ꯑꯦꯛꯌꯨꯠ ꯀꯤꯗꯅꯤ ꯐꯦꯜ ꯑꯣꯏꯕꯥ - ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯈꯪꯖꯤꯅꯕꯤꯌꯨ!

ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯄꯥꯉ꯭ꯒꯜ ꯀꯅꯕꯥ ꯐꯤꯜꯇꯔ ꯑꯅꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯑꯗꯣꯝꯅꯥ ꯈꯅꯕꯤꯔꯝꯂꯒꯅꯤ? ꯃꯈꯣꯌꯁꯤꯡ ꯑꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯀꯤꯗꯅꯤꯅꯤ . ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯈꯣꯌꯅꯥ ꯈꯉꯍꯧꯗꯅꯥ ꯊꯕꯛ ꯇꯧꯕꯥ ꯂꯦꯄꯈ꯭ꯔꯕꯗꯤ, ꯃꯩ ꯆꯥꯀꯄꯒꯤ ꯃꯑꯣꯡ ꯃꯇꯧꯒꯨꯝ ꯀꯔꯤ ꯑꯣꯏꯒꯅꯤ? ꯃꯗꯨ ꯑꯩꯈꯣꯌꯅꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛꯇꯥ “ꯑꯦꯛꯌꯨꯠ ꯀꯤꯗꯅꯤ ꯐꯦꯜ ꯑꯣꯏꯕꯥ ” ꯅꯠꯠꯔꯒꯥ “ꯑꯦꯛꯌꯨꯠ ꯔꯦꯅꯥꯜ ꯐꯦꯜ ꯑꯣꯏꯕꯥ” ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ ꯃꯁꯤ ꯄꯨꯡ ꯈꯔꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯅꯠꯠꯔꯒꯥ ꯅꯨꯃꯤꯠ ꯈꯔꯅꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯕꯨ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯂꯩꯔꯣꯏꯗꯕꯅꯤ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯁꯤ ꯈꯪꯂꯕꯗꯤ ꯑꯃꯁꯨꯡ ꯊꯨꯅꯥ ꯂꯥꯏꯌꯦꯡꯂꯕꯗꯤ, ꯑꯌꯥꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯀꯤꯗꯅꯤꯁꯤꯡ ꯑꯗꯨ ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯅꯥ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯂꯥꯀꯄꯥ ꯌꯥꯏ꯫

ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯀꯤꯗꯅꯤꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯊꯕꯛ ꯑꯁꯤ ꯀꯔꯤꯅꯣ?

ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯈꯉꯁꯤ꯫ ꯀꯤꯗꯅꯤꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯊꯕꯛ ꯑꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯏ ꯐꯤꯜꯇꯔ ꯇꯧꯗꯨꯅꯥ ꯃꯗꯨꯗꯒꯤ ꯑꯄꯥꯝꯕꯥ ꯑꯃꯣꯠꯄꯥ ꯄꯣꯠꯂꯃꯁꯤꯡ ꯌꯨꯔꯤꯟ ꯑꯣꯏꯅꯥ ꯂꯧꯊꯣꯀꯄꯅꯤ . ꯃꯁꯤ ꯈꯛꯇꯥ ꯅꯠꯇꯅꯥ, ꯑꯄꯤꯀꯄꯥ ꯑꯣꯔꯒꯥꯟ ꯑꯅꯤ ꯑꯁꯤꯅꯥ ꯍꯀꯆꯥꯡꯗꯥ ꯏꯁꯤꯡꯒꯤ ꯆꯥꯡ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯥ, ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯥ , ꯔꯦꯗ ꯕ꯭ꯂꯗ ꯁꯦꯂꯁꯤꯡ ꯁꯦꯝꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯕꯥ , ꯑꯃꯁꯨꯡ ꯍꯀꯆꯥꯡꯗꯥ ꯇꯉꯥꯏ ꯐꯗꯕꯥ ꯏꯂꯦꯛꯠꯔꯣꯂꯥꯏꯠꯁꯤꯡ ꯕꯦꯂꯦꯟꯁ ꯇꯧꯕꯥ ꯑꯁꯤꯅꯆꯤꯡꯕꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯊꯕꯛ ꯀꯌꯥ ꯑꯃꯁꯨ ꯇꯧꯏ꯫ ꯑꯗꯨꯅꯥ ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯋꯥꯐꯝ ꯄꯨꯝꯅꯃꯛ ꯑꯁꯤ ꯑꯔꯥꯅꯕꯥ ꯑꯣꯏꯔꯀꯏ꯫

ꯑꯦꯛꯌꯨꯠ ꯑꯃꯁꯨꯡ ꯀ꯭ꯔꯣꯅꯤꯀꯀꯤ ꯃꯔꯛꯇꯥ ꯀꯔꯤ ꯈꯦꯠꯅꯕꯥ ꯂꯩꯕꯒꯦ?

“ꯀ꯭ꯔꯣꯅꯤꯛ ꯀꯤꯗꯅꯤ ꯗꯤꯖꯤꯖ” ( CKD ) ꯀꯧꯕꯥ ꯋꯥꯐꯝ ꯑꯃꯥ ꯅꯍꯥꯛꯅꯥ ꯇꯥꯕꯤꯔꯝꯂꯒꯅꯤ꯫ ꯃꯗꯨ ꯑꯃꯁꯨꯡ “ꯑꯦꯛꯌꯨꯠ ꯀꯤꯗꯅꯤ ꯐꯦꯜ ꯑꯣꯏꯕꯥ” ꯍꯥꯌꯕꯁꯤ ꯇꯣꯉꯥꯅꯕꯥ ꯋꯥꯐꯝ ꯑꯅꯤꯅꯤ꯫

• ꯑꯦꯛꯌꯨꯠ ꯀꯤꯗꯅꯤ ꯐꯦꯜ ꯑꯣꯏꯕꯥ: ꯃꯁꯤ ꯈꯪꯍꯧꯗꯅꯥ ꯊꯣꯀꯏ, ꯈꯪꯍꯧꯗꯅꯥ . ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯂꯥꯌꯦꯡꯂꯕꯗꯤ ꯃꯄꯨꯡ ꯐꯥꯅꯥ ꯐꯒꯠꯂꯀꯄꯒꯤ ꯈꯨꯗꯣꯡꯆꯥꯕꯥ ꯂꯩ .
• ꯀ꯭ꯔꯣꯅꯤꯛ ꯀꯤꯗꯅꯤ ꯗꯤꯖꯤꯖ (CKD): ꯃꯁꯤ ꯃꯇꯃꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ ꯀꯤꯗꯅꯤꯁꯤꯡ ꯑꯁꯤ ꯁꯣꯀꯍꯜꯂꯤꯕꯥ ꯇꯞꯅꯥ ꯇꯞꯅꯥ, ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯆꯠꯄꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ . ꯃꯍꯧꯁꯥꯅꯥ ꯃꯁꯤ ꯗꯥꯏꯑꯦꯕꯦꯇꯤꯖ ꯅꯠꯠꯔꯒꯥ ꯍꯥꯏ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔꯒꯨꯝꯕꯥ ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯂꯩꯕꯥ ꯀꯟꯗꯤꯁꯅꯁꯤꯡꯅꯥ ꯊꯣꯀꯍꯅꯕꯅꯤ . ꯃꯁꯤꯒꯤ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯑꯁꯤ ꯑꯌꯥꯝꯕꯅꯥ ꯃꯇꯝ ꯆꯨꯞꯄꯒꯤ ꯑꯣꯏꯅꯥ .

ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯑꯂꯠꯔꯥꯁꯥꯎꯟꯗ ꯁ꯭ꯀꯦꯟ ꯇꯧꯗꯨꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯅꯤ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯀꯔꯝꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯂꯩꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯐꯖꯅꯥ ꯀꯅꯐꯥꯔꯝ ꯇꯧꯕꯥ ꯌꯥꯏ꯫ ꯃꯍꯧꯁꯥꯅꯥ, ꯁꯤ.ꯀꯦ.ꯗꯤ.ꯗꯥ, ꯀꯤꯗꯅꯤꯁꯤꯡ ꯑꯁꯤ ꯁꯥꯏꯖꯗꯥ ꯍꯦꯟꯅꯥ ꯄꯤꯀꯄꯥ ꯎꯕꯥ ꯐꯪꯏ꯫

ꯀꯤꯗꯅꯤꯒꯤ ꯂꯥꯌꯅꯥꯒꯤ ꯁ꯭ꯇꯦꯖꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯈꯪꯗꯣꯛꯀꯅꯤ?

ꯀꯤꯗꯅꯤꯒꯤ ꯐꯉ꯭ꯀꯁꯅꯒꯤ ꯆꯥꯡ ꯑꯃꯥ ꯂꯩ, ꯃꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ `(eGFR – ꯑꯦꯁ꯭ꯇꯤꯃꯦꯠ ꯇꯧꯔꯕꯥ ꯒ꯭ꯂꯣꯃꯦꯔꯨꯂꯥꯔ ꯐꯤꯜꯇꯔꯦꯁꯟ ꯔꯦꯠ)` ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯃꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯀꯤꯗꯅꯤꯁꯤꯡꯅꯥ ꯏ ꯑꯗꯨ ꯀꯌꯥꯝ ꯐꯖꯅꯥ ꯐꯤꯜꯇꯔ ꯇꯧꯕꯒꯦ ꯍꯥꯌꯕꯗꯨꯅꯤ꯫ ꯃꯁꯤꯒꯤ ꯚꯦꯜꯌꯨ ꯑꯁꯤ ꯂꯥꯌꯅꯥ ꯑꯁꯤꯒꯤ ꯁ꯭ꯇꯦꯖꯁꯤꯡ ꯀ꯭ꯂꯥꯁꯤꯐꯥꯏ ꯇꯧꯕꯗꯥ ꯁꯤꯖꯤꯟꯅꯩ꯫

ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯈꯪꯖꯤꯅꯕꯤꯌꯨ!

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯂꯥꯏꯑꯣꯡ ꯑꯃꯠꯇꯥ ꯌꯥꯎꯗꯅꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯑꯇꯣꯞꯄꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯒꯤꯗꯃꯛ ꯇꯦꯁ꯭ꯠ ꯇꯧꯕꯥ ꯃꯇꯃꯗꯥ ꯊꯧꯗꯣꯛ ꯊꯣꯀꯄꯥ ꯑꯣꯏꯅꯥ ꯎꯕꯥ ꯐꯪꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯂꯥꯀꯄꯥ ꯇꯥꯔꯕꯗꯤ, ꯃꯈꯣꯌꯗꯨꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯁꯤꯡꯁꯤ ꯌꯥꯎꯕꯥ ꯌꯥꯏ:

• ꯌꯨꯔꯤꯟ ꯑꯥꯎꯇꯄꯨꯇꯀꯤ ꯆꯥꯡ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯍꯟꯊꯩ꯫
• ꯈꯣꯡ, ꯈꯣꯡ, ꯑꯃꯁꯨꯡ ꯈꯣꯡꯗꯥ ꯁꯣꯀꯄꯥ (ꯐ꯭ꯂꯨꯏꯗ ꯔꯤꯇꯦꯟꯁꯅꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ)꯫
• ꯂꯦꯞꯇꯅꯥ ꯑꯀꯅꯕꯥ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯑꯃꯁꯨꯡ ꯇꯨꯝꯕꯥ ꯌꯥꯗꯕꯒꯤ ꯐꯤꯚꯝ ꯂꯩꯕꯥ꯫
• ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ꯫
• ꯈꯣꯡ ꯍꯥꯝꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯅꯥꯕꯥ꯫
• ꯆꯤꯟꯖꯥꯛ ꯑꯁꯤ ꯃꯆꯤ ꯑꯣꯏꯗꯦ꯫
• ꯈꯣꯡ ꯍꯥꯝꯕꯥ ꯌꯥꯗꯕꯥ꯫
• ꯀꯅꯥꯒꯨꯝꯕꯥ ꯑꯃꯒꯤ ꯋꯥꯈꯜ ꯈꯅꯕꯗꯥ ꯑꯋꯥꯕꯥ (Confusion)꯫
• ꯈꯣꯡꯗꯥ ꯁꯣꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯁꯣꯀꯄꯥ꯫
• ꯃꯁꯜ ꯁꯣꯟꯊꯕꯥ꯫
• ꯁ꯭ꯇꯣꯃꯥꯛ ꯅꯠꯠꯔꯒꯥ ꯀꯣꯛ ꯆꯤꯀꯄꯥ꯫
• ꯂꯥꯏꯍꯧ, ꯈꯣꯡ-ꯈꯨꯠ ꯁꯣꯛ-ꯄꯅꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯅꯥꯀꯣꯡꯒꯤ ꯏ ꯊꯣꯀꯄꯥ꯫

ꯃꯁꯤ ꯀꯔꯤꯒꯤ ꯊꯣꯛꯂꯤꯕꯅꯣ? ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯔꯝ ꯳!

ꯈꯪꯍꯧꯗꯅꯥ ꯀꯤꯗꯅꯤ ꯐꯦꯜ ꯑꯣꯏꯔꯀꯄꯒꯤ ꯃꯔꯃꯁꯤꯡꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯀꯦꯇꯦꯒꯣꯔꯤ ꯑꯍꯨꯝ ꯂꯩ꯫

1. ꯀꯤꯗꯅꯤꯗꯥ ꯏ ꯆꯦꯅꯕꯥ ꯉꯃꯗꯕꯥ꯫

ꯃꯁꯤꯒꯤ ꯃꯔꯃꯗꯤ:

• ꯁꯥꯊꯤꯕꯥ ꯗꯤꯍꯥꯌꯗ꯭ꯔꯦꯁꯟ ꯅꯠꯠꯔꯒꯥ ꯁꯥꯊꯤꯕꯥ ꯃꯩꯅꯥ ꯆꯥꯀꯄꯥ꯫
• ꯏꯅꯐꯦꯛꯁꯅꯁꯤꯡ ꯂꯩꯕꯥ꯫
• ꯍꯥꯔꯠ ꯐꯦꯜ ꯑꯣꯏꯕꯥ꯫
• ꯂꯤꯚꯔ ꯐꯦꯜ ꯑꯣꯏꯕꯥ꯫
• ꯑꯀꯛꯅꯕꯥ ꯄꯦꯟ ꯀꯤꯂꯔꯁꯤꯡ (ꯑꯦꯁ꯭ꯄꯤꯔꯤꯟ, ꯏꯕꯨꯞꯔꯣꯐꯦꯟ, ꯅꯦꯞꯔꯣꯛꯁꯦꯅꯒꯨꯝꯕꯥ ꯑꯦꯟ.ꯑꯦꯁ.ꯑꯦ.ꯑꯥꯏ.ꯗꯤ.ꯁꯤꯡ) ꯑꯃꯁꯨꯡ ꯍꯥꯏ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔꯒꯤ ꯍꯤꯗꯥꯛ ꯈꯔꯗꯤ꯫

2. ꯌꯨꯔꯤꯅꯔꯤꯗꯥ ꯑꯀꯥꯌꯕꯥ ꯄꯤꯕꯥ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯄꯦꯁꯦꯖ ꯑꯗꯨ ꯀꯤꯗꯅꯤꯁꯤꯡꯗꯥ ꯄꯨꯊꯣꯀꯄꯥ ꯌꯨꯔꯤꯟ ꯑꯗꯨ ꯊꯣꯀꯄꯥ ꯉꯃꯗꯅꯕꯥ ꯕ꯭ꯂꯣꯛ ꯇꯧꯔꯕꯗꯤ, ꯄ꯭ꯔꯦꯁꯔ ꯑꯗꯨꯅꯥ ꯕꯦꯛ ꯇꯧꯕꯥ ꯌꯥꯏ ꯑꯃꯁꯨꯡ ꯀꯤꯗꯅꯤꯁꯤꯡꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫

• ꯀꯤꯗꯅꯤꯗꯥ ꯁ꯭ꯇꯣꯟ ꯂꯩꯕꯥ꯫
• ꯅꯨꯄꯥꯁꯤꯡꯗꯥ ꯄ꯭ꯔꯣꯁ꯭ꯇꯦꯠ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ꯫
• ꯕ꯭ꯂꯦꯗꯔ, ꯁꯔꯚꯤꯛꯁ, ꯀꯣꯂꯣꯟ ꯅꯠꯠꯔꯒꯥ ꯄ꯭ꯔꯣꯁ꯭ꯇꯦꯇꯀꯤ ꯀꯦꯟꯁꯔ꯫
• ꯌꯨꯔꯤꯅꯔꯤ ꯇ꯭ꯔꯦꯛꯇꯇꯥ ꯂꯩꯕꯥ ꯅꯔꯚꯁꯤꯡꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯄꯥ꯫

3. ꯀꯤꯗꯅꯤ ꯃꯁꯥꯃꯛꯇꯗꯥ ꯍꯀꯊꯦꯡꯅꯅꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯅꯕꯥ꯫

ꯄꯣꯠꯁꯛ ꯈꯔꯗꯤ ꯀꯤꯗꯅꯤꯒꯤ ꯁꯦꯂꯁꯤꯡꯗꯥ ꯍꯀꯊꯦꯡꯅꯅꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫

• ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛ ꯈꯔꯗꯤ (ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, NSAIDꯁꯤꯡ, ꯀꯦꯃꯣꯊꯦꯔꯥꯄꯤ ꯗ꯭ꯔꯒꯁꯤꯡ, ꯑꯦꯟꯇꯤꯕꯥꯏꯑꯣꯇꯤꯛ ꯈꯔꯗꯤ)꯫
• ꯀꯤꯗꯅꯤꯗꯒꯤ ꯌꯨꯔꯤꯟ ꯐꯤꯜꯇꯔ ꯇꯧꯕꯥ ꯐꯥꯏꯅꯦꯜ ꯇꯤꯎꯕꯁꯤꯡ (Glomerulonephritis) ꯏꯅꯐ꯭ꯂꯦꯃꯦꯁꯟ (Glomerulonephritis)꯫ ꯃꯁꯤ ꯏꯅꯐꯦꯛꯁꯟ ꯅꯠꯠꯔꯒꯥ ꯂꯨꯄꯁꯒꯨꯝꯕꯥ ꯑꯣꯇꯣꯏꯝꯌꯨꯟ ꯂꯥꯌꯅꯥꯁꯤꯡꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫
• ꯏ ꯊꯣꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯀꯣꯂꯦꯁ꯭ꯇꯦꯔꯣꯜ ꯗꯤꯄꯣꯖꯤꯠ ꯂꯩꯕꯥ꯫

ꯃꯁꯤ ꯀꯔꯝꯅꯥ ꯂꯥꯌꯦꯡꯕꯒꯦ?

ꯅꯨꯡꯉꯥꯏꯕꯥ ꯄꯥꯎ ꯑꯃꯗꯤ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯇꯣꯌꯅꯥ ꯈꯉꯗꯣꯛꯂꯕꯗꯤ ꯂꯥꯏꯌꯦꯡꯕꯥ ꯑꯃꯁꯨꯡ ꯐꯍꯅꯕꯥ ꯉꯃꯒꯅꯤ꯫ ꯂꯥꯏꯌꯦꯡ ꯑꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯁꯨꯡ ꯃꯔꯝ ꯑꯗꯨꯒꯤ ꯃꯈꯥ ꯄꯣꯜꯂꯤ꯫

• ꯍꯣꯁ꯭ꯄꯤꯇꯥꯂꯥꯏꯖꯦꯁꯟ: ꯑꯌꯥꯝꯕꯥ ꯀꯦꯁꯁꯤꯡꯗꯗꯤ, ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤꯅꯥ ꯂꯥꯏꯌꯦꯡꯅꯕꯒꯤꯗꯃꯛ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯂꯥꯏꯖꯦꯁꯟ ꯃꯊꯧ ꯇꯥꯏ꯫
• ꯃꯔꯝ ꯑꯗꯨ ꯂꯥꯌꯦꯡꯕꯥ: ꯱.ꯑꯍꯥꯅꯕꯥ ꯊꯕꯛ ꯑꯁꯤ ꯀꯤꯗꯅꯤ ꯐꯦꯜ ꯑꯣꯏꯕꯒꯤ ꯃꯔꯝ ꯈꯪꯗꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯂꯥꯏꯌꯦꯡꯕꯅꯤ꯫ ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯁꯤ ꯗꯤꯍꯥꯌꯗ꯭ꯔꯦꯁꯟ ꯑꯣꯏꯔꯕꯗꯤ, ꯁꯦꯂꯟ ꯄꯤ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯏꯅꯐꯦꯛꯁꯟ ꯑꯣꯏꯔꯕꯗꯤ, ꯑꯦꯟꯇꯤꯕꯥꯏꯑꯣꯇꯤꯛ ꯄꯤ, ꯑꯃꯁꯨꯡ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯍꯤꯗꯥꯛ ꯑꯃꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯑꯣꯏꯔꯕꯗꯤ ꯊꯤꯡꯖꯤꯜꯂꯤ꯫
• ꯗꯥꯏꯠ: ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯀꯤꯗꯅꯤꯁꯤꯡ ꯑꯗꯨ ꯐꯒꯠꯂꯛꯠꯔꯤꯐꯥꯎꯕꯥ ꯁꯣꯜꯇ ꯑꯃꯁꯨꯡ ꯄꯣꯇꯥꯁꯤꯌꯝ ꯌꯥꯝꯅꯥ ꯌꯥꯎꯕꯥ ꯆꯤꯟꯖꯥꯀꯁꯤꯡ ꯂꯤꯃꯤꯠ ꯇꯧꯅꯕꯥ ꯍꯥꯌꯔꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯒꯤ ꯃꯔꯃꯗꯤ ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯊꯥꯗꯣꯀꯄꯥ ꯑꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯀꯤꯗꯅꯤꯁꯤꯡꯗꯥ ꯄꯣꯠꯂꯨꯝ ꯑꯃꯥ ꯑꯣꯏꯍꯜꯂꯤ꯫ ꯃꯈꯣꯌꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯕꯦꯅꯥ, ꯁ꯭ꯄꯤꯅꯥꯆ, ꯇꯣꯃꯦꯇꯣ, ꯑꯣꯔꯦꯟꯖ, ꯑꯃꯁꯨꯡ ꯑꯥꯂꯨꯒꯨꯝꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ ꯂꯤꯃꯤꯠ ꯇꯧꯅꯕꯥ ꯍꯥꯌꯔꯀꯄꯥ ꯌꯥꯏ ꯑꯃꯁꯨꯡ ꯃꯗꯨꯒꯤ ꯃꯍꯨꯠꯇꯥ ꯑꯦꯄꯜ, ꯑꯉ꯭ꯒꯨꯔ, ꯁ꯭ꯠꯔꯣꯕꯦꯔꯤ, ꯑꯃꯁꯨꯡ ꯀꯣꯂꯤꯐ꯭ꯂꯣꯔꯒꯨꯝꯕꯥ ꯄꯣꯇꯥꯁꯤꯌꯝ ꯌꯥꯝꯅꯥ ꯌꯥꯎꯕꯥ ꯆꯤꯟꯖꯥꯀꯁꯤꯡ ꯆꯥꯅꯕꯥ ꯍꯥꯌꯔꯀꯄꯥ ꯌꯥꯏ꯫
• ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ: ꯏꯗꯥ ꯐꯣꯁꯐꯔꯁ ꯑꯃꯁꯨꯡ ꯄꯣꯇꯥꯁꯤꯌꯃꯒꯤ ꯆꯥꯡ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯅꯕꯥ ꯍꯤꯗꯥꯀꯁꯤꯡ ꯄꯤꯕꯥ ꯌꯥꯏ꯫
• ꯗꯥꯏꯑꯦꯂꯥꯏꯁꯤꯁ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯀꯤꯗꯅꯤꯁꯤꯡꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯑꯗꯨ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯑꯣꯏꯔꯕꯗꯤ, ꯀꯤꯗꯅꯤꯁꯤꯡ ꯑꯗꯨ ꯐꯒꯠꯂꯛꯠꯔꯤꯕꯐꯥꯎꯕꯥ ꯃꯦꯁꯤꯟ ꯑꯃꯅꯥ ꯊꯕꯛ ꯇꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯒꯅꯤ꯫ ꯃꯁꯤꯕꯨ ꯗꯥꯏꯑꯦꯂꯥꯏꯁꯤꯁ ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ ꯃꯁꯤꯅꯥ ꯀꯤꯗꯅꯤꯁꯤꯡ ꯐꯍꯅꯕꯥ ꯉꯃꯗꯦ, ꯑꯗꯨꯕꯨ ꯃꯁꯤꯅꯥ ꯍꯀꯆꯥꯡꯗꯒꯤ ꯑꯃꯣꯠꯄꯥ ꯄꯣꯠꯂꯃꯁꯤꯡ ꯂꯧꯊꯣꯀꯄꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ ꯑꯃꯁꯨꯡ ꯀꯤꯗꯅꯤꯁꯤꯡ ꯐꯒꯠꯂꯛꯠꯔꯤꯐꯥꯑꯣꯕꯥ ꯄꯨꯟꯁꯤ ꯀꯅꯕꯥ ꯉꯝꯃꯤ꯫

ꯑꯩꯈꯣꯌꯅꯥ ꯐꯤꯚꯝ ꯑꯁꯤꯗꯒꯤ ꯑꯩꯈꯣꯌ ꯏꯁꯥꯕꯨ ꯉꯥꯀꯊꯣꯀꯄꯥ ꯉꯃꯒꯗ꯭ꯔꯥ?

ꯇꯁꯦꯡꯅꯥ ꯃꯁꯤ ꯑꯣꯏꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯏꯆꯝ ꯆꯝꯕꯥ ꯋꯥꯐꯝ ꯈꯔꯥ ꯌꯦꯡꯁꯤꯅꯕꯤꯔꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯔꯤꯁ꯭ꯛ ꯑꯁꯤ ꯍꯟꯊꯍꯅꯕꯥ ꯉꯃꯒꯅꯤ꯫

1. ꯄꯦꯅꯀꯤꯂꯥꯔꯁꯤꯡꯗꯥ ꯆꯦꯀꯁꯤꯅꯒꯗꯕꯅꯤ: ꯑꯣꯚꯔ-ꯗꯤ-ꯀꯎꯟꯇꯔ ꯄꯦꯏꯅꯀꯤꯂꯔꯁꯤꯡ (NSAIDs) (ꯏꯕꯨꯞꯔꯣꯐꯦꯟ ꯑꯃꯁꯨꯡ ꯅꯦꯞꯔꯣꯛꯁꯦꯅꯒꯨꯝꯕꯥ) ꯂꯦꯞꯇꯅꯥ ꯑꯃꯁꯨꯡ ꯌꯥꯝꯅꯥ ꯁꯤꯖꯤꯟꯅꯔꯣꯏꯗꯕꯅꯤ꯫ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛ ꯑꯃꯠꯇꯥ ꯂꯧꯗ꯭ꯔꯤꯉꯩꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯇꯥꯟꯅꯧ꯫

2. ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯤ ꯏꯅꯁ꯭ꯠꯔꯛꯁꯅꯁꯤꯡ ꯏꯅꯒꯗꯕꯅꯤ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯗꯥꯏꯑꯦꯕꯦꯇꯤꯖ ꯅꯠꯠꯔꯒꯥ ꯍꯥꯏ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔꯒꯨꯝꯕꯥ ꯃꯦꯗꯤꯀꯦꯜ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ ꯂꯩꯔꯕꯗꯤ ꯃꯗꯨ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯀꯟꯠꯔꯣꯜ ꯇꯧ꯫ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯄꯤꯕꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ ꯑꯗꯨ ꯆꯞ ꯆꯥꯅꯥ ꯁꯤꯖꯤꯟꯅꯧ꯫

3. ꯍꯀꯁꯦꯜ ꯐꯕꯥ ꯄꯨꯟꯁꯤ ꯃꯍꯤꯡ ꯑꯃꯥ: ꯏꯁꯤꯡ ꯃꯔꯥꯡ ꯀꯥꯌꯅꯥ ꯊꯀꯄꯥ, ꯆꯥꯡ ꯃꯥꯟꯅꯅꯥ ꯆꯥꯕꯥ ꯑꯃꯁꯨꯡ ꯁꯥꯖꯦꯜ ꯇꯧꯕꯥ꯫ ꯍꯥꯌꯔꯤꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯀꯤꯗꯅꯤ ꯈꯛꯇꯒꯤ ꯅꯠꯇꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡ ꯄꯨꯝꯕꯥ ꯍꯀꯆꯥꯡ ꯐꯅꯥ ꯊꯝꯃꯤ꯫

ꯀꯤꯗꯅꯤꯒꯤ ꯂꯥꯌꯅꯥ, ꯑꯀꯅꯕꯥ ꯀꯤꯗꯅꯤ ꯐꯦꯜ ꯑꯣꯏꯕꯥ ꯁꯤꯅꯍꯥꯂꯥ, ꯀꯤꯗꯅꯤ ꯐꯦꯜ ꯑꯣꯏꯕꯥ, ꯌꯨꯔꯤꯟ ꯑꯥꯎꯠꯄꯨꯠ ꯍꯟꯊꯕꯥ, ꯏ.ꯖꯤ.ꯑꯦꯐ.ꯑꯥꯔ., ꯀ꯭ꯔꯤꯌꯦꯇꯤꯅꯤꯟ ꯁꯤꯅꯍꯥꯂꯥ, ꯗꯥꯏꯑꯦꯂꯥꯏꯁꯤꯁ ꯁꯤꯅꯍꯥꯂꯥ꯫