ꯅꯍꯥꯛꯀꯤ ꯊꯥꯌꯔꯣꯏꯗ ꯑꯗꯨ ꯈꯔꯥ ꯑꯣꯚꯔꯑꯦꯛꯇꯤꯚ ꯑꯣꯏꯕꯥ ꯎꯕ꯭ꯔꯥ? ꯁꯕꯛꯂꯤꯅꯤꯀꯦꯜ ꯍꯥꯏꯄꯔꯊꯥꯏꯔꯣꯏꯗꯤꯖꯃꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯁꯤ!

ꯍꯟꯗꯛꯀꯤ ꯕ꯭ꯂꯗ ꯇꯦꯁ꯭ꯠ ꯑꯃꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯛꯀꯤ TSH ꯂꯦꯚꯦꯜ ꯑꯗꯨ ꯈꯔꯥ ꯅꯦꯝꯂꯤ ꯍꯥꯌꯅꯥ ꯍꯥꯌꯈꯤꯕ꯭ꯔꯥ? ꯅꯠꯠꯔꯒꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯆꯝꯕꯥ, ꯂꯧꯁꯤꯅꯕꯥ ꯉꯃꯗꯕꯥ ꯂꯥꯏꯑꯣꯡ ꯈꯔꯥ ꯂꯩꯕ꯭ꯔꯥ? ꯅꯍꯥꯛꯅꯥ ꯁꯕꯛꯂꯤꯅꯤꯀꯦꯜ ꯍꯥꯏꯄꯔꯊꯥꯏꯔꯣꯏꯗꯤꯖꯝ ꯀꯧꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯥ ꯂꯩꯕꯥ ꯌꯥꯏ꯫ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯂꯩꯔꯣꯏꯗꯕꯅꯤ, ꯃꯍꯧꯁꯥꯅꯥ ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯑꯣꯏꯗꯦ꯫ ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯑꯃꯁꯨꯡ ꯃꯌꯦꯛ ꯁꯦꯡꯅꯥ ꯋꯥꯔꯤ ꯁꯥꯁꯤ꯫

ꯁꯕꯛꯂꯤꯅꯤꯀꯦꯜ ꯍꯥꯏꯄꯔꯊꯥꯏꯔꯣꯏꯗꯤꯖꯝ ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ?

ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯁꯕꯛꯂꯤꯅꯤꯀꯦꯜ ꯍꯥꯏꯄꯔꯊꯥꯏꯔꯣꯏꯗꯤꯖꯝ ꯍꯥꯌꯕꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯊꯥꯌꯔꯣꯏꯗ ꯒ꯭ꯜꯌꯥꯟꯗ ꯑꯗꯨꯅꯥ ꯅꯣꯔꯃꯦꯂꯗꯒꯤ ꯈꯔꯥ ꯍꯦꯟꯅꯥ ꯊꯕꯛ ꯇꯧꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫ ꯑꯗꯨꯕꯨ ꯃꯁꯤ ꯑꯣꯚꯔ ꯍꯥꯏꯄꯔꯊꯥꯏꯔꯣꯏꯗꯤꯖꯝꯒꯨꯝꯅꯥ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯅꯠꯇꯦ꯫

ꯑꯩꯈꯣꯌꯒꯤ ꯕ꯭ꯔꯦꯅꯗꯥ ꯂꯩꯕꯥ ꯄꯤꯇꯨꯏꯇꯔꯤ ꯒ꯭ꯜꯌꯥꯟꯗ ꯑꯁꯤꯅꯥ TSH (Thyroid-Stimulating Hormone) ꯀꯧꯕꯥ ꯍꯣꯔꯃꯣꯟ ꯑꯃꯥ ꯄꯨꯊꯣꯀꯏ꯫ ꯃꯁꯤꯒꯤ TSH ꯑꯁꯤꯅꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯀꯣꯛꯇꯥ ꯂꯩꯕꯥ ꯊꯥꯏꯔꯣꯏꯗ ꯒ꯭ꯜꯌꯥꯟꯗꯇꯥ ꯊꯥꯏꯔꯣꯏꯗ (T4 - ꯊꯥꯏꯔꯣꯛꯁꯤꯟ) ꯑꯃꯁꯨꯡ ꯇ꯭ꯔꯥꯏꯑꯥꯏꯑꯣꯗꯣꯊꯥꯏꯔꯣꯅꯤꯟ (T3 - ꯇ꯭ꯔꯥꯏꯑꯣꯗꯣꯊꯥꯏꯔꯣꯅꯤꯟ) ꯀꯧꯕꯥ ꯍꯣꯔꯃꯣꯟ ꯑꯅꯤ ꯁꯦꯝꯅꯕꯥ ꯍꯥꯌꯔꯤ꯫ ꯍꯥꯌꯔꯤꯕꯥ T3 ​​ꯑꯃꯁꯨꯡ T4 ꯍꯣꯔꯃꯣꯅꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯃꯦꯇꯥꯕꯣꯂꯤꯖꯃꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯂꯤ, ꯍꯥꯌꯕꯗꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯆꯥꯔꯤꯕꯥ ꯆꯤꯟꯖꯥꯛ ꯑꯁꯤ ꯏꯅꯔꯖꯤꯗꯥ ꯑꯣꯟꯊꯣꯀꯏ ꯑꯃꯁꯨꯡ ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯁꯤꯖꯤꯟꯅꯩ꯫

ꯁꯕꯛꯂꯤꯅꯤꯀꯦꯜ ꯍꯥꯏꯄꯔꯊꯥꯏꯔꯣꯏꯗꯤꯖꯝꯗꯥ, ꯅꯍꯥꯛꯀꯤ ꯏꯒꯤ TSHꯒꯤ ꯆꯥꯡ ꯑꯁꯤ ꯅꯦꯝꯃꯤ, ꯑꯗꯨꯕꯨ ꯅꯍꯥꯛꯀꯤ T3 ​​ꯑꯃꯁꯨꯡ T4ꯒꯤ ꯆꯥꯡꯗꯤ ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏ꯫ ꯃꯁꯤꯅꯥ ꯇꯥꯀꯄꯗꯤ ꯊꯥꯏꯔꯣꯏꯗ ꯑꯁꯤ ꯈꯔꯥ ꯑꯣꯚꯔꯑꯦꯛꯇꯤꯚ ꯑꯣꯏ ꯍꯥꯌꯕꯅꯤ, ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯄꯤꯇꯨꯏꯇꯔꯤ ꯒ꯭ꯜꯌꯥꯟꯗꯅꯥ ꯍꯥꯌꯔꯤ, "ꯑꯣꯀꯦ, ꯑꯩꯅꯥ ꯍꯧꯖꯤꯛ TSH ꯃꯊꯧ ꯇꯥꯗꯦ, ꯑꯩꯒꯤ ꯊꯥꯌꯔꯣꯏꯗꯅꯥ ꯐꯖꯅꯥ ꯊꯕꯛ ꯇꯧꯔꯤ," ꯑꯃꯁꯨꯡ ꯃꯁꯤꯅꯥ TSH ꯄꯨꯊꯣꯀꯄꯥ ꯍꯟꯊꯍꯜꯂꯤ꯫ ꯑꯗꯨꯕꯨ ꯊꯥꯌꯔꯣꯏꯗ ꯍꯣꯔꯃꯣꯅꯁꯤꯡ (T3, T4) ꯑꯁꯤꯗꯤ ꯍꯧꯖꯤꯛ ꯐꯥꯎꯕꯥ ꯃꯁꯛ ꯊꯣꯛꯅꯥ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ ꯂꯩꯇꯦ꯫ ꯁꯕꯛꯂꯤꯅꯤꯀꯦꯜ ꯍꯥꯌꯕꯁꯤꯅꯤ - ꯃꯌꯦꯛ ꯁꯦꯡꯕꯥ ꯂꯥꯏꯑꯣꯡ ꯎꯠꯄꯥ ꯉꯃꯗꯕꯥ ꯑꯟꯗꯔꯂꯥꯏꯟ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫

ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯃꯇꯝ ꯈꯔꯒꯤ ꯑꯣꯏꯕꯥ ꯌꯥꯏ , ꯍꯥꯌꯕꯗꯤ ꯅꯨꯃꯤꯠ ꯈꯔꯅꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯃꯁꯥ ꯃꯊꯟꯇꯥ ꯐꯒꯠꯂꯀꯄꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯃꯤꯑꯣꯏ ꯈꯔꯒꯤ ꯑꯣꯏꯅꯗꯤ ꯃꯁꯤ ꯃꯇꯝ ꯆꯨꯞꯄꯒꯤ ꯑꯣꯏꯅꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫ ꯃꯤꯄꯨꯝ ꯈꯨꯗꯤꯡꯃꯛ ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯃꯊꯧ ꯇꯥꯗꯦ꯫

ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯀꯅꯥꯅꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯊꯣꯀꯍꯅꯕꯒꯦ?

ꯀꯅꯥꯒꯨꯝꯕꯥ ꯑꯃꯅꯥ ꯁꯕꯛꯂꯤꯅꯤꯀꯦꯜ ꯍꯥꯏꯄꯔꯊꯥꯏꯔꯣꯏꯗꯤꯖꯝ ꯂꯥꯀꯄꯥ ꯌꯥꯏ, ꯑꯗꯨꯕꯨ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡ ꯑꯁꯤꯗꯤ ꯈꯔꯥ ꯍꯦꯟꯅꯥ ꯔꯤꯁ꯭ꯛ ꯂꯩ:

• ꯍꯥꯌꯄꯣꯊꯥꯏꯔꯣꯏꯗꯤꯖꯃꯒꯤꯗꯃꯛꯇꯥ ꯊꯥꯌꯔꯣꯏꯗ ꯍꯣꯔꯃꯣꯟ ꯔꯤꯞꯂꯦꯁꯃꯦꯟꯇ ꯊꯦꯔꯥꯄꯤ (ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯂꯦꯚꯣꯊꯥꯏꯔꯣꯛꯁꯤꯟ) ꯂꯧꯔꯤꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯍꯤꯗꯥꯛ ꯑꯗꯨꯒꯤ ꯗꯣꯖ ꯑꯗꯨ ꯈꯔꯥ ꯍꯦꯅꯒꯠꯂꯛꯂꯕꯗꯤ ꯃꯁꯤ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫
• ꯆꯍꯤ ꯶꯵ꯒꯤ ꯃꯊꯛꯇꯥ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯒꯤ ꯑꯣꯏꯅꯥ꯫

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ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯀꯌꯥꯝ ꯀꯃꯟ ꯑꯣꯏꯕꯒꯦ?

ꯃꯁꯤ ꯑꯃꯦꯔꯤꯀꯥꯒꯨꯝꯕꯥ ꯂꯩꯕꯥꯀꯁꯤꯡꯗꯥ ꯌꯥꯝꯅꯥ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯐꯤꯚꯝ ꯑꯃꯅꯤ꯫

ꯃꯤꯁꯤꯡꯒꯤ ꯆꯥꯎꯔꯥꯛꯅꯥ 0.7% ꯗꯥ ꯁꯕꯛꯂꯤꯅꯤꯀꯦꯜ ꯍꯥꯏꯄꯔꯊꯥꯏꯔꯣꯏꯗꯤꯖꯝ ꯂꯩ, ꯃꯐꯃꯁꯤꯗꯥ TSHꯒꯤ ꯆꯥꯡ ꯑꯁꯤ 0.1 mIU/Lꯗꯒꯤ ꯇꯥꯅꯥ ꯂꯩ꯫ ꯑꯇꯣꯞꯄꯥ 1.8%ꯅꯥ TSHꯒꯤ ꯆꯥꯡ ꯑꯁꯤ 0.4 mIU/Lꯗꯒꯤ ꯇꯥꯅꯥ ꯂꯩ꯫

ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯑꯥꯌꯣꯗꯤꯟ ꯋꯥꯠꯄꯥ ꯂꯩꯕꯥꯀꯁꯤꯡꯗꯥ , ꯃꯔꯨꯑꯣꯏꯅꯥ ꯆꯍꯤ 70ꯒꯤ ꯃꯊꯛꯇꯥ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯗꯥ, ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ 15% ꯐꯥꯎꯕꯥ ꯋꯥꯡꯕꯥ ꯌꯥꯏ꯫ ꯁ꯭ꯔꯤꯂꯉ꯭ꯀꯥꯗꯥ ꯃꯁꯤꯒꯤ ꯈꯨꯗꯣꯡꯊꯤꯕꯥ ꯑꯁꯤ ꯅꯦꯝꯃꯤ ꯃꯔꯃꯗꯤ ꯃꯍꯧꯁꯥꯅꯥ ꯑꯩꯈꯣꯌꯅꯥ ꯑꯥꯏꯑꯣꯗꯥꯏꯖ ꯇꯧꯔꯕꯥ ꯁꯣꯜꯇ ꯁꯤꯖꯤꯟꯅꯩ, ꯑꯗꯨꯕꯨ ꯃꯁꯤ ꯈꯉꯖꯤꯅꯕꯥ ꯑꯁꯤ ꯑꯐꯕꯥ ꯑꯃꯅꯤ꯫

ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?

ꯑꯌꯥꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯁꯕꯛꯂꯤꯅꯤꯀꯦꯜ ꯍꯥꯏꯄꯔꯊꯥꯏꯔꯣꯏꯗꯤꯖꯝ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯅꯥ ꯂꯥꯏꯑꯣꯡ ꯑꯃꯠꯇꯥ ꯎꯠꯄꯥ ꯉꯃꯗꯦ . ꯃꯔꯝ ꯑꯁꯤꯅꯥ ꯃꯁꯤꯕꯨ "ꯁꯕꯛꯂꯤꯅꯤꯀꯦꯜ" ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫

ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯍꯥꯏꯄꯔꯊꯥꯏꯔꯣꯏꯗꯤꯖꯃꯒꯥ ꯃꯔꯤ ꯂꯩꯅꯕꯥ ꯃꯌꯥꯏ ꯑꯣꯏꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯊꯦꯡꯅꯔꯀꯄꯥ ꯌꯥꯏ꯫ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯁꯤꯡ ꯑꯁꯤꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯋꯥꯐꯃꯁꯤꯡ ꯑꯁꯤ ꯊꯦꯡꯅꯔꯀꯄꯥ ꯌꯥꯏ:

• ꯅꯍꯥꯛꯀꯤ ꯊꯝꯃꯣꯌ ꯑꯗꯨ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯌꯥꯡꯅꯥ ꯆꯦꯜꯂꯤ (palpitations) ꯍꯥꯌꯅꯥ ꯐꯥꯎꯕꯥ꯫
• ꯑꯩꯒꯤ ꯍꯀꯆꯥꯡ ꯁꯣꯀꯄꯒꯨꯝꯕꯅꯤ, ꯁꯨꯞꯅꯇꯒꯤ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯐꯥꯑꯣꯔꯀꯄꯒꯨꯝꯕꯅꯤ꯫
• ꯑꯔꯨꯝꯕꯥ ꯍꯟꯊꯕꯥ (ꯑꯦꯄꯦꯇꯥꯏꯠ ꯂꯩꯔꯕꯁꯨ)꯫
• ꯆꯥꯛ ꯆꯥꯕꯥ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ꯫
• ꯗꯥꯏꯔꯤꯌꯥ ꯅꯠꯠꯔꯒꯥ ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯈꯣꯡ ꯍꯥꯝꯕꯥ꯫
• ꯈꯣꯡ ꯑꯗꯨ ꯇꯔꯨ-ꯇꯅꯥꯅꯕꯥ, ꯇꯔꯨ-ꯇꯅꯥꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯇꯔꯨ-ꯇꯅꯥꯅꯕꯥ ꯐꯥꯎꯏ꯫
• ꯅꯨꯄꯤꯁꯤꯡꯒꯤ ꯊꯥꯒꯤ ꯈꯣꯡꯀꯥꯄꯀꯤ ꯑꯍꯣꯡꯕꯁꯤꯡ (ꯃꯦꯟꯁꯠꯔꯣꯜ ꯍꯣꯡꯂꯀꯄꯥ)꯫

ꯃꯔꯨꯑꯣꯏꯕꯥ: ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯂꯩꯕꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯁꯕꯛꯂꯤꯅꯤꯀꯦꯜ ꯍꯥꯏꯄꯔꯊꯥꯏꯔꯣꯏꯗꯤꯖꯝ ꯂꯩꯔꯦ ꯍꯥꯌꯕꯥ ꯇꯥꯀꯄꯥ ꯅꯠꯇꯦ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯂꯦꯡꯗꯅꯥ ꯂꯩꯔꯕꯗꯤ ꯗꯣꯛꯇꯔ ꯑꯃꯒꯥ ꯇꯥꯟꯅꯕꯁꯤ ꯂꯧꯁꯤꯡꯅꯤ꯫

ꯃꯁꯤ ꯀꯔꯤꯒꯤ ꯊꯣꯛꯂꯤꯕꯅꯣ? ꯃꯔꯃꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?

ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯅꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯑꯦꯟꯗꯣꯛꯔꯥꯏꯟ ꯁꯤꯁ꯭ꯇꯦꯝ ꯑꯁꯤ ꯇꯤꯝ ꯑꯃꯒꯨꯝꯅꯥ ꯊꯕꯛ ꯇꯧꯏ꯫ ꯃꯁꯤ ꯑꯆꯧꯕꯥ ꯀꯝꯄꯦꯅꯤ ꯑꯃꯒꯨꯝ ꯈꯅꯕꯤꯌꯨ꯫

ꯕ꯭ꯔꯦꯅꯒꯤ ꯕꯦꯖꯗꯥ ꯂꯩꯕꯥ ꯍꯥꯏꯄꯣꯊꯦꯂꯥꯃꯁꯅꯥ TRH (Thyroid-Releasing Hormone) ꯀꯧꯕꯥ ꯍꯣꯔꯃꯣꯟ ꯑꯃꯥ ꯊꯥꯗꯣꯀꯏ꯫ ꯃꯁꯤꯅꯥ ꯄꯤꯇꯨꯏꯇꯔꯤ ꯒ꯭ꯜꯌꯥꯟꯗꯇꯥ ꯇꯤ.ꯑꯦꯁ.ꯑꯩꯆ.

ꯑꯗꯨꯗꯒꯤ TSHꯅꯥ ꯆꯠꯇꯨꯅꯥ ꯊꯥꯌꯔꯣꯏꯗ ꯒ꯭ꯜꯌꯥꯟꯗꯇꯥ T3 ​​(ꯆꯥꯎꯔꯥꯛꯅꯥ 20%) ꯑꯃꯁꯨꯡ T4 (ꯆꯥꯎꯔꯥꯛꯅꯥ 80%) ꯁꯦꯝꯅꯕꯥ ꯍꯥꯌ꯫ ꯍꯥꯌꯔꯤꯕꯥ T3 ​​ꯑꯃꯁꯨꯡ T4 ꯑꯁꯤ ꯏꯗꯥ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯃꯁꯤꯅꯥ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯄꯤꯇꯨꯏꯇꯔꯤ ꯒ꯭ꯜꯌꯥꯟꯗꯇꯥ ꯁꯤꯒꯅꯦꯜ ꯑꯃꯥ ꯊꯥꯏ, "ꯑꯣꯀꯦ, ꯍꯧꯖꯤꯛ TSH ꯁꯦꯝꯕꯥ ꯂꯦꯄꯀꯅꯨ, ꯍꯣꯔꯃꯣꯟ ꯃꯇꯤꯛ ꯆꯥꯅꯥ ꯂꯩꯔꯦ꯫" ꯃꯁꯤꯕꯨ ꯐꯤꯗꯕꯦꯛ ꯂꯨꯞ ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ T3 ꯑꯃꯁꯨꯡ T4 ꯍꯟꯊꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯁꯥꯏꯀꯜ ꯑꯁꯤ ꯍꯧꯔꯀꯄꯗꯒꯤ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯍꯧꯏ꯫

ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯁꯕꯛꯂꯤꯅꯤꯀꯦꯜ ꯍꯥꯏꯄꯔꯊꯥꯏꯔꯣꯏꯗꯤꯖꯝꯗꯥ, ꯊꯥꯌꯔꯣꯏꯗ ꯒ꯭ꯜꯌꯥꯟꯗꯇꯥ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯈꯔꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ, TSHꯒꯤ ꯆꯥꯡ ꯑꯁꯤ ꯅꯦꯝꯂꯕꯁꯨ, ꯊꯥꯌꯔꯣꯏꯗ ꯍꯣꯔꯃꯣꯅꯁꯤꯡ ꯄꯨꯊꯣꯀꯄꯥ ꯑꯁꯤ ꯊꯥꯖꯕꯥ ꯌꯥꯕꯒꯨꯝꯅꯥ ꯍꯟꯊꯗꯦ꯫ ꯃꯔꯝ ꯑꯁꯤꯅꯥ TSH ꯑꯁꯤ ꯅꯦꯝꯃꯤ, ꯑꯗꯨꯕꯨ T3 ​​ꯑꯃꯁꯨꯡ T4 ꯑꯁꯤꯗꯤ ꯅꯣꯔꯃꯦꯜ ꯂꯦꯚꯦꯂꯗꯥ ꯂꯩ꯫

ꯁꯕꯛꯂꯤꯅꯤꯀꯦꯜ ꯍꯥꯏꯄꯔꯊꯥꯏꯔꯣꯏꯗꯤꯖꯝꯒꯤ ꯃꯔꯃꯁꯤꯡ ꯑꯁꯤ ꯑꯆꯧꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯑꯣꯚꯔꯑꯣꯜ ꯍꯥꯏꯄꯔꯊꯥꯏꯔꯣꯏꯗꯤꯖꯝ ꯊꯣꯀꯍꯅꯕꯁꯤꯡꯒꯥ ꯃꯥꯟꯅꯩ꯫ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯔꯝ ꯈꯔꯗꯤ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤ:

• ꯍꯥꯏꯄꯣꯊꯥꯏꯔꯣꯏꯗꯤꯖꯝ (ꯑꯟꯗꯔꯑꯦꯛꯇꯤꯚ ꯊꯥꯌꯔꯣꯏꯗ)ꯒꯤꯗꯃꯛꯇꯥ ꯄꯤꯕꯥ ꯍꯣꯔꯃꯣꯟ ꯊꯦꯔꯥꯄꯤ (ꯂꯦꯚꯣꯊꯥꯏꯔꯣꯛꯁꯤꯟ)ꯒꯤ ꯗꯣꯖ ꯍꯦꯅꯒꯠꯍꯅꯕꯥ꯫ ꯃꯁꯤꯅꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯃꯔꯃꯅꯤ꯫
• ꯃꯜꯇꯤꯅꯣꯗ꯭ꯌꯨꯂꯥꯔ ꯇꯣꯛꯁꯤꯀꯦꯜ ꯒꯣꯏꯇꯔ꯫ ꯃꯁꯤ ꯊꯥꯌꯔꯣꯏꯗ ꯒ꯭ꯜꯌꯥꯟꯗꯇꯥ ꯅꯟ-ꯀꯦꯟꯁꯔ ꯂꯪꯁ (ꯅꯣꯗ꯭ꯌꯨꯂꯁꯤꯡ) ꯁꯦꯃꯒꯠꯂꯀꯄꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯊꯥꯌꯔꯣꯏꯗ ꯍꯣꯔꯃꯣꯟ ꯌꯥꯝꯅꯥ ꯄꯨꯊꯣꯀꯄꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫
• ꯒ꯭ꯔꯦꯚꯁꯀꯤ ꯂꯥꯌꯅꯥ꯫ ꯃꯁꯤ ꯑꯣꯇꯣꯏꯝꯌꯨꯟ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫ ꯃꯁꯤꯅꯥ ꯇꯥꯀꯄꯗꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯏꯝꯝꯌꯨꯟ ꯁꯤꯁ꯭ꯇꯦꯃꯅꯥ ꯊꯥꯌꯔꯣꯏꯗ ꯒ꯭ꯜꯌꯥꯟꯗꯇꯥ ꯑꯦꯇꯦꯛ ꯇꯧꯏ, ꯃꯗꯨꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯍꯣꯔꯃꯣꯟ ꯍꯦꯟꯅꯥ ꯄꯨꯊꯣꯛꯅꯕꯥ ꯊꯧꯅꯥ ꯍꯥꯞꯄꯤ꯫
• ꯊꯥꯌꯔꯣꯏꯗ (thyroiditis): ꯊꯥꯌꯔꯣꯏꯗ ꯒ꯭ꯜꯌꯥꯟꯗ ꯑꯗꯨ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯁꯟ ꯇꯧꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ , ꯍꯣꯔꯃꯣꯅꯒꯤ ꯆꯥꯡ ꯑꯗꯨ ꯃꯇꯝ ꯈꯔꯒꯤ ꯑꯣꯏꯅꯥ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ ꯌꯥꯏ꯫

ꯃꯁꯤ ꯑꯗꯣꯝꯅꯥ ꯀꯔꯝꯅꯥ ꯈꯉꯕꯤꯔꯤꯕꯒꯦ?

ꯊꯥꯏꯔꯣꯏꯗ ꯐꯉ꯭ꯀꯁꯟ ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯁꯕꯛꯂꯤꯅꯤꯀꯦꯜ ꯍꯥꯏꯄꯔꯊꯥꯏꯔꯣꯏꯗꯤꯖꯝ ꯂꯩꯕ꯭ꯔꯥ ꯅꯠꯠꯔꯒꯥ ꯂꯩꯇꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯁꯣꯌꯗꯅꯥ ꯈꯪꯅꯕꯒꯤ ꯑꯃꯠꯇꯥ ꯉꯥꯏꯔꯕꯥ ꯄꯥꯝꯕꯩꯅꯤ꯫(ꯊꯥꯏꯔꯣꯏꯗ ꯐꯉ꯭ꯀꯁꯟ ꯇꯦꯁ꯭ꯠ ꯈꯛꯇꯃꯛ꯫ ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯔꯨꯇꯤꯟ ꯕ꯭ꯂꯗ ꯇꯦꯁ꯭ꯇꯁꯤꯡꯅꯤ꯫

ꯃꯤꯔꯣꯜꯂꯤꯕꯤ ꯅꯨꯄꯤ ꯑꯃꯗꯥ TSH (ꯊꯥꯏꯔꯣꯠꯔꯣꯄꯤꯟ ꯍꯥꯌꯅꯥ ꯀꯧꯕꯥ)ꯒꯤ ꯆꯥꯡꯒꯤ ꯅꯣꯔꯃꯦꯜ ꯔꯦꯟꯖ ꯑꯁꯤ ꯂꯤꯇꯔ ꯑꯃꯗꯥ ꯃꯤꯂꯤ-ꯏꯟꯇꯔꯅꯦꯁꯅꯦꯜ ꯌꯨꯅꯤꯠ (mIU/L) 0.4 ꯑꯃꯁꯨꯡ 4.5ꯒꯤ ꯃꯔꯛꯇꯥ ꯂꯩ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯕ꯭ꯂꯗ ꯇꯦꯁ꯭ꯇꯁꯤꯡꯅꯥ ꯅꯍꯥꯛꯀꯤ TSHꯒꯤ ꯆꯥꯡ ꯑꯗꯨ ꯅꯦꯝꯅꯥ ꯂꯩꯔꯦ (0.1 ꯑꯃꯁꯨꯡ 0.4 mIU/Lꯒꯤ ꯃꯔꯛꯇꯥ ꯅꯠꯠꯔꯒꯥ 0.1 mIU/Lꯗꯒꯤ ꯇꯥꯗꯅꯥ), ꯑꯗꯨꯕꯨ ꯅꯍꯥꯛꯀꯤ T4 (ꯊꯥꯏꯔꯣꯛꯁꯤꯟ) ꯑꯃꯁꯨꯡ T3 (ꯇ꯭ꯔꯥꯏꯑꯣꯗꯣꯊꯥꯏꯔꯣꯅꯤꯟ)ꯒꯤ ꯆꯥꯡ ꯑꯗꯨ ꯅꯣꯔꯃꯦꯜ ꯔꯦꯟꯖꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯂꯩꯔꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯁꯕꯛꯂꯤꯅꯤꯀꯦꯜ ꯍꯥꯏꯄꯔꯊꯥꯏꯔꯣꯏꯗꯤꯖꯝ ꯂꯩꯔꯦ꯫

ꯁꯕꯛꯂꯤꯅꯤꯀꯦꯜ ꯍꯥꯏꯄꯔꯊꯥꯏꯔꯣꯏꯗꯤꯖꯝ ꯑꯁꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯀꯦꯇꯦꯒꯣꯔꯤ ꯑꯅꯤꯗꯥ ꯈꯥꯌꯗꯣꯀꯄꯥ ꯌꯥꯏ:

• ꯃꯌꯥꯏ ꯑꯣꯏꯕꯥ: TSHꯒꯤ ꯆꯥꯡ ꯑꯁꯤ ꯅꯦꯝꯃꯤ, ꯑꯗꯨꯕꯨ ꯍꯧꯖꯤꯀꯁꯨ ꯈꯪꯗꯣꯀꯄꯥ ꯉꯝꯃꯤ - ꯃꯍꯧꯁꯥꯅꯥ 0.1 ꯑꯃꯁꯨꯡ 0.4 mIU/Lꯒꯤ ꯃꯔꯛꯇꯥ ꯂꯩ꯫ ꯃꯁꯤꯒꯤ ꯊꯥꯛ ꯑꯁꯤ ꯁꯕꯛꯂꯤꯅꯤꯀꯦꯜ ꯍꯥꯏꯄꯔꯊꯥꯏꯔꯣꯏꯗꯤꯖꯝ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯒꯤ 65%ꯗꯒꯤ 75% ꯐꯥꯎꯕꯗꯥ ꯂꯩ꯫
• ꯁꯥꯊꯤꯕꯥ: TSHꯒꯤ ꯆꯥꯡ ꯑꯁꯤ 0.1 mIU/Lꯗꯒꯤ ꯍꯦꯜꯂꯤ꯫ ꯃꯁꯤꯅꯥ ꯃꯤꯑꯣꯏ 25% ꯑꯃꯁꯨꯡ 35%ꯒꯤ ꯃꯔꯛꯇꯥ ꯁꯣꯀꯍꯜꯂꯤ꯫

ꯃꯁꯤ ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯃꯊꯧ ꯇꯥꯕꯔꯥ?

ꯇꯁꯦꯡꯅꯥ ꯗꯣꯛꯇꯔꯁꯤꯡꯒꯤ ꯃꯔꯛꯇꯥ ꯁꯕꯛꯂꯤꯅꯤꯀꯦꯜ ꯍꯥꯏꯄꯔꯊꯥꯏꯔꯣꯏꯗꯤꯖꯝ ꯂꯥꯌꯦꯡꯕꯥ ꯅꯠꯔꯒꯥ ꯂꯥꯌꯦꯡꯗꯕꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯇꯣꯉꯥꯟ ꯇꯣꯉꯥꯅꯕꯥ ꯋꯥꯈꯜꯂꯣꯅꯁꯤꯡ ꯂꯩꯔꯤ, ꯃꯔꯃꯗꯤ ꯂꯥꯌꯦꯡꯕꯒꯤ ꯃꯌꯦꯛ ꯁꯦꯡꯕꯥ ꯀꯥꯟꯅꯕꯥ ꯑꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯍꯧꯖꯤꯛ ꯐꯥꯑꯣꯕꯥ ꯔꯤꯁꯔꯆ ꯃꯔꯥꯡ ꯀꯥꯌꯅꯥ ꯂꯩꯇꯦ꯫

ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯑꯌꯥꯝꯕꯅꯥ ꯁꯕꯛꯂꯤꯅꯤꯀꯦꯜ ꯍꯥꯏꯄꯔꯊꯥꯏꯔꯣꯏꯗꯤꯖꯝ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯒꯤꯗꯃꯛ "ꯉꯥꯏꯗꯨꯅꯥ ꯂꯩꯌꯨ ꯑꯃꯁꯨꯡ ꯌꯦꯡꯎ" ꯍꯥꯌꯕꯥ ꯑꯦꯞꯔꯣꯆ ꯑꯃꯥ ꯔꯤꯀꯃꯦꯟꯗ ꯇꯧꯏ꯫ ꯍꯥꯌꯕꯗꯤ ꯃꯈꯣꯌꯅꯥ ꯂꯥꯏꯌꯦꯡ ꯍꯧꯗꯅꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯗꯨ ꯃꯁꯥ ꯃꯊꯟꯇꯥ ꯐꯒꯠꯂꯀꯄꯥ ꯉꯥꯏꯔꯤ꯫

ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, TSHꯒꯤ ꯆꯥꯡ ꯑꯁꯤ ꯂꯦꯞꯇꯅꯥ 0.1 mIU/Lꯒꯤ ꯃꯈꯥꯗꯥ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯗꯥ, ꯃꯔꯨꯑꯣꯏꯅꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯀꯦꯁꯁꯤꯡ ꯑꯁꯤꯗꯥ ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯔꯦꯀꯃꯦꯟꯗ ꯇꯧꯕꯥ ꯌꯥꯏ:

• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯆꯍꯤ 65 ꯅꯠꯠꯔꯒꯥ ꯃꯁꯤꯗꯒꯤ ꯍꯦꯅꯕꯥ ꯑꯣꯏꯔꯕꯗꯤ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯆꯍꯤ 65ꯒꯤ ꯃꯈꯥꯗꯥ ꯂꯩꯕꯥ ꯑꯣꯏꯔꯕꯗꯤ, ꯍꯥꯔꯇꯀꯤ ꯂꯥꯌꯅꯥ, ꯑꯣꯁ꯭ꯇꯤꯑꯣꯄꯣꯔꯣꯁꯤꯁ ꯅꯠꯠꯔꯒꯥ ꯍꯥꯏꯄꯔꯊꯥꯏꯔꯣꯏꯗꯤꯖꯃꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯂꯩꯔꯕꯗꯤ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛ ꯑꯁꯤ ꯄꯣꯁ꯭ꯠ-ꯃꯦꯅꯣꯄꯣꯖꯜ ꯅꯨꯄꯤ ꯑꯃꯥ ꯑꯣꯏꯔꯕꯗꯤ, ꯆꯍꯤ 65ꯒꯤ ꯃꯈꯥꯗꯥ ꯂꯩꯕꯥ, ꯑꯃꯁꯨꯡ ꯏꯁ꯭ꯠꯔꯣꯖꯦꯟ ꯅꯠꯠꯔꯒꯥ ꯕꯤꯁꯐꯣꯁꯐꯣꯅꯦꯠꯁꯤꯡ (ꯁꯔꯨ ꯇꯥꯡꯒꯤ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯃꯁꯤꯡ ꯂꯥꯌꯦꯡꯕꯗꯥ ꯁꯤꯖꯤꯟꯅꯕꯥ ꯍꯤꯗꯥꯛ ꯃꯈꯜ ꯑꯃꯥ) ꯂꯧꯗꯕꯥ ꯑꯣꯏꯔꯕꯗꯤ꯫

ꯃꯤꯔꯣꯜꯂꯤꯉꯩ ꯃꯇꯃꯗꯥ ꯁꯕꯛꯂꯤꯅꯤꯀꯦꯜ ꯍꯥꯏꯄꯔꯊꯥꯏꯔꯣꯏꯗꯤꯖꯝ ꯑꯁꯤ ꯃꯍꯧꯁꯥꯅꯥ ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯃꯊꯧ ꯇꯥꯗꯦ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯂꯥꯏꯌꯦꯡ ꯄꯤꯔꯕꯗꯤ ꯃꯗꯨ ꯀꯔꯤꯅꯣ?

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯃꯊꯧ ꯇꯥꯔꯦ ꯍꯥꯌꯅꯥ ꯈꯜꯂꯕꯗꯤ, ꯂꯥꯏꯌꯦꯡ ꯑꯗꯨ ꯁꯕꯛꯂꯤꯅꯤꯀꯦꯜ ꯍꯥꯏꯄꯔꯊꯥꯏꯔꯣꯏꯗꯤꯖꯃꯒꯤ ꯃꯔꯝ ꯑꯗꯨꯒꯤ ꯃꯈꯥ ꯄꯣꯜꯂꯤ꯫

• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯇꯣꯛꯁꯤꯀꯦꯜ ꯃꯜꯇꯤꯅꯣꯗ꯭ꯌꯨꯂꯥꯔ ꯒꯣꯏꯇꯔ (ꯈꯣꯡꯗꯥ ꯂꯩꯕꯥ ꯄꯣꯠꯁꯛ ꯑꯃꯥ) ꯅꯠꯠꯔꯒꯥ ꯅꯍꯥꯛꯀꯤ ꯊꯥꯌꯔꯣꯏꯗꯇꯥ ꯅꯣꯗ꯭ꯌꯨꯜ ꯑꯃꯈꯛꯇꯃꯛ ꯂꯩꯔꯕꯗꯤ, ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯂꯥꯏꯌꯦꯡ ꯑꯁꯤ ꯔꯦꯗꯤꯑꯣꯑꯦꯛꯇꯤꯚ ꯑꯥꯌꯣꯗꯤꯅꯅꯤ꯫ ꯃꯁꯤ ꯅꯍꯥꯛꯅꯥ ꯃꯤꯠꯅꯥ ꯊꯀꯄꯥ ꯍꯤꯗꯥꯛ ꯑꯃꯅꯤ꯫ ꯅꯍꯥꯛꯀꯤ ꯊꯥꯌꯔꯣꯏꯗꯇꯥ ꯂꯩꯕꯥ ꯑꯣꯚꯔꯑꯦꯛꯇꯤꯚ ꯁꯦꯂꯁꯤꯡꯅꯥ ꯑꯥꯌꯣꯗꯤꯟ ꯑꯗꯨ ꯁꯣꯀꯍꯜꯂꯤ꯫ ꯔꯦꯗꯤꯑꯣꯑꯦꯛꯇꯤꯚ ꯑꯥꯌꯣꯗꯤꯅꯅꯥ ꯁꯦꯂꯁꯤꯡ ꯑꯗꯨꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯜꯂꯤ, ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯊꯥꯌꯔꯣꯏꯗ ꯑꯗꯨ ꯍꯟꯊꯔꯀꯏ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯍꯣꯔꯃꯣꯅꯒꯤ ꯆꯥꯡ ꯑꯗꯨ ꯅꯨꯃꯤꯠ ꯈꯔꯅꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯍꯟꯊꯔꯀꯏ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯒ꯭ꯔꯦꯚꯁꯀꯤ ꯂꯥꯌꯅꯥ ꯂꯩꯔꯕꯗꯤ, ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯂꯥꯏꯌꯦꯡꯗꯤ ꯑꯦꯟꯇꯤꯊꯥꯏꯔꯣꯏꯗ ꯗ꯭ꯔꯒꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯔꯦꯗꯤꯑꯣꯑꯦꯛꯇꯤꯚ ꯑꯥꯌꯣꯗꯤꯅꯅꯤ꯫ ꯃꯦꯊꯤꯃꯥꯖꯣꯜ (ꯇꯥꯄꯥꯖꯣꯜ) ꯑꯃꯁꯨꯡ ꯄ꯭ꯔꯣꯄꯥꯏꯂꯊꯤꯑꯣꯎꯔꯦꯁꯤꯜ (ꯄꯤ.ꯇꯤ.ꯌꯨ.)ꯒꯨꯝꯕꯥ ꯑꯦꯟꯇꯤꯊꯥꯏꯔꯣꯏꯗ ꯗ꯭ꯔꯒꯁꯤꯡꯅꯥ ꯊꯥꯏꯔꯣꯏꯗ ꯒ꯭ꯜꯌꯥꯟꯗꯒꯤ ꯍꯣꯔꯃꯣꯟ ꯁꯦꯝꯕꯒꯤ ꯇꯧꯕꯥ ꯉꯝꯕꯗꯨ ꯊꯤꯡꯗꯨꯅꯥ ꯊꯕꯛ ꯇꯧꯏ꯫

ꯃꯁꯤ ꯊꯤꯡꯕꯥ ꯉꯃꯒꯗ꯭ꯔꯥ?

ꯑꯌꯥꯝꯕꯥ ꯀꯦꯁꯁꯤꯡꯗꯗꯤ, ꯁꯕꯛꯂꯤꯅꯤꯀꯦꯜ ꯍꯥꯏꯄꯔꯊꯥꯏꯔꯣꯏꯗꯤꯖꯝ ꯅꯠꯠꯔꯒꯥ ꯑꯣꯚꯔꯑꯣꯜ ꯍꯥꯏꯄꯥꯔꯊꯥꯏꯔꯣꯏꯗꯤꯖꯝ ꯂꯥꯀꯄꯥ ꯊꯤꯡꯅꯕꯥ ꯑꯩꯈꯣꯌꯅꯥ ꯇꯧꯕꯥ ꯌꯥꯕꯥ ꯀꯔꯤꯁꯨ ꯂꯩꯇꯦ꯫

ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯥꯏꯇꯇꯥ ꯑꯥꯌꯣꯗꯤꯟ ꯃꯔꯥꯡ ꯀꯥꯌꯅꯥ ꯐꯪꯗ꯭ꯔꯕꯗꯤ (ꯅꯠꯠꯔꯒꯥ ꯌꯥꯝꯅꯥ ꯌꯥꯝꯅꯥ) , ꯅꯍꯥꯛꯅꯥ ꯇꯣꯛꯁꯤꯀꯦꯜ ꯒꯣꯏꯇꯔꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯁꯕꯛꯂꯤꯅꯤꯀꯦꯜ ꯅꯠꯠꯔꯒꯥ ꯑꯣꯚꯔ ꯍꯥꯏꯄꯔꯊꯥꯏꯔꯣꯏꯗꯤꯖꯝ ꯂꯥꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯁꯤ ꯁ꯭ꯔꯤꯂꯉ꯭ꯀꯥꯒꯨꯝꯕꯥ ꯂꯩꯕꯥꯀꯁꯤꯡꯗꯥ ꯑꯩꯈꯣꯌꯅꯥ ꯑꯥꯏꯑꯣꯗꯥꯏꯖ ꯇꯧꯔꯕꯥ ꯁꯣꯜꯇ ꯁꯤꯖꯤꯟꯅꯕꯅꯥ ꯀꯃꯟ ꯑꯣꯏꯗ꯭ꯔꯕꯁꯨ, ꯃꯁꯤꯒꯤ ꯐꯤꯚꯝ ꯑꯁꯤ ꯑꯥꯌꯣꯗꯤꯅꯒꯤ ꯑꯋꯥꯠꯄꯥ ꯂꯩꯕꯥ ꯂꯩꯕꯥꯀꯁꯤꯡꯗꯥ ꯎꯕꯥ ꯐꯪꯏ꯫

ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯑꯩꯈꯣꯌꯅꯥ ꯀꯔꯤ ꯑꯥꯁꯥ ꯇꯧꯕꯥ ꯌꯥꯕꯒꯦ? ꯔꯤꯁ꯭ꯛ ꯑꯃꯠꯇꯥ ꯂꯩꯕ꯭ꯔꯥ?

ꯁꯕꯛꯂꯤꯅꯤꯀꯦꯜ ꯍꯥꯏꯄꯔꯊꯥꯏꯔꯣꯏꯗꯤꯖꯝ ꯑꯁꯤ ꯑꯣꯚꯔꯑꯣꯜ ꯍꯥꯏꯄꯔꯊꯥꯏꯔꯣꯏꯗꯤꯖꯝ (overt hyperthyroidism) ꯐꯥꯎꯕꯥ ꯌꯥꯝꯅꯥ ꯊꯦꯡꯅꯩ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯔꯤꯁ꯭ꯛ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯅꯦꯝꯕꯥ TSH ꯂꯦꯚꯦꯜ (0.1 mIU/Lꯗꯒꯤ ꯇꯥꯕꯥ) ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯗꯥ ꯈꯔꯥ ꯍꯦꯟꯅꯥ ꯋꯥꯡꯏ꯫

ꯃꯔꯝ ꯀꯌꯥ ꯂꯩꯕꯅꯥ ꯃꯤꯄꯨꯝ ꯈꯨꯗꯤꯡꯃꯛꯀꯤ ꯁꯕꯛꯂꯤꯅꯤꯀꯦꯜ ꯍꯥꯏꯄꯔꯊꯥꯏꯔꯣꯏꯗꯤꯖꯝ ꯑꯁꯤ ꯇꯣꯉꯥꯜꯂꯤ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯁꯤꯅꯥ ꯑꯣꯚꯔ ꯍꯥꯏꯄꯔꯊꯥꯏꯔꯣꯏꯗꯤꯖꯝꯗꯥ ꯄ꯭ꯔꯣꯒ꯭ꯔꯦꯁ ꯇꯧꯗ꯭ꯔꯕꯁꯨ, ꯁꯕꯛꯂꯤꯅꯤꯀꯦꯜ ꯍꯥꯏꯄꯔꯊꯥꯏꯔꯣꯏꯗꯤꯖꯝꯅꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯟ ꯈꯔꯗꯤ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯃꯗꯨꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯈꯔꯗꯤ:

• ꯑꯦꯠꯔꯤꯌꯥꯜ ꯐꯥꯏꯕ꯭ꯔꯤꯂꯦꯁꯟ ( ꯍꯥꯔꯇꯀꯤ ꯂꯥꯌꯅꯥ)꯫
• ꯍꯥꯔꯠ ꯐꯦꯜ ꯑꯣꯏꯕꯥ (ꯍꯥꯔꯠ ꯐꯦꯜ ꯑꯣꯏꯔꯀꯄꯒꯤ ꯔꯤꯁ꯭ꯛ )꯫
• ꯀꯣꯔꯣꯅꯥꯒꯤ ꯍꯥꯔꯠ ꯗꯤꯖꯤꯖ (ꯀꯣꯔꯣꯅꯥꯔꯤ ꯑꯥꯔꯇꯦꯔꯤ ꯗꯤꯖꯤꯖ )꯫
• ꯕꯣꯟ ꯂꯣꯁ ꯑꯃꯁꯨꯡ ꯐ꯭ꯔꯦꯀꯆꯔꯁꯤꯡ꯫
• ꯗꯤꯃꯦꯅꯁꯤꯌꯥ ( ꯆꯍꯤ ꯌꯥꯃꯈꯠꯂꯀꯄꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯕꯥ ꯃꯦꯃꯣꯔꯤ ꯂꯣꯁꯀꯤ ꯀꯟꯗꯤꯁꯟ)꯫

ꯍꯥꯌꯔꯤꯕꯥ ꯔꯤꯁ꯭ꯀꯁꯤꯡ ꯑꯁꯤ ꯃꯔꯨꯑꯣꯏꯅꯥ ꯆꯍꯤ 65ꯒꯤ ꯃꯊꯛꯇꯥ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯁꯥꯊꯤꯕꯥ ꯁꯕꯛꯂꯤꯅꯤꯀꯦꯜ ꯍꯥꯏꯄꯔꯊꯥꯏꯔꯣꯏꯗꯤꯖꯝ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯗꯥ ꯌꯥꯝꯅꯥ ꯋꯥꯡꯏ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯔꯤꯁ꯭ꯀꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯈꯜ ꯇꯥꯔꯕꯗꯤ, ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯕꯅꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯩ꯫

ꯑꯩꯅꯥ ꯀꯗꯥꯏꯗꯥ ꯗꯣꯛꯇꯔꯒꯥ ꯎꯅꯒꯗꯒꯦ?

ꯑꯌꯥꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯇꯦꯁ꯭ꯇꯁꯤꯡꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯁꯕꯛꯂꯤꯅꯤꯀꯦꯜ ꯍꯥꯏꯄꯔꯊꯥꯏꯔꯣꯏꯗꯤꯖꯝ'' ꯂꯩꯔꯦ ꯍꯥꯌꯕꯥ ꯎꯠꯂꯕꯗꯤ, ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ "ꯉꯥꯏꯗꯨꯅꯥ ꯂꯩꯌꯨ ꯑꯃꯁꯨꯡ ꯌꯦꯡꯎ" ꯍꯥꯌꯕꯥ ꯊꯧꯑꯣꯡ ꯑꯁꯤ ꯂꯧꯒꯅꯤ꯫

ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯍꯥꯏꯄꯔꯊꯥꯏꯔꯣꯏꯗꯤꯖꯝ (anxiety, restlessness, palpitations)ꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯂꯥꯀꯄꯥ ꯍꯧꯔꯛꯂꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯁꯣꯌꯗꯅꯥ ꯇꯥꯀꯄꯤꯌꯨ꯫ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯃꯍꯥꯛꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯣꯚꯔ ꯍꯥꯏꯄꯔꯊꯥꯏꯔꯣꯏꯗꯤꯖꯝ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯅꯕꯒꯤꯗꯃꯛ ꯑꯇꯣꯞꯄꯥ ꯊꯥꯌꯔꯣꯏꯗ ꯕ꯭ꯂꯗ ꯇꯦꯁ꯭ꯠ ꯑꯃꯥ ꯇꯧꯒꯅꯤ꯫

ꯅꯤꯡꯁꯤꯡꯕꯤꯌꯨ, ꯁꯕꯛꯂꯤꯅꯤꯀꯦꯜ ꯍꯥꯏꯄꯔꯊꯥꯏꯔꯣꯏꯗꯤꯖꯝ ꯂꯥꯌꯦꯡꯕꯥ ꯅꯠꯔꯒꯥ ꯂꯥꯌꯦꯡꯗꯕꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯍꯧꯖꯤꯀꯁꯨ ꯇꯣꯉꯥꯟ ꯇꯣꯉꯥꯅꯕꯥ ꯋꯥꯈꯜꯂꯣꯟ ꯀꯌꯥ ꯂꯩꯔꯤ꯫ ꯃꯤꯄꯨꯝ ꯈꯨꯗꯤꯡꯃꯛ, ꯐꯤꯚꯝ ꯈꯨꯗꯤꯡꯃꯛ ꯇꯣꯉꯥꯜꯂꯤ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯥ ꯊꯕꯛ ꯑꯗꯨꯗꯤ ꯅꯍꯥꯛꯀꯤ ꯋꯥꯍꯪꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯑꯀꯤꯕꯥ ꯄꯨꯝꯅꯃꯛ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯈꯟꯅ-ꯅꯩꯅꯕꯅꯤ꯫ ꯃꯍꯥꯛꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯃꯇꯦꯡ ꯄꯥꯡꯅꯕꯥ ꯁꯦꯝ-ꯁꯥꯗꯨꯅꯥ ꯂꯩ ꯑꯃꯁꯨꯡ ꯌꯥꯅꯤꯡꯏ꯫

ꯇꯦꯛ-ꯍꯣꯝ ꯃꯦꯁꯦꯖ ꯇꯧꯕꯥ꯫

ꯑꯣꯀꯦ, ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯑꯩꯈꯣꯌꯅꯥ ꯋꯥꯔꯤ ꯁꯥꯈꯤꯕꯥ ꯑꯗꯨꯗꯒꯤ ꯅꯍꯥꯛꯅꯥ ꯅꯤꯡꯁꯤꯡꯒꯗꯕꯥ ꯋꯥꯐꯝ ꯈꯔꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤ:

• ꯁꯕꯛꯂꯤꯅꯤꯀꯦꯜ ꯍꯥꯏꯄꯔꯊꯥꯏꯔꯣꯏꯗꯤꯖꯝ'' ꯍꯥꯌꯕꯁꯤ ꯊꯥꯌꯔꯣꯏꯗ ꯒ꯭ꯜꯌꯥꯟꯗ ꯑꯁꯤ ꯈꯔꯥ ꯍꯦꯟꯅꯥ ꯑꯦꯛꯇꯤꯚ ꯑꯣꯏꯕꯥ, ꯑꯗꯨꯕꯨ ꯑꯆꯧꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯎꯠꯄꯥ ꯉꯃꯗꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫
• ꯃꯁꯤ TSH ꯂꯦꯚꯦꯜ ꯅꯦꯝꯕꯥ (ꯑꯗꯨꯕꯨ ꯅꯣꯔꯃꯦꯜ T3 ꯑꯃꯁꯨꯡ T4) ꯎꯠꯄꯥ ꯕ꯭ꯂꯗ ꯇꯦꯁ꯭ꯠ ꯑꯃꯅꯥ ꯈꯪꯗꯣꯀꯏ꯫
• ꯑꯌꯥꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯂꯩꯇꯕꯅꯥ ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯃꯊꯧ ꯇꯥꯗꯕꯥ ꯌꯥꯏ꯫ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ "ꯉꯥꯏꯌꯨ ꯑꯃꯁꯨꯡ ꯌꯦꯡꯎ" ꯍꯥꯌꯕꯥ ꯑꯦꯞꯔꯣꯆ ꯑꯃꯥ ꯂꯧꯕꯥ ꯌꯥꯏ꯫
• ꯃꯤꯑꯣꯏ ꯈꯔꯗꯤ ꯃꯔꯨꯑꯣꯏꯅꯥ ꯑꯍꯜ ꯑꯣꯏꯔꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡ ꯅꯠꯠꯔꯒꯥ ꯑꯇꯩ ꯍꯀꯁꯦꯂꯒꯤ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯗꯥ ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯏ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯍꯥꯏꯄꯔꯊꯥꯏꯔꯣꯏꯗꯤꯖꯃꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ (ꯍꯥꯌꯕꯗꯤ ꯍꯥꯔꯠ ꯔꯦꯠ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ, ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯁꯣꯀꯄꯥ, ꯑꯔꯨꯝꯕꯥ ꯍꯟꯊꯕꯥ ꯑꯁꯤꯅꯆꯤꯡꯕꯥ) ꯂꯩꯔꯕꯗꯤ ꯈꯨꯗꯛꯇꯥ ꯗꯣꯛꯇꯔ ꯑꯃꯒꯥ ꯇꯥꯟꯅꯧ꯫
• ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯋꯥꯐꯃꯗꯤ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯊꯣꯛꯂꯣꯏꯗꯕꯅꯤ, ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯑꯃꯨꯛꯇꯪ ꯋꯥꯔꯤ ꯁꯥꯅꯒꯗꯕꯅꯤ ꯑꯃꯁꯨꯡ ꯃꯍꯥꯛꯀꯤ ꯄꯥꯎꯇꯥꯀꯁꯤꯡ ꯉꯥꯛꯅꯥ ꯆꯠꯀꯗꯕꯅꯤ꯫

ꯏꯅꯐꯣꯔꯃꯦꯁꯟ ꯑꯁꯤ ꯑꯗꯣꯃꯗꯥ ꯀꯥꯟꯅꯕꯥ ꯑꯣꯏꯒꯅꯤ ꯍꯥꯌꯅꯥ ꯑꯩꯅꯥ ꯊꯥꯖꯩ꯫ ꯍꯀꯆꯥꯡ ꯐꯅꯥ ꯂꯩꯌꯨ!