ꯂꯤꯚꯔ ꯑꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯑꯉꯀꯄꯥ ꯑꯣꯔꯒꯥꯟ ꯑꯃꯅꯤ꯫ ꯃꯁꯤ ꯑꯆꯧꯕꯥ ꯐꯦꯛꯇꯔꯤ ꯑꯃꯒꯨꯝꯕꯅꯤ꯫ ꯃꯁꯤꯅꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ ꯐꯤꯜꯇꯔ ꯇꯧꯕꯥ, ꯆꯤꯟꯖꯥꯛ ꯍꯟꯖꯤꯅꯍꯅꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯕꯥ, ꯑꯃꯁꯨꯡ ꯑꯦꯅꯔꯖꯤ ꯁ꯭ꯇꯣꯔ ꯇꯧꯕꯅꯆꯤꯡꯕꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯊꯕꯛ ꯀꯌꯥ ꯄꯥꯡꯊꯣꯀꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯃꯃꯜ ꯌꯥꯝꯂꯕꯥ ꯂꯤꯚꯔ ꯑꯁꯤ ꯇꯣꯉꯥꯟ-ꯇꯣꯉꯥꯅꯕꯥ ꯃꯔꯃꯁꯤꯡꯅꯥ ꯁꯣꯀꯍꯜꯂꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯇꯃꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ ꯂꯤꯚꯔ ꯑꯁꯤ ꯂꯦꯞꯇꯅꯥ ꯁꯣꯀꯍꯜꯂꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯍꯀꯁꯦꯜ ꯐꯕꯥ ꯁꯦꯂꯁꯤꯡꯒꯤ ꯃꯍꯨꯠꯇꯥ ꯁ꯭ꯀꯥꯔ ꯇꯤꯁꯨ ꯁꯦꯝꯕꯥ ꯍꯧꯏ꯫ ꯑꯩꯈꯣꯌꯅꯥ ꯁꯤꯔꯣꯁꯤꯁ ꯍꯥꯌꯅꯥ ꯀꯧꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯗꯨꯅꯤ꯫
ꯁꯤꯔꯣꯁꯤꯁ ꯍꯥꯌꯕꯁꯤ ꯇꯁꯦꯡꯅꯥ ꯀꯔꯤꯅꯣ?
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯑꯁꯣꯀꯄꯥ ꯑꯃꯥ ꯂꯩꯔꯕꯗꯤ ꯃꯗꯨ ꯐꯒꯠꯂꯛꯂꯕꯥ ꯑꯃꯁꯨꯡ ꯑꯁꯣꯀꯄꯥ ꯑꯃꯥ ꯂꯩꯔꯕꯗꯤ ꯈꯟꯗꯨꯅꯥ ꯌꯦꯡꯕꯤꯌꯨ, ꯅꯠꯇꯦ? ꯂꯤꯚꯔꯗꯥ ꯃꯗꯨ ꯑꯣꯏꯔꯀꯄꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯂꯤꯚꯔꯗꯥ ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯁꯟ ꯂꯩꯔꯕꯗꯤ ꯂꯤꯚꯔ ꯑꯗꯨꯅꯥ ꯃꯁꯥ ꯃꯊꯟꯇꯥ ꯐꯒꯠꯅꯕꯥ ꯍꯣꯠꯅꯩ꯫ ꯊꯧꯑꯣꯡ ꯑꯁꯤꯗꯥ, ꯍꯀꯁꯦꯜ ꯐꯕꯥ, ꯇꯔꯨ-ꯇꯅꯥꯅꯕꯥ ꯂꯤꯚꯔ ꯇꯤꯁꯨꯒꯤ ꯃꯍꯨꯠꯇꯥ ꯍꯥꯔꯗ, ꯗꯤꯁꯐꯉ꯭ꯀꯁꯅꯦꯜ ꯁ꯭ꯀꯥꯔ ꯇꯤꯁꯨ ꯁꯦꯝꯃꯤ꯫
ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯁꯤꯔꯣꯁꯤꯁ ꯍꯥꯌꯕꯁꯤ ꯀ꯭ꯔꯣꯅꯤꯛ ꯂꯤꯚꯔ ꯗꯤꯖꯤꯖꯒꯤ ꯑꯔꯣꯏꯕꯥ ꯁ꯭ꯇꯦꯖꯅꯤ꯫ ꯃꯇꯝ ꯑꯁꯤꯗꯥ ꯂꯤꯚꯔꯒꯤ ꯍꯀꯁꯦꯜ ꯐꯕꯥ ꯁꯔꯨꯛ ꯑꯌꯥꯝꯕꯗꯤ ꯁꯣꯛ-ꯄꯅꯕꯥ ꯊꯣꯀꯈ꯭ꯔꯦ꯫ ꯃꯁꯤꯒꯤ ꯁ꯭ꯀꯥꯔ ꯇꯤꯁꯨ ꯑꯁꯤ ꯁꯦꯃꯒꯠꯂꯀꯄꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯂꯤꯚꯔꯅꯥ ꯏ ꯁꯦꯡꯗꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯅ꯭ꯌꯨꯠꯔꯤꯑꯦꯟꯇꯁꯤꯡ ꯄ꯭ꯔꯣꯁꯦꯁ ꯇꯧꯕꯒꯤ ꯃꯑꯣꯡ-ꯃꯇꯧꯒꯤ ꯊꯕꯛ ꯇꯧꯕꯥ ꯉꯃꯗꯦ꯫ ꯂꯣꯏꯁꯤꯜꯂꯀꯄꯗꯥ, ꯃꯁꯤꯅꯥ ꯂꯤꯚꯔ ꯐꯦꯜ ꯑꯣꯏꯍꯅꯕꯥ ꯌꯥꯏ .
ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯋꯥꯐꯃꯗꯤ ꯁꯤꯔꯣꯁꯤꯁꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯑꯁꯣꯛ-ꯑꯄꯅꯁꯤꯡ ꯑꯁꯤ ꯔꯤꯚꯔꯁ ꯇꯧꯕꯥ ꯉꯃꯗꯦ, ꯍꯥꯌꯕꯗꯤ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯐꯍꯅꯕꯥ ꯉꯃꯗꯦ꯫ ꯑꯗꯨꯕꯨ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯂꯩꯔꯣꯏꯗꯕꯅꯤ꯫ ꯑꯆꯨꯝꯕꯥ ꯂꯥꯏꯌꯦꯡꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯑꯩꯈꯣꯌꯅꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯍꯦꯟꯅꯥ ꯐꯒꯠꯂꯀꯄꯥ ꯑꯁꯤ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯍꯟꯊꯍꯅꯕꯥ ꯉꯃꯒꯅꯤ꯫
ꯁꯤꯔꯣꯁꯤꯁꯀꯤ ꯁ꯭ꯇꯦꯖꯁꯤꯡ ꯂꯩꯕ꯭ꯔꯥ?
ꯍꯣꯌ, ꯁꯤꯔꯣꯁꯤꯁ ꯑꯁꯤꯁꯨ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯍꯦꯅꯒꯠꯂꯀꯏ꯫ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯇꯥꯉ꯭ꯀꯛ ꯑꯅꯤꯗꯥ ꯈꯥꯌꯗꯣꯛꯇꯨꯅꯥ ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯁꯤ꯫
1. ꯀꯝꯄꯦꯟꯁꯦꯁꯟ ꯁꯤꯔꯣꯁꯤꯁ: ꯃꯁꯤ ꯑꯍꯥꯅꯕꯥ ꯁ꯭ꯇꯦꯖꯅꯤ꯫ ꯁ꯭ꯇꯦꯖ ꯑꯁꯤꯗꯥ, ꯂꯤꯚꯔꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯛꯂꯕꯁꯨ, ꯂꯤꯚꯔꯒꯤ ꯂꯦꯃꯍꯧꯔꯤꯕꯥ ꯍꯀꯁꯦꯜ ꯐꯕꯥ ꯁꯔꯨꯛ ꯑꯗꯨꯅꯥ ꯍꯧꯖꯤꯀꯁꯨ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯑꯗꯨ ꯂꯣꯌꯁꯤꯅꯕꯥ ꯉꯝꯃꯤ, ꯅꯠꯠꯔꯒꯥ ‘ꯀꯝꯄꯦꯟꯁꯦꯁꯟ’ ꯇꯧꯕꯥ ꯉꯝꯃꯤ ꯑꯃꯁꯨꯡ ꯍꯀꯆꯥꯡꯕꯨ ꯃꯊꯧ ꯇꯧꯕꯥ ꯉꯃꯍꯜꯂꯤ꯫ ꯃꯁꯤꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯥꯏꯑꯣꯡ ꯑꯃꯠꯇꯥ ꯎꯕꯥ ꯐꯪꯗꯕꯥ ꯌꯥꯏ꯫ ꯃꯤꯑꯣꯏ ꯀꯌꯥ ꯑꯃꯅꯥ ꯃꯈꯣꯌꯗꯥ ꯃꯁꯤꯒꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯂꯩ ꯍꯥꯌꯕꯁꯤꯁꯨ ꯈꯪꯗꯦ꯫
2. ꯗꯤꯀꯃꯄꯦꯟꯗꯦꯇꯦꯗ ꯁꯤꯔꯣꯁꯤꯁ: ꯃꯇꯃꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ ꯂꯤꯚꯔꯗꯥ ꯂꯩꯕꯥ ꯁ꯭ꯀꯥꯔ ꯇꯤꯁꯨꯒꯤ ꯆꯥꯡ ꯍꯦꯅꯒꯠꯂꯀꯄꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯂꯤꯚꯔꯅꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯑꯗꯨ ꯔꯤꯄꯦꯌꯥꯔ ꯇꯧꯕꯥ ꯉꯃꯗ꯭ꯔꯦ꯫ ꯃꯁꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯂꯥꯀꯄꯥ ꯍꯧꯔꯀꯄꯥ ꯃꯇꯃꯅꯤ꯫ ꯈꯣꯡꯗꯥ ꯏꯁꯤꯡ ꯊꯨꯃꯖꯤꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯃꯤꯠ ꯑꯃꯁꯨꯡ ꯈꯣꯡꯗꯥ ꯌꯦꯔꯨꯝ ꯀꯣꯀꯄꯥ ꯑꯁꯤꯅꯆꯤꯡꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯁ꯭ꯇꯦꯖ ꯑꯁꯤꯗꯥ ꯎꯕꯥ ꯐꯪꯏ꯫ ꯃꯁꯤ ꯂꯥꯌꯅꯥ ꯑꯁꯤꯒꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯁꯥꯊꯤꯕꯥ ꯁ꯭ꯇꯦꯖꯅꯤ꯫
ꯑꯩꯈꯣꯌꯅꯥ ꯀꯔꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯌꯦꯡꯁꯤꯅꯒꯗꯒꯦ?
ꯁꯤꯔꯣꯁꯤꯁꯀꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯈꯨꯗꯛꯇꯥ ꯎꯕꯥ ꯐꯪꯗꯦ꯫ ꯃꯈꯣꯌ ꯑꯁꯤ ꯑꯌꯥꯝꯕꯗꯤ ꯂꯥꯌꯅꯥ ꯑꯁꯤ ꯍꯦꯟꯅꯥ ꯁꯥꯊꯤꯅꯥ ꯁꯣꯀꯍꯜꯂꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯊꯣꯀꯏ꯫ ꯉꯟꯅꯥ ꯑꯃꯁꯨꯡ ꯇꯨꯡꯗꯥ ꯂꯥꯀꯄꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯃꯑꯣꯡ ꯑꯁꯤꯒꯤ ꯃꯇꯨꯡ ꯏꯟꯅꯥ ꯈꯦꯠꯅꯍꯜꯂꯁꯤ꯫
| ꯇꯣꯏꯅꯥ ꯊꯣꯀꯄꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ (ꯀꯝꯄꯦꯟꯁꯦꯁꯟ ꯁ꯭ꯇꯦꯖ) | ꯇꯨꯡꯗꯥ ꯂꯥꯀꯄꯥ ꯁꯥꯊꯤꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ (Decompensated Stage) |
|---|---|
| - ꯂꯦꯞꯇꯅꯥ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯑꯃꯁꯨꯡ ꯋꯥꯈꯜ ꯋꯥꯕꯥ꯫ | - ꯃꯤꯠ ꯑꯃꯁꯨꯡ ꯈꯣꯡꯗꯥ ꯌꯦꯔꯨꯝ ꯀꯣꯀꯄꯥ (Jaundice) |
| - ꯆꯥꯛ ꯆꯥꯕꯥ ꯋꯥꯠꯄꯥ꯫ | - ꯑꯟꯙ꯭ꯔ ꯄ꯭ꯔꯗꯦꯁꯀꯤ ꯌꯨꯔꯤꯟ ꯑꯃꯁꯨꯡ ꯄꯦꯂꯦ ꯁ꯭ꯇꯣꯂꯁꯤꯡ꯫ |
| - ꯀꯣꯛ ꯉꯥꯎꯕ | - ꯈꯣꯡ ꯍꯥꯝꯂꯕꯥ (ꯃꯄꯥꯟꯊꯣꯡꯗꯒꯤ ꯎꯕꯥ ꯐꯪꯗ꯭ꯔꯕꯁꯨ) |
| - ꯃꯊꯛ ꯊꯪꯕꯥ ꯁꯔꯨꯛꯇꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯄꯥ꯫ | - ꯈꯣꯡ, ꯈꯣꯡ ꯑꯃꯁꯨꯡ ꯈꯣꯡꯗꯥ ꯁꯣꯀꯄꯥ (ꯐ꯭ꯂꯨꯏꯗ ꯔꯤꯇꯦꯟꯁꯅꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ - ꯑꯦꯁꯤꯇꯤꯁ ) . |
| - ꯄꯥꯝꯕꯣꯝ ꯂꯥꯂꯍꯧꯕꯥ꯫ | - ꯑꯔꯨꯝꯕꯥ ꯍꯟꯊꯕꯥ ꯑꯃꯁꯨꯡ ꯃꯁꯜ ꯁꯣꯟꯊꯕꯥ꯫ |
| - ꯈꯣꯡꯒꯤ ꯃꯊꯛꯇꯥ ꯂꯩꯕꯥ ꯏꯒꯤ ꯈꯣꯡꯖꯦꯂꯁꯤꯡ ꯑꯁꯤ ꯁ꯭ꯄꯥꯏꯗꯔꯒꯨꯝꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯎꯕꯥ ꯐꯪꯏ꯫ | - ꯑꯄꯤꯀꯄꯥ ꯑꯁꯣꯀꯄꯥ ꯑꯃꯗꯒꯤ ꯐꯥꯎꯕꯥ ꯏ ꯊꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯏ ꯊꯣꯀꯄꯥ ꯊꯦꯡꯊꯕꯥ꯫ |
ꯀꯔꯤꯒꯤꯗꯃꯛꯇꯥ ꯁꯤꯔꯣꯁꯤꯁ ꯊꯣꯛꯂꯤꯕꯅꯣ? ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯔꯃꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?
ꯂꯤꯚꯔꯗꯥ ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯁꯟ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯕꯥ ꯀ꯭ꯔꯣꯅꯤꯛ ꯂꯥꯌꯅꯥ ꯑꯃꯍꯦꯛꯇꯅꯥ ꯑꯔꯣꯌꯕꯗꯥ ꯁꯤꯔꯣꯁꯤꯁ (cirhosis) ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯍꯥꯌꯔꯤꯕꯥ ꯑꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯂꯩꯕꯥꯛ ꯑꯃꯁꯨꯡ ꯃꯥꯂꯦꯃꯗꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯃꯔꯝ ꯈꯔꯅꯤ꯫
ꯌꯨ ꯌꯥꯝꯅꯥ ꯊꯀꯄꯥ (ꯑꯂꯀꯣꯍꯣꯂꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯍꯦꯄꯥꯇꯥꯏꯇꯤꯁ) 1. ꯌꯨ ꯊꯀꯄꯥ (Alcohol-induced Hepatitis)
ꯃꯁꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯃꯤꯡ ꯆꯠꯄꯥ ꯑꯃꯁꯨꯡ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯃꯤꯡ ꯆꯠꯄꯥ ꯃꯔꯃꯅꯤ꯫ ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯌꯨ ꯌꯥꯝꯅꯥ ꯊꯀꯄꯅꯥ ꯂꯤꯚꯔꯗꯥ ꯌꯥꯝꯅꯥ ꯆꯥꯎꯅꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯜꯂꯤ꯫ ꯃꯁꯤꯅꯥ ꯂꯤꯚꯔꯗꯥ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯁꯟ ꯊꯣꯀꯍꯜꯂꯤ, ꯃꯗꯨꯅꯥ ꯃꯇꯃꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ ꯁꯤꯔꯣꯁꯤꯁ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫
ꯐꯦꯇꯤ ꯂꯤꯚꯔ ꯗꯤꯖꯤꯖ (ꯑꯦꯝ.ꯑꯦ.ꯑꯦꯁ.ꯑꯩꯆ.) ꯲.
ꯃꯁꯤꯒꯤ ꯃꯄꯨꯡꯐꯥꯕꯥ ꯃꯃꯤꯡꯗꯤ ꯃꯦꯇꯥꯕꯣꯂꯤꯛ ꯗꯤꯁꯐꯉ꯭ꯀꯁꯟ-ꯑꯦꯁꯣꯁꯤꯑꯦꯠ ꯁ꯭ꯇꯦꯇꯣꯍꯦꯄꯥꯇꯥꯏꯇꯤꯁ (MASH) ꯍꯥꯌꯕꯅꯤ꯫ ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯃꯁꯤ ꯌꯨ ꯊꯀꯄꯥ ꯌꯥꯗꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯒꯤ ꯂꯤꯚꯔꯗꯥ ꯐꯦꯠ ꯌꯥꯎꯔꯀꯄꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯁꯥꯊꯤꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫ ꯗꯥꯏꯑꯦꯕꯦꯇꯤꯖ, ꯀꯣꯂꯦꯁ꯭ꯇꯦꯔꯣꯜ ꯋꯥꯡꯕꯥ, ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ ꯋꯥꯡꯕꯥ, ꯑꯃꯁꯨꯡ ꯑꯣꯕꯦꯁꯤꯇꯤꯒꯨꯝꯕꯥ ꯃꯦꯇꯥꯕꯣꯂꯤꯛ ꯐꯦꯛꯇꯔꯁꯤꯡ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯗꯥ ꯍꯦꯟꯅꯥ ꯔꯤꯁ꯭ꯛ ꯂꯩ꯫
3. ꯀ꯭ꯔꯣꯅꯤꯛ ꯍꯦꯄꯥꯇꯥꯏꯇꯤꯁ ꯕꯤ ꯑꯃꯁꯨꯡ ꯁꯤ ꯚꯥꯏꯔꯁ ꯏꯅꯐꯦꯛꯁꯅꯁꯤꯡ꯫
ꯍꯦꯄꯥꯇꯥꯏꯇꯤꯁ ꯍꯥꯌꯕꯁꯤ ꯂꯤꯚꯔꯗꯥ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯁꯟ ꯂꯩꯔꯀꯄꯒꯤ ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯃꯃꯤꯡꯅꯤ꯫ ꯍꯦꯄꯥꯇꯥꯏꯇꯤꯁ ꯁꯤ ꯚꯥꯏꯔꯁ ꯏꯅꯐꯦꯛꯁꯟ ꯑꯁꯤ ꯃꯤꯑꯣꯏ ꯀꯌꯥꯗꯥ ꯀ꯭ꯔꯣꯅꯤꯛ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯥ ꯑꯣꯏꯔꯀꯄꯥ ꯌꯥꯏ꯫ ꯍꯧꯖꯤꯛ ꯃꯁꯤꯒꯤꯗꯃꯛꯇꯥ ꯏꯐꯦꯛꯇꯤꯕ ꯑꯣꯏꯕꯥ ꯂꯥꯏꯌꯦꯡꯁꯤꯡ ꯂꯩꯔꯕꯁꯨ, ꯃꯤꯑꯣꯏ ꯀꯌꯥ ꯑꯃꯅꯥ ꯃꯈꯣꯌꯗꯥ ꯚꯥꯏꯔꯁ ꯑꯁꯤ ꯂꯩꯔꯦ ꯍꯥꯌꯕꯥ ꯐꯥꯑꯣꯕꯥ ꯈꯉꯗꯦ꯫ ꯍꯦꯄꯥꯇꯥꯏꯇꯤꯁ ꯕꯤ ꯚꯥꯏꯔꯁ ꯑꯁꯤꯁꯨ ꯃꯤꯑꯣꯏ ꯈꯔꯗꯗꯤ ꯀ꯭ꯔꯣꯅꯤꯛ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫ ꯚꯥꯏꯔꯁ ꯑꯅꯤꯃꯛꯅꯥ ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯂꯩꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯂꯤꯚꯔꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ ꯑꯃꯁꯨꯡ ꯁꯤꯔꯣꯁꯤꯁ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫
ꯑꯇꯣꯞꯄꯥ ꯌꯥꯝꯅꯥ ꯀꯃꯟ ꯑꯣꯏꯗꯕꯥ ꯃꯔꯃꯁꯤꯡ꯫
ꯃꯊꯛꯇꯥ ꯄꯅꯈ꯭ꯔꯤꯕꯥ ꯃꯔꯃꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯊꯛꯇꯥ, ꯑꯇꯣꯞꯄꯥ ꯌꯥꯝꯅꯥ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯃꯔꯝ ꯀꯌꯥ ꯑꯃꯁꯨ ꯂꯩꯔꯤ:
- ꯑꯣꯇꯣꯏꯝꯌꯨꯟ ꯗꯤꯖꯤꯖ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯏꯁꯥꯒꯤ ꯏꯝꯝꯌꯨꯟ ꯁꯤꯁ꯭ꯇꯦꯃꯅꯥ ꯑꯁꯣꯌꯕꯥ ꯂꯩꯇꯅꯥ ꯂꯤꯚꯔ ꯁꯦꯂꯁꯤꯡꯗꯥ ꯑꯦꯇꯦꯛ ꯇꯧꯏ꯫ ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, `(ꯑꯣꯇꯣꯏꯝꯌꯨꯟ ꯍꯦꯄꯥꯇꯥꯏꯇꯤꯁ)` ꯑꯃꯁꯨꯡ `(ꯄ꯭ꯔꯥꯏꯃꯥꯔꯤ ꯕꯤꯂꯤꯌꯔ ꯀꯣꯂꯦꯉ꯭ꯒꯥꯏꯇꯤꯁ)`ꯒꯨꯝꯕꯥ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ꯫
- ꯖꯤꯅꯦꯇꯤꯛ ꯗꯤꯁꯑꯣꯔꯗꯔꯁꯤꯡ: ꯍꯦꯔꯤꯇꯦꯖ ꯑꯣꯏꯕꯥ ꯂꯥꯌꯅꯥ ꯈꯔꯅꯥ ꯂꯤꯚꯔꯗꯥ ꯇꯣꯛꯁꯤꯛ ꯄꯣꯠꯁꯀꯁꯤꯡ ꯊꯨꯒꯥꯌꯗꯨꯅꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯂꯥꯌꯅꯥꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯈꯨꯗꯃꯁꯤꯡꯗꯤ `(ꯋꯤꯂꯁꯟ ꯗꯤꯖꯤꯖ)` ꯑꯃꯁꯨꯡ `(ꯁꯤꯁ꯭ꯇꯤꯛ ꯐꯥꯏꯕ꯭ꯔꯣꯁꯤꯁ)`ꯅꯤ꯫
- ꯑꯀꯛꯅꯕꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯄꯣꯠꯁꯀꯁꯤꯡ (Toxic Hepatitis): ꯑꯀꯛꯅꯕꯥ ꯄꯦꯏꯅꯀꯤꯂꯥꯔꯁꯤꯡ (NSAIDs, Acetaminophen) ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯁꯤꯖꯤꯟꯅꯕꯅꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯀꯣꯌꯔꯣꯅꯗꯥ ꯑꯀꯛꯅꯕꯥ ꯇꯣꯛꯁꯤꯛ ꯀꯦꯃꯤꯀꯦꯂꯁꯤꯡ ꯁꯤꯖꯤꯟꯅꯕꯅꯥ ꯂꯤꯚꯔꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫
- ꯀꯥꯔꯗꯤꯑꯣꯚꯥꯁ꯭ꯀꯨꯂꯥꯔ ꯗꯤꯖꯤꯖ: ꯀꯟꯖꯦꯁ꯭ꯇꯤꯚ ꯍꯥꯔꯠ ꯐꯦꯜ (CHF)ꯅꯥ ꯏꯒꯤ ꯁꯞꯂꯥꯏ ꯋꯥꯠꯄꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯅꯠꯠꯔꯒꯥ ꯂꯤꯚꯔꯗꯥ ꯏꯒꯤ ꯆꯥꯡ ꯍꯟꯊꯔꯀꯄꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯂꯤꯚꯔꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫
ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯃꯁꯤ ꯀꯔꯝꯅꯥ ꯊꯤꯔꯤꯕꯒꯦ?
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯁꯤꯔꯣꯁꯤꯁꯀꯤ ꯂꯥꯏꯑꯣꯡ ꯂꯩꯔꯦ ꯍꯥꯌꯅꯥ ꯈꯜꯂꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯁꯣꯌꯗꯅꯥ ꯗꯣꯛꯇꯔ ꯑꯃꯒꯥ ꯇꯥꯟꯅꯒꯗꯕꯅꯤ꯫ ꯃꯍꯥꯛꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯌꯦꯡꯁꯤꯅꯒꯅꯤ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯃꯦꯗꯤꯀꯦꯜ ꯍꯤꯁ꯭ꯇꯔꯤ, ꯅꯍꯥꯛꯅꯥ ꯂꯧꯔꯤꯕꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯄꯨꯟꯁꯤ ꯃꯍꯤꯡꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯍꯪꯒꯅꯤ꯫ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ, ꯃꯈꯣꯌꯅꯥ ꯗꯥꯏꯑꯦꯒ꯭ꯅꯣꯁꯤꯁ ꯑꯗꯨ ꯀꯅꯐꯥꯔꯝ ꯇꯧꯅꯕꯥ ꯇꯦꯁ꯭ꯠ ꯀꯌꯥ ꯑꯃꯥ ꯑꯣꯔꯗꯔ ꯇꯧꯕꯥ ꯌꯥꯏ꯫
1. ꯕ꯭ꯂꯗ ꯇꯦꯁ꯭ꯠ: ꯂꯤꯚꯔ ꯐꯉ꯭ꯀꯁꯟ ꯇꯦꯁ꯭ꯇꯁꯤꯡꯅꯥ ꯂꯤꯚꯔꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯂꯩꯕ꯭ꯔꯥ ꯑꯃꯁꯨꯡ ꯃꯁꯤ ꯀꯌꯥ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯒꯦ ꯍꯥꯌꯕꯒꯤ ꯋꯥꯈꯜꯂꯣꯟ ꯑꯃꯥ ꯄꯤꯕꯥ ꯉꯝꯃꯤ꯫ ꯃꯈꯣꯌꯅꯥ ꯕ꯭ꯂꯗ ꯀ꯭ꯂꯣꯇꯤꯡ ꯑꯦꯕꯤꯂꯤꯇꯤ ꯍꯟꯊꯔꯀꯄꯒꯤ ꯃꯇꯥꯡꯗꯁꯨ ꯆꯦꯛ ꯇꯧꯏ꯫
2. ꯏꯃꯦꯖꯤꯡ ꯇꯦꯁ꯭ꯇꯁꯤꯡ: ꯑꯂꯠꯔꯥꯁꯥꯎꯟꯗ ꯁ꯭ꯀꯦꯟ ꯑꯃꯅꯥ ꯂꯤꯚꯔꯒꯤ ꯁꯥꯏꯖ, ꯃꯑꯣꯡ ꯑꯃꯁꯨꯡ ꯀꯟꯗꯤꯁꯟ ꯌꯦꯡꯕꯥ ꯌꯥꯏ꯫ ꯏꯂꯥꯁ꯭ꯇꯣꯒ꯭ꯔꯥꯐꯤ ꯀꯧꯕꯥ ꯑꯈꯟꯅꯕꯥ ꯃꯈꯂꯒꯤ ꯁ꯭ꯀꯦꯟ ꯑꯃꯅꯥ ꯂꯤꯚꯔꯒꯤ ꯁ꯭ꯇꯤꯐꯦꯟꯁ ꯑꯗꯨ ꯂꯦꯄꯊꯣꯀꯄꯥ ꯉꯝꯃꯤ, ꯃꯁꯤꯅꯥ ꯁ꯭ꯀꯥꯔ ꯇꯤꯁꯨ ꯀꯌꯥꯝ ꯂꯩꯕꯒꯦ ꯍꯥꯌꯕꯗꯨꯅꯤ꯫
3. ꯂꯤꯚꯔꯒꯤ ꯑꯄꯤꯀꯄꯥ ꯁꯔꯨꯛ ꯑꯃꯥ ꯌꯦꯡꯁꯤꯅꯕꯥ (ꯂꯤꯚꯔ ꯕꯥꯏꯑꯣꯞꯁꯤ):ꯃꯇꯝ ꯄꯨꯝꯅꯃꯛꯇꯥ ꯃꯊꯧ ꯇꯥꯗ꯭ꯔꯕꯁꯨ, ꯀꯦꯁ ꯈꯔꯗꯗꯤ, ꯂꯤꯚꯔꯗꯒꯤ ꯌꯥꯝꯅꯥ ꯑꯄꯤꯀꯄꯥ ꯇꯤꯁꯨ ꯑꯃꯥ ꯑꯄꯤꯀꯄꯥ ꯅꯤꯗꯜ ꯑꯃꯥ ꯁꯤꯖꯤꯟꯅꯗꯨꯅꯥ ꯂꯧꯗꯨꯅꯥ ꯃꯥꯏꯛꯔꯣꯁ꯭ꯀꯣꯄꯀꯤ ꯃꯈꯥꯗꯥ ꯌꯦꯡꯁꯤꯟꯗꯨꯅꯥ ꯂꯥꯌꯅꯥ ꯑꯁꯤ ꯁꯣꯌꯗꯅꯥ ꯀꯅꯐꯥꯔꯝ ꯇꯧꯕꯥ ꯑꯃꯁꯨꯡ ꯃꯔꯝ ꯑꯗꯨ ꯈꯪꯗꯣꯀꯏ꯫
ꯂꯥꯏꯌꯦꯡꯕꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?
ꯁꯤꯔꯣꯁꯤꯁꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯑꯁꯤ ꯂꯥꯀꯁꯤꯅꯕꯥ ꯉꯃꯗ꯭ꯔꯕꯁꯨ ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯄꯥꯟꯗꯝ ꯑꯅꯤ ꯂꯩ꯫ ꯑꯃꯅꯥ ꯂꯤꯚꯔꯗꯥ ꯃꯈꯥ ꯇꯥꯅꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯊꯤꯡꯕꯅꯤ꯫ ꯑꯅꯤꯁꯨꯕꯗꯥ ꯂꯥꯌꯅꯥ ꯑꯁꯤꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ ꯃꯦꯅꯦꯖ ꯇꯧꯕꯅꯤ꯫
ꯃꯔꯝ ꯑꯗꯨ ꯂꯥꯏꯌꯦꯡꯕꯥ꯫
- ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ: ꯍꯧꯖꯤꯛꯇꯤ ꯍꯦꯄꯥꯇꯥꯏꯇꯤꯁ ꯁꯤꯒꯨꯝꯕꯥ ꯚꯥꯏꯔꯁꯀꯤ ꯏꯅꯐꯦꯛꯁꯅꯁꯤꯡ ꯃꯄꯨꯡ ꯐꯥꯅꯥ ꯐꯍꯅꯕꯥ ꯉꯝꯕꯥ ꯑꯦꯟꯇꯤꯚꯥꯏꯔꯦꯜ ꯍꯤꯗꯥꯀꯁꯤꯡ ꯂꯩꯔꯦ, ꯍꯦꯄꯥꯇꯥꯏꯇꯤꯁ ꯕꯤ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯅꯕꯥ ꯍꯤꯗꯥꯀꯁꯤꯡ ꯂꯩꯔꯦ, ꯑꯣꯇꯣꯏꯝꯌꯨꯟ ꯂꯥꯌꯅꯥꯁꯤꯡ ꯑꯁꯤ ꯏꯝꯝꯌꯨꯟ ꯁꯤꯁ꯭ꯇꯦꯝ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯥ ꯍꯤꯗꯥꯀꯁꯤꯡꯅꯥ ꯂꯥꯌꯦꯡꯂꯤ꯫
- ꯌꯨ ꯊꯀꯄꯒꯤ ꯂꯥꯏꯌꯦꯡ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯌꯨꯅꯥ ꯁꯤꯔꯣꯁꯤꯁꯀꯤ ꯃꯔꯝ ꯑꯣꯏꯔꯕꯗꯤ, ꯑꯃꯠꯇꯥ ꯉꯥꯏꯔꯕꯥ ꯑꯃꯁꯨꯡ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯥ ꯂꯥꯏꯌꯦꯡꯗꯤ ꯌꯨ ꯊꯀꯄꯥ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯊꯤꯡꯕꯅꯤ꯫ ꯃꯁꯤꯒꯤꯗꯃꯛꯇꯥ ꯑꯈꯟꯅꯕꯥ ꯀꯥꯎꯟꯁꯦꯂꯤꯡ ꯑꯃꯁꯨꯡ ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯏ꯫
- ꯃꯦꯇꯥꯕꯣꯂꯤꯛ ꯐꯦꯛꯇꯔꯁꯤꯡ ꯃꯦꯅꯦꯖ ꯇꯧꯕꯥ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯂꯥꯌꯅꯥ ꯑꯁꯤ ꯐꯦꯇꯤ ꯂꯤꯚꯔꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯑꯣꯏꯔꯕꯗꯤ, ꯀꯣꯂꯦꯁ꯭ꯇꯦꯔꯣꯜ, ꯗꯥꯏꯑꯦꯕꯦꯇꯤꯖ, ꯑꯃꯁꯨꯡ ꯑꯔꯨꯝꯕꯥ ꯍꯟꯊꯕꯥ ꯑꯁꯤꯅꯆꯤꯡꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫
ꯗꯥꯏꯠ ꯑꯃꯁꯨꯡ ꯄꯨꯟꯁꯤ ꯃꯍꯤꯡꯗꯥ ꯑꯍꯣꯡꯕꯥ ꯂꯥꯀꯄꯥ꯫
ꯁꯤꯔꯣꯁꯤꯁꯀꯤ ꯃꯔꯝ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯈꯜ ꯑꯃꯠꯇꯒꯤ ꯑꯣꯏꯔꯕꯁꯨ, ꯂꯤꯚꯔ ꯉꯥꯀꯊꯣꯛꯅꯕꯥ ꯌꯨ ꯑꯃꯁꯨꯡ ꯃꯊꯧ ꯇꯥꯗꯕꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ ꯊꯀꯄꯥ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫
ꯍꯀꯁꯦꯜ ꯐꯕꯥ ꯗꯥꯏꯠ ꯑꯃꯥ ꯆꯥꯕꯥ, ꯅꯍꯥꯛꯀꯤ ꯑꯔꯨꯝꯕꯥ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯥ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯍꯥꯌꯔꯀꯄꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯅ꯭ꯌꯨꯠꯔꯤꯁꯅꯦꯜ ꯁꯞꯂꯤꯃꯦꯟꯇꯁꯤꯡ ꯂꯧꯕꯥ ꯍꯥꯌꯕꯁꯤꯁꯨ ꯃꯔꯨꯑꯣꯏ꯫
ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡꯒꯤ ꯂꯥꯏꯌꯦꯡ꯫
ꯂꯥꯌꯅꯥ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯑꯣꯏꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯊꯣꯀꯄꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡꯁꯨ ꯂꯥꯏꯌꯦꯡꯕꯥ ꯃꯊꯧ ꯇꯥꯏ꯫
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯈꯣꯡ ꯑꯗꯨ ꯏꯁꯤꯡꯅꯥ ꯊꯜꯂꯕꯥ (`(Ascites)`) ꯑꯣꯏꯔꯕꯗꯤ, ꯏꯁꯤꯡ ꯑꯗꯨ ꯁꯤꯔꯤꯟꯖ (`(Paracentesis)`) ꯑꯃꯅꯥ ꯂꯧꯊꯣꯀꯏ꯫
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯏ ꯊꯣꯀꯄꯥ ꯇꯥꯔꯕꯗꯤ, ꯏ ꯊꯣꯀꯄꯥ ꯚꯦꯁꯦꯂꯁꯤꯡ ꯑꯗꯨ ꯑꯦꯟꯗꯣꯁ꯭ꯀꯣꯄꯤ (Endoscopy) ꯑꯃꯁꯨꯡ ꯁ꯭ꯛꯂꯦꯔꯣꯊꯦꯔꯥꯄꯤ (Sclerotherapy)ꯅꯥ ꯊꯤꯡꯏ꯫
- ꯀꯤꯗꯅꯤ ꯐꯦꯜ ꯑꯣꯏꯕꯒꯨꯝꯕꯥ ꯀꯟꯗꯤꯁꯅꯁꯤꯡꯒꯤꯗꯃꯛꯇꯥ ꯗꯥꯏꯑꯦꯂꯥꯏꯁꯤꯁ ꯇꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯏ꯫
ꯂꯤꯚꯔ ꯇ꯭ꯔꯥꯟꯁꯞꯂꯥꯟꯇ ꯇꯧꯕꯥ꯫
ꯑꯇꯣꯞꯄꯥ ꯂꯥꯏꯌꯦꯡ ꯄꯨꯝꯅꯃꯛ ꯃꯥꯌꯄꯥꯛꯂꯕꯥ ꯃꯇꯃꯗꯥ ꯑꯃꯁꯨꯡ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯂꯤꯚꯔ ꯐꯦꯜ ꯑꯣꯏꯕꯒꯤ ꯔꯤꯁ꯭ꯛ ꯂꯩꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯈꯟꯅꯔꯤꯕꯥ ꯑꯔꯣꯏꯕꯥ ꯑꯣꯄꯁꯟ ꯑꯗꯨꯗꯤ ꯂꯤꯚꯔ ꯇ꯭ꯔꯥꯟꯁꯞꯂꯥꯟꯇꯅꯤ꯫ ꯃꯁꯤꯗꯥ ꯂꯥꯌꯅꯥ ꯅꯥꯔꯕꯥ ꯂꯤꯚꯔ ꯑꯗꯨ ꯂꯧꯊꯣꯛꯇꯨꯅꯥ ꯃꯗꯨꯒꯤ ꯃꯍꯨꯠꯇꯥ ꯍꯀꯆꯥꯡ ꯐꯅꯥ ꯂꯩꯕꯥ ꯂꯤꯚꯔ ꯑꯃꯥ ꯄꯨꯊꯣꯀꯄꯒꯥ ꯃꯔꯤ ꯂꯩꯅꯩ꯫
ꯂꯥꯌꯅꯥ ꯑꯁꯤꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯄꯨꯟꯁꯤꯒꯤ ꯑꯥꯁꯥ ꯂꯩꯕꯥ ꯉꯃꯒꯗ꯭ꯔꯥ?
ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯁꯦꯟꯁꯤꯇꯤꯕ ꯑꯣꯏꯕꯥ ꯋꯥꯐꯝ ꯑꯃꯅꯤ꯫ ꯁꯤꯔꯣꯁꯤꯁꯅꯥ ꯅꯥꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯒꯤ ꯄꯨꯟꯁꯤꯒꯤ ꯃꯇꯝ ꯑꯁꯤ ꯐꯦꯛꯇꯔ ꯀꯌꯥꯒꯤ ꯃꯈꯥ ꯄꯣꯜꯂꯤ꯫ ꯂꯥꯌꯅꯥ ꯑꯁꯤ ꯀꯌꯥ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯒꯦ, ꯀꯔꯤ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ ꯂꯥꯀꯈꯤꯕꯒꯦ, ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡꯅꯥ ꯂꯥꯏꯌꯦꯡꯕꯗꯥ ꯀꯔꯝꯅꯥ ꯔꯦꯁꯄꯣꯟꯁ ꯇꯧꯕꯒꯦ, ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯑꯄꯨꯅꯕꯥ ꯍꯀꯁꯦꯜ ꯑꯁꯤꯅꯆꯤꯡꯕꯥ ꯋꯥꯐꯃꯁꯤꯡ꯫
ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯂꯥꯌꯅꯥ ꯑꯁꯤꯒꯤ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯃꯑꯣꯡ ꯑꯃꯁꯨꯡ ꯇꯨꯡꯗꯥ ꯂꯥꯛꯀꯗꯕꯥ ꯄ꯭ꯔꯣꯒ꯭ꯅꯣꯁꯤꯁꯀꯤ ꯋꯥꯈꯜꯂꯣꯟ ꯑꯃꯥ ꯂꯧꯅꯕꯒꯤꯗꯃꯛ ``ꯆꯥꯏꯜꯗ-ꯇꯨꯔꯀꯣꯠ-ꯄꯨꯒ (CTP)'' ꯑꯃꯁꯨꯡ ``ꯃꯣꯗꯦꯜ ꯐꯣꯔ ꯑꯦꯟꯗ-ꯁ꯭ꯇꯦꯖ ꯂꯤꯚꯔ ꯗꯤꯖꯤꯖ (MELD)''ꯒꯨꯝꯕꯥ ꯁ꯭ꯀꯣꯔꯤꯡ ꯁꯤꯁ꯭ꯇꯦꯃꯁꯤꯡ ꯁꯤꯖꯤꯟꯅꯩ꯫
ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯋꯥꯐꯃꯗꯤ ꯂꯥꯌꯅꯥ ꯑꯁꯤ ꯉꯟꯅꯥ (ꯀꯝꯄꯦꯟꯁꯦꯁꯟ ꯁ꯭ꯇꯦꯖ)ꯗꯥ ꯈꯪꯗꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯃꯔꯝ ꯑꯗꯨ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯂꯥꯏꯌꯦꯡꯕꯅꯤ꯫ꯂꯥꯏꯌꯦꯡ ꯑꯃꯁꯨꯡ ꯄꯨꯟꯁꯤ ꯃꯍꯤꯡꯗꯥ ꯑꯍꯣꯡꯕꯥ ꯂꯥꯀꯄꯅꯥ ꯃꯤꯑꯣꯏ ꯀꯌꯥꯅꯥ ꯂꯥꯌꯅꯥ ꯑꯁꯤ ꯍꯦꯟꯅꯥ ꯐꯠꯆꯤꯜꯂꯛꯇꯕꯥ ꯊꯤꯡꯕꯥ ꯉꯝꯃꯤ ꯑꯃꯁꯨꯡ ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯕꯥ ꯄꯨꯟꯁꯤ ꯑꯃꯥ ꯍꯤꯡꯕꯥ ꯉꯝꯃꯤ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯑꯥꯁꯥ ꯊꯥꯗꯣꯛꯂꯣꯏꯗꯕꯅꯤ꯫ ꯃꯇꯤꯛ ꯆꯥꯕꯥ ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯄꯥꯎꯇꯥꯀꯁꯤꯡ ꯉꯥꯛꯅꯥ ꯆꯠꯄꯥ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫
ꯇꯦꯛ-ꯍꯣꯝ ꯃꯦꯁꯦꯖ ꯇꯧꯕꯥ꯫
- ꯁꯤꯔꯣꯁꯤꯁ ꯍꯥꯌꯕꯁꯤ ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯅꯕꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯂꯤꯚꯔꯗꯥ ꯁ꯭ꯀꯥꯔ ꯇꯤꯁꯨ ꯁꯦꯝꯕꯅꯤ꯫
- ꯌꯨ ꯌꯥꯝꯅꯥ ꯊꯀꯄꯥ, ꯐꯦꯇꯤ ꯂꯤꯚꯔꯒꯤ ꯂꯥꯌꯅꯥ, ꯑꯃꯁꯨꯡ ꯍꯦꯄꯥꯇꯥꯏꯇꯤꯁ ꯕꯤ ꯑꯃꯁꯨꯡ ꯁꯤ ꯚꯥꯏꯔꯁꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯔꯃꯁꯤꯡꯅꯤ꯫
- ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯑꯍꯥꯅꯕꯥ ꯁ꯭ꯇꯦꯖꯗꯥ ꯎꯕꯥ ꯐꯪꯗꯕꯥ ꯌꯥꯏ, ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯔꯤꯁ꯭ꯛ ꯐꯦꯛꯇꯔꯁꯤꯡ (ꯗꯥꯏꯕꯦꯇꯤꯁ, ꯑꯣꯚꯔꯋꯦꯠ, ꯌꯨ ꯊꯀꯄꯥ) ꯂꯩꯔꯕꯗꯤ ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯃꯦꯗꯤꯀꯦꯜ ꯆꯦꯀꯑꯞ ꯇꯧꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫
- ꯑꯁꯣꯛ-ꯑꯄꯅꯁꯤꯡ ꯑꯗꯨ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯐꯍꯅꯕꯥ ꯉꯃꯗ꯭ꯔꯕꯁꯨ, ꯂꯥꯏꯌꯦꯡꯕꯅꯥ ꯂꯥꯌꯅꯥ ꯑꯁꯤ ꯃꯈꯥ ꯇꯥꯅꯥ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ ꯊꯤꯡꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯥ ꯉꯝꯃꯤ꯫
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯥꯏꯑꯣꯡ ꯑꯃꯠꯇꯥ ꯂꯩꯠꯔꯕꯗꯤ ꯅꯠꯠꯔꯒꯥ ꯆꯤꯡꯅꯕꯥ ꯂꯩꯔꯕꯗꯤ ꯈꯨꯗꯛꯇꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯇꯥꯟꯅꯗꯨꯅꯥ ꯄꯥꯎꯇꯥꯛ ꯂꯧꯕꯤꯌꯨ꯫











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