Skip to main content

ꯀꯦꯟꯁꯔ ꯂꯥꯌꯦꯡꯕꯥ (R-CHOP) ꯑꯃꯥ ꯑꯣꯏꯔꯤꯕꯥ ꯑꯥꯔ-ꯁꯤ.ꯑꯩꯆ.ꯑꯣ.ꯄꯤ.ꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯈꯉꯒꯗꯕꯥ ꯋꯥꯐꯃꯁꯤꯡ

ꯀꯦꯟꯁꯔ ꯂꯥꯌꯦꯡꯕꯥ (R-CHOP) ꯑꯃꯥ ꯑꯣꯏꯔꯤꯕꯥ ꯑꯥꯔ-ꯁꯤ.ꯑꯩꯆ.ꯑꯣ.ꯄꯤ.ꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯈꯉꯒꯗꯕꯥ ꯋꯥꯐꯃꯁꯤꯡ

ꯅꯍꯥꯛ ꯅꯠꯠꯔꯒꯥ ꯅꯍꯥꯛꯀꯤ ꯅꯨꯡꯁꯤꯖꯔꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯅꯥ ꯀꯦꯟꯁꯔꯅꯥ ꯅꯥꯔꯦ ꯍꯥꯌꯅꯥ ꯈꯪꯂꯕꯥ ꯃꯇꯃꯗꯥ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ R-CHOPꯒꯨꯝꯕꯥ ꯂꯥꯏꯌꯦꯡ ꯑꯃꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯕꯥ ꯃꯇꯃꯗꯥ ꯈꯔꯥ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯑꯃꯁꯨꯡ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯐꯥꯎꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯅꯣꯔꯃꯦꯂꯅꯤ꯫ ꯋꯥꯍꯩꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯑꯔꯊ ꯀꯔꯤꯅꯣ, ꯃꯁꯤꯒꯤ ꯂꯥꯏꯌꯦꯡ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯑꯣꯏꯕꯒꯦ, ꯃꯁꯤꯒꯤ ꯃꯍꯩ ꯑꯣꯏꯅꯥ ꯀꯔꯤ ꯊꯣꯛꯀꯅꯤ ꯍꯥꯌꯕꯥ ꯋꯥꯍꯪ ꯀꯌꯥ ꯋꯥꯈꯂꯗꯥ ꯂꯥꯀꯏ꯫ ꯃꯔꯝ ꯑꯁꯤꯅꯥ, ꯅꯍꯥꯛꯀꯤ ꯃꯔꯨꯞ ꯑꯗꯨꯅꯥ ꯑꯗꯣꯃꯗꯥ ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯏꯆꯝ ꯆꯝꯕꯥ ꯋꯥꯍꯩꯁꯤꯡꯗꯥ ꯍꯥꯌꯔꯀꯄꯒꯨꯝ, ꯑꯩꯈꯣꯌꯅꯥ ꯉꯁꯤ ꯑꯥꯔ-ꯁꯤ.ꯑꯩꯆ.ꯑꯣ.ꯄꯤ.

ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯑꯥꯔ-ꯆꯣꯞ ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ?

ꯑꯥꯔ-ꯁꯤ.ꯑꯣ.ꯄꯤ.ꯅꯥ ꯀꯦꯟꯁꯔꯒꯤ ꯂꯥꯌꯦꯡ ꯑꯃꯅꯤ꯫ ꯆꯨꯝꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ ꯃꯁꯤ ꯗ꯭ꯔꯒ ꯃꯉꯥꯒꯤ ꯀꯝꯕꯤꯅꯦꯁꯟ ꯑꯃꯅꯤ꯫ ꯃꯁꯤ ꯑꯀꯛꯅꯅꯥ ꯅꯟ-ꯍꯣꯗꯀꯤꯟ ꯂꯤꯝꯐꯣꯃꯥ ꯀꯧꯕꯥ ꯀꯦꯟꯁꯔ ꯃꯈꯜ ꯑꯃꯥ ꯂꯥꯌꯦꯡꯕꯗꯥ ꯁꯤꯖꯤꯟꯅꯩ꯫ ꯗ꯭ꯔꯒꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯀꯝꯕꯤꯅꯦꯁꯟ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯀꯦꯃꯣꯊꯦꯔꯥꯄꯤ ꯗ꯭ꯔꯒ ꯑꯍꯨꯝ, ꯇꯥꯔꯒꯦꯠ ꯇꯧꯔꯕꯥ ꯊꯦꯔꯥꯄꯤ ꯗ꯭ꯔꯒ ꯑꯃꯥ ꯑꯃꯁꯨꯡ ꯀꯣꯔꯇꯤꯀꯣꯁ꯭ꯇꯦꯔꯣꯏꯗ ꯑꯃꯥ ꯌꯥꯑꯣꯔꯤ꯫

ꯃꯤꯡ ꯑꯁꯤꯒꯤ ꯑꯛꯁꯔ ꯈꯨꯗꯤꯡꯃꯛꯅꯥ ꯍꯤꯗꯥꯛ ꯃꯈꯜ ꯑꯃꯥ ꯔꯤꯞꯔꯖꯦꯟꯇ ꯇꯧꯔꯤ꯫ ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯏꯆꯝ ꯆꯝꯕꯥ ꯋꯥꯐꯝꯅꯤ, ꯌꯦꯡꯕꯤꯌꯨ꯫

ꯆꯤꯊꯤ ꯗ꯭ꯔꯒ ꯑꯗꯨꯒꯤ ꯃꯃꯤꯡ꯫ ꯃꯁꯤꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯀꯔꯤ ꯑꯣꯏꯒꯅꯤ?
ꯑꯥꯔ ꯔꯤꯇꯨꯛꯁꯤꯃꯦꯕ꯫ ꯃꯁꯤ ꯄꯥꯟꯗꯝ ꯊꯝꯂꯤꯕꯥ ꯊꯦꯔꯥꯄꯤ ꯑꯃꯅꯤ꯫ ꯃꯁꯤꯅꯥ ꯇꯥꯀꯄꯗꯤ ꯗ꯭ꯔꯒ ꯑꯁꯤ ꯀꯦꯟꯁꯔ ꯁꯦꯂꯁꯤꯡꯗꯥ ꯑꯀꯛꯅꯕꯥ ꯄ꯭ꯔꯣꯇꯤꯟ ꯑꯃꯗꯥ ꯌꯥꯑꯣꯏ꯫ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯏꯝꯝꯌꯨꯟ ꯁꯤꯁ꯭ꯇꯦꯃꯅꯥ ꯀꯦꯟꯁꯔ ꯁꯦꯂꯁꯤꯡ ꯑꯁꯤ ꯐꯖꯅꯥ ꯊꯤꯕꯥ ꯑꯃꯁꯨꯡ ꯃꯥꯡꯍꯅꯕꯥ ꯉꯃꯒꯅꯤ꯫
ꯁꯤ ꯁꯥꯏꯛꯂꯣꯐꯣꯁꯐꯦꯃꯥꯏꯗ꯫ ꯃꯁꯤ ꯀꯦꯃꯣꯊꯦꯔꯥꯄꯤ ꯗ꯭ꯔꯒ ꯑꯃꯅꯤ꯫ ꯗ꯭ꯔꯒꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯈꯥꯌꯗꯣꯀꯄꯥ ꯁꯦꯂꯁꯤꯡ (ꯀꯦꯟꯁꯔ ꯁꯦꯂꯁꯤꯡꯒꯨꯝꯕꯥ) ꯃꯥꯡꯍꯟ ꯇꯥꯀꯍꯟꯗꯨꯅꯥ ꯊꯕꯛ ꯇꯧꯏ꯫
ꯑꯩꯆ ꯗꯣꯛꯁꯣꯔꯨꯕꯤꯁꯤꯟ ꯍꯥꯏꯗ꯭ꯔꯣꯛꯂꯣꯔꯥꯏꯗ꯫ ꯃꯁꯤꯁꯨ ꯀꯦꯃꯣꯊꯦꯔꯥꯄꯤ ꯗ꯭ꯔꯒ ꯑꯃꯅꯤ꯫
ꯑꯣ ꯚꯤꯅꯛꯔꯤꯁ꯭ꯇꯤꯟ ꯁꯂꯐꯦꯠ꯫ ꯃꯁꯤ ꯑꯇꯣꯞꯄꯥ ꯀꯦꯃꯣꯊꯦꯔꯥꯄꯤ ꯗ꯭ꯔꯒ ꯑꯃꯅꯤ꯫
ꯄꯤ ꯄ꯭ꯔꯦꯗꯅꯤꯁꯟ꯫ ꯃꯁꯤ ꯁ꯭ꯇꯦꯔꯣꯏꯗ (ꯀꯣꯔꯇꯤꯀꯣꯁ꯭ꯇꯦꯔꯣꯏꯗ) ꯃꯈꯜ ꯑꯃꯅꯤ꯫ ꯃꯁꯤꯅꯥ ꯀꯦꯟꯁꯔ ꯁꯦꯂꯁꯤꯡ ꯁꯤꯍꯅꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ ꯑꯃꯁꯨꯡ ꯑꯇꯣꯞꯄꯥ ꯍꯤꯗꯥꯀꯁꯤꯡꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯕꯥ ꯑꯦꯂꯥꯔꯖꯤꯒꯤ ꯔꯤꯑꯦꯛꯁꯅꯁꯤꯡ ꯍꯟꯊꯍꯅꯕꯗꯁꯨ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫

ꯗ꯭ꯔꯒꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯑꯌꯥꯝꯕꯥ ꯁꯔꯨꯀꯁꯤꯡ ꯑꯁꯤ ꯀꯦꯃꯣꯊꯦꯔꯥꯄꯤ ꯗ꯭ꯔꯒꯁꯤꯡ ꯑꯣꯏꯕꯅꯥ ꯃꯤꯑꯣꯏ ꯈꯔꯅꯥ ꯂꯥꯌꯦꯡ ꯑꯁꯤꯕꯨ "ꯑꯥꯔ-ꯁꯤ.ꯑꯩꯆ.ꯑꯣ.ꯄꯤ. ꯀꯦꯃꯣ" ꯍꯥꯌꯅꯥꯁꯨ ꯀꯧꯏ꯫ ꯑꯗꯨꯕꯨ ꯔꯤꯇꯨꯛꯁꯤꯃꯦꯕ ꯗ꯭ꯔꯒ ꯑꯁꯤꯅꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯏꯝꯝꯌꯨꯟ ꯁꯤꯁ꯭ꯇꯦꯃꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯕꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯃꯁꯤꯕꯨ "ꯏꯝꯝꯌꯨꯅꯣ-ꯀꯦꯃꯣꯊꯦꯔꯥꯄꯤ" ꯍꯥꯌꯅꯥꯁꯨ ꯀꯧꯕꯥ ꯌꯥꯏ꯫

ꯑꯥꯔ-ꯁꯤ.ꯑꯣ.ꯄꯤ.ꯒꯤ ꯂꯥꯏꯌꯦꯡ ꯑꯁꯤ ꯀꯔꯤ ꯃꯈꯂꯒꯤ ꯂꯥꯌꯅꯥꯁꯤꯡꯗꯥ ꯁꯤꯖꯤꯟꯅꯕꯒꯦ?

ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯃꯔꯨꯑꯣꯏꯅꯥ ꯅꯟ-ꯍꯣꯗꯀꯤꯟ ꯂꯤꯝꯐꯣꯃꯥ ꯀꯧꯕꯥ ꯀꯦꯟꯁꯔ ꯃꯈꯜ ꯑꯃꯥ ꯂꯥꯌꯦꯡꯕꯗꯥ ꯑꯥꯔ-ꯁꯤ.ꯑꯩꯆ.ꯑꯣ.ꯄꯤ. ꯃꯁꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯂꯤꯝꯐꯣꯃꯥ ꯃꯈꯜ ꯑꯃꯒꯤ ꯗꯤꯐ꯭ꯌꯨꯁꯟ ꯂꯥꯔꯖ ꯕꯤ-ꯁꯦꯜ ꯂꯤꯝꯐꯣꯃꯥ (DLBCL) ꯒꯤꯗꯃꯛꯇꯁꯨ ꯌꯥꯝꯅꯥ ꯏꯐꯦꯛꯇꯤꯚ ꯑꯣꯏꯕꯥ ꯂꯥꯏꯌꯦꯡ ꯑꯃꯅꯤ꯫

ꯃꯁꯤꯒꯤ ꯃꯊꯛꯇꯥ, ꯑꯥꯔ-ꯁꯤ.ꯑꯩꯆ.ꯑꯣ.ꯄꯤ.ꯅꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯐꯤꯚꯃꯁꯤꯡ ꯑꯁꯤꯗꯁꯨ ꯁꯤꯖꯤꯟꯅꯩ:

  • ꯑꯦꯗꯚꯥꯟꯁ ꯐꯣꯂꯤꯛꯌꯨꯂꯥꯔ ꯂꯤꯝꯐꯣꯃꯥ꯫
  • ꯃꯦꯟꯇꯦꯜ ꯁꯦꯜ ꯂꯤꯝꯐꯣꯃꯥ꯫
  • ꯋꯥꯜꯗꯅꯁ꯭ꯠꯔꯣꯝ ꯃꯦꯛꯔꯣꯒ꯭ꯂꯣꯕꯨꯂꯤꯅꯦꯃꯤꯌꯥ꯫

ꯂꯥꯏꯌꯦꯡ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯊꯣꯀꯄꯒꯦ? (ꯇ꯭ꯔꯦꯇꯤꯡ ꯁꯥꯏꯀꯜ) ꯴.

ꯅꯍꯥꯛꯅꯥ ꯁꯥꯏꯀꯂꯁꯤꯡꯗꯥ ꯑꯥꯔ-ꯁꯤ.ꯑꯩꯆ.ꯑꯣ.ꯄꯤ. ꯁꯥꯏꯀꯜ ꯈꯨꯗꯤꯡꯃꯛ ꯃꯍꯧꯁꯥꯅꯥ ꯅꯨꯃꯤꯠ ꯍꯨꯝꯅꯤ (ꯅꯨꯃꯤꯠ 21ꯅꯤ) ꯆꯪꯏ꯫ ꯃꯁꯤꯒꯤ ꯁꯥꯏꯀꯜ ꯑꯁꯤ ꯁꯔꯨꯛ ꯑꯅꯤꯗꯥ ꯈꯥꯌꯗꯣꯀꯏ:

1. ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯅꯨꯃꯤꯠꯁꯤꯡ: ꯅꯍꯥꯀꯄꯨ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛ ꯄꯤꯕꯥ ꯅꯨꯃꯤꯠꯁꯤꯡ꯫

2. ꯅꯨꯡꯉꯥꯏꯅꯥ ꯂꯩꯅꯕꯥ ꯅꯨꯃꯤꯠꯁꯤꯡ: ꯃꯊꯪꯒꯤ ꯔꯥꯎꯟꯗꯒꯤ ꯃꯃꯥꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡ ꯑꯗꯨ ꯐꯒꯠꯂꯀꯄꯥ, ꯍꯥꯌꯕꯗꯤ ꯐꯒꯠꯂꯀꯄꯥ ꯌꯥꯅꯕꯥ ꯅꯨꯃꯤꯠꯁꯤꯡ꯫

ꯂꯥꯌꯦꯡꯕꯒꯤ ꯅꯨꯃꯤꯠꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯆꯠꯊꯔꯤꯕꯒꯦ?

ꯅꯍꯥꯛꯅꯥ ꯅꯨꯃꯤꯠ ꯃꯉꯥꯅꯤꯒꯤ ꯑꯣꯏꯅꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛ ꯂꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯒꯅꯤ꯫ ꯄ꯭ꯔꯦꯗꯅꯤꯁꯟ (P) ꯀꯧꯕꯥ ꯁ꯭ꯇꯦꯔꯣꯏꯗ ꯑꯁꯤ ꯍꯤꯗꯥꯛ ꯑꯃꯥ ꯑꯣꯏꯅꯥ ꯂꯧꯏ꯫ ꯑꯇꯣꯞꯄꯥ ꯍꯤꯗꯥꯛ ꯃꯔꯤ (R, C, H, O) ꯑꯁꯤ ꯅꯍꯥꯀꯄꯨ ꯏꯅꯠꯔꯥꯚꯦꯅꯁ ꯏꯅꯐ꯭ꯌꯨꯖꯟ (IV)ꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯄꯤ꯫ ꯃꯁꯤꯅꯥ ꯇꯥꯀꯄꯗꯤ ꯃꯈꯣꯌ ꯑꯁꯤ ꯁꯦꯂꯤꯅꯒꯨꯝꯕꯥ ꯚꯦꯅꯝ ꯑꯃꯗꯥ ꯄꯤ꯫ ꯃꯁꯤꯒꯤꯗꯃꯛꯇꯥ ꯅꯍꯥꯛꯅꯥ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯜ ꯅꯠꯠꯔꯒꯥ ꯀ꯭ꯂꯤꯅꯤꯛ ꯑꯃꯗꯥ ꯆꯠꯄꯥ ꯃꯊꯧ ꯇꯥꯒꯅꯤ꯫

ꯂꯥꯏꯌꯦꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ, ꯅꯍꯥꯛꯅꯥ ꯆꯦꯌꯥꯔ ꯑꯃꯗꯥ ꯐꯃꯒꯅꯤ꯫ ꯃꯦꯁꯤꯟ ꯑꯃꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯍꯤꯗꯥꯛ ꯑꯗꯨ ꯄ꯭ꯂꯥꯁ꯭ꯇꯤꯛ ꯇꯨꯕ ꯑꯃꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯨꯠꯁꯥ, ꯈꯨꯠ ꯅꯠꯠꯔꯒꯥ ꯈꯣꯡꯗꯥ ꯂꯩꯕꯥ ꯚꯦꯅꯝ ꯑꯃꯗꯥ ꯄꯤꯒꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯃꯈꯥ ꯇꯥꯅꯥ ꯂꯥꯏꯌꯦꯡꯕꯗꯥ ꯂꯥꯏꯊꯣꯀꯍꯟꯅꯕꯒꯤꯗꯃꯛ, ꯀꯦꯃꯣ ꯄꯣꯔꯠ ꯀꯧꯕꯥ ꯑꯄꯤꯀꯄꯥ ꯈꯨꯠꯂꯥꯏ ꯑꯃꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯒꯤ ꯃꯈꯥꯗꯥ ꯊꯝꯃꯤ꯫ꯃꯁꯤꯕꯨ ꯑꯃꯠꯇꯥ ꯍꯥꯌꯅꯥꯁꯨ ꯀꯧꯏ꯫

ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯑꯍꯥꯅꯕꯥ ꯔꯥꯎꯟꯗ ꯑꯁꯤ ꯃꯍꯧꯁꯥꯅꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯁꯤꯒꯨꯝꯅꯥ ꯆꯠꯂꯤ:

  • ꯂꯥꯏꯌꯦꯡ ꯍꯧꯗ꯭ꯔꯤꯉꯩꯒꯤ ꯃꯃꯥꯡꯗꯥ, ꯅꯍꯥꯀꯄꯨ ꯋꯥꯈꯜ ꯇꯥꯗꯕꯥ ꯑꯃꯁꯨꯡ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯊꯤꯡꯅꯕꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ ꯄꯤꯒꯅꯤ .
  • ꯃꯁꯤꯗꯁꯨ ꯅꯠꯇꯅꯥ ꯑꯦꯂꯥꯔꯖꯤ ꯊꯤꯡꯅꯕꯥ ꯍꯤꯗꯥꯀꯁꯤꯡ ꯄꯤꯔꯤ . ꯅꯍꯥꯛꯅꯥ ꯗ꯭ꯔꯒ ꯔꯤꯇꯨꯛꯁꯤꯃꯦꯕ (R) ꯄꯤꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯑꯄꯤꯀꯄꯥ ꯔꯤꯑꯦꯛꯁꯟ ꯑꯃꯥ (ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯑꯁꯥꯕꯥ, ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ) ꯂꯩꯕꯥ ꯑꯁꯤ ꯀꯃꯟ ꯑꯣꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯃꯃꯥꯡꯒꯤ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯑꯆꯧꯕꯥ ꯔꯤꯑꯦꯛꯁꯅꯁꯤꯡ ꯊꯤꯡꯏ꯫

ꯔꯦꯁ꯭ꯠ ꯅꯨꯃꯤꯠꯀꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ꯫

ꯑꯥꯔ-ꯁꯤ.ꯑꯩꯆ.ꯑꯣ.ꯄꯤ.ꯒꯤ ꯃꯁꯛ ꯊꯣꯀꯄꯥ ꯁꯥꯏꯀꯜ ꯑꯃꯗꯥ, ꯅꯍꯥꯛꯅꯥ ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯅꯨꯃꯤꯠ ꯃꯉꯥꯅꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯅꯨꯃꯤꯠ 16ꯅꯤꯒꯤ ꯅꯨꯡꯉꯥꯏꯕꯥ ꯐꯪꯏ꯫ ꯃꯇꯝ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫ ꯃꯔꯃꯗꯤ ꯑꯥꯔ-ꯁꯤ.ꯑꯩꯆ.ꯑꯣ.ꯄꯤ.ꯅꯥ ꯀꯦꯟꯁꯔ ꯁꯦꯂꯁꯤꯡ ꯃꯥꯡꯍꯅꯕꯥ ꯃꯇꯃꯗꯥ ꯍꯀꯆꯥꯡꯒꯤꯗꯃꯛꯇꯁꯨ ꯌꯥꯝꯅꯥ ꯋꯥꯅꯥ ꯊꯣꯀꯏ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯌꯥꯝꯅꯥ ꯋꯥꯅꯥ ꯊꯣꯀꯄꯥ ꯍꯥꯌꯕꯁꯤ ꯅꯣꯔꯃꯦꯂꯅꯤ꯫ ꯅꯨꯡꯉꯥꯏꯔꯕꯥ ꯅꯨꯃꯤꯠꯁꯤꯡ ꯑꯁꯤꯗꯥ, ꯏꯃꯨꯡꯒꯤ ꯃꯤꯑꯣꯏ ꯑꯃꯥ ꯅꯠꯠꯔꯒꯥ ꯃꯔꯨꯞ ꯑꯃꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯅꯨꯡꯇꯤꯒꯤ ꯊꯕꯛ ꯊꯧꯔꯃꯁꯤꯡꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯅꯕꯥ ꯍꯥꯌꯕꯥ ꯑꯁꯤ ꯑꯐꯕꯥ ꯋꯥꯈꯜꯂꯣꯟ ꯑꯃꯅꯤ꯫

ꯅꯍꯥꯛꯀꯤ ꯐꯒꯠꯂꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯍꯀꯆꯥꯡ ꯐꯅꯥ ꯂꯩꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯈꯣꯡꯅꯥ ꯆꯠꯄꯥ, ꯏꯁꯤꯡ ꯃꯔꯥꯡ ꯀꯥꯌꯅꯥ ꯊꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯃꯆꯤ ꯑꯣꯏꯕꯥ ꯆꯤꯟꯖꯥꯀꯁꯤꯡ ꯆꯥꯕꯥ ꯑꯁꯤꯅꯆꯤꯡꯕꯥ ꯑꯄꯤꯀꯄꯥ ꯊꯕꯛ ꯊꯧꯔꯃꯁꯤꯡ ꯄꯥꯡꯊꯣꯛꯅꯕꯥ ꯄꯥꯎꯇꯥꯛ ꯄꯤꯕꯥ ꯌꯥꯏ꯫

ꯃꯁꯤꯒꯤ ꯂꯥꯏꯌꯦꯡ ꯑꯁꯤ ꯀꯌꯥ ꯀꯨꯏꯅꯥ ꯇꯧꯒꯗꯒꯦ?

ꯑꯌꯥꯝꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯅꯥ ꯑꯥꯔ-ꯁꯤ.ꯑꯣ.ꯄꯤ.ꯒꯤ ꯁꯥꯏꯀꯜ ꯶ ꯐꯪꯏ꯫ ꯁꯥꯏꯀꯜ ꯈꯨꯗꯤꯡꯃꯛ ꯅꯨꯃꯤꯠ ꯍꯨꯝꯅꯤ ꯆꯪꯏ, ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯑꯄꯨꯅꯕꯥ ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯃꯇꯝ ꯑꯁꯤ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯅꯨꯃꯤꯠ 18ꯅꯤ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯅꯍꯥꯛꯅꯥ ꯃꯊꯧ ꯇꯥꯔꯤꯕꯥ ꯁꯥꯏꯀꯂꯒꯤ ꯃꯁꯤꯡ ꯑꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯀꯟꯗꯤꯁꯅꯒꯤ ꯃꯈꯥ ꯄꯣꯜꯂꯤ꯫ ꯃꯤꯑꯣꯏ ꯈꯔꯗꯤ ꯁꯥꯏꯀꯜ 8 ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯏ꯫ ꯗꯣꯛꯇꯔ ꯈꯔꯅꯥ ꯅꯨꯃꯤꯠ ꯍꯨꯝꯅꯤꯒꯤ ꯁꯥꯏꯀꯂꯒꯤ ꯃꯍꯨꯠꯇꯥ ꯅꯨꯃꯤꯠ ꯑꯅꯤꯒꯤ ꯁꯥꯏꯀꯂꯁꯤꯡ ꯁꯤꯖꯤꯟꯅꯅꯕꯥ ꯄꯥꯎꯇꯥꯛ ꯄꯤꯕꯥ ꯌꯥꯏ꯫

ꯋꯥꯔꯦꯞ ꯑꯁꯤ ꯂꯧꯕꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯥ ꯃꯤꯑꯣꯏꯅꯤ . ꯃꯍꯥꯛꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯊꯧ ꯇꯥꯔꯤꯕꯥ ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯄ꯭ꯂꯥꯟ ꯑꯗꯨ ꯃꯌꯦꯛ ꯁꯦꯡꯅꯥ ꯈꯪꯍꯜꯂꯛꯀꯅꯤ꯫

ꯑꯥꯔ-ꯁꯤ.ꯑꯩꯆ.ꯑꯣ.ꯄꯤ.ꯒꯤ ꯂꯥꯌꯦꯡꯕꯒꯤ ꯀꯥꯟꯅꯕꯁꯤꯡ ꯀꯔꯤꯅꯣ?

ꯃꯁꯤꯒꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯆꯥꯎꯕꯥ ꯀꯥꯟꯅꯕꯗꯤ ꯃꯁꯤ ꯗ꯭ꯔꯒ ꯑꯃꯈꯛꯇꯃꯛ ꯅꯠꯇꯦ, ꯗ꯭ꯔꯒ ꯃꯉꯥꯒꯤ ꯀꯝꯕꯤꯅꯦꯁꯟ ꯑꯃꯅꯤ꯫ ꯍꯤꯗꯥꯛ ꯈꯨꯗꯤꯡꯃꯛꯅꯥ ꯀꯦꯟꯁꯔ ꯁꯦꯂꯁꯤꯡꯕꯨ ꯇꯣꯉꯥꯟ ꯇꯣꯉꯥꯅꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯍꯥꯠꯂꯤ꯫ ꯑꯗꯨꯅꯥ, ꯂꯥꯟꯃꯤ ꯑꯃꯅꯥ ꯂꯥꯟꯊꯦꯡꯅꯕꯒꯤ ꯃꯍꯨꯠꯇꯥ, ꯃꯁꯤ ꯂꯥꯟꯃꯤ ꯄꯨꯝꯅꯃꯛꯅꯥ ꯀꯦꯟꯁꯔ ꯂꯥꯟꯊꯦꯡꯅꯅꯕꯥ ꯄꯨꯟꯅꯥ ꯂꯥꯀꯃꯤꯟꯅꯕꯒꯨꯝꯕꯅꯤ꯫

ꯑꯥꯔ-ꯁꯤ.ꯑꯩꯆ.ꯑꯣ.ꯄꯤ.ꯒꯤ ꯂꯥꯌꯦꯡꯕꯒꯤ ꯃꯥꯌ ꯄꯥꯀꯄꯒꯤ ꯆꯥꯡ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯋꯥꯡꯏ . ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, DLBCL ꯀꯧꯕꯥ ꯀꯦꯟꯁꯔ ꯃꯈꯜ ꯑꯃꯥ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯒꯤ 70% ꯐꯥꯎꯕꯗꯤ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯔꯤꯃꯤꯁꯟ ꯐꯪꯏ꯫ ꯃꯁꯤꯅꯥ ꯇꯥꯀꯄꯗꯤ ꯂꯥꯏꯑꯣꯡ ꯄꯨꯝꯅꯃꯛ ꯃꯥꯡꯈꯤ ꯍꯥꯌꯕꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯂꯥꯌꯅꯥ ꯑꯁꯤ ꯆꯍꯤ ꯃꯉꯥꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯂꯥꯛꯠꯔꯕꯗꯤ, ꯃꯍꯧꯁꯥꯅꯥ ꯀꯦꯟꯁꯔ ꯑꯁꯤ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯂꯥꯀꯄꯥ ꯌꯥꯗꯕꯅꯤ ꯍꯥꯌꯅꯥ ꯂꯧꯅꯩ꯫

ꯇꯁꯦꯡꯕꯗꯤ, ꯃꯁꯤꯒꯤ ꯂꯥꯌꯦꯡ ꯑꯁꯤꯅꯥ ꯀꯦꯟꯁꯔ ꯑꯁꯤ ꯃꯄꯨꯡ ꯐꯥꯅꯥ ꯂꯧꯊꯣꯛꯀꯅꯤ ꯅꯠꯠꯔꯒꯥ ꯃꯤꯄꯨꯝ ꯈꯨꯗꯤꯡꯃꯛꯇꯥ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯂꯥꯀꯄꯥ ꯊꯤꯡꯒꯅꯤ ꯍꯥꯌꯕꯒꯤ ꯒꯔꯦꯟꯇꯤ ꯄꯤꯕꯥ ꯉꯃꯗꯦ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯑꯥꯔ-ꯁꯤ.ꯑꯩꯆ.ꯑꯣ.ꯄꯤ.ꯅꯥ ꯅꯟ-ꯍꯣꯗꯀꯤꯟ ꯂꯤꯝꯐꯣꯃꯥꯒꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯁꯥꯐꯕꯥ ꯑꯃꯁꯨꯡ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯏꯐꯦꯛꯇꯤꯕ ꯑꯣꯏꯕꯥ ꯂꯥꯌꯦꯡꯁꯤꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯅꯤ ꯍꯥꯌꯅꯥ ꯂꯧꯅꯩ꯫

ꯁꯥꯏꯗ ꯏꯐꯦꯛꯇ ꯑꯃꯁꯨꯡ ꯔꯤꯁ꯭ꯀꯁꯤꯡ꯫

ꯂꯥꯏꯌꯦꯡ ꯑꯃꯍꯦꯛꯇꯒꯨꯝꯅꯥ ꯑꯥꯔ-ꯁꯤ.ꯑꯩꯆ.ꯑꯣ.ꯄꯤ.ꯅꯥ ꯁꯥꯏꯗ ꯏꯐꯦꯛꯇ ꯂꯩ꯫ ꯑꯗꯨꯕꯨ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯂꯩꯔꯣꯏꯗꯕꯅꯤ꯫ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯑꯆꯧꯕꯥ ꯁꯥꯏꯗ ꯏꯐꯦꯛꯇꯁꯤꯡ (ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ) ꯊꯤꯡꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯋꯥꯏꯠ ꯕ꯭ꯂꯗ ꯁꯦꯂꯁꯤꯡ ꯅꯦꯝꯕꯥ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯅꯕꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ ꯄꯤꯒꯅꯤ꯫ ꯂꯥꯏꯌꯦꯡ ꯍꯧꯗ꯭ꯔꯤꯉꯩꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯔꯤꯁ꯭ꯀꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯑꯃꯨꯛꯇꯪ ꯋꯥꯔꯤ ꯁꯥꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫

ꯏꯅꯐ꯭ꯌꯨꯖꯟ ꯔꯤꯑꯦꯛꯁꯅꯁꯤꯡ꯫

ꯃꯤꯑꯣꯏ ꯀꯌꯥꯅꯥ ꯃꯈꯣꯌꯒꯤ ꯑꯍꯥꯅꯕꯥ ꯂꯥꯏꯌꯦꯡꯒꯤ ꯃꯇꯃꯗꯥ ꯔꯤꯇꯨꯛꯁꯤꯃꯦꯕꯇꯥ ꯃꯌꯥꯏ ꯑꯣꯏꯕꯥ ꯔꯤꯑꯦꯛꯁꯟ ꯑꯃꯥ ꯂꯩꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯑꯍꯥꯅꯕꯗꯥ ꯗ꯭ꯔꯒ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯅꯦꯝꯅꯥ ꯄꯤꯔꯤ꯫ ꯃꯤꯠ ꯎꯗꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯁꯥꯕꯥ ꯏ ꯊꯣꯀꯄꯥ ꯍꯥꯌꯕꯁꯤ ꯀꯃꯟ ꯑꯣꯏ, ꯑꯃꯁꯨꯡ ꯃꯁꯤ ꯃꯇꯝ ꯈꯔꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯂꯩꯔꯛꯀꯅꯤ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯔꯤꯑꯦꯛꯁꯟ ꯑꯃꯒꯤ ꯂꯥꯏꯑꯣꯡ ꯂꯩꯔꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯈꯨꯗꯛꯇꯥ ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯃꯇꯦꯡ ꯂꯧꯒꯗꯕꯅꯤ . ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯁꯤꯡꯁꯤ ꯌꯥꯎꯏ:

  • ꯁ꯭ꯀꯤꯟ ꯔꯦꯁ (ꯁ꯭ꯀꯤꯟ ꯔꯦꯁ)꯫
  • ꯏꯆꯝ ꯆꯝꯕꯥ꯫
  • ꯃꯤꯠ ꯅꯠꯠꯔꯒꯥ ꯊꯕꯥꯛ ꯁꯣꯀꯄꯥ꯫
  • ꯅꯍꯥꯛꯀꯤ ꯀꯣꯛ ꯑꯗꯨ ꯁꯣꯟꯊꯔꯀꯄꯒꯨꯝꯅꯥ ꯐꯥꯎꯕꯥ꯫

ꯃꯦꯗꯤꯀꯦꯜ ꯁ꯭ꯇꯥꯐꯁꯤꯡꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛ ꯄꯤꯔꯤꯉꯩꯗꯥ ꯌꯦꯡꯁꯤꯅꯒꯅꯤ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯌꯨꯃꯗꯥ ꯆꯠꯂꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯍꯦꯛꯇꯕꯨ ꯊꯦꯡꯅꯔꯕꯗꯤ, ꯈꯨꯗꯛꯇꯥ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯂꯒꯤ ꯏꯃꯔꯖꯦꯟꯁꯤ ꯗꯤꯄꯥꯔꯇꯃꯦꯟꯇ (ETU) ꯗꯥ ꯆꯠꯂꯨ꯫

ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯁꯥꯏꯗ ꯏꯐꯦꯛꯇꯁꯤꯡ꯫

ꯑꯥꯔ-ꯁꯤ.ꯑꯩꯆ.ꯑꯣ.ꯄꯤ.ꯗꯥ ꯌꯥꯑꯣꯔꯤꯕꯥ ꯗ꯭ꯔꯒ ꯄꯨꯝꯅꯃꯛ ꯑꯁꯤꯅꯥ ꯁꯥꯏꯗ ꯏꯐꯦꯛꯇ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯕꯨ ꯃꯤꯄꯨꯝ ꯈꯨꯗꯤꯡꯃꯛꯅꯥ ꯃꯈꯣꯌꯁꯤꯡ ꯑꯁꯤ ꯐꯪꯗꯦ꯫ ꯃꯁꯤ ꯃꯤꯑꯣꯏ ꯑꯃꯗꯒꯤ ꯃꯤꯑꯣꯏ ꯑꯃꯗꯥ ꯈꯦꯠꯅꯩ꯫ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯁꯥꯏꯗ ꯏꯐꯦꯛꯇꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯃꯈꯣꯌꯕꯨ ꯀꯔꯝꯅꯥ ꯊꯦꯡꯅꯒꯗꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯁꯤ꯫

ꯁꯥꯏꯗ ꯏꯐꯦꯛꯇ꯫ ꯏꯆꯝ ꯆꯝꯕꯥ ꯃꯌꯦꯛ ꯁꯦꯡꯅꯥ ꯇꯥꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯃꯦꯅꯦꯖꯃꯦꯟꯇ꯫
ꯂꯥꯜ/ ꯄꯤꯀꯄꯥ ꯌꯨꯔꯤꯟ꯫ ꯗꯣꯛꯁꯣꯔꯨꯕꯤꯁꯤꯟ (H) ꯑꯁꯤ ꯂꯥꯂꯍꯧꯕꯥ ꯗ꯭ꯔꯒ ꯑꯃꯅꯤ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯌꯨꯔꯤꯟ ꯑꯗꯨ ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯄꯨꯡ 48 ꯐꯥꯎꯕꯥ ꯂꯥꯂꯍꯧꯕꯥ/ ꯄꯤꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯁꯤ ꯅꯣꯔꯃꯦꯂꯅꯤ, ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯂꯩꯔꯣꯏꯗꯕꯅꯤ꯫
ꯅꯣꯡꯃꯩ ꯀꯥꯞꯄꯥ ꯑꯃꯁꯨꯡ ꯈꯣꯡ ꯍꯥꯝꯕꯥ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯤꯠ ꯎꯗꯕꯥ ꯊꯤꯡꯅꯕꯥ ꯍꯤꯗꯥꯛ ꯄꯤꯔꯕꯁꯨ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯐꯥꯎꯔꯀꯄꯥ ꯌꯥꯏ꯫ ꯍꯤꯗꯥꯛ ꯑꯗꯨ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯄꯤꯕꯥ ꯃꯇꯨꯡꯏꯟꯅꯥ ꯆꯞ ꯃꯥꯟꯅꯅꯥ ꯂꯧ꯫ ꯃꯁꯤꯗꯁꯨ ꯅꯠꯇꯅꯥ ꯑꯆꯧꯕꯥ ꯆꯤꯟꯖꯥꯀꯁꯤꯡ ꯆꯥꯕꯥ ꯑꯃꯁꯨꯡ ꯇꯩꯁꯤꯅꯕꯥ/ ꯃꯆꯤ ꯑꯣꯏꯕꯥ ꯆꯤꯟꯖꯥꯀꯁꯤꯡ ꯆꯥꯔꯣꯏꯗꯕꯅꯤ꯫
ꯆꯨꯝꯅꯒꯤ ꯆꯦꯡ ꯁꯣꯀꯄꯥ꯫ ꯃꯁꯤ ꯀꯦꯃꯣꯊꯦꯔꯥꯄꯤꯒꯤ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯁꯥꯏꯗ ꯏꯐꯦꯛꯇ ꯑꯃꯅꯤ꯫ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛꯀꯤ ꯑꯍꯥꯅꯕꯥ ꯗꯣꯖꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯅꯨꯃꯤꯠ ꯍꯨꯝꯅꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯆꯨꯃꯊꯣꯀꯄꯥ ꯍꯧꯕꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯕꯨꯂꯥꯏꯌꯦꯡꯕꯥ ꯂꯣꯌꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯆꯨꯃꯗ꯭ꯔꯤꯡꯅꯥ ꯍꯦꯅꯒꯠꯂꯛꯀꯅꯤ꯫
ꯀꯣꯜꯗ ꯑꯃꯥ ꯂꯩꯕꯥ ꯑꯃꯁꯨꯡ ꯂꯥꯏꯍꯧ ꯍꯧꯕꯥ꯫ ꯀꯦꯃꯣꯊꯦꯔꯥꯄꯤꯅꯥ ꯋꯥꯏꯠ ꯕ꯭ꯂꯗ ꯁꯦꯂꯁꯤꯡꯒꯤ ꯃꯁꯤꯡ ꯍꯟꯊꯍꯜꯂꯤ꯫ ꯃꯁꯤꯅꯥ ꯏꯅꯐꯦꯛꯁꯅꯒꯤ ꯔꯤꯁ꯭ꯛ ꯍꯦꯅꯒꯠꯍꯜꯂꯤ꯫ ꯅꯍꯥꯀꯄꯨ ꯖꯤ-ꯁꯤ.ꯑꯦꯁ.ꯑꯦꯐ.ꯅꯥ ꯀꯧꯕꯥ ꯁꯣꯠ ꯑꯃꯥ ꯄꯤꯒꯅꯤ, ꯃꯁꯤꯅꯥ ꯋꯥꯏꯠ ꯕ꯭ꯂꯗ ꯁꯦꯂꯁꯤꯡ ꯄꯨꯊꯣꯀꯄꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯥꯏꯍꯧ ꯍꯧꯔꯛꯂꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯈꯨꯗꯛꯇꯥ ꯈꯪꯍꯜꯂꯨ꯫
ꯀꯟꯅꯥ ꯍꯣꯠꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯍꯣꯠꯅꯕꯥ꯫ R-CHOP ꯂꯥꯌꯦꯡꯕꯅꯥ ꯔꯦꯗ ꯕ꯭ꯂꯗ ꯁꯦꯂꯁꯤꯡ (ꯑꯦꯅꯤꯃꯤꯌꯥ) ꯍꯟꯊꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯌꯥꯝꯅꯥ ꯋꯥꯅꯥ ꯊꯣꯀꯍꯜꯂꯀꯄꯥ ꯌꯥꯏ꯫ ꯅꯨꯃꯤꯠ ꯈꯨꯗꯤꯡꯒꯤ ꯇꯧꯒꯗꯕꯥ ꯊꯕꯀꯁꯤꯡꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯅꯕꯥ ꯍꯥꯌꯌꯨ꯫ ꯅꯣꯡꯃꯗꯥ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯃꯤꯅꯠ 30 ꯆꯠꯄꯒꯨꯝꯕꯥ ꯂꯥꯏꯠ ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯑꯁꯤ ꯑꯐꯕꯥ ꯑꯃꯅꯤ, ꯑꯗꯨꯕꯨ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯐꯥꯎꯔꯕꯗꯤ ꯅꯨꯡꯉꯥꯏꯅꯥ ꯂꯩꯌꯨ꯫
ꯐꯖꯅꯥ ꯏ ꯊꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯁꯣꯀꯄꯥ꯫ ꯄ꯭ꯂꯦꯇꯂꯦꯇꯁꯤꯡꯒꯤ ꯃꯁꯤꯡ ꯍꯟꯊꯔꯀꯄꯒꯥ ꯂꯣꯌꯅꯅꯥ, ꯑꯄꯤꯀꯄꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯑꯃꯠꯇꯗꯁꯨ ꯏ ꯊꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯁꯣꯛ-ꯄꯅꯕꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯥꯃꯀꯄꯨ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯍꯟꯗꯅꯕꯥ ꯆꯦꯀꯁꯤꯅꯒꯗꯕꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯂꯩꯔꯕꯗꯤ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯈꯪꯍꯜꯂꯨ꯫
ꯂꯤꯝꯐꯇꯥ ꯁꯣꯟꯊꯕꯥ꯫ ꯅꯍꯥꯛꯀꯤ ꯈꯨꯠ ꯑꯃꯁꯨꯡ ꯈꯣꯡꯗꯥ ꯁꯣꯟꯊꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯁꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯕꯨ ꯄꯦꯔꯤꯐꯦꯔꯦꯜ ꯅ꯭ꯌꯨꯔꯣꯄꯦꯊꯤ ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯊꯦꯡꯅꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯈꯪꯍꯜꯂꯨ꯫

ꯃꯁꯤꯒꯤ ꯃꯊꯛꯇꯥ, ꯑꯇꯩ ꯁꯥꯏꯗ ꯏꯐꯦꯛꯇꯁꯤꯡꯁꯨ ꯊꯣꯀꯄꯥ ꯌꯥꯏ:

  • ꯃꯆꯤꯟꯖꯥꯛ ꯁꯣꯀꯄꯥ꯫
  • ꯀꯣꯛ ꯆꯤꯛꯄ
  • ꯀꯟꯁꯇꯤꯄꯁꯟ ꯅꯠꯠꯔꯒꯥ ꯗꯥꯏꯔꯤꯌꯥ ꯂꯩꯕꯥ꯫
  • ꯊꯝꯃꯣꯌ ꯁꯣꯀꯄꯥ꯫
  • ꯃꯁꯜ ꯁꯣꯟꯊꯕꯥ꯫
  • ꯇꯨꯝꯕ ꯌꯥꯗꯕ
  • ꯋꯥꯈꯜ ꯍꯣꯡꯂꯀꯄꯥ꯫
  • ꯍꯥꯔꯠ ꯄꯦꯂꯄꯤꯇꯦꯁꯟ ꯂꯩꯕꯥ꯫

ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯑꯣꯏꯊꯣꯀꯄꯥ ꯌꯥꯕꯥ ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯊꯣꯀꯄꯥ ꯏꯐꯦꯛꯇꯁꯤꯡ꯫

ꯑꯌꯥꯝꯕꯥ ꯁꯥꯏꯗ ꯏꯐꯦꯛꯇꯁꯤꯡꯗꯤ ꯂꯥꯏꯌꯦꯡꯕꯥ ꯂꯣꯌꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯃꯇꯃꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ ꯂꯣꯌꯁꯤꯜꯂꯤ꯫

ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯅꯍꯥꯛꯅꯥ ꯐꯪꯂꯤꯕꯥ ꯍꯤꯗꯥꯛ - ꯂꯥꯡꯊꯛꯀꯤ ꯃꯄꯥꯉ꯭ꯒꯂꯒꯨꯝꯕꯥ ꯐꯦꯛꯇꯔꯁꯤꯡꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ, ꯑꯥꯔ-ꯁꯤ.ꯑꯩꯆ.ꯑꯣ.ꯄꯤ . ꯃꯁꯤꯅꯥ ꯐꯔꯇꯤꯂꯥꯏꯖꯔꯗꯁꯨ ꯑꯀꯥꯌꯕꯥ ꯄꯤꯕꯥ ꯌꯥꯏ . ꯃꯁꯤꯅꯥ ꯇꯥꯀꯄꯗꯤ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯇꯨꯡꯗꯥ ꯑꯉꯥꯡ ꯄꯣꯛꯅꯕꯥ ꯊꯧꯔꯥꯡ ꯇꯧꯔꯕꯗꯤ, ꯃꯃꯥꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯕꯤꯌꯨ꯫ ꯅꯍꯥꯛꯀꯤ ꯉꯥ ꯅꯠꯠꯔꯒꯥ ꯁ꯭ꯄꯥꯔꯝ ꯐ꯭ꯔꯤꯖ ꯇꯧꯕꯒꯨꯝꯕꯥ ꯑꯣꯄꯁꯅꯁꯤꯡ ꯈꯟꯅ-ꯅꯩꯅꯕꯥ ꯌꯥꯏ꯫

ꯑꯥꯔ-ꯁꯤ.ꯑꯣ.ꯄꯤ. ꯑꯃꯁꯨꯡ ꯁꯤ.ꯑꯣ.ꯄꯤ.ꯒꯤ ꯃꯔꯛꯇꯥ ꯀꯔꯤ ꯈꯦꯠꯅꯕꯥ ꯂꯩꯕꯒꯦ?

ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯑꯥꯔ-ꯁꯤ.ꯑꯩꯆ.ꯑꯣ.ꯄꯤ.ꯅꯥ ꯁꯤ.ꯑꯩꯆ.ꯑꯣ.ꯄꯤ.ꯒꯤ ꯂꯥꯌꯦꯡꯕꯒꯤ ꯑꯍꯣꯡꯕꯥ ꯚꯔꯖꯟ ꯑꯃꯅꯤ꯫ ꯁꯤ.ꯑꯩꯆ.ꯑꯣ.ꯄꯤ.ꯅꯥ ꯱꯹꯹꯰ꯒꯤ ꯃꯌꯥꯏ ꯆꯜꯂꯀꯄꯗꯥ ꯍꯧꯗꯣꯀꯈꯤ ꯑꯃꯁꯨꯡ ꯃꯇꯝ ꯑꯗꯨꯗꯥ ꯅꯟ-ꯍꯣꯗꯀꯤꯟ ꯂꯤꯝꯐꯣꯃꯥꯒꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯥ ꯂꯥꯌꯦꯡ ꯑꯣꯏꯈꯤ꯫

ꯑꯗꯨꯕꯨ ꯲꯰꯰꯰ꯒꯤ ꯃꯌꯥꯏ ꯆꯜꯂꯀꯄꯗꯥ ꯔꯤꯁꯔꯆꯔꯁꯤꯡꯅꯥ ꯁꯤ.ꯑꯩꯆ.ꯑꯣ.ꯄꯤ.ꯒꯤ ꯔꯦꯖꯤꯃꯦꯟꯗꯥ ꯄꯥꯟꯗꯝ ꯊꯝꯂꯤꯕꯥ ꯊꯦꯔꯥꯄꯤ ꯗ꯭ꯔꯒ ꯔꯤꯇꯨꯛꯁꯤꯃꯦꯕ (ꯑꯥꯔ) ꯍꯥꯄꯆꯤꯅꯈꯤ꯫ ꯃꯁꯤꯒꯤ ꯑꯍꯦꯅꯕꯥ ꯑꯁꯤꯅꯥ ꯂꯥꯌꯦꯡꯕꯒꯤ ꯆꯥꯡ ꯑꯁꯤ ꯍꯦꯟꯅꯥ ꯍꯦꯅꯒꯠꯍꯅꯈꯤ꯫ ꯉꯁꯤꯗꯤ ꯑꯥꯔ-ꯁꯤ.ꯑꯩꯆ.ꯑꯣ.ꯄꯤ.ꯅꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯏꯐꯦꯛꯇꯤꯕ ꯑꯣꯏꯕꯥ ꯂꯥꯌꯦꯡꯅꯤ, ꯃꯁꯤꯅꯥ ꯁꯤ.ꯑꯩꯆ.ꯑꯣ.ꯄꯤ.

ꯇꯦꯛ-ꯍꯣꯝ ꯃꯦꯁꯦꯖ ꯇꯧꯕꯥ꯫

  • ꯑꯥꯔ-ꯁꯤ.ꯑꯩꯆ.ꯑꯣ.ꯄꯤ.ꯅꯥ ꯇꯣꯉꯥꯟ ꯇꯣꯉꯥꯅꯕꯥ ꯃꯥꯏꯀꯩꯗꯒꯤ ꯀꯦꯟꯁꯔ ꯁꯦꯂꯁꯤꯡꯗꯥ ꯑꯦꯇꯦꯛ ꯇꯧꯕꯥ ꯗ꯭ꯔꯒ ꯃꯉꯥꯒꯤ ꯁꯛꯇꯤ ꯂꯩꯕꯥ ꯀꯝꯕꯤꯅꯦꯁꯟ ꯑꯃꯅꯤ꯫
  • ꯃꯁꯤꯒꯤ ꯂꯥꯏꯌꯦꯡ ꯑꯁꯤ ꯁꯥꯏꯀꯂꯁꯤꯡꯗꯥ ꯄꯤ꯫ ꯁꯥꯏꯀꯜ ꯈꯨꯗꯤꯡꯃꯛꯀꯤ ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯅꯨꯃꯤꯠ ꯑꯃꯁꯨꯡ ꯅꯨꯡꯉꯥꯏꯕꯒꯤ ꯅꯨꯃꯤꯠ ꯂꯩ꯫
  • ꯁꯥꯏꯗ ꯏꯐꯦꯛꯇꯁꯤꯡ ꯊꯣꯀꯄꯥ ꯌꯥꯏ, ꯑꯗꯨꯕꯨ ꯃꯈꯣꯌ ꯑꯌꯥꯝꯕꯗꯤ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯥ ꯉꯝꯃꯤ꯫ ꯅꯍꯥꯛꯅꯥ ꯊꯦꯡꯅꯔꯤꯕꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯑꯃꯍꯦꯛꯇꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯈꯪꯍꯅꯕꯥ ꯉꯃꯒꯅꯨ꯫
  • ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯥꯏꯍꯧ ꯍꯧꯔꯀꯄꯥ, ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯇꯩ ꯁꯥꯊꯤꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯂꯩꯔꯕꯗꯤ, ꯈꯨꯗꯛꯇꯥ ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯄꯥꯎꯇꯥꯛ ꯂꯧꯒꯗꯕꯅꯤ꯫
  • ꯑꯥꯔ-ꯁꯤ.ꯑꯩꯆ.ꯑꯣ.ꯄꯤ.ꯒꯤ ꯂꯥꯌꯦꯡꯕꯅꯥ ꯅꯟ-ꯍꯣꯗꯀꯤꯟ ꯂꯤꯝꯐꯣꯃꯥꯒꯤ ꯃꯥꯌ ꯄꯥꯀꯄꯒꯤ ꯆꯥꯡ ꯌꯥꯝꯅꯥ ꯋꯥꯡꯏ꯫ ꯈꯣꯡꯆꯠ ꯑꯁꯤ ꯑꯔꯨꯕꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ, ꯑꯗꯨꯕꯨ ꯑꯗꯣꯃꯒꯤ ꯃꯦꯗꯤꯀꯦꯜ ꯇꯤꯝ ꯑꯃꯁꯨꯡ ꯅꯨꯡꯁꯤꯖꯔꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡ ꯑꯗꯣꯃꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯂꯩꯔꯤ꯫

ꯑꯥꯔ-ꯁꯤ.ꯑꯩꯆ.ꯑꯣ.ꯄꯤ., ꯀꯦꯟꯁꯔ ꯂꯥꯌꯦꯡꯕꯥ, ꯀꯦꯃꯣꯊꯦꯔꯥꯄꯤ, ꯅꯟ-ꯍꯣꯖꯀꯤꯟ ꯂꯤꯝꯐꯣꯃꯥ, ꯔꯤꯇꯨꯛꯁꯤꯃꯦꯕ, ꯁꯥꯏꯛꯂꯣꯐꯣꯁꯐꯦꯃꯥꯏꯗ, ꯗꯣꯛꯁꯣꯔꯨꯕꯤꯁꯤꯟ, ꯚꯤꯅꯛꯔꯤꯁ꯭ꯇꯤꯟ, ꯄ꯭ꯔꯦꯗꯅꯤꯁꯟ, ꯀꯦꯟꯁꯔꯒꯤ ꯁꯥꯏꯗ ꯏꯐꯦꯛꯇꯁꯤꯡ꯫

Frequently Asked Questions (FAQ)

ꯂꯥꯌꯦꯡꯕꯒꯤ ꯅꯨꯃꯤꯠꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯆꯠꯊꯔꯤꯕꯒꯦ?

ꯅꯍꯥꯛꯅꯥ ꯅꯨꯃꯤꯠ ꯃꯉꯥꯅꯤꯒꯤ ꯑꯣꯏꯅꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛ ꯂꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯒꯅꯤ꯫ ꯄ꯭ꯔꯦꯗꯅꯤꯁꯟ (P) ꯀꯧꯕꯥ ꯁ꯭ꯇꯦꯔꯣꯏꯗ ꯑꯁꯤ ꯍꯤꯗꯥꯛ ꯑꯃꯥ ꯑꯣꯏꯅꯥ ꯂꯧꯏ꯫ ꯑꯇꯣꯞꯄꯥ ꯍꯤꯗꯥꯛ ꯃꯔꯤ (R, C, H, O) ꯑꯁꯤ ꯅꯍꯥꯀꯄꯨ ꯏꯅꯠꯔꯥꯚꯦꯅꯁ ꯏꯅꯐ꯭ꯌꯨꯖꯟ (IV)ꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯄꯤ꯫ ꯃꯁꯤꯅꯥ ꯇꯥꯀꯄꯗꯤ ꯃꯈꯣꯌ ꯑꯁꯤ ꯁꯦꯂꯤꯅꯒꯨꯝꯕꯥ ꯚꯦꯅꯝ ꯑꯃꯗꯥ ꯄꯤ꯫ ꯃꯁꯤꯒꯤꯗꯃꯛꯇꯥ ꯅꯍꯥꯛꯅꯥ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯜ ꯅꯠꯠꯔꯒꯥ ꯀ꯭ꯂꯤꯅꯤꯛ ꯑꯃꯗꯥ ꯆꯠꯄꯥ ꯃꯊꯧ ꯇꯥꯒꯅꯤ꯫

⚠️ Important: The medical articles and information on Nirogi Lanka are for general awareness only, and are by no means a substitute for professional medical advice, diagnosis, or treatment. For any medical problem you have, consult a qualified physician immediately.

💬 Comments (0)

No comments yet. Be the first to share your thoughts here.

Add Your Comment

Please calculate: 2 + 5 =
ꯀꯦꯟꯁꯔ ꯂꯥꯌꯦꯡꯕꯥ (R-CHOP) ꯑꯃꯥ ꯑꯣꯏꯔꯤꯕꯥ ꯑꯥꯔ-ꯁꯤ.ꯑꯩꯆ.ꯑꯣ.ꯄꯤ.ꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯈꯉꯒꯗꯕꯥ ꯋꯥꯐꯃꯁꯤꯡ
ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ꯫জুলাই ৭, ২০২৬

ꯀꯦꯟꯁꯔ ꯂꯥꯌꯦꯡꯕꯥ (R-CHOP) ꯑꯃꯥ ꯑꯣꯏꯔꯤꯕꯥ ꯑꯥꯔ-ꯁꯤ.ꯑꯩꯆ.ꯑꯣ.ꯄꯤ.ꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯈꯉꯒꯗꯕꯥ ꯋꯥꯐꯃꯁꯤꯡ

ꯅꯍꯥꯛ ꯅꯠꯠꯔꯒꯥ ꯅꯍꯥꯛꯀꯤ ꯅꯨꯡꯁꯤꯖꯔꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯅꯥ ꯀꯦꯟꯁꯔꯅꯥ ꯅꯥꯔꯦ ꯍꯥꯌꯅꯥ ꯈꯪꯂꯕꯥ ꯃꯇꯃꯗꯥ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ R-CHOPꯒꯨꯝꯕꯥ ꯂꯥꯏꯌꯦꯡ ꯑꯃꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯕꯥ ꯃꯇꯃꯗꯥ ꯈꯔꯥ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯑꯃꯁꯨꯡ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯐꯥꯎꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯅꯣꯔꯃꯦꯂꯅꯤ꯫ ꯋꯥꯍꯩꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯑꯔꯊ ꯀꯔꯤꯅꯣ, ꯃꯁꯤꯒꯤ ꯂꯥꯏꯌꯦꯡ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯑꯣꯏꯕꯒꯦ, ꯃꯁꯤꯒꯤ ꯃꯍꯩ ꯑꯣꯏꯅꯥ ꯀꯔꯤ ꯊꯣꯛꯀꯅꯤ ꯍꯥꯌꯕꯥ ꯋꯥꯍꯪ ꯀꯌꯥ ꯋꯥꯈꯂꯗꯥ ꯂꯥꯀꯏ꯫ ꯃꯔꯝ ꯑꯁꯤꯅꯥ, ꯅꯍꯥꯛꯀꯤ ꯃꯔꯨꯞ ꯑꯗꯨꯅꯥ ꯑꯗꯣꯃꯗꯥ ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯏꯆꯝ ꯆꯝꯕꯥ ꯋꯥꯍꯩꯁꯤꯡꯗꯥ ꯍꯥꯌꯔꯀꯄꯒꯨꯝ, ꯑꯩꯈꯣꯌꯅꯥ ꯉꯁꯤ ꯑꯥꯔ-ꯁꯤ.ꯑꯩꯆ.ꯑꯣ.ꯄꯤ.

ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯑꯥꯔ-ꯆꯣꯞ ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ?

ꯑꯥꯔ-ꯁꯤ.ꯑꯣ.ꯄꯤ.ꯅꯥ ꯀꯦꯟꯁꯔꯒꯤ ꯂꯥꯌꯦꯡ ꯑꯃꯅꯤ꯫ ꯆꯨꯝꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ ꯃꯁꯤ ꯗ꯭ꯔꯒ ꯃꯉꯥꯒꯤ ꯀꯝꯕꯤꯅꯦꯁꯟ ꯑꯃꯅꯤ꯫ ꯃꯁꯤ ꯑꯀꯛꯅꯅꯥ ꯅꯟ-ꯍꯣꯗꯀꯤꯟ ꯂꯤꯝꯐꯣꯃꯥ ꯀꯧꯕꯥ ꯀꯦꯟꯁꯔ ꯃꯈꯜ ꯑꯃꯥ ꯂꯥꯌꯦꯡꯕꯗꯥ ꯁꯤꯖꯤꯟꯅꯩ꯫ ꯗ꯭ꯔꯒꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯀꯝꯕꯤꯅꯦꯁꯟ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯀꯦꯃꯣꯊꯦꯔꯥꯄꯤ ꯗ꯭ꯔꯒ ꯑꯍꯨꯝ, ꯇꯥꯔꯒꯦꯠ ꯇꯧꯔꯕꯥ ꯊꯦꯔꯥꯄꯤ ꯗ꯭ꯔꯒ ꯑꯃꯥ ꯑꯃꯁꯨꯡ ꯀꯣꯔꯇꯤꯀꯣꯁ꯭ꯇꯦꯔꯣꯏꯗ ꯑꯃꯥ ꯌꯥꯑꯣꯔꯤ꯫

ꯃꯤꯡ ꯑꯁꯤꯒꯤ ꯑꯛꯁꯔ ꯈꯨꯗꯤꯡꯃꯛꯅꯥ ꯍꯤꯗꯥꯛ ꯃꯈꯜ ꯑꯃꯥ ꯔꯤꯞꯔꯖꯦꯟꯇ ꯇꯧꯔꯤ꯫ ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯏꯆꯝ ꯆꯝꯕꯥ ꯋꯥꯐꯝꯅꯤ, ꯌꯦꯡꯕꯤꯌꯨ꯫

ꯆꯤꯊꯤ ꯗ꯭ꯔꯒ ꯑꯗꯨꯒꯤ ꯃꯃꯤꯡ꯫ ꯃꯁꯤꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯀꯔꯤ ꯑꯣꯏꯒꯅꯤ?
ꯑꯥꯔ ꯔꯤꯇꯨꯛꯁꯤꯃꯦꯕ꯫ ꯃꯁꯤ ꯄꯥꯟꯗꯝ ꯊꯝꯂꯤꯕꯥ ꯊꯦꯔꯥꯄꯤ ꯑꯃꯅꯤ꯫ ꯃꯁꯤꯅꯥ ꯇꯥꯀꯄꯗꯤ ꯗ꯭ꯔꯒ ꯑꯁꯤ ꯀꯦꯟꯁꯔ ꯁꯦꯂꯁꯤꯡꯗꯥ ꯑꯀꯛꯅꯕꯥ ꯄ꯭ꯔꯣꯇꯤꯟ ꯑꯃꯗꯥ ꯌꯥꯑꯣꯏ꯫ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯏꯝꯝꯌꯨꯟ ꯁꯤꯁ꯭ꯇꯦꯃꯅꯥ ꯀꯦꯟꯁꯔ ꯁꯦꯂꯁꯤꯡ ꯑꯁꯤ ꯐꯖꯅꯥ ꯊꯤꯕꯥ ꯑꯃꯁꯨꯡ ꯃꯥꯡꯍꯅꯕꯥ ꯉꯃꯒꯅꯤ꯫
ꯁꯤ ꯁꯥꯏꯛꯂꯣꯐꯣꯁꯐꯦꯃꯥꯏꯗ꯫ ꯃꯁꯤ ꯀꯦꯃꯣꯊꯦꯔꯥꯄꯤ ꯗ꯭ꯔꯒ ꯑꯃꯅꯤ꯫ ꯗ꯭ꯔꯒꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯈꯥꯌꯗꯣꯀꯄꯥ ꯁꯦꯂꯁꯤꯡ (ꯀꯦꯟꯁꯔ ꯁꯦꯂꯁꯤꯡꯒꯨꯝꯕꯥ) ꯃꯥꯡꯍꯟ ꯇꯥꯀꯍꯟꯗꯨꯅꯥ ꯊꯕꯛ ꯇꯧꯏ꯫
ꯑꯩꯆ ꯗꯣꯛꯁꯣꯔꯨꯕꯤꯁꯤꯟ ꯍꯥꯏꯗ꯭ꯔꯣꯛꯂꯣꯔꯥꯏꯗ꯫ ꯃꯁꯤꯁꯨ ꯀꯦꯃꯣꯊꯦꯔꯥꯄꯤ ꯗ꯭ꯔꯒ ꯑꯃꯅꯤ꯫
ꯑꯣ ꯚꯤꯅꯛꯔꯤꯁ꯭ꯇꯤꯟ ꯁꯂꯐꯦꯠ꯫ ꯃꯁꯤ ꯑꯇꯣꯞꯄꯥ ꯀꯦꯃꯣꯊꯦꯔꯥꯄꯤ ꯗ꯭ꯔꯒ ꯑꯃꯅꯤ꯫
ꯄꯤ ꯄ꯭ꯔꯦꯗꯅꯤꯁꯟ꯫ ꯃꯁꯤ ꯁ꯭ꯇꯦꯔꯣꯏꯗ (ꯀꯣꯔꯇꯤꯀꯣꯁ꯭ꯇꯦꯔꯣꯏꯗ) ꯃꯈꯜ ꯑꯃꯅꯤ꯫ ꯃꯁꯤꯅꯥ ꯀꯦꯟꯁꯔ ꯁꯦꯂꯁꯤꯡ ꯁꯤꯍꯅꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ ꯑꯃꯁꯨꯡ ꯑꯇꯣꯞꯄꯥ ꯍꯤꯗꯥꯀꯁꯤꯡꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯕꯥ ꯑꯦꯂꯥꯔꯖꯤꯒꯤ ꯔꯤꯑꯦꯛꯁꯅꯁꯤꯡ ꯍꯟꯊꯍꯅꯕꯗꯁꯨ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫

ꯗ꯭ꯔꯒꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯑꯌꯥꯝꯕꯥ ꯁꯔꯨꯀꯁꯤꯡ ꯑꯁꯤ ꯀꯦꯃꯣꯊꯦꯔꯥꯄꯤ ꯗ꯭ꯔꯒꯁꯤꯡ ꯑꯣꯏꯕꯅꯥ ꯃꯤꯑꯣꯏ ꯈꯔꯅꯥ ꯂꯥꯌꯦꯡ ꯑꯁꯤꯕꯨ "ꯑꯥꯔ-ꯁꯤ.ꯑꯩꯆ.ꯑꯣ.ꯄꯤ. ꯀꯦꯃꯣ" ꯍꯥꯌꯅꯥꯁꯨ ꯀꯧꯏ꯫ ꯑꯗꯨꯕꯨ ꯔꯤꯇꯨꯛꯁꯤꯃꯦꯕ ꯗ꯭ꯔꯒ ꯑꯁꯤꯅꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯏꯝꯝꯌꯨꯟ ꯁꯤꯁ꯭ꯇꯦꯃꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯕꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯃꯁꯤꯕꯨ "ꯏꯝꯝꯌꯨꯅꯣ-ꯀꯦꯃꯣꯊꯦꯔꯥꯄꯤ" ꯍꯥꯌꯅꯥꯁꯨ ꯀꯧꯕꯥ ꯌꯥꯏ꯫

ꯑꯥꯔ-ꯁꯤ.ꯑꯣ.ꯄꯤ.ꯒꯤ ꯂꯥꯏꯌꯦꯡ ꯑꯁꯤ ꯀꯔꯤ ꯃꯈꯂꯒꯤ ꯂꯥꯌꯅꯥꯁꯤꯡꯗꯥ ꯁꯤꯖꯤꯟꯅꯕꯒꯦ?

ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯃꯔꯨꯑꯣꯏꯅꯥ ꯅꯟ-ꯍꯣꯗꯀꯤꯟ ꯂꯤꯝꯐꯣꯃꯥ ꯀꯧꯕꯥ ꯀꯦꯟꯁꯔ ꯃꯈꯜ ꯑꯃꯥ ꯂꯥꯌꯦꯡꯕꯗꯥ ꯑꯥꯔ-ꯁꯤ.ꯑꯩꯆ.ꯑꯣ.ꯄꯤ. ꯃꯁꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯂꯤꯝꯐꯣꯃꯥ ꯃꯈꯜ ꯑꯃꯒꯤ ꯗꯤꯐ꯭ꯌꯨꯁꯟ ꯂꯥꯔꯖ ꯕꯤ-ꯁꯦꯜ ꯂꯤꯝꯐꯣꯃꯥ (DLBCL) ꯒꯤꯗꯃꯛꯇꯁꯨ ꯌꯥꯝꯅꯥ ꯏꯐꯦꯛꯇꯤꯚ ꯑꯣꯏꯕꯥ ꯂꯥꯏꯌꯦꯡ ꯑꯃꯅꯤ꯫

ꯃꯁꯤꯒꯤ ꯃꯊꯛꯇꯥ, ꯑꯥꯔ-ꯁꯤ.ꯑꯩꯆ.ꯑꯣ.ꯄꯤ.ꯅꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯐꯤꯚꯃꯁꯤꯡ ꯑꯁꯤꯗꯁꯨ ꯁꯤꯖꯤꯟꯅꯩ:

  • ꯑꯦꯗꯚꯥꯟꯁ ꯐꯣꯂꯤꯛꯌꯨꯂꯥꯔ ꯂꯤꯝꯐꯣꯃꯥ꯫
  • ꯃꯦꯟꯇꯦꯜ ꯁꯦꯜ ꯂꯤꯝꯐꯣꯃꯥ꯫
  • ꯋꯥꯜꯗꯅꯁ꯭ꯠꯔꯣꯝ ꯃꯦꯛꯔꯣꯒ꯭ꯂꯣꯕꯨꯂꯤꯅꯦꯃꯤꯌꯥ꯫

ꯂꯥꯏꯌꯦꯡ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯊꯣꯀꯄꯒꯦ? (ꯇ꯭ꯔꯦꯇꯤꯡ ꯁꯥꯏꯀꯜ) ꯴.

ꯅꯍꯥꯛꯅꯥ ꯁꯥꯏꯀꯂꯁꯤꯡꯗꯥ ꯑꯥꯔ-ꯁꯤ.ꯑꯩꯆ.ꯑꯣ.ꯄꯤ. ꯁꯥꯏꯀꯜ ꯈꯨꯗꯤꯡꯃꯛ ꯃꯍꯧꯁꯥꯅꯥ ꯅꯨꯃꯤꯠ ꯍꯨꯝꯅꯤ (ꯅꯨꯃꯤꯠ 21ꯅꯤ) ꯆꯪꯏ꯫ ꯃꯁꯤꯒꯤ ꯁꯥꯏꯀꯜ ꯑꯁꯤ ꯁꯔꯨꯛ ꯑꯅꯤꯗꯥ ꯈꯥꯌꯗꯣꯀꯏ:

1. ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯅꯨꯃꯤꯠꯁꯤꯡ: ꯅꯍꯥꯀꯄꯨ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛ ꯄꯤꯕꯥ ꯅꯨꯃꯤꯠꯁꯤꯡ꯫

2. ꯅꯨꯡꯉꯥꯏꯅꯥ ꯂꯩꯅꯕꯥ ꯅꯨꯃꯤꯠꯁꯤꯡ: ꯃꯊꯪꯒꯤ ꯔꯥꯎꯟꯗꯒꯤ ꯃꯃꯥꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡ ꯑꯗꯨ ꯐꯒꯠꯂꯀꯄꯥ, ꯍꯥꯌꯕꯗꯤ ꯐꯒꯠꯂꯀꯄꯥ ꯌꯥꯅꯕꯥ ꯅꯨꯃꯤꯠꯁꯤꯡ꯫

ꯂꯥꯌꯦꯡꯕꯒꯤ ꯅꯨꯃꯤꯠꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯆꯠꯊꯔꯤꯕꯒꯦ?

ꯅꯍꯥꯛꯅꯥ ꯅꯨꯃꯤꯠ ꯃꯉꯥꯅꯤꯒꯤ ꯑꯣꯏꯅꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛ ꯂꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯒꯅꯤ꯫ ꯄ꯭ꯔꯦꯗꯅꯤꯁꯟ (P) ꯀꯧꯕꯥ ꯁ꯭ꯇꯦꯔꯣꯏꯗ ꯑꯁꯤ ꯍꯤꯗꯥꯛ ꯑꯃꯥ ꯑꯣꯏꯅꯥ ꯂꯧꯏ꯫ ꯑꯇꯣꯞꯄꯥ ꯍꯤꯗꯥꯛ ꯃꯔꯤ (R, C, H, O) ꯑꯁꯤ ꯅꯍꯥꯀꯄꯨ ꯏꯅꯠꯔꯥꯚꯦꯅꯁ ꯏꯅꯐ꯭ꯌꯨꯖꯟ (IV)ꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯄꯤ꯫ ꯃꯁꯤꯅꯥ ꯇꯥꯀꯄꯗꯤ ꯃꯈꯣꯌ ꯑꯁꯤ ꯁꯦꯂꯤꯅꯒꯨꯝꯕꯥ ꯚꯦꯅꯝ ꯑꯃꯗꯥ ꯄꯤ꯫ ꯃꯁꯤꯒꯤꯗꯃꯛꯇꯥ ꯅꯍꯥꯛꯅꯥ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯜ ꯅꯠꯠꯔꯒꯥ ꯀ꯭ꯂꯤꯅꯤꯛ ꯑꯃꯗꯥ ꯆꯠꯄꯥ ꯃꯊꯧ ꯇꯥꯒꯅꯤ꯫

ꯂꯥꯏꯌꯦꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ, ꯅꯍꯥꯛꯅꯥ ꯆꯦꯌꯥꯔ ꯑꯃꯗꯥ ꯐꯃꯒꯅꯤ꯫ ꯃꯦꯁꯤꯟ ꯑꯃꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯍꯤꯗꯥꯛ ꯑꯗꯨ ꯄ꯭ꯂꯥꯁ꯭ꯇꯤꯛ ꯇꯨꯕ ꯑꯃꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯨꯠꯁꯥ, ꯈꯨꯠ ꯅꯠꯠꯔꯒꯥ ꯈꯣꯡꯗꯥ ꯂꯩꯕꯥ ꯚꯦꯅꯝ ꯑꯃꯗꯥ ꯄꯤꯒꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯃꯈꯥ ꯇꯥꯅꯥ ꯂꯥꯏꯌꯦꯡꯕꯗꯥ ꯂꯥꯏꯊꯣꯀꯍꯟꯅꯕꯒꯤꯗꯃꯛ, ꯀꯦꯃꯣ ꯄꯣꯔꯠ ꯀꯧꯕꯥ ꯑꯄꯤꯀꯄꯥ ꯈꯨꯠꯂꯥꯏ ꯑꯃꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯒꯤ ꯃꯈꯥꯗꯥ ꯊꯝꯃꯤ꯫ꯃꯁꯤꯕꯨ ꯑꯃꯠꯇꯥ ꯍꯥꯌꯅꯥꯁꯨ ꯀꯧꯏ꯫

ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯑꯍꯥꯅꯕꯥ ꯔꯥꯎꯟꯗ ꯑꯁꯤ ꯃꯍꯧꯁꯥꯅꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯁꯤꯒꯨꯝꯅꯥ ꯆꯠꯂꯤ:

  • ꯂꯥꯏꯌꯦꯡ ꯍꯧꯗ꯭ꯔꯤꯉꯩꯒꯤ ꯃꯃꯥꯡꯗꯥ, ꯅꯍꯥꯀꯄꯨ ꯋꯥꯈꯜ ꯇꯥꯗꯕꯥ ꯑꯃꯁꯨꯡ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯊꯤꯡꯅꯕꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ ꯄꯤꯒꯅꯤ .
  • ꯃꯁꯤꯗꯁꯨ ꯅꯠꯇꯅꯥ ꯑꯦꯂꯥꯔꯖꯤ ꯊꯤꯡꯅꯕꯥ ꯍꯤꯗꯥꯀꯁꯤꯡ ꯄꯤꯔꯤ . ꯅꯍꯥꯛꯅꯥ ꯗ꯭ꯔꯒ ꯔꯤꯇꯨꯛꯁꯤꯃꯦꯕ (R) ꯄꯤꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯑꯄꯤꯀꯄꯥ ꯔꯤꯑꯦꯛꯁꯟ ꯑꯃꯥ (ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯑꯁꯥꯕꯥ, ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ) ꯂꯩꯕꯥ ꯑꯁꯤ ꯀꯃꯟ ꯑꯣꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯃꯃꯥꯡꯒꯤ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯑꯆꯧꯕꯥ ꯔꯤꯑꯦꯛꯁꯅꯁꯤꯡ ꯊꯤꯡꯏ꯫

ꯔꯦꯁ꯭ꯠ ꯅꯨꯃꯤꯠꯀꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ꯫

ꯑꯥꯔ-ꯁꯤ.ꯑꯩꯆ.ꯑꯣ.ꯄꯤ.ꯒꯤ ꯃꯁꯛ ꯊꯣꯀꯄꯥ ꯁꯥꯏꯀꯜ ꯑꯃꯗꯥ, ꯅꯍꯥꯛꯅꯥ ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯅꯨꯃꯤꯠ ꯃꯉꯥꯅꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯅꯨꯃꯤꯠ 16ꯅꯤꯒꯤ ꯅꯨꯡꯉꯥꯏꯕꯥ ꯐꯪꯏ꯫ ꯃꯇꯝ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫ ꯃꯔꯃꯗꯤ ꯑꯥꯔ-ꯁꯤ.ꯑꯩꯆ.ꯑꯣ.ꯄꯤ.ꯅꯥ ꯀꯦꯟꯁꯔ ꯁꯦꯂꯁꯤꯡ ꯃꯥꯡꯍꯅꯕꯥ ꯃꯇꯃꯗꯥ ꯍꯀꯆꯥꯡꯒꯤꯗꯃꯛꯇꯁꯨ ꯌꯥꯝꯅꯥ ꯋꯥꯅꯥ ꯊꯣꯀꯏ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯌꯥꯝꯅꯥ ꯋꯥꯅꯥ ꯊꯣꯀꯄꯥ ꯍꯥꯌꯕꯁꯤ ꯅꯣꯔꯃꯦꯂꯅꯤ꯫ ꯅꯨꯡꯉꯥꯏꯔꯕꯥ ꯅꯨꯃꯤꯠꯁꯤꯡ ꯑꯁꯤꯗꯥ, ꯏꯃꯨꯡꯒꯤ ꯃꯤꯑꯣꯏ ꯑꯃꯥ ꯅꯠꯠꯔꯒꯥ ꯃꯔꯨꯞ ꯑꯃꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯅꯨꯡꯇꯤꯒꯤ ꯊꯕꯛ ꯊꯧꯔꯃꯁꯤꯡꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯅꯕꯥ ꯍꯥꯌꯕꯥ ꯑꯁꯤ ꯑꯐꯕꯥ ꯋꯥꯈꯜꯂꯣꯟ ꯑꯃꯅꯤ꯫

ꯅꯍꯥꯛꯀꯤ ꯐꯒꯠꯂꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯍꯀꯆꯥꯡ ꯐꯅꯥ ꯂꯩꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯈꯣꯡꯅꯥ ꯆꯠꯄꯥ, ꯏꯁꯤꯡ ꯃꯔꯥꯡ ꯀꯥꯌꯅꯥ ꯊꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯃꯆꯤ ꯑꯣꯏꯕꯥ ꯆꯤꯟꯖꯥꯀꯁꯤꯡ ꯆꯥꯕꯥ ꯑꯁꯤꯅꯆꯤꯡꯕꯥ ꯑꯄꯤꯀꯄꯥ ꯊꯕꯛ ꯊꯧꯔꯃꯁꯤꯡ ꯄꯥꯡꯊꯣꯛꯅꯕꯥ ꯄꯥꯎꯇꯥꯛ ꯄꯤꯕꯥ ꯌꯥꯏ꯫

ꯃꯁꯤꯒꯤ ꯂꯥꯏꯌꯦꯡ ꯑꯁꯤ ꯀꯌꯥ ꯀꯨꯏꯅꯥ ꯇꯧꯒꯗꯒꯦ?

ꯑꯌꯥꯝꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯅꯥ ꯑꯥꯔ-ꯁꯤ.ꯑꯣ.ꯄꯤ.ꯒꯤ ꯁꯥꯏꯀꯜ ꯶ ꯐꯪꯏ꯫ ꯁꯥꯏꯀꯜ ꯈꯨꯗꯤꯡꯃꯛ ꯅꯨꯃꯤꯠ ꯍꯨꯝꯅꯤ ꯆꯪꯏ, ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯑꯄꯨꯅꯕꯥ ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯃꯇꯝ ꯑꯁꯤ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯅꯨꯃꯤꯠ 18ꯅꯤ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯅꯍꯥꯛꯅꯥ ꯃꯊꯧ ꯇꯥꯔꯤꯕꯥ ꯁꯥꯏꯀꯂꯒꯤ ꯃꯁꯤꯡ ꯑꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯀꯟꯗꯤꯁꯅꯒꯤ ꯃꯈꯥ ꯄꯣꯜꯂꯤ꯫ ꯃꯤꯑꯣꯏ ꯈꯔꯗꯤ ꯁꯥꯏꯀꯜ 8 ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯏ꯫ ꯗꯣꯛꯇꯔ ꯈꯔꯅꯥ ꯅꯨꯃꯤꯠ ꯍꯨꯝꯅꯤꯒꯤ ꯁꯥꯏꯀꯂꯒꯤ ꯃꯍꯨꯠꯇꯥ ꯅꯨꯃꯤꯠ ꯑꯅꯤꯒꯤ ꯁꯥꯏꯀꯂꯁꯤꯡ ꯁꯤꯖꯤꯟꯅꯅꯕꯥ ꯄꯥꯎꯇꯥꯛ ꯄꯤꯕꯥ ꯌꯥꯏ꯫

ꯋꯥꯔꯦꯞ ꯑꯁꯤ ꯂꯧꯕꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯥ ꯃꯤꯑꯣꯏꯅꯤ . ꯃꯍꯥꯛꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯊꯧ ꯇꯥꯔꯤꯕꯥ ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯄ꯭ꯂꯥꯟ ꯑꯗꯨ ꯃꯌꯦꯛ ꯁꯦꯡꯅꯥ ꯈꯪꯍꯜꯂꯛꯀꯅꯤ꯫

ꯑꯥꯔ-ꯁꯤ.ꯑꯩꯆ.ꯑꯣ.ꯄꯤ.ꯒꯤ ꯂꯥꯌꯦꯡꯕꯒꯤ ꯀꯥꯟꯅꯕꯁꯤꯡ ꯀꯔꯤꯅꯣ?

ꯃꯁꯤꯒꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯆꯥꯎꯕꯥ ꯀꯥꯟꯅꯕꯗꯤ ꯃꯁꯤ ꯗ꯭ꯔꯒ ꯑꯃꯈꯛꯇꯃꯛ ꯅꯠꯇꯦ, ꯗ꯭ꯔꯒ ꯃꯉꯥꯒꯤ ꯀꯝꯕꯤꯅꯦꯁꯟ ꯑꯃꯅꯤ꯫ ꯍꯤꯗꯥꯛ ꯈꯨꯗꯤꯡꯃꯛꯅꯥ ꯀꯦꯟꯁꯔ ꯁꯦꯂꯁꯤꯡꯕꯨ ꯇꯣꯉꯥꯟ ꯇꯣꯉꯥꯅꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯍꯥꯠꯂꯤ꯫ ꯑꯗꯨꯅꯥ, ꯂꯥꯟꯃꯤ ꯑꯃꯅꯥ ꯂꯥꯟꯊꯦꯡꯅꯕꯒꯤ ꯃꯍꯨꯠꯇꯥ, ꯃꯁꯤ ꯂꯥꯟꯃꯤ ꯄꯨꯝꯅꯃꯛꯅꯥ ꯀꯦꯟꯁꯔ ꯂꯥꯟꯊꯦꯡꯅꯅꯕꯥ ꯄꯨꯟꯅꯥ ꯂꯥꯀꯃꯤꯟꯅꯕꯒꯨꯝꯕꯅꯤ꯫

ꯑꯥꯔ-ꯁꯤ.ꯑꯩꯆ.ꯑꯣ.ꯄꯤ.ꯒꯤ ꯂꯥꯌꯦꯡꯕꯒꯤ ꯃꯥꯌ ꯄꯥꯀꯄꯒꯤ ꯆꯥꯡ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯋꯥꯡꯏ . ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, DLBCL ꯀꯧꯕꯥ ꯀꯦꯟꯁꯔ ꯃꯈꯜ ꯑꯃꯥ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯒꯤ 70% ꯐꯥꯎꯕꯗꯤ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯔꯤꯃꯤꯁꯟ ꯐꯪꯏ꯫ ꯃꯁꯤꯅꯥ ꯇꯥꯀꯄꯗꯤ ꯂꯥꯏꯑꯣꯡ ꯄꯨꯝꯅꯃꯛ ꯃꯥꯡꯈꯤ ꯍꯥꯌꯕꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯂꯥꯌꯅꯥ ꯑꯁꯤ ꯆꯍꯤ ꯃꯉꯥꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯂꯥꯛꯠꯔꯕꯗꯤ, ꯃꯍꯧꯁꯥꯅꯥ ꯀꯦꯟꯁꯔ ꯑꯁꯤ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯂꯥꯀꯄꯥ ꯌꯥꯗꯕꯅꯤ ꯍꯥꯌꯅꯥ ꯂꯧꯅꯩ꯫

ꯇꯁꯦꯡꯕꯗꯤ, ꯃꯁꯤꯒꯤ ꯂꯥꯌꯦꯡ ꯑꯁꯤꯅꯥ ꯀꯦꯟꯁꯔ ꯑꯁꯤ ꯃꯄꯨꯡ ꯐꯥꯅꯥ ꯂꯧꯊꯣꯛꯀꯅꯤ ꯅꯠꯠꯔꯒꯥ ꯃꯤꯄꯨꯝ ꯈꯨꯗꯤꯡꯃꯛꯇꯥ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯂꯥꯀꯄꯥ ꯊꯤꯡꯒꯅꯤ ꯍꯥꯌꯕꯒꯤ ꯒꯔꯦꯟꯇꯤ ꯄꯤꯕꯥ ꯉꯃꯗꯦ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯑꯥꯔ-ꯁꯤ.ꯑꯩꯆ.ꯑꯣ.ꯄꯤ.ꯅꯥ ꯅꯟ-ꯍꯣꯗꯀꯤꯟ ꯂꯤꯝꯐꯣꯃꯥꯒꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯁꯥꯐꯕꯥ ꯑꯃꯁꯨꯡ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯏꯐꯦꯛꯇꯤꯕ ꯑꯣꯏꯕꯥ ꯂꯥꯌꯦꯡꯁꯤꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯅꯤ ꯍꯥꯌꯅꯥ ꯂꯧꯅꯩ꯫

ꯁꯥꯏꯗ ꯏꯐꯦꯛꯇ ꯑꯃꯁꯨꯡ ꯔꯤꯁ꯭ꯀꯁꯤꯡ꯫

ꯂꯥꯏꯌꯦꯡ ꯑꯃꯍꯦꯛꯇꯒꯨꯝꯅꯥ ꯑꯥꯔ-ꯁꯤ.ꯑꯩꯆ.ꯑꯣ.ꯄꯤ.ꯅꯥ ꯁꯥꯏꯗ ꯏꯐꯦꯛꯇ ꯂꯩ꯫ ꯑꯗꯨꯕꯨ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯂꯩꯔꯣꯏꯗꯕꯅꯤ꯫ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯑꯆꯧꯕꯥ ꯁꯥꯏꯗ ꯏꯐꯦꯛꯇꯁꯤꯡ (ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ) ꯊꯤꯡꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯋꯥꯏꯠ ꯕ꯭ꯂꯗ ꯁꯦꯂꯁꯤꯡ ꯅꯦꯝꯕꯥ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯅꯕꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ ꯄꯤꯒꯅꯤ꯫ ꯂꯥꯏꯌꯦꯡ ꯍꯧꯗ꯭ꯔꯤꯉꯩꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯔꯤꯁ꯭ꯀꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯑꯃꯨꯛꯇꯪ ꯋꯥꯔꯤ ꯁꯥꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫

ꯏꯅꯐ꯭ꯌꯨꯖꯟ ꯔꯤꯑꯦꯛꯁꯅꯁꯤꯡ꯫

ꯃꯤꯑꯣꯏ ꯀꯌꯥꯅꯥ ꯃꯈꯣꯌꯒꯤ ꯑꯍꯥꯅꯕꯥ ꯂꯥꯏꯌꯦꯡꯒꯤ ꯃꯇꯃꯗꯥ ꯔꯤꯇꯨꯛꯁꯤꯃꯦꯕꯇꯥ ꯃꯌꯥꯏ ꯑꯣꯏꯕꯥ ꯔꯤꯑꯦꯛꯁꯟ ꯑꯃꯥ ꯂꯩꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯑꯍꯥꯅꯕꯗꯥ ꯗ꯭ꯔꯒ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯅꯦꯝꯅꯥ ꯄꯤꯔꯤ꯫ ꯃꯤꯠ ꯎꯗꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯁꯥꯕꯥ ꯏ ꯊꯣꯀꯄꯥ ꯍꯥꯌꯕꯁꯤ ꯀꯃꯟ ꯑꯣꯏ, ꯑꯃꯁꯨꯡ ꯃꯁꯤ ꯃꯇꯝ ꯈꯔꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯂꯩꯔꯛꯀꯅꯤ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯔꯤꯑꯦꯛꯁꯟ ꯑꯃꯒꯤ ꯂꯥꯏꯑꯣꯡ ꯂꯩꯔꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯈꯨꯗꯛꯇꯥ ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯃꯇꯦꯡ ꯂꯧꯒꯗꯕꯅꯤ . ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯁꯤꯡꯁꯤ ꯌꯥꯎꯏ:

  • ꯁ꯭ꯀꯤꯟ ꯔꯦꯁ (ꯁ꯭ꯀꯤꯟ ꯔꯦꯁ)꯫
  • ꯏꯆꯝ ꯆꯝꯕꯥ꯫
  • ꯃꯤꯠ ꯅꯠꯠꯔꯒꯥ ꯊꯕꯥꯛ ꯁꯣꯀꯄꯥ꯫
  • ꯅꯍꯥꯛꯀꯤ ꯀꯣꯛ ꯑꯗꯨ ꯁꯣꯟꯊꯔꯀꯄꯒꯨꯝꯅꯥ ꯐꯥꯎꯕꯥ꯫

ꯃꯦꯗꯤꯀꯦꯜ ꯁ꯭ꯇꯥꯐꯁꯤꯡꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛ ꯄꯤꯔꯤꯉꯩꯗꯥ ꯌꯦꯡꯁꯤꯅꯒꯅꯤ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯌꯨꯃꯗꯥ ꯆꯠꯂꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯍꯦꯛꯇꯕꯨ ꯊꯦꯡꯅꯔꯕꯗꯤ, ꯈꯨꯗꯛꯇꯥ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯂꯒꯤ ꯏꯃꯔꯖꯦꯟꯁꯤ ꯗꯤꯄꯥꯔꯇꯃꯦꯟꯇ (ETU) ꯗꯥ ꯆꯠꯂꯨ꯫

ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯁꯥꯏꯗ ꯏꯐꯦꯛꯇꯁꯤꯡ꯫

ꯑꯥꯔ-ꯁꯤ.ꯑꯩꯆ.ꯑꯣ.ꯄꯤ.ꯗꯥ ꯌꯥꯑꯣꯔꯤꯕꯥ ꯗ꯭ꯔꯒ ꯄꯨꯝꯅꯃꯛ ꯑꯁꯤꯅꯥ ꯁꯥꯏꯗ ꯏꯐꯦꯛꯇ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯕꯨ ꯃꯤꯄꯨꯝ ꯈꯨꯗꯤꯡꯃꯛꯅꯥ ꯃꯈꯣꯌꯁꯤꯡ ꯑꯁꯤ ꯐꯪꯗꯦ꯫ ꯃꯁꯤ ꯃꯤꯑꯣꯏ ꯑꯃꯗꯒꯤ ꯃꯤꯑꯣꯏ ꯑꯃꯗꯥ ꯈꯦꯠꯅꯩ꯫ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯁꯥꯏꯗ ꯏꯐꯦꯛꯇꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯃꯈꯣꯌꯕꯨ ꯀꯔꯝꯅꯥ ꯊꯦꯡꯅꯒꯗꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯁꯤ꯫

ꯁꯥꯏꯗ ꯏꯐꯦꯛꯇ꯫ ꯏꯆꯝ ꯆꯝꯕꯥ ꯃꯌꯦꯛ ꯁꯦꯡꯅꯥ ꯇꯥꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯃꯦꯅꯦꯖꯃꯦꯟꯇ꯫
ꯂꯥꯜ/ ꯄꯤꯀꯄꯥ ꯌꯨꯔꯤꯟ꯫ ꯗꯣꯛꯁꯣꯔꯨꯕꯤꯁꯤꯟ (H) ꯑꯁꯤ ꯂꯥꯂꯍꯧꯕꯥ ꯗ꯭ꯔꯒ ꯑꯃꯅꯤ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯌꯨꯔꯤꯟ ꯑꯗꯨ ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯄꯨꯡ 48 ꯐꯥꯎꯕꯥ ꯂꯥꯂꯍꯧꯕꯥ/ ꯄꯤꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯁꯤ ꯅꯣꯔꯃꯦꯂꯅꯤ, ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯂꯩꯔꯣꯏꯗꯕꯅꯤ꯫
ꯅꯣꯡꯃꯩ ꯀꯥꯞꯄꯥ ꯑꯃꯁꯨꯡ ꯈꯣꯡ ꯍꯥꯝꯕꯥ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯤꯠ ꯎꯗꯕꯥ ꯊꯤꯡꯅꯕꯥ ꯍꯤꯗꯥꯛ ꯄꯤꯔꯕꯁꯨ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯐꯥꯎꯔꯀꯄꯥ ꯌꯥꯏ꯫ ꯍꯤꯗꯥꯛ ꯑꯗꯨ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯄꯤꯕꯥ ꯃꯇꯨꯡꯏꯟꯅꯥ ꯆꯞ ꯃꯥꯟꯅꯅꯥ ꯂꯧ꯫ ꯃꯁꯤꯗꯁꯨ ꯅꯠꯇꯅꯥ ꯑꯆꯧꯕꯥ ꯆꯤꯟꯖꯥꯀꯁꯤꯡ ꯆꯥꯕꯥ ꯑꯃꯁꯨꯡ ꯇꯩꯁꯤꯅꯕꯥ/ ꯃꯆꯤ ꯑꯣꯏꯕꯥ ꯆꯤꯟꯖꯥꯀꯁꯤꯡ ꯆꯥꯔꯣꯏꯗꯕꯅꯤ꯫
ꯆꯨꯝꯅꯒꯤ ꯆꯦꯡ ꯁꯣꯀꯄꯥ꯫ ꯃꯁꯤ ꯀꯦꯃꯣꯊꯦꯔꯥꯄꯤꯒꯤ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯁꯥꯏꯗ ꯏꯐꯦꯛꯇ ꯑꯃꯅꯤ꯫ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛꯀꯤ ꯑꯍꯥꯅꯕꯥ ꯗꯣꯖꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯅꯨꯃꯤꯠ ꯍꯨꯝꯅꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯆꯨꯃꯊꯣꯀꯄꯥ ꯍꯧꯕꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯕꯨꯂꯥꯏꯌꯦꯡꯕꯥ ꯂꯣꯌꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯆꯨꯃꯗ꯭ꯔꯤꯡꯅꯥ ꯍꯦꯅꯒꯠꯂꯛꯀꯅꯤ꯫
ꯀꯣꯜꯗ ꯑꯃꯥ ꯂꯩꯕꯥ ꯑꯃꯁꯨꯡ ꯂꯥꯏꯍꯧ ꯍꯧꯕꯥ꯫ ꯀꯦꯃꯣꯊꯦꯔꯥꯄꯤꯅꯥ ꯋꯥꯏꯠ ꯕ꯭ꯂꯗ ꯁꯦꯂꯁꯤꯡꯒꯤ ꯃꯁꯤꯡ ꯍꯟꯊꯍꯜꯂꯤ꯫ ꯃꯁꯤꯅꯥ ꯏꯅꯐꯦꯛꯁꯅꯒꯤ ꯔꯤꯁ꯭ꯛ ꯍꯦꯅꯒꯠꯍꯜꯂꯤ꯫ ꯅꯍꯥꯀꯄꯨ ꯖꯤ-ꯁꯤ.ꯑꯦꯁ.ꯑꯦꯐ.ꯅꯥ ꯀꯧꯕꯥ ꯁꯣꯠ ꯑꯃꯥ ꯄꯤꯒꯅꯤ, ꯃꯁꯤꯅꯥ ꯋꯥꯏꯠ ꯕ꯭ꯂꯗ ꯁꯦꯂꯁꯤꯡ ꯄꯨꯊꯣꯀꯄꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯥꯏꯍꯧ ꯍꯧꯔꯛꯂꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯈꯨꯗꯛꯇꯥ ꯈꯪꯍꯜꯂꯨ꯫
ꯀꯟꯅꯥ ꯍꯣꯠꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯍꯣꯠꯅꯕꯥ꯫ R-CHOP ꯂꯥꯌꯦꯡꯕꯅꯥ ꯔꯦꯗ ꯕ꯭ꯂꯗ ꯁꯦꯂꯁꯤꯡ (ꯑꯦꯅꯤꯃꯤꯌꯥ) ꯍꯟꯊꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯌꯥꯝꯅꯥ ꯋꯥꯅꯥ ꯊꯣꯀꯍꯜꯂꯀꯄꯥ ꯌꯥꯏ꯫ ꯅꯨꯃꯤꯠ ꯈꯨꯗꯤꯡꯒꯤ ꯇꯧꯒꯗꯕꯥ ꯊꯕꯀꯁꯤꯡꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯅꯕꯥ ꯍꯥꯌꯌꯨ꯫ ꯅꯣꯡꯃꯗꯥ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯃꯤꯅꯠ 30 ꯆꯠꯄꯒꯨꯝꯕꯥ ꯂꯥꯏꯠ ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯑꯁꯤ ꯑꯐꯕꯥ ꯑꯃꯅꯤ, ꯑꯗꯨꯕꯨ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯐꯥꯎꯔꯕꯗꯤ ꯅꯨꯡꯉꯥꯏꯅꯥ ꯂꯩꯌꯨ꯫
ꯐꯖꯅꯥ ꯏ ꯊꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯁꯣꯀꯄꯥ꯫ ꯄ꯭ꯂꯦꯇꯂꯦꯇꯁꯤꯡꯒꯤ ꯃꯁꯤꯡ ꯍꯟꯊꯔꯀꯄꯒꯥ ꯂꯣꯌꯅꯅꯥ, ꯑꯄꯤꯀꯄꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯑꯃꯠꯇꯗꯁꯨ ꯏ ꯊꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯁꯣꯛ-ꯄꯅꯕꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯥꯃꯀꯄꯨ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯍꯟꯗꯅꯕꯥ ꯆꯦꯀꯁꯤꯅꯒꯗꯕꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯂꯩꯔꯕꯗꯤ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯈꯪꯍꯜꯂꯨ꯫
ꯂꯤꯝꯐꯇꯥ ꯁꯣꯟꯊꯕꯥ꯫ ꯅꯍꯥꯛꯀꯤ ꯈꯨꯠ ꯑꯃꯁꯨꯡ ꯈꯣꯡꯗꯥ ꯁꯣꯟꯊꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯁꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯕꯨ ꯄꯦꯔꯤꯐꯦꯔꯦꯜ ꯅ꯭ꯌꯨꯔꯣꯄꯦꯊꯤ ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯊꯦꯡꯅꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯈꯪꯍꯜꯂꯨ꯫

ꯃꯁꯤꯒꯤ ꯃꯊꯛꯇꯥ, ꯑꯇꯩ ꯁꯥꯏꯗ ꯏꯐꯦꯛꯇꯁꯤꯡꯁꯨ ꯊꯣꯀꯄꯥ ꯌꯥꯏ:

  • ꯃꯆꯤꯟꯖꯥꯛ ꯁꯣꯀꯄꯥ꯫
  • ꯀꯣꯛ ꯆꯤꯛꯄ
  • ꯀꯟꯁꯇꯤꯄꯁꯟ ꯅꯠꯠꯔꯒꯥ ꯗꯥꯏꯔꯤꯌꯥ ꯂꯩꯕꯥ꯫
  • ꯊꯝꯃꯣꯌ ꯁꯣꯀꯄꯥ꯫
  • ꯃꯁꯜ ꯁꯣꯟꯊꯕꯥ꯫
  • ꯇꯨꯝꯕ ꯌꯥꯗꯕ
  • ꯋꯥꯈꯜ ꯍꯣꯡꯂꯀꯄꯥ꯫
  • ꯍꯥꯔꯠ ꯄꯦꯂꯄꯤꯇꯦꯁꯟ ꯂꯩꯕꯥ꯫

ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯑꯣꯏꯊꯣꯀꯄꯥ ꯌꯥꯕꯥ ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯊꯣꯀꯄꯥ ꯏꯐꯦꯛꯇꯁꯤꯡ꯫

ꯑꯌꯥꯝꯕꯥ ꯁꯥꯏꯗ ꯏꯐꯦꯛꯇꯁꯤꯡꯗꯤ ꯂꯥꯏꯌꯦꯡꯕꯥ ꯂꯣꯌꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯃꯇꯃꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ ꯂꯣꯌꯁꯤꯜꯂꯤ꯫

ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯅꯍꯥꯛꯅꯥ ꯐꯪꯂꯤꯕꯥ ꯍꯤꯗꯥꯛ - ꯂꯥꯡꯊꯛꯀꯤ ꯃꯄꯥꯉ꯭ꯒꯂꯒꯨꯝꯕꯥ ꯐꯦꯛꯇꯔꯁꯤꯡꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ, ꯑꯥꯔ-ꯁꯤ.ꯑꯩꯆ.ꯑꯣ.ꯄꯤ . ꯃꯁꯤꯅꯥ ꯐꯔꯇꯤꯂꯥꯏꯖꯔꯗꯁꯨ ꯑꯀꯥꯌꯕꯥ ꯄꯤꯕꯥ ꯌꯥꯏ . ꯃꯁꯤꯅꯥ ꯇꯥꯀꯄꯗꯤ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯇꯨꯡꯗꯥ ꯑꯉꯥꯡ ꯄꯣꯛꯅꯕꯥ ꯊꯧꯔꯥꯡ ꯇꯧꯔꯕꯗꯤ, ꯃꯃꯥꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯕꯤꯌꯨ꯫ ꯅꯍꯥꯛꯀꯤ ꯉꯥ ꯅꯠꯠꯔꯒꯥ ꯁ꯭ꯄꯥꯔꯝ ꯐ꯭ꯔꯤꯖ ꯇꯧꯕꯒꯨꯝꯕꯥ ꯑꯣꯄꯁꯅꯁꯤꯡ ꯈꯟꯅ-ꯅꯩꯅꯕꯥ ꯌꯥꯏ꯫

ꯑꯥꯔ-ꯁꯤ.ꯑꯣ.ꯄꯤ. ꯑꯃꯁꯨꯡ ꯁꯤ.ꯑꯣ.ꯄꯤ.ꯒꯤ ꯃꯔꯛꯇꯥ ꯀꯔꯤ ꯈꯦꯠꯅꯕꯥ ꯂꯩꯕꯒꯦ?

ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯑꯥꯔ-ꯁꯤ.ꯑꯩꯆ.ꯑꯣ.ꯄꯤ.ꯅꯥ ꯁꯤ.ꯑꯩꯆ.ꯑꯣ.ꯄꯤ.ꯒꯤ ꯂꯥꯌꯦꯡꯕꯒꯤ ꯑꯍꯣꯡꯕꯥ ꯚꯔꯖꯟ ꯑꯃꯅꯤ꯫ ꯁꯤ.ꯑꯩꯆ.ꯑꯣ.ꯄꯤ.ꯅꯥ ꯱꯹꯹꯰ꯒꯤ ꯃꯌꯥꯏ ꯆꯜꯂꯀꯄꯗꯥ ꯍꯧꯗꯣꯀꯈꯤ ꯑꯃꯁꯨꯡ ꯃꯇꯝ ꯑꯗꯨꯗꯥ ꯅꯟ-ꯍꯣꯗꯀꯤꯟ ꯂꯤꯝꯐꯣꯃꯥꯒꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯥ ꯂꯥꯌꯦꯡ ꯑꯣꯏꯈꯤ꯫

ꯑꯗꯨꯕꯨ ꯲꯰꯰꯰ꯒꯤ ꯃꯌꯥꯏ ꯆꯜꯂꯀꯄꯗꯥ ꯔꯤꯁꯔꯆꯔꯁꯤꯡꯅꯥ ꯁꯤ.ꯑꯩꯆ.ꯑꯣ.ꯄꯤ.ꯒꯤ ꯔꯦꯖꯤꯃꯦꯟꯗꯥ ꯄꯥꯟꯗꯝ ꯊꯝꯂꯤꯕꯥ ꯊꯦꯔꯥꯄꯤ ꯗ꯭ꯔꯒ ꯔꯤꯇꯨꯛꯁꯤꯃꯦꯕ (ꯑꯥꯔ) ꯍꯥꯄꯆꯤꯅꯈꯤ꯫ ꯃꯁꯤꯒꯤ ꯑꯍꯦꯅꯕꯥ ꯑꯁꯤꯅꯥ ꯂꯥꯌꯦꯡꯕꯒꯤ ꯆꯥꯡ ꯑꯁꯤ ꯍꯦꯟꯅꯥ ꯍꯦꯅꯒꯠꯍꯅꯈꯤ꯫ ꯉꯁꯤꯗꯤ ꯑꯥꯔ-ꯁꯤ.ꯑꯩꯆ.ꯑꯣ.ꯄꯤ.ꯅꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯏꯐꯦꯛꯇꯤꯕ ꯑꯣꯏꯕꯥ ꯂꯥꯌꯦꯡꯅꯤ, ꯃꯁꯤꯅꯥ ꯁꯤ.ꯑꯩꯆ.ꯑꯣ.ꯄꯤ.

ꯇꯦꯛ-ꯍꯣꯝ ꯃꯦꯁꯦꯖ ꯇꯧꯕꯥ꯫

  • ꯑꯥꯔ-ꯁꯤ.ꯑꯩꯆ.ꯑꯣ.ꯄꯤ.ꯅꯥ ꯇꯣꯉꯥꯟ ꯇꯣꯉꯥꯅꯕꯥ ꯃꯥꯏꯀꯩꯗꯒꯤ ꯀꯦꯟꯁꯔ ꯁꯦꯂꯁꯤꯡꯗꯥ ꯑꯦꯇꯦꯛ ꯇꯧꯕꯥ ꯗ꯭ꯔꯒ ꯃꯉꯥꯒꯤ ꯁꯛꯇꯤ ꯂꯩꯕꯥ ꯀꯝꯕꯤꯅꯦꯁꯟ ꯑꯃꯅꯤ꯫
  • ꯃꯁꯤꯒꯤ ꯂꯥꯏꯌꯦꯡ ꯑꯁꯤ ꯁꯥꯏꯀꯂꯁꯤꯡꯗꯥ ꯄꯤ꯫ ꯁꯥꯏꯀꯜ ꯈꯨꯗꯤꯡꯃꯛꯀꯤ ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯅꯨꯃꯤꯠ ꯑꯃꯁꯨꯡ ꯅꯨꯡꯉꯥꯏꯕꯒꯤ ꯅꯨꯃꯤꯠ ꯂꯩ꯫
  • ꯁꯥꯏꯗ ꯏꯐꯦꯛꯇꯁꯤꯡ ꯊꯣꯀꯄꯥ ꯌꯥꯏ, ꯑꯗꯨꯕꯨ ꯃꯈꯣꯌ ꯑꯌꯥꯝꯕꯗꯤ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯥ ꯉꯝꯃꯤ꯫ ꯅꯍꯥꯛꯅꯥ ꯊꯦꯡꯅꯔꯤꯕꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯑꯃꯍꯦꯛꯇꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯈꯪꯍꯅꯕꯥ ꯉꯃꯒꯅꯨ꯫
  • ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯥꯏꯍꯧ ꯍꯧꯔꯀꯄꯥ, ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯇꯩ ꯁꯥꯊꯤꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯂꯩꯔꯕꯗꯤ, ꯈꯨꯗꯛꯇꯥ ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯄꯥꯎꯇꯥꯛ ꯂꯧꯒꯗꯕꯅꯤ꯫
  • ꯑꯥꯔ-ꯁꯤ.ꯑꯩꯆ.ꯑꯣ.ꯄꯤ.ꯒꯤ ꯂꯥꯌꯦꯡꯕꯅꯥ ꯅꯟ-ꯍꯣꯗꯀꯤꯟ ꯂꯤꯝꯐꯣꯃꯥꯒꯤ ꯃꯥꯌ ꯄꯥꯀꯄꯒꯤ ꯆꯥꯡ ꯌꯥꯝꯅꯥ ꯋꯥꯡꯏ꯫ ꯈꯣꯡꯆꯠ ꯑꯁꯤ ꯑꯔꯨꯕꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ, ꯑꯗꯨꯕꯨ ꯑꯗꯣꯃꯒꯤ ꯃꯦꯗꯤꯀꯦꯜ ꯇꯤꯝ ꯑꯃꯁꯨꯡ ꯅꯨꯡꯁꯤꯖꯔꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡ ꯑꯗꯣꯃꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯂꯩꯔꯤ꯫

ꯑꯥꯔ-ꯁꯤ.ꯑꯩꯆ.ꯑꯣ.ꯄꯤ., ꯀꯦꯟꯁꯔ ꯂꯥꯌꯦꯡꯕꯥ, ꯀꯦꯃꯣꯊꯦꯔꯥꯄꯤ, ꯅꯟ-ꯍꯣꯖꯀꯤꯟ ꯂꯤꯝꯐꯣꯃꯥ, ꯔꯤꯇꯨꯛꯁꯤꯃꯦꯕ, ꯁꯥꯏꯛꯂꯣꯐꯣꯁꯐꯦꯃꯥꯏꯗ, ꯗꯣꯛꯁꯣꯔꯨꯕꯤꯁꯤꯟ, ꯚꯤꯅꯛꯔꯤꯁ꯭ꯇꯤꯟ, ꯄ꯭ꯔꯦꯗꯅꯤꯁꯟ, ꯀꯦꯟꯁꯔꯒꯤ ꯁꯥꯏꯗ ꯏꯐꯦꯛꯇꯁꯤꯡ꯫

Frequently Asked Questions (FAQ)

ꯂꯥꯌꯦꯡꯕꯒꯤ ꯅꯨꯃꯤꯠꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯆꯠꯊꯔꯤꯕꯒꯦ?

ꯅꯍꯥꯛꯅꯥ ꯅꯨꯃꯤꯠ ꯃꯉꯥꯅꯤꯒꯤ ꯑꯣꯏꯅꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛ ꯂꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯒꯅꯤ꯫ ꯄ꯭ꯔꯦꯗꯅꯤꯁꯟ (P) ꯀꯧꯕꯥ ꯁ꯭ꯇꯦꯔꯣꯏꯗ ꯑꯁꯤ ꯍꯤꯗꯥꯛ ꯑꯃꯥ ꯑꯣꯏꯅꯥ ꯂꯧꯏ꯫ ꯑꯇꯣꯞꯄꯥ ꯍꯤꯗꯥꯛ ꯃꯔꯤ (R, C, H, O) ꯑꯁꯤ ꯅꯍꯥꯀꯄꯨ ꯏꯅꯠꯔꯥꯚꯦꯅꯁ ꯏꯅꯐ꯭ꯌꯨꯖꯟ (IV)ꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯄꯤ꯫ ꯃꯁꯤꯅꯥ ꯇꯥꯀꯄꯗꯤ ꯃꯈꯣꯌ ꯑꯁꯤ ꯁꯦꯂꯤꯅꯒꯨꯝꯕꯥ ꯚꯦꯅꯝ ꯑꯃꯗꯥ ꯄꯤ꯫ ꯃꯁꯤꯒꯤꯗꯃꯛꯇꯥ ꯅꯍꯥꯛꯅꯥ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯜ ꯅꯠꯠꯔꯒꯥ ꯀ꯭ꯂꯤꯅꯤꯛ ꯑꯃꯗꯥ ꯆꯠꯄꯥ ꯃꯊꯧ ꯇꯥꯒꯅꯤ꯫

⚠️ Important: The medical articles and information on Nirogi Lanka are for general awareness only, and are by no means a substitute for professional medical advice, diagnosis, or treatment. For any medical problem you have, consult a qualified physician immediately.

💬 Comments (0)

No comments yet. Be the first to share your thoughts here.

Add Your Comment

Please calculate: 2 + 5 =