ꯑꯦꯁꯤꯇꯤꯁ: ꯃꯔꯃꯁꯤꯡ, ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯏꯆꯝ ꯆꯝꯕꯥ ꯒꯥꯏꯗꯂꯥꯏꯟ ꯑꯃꯅꯤ꯫

ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯁꯣꯀꯄꯥ, ꯄꯣꯠꯆꯩꯁꯤꯡ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯁꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯏꯁꯤꯡꯅꯥ ꯊꯜꯂꯕꯥ ꯋꯥꯈꯜ ꯑꯃꯥ ꯂꯥꯀꯈꯤꯕꯔꯥ? ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯃꯁꯤ ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏ, ꯑꯗꯨꯕꯨ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯃꯁꯤꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯍꯀꯁꯦꯂꯒꯤ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯑꯃꯒꯤ ꯈꯨꯗꯝ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫ ꯉꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯔꯤ, "ꯑꯦꯁꯤꯇꯤꯁ"꯫ ꯃꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯈꯣꯡꯗꯥ ꯂꯩꯔꯤꯕꯥ ꯑꯣꯔꯒꯥꯅꯁꯤꯡꯒꯤ ꯑꯀꯣꯌꯕꯗꯥ ꯂꯩꯕꯥ ꯑꯍꯥꯡꯕꯥ ꯃꯐꯃꯗꯥ ꯐ꯭ꯂꯨꯏꯗ ꯅꯠꯠꯔꯒꯥ ꯁꯨꯞꯅꯒꯤ ꯏꯁꯤꯡ ꯊꯨꯃꯖꯤꯜꯂꯀꯄꯥ ꯃꯇꯃꯅꯤ꯫

ꯑꯦꯁꯤꯇꯤꯁ ꯍꯥꯌꯕꯁꯤ ꯇꯁꯦꯡꯅꯥ ꯀꯔꯤꯅꯣ?

ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯑꯦꯁꯤꯇꯤꯁ ꯍꯥꯌꯕꯁꯤ ꯑꯦꯕꯗꯣꯃꯤꯅꯦꯜ ꯀꯦꯚꯤꯇꯤ (ꯄꯦꯔꯤꯇꯣꯅꯤꯌꯝ) ꯑꯃꯁꯨꯡ ꯑꯦꯕꯗꯣꯃꯤꯅꯦꯜ ꯑꯣꯔꯒꯥꯅꯁꯤꯡꯒꯤ ꯃꯔꯛꯇꯥ ꯂꯩꯕꯥ ꯁ꯭ꯄꯦꯁꯇꯥ ꯐ꯭ꯂꯨꯏꯗꯀꯤ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯑꯃꯅꯤ꯫ ꯃꯁꯤ ꯃꯍꯧꯁꯥꯅꯥ ꯍꯀꯁꯦꯜ ꯐꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯗꯥ ꯊꯣꯛꯇꯦ꯫ ꯈꯣꯡꯗꯥ ꯏꯁꯤꯡ ꯈꯔꯥ ꯂꯩꯕꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯃꯁꯤ ꯑꯦꯁꯤꯇꯤꯁꯅꯤ ꯍꯥꯌꯕꯗꯤ ꯅꯠꯇꯦ꯫ ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤꯕꯨ ꯌꯥꯃꯗ꯭ꯔꯕꯗꯥ ꯃꯤꯂꯤꯂꯤꯇꯔ 25 (ꯑꯎꯟꯁ 0.8)ꯒꯤ ꯐ꯭ꯂꯨꯏꯗ ꯂꯩꯕꯥ ꯃꯇꯃꯗꯥ ꯑꯦꯁꯤꯇꯤꯁ ꯍꯥꯌꯅꯥ ꯂꯧꯏ꯫

ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯁꯥꯊꯤꯕꯥ ꯂꯤꯚꯔ ꯗꯤꯖꯤꯖ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯗꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯀꯃꯟ ꯑꯣꯏ꯫ ꯑꯦꯁꯤꯇꯤꯁꯅꯥ ꯅꯥꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯒꯤ ꯆꯥꯎꯔꯥꯛꯅꯥ 80%ꯗꯤ ꯂꯤꯚꯔꯒꯤ ꯁꯤꯔꯣꯁꯤꯁ ꯂꯩ꯫ ꯃꯁꯤꯒꯤ ꯃꯊꯛꯇꯥ, ꯑꯦꯁꯤꯇꯤꯁ ꯑꯁꯤ ꯑꯇꯩ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ, ꯍꯥꯌꯕꯗꯤ ꯀꯦꯟꯁꯔ, ꯍꯥꯔꯇꯀꯤ ꯂꯥꯌꯅꯥ, ꯇ꯭ꯌꯨꯕꯔꯀꯨꯂꯣꯁꯤꯁ, ꯑꯃꯁꯨꯡ ꯀꯤꯗꯅꯤꯒꯤ ꯂꯥꯌꯅꯥꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫

ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯤꯅꯣ?

ꯑꯦꯁꯤꯇꯤꯁꯅꯥ ꯑꯍꯥꯅꯕꯗꯥ ꯑꯆꯧꯕꯥ ꯂꯥꯏꯑꯣꯡ ꯑꯃꯠꯇꯥ ꯎꯠꯄꯥ ꯉꯃꯗꯕꯥ ꯌꯥꯏ꯫ ꯃꯔꯃꯗꯤ ꯈꯣꯡꯗꯥ ꯊꯨꯃꯖꯤꯜꯂꯤꯕꯥ ꯏꯁꯤꯡꯒꯤ ꯆꯥꯡ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯅꯦꯝꯃꯤ, ꯅꯍꯥꯛꯅꯥ ꯃꯗꯨ ꯎꯕꯥ ꯐꯪꯗꯕꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯕꯨ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯊꯨꯃꯖꯤꯜꯂꯀꯄꯥ ꯏꯁꯤꯡꯒꯤ ꯆꯥꯡ ꯍꯦꯅꯒꯠꯂꯀꯄꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯎꯅꯁꯥ ꯑꯗꯨ ꯍꯦꯟꯅꯥ ꯆꯥꯎꯈꯠꯂꯛꯂꯤ ꯑꯃꯁꯨꯡ ꯐꯨꯝꯂꯛꯂꯤ ꯍꯥꯌꯕꯥ ꯈꯪꯒꯅꯤ꯫ ꯅꯍꯥꯛꯀꯤ ꯄꯦꯟꯇꯤ ꯑꯗꯨ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯁꯣꯀꯄꯥ ꯍꯧꯔꯒꯅꯤ꯫

ꯃꯈꯥꯗꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯃꯌꯦꯛ ꯁꯦꯡꯅꯥ ꯈꯪꯗꯣꯀꯄꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯕꯥ ꯌꯥꯕꯥ ꯂꯥꯏꯑꯣꯡ ꯈꯔꯥ ꯄꯤꯔꯤ꯫ ꯃꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯃꯗꯒꯤ ꯍꯦꯅꯕꯥ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯎ꯫

ꯑꯦꯁꯤꯇꯤꯁꯀꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯔꯃꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?

ꯑꯩꯈꯣꯌꯅꯥ ꯃꯃꯥꯡꯗꯥ ꯍꯥꯌꯈꯤꯕꯒꯨꯝꯅꯥ, ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯔꯝ ꯑꯁꯤ ꯂꯤꯚꯔꯒꯤ ꯁꯤꯔꯣꯁꯤꯁꯅꯤ꯫ ꯑꯗꯨꯕꯨ ꯃꯁꯤ ꯀꯔꯝꯅꯥ ꯑꯣꯏꯔꯤꯕꯅꯣ?

ꯑꯩꯈꯣꯌꯒꯤ ꯂꯤꯚꯔ ꯑꯁꯤ ꯐꯤꯜꯇꯔ ꯑꯃꯥ ꯑꯣꯏꯅꯥ ꯈꯅꯕꯤꯌꯨ꯫ ꯃꯁꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯕ꯭ꯂꯗ ꯄ꯭ꯌꯨꯔꯤꯐꯥꯏꯌꯔꯅꯤ꯫ ꯂꯤꯚꯔꯗꯥ ꯏ ꯄꯨꯔꯀꯄꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯚꯦꯅꯝ ꯑꯗꯨꯕꯨ ꯄꯣꯔꯇꯦꯜ ꯚꯦꯅꯝ ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ ꯁꯤꯔꯣꯁꯤꯁꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯂꯤꯚꯔꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯚꯦꯅꯝ ꯑꯁꯤꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯏ ꯆꯦꯅꯕꯥ ꯊꯤꯡꯏ꯫ ꯏꯁꯤꯡꯒꯤ ꯄꯥꯏꯞ ꯑꯃꯅꯥ ꯃꯔꯛꯇꯥ ꯆꯦꯟꯊꯔꯀꯄꯥ ꯃꯇꯃꯒꯨꯝꯅꯥ, ꯏ ꯑꯗꯨ ꯂꯤꯚꯔꯗꯥ ꯆꯦꯅꯕꯥ ꯉꯃꯗꯦ ꯑꯃꯁꯨꯡ ꯄ꯭ꯔꯦꯁꯔ ꯍꯦꯅꯒꯠꯂꯀꯏ꯫

ꯃꯁꯤꯒꯤ ꯄ꯭ꯔꯦꯁꯔ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ ꯑꯁꯤꯅꯥ ꯃꯇꯃꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ ꯀꯤꯗꯅꯤꯁꯤꯡꯗꯁꯨ ꯁꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯀꯤꯗꯅꯤꯁꯤꯡꯅꯥ ꯍꯀꯆꯥꯡꯗꯒꯤ ꯑꯍꯦꯅꯕꯥ ꯁꯣꯜꯇ ꯑꯗꯨ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯂꯧꯊꯣꯀꯄꯥ ꯉꯃꯗꯕꯥ ꯃꯇꯃꯗꯥ, ꯍꯀꯆꯥꯡꯗꯥ ꯏꯁꯤꯡ ꯊꯨꯃꯖꯤꯅꯕꯥ ꯍꯧꯏ꯫ ꯑꯗꯨꯒꯨꯝꯕꯥ ꯑꯍꯦꯅꯕꯥ ꯏꯁꯤꯡ ꯑꯗꯨ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯂꯁꯤꯡꯗꯒꯤ ꯂꯤꯛ ꯑꯣꯏꯔꯀꯏ ꯑꯃꯁꯨꯡ ꯁ꯭ꯇꯣꯃꯥꯀꯇꯥ ꯊꯨꯒꯥꯌ꯫

ꯑꯇꯣꯞꯄꯥ ꯃꯔꯃꯁꯤꯡ: ꯱.

• ꯀꯦꯟꯁꯔ: ꯈꯣꯡꯗꯥ ꯊꯣꯀꯄꯥ ꯀꯦꯟꯁꯔ ꯈꯔꯅꯁꯨ ꯈꯣꯡꯗꯥ ꯏꯁꯤꯡ ꯊꯨꯃꯖꯤꯅꯕꯁꯨ ꯌꯥꯏ꯫ ꯀꯦꯟꯁꯔ ꯁꯦꯂꯁꯤꯡ ꯃꯁꯥꯃꯛꯅꯥ ꯑꯦꯕꯗꯣꯃꯤꯅꯦꯜ ꯀꯦꯚꯤꯇꯤꯗꯥ ꯐ꯭ꯂꯨꯏꯗ ꯊꯥꯗꯣꯀꯏ꯫
• ꯍꯥꯔꯠ ꯐꯦꯜ ꯑꯣꯏꯕꯥ (hart failure): ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯍꯥꯔꯠ ꯐꯦꯜ ꯑꯣꯏꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯈꯔꯗꯗꯤ ꯍꯥꯔꯇꯅꯥ ꯏ ꯃꯔꯥꯡ ꯀꯥꯌꯅꯥ ꯄꯨꯊꯣꯀꯄꯥ ꯉꯃꯗꯦ꯫ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯍꯀꯆꯥꯡꯅꯥ ꯐ꯭ꯂꯨꯏꯗ ꯊꯝꯅꯕꯥ ꯍꯣꯠꯅꯕꯗꯥ ꯍꯣꯔꯃꯣꯅꯁꯤꯡ ꯄꯨꯊꯣꯀꯏ꯫ ꯃꯁꯤꯒꯤ ꯐ꯭ꯂꯨꯏꯗ ꯑꯁꯤ ꯈꯣꯡꯗꯥ ꯊꯨꯄꯆꯤꯅꯕꯁꯨ ꯌꯥꯏ꯫

ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯈꯪꯗꯣꯛꯀꯗꯒꯦ?

ꯅꯍꯥꯛꯅꯥ ꯗꯣꯛꯇꯔꯗꯥ ꯆꯠꯄꯥ ꯃꯇꯃꯗꯥ ꯃꯍꯥꯛꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯌꯦꯡꯁꯤꯅꯒꯅꯤ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡꯒꯤ ꯃꯔꯃꯗꯥ ꯍꯪꯒꯅꯤ꯫ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ, ꯃꯍꯥꯛꯅꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯗꯨ ꯀꯅꯐꯥꯔꯝ ꯇꯧꯅꯕꯥ ꯇꯦꯁ꯭ꯠ ꯈꯔꯥ ꯇꯧꯕꯥ ꯌꯥꯏ꯫

• ꯄꯦꯔꯥꯁꯦꯟꯇꯦꯁꯤꯁ: ꯃꯁꯤꯗꯥ ꯗꯣꯛꯇꯔꯅꯥ ꯌꯥꯝꯅꯥ ꯐꯖꯕꯥ ꯅꯤꯗꯜ ꯑꯃꯥ ꯈꯣꯡꯗꯥ ꯊꯥꯗꯨꯅꯥ ꯃꯐꯃꯗꯨꯗꯥ ꯈꯣꯃꯖꯤꯜꯂꯀꯄꯥ ꯐ꯭ꯂꯨꯏꯗ ꯈꯔꯥ ꯇꯦꯁ꯭ꯠ ꯇꯧꯅꯕꯒꯤꯗꯃꯛ ꯂꯧꯕꯅꯤ꯫ ꯃꯁꯤꯒꯤ ꯐ꯭ꯂꯨꯏꯗ ꯑꯁꯤ ꯏꯅꯐꯦꯛꯁꯟ ꯅꯠꯠꯔꯒꯥ ꯀꯦꯟꯁꯔ ꯁꯦꯜ ꯑꯃꯠꯇꯥ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯇꯦꯁ꯭ꯠ ꯇꯧꯕꯥ ꯌꯥꯏ꯫
• ꯕ꯭ꯂꯗ ꯇꯦꯁ꯭ꯇꯁꯤꯡ: ꯃꯁꯤꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯇꯩ ꯃꯦꯗꯤꯀꯦꯜ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ, ꯍꯥꯌꯕꯗꯤ ꯗꯥꯏꯑꯦꯕꯦꯇꯤꯖ ꯅꯠꯠꯔꯒꯥ ꯏꯅꯐꯦꯛꯁꯟ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯈꯪꯗꯣꯀꯄꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫
• ꯏꯃꯦꯖꯤꯡ ꯇꯦꯁ꯭ꯇꯁꯤꯡ: ꯑꯦꯛꯁ-ꯔꯦ, ꯑꯂꯠꯔꯥꯁꯥꯎꯟꯗ ꯁ꯭ꯀꯦꯟ ꯅꯠꯠꯔꯒꯥ ꯁꯤ.ꯇꯤ.ꯁ꯭ꯀꯦꯟ ꯑꯃꯅꯥ ꯈꯣꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯂꯩꯕꯥ ꯑꯣꯔꯒꯥꯅꯁꯤꯡꯒꯤ ꯐꯤꯚꯝ ꯃꯌꯦꯛ ꯁꯦꯡꯅꯥ ꯎꯕꯥ ꯐꯪꯏ꯫
• ꯑꯦꯁ.ꯑꯦ.ꯖꯤ.ꯒꯤ ꯇꯦꯁ꯭ꯠ: ꯃꯁꯤ ꯑꯈꯟꯅꯕꯥ ꯇꯦꯁ꯭ꯠ ꯑꯃꯅꯤ꯫ ꯃꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯏꯗꯥ ꯑꯦꯂꯕꯨꯃꯤꯟ ꯀꯧꯕꯥ ꯄ꯭ꯔꯣꯇꯤꯟ ꯑꯃꯒꯤ ꯆꯥꯡ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯂꯩꯔꯤꯕꯥ ꯐ꯭ꯂꯨꯏꯗ ꯑꯗꯨꯒꯥ ꯆꯥꯡꯗꯝꯅꯩ꯫ ꯑꯦꯂꯕꯨꯃꯤꯟ ꯑꯁꯤ ꯂꯤꯚꯔꯅꯥ ꯁꯦꯝꯕꯥ ꯄ꯭ꯔꯣꯇꯤꯟ ꯃꯈꯜ ꯑꯃꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯚꯦꯜꯌꯨ ꯑꯁꯤ ꯋꯥꯡꯂꯕꯗꯤ ꯂꯤꯚꯔꯗꯥ ꯏ ꯄꯨꯔꯀꯄꯥ ꯚꯦꯅꯃꯁꯤꯡꯗꯥ ꯄ꯭ꯔꯦꯁꯔ ꯍꯦꯅꯒꯠꯂꯀꯏ ꯍꯥꯌꯕꯅꯤ꯫

ꯑꯦꯁꯤꯇꯤꯁꯀꯤ ꯂꯥꯏꯌꯦꯡꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?

ꯂꯥꯏꯌꯦꯡ ꯑꯁꯤ ꯑꯦꯁꯤꯇꯤꯁꯀꯤ ꯃꯔꯝ ꯑꯗꯨꯒꯤ ꯃꯈꯥ ꯄꯣꯜꯂꯤ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯖꯦꯅꯦꯔꯦꯜ ꯄꯥꯟꯗꯃꯗꯤ ꯈꯣꯡꯗꯥ ꯊꯨꯃꯖꯤꯜꯂꯀꯄꯥ ꯐ꯭ꯂꯨꯏꯗꯀꯤ ꯆꯥꯡ ꯍꯟꯊꯍꯅꯕꯅꯤ꯫

1. ꯁꯣꯗꯤꯌꯝ ꯍꯟꯊꯍꯅꯕꯥ: ꯁꯣꯜꯇ ꯑꯁꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯏꯁꯤꯡ ꯇꯨꯡꯁꯤꯅꯕꯒꯤ ꯑꯆꯧꯕꯥ ꯃꯔꯝ ꯑꯃꯅꯤ꯫ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔ ꯅꯠꯠꯔꯒꯥ ꯅ꯭ꯌꯨꯠꯔꯤꯁꯅꯒꯤ ꯃꯤꯑꯣꯏ ꯑꯗꯨꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯂꯣ-ꯁꯣꯜꯇ ꯗꯥꯏꯠ ꯑꯃꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯄꯥꯎꯇꯥꯛ ꯄꯤꯒꯅꯤ꯫

• ꯄꯦꯀꯦꯠ ꯇꯧꯔꯕꯥ ꯆꯤꯟꯖꯥꯀꯁꯤꯡ, ꯁ꯭ꯇꯣꯔꯗꯥ ꯌꯣꯅꯕꯥ ꯆꯤꯟꯖꯥꯀꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯁꯁꯁꯤꯡ ꯌꯥꯔꯤꯕꯃꯈꯩ ꯍꯟꯊꯍꯅꯒꯗꯕꯅꯤ꯫
• ꯑꯅꯧꯕꯥ ꯎꯍꯩ ꯑꯃꯁꯨꯡ ꯃꯅꯥ-ꯃꯁꯤꯡ ꯍꯦꯟꯅꯥ ꯆꯥꯒꯗꯕꯅꯤ꯫
• ꯆꯤꯟꯖꯥꯛ ꯃꯆꯤꯟꯖꯥꯛ ꯄꯤꯖꯅꯕꯥ ꯂꯧꯎ-ꯁꯤꯡꯎꯒꯤ ꯃꯍꯨꯠꯇꯥ ꯃꯅꯥ-ꯃꯁꯤꯡ (ꯍꯋꯥꯏ, ꯃꯅꯥ-ꯃꯁꯤꯡ, ꯖꯤꯔꯥ) ꯁꯤꯖꯤꯟꯅꯧ꯫

2. ꯗꯥꯏꯑꯦꯕꯦꯇꯤꯖ: ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯑꯍꯦꯅꯕꯥ ꯏꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯂꯣꯟ ꯑꯗꯨ ꯌꯨꯔꯤꯅꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯂꯧꯊꯣꯀꯄꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯒꯗꯕꯥ ꯍꯤꯗꯥꯀꯁꯤꯡ ꯄꯤꯒꯅꯤ꯫ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯌꯥꯝꯅꯥ ꯁꯤꯖꯤꯟꯅꯕꯥ ꯑꯅꯤꯗꯤ ꯐꯨꯔꯣꯁꯦꯃꯥꯏꯗ (ꯂꯥꯁꯤꯛꯁ) ꯑꯃꯁꯨꯡ ꯁ꯭ꯄꯥꯏꯔꯣꯅꯣꯂꯦꯛꯇꯣꯟ (ꯑꯦꯂꯗꯥꯛꯇꯣꯟ)ꯅꯤ꯫ ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯃꯦꯗꯤꯀꯦꯜ ꯁꯨꯄꯔꯚꯤꯖꯅꯒꯤ ꯃꯈꯥꯗꯥ ꯈꯛꯇꯃꯛ ꯂꯧꯒꯗꯕꯅꯤ꯫

꯳.ꯄꯦꯔꯥꯁꯦꯟꯇꯦꯁꯤꯁ : ꯃꯁꯤ ꯇꯦꯁ꯭ꯠ ꯑꯃꯗꯤ ꯂꯥꯌꯦꯡ ꯑꯅꯤꯃꯛꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯈꯣꯡꯗꯥ ꯏꯁꯤꯡ ꯌꯥꯝꯅꯥ ꯂꯩꯔꯕꯗꯤ, ꯐꯨꯗ ꯑꯗꯨ ꯍꯟꯊꯍꯟꯅꯕꯥ ꯐ꯭ꯂꯨꯏꯗ ꯑꯗꯨ ꯂꯧꯊꯣꯛꯅꯕꯥ ꯅꯤꯗꯜ ꯑꯃꯥ ꯊꯥꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯃꯁꯤꯅꯥ ꯐ꯭ꯂꯨꯏꯗ ꯑꯗꯨ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯁꯦꯃꯒꯠꯂꯀꯄꯥ ꯌꯥꯏ꯫

4. ꯁꯟꯊꯤ ꯑꯃꯁꯨꯡ ꯁꯔꯖꯔꯤ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯇꯩ ꯂꯥꯏꯌꯦꯡꯁꯤꯡꯅꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯗꯨ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯥ ꯉꯃꯗ꯭ꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯑꯣꯄꯁꯅꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯇꯦꯡ ꯂꯧꯕꯥ ꯌꯥꯏ꯫

• ꯇꯤ.ꯑꯥꯏ.ꯄꯤ.ꯑꯦꯁ.(ꯇ꯭ꯔꯥꯟꯁꯖꯨꯒꯨꯂꯥꯔ ꯏꯟꯠꯔꯥꯍꯦꯄꯥꯇꯤꯛ ꯄꯣꯔꯇꯣꯁꯤꯁ꯭ꯇꯦꯃꯤꯛ ꯁꯟꯇ): ꯃꯁꯤꯗꯥ ꯏ ꯆꯦꯅꯕꯥ ꯌꯥꯍꯟꯅꯕꯒꯤꯗꯃꯛ ꯂꯤꯚꯔꯗꯥ ꯂꯩꯕꯥ ꯚꯦꯅꯝ ꯑꯃꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯄꯤꯀꯄꯥ ꯃꯦꯁ ꯇꯨꯕ (ꯁ꯭ꯇꯦꯟꯇ) ꯑꯃꯥ ꯊꯝꯕꯥ ꯌꯥꯎꯏ꯫
• ꯂꯤꯚꯔ ꯇ꯭ꯔꯥꯟꯁꯞꯂꯥꯟꯇ (liver transplant): ꯀꯔꯤꯒꯨꯝꯕꯥ ꯂꯤꯚꯔ ꯑꯗꯨ ꯁꯤꯔꯣꯁꯤꯁꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯊꯕꯛ ꯇꯧꯗꯕꯥ ꯑꯣꯏꯔꯕꯗꯤ, ꯑꯔꯣꯏꯕꯥ ꯄꯥꯝꯕꯩꯗꯤ ꯍꯀꯁꯦꯜ ꯐꯕꯥ ꯂꯤꯚꯔ ꯑꯃꯥ ꯇ꯭ꯔꯥꯟꯁꯞꯂꯥꯟꯇ ꯇꯧꯕꯅꯤ꯫

ꯃꯁꯤꯒꯤ ꯐꯤꯚꯝ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯉꯥꯀꯊꯣꯛꯀꯅꯤ ꯑꯃꯁꯨꯡ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯒꯅꯤ?

ꯑꯦꯁꯤꯇꯤꯁ ꯊꯣꯀꯍꯟꯗꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯗꯨ ꯂꯩꯔꯕꯗꯤ ꯃꯗꯨ ꯍꯦꯟꯅꯥ ꯐꯒꯠꯂꯀꯄꯥ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯅꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯇꯧꯕꯥ ꯌꯥꯕꯥ ꯊꯕꯛ ꯀꯌꯥ ꯂꯩ꯫

• ꯌꯨ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯊꯀꯄꯥ ꯂꯦꯄꯀꯅꯨ:ꯌꯨ ꯑꯁꯤ ꯂꯤꯚꯔꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯜꯂꯤꯕꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯄꯣꯠꯁꯛ ꯑꯃꯅꯤ꯫
• ꯁꯣꯜꯇ ꯂꯤꯃꯤꯠ ꯇꯧꯕꯥ : ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯅꯣꯡꯃꯗꯥ ꯁꯣꯜꯇ ꯃꯤꯂꯤꯒ꯭ꯔꯥꯝ 2,000-4,000ꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯆꯥꯗꯅꯕꯥ ꯄꯥꯎꯇꯥꯛ ꯄꯤꯔꯤ꯫
• ꯍꯀꯁꯦꯜ ꯐꯕꯥ ꯑꯔꯨꯝꯕꯥ ꯑꯃꯥ ꯊꯝꯕꯥ: ꯑꯣꯕꯦꯁꯤꯇꯤ ꯑꯁꯤ ꯑꯦꯁꯤꯇꯤꯁꯀꯤ ꯔꯤꯁ꯭ꯛ ꯐꯦꯛꯇꯔ ꯑꯃꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯦꯁꯤꯇꯤꯁ ꯂꯩꯔꯕꯗꯤ, ꯑꯌꯨꯛ ꯈꯨꯗꯤꯡꯒꯤ ꯅꯍꯥꯛꯀꯤ ꯑꯔꯨꯝꯕꯥ ꯑꯗꯨ ꯌꯦꯡꯎ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯑꯔꯨꯝꯕꯥ ꯑꯗꯨ ꯔꯦꯀꯣꯔꯗ ꯇꯧ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯅꯣꯡꯃꯗꯥ ꯅꯨꯃꯤꯠ ꯍꯨꯝꯅꯤ ꯊꯪꯟ-ꯊꯪꯅꯅꯥ ꯀꯤꯂꯣꯒ꯭ꯔꯥꯝ 1 (ꯄꯥꯎꯟꯗ 2.2)ꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯍꯦꯅꯒꯠꯂꯛꯂꯕꯗꯤ ꯅꯠꯠꯔꯒꯥ ꯈꯪꯍꯧꯗꯅꯥ ꯀꯤꯂꯣꯒ꯭ꯔꯥꯝ 4.5 (ꯄꯥꯎꯟꯗ 10)ꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯍꯦꯅꯒꯠꯂꯛꯂꯕꯗꯤ, ꯈꯨꯗꯛꯇꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯈꯪꯍꯜꯂꯨ꯫
• ꯍꯀꯁꯦꯜ ꯐꯕꯥ ꯄꯨꯟꯁꯤ ꯃꯍꯤꯡ: ꯆꯥꯡ ꯃꯥꯟꯅꯅꯥ ꯆꯥꯕꯥ, ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯇꯧꯕꯥ ꯑꯃꯁꯨꯡ ꯃꯩꯈꯨ ꯊꯥꯗꯣꯀꯄꯥ ꯊꯤꯡꯕꯥ꯫
• ꯁꯦꯐ ꯁꯦꯛꯁ: ꯍꯦꯄꯥꯇꯥꯏꯇꯤꯁ ꯕꯤ ꯑꯃꯁꯨꯡ ꯁꯤꯒꯨꯝꯕꯥ ꯚꯥꯏꯔꯁ ꯏꯅꯐꯦꯛꯁꯅꯁꯤꯡ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯂꯤꯚꯔꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ ꯑꯃꯁꯨꯡ ꯁꯤꯔꯣꯁꯤꯁ (cirhosis) ꯊꯣꯀꯍꯜꯂꯀꯄꯥ ꯌꯥꯏ꯫

ꯀꯗꯥꯏꯗꯥ ꯗꯣꯛꯇꯔꯒꯥ ꯇꯥꯟꯅꯒꯗꯒꯦ?

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯂꯩꯔꯕꯗꯤ, ꯈꯨꯗꯛꯇꯥ ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯄꯥꯎꯇꯥꯛ ꯂꯧꯕꯤꯌꯨ:

• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯈꯪꯍꯧꯗꯅꯥ ꯑꯔꯨꯝꯕꯥ ꯍꯦꯅꯒꯠꯂꯛꯂꯕꯗꯤ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯁ꯭ꯇꯣꯃꯥꯛ ꯑꯗꯨ ꯍꯦꯟꯅꯥ ꯆꯥꯎꯔꯕꯗꯤ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯅꯧꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯍꯦꯟꯅꯥ ꯐꯠꯆꯤꯜꯂꯛꯂꯤꯕꯥ ꯈꯣꯡꯗꯥ ꯑꯅꯥꯕꯥ ꯂꯩꯔꯕꯗꯤ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯥꯏꯍꯧ ꯍꯧꯔꯕꯗꯤ꯫

ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯁꯥꯊꯤꯕꯥ ꯀꯦꯁꯁꯤꯡ ꯑꯁꯤꯗꯥ, ꯈꯨꯗꯛꯇꯥ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯜ ꯑꯃꯒꯤ ꯏꯃꯔꯖꯦꯟꯁꯤ ꯗꯤꯄꯥꯔꯇꯃꯦꯟꯇ (ETU)ꯗꯥ ꯆꯠꯂꯨ:

• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯗꯥ ꯌꯥꯝꯅꯥ ꯋꯥꯅꯥ ꯊꯣꯛꯂꯕꯗꯤ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯏ ꯅꯠꯠꯔꯒꯥ ꯀꯣꯐꯤ ꯒ꯭ꯔꯥꯎꯟꯗꯒꯨꯝꯕꯥ ꯄꯣꯠꯁꯛ ꯑꯃꯥ ꯁꯣꯀꯄꯥ ꯇꯥꯔꯕꯗꯤ꯫

ꯑꯦꯁꯤꯇꯤꯁ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫ ꯃꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯂꯤꯚꯔ ꯑꯗꯨ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯊꯕꯛ ꯇꯧꯗ꯭ꯔꯤ ꯍꯥꯌꯕꯅꯤ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯗꯨ ꯌꯦꯡꯁꯤꯅꯕꯤꯒꯅꯨ꯫ ꯃꯇꯤꯛ ꯆꯥꯕꯥ ꯂꯥꯏꯌꯦꯡ ꯑꯃꯁꯨꯡ ꯄꯨꯟꯁꯤ ꯃꯍꯤꯡꯗꯥ ꯑꯍꯣꯡꯕꯥ ꯄꯨꯔꯀꯄꯅꯥ, ꯅꯍꯥꯛꯅꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯥ ꯉꯃꯒꯅꯤ, ꯑꯣꯏꯊꯣꯀꯄꯥ ꯌꯥꯕꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ ꯊꯤꯡꯕꯥ ꯉꯃꯒꯅꯤ ꯑꯃꯁꯨꯡ ꯍꯀꯁꯦꯜ ꯐꯅꯥ ꯂꯩꯕꯥ ꯉꯃꯒꯅꯤ꯫