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ꯑꯥꯔ-ꯁꯤ.ꯑꯣ.ꯄꯤ.ꯒꯤ ꯂꯥꯌꯦꯡꯕꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯈꯉꯂꯁꯤ? ꯀꯦꯟꯁꯔ ꯂꯥꯟꯊꯦꯡꯅꯕꯗꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯈꯣꯉꯊꯥꯡ ꯑꯃꯥ (ꯑꯥꯔ-ꯁꯤ.ꯑꯩꯆ.ꯑꯣ.ꯄꯤ.)

ꯑꯥꯔ-ꯁꯤ.ꯑꯣ.ꯄꯤ.ꯒꯤ ꯂꯥꯌꯦꯡꯕꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯈꯉꯂꯁꯤ? ꯀꯦꯟꯁꯔ ꯂꯥꯟꯊꯦꯡꯅꯕꯗꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯈꯣꯉꯊꯥꯡ ꯑꯃꯥ (ꯑꯥꯔ-ꯁꯤ.ꯑꯩꯆ.ꯑꯣ.ꯄꯤ.)

ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯅꯠꯠꯔꯒꯥ ꯅꯍꯥꯛꯀꯤ ꯅꯨꯡꯁꯤꯖꯔꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯀꯦꯟꯁꯔꯅꯥ ꯅꯥꯔꯦ ꯍꯥꯌꯅꯥ ꯍꯥꯌꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯐꯥꯑꯣꯔꯤꯕꯥ ꯑꯀꯤꯕꯥ, ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯑꯃꯁꯨꯡ ꯁꯣꯏꯗ-ꯉꯥꯃꯗꯕꯥ ꯑꯗꯨ ꯑꯩꯅꯥ ꯈꯉꯏ꯫ ꯃꯇꯝ ꯑꯗꯨꯃꯛꯇꯗꯥ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯀꯄꯨ “R-CHOP” ꯀꯧꯕꯥ ꯂꯥꯏꯌꯦꯡ ꯑꯃꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯍꯥꯌꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯅꯍꯥꯛꯀꯤ ꯋꯥꯈꯂꯗꯥ ꯋꯥꯍꯪ ꯀꯌꯥ ꯂꯥꯀꯄꯥ ꯌꯥꯏ, ꯃꯗꯨꯗꯤ “ꯀꯔꯤꯅꯣ, ꯃꯁꯤꯅꯥ ꯀꯔꯤ ꯇꯧꯔꯤꯕꯒꯦ?” ꯋꯥꯒꯅꯨ. ꯉꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯑꯥꯔ-ꯁꯤ.ꯑꯣ.ꯄꯤ.ꯅꯥ ꯀꯔꯤꯅꯣ, ꯃꯁꯤꯅꯥ ꯀꯔꯤ ꯇꯧꯔꯤꯕꯒꯦ, ꯑꯃꯁꯨꯡ ꯃꯁꯤꯕꯨ ꯀꯔꯝꯅꯥ ꯊꯦꯡꯅꯒꯅꯤ ꯍꯥꯌꯕꯁꯤ ꯑꯗꯣꯝꯅꯥ ꯈꯉꯕꯥ ꯉꯃꯒꯗꯕꯥ ꯌꯥꯝꯅꯥ ꯂꯥꯏꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯒꯅꯤ꯫

ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯑꯥꯔ-ꯆꯣꯞ ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ?

ꯑꯥꯔ-ꯁꯤ.ꯑꯩꯆ.ꯑꯣ.ꯄꯤ.ꯅꯥ ꯀꯦꯟꯁꯔ ꯁꯦꯂꯁꯤꯡꯕꯨ ꯍꯥꯠꯄꯥ ꯗ꯭ꯔꯒ ꯃꯉꯥꯒꯤ ꯀꯝꯕꯤꯅꯦꯁꯟ ꯑꯃꯅꯤ . ꯃꯁꯤ ꯅꯟ-ꯍꯣꯗꯀꯤꯟ ꯂꯤꯝꯐꯣꯃꯥ ꯀꯧꯕꯥ ꯀꯦꯟꯁꯔ ꯃꯈꯜ ꯑꯃꯒꯤ ꯌꯥꯝꯅꯥ ꯏꯐꯦꯛꯇꯤꯕ ꯑꯣꯏꯕꯥ ꯂꯥꯌꯦꯡ ꯑꯃꯅꯤ ꯫ ꯃꯃꯤꯡꯗꯥ ꯌꯥꯎꯔꯤꯕꯥ ꯑꯛꯁꯔ ꯈꯨꯗꯤꯡꯃꯛꯅꯥ ꯂꯥꯏꯌꯦꯡ ꯑꯁꯤꯗꯥ ꯁꯤꯖꯤꯟꯅꯔꯤꯕꯥ ꯗ꯭ꯔꯒ ꯑꯃꯕꯨ ꯈꯪꯍꯜꯂꯤ꯫

ꯆꯤꯊꯤ ꯍꯤꯗꯥꯛ ꯑꯃꯁꯨꯡ ꯃꯁꯤꯒꯤ ꯑꯦꯛꯁꯟ꯫
ꯑꯥꯔ ꯔꯤꯇꯨꯛꯁꯤꯃꯦꯕ: ꯃꯁꯤ ꯄꯥꯟꯗꯝ ꯊꯝꯂꯤꯕꯥ ꯊꯦꯔꯥꯄꯤ ꯑꯃꯅꯤ꯫ ꯃꯔꯨꯑꯣꯏꯅꯥ, ꯗ꯭ꯔꯒ ꯑꯁꯤ ꯀꯦꯟꯁꯔ ꯁꯦꯂꯁꯤꯡꯒꯤ ꯃꯊꯛꯇꯥ ꯂꯩꯕꯥ ꯑꯈꯟꯅꯕꯥ ꯄ꯭ꯔꯣꯇꯤꯟ ꯑꯃꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯆꯦꯜꯂꯤ꯫ ꯃꯁꯤꯅꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯏꯝꯝꯌꯨꯟ ꯁꯤꯁ꯭ꯇꯦꯃꯅꯥ ꯀꯦꯟꯁꯔ ꯁꯦꯂꯁꯤꯡ ꯑꯁꯤ ꯐꯖꯅꯥ ꯈꯉꯗꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯃꯥꯡꯍꯅꯕꯥ ꯉꯃꯍꯜꯂꯤ꯫
ꯁꯤ ꯁꯥꯏꯛꯂꯣꯐꯣꯁꯐꯦꯃꯥꯏꯗ: ꯃꯁꯤ ꯀꯦꯃꯣꯊꯦꯔꯥꯄꯤ ꯗ꯭ꯔꯒ ꯑꯃꯅꯤ꯫ ꯀꯦꯃꯣꯊꯦꯔꯥꯄꯤ ꯗ꯭ꯔꯒꯁꯤꯡꯅꯥ ꯀꯦꯟꯁꯔ ꯁꯦꯂꯒꯨꯝꯕꯥ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯈꯥꯌꯗꯣꯀꯄꯥ ꯁꯦꯂꯁꯤꯡ ꯃꯥꯡꯍꯟ ꯇꯥꯀꯍꯟꯗꯨꯅꯥ ꯊꯕꯛ ꯇꯧꯏ꯫
ꯑꯩꯆ ꯗꯣꯛꯁꯣꯔꯨꯕꯤꯁꯤꯟ ꯍꯥꯏꯗ꯭ꯔꯣꯛꯂꯣꯔꯥꯏꯗ (ꯍꯥꯏꯗ꯭ꯔꯣꯛꯁꯤꯗꯥꯎꯅꯣꯃꯥꯏꯁꯤꯟ): ꯃꯁꯤꯁꯨ ꯀꯦꯃꯣꯊꯦꯔꯥꯄꯤ ꯗ꯭ꯔꯒ ꯑꯃꯅꯤ꯫
ꯑꯣ ꯚꯤꯅꯛꯔꯤꯁ꯭ꯇꯤꯟ ꯁꯂꯐꯦꯠ (Oncovin): ꯃꯁꯤ ꯑꯇꯣꯞꯄꯥ ꯀꯦꯃꯣꯊꯦꯔꯥꯄꯤ ꯗ꯭ꯔꯒ ꯑꯃꯅꯤ꯫
ꯄꯤꯄ꯭ꯔꯦꯗꯅꯤꯁꯟ: ꯃꯁꯤ ꯁ꯭ꯇꯦꯔꯣꯏꯗ (ꯀꯣꯔꯇꯤꯀꯣꯁ꯭ꯇꯦꯔꯣꯏꯗ) ꯃꯈꯜ ꯑꯃꯅꯤ꯫ ꯃꯁꯤꯅꯥ ꯀꯦꯟꯁꯔ ꯁꯦꯂꯁꯤꯡꯁꯨ ꯁꯤꯍꯜꯂꯤ꯫ ꯃꯁꯤꯅꯥ ꯑꯇꯣꯞꯄꯥ ꯑꯥꯔ-ꯁꯤ.ꯑꯩꯆ.ꯑꯣ.ꯄꯤ.ꯒꯤ ꯍꯤꯗꯥꯀꯁꯤꯡꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯕꯥ ꯑꯦꯂꯥꯔꯖꯤꯒꯤ ꯔꯤꯑꯦꯛꯁꯅꯁꯤꯡ ꯍꯟꯊꯍꯅꯕꯗꯁꯨ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫

ꯑꯗꯣꯝꯅꯥ ꯎꯕꯤꯔꯃꯒꯅꯤ, ꯃꯁꯤꯗꯥ ꯀꯦꯃꯣꯊꯦꯔꯥꯄꯤ ꯗ꯭ꯔꯒꯁꯤꯡꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯏꯝꯝꯌꯨꯟ -ꯇꯥꯔꯒꯦꯇꯤꯡ ꯗ꯭ꯔꯒ (ꯔꯤꯇꯨꯛꯁꯤꯃꯦꯕ) ꯑꯃꯥ ꯌꯥꯑꯣꯔꯤ꯫ ꯃꯔꯝ ꯑꯁꯤꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯂꯥꯌꯦꯡ ꯑꯁꯤꯕꯨ “ꯏꯝꯝꯌꯨꯅꯣ-ꯀꯦꯃꯣꯊꯦꯔꯥꯄꯤ” ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫

ꯑꯥꯔ-ꯁꯤ.ꯑꯩꯆ.ꯑꯣ.ꯄꯤ.ꯒꯤ ꯂꯥꯌꯦꯡ ꯑꯁꯤ ꯀꯔꯤ ꯃꯈꯂꯒꯤ ꯀꯦꯟꯁꯔꯒꯤꯗꯃꯛꯇꯥ ꯁꯤꯖꯤꯟꯅꯕꯒꯦ?

ꯃꯁꯤꯒꯤ ꯂꯥꯌꯦꯡ ꯑꯁꯤ ꯃꯔꯨꯑꯣꯏꯅꯥ ꯅꯟ-ꯍꯣꯗꯀꯤꯟ ꯂꯤꯝꯐꯣꯃꯥ ꯀꯧꯕꯥ ꯀꯦꯟꯁꯔ ꯃꯈꯜ ꯑꯃꯒꯤꯗꯃꯛ ꯄꯤꯕꯅꯤ꯫ ꯃꯁꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯃꯈꯜ, ꯗꯤꯐ꯭ꯌꯨꯁꯟ ꯂꯥꯔꯖ ꯕꯤ-ꯁꯦꯜ ꯂꯤꯝꯐꯣꯃꯥ (DLBCL) ꯒꯤꯗꯃꯛꯇꯁꯨ ꯌꯥꯝꯅꯥ ꯏꯐꯦꯛꯇꯤꯚ ꯑꯣꯏ꯫ ꯃꯁꯤꯒꯤ ꯃꯊꯛꯇꯥ, ꯑꯥꯔ-ꯁꯤ.ꯑꯩꯆ.ꯑꯣ.ꯄꯤ.ꯅꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯀꯦꯟꯁꯔ ꯃꯈꯂꯁꯤꯡ ꯑꯁꯤꯗꯁꯨ ꯁꯤꯖꯤꯟꯅꯩ :

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

ꯀꯦꯁ ꯈꯔꯗꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯑꯇꯩ ꯃꯈꯂꯒꯤ ꯀꯦꯟꯁꯔꯒꯤ ꯂꯥꯏꯌꯦꯡꯁꯤꯡꯒꯥ ꯂꯣꯌꯅꯅꯥ R-CHOP ꯄꯤꯅꯕꯥ ꯋꯥꯔꯦꯞ ꯂꯧꯕꯥ ꯌꯥꯏ꯫

ꯂꯥꯏꯌꯦꯡ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯊꯕꯛ ꯇꯧꯕꯒꯦ?

ꯑꯥꯔ-ꯁꯤ.ꯑꯩꯆ.ꯑꯣ.ꯄꯤ.ꯒꯤ ꯂꯥꯌꯦꯡ ꯑꯁꯤ “ꯁꯥꯏꯀꯜ”ꯗꯥ ꯄꯤꯔꯤ꯫ ꯁꯥꯏꯀꯜ ꯈꯨꯗꯤꯡꯃꯛ ꯃꯍꯧꯁꯥꯅꯥ ꯅꯨꯃꯤꯠ ꯍꯨꯝꯅꯤ (ꯅꯨꯃꯤꯠ 21ꯅꯤ) ꯆꯪꯏ꯫ ꯁꯥꯏꯀꯜ ꯑꯁꯤꯒꯤ ꯁꯔꯨꯛ ꯑꯅꯤ ꯂꯩ:

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

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

ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯅꯨꯃꯤꯠꯁꯤꯡ꯫

ꯍꯤꯗꯥꯛ ꯑꯁꯤ ꯅꯨꯃꯤꯠ ꯃꯉꯥꯅꯤꯒꯤ ꯃꯇꯃꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯄꯤꯕꯥ ꯌꯥꯏ꯫ ꯄ꯭ꯔꯦꯗꯅꯤꯁꯟ ( ꯁ꯭ꯇꯦꯔꯣꯏꯗ ) ꯑꯁꯤ ꯅꯍꯥꯛꯅꯥ ꯊꯀꯄꯥ ꯌꯥꯕꯥ ꯍꯤꯗꯥꯛ ꯑꯃꯅꯤ꯫ ꯑꯇꯣꯞꯄꯥ ꯍꯤꯗꯥꯛ ꯃꯔꯤ ꯑꯁꯤ ꯚꯦꯅꯝ ꯑꯃꯗꯥ ꯁꯦꯂꯟ ꯁꯣꯜꯌꯨꯁꯟ ꯑꯃꯥ ꯑꯣꯏꯅꯥ ꯄꯤ (ꯏꯟꯠꯔꯥꯚꯦꯅꯁ ꯏꯅꯐ꯭ꯌꯨꯖꯟ – IV)꯫ ꯃꯁꯤꯒꯤꯗꯃꯛꯇꯥ ꯅꯍꯥꯛꯅꯥ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯜ ꯅꯠꯠꯔꯒꯥ ꯀ꯭ꯂꯤꯅꯤꯛ ꯑꯃꯗꯥ ꯆꯠꯄꯥ ꯃꯊꯧ ꯇꯥꯒꯅꯤ꯫ ꯃꯐꯝ ꯑꯗꯨꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯆꯦꯌꯥꯔ ꯑꯃꯗꯥ ꯐꯃꯒꯅꯤ ꯑꯃꯁꯨꯡ ꯃꯦꯁꯤꯟ ꯑꯃꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯚꯦꯅꯝ ꯑꯃꯗꯥ ꯍꯤꯗꯥꯛ ꯑꯗꯨ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯏꯅꯖꯦꯀꯁꯟ ꯇꯧꯒꯅꯤ꯫ ꯚꯦꯅꯝ ꯑꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯈꯨꯠꯁꯥ, ꯈꯨꯠ ꯅꯠꯠꯔꯒꯥ ꯈꯣꯡꯗꯥ ꯂꯩꯕꯥ ꯌꯥꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯂꯥꯏꯌꯦꯡ ꯑꯗꯨ ꯆꯦꯁ꯭ꯇꯀꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯄꯤꯔꯕꯗꯤ, ꯈꯣꯡꯒꯤ ꯃꯈꯥꯗꯥ `ꯄꯣꯔꯠ-ꯑꯦ-ꯀꯦꯊ` (ꯀꯦꯃꯣ ꯄꯣꯔꯠ) ꯀꯧꯕꯥ ꯑꯄꯤꯀꯄꯥ ꯈꯨꯠꯂꯥꯏ ꯑꯃꯥ ꯊꯥꯕꯥ ꯌꯥꯏ꯫

ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯑꯍꯥꯅꯕꯥ ꯅꯨꯃꯤꯠꯇꯥ, ꯅꯉꯣꯟꯗꯥ ꯑꯅꯥꯕꯥ ꯂꯩꯍꯟꯗꯅꯕꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛ ꯄꯤꯒꯅꯤ꯫ ꯅꯍꯥꯀꯄꯨ ꯑꯦꯂꯥꯔꯖꯤ ꯊꯤꯡꯅꯕꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡꯁꯨ ꯄꯤꯒꯅꯤ꯫ ꯔꯤꯇꯨꯛꯁꯤꯃꯦꯕ꯫ꯍꯤꯗꯥꯛ ꯑꯗꯨ ꯄꯤꯖꯕꯥ ꯃꯇꯃꯗꯥ ꯈꯔꯥ ꯋꯥꯈꯜ ꯇꯥꯕꯥ ꯑꯃꯁꯨꯡ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯐꯥꯎꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯅꯣꯔꯃꯦꯂꯅꯤ꯫ ꯃꯔꯝ ꯑꯁꯤꯅꯥ ꯍꯤꯗꯥꯛ ꯑꯁꯤ ꯑꯍꯥꯅꯕꯗꯥ ꯌꯥꯝꯅꯥ ꯆꯦꯀꯁꯤꯟꯅꯥ ꯄꯤꯔꯤ꯫ ꯑꯗꯨꯕꯨ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯑꯃꯠꯇꯥ ꯂꯩꯇꯦ, ꯃꯔꯃꯗꯤ ꯑꯗꯣꯃꯗꯥ ꯑꯀꯅꯕꯥ ꯑꯦꯂꯥꯔꯖꯤ ꯊꯤꯡꯅꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ ꯑꯗꯨ ꯃꯃꯥꯡꯗꯥ ꯄꯤꯒꯅꯤ꯫

ꯔꯦꯁ꯭ꯠ ꯅꯨꯃꯤꯠꯁꯤꯡ꯫

ꯃꯁꯛ ꯊꯣꯀꯄꯥ ꯁꯥꯏꯀꯜ ꯑꯃꯗꯥ, ꯅꯍꯥꯛꯅꯥ ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯅꯨꯃꯤꯠ 16ꯅꯤ ꯂꯦꯡꯗꯅꯥ ꯂꯩꯒꯅꯤ꯫ ꯑꯥꯔ-ꯁꯤ.ꯑꯩꯆ.ꯑꯣ.ꯄꯤ.ꯒꯤ ꯂꯥꯌꯦꯡ ꯑꯁꯤꯅꯥ ꯀꯦꯟꯁꯔ ꯁꯦꯂꯁꯤꯡ ꯃꯥꯡꯍꯟ ꯇꯥꯀꯍꯅꯕꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯍꯀꯆꯥꯡ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯋꯥꯅꯥ ꯐꯥꯑꯣꯏ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯅꯨꯃꯤꯠꯁꯤꯡ ꯑꯁꯤꯗꯥ ꯌꯥꯝꯅꯥ ꯋꯥꯅꯥ ꯊꯣꯀꯄꯥ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏ꯫ ꯃꯇꯝ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯅꯨꯡꯇꯤꯒꯤ ꯊꯕꯛ ꯊꯧꯔꯃꯁꯤꯡꯗꯥ ꯏꯃꯨꯡ ꯃꯅꯨꯡ ꯑꯃꯁꯨꯡ ꯃꯔꯨꯞ ꯃꯄꯥꯡꯁꯤꯡꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯅꯕꯥ ꯍꯥꯌꯖꯕꯥ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯐꯩ꯫

ꯅꯨꯡꯉꯥꯏꯅꯥ ꯂꯩꯅꯕꯥ ꯅꯨꯃꯤꯠꯁꯤꯡ ꯑꯁꯤꯗꯥ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ ꯋꯥꯈꯜ ꯂꯥꯀꯄꯥ ꯇꯥꯔꯕꯗꯤ, ꯗꯣꯛꯇꯔꯅꯥ ꯈꯣꯡꯅꯥ ꯆꯠꯄꯒꯨꯝꯕꯥ ꯂꯥꯏꯠ ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯈꯔꯥ ꯇꯧꯅꯕꯥ ꯄꯥꯎꯇꯥꯛ ꯄꯤꯔꯤ꯫ ꯏꯁꯤꯡ ꯃꯔꯥꯡ ꯀꯥꯌꯅꯥ ꯊꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯃꯆꯤ ꯑꯣꯏꯕꯥ ꯆꯤꯟꯖꯥꯀꯁꯤꯡ ꯆꯥꯕꯁꯨ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ .

ꯂꯥꯏꯌꯦꯡ ꯑꯁꯤꯒꯤ ꯔꯤꯁ꯭ꯛ ꯑꯃꯁꯨꯡ ꯁꯥꯏꯗ ꯏꯐꯦꯛꯇꯁꯤꯡ ꯀꯔꯤꯅꯣ?

ꯂꯥꯏꯌꯦꯡ ꯑꯃꯍꯦꯛꯇꯒꯨꯝꯅꯥ, R-CHOP ꯑꯁꯤꯅꯥ ꯁꯥꯏꯗ ꯏꯐꯦꯛꯇꯁꯤꯡ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯕꯨ ꯅꯤꯡꯁꯤꯡꯕꯤꯌꯨ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯁꯥꯏꯗ ꯏꯐꯦꯛꯇ ꯀꯌꯥ ꯑꯁꯤ ꯊꯤꯡꯅꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯃꯦꯅꯦꯖ ꯇꯧꯅꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯍꯤꯗꯥꯀꯁꯤꯡ ꯄꯤꯒꯅꯤ꯫ ꯃꯤꯄꯨꯝ ꯈꯨꯗꯤꯡꯃꯛꯅꯥ ꯁꯥꯏꯗ ꯏꯐꯦꯛꯇ ꯄꯨꯝꯅꯃꯛ ꯑꯁꯤ ꯐꯪꯗꯦ꯫ ꯃꯁꯤ ꯃꯤꯑꯣꯏ ꯑꯃꯗꯒꯤ ꯃꯤꯑꯣꯏ ꯑꯃꯗꯥ ꯈꯦꯠꯅꯩ꯫ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯁꯥꯏꯗ ꯏꯐꯦꯛꯇ ꯈꯔꯗꯤ ꯌꯦꯡꯁꯤ꯫

ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯁꯥꯏꯗ ꯏꯐꯦꯛꯇꯁꯤꯡ꯫ ꯀꯔꯤ ꯈꯉꯒꯗꯒꯦ ꯑꯃꯁꯨꯡ ꯀꯔꯤ ꯇꯧꯒꯗꯒꯦ꯫
ꯂꯥꯜ/ ꯄꯤꯀꯄꯥ ꯌꯨꯔꯤꯟ꯫ ꯗꯣꯛꯁꯣꯔꯨꯕꯤꯁꯤꯟ ꯑꯁꯤ ꯃꯆꯨ ꯃꯆꯨꯒꯤ ꯑꯣꯏ꯫ ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯄꯨꯡ 48 ꯐꯥꯎꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯌꯨꯔꯤꯟ ꯑꯗꯨ ꯂꯥꯂꯍꯧꯕꯥ/ ꯄꯤꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯁꯤ ꯅꯣꯔꯃꯦꯂꯅꯤ, ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯂꯩꯔꯣꯏꯗꯕꯅꯤ꯫
ꯅꯣꯡꯃꯩ ꯀꯥꯞꯄꯥ ꯑꯃꯁꯨꯡ ꯈꯣꯡ ꯍꯥꯝꯕꯥ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯅꯣꯡꯃꯩ ꯀꯥꯞꯄꯒꯤ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛ ꯂꯧꯔꯕꯁꯨ, ꯅꯍꯥꯛꯅꯥ ꯍꯧꯖꯤꯀꯁꯨ ꯈꯔꯥ ꯁꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯑꯆꯧꯕꯥ, ꯐꯦꯠ, ꯃꯆꯤ ꯑꯣꯏꯕꯥ ꯆꯤꯟꯖꯥꯛ ꯆꯥꯕꯒꯤ ꯃꯍꯨꯠꯇꯥ, ꯑꯄꯤꯀꯄꯥ, ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯆꯤꯟꯖꯥꯀꯁꯤꯡ ꯆꯥꯒꯗꯕꯅꯤ꯫
ꯆꯨꯝꯅꯒꯤ ꯆꯦꯡ ꯁꯣꯀꯄꯥ꯫ ꯃꯁꯤ ꯀꯦꯃꯣꯊꯦꯔꯥꯄꯤꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯀꯃꯟ ꯑꯣꯏ꯫ ꯑꯍꯥꯅꯕꯥ ꯗꯣꯖꯒꯤ ꯅꯨꯃꯤꯠ ꯍꯨꯝꯅꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯆꯨꯃꯊꯣꯀꯄꯥ ꯍꯧꯕꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯂꯥꯏꯌꯦꯡꯕꯥ ꯂꯣꯌꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯆꯨꯃꯗ꯭ꯔꯤꯡꯅꯥ ꯍꯦꯅꯒꯠꯂꯀꯏ꯫
ꯆꯤꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯂꯥꯏꯍꯧ ꯍꯧꯕꯥ꯫ꯀꯦꯃꯣꯊꯦꯔꯥꯄꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯋꯥꯏꯠ ꯕ꯭ꯂꯗ ꯁꯦꯜ ꯃꯁꯤꯡ ꯍꯟꯊꯍꯅꯕꯥ ꯉꯝꯃꯤ, ꯃꯗꯨꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯏꯅꯐꯦꯛꯁꯅꯒꯤ ꯔꯤꯁ꯭ꯛ ꯍꯦꯅꯒꯠꯍꯜꯂꯤ꯫ ꯅꯍꯥꯛꯀꯤ ꯋꯥꯏꯇꯦꯞ ꯁꯦꯂꯁꯤꯡ ꯍꯦꯅꯒꯠꯍꯅꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯂꯤꯕꯥ ꯖꯤ-ꯁꯤ.ꯑꯦꯁ.ꯑꯦꯐ. ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯥꯏꯍꯧ ꯍꯧꯔꯛꯂꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯈꯨꯗꯛꯇꯥ ꯈꯪꯍꯜꯂꯨ꯫
ꯑꯀꯅꯕꯥ ꯋꯥꯈꯜ ꯋꯥꯕꯥ (Fatigue) . ꯂꯥꯏꯌꯦꯡꯕꯅꯥ ꯔꯦꯗ ꯕ꯭ꯂꯗ ꯁꯦꯂꯁꯤꯡ ꯍꯟꯊꯍꯅꯕꯥ ꯌꯥꯏ, ꯃꯗꯨꯅꯥ ꯑꯦꯅꯤꯃꯤꯌꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯐꯥꯎꯔꯕꯗꯤ, ꯅꯨꯡꯉꯥꯏꯅꯥ ꯂꯩꯌꯨ꯫ ꯅꯨꯃꯤꯠ ꯈꯨꯗꯤꯡꯒꯤ ꯇꯧꯒꯗꯕꯥ ꯊꯕꯀꯁꯤꯡꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯅꯕꯥ ꯍꯥꯌꯌꯨ꯫
ꯐꯖꯅꯥ ꯁꯣꯀꯄꯥ/ ꯏ ꯊꯣꯀꯄꯥ꯫ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯄ꯭ꯂꯦꯇꯂꯦꯇꯁꯤꯡ ꯍꯟꯊꯔꯀꯄꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯍꯟꯗꯅꯕꯥ ꯆꯦꯀꯁꯤꯅꯒꯗꯕꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯁꯣꯛ-ꯄꯅꯕꯥ ꯌꯥꯝꯅꯥ ꯎꯕꯥ ꯐꯪꯂꯕꯗꯤ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯍꯥꯌꯌꯨ꯫
ꯂꯤꯝꯐꯇꯥ ꯁꯣꯟꯊꯕꯥ/ ꯇꯤꯟ ꯁꯤꯠꯄꯥ꯫ ꯃꯁꯤꯕꯨ ꯄꯦꯔꯤꯐꯦꯔꯦꯜ ꯅ꯭ꯌꯨꯔꯣꯄꯦꯊꯤ ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯨꯠ ꯅꯠꯠꯔꯒꯥ ꯈꯣꯡꯗꯥ ꯇꯤꯟ ꯁꯤꯠꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯃꯩꯅꯥ ꯆꯥꯀꯄꯥ ꯎꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯈꯪꯍꯜꯂꯨ꯫

ꯅꯤꯡꯁꯤꯡꯕꯤꯌꯨ, ꯂꯥꯏꯍꯧ ꯑꯁꯤ ꯁꯥꯊꯤꯕꯥ ꯏꯅꯐꯦꯛꯁꯟ ꯑꯃꯒꯤ ꯈꯨꯗꯝ ꯑꯃꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯂꯥꯏꯍꯧ ꯑꯗꯨ 100.4°F (38°C)ꯗꯒꯤ ꯍꯦꯜꯂꯕꯗꯤ, ꯈꯨꯗꯛꯇꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔ ꯅꯠꯠꯔꯒꯥ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯂꯗꯥ ꯀꯧ꯫

ꯃꯁꯤꯒꯤ ꯃꯊꯛꯇꯥ, ꯅꯍꯥꯛꯅꯥ ꯃꯤꯠ ꯎꯗꯕꯥ, ꯈꯣꯡ ꯍꯥꯝꯕꯥ, ꯃꯀꯣꯛ ꯊꯣꯡꯕꯥ, ꯈꯣꯡ ꯍꯥꯝꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯗꯥꯏꯔꯤꯌꯥ, ꯈꯣꯡꯗꯥ ꯁꯣꯀꯄꯥ, ꯇꯨꯝꯕꯥ ꯌꯥꯗꯕꯥ, ꯑꯃꯁꯨꯡ ꯋꯥꯈꯜ ꯍꯣꯡꯂꯀꯄꯥ ꯑꯁꯤꯁꯨ ꯊꯦꯡꯅꯔꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯍꯦꯛꯇꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯇꯥꯟꯅꯧ꯫

ꯀꯗꯥꯏꯗꯥ ꯗꯣꯛꯇꯔꯗꯥ ꯀꯧꯒꯗꯒꯦ?

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯅꯧꯕꯥ ꯂꯥꯏꯑꯣꯡ ꯑꯃꯥ ꯂꯥꯀꯄꯥ ꯇꯥꯔꯕꯗꯤ ꯅꯠꯠꯔꯒꯥ ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯃꯇꯃꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯂꯥꯏꯑꯣꯡ ꯑꯃꯍꯦꯛꯇꯅꯥ ꯍꯦꯟꯅꯥ ꯐꯠꯆꯤꯜꯂꯛꯂꯕꯗꯤ, ꯃꯔꯨꯑꯣꯏꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯥꯏꯍꯧ ꯍꯧꯔꯛꯂꯕꯗꯤ ꯈꯨꯗꯛꯇꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯈꯪꯍꯜꯂꯨ꯫

ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯗꯥ ꯑꯋꯥꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯈꯪꯍꯧꯗꯅꯥ ꯈꯣꯡꯗꯥ ꯁꯣꯀꯄꯥ ꯑꯁꯤꯅꯆꯤꯡꯕꯥ ꯑꯦꯃꯔꯖꯦꯟꯁꯤ ꯑꯃꯥ ꯂꯥꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯅꯀꯄꯥ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯂꯒꯤ ꯏꯃꯔꯖꯦꯟꯁꯤ ꯗꯤꯄꯥꯔꯇꯃꯦꯟꯇ (ETU)ꯗꯥ ꯈꯨꯗꯛꯇꯥ ꯆꯠꯂꯨ꯫

ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯃꯇꯝ ꯑꯁꯤ ꯑꯩꯉꯣꯟꯗꯥ ꯀꯔꯝꯅꯥ ꯍꯦꯟꯅꯥ ꯂꯥꯌꯊꯣꯀꯍꯅꯒꯗꯒꯦ?

ꯃꯁꯤꯒꯤ ꯂꯥꯟ ꯑꯁꯤ ꯑꯗꯣꯝ ꯈꯛꯇꯅꯥ ꯂꯥꯟꯊꯦꯡꯅꯒꯗꯕꯥ ꯂꯥꯟ ꯅꯠꯇꯦ꯫ ꯃꯇꯝ ꯑꯁꯤ ꯍꯦꯟꯅꯥ ꯂꯥꯌꯊꯣꯀꯍꯟꯅꯕꯥ ꯑꯗꯣꯝꯅꯥ ꯇꯧꯕꯥ ꯌꯥꯕꯥ ꯊꯕꯛ ꯈꯔꯥ ꯂꯩꯔꯤ꯫

  • ꯈꯪꯖꯤꯅꯕꯤꯌꯨ: ꯅꯍꯥꯛꯀꯤ ꯂꯥꯏꯌꯦꯡ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯅꯥ ꯀꯔꯤ ꯑꯥꯁꯥ ꯇꯧꯕꯥ ꯌꯥꯕꯒꯦ ꯍꯥꯌꯕꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯇꯥꯟꯅꯧ꯫ ꯋꯥꯍꯪ ꯍꯪꯕꯗꯥ ꯑꯀꯤꯕꯥ ꯂꯩꯔꯣꯏꯗꯕꯅꯤ꯫
  • ꯃꯇꯦꯡ ꯄꯥꯡꯅꯕꯥ ꯍꯥꯌꯌꯨ: ꯌꯨꯃꯒꯤ ꯊꯕꯛ-ꯊꯧꯔꯃꯁꯤꯡ, ꯆꯥꯅꯕꯥ ꯁꯦꯝ-ꯁꯥꯕꯥ ꯑꯃꯁꯨꯡ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯂꯗꯥ ꯆꯠꯄꯗꯥ ꯏꯃꯨꯡ-ꯃꯅꯨꯡ ꯑꯃꯁꯨꯡ ꯃꯔꯨꯞ-ꯃꯄꯥꯡꯁꯤꯡꯗꯒꯤ ꯃꯇꯦꯡ ꯂꯧꯕꯤꯌꯨ꯫
  • ꯐꯖꯅꯥ ꯆꯥꯕꯥ ꯑꯃꯁꯨꯡ ꯊꯀꯄꯥ: ꯃꯆꯤ ꯑꯣꯏꯕꯥ ꯆꯤꯟꯖꯥꯛ ꯆꯥꯕꯥ꯫ ꯏꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯐ꯭ꯂꯨꯏꯗ ꯃꯔꯥꯡ ꯀꯥꯌꯅꯥ ꯊꯀꯎ꯫
  • ꯁꯄꯣꯔꯠ ꯂꯧꯕꯤꯌꯨ: ꯅꯍꯥꯛꯀꯥ ꯆꯞ ꯃꯥꯟꯅꯕꯥ ꯂꯥꯏꯌꯦꯡ ꯆꯠꯊꯔꯤꯕꯥ ꯑꯇꯣꯞꯄꯁꯤꯡꯅꯥ ꯀꯦꯟꯁꯔ ꯊꯦꯡꯅꯔꯤꯕꯥ ꯁꯄꯣꯔꯠ ꯒ꯭ꯔꯨꯄꯁꯤꯡꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯍꯪꯕꯤꯌꯨ꯫ ꯑꯗꯣꯃꯒꯤ ꯑꯦꯛꯁꯄꯔꯤꯌꯦꯟꯁꯁꯤꯡ ꯑꯗꯨ ꯁꯦꯌꯔ ꯇꯧꯅꯕꯥ ꯀꯅꯥꯒꯨꯝꯕꯥ ꯑꯃꯥ ꯂꯩꯕꯥ ꯑꯁꯤ ꯑꯆꯧꯕꯥ ꯄꯥꯉ꯭ꯒꯜ ꯑꯃꯅꯤ꯫

ꯑꯥꯔ-ꯁꯤ.ꯑꯩꯆ.ꯑꯣ.ꯄꯤ.ꯒꯤ ꯂꯥꯌꯦꯡꯕꯒꯤ ꯑꯍꯥꯅꯕꯥ ꯅꯨꯃꯤꯠ ꯈꯔꯅꯤ ꯑꯁꯤ ꯑꯔꯨꯕꯥ ꯃꯇꯝ ꯑꯃꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛꯀꯤ ꯅꯨꯃꯤꯠꯁꯤꯡ ꯑꯁꯤ ꯁꯥꯡꯕꯥ ꯌꯥꯏ ꯑꯃꯁꯨꯡ ꯃꯁꯤꯒꯤ ꯁꯥꯏꯗ ꯏꯐꯦꯛꯇꯁꯤꯡ ꯑꯁꯤ ꯊꯦꯡꯅꯕꯗꯥ ꯑꯋꯥꯕꯥ ꯑꯣꯏꯔꯀꯄꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯕꯨ ꯃꯤꯑꯣꯏ ꯀꯌꯥꯒꯤ ꯑꯣꯏꯅꯗꯤ ꯑꯥꯔ-ꯁꯤ.ꯑꯣ.ꯄꯤ.ꯒꯤ ꯐꯂꯁꯤꯡ ꯑꯁꯤ ꯍꯣꯠꯅꯕꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯋꯥꯡꯏ꯫ ꯗ꯭ꯔꯒ ꯑꯍꯨꯝ (ꯇꯥꯔꯒꯦꯠ ꯇꯧꯔꯕꯥ, ꯀꯦꯃꯣ, ꯑꯃꯁꯨꯡ ꯁ꯭ꯇꯦꯔꯣꯏꯗꯁꯤꯡ) ꯑꯁꯤ ꯄꯨꯟꯅꯥ ꯁꯤꯖꯤꯟꯅꯕꯅꯥ ꯀꯦꯟꯁꯔ ꯁꯦꯂꯁꯤꯡꯕꯨ ꯌꯥꯝꯅꯥ ꯏꯐꯦꯛꯇꯤꯕ ꯑꯣꯏꯅꯥ ꯍꯥꯠꯄꯗꯥ ꯊꯕꯛ ꯇꯧꯏ꯫ ꯅꯍꯥꯛꯀꯤ ꯗꯥꯏꯑꯦꯒ꯭ꯅꯣꯁꯤꯁꯀꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ, ꯃꯁꯤꯅꯥ ꯀꯦꯟꯁꯔ ꯑꯗꯨ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯔꯤꯃꯤꯁꯟ ꯇꯧꯕꯥ ꯉꯃꯍꯜꯂꯤ꯫

ꯇꯦꯛ-ꯍꯣꯝ ꯃꯦꯁꯦꯖ ꯇꯧꯕꯥ꯫

  • ꯑꯥꯔ-ꯁꯤ.ꯑꯩꯆ.ꯑꯣ.ꯄꯤ.ꯅꯥ ꯅꯟ-ꯍꯣꯗꯀꯤꯟ ꯂꯤꯝꯐꯣꯃꯥꯒꯨꯝꯕꯥ ꯀꯦꯟꯁꯔ ꯂꯥꯌꯦꯡꯕꯗꯥ ꯁꯤꯖꯤꯟꯅꯕꯥ ꯗ꯭ꯔꯒ ꯵ꯒꯤ ꯌꯥꯝꯅꯥ ꯏꯐꯦꯛꯇꯤꯕ ꯑꯣꯏꯕꯥ ꯀꯝꯕꯤꯅꯦꯁꯟ ꯑꯃꯅꯤ꯫
  • ꯂꯥꯏꯌꯦꯡ ꯑꯁꯤ “ꯁꯥꯏꯀꯜ”ꯗꯥ ꯄꯤ꯫ ꯃꯇꯝ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ, ꯋꯥꯈꯜ ꯆꯔꯥꯡꯅꯕꯥ, ꯋꯥꯈꯜ ꯆꯔꯥꯡꯅꯕꯥ, ꯑꯃꯁꯨꯡ ꯈꯣꯡ ꯍꯥꯝꯕꯥ ꯑꯁꯤꯅꯆꯤꯡꯕꯥ ꯁꯥꯏꯗ ꯏꯐꯦꯛꯇꯁꯤꯡ ꯊꯦꯡꯅꯕꯥ ꯑꯁꯤ ꯀꯃꯟ ꯑꯣꯏ꯫
  • ꯁꯥꯏꯗ ꯏꯐꯦꯛꯇ ꯀꯌꯥ ꯃꯦꯅꯦꯖ ꯇꯧꯕꯥ ꯌꯥꯏ꯫ ꯃꯇꯝ ꯄꯨꯝꯅꯃꯛꯇꯥ ꯅꯍꯥꯛꯀꯤ ꯃꯦꯗꯤꯀꯦꯜ ꯇꯤꯃꯒꯥ ꯃꯈꯣꯌꯒꯤ ꯃꯔꯃꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯕꯤꯌꯨ꯫
  • ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯃꯇꯃꯗꯥ ꯂꯥꯏꯍꯧ ꯍꯧꯔꯛꯂꯕꯗꯤ, ꯃꯁꯤ ꯏꯃꯔꯖꯦꯟꯁꯤ ꯑꯃꯥ ꯑꯣꯏꯅꯥ ꯂꯧꯒꯗꯕꯅꯤ ꯑꯃꯁꯨꯡ ꯈꯨꯗꯛꯇꯥ ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯄꯥꯎꯇꯥꯛ ꯂꯧꯒꯗꯕꯅꯤ꯫
  • ꯈꯣꯡꯆꯠ ꯑꯁꯤ ꯑꯗꯣꯝ ꯈꯛꯇꯅꯥ ꯆꯠꯄꯥ ꯃꯊꯧ ꯇꯥꯗꯦ꯫ ꯏꯃꯨꯡ-ꯃꯅꯨꯡ, ꯃꯔꯨꯞ-ꯃꯄꯥꯡꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯃꯦꯗꯤꯀꯦꯜ ꯇꯤꯃꯗꯒꯤ ꯁꯄꯣꯔꯠ ꯂꯧ꯫ ꯅꯈꯣꯌ ꯃꯄꯥꯉ꯭ꯒꯜ ꯀꯜꯂꯤ ꯫ ꯃꯁꯤ ꯑꯗꯣꯝꯅꯥ ꯇꯧꯕꯥ ꯌꯥꯏ꯫

ꯑꯥꯔ-ꯁꯤ.ꯑꯩꯆ.ꯑꯣ.ꯄꯤ., ꯀꯦꯟꯁꯔ, ꯅꯟ-ꯍꯣꯗꯀꯤꯟ ꯂꯤꯝꯐꯣꯃꯥ, ꯀꯦꯃꯣꯊꯦꯔꯥꯄꯤ, ꯇꯥꯔꯒꯦꯠ ꯇꯧꯔꯕꯥ ꯊꯦꯔꯥꯄꯤ, ꯀꯦꯟꯁꯔ ꯂꯥꯌꯦꯡꯕꯥ, ꯁꯥꯏꯗ ꯏꯐꯦꯛꯇꯁꯤꯡ꯫

⚠️ 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.

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ꯑꯥꯔ-ꯁꯤ.ꯑꯣ.ꯄꯤ.ꯒꯤ ꯂꯥꯌꯦꯡꯕꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯈꯉꯂꯁꯤ? ꯀꯦꯟꯁꯔ ꯂꯥꯟꯊꯦꯡꯅꯕꯗꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯈꯣꯉꯊꯥꯡ ꯑꯃꯥ (ꯑꯥꯔ-ꯁꯤ.ꯑꯩꯆ.ꯑꯣ.ꯄꯤ.)
ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ꯫ডিসেম্বর ৪, ২০২৫

ꯑꯥꯔ-ꯁꯤ.ꯑꯣ.ꯄꯤ.ꯒꯤ ꯂꯥꯌꯦꯡꯕꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯈꯉꯂꯁꯤ? ꯀꯦꯟꯁꯔ ꯂꯥꯟꯊꯦꯡꯅꯕꯗꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯈꯣꯉꯊꯥꯡ ꯑꯃꯥ (ꯑꯥꯔ-ꯁꯤ.ꯑꯩꯆ.ꯑꯣ.ꯄꯤ.)

ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯅꯠꯠꯔꯒꯥ ꯅꯍꯥꯛꯀꯤ ꯅꯨꯡꯁꯤꯖꯔꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯀꯦꯟꯁꯔꯅꯥ ꯅꯥꯔꯦ ꯍꯥꯌꯅꯥ ꯍꯥꯌꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯐꯥꯑꯣꯔꯤꯕꯥ ꯑꯀꯤꯕꯥ, ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯑꯃꯁꯨꯡ ꯁꯣꯏꯗ-ꯉꯥꯃꯗꯕꯥ ꯑꯗꯨ ꯑꯩꯅꯥ ꯈꯉꯏ꯫ ꯃꯇꯝ ꯑꯗꯨꯃꯛꯇꯗꯥ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯀꯄꯨ “R-CHOP” ꯀꯧꯕꯥ ꯂꯥꯏꯌꯦꯡ ꯑꯃꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯍꯥꯌꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯅꯍꯥꯛꯀꯤ ꯋꯥꯈꯂꯗꯥ ꯋꯥꯍꯪ ꯀꯌꯥ ꯂꯥꯀꯄꯥ ꯌꯥꯏ, ꯃꯗꯨꯗꯤ “ꯀꯔꯤꯅꯣ, ꯃꯁꯤꯅꯥ ꯀꯔꯤ ꯇꯧꯔꯤꯕꯒꯦ?” ꯋꯥꯒꯅꯨ. ꯉꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯑꯥꯔ-ꯁꯤ.ꯑꯣ.ꯄꯤ.ꯅꯥ ꯀꯔꯤꯅꯣ, ꯃꯁꯤꯅꯥ ꯀꯔꯤ ꯇꯧꯔꯤꯕꯒꯦ, ꯑꯃꯁꯨꯡ ꯃꯁꯤꯕꯨ ꯀꯔꯝꯅꯥ ꯊꯦꯡꯅꯒꯅꯤ ꯍꯥꯌꯕꯁꯤ ꯑꯗꯣꯝꯅꯥ ꯈꯉꯕꯥ ꯉꯃꯒꯗꯕꯥ ꯌꯥꯝꯅꯥ ꯂꯥꯏꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯒꯅꯤ꯫

ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯑꯥꯔ-ꯆꯣꯞ ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ?

ꯑꯥꯔ-ꯁꯤ.ꯑꯩꯆ.ꯑꯣ.ꯄꯤ.ꯅꯥ ꯀꯦꯟꯁꯔ ꯁꯦꯂꯁꯤꯡꯕꯨ ꯍꯥꯠꯄꯥ ꯗ꯭ꯔꯒ ꯃꯉꯥꯒꯤ ꯀꯝꯕꯤꯅꯦꯁꯟ ꯑꯃꯅꯤ . ꯃꯁꯤ ꯅꯟ-ꯍꯣꯗꯀꯤꯟ ꯂꯤꯝꯐꯣꯃꯥ ꯀꯧꯕꯥ ꯀꯦꯟꯁꯔ ꯃꯈꯜ ꯑꯃꯒꯤ ꯌꯥꯝꯅꯥ ꯏꯐꯦꯛꯇꯤꯕ ꯑꯣꯏꯕꯥ ꯂꯥꯌꯦꯡ ꯑꯃꯅꯤ ꯫ ꯃꯃꯤꯡꯗꯥ ꯌꯥꯎꯔꯤꯕꯥ ꯑꯛꯁꯔ ꯈꯨꯗꯤꯡꯃꯛꯅꯥ ꯂꯥꯏꯌꯦꯡ ꯑꯁꯤꯗꯥ ꯁꯤꯖꯤꯟꯅꯔꯤꯕꯥ ꯗ꯭ꯔꯒ ꯑꯃꯕꯨ ꯈꯪꯍꯜꯂꯤ꯫

ꯆꯤꯊꯤ ꯍꯤꯗꯥꯛ ꯑꯃꯁꯨꯡ ꯃꯁꯤꯒꯤ ꯑꯦꯛꯁꯟ꯫
ꯑꯥꯔ ꯔꯤꯇꯨꯛꯁꯤꯃꯦꯕ: ꯃꯁꯤ ꯄꯥꯟꯗꯝ ꯊꯝꯂꯤꯕꯥ ꯊꯦꯔꯥꯄꯤ ꯑꯃꯅꯤ꯫ ꯃꯔꯨꯑꯣꯏꯅꯥ, ꯗ꯭ꯔꯒ ꯑꯁꯤ ꯀꯦꯟꯁꯔ ꯁꯦꯂꯁꯤꯡꯒꯤ ꯃꯊꯛꯇꯥ ꯂꯩꯕꯥ ꯑꯈꯟꯅꯕꯥ ꯄ꯭ꯔꯣꯇꯤꯟ ꯑꯃꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯆꯦꯜꯂꯤ꯫ ꯃꯁꯤꯅꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯏꯝꯝꯌꯨꯟ ꯁꯤꯁ꯭ꯇꯦꯃꯅꯥ ꯀꯦꯟꯁꯔ ꯁꯦꯂꯁꯤꯡ ꯑꯁꯤ ꯐꯖꯅꯥ ꯈꯉꯗꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯃꯥꯡꯍꯅꯕꯥ ꯉꯃꯍꯜꯂꯤ꯫
ꯁꯤ ꯁꯥꯏꯛꯂꯣꯐꯣꯁꯐꯦꯃꯥꯏꯗ: ꯃꯁꯤ ꯀꯦꯃꯣꯊꯦꯔꯥꯄꯤ ꯗ꯭ꯔꯒ ꯑꯃꯅꯤ꯫ ꯀꯦꯃꯣꯊꯦꯔꯥꯄꯤ ꯗ꯭ꯔꯒꯁꯤꯡꯅꯥ ꯀꯦꯟꯁꯔ ꯁꯦꯂꯒꯨꯝꯕꯥ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯈꯥꯌꯗꯣꯀꯄꯥ ꯁꯦꯂꯁꯤꯡ ꯃꯥꯡꯍꯟ ꯇꯥꯀꯍꯟꯗꯨꯅꯥ ꯊꯕꯛ ꯇꯧꯏ꯫
ꯑꯩꯆ ꯗꯣꯛꯁꯣꯔꯨꯕꯤꯁꯤꯟ ꯍꯥꯏꯗ꯭ꯔꯣꯛꯂꯣꯔꯥꯏꯗ (ꯍꯥꯏꯗ꯭ꯔꯣꯛꯁꯤꯗꯥꯎꯅꯣꯃꯥꯏꯁꯤꯟ): ꯃꯁꯤꯁꯨ ꯀꯦꯃꯣꯊꯦꯔꯥꯄꯤ ꯗ꯭ꯔꯒ ꯑꯃꯅꯤ꯫
ꯑꯣ ꯚꯤꯅꯛꯔꯤꯁ꯭ꯇꯤꯟ ꯁꯂꯐꯦꯠ (Oncovin): ꯃꯁꯤ ꯑꯇꯣꯞꯄꯥ ꯀꯦꯃꯣꯊꯦꯔꯥꯄꯤ ꯗ꯭ꯔꯒ ꯑꯃꯅꯤ꯫
ꯄꯤꯄ꯭ꯔꯦꯗꯅꯤꯁꯟ: ꯃꯁꯤ ꯁ꯭ꯇꯦꯔꯣꯏꯗ (ꯀꯣꯔꯇꯤꯀꯣꯁ꯭ꯇꯦꯔꯣꯏꯗ) ꯃꯈꯜ ꯑꯃꯅꯤ꯫ ꯃꯁꯤꯅꯥ ꯀꯦꯟꯁꯔ ꯁꯦꯂꯁꯤꯡꯁꯨ ꯁꯤꯍꯜꯂꯤ꯫ ꯃꯁꯤꯅꯥ ꯑꯇꯣꯞꯄꯥ ꯑꯥꯔ-ꯁꯤ.ꯑꯩꯆ.ꯑꯣ.ꯄꯤ.ꯒꯤ ꯍꯤꯗꯥꯀꯁꯤꯡꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯕꯥ ꯑꯦꯂꯥꯔꯖꯤꯒꯤ ꯔꯤꯑꯦꯛꯁꯅꯁꯤꯡ ꯍꯟꯊꯍꯅꯕꯗꯁꯨ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫

ꯑꯗꯣꯝꯅꯥ ꯎꯕꯤꯔꯃꯒꯅꯤ, ꯃꯁꯤꯗꯥ ꯀꯦꯃꯣꯊꯦꯔꯥꯄꯤ ꯗ꯭ꯔꯒꯁꯤꯡꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯏꯝꯝꯌꯨꯟ -ꯇꯥꯔꯒꯦꯇꯤꯡ ꯗ꯭ꯔꯒ (ꯔꯤꯇꯨꯛꯁꯤꯃꯦꯕ) ꯑꯃꯥ ꯌꯥꯑꯣꯔꯤ꯫ ꯃꯔꯝ ꯑꯁꯤꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯂꯥꯌꯦꯡ ꯑꯁꯤꯕꯨ “ꯏꯝꯝꯌꯨꯅꯣ-ꯀꯦꯃꯣꯊꯦꯔꯥꯄꯤ” ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫

ꯑꯥꯔ-ꯁꯤ.ꯑꯩꯆ.ꯑꯣ.ꯄꯤ.ꯒꯤ ꯂꯥꯌꯦꯡ ꯑꯁꯤ ꯀꯔꯤ ꯃꯈꯂꯒꯤ ꯀꯦꯟꯁꯔꯒꯤꯗꯃꯛꯇꯥ ꯁꯤꯖꯤꯟꯅꯕꯒꯦ?

ꯃꯁꯤꯒꯤ ꯂꯥꯌꯦꯡ ꯑꯁꯤ ꯃꯔꯨꯑꯣꯏꯅꯥ ꯅꯟ-ꯍꯣꯗꯀꯤꯟ ꯂꯤꯝꯐꯣꯃꯥ ꯀꯧꯕꯥ ꯀꯦꯟꯁꯔ ꯃꯈꯜ ꯑꯃꯒꯤꯗꯃꯛ ꯄꯤꯕꯅꯤ꯫ ꯃꯁꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯃꯈꯜ, ꯗꯤꯐ꯭ꯌꯨꯁꯟ ꯂꯥꯔꯖ ꯕꯤ-ꯁꯦꯜ ꯂꯤꯝꯐꯣꯃꯥ (DLBCL) ꯒꯤꯗꯃꯛꯇꯁꯨ ꯌꯥꯝꯅꯥ ꯏꯐꯦꯛꯇꯤꯚ ꯑꯣꯏ꯫ ꯃꯁꯤꯒꯤ ꯃꯊꯛꯇꯥ, ꯑꯥꯔ-ꯁꯤ.ꯑꯩꯆ.ꯑꯣ.ꯄꯤ.ꯅꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯀꯦꯟꯁꯔ ꯃꯈꯂꯁꯤꯡ ꯑꯁꯤꯗꯁꯨ ꯁꯤꯖꯤꯟꯅꯩ :

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

ꯀꯦꯁ ꯈꯔꯗꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯑꯇꯩ ꯃꯈꯂꯒꯤ ꯀꯦꯟꯁꯔꯒꯤ ꯂꯥꯏꯌꯦꯡꯁꯤꯡꯒꯥ ꯂꯣꯌꯅꯅꯥ R-CHOP ꯄꯤꯅꯕꯥ ꯋꯥꯔꯦꯞ ꯂꯧꯕꯥ ꯌꯥꯏ꯫

ꯂꯥꯏꯌꯦꯡ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯊꯕꯛ ꯇꯧꯕꯒꯦ?

ꯑꯥꯔ-ꯁꯤ.ꯑꯩꯆ.ꯑꯣ.ꯄꯤ.ꯒꯤ ꯂꯥꯌꯦꯡ ꯑꯁꯤ “ꯁꯥꯏꯀꯜ”ꯗꯥ ꯄꯤꯔꯤ꯫ ꯁꯥꯏꯀꯜ ꯈꯨꯗꯤꯡꯃꯛ ꯃꯍꯧꯁꯥꯅꯥ ꯅꯨꯃꯤꯠ ꯍꯨꯝꯅꯤ (ꯅꯨꯃꯤꯠ 21ꯅꯤ) ꯆꯪꯏ꯫ ꯁꯥꯏꯀꯜ ꯑꯁꯤꯒꯤ ꯁꯔꯨꯛ ꯑꯅꯤ ꯂꯩ:

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

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

ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯅꯨꯃꯤꯠꯁꯤꯡ꯫

ꯍꯤꯗꯥꯛ ꯑꯁꯤ ꯅꯨꯃꯤꯠ ꯃꯉꯥꯅꯤꯒꯤ ꯃꯇꯃꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯄꯤꯕꯥ ꯌꯥꯏ꯫ ꯄ꯭ꯔꯦꯗꯅꯤꯁꯟ ( ꯁ꯭ꯇꯦꯔꯣꯏꯗ ) ꯑꯁꯤ ꯅꯍꯥꯛꯅꯥ ꯊꯀꯄꯥ ꯌꯥꯕꯥ ꯍꯤꯗꯥꯛ ꯑꯃꯅꯤ꯫ ꯑꯇꯣꯞꯄꯥ ꯍꯤꯗꯥꯛ ꯃꯔꯤ ꯑꯁꯤ ꯚꯦꯅꯝ ꯑꯃꯗꯥ ꯁꯦꯂꯟ ꯁꯣꯜꯌꯨꯁꯟ ꯑꯃꯥ ꯑꯣꯏꯅꯥ ꯄꯤ (ꯏꯟꯠꯔꯥꯚꯦꯅꯁ ꯏꯅꯐ꯭ꯌꯨꯖꯟ – IV)꯫ ꯃꯁꯤꯒꯤꯗꯃꯛꯇꯥ ꯅꯍꯥꯛꯅꯥ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯜ ꯅꯠꯠꯔꯒꯥ ꯀ꯭ꯂꯤꯅꯤꯛ ꯑꯃꯗꯥ ꯆꯠꯄꯥ ꯃꯊꯧ ꯇꯥꯒꯅꯤ꯫ ꯃꯐꯝ ꯑꯗꯨꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯆꯦꯌꯥꯔ ꯑꯃꯗꯥ ꯐꯃꯒꯅꯤ ꯑꯃꯁꯨꯡ ꯃꯦꯁꯤꯟ ꯑꯃꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯚꯦꯅꯝ ꯑꯃꯗꯥ ꯍꯤꯗꯥꯛ ꯑꯗꯨ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯏꯅꯖꯦꯀꯁꯟ ꯇꯧꯒꯅꯤ꯫ ꯚꯦꯅꯝ ꯑꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯈꯨꯠꯁꯥ, ꯈꯨꯠ ꯅꯠꯠꯔꯒꯥ ꯈꯣꯡꯗꯥ ꯂꯩꯕꯥ ꯌꯥꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯂꯥꯏꯌꯦꯡ ꯑꯗꯨ ꯆꯦꯁ꯭ꯇꯀꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯄꯤꯔꯕꯗꯤ, ꯈꯣꯡꯒꯤ ꯃꯈꯥꯗꯥ `ꯄꯣꯔꯠ-ꯑꯦ-ꯀꯦꯊ` (ꯀꯦꯃꯣ ꯄꯣꯔꯠ) ꯀꯧꯕꯥ ꯑꯄꯤꯀꯄꯥ ꯈꯨꯠꯂꯥꯏ ꯑꯃꯥ ꯊꯥꯕꯥ ꯌꯥꯏ꯫

ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯑꯍꯥꯅꯕꯥ ꯅꯨꯃꯤꯠꯇꯥ, ꯅꯉꯣꯟꯗꯥ ꯑꯅꯥꯕꯥ ꯂꯩꯍꯟꯗꯅꯕꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛ ꯄꯤꯒꯅꯤ꯫ ꯅꯍꯥꯀꯄꯨ ꯑꯦꯂꯥꯔꯖꯤ ꯊꯤꯡꯅꯕꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡꯁꯨ ꯄꯤꯒꯅꯤ꯫ ꯔꯤꯇꯨꯛꯁꯤꯃꯦꯕ꯫ꯍꯤꯗꯥꯛ ꯑꯗꯨ ꯄꯤꯖꯕꯥ ꯃꯇꯃꯗꯥ ꯈꯔꯥ ꯋꯥꯈꯜ ꯇꯥꯕꯥ ꯑꯃꯁꯨꯡ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯐꯥꯎꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯅꯣꯔꯃꯦꯂꯅꯤ꯫ ꯃꯔꯝ ꯑꯁꯤꯅꯥ ꯍꯤꯗꯥꯛ ꯑꯁꯤ ꯑꯍꯥꯅꯕꯗꯥ ꯌꯥꯝꯅꯥ ꯆꯦꯀꯁꯤꯟꯅꯥ ꯄꯤꯔꯤ꯫ ꯑꯗꯨꯕꯨ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯑꯃꯠꯇꯥ ꯂꯩꯇꯦ, ꯃꯔꯃꯗꯤ ꯑꯗꯣꯃꯗꯥ ꯑꯀꯅꯕꯥ ꯑꯦꯂꯥꯔꯖꯤ ꯊꯤꯡꯅꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ ꯑꯗꯨ ꯃꯃꯥꯡꯗꯥ ꯄꯤꯒꯅꯤ꯫

ꯔꯦꯁ꯭ꯠ ꯅꯨꯃꯤꯠꯁꯤꯡ꯫

ꯃꯁꯛ ꯊꯣꯀꯄꯥ ꯁꯥꯏꯀꯜ ꯑꯃꯗꯥ, ꯅꯍꯥꯛꯅꯥ ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯅꯨꯃꯤꯠ 16ꯅꯤ ꯂꯦꯡꯗꯅꯥ ꯂꯩꯒꯅꯤ꯫ ꯑꯥꯔ-ꯁꯤ.ꯑꯩꯆ.ꯑꯣ.ꯄꯤ.ꯒꯤ ꯂꯥꯌꯦꯡ ꯑꯁꯤꯅꯥ ꯀꯦꯟꯁꯔ ꯁꯦꯂꯁꯤꯡ ꯃꯥꯡꯍꯟ ꯇꯥꯀꯍꯅꯕꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯍꯀꯆꯥꯡ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯋꯥꯅꯥ ꯐꯥꯑꯣꯏ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯅꯨꯃꯤꯠꯁꯤꯡ ꯑꯁꯤꯗꯥ ꯌꯥꯝꯅꯥ ꯋꯥꯅꯥ ꯊꯣꯀꯄꯥ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏ꯫ ꯃꯇꯝ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯅꯨꯡꯇꯤꯒꯤ ꯊꯕꯛ ꯊꯧꯔꯃꯁꯤꯡꯗꯥ ꯏꯃꯨꯡ ꯃꯅꯨꯡ ꯑꯃꯁꯨꯡ ꯃꯔꯨꯞ ꯃꯄꯥꯡꯁꯤꯡꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯅꯕꯥ ꯍꯥꯌꯖꯕꯥ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯐꯩ꯫

ꯅꯨꯡꯉꯥꯏꯅꯥ ꯂꯩꯅꯕꯥ ꯅꯨꯃꯤꯠꯁꯤꯡ ꯑꯁꯤꯗꯥ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ ꯋꯥꯈꯜ ꯂꯥꯀꯄꯥ ꯇꯥꯔꯕꯗꯤ, ꯗꯣꯛꯇꯔꯅꯥ ꯈꯣꯡꯅꯥ ꯆꯠꯄꯒꯨꯝꯕꯥ ꯂꯥꯏꯠ ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯈꯔꯥ ꯇꯧꯅꯕꯥ ꯄꯥꯎꯇꯥꯛ ꯄꯤꯔꯤ꯫ ꯏꯁꯤꯡ ꯃꯔꯥꯡ ꯀꯥꯌꯅꯥ ꯊꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯃꯆꯤ ꯑꯣꯏꯕꯥ ꯆꯤꯟꯖꯥꯀꯁꯤꯡ ꯆꯥꯕꯁꯨ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ .

ꯂꯥꯏꯌꯦꯡ ꯑꯁꯤꯒꯤ ꯔꯤꯁ꯭ꯛ ꯑꯃꯁꯨꯡ ꯁꯥꯏꯗ ꯏꯐꯦꯛꯇꯁꯤꯡ ꯀꯔꯤꯅꯣ?

ꯂꯥꯏꯌꯦꯡ ꯑꯃꯍꯦꯛꯇꯒꯨꯝꯅꯥ, R-CHOP ꯑꯁꯤꯅꯥ ꯁꯥꯏꯗ ꯏꯐꯦꯛꯇꯁꯤꯡ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯕꯨ ꯅꯤꯡꯁꯤꯡꯕꯤꯌꯨ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯁꯥꯏꯗ ꯏꯐꯦꯛꯇ ꯀꯌꯥ ꯑꯁꯤ ꯊꯤꯡꯅꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯃꯦꯅꯦꯖ ꯇꯧꯅꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯍꯤꯗꯥꯀꯁꯤꯡ ꯄꯤꯒꯅꯤ꯫ ꯃꯤꯄꯨꯝ ꯈꯨꯗꯤꯡꯃꯛꯅꯥ ꯁꯥꯏꯗ ꯏꯐꯦꯛꯇ ꯄꯨꯝꯅꯃꯛ ꯑꯁꯤ ꯐꯪꯗꯦ꯫ ꯃꯁꯤ ꯃꯤꯑꯣꯏ ꯑꯃꯗꯒꯤ ꯃꯤꯑꯣꯏ ꯑꯃꯗꯥ ꯈꯦꯠꯅꯩ꯫ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯁꯥꯏꯗ ꯏꯐꯦꯛꯇ ꯈꯔꯗꯤ ꯌꯦꯡꯁꯤ꯫

ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯁꯥꯏꯗ ꯏꯐꯦꯛꯇꯁꯤꯡ꯫ ꯀꯔꯤ ꯈꯉꯒꯗꯒꯦ ꯑꯃꯁꯨꯡ ꯀꯔꯤ ꯇꯧꯒꯗꯒꯦ꯫
ꯂꯥꯜ/ ꯄꯤꯀꯄꯥ ꯌꯨꯔꯤꯟ꯫ ꯗꯣꯛꯁꯣꯔꯨꯕꯤꯁꯤꯟ ꯑꯁꯤ ꯃꯆꯨ ꯃꯆꯨꯒꯤ ꯑꯣꯏ꯫ ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯄꯨꯡ 48 ꯐꯥꯎꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯌꯨꯔꯤꯟ ꯑꯗꯨ ꯂꯥꯂꯍꯧꯕꯥ/ ꯄꯤꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯁꯤ ꯅꯣꯔꯃꯦꯂꯅꯤ, ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯂꯩꯔꯣꯏꯗꯕꯅꯤ꯫
ꯅꯣꯡꯃꯩ ꯀꯥꯞꯄꯥ ꯑꯃꯁꯨꯡ ꯈꯣꯡ ꯍꯥꯝꯕꯥ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯅꯣꯡꯃꯩ ꯀꯥꯞꯄꯒꯤ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛ ꯂꯧꯔꯕꯁꯨ, ꯅꯍꯥꯛꯅꯥ ꯍꯧꯖꯤꯀꯁꯨ ꯈꯔꯥ ꯁꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯑꯆꯧꯕꯥ, ꯐꯦꯠ, ꯃꯆꯤ ꯑꯣꯏꯕꯥ ꯆꯤꯟꯖꯥꯛ ꯆꯥꯕꯒꯤ ꯃꯍꯨꯠꯇꯥ, ꯑꯄꯤꯀꯄꯥ, ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯆꯤꯟꯖꯥꯀꯁꯤꯡ ꯆꯥꯒꯗꯕꯅꯤ꯫
ꯆꯨꯝꯅꯒꯤ ꯆꯦꯡ ꯁꯣꯀꯄꯥ꯫ ꯃꯁꯤ ꯀꯦꯃꯣꯊꯦꯔꯥꯄꯤꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯀꯃꯟ ꯑꯣꯏ꯫ ꯑꯍꯥꯅꯕꯥ ꯗꯣꯖꯒꯤ ꯅꯨꯃꯤꯠ ꯍꯨꯝꯅꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯆꯨꯃꯊꯣꯀꯄꯥ ꯍꯧꯕꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯂꯥꯏꯌꯦꯡꯕꯥ ꯂꯣꯌꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯆꯨꯃꯗ꯭ꯔꯤꯡꯅꯥ ꯍꯦꯅꯒꯠꯂꯀꯏ꯫
ꯆꯤꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯂꯥꯏꯍꯧ ꯍꯧꯕꯥ꯫ꯀꯦꯃꯣꯊꯦꯔꯥꯄꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯋꯥꯏꯠ ꯕ꯭ꯂꯗ ꯁꯦꯜ ꯃꯁꯤꯡ ꯍꯟꯊꯍꯅꯕꯥ ꯉꯝꯃꯤ, ꯃꯗꯨꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯏꯅꯐꯦꯛꯁꯅꯒꯤ ꯔꯤꯁ꯭ꯛ ꯍꯦꯅꯒꯠꯍꯜꯂꯤ꯫ ꯅꯍꯥꯛꯀꯤ ꯋꯥꯏꯇꯦꯞ ꯁꯦꯂꯁꯤꯡ ꯍꯦꯅꯒꯠꯍꯅꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯂꯤꯕꯥ ꯖꯤ-ꯁꯤ.ꯑꯦꯁ.ꯑꯦꯐ. ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯥꯏꯍꯧ ꯍꯧꯔꯛꯂꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯈꯨꯗꯛꯇꯥ ꯈꯪꯍꯜꯂꯨ꯫
ꯑꯀꯅꯕꯥ ꯋꯥꯈꯜ ꯋꯥꯕꯥ (Fatigue) . ꯂꯥꯏꯌꯦꯡꯕꯅꯥ ꯔꯦꯗ ꯕ꯭ꯂꯗ ꯁꯦꯂꯁꯤꯡ ꯍꯟꯊꯍꯅꯕꯥ ꯌꯥꯏ, ꯃꯗꯨꯅꯥ ꯑꯦꯅꯤꯃꯤꯌꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯐꯥꯎꯔꯕꯗꯤ, ꯅꯨꯡꯉꯥꯏꯅꯥ ꯂꯩꯌꯨ꯫ ꯅꯨꯃꯤꯠ ꯈꯨꯗꯤꯡꯒꯤ ꯇꯧꯒꯗꯕꯥ ꯊꯕꯀꯁꯤꯡꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯅꯕꯥ ꯍꯥꯌꯌꯨ꯫
ꯐꯖꯅꯥ ꯁꯣꯀꯄꯥ/ ꯏ ꯊꯣꯀꯄꯥ꯫ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯄ꯭ꯂꯦꯇꯂꯦꯇꯁꯤꯡ ꯍꯟꯊꯔꯀꯄꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯍꯟꯗꯅꯕꯥ ꯆꯦꯀꯁꯤꯅꯒꯗꯕꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯁꯣꯛ-ꯄꯅꯕꯥ ꯌꯥꯝꯅꯥ ꯎꯕꯥ ꯐꯪꯂꯕꯗꯤ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯍꯥꯌꯌꯨ꯫
ꯂꯤꯝꯐꯇꯥ ꯁꯣꯟꯊꯕꯥ/ ꯇꯤꯟ ꯁꯤꯠꯄꯥ꯫ ꯃꯁꯤꯕꯨ ꯄꯦꯔꯤꯐꯦꯔꯦꯜ ꯅ꯭ꯌꯨꯔꯣꯄꯦꯊꯤ ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯨꯠ ꯅꯠꯠꯔꯒꯥ ꯈꯣꯡꯗꯥ ꯇꯤꯟ ꯁꯤꯠꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯃꯩꯅꯥ ꯆꯥꯀꯄꯥ ꯎꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯈꯪꯍꯜꯂꯨ꯫

ꯅꯤꯡꯁꯤꯡꯕꯤꯌꯨ, ꯂꯥꯏꯍꯧ ꯑꯁꯤ ꯁꯥꯊꯤꯕꯥ ꯏꯅꯐꯦꯛꯁꯟ ꯑꯃꯒꯤ ꯈꯨꯗꯝ ꯑꯃꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯂꯥꯏꯍꯧ ꯑꯗꯨ 100.4°F (38°C)ꯗꯒꯤ ꯍꯦꯜꯂꯕꯗꯤ, ꯈꯨꯗꯛꯇꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔ ꯅꯠꯠꯔꯒꯥ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯂꯗꯥ ꯀꯧ꯫

ꯃꯁꯤꯒꯤ ꯃꯊꯛꯇꯥ, ꯅꯍꯥꯛꯅꯥ ꯃꯤꯠ ꯎꯗꯕꯥ, ꯈꯣꯡ ꯍꯥꯝꯕꯥ, ꯃꯀꯣꯛ ꯊꯣꯡꯕꯥ, ꯈꯣꯡ ꯍꯥꯝꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯗꯥꯏꯔꯤꯌꯥ, ꯈꯣꯡꯗꯥ ꯁꯣꯀꯄꯥ, ꯇꯨꯝꯕꯥ ꯌꯥꯗꯕꯥ, ꯑꯃꯁꯨꯡ ꯋꯥꯈꯜ ꯍꯣꯡꯂꯀꯄꯥ ꯑꯁꯤꯁꯨ ꯊꯦꯡꯅꯔꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯍꯦꯛꯇꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯇꯥꯟꯅꯧ꯫

ꯀꯗꯥꯏꯗꯥ ꯗꯣꯛꯇꯔꯗꯥ ꯀꯧꯒꯗꯒꯦ?

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯅꯧꯕꯥ ꯂꯥꯏꯑꯣꯡ ꯑꯃꯥ ꯂꯥꯀꯄꯥ ꯇꯥꯔꯕꯗꯤ ꯅꯠꯠꯔꯒꯥ ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯃꯇꯃꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯂꯥꯏꯑꯣꯡ ꯑꯃꯍꯦꯛꯇꯅꯥ ꯍꯦꯟꯅꯥ ꯐꯠꯆꯤꯜꯂꯛꯂꯕꯗꯤ, ꯃꯔꯨꯑꯣꯏꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯥꯏꯍꯧ ꯍꯧꯔꯛꯂꯕꯗꯤ ꯈꯨꯗꯛꯇꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯈꯪꯍꯜꯂꯨ꯫

ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯗꯥ ꯑꯋꯥꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯈꯪꯍꯧꯗꯅꯥ ꯈꯣꯡꯗꯥ ꯁꯣꯀꯄꯥ ꯑꯁꯤꯅꯆꯤꯡꯕꯥ ꯑꯦꯃꯔꯖꯦꯟꯁꯤ ꯑꯃꯥ ꯂꯥꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯅꯀꯄꯥ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯂꯒꯤ ꯏꯃꯔꯖꯦꯟꯁꯤ ꯗꯤꯄꯥꯔꯇꯃꯦꯟꯇ (ETU)ꯗꯥ ꯈꯨꯗꯛꯇꯥ ꯆꯠꯂꯨ꯫

ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯃꯇꯝ ꯑꯁꯤ ꯑꯩꯉꯣꯟꯗꯥ ꯀꯔꯝꯅꯥ ꯍꯦꯟꯅꯥ ꯂꯥꯌꯊꯣꯀꯍꯅꯒꯗꯒꯦ?

ꯃꯁꯤꯒꯤ ꯂꯥꯟ ꯑꯁꯤ ꯑꯗꯣꯝ ꯈꯛꯇꯅꯥ ꯂꯥꯟꯊꯦꯡꯅꯒꯗꯕꯥ ꯂꯥꯟ ꯅꯠꯇꯦ꯫ ꯃꯇꯝ ꯑꯁꯤ ꯍꯦꯟꯅꯥ ꯂꯥꯌꯊꯣꯀꯍꯟꯅꯕꯥ ꯑꯗꯣꯝꯅꯥ ꯇꯧꯕꯥ ꯌꯥꯕꯥ ꯊꯕꯛ ꯈꯔꯥ ꯂꯩꯔꯤ꯫

  • ꯈꯪꯖꯤꯅꯕꯤꯌꯨ: ꯅꯍꯥꯛꯀꯤ ꯂꯥꯏꯌꯦꯡ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯅꯥ ꯀꯔꯤ ꯑꯥꯁꯥ ꯇꯧꯕꯥ ꯌꯥꯕꯒꯦ ꯍꯥꯌꯕꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯇꯥꯟꯅꯧ꯫ ꯋꯥꯍꯪ ꯍꯪꯕꯗꯥ ꯑꯀꯤꯕꯥ ꯂꯩꯔꯣꯏꯗꯕꯅꯤ꯫
  • ꯃꯇꯦꯡ ꯄꯥꯡꯅꯕꯥ ꯍꯥꯌꯌꯨ: ꯌꯨꯃꯒꯤ ꯊꯕꯛ-ꯊꯧꯔꯃꯁꯤꯡ, ꯆꯥꯅꯕꯥ ꯁꯦꯝ-ꯁꯥꯕꯥ ꯑꯃꯁꯨꯡ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯂꯗꯥ ꯆꯠꯄꯗꯥ ꯏꯃꯨꯡ-ꯃꯅꯨꯡ ꯑꯃꯁꯨꯡ ꯃꯔꯨꯞ-ꯃꯄꯥꯡꯁꯤꯡꯗꯒꯤ ꯃꯇꯦꯡ ꯂꯧꯕꯤꯌꯨ꯫
  • ꯐꯖꯅꯥ ꯆꯥꯕꯥ ꯑꯃꯁꯨꯡ ꯊꯀꯄꯥ: ꯃꯆꯤ ꯑꯣꯏꯕꯥ ꯆꯤꯟꯖꯥꯛ ꯆꯥꯕꯥ꯫ ꯏꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯐ꯭ꯂꯨꯏꯗ ꯃꯔꯥꯡ ꯀꯥꯌꯅꯥ ꯊꯀꯎ꯫
  • ꯁꯄꯣꯔꯠ ꯂꯧꯕꯤꯌꯨ: ꯅꯍꯥꯛꯀꯥ ꯆꯞ ꯃꯥꯟꯅꯕꯥ ꯂꯥꯏꯌꯦꯡ ꯆꯠꯊꯔꯤꯕꯥ ꯑꯇꯣꯞꯄꯁꯤꯡꯅꯥ ꯀꯦꯟꯁꯔ ꯊꯦꯡꯅꯔꯤꯕꯥ ꯁꯄꯣꯔꯠ ꯒ꯭ꯔꯨꯄꯁꯤꯡꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯍꯪꯕꯤꯌꯨ꯫ ꯑꯗꯣꯃꯒꯤ ꯑꯦꯛꯁꯄꯔꯤꯌꯦꯟꯁꯁꯤꯡ ꯑꯗꯨ ꯁꯦꯌꯔ ꯇꯧꯅꯕꯥ ꯀꯅꯥꯒꯨꯝꯕꯥ ꯑꯃꯥ ꯂꯩꯕꯥ ꯑꯁꯤ ꯑꯆꯧꯕꯥ ꯄꯥꯉ꯭ꯒꯜ ꯑꯃꯅꯤ꯫

ꯑꯥꯔ-ꯁꯤ.ꯑꯩꯆ.ꯑꯣ.ꯄꯤ.ꯒꯤ ꯂꯥꯌꯦꯡꯕꯒꯤ ꯑꯍꯥꯅꯕꯥ ꯅꯨꯃꯤꯠ ꯈꯔꯅꯤ ꯑꯁꯤ ꯑꯔꯨꯕꯥ ꯃꯇꯝ ꯑꯃꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛꯀꯤ ꯅꯨꯃꯤꯠꯁꯤꯡ ꯑꯁꯤ ꯁꯥꯡꯕꯥ ꯌꯥꯏ ꯑꯃꯁꯨꯡ ꯃꯁꯤꯒꯤ ꯁꯥꯏꯗ ꯏꯐꯦꯛꯇꯁꯤꯡ ꯑꯁꯤ ꯊꯦꯡꯅꯕꯗꯥ ꯑꯋꯥꯕꯥ ꯑꯣꯏꯔꯀꯄꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯕꯨ ꯃꯤꯑꯣꯏ ꯀꯌꯥꯒꯤ ꯑꯣꯏꯅꯗꯤ ꯑꯥꯔ-ꯁꯤ.ꯑꯣ.ꯄꯤ.ꯒꯤ ꯐꯂꯁꯤꯡ ꯑꯁꯤ ꯍꯣꯠꯅꯕꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯋꯥꯡꯏ꯫ ꯗ꯭ꯔꯒ ꯑꯍꯨꯝ (ꯇꯥꯔꯒꯦꯠ ꯇꯧꯔꯕꯥ, ꯀꯦꯃꯣ, ꯑꯃꯁꯨꯡ ꯁ꯭ꯇꯦꯔꯣꯏꯗꯁꯤꯡ) ꯑꯁꯤ ꯄꯨꯟꯅꯥ ꯁꯤꯖꯤꯟꯅꯕꯅꯥ ꯀꯦꯟꯁꯔ ꯁꯦꯂꯁꯤꯡꯕꯨ ꯌꯥꯝꯅꯥ ꯏꯐꯦꯛꯇꯤꯕ ꯑꯣꯏꯅꯥ ꯍꯥꯠꯄꯗꯥ ꯊꯕꯛ ꯇꯧꯏ꯫ ꯅꯍꯥꯛꯀꯤ ꯗꯥꯏꯑꯦꯒ꯭ꯅꯣꯁꯤꯁꯀꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ, ꯃꯁꯤꯅꯥ ꯀꯦꯟꯁꯔ ꯑꯗꯨ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯔꯤꯃꯤꯁꯟ ꯇꯧꯕꯥ ꯉꯃꯍꯜꯂꯤ꯫

ꯇꯦꯛ-ꯍꯣꯝ ꯃꯦꯁꯦꯖ ꯇꯧꯕꯥ꯫

  • ꯑꯥꯔ-ꯁꯤ.ꯑꯩꯆ.ꯑꯣ.ꯄꯤ.ꯅꯥ ꯅꯟ-ꯍꯣꯗꯀꯤꯟ ꯂꯤꯝꯐꯣꯃꯥꯒꯨꯝꯕꯥ ꯀꯦꯟꯁꯔ ꯂꯥꯌꯦꯡꯕꯗꯥ ꯁꯤꯖꯤꯟꯅꯕꯥ ꯗ꯭ꯔꯒ ꯵ꯒꯤ ꯌꯥꯝꯅꯥ ꯏꯐꯦꯛꯇꯤꯕ ꯑꯣꯏꯕꯥ ꯀꯝꯕꯤꯅꯦꯁꯟ ꯑꯃꯅꯤ꯫
  • ꯂꯥꯏꯌꯦꯡ ꯑꯁꯤ “ꯁꯥꯏꯀꯜ”ꯗꯥ ꯄꯤ꯫ ꯃꯇꯝ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ, ꯋꯥꯈꯜ ꯆꯔꯥꯡꯅꯕꯥ, ꯋꯥꯈꯜ ꯆꯔꯥꯡꯅꯕꯥ, ꯑꯃꯁꯨꯡ ꯈꯣꯡ ꯍꯥꯝꯕꯥ ꯑꯁꯤꯅꯆꯤꯡꯕꯥ ꯁꯥꯏꯗ ꯏꯐꯦꯛꯇꯁꯤꯡ ꯊꯦꯡꯅꯕꯥ ꯑꯁꯤ ꯀꯃꯟ ꯑꯣꯏ꯫
  • ꯁꯥꯏꯗ ꯏꯐꯦꯛꯇ ꯀꯌꯥ ꯃꯦꯅꯦꯖ ꯇꯧꯕꯥ ꯌꯥꯏ꯫ ꯃꯇꯝ ꯄꯨꯝꯅꯃꯛꯇꯥ ꯅꯍꯥꯛꯀꯤ ꯃꯦꯗꯤꯀꯦꯜ ꯇꯤꯃꯒꯥ ꯃꯈꯣꯌꯒꯤ ꯃꯔꯃꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯕꯤꯌꯨ꯫
  • ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯃꯇꯃꯗꯥ ꯂꯥꯏꯍꯧ ꯍꯧꯔꯛꯂꯕꯗꯤ, ꯃꯁꯤ ꯏꯃꯔꯖꯦꯟꯁꯤ ꯑꯃꯥ ꯑꯣꯏꯅꯥ ꯂꯧꯒꯗꯕꯅꯤ ꯑꯃꯁꯨꯡ ꯈꯨꯗꯛꯇꯥ ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯄꯥꯎꯇꯥꯛ ꯂꯧꯒꯗꯕꯅꯤ꯫
  • ꯈꯣꯡꯆꯠ ꯑꯁꯤ ꯑꯗꯣꯝ ꯈꯛꯇꯅꯥ ꯆꯠꯄꯥ ꯃꯊꯧ ꯇꯥꯗꯦ꯫ ꯏꯃꯨꯡ-ꯃꯅꯨꯡ, ꯃꯔꯨꯞ-ꯃꯄꯥꯡꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯃꯦꯗꯤꯀꯦꯜ ꯇꯤꯃꯗꯒꯤ ꯁꯄꯣꯔꯠ ꯂꯧ꯫ ꯅꯈꯣꯌ ꯃꯄꯥꯉ꯭ꯒꯜ ꯀꯜꯂꯤ ꯫ ꯃꯁꯤ ꯑꯗꯣꯝꯅꯥ ꯇꯧꯕꯥ ꯌꯥꯏ꯫

ꯑꯥꯔ-ꯁꯤ.ꯑꯩꯆ.ꯑꯣ.ꯄꯤ., ꯀꯦꯟꯁꯔ, ꯅꯟ-ꯍꯣꯗꯀꯤꯟ ꯂꯤꯝꯐꯣꯃꯥ, ꯀꯦꯃꯣꯊꯦꯔꯥꯄꯤ, ꯇꯥꯔꯒꯦꯠ ꯇꯧꯔꯕꯥ ꯊꯦꯔꯥꯄꯤ, ꯀꯦꯟꯁꯔ ꯂꯥꯌꯦꯡꯕꯥ, ꯁꯥꯏꯗ ꯏꯐꯦꯛꯇꯁꯤꯡ꯫

⚠️ 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.

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