ꯑꯉꯥꯡ ꯄꯣꯛꯂꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡꯅꯥ ꯋꯥꯈꯜ ꯇꯥꯗꯕꯥ ꯑꯃꯁꯨꯡ ꯇꯣꯉꯥꯅꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯐꯥꯎꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯅꯣꯔꯃꯦꯂꯅꯤ꯫ ꯑꯅꯧꯕꯥ ꯃꯃꯥ ꯑꯃꯥ ꯑꯣꯏꯅꯥ ꯑꯗꯣꯝ ꯋꯥꯐꯝ ꯂꯤꯁꯤꯡ ꯀꯌꯥꯗꯥ ꯊꯋꯥꯏ ꯌꯥꯑꯣꯕꯥ ꯑꯣꯏꯔꯃꯒꯅꯤ꯫ ꯑꯗꯨꯕꯨ ꯃꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯈꯣꯝꯂꯥꯡ ꯄꯤꯊꯀꯄꯗꯥ ꯑꯋꯥꯕꯥ ꯃꯥꯌꯣꯛꯅꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯄꯤꯔꯤꯌꯗ ꯑꯗꯨ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯍꯧꯔꯛꯠꯔꯕꯗꯤ, ꯅꯠꯠꯔꯒꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡ ꯑꯗꯨ ꯑꯆꯝꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯂꯦꯡꯗꯅꯥ ꯂꯩꯔꯕꯗꯤ, ꯃꯁꯤ "ꯑꯅꯧꯕꯥ ꯃꯃꯥꯁꯤꯡꯒꯤꯗꯃꯛꯇꯗꯤ ꯃꯁꯤ ꯃꯇꯧ ꯀꯔꯝꯅꯥ ꯑꯣꯏꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯈꯛꯇꯅꯤ" ꯍꯥꯌꯅꯥ ꯂꯧꯒꯅꯨ꯫ ꯃꯁꯤ ꯑꯉꯥꯡ ꯄꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯟ ꯑꯃꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯊꯣꯀꯄꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫ ꯉꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯔꯤ꯫
ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯁꯤꯍꯥꯟ ꯁꯤꯟꯗ꯭ꯔꯣꯝ ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ?
ꯁꯤꯍꯥꯟ ꯁꯤꯟꯗ꯭ꯔꯣꯝ ꯍꯥꯌꯕꯁꯤ ꯑꯉꯥꯡ ꯄꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯌꯥꯝꯅꯥ ꯇꯣꯏꯅꯥ ꯏ ꯊꯣꯀꯄꯥ ꯊꯣꯀꯍꯜꯂꯤꯕꯥ ꯌꯥꯝꯅꯥ ꯇꯣꯏꯅꯥ ꯊꯣꯀꯄꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫ ꯃꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯕ꯭ꯔꯦꯅꯒꯤ ꯕꯦꯖꯗꯥ ꯂꯩꯕꯥ ꯑꯄꯤꯀꯄꯥ ꯒ꯭ꯜꯌꯥꯟꯗ ꯑꯃꯗꯥ ꯄꯤꯇꯨꯏꯇꯔꯤ ꯒ꯭ꯜꯌꯥꯟꯗ ꯀꯧꯕꯥ ꯒ꯭ꯜꯌꯥꯟꯗ ꯑꯃꯗꯥ ꯁꯣꯀꯍꯜꯂꯤ꯫
ꯃꯁꯤꯒꯤ ꯄꯤꯇꯨꯏꯇꯔꯤ ꯒ꯭ꯜꯌꯥꯟꯗ ꯑꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯍꯣꯔꯃꯣꯟ ꯁꯤꯁ꯭ꯇꯦꯃꯒꯤ ‘ꯃꯥꯁ꯭ꯇꯔ ꯒ꯭ꯜꯌꯥꯟꯗ’ ꯍꯥꯌꯅꯥ ꯈꯅꯕꯤꯌꯨ꯫ ꯍꯀꯆꯥꯡꯒꯤ ꯑꯇꯣꯞꯄꯥ ꯒ꯭ꯜꯌꯥꯟꯗꯁꯤꯡꯗꯥ "ꯑꯣꯀꯦ, ꯍꯧꯖꯤꯛꯇꯤ ꯅꯍꯥꯛꯅꯥ ꯍꯣꯔꯃꯣꯟ ꯑꯁꯤ ꯄꯨꯊꯣꯀꯏ" "ꯅꯍꯥꯛꯅꯥ ꯍꯣꯔꯃꯣꯟ ꯑꯗꯨ ꯄꯨꯊꯣꯀꯏ" ꯍꯥꯌꯅꯥ ꯍꯥꯌꯔꯤꯕꯥ ꯑꯗꯨꯅꯤ꯫ ꯑꯗꯨꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ‘ꯕꯣꯁ’ ꯑꯁꯤꯅꯥ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯊꯕꯛ ꯇꯧꯗ꯭ꯔꯕꯗꯤ ꯍꯣꯔꯃꯣꯟ ꯁꯤꯁ꯭ꯇꯦꯝ ꯄꯨꯝꯅꯃꯛ ꯑꯁꯤ ꯍꯦꯋꯥꯏꯔ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫
ꯃꯤꯔꯣꯜꯂꯤꯉꯩ ꯃꯇꯃꯗꯥ, ꯄꯤꯇꯨꯏꯇꯔꯤ ꯒ꯭ꯜꯌꯥꯟꯗ ꯑꯁꯤ ꯈꯔꯥ ꯍꯦꯟꯅꯥ ꯆꯥꯎꯈꯠꯂꯀꯏ꯫ ꯑꯉꯥꯡ ꯄꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯔꯝ ꯈꯔꯗꯒꯤ ꯅꯍꯥꯛꯅꯥ ꯏ ꯌꯥꯝꯅꯥ ꯆꯦꯟꯊꯔꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯅꯍꯥꯛꯀꯤ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ ꯑꯗꯨ ꯌꯥꯝꯅꯥ ꯅꯦꯝꯅꯥ ꯂꯩꯔꯕꯗꯤ, ꯍꯦꯅꯒꯠꯂꯛꯂꯤꯕꯥ ꯒ꯭ꯜꯌꯥꯟꯗ ꯑꯁꯤꯅꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯑꯣꯛꯁꯤꯖꯦꯅꯒꯤ ꯆꯥꯡ ꯑꯗꯨ ꯐꯪꯗꯦ꯫ ꯄꯥꯝꯕꯤ ꯑꯃꯅꯥ ꯏꯁꯤꯡ ꯋꯥꯠꯄꯥ ꯃꯇꯃꯗꯥ, ꯑꯣꯛꯁꯤꯖꯦꯟ ꯋꯥꯠꯄꯥ ꯃꯇꯃꯗꯥ ꯁꯣꯀꯄꯒꯨꯝꯅꯥ, ꯒ꯭ꯜꯌꯥꯟꯗ ꯑꯁꯤꯒꯤ ꯇꯤꯁꯨ ꯈꯔꯗꯤ ꯁꯣꯀꯍꯟꯗꯨꯅꯥ ꯁꯤꯍꯜꯂꯤ꯫ ꯑꯩꯈꯣꯌꯅꯥ ꯁꯤꯍꯥꯟ ꯁꯤꯟꯗꯣꯝ , ꯅꯠꯔꯒꯥ ꯄꯣꯁ꯭ꯇꯄꯥꯔꯇꯝ ꯍꯥꯏꯄꯣꯄꯤꯇꯨꯏꯇꯥꯔꯤꯖꯝ ꯍꯥꯌꯅꯥ ꯀꯧꯔꯤꯕꯥ ꯑꯁꯤꯅꯤ꯫
ꯄꯤꯇꯨꯏꯇꯔꯤ ꯒ꯭ꯜꯌꯥꯟꯗ ꯑꯗꯨ ꯁꯣꯀꯍꯜꯂꯕꯥ ꯃꯇꯃꯗꯥ ꯀꯔꯤ ꯊꯣꯀꯏ?
‘ꯕꯣꯁ’ꯅꯥ ꯊꯕꯛ ꯇꯧꯗꯕꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯃꯁꯤꯒꯤ ꯀꯟꯠꯔꯣꯜ ꯃꯈꯥꯗꯥ ꯂꯩꯕꯥ ꯑꯇꯣꯞꯄꯥ ꯒ꯭ꯜꯌꯥꯟꯗꯁꯤꯡꯁꯨ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯊꯕꯛ ꯇꯧꯗꯦ꯫ ꯃꯁꯤꯅꯥ ꯇꯥꯀꯄꯗꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯇꯉꯥꯏꯐꯗꯕꯥ ꯍꯣꯔꯃꯣꯟ ꯃꯁꯤꯡ ꯀꯌꯥ ꯄꯨꯊꯣꯀꯄꯥ ꯍꯟꯊꯔꯀꯏ ꯅꯠꯠꯔꯒꯥ ꯃꯄꯨꯡ ꯐꯥꯅꯥ ꯊꯤꯡꯖꯤꯜꯂꯤ꯫ ꯃꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯂꯩꯔꯤꯕꯥ ꯄꯣꯠꯁꯛ ꯀꯌꯥꯗꯥ ꯁꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯍꯣꯔꯃꯣꯅꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯀꯔꯤ ꯍꯟꯊꯔꯛꯂꯤꯕꯅꯣ ꯑꯃꯁꯨꯡ ꯃꯈꯣꯌꯗꯥ ꯀꯔꯤ ꯊꯣꯛꯂꯤꯕꯅꯣ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯁꯤ꯫
| ꯍꯣꯔꯃꯣꯟ꯫ | ꯍꯀꯆꯥꯡꯗꯥ ꯊꯧꯗꯥꯡ ꯂꯧꯕꯥ꯫ |
|---|---|
| ꯄ꯭ꯔꯣꯂꯥꯛꯇꯤꯟ (ꯄ꯭ꯔꯣꯂꯥꯛꯇꯤꯟ - ꯄꯤ.ꯑꯥꯔ.ꯑꯦꯜ.) | ꯑꯉꯥꯡ ꯑꯗꯨꯕꯨ ꯄꯤꯖꯅꯕꯒꯤꯗꯃꯛ ꯈꯣꯝꯂꯥꯡꯒꯤ ꯁꯉ꯭ꯒꯣꯝ ꯄꯨꯊꯣꯀꯄꯗꯥ ꯄꯨꯛꯅꯤꯡ ꯊꯧꯒꯠꯂꯤ꯫ |
| ꯂꯨꯇꯤꯅꯥꯏꯖꯤꯡ ꯍꯣꯔꯃꯣꯟ (LH) ꯑꯃꯁꯨꯡ ꯐꯣꯂꯤꯀꯜ-ꯁ꯭ꯇꯤꯝꯌꯨꯂꯦꯇꯤꯡ ꯍꯣꯔꯃꯣꯟ (FSH) | ꯃꯈꯣꯌꯅꯥ ꯊꯥꯒꯤ ꯑꯣꯏꯕꯥ ꯊꯥꯒꯤ ꯈꯣꯡꯀꯥꯞ ꯑꯃꯁꯨꯡ ꯑꯣꯚꯨꯂꯦꯁꯟ ꯔꯤꯒꯨꯂꯦꯠ ꯇꯧꯏ, ꯃꯈꯣꯌ ꯑꯁꯤ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯃꯤꯔꯣꯜꯂꯤꯉꯩꯗꯥ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫ |
| ꯊꯥꯏꯔꯣꯏꯗ-ꯁ꯭ꯇꯤꯝꯌꯨꯂꯦꯇꯤꯡ ꯍꯣꯔꯃꯣꯟ (TSH) | ꯈꯣꯡꯗꯥ ꯂꯩꯕꯥ ꯊꯥꯌꯔꯣꯏꯗ ꯒ꯭ꯜꯌꯥꯟꯗ ꯑꯁꯤ ꯁ꯭ꯇꯤꯝꯌꯨꯜ ꯇꯧꯏ ꯑꯃꯁꯨꯡ ꯍꯀꯆꯥꯡꯒꯤ ꯃꯦꯇꯥꯕꯣꯂꯤꯖꯝ, ꯑꯦꯅꯔꯖꯤ ꯑꯃꯁꯨꯡ ꯅꯔꯚꯁ ꯁꯤꯁ꯭ꯇꯦꯝ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯥ ꯍꯣꯔꯃꯣꯅꯁꯤꯡ ꯄꯨꯊꯣꯀꯏ꯫ |
| ꯑꯦꯗ꯭ꯔꯤꯅꯣꯀꯣꯔꯇꯤꯀꯣꯠꯔꯣꯄꯤꯛ ꯍꯣꯔꯃꯣꯟ (ACTH) ꯑꯁꯤ ꯑꯦꯟ. | ꯍꯀꯆꯥꯡꯅꯥ ꯁ꯭ꯠꯔꯦꯁ ꯂꯩꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯃꯁꯤꯅꯥ ꯀꯣꯔꯇꯤꯁꯣꯜ ꯀꯧꯕꯥ ꯍꯣꯔꯃꯣꯟ ꯑꯃꯥ ꯄꯨꯊꯣꯀꯄꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ, ꯃꯗꯨꯅꯥ ꯃꯗꯨꯕꯨ ꯊꯦꯡꯅꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫ ꯃꯁꯤ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ ꯑꯃꯁꯨꯡ ꯆꯤꯅꯤꯒꯤ ꯆꯥꯡ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯗꯁꯨ ꯃꯔꯨꯑꯣꯏ꯫ |
| ꯒ꯭ꯔꯣꯊ ꯍꯣꯔꯃꯣꯟ (ꯖꯤ.ꯑꯩꯆ.) | ꯕꯣꯟ ꯗꯦꯟꯁꯤꯇꯤ, ꯃꯁꯜ ꯃꯥꯁ ꯑꯃꯁꯨꯡ ꯍꯀꯆꯥꯡꯒꯤ ꯐꯦꯠ ꯌꯦꯟꯊꯣꯀꯄꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫ |
ꯁꯤꯍꯟ ꯁꯤꯟꯗ꯭ꯔꯣꯃꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?
ꯃꯁꯤꯒꯤ ꯑꯈꯟꯅꯕꯥ ꯋꯥꯐꯃꯗꯤ ꯃꯤꯑꯣꯏ ꯈꯔꯗꯗꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯑꯉꯥꯡ ꯄꯣꯛꯂꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯈꯨꯗꯛꯇꯥ ꯊꯣꯀꯏ꯫ ꯑꯇꯣꯞꯄꯁꯤꯡꯒꯤ ꯑꯣꯏꯅꯗꯤ, ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯊꯥ ꯀꯌꯥꯒꯤ ꯃꯇꯨꯡꯗꯥ, ꯆꯍꯤ ꯀꯌꯥꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯐꯥꯎꯕꯥ ꯂꯥꯀꯄꯥ ꯍꯧꯏ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯆꯦꯀꯁꯤꯅꯕꯥ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨ ꯑꯣꯏ꯫
ꯃꯍꯧꯁꯥꯅꯥ ꯎꯕꯥ ꯐꯪꯒꯗꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤꯅꯤ:
- ꯃꯤꯔꯣꯜꯂꯤꯉꯩ ꯃꯇꯨꯡꯗꯥ ꯈꯣꯝꯂꯥꯡ ꯄꯤꯊꯀꯄꯗꯥ ꯑꯋꯥꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯁꯉ꯭ꯒꯣꯝ ꯄꯤꯊꯀꯄꯥ ꯑꯁꯤ ꯑꯍꯥꯅꯕꯥ ꯈꯨꯗꯃꯁꯤꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯅꯤ꯫
- ꯊꯥꯒꯤ ꯈꯣꯡꯀꯥꯞ (menorrhea) ꯂꯦꯄꯈꯤꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯃꯁꯤꯒꯤ ꯑꯥꯏꯔꯦꯒꯨꯂꯔ ꯑꯣꯏꯕꯥ꯫
- ꯑꯆꯝꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ , ꯄꯨꯟꯁꯤ ꯂꯩꯇꯕꯥ, ꯑꯃꯁꯨꯡ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯃꯠꯇꯗꯥ ꯄꯨꯛꯅꯤꯡ ꯆꯪꯕꯥ ꯉꯃꯗꯕꯥ꯫
- ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ ꯅꯦꯝꯕꯥ .
- ꯁꯦꯛꯁꯀꯤ ꯑꯄꯥꯝꯕꯥ ꯍꯟꯊꯔꯀꯄꯥ꯫
- ꯈꯣꯡꯄꯥꯛ ꯑꯃꯁꯨꯡ ꯂꯅꯥꯏꯒꯤ ꯃꯐꯃꯁꯤꯡꯗꯥ ꯆꯨꯃꯊꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯕ꯭ꯔꯦꯁ꯭ꯠ ꯁꯣꯟꯊꯕꯥ꯫
- ꯁꯨꯡꯕꯥ ꯈꯣꯡꯎꯞ꯫
- ꯚꯦꯖꯤꯅꯦꯜ ꯑꯦꯠꯔꯣꯐꯤ (vaginal atrophy) ꯍꯥꯌꯕꯁꯤ ꯚꯦꯖꯤꯅꯦꯜ ꯋꯥꯂꯁꯤꯡ (vaginal walls) ꯁꯣꯟꯊꯍꯟꯗꯨꯅꯥ ꯃꯤꯔꯣꯅꯕꯥ (intercourse) ꯅꯥ ꯊꯣꯀꯍꯜꯂꯤꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯍꯀꯆꯥꯡꯅꯥ ꯑꯆꯧꯕꯥ ꯁ꯭ꯠꯔꯦꯁꯔ ꯑꯃꯥ, ꯍꯥꯌꯕꯗꯤ ꯁꯔꯖꯔꯤ ꯅꯠꯠꯔꯒꯥ ꯏꯅꯐꯦꯛꯁꯟ ꯑꯃꯥ ꯊꯦꯡꯅꯗ꯭ꯔꯤꯉꯩꯗꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯎꯕꯥ ꯐꯪꯗꯕꯥ ꯌꯥꯏ꯫ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯁꯤꯡ ꯑꯁꯤꯗꯥ, ꯍꯀꯆꯥꯡꯗꯥ ꯁ꯭ꯠꯔꯦꯁ ꯍꯣꯔꯃꯣꯟ (cortisol) ꯂꯩꯇꯕꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯈꯪꯍꯧꯗꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯂꯥꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯕꯨ ‘ꯑꯦꯗ꯭ꯔꯤꯅꯜ ꯀ꯭ꯔꯥꯏꯁꯤꯁ’ ꯍꯥꯌꯅꯥ ꯀꯧꯏ , ꯑꯃꯁꯨꯡ ꯃꯁꯤ ꯃꯦꯗꯤꯀꯦꯜ ꯏꯃꯔꯖꯦꯟꯁꯤ ꯑꯃꯅꯤ꯫
ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤꯒꯤꯗꯃꯛꯇꯥ ꯀꯅꯥꯅꯥ ꯔꯤꯁ꯭ꯛ ꯍꯦꯅꯒꯠꯂꯛꯂꯤꯕꯒꯦ?
ꯁꯤꯍꯥꯟ ꯁꯤꯟꯗ꯭ꯔꯣꯝ ꯑꯁꯤ ꯉꯁꯤꯗꯤ ꯌꯥꯝꯅꯥ ꯇꯣꯏꯅꯥ ꯊꯣꯀꯄꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫ ꯃꯔꯃꯗꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯂꯁꯤꯡꯗꯥ ꯑꯉꯥꯡ ꯄꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯏ ꯌꯥꯝꯅꯥ ꯊꯣꯀꯄꯥ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯑꯦꯃꯔꯖꯦꯟꯁꯤꯁꯤꯡ ꯃꯦꯅꯦꯖ ꯇꯧꯅꯕꯒꯤ ꯑꯍꯣꯡꯕꯥ ꯄꯥꯝꯕꯩꯁꯤꯡ ꯂꯩꯔꯤ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯑꯉꯥꯡ ꯄꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯌꯥꯝꯅꯥ ꯍꯦꯟꯅꯥ ꯏ ꯊꯣꯀꯄꯥ ꯌꯥꯕꯥ ꯐꯤꯚꯝ ꯈꯔꯗꯤ ꯂꯩ꯫ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯀꯦꯁꯁꯤꯡꯗꯗꯤ, ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤꯒꯤ ꯔꯤꯁ꯭ꯛ ꯈꯔꯥ ꯂꯩꯕꯥ ꯌꯥꯏ꯫
- ꯇ꯭ꯔꯤꯄꯜ ꯑꯃꯁꯨꯡ ꯇ꯭ꯔꯤꯄꯜ ꯇꯂꯥꯛ ꯂꯩꯕꯥ꯫
- ꯑꯉꯥꯡ ꯑꯗꯨꯒꯤ ꯑꯔꯨꯝꯕꯥ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯋꯥꯡꯏ (ꯄꯣꯀꯄꯒꯤ ꯑꯔꯨꯝꯕꯥ ꯋꯥꯡꯕꯥ ꯑꯉꯥꯡ)꯫
- ꯄ꯭ꯂꯥꯁꯦꯟꯇꯦꯜ ꯑꯦꯕꯔꯄꯁꯟ (Placental abruption) ꯂꯩꯕꯥ꯫
- ꯄ꯭ꯂꯥꯁꯦꯟꯇꯥ ꯄ꯭ꯔꯤꯚꯤꯌꯥ (ꯎꯇꯦꯔꯥꯁꯇꯥ ꯄ꯭ꯂꯥꯁꯦꯟꯇꯥꯒꯤ ꯂꯣ ꯄꯣꯖꯤꯁꯟ)꯫
- ꯃꯤꯔꯣꯜꯂꯤꯉꯩ ꯃꯇꯃꯗꯥ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ ꯋꯥꯡꯕꯥ (Preeclampsia)꯫
- ꯏꯅꯁ꯭ꯠꯔꯨꯃꯦꯟꯇꯦꯜ ꯗꯦꯂꯤꯚꯔꯤ (ꯐꯣꯔꯁꯦꯄꯁ ꯅꯠꯠꯔꯒꯥ ꯚꯦꯛꯌꯨꯝ ꯑꯦꯛꯁꯠꯔꯥꯛꯁꯟ)꯫
ꯃꯁꯤ ꯀꯔꯝꯅꯥ ꯐꯪꯒꯅꯤ ꯗꯣꯛꯇꯔ?
ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯇꯥꯟꯅꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯈꯣꯌꯅꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤꯒꯤ ꯆꯤꯡꯅꯕꯥ ꯂꯩꯔꯕꯗꯤ ꯃꯍꯥꯛꯅꯥ ꯇꯦꯁ꯭ꯠ ꯀꯌꯥ ꯑꯃꯥ ꯄꯥꯡꯊꯣꯛꯀꯅꯤ꯫
1. ꯅꯍꯥꯛꯀꯤ ꯃꯦꯗꯤꯀꯦꯜ ꯍꯤꯁ꯭ꯇꯔꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯕꯥ: ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯁꯣꯌꯗꯅꯥ ꯍꯪꯒꯅꯤ, "ꯅꯍꯥꯛꯅꯥ ꯑꯉꯥꯡ ꯑꯗꯨ ꯄꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯏ ꯌꯥꯝꯅꯥ ꯊꯣꯀꯈꯤꯕ꯭ꯔꯥ?", "ꯅꯍꯥꯛꯅꯥ ꯑꯉꯥꯡ ꯑꯗꯨꯕꯨ ꯈꯣꯝꯂꯥꯡ ꯄꯤꯊꯀꯄꯥ ꯉꯃꯈꯤꯕ꯭ꯔꯥ?", "ꯅꯍꯥꯛꯀꯤ ꯄꯤꯔꯤꯌꯗ ꯑꯗꯨ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯍꯧꯈꯤꯕ꯭ꯔꯥ?" ꯅꯍꯥꯛꯅꯥ ꯐꯥꯑꯣꯔꯤꯕꯥ ꯄꯨꯝꯅꯃꯛ ꯑꯗꯨ ꯃꯌꯦꯛ ꯁꯦꯡꯅꯥ ꯐꯣꯡꯗꯣꯀꯄꯥ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫
2. ꯕ꯭ꯂꯗ ꯇꯦꯁ꯭ꯠ: ꯅꯍꯥꯛꯀꯤ ꯏꯒꯤ ꯁꯦꯝꯄꯜ ꯑꯃꯥ ꯂꯧꯗꯨꯅꯥ ꯄꯤꯇꯨꯏꯇꯔꯤ ꯒ꯭ꯜꯌꯥꯟꯗꯅꯥ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯥ ꯍꯣꯔꯃꯣꯅꯁꯤꯡꯒꯤ ꯆꯥꯡ (TSH, cortisol, FSH, LH) ꯌꯦꯡꯁꯤꯜꯂꯤ꯫
3. ꯏꯃꯦꯖꯤꯡ ꯇꯦꯁ꯭ꯇꯁꯤꯡ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯑꯦꯝ.ꯑꯥꯔ.ꯑꯥꯏ.
ꯃꯁꯤꯒꯤ ꯂꯥꯏꯌꯦꯡꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯤꯅꯣ?
ꯃꯁꯤ ꯇꯥꯕꯗꯥ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯂꯩꯔꯣꯏꯗꯕꯅꯤ꯫ ꯁꯤꯍꯥꯟ ꯁꯤꯟꯗ꯭ꯔꯣꯝ ꯍꯥꯌꯕꯁꯤ ꯐꯖꯅꯥ ꯃꯦꯅꯦꯖ ꯇꯧꯕꯥ ꯉꯝꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫ ꯃꯁꯤꯒꯤ ꯂꯥꯏꯌꯦꯡ ꯑꯁꯤ ꯍꯣꯔꯃꯣꯟ ꯔꯤꯞꯂꯦꯁꯃꯦꯟꯇ ꯊꯦꯔꯥꯄꯤꯅꯤ꯫
ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯃꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯍꯧꯖꯤꯛ ꯁꯦꯃꯒꯠꯂꯤꯕꯥ ꯍꯣꯔꯃꯣꯅꯁꯤꯡ ꯑꯗꯨ ꯄꯤꯕꯅꯤ, ꯃꯁꯤ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛ ꯅꯠꯠꯔꯒꯥ ꯑꯇꯩ ꯄꯥꯝꯕꯩꯁꯤꯡꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯄꯤꯕꯅꯤ꯫ ꯃꯁꯤ ꯄꯨꯟꯁꯤ ꯆꯨꯞꯄꯥ ꯇꯧꯒꯗꯕꯥ ꯊꯕꯛ ꯑꯃꯅꯤ꯫
- ꯀꯣꯔꯇꯤꯀꯣꯁ꯭ꯇꯦꯔꯣꯏꯗꯁꯤꯡ : ꯍꯥꯏꯗ꯭ꯔꯣꯀꯣꯔꯇꯤꯁꯣꯅꯒꯨꯝꯕꯥ ꯍꯤꯗꯥꯀꯁꯤꯡ ꯑꯁꯤ ꯍꯟꯊꯔꯀꯄꯥ ACTH ꯍꯣꯔꯃꯣꯟ ꯑꯗꯨꯒꯤ ꯃꯍꯨꯠ ꯁꯤꯜꯂꯤ꯫
- ꯊꯥꯌꯔꯣꯏꯗ ꯍꯣꯔꯃꯣꯟ: ꯊꯥꯌꯔꯣꯏꯗ (levothyroxine) ꯇꯦꯕ꯭ꯂꯦꯇꯁꯤꯡꯅꯥ TSH ꯋꯥꯠꯄꯥ ꯑꯗꯨ ꯀꯣꯀꯍꯅꯕꯥ ꯉꯝꯃꯤ꯫
- ꯁꯦꯛꯁ ꯍꯣꯔꯃꯣꯅꯁꯤꯡ: ꯏꯁ꯭ꯠꯔꯣꯖꯦꯟ ꯑꯃꯁꯨꯡ ꯄ꯭ꯔꯣꯖꯦꯁ꯭ꯇꯦꯔꯣꯅꯅꯥ ꯊꯥꯒꯤ ꯑꯣꯏꯕꯥ ꯊꯥꯒꯤ ꯈꯣꯡꯀꯥꯞ ꯑꯗꯨ ꯔꯤꯒꯨꯂꯦꯠ ꯇꯧꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫
- ꯒ꯭ꯔꯣꯊ ꯍꯣꯔꯃꯣꯅꯁꯤꯡ: ꯃꯁꯤꯅꯥ ꯃꯁꯜ ꯑꯃꯁꯨꯡ ꯁꯔꯨꯒꯤ ꯃꯄꯥꯉ꯭ꯒꯜ ꯂꯩꯍꯅꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫
ꯃꯍꯧꯁꯥꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯂꯥꯏꯌꯦꯡ ꯑꯁꯤ ꯑꯦꯟꯗꯣꯛꯔꯥꯏꯅꯣꯂꯣꯖꯤꯁ꯭ꯠ ꯑꯃꯅꯥ ꯌꯦꯡꯁꯤꯜꯂꯤ, ꯑꯃꯁꯨꯡ ꯃꯍꯥꯛꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯏ ꯑꯗꯨ ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯇꯦꯁ꯭ꯠ ꯇꯧꯒꯅꯤ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯍꯣꯔꯃꯣꯅꯒꯤ ꯗꯣꯖ ꯑꯗꯨ ꯅꯍꯥꯛꯀꯤ ꯑꯀꯛꯅꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯁꯤꯡꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ ꯁꯦꯃꯗꯣꯛ-ꯁꯦꯃꯖꯤꯟ ꯇꯧꯒꯅꯤ꯫
ꯈꯉꯍꯧꯗꯅꯥ ꯏ.ꯇꯤ.ꯌꯨ.ꯗꯥ ꯆꯠꯄꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯃꯇꯝ ꯂꯩꯕꯔꯥ?
ꯍꯣꯌ, ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯩꯈꯣꯌꯅꯥ ꯃꯃꯥꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯈꯤꯕꯥ ꯑꯦꯗ꯭ꯔꯤꯅꯜ ꯀ꯭ꯔꯥꯏꯁꯤꯁ ꯀꯧꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯊꯦꯡꯅꯔꯕꯗꯤ, ꯃꯁꯤꯅꯥ ꯄꯨꯟꯁꯤꯗꯥ ꯈꯨꯗꯣꯡꯊꯤꯕꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯃꯁꯤ ꯈꯨꯗꯛꯀꯤ ꯑꯣꯏꯕꯥ ꯂꯥꯏꯌꯦꯡ ꯃꯊꯧ ꯇꯥꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯍꯦꯛꯇꯕꯨ ꯊꯦꯡꯅꯔꯕꯗꯤ, ꯈꯨꯗꯛꯇꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯅꯀꯄꯥ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯂꯒꯤ ꯏꯃꯔꯖꯦꯟꯁꯤ ꯗꯤꯄꯥꯔꯇꯃꯦꯟꯇ (ETU)ꯗꯥ ꯆꯠꯂꯨ꯫
- ꯍꯦꯗ-ꯑꯦꯛ , ꯃꯤꯠ ꯎꯗꯕꯥ꯫
- ꯈꯣꯡ, ꯃꯈꯥ ꯊꯪꯕꯥ ꯁꯔꯨꯛꯇꯥ ꯅꯠꯠꯔꯒꯥ ꯈꯣꯡꯗꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯄꯥ꯫
- ꯂꯥꯏꯍꯧ ꯍꯧꯕ
- ꯁꯥꯊꯤꯕꯥ ꯋꯥꯈꯜ ꯋꯥꯕꯥ꯫
- ꯅꯣꯡꯃꯩ ꯀꯥꯞꯄꯥ ꯑꯃꯁꯨꯡ ꯈꯣꯡ ꯍꯥꯝꯕꯥ꯫
- ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯋꯥꯈꯜ ꯃꯥꯡꯈꯤꯕꯥ꯫
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯁꯤꯍꯟ ꯁꯤꯟꯗ꯭ꯔꯣꯝ ꯂꯩꯔꯦ ꯍꯥꯌꯅꯥ ꯈꯪꯂꯕꯗꯤ, ꯃꯈꯣꯌꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯑꯦꯃꯔꯖꯦꯟꯁꯤ ꯑꯃꯥ ꯂꯥꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯈꯨꯗꯛꯇꯥ ꯂꯥꯏꯌꯦꯡꯅꯕꯥ ꯃꯦꯗꯤꯀꯦꯜ ꯑꯦꯂꯔꯠ ꯕ꯭ꯔꯦꯁꯂꯦꯠ ꯑꯃꯥ ꯁꯤꯖꯤꯟꯅꯅꯕꯥ ꯄꯥꯎꯇꯥꯛ ꯄꯤꯕꯁꯨ ꯌꯥꯏ꯫
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