ꯑꯗꯣꯃꯁꯨ ꯗꯥꯏꯑꯦꯕꯦꯇꯤꯖ ꯂꯩꯕ꯭ꯔꯥ, ꯍꯥꯌꯕꯗꯤ ‘ꯆꯤꯅꯤꯒꯤ ꯂꯥꯌꯅꯥ’? ꯑꯗꯨꯗꯒꯤ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯃꯁꯤꯕꯨ ꯃꯦꯅꯦꯖ ꯇꯧꯕꯗꯥ ꯀꯌꯥ ꯌꯥꯝꯅꯥ ꯁꯤꯡꯅꯕꯥ ꯑꯣꯏꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯑꯗꯣꯝꯅꯥ ꯈꯉꯂꯃꯒꯅꯤ꯫ ꯑꯩꯈꯣꯌꯒꯤ ꯂꯩꯕꯥꯛ ꯑꯁꯤꯗꯥ ꯃꯤꯑꯣꯏ ꯀꯌꯥ ꯇꯥꯏꯞ ꯲ ꯗꯥꯏꯕꯦꯇꯤꯁꯅꯥ ꯅꯥꯔꯤ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯃꯁꯤꯒꯤꯗꯃꯛꯇꯥ ꯁꯤꯖꯤꯟꯅꯔꯤꯕꯥ ꯍꯤꯗꯥꯛ ꯃꯈꯜ ꯀꯌꯥ ꯂꯩꯔꯤ꯫ ꯉꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯗꯥꯏꯕꯦꯇꯤꯁ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯂꯤꯕꯥ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯍꯤꯗꯥꯛ ꯑꯃꯥ ꯑꯣꯏꯔꯤꯕꯥ ‘ꯁꯣꯂꯤꯛꯕꯥ’ꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯔꯤ꯫
ꯑꯍꯥꯅꯕꯗꯥ, ꯇꯥꯏꯞ 2 ꯗꯥꯏꯑꯦꯕꯦꯇꯤꯖ ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ?
ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯃꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯕ꯭ꯂꯗ ꯁꯨꯒꯔ, ꯅꯠꯠꯔꯒꯥ ꯒ꯭ꯂꯨꯀꯣꯖꯒꯤ ꯆꯥꯡ ꯑꯁꯤ ꯅꯣꯔꯃꯦꯂꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯋꯥꯡꯕꯥ ꯃꯇꯃꯅꯤ꯫ ꯃꯁꯤ ꯊꯣꯀꯄꯥ ꯌꯥꯕꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯔꯝ ꯑꯅꯤ ꯂꯩ꯫ ꯑꯃꯅꯥ ꯍꯣꯔꯃꯣꯟ ꯏꯅꯁꯨꯂꯤꯟ ꯄꯨꯊꯣꯀꯄꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯄꯦꯅꯛꯔꯤꯑꯦꯖ ꯑꯁꯤꯅꯥ ꯏꯅꯁꯨꯂꯤꯟ ꯃꯇꯤꯛ ꯆꯥꯅꯥ ꯄꯨꯊꯣꯀꯄꯥ ꯉꯃꯗꯦ꯫ ꯑꯇꯣꯞꯄꯥ ꯑꯃꯅꯥ ꯍꯀꯆꯥꯡꯅꯥ ꯄꯨꯊꯣꯀꯄꯥ ꯏꯅꯁꯨꯂꯤꯟ ꯑꯗꯨ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯁꯤꯖꯤꯟꯅꯕꯥ ꯉꯃꯗꯕꯅꯤ꯫
ꯃꯁꯤ ꯀ꯭ꯔꯣꯅꯤꯛ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫ ꯃꯤꯑꯣꯏ ꯈꯔꯅꯥ ꯃꯁꯤ ꯑꯐꯕꯥ ꯗꯥꯏꯠ ꯑꯃꯁꯨꯡ ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯈꯛꯇꯅꯥ ꯃꯦꯅꯦꯖ ꯇꯧꯕꯥ ꯉꯝꯃꯤ, ꯑꯗꯨꯕꯨ ꯑꯇꯩ ꯈꯔꯗꯗꯤ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡꯒꯤ ꯀꯝꯕꯤꯅꯦꯁꯟ ꯑꯃꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯏ꯫
ꯇꯥꯏꯞ 2 ꯗꯥꯏꯑꯦꯕꯦꯇꯤꯖꯒꯤ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯂꯥꯏꯑꯣꯡ ꯀꯌꯥ ꯂꯩ꯫ ꯃꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯈꯔꯗꯤ ꯅꯍꯥꯛꯅꯥ ꯃꯁꯥꯃꯛꯅꯥ ꯊꯦꯡꯅꯔꯀꯄꯥ ꯌꯥꯏ꯫
| ꯗꯥꯏꯑꯦꯕꯦꯇꯤꯖꯒꯤ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ꯫ | |
|---|---|
| • ꯑꯍꯦꯅꯕꯥ ꯇꯀꯈꯥꯌꯔꯕꯥ꯫ | • ꯌꯥꯝꯅꯥ ꯂꯃꯍꯥꯡꯗꯥ ꯈꯣꯉ ꯍꯥꯃꯗꯕꯥ꯫ |
| • ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯌꯨ ꯊꯀꯄꯥ꯫ | • ꯌꯥꯝꯅꯥ ꯋꯥꯅꯥ ꯋꯥꯈꯜ ꯇꯥꯕꯥ꯫ |
| • ꯃꯤꯠꯌꯦꯡ ꯊꯃꯗꯕꯥ꯫ | • ꯃꯁꯥ ꯃꯊꯟꯇꯥ ꯁꯣꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯇꯤꯟ ꯁꯤꯠꯄꯥ꯫ |
ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯕ꯭ꯂꯗ ꯁꯨꯒꯔꯒꯤ ꯆꯥꯡ ꯌꯦꯡꯁꯤꯟꯗꯨꯅꯥ, ꯃꯔꯨꯑꯣꯏꯅꯥ HbA1c (ꯍꯦꯃꯣꯒ꯭ꯂꯣꯕꯤꯟ A1c) ꯀꯧꯕꯥ ꯇꯦꯁ꯭ꯠ ꯑꯃꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯥꯏꯑꯦꯕꯦꯇꯤꯖ ꯑꯗꯨ ꯌꯦꯡꯁꯤꯅꯒꯅꯤ꯫ ꯃꯁꯤꯒꯤ HbA1c ꯇꯦꯁ꯭ꯠ ꯑꯁꯤꯅꯥ ꯍꯧꯈꯤꯕꯥ ꯊꯥ ꯲-꯳ ꯑꯁꯤꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯆꯥꯡꯆꯠꯇꯥ ꯕ꯭ꯂꯗ ꯁꯨꯒꯔꯒꯤ ꯆꯥꯡ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯑꯣꯏꯈꯤꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯎꯠꯄꯥ ꯉꯃꯒꯅꯤ . ꯁꯣꯂꯤꯛꯌꯨꯌꯥ ꯑꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯕ꯭ꯂꯗ ꯁꯨꯒꯔꯒꯤ ꯆꯥꯡ ꯑꯃꯁꯨꯡ HbA1c ꯍꯟꯊꯍꯅꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯂꯤꯕꯥ ꯍꯤꯗꯥꯛ ꯑꯃꯅꯤ꯫
ꯗ꯭ꯔꯒ ꯁꯣꯂꯤꯛꯌꯨꯌꯥ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯊꯕꯛ ꯇꯧꯕꯒꯦ?
ꯁꯣꯂꯤꯛꯌꯨꯌꯥ ꯑꯁꯤ ꯗ꯭ꯔꯒ ꯑꯃꯒꯥ ꯃꯥꯟꯅꯔꯕꯁꯨ ꯃꯁꯤꯗꯥ ꯍꯤꯗꯥꯛ ꯑꯅꯤꯒꯤ ꯀꯝꯕꯤꯅꯦꯁꯟ ꯑꯃꯥ ꯌꯥꯑꯣꯏ .
1. ꯏꯅꯁꯨꯂꯤꯟ ꯒ꯭ꯂꯥꯔꯖꯤꯟ: ꯃꯁꯤ ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯆꯠꯄꯥ ꯏꯅꯁꯨꯂꯤꯟ ꯃꯈꯜ ꯑꯃꯅꯤ꯫ ꯃꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯑꯍꯦꯅꯕꯥ ꯏꯅꯁꯨꯂꯤꯟ ꯄꯤꯗꯨꯅꯥ ꯊꯕꯛ ꯇꯧꯏ꯫ ꯏꯅꯁꯨꯂꯤꯅꯅꯥ ꯏꯗꯒꯤ ꯆꯤꯅꯤ ꯑꯁꯤ ꯑꯦꯅꯔꯖꯤꯒꯤꯗꯃꯛꯇꯥ ꯁꯤꯖꯤꯟꯅꯅꯕꯥ ꯍꯀꯆꯥꯡꯒꯤ ꯁꯦꯂꯁꯤꯡꯗꯥ ꯆꯠꯍꯅꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ, ꯑꯃꯁꯨꯡ ꯂꯤꯚꯔꯅꯥ ꯑꯅꯧꯕꯥ ꯆꯤꯅꯤ ꯁꯦꯝꯕꯥ ꯊꯤꯡꯏ꯫
2. ꯂꯤꯛꯁꯤꯁꯦꯅꯥꯇꯥꯏꯗ: ꯃꯁꯤ ꯖꯤ.ꯑꯦꯜ.ꯄꯤ.-꯱ (ꯒ꯭ꯂꯨꯀꯥꯒꯣꯟ-ꯂꯥꯏꯛ ꯄꯦꯄꯇꯤꯛ-꯱) ꯑꯦꯒꯣꯅꯤꯁ꯭ꯠ ꯀꯧꯕꯥ ꯀ꯭ꯂꯥꯁ ꯑꯃꯒꯤ ꯗ꯭ꯔꯒ ꯑꯃꯅꯤ꯫ ꯃꯁꯤꯅꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯊꯕꯛ ꯑꯍꯨꯝ ꯇꯧꯏ꯫ ꯑꯃꯅꯥ ꯄꯦꯅꯛꯔꯤꯑꯦꯖꯅꯥ ꯏꯅꯁꯨꯂꯤꯟ ꯍꯦꯟꯅꯥ ꯁꯦꯝꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯕꯅꯤ꯫ ꯑꯅꯤꯁꯨꯕꯗꯥ ꯂꯤꯚꯔꯗꯥ ꯊꯝꯂꯤꯕꯥ ꯆꯤꯅꯤ ꯑꯗꯨ ꯏꯗꯥ ꯆꯪꯂꯀꯄꯥ ꯊꯤꯡꯕꯅꯤ꯫ ꯑꯍꯨꯃꯁꯨꯕꯥ ꯑꯁꯤꯅꯥ ꯆꯤꯟꯖꯥꯛ ꯑꯁꯤ ꯏꯟꯇꯦꯁ꯭ꯇꯥꯏꯅꯁꯤꯡꯒꯤ ꯃꯔꯛꯇꯥ ꯆꯠꯊꯣꯛ-ꯆꯠꯁꯤꯟ ꯇꯧꯕꯒꯤ ꯆꯥꯡ ꯍꯟꯊꯍꯅꯕꯅꯤ, ꯃꯁꯤꯅꯥ ꯆꯥꯕꯥ ꯂꯣꯏꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯕ꯭ꯂꯗ ꯁꯨꯒꯔꯒꯤ ꯆꯥꯡ ꯈꯉꯍꯧꯗꯅꯥ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ ꯑꯁꯤ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫
ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯁꯣꯂꯤꯛꯌꯨꯌꯥ ꯑꯁꯤ ꯗꯥꯏꯑꯦꯕꯦꯇꯤꯖ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯅꯕꯥ ꯃꯥꯌꯀꯩ ꯑꯅꯤꯃꯛꯇꯒꯤ ꯑꯦꯇꯦꯛ ꯇꯧꯕꯥ ꯍꯩꯊꯣꯏ-ꯁꯤꯡꯊꯣꯏꯔꯕꯥ ꯂꯥꯟꯃꯤ ꯑꯃꯒꯨꯝꯕꯅꯤ꯫
ꯍꯤꯗꯥꯛ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯁꯤꯖꯤꯟꯅꯒꯅꯤ?
ꯁꯣꯂꯤꯛꯌꯨꯌꯥ ꯑꯁꯤ ꯏꯅꯖꯦꯀꯁꯟ ꯑꯃꯥ ꯑꯣꯏꯅꯥ ꯁꯤꯖꯤꯟꯅꯕꯥ ꯌꯥꯕꯥ ꯏꯅꯖꯦꯀꯁꯟ ꯇꯧꯕꯥ ꯌꯥꯕꯥ ꯄꯦꯟ ꯑꯃꯥ ꯑꯣꯏꯅꯥ ꯂꯥꯀꯏ꯫
- ꯃꯁꯤ ꯅꯣꯡꯃꯗꯥ ꯑꯃꯨꯛ ꯍꯟꯅꯥ , ꯅꯨꯃꯤꯠꯀꯤ ꯑꯍꯥꯅꯕꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯆꯥꯀꯁꯉꯒꯤ ꯄꯨꯡ ꯑꯃꯥ ꯃꯃꯥꯡꯗꯥ ꯂꯧꯒꯗꯕꯅꯤ꯫
- ꯏꯅꯖꯦꯀꯁꯟ ꯄꯤꯒꯗꯕꯥ ꯃꯐꯝ ꯑꯍꯨꯝ ꯂꯩ: ꯈꯣꯡ, ꯈꯣꯡ ꯅꯠꯠꯔꯒꯥ ꯃꯊꯛ ꯊꯪꯕꯥ ꯁꯔꯨꯛꯇꯥ꯫
- ꯃꯇꯝ ꯄꯨꯝꯅꯃꯛꯇꯥ ꯆꯞ ꯃꯥꯟꯅꯕꯥ ꯃꯐꯝ ꯑꯗꯨꯗꯥ ꯂꯦꯡꯗꯅꯥ ꯂꯩꯕꯒꯤ ꯃꯍꯨꯠꯇꯥ, ꯅꯍꯥꯛꯅꯥ ꯀ꯭ꯔꯤꯝ ꯑꯗꯨ ꯊꯥꯔꯤꯕꯥ ꯃꯐꯝ ꯑꯗꯨ ꯍꯣꯡꯗꯣꯀꯄꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫ ꯃꯁꯤꯅꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯕꯥ ꯈꯣꯡ-ꯈꯨꯠꯀꯤ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯃꯁꯤꯡ (ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯈꯣꯡ-ꯈꯨꯠ ꯁꯣꯀꯄꯥ, ꯈꯣꯡ-ꯈꯨꯠ ꯁꯣꯛꯅꯕꯥ) ꯊꯤꯡꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯒꯅꯤ꯫
- ꯑꯁꯣꯀꯄꯥ, ꯁꯣꯛ-ꯄꯅꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯕꯥ ꯃꯐꯃꯁꯤꯡꯗꯥ ꯏꯅꯖꯦꯀꯁꯟ ꯇꯧꯔꯣꯏꯗꯕꯅꯤ꯫
- ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯄꯤꯕꯥ ꯗꯣꯖꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯀꯩꯗꯧꯉꯩꯗꯥ ꯁꯤꯖꯤꯟꯅꯔꯣꯏꯗꯕꯅꯤ꯫
- ꯁꯣꯂꯤꯛꯌꯨꯌꯥ ꯑꯁꯤ ꯑꯇꯩ ꯃꯈꯜ ꯑꯃꯠꯇꯒꯤ ꯏꯅꯁꯨꯂꯤꯅꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯌꯥꯟꯁꯤꯟꯅꯒꯅꯨ꯫
- ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ: ꯅꯍꯥꯛꯀꯤ ꯅꯤꯗꯁꯤꯡ ꯑꯗꯨ ꯀꯩꯗꯧꯉꯩꯗꯥ ꯑꯇꯣꯞꯄꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯁꯦꯌꯔ ꯇꯧꯔꯣꯏꯗꯕꯅꯤ ꯅꯠꯠꯔꯒꯥ ꯁꯤꯖꯤꯟꯅꯔꯕꯥ ꯅꯤꯗꯜ ꯑꯃꯥ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯁꯤꯖꯤꯟꯅꯔꯣꯏꯗꯕꯅꯤ꯫
ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯕ꯭ꯂꯗ ꯁꯨꯒꯔꯒꯤ ꯆꯥꯡ, ꯑꯦꯛꯁꯔꯁꯥꯏꯖꯒꯤ ꯆꯥꯡ, ꯗꯥꯏꯠ, ꯁ꯭ꯠꯔꯦꯁꯀꯤ ꯆꯥꯡ ꯑꯃꯁꯨꯡ ꯑꯇꯩ ꯃꯦꯗꯤꯀꯦꯜ ꯀꯟꯗꯤꯁꯅꯁꯤꯡꯗꯥ ꯌꯨꯝꯐꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯅꯍꯥꯛꯀꯤꯗꯃꯛꯇꯥ ꯑꯆꯨꯝꯕꯥ ꯗꯣꯖ ꯑꯗꯨ ꯂꯦꯄꯀꯅꯤ꯫ ꯍꯤꯗꯥꯛ ꯑꯁꯤ ꯂꯧꯔꯤꯉꯩꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯕ꯭ꯂꯗ ꯁꯨꯒꯔꯒꯤ ꯆꯥꯡ ꯑꯗꯨ ꯀꯌꯥꯝ ꯀꯨꯏꯅꯥ ꯌꯦꯡꯁꯤꯅꯒꯗꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯍꯪꯕꯤꯌꯨ꯫
ꯃꯁꯤꯒꯤ ꯁꯥꯏꯗ ꯏꯐꯦꯛꯇꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯤꯅꯣ ꯑꯃꯁꯨꯡ ꯃꯈꯣꯌ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯃꯦꯅꯦꯖ ꯇꯧꯒꯗꯒꯦ?
ꯍꯤꯗꯥꯛ ꯑꯃꯍꯦꯛꯇꯒꯨꯝꯅꯥ ꯁꯣꯂꯤꯛꯌꯨꯌꯥꯅꯥ ꯁꯥꯏꯗ ꯏꯐꯦꯛꯇꯁꯤꯡ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯕꯨ ꯃꯤꯄꯨꯝ ꯈꯨꯗꯤꯡꯃꯛꯅꯥ ꯃꯈꯣꯌꯁꯤꯡ ꯑꯁꯤ ꯐꯪꯗꯦ꯫ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯁꯥꯏꯗ ꯏꯐꯦꯛꯇꯁꯤꯡꯗꯤ:
- ꯕ꯭ꯂꯗ ꯁꯨꯒꯔꯒꯤ ꯆꯥꯡ ꯅꯦꯝꯕꯥ (Hypoglycemia) .
- ꯀꯣꯛ ꯉꯥꯎꯕ
- ꯀꯣꯛ ꯆꯤꯀꯄꯥ, ꯀꯣꯜꯗ-ꯂꯥꯏꯛ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ꯫
- ꯈꯣꯡ ꯍꯥꯝꯗꯕ
- ꯀꯣꯛ ꯆꯤꯛꯄ
ꯕ꯭ꯂꯗ ꯁꯨꯒꯔꯒꯤ ꯆꯥꯡ ꯅꯦꯝꯕꯥ (Hypoglycemia) - ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯃꯔꯨꯑꯣꯏꯅꯥ ꯆꯦꯀꯁꯤꯅꯕꯤꯌꯨ!
ꯃꯁꯤ ꯁꯣꯂꯤꯛꯌꯨꯏꯇꯀꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯑꯃꯁꯨꯡ ꯈꯨꯗꯛꯀꯤ ꯑꯣꯏꯕꯥ ꯁꯥꯏꯗ ꯏꯐꯦꯛꯇꯅꯤ꯫ ꯍꯥꯏꯄꯣꯒ꯭ꯂꯥꯏꯁꯦꯃꯤꯌꯥ ꯍꯥꯌꯕꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯕ꯭ꯂꯗ ꯁꯨꯒꯔꯒꯤ ꯂꯦꯚꯦꯜ ꯑꯗꯨ 70 mg/dL ꯅꯠꯠꯔꯒꯥ ꯃꯁꯤꯗꯒꯤ ꯍꯦꯅꯕꯥ ꯃꯇꯃꯗꯥ ꯍꯟꯊꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯑꯣꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯊꯦꯡꯅꯔꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯊꯨꯅꯥ ꯊꯕꯛ ꯄꯥꯌꯈꯠꯄꯥ ꯃꯊꯧ ꯇꯥꯏ꯫
| ꯕ꯭ꯂꯗ ꯁꯨꯒꯔ ꯅꯦꯃꯊꯔꯀꯄꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ (Hypoglycemia) | |
|---|---|
| • ꯋꯥꯈꯜ ꯋꯥꯕꯥ, ꯊꯋꯥꯏ ꯌꯥꯑꯣꯕꯥ꯫ | • ꯌꯥꯝꯅꯥ ꯋꯥꯅꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ꯫ |
| • ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ, ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ꯫ | • ꯌꯥꯝꯅꯥ ꯂꯃꯍꯥꯡꯗꯥ ꯈꯣꯉꯍꯥꯃꯗꯕꯥ꯫ |
| • ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯊꯝꯃꯣꯌ ꯁꯣꯀꯄꯥ꯫ | • ꯇꯨꯝꯕꯥ ꯌꯥꯗꯕꯥ, ꯃꯤꯠ ꯅꯠꯠꯔꯒꯥ ꯊꯕꯥꯛ ꯁꯣꯀꯄꯥ꯫ |
| ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯊꯦꯡꯅꯔꯕꯗꯤ ꯅꯠꯠꯔꯒꯥ ꯅꯍꯥꯛꯀꯤ ꯆꯤꯅꯤꯒꯤ ꯆꯥꯡ ꯑꯗꯨ 70ꯒꯤ ꯃꯈꯥꯗꯥ ꯂꯩꯔꯕꯗꯤ ꯅꯍꯥꯛꯅꯥ ꯀꯔꯤ ꯇꯧꯒꯗꯒꯦ? | |
1. ꯆꯤꯅꯤ ꯈꯔꯥ ꯊꯨꯅꯥ ꯆꯥꯕꯥ꯫ ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯒ꯭ꯂꯨꯀꯣꯖ ꯇꯦꯕ꯭ꯂꯦꯠ ꯑꯃꯥ, ꯆꯤꯅꯤ ꯆꯃꯆ ꯑꯃꯥ, ꯁꯉ꯭ꯒꯣꯃꯒꯤ ꯆꯃꯆ ꯑꯃꯥ ꯅꯠꯠꯔꯒꯥ ꯃꯅꯥ-ꯃꯁꯤꯡꯒꯤ ꯖꯨꯁ ꯒ꯭ꯂꯥꯁ ꯑꯃꯥ (ꯅꯟ-ꯗꯥꯏꯠ) ꯊꯀꯎ꯫ 2. ꯃꯤꯅꯤꯠ ꯱꯵ ꯉꯥꯏꯌꯨ꯫ 3. ꯅꯍꯥꯛꯀꯤ ꯕ꯭ꯂꯗ ꯁꯨꯒꯔꯒꯤ ꯆꯥꯡ ꯑꯗꯨ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯌꯦꯡꯁꯤꯜꯂꯨ꯫ 4. ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯁꯤ ꯍꯧꯖꯤꯀꯁꯨ ꯅꯦꯝꯅꯥ ꯂꯩꯔꯕꯗꯤ (70ꯒꯤ ꯃꯈꯥꯗꯥ) ꯁ꯭ꯇꯦꯞ ꯑꯃꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯆꯤꯅꯤ ꯈꯔꯥ ꯆꯥꯒꯗꯕꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯂꯦꯡꯗꯅꯥ ꯂꯩꯔꯕꯗꯤ ꯅꯠꯠꯔꯒꯥ ꯅꯍꯥꯛꯅꯥ ꯋꯥꯈꯜ ꯃꯥꯡꯈꯤꯕꯥ ꯑꯣꯏꯔꯕꯗꯤ, ꯈꯨꯗꯛꯇꯥ ꯀꯅꯥꯒꯨꯝꯕꯥ ꯑꯃꯗꯥ ꯀꯧꯔꯒꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯅꯀꯄꯥ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯂꯒꯤ ꯏꯃꯔꯖꯦꯟꯁꯤ ꯗꯤꯄꯥꯔꯇꯃꯦꯟꯇ (ETU) ꯗꯥ ꯄꯨꯈꯠꯀꯗꯕꯅꯤ꯫ | |
ꯑꯇꯣꯞꯄꯥ ꯁꯥꯏꯗ ꯏꯐꯦꯛꯇꯁꯤꯡꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯀꯔꯤ ꯍꯥꯌꯒꯅꯤ?
- ꯅꯣꯡꯃꯩ ꯀꯥꯞꯄꯒꯤꯗꯃꯛ: ꯃꯆꯤ ꯑꯣꯏꯕꯥ ꯑꯃꯁꯨꯡ ꯇꯩꯁꯤꯅꯕꯥ ꯆꯤꯟꯖꯥꯀꯁꯤꯡ ꯆꯥꯔꯣꯏꯗꯕꯅꯤ꯫ ꯑꯃꯨꯀꯈꯛꯇꯪ ꯌꯥꯝꯅꯥ ꯆꯥꯕꯒꯤ ꯃꯍꯨꯠꯇꯥ ꯑꯄꯤꯀꯄꯥ ꯆꯥꯅꯕꯥ ꯆꯤꯟꯖꯥꯛ ꯆꯥꯒꯗꯕꯅꯤ꯫ ꯏꯁꯤꯡ ꯃꯔꯥꯡ ꯀꯥꯌꯅꯥ ꯊꯀꯎ꯫
- ꯈꯣꯡ ꯍꯥꯝꯕꯥ ꯍꯟꯊꯍꯟꯅꯕꯥ: ꯆꯦꯡ ꯑꯃꯁꯨꯡ ꯕꯦꯅꯥꯅꯒꯨꯝꯕꯥ ꯂꯥꯏꯅꯥ ꯊꯣꯀꯄꯥ ꯆꯤꯟꯖꯥꯀꯁꯤꯡ ꯆꯥꯒꯗꯕꯅꯤ꯫ ꯏꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯐ꯭ꯂꯨꯏꯗ ꯃꯔꯥꯡ ꯀꯥꯌꯅꯥ ꯊꯀꯎ꯫ ꯀꯣꯐꯤ ꯑꯃꯁꯨꯡ ꯆꯥ ꯍꯟꯊꯍꯅꯕꯥ꯫
- ꯀꯣꯛ ꯆꯤꯀꯄꯥ, ꯀꯣꯜꯗ, ꯍꯦꯗ-ꯑꯦꯀꯀꯤꯗꯃꯛꯇꯥ:ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯊꯧꯗꯣꯀꯁꯤꯡ ꯑꯁꯤ ꯊꯣꯛꯂꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯇꯥꯟꯅꯧ ꯑꯃꯁꯨꯡ ꯃꯇꯤꯛ ꯆꯥꯕꯥ ꯂꯥꯏꯌꯦꯡ ꯂꯧꯕꯤꯌꯨ꯫
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯁꯥꯏꯗ ꯏꯐꯦꯛꯇꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯍꯦꯛꯇꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯂꯦꯡꯗꯅꯥ ꯂꯩꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯁꯣꯌꯗꯅꯥ ꯈꯪꯍꯅꯕꯤꯌꯨ꯫
ꯁꯣꯂꯤꯛꯌꯨꯌꯥꯅꯥ ꯑꯇꯩ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡꯒꯥ ꯏꯟꯇꯔꯦꯛꯇ ꯇꯧꯕꯥ ꯌꯥꯕ꯭ꯔꯥ? (ꯗ꯭ꯔꯒ ꯏꯟꯇꯔꯦꯛꯁꯅꯁꯤꯡ)
ꯍꯣꯏ. ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫ ꯁꯣꯂꯤꯛꯌꯨꯌꯥꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯧꯔꯤꯕꯥ ꯑꯇꯩ ꯍꯤꯗꯥꯀꯁꯤꯡꯒꯥ ꯏꯟꯇꯔꯦꯛꯇ ꯇꯧꯕꯥ ꯌꯥꯏ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯧꯔꯤꯕꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛ ꯄꯨꯝꯅꯃꯛ (ꯚꯤꯇꯥꯃꯤꯅꯁꯤꯡ, ꯁꯞꯂꯤꯃꯦꯟꯇꯁꯤꯡ, ꯑꯃꯁꯨꯡ ꯍꯔꯕꯦꯜ ꯍꯤꯗꯥꯀꯁꯤꯡ ꯌꯥꯎꯅꯥ) ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯈꯪꯍꯅꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫
- ꯕ꯭ꯂꯗ ꯁꯨꯒꯔ ꯍꯟꯊꯍꯅꯕꯒꯤ ꯔꯤꯁ꯭ꯛ ꯍꯦꯅꯒꯠꯍꯅꯕꯥ ꯍꯤꯗꯥꯀꯁꯤꯡ: ꯗꯥꯏꯑꯦꯕꯦꯇꯤꯖꯒꯤ ꯑꯇꯩ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ, ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔꯒꯤ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ (ACE inhibitors, ARBs), ꯑꯦꯁ꯭ꯄꯤꯔꯤꯟ, ꯑꯃꯁꯨꯡ ꯁꯥꯏꯀꯤꯌꯥꯠꯔꯤꯛ ꯍꯤꯗꯥꯛ ꯈꯔ (fluoxetine)ꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯁꯣꯂꯤꯛꯌꯨꯌꯥ ꯂꯧꯕꯅꯥ ꯕ꯭ꯂꯗ ꯁꯨꯒꯔꯒꯤ ꯆꯥꯡ ꯌꯥꯝꯅꯥ ꯍꯟꯊꯍꯅꯕꯥ ꯌꯥꯏ꯫
- ꯁꯣꯂꯤꯛꯌꯨꯌꯥꯒꯤ ꯏꯐꯦꯛꯇꯤꯕꯅꯦꯁ ꯍꯟꯊꯍꯅꯕꯥ ꯉꯝꯕꯥ ꯍꯤꯗꯥꯀꯁꯤꯡ: ꯁ꯭ꯇꯦꯔꯣꯏꯗꯁꯤꯡ (prednisone), ꯁꯥꯏꯀꯤꯌꯥꯠꯔꯤꯛ ꯍꯤꯗꯥꯛ ꯈꯔꯗꯤ, ꯄꯣꯀꯄꯥ ꯊꯤꯡꯅꯕꯥ ꯍꯤꯗꯥꯀꯁꯤꯡ, ꯑꯃꯁꯨꯡ ꯊꯥꯌꯔꯣꯏꯗ ꯍꯣꯔꯃꯣꯅꯒꯤ ꯍꯤꯗꯥꯀꯁꯤꯡꯅꯥ ꯁꯣꯂꯤꯛꯌꯨꯏꯒꯤ ꯏꯐꯦꯛꯇ ꯍꯟꯊꯍꯅꯕꯥ ꯉꯝꯃꯤ꯫
- ꯕꯔꯊ ꯀꯟꯠꯔꯣꯜ ꯄꯤꯂꯁꯤꯡ, ꯑꯦꯟꯇꯤꯕꯥꯏꯑꯣꯇꯤꯀꯁꯤꯡ, ꯑꯦꯁꯤꯇꯥꯃꯤꯅꯣꯐꯦꯟ: ꯁꯣꯂꯤꯛꯌꯨꯌꯥꯅꯥ ꯆꯤꯟꯖꯥꯛ ꯑꯁꯤ ꯏꯟꯇꯦꯁ꯭ꯇꯥꯏꯅꯁꯤꯡꯒꯤ ꯃꯔꯛꯇꯥ ꯆꯠꯊꯣꯛ-ꯆꯠꯁꯤꯟ ꯇꯧꯕꯒꯤ ꯆꯥꯡ ꯍꯟꯊꯍꯅꯕꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯍꯤꯗꯥꯀꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯍꯀꯆꯥꯡꯅꯥ ꯗ꯭ꯔꯒ ꯑꯁꯤ ꯂꯧꯁꯤꯅꯕꯗꯥ ꯑꯀꯥꯌꯕꯥ ꯄꯤꯕꯥ ꯌꯥꯏ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯃꯍꯧꯁꯥꯅꯥ ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯍꯤꯗꯥꯀꯁꯤꯡ ꯑꯁꯤ ꯁꯣꯂꯤꯛꯌꯨꯏꯗ ꯏꯅꯖꯦꯀꯁꯟ ꯑꯃꯒꯤ ꯄꯨꯡ ꯑꯃꯒꯤ ꯃꯃꯥꯡꯗꯥ ꯂꯧꯅꯕꯥ ꯄꯥꯎꯇꯥꯛ ꯄꯤꯔꯤ꯫
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯅꯧꯕꯥ ꯍꯤꯗꯥꯛ ꯑꯃꯥ ꯍꯧꯕꯥ ꯇꯥꯔꯕꯗꯤ, ꯅꯠꯠꯔꯒꯥ ꯗꯣꯛꯇꯔ ꯑꯃꯅꯥ ꯅꯍꯥꯛꯀꯤꯗꯃꯛꯇꯥ ꯑꯅꯧꯕꯥ ꯍꯤꯗꯥꯛ ꯑꯃꯥ ꯄꯤꯔꯛꯂꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯁꯣꯂꯤꯛꯌꯨꯏꯗ ꯁꯤꯖꯤꯟꯅꯔꯤ ꯍꯥꯌꯅꯥ ꯃꯈꯣꯌꯗꯥ ꯁꯣꯌꯗꯅꯥ ꯈꯪꯍꯅꯕꯤꯌꯨ꯫
ꯅꯍꯥꯛꯀꯤ ꯕ꯭ꯂꯗ ꯁꯨꯒꯔꯒꯤ ꯆꯥꯡ ꯑꯃꯁꯨꯡ HbA1cꯒꯤ ꯆꯥꯡ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯍꯟꯊꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯍꯤꯗꯥꯛ ꯑꯗꯨꯅꯥ ꯊꯕꯛ ꯇꯧꯔꯤꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯅꯍꯥꯛꯅꯥ ꯈꯪꯒꯅꯤ꯫ ꯃꯁꯤꯗꯥ ꯃꯇꯝ ꯈꯔꯥ ꯆꯪꯂꯝꯕꯥ ꯌꯥꯏ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯑꯁꯥꯑꯣꯕꯥ ꯄꯣꯀꯎ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯤ ꯏꯅꯁ꯭ꯠꯔꯛꯁꯅꯁꯤꯡ ꯏꯅꯒꯗꯕꯅꯤ ꯑꯃꯁꯨꯡ ꯂꯥꯏꯌꯦꯡ ꯑꯗꯨ ꯃꯈꯥ ꯆꯠꯊꯕꯤꯌꯨ꯫
ꯇꯦꯛ-ꯍꯣꯝ ꯃꯦꯁꯦꯖ ꯇꯧꯕꯥ꯫
- ꯁꯣꯂꯤꯛꯌꯨꯌꯥ ꯍꯥꯌꯕꯁꯤ ꯏꯅꯁꯨꯂꯤꯟ ꯃꯈꯜ ꯑꯃꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯑꯇꯣꯞꯄꯥ ꯗ꯭ꯔꯒ ꯑꯃꯒꯥ ꯄꯨꯅꯁꯤꯟꯅꯗꯨꯅꯥ ꯇꯥꯏꯞ 2 ꯗꯥꯏꯑꯦꯕꯦꯇꯤꯖ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯥ ꯏꯅꯖꯦꯀꯁꯟ ꯑꯃꯅꯤ꯫
- ꯃꯁꯤ ꯅꯣꯡꯃꯗꯥ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯏꯅꯖꯦꯀꯁꯟ ꯇꯧꯒꯗꯕꯅꯤ, ꯅꯨꯃꯤꯠ ꯑꯗꯨꯒꯤ ꯑꯍꯥꯅꯕꯥ ꯆꯥꯀꯁꯉꯒꯤ ꯄꯨꯡ ꯑꯃꯥ ꯃꯃꯥꯡꯗꯥ꯫ ꯅꯨꯃꯤꯠ ꯈꯨꯗꯤꯡꯒꯤ ꯏꯅꯖꯦꯀꯁꯟ ꯇꯧꯔꯤꯕꯥ ꯃꯐꯝ ꯑꯗꯨ ꯍꯣꯡꯗꯣꯀꯎ꯫
- ꯍꯤꯗꯥꯛ ꯑꯁꯤꯒꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯈꯨꯗꯣꯡꯊꯤꯅꯤꯉꯥꯏ ꯑꯣꯏꯕꯥ ꯁꯥꯏꯗ ꯏꯐꯦꯛꯇ ꯑꯁꯤ ꯕ꯭ꯂꯗ ꯁꯨꯒꯔ ꯅꯦꯝꯕꯥ (ꯍꯥꯏꯄꯣꯒ꯭ꯂꯥꯏꯁꯦꯃꯤꯌꯥ) ꯑꯁꯤꯅꯤ꯫ ꯃꯁꯤꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯀꯔꯤ ꯇꯧꯒꯗꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯈꯪꯖꯤꯅꯕꯤꯌꯨ꯫
- ꯅꯍꯥꯛꯅꯥ ꯂꯧꯔꯤꯕꯥ ꯑꯇꯩ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛ ꯄꯨꯝꯅꯃꯛ (ꯚꯤꯇꯥꯃꯤꯟ ꯑꯃꯁꯨꯡ ꯑꯥꯌꯨꯔꯕꯦꯗꯀꯤ ꯍꯤꯗꯥꯀꯁꯤꯡ ꯌꯥꯎꯅꯥ) ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯈꯪꯍꯜꯂꯨ꯫
- ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯤ ꯄꯥꯎꯇꯥꯛ ꯌꯥꯎꯗꯅꯥ ꯀꯩꯗꯧꯉꯩꯗꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛ ꯂꯧꯕꯥ ꯂꯦꯄꯍꯜꯂꯣꯏꯗꯕꯅꯤ ꯅꯠꯠꯔꯒꯥ ꯗꯣꯖ ꯑꯗꯨ ꯍꯣꯡꯗꯣꯛꯂꯣꯏꯗꯕꯅꯤ꯫











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