ꯅꯍꯥꯛꯀꯤ ꯂꯤꯚꯔ ꯑꯗꯨꯁꯨ ꯐꯦꯠ ꯑꯣꯏꯕ꯭ꯔꯥ? MASH (ꯃꯦꯇꯥꯕꯣꯂꯤꯛ ꯗꯤꯁꯐꯉ꯭ꯀꯁꯟ-ꯑꯦꯁꯣꯁꯤꯑꯦꯇꯦꯗ ꯁ꯭ꯇꯦꯇꯣꯍꯦꯄꯥꯇꯥꯏꯇꯤꯁ)ꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯈꯉꯂꯁꯤ!

ꯂꯤꯚꯔꯗꯥ ꯐꯦꯠ ꯊꯨꯒꯥꯌꯕꯥ ꯂꯥꯌꯅꯥ ꯑꯃꯒꯤ ꯃꯔꯃꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯇꯥꯕꯤꯔꯝꯂꯒꯗ꯭ꯔꯥ? ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯑꯆꯧꯕꯥ ꯂꯥꯏꯑꯣꯡ ꯑꯃꯠꯇꯥ ꯌꯥꯎꯗꯅꯥ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯑꯣꯏꯔꯀꯄꯥ ꯌꯥꯏ꯫ ꯉꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯂꯤꯚꯔꯗꯥ ꯆꯨꯃꯗ꯭ꯔꯤꯡꯅꯥ ꯁꯣꯀꯍꯅꯕꯥ ꯌꯥꯕꯥ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯂꯥꯌꯅꯥ ꯑꯃꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯔꯤ꯫ ꯃꯁꯤꯕꯨ MASH (ꯃꯦꯇꯥꯕꯣꯂꯤꯛ ꯗꯤꯁꯐꯉ꯭ꯀꯁꯟ-ꯑꯦꯁꯣꯁꯤꯑꯦꯇꯦꯗ ꯁ꯭ꯇꯦꯇꯣꯍꯦꯄꯥꯇꯥꯏꯇꯤꯁ) ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫

MASH (ꯃꯦꯇꯥꯕꯣꯂꯤꯛ ꯗꯤꯁꯐꯉ꯭ꯀꯁꯟ-ꯑꯦꯁꯣꯁꯤꯑꯦꯠ ꯁ꯭ꯇꯦꯇꯣꯍꯦꯄꯥꯇꯥꯏꯇꯤꯁ) ꯍꯥꯌꯕꯁꯤ ꯇꯁꯦꯡꯅꯥ ꯀꯔꯤꯅꯣ?

ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, MASH ꯍꯥꯌꯕꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯂꯤꯚꯔꯗꯥ ꯐꯦꯠ ꯌꯥꯝꯅꯥ ꯌꯥꯎꯕꯥ, ꯏꯅꯐ꯭ꯂꯦꯃꯦꯁꯟ ꯊꯣꯀꯍꯅꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ, ꯃꯁꯤ ꯑꯁꯣꯛ-ꯑꯄꯅꯒꯥ ꯃꯥꯟꯅꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫ ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯁꯤꯒꯨꯝꯅꯥ ꯈꯟꯊꯕꯤꯌꯨ: ꯅꯍꯥꯛꯅꯥ ꯑꯁꯣꯀꯄꯥ ꯑꯃꯥ ꯂꯩꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯃꯐꯝ ꯑꯗꯨ ꯂꯥꯂꯍꯧꯕꯥ, ꯁꯣꯟꯊꯕꯥ ꯑꯃꯁꯨꯡ ꯏꯪꯊꯕꯥ ꯑꯣꯏꯔꯀꯏ ꯑꯃꯁꯨꯡ ꯂꯤꯚꯔꯒꯤ ꯃꯅꯨꯡꯗꯥꯁꯨ ꯃꯁꯤꯃꯛ ꯊꯣꯀꯏ꯫ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤꯒꯤ ꯃꯃꯤꯡ ꯑꯁꯤ NASH (ꯅꯟ-ꯑꯂꯀꯣꯍꯣꯂꯤꯛ ꯁ꯭ꯇꯦꯇꯣꯍꯦꯄꯥꯇꯥꯏꯇꯤꯁ) ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫

MASH ꯀꯧꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ MASLD (ꯃꯦꯇꯥꯕꯣꯂꯤꯛ ꯗꯤꯁꯐꯉ꯭ꯀꯁꯟ-ꯑꯦꯁꯣꯁꯤꯑꯦꯇꯦꯗ ꯁ꯭ꯇꯦꯇꯣꯇꯤꯛ ꯂꯤꯚꯔ ꯗꯤꯖꯤꯖ) ꯀꯧꯕꯥ ꯂꯤꯚꯔꯒꯤ ꯂꯥꯌꯅꯥꯁꯤꯡꯒꯤ ꯄꯥꯛ-ꯆꯥꯎꯔꯕꯥ ꯀꯥꯡꯂꯨꯞ ꯑꯃꯒꯤ ꯁꯔꯨꯛ ꯑꯃꯅꯤ꯫ ꯃꯁꯤ ꯌꯨ ꯊꯀꯄꯥ ꯅꯠꯇꯕꯥ ꯃꯔꯃꯁꯤꯡꯅꯥ ꯂꯤꯚꯔꯗꯥ ꯐꯦꯠ ꯌꯥꯎꯔꯀꯄꯅꯥ ꯊꯣꯀꯍꯅꯕꯅꯤ꯫

ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯋꯥꯐꯃꯗꯤ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯁꯤ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯂꯥꯌꯦꯡꯗ꯭ꯔꯕꯗꯤ, ꯃꯇꯃꯒꯤ ꯃꯇꯨꯡ ꯏꯟꯅꯥ ꯃꯁꯤꯅꯥ ꯁꯤꯔꯣꯁꯤꯁꯒꯨꯝꯕꯥ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ, ꯃꯗꯨꯅꯥ ꯂꯤꯚꯔ ꯑꯁꯤ ꯀꯟꯅꯥ ꯁꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯁꯣꯀꯄꯥ, ꯅꯠꯠꯔꯒꯥ ꯂꯤꯚꯔ ꯀꯦꯟꯁꯔꯒꯨꯝꯕꯥ ꯈꯨꯗꯣꯡꯊꯤꯅꯤꯉꯥꯏ ꯑꯣꯏꯕꯥ ꯂꯥꯌꯅꯥꯁꯤꯡ ꯐꯥꯎꯕꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯆꯦꯀꯁꯤꯅꯕꯥ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨ ꯑꯣꯏ꯫

MASH ꯒꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯃꯔꯃꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ? ꯀꯅꯥꯅꯥ ꯈꯨꯗꯣꯡꯊꯤꯕꯥ ꯅꯪꯂꯤꯕꯅꯣ?

MASH ꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯔꯃꯗꯤ ꯂꯤꯚꯔꯗꯥ ꯐꯦꯠ ꯌꯥꯝꯅꯥ ꯄꯨꯊꯣꯀꯄꯅꯤ, ꯃꯗꯨꯅꯥ ꯂꯤꯚꯔꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯜꯂꯤ ꯑꯃꯁꯨꯡ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯁꯟ ꯊꯣꯀꯍꯜꯂꯤ꯫ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯆꯤꯅꯤ ꯑꯃꯁꯨꯡ ꯐꯦꯇꯀꯤ ꯃꯦꯇꯥꯕꯣꯂꯤꯖꯃꯗꯥ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯂꯩꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯗꯥ ꯁꯣꯀꯍꯜꯂꯤꯕꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯔꯃꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯔꯤꯁ꯭ꯛ ꯐꯦꯛꯇꯔꯁꯤꯡ ꯑꯁꯤ ꯌꯦꯡꯁꯤ:

• ꯑꯣꯕꯦꯁꯤꯇꯤ ꯅꯠꯠꯔꯒꯥ ꯑꯣꯚꯔꯋꯦꯠ (overweight) : ꯃꯁꯤ ꯑꯆꯧꯕꯥ ꯐꯦꯛꯇꯔ ꯑꯃꯅꯤ꯫
• ꯇꯥꯏꯞ 2 ꯗꯥꯏꯑꯦꯕꯦꯇꯤꯖ: ꯗꯥꯏꯑꯦꯕꯦꯇꯤꯖ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯗꯥ MASH ꯂꯥꯀꯄꯒꯤ ꯔꯤꯁ꯭ꯛ ꯍꯦꯅꯒꯠꯂꯀꯏ꯫
• ꯀꯣꯂꯦꯁ꯭ꯇꯦꯔꯣꯜ ꯋꯥꯡꯕꯥ : ꯏꯗꯥ ꯐꯠꯇꯕꯥ ꯀꯣꯂꯦꯁ꯭ꯇꯦꯔꯣꯂꯒꯤ ꯆꯥꯡ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ꯫
• ꯇ꯭ꯔꯥꯏꯒ꯭ꯂꯤꯁꯔꯥꯏꯗꯁꯤꯡ ꯋꯥꯡꯕꯥ : ꯃꯁꯤꯁꯨ ꯏꯗꯥ ꯌꯥꯎꯔꯤꯕꯥ ꯐꯦꯠ ꯃꯈꯜ ꯑꯃꯅꯤ꯫ ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤꯗꯥ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ ꯑꯁꯤꯁꯨ ꯑꯐꯕꯥ ꯅꯠꯇꯦ꯫
• ꯍꯥꯌ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ: ꯑꯩꯈꯣꯌꯅꯥ ꯃꯁꯤꯕꯨ ꯄ꯭ꯔꯦꯁꯔ ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫
• ꯏꯅꯁꯨꯂꯤꯟ ꯔꯦꯁꯤꯁ꯭ꯇꯦꯟꯁ: ꯍꯀꯆꯥꯡꯒꯤ ꯁꯦꯂꯁꯤꯡꯅꯥ ꯏꯅꯁꯨꯂꯤꯅꯗꯥ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯔꯦꯁꯄꯣꯟꯁ ꯇꯧꯗꯕꯥ ꯃꯇꯃꯗꯥ꯫ ꯃꯁꯤ ꯗꯥꯏꯑꯦꯕꯦꯇꯤꯖꯒꯤ ꯃꯃꯥꯡꯗꯥ ꯂꯩꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫

ꯅꯤꯡꯁꯤꯡꯕꯤꯌꯨ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯕꯥ ꯑꯔꯨꯝꯕꯥ ꯂꯩꯔꯕꯁꯨ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯀꯣꯂꯦꯁ꯭ꯇꯦꯔꯣꯜ ꯋꯥꯡꯕꯥ, ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ ꯋꯥꯡꯕꯥ, ꯅꯠꯠꯔꯒꯥ ꯗꯥꯏꯑꯦꯕꯦꯇꯤꯖꯒꯨꯝꯕꯥ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ ꯂꯩꯔꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ MASH ꯂꯥꯀꯄꯒꯤ ꯔꯤꯁ꯭ꯛ ꯈꯔꯥ ꯂꯩꯕꯥ ꯌꯥꯏ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯔꯤꯁ꯭ꯛ ꯐꯦꯛꯇꯔꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯠꯇꯥ ꯂꯩꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯇꯥꯟꯅꯗꯨꯅꯥ MASH ꯆꯦꯛ ꯇꯧꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯂꯧꯁꯤꯡꯅꯤ꯫

MASHꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ? ꯑꯗꯣꯝꯅꯥ ꯃꯁꯤ ꯀꯔꯝꯅꯥ ꯈꯉꯕꯤꯔꯤꯕꯒꯦ?

ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯑꯁꯤꯗꯤ: MASH ꯑꯁꯤꯅꯥ ꯑꯌꯥꯝꯕꯗꯤ ꯑꯍꯥꯅꯕꯥ ꯁ꯭ꯇꯦꯖꯁꯤꯡꯗꯥ ꯃꯌꯦꯛ ꯁꯦꯡꯕꯥ ꯂꯥꯏꯑꯣꯡ ꯑꯃꯠꯇꯥ ꯎꯠꯄꯥ ꯉꯃꯗꯦ꯫ꯂꯥꯌꯅꯥ ꯑꯁꯤ ꯆꯍꯤ ꯀꯌꯥꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯍꯦꯅꯒꯠꯂꯀꯏ꯫ ꯂꯥꯏꯑꯣꯡ ꯈꯔꯗꯤ ꯂꯤꯚꯔ ꯑꯗꯨ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯅꯥ ꯁꯣꯀꯍꯜꯂꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯂꯥꯀꯄꯥ ꯍꯧꯏ꯫ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯗꯨ ꯂꯥꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯃꯈꯣꯌꯗꯨꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯁꯤꯡꯁꯤ ꯌꯥꯎꯕꯥ ꯌꯥꯏ:

• ꯋꯥꯈꯜ ꯆꯔꯥꯡꯅꯕꯥ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯃꯠꯇꯥ ꯇꯧꯗꯅꯥ ꯐꯥꯎꯕꯥ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯐꯥꯎꯕꯥ꯫
• ꯅꯍꯥꯛꯀꯤ ꯃꯊꯛ ꯊꯪꯕꯥ ꯁꯔꯨꯛꯇꯥ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯄꯥ: ꯂꯤꯚꯔ ꯑꯗꯨ ꯂꯩꯔꯤꯕꯥ ꯃꯐꯝ ꯑꯗꯨꯗꯥ꯫
• ꯃꯌꯦꯛ ꯁꯦꯡꯗꯕꯥ ꯑꯔꯨꯝꯕꯥ ꯍꯟꯊꯕꯥ꯫
• ꯃꯁꯜ ꯁꯣꯟꯊꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯃꯁꯜ ꯁꯣꯟꯊꯕꯥ꯫
• ꯈꯣꯡ ꯅꯠꯠꯔꯒꯥ ꯈꯣꯡꯗꯥ ꯁꯣꯀꯄꯥ꯫
• ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯃꯇꯃꯗꯥ, ꯃꯤꯠ ꯑꯃꯁꯨꯡ ꯈꯣꯡꯗꯥ ꯌꯦꯔꯨꯝ ꯀꯣꯀꯄꯥ (joundice): ꯃꯁꯤꯕꯨ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯑꯩꯈꯣꯌꯅꯥ ꯖꯟꯗꯥꯁ ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫

ꯑꯍꯥꯅꯕꯥ ꯇꯥꯉ꯭ꯀꯀꯁꯤꯡꯗꯥ ꯂꯥꯏꯑꯣꯡ ꯑꯃꯠꯇꯥ ꯂꯩꯇꯕꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ, ꯃꯔꯨꯑꯣꯏꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯣꯕꯦꯁꯤꯇꯤ, ꯗꯥꯏꯑꯦꯕꯦꯇꯤꯖ, ꯅꯠꯠꯔꯒꯥ ꯀꯣꯂꯦꯁ꯭ꯇꯦꯔꯣꯜ ꯋꯥꯡꯕꯥ ꯑꯁꯤꯅꯆꯤꯡꯕꯥ ꯔꯤꯁ꯭ꯛ ꯐꯦꯛꯇꯔꯁꯤꯡ ꯂꯩꯔꯕꯗꯤ ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯆꯦꯀꯑꯞ ꯇꯧꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫ ꯃꯁꯤ ꯅꯍꯥꯛꯅꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯇꯣꯏꯅꯥ ꯈꯪꯗꯣꯀꯄꯥ ꯉꯝꯕꯥ ꯃꯇꯃꯅꯤ꯫

MASHꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯑꯇꯩ ꯀꯔꯤ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ ꯊꯣꯀꯄꯥ ꯌꯥꯕꯒꯦ?

ꯀꯔꯤꯒꯨꯝꯕꯥ MASH ꯑꯁꯤ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯂꯥꯏꯌꯦꯡꯗ꯭ꯔꯕꯗꯤ, ꯃꯁꯤꯅꯥ ꯁꯥꯊꯤꯕꯥ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯄꯨꯟꯁꯤ ꯃꯥꯡꯍꯅꯕꯥ ꯌꯥꯕꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯃꯈꯣꯌꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯤꯅꯣ:

• ꯂꯤꯚꯔ ꯐꯥꯏꯕ꯭ꯔꯣꯁꯤꯁ (Liver fibrosis): ꯃꯁꯤ ꯂꯤꯚꯔꯗꯥ ꯁꯣꯀꯍꯜꯂꯀꯄꯥ (scarring)ꯅꯤ꯫ ꯃꯇꯃꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ, ꯃꯁꯤꯒꯤ ꯁꯣꯛ-ꯄꯅꯕꯥ ꯑꯁꯤ ꯍꯦꯅꯒꯠꯂꯀꯏ, ꯃꯗꯨꯅꯥ ꯁꯤꯔꯣꯁꯤꯁ (cirhosis) ꯊꯣꯀꯍꯜꯂꯤ꯫
• ꯁꯤꯔꯣꯁꯤꯁ (Cirrhosis): ꯃꯁꯤ ꯂꯤꯚꯔꯗꯥ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯅꯥ ꯁꯣꯀꯍꯜꯂꯕꯥ ꯑꯃꯁꯨꯡ ꯃꯁꯤꯒꯤ ꯐꯉ꯭ꯀꯁꯟ ꯁꯣꯟꯊꯔꯀꯄꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫ ꯃꯁꯤ ꯑꯌꯥꯝꯕꯗꯤ ꯄꯔꯃꯦꯅꯦꯟꯇ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ, ꯃꯁꯤꯅꯥ ꯇꯥꯀꯄꯗꯤ ꯃꯁꯤ ꯔꯤꯚꯔꯁ ꯇꯧꯕꯗꯥ ꯑꯋꯥꯕꯥ ꯑꯣꯏ꯫
• ꯂꯤꯚꯔ ꯐꯦꯜ ꯑꯣꯏꯕꯥ : ꯂꯤꯚꯔꯅꯥ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯊꯕꯛ ꯇꯧꯕꯥ ꯂꯦꯄꯈꯤ꯫ ꯃꯁꯤ ꯈꯪꯍꯧꯗꯅꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯁꯤ ꯑꯣꯏꯔꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯈꯨꯗꯛꯇꯥ ꯃꯦꯗꯤꯀꯦꯜ ꯑꯦꯇꯦꯟꯁꯟ ꯅꯠꯠꯔꯒꯥ ꯂꯤꯚꯔ ꯇ꯭ꯔꯥꯟꯁꯞꯂꯥꯟꯇ ꯇꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯏ꯫
• ꯍꯦꯄꯥꯇꯣꯁꯦꯂꯨꯂꯥꯔ ꯀꯥꯔꯁꯤꯅꯣꯃꯥ: MASHꯅꯥ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯂꯤꯚꯔ ꯀꯦꯟꯁꯔ ꯃꯈꯜ ꯑꯁꯤ ꯂꯥꯀꯄꯒꯤ ꯔꯤꯁ꯭ꯛ ꯍꯦꯅꯒꯠꯍꯜꯂꯤ꯫
• ꯍꯥꯔꯠ ꯗꯤꯖꯤꯖ: MASHꯅꯥ ꯅꯥꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯗꯥ ꯍꯥꯔꯠ ꯑꯦꯇꯦꯛ ꯑꯃꯁꯨꯡ ꯁ꯭ꯠꯔꯣꯀꯒꯨꯝꯕꯥ ꯍꯥꯔꯇꯀꯥ ꯃꯔꯤ ꯂꯩꯅꯕꯥ ꯂꯥꯌꯅꯥꯁꯤꯡ ꯂꯥꯀꯄꯒꯤ ꯔꯤꯁ꯭ꯛ ꯍꯦꯅꯒꯠꯂꯀꯏ꯫

ꯈꯟꯗꯨꯅꯥ ꯌꯦꯡꯕꯤꯌꯨ, ꯃꯁꯤ ꯄꯨꯝꯅꯃꯛ ꯑꯁꯤ ꯂꯤꯚꯔꯗꯥ ꯐꯦꯠ ꯈꯔꯥ ꯂꯩꯕꯗꯒꯤ ꯍꯧꯏ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯑꯩꯈꯣꯌꯅꯥ ꯍꯥꯌꯔꯤꯕꯁꯤ, ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯑꯄꯤꯀꯄꯥ ꯋꯥꯐꯝ ꯐꯥꯑꯣꯕꯥ ꯃꯤꯠꯌꯦꯡ ꯊꯃꯒꯅꯨ꯫

ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯃꯇꯧ ꯀꯔꯝꯅꯥ ꯑꯦꯝ.ꯑꯦ.ꯑꯦꯁ.ꯑꯩꯆ.

MASHꯅꯥ ꯑꯍꯥꯅꯕꯗꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯊꯣꯀꯍꯟꯗꯕꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ, ꯃꯁꯤ ꯈꯪꯗꯣꯛꯅꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯧꯈꯠꯀꯗꯕꯥ ꯈꯣꯡꯊꯥꯡ ꯀꯌꯥ ꯂꯩ꯫ ꯗꯣꯛꯇꯔ ꯑꯃꯅꯥ ꯑꯍꯥꯅꯕꯗꯥ ꯐꯤꯖꯤꯀꯦꯜ ꯑꯦꯀꯖꯥꯃꯤꯅꯦꯁꯟ ꯑꯃꯥ ꯇꯧꯒꯅꯤ꯫ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯃꯈꯣꯌꯅꯥ ꯅꯍꯥꯀꯄꯨ MASH ꯂꯥꯀꯄꯒꯤ ꯔꯤꯁ꯭ꯛ ꯍꯦꯅꯒꯠꯍꯅꯕꯥ ꯌꯥꯕꯥ ꯑꯇꯩ ꯃꯦꯗꯤꯀꯦꯜ ꯀꯟꯗꯤꯁꯅꯁꯤꯡꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯍꯪꯒꯅꯤ (ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯗꯥꯏꯑꯦꯕꯦꯇꯤꯖ, ꯀꯣꯂꯦꯁ꯭ꯇꯦꯔꯣꯜ)꯫ ꯃꯁꯤꯒꯤ ꯃꯊꯛꯇꯥ, ꯃꯈꯣꯌꯅꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯑꯁꯤ ꯇꯧꯕꯥ ꯌꯥꯏ:

ꯕ꯭ꯂꯗ ꯇꯦꯁ꯭ꯠ ꯇꯧꯕꯥ꯫

ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯂꯤꯚꯔꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯅꯠꯠꯔꯒꯥ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯁꯟ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯁꯤꯟꯅꯕꯥ ꯕ꯭ꯂꯗ ꯇꯦꯁ꯭ꯠ ꯇꯧꯅꯕꯥ ꯑꯣꯔꯗꯔ ꯇꯧꯒꯅꯤ꯫ ꯃꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯁꯤꯡꯁꯤ ꯌꯥꯎꯕꯥ ꯌꯥꯏ:

• ꯁꯤ.ꯕꯤ.ꯁꯤ.(ꯀꯝꯞꯂꯤꯠ ꯕ꯭ꯂꯗ ꯀꯥꯎꯟꯇ): ꯃꯄꯨꯡꯐꯥꯕꯥ ꯕ꯭ꯂꯗ ꯁꯦꯜ ꯀꯥꯎꯟꯇ꯫
• ꯕꯤ.ꯑꯦꯝ.ꯄꯤ.(ꯕꯦꯁꯤꯛ ꯃꯦꯇꯥꯕꯣꯂꯤꯛ ꯄꯦꯅꯦꯜ): ꯕꯦꯁꯤꯛ ꯃꯦꯇꯥꯕꯣꯂꯤꯛ ꯄ꯭ꯔꯣꯁꯦꯁ ꯇꯦꯁ꯭ꯠ꯫
• ꯂꯤꯄꯤꯗ ꯄꯦꯅꯦꯜ: ꯀꯣꯂꯦꯁ꯭ꯇꯦꯔꯣꯜ ꯑꯃꯁꯨꯡ ꯇ꯭ꯔꯥꯏꯒ꯭ꯂꯤꯁꯔꯥꯏꯗꯒꯨꯝꯕꯥ ꯐꯦꯇꯀꯤ ꯆꯥꯡ ꯌꯦꯡꯁꯤꯜꯂꯨ꯫
• ꯍꯦꯃꯣꯒ꯭ꯂꯣꯕꯤꯟ A1C: ꯗꯥꯏꯑꯦꯕꯦꯇꯤꯖ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯅꯕꯥ ꯇꯦꯁ꯭ꯠ ꯑꯃꯅꯤ꯫

ꯏꯃꯦꯖꯤꯡ ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯇꯧꯕꯥ꯫

ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯂꯤꯚꯔꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯂꯩꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ (images) ꯂꯧꯕꯥ ꯌꯥꯏ꯫ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯂꯤꯚꯔꯗꯥ MASH ꯁ꯭ꯇꯦꯇꯁꯀꯥ ꯃꯔꯤ ꯂꯩꯅꯕꯥ ꯑꯍꯣꯡꯕꯥ ꯑꯃꯠꯇꯥ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯅꯕꯒꯤꯗꯃꯛ ꯄꯤꯀꯆꯔꯁꯤꯡ ꯑꯁꯤ ꯌꯦꯡꯒꯅꯤ꯫ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯑꯁꯤ ꯇꯧꯕꯥ ꯌꯥꯏ:

• ꯁꯤ.ꯇꯤ.ꯁ꯭ꯀꯦꯟ (ꯁꯤ.ꯇꯤ. ꯁ꯭ꯀꯦꯟ - ꯀꯝꯞꯌꯨꯇꯔ ꯇꯣꯃꯣꯒ꯭ꯔꯥꯐꯤ ꯁ꯭ꯀꯦꯟ)
• ꯑꯂꯠꯔꯥꯁꯥꯎꯟꯗ ꯁ꯭ꯀꯦꯟ ꯇꯧꯕꯥ꯫
• ꯐꯥꯏꯕ꯭ꯔꯣꯁ꯭ꯀꯦꯟ®: ꯃꯁꯤ ꯂꯤꯚꯔꯒꯤ ꯇꯔꯨ-ꯇꯅꯥꯅꯕꯥ ꯑꯗꯨ ꯌꯦꯡꯁꯤꯜꯂꯤꯕꯥ ꯑꯈꯟꯅꯕꯥ ꯃꯈꯂꯒꯤ ꯑꯂꯠꯔꯥꯁꯥꯎꯟꯗ ꯑꯃꯅꯤ꯫ ꯃꯁꯤꯅꯥ ꯂꯤꯚꯔ ꯐꯥꯏꯕ꯭ꯔꯣꯁꯤꯁꯀꯤ ꯋꯥꯈꯜꯂꯣꯟ ꯑꯃꯥ ꯄꯤꯕꯥ ꯉꯃꯒꯅꯤ꯫
• ꯃꯦꯒ꯭ꯅꯦꯇꯤꯛ ꯔꯤꯖꯣꯅꯦꯟꯁ ꯏꯂꯥꯁ꯭ꯇꯣꯒ꯭ꯔꯥꯐꯤ ꯑꯃꯁꯨꯡ ꯄ꯭ꯔꯣꯇꯣꯟ ꯗꯦꯟꯁꯤꯇꯤ ꯐꯦꯠ ꯐ꯭ꯔꯦꯀꯆꯔ (MRE-PDFF): ꯃꯁꯤꯅꯥ ꯂꯤꯚꯔꯗꯥ ꯂꯩꯕꯥ ꯐꯦꯇꯀꯤ ꯆꯥꯡ ꯑꯗꯨ ꯑꯆꯨꯝꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯂꯦꯄꯊꯣꯀꯄꯥ ꯉꯝꯃꯤ꯫

ꯂꯤꯚꯔ ꯕꯥꯏꯑꯣꯞꯁꯤ ꯇꯧꯕꯥ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯂꯤꯚꯔꯗꯒꯤ ꯇꯤꯁꯨꯒꯤ ꯑꯄꯤꯀꯄꯥ ꯁꯦꯝꯄꯜ ꯑꯃꯥ ꯂꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯏ, ꯃꯗꯨꯕꯨ ꯂꯤꯚꯔ ꯕꯥꯏꯑꯣꯞꯁꯤ ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ ꯃꯦꯗꯤꯀꯦꯜ ꯄꯦꯊꯣꯂꯣꯖꯤꯁ꯭ꯠ ꯑꯃꯅꯥ ꯁꯦꯝꯄꯜ ꯑꯗꯨ ꯃꯥꯏꯛꯔꯣꯁ꯭ꯀꯣꯄꯀꯤ ꯃꯈꯥꯗꯥ ꯌꯦꯡꯁꯤꯟꯗꯨꯅꯥ ꯂꯤꯚꯔꯗꯥ ꯐꯦꯠ, ꯏꯅꯐ꯭ꯂꯦꯃꯦꯁꯟ ꯑꯃꯁꯨꯡ ꯁ꯭ꯀꯥꯔ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯒꯅꯤ꯫ ꯂꯤꯚꯔ ꯕꯥꯏꯑꯣꯞꯁꯤ ꯑꯁꯤꯅꯥ MASH ꯑꯁꯤ ꯑꯆꯨꯝꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯈꯪꯗꯣꯛꯅꯕꯒꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯥ ꯄꯥꯝꯕꯩꯅꯤ꯫

ꯃꯁꯤꯒꯤ ꯃꯊꯛꯇꯥ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯗꯨ ꯑꯇꯣꯞꯄꯥ ꯂꯤꯚꯔꯒꯤ ꯂꯥꯌꯅꯥ ꯑꯃꯅꯥ ꯊꯣꯀꯍꯅꯕꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯈꯪꯗꯣꯛꯅꯕꯥ ꯑꯇꯩ ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯄꯥꯡꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫

ꯑꯦꯝ.ꯑꯦ.ꯑꯦꯁ.ꯑꯩꯆ.ꯀꯤ ꯂꯥꯏꯌꯦꯡꯁꯤꯡ ꯀꯔꯤꯅꯣ?

MASHꯒꯤ ꯂꯥꯏꯌꯦꯡ ꯑꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯃꯦꯇꯥꯕꯣꯂꯤꯛ ꯍꯦꯂꯊ ꯐꯒꯠꯍꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯂꯤꯚꯔꯗꯥ ꯃꯈꯥ ꯇꯥꯅꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯊꯤꯡꯕꯗꯥ ꯃꯤꯠꯌꯦꯡ ꯊꯝꯂꯤ꯫ ꯅꯍꯥꯛꯀꯤ ꯂꯥꯏꯌꯦꯡꯒꯤ ꯄ꯭ꯂꯥꯟ ꯑꯗꯨꯗꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯁꯤꯡꯁꯤ ꯌꯥꯎꯕꯥ ꯌꯥꯏ:

ꯄꯨꯟꯁꯤ ꯃꯍꯤꯡꯗꯥ ꯑꯍꯣꯡꯕꯥ ꯂꯥꯀꯄꯥ꯫

MASH ꯀꯟꯠꯔꯣꯜ ꯇꯧꯅꯕꯒꯤꯗꯃꯛ, ꯍꯀꯁꯦꯜ ꯐꯕꯥ ꯗꯥꯏꯠ ꯑꯃꯥ ꯂꯧꯕꯥ, ꯑꯦꯛꯇꯤꯚ ꯑꯣꯏꯕꯥ ꯑꯃꯁꯨꯡ ꯑꯔꯨꯝꯕꯥ ꯍꯟꯊꯍꯅꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯄꯨꯟꯁꯤ ꯃꯍꯤꯡꯒꯤ ꯑꯍꯣꯡꯕꯁꯤꯡ ꯍꯥꯌꯕꯗꯤ:

• ꯍꯀꯁꯦꯜ ꯐꯕꯥ ꯗꯥꯏꯠ ꯑꯃꯥ ꯆꯥꯕꯤꯌꯨ: MASH ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯂꯤꯕꯥ ꯑꯐꯕꯥ ꯗꯥꯏꯠ ꯄ꯭ꯂꯥꯟ ꯑꯃꯗꯤ ꯃꯦꯗꯤꯇꯦꯔꯤꯌꯥꯟ ꯗꯥꯏꯠ ꯅꯠꯠꯔꯒꯥ ꯂꯣ-ꯀꯥꯔꯕ ꯗꯥꯏꯇꯅꯤ . ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯎꯍꯩ-ꯋꯥꯍꯩ, ꯃꯅꯥ-ꯃꯁꯤꯡ, ꯌꯦꯔꯨꯝ, ꯐꯥꯏꯕꯔ ꯍꯣꯜ ꯒ꯭ꯔꯦꯅꯁꯤꯡ, ꯑꯐꯕꯥ ꯃꯒꯨꯟ ꯂꯩꯕꯥ ꯄ꯭ꯔꯣꯇꯤꯅꯁꯤꯡ (ꯉꯥ, ꯉꯥ), ꯑꯃꯁꯨꯡ ꯍꯀꯁꯦꯜ ꯐꯕꯥ ꯐꯦꯇꯁꯤꯡ (ꯑꯦꯚꯣꯀꯦꯗꯣ, ꯑꯣꯂꯤꯚ ꯑꯣꯏꯜ, ꯅꯠ) ꯍꯦꯟꯅꯥ ꯆꯥꯒꯗꯕꯅꯤ꯫ ꯅꯍꯥꯛꯅꯥ ꯌꯥꯔꯤꯕꯃꯈꯩ ꯃꯤꯊꯥꯏ, ꯐꯦꯇꯤ ꯐꯨꯗ ꯑꯃꯁꯨꯡ ꯐꯥꯁ꯭ꯠ ꯐꯨꯗꯁꯤꯡ ꯍꯟꯊꯍꯅꯒꯗꯕꯅꯤ꯫
• ꯑꯦꯛꯇꯤꯕ ꯑꯣꯏꯕꯥ: ꯌꯥꯃꯗ꯭ꯔꯕꯗꯥ ꯅꯨꯃꯤꯠ ꯑꯃꯗꯥ ꯑꯃꯨꯛ꯫ꯃꯤꯅꯠ 150ꯗꯒꯤ 300 ꯐꯥꯎꯕꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯃꯌꯥꯏ ꯑꯣꯏꯕꯥ ꯏꯟꯇꯦꯟꯁꯤꯇꯤ ꯂꯩꯕꯥ ꯑꯦꯔꯣꯕꯤꯛ ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯇꯧꯅꯕꯥ ꯍꯣꯠꯅꯧ꯫ ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯈꯣꯡꯅꯥ ꯆꯠꯄꯥ, ꯂꯝꯕꯤ ꯆꯠꯄꯥ, ꯁꯥꯏꯀꯜ ꯊꯧꯕꯥ ꯑꯃꯁꯨꯡ ꯇꯨꯝꯕꯥ ꯑꯁꯤꯅꯤ꯫
• ꯌꯨ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯊꯀꯎ: ꯌꯨ ꯊꯀꯄꯥ ꯌꯥꯗꯕꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯂꯤꯚꯔꯗꯥ ꯁ꯭ꯠꯔꯦꯁ ꯑꯃꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ, ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯌꯨ ꯊꯀꯄꯗꯒꯤ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯂꯥꯞꯅꯥ ꯂꯩꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫

ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛ ꯄꯤꯕꯥ꯫

ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ MASHꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯍꯟꯊꯍꯅꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯅꯕꯥ ꯑꯀꯛꯅꯕꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ ꯄꯤꯕꯥ ꯌꯥꯏ꯫ ꯈꯨꯗꯝ ꯑꯣꯏꯅ:

• ꯔꯦꯁꯃꯦꯇꯤꯔꯣꯟ (Rezdiffra®): ꯍꯤꯗꯥꯛ ꯑꯁꯤꯅꯥ MASHꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯂꯤꯚꯔꯗꯥ ꯁꯣꯀꯍꯜꯂꯀꯄꯥ ꯍꯟꯊꯍꯅꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯔꯤꯚꯔꯁ ꯇꯧꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫ ꯃꯁꯤ ꯌꯨ.ꯑꯦꯁ.ꯀꯤ ꯐꯨꯗ ꯑꯃꯁꯨꯡ ꯗ꯭ꯔꯒ ꯑꯦꯗꯃꯤꯅꯤꯁ꯭ꯠꯔꯦꯁꯟ (ꯑꯦꯐ.ꯗꯤ.ꯑꯦ.)ꯅꯥ ꯐꯥꯏꯕ꯭ꯔꯣꯁꯤꯁꯀꯤ ꯁ꯭ꯇꯦꯖ ꯲ ꯑꯃꯁꯨꯡ ꯳ꯗꯥ ꯑꯦꯝ.ꯑꯦ.ꯑꯦꯁ.ꯑꯩꯆ.
• ꯖꯤ.ꯑꯦꯜ.ꯄꯤ.-꯱ ꯑꯦꯒꯣꯅꯤꯁ꯭ꯇꯁꯤꯡ: ꯗ꯭ꯔꯒꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯂꯤꯚꯔꯗꯥ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯁꯟ ꯑꯃꯁꯨꯡ ꯐꯦꯠ ꯍꯟꯊꯍꯅꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫ ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ ꯂꯤꯔꯥꯒ꯭ꯂꯨꯇꯥꯏꯗ (ꯚꯤꯛꯇꯣꯖꯥ®, ꯁꯦꯛꯁꯟꯗꯥ®), ꯁꯦꯃꯥꯒ꯭ꯂꯨꯇꯥꯏꯗ (ꯑꯣꯖꯦꯝꯄꯤꯛ®, ꯋꯦꯒꯣꯚꯤ®), ꯑꯃꯁꯨꯡ ꯇꯤꯔꯖꯦꯄꯥꯇꯥꯏꯗ (ꯃꯧꯅꯖꯥꯔꯣ®, ꯖꯦꯄꯕꯎꯟꯗ®) ꯑꯁꯤꯅꯤ꯫ ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯑꯌꯥꯝꯕꯗꯤ ꯗꯥꯏꯑꯦꯕꯦꯇꯤꯖ ꯂꯥꯌꯦꯡꯕꯗꯁꯨ ꯁꯤꯖꯤꯟꯅꯩ꯫

ꯃꯁꯤꯒꯤ ꯃꯊꯛꯇꯥ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯑꯇꯩ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ ꯅꯠꯠꯔꯒꯥ ꯁꯞꯂꯤꯃꯦꯟꯇꯁꯤꯡꯁꯨ ꯄꯤꯕꯥ ꯌꯥꯏ꯫ ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯄꯤꯑꯣꯒ꯭ꯂꯤꯇꯥꯖꯣꯟ (Actoplus Met XR®) ꯀꯧꯕꯥ ꯗꯥꯏꯑꯦꯕꯦꯇꯤꯖꯒꯤ ꯍꯤꯗꯥꯛ ꯑꯃꯥ ꯅꯠꯠꯔꯒꯥ ꯚꯤꯇꯥꯃꯤꯟ Eꯒꯨꯝꯕꯥ ꯁꯞꯂꯤꯃꯦꯟꯇ ꯑꯃꯥ ꯔꯦꯀꯃꯦꯟꯗ ꯇꯧꯕꯥ ꯌꯥꯏ꯫

ꯔꯤꯁꯔꯆꯔꯁꯤꯡꯅꯥ ꯍꯧꯖꯤꯛ ꯑꯦꯝ.ꯑꯦ.ꯑꯦꯁ.ꯑꯩꯆ.ꯒꯤꯗꯃꯛ ꯑꯅꯧꯕꯥ ꯍꯤꯗꯥꯀꯁꯤꯡ ꯊꯤꯅꯕꯥ ꯀ꯭ꯂꯤꯅꯤꯀꯦꯜ ꯇ꯭ꯔꯥꯏꯑꯦꯂꯁꯤꯡ ꯄꯥꯡꯊꯣꯛꯂꯤ꯫ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯇ꯭ꯔꯥꯏꯑꯦꯜ ꯑꯁꯤꯗꯥ ꯁꯔꯨꯛ ꯌꯥꯕꯒꯤ ꯏꯂꯤꯖꯤꯕꯜ ꯑꯣꯏꯒꯗ꯭ꯔꯥ ꯍꯥꯌꯕꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯕꯥ ꯌꯥꯏ꯫

ꯑꯔꯨꯝꯕꯥ ꯍꯟꯊꯍꯅꯕꯒꯤ ꯁꯔꯖꯔꯤ (ꯕꯦꯔꯤꯌꯥꯠꯔꯤꯛ ꯁꯔꯖꯔꯤ)

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯁꯥꯊꯤꯅꯥ ꯑꯣꯕꯦꯁꯤꯇꯤ ꯂꯩꯔꯕꯗꯤ ꯑꯃꯁꯨꯡ ꯁꯥꯊꯤꯕꯥ ꯂꯤꯚꯔꯒꯤ ꯂꯥꯌꯅꯥ ꯂꯩꯔꯕꯗꯤ, ꯑꯔꯨꯝꯕꯥ ꯍꯟꯊꯍꯅꯕꯒꯤ ꯁꯔꯖꯔꯤ (ꯕꯦꯔꯤꯌꯥꯠꯔꯤꯛ ꯁꯔꯖꯔꯤ) ꯑꯁꯤ ꯑꯇꯣꯞꯄꯥ ꯂꯥꯏꯌꯦꯡꯒꯤ ꯑꯣꯄꯁꯟ ꯑꯃꯅꯤ꯫ ꯒ꯭ꯌꯥꯁꯠꯔꯤꯛ ꯁ꯭ꯂꯤꯚ ꯁꯔꯖꯔꯤ (ꯁ꯭ꯇꯣꯃꯥꯀꯀꯤ ꯁꯔꯨꯛ ꯑꯃꯥ ꯂꯧꯊꯣꯀꯄꯥ) ꯅꯠꯠꯔꯒꯥ ꯒ꯭ꯌꯥꯁ꯭ꯠꯔꯤꯛ ꯕꯥꯏꯄꯥꯁ ꯁꯔꯖꯔꯤ (ꯁ꯭ꯇꯣꯃꯥꯛ ꯍꯟꯊꯍꯅꯕꯥ)ꯅꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯀꯥꯟꯅꯕꯁꯤꯡ ꯑꯁꯤ ꯄꯤꯕꯥ ꯉꯝꯃꯤ:

• ꯍꯀꯆꯥꯡꯒꯤ ꯑꯔꯨꯝꯕꯥ ꯍꯟꯊꯍꯅꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫
• MASHꯅꯥ ꯂꯤꯚꯔꯗꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯑꯁꯤ ꯆꯥꯡ ꯈꯔꯗꯥ ꯍꯟꯊꯍꯅꯕꯥ ꯌꯥꯏ, ꯑꯃꯁꯨꯡ ꯔꯤꯚꯔꯁ ꯇꯧꯕꯁꯨ ꯌꯥꯏ꯫
• ꯁꯤꯔꯣꯁꯤꯁ, ꯂꯤꯚꯔ ꯀꯦꯟꯁꯔ ꯑꯃꯁꯨꯡ ꯂꯤꯚꯔ ꯇ꯭ꯔꯥꯟꯁꯞꯂꯥꯟꯇ ꯇꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯒꯤ ꯔꯤꯁ꯭ꯛ ꯑꯁꯤ ꯃꯁꯛ ꯊꯣꯛꯅꯥ ꯍꯟꯊꯍꯜꯂꯤ꯫

MASH ꯑꯁꯤ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯂꯥꯌꯦꯡꯕꯥ ꯉꯃꯒꯗ꯭ꯔꯥ?

MASH ꯑꯁꯤ ꯃꯇꯝ ꯄꯨꯝꯅꯃꯛꯇꯥ ꯂꯥꯌꯦꯡꯕꯥ ꯉꯃꯗꯦ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯂꯥꯌꯅꯥ ꯑꯁꯤ ꯇꯣꯏꯅꯥ ꯈꯪꯗꯣꯛꯂꯕꯥ ꯑꯃꯁꯨꯡ ꯂꯥꯏꯌꯦꯡ ꯇꯣꯏꯅꯥ ꯍꯧꯔꯛꯂꯕꯗꯤ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯃꯗꯨ ꯔꯤꯚꯔꯁ ꯇꯧꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯍꯦꯟꯅꯥ ꯐꯠꯆꯤꯜꯂꯛꯇꯕꯥ ꯊꯤꯡꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯅꯥ ꯇꯥꯀꯄꯗꯤ ꯂꯤꯚꯔꯗꯥ ꯃꯈꯥ ꯇꯥꯅꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯕꯒꯤ ꯑꯐꯕꯥ ꯈꯨꯗꯣꯡꯆꯥꯕꯥ ꯂꯩ꯫

ꯃꯍꯧꯁꯥꯅꯥ MASH ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯅꯥ ꯀꯌꯥꯝ ꯁꯥꯡꯅꯥ ꯍꯤꯡꯕꯥ ꯌꯥꯕꯒꯦ?

ꯅꯍꯥꯛꯀꯤ ꯄꯨꯟꯁꯤꯒꯤ ꯃꯇꯝ ꯑꯁꯤ MASHꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯂꯤꯚꯔꯗꯥ ꯀꯌꯥ ꯌꯥꯝꯅꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯅꯕꯒꯦ ꯍꯥꯌꯕꯗꯨꯒꯤ ꯃꯈꯥ ꯄꯣꯜꯂꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯂꯥꯌꯅꯥ ꯑꯁꯤ ꯇꯣꯏꯅꯥ ꯈꯪꯗꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯂꯥꯏꯌꯦꯡꯕꯥ ꯇꯥꯔꯕꯗꯤ, ꯃꯤꯑꯣꯏ ꯑꯌꯥꯝꯕꯅꯥ ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯕꯥ ꯄꯨꯟꯁꯤ ꯑꯃꯥ ꯍꯤꯡꯕꯥ ꯉꯝꯃꯤ꯫ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯂꯥꯌꯅꯥ ꯑꯁꯤꯅꯥ ꯍꯦꯟꯅꯥ ꯆꯥꯎꯈꯠꯂꯀꯄꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯂꯤꯚꯔ ꯐꯦꯜ ꯑꯣꯏꯕꯥ ꯑꯃꯁꯨꯡ ꯂꯤꯚꯔ ꯀꯦꯟꯁꯔꯒꯨꯝꯕꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡꯅꯥ ꯉꯟꯅꯥ ꯁꯤꯕꯒꯤ ꯔꯤꯁ꯭ꯛ ꯍꯦꯅꯒꯠꯂꯀꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯂꯥꯏꯌꯦꯡꯕꯅꯥ ꯂꯥꯌꯅꯥ ꯑꯁꯤ ꯂꯥꯀꯁꯤꯅꯕꯥ ꯉꯃꯍꯜꯂꯤ ꯑꯃꯁꯨꯡ ꯄꯨꯟꯁꯤꯒꯤ ꯃꯒꯨꯟ ꯐꯒꯠꯍꯅꯕꯥ ꯉꯝꯃꯤ꯫ ꯌꯥꯔꯤꯕꯃꯈꯩ ꯇꯣꯏꯅꯥ ꯂꯥꯏꯌꯦꯡ ꯍꯧꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯥ ꯐꯜ ꯐꯪꯅꯕꯒꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯥ ꯄꯥꯝꯕꯩꯅꯤ꯫

ꯑꯩꯅꯥ ꯀꯗꯥꯏꯗꯥ ꯗꯣꯛꯇꯔꯒꯥ ꯎꯅꯒꯗꯒꯦ?

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯇꯝ ꯄꯨꯝꯅꯃꯛꯇꯥ ꯋꯥꯈꯜ ꯇꯥꯗꯕꯥ ꯐꯥꯎꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯒꯤ ꯃꯊꯛ ꯊꯪꯕꯥ ꯁꯔꯨꯛꯇꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯅꯠꯠꯔꯒꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯂꯩꯔꯕꯗꯤ, ꯅꯠꯠꯔꯒꯥ ꯃꯔꯝ ꯆꯥꯗꯅꯥ ꯑꯔꯨꯝꯕꯥ ꯍꯟꯊꯔꯀꯄꯒꯨꯝꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯂꯩꯔꯕꯗꯤ, ꯗꯣꯛꯇꯔꯒꯥ ꯇꯥꯟꯅꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫ ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯂꯤꯚꯔꯗꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯃꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯂꯩꯔꯦ ꯍꯥꯌꯕꯒꯤ ꯈꯨꯗꯃꯁꯤꯡ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯃꯁꯤ MASH ꯅꯠꯠꯔꯒꯥ ꯑꯇꯣꯞꯄꯥ ꯂꯤꯚꯔꯒꯤ ꯂꯥꯌꯅꯥ ꯑꯃꯅꯤ ꯍꯥꯌꯅꯥ ꯇꯦꯁ꯭ꯠ ꯇꯧꯒꯅꯤ꯫

ꯅꯤꯡꯁꯤꯡꯕꯤꯌꯨ, ꯑꯀꯛꯅꯕꯥ ꯃꯦꯗꯤꯀꯦꯜ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ, ꯍꯥꯌꯕꯗꯤ ꯑꯣꯕꯦꯁꯤꯇꯤ ꯑꯃꯁꯨꯡ ꯇꯥꯏꯞ 2 ꯗꯥꯏꯑꯦꯕꯦꯇꯤꯖ ꯑꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ MASH ꯂꯥꯀꯄꯒꯤ ꯔꯤꯁ꯭ꯛ ꯍꯦꯅꯒꯠꯍꯜꯂꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯍꯦꯛꯇꯥ ꯂꯩꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯂꯤꯚꯔꯒꯤ ꯐꯉ꯭ꯀꯁꯅꯁꯨ ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯌꯦꯡꯁꯤꯅꯒꯅꯤ꯫

ꯑꯔꯣꯏꯕꯗꯥ, ꯅꯍꯥꯛꯅꯥ ꯅꯤꯡꯁꯤꯡꯒꯗꯕꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯋꯥꯐꯃꯁꯤꯡ꯫

ꯅꯍꯥꯛꯅꯥ MASH (ꯃꯦꯇꯥꯕꯣꯂꯤꯛ ꯗꯤꯁꯐꯉ꯭ꯀꯁꯟ-ꯑꯦꯁꯣꯁꯤꯑꯦꯠ ꯁ꯭ꯇꯦꯇꯣꯍꯦꯄꯥꯇꯥꯏꯇꯤꯁ)ꯒꯤ ꯗꯥꯏꯑꯦꯒ꯭ꯅꯣꯁꯤꯁ ꯑꯃꯥ ꯐꯪꯂꯕꯥ ꯃꯇꯃꯗꯥ, ꯅꯍꯥꯛꯅꯥ ꯌꯥꯝꯅꯥ ꯁꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯑꯀꯤꯕꯥ ꯐꯥꯎꯕꯥ ꯐꯥꯎꯕꯥ ꯌꯥꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯣꯕꯦꯁꯤꯇꯤ, ꯍꯥꯏ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ, ꯅꯠꯠꯔꯒꯥ ꯍꯥꯏ ꯀꯣꯂꯦꯁ꯭ꯇꯦꯔꯣꯂꯒꯨꯝꯕꯥ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ ꯂꯩꯔꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯋꯥꯍꯪ ꯍꯪꯂꯀꯄꯥ ꯌꯥꯏ, "ꯃꯁꯤꯒꯤ ꯗꯥꯌꯠꯕ ꯑꯁꯤ ꯑꯩꯅꯥ ꯂꯧꯕꯔꯥ?"

ꯑꯗꯨꯕꯨ ꯋꯥꯐꯝ ꯑꯃꯗꯤ ꯅꯤꯡꯁꯤꯡꯕꯤꯌꯨ꯫ MASH ꯌꯥꯑꯣꯅꯥ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯠꯇꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯁꯣꯏꯕꯥ ꯅꯠꯇꯦ꯫ ꯑꯗꯣꯃꯒꯤ ꯃꯦꯗꯤꯀꯦꯜ ꯇꯤꯃꯅꯥ ꯍꯧꯈꯤꯕꯥ ꯃꯇꯃꯗꯥ ꯅꯠꯇꯅꯥ ꯍꯧꯖꯤꯛꯀꯤ ꯃꯇꯝ ꯑꯁꯤꯗꯥ ꯃꯤꯠꯌꯦꯡ ꯊꯝꯂꯤ꯫ ꯃꯈꯣꯌꯅꯥ ꯅꯍꯥꯀꯄꯨ MASH ꯃꯦꯅꯦꯖ ꯇꯧꯅꯕꯥ ꯀꯔꯤ ꯈꯣꯡꯊꯥꯡ ꯂꯧꯈꯠꯄꯥ ꯌꯥꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯈꯪꯍꯜꯂꯛꯀꯅꯤ꯫ ꯑꯃꯁꯨꯡ ꯃꯈꯣꯌꯅꯥ ꯈꯣꯡꯊꯥꯡ ꯈꯨꯗꯤꯡꯗꯥ ꯑꯗꯣꯃꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯂꯩꯃꯤꯟꯅꯒꯅꯤ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯑꯀꯤꯕꯥ ꯂꯩꯔꯣꯏꯗꯕꯅꯤ꯫

ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯋꯥꯐꯃꯗꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯗꯨ ꯈꯪꯖꯤꯅꯕꯥ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯔꯤꯁ꯭ꯛ ꯐꯦꯛꯇꯔꯁꯤꯡ ꯂꯩꯔꯕꯗꯤ ꯃꯇꯤꯛ ꯆꯥꯕꯥ ꯃꯦꯗꯤꯀꯦꯜ ꯇꯦꯁ꯭ꯠ ꯇꯧꯕꯥ ꯑꯃꯁꯨꯡ ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯄꯥꯎꯇꯥꯀꯁꯤꯡ ꯉꯥꯛꯅꯥ ꯆꯠꯄꯥ ꯑꯁꯤꯅꯤ꯫ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯑꯩꯈꯣꯌꯅꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯂꯤꯚꯔ ꯑꯁꯤ ꯅꯤꯡꯊꯤꯖꯅꯥ ꯌꯦꯛꯅꯕꯥ ꯑꯁꯤꯗꯒꯤ ꯀꯅꯕꯤꯕꯥ ꯉꯃꯒꯅꯤ꯫

` MASH, ꯐꯦꯇꯤ ꯂꯤꯚꯔ, ꯁꯤꯔꯣꯁꯤꯁ, ꯂꯤꯚꯔ ꯀꯦꯟꯁꯔ, ꯗꯥꯏꯑꯦꯕꯦꯇꯤꯖ, ꯑꯣꯕꯦꯁꯤꯇꯤ, ꯀꯣꯂꯦꯁ꯭ꯇꯦꯔꯣꯜ꯫