ꯈꯣꯡꯗꯥ ꯂꯪꯂꯥ ꯑꯃꯒꯨꯝ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯃꯠꯇꯥ ꯂꯩꯕ꯭ꯔꯥ? (ꯑꯦꯕꯗꯣꯃꯤꯅꯦꯜ ꯃꯥꯁ) ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯁꯤ!

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯄꯤꯀꯄꯥ ꯄꯣꯠꯁꯛ ꯑꯃꯒꯨꯝꯅꯥ ꯑꯆꯝꯕꯥ ꯄꯣꯠꯁꯛ ꯑꯃꯥ ꯐꯥꯎꯕꯥ ꯌꯥꯏ꯫ ꯅꯠꯠꯔꯒꯥ ꯗꯣꯛꯇꯔ ꯑꯃꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯌꯦꯡꯁꯤꯅꯕꯥ ꯃꯇꯃꯗꯥ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯋꯥꯐꯝ ꯑꯃꯥ ꯎꯕꯥ ꯌꯥꯏ꯫ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯋꯥꯐꯝ ꯑꯃꯥ ꯇꯥꯕꯥ ꯃꯇꯃꯗꯥ ꯈꯔꯥ ꯂꯥꯡꯇꯛꯅꯕꯥ ꯐꯥꯑꯣꯕꯁꯤ ꯅꯣꯔꯃꯦꯂꯅꯤ, ꯅꯠꯇꯦ? ꯑꯗꯨꯕꯨ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯂꯩꯔꯣꯏꯗꯕꯅꯤ, ꯃꯔꯃꯗꯤ ꯈꯣꯡꯗꯥ ꯂꯩꯔꯤꯕꯥ ꯂꯝ ꯄꯨꯝꯅꯃꯛ ꯑꯁꯤ ꯈꯨꯗꯣꯡꯊꯤꯅꯤꯉꯥꯏ ꯑꯣꯏꯗꯦ꯫ ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯍꯦꯟꯅꯥ ꯃꯌꯦꯛ ꯁꯦꯡꯅꯥ ꯋꯥꯔꯤ ꯁꯥꯁꯤ꯫

ꯑꯦꯕꯗꯣꯃꯤꯅꯦꯜ ꯃꯥꯁ ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ?

ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ‘ꯑꯦꯕꯗꯣꯃꯤꯅꯦꯜ ꯃꯥꯁ’ ꯍꯥꯌꯕꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯑꯦꯕꯗꯣꯃꯤꯅꯦꯜ ꯀꯦꯚꯤꯇꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ, ꯍꯥꯌꯕꯗꯤ ꯅꯍꯥꯛꯀꯤ ꯑꯦꯕꯗꯣꯃꯤꯅꯦꯜ ꯀꯦꯚꯤꯇꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯁꯦꯝꯕꯥ ꯑꯦꯕꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯕꯥ ꯒ꯭ꯔꯣꯊ ꯅꯠꯠꯔꯒꯥ ꯂꯝ ꯑꯃꯅꯤ꯫ ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯃꯑꯣꯡ ꯀꯌꯥꯗꯥ ꯂꯥꯀꯄꯥ ꯌꯥꯏ꯫ ꯈꯔꯗꯤ ꯁꯤꯁ꯭ꯠ ꯈꯛꯇꯅꯤ, ꯑꯗꯨꯒꯥ ꯑꯇꯩ ꯈꯔꯗꯤ ꯀꯦꯟꯁꯔꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯇꯤꯎꯃꯔꯅꯤ꯫ ꯑꯇꯣꯞꯄꯥ ꯂꯥꯌꯅꯥꯁꯤꯡꯅꯁꯨ ꯂꯪꯁꯁꯤꯡ ꯑꯁꯤ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫

ꯃꯔꯨꯑꯣꯏꯕꯥ ꯋꯥꯐꯃꯗꯤ ꯁ꯭ꯇꯣꯃꯥꯛ ꯇꯤꯎꯃꯔ ꯄꯨꯝꯅꯃꯛ ꯈꯨꯗꯣꯡꯊꯤꯅꯤꯉꯥꯏ ꯑꯣꯏꯗꯦ . ꯈꯔꯗꯤ ꯈꯨꯗꯣꯡꯊꯤꯅꯤꯉꯥꯏ ꯑꯣꯏꯗꯦ ꯑꯃꯁꯨꯡ ꯁꯨꯞꯅꯒꯤ ꯍꯦꯅꯒꯠꯂꯀꯏ (benign)꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯈꯔꯗꯤ ꯄꯨꯟꯁꯤꯗꯥ ꯈꯨꯗꯣꯡꯊꯤꯕꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯂꯝ ꯅꯠꯠꯔꯒꯥ ꯇꯤꯎꯃꯔ ꯑꯃꯥ ꯂꯩꯔꯦ ꯍꯥꯌꯅꯥ ꯈꯜꯂꯕꯗꯤ, ꯃꯗꯨ ꯀꯔꯤꯅꯣ ꯍꯥꯌꯕꯗꯨ ꯆꯨꯝꯅꯥ ꯈꯪꯗꯣꯛꯅꯕꯥ ꯗꯣꯛꯇꯔ ꯑꯃꯗꯥ ꯎꯠꯄꯥ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫

ꯍꯥꯌꯔꯤꯕꯥ ꯇꯤꯎꯃꯔꯁꯤꯡ ꯑꯁꯤ ꯈꯣꯡꯒꯤ ꯃꯐꯝ ꯑꯃꯍꯦꯛꯇꯗꯥ ꯂꯥꯀꯄꯥ ꯌꯥꯏ꯫ ꯈꯨꯗꯝ ꯑꯣꯏꯅ:

• ꯈꯣꯡꯒꯤ ꯃꯊꯛꯀꯤ ꯑꯔꯣꯏꯕꯥ ꯁꯔꯨꯛ ꯑꯗꯨꯗꯥ꯫
• ꯈꯣꯡꯒꯤ ꯃꯈꯥ ꯊꯪꯕꯥ ꯁꯔꯨꯛꯇꯥ꯫
• ꯈꯣꯡꯒꯤ ꯃꯊꯛꯀꯤ ꯂꯦꯃꯍꯧꯔꯤꯕꯥ ꯁꯔꯨꯛ ꯑꯗꯨꯗꯥ꯫
• ꯁ꯭ꯇꯣꯃꯥꯀꯀꯤ ꯃꯈꯥ ꯊꯪꯕꯥ ꯂꯦꯃꯍꯧꯔꯤꯕꯥ ꯁꯔꯨꯛ ꯑꯗꯨꯗꯥ꯫
• ꯔꯤꯕ ꯀꯦꯖꯒꯤ ꯃꯈꯥꯗꯥ, ꯁ꯭ꯇꯣꯃꯥꯀꯀꯤ ꯃꯔꯛꯇꯥ (epigastric region)꯫
• ꯅꯥꯀꯣꯡꯒꯤ ꯑꯀꯣꯌꯕꯗꯥ ꯂꯩꯕꯥ ꯃꯐꯝ (periumbilical region)ꯗꯥ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯃꯁꯤ ꯁ꯭ꯇꯣꯃꯥꯀꯀꯤ ꯃꯄꯥꯟꯊꯪꯕꯥ ꯋꯥꯜ (subcutaneous and muscle wall)ꯗꯥ ꯐꯥꯎꯕꯥ ꯁꯦꯝꯕꯥ ꯌꯥꯏ꯫

ꯈꯨꯗꯛꯀꯤ ꯑꯣꯏꯕ! ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯀꯣꯛꯇꯥ ꯅꯍꯥꯛꯀꯤ ꯊꯝꯃꯣꯌꯅꯥ ꯁꯣꯀꯄꯥ ꯌꯥꯕꯥ ꯄꯣꯠꯁꯛ ꯑꯃꯥ ꯂꯩꯔꯕꯗꯤ, ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯅꯥ ꯁꯣꯀꯄꯥ ꯂꯩꯔꯕꯗꯤ, ꯈꯨꯗꯛꯇꯥ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯂꯗꯥ ꯆꯠꯂꯨ . ꯃꯁꯤ ꯑꯦꯑꯣꯔꯇꯤꯛ ꯑꯦꯅꯤꯎꯔꯤꯖꯝ (aortic aneurysm) ꯑꯃꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ, ꯅꯍꯥꯛꯀꯤ ꯑꯆꯧꯕꯥ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯜ (aorta)ꯒꯤ ꯋꯥꯂꯗꯥ ꯄꯣꯃꯈꯠꯄꯥ (bulge) ꯑꯃꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯁꯤꯅꯥ ꯁꯣꯀꯍꯜꯂꯕꯗꯤ, ꯃꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯏ ꯊꯣꯀꯄꯥ ꯌꯥꯏ ꯑꯃꯁꯨꯡ ꯄꯨꯟꯁꯤꯗꯥ ꯈꯨꯗꯣꯡꯊꯤꯕꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤ ꯏꯃꯔꯖꯦꯟꯁꯤ ꯑꯃꯅꯤ꯫

ꯁ꯭ꯇꯣꯃꯥꯛ ꯇꯤꯎꯃꯔ ꯑꯃꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?

ꯅꯍꯥꯛꯅꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯂꯥꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯂꯥꯀꯄꯥ ꯍꯥꯌꯕꯁꯤ ꯐꯦꯛꯇꯔ ꯀꯌꯥꯒꯤ ꯃꯈꯥ ꯄꯣꯜꯂꯤ꯫ ꯃꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯇꯤꯎꯃꯔ ꯑꯗꯨꯒꯤ ꯃꯔꯝ, ꯇꯤꯎꯃꯔ ꯑꯗꯨꯒꯤ ꯃꯈꯜ, ꯁꯥꯏꯖ ꯑꯃꯁꯨꯡ ꯃꯐꯝ ꯑꯗꯨ ꯌꯥꯎꯏ꯫ ꯑꯉꯀꯄꯥ ꯑꯣꯏꯅꯥ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯗꯣꯛꯇꯔ ꯑꯃꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯥꯏꯑꯣꯡ ꯑꯃꯠꯇꯥ ꯎꯠꯠꯔꯤꯉꯩ ꯃꯃꯥꯡꯗꯥ, ꯔꯨꯇꯤꯟ ꯆꯦꯀꯑꯞ ꯑꯃꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯈꯛꯇꯗꯥ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯇꯤꯎꯃꯔ ꯑꯃꯥ ꯊꯦꯡꯅꯕꯥ ꯌꯥꯏ꯫

ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯁ꯭ꯇꯣꯃꯥꯛ ꯇꯤꯎꯃꯔ ꯑꯃꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯑꯣꯏꯔꯕꯗꯤ, ꯃꯈꯣꯌꯗꯨꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯁꯤꯡꯁꯤ ꯌꯥꯎꯕꯥ ꯌꯥꯏ:

• ꯑꯦꯕꯗꯣꯃꯤꯅꯦꯜ ꯄꯦꯏꯟ (abdominal pain) ꯂꯩꯕꯥ꯫
• ꯌꯨꯔꯤꯅꯗꯥ ꯏ ꯊꯣꯀꯄꯥ (ꯍꯦꯃꯆꯨꯔꯤꯌꯥ)꯫
• ꯈꯣꯉ ꯍꯥꯝꯕ ꯌꯥꯗꯕ.
• ꯈꯣꯡ ꯍꯥꯝꯗꯕ.
• ꯈꯣꯝꯂꯥꯡꯗꯥ ꯃꯄꯨꯡꯐꯥꯕꯥ ꯑꯃꯁꯨꯡ ꯂꯨꯝꯕꯥ (heaviness) ꯐꯥꯎꯕꯥ꯫
• ꯂꯥꯏꯍꯧ ꯍꯧꯕ.
• ꯅꯣꯡꯃꯩ ꯀꯥꯞꯄꯥ ꯑꯃꯁꯨꯡ ꯈꯣꯡ ꯍꯥꯝꯕꯥ꯫
• ꯔꯦꯛꯇꯜ ꯕ꯭ꯂꯤꯗꯤꯡ ꯇꯧꯕꯥ꯫
• ꯇꯤꯎꯃꯔ ꯑꯗꯨꯒꯤ ꯃꯐꯝ ꯑꯗꯨꯗꯥ ꯁꯣꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯁꯣꯟꯊꯕꯥ꯫
• ꯃꯌꯦꯛ ꯁꯦꯡꯗꯕꯥ ꯑꯔꯨꯝꯕꯥ ꯍꯣꯡꯂꯀꯄꯥ (ꯃꯔꯝ ꯑꯃꯠꯇꯥ ꯂꯩꯇꯅꯥ ꯑꯔꯨꯝꯕꯥ ꯍꯟꯊꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ)꯫

ꯁ꯭ꯇꯣꯃꯥꯛ ꯑꯂꯁꯔꯒꯤ ꯃꯔꯃꯁꯤꯡ ꯀꯔꯤꯅꯣ?

ꯃꯈꯜ ꯀꯌꯥꯒꯤ ꯍꯀꯁꯦꯂꯒꯤ ꯐꯤꯚꯃꯁꯤꯡꯅꯥ ꯁ꯭ꯇꯣꯃꯥꯛ ꯑꯂꯁꯔ ꯊꯣꯀꯍꯅꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯕꯥ ꯌꯥꯏ꯫ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯔꯃꯁꯤꯡ ꯑꯗꯨ ꯌꯦꯡꯁꯤ꯫

ꯁꯤꯁ꯭ꯇꯦꯃꯒꯤ ꯃꯈꯂꯁꯤꯡ꯫

ꯁꯤꯁ꯭ꯇꯦꯃꯁꯤꯡ ꯑꯁꯤ ꯐ꯭ꯂꯨꯏꯗ ꯅꯠꯠꯔꯒꯥ ꯄꯨꯁꯅꯥ ꯊꯜꯂꯕꯥ ꯁꯦꯀꯁꯤꯡꯅꯤ꯫ ꯃꯈꯣꯌ ꯑꯁꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯃꯐꯝ ꯑꯃꯍꯦꯛꯇꯗꯥ ꯁꯦꯝꯕꯥ ꯌꯥꯏ꯫ ꯁꯤꯁ꯭ꯇꯁꯤꯡ ꯑꯁꯤ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯁꯤꯡꯁꯤꯒꯨꯝꯅꯥ ꯎꯕꯥ ꯐꯪꯏ:

• ꯑꯣꯚꯔꯑꯣꯜ ꯁꯤꯁ꯭ꯠ (Ovarian cysts) - (Ovarian cysts) ꯍꯥꯌꯕꯁꯤ ꯅꯨꯄꯤꯁꯤꯡꯒꯤ ꯑꯣꯚꯔꯋꯦꯠ (Ovarian cysts)ꯗꯥ ꯊꯣꯀꯄꯥ ꯁꯤꯁ꯭ꯇꯦꯃꯁꯤꯡꯅꯤ꯫
• ꯄꯦꯅꯛꯔꯤꯑꯦꯇꯤꯛ ꯁꯤꯁ꯭ꯇꯦꯃꯁꯤꯡ꯫
• ꯄꯦꯅꯛꯔꯤꯑꯦꯇꯤꯛ ꯁ꯭ꯌꯨꯗꯣꯁꯤꯁ꯭ꯇꯁꯤꯡ - ꯃꯁꯤ ꯑꯆꯨꯝꯕꯥ ꯁꯤꯁ꯭ꯇꯦꯃꯁꯤꯡ ꯅꯠꯇꯦ, ꯑꯗꯨꯕꯨ ꯄꯦꯅꯛꯔꯤꯑꯦꯖꯗꯥ ꯐ꯭ꯂꯨꯏꯗ ꯌꯥꯎꯔꯀꯄꯅꯥ ꯁꯦꯝꯕꯅꯤ꯫
• ꯄꯦꯔꯤꯇꯣꯅꯤꯑꯦꯜ ꯏꯅꯛꯂꯨꯖꯟ - ꯄꯦꯔꯤꯇꯣꯅꯤꯌꯝ ꯍꯥꯌꯕꯁꯤ ꯑꯦꯕꯗꯣꯃꯤꯅꯦꯜ ꯀꯦꯚꯤꯇꯤꯗꯥ ꯂꯥꯏꯟ ꯇꯧꯕꯥ ꯃꯦꯝꯕ꯭ꯔꯦꯟ ꯑꯗꯨꯅꯤ꯫ ꯃꯐꯝ ꯑꯁꯤꯗꯥ ꯁꯦꯝꯕꯥ ꯁꯤꯁ꯭ꯇꯦꯃꯁꯤꯡ꯫
• ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯁꯦꯔꯣꯃꯥ (ꯐ꯭ꯂꯨꯏꯗ ꯑꯦꯛꯌꯨꯃꯨꯂꯦꯁꯟ)꯫

ꯂꯥꯏꯔꯦꯜ ꯁꯖꯤꯛ

ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯋꯥꯐꯝ ꯑꯃꯅꯥ, ꯁ꯭ꯇꯣꯃꯥꯛ ꯇꯤꯎꯃꯔ ꯈꯔꯗꯤ ꯀꯦꯟꯁꯔ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯀꯦꯟꯁꯔ ꯃꯈꯜ ꯈꯔꯗꯤ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤ:

• ꯀꯣꯂꯣꯟ ꯀꯦꯟꯁꯔ꯫
• ꯑꯦꯟꯗꯣꯃꯦꯠꯔꯤꯌꯥꯜ ꯀꯦꯟꯁꯔ꯫
• ꯒꯥꯂꯕ꯭ꯂꯦꯗꯔꯒꯤ ꯀꯦꯟꯁꯔ꯫
• ꯀꯤꯗꯅꯤꯒꯤ ꯀꯦꯟꯁꯔ꯫
• ꯂꯤꯚꯔ ꯀꯦꯟꯁꯔ꯫
• ꯅꯔꯚꯁ ꯁꯤꯁ꯭ꯇꯦꯃꯒꯤ ꯀꯦꯟꯁꯔ (Neuroblastoma) - ꯃꯔꯨꯑꯣꯏꯅꯥ ꯅꯍꯥ ꯑꯣꯏꯔꯤꯕꯥ ꯑꯉꯥꯡꯁꯤꯡꯗꯥ ꯎꯕꯥ ꯐꯪꯏ꯫
• ꯁ꯭ꯇꯣꯃꯥꯛ ꯀꯦꯟꯁꯔ ꯂꯩꯕꯥ꯫
• ꯏꯎꯇꯦꯔꯥꯏꯟ ꯁꯥꯔꯀꯣꯃꯥ꯫
• ꯗꯥꯏꯖꯦꯁ꯭ꯇꯤꯚ ꯇ꯭ꯔꯦꯛꯇ (Gastrointestinal stromal tumor - GIST)ꯗꯥ ꯊꯣꯀꯄꯥ ꯑꯈꯟꯅꯕꯥ ꯀꯦꯟꯁꯔ ꯃꯈꯜ ꯑꯃꯅꯤ꯫

ꯑꯇꯣꯞꯄꯥ ꯃꯦꯗꯤꯀꯦꯜ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ꯫

ꯀꯦꯟꯁꯔ ꯑꯃꯁꯨꯡ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯁꯤꯁ꯭ꯇꯦꯃꯁꯤꯡꯒꯤ ꯃꯊꯛꯇꯥ, ꯁ꯭ꯇꯣꯃꯥꯛ ꯇꯤꯎꯃꯔꯁꯤꯡ ꯑꯁꯤ ꯑꯇꯩ ꯃꯈꯜ ꯀꯌꯥꯒꯤ ꯃꯦꯗꯤꯀꯦꯜ ꯀꯟꯗꯤꯁꯅꯁꯤꯡꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯈꯨꯗꯝ ꯈꯔꯗꯤ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤ:

• ꯑꯦꯕꯗꯣꯃꯤꯅꯦꯜ ꯑꯦꯑꯣꯔꯇꯤꯛ ꯑꯦꯅꯤꯎꯔꯤꯖꯝ - ꯑꯩꯈꯣꯌꯅꯥ ꯃꯃꯥꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯈꯤꯕꯥ ꯏꯃꯔꯖꯦꯟꯁꯤ ꯑꯗꯨ꯫
• ꯀ꯭ꯔꯣꯅꯤꯛ ꯂꯥꯌꯅꯥ - ꯗꯥꯏꯖꯦꯁ꯭ꯇꯤꯚ ꯇ꯭ꯔꯦꯛꯇꯀꯤ ꯀ꯭ꯔꯣꯅꯤꯛ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯇꯔꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫
• ꯗꯤꯚꯥꯔꯇꯤꯀꯨꯂꯥꯏꯇꯤꯁ - ꯑꯆꯧꯕꯥ ꯏꯟꯇꯦꯁ꯭ꯇꯥꯏꯅꯗꯥ ꯂꯩꯕꯥ ꯑꯄꯤꯀꯄꯥ ꯄꯥꯎꯆꯦꯁꯤꯡꯗꯥ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯁꯟ ꯂꯩꯕꯥ꯫
• ꯂꯤꯚꯔ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ (Hepatomegaly)꯫
• ꯁ꯭ꯞꯂꯤꯟ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ꯫
• ꯒꯥꯂꯕ꯭ꯂꯦꯗꯔꯒꯤ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯁꯟ (Colecystitis)꯫
• ꯍꯥꯌꯗ꯭ꯔꯣꯅꯦꯐ꯭ꯔꯣꯁꯤꯁ (ꯌꯨꯔꯤꯅꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯀꯤꯗꯅꯤꯁꯤꯡ ꯁꯣꯀꯄꯥ)꯫
• ꯏꯎꯇꯦꯔꯥꯏꯟ ꯐꯥꯏꯕ꯭ꯔꯣꯏꯗꯁꯤꯡ - ꯃꯍꯧꯁꯥꯅꯥ ꯃꯁꯤ ꯀꯦꯟꯁꯔ ꯑꯣꯏꯗꯦ꯫

ꯁ꯭ꯇꯣꯃꯥꯛ ꯇꯤꯎꯃꯔ ꯑꯃꯒꯤ ꯑꯣꯏꯊꯣꯀꯄꯥ ꯌꯥꯕꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?

ꯈꯣꯡꯗꯥ ꯂꯩꯕꯥ ꯇꯤꯎꯃꯔ ꯑꯃꯅꯥ ꯃꯗꯨꯒꯤ ꯑꯀꯣꯌꯕꯗꯥ ꯂꯩꯕꯥ ꯑꯇꯩ ꯑꯣꯔꯒꯥꯅꯁꯤꯡꯗꯥ ꯄ꯭ꯔꯦꯁꯔ ꯄꯤꯕꯥ ꯌꯥꯏ, ꯃꯗꯨꯅꯥ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ ꯊꯣꯀꯍꯜꯂꯤ ꯃꯗꯨꯗꯤ:

• ꯑꯅꯥꯕ.
• ꯄꯣꯝꯈꯠꯄ.
• ꯕ꯭ꯂꯣꯛ ꯇꯧꯕꯥ꯫
• ꯆꯤꯟꯖꯥꯛ ꯑꯁꯤ ꯃꯆꯤ ꯑꯣꯏꯗꯦ꯫

ꯃꯁꯤꯒꯤ ꯃꯊꯛꯇꯥ, ꯇꯤꯎꯃꯔ ꯑꯗꯨꯒꯤ ꯃꯈꯥ ꯄꯣꯜꯂꯤꯕꯥ ꯃꯔꯝ ꯑꯗꯨꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ ꯑꯇꯩ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡꯁꯨ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯀ꯭ꯔꯣꯅꯤꯛ ꯂꯥꯌꯅꯥꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯇꯤꯎꯃꯔ ꯑꯃꯅꯥ ꯏꯟꯇꯦꯁ꯭ꯇꯥꯏꯅꯒꯤ ꯕ꯭ꯂꯣꯀꯦꯖ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯏꯎꯇꯦꯔꯥꯏꯟ ꯐꯥꯏꯕ꯭ꯔꯣꯏꯗꯁꯤꯡꯅꯥ ꯑꯦꯕꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯕꯥ ꯏꯎꯇꯦꯔꯥꯏꯟ ꯕ꯭ꯂꯤꯗꯤꯡ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫

ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯇꯤꯎꯃꯔ ꯑꯃꯥ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯀꯔꯝꯅꯥ ꯈꯪꯒꯅꯤ?

ꯅꯍꯥꯛꯅꯥ ꯗꯣꯛꯇꯔ ꯑꯃꯗꯥ ꯆꯠꯄꯥ ꯃꯇꯃꯗꯥ, ꯃꯍꯥꯛꯅꯥ ꯑꯍꯥꯅꯕꯗꯥ ꯐꯤꯖꯤꯀꯦꯜ ꯑꯦꯀꯖꯥꯃꯤꯅꯦꯁꯟ ꯑꯃꯥ ꯇꯧꯒꯅꯤ꯫ ꯃꯍꯥꯛꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯧꯈꯤꯕꯥ ꯑꯅꯥꯕꯁꯤꯡ, ꯅꯍꯥꯛꯀꯤ ꯏꯃꯨꯡ-ꯃꯅꯨꯡꯒꯤ ꯑꯅꯥꯕꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯍꯧꯖꯤꯛ ꯂꯩꯔꯤꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡꯒꯤ ꯃꯔꯃꯗꯥ ꯍꯪꯒꯅꯤ꯫

ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ, ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯐꯃꯨꯡ ꯑꯃꯗꯥ ꯂꯦꯡꯗꯅꯥ ꯂꯩꯍꯜꯂꯛꯀꯅꯤ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡ ꯑꯗꯨ ꯄꯦꯂꯄꯦꯠ ꯇꯧꯒꯅꯤ꯫ ꯃꯁꯤꯅꯥ ꯃꯍꯥꯀꯄꯨ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯃꯐꯝ ꯑꯃꯍꯦꯛꯇꯗꯥ ꯂꯪꯁ ꯑꯃꯥ ꯂꯩꯕ꯭ꯔꯥ, ꯑꯣꯔꯒꯥꯟ ꯑꯃꯍꯦꯛꯇꯅꯥ ꯁꯣꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯗꯨ ꯁꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯁꯣꯀꯄꯥ ꯌꯥꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯒꯅꯤ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯁꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯃꯁꯤꯒꯤ ꯃꯥꯁ ꯑꯁꯤ ꯐꯥꯎꯕꯥ ꯉꯝꯂꯕꯗꯤ, ꯑꯩꯈꯣꯌꯅꯥ ꯃꯁꯤꯕꯨ ‘ꯄꯥꯂꯄꯦꯕꯜ ꯑꯦꯕꯗꯣꯃꯤꯅꯦꯜ ꯃꯥꯁ’ ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ ‘ꯄꯥꯂꯄꯦꯕꯜ’ ꯍꯥꯌꯕꯁꯤꯅꯥ ꯃꯗꯨ ꯐꯥꯎꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯁꯣꯀꯄꯥ ꯌꯥꯏ ꯍꯥꯌꯕꯁꯤꯅꯤ꯫

ꯁ꯭ꯇꯣꯃꯥꯛ ꯇꯤꯎꯃꯔꯁꯤꯡ ꯈꯪꯗꯣꯛꯅꯕꯥ ꯇꯦꯁ꯭ꯠ ꯇꯧꯕꯥ꯫

ꯐꯤꯖꯤꯀꯦꯜ ꯑꯦꯀꯖꯥꯃꯤꯅꯦꯁꯅꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯗꯣꯛꯇꯔ ꯑꯗꯨꯅꯥ ꯍꯦꯟꯅꯥ ꯈꯪꯅꯕꯒꯤꯗꯃꯛ ꯑꯍꯦꯅꯕꯥ ꯇꯦꯁ꯭ꯠ ꯈꯔꯥ ꯄꯥꯡꯊꯣꯀꯄꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯏ꯫ ꯍꯥꯌꯔꯤꯕꯥ ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯌꯥꯑꯣꯔꯤ:

• ꯑꯦꯟꯖꯤꯑꯣꯒ꯭ꯔꯥꯝ - ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯂꯁꯤꯡꯗꯥ ꯑꯥꯔꯇꯦꯔꯤꯁꯤꯡꯗꯥ ꯕ꯭ꯂꯣꯀꯦꯖ ꯑꯃꯥ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯁꯤꯜꯂꯤ꯫
• ꯕ꯭ꯂꯗ ꯇꯦꯁ꯭ꯠ - ꯍꯣꯔꯃꯣꯅꯒꯤ ꯆꯥꯡ ꯌꯦꯡꯁꯤꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯍꯀꯆꯥꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯏꯅꯐꯦꯛꯁꯅꯁꯤꯡ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯁꯤꯅꯕꯥ꯫
• ꯀꯣꯂꯣꯅꯣꯁ꯭ꯀꯣꯄꯤ ꯅꯠꯠꯔꯒꯥ ꯑꯋꯥꯡ-ꯅꯣꯡꯄꯣꯛ ꯑꯦꯟꯗꯣꯁ꯭ꯀꯣꯄꯤ - ꯗꯥꯏꯖꯦꯁ꯭ꯇꯤꯚ ꯇ꯭ꯔꯦꯛꯇꯀꯤ ꯃꯅꯨꯡꯗꯥ ꯌꯦꯡꯅꯕꯒꯤꯗꯃꯛ ꯀꯦꯃꯦꯔꯥ ꯑꯃꯥ ꯌꯥꯎꯕꯥ ꯇꯤꯎꯕ ꯑꯃꯥ ꯊꯥꯏ꯫
• ꯏꯃꯦꯖꯤꯡ ꯇꯦꯁ꯭ꯇꯁꯤꯡ - ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯑꯦꯕꯗꯣꯃꯤꯅꯦꯜ ꯑꯦꯛꯁ-ꯔꯦ, ꯁꯤ.ꯇꯤ.ꯁ꯭ꯀꯦꯟ (ꯀꯝꯞꯌꯨꯇꯦꯠ ꯇꯣꯃꯣꯒ꯭ꯔꯥꯐꯤ ꯁ꯭ꯀꯦꯟ) ꯅꯠꯠꯔꯒꯥ ꯑꯦꯝ.ꯑꯥꯔ.ꯑꯥꯏ.
• ꯇ꯭ꯔꯥꯟꯁꯚꯦꯖꯤꯅꯦꯜ ꯑꯂꯠꯔꯥꯁꯥꯎꯟꯗ - ꯅꯨꯄꯤꯁꯤꯡꯒꯤ ꯏꯎꯇꯦꯔꯥꯁꯇꯥ ꯇꯤꯎꯃꯔꯁꯤꯡ ꯌꯦꯡꯁꯤꯟꯅꯕꯥ ꯚꯦꯖꯤꯅꯦꯂꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯄꯥꯡꯊꯣꯀꯄꯥ ꯑꯂꯠꯔꯥꯁꯥꯎꯟꯗ ꯇꯦꯁ꯭ꯠ ꯑꯃꯅꯤ꯫
• ꯌꯨꯔꯤꯅꯂꯥꯏꯁꯤꯁ - ꯌꯨꯔꯤꯅꯔꯤ ꯁꯤꯁ꯭ꯇꯦꯃꯗꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯆꯦꯛ ꯇꯧ꯫

ꯁ꯭ꯇꯣꯃꯥꯛ ꯇꯤꯎꯃꯔꯁꯤꯡꯒꯤ ꯂꯥꯏꯌꯦꯡꯁꯤꯡ ꯀꯔꯤꯅꯣ?

ꯁ꯭ꯇꯣꯃꯥꯛ ꯇꯤꯎꯃꯔ ꯑꯃꯒꯤ ꯂꯥꯏꯌꯦꯡ ꯑꯁꯤ ꯇꯤꯎꯃꯔ ꯑꯗꯨꯒꯤ ꯃꯈꯥ ꯄꯣꯜꯂꯤꯕꯥ ꯃꯔꯝ ꯑꯗꯨꯒꯤ ꯃꯈꯥ ꯄꯣꯜꯂꯤ꯫ ꯗꯣꯛꯇꯔꯅꯥ ꯑꯟꯗꯔꯂꯥꯏꯟ ꯀꯟꯗꯤꯁꯟ ꯑꯗꯨ ꯂꯥꯏꯌꯦꯡꯅꯕꯥ ꯍꯣꯠꯅꯒꯅꯤ꯫

ꯁ꯭ꯇꯣꯃꯥꯛ ꯇꯤꯎꯃꯔ ꯑꯃꯒꯤ ꯂꯥꯏꯌꯦꯡꯒꯤ ꯑꯣꯄꯁꯅꯁꯤꯡꯗꯤ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯁꯤꯡꯁꯤ ꯌꯥꯎꯕꯥ ꯌꯥꯏ:

• ꯑꯟꯗꯔꯂꯥꯏꯟ ꯀꯟꯗꯤꯁꯟ ꯑꯗꯨ ꯂꯥꯏꯌꯦꯡꯅꯕꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ꯫
• ꯁ꯭ꯇꯣꯃꯥꯀꯇꯥ ꯂꯩꯕꯥ ꯇꯤꯎꯃꯔ ꯑꯃꯥ ꯂꯧꯊꯣꯛꯅꯕꯥ ꯁꯔꯖꯔꯤ ꯇꯧꯕꯥ꯫
• ꯇꯤꯎꯃꯔ ꯑꯗꯨ ꯍꯟꯊꯍꯟꯅꯕꯥ ꯀꯦꯃꯣꯊꯦꯔꯥꯄꯤ ꯅꯠꯠꯔꯒꯥ ꯔꯦꯗꯤꯑꯦꯁꯟ ꯊꯦꯔꯥꯄꯤ (ꯑꯌꯥꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯁꯔꯖꯔꯤꯒꯤ ꯃꯃꯥꯡꯗꯥ)꯫
• ꯂꯥꯏꯌꯦꯡ ꯑꯃꯠꯇꯥ ꯌꯥꯎꯗꯅꯥ, ꯇꯤꯎꯃꯔ ꯑꯗꯨ ꯃꯇꯃꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ ꯍꯣꯡꯂꯛꯂꯤꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯁꯤꯟꯅꯕꯥ ꯀꯨꯞꯅꯥ ꯌꯦꯡꯁꯤꯜꯂꯤ (Surveillance ꯅꯠꯠꯔꯒꯥ watchful waiting)꯫

ꯐꯤꯚꯝ ꯑꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯑꯩꯈꯣꯌꯅꯥ ꯀꯔꯤ ꯈꯅꯕꯥ ꯌꯥꯕꯒꯦ? (ꯑꯥꯎꯠꯂꯨꯛ) ꯑꯃꯁꯨꯡ ꯑꯦꯟ.

ꯅꯍꯥꯛꯀꯤ ꯑꯄꯨꯅꯕꯥ ꯐꯜ ꯑꯗꯨ ꯇꯤꯎꯃꯔ ꯑꯗꯨꯒꯤ ꯃꯔꯝ ꯑꯗꯨꯒꯤ ꯃꯈꯥ ꯄꯣꯜꯂꯤ꯫ ꯑꯀꯛꯅꯕꯥ ꯃꯈꯂꯒꯤ ꯁꯤꯁ꯭ꯇꯦꯃꯒꯨꯝꯕꯥ ꯁ꯭ꯇꯣꯃꯥꯛ ꯇꯤꯎꯃꯔ ꯈꯔꯗꯤ ꯂꯥꯏꯌꯦꯡ ꯑꯃꯠꯇꯥ ꯃꯊꯧ ꯇꯥꯗꯕꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯀꯦꯟꯁꯔꯒꯨꯝꯕꯥ ꯑꯇꯩ ꯁ꯭ꯇꯣꯃꯥꯛ ꯇꯤꯎꯃꯔꯁꯤꯡꯗꯤ ꯑꯈꯟꯅꯕꯥ ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯗꯥ ꯁꯔꯖꯔꯤ, ꯀꯦꯃꯣꯊꯦꯔꯥꯄꯤ ꯅꯠꯠꯔꯒꯥ ꯔꯦꯗꯤꯑꯦꯁꯟ ꯊꯦꯔꯥꯄꯤ ꯌꯥꯎꯕꯥ ꯌꯥꯏ꯫

ꯑꯁꯤꯒꯨꯝꯕꯥ ꯄꯥꯛ-ꯆꯥꯎꯔꯕꯥ ꯁ꯭ꯀꯤꯂꯁꯤꯡ ꯑꯁꯤꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯊꯥꯖꯕꯥ ꯊꯝꯃꯨ꯫ ꯃꯍꯥꯛꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯗꯨ ꯑꯆꯨꯝꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯈꯪꯗꯣꯀꯄꯥ ꯉꯃꯒꯅꯤ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤꯗꯃꯛꯇꯥ ꯆꯨꯅꯕꯥ ꯂꯥꯏꯌꯦꯡꯒꯤ ꯄ꯭ꯂꯥꯟ ꯑꯃꯥ ꯁꯦꯝꯕꯥ ꯉꯃꯒꯅꯤ꯫

ꯁ꯭ꯇꯣꯃꯥꯛ ꯑꯂꯁꯔꯁꯤꯡ ꯊꯤꯡꯕꯥ ꯉꯃꯒꯗ꯭ꯔꯥ?

ꯃꯇꯝ ꯄꯨꯝꯅꯃꯛꯇꯥ ꯁ꯭ꯇꯣꯃꯥꯛ ꯑꯂꯁꯔ ꯊꯤꯡꯕꯥ ꯉꯃꯗꯦ꯫ ꯃꯔꯃꯗꯤ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯑꯩꯈꯣꯌꯅꯥ ꯔꯤꯁ꯭ꯛ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯐꯥꯑꯣꯕꯥ ꯈꯉꯗꯦ꯫ ꯋꯥꯐꯝ ꯈꯔꯗꯤ ꯃꯔꯝ ꯑꯃꯠꯇꯥ ꯂꯩꯇꯅꯥ ꯊꯣꯀꯏ꯫

ꯅꯍꯥꯛꯅꯥ ꯇꯧꯕꯥ ꯌꯥꯕꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯥ ꯊꯕꯛ ꯑꯗꯨꯗꯤ ꯅꯍꯥꯛꯅꯥ ꯂꯩꯔꯤꯕꯥ ꯑꯟꯗꯔꯂꯥꯏꯟ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ ꯑꯗꯨ ꯂꯥꯏꯌꯦꯡꯕꯥ ꯑꯃꯁꯨꯡ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯅꯤ꯫ ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯆꯦꯀꯑꯞ ꯇꯧꯅꯕꯒꯤꯗꯃꯛ ꯗꯣꯛꯇꯔ ꯑꯃꯒꯥ ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯌꯦꯡꯁꯤꯅꯕꯁꯨ ꯃꯔꯨꯑꯣꯏ꯫

ꯑꯩꯅꯥ ꯀꯗꯥꯏꯗꯥ ꯗꯣꯛꯇꯔꯒꯥ ꯎꯅꯒꯗꯒꯦ?

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯁ꯭ꯇꯣꯃꯥꯛ ꯇꯤꯎꯃꯔꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ, ꯍꯥꯌꯕꯗꯤ ꯈꯣꯡꯗꯥ ꯁꯣꯀꯄꯥ, ꯃꯁꯥ ꯃꯊꯟꯇꯥ ꯑꯔꯨꯝꯕꯥ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ, ꯅꯠꯠꯔꯒꯥ ꯕꯣꯋꯦꯜ ꯍꯦꯕꯤꯇꯇꯥ ꯑꯍꯣꯡꯕꯥ ꯂꯥꯀꯄꯥ ꯑꯁꯤꯅꯆꯤꯡꯕꯥ ꯂꯩꯔꯕꯗꯤ, ꯈꯨꯗꯛꯇꯥ ꯗꯣꯛꯇꯔ ꯑꯃꯒꯥ ꯇꯥꯟꯅꯅꯕꯥ ꯑꯦꯄꯣꯏꯟꯇꯃꯦꯟꯇ ꯑꯃꯥ ꯂꯧꯕꯤꯌꯨ . ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ "ꯑꯆꯝꯕꯥ ꯃꯑꯣꯡꯗꯥ" ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯃꯥ ꯐꯥꯎꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯍꯥꯌꯌꯨ꯫ ꯃꯍꯥꯛꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯥ ꯊꯣꯀꯍꯅꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯈꯪꯗꯣꯛꯅꯕꯥ ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯄꯥꯡꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫

ꯅꯍꯥꯛꯅꯥ ꯀꯗꯥꯏꯗꯥ ꯏꯃꯔꯖꯦꯟꯁꯤ ꯇ꯭ꯔꯤꯇꯃꯦꯟꯇ ꯌꯨꯅꯤꯠ (ETU) ꯑꯃꯗꯥ ꯆꯠꯀꯗꯒꯦ ?

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯍꯦꯛꯇꯥ ꯂꯩꯔꯕꯗꯤ, 911 (ꯁ꯭ꯔꯤꯂꯉ꯭ꯀꯥꯗꯥ ꯂꯩꯕꯥ 1990 ꯁꯨꯋꯥꯁꯦꯔꯤꯌꯥ ꯑꯦꯝꯕꯨꯂꯦꯟꯁ ꯁꯔꯚꯤꯁ)ꯗꯥ ꯐꯣꯟ ꯇꯧꯕꯤꯌꯨ ꯅꯠꯠꯔꯒꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯅꯀꯄꯥ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯂꯒꯤ ꯏꯃꯔꯖꯦꯟꯁꯤ ꯔꯨꯃꯗꯥ ꯆꯠꯄꯤꯌꯨ:

• ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯈꯣꯡ ꯍꯥꯝꯕꯥ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯁ꯭ꯇꯣꯃꯥꯛ ꯑꯗꯨꯗꯥ ꯂꯩꯔꯤꯕꯥ ꯇꯤꯎꯃꯔ ꯑꯗꯨꯅꯥ ꯊꯝꯃꯣꯌ ꯁꯣꯛꯅ-ꯁꯝꯅꯕꯒꯨꯝꯅꯥ, ꯄꯂꯁ (pulsating) ꯑꯣꯏꯔꯕꯗꯤ꯫

ꯃꯁꯤ ꯈꯨꯗꯛꯇꯥ ꯃꯦꯗꯤꯀꯦꯜ ꯑꯦꯇꯦꯟꯁꯟ ꯃꯊꯧ ꯇꯥꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯆꯧꯕꯥ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯜ (aorta)ꯗꯥ ꯑꯦꯑꯣꯔꯇꯤꯛ ꯑꯦꯅꯤꯎꯔꯤꯖꯝ ꯑꯃꯥ ꯂꯩꯔꯦ ꯍꯥꯌꯕꯥ ꯇꯥꯀꯄꯥ ꯌꯥꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯈꯣꯡꯖꯦꯜ ꯑꯁꯤ ꯁꯣꯀꯍꯜꯂꯕꯗꯤ, ꯃꯁꯤꯅꯥ ꯄꯨꯟꯁꯤꯗꯥ ꯈꯨꯗꯣꯡꯊꯤꯕꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫

ꯗꯣꯛꯇꯔꯗꯥ ꯀꯔꯤ ꯋꯥꯍꯪ ꯍꯪꯒꯗꯒꯦ?

ꯅꯍꯥꯛꯅꯥ ꯁ꯭ꯇꯣꯃꯥꯛ ꯇꯤꯎꯃꯔ ꯑꯃꯥ ꯂꯩꯔꯦ ꯍꯥꯌꯕꯥ ꯈꯪꯂꯕꯥ ꯃꯇꯨꯡꯗꯥ, ꯅꯍꯥꯛꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯋꯥꯍꯪꯁꯤꯡ ꯑꯁꯤ ꯍꯪꯂꯀꯄꯥ ꯌꯥꯏ:

• ꯑꯩꯉꯣꯟꯗꯥ ꯀꯔꯤ ꯃꯈꯂꯒꯤ ꯇꯤꯎꯃꯔ ꯂꯩꯕꯒꯦ?
• ꯃꯁꯤ ꯀꯦꯟꯁꯔ ꯑꯣꯏꯕꯔꯥ? ꯅꯠꯔꯒꯥ ꯅꯟ-ꯀꯦꯟꯁꯔ ꯑꯣꯏꯕꯔꯥ?
• ꯑꯩꯅꯥ ꯀꯔꯤ ꯃꯈꯂꯒꯤ ꯂꯥꯏꯌꯦꯡ ꯃꯊꯧ ꯇꯥꯕꯒꯦ?
• ꯑꯩꯅꯥ ꯁꯔꯖꯔꯤ ꯇꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯕ꯭ꯔꯥ? ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯣꯏꯔꯒꯗꯤ ꯀꯌꯥꯗꯥ ꯊꯨꯅꯥ?
• ꯇꯤꯎꯃꯔ ꯑꯗꯨ ꯍꯟꯊꯍꯟꯅꯕꯥ ꯑꯩꯅꯥ ꯀꯦꯃꯣꯊꯦꯔꯥꯄꯤ ꯅꯠꯠꯔꯒꯥ ꯔꯦꯗꯤꯑꯦꯁꯟ ꯊꯦꯔꯥꯄꯤ ꯃꯊꯧ ꯇꯥꯕ꯭ꯔꯥ?
• ꯑꯩꯒꯤ ꯂꯥꯏꯌꯦꯡ ꯑꯁꯤ ꯀꯌꯥ ꯀꯨꯏꯅꯥ ꯆꯠꯀꯅꯤ?
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯩꯅꯥ ꯂꯥꯏꯌꯦꯡ ꯑꯃꯠꯇꯥ ꯐꯪꯗ꯭ꯔꯕꯗꯤ ꯀꯔꯤ ꯑꯣꯏꯒꯅꯤ?
• ꯑꯩꯒꯤ ꯗꯥꯏꯒ꯭ꯅꯣꯁꯤꯁ ꯑꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯑꯗꯣꯝꯅꯥ ꯀꯔꯤ ꯍꯥꯌꯕꯤꯔꯤꯕꯒꯦ?

"ꯃꯥꯁ" ꯑꯃꯁꯨꯡ "ꯗꯥꯏꯒ꯭ꯅꯣꯁꯤꯁ" ꯍꯥꯌꯕꯥ ꯋꯥꯍꯩꯁꯤꯡ ꯑꯁꯤ ꯄꯨꯟꯅꯥ ꯇꯥꯕꯗꯥ ꯁꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯑꯀꯤꯕꯥ ꯐꯥꯎꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯅꯣꯔꯃꯦꯂꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ "ꯀꯅꯥꯒꯨꯝꯕꯥ ꯃꯈꯂꯒꯤ ꯃꯥꯁꯅꯣ?", "ꯑꯩꯒꯤ ꯀꯦꯟꯁꯔ ꯂꯩꯕ꯭ꯔꯥ?", "ꯃꯁꯤ ꯄꯨꯟꯁꯤꯗꯥ ꯈꯨꯗꯣꯡꯊꯤꯕꯥ ꯊꯣꯀꯍꯅꯕꯔꯥ?" ꯅꯍꯥꯛꯀꯤ ꯋꯥꯈꯂꯗꯥ ꯆꯠꯂꯤ, ꯅꯍꯥꯛ ꯅꯁꯥꯃꯛ ꯅꯠꯇꯦ꯫ ꯀꯔꯤꯒꯤꯗꯃꯛꯇꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯊꯣꯛꯂꯤꯕꯅꯣ, ꯅꯍꯥꯛꯅꯥ ꯀꯔꯤ ꯃꯈꯂꯒꯤ ꯃꯥꯁ ꯂꯩꯕꯒꯦ ꯑꯃꯁꯨꯡ ꯀꯔꯤ ꯂꯥꯏꯌꯦꯡꯁꯤꯡꯅꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯒꯗꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯈꯪꯗꯣꯀꯄꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯒꯅꯤ꯫

ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯋꯥꯐꯝ (ꯇꯦꯛ-ꯍꯣꯝ ꯃꯦꯁꯦꯖ)

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯑꯆꯝꯕꯥ ꯄꯣꯠꯁꯛ ꯑꯃꯥ, ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯈꯣꯡ ꯍꯥꯝꯕꯥ, ꯁꯣꯛ-ꯄꯅꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯂꯦꯡ-ꯑꯣꯠꯄꯒꯤ ꯃꯑꯣꯡ ꯑꯃꯥ ꯂꯩꯔꯕꯗꯤ, ꯃꯗꯨ ꯌꯦꯡꯁꯤꯅꯕꯤꯒꯅꯨ꯫ ꯈꯨꯗꯛꯇꯥ ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯃꯇꯦꯡ ꯂꯧꯒꯗꯕꯅꯤ꯫ ꯁ꯭ꯇꯣꯃꯥꯛ ꯂꯝ ꯄꯨꯝꯅꯃꯛ ꯈꯨꯗꯣꯡꯊꯤꯅꯤꯉꯥꯏ ꯑꯣꯏꯗ꯭ꯔꯕꯁꯨ, ꯃꯈꯣꯌꯗꯨ ꯀꯔꯤꯅꯣ ꯍꯥꯌꯕꯗꯨ ꯆꯨꯝꯅꯥ ꯈꯪꯗꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯊꯧ ꯇꯥꯔꯕꯗꯤ ꯌꯥꯔꯤꯕꯃꯈꯩ ꯊꯨꯅꯥ ꯂꯥꯏꯌꯦꯡ ꯍꯧꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯂꯧꯁꯤꯡꯅꯤ꯫ ꯅꯤꯡꯁꯤꯡꯕꯤꯌꯨ, ꯂꯥꯌꯅꯥ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯈꯉꯗꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯂꯥꯏꯌꯦꯡꯕꯗꯥ ꯃꯥꯌ ꯄꯥꯀꯄꯥ ꯉꯝꯕꯒꯤ ꯆꯥꯡ ꯍꯦꯅꯒꯠꯂꯀꯏ꯫ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯁꯦꯜ ꯌꯦꯡꯁꯤꯜꯂꯨ ꯑꯃꯁꯨꯡ ꯗꯣꯛꯇꯔ ꯑꯃꯒꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯕꯗꯥ ꯑꯀꯤꯕꯥ ꯂꯩꯔꯣꯏꯗꯕꯅꯤ꯫

` ꯁ꯭ꯇꯣꯃꯥꯛ ꯇꯤꯎꯃꯔ, ꯁ꯭ꯇꯣꯃꯥꯛ ꯇꯤꯎꯃꯔ, ꯁ꯭ꯇꯣꯃꯥꯛ ꯀꯦꯟꯁꯔ, ꯁ꯭ꯇꯣꯃꯥꯛ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ, ꯁ꯭ꯇꯣꯃꯥꯛ ꯄꯦꯏꯟ, ꯂꯥꯏꯑꯣꯡ, ꯂꯥꯏꯌꯦꯡ꯫