ꯇꯣꯛꯁꯤꯀꯦꯜ ꯍꯦꯄꯥꯇꯥꯏꯇꯤꯁ: ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ, ꯌꯨ, ꯑꯃꯁꯨꯡ ꯀꯦꯃꯤꯀꯦꯂꯁꯤꯡꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯆꯦꯀꯁꯤꯅꯒꯗꯕꯅꯤ!

ꯂꯤꯚꯔ ꯑꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯑꯃꯁꯨꯡ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯆꯥꯎꯕꯥ ꯑꯣꯔꯒꯥꯅꯁꯤꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯅꯤ꯫ ꯃꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯆꯧꯕꯥ ꯐꯦꯛꯇꯔꯤ ꯑꯃꯒꯨꯝ ꯊꯕꯛ ꯇꯧꯏ꯫ ꯂꯤꯚꯔꯅꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯊꯕꯛ ꯀꯌꯥ ꯄꯥꯡꯊꯣꯀꯏ, ꯃꯈꯣꯌ ꯑꯗꯨꯗꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯆꯪꯂꯀꯄꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ ꯐꯤꯜꯇꯔ ꯇꯧꯕꯥ, ꯍꯀꯆꯥꯡ ꯁꯣꯛꯅ-ꯁꯝꯅꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯕꯥ ꯑꯃꯁꯨꯡ ꯑꯦꯅꯔꯖꯤ ꯁ꯭ꯇꯣꯔ ꯇꯧꯕꯥ ꯑꯁꯤꯅꯆꯤꯡꯕꯅꯤ꯫ ꯑꯗꯨꯕꯨ ꯑꯩꯈꯣꯌꯅꯥ ꯅꯨꯃꯤꯠ ꯈꯨꯗꯤꯡꯒꯤ ꯊꯀꯄꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ, ꯑꯩꯈꯣꯌꯅꯥ ꯊꯀꯄꯥ ꯌꯨ, ꯅꯠꯠꯔꯒꯥ ꯑꯩꯈꯣꯌꯅꯥ ꯈꯉꯗꯅꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯆꯪꯂꯀꯄꯥ ꯀꯦꯃꯤꯀꯦꯜ ꯈꯔꯅꯥ ꯀꯟꯅꯥ ꯍꯣꯠꯅꯔꯤꯕꯥ ꯂꯤꯚꯔ ꯑꯁꯤꯕꯨ ꯃꯥꯡꯍꯅꯕꯥ ꯉꯝꯃꯤ, ꯍꯥꯌꯕꯗꯤ ‘ꯄꯣꯏꯖꯟ’ ꯑꯣꯏꯔꯀꯄꯥ ꯌꯥꯏ ꯍꯥꯌꯕꯁꯤ ꯅꯍꯥꯛꯅꯥ ꯈꯉꯂꯕ꯭ꯔꯥ? ꯉꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛꯇꯥ ‘ꯇꯣꯛꯁꯤꯛ ꯍꯦꯄꯥꯇꯥꯏꯇꯤꯁ’ ꯀꯧꯕꯥ ꯑꯀꯅꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯔꯤ, ꯃꯗꯨꯗꯤ ꯂꯤꯚꯔ ꯄꯣꯏꯖꯅꯅꯤ꯫

ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯇꯣꯛꯁꯤꯛ ꯍꯦꯄꯥꯇꯥꯏꯇꯤꯁ ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ?

ꯇꯣꯛꯁꯤꯛ ꯍꯦꯄꯥꯇꯥꯏꯇꯤꯁ ꯅꯠꯠꯔꯒꯥ ꯂꯤꯚꯔ ꯄꯣꯏꯖꯟ ꯍꯥꯌꯕꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯈꯨꯗꯣꯡꯊꯤꯅꯤꯉꯥꯏ ꯑꯣꯏꯕꯥ ꯄꯣꯠꯁꯛ ꯑꯃꯥ ꯑꯣꯏꯔꯤꯕꯥ ꯇꯣꯛꯁꯤꯟ ꯑꯃꯅꯥ ꯂꯤꯚꯔ ꯁꯦꯂꯁꯤꯡꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯂꯤꯚꯔꯗꯥ ꯁꯣꯀꯍꯅꯕꯥ ꯍꯥꯌꯕꯁꯤꯅꯤ꯫ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛꯇꯥ ꯑꯩꯈꯣꯌꯅꯥ ꯁꯣꯀꯄꯥ ꯑꯁꯤꯕꯨ ``ꯏꯅꯐ꯭ꯂꯦꯃꯦꯁꯟ`` ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ꯃꯁꯤꯒꯤ ꯄꯣꯠꯁꯛ ꯑꯁꯤꯅꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯃꯑꯣꯡ ꯀꯌꯥꯗꯥ ꯆꯪꯂꯀꯄꯥ ꯌꯥꯏ꯫

• ꯊꯀꯄꯅꯥ: ꯑꯩꯈꯣꯌꯅꯥ ꯂꯧꯔꯤꯕꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛ ꯈꯔꯗꯤ ꯌꯥꯝꯅꯥ ꯊꯀꯄꯅꯥ, ꯌꯨ ꯊꯀꯄꯅꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯇꯣꯞꯄꯥ ꯀꯦꯃꯤꯀꯦꯜ ꯑꯃꯥ ꯊꯀꯄꯅꯥ꯫
• ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯅꯥ: ꯐꯦꯛꯇꯔꯤ, ꯒ꯭ꯌꯥꯔꯦꯖ ꯅꯠꯠꯔꯒꯥ ꯄꯦꯟꯇ ꯁꯣꯞ ꯈꯔꯗꯥ ꯅꯨꯡꯁꯤꯠꯇꯥ ꯌꯥꯎꯔꯤꯕꯥ ꯄꯣꯠꯁꯛ ꯌꯥꯎꯕꯥ ꯀꯦꯃꯤꯀꯦꯂꯁꯤꯡ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯗꯒꯤ꯫
• ꯈꯣꯡꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯁꯣꯀꯍꯟꯗꯨꯅꯥ: ꯄꯦꯁ꯭ꯇꯤꯁꯥꯏꯗ ꯈꯔꯒꯨꯝꯕꯥ ꯑꯀꯅꯕꯥ ꯀꯦꯃꯤꯀꯦꯂꯁꯤꯡ ꯑꯁꯤ ꯈꯣꯡꯗꯥ ꯁꯣꯛꯅ-ꯁꯝꯅꯕꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯍꯀꯆꯥꯡꯗꯥ ꯆꯪꯂꯀꯄꯥ ꯌꯥꯏ꯫

ꯃꯁꯤꯅꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯂꯤꯚꯔꯅꯥ ꯍꯀꯆꯥꯡꯗꯥ ꯆꯪꯂꯀꯄꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ ꯑꯗꯨ ꯐꯤꯜꯇꯔ ꯇꯧꯅꯕꯥ ꯍꯣꯠꯅꯕꯗꯥ ꯃꯇꯧ ꯀꯔꯝꯅꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯅꯕꯒꯦ ꯍꯥꯌꯕꯗꯨꯅꯤ꯫ ꯃꯇꯃꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯑꯁꯤ ꯊꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯂꯤꯚꯔ ꯑꯁꯤ ꯃꯇꯝ ꯆꯨꯞꯄꯒꯤ ꯑꯣꯏꯅꯥ ꯗꯤꯁꯐꯉ꯭ꯀꯁꯟ ꯇꯧꯕꯁꯨ ꯌꯥꯏ꯫

ꯇꯣꯛꯁꯤꯛ ꯍꯦꯄꯥꯇꯥꯏꯇꯤꯁꯀꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯈꯂꯁꯤꯡ ꯂꯩꯕ꯭ꯔꯥ?

ꯍꯣꯌ, ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯊꯣꯛꯂꯀꯄꯒꯦ ꯍꯥꯌꯕꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯈꯜ ꯑꯅꯤꯗꯥ ꯈꯥꯌꯗꯣꯀꯄꯥ ꯌꯥꯏ꯫

• ꯑꯦꯛꯌꯨꯠ ꯇꯣꯛꯁꯤꯛ ꯍꯦꯄꯥꯇꯥꯏꯇꯤꯁ: ꯃꯁꯤ ꯈꯪꯍꯧꯗꯅꯥ ꯊꯣꯀꯄꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫ ꯄꯣꯠꯁꯛ ꯑꯗꯨ ꯊꯛꯂꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯄꯨꯡ ꯈꯔꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯅꯠꯠꯔꯒꯥ ꯅꯨꯃꯤꯠ ꯈꯔꯅꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯂꯥꯀꯄꯥ ꯍꯧꯏ꯫ ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛ (overdose) ꯌꯥꯝꯅꯥ ꯂꯧꯔꯕꯗꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫
• ꯀ꯭ꯔꯣꯅꯤꯛ ꯇꯣꯛꯁꯤꯛ ꯍꯦꯄꯥꯇꯥꯏꯇꯤꯁ: ꯃꯁꯤ ꯃꯇꯃꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯂꯥꯀꯄꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯂꯥꯀꯄꯗꯥ ꯅꯨꯃꯤꯠ ꯀꯌꯥ, ꯊꯥ ꯀꯌꯥ ꯅꯠꯠꯔꯒꯥ ꯆꯍꯤ ꯀꯌꯥ ꯐꯥꯎꯕꯥ ꯆꯪꯂꯝꯕꯥ ꯌꯥꯏ꯫ ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯌꯨ ꯊꯀꯄꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯗꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯂꯥꯀꯄꯒꯤ ꯆꯥꯡ ꯍꯦꯜꯂꯤ꯫

ꯃꯁꯤꯗꯁꯨ ꯅꯠꯇꯅꯥ, ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤꯒꯤ ꯃꯔꯃꯗꯥ ꯌꯨꯝꯐꯝ ꯑꯣꯏꯕꯥ ꯀ꯭ꯂꯥꯁꯤꯐꯤꯀꯦꯁꯟ ꯑꯃꯁꯨ ꯂꯩ꯫ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯇꯦꯕꯜ ꯑꯁꯤ ꯃꯌꯦꯛ ꯁꯦꯡꯅꯥ ꯈꯪꯅꯕꯒꯤꯗꯃꯛ ꯁꯤꯖꯤꯟꯅꯕꯥ ꯌꯥꯏ꯫

ꯂꯤꯚꯔꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯅꯕꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?

ꯂꯤꯚꯔ ꯗꯤꯖꯤꯖꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯑꯃꯁꯨꯡ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯃꯤꯡ ꯆꯠꯄꯥ ꯂꯥꯏꯑꯣꯡꯗꯤ ꯃꯤꯠ ꯑꯃꯁꯨꯡ ꯈꯣꯡꯗꯥ ꯌꯦꯔꯨꯝ ꯀꯣꯀꯄꯥ ꯑꯁꯤꯅꯤ꯫ ꯑꯩꯈꯣꯌꯅꯥ ꯃꯁꯤꯕꯨ ꯖꯟꯗꯥꯁ ꯍꯥꯌꯅꯥꯁꯨ ꯀꯧꯏ , ꯑꯃꯁꯨꯡ ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯋꯥꯍꯟꯊꯣꯛꯇꯥ ꯃꯁꯤꯕꯨ ``ꯖꯥꯎꯅꯤꯁ'' ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ꯃꯁꯤꯒꯤ ꯃꯊꯛꯇꯥ ꯑꯇꯣꯞꯄꯥ ꯂꯥꯏꯑꯣꯡ ꯀꯌꯥ ꯑꯃꯁꯨ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫

• ꯈꯣꯡꯒꯤ ꯑꯔꯣꯏꯕꯥ ꯃꯐꯃꯗꯥ, ꯔꯤꯕꯅꯒꯤ ꯃꯈꯥꯗꯥ ꯂꯩꯕꯥ ꯑꯅꯥꯕꯥ꯫
• ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯑꯃꯁꯨꯡ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ꯫
• ꯆꯥꯅꯤꯡꯕ ꯊꯛꯅꯤꯡꯕ ꯐꯥꯎꯕ
• ꯅꯣꯡꯃꯩ ꯀꯥꯞꯄꯥ ꯑꯃꯁꯨꯡ ꯈꯣꯡ ꯍꯥꯝꯕꯥ꯫
• ꯂꯥꯏꯍꯧ ꯍꯟꯊꯕꯥ꯫
• ꯃꯌꯦꯛ ꯁꯦꯡꯕꯥ ꯌꯦꯔꯨꯝ ꯅꯠꯠꯔꯒꯥ ꯑꯉꯧꯕꯥ ꯌꯨꯔꯤꯟ꯫
• ꯑꯦꯕꯗꯣꯃꯤꯅꯦꯜ ꯗꯤꯁꯇꯦꯟꯁꯟ, ꯅꯠꯠꯔꯒꯥ ꯑꯦꯁꯤꯇꯤꯁ (ascites)꯫
• ꯏꯆꯝ ꯆꯝꯕꯥ (Pruritus) .
• ꯈꯣꯡꯗꯥ ꯃꯆꯨ ꯃꯆꯨꯒꯤ ꯃꯐꯃꯁꯤꯡ ꯅꯠꯠꯔꯒꯥ ꯄꯦꯠꯁꯤꯡ꯫

ꯇꯣꯛꯁꯤꯛ ꯍꯦꯄꯥꯇꯥꯏꯇꯤꯁꯀꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯔꯃꯁꯤꯡ ꯀꯔꯤꯅꯣ?

ꯑꯩꯈꯣꯌꯅꯥ ꯃꯃꯥꯡꯗꯥ ꯈꯟꯅꯈꯤꯕꯒꯨꯝ, ꯃꯔꯝ ꯀꯌꯥ ꯑꯃꯥ ꯂꯩꯔꯤ꯫ ꯃꯈꯣꯌꯁꯤꯡ ꯑꯗꯨ ꯈꯔꯥ ꯍꯦꯟꯅꯥ ꯑꯀꯨꯞꯄꯥ ꯃꯔꯣꯂꯗꯥ ꯌꯦꯡꯁꯤ꯫

ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯚꯤꯇꯥꯃꯤꯅꯁꯤꯡ (ꯗ꯭ꯔꯒꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯍꯦꯄꯥꯇꯣꯛꯁꯤꯁꯤꯇꯤ)

ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯋꯥꯐꯝ ꯑꯃꯅꯤ꯫

• ꯄꯦꯅꯀꯤꯂꯔꯁꯤꯡ: ꯄꯦꯅꯀꯤꯂꯥꯔ ꯈꯔꯗꯤ, ꯃꯔꯨꯑꯣꯏꯅꯥ ꯐꯥꯔꯃꯥꯁꯤꯗꯥ ꯀꯥꯎꯟꯇꯔꯗꯥ ꯌꯣꯅꯕꯥ ꯌꯥꯕꯥ, ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, `(ꯑꯦꯁꯤꯇꯥꯃꯤꯅꯣꯐꯦꯟ)` (ꯁ꯭ꯔꯤꯂꯉ꯭ꯀꯥꯗꯥ `ꯄꯦꯅꯥꯗꯣꯜ`ꯒꯨꯝꯕꯥ ꯍꯤꯗꯥꯀꯁꯤꯡꯗꯥ ꯐꯪꯏ) ꯑꯃꯁꯨꯡ `(ꯑꯦꯟ.ꯑꯦꯁ.ꯑꯦ.ꯑꯥꯏ.ꯗꯤ.ꯁꯤꯡ)` (ꯅꯟ-ꯁ꯭ꯇꯦꯔꯣꯏꯗ ꯑꯦꯟꯇꯤ-ꯏꯅꯐ꯭ꯂꯦꯃꯦꯇꯔꯤ ꯗ꯭ꯔꯒꯁꯤꯡ) (ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ `ꯏꯕꯨꯞꯔꯣꯐꯦꯟ`, `ꯗꯤꯛꯂꯣꯐꯦꯅꯥꯛ`)ꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯍꯦꯅꯕꯥ ꯂꯧꯔꯕꯗꯤ ꯂꯤꯚꯔꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯔꯤꯀꯃꯦꯟꯗ ꯇꯧꯔꯕꯥ ꯗꯣꯖ ꯑꯗꯨꯒꯤ ꯃꯅꯨꯡꯗꯥ꯫
• ꯄ꯭ꯔꯦꯁ꯭ꯛꯔꯤꯄꯁꯟ ꯍꯤꯗꯥꯀꯁꯤꯡ: ꯀꯣꯂꯦꯁ꯭ꯇꯦꯔꯣꯜ ꯍꯟꯊꯍꯅꯕꯥ ꯍꯤꯗꯥꯀꯁꯤꯡ, ꯏꯄꯤꯂꯦꯄꯁꯤꯒꯤ ꯍꯤꯗꯥꯀꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯑꯦꯟꯇꯤꯕꯥꯏꯑꯣꯇꯤꯀꯁꯤꯡꯒꯨꯝꯕꯥ ꯍꯤꯗꯥꯛ ꯈꯔꯗꯤ ꯃꯤꯑꯣꯏ ꯈꯔꯗꯗꯤ ꯂꯤꯚꯔꯗꯥ ꯁꯣꯀꯍꯅꯕꯁꯨ ꯌꯥꯏ꯫ ꯑꯗꯨꯕꯨ ꯃꯁꯤꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ ꯂꯧꯕꯥ ꯂꯦꯄꯀꯅꯨ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯋꯥꯈꯜ ꯆꯔꯥꯡꯅꯕꯥ ꯑꯃꯥ ꯂꯩꯔꯕꯗꯤ, ꯃꯗꯨꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯇꯥꯟꯅꯧ꯫
• ꯍꯔꯕꯦꯜ ꯑꯃꯁꯨꯡ ꯑꯥꯌꯨꯔꯕꯦꯗꯀꯤ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ: ꯈꯨꯟꯅꯥꯏꯗꯥ ‘ꯁꯤꯅꯍꯥꯂꯥ ꯍꯤꯗꯥꯛ’ ꯅꯠꯠꯔꯒꯥ ‘ꯇ꯭ꯔꯦꯗꯤꯁꯅꯦꯜ ꯄꯣꯠꯁꯤꯡ’ꯅꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯑꯃꯠꯇꯥ ꯊꯣꯀꯍꯟꯗꯦ ꯍꯥꯌꯕꯒꯤ ꯋꯥꯈꯜꯂꯣꯟ ꯑꯃꯥ ꯂꯩꯔꯤ꯫ ꯑꯗꯨꯕꯨ ꯃꯗꯨ ꯃꯄꯨꯡ ꯐꯥꯅꯥ ꯑꯆꯨꯝꯕꯥ ꯅꯠꯇꯦ꯫ ꯍꯔꯕꯦꯜ ꯍꯤꯗꯥꯛ ꯈꯔꯗꯥ ꯂꯤꯚꯔꯗꯥ ꯈꯨꯗꯣꯡꯊꯤꯅꯤꯉꯥꯏ ꯑꯣꯏꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ ꯌꯥꯎꯕꯥ ꯌꯥꯏ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯀ꯭ꯕꯥꯂꯤꯐꯥꯏꯗ ꯗꯣꯛꯇꯔ ꯑꯃꯒꯤ ꯄꯥꯎꯇꯥꯛ ꯌꯥꯑꯣꯗꯅꯥ ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯁꯤꯖꯤꯟꯅꯕꯗꯥ ꯔꯤꯁ꯭ꯛ ꯂꯩ꯫
• ꯚꯤꯇꯥꯃꯤꯅꯁꯤꯡ: ꯚꯤꯇꯥꯃꯤꯟ Aꯒꯨꯝꯕꯥ ꯚꯤꯇꯥꯃꯤꯟ ꯈꯔꯗꯤ ꯌꯥꯝꯅꯥ ꯊꯀꯄꯅꯁꯨ ꯂꯤꯚꯔꯗꯥ ꯄꯣꯠꯁꯛ ꯑꯃꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫

ꯑꯦꯁꯤꯇꯥꯃꯤꯅꯣꯐꯦꯟ ꯄꯣꯏꯖꯅꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯑꯀꯛꯅꯅꯥ ꯈꯪꯖꯤꯅꯕꯤꯌꯨ꯫

`ꯑꯦꯁꯤꯇꯥꯃꯤꯅꯣꯐꯦꯟ` ꯑꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯃꯍꯧꯁꯥꯅꯥ ꯂꯥꯏꯍꯧ ꯑꯃꯁꯨꯡ ꯍꯀꯆꯥꯡ ꯁꯣꯛꯅꯕꯒꯤꯗꯃꯛꯇꯥ ꯁꯤꯖꯤꯟꯅꯕꯥ ꯍꯤꯗꯥꯛ ꯑꯃꯅꯤ꯫ ꯁ꯭ꯔꯤꯂꯉ꯭ꯀꯥꯗꯥ ꯃꯁꯤ `ꯄꯥꯅꯥꯗꯣꯜ` ꯑꯃꯁꯨꯡ `ꯄꯔꯥꯃꯣꯜ`ꯒꯨꯝꯕꯥ ꯃꯤꯡꯁꯤꯡꯗꯥ ꯐꯪꯏ꯫ ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯁꯥꯐꯕꯥ ꯍꯤꯗꯥꯛ ꯑꯣꯏꯔꯕꯁꯨ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯄ꯭ꯔꯦꯁ꯭ꯛꯔꯥꯏꯕ ꯇꯧꯔꯕꯥ ꯗꯣꯖꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯂꯧꯔꯕꯗꯤ ꯂꯤꯚꯔꯗꯥ ꯁꯥꯊꯤꯅꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫

ꯈꯅꯕꯤꯌꯨ, ꯀꯅꯥꯒꯨꯝꯕꯥ ꯑꯃꯅꯥ ꯃꯀꯣꯛ ꯊꯣꯡꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯒꯤꯗꯃꯛ ꯄꯥꯅꯥꯗꯣꯜ ꯇꯦꯕꯜ ꯑꯅꯤ ꯂꯧꯏ꯫ ꯄꯨꯡ ꯈꯔꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯃꯈꯣꯌꯅꯥ ꯀꯣꯜꯗ ꯑꯃꯒꯤꯗꯃꯛ ꯐꯥꯔꯃꯥꯁꯤꯗꯒꯤ ꯑꯇꯣꯞꯄꯥ ꯄꯦꯀꯦꯠ ꯑꯃꯥ ꯂꯧꯏ꯫ ꯃꯈꯣꯌꯅꯥ ꯈꯉꯗꯦ ꯃꯗꯨꯗꯤ ꯄꯦꯀꯦꯠ ꯑꯗꯨꯗꯥ ꯑꯦꯁꯤꯇꯥꯃꯤꯅꯣꯐꯦꯟꯁꯨ ꯌꯥꯑꯣꯏ꯫ ꯃꯁꯤꯒꯤ ꯃꯑꯣꯡ ꯑꯁꯤꯅꯥ ꯃꯈꯣꯌꯅꯥ ꯈꯉꯍꯧꯗꯅꯥ ꯅꯣꯡꯃꯒꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯌꯥꯝꯕꯥ ꯗꯣꯖ ꯑꯗꯨꯗꯒꯤ ꯍꯦꯅꯕꯥ ꯌꯥꯏ꯫

ꯃꯍꯧꯁꯥꯅꯥ, ꯑꯍꯜ ꯑꯃꯅꯥ ꯄꯨꯡ 24ꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯦꯁꯤꯇꯥꯃꯤꯅꯣꯐꯦꯟ (ꯃꯁꯤꯅꯥ 8 500mg ꯇꯦꯕ꯭ꯂꯦꯠ) ꯃꯤꯂꯤꯒ꯭ꯔꯥꯝ 4,000ꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯂꯧꯔꯣꯏꯗꯕꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯍꯥꯟꯅꯅꯥ ꯂꯤꯚꯔꯒꯤ ꯂꯥꯌꯅꯥ ꯂꯩꯔꯕꯗꯤ, ꯃꯁꯤꯒꯤ ꯆꯥꯡ ꯑꯁꯤ ꯍꯦꯟꯅꯥ ꯅꯦꯝꯅꯥ ꯂꯩꯒꯗꯕꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯛꯂꯕꯗꯤ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛ ꯌꯥꯝꯅꯥ ꯂꯧꯔꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯂꯥꯏꯑꯣꯡ ꯑꯃꯠꯇꯥ ꯂꯩꯠꯔꯕꯁꯨ, ꯈꯨꯗꯛꯇꯥ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯜ ꯑꯃꯒꯤ ꯏꯃꯔꯖꯦꯟꯁꯤ ꯗꯤꯄꯥꯔꯇꯃꯦꯟꯇ (ETU)ꯗꯥ ꯆꯠꯂꯨ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯊꯧ ꯇꯥꯔꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯅꯦꯁꯅꯦꯜ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯂꯗꯥ ꯂꯩꯕꯥ ꯅꯦꯁꯅꯦꯜ ꯄꯣꯏꯖꯅꯁ ꯏꯅꯐꯣꯔꯃꯦꯁꯟ ꯁꯦꯟꯇꯔꯗꯥ ꯄꯥꯎꯇꯥꯛ ꯂꯧꯕꯗꯁꯨ ꯐꯣꯟ ꯇꯧꯕꯥ ꯌꯥꯏ꯫

ꯌꯨ ꯊꯀꯄꯥ (ꯑꯂꯀꯣꯍꯣꯂꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯇꯣꯛꯁꯤꯀꯦꯜ ꯍꯦꯄꯥꯇꯥꯏꯇꯤꯁ)

ꯌꯨ ꯌꯥꯝꯅꯥ ꯊꯀꯄꯅꯥ ꯂꯤꯚꯔꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯅꯕꯒꯤ ꯑꯆꯧꯕꯥ ꯃꯔꯝ ꯑꯃꯅꯤ꯫ ꯌꯨ ꯑꯁꯤ ꯂꯤꯚꯔ ꯁꯦꯂꯁꯤꯡꯗꯥ ꯍꯀꯊꯦꯡꯅꯅꯥ ꯄꯣꯏꯖꯟ ꯑꯃꯅꯤ꯫ ꯌꯨ ꯊꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯌꯨ ꯊꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯂꯤꯚꯔꯗꯥ ꯐꯦꯠ ꯊꯥꯗꯣꯀꯏ, ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯁꯟ (inflame) ꯊꯣꯀꯏ, ꯑꯃꯁꯨꯡ ꯑꯔꯣꯌꯕꯗꯥ ꯂꯤꯚꯔ ꯑꯗꯨ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯁꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯊꯕꯛ ꯇꯧꯕꯥ ꯉꯃꯗꯕꯥ (Cirrhosis) ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫

ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯂꯥꯀꯄꯒꯤ ꯔꯤꯁ꯭ꯛ ꯂꯩꯕꯥ ꯀꯅꯥꯅꯣ?

ꯀꯅꯥꯒꯨꯝꯕꯥ ꯑꯃꯅꯥ `ꯇꯣꯛꯁꯤꯀꯦꯜ ꯍꯦꯄꯥꯇꯥꯏꯇꯤꯁ` ꯂꯥꯀꯄꯥ ꯌꯥꯏ ꯑꯗꯨꯕꯨ ꯃꯤꯑꯣꯏ ꯈꯔꯗꯤ ꯍꯦꯟꯅꯥ ꯔꯤꯁ꯭ꯛ ꯂꯩ꯫

• ꯅꯨꯄꯤꯁꯤꯡꯒꯤ ꯑꯣꯏꯅꯗꯤ: ꯅꯨꯄꯤꯁꯤꯡꯒꯤ ꯍꯀꯆꯥꯡ ꯑꯁꯤ ꯅꯨꯄꯥꯁꯤꯡꯗꯒꯤ ꯇꯣꯉꯥꯟꯅꯥ ꯃꯦꯇꯥꯕꯣꯂꯥꯏꯖ ꯇꯧꯕꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯃꯈꯣꯌꯅꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛ ꯈꯔꯅꯥ ꯑꯃꯁꯨꯡ ꯌꯨ ꯊꯀꯄꯗꯒꯤ ꯂꯤꯚꯔꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯅꯕꯒꯤ ꯔꯤꯁ꯭ꯛ ꯈꯔꯥ ꯍꯦꯟꯅꯥ ꯋꯥꯡꯏ꯫
• ꯌꯨ ꯌꯥꯝꯅꯥ ꯊꯀꯄꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯒꯤꯗꯃꯛ꯫
• ꯍꯥꯟꯅꯅꯥ ꯑꯇꯣꯞꯄꯥ ꯂꯤꯚꯔꯒꯤ ꯂꯥꯌꯅꯥ ꯑꯃꯥ (ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯍꯦꯄꯥꯇꯥꯏꯇꯤꯁ ꯕꯤ, ꯍꯦꯄꯥꯇꯥꯏꯇꯤꯁ ꯁꯤ, ꯐꯦꯇꯤ ꯂꯤꯚꯔ) ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯒꯤ ꯑꯣꯏꯅꯗꯤ꯫
• ꯃꯇꯝ ꯑꯃꯗꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛ ꯀꯌꯥ ꯁꯤꯖꯤꯟꯅꯔꯤꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯒꯤꯗꯃꯛ꯫
• ꯀꯦꯃꯤꯀꯦꯂꯁꯤꯡꯒꯥ ꯊꯕꯛ ꯇꯧꯃꯤꯟꯅꯔꯤꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯒꯤꯗꯃꯛ (ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ ꯄꯦꯟꯇ ꯏꯟꯗꯁ꯭ꯠꯔꯤ, ꯄ꯭ꯂꯥꯁ꯭ꯇꯤꯛ ꯏꯟꯗꯁ꯭ꯠꯔꯤ, ꯗ꯭ꯔꯥꯏ ꯀ꯭ꯂꯤꯅꯤꯡ ꯁꯔꯚꯤꯁꯁꯤꯡ)꯫
• ꯑꯀꯛꯅꯕꯥ ꯖꯦꯅꯦꯇꯤꯛ ꯂꯥꯌꯅꯥꯁꯤꯡ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯒꯤ ꯑꯣꯏꯅꯗꯤ (ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ `ꯑꯂꯐꯥ-1 ꯑꯦꯟꯇꯤꯠꯔꯥꯏꯞꯁꯤꯟ ꯋꯥꯠꯄꯥ`, `ꯍꯦꯃꯣꯛꯔꯣꯃꯦꯇꯣꯁꯤꯁ`)꯫

ꯃꯁꯤ ꯈꯨꯗꯣꯡꯊꯤꯅꯤꯡꯉꯥꯏ ꯑꯣꯏꯕꯥ ꯌꯥꯕꯔꯥ? ꯃꯁꯤꯒꯤ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯤꯅꯣ?

ꯍꯣꯌ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯇꯣꯛꯁꯤꯛ ꯍꯦꯄꯥꯇꯥꯏꯇꯤꯁ ꯑꯁꯤ ꯈꯨꯗꯛꯇꯥ ꯂꯥꯏꯌꯦꯡꯗ꯭ꯔꯕꯗꯤ ꯑꯃꯁꯨꯡ ꯃꯥꯡ-ꯇꯥꯛꯅꯤꯡꯉꯥꯏ ꯑꯣꯏꯕꯥ ꯄꯣꯠꯁꯛ ꯑꯗꯨ ꯂꯧꯊꯣꯛꯠꯔꯕꯗꯤ, ꯃꯁꯤꯅꯥ ꯑꯀꯅꯕꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯟ ꯑꯁꯤ ꯂꯤꯚꯔꯒꯤ ꯁꯤꯔꯣꯁꯤꯁꯅꯤ꯫

ꯁꯤꯔꯣꯁꯤꯁ ꯍꯥꯌꯕꯁꯤ ꯍꯀꯁꯦꯜ ꯐꯕꯥ ꯂꯤꯚꯔ ꯁꯦꯂꯁꯤꯡ ꯃꯥꯡꯍꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯃꯗꯨꯒꯤ ꯃꯍꯨꯠꯇꯥ ꯁ꯭ꯀꯥꯔ ꯇꯤꯁꯨꯅꯥ ꯃꯍꯨꯠ ꯁꯤꯅꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫ ꯃꯁꯤꯅꯥ ꯂꯤꯚꯔꯒꯤ ꯅꯣꯔꯃꯦꯜ ꯐꯉ꯭ꯀꯁꯟ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯁꯣꯀꯍꯜꯂꯤ꯫ ꯑꯔꯣꯏꯕꯗꯥ, ꯃꯁꯤꯅꯥ ꯂꯤꯚꯔ ꯐꯦꯜ ꯑꯣꯏꯕꯥ ꯊꯣꯀꯍꯜꯂꯤ . ꯑꯁꯤꯒꯨꯝꯕꯥ ꯀꯦꯁꯁꯤꯡ ꯑꯁꯤꯗꯥ ꯄꯨꯟꯁꯤ ꯀꯟꯅꯕꯒꯤ ꯑꯃꯠꯇꯥ ꯉꯥꯏꯔꯕꯥ ꯑꯣꯄꯁꯟ ꯑꯁꯤ ꯂꯤꯚꯔ ꯇ꯭ꯔꯥꯟꯁꯞꯂꯥꯟꯇ ꯇꯧꯕꯥ ꯌꯥꯏ .

ꯗꯣꯛꯇꯔ ꯑꯃꯅꯥ ꯃꯁꯤ ꯀꯔꯝꯅꯥ ꯐꯪꯒꯅꯤ?

ꯅꯍꯥꯛꯅꯥ ꯗꯣꯛꯇꯔ ꯑꯃꯗꯥ ꯆꯠꯄꯥ ꯃꯇꯃꯗꯥ, ꯃꯍꯥꯛꯅꯥ ꯑꯍꯥꯅꯕꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ, ꯅꯍꯥꯛꯅꯥ ꯂꯧꯔꯤꯕꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ, ꯅꯍꯥꯛꯅꯥ ꯌꯨ ꯊꯀꯄꯔꯥ, ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯊꯕꯛ ꯑꯗꯨ ꯀꯔꯤꯅꯣ ꯍꯥꯌꯕꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯍꯪ ꯀꯌꯥ ꯍꯪꯒꯅꯤ꯫ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯃꯍꯥꯛꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡ ꯑꯗꯨ ꯌꯦꯡꯁꯤꯅꯒꯅꯤ꯫ ꯃꯍꯥꯛꯅꯥ ꯗꯥꯏꯑꯦꯒ꯭ꯅꯣꯁꯤꯁ ꯑꯗꯨ ꯀꯅꯐꯥꯔꯝ ꯇꯧꯅꯕꯥ ꯇꯦꯁ꯭ꯠ ꯈꯔꯁꯨ ꯇꯧꯕꯥ ꯌꯥꯏ꯫

• ꯕ꯭ꯂꯗ ꯇꯦꯁ꯭ꯠ ꯇꯧꯕꯥ: ꯱.
• ꯂꯤꯚꯔ ꯐꯉ꯭ꯀꯁꯟ ꯇꯦꯁ꯭ꯇꯁꯤꯡ: ꯃꯁꯤꯅꯥ ꯂꯤꯚꯔꯒꯤ ꯑꯦꯅꯖꯥꯏꯃꯒꯤ ꯆꯥꯡ ꯑꯗꯨ ꯂꯤꯚꯔꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯆꯦꯛ ꯇꯧꯕꯥ ꯉꯝꯃꯤ꯫
• ꯑꯄꯨꯅꯕꯥ ꯃꯦꯇꯥꯕꯣꯂꯤꯛ ꯄꯦꯅꯦꯜ `(ꯁꯤ.ꯑꯦꯝ.ꯄꯤ.)`: ꯇꯦꯁ꯭ꯠ ꯑꯁꯤꯅꯥ ꯍꯀꯆꯥꯡꯒꯤ ꯃꯦꯇꯥꯕꯣꯂꯤꯛ ꯄ꯭ꯔꯣꯁꯦꯁ ꯑꯃꯁꯨꯡ ꯑꯣꯔꯒꯥꯅꯒꯤ ꯐꯉ꯭ꯀꯁꯅꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯃꯄꯨꯡ ꯐꯥꯅꯥ ꯈꯉꯕꯥ ꯉꯃꯍꯅꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫
• ꯌꯨ ꯅꯠꯠꯔꯒꯥ ꯑꯇꯩ ꯗ꯭ꯔꯒꯀꯤ ꯆꯥꯡ ꯇꯦꯁ꯭ꯠ ꯇꯧꯕꯥ꯫
• ꯑꯇꯣꯞꯄꯥ ꯇꯦꯁ꯭ꯇꯁꯤꯡ: ꯱.
• ꯁ꯭ꯀꯦꯅꯁꯤꯡ: ꯁꯤ.ꯇꯤ.ꯁ꯭ꯀꯦꯟ ꯅꯠꯠꯔꯒꯥ ꯑꯦꯝ.ꯑꯥꯔ.ꯑꯥꯏ.ꯁ꯭ꯀꯦꯟ ꯑꯃꯅꯥ ꯂꯤꯚꯔꯒꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯗꯨ ꯃꯤꯠꯅꯥ ꯎꯕꯥ ꯐꯪꯏ꯫
• ꯂꯤꯚꯔ ꯕꯥꯏꯑꯣꯞꯁꯤ (Liver Biopsy): ꯀꯦꯁ ꯈꯔꯗꯗꯤ, ꯌꯥꯝꯅꯥ ꯑꯄꯤꯀꯄꯥ ꯅꯤꯗꯜ ꯑꯃꯥ ꯁꯤꯖꯤꯟꯅꯗꯨꯅꯥ ꯂꯤꯚꯔꯗꯒꯤ ꯇꯤꯁꯨꯒꯤ ꯑꯄꯤꯀꯄꯥ ꯁꯔꯨꯛ ꯑꯃꯥ ꯂꯧꯊꯣꯀꯏ ꯑꯃꯁꯨꯡ ꯃꯥꯏꯛꯔꯣꯁ꯭ꯀꯣꯄꯀꯤ ꯃꯈꯥꯗꯥ ꯌꯦꯡꯁꯤꯜꯂꯤ꯫ ꯃꯁꯤꯅꯥ ꯑꯃꯥꯡ-ꯑꯇꯥꯒꯤ ꯑꯆꯨꯝꯕꯥ ꯆꯥꯡ ꯑꯗꯨ ꯈꯪꯗꯣꯀꯄꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯕꯥ ꯉꯃꯒꯅꯤ꯫

ꯃꯁꯤ ꯀꯔꯝꯅꯥ ꯂꯥꯌꯦꯡꯕꯒꯦ? ꯃꯁꯤ ꯐꯍꯅꯕꯥ ꯉꯃꯒꯗ꯭ꯔꯥ?

`ꯇꯣꯛꯁꯤꯛ ꯍꯦꯄꯥꯇꯥꯏꯇꯤꯁ`ꯒꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯥ ꯂꯥꯏꯌꯦꯡꯗꯤ ꯂꯤꯚꯔꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯜꯂꯤꯕꯥ ꯄꯣꯠꯁꯛ ꯑꯗꯨ ꯈꯨꯗꯛꯇꯥ ꯊꯤꯡꯕꯅꯤ꯫ ꯂꯥꯏꯌꯦꯡ ꯑꯁꯤ ꯂꯤꯚꯔꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯄꯒꯤ ꯆꯥꯡ ꯑꯗꯨꯒꯤ ꯃꯈꯥ ꯄꯣꯜꯂꯤ꯫

• ꯃꯥꯡ-ꯇꯥꯛꯅꯤꯡꯉꯥꯏ ꯑꯣꯏꯕꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ ꯊꯤꯡꯖꯤꯅꯕꯥ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯑꯀꯛꯅꯕꯥ ꯍꯤꯗꯥꯛ ꯅꯠꯠꯔꯒꯥ ꯚꯤꯇꯥꯃꯤꯟ ꯑꯃꯅꯥ ꯂꯤꯚꯔꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯜꯂꯤ ꯍꯥꯌꯅꯥ ꯆꯤꯡꯅꯕꯥ ꯂꯩꯔꯕꯗꯤ, ꯃꯍꯥꯛꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯈꯨꯗꯛꯇꯥ ꯁꯤꯖꯤꯟꯅꯕꯥ ꯂꯦꯄꯍꯟꯅꯕꯥ ꯄꯥꯎꯇꯥꯛ ꯄꯤꯒꯅꯤ꯫
• ꯌꯨ ꯊꯀꯄꯥ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯊꯤꯡꯖꯤꯅꯕꯥ꯫
• ꯊꯕꯛ ꯃꯐꯃꯗꯥ ꯑꯍꯣꯡꯕꯥ ꯂꯥꯀꯄꯥ: ꯱.ꯀꯔꯤꯒꯨꯝꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯀꯦꯃꯤꯀꯦꯂꯁꯤꯡꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯑꯣꯏꯔꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯊꯕꯛꯇꯥ ꯉꯥꯀꯊꯣꯛꯅꯕꯥ ꯈꯨꯠꯂꯥꯌꯁꯤꯡ (ꯃꯥꯁ꯭ꯛ, ꯒ꯭ꯂꯣꯕꯁꯤꯡ) ꯁꯤꯖꯤꯟꯅꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯇꯣꯞꯄꯥ ꯊꯕꯛ ꯑꯃꯗꯥ ꯇ꯭ꯔꯥꯟꯁꯐꯔ ꯇꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯏ꯫
• ꯑꯦꯁꯤꯇꯥꯃꯤꯅꯣꯐꯦꯟ ꯑꯣꯚꯔꯗꯣꯖ ꯑꯃꯒꯤꯗꯃꯛ: ꯑꯈꯟꯅꯕꯥ ꯑꯦꯟꯇꯤꯗꯣꯠ ꯑꯃꯥ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯂꯗꯥ ꯄꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯊꯨꯅꯥ ꯄꯤꯔꯕꯗꯤ, ꯃꯁꯤꯅꯥ ꯂꯤꯚꯔꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯀꯌꯥ ꯊꯤꯡꯕꯥ ꯉꯝꯃꯤ꯫

ꯀꯗꯥꯏꯗꯥ ꯈꯨꯗꯛꯇꯥ ꯗꯣꯛꯇꯔꯒꯥ ꯇꯥꯟꯅꯒꯗꯒꯦ?

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯁꯥꯊꯤꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯍꯦꯛꯇꯅꯥ ꯊꯣꯛꯂꯕꯗꯤ, ꯃꯗꯨ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯂꯤꯚꯔ ꯐꯦꯜ ꯑꯣꯏꯕꯒꯤ ꯈꯨꯗꯝ ꯑꯃꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ , ꯊꯦꯡꯊꯕꯥ ꯂꯩꯇꯅꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯅꯀꯄꯥ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯜ ꯏꯃꯔꯖꯦꯟꯁꯤ ꯗꯤꯄꯥꯔꯇꯃꯦꯟꯇ (ꯏ.ꯇꯤ.ꯌꯨ.)ꯗꯥ ꯆꯠꯂꯨ꯫

• ꯏ ꯊꯣꯀꯄꯥ꯫
• ꯕ꯭ꯂꯦꯛ, ꯇꯦꯔꯤ ꯁ꯭ꯇꯣꯂꯁꯤꯡ꯫
• ꯍꯀꯆꯥꯡ ꯄꯨꯝꯅꯃꯛꯇꯥ ꯈꯪꯍꯧꯗꯅꯥ ꯁꯣꯀꯄꯥ ꯌꯥꯕꯥ ꯃꯐꯃꯁꯤꯡ ꯊꯣꯀꯄꯥ꯫
• ꯁꯥꯊꯤꯕꯥ ꯌꯦꯔꯨꯝ ꯀꯣꯀꯄꯥ (Jaundice)꯫
• ꯁꯥꯊꯤꯕꯥ ꯑꯦꯅꯣꯔꯦꯛꯁꯤꯌꯥ ꯂꯩꯕꯥ꯫
• ꯗꯦꯂꯤꯔꯤꯌꯝ, ꯗꯤꯜꯌꯨꯁꯅꯒꯤ ꯐꯤꯚꯝ꯫
• ꯈꯣꯡꯅꯥ ꯆꯠꯄꯗꯥ ꯑꯋꯥꯕꯥ꯫