ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯅꯥ ꯁꯔꯨ ꯇꯥꯡꯒꯤ ꯑꯅꯥꯕꯥ ꯀꯌꯥ ꯂꯩꯕ꯭ꯔꯥ? ꯃꯁꯤ ꯁꯤ.ꯑꯥꯔ.ꯑꯦꯝ.ꯑꯣ. (ꯀ꯭ꯔꯣꯅꯤꯛ ꯔꯤꯀꯣꯔꯗ ꯃꯜꯇꯤꯐꯣꯀꯦꯜ ꯑꯣꯁ꯭ꯇꯤꯑꯣꯃꯥꯏꯂꯥꯏꯇꯤꯁ)

ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯅꯥ ꯑꯌꯥꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯃꯈꯣꯌꯒꯤ ꯈꯣꯡ, ꯃꯈꯨꯠ ꯅꯠꯠꯔꯒꯥ ꯈꯣꯡꯗꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯏ ꯍꯥꯌꯅꯥ ꯋꯥꯀꯠꯄꯥ ꯌꯥꯕ꯭ꯔꯥ? ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯑꯩꯈꯣꯌꯅꯥ ꯈꯜꯂꯤ ꯃꯗꯨꯗꯤ ꯃꯁꯤ ꯂꯥꯟꯊꯦꯡꯅꯕꯗꯥ ꯅꯠꯠꯔꯒꯥ "ꯑꯋꯥꯕꯥ ꯍꯦꯅꯒꯠꯂꯀꯄꯒꯤ" ꯏꯆꯝ ꯆꯝꯕꯥ ꯀꯦꯁ ꯑꯃꯈꯛꯇꯅꯤ꯫ ꯑꯗꯨꯕꯨ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯋꯥꯕꯥ ꯑꯁꯤ ꯅꯨꯃꯤꯠ ꯀꯌꯥꯅꯤ ꯅꯠꯠꯔꯒꯥ ꯅꯨꯃꯤꯠ ꯀꯌꯥꯅꯤ ꯂꯩꯔꯒꯥ ꯅꯨꯃꯤꯠ ꯈꯔꯅꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯍꯟꯊꯔꯛꯂꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯂꯥꯀꯄꯥ ꯇꯥꯔꯕꯗꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯈꯔꯥ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯊꯦꯡꯅꯒꯗꯕꯅꯤ꯫ ꯉꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯁꯔꯨꯒꯤ ꯑꯅꯥꯕꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯕꯥ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯊꯣꯀꯄꯥ ꯑꯗꯨꯕꯨ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯔꯤ꯫

ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯁꯤ.ꯑꯥꯔ.ꯑꯦꯝ.ꯑꯣ.

ꯁꯤ.ꯑꯥꯔ.ꯑꯦꯝ.ꯑꯣ. ꯍꯥꯌꯅꯥ ꯈꯉꯅꯕꯥ ꯀ꯭ꯔꯣꯅꯤꯛ ꯔꯤꯀꯣꯔꯗ ꯃꯜꯇꯤꯐꯣꯀꯦꯜ ꯑꯣꯁ꯭ꯇꯤꯑꯣꯃꯥꯏꯂꯥꯏꯇꯤꯁ ꯑꯁꯤ ꯑꯣꯇꯣꯏꯝꯌꯨꯟ ꯂꯥꯌꯅꯥ ꯑꯃꯅꯤ . ꯍꯧꯖꯤꯛꯇꯤ ꯃꯁꯤ ꯀꯔꯤꯅꯣ ꯍꯥꯌꯅꯥ ꯑꯗꯣꯝꯅꯥ ꯈꯅꯕꯤꯔꯃꯒꯅꯤ꯫ ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯏꯝꯝꯌꯨꯟ ꯁꯤꯁ꯭ꯇꯦꯝ ꯑꯁꯤ ꯂꯩꯕꯥꯛ ꯑꯃꯥ ꯉꯥꯀꯊꯣꯀꯄꯥ ꯉꯝꯕꯥ ꯂꯥꯟꯃꯤ ꯑꯃꯥ ꯑꯣꯏꯅꯥ ꯈꯅꯕꯤꯌꯨ꯫ ꯂꯥꯟꯃꯤ ꯑꯁꯤꯒꯤ ꯊꯕꯛ ꯑꯁꯤ ꯃꯄꯥꯟ ꯂꯩꯕꯥꯛꯀꯤ ꯌꯦꯛꯅꯕꯥ, ꯍꯥꯌꯕꯗꯤ ꯚꯥꯏꯔꯁ ꯑꯃꯁꯨꯡ ꯕꯦꯛꯇꯦꯔꯤꯌꯥꯒꯥ ꯂꯥꯟꯊꯦꯡꯅꯗꯨꯅꯥ ꯑꯩꯈꯣꯌꯕꯨ ꯂꯥꯌꯅꯥꯁꯤꯡꯗꯒꯤ ꯉꯥꯀꯊꯣꯀꯄꯅꯤ꯫

ꯑꯗꯨꯕꯨ ꯑꯣꯇꯣꯏꯝꯌꯨꯟ ꯂꯥꯌꯅꯥ ꯑꯃꯗꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯏꯁꯥꯒꯤ ꯏꯝꯝꯌꯨꯟ ꯁꯤꯁ꯭ꯇꯦꯃꯅꯥ ꯑꯁꯣꯏꯕꯥ ꯑꯃꯥ ꯊꯣꯀꯏ ꯑꯃꯁꯨꯡ ꯃꯄꯥꯟ ꯂꯩꯕꯥꯛꯀꯤ ꯂꯥꯟꯃꯤꯁꯤꯡꯒꯤ ꯃꯍꯨꯠꯇꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯏꯁꯥꯒꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯍꯀꯆꯥꯡ ꯐꯕꯥ ꯁꯔꯨꯀꯁꯤꯡꯗꯥ ꯑꯦꯇꯦꯛ ꯇꯧꯏ꯫ ꯁꯤ.ꯑꯥꯔ.ꯑꯦꯝ.ꯑꯣ.ꯗꯥ, ꯃꯁꯤꯒꯤ "ꯑꯔꯥꯅꯕꯥ ꯑꯦꯇꯦꯛ" ꯑꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯏꯁꯥꯒꯤ ꯁꯔꯨꯗꯥ ꯂꯃꯖꯤꯡꯏ . ꯏꯝꯝꯌꯨꯟ ꯁꯤꯁ꯭ꯇꯦꯝ ꯑꯁꯤꯅꯥ ꯃꯔꯝ ꯑꯃꯠꯇꯥ ꯂꯩꯇꯅꯥ ꯍꯀꯆꯥꯡꯗꯥ ꯁꯔꯨ ꯇꯥꯡ ꯑꯃꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯃꯗꯒꯤ ꯍꯦꯅꯕꯥ ꯑꯦꯇꯦꯛ ꯇꯧꯗꯨꯅꯥ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯁꯟ (inflammation) ꯊꯣꯀꯍꯜꯂꯤ, ꯃꯁꯤꯅꯥ ꯁꯣꯛ-ꯄꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯍꯜꯂꯤ꯫

ꯃꯔꯨꯑꯣꯏꯕꯥ ꯋꯥꯐꯃꯗꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯕꯦꯛꯇꯦꯔꯤꯌꯥꯒꯤ ꯏꯅꯐꯦꯛꯁꯟ ꯑꯃꯠꯇꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯅꯠꯇꯦ꯫ ꯃꯔꯝ ꯑꯁꯤꯅꯥ ꯃꯁꯤꯕꯨ ꯀ꯭ꯔꯣꯅꯤꯛ ꯅꯟ-ꯕꯦꯛꯇꯦꯔꯤꯑꯦꯜ ꯑꯣꯁ꯭ꯇꯤꯑꯣꯃꯥꯏꯂꯥꯏꯇꯤꯁ (CNO) ꯍꯥꯌꯅꯥꯁꯨ ꯀꯧꯏ꯫ ꯁꯤ.ꯑꯥꯔ.ꯑꯦꯝ.ꯑꯣ.ꯅꯥ ꯁꯤ.ꯑꯦꯟ.ꯑꯣ.ꯒꯤ ꯈꯔꯥ ꯍꯦꯟꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯃꯑꯣꯡ ꯑꯃꯅꯤ꯫

ꯁꯤ ꯑꯥꯔ ꯑꯦꯝ ꯑꯣ ꯁꯦꯝꯕꯒꯤ ꯑꯀꯛꯅꯕꯥ ꯃꯔꯝ ꯑꯃꯥ ꯂꯩꯕꯔꯥ?

ꯇꯁꯦꯡꯕꯗꯤ ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯍꯧꯖꯤꯛ ꯐꯥꯑꯣꯕꯥ ꯁꯤ.ꯑꯥꯔ.ꯑꯦꯝ.ꯑꯣ . ꯃꯁꯤ ꯕꯦꯛꯇꯦꯔꯤꯌꯥ ꯅꯠꯠꯔꯒꯥ ꯚꯥꯏꯔꯁ ꯏꯅꯐꯦꯛꯁꯟ ꯑꯃꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯅꯠꯇꯦ꯫ ꯃꯁꯤ ꯃꯔꯝ ꯑꯃꯠꯇꯥ ꯂꯩꯇꯅꯥ ꯑꯦꯛꯇꯤꯕ ꯑꯣꯏꯕꯥ ꯏꯝꯝꯌꯨꯟ ꯁꯤꯁ꯭ꯇꯦꯝ ꯈꯛꯇꯅꯤ꯫

ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯃꯁꯤꯒꯥ ꯖꯦꯅꯦꯇꯤꯛ ꯂꯤꯉ꯭ꯛ ꯑꯃꯥ ꯂꯩꯕꯥ ꯌꯥꯏ ꯍꯥꯌꯕꯒꯤ ꯑꯀꯤꯕꯥ ꯈꯔꯥ ꯂꯩ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯏꯃꯨꯡ ꯑꯃꯒꯤ ꯃꯤꯑꯣꯏ ꯀꯌꯥꯗꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯂꯩꯔꯦ ꯍꯥꯌꯅꯥ ꯔꯤꯄꯣꯔꯠ ꯇꯧꯔꯀꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯃꯈꯥ ꯇꯥꯅꯥ ꯊꯤꯖꯤꯅꯕꯥ ꯃꯊꯧ ꯇꯥꯏ꯫

ꯃꯃꯥ-ꯃꯄꯥ ꯑꯣꯏꯕꯁꯤꯡ ꯑꯣꯏꯅꯥ, ꯅꯍꯥꯛꯅꯥ ꯊꯦꯡꯅꯔꯀꯄꯥ ꯌꯥꯕꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯆꯥꯎꯕꯥ ꯑꯀꯤꯕꯥ ꯑꯃꯗꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯀꯦꯟꯁꯔꯒꯥ ꯃꯔꯤ ꯂꯩꯅꯕꯔꯥ ꯍꯥꯌꯕꯁꯤꯅꯤ꯫ ꯁꯤ ꯑꯥꯔ ꯑꯦꯝ ꯑꯣ ꯑꯁꯤ ꯀꯦꯟꯁꯔ ꯅꯠꯇꯦ . ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯃꯁꯤꯅꯥ ꯕꯣꯟ ꯀꯦꯟꯁꯔ ꯈꯔꯒꯥ ꯃꯥꯟꯅꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯂꯩꯕꯥ ꯌꯥꯏ, ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯑꯆꯨꯝꯕꯥ ꯂꯥꯏꯑꯣꯡ ꯈꯪꯗꯣꯛꯅꯕꯒꯤꯗꯃꯛ ꯗꯣꯛꯇꯔ ꯑꯃꯒꯥ ꯇꯥꯟꯅꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫

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ꯂꯥꯌꯅꯥ ꯑꯁꯤ ꯀꯅꯥꯅꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯅꯥꯕꯥ ꯌꯥꯕꯒꯦ?

ꯁꯤ.ꯑꯥꯔ.ꯑꯦꯝ.ꯑꯣ.ꯅꯥ ꯑꯉꯥꯡꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯅꯍꯥ ꯑꯣꯏꯔꯤꯕꯥ ꯑꯍꯂꯁꯤꯡꯗꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯀꯃꯟ ꯑꯣꯏꯅꯥ ꯎꯕꯥ ꯐꯪꯏ꯫ꯂꯥꯌꯅꯥ ꯑꯁꯤ ꯃꯍꯧꯁꯥꯅꯥ ꯆꯍꯤ 9-10ꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯈꯪꯗꯣꯀꯏ꯫ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯅꯨꯄꯥꯃꯆꯥꯁꯤꯡꯗꯒꯤ ꯅꯨꯄꯤꯃꯆꯥꯁꯤꯡꯗꯥ ꯈꯔꯥ ꯍꯦꯟꯅꯥ ꯀꯃꯟ ꯑꯣꯏ꯫

ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯂꯥꯌꯅꯥ ꯑꯃꯅꯤ, ꯑꯗꯨꯕꯨ ꯗꯣꯛꯇꯔꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯃꯤꯌꯥꯝ ꯄꯨꯝꯕꯅꯥ ꯂꯥꯌꯅꯥ ꯑꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯍꯦꯟꯅꯥ ꯈꯉꯕꯥ ꯍꯦꯅꯒꯠꯂꯀꯄꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯂꯥꯌꯅꯥ ꯑꯁꯤꯅꯥ ꯅꯥꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯒꯤ ꯃꯁꯤꯡ ꯑꯁꯤ ꯈꯔꯥ ꯍꯦꯅꯒꯠꯂꯛꯂꯤ꯫

ꯁꯤ.ꯑꯥꯔ.ꯑꯦꯝ.ꯑꯣ.ꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?

ꯁꯤ.ꯑꯥꯔ.ꯑꯦꯝ.ꯑꯣ.ꯅꯥ ꯍꯀꯆꯥꯡꯒꯤ ꯁꯔꯨ ꯑꯃꯍꯦꯛꯇꯗꯥ ꯁꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯕꯨ ꯃꯁꯤꯅꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯀꯃꯟ ꯑꯣꯏꯅꯥ ꯑꯉꯥꯡꯁꯤꯡꯒꯤ ꯈꯣꯡ, ꯈꯣꯡꯎꯞ ꯑꯃꯁꯨꯡ ꯁꯔꯨ ꯇꯥꯡꯁꯤꯡꯗꯥ ꯁꯣꯀꯍꯜꯂꯤ . ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯈꯪꯍꯧꯗꯅꯥ ꯂꯥꯀꯄꯥ ꯌꯥꯏ, ꯅꯨꯃꯤꯠ ꯈꯔꯅꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯍꯟꯊꯔꯀꯄꯥ ꯌꯥꯏ, ꯑꯃꯁꯨꯡ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯂꯥꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯕꯨ ꯐ꯭ꯂꯦꯌꯔ-ꯑꯞ ꯑꯃꯁꯨꯡ ꯔꯤꯃꯤꯁꯟ ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫

ꯑꯁꯤꯒꯨꯝꯕꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯌꯦꯡꯁꯤ꯫

ꯁꯤ.ꯑꯥꯔ.ꯑꯦꯝ.ꯑꯣ.ꯒꯤ ꯂꯥꯌꯅꯥ ꯑꯁꯤ ꯃꯇꯧ ꯀꯔꯝꯅꯥ ꯑꯆꯨꯝꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯈꯉꯗꯣꯀꯄꯥ ꯌꯥꯕꯒꯦ?

ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯇꯣꯏꯅꯥ ꯊꯣꯀꯄꯥ ꯂꯥꯌꯅꯥ ꯑꯃꯅꯤ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯃꯁꯤ ꯈꯪꯗꯣꯀꯄꯥ ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯁꯤꯡꯅꯕꯥ ꯑꯃꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯌꯦꯡꯁꯤꯅꯒꯅꯤ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡꯒꯤ ꯃꯔꯃꯗꯥ ꯍꯪꯒꯅꯤ꯫ ꯃꯍꯧꯁꯥꯅꯥ ꯂꯥꯌꯅꯥ ꯑꯁꯤ ꯈꯪꯗꯣꯀꯄꯗꯥ ꯊꯥ ꯀꯌꯥ ꯅꯠꯠꯔꯒꯥ ꯆꯍꯤ ꯑꯃꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯆꯪꯕꯥ ꯌꯥꯏ꯫

ꯗꯥꯏꯑꯦꯒ꯭ꯅꯣꯁꯤꯁ ꯀꯅꯐꯥꯔꯝ ꯇꯧꯅꯕꯥ ꯇꯦꯁ꯭ꯠ ꯀꯌꯥ ꯑꯃꯥ ꯄꯥꯡꯊꯣꯀꯏ꯫

• ꯏꯃꯦꯖꯤꯡ ꯇꯦꯁ꯭ꯇꯁꯤꯡ: ꯑꯦꯛꯁ-ꯔꯦ ꯑꯃꯁꯨꯡ ꯑꯦꯝ.ꯑꯥꯔ.ꯑꯥꯏ.
• ꯕ꯭ꯂꯗ ꯇꯦꯁ꯭ꯠ: ꯃꯁꯤꯅꯥ ꯍꯀꯆꯥꯡꯗꯥ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯁꯅꯒꯤ ꯆꯥꯡ (ESR, CRP) ꯌꯦꯡꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ ꯑꯃꯁꯨꯡ ꯑꯇꯩ ꯏꯅꯐꯦꯛꯁꯟ ꯅꯠꯠꯔꯒꯥ ꯂꯥꯌꯅꯥꯁꯤꯡ ꯊꯤꯡꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫
• ꯖꯦꯅꯦꯇꯤꯛ ꯇꯦꯁ꯭ꯇꯁꯤꯡ: ꯀꯦꯁ ꯈꯔꯗꯗꯤ, ꯑꯇꯣꯞꯄꯥ ꯖꯦꯅꯦꯇꯤꯛ ꯂꯥꯌꯅꯥꯁꯤꯡ ꯂꯥꯀꯁꯤꯟꯅꯕꯥ ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯑꯁꯤꯁꯨ ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯏ꯫

ꯁꯤ.ꯑꯥꯔ.ꯑꯦꯝ.ꯑꯣ.ꯒꯤ ꯂꯥꯌꯦꯡꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?

ꯃꯇꯝ ꯑꯁꯤꯗꯥ ꯁꯤ.ꯑꯥꯔ.ꯑꯦꯝ.ꯑꯣ.ꯒꯤ ꯂꯥꯌꯦꯡ ꯑꯃꯠꯇꯥ ꯂꯩꯇꯦ꯫ ꯑꯗꯨꯕꯨ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯂꯩꯔꯣꯏꯗꯕꯅꯤ꯫ ꯐꯪꯂꯤꯕꯥ ꯂꯥꯏꯌꯦꯡꯁꯤꯡꯅꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯥ ꯉꯝꯃꯤ, ꯏꯅꯐ꯭ꯂꯦꯃꯦꯁꯟ ꯍꯟꯊꯍꯅꯕꯥ ꯉꯝꯃꯤ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯕꯨ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯕꯥ ꯄꯨꯟꯁꯤ ꯑꯃꯥ ꯍꯤꯡꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ .

ꯗꯣꯛꯇꯔꯅꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯂꯥꯏꯌꯦꯡꯁꯤꯡ ꯑꯁꯤ ꯔꯤꯀꯃꯦꯟꯗ ꯇꯧꯕꯥ ꯌꯥꯏ:

• ꯅꯟ-ꯁ꯭ꯇꯦꯔꯣꯏꯗ ꯑꯦꯟꯇꯤ-ꯏꯅꯐ꯭ꯂꯦꯃꯦꯇꯔꯤ ꯗ꯭ꯔꯒꯁꯤꯡ (NSAIDs): ꯃꯁꯤ ꯏꯕꯨꯞꯔꯣꯐꯦꯅꯒꯨꯝꯕꯥ ꯑꯩꯈꯣꯌ ꯄꯨꯝꯅꯃꯛꯅꯥ ꯈꯪꯂꯤꯕꯥ ꯄꯦꯏꯅꯀꯤꯂꯔꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯑꯦꯟꯇꯤ-ꯏꯅꯐ꯭ꯂꯦꯃꯦꯇꯔꯤ ꯗ꯭ꯔꯒꯁꯤꯡꯅꯤ꯫ ꯃꯁꯤ ꯍꯣꯠꯅꯔꯤꯕꯥ ꯑꯍꯥꯅꯕꯥ ꯂꯥꯏꯌꯦꯡꯅꯤ꯫ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯑꯉꯥꯡꯁꯤꯡꯒꯤ 50%ꯗꯤ ꯃꯈꯣꯌꯗꯥ ꯐꯖꯅꯥ ꯔꯦꯁꯄꯣꯟꯁ ꯇꯧꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ ꯑꯁꯤ ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯂꯧꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯀꯤꯗꯅꯤ ꯑꯃꯁꯨꯡ ꯂꯤꯚꯔꯒꯤ ꯐꯉ꯭ꯀꯁꯟ ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯌꯦꯡꯁꯤꯅꯒꯅꯤ꯫
• ꯗꯤꯖꯤꯖ-ꯃꯣꯗꯤꯐꯥꯏꯌꯤꯡ ꯑꯦꯟꯇꯤꯔꯤꯎꯃꯦꯇꯤꯛ ꯗ꯭ꯔꯒꯁꯤꯡ (DMARDs): ꯀꯔꯤꯒꯨꯝꯕꯥ NSAIDꯁꯤꯡ ꯈꯛꯇꯅꯥ ꯂꯥꯌꯅꯥ ꯑꯁꯤ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯗ꯭ꯔꯕꯗꯤ, ꯗ꯭ꯔꯒꯁꯤꯡꯒꯤ ꯀ꯭ꯂꯥꯁ ꯑꯁꯤꯅꯥ ꯁꯤꯖꯤꯟꯅꯔꯤꯕꯥ ꯗ꯭ꯔꯒꯁꯤꯡꯒꯤ ꯃꯊꯪꯒꯤ ꯀꯥꯡꯂꯨꯞ ꯑꯁꯤꯅꯤ꯫ ꯗ꯭ꯔꯒꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯏꯝꯝꯌꯨꯟ ꯁꯤꯁ꯭ꯇꯦꯝ ꯑꯁꯤ ꯆꯥꯡ ꯈꯔꯗꯥ ꯁꯣꯀꯍꯟꯗꯨꯅꯥ ꯊꯕꯛ ꯇꯧꯏ, ꯃꯁꯤꯅꯥ ꯂꯥꯌꯅꯥ ꯑꯁꯤ ꯊꯣꯀꯍꯜꯂꯤꯕꯥ ꯑꯔꯥꯅꯕꯥ ꯑꯦꯇꯦꯀꯁꯤꯡ ꯊꯤꯡꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫ ꯗ꯭ꯔꯒꯁꯤꯡ ꯑꯁꯤ ꯍꯧꯗ꯭ꯔꯤꯉꯩꯒꯤ ꯃꯃꯥꯡꯗꯥ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯀꯥꯟꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯑꯋꯥꯕꯥ ꯄꯨꯝꯅꯃꯛ ꯈꯪꯍꯜꯂꯛꯀꯅꯤ꯫
• ꯄꯨꯟꯁꯤ ꯃꯍꯤꯡꯗꯥ ꯑꯍꯣꯡꯕꯥ ꯂꯥꯀꯄꯥ: ꯱.ꯑꯅꯥꯕꯥ ꯃꯇꯃꯗꯥ, ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯅꯥ ꯃꯈꯣꯌꯒꯤ ꯂꯝꯕꯤ-ꯊꯣꯡ ꯑꯃꯁꯨꯡ ꯂꯥꯞꯅꯥ ꯆꯠꯄꯒꯤ ꯊꯕꯛ-ꯊꯧꯔꯃꯁꯤꯡ ꯑꯗꯨ ꯂꯤꯃꯤꯠ ꯇꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯏ꯫ ꯐꯤꯖꯤꯀꯦꯜ ꯊꯦꯔꯥꯄꯤꯁ꯭ꯠ ꯅꯠꯠꯔꯒꯥ ꯑꯣꯛꯌꯨꯄꯦꯁꯅꯦꯜ ꯊꯦꯔꯥꯄꯤꯁ꯭ꯠ ꯑꯃꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯌꯥꯎꯅꯥ ꯅꯨꯃꯤꯠ ꯈꯨꯗꯤꯡꯒꯤ ꯑꯣꯏꯕꯥ ꯊꯕꯛ-ꯊꯧꯔꯃꯁꯤꯡ ꯀꯔꯝꯅꯥ ꯇꯧꯒꯗꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯇꯝꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫

ꯁꯤ.ꯑꯥꯔ.ꯑꯦꯝ.ꯑꯣ.ꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯕꯥ ꯑꯇꯣꯞꯄꯥ ꯂꯥꯌꯅꯥꯁꯤꯡ ꯂꯩꯕ꯭ꯔꯥ?

ꯍꯣꯌ, ꯁꯤ.ꯑꯥꯔ.ꯑꯦꯝ.ꯑꯣ.ꯅꯥ ꯅꯥꯕꯥ ꯑꯉꯥꯡꯁꯤꯡꯗꯥ ꯑꯇꯣꯞꯄꯥ ꯑꯣꯇꯣꯏꯝꯌꯨꯟ ꯂꯥꯌꯅꯥ ꯀꯌꯥ ꯂꯥꯀꯄꯒꯤ ꯔꯤꯁ꯭ꯛ ꯈꯔꯥ ꯂꯩ꯫

• ꯏꯅꯐ꯭ꯂꯦꯃꯦꯇꯔꯤ ꯕꯣꯋꯦꯜ ꯗꯤꯖꯤꯖ (IBD): ꯃꯁꯤꯁꯨ ꯏꯝꯝꯌꯨꯟ ꯁꯤꯁ꯭ꯇꯦꯃꯅꯥ ꯗꯥꯏꯖꯦꯁ꯭ꯇꯤꯚ ꯁꯤꯁ꯭ꯇꯦꯃꯗꯥ ꯑꯦꯇꯦꯛ ꯇꯧꯕꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫
• ꯁꯣꯔꯤꯌꯥꯁꯤꯁ: ꯃꯁꯤ ꯈꯣꯡꯗꯥ ꯁꯣꯀꯍꯜꯂꯤꯕꯥ ꯑꯣꯇꯣꯏꯝꯌꯨꯟ ꯂꯥꯌꯅꯥ ꯑꯃꯅꯤ꯫
• ꯑꯦꯝꯞꯂꯤꯐꯥꯏꯗ ꯃꯁꯜ ꯁꯣꯟꯊꯕꯥ: ꯃꯁꯤ ꯈꯔꯥ ꯍꯦꯟꯅꯥ ꯀꯝꯄꯤꯇꯤꯇꯤꯚ ꯑꯣꯏꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫ ꯁꯤ.ꯑꯥꯔ.ꯑꯦꯝ.ꯑꯣ.ꯅꯥ ꯔꯤꯃꯤꯁꯅꯗꯥ ꯂꯩꯕꯥ ꯃꯇꯃꯗꯁꯨ, ꯃꯔꯝ ꯑꯃꯠꯇꯗꯥ ꯃꯈꯥ ꯇꯥꯅꯥ ꯃꯁꯜ ꯁꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯒꯤ ꯑꯅꯥꯕꯥ ꯑꯁꯤ ꯑꯆꯝꯕꯥ ꯄꯦꯟ ꯀꯤꯂꯔꯁꯤꯡꯅꯥ ꯀꯣꯀꯍꯅꯕꯥ ꯉꯃꯗꯦ꯫

ꯂꯥꯌꯅꯥ ꯑꯁꯤꯒꯤ ꯄ꯭ꯔꯣꯒ꯭ꯅꯣꯁꯤꯁ ꯑꯁꯤ ꯀꯔꯤꯅꯣ?

ꯅꯨꯡꯉꯥꯏꯕꯥ ꯄꯥꯎ ꯑꯃꯗꯤ ꯄꯦꯁꯦꯟꯇꯁꯤꯡꯒꯤ ꯆꯥꯎꯔꯥꯛꯅꯥ 40%ꯗꯤ ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯑꯍꯥꯅꯕꯥ ꯆꯍꯤ 1-5ꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯔꯤꯃꯤꯁꯟ ꯐꯪꯏ꯫ ꯃꯁꯤꯅꯥ ꯇꯥꯀꯄꯗꯤ ꯑꯅꯥꯕꯥ ꯑꯃꯁꯨꯡ ꯑꯇꯩ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯗꯨ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯂꯩꯔꯦ, ꯏꯅꯐ꯭ꯂꯦꯃꯦꯁꯟ ꯅꯠꯠꯔꯒꯥ ꯏꯝꯝꯌꯨꯟ ꯁꯤꯁ꯭ꯇꯦꯃꯒꯤ ꯗꯤꯁꯐꯉ꯭ꯀꯁꯟ ꯑꯃꯠꯇꯥ ꯂꯩꯇꯦ꯫ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯑꯉꯥꯡ ꯑꯗꯨꯅꯥ ꯅꯣꯔꯃꯦꯜ, ꯑꯦꯛꯇꯤꯚ ꯑꯣꯏꯕꯥ ꯄꯨꯟꯁꯤ ꯑꯃꯥ ꯍꯤꯡꯕꯥ ꯌꯥꯏ꯫

ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯂꯥꯌꯅꯥ ꯑꯁꯤ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯐꯒꯠꯂꯕꯁꯨ, ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯃꯦꯗꯤꯀꯦꯜ ꯃꯣꯅꯤꯇꯔ ꯇꯧꯕꯥ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫ ꯅꯍꯥꯛꯅꯥ ꯔꯤꯌꯨꯃꯦꯇꯣꯂꯣꯖꯤꯁ꯭ꯠ ꯑꯃꯒꯤ ꯌꯦꯡꯁꯤꯅꯕꯒꯤ ꯃꯈꯥꯗꯥ ꯀ꯭ꯂꯤꯅꯤꯛ ꯑꯗꯨꯗꯥ ꯃꯈꯥ ꯇꯥꯅꯥ ꯆꯠꯀꯗꯕꯅꯤ꯫ ꯂꯥꯌꯅꯥ ꯑꯁꯤ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯂꯥꯛꯂꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯅꯕꯒꯤꯗꯃꯛ ꯅꯍꯥꯛꯅꯥ ꯑꯦꯝ.ꯑꯥꯔ.ꯑꯥꯏ. ꯃꯁꯤꯒꯤ ꯃꯔꯃꯗꯤ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯃꯤꯑꯣꯏ 50%ꯗꯤ ꯂꯥꯏꯌꯦꯡ ꯂꯦꯄꯈ꯭ꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯑꯍꯥꯅꯕꯥ ꯆꯍꯤ ꯑꯅꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯔꯤꯂꯦꯄꯁꯟ ꯂꯩ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯗꯨ ꯑꯣꯏꯔꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯂꯥꯏꯌꯦꯡ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯍꯧꯒꯗꯕꯅꯤ꯫