ꯄꯣꯔꯇꯦꯜ ꯚꯦꯅꯃꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯈꯪꯖꯤꯅꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯁꯤꯡ: ꯂꯤꯚꯔꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯒꯦꯇꯋꯦ꯫

ꯑꯩꯈꯣꯌꯅꯥ ꯆꯥꯔꯤꯕꯥ ꯆꯤꯟꯖꯥꯛ ꯑꯃꯁꯨꯡ ꯊꯛꯅꯕꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯀꯔꯝꯅꯥ ꯏꯅꯔꯖꯤ ꯄꯤꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯑꯗꯣꯝꯅꯥ ꯌꯥꯝꯅꯥ ꯂꯨꯅꯥ ꯈꯜꯂꯝꯕꯔꯥ? ꯑꯩꯈꯣꯌꯅꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯏꯟꯇꯦꯁ꯭ꯇꯤꯅꯗꯒꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯆꯥꯔꯤꯕꯥ ꯆꯤꯟꯖꯥꯀꯁꯤꯡ ꯑꯗꯨ ꯁꯣꯀꯍꯜꯂꯕꯥ ꯃꯇꯨꯡꯗꯥ, ꯍꯥꯌꯔꯤꯕꯥ ꯅ꯭ꯌꯨꯠꯔꯤꯑꯦꯟꯇꯁꯤꯡ ꯑꯗꯨ ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯑꯇꯩ ꯃꯐꯃꯁꯤꯡꯗꯥ ꯍꯀꯊꯦꯡꯅꯅꯥ ꯆꯪꯗꯦ꯫ ꯃꯁꯤ ꯄꯨꯝꯅꯃꯛ ꯑꯁꯤ ꯑꯍꯥꯅꯕꯗꯥ ꯑꯉꯀꯄꯥ ꯄ꯭ꯔꯣꯁꯦꯁꯤꯡ ꯄ꯭ꯂꯥꯟꯇ ꯑꯃꯗꯥ ꯆꯠꯀꯗꯕꯅꯤ꯫ ꯃꯗꯨ ꯑꯩꯈꯣꯌꯒꯤ ꯂꯤꯚꯔꯅꯤ꯫ ꯑꯗꯨꯅꯥ, ꯄꯣꯠꯁꯛ ꯄꯨꯝꯅꯃꯛ ꯑꯁꯤ ꯏꯟꯇꯦꯁ꯭ꯇꯤꯟ ꯑꯃꯁꯨꯡ ꯁ꯭ꯇꯣꯃꯥꯀꯒꯨꯝꯕꯥ ꯃꯐꯃꯁꯤꯡꯗꯒꯤ ꯂꯤꯚꯔ ꯐꯥꯑꯣꯕꯥ ꯄꯨꯔꯀꯄꯥ ꯃꯦꯟ ꯔꯣꯗ, ꯅꯠꯔꯒꯥ ꯃꯦꯟ ꯒꯦꯠ ꯑꯁꯤ ꯉꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯋꯥꯔꯤ ꯁꯥꯔꯤꯕꯥ ꯄꯣꯔꯇꯦꯜ ꯚꯦꯟ ꯑꯁꯤꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯊꯕꯛ ꯇꯧꯗ꯭ꯔꯕꯗꯤ ꯍꯀꯆꯥꯡ ꯄꯨꯝꯕꯥ ꯁꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤ ꯀꯔꯤꯅꯣ, ꯃꯁꯤ ꯀꯔꯝꯅꯥ ꯊꯕꯛ ꯇꯧꯕꯒꯦ ꯑꯃꯁꯨꯡ ꯃꯁꯤ ꯀꯔꯝꯅꯥ ꯍꯀꯆꯥꯡ ꯐꯅꯥ ꯊꯝꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯁꯤ꯫

ꯄꯣꯔꯇꯦꯜ ꯚꯦꯟ ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ?

ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯄꯣꯔꯇꯦꯜ ꯚꯦꯟ ꯑꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯂꯩꯕꯥ ꯑꯆꯧꯕꯥ ꯑꯣꯔꯒꯥꯟ ꯀꯌꯥꯗꯒꯤ ꯅꯍꯥꯛꯀꯤ ꯂꯤꯚꯔꯗꯥ ꯏ ꯄꯨꯕꯥ ꯑꯈꯟꯅꯕꯥ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯜ ꯑꯃꯅꯤ꯫ ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯅꯥ, ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯂꯩꯕꯥ ꯚꯦꯅꯃꯁꯤꯡꯅꯥ ꯑꯣꯔꯒꯥꯅꯁꯤꯡꯗꯒꯤ ꯏ ꯑꯗꯨ ꯍꯥꯔꯇꯇꯥ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯄꯨꯗꯨꯅꯥ ꯆꯠꯂꯤ꯫ ꯑꯗꯨꯕꯨ ꯃꯁꯤꯒꯤ ꯄꯣꯔꯇꯦꯜ ꯚꯦꯟ ꯑꯁꯤꯗꯤ ꯈꯔꯥ ꯇꯣꯉꯥꯜꯂꯤ꯫ ꯃꯁꯤꯅꯥ ꯊꯝꯃꯣꯌꯗꯥ ꯏ ꯄꯨꯕꯥ ꯅꯠꯇꯦ, ꯂꯤꯚꯔꯗꯥ ꯄꯨꯗꯨꯅꯥ ꯆꯠꯂꯤ꯫

ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯑꯁꯤꯒꯨꯝꯅꯥ ꯈꯅꯕꯤꯌꯨ꯫ ꯅꯍꯥꯛꯅꯥ ꯆꯥꯔꯤꯕꯥ ꯆꯤꯟꯖꯥꯛ ꯑꯗꯨ ꯏꯟꯇꯦꯁ꯭ꯇꯥꯏꯅꯁꯤꯡꯗꯥ ꯍꯟꯖꯤꯜꯂꯀꯏ, ꯑꯃꯁꯨꯡ ꯃꯁꯤꯅꯥ ꯐꯪꯂꯤꯕꯥ ꯅ꯭ꯌꯨꯠꯔꯤꯑꯦꯟꯇꯁꯤꯡ ꯑꯗꯨ ꯏꯗꯥ ꯆꯦꯟꯊꯔꯀꯏ꯫ ꯑꯗꯨꯕꯨ ꯃꯁꯤꯒꯥ ꯂꯣꯏꯅꯅꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯕꯥ ꯄꯣꯠꯂꯝ ꯈꯔꯁꯨ (ꯇꯣꯛꯁꯤꯅꯁꯤꯡ) ꯏꯗꯥ ꯍꯥꯄꯆꯤꯅꯕꯥ ꯌꯥꯏ꯫ ꯍꯧꯖꯤꯛ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯏ ꯑꯁꯤ ꯍꯀꯆꯥꯡ ꯄꯨꯝꯕꯗꯥ ꯍꯀꯊꯦꯡꯅꯅꯥ ꯊꯥꯔꯛꯂꯕꯗꯤ ꯃꯗꯨ ꯑꯁꯨꯛ ꯌꯥꯝꯅꯥ ꯐꯕꯥ ꯑꯣꯏꯔꯣꯏ, ꯅꯠꯇꯦ?

ꯃꯁꯤꯗꯥ ꯄꯣꯔꯇꯦꯜ ꯚꯦꯟ ꯑꯃꯁꯨꯡ ꯂꯤꯚꯔꯅꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯃꯇꯦꯡ ꯄꯥꯡꯂꯤ꯫ ꯄꯣꯔꯇꯦꯜ ꯚꯦꯟ ꯑꯁꯤ ꯑꯆꯧꯕꯥ ꯐꯦꯛꯇꯔꯤ ꯑꯃꯗꯥ ꯔꯣ ꯃꯦꯇꯔꯤꯌꯦꯂꯁꯤꯡ ꯄꯨꯔꯀꯄꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯂꯝꯕꯤꯒꯨꯝꯕꯅꯤ꯫ ꯂꯤꯚꯔ ꯑꯁꯤ ꯑꯗꯨꯒꯨꯝꯕꯥ ꯐꯦꯛꯇꯔꯤ ꯑꯗꯨꯅꯤ꯫

• ꯅ꯭ꯌꯨꯠꯔꯤꯑꯦꯟꯇꯁꯤꯡ ꯄ꯭ꯔꯣꯁꯦꯁ ꯇꯧꯕꯥ: ꯂꯤꯚꯔꯅꯥ ꯏꯗꯥ ꯌꯥꯎꯔꯤꯕꯥ ꯆꯤꯅꯤ, ꯚꯤꯇꯥꯃꯤꯅꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯃꯤꯅꯔꯦꯂꯁꯤꯡ ꯑꯁꯤ ꯏꯟꯇꯦꯁ꯭ꯇꯥꯏꯅꯁꯤꯡꯗꯒꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯅꯥ ꯁꯤꯖꯤꯟꯅꯕꯥ ꯌꯥꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ ꯑꯣꯏꯅꯥ ꯄ꯭ꯔꯣꯁꯦꯁ ꯇꯧꯏ꯫ ꯑꯍꯦꯅꯕꯥ ꯑꯃꯍꯦꯛꯇꯕꯨ ꯇꯨꯡꯗꯥ ꯁꯤꯖꯤꯟꯅꯅꯕꯒꯤꯗꯃꯛ ꯊꯃꯖꯤꯜꯂꯤ꯫
• ꯄꯣꯠꯁꯀꯁꯤꯡ ꯂꯧꯊꯣꯀꯄꯥ: ꯃꯁꯤꯗꯁꯨ ꯅꯠꯇꯅꯥ, ꯏꯗꯥ ꯌꯥꯎꯔꯤꯕꯥ ꯃꯥꯡ-ꯇꯥꯛꯅꯤꯡꯉꯥꯏ ꯑꯣꯏꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ, ꯍꯥꯌꯕꯗꯤ ꯂꯦꯃꯍꯧꯔꯤꯕꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ ꯑꯁꯤ ꯂꯤꯚꯔꯅꯥ ꯐꯤꯜꯇꯔ ꯇꯧꯗꯨꯅꯥ, ꯑꯁꯣꯛ-ꯑꯄꯟ ꯂꯩꯇꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ ꯑꯣꯏꯅꯥ ꯄ꯭ꯔꯣꯁꯦꯁ ꯇꯧꯗꯨꯅꯥ, ꯍꯀꯆꯥꯡꯗꯒꯤ ꯂꯧꯊꯣꯛꯅꯕꯥ ꯁꯦꯝ-ꯁꯥꯗꯨꯅꯥ ꯂꯩ꯫

ꯃꯔꯨꯑꯣꯏꯕꯥ ꯊꯕꯀꯁꯤꯡ ꯑꯁꯤ ꯄꯥꯡꯊꯣꯛꯅꯕꯒꯤꯗꯃꯛꯇꯥ, ꯑꯦꯕꯗꯣꯃꯤꯅꯦꯜ ꯑꯣꯔꯒꯥꯅꯁꯤꯡꯗꯒꯤ ꯏ ꯑꯁꯤ ꯑꯍꯥꯅꯕꯗꯥ ꯂꯤꯚꯔꯗꯥ ꯌꯧꯒꯗꯕꯅꯤ꯫ ꯃꯗꯨ ꯄꯣꯔꯇꯦꯜ ꯚꯦꯅꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯊꯕꯛꯅꯤ꯫

ꯃꯁꯤꯒꯤ ꯄꯣꯔꯇꯦꯜ ꯚꯦꯅꯁ ꯁꯤꯁ꯭ꯇꯦꯝ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯊꯕꯛ ꯇꯧꯕꯒꯦ?

ꯄꯣꯔꯇꯦꯜ ꯚꯦꯟ ꯑꯁꯤ ꯃꯁꯥ ꯃꯊꯟꯇꯥ ꯊꯕꯛ ꯇꯧꯗꯦ꯫ ꯃꯁꯤ ꯑꯆꯧꯕꯥ ꯁꯤꯁ꯭ꯇꯦꯝ ꯑꯃꯒꯤ ꯑꯆꯧꯕꯥ ꯁꯔꯨꯛ ꯑꯃꯅꯤ꯫ ꯑꯩꯈꯣꯌꯅꯥ ꯁꯤꯁ꯭ꯇꯦꯝ ꯑꯁꯤꯕꯨ ꯄꯣꯔꯇꯦꯜ ꯚꯦꯅꯁ ꯁꯤꯁ꯭ꯇꯦꯝ ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ ꯃꯁꯤꯒꯤ ꯁꯤꯁ꯭ꯇꯦꯝ ꯑꯁꯤꯅꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯈꯣꯡꯗꯥ ꯂꯩꯔꯤꯕꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯑꯣꯔꯒꯥꯟ ꯀꯌꯥꯗꯒꯤ ꯏ ꯈꯣꯃꯖꯤꯜꯂꯤ꯫ ꯍꯥꯌꯔꯤꯕꯥ ꯑꯣꯔꯒꯥꯅꯁꯤꯡ ꯑꯁꯤ:

• ꯁ꯭ꯃꯣꯜ ꯏꯟꯇꯦꯁ꯭ꯇꯥꯏꯟ꯫
• ꯑꯆꯧꯕꯥ ꯏꯟꯇꯦꯁ꯭ꯇꯥꯏꯟ꯫
• ꯆꯥꯛꯈꯥꯎ
• ꯄꯦꯅꯛꯔꯤꯑꯦꯖ꯫
• ꯁ꯭ꯞꯂꯤꯟ (ꯁ꯭ꯞꯂꯤꯟ)꯫
• ꯒꯥꯂꯕ꯭ꯂꯦꯗꯔꯗꯥ ꯂꯩꯕꯥ꯫

ꯑꯣꯔꯒꯥꯟ ꯈꯨꯗꯤꯡꯃꯛꯇꯥ ꯂꯩꯔꯤꯕꯥ ꯑꯄꯤꯀꯄꯥ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯜ ꯄꯨꯝꯅꯃꯛ ꯑꯁꯤ ꯇꯨꯔꯦꯜ ꯑꯃꯒꯤ ꯃꯁꯥ ꯑꯣꯏꯅꯥ ꯈꯅꯕꯤꯌꯨ꯫ ꯁꯥꯈꯥ ꯄꯨꯝꯅꯃꯛ ꯑꯁꯤ ꯄꯨꯟꯅꯥ ꯂꯥꯛꯇꯨꯅꯥ ꯑꯆꯧꯕꯥ ꯇꯨꯔꯦꯜ ꯑꯃꯥ ꯁꯦꯝꯃꯤ꯫ ꯑꯗꯨꯒꯨꯝꯕꯥ ꯑꯆꯧꯕꯥ ꯇꯨꯔꯦꯜ ꯑꯗꯨꯗꯤ ꯄꯣꯔꯇꯦꯜ ꯚꯦꯅꯅꯤ꯫ ꯑꯗꯨꯗꯒꯤ ꯇꯨꯔꯦꯜ ꯑꯁꯤ ꯂꯤꯚꯔ ꯀꯧꯕꯥ "ꯑꯆꯧꯕꯥ ꯔꯤꯐꯥꯏꯅꯔꯤ"ꯗꯥ ꯆꯦꯜꯂꯤ꯫

ꯂꯤꯚꯔꯅꯥ ꯏ ꯑꯁꯤ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯁꯦꯡꯗꯣꯛꯂꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯑꯃꯁꯨꯡ ꯅ꯭ꯌꯨꯠꯔꯤꯑꯦꯟꯇꯁꯤꯡ ꯑꯗꯨ ꯄ꯭ꯔꯣꯁꯦꯁ ꯇꯧꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ, ꯃꯗꯨ ꯍꯥꯔꯇꯇꯥ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯊꯥꯗꯣꯀꯄꯥ ꯃꯊꯧ ꯇꯥꯏ꯫ ꯃꯁꯤ ꯚꯦꯅꯃꯁꯤꯡꯒꯤ ꯑꯇꯣꯞꯄꯥ ꯁꯤꯁ꯭ꯇꯦꯝ ꯑꯃꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯊꯣꯀꯏ꯫ ꯏ ꯑꯁꯤ ꯂꯤꯚꯔꯗꯒꯤ ꯊꯣꯛꯂꯀꯏ ꯑꯃꯁꯨꯡ ꯏꯅꯐꯦꯔꯤꯌꯔ ꯚꯦꯅꯥ ꯀꯥꯚꯥ ꯀꯧꯕꯥ ꯑꯆꯧꯕꯥ ꯚꯦꯅꯝ ꯑꯃꯒꯥ ꯁꯝꯅꯩ, ꯃꯐꯃꯗꯨꯗꯒꯤ ꯍꯥꯔꯇꯀꯤ ꯑꯔꯣꯏꯕꯥ ꯑꯦꯠꯔꯤꯌꯥꯃꯗꯥ ꯆꯠꯂꯤ꯫ ꯃꯐꯝ ꯑꯗꯨꯗꯒꯤ ꯃꯁꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯑꯇꯩ ꯃꯐꯃꯁꯤꯡꯗꯥ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯄꯝꯄ ꯇꯧꯏ꯫

ꯄꯣꯔꯇꯦꯜ ꯚꯦꯅꯃꯗꯥ ꯏ ꯄꯨꯔꯀꯄꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯚꯦꯅꯃꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?

ꯄꯣꯔꯇꯦꯜ ꯚꯦꯅꯝ ꯑꯁꯤ ꯑꯇꯩ ꯑꯆꯧꯕꯥ ꯚꯦꯅꯝ ꯀꯌꯥꯅꯥ ꯁꯝꯅꯗꯨꯅꯥ ꯁꯦꯝꯕꯅꯤ꯫ ꯃꯁꯤꯕꯨ ꯇꯨꯔꯦꯜ ꯑꯃꯒꯤ ꯇ꯭ꯔꯥꯏꯕ꯭ꯌꯨꯇꯔꯤꯁꯤꯡꯒꯨꯝꯅꯥ ‘ꯇ꯭ꯔꯥꯏꯕ꯭ꯌꯨꯇꯔꯤꯁꯤꯡ’ ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ ꯏꯅꯐꯣꯔꯃꯦꯁꯟ ꯑꯁꯤ ꯅꯍꯥꯛꯀꯤꯗꯃꯛꯇꯥ ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯑꯣꯏꯅꯥ ꯈꯔꯥ ꯍꯦꯟꯅꯥ ꯂꯨꯝꯅꯥ ꯂꯧꯕꯥ ꯌꯥꯏ, ꯑꯗꯨꯕꯨ ꯇꯦꯕꯜ ꯑꯁꯤꯅꯥ ꯈꯪꯖꯤꯅꯕꯗꯥ ꯂꯥꯏꯍꯜꯂꯤ꯫

ꯄꯣꯔꯇꯦꯜ ꯚꯦꯅꯝ ꯑꯁꯤ ꯃꯔꯨꯑꯣꯏꯅꯥ ꯚꯦꯅꯝ ꯑꯅꯤ, ꯁꯨꯄꯔꯤꯌꯔ ꯃꯦꯁꯦꯟꯇꯦꯔꯤ ꯚꯦꯅꯝ ꯑꯃꯁꯨꯡ ꯁ꯭ꯞꯂꯦꯅꯤꯛ ꯚꯦꯅꯝ (splenic Vein)ꯒꯤ ꯌꯨꯅꯤꯌꯅꯅꯥ ꯁꯦꯝꯕꯅꯤ꯫

ꯄꯣꯔꯇꯦꯜ ꯚꯦꯅꯃꯗꯥ ꯁꯣꯀꯍꯜꯂꯤꯕꯥ ꯂꯥꯌꯅꯥꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯤꯅꯣ?

ꯃꯁꯤ ꯑꯁꯨꯛ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯚꯦꯅꯝ ꯑꯃꯥ ꯑꯣꯏꯕꯅꯥ, ꯃꯁꯤꯒꯥ ꯃꯔꯤ ꯂꯩꯅꯕꯥ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯑꯃꯍꯦꯛꯇꯅꯥ ꯑꯀꯅꯕꯥ ꯍꯀꯁꯦꯂꯒꯤ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯃꯁꯤꯡ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯎꯕꯥ ꯐꯪꯒꯗꯕꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯅꯤ ꯂꯩ꯫

ꯗꯣꯛꯇꯔ ꯑꯃꯅꯥ ꯃꯇꯧ ꯀꯔꯝꯅꯥ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯃꯁꯤꯡ ꯑꯁꯤ ꯈꯪꯗꯣꯀꯄꯥ ꯉꯃꯒꯅꯤ?

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯄꯣꯔꯇꯦꯜ ꯚꯦꯅꯝ ꯑꯗꯨꯗꯥ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯑꯃꯥ ꯂꯩꯔꯦ ꯍꯥꯌꯅꯥ ꯆꯤꯡꯅꯔꯕꯗꯤ, ꯃꯍꯥꯛꯅꯥ ꯇꯦꯁ꯭ꯠ ꯀꯌꯥ ꯇꯧꯅꯕꯥ ꯔꯤꯀꯃꯦꯟꯗ ꯇꯧꯕꯥ ꯌꯥꯏ꯫

• ꯕ꯭ꯂꯗ ꯇꯦꯁ꯭ꯠ: ꯂꯤꯚꯔ ꯑꯃꯁꯨꯡ ꯀꯤꯗꯅꯤꯒꯤ ꯐꯉ꯭ꯀꯁꯟ ꯌꯦꯡꯁꯤꯟꯅꯕꯥ ꯀꯝꯞꯔꯦꯍꯦꯟꯁꯤꯚ ꯃꯦꯇꯥꯕꯣꯂꯤꯛ ꯄꯦꯅꯦꯜ (CMP) ꯑꯃꯥ ꯑꯃꯁꯨꯡ ꯏ ꯊꯣꯀꯄꯥ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ ꯌꯦꯡꯁꯤꯟꯅꯕꯥ ꯀꯝꯞꯂꯤꯠ ꯕ꯭ꯂꯗ ꯀꯥꯎꯟꯇ (CBC) ꯑꯃꯥ꯫
• ꯑꯂꯠꯔꯥꯁꯥꯎꯟꯗ ꯁ꯭ꯀꯦꯟ: ꯃꯁꯤꯅꯥ ꯄꯣꯔꯇꯦꯜ ꯚꯦꯅꯝ (portal vein)ꯗꯥ ꯏ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯆꯦꯜꯂꯤꯕꯅꯣ, ꯃꯁꯤꯒꯤ ꯈꯣꯡꯖꯦꯜ, ꯑꯃꯁꯨꯡ ꯏ ꯊꯣꯀꯄꯥ ꯌꯥꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯕꯗꯥ ꯁꯤꯖꯤꯟꯅꯕꯥ ꯌꯥꯏ꯫
• ꯑꯋꯥꯡꯕꯥ ꯑꯦꯟꯗꯣꯁ꯭ꯀꯣꯄꯤ (Upper Endoscopy): ꯄꯣꯔꯇꯦꯜ ꯍꯥꯏꯄꯔꯇꯦꯟꯁꯅꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯗꯤ ꯏꯁꯣꯐꯦꯒꯁ ꯑꯃꯁꯨꯡ ꯁ꯭ꯇꯣꯃꯥꯀꯇꯥ ꯂꯩꯕꯥ ꯚꯦꯅꯃꯁꯤꯡ (veins) ꯁꯣꯟꯊꯕꯥ ꯑꯁꯤꯅꯤ꯫ ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯄꯣꯃꯈꯠꯄꯥ ꯑꯃꯁꯨꯡ ꯏ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯑꯦꯟꯗꯣꯁ꯭ꯀꯣꯄꯤ ꯑꯃꯅꯥ ꯚꯦꯅꯃꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯗꯨ ꯌꯦꯡꯁꯤꯟꯅꯕꯥ ꯃꯤꯠꯀꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯀꯦꯃꯦꯔꯥ ꯑꯃꯥ ꯊꯥꯗꯣꯀꯄꯅꯤ꯫

ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯐꯂꯁꯤꯡꯗꯥ ꯌꯨꯝꯐꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯀꯔꯤ ꯂꯥꯏꯌꯦꯡ ꯃꯊꯧ ꯇꯥꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯂꯦꯄꯀꯅꯤ꯫ ꯃꯁꯤ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ, ꯑꯄꯤꯀꯄꯥ ꯁꯔꯖꯔꯤ ꯅꯠꯠꯔꯒꯥ ꯑꯆꯧꯕꯥ ꯁꯔꯖꯔꯤ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫

ꯃꯇꯧ ꯀꯔꯝꯅꯥ ꯍꯀꯁꯦꯜ ꯐꯕꯥ ꯄꯣꯔꯇꯦꯜ ꯚꯦꯟ ꯑꯃꯥ ꯊꯃꯒꯗꯒꯦ?

ꯄꯣꯔꯇꯦꯜ ꯚꯦꯅꯒꯤ ꯍꯀꯁꯦꯜ ꯑꯁꯤ ꯂꯤꯚꯔꯒꯤ ꯍꯀꯁꯦꯂꯒꯥ ꯍꯀꯊꯦꯡꯅꯅꯥ ꯃꯔꯤ ꯂꯩꯅꯩ ꯍꯥꯌꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯎꯕꯥ ꯐꯪꯒꯅꯤ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯚꯦꯟ ꯑꯁꯤ ꯍꯀꯆꯥꯡ ꯐꯅꯥ ꯊꯝꯅꯕꯒꯤꯗꯃꯛ ꯑꯩꯈꯣꯌꯅꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯂꯤꯚꯔ ꯑꯁꯤ ꯌꯦꯡꯁꯤꯅꯕꯥ ꯃꯊꯧ ꯇꯥꯏ꯫ ꯑꯃꯁꯨꯡ ꯑꯩꯈꯣꯌꯒꯤ ꯁꯔꯀꯨꯂꯦꯇꯔꯤ ꯁꯤꯁ꯭ꯇꯦꯝ ꯄꯨꯝꯅꯃꯛ ꯍꯀꯆꯥꯡ ꯐꯅꯥ ꯊꯝꯕꯥ ꯃꯊꯧ ꯇꯥꯏ꯫ ꯃꯗꯨ ꯇꯧꯅꯕꯒꯤꯗꯃꯛꯇꯥ ꯅꯍꯥꯛꯅꯥ ꯇꯧꯕꯥ ꯌꯥꯕꯥ ꯏꯆꯝ ꯆꯝꯕꯥ ꯊꯕꯛ ꯈꯔꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤ꯫

1. ꯃꯈꯥ ꯇꯥꯕꯥ ꯂꯥꯌꯅꯥꯁꯤꯡ ꯃꯦꯅꯦꯖ ꯇꯧꯕꯥ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯗꯥꯏꯑꯦꯕꯦꯇꯤꯖ, ꯍꯥꯏ ꯀꯣꯂꯦꯁ꯭ꯇꯦꯔꯣꯜ, ꯍꯥꯏ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ ꯑꯁꯤꯅꯆꯤꯡꯕꯥ ꯂꯥꯌꯅꯥꯁꯤꯡ ꯂꯩꯔꯕꯗꯤ ꯃꯈꯣꯌꯕꯨ ꯀꯟꯠꯔꯣꯜ ꯇꯧ꯫ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯄꯤꯕꯥ ꯍꯤꯗꯥꯀꯁꯤꯡ ꯑꯗꯨ ꯃꯇꯝ ꯆꯥꯅꯥ ꯂꯧꯒꯗꯕꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯂꯥꯌꯅꯥꯁꯤꯡ ꯑꯁꯤ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯗ꯭ꯔꯕꯗꯤ ꯃꯈꯣꯌꯅꯥ ꯂꯤꯚꯔ ꯑꯃꯁꯨꯡ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯂꯁꯤꯡꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫

2. ꯊꯝꯃꯣꯌꯗꯥ ꯍꯀꯁꯦꯜ ꯐꯕꯥ ꯗꯥꯏꯠ ꯑꯃꯥ ꯆꯥꯕꯥ: ꯆꯥꯡ ꯃꯥꯟꯅꯅꯥ, ꯃꯆꯤ ꯑꯣꯏꯕꯥ ꯆꯤꯟꯖꯥꯛ ꯆꯥꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯑꯔꯨꯝꯕꯥ ꯍꯟꯊꯍꯅꯕꯈꯛꯇꯒꯤ ꯅꯠꯇꯦ꯫ ꯃꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯀꯥꯔꯗꯤꯑꯣꯚꯥꯁ꯭ꯀꯨꯂꯥꯔ ꯁꯤꯁ꯭ꯇꯦꯃꯗꯥ ꯑꯆꯧꯕꯥ ꯁꯦꯜ ꯊꯥꯗꯕꯥ ꯑꯃꯅꯤ꯫ ꯊꯥꯎ, ꯂꯣꯟ ꯑꯃꯁꯨꯡ ꯆꯤꯅꯤ ꯌꯥꯝꯅꯥ ꯌꯥꯎꯕꯥ ꯆꯤꯟꯖꯥꯀꯁꯤꯡ ꯍꯟꯊꯍꯅꯒꯗꯕꯅꯤ ꯑꯃꯁꯨꯡ ꯎꯍꯩ-ꯋꯥꯍꯩ, ꯃꯅꯥ-ꯃꯁꯤꯡ, ꯃꯅꯥ-ꯃꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯐꯤꯕꯔ ꯍꯦꯟꯅꯥ ꯆꯥꯒꯗꯕꯅꯤ꯫ ``ꯃꯦꯗꯤꯇꯦꯔꯦꯅꯤꯌꯟ ꯗꯥꯏꯠ''ꯒꯨꯝꯕꯥ ꯆꯥꯕꯒꯤ ꯃꯑꯣꯡ ꯑꯁꯤ ꯃꯁꯤꯒꯤꯗꯃꯛꯇꯥ ꯌꯥꯝꯅꯥ ꯐꯕꯥ ꯑꯣꯏꯅꯥ ꯎꯕꯥ ꯐꯪꯂꯦ꯫

3. ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯇꯧꯕꯥ: ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯇꯧꯕꯅꯥ ꯍꯀꯆꯥꯡ ꯄꯨꯝꯕꯗꯥ ꯏꯒꯤ ꯁꯔꯛꯌꯨꯂꯦꯁꯟ ꯐꯒꯠꯍꯜꯂꯤ꯫ ꯅꯣꯡꯃꯗꯥ ꯌꯥꯃꯗ꯭ꯔꯕꯗꯥ ꯃꯤꯅꯠ 30 ꯔꯣꯝ ꯈꯣꯡꯅꯥ ꯆꯠꯄꯥ, ꯂꯝꯕꯤ ꯆꯠꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯇꯨꯝꯕꯥ ꯍꯣꯠꯅꯧ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯌꯥꯝꯅꯥ ꯇꯧꯅꯕꯒꯤ ꯃꯇꯝ ꯐꯪꯗ꯭ꯔꯕꯗꯤ, ꯅꯨꯃꯤꯠ ꯈꯨꯗꯤꯡꯒꯤ ꯑꯦꯛꯇꯤꯚ ꯑꯣꯏꯅꯥ ꯂꯩꯌꯨ꯫ ꯅꯍꯥꯛꯀꯤ ꯆꯦꯌꯥꯔꯗꯒꯤ ꯊꯣꯔꯛꯇꯨꯅꯥ ꯈꯔꯥ ꯆꯠꯂꯨ, ꯑꯃꯁꯨꯡ ꯂꯤꯐꯇꯀꯤ ꯃꯍꯨꯠꯇꯥ ꯁ꯭ꯇꯦꯖ ꯑꯗꯨ ꯁꯤꯖꯤꯟꯅꯧ꯫

4. ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯤ ꯑꯦꯄꯣꯏꯟꯇꯃꯦꯟꯇꯁꯤꯡ ꯊꯥꯗꯣꯛꯂꯣꯏꯗꯕꯅꯤ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯅꯥꯕꯥ ꯑꯃꯠꯇꯥ ꯂꯩꯠꯔꯕꯁꯨ, ꯆꯍꯤ ꯑꯃꯗꯥ ꯌꯥꯃꯗ꯭ꯔꯕꯗꯥ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯗꯣꯛꯇꯔꯒꯥ ꯇꯥꯟꯅꯗꯨꯅꯥ ꯃꯄꯨꯡꯐꯥꯕꯥ ꯆꯦꯀꯑꯞ ꯑꯃꯥ ꯂꯧꯕꯤꯌꯨ꯫ ꯃꯇꯧ ꯑꯁꯨꯝꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯑꯃꯥ ꯂꯩꯔꯕꯗꯤ ꯃꯗꯨ ꯈꯪꯗꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯇꯣꯌꯅꯥ ꯂꯥꯏꯌꯦꯡꯕꯥ ꯌꯥꯏ꯫