ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯑꯅꯧꯕꯥ ꯋꯥꯍꯩꯁꯤꯡ ꯅꯠꯔꯒꯥ ꯑꯅꯧꯕꯥ ꯃꯦꯗꯤꯀꯦꯜ ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯍꯥꯌꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯑꯩꯈꯣꯌ ꯈꯔꯥ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯊꯦꯡꯅꯩ, ꯅꯠꯇꯦ? ꯃꯗꯨ ꯅꯣꯔꯃꯦꯂꯅꯤ꯫ ꯉꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯑꯗꯣꯝꯅꯥ ꯇꯥꯕꯤꯔꯝꯂꯒꯅꯤ, ꯅꯠꯔꯒꯥ ꯇꯨꯡꯗꯥ ꯇꯥꯕꯥ ꯐꯪꯂꯝꯕꯥ ꯋꯥꯐꯝ ꯑꯃꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯔꯤ꯫ ꯃꯁꯤꯕꯨ ꯆꯥꯏꯜꯗ-ꯄꯨꯒ ꯁ꯭ꯀꯣꯔ ꯍꯥꯌꯅꯥ ꯀꯧꯏ . ꯃꯤꯡ ꯑꯁꯤ ꯇꯥꯕꯗꯥ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯂꯩꯔꯣꯏꯗꯕꯅꯤ, ꯃꯔꯃꯗꯤ ꯃꯁꯤ ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯂꯤꯚꯔꯒꯤ ꯐꯤꯚꯝ ꯑꯗꯨ ꯈꯉꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯕꯒꯤ ꯃꯑꯣꯡ ꯑꯃꯈꯛꯇꯅꯤ꯫ ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯑꯃꯁꯨꯡ ꯃꯌꯦꯛ ꯁꯦꯡꯅꯥ ꯋꯥꯔꯤ ꯁꯥꯁꯤ꯫
ꯆꯥꯏꯜꯗ-ꯄꯨꯒ ꯁ꯭ꯀꯣꯔ ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ? ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ...
ꯃꯁꯤ ꯅꯍꯥꯛꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯒꯥꯔꯤ ꯑꯗꯨ ꯁꯔꯚꯤꯁ ꯁꯦꯟꯇꯔ ꯑꯃꯗꯥ ꯄꯨꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯇꯦꯛꯅꯤꯁꯤꯌꯟ ꯑꯗꯨꯅꯥ ꯇꯣꯉꯥꯟ ꯇꯣꯉꯥꯅꯕꯥ ꯋꯥꯐꯃꯁꯤꯡ ꯌꯦꯡꯁꯤꯜꯂꯤ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯒꯥꯔꯤꯒꯤ ꯐꯤꯚꯃꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯍꯥꯌꯔꯀꯄꯒꯨꯝꯅꯥ ꯈꯅꯕꯤꯌꯨ꯫ ꯆꯥꯏꯜꯗ-ꯄꯨꯒ ꯁ꯭ꯀꯣꯔ ꯑꯁꯤ ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯂꯤꯚꯔꯒꯤ ꯂꯥꯌꯅꯥ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯗꯥ ꯂꯤꯚꯔ ꯑꯁꯤ ꯀꯌꯥ ꯌꯥꯝꯅꯥ ꯐꯖꯅꯥ ꯊꯕꯛ ꯇꯧꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯁꯤꯅꯕꯒꯤ ꯃꯑꯣꯡ ꯑꯃꯅꯤ , ꯃꯔꯨꯑꯣꯏꯅꯥ ꯁꯤꯔꯣꯁꯤꯁ, ꯂꯤꯚꯔꯗꯥ ꯐꯦꯇꯤ ꯗꯤꯄꯣꯖꯤꯠꯁꯤꯡ ꯁꯦꯃꯒꯠꯂꯀꯏ ꯑꯃꯁꯨꯡ ꯃꯗꯨ ꯀꯟꯅꯥ ꯁꯣꯀꯍꯜꯂꯤꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫
ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯁ꯭ꯀꯣꯔ ꯇꯧꯕꯒꯤ ꯁꯤꯁ꯭ꯇꯦꯝ ꯑꯁꯤꯅꯥ ꯗꯣꯛꯇꯔꯁꯤꯡꯗꯥ ꯃꯈꯥꯒꯤ ꯋꯥꯐꯃꯁꯤꯡ ꯑꯁꯤ ꯈꯉꯕꯥ ꯉꯃꯍꯜꯂꯤ:
- ꯅꯍꯥꯛꯀꯤ ꯂꯤꯚꯔ ꯑꯗꯨ ꯀꯌꯥꯝ ꯐꯖꯅꯥ ꯊꯕꯛ ꯇꯧꯔꯤꯕꯒꯦ?
- ꯂꯤꯚꯔ ꯐꯦꯜ ꯑꯣꯏꯕꯒꯤ ꯔꯤꯁ꯭ꯛ ꯂꯩꯕ꯭ꯔꯥ? ꯀꯌꯥ ꯌꯥꯝꯅꯥ ꯑꯣꯏꯊꯣꯀꯄꯥ ꯌꯥꯕꯒꯦ?
- ꯑꯗꯣꯃꯒꯤꯗꯃꯛꯇꯥ ꯀꯔꯤ ꯃꯈꯂꯒꯤ ꯂꯥꯏꯌꯦꯡꯅꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯒꯦ?
ꯃꯁꯤꯅꯥ ꯑꯇꯣꯞꯄꯥ ꯊꯕꯛ ꯑꯃꯥ ꯇꯧꯏ꯫ ꯃꯁꯤꯅꯥ ꯃꯥꯂꯦꯝ ꯁꯤꯅꯕꯥ ꯊꯨꯡꯅꯥ ꯂꯩꯔꯤꯕꯥ ꯗꯣꯛꯇꯔꯁꯤꯡꯗꯁꯨ ꯅꯍꯥꯛꯀꯤ ꯂꯤꯚꯔꯒꯤ ꯀꯟꯗꯤꯁꯅꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫ ꯃꯁꯤꯕꯨ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ``ꯆꯥꯏꯜꯗ-ꯇꯨꯔꯀꯣꯠ-ꯄꯨꯒ (CTP) ꯀꯦꯂꯀꯨꯂꯦꯇꯔ ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫'' ꯑꯗꯨꯕꯨ ꯅꯤꯡꯁꯤꯡꯕꯤꯌꯨ, ꯁ꯭ꯀꯣꯔ ꯑꯁꯤ ꯃꯔꯨ ꯑꯣꯏꯔꯕꯁꯨ, ꯃꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯁꯦꯂꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯔꯤ ꯄꯨꯝꯅꯃꯛ ꯐꯣꯡꯗꯣꯀꯄꯥ ꯉꯃꯗꯦ꯫ ꯃꯁꯤ ꯁꯔꯨꯛ ꯑꯃꯈꯛꯇꯅꯤ꯫
ꯃꯁꯤꯗꯥ ꯀꯔꯤ ꯋꯥꯐꯝ ꯵ ꯌꯦꯡꯂꯤꯕꯅꯣ?
ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯆꯥꯏꯜꯗ-ꯄꯨꯒ ꯁ꯭ꯀꯣꯔ ꯑꯁꯤ ꯂꯦꯄꯊꯣꯛꯅꯕꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯐꯦꯛꯇꯔ ꯃꯉꯥ ꯌꯦꯡꯏ꯫ ꯃꯈꯣꯌꯁꯤꯡ ꯑꯗꯨꯗꯤ: ꯱.
1. ꯏꯗꯥ ꯂꯩꯕꯥ ꯑꯄꯨꯅꯕꯥ ꯕꯤꯂꯤꯔꯨꯕꯤꯅꯒꯤ ꯆꯥꯡ: ꯕꯤꯂꯤꯔꯨꯕꯤꯟ ꯑꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯕꯥꯏꯂꯗꯥ ꯌꯥꯎꯕꯥ ꯌꯦꯔꯨꯝ ꯀꯝꯄꯥꯎꯟꯗ ꯑꯃꯅꯤ꯫ ꯃꯁꯤ ꯂꯤꯚꯔꯅꯥ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯊꯕꯛ ꯇꯧꯔꯤꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯁꯤꯟꯅꯕꯥ ꯁꯤꯖꯤꯟꯅꯩ꯫ ꯃꯁꯤ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯃꯃꯤꯠ ꯑꯃꯁꯨꯡ ꯈꯣꯡ ꯑꯗꯨ ꯌꯦꯔꯨꯝ ꯀꯣꯀꯄꯥ (ꯖꯣꯟꯗꯤꯁꯒꯨꯝꯕꯥ) ꯑꯣꯏꯔꯀꯏ꯫
2. ꯁꯦꯔꯥꯝ ꯑꯦꯂꯕꯨꯃꯤꯅꯒꯤ ꯆꯥꯡ: ꯑꯦꯂꯕꯨꯃꯤꯟ ꯑꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯂꯤꯚꯔꯅꯥ ꯁꯦꯝꯕꯥ ꯄ꯭ꯔꯣꯇꯤꯟ ꯑꯃꯅꯤ꯫ ꯃꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡ ꯄꯨꯝꯅꯃꯛꯇꯥ ꯅ꯭ꯌꯨꯠꯔꯤꯑꯦꯟꯇꯁꯤꯡ ꯇ꯭ꯔꯥꯟꯁꯄꯣꯔꯠ ꯇꯧꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫ ꯅꯍꯥꯛꯀꯤ ꯂꯤꯚꯔ ꯑꯗꯨ ꯁꯣꯟꯊꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯃꯁꯤꯅꯥ ꯄ꯭ꯔꯣꯇꯤꯟ ꯑꯁꯤ ꯍꯟꯊꯍꯜꯂꯤ꯫
3. ꯅꯍꯥꯛꯀꯤ ꯏ ꯑꯗꯨ ꯀꯌꯥꯝ ꯊꯨꯅꯥ ꯌꯥꯡꯅꯥ ꯆꯦꯜꯂꯤꯕꯅꯣ (ꯄ꯭ꯔꯣꯊ꯭ꯔꯣꯝꯕꯟ ꯇꯥꯏꯝ ꯅꯠꯠꯔꯒꯥ INR): ꯂꯤꯚꯔ ꯑꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯏ ꯑꯗꯨ ꯀꯌꯥꯝ ꯊꯨꯅꯥ ꯊꯨꯃꯖꯤꯅꯕꯒꯦ ꯍꯥꯌꯕꯗꯨꯗꯁꯨ ꯁꯔꯨꯛ ꯌꯥꯔꯤ꯫ ꯃꯁꯤꯒꯤ ꯃꯔꯃꯗꯤ ꯕ꯭ꯂꯗ ꯀ꯭ꯂꯣꯇꯤꯡꯒꯤꯗꯃꯛꯇꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯄꯣꯠꯂꯝ ꯈꯔꯗꯤ ꯂꯤꯚꯔꯗꯥ ꯁꯦꯝꯕꯅꯤ꯫ ꯃꯇꯝ ꯑꯁꯤ ꯍꯦꯅꯒꯠꯂꯀꯄꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯏ ꯊꯨꯃꯖꯤꯅꯕꯗꯥ ꯃꯇꯝ ꯍꯦꯟꯅꯥ ꯆꯪꯏ ꯍꯥꯌꯕꯅꯤ꯫
4. ꯑꯦꯁꯤꯇꯤꯁ (Ascites): ꯃꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ (abdominal cavity) ꯐ꯭ꯂꯨꯏꯗ (abdominal cavity) ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯍꯅꯕꯥ ꯍꯥꯌꯕꯁꯤꯕꯨ ꯈꯪꯅꯩ꯫ ꯃꯁꯤ ꯁꯤꯔꯣꯁꯤꯁꯒꯨꯝꯕꯥ ꯂꯤꯚꯔꯒꯤ ꯂꯥꯌꯅꯥꯁꯤꯡ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯃꯇꯃꯗꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫
5. ꯕ꯭ꯔꯦꯅꯒꯤ ꯐꯉ꯭ꯀꯁꯟ ꯑꯁꯤ ꯂꯤꯚꯔꯒꯤ ꯂꯥꯌꯅꯥ (Encephalopathy)ꯅꯥ ꯁꯣꯀꯍꯅꯕꯔꯥ:ꯂꯤꯚꯔꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯍꯀꯆꯥꯡꯗꯒꯤ ꯂꯧꯊꯣꯛꯀꯗꯕꯥ ꯄꯣꯠꯁꯛ ꯈꯔꯗꯤ ꯏꯗꯥ ꯌꯥꯎꯔꯀꯄꯥ ꯌꯥꯏ꯫ ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯕ꯭ꯔꯦꯅꯗꯥ ꯆꯠꯊꯣꯛ-ꯆꯠꯁꯤꯟ ꯇꯧꯕꯥ ꯌꯥꯏ ꯑꯃꯁꯨꯡ ꯕ꯭ꯔꯦꯅꯒꯤ ꯊꯕꯛꯇꯥ ꯑꯀꯥꯌꯕꯥ ꯄꯤꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯅꯥ ꯃꯦꯃꯣꯔꯤ, ꯑꯦꯇꯦꯟꯁꯟ ꯑꯃꯁꯨꯡ ꯕꯤꯍꯦꯕꯤꯌꯔꯒꯨꯝꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡꯗꯥ ꯑꯍꯣꯡꯕꯥ ꯄꯨꯔꯀꯄꯥ ꯌꯥꯏ꯫
ꯐꯦꯛꯇꯔ ꯃꯉꯥ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯃꯃꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯇꯦꯁ꯭ꯇꯀꯤ ꯔꯤꯖꯜꯇꯇꯥ ꯌꯨꯝꯐꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯁ꯭ꯀꯣꯔ ꯑꯃꯥ ꯄꯤꯔꯤ꯫ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ, ꯃꯈꯣꯌ ꯄꯨꯝꯅꯃꯛ ꯄꯨꯟꯅꯥ ꯁ꯭ꯀꯣꯔ ꯑꯃꯥ ꯐꯪꯅꯕꯥ ꯍꯥꯄꯆꯤꯜꯂꯤ꯫ ꯃꯁꯤꯒꯤ ꯃꯇꯨꯡ ꯏꯟꯅꯥ, ꯅꯍꯥꯀꯄꯨ ꯀꯦꯇꯦꯒꯣꯔꯤ ꯑꯍꯨꯃꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯗꯥ ꯈꯥꯌꯗꯣꯀꯏ: A, B, ꯅꯠꯠꯔꯒꯥ C꯫
ꯆꯥꯏꯜꯗ-ꯄꯨꯒ ꯁ꯭ꯀꯣꯔ ꯑꯃꯒꯤꯗꯃꯛ ꯑꯩꯅꯥ ꯀꯔꯝꯅꯥ ꯁꯦꯝ-ꯁꯥꯒꯗꯒꯦ?
ꯆꯥꯏꯜꯗ-ꯄꯨꯒ ꯁ꯭ꯀꯣꯔ ꯑꯁꯤ ꯂꯦꯄꯊꯣꯛꯅꯕꯒꯤꯗꯃꯛ, ꯅꯍꯥꯛꯅꯥ ꯇꯦꯁ꯭ꯠ ꯀꯌꯥ ꯑꯃꯥ ꯇꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯏ꯫ ꯃꯁꯤꯗꯥ ꯐꯤꯖꯤꯀꯦꯜ ꯑꯦꯀꯖꯥꯃꯤꯅꯦꯁꯟ , ꯕ꯭ꯂꯗ ꯇꯦꯁ꯭ꯠ , ꯑꯃꯁꯨꯡ ꯑꯣꯏꯊꯣꯀꯄꯥ ꯌꯥꯕꯥ ꯏꯃꯦꯖꯤꯡ ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯌꯥꯑꯣꯕꯥ ꯌꯥꯏ꯫
ꯗꯣꯛꯇꯔꯅꯥ ꯅꯉꯣꯟꯗꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ ꯑꯁꯤ ꯌꯦꯡꯁꯤꯟꯅꯕꯥ ꯏꯒꯤ ꯁꯦꯝꯄꯜ ꯑꯃꯥ ꯂꯧꯅꯕꯥ ꯍꯥꯌꯒꯅꯤ:
- ꯕꯤꯂꯤꯔꯨꯕꯤꯅꯒꯤ ꯆꯥꯡ: ꯃꯃꯥꯡꯗꯥ ꯍꯥꯌꯈꯤꯕꯒꯨꯝꯅꯥ, ꯃꯁꯤ ꯂꯤꯚꯔꯒꯤ ꯐꯉ꯭ꯀꯁꯅꯒꯤ ꯆꯥꯡꯌꯦꯡ ꯑꯃꯅꯤ꯫
- ꯑꯦꯂꯕꯨꯃꯤꯅꯒꯤ ꯆꯥꯡ: ꯅ꯭ꯌꯨꯠꯔꯤꯑꯦꯟꯇꯁꯤꯡ ꯄꯨꯊꯣꯛ ꯄꯨꯁꯤꯟ ꯇꯧꯕꯥ ꯂꯤꯚꯔꯅꯥ ꯄꯨꯊꯣꯀꯄꯥ ꯄ꯭ꯔꯣꯇꯤꯟ ꯑꯃꯅꯤ꯫
- ꯄ꯭ꯔꯣꯊ꯭ꯔꯣꯝꯕꯟ ꯇꯥꯏꯝ (PT) ꯅꯠꯠꯔꯒꯥ INR: ꯏ ꯊꯣꯀꯄꯒꯤ ꯈꯣꯡꯖꯦꯜ꯫
ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯦꯕꯗꯣꯃꯤꯅꯦꯜ ꯑꯂꯠꯔꯥꯁꯥꯎꯟꯗ ꯅꯠꯠꯔꯒꯥ ꯁꯤ.ꯇꯤ . ꯑꯦꯁꯤꯇꯤꯁ ꯍꯥꯌꯕꯁꯤ ꯈꯣꯡꯗꯥ ꯑꯍꯦꯅꯕꯥ ꯐ꯭ꯂꯨꯏꯗ ꯌꯥꯎꯔꯀꯄꯅꯤ꯫ ꯁꯤꯔꯣꯁꯤꯁ ꯑꯁꯤꯅꯥ ꯃꯁꯤꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯔꯃꯅꯤ꯫
ꯕ꯭ꯔꯦꯅꯗꯥ ꯁꯣꯀꯍꯜꯂꯤꯕꯥ ꯂꯤꯚꯔꯒꯤ ꯑꯃꯥꯡ-ꯑꯇꯥꯁꯤꯡ (ꯑꯦꯅꯁꯦꯐꯦꯂꯣꯄꯦꯊꯤ) ꯌꯦꯡꯁꯤꯟꯅꯕꯥ ꯐꯤꯖꯤꯀꯦꯜ ꯑꯦꯀꯖꯥꯃꯤꯅꯦꯁꯟ ꯑꯃꯁꯨꯡ/ꯅꯠꯠꯔꯒꯥ ꯀꯣꯒꯅꯤꯇꯤꯚ ꯑꯦꯀꯖꯥꯝ ꯑꯃꯥ ꯄꯥꯡꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯒꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯂꯤꯚꯔꯗꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯍꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯏꯗꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ (toxins) ꯌꯥꯎꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫
ꯃꯔꯨꯑꯣꯏꯕꯥ: ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯑꯁꯤꯗꯒꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯑꯆꯨꯝꯕꯥ ꯐꯂꯁꯤꯡ ꯐꯪꯅꯕꯒꯤꯗꯃꯛ, ꯅꯍꯥꯛꯅꯥ ꯇꯦꯁ꯭ꯠ (ꯔꯣꯖꯥ) ꯇꯧꯗ꯭ꯔꯤꯉꯩꯒꯤ ꯃꯃꯥꯡꯗꯥ ꯄꯨꯡ ꯈꯔꯒꯤ ꯑꯣꯏꯅꯥ ꯆꯥꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯊꯀꯄꯥ ꯌꯥꯗꯅꯕꯥ ꯍꯥꯌꯔꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯀꯔꯤ ꯁꯦꯝ-ꯁꯥꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯆꯨꯝꯅꯥ ꯍꯪꯕꯤꯌꯨ꯫
ꯍꯥꯌꯔꯤꯕꯥ ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯑꯁꯤ ꯅꯨꯃꯤꯠ ꯑꯃꯗꯥ ꯅꯠꯠꯔꯒꯥ ꯃꯐꯝ ꯑꯃꯗꯥ ꯇꯧꯗꯕꯥ ꯌꯥꯏ꯫ ꯃꯗꯨ ꯑꯐꯕꯥ ꯑꯃꯅꯤ꯫ ꯗꯣꯛꯇꯔꯅꯥ ꯇꯦꯁ꯭ꯠ ꯄꯨꯝꯅꯃꯛ ꯑꯁꯤꯒꯤ ꯔꯤꯖꯜꯇ ꯐꯪꯂꯕꯥ ꯃꯇꯨꯡꯗꯥ, ꯃꯈꯣꯌꯅꯥ ꯃꯈꯣꯌ ꯄꯨꯝꯅꯃꯛ ꯑꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯆꯥꯏꯜꯗ-ꯄꯨꯒ ꯁ꯭ꯀꯣꯔ ꯑꯗꯨ ꯂꯦꯄꯊꯣꯛꯅꯕꯥ ꯍꯥꯄꯆꯤꯜꯂꯤ꯫
ꯆꯥꯏꯜꯗ-ꯄꯨꯒ ꯁ꯭ꯀꯣꯔ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯂꯦꯄꯀꯅꯤ?
ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯏꯆꯝ ꯆꯝꯕꯥ ꯋꯥꯐꯝꯅꯤ꯫ ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯂꯤꯚꯔꯒꯤ ꯍꯀꯁꯦꯂꯒꯥ ꯃꯔꯤ ꯂꯩꯅꯕꯥ ꯃꯊꯛꯇꯥ ꯄꯅꯈ꯭ꯔꯤꯕꯥ ꯐꯦꯛꯇꯔ ꯃꯉꯥ ꯑꯁꯤ ꯌꯦꯡꯏ꯫ ꯐꯦꯛꯇꯔꯁꯤꯡ ꯑꯗꯨꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯃꯃꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯀꯟꯗꯤꯁꯅꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ ꯁ꯭ꯀꯣꯔ 1, 2 ꯅꯠꯠꯔꯒꯥ 3 ꯄꯤꯕꯥ ꯌꯥꯏ꯫ (ꯁ꯭ꯀꯣꯔ ꯱ ꯑꯁꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯅꯤ, ꯁ꯭ꯀꯣꯔ ꯳ꯅꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯁꯥꯊꯤꯕꯅꯤ)꯫
ꯐꯦꯛꯇꯔ ꯃꯉꯥ ꯄꯨꯝꯅꯃꯛ ꯁ꯭ꯀꯣꯔ ꯇꯧꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯗꯣꯛꯇꯔꯅꯥ ꯃꯈꯣꯌ ꯄꯨꯝꯅꯃꯛ ꯍꯥꯄꯆꯤꯜꯂꯤ꯫ ꯅꯍꯥꯛꯅꯥ ꯑꯄꯨꯅꯕꯥ ꯁ꯭ꯀꯣꯔ ꯵ ꯑꯃꯁꯨꯡ ꯱꯵ꯒꯤ ꯃꯔꯛꯇꯥ ꯐꯪꯏ, ꯃꯗꯨ ꯅꯍꯥꯛꯀꯤ ꯆꯥꯏꯜꯗ-ꯄꯨꯒ ꯁ꯭ꯀꯣꯔꯅꯤ꯫
ꯃꯐꯝ ꯑꯁꯤꯗꯥ ꯍꯥꯌꯔꯤꯕꯥ ꯐꯦꯛꯇꯔ ꯃꯉꯥ ꯑꯁꯤꯒꯤ ꯐꯂꯁꯤꯡꯗꯥ ꯌꯨꯝꯐꯝ ꯑꯣꯏꯔꯒꯥ ꯁ꯭ꯀꯣꯔꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯄꯤꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯎꯠꯂꯤꯕꯥ ꯆꯥꯔꯠ ꯑꯃꯥ ꯌꯥꯑꯣꯔꯤ:
| ꯐꯦꯛꯇꯔ | ꯁ꯭ꯀꯣꯔ ꯱ | ꯁ꯭ꯀꯣꯔ ꯲ | ꯁ꯭ꯀꯣꯔ ꯳ |
| :--------------------------------------------------------- | :------------------------------------------ | :--------------------------------------- | :--------------------------------------------- |
| ꯕꯤꯂꯤꯔꯨꯕꯤꯟ `(ꯑꯄꯨꯅꯕꯥ ꯕꯤꯂꯤꯔꯨꯕꯤꯟ)` (mg/dL) | < ꯲ | ꯲ - ꯳ ꯒꯤ | > ꯳ |
| ꯁꯦꯔꯥꯝ ꯑꯦꯂꯕꯨꯃꯤꯟ `(ꯁꯦꯔꯥꯝ ꯑꯦꯂꯕꯨꯃꯤꯟ)` (ꯖꯤ/ꯗꯤ.ꯑꯦꯜ.) | > ꯳.꯵ ꯑꯣꯏꯕꯥ | ꯲.꯸ - ꯳.꯵ ꯐꯥꯑꯣꯕꯥ | < ꯲.꯸ ꯑꯃꯁꯨꯡ |
| ꯑꯥꯏ.ꯑꯦꯟ.ꯑꯥꯔ.(ꯏ ꯊꯣꯀꯄꯥ) | < ꯱.꯷ ꯑꯃꯁꯨꯡ | ꯱.꯷ - ꯲.꯳ ꯐꯥꯑꯣꯕꯥ | > ꯲.꯳ |
| ꯑꯦꯁꯤꯇꯤꯁ | ꯑꯃꯠꯇꯥ ꯂꯩꯇꯦ | ꯁ꯭ꯂꯥꯏꯠ/ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯥ | ꯃꯌꯥꯌ ꯑꯣꯏꯕꯥ/ꯃꯌꯥꯏ ꯑꯣꯏꯕꯥ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯥ |
| ꯑꯦꯅꯁꯦꯐꯦꯂꯣꯄꯦꯊꯤ | ꯑꯃꯠꯇꯥ ꯂꯩꯇꯦ | ꯒ꯭ꯔꯦꯗ ꯱-꯲ (ꯃꯥꯏꯜꯗ/ꯃꯣꯗꯦꯔꯦꯠ) | ꯒ꯭ꯔꯦꯗ ꯳-꯴ (ꯑꯀꯅꯕꯥ) |
ꯅꯍꯥꯛꯅꯥ ꯐꯪꯂꯤꯕꯥ ꯑꯄꯨꯅꯕꯥ ꯁ꯭ꯀꯣꯔꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ, ꯅꯍꯥꯀꯄꯨ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯀꯦꯇꯦꯒꯣꯔꯤ ꯑꯍꯨꯃꯗꯥ ꯈꯥꯌꯗꯣꯀꯒꯅꯤ:
- ꯀ꯭ꯂꯥꯁ A: ꯅꯍꯥꯛꯀꯤ ꯂꯤꯚꯔ ꯑꯗꯨ ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯅꯥ ꯊꯕꯛ ꯇꯧꯔꯤ꯫ ꯅꯍꯥꯛꯀꯤ ꯑꯄꯨꯅꯕꯥ ꯁ꯭ꯀꯣꯔ ꯑꯗꯨ 5 ꯑꯃꯁꯨꯡ 6ꯒꯤ ꯃꯔꯛꯇꯥ ꯂꯩ꯫
- ꯀ꯭ꯂꯥꯁ ꯕꯤ: ꯃꯌꯥꯏ ꯑꯣꯏꯕꯥ ꯂꯤꯚꯔ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯏ꯫ ꯅꯍꯥꯛꯀꯤ ꯑꯄꯨꯅꯕꯥ ꯁ꯭ꯀꯣꯔ ꯑꯁꯤ ꯷ ꯑꯃꯁꯨꯡ ꯹ꯒꯤ ꯃꯔꯛꯇꯥ ꯂꯩ꯫
- ꯀ꯭ꯂꯥꯁ ꯁꯤ: ꯂꯤꯚꯔꯗꯥ ꯁꯥꯊꯤꯕꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯂꯥꯌꯅꯥ꯫ ꯅꯍꯥꯛꯀꯤ ꯁ꯭ꯀꯣꯔ ꯑꯗꯨ ꯱꯰ ꯑꯃꯁꯨꯡ ꯱꯵ꯒꯤ ꯃꯔꯛꯇꯥ ꯂꯩ꯫
ꯈꯨꯗꯝ ꯑꯃꯥ ꯌꯦꯡꯁꯤ?
ꯀꯅꯥꯒꯨꯝꯕꯥ ꯑꯃꯒꯤ ꯇꯦꯁ꯭ꯇꯀꯤ ꯔꯤꯖꯜꯇꯁꯤꯡ ꯑꯁꯤ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤ ꯍꯥꯌꯅꯥ ꯈꯅꯕꯤꯌꯨ:
- ꯕꯤꯂꯤꯔꯨꯕꯤꯟ - 3 mg/dL (ꯄꯣꯏꯟꯇ 2) ꯌꯥꯎꯏ꯫
- ꯑꯦꯂꯕꯨꯃꯤꯟ - ꯲.꯹ ꯒ꯭ꯔꯥꯝ/ꯗꯤ.ꯑꯦꯜ.(ꯄꯣꯏꯟꯇ ꯲)
- ꯑꯥꯏ.ꯑꯦꯟ.ꯑꯥꯔ.- ꯱ (ꯄꯣꯏꯟꯇ ꯱) ꯴.
- ꯈꯣꯡꯗꯥ ꯐ꯭ꯂꯨꯏꯗ (Ascites) - ꯃꯌꯥꯏ ꯑꯣꯏꯕꯥ (ꯄꯣꯏꯟꯇ 2)
- ꯑꯦꯅꯁꯦꯐꯦꯂꯣꯄꯦꯊꯤ - ꯅꯪ (ꯄꯣꯏꯟꯇ ꯱)
ꯃꯤꯑꯣꯏ ꯑꯁꯤꯒꯤ ꯆꯥꯏꯜꯗ-ꯄꯨꯒ ꯁ꯭ꯀꯣꯔ ꯑꯁꯤ ꯲ + ꯲ + ꯱ + ꯲ + ꯱ = ꯸ ꯄꯣꯏꯟꯇꯅꯤ ꯫ ꯃꯁꯤꯅꯥ ꯇꯥꯀꯄꯗꯤ ꯃꯍꯥꯛ ꯀ꯭ꯂꯥꯁ ꯕꯤꯗꯥ ꯂꯩꯔꯤ꯫
ꯅꯍꯥꯛꯀꯤ ꯆꯥꯏꯜꯗ-ꯄꯨꯒ ꯁ꯭ꯀꯣꯔ ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ?
ꯁ꯭ꯀꯣꯔ ꯑꯁꯤꯅꯥ ꯃꯇꯝ ꯑꯗꯨꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯂꯤꯚꯔꯒꯤ ꯂꯥꯌꯅꯥꯒꯤ ꯁ꯭ꯅꯦꯄꯁꯣꯠ ꯑꯃꯥ ꯄꯤꯔꯤ꯫ ꯃꯁꯤꯅꯥ ꯐꯦꯛꯇꯔ ꯃꯉꯥ ꯑꯁꯤꯗꯥ ꯌꯨꯝꯐꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯂꯤꯚꯔ ꯑꯗꯨ ꯀꯌꯥꯝ ꯐꯖꯅꯥ ꯊꯕꯛ ꯇꯧꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯈꯪꯍꯜꯂꯤ꯫ ꯆꯥꯏꯜꯗ-ꯄꯨꯒ ꯁ꯭ꯀꯣꯔ ꯑꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ:
- ꯅꯍꯥꯛꯀꯤ ꯂꯥꯏꯌꯦꯡꯒꯤ ꯄ꯭ꯂꯥꯟ ꯁꯦꯝꯃꯨ: ꯃꯁꯤꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛ, ꯁꯔꯖꯔꯤ, ꯅꯠꯠꯔꯒꯥ ꯂꯤꯚꯔ ꯇ꯭ꯔꯥꯟꯁꯞꯂꯥꯟꯇ ꯇꯧꯗꯨꯅꯥ ꯂꯥꯌꯦꯡꯒꯅꯤ ꯍꯥꯌꯕꯁꯤ ꯂꯦꯄꯊꯣꯀꯄꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯒꯅꯤ, ꯑꯃꯁꯨꯡ ꯂꯥꯏꯌꯦꯡꯁꯤꯡ ꯑꯗꯨ ꯃꯥꯌꯄꯥꯛꯀꯅꯤ ꯍꯥꯌꯕꯁꯤ ꯂꯦꯄꯊꯣꯀꯄꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯒꯅꯤ꯫
- ꯔꯤꯁ꯭ꯛ ꯑꯗꯨ ꯑꯦꯁꯦꯁ ꯇꯧꯕꯥ:ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯁꯔꯖꯔꯤ ꯇꯧꯔꯕꯗꯤ, ꯃꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯄꯨꯅꯕꯥ ꯍꯀꯁꯦꯂꯒꯤꯗꯃꯛꯇꯥ ꯀꯌꯥ ꯌꯥꯝꯅꯥ ꯔꯤꯁ꯭ꯛ ꯂꯩꯕꯒꯦ ꯑꯃꯁꯨꯡ ꯀꯥꯟꯅꯕꯥ ꯄꯤꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯈꯪꯗꯣꯀꯄꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯒꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯁꯔꯖꯔꯤ ꯑꯗꯨ ꯃꯥꯌ ꯄꯥꯛꯂꯕꯗꯤ, ꯃꯁꯤꯅꯥ ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯄꯨꯟꯁꯤꯒꯤ ꯃꯒꯨꯟ ꯑꯗꯨ ꯀꯔꯝꯅꯥ ꯑꯣꯏꯒꯅꯤ ꯍꯥꯌꯕꯗꯨꯁꯨ ꯂꯥꯎꯊꯣꯀꯄꯥ ꯉꯃꯒꯅꯤ꯫
- ꯅꯍꯥꯛꯀꯤ ꯍꯤꯡꯕꯒꯤ ꯆꯥꯡ ꯑꯗꯨ ꯂꯦꯄꯊꯣꯀꯎ꯫
ꯅꯤꯡꯁꯤꯡꯕꯤꯌꯨ, ꯃꯁꯤ ꯄꯨꯝꯅꯃꯛ ꯑꯁꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯂꯦꯞꯄꯤ꯫ ꯃꯁꯤꯒꯤ ꯁ꯭ꯀꯣꯔꯀꯥꯔꯗ ꯑꯁꯤ ꯃꯈꯣꯌꯒꯤꯗꯃꯛꯇꯥ ꯒꯥꯏꯗꯂꯥꯏꯟ ꯈꯛꯇꯅꯤ꯫
ꯑꯩꯒꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯀꯗꯥꯏꯗꯥ ꯆꯠꯀꯗꯒꯦ?
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯆꯥꯏꯜꯗ-ꯄꯨꯒ ꯁ꯭ꯀꯣꯔꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯅꯠꯠꯔꯒꯥ ꯃꯁꯤ ꯀꯔꯝꯅꯥ ꯂꯦꯄꯈꯤꯕꯒꯦ ꯍꯥꯌꯕꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯍꯪ ꯑꯃꯠꯇꯥ ꯂꯩꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯁꯣꯌꯗꯅꯥ ꯋꯥꯔꯤ ꯁꯥꯕꯤꯌꯨ . ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯇꯦꯁ꯭ꯇꯀꯤ ꯔꯤꯖꯜꯇ ꯅꯠꯠꯔꯒꯥ ꯅꯍꯥꯛꯀꯤ ꯂꯥꯏꯌꯦꯡꯒꯤ ꯄ꯭ꯂꯥꯟ ꯑꯗꯨꯗꯥ ꯃꯊꯪꯗꯥ ꯀꯔꯤ ꯊꯣꯛꯀꯗꯒꯦ ꯍꯥꯌꯕꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯂꯩꯔꯕꯗꯤ, ꯃꯗꯨꯒꯤ ꯃꯇꯥꯡꯗꯁꯨ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯈꯪꯍꯅꯕꯤꯌꯨ꯫
ꯍꯧꯖꯤꯛꯇꯤ ꯅꯍꯥꯛꯀꯤ ꯂꯤꯚꯔꯒꯤ ꯍꯀꯁꯦꯂꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯈꯪꯍꯜꯂꯤꯕꯥ ꯁ꯭ꯀꯣꯔ ꯑꯃꯥ ꯂꯩꯔꯦ꯫ ꯑꯗꯨꯅꯥ ꯍꯧꯖꯤꯛ ꯀꯔꯤ ꯇꯧꯔꯤꯕꯒꯦ? ꯑꯍꯥꯅꯕꯗꯥ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯗꯅꯥ ꯁ꯭ꯀꯣꯔꯁꯤꯡ ꯅꯠꯠꯔꯒꯥ ꯇꯦꯁ꯭ꯇꯀꯤ ꯔꯤꯖꯜꯇꯁꯤꯡ ꯑꯁꯤ ꯈꯛꯇꯗꯥ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯂꯩꯔꯣꯏꯗꯕꯅꯤ꯫ ꯃꯈꯣꯌꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯔꯤꯖꯜꯇ ꯑꯗꯨ ꯅꯍꯥꯀꯄꯨ ꯈꯪꯍꯅꯕꯥ ꯉꯃꯒꯅꯤ ꯑꯃꯁꯨꯡ ꯃꯈꯣꯌꯒꯤ ꯑꯔꯊ ꯀꯔꯤꯅꯣ ꯍꯥꯌꯕꯗꯨ ꯈꯪꯍꯅꯕꯥ ꯉꯃꯒꯅꯤ꯫ ꯅꯍꯥꯛꯀꯤ ꯆꯥꯏꯜꯗ-ꯄꯨꯒ ꯁ꯭ꯀꯣꯔ ꯑꯁꯤꯅꯥ ꯃꯈꯣꯌꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯂꯥꯏꯌꯦꯡꯒꯤ ꯄ꯭ꯂꯥꯟ ꯑꯗꯨ ꯂꯦꯄꯊꯣꯀꯄꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫ ꯑꯗꯨꯕꯨ ꯑꯗꯣꯃꯁꯨ ꯋꯥꯔꯦꯞ ꯑꯗꯨꯒꯤ ꯁꯔꯨꯛ ꯑꯃꯥ ꯑꯣꯏꯔꯤ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ, ꯅꯍꯥꯛꯀꯤ ꯁ꯭ꯀꯣꯔ ꯑꯗꯨꯅꯥ ꯀꯔꯤ ꯍꯥꯌꯔꯤꯕꯒꯦ ꯑꯃꯁꯨꯡ ꯃꯈꯣꯌꯅꯥ ꯀꯔꯤ ꯔꯤꯀꯃꯦꯟꯗ ꯇꯧꯔꯤꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯅꯍꯥꯛꯀꯤ ꯃꯦꯗꯤꯀꯦꯜ ꯇꯤꯃꯒꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯕꯤꯌꯨ꯫ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯂꯩꯔꯣꯏꯗꯕꯅꯤ, ꯃꯈꯣꯌꯅꯥ ꯃꯐꯝ ꯑꯁꯤꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯅꯕꯥ ꯂꯥꯛꯂꯤ꯫
ꯑꯔꯣꯏꯕꯗꯥ, ꯅꯤꯡꯁꯤꯡꯒꯗꯕꯥ ꯋꯥꯐꯃꯁꯤꯡ (ꯇꯦꯛ-ꯍꯣꯝ ꯃꯦꯁꯦꯖ)
ꯆꯥꯏꯜꯗ-ꯄꯨꯒ ꯁ꯭ꯀꯣꯔ ꯑꯁꯤ ꯂꯤꯚꯔꯒꯤ ꯍꯀꯁꯦꯜ ꯂꯦꯞꯄꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯈꯨꯠꯂꯥꯏ ꯑꯃꯅꯤ, ꯑꯗꯨꯕꯨ ꯃꯁꯤꯅꯥ ꯋꯥꯔꯤ ꯄꯨꯝꯕꯥ ꯐꯣꯡꯗꯣꯀꯄꯥ ꯉꯃꯗꯦ꯫
- ꯃꯁꯤꯅꯥ ꯗꯣꯛꯇꯔꯁꯤꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯂꯤꯚꯔꯒꯤ ꯍꯀꯁꯦꯂꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯑꯐꯕꯥ ꯋꯥꯈꯜꯂꯣꯟ ꯑꯃꯥ ꯄꯤꯕꯥ ꯉꯃꯒꯅꯤ꯫
- ꯃꯁꯤꯅꯥ ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯊꯧꯔꯥꯡ ꯇꯧꯕꯗꯥ ꯑꯃꯁꯨꯡ ꯔꯤꯁ꯭ꯀꯁꯤꯡ ꯑꯦꯁꯦꯁ ꯇꯧꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫
- ꯁ꯭ꯀꯣꯔꯁꯤꯡ ꯈꯛꯇꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯂꯩꯔꯣꯏꯗꯕꯅꯤ꯫ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯄꯨꯝꯅꯃꯛ ꯈꯟꯅꯕꯤꯌꯨ꯫
- ꯅꯍꯥꯛꯀꯤ ꯍꯀꯁꯦꯂꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯔꯦꯞ ꯂꯧꯕꯗꯥ ꯑꯦꯛꯇꯤꯕ ꯑꯣꯏꯅꯥ ꯊꯧꯗꯥꯡ ꯂꯧꯕꯤꯌꯨ꯫
ꯂꯤꯚꯔ ꯑꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯑꯣꯔꯒꯥꯟ ꯑꯃꯅꯤ꯫ ꯃꯁꯤꯕꯨ ꯉꯥꯀꯊꯣꯀꯄꯥ ꯑꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯊꯧꯗꯥꯡꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯤꯚꯔꯒꯤ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯑꯃꯥ ꯂꯩꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯤ ꯏꯅꯁ꯭ꯠꯔꯛꯁꯅꯁꯤꯡ ꯑꯗꯨ ꯆꯨꯝꯅꯥ ꯏꯅꯒꯗꯕꯅꯤ꯫ ꯍꯀꯆꯥꯡ ꯐꯕꯥ ꯄꯨꯟꯁꯤ ꯃꯍꯤꯡ ꯑꯃꯥ ꯍꯤꯡꯕꯤꯌꯨ꯫ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯂꯩꯔꯣꯏ꯫ ꯄꯨꯝꯅꯃꯛ ꯐꯅꯥ ꯂꯩꯒꯅꯤ!
` ꯆꯥꯏꯜꯗ-ꯄꯨꯒ ꯁ꯭ꯀꯣꯔ, ꯂꯤꯚꯔ, ꯁꯤꯔꯣꯁꯤꯁ, ꯂꯤꯚꯔꯒꯤ ꯂꯥꯌꯅꯥ, ꯕꯤꯂꯤꯔꯨꯕꯤꯟ, ꯑꯦꯂꯕꯨꯃꯤꯟ, ꯂꯤꯚꯔ ꯐꯉ꯭ꯀꯁꯟ꯫
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