ꯕꯥꯏꯑꯣꯞꯁꯤ ꯔꯤꯄꯣꯔꯠ ꯑꯗꯨꯗꯥ ꯑꯦ.ꯗꯤ.ꯑꯩꯆ. ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯂꯩꯔꯣꯏ, ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯁꯤ! (ꯑꯦꯇꯤꯄꯤꯀꯦꯜ ꯗꯛꯇꯜ ꯍꯥꯏꯄꯔꯞꯂꯥꯁꯤꯌꯥ)

ꯅꯍꯥꯛꯀꯤ ꯎꯅꯁꯥꯗꯥ ꯑꯍꯣꯡꯕꯥ ꯑꯃꯥ ꯂꯥꯀꯄꯥ ꯎꯔꯀꯄꯥ ꯌꯥꯏ, ꯅꯠꯠꯔꯒꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯃꯦꯃꯣꯒ꯭ꯔꯥꯐꯀꯤ ꯃꯇꯨꯡꯗꯥ ꯕꯥꯏꯑꯣꯞꯁꯤ ꯇꯧꯅꯕꯥ ꯔꯤꯀꯃꯦꯟꯗ ꯇꯧꯔꯀꯄꯥ ꯌꯥꯏ꯫ ꯅꯍꯥꯛꯅꯥ ꯕꯥꯏꯑꯣꯞꯁꯤ ꯔꯤꯄꯣꯔꯠ ꯑꯗꯨ ꯐꯪꯂꯕꯥ ꯃꯇꯃꯗꯥ ꯑꯃꯁꯨꯡ ꯃꯗꯨꯗꯥ "ꯑꯦꯇꯤꯄꯤꯀꯦꯜ ꯗꯛꯇꯜ ꯍꯥꯏꯄꯔꯞꯂꯥꯁꯤꯌꯥ" ꯅꯠꯠꯔꯒꯥ "ADH" ꯍꯥꯌꯅꯥ ꯏꯕꯥ ꯎꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯑꯃꯁꯨꯡ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯐꯥꯎꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯅꯣꯔꯃꯦꯂꯅꯤ꯫ "ꯃꯁꯤ ꯀꯦꯟꯁꯔꯅꯤ?" "ꯍꯧꯖꯤꯛ ꯑꯩꯒꯤ ꯀꯔꯤ ꯊꯣꯛꯀꯗꯧꯔꯤꯕꯅꯣ?" ꯅꯍꯥꯛꯀꯤ ꯋꯥꯈꯂꯗꯥ ꯋꯥꯍꯪ ꯀꯌꯥ ꯍꯪꯂꯀꯄꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯕꯨ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯂꯩꯔꯣꯏꯗꯕꯅꯤ꯫ ꯉꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯑꯦ.ꯗꯤ.ꯑꯩꯆ.ꯅꯥ ꯀꯔꯤꯅꯣ, ꯀꯔꯤꯒꯤꯗꯃꯛꯇꯥ ꯊꯣꯛꯂꯤꯕꯅꯣ, ꯑꯃꯁꯨꯡ ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯀꯔꯤ ꯇꯧꯒꯗꯒꯦ ꯍꯥꯌꯕꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯏꯆꯝ ꯆꯝꯕꯥ, ꯂꯧꯁꯤꯅꯕꯥ ꯌꯥꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯒꯅꯤ꯫

ꯑꯦꯇꯤꯄꯤꯀꯦꯜ ꯗꯛꯇꯜ ꯍꯥꯏꯄꯔꯞꯂꯥꯁꯤꯌꯥ (ADH) ꯍꯥꯌꯕꯁꯤ ꯇꯁꯦꯡꯅꯥ ꯀꯔꯤꯅꯣ?

ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ADH ꯍꯥꯌꯕꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯎꯅꯁꯥꯒꯤ ꯁꯉ꯭ꯒꯣꯃꯒꯤ ꯗꯛꯇꯁꯤꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯁꯦꯂꯁꯤꯡꯒꯤ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯍꯅꯕꯅꯤ꯫ ꯃꯁꯤ ꯀꯦꯟꯁꯔ ꯅꯠꯇꯦ꯫ ꯑꯗꯨꯕꯨ ꯃꯁꯤꯁꯨ ꯅꯣꯔꯃꯦꯂꯅꯤ꯫

ꯈꯅꯕꯤꯌꯨ, ꯑꯩꯈꯣꯌꯒꯤ ꯎꯅꯁꯥꯗꯥ ꯂꯩꯕꯥ ꯁꯉ꯭ꯒꯣꯃꯒꯤ ꯊꯣꯡꯅꯥꯎꯁꯤꯡ ꯑꯁꯤ ꯑꯄꯤꯀꯄꯥ ꯇꯤꯎꯕꯁꯤꯡꯒꯨꯝꯅꯥ ꯑꯣꯏ꯫ ꯇꯨꯕꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯒꯤ ꯋꯥꯜ ꯑꯁꯤ ꯁꯦꯂꯁꯤꯡꯅꯥ ꯁꯦꯝꯕꯅꯤ꯫ ꯍꯀꯆꯥꯡ ꯐꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯗꯥ ꯁꯦꯂꯁꯤꯡ ꯑꯁꯤ ꯂꯦꯌꯔ ꯑꯅꯤꯗꯥ ꯁꯦꯃꯖꯤꯜꯂꯤ, ꯌꯥꯝꯅꯥ ꯅꯤꯡꯊꯤꯅꯥ, ꯐꯖꯅꯥ ꯂꯥꯏꯅꯥ ꯂꯥꯏꯟ ꯇꯧꯏ꯫

ꯑꯗꯨꯕꯨ ꯑꯦ.ꯗꯤ.ꯑꯩꯆ.ꯅꯥ ꯅꯥꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯗꯥ, ꯁꯦꯂꯁꯤꯡ ꯑꯁꯤ ꯈꯔꯥ ꯁꯣꯀꯆꯤꯜꯂꯀꯏ, ꯑꯃꯒꯥ ꯑꯃꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯊꯃꯖꯤꯜꯂꯤ ꯑꯃꯁꯨꯡ ꯂꯦꯌꯔ ꯀꯌꯥꯗꯥ ꯍꯦꯅꯒꯠꯂꯀꯏ꯫ ꯑꯃꯁꯨꯡ ꯁꯦꯂꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯑꯣꯡ ꯃꯇꯧꯁꯨ ꯈꯔꯥ ꯑꯆꯝꯕꯥ ꯑꯣꯏ꯫ ꯍꯥꯌꯔꯤꯕꯥ ꯁꯦꯂꯁꯤꯡ ꯑꯁꯤ ꯀꯦꯟꯁꯔ ꯁꯦꯂꯁꯤꯡ ꯅꯠꯇꯦ, ꯃꯁꯤꯅꯥ ꯇꯥꯀꯄꯗꯤ ꯃꯈꯣꯌ ꯑꯁꯤ ‘ꯕꯦꯅꯤꯟ’ ꯑꯣꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯃꯈꯣꯌꯒꯤ ꯃꯑꯣꯡ-ꯃꯇꯧ ꯈꯔꯗꯤ ꯕ꯭ꯔꯦꯁ꯭ꯠ ꯀꯦꯟꯁꯔꯒꯤ ꯌꯥꯝꯅꯥ ꯇꯣꯏꯅꯥ ꯊꯣꯀꯄꯥ ꯁ꯭ꯇꯦꯖ ꯑꯃꯥ ꯑꯣꯏꯔꯤꯕꯥ ``DCIS - Ductal Carcinoma In Situ'' ꯀꯧꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯗꯥ ꯂꯩꯕꯥ ꯁꯦꯂꯁꯤꯡꯒꯥ ꯃꯥꯟꯅꯩ꯫

ꯃꯁꯤ ꯂꯝꯕꯤꯗꯥ ꯌꯦꯜꯂꯣ ꯃꯉꯥꯂꯒꯨꯝꯕꯅꯤ꯫ ꯃꯁꯤꯅꯥ ꯑꯦꯛꯁꯤꯗꯦꯟꯇ ꯑꯃꯥ ꯊꯣꯀꯈꯤ ꯍꯥꯌꯕꯗꯤ ꯅꯠꯇꯦ, ꯑꯗꯨꯕꯨ ꯃꯁꯤꯅꯥ ꯇꯥꯀꯄꯗꯤ ꯅꯍꯥꯛꯅꯥ ꯃꯥꯡꯂꯣꯃꯗꯥ ꯆꯪꯁꯤꯅꯕꯥ ꯃꯇꯃꯗꯥ ꯌꯥꯝꯅꯥ ꯆꯦꯀꯁꯤꯅꯕꯥ ꯃꯊꯧ ꯇꯥꯏ꯫

ꯑꯦ.ꯗꯤ.ꯑꯩꯆ. ꯑꯃꯁꯨꯡ ꯑꯦꯜ.ꯑꯩꯆ.: ꯑꯅꯤ ꯑꯁꯤꯒꯤ ꯃꯔꯛꯇꯥ ꯀꯔꯤ ꯈꯦꯠꯅꯕꯥ ꯂꯩꯕꯒꯦ?

ꯅꯍꯥꯛꯅꯥ ‘ꯑꯦꯇꯤꯄꯤꯀꯦꯜ ꯍꯥꯏꯄꯔꯞꯂꯥꯁꯤꯌꯥ’ ꯍꯥꯌꯕꯥ ꯋꯥꯍꯩ ꯑꯁꯤꯁꯨ ꯇꯥꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯅꯥ ꯑꯦꯕꯅꯣꯔꯃꯦꯜ ꯁꯦꯜ ꯒ꯭ꯔꯣꯊ ꯑꯁꯤꯒꯤ ꯖꯦꯅꯦꯔꯦꯜ ꯃꯃꯤꯡꯅꯤ꯫ ꯃꯁꯤꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯈꯜ ꯑꯅꯤ ꯂꯩ꯫ ꯑꯅꯤꯁꯤꯒꯤ ꯃꯔꯛꯇꯥ ꯂꯩꯔꯤꯕꯥ ꯈꯦꯟꯅꯕꯥ ꯈꯉꯕꯥ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨ ꯑꯣꯏ꯫

ꯃꯈꯜ ꯑꯅꯤꯃꯛꯅꯥ ꯇꯨꯡꯗꯥ ꯂꯥꯛꯀꯗꯕꯥ ꯀꯦꯟꯁꯔꯒꯤ ꯔꯤꯁ꯭ꯛ ꯍꯦꯅꯒꯠꯍꯜꯂꯤ꯫ ꯁ꯭ꯇꯗꯤꯁꯤꯡꯅꯥ ꯇꯥꯛꯂꯤ ꯃꯗꯨꯗꯤ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯍꯦꯛꯇꯒꯤ ꯅꯨꯄꯤ ꯑꯃꯅꯥ ꯕ꯭ꯔꯦꯁ꯭ꯠ ꯀꯦꯟꯁꯔ ꯂꯩꯇꯕꯗꯒꯤ ꯁꯔꯨꯛ ꯃꯔꯤ ꯍꯦꯟꯅꯥ ꯕ꯭ꯔꯦꯁ꯭ꯠ ꯀꯦꯟꯁꯔ ꯂꯥꯀꯄꯒꯤ ꯆꯥꯡ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ ꯌꯥꯏ꯫

ADHꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?

ꯑꯌꯥꯝꯕꯥ ꯀꯦꯁꯁꯤꯡꯗꯗꯤ, ADHꯅꯥ ꯑꯀꯛꯅꯕꯥ ꯂꯥꯏꯑꯣꯡ ꯑꯃꯠꯇꯥ ꯊꯣꯀꯍꯟꯗꯦ꯫ ꯃꯁꯤ ꯑꯌꯥꯝꯕꯅꯥ ꯊꯧꯗꯣꯛ ꯑꯃꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯈꯉꯗꯣꯀꯏ꯫ ꯃꯍꯧꯁꯥꯅꯥ ADH ꯑꯁꯤ ꯑꯇꯣꯞꯄꯥ ꯃꯔꯝ ꯑꯃꯒꯤꯗꯃꯛ ꯄꯥꯡꯊꯣꯀꯄꯥ ꯃꯦꯃꯣꯒ꯭ꯔꯥꯐ ꯑꯃꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯕ꯭ꯔꯦꯁ꯭ꯠ ꯑꯦꯕꯅꯣꯔꯃꯦꯂꯤꯇꯤ (ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯃꯥꯏꯛꯔꯣꯀꯦꯂꯁꯤꯐꯤꯀꯦꯁꯟ) ꯑꯃꯥ ꯈꯪꯗꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯑꯃꯁꯨꯡ ꯑꯦꯕꯅꯣꯔꯃꯦꯂꯤꯇꯤ ꯑꯗꯨ ꯃꯈꯥ ꯇꯥꯅꯥ ꯊꯤꯖꯤꯟꯅꯕꯥ ꯕꯥꯏꯑꯣꯞꯁꯤ ꯑꯃꯥ ꯄꯥꯡꯊꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯈꯪꯗꯣꯀꯏ꯫

ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ, ꯃꯤꯑꯣꯏ ꯈꯔꯗꯗꯤ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤꯁꯨ ꯊꯦꯡꯅꯔꯀꯄꯥ ꯌꯥꯏ:

• ꯕ꯭ꯔꯦꯁ꯭ꯇꯇꯥ ꯂꯪꯁ (lump) ꯑꯃꯥ ꯈꯨꯠꯇꯥ ꯐꯥꯎꯏ꯫
• ꯕ꯭ꯔꯦꯅꯗꯥ ꯑꯅꯥꯕꯥ ꯐꯥꯎꯕꯥ꯫
• ꯑꯦꯕꯅꯣꯔꯃꯦꯜ ꯅꯤꯄꯜ ꯗꯤꯁꯆꯥꯔꯖ (ꯃꯔꯨꯑꯣꯏꯅꯥ ꯏ ꯊꯣꯀꯄꯥ)꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯂꯩꯔꯕꯗꯤ, ꯃꯁꯤ ADHꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯑꯣꯏꯔꯣꯏꯗꯕꯅꯤ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯎꯅꯁꯥꯗꯥ ꯑꯆꯝꯕꯥ ꯑꯍꯣꯡꯕꯥ ꯑꯃꯥ ꯂꯥꯀꯄꯥ ꯎꯔꯕꯗꯤ, ꯈꯨꯗꯛꯇꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯇꯥꯟꯅꯗꯨꯅꯥ ꯆꯦꯛ ꯇꯧꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯂꯧꯁꯤꯡꯅꯤ꯫

ꯑꯦ.ꯗꯤ.ꯑꯩꯆ.ꯒꯤ ꯃꯔꯃꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯔꯤꯁ꯭ꯛ ꯐꯦꯛꯇꯔꯁꯤꯡ꯫

ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯍꯧꯖꯤꯛ ꯐꯥꯑꯣꯕꯥ ꯀꯔꯤꯒꯤꯗꯃꯛꯇꯥ ꯁꯉ꯭ꯒꯣꯃꯒꯤ ꯗꯛꯇ ꯁꯦꯂꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯂꯃꯆꯠ ꯁꯥꯖꯠ ꯆꯠꯂꯤꯕꯅꯣ ꯍꯥꯌꯕꯗꯨ ꯇꯁꯦꯡꯅꯥ ꯈꯉꯕꯥ ꯉꯃꯗ꯭ꯔꯤ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯕ꯭ꯔꯦꯁ꯭ꯠ ꯀꯦꯟꯁꯔꯒꯤ ꯔꯤꯁ꯭ꯛ ꯍꯦꯅꯒꯠꯍꯅꯕꯥ ꯉꯝꯕꯥ ꯐꯦꯛꯇꯔ ꯈꯔꯗꯤ ꯑꯦ.ꯗꯤ.ꯑꯩꯆ.

ꯍꯥꯌꯔꯤꯕꯥ ꯔꯤꯁ꯭ꯛ ꯐꯦꯛꯇꯔꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯤꯅꯣ?

• ꯏꯃꯨꯡꯒꯤ ꯍꯤꯁ꯭ꯇꯔꯤ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯏꯃꯨꯡꯒꯤ ꯃꯤꯑꯣꯏ ꯑꯃꯅꯥ (ꯃꯔꯨꯑꯣꯏꯅꯥ ꯃꯃꯥ, ꯃꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯃꯆꯥꯅꯨꯄꯤꯒꯨꯝꯕꯥ ꯅꯛꯅꯕꯥ ꯃꯔꯤ-ꯃꯇꯥ ꯑꯃꯅꯥ) ꯕ꯭ꯔꯦꯁ꯭ꯠ ꯀꯦꯟꯁꯔ ꯂꯩꯔꯕꯗꯤ꯫
• ꯖꯦꯅꯦꯇꯤꯛ ꯑꯣꯏꯕꯥ ꯑꯍꯣꯡꯕꯁꯤꯡ: ꯕ꯭ꯔꯦꯁ꯭ꯠ ꯀꯦꯟꯁꯔꯒꯤ ꯔꯤꯁ꯭ꯛ ꯍꯦꯅꯒꯠꯍꯅꯕꯥ ꯉꯝꯕꯥ `(BRCA1, BRCA2)`ꯒꯨꯝꯕꯥ ꯖꯦꯅꯦꯇꯤꯛ ꯃ꯭ꯌꯨꯇꯦꯁꯅꯁꯤꯡ ꯂꯩꯕꯥ꯫
• ꯄꯔꯁꯣꯅꯦꯜ ꯍꯤꯁ꯭ꯇꯔꯤ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯃꯥꯡꯗꯥ ꯑꯇꯣꯞꯄꯥ ꯀꯦꯟꯁꯔ ꯑꯃꯥ ꯂꯩꯔꯕꯗꯤ꯫
• ꯑꯣꯕꯦꯁꯤꯇꯤ: ꯍꯀꯁꯦꯜ ꯐꯕꯥ ꯍꯀꯆꯥꯡꯒꯤ ꯑꯔꯨꯝꯕꯥ ꯊꯝꯕꯥ ꯉꯃꯗꯕꯥ꯫
• ꯄꯨꯟꯁꯤ ꯃꯍꯤꯡ: ꯱.ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯌꯨ ꯊꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯊꯛꯅꯕꯥ ꯏꯁꯤꯡꯒꯤ ꯄꯣꯠꯊꯣꯀꯁꯤꯡ ꯁꯤꯖꯤꯟꯅꯕꯥ꯫

ꯔꯤꯁ꯭ꯛ ꯐꯦꯛꯇꯔꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯠꯇꯥ ꯂꯩꯇꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯗꯁꯨ ADH ꯅꯠꯠꯔꯒꯥ ꯕ꯭ꯔꯦꯁ꯭ꯠ ꯀꯦꯟꯁꯔ ꯂꯥꯀꯄꯥ ꯌꯥꯏ ꯍꯥꯌꯕꯁꯤ ꯅꯤꯡꯁꯤꯡꯕꯥ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫

ꯑꯦ.ꯗꯤ.ꯑꯩꯆ.ꯒꯤ ꯂꯥꯌꯅꯥ ꯈꯉꯗꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯂꯥꯌꯦꯡꯕꯒꯤ ꯊꯧꯑꯣꯡ꯫

ꯃꯍꯧꯁꯥꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ADH ꯈꯪꯗꯣꯛꯂꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯃꯊꯪꯗꯥ ꯀꯔꯤ ꯇꯧꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯁꯤ꯫

꯱.ꯁꯔꯖꯤꯀꯦꯜ / ꯑꯦꯛꯁꯁꯤꯁꯅꯦꯜ ꯕꯥꯏꯑꯣꯞꯁꯤ ꯇꯧꯕꯥ꯫

ꯑꯌꯥꯝꯕꯥ ꯃꯇꯃꯗꯥ ADH ꯑꯁꯤ ꯑꯍꯥꯅꯕꯥ ꯑꯣꯏꯅꯥ ‘ꯅꯤꯗꯜ ꯕꯥꯏꯑꯣꯞꯁꯤ’ꯅꯥ ꯈꯪꯗꯣꯀꯏ, ꯃꯁꯤꯗꯥ ꯅꯤꯗꯂꯒꯨꯝꯕꯥ ꯏꯅꯁ꯭ꯠꯔꯨꯃꯦꯟꯇ ꯑꯃꯅꯥ ꯕ꯭ꯔꯦꯁ꯭ꯇꯇꯒꯤ ꯇꯤꯁꯨꯒꯤ ꯑꯄꯤꯀꯄꯥ ꯁꯔꯨꯛ ꯑꯃꯥ ꯂꯧꯗꯨꯅꯥ ꯃꯗꯨ ꯌꯦꯡꯁꯤꯅꯕꯥ ꯌꯥꯎꯏ꯫

ꯑꯦ.ꯗꯤ.ꯑꯩꯆ . ꯃꯁꯤꯗꯥ ꯃꯈꯣꯌꯒꯤ ꯑꯀꯣꯌꯕꯗꯥ ꯂꯩꯕꯥ ꯍꯀꯁꯦꯜ ꯐꯕꯥ ꯇꯤꯁ꯭ꯌꯨ ꯈꯔꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯑꯦꯕꯅꯣꯔꯃꯦꯜ ꯁꯦꯂꯁꯤꯡꯒꯤ ꯃꯐꯝ ꯄꯨꯝꯅꯃꯛ ꯁꯔꯖꯤꯀꯦꯜ ꯑꯣꯏꯅꯥ ꯂꯧꯊꯣꯀꯄꯥ ꯌꯥꯑꯣꯏ꯫

ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯃꯐꯝ ꯄꯨꯝꯕꯥ ꯂꯧꯊꯣꯛꯇꯨꯅꯥ ꯑꯃꯁꯨꯡ ꯌꯦꯡꯁꯤꯟꯗꯨꯅꯥ ꯃꯗꯨꯒꯤ ꯑꯀꯣꯌꯕꯗꯥ ꯑꯇꯣꯞꯄꯥ ꯈꯨꯗꯣꯡꯊꯤꯅꯤꯡꯉꯥꯏ ꯑꯣꯏꯕꯥ ꯁꯦꯂꯁꯤꯡ ꯂꯩꯇꯦ ꯍꯥꯌꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯱꯰꯰% ꯁꯣꯏꯗꯅꯥ ꯈꯉꯕꯥ ꯉꯃꯒꯅꯤ꯫ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯄꯥꯡꯊꯣꯀꯄꯥ ꯁꯔꯖꯔꯤꯒꯤ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯲꯰%ꯗꯥ ꯑꯦ.ꯗꯤ.ꯑꯩꯆ.ꯒꯤ ꯃꯊꯛꯇꯥ ꯀꯦꯟꯁꯔ ꯁꯦꯂꯁꯤꯡ ꯎꯕꯥ ꯐꯪꯂꯦ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯁꯔꯖꯔꯤ ꯑꯁꯤ ꯑꯗꯣꯃꯒꯤ ꯁꯦꯐꯇꯤꯒꯤꯗꯃꯛ ꯇꯧꯏ꯫

2. ꯔꯤꯁ꯭ꯛ ꯍꯟꯊꯍꯅꯕꯥ ꯍꯤꯗꯥꯀꯁꯤꯡ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯇꯤꯁ꯭ꯌꯨ ꯑꯗꯨ ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯌꯦꯡꯁꯤꯜꯂꯕꯗꯤ ꯑꯃꯁꯨꯡ ꯂꯦꯃꯍꯧꯔꯤꯕꯥ ꯀꯦꯟꯁꯔ ꯁꯦꯂꯁꯤꯡ ꯂꯩꯠꯔꯕꯗꯤ, ꯑꯌꯥꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯃꯈꯥ ꯇꯥꯅꯥ ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯃꯊꯧ ꯇꯥꯗꯦ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯄꯔꯁꯣꯅꯦꯜ ꯑꯃꯁꯨꯡ ꯐꯦꯃꯤꯂꯤ ꯍꯤꯁ꯭ꯇꯔꯤꯒꯨꯝꯕꯥ ꯐꯦꯛꯇꯔꯁꯤꯡꯗꯥ ꯌꯨꯝꯐꯝ ꯑꯣꯏꯗꯨꯅꯥ, ꯅꯍꯥꯛꯀꯤ ꯇꯨꯡꯗꯥ ꯀꯦꯟꯁꯔ ꯂꯥꯀꯄꯒꯤ ꯔꯤꯁ꯭ꯛ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯋꯥꯡꯏ ꯍꯥꯌꯅꯥ ꯈꯜꯂꯕꯗꯤ, ꯃꯍꯥꯛꯅꯥ ꯔꯤꯁ꯭ꯛ ꯑꯗꯨ ꯍꯟꯊꯍꯅꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯅꯕꯥ ꯍꯤꯗꯥꯀꯁꯤꯡ ꯄꯤꯕꯥ ꯌꯥꯏ꯫

ꯍꯤꯗꯥꯀꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯍꯀꯆꯥꯡꯗꯥ ꯍꯣꯔꯃꯣꯟ ꯏꯁ꯭ꯠꯔꯣꯖꯦꯅꯒꯤ ꯑꯦꯛꯁꯟ ꯑꯗꯨ ꯊꯤꯡꯗꯨꯅꯥ ꯊꯕꯛ ꯇꯧꯏ, ꯃꯁꯤꯅꯥ ꯕ꯭ꯔꯦꯁ꯭ꯠ ꯀꯦꯟꯁꯔ ꯃꯈꯜ ꯈꯔꯒꯤ ꯒ꯭ꯔꯣꯊꯇꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ ꯍꯥꯌꯅꯥ ꯈꯉꯅꯩ꯫

• ꯄ꯭ꯔꯤ-ꯃꯦꯅꯣꯄꯣꯖꯜ ꯅꯨꯄꯤꯁꯤꯡꯒꯤꯗꯃꯛ ꯇꯥꯃꯣꯛꯁꯤꯐꯦꯟ꯫
• ꯃꯦꯅꯣꯄꯣꯖꯒꯤ ꯃꯇꯨꯡꯒꯤ ꯅꯨꯄꯤꯁꯤꯡꯒꯤꯗꯃꯛ ꯔꯥꯂꯣꯛꯁꯤꯐꯦꯟ ꯅꯠꯠꯔꯒꯥ ꯑꯦꯅꯥꯁ꯭ꯠꯔꯣꯖꯣꯂꯒꯨꯝꯕꯥ ꯍꯤꯗꯥꯀꯁꯤꯡ꯫

ꯍꯥꯌꯔꯤꯕꯥ ꯍꯤꯗꯥꯀꯁꯤꯡ ꯑꯁꯤ ꯃꯍꯧꯁꯥꯅꯥ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯆꯍꯤ 5ꯒꯤ ꯑꯣꯏꯅꯥ ꯔꯦꯀꯃꯦꯟꯗ ꯇꯧꯏ꯫ ꯃꯈꯣꯌꯅꯥ ꯁꯥꯏꯗ ꯏꯐꯦꯛꯇ ꯈꯔꯗꯤ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ ꯑꯗꯨꯕꯨ ꯁꯥꯊꯤꯕꯥ ꯁꯥꯏꯗ ꯏꯐꯦꯛꯇꯁꯤꯡꯗꯤ ꯌꯥꯝꯅꯥ ꯅꯦꯝꯃꯤ꯫ ꯍꯤꯗꯥꯛ ꯑꯁꯤ ꯅꯍꯥꯛꯀꯤꯗꯃꯛꯇꯥ ꯆꯨꯝꯃꯤ ꯅꯠꯠꯔꯒꯥ ꯆꯨꯃꯗꯕꯔꯥ ꯍꯥꯌꯕꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯈꯟꯅꯒꯗꯕꯥ ꯋꯥꯐꯝ ꯑꯃꯅꯤ꯫

꯳.ꯀ꯭ꯂꯣꯖ ꯁꯔꯚꯤꯂꯦꯟꯁ ꯇꯧꯕꯥ꯫

ꯅꯍꯥꯛꯅꯥ ADH ꯂꯩꯔꯦ ꯍꯥꯌꯅꯥ ꯈꯪꯂꯕꯥ ꯃꯇꯨꯡꯗꯥ, ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯋꯥꯐꯃꯗꯤ ꯅꯍꯥꯛꯀꯤ ꯎꯅꯁꯥꯗꯥ ꯌꯥꯝꯅꯥ ꯀꯨꯞꯅꯥ ꯌꯦꯡꯁꯤꯅꯕꯥ ꯑꯁꯤꯅꯤ꯫ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯑꯁꯤ ꯔꯤꯀꯃꯦꯟꯗ ꯇꯧꯕꯥ ꯌꯥꯏ:

• ꯆꯍꯤꯒꯤ ꯑꯣꯏꯕꯥ ꯃꯦꯃꯣꯒ꯭ꯔꯥꯐ: ꯃꯁꯤ ꯀꯩꯗꯧꯉꯩꯗꯥ ꯊꯥꯗꯣꯛꯂꯣꯏꯗꯕꯅꯤ꯫
• ꯀ꯭ꯂꯤꯅꯤꯀꯦꯜ ꯕ꯭ꯔꯦꯁ꯭ꯠ ꯑꯦꯀꯖꯥꯝ: ꯅꯍꯥꯛꯀꯤ ꯕ꯭ꯔꯦꯁ꯭ꯠ ꯑꯗꯨ ꯊꯥ 6ꯗꯒꯤ 12 ꯐꯥꯎꯕꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯗꯣꯛꯇꯔ ꯑꯃꯅꯥ ꯌꯦꯡꯁꯤꯅꯕꯥ꯫
• ꯕ꯭ꯔꯦꯁ꯭ꯠ ꯑꯦꯝ.ꯑꯥꯔ.ꯑꯥꯏ.
• ꯁꯦꯂꯐ-ꯕ꯭ꯔꯦꯁ꯭ꯠ ꯑꯦꯀꯖꯥꯝ (self-breast exam) : ꯊꯥ ꯑꯃꯗꯥ ꯑꯃꯨꯛ ꯌꯨꯃꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯕ꯭ꯔꯦꯁ꯭ꯠ ꯑꯗꯨ ꯀꯔꯝꯅꯥ ꯌꯦꯡꯁꯤꯅꯒꯗꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯇꯃꯁꯤꯜꯂꯨ ꯑꯃꯁꯨꯡ ꯃꯁꯤꯕꯨ ꯆꯠꯅꯕꯤ ꯑꯃꯥ ꯑꯣꯏꯍꯜꯂꯨ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯍꯣꯡꯕꯥ ꯑꯃꯥ ꯂꯥꯀꯄꯥ ꯎꯔꯕꯗꯤ, ꯈꯨꯗꯛꯇꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯈꯪꯍꯜꯂꯨ꯫

ADH ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯗꯥ ꯀꯦꯟꯁꯔ ꯂꯥꯀꯄꯒꯤ ꯔꯤꯁ꯭ꯛ ꯑꯁꯤ ꯀꯔꯤꯅꯣ?

ADH ꯑꯁꯤ ꯀꯦꯟꯁꯔ ꯅꯠꯇꯦ, ꯑꯗꯨꯕꯨ ꯃꯁꯤꯅꯥ ꯇꯨꯡꯗꯥ ꯔꯤꯁ꯭ꯛ ꯍꯦꯅꯒꯠꯍꯜꯂꯤ꯫ ꯁ꯭ꯇꯦꯇꯤꯁ꯭ꯇꯤꯀꯦꯂꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯊꯣꯀꯍꯜꯂꯣꯏꯗꯕꯅꯤ, ꯃꯁꯤꯅꯥ ꯑꯦ.ꯗꯤ.ꯑꯩꯆ.ꯅꯥ ꯅꯥꯕꯥ ꯃꯤꯑꯣꯏ ꯈꯨꯗꯤꯡꯃꯛ ꯀꯦꯟꯁꯔ ꯂꯥꯛꯀꯅꯤ ꯍꯥꯌꯕꯗꯤ ꯅꯠꯇꯦ꯫

• ADH ꯅꯥ ꯅꯥꯔꯦ ꯍꯥꯌꯕꯥ ꯈꯪꯂꯕꯥ ꯃꯇꯨꯡ ꯆꯍꯤ 5ꯒꯤ ꯃꯅꯨꯡꯗꯥ, ꯃꯤꯑꯣꯏ 100ꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯆꯥꯎꯔꯥꯛꯅꯥ 7 (7%)ꯗꯤ ꯕ꯭ꯔꯦꯁ꯭ꯠ ꯀꯦꯟꯁꯔ ꯂꯥꯛꯀꯅꯤ꯫
• ꯆꯍꯤ 10ꯒꯤ ꯃꯇꯨꯡꯗꯥ , ꯃꯤꯑꯣꯏ 100ꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯆꯥꯎꯔꯥꯛꯅꯥ 13 (13%)ꯗꯤ ꯃꯁꯤ ꯂꯥꯀꯄꯥ ꯌꯥꯏ꯫
• ꯆꯍꯤ 25ꯒꯤ ꯃꯇꯨꯡꯗꯥ , ꯃꯤꯑꯣꯏ 100ꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯆꯥꯎꯔꯥꯛꯅꯥ 30 (30%)ꯗꯤ ꯃꯁꯤ ꯂꯥꯀꯄꯥ ꯌꯥꯏ꯫

ꯃꯁꯤꯅꯥ ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯁ꯭ꯛꯔꯤꯅꯤꯡ ꯇꯧꯕꯥ ꯑꯁꯤ ꯀꯌꯥ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯎꯠꯂꯤ, ꯃꯔꯃꯗꯤ ꯃꯇꯃꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ ꯔꯤꯁ꯭ꯛ ꯑꯁꯤ ꯍꯦꯅꯒꯠꯂꯀꯏ꯫ ꯃꯔꯃꯗꯤ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯑꯣꯡ ꯑꯃꯗꯥ ꯀꯦꯟꯁꯔ ꯂꯥꯛꯂꯕꯁꯨ, ꯃꯁꯤꯒꯤ ꯃꯑꯣꯡ ꯑꯁꯤꯅꯥ ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯁ꯭ꯛꯔꯤꯅꯤꯡ ꯇꯧꯕꯅꯥ ꯌꯥꯝꯅꯥ ꯇꯣꯏꯅꯥ ꯈꯉꯗꯣꯀꯄꯥ ꯉꯃꯒꯅꯤ꯫ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯆꯥꯡ ꯑꯃꯁꯨꯡ ꯃꯄꯨꯡ ꯐꯥꯅꯥ ꯂꯥꯌꯦꯡꯕꯒꯤ ꯆꯥꯡ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯋꯥꯡꯏ꯫

ꯔꯤꯁ꯭ꯛ ꯍꯟꯊꯍꯟꯅꯕꯥ ꯑꯩꯅꯥ ꯀꯔꯤ ꯇꯧꯕꯥ ꯌꯥꯕꯒꯦ?

ADH ꯊꯤꯡꯅꯕꯒꯤ ꯁꯣꯌꯗꯕꯥ ꯃꯑꯣꯡ ꯑꯃꯠꯇꯥ ꯂꯩꯇꯕꯁꯨ, ꯇꯨꯡꯗꯥ ꯕ꯭ꯔꯦꯁ꯭ꯠ ꯀꯦꯟꯁꯔꯒꯤ ꯔꯤꯁ꯭ꯛ ꯍꯟꯊꯍꯟꯅꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯇꯧꯕꯥ ꯌꯥꯕꯥ ꯊꯕꯛ ꯀꯌꯥ ꯂꯩ꯫ ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯑꯗꯣꯃꯒꯤ ꯑꯄꯨꯅꯕꯥ ꯍꯀꯁꯦꯂꯗꯁꯨ ꯌꯥꯝꯅꯥ ꯐꯩ꯫

• ꯍꯀꯁꯦꯜ ꯐꯕꯥ ꯑꯔꯨꯝꯕꯥ ꯑꯃꯥ ꯊꯝꯃꯨ: ꯅꯍꯥꯛꯀꯤ ꯋꯥꯡꯕꯒꯤ ꯆꯥꯡ ꯑꯗꯨꯒꯤꯗꯃꯛ ꯍꯀꯁꯦꯜ ꯐꯕꯥ ꯑꯔꯨꯝꯕꯥ ꯑꯃꯗꯥ ꯂꯩꯅꯕꯥ ꯍꯣꯠꯅꯧ꯫
• ꯅꯨꯃꯤꯠ ꯈꯨꯗꯤꯡꯒꯤ ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯇꯧꯕꯥ: ꯅꯣꯡꯃꯗꯥ ꯌꯥꯃꯗ꯭ꯔꯕꯗꯥ ꯃꯤꯅꯠ 30ꯒꯤ ꯑꯣꯏꯅꯥ ꯑꯀꯅꯕꯥ ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯇꯧꯕꯥ꯫
• ꯌꯨ ꯂꯤꯃꯤꯠ ꯇꯧꯕꯥ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯌꯨ ꯊꯀꯄꯥ ꯇꯥꯔꯕꯗꯤ ꯌꯥꯔꯤꯕꯃꯈꯩ ꯂꯤꯃꯤꯠ ꯇꯧ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯌꯥꯕꯥ ꯇꯥꯔꯕꯗꯤ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯊꯀꯄꯥ ꯂꯦꯄꯍꯅꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯩ꯫
• ꯃꯩꯈꯨ ꯊꯥꯗꯣꯀꯄꯥ ꯊꯤꯡꯖꯤꯜꯂꯨ: ꯃꯩꯈꯨ ꯊꯥꯗꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯊꯛꯅꯕꯥ ꯏꯁꯤꯡ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯁꯤꯖꯤꯟꯅꯕꯥ ꯂꯦꯄꯀꯅꯨ꯫
• ꯍꯀꯁꯦꯜ ꯐꯕꯥ ꯗꯥꯏꯠ: ꯎꯍꯩ-ꯋꯥꯍꯩ, ꯃꯅꯥ-ꯃꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯃꯅꯥ-ꯃꯁꯤꯡ ꯌꯥꯝꯅꯥ ꯌꯥꯎꯕꯥ ꯗꯥꯏꯠ ꯑꯃꯥ ꯆꯥꯒꯗꯕꯅꯤ, ꯑꯃꯁꯨꯡ ꯊꯥꯎ, ꯆꯤꯅꯤ ꯑꯃꯁꯨꯡ ꯂꯣꯟ ꯌꯥꯝꯅꯥ ꯌꯥꯎꯕꯥ ꯗꯥꯏꯠ ꯑꯃꯥ ꯆꯥꯒꯗꯕꯅꯤ꯫