ꯏꯁꯣꯐꯦꯖꯤꯌꯜ ꯚꯦꯔꯤꯁꯀꯤ ꯃꯇꯥꯡꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯈꯪꯖꯤꯅꯒꯗꯕꯥ ꯋꯥꯐꯃꯁꯤꯡ!

ꯅꯍꯥꯛꯀꯤ ꯏꯁꯣꯐꯦꯒꯁꯇꯥ ꯂꯩꯕꯥ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯂꯁꯤꯡ, ꯅꯍꯥꯛꯀꯤ ꯃꯤꯠꯇꯒꯤ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯆꯤꯟꯖꯥꯛ ꯄꯨꯊꯣꯛ ꯄꯨꯁꯤꯟ ꯇꯧꯔꯤꯕꯥ ꯇꯤꯎꯕ ꯑꯗꯨ ꯁꯣꯟꯊꯔꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯆꯥꯎꯈꯠꯂꯀꯄꯔꯥ? ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯑꯗꯣꯝꯅꯥ ꯇꯥꯕꯤꯔꯝꯂꯕꯁꯨ ꯌꯥꯏ꯫ ꯑꯗꯨꯕꯨ ꯏꯁꯣꯐꯦꯖꯤꯌꯜ ꯚꯦꯔꯤꯁ ꯍꯥꯌꯅꯥ ꯀꯧꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤꯗꯤ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯂꯥꯀꯄꯥ ꯌꯥꯏ ꯑꯃꯁꯨꯡ ꯈꯪꯍꯧꯗꯅꯥ ꯈꯨꯗꯣꯡꯊꯤꯅꯤꯉꯥꯏ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯅꯥ ꯉꯁꯤꯗꯤ ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯄꯨꯝꯅꯃꯛ ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯈꯉꯂꯁꯤ, ꯃꯔꯨꯞ ꯑꯃꯒꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯔꯀꯄꯒꯨꯝ꯫

ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯏꯁꯣꯐꯦꯖꯤꯌꯜ ꯚꯦꯔꯤꯁ ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ?

ꯈꯅꯕꯤꯌꯨ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯈꯣꯡꯗꯥ ꯁꯣꯀꯄꯥ, ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯁꯣꯀꯄꯥ ꯌꯥꯕꯥ ꯚꯦꯅꯃꯁꯤꯡ ꯂꯩꯕꯔꯥ? ꯑꯩꯈꯣꯌꯅꯥ ꯃꯈꯣꯌꯕꯨ ‘ꯚꯦꯔꯤꯀꯣꯁ ꯚꯦꯅꯝ’ ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ ꯑꯩꯈꯣꯌꯒꯤ ꯒꯨꯂꯦꯇꯀꯤ ꯃꯅꯨꯡꯗꯥꯁꯨ ꯃꯁꯤꯃꯛ ꯊꯣꯀꯏ꯫ ꯚꯦꯅꯃꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯋꯥꯂꯁꯤꯡ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯂꯨꯕꯥ ꯑꯣꯏ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯃꯈꯣꯌꯗꯒꯤ ꯏ ꯊꯣꯀꯄꯥ ꯌꯥꯕꯒꯤ ꯆꯥꯡ ꯋꯥꯡꯏ, ꯅꯠꯠꯔꯒꯥ ꯃꯈꯣꯌ ꯑꯁꯤ ꯈꯪꯍꯧꯗꯅꯥ ꯏꯁꯤꯡ ꯊꯨꯃꯖꯤꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯏ ꯊꯣꯀꯄꯥ ꯌꯥꯕꯒꯤ ꯆꯥꯡ ꯋꯥꯡꯏ꯫ ꯍꯀꯆꯥꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯏ ꯊꯣꯀꯄꯥ ꯑꯁꯤ ꯈꯪꯍꯧꯗꯅꯥ, ꯁꯥꯊꯤꯕꯥ ꯑꯃꯁꯨꯡ ꯄꯨꯟꯁꯤ ꯃꯥꯡꯍꯅꯕꯥ ꯐꯥꯎꯕꯥ ꯌꯥꯏ꯫

ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯃꯍꯧꯁꯥꯅꯥ ꯂꯤꯚꯔ ꯑꯃꯁꯨꯡ ꯃꯁꯤꯒꯥ ꯁꯝꯅꯕꯥ ꯑꯇꯩ ꯚꯦꯅꯃꯁꯤꯡ (Portal Hypertension)ꯗꯥ ꯆꯦꯜꯂꯤꯕꯥ ꯃꯦꯟ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯂꯁꯤꯡꯗꯥ ꯄ꯭ꯔꯦꯁꯔ ꯍꯦꯅꯒꯠꯂꯀꯄꯅꯥ ꯊꯣꯀꯍꯅꯕꯅꯤ꯫ ꯃꯁꯤꯒꯤ ꯑꯦꯕꯅꯣꯔꯃꯦꯜ ꯄ꯭ꯔꯦꯁꯔ ꯑꯁꯤꯅꯥ ꯂꯤꯚꯔꯗꯥ ꯂꯩꯕꯥ ꯑꯄꯤꯀꯄꯥ ꯚꯦꯅꯃꯁꯤꯡ ꯑꯗꯨ ꯁꯣꯟꯊꯍꯜꯂꯤ ꯑꯃꯁꯨꯡ ꯍꯦꯟꯅꯥ ꯆꯥꯎꯈꯠꯍꯜꯂꯤ꯫ ꯃꯁꯤꯒꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯑꯌꯥꯝꯕꯗꯤ ꯂꯤꯚꯔꯒꯤ ꯂꯥꯌꯅꯥ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯗꯥ ꯎꯕꯥ ꯐꯪꯏ꯫

ꯐꯤꯚꯝ ꯑꯁꯤ ꯀꯌꯥ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯒꯦ?

ꯄꯣꯔꯇꯦꯜ ꯚꯦꯟ ꯊ꯭ꯔꯣꯝꯕꯣꯁꯤꯁꯀꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯈꯨꯗꯣꯡꯊꯤꯅꯤꯉꯥꯏ ꯑꯣꯏꯕꯥ ꯔꯤꯁ꯭ꯛ ꯑꯁꯤ ꯏ ꯊꯣꯀꯄꯥ ꯑꯁꯤꯅꯤ . ꯃꯤꯄꯨꯝ ꯈꯨꯗꯤꯡꯃꯛ ꯏ ꯊꯣꯀꯄꯥ ꯉꯃꯗꯦ, ꯑꯗꯨꯕꯨ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯃꯤꯑꯣꯏ 50%ꯗꯤ ꯔꯤꯁ꯭ꯛ ꯂꯩ꯫ ꯄꯣꯔꯇꯦꯜ ꯍꯥꯏꯄꯔꯇꯦꯟꯁꯟ ꯍꯦꯟꯅꯥ ꯋꯥꯡꯕꯥ ꯃꯇꯃꯗꯥ, ꯏ ꯊꯣꯀꯄꯒꯤ ꯔꯤꯁ꯭ꯛ ꯍꯦꯅꯒꯠꯂꯀꯏ꯫ ꯃꯁꯤꯒꯤ ꯄ꯭ꯔꯦꯁꯔ ꯑꯁꯤ ꯂꯤꯚꯔꯒꯤ ꯂꯥꯌꯅꯥꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯍꯦꯅꯒꯠꯂꯀꯏ, ꯃꯔꯨꯑꯣꯏꯅꯥ ꯁꯤꯔꯣꯁꯤꯁ .

ꯂꯤꯚꯔꯒꯤ ꯁꯥꯊꯤꯕꯥ ꯁꯤꯔꯣꯁꯤꯁ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯗꯥ ꯚꯦꯅꯝ ꯁꯣꯀꯄꯒꯤ ꯃꯊꯛꯇꯥ ꯑꯇꯩ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯃꯁꯤꯡ ꯂꯩꯕꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯍꯣꯁ꯭ꯄꯤꯇꯥꯂꯥꯏꯖꯦꯁꯟ ꯑꯃꯁꯨꯡ ꯁꯤꯕꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯔꯃꯗꯤ ꯚꯦꯅꯃꯁꯤꯡ ꯑꯁꯤ ꯁꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯏ ꯊꯣꯀꯄꯥ ꯑꯁꯤꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯏ ꯊꯣꯀꯄꯥ ꯇꯥꯔꯕꯗꯤ, ꯁꯤꯕꯒꯤ ꯔꯤꯁ꯭ꯛ ꯑꯁꯤ ꯆꯥꯎꯔꯥꯛꯅꯥ 20% ꯑꯣꯏ꯫ ꯃꯁꯤꯗꯁꯨ ꯅꯠꯇꯅꯥ, ꯏ ꯊꯣꯀꯄꯥ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯇꯣꯏꯅꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫

ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯤꯅꯣ?

ꯍꯥꯌꯔꯤꯕꯥ ꯚꯦꯅꯃꯁꯤꯡ ꯑꯁꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯂꯩꯕꯅꯥ ꯃꯈꯣꯌ ꯑꯁꯤ ꯈꯣꯡꯗꯥ ꯂꯩꯕꯥ ꯚꯦꯅꯝ ꯑꯃꯒꯨꯝꯅꯥ ꯎꯕꯥ ꯐꯪꯗꯦ꯫ ꯅꯍꯥꯛꯅꯥ ꯆꯤꯟꯖꯥꯛ ꯊꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯃꯈꯣꯌꯗꯨ ꯐꯥꯎꯕꯥ ꯐꯥꯎꯕꯥ ꯉꯃꯗꯕꯥ ꯌꯥꯏ꯫ ꯇꯁꯦꯡꯕꯗꯤ ꯃꯈꯣꯌꯅꯥ ꯏ ꯊꯣꯀꯄꯥ ꯍꯧꯗ꯭ꯔꯤꯉꯩꯗꯥ ꯂꯥꯏꯑꯣꯡ ꯑꯃꯠꯇꯥ ꯎꯠꯄꯥ ꯉꯃꯗꯕꯥ ꯌꯥꯏ .

ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯗꯣꯛꯇꯔ ꯑꯃꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯂꯤꯚꯔ ꯗꯤꯖꯤꯖ ꯅꯠꯠꯔꯒꯥ ꯄꯣꯔꯇꯦꯜ ꯍꯥꯏꯄꯔꯇꯦꯟꯁꯟ ꯂꯩꯔꯦ ꯍꯥꯌꯕꯥ ꯇꯥꯀꯄꯥ ꯑꯇꯩ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯎꯔꯕꯗꯤ ꯃꯈꯣꯌꯅꯥ ꯃꯁꯤꯗꯁꯨ ꯆꯤꯡꯅꯕꯥ ꯂꯩꯕꯥ ꯌꯥꯏ꯫

ꯀꯔꯤꯒꯤꯗꯃꯛꯇꯥ ꯚꯦꯅꯃꯁꯤꯡ ꯑꯁꯤ ꯐꯨꯃꯖꯤꯜꯂꯤꯕꯅꯣ? ꯃꯁꯤꯒꯤ ꯃꯔꯝ ꯀꯔꯤꯅꯣ?

ꯑꯩꯈꯣꯌꯅꯥ ꯃꯃꯥꯡꯗꯥ ꯈꯟꯅꯈꯤꯕꯒꯨꯝꯅꯥ, ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯔꯝ ꯑꯁꯤ ``ꯄꯣꯔꯇꯦꯜ ꯍꯥꯏꯄꯔꯇꯦꯟꯁꯟ`` ꯀꯧꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫`` ꯃꯁꯤ ꯈꯔꯥ ꯍꯦꯟꯅꯥ ꯂꯥꯏꯅꯥ ꯂꯧꯁꯤ꯫

ꯑꯩꯈꯣꯌꯒꯤ ꯂꯤꯚꯔ ꯑꯁꯤ ꯑꯆꯧꯕꯥ ꯐꯤꯜꯇꯔ ꯑꯃꯥ ꯑꯣꯏꯅꯥ ꯈꯅꯕꯤꯌꯨ꯫ ꯈꯣꯝꯂꯥꯡꯗꯥ ꯂꯩꯔꯤꯕꯥ ꯆꯤꯟꯖꯥꯀꯁꯤꯡꯗꯒꯤ ꯂꯥꯀꯄꯥ ꯏ ꯑꯗꯨ ꯂꯤꯚꯔꯗꯥ ꯆꯦꯜꯂꯤ, ꯃꯐꯃꯗꯨꯗꯥ ꯃꯗꯨ ꯁꯦꯡꯗꯣꯀꯏ ꯑꯃꯁꯨꯡ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯊꯝꯃꯣꯌꯗꯥ ꯆꯠꯂꯤ꯫ ꯏ ꯑꯁꯤꯕꯨ ꯂꯤꯚꯔꯗꯥ ꯄꯨꯔꯀꯄꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯚꯦꯅꯝ ꯑꯗꯨꯕꯨ ``ꯄꯣꯔꯇꯦꯜ ꯚꯦꯟ`` ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫

ꯍꯧꯖꯤꯛ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯁꯤꯔꯣꯁꯤꯁꯒꯨꯝꯕꯥ ꯂꯥꯌꯅꯥ ꯑꯃꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯂꯤꯚꯔꯗꯥ ꯁꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯀꯅꯈꯠꯂꯛꯂꯕꯗꯤ ꯏ ꯑꯗꯨ ꯂꯤꯚꯔꯗꯥ ꯐꯖꯅꯥ ꯆꯠꯄꯥ ꯉꯝꯂꯣꯏ꯫ ꯂꯝꯕꯤ ꯑꯃꯗꯥ ꯑꯆꯧꯕꯥ ꯇ꯭ꯔꯥꯐꯤꯛ ꯖ꯭ꯌꯥꯝ ꯑꯃꯥ ꯂꯩꯕꯒꯨꯝ ꯇꯧꯏ꯫ ꯃꯁꯤꯅꯥ ꯄꯣꯔꯇꯦꯜ ꯚꯦꯅꯃꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯂꯩꯕꯥ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ ꯑꯗꯨ ꯌꯥꯝꯅꯥ ꯍꯦꯅꯒꯠꯍꯜꯂꯤ꯫

ꯍꯀꯆꯥꯡꯅꯥ ꯍꯦꯅꯒꯠꯂꯛꯂꯤꯕꯥ ꯄ꯭ꯔꯦꯁꯔ ꯑꯁꯤꯒꯤ ꯃꯍꯨꯠ ꯁꯤꯟꯗꯨꯅꯥ ꯑꯄꯤꯀꯄꯥ ꯚꯦꯁꯦꯂꯁꯤꯡ (ꯑꯄꯤꯀꯄꯥ ꯚꯦꯅꯃꯁꯤꯡ)ꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯏ ꯂꯧꯊꯣꯛꯇꯨꯅꯥ ꯍꯣꯠꯅꯩ꯫ ꯏꯎꯔꯦꯇꯔꯗꯥ ꯂꯩꯕꯥ ꯚꯦꯅꯃꯁꯤꯡ ꯑꯁꯤ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯑꯄꯤꯀꯄꯥ ꯚꯦꯁꯦꯂꯁꯤꯡꯅꯤ꯫ ꯑꯗꯨꯕꯨ ꯑꯄꯤꯀꯄꯥ ꯚꯦꯅꯃꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯏ ꯑꯃꯁꯨꯡ ꯄ꯭ꯔꯦꯁꯔꯒꯤ ꯑꯆꯧꯕꯥ ꯃꯁꯤꯡ ꯑꯁꯤ ꯍꯦꯟꯗꯜ ꯇꯧꯕꯥ ꯉꯃꯗꯦ꯫ ꯃꯁꯤꯒꯤ ꯃꯍꯩ ꯑꯣꯏꯅꯥ ꯃꯈꯣꯌ ꯑꯁꯤ ꯁꯣꯟꯊꯔꯀꯏ, ꯑꯆꯧꯕꯥ ꯑꯣꯏꯔꯀꯏ ꯑꯃꯁꯨꯡ ꯃꯇꯝ ꯑꯃꯠꯇꯗꯥ ꯄꯣꯀꯄꯥ ꯌꯥꯏ꯫

ꯂꯤꯚꯔ ꯁꯤꯔꯣꯁꯤꯁꯀꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯔꯃꯁꯤꯡꯗꯤ:

• ꯌꯨ ꯌꯥꯝꯅꯥ ꯊꯀꯄꯥ꯫
• ꯐꯦꯇꯤ ꯂꯤꯚꯔ (ꯅꯟ-ꯑꯦꯂꯀꯣꯍꯣꯂꯤꯛ ꯁ꯭ꯇꯦꯇꯣꯍꯦꯄꯥꯇꯥꯏꯇꯤꯁ)꯫
• ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯂꯩꯔꯛꯂꯕꯥ ꯚꯥꯏꯔꯁ ꯍꯦꯄꯥꯇꯥꯏꯇꯤꯁ ꯏꯅꯐꯦꯛꯁꯅꯁꯤꯡ꯫
• ꯍꯀꯆꯥꯡꯒꯤ ꯃꯁꯥꯒꯤ ꯏꯝꯝꯌꯨꯟ ꯁꯤꯁ꯭ꯇꯦꯃꯅꯥ ꯂꯤꯚꯔꯗꯥ ꯑꯦꯇꯦꯛ ꯇꯧꯏ (Autoimmune Hepatitis)꯫
• ꯑꯇꯣꯞꯄꯥ ꯃꯔꯃꯁꯤꯡ ꯍꯥꯌꯕꯗꯤ ꯏ ꯊꯣꯀꯄꯥ, ꯄꯦꯔꯥꯁꯥꯏꯠ ꯏꯅꯐꯦꯛꯁꯟ (Schistosomiasis) ꯑꯁꯤꯅꯆꯤꯡꯕꯥ꯫

ꯅꯍꯥꯛꯅꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯀꯔꯝꯅꯥ ꯈꯪꯒꯅꯤ?

ꯑꯌꯥꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯅꯍꯥꯛꯅꯥ ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯗꯣꯛꯇꯔ ꯑꯃꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯌꯦꯡꯁꯤꯜꯂꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯈꯪꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯍꯥꯟꯅꯅꯥ ꯂꯤꯚꯔꯒꯤ ꯁꯤꯔꯣꯁꯤꯁ ꯂꯩꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯑꯌꯥꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯚꯦꯅꯝ ꯁꯣꯀꯄꯒꯤ ꯃꯈꯜ ꯑꯁꯤꯒꯤ ꯁ꯭ꯛꯔꯤꯅꯤꯡ ꯇꯧꯅꯕꯥ ꯄꯥꯎꯇꯥꯛ ꯄꯤꯒꯅꯤ꯫

ꯃꯔꯨꯑꯣꯏꯕꯥ ꯇꯦꯁ꯭ꯠ ꯑꯁꯤ ꯑꯋꯥꯡ ꯑꯦꯟꯗꯣꯁ꯭ꯀꯣꯄꯤ ꯅꯠꯔꯒꯥ ꯏ.ꯖꯤ.ꯗꯤ .

ꯃꯁꯤꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯃꯤꯠꯀꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯀꯦꯃꯦꯔꯥ ꯑꯃꯥ ꯌꯥꯎꯕꯥ ꯑꯄꯤꯀꯄꯥ, ꯐ꯭ꯂꯦꯛꯁꯤꯕꯜ ꯑꯣꯏꯕꯥ ꯇꯤꯎꯕ ꯑꯃꯥ ꯍꯥꯄꯆꯤꯟꯗꯨꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯏꯁꯣꯐꯦꯒꯁ, ꯁ꯭ꯇꯣꯃꯥꯛ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯑꯄꯤꯀꯄꯥ ꯏꯟꯇꯦꯁ꯭ꯇꯥꯏꯅꯒꯤ ꯍꯧꯔꯀꯐꯝ ꯑꯗꯨ ꯌꯦꯡꯁꯤꯅꯕꯥ ꯌꯥꯎꯏ꯫ ꯃꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯚꯦꯅꯃꯁꯤꯡ ꯑꯗꯨ ꯁꯣꯀꯄꯥ ꯌꯥꯕ꯭ꯔꯥ, ꯃꯈꯣꯌꯗꯨ ꯀꯌꯥꯝ ꯆꯥꯎꯕꯒꯦ ꯑꯃꯁꯨꯡ ꯃꯈꯣꯌꯗꯨ ꯏ ꯊꯣꯀꯄꯒꯤ ꯈꯨꯗꯣꯡꯊꯤꯕꯥ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯃꯌꯦꯛ ꯁꯦꯡꯅꯥ ꯎꯕꯥ ꯉꯃꯍꯜꯂꯤ꯫

ꯃꯁꯤꯒꯤ ꯂꯥꯏꯌꯦꯡꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯤꯅꯣ?

ꯅꯨꯡꯉꯥꯏꯕꯗꯤ, ꯏ ꯊꯣꯀꯄꯥ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯏ ꯊꯣꯀꯄꯥ ꯊꯤꯡꯅꯕꯥ ꯇꯣꯉꯥꯟ-ꯇꯣꯉꯥꯅꯕꯥ ꯂꯥꯏꯌꯦꯡꯁꯤꯡ ꯂꯩꯔꯤ꯫ ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯄꯥꯟꯗꯃꯁꯤꯡꯗꯤ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯁꯤꯡꯁꯤꯅꯤ:

• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯦꯛꯇꯤꯚ ꯑꯣꯏꯕꯥ ꯕ꯭ꯂꯤꯗꯤꯡ ꯂꯩꯔꯕꯗꯤ ꯀꯟꯠꯔꯣꯜ ꯇꯧ꯫
• ꯇꯨꯡꯗꯥ ꯏ ꯊꯣꯀꯄꯥ ꯊꯤꯡꯕꯥ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯌꯥꯕꯥ ꯇꯥꯔꯕꯗꯤ, `(ꯄꯣꯔꯇꯦꯜ ꯍꯥꯏꯄꯔꯇꯦꯟꯁꯟ)`ꯒꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯗꯨ ꯍꯟꯊꯍꯅꯒꯗꯕꯅꯤ꯫

ꯏ ꯊꯣꯀꯄꯥ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯥ (ꯏꯃꯔꯖꯦꯟꯁꯤ) 1.

ꯃꯁꯤ ꯃꯦꯗꯤꯀꯦꯜ ꯏꯃꯔꯖꯦꯟꯁꯤ ꯑꯃꯅꯤ꯫ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯂꯗꯥ, ꯅꯍꯥꯀꯄꯨ IV ꯐ꯭ꯂꯨꯏꯗ ꯄꯤꯒꯅꯤ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯊꯧ ꯇꯥꯔꯕꯗꯤ ꯕ꯭ꯂꯗ ꯇ꯭ꯔꯥꯟꯁꯐ꯭ꯌꯨꯁꯟ ꯑꯃꯥ ꯄꯤꯒꯅꯤ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯗꯨ ꯂꯦꯡꯗꯅꯥ ꯂꯩꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯑꯦꯟꯗꯣꯁ꯭ꯀꯣꯄꯤ ꯑꯃꯥ ꯄꯤꯒꯅꯤ꯫ ꯑꯗꯨꯗ:

• ꯚꯦꯔꯤꯀꯣꯁ ꯕꯦꯟꯗ ꯂꯥꯏꯒꯦꯁꯟ: ꯑꯄꯤꯀꯄꯥ ꯏꯅꯁ꯭ꯠꯔꯨꯃꯦꯟꯇ ꯑꯃꯥ ꯑꯦꯟꯗꯣꯁ꯭ꯀꯣꯄꯀꯤ ꯃꯅꯨꯡꯗꯥ ꯄꯥꯁ ꯇꯧꯏ ꯑꯃꯁꯨꯡ ꯚꯦꯔꯤꯀꯣꯁ ꯚꯦꯅꯃꯒꯤ ꯑꯀꯣꯌꯕꯗꯥ ꯑꯄꯤꯀꯄꯥ ꯔꯕ꯭ꯕꯔ ꯕꯦꯟꯗ ꯑꯃꯥ ꯊꯝꯃꯤ꯫ ꯃꯁꯤꯅꯥ ꯚꯦꯅꯝ ꯑꯗꯨꯗꯥ ꯏ ꯆꯦꯅꯕꯥ ꯊꯤꯡꯏ ꯑꯃꯁꯨꯡ ꯏ ꯊꯣꯀꯄꯥ ꯑꯗꯨ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯏ꯫
• ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ: ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ ꯍꯟꯊꯍꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯂꯁꯤꯡ ꯊꯤꯡꯕꯥ ꯉꯝꯕꯥ ꯍꯤꯗꯥꯀꯁꯤꯡ (Octreotide, Vasopressin) ꯑꯁꯤ ꯚꯦꯅꯝ ꯑꯃꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯄꯤ꯫

2. ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯏ ꯊꯣꯀꯄꯥ ꯊꯤꯡꯕꯥ꯫

ꯏ ꯊꯣꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯂꯩꯇꯕꯁꯨ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯏ ꯊꯣꯀꯄꯒꯤ ꯔꯤꯁ꯭ꯛ ꯂꯩꯔꯕꯗꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯉꯥꯀꯊꯣꯛꯅꯕꯥ ꯂꯥꯏꯌꯦꯡ ꯍꯧꯒꯅꯤ꯫

• ꯕꯦꯇꯥ-ꯕ꯭ꯂꯣꯀꯔꯁꯤꯡ: ꯍꯥꯌ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔꯒꯤꯗꯃꯛꯇꯥ ꯄꯤꯕꯥ ꯍꯤꯗꯥꯛ ꯃꯈꯜ ꯑꯁꯤꯅꯥ ꯏ ꯊꯣꯀꯄꯒꯤ ꯆꯥꯡ ꯑꯁꯤ ꯆꯥꯎꯔꯥꯛꯅꯥ 50% ꯍꯟꯊꯍꯅꯕꯥ ꯉꯝꯃꯤ꯫
• ꯕꯦꯟꯗ ꯂꯤꯒꯦꯁꯟ: ꯃꯁꯤꯒꯤ ꯄꯥꯝꯕꯩ ꯑꯁꯤ ꯃꯤꯑꯣꯏ ꯈꯔꯒꯤ ꯑꯣꯏꯅꯗꯤ ꯉꯥꯀꯊꯣꯛꯅꯕꯥ ꯊꯧꯔꯥꯡ ꯑꯃꯥ ꯑꯣꯏꯅꯥꯁꯨ ꯁꯤꯖꯤꯟꯅꯩ꯫

꯳.ꯃꯊꯧ ꯇꯥꯔꯤꯕꯥ ꯃꯔꯝ ꯑꯗꯨ ꯂꯥꯌꯦꯡꯕꯥ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯊꯛꯇꯥ ꯄꯅꯈ꯭ꯔꯤꯕꯥ ꯂꯥꯏꯌꯦꯡꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯏ ꯊꯣꯀꯄꯒꯤ ꯔꯤꯁ꯭ꯛ ꯍꯟꯊꯍꯅꯕꯥ ꯉꯃꯗ꯭ꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ``ꯄꯣꯔꯇꯦꯜ ꯍꯥꯏꯄꯔꯇꯦꯟꯁꯟ''ꯒꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯗꯨ ꯍꯀꯊꯦꯡꯅꯅꯥ ꯍꯟꯊꯍꯟꯅꯕꯥ ꯑꯇꯩ ꯄꯥꯝꯕꯩꯁꯤꯡ ꯄꯤꯕꯥ ꯌꯥꯏ꯫

• ꯇ꯭ꯔꯥꯟꯁꯖꯨꯒꯨꯂꯥꯔ ꯏꯟꯠꯔꯥꯍꯦꯄꯥꯇꯤꯛ ꯄꯣꯔꯇꯦꯜ-ꯁꯤꯁ꯭ꯇꯦꯃꯤꯛ ꯁꯟꯇ (TIPS): ꯃꯁꯤ ꯁꯔꯖꯤꯀꯦꯜ ꯄ꯭ꯔꯣꯁꯤꯗ꯭ꯌꯨꯑꯣꯔ ꯑꯃꯅꯤ꯫ ꯄ꯭ꯔꯣꯁꯤꯗ꯭ꯌꯨꯑꯣꯔ ꯑꯁꯤꯗꯥ, ꯂꯤꯚꯔꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯂꯩꯕꯥ ꯚꯦꯅꯝ ꯑꯃꯗꯥ ꯑꯄꯤꯀꯄꯥ ꯇꯤꯎꯕ (ꯁ꯭ꯇꯦꯟꯇ) ꯑꯃꯥ ꯊꯥꯗꯨꯅꯥ ꯄꯣꯔꯇꯦꯜ ꯚꯦꯅꯃꯗꯒꯤ ꯏ ꯄꯨꯗꯨꯅꯥ ꯑꯅꯧꯕꯥ ꯀꯅꯦꯛꯁꯟ ꯑꯃꯥ ꯁꯦꯝꯃꯤ, ꯅꯠꯠꯔꯒꯥ "ꯁꯣꯔꯇꯀꯠ" ꯑꯃꯥ ꯁꯦꯝꯃꯤ꯫ ꯃꯁꯤꯅꯥ ꯄ꯭ꯔꯦꯁꯔ ꯌꯥꯝꯅꯥ ꯍꯟꯊꯍꯜꯂꯤ꯫
• ꯁꯔꯖꯔꯤ: ``ꯗꯤꯁ꯭ꯇꯦꯜ ꯁ꯭ꯞꯂꯦꯅꯣꯔꯦꯅꯦꯜ ꯁꯟꯇ (DSRS)``ꯒꯨꯝꯕꯥ ꯁꯔꯖꯤꯀꯦꯜ ꯄ꯭ꯔꯣꯁꯤꯗ꯭ꯌꯨꯑꯣꯔꯁꯤꯡꯅꯁꯨ ꯏꯒꯤ ꯈꯣꯡꯖꯦꯜ ꯌꯥꯡꯁꯤꯅꯍꯟꯗꯨꯅꯥ ꯄ꯭ꯔꯦꯁꯔ ꯍꯟꯊꯍꯜꯂꯤ꯫