ꯅꯍꯥꯛꯀꯤ ꯂꯤꯚꯔ ꯑꯗꯨ ꯔꯤꯁ꯭ꯛ ꯂꯩꯕ꯭ꯔꯥ? ꯂꯤꯚꯔꯒꯤ ꯁꯤꯔꯣꯁꯤꯁꯀꯤ ꯃꯇꯥꯡꯗꯥ ꯄꯨꯝꯅꯃꯛ ꯑꯁꯤ ꯏꯆꯝ ꯆꯝꯕꯥ ꯋꯥꯍꯟꯊꯣꯛ ꯑꯃꯗꯥ꯫

ꯂꯤꯚꯔ ꯑꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯑꯣꯔꯒꯥꯟ ꯑꯃꯅꯤ, ꯅꯠꯇꯦ? ꯃꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯑꯄꯤꯀꯄꯥ ꯐꯦꯛꯇꯔꯤ ꯑꯃꯒꯨꯝꯕꯅꯤ꯫ ꯑꯗꯨꯕꯨ ꯃꯁꯤꯒꯤ ꯂꯤꯚꯔ ꯑꯁꯤꯅꯥ ꯂꯥꯌꯅꯥꯁꯤꯡꯁꯨ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ "ꯂꯤꯚꯔ ꯑꯁꯤ ꯀꯟꯅꯥ ꯁꯣꯀꯏ", "ꯂꯤꯚꯔ ꯑꯁꯤ ꯁꯣꯀꯍꯜꯂꯦ" ꯍꯥꯌꯕꯥ ꯋꯥꯔꯤꯁꯤꯡ ꯇꯥꯕꯤꯔꯝꯂꯒꯅꯤ꯫ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯁꯥꯊꯤꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯗꯤ ꯂꯤꯚꯔꯒꯤ ꯁꯤꯔꯣꯁꯤꯁ ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ ꯉꯁꯤ ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯈꯔꯥ ꯍꯦꯟꯅꯥ ꯀꯨꯞꯅꯥ ꯋꯥꯔꯤ ꯁꯥꯁꯤ, ꯃꯔꯃꯗꯤ ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯈꯉꯕꯥ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨ ꯑꯣꯏ꯫

ꯑꯍꯥꯅꯕꯗꯥ ꯂꯤꯚꯔꯒꯤ ꯁꯤꯔꯣꯁꯤꯁ ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯁꯤ꯫

ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯂꯤꯚꯔꯒꯤ ꯁꯤꯔꯣꯁꯤꯁ ꯍꯥꯌꯕꯁꯤ ꯂꯤꯚꯔ ꯑꯁꯤ ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯁꯣꯀꯍꯜꯂꯕꯥ ꯑꯃꯁꯨꯡ ꯍꯀꯆꯥꯡ ꯐꯕꯥ ꯂꯤꯚꯔ ꯁꯦꯂꯁꯤꯡ ꯑꯗꯨ ꯁ꯭ꯀꯥꯔ ꯇꯤꯁ꯭ꯌꯨꯅꯥ ꯃꯍꯨꯠ ꯁꯤꯜꯂꯀꯄꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ . ꯑꯩꯈꯣꯌꯅꯥ ꯑꯁꯣꯀꯄꯥ ꯑꯃꯥ ꯂꯩꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯈꯣꯡꯗꯥ ꯁꯣꯀꯄꯒꯨꯝꯅꯥ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯂꯤꯚꯔꯗꯥ ꯂꯦꯞꯇꯅꯥ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯁꯟ ꯂꯩꯔꯕꯗꯤ, ꯅꯠꯠꯔꯒꯥ ꯑꯩꯈꯣꯌꯅꯥ ꯍꯦꯄꯥꯇꯥꯏꯇꯤꯁ ꯍꯥꯌꯅꯥ ꯀꯧꯕꯥ ꯄꯣꯠꯁꯛ ꯑꯃꯥ ꯂꯩꯔꯕꯗꯤ, ꯂꯤꯚꯔꯅꯥ ꯃꯁꯥ ꯃꯊꯟꯇꯥ ꯐꯒꯠꯅꯕꯥ ꯍꯣꯠꯅꯕꯗꯥ ꯁꯣꯀꯍꯜꯂꯕꯥ ꯇꯤꯁꯨ ꯑꯁꯤ ꯁꯦꯃꯒꯠꯂꯀꯏ꯫ ꯑꯗꯨꯕꯨ ꯃꯁꯤꯒꯤ ꯁ꯭ꯀꯥꯔ ꯇꯤꯁꯨ ꯑꯁꯤ ꯁꯦꯃꯒꯠꯂꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯂꯤꯚꯔ ꯑꯁꯤ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯊꯕꯛ ꯇꯧꯕꯥ ꯉꯃꯗꯦ꯫ ꯃꯁꯤ ꯂꯤꯚꯔ ꯑꯗꯨ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯁꯣꯀꯄꯥ (chronic liver failure )ꯒꯤ ꯑꯔꯣꯏꯕꯥ ꯁ꯭ꯇꯦꯖꯅꯤ꯫

ꯁꯤꯔꯣꯁꯤꯁꯀꯤ ꯇꯣꯉꯥꯟ-ꯇꯣꯉꯥꯅꯕꯥ ꯁ꯭ꯇꯦꯖꯁꯤꯡ ꯂꯩꯕ꯭ꯔꯥ?

ꯍꯣꯌ, ꯁꯤꯔꯣꯁꯤꯁ ꯍꯥꯌꯕꯁꯤ ꯈꯪꯍꯧꯗꯅꯥ ꯊꯣꯀꯄꯥ ꯊꯧꯗꯣꯛ ꯑꯃꯅꯤ꯫ ꯃꯁꯤ ꯇꯞꯅꯥ ꯇꯞꯅꯥ, ꯃꯇꯃꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ ꯆꯥꯎꯈꯠꯂꯀꯏ꯫

• ꯇꯣꯏꯅꯥ ꯊꯣꯀꯄꯥ ꯁ꯭ꯇꯦꯖ (Compensated Cirrhosis): ꯁ꯭ꯇꯦꯖ ꯑꯁꯤꯗꯥ, ꯅꯍꯥꯛꯀꯤ ꯂꯤꯚꯔꯒꯤ ꯐꯉ꯭ꯀꯁꯟ ꯑꯗꯨ ꯈꯔꯥ ꯍꯟꯊꯔꯀꯏ, ꯑꯗꯨꯕꯨ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡꯅꯥ ꯃꯗꯨꯒꯥ ꯆꯨꯁꯤꯟꯅꯩ, ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯆꯧꯕꯥ ꯂꯥꯏꯑꯣꯡ ꯑꯃꯠꯇꯥ ꯎꯕꯥ ꯐꯪꯗꯕꯥ ꯌꯥꯏ꯫ ꯑꯗꯣꯝꯅꯥ ꯃꯁꯤ ꯈꯉꯂꯃꯗꯕꯥ ꯐꯥꯑꯣꯕꯥ ꯌꯥꯏ꯫
• ꯇꯨꯡꯗꯥ ꯂꯥꯛꯀꯗꯕꯥ ꯁ꯭ꯇꯦꯖ (ꯗꯤꯀꯝꯄꯦꯟꯁꯦꯁꯟ ꯁꯤꯔꯣꯁꯤꯁ):ꯂꯤꯚꯔꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯄꯥ ꯍꯦꯅꯒꯠꯂꯀꯄꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯂꯤꯚꯔꯒꯤ ꯐꯉ꯭ꯀꯁꯟ ꯃꯈꯥ ꯇꯥꯅꯥ ꯍꯟꯊꯔꯀꯏ꯫ ꯃꯗꯨꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯌꯦꯛ ꯁꯦꯡꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯎꯕꯥ ꯍꯧꯔꯀꯏ꯫ ꯃꯁꯤ ꯈꯔꯥ ꯍꯦꯟꯅꯥ ꯂꯨꯝꯃꯤ꯫

ꯁꯤꯔꯣꯁꯤꯁꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯂꯤꯚꯔ ꯑꯃꯁꯨꯡ ꯍꯀꯆꯥꯡꯗꯥ ꯀꯔꯤ ꯊꯣꯀꯏ?

ꯂꯤꯚꯔꯗꯥ ꯂꯩꯕꯥ ꯁ꯭ꯀꯥꯔ ꯇꯤꯁꯨ ꯑꯁꯤꯅꯥ ꯂꯤꯚꯔꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯏ ꯑꯃꯁꯨꯡ ꯑꯣꯛꯁꯤꯖꯦꯟ ꯆꯦꯅꯕꯥ ꯊꯤꯡꯏ꯫ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯀꯔꯤ ꯑꯣꯏꯒꯅꯤ?

• ꯂꯤꯚꯔꯅꯥ ꯏ ꯁꯦꯡꯗꯣꯀꯄꯥ, ꯅ꯭ꯌꯨꯠꯔꯤꯑꯦꯟꯇꯁꯤꯡ ꯄ꯭ꯔꯣꯁꯦꯁ ꯇꯧꯕꯥ ꯑꯃꯁꯨꯡ ꯄꯣꯠꯁꯀꯁꯤꯡ ꯐꯤꯜꯇꯔ ꯇꯧꯕꯥ ꯉꯝꯕꯒꯤ ꯁꯛꯇꯤ ꯍꯟꯊꯔꯀꯏ꯫
• ꯂꯤꯚꯔꯅꯥ ꯄꯨꯊꯣꯀꯄꯥ ꯕꯥꯏꯜ ꯑꯃꯁꯨꯡ ꯇꯉꯥꯏꯐꯗꯕꯥ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯣꯇꯤꯅꯁꯤꯡ ꯄꯨꯊꯣꯀꯄꯥ ꯍꯟꯊꯔꯀꯏ꯫
• ꯃꯁꯤꯒꯤ ꯁ꯭ꯀꯥꯔ ꯇꯤꯁꯨ ꯑꯁꯤꯅꯥ ꯂꯤꯚꯔꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯂꯩꯕꯥ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯂꯁꯤꯡ ꯑꯗꯨ ꯀꯝꯞꯔꯦꯁꯟ ꯇꯧꯕꯥ ꯉꯝꯃꯤ꯫ ꯃꯔꯨꯑꯣꯏꯅꯥ ꯄꯣꯔꯇꯦꯜ ꯚꯦꯅꯝ ꯁꯤꯁ꯭ꯇꯦꯃꯒꯨꯝꯕꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯚꯦꯅꯃꯁꯤꯡ ꯑꯁꯤ ꯀꯝꯞꯔꯦꯁꯟ ꯇꯧꯕꯥ ꯃꯇꯃꯗꯥ, ꯄꯣꯔꯇꯦꯜ ꯍꯥꯏꯄꯔꯇꯦꯟꯁꯟ ꯀꯧꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯁꯨ ꯁꯤꯔꯣꯁꯤꯁꯀꯤ ꯁꯥꯊꯤꯕꯥ ꯐꯜ ꯑꯃꯅꯤ꯫

ꯁꯤꯔꯣꯁꯤꯁ ꯑꯁꯤ ꯀꯌꯥꯝ ꯀꯃꯟ ꯑꯣꯏꯕꯒꯦ?

ꯁꯤꯔꯣꯁꯤꯁ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯂꯥꯌꯅꯥ ꯑꯃꯅꯤ꯫ ꯃꯁꯤ ꯃꯔꯨꯑꯣꯏꯅꯥ ꯃꯤꯗꯜ ꯑꯦꯖꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯂꯥꯏꯖꯦꯁꯟ ꯑꯃꯁꯨꯡ ꯁꯤꯕꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯔꯝ ꯑꯃꯥ ꯑꯣꯏꯅꯥ ꯂꯧꯅꯩ꯫ ꯃꯁꯤꯒꯤ ꯃꯔꯃꯗꯤ ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯍꯦꯅꯒꯠꯂꯛꯂꯤ꯫ ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯌꯨꯅꯥꯏꯇꯦꯗ ꯁ꯭ꯇꯦꯇꯁꯇꯥ, ꯆꯍꯤ 45 ꯑꯃꯁꯨꯡ 54ꯒꯤ ꯃꯔꯛꯇꯥ ꯂꯩꯕꯥ ꯑꯍꯂꯁꯤꯡꯒꯤ ꯆꯥꯎꯔꯥꯛꯅꯥ 0.25% ꯑꯃꯁꯨꯡ ꯆꯍꯤ 45 ꯑꯃꯁꯨꯡ 54ꯒꯤ ꯃꯔꯛꯇꯥ ꯂꯩꯕꯥ ꯑꯍꯂꯁꯤꯡꯒꯤ ꯆꯥꯎꯔꯥꯛꯅꯥ 0.50%ꯗꯤ ꯁꯤꯔꯣꯁꯤꯁ ꯂꯩ ꯍꯥꯌꯅꯥ ꯂꯧꯅꯩ꯫ ꯃꯁꯤꯒꯤ ꯐꯤꯚꯝ ꯑꯁꯤ ꯁ꯭ꯔꯤꯂꯉ꯭ꯀꯥꯗꯥ ꯑꯟꯗꯔꯑꯦꯁ꯭ꯇꯤꯃꯦꯠ ꯇꯧꯕꯥ ꯌꯥꯔꯣꯏ꯫ ꯁꯤꯔꯣꯁꯤꯁ ꯑꯁꯤ ꯃꯥꯂꯦꯃꯒꯤ ꯑꯣꯏꯅꯥ ꯑꯆꯧꯕꯥ ꯍꯀꯁꯦꯂꯒꯤ ꯁꯃꯁ꯭ꯌꯥ ꯑꯃꯅꯤ꯫

ꯂꯤꯚꯔꯒꯤ ꯁꯤꯔꯣꯁꯤꯁꯀꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?

ꯁꯤꯔꯣꯁꯤꯁꯀꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯂꯥꯌꯅꯥ ꯑꯁꯤꯒꯤ ꯁꯥꯊꯤꯕꯒꯤ ꯃꯈꯥ ꯄꯣꯜꯂꯤ꯫ ꯑꯍꯥꯅꯕꯥ ꯇꯥꯉ꯭ꯀꯀꯁꯤꯡꯗꯥ ꯂꯥꯏꯑꯣꯡ ꯑꯃꯠꯇꯥ ꯂꯩꯇꯕꯥ ꯌꯥꯏ꯫ ꯅꯠꯠꯔꯒꯥ ꯑꯇꯩ ꯂꯥꯌꯅꯥꯁꯤꯡꯒꯥ ꯃꯥꯟꯅꯕꯥ ꯃꯌꯦꯛ ꯁꯦꯡꯗꯕꯥ ꯂꯥꯏꯑꯣꯡ ꯈꯔꯈꯛꯇꯃꯛ ꯂꯩꯕꯥ ꯌꯥꯏ꯫ ꯂꯤꯚꯔꯒꯤ ꯐꯉ꯭ꯀꯁꯟ ꯍꯟꯊꯔꯀꯄꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯍꯦꯟꯅꯥ ꯎꯕꯥ ꯐꯪꯏ꯫ ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯕꯥꯏꯜ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯆꯦꯅꯕꯥ ꯉꯃꯗꯕꯥ ꯑꯃꯁꯨꯡ ꯍꯀꯆꯥꯡꯒꯤ ꯑꯇꯩ ꯃꯐꯃꯁꯤꯡꯗꯥ ꯊꯨꯒꯥꯌꯕꯥ ꯃꯇꯃꯗꯥ ꯊꯣꯀꯄꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯂꯩ꯫

ꯁꯤꯔꯣꯁꯤꯁꯀꯤ ꯑꯍꯥꯅꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?

ꯑꯍꯥꯅꯕꯥ ꯁ꯭ꯇꯦꯖꯁꯤꯡꯗꯥ, ꯅꯍꯥꯛꯅꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯎꯕꯥ ꯐꯪꯒꯅꯤ:

• ꯅꯣꯡꯃꯩ ꯀꯥꯞꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯆꯥꯕꯥ ꯋꯥꯠꯄꯥ .
• ꯋꯥꯈꯜ ꯋꯥꯕꯥ , ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ꯫
• ꯃꯦꯂꯦꯖ ꯑꯁꯤ ꯖꯦꯅꯦꯔꯦꯜ ꯑꯣꯏꯅꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯍꯅꯕꯒꯤ ꯐꯤꯚꯝ ꯑꯃꯅꯤ꯫
• ꯃꯊꯛꯀꯤ ꯈꯣꯡꯗꯥ, ꯃꯔꯨꯑꯣꯏꯅꯥ ꯑꯔꯣꯏꯕꯥ ꯃꯐꯃꯗꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯄꯥ꯫
• ꯁ꯭ꯄꯥꯏꯗꯥꯔ ꯑꯦꯟꯖꯤꯑꯣꯃꯥ ꯍꯥꯌꯕꯁꯤ ꯈꯣꯡꯗꯥ ꯁ꯭ꯄꯥꯏꯗꯥꯔ ꯋꯦꯕꯒꯨꯝꯅꯥ ꯎꯕꯥ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯂꯁꯤꯡꯅꯤ꯫
• ꯄꯥꯝꯕꯤꯁꯤꯡꯗꯥ ꯂꯥꯎꯕꯥ (palmar erythema)꯫

ꯂꯥꯌꯅꯥ ꯑꯁꯤ ꯍꯦꯅꯒꯠꯂꯀꯄꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯀꯔꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯂꯩꯕꯒꯦ?

ꯁꯤꯔꯣꯁꯤꯁ (cirhosis) ꯍꯦꯅꯒꯠꯂꯀꯄꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯊꯣꯀꯄꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯀꯦꯇꯦꯒꯣꯔꯤ ꯑꯅꯤꯗꯥ ꯈꯥꯌꯗꯣꯀꯄꯥ ꯌꯥꯏ: ꯂꯤꯚꯔ ꯐꯉ꯭ꯀꯁꯟ ꯍꯟꯊꯔꯀꯄꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯄꯣꯔꯇꯦꯜ ꯍꯥꯏꯄꯔꯇꯦꯟꯁꯅꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ꯫

ꯂꯤꯚꯔ ꯐꯉ꯭ꯀꯁꯟ ꯍꯟꯊꯔꯀꯄꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ:

• ꯈꯣꯡ ꯑꯃꯁꯨꯡ ꯃꯃꯤꯠꯁꯤꯡ ꯌꯦꯔꯨꯝ ꯀꯣꯀꯄꯥ ꯍꯥꯌꯕꯁꯤ ꯖꯟꯗꯥꯁ ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫
• ꯏꯆꯝ ꯆꯝꯕꯥ ꯈꯣꯡꯎꯞ (Pruritus) (ꯃꯌꯦꯛ ꯁꯦꯡꯕꯥ ꯔꯦꯁꯝ ꯑꯃꯥ ꯌꯥꯎꯗꯅꯥ)꯫
• ꯑꯟꯙ꯭ꯔ ꯄ꯭ꯔꯗꯦꯁꯀꯤ ꯌꯨꯔꯤꯟ ꯑꯃꯁꯨꯡ ꯂꯥꯏꯠ ꯁ꯭ꯇꯣꯂꯁꯤꯡ꯫
• ꯃꯔꯨꯑꯣꯏꯅꯥ ꯐꯦꯠ ꯌꯥꯎꯕꯥ ꯆꯤꯟꯖꯥꯀꯁꯤꯡꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯗꯥꯏꯖꯦꯁ꯭ꯇꯤꯚ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯃꯁꯤꯡ꯫
• ꯈꯣꯡ ꯅꯠꯠꯔꯒꯥ ꯃꯃꯤꯠꯇꯥ ꯑꯄꯤꯀꯄꯥ ꯌꯦꯔꯨꯝ ꯀꯣꯀꯐꯃꯁꯤꯡ (yellow fat deposits) ꯊꯣꯀꯄꯥ꯫
• ꯃꯌꯦꯛ ꯁꯦꯡꯗꯕꯥ ꯑꯔꯨꯝꯕꯥ ꯍꯟꯊꯕꯥ ꯑꯃꯁꯨꯡ ꯃꯁꯜ ꯁꯣꯟꯊꯕꯥ꯫
• ꯕ꯭ꯔꯦꯅꯒꯤ ꯐꯉ꯭ꯀꯁꯅꯗꯥ ꯄꯤꯕꯥ ꯏꯐꯦꯛꯇꯁꯤꯡ (ꯍꯦꯄꯥꯇꯤꯛ ꯑꯦꯅꯁꯦꯐꯦꯂꯣꯄꯦꯊꯤ) – ꯍꯥꯌꯕꯗꯤ ꯃꯦꯃꯣꯔꯤ ꯂꯣꯁ, ꯀꯅꯐꯤꯎꯁꯟ, ꯑꯃꯁꯨꯡ ꯃꯨꯗ ꯍꯣꯡꯂꯀꯄꯥ ꯑꯁꯤꯅꯆꯤꯡꯕꯥ꯫
• ꯃꯣꯇꯣꯔ ꯗꯤꯁꯐꯉ꯭ꯀꯁꯟ – ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯁꯣꯀꯄꯥ, ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯁꯣꯀꯄꯥ꯫
• ꯅꯨꯄꯤꯁꯤꯡꯗꯥ ꯊꯥꯒꯤ ꯈꯣꯡꯀꯥꯄꯀꯤ ꯆꯌꯣꯂꯗꯥ ꯑꯥꯏꯔꯦꯒꯨꯂꯦꯁꯟ ꯂꯩꯕꯥ꯫
• ꯅꯨꯄꯥꯁꯤꯡꯗꯥ ꯕ꯭ꯔꯦꯁ꯭ꯠ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯇꯦꯁ꯭ꯇꯤꯀꯜ ꯁꯣꯟꯊꯕꯥ꯫

ꯄꯣꯔꯇꯦꯜ ꯍꯥꯏꯄꯔꯇꯦꯟꯁꯅꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ:

• ꯑꯦꯕꯗꯣꯃꯤꯅꯦꯜ ꯕ꯭ꯂꯣꯇꯤꯡ, ꯏꯁꯤꯡ ꯇꯨꯡꯁꯤꯅꯕꯥ (ascites)꯫
• ꯈꯨꯠ, ꯈꯣꯡ, ꯈꯣꯡ ꯑꯃꯁꯨꯡ/ꯅꯠꯠꯔꯒꯥ ꯃꯥꯌꯗꯥ ꯁꯣꯀꯄꯥ (edema)꯫
• ꯐꯖꯅꯥ ꯏ ꯊꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯁꯣꯀꯄꯥ (coagulopathy)꯫
• ꯏ ꯊꯣꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯁ꯭ꯇꯣꯂꯗꯥ ꯏ ꯊꯣꯀꯄꯥ꯫
• ꯌꯨꯔꯤꯟ ꯑꯥꯎꯇꯄꯨꯠ ꯍꯟꯊꯔꯀꯄꯥ (ꯀ꯭ꯔꯣꯅꯤꯛ ꯀꯤꯗꯅꯤ ꯐꯦꯜ ꯑꯣꯏꯕꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ)꯫
• ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ (chronic respiratory failure)ꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫

ꯂꯤꯚꯔ ꯁꯤꯔꯣꯁꯤꯁꯀꯤ ꯃꯔꯃꯁꯤꯡ ꯀꯔꯤꯅꯣ?

ꯁꯤꯔꯣꯁꯤꯁ ꯍꯥꯌꯕꯁꯤ ꯀ꯭ꯔꯣꯅꯤꯛ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯁꯅꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯂꯤꯚꯔꯗꯥ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯁꯣꯀꯄꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫ ꯂꯤꯚꯔꯗꯥ ꯀ꯭ꯔꯣꯅꯤꯛ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯁꯟ (chronic hepatitis) ꯊꯣꯀꯍꯅꯕꯥ ꯂꯥꯌꯅꯥ ꯑꯃꯍꯦꯛꯇꯅꯥ ꯁꯤꯔꯣꯁꯤꯁ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯔꯝ ꯈꯔꯗꯤ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯁꯤꯡꯁꯤꯅꯤ:

• ꯌꯨ ꯊꯀꯄꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯍꯦꯄꯥꯇꯥꯏꯇꯤꯁ: ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯌꯨ ꯊꯀꯄꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯂꯤꯚꯔꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯄꯥ꯫ ꯌꯨꯅꯥ ꯁꯤꯔꯣꯁꯤꯁꯀꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯃꯔꯝ ꯑꯣꯏꯔꯕꯁꯨ, ꯌꯨ ꯊꯀꯄꯥ ꯅꯠꯇꯕꯥ ꯃꯔꯝ ꯀꯌꯥꯗꯤ ꯂꯩ꯫
• ꯅꯟ-ꯑꯦꯂꯀꯣꯍꯣꯂꯤꯛ ꯁ꯭ꯇꯦꯇꯣꯍꯦꯄꯥꯇꯥꯏꯇꯤꯁ (NASH): ꯂꯤꯚꯔꯗꯥ ꯑꯍꯦꯅꯕꯥ ꯐꯦꯠ ꯂꯩꯕꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯀ꯭ꯔꯣꯅꯤꯛ ꯑꯣꯏꯕꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ꯫ ꯃꯁꯤ ꯃꯦꯇꯥꯕꯣꯂꯤꯛ ꯐꯦꯛꯇꯔꯁꯤꯡ ꯍꯥꯌꯕꯗꯤ ꯕ꯭ꯂꯗ ꯐꯦꯠ ꯋꯥꯡꯕꯥ, ꯕ꯭ꯂꯗ ꯁꯨꯒꯔ ꯂꯦꯚꯦꯜ ꯋꯥꯡꯈꯠꯄꯥ (ꯗꯥꯏꯕꯦꯇꯤꯁꯒꯨꯝꯕꯥ), ꯑꯃꯁꯨꯡ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ ꯋꯥꯡꯕꯅꯥ ꯊꯣꯀꯍꯅꯕꯅꯤ꯫
• ꯀ꯭ꯔꯣꯅꯤꯛ ꯍꯦꯄꯥꯇꯥꯏꯇꯤꯁ ꯁꯤ ꯏꯅꯐꯦꯛꯁꯟ: ꯍꯦꯄꯥꯇꯥꯏꯇꯤꯁ ꯁꯤ ꯑꯁꯤ ꯚꯥꯏꯔꯁ ꯏꯅꯐꯦꯛꯁꯟ ꯑꯃꯅꯤ꯫ ꯃꯤꯑꯣꯏ ꯀꯌꯥꯒꯤ ꯑꯣꯏꯅꯗꯤ ꯃꯁꯤ ꯀ꯭ꯔꯣꯅꯤꯛ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯥ ꯑꯣꯏꯔꯀꯏ꯫ ꯍꯧꯖꯤꯛꯇꯤ ꯃꯁꯤ ꯑꯦꯟꯇꯤꯚꯥꯏꯔꯦꯜ ꯗ꯭ꯔꯒꯁꯤꯡꯅꯥ ꯂꯥꯌꯦꯡꯕꯥ ꯉꯝꯂꯦ꯫ ꯑꯗꯨꯕꯨ ꯃꯤꯑꯣꯏ ꯀꯌꯥ ꯑꯃꯅꯥ ꯃꯈꯣꯌꯗꯥ ꯂꯩ ꯍꯥꯌꯕꯥ ꯈꯉꯗꯦ꯫
• ꯀ꯭ꯔꯣꯅꯤꯛ ꯍꯦꯄꯥꯇꯥꯏꯇꯤꯁ ꯕꯤ ꯏꯅꯐꯦꯛꯁꯟ: ꯍꯦꯄꯥꯇꯥꯏꯇꯤꯁ ꯕꯤ ꯑꯁꯤꯁꯨ ꯚꯥꯏꯔꯁ ꯏꯅꯐꯦꯛꯁꯟ ꯑꯃꯅꯤ꯫ ꯃꯤꯑꯣꯏ ꯈꯔꯗꯗꯤ ꯃꯁꯤ ꯀ꯭ꯔꯣꯅꯤꯛ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯣꯏꯔꯒꯗꯤ ꯄꯨꯟꯁꯤ ꯆꯨꯞꯄꯒꯤ ꯑꯣꯏꯒꯅꯤ꯫ ꯂꯥꯏꯌꯦꯡ ꯂꯩꯔꯤ, ꯑꯗꯨꯕꯨ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯐꯍꯅꯕꯥ ꯉꯃꯗꯦ꯫

ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯅꯦꯝꯅꯥ ꯂꯩꯕꯒꯤ ꯃꯔꯃꯁꯤꯡꯁꯨ ꯂꯩꯔꯤ:

• ꯑꯣꯇꯣꯏꯝꯌꯨꯟ ꯕꯤꯂꯤꯌꯔꯤ ꯗꯤꯖꯤꯖ: ꯑꯣꯇꯣꯏꯝꯌꯨꯟ ꯂꯥꯌꯅꯥ ꯈꯔꯅꯥ ꯂꯤꯚꯔꯗꯥ ꯀ꯭ꯔꯣꯅꯤꯛ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯁꯟ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯑꯣꯇꯣꯏꯝꯌꯨꯟ ꯍꯦꯄꯥꯇꯥꯏꯇꯤꯁ, ꯄ꯭ꯔꯥꯏꯃꯥꯔꯤ ꯕꯤꯂꯤꯌꯔ ꯀꯣꯂꯦꯅꯖꯥꯏꯇꯤꯁ, ꯑꯃꯁꯨꯡ ꯄ꯭ꯔꯥꯏꯃꯥꯔꯤ ꯁ꯭ꯛꯂꯦꯔꯣꯁꯤꯡ ꯀꯣꯂꯦꯅꯖꯥꯏꯇꯤꯁ ꯑꯁꯤꯅꯆꯤꯡꯕꯥ ꯌꯥꯎꯏ꯫
• ꯖꯤꯅꯦꯇꯤꯛ ꯗꯤꯁꯑꯣꯔꯗꯔꯁꯤꯡ (genetic disorders): ꯍꯦꯔꯤꯇꯦꯖ ꯑꯣꯏꯕꯥ ꯂꯥꯌꯅꯥ ꯈꯔꯅꯥ ꯂꯤꯚꯔꯗꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ (toxins) ꯌꯥꯎꯍꯟꯗꯨꯅꯥ ꯂꯤꯚꯔꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ ꯒ꯭ꯂꯥꯏꯀꯣꯖꯦꯟ ꯁ꯭ꯇꯣꯔꯦꯖ ꯗꯤꯖꯤꯖ, ꯁꯤꯁ꯭ꯇꯤꯛ ꯐꯥꯏꯕ꯭ꯔꯣꯁꯤꯁ ꯑꯃꯁꯨꯡ ꯋꯤꯂꯁꯟ ꯗꯤꯖꯤꯖ ꯑꯁꯤꯅꯆꯤꯡꯕꯥ ꯌꯥꯎꯏ꯫
• ꯇꯣꯛꯁꯤꯀꯦꯜ ꯍꯦꯄꯥꯇꯥꯏꯇꯤꯁ (Toxic hepatitis): ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯑꯀꯛꯅꯕꯥ ꯑꯀꯣꯌꯔꯣꯅꯒꯤ ꯄꯣꯠꯁꯀꯁꯤꯡ (toxins) ꯅꯠꯠꯔꯒꯥ ꯑꯀꯛꯅꯕꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ (over-the-counter painkillers ꯐꯥꯎꯕꯥ) ꯃꯈꯥ ꯇꯥꯅꯥ ꯁꯤꯖꯤꯟꯅꯕꯅꯥ ꯂꯤꯚꯔꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫
• ꯀꯥꯔꯗꯤꯑꯣꯚꯥꯁ꯭ꯀꯨꯂꯥꯔ ꯗꯤꯖꯤꯖ: ꯂꯤꯚꯔꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯕꯥ ꯂꯥꯌꯅꯥꯁꯤꯡ (congestive heart failure) ꯅꯠꯠꯔꯒꯥ ꯂꯤꯚꯔꯗꯥ ꯏ ꯌꯧꯕꯥ ꯉꯃꯍꯟꯗꯕꯥ ꯂꯥꯌꯅꯥꯁꯤꯡ (ꯀ꯭ꯔꯣꯅꯤꯛ ꯏꯁ꯭ꯀꯦꯃꯤꯌꯥꯒꯨꯝꯕꯥ)ꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫

ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤꯒꯤꯗꯃꯛꯇꯥ ꯀꯅꯥꯅꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯔꯤꯁ꯭ꯛ ꯂꯩꯕꯒꯦ?

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ: ꯂꯤꯚꯔꯒꯤ ꯁꯤꯔꯣꯁꯤꯁ ꯂꯥꯀꯄꯒꯤ ꯔꯤꯁ꯭ꯛ ꯍꯦꯟꯅꯥ ꯂꯩꯕꯥ ꯌꯥꯏ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ:

• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯆꯍꯤ 50ꯒꯤ ꯃꯊꯛꯇꯥ ꯂꯩꯔꯕꯗꯤ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯌꯥꯝꯅꯥ ꯊꯀꯄꯒꯤ ꯄꯨꯋꯥꯔꯤ ꯂꯩꯔꯕꯗꯤ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯀ꯭ꯔꯣꯅꯤꯛ ꯚꯥꯏꯔꯁ ꯍꯦꯄꯥꯇꯥꯏꯇꯤꯁ ꯏꯅꯐꯦꯛꯁꯟ ꯂꯩꯔꯕꯗꯤ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯦꯇꯥꯕꯣꯂꯤꯛ ꯁꯤꯟꯗ꯭ꯔꯣꯝ ( i.e., ꯑꯣꯚꯔꯋꯦꯠ, ꯍꯥꯏ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ, ꯍꯥꯏ ꯕ꯭ꯂꯗ ꯁꯨꯒꯔ, ꯑꯃꯁꯨꯡ ꯍꯥꯏ ꯀꯣꯂꯦꯁ꯭ꯇꯦꯔꯣꯂꯒꯨꯝꯕꯥ ꯀꯟꯗꯤꯁꯅꯁꯤꯡꯒꯤ ꯀꯝꯕꯤꯅꯦꯁꯟ) ꯂꯩꯔꯕꯗꯤ꯫

ꯁꯤꯔꯣꯁꯤꯁꯀꯤ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯤꯅꯣ?

ꯁꯤꯔꯣꯁꯤꯁ ꯑꯃꯁꯨꯡ ꯄꯣꯔꯇꯦꯜ ꯍꯥꯏꯄꯔꯇꯦꯟꯁꯅꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯁꯥꯏꯗ ꯏꯐꯦꯛꯇ ꯀꯌꯥ ꯂꯩ꯫

ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ:

• ꯍꯀꯆꯥꯡꯗꯥ ꯊꯨꯃꯖꯤꯜꯂꯀꯄꯥ ꯄꯣꯠꯁꯀꯁꯤꯡꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯑꯅꯥꯕꯥ, ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯑꯃꯁꯨꯡ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯐꯥꯎꯕꯥ꯫
• ꯏꯝꯝꯌꯨꯅꯤꯇꯤ ꯍꯟꯊꯔꯀꯄꯥ, ꯑꯁꯣꯛ-ꯑꯄꯟ ꯐꯒꯠꯂꯀꯄꯥ ꯊꯦꯡꯊꯕꯥ꯫
• ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯂꯁꯤꯡꯗꯒꯤ ꯐ꯭ꯂꯨꯏꯗ ꯂꯤꯛ ꯑꯣꯏꯕꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯁꯣꯀꯄꯥ꯫
• ꯍꯣꯔꯃꯣꯅꯒꯤ ꯏꯃꯕꯦꯂꯦꯟꯁ ꯑꯃꯁꯨꯡ ꯗꯤꯐꯤꯁꯤꯑꯦꯟꯁꯤ ꯂꯩꯕꯥ꯫
• ꯗꯥꯏꯖꯦꯁ꯭ꯇꯤꯚ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯃꯁꯤꯡ, ꯅ꯭ꯌꯨꯠꯔꯤꯑꯦꯟꯇꯁꯤꯡ ꯁꯣꯀꯄꯥ, ꯑꯃꯁꯨꯡ ꯃꯆꯤ ꯑꯣꯏꯕꯥ ꯆꯤꯟꯖꯥꯛ ꯆꯥꯗꯕꯥ꯫
• ꯕ꯭ꯔꯦꯅꯒꯤ ꯐꯉ꯭ꯀꯁꯅꯗꯥ ꯑꯄꯤꯀꯄꯥ ꯑꯁꯣꯛ-ꯑꯄꯅꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯃꯁꯜ ꯀꯟꯠꯔꯣꯂꯗꯥ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯃꯁꯤꯡ ꯂꯩꯕꯥ꯫

ꯄꯨꯟꯁꯤꯗꯥ ꯈꯨꯗꯣꯡꯊꯤꯕꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯕꯥ ꯁꯥꯊꯤꯕꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ:

• ꯒꯦꯁ꯭ꯠꯔꯣꯏꯟꯇꯦꯁ꯭ꯇꯥꯏꯅꯦꯜ ꯚꯦꯔꯤꯁ ꯑꯃꯁꯨꯡ ꯒꯦꯁ꯭ꯠꯔꯣꯏꯟꯇꯦꯁ꯭ꯇꯥꯏꯅꯦꯜ ꯕ꯭ꯂꯤꯗꯤꯡ꯫
• ꯁ꯭ꯄꯣꯟꯗꯦꯟꯁ ꯕꯦꯛꯇꯦꯔꯤꯌꯥ ꯄꯦꯔꯤꯇꯣꯅꯥꯏꯇꯤꯁ꯫
• ꯀꯤꯗꯅꯤ ꯐꯦꯜ ꯑꯣꯏꯕꯥ (Hepatorenal syndrome)꯫
• ꯔꯦꯁ꯭ꯄꯤꯔꯦꯇꯔꯤ ꯐꯦꯜ ꯑꯣꯏꯕꯥ (Hepatopulmonary syndrome)꯫
• ꯀ꯭ꯔꯣꯅꯤꯛ ꯂꯤꯚꯔ ꯐꯦꯜ ꯑꯣꯏꯕꯥ꯫
• ꯂꯤꯚꯔ ꯀꯦꯟꯁꯔ꯫

ꯂꯤꯚꯔꯒꯤ ꯁꯤꯔꯣꯁꯤꯁ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯈꯪꯗꯣꯀꯄꯒꯦ?

ꯗꯣꯛꯇꯔ ꯑꯃꯅꯥ ꯑꯍꯥꯅꯕꯗꯥ ꯅꯍꯥꯀꯄꯨ ꯁꯤꯔꯣꯁꯤꯁꯀꯤ ꯈꯨꯗꯃꯁꯤꯡ ꯌꯦꯡꯁꯤꯟꯅꯕꯥ ꯐꯤꯖꯤꯀꯦꯜ ꯑꯣꯏꯅꯥ ꯌꯦꯡꯁꯤꯅꯒꯅꯤ꯫ ꯃꯈꯣꯌꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯗꯨ ꯀꯗꯥꯏꯗꯒꯤ ꯍꯧꯔꯀꯄꯒꯦ ꯑꯃꯁꯨꯡ ꯃꯇꯃꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ ꯍꯣꯡꯂꯛꯂꯤꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯍꯪ ꯍꯪꯒꯅꯤ꯫ ꯃꯈꯣꯌꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯃꯦꯗꯤꯀꯦꯜ ꯍꯤꯁ꯭ꯇꯔꯤ, ꯅꯍꯥꯛꯅꯥ ꯂꯧꯔꯤꯕꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ, ꯍꯔꯕꯁ ꯑꯃꯁꯨꯡ ꯁꯞꯂꯤꯃꯦꯟꯇꯁꯤꯡ, ꯅꯍꯥꯛꯀꯤ ꯗꯥꯏꯠ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯄꯨꯟꯁꯤ ꯃꯍꯤꯡꯒꯤ ꯃꯇꯥꯡꯗꯁꯨ ꯍꯪꯒꯅꯤ꯫ ꯃꯈꯣꯌꯅꯥ ꯂꯤꯚꯔꯒꯤ ꯂꯥꯌꯅꯥ ꯅꯠꯠꯔꯒꯥ ꯂꯤꯚꯔꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯅꯕꯒꯤ ꯈꯨꯗꯃꯁꯤꯡ ꯌꯦꯡꯒꯅꯤ꯫

ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯈꯛꯇꯗꯥ ꯁꯤꯔꯣꯁꯤꯁ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯀꯅꯐꯥꯔꯝ ꯇꯧꯅꯕꯥ ꯃꯦꯗꯤꯀꯦꯜ ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯄꯥꯡꯊꯣꯛꯀꯅꯤ꯫ ꯃꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯁꯤꯡꯁꯤ ꯌꯥꯎꯕꯥ ꯌꯥꯏ:

• ꯕ꯭ꯂꯗ ꯇꯦꯁ꯭ꯠ ꯇꯧꯕꯥ: ꯱.ꯂꯤꯚꯔ ꯐꯉ꯭ꯀꯁꯟ ꯇꯦꯁ꯭ꯇꯁꯤꯡꯅꯥ ꯂꯤꯚꯔꯒꯤ ꯂꯥꯌꯅꯥ ꯑꯃꯁꯨꯡ ꯂꯤꯚꯔ ꯐꯦꯜ ꯑꯣꯏꯕꯒꯤ ꯈꯨꯗꯃꯁꯤꯡ ꯎꯠꯄꯥ ꯌꯥꯏ꯫ ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯂꯤꯚꯔꯒꯤ ꯑꯦꯅꯖꯥꯏꯃꯁꯤꯡ, ꯄ꯭ꯔꯣꯇꯤꯟ, ꯑꯃꯁꯨꯡ ꯕꯤꯂꯤꯔꯨꯕꯤꯅꯒꯤ ꯆꯥꯡ ꯑꯁꯤꯅꯆꯤꯡꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ ꯂꯦꯄꯊꯣꯀꯏ꯫ ꯕ꯭ꯂꯗ ꯇꯦꯁ꯭ꯇꯁꯤꯡꯗꯁꯨ ꯏ ꯊꯣꯀꯄꯥ ꯍꯟꯊꯔꯀꯄꯒꯨꯝꯕꯥ ꯋꯥꯐꯃꯁꯤꯡ ꯎꯠꯄꯥ ꯌꯥꯏ꯫
• ꯏꯃꯦꯖꯤꯡ ꯇꯦꯁ꯭ꯇꯁꯤꯡ: ꯑꯦꯕꯗꯣꯃꯤꯅꯦꯜ ꯑꯂꯠꯔꯥꯁꯥꯎꯟꯗ, ꯁꯤ.ꯇꯤ.ꯁ꯭ꯀꯦꯟ, ꯅꯠꯠꯔꯒꯥ ꯑꯦꯝ.ꯑꯥꯔ.ꯑꯥꯏ.ꯒꯨꯝꯕꯥ ꯇꯦꯁ꯭ꯇꯁꯤꯡꯅꯥ ꯂꯤꯚꯔꯒꯤ ꯁꯥꯏꯖ, ꯃꯑꯣꯡ ꯑꯃꯁꯨꯡ ꯀꯟꯗꯤꯁꯟ ꯎꯠꯄꯥ ꯉꯝꯃꯤ꯫ ꯏꯂꯥꯁ꯭ꯇꯣꯒ꯭ꯔꯥꯐꯤ ꯀꯧꯕꯥ ꯑꯈꯟꯅꯕꯥ ꯏꯃꯦꯖꯤꯡ ꯇꯦꯁ꯭ꯠ ꯑꯃꯅꯥ ꯂꯤꯚꯔꯗꯥ ꯁꯣꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯐꯥꯏꯕ꯭ꯔꯣꯁꯤꯁ ꯂꯦꯄꯊꯣꯀꯄꯥ ꯉꯝꯃꯤ꯫
• ꯂꯤꯚꯔ ꯕꯥꯏꯑꯣꯞꯁꯤ: ꯃꯁꯤ ꯑꯄꯤꯀꯄꯥ ꯄ꯭ꯔꯣꯁꯤꯗ꯭ꯌꯨꯑꯣꯔ ꯑꯃꯅꯤ꯫ ꯂꯤꯚꯔꯗꯒꯤ ꯇꯤꯁꯨꯒꯤ ꯑꯄꯤꯀꯄꯥ ꯁꯦꯝꯄꯜ ꯑꯃꯥ ꯂꯧꯗꯨꯅꯥ ꯂꯦꯕꯣꯔꯦꯇꯔꯤ ꯑꯃꯗꯥ ꯌꯦꯡꯁꯤꯜꯂꯤ꯫ ꯃꯁꯤꯒꯤ ꯁꯦꯝꯄꯜ ꯑꯁꯤ ꯃꯍꯧꯁꯥꯅꯥ ꯍꯣꯂꯣ ꯅꯤꯗꯜ ꯁꯤꯖꯤꯟꯅꯗꯨꯅꯥ ꯂꯧꯏ꯫ ꯃꯇꯝ ꯄꯨꯝꯅꯃꯛꯇꯥ ꯃꯊꯧ ꯇꯥꯗ꯭ꯔꯕꯁꯨ, ꯕꯥꯏꯑꯣꯞꯁꯤ ꯑꯃꯅꯥ ꯁꯤꯔꯣꯁꯤꯁ ꯀꯅꯐꯥꯔꯝ ꯇꯧꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ ꯑꯃꯁꯨꯡ ꯃꯔꯝ ꯑꯗꯨ ꯈꯪꯗꯣꯀꯄꯥ ꯌꯥꯏ꯫

ꯂꯤꯚꯔꯒꯤ ꯁꯤꯔꯣꯁꯤꯁ ꯑꯁꯤ ꯔꯤꯚꯔꯁ ꯇꯧꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯂꯥꯌꯦꯡꯕꯥ ꯉꯃꯒꯗ꯭ꯔꯥ?

ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯁꯤꯔꯣꯁꯤꯁꯀꯤ ꯄ꯭ꯔꯣꯒ꯭ꯔꯦꯁ ꯑꯗꯨ ꯊꯤꯡꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤ ꯂꯥꯌꯅꯥ ꯑꯁꯤ ꯀꯔꯤꯅꯥ ꯊꯣꯀꯍꯅꯈꯤꯕꯒꯦ, ꯃꯁꯤ ꯀꯌꯥ ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯂꯥꯌꯦꯡꯕꯥ ꯉꯝꯕꯒꯦ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯅꯥ ꯂꯥꯌꯦꯡꯕꯗꯥ ꯀꯌꯥ ꯌꯥꯝꯅꯥ ꯔꯦꯁꯄꯣꯟꯁ ꯇꯧꯕꯒꯦ ꯍꯥꯌꯕꯗꯨꯒꯤ ꯃꯈꯥ ꯄꯣꯜꯂꯤ꯫

ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯁꯤꯔꯣꯁꯤꯁ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯂꯥꯌꯦꯡꯕꯒꯦ?

ꯁꯤꯔꯣꯁꯤꯁꯀꯤ ꯂꯥꯏꯌꯦꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯁꯤꯡꯁꯤ ꯌꯥꯎꯏ:

• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯌꯥꯕꯥ ꯇꯥꯔꯕꯗꯤ, ꯂꯥꯌꯅꯥ ꯑꯁꯤꯒꯤ ꯃꯔꯝ ꯑꯗꯨ ꯀꯟꯠꯔꯣꯜ ꯇꯧ (ꯑꯁꯣꯛ-ꯑꯄꯟ ꯍꯟꯊꯍꯅꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯊꯤꯡꯖꯤꯅꯕꯥ)꯫
• ꯂꯤꯚꯔꯗꯥ ꯁ꯭ꯠꯔꯦꯁ ꯍꯟꯊꯍꯟꯅꯕꯥ ꯏꯆꯝ ꯆꯝꯕꯥ ꯗꯥꯏꯑꯦꯇꯔꯤ ꯑꯃꯁꯨꯡ ꯂꯥꯏꯐꯁ꯭ꯇꯥꯏꯂꯗꯥ ꯑꯍꯣꯡꯕꯥ ꯄꯨꯔꯀꯄꯥ꯫
• ꯁꯤꯔꯣꯁꯤꯁꯀꯤ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ ꯃꯦꯅꯦꯖ ꯇꯧꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯁ꯭ꯛꯔꯤꯅꯤꯡ ꯇꯧꯕꯥ꯫
• ꯑꯔꯣꯏꯕꯥ ꯄꯥꯝꯕꯩ ꯑꯣꯏꯅꯥ ꯂꯤꯚꯔ ꯇ꯭ꯔꯥꯟꯁꯞꯂꯥꯟꯇ ꯇꯧꯕꯥ .

ꯃꯔꯝ ꯑꯗꯨ ꯂꯥꯏꯌꯦꯡꯕꯥ꯫

ꯂꯤꯚꯔꯒꯤ ꯂꯥꯌꯅꯥ ꯈꯔꯗꯤ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡꯅꯥ ꯂꯥꯏꯌꯦꯡꯕꯥ ꯌꯥꯏ꯫ ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯑꯦꯟꯇꯤꯚꯥꯏꯔꯦꯂꯁꯤꯡꯅꯥ ꯀ꯭ꯔꯣꯅꯤꯛ ꯍꯦꯄꯥꯇꯥꯏꯇꯤꯁ ꯁꯤ ꯐꯍꯅꯕꯥ ꯉꯝꯃꯤ, ꯑꯗꯨꯕꯨ ꯀ꯭ꯔꯣꯅꯤꯛ ꯍꯦꯄꯥꯇꯥꯏꯇꯤꯁ ꯕꯤꯗꯤ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯥ ꯈꯛꯇꯃꯛ ꯉꯝꯃꯤ (ꯈꯨꯗꯣꯡꯆꯥꯗꯕꯥ)꯫ ꯀꯣꯔꯇꯤꯀꯣꯁ꯭ꯇꯦꯔꯣꯏꯗ ꯑꯃꯁꯨꯡ ꯏꯝꯝꯌꯨꯅꯣꯁꯞꯔꯦꯁꯦꯟꯇꯁꯤꯡꯅꯥ ꯑꯣꯇꯣꯏꯝꯌꯨꯟ ꯂꯥꯌꯅꯥ ꯈꯔꯗꯤ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯂꯤꯚꯔ ꯑꯗꯨ ꯌꯨ ꯅꯠꯠꯔꯒꯥ ꯑꯇꯩ ꯄꯣꯠꯁꯀꯁꯤꯡꯅꯥ ꯁꯣꯀꯍꯜꯂꯕꯗꯤ, ꯂꯥꯏꯌꯦꯡꯕꯗꯤ ꯅꯍꯥꯛꯀꯤ ꯄꯨꯟꯁꯤꯗꯒꯤ ꯄꯣꯠꯁꯀꯁꯤꯡ ꯑꯗꯨ ꯂꯧꯊꯣꯀꯄꯅꯤ꯫ ꯃꯤꯑꯣꯏ ꯈꯔꯗꯗꯤ ꯁꯁ꯭ꯇꯦꯟꯁ ꯌꯨꯖ ꯗꯤꯁꯑꯣꯔꯗꯔꯒꯤ ꯂꯥꯏꯌꯦꯡꯁꯨ ꯂꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯂꯤꯚꯔ ꯑꯗꯨ ꯅꯟ-ꯑꯂꯀꯣꯍꯣꯂꯤꯛ ꯃꯔꯃꯁꯤꯡ (NASHꯒꯨꯝꯕꯥ)ꯅꯥ ꯁꯣꯀꯍꯜꯂꯕꯗꯤ, ꯀꯣꯂꯦꯁ꯭ꯇꯦꯔꯣꯜ, ꯕ꯭ꯂꯗ ꯁꯨꯒꯔ, ꯑꯃꯁꯨꯡ ꯑꯍꯦꯅꯕꯥ ꯑꯔꯨꯝꯕꯥ ꯑꯁꯤꯅꯆꯤꯡꯕꯥ ꯃꯦꯇꯥꯕꯣꯂꯤꯛ ꯐꯦꯛꯇꯔꯁꯤꯡ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯅꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯕꯥ ꯌꯥꯏ꯫

ꯆꯥꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯄꯨꯟꯁꯤ ꯃꯍꯤꯡ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯂꯤꯚꯔꯒꯤ ꯂꯥꯌꯅꯥ ꯑꯁꯤ ꯑꯇꯣꯞꯄꯥ ꯄꯣꯠꯁꯛ ꯑꯃꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯑꯣꯏꯔꯕꯁꯨ, ꯂꯤꯚꯔꯗꯥ ꯈꯨꯗꯣꯡꯊꯤꯅꯤꯉꯥꯏ ꯑꯣꯏꯕꯥ ꯌꯨ ꯑꯃꯁꯨꯡ ꯗ꯭ꯔꯒꯁꯤꯡ ꯊꯀꯄꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯂꯤꯚꯔ ꯑꯗꯨ ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯉꯥꯀꯊꯣꯀꯄꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫ ꯃꯦꯇꯥꯕꯣꯂꯤꯛ ꯁ꯭ꯠꯔꯦꯁꯔꯁꯤꯡꯁꯨ ꯑꯗꯨꯃꯛ ꯌꯥꯏ꯫ ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯂꯤꯚꯔꯒꯤ ꯂꯥꯌꯅꯥ ꯃꯈꯜ ꯑꯃꯍꯦꯛꯇꯅꯥ ꯅꯥꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯅꯥ ꯍꯀꯆꯥꯡ ꯐꯅꯥ ꯂꯩꯅꯕꯥ ꯗꯥꯏꯠ ꯑꯃꯥ ꯆꯥꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯍꯀꯆꯥꯡ ꯐꯅꯥ ꯂꯩꯅꯕꯥ ꯑꯔꯨꯝꯕꯥ ꯊꯝꯅꯕꯥ ꯍꯣꯠꯅꯅꯕꯥ ꯄꯥꯎꯇꯥꯛ ꯄꯤꯔꯤ꯫ ꯃꯤꯑꯣꯏ ꯈꯔꯗꯗꯤ ꯅ꯭ꯌꯨꯠꯔꯤꯁꯅꯒꯤ ꯑꯋꯥꯠꯄꯥ ꯂꯩꯍꯟꯗꯅꯕꯥ ꯗꯥꯏꯑꯦꯇꯔꯤ ꯁꯞꯂꯤꯃꯦꯟꯇꯁꯤꯡꯁꯨ ꯂꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯏ꯫

ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ ꯂꯥꯌꯦꯡꯕꯥ꯫

ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯁꯤꯔꯣꯁꯤꯁ ꯂꯩꯔꯦ ꯍꯥꯌꯅꯥ ꯈꯪꯂꯕꯥ ꯃꯇꯨꯡꯗꯥ, ꯃꯈꯣꯌꯅꯥ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯁꯥꯏꯗ ꯏꯐꯦꯛꯇꯁꯤꯡꯁꯨ ꯆꯦꯛ ꯇꯧꯒꯅꯤ꯫ ꯄꯣꯔꯇꯦꯜ ꯍꯥꯏꯄꯔꯇꯦꯟꯁꯟ ꯑꯁꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯁꯥꯏꯗ ꯏꯐꯦꯛꯇꯅꯤ꯫ ꯃꯁꯤꯒꯤ ꯃꯁꯥꯒꯤ ꯑꯣꯏꯕꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡꯁꯨ ꯂꯩ, ꯃꯈꯣꯌ ꯈꯨꯗꯤꯡꯃꯛ ꯑꯀꯛꯅꯕꯥ ꯂꯥꯏꯌꯦꯡ ꯃꯊꯧ ꯇꯥꯏ꯫

ꯅꯍꯥꯛꯅꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯋꯥꯐꯃꯁꯤꯡ ꯑꯁꯤ ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯏ:

• ꯏ ꯊꯣꯀꯄꯥ ꯚꯦꯅꯝ ꯑꯃꯥ ꯁꯤꯜ ꯇꯧꯅꯕꯥ ꯑꯄꯤꯀꯄꯥ ꯄ꯭ꯔꯣꯁꯤꯗ꯭ꯌꯨꯑꯣꯔ ꯑꯃꯅꯤ꯫
• ꯕ꯭ꯂꯗ ꯁꯦꯜ ꯃꯁꯤꯡ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯄꯨꯔꯛꯅꯕꯥ ꯕ꯭ꯂꯗ ꯇ꯭ꯔꯥꯟꯁꯐ꯭ꯌꯨꯁꯟ ꯇꯧꯕꯥ꯫
• ꯀꯤꯗꯅꯤ ꯗꯥꯏꯑꯦꯂꯥꯏꯁꯤꯁ ꯇꯧꯕꯥ꯫
• ꯑꯣꯛꯁꯤꯖꯦꯟ ꯊꯦꯔꯥꯄꯤ ꯇꯧꯕꯥ꯫
• ꯄꯦꯔꯥꯁꯦꯟꯇꯦꯁꯤꯁ ꯑꯃꯁꯨꯡ ꯑꯦꯟꯇꯤꯕꯥꯏꯑꯣꯇꯤꯀꯁꯤꯡꯅꯥ ꯈꯣꯡꯗꯥ ꯐ꯭ꯂꯨꯏꯗ ꯂꯧꯊꯣꯛꯅꯕꯥ (ascites)꯫
• ꯂꯦꯛꯁꯦꯇꯤꯚꯁꯤꯡꯅꯥ ꯗꯥꯏꯇꯇꯒꯤ ꯄꯣꯠꯁꯀꯁꯤꯡ ꯁꯣꯀꯍꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯂꯧꯊꯣꯀꯄꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫

ꯂꯤꯚꯔ ꯀꯦꯟꯁꯔ꯫

ꯍꯦꯄꯥꯇꯣꯁꯦꯂꯨꯂꯥꯔ ꯀꯥꯔꯁꯤꯅꯣꯃꯥ ꯑꯁꯤ ꯁꯤꯔꯣꯁꯤꯁꯀꯤ ꯑꯇꯣꯞꯄꯥ ꯈꯨꯗꯣꯡꯊꯤꯅꯤꯉꯥꯏ ꯑꯣꯏꯕꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯟ ꯑꯃꯅꯤ꯫ ꯁꯤꯔꯣꯁꯤꯁꯅꯥ ꯅꯥꯕꯥ ꯃꯤꯑꯣꯏ ꯈꯨꯗꯤꯡꯃꯛ ꯂꯤꯚꯔ ꯀꯦꯟꯁꯔ ꯂꯥꯛꯀꯅꯤ, ꯑꯗꯨꯕꯨ ꯂꯤꯚꯔ ꯀꯦꯟꯁꯔꯅꯥ ꯅꯥꯕꯥ ꯃꯤꯑꯣꯏ ꯀꯌꯥꯗꯤ ꯁꯤꯔꯣꯁꯤꯁ ꯂꯩ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯀꯦꯟꯁꯔ ꯑꯁꯤ ꯁꯤꯔꯣꯁꯤꯁꯀꯥ ꯂꯣꯌꯅꯅꯥ ꯂꯥꯛꯂꯕꯗꯤ, ꯔꯦꯗꯤꯑꯦꯁꯟ ꯅꯠꯠꯔꯒꯥ ꯀꯦꯃꯣꯊꯦꯔꯥꯄꯤꯒꯨꯝꯕꯥ ꯀꯦꯟꯁꯔꯒꯤ ꯂꯥꯏꯌꯦꯡꯁꯤꯡ ꯄꯤꯕꯥ ꯌꯥꯏ꯫ ꯅꯠꯠꯔꯒꯥ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯂꯤꯚꯔ ꯇ꯭ꯔꯥꯟꯁꯞꯂꯥꯟꯇ ꯇꯧꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯥ ꯑꯣꯄꯁꯅꯅꯤ ꯍꯥꯌꯅꯥ ꯂꯦꯞꯄꯥ ꯌꯥꯏ꯫

ꯂꯤꯚꯔ ꯇ꯭ꯔꯥꯟꯁꯞꯂꯥꯟꯇ ꯇꯧꯕꯥ꯫

ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯇ꯭ꯔꯥꯟꯁꯞꯂꯥꯟꯇ ꯇꯧꯗꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯁꯦꯜ ꯐꯒꯠꯂꯛꯀꯅꯤ ꯍꯥꯌꯅꯥ ꯈꯜꯂꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯂꯤꯚꯔ ꯇ꯭ꯔꯥꯟꯁꯞꯂꯥꯟꯇ ꯇꯧꯅꯕꯥ ꯄꯥꯎꯇꯥꯛ ꯄꯤꯔꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯦꯛꯇꯤꯚ ꯂꯤꯚꯔ ꯐꯦꯜ ꯑꯣꯏꯕꯥ, ꯂꯤꯚꯔ ꯀꯦꯟꯁꯔ ꯂꯩꯕꯥ, ꯑꯃꯁꯨꯡ/ꯅꯠꯠꯔꯒꯥ ꯅꯍꯥꯛꯀꯤ ꯂꯤꯚꯔꯒꯤ ꯂꯥꯌꯅꯥꯒꯤ ꯂꯥꯏꯌꯦꯡꯗꯥ ꯔꯦꯁ꯭ꯄꯣꯟꯁ ꯇꯧꯗꯕꯥ ꯑꯣꯏꯔꯕꯗꯤ ꯃꯁꯤ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯤꯚꯔ ꯇ꯭ꯔꯥꯟꯁꯞꯂꯥꯟꯇꯀꯤꯗꯃꯛꯇꯥ ꯏꯂꯤꯖꯤꯕꯜ ꯑꯣꯏꯔꯕꯗꯤ, ꯅꯍꯥꯀꯄꯨ ꯅꯦꯁꯅꯦꯜ ꯋꯦꯇꯤꯡ ꯂꯤꯁ꯭ꯠ ꯑꯃꯗꯥ ꯊꯃꯒꯅꯤ꯫

ꯁꯤꯔꯣꯁꯤꯁ ꯑꯁꯤ ꯊꯤꯡꯕꯥ ꯉꯃꯒꯗ꯭ꯔꯥ?

ꯂꯤꯚꯔꯒꯤ ꯂꯥꯌꯅꯥ ꯑꯁꯤ ꯑꯌꯥꯝꯕꯅꯥ ꯉꯟꯅꯥ ꯏꯟꯇꯔꯚꯦꯟꯁꯟ ꯇꯧꯗꯨꯅꯥ ꯁꯤꯔꯣꯁꯤꯁꯇꯥ ꯍꯦꯅꯒꯠꯂꯀꯄꯗꯒꯤ ꯉꯥꯀꯊꯣꯀꯄꯥ ꯉꯝꯃꯤ . ꯃꯁꯤ ꯅꯍꯥꯛꯅꯥ ꯈꯪꯂꯕ꯭ꯔꯥ ꯑꯃꯁꯨꯡ ꯃꯁꯤ ꯊꯤꯡꯅꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯀꯔꯤ ꯈꯣꯡꯊꯥꯡ ꯂꯧꯈꯠꯄꯥ ꯌꯥꯕꯒꯦ ꯍꯥꯌꯕꯗꯨꯒꯤ ꯃꯈꯥ ꯄꯣꯜꯂꯤ꯫ ꯃꯤꯑꯣꯏ ꯀꯌꯥꯅꯥ ꯑꯍꯥꯅꯕꯥ ꯇꯥꯉ꯭ꯀꯛꯇꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯂꯩꯇꯕꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯔꯨꯇꯤꯟ ꯑꯣꯏꯕꯥ ꯍꯦꯂꯊ ꯆꯦꯀꯑꯞ ꯑꯃꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯈꯪꯗꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯑꯍꯣꯡꯕꯁꯤꯡ ꯄꯨꯔꯛꯅꯕꯒꯤ ꯅꯠꯠꯔꯒꯥ ꯂꯥꯏꯌꯦꯡ ꯍꯧꯅꯕꯒꯤ ꯈꯨꯗꯣꯡꯆꯥꯕꯥ ꯄꯤ꯫

ꯁꯤꯔꯣꯁꯤꯁꯀꯤ ꯃꯇꯨꯡꯗꯥ ꯂꯤꯚꯔ ꯑꯗꯨ ꯐꯒꯠꯂꯀꯄꯥ ꯌꯥꯕ꯭ꯔꯥ?

ꯅꯍꯥꯛꯅꯥ ꯁꯤꯔꯣꯁꯤꯁ (cirhosis) ꯅꯥꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ, ꯅꯍꯥꯛꯀꯤ ꯂꯤꯚꯔ ꯑꯗꯨ ꯐꯒꯠꯂꯀꯄꯥ ꯉꯃꯗꯦ꯫ ꯑꯗꯨꯕꯨ ꯃꯁꯤꯁꯨ ꯇꯉꯥꯏꯐꯗꯅꯥ ꯍꯦꯟꯅꯥ ꯐꯠꯆꯤꯜꯂꯛꯇꯕꯥ ꯅꯠꯇꯦ . ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯍꯧꯖꯤꯀꯁꯨ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ (ꯀꯝꯄꯦꯟꯁꯦꯁꯟ ꯁꯤꯔꯣꯁꯤꯁ) ꯂꯩꯔꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯃꯇꯝ ꯈꯔꯒꯤ ꯑꯣꯏꯅꯥ ꯃꯗꯨꯒꯨꯝꯅꯥ ꯂꯩꯕꯥ ꯌꯥꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯁꯤꯔꯣꯁꯤꯁ ꯊꯣꯀꯍꯜꯂꯤꯕꯥ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯁꯟ ꯑꯗꯨ ꯊꯤꯡꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯍꯟꯊꯍꯅꯕꯥ ꯉꯝꯂꯕꯗꯤ, ꯂꯥꯌꯅꯥ ꯑꯗꯨ ꯗꯤꯀꯃꯄꯦꯟꯁꯦꯁꯟ ꯁ꯭ꯇꯦꯖ ꯑꯗꯨꯗꯥ ꯌꯧꯔꯀꯄꯥ ꯉꯃꯗꯕꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯕꯨ ꯄꯨꯟꯁꯤ ꯆꯨꯞꯄꯥ ꯅꯍꯥꯛꯀꯤ ꯂꯤꯚꯔ ꯑꯗꯨ ꯌꯦꯡꯁꯤꯅꯕꯤꯒꯗꯕꯅꯤ꯫

ꯁꯤꯔꯣꯁꯤꯁꯀꯥ ꯂꯣꯌꯅꯅꯥ ꯍꯤꯡꯕꯥ ꯃꯇꯃꯗꯥ ꯄꯨꯟꯁꯤꯒꯤ ꯃꯇꯝ ꯑꯁꯤ ꯀꯌꯥꯝ ꯑꯣꯏꯕꯒꯦ?

ꯁꯤꯔꯣꯁꯤꯁꯀꯥ ꯂꯣꯌꯅꯅꯥ ꯍꯤꯡꯕꯥ ꯃꯇꯃꯗꯥ ꯄꯨꯟꯁꯤꯒꯤ ꯆꯥꯡ ꯑꯁꯤ ꯐꯦꯛꯇꯔ ꯀꯌꯥꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ ꯈꯦꯠꯅꯩ:

• ꯂꯥꯌꯅꯥ ꯑꯁꯤꯒꯤ ꯁꯥꯊꯤꯕꯥ (ꯀꯝꯄꯦꯟꯁꯦꯁꯟ ꯅꯠꯠꯔꯒꯥ ꯗꯤꯀꯝꯄꯦꯟꯁꯦꯁꯟ)꯫
• ꯅꯍꯥꯛꯅꯥ ꯊꯦꯡꯅꯔꯤꯕꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ ꯑꯗꯨ꯫
• ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯍꯤꯡꯕꯒꯤ ꯑꯃꯁꯨꯡ ꯃꯥꯌꯄꯥꯀꯄꯥ꯫
• ꯅꯍꯥꯛꯀꯤ ꯑꯄꯨꯅꯕꯥ ꯍꯀꯁꯦꯜ ꯅꯠꯠꯔꯒꯥ ꯑꯇꯣꯞꯄꯥ ꯑꯅꯥꯕꯥ ꯑꯃꯠꯇꯥ ꯂꯩꯕ꯭ꯔꯥ꯫

ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯗꯨ ꯌꯦꯡꯁꯤꯟꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯂꯤꯚꯔ ꯇ꯭ꯔꯥꯟꯁꯞꯂꯥꯟꯇ ꯋꯦꯇꯤꯡ ꯂꯤꯁ꯭ꯇꯇꯥ ꯅꯍꯥꯛꯀꯤ ꯃꯐꯝ ꯑꯗꯨ ꯂꯦꯄꯊꯣꯛꯅꯕꯥ ꯆꯥꯏꯜꯗ-ꯇꯨꯔꯀꯣꯠ-ꯄꯨꯒ (CTP) ꯁꯤꯁ꯭ꯇꯦꯝ ꯑꯃꯁꯨꯡ ꯃꯣꯗꯦꯜ ꯐꯣꯔ ꯑꯦꯟꯗ-ꯁ꯭ꯇꯦꯖ ꯂꯤꯚꯔ ꯗꯤꯖꯤꯖ (MELD) ꯒꯨꯝꯕꯥ ꯁ꯭ꯀꯣꯔꯤꯡ ꯁꯤꯁ꯭ꯇꯦꯃꯁꯤꯡ ꯁꯤꯖꯤꯟꯅꯩ꯫

``ꯀꯝꯄꯦꯟꯁꯦꯁꯟ ꯁꯤꯔꯣꯁꯤꯁ``ꯒꯤ ꯑꯍꯥꯅꯕꯥ ꯁ꯭ꯇꯦꯖꯁꯤꯡꯗꯥ, ꯄꯨꯟꯁꯤꯒꯤ ꯃꯇꯝ ꯑꯁꯤ ꯆꯍꯤ 15ꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫ ꯄꯣꯔꯇꯦꯜ ꯍꯥꯏꯄꯔꯇꯦꯟꯁꯟ ꯂꯥꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯃꯅꯨꯡꯒꯤ ꯑꯣꯏꯕꯥ ꯏ ꯊꯣꯀꯄꯒꯤ ꯔꯤꯁ꯭ꯛ ꯂꯩꯕꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯄꯨꯟꯁꯤꯒꯤ ꯃꯇꯝ ꯍꯟꯊꯍꯜꯂꯤ꯫ ``ꯗꯤꯀꯝꯄꯦꯟꯁꯦꯁꯟ ꯁꯤꯔꯣꯁꯤꯁ``ꯒꯤ ꯆꯥꯡꯆꯠꯇꯥ ꯑꯣꯏꯕꯥ ꯄꯨꯟꯁꯤ ꯃꯍꯤꯡ ꯑꯁꯤ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯆꯍꯤ ꯷ꯅꯤ꯫ ꯁꯥꯊꯤꯕꯥ, ꯂꯥꯏꯌꯦꯡꯕꯥ ꯉꯃꯗꯕꯥ ꯂꯥꯌꯅꯥꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯑꯇꯩ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯃꯇꯝ ꯑꯁꯤ ꯍꯦꯟꯅꯥ ꯀꯨꯏꯅꯥ ꯂꯩꯕꯥ ꯌꯥꯏ꯫ ꯃꯤꯑꯣꯏ ꯈꯔꯒꯤ ꯑꯣꯏꯅꯗꯤ ꯆꯍꯤ ꯑꯅꯤꯗꯒꯤ ꯇꯥꯗꯅꯥ ꯂꯩꯕꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯕꯨ ꯃꯁꯤꯒꯤ ꯁ꯭ꯇꯦꯇꯤꯁ꯭ꯇꯤꯛꯁ ꯑꯁꯤ ꯃꯤꯄꯨꯝ ꯈꯨꯗꯤꯡꯃꯛꯀꯤ ꯑꯣꯏꯅꯥ ꯑꯃꯠꯇꯥ ꯑꯣꯏꯗꯦ ꯍꯥꯌꯕꯁꯤ ꯅꯤꯡꯁꯤꯡꯕꯥ ꯌꯥꯝꯅꯥ ꯃꯔꯨ ꯑꯣꯏ꯫

ꯂꯤꯚꯔꯒꯤ ꯁꯤꯔꯣꯁꯤꯁꯀꯥ ꯂꯣꯌꯅꯅꯥ ꯍꯤꯡꯂꯤꯉꯩꯗꯥ ꯑꯩꯅꯥ ꯏꯁꯥꯕꯨ ꯀꯔꯝꯅꯥ ꯌꯦꯡꯁꯤꯅꯕꯤꯒꯅꯤ?

ꯍꯥꯌꯔꯤꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯂꯤꯚꯔꯒꯤ ꯄꯨꯟꯁꯤ ꯁꯥꯡꯗꯣꯀꯄꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯒꯅꯤ:

• ꯍꯀꯁꯦꯜ ꯐꯕꯥ, ꯃꯄꯨꯡꯐꯥꯕꯥ ꯆꯤꯟꯖꯥꯀꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯂꯦꯡ-ꯑꯣꯠꯄꯒꯤ ꯄ꯭ꯔꯣꯇꯤꯅꯁꯤꯡ ꯆꯥꯕꯥ .
• ꯌꯥꯔꯤꯕꯃꯈꯩ ꯌꯨ, ꯊꯛꯅꯕꯥ ꯏꯁꯤꯡ, ꯑꯃꯁꯨꯡ ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯄꯥꯎꯇꯥꯛ ꯌꯥꯎꯗꯅꯥ ꯊꯀꯄꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡꯗꯒꯤ ꯂꯥꯞꯅꯥ ꯂꯩꯌꯨ꯫
• ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ ꯑꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯇꯥꯀꯄꯥ ꯃꯇꯨꯡꯏꯟꯅꯥ ꯈꯛꯇꯃꯛ ꯂꯧ꯫ ꯅꯍꯥꯛꯅꯥ ꯂꯧꯔꯤꯕꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛ ꯑꯃꯍꯦꯛꯇꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯇꯥꯟꯅꯧ꯫
• ꯁꯦꯗ꯭ꯌꯨꯜ ꯇꯧꯔꯕꯥ ꯃꯦꯗꯤꯀꯦꯜ ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡꯒꯤꯗꯃꯛꯇꯥ ꯁ꯭ꯛꯔꯤꯅꯤꯡ ꯇꯧꯕꯤꯒꯅꯨ꯫