ꯅꯍꯥꯛꯀꯤ ꯏꯃꯨꯡ-ꯃꯅꯨꯡꯗꯥ ꯅꯠꯠꯔꯒꯥ ꯃꯔꯨꯞ ꯑꯃꯗꯥ ꯕ꯭ꯔꯦꯁ꯭ꯠ ꯀꯦꯟꯁꯔꯅꯥ ꯅꯥꯔꯦ ꯍꯥꯌꯅꯥ ꯈꯪꯗꯣꯀꯄꯥ ꯉꯃꯒꯗ꯭ꯔꯥ? ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯠꯇꯦ, ꯅꯍꯥꯛꯅꯥ ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯕꯥ ꯃꯇꯃꯗꯥ ꯈꯔꯥ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯐꯥꯑꯣꯔꯀꯄꯥ ꯌꯥꯏ꯫ ꯕ꯭ꯔꯦꯁ꯭ꯠ ꯀꯦꯟꯁꯔ ꯍꯥꯌꯕꯁꯤ ꯇꯁꯦꯡꯅꯥ ꯀꯔꯤꯅꯣ ? ꯀꯅꯥꯅꯥ ꯐꯪꯂꯤꯕꯅꯣ? ꯔꯤꯁ꯭ꯛ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯂꯩꯕꯒꯦ? ꯃꯁꯤ ꯄꯨꯝꯅꯃꯛ ꯑꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯉꯁꯤ ꯌꯥꯝꯅꯥ ꯏꯆꯝ ꯆꯝꯕꯥ ꯑꯃꯁꯨꯡ ꯃꯔꯨꯞ-ꯃꯄꯥꯡ ꯑꯣꯏꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯁꯤ꯫ ꯋꯥꯐꯃꯁꯤꯡ ꯑꯁꯤ ꯈꯉꯕꯥ ꯑꯁꯤ ꯅꯍꯥꯛ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯅꯨꯡꯁꯤꯖꯔꯕꯁꯤꯡꯒꯤꯗꯃꯛ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫
ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯕ꯭ꯔꯦꯁ꯭ꯠ ꯀꯦꯟꯁꯔ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯀ꯭ꯂꯥꯁꯤꯐꯥꯏ ꯇꯧꯕꯒꯦ?
ꯕ꯭ꯔꯦꯁ꯭ꯠ ꯀꯦꯟꯁꯔ ꯑꯁꯤ ꯄꯨꯝꯅꯃꯛ ꯑꯃꯒꯥ ꯑꯃꯒꯥ ꯃꯥꯟꯅꯗꯦ꯫ ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯃꯁꯤꯕꯨ ꯇꯣꯉꯥꯟ-ꯇꯣꯉꯥꯅꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯀ꯭ꯂꯥꯁꯤꯐꯥꯏ ꯇꯧꯏ꯫ ꯃꯈꯣꯌꯅꯥ ꯃꯁꯤ ꯕ꯭ꯔꯦꯁ꯭ꯇꯇꯥ ꯀꯦꯟꯁꯔ ꯑꯁꯤ ꯀꯗꯥꯏꯗꯒꯤ ꯍꯧꯔꯀꯄꯒꯦ, ꯀꯦꯟꯁꯔ ꯁꯦꯂꯁꯤꯡꯗꯥ ꯀꯔꯤ ꯍꯣꯔꯃꯣꯟ ꯔꯤꯁꯦꯄꯇꯔ ꯂꯩꯕꯒꯦ ꯑꯃꯁꯨꯡ ꯀꯦꯟꯁꯔ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯁꯟꯗꯣꯀꯈꯤꯕꯒꯦ ꯍꯥꯌꯕꯗꯨꯒꯤ ꯃꯇꯨꯡ ꯏꯟꯅꯥ ꯀ꯭ꯂꯥꯁꯤꯐꯥꯏ ꯇꯧꯏ꯫ ꯃꯁꯤꯒꯤ ꯀ꯭ꯂꯥꯁꯤꯐꯤꯀꯦꯁꯟ ꯑꯁꯤꯅꯥ ꯂꯥꯏꯌꯦꯡ ꯂꯦꯄꯊꯣꯀꯏ ꯑꯃꯁꯨꯡ ꯐꯒꯠꯂꯀꯄꯒꯤ ꯆꯥꯡꯒꯤ ꯋꯥꯈꯜꯂꯣꯟ ꯑꯃꯥ ꯄꯤꯔꯤ꯫
ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯈꯜ ꯑꯅꯤ ꯂꯩ:
1. ꯅꯟ-ꯏꯅꯚꯦꯁꯤꯚ (ꯃꯐꯝ ꯑꯃꯈꯛꯇꯃꯛ ꯌꯥꯎꯏ): ꯃꯁꯤꯅꯥ ꯇꯥꯀꯄꯗꯤ ꯀꯦꯟꯁꯔ ꯑꯁꯤ ꯍꯧꯔꯀꯄꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯁꯟꯗꯣꯀꯈꯤꯗ꯭ꯔꯤ꯫ ꯃꯁꯤ ꯃꯔꯨꯝ ꯑꯃꯒꯨꯝ ꯈꯅꯕꯤꯌꯨ꯫ ꯃꯁꯤ ꯃꯐꯝ ꯑꯃꯗꯥ ꯊꯃꯖꯤꯜꯂꯤ꯫ ꯃꯁꯤꯒꯤ ꯑꯐꯕꯥ ꯈꯨꯗꯝ ꯑꯃꯗꯤ ` ꯗꯛꯇꯜ ꯀꯥꯔꯁꯤꯅꯣꯃꯥ ꯏꯟ ꯁꯤꯇꯨ (DCIS)ꯅꯤ꯫` ꯃꯐꯃꯁꯤꯗꯥ, ꯀꯦꯟꯁꯔ ꯁꯦꯂꯁꯤꯡ ꯑꯁꯤ ꯁꯉ꯭ꯒꯣꯃꯒꯤ ꯗꯛꯇꯁꯤꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯈꯛꯇꯗꯥ ꯂꯩ꯫
2. ꯏꯅꯚꯦꯁꯤꯚ (invasive): ꯃꯁꯤ ꯀꯦꯟꯁꯔ ꯑꯗꯨꯅꯥ ꯍꯧꯔꯀꯄꯥ ꯃꯐꯃꯗꯨꯗꯥ ꯂꯩꯕꯥ ꯁꯉ꯭ꯒꯣꯃꯒꯤ ꯗꯛꯇꯁꯤꯡ ꯅꯠꯠꯔꯒꯥ ꯁꯉ꯭ꯒꯣꯝ ꯄꯨꯊꯣꯀꯄꯥ ꯒ꯭ꯜꯌꯥꯟꯗꯁꯤꯡ (lobules)ꯒꯤ ꯃꯄꯥꯟꯗꯥ, ꯕ꯭ꯔꯦꯁ꯭ꯇꯀꯤ ꯑꯇꯩ ꯃꯐꯃꯁꯤꯡꯗꯥ ꯅꯠꯠꯔꯒꯥ ꯈꯣꯡꯗꯥ ꯂꯩꯕꯥ ꯂꯤꯝꯐ ꯅꯣꯗꯁꯤꯡꯗꯥ ꯁꯟꯗꯣꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯑꯣꯏ꯫ ꯑꯌꯥꯝꯕꯥ ꯕ꯭ꯔꯦꯁ꯭ꯠ ꯀꯦꯟꯁꯔꯁꯤꯡ ꯑꯁꯤ ꯀꯦꯇꯦꯒꯣꯔꯤ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡ ꯆꯜꯂꯤ꯫
ꯃꯁꯤꯒꯤ ꯃꯊꯛꯇꯥ, ꯃꯈꯣꯌ ꯑꯁꯤ ꯀꯦꯟꯁꯔ ꯁꯦꯂꯁꯤꯡꯗꯥ ꯂꯩꯕꯥ ꯔꯤꯁꯦꯄꯇꯔꯁꯤꯡꯒꯤ ꯃꯇꯨꯡ ꯏꯟꯅꯥ ꯀ꯭ꯂꯥꯁꯤꯐꯥꯏ ꯇꯧꯕꯁꯨ ꯌꯥꯏ꯫ ꯍꯥꯌꯔꯤꯕꯥ ꯔꯤꯁꯦꯄꯇꯔꯁꯤꯡ ꯑꯁꯤ ꯀꯦꯟꯁꯔ ꯁꯦꯂꯁꯤꯡꯒꯤ ꯆꯥꯎꯈꯠꯄꯗꯥ ꯁꯣꯀꯍꯜꯂꯤꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡꯅꯤ꯫
| ꯀꯦꯟꯁꯔ ꯃꯈꯜ꯫ | ꯏꯆꯝ ꯆꯝꯕꯥ ꯃꯌꯦꯛ ꯁꯦꯡꯅꯥ ꯇꯥꯀꯄꯥ꯫ |
|---|---|
| ꯍꯣꯔꯃꯣꯟ ꯔꯤꯁꯦꯄꯇꯔ-ꯄꯣꯖꯤꯇꯤꯕ ꯑꯣꯏꯕꯥ꯫ | ꯍꯥꯌꯔꯤꯕꯥ ꯀꯦꯟꯁꯔ ꯁꯦꯂꯁꯤꯡ ꯑꯁꯤ ꯍꯣꯔꯃꯣꯟ ꯏꯁ꯭ꯠꯔꯣꯖꯦꯟ ꯅꯠꯠꯔꯒꯥ ꯄ꯭ꯔꯣꯖꯦꯁ꯭ꯇꯦꯔꯣꯅꯒꯤ ꯃꯇꯨꯡ ꯏꯟꯅꯥ ꯍꯦꯅꯒꯠꯂꯀꯏ꯫ ꯕ꯭ꯔꯦꯁ꯭ꯠ ꯀꯦꯟꯁꯔ ꯑꯍꯨꯃꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯅꯤꯗꯤ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯃꯈꯂꯒꯤ ꯑꯣꯏ꯫ |
| ꯍꯦꯔ꯲-ꯄꯣꯖꯤꯇꯤꯕ ꯑꯣꯏꯕꯥ꯫ | ꯍꯀꯆꯥꯡꯅꯥ HER2 ꯀꯧꯕꯥ ꯄ꯭ꯔꯣꯇꯤꯟ ꯑꯃꯥ ꯍꯦꯟꯅꯥ ꯄꯨꯊꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯀꯦꯟꯁꯔ ꯁꯦꯂꯁꯤꯡ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯍꯦꯅꯒꯠꯂꯀꯏ꯫ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯀꯦꯟꯁꯔ ꯲꯰%ꯗꯤ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯃꯈꯂꯒꯤ ꯑꯣꯏ꯫ |
| ꯇ꯭ꯔꯤꯄꯜ-ꯅꯦꯒꯦꯇꯤꯕ ꯑꯣꯏꯕꯥ꯫ | ꯍꯥꯌꯔꯤꯕꯥ ꯀꯦꯟꯁꯔꯁꯤꯡ ꯑꯁꯤ ꯍꯣꯔꯃꯣꯟ ꯅꯠꯠꯔꯒꯥ HER2 ꯄ꯭ꯔꯣꯇꯤꯅꯅꯥ ꯁꯣꯀꯍꯜꯂꯣꯏ꯫ ꯃꯈꯣꯌ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯁꯟꯗꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯂꯥꯏꯌꯦꯡꯕꯗꯥ ꯌꯥꯝꯅꯥ ꯂꯨꯕꯥ ꯃꯈꯜ ꯑꯃꯅꯤ꯫ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯀꯦꯁ ꯱꯵%ꯗꯤ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯃꯈꯂꯒꯤ ꯀꯦꯁꯁꯤꯡꯅꯤ꯫ |
ꯑꯇꯣꯞꯄꯥ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯊꯣꯀꯄꯥ ꯃꯈꯂꯁꯤꯡ꯫
- ꯏꯅꯐ꯭ꯂꯦꯃꯦꯇꯔꯤ ꯕ꯭ꯔꯦꯁ꯭ꯠ ꯀꯦꯟꯁꯔ: ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯁꯟꯗꯣꯀꯄꯥ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯊꯣꯀꯄꯥ ꯃꯈꯜ ꯑꯃꯅꯤ꯫ ꯕ꯭ꯔꯦꯁ꯭ꯠ ꯑꯗꯨ ꯂꯥꯂꯍꯧꯕꯥ ꯑꯃꯁꯨꯡ ꯁꯣꯟꯊꯕꯥ ꯑꯣꯏꯔꯀꯏ꯫
- ꯅꯤꯄꯥꯂꯒꯤ ꯄꯦꯖꯦꯠ ꯂꯥꯌꯅꯥ (Paget disease of the nipple) : ꯅꯥꯀꯣꯡꯗꯥ ꯊꯣꯀꯄꯥ ꯀꯦꯟꯁꯔ ꯃꯈꯜ ꯑꯃꯅꯤ꯫
- ꯑꯦꯟꯖꯤꯑꯣꯁꯥꯔꯀꯣꯃꯥ: ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯂꯁꯤꯡꯒꯤ ꯁꯦꯂꯁꯤꯡꯗꯥ ꯍꯧꯏ꯫
- ꯃꯦꯇꯥꯁ꯭ꯇꯦꯇꯤꯛ ꯕ꯭ꯔꯦꯁ꯭ꯠ ꯀꯦꯟꯁꯔ: ꯃꯁꯤ ꯀꯦꯟꯁꯔ ꯁꯦꯂꯁꯤꯡꯅꯥ ꯕ꯭ꯔꯦꯁ꯭ꯇꯇꯒꯤ ꯂꯥꯄꯊꯣꯛꯅꯥ ꯂꯩꯕꯥ ꯑꯃꯁꯨꯡ ꯍꯀꯆꯥꯡꯒꯤ ꯑꯇꯩ ꯃꯐꯃꯁꯤꯡꯗꯥ (ꯑꯌꯥꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯁꯔꯨ, ꯕ꯭ꯔꯦꯟ, ꯂꯪꯁ, ꯅꯠꯠꯔꯒꯥ ꯂꯤꯚꯔ) ꯆꯠꯇꯨꯅꯥ ꯑꯅꯧꯕꯥ ꯇꯤꯎꯃꯔꯁꯤꯡ ꯁꯦꯝꯕꯥ ꯃꯇꯃꯅꯤ꯫
ꯕ꯭ꯔꯦꯁ꯭ꯠ ꯀꯦꯟꯁꯔꯒꯤ ꯔꯤꯁ꯭ꯛ ꯐꯦꯛꯇꯔꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?
ꯋꯥꯐꯝ ꯈꯔꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯕ꯭ꯔꯦꯁ꯭ꯠ ꯀꯦꯟꯁꯔ ꯂꯥꯀꯄꯒꯤ ꯔꯤꯁ꯭ꯛ ꯍꯦꯅꯒꯠꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯈꯔꯗꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯥ ꯉꯝꯃꯤ, ꯈꯔꯗꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯥ ꯉꯃꯗꯦ꯫
ꯑꯗꯨꯕꯨ ꯃꯁꯤ ꯅꯤꯡꯁꯤꯡꯕꯤꯌꯨ: ꯔꯤꯁ꯭ꯛ ꯐꯦꯛꯇꯔꯁꯤꯡ ꯑꯁꯤ ꯂꯩꯕꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯀꯦꯟꯁꯔ ꯂꯥꯛꯀꯅꯤ ꯍꯥꯌꯕꯗꯤ ꯅꯠꯇꯦ꯫ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯔꯤꯁ꯭ꯛ ꯐꯦꯛꯇꯔꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯠꯇꯥ ꯂꯩꯇꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯅꯥ ꯀꯦꯟꯁꯔ ꯂꯥꯀꯁꯤꯅꯕꯁꯨ ꯌꯥꯏ꯫ ꯑꯩꯈꯣꯌꯅꯥ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯥ ꯌꯥꯕꯥ ꯄꯣꯠꯁꯤꯡꯗꯥ ꯃꯤꯠꯌꯦꯡ ꯊꯝꯕꯥ ꯉꯝꯅꯕꯥ ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯈꯉꯕꯥ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫
ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯔꯤꯁ꯭ꯛ ꯐꯦꯛꯇꯔ ꯈꯔꯗꯤ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤ :
- ꯆꯍꯤ: ꯆꯍꯤ 50ꯒꯤ ꯃꯊꯛꯇꯥ ꯂꯩꯕꯥ ꯅꯨꯄꯤꯁꯤꯡꯅꯥ ꯍꯦꯟꯅꯥ ꯔꯤꯁ꯭ꯛ ꯂꯩ꯫
- ꯏꯃꯨꯡꯒꯤ ꯍꯤꯁ꯭ꯇꯔꯤ: ꯕ꯭ꯔꯦꯁ꯭ꯠ ꯀꯦꯟꯁꯔꯅꯥ ꯅꯥꯕꯥ ꯃꯃꯥ, ꯃꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯃꯆꯥꯅꯨꯄꯤꯒꯨꯝꯕꯥ ꯅꯛꯅꯕꯥ ꯃꯔꯤ-ꯃꯇꯥ ꯑꯃꯥ ꯂꯩꯕꯥ꯫
- ꯄꯔꯁꯣꯅꯦꯜ ꯍꯤꯁ꯭ꯇꯔꯤ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯃꯥꯡꯗꯥ ꯕ꯭ꯔꯦꯁ꯭ꯠ ꯑꯃꯗꯥ ꯀꯦꯟꯁꯔ ꯂꯩꯔꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯑꯇꯣꯞꯄꯥ ꯕ꯭ꯔꯦꯁ꯭ꯠ ꯑꯗꯨꯗꯁꯨ ꯀꯦꯟꯁꯔ ꯂꯥꯀꯄꯒꯤ ꯔꯤꯁ꯭ꯛ ꯂꯩ꯫
- ꯃꯦꯅꯣꯄꯣꯖ (menopouse): ꯆꯍꯤ 12 ꯁꯨꯗ꯭ꯔꯤꯉꯩꯒꯤ ꯃꯃꯥꯡꯗꯥ ꯊꯥꯒꯤ ꯈꯣꯡꯀꯥꯞ ꯍꯧꯔꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯆꯍꯤ 55ꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯃꯦꯅꯣꯄꯣꯖ ꯍꯧꯔꯀꯄꯥ꯫
- ꯑꯉꯥꯡ ꯄꯣꯀꯄꯥ: ꯆꯍꯤ 30 ꯁꯨꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯍꯥꯅꯕꯥ ꯑꯉꯥꯡ ꯄꯣꯀꯄꯥ, ꯑꯉꯥꯡ ꯄꯣꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯉꯥꯡꯁꯤꯡꯕꯨ ꯈꯣꯝꯂꯥꯡ ꯄꯤꯊꯀꯄꯥ ꯉꯃꯗꯕꯥ꯫
- ꯃꯃꯥꯡꯒꯤ ꯔꯦꯗꯤꯑꯦꯁꯟ ꯊꯦꯔꯥꯄꯤ: ꯆꯦꯁ꯭ꯠ ꯑꯦꯔꯤꯌꯥꯗꯥ ꯃꯃꯥꯡꯗꯥ ꯔꯦꯗꯤꯑꯦꯁꯟ ꯊꯦꯔꯥꯄꯤ ꯂꯧꯈꯤꯕꯥ꯫
- ꯄꯨꯟꯁꯤ ꯃꯍꯤꯡ: ꯁꯥꯊꯤꯕꯥ ꯑꯣꯕꯦꯁꯤꯇꯤ, ꯌꯨ ꯊꯀꯄꯥ, ꯑꯃꯁꯨꯡ ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯍꯣꯔꯃꯣꯟ ꯊꯦꯔꯥꯄꯤ ꯑꯃꯁꯨꯡ ꯕꯔꯊ ꯀꯟꯠꯔꯣꯜ ꯄꯤꯂꯁꯤꯡ ꯁꯤꯖꯤꯟꯅꯕꯥ꯫
ꯀꯦꯟꯁꯔ ꯑꯁꯤ ꯃꯇꯧ ꯀꯔꯝꯅꯥ ꯇꯣꯌꯅꯥ ꯈꯉꯗꯣꯀꯄꯥ ꯌꯥꯕꯒꯦ?
ꯃꯦꯃꯣꯒ꯭ꯔꯥꯐ꯫ꯃꯁꯤ ꯕ꯭ꯔꯦꯁ꯭ꯇꯀꯤ ꯑꯦꯛꯁ-ꯔꯦ ꯑꯃꯅꯤ꯫ ꯃꯁꯤꯅꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯂꯥꯛꯠꯔꯤꯉꯩ ꯃꯃꯥꯡꯗꯥ ꯀꯦꯟꯁꯔ ꯈꯉꯗꯣꯛꯅꯕꯒꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯥ ꯄꯥꯝꯕꯩꯅꯤ꯫ ꯃꯁꯤ ꯉꯟꯅꯥ ꯈꯉꯗꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯂꯥꯌꯦꯡꯕꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯃꯄꯨꯡ ꯐꯥꯅꯥ ꯂꯥꯌꯦꯡꯕꯒꯤ ꯆꯥꯡ ꯍꯦꯅꯒꯠꯂꯀꯏ꯫
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯦꯃꯣꯒ꯭ꯔꯥꯐꯇꯥ ꯆꯤꯡꯅꯕꯥ ꯃꯐꯝ ꯑꯃꯥ ꯂꯩꯔꯕꯗꯤ, ꯗꯣꯛꯇꯔꯅꯥ ꯑꯦꯝ.ꯑꯥꯔ.ꯑꯥꯏ., ꯑꯂꯠꯔꯥꯁꯥꯎꯟꯗ ꯁ꯭ꯀꯦꯟ, ꯑꯃꯁꯨꯡ ꯕꯥꯏꯑꯣꯞꯁꯤ (ꯑꯦꯀꯖꯥꯃꯤꯅꯦꯁꯅꯒꯤꯗꯃꯛꯇꯥ ꯇꯤꯁꯨꯒꯤ ꯑꯄꯤꯀꯄꯥ ꯁꯔꯨꯛ ꯑꯃꯥ ꯂꯧꯕꯥ) ꯇꯧꯅꯕꯥ ꯄꯥꯎꯇꯥꯛ ꯄꯤꯕꯥ ꯌꯥꯏ ꯑꯃꯁꯨꯡ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯂꯩꯔꯕꯗꯤ ꯃꯁꯤ ꯀꯌꯥ ꯌꯥꯝꯅꯥ ꯁꯟꯗꯣꯀꯈꯤꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯀꯅꯐꯥꯔꯝ ꯇꯧꯕꯥ ꯌꯥꯏ꯫
ꯃꯥꯂꯦꯃꯒꯤ ꯇꯣꯉꯥꯟ ꯇꯣꯉꯥꯅꯕꯥ ꯍꯦꯜꯊ ꯑꯣꯔꯒꯅꯥꯏꯖꯦꯁꯅꯁꯤꯡꯅꯥ ꯃꯦꯃꯣꯒ꯭ꯔꯥꯐꯀꯤ ꯆꯍꯤ ꯑꯃꯁꯨꯡ ꯐ꯭ꯔꯤꯛꯕꯦꯟꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯇꯣꯉꯥꯟ ꯇꯣꯉꯥꯅꯕꯥ ꯔꯤꯀꯃꯦꯟꯗꯦꯁꯅꯁꯤꯡ ꯄꯤꯔꯤ꯫ ꯖꯦꯅꯦꯔꯦꯜ ꯔꯤꯀꯃꯦꯟꯗꯦꯁꯟ ꯑꯁꯤ ꯆꯍꯤ 40ꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯍꯧꯒꯗꯕꯅꯤ ꯑꯗꯨꯕꯨ ꯅꯍꯥꯛꯀꯤꯗꯃꯛꯇꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯥ ꯁ꯭ꯛꯔꯤꯅꯤꯡ ꯁꯦꯗ꯭ꯌꯨꯜ ꯑꯗꯨꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫
ꯂꯥꯏꯌꯦꯡ ꯑꯃꯁꯨꯡ ꯐꯒꯠꯂꯀꯄꯒꯤ ꯆꯥꯡ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯑꯣꯏꯕꯒꯦ?
ꯉꯟꯅꯥ ꯈꯉꯗꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯂꯥꯌꯦꯡꯕꯗꯥ ꯑꯍꯣꯡꯕꯥ ꯄꯨꯔꯀꯄꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯉꯁꯤꯗꯤ ꯍꯥꯟꯅꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯕ꯭ꯔꯦꯁ꯭ꯠ ꯀꯦꯟꯁꯔꯗꯒꯤ ꯍꯤꯡꯗꯨꯅꯥ ꯂꯩꯔꯤ꯫
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯀꯦꯟꯁꯔ ꯑꯗꯨ ꯕ꯭ꯔꯦꯁ꯭ꯇꯀꯤ ꯃꯄꯥꯟꯗꯥ ꯁꯟꯗꯣꯀꯄꯥ ꯉꯃꯗ꯭ꯔꯕꯗꯤ , ꯆꯍꯤ 5 ꯁꯨꯔꯀꯄꯒꯤ ꯔꯤꯂꯦꯇꯤꯚ ꯑꯣꯏꯕꯥ ꯆꯥꯡ ꯑꯁꯤ 99% ꯐꯥꯎꯕꯥ ꯋꯥꯡꯏ꯫
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯁꯤ ꯃꯅꯥꯛ ꯅꯀꯄꯥ ꯂꯤꯝꯐ ꯅꯣꯗꯁꯤꯡꯗꯥ ꯁꯟꯗꯣꯀꯈ꯭ꯔꯕꯗꯤ , ꯃꯁꯤꯒꯤ ꯆꯥꯡ ꯑꯁꯤ ꯆꯥꯎꯔꯥꯛꯅꯥ 86% ꯑꯣꯏ꯫
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯁꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯂꯥꯞꯅꯥ ꯂꯩꯕꯥ ꯃꯐꯃꯁꯤꯡꯗꯥ ꯁꯟꯗꯣꯀꯈ꯭ꯔꯕꯗꯤ (ꯃꯦꯇꯥꯁ꯭ꯇꯦꯇꯤꯛ) , ꯃꯁꯤꯒꯤ ꯆꯥꯡ ꯑꯁꯤ ꯲꯹% ꯑꯣꯏꯒꯅꯤ꯫ ꯑꯗꯨꯕꯨ ꯃꯁꯤꯗꯁꯨ ꯅꯠꯇꯅꯥ ꯃꯤꯑꯣꯏ ꯈꯔꯗꯤ ꯆꯍꯤ ꯀꯌꯥ ꯍꯤꯡꯏ꯫
ꯅꯤꯡꯁꯤꯡꯕꯤꯌꯨ, ꯍꯥꯌꯔꯤꯕꯥ ꯑꯁꯤ ꯃꯤꯑꯣꯏ ꯀꯥꯡꯂꯨꯞ ꯑꯃꯒꯤ ꯗꯦꯇꯥꯗꯥ ꯌꯨꯝꯐꯝ ꯑꯣꯏꯕꯥ ꯁ꯭ꯇꯦꯇꯤꯁ꯭ꯇꯤꯛꯁ ꯈꯛꯇꯅꯤ꯫ ꯅꯍꯥꯛꯀꯤ ꯃꯤꯑꯣꯏ ꯑꯃꯃꯃꯒꯤ ꯍꯤꯡꯕꯒꯤ ꯆꯥꯡ ꯑꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯀꯦꯟꯁꯔ ꯃꯈꯜ, ꯅꯍꯥꯛꯀꯤ ꯍꯀꯁꯦꯜ ꯑꯃꯁꯨꯡ ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯃꯑꯣꯡ-ꯃꯇꯧ ꯑꯗꯨꯒꯤ ꯃꯈꯥ ꯄꯣꯜꯂꯤ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯃꯁꯤꯡꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯂꯥꯡꯇꯛꯅꯒꯅꯨ꯫
ꯂꯥꯏꯌꯦꯡꯕꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?
ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯑꯣꯄꯁꯅꯁꯤꯡ ꯑꯁꯤ ꯅꯍꯥꯛꯅꯥ ꯂꯩꯔꯤꯕꯥ ꯀꯦꯟꯁꯔ ꯃꯈꯜ, ꯇꯤꯎꯃꯔꯒꯤ ꯁꯥꯏꯖ ꯑꯃꯁꯨꯡ ꯍꯣꯔꯃꯣꯅꯁꯤꯡꯒꯤ ꯏꯐꯦꯛꯇꯁꯤꯡ ꯌꯥꯎꯅꯥ ꯐꯦꯛꯇꯔ ꯀꯌꯥꯒꯤ ꯃꯈꯥ ꯄꯣꯜꯂꯤ꯫
- ꯇ꯭ꯔꯦꯗꯤꯁꯅꯦꯜ ꯂꯥꯏꯌꯦꯡꯁꯤꯡ: ꯁꯔꯖꯔꯤ, ꯔꯦꯗꯤꯑꯦꯁꯟ ꯊꯦꯔꯥꯄꯤ, ꯑꯃꯁꯨꯡ ꯀꯦꯃꯣꯊꯦꯔꯥꯄꯤ ꯑꯁꯤ ꯍꯧꯖꯤꯀꯁꯨ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯀꯃꯟ ꯑꯣꯏꯅꯥ ꯁꯤꯖꯤꯟꯅꯔꯤ꯫
- ꯄꯥꯟꯗꯝ ꯊꯝꯂꯤꯕꯥ ꯊꯦꯔꯥꯄꯤꯁꯤꯡ: ꯃꯁꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯅꯧꯕꯥ ꯑꯃꯁꯨꯡ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯏꯐꯦꯛꯇꯤꯚ ꯑꯣꯏꯕꯥ ꯂꯥꯏꯌꯦꯡꯁꯤꯡꯅꯤ꯫ ꯃꯈꯣꯌꯅꯥ ꯀꯦꯟꯁꯔ ꯁꯦꯜ ꯈꯛꯇꯗꯥ ꯄꯥꯟꯗꯝ ꯊꯃꯗꯨꯅꯥ ꯊꯕꯛ ꯇꯧꯏ꯫
- ꯍꯣꯔꯃꯣꯟ ꯊꯦꯔꯥꯄꯤ: `ꯇꯥꯃꯣꯛꯁꯤꯐꯦꯟ`ꯒꯨꯝꯕꯥ ꯗ꯭ꯔꯒꯁꯤꯡ ꯑꯁꯤ ꯍꯣꯔꯃꯣꯅꯗꯥ ꯌꯨꯝꯐꯝ ꯑꯣꯏꯕꯥ ꯀꯦꯟꯁꯔꯁꯤꯡꯒꯤꯗꯃꯛ ꯄꯤ꯫
- HER2 ꯗ꯭ꯔꯒꯁꯤꯡ: HER2-ꯄꯣꯖꯤꯇꯤꯕ ꯑꯣꯏꯕꯥ ꯀꯦꯟꯁꯔꯁꯤꯡꯒꯤ ꯑꯣꯏꯅꯗꯤ, ꯇ꯭ꯔꯥꯁ꯭ꯇꯨꯖꯨꯃꯕ (Herceptin)ꯒꯨꯝꯕꯥ ꯗ꯭ꯔꯒꯁꯤꯡꯅꯥ HER2 ꯄ꯭ꯔꯣꯇꯤꯟ ꯑꯁꯤ ꯕ꯭ꯂꯣꯛ ꯇꯧꯏ ꯑꯃꯁꯨꯡ ꯀꯦꯟꯁꯔ ꯁꯦꯂꯁꯤꯡ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ ꯊꯤꯡꯏ꯫
- ꯏꯝꯝꯌꯨꯅꯣꯊꯦꯔꯥꯄꯤ: `ꯄꯦꯝꯕ꯭ꯔꯣꯂꯤꯖꯨꯃꯕ (ꯀꯦꯌꯠꯔꯨꯗꯥ)`ꯒꯨꯝꯕꯥ ꯗ꯭ꯔꯒꯁꯤꯡꯅꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯏꯁꯥꯒꯤ ꯏꯝꯝꯌꯨꯟ ꯁꯤꯁ꯭ꯇꯦꯃꯅꯥ ꯀꯦꯟꯁꯔ ꯁꯦꯂꯁꯤꯡꯒꯥ ꯂꯥꯟꯊꯦꯡꯅꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫
- PARP ꯏꯅꯍꯤꯕꯤꯇꯔꯁꯤꯡ: `ꯑꯣꯂꯥꯄꯥꯔꯤꯕ (ꯂꯤꯅꯄꯥꯔꯖꯥ)`ꯒꯨꯝꯕꯥ ꯗ꯭ꯔꯒꯁꯤꯡ ꯑꯁꯤ `BRCA` ꯖꯤꯟ ꯃ꯭ꯌꯨꯇꯦꯁꯟ ꯂꯩꯕꯥ ꯀꯦꯟꯁꯔꯁꯤꯡꯒꯤꯗꯃꯛꯇꯥ ꯁꯤꯖꯤꯟꯅꯩ꯫
ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯛꯀꯤꯗꯃꯛꯇꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯆꯨꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯃꯥꯌꯄꯥꯀꯄꯥ ꯂꯥꯏꯌꯦꯡ ꯑꯗꯨ ꯈꯪꯗꯣꯛꯅꯕꯥ ꯖꯦꯅꯦꯇꯤꯛ ꯇꯦꯁ꯭ꯠ ꯑꯃꯁꯨꯡ ꯑꯇꯩ ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯄꯥꯡꯊꯣꯛꯀꯅꯤ꯫
ꯇꯦꯛ-ꯍꯣꯝ ꯃꯦꯁꯦꯖ ꯇꯧꯕꯥ꯫
- ꯕ꯭ꯔꯦꯁ꯭ꯠ ꯀꯦꯟꯁꯔꯅꯥ ꯁꯣꯀꯍꯜꯂꯣꯏꯗꯕꯅꯤ, ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯃꯇꯤꯛ ꯆꯥꯅꯥ ꯈꯪꯍꯅꯒꯗꯕꯅꯤ꯫ ꯉꯟꯅꯥ ꯈꯉꯗꯣꯀꯄꯥ ꯑꯁꯤꯅꯥ ꯍꯤꯡꯅꯕꯒꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯥ ꯄꯥꯝꯕꯩꯅꯤ꯫
- ꯅꯍꯥꯛꯀꯤ ꯏꯃꯨꯡꯒꯤ ꯍꯤꯁ꯭ꯇꯔꯤ ꯑꯗꯨ ꯈꯪꯖꯤꯅꯕꯤꯌꯨ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯔꯤꯁ꯭ꯛ ꯐꯦꯛꯇꯔꯁꯤꯡ ꯂꯩꯔꯕꯗꯤ, ꯃꯈꯣꯌꯒꯤ ꯃꯔꯃꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯇꯥꯟꯅꯧ꯫
- ꯍꯀꯁꯦꯜ ꯐꯕꯥ ꯄꯨꯟꯁꯤ ꯃꯍꯤꯡ (ꯑꯐꯕꯥ ꯗꯥꯏꯠ, ꯑꯦꯛꯁꯔꯁꯥꯏꯖ, ꯑꯔꯨꯝꯕꯥ ꯀꯟꯠꯔꯣꯜ, ꯌꯨ ꯊꯀꯄꯥ) ꯑꯁꯤꯅꯥ ꯔꯤꯁ꯭ꯛ ꯍꯟꯊꯍꯅꯕꯥ ꯉꯝꯃꯤ꯫
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛ ꯑꯁꯤ ꯆꯍꯤ 40ꯒꯤ ꯃꯊꯛꯇꯥ ꯂꯩꯕꯥ ꯅꯨꯄꯤ ꯑꯣꯏꯔꯕꯗꯤ, ꯃꯦꯃꯣꯒ꯭ꯔꯥꯐ ꯑꯃꯥ ꯁꯦꯝꯕꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯇꯥꯟꯅꯧ꯫
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯎꯅꯁꯥꯗꯥ ꯑꯍꯣꯡꯕꯥ ꯑꯃꯥ ꯂꯥꯀꯄꯥ (lump, skin change, nipple discharge) ꯎꯔꯕꯗꯤ, ꯈꯨꯗꯛꯇꯥ ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯄꯥꯎꯇꯥꯛ ꯂꯧꯕꯤꯌꯨ꯫
- ꯕ꯭ꯔꯦꯁ꯭ꯠ ꯀꯦꯟꯁꯔꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯉꯁꯤ ꯌꯥꯝꯅꯥ ꯆꯥꯎꯈꯠꯄꯥ ꯑꯃꯁꯨꯡ ꯃꯥꯌ ꯄꯥꯛꯂꯕꯥ ꯂꯥꯌꯦꯡꯁꯤꯡ ꯂꯩꯔꯦ, ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯃꯇꯤꯛ ꯆꯥꯕꯥ ꯂꯥꯌꯦꯡ ꯊꯤꯕꯥ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛ ꯅꯠꯠꯔꯒꯥ ꯅꯍꯥꯛꯅꯥ ꯈꯪꯂꯤꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯅꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤꯅꯥ ꯁꯣꯀꯍꯜꯂꯕꯗꯤ, ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯃꯇꯦꯡ ꯂꯧꯕꯇꯥ ꯅꯠꯇꯅꯥ ꯁꯥꯏꯀꯣꯂꯣꯖꯤꯀꯦꯜ ꯁꯄꯣꯔꯠ (ꯏꯃꯨꯡ, ꯃꯔꯨꯞ-ꯃꯄꯥꯡ, ꯀꯥꯎꯟꯁꯦꯂꯤꯡ ꯁꯔꯚꯤꯁꯁꯤꯡ) ꯂꯧꯕꯗꯥ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯂꯩꯔꯣꯏꯗꯕꯅꯤ꯫
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