ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯂꯩꯔꯤꯕꯥ ꯑꯉꯀꯄꯥ ꯐꯤꯜꯇꯔ ꯁꯤꯁ꯭ꯇꯦꯝ ꯑꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯑꯗꯣꯝꯅꯥ ꯈꯅꯕꯤꯔꯝꯂꯒꯅꯤ? ꯒꯥꯔꯤꯗꯥ ꯂꯩꯕꯥ ꯑꯣꯏꯜ ꯐꯤꯜꯇꯔꯒꯨꯝꯅꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯀꯤꯗꯅꯤ ꯑꯁꯤꯁꯨ ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯗꯒꯤ ꯑꯃꯣꯠꯄꯥ ꯄꯣꯠꯂꯃꯁꯤꯡ ꯐꯤꯜꯇꯔ ꯇꯧꯕꯥ, ꯑꯩꯈꯣꯌꯒꯤ ꯏ ꯁꯦꯡꯗꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯑꯩꯈꯣꯌꯕꯨ ꯍꯀꯆꯥꯡ ꯐꯅꯥ ꯂꯩꯍꯅꯕꯥ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯑꯣꯔꯒꯥꯟ ꯑꯃꯅꯤ꯫ ꯑꯗꯨꯕꯨ ꯑꯌꯥꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯈꯔꯥ ꯑꯁꯣꯌꯕꯥ ꯊꯣꯛꯂꯛꯠꯔꯤꯐꯥꯑꯣꯕꯥ ꯑꯩꯈꯣꯌꯅꯥ ꯃꯈꯣꯌꯒꯤ ꯃꯔꯃꯗꯥ ꯌꯥꯝꯅꯥ ꯈꯟꯊꯗꯦ꯫ ꯅꯉꯒꯤꯁꯨ ꯈꯣꯉꯅꯥ ꯁꯣꯀꯄꯥ ꯌꯥꯏ ꯑꯃꯁꯨꯡ ꯅꯉꯅꯥ ꯁꯤꯕꯥ ꯌꯥꯏ ꯍꯥꯌꯅꯥ ꯈꯜꯂꯨꯕꯥ ꯌꯥꯏ꯫ ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯀꯤꯗꯅꯤꯒꯤ ꯂꯥꯌꯅꯥꯒꯤ ꯇꯣꯏꯅꯥ ꯊꯣꯀꯄꯥ ꯈꯨꯗꯃꯁꯤꯡ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯅꯥ ꯉꯁꯤꯗꯤ ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯏꯆꯝ ꯆꯝꯕꯥ, ꯑꯔꯣꯅꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯁꯤ꯫
ꯀꯤꯗꯅꯤꯅꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯀꯔꯤ ꯁꯔꯚꯤꯁ ꯄꯤꯔꯤꯕꯒꯦ?
ꯑꯩꯈꯣꯌ ꯄꯨꯝꯅꯃꯛꯀꯤ ꯀꯤꯗꯅꯤ ꯑꯅꯤ ꯂꯩ꯫ ꯃꯈꯣꯌꯁꯤꯡ ꯑꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯀꯣꯀꯊꯛꯇꯥ, ꯑꯩꯈꯣꯌꯒꯤ ꯀꯣꯀꯊꯛꯇꯥ ꯌꯥꯝꯅꯥ ꯋꯥꯡꯅꯥ ꯂꯩ꯫ ꯑꯄꯤꯀꯄꯥ ꯑꯣꯔꯒꯥꯟ ꯑꯅꯤ ꯑꯁꯤꯒꯤ ꯊꯧꯗꯥꯡ ꯑꯁꯤ ꯑꯄꯤꯀꯄꯥ ꯊꯧꯑꯣꯡ ꯑꯃꯅꯤ꯫
ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯂꯩꯔꯤꯕꯥ ꯏ ꯄꯨꯝꯅꯃꯛ ꯑꯁꯤ ꯀꯤꯗꯅꯤꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯆꯠꯂꯤ ꯑꯃꯁꯨꯡ ꯃꯤꯅꯠ 30 ꯈꯨꯗꯤꯡꯒꯤ ꯁꯦꯡꯗꯣꯀꯏ꯫ ꯍꯥꯌꯕꯗꯤ ꯅꯣꯡꯃꯗꯥ ꯃꯁꯤ ꯀꯌꯥ ꯌꯥꯝꯅꯥ ꯊꯣꯀꯄꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯈꯟꯗꯨꯅꯥ ꯌꯦꯡꯕꯤꯌꯨ!
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯀꯤꯗꯅꯤꯁꯤꯡ ꯑꯗꯨ ꯍꯀꯆꯥꯡ ꯐꯅꯥ ꯂꯩꯔꯕꯗꯤ ꯃꯈꯣꯌꯅꯥ:
| ꯀꯤꯗꯅꯤꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯊꯕꯀꯁꯤꯡ꯫ | ꯏꯆꯝ ꯆꯝꯕꯥ ꯄꯥꯎꯈꯨꯝ ꯑꯃꯥ꯫ |
|---|---|
| ꯑꯃꯣꯠꯄꯥ ꯐꯤꯜꯇꯔ ꯇꯧꯕꯥ꯫ | ꯑꯩꯈꯣꯌꯅꯥ ꯆꯥꯔꯤꯕꯥ ꯆꯤꯟꯖꯥꯛ, ꯑꯩꯈꯣꯌꯅꯥ ꯂꯧꯔꯤꯕꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯍꯀꯆꯥꯡꯒꯤ ꯐꯉ꯭ꯀꯁꯅꯁꯤꯡꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯏꯗꯥ ꯊꯨꯃꯖꯤꯜꯂꯀꯄꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ ꯑꯁꯤ ꯌꯨꯔꯤꯅꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯊꯥꯗꯣꯀꯏ꯫ |
| ꯏꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯃꯤꯅꯔꯦꯂꯁꯤꯡꯒꯤ ꯃꯔꯛꯇꯥ ꯕꯦꯂꯦꯟꯁ ꯊꯝꯕꯥ꯫ | ꯃꯁꯤꯅꯥ ꯍꯀꯆꯥꯡꯗꯥ ꯏꯁꯤꯡꯒꯤ ꯆꯥꯡ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯏ, ꯁꯣꯗꯤꯌꯝ ꯑꯃꯁꯨꯡ ꯄꯣꯇꯥꯁꯤꯌꯃꯒꯨꯝꯕꯥ ꯃꯤꯅꯔꯦꯂꯁꯤꯡꯒꯤ ꯃꯊꯧ ꯇꯥꯕꯥ ꯆꯥꯡ ꯑꯗꯨ ꯊꯝꯃꯤ ꯑꯃꯁꯨꯡ ꯑꯍꯦꯅꯕꯥ ꯃꯤꯅꯔꯦꯂꯁꯤꯡ ꯂꯧꯊꯣꯀꯏ꯫ |
| ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯥ꯫ | ꯃꯁꯤꯅꯥ ꯔꯦꯅꯤꯟ ꯀꯧꯕꯥ ꯍꯣꯔꯃꯣꯟ ꯑꯃꯥ ꯄꯨꯊꯣꯀꯏ, ꯃꯗꯨꯅꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫ |
| ꯔꯦꯗ ꯕ꯭ꯂꯗ ꯁꯦꯜ ꯄꯨꯊꯣꯀꯄꯥ꯫ | ꯃꯁꯤꯅꯥ ꯏꯔꯤꯊ꯭ꯔꯣꯄꯣꯏꯇꯤꯟ ꯀꯧꯕꯥ ꯍꯣꯔꯃꯣꯟ ꯑꯃꯥ ꯄꯨꯊꯣꯀꯏ, ꯃꯗꯨꯅꯥ ꯍꯀꯆꯥꯡꯗꯥ ꯔꯦꯗ ꯕ꯭ꯂꯗ ꯁꯦꯂꯁꯤꯡ ꯁꯦꯝꯕꯒꯤ ꯁꯤꯒꯅꯦꯜ ꯄꯤ꯫ ꯃꯁꯤꯅꯥ ꯑꯦꯅꯤꯃꯤꯌꯥ ꯊꯤꯡꯏ꯫ |
| ꯚꯤꯇꯥꯃꯤꯟ D ꯑꯦꯛꯇꯤꯚꯦꯠ ꯇꯧꯕꯥ꯫ | ꯑꯩꯈꯣꯌꯒꯤ ꯁꯔꯨꯁꯤꯡ ꯑꯁꯤ ꯃꯄꯥꯉ꯭ꯒꯜ ꯀꯅꯈꯠꯍꯟꯅꯕꯥ ꯇꯉꯥꯏꯐꯗꯕꯥ ꯚꯤꯇꯥꯃꯤꯟ ꯗꯤ ꯑꯁꯤ ꯀꯤꯗꯅꯤꯁꯤꯡꯅꯥ ꯃꯁꯤꯒꯤ ꯑꯦꯛꯇꯤꯕ ꯑꯣꯏꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯑꯣꯟꯊꯣꯀꯏ꯫ |
ꯑꯗꯨꯕꯨ ꯀꯤꯗꯅꯤꯁꯤꯡꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ , ꯊꯧꯑꯣꯡ ꯑꯁꯤꯅꯥ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯊꯕꯛ ꯇꯧꯗꯦ꯫ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯑꯃꯣꯠꯄꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯑꯍꯦꯅꯕꯥ ꯏꯁꯤꯡ ꯍꯀꯆꯥꯡꯗꯥ ꯊꯨꯒꯥꯌꯕꯥ ꯍꯧꯔꯀꯏ꯫ ꯃꯁꯤꯅꯥ ꯈꯣꯡ ꯁꯣꯀꯄꯥ , ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ , ꯋꯥꯈꯜ ꯋꯥꯕꯥ , ꯇꯨꯝꯕꯥ ꯌꯥꯗꯕꯥ , ꯑꯃꯁꯨꯡ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ ꯑꯁꯤꯅꯆꯤꯡꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯂꯥꯏꯌꯦꯡꯗ꯭ꯔꯕꯗꯤ, ꯃꯁꯤꯒꯤ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯑꯁꯤ ꯍꯦꯟꯅꯥ ꯁꯣꯀꯆꯤꯜꯂꯀꯄꯥ ꯌꯥꯏ ꯑꯃꯁꯨꯡ ꯀꯤꯗꯅꯤꯁꯤꯡ ꯑꯁꯤ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯁꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯅꯥ ꯄꯨꯟꯁꯤ ꯃꯥꯡꯍꯅꯕꯥ ꯐꯥꯎꯕꯥ ꯌꯥꯏ꯫
ꯀꯤꯗꯅꯤꯒꯤ ꯂꯥꯌꯅꯥꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯈꯂꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?
ꯀꯤꯗꯅꯤꯒꯤ ꯂꯥꯌꯅꯥ ꯑꯁꯤꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯈꯜ ꯀꯌꯥ ꯑꯃꯥ ꯂꯩꯔꯤ . ꯃꯈꯣꯌꯁꯤꯡꯗꯨ ꯌꯦꯡꯁꯤ꯫
ꯀ꯭ꯔꯣꯅꯤꯛ ꯀꯤꯗꯅꯤ ꯗꯤꯖꯤꯖ (ꯁꯤ.ꯀꯦ.ꯗꯤ.)
ꯃꯁꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯃꯈꯂꯅꯤ꯫ CKD ꯍꯥꯌꯕꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯀꯤꯗꯅꯤꯁꯤꯡꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯏꯗꯒꯤ ꯇꯣꯛꯁꯤꯅꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯑꯍꯦꯅꯕꯥ ꯐ꯭ꯂꯨꯏꯗ ꯐꯤꯜꯇꯔ ꯇꯧꯕꯒꯤ ꯇꯧꯕꯥ ꯉꯝꯕꯗꯨ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯃꯥꯡꯈꯤꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫ ꯃꯁꯤ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯊꯣꯛꯇꯦ, ꯑꯗꯨꯕꯨ ꯃꯇꯃꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯆꯥꯎꯈꯠꯂꯀꯏ꯫ ꯃꯁꯤꯒꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯈꯨꯗꯣꯡꯊꯤꯅꯤꯉꯥꯏ ꯑꯣꯏꯕꯥ ꯁꯔꯨꯛ ꯑꯃꯗꯤ ꯑꯍꯥꯅꯕꯥ ꯁ꯭ꯇꯦꯖꯗꯥ ꯂꯥꯏꯑꯣꯡ ꯑꯃꯠꯇꯥ ꯂꯩꯇꯕꯅꯤ꯫
ꯃꯇꯤꯛ ꯆꯥꯅꯥ ꯂꯥꯏꯌꯦꯡꯕꯅꯥ ꯂꯥꯌꯅꯥ ꯑꯁꯤꯒꯤ ꯄ꯭ꯔꯣꯒ꯭ꯔꯦꯁ ꯑꯗꯨ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯍꯟꯊꯍꯅꯕꯥ ꯉꯝꯃꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯂꯥꯏꯌꯦꯡꯍꯧꯗ꯭ꯔꯕꯗꯤ, ꯂꯥꯌꯅꯥ ꯑꯁꯤ ꯑꯦꯟꯗ-ꯁ꯭ꯇꯦꯖ ꯔꯦꯅꯥꯜ ꯗꯤꯖꯤꯖ (ESRD) ꯐꯥꯎꯕꯥ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ ꯌꯥꯏ꯫ ꯗꯥꯏꯑꯦꯂꯥꯏꯁꯤꯁ ꯅꯠꯠꯔꯒꯥ ꯀꯤꯗꯅꯤ ꯇ꯭ꯔꯥꯟꯁꯞꯂꯥꯟꯇ ꯇꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯏ꯫ ꯗꯥꯏꯑꯦꯕꯦꯇꯤꯖ ꯑꯃꯁꯨꯡ ꯍꯥꯏ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ ꯑꯁꯤ ꯁꯤ.ꯀꯦ.ꯗꯤ.ꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯔꯝ ꯑꯅꯤꯅꯤ꯫
ꯑꯇꯣꯞꯄꯥ ꯃꯈꯂꯒꯤ ꯀꯤꯗꯅꯤꯒꯤ ꯂꯥꯌꯅꯥ꯫
- ꯄꯣꯂꯤꯁꯤꯁ꯭ꯇꯤꯛ ꯀꯤꯗꯅꯤ ꯗꯤꯖꯤꯖ (Polycystic Kidney Disease): ꯃꯁꯤ ꯖꯤꯅꯦꯇꯤꯛ ꯑꯣꯏꯕꯥ ꯂꯥꯌꯅꯥ ꯑꯃꯅꯤ꯫ ꯐ꯭ꯂꯨꯏꯗꯅꯥ ꯊꯜꯂꯕꯥ ꯁꯤꯁ꯭ꯇꯦꯃꯁꯤꯡ ꯑꯁꯤ ꯀꯤꯗꯅꯤꯁꯤꯡꯗꯥ ꯁꯦꯝꯃꯤ꯫ ꯃꯁꯤꯅꯥ ꯀꯤꯗꯅꯤꯁꯤꯡꯅꯥ ꯑꯃꯣꯠꯄꯥ ꯄꯣꯠꯂꯃꯁꯤꯡ ꯐꯤꯜꯇꯔ ꯇꯧꯕꯒꯤ ꯇꯧꯕꯥ ꯉꯝꯕꯗꯨ ꯍꯟꯊꯍꯜꯂꯤ꯫
- ꯂꯨꯄꯁ ꯅꯦꯐ꯭ꯔꯥꯏꯇꯤꯁ: ꯂꯨꯄꯁ ꯍꯥꯌꯕꯁꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯃꯁꯥꯒꯤ ꯏꯝꯝꯌꯨꯟ ꯁꯤꯁ꯭ꯇꯦꯃꯅꯥ ꯍꯀꯁꯦꯜ ꯐꯕꯥ ꯁꯦꯂꯁꯤꯡꯗꯥ ꯑꯦꯇꯦꯛ ꯇꯧꯕꯥ ꯑꯣꯇꯣꯏꯝꯌꯨꯟ ꯂꯥꯌꯅꯥ ꯑꯃꯅꯤ꯫ ꯃꯁꯤ ꯏꯝꯝꯌꯨꯟ ꯁꯤꯁ꯭ꯇꯦꯃꯅꯥ ꯀꯤꯗꯅꯤꯁꯤꯡꯗꯥ ꯑꯦꯇꯦꯛ ꯇꯧꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯊꯣꯀꯄꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫
- ꯒ꯭ꯂꯣꯃꯦꯔꯨꯂꯣꯅꯦꯐ꯭ꯔꯥꯏꯇꯤꯁ: ꯱.ꯀꯤꯗꯅꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯂꯩꯕꯥ ꯑꯄꯤꯀꯄꯥ ꯐꯤꯜꯇꯔꯁꯤꯡ (glomeruli)ꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯄꯥ꯫ ꯃꯁꯤꯅꯥ ꯀꯤꯗꯅꯤꯁꯤꯡ ꯑꯁꯤ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯊꯕꯛ ꯇꯧꯕꯥ ꯂꯦꯄꯍꯜꯂꯤ꯫ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯁ꯭ꯠꯔꯦꯞ ꯊ꯭ꯔꯣꯠ ꯏꯅꯐꯦꯛꯁꯟ ꯃꯈꯜ ꯈꯔꯒꯤ ꯃꯇꯨꯡꯗꯁꯨ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫
- ꯄꯥꯏꯂꯣꯅꯦꯐ꯭ꯔꯥꯏꯇꯤꯁ (Pyelonephritis): ꯃꯁꯤ ꯌꯨꯔꯤꯅꯔꯤ ꯇ꯭ꯔꯦꯛꯇꯀꯤ ꯏꯅꯐꯦꯛꯁꯟ ꯑꯃꯅꯥ ꯀꯤꯗꯅꯤꯗꯥ ꯁꯟꯗꯣꯔꯀꯄꯥ ꯃꯇꯃꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯁꯤ ꯍꯟꯖꯤꯟ ꯍꯟꯖꯤꯟ ꯊꯣꯛꯂꯕꯗꯤ, ꯃꯁꯤꯅꯥ ꯀꯤꯗꯅꯤꯁꯤꯡꯗꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ ꯑꯃꯁꯨꯡ ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫
ꯀꯤꯗꯅꯤꯒꯤ ꯂꯥꯌꯅꯥ ꯂꯥꯀꯄꯒꯤ ꯃꯔꯃꯁꯤꯡ ꯀꯔꯤꯅꯣ?
ꯀꯤꯗꯅꯤꯒꯤ ꯂꯥꯌꯅꯥ ꯂꯥꯀꯄꯒꯤ ꯃꯔꯃꯁꯤꯡ ꯑꯁꯤ ꯂꯥꯌꯅꯥ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯊꯣꯀꯍꯅꯕꯒꯦ ꯍꯥꯌꯕꯒꯤ ꯃꯇꯨꯡ ꯏꯟꯅꯥ ꯀꯦꯇꯦꯒꯣꯔꯤ ꯑꯅꯤꯗꯥ ꯈꯥꯌꯗꯣꯀꯄꯥ ꯌꯥꯏ꯫
ꯈꯪꯍꯧꯗꯅꯥ ꯀꯤꯗꯅꯤ ꯐꯦꯜ ꯑꯣꯏꯕꯥ (Acute Kidney Injury) 1.
ꯃꯁꯤ ꯀꯤꯗꯅꯤꯁꯤꯡꯅꯥ ꯈꯪꯍꯧꯗꯅꯥ ꯊꯕꯛ ꯇꯧꯕꯥ ꯂꯦꯄꯈꯤꯕꯥ ꯃꯇꯃꯅꯤ꯫ ꯃꯁꯤꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯔꯃꯁꯤꯡꯗꯤ:
- ꯀꯤꯗꯅꯤꯁꯤꯡꯗꯥ ꯏꯒꯤ ꯈꯣꯡꯖꯦꯜ ꯍꯟꯊꯔꯀꯄꯥ꯫
- ꯀꯤꯗꯅꯤꯁꯤꯡꯗꯥ ꯍꯀꯊꯦꯡꯅꯅꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯄꯥ꯫
- ꯌꯨꯔꯤꯟ ꯊꯣꯀꯍꯟꯗꯅꯥ ꯀꯤꯗꯅꯤꯁꯤꯡꯗꯥ ꯕ꯭ꯂꯣꯛ ꯇꯧꯕꯥ꯫
ꯑꯁꯤꯒꯨꯝꯕꯥ ꯊꯧꯗꯣꯀꯁꯤꯡ ꯑꯁꯤ ꯊꯣꯀꯄꯥ ꯌꯥꯕꯥ ꯐꯤꯚꯃꯁꯤꯡ ꯑꯁꯤꯅꯤ:
- ꯏ ꯌꯥꯝꯅꯥ ꯊꯣꯀꯍꯅꯕꯒꯤ ꯃꯍꯩ ꯑꯣꯏꯅꯥ ꯑꯆꯧꯕꯥ ꯑꯦꯛꯁꯤꯗꯦꯟꯇ ꯑꯃꯥ꯫
- ꯍꯀꯆꯥꯡꯗꯥ ꯑꯍꯦꯅꯕꯥ ꯗꯤꯍꯥꯌꯗ꯭ꯔꯦꯁꯟ ꯂꯩꯕꯥ꯫
- ꯁꯥꯊꯤꯕꯥ ꯏꯅꯐꯦꯛꯁꯟ (Sepsis) ꯑꯃꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯍꯀꯆꯥꯡ ꯁꯣꯀꯄꯥ꯫
- ꯌꯨꯔꯤꯅꯔꯤ ꯁ꯭ꯇꯣꯅꯁꯤꯡ ꯅꯠꯠꯔꯒꯥ ꯄ꯭ꯔꯣꯁ꯭ꯇꯦꯠ ꯒ꯭ꯜꯌꯥꯟꯗ ꯑꯃꯥ ꯍꯦꯅꯒꯠꯂꯀꯄꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯏꯎꯔꯦꯊ꯭ꯔꯥ ꯕ꯭ꯂꯣꯛ ꯇꯧꯕꯥ꯫
- ꯑꯀꯛꯅꯕꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯇꯣꯛꯁꯤꯀꯦꯜ ꯀꯦꯃꯤꯀꯦꯂꯁꯤꯡꯗꯥ ꯑꯦꯛꯁꯄꯣꯖ ꯇꯧꯕꯥ꯫
- ꯃꯤꯔꯣꯜꯂꯤꯉꯩ ꯃꯇꯃꯗꯥ ꯊꯣꯀꯄꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ꯫
2. ꯀ꯭ꯔꯣꯅꯤꯛ ꯀꯤꯗꯅꯤꯒꯤ ꯂꯥꯌꯅꯥ꯫
ꯊꯥ 3ꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯀꯤꯗꯅꯤꯁꯤꯡꯅꯥ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯊꯕꯛ ꯇꯧꯗꯕꯥ ꯃꯇꯃꯗꯥ ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯃꯁꯤꯕꯨ ꯀ꯭ꯔꯣꯅꯤꯛ ꯀꯤꯗꯅꯤ ꯗꯤꯖꯤꯖ (CKD) ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ ꯃꯁꯤꯒꯤꯗꯃꯛꯇꯥ ꯃꯔꯨ ꯑꯣꯏꯕꯥ ꯗꯣꯁꯤ ꯑꯅꯤ ꯂꯩꯔꯤ꯫
- ꯗꯥꯏꯑꯦꯕꯦꯇꯤꯖ ꯃꯦꯂꯤꯇꯁ: ꯀꯟꯠꯔꯣꯜ ꯇꯧꯗꯕꯥ ꯗꯥꯏꯑꯦꯕꯦꯇꯤꯖꯅꯥ ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯕ꯭ꯂꯗ ꯁꯨꯒꯔꯒꯤ ꯆꯥꯡ ꯋꯥꯡꯅꯥ ꯊꯣꯀꯍꯜꯂꯤ, ꯃꯗꯨꯅꯥ ꯀꯤꯗꯅꯤꯒꯤ ꯃꯆꯤ ꯑꯣꯏꯕꯥ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯂꯁꯤꯡꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯜꯂꯤ꯫
- ꯍꯥꯏ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ: ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯀꯤꯗꯅꯤꯗꯥ ꯏ ꯄꯨꯕꯥ ꯉꯝꯕꯥ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯂꯁꯤꯡꯗꯥ ꯄ꯭ꯔꯦꯁꯔ ꯄꯤꯗꯨꯅꯥ ꯃꯇꯃꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ ꯃꯈꯣꯌꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯜꯂꯤ꯫
ꯃꯁꯤꯒꯤ ꯃꯊꯛꯇꯥ, ꯑꯀꯛꯅꯕꯥ ꯄꯦꯅꯀꯤꯂꯔꯁꯤꯡ (ꯃꯔꯨꯑꯣꯏꯅꯥ ꯏꯕꯨꯞꯔꯣꯐꯦꯅꯒꯨꯝꯕꯥ NSAIDꯁꯤꯡ) ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯁꯤꯖꯤꯟꯅꯕꯅꯥ, ꯑꯀꯛꯅꯕꯥ ꯄꯣꯠꯁꯛ ꯈꯔꯗꯤ ꯁꯣꯀꯍꯜꯂꯕꯥ ꯀꯦꯃꯤꯀꯦꯂꯁꯤꯡꯗꯥ ꯑꯦꯛꯁꯄꯣꯖ ꯇꯧꯕꯅꯥ, ꯑꯃꯁꯨꯡ ꯑꯀꯛꯅꯕꯥ ꯀꯣꯟꯖꯤꯅꯤꯑꯦꯜ ꯀꯟꯗꯤꯁꯅꯁꯤꯡꯗꯁꯨ ꯁꯤ.ꯀꯦ.ꯗꯤ.
ꯌꯨ ꯑꯃꯁꯨꯡ ꯀꯤꯗꯅꯤꯒꯤ ꯃꯔꯛꯇꯥ ꯂꯩꯔꯤꯕꯥ ꯃꯔꯤ꯫
ꯌꯨꯅꯥ ꯀꯤꯗꯅꯤꯁꯤꯡꯗꯥ ꯑꯍꯦꯅꯕꯥ ꯁ꯭ꯠꯔꯦꯟ ꯑꯃꯥ ꯄꯤ, ꯃꯔꯃꯗꯤ ꯃꯈꯣꯌꯒꯤ ꯊꯕꯛ ꯑꯁꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯆꯪꯂꯀꯄꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ ꯐꯤꯜꯇꯔ ꯇꯧꯕꯅꯤ꯫ ꯅꯍꯥꯛꯅꯥ ꯌꯨ ꯊꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯅꯍꯥꯛꯀꯤ ꯀꯤꯗꯅꯤꯁꯤꯡꯅꯥ ꯃꯍꯧꯁꯥꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯀꯟꯅꯥ ꯊꯕꯛ ꯇꯧꯒꯗꯕꯅꯤ꯫
ꯌꯥꯝꯅꯥ ꯊꯀꯄꯅꯥ ꯈꯪꯍꯧꯗꯅꯥ ꯀꯤꯗꯅꯤ ꯐꯦꯜ ꯑꯣꯏꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯗꯁꯨ ꯅꯠꯇꯅꯥ, ꯅꯨꯃꯤꯠ ꯈꯨꯗꯤꯡꯒꯤ ꯌꯨ ꯌꯥꯝꯅꯥ ꯊꯀꯄꯅꯥ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ ꯋꯥꯡꯈꯠꯍꯅꯕꯥ ꯌꯥꯏ, ꯃꯗꯨꯅꯥ ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯀꯤꯗꯅꯤꯒꯤ ꯂꯥꯌꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫
ꯀꯤꯗꯅꯤꯒꯤ ꯂꯥꯌꯅꯥꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯀꯔꯤꯅꯣ?
ꯑꯩꯈꯣꯌꯅꯥ ꯃꯃꯥꯡꯗꯥ ꯍꯥꯌꯈꯤꯕꯒꯨꯝꯅꯥ, ꯀꯤꯗꯅꯤ ꯑꯁꯤ ꯑꯆꯧꯕꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯛꯂꯛꯠꯔꯤꯕꯐꯥꯎꯕꯥ ꯂꯥꯏꯑꯣꯡ ꯂꯩꯇꯕꯥ ꯑꯣꯔꯒꯥꯟ ꯑꯃꯅꯤ꯫ ꯃꯔꯝ ꯑꯗꯨꯅ,ꯀꯦꯁ ꯀꯌꯥꯗꯗꯤ, ꯑꯍꯥꯅꯕꯥ ꯁ꯭ꯇꯦꯖꯗꯥ ꯂꯥꯏꯑꯣꯡ ꯑꯃꯠꯇꯥ ꯎꯕꯥ ꯐꯪꯗꯕꯥ ꯌꯥꯏ꯫ ꯂꯥꯌꯅꯥ ꯑꯁꯤꯅꯥ ꯍꯦꯟꯅꯥ ꯆꯥꯎꯈꯠꯂꯀꯄꯒꯥ ꯂꯣꯌꯅꯅꯥ, ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤꯅꯆꯤꯡꯕꯥ:
- ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ꯫
- ꯅꯣꯡꯃꯩ ꯀꯥꯞꯄꯥ ꯑꯃꯁꯨꯡ ꯈꯣꯡ ꯍꯥꯝꯕꯥ꯫
- ꯆꯤꯟꯖꯥꯛ ꯑꯁꯤ ꯃꯆꯤ ꯑꯣꯏꯗꯦ꯫
- ꯃꯤꯠꯇꯥ ꯙꯥꯇꯨꯒꯤ ꯃꯁꯛ ꯑꯃꯥ꯫
- ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯋꯥꯈꯜ ꯇꯥꯗꯕꯥ ꯑꯃꯁꯨꯡ ꯋꯥꯈꯜ ꯇꯥꯗꯕꯥ꯫
- ꯄꯨꯛꯅꯤꯡ ꯆꯪꯕꯗꯥ ꯑꯋꯥꯕꯥ꯫
- ꯇꯨꯝꯕꯥ ꯉꯃꯗꯕꯥ꯫
- ꯃꯁꯜ ꯁꯣꯟꯊꯕꯥ ꯑꯃꯁꯨꯡ ꯑꯅꯥꯕꯥ꯫
- ꯈꯣꯡ ꯑꯃꯁꯨꯡ ꯈꯣꯡꯗꯥ ꯁꯣꯀꯄꯥ꯫
- ꯂꯦꯞꯇꯅꯥ ꯈꯣꯡ ꯍꯥꯝꯂꯀꯄꯥ꯫
- ꯆꯦꯁ꯭ꯠ ꯄꯦꯏꯟ (ꯍꯥꯔꯇꯀꯤ ꯑꯀꯣꯌꯕꯗꯥ ꯐ꯭ꯂꯨꯏꯗ ꯌꯥꯎꯔꯀꯄꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ)꯫
- ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯗꯥ ꯋꯥꯕꯥ (ꯂꯪꯁꯇꯥ ꯐ꯭ꯂꯨꯏꯗ ꯑꯦꯛꯌꯨꯃꯨꯂꯦꯁꯟ ꯂꯩꯕꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ)꯫
ꯅꯍꯥꯛꯅꯥ ꯀꯤꯗꯅꯤꯒꯤ ꯂꯥꯌꯅꯥ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯀꯔꯝꯅꯥ ꯈꯪꯒꯅꯤ?
ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯑꯍꯥꯅꯕꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯏꯃꯨꯡꯒꯤ ꯃꯦꯗꯤꯀꯦꯜ ꯍꯤꯁ꯭ꯇꯔꯤ, ꯅꯍꯥꯛꯅꯥ ꯂꯧꯔꯤꯕꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯌꯨꯔꯤꯅꯔꯤꯒꯤ ꯃꯑꯣꯡ-ꯃꯇꯧꯗꯥ ꯑꯍꯣꯡꯕꯥ ꯑꯃꯥ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯍꯪꯒꯅꯤ꯫ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯃꯍꯥꯛꯅꯥ ꯐꯤꯖꯤꯀꯦꯜ ꯑꯦꯀꯖꯥꯝ ꯑꯃꯥ ꯄꯥꯡꯊꯣꯛꯀꯅꯤ꯫ ꯃꯁꯤꯒꯤ ꯃꯊꯛꯇꯥ, ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯑꯁꯤ ꯄꯥꯡꯊꯣꯀꯄꯥ ꯌꯥꯏ:
- ꯕ꯭ꯂꯗ ꯇꯦꯁ꯭ꯠ: ꯏꯗꯥ ꯌꯥꯎꯔꯤꯕꯥ ꯑꯃꯣꯠꯄꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ (ꯌꯨꯔꯤꯌꯥ ꯑꯃꯁꯨꯡ ꯀ꯭ꯔꯤꯌꯦꯇꯤꯅꯤꯅꯒꯨꯝꯕꯥ)ꯒꯤ ꯆꯥꯡ ꯑꯗꯨ ꯌꯦꯡꯁꯤꯜꯂꯨ꯫
- ꯌꯨꯔꯤꯟ ꯇꯦꯁ꯭ꯠ (Urine tests): ꯌꯨꯔꯤꯅꯗꯥ ꯄ꯭ꯔꯣꯇꯤꯅꯒꯨꯝꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯁꯤꯟꯅꯕꯥ ꯀꯤꯗꯅꯤꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯑꯃꯠꯇꯥ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯎ꯫
- ꯏꯃꯦꯖꯤꯡ ꯇꯦꯁ꯭ꯇꯁꯤꯡ: ꯗꯣꯛꯇꯔꯅꯥ ꯑꯂꯠꯔꯥꯁꯥꯎꯟꯗ ꯁ꯭ꯀꯦꯅꯒꯨꯝꯕꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯃꯅꯥ ꯀꯤꯗꯅꯤꯒꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯗꯨ ꯆꯦꯛ ꯇꯧꯕꯥ ꯌꯥꯏ꯫
- ꯀꯤꯗꯅꯤ ꯕꯥꯏꯑꯣꯞꯁꯤ: ꯃꯁꯤꯗꯥ ꯀꯤꯗꯅꯤꯗꯒꯤ ꯌꯥꯝꯅꯥ ꯑꯄꯤꯀꯄꯥ ꯇꯤꯁꯨ ꯑꯃꯥ ꯂꯧꯗꯨꯅꯥ ꯂꯦꯕꯣꯔꯦꯇꯔꯤꯗꯥ ꯊꯥꯗꯨꯅꯥ ꯂꯥꯌꯅꯥ ꯑꯁꯤꯒꯤ ꯑꯆꯨꯝꯕꯥ ꯃꯔꯝ ꯈꯪꯗꯣꯀꯄꯥ ꯑꯁꯤ ꯌꯥꯎꯏ꯫
ꯀꯤꯗꯅꯤꯒꯤ ꯂꯥꯌꯅꯥꯒꯤ ꯂꯥꯏꯌꯦꯡꯁꯤꯡ ꯀꯔꯤꯅꯣ?
ꯀꯤꯗꯅꯤꯒꯤ ꯂꯥꯌꯅꯥ ꯈꯔꯗꯤ ꯐꯍꯅꯕꯥ ꯉꯝꯃꯤ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯑꯩꯈꯣꯌꯅꯥ ꯑꯌꯥꯝꯕꯅꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯔꯤꯕꯥ ꯁꯤ.ꯀꯦ.ꯗꯤ., ꯍꯥꯌꯕꯗꯤ ꯀ꯭ꯔꯣꯅꯤꯛ ꯀꯤꯗꯅꯤꯒꯤ ꯂꯥꯌꯅꯥ ꯍꯥꯌꯕꯁꯤ ꯃꯄꯨꯡ ꯐꯥꯅꯥ ꯐꯍꯅꯕꯥ ꯉꯃꯗꯦ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯃꯇꯤꯛ ꯆꯥꯅꯥ ꯂꯥꯏꯌꯦꯡꯕꯅꯥ ꯂꯥꯌꯅꯥ ꯑꯁꯤ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯥ ꯉꯝꯃꯤ ꯑꯃꯁꯨꯡ ꯀꯤꯗꯅꯤꯁꯤꯡꯅꯥ ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯊꯕꯛ ꯇꯧꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯕꯥ ꯉꯝꯃꯤ꯫
ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯂꯥꯏꯌꯦꯡꯒꯤ ꯃꯇꯃꯗꯥ ꯅꯦꯐ꯭ꯔꯣꯂꯣꯖꯤꯁ꯭ꯠ ꯑꯃꯗꯥ ꯔꯤꯐꯔ ꯇꯧꯕꯥ ꯌꯥꯏ꯫
ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ ꯱
- ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔꯒꯤ ꯍꯤꯗꯥꯀꯁꯤꯡ: ꯍꯥꯏ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔꯅꯥ ꯀꯤꯗꯅꯤꯒꯤ ꯂꯥꯌꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ, ꯑꯃꯁꯨꯡ ꯀꯤꯗꯅꯤꯒꯤ ꯂꯥꯌꯅꯥꯅꯥ ꯍꯥꯏ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔꯁꯨ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ACE ꯏꯅꯍꯤꯕꯤꯇꯔ ꯅꯠꯠꯔꯒꯥ ARBꯒꯨꯝꯕꯥ ꯍꯤꯗꯥꯀꯁꯤꯡ ꯄꯤꯕꯥ ꯌꯥꯏ꯫ ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯌꯨꯔꯤꯅꯗꯥ ꯄ꯭ꯔꯣꯇꯤꯅꯒꯤ ꯆꯥꯡ ꯍꯟꯊꯍꯅꯕꯥ ꯉꯝꯃꯤ꯫
- ꯗꯥꯏꯑꯦꯕꯦꯇꯤꯖꯒꯤ ꯍꯤꯗꯥꯀꯁꯤꯡ: ꯗꯥꯏꯑꯦꯕꯦꯇꯤꯖꯒꯤ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ, ꯍꯥꯌꯕꯗꯤ ꯗꯥꯄꯥꯒ꯭ꯂꯤꯐ꯭ꯂꯣꯖꯤꯟ (Farxiga)ꯒꯨꯝꯕꯥ ꯑꯅꯧꯕꯥ ꯗꯥꯏꯑꯦꯕꯦꯇꯤꯖ ꯍꯤꯗꯥꯛ ꯈꯔꯗꯤ ꯗꯥꯏꯑꯦꯕꯦꯇꯤꯖ ꯂꯩꯇꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯗꯁꯨ ꯀꯤꯗꯅꯤꯒꯤ ꯂꯥꯌꯅꯥ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ ꯊꯤꯡꯏ ꯍꯥꯌꯅꯥ ꯈꯪꯂꯦ꯫
- ꯑꯦꯅꯤꯃꯤꯌꯥꯒꯤ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ: ꯀꯤꯗꯅꯤꯅꯥ ꯄꯨꯊꯣꯀꯄꯥ ꯏꯔꯤꯊ꯭ꯔꯣꯄꯣꯏꯇꯤꯟ ꯍꯣꯔꯃꯣꯟ ꯍꯟꯊꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯏ ꯊꯣꯀꯄꯥ (ꯑꯦꯅꯤꯃꯤꯌꯥ) ꯊꯣꯀꯏ꯫ ꯃꯁꯤꯁꯨ ꯂꯥꯌꯦꯡꯅꯕꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ ꯂꯩꯔꯤ꯫
ꯁꯣꯌꯗꯅꯥ ꯊꯤꯡꯒꯗꯕꯥ ꯋꯥꯐꯃꯁꯤꯡ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯀꯤꯗꯅꯤꯒꯤ ꯂꯥꯌꯅꯥ ꯂꯩꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯇꯥꯟꯅꯗꯅꯥ ꯍꯤꯗꯥꯛ ꯑꯃꯠꯇꯥ, ꯄꯦꯟ ꯀꯤꯂꯔꯁꯤꯡ ꯐꯥꯎꯕꯥ ꯂꯧꯔꯣꯏꯗꯕꯅꯤ꯫NSAID ꯄꯦꯏꯅꯀꯤꯂꯔꯁꯤꯡ, ꯃꯔꯨꯑꯣꯏꯅꯥ ꯏꯕꯨꯞꯔꯣꯐꯦꯟ ꯑꯃꯁꯨꯡ ꯅꯦꯞꯔꯣꯛꯁꯦꯅꯅꯥ ꯀꯤꯗꯅꯤꯁꯤꯡꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯇꯥꯟꯅꯧ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤꯗꯃꯛꯇꯥ ꯆꯨꯅꯕꯥ ꯗꯣꯛꯇꯔ ꯑꯃꯥ ꯈꯜꯂꯨ꯫
꯲.ꯗꯥꯏꯠ ꯇꯧꯕꯥ꯫
ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯛꯀꯤꯗꯃꯛꯇꯥ ꯑꯈꯟꯅꯕꯥ ꯗꯥꯏꯠ ꯑꯃꯥ ꯄꯤꯒꯅꯤ꯫ ꯃꯁꯤꯅꯥ ꯁꯣꯗꯤꯌꯝ (ꯁꯣꯜꯇ), ꯄꯣꯇꯥꯁꯤꯌꯝ, ꯐꯣꯁꯐꯦꯠ, ꯑꯃꯁꯨꯡ ꯑꯣꯏꯊꯣꯀꯄꯥ ꯌꯥꯕꯥ ꯄ꯭ꯔꯣꯇꯤꯟ ꯌꯥꯎꯕꯥ ꯗꯥꯏꯠ ꯑꯃꯥ ꯍꯥꯌꯕꯁꯤꯅꯤ꯫ ꯀꯤꯗꯅꯤꯁꯤꯡꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯅ꯭ꯌꯨꯠꯔꯤꯑꯦꯟꯇꯁꯤꯡ ꯑꯁꯤ ꯊꯣꯀꯍꯅꯕꯗꯥ ꯑꯋꯥꯕꯥ ꯑꯣꯏ꯫ ꯗꯥꯏꯠ ꯑꯁꯤꯒꯤ ꯄꯥꯟꯗꯃꯗꯤ ꯀꯤꯗꯅꯤꯗꯥ ꯄꯣꯠꯂꯨꯝ ꯍꯟꯊꯍꯅꯕꯅꯤ꯫ ꯃꯁꯤꯒꯤꯗꯃꯛꯇꯥ ꯀꯤꯗꯅꯤꯒꯤ ꯂꯥꯌꯅꯥꯒꯤ ꯁ꯭ꯄꯦꯁꯤꯑꯦꯂꯤꯁ꯭ꯠ ꯑꯃꯥ ꯑꯣꯏꯔꯤꯕꯥ ꯔꯦꯅꯥꯜ ꯗꯥꯏꯑꯦꯇꯤꯁꯤꯌꯟ ꯑꯃꯒꯤ ꯄꯥꯎꯇꯥꯛ ꯂꯧꯕꯥ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫
꯳.ꯗꯥꯏꯑꯦꯂꯥꯏꯁꯤꯁ ꯇꯧꯕꯥ꯫
ꯀꯤꯗꯅꯤꯁꯤꯡꯅꯥ ꯊꯕꯛ ꯇꯧꯕꯥ ꯍꯧꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯃꯈꯣꯌꯒꯤ ꯊꯕꯛ ꯑꯗꯨ ꯄꯥꯡꯊꯣꯛꯅꯕꯒꯤꯗꯃꯛ ꯃꯦꯁꯤꯟ ꯑꯃꯒꯤ ꯃꯇꯦꯡ ꯃꯊꯧ ꯇꯥꯏ꯫ ꯃꯁꯤꯕꯨ ꯗꯥꯏꯑꯦꯂꯥꯏꯁꯤꯁ ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫
- ꯍꯦꯃꯣꯗꯥꯏꯑꯦꯂꯥꯏꯁꯤꯁ (Hemodialysis): ꯃꯁꯤꯗꯥ ꯃꯦꯁꯤꯟ ꯑꯃꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯏꯒꯤ ꯁꯔꯨꯛ ꯈꯔꯥ ꯂꯧꯊꯣꯀꯏ, ꯃꯗꯨ ꯁꯦꯡꯗꯣꯀꯏ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯍꯟꯖꯤꯅꯍꯜꯂꯤ꯫
- ꯄꯦꯔꯤꯇꯣꯅꯤꯑꯦꯜ ꯗꯥꯏꯑꯦꯂꯥꯏꯁꯤꯁ: ꯃꯁꯤꯗꯥ ꯑꯦꯕꯗꯣꯃꯤꯅꯦꯜ ꯀꯦꯚꯤꯇꯤ (ꯄꯦꯔꯤꯇꯣꯅꯤꯑꯦꯜ ꯃꯦꯝꯕ꯭ꯔꯦꯟ)ꯒꯤ ꯂꯥꯏꯅꯤꯡ ꯁꯤꯖꯤꯟꯅꯗꯨꯅꯥ ꯏ ꯁꯦꯡꯗꯣꯀꯄꯥ ꯌꯥꯎꯏ꯫
ꯃꯦꯊꯗ ꯑꯅꯤꯃꯛꯀꯤ ꯀꯥꯟꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯑꯋꯥꯠꯄꯥ ꯂꯩ꯫ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯛꯀꯤꯗꯃꯛꯇꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯥ ꯃꯦꯊꯗ ꯑꯗꯨ ꯈꯪꯍꯜꯂꯛꯀꯅꯤ꯫
꯴.ꯀꯤꯗꯅꯤ ꯇ꯭ꯔꯥꯟꯁꯞꯂꯥꯟꯇ ꯇꯧꯕꯥ꯫
ꯃꯁꯤ ꯂꯥꯌꯅꯥ ꯑꯁꯤ ꯍꯦꯟꯅꯥ ꯆꯥꯎꯈꯠꯂꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯥ ꯂꯥꯏꯌꯦꯡꯒꯤ ꯑꯣꯄꯁꯅꯅꯤ꯫ ꯍꯀꯁꯦꯜ ꯐꯕꯥ ꯃꯤꯑꯣꯏ (ꯍꯤꯡꯂꯤꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯁꯤꯔꯕꯥ) ꯑꯃꯗꯒꯤ ꯂꯥꯀꯄꯥ ꯀꯝꯄꯦꯇꯤꯇꯤꯕ ꯀꯤꯗꯅꯤ ꯑꯃꯥ ꯁꯔꯖꯤꯀꯦꯜ ꯑꯣꯏꯅꯥ ꯇ꯭ꯔꯥꯟꯁꯞꯂꯥꯟꯇ ꯇꯧꯏ꯫ ꯃꯥꯌꯄꯥꯛꯅꯥ ꯇ꯭ꯔꯥꯟꯁꯞꯂꯥꯟꯇ ꯇꯧꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯗꯥꯏꯑꯦꯂꯥꯏꯁꯤꯁꯀꯤ ꯃꯊꯧ ꯇꯥꯕꯥ ꯂꯩꯔꯔꯣꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡꯅꯥ ꯑꯅꯧꯕꯥ ꯀꯤꯗꯅꯤ ꯑꯗꯨ ꯔꯤꯖꯦꯛꯇ ꯇꯧꯗꯅꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯄꯨꯟꯁꯤ ꯆꯨꯞꯄꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛ ꯂꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯒꯅꯤ꯫
ꯇꯦꯛ-ꯍꯣꯝ ꯃꯦꯁꯦꯖ ꯇꯧꯕꯥ꯫
- ꯀꯤꯗꯅꯤꯒꯤ ꯂꯥꯌꯅꯥ ꯑꯁꯤ ꯑꯌꯥꯝꯕꯅꯥ ꯑꯍꯥꯅꯕꯥ ꯇꯥꯉ꯭ꯀꯛꯇꯥ ꯂꯥꯏꯑꯣꯡ ꯎꯠꯄꯥ ꯉꯃꯗꯕꯥ ꯃꯤꯠ ꯎꯗꯕꯥ ꯂꯥꯌꯅꯥ ꯑꯃꯅꯤ .
- ꯗꯥꯏꯑꯦꯕꯦꯇꯤꯖ ꯑꯃꯁꯨꯡ ꯍꯥꯏ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ ꯑꯁꯤ ꯀꯤꯗꯅꯤꯒꯤ ꯂꯥꯌꯅꯥ ꯂꯥꯀꯄꯒꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯆꯥꯎꯕꯥ ꯔꯤꯁ꯭ꯛ ꯐꯦꯛꯇꯔꯁꯤꯡꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ ꯑꯁꯤ ꯂꯩꯔꯕꯗꯤ, ꯃꯈꯣꯌꯗꯨ ꯀꯟꯠꯔꯣꯜ ꯇꯧ꯫
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯔꯤꯁ꯭ꯛ ꯒ꯭ꯔꯨꯞ ꯑꯃꯗꯥ ꯂꯩꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯌꯦꯡꯎ ꯑꯃꯁꯨꯡ ꯃꯊꯧ ꯇꯥꯕꯥ ꯏ ꯑꯃꯁꯨꯡ ꯌꯨꯔꯤꯟ ꯇꯦꯁ꯭ꯠ ꯇꯧ꯫
- ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯄꯥꯎꯇꯥꯛ ꯌꯥꯎꯗꯅꯥ ꯄꯦꯟ ꯀꯤꯂꯔꯁꯤꯡ, ꯃꯔꯨꯑꯣꯏꯅꯥ NSAIDꯁꯤꯡ ꯑꯁꯤ ꯃꯈꯥ ꯇꯥꯅꯥ ꯁꯤꯖꯤꯟꯅꯒꯅꯨ꯫
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯀꯤꯗꯅꯤꯒꯤ ꯂꯥꯌꯅꯥ ꯂꯩꯔꯦ ꯍꯥꯌꯅꯥ ꯈꯪꯂꯕꯗꯤ, ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯂꯩꯔꯣꯏꯗꯕꯅꯤ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯤ ꯏꯅꯁ꯭ꯠꯔꯛꯁꯅꯁꯤꯡ ꯑꯗꯨ ꯆꯨꯝꯅꯥ ꯏꯅꯒꯗꯕꯅꯤ꯫ ꯃꯁꯤꯅꯥ ꯂꯥꯌꯅꯥ ꯑꯁꯤꯒꯤ ꯄ꯭ꯔꯣꯒ꯭ꯔꯦꯁ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯕꯥ ꯉꯃꯒꯅꯤ꯫
ꯀꯤꯗꯅꯤꯒꯤ ꯂꯥꯌꯅꯥ, ꯀꯤꯗꯅꯤ ꯐꯦꯜ ꯑꯣꯏꯕꯥ, ꯁꯤ.ꯀꯦ.ꯗꯤ., ꯗꯥꯏꯑꯦꯂꯥꯏꯁꯤꯁ, ꯀꯤꯗꯅꯤ ꯇ꯭ꯔꯥꯟꯁꯞꯂꯥꯟꯇ, ꯗꯥꯏꯑꯦꯕꯦꯇꯤꯖ ꯑꯃꯁꯨꯡ ꯀꯤꯗꯅꯤ꯫
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