ꯅꯍꯥꯛꯀꯤ ꯂꯤꯚꯔ ꯑꯗꯨ ꯌꯥꯝꯅꯥ ꯐꯦꯠ ꯑꯣꯏꯕ꯭ꯔꯥ? ꯐꯦꯇꯤ ꯂꯤꯚꯔ ꯗꯤꯖꯤꯖ (Steatotic Liver Disease)ꯒꯤ ꯑꯅꯧꯕꯥ ꯃꯃꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯈꯉꯂꯁꯤ!

“ꯑꯣ ꯗꯣꯛꯇꯔ, ꯑꯩꯒꯤ ꯂꯤꯚꯔꯗꯥ ꯐꯦꯠ ꯗꯤꯄꯣꯖꯤꯠ ꯂꯩꯔꯦ...” ꯑꯗꯣꯝꯅꯥ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯋꯥꯐꯝ ꯑꯃꯥ ꯇꯥꯕꯤꯔꯝꯂꯒꯅꯤ? ꯅꯠꯔꯒꯥ ꯑꯗꯣꯃꯗꯁꯨ ꯃꯁꯤꯒꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯂꯩꯕ꯭ꯔꯥ? ꯋꯥꯒꯅꯨ. ꯉꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯂꯤꯚꯔꯗꯥ ꯐꯦꯠ ꯗꯤꯄꯣꯖꯤꯠ ꯇꯧꯕꯒꯤ ꯂꯥꯌꯅꯥ ꯑꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯔꯤ, ꯅꯠꯔꯒꯥ ꯑꯇꯣꯞꯄꯥ ꯋꯥꯍꯩ ꯑꯃꯗꯥ ꯍꯥꯌꯔꯕꯗꯥ ꯁ꯭ꯇꯦꯇꯣꯇꯤꯛ ꯂꯤꯚꯔ ꯗꯤꯖꯤꯖꯒꯤ ꯃꯇꯥꯡꯗꯥ꯫ ꯃꯃꯥꯡꯗꯥ ꯑꯩꯈꯣꯌꯅꯥ ꯃꯁꯤꯕꯨ “ꯐꯦꯇꯤ ꯂꯤꯚꯔ” ꯍꯥꯌꯅꯥ ꯀꯧꯔꯝꯃꯤ꯫ ꯃꯁꯤ ꯇꯁꯦꯡꯅꯥ ꯀꯔꯤꯅꯣ? ꯀꯔꯤꯒꯤꯗꯃꯛ ꯃꯁꯤꯕꯨ ꯑꯅꯧꯕꯥ ꯃꯃꯤꯡ ꯑꯃꯥ ꯊꯣꯅꯈꯤꯕꯅꯣ? ꯃꯁꯤ ꯄꯨꯝꯅꯃꯛ ꯑꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯋꯥꯔꯤ ꯁꯥꯁꯤ꯫

"ꯐꯦꯇꯤ ꯂꯤꯚꯔ" ꯍꯥꯌꯕꯥ ꯃꯃꯤꯡ ꯑꯁꯤ ꯀꯔꯤꯒꯤ ꯍꯣꯡꯂꯛꯂꯤꯕꯅꯣ?

ꯑꯩꯈꯣꯌꯅꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤꯕꯨ “ꯐꯦꯇꯤ ꯂꯤꯚꯔ ꯗꯤꯖꯤꯖ” ꯍꯥꯌꯅꯥ ꯀꯧꯅꯔꯝꯃꯤ꯫ ꯑꯗꯨꯕꯨ ꯲꯰꯲꯳ꯗꯥ ꯃꯦꯗꯤꯀꯦꯜ ꯑꯦꯛꯁꯄꯔꯇꯁꯤꯡꯅꯥ ꯃꯃꯤꯡ ꯑꯁꯤ “ꯁ꯭ꯇꯦꯇꯣꯇꯤꯛ ꯂꯤꯚꯔ ꯗꯤꯖꯤꯖ” ꯍꯥꯌꯅꯥ ꯍꯣꯡꯗꯣꯛꯅꯕꯥ ꯋꯥꯔꯦꯞ ꯂꯧꯈꯤ꯫ ꯃꯁꯤꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯔꯝ ꯑꯅꯤ ꯂꯩ꯫ ꯑꯃꯅꯥ ꯑꯅꯧꯕꯥ ꯃꯤꯡ ꯑꯁꯤꯅꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤꯒꯤ ꯃꯔꯃꯁꯤꯡ ꯍꯦꯟꯅꯥ ꯃꯌꯦꯛ ꯁꯦꯡꯅꯥ ꯇꯥꯛꯂꯤ꯫ ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯑꯣꯕꯦꯁꯤꯇꯤ ꯑꯁꯤ ꯃꯔꯝ ꯑꯃꯅꯤ, ꯑꯗꯨꯕꯨ ꯑꯔꯨꯝꯕꯥ ꯑꯗꯨꯒꯥ ꯃꯔꯤ ꯂꯩꯅꯗꯕꯥ ꯑꯇꯩ ꯔꯤꯁ꯭ꯛ ꯐꯦꯛꯇꯔꯁꯤꯡꯁꯨ ꯂꯩ꯫ ꯑꯇꯣꯞꯄꯥ ꯃꯔꯝ ꯑꯃꯗꯤ “ꯐꯦꯇꯤ ꯂꯤꯚꯔ” ꯍꯥꯌꯕꯥ ꯋꯥꯍꯩ ꯑꯁꯤꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯗꯥ ꯏꯀꯥꯏꯕꯥ ꯄꯤꯕꯥ ꯑꯃꯁꯨꯡ ꯃꯤꯅꯨꯡꯁꯤ ꯂꯩꯠꯔꯕꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ, ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯃꯃꯤꯡ ꯍꯣꯡꯗꯣꯀꯄꯅꯥ ꯃꯗꯨꯕꯨ ꯍꯦꯟꯅꯥ ꯃꯔꯨꯑꯣꯏꯅꯥ ꯂꯧꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯈꯤ꯫ ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, “ꯁ꯭ꯇꯦꯇꯣꯁꯤꯁ” ꯍꯥꯌꯕꯁꯤ ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯑꯣꯔꯒꯥꯟ ꯑꯃꯗꯥ (ꯃꯍꯧꯁꯥꯅꯥ ꯂꯤꯚꯔ) ꯐꯦꯠ ꯌꯥꯎꯔꯀꯄꯒꯤ ꯃꯑꯣꯡ-ꯃꯇꯧ ꯑꯗꯨ ꯈꯪꯗꯣꯛꯅꯕꯥ ꯁꯤꯖꯤꯟꯅꯕꯥ ꯋꯥꯍꯩ ꯑꯃꯅꯤ꯫ ꯍꯀꯁꯦꯜ ꯐꯕꯥ, ꯐꯖꯅꯥ ꯊꯕꯛ ꯇꯧꯕꯥ ꯂꯤꯚꯔ ꯑꯃꯗꯥ ꯐꯦꯠ ꯃꯁꯤꯡ ꯌꯥꯝꯅꯥ ꯌꯥꯎꯏ꯫ ꯃꯁꯤꯒꯤ ꯐꯦꯠ ꯑꯦꯛꯌꯨꯃꯨꯂꯦꯁꯟ ꯑꯁꯤ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯂꯤꯚꯔꯒꯤ ꯑꯔꯨꯝꯕꯥ 5%ꯗꯒꯤ ꯍꯦꯜꯂꯕꯗꯤ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯑꯃꯥ ꯑꯣꯏꯔꯀꯏ꯫

ꯐꯦꯇꯤ ꯂꯤꯚꯔ ꯗꯤꯖꯤꯖ (SLD)ꯒꯤ ꯃꯈꯂꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯤꯅꯣ?

ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯑꯦꯁ.ꯑꯦꯜ.ꯗꯤ.ꯒꯤ ꯃꯔꯃꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯃꯔꯤ ꯂꯩꯅꯕꯥ ꯀꯟꯗꯤꯁꯅꯁꯤꯡꯗꯥ ꯌꯨꯝꯐꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯀ꯭ꯂꯥꯁꯤꯐꯥꯏ ꯇꯧꯏ꯫ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯈꯂꯁꯤꯡ ꯑꯗꯨ ꯌꯦꯡꯁꯤ꯫

ꯌꯨ ꯊꯀꯄꯒꯥ ꯃꯔꯤ ꯂꯩꯅꯕꯥ ꯂꯤꯚꯔ ꯗꯤꯖꯤꯖ (ꯑꯦ.ꯑꯦꯜ.ꯗꯤ.) ꯱.

ꯀꯔꯤ ꯊꯣꯛꯂꯤꯕꯅꯣ ꯍꯥꯌꯕꯁꯤꯗꯤ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯌꯨ ꯌꯥꯝꯅꯥ ꯊꯀꯄꯥ ꯇꯥꯔꯕꯗꯤ ꯅꯍꯥꯛꯀꯤ ꯂꯤꯚꯔꯗꯥ ꯐꯦꯠ ꯁꯦꯃꯒꯠꯂꯀꯏ꯫ ꯈꯅꯕꯤꯌꯨ, ꯅꯍꯥꯛꯅꯥ ꯌꯨ ꯊꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯂꯤꯚꯔ ꯑꯗꯨꯅꯥ ꯃꯗꯨ ꯐꯤꯜꯇꯔ ꯇꯧꯏ꯫ ꯊꯧꯑꯣꯡ ꯑꯁꯤꯗꯥ ꯂꯤꯚꯔꯒꯤ ꯁꯦꯜ ꯈꯔꯗꯤ ꯁꯤꯔꯀꯏ꯫ ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯅꯥ, ꯂꯤꯚꯔꯅꯥ ꯃꯥꯡꯈꯤꯕꯥ ꯁꯦꯂꯁꯤꯡꯒꯤ ꯃꯍꯨꯠ ꯁꯤꯟꯅꯕꯥ ꯑꯅꯧꯕꯥ ꯁꯦꯂꯁꯤꯡ ꯁꯦꯝꯕꯥ ꯉꯝꯃꯤ꯫ ꯑꯗꯨꯕꯨ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯌꯨ ꯌꯥꯝꯅꯥ ꯊꯀꯄꯥ ꯃꯈꯥ ꯆꯠꯊꯔꯕꯗꯤ ꯂꯤꯚꯔꯅꯥ ꯊꯕꯛ ꯑꯁꯤ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯇꯧꯕꯥ ꯉꯃꯗꯦ꯫ ꯃꯗꯨ ꯅꯍꯥꯛꯀꯤ ꯂꯤꯚꯔꯗꯥ ꯐꯦꯠ ꯁꯦꯝꯕꯥ ꯍꯧꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯃꯁꯤ ꯁ꯭ꯇꯦꯇꯣꯁꯤꯁ ꯀꯧꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫

ꯃꯦꯇꯥꯕꯣꯂꯤꯛ ꯗꯤꯁꯐꯉ꯭ꯀꯁꯅꯒꯥ ꯃꯔꯤ ꯂꯩꯅꯕꯥ ꯁ꯭ꯇꯦꯇꯣꯇꯤꯛ ꯂꯤꯚꯔ ꯗꯤꯖꯤꯖ (ꯑꯦꯝ.ꯑꯦ.ꯑꯦꯁ.ꯑꯦꯜ.ꯗꯤ.)

ꯃꯁꯤꯕꯨ ꯃꯃꯥꯡꯗꯥ ꯅꯟ-ꯑꯂꯀꯣꯍꯣꯂꯤꯛ ꯐꯦꯇꯤ ꯂꯤꯚꯔ ꯗꯤꯖꯤꯖ (NAFLD) ꯍꯥꯌꯅꯥ ꯀꯧꯅꯔꯝꯃꯤ꯫ ꯃꯁꯤꯒꯤ ꯃꯔꯃꯗꯤ ꯂꯤꯚꯔꯗꯥ ꯂꯩꯔꯤꯕꯥ ꯐꯦꯠ ꯑꯁꯤ ꯌꯨ ꯌꯥꯝꯅꯥ ꯊꯀꯄꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯅꯠꯇꯦ꯫ ꯑꯅꯧꯕꯥ ꯃꯃꯤꯡ ꯑꯁꯤꯅꯥ ꯍꯥꯌꯔꯤ ꯃꯗꯨꯗꯤ ꯐꯦꯇꯤ ꯂꯤꯚꯔ ꯁꯦꯃꯒꯠꯄꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯂꯤꯕꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯐꯦꯛꯇꯔꯁꯤꯡꯗꯤ ꯀꯥꯔꯗꯤꯑꯣꯚꯥꯁ꯭ꯀꯨꯂꯥꯔ ꯑꯃꯁꯨꯡ ꯃꯦꯇꯥꯕꯣꯂꯤꯛ ꯔꯤꯁ꯭ꯛ ꯐꯦꯛꯇꯔꯁꯤꯡꯅꯤ . ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯃꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯊꯝꯃꯣꯌꯒꯤ ꯍꯀꯁꯦꯂꯗꯥ ꯁꯣꯀꯍꯜꯂꯤꯕꯥ ꯑꯀꯛꯅꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯁꯨꯡ ꯃꯒꯨꯅꯁꯤꯡꯅꯥ ꯊꯣꯀꯍꯅꯕꯅꯤ꯫

ꯑꯦꯝ.ꯑꯦ.ꯑꯦꯁ.ꯑꯦꯜ.ꯗꯤ.ꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯔꯤꯁ꯭ꯛ ꯐꯦꯛꯇꯔꯁꯤꯡꯗꯤ:

• ꯀꯥ ꯍꯦꯟꯅ ꯅꯣꯏꯕ
• ꯇꯥꯏꯞ 2 ꯗꯥꯏꯑꯦꯕꯦꯇꯤꯖ ꯂꯩꯕꯥ꯫
• ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ ꯋꯥꯡꯕꯥ꯫
• ꯂꯤꯄꯤꯗ ꯑꯦꯕꯅꯣꯔꯃꯦꯂꯤꯇꯤꯁꯤꯡ – ꯃꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯏꯗꯥ ꯌꯥꯎꯔꯤꯕꯥ ꯐꯦꯠ ꯃꯈꯂꯁꯤꯡ, ꯍꯥꯌꯕꯗꯤ ꯀꯣꯂꯦꯁ꯭ꯇꯦꯔꯣꯜ ꯑꯃꯁꯨꯡ ꯇ꯭ꯔꯥꯏꯒ꯭ꯂꯤꯁꯔꯥꯏꯗꯁꯤꯡꯒꯤ ꯃꯔꯛꯇꯥ ꯂꯩꯕꯥ ꯑꯀꯥꯌ-ꯑꯇꯣꯌꯁꯤꯡꯅꯤ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯅꯨꯃꯤꯠ ꯈꯨꯗꯤꯡꯒꯤ ꯌꯨ ꯊꯀꯄꯥ, ꯍꯥꯌꯕꯗꯤ ꯅꯨꯄꯤꯁꯤꯡꯒꯤ ꯑꯣꯏꯅꯥ ꯅꯨꯃꯤꯠ ꯈꯨꯗꯤꯡꯒꯤ ꯒ꯭ꯔꯥꯝ 140ꯗꯒꯤ ꯇꯥꯅꯥ ꯑꯃꯁꯨꯡ ꯅꯨꯄꯥꯁꯤꯡꯒꯤ ꯑꯣꯏꯅꯥ ꯅꯨꯃꯤꯠ ꯈꯨꯗꯤꯡꯒꯤ ꯒ꯭ꯔꯥꯝ 210ꯗꯒꯤ ꯇꯥꯅꯥ ꯊꯀꯄꯥ ꯑꯣꯏꯔꯕꯁꯨ, ꯅꯍꯥꯀꯄꯨ ꯍꯧꯖꯤꯀꯁꯨ MASLD ꯍꯥꯌꯅꯥ ꯂꯧꯕꯥ ꯌꯥꯏ꯫ (ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯌꯨꯅꯥꯏꯇꯦꯗ ꯁ꯭ꯇꯦꯇꯁꯇꯥ, ꯃꯍꯧꯁꯥꯅꯥ ꯑꯎꯟꯁ 12ꯒꯤ ꯕꯤꯌꯔꯒꯤ ꯀꯦꯟ ꯑꯃꯗꯥ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯌꯨ ꯒ꯭ꯔꯥꯝ 14 ꯌꯥꯎꯏ꯫)

3. ꯃꯦꯇꯥꯕꯣꯂꯤꯛ ꯗꯤꯁꯐꯉ꯭ꯀꯁꯅꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯂꯤꯚꯔꯗꯥ ꯐꯦꯇꯤ ꯗꯤꯄꯣꯖꯤꯠ ꯑꯃꯁꯨꯡ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯁꯟ (ꯃꯦꯇꯥꯕꯣꯂꯤꯛ-ꯑꯦꯁꯣꯁꯤꯑꯦꯇꯦꯗ ꯁ꯭ꯇꯦꯇꯣꯍꯦꯄꯥꯇꯥꯏꯇꯤꯁ – ꯑꯦꯝ.ꯑꯦ.ꯑꯦꯁ.ꯑꯩꯆ.)

MASH ꯑꯁꯤ MASLDꯒꯤ ꯍꯦꯟꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯃꯑꯣꯡ ꯑꯃꯅꯤ꯫ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤꯗꯥ, ꯂꯤꯚꯔꯗꯥ ꯐꯦꯠ ꯌꯥꯎꯔꯀꯄꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯂꯤꯚꯔ ꯑꯁꯤ ꯁꯣꯟꯊꯔꯀꯏ ꯑꯃꯁꯨꯡ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯁꯟ ꯇꯧꯔꯀꯏ꯫ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ, ꯂꯤꯚꯔꯒꯤ ꯇꯤꯁꯨ ꯑꯗꯨ ꯁꯣꯀꯍꯟꯗꯨꯅꯥ ꯁꯣꯀꯄꯥ ꯍꯧꯔꯀꯏ (fibrosis) . ꯃꯃꯥꯡꯗꯥ ꯃꯁꯤꯕꯨ ꯅꯟ-ꯑꯦꯂꯀꯣꯍꯣꯂꯤꯛ ꯁ꯭ꯇꯦꯇꯣꯍꯦꯄꯥꯇꯥꯏꯇꯤꯁ (NASH) ꯍꯥꯌꯅꯥ ꯀꯧꯅꯔꯝꯃꯤ꯫

꯴.ꯑꯦꯝ.ꯑꯦ.ꯑꯦꯁ.ꯑꯦꯜ.ꯗꯤ. ꯑꯃꯁꯨꯡ ꯌꯨ ꯊꯀꯄꯥ (MetALD)

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ MetaALD ꯂꯩꯔꯕꯗꯤ, ꯃꯁꯤꯅꯥ ꯇꯥꯀꯄꯗꯤ ꯃꯦꯇꯥꯕꯣꯂꯤꯛ ꯔꯤꯁ꯭ꯛ ꯐꯦꯛꯇꯔꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯌꯨ ꯊꯀꯄꯥ ꯑꯅꯤꯃꯛꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯂꯤꯚꯔꯗꯥ ꯐꯦꯠ ꯌꯥꯎꯍꯅꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ ꯍꯥꯌꯕꯁꯤꯅꯤ꯫ ꯃꯁꯤꯒꯤ ꯀꯦꯁ ꯑꯁꯤꯗꯥ, ꯅꯍꯥꯛꯅꯥ ꯀꯥꯔꯗꯤꯑꯣꯚꯥꯁ꯭ꯀꯨꯂꯥꯔ ꯑꯃꯁꯨꯡ ꯃꯦꯇꯥꯕꯣꯂꯤꯛ ꯔꯤꯁ꯭ꯛ ꯐꯦꯛꯇꯔꯁꯤꯡ ꯂꯩ, ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯅꯥ ꯅꯨꯄꯤꯁꯤꯡꯒꯤ ꯑꯣꯏꯅꯥ ꯅꯨꯃꯤꯠ ꯈꯨꯗꯤꯡꯒꯤ ꯌꯨ ꯒ꯭ꯔꯥꯝ 140 ꯍꯦꯟꯅꯥ ꯑꯃꯁꯨꯡ ꯅꯨꯄꯥꯁꯤꯡꯒꯤ ꯑꯣꯏꯅꯥ ꯒ꯭ꯔꯥꯝ 210 ꯍꯦꯟꯅꯥ ꯊꯀꯏ꯫

ꯌꯨ ꯅꯠꯠꯔꯒꯥ ꯃꯦꯇꯥꯕꯣꯂꯤꯛ ꯔꯤꯁ꯭ꯛ ꯐꯦꯛꯇꯔꯁꯤꯡꯅꯥ ꯂꯤꯚꯔꯗꯥ ꯐꯦꯠ ꯑꯦꯛꯌꯨꯃꯨꯂꯦꯁꯟ ꯇꯧꯕꯗꯥ ꯍꯦꯟꯅꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯕꯔꯥ ꯍꯥꯌꯕꯁꯤ ꯃꯤꯑꯣꯏ ꯑꯃꯗꯒꯤ ꯃꯤꯑꯣꯏ ꯑꯃꯗꯥ ꯈꯦꯠꯅꯕꯥ ꯌꯥꯏ꯫

꯵.ꯑꯇꯣꯞꯄꯥ ꯑꯦꯁ.ꯑꯦꯜ.ꯗꯤ.ꯒꯤ ꯃꯈꯂꯁꯤꯡ꯫

SLD ꯑꯁꯤ ꯌꯨ ꯊꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯃꯦꯇꯥꯕꯣꯂꯤꯛ ꯔꯤꯁ꯭ꯛ ꯐꯦꯛꯇꯔꯁꯤꯡ ꯌꯥꯎꯗꯅꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛ ꯈꯔ ꯑꯃꯁꯨꯡ ꯑꯇꯩ ꯂꯥꯌꯅꯥꯁꯤꯡꯅꯥ ꯂꯤꯚꯔꯗꯥ ꯐꯦꯠ (fat) ꯍꯦꯅꯒꯠꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯃꯌꯦꯛ ꯁꯦꯡꯕꯥ ꯃꯔꯝ ꯑꯃꯥ ꯊꯤꯕꯥ ꯉꯃꯗꯦ꯫ ꯃꯌꯦꯛ ꯁꯦꯡꯕꯥ ꯃꯔꯝ ꯂꯩꯇꯕꯥ ꯑꯦꯁ.ꯑꯦꯜ.ꯗꯤ.ꯕꯨ ꯀ꯭ꯔꯤꯞꯇꯣꯖꯦꯅꯤꯛ ꯑꯦꯁ.ꯑꯦꯜ.ꯗꯤ .

ꯐꯦꯇꯤ ꯂꯤꯚꯔ ꯗꯤꯖꯤꯖ (SLD) ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯑꯃꯅꯤ ꯍꯥꯌꯕꯁꯤꯅꯤ?

ꯑꯌꯥꯝꯕꯥ ꯀꯦꯁꯁꯤꯡꯗꯗꯤ, ꯂꯤꯚꯔꯗꯥ ꯐꯦꯇꯤ ꯗꯤꯄꯣꯖꯤꯇꯁꯤꯡꯅꯥ ꯑꯆꯧꯕꯥ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯑꯃꯠꯇꯥ ꯊꯣꯀꯍꯟꯗꯦ ꯅꯠꯠꯔꯒꯥ ꯂꯤꯚꯔꯒꯤ ꯅꯣꯔꯃꯦꯜ ꯐꯉ꯭ꯀꯁꯅꯗꯥ ꯑꯀꯥꯌꯕꯥ ꯄꯤꯗꯦ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯁꯣꯟꯊꯔꯀꯄꯥ ꯌꯥꯏ ꯑꯃꯁꯨꯡ ꯂꯤꯚꯔꯒꯤ ꯂꯥꯌꯅꯥ ꯑꯣꯏꯔꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯁꯤ ꯃꯍꯧꯁꯥꯅꯥ ꯁ꯭ꯇꯦꯖ ꯀꯌꯥꯗꯥ ꯊꯣꯀꯏ:

• ꯍꯦꯄꯥꯇꯥꯏꯇꯤꯁ : ꯑꯍꯧꯕꯗꯥ ꯐꯦꯠꯅꯥ ꯊꯜꯂꯕꯥ ꯂꯤꯚꯔ ꯑꯁꯤ ꯁꯣꯟꯊꯔꯀꯏ ꯑꯃꯁꯨꯡ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯁꯟ ꯇꯧꯔꯀꯏ꯫ ꯃꯁꯤꯒꯤ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯁꯟ ꯑꯁꯤꯅꯥ ꯂꯤꯚꯔꯒꯤ ꯇꯤꯁꯨꯁꯤꯡꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯜꯂꯤ꯫ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤꯕꯨ ꯁ꯭ꯇꯦꯇꯣꯍꯦꯄꯥꯇꯥꯏꯇꯤꯁ ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, MASLD ꯑꯁꯤ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯃꯑꯣꯡ ꯑꯁꯤꯒꯤ ꯃꯇꯨꯡ ꯏꯟꯅꯥ MASH ꯑꯣꯏꯔꯀꯏ꯫
• ꯐꯥꯏꯕ꯭ꯔꯣꯁꯤꯁ (Fibrosis): ꯏꯅꯐ꯭ꯂꯦꯃꯦꯁꯅꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯂꯤꯚꯔꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯄꯥ ꯃꯐꯃꯁꯤꯡꯗꯥ ꯁ꯭ꯀꯥꯔ ꯇꯤꯁꯨ ꯁꯦꯝꯕꯥ ꯍꯧꯏ꯫ ꯃꯁꯤꯅꯥ ꯂꯤꯚꯔ ꯑꯗꯨ ꯈꯔꯥ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯁꯣꯟꯊꯍꯜꯂꯤ꯫ ꯃꯁꯤꯒꯤ ꯊꯧꯑꯣꯡ ꯑꯁꯤꯕꯨ ꯐꯥꯏꯕ꯭ꯔꯣꯁꯤꯁ ꯍꯥꯌꯅꯥ ꯀꯧꯏ .
• ꯂꯤꯚꯔꯒꯤ ꯁꯤꯔꯣꯁꯤꯁ (Cirrhosis of the liver) : ꯃꯁꯤ ꯍꯀꯁꯦꯜ ꯐꯕꯥ ꯂꯤꯚꯔꯒꯤ ꯇꯤꯁꯨꯁꯤꯡꯅꯥ ꯃꯁꯤꯡ ꯌꯥꯝꯂꯕꯥ ꯁ꯭ꯀꯥꯔ ꯇꯤꯁꯨꯁꯤꯡꯅꯥ ꯃꯍꯨꯠ ꯁꯤꯅꯕꯥ ꯃꯇꯃꯗꯥ ꯑꯣꯏ꯫ ꯃꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯂꯤꯚꯔꯒꯤ ꯁꯤꯔꯣꯁꯤꯁ ꯍꯥꯌꯅꯥ ꯀꯧꯕꯥ ꯃꯇꯃꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯂꯥꯏꯌꯦꯡꯗ꯭ꯔꯕꯗꯤ, ꯁꯤꯔꯣꯁꯤꯁꯅꯥ ꯂꯤꯚꯔ ꯐꯦꯜ ꯑꯣꯏꯕꯥ ꯑꯃꯁꯨꯡ ꯂꯤꯚꯔ ꯀꯦꯟꯁꯔꯒꯨꯝꯕꯥ ꯄꯨꯟꯁꯤꯗꯥ ꯈꯨꯗꯣꯡꯊꯤꯅꯤꯉꯥꯏ ꯑꯣꯏꯕꯥ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯂꯤꯚꯔ ꯀꯦꯟꯁꯔ ꯃꯈꯜ ꯑꯃꯥ ꯑꯣꯏꯔꯤꯕꯥ ꯍꯦꯄꯥꯇꯣꯁꯦꯂꯨꯂꯥꯔ ꯀꯥꯔꯁꯤꯅꯣꯃꯥ (HCC) ꯅꯥꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯒꯤ ꯆꯥꯎꯔꯥꯛꯅꯥ 90%ꯗꯤ ꯁꯤꯔꯣꯁꯤꯁ ꯂꯩ꯫

ꯐꯦꯇꯤ ꯂꯤꯚꯔ ꯗꯤꯖꯤꯖ (SLD)ꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯤꯅꯣ?

ꯑꯦꯁ.ꯑꯦꯜ.ꯗꯤ.ꯅꯥ ꯅꯥꯕꯥ ꯃꯤꯑꯣꯏ ꯈꯨꯗꯤꯡꯃꯛꯇꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯎꯕꯥ ꯐꯪꯂꯣꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯗꯨ ꯊꯣꯛꯂꯕꯗꯤ, ꯃꯈꯣꯌꯗꯨꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯁꯤꯡꯁꯤ ꯌꯥꯎꯕꯥ ꯌꯥꯏ:

• ꯁ꯭ꯇꯣꯃꯥꯛ (stomach pain) ꯅꯠꯠꯔꯒꯥ ꯈꯣꯡꯒꯤ ꯃꯊꯛ ꯊꯪꯕꯥ ꯁꯔꯨꯛꯇꯥ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯅꯥꯕꯥ ꯐꯥꯎꯕꯥ꯫
• ꯌꯥꯝꯅꯥ ꯋꯥꯅꯥ ꯅꯠꯠꯔꯒꯥ ꯋꯥꯈꯜ ꯇꯥꯗꯕꯥ (fatigue) ꯐꯥꯎꯕꯥ꯫

ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯃꯤꯑꯣꯏ ꯑꯌꯥꯝꯕꯅꯥ ꯑꯦꯁ.ꯑꯦꯜ.ꯗꯤ.ꯅꯥ ꯁꯤꯔꯣꯁꯤꯁ ꯑꯣꯏꯅꯥ ꯄ꯭ꯔꯣꯒ꯭ꯔꯦꯁ ꯇꯧꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯎꯕꯥ ꯐꯪꯏ꯫ ꯁꯤꯔꯣꯁꯤꯁ ꯂꯥꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤꯅꯆꯤꯡꯕꯥ:

• ꯀꯣꯛ ꯉꯥꯎꯕ.
• ꯆꯤꯟꯖꯥꯛ ꯑꯁꯤ ꯃꯆꯤ ꯑꯣꯏꯗꯦ꯫
• ꯃꯔꯝ ꯑꯃꯠꯇꯥ ꯂꯩꯇꯅꯥ ꯊꯤꯅꯥ ꯂꯩꯕꯥ꯫
• ꯈꯣꯡ ꯑꯃꯁꯨꯡ ꯃꯃꯤꯠꯀꯤ ꯌꯦꯔꯨꯝ ꯀꯣꯀꯄꯥ (jaundice)꯫
• ꯑꯦꯁꯤꯇꯤꯁ – ꯃꯁꯤꯅꯥ ꯇꯥꯀꯄꯗꯤ ꯈꯣꯡ ꯑꯗꯨ ꯐ꯭ꯂꯨꯏꯗꯅꯥ ꯊꯜꯂꯕꯥ ꯍꯥꯌꯕꯁꯤꯅꯤ꯫
• ꯈꯣꯡ, ꯃꯈꯨꯠ ꯅꯠꯠꯔꯒꯥ ꯈꯣꯡꯗꯥ ꯁꯣꯀꯄꯥ (edema)꯫
• ꯏ ꯊꯣꯀꯄꯥ (ꯗꯣꯛꯇꯔ ꯑꯃꯅꯥ ꯃꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯏꯁꯣꯐꯦꯒꯁ, ꯁ꯭ꯇꯣꯃꯥꯛ ꯅꯠꯠꯔꯒꯥ ꯔꯦꯛꯇꯃꯗꯥ ꯎꯕꯥ ꯐꯪꯒꯅꯤ)꯫

ꯐꯦꯇꯤ ꯂꯤꯚꯔ ꯗꯤꯖꯤꯖ (SLD)ꯒꯤ ꯃꯔꯃꯁꯤꯡ ꯀꯔꯤꯅꯣ?

ꯑꯦꯁ.ꯑꯦꯜ.ꯗꯤ.ꯅꯥ ꯁꯦꯃꯒꯠꯂꯀꯄꯥ ꯌꯥꯕꯒꯤ ꯃꯔꯝ ꯀꯌꯥ ꯂꯩ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯀꯥꯔꯗꯤꯑꯣꯚꯥꯁ꯭ꯀꯨꯂꯥꯔ ꯑꯃꯁꯨꯡ ꯃꯦꯇꯥꯕꯣꯂꯤꯛ ꯔꯤꯁ꯭ꯛ ꯐꯦꯛꯇꯔꯁꯤꯡ ꯂꯩꯔꯕꯗꯤ , ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯍꯀꯁꯦꯜ ꯐꯗꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯌꯨ ꯊꯀꯄꯥ ꯇꯥꯔꯕꯗꯤ, ꯅꯠꯠꯔꯒꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯅꯤꯃꯛ ꯂꯩꯔꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯑꯦꯁ.ꯑꯦꯜ.ꯗꯤ.

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ ꯑꯁꯤ ꯂꯩꯔꯕꯗꯤ ꯅꯍꯥꯛꯅꯥ SLD ꯂꯥꯀꯄꯒꯤ ꯔꯤꯁ꯭ꯛ ꯍꯦꯟꯅꯥ ꯋꯥꯡꯏ:

• ꯌꯨ ꯊꯀꯄꯒꯤ ꯗꯤꯁꯑꯣꯔꯗꯔ – ꯍꯥꯌꯕꯗꯤ ꯌꯨ ꯊꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯌꯥꯝꯅꯥ ꯊꯀꯄꯥ꯫
• ꯃꯦꯇꯥꯕꯣꯂꯤꯛ ꯁꯤꯟꯗ꯭ꯔꯣꯝ – ꯃꯁꯤꯗꯥ ꯏꯅꯁꯨꯂꯤꯟ ꯔꯦꯁꯤꯁ꯭ꯇꯦꯟꯁ, ꯍꯥꯏ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ, ꯀꯣꯂꯦꯁ꯭ꯇꯦꯔꯣꯜ ꯋꯥꯡꯕꯥ, ꯑꯃꯁꯨꯡ ꯇ꯭ꯔꯥꯏꯒ꯭ꯂꯤꯁꯔꯥꯏꯗꯀꯤ ꯆꯥꯡ ꯋꯥꯡꯅꯥ ꯌꯥꯎꯏ꯫
• ꯇꯥꯏꯞ 2 ꯗꯥꯏꯑꯦꯕꯦꯇꯤꯖ ꯂꯩꯕꯥ꯫
• ꯑꯣꯚꯔꯋꯦꯠ – ꯃꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯕꯣꯗꯤ ꯃꯥꯁ ꯏꯟꯗꯦꯛꯁ (BMI) ꯑꯁꯤ ꯀꯤꯂꯣꯒ꯭ꯔꯥꯝ/m2 25 ꯑꯃꯁꯨꯡ 29.9ꯒꯤ ꯃꯔꯛꯇꯥ ꯂꯩ ꯍꯥꯌꯕꯅꯤ꯫
• ꯑꯣꯕꯦꯁꯤꯇꯤ – BMI ꯑꯁꯤ 30 kg/m2 ꯅꯠꯠꯔꯒꯥ ꯃꯁꯤꯗꯒꯤ ꯍꯦꯅꯕꯥ ꯑꯣꯏ꯫
• ꯄꯣꯂꯤꯁꯤꯁ꯭ꯇꯤꯛ ꯑꯣꯕꯦꯔꯤ ꯁꯤꯟꯗꯣꯝ (PCOS)꯫
• ꯑꯣꯕꯁ꯭ꯠꯔꯀꯆꯔ ꯁ꯭ꯂꯤꯞ ꯑꯦꯄꯅꯤꯌꯥ꯫
• ꯍꯥꯏꯄꯣꯊꯥꯏꯔꯣꯏꯗꯤꯖꯝ꯫
• ꯄꯤꯇꯨꯏꯇꯔꯤ ꯍꯣꯔꯃꯣꯅꯒꯤ ꯆꯥꯡ ꯍꯟꯊꯔꯀꯄꯥ (Hypopituitarism)꯫
• ꯁꯦꯛꯁ ꯍꯣꯔꯃꯣꯅꯁꯤꯡ ꯍꯟꯊꯔꯀꯄꯥ (Hypogonadism)꯫
• ꯑꯀꯛꯅꯕꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ ꯃꯈꯥ ꯇꯥꯅꯥ ꯂꯧꯕꯥ꯫ ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯑꯦꯃꯤꯑꯣꯗꯥꯔꯣꯟ (ꯑꯦꯃꯤꯑꯣꯗꯥꯔꯣꯟ – ꯀꯣꯔꯗꯥꯔꯣꯟ®), ꯗꯤꯂꯇꯤꯌꯥꯖꯦꯝ (ꯗꯤꯂꯇꯤꯌꯥꯖꯦꯝ – ꯀꯥꯔꯗꯤꯖꯦꯝ®), ꯇꯥꯃꯣꯛꯁꯤꯐꯦꯟ (ꯇꯥꯃꯣꯛꯁꯤꯐꯦꯟ – ꯅꯣꯂꯚꯥꯗꯦꯛꯁ®) ꯅꯠꯠꯔꯒꯥ ꯁ꯭ꯇꯦꯔꯣꯏꯗꯁꯤꯡ꯫ (ꯍꯤꯗꯥꯛ ꯈꯔꯗꯤ ꯁꯥꯏꯗ ꯏꯐꯦꯛꯇ ꯑꯃꯥ ꯑꯣꯏꯅꯥ ꯂꯤꯚꯔꯗꯥ ꯐꯦꯠ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ ꯌꯥꯏ꯫)

ꯑꯦꯁ.ꯑꯦꯜ.ꯗꯤ.ꯒꯤ ꯑꯣꯏꯊꯣꯀꯄꯥ ꯌꯥꯕꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯂꯥꯏꯌꯦꯡꯗ꯭ꯔꯕꯗꯤ, ꯁ꯭ꯇꯦꯇꯣꯇꯤꯛ ꯂꯤꯚꯔ ꯑꯁꯤ ꯁꯤꯔꯣꯁꯤꯁ (cirhosis) ꯐꯥꯎꯕꯥ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ ꯌꯥꯏ, ꯃꯗꯨꯅꯥ ꯂꯤꯚꯔ ꯐꯦꯜ ꯑꯣꯏꯕꯥ, ꯂꯤꯚꯔ ꯀꯦꯟꯁꯔ ꯑꯃꯁꯨꯡ ꯂꯤꯚꯔꯒꯤ ꯃꯄꯥꯟꯗꯥ ꯂꯩꯕꯥ ꯑꯇꯩ ꯀꯦꯟꯁꯔꯁꯤꯡ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯑꯦꯝ.ꯑꯦ.ꯑꯦꯁ.ꯑꯦꯜ.ꯗꯤ.ꯅꯥ ꯅꯥꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡ ꯑꯁꯤ ꯃꯔꯨꯑꯣꯏꯅꯥ ꯍꯥꯔꯇꯀꯤ ꯂꯥꯌꯅꯥꯒꯤ ꯔꯤꯁ꯭ꯛ ꯂꯩ꯫ ꯃꯁꯤ ꯅꯤꯡꯁꯤꯡꯕꯥ ꯃꯊꯧ ꯇꯥꯏ ꯃꯗꯨꯗꯤ ꯂꯤꯚꯔꯒꯤ ꯂꯥꯌꯅꯥ ꯅꯠꯇꯅꯥ ꯍꯥꯔꯇꯀꯤ ꯂꯥꯌꯅꯥ ꯑꯁꯤꯅꯥ ꯑꯦꯝ.ꯑꯦ.ꯑꯦꯁ.ꯑꯦꯜ.ꯗꯤ.

ꯐꯦꯇꯤ ꯂꯤꯚꯔ ꯗꯤꯖꯤꯖ (SLD) ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯈꯪꯗꯣꯀꯄꯒꯦ?

ꯃꯍꯧꯁꯥꯅꯥ SLDꯗꯥ ꯂꯥꯏꯑꯣꯡ ꯑꯃꯠꯇꯥ ꯂꯩꯇꯕꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯑꯗꯨ ꯑꯍꯥꯅꯕꯥ ꯑꯣꯏꯅꯥ ꯎꯕꯥ ꯐꯪꯂꯕꯥ ꯌꯥꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯇꯩ ꯀꯟꯗꯤꯁꯅꯁꯤꯡꯒꯤꯗꯃꯛꯇꯥ ꯕ꯭ꯂꯗ ꯇꯦꯁ꯭ꯠ ꯇꯧꯕꯥ ꯃꯇꯃꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯂꯤꯚꯔꯒꯤ ꯑꯦꯅꯖꯥꯏꯃꯁꯤꯡ ꯑꯗꯨ ꯋꯥꯡꯈꯠꯂꯕꯗꯤ, ꯃꯁꯤꯅꯥ ꯆꯦꯀꯁꯤꯅꯋꯥ ꯑꯃꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫ ꯂꯤꯚꯔꯒꯤ ꯑꯦꯅꯖꯥꯏꯃꯁꯤꯡ ꯍꯦꯅꯒꯠꯂꯀꯄꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯂꯤꯚꯔꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫

ꯗꯥꯏꯑꯦꯒ꯭ꯅꯣꯁꯤꯁ ꯑꯃꯥ ꯁꯦꯝꯅꯕꯒꯤꯗꯃꯛ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯑꯁꯤ ꯇꯧꯕꯥ ꯌꯥꯏ:

• ꯃꯦꯗꯤꯀꯦꯜ ꯍꯤꯁ꯭ꯇꯔꯤ: ꯅꯍꯥꯛꯀꯤ ꯃꯦꯗꯤꯀꯦꯜ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ, ꯅꯍꯥꯛꯅꯥ ꯌꯨ ꯀꯌꯥ ꯊꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯅꯥ ꯀꯔꯤ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ ꯁꯤꯖꯤꯟꯅꯕꯒꯦ ꯍꯥꯌꯕꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯍꯪꯂꯀꯄꯥ꯫
• ꯐꯤꯖꯤꯀꯦꯜ ꯑꯦꯀꯖꯥꯃꯤꯅꯦꯁꯟ: ꯁꯤꯔꯣꯁꯤꯁꯀꯤ ꯈꯨꯗꯃꯁꯤꯡ, ꯍꯥꯌꯕꯗꯤ ꯂꯤꯚꯔ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯖꯟꯗꯥꯁꯤꯁ ꯑꯁꯤꯅꯆꯤꯡꯕꯥ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯆꯦꯛ ꯇꯧ꯫
• ꯏꯃꯦꯖꯤꯡꯒꯤ ꯊꯧꯑꯣꯡꯁꯤꯡ: ꯑꯂꯠꯔꯥꯁꯥꯎꯟꯗ , ꯁꯤ.ꯇꯤ.ꯁ꯭ꯀꯦꯟ (ꯀꯝꯄꯤꯎꯇꯦꯗ ꯇꯣꯃꯣꯒ꯭ꯔꯥꯐꯤ ꯁ꯭ꯀꯦꯟ) , ꯅꯠꯠꯔꯒꯥ ꯑꯦꯝ.ꯑꯥꯔ.ꯑꯥꯏ.(ꯃꯦꯒ꯭ꯅꯦꯇꯤꯛ ꯔꯤꯖꯣꯅꯦꯟꯁ ꯏꯃꯦꯖꯤꯡ) ꯁ꯭ꯀꯦꯅꯒꯨꯝꯕꯥ ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯑꯁꯤ ꯂꯤꯚꯔꯗꯥ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯁꯟ ꯑꯃꯁꯨꯡ ꯁꯣꯀꯄꯥ ꯌꯦꯡꯕꯗꯥ ꯁꯤꯖꯤꯟꯅꯩ꯫ ꯂꯤꯚꯔꯗꯥ ꯂꯩꯕꯥ ꯐꯦꯠ ꯑꯃꯁꯨꯡ ꯁ꯭ꯀꯥꯔ ꯇꯤꯁ꯭ꯌꯨꯒꯤ ꯆꯥꯡ ꯈꯉꯗꯣꯛꯅꯕꯥ ꯐꯥꯏꯕ꯭ꯔꯣꯁ꯭ꯀꯦꯟ® ꯀꯧꯕꯥ ꯑꯈꯟꯅꯕꯥ ꯑꯂꯠꯔꯥꯁꯥꯎꯟꯗ ꯇꯦꯁ꯭ꯠ ꯑꯃꯥ ꯁꯤꯖꯤꯟꯅꯕꯥ ꯌꯥꯏ꯫
• ꯂꯤꯚꯔ ꯕꯥꯏꯑꯣꯞꯁꯤ: ꯃꯁꯤꯒꯤ ꯇꯦꯁ꯭ꯠ ꯑꯁꯤ ꯂꯤꯚꯔꯒꯤ ꯂꯥꯌꯅꯥ ꯑꯁꯤ ꯀꯌꯥ ꯌꯥꯝꯅꯥ ꯆꯥꯎꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯆꯨꯝꯅꯥ ꯈꯉꯗꯣꯛꯅꯕꯥ ꯇꯧꯏ꯫ ꯑꯦꯝ.ꯑꯦ.ꯑꯦꯁ.ꯑꯦꯜ.ꯗꯤ. ꯑꯃꯁꯨꯡ ꯑꯦꯝ.ꯑꯦ.ꯑꯦꯁ.ꯑꯩꯆ.ꯒꯤ ꯃꯔꯛꯇꯥ ꯑꯆꯨꯝꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯈꯦꯠꯅꯕꯥ ꯊꯝꯅꯕꯒꯤ ꯑꯃꯠꯇꯥ ꯉꯥꯏꯔꯕꯥ ꯄꯥꯝꯕꯩꯗꯤ ꯂꯤꯚꯔ ꯕꯥꯏꯑꯣꯞꯁꯤ ꯇꯧꯕꯅꯤ .

ꯐꯦꯇꯤ ꯂꯤꯚꯔ ꯗꯤꯖꯤꯖ (SLD) ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯂꯥꯏꯌꯦꯡꯕꯒꯦ?

ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤꯒꯤꯗꯃꯛꯇꯥ ꯑꯀꯛꯅꯕꯥ ꯂꯥꯏꯌꯦꯡ ꯅꯠꯠꯔꯒꯥ ꯍꯤꯗꯥꯛ ꯑꯃꯠꯇꯥ ꯂꯩꯇꯦ꯫ ꯃꯗꯨꯒꯤ ꯃꯍꯨꯠꯇꯥ, ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯗꯨꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯂꯤꯕꯥ ꯔꯤꯁ꯭ꯛ ꯐꯦꯛꯇꯔꯁꯤꯡ ꯑꯗꯨ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯕꯗꯥ ꯃꯤꯠꯌꯦꯡ ꯊꯝꯂꯤ꯫ ꯃꯁꯤꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯁꯦꯜ ꯐꯒꯠꯍꯅꯕꯥ ꯉꯝꯕꯥ ꯄꯨꯟꯁꯤ ꯃꯍꯤꯡꯗꯥ ꯑꯍꯣꯡꯕꯥ ꯄꯨꯔꯀꯄꯥ ꯌꯥꯑꯣꯔꯤ꯫

ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯑꯁꯤ ꯔꯤꯀꯃꯦꯟꯗ ꯇꯧꯕꯥ ꯌꯥꯏ:

• ꯌꯨ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯊꯀꯄꯥ ꯂꯦꯄꯀꯅꯨ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ SLD ꯑꯗꯨ ꯌꯨ ꯊꯀꯄꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯑꯣꯏꯗ꯭ꯔꯕꯁꯨ, ꯌꯨ ꯊꯀꯄꯥ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯊꯤꯡꯖꯤꯜꯂꯨ꯫
• ꯑꯔꯨꯝꯕꯥ ꯍꯟꯊꯍꯅꯕꯥ: ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯇꯧꯕꯥ, ꯅ꯭ꯌꯨꯠꯔꯤꯁꯅꯒꯤ ꯃꯤꯑꯣꯏ ꯑꯃꯒꯤ ꯌꯦꯡꯁꯤꯅꯕꯗꯥ ꯗꯥꯏꯑꯦꯇꯔꯤ ꯍꯣꯡꯗꯣꯀꯄꯥ, ꯑꯃꯁꯨꯡ ꯖꯤ.ꯑꯦꯜ.ꯄꯤ.-꯱ꯑꯥꯔ.ꯑꯦ.ꯒꯨꯝꯕꯥ ꯍꯤꯗꯥꯛ ꯈꯔꯗꯤ ꯅꯍꯥꯛꯀꯤ ꯑꯔꯨꯝꯕꯥ ꯍꯟꯊꯍꯅꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫ ꯅꯍꯥꯛꯅꯥ ꯑꯔꯨꯝꯕꯥ ꯍꯟꯊꯍꯅꯕꯒꯤ ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯈꯟꯅꯕꯁꯨ ꯌꯥꯏ꯫(ꯕꯦꯔꯤꯌꯥꯠꯔꯤꯛ ꯁꯔꯖꯔꯤ) ꯑꯁꯤꯁꯨ ꯏꯂꯤꯖꯤꯕꯜ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫
• ꯃꯦꯇꯥꯕꯣꯂꯤꯛ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯅꯕꯥ ꯍꯤꯗꯥꯀꯁꯤꯡ ꯆꯥꯕꯤꯌꯨ: ꯗꯥꯏꯑꯦꯕꯦꯇꯤꯖ, ꯀꯣꯂꯦꯁ꯭ꯇꯦꯔꯣꯜ, ꯑꯃꯁꯨꯡ ꯕ꯭ꯂꯗ ꯐꯦꯇꯁꯤꯡ (ꯇ꯭ꯔꯥꯏꯒ꯭ꯂꯤꯁꯔꯥꯏꯗꯁꯤꯡ) ꯀꯟꯠꯔꯣꯜ ꯇꯧꯅꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯄꯤꯔꯤꯕꯥ ꯍꯤꯗꯥꯀꯁꯤꯡ ꯂꯧꯕꯤꯌꯨ꯫ ꯀꯦꯁ ꯈꯔꯗꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯚꯤꯇꯥꯃꯤꯟ E ꯑꯃꯁꯨꯡ ꯊꯤꯌꯥꯖꯣꯂꯤꯗꯤꯅꯗꯤꯑꯣꯅꯁꯤꯡ ( ꯑꯦꯛꯇꯣꯁ® ꯑꯃꯁꯨꯡ ꯑꯦꯚꯥꯟꯗꯤꯌꯥ®ꯒꯨꯝꯕꯥ ꯗꯥꯏꯑꯦꯕꯦꯇꯤꯖꯒꯤ ꯍꯤꯗꯥꯀꯁꯤꯡ) ꯂꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯏ꯫
• ꯍꯦꯄꯥꯇꯥꯏꯇꯤꯁ ꯑꯦ ꯑꯃꯁꯨꯡ ꯍꯦꯄꯥꯇꯥꯏꯇꯤꯁ ꯕꯤꯒꯤ ꯇꯤꯀꯥ ꯊꯥꯕꯤꯌꯨ : ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯍꯥꯟꯅꯅꯥ ꯂꯤꯚꯔꯒꯤ ꯂꯥꯌꯅꯥ ꯂꯩꯔꯕꯗꯤ ꯚꯥꯏꯔꯁ ꯏꯅꯐꯦꯛꯁꯅꯁꯤꯡ ꯑꯁꯤ ꯃꯔꯨꯑꯣꯏꯅꯥ ꯈꯨꯗꯣꯡꯊꯤꯅꯤꯉꯥꯏ ꯑꯣꯏ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯧꯔꯤꯕꯥ ꯍꯤꯗꯥꯛ ꯑꯃꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯂꯤꯚꯔꯗꯥ ꯐꯦꯠ ꯍꯦꯅꯒꯠꯂꯛꯂꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯄ꯭ꯔꯦꯁ꯭ꯛꯔꯤꯄꯁꯟ ꯑꯗꯨ ꯍꯣꯡꯗꯣꯀꯄꯥ ꯌꯥꯏ꯫

ꯐꯦꯇꯤ ꯂꯤꯚꯔ ꯗꯤꯖꯤꯖ (SLD) ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯊꯤꯡꯒꯗꯒꯦ?

ꯑꯦꯁ.ꯑꯦꯜ.ꯗꯤ.ꯗꯒꯤ ꯂꯥꯄꯊꯣꯛꯅꯕꯒꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯥ ꯄꯥꯝꯕꯩꯗꯤ ꯅꯍꯥꯛꯀꯤ ꯑꯄꯨꯅꯕꯥ ꯍꯀꯁꯦꯜ ꯑꯗꯨ ꯉꯥꯛꯇꯨꯅꯥ ꯊꯝꯕꯅꯤ:

• ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯇꯧ꯫
• ꯅꯍꯥꯛꯀꯤ ꯌꯨ ꯊꯀꯄꯥ ꯑꯗꯨ ꯂꯤꯃꯤꯠ ꯇꯧ꯫
• ꯅꯍꯥꯛꯀꯤꯗꯃꯛꯇꯥ ꯍꯀꯁꯦꯜ ꯐꯕꯥ ꯑꯔꯨꯝꯕꯥ ꯑꯃꯥ ꯊꯝꯃꯨ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯇꯥꯏꯞ 2 ꯗꯥꯏꯑꯦꯕꯦꯇꯤꯖ ꯅꯠꯠꯔꯒꯥ ꯃꯦꯇꯥꯕꯣꯂꯤꯛ ꯁꯤꯟꯗ꯭ꯔꯣꯝ ꯂꯩꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯄ꯭ꯔꯦꯁ꯭ꯛꯔꯥꯏꯕ ꯇꯧꯔꯕꯥ ꯍꯤꯗꯥꯛ ꯑꯗꯨ ꯄ꯭ꯔꯦꯁ꯭ꯛꯔꯥꯏꯕ ꯇꯧꯔꯕꯥ ꯃꯇꯨꯡꯏꯟꯅꯥ ꯆꯥꯒꯗꯕꯅꯤ꯫

ꯐꯦꯇꯤ ꯂꯤꯚꯔ ꯗꯤꯖꯤꯖ (SLD) ꯑꯁꯤ ꯂꯥꯏꯌꯦꯡꯕꯥ ꯉꯃꯒꯗ꯭ꯔꯥ?

ꯅꯍꯥꯛꯀꯤ ꯀꯟꯗꯤꯁꯅꯒꯤ ꯃꯑꯣꯡ-ꯃꯇꯧꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ, SLD ꯑꯁꯤ ꯔꯤꯚꯔꯁ ꯇꯧꯕꯥ ꯌꯥꯏ ꯑꯃꯁꯨꯡ ꯁꯣꯀꯄꯥ ꯈꯔꯗꯤ ꯔꯤꯄꯦꯌꯥꯔ ꯇꯧꯕꯥ ꯐꯥꯎꯕꯥ ꯌꯥꯏ꯫ ꯅꯍꯥꯛꯀꯤ ꯂꯤꯚꯔ ꯑꯁꯤꯅꯥ ꯃꯁꯥ ꯃꯊꯟꯇꯥ ꯐꯒꯠꯂꯀꯄꯒꯤ ꯑꯉꯀꯄꯥ ꯊꯧꯅꯥ ꯑꯃꯥ ꯂꯩ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯤ ꯂꯥꯏꯌꯦꯡꯒꯤ ꯄ꯭ꯂꯥꯟ ꯑꯗꯨ ꯆꯨꯝꯅꯥ ꯏꯅꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯂꯤꯚꯔꯗꯥ ꯐꯦꯠ ꯑꯃꯁꯨꯡ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯁꯅꯒꯤ ꯆꯥꯡ ꯍꯟꯊꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯅꯍꯥꯛꯅꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯑꯗꯨ ꯍꯦꯟꯅꯥ ꯐꯠꯆꯤꯜꯂꯛꯇꯕꯥ ꯌꯥꯏ, ꯑꯃꯁꯨꯡ ꯀꯦꯁ ꯈꯔꯗꯗꯤ, ꯉꯟꯅꯥ ꯂꯤꯚꯔꯒꯤ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯑꯗꯨ ꯔꯤꯚꯔꯁ ꯇꯧꯕꯥ ꯐꯥꯎꯕꯥ ꯌꯥꯏ꯫

ꯑꯦꯁ.ꯑꯦꯜ.ꯗꯤ.ꯅꯥ ꯁꯤꯍꯅꯕꯥ ꯌꯥꯕ꯭ꯔꯥ?

ꯃꯤꯑꯣꯏ ꯑꯌꯥꯝꯕꯒꯤ ꯑꯣꯏꯅꯗꯤ, ꯑꯦꯁ.ꯑꯦꯜ.ꯗꯤ.ꯅꯥ ꯑꯦꯗꯚꯥꯟꯁ ꯁꯤꯔꯣꯁꯤꯁꯇꯥ ꯄ꯭ꯔꯣꯒ꯭ꯔꯦꯁ ꯇꯧꯗ꯭ꯔꯕꯗꯤ ꯑꯆꯧꯕꯥ ꯁꯃꯁ꯭ꯌꯥꯁꯤꯡ ꯊꯣꯀꯍꯟꯗꯦ꯫ SLDꯅꯥ ꯅꯥꯕꯥ ꯃꯤꯑꯣꯏ ꯀꯌꯥꯅꯥ ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯕꯥ ꯄꯨꯟꯁꯤ ꯃꯍꯤꯡ ꯑꯃꯥ ꯍꯤꯡꯏ꯫

ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯂꯤꯚꯔꯒꯤ ꯂꯥꯏꯌꯦꯡꯗꯕꯥ ꯁꯤꯔꯣꯁꯤꯁ ꯑꯁꯤꯅꯥ ꯑꯔꯣꯏꯕꯗꯥ ꯂꯤꯚꯔ ꯐꯦꯜ ꯑꯣꯏꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯂꯤꯚꯔ ꯀꯦꯟꯁꯔ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯂꯤꯚꯔ ꯑꯁꯤ ꯅꯍꯥꯛꯀꯤꯗꯃꯛꯇꯥ ꯇꯉꯥꯏꯐꯗꯕꯥ ꯑꯣꯔꯒꯥꯟ ꯑꯃꯅꯤ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ SLD ꯂꯩꯔꯦ ꯍꯥꯌꯕꯥ ꯈꯪꯂꯕꯗꯤ ꯅꯍꯥꯛꯀꯤ ꯂꯤꯚꯔ ꯑꯗꯨ ꯉꯥꯀꯊꯣꯀꯄꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫

ꯑꯦꯁ.ꯑꯦꯜ.ꯗꯤ.ꯅꯥ ꯅꯥꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯒꯤꯗꯃꯛ ꯑꯐꯕꯥ ꯗꯥꯏꯠ ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ?

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ SLD ꯑꯗꯨ ꯑꯔꯨꯝꯕꯥ ꯍꯦꯅꯒꯠꯂꯀꯄꯒꯥ ꯃꯔꯤ ꯂꯩꯅꯔꯕꯗꯤ, ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯑꯗꯨꯕꯨ ꯂꯦꯞꯇꯅꯥ ꯑꯔꯨꯝꯕꯥ ꯍꯟꯊꯍꯟꯅꯕꯥ ꯕꯦꯂꯦꯟꯁ ꯗꯥꯏꯠ ꯑꯃꯥ ꯏꯅꯒꯗꯕꯅꯤ꯫ ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯑꯌꯥꯝꯕꯅꯥ ꯆꯤꯅꯤ ꯌꯥꯑꯣꯕꯥ ꯆꯤꯟꯖꯥꯀꯁꯤꯡ ꯁꯤꯖꯤꯟꯅꯗꯅꯕꯥ ꯄꯥꯎꯇꯥꯛ ꯄꯤꯔꯤ꯫ ꯃꯈꯣꯌꯅꯥ ꯃꯦꯗꯤꯇꯦꯔꯦꯅꯤꯌꯟ ꯗꯥꯏꯠ ꯍꯣꯠꯅꯕꯗꯁꯨ ꯇꯀꯁꯤꯜꯂꯤ . ꯃꯁꯤꯗꯥ ꯎꯍꯩ-ꯋꯥꯍꯩ, ꯃꯅꯥ-ꯃꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯑꯐꯕꯥ ꯐꯦꯇꯁꯤꯡ ꯌꯥꯝꯅꯥ ꯌꯥꯎꯏ꯫ ꯃꯁꯤꯗꯁꯨ ꯅꯠꯇꯅꯥ, ꯅꯠ, ꯂꯤꯒꯨꯝ, ꯍꯣꯜ ꯒ꯭ꯔꯦꯟ, ꯉꯥ, ꯑꯃꯁꯨꯡ ꯌꯦꯔꯨꯝ ꯑꯁꯤꯅꯆꯤꯡꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ ꯑꯁꯤ ꯑꯦꯁ.ꯑꯦꯜ.ꯗꯤ. ꯂꯥꯂꯍꯧꯒꯤ ꯃꯆꯤꯟꯖꯥꯛ ꯌꯥꯝꯅꯥ ꯆꯥꯕꯥ ꯑꯃꯁꯨꯡ ꯆꯤꯅꯤ ꯌꯥꯑꯣꯕꯥ ꯊꯛꯅꯕꯁꯤꯡ ꯊꯀꯄꯁꯨ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫

ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯍꯪꯂꯀꯄꯥ ꯋꯥꯍꯪꯁꯤꯡ (FAQ)

ꯋꯥꯍꯪ : ꯑꯩꯒꯤ ꯂꯤꯚꯔꯗꯥ ꯀꯌꯥ ꯌꯥꯝꯅꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯅꯕꯒꯦ?

ꯄꯥꯎꯈꯨꯝ : ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯁꯣꯌꯗꯅꯥ ꯈꯪꯍꯅꯕꯥ ꯉꯃꯒꯅꯤ꯫ ꯃꯍꯥꯛꯅꯥ ꯕ꯭ꯂꯗ ꯇꯦꯁ꯭ꯠ, ꯁ꯭ꯀꯦꯟ (ꯑꯂꯠꯔꯥꯁꯥꯎꯟꯗ, ꯐꯥꯏꯕ꯭ꯔꯣꯁ꯭ꯀꯦꯟ) ꯇꯧꯗꯨꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯂꯤꯚꯔꯗꯥ ꯐꯦꯠ ꯀꯌꯥꯝ ꯌꯥꯎꯕꯒꯦ ꯑꯃꯁꯨꯡ ꯁꯣꯀꯄꯥ ꯌꯥꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯒꯅꯤ꯫ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯃꯍꯥꯛꯅꯥ ꯐꯤꯚꯝ ꯑꯗꯨ ꯅꯉꯣꯟꯗꯥ ꯁꯟꯗꯣꯛꯅꯥ ꯇꯥꯛꯀꯅꯤ꯫

ꯋꯥꯍꯪ : ꯂꯤꯚꯔꯒꯤ ꯑꯃꯥꯡ-ꯑꯇꯥꯁꯤꯡ ꯐꯒꯠꯂꯀꯄꯗꯥ ꯃꯇꯝ ꯀꯌꯥ ꯆꯪꯕꯒꯦ?

ꯄꯥꯎꯈꯨꯝ:ꯃꯁꯤ ꯇꯁꯦꯡꯅꯥ ꯑꯗꯣꯃꯒꯤ ꯐꯤꯚꯝ ꯑꯃꯁꯨꯡ ꯑꯗꯣꯃꯒꯤ ꯍꯣꯠꯅꯖꯃꯂꯒꯤ ꯃꯈꯥ ꯄꯣꯜꯂꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯍꯥꯅꯕꯥ ꯇꯥꯉ꯭ꯀꯛꯇꯥ ꯂꯩꯔꯕꯗꯤ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯥꯏꯠ ꯑꯗꯨ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯔꯕꯗꯤ ꯑꯃꯁꯨꯡ ꯑꯔꯨꯝꯕꯥ ꯍꯟꯊꯔꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯊꯥ ꯈꯔꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯑꯐꯕꯥ ꯑꯍꯣꯡꯕꯥ ꯑꯃꯥ ꯎꯕꯥ ꯐꯪꯒꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯑꯣꯏꯔꯕꯗꯤ, ꯁꯤꯔꯣꯁꯤꯁꯒꯨꯝꯕꯥ, ꯃꯄꯨꯡꯐꯥꯅꯥ ꯂꯥꯏꯌꯦꯡꯕꯗꯥ ꯑꯋꯥꯕꯥ ꯑꯣꯏ, ꯑꯗꯨꯕꯨ ꯅꯍꯥꯛꯅꯥ ꯃꯗꯨ ꯍꯦꯟꯅꯥ ꯐꯠꯆꯤꯜꯂꯛꯇꯕꯥ ꯊꯤꯡꯕꯥ ꯌꯥꯏ꯫

ꯋꯥꯍꯪ : ꯑꯩꯅꯥ ꯂꯧꯔꯤꯕꯥ ꯍꯤꯗꯥꯀꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯑꯦꯁ.ꯑꯦꯜ.ꯗꯤ.

ꯄꯥꯎꯈꯨꯝ : ꯍꯣꯌ, ꯇꯧꯕꯥ ꯌꯥꯏ꯫ ꯍꯤꯗꯥꯛ ꯈꯔꯗꯤ ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯑꯦꯃꯤꯑꯣꯗꯥꯔꯣꯟ ꯑꯃꯁꯨꯡ ꯗꯤꯂꯇꯤꯌꯥꯖꯦꯝ, ꯂꯤꯚꯔꯗꯥ ꯁꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯧꯔꯤꯕꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛ ꯄꯨꯝꯅꯃꯛ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯈꯪꯍꯅꯒꯗꯕꯅꯤ꯫ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯃꯍꯥꯛꯅꯥ ꯍꯤꯗꯥꯀꯁꯤꯡ ꯑꯗꯨꯗꯥ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯑꯃꯥ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯆꯦꯛ ꯇꯧꯒꯅꯤ꯫

ꯋꯥꯍꯪ : ꯑꯩꯒꯤꯗꯃꯛꯇꯗꯤ ꯍꯀꯆꯥꯡ ꯐꯕꯥ ꯑꯔꯨꯝꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ?

ꯄꯥꯎꯈꯨꯝ : ꯃꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯋꯥꯡꯈꯠꯄꯥ ꯑꯃꯁꯨꯡ ꯆꯍꯤꯒꯤ ꯃꯈꯥ ꯄꯣꯜꯂꯤ꯫ ꯃꯍꯧꯁꯥꯅꯥ ꯅꯍꯥꯛꯀꯤ BMI ꯑꯗꯨ 25ꯒꯤ ꯃꯈꯥꯗꯥ ꯊꯝꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯩ, ꯑꯗꯨꯕꯨ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯥ ꯊꯕꯛ ꯑꯗꯨꯗꯤ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔ ꯅꯠꯠꯔꯒꯥ ꯅ꯭ꯌꯨꯠꯔꯤꯁꯅꯒꯤ ꯃꯤꯑꯣꯏ ꯑꯃꯗꯥ ꯅꯍꯥꯛꯀꯤꯗꯃꯛꯇꯥ ꯑꯆꯨꯝꯕꯥ ꯑꯔꯨꯝꯕꯥ ꯑꯗꯨꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯍꯪꯕꯅꯤ꯫ ꯑꯔꯨꯝꯕꯥ ꯈꯔꯥ ꯍꯟꯊꯔꯀꯄꯗꯁꯨ ꯅꯍꯥꯛꯀꯤ ꯂꯤꯚꯔꯗꯥ ꯑꯆꯧꯕꯥ ꯔꯤꯂꯤꯐ ꯑꯃꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫

ꯋꯥꯍꯪ : ꯑꯩꯅꯥ ꯅ꯭ꯌꯨꯠꯔꯤꯁꯅꯒꯤ ꯃꯤꯑꯣꯏ ꯑꯃꯒꯥ ꯎꯅꯗꯨꯅꯥ ꯍꯀꯁꯦꯜ ꯐꯕꯥ ꯗꯥꯏꯠ ꯑꯃꯒꯤ ꯃꯔꯃꯗꯥ ꯈꯪꯖꯤꯅꯕꯥ ꯌꯥꯕ꯭ꯔꯥ?

ꯄꯥꯎꯈꯨꯝ : ꯃꯄꯨꯡ ꯐꯥꯅꯥ! ꯃꯗꯨ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯥ ꯊꯕꯛꯅꯤ꯫ ꯅ꯭ꯌꯨꯠꯔꯤꯁꯅꯒꯤ ꯃꯤꯑꯣꯏ ꯑꯃꯅꯥ ꯅꯍꯥꯛꯀꯤꯗꯃꯛꯇꯥ ꯆꯨꯅꯕꯥ ꯆꯤꯟꯖꯥꯀꯁꯤꯡꯒꯤ ꯂꯤꯁ꯭ꯠ ꯑꯃꯥ ꯁꯦꯝꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯕꯥ ꯌꯥꯏ꯫ ꯃꯈꯣꯌꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯃꯦꯗꯤꯇꯦꯔꯦꯅꯤꯌꯟ ꯗꯥꯏꯠ ꯑꯃꯁꯨꯡ ꯐꯖꯅꯥ ꯁꯦꯝ-ꯁꯥꯕꯥ ꯆꯤꯟꯖꯥꯀꯒꯨꯝꯕꯥ ꯋꯥꯐꯃꯁꯤꯡꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯈꯪꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯍꯪꯂꯕꯗꯤ, ꯃꯍꯥꯛꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯔꯤꯐꯔ ꯇꯧꯕꯥ ꯌꯥꯏ꯫

ꯋꯥꯍꯪ : ꯌꯨ ꯊꯀꯄꯒꯤ ꯗꯤꯁꯑꯣꯔꯗꯔꯒꯤ ꯂꯥꯏꯌꯦꯡ ꯃꯇꯧ ꯀꯔꯝꯅꯥ ꯐꯪꯒꯗꯒꯦ?

ꯄꯥꯑꯣꯈꯨꯝ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯊꯛꯅꯕꯥ ꯏꯁꯤꯡ ꯊꯀꯄꯗꯥ ꯑꯋꯥꯕꯥ ꯃꯥꯌꯣꯛꯅꯔꯕꯗꯤ ꯏꯀꯥꯏꯕꯥ ꯐꯥꯑꯣꯒꯅꯨ꯫ ꯃꯁꯤ ꯅꯣꯔꯃꯦꯂꯅꯤ꯫ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯥ ꯊꯕꯛ ꯑꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯕꯅꯤ꯫ ꯃꯍꯥꯛꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯃꯇꯦꯡ ꯄꯥꯡꯕꯥ ꯌꯥꯏ, ꯑꯃꯁꯨꯡ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯊꯧ ꯇꯥꯔꯕꯗꯤ, ꯅꯍꯥꯀꯄꯨ ꯀꯥꯎꯟꯁꯦꯂꯤꯡ ꯁꯔꯚꯤꯁ ꯅꯠꯠꯔꯒꯥ ꯁ꯭ꯄꯦꯁꯤꯑꯦꯂꯤꯁ꯭ꯠ ꯑꯃꯗꯥ ꯔꯤꯐꯔ ꯇꯧꯕꯥ ꯌꯥꯏ꯫ ꯅꯤꯡꯁꯤꯡꯕꯤꯌꯨ, ꯌꯨ ꯊꯀꯄꯗꯒꯤ ꯂꯥꯞꯅꯥ ꯂꯩꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯂꯤꯚꯔ ꯀꯟꯅꯕꯥ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫