``ꯂꯤꯟꯆ ꯁꯤꯟꯗꯣꯝ'' ꯍꯥꯌꯕꯥ ꯋꯥꯍꯩ ꯑꯁꯤ ꯑꯗꯣꯝꯅꯥ ꯇꯥꯕꯤꯔꯝꯂꯒꯅꯤ? ꯃꯁꯤ ꯑꯗꯣꯃꯒꯤꯗꯃꯛ ꯑꯅꯧꯕꯥ ꯋꯥꯍꯩ ꯑꯃꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯕꯨ ꯑꯩꯈꯣꯌ ꯄꯨꯝꯅꯃꯛꯅꯥ ꯈꯉꯕꯥ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫ ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯂꯤꯟꯆ ꯁꯤꯟꯗꯣꯝ ꯑꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯖꯤꯅꯁꯤꯡꯗꯥ ꯑꯀꯛꯅꯕꯥ ꯑꯍꯣꯡꯕꯥ ꯈꯔꯥ ꯂꯩꯕꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯀꯦꯟꯁꯔ ꯂꯥꯀꯄꯒꯤ ꯔꯤꯁ꯭ꯛ ꯍꯦꯅꯒꯠꯍꯅꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫ ꯃꯔꯨꯑꯣꯏꯅꯥ, ꯃꯁꯤꯅꯥ ꯆꯍꯤ ꯵꯰ꯒꯤ ꯃꯃꯥꯡꯗꯥ ꯀꯦꯟꯁꯔ ꯂꯥꯀꯄꯒꯤ ꯔꯤꯁ꯭ꯛ ꯍꯦꯅꯒꯠꯍꯜꯂꯤ, ꯃꯔꯝ ꯑꯗꯨꯅꯥ, ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯈꯔꯥ ꯍꯦꯟꯅꯥ ꯑꯀꯨꯞꯄꯥ ꯃꯔꯣꯂꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯁꯤ, ꯑꯩꯈꯣꯌꯅꯥ ꯇꯧꯒꯗ꯭ꯔꯥ?
ꯂꯤꯟꯆ ꯁꯤꯟꯗ꯭ꯔꯣꯝ ꯍꯥꯌꯕꯁꯤ ꯇꯁꯦꯡꯅꯥ ꯀꯔꯤꯅꯣ? ꯀꯅꯥꯅꯥ ꯐꯪꯂꯤꯕꯅꯣ?
ꯂꯤꯟꯆ ꯁꯤꯟꯗꯣꯝ ꯑꯁꯤ ꯏꯅꯍꯦꯔꯤꯇꯦꯗ ꯖꯦꯅꯦꯇꯤꯛ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ . ꯍꯥꯌꯕꯗꯤ ꯃꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯏꯃꯥ ꯅꯠꯠꯔꯒꯥ ꯃꯄꯥꯗꯒꯤ ꯂꯧꯔꯀꯄꯥ ꯖꯤꯅꯁꯤꯡꯗꯥ ꯖꯤꯅꯦꯇꯤꯛ ꯃ꯭ꯌꯨꯇꯦꯁꯟ ꯑꯃꯅꯥ ꯊꯣꯀꯍꯅꯕꯅꯤ꯫ ꯑꯩꯈꯣꯌꯒꯤ ꯁꯦꯂꯁꯤꯡꯅꯥ ꯈꯥꯌꯗꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯑꯄꯤꯀꯄꯥ ꯑꯁꯣꯏꯕꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯏ ꯍꯥꯌꯅꯥ ꯈꯅꯕꯤꯌꯨ꯫ ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯑꯁꯣꯌꯕꯁꯤꯡ ꯑꯁꯤ ꯈꯉꯗꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯀꯣꯀꯍꯅꯕꯥ ꯉꯝꯕꯥ ꯑꯈꯟꯅꯕꯥ ꯖꯤꯅꯁꯤꯡ ꯂꯩ꯫ ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤꯕꯨ ‘ꯃꯤꯁꯃꯦꯠ ꯔꯤꯄꯦꯌꯥꯔ ꯖꯤꯅꯁꯤꯡ’ (ꯑꯦꯝ.ꯑꯦꯝ.ꯑꯥꯔ. ꯖꯤꯅꯁꯤꯡ) ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ ꯂꯤꯟꯆ ꯁꯤꯟꯗ꯭ꯔꯣꯝ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯗꯥ ‘ꯑꯦꯝ.ꯑꯦꯝ.ꯑꯥꯔ.’ ꯖꯤꯅꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯗꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯃꯗꯒꯤ ꯍꯦꯅꯕꯗꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯂꯩ꯫ ꯑꯗꯨꯗꯒꯤ, ꯁꯦꯂꯁꯤꯡ ꯑꯗꯨꯅꯥ ꯈꯥꯌꯗꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯑꯇꯣꯞꯄꯥ ꯑꯁꯣꯏꯕꯁꯤꯡ ꯑꯗꯨ ꯀꯣꯀꯍꯅꯕꯥ ꯉꯃꯗꯦ꯫ ꯍꯥꯌꯔꯤꯕꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯄꯥ ꯁꯦꯂꯁꯤꯡ ꯑꯁꯤ ꯄꯨꯊꯣꯛꯇꯨꯅꯥ ꯀꯦꯟꯁꯔ ꯑꯣꯏꯔꯀꯏ .
ꯃꯁꯤ ꯀꯅꯥꯒꯨꯝꯕꯥ ꯑꯃꯠꯇꯗꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯔꯃꯗꯤ ꯃꯁꯤ ꯖꯦꯅꯦꯇꯤꯛ ꯑꯣꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯏꯃꯨꯡ ꯑꯗꯨꯒꯤ ꯀꯅꯥꯒꯨꯝꯕꯥ ꯑꯃꯠꯇꯅꯥ ꯃꯃꯥꯡꯗꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯂꯩꯔꯃꯗ꯭ꯔꯕꯁꯨ, ꯃꯤꯑꯣꯏ ꯑꯃꯅꯥ ꯔꯦꯟꯗꯝ ꯑꯣꯏꯕꯥ ꯖꯦꯅꯦꯇꯤꯛ ꯃ꯭ꯌꯨꯇꯦꯁꯟ ꯑꯃꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯃꯁꯤ ꯂꯥꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯅꯥ ꯇꯥꯀꯄꯗꯤ ꯏꯃꯨꯡꯒꯤ ꯍꯤꯁ꯭ꯇꯔꯤ ꯂꯩꯇꯕꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯃꯁꯤ ꯊꯣꯛꯂꯔꯣꯏ ꯍꯥꯌꯕꯗꯤ ꯅꯠꯇꯦ꯫
ꯌꯨꯅꯥꯏꯇꯦꯗ ꯁ꯭ꯇꯦꯇꯁꯀꯤ ꯁ꯭ꯇꯦꯇꯤꯁ꯭ꯇꯤꯀꯦꯂꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ, ꯃꯤꯑꯣꯏ 279ꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯑꯃꯗꯥ ꯂꯤꯟꯆ ꯁꯤꯟꯗꯣꯝ ꯂꯩꯕꯥ ꯌꯥꯏ꯫ ꯍꯥꯌꯔꯤ ꯃꯗꯨꯗꯤ ꯆꯍꯤ ꯈꯨꯗꯤꯡꯒꯤ ꯀꯣꯂꯣꯔꯦꯛꯇꯜ ꯀꯦꯟꯁꯔꯒꯤ ꯀꯦꯁ ꯴꯰꯰꯰ ꯑꯃꯁꯨꯡ ꯑꯦꯟꯗꯣꯃꯦꯠꯔꯤꯌꯦꯜ ꯀꯦꯟꯁꯔꯒꯤ ꯀꯦꯁ ꯱꯸꯰꯰ ꯔꯣꯝ ꯂꯤꯟꯆ ꯁꯤꯟꯗꯣꯃꯅꯥ ꯊꯣꯀꯍꯜꯂꯤ꯫ ꯁ꯭ꯔꯤꯂꯉ꯭ꯀꯥꯗꯁꯨ ꯃꯁꯤꯒꯤ ꯐꯤꯚꯝ ꯑꯁꯤ ꯈꯉꯕꯥ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨ ꯑꯣꯏ꯫
ꯂꯤꯟꯆ ꯁꯤꯟꯗ꯭ꯔꯣꯃꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯤꯅꯣ?
ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯗꯨꯒꯤ ꯁꯥꯊꯤꯕꯥ ꯃꯑꯣꯡ ꯑꯃꯁꯨꯡ ꯃꯁꯤꯕꯨ ꯊꯣꯀꯍꯜꯂꯤꯕꯥ ꯀꯦꯟꯁꯔ ꯃꯈꯜ ꯑꯗꯨꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ ꯈꯦꯠꯅꯕꯥ ꯌꯥꯏ꯫ ꯀꯣꯂꯣꯔꯦꯛꯇꯜ ꯀꯦꯟꯁꯔꯒꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯁꯤꯡꯁꯤ ꯌꯥꯎꯏ:
- ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯏ ꯊꯣꯀꯄꯥ꯫
- ꯈꯣꯉ ꯍꯥꯝꯕ ꯌꯥꯗꯕ .
- ꯑꯦꯕꯗꯣꯃꯤꯅꯦꯜ ꯄꯦꯏꯟ ꯅꯠꯠꯔꯒꯥ ꯀ꯭ꯔꯦꯝꯄꯁ (cramps) ꯂꯩꯕꯥ꯫
- ꯗꯥꯏꯔꯤꯌꯥ ꯅꯠꯠꯔꯒꯥ ꯅꯣꯔꯃꯦꯂꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯄꯤꯀꯄꯥ ꯁ꯭ꯇꯣꯜ꯫
- ꯌꯥꯝꯅꯥ ꯀꯟꯅꯥ ꯋꯥꯈꯜ ꯇꯥꯕꯥ (`Fatigue`)꯫
- ꯃꯄꯨꯡ ꯐꯥꯅꯥ ꯅꯠꯠꯔꯒꯥ ꯐꯨꯅꯕꯥ ꯐꯥꯎꯕꯥ꯫
- ꯅꯣꯡꯃꯩ ꯀꯥꯞꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯋꯥꯈꯜ ꯆꯔꯥꯡꯅꯕꯥ꯫
ꯃꯔꯨꯑꯣꯏꯕꯥ ꯋꯥꯐꯃꯗꯤ ꯃꯤꯑꯣꯏ ꯈꯔꯅꯥ ꯀꯦꯟꯁꯔ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯅꯥ ꯁꯣꯀꯍꯟꯗ꯭ꯔꯤꯐꯥꯎꯕꯥ ꯂꯥꯏꯑꯣꯡ ꯑꯃꯠꯇꯥ ꯎꯠꯄꯥ ꯉꯃꯗꯕꯥ ꯌꯥꯏ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯠꯇꯥ ꯂꯩꯔꯕꯗꯤ ꯈꯨꯗꯛꯇꯥ ꯗꯣꯛꯇꯔ ꯑꯃꯒꯥ ꯇꯥꯟꯅꯒꯗꯕꯅꯤ .
ꯂꯤꯟꯆ ꯁꯤꯟꯗꯣꯃꯅꯥ ꯀꯔꯤ ꯃꯈꯂꯒꯤ ꯀꯦꯟꯁꯔ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯕꯒꯦ?
ꯃꯁꯤꯅꯥ ꯇꯁꯦꯡꯅꯥ ꯑꯣꯔꯒꯥꯟ ꯀꯌꯥꯗꯥ ꯁꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯂꯤꯟꯆ ꯁꯤꯟꯗꯣꯃꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯕꯥ ꯀꯦꯟꯁꯔ ꯃꯈꯜ ꯈꯔꯗꯤ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤ:
- ꯕ꯭ꯔꯦꯟ ꯀꯦꯟꯁꯔ꯫
- ꯀꯣꯂꯣꯟ ꯑꯃꯁꯨꯡ ꯔꯦꯛꯇꯜ ꯀꯦꯟꯁꯔ - ꯃꯁꯤꯅꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯑꯃꯅꯤ꯫
- ꯒꯥꯂꯕ꯭ꯂꯦꯗꯔꯒꯤ ꯀꯦꯟꯁꯔ꯫
- ꯂꯤꯚꯔ ꯀꯦꯟꯁꯔ꯫
- ꯑꯣꯕꯦꯔꯤꯌꯟ ꯀꯦꯟꯁꯔ꯫
- ꯄꯦꯅꯛꯔꯤꯑꯦꯇꯤꯛ ꯀꯦꯟꯁꯔ꯫
- ꯄ꯭ꯔꯣꯁ꯭ꯇꯦꯠ ꯀꯦꯟꯁꯔ꯫
- ꯁ꯭ꯀꯤꯟ ꯀꯦꯟꯁꯔ꯫
- ꯁ꯭ꯃꯣꯜ ꯏꯟꯇꯦꯁ꯭ꯇꯥꯏꯅꯒꯤ ꯀꯦꯟꯁꯔ꯫
- ꯁ꯭ꯇꯣꯃꯥꯛ ꯀꯦꯟꯁꯔ ꯂꯩꯕꯥ꯫
- ꯑꯋꯥꯡꯕꯥ ꯌꯨꯔꯤꯅꯔꯤ ꯇ꯭ꯔꯦꯛꯇꯀꯤ ꯀꯦꯟꯁꯔ꯫
- ꯏꯎꯇꯦꯔꯤꯟ (endometrial) ꯀꯦꯟꯁꯔ - ꯃꯍꯧꯁꯥꯅꯥ ꯅꯨꯄꯤꯁꯤꯡꯗꯥ ꯁꯣꯀꯍꯜꯂꯤꯕꯥ ꯑꯇꯣꯞꯄꯥ ꯀꯦꯟꯁꯔ ꯃꯈꯜ ꯑꯃꯅꯤ꯫
ꯖꯤꯟ (`ꯖꯤꯟ`) ꯂꯩꯕꯥ ꯃ꯭ꯌꯨꯇꯦꯁꯟ ꯑꯁꯤꯅꯥ ꯀꯔꯝꯕꯥ ꯑꯣꯔꯒꯥꯟ ꯑꯗꯨꯅꯥ ꯀꯦꯟꯁꯔꯒꯤ ꯔꯤꯁ꯭ꯛ ꯍꯦꯟꯅꯥ ꯂꯩꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯂꯦꯄꯊꯣꯀꯏ꯫ ꯂꯤꯟꯆ ꯁꯤꯟꯗꯣꯃꯒꯥ ꯃꯔꯤ ꯂꯩꯅꯕꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯖꯤꯟ ꯃꯉꯥ ꯂꯩ꯫ ꯃꯈꯣꯌꯁꯤꯡ ꯑꯗꯨꯗꯤ: `MLH1`, `MSH2`, `MSH6`, `PMS2` ꯑꯃꯁꯨꯡ `EPCAM`ꯅꯤ꯫
ꯂꯤꯟꯆ ꯁꯤꯟꯗ꯭ꯔꯣꯃꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯀꯣꯂꯣꯟ ꯀꯦꯟꯁꯔ ꯑꯁꯤ ꯖꯦꯅꯦꯔꯦꯜ ꯄꯣꯄꯨꯂꯦꯁꯅꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯉꯟꯅꯥ (ꯆꯍꯤ 1-2ꯒꯤ ꯃꯅꯨꯡꯗꯥ) ꯂꯥꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯍꯧꯁꯥꯅꯥ ꯀꯣꯂꯣꯟ ꯀꯦꯟꯁꯔ ꯂꯥꯀꯄꯗꯥ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯆꯍꯤ 10 ꯆꯪꯏ꯫ ꯃꯁꯤꯗꯁꯨ ꯅꯠꯇꯅꯥ ꯀꯣꯂꯣꯟ ꯀꯦꯟꯁꯔ ꯂꯩꯔꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯅꯥ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯀꯦꯟꯁꯔ ꯂꯥꯀꯄꯒꯤ ꯔꯤꯁ꯭ꯛ ꯍꯦꯟꯅꯥ ꯋꯥꯡꯏ . ꯑꯍꯥꯅꯕꯥ ꯀꯦꯟꯁꯔꯒꯤꯗꯃꯛꯇꯥ ꯁꯔꯖꯔꯤ ꯇꯧꯔꯕꯥ ꯃꯇꯨꯡ ꯆꯍꯤ ꯱꯰ꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯱꯵%ꯒꯤ ꯔꯤꯁ꯭ꯛ ꯂꯩ, ꯆꯍꯤ ꯲꯰ꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯴꯰%ꯒꯤ ꯔꯤꯁ꯭ꯛ ꯂꯩ, ꯑꯃꯁꯨꯡ ꯆꯍꯤ ꯳꯰ꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯶꯰%ꯒꯤ ꯔꯤꯁ꯭ꯛ ꯂꯩ꯫
ꯂꯤꯟꯆ ꯁꯤꯟꯗꯣꯝ ꯑꯁꯤ ꯀꯔꯤꯅꯥ ꯊꯣꯀꯍꯅꯕꯒꯦ?
ꯃꯃꯥꯡꯗꯥ ꯍꯥꯌꯈꯤꯕꯒꯨꯝꯅꯥ, ꯃꯁꯤꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯔꯃꯗꯤ ꯑꯩꯈꯣꯌꯒꯤ DNA (``ꯃꯤꯁꯃꯦꯠ ꯔꯤꯄꯦꯌꯥꯔ ꯖꯤꯟ`` ꯅꯠꯠꯔꯒꯥ ``ꯑꯦꯝ.ꯑꯦꯝ.ꯑꯥꯔ. ꯖꯤꯟ``)ꯗꯥ ꯑꯁꯣꯏꯕꯥ ꯀꯣꯀꯍꯅꯕꯥ ꯉꯝꯕꯥ ꯖꯤꯟ ꯃꯉꯥꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯗꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯃꯗꯒꯤ ꯍꯦꯅꯕꯗꯥ ꯖꯦꯅꯦꯇꯤꯛ ꯃ꯭ꯌꯨꯇꯦꯁꯟ ꯊꯣꯀꯄꯅꯤ꯫ ꯍꯥꯌꯔꯤꯕꯥ ꯖꯤꯟ ꯃꯉꯥ ꯑꯗꯨꯗꯤ:
- `ꯑꯦꯝ.ꯑꯦꯜ.ꯑꯩꯆ.꯱`
- `ꯑꯦꯝ.ꯑꯦꯁ.ꯑꯩꯆ.꯲`
- `ꯑꯦꯝ.ꯑꯦꯁ.ꯑꯩꯆ.꯶`
- `ꯄꯤ.ꯑꯦꯝ.ꯑꯦꯁ.꯲`
- `ꯏ.ꯄꯤ.ꯁꯤ.ꯑꯦ.ꯑꯦꯝ.`
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯤꯟꯆ ꯁꯤꯟꯗꯣꯝ ꯂꯩꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ `MMR` ꯖꯤꯅꯁꯤꯡꯅꯥ ꯃꯈꯣꯌꯅꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯏꯅꯁ꯭ꯠꯔꯛꯁꯅꯁꯤꯡ ꯑꯗꯨ ꯐꯪꯗꯦ꯫ ꯑꯗꯨꯗꯒꯤ ꯑꯗꯨꯒꯨꯝꯕꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯈꯤꯕꯥ ꯁꯦꯂꯁꯤꯡ ꯑꯗꯨꯅꯥ ꯇꯤꯁ꯭ꯌꯨꯁꯤꯡꯗꯥ ꯊꯨꯒꯥꯌꯗꯨꯅꯥ ꯀꯦꯟꯁꯔ ꯊꯣꯀꯍꯜꯂꯤ꯫
ꯃꯁꯤ ꯃꯤꯔꯣꯜ ꯑꯃꯗꯒꯤ ꯃꯤꯔꯣꯜ ꯑꯃꯗꯥ ꯀꯔꯝꯅꯥ ꯂꯥꯀꯏ?
ꯂꯤꯟꯆ ꯁꯤꯟꯗ꯭ꯔꯣꯝ ꯑꯁꯤ ``ꯑꯣꯇꯣꯁꯣꯃꯜ ꯗꯣꯃꯤꯅꯦꯟꯇ`` ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫ ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯃꯃꯥ-ꯃꯄꯥ ꯑꯃꯈꯛꯇꯗꯥ ꯃ꯭ꯌꯨꯇꯦꯁꯟ ꯇꯧꯔꯕꯥ ꯖꯤꯟ ꯑꯗꯨ ꯂꯩꯔꯕꯁꯨ, ꯑꯉꯥꯡ ꯑꯗꯨꯅꯥ ꯃꯗꯨ ꯏꯅꯍꯦꯔꯤ ꯇꯧꯕꯥ ꯌꯥꯏ . ꯃꯁꯤꯅꯥ ꯇꯥꯀꯄꯗꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯗꯁꯨ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯂꯩꯕꯒꯤ ꯆꯥꯡ 50% ꯂꯩ꯫
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯤꯟꯆ ꯁꯤꯟꯗꯣꯝ ꯂꯩꯔꯦ ꯍꯥꯌꯅꯥ ꯈꯪꯂꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯏꯃꯨꯡꯒꯤ ꯃꯤꯑꯣꯏꯁꯤꯡꯗꯥ ꯈꯪꯍꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯃꯈꯣꯌꯕꯨ ꯖꯦꯅꯦꯇꯤꯛ ꯀꯥꯎꯟꯁꯦꯂꯤꯡ ꯂꯧꯅꯕꯥ ꯄꯨꯛꯅꯤꯡ ꯊꯧꯒꯠꯄꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ . ꯖꯦꯅꯦꯇꯤꯛ ꯀꯥꯎꯟꯁꯦꯂꯤꯡꯅꯥ ꯅꯍꯥꯛ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯏꯃꯨꯡ-ꯃꯅꯨꯡꯗꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯅꯥ ꯏꯅꯍꯦꯔꯤ ꯇꯧꯕꯒꯤ ꯔꯤꯁ꯭ꯛ ꯑꯗꯨ ꯈꯪꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫ ꯅꯍꯥꯛꯅꯥ ꯂꯤꯟꯆ ꯁꯤꯟꯗꯣꯝ ꯖꯤꯟ ꯃ꯭ꯌꯨꯇꯦꯁꯟ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯅꯕꯒꯤꯗꯃꯛ ꯖꯦꯅꯦꯇꯤꯛ ꯇꯦꯁ꯭ꯠ ꯇꯧꯕꯁꯨ ꯌꯥꯏ꯫
ꯂꯤꯟꯆ ꯁꯤꯟꯗ꯭ꯔꯣꯝ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯈꯪꯗꯣꯀꯄꯒꯦ?
ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯄ꯭ꯔꯤꯅꯦꯇꯦꯜ ꯁ꯭ꯛꯔꯤꯅꯤꯡ ꯇꯦꯁ꯭ꯠ ꯑꯃꯁꯨꯡ ꯖꯦꯅꯦꯇꯤꯛ ꯇꯦꯁ꯭ꯇꯤꯡꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯂꯤꯟꯆ ꯁꯤꯟꯗꯣꯝ ꯈꯪꯗꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨ ꯄꯣꯀꯄꯥ ꯃꯇꯨꯡꯗꯁꯨ ꯖꯦꯅꯦꯇꯤꯛ ꯇꯦꯁ꯭ꯠ ꯇꯧꯕꯥ ꯌꯥꯏ꯫
ꯖꯦꯅꯦꯇꯤꯛ ꯇꯦꯁ꯭ꯠ ꯑꯃꯅꯥ ꯃꯃꯥꯡꯗꯥ ꯄꯅꯈꯤꯕꯥ ꯖꯤꯅꯁꯤꯡ `MLH1`, `MSH2`, `MSH6`, `PMS2` ꯅꯠꯠꯔꯒꯥ `EPCAM`ꯗꯥ ꯃ꯭ꯌꯨꯇꯦꯁꯟ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯆꯦꯛ ꯇꯧꯅꯕꯥ ꯏꯒꯤ ꯁꯦꯝꯄꯜ ꯑꯃꯥ ꯅꯠꯠꯔꯒꯥ ꯕꯀꯜ ꯁ꯭ꯕꯕ ꯑꯃꯥ ꯂꯧꯕꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯖꯦꯅꯦꯇꯤꯛ ꯇꯦꯁ꯭ꯠ ꯑꯃꯅꯥ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯃ꯭ꯌꯨꯇꯦꯁꯟ ꯑꯃꯥ ꯂꯩꯔꯦ ꯍꯥꯌꯕꯥ ꯀꯅꯐꯥꯔꯝ ꯇꯧꯔꯕꯗꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯂꯤꯟꯆ ꯁꯤꯟꯗꯣꯝ ꯑꯁꯤ ꯈꯉꯗꯣꯛꯀꯅꯤ꯫
ꯂꯤꯟꯆ ꯁꯤꯟꯗꯣꯃꯒꯥ ꯃꯔꯤ ꯂꯩꯅꯕꯥ ꯀꯦꯟꯁꯔꯁꯤꯡ ꯈꯉꯗꯣꯛꯅꯕꯥ ꯀꯔꯤ ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯁꯤꯖꯤꯟꯅꯕꯒꯦ?
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯤꯟꯆ ꯁꯤꯟꯗ꯭ꯔꯣꯝ ꯂꯩꯔꯦ ꯍꯥꯌꯅꯥ ꯈꯪꯂꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯑꯌꯥꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯀꯦꯟꯁꯔ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯁꯤꯟꯅꯕꯥ ꯇꯦꯁ꯭ꯠ ꯀꯌꯥ ꯇꯧꯅꯕꯥ ꯄꯥꯎꯇꯥꯛ ꯄꯤꯒꯅꯤ꯫ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯇꯦꯁ꯭ꯇꯁꯤꯡꯗꯤ:
- ꯀꯣꯂꯣꯅꯣꯁ꯭ꯀꯣꯄꯤ (Colonoscopy): ꯃꯁꯤꯗꯥ ꯑꯆꯧꯕꯥ ꯏꯟꯇꯦꯁ꯭ꯇꯥꯏꯟ ꯑꯃꯁꯨꯡ ꯔꯦꯛꯇꯃꯒꯤ ꯃꯅꯨꯡ ꯆꯅꯕꯥ ꯃꯐꯝ ꯑꯗꯨ ꯌꯦꯡꯁꯤꯟꯅꯕꯥ ꯑꯅꯥꯕꯥ ꯃꯅꯨꯡꯗꯥ ꯆꯦꯅꯕꯥ ꯀꯦꯃꯦꯔꯥ ꯑꯃꯥ ꯌꯥꯎꯕꯥ ꯇꯤꯎꯕ (ꯁ꯭ꯀꯣꯞ) ꯑꯃꯥ ꯍꯥꯄꯆꯤꯟꯗꯨꯅꯥ ꯊꯝꯃꯤ꯫ ꯃꯁꯤ ꯃꯍꯧꯁꯥꯅꯥ ꯆꯍꯤ ꯑꯃꯗꯥ ꯑꯃꯨꯛ ꯅꯠꯠꯔꯒꯥ ꯆꯍꯤ ꯑꯅꯤ ꯈꯨꯗꯤꯡꯒꯤ ꯇꯧꯏ꯫
- ꯇ꯭ꯔꯥꯟꯁꯚꯦꯖꯤꯅꯦꯜ ꯑꯂꯠꯔꯥꯁꯥꯎꯟꯗ (transvaginal ultrasound) : ꯑꯣꯚꯔꯑꯣꯜ ꯑꯃꯁꯨꯡ ꯏꯎꯇꯦꯔꯥꯁ ꯌꯦꯡꯁꯤꯟꯅꯕꯥ ꯚꯦꯖꯤꯅꯦꯂꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯑꯄꯤꯀꯄꯥ ꯏꯅꯁ꯭ꯠꯔꯨꯃꯦꯟꯇ (ꯄ꯭ꯔꯣꯕ) ꯑꯃꯥ ꯊꯥꯏ꯫ ꯃꯁꯤꯁꯨ ꯆꯍꯤ ꯑꯃꯗꯥ ꯑꯃꯨꯛ ꯅꯠꯠꯔꯒꯥ ꯑꯅꯤꯔꯛ ꯔꯦꯀꯃꯦꯟꯗ ꯇꯧꯏ꯫
- ꯌꯨꯔꯤꯅꯂꯥꯏꯁꯤꯁ: ꯅꯍꯥꯛꯀꯤ ꯌꯨꯔꯤꯅꯒꯤ ꯁꯦꯝꯄꯜ ꯑꯃꯥ ꯂꯧꯗꯨꯅꯥ ꯀꯤꯗꯅꯤ ꯇꯤꯎꯃꯔꯒꯨꯝꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ ꯌꯦꯡꯁꯤꯜꯂꯤ꯫ ꯃꯁꯤ ꯃꯍꯧꯁꯥꯅꯥ ꯆꯍꯤ ꯑꯃꯗꯥ ꯑꯃꯨꯀꯈꯛꯇꯪ ꯇꯧꯏ꯫
- ꯇꯤꯎꯃꯔ ꯕꯥꯏꯑꯣꯞꯁꯤ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯃꯐꯝ ꯑꯃꯗꯥ ꯇꯤꯎꯃꯔ ꯑꯃꯥ ꯂꯩꯔꯦ ꯍꯥꯌꯅꯥ ꯆꯤꯡꯅꯔꯕꯗꯤ ꯃꯈꯣꯌꯅꯥ ꯃꯗꯨꯒꯤ ꯑꯄꯤꯀꯄꯥ ꯁꯔꯨꯛ ꯑꯃꯥ ꯂꯧꯗꯨꯅꯥ ꯂꯦꯕꯇꯥ ꯇꯦꯁ꯭ꯠ ꯇꯧꯗꯨꯅꯥ ꯃꯗꯨꯗꯥ ꯀꯦꯟꯁꯔ ꯁꯦꯂꯁꯤꯡ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯒꯅꯤ꯫
- ꯑꯋꯥꯡꯕꯥ ꯑꯦꯟꯗꯣꯁ꯭ꯀꯣꯄꯤ ꯅꯠꯠꯔꯒꯥ ꯀꯦꯄꯁꯨꯜ ꯑꯦꯟꯗꯣꯁ꯭ꯀꯣꯄꯤ (Upper endoscopy or capsule endoscopy) : ꯑꯄꯤꯀꯄꯥ, ꯑꯄꯤꯀꯄꯥ ꯇꯤꯎꯕ (ꯁ꯭ꯀꯣꯞ) ꯅꯠꯠꯔꯒꯥ ꯃꯥꯏꯛꯔꯣꯁ꯭ꯀꯣꯄꯤꯛ ꯀꯦꯃꯦꯔꯥ (ꯄꯤꯜ ꯑꯃꯒꯨꯝꯅꯥ ꯂꯧꯅꯒꯅꯕꯥ ꯑꯄꯤꯀꯄꯥ, ꯑꯄꯤꯀꯄꯥ ꯇꯤꯎꯕ ꯑꯃꯥ) ꯁꯤꯖꯤꯟꯅꯗꯨꯅꯥ ꯈꯣꯡ ꯑꯃꯁꯨꯡ ꯑꯄꯤꯀꯄꯥ ꯏꯟꯇꯦꯁ꯭ꯇꯥꯏꯅꯗꯥ ꯀꯦꯟꯁꯔ ꯌꯦꯡꯁꯤꯟꯅꯕꯥ ꯊꯧꯑꯣꯡ ꯑꯃꯅꯤ꯫ ꯃꯁꯤ ꯆꯍꯤ ꯑꯍꯨꯃꯗꯒꯤ ꯃꯉꯥ ꯐꯥꯎꯕꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯇꯧꯅꯕꯥ ꯍꯥꯌꯔꯀꯄꯥ ꯌꯥꯏ꯫
ꯂꯤꯟꯆ ꯁꯤꯟꯗ꯭ꯔꯣꯝ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯂꯥꯏꯌꯦꯡꯕꯒꯦ?
ꯂꯤꯟꯆ ꯁꯤꯟꯗꯣꯝ ꯂꯥꯌꯦꯡꯕꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯑꯁꯤ ꯇꯤꯎꯃꯔꯁꯤꯡ ꯉꯟꯅꯥ ꯈꯉꯗꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯁꯔꯖꯤꯀꯦꯜ ꯑꯣꯏꯅꯥ ꯂꯧꯊꯣꯀꯄꯅꯤ . ꯃꯁꯤꯅꯥ ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯁ꯭ꯛꯔꯤꯅꯤꯡ ꯇꯧꯕꯥ ꯑꯃꯁꯨꯡ ꯀꯦꯟꯁꯔ ꯇꯣꯏꯅꯥ ꯅꯥꯕꯥ ꯍꯥꯌꯕꯁꯤꯅꯤ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯀꯦꯟꯁꯔ ꯂꯩꯔꯕꯗꯤ꯫
ꯃꯁꯤ ꯀꯅꯥꯅꯥ ꯂꯥꯌꯦꯡꯂꯤꯕꯅꯣ?
ꯑꯁꯤꯒꯨꯝꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯒꯤꯗꯃꯛ ꯁ꯭ꯄꯦꯁꯤꯑꯦꯂꯤꯁ꯭ꯠ ꯗꯣꯛꯇꯔꯁꯤꯡꯒꯤ ꯀꯥꯡꯕꯨ ꯑꯃꯗꯒꯤ ꯂꯥꯏꯌꯦꯡ ꯂꯧꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯩ꯫ꯂꯤꯟꯆ ꯁꯤꯟꯗꯣꯝ ꯑꯁꯤꯅꯥ ꯃꯁꯤꯡ ꯌꯥꯝꯂꯕꯥ ꯑꯣꯔꯒꯥꯟ ꯁꯤꯁ꯭ꯇꯦꯃꯁꯤꯡꯗꯥ ꯁꯣꯀꯍꯅꯕꯥ ꯌꯥꯕꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯂꯥꯌꯦꯡꯕꯒꯤ ꯀꯥꯡꯕꯨ ꯑꯁꯤꯗꯥ ꯃꯈꯜ ꯀꯌꯥꯒꯤ ꯁ꯭ꯄꯦꯁꯤꯑꯦꯂꯤꯁ꯭ꯇꯁꯤꯡ ꯌꯥꯑꯣꯕꯥ ꯌꯥꯏ, ꯃꯈꯣꯌꯁꯤꯡ ꯑꯗꯨꯗꯤ ꯒꯦꯁ꯭ꯠꯔꯣꯑꯦꯟꯇꯦꯔꯣꯂꯣꯖꯤꯁ꯭ꯠ, ꯁꯔꯖꯔꯤ, ꯒꯥꯏꯅꯣꯀꯣꯂꯣꯖꯤꯀꯦꯜ ꯑꯣꯟꯀꯣꯂꯣꯖꯤꯁ꯭ꯠ, ꯏꯎꯔꯣꯂꯣꯖꯤꯁ꯭ꯠ, ꯗꯔꯃꯦꯇꯣꯂꯣꯖꯤꯁ꯭ꯠ, ꯒꯥꯏꯅꯣꯀꯣꯂꯣꯖꯤꯁ꯭ꯠ, ꯄ꯭ꯔꯥꯏꯃꯥꯔꯤ ꯀꯦꯌꯔ ꯐꯤꯖꯤꯁꯤꯌꯅꯁꯤꯡ, ꯖꯦꯅꯦꯇꯤꯁꯤꯁ꯭ꯇꯁꯤꯡ, ꯖꯦꯅꯦꯇꯤꯛ ꯀꯥꯎꯟꯁꯦꯂꯔꯁꯤꯡ, ꯑꯃꯁꯨꯡ ꯑꯣꯟꯀꯣꯂꯣꯖꯤꯁ꯭ꯇꯁꯤꯡ ꯌꯥꯑꯣꯔꯤ꯫
ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯀꯦꯟꯁꯔ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯂꯥꯀꯄꯥ ꯌꯥꯕ꯭ꯔꯥ?
ꯍꯣꯌ, ꯀꯦꯟꯁꯔ ꯑꯗꯨ ꯁꯔꯖꯤꯀꯦꯜ ꯑꯣꯏꯅꯥ ꯂꯧꯊꯣꯛꯂꯕꯁꯨ ꯀꯦꯟꯁꯔ ꯑꯗꯨ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯂꯥꯀꯄꯒꯤ ꯈꯨꯗꯣꯡꯆꯥꯕꯥ ꯂꯩ . ꯃꯔꯝ ꯑꯁꯤꯅꯥ ꯃꯈꯥ ꯇꯥꯅꯥ ꯇꯦꯁ꯭ꯠ ꯇꯧꯕꯥ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫
ꯂꯤꯟꯆ ꯁꯤꯟꯗ꯭ꯔꯣꯝ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏ ꯈꯔꯅꯥ, ꯃꯈꯣꯌꯅꯥ ꯀꯦꯟꯁꯔ ꯂꯥꯀꯄꯒꯤ ꯔꯤꯁ꯭ꯛ ꯍꯦꯟꯅꯥ ꯂꯩꯕꯅꯥ, ꯏꯎꯇꯦꯔꯥꯁ (hysterectomy), ꯑꯣꯚꯔꯑꯣꯜ (oophorectomy), ꯅꯠꯠꯔꯒꯥ ꯏꯟꯇꯦꯁ꯭ꯇꯥꯏꯅꯒꯤ ꯁꯔꯨꯛ ꯑꯃꯥ (ꯀꯣꯂꯦꯛꯇꯣꯃꯤ ꯅꯠꯠꯔꯒꯥ ꯕꯣꯋꯦꯜ ꯔꯤꯁꯦꯛꯁꯟ ꯁꯔꯖꯔꯤ) ꯑꯗꯨ ꯇꯣꯏꯅꯥ ꯂꯧꯊꯣꯛꯅꯕꯥ ꯁꯔꯖꯔꯤ ꯇꯧꯅꯕꯥ ꯋꯥꯔꯦꯞ ꯂꯧꯏ꯫ ꯃꯁꯤ ꯑꯌꯥꯝꯕꯅꯥ ꯂꯅꯥꯏꯒꯤ ꯑꯣꯏꯕꯥ ꯋꯥꯔꯦꯞ ꯑꯃꯅꯤ, ꯑꯃꯁꯨꯡ ꯃꯁꯤ ꯗꯣꯛꯇꯔ ꯑꯃꯒꯤ ꯄꯥꯎꯇꯥꯛ ꯃꯇꯨꯡ ꯏꯟꯅꯥ ꯂꯧꯒꯗꯕꯅꯤ꯫
ꯂꯤꯟꯆ ꯁꯤꯟꯗ꯭ꯔꯣꯝ ꯑꯁꯤ ꯊꯤꯡꯕꯥ ꯉꯃꯒꯗ꯭ꯔꯥ?
ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯋꯥꯐꯝ ꯑꯃꯅꯥ, ꯂꯤꯟꯆ ꯁꯤꯟꯗꯣꯝ ꯑꯁꯤ ꯖꯦꯅꯦꯇꯤꯛ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ, ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯃꯁꯤ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯊꯤꯡꯕꯥ ꯉꯃꯗꯦ . ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯂꯤꯟꯆ ꯁꯤꯟꯗꯣꯝ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯅꯥ ꯃꯈꯣꯌꯒꯤ ꯄꯨꯟꯁꯤ ꯆꯨꯞꯄꯥ ꯀꯦꯟꯁꯔꯒꯤꯗꯃꯛꯇꯥ ꯁ꯭ꯛꯔꯤꯟ ꯇꯧꯕꯥ ꯌꯥꯏ, ꯃꯗꯨ ꯃꯄꯨꯡ-ꯃꯔꯩ ꯐꯥꯔꯕꯥ ꯃꯇꯃꯗꯒꯤ ꯍꯧꯗꯨꯅꯥ, ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯀꯦꯟꯁꯔ ꯂꯥꯛꯂꯕꯗꯤ ꯉꯟꯅꯥ ꯈꯪꯗꯣꯀꯄꯥ ꯉꯃꯒꯅꯤ .
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯤꯟꯆ ꯁꯤꯟꯗ꯭ꯔꯣꯝ ꯂꯩꯔꯕꯗꯤ ꯀꯔꯤ ꯑꯣꯏꯒꯅꯤ? ꯑꯗꯣꯝꯅꯥ ꯀꯔꯤ ꯑꯥꯁꯥ ꯇꯧꯕꯥ ꯌꯥꯕꯒꯦ?
ꯍꯧꯖꯤꯛꯀꯤ ꯑꯣꯏꯅꯥ ꯂꯤꯟꯆ ꯁꯤꯟꯗꯣꯃꯒꯤ ꯂꯥꯏꯌꯦꯡ ꯑꯃꯠꯇꯥ ꯂꯩꯇꯦ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯥ ꯐꯂꯁꯤꯡꯗꯤ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯀꯦꯟꯁꯔ ꯑꯗꯨ ꯉꯟꯅꯥ ꯐꯪꯂꯕꯗꯤ ꯑꯃꯁꯨꯡ ꯉꯟꯅꯥ ꯂꯧꯊꯣꯛꯂꯕꯗꯤ, ꯍꯀꯆꯥꯡꯒꯤ ꯑꯇꯣꯞꯄꯥ ꯃꯐꯃꯁꯤꯡꯗꯥ ꯁꯟꯗꯣꯀꯄꯥ ꯃꯃꯥꯡꯗꯥ . ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯂꯤꯟꯆ ꯁꯤꯟꯗꯣꯝ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯅꯥ ꯆꯍꯤ ꯈꯨꯗꯤꯡꯒꯤ ꯁ꯭ꯛꯔꯤꯅꯤꯡ ꯇꯦꯁ꯭ꯠ ꯇꯧꯕꯥ, ꯍꯥꯌꯕꯗꯤ ꯀꯣꯂꯣꯅꯣꯁ꯭ꯀꯣꯄꯤ ꯇꯧꯕꯥ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫
ꯂꯤꯟꯆ ꯁꯤꯟꯗ꯭ꯔꯣꯝ ꯑꯁꯤꯅꯥ ꯑꯩꯒꯤ ꯀꯣꯂꯣꯅꯗꯥ ꯇꯤꯎꯃꯔꯁꯤꯡ ꯊꯣꯀꯍꯅꯒꯗ꯭ꯔꯥ?
ꯂꯤꯟꯆ ꯁꯤꯟꯗ꯭ꯔꯣꯝ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯅꯥ ꯃꯈꯣꯌꯒꯤ ꯀꯣꯂꯣꯟ ꯅꯠꯠꯔꯒꯥ ꯔꯦꯛꯇꯃꯗꯥ ꯀꯦꯟꯁꯔ ꯂꯩꯇꯕꯥ ꯒ꯭ꯔꯣꯊ ꯃꯈꯜ ꯑꯃꯥ ꯑꯣꯏꯔꯤꯕꯥ ‘ꯑꯦꯗꯦꯅꯣꯃꯥ’ ꯀꯌꯥ ꯂꯥꯀꯄꯥ ꯌꯥꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ‘ꯄꯣꯂꯤꯄꯁꯤꯡ’ ꯑꯁꯤ ꯃꯁꯛ ꯈꯪꯗꯣꯛꯇꯨꯅꯥ ꯂꯧꯊꯣꯀꯄꯥ ꯉꯃꯗ꯭ꯔꯕꯗꯤ ꯃꯈꯣꯌ ꯑꯁꯤ ꯀꯦꯟꯁꯔ ꯑꯣꯏꯔꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯔꯝ ꯑꯁꯤꯅꯥ ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯆꯦꯛ ꯇꯧꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯈꯣꯌ ꯂꯩꯔꯕꯗꯤ ꯂꯧꯊꯣꯛꯅꯕꯥ ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯀꯣꯂꯣꯅꯣꯁ꯭ꯀꯣꯄꯤ ꯇꯧꯕꯥ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫
ꯑꯩꯅꯥ ꯀꯗꯥꯏꯗꯥ ꯗꯣꯛꯇꯔꯒꯥ ꯎꯅꯒꯗꯒꯦ?
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯤꯟꯆ ꯁꯤꯟꯗꯣꯝ ꯂꯩꯔꯕꯗꯤ, ꯆꯍꯤ ꯈꯨꯗꯤꯡꯒꯤ ꯆꯦꯀꯑꯞ ꯑꯃꯁꯨꯡ ꯁ꯭ꯛꯔꯤꯅꯤꯡ ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯄꯥꯡꯊꯣꯀꯄꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ .
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯃꯐꯝ ꯑꯃꯍꯦꯛꯇꯗꯥ ꯂꯪꯁ, ꯑꯅꯧꯕꯥ ꯒ꯭ꯔꯣꯊ, ꯅꯠꯠꯔꯒꯥ ꯈꯣꯡꯗꯥ ꯑꯍꯣꯡꯕꯥ ꯑꯃꯥ ꯂꯥꯀꯄꯥ ꯎꯔꯕꯗꯤ, ꯈꯨꯗꯛꯇꯥ ꯗꯣꯛꯇꯔ ꯑꯃꯗꯥ ꯇꯥꯀꯄꯤꯌꯨ , ꯃꯔꯃꯗꯤ ꯃꯁꯤ ꯀꯦꯟꯁꯔꯒꯤ ꯈꯨꯗꯃꯁꯤꯡ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫
ꯑꯩꯒꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯀꯔꯤ ꯋꯥꯍꯪ ꯍꯪꯒꯗꯒꯦ?
- ꯑꯩꯅꯥ ꯀꯌꯥ ꯌꯥꯝꯅꯥ ꯀꯦꯟꯁꯔ ꯁ꯭ꯛꯔꯤꯅꯤꯡ ꯇꯦꯁ꯭ꯠ ꯇꯧꯒꯗꯒꯦ?
- ꯃꯁꯤꯒꯤ ꯂꯝ ꯑꯁꯤ ꯑꯩꯒꯤ ꯈꯣꯡꯗꯥ ꯀꯦꯟꯁꯔꯗꯥ ꯂꯩꯕꯔꯥ?
- ꯑꯩꯒꯤ ꯀꯔꯤ ꯖꯤꯟ ꯃ꯭ꯌꯨꯇꯦꯁꯟ ꯂꯩꯕꯒꯦ?
- ꯑꯩꯅꯥ ꯃꯤꯔꯣꯅꯕꯥ ꯊꯧꯔꯥꯡ ꯇꯧꯗ꯭ꯔꯤꯉꯩꯗꯥ ꯖꯦꯅꯦꯇꯤꯛ ꯇꯦꯁ꯭ꯠ ꯑꯃꯥ ꯇꯧꯕꯥ ꯌꯥꯕ꯭ꯔꯥ?
ꯂꯤꯟꯆ ꯁꯤꯟꯗꯣꯝ ꯑꯃꯁꯨꯡ ꯑꯩꯆ.ꯑꯦꯟ.ꯄꯤ.ꯁꯤ.ꯁꯤ.
ꯂꯤꯟꯆ ꯁꯤꯟꯗꯣꯝ ꯑꯃꯁꯨꯡ ``ꯍꯦꯔꯤꯗꯤꯇꯦꯔꯤ ꯅꯟ-ꯄꯣꯂꯤꯄꯣꯁꯤꯁ ꯀꯣꯂꯣꯔꯦꯛꯇꯜ ꯀꯦꯟꯁꯔ`` (``HNPCC``) ꯑꯁꯤ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯆꯞ ꯃꯥꯟꯅꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯗꯨꯕꯨ ꯔꯤꯐꯔꯦꯟꯁ ꯑꯣꯏꯅꯥ ꯁꯤꯖꯤꯟꯅꯩ꯫ ꯑꯗꯨꯕꯨ ꯃꯈꯣꯌ ꯑꯅꯤꯒꯤ ꯃꯔꯛꯇꯥ ꯃꯤꯔꯣꯜ ꯀꯌꯥꯗꯒꯤ ꯆꯠꯅꯔꯀꯄꯒꯤ ꯃꯑꯣꯡ ꯃꯇꯧꯗꯥ ꯈꯔꯥ ꯈꯦꯠꯅꯕꯥ ꯂꯩ꯫
ꯂꯤꯟꯆ ꯁꯤꯟꯗꯣꯝ ꯑꯁꯤ `MMR` ꯖꯤꯅꯗꯥ ꯃ꯭ꯌꯨꯇꯦꯁꯟ ꯑꯃꯅꯥ ꯊꯣꯀꯍꯅꯕꯅꯤ꯫ ꯆꯞ ꯃꯥꯟꯅꯕꯥ ꯖꯤꯟ ꯃ꯭ꯌꯨꯇꯦꯁꯟ ꯑꯁꯤꯅꯥ `HNPCC` ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯗꯁꯨ ꯁꯣꯀꯍꯜꯂꯤ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯏꯃꯨꯡꯒꯤ ꯍꯤꯁ꯭ꯇꯔꯤ ꯑꯃꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯊꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ `HNPCC` ꯍꯥꯌꯕꯥ ꯃꯃꯤꯡ ꯑꯁꯤ ꯄꯤꯕꯅꯤ꯫ ꯍꯥꯌꯕꯗꯤ `HNPCC` ꯑꯁꯤ ꯃꯇꯝ ꯄꯨꯝꯅꯃꯛꯇꯥ ꯃꯤꯔꯣꯜ ꯑꯃꯗꯒꯤ ꯃꯤꯔꯣꯜ ꯑꯃꯗꯥ ꯏꯅꯍꯦꯔꯤ ꯇꯧꯏ꯫ ꯂꯤꯟꯆ ꯁꯤꯟꯗ꯭ꯔꯣꯝ ꯑꯁꯤ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯏꯃꯨꯡꯒꯤ ꯃꯤꯑꯣꯏ ꯑꯃꯠꯇꯅꯥ ꯂꯩꯍꯟꯗꯅꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯏ, ꯑꯃꯁꯨꯡ ꯃꯁꯤ ꯔꯦꯟꯗꯝ ꯖꯤꯟ ꯃ꯭ꯌꯨꯇꯦꯁꯟ ꯑꯃꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥꯁꯨ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯔꯝ ꯑꯁꯤꯅꯥ ꯍꯧꯖꯤꯛ ꯂꯤꯟꯆ ꯁꯤꯟꯗꯣꯝ ꯍꯥꯌꯕꯥ ꯃꯤꯡ ꯑꯁꯤ ꯄꯥꯛ ꯁꯟꯅꯥ ꯁꯤꯖꯤꯟꯅꯔꯦ꯫
ꯑꯔꯣꯏꯕꯗꯥ, ꯅꯤꯡꯁꯤꯡꯒꯗꯕꯥ ꯋꯥꯐꯃꯁꯤꯡ (ꯇꯦꯛ-ꯍꯣꯝ ꯃꯦꯁꯦꯖ)
"ꯅꯍꯥꯛ ꯀꯦꯟꯁꯔ ꯂꯩꯔꯦ" ꯍꯥꯌꯕꯥ ꯋꯥꯍꯩ ꯑꯁꯤ ꯀꯅꯥꯒꯨꯝꯕꯥ ꯑꯃꯠꯇꯅꯥ ꯇꯥꯕꯥ ꯄꯥꯃꯗꯦ꯫ ꯅꯍꯥꯛꯅꯥ ꯂꯤꯟꯆ ꯁꯤꯟꯗꯣꯝ ꯂꯩꯔꯦ ꯍꯥꯌꯕꯥ ꯈꯪꯂꯕꯥ ꯃꯇꯃꯗꯥ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯒꯤ ꯋꯥꯍꯩꯁꯤꯡ ꯑꯗꯨ ꯇꯥꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯕꯨ ꯃꯁꯤ ꯐꯠꯇꯕꯥ ꯋꯥꯐꯝ ꯑꯃꯥ ꯑꯣꯏꯍꯅꯕꯥ ꯃꯊꯧ ꯇꯥꯗꯦ꯫
ꯅꯍꯥꯛꯅꯥ ꯂꯤꯟꯆ ꯁꯤꯟꯗꯣꯝ ꯂꯩꯔꯦ ꯍꯥꯌꯕꯥ ꯈꯪꯂꯕꯥ ꯃꯇꯨꯡꯗꯥ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯛꯀꯥ ꯂꯣꯌꯅꯅꯥ ꯀꯦꯟꯁꯔ ꯉꯟꯅꯥ ꯈꯪꯗꯣꯀꯄꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯅꯕꯥ ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯁ꯭ꯛꯔꯤꯅꯤꯡ ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯄꯥꯡꯊꯣꯛꯅꯕꯥ ꯊꯕꯛ ꯇꯧꯒꯅꯤ꯫ ꯉꯟꯅꯥ ꯈꯉꯗꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯂꯥꯌꯦꯡꯕꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯤꯡꯕꯒꯤ ꯆꯥꯡ ꯍꯦꯅꯒꯠꯍꯟꯅꯕꯒꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯥ ꯄꯥꯝꯕꯩꯁꯤꯡꯅꯤ . ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯅꯨꯡꯉꯥꯏꯕꯥ, ꯍꯀꯆꯥꯡ ꯐꯕꯥ ꯄꯨꯟꯁꯤ ꯑꯃꯥ ꯍꯤꯡꯕꯥ ꯉꯃꯒꯅꯤ꯫
ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯏꯅꯐꯣꯔꯃꯦꯁꯟ ꯑꯁꯤꯅꯥ ꯂꯥꯡꯇꯛꯅꯕꯒꯤ ꯃꯍꯨꯠꯇꯥ, ꯆꯦꯀꯁꯤꯅꯕꯤꯌꯨ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯊꯧ ꯇꯥꯔꯕꯗꯤ ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯄꯥꯎꯇꯥꯛ ꯂꯧꯕꯤꯌꯨ ꯑꯃꯁꯨꯡ ꯍꯀꯆꯥꯡ ꯐꯕꯥ ꯄꯨꯟꯁꯤ ꯑꯃꯥ ꯍꯤꯡꯅꯕꯥ ꯍꯣꯠꯅꯕꯤꯌꯨ . ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯏꯃꯨꯡꯗꯥ ꯀꯅꯥꯒꯨꯝꯕꯥ ꯑꯃꯅꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯂꯩꯔꯕꯗꯤ ꯃꯈꯣꯌꯗꯥ ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯁꯨ ꯈꯪꯍꯅꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫
` ꯂꯤꯟꯆ ꯁꯤꯟꯗꯣꯝ, ꯑꯩꯆ.ꯑꯦꯟ.ꯄꯤ.ꯁꯤ.ꯁꯤ., ꯀꯦꯟꯁꯔ, ꯖꯦꯅꯦꯇꯤꯛ ꯃ꯭ꯌꯨꯇꯦꯁꯟ, ꯍꯦꯔꯤꯇꯦꯖ ꯗꯤꯖꯤꯖ, ꯀꯣꯂꯣꯟ ꯀꯦꯟꯁꯔ, ꯏꯎꯇꯦꯔꯥꯏꯟ ꯀꯦꯟꯁꯔ꯫
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