ꯑꯩꯅꯥ ꯕ꯭ꯂꯦꯗꯔ ꯀꯦꯟꯁꯔ ꯂꯩꯕ꯭ꯔꯥ? (ꯕ꯭ꯂꯦꯗꯔ ꯀꯦꯟꯁꯔ) - ꯑꯩꯈꯣꯌꯅꯥ ꯃꯇꯧ ꯀꯔꯝꯅꯥ ꯁꯣꯌꯗꯅꯥ ꯈꯉꯒꯅꯤ?

ꯅꯍꯥꯛꯀꯤ ꯌꯨꯔꯤꯅꯗꯁꯨ ꯏ ꯂꯩꯕ꯭ꯔꯥ? ꯅꯠꯠꯔꯒꯥ ꯅꯍꯥꯛꯅꯥ ꯌꯥꯝꯅꯥ ꯇꯣꯏꯅꯥ ꯏꯁꯤꯡ ꯇꯨꯡꯁꯤꯅꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯐꯥꯎꯕ꯭ꯔꯥ? ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯎꯕꯗꯥ ꯅꯍꯥꯛ ꯌꯥꯝꯅꯥ ꯂꯥꯡꯇꯛꯅꯔꯀꯄꯥ ꯌꯥꯏ, ‘ꯑꯣꯍ, ꯑꯩꯁꯨ ꯕ꯭ꯂꯦꯗꯔ ꯀꯦꯟꯁꯔ ꯂꯩꯕ꯭ꯔꯥ?’ ꯍꯥꯌꯅꯥ ꯈꯅꯕꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯕꯨ ꯂꯥꯡꯇꯛꯅꯒꯅꯨ꯫ ꯂꯥꯏꯑꯣꯡ ꯄꯨꯝꯅꯃꯛ ꯑꯁꯤ ꯀꯦꯟꯁꯔ ꯍꯥꯌꯕꯁꯤꯅꯤ꯫ ꯑꯗꯨꯅꯥ, ꯗꯣꯛꯇꯔ ꯑꯃꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯂꯩꯔꯕꯗꯤ ꯃꯇꯧ ꯀꯔꯝꯅꯥ ꯇꯁꯦꯡꯅꯥ ꯈꯪꯒꯅꯤ? ꯃꯁꯤꯒꯤꯗꯃꯛꯇꯥ ꯀꯔꯤ ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯇꯧꯔꯤꯕꯒꯦ? ꯉꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯑꯀꯨꯞꯄꯥ ꯃꯔꯣꯂꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯒꯅꯤ, ꯑꯗꯣꯝꯅꯥ ꯈꯉꯕꯤꯕꯥ ꯌꯥꯕꯥ ꯃꯑꯣꯡꯗꯥ꯫

ꯗꯣꯛꯇꯔꯅꯥ ꯑꯍꯥꯅꯕꯗꯥ ꯀꯔꯤ ꯇꯧꯔꯤꯕꯒꯦ?

ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯗꯣꯛꯇꯔꯗꯥ ꯆꯠꯄꯥ ꯃꯇꯃꯗꯥ, ꯃꯍꯥꯛꯅꯥ ꯇꯧꯒꯗꯕꯥ ꯑꯍꯥꯅꯕꯥ ꯊꯕꯛ ꯑꯗꯨꯗꯤ ꯅꯍꯥꯛꯀꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯕꯅꯤ꯫ ꯃꯍꯥꯛꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯄꯨꯅꯕꯥ ꯍꯀꯁꯦꯂꯒꯤ ꯃꯇꯥꯡꯗꯥ, ꯅꯍꯥꯛꯅꯥ ꯂꯩꯔꯤꯕꯥ ꯑꯇꯣꯞꯄꯥ ꯃꯦꯗꯤꯀꯦꯜ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯍꯦꯛꯇꯒꯤ ꯃꯇꯥꯡꯗꯥ, ꯅꯍꯥꯛꯅꯥ ꯂꯧꯔꯤꯕꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯍꯪꯒꯅꯤ, ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯏꯃꯨꯡꯒꯤ ꯀꯅꯥꯒꯨꯝꯕꯥ ꯑꯃꯅꯥ ꯃꯃꯥꯡꯗꯥ ꯕ꯭ꯂꯦꯗꯔ ꯀꯦꯟꯁꯔ ꯂꯩꯈꯤꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯍꯪꯒꯅꯤ . ꯃꯁꯤꯅꯥ ꯗꯣꯛꯇꯔꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯃꯦꯗꯤꯀꯦꯜ ꯍꯤꯁ꯭ꯇꯔꯤꯒꯤ ꯑꯐꯕꯥ ꯋꯥꯈꯜꯂꯣꯟ ꯑꯃꯥ ꯄꯤꯒꯅꯤ꯫

ꯃꯊꯪꯗꯥ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯐꯤꯖꯤꯀꯦꯜ ꯑꯦꯀꯖꯥꯃꯤꯅꯦꯁꯟ ꯑꯃꯥ ꯇꯧꯒꯅꯤ꯫ ꯃꯇꯝ ꯑꯁꯤꯗꯥ ꯅꯨꯄꯤꯁꯤꯡꯒꯤ ꯑꯣꯏꯅꯥ ꯄꯦꯂꯚꯤꯛ ꯑꯦꯀꯖꯥꯝ ꯑꯃꯥ ꯑꯃꯁꯨꯡ ꯅꯨꯄꯥꯁꯤꯡꯒꯤ ꯑꯣꯏꯅꯥ ꯗꯤꯖꯤꯇꯦꯜ ꯔꯦꯛꯇꯜ ꯑꯦꯀꯖꯥꯝ (DRE) ꯄꯥꯡꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯁꯤ ꯈꯔꯥ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯐꯥꯑꯣꯔꯀꯄꯥ ꯌꯥꯏ, ꯑꯗꯨꯕꯨ ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯇꯦꯁ꯭ꯠ ꯑꯃꯅꯤ꯫ ꯃꯁꯤꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯕ꯭ꯂꯦꯗꯔꯗꯥ ꯂꯩꯕꯥ ꯇꯤꯎꯃꯔ ꯑꯃꯅꯥ ꯄꯥꯜꯄ ꯇꯧꯕꯥ ꯌꯥꯕꯥ, ꯀꯌꯥꯝ ꯆꯥꯎꯕꯒꯦ ꯑꯃꯁꯨꯡ ꯁꯟꯗꯣꯀꯈꯤꯕꯒꯦ ꯍꯥꯌꯕꯒꯤ ꯑꯀꯛꯅꯕꯥ ꯋꯥꯈꯜꯂꯣꯟ ꯑꯃꯥ ꯄꯤꯕꯥ ꯉꯝꯃꯤ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯗꯣꯛꯇꯔ ꯑꯗꯨꯅꯥ ꯑꯍꯥꯅꯕꯥ ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯃꯈꯥ ꯇꯥꯅꯥ ꯆꯤꯡꯅꯕꯥ ꯂꯩꯔꯕꯗꯤ, ꯃꯍꯥꯛꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯁ꯭ꯄꯦꯁꯤꯑꯦꯂꯤꯁ꯭ꯠ, ꯏꯎꯔꯣꯂꯣꯖꯤꯁ꯭ꯠ ꯑꯃꯗꯥ ꯔꯤꯐꯔ ꯇꯧꯕꯥ ꯌꯥꯏ, ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯇꯣꯉꯥꯟ-ꯇꯣꯉꯥꯅꯕꯥ ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯄꯥꯡꯊꯣꯛꯀꯅꯤ꯫

ꯌꯨꯔꯤꯟ ꯇꯦꯁ꯭ꯇꯁꯤꯡꯗꯥ ꯀꯔꯤ ꯐꯪꯒꯗꯒꯦ?

ꯌꯨꯔꯤꯟ ꯁꯦꯝꯄꯜ ꯑꯃꯅꯥ ꯋꯥꯐꯝ ꯀꯌꯥ ꯐꯣꯡꯗꯣꯀꯄꯥ ꯉꯝꯃꯤ꯫ ꯃꯁꯤ ꯃꯍꯧꯁꯥꯅꯥ ꯇꯧꯕꯥ ꯑꯍꯥꯅꯕꯥ ꯇꯦꯁ꯭ꯇꯅꯤ꯫

ꯁꯤꯁ꯭ꯇꯣꯁ꯭ꯀꯣꯄꯤ (ꯀꯦꯃꯦꯔꯥ ꯑꯃꯅꯥ ꯕ꯭ꯂꯦꯗꯔ ꯑꯗꯨ ꯌꯦꯡꯁꯤꯅꯕꯥ)

ꯃꯤꯡ ꯑꯁꯤ ꯈꯔꯥ ꯂꯥꯡꯇꯛꯅꯍꯅꯕꯥ ꯌꯥꯏ, ꯑꯗꯨꯕꯨ ꯃꯁꯤꯅꯥ ꯕ꯭ꯂꯦꯗꯔ ꯀꯦꯟꯁꯔ ꯈꯉꯗꯣꯛꯅꯕꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯑꯃꯁꯨꯡ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯑꯆꯨꯝꯕꯥ ꯄꯥꯝꯕꯩꯅꯤ꯫

ꯌꯥꯝꯅꯥ ꯐꯖꯕꯥ, ꯑꯄꯤꯀꯄꯥ ꯇꯨꯕ ꯑꯃꯥ ꯈꯅꯕꯤꯌꯨ꯫ ꯃꯁꯤꯒꯤ ꯑꯄꯤꯀꯄꯥ ꯀꯦꯃꯦꯔꯥ ꯑꯃꯥ ꯑꯃꯁꯨꯡ ꯑꯔꯣꯏꯕꯗꯥ ꯃꯉꯥꯜ ꯑꯃꯥ ꯂꯩ꯫ ꯗꯣꯛꯇꯔꯅꯥ ꯇꯤꯎꯕ ꯑꯁꯤ (ꯁꯤꯁ꯭ꯇꯣꯁ꯭ꯀꯣꯞ ꯀꯧꯕꯥ) ꯑꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯏꯎꯔꯦꯊ꯭ꯔꯥꯗꯥ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯕ꯭ꯂꯦꯗꯔꯗꯥ ꯆꯦꯀꯁꯤꯟꯅꯥ ꯊꯥꯏ꯫ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯇꯤꯎꯕ ꯑꯗꯨꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯃꯍꯥꯛꯅꯥ ꯕ꯭ꯂꯦꯗꯔ ꯑꯗꯨ ꯁꯦꯂꯃꯤꯠꯂꯣꯅꯒꯤ ꯏꯁꯤꯡꯅꯥ ꯊꯨꯃꯖꯤꯜꯂꯤ, ꯃꯗꯨꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯃꯗꯨ ꯈꯔꯥ ꯁꯣꯀꯍꯜꯂꯤ꯫ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ, ꯀꯦꯃꯦꯔꯥꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯕ꯭ꯂꯦꯗꯔꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯂꯩꯕꯥ ꯃꯐꯝ ꯑꯗꯨ ꯌꯥꯝꯅꯥ ꯃꯌꯦꯛ ꯁꯦꯡꯅꯥ ꯎꯕꯥ ꯐꯪꯒꯅꯤ꯫

ꯆꯤꯡꯅꯕꯥ ꯂꯩꯕꯥ ꯃꯐꯃꯁꯤꯡ ꯂꯧꯊꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯇꯦꯁ꯭ꯠ ꯇꯧꯕꯥ (TURBT)

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯗꯣꯛꯇꯔꯅꯥ ꯀꯦꯃꯦꯔꯥꯗꯥ ꯌꯦꯡꯂꯤꯉꯩꯗꯥ ꯇꯤꯎꯃꯔꯒꯨꯝꯕꯥ ꯑꯀꯤꯕꯥ ꯄꯣꯀꯍꯅꯕꯥ ꯌꯥꯕꯥ ꯃꯐꯝ ꯑꯃꯥ ꯎꯔꯕꯗꯤ ꯈꯨꯗꯛꯇꯥ ꯃꯗꯨꯒꯤ ꯑꯄꯤꯀꯄꯥ ꯁꯔꯨꯛ ꯑꯃꯥ ꯂꯧꯗꯨꯅꯥ ꯇꯦꯁ꯭ꯠ ꯇꯧꯅꯕꯥ ꯊꯥꯒꯅꯤ꯫ ꯃꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯕꯥꯏꯑꯣꯞꯁꯤ ꯍꯥꯌꯅꯥ ꯀꯧꯏ .

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯗꯣꯛꯇꯔꯅꯥ TURBT (Transurethral Resection of Bladder Tumor) ꯀꯧꯕꯥ ꯄ꯭ꯔꯣꯁꯤꯗ꯭ꯌꯨꯑꯣꯔ ꯑꯃꯥ ꯄꯥꯡꯊꯣꯛꯀꯅꯤ꯫ ꯃꯁꯤꯗꯥ ꯀꯦꯃꯦꯔꯥ ꯑꯗꯨ ꯃꯐꯝ ꯆꯥꯅꯥ ꯂꯩꯔꯤꯉꯩꯗꯥ ꯑꯈꯟꯅꯕꯥ ꯏꯅꯁ꯭ꯠꯔꯨꯃꯦꯟꯇ ꯑꯃꯥ ꯁꯤꯖꯤꯟꯅꯗꯨꯅꯥ ꯆꯤꯡꯅꯕꯥ ꯂꯩꯔꯕꯥ ꯇꯤꯎꯃꯔ ꯑꯗꯨ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯃꯄꯨꯡ ꯐꯥꯅꯥ ꯂꯧꯊꯣꯛꯇꯨꯅꯥ ꯂꯧꯊꯣꯛꯂꯤ꯫ ꯃꯇꯝ ꯑꯗꯨꯃꯛꯇꯗꯥ ꯇꯤꯎꯃꯔꯒꯤ ꯑꯀꯣꯌꯕꯗꯥ ꯂꯩꯕꯥ ꯕ꯭ꯂꯦꯗꯔ ꯃꯁꯂꯒꯤ ꯁꯔꯨꯛ ꯑꯃꯁꯨ ꯂꯧꯊꯣꯀꯏ꯫ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ, ꯍꯥꯌꯔꯤꯕꯥ ꯄꯣꯠꯂꯃꯁꯤꯡ ꯑꯁꯤ ꯂꯦꯕꯇꯥ ꯊꯥꯗꯨꯅꯥ ꯃꯁꯤ ꯀꯦꯟꯁꯔ ꯑꯣꯏꯕꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯇꯁꯦꯡꯅꯥ ꯌꯦꯡꯁꯤꯜꯂꯤ ꯑꯃꯁꯨꯡ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯣꯏꯔꯒꯗꯤ ꯃꯁꯤ ꯀꯌꯥ ꯌꯥꯝꯅꯥ ꯂꯨꯅꯥ ꯁꯟꯗꯣꯀꯈꯤꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯁꯤꯜꯂꯤ꯫

ꯁ꯭ꯀꯦꯟ ꯑꯃꯁꯨꯡ ꯑꯦꯛꯁ-ꯔꯦ (ꯏꯃꯦꯖꯤꯡ ꯇꯦꯁ꯭ꯠ)

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯀꯦꯟꯁꯔ ꯀꯅꯐꯥꯔꯝ ꯇꯧꯔꯕꯗꯤ, ꯇꯣꯉꯥꯟ-ꯇꯣꯉꯥꯅꯕꯥ ꯃꯈꯂꯒꯤ ꯁ꯭ꯀꯦꯅꯁꯤꯡ ꯁꯤꯖꯤꯟꯅꯗꯨꯅꯥ ꯃꯁꯤ ꯀꯌꯥ ꯌꯥꯝꯅꯥ ꯁꯟꯗꯣꯀꯈꯤꯕꯒꯦ ꯑꯃꯁꯨꯡ ꯑꯇꯣꯞꯄꯥ ꯑꯣꯔꯒꯥꯅꯁꯤꯡꯗꯥ ꯁꯟꯗꯣꯀꯈꯤꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯁꯤꯜꯂꯤ꯫ ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯂꯩꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡꯒꯤ ꯐꯣꯇꯣ ꯂꯧꯏ꯫

ꯇꯦꯁ꯭ꯠ ꯄꯨꯝꯅꯃꯛ ꯑꯁꯤꯗꯒꯤ ꯐꯪꯂꯀꯄꯥ ꯏꯅꯐꯣꯔꯃꯦꯁꯟ ꯑꯗꯨ ꯄꯨꯅꯁꯤꯟꯗꯨꯅꯥ ꯗꯣꯛꯇꯔ ꯑꯗꯨꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯀꯟꯗꯤꯁꯅꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯑꯔꯣꯏꯕꯥ ꯋꯥꯔꯦꯞ ꯑꯃꯥ ꯂꯧꯏ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤꯗꯃꯛꯇꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯆꯨꯅꯕꯥ ꯂꯥꯏꯌꯦꯡꯒꯤ ꯃꯑꯣꯡ ꯑꯗꯨ ꯂꯦꯄꯊꯣꯀꯏ꯫