ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯅꯥ ꯄ꯭ꯔꯤꯀꯣꯁꯤꯌꯁ ꯄ꯭ꯌꯨꯕꯔꯇꯤꯒꯤ ꯈꯨꯗꯃꯁꯤꯡ ꯎꯕꯥ ꯐꯪꯂꯤꯕ꯭ꯔꯥ? ꯄ꯭ꯔꯤꯃꯦꯆꯔ ꯑꯦꯗ꯭ꯔꯤꯅꯥꯔꯆꯀꯤ ꯃꯇꯥꯡꯗꯥ ꯈꯉꯁꯤ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯃꯃꯥ-ꯃꯄꯥ ꯑꯃꯥ ꯑꯣꯏꯅꯥ, ꯅꯍꯥꯛꯀꯤ ꯏꯆꯝ ꯆꯝꯕꯥ ꯃꯆꯥꯅꯨꯄꯤ ꯅꯠꯠꯔꯒꯥ ꯃꯆꯥꯅꯨꯄꯥ ꯑꯗꯨꯅꯥ ꯃꯈꯣꯌꯒꯤ ꯆꯍꯤꯒꯥ ꯆꯥꯟꯅꯗꯕꯥ ꯑꯍꯣꯡꯕꯁꯤꯡ ꯑꯗꯨ ꯃꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯎꯕꯥ ꯐꯪꯂꯃꯒꯅꯤ꯫ ꯃꯈꯣꯌꯗꯥ ꯑꯥꯔꯝꯄꯤꯠ ꯍꯦꯌꯥꯔ ꯂꯥꯀꯄꯥ ꯌꯥꯏ, ꯅꯠꯠꯔꯒꯥ ꯃꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯗꯒꯤ ꯐꯠꯇꯕꯥ ꯃꯍꯤꯛ ꯑꯃꯥ ꯂꯥꯀꯄꯥ ꯌꯥꯏ꯫ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯋꯥꯐꯝ ꯑꯃꯥ ꯎꯕꯗꯥ ꯈꯔꯥ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯑꯃꯁꯨꯡ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯐꯥꯑꯣꯕꯁꯤ ꯅꯣꯔꯃꯦꯂꯅꯤ꯫ ꯅꯍꯥꯛꯅꯥ ꯈꯜꯂꯃꯒꯅꯤ, ‘ꯑꯣꯍ, ꯑꯩꯒꯤ ꯑꯉꯥꯡ ꯑꯁꯤ ꯆꯍꯤ ꯑꯁꯤꯒꯤ ꯃꯃꯥꯡꯗꯥ ꯃꯤꯔꯣꯜꯂꯤꯉꯩ ꯃꯇꯃꯗꯥ ꯆꯠꯀꯗꯕꯔꯥ?’ ꯉꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯃꯃꯥ-ꯃꯄꯥ ꯀꯌꯥꯅꯥ ꯂꯥꯡꯇꯛꯅꯔꯤꯕꯥ ꯑꯗꯨꯕꯨ ꯇꯁꯦꯡꯅꯥ ꯈꯉꯗꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯔꯤ꯫ ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯋꯥꯍꯟꯊꯣꯛꯀꯤ ꯃꯇꯨꯡ ꯏꯟꯅꯥ ꯑꯩꯈꯣꯌꯅꯥ ꯃꯁꯤꯕꯨ ꯄ꯭ꯔꯤꯃꯦꯆꯔ ꯑꯦꯗ꯭ꯔꯤꯅꯥꯔꯆ ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫

ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯄ꯭ꯔꯤꯃꯦꯆꯔ ꯑꯦꯗ꯭ꯔꯤꯅꯥꯔꯆ ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ?

ꯃꯁꯤ ꯈꯉꯅꯕꯒꯤꯗꯃꯛ, ꯑꯍꯥꯅꯕꯗꯥ ꯑꯦꯗ꯭ꯔꯤꯅꯥꯔꯆ ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯁꯤ꯫ ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ ꯑꯩꯈꯣꯌ ꯄꯨꯝꯅꯃꯛꯀꯤ ꯀꯤꯗꯅꯤꯒꯤ ꯃꯊꯛꯇꯥ ꯑꯄꯤꯀꯄꯥ, ꯀꯦꯄꯆꯔꯒꯨꯝꯕꯥ ꯒ꯭ꯜꯌꯥꯟꯗ ꯑꯅꯤ ꯂꯩ꯫ ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤꯕꯨ ꯑꯦꯗ꯭ꯔꯤꯅꯜ ꯒ꯭ꯜꯌꯥꯟꯗꯁꯤꯡ ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ ꯒ꯭ꯜꯌꯥꯟꯗꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯇꯉꯥꯏꯐꯗꯕꯥ ꯍꯣꯔꯃꯣꯟ ꯀꯌꯥ ꯄꯨꯊꯣꯀꯏ꯫

ꯃꯍꯧꯁꯥꯅꯥ, ꯆꯍꯤ 5ꯒꯤ ꯃꯅꯨꯡꯗꯥ, ꯑꯦꯗ꯭ꯔꯤꯅꯜ ꯒ꯭ꯜꯌꯥꯟꯗꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯈꯔꯥ ‘ꯄꯤꯀꯄꯥ’ ꯑꯃꯁꯨꯡ ꯑꯅꯧꯕꯥ ꯃꯈꯂꯒꯤ ꯍꯣꯔꯃꯣꯟ ꯑꯃꯥ (ꯃꯔꯨꯑꯣꯏꯅꯥ DHEA ꯀꯧꯕꯥ ꯍꯣꯔꯃꯣꯟ ꯑꯃꯥ) ꯄꯨꯊꯣꯀꯄꯥ ꯍꯧꯏ꯫ ꯃꯁꯤꯒꯤ ꯊꯧꯑꯣꯡ ꯑꯁꯤꯕꯨ ꯑꯦꯗ꯭ꯔꯦꯅꯥꯔꯆ ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫

ꯑꯗꯨꯕꯨ ꯍꯣꯔꯃꯣꯅꯒꯤ ꯑꯍꯣꯡꯕꯁꯤꯡ ꯑꯁꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯊꯣꯛꯂꯕꯁꯨ, ꯃꯍꯧꯁꯥꯅꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯆꯍꯤ 8 ꯅꯠꯠꯔꯒꯥ 9ꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯎꯕꯥ ꯍꯧꯏ, ꯃꯇꯝ ꯑꯗꯨꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯥꯔꯝꯄꯤꯠ ꯍꯦꯌꯥꯔ ꯑꯃꯁꯨꯡ ꯄ꯭ꯌꯨꯕꯤꯛ ꯍꯦꯌꯥꯔꯒꯨꯝꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ ꯑꯁꯤ ꯂꯥꯀꯄꯥ ꯍꯧꯏ꯫ ꯑꯗꯨꯅꯥ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯨꯄꯤꯃꯆꯥ ꯑꯃꯅꯥ ꯆꯍꯤ 8 ꯁꯨꯗ꯭ꯔꯤꯉꯩꯗꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯎꯠꯄꯥ ꯍꯧꯔꯛꯂꯕꯗꯤ ꯅꯠꯠꯔꯒꯥ ꯅꯨꯄꯥꯃꯆꯥ ꯑꯃꯅꯥ ꯆꯍꯤ 9 ꯁꯨꯗ꯭ꯔꯤꯉꯩꯗꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯎꯠꯄꯥ ꯍꯧꯔꯛꯂꯕꯗꯤ, ꯑꯩꯈꯣꯌꯅꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯗꯨꯕꯨ ꯄ꯭ꯔꯤꯃꯦꯆꯔ ꯑꯦꯗ꯭ꯔꯤꯅꯥꯔꯆ ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ ꯍꯥꯌꯕꯗꯤ ꯊꯣꯛꯀꯗꯧꯔꯤꯕꯥ ꯑꯁꯤ ꯈꯔꯥ ꯉꯟꯅꯥ ꯊꯣꯀꯏ, ꯃꯗꯨ ꯈꯛꯇꯅꯤ꯫

ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯤꯅꯣ?

ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡꯗꯁꯨ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯎ꯫ ꯑꯗꯨꯕꯨ ꯅꯤꯡꯁꯤꯡꯕꯤꯌꯨ, ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫ ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡꯒꯤ ꯍꯀꯆꯥꯡ ꯑꯁꯤ ꯃꯁꯥꯒꯤ ꯑꯣꯏꯕꯥ ꯁꯦꯗ꯭ꯌꯨꯜ ꯑꯃꯗꯥ ꯊꯕꯛ ꯇꯧꯕꯈꯛꯇꯅꯤ꯫

ꯀꯔꯤꯒꯤꯗꯃꯛꯇꯥ ꯕ꯭ꯔꯦꯁ꯭ꯠ ꯒ꯭ꯔꯣꯊꯒꯨꯝꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ ꯑꯁꯤ ꯊꯣꯛꯂꯣꯏꯗꯒꯦ?

ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯋꯥꯍꯪ ꯑꯃꯅꯤ꯫ ꯄ꯭ꯔꯤꯃꯦꯆꯔ ꯑꯦꯗ꯭ꯔꯤꯅꯥꯔꯆꯇꯥ, ꯍꯣꯔꯃꯣꯅꯁꯤꯡ ꯑꯁꯤ ꯑꯦꯗ꯭ꯔꯤꯅꯜ ꯒ꯭ꯜꯌꯥꯟꯗꯗꯒꯤ ꯂꯥꯀꯏ꯫ ꯍꯣꯔꯃꯣꯅꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯆꯨꯝꯅꯒꯤ ꯈꯣꯡꯖꯦꯜ ꯌꯥꯡꯅꯥ ꯆꯦꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ ꯊꯣꯀꯍꯜꯂꯤ꯫

ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯅꯨꯄꯤꯃꯆꯥ ꯑꯃꯒꯤ ꯃꯆꯤꯟ-ꯃꯅꯥꯑꯣ ꯑꯗꯨ ꯁꯦꯃꯒꯠꯅꯕꯒꯤꯗꯃꯛ, ꯃꯍꯥꯛꯀꯤ ꯑꯣꯚꯔꯑꯣꯜ (ovaries)ꯅꯥ ꯏꯁ꯭ꯠꯔꯣꯖꯦꯟ ꯀꯧꯕꯥ ꯍꯣꯔꯃꯣꯟ ꯑꯃꯥ ꯄꯨꯊꯣꯛꯀꯗꯕꯅꯤ꯫ ꯃꯇꯧ ꯑꯁꯨꯝꯅꯥ ꯅꯨꯄꯥꯃꯆꯥ ꯑꯃꯒꯤ ꯖꯦꯅꯤꯇꯥꯂꯁꯤꯡ ꯁꯦꯃꯒꯠꯅꯕꯥ ꯃꯍꯥꯛꯀꯤ ꯇꯦꯁ꯭ꯇꯤꯀꯂꯁꯤꯡꯅꯥ ꯇꯦꯁ꯭ꯇꯣꯁ꯭ꯇꯦꯔꯣꯟ ꯄꯨꯊꯣꯛꯀꯗꯕꯅꯤ꯫ ꯊꯧꯗꯣꯀꯁꯤꯡ ꯑꯁꯤ ꯕ꯭ꯔꯦꯅꯅꯥ ꯃꯗꯨ ꯇꯧꯅꯕꯥ ꯁꯤꯒꯅꯦꯜ ꯄꯤꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯃꯇꯝ ꯆꯥꯗꯅꯥ ꯑꯦꯗ꯭ꯔꯤꯅꯥꯔꯆ (premature adrenarche) ꯅꯠꯇꯅꯥ ꯑꯆꯨꯝꯕꯥ ꯃꯤꯔꯣꯜꯂꯤꯉꯩ ꯃꯇꯃꯗꯥ ꯊꯣꯀꯏ꯫

ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯂꯩꯕꯥ ꯅꯨꯄꯤꯃꯆꯥ ꯑꯃꯅꯥ ꯊꯥꯒꯤ ꯈꯣꯡꯀꯥꯞ ꯍꯧꯔꯛꯀꯅꯤ ꯍꯥꯌꯅꯥ ꯑꯀꯤꯕꯥ ꯂꯩꯔꯣꯏꯗꯕꯅꯤ꯫ ꯃꯗꯨ ꯑꯣꯏꯔꯀꯄꯗꯥ ꯆꯍꯤ ꯀꯌꯥ ꯆꯪꯒꯅꯤ꯫

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ꯃꯁꯤꯒꯤ ꯐꯤꯚꯝ ꯑꯁꯤ ꯈꯨꯗꯣꯡꯊꯤꯅꯤꯡꯉꯥꯏ ꯑꯣꯏꯕꯔꯥ? ꯔꯤꯁ꯭ꯛ ꯂꯩꯕ꯭ꯔꯥ?

ꯑꯌꯥꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯃꯁꯤ ꯈꯨꯗꯣꯡꯊꯤꯅꯤꯉꯥꯏ ꯑꯣꯏꯕꯥ ꯐꯤꯚꯝ ꯑꯃꯅꯤ꯫ ꯃꯁꯤꯅꯥ ꯑꯉꯥꯡ ꯑꯗꯨꯗꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯍꯜꯂꯣꯏ꯫ ꯑꯗꯨꯕꯨ ꯑꯄꯤꯀꯄꯥ ꯋꯥꯐꯝ ꯈꯔꯗꯥ ꯈꯉꯕꯥ ꯑꯁꯤ ꯑꯐꯕꯥ ꯑꯃꯅꯤ꯫

• ꯄꯣꯂꯤꯁꯤꯁ꯭ꯇꯤꯛ ꯑꯣꯚꯔ ꯁꯤꯟꯗꯣꯝ (PCOS)ꯒꯤ ꯔꯤꯁ꯭ꯛ: ꯃꯇꯝ ꯆꯥꯗꯅꯥ ꯑꯦꯗ꯭ꯔꯤꯅꯥꯔꯆ ꯂꯩꯕꯥ ꯅꯨꯄꯤꯃꯆꯥꯁꯤꯡꯅꯥ ꯄꯨꯟꯁꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ, ꯍꯥꯌꯕꯗꯤ ꯅꯍꯥ ꯑꯣꯏꯔꯤꯕꯥ ꯆꯍꯤꯗꯥ ꯄꯣꯂꯤꯁꯤꯁ꯭ꯇꯤꯛ ꯑꯣꯚꯔ ꯁꯤꯟꯗ꯭ꯔꯣꯝ (PCOS) ꯀꯧꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯥ ꯂꯥꯀꯄꯒꯤ ꯆꯥꯡ ꯈꯔꯥ ꯍꯦꯟꯅꯥ ꯋꯥꯡꯏ ꯍꯥꯌꯕꯁꯤ ꯈꯪꯂꯦ꯫ ꯄꯤ.ꯁꯤ.ꯑꯣ.ꯑꯦꯁ.ꯅꯥ ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯄꯤꯔꯤꯌꯗ, ꯑꯄꯥꯝꯕꯥ ꯐꯦꯁꯤꯑꯦꯜ ꯍꯦꯌꯥꯔ, ꯑꯃꯁꯨꯡ ꯑꯔꯨꯝꯕꯥ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ ꯌꯥꯏ꯫
• ꯑꯇꯣꯞꯄꯥ ꯃꯦꯗꯤꯀꯦꯜ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ: ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ , ꯑꯩꯅꯥ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯑꯀꯅꯕꯥ ꯋꯥꯐꯝ ꯊꯝꯂꯤ, ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ, ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯑꯦꯅꯖꯥꯏꯃꯒꯤ ꯁꯃꯁ꯭ꯌꯥ ꯑꯃꯒꯤ ꯈꯨꯗꯝ ꯑꯃꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ ꯅꯠꯠꯔꯒꯥ ꯑꯦꯗ꯭ꯔꯤꯅꯜ ꯒ꯭ꯜꯌꯥꯟꯗꯇꯥ ꯇꯤꯎꯃꯔ ꯑꯃꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫

ꯃꯔꯝ ꯑꯁꯤꯅꯥ ꯑꯩꯈꯣꯌꯅꯥ ꯃꯇꯝ ꯄꯨꯝꯅꯃꯛꯇꯥ ꯍꯥꯌꯔꯤ ꯃꯗꯨꯗꯤ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯗꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯂꯩꯔꯕꯗꯤ, ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯂꯩꯔꯣꯏꯗꯕꯅꯤ ꯑꯃꯁꯨꯡ ꯁꯣꯌꯗꯅꯥ ꯗꯣꯛꯇꯔ ꯑꯃꯗꯥ ꯄꯥꯎꯇꯥꯛ ꯂꯧꯒꯗꯕꯅꯤ꯫ ꯃꯇꯧ ꯑꯁꯨꯝꯅꯥ ꯑꯗꯣꯝꯅꯥ ꯊꯥꯖꯕꯥ ꯊꯝꯕꯥ ꯌꯥꯏ ꯃꯗꯨꯗꯤ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯑꯃꯠꯇꯥ ꯂꯩꯇꯦ꯫

ꯃꯁꯤ ꯀꯔꯤꯒꯤ ꯊꯣꯛꯂꯤꯕꯅꯣ? ꯃꯔꯃꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?

ꯃꯁꯤꯒꯤ ꯑꯆꯨꯝꯕꯥ ꯃꯔꯝ ꯑꯁꯤ ꯍꯧꯖꯤꯛ ꯐꯥꯑꯣꯕꯥ ꯈꯉꯕꯥ ꯉꯃꯗ꯭ꯔꯤ꯫ ꯃꯁꯤ ꯁꯨꯞꯅꯒꯤ ꯑꯦꯗ꯭ꯔꯤꯅꯜ ꯒ꯭ꯜꯌꯥꯟꯗꯁꯤꯡꯅꯥ ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯕꯥ ꯆꯍꯤꯗꯒꯤ (ꯆꯍꯤ 10ꯒꯤ ꯃꯇꯨꯡꯗꯥ) DHEAꯒꯨꯝꯕꯥ ꯍꯣꯔꯃꯣꯅꯁꯤꯡ ꯄꯨꯊꯣꯀꯄꯥ ꯍꯧꯔꯀꯄꯅꯤ꯫

ꯑꯗꯨꯕꯨ ꯃꯐꯝ ꯑꯁꯤꯗꯥ ꯑꯐꯕꯥ ꯋꯥꯐꯝ ꯑꯃꯥ ꯂꯩꯔꯤ꯫ ꯍꯥꯌꯕꯗꯤ ꯑꯉꯥꯡꯒꯤ ꯍꯀꯆꯥꯡꯅꯥ ꯍꯣꯔꯃꯣꯟ ‘ꯌꯥꯝꯅꯥ ꯌꯥꯝꯅꯥ’ ꯄꯨꯊꯣꯛꯇꯦ, ꯃꯁꯤꯅꯥ ‘ꯑꯆꯨꯝꯕꯥ ꯆꯥꯡ’ ꯑꯗꯨ ꯈꯔꯥ ‘ꯉꯟꯅꯥ’ ꯄꯨꯊꯣꯀꯏ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯎꯕꯥ ꯐꯪꯗꯦ, ꯃꯈꯣꯌ ꯑꯁꯤ ꯍꯥꯟꯅꯥ ꯎꯕꯥ ꯐꯪꯏ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯑꯔꯨꯝꯕꯥ ꯍꯦꯅꯕꯥ ꯑꯉꯥꯡꯁꯤꯡꯗꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯏ . ꯑꯗꯨꯕꯨ ꯃꯁꯤ ꯑꯔꯨꯝꯕꯥ ꯋꯥꯠꯄꯥ ꯑꯉꯥꯡꯁꯤꯡꯗꯁꯨ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯗꯁꯨ ꯅꯠꯇꯅꯥ, ꯄꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯑꯔꯨꯝꯕꯥ ꯋꯥꯠꯄꯥ ꯑꯉꯥꯡꯁꯤꯡꯗꯤ ꯈꯔꯥ ꯍꯦꯟꯅꯥ ꯔꯤꯁ꯭ꯛ ꯂꯩ꯫

ꯗꯣꯛꯇꯔꯅꯥ ꯃꯁꯤ ꯀꯔꯝꯅꯥ ꯂꯥꯌꯦꯡꯒꯅꯤ?

ꯅꯍꯥꯛꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨ ꯗꯣꯛꯇꯔ ꯑꯃꯗꯥ ꯄꯨꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯃꯍꯥꯛꯅꯥ ꯑꯍꯥꯅꯕꯗꯥ ꯑꯉꯥꯡ ꯑꯗꯨꯕꯨ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯌꯦꯡꯁꯤꯅꯒꯅꯤ꯫ ꯃꯍꯧꯁꯥꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯧꯈꯠꯄꯥ ꯌꯥꯕꯥ ꯈꯣꯡꯊꯥꯡꯁꯤꯡ ꯑꯁꯤꯅꯤ:

• ꯑꯉꯥꯡ ꯑꯗꯨꯒꯤ ꯒ꯭ꯔꯣꯊ ꯃꯣꯅꯤꯇꯔ ꯇꯧꯕꯥ: ꯑꯉꯥꯡ ꯑꯗꯨꯒꯤ ꯑꯔꯨꯝꯕꯥ ꯑꯃꯁꯨꯡ ꯑꯔꯨꯝꯕꯥ ꯑꯗꯨ ꯂꯦꯄꯊꯣꯀꯏ ꯑꯃꯁꯨꯡ ꯒ꯭ꯔꯣꯊ ꯆꯥꯔꯇꯁꯤꯡꯒꯥ ꯆꯥꯡꯗꯝꯅꯩ꯫ ꯑꯉꯥꯡ ꯑꯗꯨ ꯅꯣꯔꯃꯦꯜ ꯔꯦꯠ ꯑꯃꯗꯥ ꯍꯦꯅꯒꯠꯂꯛꯂꯤꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯁꯤꯅꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫
• ꯕ꯭ꯂꯗ ꯇꯦꯁ꯭ꯇꯁꯤꯡ: ꯏꯗꯥ ꯍꯣꯔꯃꯣꯅꯒꯤ ꯆꯥꯡ, ꯃꯔꯨꯑꯣꯏꯅꯥ DHEA-Sꯒꯨꯝꯕꯥ ꯍꯣꯔꯃꯣꯅꯁꯤꯡꯒꯤ ꯆꯥꯡ ꯌꯦꯡꯁꯤꯅꯕꯥ ꯌꯥꯏ꯫
• ꯍꯦꯟꯗ ꯑꯦꯛꯁ-ꯔꯦ: ꯃꯁꯤꯅꯥ ꯑꯉꯥꯡ ꯑꯗꯨꯒꯤ ‘ꯕꯣꯟ ꯑꯦꯖ’ ꯑꯗꯨ ꯂꯦꯄꯊꯣꯀꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯁꯔꯨ ꯇꯥꯡꯒꯤ ꯆꯍꯤ ꯑꯗꯨ ꯑꯉꯥꯡ ꯑꯗꯨꯒꯤ ꯇꯁꯦꯡꯕꯥ ꯆꯍꯤ ꯑꯗꯨꯗꯒꯤ ꯌꯥꯝꯅꯥ ꯍꯦꯜꯂꯕꯗꯤ, ꯃꯗꯨ ꯄ꯭ꯔꯤꯀꯣꯁꯤꯌꯁ ꯄꯤꯎꯕꯔꯇꯤꯒꯤ ꯈꯨꯗꯝ ꯑꯃꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫

ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯅꯥ ꯃꯇꯝ ꯆꯥꯗꯅꯥ ꯆꯨꯃꯊꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯍꯀꯆꯥꯡꯒꯤ ꯃꯍꯤꯛ-ꯃꯇꯥꯏ ꯂꯩꯔꯕꯗꯤ, ꯗꯣꯛꯇꯔꯅꯥ ꯃꯈꯥ ꯇꯥꯅꯥ ꯇꯦꯁ꯭ꯠ ꯇꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯗꯦ ꯍꯥꯌꯅꯥ ꯋꯥꯔꯦꯞ ꯂꯧꯕꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯇꯩ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ, ꯍꯥꯌꯕꯗꯤ ꯕ꯭ꯔꯦꯁ꯭ꯠ ꯗꯤꯚꯦꯂꯄꯃꯦꯟꯇ ꯑꯁꯤꯅꯆꯤꯡꯕꯥ ꯂꯩꯔꯕꯗꯤ, ꯑꯇꯩ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ ꯊꯤꯡꯅꯕꯥ ꯇꯦꯁ꯭ꯠ ꯇꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯏ꯫

ꯃꯁꯤꯒꯤ ꯂꯥꯏꯌꯦꯡ ꯑꯃꯥ ꯂꯩꯕ꯭ꯔꯥ? ꯑꯩꯅꯥ ꯑꯉꯥꯡ ꯑꯗꯨꯕꯨ ꯀꯔꯝꯅꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯒꯅꯤ?

ꯄ꯭ꯔꯤꯃꯦꯆꯔ ꯑꯦꯗ꯭ꯔꯤꯅꯥꯔꯆꯀꯤ ꯑꯀꯛꯅꯕꯥ ꯂꯥꯏꯌꯦꯡ ꯑꯃꯠꯇꯥ ꯂꯩꯇꯦ꯫ ꯇꯁꯦꯡꯅꯥ ꯃꯤꯔꯣꯜꯂꯤꯉꯩ ꯃꯇꯃꯗꯥ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯥ ꯍꯤꯗꯥꯀꯁꯤꯡ ꯂꯩꯔꯕꯁꯨ, ꯃꯈꯣꯌꯅꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤꯕꯨ ꯁꯣꯀꯍꯟꯗꯦ꯫

ꯑꯗꯨꯅꯥ ꯂꯥꯌꯦꯡꯕꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯈꯅꯕꯗꯒꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯑꯉꯥꯡ ꯑꯗꯨꯒꯤ ꯋꯥꯈꯂꯒꯤ ꯌꯥꯏꯐꯅꯕꯥ ꯃꯤꯠꯌꯦꯡ ꯊꯝꯕꯥ ꯃꯊꯧ ꯇꯥꯏ . ꯈꯟꯊꯕꯤꯌꯨ, ꯃꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡ ꯑꯁꯤ ꯃꯍꯥꯛꯀꯤ ꯃꯔꯨꯄꯁꯤꯡꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯇꯣꯏꯅꯥ ꯍꯣꯡꯂꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯃꯍꯥꯛ ꯏꯀꯥꯏꯕꯥ ꯑꯃꯁꯨꯡ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯐꯥꯑꯣꯕꯥ ꯌꯥꯏ꯫ ꯁ꯭ꯀꯨꯂꯗꯥ ꯂꯩꯔꯤꯕꯥ ꯃꯍꯥꯛꯀꯤ ꯃꯔꯨꯄꯁꯤꯡꯅꯥ ꯃꯍꯥꯀꯄꯨ ꯅꯣꯛꯅꯕꯁꯨ ꯌꯥꯏ꯫ ꯀꯅꯥꯒꯨꯝꯕꯥ ꯑꯃꯅꯥ "ꯑꯣꯍ, ꯅꯉꯒꯤ ꯈꯣꯉꯎꯄꯀꯤ ꯃꯈꯥꯗꯥ ꯃꯣꯜ ꯂꯩꯔꯦ?"

ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯃꯃꯥ-ꯃꯄꯥ ꯑꯃꯥ ꯑꯣꯏꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯇꯧꯕꯥ ꯌꯥꯕꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯥ ꯊꯕꯛ ꯑꯗꯨꯗꯤ:

1. ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡꯒꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯕꯤꯌꯨ: ꯃꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯊꯣꯛꯂꯤꯕꯥ ꯊꯧꯗꯣꯀꯁꯤꯡ ꯑꯁꯤ ꯃꯄꯨꯡ ꯐꯥꯅꯥ ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏ ꯍꯥꯌꯅꯥ ꯅꯨꯡꯁꯤꯅꯥ ꯈꯉꯍꯅꯕꯤꯌꯨ, ꯋꯥꯐꯃꯁꯤꯡ ꯑꯁꯤ ꯑꯇꯣꯞꯄꯁꯤꯡꯗꯥ ꯇꯨꯡꯗꯥ ꯊꯣꯀꯏ, ꯑꯃꯁꯨꯡ ꯃꯁꯤ ꯅꯍꯥꯀꯄꯨ ꯈꯔꯥ ꯉꯟꯅꯥ ꯊꯣꯀꯈꯤꯕꯅꯤ ꯍꯥꯌꯅꯥ ꯐꯣꯡꯗꯣꯀꯄꯤꯌꯨ꯫

2. ꯃꯁꯥꯅꯥ ꯃꯁꯥꯕꯨ ꯊꯥꯖꯕꯥ ꯍꯦꯅꯒꯠꯍꯅꯕꯥ: ꯃꯍꯥꯛꯀꯤ ꯇꯦꯂꯦꯟꯇꯁꯤꯡꯕꯨ ꯊꯥꯒꯠꯄꯥ ꯑꯃꯁꯨꯡ ꯃꯁꯥꯒꯤ ꯏꯀꯥꯏ ꯈꯨꯝꯅꯕꯥ ꯁꯦꯃꯒꯠꯄꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯕꯥ꯫

3. ꯁꯦꯡꯗꯣꯀꯄꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯇꯝꯕꯤꯕꯥ:ꯍꯀꯆꯥꯡꯒꯤ ꯃꯍꯤꯛ-ꯃꯇꯥꯏ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯅꯕꯥ, ꯃꯈꯣꯌꯕꯨ ꯅꯨꯃꯤꯠ ꯈꯨꯗꯤꯡꯒꯤ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯂꯨ-ꯅꯥꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯊꯧ ꯇꯥꯔꯕꯗꯤ ꯃꯌꯥꯏ ꯑꯣꯏꯕꯥ ꯗꯤꯑꯣꯗꯔꯟꯇ ꯑꯃꯥ ꯁꯤꯖꯤꯟꯅꯅꯕꯥ ꯇꯥꯀꯄꯤꯌꯨ꯫

4. ꯗꯣꯛꯇꯔꯒꯥ ꯇꯥꯟꯅꯧ: ꯅꯍꯥꯛꯅꯥ ꯗꯣꯛꯇꯔꯒꯥ ꯎꯅꯔꯒꯥ ꯃꯁꯤ ꯑꯀꯤꯕꯥ ꯄꯣꯀꯍꯅꯕꯥ ꯌꯥꯕꯥ ꯄꯣꯠꯁꯛ ꯑꯃꯅꯤ ꯍꯥꯌꯕꯥ ꯈꯪꯂꯕꯥ ꯃꯇꯃꯗꯥ ꯅꯍꯥꯛ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯅꯥ ꯑꯆꯧꯕꯥ ꯔꯤꯂꯤꯐ ꯑꯃꯥ ꯐꯥꯑꯣꯒꯅꯤ꯫