ꯅꯍꯥꯛꯀꯤ ꯂꯤꯚꯔꯗꯥ ꯂꯝ ꯑꯃꯥ ꯂꯩꯕ꯭ꯔꯥ? (Liver Lesions) - ꯅꯍꯥꯛꯅꯥ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯍꯧꯗ꯭ꯔꯤꯉꯩꯗꯥ ꯋꯥꯐꯃꯁꯤꯡ ꯑꯁꯤ ꯈꯪꯖꯤꯅꯕꯤꯌꯨ꯫

ꯅꯍꯥꯛꯀꯤ ꯁ꯭ꯀꯦꯟ ꯔꯤꯄꯣꯔꯇꯇꯥ "ꯂꯤꯚꯔ ꯂꯦꯁꯟ" ꯍꯥꯌꯕꯥ ꯋꯥꯍꯩ ꯑꯁꯤ ꯎꯕꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯈꯪꯍꯧꯗꯅꯥ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯐꯥꯑꯣꯈꯤꯕ꯭ꯔꯥ? ꯅꯠꯔꯒꯥ, ꯗꯣꯛꯇꯔꯅꯥ ꯑꯇꯣꯞꯄꯥ ꯃꯔꯝ ꯑꯃꯒꯤꯗꯃꯛ ꯑꯦꯕꯗꯣꯃꯤꯅꯦꯜ ꯁ꯭ꯀꯦꯟ ꯇꯧꯕꯥ ꯃꯇꯃꯗꯥ "ꯂꯤꯚꯔꯗꯥ ꯑꯄꯤꯀꯄꯥ ꯄꯣꯠꯁꯛ ꯑꯃꯥ ꯂꯩꯕꯥ ꯎꯏ" ꯍꯥꯌꯅꯥ ꯍꯥꯌꯈꯤꯕꯔꯥ? ꯑꯁꯤꯒꯨꯝꯕꯥ ꯋꯥꯐꯝ ꯑꯃꯥ ꯇꯥꯕꯥ ꯃꯇꯃꯗꯥ ꯀꯅꯥꯒꯨꯝꯕꯥ ꯑꯃꯠꯇꯅꯥ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯑꯃꯁꯨꯡ ꯑꯀꯤꯕꯥ ꯄꯣꯀꯄꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏ꯫ ꯋꯥꯍꯪ "ꯃꯁꯤ ꯀꯦꯟꯁꯔꯅꯤ?" ꯋꯥꯈꯂꯗꯥ ꯂꯥꯀꯏ꯫ ꯑꯗꯨꯕꯨ ꯅꯍꯥꯛꯅꯥ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯍꯧꯗ꯭ꯔꯤꯉꯩꯗꯥ, ꯃꯁꯤ ꯃꯌꯦꯛ ꯁꯦꯡꯅꯥ ꯑꯃꯁꯨꯡ ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯈꯉꯁꯤ꯫ ꯃꯔꯃꯗꯤ ꯂꯤꯚꯔꯗꯥ ꯊꯣꯀꯄꯥ ꯂꯝ ꯄꯨꯝꯅꯃꯛ ꯑꯁꯤ ꯈꯨꯗꯣꯡꯊꯤꯅꯤꯉꯥꯏ ꯑꯣꯏꯗꯦ꯫

ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯂꯤꯚꯔꯒꯤ ꯂꯥꯌꯅꯥꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯤꯅꯣ?

ꯂꯤꯚꯔ ꯂꯝꯄꯁ, ꯅꯠꯠꯔꯒꯥ ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯃꯈꯣꯌꯕꯨ ``ꯂꯤꯚꯔ ꯂꯦꯁꯟ'' ꯍꯥꯌꯅꯥ ꯀꯧꯕꯥ, ꯅꯍꯥꯛꯀꯤ ꯂꯤꯚꯔꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯊꯣꯀꯄꯥ ꯑꯦꯕꯅꯣꯔꯃꯦꯜ ꯁꯦꯜ ꯒ꯭ꯔꯣꯊꯁꯤꯡꯅꯤ꯫ ꯑꯩꯈꯣꯌꯒꯤ ꯈꯣꯡꯗꯥ ꯑꯄꯤꯀꯄꯥ ꯕꯝꯄ ꯅꯠꯠꯔꯒꯥ ꯇꯤꯎꯃꯔ ꯑꯃꯥ ꯂꯥꯀꯄꯥ ꯌꯥꯕꯒꯨꯝꯅꯥ, ꯄꯣꯠꯁꯀꯁꯤꯡ ꯑꯁꯤ ꯂꯤꯚꯔꯒꯤ ꯃꯅꯨꯡꯗꯁꯨ ꯂꯥꯀꯄꯥ ꯌꯥꯏ꯫ ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤꯕꯨ ``ꯃꯥꯁ'' ꯅꯠꯔꯒꯥ ``ꯇꯤꯎꯃꯔ'' ꯍꯥꯌꯅꯥꯁꯨ ꯀꯧꯏ꯫

ꯑꯌꯥꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯂꯥꯏꯑꯣꯡ ꯎꯠꯇꯕꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫ ꯃꯈꯣꯌ ꯑꯁꯤ ꯅꯍꯥꯛꯅꯥ ꯇꯣꯉꯥꯅꯕꯥ ꯂꯥꯌꯅꯥ ꯑꯃꯒꯤ ꯇꯦꯁ꯭ꯠ ꯇꯧꯕꯥ ꯃꯇꯃꯗꯥ ꯁꯣꯌꯗꯅꯥ ꯈꯪꯗꯣꯀꯏ꯫ ꯈꯅꯕꯤꯌꯨ, ꯑꯥꯟꯇꯤ ꯅꯂꯤꯅꯤꯅꯥ ꯃꯍꯥꯛꯀꯤ ꯈꯣꯉꯗꯥ ꯒ꯭ꯌꯥꯁ ꯂꯩ ꯍꯥꯌꯅꯥ ꯈꯟꯗꯨꯅꯥ ꯗꯣꯛꯇꯔ ꯑꯃꯗꯥ ꯆꯠꯈꯤ꯫ ꯗꯣꯛꯇꯔꯅꯥ ꯑꯂꯠꯔꯥꯁꯥꯎꯟꯗ ꯁ꯭ꯀꯦꯟ ꯇꯧꯈꯤ ꯑꯃꯁꯨꯡ ꯃꯍꯥꯛꯀꯤ ꯂꯤꯚꯔꯗꯥ ꯑꯄꯤꯀꯄꯥ ꯄꯣꯠꯁꯛ ꯑꯃꯥ ꯎꯈꯤ꯫ ꯃꯍꯥꯛ ꯈꯨꯗꯛꯇꯥ ꯂꯥꯡꯇꯛꯅꯈꯤ꯫ ꯑꯗꯨꯕꯨ ꯃꯇꯨꯡꯗꯥ ꯃꯁꯤ ꯀꯦꯟꯁꯔ ꯅꯠꯇꯦ, ꯑꯗꯨꯕꯨ ꯐ꯭ꯂꯨꯏꯗꯅꯥ ꯊꯜꯂꯕꯥ ꯁꯤꯁ꯭ꯇꯦꯝ (ꯂꯤꯚꯔ ꯁꯤꯁ꯭ꯇꯦꯝ) ꯈꯛꯇꯅꯤ ꯍꯥꯌꯕꯥ ꯈꯉꯈꯤ꯫

ꯕꯦꯅꯤꯐꯤꯁꯔꯤ ꯑꯃꯁꯨꯡ ꯃꯦꯂꯤꯒꯅꯦꯟꯇ ꯇꯤꯎꯃꯔꯁꯤꯡꯒꯤ ꯃꯔꯛꯇꯥ ꯂꯩꯕꯥ ꯈꯦꯠꯅꯕꯥ꯫

ꯃꯈꯜ ꯑꯅꯤ ꯑꯁꯤ ꯈꯔꯥ ꯍꯦꯟꯅꯥ ꯑꯀꯨꯞꯄꯥ ꯃꯔꯣꯂꯗꯥ ꯌꯦꯡꯁꯤ꯫ ꯃꯁꯤ ꯅꯈꯣꯌꯅꯥ ꯈꯉꯕꯗꯥ ꯂꯥꯏꯊꯣꯀꯍꯟꯅꯕꯥ ꯑꯩꯅꯥ ꯇꯦꯕꯜ ꯑꯃꯗꯥ ꯊꯃꯒꯅꯤ꯫

ꯑꯩꯈꯣꯌꯅꯥ ꯅꯟ-ꯀꯦꯟꯁꯔ (ꯕꯦꯅꯤꯟ) ꯂꯪꯁꯀꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯈꯜ ꯇꯥꯒꯗ꯭ꯔꯥ?

ꯃꯁꯤ ꯃꯤꯑꯣꯏ ꯀꯌꯥ ꯑꯃꯅꯥ ꯍꯪꯂꯀꯄꯥ ꯋꯥꯍꯪ ꯑꯃꯅꯤ꯫ ꯏꯆꯝ ꯆꯝꯕꯥ ꯄꯥꯎꯈꯨꯃꯗꯤ, ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ . ꯑꯌꯥꯝꯕꯥ ꯅꯟ-ꯀꯦꯟꯁꯔ ꯂꯪꯁꯁꯤꯡ ꯑꯁꯤ ꯂꯥꯏꯌꯦꯡ ꯑꯃꯠꯇꯥ ꯌꯥꯎꯗꯅꯥ ꯄꯨꯟꯁꯤ ꯆꯨꯞꯄꯥ ꯃꯁꯥ ꯃꯊꯟꯇꯥ ꯊꯃꯖꯤꯅꯕꯥ ꯌꯥꯏ꯫ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯆꯍꯤ ꯑꯃꯗꯥ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯁ꯭ꯀꯦꯟ ꯇꯧꯅꯕꯥ ꯄꯥꯎꯇꯥꯛ ꯄꯤꯕꯥ ꯌꯥꯏ, ꯃꯗꯨ ꯍꯦꯟꯅꯥ ꯆꯥꯎꯈꯠꯂꯛꯂꯤꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯅꯕꯥ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯂꯝ ꯑꯃꯥ ꯁꯔꯖꯤꯀꯦꯜ ꯑꯣꯏꯅꯥ ꯂꯧꯊꯣꯛꯅꯕꯥ ꯋꯥꯔꯦꯞ ꯂꯧꯕꯥ ꯌꯥꯏ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯗꯨ ꯌꯥꯝꯅꯥ ꯆꯥꯎꯔꯕꯥ ꯑꯃꯁꯨꯡ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯁꯣꯀꯍꯅꯕꯒꯤ ꯔꯤꯁ꯭ꯛ ꯂꯩꯔꯕꯈꯛꯇꯗꯥ꯫

ꯂꯪꯁꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯤꯅꯥ ꯊꯣꯀꯍꯅꯕꯒꯦ?

ꯀꯦꯟꯁꯔ ꯅꯠꯇꯕꯥ ꯂꯝꯐꯃꯁꯤꯡꯒꯤ ꯑꯀꯛꯅꯕꯥ ꯃꯔꯝ ꯑꯁꯤ ꯍꯧꯖꯤꯛ ꯐꯥꯎꯕꯥ ꯈꯪꯗꯣꯀꯄꯥ ꯉꯃꯗ꯭ꯔꯤ, ꯑꯗꯨꯕꯨ ꯑꯀꯛꯅꯕꯥ ꯐꯦꯛꯇꯔ ꯈꯔꯅꯥ ꯊꯧꯗꯥꯡ ꯂꯧꯕꯥ ꯌꯥꯏ ꯍꯥꯌꯅꯥ ꯈꯟꯅꯩ꯫

• ꯕꯔꯊ ꯀꯟꯠꯔꯣꯜ ꯄꯤꯜ ꯅꯠꯠꯔꯒꯥ ꯍꯣꯔꯃꯣꯟ ꯊꯦꯔꯥꯄꯤ: ꯍꯣꯔꯃꯣꯟ ꯈꯔꯗꯤ, ꯃꯔꯨꯑꯣꯏꯅꯥ ꯏꯁ꯭ꯠꯔꯣꯖꯦꯟ ꯌꯥꯎꯕꯥ ꯍꯣꯔꯃꯣꯅꯁꯤꯡꯅꯥ ꯑꯀꯛꯅꯕꯥ ꯃꯈꯂꯒꯤ ꯇꯤꯎꯃꯔꯁꯤꯡ (liver adenomas) ꯁꯦꯃꯒꯠꯄꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫
• ꯂꯤꯚꯔꯒꯤ ꯂꯥꯌꯅꯥ: ꯱.ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯂꯤꯚꯔꯒꯤ ꯂꯥꯌꯅꯥ ꯂꯩꯔꯀꯄꯅꯥ ꯂꯤꯚꯔꯗꯥ ꯁꯣꯛ-ꯄꯅꯕꯥ (fibrosis) ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫
• ꯃꯩꯈꯨ ꯊꯥꯗꯣꯀꯄꯥ: ꯃꯩꯈꯨ ꯁꯤꯖꯤꯟꯅꯕꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯂꯤꯚꯔꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯄ꯭ꯔꯦꯁꯔ ꯑꯁꯤꯁꯨ ꯆꯥꯡ ꯈꯔꯗꯥ ꯀꯟꯠꯔꯤꯕ꯭ꯌꯨꯠ ꯇꯧꯕꯥ ꯐꯦꯛꯇꯔ ꯑꯃꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫

ꯅꯣꯔꯃꯦꯜ ꯂꯤꯚꯔ ꯁꯦꯂꯁꯤꯡꯅꯥ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯍꯣꯡꯂꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯗꯅꯥ ꯈꯥꯌꯗꯣꯀꯄꯥ ꯍꯧꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯃꯦꯂꯤꯒꯅꯦꯟꯇ ꯇꯤꯎꯃꯔꯁꯤꯡ ꯊꯣꯀꯏ꯫ ꯃꯁꯤꯒꯤ ꯔꯤꯁ꯭ꯛ ꯍꯦꯅꯒꯠꯍꯜꯂꯤꯕꯥ ꯐꯦꯛꯇꯔ ꯀꯌꯥ ꯂꯩꯔꯤ, ꯃꯈꯣꯌꯁꯤꯡ ꯑꯗꯨꯗꯤ:

• ꯁꯤꯔꯣꯁꯤꯁ (Cirrhosis) : ꯂꯤꯚꯔ ꯑꯗꯨ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯁꯣꯟꯊꯔꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯁꯣꯀꯍꯜꯂꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫ ꯁꯤꯔꯣꯁꯤꯁ ꯑꯁꯤ ꯌꯨ ꯌꯥꯝꯅꯥ ꯊꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯐꯦꯇꯤ ꯂꯤꯚꯔꯒꯨꯝꯕꯥ ꯐꯦꯛꯇꯔꯁꯤꯡꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫
• ꯀ꯭ꯔꯣꯅꯤꯛ ꯍꯦꯄꯥꯇꯥꯏꯇꯤꯁ ꯕꯤ ꯑꯃꯁꯨꯡ ꯁꯤ: ꯚꯥꯏꯔꯁ ꯏꯅꯐꯦꯛꯁꯅꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯂꯤꯚꯔꯗꯥ ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯜꯂꯤ ꯑꯃꯁꯨꯡ ꯀꯦꯟꯁꯔꯒꯤ ꯔꯤꯁ꯭ꯛ ꯍꯦꯅꯒꯠꯍꯜꯂꯤ꯫

ꯗꯣꯛꯇꯔꯅꯥ ꯃꯇꯧ ꯀꯔꯝꯅꯥ ꯂꯝꯕꯤꯁꯤꯡ ꯑꯁꯤ ꯊꯤꯒꯗꯒꯦ?

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯁ꯭ꯀꯦꯟ ꯑꯗꯨꯗꯥ ꯂꯝ ꯑꯃꯥ ꯎꯕꯥ ꯐꯪꯂꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯃꯗꯨ ꯀꯔꯤꯅꯣ ꯍꯥꯌꯕꯗꯨ ꯆꯨꯝꯅꯥ ꯈꯪꯗꯣꯛꯅꯕꯥ ꯑꯍꯦꯅꯕꯥ ꯇꯦꯁ꯭ꯠ ꯈꯔꯥ ꯇꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯏ꯫ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯂꯩꯔꯣꯏꯗꯕꯅꯤ, ꯃꯁꯤ ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯕꯥ ꯊꯧꯑꯣꯡ ꯑꯃꯅꯤ꯫

1. ꯅꯍꯥꯛꯀꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯍꯪꯂꯀꯄꯥ: ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡꯒꯤ ꯃꯔꯃꯗꯥ ꯍꯪꯒꯅꯤ, ꯅꯍꯥꯛꯀꯤ ꯏꯃꯨꯡꯗꯥ ꯀꯅꯥꯒꯨꯝꯕꯥ ꯑꯃꯅꯥ ꯀꯦꯟꯁꯔ ꯂꯩꯕ꯭ꯔꯥ, ꯅꯍꯥꯛꯅꯥ ꯀꯔꯤ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛ ꯂꯧꯔꯤꯕꯒꯦ, ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯅꯥ ꯌꯨ ꯅꯠꯠꯔꯒꯥ ꯆꯨꯔꯨꯠ ꯁꯤꯖꯤꯟꯅꯔꯤꯕ꯭ꯔꯥ ꯍꯥꯌꯅꯥ ꯍꯪꯒꯅꯤ꯫

2. ꯐꯤꯖꯤꯀꯦꯜ ꯑꯦꯀꯖꯥꯃꯤꯅꯦꯁꯟ: ꯅꯍꯥꯛꯀꯤ ꯑꯦꯕꯗꯣꯃꯦꯟꯇ ꯑꯗꯨ ꯁꯣꯀꯄꯥ ꯂꯤꯚꯔ ꯅꯠꯠꯔꯒꯥ ꯂꯪꯁ ꯑꯃꯥ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯁꯤꯟꯅꯕꯥ ꯄꯦꯂꯄꯦꯠ ꯇꯧꯒꯅꯤ꯫

꯳.ꯏꯃꯦꯖꯤꯡ ꯇꯦꯁ꯭ꯇꯁꯤꯡ: ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯂꯃꯗꯝ ꯑꯁꯤꯒꯤ ꯃꯑꯣꯡ ꯃꯇꯧ, ꯁꯥꯏꯖ ꯑꯃꯁꯨꯡ ꯃꯑꯣꯡ ꯃꯇꯧ ꯃꯌꯦꯛ ꯁꯦꯡꯅꯥ ꯎꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫

• ꯑꯦꯕꯗꯣꯃꯤꯅꯦꯜ ꯑꯂꯠꯔꯥꯁꯥꯎꯟꯗ ꯁ꯭ꯀꯦꯟ ꯇꯧꯕꯥ꯫
• `ꯁꯤ.ꯇꯤ.ꯁ꯭ꯀꯦꯟ` ꯇꯧꯕꯥ꯫
• `ꯑꯦꯝ.ꯑꯥꯔ.ꯑꯥꯏ.ꯒꯤ ꯁ꯭ꯀꯦꯟ`꯫

꯴.ꯕ꯭ꯂꯗ ꯇꯦꯁ꯭ꯠ: ꯍꯥꯌꯔꯤꯕꯥ ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯑꯁꯤ ꯂꯤꯚꯔꯒꯤ ꯊꯕꯛ ꯊꯧꯔꯃꯁꯤꯡ ꯌꯦꯡꯁꯤꯟꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯏꯗꯥ ꯇꯤꯎꯃꯔ ꯃꯥꯔꯀꯔ ꯀꯧꯕꯥ ꯑꯈꯟꯅꯕꯥ ꯄ꯭ꯔꯣꯇꯤꯅꯁꯤꯡ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯁꯤꯟꯅꯕꯥ ꯇꯧꯏ꯫

5. ꯂꯤꯚꯔ ꯕꯥꯏꯑꯣꯞꯁꯤ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯊꯛꯇꯥ ꯄꯅꯈ꯭ꯔꯤꯕꯥ ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯂꯝ ꯑꯗꯨꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯍꯧꯖꯤꯀꯁꯨ ꯆꯤꯡꯅꯕꯥ ꯂꯩꯔꯕꯗꯤ, ꯗꯣꯛꯇꯔꯅꯥ ꯇꯦꯁ꯭ꯠ ꯑꯁꯤ ꯇꯧꯅꯕꯥ ꯄꯥꯎꯇꯥꯛ ꯄꯤꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯗꯥ ꯂꯤꯚꯔ ꯂꯝꯐꯃꯗꯒꯤ ꯌꯥꯝꯅꯥ ꯑꯄꯤꯀꯄꯥ ꯇꯤꯁ꯭ꯌꯨ ꯑꯃꯥ ꯂꯧꯊꯣꯛꯅꯕꯥ ꯑꯄꯤꯀꯄꯥ ꯅꯤꯗꯜ ꯑꯃꯥ ꯁꯤꯖꯤꯟꯅꯗꯨꯅꯥ ꯃꯥꯏꯛꯔꯣꯁ꯭ꯀꯣꯄꯀꯤ ꯃꯈꯥꯗꯥ ꯌꯦꯡꯁꯤꯅꯕꯥ ꯌꯥꯑꯣꯏ꯫ ꯃꯁꯤꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯂꯝ ꯑꯗꯨ ꯀꯦꯟꯁꯔ ꯑꯣꯏꯕ꯭ꯔꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯣꯏꯗꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ 100% ꯁꯣꯌꯗꯅꯥ ꯈꯪꯍꯅꯕꯥ ꯉꯃꯒꯅꯤ꯫

ꯂꯥꯏꯌꯦꯡꯕꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?

ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯃꯑꯣꯡ-ꯃꯇꯧꯁꯤꯡ ꯑꯁꯤ ꯂꯝ ꯑꯗꯨ ꯀꯦꯟꯁꯔ ꯂꯩꯕ꯭ꯔꯥ ꯅꯠꯠꯔꯒꯥ ꯂꯩꯇꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨꯒꯤ ꯃꯈꯥ ꯄꯣꯜꯂꯤ꯫

• ꯅꯟ-ꯀꯦꯟꯁꯔ (ꯕꯦꯅꯤꯐꯤꯁꯔꯤ) ꯂꯪꯁꯀꯤ ꯑꯣꯏꯅꯗꯤ:
• ꯑꯌꯥꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯃꯊꯧ ꯇꯥꯗꯦ꯫ ꯗꯣꯛꯇꯔꯅꯥ ꯃꯁꯤ ꯈꯛꯇꯃꯛ ꯑꯣꯕꯖꯥꯔꯚ ꯇꯧꯒꯅꯤ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯂꯪꯁ ꯑꯗꯨ ꯌꯥꯝꯅꯥ ꯆꯥꯎꯔꯕꯥ ꯑꯃꯁꯨꯡ ꯑꯅꯥꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯇꯩ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯍꯅꯕꯥ ꯇꯥꯔꯕꯈꯛꯇꯗꯥ ꯃꯗꯨ ꯁꯔꯖꯔꯤ ꯇꯧꯗꯨꯅꯥ ꯂꯧꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫

• ꯃꯦꯂꯤꯒꯅꯦꯟꯇ ꯇꯤꯎꯃꯔꯁꯤꯡꯒꯤꯗꯃꯛꯇꯥ:
• ꯃꯁꯤ ꯀꯦꯟꯁꯔ ꯑꯣꯏꯕꯅꯥ ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯑꯣꯄꯁꯟ ꯀꯌꯥ ꯂꯩ꯫ ꯗꯣꯛꯇꯔꯅꯥ ꯄꯦꯁꯦꯟꯇ ꯑꯗꯨꯒꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯁꯨꯡ ꯀꯦꯟꯁꯔꯒꯤ ꯁ꯭ꯇꯦꯖ ꯑꯗꯨꯗꯥ ꯌꯨꯝꯐꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯆꯨꯅꯕꯥ ꯂꯥꯏꯌꯦꯡ ꯂꯦꯄꯀꯅꯤ꯫
• ꯑꯦꯕꯂꯦꯁꯟ ꯊꯦꯔꯥꯄꯤ: ꯍꯤꯠ ꯅꯠꯠꯔꯒꯥ ꯀꯦꯃꯤꯀꯦꯂꯁꯤꯡ ꯁꯤꯖꯤꯟꯅꯗꯨꯅꯥ ꯀꯦꯟꯁꯔ ꯁꯦꯂꯁꯤꯡ ꯃꯥꯡꯍꯅꯕꯥ꯫
• ꯀꯦꯃꯣꯊꯦꯔꯥꯄꯤ: ꯀꯦꯟꯁꯔ ꯁꯦꯂꯁꯤꯡ ꯍꯥꯠꯅꯕꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ ꯄꯤꯕꯥ꯫
• ꯍꯦꯄꯥꯇꯦꯛꯇꯣꯃꯤ (Liver resection): ꯂꯤꯚꯔꯒꯤ ꯀꯦꯟꯁꯔ ꯌꯥꯎꯕꯥ ꯁꯔꯨꯛ ꯑꯗꯨ ꯂꯧꯊꯣꯛꯅꯕꯥ ꯁꯔꯖꯔꯤ꯫
• ꯂꯤꯚꯔ ꯇ꯭ꯔꯥꯟꯁꯞꯂꯥꯟꯇ ꯇꯧꯕꯥ: ꯂꯤꯚꯔ ꯇ꯭ꯔꯥꯟꯁꯞꯂꯥꯟꯇ ꯇꯧꯕꯥ꯫

ꯂꯤꯚꯔꯒꯤꯗꯃꯛꯇꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛ ꯂꯧꯗꯨꯅꯥ ꯂꯪꯁꯁꯤꯡ ꯑꯁꯤ ꯐꯍꯅꯕꯥ ꯉꯃꯒꯗ꯭ꯔꯥ?

ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯋꯥꯍꯪ ꯑꯃꯅꯤ꯫ ꯂꯤꯚꯔ ꯑꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯂꯩꯔꯤꯕꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯑꯉꯀꯄꯥ ꯑꯣꯔꯒꯥꯅꯁꯤꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯅꯤ꯫ ꯃꯁꯤꯅꯥ ꯑꯅꯧꯕꯥ ꯁꯦꯂꯁꯤꯡ ꯁꯦꯃꯗꯨꯅꯥ ꯃꯁꯥ ꯃꯊꯟꯇꯥ ꯔꯤꯖꯦꯅꯦꯔꯦꯠ ꯇꯧꯕꯥ ꯉꯝꯃꯤ꯫ ꯈꯅꯕꯤꯌꯨ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯂꯤꯚꯔꯒꯤ ꯁꯔꯨꯛ ꯑꯃꯥ ꯁꯔꯖꯤꯀꯦꯜ ꯑꯣꯏꯅꯥ ꯂꯧꯊꯣꯀꯈ꯭ꯔꯕꯗꯤ, ꯂꯦꯃꯍꯧꯔꯤꯕꯥ ꯁꯔꯨꯛ ꯑꯗꯨ ꯃꯗꯨꯒꯤ ꯅꯣꯔꯃꯦꯜ ꯁꯥꯏꯖ ꯑꯗꯨꯗꯥ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ ꯌꯥꯏ꯫ ꯂꯤꯚꯔ ꯑꯁꯤꯅꯥ ꯂꯤꯚꯔꯒꯤ ꯂꯥꯌꯅꯥ ꯈꯔꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯑꯃꯥꯡ-ꯑꯇꯥꯁꯤꯡ ꯑꯗꯨ ꯔꯤꯄꯦꯌꯥꯔ ꯇꯧꯕꯒꯤ ꯇꯧꯕꯥ ꯉꯝꯕꯁꯨ ꯈꯔꯥ ꯂꯩ꯫

ꯀꯗꯥꯏꯗꯥ ꯗꯣꯛꯇꯔꯒꯥ ꯇꯥꯟꯅꯒꯗꯒꯦ?

ꯀꯦꯟꯁꯔ ꯑꯃꯁꯨꯡ ꯀꯦꯟꯁꯔ ꯅꯠꯇꯕꯥ ꯇꯤꯎꯃꯔ ꯑꯅꯤꯃꯛꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯈꯣꯌ ꯑꯁꯤ ꯍꯦꯟꯅꯥ ꯆꯥꯎꯈꯠꯂꯕꯗꯤ ꯑꯦꯕꯗꯣꯃꯤꯅꯦꯜ ꯄꯦꯏꯟ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯅꯨꯃꯤꯠ ꯈꯔꯅꯤꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯁꯥꯡꯕꯥ ꯑꯅꯥꯕꯥ ꯂꯩꯔꯕꯗꯤ , ꯃꯗꯨꯒꯤ ꯃꯔꯝ ꯑꯗꯨ ꯈꯪꯗꯣꯛꯅꯕꯥ ꯗꯣꯛꯇꯔ ꯑꯃꯒꯥ ꯇꯥꯟꯅꯕꯅꯥ ꯃꯗꯨꯕꯨ ꯌꯦꯡꯊꯤꯅꯕꯥ ꯍꯦꯟꯅꯥ ꯂꯧꯁꯤꯡ ꯂꯩꯒꯅꯤ꯫

ꯃꯁꯤꯗꯁꯨ ꯅꯠꯇꯅꯥ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯂꯩꯔꯕꯗꯤ ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯄꯥꯎꯇꯥꯛ ꯁꯣꯌꯗꯅꯥ ꯂꯧꯕꯤꯌꯨ:

• ꯑꯅꯥꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯈꯣꯡꯒꯤ ꯑꯔꯥꯞꯄꯥ ꯃꯐꯃꯗꯥ ꯂꯩꯕꯥ ꯔꯤꯕꯅꯒꯤ ꯃꯈꯥꯗꯥ ꯂꯩꯕꯥ ꯂꯪꯁ ꯑꯃꯥ ꯐꯥꯎꯕꯥ꯫
• ꯃꯤꯠ ꯅꯠꯠꯔꯒꯥ ꯈꯣꯡꯗꯥ ꯌꯦꯔꯨꯝ ꯀꯣꯀꯄꯥ (jaundice)꯫
• ꯃꯌꯦꯛ ꯁꯦꯡꯕꯥ ꯃꯔꯝ ꯑꯃꯠꯇꯥ ꯂꯩꯇꯅꯥ ꯑꯔꯨꯝꯕꯥ ꯍꯟꯊꯕꯥ꯫
• ꯆꯥꯛ ꯆꯥꯕꯥ ꯋꯥꯠꯄꯥ ꯑꯃꯁꯨꯡ ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯋꯥꯈꯜ ꯇꯥꯗꯕꯥ꯫

ꯂꯤꯚꯔ ꯇꯤꯎꯃꯔꯁꯤꯡ ꯊꯤꯡꯕꯥ ꯉꯃꯒꯗ꯭ꯔꯥ?

ꯅꯟ-ꯀꯦꯟꯁꯔ ꯇꯤꯎꯃꯔꯁꯤꯡ ꯊꯤꯡꯅꯕꯒꯤ ꯁꯣꯌꯗꯕꯥ ꯃꯑꯣꯡ ꯑꯃꯠꯇꯥ ꯂꯩꯇꯦ꯫ ꯑꯗꯨꯕꯨ ꯀꯦꯟꯁꯔꯅꯥ ꯅꯥꯕꯥ ꯇꯤꯎꯃꯔꯁꯤꯡꯒꯤ ꯔꯤꯁ꯭ꯛ ꯍꯟꯊꯍꯟꯅꯕꯥ ꯑꯩꯈꯣꯌꯅꯥ ꯇꯧꯕꯥ ꯌꯥꯕꯥ ꯊꯕꯛ ꯀꯌꯥ ꯂꯩꯔꯤ꯫ ꯍꯥꯌꯕꯗꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯂꯤꯚꯔ ꯑꯁꯤ ꯍꯀꯆꯥꯡ ꯐꯅꯥ ꯊꯝꯕꯥ ꯍꯥꯌꯕꯅꯤ꯫

• ꯍꯦꯄꯥꯇꯥꯏꯇꯤꯁꯒꯨꯝꯕꯥ ꯚꯥꯏꯔꯁ ꯏꯅꯐꯦꯛꯁꯅꯁꯤꯡꯗꯒꯤ ꯂꯥꯞꯅꯥ ꯂꯩꯌꯨ: ꯍꯦꯄꯥꯇꯥꯏꯇꯤꯁ ꯕꯤꯒꯤ ꯚꯦꯛꯁꯤꯟ ꯑꯃꯥ ꯂꯩ, ꯉꯥꯀꯊꯣꯛꯂꯣꯏꯗꯕꯥ ꯁꯦꯛꯁ ꯑꯃꯁꯨꯡ ꯅꯤꯗꯂꯁꯤꯡ ꯁꯦꯌꯔ ꯇꯧꯗꯕꯁꯨ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫
• ꯂꯤꯚꯔꯗꯥ ꯁ꯭ꯠꯔꯦꯁ ꯂꯩꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡꯗꯒꯤ ꯂꯥꯞꯅꯥ ꯂꯩꯌꯨ: ꯌꯨ ꯌꯥꯝꯅꯥ ꯊꯀꯄꯥ ꯍꯥꯌꯕꯁꯤ ꯂꯤꯚꯔꯒꯤ ꯑꯆꯧꯕꯥ ꯌꯦꯛꯅꯕꯥ ꯑꯃꯅꯤ꯫ ꯃꯩꯈꯨ ꯁꯤꯖꯤꯟꯅꯕꯅꯥ ꯂꯤꯚꯔꯒꯤ ꯍꯀꯁꯦꯂꯗꯁꯨ ꯑꯃꯥꯡ- ꯑꯇꯥ ꯊꯣꯀꯍꯜꯂꯤ꯫
• ꯑꯐꯕꯥ ꯗꯥꯏꯠ ꯑꯃꯥ ꯊꯝꯃꯨ: ꯕꯦꯂꯦꯟꯁ ꯗꯥꯏꯠ ꯑꯃꯥ ꯆꯥꯒꯗꯕꯅꯤ꯫ ꯎꯍꯩ-ꯋꯥꯍꯩ, ꯃꯅꯥ-ꯃꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯂꯦꯡ-ꯑꯣꯠꯄꯒꯤ ꯄ꯭ꯔꯣꯇꯤꯅꯁꯤꯡ (ꯉꯥ, ꯉꯥ) ꯍꯦꯟꯅꯥ ꯆꯥꯒꯗꯕꯅꯤ꯫ ꯊꯥꯎ ꯑꯃꯁꯨꯡ ꯆꯤꯅꯤ ꯌꯥꯝꯅꯥ ꯌꯥꯎꯕꯥ ꯆꯤꯟꯖꯥꯀꯁꯤꯡ ꯍꯟꯊꯍꯅꯒꯗꯕꯅꯤ꯫
• ꯍꯀꯁꯦꯜ ꯐꯕꯥ ꯑꯔꯨꯝꯕꯥ ꯑꯃꯥ ꯊꯝꯕꯥ: ꯍꯀꯆꯥꯡꯒꯤ ꯑꯔꯨꯝꯕꯥ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯅꯥ ꯐꯦꯇꯤ ꯂꯤꯚꯔꯒꯤ ꯂꯥꯌꯅꯥ ꯊꯤꯡꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫

ꯅꯍꯥꯛꯀꯤ ꯂꯤꯚꯔꯗꯥ ꯂꯝ ꯑꯃꯥ ꯂꯩꯔꯦ ꯍꯥꯌꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯁ꯭ꯀꯦꯟ ꯑꯃꯗꯥ ꯈꯪꯂꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯅꯣꯔꯃꯦꯂꯅꯤ꯫ ꯑꯗꯨꯕꯨ ꯅꯤꯡꯁꯤꯡꯕꯤꯌꯨ, ꯃꯁꯤ ꯀꯦꯟꯁꯔ ꯑꯣꯏꯕꯔꯥ ꯅꯠꯔꯒꯥ ꯑꯣꯏꯗꯕꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯈꯉꯗꯣꯛꯅꯕꯥ ꯍꯦꯟꯅꯥ ꯇꯦꯁ꯭ꯠ ꯇꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯒꯅꯤ꯫ ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯤꯅꯣ ꯑꯃꯁꯨꯡ ꯀꯔꯤꯒꯤꯗꯃꯛꯇꯥ ꯇꯧꯔꯤꯕꯅꯣ ꯍꯥꯌꯕꯗꯨ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯈꯪꯍꯜꯂꯛꯀꯅꯤ꯫ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯍꯪꯂꯀꯄꯥ ꯋꯥꯍꯪꯁꯤꯡ ꯅꯠꯠꯔꯒꯥ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯑꯃꯍꯦꯛꯇꯕꯨ ꯍꯪꯕꯗꯥ ꯂꯥꯡꯇꯛꯅꯒꯅꯨ꯫ ꯃꯍꯥꯛꯅꯥ ꯅꯉꯣꯟꯗꯥ ꯄꯨꯝꯅꯃꯛ ꯈꯉꯍꯅꯒꯅꯤ꯫