ꯅꯍꯥꯛꯅꯥ ꯀꯅꯥꯒꯨꯝꯕꯥ ꯑꯃꯗꯒꯤ ꯁ꯭ꯇꯦꯝ ꯁꯦꯜ ꯇ꯭ꯔꯥꯟꯁꯞꯂꯥꯟꯇ ꯇꯧꯈ꯭ꯔꯕꯔꯥ? ꯃꯁꯤꯒꯤ (ꯒ꯭ꯔꯥꯐ ꯕꯅꯥꯝ ꯍꯣꯁ꯭ꯠ ꯗꯤꯖꯤꯖ) ꯑꯁꯤ ꯈꯉꯖꯤꯅꯁꯤ!

ꯁ꯭ꯇꯦꯝ ꯁꯦꯜ ꯇ꯭ꯔꯥꯟꯁꯞꯂꯥꯟꯇ ꯇꯧꯕꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯑꯗꯣꯝꯅꯥ ꯇꯥꯕꯤꯔꯝꯂꯒꯅꯤ꯫ ꯃꯈꯣꯌ ꯑꯁꯤ ꯂꯥꯌꯅꯥ ꯈꯔꯒꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯂꯥꯏꯌꯦꯡ ꯑꯃꯅꯤ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ ꯉꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯃꯈꯂꯒꯤ ꯇ꯭ꯔꯥꯟꯁꯞꯂꯥꯟꯇ ꯇꯧꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯕꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯟ ꯑꯃꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯔꯤ꯫ ꯃꯁꯤꯕꯨ `(ꯒ꯭ꯔꯥꯐ꯭ꯠ ꯕꯅꯥꯝ ꯍꯣꯁ꯭ꯠ ꯗꯤꯖꯤꯖ)` ꯅꯠꯠꯔꯒꯥ ꯊꯣꯏꯗꯣꯛꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ `(GvHD)` ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯂꯩꯔꯣꯏꯗꯕꯅꯤ, ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯁꯨꯞꯅꯇꯒꯤ ꯋꯥꯔꯤ ꯁꯥꯁꯤ꯫

`(ꯒ꯭ꯔꯥꯐ꯭ꯠ ꯕꯅꯥꯝ ꯍꯣꯁ꯭ꯠ ꯗꯤꯖꯤꯖ - GvHD)` ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ? ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯁꯟꯗꯣꯛꯅꯥ ꯇꯥꯀꯄꯥ...

ꯑꯗꯣꯝꯅꯥ ꯑꯇꯣꯞꯄꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯗꯒꯤ, ꯗꯣꯅꯔ ꯑꯃꯗꯒꯤ ꯁ꯭ꯇꯦꯝ ꯁꯦꯜ ꯇ꯭ꯔꯥꯟꯁꯞꯂꯥꯟꯇ ꯑꯃꯥ ꯐꯪꯂꯦ ꯍꯥꯌꯅꯥ ꯈꯅꯕꯤꯌꯨ . ꯑꯩꯈꯣꯌꯅꯥ ꯃꯁꯤꯕꯨ ꯑꯦꯂꯣꯖꯦꯅꯤꯛ ꯇ꯭ꯔꯥꯟꯁꯞꯂꯥꯟꯇ ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ ꯍꯥꯌꯔꯤꯕꯥ ꯁ꯭ꯇꯦꯝ ꯁꯦꯂꯁꯤꯡ ꯑꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯏ ꯁꯦꯝꯕꯒꯤ ꯐꯦꯛꯇꯔꯤꯗꯥ ꯂꯩꯕꯥ ꯑꯄꯤꯀꯄꯥ ꯁꯦꯂꯁꯤꯡ, ꯅꯠꯠꯔꯒꯥ ꯍꯦꯃꯦꯇꯣꯄꯣꯏꯇꯤꯛ ꯁ꯭ꯇꯦꯝ ꯁꯦꯂꯁꯤꯡꯒꯨꯝꯅꯥ ꯑꯣꯏ꯫ ꯍꯥꯌꯔꯤꯕꯥ ꯁꯦꯂꯁꯤꯡ ꯑꯁꯤ ꯇꯨꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡꯅꯥ ꯃꯊꯧ ꯇꯥꯔꯤꯕꯥ ꯔꯦꯗ ꯕ꯭ꯂꯗ ꯁꯦꯂꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯋꯥꯏꯠ ꯕ꯭ꯂꯗ ꯁꯦꯂꯁꯤꯡ ꯑꯣꯏꯔꯛꯀꯅꯤ꯫

ꯍꯧꯖꯤꯛ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯗꯣꯅꯔ ꯑꯃꯗꯒꯤ ꯁ꯭ꯇꯦꯝ ꯁꯦꯂꯁꯤꯡ ꯀꯗꯥꯌꯗꯥ ꯃꯊꯧ ꯇꯥꯒꯅꯤ? ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯤꯎꯀꯦꯃꯤꯌꯥ ꯅꯠꯠꯔꯒꯥ ꯂꯤꯝꯐꯣꯃꯥꯒꯨꯝꯕꯥ ꯀꯦꯟꯁꯔ ꯑꯃꯥ ꯂꯩꯔꯕꯗꯤ, ꯅꯠꯠꯔꯒꯥ ꯅꯍꯥꯛꯀꯤ ꯕꯣꯟ ꯃꯦꯔꯣꯅꯥ ꯑꯦꯞꯂꯥꯁ꯭ꯇꯤꯛ ꯑꯦꯅꯤꯃꯤꯌꯥꯒꯨꯝꯕꯥ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯊꯕꯛ ꯇꯧꯗꯕꯥ ꯑꯇꯣꯞꯄꯥ ꯂꯥꯌꯅꯥ ꯑꯃꯥ ꯂꯩꯔꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯃꯈꯜ ꯑꯁꯤꯒꯤ ꯇ꯭ꯔꯥꯟꯁꯞꯂꯥꯟꯇ ꯇꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯏ꯫

ꯑꯣꯀꯦ, ꯍꯧꯖꯤꯛ ꯃꯁꯤ `(GvHD)` ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ? `(GvHD)`ꯗꯥ, ꯊꯣꯛꯂꯤꯕꯥ ꯑꯁꯤ ꯅꯍꯥꯛꯅꯥ ꯐꯪꯈꯤꯕꯥ (ꯒ꯭ꯔꯥꯐ꯭ꯠ) ꯗꯣꯅꯔ ꯁꯦꯂꯁꯤꯡꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡꯗꯥ (ꯍꯣꯁ꯭ꯠ) ꯂꯩꯕꯥ ꯁꯦꯂꯁꯤꯡ ꯑꯗꯨ ꯑꯆꯝꯕꯥ, ꯃꯁꯛ ꯈꯪꯗꯕꯥ ꯄꯣꯠꯁꯛ ꯑꯃꯥ ꯑꯣꯏꯅꯥ ꯎꯕꯅꯤ꯫ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡ ꯑꯁꯤ ꯃꯈꯣꯌꯒꯤꯗꯃꯛ ꯑꯅꯧꯕꯥ ꯃꯐꯝ ꯑꯃꯥ ꯑꯣꯏꯕꯒꯨꯝ ꯇꯧꯏ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ, ꯗꯣꯅꯔ ꯁꯦꯂꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯁꯦꯂꯁꯤꯡꯗꯥ ꯑꯦꯇꯦꯛ ꯇꯧꯕꯥ ꯍꯧꯏ꯫ ꯃꯔꯝ ꯑꯁꯤꯅꯥ ꯃꯁꯤꯕꯨ `(ꯒ꯭ꯔꯥꯐ꯭ꯠ ꯕꯅꯥꯝ ꯍꯣꯁ꯭ꯠ ꯗꯤꯖꯤꯖ)` ꯍꯥꯌꯅꯥ ꯀꯧꯏ, ꯃꯁꯤꯒꯤ ꯑꯔꯊꯗꯤ "ꯍꯣꯁ꯭ꯇꯀꯤ ꯃꯥꯌꯣꯛꯇꯥ ꯒ꯭ꯔꯥꯐ꯭ꯠ" ꯍꯥꯌꯕꯅꯤ꯫ ꯑꯗꯣꯝꯅꯥ ꯈꯉꯕꯤꯔꯤꯕꯔꯥ?

GvHDꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯈꯂꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?

ꯖꯤ.ꯚꯤ.ꯑꯩꯆ.ꯗꯤ.ꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯈꯜ ꯑꯅꯤ ꯂꯩ꯫ ꯃꯃꯥꯡꯗꯥ ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯍꯧꯔꯀꯄꯗꯥ ꯆꯪꯕꯥ ꯃꯇꯝ ꯑꯗꯨꯗꯥ ꯌꯨꯝꯐꯝ ꯑꯣꯏꯔꯒꯥ ꯀ꯭ꯂꯥꯁꯤꯐꯥꯏ ꯇꯧꯔꯝꯃꯤ꯫ ꯑꯗꯨꯕꯨ ꯍꯧꯖꯤꯛꯇꯤ ꯃꯈꯣꯌꯅꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯇꯦꯁ꯭ꯇꯀꯤ ꯔꯤꯖꯜꯇꯁꯤꯡ ꯌꯦꯡꯗꯨꯅꯥ ꯑꯆꯨꯝꯕꯥ ꯃꯈꯜ ꯑꯗꯨ ꯈꯉꯗꯣꯀꯏ꯫

꯱.ꯑꯦꯛꯌꯨꯠ ꯖꯤ.ꯚꯤ.ꯑꯩꯆ.ꯗꯤ.(ꯑꯦ.ꯖꯤ.ꯚꯤ.ꯑꯩꯆ.ꯗꯤ.)

ꯃꯁꯤ ꯃꯍꯧꯁꯥꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯁ꯭ꯇꯦꯝ ꯁꯦꯜ ꯇ꯭ꯔꯥꯟꯁꯞꯂꯥꯟꯇ ꯇꯧꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯊꯨꯅꯥ ꯊꯣꯀꯏ, ꯑꯌꯥꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯑꯍꯥꯅꯕꯥ ꯅꯨꯃꯤꯠ 100ꯅꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯊꯣꯀꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯇꯨꯡꯗꯥ ꯍꯧꯔꯀꯄꯥ ꯌꯥꯏ꯫ ꯑꯦꯛꯌꯨꯠ GvHDꯅꯥ ꯑꯌꯥꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡ, ꯗꯥꯏꯖꯦꯁ꯭ꯇꯤꯚ ꯁꯤꯁ꯭ꯇꯦꯝ (GI tract), ꯅꯠꯠꯔꯒꯥ ꯂꯤꯚꯔꯗꯥ ꯁꯣꯀꯍꯜꯂꯤ꯫

ꯀ꯭ꯔꯣꯅꯤꯛ ꯖꯤ.ꯚꯤ.ꯑꯩꯆ.ꯗꯤ.(ꯁꯤ.ꯖꯤ.ꯚꯤ.ꯑꯩꯆ.ꯗꯤ.)

ꯀ꯭ꯔꯣꯅꯤꯛ GvHD ꯑꯁꯤ ꯑꯦꯂꯣꯖꯦꯅꯤꯛ ꯇ꯭ꯔꯥꯟꯁꯞꯂꯥꯟꯇ ꯑꯃꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯃꯇꯝ ꯑꯃꯠꯇꯗꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯕꯨ ꯃꯁꯤ ꯑꯌꯥꯝꯕꯅꯥ ꯆꯍꯤ ꯑꯅꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯍꯧꯏ . ꯀ꯭ꯔꯣꯅꯤꯛ GvHDꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡ, ꯃꯤꯠ, ꯂꯤꯚꯔ, ꯂꯪꯁ, ꯖꯤ.ꯑꯥꯏ.

ꯃꯔꯨꯑꯣꯏꯕꯥ: ꯅꯍꯥꯛꯅꯥ GvHD ꯃꯈꯂꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯈꯛꯇꯃꯛ, ꯑꯅꯤꯃꯛ ꯅꯠꯠꯔꯒꯥ ꯑꯃꯠꯇꯥ ꯁꯦꯃꯒꯠꯄꯥ ꯌꯥꯏ꯫ ꯃꯁꯤ ꯃꯤꯑꯣꯏ ꯑꯃꯗꯒꯤ ꯃꯤꯑꯣꯏ ꯑꯃꯗꯥ ꯈꯦꯠꯅꯩ꯫

`(GvHD)`ꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯤꯅꯣ? ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯆꯦꯀꯁꯤꯅꯕꯤꯌꯨ!

GvHDꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯃꯤꯑꯣꯏ ꯑꯃꯗꯒꯤ ꯃꯤꯑꯣꯏ ꯑꯃꯗꯥ ꯈꯦꯠꯅꯩ꯫ ꯃꯤꯑꯣꯏ ꯈꯔꯗꯤ ꯃꯌꯥꯏ ꯑꯣꯏꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯂꯩꯕꯥ ꯌꯥꯏ , ꯈꯔꯗꯗꯤ ꯃꯌꯥꯏ ꯑꯣꯏꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯂꯩꯕꯥ ꯌꯥꯏ , ꯑꯃꯁꯨꯡ ꯑꯇꯩ ꯈꯔꯗꯗꯤ ꯑꯀꯅꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯂꯩꯕꯥ ꯌꯥꯏ꯫ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ (ꯄꯨꯟꯁꯤꯗꯥ ꯈꯨꯗꯣꯡꯊꯤꯕꯥ ꯐꯥꯎꯕꯥ) ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫

ꯑꯀꯅꯕꯥ `(GvHD)`ꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ꯫

ꯑꯩꯈꯣꯌꯅꯥ ꯍꯥꯟꯅꯅꯥ ꯍꯥꯌꯈ꯭ꯔꯦ ꯃꯗꯨꯗꯤ ꯑꯦꯛꯌꯨꯠ ꯖꯤ.ꯚꯤ.ꯑꯩꯆ.ꯗꯤ.ꯅꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯀꯃꯟ ꯑꯣꯏꯅꯥ ꯈꯣꯡ, ꯖꯤ.ꯑꯥꯏ.

• ꯈꯣꯡ (aGvHD): ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯂꯥꯏꯑꯣꯡ ꯑꯁꯤ ꯈꯣꯡ-ꯈꯨꯠ ꯁꯣꯛ-ꯄꯅꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯂꯥꯎꯕꯥ (ꯅꯨꯃꯤꯠꯀꯤ ꯃꯉꯥꯂꯒꯨꯝꯕꯥ) ꯑꯁꯤꯅꯤ꯫ ꯑꯅꯥꯕꯥ ꯑꯃꯁꯨꯡ ꯁꯣꯛ-ꯄꯅꯕꯥ ꯂꯩꯕꯥ ꯌꯥꯏ꯫ ꯔꯦꯁꯝ ꯑꯁꯤ ꯃꯍꯧꯁꯥꯅꯥ ꯅꯥꯀꯣꯡ, ꯈꯨꯎ, ꯅꯥꯀꯣꯡ, ꯅꯥꯀꯣꯡ ꯑꯃꯁꯨꯡ ꯈꯣꯡꯒꯤ ꯃꯈꯥ ꯊꯪꯕꯥ ꯁꯔꯨꯛꯇꯥ ꯍꯧꯏ꯫ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯃꯁꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯑꯇꯩ ꯁꯔꯨꯀꯁꯤꯡꯗꯥ ꯁꯟꯗꯣꯀꯄꯥ ꯌꯥꯏ꯫
• ꯒꯦꯁ꯭ꯠꯔꯣꯏꯟꯇꯦꯁ꯭ꯇꯥꯏꯅꯦꯜ (GI) ꯇ꯭ꯔꯦꯛꯇ (aGvHD): ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡꯗꯤ ꯅꯣꯡꯃꯩ ꯀꯥꯞꯄꯥ, ꯈꯣꯡ ꯍꯥꯝꯕꯥ, ꯑꯃꯁꯨꯡ ꯗꯥꯏꯔꯤꯌꯥ (bloating) ꯑꯁꯤꯅꯤ꯫ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯂꯗꯥ ꯂꯥꯌꯦꯡꯕꯒꯤ ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯝꯅꯥ ꯅꯦꯝꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯁꯥꯊꯤꯕꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫

ꯑꯦꯛꯌꯨꯠ GvHDꯒꯤ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯁꯤꯡꯁꯤ ꯌꯥꯎꯏ:

• ꯈꯣꯡ-ꯈꯨꯠ ꯁꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ/ꯅꯠꯠꯔꯒꯥ ꯏꯆꯝ ꯆꯝꯕꯥ ꯑꯃꯥ꯫
• ꯈꯣꯡ ꯍꯥꯝꯗꯕ.
• ꯅꯣꯡꯃꯩ ꯀꯥꯞꯄꯥ ꯑꯃꯁꯨꯡ ꯈꯣꯡ ꯍꯥꯝꯕꯥ꯫
• ꯈꯣꯡꯗꯥ ꯁꯣꯀꯄꯥ, ꯂꯦꯡ-ꯑꯣꯠꯄꯥ꯫
• ꯖꯟꯗꯥꯁꯤꯁ (ꯈꯣꯡꯆꯠ ꯑꯃꯁꯨꯡ/ꯅꯠꯠꯔꯒꯥ ꯃꯤꯠ ꯎꯗꯕꯥ)꯫

ꯀ꯭ꯔꯣꯅꯤꯛ GvHDꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ꯫

ꯀ꯭ꯔꯣꯅꯤꯛ GvHDꯅꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯀꯃꯟ ꯑꯣꯏꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡ, ꯂꯤꯚꯔ, GI ꯇ꯭ꯔꯦꯛꯇ ꯑꯃꯁꯨꯡ ꯂꯪꯁꯇꯥ ꯁꯣꯀꯍꯜꯂꯤ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯃꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯁꯔꯨꯛ ꯑꯃꯍꯦꯛꯇꯗꯥ ꯁꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫

ꯂꯥꯏꯑꯣꯡꯁꯤꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯁꯤꯡꯁꯤ ꯌꯥꯎꯕꯥ ꯌꯥꯏ:

• ꯈꯣꯡ-ꯈꯨꯠ ꯁꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ/ꯅꯠꯠꯔꯒꯥ ꯏꯆꯝ ꯆꯝꯕꯥ ꯑꯃꯥ꯫
• ꯈꯣꯡ ꯍꯥꯝꯕꯥ ꯑꯃꯁꯨꯡ ꯁꯣꯟꯊꯕꯥ꯫
• ꯃꯀꯣꯛ ꯑꯃꯁꯨꯡ ꯍꯀꯆꯥꯡꯗꯥ ꯆꯨꯃꯊꯣꯀꯄꯥ꯫
• ꯃꯤꯠ ꯁꯣꯀꯄꯥ꯫
• ꯃꯆꯤꯟꯖꯥꯛ ꯁꯣꯀꯄꯥ꯫
• ꯒꯥꯝ ꯗꯤꯖꯤꯖ꯫
• ꯁꯨꯃꯍꯠꯄꯥ ꯃꯤꯠ, ꯃꯅꯨꯡꯗꯥ ꯆꯦꯟꯊꯔꯀꯄꯥ ꯆꯦꯟꯊꯔꯀꯄꯥ ꯃꯑꯣꯡꯗꯥ ꯐꯥꯑꯣꯔꯀꯄꯥ꯫
• ꯃꯤꯠꯌꯦꯡꯗꯥ ꯑꯍꯣꯡꯕꯥ ꯂꯥꯀꯄꯥ꯫
• ꯈꯣꯡ ꯍꯥꯝꯗꯕ.
• ꯅꯣꯡꯃꯩ ꯀꯥꯞꯄꯥ ꯑꯃꯁꯨꯡ ꯈꯣꯡ ꯍꯥꯝꯕꯥ꯫
• ꯈꯣꯡ ꯑꯃꯁꯨꯡ/ꯅꯠꯠꯔꯒꯥ ꯃꯤꯠ ꯎꯗꯕꯥ (joundice)꯫
• ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ (dyspnea)꯫
• ꯁꯨꯡꯕꯥ, ꯂꯦꯡ-ꯑꯣꯠꯄꯒꯤ ꯃꯑꯣꯡ꯫
• ꯋꯥꯕ.
• ꯃꯁꯜ ꯁꯣꯟꯊꯕꯥ, ꯂꯦꯡ-ꯑꯣꯠꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯅꯥꯕꯥ ꯂꯩꯕꯥ꯫
• ꯁꯔꯨ ꯇꯥꯡꯁꯤꯡ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯀꯨꯄꯁꯤꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯁꯥꯡꯗꯣꯀꯄꯥ ꯉꯃꯗꯕꯥ꯫
• ꯅꯨꯄꯤꯁꯤꯡꯅꯥ ꯃꯤꯔꯣꯅꯕꯥ ꯃꯇꯃꯗꯥ ꯚꯦꯖꯦꯅꯥꯏꯜ ꯁꯣꯀꯄꯥ, ꯁꯣꯛ-ꯄꯅꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫
• ꯅꯨꯄꯥꯁꯤꯡꯅꯥ ꯃꯤꯔꯣꯜꯂꯤꯉꯩ ꯃꯇꯃꯗꯥ ꯂꯤꯉ꯭ꯒꯨꯏ ꯅꯠꯠꯔꯒꯥ ꯇꯦꯁ꯭ꯇꯤꯀꯂꯁꯤꯡ ꯁꯣꯀꯄꯥ, ꯅꯠꯠꯔꯒꯥ ꯃꯤꯔꯣꯅꯕꯥ ꯃꯇꯃꯗꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫

ꯃꯁꯤ ꯀꯔꯤꯒꯤꯗꯃꯛ `(GvHD)` ꯊꯣꯛꯂꯤꯕꯅꯣ? ꯃꯁꯤꯒꯤ ꯃꯔꯝ ꯀꯔꯤꯅꯣ?

ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, GvHD ꯑꯁꯤ ꯅꯍꯥꯛꯅꯥ ꯇ꯭ꯔꯥꯟꯁꯞꯂꯥꯟꯇ ꯇꯧꯈꯤꯕꯥ ꯗꯣꯅꯔ ꯑꯗꯨꯗꯒꯤ ꯁ꯭ꯇꯦꯝ ꯁꯦꯂꯁꯤꯡꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯏꯁꯥꯒꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯁꯦꯂꯁꯤꯡꯕꯨ "ꯃꯄꯥꯟ ꯂꯩꯕꯥꯛꯀꯤ" ꯑꯣꯏꯅꯥ ꯎꯔꯒꯥ ꯃꯈꯣꯌꯗꯥ ꯑꯦꯇꯦꯛ ꯇꯧꯕꯥ ꯍꯧꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯊꯣꯀꯏ꯫

ꯃꯍꯧꯁꯥꯅꯥ ꯃꯁꯤ ꯊꯣꯀꯏ: ꯅꯍꯥꯛꯀꯤ ꯏꯝꯝꯌꯨꯟ ꯁꯤꯁ꯭ꯇꯦꯝ ꯁꯦꯂꯁꯤꯡ (ꯅꯍꯥꯛꯀꯤ ꯏꯗꯥ ꯂꯩꯕꯥ ꯁꯦꯂꯁꯤꯡ)ꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯂꯥꯌꯅꯥꯗꯒꯤ ꯉꯥꯀꯊꯣꯀꯏ꯫ ꯃꯈꯣꯌꯅꯥ ꯃꯄꯥꯟ ꯂꯩꯕꯥꯛꯀꯤ ꯄꯣꯠꯁꯀꯁꯤꯡ, ꯍꯥꯌꯕꯗꯤ ꯚꯥꯏꯔꯁ ꯑꯃꯁꯨꯡ ꯕꯦꯛꯇꯦꯔꯤꯌꯥꯒꯥ ꯂꯥꯟꯊꯦꯡꯅꯔꯤ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯁꯦꯂꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯏꯁꯥꯒꯤ ꯁꯦꯂꯁꯤꯡꯗꯥ ꯑꯦꯇꯦꯛ ꯇꯧꯗꯦ꯫ ꯃꯁꯤꯒꯤ ꯃꯔꯃꯗꯤ ꯅꯍꯥꯛꯀꯤ ꯁꯦꯂꯁꯤꯡꯗꯥ ``ꯍ꯭ꯌꯨꯃꯦꯟ ꯂꯤꯎꯀꯣꯁꯥꯏꯠ ꯑꯦꯟꯇꯤꯖꯦꯟ'', ꯅꯠꯠꯔꯒꯥ ``HLA'' ꯀꯧꯕꯥ ꯑꯈꯟꯅꯕꯥ ꯄ꯭ꯔꯣꯇꯤꯟ ꯑꯃꯥ ꯂꯩ꯫ ꯃꯁꯤ ꯃꯃꯤꯡ ꯑꯃꯥ ꯌꯥꯑꯣꯕꯥ ꯇꯦꯒ ꯑꯃꯒꯨꯝꯕꯅꯤ꯫ ꯃꯁꯤꯒꯤ ``HLA'' ꯑꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯏꯝꯝꯌꯨꯟ ꯁꯦꯂꯁꯤꯡꯗꯥ "ꯍꯦ, ꯃꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯑꯃꯅꯤ꯫"

ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯋꯥꯐꯃꯗꯤ, ꯃꯥꯟꯅꯕꯥ ꯇ꯭ꯔꯤꯅꯤꯁꯤꯡ ꯅꯠꯇꯅꯥ, ꯃꯤꯄꯨꯝ ꯈꯨꯗꯤꯡꯃꯛꯀꯤ `(HLA)` ꯑꯁꯤ ꯑꯃꯒꯥ ꯑꯃꯒꯥ ꯈꯦꯠꯅꯩ꯫

ꯅꯍꯥꯛꯅꯥ ꯑꯇꯣꯞꯄꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯗꯒꯤ ꯁ꯭ꯇꯦꯝ ꯁꯦꯜ ꯇ꯭ꯔꯥꯟꯁꯞꯂꯥꯟꯇ ꯑꯃꯥ ꯐꯪꯂꯕꯥ ꯃꯇꯨꯡꯗꯥ, ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯂꯩꯔꯤꯕꯥ ꯑꯅꯧꯕꯥ ꯕ꯭ꯂꯗ ꯁꯦꯂꯁꯤꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ `(HLA)` ꯂꯩꯇꯦ, ꯑꯗꯨꯕꯨ ꯗꯣꯅꯔ ꯑꯗꯨꯒꯤ `(HLA)` . ꯑꯗꯨꯅꯥ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯗꯣꯅꯔ ꯑꯁꯤꯒꯤ `(HLA)` ꯑꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯂꯩꯔꯤꯕꯥ `(HLA)`ꯒꯥ ꯌꯥꯝꯅꯥ ꯈꯦꯠꯅꯔꯕꯗꯤ , ꯑꯗꯨꯒꯨꯝꯕꯥ ꯑꯅꯧꯕꯥ ꯕ꯭ꯂꯗ ꯁꯦꯂꯁꯤꯡ ꯑꯗꯨꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯁꯦꯂꯁꯤꯡꯗꯥ ꯑꯦꯇꯦꯛ ꯇꯧꯕꯥ ꯍꯧꯏ꯫ ꯃꯗꯨꯗꯥ `(GvHD)` ꯊꯣꯀꯏ꯫

ꯃꯁꯤꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯁ꯭ꯇꯦꯝ ꯁꯦꯜ ꯇ꯭ꯔꯥꯟꯁꯞꯂꯥꯟꯇ ꯇꯧꯗ꯭ꯔꯤꯉꯩꯒꯤ ꯃꯃꯥꯡꯗꯥ ꯗꯣꯅꯔꯒꯤ HLA ꯑꯗꯨ ꯅꯍꯥꯛꯀꯤ ꯌꯥꯔꯤꯕꯃꯈꯩ ꯅꯛꯅꯥ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯆꯦꯀꯁꯤꯟꯅꯥ ꯌꯦꯡꯁꯤꯜꯂꯤ꯫ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯃꯦꯆ ꯑꯃꯥ ꯐꯪꯕꯅꯥ GvHD ꯂꯥꯀꯄꯒꯤ ꯔꯤꯁ꯭ꯛ ꯍꯟꯊꯍꯜꯂꯤ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯥꯟꯅꯕꯥ ꯇ꯭ꯔꯤꯟ ꯑꯃꯗꯒꯤ ꯁꯦꯂꯁꯤꯡ ꯐꯪꯗ꯭ꯔꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯃꯦꯆ ꯀꯌꯥ ꯍꯣꯠꯅꯔꯕꯁꯨ, ꯅꯍꯥꯛꯅꯥ GvHD ꯁꯦꯃꯒꯠꯄꯒꯤ ꯆꯥꯡ ꯍꯧꯖꯤꯀꯁꯨ ꯂꯩꯔꯤ꯫

GvHD ꯂꯥꯀꯄꯒꯤ ꯔꯤꯁ꯭ꯛ ꯂꯩꯕꯥ ꯀꯅꯥꯅꯣ?

ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯔꯤꯁ꯭ꯛ ꯐꯦꯛꯇꯔ ꯑꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯅꯔꯒꯤ HLA ꯑꯗꯨ ꯅꯍꯥꯛꯀꯤ HLAꯒꯥ ꯀꯌꯥꯝ ꯅꯛꯅꯥ ꯃꯥꯟꯅꯕꯒꯦ ꯍꯥꯌꯕꯁꯤꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ GvHD ꯂꯥꯀꯄꯒꯤ ꯔꯤꯁ꯭ꯛ ꯍꯦꯟꯅꯥ ꯂꯩꯔꯕꯗꯤ:

• ꯅꯍꯥꯛꯅꯥ ꯃꯔꯤ-ꯃꯇꯥ ꯑꯃꯗꯒꯤ ꯁ꯭ꯇꯦꯝ ꯁꯦꯂꯁꯤꯡ ꯐꯪꯈꯤ, ꯑꯗꯨꯕꯨ ꯑꯀꯛꯅꯕꯥ HLA ꯃꯦꯆ ꯑꯃꯠꯇꯥ ꯐꯪꯈꯤꯗꯦ .
• ꯅꯍꯥꯛꯀꯤ ꯃꯔꯤ-ꯃꯇꯥ ꯅꯠꯇꯕꯥ, ꯑꯗꯨꯕꯨ `(HLA)` ꯃꯦꯆ ꯑꯃꯥ ꯑꯣꯏꯔꯤꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯗꯒꯤ ꯅꯍꯥꯛꯅꯥ ꯁ꯭ꯇꯦꯝ ꯁꯦꯂꯁꯤꯡ ꯐꯪꯈꯤ .

ꯑꯇꯣꯞꯄꯥ ꯔꯤꯁ꯭ꯛ ꯐꯦꯛꯇꯔꯁꯤꯡꯗꯤ:

• ꯗꯣꯅꯔ ꯑꯗꯨ ꯃꯃꯥꯡꯗꯥ ꯃꯤꯔꯣꯜꯂꯤꯕꯤ ꯅꯨꯄꯤ ꯑꯣꯏꯒꯗꯕꯅꯤ꯫
• ꯗꯣꯅꯔ ꯅꯠꯠꯔꯒꯥ ꯅꯍꯥꯛꯀꯤ ꯏꯁꯥꯒꯤ ꯆꯍꯤ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ꯫
• ꯗꯣꯅꯔ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯃꯔꯛꯇꯥ ꯖꯦꯟꯗꯔ ꯏꯅꯀꯃꯄꯦꯇꯤꯕꯤꯂꯤꯇꯤ (ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯅꯨꯄꯥ ꯗꯣꯅꯔ ꯑꯃꯗꯒꯤ ꯅꯨꯄꯤ ꯑꯃꯗꯥ ꯁꯦꯂꯁꯤꯡ ꯂꯧꯕꯥ, ꯅꯠꯠꯔꯒꯥ ꯅꯨꯄꯤ ꯗꯣꯅꯔ ꯑꯃꯗꯒꯤ ꯅꯨꯄꯥ ꯑꯃꯗꯥ ꯁꯦꯂꯁꯤꯡ ꯂꯧꯕꯥ)꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯗꯣꯅꯔ ꯑꯗꯨꯒꯤ ꯁ꯭ꯇꯦꯝ ꯁꯦꯂꯁꯤꯡ ꯑꯗꯨ ꯕꯣꯟ ꯃꯦꯔꯣ (ꯕ꯭ꯂꯗ ꯁꯦꯂꯁꯤꯡ ꯄꯨꯊꯣꯀꯄꯥ ꯃꯐꯝ)ꯗꯒꯤ ꯂꯧꯕꯒꯤ ꯃꯍꯨꯠꯇꯥ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯂꯁꯤꯡ (ꯏ)ꯗꯒꯤ ꯂꯧꯔꯕꯗꯤ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯍꯥꯟꯅꯅꯥ ꯑꯦꯛꯌꯨꯠ `(aGvHD)` ꯂꯩꯔꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯀ꯭ꯔꯣꯅꯤꯛ `(cGvHD)` ꯂꯥꯀꯄꯒꯤ ꯔꯤꯁ꯭ꯛ ꯍꯦꯅꯒꯠꯂꯀꯏ꯫

GvHD ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯈꯪꯗꯣꯀꯄꯒꯦ?

ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯌꯦꯡꯁꯤꯟꯗꯨꯅꯥ, ꯅꯍꯥꯛꯀꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯌꯦꯡꯗꯨꯅꯥ, ꯑꯃꯁꯨꯡ ꯂꯦꯕ ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯕꯥꯏꯑꯣꯞꯁꯤꯒꯤ ꯔꯤꯖꯜꯇꯁꯤꯡ ꯌꯦꯡꯗꯨꯅꯥ GvHD ꯈꯪꯗꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯕꯥꯏꯑꯣꯞꯁꯤ ꯍꯥꯌꯕꯁꯤꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯇꯤꯁ꯭ꯌꯨ ꯅꯠꯠꯔꯒꯥ ꯁꯦꯂꯁꯤꯡꯒꯤ ꯑꯄꯤꯀꯄꯥ ꯁꯦꯝꯄꯜ ꯑꯃꯥ ꯂꯧꯗꯨꯅꯥ ꯇꯦꯁ꯭ꯠ ꯇꯧꯅꯕꯥ ꯂꯦꯕ ꯑꯃꯗꯥ ꯊꯥꯕꯥ ꯌꯥꯑꯣꯏ꯫

ꯀ꯭ꯔꯣꯅꯤꯛ GvHD (cGvHD)ꯗꯥ, ꯂꯥꯏꯑꯣꯡ ꯈꯔꯗꯤ ꯑꯇꯩ ꯂꯥꯌꯅꯥꯁꯤꯡꯒꯥ ꯃꯥꯟꯅꯅꯥ ꯂꯩꯕꯥ ꯌꯥꯏ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯗꯣꯛꯇꯔꯅꯥ cGvHDꯒꯤ ꯗꯤꯐꯤꯅꯤꯇꯤꯚ ꯗꯥꯏꯑꯦꯒ꯭ꯅꯣꯁꯤꯁ ꯑꯃꯥ ꯇꯧꯗ꯭ꯔꯤꯉꯩꯗꯥ ꯑꯇꯩ ꯃꯔꯝ ꯄꯨꯝꯅꯃꯛ ꯂꯧꯊꯣꯛꯀꯅꯤ꯫

GvHDꯒꯤ ꯂꯥꯏꯌꯦꯡꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?

ꯅꯍꯥꯛꯅꯥ ꯁ꯭ꯇꯦꯝ ꯁꯦꯜ ꯇ꯭ꯔꯥꯟꯁꯞꯂꯥꯟꯇ ꯇꯧꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ, ꯅꯍꯥꯛꯀꯤ ꯏꯁꯥꯒꯤ ꯇꯤꯁ꯭ꯌꯨꯁꯤꯡꯗꯥ ꯗꯣꯅꯔ ꯁꯦꯂꯁꯤꯡꯅꯥ ꯑꯦꯇꯦꯛ ꯇꯧꯕꯥ ꯉꯝꯕꯒꯤ ꯆꯥꯡ ꯍꯟꯊꯍꯟꯅꯕꯥ ꯄ꯭ꯔꯣꯐꯥꯏꯂꯦꯛꯇꯤꯛ ꯑꯣꯏꯕꯥ ꯊꯧꯑꯣꯡ ꯑꯃꯥ ꯑꯣꯏꯅꯥ ꯏꯝꯝꯌꯨꯅꯣꯁꯞꯔꯦꯁꯤꯕ ꯍꯤꯗꯥꯀꯁꯤꯡ ꯄꯤꯒꯅꯤ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯍꯤꯗꯥꯀꯁꯤꯡ ꯑꯁꯤꯅꯥ GvHD ꯂꯥꯀꯄꯥ ꯊꯤꯡꯗ꯭ꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯗꯨꯒꯤ ꯃꯑꯣꯡ-ꯃꯇꯧ ꯑꯃꯁꯨꯡ GvHDꯒꯤ ꯃꯈꯜ ꯑꯗꯨꯗꯥ ꯌꯨꯝꯐꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯂꯥꯏꯌꯦꯡ ꯄꯤꯒꯅꯤ꯫

ꯑꯦꯛꯌꯨꯠ ꯖꯤ.ꯚꯤ.ꯑꯩꯆ.ꯗꯤ.ꯒꯤ ꯂꯥꯏꯌꯦꯡ꯫

ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯑꯌꯥꯝꯕꯅꯥ ꯏꯝꯝꯌꯨꯟ ꯁꯤꯁ꯭ꯇꯦꯝ ꯁꯣꯀꯍꯜꯂꯤꯕꯥ ꯗ꯭ꯔꯒꯁꯤꯡꯒꯤ ꯗꯣꯖ ꯍꯦꯅꯒꯠꯍꯟꯗꯨꯅꯥ ꯑꯦꯛꯌꯨꯠ GvHDꯅꯥ ꯅꯥꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯕꯨ ꯃꯥꯌꯄꯥꯛꯅꯥ ꯂꯥꯏꯌꯦꯡꯏ꯫ ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯀꯣꯔꯇꯤꯀꯣꯁ꯭ꯇꯦꯔꯣꯏꯗ ꯀꯧꯕꯥ ꯗ꯭ꯔꯒꯁꯤꯡꯒꯤ ꯀ꯭ꯂꯥꯁ ꯑꯃꯒꯤ ꯃꯅꯨꯡ ꯆꯜꯂꯤ꯫ ꯃꯈꯣꯌ ꯑꯁꯤ ꯃꯤꯠꯅꯥ, ꯏꯅꯠꯔꯥꯚꯦꯅꯁ ꯑꯣꯏꯅꯥ ꯅꯠꯠꯔꯒꯥ ꯃꯐꯃꯗꯨꯗꯥ ꯄꯤꯕꯥ ꯌꯥꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯁ꯭ꯇꯦꯔꯣꯏꯗꯁꯤꯡꯅꯥ ꯊꯕꯛ ꯇꯧꯗ꯭ꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯔꯨꯛꯁꯣꯂꯤꯇꯤꯅꯤꯕ (Jakafi®)ꯒꯨꯝꯕꯥ ꯗ꯭ꯔꯒ ꯑꯃꯥ ꯄꯤꯕꯥ ꯌꯥꯏ꯫ ꯑꯅꯧꯕꯥ ꯂꯥꯌꯦꯡꯁꯤꯡ ꯇꯦꯁ꯭ꯠ ꯇꯧꯕꯥ ꯀ꯭ꯂꯤꯅꯤꯀꯦꯜ ꯇ꯭ꯔꯥꯏꯑꯦꯂꯁꯤꯡꯗꯁꯨ ꯁꯔꯨꯛ ꯌꯥꯕꯒꯤ ꯈꯨꯗꯣꯡꯆꯥꯕꯁꯨ ꯐꯪꯂꯕꯥ ꯌꯥꯏ꯫

ꯀ꯭ꯔꯣꯅꯤꯛ ꯖꯤ.ꯚꯤ.ꯑꯩꯆ.ꯗꯤ.ꯒꯤ ꯂꯥꯏꯌꯦꯡ꯫

ꯀ꯭ꯔꯣꯅꯤꯛ GvHD ꯑꯁꯤ ꯃꯍꯧꯁꯥꯅꯥ ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯁꯤꯖꯤꯟꯅꯕꯥ ꯏꯝꯝꯌꯨꯅꯣꯁꯞꯔꯦꯁꯤꯚ ꯍꯤꯗꯥꯀꯁꯤꯡꯅꯥ ꯂꯥꯏꯌꯦꯡꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯍꯤꯗꯥꯀꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯗ꯭ꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯍꯤꯗꯥꯀꯁꯤꯡ ꯑꯁꯤ ꯄꯤꯕꯥ ꯌꯥꯏ:

• `ꯔꯨꯛꯁꯣꯂꯤꯇꯤꯅꯤꯕ (ꯖꯀꯥꯐꯤ®)`꯫
• `ꯕꯦꯂꯨꯃꯣꯁꯨꯗꯤꯜ (ꯔꯦꯖꯨꯔꯣꯛTM)`꯫
• `ꯏꯕ꯭ꯔꯨꯇꯤꯅꯤꯕ (ꯏꯝꯕ꯭ꯔꯨꯚꯤꯀꯥ®)`꯫
• ꯐꯣꯇꯣꯐꯦꯔꯦꯁꯤꯁ (ꯃꯁꯤ ꯑꯈꯟꯅꯕꯥ ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯃꯑꯣꯡ ꯑꯃꯅꯤ)

ꯅꯍꯥꯛꯅꯥ ``ꯀ꯭ꯂꯤꯅꯤꯀꯦꯜ ꯇ꯭ꯔꯥꯏꯑꯦꯂꯁꯤꯡ''ꯒꯤꯗꯃꯛꯇꯁꯨ ꯏꯂꯤꯖꯤꯕꯜ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫

ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ/ ꯁꯥꯏꯗ ꯏꯐꯦꯛꯇꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?

ꯏꯝꯝꯌꯨꯅꯣꯁꯞꯔꯦꯁꯤꯚ ꯍꯤꯗꯥꯀꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯏꯝꯝꯌꯨꯟ ꯁꯤꯁ꯭ꯇꯦꯝ ꯁꯣꯀꯍꯅꯕꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯐꯉ꯭ꯒꯦꯜ, ꯕꯦꯛꯇꯦꯔꯤꯌꯥ ꯑꯃꯁꯨꯡ ꯚꯥꯏꯔꯁꯀꯤ ꯏꯅꯐꯦꯛꯁꯅꯁꯤꯡ ꯂꯥꯀꯄꯒꯤ ꯆꯥꯡ ꯍꯦꯟꯅꯥ ꯋꯥꯡꯏ . ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯈꯨꯗꯣꯡꯊꯤꯅꯤꯉꯥꯏ ꯑꯣꯏꯕꯥ ꯏꯅꯐꯦꯛꯁꯅꯁꯤꯡ ꯑꯁꯤꯗꯒꯤ ꯉꯥꯀꯊꯣꯛꯅꯕꯥ ꯑꯇꯩ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛ ꯀꯌꯥ ꯄꯤꯒꯅꯤ꯫

GvHD ꯊꯤꯡꯕꯥ ꯉꯃꯒꯗ꯭ꯔꯥ?

ꯇꯤꯁ꯭ꯌꯨ ꯇꯥꯏꯄꯤꯡ ꯂꯦꯕꯁꯤꯡ ꯑꯁꯤ ꯂꯦꯞꯇꯅꯥ ꯁꯦꯃꯒꯠꯂꯤ ꯑꯃꯁꯨꯡ ꯑꯅꯧꯕꯥ, ꯍꯦꯟꯅꯥ ꯑꯆꯨꯝꯕꯥ ꯗꯤ.ꯑꯦꯟ.ꯑꯦ.ꯗꯥ ꯌꯨꯝꯐꯝ ꯑꯣꯏꯕꯥ ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯁꯤꯖꯤꯟꯅꯔꯤ꯫ ꯃꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯃꯦꯗꯤꯀꯦꯜ ꯇꯤꯃꯅꯥ ꯅꯍꯥꯛꯀꯤꯗꯃꯛꯇꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯍꯦꯟꯅꯥ HLA ꯃꯦꯆ ꯂꯩꯕꯥ ꯗꯣꯅꯔ ꯑꯗꯨ ꯈꯅꯕꯗꯥ ꯌꯥꯍꯜꯂꯤ꯫ ꯃꯦꯆ ꯑꯗꯨ ꯍꯦꯟꯅꯥ ꯐꯕꯥ ꯑꯣꯏꯔꯕꯗꯤ, GvHD ꯊꯤꯡꯕꯒꯤ ꯆꯥꯡ ꯍꯦꯟꯅꯥ ꯐꯩ꯫

ꯃꯁꯤꯗꯁꯨ ꯅꯠꯇꯅꯥ, ꯅꯍꯥꯛꯀꯤ ꯁ꯭ꯇꯦꯝ ꯁꯦꯜ ꯇ꯭ꯔꯥꯟꯁꯞꯂꯥꯟꯇ ꯇꯧꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ GvHD ꯊꯤꯡꯅꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯏꯝꯝꯌꯨꯅꯣꯁꯞꯔꯦꯁꯦꯟꯇꯁꯤꯡ ꯄꯤꯒꯅꯤ꯫

GvHD ꯃꯄꯨꯡꯐꯥꯅꯥ ꯂꯥꯌꯦꯡꯕꯥ ꯉꯃꯒꯗ꯭ꯔꯥ?

ꯑꯌꯥꯝꯕꯥ ꯀꯦꯁꯁꯤꯡꯗꯗꯤ, ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯀꯟꯗꯤꯁꯟ (GvHD) ꯑꯁꯤ ꯃꯥꯌꯄꯥꯛꯅꯥ ꯃꯦꯅꯦꯖ ꯇꯧꯕꯥ ꯉꯝꯃꯤ꯫ ꯍꯥꯌꯕꯗꯤ ꯃꯈꯣꯌꯅꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯗꯨ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯥ ꯉꯝꯃꯤ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯀꯄꯨ ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯕꯥ ꯄꯨꯟꯁꯤ ꯑꯃꯥ ꯍꯤꯡꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫

ꯃꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯔꯤꯁꯔꯆꯔꯁꯤꯡꯅꯥ ꯀ꯭ꯂꯤꯅꯤꯀꯦꯜ ꯇ꯭ꯔꯥꯏꯑꯦꯂꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯖꯤ.ꯚꯤ.ꯑꯩꯆ.ꯗꯤ. ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯃꯈꯣꯌꯅꯥ ꯇꯣꯉꯥꯟ ꯇꯣꯉꯥꯅꯕꯥ ꯏꯝꯝꯌꯨꯅꯣꯁꯞꯔꯦꯁꯤꯕ ꯗ꯭ꯔꯒꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯑꯅꯧꯕꯥ ꯄ꯭ꯔꯣꯐꯥꯏꯂꯦꯛꯁꯤꯁꯀꯤ ꯍꯤꯗꯥꯀꯁꯤꯡꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯊꯤꯖꯤꯜꯂꯤ꯫

GvHD ꯑꯁꯤ ꯄꯨꯟꯁꯤꯗꯥ ꯈꯨꯗꯣꯡꯊꯤꯕꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯕ꯭ꯔꯥ?

ꯍꯣꯌ, GvHD ꯑꯁꯤ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯄꯨꯟꯁꯤꯗꯥ ꯈꯨꯗꯣꯡꯊꯤꯕꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯀ꯭ꯔꯣꯅꯤꯛ ꯖꯤ.ꯚꯤ.ꯑꯩꯆ.ꯗꯤ.ꯅꯥ ꯃꯈꯣꯌꯒꯤ ꯄ꯭ꯔꯥꯏꯃꯥꯔꯤ ꯂꯥꯌꯅꯥ ꯑꯁꯤ ꯅꯠꯇꯅꯥ, ꯑꯦꯂꯣꯖꯦꯅꯤꯛ ꯁ꯭ꯇꯦꯝ ꯁꯦꯜ ꯇ꯭ꯔꯥꯟꯁꯞꯂꯥꯟꯇ ꯇꯧꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯒꯤ ꯃꯔꯛꯇꯥ ꯁꯤꯕꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯔꯝ ꯑꯣꯏꯔꯤ꯫

ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯂꯥꯏꯌꯦꯡ ꯑꯃꯠꯇꯥ ꯄꯥꯡꯊꯣꯛꯠꯔꯤꯉꯩ ꯃꯃꯥꯡꯗꯥ – ꯁ꯭ꯇꯦꯝ ꯁꯦꯜ ꯇ꯭ꯔꯥꯟꯁꯞꯂꯥꯟꯇ ꯑꯃꯥ ꯐꯥꯎꯕꯥ – ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯔꯤꯁ꯭ꯀꯁꯤꯡ ꯑꯗꯨ ꯈꯟꯅ-ꯅꯩꯅꯕꯥ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫ ꯃꯍꯥꯛꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯔꯤꯁ꯭ꯀꯁꯤꯡ ꯑꯗꯨ ꯈꯪꯍꯅꯕꯥ ꯌꯥꯏ ꯑꯃꯁꯨꯡ ꯂꯥꯏꯌꯦꯡ ꯑꯗꯨꯒꯤ ꯀꯥꯟꯅꯕꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯀꯥꯟꯅꯕꯁꯤꯡ ꯑꯗꯨ ꯈꯪꯗꯣꯀꯄꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ `(GvHD)`ꯒꯤ ꯀꯥꯟꯅꯕꯥ ꯂꯩꯕ꯭ꯔꯥ?

ꯑꯉꯀꯄꯥ ꯄꯣꯛꯂꯣꯏꯗꯕꯅꯤ, ꯖꯤ.ꯚꯤ.ꯑꯩꯆ.ꯗꯤ.ꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯄꯨꯟꯁꯤꯒꯤ ꯃꯒꯨꯅꯗꯥ ꯑꯀꯥꯌꯕꯥ ꯄꯤꯕꯥ ꯌꯥꯏ ꯑꯗꯨꯕꯨ ꯃꯁꯤꯅꯥ ꯀꯥꯟꯅꯕꯥ ꯈꯔꯁꯨ ꯄꯤꯔꯤ꯫ ꯅꯍꯥꯛꯀꯤ ꯅꯣꯔꯃꯦꯜ ꯁꯦꯂꯁꯤꯡꯗꯥ ꯑꯦꯇꯦꯛ ꯇꯧꯔꯤꯕꯥ ꯆꯞ ꯃꯥꯟꯅꯕꯥ ꯏꯝꯝꯌꯨꯟ ꯔꯦꯁꯄꯣꯟꯁ ꯑꯗꯨꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯂꯦꯡꯗꯅꯥ ꯂꯩꯕꯥ ꯌꯥꯕꯥ ꯀꯦꯟꯁꯔ ꯁꯦꯜ ꯑꯃꯍꯦꯛꯇꯕꯨꯁꯨ ꯊꯤꯖꯤꯜꯂꯤ ꯑꯃꯁꯨꯡ ꯃꯥꯡꯍꯜꯂꯤ꯫ ꯃꯁꯤꯕꯨ ꯒ꯭ꯔꯥꯐ꯭ꯠ-ꯕꯔꯁꯦꯁ-ꯇꯤꯎꯃꯔ ꯏꯐꯦꯛꯇ ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ GvHD ꯂꯥꯀꯄꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯗꯥ ꯃꯈꯣꯌꯒꯤ ꯄ꯭ꯔꯥꯏꯃꯥꯔꯤ ꯗꯤꯖꯤꯖ (ꯃꯔꯨꯑꯣꯏꯅꯥ ꯀꯦꯟꯁꯔ) ꯍꯜꯂꯀꯄꯒꯤ ꯆꯥꯡ ꯍꯟꯊꯕꯥ ꯎꯕꯥ ꯐꯪꯏ꯫

ꯑꯩꯅꯥ ꯃꯇꯧ ꯀꯔꯝꯅꯥ ꯏꯁꯥꯕꯨ ꯌꯦꯡꯁꯤꯅꯕꯤꯒꯅꯤ? ꯍꯥꯌꯔꯤꯕꯥ ꯋꯥꯐꯃꯁꯤꯡ ꯑꯁꯤ ꯏꯅꯕꯤꯌꯨ!

ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯁ꯭ꯇꯦꯝ ꯁꯦꯜ ꯇ꯭ꯔꯥꯟꯁꯞꯂꯥꯟꯇ ꯇꯧꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯅꯁꯥꯕꯨ ꯀꯔꯝꯅꯥ ꯌꯦꯡꯁꯤꯅꯒꯗꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯈꯪꯍꯜꯂꯛꯀꯅꯤ꯫ ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯀꯔꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯌꯦꯡꯁꯤꯅꯒꯗꯒꯦ ꯑꯃꯁꯨꯡ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯥꯛꯂꯕꯗꯤ ꯈꯨꯗꯛꯇꯥ ꯅꯍꯥꯛꯀꯤ ꯃꯦꯗꯤꯀꯦꯜ ꯇꯤꯃꯗꯥ ꯀꯧꯒꯗꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ GvHD ꯂꯥꯀꯄꯒꯤ ꯔꯤꯁ꯭ꯛ ꯂꯩꯔꯕꯗꯤ, ꯃꯈꯣꯌꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯑꯍꯦꯅꯕꯥ ꯀꯦꯌꯔꯒꯤ ꯏꯅꯁ꯭ꯠꯔꯛꯁꯅꯁꯤꯡꯁꯨ ꯄꯤꯕꯥ ꯌꯥꯏ꯫ ꯍꯥꯌꯔꯤꯕꯥ ꯏꯅꯁ꯭ꯠꯔꯛꯁꯅꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯌꯥꯑꯣꯔꯤ:

• ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡ ꯑꯗꯨ ꯅꯨꯃꯤꯠꯀꯤ ꯃꯉꯥꯂꯗꯒꯤ ꯉꯥꯀꯊꯣꯀꯎ꯫ ꯂꯪꯁ ꯂꯪꯐꯩ ꯑꯃꯁꯨꯡ ꯂꯪ ꯄꯦꯟꯇ ꯁꯤꯖꯤꯟꯅꯧ꯫ ꯌꯥꯃꯗ꯭ꯔꯕꯗꯥ SPF 50 ꯂꯩꯕꯥ ꯅꯨꯃꯤꯠꯀꯤ ꯃꯉꯥꯂꯒꯤ ꯁ꯭ꯛꯔꯤꯟ ꯑꯃꯥ ꯁꯤꯖꯤꯟꯅꯧ꯫(ꯅꯨꯃꯤꯠꯀꯤ ꯃꯉꯥꯂꯅꯥ ꯁꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ ꯅꯠꯠꯔꯒꯥ GvHD ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫)
• ꯑꯐꯕꯥ ꯑꯣꯔꯦꯜ ꯍꯦꯂꯊ ꯊꯝꯕꯥ꯫ ꯃꯁꯤꯅꯥ ꯒꯝ ꯗꯤꯖꯤꯖ ꯂꯥꯀꯄꯒꯤ ꯔꯤꯁ꯭ꯛ ꯍꯟꯊꯍꯅꯒꯅꯤ꯫
• ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯕꯥ ꯑꯃꯁꯨꯡ ꯃꯤꯠ ꯎꯗꯕꯥ ꯌꯥꯕꯥ ꯃꯆꯤ ꯑꯣꯏꯕꯥ ꯆꯤꯟꯖꯥꯀꯁꯤꯡ ꯁꯤꯖꯤꯟꯅꯔꯣꯏꯗꯕꯅꯤ꯫
• ꯃꯁꯥꯃꯀꯄꯨ ꯖꯔꯃꯁꯤꯡꯗꯒꯤ ꯉꯥꯀꯊꯣꯛꯅꯕꯥ ꯈꯣꯡꯊꯥꯡꯁꯤꯡ ꯂꯧꯈꯠꯀꯗꯕꯅꯤ꯫ (ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯍꯦꯟꯅꯥ ꯈꯪꯍꯜꯂꯛꯀꯅꯤ꯫)

ꯑꯩꯅꯥ ꯀꯗꯥꯌꯗꯥ ꯗꯣꯛꯇꯔꯒꯥ ꯎꯅꯒꯗꯒꯦ?

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯑꯍꯣꯡꯕꯥ ꯑꯃꯥ ꯂꯥꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯃꯔꯨꯑꯣꯏꯅꯥ ꯏꯅꯐꯦꯛꯁꯅꯒꯤ ꯈꯨꯗꯃꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯂꯥꯏꯍꯧ (100.4 Fahrenheit / 38 ꯁꯦꯂꯁꯤꯌꯁ ꯅꯠꯠꯔꯒꯥ ꯃꯁꯤꯗꯒꯤ ꯍꯦꯅꯕꯥ) ꯂꯩꯔꯕꯗꯤ ꯈꯨꯗꯛꯇꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯈꯪꯍꯅꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫ ꯅꯍꯥꯛꯅꯥ ꯏꯝꯝꯌꯨꯅꯣꯁꯞꯔꯦꯁꯦꯟꯇꯁꯤꯡ ꯂꯧꯕꯥ ꯃꯇꯃꯗꯥ, ꯅꯍꯥꯛꯅꯥ ꯄꯨꯟꯁꯤꯗꯥ ꯈꯨꯗꯣꯡꯊꯤꯕꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯕꯥ ꯏꯅꯐꯦꯛꯁꯅꯁꯤꯡ ꯂꯥꯀꯄꯒꯤ ꯔꯤꯁ꯭ꯛ ꯍꯦꯅꯒꯠꯂꯀꯏ꯫

ꯑꯦꯂꯣꯖꯦꯅꯤꯛ ꯁ꯭ꯇꯦꯝ ꯁꯦꯜ ꯇ꯭ꯔꯥꯟꯁꯞꯂꯥꯟꯇ ꯇꯧꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯒ꯭ꯔꯥꯐꯠ ꯕꯅꯥꯝ ꯍꯣꯁ꯭ꯠ ꯗꯤꯖꯤꯖ (GvHD)ꯒꯨꯝꯕꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡꯒꯤꯗꯃꯛ ꯅꯤꯡꯊꯤꯅꯥ ꯌꯦꯡꯁꯤꯅꯒꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯦꯛꯌꯨꯠ ꯅꯠꯠꯔꯒꯥ ꯀ꯭ꯔꯣꯅꯤꯛ GvHDꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯂꯩꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯤꯗꯥꯛ ꯑꯗꯨ ꯍꯣꯡꯗꯣꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯅꯧꯕꯥ ꯍꯤꯗꯥꯛ ꯑꯃꯥ ꯄꯤꯕꯥ ꯌꯥꯏ꯫ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛ ꯄꯨꯝꯅꯃꯛ ꯄ꯭ꯔꯦꯁ꯭ꯛꯔꯥꯏꯕ ꯇꯧꯔꯕꯥ ꯃꯇꯨꯡꯏꯟꯅꯥ ꯆꯥꯒꯗꯕꯅꯤ꯫ ꯅꯍꯥꯛꯀꯤ ꯏꯁꯥꯕꯨ ꯀꯔꯝꯅꯥ ꯌꯦꯡꯁꯤꯅꯕꯤꯒꯗꯒꯦ ꯍꯥꯌꯕꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯤ ꯏꯅꯁ꯭ꯠꯔꯛꯁꯅꯁꯤꯡ ꯑꯗꯨ ꯏꯅꯒꯗꯕꯅꯤ, ꯃꯔꯨꯑꯣꯏꯅꯥ ꯏꯅꯐꯦꯛꯁꯅꯁꯤꯡꯗꯒꯤ ꯀꯔꯝꯅꯥ ꯉꯥꯀꯊꯣꯛꯀꯗꯒꯦ ꯍꯥꯌꯕꯒꯤ ꯃꯇꯥꯡꯗꯥ꯫

ꯊꯣꯏꯗꯣꯛꯅꯥ ꯅꯤꯡꯁꯤꯡꯒꯗꯕꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯋꯥꯐꯃꯁꯤꯡ!

ꯑꯣꯀꯦ, ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯒ꯭ꯔꯥꯐꯠ ꯕꯅꯥꯝ ꯍꯣꯁ꯭ꯠ ꯗꯤꯖꯤꯖ, ꯅꯠꯠꯔꯒꯥ GvHD ꯑꯁꯤ ꯑꯇꯣꯞꯄꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯗꯒꯤ ꯁ꯭ꯇꯦꯝ ꯁꯦꯜ ꯇ꯭ꯔꯥꯟꯁꯞꯂꯥꯟꯇ ꯇꯧꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯕꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯟ ꯑꯃꯅꯤ꯫ ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯃꯁꯤ ꯗꯣꯅꯔ ꯁꯦꯂꯁꯤꯡꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯏꯁꯥꯒꯤ ꯁꯦꯂꯁꯤꯡꯗꯥ ꯑꯦꯇꯦꯛ ꯇꯧꯕꯥ ꯃꯇꯃꯗꯥ ꯑꯣꯏ꯫

ꯅꯤꯡꯁꯤꯡꯕꯤꯌꯨ, GvHDꯒꯤ ꯂꯥꯏꯌꯦꯡꯁꯤꯡ ꯂꯩ, ꯑꯃꯁꯨꯡ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯃꯦꯅꯦꯖ ꯇꯧꯕꯥ ꯌꯥꯏ꯫ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯋꯥꯐꯃꯗꯤ ꯅꯍꯥꯛꯀꯤ ꯃꯦꯗꯤꯀꯦꯜ ꯇꯤꯃꯒꯤ ꯏꯅꯁ꯭ꯠꯔꯛꯁꯅꯁꯤꯡ ꯑꯗꯨ ꯆꯦꯀꯁꯤꯟꯅꯥ ꯏꯅꯒꯗꯕꯅꯤ ꯑꯃꯁꯨꯡ ꯑꯅꯧꯕꯥ ꯂꯥꯏꯑꯣꯡ ꯑꯃꯍꯦꯛꯇꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯌꯥꯔꯤꯕꯃꯈꯩ ꯊꯨꯅꯥ ꯈꯪꯍꯅꯕꯅꯤ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯑꯍꯦꯅꯕꯥ ꯋꯥꯍꯪꯁꯤꯡ ꯂꯩꯔꯕꯗꯤ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯍꯪꯕꯗꯥ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯂꯩꯔꯣꯏꯗꯕꯅꯤ꯫ ꯃꯈꯣꯌꯅꯥ ꯑꯗꯣꯃꯗꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯕꯥ ꯉꯃꯒꯅꯤ꯫

` ꯖꯤ.ꯚꯤ.ꯑꯩꯆ.ꯗꯤ., ꯁ꯭ꯇꯦꯝ ꯁꯦꯜ ꯇ꯭ꯔꯥꯟꯁꯞꯂꯥꯟꯇ, ꯑꯦꯂꯣꯖꯦꯅꯤꯛ ꯇ꯭ꯔꯥꯟꯁꯞꯂꯥꯟꯇ, ꯏꯝꯝꯌꯨꯟ ꯁꯤꯁ꯭ꯇꯦꯝ, ꯑꯩꯆ.ꯑꯦꯜ.ꯑꯦ., ꯗꯣꯅꯔ ꯁꯦꯂꯁꯤꯡ, ꯂꯥꯏꯑꯣꯡꯁꯤꯡ꯫