ꯀꯤꯗꯅꯤꯒꯤ ꯍꯀꯁꯦꯜ ꯌꯦꯡꯁꯤꯟꯅꯕꯥ ꯏꯆꯝ ꯆꯝꯕꯥ ꯌꯨꯔꯤꯟ ꯇꯦꯁ꯭ꯠ ꯑꯃꯥ: uACR (ꯌꯨꯔꯤꯟ ꯑꯦꯂꯕꯨꯃꯤꯟ-ꯀ꯭ꯔꯤꯑꯦꯇꯤꯅꯤꯟ ꯔꯦꯁꯤꯑꯣ)

ꯅꯍꯥꯛꯅꯥ ꯗꯥꯏꯑꯦꯕꯦꯇꯤꯖ ꯅꯠꯠꯔꯒꯥ ꯍꯥꯏ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔꯒꯨꯝꯕꯥ ꯃꯦꯗꯤꯀꯦꯜ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯥ ꯂꯩꯕ꯭ꯔꯥ? ꯅꯠꯔꯒꯥ ꯅꯍꯥꯛꯀꯤ ꯏꯃꯨꯡꯗꯥ ꯀꯅꯥꯒꯨꯝꯕꯥ ꯑꯃꯅꯥ ꯀꯤꯗꯅꯤꯒꯤ ꯂꯥꯌꯅꯥ ꯂꯩꯕ꯭ꯔꯥ? ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯀꯄꯨ "uACR" ꯀꯧꯕꯥ ꯌꯨꯔꯤꯟ ꯇꯦꯁ꯭ꯠ ꯑꯃꯥ ꯇꯧꯅꯕꯥ ꯍꯥꯌꯔꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯤꯡ ꯑꯗꯨ ꯇꯥꯕꯗꯥ ꯅꯍꯥꯛ ꯈꯔꯥ ꯂꯥꯡꯇꯛꯅꯔꯀꯄꯥ ꯌꯥꯏ, "ꯃꯁꯤ ꯀꯔꯝꯕꯥ ꯃꯈꯂꯒꯤ ꯑꯆꯧꯕꯥ ꯇꯦꯁ꯭ꯠꯅꯣ?" ꯑꯗꯨꯕꯨ ꯂꯥꯡꯇꯛꯅꯕꯒꯤ ꯃꯊꯧ ꯇꯥꯗꯦ꯫ ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯏꯆꯝ ꯆꯝꯕꯥ ꯌꯨꯔꯤꯟ ꯇꯦꯁ꯭ꯠ ꯑꯃꯅꯤ ꯃꯗꯨꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯀꯤꯗꯅꯤꯒꯤ ꯍꯀꯁꯦꯂꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯃꯃꯜ ꯌꯥꯝꯂꯕꯥ ꯏꯅꯐꯣꯔꯃꯦꯁꯟ ꯀꯌꯥ ꯑꯃꯥ ꯑꯩꯈꯣꯌꯗꯥ ꯈꯪꯍꯅꯕꯥ ꯉꯃꯒꯅꯤ꯫ ꯉꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯃꯁꯤ ꯄꯨꯝꯅꯃꯛ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯏꯆꯝ ꯆꯝꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯒꯅꯤ꯫

ꯌꯨꯔꯤꯟ ꯑꯦꯂꯕꯨꯃꯤꯟ-ꯀ꯭ꯔꯤꯑꯦꯇꯤꯅꯤꯟ ꯔꯦꯁꯤꯑꯣ (uACR) ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ?

ꯃꯃꯤꯡ ꯑꯁꯤ ꯈꯔꯥ ꯁꯥꯡꯏ, ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯃꯁꯤꯕꯨ uACR ꯍꯥꯌꯅꯥ ꯀꯧꯔꯁꯤ꯫ ꯃꯁꯤ ꯌꯨꯔꯤꯟ ꯇꯦꯁ꯭ꯠ ꯑꯃꯅꯤ꯫ ꯃꯁꯤꯅꯥ ꯃꯔꯨꯑꯣꯏꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯌꯨꯔꯤꯅꯗꯥ ꯑꯦꯂꯕꯨꯃꯤꯟ ꯑꯃꯁꯨꯡ ꯀ꯭ꯔꯤꯌꯦꯇꯤꯅꯤꯟ ꯀꯧꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡꯒꯤ ꯔꯦꯁꯤꯑꯣ ꯑꯗꯨ ꯂꯦꯄꯊꯣꯀꯏ꯫ ꯍꯧꯖꯤꯛ ꯑꯗꯣꯝꯅꯥ ꯈꯅꯕꯤꯔꯃꯒꯅꯤ, "ꯑꯦꯂꯕꯨꯃꯤꯟ ꯑꯃꯁꯨꯡ ꯀ꯭ꯔꯤꯌꯦꯇꯤꯅꯤꯟ ꯑꯁꯤ ꯀꯔꯤꯅꯣ?"

ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯈꯉꯂꯁꯤ꯫

• ꯑꯦꯂꯕꯨꯃꯤꯟ: ꯃꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯏꯗꯥ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯄ꯭ꯔꯣꯇꯤꯟ ꯑꯃꯅꯤ꯫ ꯃꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯏꯒꯤ ꯈꯣꯡꯖꯦꯂꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯄꯣꯠꯁꯤꯡ ꯊꯝꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯂꯤꯕꯥ ꯒꯦꯠꯀꯤꯄꯥꯔ ꯑꯃꯒꯨꯝꯕꯅꯤ꯫ ꯃꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯂꯤꯚꯔꯅꯥ ꯁꯦꯝꯕꯅꯤ꯫ ꯑꯦꯂꯕꯨꯃꯤꯅꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯊꯕꯛ ꯑꯁꯤ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯂꯁꯤꯡꯗꯒꯤ ꯐ꯭ꯂꯨꯏꯗꯁꯤꯡ ꯊꯣꯀꯄꯥ ꯊꯤꯡꯕꯅꯤ꯫ ꯃꯁꯤꯅꯥ ꯍꯀꯆꯥꯡ ꯄꯨꯝꯕꯗꯥ ꯚꯤꯇꯥꯃꯤꯟ, ꯑꯦꯅꯖꯥꯏꯝ, ꯍꯣꯔꯃꯣꯅꯒꯨꯝꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ ꯄꯨꯊꯣꯛ ꯄꯨꯁꯤꯟ ꯇꯧꯕꯗꯁꯨ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫

• ꯀ꯭ꯔꯤꯌꯦꯇꯤꯅꯤꯟ: ꯃꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯃꯁꯂꯁꯤꯡꯅꯥ ꯊꯕꯛ ꯇꯧꯕꯥ ꯃꯇꯃꯗꯥ ꯄꯨꯊꯣꯀꯄꯥ ꯑꯃꯣꯠꯄꯥ ꯄꯣꯠꯁꯛ ꯑꯃꯅꯤ꯫ ꯑꯩꯈꯣꯌꯒꯤ ꯃꯁꯂꯁꯤꯡꯅꯥ ꯀꯟꯠꯔꯦꯛꯇ ꯑꯃꯁꯨꯡ ꯁ꯭ꯠꯔꯦꯆ ꯇꯧꯕꯗꯥ ꯏꯅꯔꯖꯤ ꯁꯤꯖꯤꯟꯅꯩ꯫ ꯀ꯭ꯔꯤꯌꯦꯇꯤꯅꯤꯟ ꯑꯁꯤ ꯏꯅꯔꯖꯤ ꯑꯗꯨ ꯁꯤꯖꯤꯟꯅꯔꯕꯥ ꯃꯇꯃꯗꯥ ꯄꯨꯊꯣꯀꯄꯥ ꯑꯃꯣꯠꯄꯥ ꯄꯣꯠꯁꯛ ꯑꯃꯅꯤ꯫ ꯃꯁꯤ ꯃꯇꯨꯡꯗꯥ ꯏꯗꯥ ꯍꯥꯄꯆꯤꯜꯂꯤ꯫

ꯍꯧꯖꯤꯛ ꯍꯀꯆꯥꯡ ꯐꯕꯥ ꯀꯤꯗꯅꯤ ꯑꯅꯤꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯀꯔꯤ ꯑꯣꯏꯔꯤꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯕꯤꯌꯨ꯫ ꯅꯍꯥꯛꯀꯤ ꯀꯤꯗꯅꯤꯁꯤꯡ ꯑꯁꯤ ꯁꯨꯄꯔ ꯐꯤꯜꯇꯔ ꯑꯅꯤꯒꯨꯝꯅꯥ ꯑꯣꯏ꯫ ꯃꯈꯣꯏ:

1. ꯏꯗꯥ ꯂꯩꯕꯥ ꯃꯃꯜ ꯌꯥꯝꯂꯕꯥ ꯄ꯭ꯔꯣꯇꯤꯟ ꯑꯃꯥ ꯑꯣꯏꯔꯤꯕꯥ ꯑꯦꯂꯕꯨꯃꯤꯟ ꯑꯁꯤ ꯌꯨꯔꯤꯅꯗꯥ ꯊꯥꯗꯣꯀꯄꯒꯤ ꯃꯍꯨꯠꯇꯥ ꯍꯀꯆꯥꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯊꯃꯖꯤꯜꯂꯤ꯫

2. ꯏꯗꯥ ꯂꯩꯔꯤꯕꯥ ꯀ꯭ꯔꯤꯌꯦꯇꯤꯅꯤꯟ ꯀꯧꯕꯥ ꯑꯄꯥꯝꯕꯥ ꯑꯃꯣꯠꯄꯥ ꯄꯣꯠꯁꯛ ꯑꯗꯨ ꯃꯄꯨꯡ ꯐꯥꯅꯥ ꯐꯤꯜꯇꯔ ꯇꯧꯗꯨꯅꯥ ꯌꯨꯔꯤꯅꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯍꯀꯆꯥꯡꯗꯒꯤ ꯂꯧꯊꯣꯀꯏ꯫

ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯀꯤꯗꯅꯤꯁꯤꯡꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯑꯃꯥ ꯂꯩꯔꯕꯗꯤ, ꯐꯤꯜꯇꯔ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯂꯩꯕꯥ ꯍꯣꯂꯁꯤꯡ ꯑꯗꯨ ꯍꯦꯟꯅꯥ ꯆꯥꯎꯏ꯫ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ, ꯍꯀꯆꯥꯡꯗꯥ ꯊꯃꯒꯗꯕꯥ ꯑꯦꯂꯕꯨꯃꯤꯟ ꯑꯁꯤ ꯌꯨꯔꯤꯅꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯑꯄꯤꯀꯄꯥ ꯃꯁꯤꯡꯗꯥ ꯊꯣꯀꯄꯥ ꯍꯧꯏ꯫ ꯃꯁꯤꯗꯁꯨ ꯅꯠꯇꯅꯥ, ꯂꯧꯊꯣꯛꯀꯗꯕꯥ ꯀ꯭ꯔꯤꯌꯦꯇꯤꯅꯤꯟ ꯑꯁꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯂꯩꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯒꯤ ꯏꯃꯕꯦꯂꯦꯟꯁ ꯑꯁꯤꯅꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯌꯨ.ꯑꯦ.ꯁꯤ.ꯑꯥꯔ.

ꯀꯅꯥꯗꯥ ꯌꯨ.ꯑꯦ.ꯁꯤ.ꯑꯥꯔ.ꯒꯤ ꯇꯦꯁ꯭ꯠ ꯑꯁꯤ ꯇꯧꯅꯕꯥ ꯍꯥꯌꯔꯤꯕꯅꯣ?

ꯃꯍꯧꯁꯥꯅꯥ ꯗꯣꯛꯇꯔ ꯑꯃꯅꯥ ꯇꯦꯁ꯭ꯠ ꯑꯁꯤ ꯑꯣꯔꯗꯔ ꯇꯧꯒꯅꯤ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯈꯣꯌꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯀꯤꯗꯅꯤꯒꯤ ꯍꯀꯁꯦꯂꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯂꯩꯔꯕꯗꯤ, ꯃꯔꯨꯑꯣꯏꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯍꯦꯛꯇꯥ ꯂꯩꯔꯕꯗꯤ:

• ꯗꯥꯏꯑꯦꯕꯦꯇꯤꯖ ꯃꯦꯂꯤꯇꯁ: ꯗꯥꯏꯑꯦꯕꯦꯇꯤꯖꯅꯥ ꯅꯥꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯗꯥ ꯀꯤꯗꯅꯤꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯄꯒꯤ ꯔꯤꯁ꯭ꯛ ꯍꯦꯟꯅꯥ ꯂꯩ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯗꯥꯏꯑꯦꯕꯦꯇꯤꯖ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯗꯥ ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯇꯦꯁ꯭ꯠ ꯑꯁꯤ ꯇꯧꯅꯕꯥ ꯄꯥꯎꯇꯥꯛ ꯄꯤꯔꯤ꯫
• ꯍꯥꯌ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ (ꯍꯥꯌꯄꯔꯇꯦꯟꯁꯟ): ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯗ꯭ꯔꯕꯗꯤ, ꯃꯁꯤꯅꯥ ꯀꯤꯗꯅꯤꯁꯤꯡꯗꯥ ꯂꯩꯕꯥ ꯃꯆꯤ ꯑꯣꯏꯕꯥ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯂꯁꯤꯡꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫
• ꯀ꯭ꯔꯣꯅꯤꯛ ꯀꯤꯗꯅꯤ ꯗꯤꯖꯤꯖ (CKD): ꯇꯦꯁ꯭ꯠ ꯑꯁꯤ ꯍꯥꯟꯅꯅꯥ ꯀꯤꯗꯅꯤꯒꯤ ꯂꯥꯌꯅꯥ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯒꯤ ꯐꯤꯚꯝ ꯌꯦꯡꯁꯤꯟꯅꯕꯥ ꯁꯤꯖꯤꯟꯅꯩ꯫
• ꯍꯥꯔꯠ ꯗꯤꯖꯤꯖ꯫
• ꯂꯤꯚꯔꯒꯤ ꯁꯤꯔꯣꯁꯤꯁ (Cirrhosis)꯫

ꯃꯁꯤꯒꯤ ꯃꯊꯛꯇꯥ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯕꯣꯗꯤ ꯃꯥꯁ ꯏꯟꯗꯦꯛꯁ (ꯕꯤ.ꯑꯦꯝ.ꯑꯥꯏ.) ꯑꯁꯤ ꯳꯰ꯒꯤ ꯃꯊꯛꯇꯥ ꯂꯩꯔꯕꯗꯤ (ꯑꯣꯕꯦꯖ) , ꯅꯍꯥꯛꯅꯥ ꯃꯩꯈꯨ ꯊꯥꯗꯣꯀꯄꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯥ ꯑꯣꯏꯔꯕꯗꯤ ꯅꯠꯠꯔꯒꯥ ꯅꯍꯥꯛꯅꯥ ꯆꯍꯤ ꯵꯰ꯒꯤ ꯃꯊꯛꯇꯥ ꯂꯩꯔꯕꯗꯤ ꯀꯤꯗꯅꯤꯒꯤ ꯔꯤꯁ꯭ꯛ ꯑꯁꯤ ꯌꯦꯡꯁꯤꯟꯅꯕꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯇꯦꯁ꯭ꯠ ꯑꯁꯤ ꯔꯤꯀꯃꯦꯟꯗ ꯇꯧꯕꯥ ꯌꯥꯏ꯫

ꯃꯁꯤꯒꯤ ꯌꯨ.ꯑꯦ.ꯁꯤ.ꯑꯥꯔ.ꯒꯤ ꯇꯦꯁ꯭ꯠ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯇꯧꯕꯒꯦ?

ꯌꯨꯔꯤꯟ ꯁꯦꯝꯄꯜ ꯑꯁꯤ ꯂꯧꯅꯕꯒꯤ ꯃꯑꯣꯡ ꯀꯌꯥ ꯂꯩ꯫ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯛꯀꯤꯗꯃꯛꯇꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯥ ꯃꯦꯊꯗ ꯑꯗꯨ ꯈꯪꯍꯜꯂꯛꯀꯅꯤ꯫

ꯇꯦꯁ꯭ꯠ ꯇꯧꯗ꯭ꯔꯤꯉꯩꯒꯤ ꯃꯃꯥꯡꯗꯥ ꯑꯩꯅꯥ ꯁꯦꯝ ꯁꯥꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯋꯥꯐꯃꯁꯤꯡ ꯂꯩꯕ꯭ꯔꯥ?

ꯍꯣꯌ, ꯑꯆꯨꯝꯕꯥ ꯐꯜ ꯐꯪꯅꯕꯒꯤꯗꯃꯛ ꯑꯄꯤꯀꯄꯥ ꯋꯥꯐꯝ ꯈꯔꯥ ꯌꯦꯡꯁꯤꯅꯕꯥ ꯃꯊꯧ ꯇꯥꯏ꯫

• ꯏꯁꯤꯡ ꯃꯔꯥꯡ ꯀꯥꯌꯅꯥ ꯊꯀꯎ: ꯁꯦꯝꯄꯜ ꯑꯗꯨ ꯄꯤꯅꯕꯒꯤꯗꯃꯛ ꯌꯨꯔꯤꯟ ꯃꯔꯥꯡ ꯀꯥꯌꯅꯥ ꯂꯩꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯅꯥ, ꯇꯦꯁ꯭ꯠ ꯇꯧꯗ꯭ꯔꯤꯉꯩꯒꯤ ꯃꯃꯥꯡꯒꯤ ꯅꯨꯃꯤꯠꯇꯒꯤ ꯃꯍꯧꯁꯥꯒꯨꯝꯅꯥ ꯏꯁꯤꯡ ꯃꯔꯥꯡ ꯀꯥꯌꯅꯥ ꯊꯀꯎ꯫
• ꯑꯀꯅꯕꯥ ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯇꯧꯔꯣꯏꯗꯕꯅꯤ: ꯇꯦꯁ꯭ꯠ ꯇꯧꯗ꯭ꯔꯤꯉꯩꯒꯤ ꯃꯃꯥꯡꯗꯥ ꯌꯥꯃꯗ꯭ꯔꯕꯗꯥ ꯄꯨꯡ 24ꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯂꯝꯕꯤ-ꯊꯣꯡ, ꯂꯥꯞꯅꯥ ꯂꯩꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯔꯨꯝꯕꯥ ꯋꯥꯡꯈꯠꯄꯥ ꯑꯁꯤꯅꯆꯤꯡꯕꯥ ꯑꯀꯅꯕꯥ ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯇꯧꯔꯣꯏꯗꯕꯅꯤ꯫ ꯃꯁꯤꯒꯤ ꯃꯔꯃꯗꯤ ꯑꯀꯅꯕꯥ ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯇꯧꯕꯅꯥ ꯃꯇꯝ ꯈꯔꯒꯤ ꯑꯣꯏꯅꯥ ꯌꯨꯔꯤꯅꯗꯥ ꯑꯦꯂꯕꯨꯃꯤꯅꯒꯤ ꯆꯥꯡ ꯍꯦꯅꯒꯠꯍꯅꯕꯥ ꯉꯝꯃꯤ꯫
• ꯃꯅꯥ-ꯃꯁꯤꯡ ꯆꯥꯕꯥ ꯊꯤꯡꯖꯤꯜꯂꯨ: ꯇꯦꯁ꯭ꯠ ꯇꯧꯗ꯭ꯔꯤꯉꯩꯒꯤ ꯃꯃꯥꯡꯗꯥ ꯌꯥꯃꯗ꯭ꯔꯕꯗꯥ ꯄꯨꯡ 24ꯗꯤ ꯃꯅꯥ-ꯃꯁꯤꯡ ꯆꯥꯔꯣꯏꯗꯕꯅꯤ꯫ ꯃꯅꯥ-ꯃꯁꯤꯡ ꯆꯥꯕꯅꯥ ꯃꯇꯝ ꯈꯔꯒꯤ ꯑꯣꯏꯅꯥ ꯀ꯭ꯔꯤꯌꯦꯇꯤꯅꯤꯅꯒꯤ ꯆꯥꯡ ꯍꯣꯡꯗꯣꯀꯄꯥ ꯌꯥꯏ꯫

ꯃꯁꯤꯗꯁꯨ ꯅꯠꯇꯅꯥ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯁꯣꯌꯗꯅꯥ ꯍꯥꯌꯒꯗꯕꯥ ꯋꯥꯐꯝ ꯈꯔꯗꯤ ꯂꯩ, ꯃꯔꯃꯗꯤ ꯋꯥꯐꯃꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯔꯤꯖꯜꯇꯁꯤꯡꯗꯥ ꯑꯀꯥꯌꯕꯥ ꯄꯤꯕꯥ ꯌꯥꯏ꯫

• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯊꯥꯒꯤ ꯈꯣꯡꯀꯥꯞ ꯂꯥꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯍꯦꯃꯣꯔꯦꯖꯗꯒꯤ ꯏ ꯊꯣꯀꯄꯥ ꯑꯣꯏꯔꯕꯗꯤ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯌꯨꯔꯤꯅꯔꯤ ꯇ꯭ꯔꯦꯛꯇ ꯏꯅꯐꯦꯛꯁꯟ (UTI) , ꯂꯥꯏꯍꯧ , ꯒꯝ ꯏꯅꯐꯦꯛꯁꯟ (Periodontitis) , ꯅꯠꯠꯔꯒꯥ ꯚꯥꯏꯔꯁ ꯍꯦꯄꯥꯇꯥꯏꯇꯤꯁꯒꯨꯝꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯥ ꯂꯩꯔꯕꯗꯤ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯝ ꯑꯁꯤꯗꯥ ꯌꯨꯔꯤꯅꯗꯥ ꯏ ꯅꯠꯠꯔꯒꯥ ꯕꯦꯛꯇꯦꯔꯤꯌꯥ ꯂꯩꯔꯕꯗꯤ ꯃꯗꯨꯒꯤ ꯐꯜ ꯑꯗꯨ ꯑꯁꯣꯌꯕꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯗꯣꯛꯇꯔꯗꯥ ꯍꯥꯟꯅꯥ ꯈꯪꯍꯅꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫

ꯌꯨꯔꯤꯟ ꯁꯦꯝꯄꯜ ꯑꯃꯥ ꯃꯇꯧ ꯀꯔꯝꯅꯥ ꯇꯁꯦꯡꯅꯥ ꯄꯤꯕꯒꯦ?

ꯂꯦꯕ ꯑꯃꯗꯒꯤ ꯂꯦꯕ ꯑꯃꯗꯥ ꯏꯅꯁ꯭ꯠꯔꯛꯁꯅꯁꯤꯡ ꯑꯁꯤ ꯈꯔꯥ ꯈꯦꯠꯅꯕꯥ ꯌꯥꯏ, ꯑꯗꯨꯕꯨ ꯃꯈꯣꯌꯅꯥ ꯃꯍꯧꯁꯥꯅꯥ "ꯀ꯭ꯂꯤꯟ ꯀꯦꯆ" ꯀꯧꯕꯥ ꯃꯦꯊꯗ ꯑꯃꯥ ꯁꯤꯖꯤꯟꯅꯩ꯫ ꯃꯁꯤ ꯁꯦꯝꯄꯂꯒꯤ ꯃꯄꯥꯟꯗꯒꯤ ꯖꯔꯃꯁꯤꯡ ꯍꯥꯄꯆꯤꯅꯕꯥ ꯊꯤꯡꯅꯕꯥ ꯇꯧꯕꯥ ꯊꯕꯛ ꯑꯃꯅꯤ꯫ ꯂꯦꯕ ꯑꯗꯨꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯁꯦꯝꯄꯜ ꯀꯞ ꯑꯃꯥ ꯑꯃꯁꯨꯡ ꯁ꯭ꯇꯦꯔꯥꯏꯜ ꯋꯥꯏꯄꯁꯤꯡ ꯄꯤꯒꯅꯤ꯫

ꯃꯈꯥꯗꯥ ꯀꯔꯤ ꯇꯧꯒꯗꯒꯦ:

1. ꯑꯍꯥꯅꯕꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯨꯠꯁꯥ ꯑꯗꯨ ꯁꯥꯄꯣꯟꯅꯥ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯁꯦꯡꯗꯣꯀꯎ꯫

2. ꯅꯍꯥꯛꯀꯤ ꯃꯤꯠꯀꯤ ꯑꯀꯣꯌꯕꯗꯥ ꯂꯩꯕꯥ ꯃꯐꯝ (ꯌꯨꯔꯤꯟ ꯊꯣꯀꯄꯥ ꯃꯐꯝ) ꯑꯗꯨ ꯄꯤꯔꯤꯕꯥ ꯁ꯭ꯇꯦꯔꯤꯜ ꯋꯥꯏꯞ ꯑꯗꯨꯅꯥ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯁꯦꯡꯗꯣꯀꯎ꯫

3. ꯌꯨꯔꯤꯟ ꯍꯧꯕꯥ ꯑꯃꯁꯨꯡ ꯇꯣꯏꯂꯦꯠꯇꯥ ꯊꯣꯀꯄꯥ ꯑꯍꯥꯅꯕꯥ ꯌꯨꯔꯤꯟ ꯑꯗꯨ ꯁꯨꯡꯗꯣꯀꯎ꯫

4. ꯃꯔꯛꯇꯥ ꯌꯨꯔꯤꯟ ꯇꯧꯕꯥ ꯂꯦꯄꯀꯅꯨ ꯑꯃꯁꯨꯡ ꯁꯦꯝꯄꯜ ꯀꯞ ꯑꯗꯨ ꯏꯎꯔꯦꯊ꯭ꯔꯥꯒꯥ ꯅꯛꯅꯅꯥ ꯊꯝꯃꯨ꯫

5. ꯀꯞ ꯑꯗꯨ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯇꯉꯈꯥꯏ ꯑꯃꯥ ꯃꯄꯨꯡ ꯐꯥꯅꯥ ꯂꯣꯏꯔꯕꯥ ꯐꯥꯎꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯂꯦꯕꯅꯥ ꯇꯥꯀꯄꯥ ꯂꯦꯚꯦꯜ ꯑꯗꯨ ꯌꯧꯔꯛꯠꯔꯤꯐꯥꯎꯕꯥ ꯌꯨꯔꯤꯟ ꯇꯧ꯫

6. ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ, ꯀꯞ ꯑꯗꯨ ꯂꯧꯊꯣꯀꯎ ꯑꯃꯁꯨꯡ ꯂꯦꯃꯍꯧꯔꯤꯕꯥ ꯌꯨꯔꯤꯟ ꯑꯗꯨ ꯇꯣꯏꯂꯦꯠꯇꯥ ꯊꯥꯎ꯫

7. ꯀꯄꯀꯤ ꯃꯅꯥꯛ ꯅꯛꯅꯥ ꯊꯃꯖꯤꯜꯂꯨ ꯑꯃꯁꯨꯡ ꯂꯦꯕꯇꯥ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯗꯨꯗꯥ ꯄꯤꯌꯨ꯫

ꯃꯁꯤꯒꯤ ꯄꯥꯝꯕꯩ ꯑꯁꯤ ꯈꯔꯥ ꯂꯨꯕꯥ ꯑꯣꯏꯔꯕꯁꯨ, ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯑꯆꯨꯝꯕꯥ ꯐꯂꯁꯤꯡ ꯐꯪꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫

ꯔꯤꯖꯜꯇꯁꯤꯡ ꯑꯗꯨꯅꯥ ꯀꯔꯤ ꯍꯥꯌꯔꯤꯕꯒꯦ?

uACR ꯇꯦꯁ꯭ꯇꯀꯤ ꯔꯤꯖꯜꯇꯁꯤꯡ ꯑꯁꯤ ꯃꯤꯂꯤꯒ꯭ꯔꯥꯝ/ꯒ꯭ꯔꯥꯝ (mg/g)ꯗꯥ ꯄꯤꯔꯤ꯫ ꯃꯐꯝ ꯑꯁꯤꯗꯥ ꯅꯤꯡꯁꯤꯡꯒꯗꯕꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯋꯥꯐꯃꯗꯤ ꯌꯨ.ꯑꯦ.ꯁꯤ.ꯑꯥꯔ.ꯒꯤ ꯚꯦꯜꯌꯨ ꯍꯦꯟꯅꯥ ꯅꯦꯝꯂꯕꯗꯤ ꯍꯦꯟꯅꯥ ꯐꯕꯥ .

ꯅꯣꯔꯃꯦꯜ uACR ꯚꯦꯜꯌꯨ ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ?

• 30 mg/gꯒꯤ ꯃꯈꯥꯗꯥ ꯂꯩꯕꯥ ꯚꯦꯜꯌꯨ ꯑꯃꯕꯨ ꯅꯣꯔꯃꯦꯜ ꯂꯦꯚꯦꯜ ꯑꯃꯥ ꯑꯣꯏꯅꯥ ꯂꯧꯏ꯫
• ꯃꯁꯤꯅꯥ ꯇꯥꯀꯄꯗꯤ ꯅꯍꯥꯛꯅꯥ ꯀꯤꯗꯅꯤ ꯐꯦꯜ ꯑꯣꯏꯕꯥ, ꯍꯥꯔꯠ ꯑꯦꯇꯦꯛ ꯅꯠꯠꯔꯒꯥ ꯁ꯭ꯠꯔꯣꯀꯀꯤ ꯔꯤꯁ꯭ꯛ ꯌꯥꯝꯅꯥ ꯅꯦꯝꯃꯤ ꯍꯥꯌꯕꯅꯤ꯫
• ꯃꯍꯧꯁꯥꯅꯥ, ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯔꯤꯖꯜꯇ ꯑꯗꯨ ꯀꯅꯐꯥꯔꯝ ꯇꯧꯅꯕꯥ ꯊꯥ ꯈꯔꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯇꯦꯁ꯭ꯠ ꯑꯗꯨ ꯍꯟꯖꯤꯟ ꯍꯟꯖꯤꯟ ꯇꯧꯅꯕꯥ ꯍꯥꯌꯔꯀꯄꯥ ꯌꯥꯏ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ uACR ꯚꯦꯜꯌꯨ ꯑꯗꯨ ꯅꯣꯔꯃꯦꯂꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯋꯥꯡꯂꯕꯗꯤ ꯀꯔꯤ ꯇꯧꯒꯅꯤ?

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯔꯤꯖꯜꯇ ꯑꯗꯨ ꯑꯦꯕꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯔꯕꯗꯤ ꯃꯊꯪꯗꯥ ꯀꯔꯤ ꯑꯣꯏꯒꯅꯤ?

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ uACR ꯔꯤꯖꯜꯇ ꯑꯗꯨ ꯑꯦꯕꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯑꯍꯥꯅꯕꯗꯥ ꯃꯗꯨ ꯀꯅꯐꯥꯔꯝ ꯇꯧꯅꯕꯥ ꯑꯇꯣꯞꯄꯥ ꯇꯦꯁ꯭ꯠ ꯑꯃꯥ ꯇꯧꯒꯅꯤ꯫ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ, ꯃꯈꯣꯌꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯀꯤꯗꯅꯤꯒꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯗꯨ ꯃꯈꯥ ꯇꯥꯅꯥ ꯈꯪꯗꯣꯛꯅꯕꯥ ꯑꯇꯩ ꯇꯦꯁ꯭ꯠ ꯈꯔꯗꯤ ꯔꯤꯀꯃꯦꯟꯗ ꯇꯧꯕꯥ ꯌꯥꯏ꯫

• ꯏ.ꯖꯤ.ꯑꯦꯐ.ꯑꯥꯔ.(ꯑꯦꯁ꯭ꯇꯤꯃꯦꯇꯦꯗ ꯒ꯭ꯂꯣꯃꯦꯔꯨꯂꯥꯔ ꯐꯤꯜꯇꯔꯦꯁꯟ ꯔꯦꯠ) ꯇꯦꯁ꯭ꯠ: ꯃꯁꯤ ꯀꯤꯗꯅꯤꯁꯤꯡꯅꯥ ꯏ ꯀꯌꯥ ꯌꯥꯝꯅꯥ ꯐꯖꯅꯥ ꯐꯤꯜꯇꯔ ꯇꯧꯔꯤꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯁꯤꯜꯂꯤꯕꯥ ꯏꯆꯝ ꯆꯝꯕꯥ ꯕ꯭ꯂꯗ ꯇꯦꯁ꯭ꯠ ꯑꯃꯅꯤ꯫
• ꯀꯤꯗꯅꯤ ꯑꯂꯠꯔꯥꯁꯥꯎꯟꯗ ꯁ꯭ꯀꯦꯟ: ꯃꯁꯤꯅꯥ ꯀꯤꯗꯅꯤꯁꯤꯡꯗꯥ ꯇꯤꯎꯃꯔ ꯅꯠꯠꯔꯒꯥ ꯑꯣꯕꯁ꯭ꯠꯔꯀꯆꯔ ꯑꯃꯍꯦꯛꯇꯒꯤ ꯁꯥꯏꯖ, ꯃꯑꯣꯡ ꯑꯃꯁꯨꯡ ꯂꯩꯕꯒꯤ ꯆꯥꯡ ꯌꯦꯡꯁꯤꯅꯕꯥ ꯌꯥꯏ꯫
• ꯀꯤꯗꯅꯤ ꯕꯥꯏꯑꯣꯞꯁꯤ: ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯊꯣꯀꯄꯥ ꯀꯦꯁ ꯈꯔꯗꯗꯤ, ꯀꯤꯗꯅꯤꯗꯒꯤ ꯌꯥꯝꯅꯥ ꯑꯄꯤꯀꯄꯥ ꯇꯤꯁꯨ ꯑꯃꯥ ꯂꯧꯊꯣꯀꯏ ꯑꯃꯁꯨꯡ ꯃꯥꯏꯛꯔꯣꯁ꯭ꯀꯣꯄꯀꯤ ꯃꯈꯥꯗꯥ ꯌꯦꯡꯁꯤꯜꯂꯤ꯫

ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯈꯛꯇꯗꯥ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯀꯟꯗꯤꯁꯅꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯑꯆꯨꯝꯕꯥ ꯋꯥꯔꯦꯞ ꯑꯃꯥ ꯂꯧꯕꯥ ꯉꯃꯒꯅꯤ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯅꯥ ꯀꯔꯤ ꯂꯥꯏꯌꯦꯡ ꯃꯊꯧ ꯇꯥꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯂꯦꯄꯊꯣꯀꯄꯥ ꯉꯃꯒꯅꯤ꯫

ꯗꯣꯛꯇꯔ ꯑꯃꯗꯥ ꯆꯠꯅꯕꯥ ꯌꯥꯍꯅꯒꯗꯕꯥ ꯑꯇꯩ ꯀꯔꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯂꯩꯒꯗꯒꯦ?

ꯅꯍꯥꯛꯀꯤ uACR ꯇꯦꯁ꯭ꯇꯀꯤ ꯔꯤꯖꯜꯇ ꯑꯗꯨꯒꯤ ꯃꯊꯛꯇꯥ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯍꯦꯛꯇꯥ ꯂꯩꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯈꯨꯗꯛꯇꯥ ꯈꯪꯍꯅꯒꯗꯕꯅꯤ꯫ ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯀꯤꯗꯅꯤꯒꯤ ꯂꯥꯌꯅꯥꯒꯤ ꯈꯨꯗꯃꯁꯤꯡ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫

• ꯌꯨꯔꯤꯅꯦꯁꯅꯒꯤ ꯃꯑꯣꯡ-ꯃꯇꯧꯗꯥ ꯑꯍꯣꯡꯕꯥ ꯂꯥꯀꯄꯥ (ꯃꯍꯧꯁꯥꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯌꯨꯔꯤꯟ ꯇꯧꯕꯥ, ꯐꯣꯃꯕꯥ ꯌꯨꯔꯤꯟ, ꯌꯨꯔꯤꯅꯗꯥ ꯏ - ꯍꯦꯃꯥꯇꯨꯔꯤꯌꯥ )꯫
• ꯈꯣꯡ ꯍꯥꯝꯕꯥ, ꯈꯣꯡ ꯍꯥꯝꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯈꯣꯡ ꯍꯥꯝꯕꯥ꯫
• ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯌꯥꯝꯅꯥ ꯋꯥꯅꯥ ꯋꯥꯈꯜ ꯇꯥꯕꯥ꯫
• ꯅꯣꯡꯃꯩ ꯀꯥꯞꯄꯥ ꯑꯃꯁꯨꯡ ꯈꯣꯡ ꯍꯥꯝꯕꯥ꯫
• ꯈꯨꯠ, ꯈꯣꯡ ꯅꯠꯠꯔꯒꯥ ꯈꯣꯡꯄꯥꯛ ( edema ) ꯁꯣꯀꯄꯥ ( edema )꯫

ꯅꯍꯥꯛꯀꯤ ꯀꯤꯗꯅꯤꯁꯤꯡ ꯑꯗꯨ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯊꯕꯛ ꯇꯧꯗ꯭ꯔꯤ ꯍꯥꯌꯕꯥ ꯈꯪꯂꯕꯥ ꯃꯇꯃꯗꯥ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯑꯃꯁꯨꯡ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯐꯥꯎꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯅꯣꯔꯃꯦꯂꯅꯤ꯫ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯃꯇꯝ ꯑꯁꯤꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯍꯪꯂꯤꯕꯥ ꯋꯥꯍꯪ ꯄꯨꯝꯅꯃꯛ ꯍꯪꯕꯤꯌꯨ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯊꯧ ꯇꯥꯔꯕꯗꯤ, ꯏꯃꯨꯡꯒꯤ ꯃꯤꯑꯣꯏ ꯑꯃꯥ ꯅꯠꯠꯔꯒꯥ ꯅꯛꯅꯕꯥ ꯃꯔꯨꯞ ꯑꯃꯥ ꯅꯍꯥꯛꯀꯥ ꯂꯣꯌꯅꯅꯥ ꯆꯠꯂꯨ꯫ ꯃꯈꯣꯌꯅꯥ ꯅꯉꯣꯟꯗꯥ ꯍꯥꯌꯔꯤꯕꯥ ꯋꯥꯐꯃꯁꯤꯡ ꯑꯁꯤ ꯈꯉꯕꯗꯥ ꯑꯃꯁꯨꯡ ꯅꯤꯡꯁꯤꯡꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯕꯥ ꯉꯃꯒꯅꯤ꯫