ꯅꯍꯥꯛꯅꯥ ꯀꯦꯟꯁꯔꯅꯥ ꯅꯥꯔꯦ ꯍꯥꯌꯕꯥ ꯈꯉꯂꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯐꯥꯑꯣꯔꯤꯕꯥ ꯑꯀꯤꯕꯥ ꯑꯃꯁꯨꯡ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯑꯗꯨ ꯋꯥꯍꯩꯅꯥ ꯐꯣꯡꯗꯣꯀꯄꯥ ꯌꯥꯝꯅꯥ ꯂꯨꯏ꯫ ꯅꯍꯥꯛꯅꯥ ꯀꯦꯟꯁꯔꯒꯥ ꯂꯥꯟꯊꯦꯡꯅꯔꯤꯉꯩꯗꯥ, ꯃꯁꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯑꯇꯣꯞꯄꯥ ꯃꯐꯃꯁꯤꯡꯗꯥ ꯁꯟꯗꯣꯀꯄꯥ ꯌꯥꯏ ꯍꯥꯌꯕꯥ ꯑꯩꯈꯣꯌ ꯄꯨꯝꯅꯃꯛꯅꯥ ꯇꯥꯕꯥ ꯐꯪꯂꯦ꯫ ꯉꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯀꯦꯟꯁꯔꯅꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯕ꯭ꯔꯦꯟ, ꯑꯩꯈꯣꯌꯒꯤ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗꯀꯤ ꯑꯀꯣꯌꯕꯗꯥ ꯂꯩꯕꯥ ꯃꯦꯝꯕ꯭ꯔꯦꯅꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯑꯩꯈꯣꯌꯒꯤ ꯁꯦꯔꯤꯕ꯭ꯔꯣꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯐ꯭ꯂꯨꯏꯗꯇꯥ ꯁꯣꯀꯍꯅꯕꯒꯤ ꯃꯑꯣꯡ ꯑꯃꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯒꯅꯤ꯫ ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯃꯁꯤꯕꯨ ꯂꯦꯄꯇꯣꯃꯦꯅꯤꯟꯖꯤꯑꯦꯜ ꯗꯤꯖꯤꯖ ꯍꯥꯌꯅꯥ ꯀꯧꯏ , ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯑꯦꯜ.ꯑꯦꯝ.ꯗꯤ. ꯅꯠꯔꯒꯥ ꯑꯦꯜ.ꯑꯦꯝ .
ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ ꯂꯦꯄꯇꯣꯃꯦꯅꯤꯅꯖꯤꯌꯥꯜ ꯗꯤꯖꯤꯖ ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ?
ꯑꯣꯀꯦ, ꯃꯁꯤ ꯈꯔꯥ ꯊꯨꯒꯥꯏꯔꯁꯤ꯫ ꯑꯩꯈꯣꯌꯒꯤ ꯕ꯭ꯔꯦꯟ ꯑꯃꯁꯨꯡ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗ ꯉꯥꯀꯊꯣꯀꯄꯥ ꯉꯝꯕꯥ ꯑꯄꯤꯀꯄꯥ ꯃꯦꯝꯕ꯭ꯔꯦꯟ ꯑꯍꯨꯝ ꯂꯩ꯫ ꯑꯩꯈꯣꯌꯅꯥ ꯃꯁꯤꯕꯨ ꯃꯦꯅꯤꯅꯖ ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ ꯃꯦꯅꯤꯅꯖꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯂꯩꯕꯥ ꯑꯄꯤꯀꯄꯥ ꯃꯤꯠꯌꯦꯡ ꯑꯅꯤ ꯑꯁꯤꯕꯨ ꯂꯦꯄꯇꯣꯃꯦꯅꯤꯡꯁ ꯍꯥꯌꯅꯥ ꯀꯧꯏ . ꯂꯥꯏꯔꯤꯛ ꯑꯃꯒꯤ ꯀꯚꯥꯔꯒꯨꯝꯅꯥ, ꯃꯤꯠꯌꯦꯡꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯅꯔꯚ ꯁꯤꯁ꯭ꯇꯦꯃꯒꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯁꯔꯨꯛ ꯑꯅꯤ ꯑꯁꯤꯕꯨ ꯉꯥꯀꯊꯣꯀꯏ꯫
ꯃꯊꯪꯗꯥ, ꯑꯩꯈꯣꯌꯒꯤ ꯕ꯭ꯔꯦꯅꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯁꯨꯡ ꯑꯩꯈꯣꯌꯒꯤ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗꯀꯤ ꯑꯀꯣꯌꯕꯗꯥ ꯆꯦꯜꯂꯤꯕꯥ ꯑꯈꯟꯅꯕꯥ ꯐ꯭ꯂꯨꯏꯗ ꯑꯃꯥ ꯂꯩ꯫ ꯃꯁꯤꯕꯨ ꯁꯦꯔꯤꯕ꯭ꯔꯣꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯐ꯭ꯂꯨꯏꯗ (CSF) ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ ꯃꯁꯤꯒꯤ ꯐ꯭ꯂꯨꯏꯗ ꯑꯁꯤꯅꯥ ꯕ꯭ꯔꯦꯟ ꯑꯃꯁꯨꯡ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗꯇꯥ ꯃꯆꯤꯟꯖꯥꯛ ꯄꯤ, ꯉꯥꯀꯊꯣꯀꯏ ꯑꯃꯁꯨꯡ ꯑꯃꯣꯠꯄꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ ꯂꯧꯊꯣꯀꯏ꯫
ꯍꯧꯖꯤꯛꯇꯤ ꯂꯦꯄꯇꯣꯃꯦꯅꯤꯟꯖꯤꯑꯦꯜ ꯗꯤꯖꯤꯖ (ꯑꯦꯜ.ꯑꯦꯝ.ꯗꯤ.) ꯍꯥꯌꯕꯁꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯑꯇꯣꯞꯄꯥ ꯃꯐꯝ ꯑꯃꯗꯥ ꯂꯩꯕꯥ ꯕ꯭ꯔꯦꯁ꯭ꯠ ꯀꯦꯟꯁꯔ ꯅꯠꯠꯔꯒꯥ ꯂꯪꯁ ꯀꯦꯟꯁꯔꯒꯨꯝꯕꯥ ꯀꯦꯟꯁꯔ ꯑꯃꯅꯥ ꯁꯟꯗꯣꯛꯇꯨꯅꯥ ꯑꯩꯈꯣꯌꯅꯥ ꯋꯥꯔꯤ ꯁꯥꯈꯤꯕꯥ ꯂꯦꯄꯇꯣꯃꯦꯅꯤꯟꯖꯤꯑꯦꯜ ꯃꯦꯝꯕ꯭ꯔꯦꯅꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯁꯦꯔꯤꯕ꯭ꯔꯣꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯐ꯭ꯂꯨꯏꯗ (ꯁꯤ.ꯑꯦꯁ.ꯑꯦꯐ.)ꯗꯥ ꯆꯪꯂꯀꯄꯥ ꯃꯇꯃꯅꯤ꯫ ꯍꯥꯌꯕꯗꯤ ꯀꯦꯟꯁꯔ ꯁꯦꯂꯁꯤꯡ ꯑꯁꯤ ꯏꯁꯤꯡꯗꯥ ꯆꯦꯟꯊꯔꯀꯄꯥ ꯑꯃꯣꯠꯄꯒꯨꯝꯅꯥ ꯐ꯭ꯂꯨꯏꯗ ꯑꯁꯤꯗꯥ ꯆꯦꯟꯊꯕꯥ ꯍꯧꯏ꯫ ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯀꯦꯟꯁꯔꯒꯤ ꯃꯑꯣꯡ ꯑꯃꯅꯤ ꯍꯥꯌꯅꯥ ꯂꯧꯅꯩ꯫
ꯂꯦꯄꯇꯣꯃꯦꯅꯤꯅꯖꯤꯌꯥꯜ ꯗꯤꯖꯤꯖ (LMD) ꯑꯁꯤ ꯀꯌꯥꯝ ꯀꯃꯟ ꯑꯣꯏꯕꯒꯦ?
ꯂꯦꯄꯇꯣꯃꯦꯅꯤꯅꯖꯤꯌꯥꯜ ꯗꯤꯖꯤꯖ (LMD) ꯑꯁꯤ ꯇꯁꯦꯡꯅꯥ ꯌꯥꯝꯅꯥ ꯀꯃꯟ ꯑꯣꯏꯗꯦ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯃꯤꯑꯣꯏꯕꯅꯥ ꯀꯦꯟꯁꯔꯅꯥ ꯅꯥꯗꯨꯅꯥ ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯍꯤꯡꯕꯥ ꯉꯃꯍꯜꯂꯤꯕꯥ ꯃꯦꯗꯤꯀꯦꯜ ꯇ꯭ꯔꯤꯇꯃꯦꯟꯇꯁꯤꯡꯗꯥ ꯑꯍꯣꯡꯕꯥ ꯂꯥꯀꯄꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯃꯁꯤ ꯍꯦꯟꯅꯥ ꯀꯃꯟ ꯑꯣꯏꯔꯛꯂꯤ꯫ ꯆꯥꯡꯆꯠꯇꯥ, LMD ꯑꯁꯤ ꯀꯦꯟꯁꯔ ꯄꯦꯁꯦꯟꯇꯁꯤꯡꯒꯤ ꯆꯥꯎꯔꯥꯛꯅꯥ 5%ꯗꯥ ꯊꯣꯀꯏ꯫
ꯃꯁꯤꯒꯤ LMD ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯀꯦꯟꯁꯔ ꯃꯈꯂꯁꯤꯡ ꯑꯁꯤ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯗꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯀꯃꯟ ꯑꯣꯏꯅꯥ ꯎꯕꯥ ꯐꯪꯏ:
- ꯕ꯭ꯔꯦꯁ꯭ꯠ ꯀꯦꯟꯁꯔ: ꯕ꯭ꯔꯦꯁ꯭ꯠ ꯀꯦꯟꯁꯔ ꯑꯁꯤ LMDꯒꯥ ꯃꯔꯤ ꯂꯩꯅꯕꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯕ꯭ꯔꯦꯁ꯭ꯠ ꯀꯦꯟꯁꯔ ꯃꯈꯜꯅꯤ꯫ ꯃꯁꯤꯅꯥ ꯕ꯭ꯔꯦꯁ꯭ꯠ ꯀꯦꯟꯁꯔꯅꯥ ꯅꯥꯕꯥ ꯅꯨꯄꯤꯁꯤꯡꯒꯤ 3%ꯗꯒꯤ 5% ꯐꯥꯎꯕꯗꯥ ꯁꯣꯀꯍꯜꯂꯤ꯫ ꯁ꯭ꯇꯗꯤꯁꯤꯡꯅꯥ ꯇꯥꯛꯂꯤ ꯃꯗꯨꯗꯤ ``ꯇ꯭ꯔꯤꯄꯜ ꯅꯦꯒꯦꯇꯤꯚ ꯕ꯭ꯔꯦꯁ꯭ꯠ ꯀꯦꯟꯁꯔ'' ꯑꯃꯁꯨꯡ ꯁꯕꯇꯥꯏꯞ ``ꯂꯣꯕꯨꯂꯥꯔ ꯕ꯭ꯔꯦꯁ꯭ꯠ ꯀꯦꯟꯁꯔ'' ꯀꯧꯕꯥ ꯅꯨꯄꯤꯁꯤꯡꯅꯥ LMD ꯂꯥꯀꯄꯒꯤ ꯔꯤꯁ꯭ꯛ ꯍꯦꯟꯅꯥ ꯂꯩ꯫
- ꯂꯪꯁ ꯀꯦꯟꯁꯔ: ꯅꯟ-ꯁ꯭ꯃꯣꯜ ꯁꯦꯜ ꯂꯪꯁ ꯀꯦꯟꯁꯔ (NSCLC) ꯑꯃꯁꯨꯡ ꯁ꯭ꯃꯣꯜ ꯁꯦꯜ ꯂꯪꯁ ꯀꯦꯟꯁꯔ (SCLC) ꯑꯅꯤꯃꯛ ꯂꯦꯄꯇꯣꯃꯦꯅꯤꯟꯖ ꯑꯃꯁꯨꯡ ꯁꯦꯔꯤꯕ꯭ꯔꯣꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯐ꯭ꯂꯨꯏꯗꯇꯥ ꯁꯟꯗꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯑꯦꯟ.ꯑꯦꯁ.ꯁꯤ.ꯑꯦꯜ.ꯁꯤ.ꯅꯥ ꯅꯥꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯴% ꯑꯃꯁꯨꯡ ꯷%ꯒꯤ ꯃꯔꯛꯇꯥ ꯑꯦꯜ.ꯑꯦꯝ.ꯗꯤ. ꯃꯁꯤꯒꯤ ꯆꯥꯡ ꯑꯁꯤ ꯑꯦꯁ.ꯁꯤ.ꯑꯦꯜ.ꯁꯤ.ꯅꯥ ꯅꯥꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯒꯤ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯱꯱%ꯗꯥ ꯍꯦꯅꯒꯠꯂꯀꯏ꯫
- ꯃꯦꯂꯥꯅꯣꯃꯥ: ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯁ꯭ꯀꯤꯟ ꯀꯦꯟꯁꯔ ꯃꯈꯜ ꯑꯃꯅꯤ꯫ ꯃꯦꯂꯥꯅꯣꯃꯥꯅꯥ ꯅꯥꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯒꯤ ꯆꯥꯎꯔꯥꯛꯅꯥ 5%꯫ꯑꯦꯜ.ꯑꯦꯝ.ꯗꯤ.ꯅꯥ ꯗꯤꯕꯦꯂꯞ ꯇꯧꯕꯥ ꯌꯥꯏ꯫
- ꯑꯦꯛꯌꯨꯠ ꯂꯤꯝꯐꯣꯁꯥꯏꯇꯤꯛ ꯂꯤꯎꯀꯦꯃꯤꯌꯥ (ALL): ꯃꯁꯤ ꯏꯒꯤ ꯀꯦꯟꯁꯔ ꯑꯃꯅꯤ꯫ ALLꯅꯥ ꯅꯥꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯒꯤ 1% ꯑꯃꯁꯨꯡ 10%ꯒꯤ ꯃꯔꯛꯇꯥ LMD ꯂꯥꯀꯄꯥ ꯌꯥꯏ꯫
- ꯅꯟ-ꯍꯣꯗꯀꯤꯅꯁ ꯂꯤꯝꯐꯣꯃꯥ (NHL): ꯃꯁꯤꯁꯨ ꯂꯤꯝꯐ ꯁꯤꯁ꯭ꯇꯦꯃꯒꯤ ꯀꯦꯟꯁꯔ ꯑꯃꯅꯤ꯫ NHLꯅꯥ ꯅꯥꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯒꯤ 5% ꯑꯃꯁꯨꯡ 10%ꯒꯤ ꯃꯔꯛꯇꯥ NHL ꯂꯥꯀꯄꯥ ꯌꯥꯏ꯫
ꯕ꯭ꯔꯦꯟ ꯃꯦꯇꯥꯁ꯭ꯇꯦꯖ ꯑꯃꯁꯨꯡ ꯂꯦꯄꯇꯣꯃꯦꯅꯤꯅꯖꯤꯑꯦꯜ ꯗꯤꯖꯤꯖ (LMD)ꯒꯤ ꯃꯔꯛꯇꯥ ꯀꯔꯤ ꯈꯦꯠꯅꯕꯥ ꯂꯩꯕꯒꯦ?
ꯃꯁꯤ ꯑꯅꯤꯁꯤ ꯀꯦꯟꯁꯔꯅꯥ ꯁꯟꯗꯣꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯊꯣꯀꯏ, ꯑꯗꯨꯕꯨ ꯈꯔꯥ ꯈꯦꯠꯅꯕꯥ ꯂꯩ꯫
ꯕ꯭ꯔꯦꯟ ꯃꯦꯇꯥꯁ꯭ꯇꯦꯖ ꯍꯥꯌꯕꯁꯤ ꯀꯦꯟꯁꯔ ꯁꯦꯂꯁꯤꯡꯅꯥ ꯕ꯭ꯔꯦꯟ ꯇꯤꯁꯨꯗꯥ ꯍꯀꯊꯦꯡꯅꯅꯥ ꯆꯪꯁꯤꯜꯂꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯃꯐꯃꯗꯨꯗꯥ ꯇꯤꯎꯃꯔꯁꯤꯡ ꯁꯦꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯑꯣꯏ꯫
ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯂꯦꯄꯇꯣꯃꯦꯅꯤꯅꯖꯤꯌꯥꯜ ꯗꯤꯖꯤꯖ (ꯑꯦꯜ.ꯑꯦꯝ.ꯗꯤ.) ꯍꯥꯌꯕꯁꯤ ꯀꯦꯟꯁꯔ ꯁꯦꯂꯁꯤꯡꯅꯥ ꯁꯦꯔꯤꯕ꯭ꯔꯣꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯐ꯭ꯂꯨꯏꯗ (ꯁꯤ.ꯑꯦꯁ.ꯑꯦꯐ.) ꯑꯃꯁꯨꯡ ꯕ꯭ꯔꯦꯟ ꯑꯃꯁꯨꯡ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗꯀꯤ ꯑꯀꯣꯌꯕꯗꯥ ꯂꯩꯕꯥ ꯂꯦꯄꯇꯣꯃꯦꯅꯤꯅꯖꯤꯑꯦꯜ ꯃꯦꯝꯕ꯭ꯔꯦꯅꯁꯤꯡꯗꯥ ꯆꯠꯄꯥ ꯃꯇꯃꯅꯤ꯫ ꯃꯐꯝ ꯑꯁꯤꯗꯥ, ꯀꯦꯟꯁꯔ ꯁꯦꯂꯁꯤꯡ ꯑꯁꯤ ꯐ꯭ꯂꯨꯏꯗꯇꯥ ꯆꯦꯟꯊꯔꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯃꯤꯠꯀꯤ ꯃꯊꯛꯇꯥ ꯁꯟꯗꯣꯀꯄꯥ ꯌꯥꯏ꯫
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯅꯤ ꯑꯁꯤ ꯄꯨꯟꯅꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯏ, ꯅꯠꯠꯔꯒꯥ ꯇꯣꯉꯥꯟꯅꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫
ꯂꯥꯌꯅꯥ ꯑꯁꯤꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯀꯔꯤꯅꯣ?
ꯂꯦꯄꯇꯣꯃꯦꯅꯤꯅꯖꯤꯌꯥꯜ ꯗꯤꯖꯤꯖ (LMD)ꯒꯤ ꯂꯥꯏꯑꯣꯡ ꯀꯌꯥ ꯂꯩꯕꯥ ꯌꯥꯏ, ꯃꯔꯃꯗꯤ ꯃꯁꯤꯅꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯅꯔꯚꯁ ꯁꯤꯁ꯭ꯇꯦꯝ ꯄꯨꯝꯅꯃꯛ ꯑꯣꯏꯔꯤꯕꯥ ꯕ꯭ꯔꯦꯟ ꯑꯃꯁꯨꯡ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗꯇꯥ ꯁꯣꯀꯍꯜꯂꯤ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯂꯥꯏꯑꯣꯡ ꯈꯔꯗꯤ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤ:
- ꯍꯦꯗ-ꯑꯦꯛ (headache): ꯃꯁꯤ ꯃꯤꯑꯣꯏ ꯑꯌꯥꯝꯕꯅꯥ ꯊꯦꯡꯅꯔꯤꯕꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯂꯥꯏꯑꯣꯡꯅꯤ꯫ ꯃꯁꯤ ꯅꯣꯔꯃꯦꯜ ꯍꯦꯗ-ꯑꯦꯀꯒꯨꯝꯅꯥ ꯅꯠꯇꯦ, ꯃꯁꯤ ꯈꯔꯥ ꯍꯦꯟꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ, ꯑꯃꯁꯨꯡ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯑꯌꯨꯛ-ꯅꯨꯡꯊꯤꯂꯗꯥ ꯍꯦꯟꯅꯥ ꯐꯠꯆꯤꯜꯂꯀꯏ꯫
- ꯅꯣꯡꯃꯩ ꯀꯥꯞꯄꯥ ꯑꯃꯁꯨꯡ ꯈꯣꯝꯂꯥꯡ ꯁꯣꯛ-ꯄꯅꯕꯥ: ꯃꯔꯨꯑꯣꯏꯅꯥ ꯑꯌꯨꯛ-ꯅꯨꯡꯊꯤꯂꯗꯥ ꯅꯥꯕꯥ ꯑꯃꯁꯨꯡ ꯈꯣꯝꯂꯥꯡ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫
- ꯆꯠꯄꯗꯥ ꯑꯍꯣꯡꯕꯥ ꯂꯥꯀꯄꯥ: ꯅꯍꯥꯛꯅꯥ ꯈꯣꯡꯅꯥ ꯆꯠꯄꯥ ꯃꯇꯃꯗꯥ ꯀꯟꯠꯔꯣꯜ ꯃꯥꯡꯈꯤꯕꯥ ꯑꯃꯁꯨꯡ ꯁꯣꯀꯄꯥ ꯐꯥꯎꯕꯥ ꯌꯥꯏ꯫
- ꯇꯥꯕꯥ ꯉꯃꯗꯕꯥ: ꯁꯣꯟꯊꯕꯥ ꯉꯃꯗꯕꯥ ꯑꯁꯤ ꯈꯪꯍꯧꯗꯅꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯏ, ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯅꯥꯀꯣꯡꯗꯥ ꯇꯣꯉꯥꯟ-ꯇꯣꯉꯥꯅꯕꯥ ꯈꯣꯟꯖꯦꯂꯁꯤꯡ ꯇꯥꯕꯥ ꯍꯧꯔꯀꯄꯥ ꯌꯥꯏ꯫
- ꯃꯤꯠ ꯎꯗꯕꯒꯤ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯃꯁꯤꯡ: ꯗꯕꯜ ꯚꯤꯖꯟ ꯑꯃꯁꯨꯡ ꯕ꯭ꯂꯔ ꯚꯤꯖꯟ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫
- ꯂꯥꯏꯑꯣꯡꯁꯤꯡ : ꯈꯪꯍꯧꯗꯅꯥ ꯋꯥꯈꯜ ꯃꯥꯡꯈꯤꯕꯥ ꯑꯃꯁꯨꯡ ꯋꯥꯈꯜ ꯆꯔꯥꯡꯅꯕꯥ (convulsions) ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫
- ꯋꯥꯈꯜ ꯆꯔꯥꯡꯅꯕꯥ, ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯂꯃꯆꯠ-ꯁꯥꯖꯠꯇꯥ ꯑꯍꯣꯡꯕꯥ ꯂꯥꯀꯄꯥ: ꯄꯨꯛꯅꯤꯡ ꯆꯪꯕꯥ ꯉꯃꯗꯕꯥ, ꯋꯥꯈꯜ ꯃꯥꯡꯈꯤꯕꯥ, ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯑꯃꯁꯨꯡ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫
- ꯀꯣꯛ ꯑꯃꯁꯨꯡ ꯈꯣꯡꯗꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ (back and leg pain): ꯃꯀꯣꯀꯊꯣꯡꯕꯗꯥ ꯑꯃꯁꯨꯡ ꯈꯣꯡꯗꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫
- ꯈꯣꯡ ꯅꯠꯠꯔꯒꯥ ꯈꯣꯡꯗꯥ ꯁꯣꯟꯊꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯁꯣꯟꯊꯕꯥ: ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡ ꯑꯗꯨ ꯁꯣꯟꯊꯕꯥ ꯑꯃꯁꯨꯡ ꯄꯨꯟꯁꯤ ꯂꯩꯇꯕꯥ ꯐꯥꯎꯕꯥ ꯌꯥꯏ꯫
- ꯌꯨꯔꯤꯟ ꯅꯠꯠꯔꯒꯥ ꯐꯤꯖꯤꯀꯦꯜ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯃꯁꯤꯡ: ꯌꯨꯔꯤꯟ ꯑꯃꯁꯨꯡ ꯁ꯭ꯇꯣꯜ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯗꯥ ꯑꯋꯥꯕꯥ ꯑꯣꯏꯔꯀꯄꯥ ꯌꯥꯏ꯫
- ꯑꯇꯣꯞꯄꯥ ꯑꯅꯧꯕꯥ ꯅ꯭ꯌꯨꯔꯣꯂꯣꯖꯤꯀꯦꯜ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯃꯁꯤꯡ: ꯃꯁꯤꯒꯤ ꯃꯊꯛꯇꯥ, ꯑꯅꯧꯕꯥ ꯅ꯭ꯌꯨꯔꯣꯂꯣꯖꯤꯀꯦꯜ ꯁꯤꯝꯄꯇꯃꯁꯤꯡ ꯂꯥꯀꯄꯥ ꯌꯥꯏ, ꯍꯥꯌꯕꯗꯤ ꯋꯥ ꯉꯥꯡꯕꯗꯥ ꯑꯋꯥꯕꯥ ꯑꯃꯁꯨꯡ ꯃꯥꯌꯒꯤ ꯁꯔꯨꯛ ꯑꯃꯥ ꯁꯣꯀꯄꯥ ꯑꯁꯤꯅꯆꯤꯡꯕꯥ꯫
ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯋꯥꯐꯃꯗꯤ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯀꯦꯟꯁꯔ ꯂꯩꯔꯕꯗꯤ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯑꯅꯧꯕꯥ ꯂꯥꯏꯑꯣꯡ ꯑꯃꯠꯇꯥ ꯂꯥꯀꯄꯥ ꯇꯥꯔꯕꯗꯤ ꯈꯨꯗꯛꯇꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯈꯪꯍꯅꯕꯤꯌꯨ꯫
ꯀꯔꯤꯒꯤꯗꯃꯛꯇꯥ ꯂꯦꯄꯇꯣꯃꯦꯅꯤꯅꯖꯤꯌꯥꯜ ꯗꯤꯖꯤꯖ (LMD) ꯊꯣꯛꯂꯤꯕꯅꯣ?
ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯑꯦꯜ.ꯑꯦꯝ.ꯗꯤ . ꯃꯁꯤꯅꯥ ꯀꯦꯟꯁꯔ ꯑꯁꯤ ꯀꯌꯥ ꯌꯥꯝꯅꯥ ꯁꯟꯗꯣꯀꯈꯤꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯎꯠꯂꯤ꯫
ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯅꯥ, ꯁꯦꯔꯤꯕ꯭ꯔꯣꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯐ꯭ꯂꯨꯏꯗ (CSF) ꯑꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯕ꯭ꯔꯦꯅꯗꯥ ꯄꯨꯊꯣꯀꯏ, ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯕ꯭ꯔꯦꯟ ꯑꯃꯁꯨꯡ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗꯀꯤ ꯑꯀꯣꯌꯕꯗꯥ ꯆꯠꯂꯤ, ꯑꯃꯁꯨꯡ ꯏꯗꯥ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯁꯣꯀꯍꯜꯂꯤ꯫ ꯃꯁꯤ ꯆꯌꯣꯜ ꯑꯃꯗꯥ ꯊꯣꯀꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯀꯦꯟꯁꯔ ꯁꯦꯂꯁꯤꯡꯅꯥ ꯁꯤ.ꯑꯦꯁ.ꯑꯦꯐ.ꯇꯥ ꯆꯪꯂꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯃꯈꯣꯌꯅꯥ ꯐ꯭ꯂꯨꯏꯗ ꯑꯁꯤꯒꯤ ꯅꯣꯔꯃꯦꯜ ꯐ꯭ꯂꯣꯗꯥ ꯑꯀꯥꯌꯕꯥ ꯄꯤꯕꯥ ꯌꯥꯏ꯫ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯁꯤ.ꯑꯦꯁ.ꯑꯦꯐ.ꯅꯥ ꯄꯨꯊꯣꯀꯄꯥ ꯉꯝꯃꯤ, ꯃꯗꯨꯅꯥ ꯕ꯭ꯔꯦꯅꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯄ꯭ꯔꯦꯁꯔ ꯍꯦꯅꯒꯠꯍꯜꯂꯤ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯂꯥꯏꯑꯣꯡ ꯀꯌꯥ ꯎꯕꯥ ꯐꯪꯏ꯫ ꯃꯁꯤꯗꯁꯨ ꯅꯠꯇꯅꯥ, ꯀꯦꯟꯁꯔ ꯁꯦꯂꯁꯤꯡꯅꯥ ꯂꯦꯄꯇꯣꯃꯦꯅꯤꯖ ꯃꯦꯝꯕ꯭ꯔꯦꯅꯁꯤꯡꯗꯥ ꯁꯟꯗꯣꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯃꯈꯣꯌꯅꯥ ꯃꯦꯝꯕ꯭ꯔꯦꯅꯁꯤꯡ ꯑꯗꯨ ꯑꯃꯁꯨꯡ ꯃꯈꯣꯌꯒꯥ ꯁꯝꯅꯕꯥ ꯅꯔꯚꯁꯤꯡꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫
ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯃꯁꯤ ꯀꯔꯝꯅꯥ ꯈꯉꯒꯅꯤ?
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ LMD ꯂꯩꯔꯦ ꯍꯥꯌꯅꯥ ꯆꯤꯡꯅꯔꯕꯗꯤ, ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯇꯦꯁ꯭ꯠ ꯑꯅꯤ ꯇꯧꯒꯅꯤ:
1. MRI ꯁ꯭ꯀꯦꯟ (ꯃꯦꯒ꯭ꯅꯦꯇꯤꯛ ꯔꯤꯖꯣꯅꯦꯟꯁ ꯏꯃꯦꯖꯤꯡ - MRI): ꯅꯍꯥꯛꯀꯤ ꯕ꯭ꯔꯦꯟ ꯑꯃꯁꯨꯡ/ꯅꯠꯠꯔꯒꯥ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗꯀꯤ ꯑꯦꯝ.ꯑꯥꯔ.ꯑꯥꯏ.
2. ꯂꯝꯕꯔ ꯄꯉ꯭ꯀꯆꯔ / ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯇꯦꯞ: ꯇꯦꯁ꯭ꯠ ꯑꯁꯤꯗꯥ , ꯅꯍꯥꯛꯀꯤ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗꯇꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯟꯗꯅꯕꯥ ꯆꯦꯀꯁꯤꯟꯅꯥ, ꯁꯦꯔꯤꯕ꯭ꯔꯣꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯐ꯭ꯂꯨꯏꯗ (CSF)ꯒꯤ ꯑꯄꯤꯀꯄꯥ ꯁꯦꯝꯄꯜ ꯑꯃꯥ ꯂꯧꯊꯣꯛꯅꯕꯥ, ꯅꯍꯥꯛꯀꯤ ꯃꯈꯥ ꯊꯪꯕꯥ ꯁꯔꯨꯛꯇꯥ ꯑꯄꯤꯀꯄꯥ ꯅꯤꯗꯜ ꯑꯃꯥ ꯊꯥꯏ꯫ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯁꯦꯝꯄꯜ ꯑꯗꯨ ꯂꯦꯕ ꯑꯃꯗꯥ ꯇꯦꯁ꯭ꯠ ꯇꯧꯗꯨꯅꯥ ꯀꯦꯟꯁꯔ ꯁꯦꯜ ꯑꯃꯠꯇꯥ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯁꯤꯜꯂꯤ꯫
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯀꯦꯟꯁꯔ ꯁꯦꯂꯁꯤꯡ ꯁꯟꯗꯣꯀꯄꯥ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯂꯨꯕꯥ (ꯃꯥꯏꯛꯔꯣꯁ꯭ꯀꯣꯄꯤꯛ) ꯑꯣꯏꯔꯕꯗꯤ, ꯃꯁꯤ ꯑꯦꯝ.ꯑꯥꯔ.ꯑꯥꯏ. ꯑꯁꯤꯒꯨꯝꯕꯥ ꯀꯦꯁꯁꯤꯡ ꯑꯁꯤꯗꯥ ꯂꯥꯌꯅꯥ ꯑꯁꯤ ꯈꯪꯗꯣꯀꯄꯥ ꯑꯁꯤ ꯈꯔꯥ ꯁꯤꯡꯅꯕꯥ ꯑꯃꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯑꯆꯨꯝꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯈꯪꯍꯅꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫
ꯃꯁꯤꯒꯤ ꯃꯄꯨꯡ ꯐꯥꯕꯥ ꯍꯤꯗꯥꯛ ꯑꯃꯥ ꯂꯩꯕ꯭ꯔꯥ?
ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯋꯥꯐꯝ ꯑꯃꯅꯥ, ꯍꯧꯖꯤꯛꯀꯤ ꯑꯣꯏꯅꯥ ꯂꯦꯄꯇꯣꯃꯦꯅꯤꯅꯖꯤꯌꯥꯜ ꯗꯤꯖꯤꯖ (ꯑꯦꯜ.ꯑꯦꯝ.ꯗꯤ.)ꯒꯤ ꯂꯥꯏꯌꯦꯡ ꯑꯃꯠꯇꯥ ꯂꯩꯇꯦ꯫ ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ, ꯄꯥꯛ-ꯁꯟꯅꯥ ꯁꯟꯗꯣꯀꯄꯥ ꯀꯦꯟꯁꯔꯒꯤ ꯃꯑꯣꯡ ꯑꯃꯅꯤ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯄꯥꯟꯗꯃꯁꯤꯡꯗꯤ ꯀꯦꯟꯁꯔ ꯁꯟꯗꯣꯀꯄꯥ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯥ, ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯍꯟꯊꯍꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯌꯥꯔꯤꯕꯃꯈꯩ ꯅꯨꯡꯉꯥꯏꯅꯥ ꯍꯤꯡꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯕꯥ, ꯑꯃꯁꯨꯡ ꯄꯨꯟꯁꯤꯒꯤ ꯃꯒꯨꯟ ꯊꯝꯕꯥ ꯑꯁꯤꯅꯤ꯫
ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯑꯣꯄꯁꯅꯁꯤꯡ ꯑꯁꯤ ꯅꯍꯥꯛꯅꯥ ꯑꯍꯥꯅꯕꯗꯥ ꯊꯦꯡꯅꯈꯤꯕꯥ ꯀꯦꯟꯁꯔ ꯃꯈꯜ, ꯀꯦꯟꯁꯔ ꯑꯗꯨ ꯀꯌꯥꯝ ꯂꯥꯞꯅꯥ ꯁꯟꯗꯣꯀꯈꯤꯕꯒꯦ, ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯑꯄꯨꯅꯕꯥ ꯍꯀꯁꯦꯜ ꯑꯁꯤꯅꯆꯤꯡꯕꯥ ꯐꯦꯛꯇꯔꯁꯤꯡꯒꯤ ꯃꯈꯥ ꯄꯣꯜꯂꯤ꯫ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯌꯥꯝꯅꯥ ꯁꯤꯖꯤꯟꯅꯕꯥ ꯂꯥꯏꯌꯦꯡ ꯈꯔꯗꯤ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯁꯤꯡꯁꯤꯅꯤ:
- ꯔꯦꯗꯤꯑꯦꯁꯟ ꯊꯦꯔꯥꯄꯤ: ꯔꯦꯗꯤꯑꯦꯁꯟ ꯊꯦꯔꯥꯄꯤ ꯑꯁꯤ ꯕ꯭ꯔꯦꯟ ꯅꯠꯠꯔꯒꯥ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗꯀꯤ ꯑꯁꯣꯀꯄꯥ ꯁꯔꯨꯀꯁꯤꯡꯗꯥ ꯄꯤ꯫ ꯃꯁꯤꯅꯥ ꯂꯥꯏꯑꯣꯡ ꯈꯔꯗꯤ (ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯑꯅꯥꯕꯥ, ꯅꯔꯚ ꯋꯥꯠꯄꯥ) ꯍꯟꯊꯍꯅꯕꯥ ꯉꯝꯃꯤ ꯑꯃꯁꯨꯡ ꯅꯔꯚꯀꯤ ꯐꯉ꯭ꯀꯁꯟ ꯈꯔꯗꯤ ꯐꯒꯠꯍꯅꯕꯥ ꯉꯝꯃꯤ꯫
- ꯀꯦꯃꯣꯊꯦꯔꯥꯄꯤ: ꯱.ꯀꯦꯟꯁꯔ ꯁꯦꯂꯁꯤꯡꯕꯨ ꯍꯥꯠꯅꯕꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ ꯄꯤꯔꯤ꯫ ꯗ꯭ꯔꯒꯁꯤꯡ ꯑꯁꯤ ꯍꯤꯗꯥꯛ ꯑꯣꯏꯅꯥ ꯂꯧꯕꯥ ꯌꯥꯏ, ꯚꯦꯅꯝ ꯑꯃꯗꯥ ꯏꯅꯖꯦꯀꯁꯟ ꯑꯣꯏꯅꯥ ꯄꯤꯕꯥ ꯌꯥꯏ ꯅꯠꯠꯔꯒꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯁꯦꯔꯤꯕ꯭ꯔꯣꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯐ꯭ꯂꯨꯏꯗ (CSF)ꯗꯥ ꯍꯀꯊꯦꯡꯅꯅꯥ ꯏꯅꯖꯦꯀꯁꯟ ꯇꯧꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯕꯨ ``ꯏꯟꯠꯔꯥꯊꯦꯀꯦꯜ ꯀꯦꯃꯣꯊꯦꯔꯥꯄꯤ'' ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ꯃꯁꯤꯕꯨ ``ꯚꯦꯟꯇꯤꯀꯨꯂꯥꯔ ꯑꯦꯛꯁꯦꯁ ꯗꯤꯚꯥꯏꯁ'' ꯀꯧꯕꯥ ꯕ꯭ꯔꯦꯅꯗꯥ ꯊꯝꯂꯤꯕꯥ ꯑꯄꯤꯀꯄꯥ ꯇꯨꯕ ꯑꯃꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯇꯧꯏ꯫
ꯃꯁꯤ ꯊꯣꯀꯄꯥ ꯍꯟꯊꯍꯟꯅꯕꯥ ꯄꯥꯝꯕꯩ ꯂꯩꯕꯔꯥ?
ꯇꯁꯦꯡꯕꯗꯤ ꯍꯧꯖꯤꯛꯀꯤ ꯑꯣꯏꯅꯥ ꯑꯦꯜ.ꯑꯦꯝ.ꯗꯤ.
ꯂꯥꯌꯅꯥ ꯑꯁꯤꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯃꯇꯝ ꯀꯌꯥ ꯍꯤꯡꯕꯥ ꯉꯃꯒꯅꯤ?
ꯃꯁꯤ ꯍꯪꯕꯗꯥ ꯑꯔꯨꯕꯥ ꯋꯥꯍꯪ ꯑꯃꯅꯤ ꯍꯥꯌꯕꯥ ꯑꯩ ꯈꯉꯏ꯫ ꯑꯦꯜ.ꯑꯦꯝ.ꯗꯤ.ꯅꯥ ꯀꯦꯟꯁꯔꯒꯤ ꯑꯍꯣꯡꯕꯥ ꯁ꯭ꯇꯦꯖ ꯑꯃꯅꯤ꯫ ꯃꯁꯤꯅꯥ ꯇꯥꯀꯄꯗꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯊꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯄꯦꯁꯦꯟꯇ ꯑꯗꯨ ꯀꯦꯟꯁꯔꯒꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯁꯥꯊꯤꯕꯥ ꯁ꯭ꯇꯦꯖꯗꯥ ꯂꯩ꯫
ꯆꯥꯡꯆꯠꯇꯥ ꯂꯥꯌꯦꯡꯂꯤꯕꯥ ꯑꯅꯥꯕꯁꯤꯡꯅꯥ ꯂꯥꯌꯦꯡꯂꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯊꯥ ꯑꯍꯨꯃꯗꯒꯤ ꯶ ꯐꯥꯑꯣꯕꯥ ꯍꯤꯡꯒꯅꯤ ꯍꯥꯌꯅꯥ ꯊꯥꯖꯕꯥ ꯌꯥꯏ . ꯂꯥꯏꯌꯦꯡ ꯐꯪꯗꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯒꯤ ꯑꯣꯏꯅꯗꯤ ꯃꯇꯝ ꯑꯁꯤ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯊꯥ ꯑꯃꯒꯤ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫
ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯃꯁꯤ ꯃꯤꯑꯣꯏ ꯑꯃꯗꯒꯤ ꯃꯤꯑꯣꯏ ꯑꯃꯗꯥ ꯈꯦꯠꯅꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤ ꯋꯥꯐꯝ ꯀꯌꯥꯒꯤ ꯃꯈꯥ ꯄꯣꯜꯂꯤ, ꯃꯗꯨꯗꯤ ꯅꯍꯥꯛꯅꯥ ꯂꯩꯔꯤꯕꯥ ꯀꯦꯟꯁꯔ ꯃꯈꯜ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡꯅꯥ ꯂꯥꯏꯌꯦꯡꯕꯗꯥ ꯀꯔꯝꯅꯥ ꯔꯦꯁꯄꯣꯟꯁ ꯇꯧꯕꯒꯦ ꯍꯥꯌꯕꯗꯨꯅꯤ꯫ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔ ꯑꯗꯨꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯏꯅꯐꯣꯔꯃꯦꯁꯟ ꯄꯤꯅꯕꯒꯤꯗꯃꯛ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯥ ꯃꯤꯑꯣꯏꯅꯤ꯫
ꯑꯩꯅꯥ ꯃꯇꯧ ꯀꯔꯝꯅꯥ ꯏꯁꯥꯕꯨ ꯌꯦꯡꯁꯤꯅꯕꯤꯒꯅꯤ? ꯑꯩꯅꯥ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯜ ꯀꯦꯌꯔꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯈꯟꯅꯒꯗ꯭ꯔꯥ?
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ LMD ꯂꯩꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯗꯨ ꯃꯌꯦꯛ ꯁꯦꯡꯅꯥ ꯈꯪꯖꯤꯅꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫ LMD ꯑꯁꯤ ꯀꯦꯟꯁꯔꯒꯤ ꯇꯔꯃꯤꯅꯦꯜ, ꯂꯥꯏꯌꯦꯡꯕꯥ ꯉꯃꯗꯕꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯟ ꯑꯃꯅꯤ꯫ ꯅꯍꯥꯛꯀꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯗꯨꯗꯥ ꯌꯨꯝꯐꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯀꯔꯤ ꯊꯣꯛꯀꯗꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯍꯪꯎ꯫ ꯃꯁꯤꯒꯤ ꯃꯑꯣꯡ ꯑꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯗꯨ ꯃꯦꯅꯦꯖ ꯇꯧꯕꯥ ꯌꯥꯏ, ꯌꯥꯔꯤꯕꯃꯈꯩ ꯅꯨꯡꯉꯥꯏꯅꯥ ꯂꯩꯕꯥ ꯌꯥꯏ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤꯗꯃꯛꯇꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯋꯥꯐꯃꯁꯤꯡꯕꯨ ꯃꯔꯨ ꯑꯣꯏꯅꯥ ꯂꯧꯕꯥ ꯌꯥꯏ꯫
ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯅꯍꯥꯛ ꯅꯠꯠꯔꯒꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯕꯥ ꯌꯥꯝꯅꯥ ꯂꯥꯏꯕꯛ ꯐꯕꯅꯤ꯫ ꯑꯗꯨꯕꯨ ꯃꯈꯣꯌꯁꯤꯡ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯀꯔꯤ ꯊꯣꯛꯂꯤꯕꯒꯦ ꯑꯃꯁꯨꯡ ꯇꯨꯡꯗꯥ ꯀꯔꯤ ꯊꯣꯛꯀꯗꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯈꯪꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯒꯅꯤ꯫ ꯃꯍꯥꯛꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯣꯄꯁꯅꯁꯤꯡꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯈꯅꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯕꯁꯨ ꯌꯥꯏ ꯑꯃꯁꯨꯡ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯊꯧ ꯇꯥꯔꯕꯗꯤ ꯅꯍꯥꯀꯄꯨ ꯁꯄꯣꯔꯠ ꯁꯔꯚꯤꯁꯁꯤꯡꯗꯥ ꯔꯤꯐꯔ ꯇꯧꯕꯥ ꯌꯥꯏ꯫
ꯍꯣꯁ꯭ꯄꯤꯇꯥꯜ ꯀꯦꯌꯔ ꯑꯁꯤ ꯄꯨꯟꯁꯤ ꯂꯤꯃꯤꯠ ꯂꯩꯕꯥ, ꯁꯤꯕꯥ ꯌꯥꯕꯥ ꯑꯅꯥꯕꯥ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯅꯥ ꯃꯈꯣꯌꯒꯤ ꯑꯔꯣꯏꯕꯥ ꯅꯨꯃꯤꯠꯁꯤꯡ ꯑꯗꯨ ꯅꯨꯡꯉꯥꯏꯅꯥ, ꯏꯀꯥꯏ ꯈꯨꯝꯅꯅꯥ, ꯃꯈꯣꯌꯒꯤ ꯀꯟꯠꯔꯣꯜ ꯃꯈꯥꯗꯥ ꯑꯃꯁꯨꯡ ꯑꯋꯥꯡꯕꯥ ꯊꯥꯛꯀꯤ ꯄꯨꯟꯁꯤꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯍꯤꯡꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯂꯤꯕꯥ ꯁꯔꯚꯤꯁ ꯑꯃꯅꯤ꯫ ꯑꯀꯅꯕꯥ ꯑꯅꯥꯕꯥ ꯑꯃꯒꯥ ꯂꯥꯟꯊꯦꯡꯅꯕꯗꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯃꯇꯝ ꯑꯃꯁꯨꯡ ꯏꯅꯔꯖꯤ ꯑꯌꯥꯝꯕꯗꯤ ꯂꯥꯏꯌꯦꯡꯕꯗꯥ ꯃꯤꯠꯌꯦꯡ ꯊꯝꯂꯤ꯫ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯜ ꯀꯦꯌꯔꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯈꯅꯕꯗꯥ, ꯑꯅꯥꯕꯥ ꯑꯗꯨ ꯃꯁꯥꯃꯀꯄꯨ ꯌꯦꯡꯁꯤꯅꯕꯗꯒꯤ ꯍꯦꯟꯅꯥ, ꯂꯦꯃꯍꯧꯔꯤꯕꯥ ꯃꯇꯝ ꯑꯗꯨ ꯀꯔꯝꯅꯥ ꯁꯤꯖꯤꯟꯅꯒꯗꯒꯦ ꯍꯥꯌꯕꯗꯨꯗꯥ ꯃꯤꯠꯌꯦꯡ ꯊꯝꯂꯤ꯫ LMDꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯄꯨꯟꯁꯤꯗꯥ ꯀꯔꯝꯅꯥ ꯁꯣꯀꯍꯅꯒꯅꯤ, ꯅꯍꯥꯛꯀꯤ ꯀꯦꯟꯁꯔ ꯃꯈꯂꯒꯤꯗꯃꯛꯇꯥ ꯀꯔꯤ ꯂꯥꯏꯌꯦꯡꯁꯤꯡ ꯂꯩꯕꯒꯦ, ꯑꯃꯁꯨꯡ ꯂꯥꯏꯌꯦꯡꯁꯤꯡ ꯑꯗꯨꯗꯒꯤ ꯀꯔꯤ ꯑꯥꯁꯥ ꯇꯧꯒꯗꯒꯦ ꯍꯥꯌꯕꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯗꯨꯅꯥ, ꯅꯍꯥꯛꯅꯥ ꯅꯍꯥꯛꯀꯤꯗꯃꯛꯇꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯥ ꯋꯥꯔꯦꯞ ꯑꯗꯨ ꯂꯧꯕꯥ ꯌꯥꯏ꯫
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ LMD ꯂꯩꯔꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯂꯥꯏꯌꯦꯡ ꯆꯠꯊꯔꯕꯁꯨ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡ ꯄꯨꯝꯅꯃꯛꯇꯥ ꯁꯟꯗꯣꯀꯈꯤꯕꯥ ꯑꯀꯅꯕꯥ ꯀꯦꯟꯁꯔ ꯑꯃꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯍꯤꯡꯂꯤꯕꯅꯤ꯫ ꯅꯍꯥꯛꯅꯥ ꯂꯥꯏꯌꯦꯡꯕꯥ ꯉꯃꯗꯕꯥ, ꯁꯥꯊꯤꯕꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯟ ꯑꯃꯥ ꯂꯩꯔꯦ ꯍꯥꯌꯕꯥ ꯈꯪꯂꯕꯥ ꯃꯇꯃꯗꯥ, ꯅꯍꯥꯛꯅꯥ ꯁꯣꯀꯄꯥ, ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯑꯃꯁꯨꯡ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯐꯥꯎꯔꯀꯄꯥ ꯌꯥꯏ꯫ ꯅꯍꯥꯛꯅꯥ ꯈꯅꯕꯤꯔꯃꯒꯅꯤ, "ꯑꯩꯉꯣꯟꯗꯥ ꯀꯔꯤꯒꯤ ꯊꯣꯛꯂꯤꯕꯅꯣ?" ꯐꯤꯚꯝ ꯑꯁꯤꯗꯥ ꯑꯗꯣꯝ ꯈꯛꯇꯒꯤ ꯅꯠꯇꯦ꯫ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯕꯤꯌꯨ꯫ ꯃꯈꯣꯌꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯊꯦꯡꯅꯔꯤꯕꯥ ꯑꯋꯥꯕꯥ ꯑꯗꯨ ꯈꯉꯏ, ꯑꯃꯁꯨꯡ ꯃꯈꯣꯌꯅꯥ ꯌꯥꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯅꯍꯥꯀꯄꯨ ꯃꯇꯦꯡ ꯄꯥꯡꯒꯅꯤ꯫
ꯅꯤꯡꯁꯤꯡꯒꯗꯕꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯋꯥꯐꯃꯁꯤꯡ (ꯇꯦꯛ-ꯍꯣꯝ ꯃꯦꯁꯦꯖ)
- ꯂꯦꯄꯇꯣꯃꯦꯅꯤꯅꯖꯤꯌꯥꯜ ꯗꯤꯖꯤꯖ (LMD) ꯍꯥꯌꯕꯁꯤ ꯕ꯭ꯔꯦꯟ ꯑꯃꯁꯨꯡ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗꯄꯨ ꯀꯨꯄꯁꯤꯜꯂꯤꯕꯥ ꯃꯦꯝꯕ꯭ꯔꯦꯅꯁꯤꯡꯗꯥ ꯑꯃꯁꯨꯡ ꯁꯦꯔꯤꯕ꯭ꯔꯣꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯐ꯭ꯂꯨꯏꯗꯇꯥ ꯀꯦꯟꯁꯔ ꯁꯟꯗꯣꯔꯀꯄꯅꯤ꯫
- ꯃꯁꯤ ꯂꯥꯏꯌꯦꯡꯕꯥ ꯉꯃꯗꯕꯥ ꯁꯥꯊꯤꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫
- ꯍꯦꯗ-ꯑꯦꯛ, ꯅꯣꯡꯃꯩ ꯀꯥꯞꯄꯥ, ꯈꯣꯡ-ꯈꯨꯠ ꯁꯣꯛꯅꯤꯡꯉꯥꯏ ꯑꯣꯏꯕꯥ, ꯃꯤꯠ ꯎꯗꯕꯥ/ ꯇꯥꯕꯥ ꯉꯃꯗꯕꯥ, ꯑꯃꯁꯨꯡ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯑꯁꯤꯅꯆꯤꯡꯕꯥ ꯅ꯭ꯌꯨꯔꯣꯂꯣꯖꯤꯀꯦꯜ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫
- ꯂꯥꯌꯅꯥ ꯑꯁꯤ ꯑꯦꯝ.ꯑꯥꯔ.ꯑꯥꯏ.ꯁ꯭ꯀꯦꯟ ꯑꯃꯁꯨꯡ ꯂꯝꯕꯔ ꯄꯉ꯭ꯀꯆꯔꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯈꯉꯗꯣꯀꯏ꯫
- ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯄꯥꯟꯗꯃꯗꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯥ ꯑꯃꯁꯨꯡ ꯄꯨꯟꯁꯤꯒꯤ ꯃꯒꯨꯟ ꯊꯝꯕꯥ ꯑꯁꯤꯅꯤ꯫
- ꯅꯍꯥꯛꯀꯤ ꯀꯟꯗꯤꯁꯟ, ꯅꯍꯥꯛꯀꯤ ꯇꯨꯡꯒꯤ ꯐꯤꯕꯝ ꯑꯃꯁꯨꯡ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯜ ꯀꯦꯌꯔꯒꯨꯝꯕꯥ ꯑꯣꯄꯁꯅꯁꯤꯡꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯑꯃꯨꯛꯇꯪ ꯋꯥꯔꯤ ꯁꯥꯅꯕꯗꯥ ꯂꯥꯡꯇꯛꯅꯒꯅꯨ꯫ ꯑꯋꯥꯕꯥ ꯃꯇꯝ ꯑꯁꯤ ꯂꯥꯟꯊꯣꯛꯅꯕꯥ ꯅꯍꯥꯛ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯏꯃꯨꯡ ꯃꯅꯨꯡꯅꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯁꯄꯣꯔꯠ ꯑꯗꯨ ꯐꯪꯕꯤꯌꯨ꯫
` ꯂꯦꯄꯇꯣꯃꯦꯅꯤꯅꯖꯤꯌꯥꯜ ꯗꯤꯖꯤꯖ, ꯀꯦꯟꯁꯔ, ꯕ꯭ꯔꯦꯟ, ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗ, ꯁꯦꯔꯤꯕ꯭ꯔꯣꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯐ꯭ꯂꯨꯏꯗ, ꯂꯥꯏꯑꯣꯡꯁꯤꯡ, ꯀꯦꯟꯁꯔ ꯁꯟꯗꯣꯀꯄꯥ꯫
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