ꯂꯤꯚꯔꯒꯤ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯂꯁꯤꯡꯗꯥ ꯄ꯭ꯔꯦꯁꯔ ꯍꯟꯊꯍꯟꯅꯕꯥ ꯁꯔꯖꯔꯤ: DSRS (Distal Splenorenal Shunt)ꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯁꯨꯞꯅꯒꯤ ꯈꯪꯖꯤꯅꯕꯤꯌꯨ꯫

ꯅꯍꯥꯛꯀꯤ ꯂꯤꯚꯔ ꯑꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯑꯣꯔꯒꯥꯟ ꯑꯃꯅꯤ꯫ ꯑꯗꯨꯕꯨ ꯂꯥꯌꯅꯥ ꯈꯔꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ , ꯃꯔꯨꯑꯣꯏꯅꯥ ꯂꯤꯚꯔꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ , ꯃꯁꯤꯒꯥ ꯁꯝꯅꯔꯤꯕꯥ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯂꯁꯤꯡꯗꯥ ꯄ꯭ꯔꯦꯁꯔ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯅꯥ ꯈꯪꯍꯧꯗꯅꯥ ꯏ ꯊꯣꯀꯄꯥ ꯑꯁꯤꯅꯆꯤꯡꯕꯥ ꯈꯨꯗꯣꯡꯊꯤꯅꯤꯉꯥꯏ ꯑꯣꯏꯕꯥ ꯐꯤꯚꯃꯁꯤꯡ ꯊꯣꯀꯍꯜꯂꯀꯄꯥ ꯌꯥꯏ꯫ ꯉꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯀꯦꯁꯁꯤꯡꯗꯥ ꯄꯨꯟꯁꯤ ꯀꯟꯅꯅꯕꯥ ꯄꯥꯡꯊꯣꯀꯄꯥ ꯑꯈꯟꯅꯕꯥ ꯁꯔꯖꯔꯤ ꯑꯃꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯔꯤ꯫ ꯃꯁꯤꯕꯨ ꯗꯤ.ꯑꯦꯁ.ꯑꯥꯔ.ꯑꯦꯁ.ꯀꯤ ꯁꯔꯖꯔꯤ ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫

ꯗꯤꯁ꯭ꯇꯦꯜ ꯁ꯭ꯞꯂꯦꯅꯣꯔꯦꯅꯦꯜ ꯁꯟꯇ (DSRS) ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ?

ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯗꯤꯁ꯭ꯇꯦꯜ ꯁ꯭ꯞꯂꯦꯅꯣꯔꯦꯅꯦꯜ ꯁꯟꯇ (DSRS ) ꯑꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯄꯣꯔꯇꯦꯜ ꯚꯦꯅꯃꯗꯥ ꯄ꯭ꯔꯦꯁꯔ ꯍꯟꯊꯍꯅꯕꯥ ꯉꯝꯕꯥ ꯁꯔꯖꯤꯀꯦꯜ ꯄ꯭ꯔꯣꯁꯤꯗ꯭ꯌꯨꯑꯣꯔ ꯑꯃꯅꯤ꯫ ꯍꯧꯖꯤꯛꯇꯤ ꯑꯗꯣꯝꯅꯥ ꯄꯣꯔꯇꯦꯜ ꯚꯦꯟ ꯑꯁꯤ ꯀꯔꯤꯅꯣ ꯍꯥꯌꯅꯥ ꯈꯅꯕꯤꯔꯃꯒꯅꯤ꯫ ꯄꯣꯔꯇꯦꯜ ꯚꯦꯅꯝ (portal vein) ꯍꯥꯌꯕꯁꯤ ꯗꯥꯏꯖꯦꯁ꯭ꯇꯤꯚ ꯇ꯭ꯔꯦꯛꯇ ( stomach , intestines, ꯑꯁꯤꯅꯆꯤꯡꯕꯥ)ꯗꯒꯤ ꯂꯤꯚꯔꯗꯥ ꯏ ꯄꯨꯗꯨꯅꯥ ꯆꯠꯂꯤꯕꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯂꯅꯤ꯫

ꯃꯦꯗꯤꯀꯦꯜ ꯀꯟꯗꯤꯁꯟ ꯈꯔꯅꯥ ꯚꯦꯅꯝ ꯑꯁꯤꯒꯤ ꯄ꯭ꯔꯦꯁꯔ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯍꯦꯅꯒꯠꯍꯜꯂꯤ꯫ ꯑꯩꯈꯣꯌꯅꯥ ꯃꯁꯤꯕꯨ ꯄꯣꯔꯇꯦꯜ ꯍꯥꯏꯄꯔꯇꯦꯟꯁꯟ ꯍꯥꯌꯅꯥ ꯀꯧꯏ . ꯁꯔꯖꯔꯤꯁꯤꯡꯅꯥ ꯗꯤ.ꯑꯦꯁ.ꯑꯥꯔ.ꯑꯦꯁ.ꯀꯤ ꯊꯧꯑꯣꯡ ꯑꯁꯤ ꯏ ꯊꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯑꯋꯥꯡꯕꯥ ꯄ꯭ꯔꯦꯁꯔ ꯑꯁꯤꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯑꯇꯣꯞꯄꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯗꯥ ꯁꯤꯖꯤꯟꯅꯩ꯫

ꯑꯍꯥꯅꯕꯗꯥ, ꯄꯣꯔꯇꯦꯜ ꯍꯥꯏꯄꯔꯇꯦꯟꯁꯟ ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ ꯍꯥꯌꯕꯁꯤ ꯈꯪꯖꯤꯅꯁꯤ?

ꯄꯣꯔꯇꯦꯜ ꯍꯥꯏꯄꯔꯇꯦꯟꯁꯟ, ꯑꯩꯈꯣꯌꯅꯥ ꯃꯃꯥꯡꯗꯥ ꯍꯥꯌꯈꯤꯕꯒꯨꯝꯅꯥ, ꯄꯣꯔꯇꯦꯜ ꯚꯦꯅꯃꯗꯥ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ ꯋꯥꯡꯕꯥ ꯍꯥꯌꯕꯁꯤꯅꯤ꯫ ꯃꯁꯤꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯔꯃꯗꯤ ꯂꯤꯚꯔꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯅꯕꯅꯤ꯫ ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯁꯤꯔꯣꯁꯤꯁꯒꯨꯝꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯥ ꯂꯤꯚꯔ ꯑꯗꯨ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯁꯣꯀꯍꯟꯗꯨꯅꯥ ꯃꯗꯨꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯏꯒꯤ ꯈꯣꯡꯖꯦꯜ ꯌꯥꯡꯁꯤꯅꯍꯅꯕꯥ ꯌꯥꯏ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯔꯛꯇꯥ ꯏꯁꯤꯡꯒꯤ ꯄꯥꯏꯞ ꯑꯃꯥ ꯊꯤꯡꯖꯤꯜꯂꯕꯗꯤ ꯀꯔꯤ ꯑꯣꯏꯒꯅꯤ ꯍꯥꯌꯕꯗꯨ ꯈꯟꯗꯨꯅꯥ ꯌꯦꯡꯕꯤꯌꯨ꯫ ꯄꯥꯏꯄꯀꯤ ꯃꯅꯨꯡꯗꯥ ꯄ꯭ꯔꯦꯁꯔ ꯍꯦꯅꯒꯠꯂꯀꯏ, ꯑꯃꯁꯨꯡ ꯏꯁꯤꯡ ꯑꯗꯨ ꯑꯇꯣꯞꯄꯥ ꯃꯐꯃꯁꯤꯡꯗꯒꯤ ꯂꯥꯄꯊꯣꯛꯅꯕꯥ ꯍꯣꯠꯅꯩ, ꯅꯠꯇꯦ? ꯃꯇꯧ ꯑꯁꯨꯝꯅꯥ ꯏꯅꯥ ꯂꯤꯚꯔꯗꯥ ꯆꯦꯅꯕꯥ ꯉꯃꯗꯕꯥ ꯃꯇꯃꯗꯥ ꯄꯣꯔꯇꯦꯜ ꯚꯦꯅꯃꯗꯥ ꯄ꯭ꯔꯦꯁꯔ ꯍꯦꯅꯒꯠꯂꯀꯏ꯫

ꯍꯥꯌꯔꯤꯕꯥ ꯍꯥꯏ ꯄ꯭ꯔꯦꯁꯔ ꯑꯁꯤꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯏ ꯆꯦꯅꯕꯥ ꯑꯇꯣꯞꯄꯥ ꯄꯥꯝꯕꯩꯁꯤꯡ ꯊꯤꯕꯥ ꯍꯧꯏ꯫ ꯑꯅꯧꯕꯥ, ꯋꯥꯜ ꯋꯥꯜ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯂꯁꯤꯡ ꯑꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ ‘ꯚꯦꯔꯤꯁ’ ꯍꯥꯌꯅꯥ ꯀꯧꯔꯤꯕꯥ ꯑꯁꯤꯅꯤ꯫ ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯃꯔꯨꯑꯣꯏꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯏꯁꯣꯐꯦꯒꯁ ꯑꯃꯁꯨꯡ ꯁ꯭ꯇꯣꯃꯥꯀꯇꯥ ꯁꯦꯝꯃꯤ꯫

ꯄ꯭ꯔꯦꯁꯔ ꯍꯦꯅꯒꯠꯂꯀꯄꯒꯥ ꯂꯣꯌꯅꯅꯥ, ꯚꯦꯔꯤꯁꯁꯤꯡ ꯑꯁꯤ ꯁꯣꯟꯊꯔꯀꯏ, ꯃꯈꯣꯌꯒꯤ ꯋꯥꯂꯁꯤꯡ ꯑꯗꯨ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯁꯣꯀꯆꯤꯜꯂꯀꯏ꯫ ꯃꯈꯣꯌꯅꯥ ꯈꯣꯡꯗꯥ ꯐ꯭ꯂꯨꯏꯗ ꯂꯤꯛ ꯑꯣꯏꯕꯥ ꯌꯥꯏ (ꯃꯁꯤꯕꯨ ꯑꯦꯁꯥꯏꯠ ꯍꯥꯌꯅꯥ ꯀꯧꯏ), ꯑꯃꯁꯨꯡ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯈꯨꯗꯣꯡꯊꯤꯅꯤꯉꯥꯏ ꯑꯣꯏꯕꯥ ꯋꯥꯐꯃꯗꯤ ꯃꯈꯣꯌ ꯑꯁꯤ ꯄꯣꯃꯈꯠꯄꯥ ꯑꯃꯁꯨꯡ ꯏ ꯊꯣꯀꯄꯥ ꯍꯧꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤ ꯃꯦꯗꯤꯀꯦꯜ ꯏꯃꯔꯖꯦꯟꯁꯤ ꯑꯃꯅꯤ꯫

ꯗꯤ.ꯑꯦꯁ.ꯑꯥꯔ.ꯑꯦꯁ.ꯀꯤ ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯃꯗꯥ ꯇꯁꯦꯡꯅꯥ ꯀꯔꯤ ꯊꯣꯀꯏ?

ꯗꯤ.ꯑꯦꯁ.ꯑꯥꯔ.ꯑꯦꯁ.ꯀꯤ ꯁꯔꯖꯔꯤꯅꯥ ꯄꯣꯔꯇꯦꯜ ꯚꯦꯅꯃꯗꯥ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯏꯒꯤ ꯈꯣꯡꯖꯦꯜ ꯌꯥꯡꯁꯤꯅꯍꯟꯗꯨꯅꯥ ꯑꯃꯁꯨꯡ ꯃꯁꯤꯒꯤ ꯄ꯭ꯔꯦꯁꯔ ꯍꯟꯊꯍꯟꯗꯨꯅꯥ ꯊꯕꯛ ꯇꯧꯏ꯫ ꯃꯁꯤ ꯁꯍꯔ ꯑꯃꯗꯥ ꯑꯀꯅꯕꯥ ꯇ꯭ꯔꯥꯐꯤꯛ ꯔꯤꯂꯤꯐ ꯇꯧꯅꯕꯥ ꯑꯅꯧꯕꯥ ꯕꯥꯏꯄꯥꯁ ꯔꯣꯗ ꯑꯃꯥ ꯁꯥꯕꯒꯥ ꯃꯥꯟꯅꯩ꯫

ꯑꯣꯄꯔꯦꯁꯟ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯁꯔꯖꯔꯤꯅꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯊꯕꯀꯁꯤꯡ ꯑꯁꯤ ꯇꯧꯒꯅꯤ:

1. ꯅꯍꯥꯛꯀꯤ ꯁ꯭ꯞꯂꯤꯅꯒꯤ ꯁ꯭ꯞꯂꯤꯅꯒꯤ ꯚꯦꯅꯝ ꯑꯗꯨ ꯄꯣꯔꯇꯦꯜ ꯚꯦꯅꯝ ꯑꯗꯨꯗꯒꯤ ꯇꯣꯈꯥꯌꯅꯥ ꯂꯩ꯫

2. ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯇꯣꯈꯥꯌꯅꯥ ꯂꯩꯕꯥ ꯁ꯭ꯞꯂꯦꯅꯤꯛ ꯚꯦꯅꯝ ꯑꯗꯨ ꯅꯍꯥꯛꯀꯤ ꯂꯦꯃꯍꯧꯔꯤꯕꯥ ꯀꯤꯗꯅꯤꯒꯤ ꯔꯦꯅꯦꯜ ꯚꯦꯅꯝ ꯑꯗꯨꯒꯥ ꯁꯝꯅꯍꯜꯂꯤ꯫

ꯑꯁꯤꯒꯨꯝꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯏ ꯆꯦꯅꯕꯥ ꯉꯝꯅꯕꯥ ꯑꯅꯧꯕꯥ ꯂꯝꯕꯤ ꯑꯃꯥ ꯁꯦꯃꯗꯨꯅꯥ ꯄꯣꯔꯇꯦꯜ ꯚꯦꯅꯃꯗꯥ ꯄ꯭ꯔꯦꯁꯔ ꯍꯟꯊꯍꯜꯂꯤ, ꯚꯦꯔꯤꯁꯁꯤꯡꯒꯤ ꯁꯣꯀꯄꯥ ꯍꯟꯊꯍꯜꯂꯤ ꯑꯃꯁꯨꯡ ꯁꯔꯖꯔꯤ ꯑꯁꯤ ꯂꯤꯚꯔꯅꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯏꯒꯤ ꯁꯞꯂꯥꯏ ꯑꯗꯨ ꯃꯈꯥ ꯇꯥꯅꯥ ꯐꯪꯍꯟꯅꯕꯥ ꯁꯦꯃꯈꯤꯕꯅꯤ꯫

ꯀꯅꯥꯅꯥ ꯗꯤ.ꯑꯦꯁ.ꯑꯥꯔ.ꯑꯦꯁ.ꯀꯤ ꯁꯔꯖꯔꯤ ꯃꯊꯧ ꯇꯥꯕꯒꯦ?

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯏꯁꯣꯐꯦꯖꯤꯑꯦꯜ ꯅꯠꯠꯔꯒꯥ ꯒ꯭ꯌꯥꯁꯠꯔꯤꯛ ꯚꯦꯅꯃꯁꯤꯡ (varices) ꯑꯗꯨ ꯍꯦꯟꯅꯥ ꯆꯥꯎꯈꯠꯂꯛꯂꯤ ꯅꯠꯠꯔꯒꯥ ꯏ ꯊꯣꯛꯂꯦ ꯍꯥꯌꯅꯥ ꯈꯪꯂꯕꯗꯤ ꯁꯔꯖꯔꯤ ꯑꯁꯤ ꯔꯦꯀꯃꯦꯟꯗ ꯇꯧꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯅꯥ ꯄꯣꯔꯇꯦꯜ ꯍꯥꯏꯄꯔꯇꯦꯟꯁꯅꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯑꯇꯩ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡꯒꯤ ꯁꯣꯂꯨꯁꯟ ꯑꯃꯁꯨ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫

ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯇꯦꯕꯜ ꯑꯁꯤꯅꯥ ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯃꯈꯥ ꯇꯥꯅꯥ ꯁꯟꯗꯣꯛꯅꯥ ꯇꯥꯀꯄꯥ ꯌꯥꯏ꯫

ꯗꯤ.ꯑꯦꯁ.ꯑꯥꯔ.ꯑꯦꯁ. ꯑꯃꯁꯨꯡ ꯑꯇꯣꯞꯄꯥ ꯁꯟꯗꯣꯀꯄꯥ ꯂꯥꯌꯦꯡꯁꯤꯡꯒꯤ ꯃꯔꯛꯇꯥ ꯀꯔꯤ ꯈꯦꯠꯅꯕꯥ ꯂꯩꯕꯒꯦ?

ꯄꯣꯔꯇꯦꯜ ꯍꯥꯏꯄꯔꯇꯦꯟꯁꯅꯒꯤ ꯁꯟꯇ ꯇ꯭ꯔꯤꯠꯃꯦꯟꯇ ꯄꯨꯝꯅꯃꯛꯀꯤ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯄꯥꯟꯗꯃꯗꯤ ꯄꯣꯔꯇꯦꯜ ꯚꯦꯅꯃꯗꯥ ꯄ꯭ꯔꯦꯁꯔ ꯍꯟꯊꯍꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯏ ꯊꯣꯀꯄꯥ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯅꯤ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯇꯧꯕꯒꯦ ꯍꯥꯌꯕꯗꯨꯗꯥ ꯈꯦꯟꯅꯕꯥ ꯂꯩ꯫

• ꯇ꯭ꯔꯥꯟꯁꯖꯨꯒꯨꯂꯥꯔ ꯏꯟꯠꯔꯥꯍꯦꯄꯥꯇꯤꯛ ꯄꯣꯔꯇꯣꯁꯤꯁ꯭ꯇꯦꯃꯤꯛ ꯁꯟꯇ (TIPS): ꯃꯁꯤ ꯁꯔꯖꯤꯀꯦꯜ ꯄ꯭ꯔꯣꯁꯤꯗ꯭ꯌꯨꯑꯣꯔ ꯑꯃꯅꯤ꯫ ꯃꯁꯤꯗꯥ ꯀꯦꯇꯦꯇꯔꯒꯨꯝꯕꯥ ꯇꯤꯎꯕ ꯑꯃꯥ ꯈꯣꯡꯗꯥ ꯂꯩꯕꯥ ꯚꯦꯅꯝ ꯑꯃꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯍꯥꯄꯆꯤꯟꯗꯨꯅꯥ ꯄꯣꯔꯇꯦꯜ ꯚꯦꯅꯝ ꯑꯃꯁꯨꯡ ꯂꯤꯚꯔꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯂꯩꯕꯥ ꯍꯦꯄꯥꯇꯥꯏꯇꯤꯛ ꯚꯦꯅꯃꯒꯤ ꯃꯔꯛꯇꯥ ꯀꯅꯦꯛꯁꯟ ꯑꯃꯥ ꯁꯦꯝꯕꯥ ꯌꯥꯎꯏ꯫ ꯃꯁꯤꯒꯤ ꯇꯤ.ꯑꯥꯏ.ꯄꯤ.ꯑꯦꯁ.ꯀꯤ ꯊꯧꯑꯣꯡ ꯑꯁꯤ ꯉꯁꯤꯗꯤ ꯗꯤ.ꯑꯦꯁ.ꯑꯥꯔ.ꯑꯦꯁ.ꯇꯒꯤ ꯍꯦꯟꯅꯥ ꯀꯃꯟ ꯑꯣꯏꯔꯦ꯫
• ꯄ꯭ꯔꯣꯛꯁꯤꯃꯥꯜ ꯁ꯭ꯞꯂꯦꯅꯣꯔꯤꯅꯦꯜ ꯁꯟꯊꯤ: ꯃꯁꯤꯁꯨ ꯁꯔꯖꯤꯀꯦꯜ ꯄ꯭ꯔꯣꯁꯤꯗ꯭ꯌꯨꯑꯣꯔ ꯑꯃꯅꯤ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯃꯁꯤꯅꯥ ꯁ꯭ꯞꯂꯤꯟ ꯃꯁꯥꯃꯛ ꯂꯧꯊꯣꯀꯄꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯏ꯫
• ꯁ꯭ꯄꯣꯟꯗꯦꯟꯁ ꯁ꯭ꯞꯂꯦꯅꯣꯔꯦꯅꯦꯜ ꯁꯟꯇ (SSRS): ꯃꯁꯤ ꯁꯔꯖꯤꯀꯦꯜ ꯄ꯭ꯔꯣꯁꯤꯗ꯭ꯌꯨꯑꯣꯔ ꯑꯃꯅꯤ꯫ ꯃꯁꯤ ꯂꯤꯚꯔꯒꯤ ꯂꯥꯌꯅꯥ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯃꯇꯃꯗꯥ ꯍꯀꯆꯥꯡꯅꯥ ꯃꯍꯧꯁꯥꯅꯥ ꯁꯦꯝꯕꯥ ꯀꯅꯦꯛꯁꯟ ꯑꯃꯅꯤ꯫ ꯃꯁꯤꯅꯥ ꯂꯥꯌꯅꯥ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯆꯥꯎꯈꯠꯂꯦ ꯍꯥꯌꯕꯥ ꯇꯥꯀꯏ꯫

ꯁꯔꯖꯔꯤꯒꯤ ꯃꯃꯥꯡꯗꯥ ꯀꯔꯤ ꯑꯥꯁꯥ ꯇꯧꯒꯗꯒꯦ?

ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯑꯍꯥꯅꯕꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯃꯦꯗꯤꯀꯦꯜ ꯍꯤꯁ꯭ꯇꯔꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯍꯪꯒꯅꯤ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯀꯄꯨ ꯌꯦꯡꯁꯤꯅꯒꯅꯤ꯫ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ, ꯃꯈꯣꯌꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯖꯦꯅꯦꯔꯦꯜ ꯍꯦꯂꯊ, ꯂꯤꯚꯔ ꯐꯉ꯭ꯀꯁꯟ, ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯄꯣꯔꯇꯦꯜ ꯍꯥꯏꯄꯔꯇꯦꯟꯁꯅꯒꯤ ꯃꯑꯣꯡ-ꯃꯇꯧ ꯑꯗꯨ ꯈꯪꯗꯣꯛꯅꯕꯥ ꯇꯦꯁ꯭ꯠ ꯀꯌꯥ ꯄꯥꯡꯊꯣꯛꯀꯅꯤ꯫

ꯍꯥꯌꯔꯤꯕꯥ ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯌꯥꯑꯣꯕꯥ ꯌꯥꯏ:

• ꯕ꯭ꯂꯗ ꯇꯦꯁ꯭ꯠ ꯇꯧꯕꯥ꯫
• ꯂꯤꯚꯔ ꯐꯉ꯭ꯀꯁꯟ ꯇꯦꯁ꯭ꯠ ꯇꯧꯕꯥ꯫
• ꯆꯦꯁ꯭ꯠ ꯑꯦꯛꯁ-ꯔꯦ ꯇꯧꯕꯥ꯫
• ꯏ.ꯁꯤ.ꯖꯤ.(ꯏꯂꯦꯛꯠꯔꯣꯀꯥꯔꯗꯤꯑꯣꯒ꯭ꯔꯥꯝ)
• ꯑꯦꯟꯖꯤꯑꯣꯒ꯭ꯔꯥꯝ - ꯃꯁꯤ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯂꯁꯤꯡꯒꯤ ꯀꯟꯗꯤꯁꯟ ꯌꯦꯡꯁꯤꯜꯂꯤꯕꯥ ꯑꯈꯟꯅꯕꯥ ꯇꯦꯁ꯭ꯠ ꯑꯃꯅꯤ꯫
• ꯑꯋꯥꯡꯕꯥ ꯑꯦꯟꯗꯣꯁ꯭ꯀꯣꯄꯤ - ꯀꯦꯃꯦꯔꯥ ꯑꯃꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯇꯤꯎꯕ ꯑꯃꯥ ꯁꯤꯖꯤꯟꯅꯗꯨꯅꯥ ꯏꯁꯣꯐꯦꯒꯁ ꯑꯃꯁꯨꯡ ꯁ꯭ꯇꯣꯃꯥꯀꯀꯤ ꯃꯅꯨꯡꯒꯤ ꯁꯔꯨꯛ ꯑꯗꯨ ꯌꯦꯡꯁꯤꯅꯕꯥ꯫

ꯅꯍꯥꯛꯀꯤ ꯃꯦꯗꯤꯀꯦꯜ ꯇꯤꯃꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯁꯔꯖꯔꯤꯒꯤ ꯃꯃꯥꯡꯗꯥ ꯃꯌꯦꯛ ꯁꯦꯡꯕꯥ ꯏꯅꯁ꯭ꯠꯔꯛꯁꯅꯁꯤꯡ ꯄꯤꯒꯅꯤ꯫

• ꯁꯔꯖꯔꯤꯒꯤ ꯃꯃꯥꯡꯗꯥ ꯀꯔꯤ ꯍꯤꯗꯥꯀꯁꯤꯡ ꯊꯤꯡꯒꯗꯒꯦ?
• ꯍꯣꯁ꯭ꯄꯤꯇꯥꯂꯗꯥ ꯂꯥꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯀꯔꯤ ꯄꯣꯠꯂꯃꯁꯤꯡ ꯄꯨꯊꯣꯛꯀꯗꯒꯦ?
• ꯁꯔꯖꯔꯤꯒꯤ ꯃꯃꯥꯡꯗꯥ ꯆꯥꯕꯥ ꯑꯃꯁꯨꯡ ꯊꯀꯄꯥ ꯂꯦꯄꯍꯅꯕꯒꯤ ꯑꯀꯛꯅꯕꯥ ꯃꯇꯝ꯫

ꯁꯔꯖꯔꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯀꯔꯤ ꯊꯣꯀꯏ?

ꯗꯤ.ꯑꯦꯁ.ꯑꯥꯔ.ꯑꯦꯁ.ꯀꯤ ꯁꯔꯖꯔꯤ ꯑꯁꯤ ꯃꯍꯧꯁꯥꯅꯥ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯄꯨꯡ ꯃꯔꯤ ꯆꯪꯏ . ꯑꯍꯥꯅꯕꯗꯥ, ꯅꯍꯥꯀꯄꯨ ꯖꯦꯅꯦꯔꯦꯜ ꯑꯦꯅꯥꯁ꯭ꯇꯦꯁꯤꯌꯥ ꯄꯤ꯫ ꯃꯁꯤꯅꯥ ꯇꯥꯀꯄꯗꯤ ꯅꯍꯥꯛꯅꯥ ꯑꯋꯥꯕꯥ ꯑꯃꯠꯇꯥ ꯐꯥꯑꯣꯗꯦ ꯑꯃꯁꯨꯡ ꯃꯄꯨꯡ ꯐꯥꯅꯥ ꯇꯨꯝꯂꯤ ꯍꯥꯌꯕꯅꯤ꯫

ꯑꯗꯨꯗꯒꯤ ꯁꯔꯖꯤꯀꯦꯜ ꯇꯤꯝ, ꯑꯩꯈꯣꯌꯅꯥ ꯃꯃꯥꯡꯗꯥ ꯈꯟꯅꯈꯤꯕꯒꯨꯝꯅꯥ:

1. ꯁ꯭ꯞꯂꯦꯅꯤꯛ ꯚꯦꯅꯝ ꯑꯁꯤ ꯄꯣꯔꯇꯦꯜ ꯚꯦꯅꯃꯗꯒꯤ ꯇꯣꯈꯥꯌꯅꯥ ꯂꯩ꯫

2. ꯚꯦꯅꯝ ꯑꯗꯨ ꯂꯧꯊꯣꯀꯎ ꯑꯃꯁꯨꯡ ꯃꯗꯨ ꯂꯦꯡ-ꯑꯣꯠꯄꯒꯤ ꯔꯦꯅꯦꯜ ꯚꯦꯅꯝ ꯑꯗꯨꯒꯥ ꯁꯝꯅꯍꯜꯂꯨ꯫

ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯑꯩꯅꯥ ꯀꯔꯤ ꯑꯥꯁꯥ ꯇꯧꯒꯗꯒꯦ?

ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯅꯨꯃꯤꯠ ꯑꯃꯥ ꯅꯠꯠꯔꯒꯥ ꯅꯨꯃꯤꯠ ꯇꯔꯥꯅꯤ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯂꯗꯥ ꯂꯩꯕꯥ ꯃꯊꯧ ꯇꯥꯒꯅꯤ . ꯃꯇꯝ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯃꯦꯗꯤꯀꯦꯜ ꯇꯤꯃꯅꯥ ꯑꯗꯣꯃꯕꯨ ꯑꯐꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯌꯦꯡꯁꯤꯅꯕꯤꯒꯅꯤ꯫

• ꯌꯨꯔꯤꯟ ꯊꯨꯒꯥꯌꯅꯕꯥ ꯃꯇꯝ ꯈꯔꯒꯤ ꯑꯣꯏꯕꯥ ꯀꯦꯇꯦꯒꯣꯔꯤ ꯑꯃꯥ ꯊꯝꯃꯤ꯫
• ꯅꯥꯀꯣꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯄꯨꯡ 24ꯒꯤ ꯑꯣꯏꯅꯥ ꯅꯥꯀꯣꯡꯒꯤ ꯇꯤꯎꯕ ꯑꯃꯥ ꯊꯃꯗꯨꯅꯥ ꯁ꯭ꯇꯣꯃꯥꯀꯇꯒꯤ ꯅꯨꯡꯁꯤꯠ ꯑꯃꯁꯨꯡ ꯐ꯭ꯂꯨꯏꯗꯁꯤꯡ ꯂꯧꯊꯣꯀꯏ꯫
• ꯅꯍꯥꯀꯄꯨ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛ ꯑꯃꯁꯨꯡ ꯐ꯭ꯂꯨꯏꯗ ꯄꯤꯅꯕꯒꯤꯗꯃꯛ ꯅꯍꯥꯛꯀꯤ ꯀꯣꯛꯇꯥ ꯂꯩꯕꯥ ꯚꯦꯅꯝ ꯑꯃꯗꯥ IV ꯑꯃꯥ ꯊꯃꯒꯅꯤ꯫
• ꯑꯅꯥꯕꯥ ꯑꯗꯨ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯅꯕꯥ ꯅꯍꯥꯀꯄꯨ ꯃꯁꯥꯅꯥ ꯄꯤꯖꯕꯥ ꯄꯦꯟ ꯄꯝꯄ ꯑꯃꯥ ꯄꯤꯒꯅꯤ꯫

ꯁꯔꯖꯔꯤ꯫ ꯅꯍꯥꯛꯅꯥ ꯆꯥꯕꯥ ꯑꯃꯁꯨꯡ ꯊꯀꯄꯥ ꯉꯝꯂꯕꯥ ꯃꯇꯃꯗꯥ ꯑꯍꯥꯅꯕꯗꯥ ꯂꯤꯛꯌꯨꯏꯗꯁꯤꯡ ꯄꯤꯒꯅꯤ, ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯁꯣꯂꯤꯗꯁꯤꯡ ꯄꯤꯒꯅꯤ꯫ ꯅꯍꯥꯛꯅꯥ ꯌꯨꯃꯗꯥ ꯆꯠꯠꯔꯤꯉꯩꯒꯤ ꯃꯃꯥꯡꯗꯥ, ꯗꯥꯏꯑꯦꯇꯤꯁꯤꯌꯟ ꯑꯃꯅꯥ ꯅꯍꯥꯛꯀꯥ ꯎꯅꯗꯨꯅꯥ ꯅꯍꯥꯛꯀꯤꯗꯃꯛꯇꯥ ꯆꯨꯅꯕꯥ ꯗꯥꯏꯠ ꯑꯃꯥ ꯈꯟꯅꯒꯅꯤ꯫ ꯂꯣ-ꯁꯣꯜꯇ, ꯂꯣ-ꯐꯦꯠ ꯗꯥꯏꯠ ꯑꯁꯤ ꯑꯌꯥꯝꯕꯅꯥ ꯔꯦꯀꯃꯦꯟꯗ ꯇꯧꯏ꯫

ꯁꯔꯖꯔꯤ ꯑꯁꯤꯒꯤ ꯔꯤꯁ꯭ꯛ ꯂꯩꯕ꯭ꯔꯥ?

ꯁꯔꯖꯔꯤ ꯑꯃꯍꯦꯛꯇꯒꯨꯝꯅꯥ, ꯔꯤꯁ꯭ꯛ ꯈꯔꯗꯤ ꯂꯩ, ꯑꯗꯨꯕꯨ DSRS ꯑꯁꯤ ꯃꯍꯧꯁꯥꯅꯥ ꯌꯥꯝꯅꯥ ꯁꯥꯐꯕꯥ ꯑꯃꯁꯨꯡ ꯃꯥꯌꯄꯥꯀꯄꯥ ꯄ꯭ꯔꯣꯁꯤꯗ꯭ꯌꯨꯑꯣꯔ ꯑꯃꯅꯤ꯫

ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯑꯍꯥꯅꯕꯥ ꯊꯥꯗꯥ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯏ ꯊꯣꯀꯄꯒꯤ ꯔꯤꯁ꯭ꯛ ꯑꯁꯤ ꯍꯦꯟꯅꯥ ꯋꯥꯡꯏ꯫ ꯑꯗꯨꯕꯨ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯂꯩꯔꯣꯏꯗꯕꯅꯤ꯫ ꯅꯍꯥꯛꯀꯤ ꯃꯦꯗꯤꯀꯦꯜ ꯇꯤꯃꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯔꯤꯁ꯭ꯛ ꯑꯁꯤ ꯃꯦꯅꯦꯖ ꯇꯧꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯒꯅꯤ ꯑꯃꯁꯨꯡ ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯅꯍꯥꯀꯄꯨ ꯅꯤꯡꯊꯤꯅꯥ ꯈꯪꯍꯅꯒꯅꯤ꯫

ꯌꯨꯃꯗꯥ ꯆꯠꯂꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯐꯒꯠꯂꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯀꯔꯤ ꯇꯧꯒꯗꯒꯦ?

ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯐꯒꯠꯂꯀꯄꯒꯤꯗꯃꯛ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔ ꯑꯃꯁꯨꯡ ꯅ꯭ꯌꯨꯠꯔꯤꯁꯅꯒꯤ ꯏꯅꯁ꯭ꯠꯔꯛꯁꯅꯁꯤꯡ ꯑꯗꯨ ꯆꯦꯀꯁꯤꯟꯅꯥ ꯉꯥꯛꯅꯥ ꯆꯠꯄꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫ ꯅꯍꯥꯛꯅꯥ ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯕꯥ ꯊꯕꯛ ꯊꯧꯔꯃꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯇꯧꯕꯥ ꯃꯇꯃꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯍꯪꯕꯤꯌꯨ꯫

ꯅꯍꯥꯛꯀꯤ ꯂꯤꯚꯔ ꯑꯗꯨ ꯀꯔꯝꯅꯥ ꯊꯕꯛ ꯇꯧꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯅꯕꯒꯤꯗꯃꯛ ꯅꯍꯥꯛꯅꯥ ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯕ꯭ꯂꯗ ꯇꯦꯁ꯭ꯠ ꯇꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯏ꯫ ꯅꯍꯥꯛꯀꯤ ꯐꯣꯂꯣ-ꯑꯞ ꯑꯦꯄꯣꯏꯟꯇꯃꯦꯟꯇꯁꯤꯡ ꯑꯗꯨ ꯀꯩꯗꯧꯉꯩꯗꯥ ꯊꯥꯗꯣꯛꯂꯣꯏꯗꯕꯅꯤ꯫ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯗꯨ ꯃꯈꯥ ꯇꯥꯅꯥ ꯌꯦꯡꯁꯤꯅꯒꯅꯤ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯅꯥ ꯍꯀꯁꯦꯜ ꯐꯅꯥ ꯂꯩꯅꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯄꯥꯎꯇꯥꯛ ꯄꯤꯒꯅꯤ꯫

ꯈꯨꯗꯛꯇꯥ ꯃꯦꯗꯤꯀꯦꯜ ꯑꯦꯇꯦꯟꯁꯟ ꯃꯊꯧ ꯇꯥꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?

• ꯂꯣꯛ ꯈꯨꯕ
• ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ꯫
• ꯁ꯭ꯄꯦꯜ ꯑꯃꯥ ꯊꯥꯕꯥ꯫
• ꯂꯥꯏꯍꯧ ꯍꯧꯕ
• ꯈꯣꯡꯗꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯄꯥ꯫
• ꯃꯍꯧꯁꯥꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ꯫

ꯅꯍꯥꯛꯅꯥ ꯄꯣꯔꯇꯦꯜ ꯍꯥꯏꯄꯔꯇꯦꯟꯁꯅꯒꯨꯝꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯥ ꯂꯩꯔꯦ ꯍꯥꯌꯕꯥ ꯈꯪꯂꯕꯥ ꯃꯇꯃꯗꯥ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯑꯃꯁꯨꯡ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯐꯥꯎꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯅꯣꯔꯃꯦꯂꯅꯤ꯫ ꯑꯗꯨꯕꯨ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯛꯀꯥ ꯂꯣꯌꯅꯅꯥ ꯐꯃꯒꯅꯤ, ꯅꯍꯥꯛꯀꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯗꯨ ꯌꯦꯡꯁꯤꯅꯒꯅꯤ ꯑꯃꯁꯨꯡ ꯃꯈꯣꯌꯕꯨ ꯃꯦꯅꯦꯖ ꯇꯧꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯒꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯊꯧ ꯇꯥꯔꯕꯗꯤ, DSRSꯒꯨꯝꯕꯥ ꯁꯔꯖꯔꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯏ ꯊꯣꯀꯄꯒꯤ ꯔꯤꯁ꯭ꯛ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯀꯄꯨ ꯍꯦꯟꯅꯥ ꯐꯕꯥ ꯄꯨꯟꯁꯤ ꯑꯃꯥ ꯍꯤꯡꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫