ꯕ꯭ꯔꯦꯁ꯭ꯠ ꯀꯦꯟꯁꯔꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯈꯉꯂꯁꯤ: ꯑꯥꯏ.ꯗꯤ.ꯁꯤ. ꯑꯃꯁꯨꯡ ꯗꯤ.ꯁꯤ.ꯑꯥꯏ.ꯑꯦꯁ.(ꯏꯅꯚꯦꯁꯤꯕ ꯗꯛꯇꯜ ꯀꯥꯔꯁꯤꯅꯣꯃꯥ & ꯗꯛꯇꯜ ꯀꯥꯔꯁꯤꯅꯣꯃꯥ ꯏꯟ ꯁꯤꯇꯨ)

ꯑꯩꯈꯣꯌꯅꯥ "ꯕ꯭ꯔꯦꯁ꯭ꯠ ꯀꯦꯟꯁꯔ" ꯍꯥꯌꯕꯥ ꯋꯥꯍꯩ ꯑꯁꯤ ꯇꯥꯕꯗꯥ ꯃꯤꯄꯨꯝ ꯈꯨꯗꯤꯡꯃꯛ ꯈꯔꯥ ꯂꯥꯡꯇꯛꯅꯩ, ꯅꯠꯇꯦ? ꯃꯗꯨ ꯌꯥꯝꯅꯥ ꯅꯣꯔꯃꯦꯂꯅꯤ꯫ ꯑꯗꯨꯕꯨ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯋꯥꯐꯃꯗꯤ ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯃꯄꯨꯡ ꯐꯥꯅꯥ ꯈꯉꯕꯥ ꯑꯁꯤꯅꯤ꯫ ꯃꯔꯃꯗꯤ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯑꯩꯈꯣꯌꯅꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯗꯨ ꯊꯨꯅꯥ ꯈꯉꯗꯣꯀꯄꯥ ꯉꯃꯒꯅꯤ ꯑꯃꯁꯨꯡ ꯃꯊꯧ ꯇꯥꯕꯥ ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯄꯥꯎꯇꯥꯀꯁꯤꯡ ꯂꯧꯕꯥ ꯉꯃꯒꯅꯤ꯫ ꯉꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯕ꯭ꯔꯦꯁ꯭ꯠ ꯀꯦꯟꯁꯔꯒꯤ ꯌꯥꯝꯅꯥ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯃꯈꯜ ꯑꯅꯤ , ꯗꯛꯇꯜ ꯀꯥꯔꯁꯤꯅꯣꯃꯥꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯒꯅꯤ꯫ ꯑꯩꯈꯣꯌꯅꯥ ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ, ꯑꯗꯣꯝꯅꯥ ꯈꯉꯕꯤꯕꯥ ꯌꯥꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯒꯅꯤ꯫

ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯗꯛꯇꯜ ꯀꯥꯔꯁꯤꯅꯣꯃꯥ ꯍꯥꯌꯕꯁꯤ ꯕ꯭ꯔꯦꯁ꯭ꯇꯀꯤ ꯁꯉ꯭ꯒꯣꯃꯒꯤ ꯈꯣꯡꯖꯦꯂꯁꯤꯡꯗꯒꯤ ꯍꯧꯕꯥ ꯀꯦꯟꯁꯔ ꯃꯈꯜ ꯑꯃꯅꯤ꯫ ꯃꯁꯤꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯈꯜ ꯑꯅꯤꯁꯨ ꯂꯩ ꯍꯥꯌꯕꯁꯤ ꯑꯗꯣꯝꯅꯥ ꯈꯉꯕꯤꯔꯃꯒꯅꯤ?

1. ꯏꯅꯚꯦꯁꯤꯚ ꯗꯛꯇꯜ ꯀꯥꯔꯁꯤꯅꯣꯃꯥ (IDC): ꯃꯁꯤꯗꯥ ꯀꯦꯟꯁꯔ ꯁꯦꯂꯁꯤꯡꯅꯥ ꯁꯉ꯭ꯒꯣꯃꯒꯤ ꯗꯛꯇꯀꯤ ꯋꯥꯂꯁꯤꯡꯗꯥ ꯆꯦꯟꯊꯈꯤꯗꯨꯅꯥ ꯑꯀꯣꯌꯕꯗꯥ ꯂꯩꯕꯥ ꯇꯤꯁꯨꯁꯤꯡꯗꯥ ꯁꯟꯗꯣꯀꯏ꯫

2. ꯗꯛꯇꯜ ꯀꯥꯔꯁꯤꯅꯣꯃꯥ ꯏꯟ ꯁꯤꯇꯨ (DCIS): ꯃꯁꯤꯗꯥ ꯀꯦꯟꯁꯔ ꯁꯦꯂꯁꯤꯡ ꯑꯁꯤ ꯁꯉ꯭ꯒꯣꯃꯒꯤ ꯗꯛꯇꯀꯤ ꯃꯅꯨꯡꯗꯥ ꯂꯩ ꯑꯃꯁꯨꯡ ꯍꯧꯖꯤꯛ ꯐꯥꯎꯕꯥ ꯃꯄꯥꯟꯗꯥ ꯁꯟꯗꯣꯀꯄꯥ ꯉꯃꯗ꯭ꯔꯤ꯫

ꯃꯈꯜ ꯑꯅꯤ ꯑꯁꯤꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ, ꯗꯥꯏꯑꯦꯒ꯭ꯅꯣꯁꯤꯁ ꯑꯃꯁꯨꯡ ꯂꯥꯏꯌꯦꯡ ꯑꯁꯤ ꯇꯣꯉꯥꯜꯂꯤ꯫ ꯑꯍꯥꯅꯕꯗꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯃꯈꯂꯒꯤ ꯑꯥꯏ.ꯗꯤ.ꯁꯤ.

ꯏꯅꯚꯦꯁꯤꯚ ꯗꯛꯇꯜ ꯀꯥꯔꯁꯤꯅꯣꯃꯥ (IDC) ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ?

ꯏꯅꯚꯦꯁꯤꯚ ꯗꯛꯇꯜ ꯀꯥꯔꯁꯤꯅꯣꯃꯥ (IDC) ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯕ꯭ꯔꯦꯁ꯭ꯠ ꯀꯦꯟꯁꯔ ꯃꯈꯜ ꯑꯃꯅꯤ, ꯃꯁꯤꯅꯥ ꯕ꯭ꯔꯦꯁ꯭ꯠ ꯀꯦꯟꯁꯔ ꯄꯨꯝꯅꯃꯛꯀꯤ ꯆꯥꯎꯔꯥꯛꯅꯥ 80% ꯑꯣꯏ꯫ ꯃꯁꯤ ꯁꯉ꯭ꯒꯣꯃꯒꯤ ꯊꯣꯡꯅꯥꯎ ꯑꯃꯒꯤ ꯁꯦꯂꯁꯤꯡꯗꯒꯤ ꯍꯧꯏ꯫ ꯑꯗꯨꯕꯨ ꯃꯁꯤ ꯃꯐꯝ ꯑꯗꯨꯗꯥ ꯂꯦꯄꯆꯕꯥ ꯉꯃꯗꯦ꯫ ꯁꯦꯂꯁꯤꯡ ꯑꯁꯤ ꯍꯦꯅꯒꯠꯂꯀꯏ, ꯗꯛꯇꯀꯤ ꯋꯥꯂꯁꯤꯡꯗꯥ ꯆꯦꯟꯊꯔꯀꯏ ꯑꯃꯁꯨꯡ ꯕ꯭ꯔꯦꯁ꯭ꯇꯀꯤ ꯑꯀꯣꯌꯕꯗꯥ ꯂꯩꯕꯥ ꯍꯀꯁꯦꯜ ꯐꯕꯥ ꯇꯤꯁꯨꯁꯤꯡꯗꯥ ꯁꯟꯗꯣꯀꯄꯥ ꯍꯧꯏ꯫ ꯃꯇꯃꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ, ꯀꯦꯟꯁꯔ ꯁꯦꯂꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯍꯀꯆꯥꯡꯒꯤ ꯑꯇꯩ ꯃꯐꯃꯁꯤꯡꯗꯥ ꯁꯟꯗꯣꯀꯄꯥ ꯉꯝꯃꯤ꯫

ꯑꯥꯏ.ꯗꯤ.ꯁꯤ.ꯕꯨ ꯁꯦꯃꯒꯠꯄꯒꯤ ꯔꯤꯁ꯭ꯛ ꯐꯦꯛꯇꯔꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?

ꯕ꯭ꯔꯦꯁ꯭ꯠ ꯀꯦꯟꯁꯔ ꯄꯨꯝꯅꯃꯛꯀꯤ ꯑꯀꯛꯅꯕꯥ ꯃꯔꯝ ꯑꯗꯨ ꯈꯪꯗꯣꯀꯄꯥ ꯍꯥꯌꯕꯁꯤ ꯇꯁꯦꯡꯅꯥ ꯑꯔꯨꯕꯥ ꯑꯃꯅꯤ꯫ ꯑꯗꯨꯕꯨ ꯔꯤꯁ꯭ꯛ ꯐꯦꯛꯇꯔ ꯈꯔꯗꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯈꯉꯏ꯫ ꯃꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯈꯔꯗꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯄꯨꯟꯁꯤ ꯃꯍꯤꯡꯒꯥ ꯃꯔꯤ ꯂꯩꯅꯩ, ꯈꯔꯗꯤ ꯍꯣꯔꯃꯣꯟ ꯑꯃꯁꯨꯡ ꯏꯃꯨꯡꯒꯤ ꯄꯨꯋꯥꯔꯤꯒꯥ ꯃꯔꯤ ꯂꯩꯅꯩ .

ꯃꯈꯥꯗꯥ ꯑꯥꯏ.ꯗꯤ.ꯁꯤ. ꯑꯃꯁꯨꯡ ꯑꯇꯩ ꯕ꯭ꯔꯦꯁ꯭ꯠ ꯀꯦꯟꯁꯔꯁꯤꯡꯒꯤꯗꯃꯛꯇꯥ ꯃꯁꯛ ꯈꯪꯗꯣꯛꯂꯕꯥ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯔꯤꯁ꯭ꯛ ꯐꯦꯛꯇꯔ ꯈꯔꯅꯤ꯫

ꯑꯥꯏ.ꯗꯤ.ꯁꯤ.ꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯀꯔꯤꯅꯣ?

ꯑꯥꯏ.ꯗꯤ.ꯁꯤ.ꯅꯥ ꯅꯥꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯅꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯃꯗꯒꯤ ꯍꯦꯅꯕꯥ ꯊꯦꯡꯅꯔꯀꯄꯥ ꯌꯥꯏ꯫ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯂꯥꯀꯄꯥ ꯃꯇꯝ ꯈꯨꯗꯤꯡꯗꯥ ꯅꯠꯇꯦ, ꯃꯁꯤ ꯀꯦꯟꯁꯔꯅꯤ, ꯑꯗꯨꯕꯨ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯄꯣꯠꯁꯛ ꯑꯃꯥ ꯎꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯈꯨꯗꯛꯇꯥ ꯆꯦꯀꯑꯞ ꯇꯧꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫

• ꯈꯣꯝꯂꯥꯡꯗꯥ (breast in the breast) ꯑꯃꯥ (breast) (breast) (breast) (breast) (breast) ꯑꯃꯥ ( lump in the breast) (lump) ꯑꯃꯥ (lump in the hand) (lump) ꯑꯃꯥ (lump) (lump) ꯑꯃꯥ (lump) ꯑꯃꯥ ꯑꯣꯏꯅꯥ ꯐꯥꯎꯕꯥ꯫
• ꯈꯣꯡ ꯍꯥꯝꯕꯥ (skin thickening): ꯕ꯭ꯔꯦꯁ꯭ꯇꯇꯥ ꯂꯩꯕꯥ ꯈꯣꯡꯒꯤ ꯁꯔꯨꯛ ꯑꯃꯥ ꯁꯣꯟꯊꯔꯀꯄꯒꯨꯝꯅꯥ ꯐꯥꯎꯕꯥ꯫
• ꯂꯥꯂꯍꯧꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯌꯦꯔꯨꯝ ꯀꯣꯀꯄꯥ (redness or rash) : ꯎꯅꯁꯥꯒꯤ ꯈꯣꯡꯗꯥ ꯂꯥꯎꯕꯥ꯫
• ꯁꯣꯛ-ꯄꯅꯕꯥ (swelling): ꯕ꯭ꯔꯦꯁ꯭ꯇꯀꯤ ꯃꯑꯣꯡ-ꯃꯇꯧ ꯅꯠꯠꯔꯒꯥ ꯁꯥꯏꯖꯗꯥ ꯑꯍꯣꯡꯕꯥ ꯂꯥꯀꯄꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯁꯣꯀꯄꯥ꯫
• ꯑꯅꯥꯕꯥ: ꯃꯃꯥꯡꯗꯥ ꯂꯩꯔꯃꯗꯕꯥ ꯎꯅꯁꯥꯗꯥ ꯑꯅꯧꯕꯥ ꯑꯅꯥꯕꯥ꯫
• ꯈꯣꯡ ꯍꯥꯝꯕꯥ: ꯑꯣꯔꯦꯟꯖ ꯑꯃꯒꯨꯝꯅꯥ꯫ꯕ꯭ꯔꯦꯅꯒꯤ ꯈꯣꯡꯒꯤ ꯄꯣꯠꯁꯀꯁꯤꯡ (pores) ꯑꯁꯤ ꯑꯣꯔꯦꯟꯖ ꯄꯤꯂꯒꯥ ꯃꯥꯟꯅꯅꯥ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯏꯁꯤꯡꯗꯥ ꯆꯦꯟꯊꯈꯤꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫
• ꯕ꯭ꯔꯦꯁ꯭ꯠ ꯃꯤꯜ ꯗꯛꯇꯇꯥ ꯑꯍꯣꯡꯕꯥ ꯂꯥꯀꯄꯥ: ꯗꯛꯇ ꯑꯗꯨꯅꯥ ꯏꯁꯤꯡꯗꯥ ꯆꯦꯟꯊꯈꯤ, ꯁꯣꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯁꯉ꯭ꯒꯣꯝ ꯅꯠꯇꯕꯥ ꯑꯇꯩ ꯐ꯭ꯂꯨꯏꯗ (ꯃꯔꯨꯑꯣꯏꯅꯥ ꯏꯒꯤ ꯃꯆꯨ) ꯂꯤꯛ ꯑꯣꯏꯕꯥ꯫
• ꯑꯥꯔꯃꯄꯤꯠ ꯂꯝꯄꯁ (armpit lumps): ꯈꯨꯠꯅꯥ ꯁꯣꯀꯄꯥ (armpit area) (armpit area) (armpit area) (armpit area) (armpit area)꯫
• ꯊꯥꯒꯤ ꯑꯣꯏꯕꯥ ꯊꯥꯒꯤ ꯈꯣꯡꯀꯥꯄꯀꯥ ꯃꯔꯤ ꯂꯩꯅꯗꯕꯥ ꯑꯍꯣꯡꯕꯁꯤꯡ: ꯊꯥꯒꯤ ꯈꯣꯡꯀꯥꯄꯀꯤ ꯃꯃꯥꯡꯗꯥ ꯊꯣꯀꯄꯥ ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯕꯥ ꯑꯍꯣꯡꯕꯁꯤꯡꯒꯥ ꯃꯥꯟꯅꯗꯕꯥ ꯑꯍꯣꯡꯕꯁꯤꯡ꯫

ꯑꯥꯏ.ꯗꯤ.ꯁꯤ.ꯅꯥ ꯀꯔꯝꯅꯥ ꯂꯥꯌꯦꯡꯕꯒꯦ? (ꯗꯥꯏꯒ꯭ꯅꯣꯁꯤꯁ) ꯑꯃꯁꯨꯡ ꯑꯦꯟ.

ꯃꯍꯧꯁꯥꯅꯥ ꯑꯥꯏ.ꯗꯤ.ꯁꯤ.ꯅꯥ ꯑꯍꯥꯅꯕꯥ ꯑꯣꯏꯅꯥ ꯃꯦꯃꯣꯒ꯭ꯔꯥꯐꯇꯥ ꯑꯦꯕꯅꯣꯔꯃꯦꯂꯤꯇꯤ ꯑꯃꯥ ꯎꯕꯥ ꯃꯇꯃꯗꯥ ꯆꯤꯡꯅꯕꯥ ꯂꯩ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯗꯣꯛꯇꯔ ꯑꯃꯅꯥ ꯐꯤꯖꯤꯀꯦꯜ ꯑꯦꯀꯖꯥꯃꯤꯅꯦꯁꯟ ꯇꯧꯕꯥ ꯃꯇꯃꯗꯥ ꯂꯝ ꯑꯃꯥ ꯎꯕꯥ ꯐꯪꯒꯅꯤ꯫

1. ꯃꯦꯃꯣꯒ꯭ꯔꯥꯐ ꯑꯃꯁꯨꯡ ꯑꯂꯠꯔꯥꯁꯥꯎꯟꯗ: ꯃꯁꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯇꯦꯁ꯭ꯇꯁꯤꯡꯅꯤ꯫ ꯃꯦꯃꯣꯒ꯭ꯔꯥꯐ ꯑꯃꯅꯥ ꯕ꯭ꯔꯦꯁ꯭ꯇꯀꯤ ꯑꯦꯛꯁ-ꯔꯦ ꯄꯤꯀꯆꯔ ꯑꯃꯥ ꯂꯧꯏ꯫ ꯑꯂꯠꯔꯥꯁꯥꯎꯟꯗ ꯑꯃꯅꯥ ꯕ꯭ꯔꯦꯁ꯭ꯇꯀꯤ ꯃꯅꯨꯡꯗꯥ ꯂꯩꯕꯥ ꯇꯤꯁꯨꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯂꯝ ꯑꯃꯍꯦꯛꯇꯒꯤ ꯑꯐꯕꯥ ꯄꯤꯀꯆꯔ ꯑꯃꯥ ꯂꯧꯅꯕꯒꯤꯗꯃꯛ ꯁꯥꯎꯟꯗ ꯋꯦꯕ ꯁꯤꯖꯤꯟꯅꯩ꯫

2. ꯕꯥꯏꯑꯣꯞꯁꯤ: ꯃꯁꯤ ꯀꯦꯟꯁꯔ ꯑꯣꯏꯕꯔꯥ ꯅꯠꯔꯒꯥ ꯑꯣꯏꯗꯕꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯱꯰꯰% ꯀꯅꯐꯔꯝ ꯇꯧꯕꯥ ꯇꯦꯁ꯭ꯇꯅꯤ꯫ ꯃꯐꯝ ꯑꯁꯤꯗꯥ, ꯅꯤꯗꯂꯒꯤ ꯃꯇꯦꯡꯅꯥ ꯑꯀꯤꯕꯥ ꯄꯣꯀꯄꯥ ꯃꯐꯝ ꯑꯗꯨꯗꯒꯤ ꯌꯥꯝꯅꯥ ꯑꯄꯤꯀꯄꯥ ꯇꯤꯁ꯭ꯌꯨ ꯑꯃꯥ ꯂꯧꯊꯣꯀꯏ ꯑꯃꯁꯨꯡ ꯃꯥꯏꯛꯔꯣꯁ꯭ꯀꯣꯄꯀꯤ ꯃꯈꯥꯗꯥ ꯌꯦꯡꯁꯤꯜꯂꯤ꯫ ꯇꯦꯁ꯭ꯠ ꯑꯁꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯈꯛꯇꯗꯥ ꯑꯩꯈꯣꯌꯅꯥ ꯀꯦꯟꯁꯔ ꯁꯦꯂꯁꯤꯡ ꯂꯩꯕ꯭ꯔꯥ ꯅꯠꯔꯒꯥ ꯂꯩꯇꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯁꯣꯏꯗꯅꯥ ꯈꯉꯕꯥ ꯉꯃꯒꯅꯤ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯕꯥꯏꯑꯣꯞꯁꯤ ꯔꯤꯄꯣꯔꯠ ꯑꯗꯨꯅꯥ ꯃꯁꯤ ꯀꯦꯟꯁꯔꯅꯤ ꯍꯥꯌꯅꯥ ꯀꯅꯐꯥꯔꯝ ꯇꯧꯔꯕꯗꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯑꯍꯦꯅꯕꯥ ꯇꯦꯁ꯭ꯠ ꯀꯌꯥ ꯑꯃꯥ ꯇꯧꯅꯕꯥ ꯑꯣꯔꯗꯔ ꯇꯧꯒꯅꯤ꯫ ꯃꯁꯤ ꯀꯦꯟꯁꯔ ꯑꯁꯤ ꯀꯌꯥ ꯌꯥꯝꯅꯥ ꯆꯥꯎꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯆꯨꯝꯅꯥ ꯈꯉꯗꯣꯛꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯃꯁꯤ ꯁꯟꯗꯣꯀꯈꯤꯕꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯈꯉꯗꯣꯀꯄꯅꯤ꯫ ꯃꯁꯤꯒꯤꯗꯃꯛꯇꯥ `ꯁꯤ.ꯇꯤ.ꯁ꯭ꯀꯦꯟ`, `ꯄꯤ.ꯏ.ꯇꯤ.ꯁ꯭ꯀꯦꯟ`, `ꯑꯦꯝ.ꯑꯥꯔ.ꯑꯥꯏ.`ꯒꯨꯝꯕꯥ ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯁꯤꯖꯤꯟꯅꯕꯥ ꯌꯥꯏ꯫

ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯑꯣꯄꯁꯅꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?

ꯑꯥꯏ.ꯗꯤ.ꯁꯤ.ꯒꯤ ꯂꯥꯏꯌꯦꯡꯒꯤ ꯑꯣꯄꯁꯟ ꯀꯌꯥ ꯂꯩ꯫ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯃꯦꯗꯤꯀꯦꯜ ꯇꯤꯃꯅꯥ ꯅꯍꯥꯛꯀꯤꯗꯃꯛꯇꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯥ ꯂꯥꯏꯌꯦꯡꯒꯤ ꯄ꯭ꯂꯥꯟ ꯑꯗꯨ ꯂꯦꯄꯀꯅꯤ꯫ ꯃꯁꯤꯅꯥ ꯀꯦꯟꯁꯔꯒꯤ ꯁ꯭ꯇꯦꯖ, ꯃꯁꯤꯒꯤ ꯁꯥꯏꯖ, ꯑꯃꯁꯨꯡ ꯃꯁꯤ ꯍꯣꯔꯃꯣꯟ ꯔꯤꯁꯦꯄꯇꯔ-ꯄꯣꯖꯤꯇꯤꯕ ꯑꯣꯏꯕꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯌꯥꯑꯣꯅꯥ ꯐꯦꯛꯇꯔ ꯀꯌꯥ ꯌꯦꯡꯁꯤꯅꯒꯅꯤ꯫

ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯄꯥꯝꯕꯩꯁꯤꯡꯗꯤ:

• ꯂꯦꯟꯕ:
• ꯂꯝꯄꯦꯛꯇꯣꯃꯤ (lumpectomy): ꯃꯁꯤꯗꯥ ꯀꯦꯟꯁꯔꯒꯤ ꯇꯤꯎꯃꯔ ꯑꯃꯁꯨꯡ ꯃꯁꯤꯒꯤ ꯑꯀꯣꯌꯕꯗꯥ ꯂꯩꯕꯥ ꯍꯀꯁꯦꯜ ꯐꯕꯥ ꯇꯤꯁꯨ ꯈꯔꯥ ꯂꯧꯊꯣꯀꯄꯥ ꯌꯥꯎꯏ꯫
• ꯃꯦꯁ꯭ꯇꯦꯛꯇꯣꯃꯤ (Mastectomy): ꯃꯁꯤ ꯕ꯭ꯔꯦꯁ꯭ꯠ ꯄꯨꯝꯅꯃꯛ ꯁꯔꯖꯤꯀꯦꯜ ꯑꯣꯏꯅꯥ ꯂꯧꯊꯣꯀꯄꯅꯤ꯫
• ꯔꯦꯗꯤꯑꯦꯁꯟ ꯊꯦꯔꯥꯄꯤ: ꯍꯥꯏ-ꯑꯦꯅꯔꯖꯤ ꯔꯦ ꯑꯁꯤ ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯂꯦꯡꯗꯅꯥ ꯂꯩꯕꯥ ꯌꯥꯕꯥ ꯀꯦꯟꯁꯔ ꯁꯦꯜ ꯑꯃꯍꯦꯛꯇꯕꯨ ꯃꯥꯡꯍꯅꯕꯥ ꯉꯝꯃꯤ꯫
• ꯀꯦꯃꯣꯊꯦꯔꯥꯄꯤ: ꯃꯁꯤ ꯍꯀꯆꯥꯡ ꯄꯨꯝꯕꯗꯥ ꯁꯟꯗꯣꯀꯈ꯭ꯔꯕꯥ ꯀꯦꯟꯁꯔ ꯁꯦꯂꯁꯤꯡꯕꯨ ꯍꯥꯠꯅꯕꯥ ꯄꯤꯕꯥ ꯁꯛꯇꯤ ꯂꯩꯕꯥ ꯍꯤꯗꯥꯀꯁꯤꯡꯅꯤ꯫ ꯃꯈꯣꯌ ꯑꯁꯤ ꯁꯔꯖꯔꯤꯒꯤ ꯃꯃꯥꯡꯗꯥ ꯇꯤꯎꯃꯔ ꯑꯗꯨ ꯁꯣꯟꯊꯍꯟꯅꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯃꯇꯨꯡꯗꯥ ꯂꯦꯃꯍꯧꯔꯤꯕꯥ ꯁꯦꯜ ꯑꯃꯠꯇꯥ ꯍꯥꯠꯅꯕꯥ ꯄꯤ꯫
• ꯍꯣꯔꯃꯣꯟ ꯊꯦꯔꯥꯄꯤ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯀꯦꯟꯁꯔ ꯑꯗꯨ ꯍꯣꯔꯃꯣꯟ-ꯁꯦꯟꯁꯤꯇꯤꯚ (HR+) ꯑꯣꯏꯔꯕꯗꯤ, ꯏꯁ꯭ꯠꯔꯣꯖꯦꯅꯒꯨꯝꯕꯥ ꯍꯣꯔꯃꯣꯅꯁꯤꯡꯒꯤ ꯑꯦꯛꯁꯟ ꯊꯤꯡꯅꯕꯥ ꯗ꯭ꯔꯒꯁꯤꯡ ꯄꯤ꯫
• ꯇꯥꯔꯒꯦꯠ ꯇꯧꯔꯕꯥ ꯊꯦꯔꯥꯄꯤ: ꯗ꯭ꯔꯒꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯀꯦꯟꯁꯔ ꯁꯦꯂꯁꯤꯡꯒꯤ ꯆꯥꯎꯈꯠꯄꯗꯥ ꯁꯣꯀꯍꯜꯂꯤꯕꯥ ꯑꯀꯛꯅꯕꯥ ꯇꯥꯔꯒꯦꯠꯁꯤꯡꯗꯥ ꯊꯕꯛ ꯇꯧꯏ꯫
• ꯏꯝꯝꯌꯨꯅꯣꯊꯦꯔꯥꯄꯤ: ꯱.ꯃꯁꯤꯅꯥ ꯍꯀꯆꯥꯡꯒꯤ ꯃꯁꯥꯒꯤ ꯏꯝꯝꯌꯨꯟ ꯁꯤꯁ꯭ꯇꯦꯃꯕꯨ ꯊꯧꯅꯥ ꯍꯥꯞꯂꯤ, ꯃꯁꯤꯅꯥ ꯀꯦꯟꯁꯔ ꯁꯦꯂꯁꯤꯡ ꯈꯉꯗꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯃꯥꯡꯍꯟ ꯇꯥꯀꯍꯅꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫

ꯅꯍꯥꯛꯅꯥ ꯂꯥꯏꯌꯦꯡꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯗꯤ ꯅꯠꯠꯔꯒꯥ ꯀꯝꯕꯤꯅꯦꯁꯟ ꯑꯃꯥ ꯄꯤꯕꯥ ꯌꯥꯏ꯫ ꯂꯥꯏꯌꯦꯡꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯁꯥꯏꯗ ꯏꯐꯦꯛꯇ ꯈꯔꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯕꯨ ꯍꯧꯖꯤꯛꯇꯤ ꯃꯈꯣꯌ ꯀꯌꯥꯕꯨ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯅꯕꯒꯤ ꯄꯥꯝꯕꯩ ꯂꯩꯔꯦ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯑꯃꯨꯛꯇꯪ ꯋꯥꯔꯤ ꯁꯥꯅꯕꯗꯥ ꯂꯥꯡꯇꯛꯅꯒꯅꯨ꯫

ꯍꯧꯖꯤꯛ ꯗꯛꯇꯜ ꯀꯥꯔꯁꯤꯅꯣꯃꯥ ꯏꯟ ꯁꯤꯇꯨ (ꯗꯤ.ꯁꯤ.ꯑꯥꯏ.ꯑꯦꯁ.) ꯌꯦꯡꯁꯤ꯫

ꯑꯩꯈꯣꯌꯅꯥ ꯃꯃꯥꯡꯗꯥ ꯍꯥꯌꯈꯤꯕꯒꯨꯝꯅꯥ ꯗꯤ.ꯁꯤ.ꯑꯥꯏ.ꯑꯦꯁ.ꯅꯥ ꯅꯟ-ꯏꯅꯚꯦꯁꯤꯕ ꯀꯦꯟꯁꯔ ꯑꯃꯅꯤ ꯑꯃꯁꯨꯡ ꯃꯁꯤ ꯁꯉ꯭ꯒꯣꯃꯒꯤ ꯊꯣꯡꯅꯥꯎꯁꯤꯡꯒꯤ ꯃꯄꯥꯟꯗꯥ ꯁꯟꯗꯣꯀꯈꯤꯗꯦ꯫ ꯃꯁꯤ ꯀꯦꯟꯁꯔꯒꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯑꯍꯥꯅꯕꯥ ꯁ꯭ꯇꯦꯖꯅꯤ, ꯅꯠꯠꯔꯒꯥ ꯁ꯭ꯇꯦꯖ 0ꯒꯤ ꯀꯦꯟꯁꯔꯒꯤ ꯁ꯭ꯇꯦꯖꯅꯤ꯫

ꯗꯤ.ꯁꯤ.ꯑꯥꯏ.ꯑꯦꯁ.ꯀꯤ ꯂꯥꯏꯑꯣꯡ ꯑꯃꯁꯨꯡ ꯂꯥꯏꯌꯦꯡ꯫

DCISꯅꯥ ꯅꯥꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯌꯥꯝꯕꯗꯤ ꯂꯥꯏꯑꯣꯡ ꯑꯃꯠꯇꯥ ꯎꯕꯥ ꯐꯪꯗꯦ꯫ ꯃꯍꯧꯁꯥꯅꯥ ꯃꯁꯤ ꯃꯦꯃꯣꯒ꯭ꯔꯥꯐꯀꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯈꯪꯗꯣꯀꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯈꯣꯝꯂꯥꯡꯗꯥ ꯂꯪꯁꯤꯅꯕꯥ (lump) ꯅꯠꯠꯔꯒꯥ ꯌꯦꯅꯒꯣꯟꯗꯒꯤ ꯏ ꯊꯣꯀꯄꯥ ꯑꯁꯤꯅꯆꯤꯡꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯎꯕꯥ ꯐꯪꯏ꯫

ꯗꯤ.ꯁꯤ.ꯑꯥꯏ.ꯑꯦꯁ.ꯀꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯂꯥꯏꯌꯦꯡꯗꯤ ꯁꯔꯖꯔꯤꯅꯤ꯫

• ꯂꯝꯄꯦꯛꯇꯣꯃꯤ (ꯇꯤꯎꯃꯔ ꯈꯛꯇꯃꯛ ꯂꯧꯊꯣꯀꯄꯥ) ꯑꯁꯤ ꯑꯌꯥꯝꯕꯗꯤ ꯔꯦꯗꯤꯑꯦꯁꯟ ꯊꯦꯔꯥꯄꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯄꯥꯡꯊꯣꯀꯏ .
• ꯑꯈꯟꯅꯕꯥ ꯀꯦꯁ ꯈꯔꯗꯗꯤ (ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯀꯔꯤꯒꯨꯝꯕꯥ DCIS ꯑꯁꯤ ꯕ꯭ꯔꯦꯁ꯭ꯠ ꯄꯨꯝꯅꯃꯛꯇꯥ ꯁꯟꯗꯣꯀꯈ꯭ꯔꯕꯗꯤ) ꯃꯦꯁ꯭ꯇꯦꯛꯇꯣꯃꯤ (ꯕ꯭ꯔꯦꯁ꯭ꯠ ꯄꯨꯝꯅꯃꯛ ꯂꯧꯊꯣꯀꯄꯥ) ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯏ꯫

ꯃꯍꯧꯁꯥꯅꯥ ꯗꯤ.ꯁꯤ.ꯑꯥꯏ.ꯑꯦꯁ.ꯀꯤ ꯀꯦꯁꯁꯤꯡꯗꯥ ꯀꯦꯃꯣꯊꯦꯔꯥꯄꯤ ꯃꯊꯧ ꯇꯥꯗꯦ꯫

ꯀꯦꯟꯁꯔꯒꯤ ꯔꯤꯁ꯭ꯛ ꯍꯟꯊꯍꯟꯅꯕꯥ ꯑꯩꯈꯣꯌꯅꯥ ꯀꯔꯤ ꯇꯧꯕꯥ ꯌꯥꯕꯒꯦ?

ꯑꯩꯈꯣꯌꯅꯥ ꯔꯤꯁ꯭ꯛ ꯐꯦꯛꯇꯔ ꯈꯔꯗꯤ ꯍꯣꯡꯗꯣꯀꯄꯥ ꯉꯃꯗꯦ, ꯍꯥꯌꯕꯗꯤ ꯍꯦꯔꯤꯇꯦꯖ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯑꯩꯈꯣꯌꯒꯤ ꯄꯨꯟꯁꯤ ꯃꯍꯤꯡ ꯍꯣꯡꯗꯣꯀꯄꯅꯥ ꯕ꯭ꯔꯦꯁ꯭ꯠ ꯀꯦꯟꯁꯔꯒꯤ ꯔꯤꯁ꯭ꯛ ꯑꯁꯤ ꯆꯥꯡ ꯈꯔꯗꯥ ꯍꯟꯊꯍꯅꯕꯥ ꯉꯝꯃꯤ꯫

• ꯌꯨ ꯊꯀꯄꯥ ꯊꯤꯡꯕꯥ: ꯌꯨ ꯊꯀꯄꯥ ꯌꯥꯗꯕꯅꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯩ꯫
• ꯍꯀꯁꯦꯜ ꯐꯕꯥ ꯑꯔꯨꯝꯕꯥ ꯑꯃꯥ ꯊꯝꯕꯥ: ꯑꯣꯕꯦꯁꯤꯇꯤ ꯑꯁꯤ ꯔꯤꯁ꯭ꯛ ꯑꯃꯅꯤ꯫
• ꯑꯦꯛꯇꯤꯕ ꯑꯣꯏꯌꯨ: ꯅꯨꯃꯤꯠ ꯈꯨꯗꯤꯡꯒꯤ ꯌꯥꯃꯗ꯭ꯔꯕꯗꯥ ꯃꯤꯅꯠ 150 ꯔꯣꯝ ꯈꯣꯡꯅꯥ ꯆꯠꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯈꯣꯡꯅꯥ ꯆꯠꯄꯥ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯇꯧꯕꯥ꯫
• ꯃꯩꯈꯨ ꯊꯥꯗꯣꯀꯄꯥ ꯊꯤꯡꯖꯤꯜꯂꯨ꯫
• ꯆꯥꯡ ꯃꯥꯟꯅꯕꯥ ꯗꯥꯏꯠ ꯑꯃꯥ ꯆꯥꯕꯤꯌꯨ: ꯎꯍꯩ-ꯋꯥꯍꯩ ꯑꯃꯁꯨꯡ ꯃꯅꯥ-ꯃꯁꯤꯡ ꯌꯥꯝꯅꯥ ꯌꯥꯎꯕꯥ ꯗꯥꯏꯠ ꯑꯃꯥ ꯆꯥꯕꯤꯌꯨ꯫
• ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡꯁꯤꯡꯗꯥ ꯈꯣꯝꯂꯥꯡ ꯄꯤꯊꯀꯎ: ꯈꯣꯝꯂꯥꯡ ꯄꯤꯊꯀꯄꯅꯥ ꯕ꯭ꯔꯦꯁ꯭ꯠ ꯀꯦꯟꯁꯔꯒꯤ ꯔꯤꯁ꯭ꯛ ꯍꯟꯊꯍꯅꯕꯥ ꯉꯝꯃꯤ ꯍꯥꯌꯕꯥ ꯈꯪꯂꯦ꯫
• ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯤ ꯄꯥꯎꯇꯥꯛ ꯏꯅꯒꯗꯕꯅꯤ: ꯅꯍꯥꯛꯀꯤ ꯏꯃꯨꯡꯒꯤ ꯀꯦꯟꯁꯔꯒꯤ ꯍꯤꯁ꯭ꯇꯔꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯋꯥꯔꯤ ꯁꯥꯕꯤꯌꯨ꯫ ꯃꯦꯃꯣꯒ꯭ꯔꯥꯐꯒꯨꯝꯕꯥ ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯁ꯭ꯛꯔꯤꯅꯤꯡ ꯇꯧꯕꯥ꯫