ꯅꯍꯥꯛꯀꯤ ꯄ꯭ꯔꯣꯁ꯭ꯇꯦꯠ ꯒ꯭ꯜꯌꯥꯟꯗ ꯑꯗꯨ ꯍꯦꯟꯅꯥ ꯆꯥꯎꯈꯠꯂꯛꯂꯤꯕ꯭ꯔꯥ ꯑꯃꯁꯨꯡ ꯌꯨꯔꯤꯅꯔꯤꯕꯁꯤ ꯈꯨꯗꯣꯡꯊꯤꯅꯤꯉꯥꯏ ꯑꯣꯏꯕ꯭ꯔꯥ? ꯍꯣꯂꯦꯞ ꯂꯦꯖꯔ ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯈꯉꯂꯁꯤ! (ꯄ꯭ꯔꯣꯁ꯭ꯇꯦꯠꯀꯤ ꯍꯣꯂꯃꯤꯌꯥꯝ ꯂꯦꯖꯔ ꯑꯦꯅꯨꯛꯂꯤꯌꯦꯁꯟ - HoLEP)

ꯅꯨꯄꯥꯁꯤꯡꯅꯥ ꯆꯍꯤ ꯌꯥꯃꯈꯠꯂꯀꯄꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯌꯨꯔꯤꯅꯕꯁꯤ ꯈꯔꯥ ꯍꯦꯟꯅꯥ ꯑꯋꯥꯕꯥ ꯑꯣꯏꯔꯀꯏ , ꯅꯠꯇꯦ? ꯏꯎꯔꯦꯊ꯭ꯔꯥ ꯑꯁꯤ ꯁꯣꯟꯊꯔꯀꯏ, ꯌꯨꯔꯤꯅꯔꯤꯒꯤ ꯆꯥꯡ ꯌꯥꯝꯅꯥ ꯋꯥꯡꯏ, ꯅꯠꯠꯔꯒꯥ ꯃꯗꯨ ꯂꯣꯌꯁꯤꯅꯕꯥ ꯉꯃꯗꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯐꯥꯎꯏ꯫ ꯃꯁꯤꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯔꯃꯗꯤ ꯄ꯭ꯔꯣꯁ꯭ꯇꯦꯠ ꯒ꯭ꯜꯌꯥꯟꯗ ꯑꯁꯤ ꯈꯔꯥ ꯍꯦꯟꯅꯥ ꯆꯥꯎꯏ꯫ ꯑꯩꯈꯣꯌꯅꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤꯕꯨ BPH ( Benign Prostatic Hyperplasia ) ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯉꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯃꯁꯤꯒꯤꯗꯃꯛꯇꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯅꯧꯕꯥ, ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯥꯌ ꯄꯥꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯁꯥꯐꯕꯥ ꯂꯥꯌꯦꯡꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯔꯤ꯫

ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯍꯣꯂꯦꯞ ꯁꯔꯖꯔꯤ ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ?

HoLEP (‘ꯍꯣ-ꯂꯦꯞ’ ꯍꯥꯌꯅꯥ ꯀꯧꯕꯥ) ꯑꯁꯤ ꯄ꯭ꯔꯣꯁ꯭ꯇꯦꯠ ꯍꯦꯅꯒꯠꯂꯀꯄꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯨꯔꯤꯅꯔꯤ ꯑꯣꯕꯁ꯭ꯠꯔꯀꯁꯅꯁꯤꯡ ꯂꯥꯌꯦꯡꯕꯥ ꯑꯈꯟꯅꯕꯥ ꯂꯦꯖꯔ ꯄ꯭ꯔꯣꯁꯤꯗ꯭ꯌꯨꯑꯣꯔ ꯑꯃꯅꯤ꯫ ꯅꯍꯥꯛꯀꯤ ꯄ꯭ꯔꯣꯁ꯭ꯇꯦꯠ ꯑꯗꯨ ꯏꯁꯤꯡꯒꯤ ꯄꯥꯏꯞ ꯑꯃꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯂꯩꯕꯥ ꯔꯕ꯭ꯕꯔ ꯕꯦꯟꯗ ꯑꯃꯒꯨꯝꯅꯥ ꯈꯅꯕꯤꯌꯨ꯫ ꯅꯍꯥꯛꯅꯥ ꯆꯍꯤ ꯌꯥꯃꯈꯠꯂꯀꯄꯒꯥ ꯂꯣꯌꯅꯅꯥ, ꯒ꯭ꯜꯌꯥꯟꯗ ꯑꯗꯨ ꯁꯣꯟꯊꯔꯀꯏ ꯑꯃꯁꯨꯡ ꯆꯥꯎꯈꯠꯂꯀꯏ, ꯃꯗꯨꯅꯥ ꯏꯁꯤꯡꯒꯤ ꯄꯥꯏꯞ ꯑꯗꯨꯗꯥ (ꯅꯍꯥꯛꯀꯤ ꯏꯎꯔꯦꯊ꯭ꯔꯥ) ꯄ꯭ꯔꯦꯁꯔ ꯄꯤ꯫ ꯃꯁꯤꯅꯥ ꯌꯨꯔꯤꯅꯔꯤ ꯇꯧꯕꯗꯥ ꯑꯋꯥꯕꯥ ꯊꯣꯀꯍꯜꯂꯤ꯫

HoLEP ꯁꯔꯖꯔꯤꯗꯥ ꯌꯨꯔꯤꯅꯒꯤ ꯈꯣꯡꯖꯦꯂꯗꯥ ꯑꯀꯥꯌꯕꯥ ꯄꯤꯔꯤꯕꯥ ꯄ꯭ꯔꯣꯁ꯭ꯇꯦꯇꯇꯥ ꯂꯩꯕꯥ ꯑꯍꯦꯅꯕꯥ ꯇꯤꯁ꯭ꯌꯨ ꯑꯗꯨ ꯆꯦꯀꯁꯤꯟꯅꯥ ꯂꯧꯊꯣꯛꯅꯕꯥ, ꯏꯅꯁꯤꯁꯟ ꯑꯃꯠꯇꯥ ꯌꯥꯎꯗꯅꯥ, ꯏꯎꯔꯦꯊ꯭ꯔꯥꯒꯤ ꯃꯅꯥꯛꯇꯥ ꯂꯦꯖꯔ ꯕꯤꯝ ꯑꯃꯥ ꯊꯥꯗꯣꯀꯏ꯫ ꯈꯣꯡꯗꯥ ꯏꯅꯁꯤꯁꯟ ꯂꯩꯇꯕꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ , ꯐꯒꯠꯂꯀꯄꯒꯤ ꯃꯇꯝ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯀꯨꯏꯔꯦ꯫

BPHꯒꯤ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?

ꯅꯍꯥꯛꯅꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯠꯇꯥ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯎ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯑꯃꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯃꯗꯒꯤ ꯍꯦꯅꯕꯥ ꯂꯩꯔꯕꯗꯤ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯕꯥ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫

ꯃꯔꯨꯑꯣꯏꯕꯥ ꯋꯥꯐꯃꯗꯤ ꯕꯦꯅꯤꯐꯤꯁꯔꯤ ꯄ꯭ꯔꯣꯁ꯭ꯇꯦꯇꯤꯛ ꯍꯥꯏꯄꯔꯞꯂꯥꯁꯤꯌꯥ (BPH) ꯑꯁꯤ ꯀꯦꯟꯁꯔ ꯅꯠꯇꯦ , ꯑꯗꯨꯕꯨ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯂꯥꯏꯌꯦꯡꯗꯕꯥ ꯑꯣꯏꯔꯕꯗꯤ, ꯃꯁꯤꯅꯥ ꯌꯨꯔꯤꯅꯔꯤ ꯇ꯭ꯔꯦꯛꯇ ꯏꯅꯐꯦꯛꯁꯟ ꯑꯃꯁꯨꯡ ꯕ꯭ꯂꯦꯗꯔ ꯁ꯭ꯇꯣꯅꯒꯨꯝꯕꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫

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ꯁꯔꯖꯔꯤꯒꯤ ꯃꯃꯥꯡꯗꯥ ꯀꯔꯤ ꯊꯣꯀꯏ?

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯀꯄꯨ HoLEP ꯁꯔꯖꯔꯤꯒꯤꯗꯃꯛꯇꯥ ꯆꯨꯝꯃꯤ ꯍꯥꯌꯅꯥ ꯈꯜꯂꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯁꯔꯖꯔꯤꯒꯤ ꯃꯃꯥꯡꯗꯥ ꯇꯦꯁ꯭ꯠ ꯀꯌꯥ ꯑꯃꯥ ꯇꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯏ꯫ ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯗꯨ ꯑꯆꯨꯝꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯌꯦꯡꯁꯤꯟꯅꯕꯥ ꯇꯧꯏ꯫

• ꯃꯦꯗꯤꯀꯦꯜ ꯀꯟꯁꯂꯇꯦꯁꯟ: ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯃꯦꯗꯤꯀꯦꯜ ꯍꯤꯁ꯭ꯇꯔꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯍꯪꯒꯅꯤ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯄ꯭ꯔꯣꯁ꯭ꯇꯦꯠ ꯑꯗꯨ ꯌꯦꯡꯁꯤꯅꯒꯅꯤ꯫
• ꯏ ꯑꯃꯁꯨꯡ ꯌꯨꯔꯤꯟ ꯇꯦꯁ꯭ꯠ: ꯔꯨꯇꯤꯟ ꯕ꯭ꯂꯗ ꯇꯦꯁ꯭ꯇꯁꯤꯡꯒꯤ ꯃꯊꯛꯇꯥ, ꯄꯤ.ꯑꯦꯁ.ꯑꯦ. (ꯄ꯭ꯔꯣꯁ꯭ꯇꯦꯠ-ꯁ꯭ꯄꯦꯁꯤꯐꯤꯛ ꯑꯦꯟꯇꯤꯖꯦꯟ) ꯇꯦꯁ꯭ꯠ ꯑꯃꯥ ꯄꯥꯡꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫
• ꯌꯨꯔꯤꯅꯔꯤ ꯐ꯭ꯂꯣ ꯇꯦꯁ꯭ꯇꯁꯤꯡ: ꯅꯍꯥꯛꯀꯤ ꯌꯨꯔꯤꯟ ꯁ꯭ꯠꯔꯤꯃꯒꯤ ꯈꯣꯡꯖꯦꯜ ꯑꯃꯁꯨꯡ ꯚꯣꯜꯌꯨꯝ ꯑꯗꯨ ꯌꯦꯡꯁꯤꯜꯂꯤꯕꯥ ꯇꯦꯁ꯭ꯇꯁꯤꯡ꯫
• ꯁ꯭ꯀꯦꯅꯁꯤꯡ : ꯑꯂꯠꯔꯥꯁꯥꯎꯟꯗ ꯅꯠꯠꯔꯒꯥ ꯁꯤ.ꯇꯤ.ꯁ꯭ꯀꯦꯟ ꯑꯃꯅꯥ ꯄ꯭ꯔꯣꯁ꯭ꯇꯦꯠ ꯒ꯭ꯜꯌꯥꯟꯗꯒꯤ ꯁꯥꯏꯖ ꯑꯗꯨ ꯑꯆꯨꯝꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯈꯪꯗꯣꯀꯄꯥ ꯉꯝꯃꯤ꯫
• ꯁꯤꯁ꯭ꯇꯣꯁ꯭ꯀꯣꯄꯤ (cystoscopy): ꯑꯄꯤꯀꯄꯥ ꯀꯦꯃꯦꯔꯥ ꯑꯃꯒꯥ ꯂꯣꯌꯅꯕꯥ ꯑꯄꯤꯀꯄꯥ ꯇꯤꯎꯕ ꯑꯃꯥ ꯏꯎꯔꯦꯊ꯭ꯔꯥꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯄꯥꯁ ꯇꯧꯗꯨꯅꯥ ꯄ꯭ꯔꯣꯁ꯭ꯇꯦꯠ ꯑꯃꯁꯨꯡ ꯕ꯭ꯂꯦꯗꯔꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯂꯩꯕꯥ ꯃꯐꯃꯁꯤꯡ ꯌꯦꯡꯁꯤꯜꯂꯤ꯫
• ꯏꯎꯔꯣꯗꯥꯏꯅꯥꯃꯤꯛꯁ ꯇꯦꯁ꯭ꯠ: ꯅꯍꯥꯛꯀꯤ ꯕ꯭ꯂꯦꯗꯔ ꯑꯗꯨ ꯀꯔꯝꯅꯥ ꯊꯕꯛ ꯇꯧꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯁꯤꯜꯂꯤꯕꯥ ꯑꯈꯟꯅꯕꯥ ꯇꯦꯁ꯭ꯠ ꯑꯃꯅꯤ꯫

ꯁꯔꯖꯔꯤꯒꯤ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯅꯨꯃꯤꯠ 10ꯅꯤꯒꯤ ꯃꯃꯥꯡꯗꯥ ꯅꯍꯥꯀꯄꯨ ꯏ ꯊꯤꯡꯖꯤꯅꯕꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ (ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯑꯦꯁ꯭ꯄꯤꯔꯤꯟ, ꯀ꯭ꯂꯣꯄꯤꯗꯣꯒ꯭ꯔꯦꯜ) ꯂꯧꯕꯥ ꯂꯦꯄꯍꯟꯅꯕꯥ ꯍꯥꯌꯒꯅꯤ꯫ ꯅꯍꯥꯛꯅꯥ ꯁꯔꯖꯔꯤꯒꯤ ꯃꯃꯥꯡꯒꯤ ꯅꯨꯃꯤꯠꯇꯥ ꯅꯨꯃꯤꯗꯥꯡꯋꯥꯏꯔꯃꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯆꯥꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯊꯀꯄꯁꯨ ꯇꯧꯔꯣꯏꯗꯕꯅꯤ꯫ ꯃꯁꯤ ꯄꯨꯝꯅꯃꯛ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯃꯌꯦꯛ ꯁꯦꯡꯅꯥ ꯈꯪꯍꯜꯂꯛꯀꯅꯤ꯫

HoLEP ꯁꯔꯖꯔꯤ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯄꯥꯡꯊꯣꯀꯄꯒꯦ?

ꯃꯁꯤꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯐꯥꯑꯣꯒꯅꯨ꯫ ꯅꯉꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯃꯠꯇꯥ ꯐꯥꯑꯣꯔꯔꯣꯏ꯫ ꯁꯔꯖꯔꯤ ꯄꯨꯝꯅꯃꯛ ꯑꯁꯤ ꯖꯦꯅꯦꯔꯦꯜ ꯑꯦꯅꯥꯁ꯭ꯇꯦꯁꯤꯌꯥꯒꯤ ꯃꯈꯥꯗꯥ ꯇꯧꯏ, ꯃꯁꯤꯅꯥ ꯅꯍꯥꯛ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯇꯨꯝꯂꯤ ꯍꯥꯌꯕꯅꯤ꯫ ꯅꯠꯠꯔꯒꯥ ꯅꯍꯥꯛꯀꯤ ꯀꯣꯀꯊꯛꯇꯥ ꯂꯩꯕꯥ ꯃꯐꯝ ꯑꯗꯨ ꯈꯛꯇꯃꯛ ꯁꯣꯀꯍꯜꯂꯤꯕꯥ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯑꯦꯅꯥꯁ꯭ꯇꯦꯇꯤꯛ ꯑꯃꯅꯥ ꯇꯧꯕꯥ ꯌꯥꯏ꯫

1. ꯅꯍꯥꯀꯄꯨ ꯑꯦꯅꯥꯁ꯭ꯇꯦꯇꯤꯛ ꯇꯧꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ, ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯏꯎꯔꯦꯊ꯭ꯔꯥꯒꯤ ꯃꯈꯥꯗꯥ ꯔꯤꯁꯦꯛꯇꯣꯁ꯭ꯀꯣꯞ ꯀꯧꯕꯥ ꯑꯄꯤꯀꯄꯥ ꯏꯅꯁ꯭ꯠꯔꯨꯃꯦꯟꯇ ꯑꯃꯥ ꯍꯥꯄꯀꯅꯤ꯫ ꯃꯁꯤꯗꯥ ꯀꯦꯃꯦꯔꯥ ꯑꯃꯥ ꯂꯩ ꯃꯗꯨꯅꯥ ꯄ꯭ꯔꯣꯁ꯭ꯇꯦꯠ ꯒ꯭ꯜꯌꯥꯟꯗ ꯑꯗꯨ ꯃꯌꯦꯛ ꯁꯦꯡꯅꯥ ꯎꯕꯥ ꯐꯪꯏ꯫

2. ꯃꯊꯪꯗꯥ, ꯗꯤꯚꯥꯏꯁ ꯑꯁꯤꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯂꯦꯖꯔꯒꯤ ꯕꯤꯝ ꯑꯃꯥ ꯊꯥꯏ, ꯃꯗꯨꯅꯥ ꯌꯨꯔꯤꯅꯒꯤ ꯈꯣꯡꯖꯦꯂꯗꯥ ꯑꯀꯥꯌꯕꯥ ꯄꯤꯔꯤꯕꯥ ꯄ꯭ꯔꯣꯁ꯭ꯇꯦꯠ ꯒ꯭ꯜꯌꯥꯟꯗꯇꯥ ꯂꯩꯕꯥ ꯑꯍꯦꯅꯕꯥ ꯇꯤꯁꯨ ꯑꯗꯨ ꯌꯥꯝꯅꯥ ꯐꯖꯅꯥ ꯀꯥꯄꯁꯤꯜꯂꯤ꯫ ꯃꯇꯝ ꯑꯗꯨꯃꯛꯇꯗꯥ ꯏ ꯄꯨꯕꯥ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯂꯁꯤꯡꯁꯨ ꯂꯦꯖꯔ ꯑꯁꯤꯅꯥ ꯁꯤꯜ ꯇꯧꯏ꯫

3. ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯂꯦꯖꯔ ꯑꯗꯨ ꯂꯧꯊꯣꯀꯏ, ꯑꯃꯁꯨꯡ ꯃꯣꯔꯁꯦꯂꯦꯇꯔ ꯀꯧꯕꯥ ꯑꯇꯣꯞꯄꯥ ꯈꯨꯠꯂꯥꯌ ꯑꯃꯥ ꯍꯥꯄꯆꯤꯜꯂꯤ, ꯃꯗꯨꯅꯥ ꯀꯀꯄꯥ ꯇꯤꯁ꯭ꯌꯨ ꯄꯨꯝꯅꯃꯛ ꯆꯨꯃꯊꯣꯀꯏ ꯑꯃꯁꯨꯡ ꯍꯀꯆꯥꯡꯗꯒꯤ ꯂꯧꯊꯣꯀꯏ꯫

4. ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ: ꯃꯁꯤꯒꯤ ꯃꯑꯣꯡ ꯑꯁꯤꯅꯥ ꯂꯧꯊꯣꯀꯄꯥ ꯇꯤꯁ꯭ꯌꯨ ꯑꯁꯤ ꯂꯦꯕꯣꯔꯦꯇꯔꯤ ꯇꯦꯁ꯭ꯠ (ꯕꯥꯏꯑꯣꯞꯁꯤ) ꯑꯃꯒꯤꯗꯃꯛ ꯊꯥꯒꯅꯤ, ꯃꯁꯤꯅꯥ ꯀꯦꯟꯁꯔ ꯁꯦꯂꯒꯨꯝꯕꯥ ꯑꯁꯣꯏ-ꯑꯉꯥꯝ ꯌꯥꯑꯣꯗꯕꯥ ꯄꯣꯠꯁꯛ ꯑꯃꯥ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯒꯅꯤ꯫

5. ꯑꯔꯣꯏꯕꯗꯥ, ꯏꯅꯁ꯭ꯠꯔꯨꯃꯦꯟꯇ ꯄꯨꯝꯅꯃꯛ ꯂꯧꯊꯣꯀꯏ ꯑꯃꯁꯨꯡ ꯌꯨꯔꯤꯅꯔꯤ ꯀꯦꯇꯦꯒꯣꯔꯤ ꯑꯃꯥ ꯊꯥꯏ꯫

ꯃꯁꯤꯒꯤ ꯁꯔꯖꯔꯤ ꯑꯁꯤ ꯃꯍꯧꯁꯥꯅꯥ ꯄꯨꯡ 1 ꯑꯃꯁꯨꯡ 3ꯒꯤ ꯃꯔꯛꯇꯥ ꯆꯪꯏ꯫

ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯀꯔꯤ ꯑꯣꯏꯒꯅꯤ? ꯐꯒꯠꯂꯀꯄꯒꯤ ꯃꯇꯝ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯑꯣꯏꯔꯤꯕꯒꯦ?

ꯑꯌꯥꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯅꯍꯥꯛꯅꯥ ꯁꯔꯖꯔꯤ ꯇꯧꯕꯥ ꯃꯇꯃꯗꯥ ꯅꯨꯃꯤꯗꯥꯡꯋꯥꯏꯔꯝ ꯌꯨꯃꯗꯥ ꯆꯠꯄꯥ ꯌꯥꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯅꯍꯥꯛꯅꯥ ꯅꯨꯃꯤꯠ ꯑꯃꯥ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯂꯗꯥ ꯂꯩꯕꯥ ꯇꯥꯕꯁꯨ ꯌꯥꯏ꯫

• ꯀꯦꯇꯦꯒꯣꯔꯤ: ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯊꯝꯂꯤꯕꯥ ꯀꯦꯇꯦꯒꯣꯔꯤ ꯑꯗꯨ ꯃꯍꯧꯁꯥꯅꯥ ꯃꯊꯪꯒꯤ ꯅꯨꯃꯤꯠꯇꯥ ꯂꯧꯊꯣꯀꯏ꯫ ꯀꯦꯇꯦꯒꯣꯔꯤ ꯑꯗꯨ ꯂꯧꯊꯣꯀꯈ꯭ꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯐꯖꯅꯥ ꯌꯨꯔꯤꯟ ꯇꯧꯕꯥ ꯉꯝꯂꯕꯗꯤ ꯅꯍꯥꯛꯅꯥ ꯌꯨꯃꯗꯥ ꯆꯠꯄꯥ ꯌꯥꯏ꯫ ꯑꯍꯧꯕꯗꯥ ꯃꯩꯅꯥ ꯆꯥꯀꯄꯥ, ꯑꯁꯣꯛ-ꯑꯄꯟ ꯈꯔꯥ ꯊꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯌꯥꯝꯅꯥ ꯇꯣꯏꯅꯥ ꯌꯨ ꯊꯀꯄꯥ ꯍꯥꯌꯕꯁꯤ ꯅꯣꯔꯃꯦꯂꯅꯤ꯫
• ꯅꯍꯥꯛꯀꯤ ꯌꯨꯔꯤꯅꯗꯥ ꯏ ꯊꯣꯀꯄꯥ: ꯅꯍꯥꯛꯀꯤ ꯌꯨꯔꯤꯟ ꯑꯗꯨ ꯅꯨꯃꯤꯠ ꯈꯔꯅꯤꯒꯤ ꯑꯣꯏꯅꯥ ꯏ ꯈꯔꯥ ꯌꯥꯎꯕꯥ ꯄꯤꯀꯄꯥ ꯍꯥꯌꯕꯁꯤ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯅꯣꯔꯃꯦꯂꯅꯤ . ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯂꯩꯔꯣꯏꯗꯕꯅꯤ꯫ ꯅꯍꯥꯛꯅꯥ ꯏꯁꯤꯡ ꯍꯦꯟꯅꯥ ꯊꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯅꯍꯥꯛꯀꯤ ꯌꯨꯔꯤꯟ ꯑꯗꯨ ꯍꯦꯟꯅꯥ ꯁꯦꯡꯂꯛꯀꯅꯤ꯫
• ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯥ : ꯑꯍꯥꯅꯕꯗꯥ ꯌꯨꯔꯤꯟ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯗꯥ ꯑꯋꯥꯕꯥ ꯑꯣꯏꯔꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯅꯥ ꯇꯥꯀꯄꯗꯤ ꯅꯍꯥꯛꯅꯥ ꯅꯣꯛꯅꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯀꯣꯛ ꯆꯤꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯌꯨꯔꯤꯟ ꯈꯔꯥ ꯂꯤꯛ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫ ꯗꯣꯛꯇꯔꯅꯥ ꯍꯥꯌꯕꯒꯨꯝꯅꯥ, ꯀꯦꯒꯦꯜ ꯑꯦꯛꯁꯔꯁꯥꯏꯖ (ꯑꯋꯥꯡꯕꯥ ꯁꯔꯨꯛꯀꯤ ꯃꯁꯂꯁꯤꯡ ꯆꯦꯠꯁꯤꯂꯍꯜꯂꯤꯕꯥ ꯑꯦꯛꯁꯔꯁꯥꯏꯖꯁꯤꯡ) ꯇꯧꯕꯅꯥ ꯌꯥꯝꯅꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯅꯨꯃꯤꯠ ꯈꯔꯅꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯐꯒꯠꯂꯛꯀꯅꯤ꯫
• ꯅꯨꯡꯉꯥꯏꯕꯥ: ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯅꯨꯃꯤꯠ ꯑꯗꯨꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯈꯣꯡꯅꯥ ꯆꯠꯄꯥ ꯑꯃꯁꯨꯡ ꯒꯥꯔꯤ ꯊꯧꯕꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯑꯔꯨꯝꯕꯥ ꯂꯧꯊꯣꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯅꯨꯃꯤꯠ ꯑꯅꯤ ꯂꯥꯞꯅꯥ ꯆꯠꯄꯥ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯑꯀꯅꯕꯥ ꯊꯕꯛ ꯊꯧꯔꯃꯁꯤꯡꯗꯒꯤ ꯂꯥꯞꯅꯥ ꯂꯩꯌꯨ . ꯅꯨꯃꯤꯠ ꯶ꯅꯤꯒꯤ ꯑꯣꯏꯅꯥ ꯁꯥꯏꯀꯜ ꯅꯠꯠꯔꯒꯥ ꯃꯣꯇꯣꯔꯁꯥꯏꯀꯜ ꯊꯧꯕꯥ ꯌꯥꯔꯣꯏꯗꯕꯅꯤ .

HoLEP ꯁꯔꯖꯔꯤꯒꯤ ꯀꯥꯟꯅꯕꯁꯤꯡ, ꯁꯥꯏꯗ ꯏꯐꯦꯛꯇꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯔꯤꯁ꯭ꯀꯁꯤꯡ꯫

ꯑꯇꯣꯞꯄꯥ ꯁꯔꯖꯔꯤꯁꯤꯡꯒꯥ ꯆꯥꯡꯗꯝꯅꯕꯗꯥ ꯍꯣ.ꯑꯦꯜ.ꯏ.ꯄꯤ. ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯁꯔꯖꯔꯤ ꯄꯨꯝꯅꯃꯀꯒꯨꯝꯅꯥ, ꯑꯄꯤꯀꯄꯥ ꯔꯤꯁ꯭ꯛ ꯑꯃꯁꯨꯡ ꯁꯥꯏꯗ ꯏꯐꯦꯛꯇ ꯈꯔꯗꯤ ꯂꯩ꯫

ꯀꯗꯥꯏꯗꯥ ꯈꯨꯗꯛꯇꯥ ꯗꯣꯛꯇꯔꯒꯥ ꯇꯥꯟꯅꯒꯗꯒꯦ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯍꯦꯛꯇꯕꯨ ꯊꯦꯡꯅꯔꯕꯗꯤ, ꯈꯨꯗꯛꯇꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯀꯜ ꯇꯧꯕꯤꯌꯨ ꯅꯠꯠꯔꯒꯥ ꯅꯍꯥꯛꯀꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯅꯀꯄꯥ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯂꯗꯥ ꯂꯩꯕꯥ ꯏꯃꯔꯖꯦꯟꯁꯤ ꯗꯤꯄꯥꯔꯇꯃꯦꯟꯇ (ETU)ꯗꯥ ꯆꯠꯄꯤꯌꯨ꯫

• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯌꯨꯔꯤꯟ ꯑꯗꯨ ꯇꯃꯦꯡꯂꯣꯡꯒꯤ ꯁꯁꯒꯨꯝꯅꯥ ꯃꯆꯨ ꯁꯪꯂꯕꯥ ꯑꯃꯁꯨꯡ ꯏ ꯌꯥꯎꯕꯥ ꯑꯣꯏꯔꯕꯗꯤ꯫
• ꯂꯥꯏꯍꯧ (ꯁꯦꯂꯁꯤꯌꯁ 38 / 101 ꯐꯥꯎꯕꯒꯤ ꯃꯊꯛꯇꯥ)꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛ ꯂꯧꯔꯕꯥ ꯃꯇꯨꯡꯗꯁꯨ ꯍꯟꯊꯕꯥ ꯉꯃꯗꯕꯥ ꯁꯥꯊꯤꯕꯥ ꯑꯅꯥꯕꯥ ꯂꯩꯔꯕꯗꯤ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯁꯥ ꯃꯊꯟꯇꯥ ꯌꯨꯔꯤꯟ ꯇꯧꯕꯥ ꯉꯃꯗ꯭ꯔꯕꯗꯤ꯫