ꯂꯪꯁ ꯀꯥꯔꯁꯤꯅꯣꯏꯗ ꯇꯤꯎꯃꯔꯁꯤꯡꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯈꯪꯖꯤꯅꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯁꯤꯡ꯫

ꯃꯇꯝ ꯈꯔꯒꯤ ꯑꯣꯏꯅꯥ ꯀꯣꯛ ꯅꯣꯟꯖꯈꯤꯕ꯭ꯔꯥ? ꯃꯁꯤꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯐ꯭ꯂꯦꯒꯝ ꯌꯥꯑꯣꯔꯀꯄꯥ ꯌꯥꯏ? ꯅꯠꯔꯒꯥ ꯅꯍꯥꯛꯅꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ ꯈꯔꯥ ꯐꯥꯑꯣꯔꯤꯕꯔꯥ? ꯑꯩꯈꯣꯌꯅꯥ ꯑꯌꯥꯝꯕꯅꯥ ꯋꯥꯐꯃꯁꯤꯡ ꯑꯁꯤ ꯀꯥꯑꯣꯊꯣꯀꯏ, ꯃꯈꯣꯌ ꯑꯁꯤ ꯀꯃꯟ ꯀꯣꯜꯗ ꯈꯛꯇꯅꯤ ꯍꯥꯌꯅꯥ ꯈꯟꯗꯨꯅꯥ꯫ ꯑꯗꯨꯕꯨ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ, ꯑꯁꯤꯒꯨꯝꯕꯥ ꯑꯄꯤꯀꯄꯥ ꯂꯥꯏꯑꯣꯡ ꯑꯁꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯑꯩꯈꯣꯌꯅꯥ ꯄꯨꯛꯅꯤꯡ ꯆꯪꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯑꯇꯣꯞꯄꯥ ꯋꯥꯐꯝ ꯑꯃꯥ ꯂꯩꯕꯥ ꯌꯥꯏ꯫ ꯉꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯂꯪꯁꯀꯤ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯊꯣꯀꯄꯥ ꯑꯗꯨꯕꯨ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯀꯦꯟꯁꯔ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯔꯤ꯫ ꯍꯥꯌꯕꯗꯤ ꯂꯪꯁ ꯀꯥꯔꯁꯤꯅꯣꯏꯗ ꯇꯤꯎꯃꯔꯁꯤꯡꯅꯤ꯫

ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯂꯪꯁ ꯀꯥꯔꯁꯤꯅꯣꯏꯗ ꯇꯤꯎꯃꯔꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯤꯅꯣ?

ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯈꯔꯥ ꯃꯌꯦꯛ ꯁꯦꯡꯅꯥ ꯇꯥꯀꯄꯥ ꯃꯊꯧ ꯇꯥꯏ꯫ ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯅꯔꯚꯁ ꯁꯤꯁ꯭ꯇꯦꯝ ꯑꯃꯁꯨꯡ ꯍꯣꯔꯃꯣꯟ ꯁꯤꯁ꯭ꯇꯦꯃꯒꯤ ꯃꯅꯨꯡ ꯆꯅꯕꯥ ꯑꯈꯟꯅꯕꯥ ꯃꯈꯂꯒꯤ ꯁꯦꯜ ꯑꯃꯥ ꯂꯩ꯫ ꯑꯩꯈꯣꯌꯅꯥ ꯃꯁꯤꯕꯨ ꯅ꯭ꯌꯨꯔꯣꯑꯦꯟꯗꯣꯛꯔꯥꯏꯟ ꯁꯦꯂꯁꯤꯡ ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ ꯍꯥꯌꯔꯤꯕꯥ ꯁꯦꯂꯁꯤꯡ ꯑꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯀꯣꯑꯣꯔꯗꯤꯅꯦꯇꯔꯁꯤꯡꯅꯤ ꯍꯥꯌꯅꯥ ꯈꯅꯕꯤꯌꯨ꯫ ꯅꯔꯚꯁ ꯁꯤꯁ꯭ꯇꯦꯃꯗꯒꯤ ꯄꯥꯎꯖꯦꯜ ꯑꯃꯥ ꯂꯥꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯃꯈꯣꯌꯒꯤ ꯊꯕꯛ ꯑꯁꯤ ꯃꯗꯨꯒꯤ ꯄꯥꯎꯈꯨꯝ ꯑꯣꯏꯅꯥ ꯍꯣꯔꯃꯣꯅꯁꯤꯡ ꯄꯨꯊꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯍꯀꯆꯥꯡꯗꯥ ꯇꯣꯉꯥꯟ-ꯇꯣꯉꯥꯅꯕꯥ ꯊꯕꯛ ꯊꯧꯔꯃꯁꯤꯡ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯅꯤ꯫ ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯁꯦꯂꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯒꯤ ꯃꯑꯣꯡ ꯑꯁꯤ ꯂꯪꯁꯇꯥ ꯆꯪꯂꯀꯄꯒꯤ ꯃꯑꯣꯡ ꯑꯃꯁꯨꯡ ꯆꯤꯟꯖꯥꯛ ꯑꯁꯤ ꯗꯥꯏꯖꯦꯁ꯭ꯇꯤꯚ ꯇ꯭ꯔꯦꯛꯇꯀꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯆꯠꯄꯒꯤ ꯃꯑꯣꯡ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫

ꯑꯗꯨꯅꯥ ꯃꯔꯝ ꯈꯔꯗꯒꯤ ꯅ꯭ꯌꯨꯔꯣꯑꯦꯟꯗꯣꯛꯔꯥꯏꯟ ꯁꯦꯂꯁꯤꯡ ꯑꯁꯤ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯗꯅꯥ ꯈꯥꯌꯗꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯃꯁꯤꯡ ꯌꯥꯝꯅꯥ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ ꯍꯧꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯃꯐꯃꯁꯤꯡ ꯑꯗꯨꯗꯥ ꯇꯤꯎꯃꯔꯁꯤꯡ ꯁꯦꯝꯃꯤ꯫ ꯑꯩꯈꯣꯌꯅꯥ ꯂꯪꯁ ꯀꯥꯔꯁꯤꯅꯣꯏꯗ ꯇꯤꯎꯃꯔꯁꯤꯡꯕꯨ ꯂꯪꯁꯇꯥ ꯂꯩꯕꯥ ꯅ꯭ꯌꯨꯔꯣꯑꯦꯟꯗꯣꯛꯔꯥꯏꯟ ꯁꯦꯂꯁꯤꯡ ꯑꯁꯤꯗꯥ ꯍꯧꯔꯀꯄꯥ ꯀꯦꯟꯁꯔ ꯇꯤꯎꯃꯔ ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫

ꯑꯗꯨꯕꯨ "ꯀꯦꯟꯁꯔ" ꯍꯥꯌꯕꯥ ꯋꯥꯍꯩ ꯑꯁꯤ ꯇꯥꯕꯗꯥ ꯂꯥꯡꯇꯛꯅꯒꯅꯨ꯫ ꯃꯔꯃꯗꯤ ꯀꯥꯔꯁꯤꯅꯣꯏꯗ ꯇꯤꯎꯃꯔꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯈꯜ ꯑꯅꯤ ꯂꯩ꯫ ꯑꯅꯤꯃꯛꯀꯤ ꯂꯃꯆꯠ-ꯁꯥꯖꯠ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯇꯣꯉꯥꯜꯂꯤ꯫

ꯀꯦꯁꯤꯅꯣꯏꯗ ꯁꯤꯁ꯭ꯇꯦꯃꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯈꯜ ꯑꯅꯤ꯫

ꯃꯈꯣꯌ ꯑꯁꯤ ꯃꯈꯣꯌꯒꯤ ꯒ꯭ꯔꯣꯊ ꯔꯦꯠ ꯑꯃꯁꯨꯡ ꯁꯟꯗꯣꯀꯄꯥ ꯉꯝꯕꯒꯤ ꯆꯥꯡꯗꯥ ꯌꯨꯝꯐꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯈꯜ ꯑꯅꯤꯗꯥ ꯈꯥꯌꯗꯣꯀꯏ꯫

ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯤ ꯑꯣꯏꯕꯥ ꯌꯥꯕꯒꯦ?

ꯑꯌꯥꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯃꯔꯨꯑꯣꯏꯅꯥ ꯃꯁꯛ ꯊꯣꯀꯄꯥ ꯁꯤꯁ꯭ꯇꯦꯃꯁꯤꯡ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯗꯥ, ꯂꯥꯏꯑꯣꯡ ꯑꯃꯠꯇꯥ ꯎꯕꯥ ꯐꯪꯗꯦ . ꯃꯈꯣꯌ ꯑꯁꯤ ꯑꯇꯣꯞꯄꯥ ꯃꯔꯝ ꯑꯃꯒꯤꯗꯃꯛ ꯆꯦꯁ꯭ꯠ ꯑꯦꯛꯁ-ꯔꯦꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯊꯧꯗꯣꯛ ꯑꯃꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯊꯦꯡꯅꯩ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯃꯤꯑꯣꯏ ꯈꯔꯗꯗꯤ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯊꯦꯡꯅꯔꯀꯄꯥ ꯌꯥꯏ:

• ꯂꯦꯞꯇꯅꯥ ꯀꯣꯛ ꯆꯤꯀꯄꯥ (ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯏ ꯅꯠꯠꯔꯒꯥ ꯃ꯭ꯌꯨꯀꯁ ꯌꯥꯎꯕꯥ)
• ꯈꯣꯡꯗꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯄꯥ꯫
• ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ (dyspnea) .
• ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯃꯇꯃꯗꯥ ꯃꯁꯥ ꯃꯊꯟꯇꯥ ‘ꯍꯨꯏꯁꯂꯤꯡ’ ꯍꯥꯌꯕꯥ ꯈꯣꯟꯖꯦꯜ ꯑꯃꯥ ꯇꯥꯕꯥ (wheezing)

ꯀꯥꯔꯁꯤꯅꯣꯏꯗ ꯁꯤꯟꯗꯣꯝ ꯀꯧꯕꯥ ꯑꯈꯟꯅꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫

ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ, ꯇꯤꯎꯃꯔꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯍꯣꯔꯃꯣꯟ ꯁꯦꯔꯣꯇꯣꯅꯤꯟ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯍꯦꯟꯅꯥ ꯄꯨꯊꯣꯀꯄꯥ ꯍꯧꯏ꯫ ꯃꯁꯤꯅꯥ ꯍꯀꯆꯥꯡꯗꯥ ꯍꯣꯔꯃꯣꯅꯒꯤ ꯏꯃꯕꯦꯂꯦꯟꯁ ꯂꯩꯍꯟꯗꯨꯅꯥ ꯃꯈꯜ ꯀꯌꯥꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯊꯣꯀꯍꯜꯂꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯕꯨ ꯀꯥꯔꯁꯤꯅꯣꯏꯗ ꯁꯤꯟꯗꯣꯝ ꯍꯥꯌꯅꯥ ꯀꯧꯏ . ꯃꯁꯤꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯁꯤꯡꯁꯤ ꯌꯥꯎꯏ:

• ꯁꯥꯊꯤꯕꯥ ꯗꯥꯏꯔꯤꯌꯥ ꯂꯩꯕꯥ꯫
• ꯃꯥꯌ ꯑꯃꯁꯨꯡ ꯈꯣꯡꯗꯥ ꯂꯥꯎꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯏꯪꯊꯕꯥ (flushing) .
• ꯃꯔꯝ ꯆꯥꯗꯅꯥ ꯑꯔꯨꯝꯕꯥ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ꯫
• ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯗꯥ ꯋꯥꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯦꯖꯃꯥꯒꯨꯝꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯂꯩꯔꯕꯗꯤ ꯈꯨꯗꯛꯇꯥ ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯄꯥꯎꯇꯥꯛ ꯂꯧꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫

ꯀꯔꯤꯒꯤꯗꯃꯛꯇꯥ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯇꯤꯎꯃꯔꯁꯤꯡ ꯑꯁꯤ ꯁꯦꯃꯒꯠꯂꯤꯕꯅꯣ? ꯔꯤꯁ꯭ꯛ ꯐꯦꯛꯇꯔꯁꯤꯡ ꯂꯩꯕ꯭ꯔꯥ?

ꯇꯁꯦꯡꯕꯗꯤ, ꯅ꯭ꯌꯨꯔꯣꯑꯦꯟꯗꯣꯛꯔꯥꯏꯟ ꯁꯦꯂꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯈꯉꯍꯧꯗꯅꯥ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯗꯅꯥ ꯈꯥꯌꯗꯣꯀꯄꯥ ꯍꯧꯔꯀꯄꯒꯤ ꯑꯆꯨꯝꯕꯥ ꯃꯔꯝ ꯑꯗꯨ ꯍꯧꯖꯤꯛ ꯐꯥꯑꯣꯕꯥ ꯈꯉꯕꯥ ꯉꯃꯗ꯭ꯔꯤ .

ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯃꯤꯑꯣꯏ ꯈꯔꯗꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯂꯥꯀꯄꯒꯤ ꯔꯤꯁ꯭ꯛ ꯈꯔꯥ ꯍꯦꯟꯅꯥ ꯂꯩꯕꯥ ꯎꯕꯥ ꯐꯪꯂꯦ꯫ ꯍꯥꯌꯔꯤꯕꯥ ꯋꯥꯐꯃꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯌꯥꯑꯣꯔꯤ:

• ꯃꯜꯇꯤꯄꯜ ꯑꯦꯟꯗꯣꯛꯔꯥꯏꯟ ꯅꯤꯑꯣꯞꯂꯥꯁꯤꯌꯥ ꯇꯥꯏꯞ 1 (MEN1) ꯀꯧꯕꯥ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯊꯣꯀꯄꯥ, ꯏꯅꯍꯦꯔꯤꯇꯦꯗ ꯖꯦꯅꯦꯇꯤꯛ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯥ ꯂꯩꯕꯥ꯫
• ꯃꯩꯈꯨ ꯊꯥꯗꯣꯀꯄꯥ (ꯃꯔꯨꯑꯣꯏꯅꯥ ꯑꯦꯇꯤꯄꯤꯀꯦꯜ ꯃꯈꯂꯒꯤ ꯑꯣꯏꯅꯥ)
• ꯅꯨꯄꯤ ꯑꯃꯥ ꯑꯣꯏꯕꯥ (ꯅꯨꯄꯤꯁꯤꯡꯅꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯈꯔꯥ ꯍꯦꯟꯅꯥ ꯋꯥꯡꯏ)
• ꯆꯍꯤ 45 ꯑꯃꯁꯨꯡ 55ꯒꯤ ꯃꯔꯛꯇꯥ ꯂꯩꯕꯥ, ꯂꯥꯌꯅꯥ ꯑꯁꯤ ꯆꯍꯤ ꯀꯥꯡꯂꯨꯞ ꯑꯁꯤꯒꯤ ꯃꯤꯑꯣꯏꯁꯤꯡꯗꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯀꯃꯟ ꯑꯣꯏꯅꯥ ꯂꯧꯅꯔꯕꯁꯨ, ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯆꯍꯤ ꯑꯃꯍꯦꯛꯇꯗꯥ, ꯌꯥꯝꯅꯥ ꯅꯧꯕꯥ ꯑꯉꯥꯡꯁꯤꯡꯗꯁꯨ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫

ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯈꯪꯗꯣꯛꯀꯅꯤ?

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯊꯛꯇꯥ ꯄꯅꯈ꯭ꯔꯤꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯍꯦꯛꯇꯥ ꯂꯩꯔꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯑꯍꯥꯅꯕꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯇꯥꯟꯅꯒꯗꯕꯅꯤ꯫ ꯃꯍꯥꯛꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡꯒꯤ ꯃꯔꯃꯗꯥ ꯍꯪꯒꯅꯤ, ꯁ꯭ꯇꯦꯊꯣꯁ꯭ꯀꯣꯞ ꯑꯃꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯇꯥꯒꯅꯤ ꯑꯃꯁꯨꯡ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯆꯤꯡꯅꯕꯥ ꯂꯩꯔꯕꯗꯤ, ꯗꯥꯏꯑꯦꯒ꯭ꯅꯣꯁꯤꯁ ꯑꯗꯨ ꯀꯅꯐꯥꯔꯝ ꯇꯧꯅꯕꯥ ꯇꯦꯁ꯭ꯠ ꯈꯔꯥ ꯇꯧꯅꯕꯥ ꯔꯤꯀꯃꯦꯟꯗ ꯇꯧꯒꯅꯤ꯫

1. ꯏꯃꯦꯖꯤꯡ: ꯑꯍꯥꯅꯕꯥ ꯈꯣꯡꯊꯥꯡꯗꯤ ꯆꯦꯁ꯭ꯠ ꯑꯦꯛꯁ-ꯔꯦ . ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯦꯕꯅꯣꯔꯃꯦꯂꯤꯇꯤ ꯑꯃꯠꯇꯥ ꯂꯩꯠꯔꯕꯗꯤ, ꯁꯤ.ꯇꯤ.ꯁ꯭ꯀꯦꯟ (ꯀꯝꯞꯌꯨꯇꯦꯗ ꯇꯣꯃꯣꯒ꯭ꯔꯥꯐꯤ ꯁ꯭ꯀꯦꯟ) ꯑꯃꯥ ꯑꯣꯔꯗꯔ ꯇꯧꯕꯥ ꯌꯥꯏ꯫ ꯁꯤ.ꯇꯤ.ꯁ꯭ꯀꯦꯟ ꯑꯃꯅꯥ ꯂꯪꯁꯀꯤ ꯌꯥꯝꯅꯥ ꯃꯌꯦꯛ ꯁꯦꯡꯕꯥ, ꯀ꯭ꯔꯣꯁ-ꯁꯦꯛꯁꯟ ꯏꯃꯦꯖꯁꯤꯡ ꯄꯨꯊꯣꯀꯄꯥ ꯉꯝꯃꯤ, ꯃꯗꯨꯅꯥ ꯇꯤꯎꯃꯔꯒꯤ ꯁꯥꯏꯖ ꯑꯃꯁꯨꯡ ꯃꯐꯝ ꯑꯗꯨ ꯂꯦꯄꯊꯣꯀꯄꯥ ꯉꯃꯍꯜꯂꯤ꯫

2. ꯏ ꯑꯃꯁꯨꯡ ꯌꯨꯔꯤꯟ ꯇꯦꯁ꯭ꯠ: ꯍꯥꯌꯔꯤꯕꯥ ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯑꯁꯤ ꯇꯤꯎꯃꯔꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯄꯨꯊꯣꯀꯄꯥ ꯑꯀꯛꯅꯕꯥ ꯍꯣꯔꯃꯣꯅꯁꯤꯡ ꯏ ꯅꯠꯠꯔꯒꯥ ꯌꯨꯔꯤꯅꯗꯥ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯅꯕꯥ ꯇꯧꯏ꯫

3. ꯕꯥꯏꯑꯣꯞꯁꯤ: ꯃꯁꯤꯅꯥ ꯂꯥꯌꯅꯥ ꯑꯁꯤ 100% ꯀꯅꯐꯥꯔꯝ ꯇꯧꯅꯕꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯇꯦꯁ꯭ꯇꯅꯤ꯫ ꯃꯐꯝ ꯑꯁꯤꯗꯥ ꯇꯤꯎꯃꯔꯗꯒꯤ ꯌꯥꯝꯅꯥ ꯑꯄꯤꯀꯄꯥ ꯇꯤꯁ꯭ꯌꯨ ꯑꯃꯥ ꯂꯧꯊꯣꯀꯏ ꯑꯃꯁꯨꯡ ꯃꯥꯏꯛꯔꯣꯁ꯭ꯀꯣꯄꯀꯤ ꯃꯈꯥꯗꯥ ꯌꯦꯡꯁꯤꯜꯂꯤ꯫ ꯃꯁꯤꯅꯥ ꯇꯤꯎꯃꯔ ꯑꯗꯨ ꯀꯥꯔꯁꯤꯅꯣꯏꯗ ꯇꯤꯎꯃꯔ, ꯇꯤꯄꯤꯀꯦꯜ ꯅꯠꯠꯔꯒꯥ ꯑꯦꯇꯤꯄꯤꯀꯦꯜ ꯑꯣꯏꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯆꯨꯝꯅꯥ ꯈꯪꯗꯣꯀꯄꯥ ꯉꯝꯃꯤ꯫ ꯇꯤꯁ꯭ꯌꯨ ꯁꯦꯝꯄꯜ ꯑꯁꯤ ꯂꯧꯕꯗꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯄꯥꯝꯕꯩꯗꯤ ꯕ꯭ꯔꯣꯉ꯭ꯀꯣꯁ꯭ꯀꯣꯄꯤꯅꯤ . ꯃꯐꯝ ꯑꯁꯤꯗꯥ ꯑꯄꯤꯀꯄꯥ ꯀꯦꯃꯦꯔꯥ ꯑꯃꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯑꯄꯤꯀꯄꯥ ꯇꯤꯎꯕ ꯑꯃꯥ ꯑꯦꯌꯔꯋꯦꯖꯗꯥ ꯄꯥꯁ ꯇꯧꯗꯨꯅꯥ ꯇꯤꯎꯃꯔ ꯑꯗꯨ ꯌꯦꯡꯁꯤꯜꯂꯤ ꯑꯃꯁꯨꯡ ꯑꯄꯤꯀꯄꯥ ꯁꯔꯨꯛ ꯑꯃꯥ ꯂꯧꯏ꯫

ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯑꯣꯄꯁꯅꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?

ꯅꯍꯥꯛꯀꯤꯗꯃꯛꯇꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯥ ꯂꯥꯏꯌꯦꯡ ꯑꯁꯤ ꯃꯈꯜ, ꯁꯥꯏꯖ, ꯇꯤꯎꯃꯔ ꯑꯗꯨꯒꯤ ꯃꯐꯝ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯑꯄꯨꯅꯕꯥ ꯍꯀꯁꯦꯂꯒꯤ ꯃꯈꯥ ꯄꯣꯜꯂꯤ꯫ ꯅꯨꯡꯉꯥꯏꯕꯥ ꯄꯥꯎ ꯑꯃꯗꯤ ꯑꯌꯥꯝꯕꯥ ꯂꯪꯁ ꯀꯥꯔꯁꯤꯅꯣꯏꯗ ꯇꯤꯎꯃꯔꯁꯤꯡ ꯑꯁꯤ ꯁꯔꯖꯔꯤ ꯈꯛꯇꯅꯥ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯐꯍꯅꯕꯥ ꯉꯝꯃꯤ꯫

ꯃꯔꯨꯑꯣꯏꯕꯥ ꯂꯥꯏꯌꯦꯡꯒꯤ ꯑꯣꯄꯁꯟ ꯀꯌꯥ ꯂꯩ:

• ꯂꯦꯟꯕ:
• ꯂꯣꯕꯦꯛꯇꯣꯃꯤ (lobectomy): ꯇꯤꯎꯃꯔ ꯑꯗꯨ ꯂꯩꯔꯤꯕꯥ ꯂꯪꯁꯀꯤ ꯂꯣꯕ ꯑꯗꯨ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯂꯧꯊꯣꯀꯄꯥ꯫
• ꯋꯦꯖ ꯔꯤꯁꯦꯛꯁꯟ: ꯇꯤꯎꯃꯔ ꯑꯃꯁꯨꯡ ꯃꯗꯨꯒꯤ ꯑꯀꯣꯌꯕꯗꯥ ꯂꯩꯕꯥ ꯇꯤꯁꯨ ꯈꯔꯥ ꯂꯧꯊꯣꯀꯄꯥ꯫
• ꯅ꯭ꯌꯨꯃꯣꯅꯦꯛꯇꯣꯃꯤ: ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ, ꯂꯪꯁ ꯄꯨꯝꯅꯃꯛ ꯂꯧꯊꯣꯀꯄꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯏ꯫
• ꯂꯤꯝꯐ ꯅꯣꯗ ꯂꯧꯊꯣꯀꯄꯥ: ꯁꯔꯖꯔꯤꯅꯥ ꯃꯅꯥꯛ ꯅꯀꯄꯥ ꯂꯤꯝꯐ ꯅꯣꯗꯁꯤꯡ ꯂꯧꯊꯣꯛꯅꯕꯥ ꯋꯥꯔꯦꯞ ꯂꯧꯕꯥ ꯌꯥꯏ꯫

• ꯔꯦꯗꯤꯑꯦꯁꯟ ꯊꯦꯔꯥꯄꯤ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯁꯔꯖꯔꯤꯅꯥ ꯇꯤꯎꯃꯔ ꯑꯗꯨ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯂꯧꯊꯣꯀꯄꯥ ꯉꯃꯗ꯭ꯔꯕꯗꯤ ꯅꯠꯠꯔꯒꯥ ꯄꯦꯁꯦꯟꯇ ꯑꯗꯨ ꯁꯔꯖꯔꯤ ꯇꯧꯕꯥ ꯉꯃꯗꯕꯥ ꯃꯦꯗꯤꯀꯦꯜ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯗꯥ ꯂꯩꯔꯕꯗꯤ ꯂꯥꯏꯌꯦꯡ ꯑꯁꯤ ꯄꯤ꯫ ꯃꯁꯤꯗꯥ ꯑꯦꯛꯁꯇꯔꯅꯦꯜ-ꯕꯤꯝ ꯔꯦꯗꯤꯑꯦꯁꯟ ꯅꯠꯠꯔꯒꯥ ꯇꯤꯎꯃꯔꯒꯤ ꯃꯅꯥꯛꯇꯥ ꯑꯄꯤꯀꯄꯥ ꯔꯦꯗꯤꯑꯣꯑꯦꯛꯇꯤꯚ ꯃꯆꯥꯀꯁꯤꯡ ꯊꯝꯕꯥ (ꯕ꯭ꯔꯦꯀꯤꯊꯦꯔꯥꯄꯤ) ꯌꯥꯎꯏ꯫

• ꯀꯦꯃꯣꯊꯦꯔꯥꯄꯤ: ꯱.ꯍꯥꯌꯔꯤꯕꯥ ꯇꯤꯎꯃꯔꯁꯤꯡ ꯑꯁꯤ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯍꯦꯅꯒꯠꯂꯀꯄꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯆꯥꯎꯈꯠꯂꯛꯂꯤꯕꯥ ꯁꯦꯂꯁꯤꯡꯗꯥ ꯄꯥꯟꯗꯝ ꯊꯝꯂꯤꯕꯥ ꯀꯟꯚꯦꯟꯁꯅꯦꯜ ꯀꯦꯃꯣꯊꯦꯔꯥꯄꯤ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯏꯐꯦꯛꯇꯤꯕ ꯑꯣꯏꯗꯦ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯂꯥꯏꯌꯦꯡ ꯑꯁꯤ ꯃꯁꯛ ꯊꯣꯀꯄꯥ ꯃꯈꯂꯁꯤꯡꯗꯥ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯄꯤ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯂꯥꯏꯌꯦꯡ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯍꯦꯅꯒꯠꯂꯛꯂꯤꯕꯥ ꯑꯦꯇꯤꯄꯤꯀꯦꯜ ꯃꯈꯂꯁꯤꯡꯒꯤꯗꯃꯛ ꯅꯠꯠꯔꯒꯥ ꯃꯈꯣꯌꯅꯥ ꯑꯇꯩ ꯑꯣꯔꯒꯥꯅꯁꯤꯡꯗꯥ ꯁꯟꯗꯣꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯏ꯫

• ꯑꯇꯣꯞꯄꯥ ꯍꯤꯗꯥꯀꯁꯤꯡ: ꯱.
• ꯑꯣꯛꯠꯔꯤꯑꯣꯇꯥꯏꯗ: ꯃꯁꯤꯒꯤ ꯍꯣꯔꯃꯣꯅꯒꯤ ꯍꯤꯗꯥꯛ ꯑꯁꯤ ꯀꯥꯔꯁꯤꯅꯣꯏꯗ ꯁꯤꯟꯗꯣꯃꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯅꯕꯥ ꯄꯤ꯫
• MTOR ꯏꯅꯍꯤꯕꯤꯇꯔꯁꯤꯡ (e.g. Everolimus): ꯇꯤꯎꯃꯔ ꯒ꯭ꯔꯣꯊ ꯊꯤꯡꯕꯥ ꯗ꯭ꯔꯒ ꯃꯈꯜ ꯑꯃꯅꯤ꯫

ꯐꯒꯠꯂꯀꯄꯒꯤ ꯆꯥꯡ ꯑꯃꯁꯨꯡ ꯑꯥꯎꯠꯂꯨꯛ ꯑꯁꯤ ꯀꯔꯤꯅꯣ?

ꯃꯁꯤ ꯃꯤꯑꯣꯏ ꯀꯌꯥꯒꯤ ꯈꯨꯗꯣꯡꯆꯥꯗꯕꯥ ꯑꯃꯅꯤ꯫

ꯑꯦꯇꯤꯄꯤꯀꯦꯜ ꯀꯥꯔꯁꯤꯅꯣꯏꯗ ꯇꯤꯎꯃꯔꯁꯤꯡ ꯑꯁꯤ ꯂꯥꯏꯌꯦꯡꯕꯗꯥ ꯈꯔꯥ ꯍꯦꯟꯅꯥ ꯂꯨꯝꯃꯤ꯫ ꯔꯤꯀꯣꯚꯔꯤꯒꯤ ꯔꯤꯁ꯭ꯛ ꯑꯁꯤ ꯈꯔꯥ ꯍꯦꯟꯅꯥ ꯋꯥꯡꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯇꯣꯉꯥꯟ-ꯇꯣꯉꯥꯅꯕꯥ ꯂꯥꯏꯌꯦꯡꯁꯤꯡꯒꯤ ꯀꯝꯕꯤꯅꯦꯁꯟ ꯑꯃꯥ ꯁꯤꯖꯤꯟꯅꯗꯨꯅꯥ ꯃꯥꯌꯄꯥꯛꯅꯥ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯁꯨ ꯌꯥꯏ꯫

ꯑꯄꯨꯅꯕꯥ ꯑꯣꯏꯅꯥ, ꯂꯪꯁ ꯀꯥꯔꯁꯤꯅꯣꯏꯗ ꯇꯤꯎꯃꯔ ꯃꯈꯜ ꯈꯨꯗꯤꯡꯃꯛꯀꯤ ꯆꯍꯤ ꯃꯉꯥꯒꯤ ꯑꯣꯏꯅꯥ ꯍꯤꯡꯕꯒꯤ ꯆꯥꯡ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯋꯥꯡꯏ ꯸꯹% . ꯃꯁꯤꯅꯥ ꯇꯥꯀꯄꯗꯤ ꯂꯥꯌꯅꯥ ꯑꯁꯤꯅꯥ ꯅꯥꯕꯥ ꯃꯤꯑꯣꯏ ꯱꯰꯰ꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯸꯹ꯗꯤ ꯆꯍꯤ ꯵ꯒꯤ ꯃꯇꯨꯡꯗꯁꯨ ꯍꯀꯆꯥꯡ ꯐꯅꯥ ꯂꯩꯔꯤ꯫

ꯀꯗꯥꯏꯗꯥ ꯗꯣꯛꯇꯔꯒꯥ ꯇꯥꯟꯅꯒꯗꯒꯦ?

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯅꯧꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯍꯦꯟꯅꯥ ꯐꯠꯆꯤꯜꯂꯛꯂꯤꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ, ꯃꯔꯨꯑꯣꯏꯅꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ, ꯗꯥꯏꯔꯤꯌꯥ ꯅꯠꯠꯔꯒꯥ ꯃꯔꯝ ꯆꯥꯗꯅꯥ ꯑꯔꯨꯝꯕꯥ ꯍꯟꯊꯔꯀꯄꯥ ꯎꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯈꯪꯍꯅꯕꯤꯌꯨ꯫ ꯋꯥꯍꯪ ꯑꯃꯠꯇꯥ ꯍꯪꯂꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯑꯃꯠꯇꯥ ꯂꯩꯠꯔꯕꯗꯤ ꯋꯥꯔꯤ ꯁꯥꯅꯕꯗꯥ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯂꯩꯔꯣꯏꯗꯕꯅꯤ꯫

ꯈꯨꯗꯛꯇꯥ ꯏ.ꯇꯤ.ꯌꯨ.(ꯏꯃꯔꯖꯦꯟꯁꯤ ꯇ꯭ꯔꯤꯇꯃꯦꯟꯇ ꯌꯨꯅꯤꯠ)ꯗꯥ ꯀꯗꯥꯏꯗꯥ ꯆꯠꯀꯗꯒꯦ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯁꯥꯊꯤꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯂꯩꯔꯕꯗꯤ, ꯈꯨꯗꯛꯇꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯅꯀꯄꯥ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯂꯒꯤ ꯏꯃꯔꯖꯦꯟꯁꯤ ꯗꯤꯄꯥꯔꯇꯃꯦꯟꯇ (ETU)ꯗꯥ ꯆꯠꯂꯨ:

• ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ (breath ) (ꯅꯨꯡꯉꯥꯏꯕꯥ ꯃꯇꯃꯗꯁꯨ)꯫
• ꯏ ꯊꯣꯀꯄꯥ꯫
• ꯑꯅꯧꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯍꯦꯟꯅꯥ ꯐꯒꯠꯂꯛꯂꯤꯕꯥ ꯆꯦꯛꯁꯤꯟ-ꯊꯧꯔꯥꯡ꯫
• ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯍꯣꯡꯂꯛꯂꯤꯕꯥ ꯀꯟꯁꯆꯤꯌꯟꯁ꯫
• ꯈꯣꯡ, ꯂꯤꯞ ꯅꯠꯠꯔꯒꯥ ꯐꯤꯉ꯭ꯒꯔꯅꯦꯂꯁꯤꯡꯒꯤ ꯕ꯭ꯂꯨ ꯗꯤꯁꯀꯂꯔ (cyanosis)꯫

ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯍꯪꯒꯗꯕꯥ ꯋꯥꯍꯪꯁꯤꯡ꯫

ꯑꯁꯤꯒꯨꯝꯕꯥ ꯗꯥꯏꯑꯦꯒ꯭ꯅꯣꯁꯤꯁ ꯑꯃꯥ ꯂꯥꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯋꯥꯍꯪ ꯍꯪꯂꯀꯄꯥ ꯑꯁꯤ ꯅꯣꯔꯃꯦꯂꯅꯤ꯫ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯋꯥꯍꯪꯁꯤꯡ ꯑꯁꯤ ꯍꯪꯕꯅꯥ ꯃꯇꯦꯡ ꯑꯣꯏꯕꯥ ꯌꯥꯏ:

• ꯃꯁꯤ ꯇꯤꯄꯤꯀꯦꯜ ꯅꯠꯔꯒꯥ ꯑꯦꯇꯤꯄꯤꯀꯦꯜ ꯑꯣꯏꯕꯔꯥ?
• ꯃꯁꯤ ꯑꯇꯣꯞꯄꯥ ꯃꯐꯃꯁꯤꯡꯗꯥ ꯁꯟꯗꯣꯀꯈꯤꯕꯔꯥ?
• ꯀꯔꯤ ꯂꯥꯏꯌꯦꯡꯒꯤ ꯔꯤꯀꯃꯦꯟꯗ ꯇꯧꯔꯤꯕꯒꯦ?
• ꯇꯤꯎꯃꯔ ꯃꯈꯜ ꯑꯁꯤꯒꯤ ꯑꯥꯎꯇꯂꯨꯛ ꯑꯁꯤ ꯀꯔꯤꯅꯣ?
• ꯌꯨꯃꯗꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯃꯦꯅꯦꯖ ꯇꯧꯒꯗꯒꯦ?

ꯀꯦꯟꯁꯔ ꯑꯃꯍꯦꯛꯇꯒꯤ ꯗꯥꯏꯑꯦꯒ꯭ꯅꯣꯁꯤꯁ ꯑꯃꯥ ꯐꯪꯕꯁꯤ ꯑꯔꯨꯕꯥ ꯑꯦꯛꯁꯄꯔꯤꯌꯦꯟꯁ ꯑꯃꯅꯤ꯫ ꯑꯗꯨꯕꯨ ꯅꯤꯡꯁꯤꯡꯕꯤꯌꯨ, ꯑꯌꯥꯝꯕꯥ ꯂꯪꯁꯀꯤ ꯀꯥꯔꯁꯤꯅꯣꯏꯗꯁꯤꯡ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯂꯥꯏꯌꯦꯡꯕꯥ ꯌꯥꯏ ꯑꯃꯁꯨꯡ ꯃꯈꯣꯌ ꯑꯁꯤ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯂꯥꯀꯄꯒꯤ ꯔꯤꯁ꯭ꯛ ꯅꯦꯝꯃꯤ꯫ ꯅꯍꯥꯛꯀꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯗꯨꯒꯤꯗꯃꯛꯇꯥ ꯀꯔꯤ ꯑꯥꯁꯥ ꯇꯧꯒꯗꯒꯦ ꯍꯥꯌꯕꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯃꯦꯗꯤꯀꯦꯜ ꯇꯤꯃꯒꯥ ꯑꯃꯨꯛꯇꯪ ꯋꯥꯔꯤ ꯁꯥꯕꯤꯌꯨ꯫ ꯃꯈꯣꯌꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯥ ꯂꯥꯏꯌꯦꯡꯒꯤ ꯑꯣꯄꯁꯅꯁꯤꯡ ꯈꯪꯍꯜꯂꯛꯀꯅꯤ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯅꯥ ꯍꯪꯂꯀꯄꯥ ꯋꯥꯍꯪ ꯑꯃꯍꯦꯛꯇꯒꯤ ꯄꯥꯎꯈꯨꯝ ꯄꯤꯒꯅꯤ꯫