ꯑꯦꯅꯍꯦꯔꯇꯨ: ꯕ꯭ꯔꯦꯁ꯭ꯠ ꯀꯦꯟꯁꯔꯒꯤ ꯗ꯭ꯔꯒ ꯑꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯄꯨꯝꯅꯃꯛ ꯏꯆꯝ ꯆꯝꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯈꯉꯂꯁꯤ꯫

ꯅꯍꯥꯛ ꯅꯠꯠꯔꯒꯥ ꯅꯍꯥꯛꯀꯥ ꯅꯛꯅꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯅꯥ ꯕ꯭ꯔꯦꯁ꯭ꯠ ꯀꯦꯟꯁꯔꯅꯥ ꯅꯥꯔꯦ ꯍꯥꯌꯅꯥ ꯈꯪꯂꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯅꯍꯥꯛꯅꯥ ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ‘ HER2-Positive ’ ꯅꯠꯠꯔꯒꯥ ‘HER2-low’ꯒꯨꯝꯕꯥ ꯋꯥꯍꯩꯁꯤꯡ ꯁꯤꯖꯤꯟꯅꯕꯥ ꯇꯥꯕꯥ ꯌꯥꯏ꯫ ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯇꯁꯦꯡꯅꯥ ꯀꯦꯟꯁꯔ ꯁꯦꯂꯁꯤꯡꯒꯤ ꯃꯈꯂꯁꯤꯡ ꯐꯣꯡꯗꯣꯛꯅꯕꯒꯤꯗꯃꯛꯇꯥ ꯁꯤꯖꯤꯟꯅꯔꯤꯕꯥ ꯃꯤꯡꯁꯤꯡꯅꯤ꯫ ꯍꯧꯖꯤꯛ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯃꯈꯂꯒꯤ ꯀꯦꯟꯁꯔꯁꯤꯡ ꯑꯁꯤ ꯂꯥꯌꯦꯡꯅꯕꯥ ꯑꯅꯧꯕꯥ, ꯑꯍꯣꯡꯕꯥ ꯍꯤꯗꯥꯀꯁꯤꯡ ꯂꯩꯔꯦ꯫ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯑꯈꯟꯅꯕꯥ ꯍꯤꯗꯥꯛ ꯑꯃꯗꯤ ꯑꯦꯅꯍꯦꯔꯇꯨꯅꯤ꯫ ꯉꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯏꯆꯝ ꯆꯝꯕꯥ, ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯂꯧꯁꯤꯅꯕꯥ ꯌꯥꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯒꯅꯤ꯫

ꯑꯦꯅꯍꯦꯔꯇꯨ ꯍꯥꯌꯕꯁꯤ ꯀꯔꯝꯕꯥ ꯃꯈꯂꯒꯤ ꯍꯤꯗꯥꯛꯅꯣ? ꯃꯁꯤ ꯀꯔꯝꯅꯥ ꯊꯕꯛ ꯇꯧꯕꯒꯦ?

ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯑꯦꯅꯍꯦꯔꯇꯨ ꯑꯁꯤ ꯄꯥꯟꯗꯝ ꯊꯝꯂꯤꯕꯥ ꯊꯦꯔꯥꯄꯤ ꯑꯃꯅꯤ . ꯆꯨꯝꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯃꯁꯤ ꯑꯦꯟꯇꯤꯕꯣꯗꯤ-ꯗ꯭ꯔꯒ ꯀꯟꯖꯨꯒꯦꯠ (ꯑꯦ.ꯗꯤ.ꯁꯤ.) ꯀꯧꯕꯥ ꯗ꯭ꯔꯒ ꯃꯈꯜ ꯑꯃꯅꯤ꯫ꯃꯃꯤꯡ ꯑꯁꯤ ꯈꯔꯥ ꯍꯦꯟꯅꯥ ꯂꯨꯝꯂꯕꯁꯨ, ꯃꯁꯤꯒꯤ ꯊꯕꯛ ꯇꯧꯕꯒꯤ ꯃꯑꯣꯡ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯑꯉꯀꯄꯅꯤ꯫

ꯍꯤꯗꯥꯛ ꯑꯁꯤ ꯁ꯭ꯃꯥꯔꯠ ꯃꯤꯁꯥꯏꯜ ꯑꯃꯥ ꯑꯣꯏꯅꯥ ꯈꯅꯕꯤꯌꯨ꯫ ꯃꯁꯤ ꯁꯔꯨꯛ ꯑꯍꯨꯝ ꯊꯣꯛꯅꯥ ꯁꯦꯝꯕꯅꯤ:

1. ꯇꯥꯔꯒꯦꯠ-ꯐꯥꯏꯟꯗꯤꯡ ꯄꯥꯔꯠ (ꯑꯦꯟꯇꯤꯕꯣꯗꯤ): ꯁꯔꯨꯛ ꯑꯁꯤꯅꯥ ꯀꯦꯟꯁꯔ ꯁꯦꯂꯁꯤꯡꯒꯤ ꯃꯊꯛꯇꯥ HER2 ꯀꯧꯕꯥ ꯑꯈꯟꯅꯕꯥ ꯄ꯭ꯔꯣꯇꯤꯟ ꯑꯃꯥ ꯊꯤꯗꯨꯅꯥ ꯃꯗꯨꯗꯥ ꯌꯥꯑꯣꯏ꯫ ꯁꯔꯨꯛ ꯑꯁꯤꯒꯤ ꯊꯕꯛ ꯑꯁꯤ ꯍꯀꯆꯥꯡ ꯐꯕꯥ ꯁꯦꯂꯁꯤꯡꯗꯥ ꯑꯀꯥꯌꯕꯥ ꯄꯤꯗꯅꯥ, ꯀꯦꯟꯁꯔ ꯁꯦꯜ ꯈꯛꯇꯃꯛ ꯈꯅꯒꯠꯂꯒꯥ ꯈꯉꯗꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯉꯥꯀꯊꯣꯀꯄꯅꯤ꯫

2. ꯄꯦꯂꯣꯗ: ꯃꯁꯤ ꯀꯦꯟꯁꯔ ꯁꯦꯂꯁꯤꯡꯕꯨ ꯍꯥꯠꯄꯥ ꯗ꯭ꯔꯒꯅꯤ꯫ ꯆꯨꯝꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ ꯃꯁꯤ ꯁꯛꯇꯤ ꯂꯩꯕꯥ ꯀꯦꯃꯣꯊꯦꯔꯥꯄꯤ ꯃꯈꯜ ꯑꯃꯅꯤ꯫

3. ꯑꯅꯤ ꯑꯁꯤꯕꯨ ꯁꯝꯅꯍꯜꯂꯤꯕꯥ ꯁꯔꯨꯛ (ꯂꯤꯉ꯭ꯀꯔ): ꯃꯊꯛꯇꯥ ꯄꯅꯈ꯭ꯔꯤꯕꯥ ꯁꯔꯨꯛ ꯑꯅꯤ ꯑꯁꯤ ꯂꯤꯉ꯭ꯀꯔ ꯑꯁꯤꯅꯥ ꯄꯨꯟꯅꯥ ꯁꯝꯅꯍꯜꯂꯤ꯫

ꯑꯗꯨꯅꯥ, ꯅꯍꯥꯛꯅꯥ ꯗ꯭ꯔꯒ ꯑꯁꯤ ꯄꯤꯕꯥ ꯃꯇꯃꯗꯥ, ꯃꯁꯤꯒꯤ ꯑꯦꯟꯇꯤꯕꯣꯗꯤꯒꯤ ꯁꯔꯨꯛ ꯑꯗꯨ HER2 ꯄ꯭ꯔꯣꯇꯤꯟ ꯂꯩꯕꯥ ꯀꯦꯟꯁꯔ ꯁꯦꯂꯁꯤꯡꯗꯥ ꯍꯀꯊꯦꯡꯅꯅꯥ ꯆꯠꯂꯤ꯫ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ, ꯗ꯭ꯔꯒ ꯑꯗꯨ ꯁꯦꯜ ꯑꯗꯨꯗꯥ ꯁꯣꯀꯍꯜꯂꯤ꯫ ꯁꯦꯂꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯆꯪꯁꯤꯜꯂꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯀꯦꯃꯣꯒꯤ ꯁꯔꯨꯛ ꯑꯗꯨ ꯊꯥꯗꯣꯀꯏ ꯑꯃꯁꯨꯡ ꯀꯦꯟꯁꯔ ꯁꯦꯜ ꯑꯗꯨ ꯃꯥꯡꯍꯜꯂꯤ꯫ ꯀꯦꯟꯁꯔ ꯁꯦꯂꯁꯤꯡ ꯁꯤꯔꯀꯄꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯀꯦꯟꯁꯔ ꯁꯦꯂꯁꯤꯡ ꯑꯁꯤ ꯁꯣꯟꯊꯔꯀꯏ ꯑꯃꯁꯨꯡ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ ꯂꯦꯄꯈꯤ꯫

ꯃꯁꯤꯒꯤ ꯄꯥꯝꯕꯩ ꯑꯁꯤꯒꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯆꯥꯎꯕꯥ ꯀꯥꯟꯅꯕꯗꯤ ꯗ꯭ꯔꯒ ꯑꯁꯤꯅꯥ ꯀꯦꯟꯁꯔ ꯁꯦꯜ ꯈꯛꯇꯗꯥ ꯍꯀꯊꯦꯡꯅꯅꯥ ꯄꯥꯟꯗꯝ ꯊꯝꯂꯤ, ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯍꯀꯆꯥꯡ ꯐꯕꯥ ꯁꯦꯂꯁꯤꯡꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯍꯟꯊꯍꯜꯂꯤ꯫

ꯑꯦꯅꯍꯦꯔꯇꯨ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯄꯤꯕꯒꯦ?

ꯑꯦꯅꯍꯦꯔꯇꯨ ꯍꯥꯌꯕꯁꯤ ꯏꯅꯠꯔꯥꯚꯦꯅꯁ ꯑꯣꯏꯅꯥ ꯄꯤꯕꯥ ꯍꯤꯗꯥꯛ ꯑꯃꯅꯤ꯫ ꯃꯁꯤꯅꯥ ꯇꯥꯀꯄꯗꯤ ꯃꯁꯤ ꯁꯦꯂꯥꯏꯟ ꯁꯣꯜꯌꯨꯁꯟ (IV ꯏꯅꯐ꯭ꯌꯨꯖꯟ) ꯑꯃꯥ ꯑꯣꯏꯅꯥ ꯍꯀꯆꯥꯡꯗꯥ ꯄꯤ꯫ ꯃꯁꯤꯒꯤ ꯂꯥꯏꯌꯦꯡ ꯑꯁꯤ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯜ, ꯀ꯭ꯂꯤꯅꯤꯛ ꯅꯠꯠꯔꯒꯥ ꯁ꯭ꯄꯦꯁꯤꯑꯦꯂꯥꯏꯖ ꯇ꯭ꯔꯤꯇꯃꯦꯟꯇ ꯁꯦꯟꯇꯔ ꯑꯃꯗꯥ ꯂꯩꯕꯥ ꯍꯦꯂꯊꯀꯦꯌꯔ ꯄ꯭ꯔꯣꯐꯦꯁꯅꯦꯜ ꯑꯃꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯄꯤꯒꯅꯤ꯫

• ꯃꯇꯝ: ꯂꯥꯏꯌꯦꯡ ꯑꯁꯤ ꯃꯍꯧꯁꯥꯅꯥ ꯅꯨꯃꯤꯠ 3ꯅꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯨꯛ ꯄꯤꯖꯩ .
• ꯗꯣꯖ: ꯅꯍꯥꯛꯅꯥ ꯃꯊꯧ ꯇꯥꯔꯤꯕꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛꯀꯤ ꯆꯥꯡ ꯑꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯑꯔꯨꯝꯕꯥ ꯑꯗꯨꯅꯥ ꯂꯦꯞꯄꯤ꯫ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯃꯗꯨ ꯑꯆꯨꯝꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯂꯦꯄꯊꯣꯛꯀꯅꯤ ꯑꯃꯁꯨꯡ ꯄ꯭ꯔꯦꯁ꯭ꯛꯔꯥꯏꯕ ꯇꯧꯒꯅꯤ꯫
• ꯃꯇꯃꯒꯤ ꯂꯤꯃꯤꯠ: ꯱.ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯀꯦꯟꯁꯔꯅꯥ ꯍꯤꯗꯥꯛ ꯑꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯐꯖꯅꯥ ꯔꯦꯁꯄꯣꯟꯁ ꯇꯧꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯌꯥꯔꯤꯕꯃꯈꯩ ꯂꯥꯏꯌꯦꯡ ꯑꯁꯤ ꯃꯈꯥ ꯆꯠꯊꯅꯕꯥ ꯄꯥꯎꯇꯥꯛ ꯄꯤꯒꯅꯤ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯁꯥꯏꯗ ꯏꯐꯦꯛꯇ ꯈꯔꯥ ꯊꯦꯡꯅꯔꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯍꯤꯗꯥꯛ ꯑꯗꯨꯒꯤ ꯗꯣꯖ ꯑꯗꯨ ꯍꯣꯡꯗꯣꯀꯄꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯏ, ꯂꯥꯏꯌꯦꯡ ꯑꯗꯨ ꯃꯇꯝ ꯈꯔꯒꯤ ꯑꯣꯏꯅꯥ ꯊꯤꯡꯖꯤꯅꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯊꯤꯡꯖꯤꯅꯕꯥ ꯐꯥꯎꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯏ꯫ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯍꯥꯌꯔꯤꯕꯥ ꯄꯨꯝꯅꯃꯛ ꯑꯁꯤ ꯅꯍꯥꯛꯀꯥ ꯈꯟꯅꯒꯅꯤ ꯑꯃꯁꯨꯡ ꯋꯥꯔꯦꯞ ꯂꯧꯒꯅꯤ꯫

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ꯑꯦꯅꯍꯦꯔꯇꯨ ꯗ꯭ꯔꯒ ꯑꯁꯤ ꯇꯁꯦꯡꯅꯥ ꯀꯌꯥ ꯌꯥꯝꯅꯥ ꯏꯐꯦꯛꯇꯤꯕ ꯑꯣꯏꯕꯒꯦ?

ꯑꯦꯅꯍꯦꯔꯇꯨ ꯗ꯭ꯔꯒ ꯑꯁꯤꯒꯤ ꯏꯐꯦꯛꯇꯤꯕꯅꯦꯁ ꯊꯤꯖꯤꯜꯂꯤꯕꯥ ꯀ꯭ꯂꯤꯅꯤꯀꯦꯜ ꯇ꯭ꯔꯥꯏꯑꯦꯜ ꯑꯅꯤꯅꯥ ꯌꯥꯝꯅꯥ ꯐꯕꯥ ꯐꯂꯁꯤꯡ ꯐꯪꯂꯦ꯫

ꯑꯦꯅꯍꯦꯔꯇꯨ ꯑꯃꯁꯨꯡ ꯀꯥꯗꯁꯤꯂꯥꯒꯤ ꯆꯥꯡꯗꯝꯅꯕꯥ (DESTINY-Breast03 ꯇ꯭ꯔꯥꯏꯑꯦꯜ)

ꯇ꯭ꯔꯥꯏꯑꯦꯜ ꯑꯁꯤꯗꯥ ꯑꯦꯅꯍꯦꯔꯇꯨ ꯑꯁꯤ HER2''ꯗꯥ ꯄꯥꯟꯗꯝ ꯊꯝꯂꯤꯕꯥ ꯑꯇꯣꯞꯄꯥ ꯗ꯭ꯔꯒ ꯀꯥꯗꯁꯤꯂꯥ (ꯑꯦꯗꯣ-ꯇ꯭ꯔꯥꯁ꯭ꯇꯨꯖꯨꯃꯕ ꯏꯃꯇꯥꯅꯁꯤꯟ)ꯒꯥ ꯆꯥꯡꯗꯝꯅꯈꯤ꯫ꯃꯁꯤꯒꯤ ꯐꯂꯁꯤꯡ ꯑꯁꯤ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯇꯦꯕꯜ ꯑꯁꯤꯗꯥ ꯎꯠꯂꯤ꯫

ꯑꯦꯅꯍꯦꯔꯇꯨ ꯑꯃꯁꯨꯡ ꯀꯦꯃꯣꯊꯦꯔꯥꯄꯤꯒꯤ ꯆꯥꯡꯗꯝꯅꯕꯥ (DESTINY-Breast04 ꯇ꯭ꯔꯥꯏꯑꯦꯜ)

ꯇ꯭ꯔꯥꯏꯑꯦꯜ ꯑꯁꯤꯅꯥ ꯑꯦꯅꯍꯦꯔꯇꯨ ꯑꯁꯤ ꯁ꯭ꯇꯦꯟꯗꯔꯗ ꯀꯦꯃꯣꯊꯦꯔꯥꯄꯤꯒꯥ ꯆꯥꯡꯗꯝꯅꯈꯤ꯫

ꯗꯦꯇꯥ ꯑꯁꯤꯅꯥ ꯇꯥꯛꯂꯤ ꯃꯗꯨꯗꯤ ꯑꯦꯅꯍꯦꯔꯇꯨ ꯑꯁꯤ ꯍꯧꯖꯤꯛ ꯂꯩꯔꯤꯕꯥ ꯂꯥꯌꯦꯡ ꯈꯔꯗꯒꯤ ꯌꯥꯝꯅꯥ ꯍꯦꯟꯅꯥ ꯏꯐꯦꯛꯇꯤꯕ ꯑꯣꯏꯕꯥ ꯂꯥꯌꯦꯡ ꯑꯃꯅꯤ .

ꯑꯩꯒꯤ ꯐꯒꯠꯂꯀꯄꯒꯤ ꯃꯑꯣꯡ ꯃꯇꯧ ꯀꯔꯝꯅꯥ ꯌꯦꯡꯁꯤꯅꯒꯅꯤ?

ꯑꯦꯅꯍꯦꯔꯇꯨꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯍꯥꯅꯕꯥ ꯗꯣꯖ ꯑꯗꯨ ꯐꯪꯂꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯊꯕꯛ ꯍꯧꯏ꯫ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯍꯤꯗꯥꯛ ꯑꯗꯨꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡꯅꯥ ꯀꯔꯝꯅꯥ ꯔꯦꯁ꯭ꯄꯣꯟꯁ ꯇꯧꯔꯤꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯅꯕꯒꯤꯗꯃꯛ ꯇꯣꯉꯥꯟ-ꯇꯣꯉꯥꯅꯕꯥ ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯇꯧꯒꯅꯤ꯫

• ꯁ꯭ꯀꯦꯅꯁꯤꯡ: ꯃꯍꯧꯁꯥꯅꯥ ꯀꯦꯟꯁꯔꯒꯤ ꯄ꯭ꯔꯣꯒ꯭ꯔꯦꯁ ꯑꯗꯨ ꯌꯦꯡꯁꯤꯟꯅꯕꯥ ꯂꯥꯏꯌꯦꯡ ꯍꯧꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯅꯨꯃꯤꯠ 6ꯅꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯁ꯭ꯀꯦꯟ ꯑꯃꯥ ꯇꯧꯏ꯫ ꯃꯁꯤ ꯉꯟꯅꯥ ꯅꯠꯠꯔꯒꯥ ꯇꯨꯡꯗꯥ ꯄꯥꯡꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫
• ꯕ꯭ꯂꯗ ꯇꯦꯁ꯭ꯠ: ꯅꯍꯥꯛꯀꯤ ꯋꯥꯏꯠ ꯕ꯭ꯂꯗ ꯁꯦꯜ, ꯅ꯭ꯌꯨꯠꯔꯣꯐꯤꯜ ꯑꯃꯁꯨꯡ ꯄ꯭ꯂꯦꯇꯂꯦꯠ ꯀꯥꯎꯟꯇꯁꯤꯡ ꯌꯦꯡꯁꯤꯟꯅꯕꯥ ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯕ꯭ꯂꯗ ꯇꯦꯁ꯭ꯠ ꯇꯧꯏ꯫ ꯃꯁꯤꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯍꯤꯗꯥꯛ ꯑꯗꯨ ꯁꯥꯐꯅꯥ ꯃꯈꯥ ꯆꯠꯊꯕꯥ ꯉꯃꯒꯗ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯂꯦꯄꯊꯣꯀꯄꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯒꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯁꯥꯏꯗ ꯏꯐꯦꯛꯇꯁꯤꯡ, ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ ꯀꯣꯛ ꯅꯣꯟꯖꯔꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯃꯈꯣꯌꯗꯨ ꯌꯦꯡꯁꯤꯟꯅꯕꯥ ꯑꯇꯩ ꯑꯈꯟꯅꯕꯥ ꯇꯦꯁ꯭ꯇꯁꯤꯡꯁꯨ ꯇꯧꯕꯥ ꯌꯥꯏ꯫

ꯁꯥꯏꯗ ꯏꯐꯦꯛꯇ ꯑꯃꯁꯨꯡ ꯃꯈꯣꯌꯕꯨ ꯀꯔꯝꯅꯥ ꯃꯦꯅꯦꯖ ꯇꯧꯒꯗꯒꯦ?

ꯀꯦꯟꯁꯔ ꯂꯥꯌꯦꯡꯕꯗꯥ ꯁꯥꯏꯗ ꯏꯐꯦꯛꯇꯁꯤꯡ ꯑꯁꯤ ꯀꯃꯟ ꯑꯣꯏ꯫ ꯃꯁꯤ ꯑꯦꯅꯍꯦꯔꯇꯨꯒꯤꯗꯃꯛꯇꯁꯨ ꯑꯆꯨꯝꯕꯅꯤ꯫ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯋꯥꯐꯃꯗꯤ ꯅꯍꯥꯛꯅꯥ ꯊꯦꯡꯅꯔꯤꯕꯥ ꯁꯥꯏꯗ ꯏꯐꯦꯛꯇ ꯑꯃꯍꯦꯛꯇꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯈꯪꯍꯅꯕꯅꯤ꯫ ꯃꯍꯥꯛꯅꯥ ꯃꯈꯣꯌ ꯑꯁꯤ ꯁꯤꯔꯤꯌꯁ ꯑꯣꯏꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯂꯦꯄꯀꯅꯤ ꯑꯃꯁꯨꯡ ꯃꯈꯣꯌꯒꯤ ꯃꯔꯃꯗꯥ ꯀꯔꯤ ꯇꯧꯒꯗꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯅꯍꯥꯀꯄꯨ ꯈꯪꯍꯜꯂꯛꯀꯅꯤ꯫

ꯈꯣꯡ ꯍꯥꯝꯕꯥ ꯑꯃꯁꯨꯡ ꯋꯥꯈꯜ ꯆꯔꯥꯡꯅꯕꯥ ꯑꯁꯤꯅꯆꯤꯡꯕꯥ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯁꯥꯏꯗ ꯏꯐꯦꯛꯇꯁꯤꯡ ꯊꯤꯡꯅꯕꯒꯤꯗꯃꯛ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯍꯤꯗꯥꯛ ꯑꯗꯨ ꯄꯤꯗ꯭ꯔꯤꯉꯩꯗꯥ ꯂꯧꯒꯗꯕꯥ ꯑꯇꯩ ꯍꯤꯗꯥꯀꯁꯤꯡ ꯄꯤꯕꯥ ꯌꯥꯏ꯫ ꯍꯥꯌꯔꯤꯕꯥ ꯏꯅꯁ꯭ꯠꯔꯛꯁꯅꯁꯤꯡ ꯑꯗꯨ ꯑꯆꯨꯝꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯉꯥꯛꯅꯥ ꯆꯠꯄꯥ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫

ꯃꯁꯤꯒꯤ ꯃꯊꯛꯇꯥ, ꯅꯍꯥꯛꯅꯥ ꯋꯥꯈꯜ ꯆꯔꯥꯡꯅꯕꯥ, ꯈꯣꯡ ꯍꯥꯝꯕꯥ, ꯑꯃꯁꯨꯡ ꯗꯥꯏꯔꯤꯌꯥ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯅꯕꯥ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯏꯆꯝ ꯆꯝꯕꯥ ꯊꯕꯀꯁꯤꯡꯁꯨ ꯇꯧꯕꯥ ꯌꯥꯏ:

• ꯊꯥꯎ ꯑꯃꯁꯨꯡ ꯃꯅꯥ-ꯃꯁꯤꯡ ꯌꯥꯝꯅꯥ ꯌꯥꯎꯕꯥ ꯕ꯭ꯂꯥꯟꯗ ꯆꯤꯟꯖꯥꯀꯁꯤꯡ ꯆꯥꯒꯗꯕꯅꯤ꯫
• ꯑꯆꯧꯕꯥ ꯆꯤꯟꯖꯥꯛ ꯑꯍꯨꯃꯒꯤ ꯃꯍꯨꯠꯇꯥ, ꯅꯣꯡꯃꯗꯥ ꯑꯄꯤꯀꯄꯥ ꯆꯥꯅꯕꯥ ꯀꯌꯥ ꯆꯥꯒꯗꯕꯅꯤ꯫

ꯁꯥꯏꯗ ꯏꯐꯦꯛꯇ ꯈꯔꯒꯤ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛꯀꯤ ꯗꯣꯖ ꯑꯗꯨ ꯍꯟꯊꯍꯟꯅꯕꯥ, ꯃꯇꯝ ꯈꯔꯒꯤ ꯑꯣꯏꯅꯥ ꯂꯥꯏꯌꯦꯡ ꯊꯤꯡꯅꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯊꯤꯡꯅꯕꯥ ꯋꯥꯔꯦꯞ ꯂꯧꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯂꯩꯔꯣꯏꯗꯕꯅꯤ꯫ ꯃꯁꯤ ꯄꯨꯝꯅꯃꯛ ꯑꯁꯤ ꯑꯗꯣꯃꯒꯤ ꯁꯦꯐꯇꯤꯒꯤꯗꯃꯛꯇꯅꯤ꯫

ꯈꯪꯖꯤꯅꯒꯗꯕꯥ ꯑꯈꯟꯅꯕꯥ ꯆꯦꯀꯁꯤꯅꯋꯥ ꯑꯃꯥ ꯂꯩꯕ꯭ꯔꯥ?

ꯍꯣꯏ. ꯑꯦꯅꯍꯦꯔꯇꯨꯗꯥ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯕ꯭ꯂꯦꯛ ꯕꯣꯛꯁ ꯋꯥꯔꯅꯤꯡ ꯑꯃꯥ ꯂꯩꯔꯤ . ꯃꯁꯤ ꯑꯦꯐ.ꯗꯤ.ꯑꯦ.(ꯌꯨ.ꯑꯦꯁ. ꯐꯨꯗ ꯑꯃꯁꯨꯡ ꯗ꯭ꯔꯒ ꯑꯦꯗꯃꯤꯅꯤꯁ꯭ꯠꯔꯦꯁꯟ)ꯅꯥ ꯄꯤꯕꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯋꯥꯡꯕꯥ ꯆꯦꯀꯁꯤꯅꯋꯥꯅꯤ꯫

1. ꯄꯣꯀꯄꯥ ꯑꯉꯥꯡ ꯑꯗꯨꯗꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯍꯅꯕꯥ: ꯍꯤꯗꯥꯛ ꯑꯁꯤ ꯆꯥꯔꯤꯉꯩꯗꯥ ꯃꯤꯔꯣꯅꯕꯥ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯊꯤꯡꯒꯗꯕꯅꯤ꯫ ꯃꯁꯤꯅꯥ ꯄꯣꯀꯄꯥ ꯑꯉꯥꯡ ꯑꯃꯗꯥ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯅꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛ ꯅꯠꯠꯔꯒꯥ ꯅꯍꯥꯛꯀꯤ ꯄꯥꯔꯇꯅꯔ ꯑꯗꯨꯅꯥ ꯃꯤꯔꯣꯅꯕꯥ ꯊꯧꯔꯥꯡ ꯇꯧꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯁꯣꯌꯗꯅꯥ ꯈꯪꯍꯅꯕꯤꯌꯨ . ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯃꯇꯃꯗꯥ ꯁꯤꯖꯤꯟꯅꯒꯗꯕꯥ ꯃꯇꯤꯛ ꯆꯥꯕꯥ ꯕꯔꯊ ꯀꯟꯠꯔꯣꯜ ꯃꯦꯊꯗꯁꯤꯡꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯄꯥꯎꯇꯥꯛ ꯄꯤꯒꯅꯤ꯫

2. ꯂꯪꯁꯇꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯄꯥ: ꯍꯤꯗꯥꯛ ꯑꯁꯤꯅꯥ ꯏꯟꯇꯔꯁ꯭ꯇꯤꯁꯤꯑꯦꯜ ꯂꯪꯁ ꯗꯤꯖꯤꯖ (ILD) ꯀꯧꯕꯥ ꯑꯀꯅꯕꯥ ꯂꯪꯁꯀꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯃꯇꯝ ꯄꯨꯝꯅꯃꯛꯇꯥ ꯃꯁꯤꯒꯤꯗꯃꯛꯇꯥ ꯅꯍꯥꯀꯄꯨ ꯌꯦꯡꯁꯤꯅꯒꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯀꯣꯛ ꯆꯤꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ ꯑꯁꯤꯅꯆꯤꯡꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯂꯩꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯈꯨꯗꯛꯇꯥ ꯈꯪꯍꯅꯕꯤꯌꯨ꯫

ꯍꯥꯌꯔꯤꯕꯥ ꯃꯔꯃꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯗꯣꯛꯇꯔꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯂꯦꯞꯄꯥ ꯂꯩꯇꯅꯥ ꯀꯟꯇꯦꯛꯇ ꯇꯧꯕꯥ ꯑꯃꯁꯨꯡ ꯃꯍꯥꯛꯀꯤ ꯏꯅꯁ꯭ꯠꯔꯛꯁꯅꯁꯤꯡ ꯑꯗꯨ ꯆꯨꯝꯅꯥ ꯉꯥꯛꯅꯥ ꯆꯠꯄꯥ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫