ꯃꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯀꯤꯗꯅꯤꯗꯁꯨ ꯈꯨꯗꯣꯡꯊꯤꯕꯥ ꯑꯃꯥ ꯑꯣꯏꯕꯔꯥ? (ꯔꯦꯅꯥꯜ ꯄꯦꯄꯤꯂꯦꯔꯤ ꯅꯦꯛꯔꯣꯁꯤꯁ) ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯈꯉꯁꯤ!

ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯂꯩꯔꯤꯕꯥ ꯑꯄꯤꯀꯄꯥ ꯀꯤꯗꯅꯤ ꯑꯅꯤ ꯑꯁꯤꯅꯥ ꯀꯌꯥ ꯌꯥꯝꯅꯥ ꯊꯕꯛ ꯇꯧꯕꯒꯦ ꯍꯥꯌꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯈꯉꯕ꯭ꯔꯥ? ꯇꯁꯦꯡꯕꯗꯤ ꯀꯤꯗꯅꯤ ꯑꯁꯤ ꯑꯃꯣꯠꯄꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ ꯐꯤꯜꯇꯔ ꯇꯧꯗꯨꯅꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯂꯩꯔꯤꯕꯥ ꯏꯁꯤꯡꯕꯨ ꯁꯦꯡꯗꯣꯛꯂꯤꯕꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯑꯣꯔꯒꯥꯅꯁꯤꯡꯅꯤ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯀꯤꯗꯅꯤꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯑꯩꯈꯣꯌꯅꯥ ꯊꯥꯖꯗꯕꯥ ꯂꯥꯌꯅꯥꯁꯤꯡꯁꯨ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯉꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯈꯔꯥ ꯁꯥꯊꯤꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯔꯤ, ꯑꯗꯨꯕꯨ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯁꯤ ꯈꯉꯂꯕꯗꯤ ꯃꯁꯤꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯥ ꯑꯃꯁꯨꯡ ꯉꯥꯀꯊꯣꯀꯄꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯕꯥ ꯉꯃꯒꯅꯤ꯫

ꯀꯤꯗꯅꯤꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯊꯕꯛ ꯇꯧꯕꯒꯦ? ꯔꯦꯅꯥꯜ ꯄꯦꯄꯤꯂꯦꯔꯤ ꯅꯦꯛꯔꯣꯁꯤꯁ ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ?

ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯀꯤꯗꯅꯤ ꯑꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯁꯨꯄꯔ ꯐꯤꯜꯇꯔ ꯑꯅꯤꯒꯨꯝꯅꯥ ꯂꯩ꯫ ꯃꯈꯣꯌꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯊꯕꯛ ꯑꯁꯤ ꯏꯗꯥ ꯌꯥꯎꯔꯤꯕꯥ ꯑꯄꯥꯝꯕꯥ ꯑꯃꯣꯠꯄꯁꯤꯡ ꯑꯗꯨ ꯐꯤꯜꯇꯔ ꯇꯧꯗꯨꯅꯥ ꯌꯨꯔꯤꯟ ꯑꯣꯏꯅꯥ ꯂꯧꯊꯣꯀꯄꯅꯤ꯫ ꯃꯁꯤ ꯇꯧꯅꯕꯒꯤꯗꯃꯛꯇꯥ ꯏ ꯑꯁꯤ ꯀꯤꯗꯅꯤꯁꯤꯡꯗꯥ ꯆꯪꯁꯤꯜꯂꯤ ꯑꯃꯁꯨꯡ ꯑꯄꯤꯀꯄꯥ ꯆꯦꯅꯦꯜ ꯀꯌꯥꯗꯒꯤ ꯆꯠꯂꯤ꯫ ꯍꯥꯌꯔꯤꯕꯥ ꯑꯃꯣꯠꯄꯁꯤꯡ ꯑꯁꯤ ꯀꯤꯗꯅꯤꯒꯤ ꯃꯄꯥꯟꯊꯪꯕꯥ ꯁꯔꯨꯛ ꯑꯗꯨꯗꯒꯤ ꯈꯣꯃꯖꯤꯜꯂꯤ ꯑꯃꯁꯨꯡ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯀꯤꯗꯅꯤꯒꯤ ꯃꯔꯛꯇꯥ ꯂꯥꯀꯏ, ꯃꯗꯨꯗꯤ ꯀꯤꯗꯅꯤꯒꯤ ꯃꯦꯗꯨꯂꯥ . ꯃꯐꯝ ꯑꯁꯤꯗꯥ ꯐꯅꯦꯜ ꯃꯑꯣꯡꯒꯤ ꯁꯔꯨꯀꯁꯤꯡ ꯌꯥꯑꯣꯔꯤ꯫ ꯔꯦꯅꯥꯜ ꯄꯦꯄꯤꯂꯥ ꯍꯥꯌꯅꯥ ꯀꯧꯕꯥ ꯐꯅꯦꯂꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯊꯛꯇꯥ ꯌꯨꯔꯤꯟ ꯈꯣꯃꯖꯤꯜꯂꯤ꯫ ꯃꯐꯃꯗꯨꯗꯒꯤ ꯌꯨꯔꯤꯟ ꯑꯗꯨ ꯏꯎꯔꯦꯇꯔꯁꯤꯡꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯕ꯭ꯂꯦꯗꯔꯗꯥ ꯆꯠꯂꯤ ꯑꯃꯁꯨꯡ ꯃꯄꯥꯟꯗꯥ ꯆꯠꯂꯤ꯫ ꯑꯩꯈꯣꯌꯒꯤ ꯀꯤꯗꯅꯤꯁꯤꯡꯅꯥ ꯃꯇꯧ ꯑꯁꯨꯝꯅꯥ ꯊꯕꯛ ꯇꯧꯏ꯫

ꯍꯧꯖꯤꯛ ꯑꯩꯈꯣꯌꯅꯥ ꯋꯥꯔꯤ ꯁꯥꯔꯤꯕꯥ ꯔꯦꯅꯥꯜ ꯄꯦꯄꯤꯂꯥꯔꯤ ꯅꯦꯛꯔꯣꯁꯤꯁ ꯑꯁꯤ ꯑꯩꯅꯥ ꯃꯃꯥꯡꯗꯥ ꯍꯥꯌꯈꯤꯕꯥ ꯀꯤꯗꯅꯤꯒꯤ ꯃꯔꯛꯇꯥ ꯂꯩꯕꯥ ꯁꯔꯨꯛ (`ꯃꯦꯗꯨꯂꯥ`) ꯑꯃꯁꯨꯡ ꯔꯦꯅꯥꯜ ꯄꯦꯄꯤꯂꯥ (`ꯔꯦꯅꯥꯜ ꯄꯦꯄꯤꯂꯥ`)ꯗꯥ ꯂꯩꯕꯥ ꯁꯦꯂꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯇꯤꯁ꯭ꯌꯨꯁꯤꯡ ꯁꯤꯕꯅꯤ꯫ ꯈꯟꯊꯕꯤꯌꯨ, ꯃꯐꯃꯁꯤꯡ ꯑꯗꯨ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯊꯕꯛ ꯇꯧꯗꯕꯥ ꯃꯇꯃꯗꯥ ꯀꯤꯗꯅꯤꯅꯥ ꯇꯧꯕꯥ ꯊꯕꯛ ꯑꯗꯨ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯊꯕꯛ ꯇꯧꯗꯦ, ꯅꯠꯇꯦ? ꯃꯁꯤꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯀꯤꯗꯅꯤꯁꯤꯡ ꯑꯁꯤ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯁꯣꯀꯆꯤꯜꯂꯀꯏ, ꯑꯃꯁꯨꯡ ꯑꯔꯣꯏꯕꯗꯥ ꯀꯤꯗꯅꯤꯁꯤꯡ ꯑꯁꯤ ꯁꯣꯀꯍꯜꯂꯀꯄꯥ ꯌꯥꯏ .

ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤꯒꯤꯗꯃꯛꯇꯥ ꯀꯅꯥꯅꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯔꯤꯁ꯭ꯛ ꯂꯩꯕꯒꯦ?

ꯃꯁꯤꯒꯤ ꯀꯟꯗꯤꯁꯟ (Renal Papillary Necrosis) ꯑꯁꯤ ꯆꯍꯤ 60ꯒꯤ ꯃꯊꯛꯇꯥ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯗꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯀꯃꯟ ꯑꯣꯏ, ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯁꯨ ꯅꯨꯄꯥꯁꯤꯡꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯅꯨꯄꯤꯁꯤꯡꯅꯥ ꯃꯁꯤ ꯂꯥꯀꯄꯒꯤ ꯆꯥꯡ ꯋꯥꯡꯏ ꯍꯥꯌꯅꯥ ꯄꯜꯂꯤ꯫

ꯔꯦꯅꯥꯜ ꯄꯦꯄꯤꯂꯦꯔꯤ ꯅꯦꯛꯔꯣꯁꯤꯁꯀꯤ ꯃꯔꯃꯁꯤꯡ ꯀꯔꯤꯅꯣ?

ꯂꯥꯌꯅꯥ ꯑꯁꯤ ꯊꯣꯀꯍꯅꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯂꯤꯕꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯔꯝ ꯀꯌꯥ ꯂꯩ꯫ ꯃꯈꯣꯌꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯤꯅꯣ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯁꯤ꯫

• ꯗꯥꯏꯑꯦꯕꯦꯇꯤꯖ ꯃꯦꯂꯤꯇꯁ : ꯃꯁꯤꯅꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯑꯃꯁꯨꯡ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯃꯔꯝ ꯑꯃꯈꯛꯇꯅꯤ꯫ ꯌꯥꯝꯅꯥ ꯐꯖꯅꯥ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯗꯕꯥ ꯗꯥꯏꯑꯦꯕꯦꯇꯤꯖ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯗꯥ ꯀꯤꯗꯅꯤꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯄꯒꯤ ꯔꯤꯁ꯭ꯛ ꯌꯥꯝꯅꯥ ꯂꯩ꯫ ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯕ꯭ꯂꯗ ꯁꯨꯒꯔꯒꯤ ꯂꯦꯚꯦꯜ ꯋꯥꯡꯈꯠꯂꯀꯄꯅꯥ ꯀꯤꯗꯅꯤꯒꯤ ꯃꯆꯤꯟꯖꯥꯛ ꯌꯥꯎꯕꯥ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯂꯁꯤꯡꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯜꯂꯤ꯫
• ꯄꯦꯅꯀꯤꯂꯔꯁꯤꯡ (NSAIDs) ꯍꯦꯟꯅꯥ ꯁꯤꯖꯤꯟꯅꯕꯥ : ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯗꯣꯛꯇꯔ ꯑꯃꯒꯥ ꯇꯥꯟꯅꯗꯅꯥ ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯄꯦꯟꯀꯤꯂꯔꯁꯤꯡ (ꯅꯟ-ꯁ꯭ꯇꯦꯔꯣꯏꯗ ꯑꯦꯟꯇꯤ-ꯏꯅꯐ꯭ꯂꯦꯃꯦꯇꯔꯤ ꯗ꯭ꯔꯒꯁꯤꯡ, ꯅꯠꯠꯔꯒꯥ NSAIDꯁꯤꯡ) ꯑꯁꯤ ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯁꯤꯖꯤꯟꯅꯔꯕꯗꯤ ꯅꯍꯥꯛꯅꯥ ꯌꯥꯝꯅꯥ ꯆꯦꯀꯁꯤꯅꯒꯗꯕꯅꯤ꯫ ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯊꯀꯄꯅꯥ ꯀꯤꯗꯅꯤꯁꯤꯡꯗꯥ ꯂꯩꯕꯥ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯂꯁꯤꯡ ꯑꯗꯨ ꯀꯨꯄꯁꯤꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯔꯦꯅꯥꯜ ꯄꯦꯄꯤꯂꯥꯁꯤꯡꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫
• ꯁꯤꯛꯀꯜ ꯁꯦꯜ ꯂꯥꯌꯅꯥ꯫: ꯃꯁꯤ ꯖꯤꯅꯦꯇꯤꯛ ꯑꯣꯏꯕꯥ ꯂꯥꯌꯅꯥ ꯑꯃꯅꯤ꯫ ꯂꯥꯌꯅꯥ ꯑꯁꯤꯗꯥ ꯔꯦꯗ ꯕ꯭ꯂꯗ ꯁꯦꯂꯁꯤꯡꯒꯤ ꯃꯑꯣꯡ-ꯃꯇꯧ ꯍꯣꯡꯏ ꯑꯃꯁꯨꯡ ꯃꯈꯣꯌ ꯑꯁꯤ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯂꯁꯤꯡꯗꯥ ꯆꯦꯟꯊꯔꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯅꯥ ꯀꯤꯗꯅꯤꯁꯤꯡꯗꯥ ꯏꯒꯤ ꯁꯞꯂꯥꯏ ꯁꯣꯟꯊꯍꯅꯕꯁꯨ ꯌꯥꯏ (Renal Papillary Necrosis)꯫

ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯔꯃꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯊꯛꯇꯥ, ꯑꯇꯩ ꯀꯟꯗꯤꯁꯟ ꯀꯌꯥ ꯑꯃꯁꯨ ꯔꯦꯅꯥꯜ ꯄꯦꯄꯤꯂꯦꯔꯤ ꯅꯦꯛꯔꯣꯁꯤꯁ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ:

• ꯀ꯭ꯔꯣꯅꯤꯛ ꯂꯤꯚꯔ ꯗꯤꯖꯤꯖ꯫
• ꯄꯥꯏꯂꯣꯅꯦꯐ꯭ꯔꯥꯏꯇꯤꯁ, ꯀꯤꯗꯅꯤꯁꯤꯡꯗꯥ ꯕꯦꯛꯇꯦꯔꯤꯌꯥꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯏꯅꯐꯦꯛꯁꯟ (ꯃꯁꯤꯅꯥ ꯔꯦꯅꯥꯜ ꯄꯦꯄꯤꯂꯥꯁꯤꯡꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ)
• ꯔꯦꯅꯥꯜ ꯇ꯭ꯌꯨꯕꯔꯀꯨꯂꯣꯁꯤꯁ, ꯂꯪꯁꯀꯤ ꯃꯄꯥꯟꯗꯥ ꯂꯩꯕꯥ ꯀꯤꯗꯅꯤꯁꯤꯡꯗꯥ ꯁꯣꯀꯍꯜꯂꯤꯕꯥ ꯂꯥꯌꯅꯥ ꯑꯃꯅꯤ꯫
• ꯔꯦꯅꯥꯜ ꯚꯦꯅꯝ ꯊ꯭ꯔꯣꯝꯕꯣꯁꯤꯁ (ꯀꯤꯗꯅꯤꯗꯒꯤ ꯏ ꯄꯨꯕꯥ ꯚꯦꯅꯝ ꯑꯗꯨꯗꯥ ꯏ ꯊꯣꯀꯄꯥ)
• ꯏꯎꯔꯦꯇꯔ ꯑꯣꯕꯁ꯭ꯠꯔꯥꯀꯁꯟ (ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯌꯨꯔꯤꯅꯔꯤ ꯁ꯭ꯇꯣꯅꯁꯤꯡꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ)
• ꯚꯦꯁꯀꯨꯂꯥꯏꯇꯤꯁ, ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯂꯁꯤꯡꯒꯤ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯁꯟ ꯑꯃꯥ꯫

ꯃꯔꯨꯑꯣꯏꯕꯥ ꯋꯥꯐꯃꯗꯤ ꯃꯔꯃꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯃꯗꯒꯤ ꯍꯦꯅꯕꯥ ꯃꯔꯃꯁꯤꯡ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏ ꯈꯨꯗꯤꯡꯃꯛ (Renal Papillary Necrosis) ꯂꯥꯛꯂꯣꯏꯗꯕꯅꯤ꯫ ꯑꯗꯨꯕꯨ ꯔꯤꯁ꯭ꯛ ꯑꯁꯤ ꯍꯦꯟꯅꯥ ꯋꯥꯡꯏ꯫

ꯃꯁꯤꯅꯥ ꯀꯤꯗꯅꯤ ꯑꯅꯤꯃꯛꯇꯥ ꯁꯣꯀꯍꯅꯕꯔꯥ?

ꯍꯣꯌ, ꯔꯤꯄꯣꯔꯠ ꯇꯧꯔꯀꯄꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ, ꯃꯤꯑꯣꯏ ꯇꯔꯥꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯷ꯇꯥ , ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤꯅꯥ (ꯔꯦꯅꯥꯜ ꯄꯦꯄꯤꯂꯦꯔꯤ ꯅꯦꯛꯔꯣꯁꯤꯁ) ꯀꯤꯗꯅꯤ ꯑꯅꯤꯃꯛꯇꯥ ꯁꯣꯀꯍꯜꯂꯤ ꯫

(ꯔꯦꯅꯥꯜ ꯄꯦꯄꯤꯂꯦꯔꯤ ꯅꯦꯛꯔꯣꯁꯤꯁ)ꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯤꯅꯣ?

ꯂꯥꯌꯅꯥ ꯑꯁꯤꯒꯤ ꯑꯍꯥꯅꯕꯥ ꯇꯥꯉ꯭ꯀꯛꯇꯥ ꯂꯥꯏꯑꯣꯡ ꯑꯃꯠꯇꯥ ꯎꯕꯥ ꯐꯪꯗꯕꯥ ꯌꯥꯏ . ꯃꯔꯝ ꯑꯁꯤꯅꯥ ꯃꯁꯤꯕꯨ ꯇꯣꯌꯅꯥ ꯈꯉꯕꯥ ꯑꯃꯁꯨꯡ ꯂꯥꯌꯦꯡꯕꯗꯥ ꯑꯋꯥꯕꯥ ꯑꯣꯏꯔꯤ꯫ ꯈꯅꯕꯤꯌꯨ, ꯅꯍꯥꯛꯀꯤ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯑꯃꯠꯇꯥ ꯂꯩꯇꯦ ꯑꯗꯨꯕꯨ ꯅꯍꯥꯛꯀꯤ ꯀꯤꯗꯅꯤꯁꯤꯡ ꯑꯗꯨ ꯃꯅꯨꯡꯗꯒꯤ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯃꯁꯤ ꯑꯇꯣꯞꯄꯥ ꯂꯥꯌꯅꯥ ꯑꯃꯒꯤ ꯇꯦꯁ꯭ꯠ ꯇꯧꯕꯥ ꯃꯇꯃꯗꯥ ꯑꯁꯣꯏ-ꯑꯉꯥꯝ ꯌꯥꯑꯣꯗꯅꯥ ꯈꯉꯗꯣꯀꯄꯁꯨ ꯑꯣꯏꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫

ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯀꯟꯗꯤꯁꯟ (Renal Papillary Necrosis) ꯑꯁꯤ ꯍꯦꯟꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯑꯣꯏꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯑꯁꯤꯒꯨꯝꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯂꯥꯀꯄꯥ ꯌꯥꯏ:

• ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯄꯥ (Dysuria) .
• ꯂꯥꯏꯍꯧ ꯑꯃꯁꯨꯡ ꯆꯤꯀꯄꯥ (ꯃꯔꯨꯑꯣꯏꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯏꯅꯐꯦꯛꯁꯟ ꯑꯃꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯂꯩꯔꯕꯗꯤ)
• ꯌꯨꯔꯤꯅꯗꯥ ꯏ ꯊꯣꯀꯄꯥ (`Hematuria`) - ꯏꯒꯤ ꯆꯥꯡ ꯑꯁꯤ ꯃꯤꯠ ꯎꯗꯕꯥ ꯌꯥꯏ (ꯌꯨꯔꯤꯟ ꯑꯗꯨ ꯂꯥꯂꯍꯧꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯁꯪꯕꯥ ꯃꯆꯨꯒꯤ ꯑꯣꯏꯔꯀꯄꯥ ꯌꯥꯏ), ꯅꯠꯠꯔꯒꯥ ꯃꯁꯤ ꯃꯥꯏꯛꯔꯣꯁ꯭ꯀꯣꯄꯀꯤ ꯃꯈꯥꯗꯥ ꯈꯛꯇꯃꯛ ꯎꯕꯥ ꯐꯪꯕꯗꯥ ꯌꯥꯝꯅꯥ ꯄꯤꯀꯄꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫
• ꯑꯌꯨꯛ-ꯅꯨꯡꯊꯤꯂꯗꯥ ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯌꯨꯔꯤꯟ ꯇꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯥ (`Nocturia`)
• ꯌꯨꯔꯤꯅꯗꯥ ꯋꯥꯏꯠ ꯕ꯭ꯂꯗ ꯁꯦꯂꯁꯤꯡꯒꯤ ꯃꯁꯤꯡ ꯌꯥꯝꯅꯥ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ (`Pyuria`) - ꯃꯁꯤꯅꯥ ꯇꯥꯀꯄꯗꯤ ꯌꯨꯔꯤꯟ ꯑꯗꯨ ꯄꯣꯃꯈꯠꯄꯥ ꯃꯑꯣꯡꯗꯥ ꯎꯕꯥ ꯐꯪꯏ, ꯑꯃꯁꯨꯡ ꯌꯨꯔꯤꯟ ꯑꯗꯨ ꯅꯣꯡꯃꯩ ꯀꯥꯞꯄꯥ ꯌꯥꯏ꯫
• ꯈꯣꯡꯒꯤ ꯅꯥꯀꯜ ꯑꯃꯔꯣꯃꯗꯥ, ꯔꯤꯕꯟ ꯑꯃꯁꯨꯡ ꯍꯤꯄꯀꯤ ꯁꯔꯨ ꯇꯥꯡꯁꯤꯡꯒꯤ ꯃꯔꯛꯇꯥ (ꯀꯤꯗꯅꯤꯁꯤꯡ ꯂꯩꯕꯥ ꯃꯐꯝ) ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯅꯥ ꯁꯣꯀꯄꯥ꯫ ꯃꯁꯤꯒꯤ ꯑꯅꯥꯕꯥ ꯑꯁꯤ ꯈꯪꯍꯧꯗꯅꯥ ꯂꯥꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ ꯌꯥꯏ꯫
• ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯌꯨꯔꯤꯅꯔꯤ ꯇ꯭ꯔꯦꯛꯇꯀꯤ ꯏꯅꯐꯦꯛꯁꯟ ꯂꯩꯕꯥ꯫

ꯔꯦꯅꯥꯜ ꯄꯦꯄꯤꯂꯦꯔꯤ ꯅꯦꯛꯔꯣꯁꯤꯁ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯈꯪꯗꯣꯀꯄꯒꯦ?

ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ (ꯔꯦꯅꯥꯜ ꯄꯦꯄꯤꯂꯦꯔꯤ ꯅꯦꯛꯔꯣꯁꯤꯁ) ꯈꯪꯗꯣꯛꯅꯕꯥ ꯇꯦꯁ꯭ꯠ ꯀꯌꯥ ꯄꯥꯡꯊꯣꯛꯀꯅꯤ꯫ ꯅꯍꯥꯛꯀꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯃꯦꯗꯤꯀꯦꯜ ꯍꯤꯁ꯭ꯇꯔꯤ ꯑꯗꯨ ꯇꯥꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ, ꯃꯈꯣꯌꯅꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯑꯁꯤ ꯑꯣꯔꯗꯔ ꯇꯧꯕꯥ ꯌꯥꯏ:

• ꯏꯎꯔꯣꯒ꯭ꯔꯥꯐꯤ꯫: ꯃꯁꯤꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯀꯤꯗꯅꯤꯒꯤ ꯑꯦꯛꯁ-ꯔꯦ, ꯁꯤ.ꯇꯤ.ꯁ꯭ꯀꯦꯟ ꯅꯠꯠꯔꯒꯥ ꯑꯦꯝ.ꯑꯥꯔ.ꯑꯥꯏ. ꯇꯦꯁ꯭ꯠ ꯇꯧꯗ꯭ꯔꯤꯉꯩ ꯃꯃꯥꯡꯗꯥ, ꯅꯍꯥꯀꯄꯨ ꯚꯦꯅꯝ ꯑꯃꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯑꯈꯟꯅꯕꯥ ꯗꯥꯏ (ꯗꯥꯏ) ꯑꯃꯥ ꯄꯤꯒꯅꯤ꯫ ꯃꯁꯤꯅꯥ ꯀꯤꯗꯅꯤꯁꯤꯡꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯄꯥ ꯃꯐꯃꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯄꯦꯄꯤꯂꯁꯤꯡꯗꯥ ꯑꯍꯣꯡꯕꯥ ꯂꯥꯀꯄꯥ ꯃꯐꯃꯁꯤꯡ ꯃꯌꯦꯛ ꯁꯦꯡꯅꯥ ꯎꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫
• ꯏꯎꯔꯦꯇꯔꯁ꯭ꯀꯣꯄꯤ : ꯃꯁꯤꯗꯥ ꯕ꯭ꯂꯦꯗꯔ, ꯏꯎꯔꯦꯇꯔ ꯑꯃꯁꯨꯡ ꯀꯤꯗꯅꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯍꯀꯊꯦꯡꯅꯅꯥ ꯌꯦꯡꯅꯕꯒꯤꯗꯃꯛ ꯏꯎꯔꯦꯊ꯭ꯔꯥꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯑꯄꯤꯀꯄꯥ, ꯐ꯭ꯂꯦꯛꯁꯤꯕꯜ ꯑꯣꯏꯕꯥ ꯇꯤꯎꯕ ꯑꯃꯥ (ꯑꯔꯣꯏꯕꯗꯥ ꯀꯦꯃꯦꯔꯥ ꯑꯃꯥ ꯌꯥꯎꯕꯥ) ꯊꯥꯗꯣꯀꯄꯅꯤ꯫ ꯃꯁꯤꯅꯥ ꯄꯦꯄꯤꯂꯥꯒꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯗꯨ ꯃꯌꯦꯛ ꯁꯦꯡꯅꯥ ꯎꯕꯥ ꯉꯃꯍꯜꯂꯤ꯫
• ꯀꯤꯗꯅꯤ ꯕꯥꯏꯑꯣꯞꯁꯤ : ꯇꯦꯁ꯭ꯠ ꯑꯁꯤꯗꯥ ꯑꯈꯟꯅꯕꯥ ꯅꯤꯗꯜ ꯑꯃꯥ ꯁꯤꯖꯤꯟꯅꯗꯨꯅꯥ ꯀꯤꯗꯅꯤꯗꯒꯤ ꯇꯤꯁꯨꯒꯤ ꯑꯄꯤꯀꯄꯥ ꯁꯔꯨꯛ ꯑꯃꯥ ꯂꯧꯊꯣꯀꯏ ꯑꯃꯁꯨꯡ ꯃꯥꯏꯛꯔꯣꯁ꯭ꯀꯣꯄꯀꯤ ꯃꯈꯥꯗꯥ ꯌꯦꯡꯁꯤꯜꯂꯤ꯫ ꯃꯁꯤꯅꯥ ꯁꯦꯂꯁꯤꯡ ꯁꯤꯈꯤꯕ꯭ꯔꯥ ꯅꯠꯠꯔꯒꯥ ꯇꯤꯁꯨ ꯑꯗꯨꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯈꯤꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯈꯪꯗꯣꯀꯄꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫

ꯏ ꯑꯃꯁꯨꯡ ꯌꯨꯔꯤꯟ ꯇꯦꯁ꯭ꯠ ꯇꯧꯕꯥ꯫

ꯃꯁꯤꯒꯤ ꯃꯊꯛꯇꯥ, ꯀꯤꯗꯅꯤꯒꯤ ꯐꯉ꯭ꯀꯁꯟ ꯌꯦꯡꯁꯤꯟꯅꯕꯥ ꯏ ꯑꯃꯁꯨꯡ ꯌꯨꯔꯤꯟ ꯇꯦꯁ꯭ꯠ ꯇꯧꯕꯁꯨ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ:

• ꯕ꯭ꯂꯗ ꯌꯨꯔꯤꯌꯥ ꯅꯥꯏꯠꯔꯣꯖꯦꯟ (BUN) ꯇꯦꯁ꯭ꯠ : ꯃꯁꯤꯅꯥ ꯏꯗꯥ ꯂꯩꯔꯤꯕꯥ ꯌꯨꯔꯤꯌꯥ ꯅꯥꯏꯠꯔꯣꯖꯦꯅꯒꯤ ꯆꯥꯡ ꯑꯗꯨ ꯂꯦꯄꯊꯣꯀꯏ꯫ ꯃꯁꯤ ꯑꯃꯣꯠꯄꯥ ꯄꯣꯠꯁꯛ ꯑꯃꯅꯤ꯫ ꯀꯤꯗꯅꯤꯁꯤꯡꯅꯥ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯊꯕꯛ ꯇꯧꯗꯕꯥ ꯃꯇꯃꯗꯥ ꯏꯗꯥ ꯂꯦꯚꯦꯜ ꯑꯁꯤ ꯍꯦꯅꯒꯠꯂꯀꯏ꯫
• ꯀ꯭ꯔꯤꯌꯦꯇꯤꯅꯤꯟ ꯇꯦꯁ꯭ꯠ : ꯀ꯭ꯔꯤꯌꯦꯇꯤꯅꯤꯟ ꯑꯁꯤ ꯅꯣꯔꯃꯦꯜ ꯃꯁꯜ ꯐꯉ꯭ꯀꯁꯅꯒꯤ ꯃꯇꯃꯗꯥ ꯄꯨꯊꯣꯀꯄꯥ ꯑꯇꯣꯞꯄꯥ ꯑꯃꯣꯠꯄꯥ ꯄꯣꯠꯁꯛ ꯑꯃꯅꯤ꯫ ꯃꯁꯤ ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯅꯥ ꯀꯤꯗꯅꯤꯁꯤꯡꯅꯥ ꯊꯣꯀꯍꯜꯂꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯁꯤꯒꯤ ꯂꯦꯚꯦꯜ ꯑꯁꯤ ꯏꯗꯥ ꯋꯥꯡꯂꯕꯗꯤ, ꯃꯁꯤꯅꯥ ꯀꯤꯗꯅꯤꯁꯤꯡ ꯑꯁꯤ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯊꯕꯛ ꯇꯧꯗꯕꯥ ꯍꯥꯌꯕꯁꯤꯁꯨ ꯇꯥꯀꯏ꯫
• ꯑꯦꯁ꯭ꯇꯤꯃꯦꯠ ꯇꯧꯔꯕꯥ ꯒ꯭ꯂꯣꯃꯦꯔꯨꯂꯥꯔ ꯐꯤꯜꯠꯔꯦꯁꯟ ꯔꯦꯠ (eGFR) : ꯃꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯕ꯭ꯂꯗ ꯀ꯭ꯔꯤꯌꯦꯇꯤꯅꯤꯅꯒꯤ ꯆꯥꯡ, ꯆꯍꯤ, ꯖꯦꯟꯗꯔ, ꯑꯃꯁꯨꯡ ꯍꯀꯆꯥꯡꯒꯤ ꯁꯥꯏꯖ ꯑꯁꯤꯅꯆꯤꯡꯕꯥ ꯐꯦꯛꯇꯔꯁꯤꯡ ꯌꯦꯡꯂꯒꯥ ꯂꯦꯄꯊꯣꯀꯏ꯫ ꯏ.ꯖꯤ.ꯑꯦꯐ.ꯑꯥꯔ.ꯒꯤ ꯚꯦꯜꯌꯨ ꯑꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯀꯤꯗꯅꯤꯁꯤꯡꯅꯥ ꯃꯤꯅꯠ ꯑꯃꯗꯥ ꯏ ꯀꯌꯥ ꯐꯤꯜꯇꯔ ꯇꯧꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯈꯪꯍꯜꯂꯤ꯫ ꯚꯦꯜꯌꯨ ꯑꯁꯤ ꯍꯦꯟꯅꯥ ꯅꯦꯝꯂꯕꯗꯤ ꯅꯍꯥꯛꯀꯤ ꯀꯤꯗꯅꯤꯁꯤꯡ ꯑꯗꯨ ꯍꯦꯟꯅꯥ ꯐꯉ꯭ꯀꯁꯅꯦꯜ ꯑꯣꯏ꯫
• ꯌꯨꯔꯤꯅꯂꯥꯏꯁꯤꯁ : ꯃꯁꯤꯗꯥ ꯌꯨꯔꯤꯟ ꯁꯦꯝꯄꯜ ꯑꯃꯥ ꯂꯧꯗꯨꯅꯥ ꯃꯗꯨ ꯃꯤꯠꯅꯥ ꯎꯕꯥ (ꯃꯆꯨ, ꯃꯌꯦꯛ ꯁꯦꯡꯕꯥ), ꯃꯥꯏꯛꯔꯣꯁ꯭ꯀꯣꯄꯤꯀꯦꯜ (ꯕ꯭ꯂꯗ ꯁꯦꯂꯁꯤꯡ, ꯄꯁ ꯁꯦꯂꯁꯤꯡ, ꯕꯦꯛꯇꯦꯔꯤꯌꯥ, ꯄꯦꯄꯤꯂꯦꯔꯤ ꯗꯦꯕ꯭ꯔꯤꯁꯀꯤꯗꯃꯛꯇꯥ), ꯑꯃꯁꯨꯡ ꯀꯦꯃꯤꯀꯦꯜ ꯑꯣꯏꯅꯥ (ꯄ꯭ꯔꯣꯇꯤꯟ, ꯆꯤꯅꯤꯒꯤ ꯑꯣꯏꯅꯥ) ꯌꯦꯡꯁꯤꯅꯕꯥ ꯌꯥꯎꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯔꯦꯅꯥꯜ ꯄꯦꯄꯤꯂꯥꯒꯤ ꯁꯔꯨꯀꯁꯤꯡ ꯑꯁꯤꯁꯨ ꯃꯥꯏꯛꯔꯣꯁ꯭ꯀꯣꯄꯀꯤ ꯃꯈꯥꯗꯥ ꯎꯕꯥ ꯐꯪꯏ꯫
• ꯌꯨꯔꯤꯟ ꯄ꯭ꯔꯣꯇꯤꯟ/ꯀ꯭ꯔꯤꯑꯦꯇꯤꯅꯤꯟ ꯔꯦꯁꯤꯑꯣ : ꯃꯁꯤꯅꯥ ꯌꯨꯔꯤꯅꯗꯥ ꯄ꯭ꯔꯣꯇꯤꯟ ꯀꯌꯥ ꯌꯥꯎꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯂꯦꯄꯊꯣꯀꯏ꯫ ꯍꯀꯁꯦꯜ ꯐꯕꯥ ꯀꯤꯗꯅꯤꯁꯤꯡꯅꯥ ꯄ꯭ꯔꯣꯇꯤꯟ ꯌꯥꯝꯅꯥ ꯅꯦꯝꯅꯥ ꯊꯥꯗꯣꯀꯏ꯫ ꯌꯨꯔꯤꯅꯗꯥ ꯄ꯭ꯔꯣꯇꯤꯅꯒꯤ ꯆꯥꯡ ꯋꯥꯡꯅꯥ ꯂꯩꯕꯥ ꯑꯁꯤꯅꯥ ꯀꯤꯗꯅꯤꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯅꯕꯒꯤ ꯈꯨꯗꯝ ꯑꯃꯅꯤ꯫

(ꯔꯦꯅꯥꯜ ꯄꯦꯄꯤꯂꯦꯔꯤ ꯅꯦꯛꯔꯣꯁꯤꯁ)ꯒꯤ ꯑꯣꯏꯊꯣꯀꯄꯥ ꯌꯥꯕꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ ꯀꯔꯤꯅꯣ?

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ (Renal Papillary Necrosis) ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯂꯥꯏꯌꯦꯡꯗ꯭ꯔꯕꯗꯤ, ꯀꯟꯗꯤꯁꯟ ꯑꯗꯨ ꯍꯦꯟꯅꯥ ꯐꯠꯆꯤꯜꯂꯛꯇꯕꯥ ꯌꯥꯏ ꯑꯃꯁꯨꯡ ꯁꯥꯊꯤꯕꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫

• ꯀ꯭ꯔꯣꯅꯤꯛ ꯀꯤꯗꯅꯤ ꯗꯤꯖꯤꯖ (CKD) : ꯀꯤꯗꯅꯤꯁꯤꯡꯗꯥ ꯂꯦꯞꯇꯅꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯅꯕꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯃꯈꯣꯌꯒꯤ ꯐꯉ꯭ꯀꯁꯟ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯍꯟꯊꯔꯀꯏ, ꯃꯗꯨꯅꯥ ꯀ꯭ꯔꯣꯅꯤꯛ ꯀꯤꯗꯅꯤꯒꯤ ꯂꯥꯌꯅꯥ ꯊꯣꯀꯍꯜꯂꯤ꯫
• ꯀꯤꯗꯅꯤ ꯐꯦꯜ ꯑꯣꯏꯕꯥ꯫: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯗꯨ ꯍꯦꯟꯅꯥ ꯐꯠꯆꯤꯜꯂꯛꯂꯕꯗꯤ, ꯀꯤꯗꯅꯤꯁꯤꯡ ꯑꯁꯤ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯗꯤꯁꯐꯉ꯭ꯀꯁꯅꯦꯜ ꯑꯣꯏꯔꯀꯄꯥ ꯌꯥꯏ, ꯍꯥꯌꯕꯗꯤ ꯃꯈꯣꯌ ꯑꯁꯤ ꯔꯦꯅꯥꯜ ꯐꯦꯜ ꯑꯣꯏꯔꯀꯄꯥ ꯌꯥꯏ꯫
• ꯍꯤꯡꯅꯕꯒꯤꯗꯃꯛ, ꯅꯍꯥꯛꯅꯥ ꯗꯥꯏꯑꯦꯂꯥꯏꯁꯤꯁ (ꯃꯦꯁꯤꯟ ꯑꯃꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯏ ꯑꯗꯨ ꯁꯦꯡꯗꯣꯀꯄꯥ) ꯅꯠꯠꯔꯒꯥ ꯀꯤꯗꯅꯤ ꯇ꯭ꯔꯥꯟꯁꯞꯂꯥꯟꯇ ꯇꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯏ꯫
• ꯃꯁꯤꯒꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤꯅꯥ ꯀꯤꯗꯅꯤ ꯅꯠꯠꯔꯒꯥ ꯏꯎꯔꯦꯇꯔꯗꯥ ꯊꯣꯀꯄꯥ ꯇ꯭ꯔꯥꯟꯁꯤꯁꯅꯦꯜ ꯁꯦꯜ ꯀꯦꯟꯁꯔ ꯀꯧꯕꯥ ꯀꯦꯟꯁꯔ ꯃꯈꯜ ꯑꯃꯥ ꯂꯥꯀꯄꯒꯤ ꯔꯤꯁ꯭ꯛ ꯍꯦꯅꯒꯠꯍꯅꯕꯁꯨ ꯎꯕꯥ ꯐꯪꯂꯦ꯫
• ꯁꯥꯊꯤꯕꯥ ꯏꯅꯐꯦꯛꯁꯟ (sepsis) ꯂꯥꯀꯄꯒꯤ ꯔꯤꯁ꯭ꯀꯁꯨ ꯂꯩ꯫

ꯔꯦꯅꯥꯜ ꯄꯦꯄꯤꯂꯦꯔꯤ ꯅꯦꯛꯔꯣꯁꯤꯁ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯂꯥꯏꯌꯦꯡꯕꯒꯦ?

ꯔꯦꯅꯥꯜ ꯄꯦꯄꯤꯂꯦꯔꯤ ꯅꯦꯛꯔꯣꯁꯤꯁꯀꯤ ꯑꯀꯛꯅꯕꯥ ꯂꯥꯏꯌꯦꯡ ꯑꯃꯠꯇꯥ ꯂꯩꯇꯦ꯫ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯂꯥꯏꯌꯦꯡꯗꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤꯒꯤ ꯃꯈꯥ ꯄꯣꯜꯂꯤꯕꯥ ꯃꯔꯝ ꯑꯗꯨ ꯂꯥꯌꯦꯡꯕꯅꯤ . ꯈꯨꯗꯝ ꯑꯣꯏꯅ:

• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯗꯥꯏꯑꯦꯕꯦꯇꯤꯖꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯑꯣꯏꯔꯕꯗꯤ, ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯗꯥꯏꯑꯦꯕꯦꯇꯤꯖ ꯑꯁꯤ ꯐꯖꯅꯥ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ NSAID ꯁꯤꯖꯤꯟꯅꯕꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯑꯣꯏꯔꯕꯗꯤ, ꯍꯤꯗꯥꯀꯁꯤꯡ ꯑꯗꯨ ꯂꯧꯕꯥ ꯂꯦꯄꯀꯅꯨ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯏꯅꯐꯦꯛꯁꯟ ꯑꯃꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯑꯣꯏꯔꯕꯗꯤ ꯃꯗꯨ ꯑꯦꯟꯇꯤꯕꯥꯏꯑꯣꯇꯤꯛ ꯄꯤꯌꯨ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯌꯨꯔꯤꯅꯔꯤ ꯇ꯭ꯔꯦꯛꯇꯇꯥ ꯕ꯭ꯂꯣꯀꯦꯖ ꯂꯩꯔꯕꯗꯤ ꯃꯗꯨ ꯂꯧꯊꯣꯛꯀꯗꯕꯅꯤ꯫

ꯃꯔꯨꯑꯣꯏꯕꯥ ꯄꯥꯟꯗꯃꯗꯤ ꯀꯤꯗꯅꯤꯁꯤꯡꯗꯥ ꯃꯈꯥ ꯇꯥꯅꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯌꯥꯔꯤꯕꯃꯈꯩ ꯀꯤꯗꯅꯤꯒꯤ ꯐꯉ꯭ꯀꯁꯟ ꯉꯥꯛꯇꯨꯅꯥ ꯊꯝꯕꯅꯤ꯫

ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯃꯥꯌꯄꯥꯀꯄꯥ ꯑꯁꯤ ꯀꯤꯗꯅꯤꯒꯤ ꯑꯃꯥꯡ-ꯑꯇꯥꯒꯤ ꯆꯥꯡ ꯑꯃꯁꯨꯡ ꯂꯥꯌꯅꯥ ꯑꯁꯤꯒꯤ ꯃꯔꯝ ꯑꯗꯨꯒꯤ ꯃꯈꯥ ꯄꯣꯜꯂꯤ꯫ ꯁꯥꯊꯤꯕꯥ ꯀꯦꯁ ꯈꯔꯗꯗꯤ ꯂꯥꯌꯅꯥ ꯑꯁꯤ ꯂꯥꯏꯌꯦꯡꯂꯕꯁꯨ ꯃꯈꯥ ꯇꯥꯅꯥ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯀꯦꯁꯁꯤꯡꯗꯗꯤ, ꯑꯃꯁꯨꯡ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯔꯝ ꯑꯗꯨ ꯊꯨꯅꯥ ꯂꯥꯏꯌꯦꯡꯂꯕꯗꯤ, ꯀꯤꯗꯅꯤꯒꯤ ꯐꯉ꯭ꯀꯁꯟ ꯑꯗꯨ ꯇꯪꯗꯨ ꯂꯩꯇꯥꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯈꯔꯥ ꯐꯒꯠꯂꯀꯄꯥ ꯐꯥꯎꯕꯥ ꯌꯥꯏ꯫

ꯑꯩꯅꯥ ꯔꯦꯅꯥꯜ ꯄꯦꯄꯤꯂꯦꯔꯤ ꯅꯦꯛꯔꯣꯁꯤꯁꯇꯒꯤ ꯉꯥꯀꯊꯣꯀꯄꯥ ꯉꯃꯒꯗ꯭ꯔꯥ?

ꯍꯣꯌ, ꯐꯤꯚꯝ ꯑꯁꯤꯗꯒꯤ ꯑꯩꯈꯣꯌ ꯏꯁꯥꯕꯨ ꯉꯥꯀꯊꯣꯀꯆꯅꯕꯥ ꯇꯧꯕꯥ ꯌꯥꯕꯥ ꯊꯕꯛ ꯀꯌꯥ ꯂꯩꯔꯤ, ꯑꯆꯧꯕꯥ ꯃꯑꯣꯡꯗꯥ꯫

• ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯋꯥꯐꯃꯗꯤ ꯅꯍꯥꯛꯀꯤ ꯑꯄꯨꯅꯕꯥ ꯍꯀꯁꯦꯜ ꯑꯗꯨ ꯉꯥꯛꯇꯨꯅꯥ ꯊꯝꯕꯅꯤ . ꯆꯥꯡ ꯆꯥꯟꯅꯕꯥ ꯗꯥꯏꯠ ꯆꯥꯕꯥ, ꯏꯁꯤꯡ ꯃꯔꯥꯡ ꯀꯥꯌꯅꯥ ꯊꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯁꯥꯖꯦꯜ ꯇꯧꯕꯥ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯣꯚꯔ-ꯗꯤ-ꯀꯎꯟꯇꯔ ꯄꯦꯏꯅꯀꯤꯂꯔꯁꯤꯡ (NSAIDs) ꯂꯧꯔꯕꯗꯤ, ꯃꯈꯣꯌꯗꯨ ꯄꯦꯀꯦꯖ ꯑꯗꯨꯗꯥ ꯌꯥꯎꯔꯤꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯗꯣꯛꯇꯔ ꯑꯃꯅꯥ ꯇꯥꯀꯄꯥ ꯃꯇꯨꯡꯏꯟꯅꯥ ꯈꯛꯇꯃꯛ ꯁꯤꯖꯤꯟꯅꯧ꯫ ꯃꯈꯣꯌꯗꯨ ꯃꯊꯧ ꯇꯥꯕꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯅꯠꯠꯔꯒꯥ ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯂꯧꯔꯣꯏꯗꯕꯅꯤ꯫ ꯃꯈꯣꯌ ꯑꯁꯤ ꯑꯄꯤꯀꯄꯥ ꯑꯁꯣꯛ-ꯑꯄꯅꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯑꯁꯣꯛ-ꯑꯄꯅꯁꯤꯡꯒꯤꯗꯃꯛꯇꯥ ꯅꯠꯠꯔꯒꯥ ꯍꯦꯗ-ꯑꯦꯀꯁꯤꯡꯒꯤꯗꯃꯛꯇꯥ ꯔꯨꯇꯤꯟ ꯑꯣꯏꯅꯥ ꯂꯧꯔꯣꯏꯗꯕꯅꯤ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯗꯥꯏꯑꯦꯕꯦꯇꯤꯖ (Diabetes Mellitus), ꯁꯤꯛꯀꯜ ꯁꯦꯜ ꯗꯤꯖꯤꯖ (Sickle Cell Disease), ꯅꯠꯠꯔꯒꯥ ꯀꯤꯗꯅꯤꯒꯤ ꯂꯥꯌꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯕꯥ ꯑꯇꯩ ꯂꯥꯌꯅꯥꯁꯤꯡ (Renal Papillary Necrosis) ꯂꯩꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯤ ꯏꯅꯁ꯭ꯠꯔꯛꯁꯅꯁꯤꯡ ꯑꯗꯨ ꯆꯨꯝꯅꯥ ꯏꯅꯒꯗꯕꯅꯤ꯫ ꯃꯇꯝ ꯆꯥꯅꯥ ꯀ꯭ꯂꯤꯅꯤꯀꯁꯤꯡꯗꯥ ꯆꯠꯂꯨ꯫ ꯄ꯭ꯔꯦꯁ꯭ꯛꯔꯥꯏꯕ ꯇꯧꯔꯕꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ ꯑꯗꯨ ꯂꯧꯊꯣꯀꯎ꯫ ꯃꯇꯤꯛ ꯆꯥꯕꯥ ꯗꯥꯏꯠ ꯑꯃꯥ ꯏꯅꯒꯗꯕꯅꯤ꯫
• ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯇꯥꯀꯄꯤꯔꯀꯄꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯀꯤꯗꯅꯤꯒꯤ ꯐꯉ꯭ꯀꯁꯟ ꯆꯦꯛ ꯇꯧꯅꯕꯥ, ꯑꯃꯁꯨꯡ ꯑꯍꯣꯡꯕꯥ ꯑꯃꯍꯦꯛꯇꯕꯨ ꯇꯣꯌꯅꯥ ꯈꯪꯗꯣꯛꯅꯕꯥ ꯂꯦꯕ ꯇꯦꯁ꯭ꯠ ꯇꯧꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫

ꯂꯥꯌꯅꯥ ꯑꯁꯤꯅꯥ ꯅꯥꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯒꯤ ꯐꯒꯠꯂꯀꯄꯒꯤ ꯆꯥꯡ ꯑꯁꯤ ꯀꯌꯥꯅꯣ?

ꯅꯍꯥꯛꯀꯤ ꯄ꯭ꯔꯣꯒ꯭ꯅꯣꯁꯤꯁ ꯑꯁꯤ ꯂꯥꯌꯅꯥ ꯑꯁꯤꯒꯤ ꯃꯔꯝ, ꯀꯤꯗꯅꯤꯒꯤ ꯑꯃꯥꯡ-ꯑꯇꯥꯒꯤ ꯆꯥꯡ, ꯅꯍꯥꯛꯀꯤ ꯑꯄꯨꯅꯕꯥ ꯍꯀꯁꯦꯜ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯅꯥ ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯊꯕꯛ ꯀꯌꯥ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯍꯧꯔꯀꯄꯒꯤ ꯃꯈꯥ ꯄꯣꯜꯂꯤ꯫

• ꯗꯥꯏꯑꯦꯕꯦꯇꯤꯖ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯒꯤ ꯑꯣꯏꯅꯗꯤ, ꯐꯂꯁꯤꯡ ꯑꯁꯤ ꯈꯔꯥ ꯍꯦꯟꯅꯥ ꯐꯕꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ , ꯃꯔꯃꯗꯤ ꯗꯥꯏꯑꯦꯕꯦꯇꯤꯖ ꯑꯁꯤ ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯂꯩꯕꯥ ꯂꯥꯌꯅꯥ ꯑꯃꯅꯤ ꯑꯃꯁꯨꯡ ꯃꯇꯝ ꯄꯨꯝꯅꯃꯛꯇꯥ ꯐꯖꯅꯥ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯥ ꯉꯃꯗꯦ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯗꯥꯏꯑꯦꯕꯦꯇꯤꯖ ꯂꯩꯔꯕꯗꯤ, ꯃꯁꯤꯕꯨ ꯌꯥꯔꯤꯕꯃꯈꯩ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯅꯥ ꯀꯤꯗꯅꯤꯒꯤ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯤꯡꯕꯗꯥ ꯌꯥꯝꯅꯥ ꯂꯥꯞꯅꯥ ꯆꯠꯀꯅꯤ꯫
• ꯁꯥꯊꯤꯕꯥ ꯀꯦꯁꯁꯤꯡ (ꯔꯦꯅꯥꯜ ꯄꯦꯄꯤꯂꯦꯔꯤ ꯅꯦꯛꯔꯣꯁꯤꯁ)ꯗꯥ, ꯃꯁꯤꯅꯥ ꯗꯥꯏꯑꯦꯂꯥꯏꯁꯤꯁ ꯑꯃꯁꯨꯡ ꯀꯤꯗꯅꯤ ꯇ꯭ꯔꯥꯟꯁꯞꯂꯥꯟꯇ ꯇꯧꯕꯥ ꯉꯃꯍꯜꯂꯤ . ꯀꯔꯤꯒꯨꯝꯕꯥ ꯏꯅꯐꯦꯛꯁꯟ ꯊꯣꯛꯂꯕꯗꯤ, ꯃꯁꯤꯅꯥ ꯄꯨꯟꯁꯤꯗꯥ ꯈꯨꯗꯣꯡꯊꯤꯕꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯀꯤꯗꯅꯤ ꯐꯦꯜ ꯑꯣꯏꯔꯀꯄꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯁꯤꯕꯒꯤ ꯑꯣꯏꯊꯣꯀꯄꯥ ꯂꯩ꯫
• ꯁꯤꯛꯀꯜ ꯁꯦꯜ ꯗꯤꯖꯤꯖꯗꯥ, ꯔꯦꯅꯥꯜ ꯄꯦꯄꯤꯂꯦꯔꯤ ꯅꯦꯛꯔꯣꯁꯤꯁ ꯑꯁꯤ ꯀꯤꯗꯅꯤꯗꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯕꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯟ ꯀꯌꯥꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯈꯛꯇꯅꯤ꯫ ꯀꯃꯞꯂꯤꯀꯦꯁꯟ ꯄꯨꯝꯅꯃꯛ ꯑꯁꯤ ꯄꯨꯟꯅꯥ ꯌꯦꯡꯃꯤꯟꯅꯔꯕꯥ ꯃꯇꯃꯗꯥ, ꯄꯦꯁꯦꯟꯇ ꯑꯗꯨꯒꯤ ꯂꯥꯏꯐ ꯑꯦꯛꯁꯄꯦꯛꯇꯦꯟꯁ ꯑꯗꯨ ꯌꯥꯝꯅꯥ ꯍꯟꯊꯕꯥ ꯌꯥꯏ꯫

ꯑꯩꯅꯥ ꯀꯗꯥꯏꯗꯥ ꯗꯣꯛꯇꯔꯒꯥ ꯎꯅꯒꯗꯒꯦ?

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯃꯗꯒꯤ ꯍꯦꯅꯕꯥ ꯂꯩꯔꯕꯗꯤ, ꯃꯇꯝ ꯃꯥꯡꯍꯅꯒꯅꯨ ꯑꯃꯁꯨꯡ ꯁꯣꯌꯗꯅꯥ ꯗꯣꯛꯇꯔ ꯑꯃꯒꯥ ꯇꯥꯟꯅꯧ :

• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯌꯨꯔꯤꯅꯗꯥ ꯏ ꯂꯩꯔꯕꯗꯤ (ꯌꯨꯔꯤꯟ ꯑꯗꯨ ꯂꯥꯂꯍꯧꯕꯥ, ꯄꯤꯀꯄꯥ, ꯅꯠꯠꯔꯒꯥ ꯕ꯭ꯔꯎꯟ ꯑꯣꯏꯔꯕꯗꯤ)꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯥꯏꯍꯧ ꯅꯠꯠꯔꯒꯥ ꯆꯤꯀꯄꯥ ꯂꯩꯔꯕꯗꯤ (ꯃꯔꯨꯑꯣꯏꯅꯥ ꯑꯇꯩ ꯂꯥꯏꯑꯣꯡꯁꯤꯡꯒꯥ ꯂꯣꯌꯅꯅꯥ)꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯌꯨꯔꯤꯟ ꯇꯧꯕꯥ ꯃꯇꯃꯗꯥ ꯑꯅꯥꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯃꯩꯅꯥ ꯆꯥꯀꯄꯥ ꯂꯩꯔꯕꯗꯤ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯀꯣꯛꯇꯥ ꯑꯅꯧꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯍꯦꯟꯅꯥ ꯐꯠꯆꯤꯜꯂꯛꯂꯤꯕꯥ ꯑꯅꯥꯕꯥ ꯂꯩꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯍꯤꯄꯐꯝ ꯑꯃꯁꯨꯡ ꯔꯤꯕꯅꯒꯤ ꯃꯔꯛꯇꯥ ꯂꯩꯕꯥ ꯃꯐꯝ (ꯀꯤꯗꯅꯤꯒꯤ ꯃꯐꯝ)ꯗꯥ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯌꯨꯔꯤꯅꯔꯤ ꯇ꯭ꯔꯦꯛꯇꯀꯤ ꯏꯅꯐꯦꯛꯁꯅꯁꯤꯡ ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯂꯩꯔꯕꯗꯤ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯌꯨꯔꯤꯅꯔꯤ ꯍꯟꯊꯔꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡ ꯑꯃꯁꯨꯡ ꯈꯣꯡꯗꯥ ꯁꯣꯛ-ꯄꯅꯕꯥ ꯎꯔꯕꯗꯤ (ꯃꯁꯤꯅꯥ ꯀꯤꯗꯅꯤꯒꯤ ꯐꯉ꯭ꯀꯁꯟ ꯍꯟꯊꯔꯀꯄꯒꯤ ꯈꯨꯗꯃꯁꯤꯡ ꯑꯣꯏꯕꯥ ꯌꯥꯏ)꯫

ꯅꯤꯡꯁꯤꯡꯕꯤꯌꯨ, ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯑꯇꯩ ꯑꯅꯥꯕꯁꯤꯡꯅꯁꯨ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯑꯀꯛꯅꯕꯥ ꯃꯔꯝ ꯑꯗꯨ ꯈꯪꯗꯣꯛꯅꯕꯥ ꯗꯣꯛꯇꯔ ꯑꯃꯅꯥ ꯆꯦꯛ ꯇꯧꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫

ꯑꯔꯣꯏꯕꯗꯥ, ꯀꯔꯤ ꯅꯤꯡꯁꯤꯡꯒꯗꯒꯦ (ꯇꯦꯛ-ꯍꯣꯝ ꯃꯦꯁꯦꯖ)

ꯑꯩꯈꯣꯌꯒꯤ ꯀꯤꯗꯅꯤ ꯑꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯒꯤꯗꯃꯛ ꯇꯉꯥꯏꯐꯗꯕꯥ ꯑꯣꯔꯒꯥꯟ ꯑꯃꯅꯤ, ꯃꯁꯤꯅꯥ ꯅꯤꯡꯊꯤꯖꯅꯥ ꯑꯃꯁꯨꯡ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯊꯕꯛ ꯑꯃꯥ ꯄꯥꯡꯊꯣꯀꯏ꯫ ꯃꯈꯣꯌꯅꯥ ꯑꯃꯣꯠꯄꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ ꯐꯤꯜꯇꯔ ꯇꯧꯏ ꯑꯃꯁꯨꯡ ꯍꯀꯆꯥꯡꯗꯥ ꯏꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯁꯣꯜꯇ ꯕꯦꯂꯦꯟꯁ ꯊꯝꯃꯤ꯫ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯗꯕꯥ ꯗꯥꯏꯑꯦꯕꯦꯇꯤꯖ, ꯄꯦꯏꯅꯀꯤꯂꯥꯔ (NSAIDs) ꯌꯥꯝꯅꯥ ꯁꯤꯖꯤꯟꯅꯕꯥ, ꯑꯃꯁꯨꯡ ꯇꯣꯉꯥꯟ-ꯇꯣꯉꯥꯅꯕꯥ ꯑꯇꯩ ꯃꯦꯗꯤꯀꯦꯜ ꯀꯟꯗꯤꯁꯅꯁꯤꯡꯅꯥ ꯀꯤꯗꯅꯤꯁꯤꯡꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ, ꯃꯗꯨꯅꯥ ꯔꯦꯅꯥꯜ ꯄꯦꯄꯤꯂꯦꯔꯤ ꯅꯦꯛꯔꯣꯁꯤꯁꯒꯨꯝꯕꯥ ꯑꯀꯅꯕꯥ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ ꯊꯣꯀꯍꯜꯂꯤ꯫

ꯂꯥꯌꯅꯥ ꯑꯁꯤꯒꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯠꯇꯕꯥ ꯋꯥꯐꯃꯗꯤ ꯅꯍꯥꯛꯅꯥ ꯑꯍꯥꯅꯕꯥ ꯇꯥꯉ꯭ꯀꯛꯇꯥ ꯂꯥꯏꯑꯣꯡ ꯑꯃꯠꯇꯥ ꯎꯕꯥ ꯐꯪꯗꯕꯥ ꯌꯥꯏ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯗꯥꯏꯑꯦꯕꯦꯇꯤꯖ ꯂꯩꯔꯕꯗꯤ, NSAIDꯁꯤꯡ ꯌꯥꯝꯅꯥ ꯁꯤꯖꯤꯟꯅꯔꯕꯗꯤ, ꯅꯠꯠꯔꯒꯥ ꯀꯤꯗꯅꯤꯒꯤ ꯂꯥꯌꯅꯥꯒꯤ ꯑꯇꯩ ꯔꯤꯁ꯭ꯛ ꯐꯦꯛꯇꯔꯁꯤꯡ ꯂꯩꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯀꯤꯗꯅꯤꯁꯤꯡ ꯉꯥꯀꯊꯣꯛꯅꯕꯒꯤ ꯄꯥꯝꯕꯩꯁꯤꯡꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯋꯥꯔꯤ ꯁꯥꯕꯤꯌꯨ꯫ ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯆꯦꯀꯑꯞ ꯇꯧꯗꯨꯅꯥ ꯑꯃꯁꯨꯡ ꯍꯀꯁꯦꯜ ꯐꯕꯥ ꯄꯨꯟꯁꯤ ꯃꯍꯤꯡ ꯑꯃꯥ ꯉꯥꯛꯇꯨꯅꯥ, ꯅꯍꯥꯛꯀꯤ ꯀꯤꯗꯅꯤꯁꯤꯡ ꯑꯗꯨ ꯍꯀꯆꯥꯡ ꯐꯅꯥ ꯊꯝꯕꯥ ꯉꯃꯒꯅꯤ꯫ ꯉꯟꯅꯥ ꯑꯦꯋꯦꯌꯔꯅꯦꯁ ꯑꯃꯁꯨꯡ ꯑꯦꯛꯁꯟ ꯑꯁꯤ ꯃꯇꯝ ꯄꯨꯝꯅꯃꯛꯇꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯥ ꯊꯕꯀꯅꯤ꯫

` ꯀꯤꯗꯅꯤ, ꯔꯦꯅꯥꯜ ꯄꯦꯄꯤꯂꯦꯔꯤ ꯅꯦꯛꯔꯣꯁꯤꯁ, ꯀꯤꯗꯅꯤꯒꯤ ꯂꯥꯌꯅꯥ, ꯗꯥꯏꯑꯦꯕꯦꯇꯤꯖ, ꯑꯦꯟ.ꯑꯦꯁ.ꯑꯦ.ꯑꯥꯏ.ꯗꯤ., ꯀꯤꯗꯅꯤ ꯐꯦꯜ ꯑꯣꯏꯕꯥ, ꯌꯨꯔꯤꯟ꯫