ꯑꯗꯣꯝ ꯅꯨꯄꯤꯁꯤꯡꯒꯤꯗꯃꯛ ꯑꯈꯟꯅꯕꯥ: ꯋꯨꯂꯚꯥꯔ ꯀꯦꯟꯁꯔꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯈꯉꯁꯤ꯫

ꯃꯇꯝ ꯀꯌꯥꯗꯥ, ꯅꯨꯄꯤꯁꯤꯡꯅꯥ ꯃꯈꯣꯌꯒꯤ ꯃꯄꯥꯅꯒꯤ ꯖꯦꯅꯤꯇꯦꯜ ꯑꯦꯔꯤꯌꯥ (vulva)ꯗꯥ ꯑꯍꯣꯡꯕꯥ ꯂꯥꯀꯄꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯕꯥ ꯃꯇꯃꯗꯥ ꯈꯔꯥ ꯂꯥꯡꯇꯛꯅꯩ, ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯐꯥꯎꯕꯥ ꯌꯥꯏ꯫ ꯈꯅꯕꯤꯌꯨ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯏꯆꯝ ꯆꯝꯕꯥ, ꯑꯄꯤꯀꯄꯥ ꯂꯪꯂꯥ ꯑꯃꯥ ꯅꯠꯠꯔꯒꯥ ꯈꯣꯡꯎꯄꯀꯤ ꯃꯆꯨ ꯍꯣꯡꯂꯀꯄꯥ ꯑꯁꯤꯅꯆꯤꯡꯕꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯃꯥ ꯎꯔꯕꯁꯨ, ꯅꯍꯥꯛꯅꯥ ꯃꯗꯨ ꯃꯤꯠꯌꯦꯡ ꯊꯃꯗꯅꯥ, ‘ꯃꯁꯤ ꯃꯁꯥ ꯃꯊꯟꯇꯥ ꯍꯦꯟꯅꯥ ꯐꯒꯠꯂꯛꯀꯅꯤ’ ꯍꯥꯌꯅꯥ ꯈꯟꯗꯨꯅꯥ ꯂꯩꯕꯥ ꯃꯇꯝ ꯂꯩ꯫ ꯑꯗꯨꯕꯨ ꯑꯄꯤꯀꯄꯥ ꯑꯣꯏꯅꯥ ꯎꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯑꯩꯈꯣꯌꯅꯥ ꯈꯪꯗꯕꯥ ꯐꯥꯎꯗꯕꯥ ꯑꯀꯅꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯒꯤ ꯑꯍꯥꯅꯕꯥ ꯈꯨꯗꯝ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯅꯥ ꯉꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯑꯇꯣꯞꯄꯥ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯍꯤꯔꯝ ꯑꯃꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯔꯤ, ꯃꯗꯨꯗꯤ ꯃꯄꯥꯅꯒꯤ ꯖꯦꯅꯤꯇꯦꯜ ꯑꯦꯔꯤꯌꯥꯒꯤ ꯀꯦꯟꯁꯔ , ꯅꯠꯔꯒꯥ `(Vulvar Cancer)`꯫

ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯚꯂꯚꯥꯔ ꯀꯦꯟꯁꯔ ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ?

ꯚꯂꯚꯥꯔ ꯀꯦꯟꯁꯔ ꯍꯥꯌꯕꯁꯤ ꯅꯨꯄꯤ ꯑꯃꯒꯤ ꯃꯄꯥꯅꯒꯤ ꯖꯦꯅꯤꯇꯦꯜ ꯑꯦꯔꯤꯌꯥ, ‘ꯚꯂꯚꯥ’ꯗꯥ ꯂꯩꯕꯥ ꯀꯦꯟꯁꯔ ꯁꯦꯂꯁꯤꯡꯅꯥ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯗꯅꯥ ꯍꯦꯅꯒꯠꯂꯀꯄꯕꯨꯅꯤ꯫ ꯃꯁꯤ ꯚꯦꯖꯤꯅꯦꯜ ꯀꯦꯟꯁꯔꯒꯥ ꯈꯦꯠꯅꯩ, ꯃꯁꯤ ꯚꯦꯖꯤꯅꯦꯜ ꯃꯅꯨꯡꯗꯥ ꯊꯣꯀꯄꯥ ꯀꯦꯟꯁꯔꯅꯤ .

ꯑꯣꯀꯦ, ꯍꯧꯖꯤꯛ ꯃꯄꯥꯅꯒꯤ ꯖꯦꯅꯤꯇꯦꯜ ꯑꯦꯔꯤꯌꯥ (vulva) ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯀꯔꯤ ꯂꯩꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯁꯤ꯫

• ꯚꯦꯖꯤꯅꯦꯜ ( vagina) ꯍꯥꯡꯗꯣꯀꯄꯥ : ꯏꯎꯇꯦꯔꯥꯁꯇꯒꯤ ꯃꯄꯥꯟꯊꯪꯕꯥ ꯁꯔꯨꯛꯇꯥ ꯆꯠꯄꯥ ꯌꯥꯕꯥ ꯂꯝꯕꯤꯗꯥ ꯆꯪꯂꯀꯄꯥ꯫
• ꯂꯦꯕꯤꯌꯥ: ꯂꯤꯄꯒꯨꯝꯕꯥ ꯈꯣꯡꯄꯥꯛ ꯑꯅꯤ꯫ ꯃꯁꯥ ꯃꯎ ꯐꯕꯥ ꯃꯄꯥꯟꯊꯪꯕꯥ ꯁꯔꯨꯛ ꯑꯗꯨꯕꯨ ``ꯂꯦꯕꯤꯌꯥ ꯃꯦꯖꯣꯔꯥ`` ꯍꯥꯌꯅꯥ ꯀꯧꯏ ꯑꯃꯁꯨꯡ ꯊꯣꯏꯗꯣꯀꯄꯥ ꯃꯅꯨꯡꯒꯤ ꯁꯔꯨꯛ ꯑꯗꯨꯕꯨ ``ꯂꯦꯕꯤꯌꯥ ꯃꯥꯏꯅꯣꯔꯥ`` ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫
• ꯀ꯭ꯂꯤꯇꯣꯔꯤꯁ (clitoris): ꯂꯦꯕꯤꯌꯥ ꯃꯥꯏꯅꯣꯔꯥ (leabia minora)ꯅꯥ ꯁꯝꯅꯔꯤꯕꯥ ꯃꯐꯝ ꯑꯗꯨꯗꯥ ꯈꯣꯡꯅꯥ ꯀꯨꯄꯁꯤꯜꯂꯕꯥ ꯌꯥꯝꯅꯥ ꯁꯦꯟꯁꯤꯇꯤꯚ ꯑꯣꯏꯕꯥ ꯂꯝ ꯑꯃꯅꯤ꯫
• ꯃꯣꯟꯁ ꯄ꯭ꯌꯨꯕꯤꯁ (Mons pubis): ꯃꯤꯔꯣꯜꯂꯤꯉꯩ ꯃꯇꯃꯗꯥ ꯆꯨꯝꯅꯥ ꯀꯨꯄꯁꯤꯜꯂꯕꯥ ꯄꯦꯂꯚꯤꯛ ꯕꯣꯅꯁꯤꯡꯒꯤ ꯃꯃꯥꯡꯗꯥ ꯂꯩꯕꯥ ꯇꯔꯨ-ꯇꯅꯥꯅꯕꯥ, ꯋꯥꯡꯈꯠꯄꯥ ꯃꯐꯝ꯫
• ꯄꯦꯔꯤꯅꯤꯌꯝ (Perineum): ꯃꯄꯥꯟꯊꯪꯕꯥ ꯁꯔꯨ ꯇꯥꯡ ꯑꯃꯁꯨꯡ ꯈꯣꯡꯒꯤ ꯃꯔꯛꯇꯥ ꯂꯩꯕꯥ ꯈꯣꯡꯎꯞ꯫

ꯁꯔꯨꯀꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯃꯐꯝ ꯑꯃꯍꯦꯛꯇꯗꯥ ꯀꯦꯟꯁꯔ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫

ꯀꯦꯟꯁꯔ ꯑꯁꯤꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯤꯅꯣ?

ꯑꯍꯥꯅꯕꯗꯥ ꯂꯥꯏꯑꯣꯡ ꯑꯃꯠꯇꯥ ꯂꯩꯇꯕꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯃꯇꯃꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ, ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯂꯥꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯃꯗꯒꯤ ꯍꯦꯅꯕꯥ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯎ꯫

ꯚꯂꯚꯥꯔ ꯀꯦꯟꯁꯔꯒꯤ ꯃꯈꯂꯁꯤꯡ ꯂꯩꯕ꯭ꯔꯥ?

ꯍꯣꯌ, ꯀꯦꯟꯁꯔ ꯑꯁꯤꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯈꯜ ꯀꯌꯥ ꯂꯩ꯫

• ꯁ꯭ꯛꯕꯥꯃꯁ ꯁꯦꯜ ꯀꯥꯔꯁꯤꯅꯣꯃꯥ: ꯃꯁꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯃꯈꯂꯅꯤ꯫ ꯃꯁꯤ ꯈꯣꯡꯎꯄꯀꯤ ꯁꯦꯂꯁꯤꯡꯗꯒꯤ ꯍꯧꯏ . ꯃꯔꯨꯑꯣꯏꯅꯥ ꯅꯍꯥ ꯑꯣꯏꯔꯤꯕꯥ ꯅꯨꯄꯤꯁꯤꯡꯗꯥ, ꯃꯁꯤ `ꯍ꯭ꯌꯨꯃꯦꯟ ꯄꯦꯄꯤꯂꯣꯃꯥ ꯚꯥꯏꯔꯁ (HPV) ꯀꯧꯕꯥ ꯚꯥꯏꯔꯁ ꯑꯃꯒꯥ ꯃꯔꯤ ꯂꯩꯅꯍꯅꯕꯥ ꯌꯥꯏ꯫`꯫
• ꯑꯦꯗꯦꯅꯣꯀꯥꯔꯁꯤꯅꯣꯃꯥ: ꯃꯈꯜ ꯑꯁꯤ ꯃꯍꯧꯁꯥꯅꯥ ꯕꯥꯔꯊꯣꯂꯤꯅꯒꯤ ꯒ꯭ꯜꯌꯥꯟꯗꯁꯤꯡꯗꯒꯤ ꯍꯧꯏ, ꯃꯈꯣꯌ ꯑꯁꯤ ꯚꯦꯖꯤꯅꯦꯜ ꯑꯣꯄꯅꯤꯡꯒꯤ ꯅꯥꯀꯜ ꯑꯃꯗꯥ ꯂꯩ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯃꯁꯤ ꯁꯤꯁ꯭ꯇꯦꯝ ꯑꯃꯒꯨꯝꯅꯥ ꯎꯕꯥ ꯐꯪꯏ꯫
• ꯃꯦꯂꯥꯅꯣꯃꯥ : ꯱ .ꯈꯣꯡꯗꯥ ꯃꯆꯨ ꯁꯪꯍꯅꯕꯥ ꯁꯦꯂꯁꯤꯡꯗꯥ ꯍꯧꯔꯀꯄꯥ ꯀꯦꯟꯁꯔ ꯃꯈꯜ ꯑꯃꯅꯤ꯫ ꯃꯁꯤ ꯃꯍꯧꯁꯥꯅꯥ ꯅꯨꯃꯤꯠꯀꯤ ꯃꯉꯥꯂꯅꯥ ꯊꯜꯂꯕꯥ ꯈꯣꯡꯗꯥ ꯊꯣꯀꯏ, ꯑꯗꯨꯕꯨ ꯃꯄꯥꯅꯒꯤ ꯃꯤꯠꯀꯤ ꯃꯐꯃꯗꯥ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫
• ꯁꯥꯔꯀꯣꯃꯥ: ꯁꯔꯨ ꯇꯥꯡ, ꯃꯁꯜ ꯅꯠꯠꯔꯒꯥ ꯀꯅꯦꯛꯇꯤꯕ ꯇꯤꯁꯨꯗꯥ ꯂꯩꯕꯥ ꯁꯦꯂꯁꯤꯡꯗꯒꯤ ꯍꯧꯔꯀꯄꯥ ꯀꯦꯟꯁꯔ ꯃꯈꯜ ꯑꯃꯅꯤ꯫ ꯃꯁꯤ ꯆꯍꯤ ꯑꯃꯍꯦꯛꯇꯗꯥ, ꯅꯍꯥ ꯑꯣꯏꯔꯤꯕꯥ ꯑꯉꯥꯡꯁꯤꯡꯗꯁꯨ ꯂꯥꯀꯄꯥ ꯌꯥꯏ꯫

ꯀꯦꯟꯁꯔ ꯑꯁꯤ ꯂꯥꯀꯄꯒꯤ ꯃꯔꯃꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯔꯤꯁ꯭ꯛ ꯐꯦꯛꯇꯔꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯤꯅꯣ?

ꯃꯁꯤꯒꯤ ꯑꯆꯨꯝꯕꯥ ꯃꯔꯝ ꯑꯁꯤ ꯍꯧꯖꯤꯛ ꯐꯥꯑꯣꯕꯥ ꯃꯌꯦꯛ ꯁꯦꯡꯗ꯭ꯔꯤ, ꯑꯗꯨꯕꯨ ꯑꯀꯛꯅꯕꯥ ꯋꯥꯐꯝ ꯈꯔꯅꯥ ꯀꯦꯟꯁꯔ ꯑꯁꯤ ꯂꯥꯀꯄꯒꯤ ꯔꯤꯁ꯭ꯛ ꯍꯦꯅꯒꯠꯍꯅꯕꯥ ꯌꯥꯏ꯫

• ꯆꯍꯤ: ꯆꯍꯤ 70ꯒꯤ ꯃꯊꯛꯇꯥ ꯂꯩꯕꯥ ꯅꯨꯄꯤꯁꯤꯡꯗꯥ ꯀꯃꯟ ꯑꯣꯏ꯫
• HPV ꯏꯅꯐꯦꯛꯁꯟ: `ꯍ꯭ꯌꯨꯃꯦꯟ ꯄꯦꯄꯤꯂꯣꯃꯥ ꯚꯥꯏꯔꯁ (HPV)`ꯒꯤ ꯏꯅꯐꯦꯛꯁꯟ ꯑꯁꯤ ꯑꯆꯧꯕꯥ ꯔꯤꯁ꯭ꯛ ꯐꯦꯛꯇꯔ ꯑꯃꯅꯤ꯫
• ꯃꯩꯈꯨ ꯊꯥꯗꯣꯀꯄꯥ: ꯃꯩꯈꯨ ꯊꯥꯗꯣꯀꯄꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯗꯥ ꯔꯤꯁ꯭ꯛ ꯍꯦꯅꯒꯠꯂꯀꯏ, ꯃꯔꯨꯑꯣꯏꯅꯥ HPV ꯏꯅꯐꯦꯛꯁꯟ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯗꯥ꯫
• ꯏꯝꯝꯌꯨꯅꯤꯇꯤ ꯍꯟꯊꯔꯀꯄꯥ: HIV ꯅꯠꯠꯔꯒꯥ AIDSꯒꯨꯝꯕꯥ ꯀꯟꯗꯤꯁꯅꯁꯤꯡꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯏꯝꯝꯌꯨꯅꯤꯇꯤ ꯁꯣꯟꯊꯕꯥ꯫
• ꯄ꯭ꯔꯤꯀꯦꯟꯁꯔ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ: ꯀꯦꯟꯁꯔꯒꯤ ꯃꯃꯥꯡꯗꯥ ꯊꯣꯀꯄꯥ ꯁꯦꯂꯒꯤ ꯑꯍꯣꯡꯕꯁꯤꯡ, ꯍꯥꯌꯕꯗꯤ `Vulvar Intraepithelial Neoplasia (VIN).`
• ꯂꯥꯏꯀꯦꯟ ꯁ꯭ꯛꯂꯦꯔꯣꯁꯁ: ꯃꯄꯥꯟꯊꯪꯕꯥ ꯁꯔꯨ ꯇꯥꯡꯁꯤꯡꯗꯥ ꯈꯣꯡ ꯍꯥꯝꯕꯥ ꯑꯃꯁꯨꯡ ꯁꯣꯟꯊꯕꯥ ꯊꯣꯀꯍꯜꯂꯤꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫
• ꯑꯇꯩ ꯀꯦꯟꯁꯔꯁꯤꯡ: ꯁꯔꯚꯤꯀꯦꯜ ꯅꯠꯠꯔꯒꯥ ꯚꯦꯖꯤꯅꯦꯜ ꯀꯦꯟꯁꯔꯒꯤ ꯍꯤꯁ꯭ꯇꯔꯤ ꯂꯩꯕꯥ꯫
• ꯏꯃꯨꯡꯒꯤ ꯍꯤꯁ꯭ꯇꯔꯤ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯏꯃꯨꯡ ꯑꯗꯨꯒꯤ ꯀꯅꯥꯒꯨꯝꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯅꯥ ꯃꯦꯂꯥꯅꯣꯃꯥ ꯂꯩꯔꯕꯗꯤ꯫

ꯗꯣꯛꯇꯔ, ꯃꯁꯤ ꯀꯔꯝꯅꯥ ꯈꯉꯒꯅꯤ?

ꯅꯍꯥꯛꯅꯥ ꯗꯣꯛꯇꯔ ꯑꯃꯒꯥ ꯎꯅꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯃꯍꯥꯛꯅꯥ ꯇꯦꯁ꯭ꯠ ꯈꯔꯗꯤ ꯇꯧꯕꯥ ꯌꯥꯏ꯫

1. ꯃꯦꯗꯤꯀꯦꯜ ꯍꯤꯁ꯭ꯇꯔꯤ: ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯁꯦꯂꯒꯤ ꯂꯃꯆꯠ-ꯁꯥꯖꯠ ꯑꯃꯁꯨꯡ ꯑꯅꯥꯕꯁꯤꯡꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯍꯪ ꯍꯪꯒꯅꯤ꯫

2. ꯄꯦꯂꯚꯤꯛ ꯑꯦꯀꯖꯥꯝ: ꯃꯄꯥꯅꯒꯤ ꯖꯦꯅꯤꯇꯦꯜ ꯑꯦꯔꯤꯌꯥ, ꯏꯎꯇꯦꯔꯥꯁ, ꯚꯦꯖꯤꯅꯦꯜ ꯑꯃꯁꯨꯡ ꯑꯀꯣꯌꯕꯗꯥ ꯂꯩꯕꯥ ꯑꯣꯔꯒꯥꯅꯁꯤꯡ ꯌꯦꯡꯁꯤꯜꯂꯤ꯫

3. ꯀꯣꯂꯄꯣꯁ꯭ꯀꯣꯄꯤ: ꯃꯦꯒ꯭ꯅꯤꯐꯥꯏꯌꯤꯡ ꯏꯅꯁ꯭ꯠꯔꯨꯃꯦꯟꯇ (ꯀꯣꯂꯄꯣꯁ꯭ꯀꯣꯞ) ꯑꯃꯅꯥ ꯆꯤꯡꯅꯕꯥ ꯂꯩꯕꯥ ꯃꯐꯃꯁꯤꯡ ꯍꯦꯟꯅꯥ ꯅꯛꯅꯥ ꯌꯦꯡꯁꯤꯅꯕꯥ꯫

4. ꯕꯥꯏꯑꯣꯞꯁꯤ: ꯆꯤꯡꯅꯕꯥ ꯂꯩꯕꯥ ꯃꯐꯝ ꯑꯃꯗꯒꯤ ꯇꯤꯁꯨꯒꯤ ꯑꯄꯤꯀꯄꯥ ꯁꯔꯨꯛ ꯑꯃꯥ ꯂꯧꯊꯣꯛꯇꯨꯅꯥ ꯃꯥꯏꯛꯔꯣꯁ꯭ꯀꯣꯄꯀꯤ ꯃꯈꯥꯗꯥ ꯌꯦꯡꯁꯤꯅꯕꯒꯤ ꯊꯧꯑꯣꯡ ꯑꯃꯅꯤ꯫ ꯃꯁꯤꯒꯤ ꯇꯦꯁ꯭ꯠ ꯑꯁꯤ ꯀꯦꯟꯁꯔ ꯑꯣꯏꯕꯔꯥ ꯅꯠꯔꯒꯥ ꯑꯣꯏꯗꯕꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯁꯣꯏꯗꯅꯥ ꯈꯉꯗꯣꯛꯅꯕꯥ ꯁꯤꯖꯤꯟꯅꯩ꯫

꯵.ꯏꯃꯦꯖꯤꯡ ꯇꯦꯁ꯭ꯇꯁꯤꯡ: ꯀꯦꯟꯁꯔ ꯑꯁꯤ ꯀꯌꯥ ꯌꯥꯝꯅꯥ ꯁꯟꯗꯣꯀꯈꯤꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯈꯉꯗꯣꯛꯅꯕꯥ `(ꯑꯦꯛꯁ-ꯔꯦ, ꯁꯤ.ꯇꯤ., ꯄꯤ.ꯏ.ꯇꯤ. ꯁ꯭ꯀꯦꯟ, ꯑꯦꯝ.ꯑꯥꯔ.ꯑꯥꯏ.)`ꯒꯨꯝꯕꯥ ꯁ꯭ꯀꯦꯅꯁꯤꯡ ꯄꯥꯡꯊꯣꯀꯏ꯫

ꯀꯦꯟꯁꯔꯒꯤ ꯁ꯭ꯇꯦꯖꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯤꯅꯣ?

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯑꯗꯨꯅꯥ ꯀꯦꯟꯁꯔ ꯂꯩꯔꯦ ꯍꯥꯌꯕꯥ ꯀꯅꯐꯥꯔꯝ ꯇꯧꯔꯕꯗꯤ, ꯃꯊꯪꯗꯥ ꯗꯣꯛꯇꯔꯅꯥ ꯇꯤꯎꯃꯔ ꯑꯗꯨꯒꯤ ꯁꯥꯏꯖ ꯑꯃꯁꯨꯡ ꯃꯁꯤ ꯁꯟꯗꯣꯀꯈꯤꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯒꯅꯤ꯫ ꯃꯁꯤꯕꯨ ‘ꯁ꯭ꯇꯦꯖꯤꯡ’ ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫

ꯂꯥꯏꯌꯦꯡꯕꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?

ꯂꯥꯏꯌꯦꯡ ꯑꯁꯤ ꯀꯦꯟꯁꯔ ꯃꯈꯜ, ꯃꯁꯤꯒꯤ ꯁ꯭ꯇꯦꯖ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯑꯄꯨꯅꯕꯥ ꯍꯀꯁꯦꯜ ꯑꯁꯤꯅꯆꯤꯡꯕꯥ ꯐꯦꯛꯇꯔ ꯀꯌꯥꯅꯥ ꯂꯦꯄꯊꯣꯀꯏ꯫ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯂꯥꯏꯌꯦꯡꯒꯤ ꯑꯣꯄꯁꯟ ꯃꯔꯤ ꯂꯩ꯫

꯱.ꯁꯔꯖꯔꯤ ꯇꯧꯕꯥ꯫

ꯃꯁꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯂꯥꯏꯌꯦꯡꯅꯤ꯫ ꯃꯁꯤꯗꯥ ꯀꯦꯟꯁꯔ ꯑꯃꯁꯨꯡ ꯑꯀꯣꯌꯕꯗꯥ ꯂꯩꯕꯥ ꯇꯤꯁꯨꯁꯤꯡ ꯂꯧꯊꯣꯀꯄꯥ ꯌꯥꯑꯣꯏ꯫ ꯄꯥꯡꯊꯣꯀꯄꯥ ꯁꯔꯖꯔꯤꯒꯤ ꯃꯈꯜ ꯑꯁꯤ ꯀꯦꯟꯁꯔꯒꯤ ꯁꯥꯏꯖ ꯑꯃꯁꯨꯡ ꯁꯟꯗꯣꯀꯄꯒꯤ ꯃꯈꯥ ꯄꯣꯜꯂꯤ꯫ ꯅꯍꯥꯛꯅꯥ ꯃꯄꯥꯅꯒꯤ ꯖꯤꯅꯦꯇꯤꯛꯁꯀꯤ ꯁꯔꯨꯛ ꯑꯃꯥ ꯅꯠꯠꯔꯒꯥ ꯄꯨꯝꯅꯃꯛ ꯂꯧꯊꯣꯀꯄꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯏ (ꯚꯂꯚꯦꯛꯇꯣꯃꯤ ꯑꯃꯥ)꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯀꯦꯟꯁꯔ ꯑꯗꯨ ꯁꯟꯗꯣꯀꯈ꯭ꯔꯕꯗꯤ, ꯑꯀꯣꯌꯕꯗꯥ ꯂꯩꯔꯤꯕꯥ ꯁꯦꯕꯥꯁꯤꯌꯁ ꯒ꯭ꯜꯌꯥꯟꯗꯁꯤꯡ ꯑꯗꯨꯁꯨ ꯂꯧꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫

꯲.ꯔꯦꯗꯤꯑꯦꯁꯟ ꯊꯦꯔꯥꯄꯤ ꯇꯧꯕꯥ꯫

ꯀꯦꯟꯁꯔ ꯁꯦꯂꯁꯤꯡ ꯃꯥꯡꯍꯟ ꯇꯥꯀꯍꯟꯅꯕꯥ ꯍꯥꯏ-ꯑꯦꯅꯔꯖꯤ ꯑꯦꯛꯁ-ꯔꯦꯒꯨꯝꯕꯥ ꯔꯦꯗꯤꯑꯦꯁꯟ ꯁꯤꯖꯤꯟꯅꯕꯥ꯫ ꯃꯁꯤ ꯃꯦꯁꯤꯟ ꯑꯃꯥ ꯁꯤꯖꯤꯟꯅꯗꯨꯅꯥ ꯃꯄꯥꯟꯗꯥ ꯔꯦꯗꯤꯑꯦꯁꯟ ꯄꯤꯗꯨꯅꯥ ꯅꯠꯠꯔꯒꯥ ꯇꯤꯎꯃꯔꯒꯤ ꯃꯅꯥꯛꯇꯥ ꯑꯄꯤꯀꯄꯥ ꯔꯦꯗꯤꯑꯣꯑꯦꯛꯇꯤꯚ ꯁꯤꯗ ꯑꯃꯥ ꯊꯃꯗꯨꯅꯥ ꯄꯥꯡꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫

꯳.ꯀꯦꯃꯣꯊꯦꯔꯥꯄꯤ (ꯀꯦꯃꯣꯊꯦꯔꯥꯄꯤ / “ꯀꯦꯃꯣ”) ꯳.

ꯀꯦꯟꯁꯔ ꯁꯦꯂꯁꯤꯡꯕꯨ ꯍꯥꯠꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ ꯊꯤꯡꯕꯥ ꯉꯝꯕꯥ ꯗ꯭ꯔꯒꯁꯤꯡ ꯄꯤꯕꯥ꯫ ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛ ꯑꯣꯏꯅꯥ, ꯏꯅꯖꯦꯀꯁꯟ (IV) ꯑꯣꯏꯅꯥ ꯅꯠꯠꯔꯒꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯈꯣꯡꯗꯥ ꯀ꯭ꯔꯤꯝ ꯑꯃꯥ ꯑꯣꯏꯅꯥ ꯄꯤꯕꯥ ꯌꯥꯏ꯫

ꯏꯝꯝꯌꯨꯅꯣꯊꯦꯔꯥꯄꯤ ꯴

ꯍꯀꯆꯥꯡꯒꯤ ꯃꯁꯥꯒꯤ ꯏꯝꯝꯌꯨꯟ ꯁꯤꯁ꯭ꯇꯦꯝ ꯊꯧꯒꯠꯄꯥ ꯑꯃꯁꯨꯡ ꯍꯀꯆꯥꯡꯅꯥ ꯀꯦꯟꯁꯔ ꯁꯦꯂꯁꯤꯡꯒꯥ ꯂꯥꯟꯊꯦꯡꯅꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯂꯤꯕꯥ ꯃꯣꯗꯔꯟ ꯇ꯭ꯔꯤꯠꯃꯦꯟꯇ ꯃꯦꯊꯗ ꯑꯃꯅꯤ꯫

ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯀꯔꯤ ꯊꯣꯀꯏ?

ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯃꯇꯨꯡꯗꯥ, ꯅꯍꯥꯀꯄꯨ ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯌꯦꯡꯁꯤꯅꯕꯥ ꯃꯊꯧ ꯇꯥꯒꯅꯤ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ , ꯅꯍꯥꯛꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯌꯦꯡꯁꯤꯅꯕꯥ ꯃꯊꯧ ꯇꯥꯒꯅꯤ (ꯐꯣꯂꯣ-ꯑꯞ ꯚꯤꯖꯤꯇꯁꯤꯡ)꯫ꯑꯍꯥꯅꯕꯥ ꯆꯍꯤ ꯑꯅꯤꯒꯤ ꯑꯣꯏꯅꯥ ꯊꯥ 3-6 ꯈꯨꯗꯤꯡꯒꯤ ꯇꯦꯁ꯭ꯠ ꯇꯧꯒꯗꯕꯅꯤ, ꯑꯃꯁꯨꯡ ꯃꯊꯪꯒꯤ ꯆꯍꯤ 3-5ꯒꯤ ꯑꯣꯏꯅꯥ ꯊꯥ 6-12 ꯈꯨꯗꯤꯡꯒꯤ ꯇꯧꯒꯗꯕꯅꯤ꯫

ꯂꯥꯏꯌꯦꯡꯕꯅꯥ ꯁꯥꯏꯗ ꯏꯐꯦꯛꯇ ꯈꯔꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯑꯁꯣꯀꯄꯥ ꯑꯗꯨ ꯁꯦꯡꯅꯥ ꯊꯝꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫ ꯃꯁꯤꯗꯁꯨ ꯅꯠꯇꯅꯥ, ꯈꯣꯡꯗꯥ ꯁꯣꯛ-ꯄꯅꯕꯥ (Lymphedema), ꯌꯨꯔꯤꯅꯔꯤ ꯇ꯭ꯔꯦꯛꯇꯀꯤ ꯏꯅꯐꯦꯛꯁꯅꯁꯤꯡ, ꯑꯃꯁꯨꯡ ꯁꯦꯛꯁ ꯇꯧꯕꯥ ꯃꯇꯃꯗꯥ ꯑꯅꯥꯕꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯅꯍꯥꯛꯅꯥ ꯊꯦꯡꯅꯔꯤꯕꯥ ꯑꯋꯥꯕꯥ ꯑꯃꯍꯦꯛꯇꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯃꯦꯗꯤꯀꯦꯜ ꯇꯤꯃꯗꯥ ꯈꯉꯍꯅꯕꯤꯌꯨ . ꯃꯈꯣꯌꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯃꯈꯣꯌꯕꯨ ꯃꯦꯅꯦꯖ ꯇꯧꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯕꯥ ꯌꯥꯏ꯫

ꯁꯦꯛꯁꯨꯑꯦꯜ ꯗꯤꯁꯐꯉ꯭ꯀꯁꯅꯒꯤ ꯆꯥꯡ ꯈꯔꯥ ꯂꯩꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯅꯣꯔꯃꯦꯂꯅꯤ꯫ ꯍꯀꯆꯥꯡꯒꯤ ꯃꯑꯣꯡ-ꯃꯇꯧ, ꯑꯅꯥꯕꯥ ꯑꯃꯁꯨꯡ ꯑꯇꯩ ꯏꯃꯣꯁꯅꯦꯜ ꯏꯐꯦꯛꯇꯁꯤꯡꯗꯁꯨ ꯑꯍꯣꯡꯕꯥ ꯂꯥꯀꯄꯥ ꯌꯥꯏ꯫ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔ, ꯅꯔꯁ ꯅꯠꯠꯔꯒꯥ ꯀꯥꯎꯟꯁꯦꯂꯔꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯑꯃꯨꯛꯇꯪ ꯋꯥꯔꯤ ꯁꯥꯅꯕꯗꯥ ꯂꯥꯡꯇꯛꯅꯒꯅꯨ꯫