ꯋꯥꯐꯃꯗꯤ, ꯀꯤꯗꯅꯤ ꯑꯃꯈꯛꯇꯅꯥ ꯅꯣꯔꯃꯦꯜ, ꯃꯄꯨꯡ ꯐꯥꯕꯥ ꯄꯨꯟꯁꯤ ꯑꯃꯥ ꯍꯤꯡꯕꯥ ꯉꯝꯃꯤ꯫ ꯀꯦꯁ ꯀꯌꯥꯗꯥ, ꯂꯦꯃꯍꯧꯔꯤꯕꯥ ꯀꯤꯗꯅꯤ ꯑꯃꯅꯥ ꯃꯥꯡꯈꯤꯕꯥ ꯀꯤꯗꯅꯤꯒꯤ ꯊꯕꯛ ꯑꯗꯨ ꯂꯧꯕꯥ ꯍꯧꯔꯀꯄꯥ ꯌꯥꯏ, ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯃꯗꯨ ꯈꯔꯥ ꯍꯦꯟꯅꯥ ꯆꯥꯎꯈꯠꯄꯥ ꯌꯥꯏ꯫ ꯃꯁꯤ ꯑꯉꯥꯡ ꯑꯃꯅꯥ ꯀ꯭ꯂꯥꯁꯇꯥ ꯍꯣꯝ ꯋꯥꯔꯛ ꯑꯦꯁꯥꯏꯅꯃꯦꯟꯇ ꯑꯅꯤ ꯇꯧꯕꯒꯥ ꯃꯥꯟꯅꯩ꯫

ꯀꯤꯗꯅꯤ ꯑꯅꯤꯃꯛ ꯃꯥꯡꯈꯤꯕꯥ (Bilateral Renal Agenesis) 2.

ꯃꯁꯤ ꯈꯔꯥ ꯍꯦꯟꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫ ꯃꯐꯃꯁꯤꯗꯥ, ꯑꯉꯥꯡ ꯑꯗꯨꯒꯤ ꯀꯤꯗꯅꯤ ꯑꯅꯤꯃꯛ ꯂꯩꯇꯦ꯫ ꯃꯁꯤꯗꯁꯨ ꯅꯠꯇꯅꯥ, ꯀꯤꯗꯅꯤꯗꯒꯤ ꯕ꯭ꯂꯦꯗꯔꯗꯥ ꯌꯨꯔꯤꯟ ꯄꯨꯗꯨꯅꯥ ꯆꯠꯂꯤꯕꯥ ꯑꯄꯤꯀꯄꯥ ꯇꯤꯎꯕꯁꯤꯡ ꯌꯨꯔꯦꯇꯔ ꯑꯁꯤꯁꯨ ꯁꯦꯃꯈꯤꯗ꯭ꯔꯤ꯫ ꯃꯁꯤꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯑꯉꯥꯡ ꯑꯗꯨꯒꯤ ꯂꯪꯁ ꯑꯁꯤ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯆꯥꯎꯈꯠꯄꯥ ꯉꯃꯗꯦ, ꯃꯁꯤꯅꯥ ꯇꯥꯀꯄꯗꯤ ꯃꯈꯣꯌ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯄꯤꯀꯄꯥ ꯄꯂꯃꯣꯅꯥꯔꯤ ꯍꯥꯏꯄꯣꯞꯂꯥꯁꯤꯌꯥꯅꯤ꯫ ꯃꯁꯤꯒꯤ ꯀꯤꯗꯅꯤ ꯋꯥꯠꯄꯥ ꯑꯃꯁꯨꯡ ꯂꯪꯁ ꯐꯦꯜ ꯑꯣꯏꯕꯒꯤ ꯃꯑꯣꯡ ꯑꯁꯤ ꯄꯣꯇꯔ ꯁꯤꯟꯗꯣꯝ ꯍꯥꯌꯅꯥꯁꯨ ꯀꯧꯏ꯫ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯋꯥꯐꯝ ꯑꯃꯅꯥ, ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯃꯍꯧꯁꯥꯅꯥ ꯁꯤꯍꯅꯕꯥ ꯌꯥꯏ꯫

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ꯑꯩꯈꯣꯌꯒꯤ ꯀꯤꯗꯅꯤꯁꯤꯡꯗꯥ ꯀꯔꯤ ꯊꯣꯀꯏ?

ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯂꯩꯔꯤꯕꯥ ꯀꯤꯗꯅꯤ ꯑꯅꯤ ꯑꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯌꯨꯔꯤꯅꯔꯤ ꯁꯤꯁ꯭ꯇꯦꯃꯒꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯁꯔꯨꯛ ꯑꯃꯅꯤ꯫ ꯃꯈꯣꯌꯁꯤꯡ ꯑꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯌꯨꯃꯗꯥ ꯑꯃꯣꯠꯄꯥ ꯊꯥꯗꯣꯀꯄꯒꯤ ꯁꯤꯁ꯭ꯇꯦꯝ ꯑꯣꯏꯅꯥ ꯈꯅꯕꯤꯌꯨ꯫ ꯀꯤꯗꯅꯤꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯊꯕꯛ ꯑꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯏꯗꯒꯤ ꯑꯄꯥꯝꯕꯥ ꯑꯃꯣꯠꯄꯥ ꯄꯣꯠꯂꯃꯁꯤꯡ ꯐꯤꯜꯇꯔ ꯇꯧꯕꯥ ꯑꯃꯁꯨꯡ ꯂꯧꯊꯣꯀꯄꯅꯤ꯫ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯑꯃꯣꯠꯄꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ ꯑꯁꯤ ꯍꯀꯆꯥꯡꯗꯒꯤ ꯌꯨꯔꯤꯟ ꯑꯣꯏꯅꯥ ꯂꯧꯊꯣꯀꯏ꯫

ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ (ꯔꯦꯅꯥꯜ ꯑꯦꯖꯦꯅꯦꯁꯤꯁ) ꯑꯁꯤ ꯀꯌꯥꯝ ꯀꯃꯟ ꯑꯣꯏꯕꯒꯦ?

ꯁ꯭ꯇꯦꯇꯤꯁ꯭ꯇꯤꯀꯦꯂꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ, ꯄꯣꯀꯄꯥ ꯑꯉꯥꯡ 2,000 ꯈꯨꯗꯤꯡꯒꯤ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯑꯃꯗꯥ ꯌꯨꯅꯤꯂꯦꯇꯔꯦꯜ ꯔꯦꯅꯥꯜ ꯑꯦꯖꯦꯅꯦꯁꯤꯁ ꯀꯧꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯥ ꯂꯩꯕꯥ ꯌꯥꯏ, ꯃꯗꯨꯗꯥ ꯀꯤꯗꯅꯤ ꯑꯃꯥ ꯌꯥꯎꯗꯕꯥ ꯌꯥꯏ꯫ ꯀꯤꯗꯅꯤ ꯑꯅꯤꯃꯛ ꯌꯥꯎꯗꯕꯥ ꯕꯥꯏꯂꯦꯇꯔꯦꯜ ꯔꯦꯅꯥꯜ ꯑꯦꯖꯦꯅꯦꯁꯤꯁꯒꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯍꯦꯟꯅꯥ ꯅꯦꯝꯃꯤ꯫ ꯃꯁꯤ ꯅꯧꯅꯥ ꯄꯣꯀꯄꯥ ꯑꯉꯥꯡ 8,500ꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯑꯃꯗꯥ ꯊꯣꯀꯏ꯫ ꯑꯀꯛꯅꯕꯥ ꯃꯔꯝ ꯈꯪꯗꯕꯁꯨ, ꯀꯤꯗꯅꯤ ꯑꯅꯤꯃꯛ ꯃꯥꯡꯈꯤꯕꯒꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯅꯨꯄꯥ ꯑꯉꯥꯡꯁꯤꯡꯗꯥ ꯍꯦꯟꯅꯥ ꯀꯃꯟ ꯑꯣꯏ꯫

(ꯔꯦꯅꯥꯜ ꯑꯦꯖꯦꯅꯦꯁꯤꯁ)ꯒꯤ ꯃꯔꯃꯁꯤꯡ ꯀꯔꯤꯅꯣ?

ꯑꯌꯥꯝꯕꯥ ꯃꯇꯃꯗꯥ (ꯔꯦꯅꯥꯜ ꯑꯦꯖꯦꯅꯦꯁꯤꯁ)ꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯔꯃꯗꯤ (ꯖꯤꯟ ꯃ꯭ꯌꯨꯇꯦꯁꯟ) . ꯖꯤꯅꯁꯤꯡꯗꯥ ꯑꯍꯣꯡꯕꯥ ꯅꯠꯔꯒꯥ ꯃ꯭ꯌꯨꯇꯦꯁꯟ ꯊꯣꯀꯄꯅꯤ꯫ ꯔꯤꯁꯔꯆꯔꯁꯤꯡꯅꯥ ꯍꯧꯖꯤꯛ ꯐꯥꯑꯣꯕꯗꯥ ꯃꯁꯤꯒꯥ ꯃꯔꯤ ꯂꯩꯅꯕꯥ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯖꯤꯟ ꯃ꯭ꯌꯨꯇꯦꯁꯟ ꯷ ꯈꯉꯗꯣꯀꯈ꯭ꯔꯦ꯫ ꯖꯤꯟ ꯃ꯭ꯌꯨꯇꯦꯁꯟ ꯑꯁꯤꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ, ꯃꯤꯔꯣꯜꯂꯤꯉꯩꯒꯤ ꯑꯍꯥꯅꯕꯥ ꯊꯥ ꯑꯍꯨꯃꯒꯤ ꯃꯅꯨꯡꯗꯥ (First trimester)ꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯉꯥꯡꯒꯤ ꯈꯣꯡꯗꯥ ꯂꯩꯕꯥ ꯀꯤꯗꯅꯤꯁꯤꯡ ꯁꯦꯃꯒꯠꯄꯗꯥ ꯑꯀꯥꯌꯕꯥ ꯄꯤ꯫

ꯑꯇꯣꯞꯄꯥ ꯑꯄꯤꯀꯄꯥ ꯃꯔꯃꯁꯤꯡꯗꯤ:

• ꯃꯃꯥ ꯑꯗꯨꯅꯥ ꯃꯤꯔꯣꯜꯂꯤꯉꯩ ꯃꯇꯃꯗꯥ ꯗꯥꯏꯑꯦꯕꯦꯇꯤꯖ (ꯖꯦꯁ꯭ꯇꯦꯁꯅꯦꯜ ꯗꯥꯏꯑꯦꯕꯦꯇꯤꯖ) ꯂꯥꯀꯏ꯫
• ꯃꯁꯤꯡ ꯌꯥꯝꯂꯕꯥ ꯃꯤꯔꯣꯅꯕꯥ (ꯇ꯭ꯕꯤꯅꯁꯤꯡ, ꯇ꯭ꯔꯤꯄꯂꯦꯠꯁꯤꯡꯒꯨꯝꯕꯥ)꯫
• ꯃꯤꯔꯣꯜꯂꯤꯉꯩ ꯃꯇꯃꯗꯥ ꯑꯀꯛꯅꯕꯥ ꯃꯥꯡ-ꯇꯥꯛꯅꯤꯡꯉꯥꯏ ꯑꯣꯏꯕꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ ꯁꯤꯖꯤꯟꯅꯕꯥ꯫

(ꯔꯦꯅꯥꯜ ꯑꯦꯖꯦꯅꯦꯁꯤꯁ)ꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯤꯅꯣ?

ꯀꯤꯗꯅꯤ ꯑꯅꯤꯃꯛ ꯁꯣꯟꯊꯕꯥ ꯑꯃꯁꯨꯡ ꯂꯪꯁ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯆꯥꯎꯈꯠꯄꯥ ꯉꯃꯗꯕꯥ ꯄꯣꯇꯔ ꯁꯤꯟꯗ꯭ꯔꯣꯝ ꯂꯩꯕꯥ ꯑꯉꯥꯡ ꯑꯃꯅꯥ ꯄꯣꯀꯄꯥ ꯃꯇꯨꯡꯗꯥ ꯈꯨꯗꯛꯇꯥ ꯄꯨꯟꯁꯤꯗꯥ ꯈꯨꯗꯣꯡꯊꯤꯅꯤꯉꯥꯏ ꯑꯣꯏꯕꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯒꯤ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯃꯁꯤꯡ ꯊꯣꯀꯏ꯫

ꯀꯤꯗꯅꯤ ꯑꯃꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯄꯣꯀꯄꯥ ꯑꯉꯥꯡ ꯑꯃꯅꯥ ꯂꯥꯏꯑꯣꯡ ꯑꯃꯠꯇꯥ ꯎꯕꯥ ꯐꯪꯗꯕꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯕꯨ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯗꯨ ꯂꯥꯛꯂꯕꯗꯤ, ꯃꯈꯣꯌꯗꯨꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯁꯤꯡꯁꯤ ꯌꯥꯎꯕꯥ ꯌꯥꯏ:

• ꯑꯉꯥꯡꯁꯤꯡꯗꯥ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ ꯋꯥꯡꯈꯠꯄꯥ꯫
• ꯌꯨꯔꯤꯅꯗꯥ ꯄ꯭ꯔꯣꯇꯤꯅꯒꯤ ꯆꯥꯡ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ (Proteinuria)꯫
• ꯚꯦꯁꯤꯀꯣꯎꯔꯦꯇꯔꯜ ꯔꯤꯐ꯭ꯂꯛꯁ ꯇꯧꯕꯥ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯀꯤꯗꯅꯤ ꯑꯃꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯄꯣꯀꯄꯥ ꯑꯉꯥꯡꯁꯤꯡꯗꯥ ꯑꯇꯩ ꯀꯟꯗꯤꯁꯅꯁꯤꯡꯁꯨ ꯊꯦꯡꯅꯔꯀꯄꯥ ꯌꯥꯏ, ꯃꯈꯣꯌ ꯑꯗꯨꯗꯤ:

• ꯀ꯭ꯂꯕꯐꯨꯠ ꯇꯧꯕꯥ꯫
• ꯀꯣꯟꯖꯤꯅꯤꯑꯦꯜ ꯍꯥꯔꯇꯀꯤ ꯂꯥꯌꯅꯥꯁꯤꯡ , ꯍꯥꯌꯕꯗꯤ ꯍꯥꯔꯇꯀꯤ ꯑꯦꯠꯔꯤꯌꯥ ꯅꯠꯠꯔꯒꯥ ꯚꯦꯟꯇꯤꯂꯦꯁꯅꯒꯤ ꯃꯔꯛꯇꯥ ꯂꯩꯕꯥ ꯍꯣꯂꯁꯤꯡ (ASD ꯅꯠꯠꯔꯒꯥ VSD) ꯑꯁꯤꯅꯆꯤꯡꯕꯥ꯫
• ꯀꯣꯟꯖꯤꯅꯤꯑꯦꯜ ꯏꯎꯔꯣꯂꯣꯖꯤꯀꯦꯜ ꯑꯦꯅꯣꯃꯦꯂꯤꯖꯃꯁꯤꯡ꯫
• ꯏꯝꯄꯔꯐꯣꯔꯦꯠ ꯑꯦꯅꯁ ꯅꯠꯠꯔꯒꯥ ꯑꯦꯅꯥꯜ ꯑꯦꯠꯔꯦꯁꯤꯌꯥ꯫

ꯃꯤꯔꯣꯜꯂꯤꯉꯩ ꯃꯇꯃꯗꯥ (ꯔꯦꯅꯥꯜ ꯑꯦꯖꯦꯅꯦꯁꯤꯁ) ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯈꯪꯗꯣꯀꯄꯥ ꯌꯥꯕꯒꯦ?

ꯑꯌꯥꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯃꯃꯥ ꯑꯗꯨꯅꯥ ꯃꯤꯔꯣꯜꯂꯤꯉꯩ ꯃꯇꯃꯗꯥ ꯄ꯭ꯔꯤꯅꯦꯇꯦꯜ ꯑꯂꯠꯔꯥꯁꯥꯎꯟꯗ ꯁ꯭ꯀꯦꯟ ꯑꯃꯥ ꯄꯥꯡꯊꯣꯀꯏ꯫ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯈꯪꯗꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯒꯤ ꯁ꯭ꯀꯦꯟ ꯑꯁꯤꯅꯥ ꯀꯤꯗꯅꯤꯁꯤꯡ ꯑꯁꯤ ꯃꯥꯡꯈꯤꯕꯥ ꯎꯕꯥ ꯐꯪꯏ꯫ ꯃꯁꯤꯗꯁꯨ ꯅꯠꯇꯅꯥ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯉꯥꯡ ꯑꯗꯨꯒꯤ ꯃꯀꯣꯛ ꯑꯗꯨꯒꯤ ꯑꯀꯣꯌꯕꯗꯥ ꯂꯩꯕꯥ ꯑꯦꯝꯅꯤꯑꯣꯇꯤꯛ ꯐ꯭ꯂꯨꯏꯗ ꯑꯗꯨ ꯅꯦꯝꯅꯥ ꯂꯩꯔꯕꯗꯤ (Oligohydramnios) ꯃꯁꯤ ꯔꯦꯅꯥꯜ ꯑꯦꯖꯦꯅꯦꯁꯤꯁ ꯀꯧꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯒꯤ ꯈꯨꯗꯝ ꯑꯃꯁꯨ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯒꯤ ꯃꯔꯃꯗꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯒꯤ ꯀꯤꯗꯅꯤꯁꯤꯡꯅꯥ ꯌꯨꯔꯤꯟ ꯄꯨꯊꯣꯀꯄꯥ ꯉꯃꯗꯕꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯐ꯭ꯂꯨꯏꯗ ꯑꯁꯤ ꯍꯟꯊꯔꯀꯏ꯫ ꯐ꯭ꯂꯨꯏꯗ ꯑꯁꯤ ꯃꯔꯥꯡ ꯀꯥꯌꯅꯥ ꯂꯩꯇꯕꯥ ꯃꯇꯃꯗꯥ, ꯑꯉꯥꯡ ꯑꯗꯨꯒꯤ ꯂꯪꯁ ꯑꯗꯨ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯆꯥꯎꯈꯠꯄꯥ ꯉꯃꯗꯦ꯫

ꯑꯉꯥꯡ ꯑꯗꯨ ꯄꯣꯀꯄꯥ ꯃꯇꯨꯡꯗꯥ (ꯔꯦꯅꯥꯜ ꯑꯦꯖꯦꯅꯦꯁꯤꯁ) ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯈꯪꯗꯣꯛꯀꯅꯤ?

ꯑꯉꯥꯡ ꯑꯃꯥ ꯄꯣꯀꯄꯥ ꯃꯇꯨꯡꯗꯥ ꯈꯨꯗꯛꯇꯥ ꯏꯃꯦꯖꯤꯡ ꯁ꯭ꯀꯦꯅꯁꯤꯡ ꯇꯧꯗꯨꯅꯥ ꯗꯥꯏꯑꯦꯒ꯭ꯅꯣꯁꯤꯁ ꯑꯗꯨ ꯀꯅꯐꯥꯔꯝ ꯇꯧꯕꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯑꯉꯥꯡ ꯑꯗꯨ ꯈꯔꯥ ꯍꯦꯟꯅꯥ ꯂꯨꯝꯂꯕꯥ ꯐꯥꯎꯕꯗꯥ ꯈꯪꯗꯣꯀꯄꯥ ꯉꯃꯗꯕꯥ ꯌꯥꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯑꯉꯥꯡ ꯑꯗꯨꯅꯥ ꯑꯇꯩ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯂꯩꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯑꯃꯁꯨꯡ ꯁ꯭ꯀꯦꯟ ꯇꯧꯕꯥ ꯃꯇꯃꯗꯥ, ꯅꯠꯠꯔꯒꯥ ꯑꯇꯣꯞꯄꯥ ꯃꯔꯝ ꯑꯃꯒꯤꯗꯃꯛ ꯑꯂꯠꯔꯥꯁꯥꯎꯟꯗ ꯁ꯭ꯀꯦꯟ ꯇꯧꯕꯥ ꯃꯇꯃꯗꯥ, ꯍꯥꯌꯕꯗꯤ ꯌꯨꯔꯤꯅꯔꯤ ꯇ꯭ꯔꯦꯛꯇ ꯏꯅꯐꯦꯛꯁꯟ (UTI) ꯑꯁꯤꯅꯆꯤꯡꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯏꯅꯁꯤꯗꯦꯟꯇ ꯑꯣꯏꯅꯥ ꯈꯪꯗꯣꯀꯄꯥ ꯌꯥꯏ꯫

(ꯔꯦꯅꯥꯜ ꯑꯦꯖꯦꯅꯦꯁꯤꯁ) ꯈꯉꯗꯣꯛꯅꯕꯥ ꯁꯤꯖꯤꯟꯅꯔꯤꯕꯥ ꯁ꯭ꯀꯦꯅꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯈꯂꯁꯤꯡꯗꯤ:

• ꯑꯦꯕꯗꯣꯃꯤꯅꯦꯜ ꯑꯂꯠꯔꯥꯁꯥꯎꯟꯗ ꯅꯠꯠꯔꯒꯥ ꯀꯤꯗꯅꯤ ꯑꯂꯠꯔꯥꯁꯥꯎꯟꯗ꯫
• ꯁꯤ.ꯇꯤ.ꯁ꯭ꯀꯦꯟ ꯇꯧꯕꯥ꯫
• ꯑꯦꯝ.ꯑꯥꯔ.ꯑꯥꯏ.ꯒꯤ ꯁ꯭ꯀꯦꯟ (ꯑꯦꯝ.ꯑꯥꯔ.ꯑꯥꯏ.).

ꯕꯥꯏꯂꯦꯇꯔꯦꯜ ꯔꯦꯅꯥꯜ ꯑꯦꯖꯦꯅꯦꯁꯤꯁ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯂꯥꯌꯦꯡꯕꯒꯦ?

ꯍꯟꯗꯛ ꯐꯥꯑꯣꯕꯗꯥ, ꯀꯤꯗꯅꯤ ꯑꯃꯁꯨꯡ ꯗꯤꯚꯦꯂꯞ ꯇꯧꯗꯕꯥ ꯂꯪꯁ ꯑꯅꯤꯃꯛ ꯂꯩꯇꯕꯥ ꯑꯉꯥꯡ ꯑꯃꯅꯥ ꯃꯤꯔꯣꯜꯂꯤꯉꯩꯒꯤ ꯃꯄꯥꯟꯗꯥ ꯄꯨꯡ ꯈꯔꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯍꯤꯡꯅꯕꯒꯤ ꯑꯥꯁꯥ ꯂꯩꯈꯤꯗꯦ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ ꯑꯅꯧꯕꯥ ꯑꯦꯛꯁꯄꯤꯔꯤꯃꯦꯟꯇ ꯇ꯭ꯔꯤꯠꯃꯦꯟꯇꯁꯤꯡꯅꯥ ꯍꯧꯖꯤꯛ ꯑꯥꯁꯥ ꯈꯔꯥ ꯄꯤꯔꯤ꯫ ꯃꯁꯤꯗꯥ ꯃꯤꯔꯣꯜꯂꯤꯉꯩ ꯃꯇꯃꯗꯥ ꯏꯎꯇꯦꯔꯥꯁꯇꯥ ꯁꯦꯂꯟ ꯁꯣꯜꯌꯨꯁꯟ ꯑꯃꯥ ꯏꯅꯖꯦꯀꯁꯟ ꯇꯧꯗꯨꯅꯥ ꯑꯦꯝꯅꯤꯑꯣꯇꯤꯛ ꯐ꯭ꯂꯨꯏꯗꯀꯤ ꯆꯥꯡ ꯑꯗꯨ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯁꯦꯃꯒꯠꯄꯅꯤ꯫ ꯃꯁꯤꯒꯤ ꯐ꯭ꯂꯨꯏꯗ ꯑꯁꯤꯅꯥ ꯑꯉꯥꯡ ꯑꯗꯨꯒꯤ ꯂꯪꯁ ꯑꯗꯨ ꯗꯤꯚꯦꯂꯞ ꯇꯧꯕꯥ ꯉꯃꯍꯜꯂꯤ꯫ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯑꯉꯥꯡ ꯑꯗꯨ ꯄꯣꯀꯄꯥ ꯃꯇꯨꯡꯗꯥ ꯀꯤꯗꯅꯤ ꯇ꯭ꯔꯥꯟꯁꯞꯂꯥꯟꯇ ꯇꯧꯕꯥ ꯉꯃꯗ꯭ꯔꯤꯐꯥꯎꯕꯥ ꯑꯉꯥꯡ ꯑꯗꯨꯕꯨ ꯗꯥꯏꯑꯦꯂꯥꯏꯁꯤꯁ (dialysis)ꯗꯥ ꯊꯝꯃꯤ꯫ ꯑꯗꯨꯕꯨ ꯅꯤꯡꯁꯤꯡꯕꯤꯌꯨ, ꯃꯁꯤꯒꯤ ꯂꯥꯌꯦꯡ ꯑꯁꯤ ꯍꯧꯖꯤꯀꯁꯨ ꯑꯦꯛꯁꯄꯤꯔꯤꯃꯦꯟꯇꯀꯤ ꯇꯥꯉ꯭ꯀꯛꯇꯥ ꯂꯩꯔꯤ ꯑꯃꯁꯨꯡ ꯃꯐꯝ ꯈꯨꯗꯤꯡꯃꯛꯇꯥ ꯐꯪꯗ꯭ꯔꯤ꯫

ꯌꯨꯅꯤꯂꯦꯇꯔꯦꯜ ꯔꯦꯅꯥꯜ ꯑꯦꯖꯦꯅꯦꯁꯤꯁ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯂꯥꯌꯦꯡꯕꯒꯦ?

ꯀꯤꯗꯅꯤ ꯑꯃꯥ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯃꯈꯣꯌꯒꯤ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ ꯍꯟꯊꯍꯟꯅꯕꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ ꯂꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯏ . ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛ ꯅꯠꯠꯔꯒꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯗꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯂꯩꯔꯕꯗꯤ, ꯀꯤꯗꯅꯤ ꯁ꯭ꯄꯦꯁꯤꯑꯦꯂꯤꯁ꯭ꯠ (ꯅꯦꯐ꯭ꯔꯣꯂꯣꯖꯤꯁ꯭ꯠ) ꯑꯃꯒꯥ ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯌꯦꯡꯁꯤꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯆꯍꯤ ꯑꯃꯗꯥ ꯌꯥꯃꯗ꯭ꯔꯕꯗꯥ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯐꯤꯖꯤꯀꯦꯜ ꯑꯦꯀꯖꯥꯃꯤꯅꯦꯁꯟ, ꯌꯨꯔꯤꯅꯂꯥꯏꯁꯤꯁ ꯑꯃꯁꯨꯡ ꯁ꯭ꯀꯦꯟ ꯇꯧꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫ ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯅꯥ ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯑꯁꯤꯁꯨ ꯇꯧꯕꯥ ꯌꯥꯏ:

• ꯀꯤꯗꯅꯤꯒꯤ ꯐꯉ꯭ꯀꯁꯟ ꯇꯦꯁ꯭ꯠ ꯇꯧꯕꯥ꯫
• ꯌꯨꯔꯤꯟ ꯄ꯭ꯔꯣꯇꯤꯟ ꯇꯦꯁ꯭ꯠ ꯇꯧꯕꯥ꯫

ꯅꯍꯥꯛꯀꯤ ꯑꯃꯠꯇꯥ ꯉꯥꯏꯔꯕꯥ ꯀꯤꯗꯅꯤ ꯑꯗꯨ ꯉꯥꯀꯊꯣꯛꯅꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯀꯔꯤ ꯇꯧꯕꯥ ꯌꯥꯕꯒꯦ?

ꯀꯤꯗꯅꯤ ꯑꯃꯥ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏ ꯀꯌꯥꯗꯥ ꯀꯤꯗꯅꯤ-ꯐ꯭ꯔꯦꯟꯗꯂꯤ (DASH) ꯗꯥꯏꯠ ꯑꯃꯥ ꯆꯠꯅꯕꯥ ꯄꯥꯎꯇꯥꯛ ꯄꯤꯔꯤ . ꯃꯁꯤꯒꯤ ꯗꯥꯏꯠ ꯑꯁꯤꯅꯥ ꯂꯣꯟ ꯑꯃꯁꯨꯡ ꯆꯤꯅꯤ ꯍꯟꯊꯍꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯐꯤꯕꯔ ꯑꯃꯁꯨꯡ ꯄꯣꯇꯥꯁꯤꯌꯝ ꯌꯥꯝꯅꯥ ꯌꯥꯎꯕꯥ ꯆꯤꯟꯖꯥꯀꯁꯤꯡ ꯆꯥꯕꯥ ꯌꯥꯎꯏ꯫

ꯔꯦꯅꯥꯜ ꯑꯦꯖꯦꯅꯦꯁꯤꯁꯅꯥ ꯅꯥꯕꯥ ꯑꯉꯥꯡꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯑꯍꯂꯁꯤꯡꯅꯥ ꯃꯈꯣꯌꯒꯤ ꯀꯤꯗꯅꯤꯒꯤ ꯍꯀꯁꯦꯜ ꯉꯥꯀꯊꯣꯛꯅꯕꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯑꯁꯤ ꯇꯧꯕꯥ ꯌꯥꯏ:

• ꯅꯟ-ꯁ꯭ꯇꯦꯔꯣꯏꯗ ꯑꯦꯟꯇꯤ-ꯏꯅꯐ꯭ꯂꯦꯃꯦꯇꯔꯤ ꯗ꯭ꯔꯒꯁꯤꯡ (NSAIDs) ꯑꯃꯁꯨꯡ ꯄꯦꯟ ꯀꯤꯂꯥꯔ ꯈꯔꯗꯤ ꯁꯤꯖꯤꯟꯅꯔꯣꯏꯗꯕꯅꯤ꯫ ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯀꯤꯗꯅꯤꯁꯤꯡꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯃꯗꯨꯒꯤ ꯃꯍꯨꯠꯇꯥ ꯑꯦꯁꯤꯇꯥꯃꯤꯅꯣꯐꯦꯅꯒꯨꯝꯕꯥ ꯄꯣꯠꯁꯛ ꯑꯃꯥ ꯁꯤꯖꯤꯟꯅꯧ꯫
• ꯍꯀꯁꯦꯜ ꯐꯕꯥ ꯑꯔꯨꯝꯕꯥ ꯑꯃꯥ ꯊꯝꯃꯨ ꯑꯃꯁꯨꯡ ꯑꯦꯛꯇꯤꯕ ꯑꯣꯏꯅꯥ ꯂꯩꯌꯨ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯐꯨꯇꯕꯣꯜ, ꯔꯒꯕꯤ, ꯑꯃꯁꯨꯡ ꯃꯥꯔꯁꯜ ꯑꯥꯔꯇꯅꯆꯤꯡꯕꯥ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯁꯥꯟꯅꯄꯣꯠꯁꯤꯡꯗꯒꯤ ꯂꯥꯞꯅꯥ ꯂꯩꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯩ, ꯃꯔꯃꯗꯤ ꯃꯈꯣꯌ ꯑꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯂꯦꯃꯍꯧꯔꯤꯕꯥ ꯀꯤꯗꯅꯤꯗꯥ ꯈꯨꯗꯣꯡꯊꯤꯅꯤꯉꯥꯏ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫
• ꯅꯍꯥꯛꯀꯤ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ ꯑꯗꯨ ꯌꯨꯃꯗꯥ ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯆꯦꯛ ꯇꯧ꯫