ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯌꯨꯃꯗꯥ ꯅꯨꯃꯤꯠ ꯈꯔꯅꯤꯒꯤ ꯑꯣꯏꯅꯥ ꯊꯣꯡ-ꯊꯥꯀꯄꯥ ꯉꯃꯗ꯭ꯔꯕꯗꯤ ꯀꯔꯤ ꯑꯣꯏꯒꯅꯤ ꯍꯥꯌꯕꯗꯨ ꯈꯟꯗꯨꯅꯥ ꯌꯦꯡꯕꯤꯌꯨ? ꯌꯨꯝ ꯄꯨꯝꯕꯥ ꯁꯣꯟꯊꯔꯒꯥ ꯃꯍꯤꯛ ꯆꯦꯜꯂꯀꯄꯥ ꯍꯧꯔꯃꯒꯅꯤ, ꯅꯠꯇꯦ? ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡ ꯑꯁꯤꯁꯨ ꯑꯗꯨꯃꯛ ꯑꯣꯏꯔꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯒꯤ ‘ꯇ꯭ꯔꯥꯁ ꯐꯤꯜꯇꯔ’ ꯍꯥꯌꯕꯗꯤ ꯀꯤꯗꯅꯤꯅꯥ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯊꯕꯛ ꯇꯧꯗ꯭ꯔꯕꯗꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ ꯊꯨꯒꯥꯌꯕꯥ ꯍꯧꯔꯀꯏ꯫ ꯇꯣꯛꯁꯤꯅꯒꯤ ꯆꯥꯡ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯎꯕꯥ ꯐꯪꯂꯤꯕꯥ ꯈꯨꯗꯣꯡꯊꯤꯅꯤꯡꯉꯥꯏ ꯑꯣꯏꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯗꯨꯕꯨ ꯌꯨꯔꯦꯃꯤꯌꯥ ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ ꯃꯁꯤ ꯇ꯭ꯔꯤꯄꯜ ꯇꯂꯥꯛꯀꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫ ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯑꯀꯨꯞꯄꯥ ꯃꯔꯣꯂꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯁꯤ꯫
ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯌꯨꯔꯦꯃꯤꯌꯥ ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ?
ꯌꯨꯔꯦꯃꯤꯌꯥ ꯍꯥꯌꯕꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯀꯤꯗꯅꯤꯁꯤꯡꯅꯥ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯊꯕꯛ ꯇꯧꯗꯕꯥ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯏꯗꯒꯤ ꯑꯃꯣꯠꯄꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ ꯐꯤꯜꯇꯔ ꯇꯧꯕꯥ ꯑꯃꯁꯨꯡ ꯂꯧꯊꯣꯀꯄꯥ ꯉꯃꯗꯕꯥ ꯃꯇꯃꯗꯥ ꯊꯣꯀꯄꯥ ꯈꯨꯗꯣꯡꯊꯤꯅꯤꯉꯥꯏ ꯑꯣꯏꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫ ꯃꯁꯤ ꯂꯥꯌꯦꯡꯗꯕꯥ ꯀꯤꯗꯅꯤ ꯐꯦꯜ ꯑꯣꯏꯕꯒꯤ ꯑꯔꯣꯏꯕꯥ ꯐꯂꯅꯤ . ꯌꯨꯔꯦꯃꯤꯌꯥꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯏꯗꯥ ꯂꯩꯕꯥ ꯑꯃꯣꯠꯄꯁꯤꯡꯒꯤ ꯆꯥꯡ ꯌꯥꯝꯅꯥ ꯋꯥꯡꯈꯠꯂꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯊꯣꯀꯏ꯫
ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯅꯥ, ꯑꯩꯈꯣꯌꯒꯤ ꯀꯤꯗꯅꯤꯁꯤꯡ ꯑꯁꯤ ꯍꯀꯆꯥꯡ ꯐꯅꯥ ꯂꯩꯕꯥ ꯃꯇꯃꯗꯥ, ꯃꯈꯣꯌꯅꯥ ꯏꯗꯒꯤ ꯑꯃꯣꯠꯄꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯑꯍꯦꯅꯕꯥ ꯐ꯭ꯂꯨꯏꯗꯁꯤꯡ ꯐꯤꯜꯇꯔ ꯇꯧꯏ꯫ ꯍꯥꯌꯔꯤꯕꯥ ꯑꯃꯣꯠꯄꯥ ꯄꯣꯠꯂꯃꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯐ꯭ꯂꯨꯏꯗꯁꯤꯡ ꯑꯁꯤ ꯍꯀꯆꯥꯡꯗꯒꯤ ꯌꯨꯔꯤꯟ (ꯄꯤ)ꯒꯤ ꯃꯑꯣꯡꯗꯥ ꯊꯥꯗꯣꯀꯏ꯫ ꯃꯈꯣꯌꯅꯥ ꯑꯦꯁꯤꯗ, ꯏꯂꯦꯛꯠꯔꯣꯂꯥꯏꯠ, ꯑꯃꯁꯨꯡ ꯚꯤꯇꯥꯃꯤꯟ ꯗꯤ ꯑꯃꯁꯨꯡ ꯏꯔꯤꯊ꯭ꯔꯣꯄꯣꯏꯇꯤꯟ (ꯏ.ꯄꯤ.ꯑꯣ.)ꯒꯨꯝꯕꯥ ꯍꯣꯔꯃꯣꯅꯁꯤꯡꯒꯤ ꯃꯇꯤꯛ ꯆꯥꯕꯥ ꯆꯥꯡ ꯊꯝꯕꯗꯁꯨ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫ ꯀꯤꯗꯅꯤꯁꯤꯡꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯐꯤꯜꯇꯔ ꯇꯧꯕꯒꯤ ꯊꯧꯑꯣꯡ ꯑꯁꯤꯅꯥ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯊꯕꯛ ꯇꯧꯗꯦ꯫ ꯃꯁꯤꯒꯤ ꯃꯍꯩ ꯑꯣꯏꯅꯥ ꯍꯀꯆꯥꯡꯗꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ (toxins) ꯁꯦꯃꯒꯠꯂꯀꯏ꯫
ꯌꯨꯔꯦꯃꯤꯌꯥ ꯑꯁꯤ ꯑꯌꯥꯝꯕꯗꯤ ꯀ꯭ꯔꯣꯅꯤꯛ ꯀꯤꯗꯅꯤ ꯗꯤꯖꯤꯖ (CKD) ꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯀꯤꯗꯅꯤ ꯐꯦꯜ ꯑꯣꯏꯔꯀꯄꯅꯥ ꯊꯣꯀꯍꯅꯕꯅꯤ꯫ ꯃꯁꯤꯕꯨ ꯑꯦꯟꯗ-ꯁ꯭ꯇꯦꯖ ꯔꯦꯅꯦꯜ ꯗꯤꯖꯤꯖ (ESKD) ꯍꯥꯌꯅꯥꯁꯨ ꯈꯪꯅꯩ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯈꯪꯍꯧꯗꯅꯥ, ꯁꯥꯊꯤꯕꯥ ꯀꯤꯗꯅꯤꯒꯤ ꯑꯁꯣꯛ-ꯑꯄꯟ (acute kidney injury) ꯑꯃꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯀꯤꯗꯅꯤ ꯐꯦꯜ ꯑꯣꯏꯔꯀꯄꯁꯨ ꯌꯥꯏ꯫
ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯗꯤ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯌꯨꯔꯦꯃꯤꯌꯥ ꯑꯁꯤ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯂꯥꯌꯦꯡꯗ꯭ꯔꯕꯗꯤ, ꯃꯁꯤꯅꯥ ꯀꯣꯃꯥ ꯑꯃꯁꯨꯡ ꯑꯔꯣꯌꯕꯗꯥ ꯁꯤꯍꯅꯕꯥ ꯌꯥꯏ꯫
ꯌꯨꯔꯦꯃꯤꯌꯥꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?
ꯌꯨꯔꯦꯃꯤꯌꯥꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯑꯣꯏꯗꯦ꯫ ꯃꯈꯣꯌ ꯑꯁꯤ ꯑꯍꯥꯅꯕꯗꯥ ꯌꯥꯝꯅꯥ ꯂꯨꯕꯥ ꯑꯣꯏ꯫ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯈꯪꯗꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯄꯥꯎꯇꯥꯛ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯂꯧꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫
ꯑꯍꯥꯅꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡꯗꯤ ꯋꯥꯈꯜ ꯆꯔꯥꯡꯅꯕꯥ, ꯋꯥꯈꯜ ꯆꯔꯥꯡꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯆꯥꯛ ꯆꯥꯕꯥ ꯋꯥꯠꯄꯅꯤ . ꯅꯍꯥꯛꯅꯥ ꯑꯌꯨꯛ-ꯅꯨꯡꯊꯤꯂꯗꯥ ꯑꯍꯥꯅꯕꯥ ꯑꯣꯏꯅꯥ ꯋꯥꯈꯜ ꯇꯥꯗꯕꯥ ꯌꯥꯏ꯫ ꯅꯍꯥꯛꯅꯥ ꯆꯤꯟꯖꯥꯛꯀꯤ ꯃꯍꯤꯛ-ꯃꯇꯥꯏꯒꯤ ꯃꯃꯤ ꯇꯥꯕꯁꯨ ꯌꯥꯏ꯫ ꯃꯤꯑꯣꯏ ꯈꯔꯗꯤ ꯆꯥꯕꯥ ꯍꯧꯗ꯭ꯔꯤꯉꯩꯗꯥ ꯆꯥꯗꯕꯥ ꯌꯥꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯀꯤꯗꯅꯤ ꯇ꯭ꯔꯥꯟꯁꯞꯂꯥꯟꯇ ꯑꯁꯤ ꯑꯣꯄꯁꯟ ꯑꯃꯥ ꯑꯣꯏꯗ꯭ꯔꯕꯗꯤ, ꯗꯣꯛꯇꯔ ꯑꯃꯅꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯍꯧꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯗꯥꯏꯑꯦꯂꯥꯏꯁꯤꯁ ꯍꯧꯅꯕꯥ ꯄꯥꯎꯇꯥꯛ ꯄꯤꯕꯥ ꯌꯥꯏ꯫
| ꯂꯥꯏꯑꯣꯡꯒꯤ ꯃꯈꯜ꯫ | ꯋꯥꯔꯣꯜ |
|---|---|
| ꯑꯇꯣꯞꯄꯥ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯐꯤꯆꯔꯁꯤꯡ꯫ |
|
| ꯀꯟꯗꯤꯁꯟ ꯑꯗꯨ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯑꯣꯏꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯊꯣꯀꯄꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ꯫ |
|
ꯌꯨꯔꯦꯃꯤꯌꯥꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯔꯃꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?
ꯌꯨꯔꯦꯃꯤꯌꯥꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯔꯝ ꯑꯁꯤ ꯀ꯭ꯔꯣꯅꯤꯛ ꯀꯤꯗꯅꯤ ꯗꯤꯖꯤꯖ (CKD)ꯅꯤ, ꯃꯁꯤꯅꯥ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯀꯤꯗꯅꯤ ꯐꯦꯜ ꯑꯣꯏꯍꯜꯂꯤ꯫ CKD ꯊꯣꯀꯍꯅꯕꯥ ꯂꯥꯌꯅꯥ ꯑꯃꯍꯦꯛꯇꯅꯥ ꯑꯔꯣꯌꯕꯗꯥ ꯀꯤꯗꯅꯤ ꯐꯦꯜ ꯑꯣꯏꯕꯥ ꯑꯃꯁꯨꯡ ꯌꯨꯔꯦꯃꯤꯌꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫
ꯁ꯭ꯔꯤꯂꯉ꯭ꯀꯥꯗꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯃꯔꯛꯇꯥ ꯁꯤ.ꯀꯦ.ꯗꯤ.ꯒꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯃꯔꯃꯁꯤꯡꯗꯤ:
- ꯗꯥꯏꯕꯤꯇꯤꯖ
- ꯍꯥꯏ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ (ꯍꯥꯌꯕꯗꯤ ꯍꯥꯏꯄꯔꯇꯦꯟꯁꯟ) .
ꯍꯥꯌꯔꯤꯕꯥ ꯑꯅꯤ ꯑꯁꯤꯒꯤ ꯃꯊꯛꯇꯥ ꯑꯇꯣꯞꯄꯥ ꯃꯔꯝ ꯀꯌꯥ ꯑꯃꯁꯨ ꯂꯩꯕꯥ ꯌꯥꯏ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯗꯥꯏꯑꯦꯕꯦꯇꯤꯖ ꯅꯠꯠꯔꯒꯥ ꯍꯥꯏ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ ꯂꯩꯔꯕꯗꯤ ꯃꯇꯝ ꯄꯨꯝꯅꯃꯛꯇꯥ ꯅꯍꯥꯛꯀꯤ ꯀꯤꯗꯅꯤꯒꯤ ꯍꯀꯁꯦꯜ ꯌꯦꯡꯁꯤꯅꯕꯥ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫
ꯀꯅꯥꯅꯥ ꯍꯦꯟꯅꯥ ꯈꯨꯗꯣꯡꯊꯤꯕꯥ ꯅꯪꯂꯤꯕꯅꯣ?
ꯀꯤꯗꯅꯤ ꯐꯦꯜ ꯑꯣꯏꯕꯥ ꯑꯃꯁꯨꯡ ꯌꯨꯔꯦꯃꯤꯌꯥꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯂꯥꯀꯄꯥ ꯃꯃꯥꯡꯗꯥ ꯗꯥꯏꯑꯦꯂꯥꯏꯁꯤꯁ ꯍꯧꯕꯥ ꯉꯃꯗꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯅꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯔꯤꯁ꯭ꯛ ꯂꯩ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯃꯤꯑꯣꯏꯕꯅꯥ ꯃꯈꯣꯌꯗꯥ ꯀ꯭ꯔꯣꯅꯤꯛ ꯀꯤꯗꯅꯤꯒꯤ ꯂꯥꯌꯅꯥ ꯂꯩ ꯍꯥꯌꯕꯁꯤ ꯐꯥꯎꯕꯥ ꯈꯪꯗꯦ꯫ ꯃꯁꯤꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯃꯈꯣꯌꯅꯥ ꯀꯤꯗꯅꯤ ꯐꯦꯜ ꯑꯣꯏꯍꯟꯗꯅꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯂꯥꯏꯌꯦꯡ ꯑꯗꯨ ꯐꯪꯗꯕꯥ ꯌꯥꯏ꯫
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ CKD ꯂꯩꯔꯕꯗꯤ, ꯃꯔꯨꯑꯣꯏꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯦꯁ꯭ꯇꯤꯃꯦꯠ ꯇꯧꯔꯕꯥ ꯀꯤꯗꯅꯤꯒꯤ ꯐꯉ꯭ꯀꯁꯟ (eGFR) ꯑꯗꯨ 45ꯗꯒꯤ ꯇꯥꯗꯅꯥ ꯂꯩꯔꯕꯗꯤ, ꯅꯦꯐ꯭ꯔꯣꯂꯣꯖꯤꯁ꯭ꯠ ꯑꯃꯒꯥ ꯇꯥꯟꯅꯗꯨꯅꯥ ꯂꯥꯏꯌꯦꯡ ꯍꯧꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫
ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯈꯪꯗꯣꯛꯀꯅꯤ?
ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯌꯨꯔꯦꯃꯤꯌꯥ ꯈꯪꯗꯣꯛꯅꯕꯥ ꯈꯣꯡꯊꯥꯡ ꯀꯌꯥ ꯂꯧꯈꯠꯀꯅꯤ꯫
1. ꯅꯍꯥꯛꯀꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯗꯨ ꯅꯤꯡꯊꯤꯅꯥ ꯇꯥꯕꯤꯌꯨ꯫
꯲.ꯅꯍꯥꯛ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯏꯃꯨꯡꯒꯤ ꯍꯀꯁꯦꯂꯒꯤ ꯍꯤꯁ꯭ꯇꯔꯤ, ꯃꯔꯨꯑꯣꯏꯅꯥ ꯀꯤꯗꯅꯤꯒꯤ ꯂꯥꯌꯅꯥꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯍꯪꯒꯅꯤ꯫
꯳.ꯃꯄꯨꯡ ꯐꯥꯕꯥ ꯍꯀꯆꯥꯡꯒꯤ ꯑꯦꯀꯖꯥꯃꯤꯅꯦꯁꯟ ꯑꯃꯥ ꯄꯥꯡꯊꯣꯀꯏ꯫
꯴.ꯀꯤꯗꯅꯤꯒꯤ ꯐꯉ꯭ꯀꯁꯟ ꯌꯦꯡꯁꯤꯟꯅꯕꯥ ꯕ꯭ꯂꯗ ꯇꯦꯁ꯭ꯠ ꯀꯌꯥ ꯇꯧꯏ꯫
ꯕ꯭ꯂꯗ ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯃꯔꯨꯑꯣꯏꯅꯥ ꯍꯥꯌꯔꯤꯕꯥ ꯋꯥꯐꯃꯁꯤꯡ ꯑꯁꯤ ꯌꯦꯡꯁꯤꯜꯂꯤ꯫
| ꯆꯥꯡꯌꯦꯡ | ꯃꯗꯨꯗꯥ ꯀꯔꯤ ꯎꯔꯤꯕꯒꯦ? |
|---|---|
| ꯏ.ꯖꯤ.ꯑꯦꯐ.ꯑꯥꯔ.(ꯑꯦꯁ꯭ꯇꯤꯃꯦꯠ ꯇꯧꯔꯕꯥ ꯒ꯭ꯂꯣꯃꯦꯔꯨꯂꯥꯔ ꯐꯤꯜꯇꯔ ꯇꯧꯕꯒꯤ ꯆꯥꯡ) | ꯃꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯀꯤꯗꯅꯤꯁꯤꯡꯅꯥ ꯏ ꯑꯗꯨ ꯀꯌꯥꯝ ꯐꯖꯅꯥ ꯐꯤꯜꯇꯔ ꯇꯧꯔꯤꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯂꯦꯄꯊꯣꯀꯏ꯫ ꯃꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯀꯤꯗꯅꯤꯁꯤꯡ ꯑꯗꯨ ꯁꯣꯌꯗꯅꯥ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯈꯪꯗꯣꯀꯄꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫ ꯌꯨꯔꯦꯃꯤꯌꯥꯗꯥ, ꯏ.ꯖꯤ.ꯑꯦꯐ.ꯑꯥꯔ.ꯅꯥ ꯃꯍꯧꯁꯥꯅꯥ ꯆꯥꯎꯔꯥꯛꯅꯥ 15 ꯅꯠꯠꯔꯒꯥ ꯃꯁꯤꯗꯒꯤ ꯍꯦꯅꯕꯥ ꯑꯣꯏ꯫ |
| ꯕꯤ.ꯌꯨ.ꯑꯦꯟ.(ꯕ꯭ꯂꯗ ꯌꯨꯔꯤꯌꯥ ꯅꯥꯏꯠꯔꯣꯖꯦꯟ) | ꯃꯁꯤꯅꯥ ꯏꯗꯥ ꯌꯨꯔꯤꯌꯥ ꯅꯥꯏꯠꯔꯣꯖꯦꯟ ꯀꯧꯕꯥ ꯑꯃꯣꯠꯄꯥ ꯄꯣꯠꯁꯛ ꯑꯃꯒꯤ ꯆꯥꯡ ꯑꯗꯨ ꯂꯦꯄꯊꯣꯀꯏ꯫ ꯃꯁꯤꯗꯒꯤ ꯌꯨꯔꯦꯃꯤꯌꯥ ꯍꯥꯌꯕꯥ ꯃꯤꯡ ꯑꯁꯤ ꯂꯥꯀꯄꯅꯤ꯫ ꯌꯨꯔꯦꯃꯤꯌꯥꯗꯥ, ꯕꯤ.ꯌꯨ.ꯑꯦꯟ.ꯒꯤ ꯆꯥꯡ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯋꯥꯡꯅꯥ ꯂꯩꯕꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯕꯨ ꯅꯤꯡꯁꯤꯡꯕꯤꯌꯨ, ꯕꯤ.ꯌꯨ.ꯑꯦꯟ.ꯅꯥ ꯍꯀꯆꯥꯡꯗꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ ꯄꯨꯊꯣꯀꯄꯒꯤ ꯈꯨꯗꯝ ꯈꯛꯇꯅꯤ꯫ BUN ꯃꯁꯥꯃꯛꯅꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯊꯣꯀꯍꯜꯂꯤ꯫ |
ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯊꯛꯇꯥ ꯀꯤꯗꯅꯤ ꯑꯂꯠꯔꯥꯁꯥꯎꯟꯗ ꯁ꯭ꯀꯦꯅꯒꯨꯝꯕꯥ ꯊꯕꯀꯁꯤꯡ ꯑꯁꯤ ꯀꯤꯗꯅꯤ ꯐꯦꯜ ꯑꯣꯏꯕꯒꯤ ꯃꯔꯝ ꯈꯉꯗꯣꯛꯅꯕꯥ ꯇꯧꯕꯥ ꯌꯥꯏ꯫
ꯌꯨꯔꯦꯃꯤꯌꯥꯒꯤ ꯂꯥꯏꯌꯦꯡꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?
ꯌꯨꯔꯦꯃꯤꯌꯥ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯐꯍꯅꯕꯒꯤ ꯑꯃꯠꯇꯥ ꯉꯥꯏꯔꯕꯥ ꯄꯥꯝꯕꯩꯗꯤ ꯀꯤꯗꯅꯤꯒꯤ ꯐꯉ꯭ꯀꯁꯟ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯁꯦꯃꯒꯠꯄꯅꯤ꯫ ꯍꯥꯌꯕꯗꯤ ꯀꯤꯗꯅꯤꯒꯤ ꯐꯉ꯭ꯀꯁꯟ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯍꯧꯗꯣꯀꯄꯥ, ꯑꯥꯔꯇꯤꯐꯤꯁꯤꯑꯦꯜ ꯅꯠꯠꯔꯒꯥ ꯃꯍꯧꯁꯥꯒꯤ ꯑꯣꯏꯕꯥ ꯃꯑꯣꯡꯗꯥ꯫
ꯃꯔꯨꯑꯣꯏꯕꯥ ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯃꯑꯣꯡ ꯑꯅꯤ ꯂꯩ:
꯱.ꯗꯥꯏꯑꯦꯂꯥꯏꯁꯤꯁ ꯇꯧꯕꯥ꯫
ꯃꯁꯤꯗꯥ ꯃꯦꯁꯤꯟ ꯅꯠꯠꯔꯒꯥ ꯑꯇꯩ ꯃꯦꯊꯗ ꯑꯃꯥ ꯁꯤꯖꯤꯟꯅꯗꯨꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯏ ꯑꯗꯨ ꯁꯦꯡꯗꯣꯀꯄꯥ ꯌꯥꯎꯏ꯫
- ꯍꯦꯃꯣꯗꯥꯏꯑꯦꯂꯥꯏꯁꯤꯁ (Hemodialysis): ꯃꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯃꯄꯥꯟꯗꯥ ꯂꯩꯕꯥ ꯃꯦꯁꯤꯟ ꯑꯃꯗꯥ ꯏ ꯊꯥꯗꯨꯅꯥ ꯃꯗꯨ ꯁꯦꯡꯗꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯍꯟꯖꯤꯅꯍꯅꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯎꯏ꯫
- ꯄꯦꯔꯤꯇꯣꯅꯤꯑꯦꯜ ꯗꯥꯏꯑꯦꯂꯥꯏꯁꯤꯁ (Peritoneal Dialysis) : ꯃꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯏ ꯑꯗꯨ ꯁꯦꯡꯗꯣꯛꯅꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯦꯕꯗꯣꯃꯦꯅꯒꯤ ꯂꯥꯏꯅꯤꯡ (ꯄꯦꯔꯤꯇꯣꯅꯤꯌꯝ) ꯑꯃꯁꯨꯡ ꯑꯈꯟꯅꯕꯥ ꯐ꯭ꯂꯨꯏꯗ ꯑꯃꯥ ꯁꯤꯖꯤꯟꯅꯩ꯫
ꯀꯤꯗꯅꯤ ꯇ꯭ꯔꯥꯟꯁꯞꯂꯥꯟꯇ ꯇꯧꯕꯥ ꯲
ꯃꯁꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯥ ꯂꯥꯏꯌꯦꯡꯒꯤ ꯑꯣꯄꯁꯅꯅꯤ꯫ ꯃꯁꯤꯒꯤ ꯀꯦꯁ ꯑꯁꯤꯗꯥ, ꯑꯁꯣꯀꯄꯥ ꯀꯤꯗꯅꯤ ꯑꯗꯨ ꯍꯀꯁꯦꯜ ꯐꯕꯥ ꯗꯣꯅꯔ (ꯍꯤꯡꯂꯤꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯁꯤꯔꯕꯥ) ꯑꯃꯒꯤ ꯀꯤꯗꯅꯤ ꯑꯃꯅꯥ ꯃꯍꯨꯠ ꯁꯤꯜꯂꯤ꯫ ꯗꯥꯏꯑꯦꯂꯥꯏꯁꯤꯁꯇꯒꯤ ꯀꯤꯗꯅꯤ ꯇ꯭ꯔꯥꯟꯁꯞꯂꯥꯟꯇ ꯇꯧꯕꯥ ꯑꯁꯤ ꯍꯦꯟꯅꯥ ꯐꯕꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯃꯁꯤ ꯈꯟꯅꯕꯗꯥ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫
ꯍꯤꯗꯥꯛ ꯂꯥꯡꯊꯛꯅꯥ ꯐꯍꯅꯕꯥ ꯉꯃꯒꯗ꯭ꯔꯥ?
ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡꯅꯥ ꯌꯨꯔꯦꯃꯤꯌꯥꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯐꯍꯅꯕꯥ ꯉꯃꯗꯦ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯍꯀꯆꯥꯡꯗꯥ ꯌꯨꯔꯦꯃꯤꯌꯥꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯑꯇꯩ ꯏꯐꯦꯛꯇꯁꯤꯡ ꯊꯤꯡꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯅꯕꯥ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯍꯤꯗꯥꯀꯁꯤꯡ ꯑꯁꯤ ꯄꯤꯕꯥ ꯌꯥꯏ:
- ꯑꯦꯅꯤꯃꯤꯌꯥ ꯊꯤꯡꯅꯕꯥ ꯏ.ꯄꯤ.ꯑꯣ.
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯥꯏꯔꯟ ꯋꯥꯠꯄꯥ ꯂꯩꯔꯕꯗꯤ ꯑꯥꯏꯔꯟ ꯇꯦꯕ꯭ꯂꯦꯇꯁꯤꯡ꯫
- ꯁꯔꯨꯒꯤ ꯂꯥꯌꯅꯥ ꯊꯤꯡꯅꯕꯥ ꯀꯦꯂꯁꯤꯌꯝ, ꯚꯤꯇꯥꯃꯤꯟ D, ꯑꯃꯁꯨꯡ ꯐꯣꯁꯐꯦꯠ ꯕꯥꯏꯟꯗꯔꯁꯤꯡ꯫
ꯀꯗꯥꯏꯗꯥ ꯗꯣꯛꯇꯔꯒꯥ ꯇꯥꯟꯅꯒꯗꯒꯦ?
ꯃꯔꯨꯑꯣꯏꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯀꯤꯗꯅꯤꯒꯤ ꯂꯥꯌꯅꯥꯒꯤ ꯔꯤꯁ꯭ꯛ ꯐꯦꯛꯇꯔꯁꯤꯡ ꯂꯩꯔꯕꯗꯤ ꯅꯍꯥꯛꯀꯤ ꯀꯤꯗꯅꯤꯒꯤ ꯍꯀꯁꯦꯜ ꯌꯦꯡꯁꯤꯟꯅꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯌꯦꯡꯎ꯫
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯏꯃꯨꯡ ꯑꯗꯨꯒꯤ ꯀꯅꯥꯒꯨꯝꯕꯥ ꯑꯃꯅꯥ ꯀꯤꯗꯅꯤꯒꯤ ꯂꯥꯌꯅꯥ ꯂꯩꯔꯕꯗꯤ꯫
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ ꯋꯥꯡꯈꯠꯂꯕꯗꯤ꯫
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯌꯨꯔꯤꯅꯦꯁꯅꯒꯤ ꯃꯑꯣꯡ-ꯃꯇꯧꯗꯥ ꯑꯍꯣꯡꯕꯥ ꯂꯩꯔꯕꯗꯤ꯫
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡ, ꯈꯨꯠꯁꯥ ꯅꯠꯠꯔꯒꯥ ꯃꯥꯌꯗꯥ ꯁꯣꯀꯄꯥ (edema) ꯂꯩꯔꯕꯗꯤ꯫
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ NSAIDꯁꯤꯡ ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯂꯧꯔꯕꯗꯤ꯫
| ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯂꯩꯔꯕꯗꯤ, ꯈꯨꯗꯛꯇꯥ ꯏ.ꯇꯤ.ꯌꯨ.(ꯏꯃꯔꯖꯦꯟꯁꯤ ꯇ꯭ꯔꯤꯇꯃꯦꯟꯇ ꯌꯨꯅꯤꯠ)ꯗꯥ ꯆꯠꯂꯨ! | |
|---|---|
|
|
ꯌꯨꯔꯦꯃꯤꯌꯥ ꯊꯤꯡꯕꯥ ꯉꯃꯒꯗ꯭ꯔꯥ?
ꯌꯨꯔꯦꯃꯤꯌꯥ ꯊꯤꯡꯕꯁꯤ ꯇꯁꯦꯡꯕꯗꯤ ꯀ꯭ꯔꯣꯅꯤꯛ ꯀꯤꯗꯅꯤ ꯗꯤꯖꯤꯖ (CKD) ꯂꯥꯀꯄꯥ ꯊꯤꯡꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯥ ꯍꯥꯌꯕꯁꯤꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯁꯤ.ꯀꯦ.ꯗꯤ.
- ꯅꯦꯐ꯭ꯔꯣꯂꯣꯖꯤꯁ꯭ꯠ ꯑꯃꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯌꯥꯝꯅꯥ ꯅꯛꯅꯥ ꯊꯕꯛ ꯇꯧꯃꯤꯟꯅꯧ꯫
- ꯅꯍꯥꯛꯀꯤ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ, ꯗꯥꯏꯑꯦꯕꯦꯇꯤꯖ , ꯑꯃꯁꯨꯡ ꯑꯇꯩ ꯃꯦꯗꯤꯀꯦꯜ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯗꯨꯅꯥ ꯊꯝꯃꯨ꯫
- ꯗꯣꯛꯇꯔꯅꯥ ꯄꯤꯕꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ ꯑꯗꯨ ꯆꯞ ꯆꯥꯅꯥ ꯑꯃꯁꯨꯡ ꯃꯇꯝ ꯆꯥꯅꯥ ꯆꯥꯒꯗꯕꯅꯤ꯫
- ꯀꯤꯗꯅꯤꯁꯤꯡꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯕꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ (ꯃꯔꯨꯑꯣꯏꯅꯥ NSAIDꯁꯤꯡ), ꯌꯨ ꯑꯃꯁꯨꯡ ꯑꯇꯩ ꯗ꯭ꯔꯒꯁꯤꯡ ꯁꯤꯖꯤꯟꯅꯔꯣꯏꯗꯕꯅꯤ꯫
- ꯊꯝꯃꯣꯌꯗꯥ ꯍꯀꯁꯦꯜ ꯐꯕꯥ, ꯂꯣ-ꯁꯣꯜꯇ ꯗꯥꯏꯠ ꯑꯃꯥ ꯏꯅꯒꯗꯕꯅꯤ꯫
- ꯐꯖꯅꯥ ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯇꯧ꯫
- ꯍꯀꯁꯦꯜ ꯐꯕꯥ ꯍꯀꯆꯥꯡꯒꯤ ꯑꯔꯨꯝꯕꯥ ꯑꯃꯥ ꯊꯝꯕꯥ꯫
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯩꯈꯨ ꯁꯤꯖꯤꯟꯅꯔꯕꯗꯤ, ꯃꯗꯨ ꯈꯨꯗꯛꯇꯥ ꯊꯤꯡꯖꯤꯜꯂꯨ꯫
ꯇꯦꯛ-ꯍꯣꯝ ꯃꯦꯁꯦꯖ ꯇꯧꯕꯥ꯫
- ꯌꯨꯔꯦꯃꯤꯌꯥ ꯑꯁꯤ ꯂꯥꯏꯌꯦꯡꯗꯕꯥ ꯀꯤꯗꯅꯤ ꯐꯦꯜ ꯑꯣꯏꯔꯀꯄꯒꯤ ꯌꯥꯝꯅꯥ ꯈꯨꯗꯣꯡꯊꯤꯅꯤꯉꯥꯏ ꯑꯣꯏꯕꯥ ꯐꯜ ꯑꯃꯅꯤ꯫
- ꯑꯍꯥꯅꯕꯥ ꯑꯣꯏꯅꯥ ꯎꯕꯥ ꯐꯪꯂꯤꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡꯗꯤ ꯃꯤꯠ ꯎꯗꯕꯥ ꯑꯃꯁꯨꯡ ꯆꯥꯛ ꯆꯥꯕꯥ ꯋꯥꯠꯄꯅꯤ꯫ ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯌꯥꯗꯕꯤꯒꯅꯨ꯫
- ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯄꯥꯝꯕꯩꯁꯤꯡꯗꯤ ꯗꯥꯏꯑꯦꯂꯥꯏꯁꯤꯁ ꯅꯠꯠꯔꯒꯥ ꯀꯤꯗꯅꯤ ꯇ꯭ꯔꯥꯟꯁꯞꯂꯥꯟꯇꯅꯤ꯫
- ꯗꯥꯏꯑꯦꯕꯦꯇꯤꯖ ꯑꯃꯁꯨꯡ ꯍꯥꯏ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯅꯥ ꯌꯨꯔꯦꯃꯤꯌꯥ ꯊꯤꯡꯅꯕꯒꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯥ ꯄꯥꯝꯕꯩꯅꯤ꯫
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯀꯤꯗꯅꯤꯒꯤ ꯂꯥꯌꯅꯥ ꯂꯩꯔꯕꯗꯤ, ꯅꯠꯠꯔꯒꯥ ꯃꯁꯤꯒꯤ ꯔꯤꯁ꯭ꯛ ꯂꯩꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯀꯟꯇꯦꯛꯇ ꯇꯧꯗꯨꯅꯥ ꯂꯩꯌꯨ ꯑꯃꯁꯨꯡ ꯃꯊꯧ ꯇꯥꯕꯥ ꯇꯦꯁ꯭ꯠ ꯑꯃꯁꯨꯡ ꯂꯥꯏꯌꯦꯡ ꯂꯧꯕꯤꯌꯨ꯫
💬 Comments (0)
No comments yet. Be the first to share your thoughts here.
Add Your Comment