ꯑꯩꯈꯣꯌꯅꯥ ꯏꯄꯤꯊꯤꯌꯦꯜ ꯑꯣꯕꯦꯔꯤꯌꯟ ꯀꯦꯟꯁꯔꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯈꯜ ꯇꯥꯒꯗ꯭ꯔꯥ?

ꯏꯄꯤꯊꯤꯌꯦꯜ ꯑꯣꯕꯦꯔꯤꯌꯟ ꯀꯦꯟꯁꯔꯒꯤ ꯃꯔꯃꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯇꯥꯕꯤꯔꯝꯂꯒꯅꯤ? ꯃꯃꯤꯡ ꯑꯁꯤ ꯈꯔꯥ ꯍꯦꯟꯅꯥ ꯂꯨꯝꯅꯥ ꯂꯧꯕꯥ ꯌꯥꯏ, ꯑꯗꯨꯕꯨ ꯃꯁꯤ ꯅꯨꯄꯤꯁꯤꯡꯗꯥ ꯌꯥꯝꯅꯥ ꯇꯣꯏꯅꯥ ꯊꯣꯀꯄꯥ ꯑꯣꯕꯦꯔꯤꯌꯟ ꯀꯦꯟꯁꯔ ꯃꯈꯜ ꯑꯃꯅꯤ꯫ ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ, ꯑꯗꯣꯝꯅꯥ ꯈꯉꯕꯥ ꯉꯝꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯁꯤ꯫ ꯃꯔꯃꯗꯤ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯋꯥꯐꯃꯁꯤꯡꯗꯥ ꯆꯦꯀꯁꯤꯟꯅꯥ ꯂꯩꯕꯥ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨ ꯑꯣꯏ꯫

ꯏꯄꯤꯊꯤꯌꯦꯜ ꯑꯣꯚꯔꯑꯣꯜ ꯀꯦꯟꯁꯔ ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ?

ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯏꯄꯤꯊꯤꯌꯦꯜ ꯑꯣꯕꯦꯔꯤꯌꯟ ꯀꯦꯟꯁꯔ ꯑꯁꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯑꯣꯕꯦꯔꯤꯌꯟ ꯀꯦꯟꯁꯔ ꯃꯈꯂꯅꯤ꯫ ꯃꯁꯤꯒꯤ ꯀꯦꯟꯁꯔ ꯑꯁꯤ ꯑꯣꯕꯦꯔꯤꯒꯤ ꯑꯄꯤꯀꯄꯥ ꯃꯄꯥꯟꯊꯪꯕꯥ ꯁꯔꯨꯛꯇꯥ ꯊꯣꯀꯏ, ꯃꯗꯨꯕꯨ ꯏꯄꯤꯊꯦꯂꯤꯑꯦꯜ ꯇꯤꯁꯨ ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ ꯃꯁꯤ ꯑꯣꯚꯔꯋꯦꯠ (ovary) ꯑꯗꯨ ꯀꯨꯄꯁꯤꯜꯂꯤꯕꯥ ꯑꯄꯤꯀꯄꯥ ꯃꯦꯝꯕ꯭ꯔꯦꯟ ꯑꯃꯒꯨꯝꯅꯥ ꯈꯅꯕꯤꯌꯨ꯫

ꯃꯁꯤ ꯈꯛꯇꯥ ꯅꯠꯇꯅꯥ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯀꯦꯟꯁꯔ ꯑꯁꯤ ꯐꯦꯂꯣꯄꯤꯌꯥꯟ ꯇꯤꯎꯕꯁꯤꯡꯒꯤ ꯂꯥꯏꯅꯤꯡꯗꯥ ꯅꯠꯠꯔꯒꯥ ꯄꯦꯔꯤꯇꯣꯅꯤꯌꯝ, ꯈꯣꯡꯗꯥ ꯂꯩꯕꯥ ꯑꯣꯔꯒꯥꯅꯁꯤꯡ ꯑꯗꯨ ꯀꯨꯄꯁꯤꯜꯂꯤꯕꯥ ꯇꯤꯁꯨꯁꯤꯡꯗꯁꯨ ꯂꯥꯀꯄꯥ ꯌꯥꯏ꯫ ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯐꯦꯂꯣꯄꯤꯌꯟ ꯇꯨꯕ ꯀꯦꯟꯁꯔ ꯑꯃꯁꯨꯡ ꯄ꯭ꯔꯥꯏꯃꯥꯔꯤ ꯄꯦꯔꯤꯇꯣꯅꯤꯑꯦꯜ ꯀꯦꯟꯁꯔꯁꯤꯡꯁꯨ ꯏꯄꯤꯊꯤꯌꯦꯜ ꯑꯣꯕꯦꯔꯤꯌꯟ ꯀꯦꯟꯁꯔꯒꯥ ꯃꯥꯟꯅꯕꯥ ꯀꯦꯇꯦꯒꯣꯔꯤꯗꯥ ꯌꯥꯑꯣꯏ ꯃꯔꯃꯗꯤ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯂꯥꯏꯑꯣꯡ ꯑꯃꯁꯨꯡ ꯂꯥꯌꯦꯡꯁꯤꯡ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯥꯟꯅꯩ꯫

ꯀꯦꯟꯁꯔ ꯑꯁꯤ ꯀꯌꯥ ꯌꯥꯝꯅꯥ ꯀꯃꯟ ꯑꯣꯏꯕꯒꯦ?

ꯑꯣꯕꯦꯔꯤꯌꯟ ꯀꯦꯟꯁꯔ ꯑꯁꯤ ꯏꯎꯇꯦꯔꯥꯏꯟ/ ꯑꯦꯟꯗꯣꯃꯦꯠꯔꯤꯌꯥꯜ ꯀꯦꯟꯁꯔꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯑꯅꯤꯁꯨꯕꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯒꯥꯏꯅꯣꯀꯣꯂꯣꯖꯤꯀꯦꯜ ꯀꯦꯟꯁꯔꯅꯤ꯫ ꯆꯥꯡꯆꯠꯇꯥ ꯅꯨꯄꯤ ꯑꯃꯅꯥ ꯃꯍꯥꯛꯀꯤ ꯄꯨꯟꯁꯤꯗꯥ ꯑꯣꯕꯦꯔꯤꯌꯟ ꯀꯦꯟꯁꯔ ꯂꯥꯀꯄꯒꯤ ꯆꯥꯡ ꯑꯁꯤ ꯷꯸ꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯱ ꯂꯩ꯫

꯲꯰꯲꯱ ꯈꯛꯇꯗꯥ ꯃꯤꯑꯣꯏ ꯲꯱,꯴꯰꯰ ꯍꯦꯟꯅꯥ ꯑꯣꯕꯦꯔꯤꯌꯟ ꯀꯦꯟꯁꯔꯅꯥ ꯅꯥꯕꯥ ꯊꯦꯡꯅꯈꯤ꯫ ꯃꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯱꯰ꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯅꯤꯗꯤ ꯏꯄꯤꯊꯤꯌꯦꯜ ꯑꯣꯕꯦꯔꯤꯌꯟ ꯀꯦꯟꯁꯔ ꯑꯣꯏꯅꯥ ꯔꯤꯄꯣꯔꯠ ꯇꯧꯏ꯫ ꯃꯁꯤꯒꯤ ꯀꯦꯟꯁꯔ ꯑꯁꯤ ꯃꯔꯨꯑꯣꯏꯅꯥ ꯆꯍꯤ 65ꯒꯤ ꯃꯊꯛꯇꯥ ꯂꯩꯕꯥ ꯅꯨꯄꯤꯁꯤꯡꯗꯥ ꯌꯥꯝꯅꯥ ꯊꯣꯀꯏ꯫

ꯏꯄꯤꯊꯤꯌꯦꯜ ꯑꯣꯕꯦꯔꯤꯌꯟ ꯀꯦꯟꯁꯔꯒꯤ ꯃꯈꯂꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯤꯅꯣ?

ꯏꯄꯤꯊꯤꯌꯦꯜ ꯑꯣꯕꯦꯔꯤꯌꯟ ꯀꯦꯟꯁꯔꯒꯤ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯁꯔꯨꯛ ꯑꯍꯨꯝ ꯊꯣꯀꯄꯒꯤ ꯑꯃꯗꯤ ꯍꯥꯏ-ꯒ꯭ꯔꯦꯗ ꯁꯦꯔꯣꯁ ꯑꯣꯕꯦꯔꯤꯌꯟ ꯀꯥꯔꯁꯤꯅꯣꯃꯥ (HGSOC)ꯅꯤ꯫ "ꯍꯥꯏ-ꯒ꯭ꯔꯦꯗ" ꯍꯥꯌꯕꯁꯤꯅꯥ ꯍꯥꯌꯔꯤꯕꯥ ꯀꯦꯟꯁꯔ ꯁꯦꯂꯁꯤꯡ ꯑꯁꯤ "ꯂꯣ-ꯒ꯭ꯔꯦꯗ" ꯀꯦꯟꯁꯔꯁꯤꯡꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯌꯥꯡꯅꯥ ꯆꯥꯎꯈꯠꯂꯀꯏ ꯑꯃꯁꯨꯡ ꯁꯟꯗꯣꯀꯏ ꯍꯥꯌꯕꯅꯤ꯫

ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯑꯈꯉ-ꯑꯍꯩꯁꯤꯡꯅꯥ ꯊꯥꯖꯩ ꯃꯗꯨꯗꯤ ꯑꯩꯆ.ꯖꯤ.ꯑꯦꯁ.ꯑꯣ.ꯁꯤ. ꯑꯗꯨꯕꯨ ꯃꯁꯤꯅꯥ ꯑꯣꯚꯔꯑꯣꯂꯗꯥ ꯌꯧꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯁꯟꯗꯣꯀꯏ꯫ ꯃꯁꯤꯅꯥ ꯑꯌꯥꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯑꯦꯕꯗꯣꯃꯤꯅꯦꯜ ꯀꯦꯚꯤꯇꯤ (ꯄꯦꯔꯤꯇꯣꯅꯤꯌꯝ) ꯑꯃꯁꯨꯡ ꯍꯀꯆꯥꯡꯒꯤ ꯑꯇꯩ ꯃꯐꯃꯁꯤꯡꯗꯥ ꯁꯣꯀꯍꯜꯂꯤ꯫ HGSOC ꯄꯦꯁꯦꯟꯇꯁꯤꯡꯒꯤ ꯆꯥꯎꯔꯥꯛꯅꯥ 70%ꯗꯤ ꯁ꯭ꯇꯦꯖ 3 ꯅꯠꯠꯔꯒꯥ 4ꯗꯥ ꯂꯥꯌꯅꯥ ꯑꯁꯤꯅꯥ ꯅꯥꯔꯦ ꯍꯥꯌꯅꯥ ꯈꯪꯅꯩ, ꯃꯁꯤꯅꯥ ꯇꯥꯀꯄꯗꯤ ꯀꯦꯟꯁꯔ ꯑꯁꯤ ꯑꯔꯤꯕꯥ ꯇꯤꯎꯃꯔ ꯑꯗꯨꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯁꯟꯗꯣꯀꯈ꯭ꯔꯦ ꯑꯃꯁꯨꯡ ꯍꯧꯖꯤꯛꯇꯤ ꯃꯦꯇꯥꯁ꯭ꯇꯦꯇꯤꯛ ꯀꯦꯟꯁꯔ ꯑꯣꯏꯔꯦ꯫

ꯏꯄꯤꯊꯤꯌꯦꯜ ꯑꯣꯕꯦꯔꯤꯌꯟ ꯀꯦꯟꯁꯔꯒꯤ ꯑꯇꯣꯞꯄꯥ ꯌꯥꯝꯅꯥ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯃꯈꯂꯁꯤꯡꯁꯨ ꯂꯩꯔꯤ:

• ꯑꯦꯟꯗꯣꯃꯦꯠꯔꯣꯏꯗ ꯀꯥꯔꯁꯤꯅꯣꯃꯥ: ꯱.ꯃꯁꯤꯒꯤ ꯃꯈꯜ ꯑꯁꯤ ꯑꯦꯟꯗꯣꯃꯦꯠꯔꯣꯏꯁꯤꯁꯅꯥ ꯅꯥꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯗꯥ ꯍꯦꯟꯅꯥ ꯀꯃꯟ ꯑꯣꯏ, ꯃꯗꯨꯅꯥ ꯏꯎꯇꯦꯔꯥꯁꯀꯤ ꯂꯥꯏꯅꯤꯡ (endometrium)ꯗꯥ ꯁꯣꯀꯍꯜꯂꯤ꯫ ꯃꯁꯤꯅꯥ ꯑꯇꯣꯞꯄꯥ ꯃꯈꯜ ꯈꯔꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯀꯦꯃꯣꯊꯦꯔꯥꯄꯤꯗꯥ ꯍꯦꯟꯅꯥ ꯐꯩ꯫
• ꯂꯣ-ꯒ꯭ꯔꯦꯗ ꯁꯦꯔꯣꯁ ꯑꯣꯕꯦꯔꯤꯌꯟ ꯀꯥꯔꯁꯤꯅꯣꯃꯥ (LGSOC): ꯃꯁꯤ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯍꯦꯅꯒꯠꯂꯛꯂꯤꯕꯥ ꯀꯦꯟꯁꯔ ꯑꯃꯅꯤ꯫ ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯅꯍꯥ ꯑꯣꯏꯔꯤꯕꯥ ꯅꯨꯄꯤꯁꯤꯡꯗꯥ (ꯆꯍꯤ 45 ꯑꯃꯁꯨꯡ 57ꯒꯤ ꯃꯔꯛꯇꯥ ꯂꯩꯕꯥ) ꯊꯣꯀꯏ꯫ ꯃꯁꯤꯅꯥ ꯏꯄꯤꯊꯤꯌꯦꯜ ꯑꯣꯕꯦꯔꯤꯌꯟ ꯀꯦꯟꯁꯔꯒꯤ ꯆꯥꯎꯔꯥꯛꯅꯥ 10% ꯔꯣꯝ ꯑꯣꯏ꯫ ꯂꯥꯌꯅꯥ ꯑꯁꯤ ꯈꯪꯗꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯑꯌꯥꯝꯕꯗꯤ ꯍꯦꯟꯅꯥ ꯆꯥꯎꯈꯠꯂꯀꯏ, ꯑꯃꯁꯨꯡ ꯃꯁꯤꯅꯥ ꯀꯦꯃꯣꯊꯦꯔꯥꯄꯤꯗꯥ ꯐꯖꯅꯥ ꯔꯦꯁꯄꯣꯟꯁ ꯇꯧꯗꯦ꯫ ꯂꯣ-ꯒ꯭ꯔꯦꯗ ꯀꯦꯟꯁꯔꯁꯤꯡ ꯑꯁꯤ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯍꯦꯅꯒꯠꯂꯕꯁꯨ, ꯃꯈꯣꯌ ꯑꯁꯤ ꯍꯥꯏ-ꯒ꯭ꯔꯦꯗ ꯀꯦꯟꯁꯔ ꯑꯣꯏꯔꯀꯄꯒꯤ ꯆꯥꯡ ꯍꯟꯊꯩ꯫
• ꯃ꯭ꯌꯨꯁꯤꯅꯁ ꯀꯥꯔꯁꯤꯅꯣꯃꯥ: ꯇꯤꯎꯃꯔꯁꯤꯡ ꯑꯁꯤ ꯑꯇꯩ ꯃꯈꯂꯁꯤꯡꯗꯒꯤ ꯇꯣꯉꯥꯜꯂꯤ ꯑꯃꯁꯨꯡ ꯂꯥꯏꯌꯦꯡꯕꯗꯥ ꯐꯖꯅꯥ ꯔꯦꯁꯄꯣꯟꯁ ꯇꯧꯏ꯫ ꯃꯈꯣꯌ ꯑꯁꯤ ꯃꯍꯧꯁꯥꯅꯥ ꯑꯆꯧꯕꯥ (ꯆꯥꯎꯔꯥꯛꯅꯥ ꯏꯟꯆꯤ 8 ꯅꯠꯠꯔꯒꯥ ꯁꯦꯟꯇꯤꯃꯤꯇꯔ 20) ꯑꯣꯏ꯫ ꯃꯈꯣꯌ ꯑꯁꯤ ꯑꯌꯥꯝꯕꯗꯤ ꯑꯣꯚꯔꯑꯣꯜ ꯈꯛꯇꯗꯥ ꯁꯣꯀꯍꯜꯂꯤ꯫
• ꯑꯣꯚꯔꯑꯣꯜ ꯀ꯭ꯂꯤꯌꯥꯔ ꯁꯦꯜ ꯀꯥꯔꯁꯤꯅꯣꯃꯥ (OCCC): ꯑꯦꯁꯤꯌꯥꯒꯤ ꯅꯨꯄꯤꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯑꯦꯟꯗꯣꯃꯦꯠꯔꯣꯏꯁꯤꯁꯅꯥ ꯅꯥꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯗꯥ ꯀꯦꯟꯁꯔ ꯑꯁꯤ ꯂꯥꯀꯄꯒꯤ ꯔꯤꯁ꯭ꯛ ꯍꯦꯟꯅꯥ ꯂꯩ꯫ ꯂꯥꯌꯅꯥ ꯑꯁꯤ ꯈꯪꯗꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯑꯌꯥꯝꯕꯗꯤ ꯍꯦꯟꯅꯥ ꯆꯥꯎꯈꯠꯂꯀꯏ꯫ ꯃꯁꯤꯅꯥ ꯀꯦꯃꯣꯊꯦꯔꯥꯄꯤꯗꯥ ꯐꯖꯅꯥ ꯔꯦꯁꯄꯣꯟꯁ ꯇꯧꯗꯦ꯫
• ꯑꯣꯚꯔꯑꯣꯂꯒꯤ ꯄ꯭ꯔꯥꯏꯃꯥꯔꯤ ꯁ꯭ꯛꯕꯥꯃꯁ ꯁꯦꯜ ꯀꯥꯔꯁꯤꯅꯣꯃꯥ (SCC): SCC ꯃꯈꯜ ꯑꯁꯤ ꯃꯍꯧꯁꯥꯅꯥ ꯕꯦꯅꯤꯐꯤꯁꯔꯤ/ ꯅꯟ-ꯀꯦꯟꯁꯔ ꯀꯟꯗꯤꯁꯅꯁꯤꯡꯗꯒꯤ ꯊꯣꯀꯏ꯫ ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯃꯁꯤ ꯑꯣꯕꯦꯔꯤꯌꯟ ꯁꯤꯁ꯭ꯇꯦꯃꯁꯤꯡ, ꯑꯦꯟꯗꯣꯃꯦꯠꯔꯣꯏꯁꯤꯁ ꯅꯠꯠꯔꯒꯥ ꯕ꯭ꯔꯦꯅꯔ ꯇꯤꯎꯃꯔꯁꯤꯡ (ꯑꯣꯚꯔꯁꯤꯡꯗꯥ ꯑꯀꯅꯕꯥ, ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯍꯅꯕꯥ)ꯗꯒꯤ ꯂꯥꯀꯄꯥ ꯌꯥꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯇꯣꯏꯅꯥ ꯐꯥꯔꯕꯗꯤ, ꯃꯁꯤꯅꯥ ꯂꯥꯏꯌꯦꯡꯕꯗꯥ ꯐꯖꯅꯥ ꯔꯦꯁꯄꯣꯟꯁ ꯇꯧꯏ꯫

ꯏꯄꯤꯊꯤꯌꯦꯜ ꯑꯣꯕꯦꯔꯤꯌꯟ ꯀꯦꯟꯁꯔ ꯀꯔꯤꯅꯥ ꯊꯣꯀꯍꯅꯕꯒꯦ?

ꯇꯁꯦꯡꯕꯗꯤ, ꯏꯄꯤꯊꯤꯌꯦꯜ ꯑꯣꯕꯦꯔꯤꯌꯟ ꯀꯦꯟꯁꯔ ꯌꯥꯑꯣꯅꯥ ꯑꯌꯥꯝꯕꯥ ꯀꯦꯟꯁꯔꯁꯤꯡꯒꯤ ꯑꯆꯨꯝꯕꯥ ꯃꯔꯝ ꯑꯁꯤ ꯍꯧꯖꯤꯛ ꯐꯥꯑꯣꯕꯥ ꯈꯉꯕꯥ ꯉꯃꯗ꯭ꯔꯤ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯑꯅꯧꯕꯥ ꯔꯤꯁꯔꯆ ꯑꯃꯅꯥ ꯇꯥꯛꯂꯤ ꯃꯗꯨꯗꯤ ꯑꯌꯥꯝꯕꯥ ꯑꯣꯕꯦꯔꯤꯌꯟ ꯀꯦꯟꯁꯔꯁꯤꯡ ꯑꯁꯤ ꯇꯁꯦꯡꯅꯥ ꯐꯦꯂꯣꯄꯤꯌꯟ ꯇꯨꯕꯁꯤꯡꯒꯤ ꯑꯔꯣꯏꯕꯗꯥ ꯂꯩꯕꯥ ꯁꯦꯂꯁꯤꯡꯗꯒꯤ ꯍꯧꯏ꯫ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯃꯈꯣꯌ ꯑꯁꯤ ꯑꯣꯚꯔꯑꯣꯂꯗꯥ ꯁꯟꯗꯣꯀꯏ꯫

ꯀꯦꯟꯁꯔ ꯑꯁꯤ ꯂꯥꯀꯄꯒꯤ ꯔꯤꯁ꯭ꯛ ꯐꯦꯛꯇꯔꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯤꯅꯣ?

ꯑꯣꯕꯦꯔꯤꯌꯟ ꯀꯦꯟꯁꯔꯅꯥ ꯅꯥꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯒꯤ ꯁꯔꯨꯛ ꯑꯍꯨꯝ ꯊꯣꯀꯄꯒꯤ ꯑꯃꯗꯤ ꯆꯍꯤ ꯶꯵ꯒꯤ ꯃꯊꯛꯇꯥ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯅꯤ ꯑꯃꯁꯨꯡ ꯃꯦꯅꯣꯄꯣꯖ (menopouse) ꯊꯦꯡꯅꯈꯤ, ꯃꯁꯤꯅꯥ ꯇꯥꯀꯄꯗꯤ ꯃꯈꯣꯌꯒꯤ ꯊꯥꯒꯤ ꯈꯣꯡꯀꯥꯞ ꯑꯗꯨ ꯂꯦꯄꯈ꯭ꯔꯦ꯫

ꯐꯦꯛꯇꯔ ꯈꯔꯅꯥ ꯑꯣꯕꯦꯔꯤꯌꯟ ꯀꯦꯟꯁꯔ ꯂꯥꯀꯄꯒꯤ ꯔꯤꯁ꯭ꯛ ꯍꯦꯅꯒꯠꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯃꯈꯣꯏ ꯑꯁꯤ:

• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯏꯃꯨꯡꯒꯤ ꯃꯤꯑꯣꯏ ꯑꯃꯅꯥ ꯑꯣꯕꯦꯔꯤꯌꯟ ꯀꯦꯟꯁꯔ, ꯕ꯭ꯔꯦꯁ꯭ꯠ ꯀꯦꯟꯁꯔ, ꯅꯠꯠꯔꯒꯥ ꯀꯣꯂꯣꯔꯦꯛꯇꯜ/ ꯀꯣꯂꯣꯟ ꯀꯦꯟꯁꯔ ꯂꯩꯔꯕꯗꯤ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ BRCA ꯖꯤꯅꯗꯥ ꯑꯍꯣꯡꯕꯥ (ꯃ꯭ꯌꯨꯇꯦꯁꯟ) ꯑꯃꯥ ꯏꯅꯍꯦꯔꯤ ꯇꯧꯔꯕꯗꯤ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯤꯟꯆ ꯁꯤꯟꯗꯣꯃꯒꯨꯝꯕꯥ ꯏꯃꯨꯡꯒꯤ ꯀꯦꯟꯁꯔ ꯁꯤꯟꯗꯣꯃꯁꯤꯡꯒꯥ ꯃꯔꯤ ꯂꯩꯅꯕꯥ ꯖꯤꯟ ꯑꯃꯥ ꯏꯅꯍꯦꯔꯤ ꯇꯧꯔꯕꯗꯤ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯦꯅꯣꯄꯣꯖꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯅꯕꯥ ꯍꯣꯔꯃꯣꯟ ꯊꯦꯔꯥꯄꯤ ꯂꯧꯔꯕꯗꯤ꯫
• ꯆꯍꯤ 35ꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯑꯉꯥꯡ ꯑꯃꯥ ꯄꯣꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯀꯩꯗꯧꯉꯩꯗꯥ ꯑꯉꯥꯡ ꯑꯃꯕꯨ ꯃꯄꯨꯡꯐꯥꯕꯥ ꯇꯥꯔꯃꯗꯥ ꯄꯨꯈꯤꯗꯕꯥ꯫
• ꯀꯥ ꯍꯦꯟꯅ ꯅꯣꯏꯕ .

ꯏꯄꯤꯊꯤꯌꯦꯜ ꯑꯣꯕꯦꯔꯤꯌꯟ ꯀꯦꯟꯁꯔꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯀꯔꯤꯅꯣ?

ꯃꯁꯤ ꯃꯤꯑꯣꯏ ꯀꯌꯥꯒꯤ ꯈꯨꯗꯣꯡꯆꯥꯗꯕꯥ ꯑꯃꯅꯤ꯫ ꯏꯄꯤꯊꯦꯂꯤꯑꯦꯜ ꯑꯣꯕꯦꯔꯤꯌꯟ ꯀꯦꯟꯁꯔ ꯑꯁꯤ ꯑꯌꯥꯝꯕꯗꯤ ꯑꯍꯥꯅꯕꯥ ꯁ꯭ꯇꯦꯖꯗꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯌꯥꯝꯅꯥ ꯅꯦꯝꯃꯤ꯫ ꯂꯥꯌꯅꯥ ꯑꯁꯤ ꯈꯔꯥ ꯁꯟꯗꯣꯛꯂꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯎꯕꯥ ꯐꯪꯏ꯫ ꯃꯁꯤꯅꯥ ꯑꯦꯕꯗꯣꯃꯤꯅꯦꯜ ꯑꯣꯔꯒꯥꯅꯁꯤꯡ (peritoneum) ꯀꯨꯄꯁꯤꯜꯂꯤꯕꯥ ꯃꯦꯝꯕ꯭ꯔꯦꯟ ꯑꯗꯨꯗꯥ ꯁꯟꯗꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯏꯁꯤꯡꯒꯤ ꯏꯆꯦꯜ ꯑꯃꯥ ꯑꯦꯕꯗꯣꯃꯤꯅꯦꯜ ꯑꯗꯨꯗꯥ ꯊꯨꯒꯥꯌꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯕꯨ ꯑꯦꯁꯤꯇꯦꯁ ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫

ꯃꯁꯤꯒꯤ ꯃꯊꯛꯇꯥ, ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤꯁꯨ ꯊꯣꯀꯄꯥ ꯌꯥꯏ:

• ꯑꯦꯕꯗꯣꯃꯤꯅꯦꯜ ꯄꯦꯏꯟ (abdominal pain) ꯂꯩꯕꯥ꯫
• ꯃꯆꯤꯟꯖꯥꯛ ꯈꯔꯥ ꯆꯥꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯆꯥꯕꯗꯥ ꯈꯨꯗꯣꯡꯆꯥꯗꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯃꯄꯨꯡ ꯐꯥꯕꯥ ꯐꯥꯎꯕꯥ꯫
• ꯅꯣꯡꯃꯩ ꯀꯥꯞꯄꯥ ꯑꯃꯁꯨꯡ ꯈꯣꯡ ꯍꯥꯝꯕꯥ꯫
• ꯕ꯭ꯂꯣꯛ ꯇꯧꯕꯥ꯫
• ꯄꯦꯂꯚꯤꯛ ꯄꯦꯏꯟ ꯂꯩꯕꯥ꯫

ꯌꯥꯝꯅꯥ ꯇꯣꯏꯅꯥ ꯎꯕꯥ ꯐꯪꯗꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡꯁꯨ ꯂꯩꯔꯤ:

• ꯏꯅꯀꯟꯇꯤꯅꯦꯟꯁ ꯅꯠꯠꯔꯒꯥ ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯌꯨꯔꯤꯅꯔꯤ (overactive bladder) ꯍꯥꯌꯕꯁꯤ ꯇꯀꯁꯤꯅꯕꯥ꯫
• ꯑꯦꯕꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯕꯥ ꯚꯦꯖꯤꯅꯦꯜ ꯕ꯭ꯂꯤꯗꯤꯡ꯫

ꯃꯔꯨꯑꯣꯏꯕꯥ: ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯂꯩꯕꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯀꯦꯟꯁꯔ ꯂꯩꯔꯦ ꯍꯥꯌꯕꯥ ꯇꯥꯀꯄꯥ ꯅꯠꯇꯦ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯈꯣꯌꯅꯥ ꯂꯦꯞꯄꯥ ꯂꯩꯇꯅꯥ ꯍꯣꯠꯅꯔꯕꯗꯤ, ꯄꯥꯎꯇꯥꯛ ꯂꯧꯅꯕꯒꯤꯗꯃꯛ ꯗꯣꯛꯇꯔ ꯑꯃꯒꯥ ꯇꯥꯟꯅꯕꯅꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯩ꯫

ꯏꯄꯤꯊꯤꯌꯦꯜ ꯑꯣꯕꯦꯔꯤꯌꯟ ꯀꯦꯟꯁꯔ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯈꯪꯗꯣꯀꯄꯒꯦ?

ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯋꯥꯐꯝ ꯑꯃꯅꯥ, ꯑꯣꯕꯦꯔꯤꯌꯟ ꯀꯦꯟꯁꯔ ꯑꯁꯤ ꯑꯍꯥꯅꯕꯥ ꯇꯥꯉ꯭ꯀꯛꯇꯥ ꯈꯉꯗꯣꯀꯄꯥ ꯉꯝꯕꯥ ꯑꯀꯛꯅꯕꯥ ꯁ꯭ꯛꯔꯤꯅꯤꯡ ꯇꯦꯁ꯭ꯠ ꯑꯃꯠꯇꯥ ꯂꯩꯇꯦ꯫ ꯃꯍꯧꯁꯥꯅꯥ ꯁ꯭ꯛꯔꯤꯅꯤꯡ ꯑꯁꯤ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯥꯏꯑꯣꯡ ꯎꯠꯇꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯔꯤꯁ꯭ꯛ ꯋꯥꯡꯕꯥ ꯑꯣꯏꯔꯕꯗꯤ ꯈꯛꯇꯗꯥ ꯇꯧꯏ꯫ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯑꯍꯥꯅꯕꯗꯥ ꯄꯦꯂꯚꯤꯛ ꯑꯦꯀꯖꯥꯃꯤꯅꯦꯁꯟ ꯑꯃꯥ ꯇꯧꯗꯨꯅꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯅꯠꯠꯔꯒꯥ ꯁꯣꯀꯄꯥ ꯑꯃꯠꯇꯥ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯆꯦꯛ ꯇꯧꯕꯥ ꯌꯥꯏ꯫

ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ, ꯅꯍꯥꯛꯅꯥ `CA-125` ꯀꯧꯕꯥ ꯄ꯭ꯔꯣꯇꯤꯟ ꯑꯃꯒꯤ ꯆꯥꯡ ꯌꯦꯡꯁꯤꯟꯅꯕꯥ ꯕ꯭ꯂꯗ ꯇꯦꯁ꯭ꯠ ꯇꯧꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯒꯤ `CA-125` ꯑꯁꯤ ꯀꯦꯟꯁꯔ ꯑꯦꯟꯇꯤꯖꯦꯟ ꯱꯲꯵ ꯍꯥꯌꯕꯅꯤ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯂꯦꯚꯦꯜ ꯑꯁꯤ ꯋꯥꯡꯂꯕꯗꯤ ꯅꯍꯥꯛꯅꯥ ꯍꯦꯟꯅꯥ ꯇꯦꯁ꯭ꯠ ꯇꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯒꯅꯤ꯫

ꯑꯁꯤꯒꯨꯝꯕꯥ ꯏꯃꯦꯖꯤꯡ ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯑꯣꯕꯦꯔꯤꯌꯟ ꯀꯦꯟꯁꯔ ꯈꯉꯗꯣꯀꯄꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯒꯅꯤ:

• ꯇ꯭ꯔꯥꯟꯁꯚꯦꯖꯤꯅꯦꯜ ꯑꯂꯠꯔꯥꯁꯥꯎꯟꯗ ꯇꯦꯁ꯭ꯠ ꯇꯧꯕꯥ꯫
• ꯁꯤ.ꯇꯤ.ꯁ꯭ꯀꯦꯟ ꯇꯦꯁ꯭ꯠ ꯇꯧꯕꯥ꯫
• ꯑꯦꯝ.ꯑꯥꯔ.ꯑꯥꯏ.(ꯑꯦꯝ.ꯑꯥꯔ.ꯑꯥꯏ.) ꯇꯦꯁ꯭ꯠ ꯇꯧꯕꯥ꯫
• ꯄꯣꯖꯤꯠꯔꯣꯟ ꯏꯃꯤꯁꯟ ꯇꯣꯃꯣꯒ꯭ꯔꯥꯐꯤ (ꯄꯤ.ꯏ.ꯇꯤ.) ꯁ꯭ꯀꯦꯟ ꯇꯧꯕꯥ꯫
• ꯆꯦꯁ꯭ꯠ ꯑꯦꯛꯁ-ꯔꯦ (ꯀꯦꯟꯁꯔ ꯑꯗꯨ ꯂꯪꯁꯇꯥ ꯁꯟꯗꯣꯀꯈꯤꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯅꯕꯥ)꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯂꯦꯄꯔꯣꯁ꯭ꯀꯣꯄꯤ ꯀꯧꯕꯥ ꯄ꯭ꯔꯣꯁꯤꯗ꯭ꯌꯨꯑꯣꯔ ꯑꯃꯥ ꯄꯥꯡꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯁꯤ ꯁꯔꯖꯔꯤꯒꯥ ꯃꯥꯟꯅꯩ, ꯑꯗꯨꯕꯨ ꯃꯁꯤ ꯑꯆꯧꯕꯥ ꯏꯅꯁꯤꯁꯟ ꯑꯃꯥ ꯇꯧꯗꯅꯥ ꯇꯧꯏ꯫ ꯃꯁꯤꯅꯥ ꯗꯣꯛꯇꯔ ꯑꯗꯨꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯔꯤꯞꯔꯗꯛꯇꯤꯚ ꯑꯣꯔꯒꯥꯅꯁꯤꯡ ꯑꯗꯨ ꯌꯦꯡꯁꯤꯅꯕꯥ ꯌꯥꯍꯜꯂꯤ꯫ ꯃꯈꯣꯌꯅꯥ ꯃꯐꯝ ꯑꯗꯨꯗꯥ ꯀꯦꯟꯁꯔ ꯁꯦꯂꯁꯤꯡ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯅꯕꯒꯤꯗꯃꯛ ꯂꯝ ꯑꯃꯗꯒꯤ ꯇꯤꯁꯨ ꯁꯦꯝꯄꯜ (ꯕꯥꯏꯑꯣꯞꯁꯤ) ꯑꯃꯁꯨ ꯂꯧꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯒꯤ ꯕꯥꯏꯑꯣꯞꯁꯤ ꯑꯁꯤꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯣꯕꯦꯁꯤꯇꯤꯒꯤ ꯀꯦꯟꯁꯔ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯁꯣꯌꯗꯅꯥ ꯈꯪꯅꯕꯒꯤ ꯑꯃꯠꯇꯥ ꯉꯥꯏꯔꯕꯥ ꯄꯥꯝꯕꯩꯅꯤ꯫

ꯏꯄꯤꯊꯤꯌꯦꯜ ꯑꯣꯕꯦꯔꯤꯌꯟ ꯀꯦꯟꯁꯔꯒꯤ ꯁ꯭ꯇꯦꯖꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯤꯅꯣ?

ꯀꯦꯟꯁꯔꯒꯤ ꯁ꯭ꯇꯦꯖ ꯈꯉꯕꯅꯥ ꯗꯣꯛꯇꯔꯁꯤꯡꯗꯥ ꯀꯦꯟꯁꯔꯒꯤ ꯄ꯭ꯔꯣꯒ꯭ꯔꯦꯁ ꯑꯗꯨ ꯈꯉꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫ ꯀꯦꯟꯁꯔ ꯑꯁꯤ ꯁꯟꯗꯣꯀꯈꯤꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯈꯉꯗꯣꯛꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯂꯥꯌꯦꯡꯕꯒꯤ ꯋꯥꯔꯦꯞ ꯂꯧꯕꯗꯁꯨ ꯃꯔꯨ ꯑꯣꯏ꯫ ꯀꯦꯟꯁꯔꯒꯤ ꯁ꯭ꯇꯦꯖ ꯑꯁꯤ ꯀꯦꯟꯁꯔ ꯈꯉꯗꯣꯛꯅꯕꯥ ꯁꯤꯖꯤꯟꯅꯔꯤꯕꯥ ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯑꯗꯨꯒꯥ ꯃꯥꯟꯅꯅꯥ ꯂꯦꯄꯊꯣꯀꯏ꯫

ꯑꯣꯕꯦꯔꯤꯌꯟ ꯀꯦꯟꯁꯔꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯁ꯭ꯇꯦꯖ ꯃꯔꯤ ꯂꯩ꯫ ꯁ꯭ꯇꯦꯖ ꯈꯔꯗꯗꯤ ꯁꯕ-ꯁ꯭ꯇꯦꯖ ꯂꯩ꯫ ꯁ꯭ꯇꯦꯖ ꯅꯝꯕꯔ ꯍꯦꯟꯅꯥ ꯋꯥꯡꯕꯥ ꯃꯇꯃꯗꯥ ꯀꯦꯟꯁꯔ ꯑꯁꯤ ꯍꯦꯟꯅꯥ ꯆꯥꯎꯈꯠꯂꯀꯏ꯫

• ꯁ꯭ꯇꯦꯖ 1: ꯀꯦꯟꯁꯔ ꯑꯁꯤ ꯑꯣꯚꯔꯑꯣꯜ ꯑꯃꯈꯛꯇꯗꯥ ꯅꯠꯠꯔꯒꯥ ꯐꯦꯂꯣꯄꯤꯌꯥꯟ ꯇꯤꯎꯕ ꯑꯃꯈꯛꯇꯗꯥ ꯂꯩ꯫
• ꯁ꯭ꯇꯦꯖ 2: ꯀꯦꯟꯁꯔ ꯑꯁꯤ ꯏꯎꯇꯦꯔꯥꯁ ꯅꯠꯠꯔꯒꯥ ꯑꯦꯕꯗꯣꯃꯤꯅꯦꯜ ꯀꯦꯚꯤꯇꯤ (peritoneal cavity)ꯒꯤ ꯂꯥꯏꯅꯤꯡꯗꯥ ꯁꯟꯗꯣꯀꯈ꯭ꯔꯦ꯫
• ꯁ꯭ꯇꯦꯖ 3: ꯀꯦꯟꯁꯔ ꯑꯁꯤ ꯄꯦꯂꯚꯤꯁꯀꯤ ꯃꯄꯥꯟꯗꯥ ꯂꯩꯕꯥ ꯑꯇꯩ ꯑꯣꯔꯒꯥꯅꯁꯤꯡꯗꯥ, ꯂꯤꯝꯐ ꯅꯣꯗꯁꯤꯡꯗꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯅꯤꯃꯛꯇꯥ ꯁꯟꯗꯣꯀꯈ꯭ꯔꯦ꯫
• ꯁ꯭ꯇꯦꯖ 4: ꯀꯦꯟꯁꯔ ꯁꯦꯂꯁꯤꯡ ꯑꯁꯤ ꯂꯪꯁꯀꯤ ꯑꯀꯣꯌꯕꯗꯥ ꯂꯩꯕꯥ ꯐ꯭ꯂꯨꯏꯗ, ꯒ꯭ꯔꯣꯏꯟ ꯑꯦꯔꯤꯌꯥꯗꯥ ꯂꯩꯕꯥ ꯂꯤꯝꯐ ꯅꯣꯗꯁꯤꯡ, ꯑꯇꯩ ꯑꯣꯔꯒꯥꯅꯁꯤꯡ ꯅꯠꯠꯔꯒꯥ ꯍꯀꯆꯥꯡꯒꯤ ꯑꯇꯩ ꯃꯐꯃꯁꯤꯡꯗꯥ ꯂꯩ꯫

ꯏꯄꯤꯊꯤꯌꯦꯜ ꯑꯣꯕꯦꯔꯤꯌꯟ ꯀꯦꯟꯁꯔ ꯑꯁꯤ ꯐꯍꯅꯕꯥ ꯉꯃꯒꯗ꯭ꯔꯥ?

ꯁꯔꯖꯔꯤꯁꯤꯡꯅꯥ ꯌꯥꯔꯤꯕꯃꯈꯩ ꯀꯦꯟꯁꯔ ꯑꯗꯨ ꯂꯧꯊꯣꯛꯅꯕꯥ ꯗꯤꯕꯂꯀꯤꯡ ꯁꯔꯖꯔꯤ ꯑꯃꯥ ꯄꯥꯡꯊꯣꯀꯏ꯫ ꯃꯁꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯀꯦꯃꯣꯊꯦꯔꯥꯄꯤ ꯇꯧꯏ꯫ ꯃꯤꯑꯣꯏ ꯑꯌꯥꯝꯕꯅꯥ ꯑꯍꯧꯕꯗꯥ ꯐꯒꯠꯂꯕꯁꯨ, ꯂꯥꯌꯅꯥ ꯑꯁꯤ ꯃꯤꯑꯣꯏ ꯀꯌꯥꯗꯥ ꯇꯨꯡꯗꯥ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯂꯥꯀꯄꯥ ꯌꯥꯏ꯫

ꯑꯍꯥꯅꯕꯥ ꯁ꯭ꯇꯦꯖꯒꯤ ꯄꯦꯁꯦꯟꯇꯁꯤꯡꯅꯥ ꯂꯥꯌꯅꯥ ꯂꯩꯕꯥ ꯑꯣꯚꯔꯋꯦꯠ ꯑꯃꯁꯨꯡ ꯐꯦꯂꯣꯄꯤꯌꯥꯟ ꯇꯤꯎꯕ ꯈꯛꯇꯃꯛ ꯂꯧꯊꯣꯛꯅꯕꯥ ꯋꯥꯔꯦꯞ ꯂꯧꯕꯥ ꯌꯥꯏ꯫

ꯑꯦꯗꯚꯥꯟꯁ ꯀꯦꯟꯁꯔ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯒꯤ ꯑꯣꯏꯅꯗꯤ, ꯃꯍꯧꯁꯥꯅꯥ ꯗꯤꯕꯂꯀꯤꯡ ꯁꯔꯖꯔꯤ ꯑꯁꯤ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯑꯣꯔꯒꯥꯅꯁꯤꯡ ꯑꯁꯤ ꯂꯧꯊꯣꯛꯅꯕꯥ ꯄꯥꯡꯊꯣꯀꯏ:

• ꯐꯦꯂꯣꯄꯤꯌꯥꯟ ꯇꯤꯎꯕ ꯑꯅꯤꯃꯛ ꯑꯃꯁꯨꯡ ꯑꯣꯚꯔꯑꯣꯜ ꯑꯅꯤꯃꯛ ꯂꯧꯊꯣꯀꯄꯥ (ꯕꯥꯏꯂꯦꯇꯔꯦꯜ ꯁꯥꯂꯄꯤꯡꯒꯣ-ꯑꯣꯐꯣꯔꯦꯛꯇꯣꯃꯤ)꯫
• ꯏꯎꯇꯦꯔꯥꯁ ꯂꯧꯊꯣꯀꯄꯥ (hysterectomy)꯫
• ꯑꯦꯕꯗꯣꯃꯦꯟ (abdomen) ꯑꯗꯨ ꯀꯨꯄꯁꯤꯜꯂꯤꯕꯥ ꯐꯦꯇꯤ ꯇꯤꯁꯨ (omentum) ꯑꯗꯨ ꯂꯧꯊꯣꯀꯄꯥ (omentectomy)꯫
• ꯑꯀꯣꯌꯕꯗꯥ ꯂꯩꯕꯥ ꯂꯤꯝꯐ ꯅꯣꯗꯁꯤꯡ ꯂꯧꯊꯣꯀꯄꯥ꯫
• ꯑꯇꯣꯞꯄꯥ ꯂꯥꯌꯅꯥ ꯂꯩꯕꯥ ꯁꯔꯨꯀꯁꯤꯡ (ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯑꯄꯤꯀꯄꯥ ꯏꯟꯇꯦꯁ꯭ꯇꯥꯏꯟ, ꯑꯆꯧꯕꯥ ꯏꯟꯇꯦꯁ꯭ꯇꯥꯏꯟ, ꯅꯠꯠꯔꯒꯥ ꯁ꯭ꯞꯂꯤꯟ) ꯂꯧꯊꯣꯀꯄꯥ꯫

ꯑꯇꯣꯞꯄꯥ ꯂꯥꯏꯌꯦꯡꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?

ꯀꯦꯟꯁꯔꯒꯤ ꯃꯈꯂꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ, ꯅꯍꯥꯛꯅꯥ ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯂꯥꯏꯌꯦꯡꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯃꯗꯒꯤ ꯍꯦꯅꯕꯥ ꯄꯤꯕꯥ ꯌꯥꯏ:

• ꯀꯦꯃꯣꯊꯦꯔꯥꯄꯤ: ꯀꯦꯟꯁꯔ ꯁꯦꯂꯁꯤꯡ ꯍꯥꯠꯅꯕꯥ꯫ ꯃꯁꯤꯗꯥ ꯄ꯭ꯂꯦꯇꯤꯅꯝ ꯀꯝꯄꯥꯎꯟꯗ (ꯀꯥꯔꯕꯣꯞꯂꯦꯇꯤꯟ) ꯑꯃꯁꯨꯡ ꯄꯦꯛꯂꯤꯇꯦꯛꯁꯦꯜ (ꯇꯦꯛꯁꯣꯜ®) ꯅꯠꯠꯔꯒꯥ ꯗꯣꯁꯦꯇꯦꯛꯁꯦꯜ (ꯇꯦꯛꯁꯣꯇꯦꯔꯦ®)ꯒꯨꯝꯕꯥ ꯗ꯭ꯔꯒꯁꯤꯡ ꯁꯤꯖꯤꯟꯅꯩ꯫
• ꯏꯟꯠꯔꯥꯄꯦꯔꯤꯇꯣꯅꯤꯑꯦꯜ ꯀꯦꯃꯣꯊꯦꯔꯥꯄꯤ: ꯁ꯭ꯇꯦꯖ 3ꯒꯤ ꯑꯣꯕꯦꯔꯤꯌꯟ ꯀꯦꯟꯁꯔ ꯂꯥꯏꯌꯦꯡꯅꯕꯒꯤꯗꯃꯛ, ꯗ꯭ꯔꯒꯁꯤꯡ ꯑꯁꯤ ꯁꯤꯁꯞꯂꯦꯇꯤꯟ ꯑꯃꯁꯨꯡ ꯄꯦꯛꯂꯤꯇꯦꯛꯁꯦꯜ ꯑꯁꯤ ꯁꯔꯖꯤꯀꯦꯜ ꯑꯣꯏꯅꯥ ꯏꯅꯁꯥꯔꯁ ꯇꯧꯔꯕꯥ ꯀꯦꯇꯦꯒꯣꯔꯤ (thin, hollow tube) ꯑꯃꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯍꯀꯊꯦꯡꯅꯅꯥ ꯑꯦꯕꯗꯣꯃꯤꯅꯦꯜ ꯀꯦꯚꯤꯇꯤꯗꯥ ꯏꯅꯖꯦꯀꯁꯟ ꯇꯧꯏ꯫
• ꯄꯥꯟꯗꯝ ꯊꯝꯂꯤꯕꯥ ꯊꯦꯔꯥꯄꯤꯁꯤꯡ: ꯕꯦꯚꯥꯁꯤꯖꯨꯃꯕ (Avastin®)ꯒꯨꯝꯕꯥ ꯗ꯭ꯔꯒꯁꯤꯡꯅꯥ ꯀꯦꯟꯁꯔ ꯁꯦꯂꯁꯤꯡ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯃꯁꯤꯡ ꯌꯥꯝꯅꯥ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ ꯊꯤꯡꯏ꯫
• ꯔꯦꯗꯤꯑꯦꯁꯟ ꯊꯦꯔꯥꯄꯤ: ꯀꯦꯟꯁꯔ ꯁꯦꯂꯁꯤꯡ ꯃꯥꯡꯍꯟ ꯇꯥꯀꯍꯟꯅꯕꯥ ꯍꯥꯏ-ꯑꯦꯅꯔꯖꯤ ꯑꯦꯛꯁ-ꯔꯦ ꯕꯤꯃꯁꯤꯡ ꯁꯤꯖꯤꯟꯅꯩ꯫

ꯏꯄꯤꯊꯤꯌꯦꯜ ꯑꯣꯕꯦꯔꯤꯌꯟ ꯀꯦꯟꯁꯔ ꯑꯁꯤ ꯊꯤꯡꯕꯥ ꯉꯃꯒꯗ꯭ꯔꯥ?

ꯔꯤꯁꯔꯆꯅꯥ ꯇꯥꯛꯂꯤ ꯃꯗꯨꯗꯤ ꯆꯍꯤ ꯃꯉꯥ ꯅꯠꯠꯔꯒꯥ ꯃꯁꯤꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯍꯣꯔꯃꯣꯅꯒꯤ ꯕꯔꯊ ꯀꯟꯠꯔꯣꯜ ꯄꯤꯜ ꯂꯧꯔꯤꯕꯥ ꯅꯨꯄꯤꯁꯤꯡꯅꯥ ꯑꯣꯕꯦꯔꯤꯌꯟ ꯀꯦꯟꯁꯔ ꯂꯥꯀꯄꯒꯤ ꯔꯤꯁ꯭ꯛ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯁꯔꯨꯛ ꯑꯍꯨꯝ ꯊꯣꯀꯄꯒꯤ ꯑꯃꯥ ꯍꯟꯊꯍꯅꯕꯥ ꯉꯝꯃꯤ꯫

ꯁꯔꯖꯔꯤ ꯈꯔꯗꯗꯤ ꯀꯦꯟꯁꯔꯒꯤ ꯔꯤꯁ꯭ꯛ ꯍꯟꯊꯍꯅꯕꯁꯨ ꯌꯥꯏ꯫ ꯀꯦꯟꯁꯔ ꯂꯥꯀꯁꯤꯟꯅꯕꯥ ꯁꯔꯖꯔꯤꯕꯨ ꯄ꯭ꯔꯣꯐꯥꯏꯂꯦꯛꯇꯤꯛ ꯁꯔꯖꯔꯤ ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ ꯃꯁꯤꯗꯥ ꯏꯎꯇꯦꯔꯥꯁꯀꯥ ꯂꯣꯌꯅꯅꯥ ꯅꯠꯠꯔꯒꯥ ꯌꯥꯎꯗꯅꯥ ꯐꯦꯂꯣꯄꯤꯌꯥꯟ ꯇꯤꯎꯕꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯑꯣꯚꯔꯑꯣꯂꯁꯤꯡ ꯂꯧꯊꯣꯀꯄꯥ ꯌꯥꯎꯏ꯫ ꯃꯁꯤ ꯃꯍꯧꯁꯥꯅꯥ ꯏꯃꯨꯡꯒꯤ ꯍꯤꯁ꯭ꯇꯔꯤ (BRCA ꯃ꯭ꯌꯨꯇꯦꯁꯟ ꯅꯠꯠꯔꯒꯥ ꯂꯤꯟꯆ ꯁꯤꯟꯗ꯭ꯔꯣꯝ ꯂꯩꯕꯥ)ꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯔꯤꯁ꯭ꯛ ꯋꯥꯡꯕꯥ ꯅꯨꯄꯤꯁꯤꯡꯒꯤꯗꯃꯛ ꯂꯧꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯄꯥꯎꯇꯥꯛ ꯄꯤꯔꯤ ꯃꯗꯨꯗꯤ ꯍꯥꯌꯔꯤꯕꯥ ꯊꯧꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯑꯣꯏꯅꯥ ꯃꯊꯧ ꯇꯥꯔꯕꯈꯛꯇꯗꯥ ꯄꯥꯡꯊꯣꯛꯀꯗꯕꯅꯤ꯫ ꯃꯔꯃꯗꯤ ꯑꯣꯚꯔꯑꯣꯜ ꯂꯧꯊꯣꯀꯄꯅꯥ ꯉꯟꯅꯥ ꯃꯦꯅꯣꯄꯣꯖ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ, ꯃꯗꯨꯅꯥ ꯍꯀꯆꯥꯡꯗꯥ ꯑꯀꯥꯌꯕꯥ ꯄꯤꯕꯥ ꯌꯥꯏ꯫

ꯍꯥꯌꯔꯤꯕꯥ ꯁꯔꯖꯔꯤꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯀꯦꯟꯁꯔꯒꯤ ꯔꯤꯁ꯭ꯛ ꯑꯁꯤ ꯃꯄꯨꯡ ꯐꯥꯅꯥ ꯀꯣꯀꯍꯟꯗꯦ꯫ ꯃꯤꯑꯣꯏ ꯈꯔꯗꯤ ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯃꯗꯥ ꯐꯪꯗꯕꯥ ꯀꯦꯟꯁꯔ ꯂꯩꯕꯥ ꯌꯥꯏ꯫ ꯕꯤ.ꯑꯥꯔ.ꯁꯤ.ꯑꯦ.ꯒꯤ ꯖꯤꯟ ꯃ꯭ꯌꯨꯇꯦꯁꯟ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯅꯥ ꯃꯈꯣꯌꯒꯤ ꯐꯦꯂꯣꯄꯤꯌꯟ ꯇꯤꯎꯕꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯑꯣꯕꯦꯔꯤꯁꯤꯡ ꯂꯧꯊꯣꯛꯂꯕꯁꯨ ꯍꯧꯖꯤꯀꯁꯨ ꯄ꯭ꯔꯥꯏꯃꯥꯔꯤ ꯄꯦꯔꯤꯇꯣꯅꯤꯑꯦꯜ ꯀꯦꯟꯁꯔ ꯂꯥꯀꯄꯥ ꯌꯥꯏ꯫ ꯅꯍꯥꯛꯅꯥ BRCA ꯖꯤꯟ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯈꯪꯗꯣꯛꯅꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ BRCA ꯇꯦꯁ꯭ꯇꯤꯡꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯍꯪꯕꯤꯌꯨ꯫

ꯏꯄꯤꯊꯤꯌꯦꯜ ꯑꯣꯕꯦꯔꯤꯌꯟ ꯀꯦꯟꯁꯔꯅꯥ ꯅꯥꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯒꯤ ꯑꯥꯎꯠꯂꯨꯛ ꯑꯁꯤ ꯀꯔꯤꯅꯣ?

ꯆꯍꯤ ꯈꯨꯗꯤꯡꯒꯤ ꯑꯣꯕꯦꯔꯤꯌꯟ ꯀꯦꯟꯁꯔꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯃꯤꯑꯣꯏ ꯱꯳,꯰꯰꯰ ꯍꯦꯟꯅꯥ ꯁꯤꯔꯤ꯫ ꯃꯁꯤꯅꯥ ꯅꯨꯄꯤꯁꯤꯡꯒꯤ ꯃꯔꯛꯇꯥ ꯀꯦꯟꯁꯔꯅꯥ ꯁꯤꯍꯅꯕꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯔꯝ ꯃꯉꯥꯁꯨꯕꯥ ꯑꯣꯏꯔꯤ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ ꯍꯧꯖꯤꯛ ꯀ꯭ꯂꯤꯅꯤꯀꯦꯜ ꯇ꯭ꯔꯥꯏꯑꯦꯂꯁꯤꯡꯗꯥ ꯑꯅꯧꯕꯥ ꯂꯥꯌꯦꯡꯁꯤꯡꯒꯤ ꯑꯥꯁꯥ ꯂꯩꯔꯤ꯫ ꯔꯤꯁꯔꯆꯔꯁꯤꯡꯅꯁꯨ ꯂꯥꯌꯅꯥ ꯑꯁꯤ ꯉꯟꯅꯥ ꯈꯉꯗꯣꯛꯅꯕꯥ ꯊꯕꯛ ꯄꯥꯌꯈꯠꯂꯤ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯏꯄꯤꯊꯦꯂꯤꯑꯦꯜ ꯑꯣꯕꯦꯔꯤꯌꯟ ꯀꯦꯟꯁꯔ ꯑꯁꯤ ꯁꯟꯗꯣꯔꯛꯠꯔꯤꯉꯩ ꯃꯃꯥꯡꯗꯥ ꯈꯪꯗꯣꯛꯂꯕꯗꯤ, ꯆꯍꯤ ꯃꯉꯥꯒꯤ ꯑꯣꯏꯅꯥ ꯍꯤꯡꯕꯒꯤ ꯆꯥꯡ ꯑꯁꯤ 90%ꯒꯤ ꯃꯊꯛꯇꯥ ꯑꯣꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯀꯦꯟꯁꯔ ꯑꯁꯤ ꯁꯟꯗꯣꯔꯀꯄꯥ (ꯃꯦꯇꯥꯁ꯭ꯇꯦꯖ) ꯑꯣꯏꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ, ꯃꯁꯤꯒꯤ ꯆꯥꯡ ꯑꯁꯤ ꯆꯥꯎꯔꯥꯛꯅꯥ 30%ꯗꯥ ꯍꯟꯊꯔꯀꯏ꯫

ꯀꯦꯟꯁꯔ ꯑꯃꯒꯤ ꯄ꯭ꯔꯣꯒ꯭ꯅꯣꯁꯤꯁꯇꯥ ꯐꯦꯛꯇꯔ ꯀꯌꯥꯅꯥ ꯁꯥꯐꯨ ꯄꯤꯔꯤ:

• ꯀꯦꯟꯁꯔ ꯑꯁꯤ ꯀꯌꯥ ꯌꯥꯝꯅꯥ ꯁꯟꯗꯣꯀꯈꯤꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ꯫
• ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯃꯥꯌꯄꯥꯀꯄꯥ꯫
• ꯀꯦꯟꯁꯔꯒꯤ ꯇꯤꯎꯃꯔꯁꯤꯡꯒꯤ ꯃꯐꯝ, ꯁꯥꯏꯖ ꯑꯃꯁꯨꯡ ꯃꯁꯤꯡ (ꯀꯦꯟꯁꯔꯒꯤ ꯁ꯭ꯇꯦꯖ)꯫

ꯀꯗꯥꯏꯗꯥ ꯗꯣꯛꯇꯔꯒꯥ ꯇꯥꯟꯅꯒꯗꯒꯦ?

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯍꯦꯛꯇꯥ ꯂꯩꯔꯕꯗꯤ, ꯈꯨꯗꯛꯇꯥ ꯗꯣꯛꯇꯔ ꯑꯃꯒꯥ ꯇꯥꯟꯅꯧ:

• ꯌꯨꯔꯤꯅꯔꯤꯒꯤ ꯐ꯭ꯔꯤꯛꯕꯦꯟꯁꯤ ꯅꯠꯠꯔꯒꯥ ꯈꯨꯗꯛꯀꯤ ꯑꯣꯏꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯑꯍꯣꯡꯕꯥ ꯂꯥꯀꯄꯥ꯫
• ꯃꯆꯤꯟꯖꯥꯛ ꯈꯔꯥ ꯆꯥꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯆꯥꯛ ꯆꯥꯕꯥ ꯋꯥꯠꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯃꯄꯨꯡ ꯐꯥꯅꯥ ꯊꯀꯄꯥ꯫
• ꯃꯔꯝ ꯑꯃꯠꯇꯥ ꯂꯩꯇꯅꯥ ꯑꯦꯕꯗꯣꯃꯦꯟ ꯅꯠꯠꯔꯒꯥ ꯄꯦꯂꯚꯤꯛ ꯑꯦꯔꯤꯌꯥꯗꯥ ꯂꯦꯞꯇꯅꯥ ꯑꯅꯥꯕꯥ ꯂꯩꯕꯥ꯫

ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯀꯔꯤ ꯋꯥꯍꯪ ꯍꯪꯒꯗꯒꯦ?

ꯅꯍꯥꯛꯅꯥ ꯗꯣꯛꯇꯔꯗꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯋꯥꯍꯪꯁꯤꯡ ꯑꯁꯤ ꯍꯪꯕꯤꯔꯀꯄꯥ ꯌꯥꯏ:

• ꯑꯩꯅꯥ ꯕꯤ.ꯑꯥꯔ.ꯁꯤ.ꯑꯦ.ꯒꯤ ꯇꯦꯁ꯭ꯠ ꯑꯃꯥ ꯇꯧꯒꯗ꯭ꯔꯥ?
• ꯑꯩꯉꯣꯟꯗꯥ ꯀꯔꯤ ꯃꯈꯂꯒꯤ ꯏꯄꯤꯊꯤꯌꯦꯜ ꯑꯣꯕꯦꯔꯤꯌꯟ ꯀꯦꯟꯁꯔ ꯂꯩꯕꯒꯦ?
• ꯑꯩꯒꯤꯗꯃꯛꯇꯗꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯥ ꯂꯥꯌꯦꯡ ꯀꯔꯤꯅꯣ?
• ꯂꯥꯏꯌꯦꯡꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯁꯥꯏꯗ ꯏꯐꯦꯛꯇꯁꯤꯡ ꯀꯔꯤꯅꯣ?
• ꯑꯩꯅꯥ ꯃꯦꯇꯥꯁ꯭ꯇꯤꯛ ꯀꯦꯟꯁꯔꯒꯤ ꯔꯤꯁ꯭ꯛ ꯂꯩꯕ꯭ꯔꯥ? ꯑꯩꯅꯥ ꯃꯇꯧ ꯀꯔꯝꯅꯥ ꯔꯤꯁ꯭ꯛ ꯑꯗꯨ ꯍꯟꯊꯍꯅꯒꯅꯤ?
• ꯑꯩꯅꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯈꯜ ꯇꯥꯒꯗ꯭ꯔꯥ?

ꯑꯣꯕꯦꯁꯤꯇꯤꯒꯤ ꯀꯦꯟꯁꯔꯒꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯃꯑꯣꯡ ꯑꯁꯤ ꯀꯔꯤꯅꯣ?

ꯍꯥꯏ-ꯒ꯭ꯔꯦꯗ ꯁꯦꯔꯣꯁ ꯑꯣꯕꯦꯔꯤꯌꯟ ꯀꯦꯟꯁꯔ (HGSOC) ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯑꯣꯕꯦꯔꯤꯌꯟ ꯀꯦꯟꯁꯔ ꯃꯈꯜ ꯑꯃꯅꯤ꯫ ꯃꯁꯤꯒꯤ ꯀꯦꯟꯁꯔ ꯑꯁꯤ ꯑꯍꯥꯅꯕꯗꯥ ꯐꯦꯂꯣꯄꯤꯌꯥꯟ ꯇꯤꯎꯕꯁꯤꯡꯗꯥ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯍꯦꯅꯒꯠꯂꯕꯁꯨ, ꯃꯁꯤꯅꯥ ꯑꯣꯚꯔꯑꯣꯂꯗꯥ ꯌꯧꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯁꯟꯗꯣꯀꯏ꯫ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯋꯥꯐꯝ ꯑꯃꯅꯥ, HGSOCꯅꯥ ꯅꯥꯕꯥ ꯃꯤꯑꯣꯏ ꯀꯌꯥꯅꯥ ꯃꯈꯣꯌ ꯑꯁꯤ ꯈꯪꯗꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯑꯦꯗꯚꯥꯟꯁ/ꯃꯦꯇꯥꯁ꯭ꯇꯦꯇꯤꯛ ꯑꯣꯕꯦꯔꯤꯌꯟ ꯀꯦꯟꯁꯔ ꯂꯩ꯫

ꯅꯟ-ꯀꯦꯟꯁꯔ (ꯕꯦꯅꯤꯐꯤꯁꯔꯤ) ꯏꯄꯤꯊꯦꯂꯤꯑꯦꯜ ꯑꯣꯕꯦꯔꯤꯌꯟ ꯁꯤꯁ꯭ꯇꯦꯃꯁꯤꯡ ꯂꯩꯕꯥ ꯌꯥꯕ꯭ꯔꯥ?

ꯍꯣꯏ. ꯇꯁꯦꯡꯕꯗꯤ, ꯑꯌꯥꯝꯕꯥ ꯏꯄꯤꯊꯤꯌꯦꯜ ꯑꯣꯕꯦꯔꯤꯌꯟ ꯇꯤꯎꯃꯔꯁꯤꯡ ꯑꯁꯤ ꯀꯦꯟꯁꯔꯅꯥ ꯅꯥꯕꯥ ꯅꯠꯇꯦ꯫ ꯇꯤꯎꯃꯔ ꯈꯔꯗꯤ ꯕꯣꯔꯗꯔꯂꯥꯏꯟ ꯇꯤꯎꯃꯔ ꯅꯠꯠꯔꯒꯥ ꯑꯦꯇꯤꯄꯤꯀꯦꯜ ꯄ꯭ꯔꯣꯂꯤꯐꯦꯔꯦꯇꯤꯡ ꯇꯤꯎꯃꯔ ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯃꯃꯥꯡꯗꯥ ꯂꯣ ꯃꯦꯂꯤꯒꯅꯦꯟꯇ ꯄꯣꯇꯦꯟꯁꯤꯌꯦꯜ ꯇꯤꯎꯃꯔ ꯍꯥꯌꯅꯥ ꯀꯧꯅꯔꯝꯃꯤ꯫

ꯕꯣꯔꯗꯔꯂꯥꯏꯟ ꯇꯤꯎꯃꯔꯁꯤꯡꯗꯥ, ꯑꯦꯕꯅꯣꯔꯃꯦꯜ ꯁꯦꯂꯁꯤꯡꯅꯥ ꯏꯄꯤꯊꯤꯌꯦꯜ ꯇꯤꯁꯨꯗꯥ ꯍꯦꯅꯒꯠꯂꯀꯏ ꯑꯗꯨꯕꯨ ꯑꯣꯚꯔꯑꯣꯜ (stroma)ꯒꯤ ꯁꯄꯣꯔꯇꯤꯡ ꯇꯤꯁꯨꯗꯥ ꯏꯅꯚꯦꯖ ꯇꯧꯗꯦ꯫ ꯍꯥꯌꯔꯤꯕꯥ ꯁꯦꯂꯁꯤꯡ ꯑꯁꯤ ꯃꯍꯧꯁꯥꯅꯥ ꯑꯣꯚꯔꯑꯣꯜ ꯃꯁꯥꯃꯛꯇꯗꯥ ꯂꯩ ꯑꯃꯁꯨꯡ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯀꯦꯟꯁꯔ ꯑꯣꯏꯔꯀꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯀꯦꯟꯁꯔ ꯂꯥꯛꯂꯕꯗꯤ, ꯃꯔꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯍꯨꯝꯗꯤ ꯁ꯭ꯇꯦꯖ 1 (ꯑꯣꯚꯔꯗꯥ ꯁꯣꯀꯍꯜꯂꯕꯥ ꯑꯃꯁꯨꯡ ꯂꯥꯏꯌꯦꯡꯕꯗꯥ ꯂꯥꯌꯕꯥ) ꯑꯣꯏ꯫ ꯇꯤꯎꯃꯔꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯃꯍꯧꯁꯥꯅꯥ ꯅꯍꯥ ꯑꯣꯏꯔꯤꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯗꯥ ꯁꯣꯀꯍꯜꯂꯤ꯫

ꯇꯦꯛ-ꯍꯣꯝ ꯃꯦꯁꯦꯖ ꯇꯧꯕꯥ꯫

ꯏꯄꯤꯊꯦꯂꯤꯑꯦꯜ ꯑꯣꯕꯦꯔꯤꯌꯟ ꯀꯦꯟꯁꯔ ꯑꯁꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯑꯣꯕꯦꯔꯤꯌꯟ ꯀꯦꯟꯁꯔ ꯃꯈꯂꯅꯤ꯫ ꯃꯁꯤꯗꯥ ꯐꯦꯂꯣꯄꯤꯌꯟ ꯇꯨꯕ ꯀꯦꯟꯁꯔ ꯑꯃꯁꯨꯡ ꯄ꯭ꯔꯥꯏꯃꯥꯔꯤ ꯄꯦꯔꯤꯇꯣꯅꯤꯑꯦꯜ ꯀꯦꯟꯁꯔꯁꯨ ꯌꯥꯑꯣꯔꯤ꯫ ꯑꯣꯚꯔꯑꯣꯜ ꯀꯦꯟꯁꯔ ꯑꯁꯤ ꯑꯌꯥꯝꯕꯗꯤ ꯃꯈꯣꯌꯒꯤ ꯑꯍꯥꯅꯕꯥ ꯁ꯭ꯇꯦꯖꯗꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯌꯥꯝꯅꯥ ꯅꯦꯝꯃꯤ꯫ ꯑꯌꯥꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯂꯥꯌꯅꯥ ꯑꯁꯤ ꯈꯪꯗꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯈꯪꯗꯣꯀꯄꯥ ꯉꯃꯗꯅꯥ ꯌꯥꯝꯅꯥ ꯆꯥꯎꯏ꯫ ꯃꯁꯤ ꯃꯔꯨꯑꯣꯏꯅꯥ `HGSOC` ꯍꯥꯌꯅꯥ ꯀꯧꯕꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯏꯄꯤꯊꯤꯌꯦꯜ ꯀꯦꯟꯁꯔ ꯃꯈꯜ ꯑꯁꯤꯒꯤꯗꯃꯛꯇꯗꯤ ꯌꯥꯝꯅꯥ ꯆꯨꯝꯃꯤ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯣꯕꯦꯔꯤꯌꯟ ꯀꯦꯟꯁꯔ (ꯐꯦꯃꯤꯂꯤ ꯍꯤꯁ꯭ꯇꯔꯤꯒꯨꯝꯕꯥ) ꯂꯥꯀꯄꯒꯤ ꯔꯤꯁ꯭ꯛ ꯌꯥꯝꯅꯥ ꯂꯩꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯄ꯭ꯔꯣꯐꯥꯏꯂꯦꯛꯇꯤꯛ ꯑꯣꯏꯕꯥ ꯊꯧꯔꯥꯡꯁꯤꯡ ꯑꯁꯤ ꯅꯍꯥꯛꯀꯤꯗꯃꯛꯇꯥ ꯆꯨꯝꯃꯤ ꯍꯥꯌꯅꯥ ꯍꯪꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫ ꯃꯇꯝ ꯄꯨꯝꯅꯃꯛꯇꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡ ꯑꯗꯨ ꯌꯦꯡꯁꯤꯅꯕꯤꯌꯨ꯫ ꯑꯆꯝꯕꯥ ꯂꯥꯏꯑꯣꯡ ꯑꯃꯠꯇꯥ ꯌꯦꯡꯁꯤꯜꯂꯣꯏꯗꯕꯅꯤ꯫ ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯄꯥꯎꯇꯥꯛ ꯂꯧꯕꯤꯌꯨ꯫

` ꯑꯣꯕꯦꯔꯤꯌꯟ ꯀꯦꯟꯁꯔ, ꯏꯄꯤꯊꯤꯌꯦꯜ ꯀꯦꯟꯁꯔ, ꯅꯨꯄꯤꯒꯤ ꯍꯀꯁꯦꯜ, ꯀꯦꯟꯁꯔꯒꯤ ꯂꯥꯏꯑꯣꯡ, ꯀꯦꯟꯁꯔ ꯂꯥꯌꯦꯡ, ꯕꯤ.ꯑꯥꯔ.ꯁꯤ.ꯑꯦ.ꯒꯤ ꯖꯤꯟ, ꯒꯥꯏꯅꯣꯀꯣꯂꯣꯖꯤ꯫