ꯅꯍꯥꯀꯄꯨ ‘ꯌꯨꯔꯦꯇꯦꯔꯦꯜ ꯁ꯭ꯇꯦꯟꯇ’ ꯑꯃꯥ ꯁꯤꯖꯤꯟꯅꯅꯕꯥ ꯍꯥꯌꯈ꯭ꯔꯕꯔꯥ? (ꯌꯨꯔꯦꯇꯦꯔꯦꯜ ꯁ꯭ꯇꯦꯟꯇ) - ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯂꯩꯔꯣꯏ, ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯁꯤ!

ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯏꯎꯔꯦꯇꯦꯔꯦꯜ ꯁ꯭ꯇꯦꯟꯇ ꯑꯃꯥ ꯃꯊꯧ ꯇꯥꯏ ꯍꯥꯌꯅꯥ ꯍꯥꯌꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯈꯔꯥ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯌꯥꯏ꯫ ꯑꯩꯈꯣꯌ ꯑꯌꯥꯝꯕꯅꯥ ꯁ꯭ꯇꯦꯟꯇ ꯑꯃꯥ ꯈꯅꯕꯗꯥ ꯊꯝꯃꯣꯌꯗꯥ ꯊꯝꯂꯤꯕꯥ ꯁ꯭ꯇꯦꯟꯇ ꯑꯃꯥ ꯈꯅꯖꯩ꯫ ꯑꯗꯨꯕꯨ ꯃꯁꯤ ꯃꯄꯨꯡ ꯐꯥꯅꯥ ꯇꯣꯉꯥꯅꯕꯥ ꯋꯥꯐꯝ ꯑꯃꯅꯤ꯫ ꯃꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯀꯤꯗꯅꯤ ꯁꯤꯁ꯭ꯇꯦꯝ ꯑꯗꯨ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯊꯕꯛ ꯇꯧꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯂꯤꯕꯥ ꯑꯄꯤꯀꯄꯥ ꯗꯤꯚꯥꯏꯁ ꯑꯃꯅꯤ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯑꯀꯤꯕꯒꯤ ꯃꯊꯧ ꯇꯥꯗꯦ꯫ ꯉꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯑꯗꯣꯝꯅꯥ ꯈꯉꯕꯤꯕꯥ ꯌꯥꯕꯥ ꯌꯥꯝꯅꯥ ꯂꯥꯏꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯒꯅꯤ꯫

ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯏꯎꯔꯦꯇꯔ ꯁ꯭ꯇꯦꯟꯇ ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ?

ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯂꯩꯔꯤꯕꯥ ꯀꯤꯗꯅꯤ ꯑꯅꯤ ꯑꯁꯤ ꯏꯁꯤꯡꯒꯤ ꯐꯤꯜꯇꯔ ꯑꯅꯤꯅꯤ ꯍꯥꯌꯅꯥ ꯈꯅꯕꯤꯌꯨ꯫ ꯍꯥꯌꯔꯤꯕꯥ ꯐꯤꯜꯇꯔꯁꯤꯡ ꯑꯁꯤꯗꯥ ꯐꯤꯜꯇꯔ ꯑꯅꯤ ꯑꯁꯤꯅꯥ ꯁꯦꯡꯗꯣꯛꯂꯤꯕꯥ ꯌꯨꯔꯤꯟ (ꯄꯤ) ꯑꯗꯨ ꯕ꯭ꯂꯦꯗꯔꯗꯥ ꯄꯨꯗꯨꯅꯥ ꯆꯠꯂꯤꯕꯥ ꯑꯄꯤꯀꯄꯥ ꯇꯤꯎꯕ ꯑꯅꯤ ꯂꯩ꯫ ꯍꯥꯌꯔꯤꯕꯥ ꯇꯤꯎꯕ ꯑꯅꯤ ꯑꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ ‘ꯌꯨꯔꯦꯇꯔ’ ꯅꯠꯠꯔꯒꯥ ꯌꯨꯔꯤꯅꯔꯤ ꯇ꯭ꯔꯦꯛꯇ ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫

ꯏꯎꯔꯦꯇꯦꯔꯦꯜ ꯁ꯭ꯇꯦꯟꯇ ꯍꯥꯌꯕꯁꯤ ꯁꯤꯂꯤꯀꯣꯟ ꯅꯠꯠꯔꯒꯥ ꯄꯣꯂꯤꯌꯨꯔꯦꯊꯦꯅꯅꯥ ꯁꯦꯝꯕꯥ ꯌꯥꯝꯅꯥ ꯂꯨꯕꯥ, ꯐ꯭ꯂꯦꯛꯁꯤꯕꯜ ꯑꯣꯏꯕꯥ ꯇꯤꯎꯕ ꯑꯃꯅꯤ꯫ ꯃꯁꯤ ꯌꯨꯔꯤꯟ ꯄꯨꯕꯥ ꯇꯤꯎꯕ ꯑꯣꯏꯔꯤꯕꯥ ꯏꯎꯔꯦꯇꯔꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯊꯝꯃꯤ, ꯃꯗꯨꯅꯥ ꯃꯗꯨ ꯍꯥꯡꯗꯣꯛꯇꯨꯅꯥ ꯑꯃꯁꯨꯡ ꯕ꯭ꯂꯣꯛ ꯇꯧꯗꯅꯥ ꯊꯝꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫ ꯃꯁꯤ ꯂꯝꯕꯤ ꯁꯦꯡꯗꯣꯀꯄꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯅꯕꯥ ꯕ꯭ꯂꯣꯛ ꯇꯧꯔꯕꯥ ꯏꯁꯤꯡꯒꯤ ꯄꯥꯏꯞ ꯑꯃꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯄꯤꯀꯄꯥ ꯇꯨꯕ ꯑꯃꯥ ꯊꯝꯕꯒꯥ ꯃꯥꯟꯅꯩ꯫

ꯃꯁꯤꯒꯤ ꯁ꯭ꯇꯦꯟꯇ ꯑꯁꯤ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯏꯟꯆꯤ ꯱꯰-꯱꯵ ꯋꯥꯡꯏ꯫ ꯃꯁꯤꯒꯤ ꯃꯀꯣꯟ ꯑꯃꯅꯥ ꯀꯤꯗꯅꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯁꯨꯡ ꯑꯇꯣꯞꯄꯥ ꯃꯔꯣꯜ ꯑꯗꯨ ꯕ꯭ꯂꯦꯗꯔꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯂꯩꯍꯟꯅꯕꯥ ꯗꯤꯖꯥꯏꯟ ꯇꯧꯕꯅꯤ꯫ ꯃꯁꯤꯕꯨ ‘ꯗꯕꯜ-ꯖꯦ ꯁ꯭ꯇꯦꯟꯇ’ ꯍꯥꯌꯅꯥꯁꯨ ꯀꯧꯏ꯫

ꯑꯩꯈꯣꯌꯅꯥ ꯀꯔꯤꯒꯤꯗꯃꯛ ꯁ꯭ꯇꯦꯟꯇ ꯑꯁꯤ ꯊꯝꯕꯥ ꯃꯊꯧ ꯇꯥꯔꯤꯕꯅꯣ?

ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯔꯃꯗꯤ ꯏꯎꯔꯦꯇꯔ ꯑꯗꯨ ꯃꯔꯝ ꯈꯔꯗꯒꯤ ꯕ꯭ꯂꯣꯛ ꯇꯧꯕꯥ (ureteral obstruction) ꯑꯣꯏꯔꯀꯄꯅꯤ꯫ ꯃꯁꯤ ꯊꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯌꯨꯔꯤꯟ ꯑꯁꯤ ꯀꯤꯗꯅꯤꯗꯒꯤ ꯕ꯭ꯂꯦꯗꯔꯗꯥ ꯆꯦꯟꯊꯈꯤꯗꯦ꯫ ꯃꯁꯤꯅꯥ ꯀꯤꯗꯅꯤꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ ꯑꯃꯁꯨꯡ ꯏꯅꯐꯦꯛꯁꯟ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯁ꯭ꯇꯦꯟꯇ ꯑꯁꯤꯅꯥ ꯕ꯭ꯂꯣꯀꯦꯖ ꯑꯗꯨ ꯕꯥꯏꯄꯥꯁ ꯇꯧꯗꯨꯅꯥ ꯑꯃꯁꯨꯡ ꯌꯨꯔꯤꯟ ꯆꯦꯅꯕꯥ ꯂꯝꯕꯤ ꯑꯃꯥ ꯁꯦꯃꯗꯨꯅꯥ ꯊꯕꯛ ꯇꯧꯏ꯫

ꯁ꯭ꯇꯦꯟꯇ ꯑꯁꯤ ꯊꯝꯕꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯔꯃꯁꯤꯡꯒꯤꯗꯃꯛꯇꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯇꯦꯕꯜ ꯑꯁꯤ ꯌꯦꯡꯕꯤꯌꯨ꯫

ꯁ꯭ꯇꯦꯟꯇ ꯄ꯭ꯂꯦꯁꯃꯦꯟꯇ ꯑꯁꯤ ꯑꯆꯧꯕꯥ ꯁꯔꯖꯔꯤ ꯑꯃꯅꯤ ꯍꯥꯌꯕꯁꯤꯅꯤ? ꯃꯁꯤꯒꯤꯗꯃꯛꯇꯥ ꯑꯩꯅꯥ ꯀꯔꯝꯅꯥ ꯁꯦꯝ ꯁꯥꯒꯅꯤ?

ꯅꯠꯇꯦ, ꯃꯁꯤ ꯃꯍꯧꯁꯥꯅꯥ ꯑꯆꯧꯕꯥ ꯑꯣꯄꯔꯦꯁꯟ ꯑꯃꯅꯤ . ꯃꯁꯤ ꯃꯤꯅꯤꯃꯝ ꯏꯅꯚꯦꯁꯤꯕ ꯑꯣꯄꯔꯦꯁꯟ ꯑꯃꯅꯤ꯫ ꯍꯥꯌꯕꯗꯤ ꯃꯁꯤ ꯃꯍꯧꯁꯥꯒꯤ ꯑꯣꯏꯕꯥ ꯑꯍꯥꯡꯕꯥ ꯃꯐꯝ ꯑꯃꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯇꯧꯏ, ꯑꯆꯧꯕꯥ ꯏꯅꯁꯤꯁꯟ ꯑꯃꯥ ꯇꯧꯗꯅꯥ ꯇꯧꯏ꯫ ꯑꯌꯥꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯅꯨꯃꯤꯠ ꯑꯗꯨꯃꯛꯇꯗꯥ ꯌꯨꯃꯗꯥ ꯆꯠꯄꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯅꯍꯥꯛꯅꯥ ꯑꯦꯅꯥꯁ꯭ꯇꯦꯁꯤꯌꯥꯒꯤ ꯃꯈꯥꯗꯥ ꯂꯩꯕꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯌꯨꯃꯗꯥ ꯄꯨꯁꯤꯜꯂꯀꯄꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯥ ꯃꯊꯧ ꯇꯥꯒꯅꯤ꯫

ꯁꯔꯖꯔꯤꯒꯤ ꯃꯃꯥꯡꯗꯥ ꯗꯣꯛꯇꯔꯅꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯋꯥꯐꯃꯁꯤꯡ ꯑꯁꯤ ꯈꯪꯍꯜꯂꯛꯀꯅꯤ:

• ꯅꯍꯥꯛꯀꯤ ꯃꯄꯨꯡꯐꯥꯕꯥ ꯃꯦꯗꯤꯀꯦꯜ ꯍꯤꯁ꯭ꯇꯔꯤ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯑꯦꯂꯥꯔꯖꯤ ꯑꯃꯍꯦꯛꯇꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯑꯩꯈꯣꯌꯗꯥ ꯈꯪꯍꯅꯕꯤꯌꯨ꯫
• ꯅꯍꯥꯛꯅꯥ ꯂꯧꯔꯤꯕꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛ ꯄꯨꯝꯅꯃꯛ (ꯚꯤꯇꯥꯃꯤꯅꯁꯤꯡ ꯌꯥꯎꯅꯥ) ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯈꯪꯍꯜꯂꯨ꯫ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛ ꯈꯔꯅꯥ ꯏ ꯊꯣꯀꯄꯥ ꯍꯦꯅꯒꯠꯍꯅꯕꯥ ꯌꯥꯏ꯫
• ꯃꯈꯣꯌꯅꯥ ꯍꯥꯌꯔꯤ ꯃꯗꯨꯗꯤ ꯀꯤꯗꯅꯤꯒꯤ ꯐꯉ꯭ꯀꯁꯟ ꯌꯦꯡꯁꯤꯟꯅꯕꯥ ꯕ꯭ꯂꯗ ꯇꯦꯁ꯭ꯠ (eGFR) ꯑꯃꯥ ꯇꯧꯒꯗꯕꯅꯤ꯫
• ꯁꯔꯖꯔꯤꯒꯤ ꯃꯃꯥꯡꯗꯥ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯄꯨꯡ 8 ꯐꯥꯎꯕꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯃꯠꯇꯥ ꯆꯥꯗꯅꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯊꯛꯅꯕꯥ ꯍꯥꯌꯒꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯇꯉꯥꯏꯐꯗꯕꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛ ꯑꯃꯥ ꯂꯩꯔꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯃꯗꯨ ꯏꯁꯤꯡ ꯊꯀꯄꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯊꯀꯄꯥ ꯌꯥꯍꯅꯒꯅꯤ꯫

ꯁ꯭ꯇꯦꯟꯇ ꯏꯅꯁꯥꯔꯁ ꯇꯧꯕꯒꯤ ꯊꯧꯑꯣꯡ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯊꯕꯛ ꯇꯧꯕꯒꯦ?

ꯃꯁꯤ ꯃꯍꯧꯁꯥꯅꯥ ꯏꯎꯔꯣꯂꯣꯖꯤꯁ꯭ꯠ ꯑꯃꯅꯥ ꯇꯧꯏ꯫ ꯅꯍꯥꯀꯄꯨ ꯖꯦꯅꯦꯔꯦꯜ ꯑꯦꯅꯥꯁ꯭ꯇꯦꯁꯤꯌꯥ ꯄꯤꯒꯅꯤ, ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯃꯠꯇꯥ ꯐꯥꯑꯣꯔꯣꯏ ꯑꯃꯁꯨꯡ ꯇꯨꯝꯕꯥ ꯌꯥꯔꯣꯏ꯫

ꯅꯍꯥꯛꯅꯥ ꯇꯨꯝꯂꯕꯥ ꯃꯇꯨꯡꯗꯥ, ꯗꯣꯛꯇꯔ ꯑꯗꯨꯅꯥ ꯁ꯭ꯇꯦꯄꯁꯤꯡ ꯑꯁꯤ ꯏꯅꯒꯅꯤ:

1. ꯑꯍꯥꯅꯕꯗꯥ, ꯕ꯭ꯂꯣꯀꯦꯖ ꯑꯗꯨꯒꯤ ꯑꯆꯨꯝꯕꯥ ꯃꯐꯝ ꯑꯗꯨ ꯈꯪꯗꯣꯛꯅꯕꯥ ꯁ꯭ꯀꯦꯟ (ꯐ꯭ꯂꯨꯑꯣꯔꯣꯁ꯭ꯀꯣꯄꯤ ꯅꯠꯠꯔꯒꯥ ꯀꯤꯗꯅꯤ ꯑꯂꯠꯔꯥꯁꯥꯎꯟꯗ) ꯑꯃꯥ ꯁꯤꯖꯤꯟꯅꯩ꯫

2. ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ, ꯀꯦꯃꯦꯔꯥ ꯑꯃꯥ ꯌꯥꯎꯕꯥ ꯑꯄꯤꯀꯄꯥ, ꯁꯥꯡꯕꯥ ꯏꯅꯁ꯭ꯠꯔꯨꯃꯦꯟꯇ ꯑꯃꯥ (`ꯁꯤꯁ꯭ꯇꯣꯁ꯭ꯀꯣꯞ`) ꯅꯍꯥꯛꯀꯤ ꯏꯎꯔꯦꯊ꯭ꯔꯥꯗꯥ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯕ꯭ꯂꯦꯗꯔꯗꯥ ꯊꯥꯏ꯫

3. `ꯁꯤꯁ꯭ꯇꯣꯁ꯭ꯀꯣꯞ` ꯑꯁꯤꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ, ꯃꯁꯤꯗꯒꯤꯁꯨ ꯍꯦꯟꯅꯥ ꯂꯨꯝꯕꯥ ꯋꯥꯌꯥꯔꯒꯨꯝꯕꯥ ꯗꯤꯚꯥꯏꯁ (`ꯒꯥꯏꯗꯋꯥꯏꯔ`) ꯑꯃꯥ ꯕ꯭ꯂꯣꯛ ꯇꯧꯔꯕꯥ ꯏꯎꯔꯦꯊ꯭ꯔꯥꯗꯥ ꯄꯥꯁ ꯇꯧꯏ꯫

4. ꯁ꯭ꯇꯦꯟꯇ ꯑꯗꯨ ꯒꯥꯏꯗꯋꯥꯏꯔ ꯑꯗꯨꯒꯤ ꯃꯊꯛꯇꯥ ꯑꯆꯨꯝꯕꯥ ꯃꯐꯝ ꯑꯗꯨꯗꯥ ꯊꯥꯏ꯫

5. ꯁ꯭ꯇꯦꯟꯇ ꯑꯗꯨ ꯃꯐꯝ ꯆꯥꯅꯥ ꯂꯩꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ, ꯒꯥꯏꯗꯋꯥꯏꯔ ꯑꯃꯁꯨꯡ ꯁꯤꯁ꯭ꯇꯣꯁ꯭ꯀꯣꯞ ꯑꯗꯨ ꯆꯦꯀꯁꯤꯟꯅꯥ ꯂꯧꯊꯣꯀꯏ꯫ ꯁ꯭ꯇꯦꯟꯇ ꯑꯗꯨ ꯍꯀꯆꯥꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯂꯩ꯫

ꯁ꯭ꯇꯦꯟꯇ ꯑꯗꯨ ꯊꯝꯂꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯀꯔꯤ ꯑꯣꯏꯒꯅꯤ? ꯀꯔꯤ ꯑꯥꯁꯥ ꯇꯧꯒꯗꯒꯦ?

ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯍꯧꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯈꯔꯥ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯐꯥꯑꯣꯒꯅꯤ꯫ ꯑꯅꯥꯕꯥ ꯑꯗꯨ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯅꯕꯥ ꯅꯍꯥꯀꯄꯨ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛ ꯄꯤꯒꯅꯤ꯫ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯏꯁꯤꯡ ꯌꯥꯝꯅꯥ ꯊꯛꯅꯕꯥ ꯍꯥꯌꯒꯅꯤ . ꯃꯁꯤꯅꯥ ꯀꯤꯗꯅꯤ ꯑꯃꯁꯨꯡ ꯕ꯭ꯂꯦꯗꯔ ꯑꯗꯨ ꯐ꯭ꯂꯁ ꯇꯧꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯒꯅꯤ꯫

ꯍꯥꯌꯔꯤꯕꯥ ꯋꯥꯐꯃꯁꯤꯡ ꯑꯁꯤ ꯑꯍꯥꯅꯕꯥ ꯅꯨꯃꯤꯠ ꯈꯔꯅꯤꯗꯥ ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏ:

• ꯌꯨꯔꯤꯅꯗꯥ ꯏ ꯈꯔꯥ (hematuria): ꯃꯁꯤ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯍꯟꯊꯔꯛꯀꯅꯤ꯫
• ꯌꯨꯔꯤꯟ ꯇꯧꯕꯥ ꯃꯇꯃꯗꯥ ꯈꯔꯥ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯃꯩꯅꯥ ꯆꯥꯀꯄꯥ: ꯃꯁꯤꯁꯨ ꯅꯨꯃꯤꯠ ꯈꯔꯅꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯍꯟꯊꯔꯛꯀꯅꯤ꯫
• ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯌꯨꯔꯤꯟ ꯇꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯥ: ꯁ꯭ꯇꯦꯟꯇ ꯑꯗꯨꯅꯥ ꯕ꯭ꯂꯦꯗꯔ ꯑꯗꯨ ꯁ꯭ꯇꯤꯝꯌꯨꯜ ꯇꯧꯕꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯃꯁꯤ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫
• ꯌꯨꯔꯤꯟ ꯇꯧꯕꯥ ꯃꯇꯃꯗꯥ ꯀꯤꯗꯅꯤꯁꯤꯡ ꯂꯩꯕꯥ ꯃꯐꯝ ꯑꯗꯨꯗꯥ (ꯃꯊꯛꯀꯤ ꯃꯈꯥ ꯊꯪꯕꯥ ꯁꯔꯨꯛꯇꯥ) ꯈꯔꯥ ꯁꯣꯀꯄꯥ ꯐꯥꯎꯕꯥ: ꯃꯁꯤ ꯃꯤꯑꯣꯏ ꯈꯔꯗꯗꯁꯨ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫

ꯁ꯭ꯇꯦꯟꯇ ꯑꯗꯨ ꯃꯐꯃꯗꯨꯗꯥ ꯂꯩꯔꯤꯕꯃꯈꯩ ꯑꯁꯣꯛ-ꯑꯄꯅꯁꯤꯡ ꯑꯁꯤ ꯂꯦꯡꯗꯅꯥ ꯂꯩꯕꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯊꯦꯡꯅꯕꯥ ꯉꯃꯗꯕꯥ ꯑꯅꯥꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯏ ꯌꯥꯝꯅꯥ ꯊꯣꯀꯄꯥ ꯂꯩꯔꯕꯗꯤ , ꯈꯨꯗꯛꯇꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯈꯪꯍꯅꯕꯤꯌꯨ꯫

ꯁ꯭ꯇꯦꯟꯇ ꯑꯗꯨ ꯀꯌꯥꯝ ꯁꯥꯡꯅꯥ ꯃꯐꯝ ꯑꯗꯨꯗꯥ ꯂꯩꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯒꯦ?

ꯃꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯀꯟꯗꯤꯁꯅꯒꯤ ꯃꯈꯥ ꯄꯣꯜꯂꯤ꯫ ꯑꯌꯥꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯃꯇꯝ ꯈꯔꯒꯤ ꯑꯣꯏꯕꯥ . ꯃꯈꯣꯌ ꯑꯁꯤ ꯅꯨꯃꯤꯠ ꯈꯔꯅꯤꯗꯒꯤ ꯅꯨꯃꯤꯠ ꯈꯔꯅꯤ ꯐꯥꯎꯕꯥ ꯃꯐꯃꯗꯨꯗꯥ ꯊꯝꯕꯥ ꯌꯥꯏ꯫ ꯅꯍꯥꯛꯀꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯗꯨ ꯐꯒꯠꯂꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯃꯈꯣꯌꯗꯨ ꯂꯧꯊꯣꯛꯀꯅꯤ꯫

ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯃꯤꯑꯣꯏ ꯈꯔꯗꯤ (ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯇꯤꯎꯃꯔ ꯑꯃꯅꯥ ꯃꯈꯣꯌꯒꯤ ꯑꯥꯔꯇꯦꯔꯤꯁꯤꯡ ꯊꯤꯡꯖꯤꯜꯂꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡ) ꯁ꯭ꯇꯦꯟꯇ ꯑꯗꯨ ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯃꯐꯝ ꯑꯗꯨꯗꯥ ꯊꯝꯕꯥ ꯃꯊꯧ ꯇꯥꯏ꯫ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯗꯥ ꯑꯔꯤꯕꯥ ꯁ꯭ꯇꯦꯟꯇ ꯑꯗꯨ ꯂꯧꯊꯣꯀꯏ ꯑꯃꯁꯨꯡ ꯊꯥ 3-6 ꯈꯨꯗꯤꯡꯒꯤ ꯑꯅꯧꯕꯥ ꯁ꯭ꯇꯦꯟꯇ ꯑꯃꯥ ꯍꯥꯄꯆꯤꯟꯗꯨꯅꯥ ꯏꯅꯐꯦꯛꯁꯟ ꯊꯤꯡꯏ꯫

ꯁ꯭ꯇꯦꯟꯇ ꯑꯗꯨ ꯀꯔꯝꯅꯥ ꯂꯧꯊꯣꯛꯀꯅꯤ? ꯃꯁꯤ ꯑꯋꯥꯕꯥ ꯑꯣꯏꯕꯔꯥ?

ꯁ꯭ꯇꯦꯟꯇ ꯑꯗꯨ ꯂꯧꯊꯣꯀꯄꯥ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯂꯥꯏ꯫

• ꯊ꯭ꯔꯦꯗ ꯑꯃꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯁ꯭ꯇꯦꯟꯇ ꯇꯧꯕꯥ: ꯑꯇꯦꯅꯕꯥ ꯃꯇꯃꯒꯤ ꯁ꯭ꯇꯦꯟꯇ ꯈꯔꯗꯗꯤ ꯃꯐꯃꯗꯨꯗꯥ ꯊꯃꯖꯤꯜꯂꯀꯄꯥ ꯎꯕꯥ ꯉꯝꯕꯥ ꯊ꯭ꯔꯦꯠ ꯑꯃꯥ ꯂꯩ꯫ ꯗꯣꯛꯇꯔꯅꯥ ꯁ꯭ꯇꯦꯟꯇ ꯑꯗꯨ ꯂꯧꯊꯣꯛꯇꯨꯅꯥ ꯂꯧꯊꯣꯀꯏ꯫
• ꯊ꯭ꯔꯦꯗꯂꯦꯁ ꯁ꯭ꯇꯦꯟꯇꯁꯤꯡ: ꯃꯈꯣꯌ ꯑꯁꯤ ꯊꯥꯗꯣꯀꯈꯤꯕꯥ ꯃꯇꯃꯗꯥ ꯁꯤꯁ꯭ꯇꯣꯁ꯭ꯀꯣꯞ ꯁꯤꯖꯤꯟꯅꯗꯨꯅꯥ ꯂꯧꯊꯣꯀꯏ꯫ ꯃꯐꯝ ꯑꯗꯨꯗꯥ ꯅꯝꯕꯤꯡ ꯖꯦꯜ ꯑꯃꯥ ꯊꯥꯏ, ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯌꯥꯝꯅꯥ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯐꯥꯎꯔꯣꯏ꯫ ꯅꯍꯥꯛꯅꯥ ꯈꯔꯥ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯐꯥꯎꯔꯀꯄꯥ ꯌꯥꯏ꯫

ꯂꯧꯊꯣꯛꯂꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯅꯨꯃꯤꯠ ꯑꯃꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯅꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯈꯔꯥ ꯁꯣꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯈꯔꯥ ꯂꯩꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤ ꯅꯣꯔꯃꯦꯂꯅꯤ꯫

ꯃꯁꯤꯒꯤ ꯀꯥꯟꯅꯕꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯑꯣꯏꯊꯣꯀꯄꯥ ꯌꯥꯕꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ ꯀꯔꯤꯅꯣ?

ꯃꯦꯗꯤꯀꯦꯜ ꯄ꯭ꯔꯣꯁꯤꯗ꯭ꯌꯨꯑꯣꯔ ꯑꯃꯍꯦꯛꯇꯒꯥ ꯃꯥꯟꯅꯅꯥ, ꯀꯥꯟꯅꯕꯁꯤꯡꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯑꯄꯤꯀꯄꯥ ꯈꯨꯗꯣꯡꯆꯥꯗꯕꯁꯤꯡ/ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡꯁꯨ ꯂꯩ꯫

ꯁ꯭ꯇꯦꯟꯇ ꯑꯗꯨꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯑꯅꯥꯕꯥ ꯑꯗꯨ ꯀꯔꯝꯅꯥ ꯍꯟꯊꯍꯅꯒꯅꯤ?

ꯑꯁꯣꯛ-ꯑꯄꯅꯁꯤꯡ ꯑꯁꯤ ꯃꯍꯧꯁꯥꯅꯥ ꯄꯦꯟ ꯀꯤꯂꯔꯁꯤꯡꯅꯥ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯍꯪꯗꯅꯥ ꯄꯦꯟ ꯀꯤꯂꯔ (`NSAID`ꯒꯨꯝꯕꯥ) ꯑꯃꯠꯇꯥ ꯂꯧꯔꯣꯏꯗꯕꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯑꯋꯥꯕꯥ ꯑꯁꯤ ꯍꯟꯊꯍꯟꯅꯕꯥ `ꯇꯥꯃꯁꯨꯂꯣꯁꯤꯟ`ꯒꯨꯝꯕꯥ ꯑꯈꯟꯅꯕꯥ ꯍꯤꯗꯥꯛ ꯑꯃꯥ ꯄꯤꯕꯥ ꯌꯥꯏ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯂꯩꯔꯕꯗꯤ, ꯈꯨꯗꯛꯇꯥ ꯗꯣꯛꯇꯔ ꯑꯃꯒꯥ ꯇꯥꯟꯅꯧ!

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯁ꯭ꯇꯦꯟꯇ ꯑꯗꯨ ꯃꯐꯝ ꯆꯥꯅꯥ ꯂꯩꯔꯤꯉꯩꯗꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯍꯦꯛꯇꯕꯨ ꯊꯦꯡꯅꯔꯕꯗꯤ, ꯈꯨꯗꯛꯇꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯀꯜ ꯇꯧꯕꯤꯌꯨ ꯅꯠꯠꯔꯒꯥ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯂꯒꯤ ꯏꯃꯔꯖꯦꯟꯁꯤ ꯗꯤꯄꯥꯔꯇꯃꯦꯟꯇ (ETU)ꯗꯥ ꯆꯠꯄꯤꯌꯨ꯫

• ꯑꯋꯥꯡꯕꯥ ꯂꯥꯏꯍꯧ ꯅꯠꯠꯔꯒꯥ ꯆꯤꯀꯄꯥ (infection)ꯒꯤ ꯈꯨꯗꯝ ꯑꯃꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫
• ꯀꯤꯗꯅꯤꯒꯤ ꯃꯐꯝ, ꯃꯈꯥ ꯊꯪꯕꯥ ꯁꯔꯨꯛꯇꯥ ꯅꯠꯠꯔꯒꯥ ꯌꯨꯔꯤꯅꯔꯤꯁꯤꯡꯗꯥ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯅꯥ ꯁꯣꯀꯄꯥ꯫
• ꯌꯨꯔꯤꯅꯗꯥ ꯃꯌꯦꯛ ꯁꯦꯡꯕꯥ ꯂꯥꯂꯍꯧꯕꯥ ꯏ ꯅꯠꯠꯔꯒꯥ ꯏ ꯊꯣꯀꯄꯥ꯫
• ꯌꯨꯔꯤꯟ ꯇꯧꯕꯥ ꯉꯃꯗꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯌꯨꯔꯤꯟ ꯑꯥꯎꯇꯄꯨꯠ ꯍꯟꯊꯕꯥ꯫
• ꯑꯉꯧꯕꯥ ꯃꯆꯨꯒꯤ ꯌꯨꯔꯤꯟ, ꯐꯠꯇꯕꯥ ꯃꯍꯤꯛ .
• ꯅꯣꯡꯃꯩ ꯀꯥꯞꯄꯥ ꯑꯃꯁꯨꯡ ꯋꯥꯈꯜ ꯋꯥꯕꯥ .