ꯑꯩꯈꯣꯌ ꯄꯨꯝꯅꯃꯛꯅꯥ ꯈꯉꯏ ꯃꯗꯨꯗꯤ ꯅꯨꯃꯤꯠ ꯈꯨꯗꯤꯡꯒꯤ ꯏꯁꯤꯡ ꯃꯔꯥꯡ ꯀꯥꯌꯅꯥ ꯊꯀꯄꯥ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯁꯥꯟꯅꯄꯣꯠꯀꯤ ꯃꯇꯃꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯌꯥꯝꯅꯥ ꯋꯥꯅꯥ ꯊꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯏꯁꯤꯡ ꯈꯛꯇꯥ ꯅꯠꯇꯅꯥ ꯏꯂꯦꯛꯠꯔꯣꯂꯥꯏꯇꯁꯤꯡꯁꯨ ꯃꯥꯡꯈꯤ ꯍꯥꯌꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯇꯥꯕꯤꯔꯃꯒꯅꯤ꯫ ꯑꯗꯨꯕꯨ ꯏꯁꯤꯡ ꯌꯥꯝꯅꯥ ꯊꯀꯄꯅꯥ ꯑꯆꯧꯕꯥ ꯁꯃꯁ꯭ꯌꯥ ꯑꯃꯥ ꯑꯣꯏꯔꯀꯄꯥ ꯌꯥꯕꯥ ꯃꯇꯝ ꯂꯩꯔꯤ ꯍꯥꯌꯕꯁꯤ ꯑꯗꯣꯝꯅꯥ ꯈꯉꯕꯤꯔꯤꯕꯔꯥ? ꯇꯁꯦꯡꯕꯗꯤ ꯃꯗꯨ ꯑꯣꯏꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯃꯃꯜ ꯌꯥꯝꯂꯕꯥ ꯏꯂꯦꯛꯠꯔꯣꯂꯥꯏꯠꯁꯤꯡ ꯃꯥꯡꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯃꯗꯨꯅꯤ ꯉꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯔꯤꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯗꯨ, ꯃꯗꯨꯕꯨ ꯁꯤ.ꯑꯥꯏ.ꯑꯦ.ꯗꯤ.ꯑꯩꯆ.
ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯁꯤ.ꯑꯥꯏ.ꯑꯦ.ꯗꯤ.ꯑꯩꯆ.
ꯁꯥꯡꯂꯕꯥ ꯃꯃꯤꯡ SIADH ꯑꯁꯤ ‘ꯁꯤꯟꯗꯣꯝ ꯑꯣꯐ ꯏꯅꯑꯦꯞꯔꯣꯞꯔꯤꯌꯦꯠ ꯑꯦꯟꯇꯤꯗꯥꯏꯌꯨꯔꯦꯇꯤꯛ ꯍꯣꯔꯃꯣꯟ ꯁꯦꯛꯔꯦꯁꯟ’ ꯍꯥꯌꯕꯅꯤ꯫ ꯑꯣꯀꯦ, ꯃꯤꯡ ꯑꯁꯤ ꯈꯔꯥ ꯀꯝꯄꯤꯇꯤꯇꯤꯕ ꯑꯣꯏꯅꯥ ꯁꯣꯜꯂꯤ, ꯅꯠꯇꯦ? ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯈꯉꯁꯤ꯫ ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯗꯥ
ꯑꯦꯟꯇꯤꯗꯥꯏꯌꯨꯔꯦꯇꯤꯛ ꯍꯣꯔꯃꯣꯟ ꯀꯧꯕꯥ ꯑꯈꯟꯅꯕꯥ ꯍꯣꯔꯃꯣꯟ ꯑꯃꯥ ꯂꯩ . ꯏꯪꯂꯤꯁꯇꯥ ꯃꯁꯤꯕꯨ
ꯑꯦꯟꯇꯤꯗꯥꯏꯎꯔꯦꯇꯤꯛ ꯍꯣꯔꯃꯣꯟ , ꯅꯠꯠꯔꯒꯥ
(ADH) ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ ꯃꯁꯤꯒꯤ ꯍꯣꯔꯃꯣꯟ ꯑꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯕ꯭ꯔꯦꯅꯒꯤ ꯍꯥꯏꯄꯣꯊꯦꯂꯥꯃꯥꯁꯇꯥ ꯄꯨꯊꯣꯀꯏ ꯑꯃꯁꯨꯡ ꯄꯤꯇꯨꯏꯇꯔꯤ ꯒ꯭ꯜꯌꯥꯟꯗꯅꯥ ꯊꯥꯗꯣꯀꯏ꯫ ꯃꯁꯤꯒꯤ ADH ꯍꯣꯔꯃꯣꯟ ꯑꯁꯤꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯊꯕꯛ ꯑꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯀꯤꯗꯅꯤꯁꯤꯡꯗꯥ ꯏꯅꯁ꯭ꯠꯔꯛꯁꯟ ꯄꯤꯕꯅꯤ꯫ ꯍꯥꯌꯕꯗꯤ "ꯑꯣꯀꯦ, ꯍꯧꯖꯤꯛ ꯍꯀꯆꯥꯡꯗꯥ ꯏꯁꯤꯡ ꯃꯔꯥꯡ ꯀꯥꯌꯅꯥ ꯂꯩꯔꯦ, ꯈꯔꯗꯤ ꯌꯨꯔꯤꯟ ꯑꯣꯏꯅꯥ ꯂꯧꯊꯣꯛꯂꯁꯤ" ꯑꯃꯁꯨꯡ "ꯅꯠꯇꯦ, ꯍꯀꯆꯥꯡꯗꯥ ꯏꯁꯤꯡ ꯃꯔꯥꯡ ꯀꯥꯌꯅꯥ ꯂꯩꯇꯦ, ꯍꯀꯆꯥꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯈꯔꯥ ꯍꯦꯟꯅꯥ ꯊꯃꯁꯤ꯫" ꯃꯁꯤꯒꯤ ꯍꯣꯔꯃꯣꯟ ꯑꯁꯤꯅꯥ ꯀꯤꯗꯅꯤꯁꯤꯡꯕꯨ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯏ꯫ ꯃꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯗꯥ "ꯋꯥꯇꯔ ꯀꯟꯠꯔꯣꯂꯔ" ꯑꯃꯒꯨꯝꯅꯥ ꯂꯩ꯫ ꯍꯧꯖꯤꯛ ꯈꯟꯗꯨꯅꯥ ꯌꯦꯡꯕꯤꯌꯨ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯔꯝ ꯈꯔꯗꯒꯤ ꯑꯦ.ꯗꯤ.ꯑꯩꯆ.ꯒꯤ ꯍꯣꯔꯃꯣꯟ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯑꯃꯁꯨꯡ ꯃꯇꯤꯛ ꯆꯥꯗꯅꯥ ꯊꯥꯗꯣꯀꯄꯥ ꯇꯥꯔꯕꯗꯤ ꯀꯔꯤ ꯑꯣꯏꯒꯅꯤ? ꯑꯗꯨꯗꯒꯤ ꯍꯣꯔꯃꯣꯟ ꯑꯗꯨꯅꯥ ꯀꯤꯗꯅꯤꯁꯤꯡꯗꯥ "ꯏꯁꯤꯡ ꯊꯃꯖꯤꯜꯂꯨ, ꯏꯁꯤꯡ ꯊꯝꯃꯨ" ꯍꯥꯌꯅꯥ ꯂꯦꯞꯇꯅꯥ ꯍꯥꯌꯔꯤ꯫ ꯃꯁꯤꯒꯤ ꯃꯍꯩꯗꯤ
ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯅꯥ ꯃꯊꯧ ꯇꯥꯗꯅꯥ ꯏꯁꯤꯡ ꯊꯃꯖꯤꯅꯕꯥ ꯍꯧꯔꯀꯏ꯫ ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯏꯁꯤꯡ ꯊꯨꯃꯖꯤꯜꯂꯀꯄꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯏ ꯑꯁꯤ ꯍꯦꯟꯅꯥ ꯂꯨꯃꯁꯤꯜꯂꯀꯏ꯫ ꯃꯔꯨꯑꯣꯏꯅꯥ, ꯑꯩꯈꯣꯌꯒꯤ ꯅꯔꯚꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯃꯁꯂꯁꯤꯡꯒꯤ ꯊꯕꯛ ꯇꯧꯕꯗꯥ ꯇꯉꯥꯏꯐꯗꯕꯥ
ꯁꯣꯗꯤꯌꯃꯒꯤ ꯆꯥꯡ ꯑꯁꯤ ꯈꯨꯗꯣꯡꯊꯤꯅꯤꯉꯥꯏ ꯑꯣꯏꯅꯥ ꯍꯟꯊꯔꯀꯏ꯫ ꯁꯣꯗꯤꯌꯝ ꯑꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯂꯩꯕꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯏꯂꯦꯛꯠꯔꯣꯂꯥꯏꯇꯁꯤꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯅꯤ꯫ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛꯇꯥ, ꯏꯗꯥ ꯁꯣꯗꯤꯌꯝ ꯅꯦꯝꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤꯕꯨ ꯍꯥꯏꯄꯣꯅꯥꯠꯔꯤꯃꯤꯌꯥ ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ ꯑꯦꯁ.ꯑꯥꯏ.ꯑꯦ.ꯗꯤ.ꯑꯩꯆ.ꯗꯥ ꯎꯕꯥ ꯐꯪꯂꯤꯕꯥ ꯂꯥꯏꯑꯣꯡ
ꯀꯌꯥ ꯑꯁꯤ ꯁꯣꯗꯤꯌꯃꯒꯤ ꯆꯥꯡ ꯅꯦꯝꯕꯥ
ꯑꯁꯤꯅꯥ ꯊꯣꯀꯍꯅꯕꯅꯤ꯫
ꯁꯤ.ꯑꯥꯏ.ꯑꯦ.ꯗꯤ.ꯑꯩꯆ.ꯒꯤ ꯃꯔꯃꯁꯤꯡ ꯀꯔꯤꯅꯣ?
ꯃꯁꯤꯒꯤ ꯃꯑꯣꯡ ꯑꯁꯤꯅꯥ, ADH ꯍꯣꯔꯃꯣꯟ ꯑꯁꯤ ꯃꯊꯧ ꯇꯥꯗꯅꯥ ꯍꯦꯅꯒꯠꯂꯀꯄꯒꯤ ꯃꯔꯝ ꯑꯃꯠꯇꯥ ꯂꯩꯇꯦ, ꯑꯗꯨꯕꯨ ꯃꯔꯝ ꯀꯌꯥꯅꯥ ꯃꯁꯤꯗꯥ ꯁꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯃꯁꯤ ꯑꯇꯣꯞꯄꯥ ꯂꯥꯌꯅꯥ ꯑꯃꯒꯤ ꯁꯥꯏꯗ ꯏꯐꯦꯛꯇ ꯑꯣꯏꯅꯥꯁꯨ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯔꯨ ꯑꯣꯏꯕꯥ ꯃꯔꯃꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯁꯤ꯫
| ꯃꯔꯝ ꯀꯦꯇꯦꯒꯣꯔꯤ꯫ | ꯃꯁꯛ ꯈꯪꯗꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯈꯨꯗꯃꯁꯤꯡ꯫ |
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| ꯕ꯭ꯔꯦꯅꯒꯥ ꯃꯔꯤ ꯂꯩꯅꯕꯥ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯃꯁꯤꯡ꯫ | ꯃꯀꯣꯛꯇꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ, ꯕ꯭ꯔꯦꯟ ꯇꯤꯎꯃꯔ, ꯕ꯭ꯔꯦꯟ ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ, ꯅꯠꯠꯔꯒꯥ ꯃꯦꯅꯤꯅꯖꯥꯏꯇꯤꯁ ꯅꯠꯠꯔꯒꯥ ꯑꯦꯅꯁꯦꯐꯦꯂꯥꯏꯇꯤꯁꯒꯨꯝꯕꯥ ꯏꯅꯐꯦꯛꯁꯟ ꯂꯩꯕꯥ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ . |
| ꯀꯦꯟꯁꯔꯒꯤ ꯃꯈꯂꯁꯤꯡ꯫ | ꯀꯦꯟꯁꯔ ꯃꯈꯜ ꯈꯔꯗꯤ ꯃꯔꯨꯑꯣꯏꯅꯥ ꯂꯪꯁ ꯀꯦꯟꯁꯔꯅꯥ ꯃꯁꯥ ꯃꯊꯟꯇꯥ ADH ꯄꯨꯊꯣꯀꯄꯥ ꯉꯝꯃꯤ꯫ ꯃꯁꯤꯅꯥ ꯁꯤ.ꯑꯥꯏ.ꯑꯦ.ꯗꯤ.ꯑꯩꯆ.ꯒꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯃꯔꯃꯅꯤ꯫ |
| ꯂꯪꯁꯀꯤ ꯂꯥꯌꯅꯥꯁꯤꯡ꯫ | ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯅ꯭ꯌꯨꯃꯣꯅꯤꯌꯥ ꯑꯃꯁꯨꯡ ꯑꯇꯩ ꯂꯪꯁꯀꯤ ꯂꯥꯌꯅꯥꯁꯤꯡꯒꯨꯝꯕꯥ ꯁꯥꯊꯤꯕꯥ ꯂꯪꯁꯀꯤ ꯏꯅꯐꯦꯛꯁꯅꯁꯤꯡꯅꯁꯨ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ |
| ꯑꯇꯣꯞꯄꯥ ꯃꯦꯗꯤꯀꯦꯜ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ꯫ | ꯒꯨꯏꯂꯦꯟ-ꯕꯥꯔꯦ ꯁꯤꯟꯗꯣꯝ , HIV ꯏꯅꯐꯦꯛꯁꯟ, ꯊꯥꯌꯔꯣꯏꯗ ꯍꯣꯔꯃꯣꯅꯒꯤ ꯆꯥꯡ ꯅꯦꯝꯕꯥ, ꯄꯦꯔꯥꯊꯥꯏꯔꯣꯏꯗ ꯍꯣꯔꯃꯣꯅꯒꯤ ꯆꯥꯡ ꯅꯦꯝꯕꯥ꯫ |
| ꯗ꯭ꯔꯒꯀꯤ ꯃꯈꯂꯁꯤꯡ꯫ | ꯑꯦꯟꯇꯤꯗꯤꯞꯔꯦꯁꯦꯟꯇ ꯈꯔꯗꯤ, ꯏꯄꯤꯂꯦꯄꯁꯤꯒꯤ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ, ꯑꯃꯁꯨꯡ ꯀꯦꯟꯁꯔ ꯗ꯭ꯔꯒꯁꯤꯡꯅꯁꯨ ꯁꯥꯏꯗ ꯏꯐꯦꯛꯇ ꯑꯃꯥ ꯑꯣꯏꯅꯥ SIADH ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ |
ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯤ ꯑꯣꯏꯕꯥ ꯌꯥꯕꯒꯦ?
SIADH ꯑꯁꯤ ꯃꯔꯨꯑꯣꯏꯅꯥ ꯏꯁꯤꯡ ꯊꯨꯃꯖꯤꯅꯕꯥ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯏꯗꯥ ꯁꯣꯗꯤꯌꯝ ꯍꯟꯊꯔꯀꯄꯅꯥ ꯊꯣꯀꯍꯅꯕꯅꯤ ꯑꯃꯁꯨꯡ ꯂꯥꯏꯑꯣꯡ ꯀꯌꯥ ꯑꯁꯤ ꯃꯁꯤꯒꯥ ꯃꯔꯤ ꯂꯩꯅꯩ꯫ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯈꯪꯍꯧꯗꯅꯥ ꯂꯥꯀꯄꯥ ꯌꯥꯏ, ꯑꯗꯨꯕꯨ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯂꯥꯀꯄꯥ ꯌꯥꯏ꯫
- ꯅꯣꯡꯃꯩ ꯀꯥꯞꯄꯥ ꯑꯃꯁꯨꯡ ꯈꯣꯡ ꯍꯥꯝꯕꯥ꯫
- ꯋꯥꯈꯜ ꯋꯥꯕꯥ , ꯋꯥꯈꯜ ꯋꯥꯕꯥ꯫
- ꯀꯣꯛ ꯆꯤꯛꯄ
- ꯃꯁꯜ ꯁꯣꯟꯊꯕꯥ ꯑꯃꯁꯨꯡ ꯀ꯭ꯔꯌꯥꯝꯄꯁꯤꯡ, ꯃꯈꯣꯌꯗꯨ ꯃꯆꯤꯟꯖꯥꯛ ꯊꯣꯡꯅꯥꯎꯁꯤꯡꯗꯥ ꯆꯦꯟꯊꯔꯀꯄꯒꯨꯝꯅꯥ ꯐꯥꯎꯏ꯫
- ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ, ꯊꯨꯅꯥ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ꯫
- ꯃꯦꯃꯣꯔꯤ ꯂꯣꯁ ꯑꯃꯁꯨꯡ ꯀꯟꯁꯦꯟꯠꯔꯦꯁꯟ ꯇꯧꯕꯗꯥ ꯑꯋꯥꯕꯥ (Confusion)
- ꯕꯦꯂꯦꯟꯁ ꯃꯥꯡꯈꯤꯕꯥ ꯑꯃꯁꯨꯡ ꯈꯣꯡꯅꯥ ꯆꯠꯄꯗꯥ ꯑꯋꯥꯕꯥ꯫
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯗꯨ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯑꯣꯏꯔꯕꯗꯤ , ꯍꯦꯜꯌꯨꯁꯤꯅꯦꯁꯟ , ꯁꯤꯖ꯭ꯌꯨꯔ꯫ꯁꯤꯖ꯭ꯌꯨꯔ ꯑꯃꯁꯨꯡ ꯀꯣꯃꯥꯒꯤ ꯑꯣꯏꯊꯣꯀꯄꯥ ꯌꯥꯕꯁꯨ ꯂꯩꯔꯤ .
ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯁꯤ.ꯑꯥꯏ.ꯑꯦ.ꯗꯤ.ꯑꯩꯆ. ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯑꯇꯣꯞꯄꯥ ꯂꯥꯌꯅꯥ ꯀꯌꯥꯗꯁꯨ ꯎꯕꯥ ꯐꯪꯏ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯂꯩꯔꯕꯗꯤ ꯗꯣꯛꯇꯔ ꯑꯃꯒꯥ ꯇꯥꯟꯅꯗꯨꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯃꯠꯇꯥ ꯂꯧꯗꯅꯥ ꯄꯥꯎꯇꯥꯛ ꯂꯧꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫
ꯗꯣꯛꯇꯔ ꯑꯃꯅꯥ ꯃꯁꯤ ꯀꯔꯝꯅꯥ ꯂꯥꯌꯦꯡꯒꯅꯤ?
ꯅꯍꯥꯛꯅꯥ ꯗꯣꯛꯇꯔ ꯑꯃꯒꯥ ꯇꯥꯟꯅꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯃꯍꯥꯛꯅꯥ ꯑꯍꯥꯅꯕꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ, ꯅꯍꯥꯛꯅꯥ ꯂꯧꯔꯤꯕꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯏꯃꯨꯡ-ꯃꯅꯨꯡꯒꯤ ꯀꯅꯥꯒꯨꯝꯕꯥ ꯑꯃꯗꯥ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ ꯑꯁꯤ ꯂꯩꯔꯕ꯭ꯔꯥ ꯍꯥꯌꯅꯥ ꯍꯪꯒꯅꯤ꯫ SIADH ꯀꯅꯐꯥꯔꯝ ꯇꯧꯅꯕꯒꯤꯗꯃꯛ, ꯅꯍꯥꯛꯅꯥ
ꯏ ꯑꯃꯁꯨꯡ ꯌꯨꯔꯤꯟ ꯇꯦꯁ꯭ꯠ ꯀꯌꯥ ꯇꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯏ .
- ꯕ꯭ꯂꯗ ꯇꯦꯁ꯭ꯠ: ꯃꯁꯤꯅꯥ ꯏꯗꯥ ꯁꯣꯗꯤꯌꯝ ꯑꯃꯁꯨꯡ ꯄꯣꯇꯥꯁꯤꯌꯃꯒꯤ ꯆꯥꯡ ꯌꯦꯡꯁꯤꯜꯂꯤ꯫ ꯃꯈꯣꯌꯅꯥ ꯏꯒꯤ ꯑꯣꯁ꯭ꯃꯣꯂꯤꯇꯤꯁꯨ ꯂꯦꯄꯊꯣꯀꯏ, ꯃꯁꯤꯅꯥ ꯏꯗꯥ ꯌꯥꯎꯔꯤꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡꯒꯤ ꯀꯟꯁꯦꯟꯠꯔꯦꯁꯟ ꯑꯗꯨꯅꯤ꯫ SIADH ꯗꯥ, ꯏꯒꯤ ꯈꯣꯡꯖꯦꯜ ꯌꯥꯡꯁꯤꯅꯕꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯚꯦꯜꯌꯨ ꯑꯁꯤ ꯍꯟꯊꯔꯀꯏ꯫
- ꯌꯨꯔꯤꯟ ꯇꯦꯁ꯭ꯠ: ꯌꯨꯔꯤꯅꯗꯥ ꯁꯣꯗꯤꯌꯃꯒꯤ ꯆꯥꯡ ꯑꯃꯁꯨꯡ ꯌꯨꯔꯤꯅꯒꯤ ꯑꯣꯁ꯭ꯃꯣꯂꯤꯇꯤ ꯌꯦꯡꯁꯤꯜꯂꯤ꯫ ꯑꯦꯁ.ꯑꯥꯏ.ꯑꯦ.ꯗꯤ.ꯑꯩꯆ.ꯗꯥ, ꯍꯀꯆꯥꯡꯅꯥ ꯏꯁꯤꯡ ꯊꯃꯖꯤꯅꯕꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯊꯣꯀꯄꯥ ꯌꯨꯔꯤꯟ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯀꯟꯁꯦꯟꯠꯔꯦꯠ ꯇꯧꯏ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯌꯨꯔꯤꯅꯒꯤ ꯑꯣꯁ꯭ꯃꯣꯂꯤꯇꯤ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯍꯦꯅꯒꯠꯂꯀꯏ꯫
ꯍꯥꯌꯔꯤꯕꯥ ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯔꯤꯖꯜꯇꯇꯥ ꯌꯨꯝꯐꯝ ꯑꯣꯏꯔꯒꯥ ꯗꯣꯛꯇꯔꯅꯥ ꯃꯁꯤ ꯁꯤ.ꯑꯥꯏ.ꯑꯦ.ꯗꯤ.ꯑꯩꯆ.
ꯑꯦꯁ.ꯑꯥꯏ.ꯑꯦ.ꯗꯤ.ꯑꯩꯆ.ꯒꯤ ꯂꯥꯏꯌꯦꯡꯁꯤꯡ ꯀꯔꯤꯅꯣ?
ꯂꯥꯏꯌꯦꯡ ꯑꯁꯤ ꯐꯦꯛꯇꯔ ꯀꯌꯥꯒꯤ ꯃꯈꯥ ꯄꯣꯜꯂꯤ꯫ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯆꯍꯤ, ꯍꯀꯁꯦꯜ, ꯅꯍꯥꯛꯀꯤ SIADH ꯒꯤ ꯃꯔꯝ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯗꯨꯒꯤ ꯃꯑꯣꯡ-ꯃꯇꯧ ꯑꯗꯨ ꯈꯟꯅꯒꯅꯤ꯫ 1.
ꯐ꯭ꯂꯨꯏꯗ ꯔꯦꯁ꯭ꯠꯔꯤꯛꯁꯟ: ꯃꯤꯑꯣꯏ ꯑꯌꯥꯝꯕꯒꯤ ꯑꯣꯏꯅꯥ ꯑꯍꯥꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯂꯥꯏꯌꯦꯡꯗꯤ ꯅꯍꯥꯛꯅꯥ ꯅꯨꯃꯤꯠ ꯈꯨꯗꯤꯡꯒꯤ ꯐ꯭ꯂꯨꯏꯗꯀꯤ ꯆꯥꯡ ꯑꯗꯨ ꯂꯤꯃꯤꯠ ꯇꯧꯕꯅꯤ꯫ ꯃꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯏꯁꯤꯡ ꯍꯦꯟꯅꯥ ꯊꯃꯖꯤꯅꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯒꯅꯤ꯫ ꯐ꯭ꯂꯨꯏꯗ ꯍꯥꯌꯕꯁꯤ ꯏꯁꯤꯡ ꯈꯛꯇꯃꯛ ꯍꯥꯌꯕꯗꯤ ꯅꯠꯇꯦ; ꯃꯈꯣꯌꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯊꯀꯄꯥ ꯌꯥꯕꯥ ꯄꯣꯠꯁꯛ ꯑꯃꯠꯇꯥ, ꯍꯥꯌꯕꯗꯤ ꯆꯥ, ꯀꯣꯐꯤ, ꯃꯅꯥ-ꯃꯁꯤꯡꯒꯤ ꯖꯨꯁ, ꯑꯃꯁꯨꯡ ꯁ꯭ꯌꯨꯞ ꯑꯁꯤꯅꯆꯤꯡꯕꯥ ꯌꯥꯎꯏ꯫ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯅꯨꯃꯤꯠ ꯈꯨꯗꯤꯡꯒꯤ ꯀꯌꯥ ꯌꯥꯝꯅꯥ ꯊꯀꯄꯥ ꯌꯥꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯈꯪꯍꯜꯂꯛꯀꯅꯤ꯫ 2.
IV ꯁꯦꯂꯟ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯗꯨ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯑꯣꯏꯔꯕꯗꯤ, ꯍꯥꯌꯕꯗꯤ ꯅꯍꯥꯛꯀꯤ ꯁꯣꯗꯤꯌꯃꯒꯤ ꯆꯥꯡ ꯑꯗꯨ ꯌꯥꯝꯅꯥ ꯅꯦꯝꯂꯕꯗꯤ, ꯅꯍꯥꯀꯄꯨ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯂꯗꯥ ꯊꯃꯖꯤꯅꯕꯥ ꯑꯃꯁꯨꯡ IV ꯁꯦꯂꯟ ꯄꯤꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯁꯣꯗꯤꯌꯃꯒꯤ ꯆꯥꯡ ꯑꯗꯨ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯑꯃꯁꯨꯡ ꯆꯦꯀꯁꯤꯟꯅꯥ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯄꯨꯔꯛꯅꯕꯥ ꯇꯧꯏ꯫ 3.
ꯃꯈꯥ ꯇꯥꯕꯥ ꯃꯔꯝ ꯑꯗꯨ ꯂꯥꯏꯌꯦꯡꯕꯥ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ SIADHꯒꯤ ꯃꯔꯝ ꯑꯗꯨ ꯕ꯭ꯔꯦꯟ ꯇꯤꯎꯃꯔ ꯑꯣꯏꯔꯕꯗꯤ, ꯃꯗꯨ ꯁꯔꯖꯤꯀꯦꯜ ꯑꯣꯏꯅꯥ ꯂꯧꯊꯣꯀꯄꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯔꯝ ꯑꯗꯨ ꯂꯪꯁꯀꯤ ꯏꯅꯐꯦꯛꯁꯟ ꯑꯣꯏꯔꯕꯗꯤ, ꯑꯦꯟꯇꯤꯕꯥꯏꯑꯣꯇꯤꯛ ꯄꯤꯒꯗꯕꯅꯤ꯫ ꯃꯁꯤꯅꯥ ꯇꯥꯀꯄꯗꯤ ꯃꯔꯝ ꯑꯗꯨ ꯂꯥꯌꯦꯡꯂꯕꯥ ꯃꯇꯃꯗꯥ ꯁꯤ.ꯑꯥꯏ.ꯑꯦ.ꯗꯤ.ꯑꯩꯆ.ꯁꯨ ꯃꯁꯥ ꯃꯊꯟꯇꯥ ꯂꯣꯏꯁꯤꯅꯒꯅꯤ꯫ 4.
ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ: ꯃꯤꯑꯣꯏ ꯈꯔꯒꯤ ꯑꯣꯏꯅꯗꯤ, ꯃꯔꯨꯑꯣꯏꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯗꯨ ꯂꯦꯡꯗꯅꯥ ꯂꯩꯔꯕꯗꯤ (Chronic SIADH), ADH ꯍꯣꯔꯃꯣꯅꯒꯤ ꯑꯦꯛꯁꯟ ꯊꯤꯡꯅꯕꯥ ꯍꯤꯗꯥꯀꯁꯤꯡ ꯅꯠꯠꯔꯒꯥ ꯍꯀꯆꯥꯡꯗꯥ ꯐ꯭ꯂꯨꯏꯗꯀꯤ ꯚꯣꯜꯌꯨꯝ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯥ ꯍꯤꯗꯥꯀꯁꯤꯡ ꯄꯤꯕꯥ ꯌꯥꯏ꯫
ꯄ꯭ꯔꯣꯒ꯭ꯅꯣꯁꯤꯁ ꯑꯁꯤ ꯀꯔꯤꯅꯣ?
ꯑꯌꯥꯝꯕꯥ ꯀꯦꯁꯁꯤꯡꯗꯗꯤ, ꯀꯔꯤꯒꯨꯝꯕꯥ SIADHꯒꯤ ꯃꯈꯥ ꯄꯣꯜꯂꯤꯕꯥ ꯃꯔꯝ ꯑꯗꯨ ꯂꯥꯏꯌꯦꯡꯕꯥ ꯉꯝꯂꯕꯗꯤ, ꯀꯟꯗꯤꯁꯟ ꯑꯗꯨ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯐꯍꯅꯕꯥ ꯉꯝꯃꯤ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯃꯐꯝ ꯑꯁꯤꯗꯥ ꯑꯩꯈꯣꯌꯅꯥ ꯄꯨꯛꯅꯤꯡ ꯆꯪꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯈꯨꯗꯣꯡꯊꯤꯅꯤꯡꯉꯥꯏ ꯑꯣꯏꯕꯥ ꯃꯁꯛ ꯑꯅꯤ ꯂꯩꯔꯤ꯫
- ꯈꯪꯍꯧꯗꯅꯥ, ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯁꯣꯗꯤꯌꯃꯒꯤ ꯆꯥꯡ ꯍꯟꯊꯔꯀꯄꯥ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯁꯤ ꯊꯣꯛꯂꯕꯗꯤ, ꯏꯁꯤꯡꯅꯥ ꯕ꯭ꯔꯦꯟ ꯁꯦꯂꯁꯤꯡꯗꯥ ꯆꯪꯂꯀꯄꯥ ꯌꯥꯏ ꯑꯃꯁꯨꯡ ꯁꯦꯔꯤꯕ꯭ꯔꯦꯜ ꯏꯗꯤꯃꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯈꯨꯗꯣꯡꯊꯤꯅꯤꯉꯥꯏ ꯑꯣꯏꯕꯥ ꯑꯃꯁꯨꯡ ꯄꯨꯟꯁꯤꯕꯨ ꯈꯨꯗꯣꯡꯊꯤꯍꯅꯕꯥ ꯌꯥꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫
- ꯈꯪꯍꯧꯗꯅꯥ, ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯁꯣꯗꯤꯌꯃꯒꯤ ꯆꯥꯡ ꯅꯦꯝꯕꯥ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯃꯇꯃꯗꯥ ꯁꯣꯗꯤꯌꯃꯒꯤ ꯆꯥꯡ ꯑꯁꯤ ꯈꯪꯍꯧꯗꯅꯥ ꯑꯃꯁꯨꯡ ꯌꯥꯡꯅꯥ ꯍꯦꯅꯒꯠꯂꯛꯂꯕꯗꯤ, ꯃꯁꯤꯅꯥ ꯕ꯭ꯔꯦꯅꯗꯥ ꯂꯩꯕꯥ ꯅꯔꯚ ꯁꯦꯂꯁꯤꯡꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯜꯂꯤꯕꯥ ‘ꯑꯣꯁ꯭ꯃꯣꯇꯤꯛ ꯗꯤꯃꯥꯏꯂꯤꯅꯦꯁꯟ ꯁꯤꯟꯗꯣꯝ’ ꯀꯧꯕꯥ ꯑꯇꯣꯞꯄꯥ ꯁꯥꯊꯤꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫
ꯃꯁꯤꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯁꯣꯗꯤꯌꯃꯒꯤ ꯆꯥꯡ ꯅꯦꯝꯕꯥ ꯂꯥꯌꯦꯡꯕꯗꯥ ꯗꯣꯛꯇꯔ ꯑꯃꯒꯤ ꯀꯨꯞꯅꯥ ꯌꯦꯡꯁꯤꯅꯕꯥ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯜ ꯑꯃꯗꯥ ꯇꯧꯒꯗꯕꯅꯤ .
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ SIADH ꯂꯩꯔꯦ ꯍꯥꯌꯅꯥ ꯆꯤꯡꯅꯔꯕꯗꯤ, ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯥ ꯊꯕꯛ ꯑꯗꯨꯗꯤ ꯌꯥꯔꯤꯕꯃꯈꯩ ꯊꯨꯅꯥ ꯗꯣꯛꯇꯔ ꯑꯃꯒꯥ ꯇꯥꯟꯅꯕꯅꯤ꯫ ꯅꯍꯥꯛꯅꯥ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯂꯥꯏꯌꯦꯡꯕꯥ ꯑꯃꯁꯨꯡ ꯂꯥꯏꯌꯦꯡꯕꯥ ꯉꯝꯂꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡꯗꯒꯤ ꯅꯥꯟꯊꯣꯀꯄꯥ ꯍꯦꯅꯒꯠꯂꯀꯏ꯫
ꯇꯦꯛ-ꯍꯣꯝ ꯃꯦꯁꯦꯖ ꯇꯧꯕꯥ꯫
- SIADH ꯍꯥꯌꯕꯁꯤ ꯍꯀꯆꯥꯡꯅꯥ ꯍꯣꯔꯃꯣꯟ ADH ꯌꯥꯝꯅꯥ ꯄꯨꯊꯣꯀꯄꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯃꯊꯧ ꯇꯥꯗꯕꯥ ꯏꯁꯤꯡ ꯇꯨꯡꯁꯤꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯏꯗꯥ ꯁꯣꯗꯤꯌꯝ (ꯁꯣꯜꯇ) ꯂꯦꯚꯦꯜ ꯅꯦꯃꯊꯍꯅꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫
- ꯋꯥꯈꯜ ꯆꯔꯥꯡꯅꯕꯥ, ꯋꯥꯈꯜ ꯆꯔꯥꯡꯅꯕꯥ, ꯃꯀꯣꯛ ꯁꯣꯀꯄꯥ, ꯑꯃꯁꯨꯡ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ (mental confusion) ꯑꯁꯤꯅꯆꯤꯡꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯂꯥꯀꯄꯥ ꯌꯥꯏ꯫ ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯑꯇꯣꯞꯄꯥ ꯂꯥꯌꯅꯥꯁꯤꯡꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡꯁꯨ ꯑꯣꯏꯕꯅꯥ, ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯄꯥꯎꯇꯥꯛ ꯂꯧꯕꯥ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫
- ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯏ ꯑꯃꯁꯨꯡ ꯌꯨꯔꯤꯟ ꯇꯦꯁ꯭ꯇꯀꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯑꯆꯨꯝꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯈꯪꯗꯣꯀꯄꯥ ꯌꯥꯏ꯫
- ꯂꯥꯏꯌꯦꯡꯕꯗꯥ ꯐ꯭ꯂꯨꯏꯗ ꯔꯤꯁ꯭ꯠꯔꯤꯛꯁꯟ, ꯁꯦꯂꯟ ꯄꯤꯕꯥ, ꯑꯃꯁꯨꯡ ꯑꯦꯁ.ꯑꯥꯏ.ꯑꯦ.ꯗꯤ.ꯑꯩꯆ.
- ꯁꯣꯗꯤꯌꯃꯒꯤ ꯆꯥꯡ ꯈꯪꯍꯧꯗꯅꯥ ꯍꯟꯊꯔꯀꯄꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯃꯇꯃꯗꯥ ꯈꯪꯍꯧꯗꯅꯥ ꯁꯣꯗꯤꯌꯃꯒꯤ ꯆꯥꯡ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ ꯑꯁꯤ ꯈꯨꯗꯣꯡꯊꯤꯅꯤꯉꯥꯏ ꯑꯣꯏ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯃꯦꯗꯤꯀꯦꯜ ꯁꯨꯄꯔꯚꯤꯖꯅꯒꯤ ꯃꯈꯥꯗꯥ ꯂꯥꯏꯌꯦꯡ ꯂꯧꯕꯥ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫
ꯑꯦꯁ.ꯑꯥꯏ.ꯑꯦ.ꯗꯤ.ꯑꯩꯆ., ꯃꯇꯤꯛ ꯆꯥꯗꯕꯥ ꯑꯦꯟꯇꯤꯗꯥꯏꯌꯨꯔꯦꯇꯤꯛ ꯍꯣꯔꯃꯣꯟ ꯁꯦꯛꯔꯦꯁꯅꯒꯤ ꯁꯤꯟꯗꯣꯝ, ꯑꯦꯟꯇꯤꯗꯥꯏꯌꯨꯔꯦꯇꯤꯛ ꯍꯣꯔꯃꯣꯟ, ꯁꯣꯗꯤꯌꯝ ꯋꯥꯠꯄꯥ, ꯍꯥꯏꯄꯣꯅꯥꯠꯔꯤꯃꯤꯌꯥ, ꯍꯣꯔꯃꯣꯅꯒꯤ ꯁꯃꯁ꯭ꯌꯥ, ꯀꯤꯗꯅꯤ, ꯏꯂꯦꯛꯠꯔꯣꯂꯥꯏꯠ ꯏꯃꯕꯦꯂꯦꯟꯁ꯫
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