ꯑꯦꯝ.ꯑꯥꯔ.ꯑꯥꯏ.-ꯒꯥꯏꯗ ꯇꯧꯔꯕꯥ ꯄ꯭ꯔꯣꯁ꯭ꯇꯦꯠ ꯕꯥꯏꯑꯣꯞꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯈꯉꯂꯁꯤ?

ꯑꯦꯝ.ꯑꯥꯔ.ꯑꯥꯏ.ꯅꯥ ꯒꯥꯏꯗ ꯇꯧꯕꯥ ꯄ꯭ꯔꯣꯁ꯭ꯇꯦꯠ ꯕꯥꯏꯑꯣꯞꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯇꯥꯕꯤꯔꯝꯂꯒꯅꯤ? ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯂꯨꯕꯥ ꯃꯤꯡ ꯑꯃꯥ ꯑꯣꯏꯅꯥ ꯁꯣꯅꯕꯥ ꯌꯥꯏ, ꯑꯗꯨꯕꯨ ꯇꯁꯦꯡꯕꯗꯤ ꯃꯁꯤ ꯅꯨꯄꯥꯁꯤꯡꯒꯤ ꯑꯣꯏꯅꯥ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯇꯦꯁ꯭ꯠ ꯑꯃꯅꯤ꯫ ꯉꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯑꯗꯣꯝꯅꯥ ꯈꯉꯕꯤꯕꯥ ꯌꯥꯕꯥ ꯏꯆꯝ ꯆꯝꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯒꯅꯤ꯫

ꯑꯦꯝ.ꯑꯥꯔ.ꯑꯥꯏ.ꯅꯥ ꯒꯥꯏꯗ ꯇꯧꯕꯥ ꯄ꯭ꯔꯣꯁ꯭ꯇꯦꯠ ꯕꯥꯏꯑꯣꯞꯁꯤ ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ?

ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯃꯁꯤ ꯗꯣꯛꯇꯔꯁꯤꯡꯗꯥ ꯄ꯭ꯔꯣꯁ꯭ꯇꯦꯠ ꯀꯦꯟꯁꯔ ꯈꯉꯗꯣꯀꯄꯥ, ꯃꯁꯤꯒꯤ ꯁ꯭ꯇꯦꯖ ꯂꯦꯄꯊꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯂꯥꯌꯦꯡꯕꯒꯤ ꯊꯧꯔꯥꯡ ꯇꯧꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯂꯤꯕꯥ ꯑꯈꯟꯅꯕꯥ ꯇꯦꯁ꯭ꯠ ꯑꯃꯅꯤ꯫ ꯃꯁꯤꯗꯥ ꯑꯦꯝ.ꯑꯥꯔ.ꯑꯥꯏ.ꯒꯤ ꯇꯦꯛꯅꯣꯂꯣꯖꯤ ꯑꯃꯁꯨꯡ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯑꯂꯠꯔꯥꯁꯥꯎꯟꯗ ꯁꯤꯖꯤꯟꯅꯗꯨꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯄ꯭ꯔꯣꯁ꯭ꯇꯦꯇꯇꯒꯤ ꯕꯥꯏꯑꯣꯞꯁꯤ ꯀꯧꯕꯥ ꯑꯄꯤꯀꯄꯥ ꯇꯤꯁ꯭ꯌꯨ ꯁꯦꯝꯄꯂꯁꯤꯡ ꯂꯧꯕꯥ ꯌꯥꯑꯣꯏ꯫ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯇꯤꯁ꯭ꯌꯨ ꯁꯦꯝꯄꯜ ꯑꯁꯤ ꯄꯦꯊꯣꯂꯣꯖꯤꯁ꯭ꯠ ꯀꯧꯕꯥ ꯃꯦꯗꯤꯀꯦꯜ ꯁ꯭ꯄꯦꯁꯤꯑꯦꯂꯤꯁ꯭ꯠ ꯑꯃꯅꯥ ꯍꯥꯏ-ꯄꯥꯋꯔ ꯃꯥꯏꯛꯔꯣꯁ꯭ꯀꯣꯄꯀꯤ ꯃꯈꯥꯗꯥ ꯌꯦꯡꯁꯤꯟꯗꯨꯅꯥ ꯀꯦꯟꯁꯔ ꯁꯦꯂꯁꯤꯡ ꯌꯦꯡꯁꯤꯜꯂꯤ꯫

ꯄ꯭ꯔꯣꯁ꯭ꯇꯦꯠ ꯒ꯭ꯜꯌꯥꯟꯗ ꯑꯁꯤ ꯀꯔꯤꯅꯣ?

ꯄ꯭ꯔꯣꯁ꯭ꯇꯦꯠ ꯑꯁꯤ ꯅꯨꯄꯥꯒꯤ ꯔꯤꯞꯔꯗꯛꯇꯤꯚ ꯑꯃꯁꯨꯡ ꯌꯨꯔꯤꯅꯔꯤ ꯁꯤꯁ꯭ꯇꯦꯃꯒꯤ ꯁꯔꯨꯛ ꯑꯃꯅꯤ꯫ ꯃꯁꯤ ꯋꯥꯂꯅꯠ ꯑꯃꯒꯤ ꯆꯥꯡꯗꯥ ꯂꯩꯕꯥ ꯑꯄꯤꯀꯄꯥ ꯒ꯭ꯜꯌꯥꯟꯗ ꯑꯃꯅꯤ꯫ ꯃꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯕ꯭ꯂꯦꯗꯔꯒꯤ ꯃꯃꯥꯡꯗꯥ ꯂꯩ꯫ ꯒ꯭ꯜꯌꯥꯟꯗ ꯑꯁꯤꯅꯥ ꯁꯦꯃꯤꯅꯦꯜ ꯐ꯭ꯂꯨꯏꯗ ꯄꯨꯊꯣꯀꯏ꯫ ꯅꯍꯥꯛꯅꯥ ꯃꯤꯔꯣꯜꯂꯤꯉꯩ ꯃꯇꯃꯗꯥ, ꯐ꯭ꯂꯨꯏꯗ ꯑꯁꯤꯅꯥ ꯁ꯭ꯄꯥꯔꯝ ꯑꯗꯨꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯌꯥꯟꯁꯤꯟꯅꯩ꯫ ꯐ꯭ꯂꯨꯏꯗ ꯑꯁꯤꯅꯥ ꯁ꯭ꯄꯥꯔꯝ ꯑꯗꯨ ꯍꯀꯁꯦꯜ ꯐꯅꯥ ꯊꯝꯃꯤ ꯑꯃꯁꯨꯡ ꯃꯤꯔꯣꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯃꯤꯔꯣꯅꯕꯥ ꯃꯇꯃꯗꯥ ꯆꯨꯅꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯊꯝꯃꯤ꯫

ꯏꯎꯔꯦꯊ꯭ꯔꯥ ꯑꯁꯤ ꯄ꯭ꯔꯣꯁ꯭ꯇꯦꯠ ꯒ꯭ꯜꯌꯥꯟꯗꯒꯤ ꯃꯔꯛꯇꯥ ꯆꯠꯂꯤ꯫ ꯇꯤꯎꯕ ꯑꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯌꯨꯔꯤꯅꯔꯤ ꯁꯤꯁ꯭ꯇꯦꯃꯒꯤ ꯁꯔꯨꯛ ꯑꯃꯅꯤ꯫ ꯅꯍꯥꯛꯅꯥ ꯌꯨꯔꯤꯟ ꯇꯧꯕꯥ ꯃꯇꯃꯗꯥ , ꯌꯨꯔꯤꯟ ꯑꯁꯤ ꯕ꯭ꯂꯦꯗꯔꯗꯒꯤ ꯇꯤꯎꯕ ꯑꯁꯤꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯑꯃꯁꯨꯡ ꯂꯤꯅꯒꯤ ꯃꯄꯥꯟꯗꯥ ꯄꯨꯊꯣꯀꯏ꯫ ꯃꯁꯤ ꯅꯍꯥꯛꯅꯥ ꯃꯤꯔꯣꯜꯂꯤꯉꯩ ꯃꯇꯃꯗꯥ ꯁꯦꯃꯤꯅꯦꯜ ꯐ꯭ꯂꯨꯏꯗ ꯑꯃꯁꯨꯡ ꯁ꯭ꯄꯥꯔꯝ ꯄꯨꯕꯥ ꯇꯤꯎꯕ ꯑꯗꯨꯁꯨꯅꯤ꯫

ꯄ꯭ꯔꯣꯁ꯭ꯇꯦꯠ ꯕꯥꯏꯑꯣꯞꯁꯤ ꯄꯥꯡꯊꯣꯛꯅꯕꯒꯤ ꯄꯥꯝꯕꯩꯁꯤꯡ ꯀꯔꯤꯅꯣ?

ꯇꯁꯦꯡꯅꯥ ꯕꯥꯏꯑꯣꯞꯁꯤ ꯇꯧꯕꯒꯤ ꯇꯣꯉꯥꯟ-ꯇꯣꯉꯥꯅꯕꯥ ꯃꯑꯣꯡꯁꯤꯡ ꯂꯩ꯫ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯛꯀꯥ ꯂꯣꯌꯅꯅꯥ ꯃꯦꯊꯗꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯈꯟꯅꯒꯅꯤ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯐꯤꯚꯃꯗꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯆꯨꯅꯕꯥ ꯑꯗꯨ ꯈꯅꯒꯅꯤ꯫ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯄꯥꯝꯕꯩ ꯑꯅꯤ ꯂꯩ: ꯱.

• ꯇ꯭ꯔꯥꯟꯁꯔꯦꯛꯇꯜ ꯕꯥꯏꯑꯣꯞꯁꯤ: ꯃꯁꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯔꯦꯛꯇꯃꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯇꯤꯁꯨ ꯁꯦꯝꯄꯜ ꯑꯃꯥ ꯂꯧꯔꯤꯕꯥ ꯃꯐꯝ ꯑꯗꯨꯅꯤ, ꯃꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯆꯧꯕꯥ ꯏꯟꯇꯦꯁ꯭ꯇꯥꯏꯟ/ ꯀꯣꯂꯣꯅꯒꯤ ꯑꯔꯣꯏꯕꯥ ꯁꯔꯨꯛ ꯑꯗꯨꯅꯤ꯫
• ꯇ꯭ꯔꯥꯟꯁꯄꯦꯔꯤꯅꯤꯑꯦꯜ ꯕꯥꯏꯑꯣꯞꯁꯤ: ꯃꯁꯤꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯁ꯭ꯛꯔꯣꯇꯃꯒꯤ ꯃꯔꯛꯇꯥ ꯂꯩꯕꯥ ꯈꯣꯡꯒꯤ ꯃꯐꯝ ꯑꯣꯏꯔꯤꯕꯥ ꯄꯦꯔꯤꯅꯤꯌꯃꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯇꯤꯁꯨ ꯁꯦꯝꯄꯜ ꯑꯃꯥ ꯂꯧꯕꯥ ꯌꯥꯎꯏ꯫

ꯃꯜꯇꯤꯄꯦꯔꯥꯃꯦꯠꯔꯤꯛ ꯑꯦꯝ.ꯑꯥꯔ.ꯑꯥꯏ.-ꯑꯦꯁꯤꯁ꯭ꯇꯦꯟꯇ ꯄ꯭ꯔꯣꯁ꯭ꯇꯦꯠ ꯕꯥꯏꯑꯣꯞꯁꯤ ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ?

ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯑꯦꯝ.ꯑꯥꯔ.ꯑꯥꯏ.ꯒꯤ ꯇꯦꯛꯅꯣꯂꯣꯖꯤ ꯑꯃꯁꯨꯡ ꯅꯤꯗꯜ ꯕꯥꯏꯑꯣꯞꯁꯤ ꯁꯤꯖꯤꯟꯅꯗꯨꯅꯥ ꯃꯈꯥ ꯇꯥꯕꯥ ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯄꯥꯡꯊꯣꯛꯂꯤ:

• ꯃꯜꯇꯤꯄꯦꯔꯥꯃꯦꯠꯔꯤꯛ ꯑꯦꯝ.ꯑꯥꯔ.ꯑꯥꯏ.(ꯑꯦꯝ.ꯄꯤ.ꯑꯦꯝ.ꯑꯥꯔ.ꯑꯥꯏ.):ꯃꯐꯝ ꯑꯁꯤꯗꯥ ꯗꯣꯛꯇꯔꯅꯥ ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯑꯦꯝ.ꯑꯥꯔ.ꯑꯥꯏ.ꯒꯤ ꯔꯤꯖꯜꯇ ꯑꯗꯨ ꯑꯅꯧꯕꯥ ꯑꯦꯝ.ꯑꯥꯔ.ꯑꯥꯏ. ꯃꯁꯤꯒꯤ mpMRI ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯁꯦꯟꯁꯤꯇꯤꯕ ꯑꯣꯏ꯫ ꯃꯁꯤꯅꯥ ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯑꯦꯝ.ꯑꯥꯔ.ꯑꯥꯏ.ꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯐꯕꯥ ꯑꯣꯏꯊꯣꯀꯄꯥ ꯌꯥꯕꯥ ꯀꯦꯟꯁꯔꯒꯤ ꯃꯐꯃꯁꯤꯡ ꯈꯉꯗꯣꯀꯄꯥ ꯉꯝꯃꯤ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, mpMRI ꯈꯛꯇꯅꯥ ꯄ꯭ꯔꯣꯁ꯭ꯇꯦꯠ ꯀꯦꯟꯁꯔ ꯂꯧꯊꯣꯀꯄꯥ ꯉꯃꯗꯦ꯫ ꯑꯌꯥꯝꯕꯥ ꯀꯦꯁꯁꯤꯡꯗꯗꯤ, ꯄ꯭ꯔꯣꯁ꯭ꯇꯦꯠ ꯕꯥꯏꯑꯣꯞꯁꯤ ꯇꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯏ꯫
• ꯐ꯭ꯌꯨꯖꯟ-ꯒꯥꯏꯗꯦꯗ ꯄ꯭ꯔꯣꯁ꯭ꯇꯦꯠ ꯕꯥꯏꯑꯣꯞꯁꯤ: ꯇꯦꯁ꯭ꯠ ꯑꯁꯤꯅꯥ ꯑꯦꯝ.ꯑꯥꯔ.ꯑꯥꯏ. ꯑꯃꯁꯨꯡ ꯇ꯭ꯔꯥꯟꯁꯔꯦꯛꯇꯜ ꯑꯂꯠꯔꯥꯁꯥꯎꯟꯗ (ꯇꯤ.ꯑꯥꯔ.ꯌꯨ.ꯑꯦꯁ.) ꯇꯦꯛꯅꯣꯂꯣꯖꯤꯁꯤꯡ ꯄꯨꯅꯁꯤꯜꯂꯤ, ꯅꯠꯠꯔꯒꯥ ‘ꯐ꯭ꯌꯨꯖ’ ꯇꯧꯏ꯫ ꯑꯍꯥꯅꯕꯗꯥ, ꯅꯍꯥꯛꯅꯥ ꯑꯦꯝ.ꯑꯥꯔ.ꯑꯥꯏ. ꯃꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯄ꯭ꯔꯣꯁ꯭ꯇꯦꯇꯇꯥ ꯆꯤꯡꯅꯕꯥ ꯂꯩꯕꯥ ꯃꯐꯝ ꯑꯃꯍꯦꯛꯇꯕꯨ ꯊꯤꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ, ꯕꯥꯏꯑꯣꯞꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯄ꯭ꯔꯣꯁ꯭ꯇꯦꯠ ꯑꯂꯠꯔꯥꯁꯥꯎꯟꯗ ꯄ꯭ꯔꯣꯕ ꯑꯃꯁꯨꯡ ꯑꯍꯣꯡꯕꯥ ꯁꯣꯐꯇꯋꯥꯌꯔ ꯁꯤꯖꯤꯟꯅꯗꯨꯅꯥ ꯑꯦꯝ.ꯑꯥꯔ.ꯑꯥꯏ. ꯃꯁꯤꯒꯤ ꯑꯄꯨꯅꯕꯥ ꯏꯃꯦꯖ ꯑꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯃꯁꯤꯡ ꯑꯗꯨ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯕꯥ ꯃꯐꯃꯁꯤꯡꯗꯒꯤ ꯇꯤꯁꯨ ꯁꯦꯝꯄꯂꯁꯤꯡ ꯂꯧꯕꯥ ꯌꯥꯍꯜꯂꯤ꯫

ꯑꯦꯝ.ꯑꯥꯔ.ꯑꯥꯏ.ꯅꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯂꯤꯕꯥ ꯄ꯭ꯔꯣꯁ꯭ꯇꯦꯠ ꯕꯥꯏꯑꯣꯞꯁꯤ ꯑꯃꯅꯥ ꯀꯔꯤ ꯐꯣꯡꯗꯣꯛꯂꯤꯕꯒꯦ?

ꯇꯦꯁ꯭ꯠ ꯑꯁꯤꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯃꯈꯥꯒꯤ ꯑꯁꯤ ꯊꯤꯕꯥ ꯉꯃꯒꯅꯤ:

• ꯄ꯭ꯔꯣꯁ꯭ꯇꯦꯠ ꯀꯦꯟꯁꯔ ꯑꯃꯁꯨꯡ ꯃꯁꯤꯒꯤ ꯁꯥꯊꯤꯕꯥ (ꯒ꯭ꯔꯦꯗ/ ꯑꯦꯒ꯭ꯔꯦꯁꯤꯚꯅꯦꯁ)꯫
• ꯔꯤꯀꯣꯚꯔꯤ ꯄ꯭ꯔꯣꯁ꯭ꯇꯦꯠ ꯀꯦꯟꯁꯔ ꯍꯥꯌꯕꯁꯤ ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯂꯥꯀꯄꯥ ꯄ꯭ꯔꯣꯁ꯭ꯇꯦꯠ ꯀꯦꯟꯁꯔꯅꯤ꯫

ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯑꯦꯝ.ꯑꯥꯔ.ꯑꯥꯏ.ꯅꯥ ꯒꯥꯏꯗ ꯇꯧꯔꯕꯥ ꯄ꯭ꯔꯣꯁ꯭ꯇꯦꯠ ꯕꯥꯏꯑꯣꯞꯁꯤ ꯑꯁꯤ ꯑꯇꯣꯞꯄꯥ ꯀꯔꯤ ꯀꯔꯤꯒꯤꯗꯃꯛꯇꯥ ꯁꯤꯖꯤꯟꯅꯔꯤꯕꯒꯦ?

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯄ꯭ꯔꯣꯁ꯭ꯇꯦꯠ ꯀꯦꯟꯁꯔ ꯂꯩꯔꯕꯗꯤ, ꯕꯥꯏꯑꯣꯞꯁꯤꯒꯤ ꯔꯤꯖꯜꯇꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯛꯀꯤꯗꯃꯛꯇꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯏꯐꯦꯛꯇꯤꯚ ꯑꯣꯏꯕꯥ ꯂꯥꯏꯌꯦꯡꯒꯤ ꯄ꯭ꯂꯥꯟ ꯁꯦꯝꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯒꯅꯤ꯫

ꯃꯁꯤꯅꯥ ꯄ꯭ꯔꯣꯁ꯭ꯇꯦꯠ ꯀꯦꯟꯁꯔꯒꯥ ꯃꯥꯟꯅꯕꯥ ꯂꯥꯏꯑꯣꯡ ꯎꯠꯄꯥ ꯅꯟ-ꯀꯦꯟꯁꯔ/ ꯕꯦꯅꯤꯐꯤꯁꯔꯤ ꯀꯟꯗꯤꯁꯅꯁꯤꯡꯁꯨ ꯈꯪꯗꯣꯀꯄꯥ ꯉꯝꯃꯤ (ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯄꯤ.ꯑꯦꯁ.ꯑꯦ.ꯒꯤ ꯕ꯭ꯂꯗ ꯇꯦꯁ꯭ꯠ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ)꯫ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯁꯤꯡꯁꯤ ꯌꯥꯎꯏ:

• ꯄ꯭ꯔꯣꯁ꯭ꯇꯦꯠ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ (ꯕꯦꯅꯤꯟ ꯄ꯭ꯔꯣꯁ꯭ꯇꯦꯇꯤꯛ ꯑꯦꯅꯂꯥꯔꯖꯦꯟꯁ/ ꯍꯥꯏꯄꯔꯞꯂꯥꯁꯤꯌꯥ ꯅꯠꯠꯔꯒꯥ BPE/BPH)꯫
• ꯄ꯭ꯔꯣꯁ꯭ꯇꯦꯇꯁ - ꯏꯅꯐꯦꯛꯁꯟ, ꯏꯅꯐ꯭ꯂꯦꯃꯦꯁꯟ ꯑꯃꯁꯨꯡ ꯄ꯭ꯔꯣꯁ꯭ꯇꯦꯠ ꯒ꯭ꯜꯌꯥꯟꯗꯇꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯄꯥ꯫

MRI-ꯑꯦꯁꯤꯁ꯭ꯇꯦꯟꯇ ꯄ꯭ꯔꯣꯁ꯭ꯇꯦꯠ ꯕꯥꯏꯑꯣꯞꯁꯤ ꯀꯅꯥꯅꯥ ꯃꯊꯧ ꯇꯥꯕꯒꯦ?

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯏꯒꯤ ꯇꯦꯁ꯭ꯠ ꯑꯃꯗꯥ ꯅꯍꯥꯛꯀꯤ PSA (ꯄ꯭ꯔꯣꯁ꯭ꯇꯦꯠ-ꯁ꯭ꯄꯦꯁꯤꯐꯤꯛ ꯑꯦꯟꯇꯤꯖꯦꯟ)ꯒꯤ ꯆꯥꯡ ꯋꯥꯡꯈꯠꯂꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯄ꯭ꯔꯣꯁ꯭ꯇꯦꯠ ꯕꯥꯏꯑꯣꯞꯁꯤ ꯇꯧꯕꯥ ꯌꯥꯏ, ꯃꯗꯨ MRIꯒꯤ ꯃꯇꯦꯡꯅꯥ ꯇꯧꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯗꯤꯖꯤꯇꯦꯜ ꯔꯦꯛꯇꯜ ꯑꯦꯀꯖꯥꯃꯤꯅꯦꯁꯟ (DRE)ꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯄ꯭ꯔꯣꯁ꯭ꯇꯦꯇꯇꯥ ꯂꯪꯁ ꯅꯠꯠꯔꯒꯥ ꯐꯔꯝ ꯑꯃꯥ ꯂꯩꯔꯕꯗꯤ, ꯅꯠꯠꯔꯒꯥ ꯅꯍꯥꯛꯀꯤ MRIꯅꯥ ꯑꯀꯤꯕꯥ ꯄꯣꯀꯍꯅꯕꯥ ꯌꯥꯕꯥ ꯄꯣꯠꯁꯛ ꯑꯃꯥ ꯎꯠꯂꯕꯗꯤ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯄ꯭ꯔꯣꯁ꯭ꯇꯦꯠ ꯕꯥꯏꯑꯣꯞꯁꯤꯁꯨ ꯇꯧꯕꯥ ꯌꯥꯏ꯫ ꯑꯍꯣꯡꯕꯁꯤꯡ ꯑꯁꯤ ꯄ꯭ꯔꯣꯁ꯭ꯇꯦꯠ ꯀꯦꯟꯁꯔꯒꯤ ꯈꯨꯗꯝ ꯑꯃꯥ ꯅꯠꯠꯔꯒꯥ ꯀꯦꯟꯁꯔ ꯂꯩꯇꯕꯥ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯑꯃꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫

ꯀꯦꯁꯁꯤꯡ ꯑꯁꯤꯗꯥ ꯅꯍꯥꯛꯅꯥ MRI-ꯑꯦꯁꯤꯁ꯭ꯇꯦꯟꯇ ꯄ꯭ꯔꯣꯁ꯭ꯇꯦꯠ ꯕꯥꯏꯑꯣꯞꯁꯤꯁꯨ ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯏ:

• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯂꯠꯔꯥꯁꯥꯎꯟꯗ-ꯒꯥꯏꯗꯦꯗ ꯄ꯭ꯔꯣꯁ꯭ꯇꯦꯠ ꯕꯥꯏꯑꯣꯞꯁꯤ ꯑꯃꯅꯥ ꯀꯦꯟꯁꯔ ꯐꯪꯗ꯭ꯔꯕꯗꯤ, ꯑꯗꯨꯕꯨ ꯅꯍꯥꯛꯀꯤ PSAꯒꯤ ꯂꯦꯚꯦꯜ ꯑꯗꯨ ꯃꯈꯥ ꯇꯥꯅꯥ ꯍꯦꯅꯒꯠꯂꯛꯂꯕꯗꯤ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯍꯥꯟꯅꯅꯥ ꯄ꯭ꯔꯣꯁ꯭ꯇꯦꯠ ꯀꯦꯟꯁꯔ ꯂꯩꯔꯦ ꯍꯥꯌꯅꯥ ꯈꯪꯂꯕꯗꯤ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯃꯗꯨ ꯌꯦꯡꯁꯤꯜꯂꯤꯕꯥ ꯑꯣꯏꯔꯕꯗꯤ (ꯑꯦꯛꯇꯤꯕ ꯁꯔꯚꯤꯂꯦꯟꯁ)꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯄ꯭ꯔꯣꯁ꯭ꯇꯦꯠ ꯀꯦꯟꯁꯔ ꯂꯩꯔꯦ ꯍꯥꯌꯅꯥ ꯈꯪꯂꯕꯗꯤ ꯑꯃꯁꯨꯡ ꯐꯣꯀꯦꯜ ꯇ꯭ꯔꯤꯠꯃꯦꯟꯇ ꯈꯔꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯈꯟꯅꯔꯕꯗꯤ꯫

ꯑꯦꯝ.ꯑꯥꯔ.ꯑꯥꯏ.ꯅꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯂꯤꯕꯥ ꯕꯥꯏꯑꯣꯞꯁꯤ ꯑꯃꯒꯤ ꯀꯥꯟꯅꯕꯁꯤꯡ ꯀꯔꯤꯅꯣ?

ꯑꯂꯠꯔꯥꯁꯥꯎꯟꯗꯒꯥ ꯆꯥꯡꯗꯝꯅꯕꯗꯥ, ꯑꯦꯝ.ꯑꯥꯔ.ꯑꯥꯏ.ꯅꯥ ꯄ꯭ꯔꯣꯁ꯭ꯇꯦꯇꯀꯤ ꯍꯦꯟꯅꯥ ꯃꯌꯦꯛ ꯁꯦꯡꯕꯥ, ꯍꯦꯟꯅꯥ ꯑꯀꯨꯞꯄꯥ ꯏꯃꯦꯖꯁꯤꯡ ꯄꯨꯊꯣꯀꯄꯥ ꯉꯝꯃꯤ꯫ ꯃꯁꯤꯅꯥ ꯀꯦꯟꯁꯔ ꯂꯩꯕꯥ ꯌꯥꯕꯥ ꯃꯐꯃꯁꯤꯡ, ꯕꯥꯏꯑꯣꯞꯁꯤ ꯁꯦꯝꯄꯂꯁꯤꯡ ꯃꯊꯧ ꯇꯥꯕꯥ ꯃꯐꯃꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯂꯥꯌꯦꯡꯕꯒꯤ ꯃꯊꯧ ꯇꯥꯕꯥ ꯃꯐꯃꯁꯤꯡ ꯈꯉꯗꯣꯀꯄꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯕꯥ ꯉꯃꯒꯅꯤ꯫ mpMRI ꯑꯃꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯇꯧꯒꯗꯕꯥ ꯕꯥꯏꯑꯣꯞꯁꯤꯒꯤ ꯃꯁꯤꯡꯁꯨ ꯍꯟꯊꯍꯅꯕꯥ ꯉꯝꯃꯤ꯫ ꯃꯁꯤꯅꯥ ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯑꯦꯝ.ꯑꯥꯔ.ꯑꯥꯏ.ꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯏꯐꯦꯛꯇꯤꯕ ꯑꯣꯏꯅꯥ ꯄ꯭ꯔꯣꯁ꯭ꯇꯦꯠ ꯀꯦꯟꯁꯔꯁꯨ ꯈꯉꯗꯣꯀꯄꯥ ꯉꯝꯃꯤ꯫

MRI-ꯑꯦꯁꯤꯁ꯭ꯇꯦꯟꯇ ꯄ꯭ꯔꯣꯁ꯭ꯇꯦꯠ ꯕꯥꯏꯑꯣꯞꯁꯤꯒꯤ ꯃꯃꯥꯡꯗꯥ ꯀꯔꯤ ꯊꯣꯀꯏ?

ꯄ꯭ꯔꯣꯁ꯭ꯇꯦꯠ ꯕꯥꯏꯑꯣꯞꯁꯤꯒꯤꯗꯃꯛ ꯁꯦꯝ-ꯁꯥꯅꯕꯒꯤꯗꯃꯛ, ꯅꯍꯥꯛꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯤ ꯏꯅꯁ꯭ꯠꯔꯛꯁꯅꯁꯤꯡ ꯑꯗꯨ ꯆꯨꯝꯅꯥ ꯏꯅꯒꯗꯕꯅꯤ꯫ ꯅꯍꯥꯛꯅꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯊꯕꯀꯁꯤꯡ ꯑꯁꯤ ꯇꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯏ:

• ꯑꯦꯝ.ꯑꯥꯔ.ꯑꯥꯏ.ꯒꯤ ꯃꯃꯥꯡꯗꯥ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯏꯃꯞꯂꯥꯟꯇ ꯇꯧꯔꯕꯥ ꯙꯥꯇꯨꯒꯤ ꯈꯨꯠꯂꯥꯏ ꯑꯃꯍꯦꯛꯇꯒꯤ ꯃꯇꯥꯡꯗꯥ (ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯄꯦꯁꯃꯦꯀꯔꯁꯤꯡ, ꯖꯣꯏꯟꯇ ꯔꯤꯞꯂꯦꯁꯃꯦꯟꯇꯁꯤꯡ) ꯈꯪꯍꯜꯂꯨ꯫
• ꯅꯍꯥꯛꯀꯤ ꯕꯣꯋꯦꯂꯁꯤꯡ ꯑꯗꯨ ꯁꯨꯃꯗꯣꯀꯎ꯫ ꯗꯣꯛꯇꯔ ꯈꯔꯅꯥ ꯕꯥꯏꯑꯣꯞꯁꯤꯒꯤ ꯃꯃꯥꯡꯗꯥ ꯑꯦꯅꯤꯃꯥ ꯁꯤꯖꯤꯟꯅꯅꯕꯥ ꯄꯥꯎꯇꯥꯛ ꯄꯤꯔꯤ, ꯑꯗꯨꯕꯨ ꯃꯁꯤ ꯃꯇꯝ ꯄꯨꯝꯅꯃꯛꯇꯥ ꯃꯊꯧ ꯇꯥꯗꯦ꯫
• ꯅꯟ-ꯁ꯭ꯇꯦꯔꯣꯏꯗ ꯑꯦꯟꯇꯤ-ꯏꯅꯐ꯭ꯂꯦꯃꯦꯇꯔꯤ ꯗ꯭ꯔꯒꯁꯤꯡ (NSAIDs) ꯑꯃꯁꯨꯡ ꯕ꯭ꯂꯗ ꯊꯤꯅꯔꯁꯤꯡꯒꯨꯝꯕꯥ ꯍꯤꯗꯥꯀꯁꯤꯡ ꯂꯧꯕꯥ ꯂꯦꯄꯀꯅꯨ꯫ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛ ꯈꯔꯅꯥ ꯏ ꯊꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯁꯣꯀꯄꯒꯤ ꯔꯤꯁ꯭ꯛ ꯍꯦꯅꯒꯠꯍꯅꯕꯥ ꯌꯥꯏ꯫
• ꯏꯅꯐꯦꯛꯁꯅꯒꯤ ꯔꯤꯁ꯭ꯛ ꯍꯟꯊꯍꯟꯅꯕꯒꯤꯗꯃꯛ, ꯅꯍꯥꯀꯄꯨ ꯇꯦꯁ꯭ꯠ ꯇꯧꯗ꯭ꯔꯤꯉꯩ ꯃꯃꯥꯡ ꯑꯃꯁꯨꯡ ꯃꯇꯨꯡꯗꯥ ꯑꯦꯟꯇꯤꯕꯥꯏꯑꯣꯇꯤꯀꯁꯤꯡ ꯄꯤꯕꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯑꯌꯥꯝꯕꯥ ꯀꯦꯁꯁꯤꯡꯗꯗꯤ, ꯇ꯭ꯔꯥꯟꯁꯄꯦꯔꯤꯅꯦꯜ ꯄ꯭ꯔꯣꯁ꯭ꯇꯦꯠ ꯕꯥꯏꯑꯣꯞꯁꯤꯒꯤꯗꯃꯛꯇꯥ ꯑꯦꯟꯇꯤꯕꯥꯏꯑꯣꯇꯤꯀꯁꯤꯡ ꯃꯊꯧ ꯇꯥꯗꯦ ꯃꯔꯃꯗꯤ ꯏꯅꯐꯦꯛꯁꯅꯒꯤ ꯔꯤꯁ꯭ꯛ ꯑꯁꯤ ꯅꯦꯝꯃꯤ꯫

MRI-ꯑꯦꯁꯤꯁ꯭ꯇꯦꯟꯇ ꯄ꯭ꯔꯣꯁ꯭ꯇꯦꯠ ꯕꯥꯏꯑꯣꯞꯁꯤ ꯑꯃꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯀꯔꯤ ꯊꯣꯀꯏ?

ꯑꯍꯥꯅꯕꯗꯥ, ꯅꯍꯥꯛꯅꯥ ꯑꯦꯝ.ꯑꯥꯔ.ꯑꯥꯏ. ꯑꯦꯝ.ꯑꯥꯔ.ꯑꯥꯏ.ꯒꯤ ꯃꯅꯨꯡꯗꯥ, ꯅꯍꯥꯀꯄꯨ ꯑꯥꯏ.ꯚꯤ.ꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ (ꯅꯍꯥꯛꯀꯤ ꯚꯦꯅꯃꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ) ꯀꯟꯠꯔꯁ꯭ꯠ ꯗꯥꯏ ꯀꯧꯕꯥ ꯑꯈꯟꯅꯕꯥ ꯂꯤꯛꯌꯨꯏꯗ ꯑꯃꯥ ꯄꯤꯗꯨꯅꯥ ꯍꯦꯟꯅꯥ ꯃꯌꯦꯛ ꯁꯦꯡꯕꯥ ꯄꯤꯀꯆꯔꯁꯤꯡ ꯂꯧꯕꯥ ꯌꯥꯏ꯫ IV ꯊꯥꯕꯥ ꯃꯇꯃꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯈꯔꯥ ꯁꯣꯀꯄꯥ ꯌꯥꯏ꯫

ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ, ꯅꯍꯥꯛꯀꯤ IVꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯐ꯭ꯂꯨꯏꯗ ꯑꯗꯨꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯦꯂꯥꯔꯖꯤꯒꯤ ꯔꯤꯑꯦꯛꯁꯟ ꯂꯩꯕꯥ ꯌꯥꯏ꯫ ꯅꯍꯥꯛꯅꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛ (urticaria) ꯑꯃꯁꯨꯡ ꯁꯣꯛ-ꯄꯅꯕꯥ (angioedema) ꯂꯩꯕꯥ ꯌꯥꯏ, ꯅꯠꯠꯔꯒꯥ ꯅꯍꯥꯛꯅꯥ ꯋꯥꯈꯜ ꯇꯥꯗꯕꯥ ꯌꯥꯏ꯫ ꯍꯥꯌꯔꯤꯕꯥ ꯔꯤꯑꯦꯛꯁꯅꯁꯤꯡ ꯑꯁꯤ ꯑꯌꯥꯝꯕꯗꯤ IV ꯄꯤꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯊꯣꯀꯏ꯫ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯃꯁꯤ ꯈꯨꯗꯛꯇꯥ ꯂꯥꯏꯌꯦꯡꯕꯥ ꯌꯥꯏ꯫

ꯕꯥꯏꯑꯣꯞꯁꯤ ꯍꯥꯌꯕꯁꯤ ꯃꯍꯧꯁꯥꯅꯥ ꯗꯣꯛꯇꯔꯒꯤ ꯑꯣꯐꯤꯁ, ꯀ꯭ꯂꯤꯅꯤꯛ ꯅꯠꯠꯔꯒꯥ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯂꯗꯥ ꯄꯥꯡꯊꯣꯀꯄꯥ ꯑꯥꯎꯇꯄꯦꯁꯦꯟꯇ ꯄ꯭ꯔꯣꯁꯤꯗ꯭ꯌꯨꯑꯣꯔ ꯑꯃꯅꯤ꯫ ꯄ꯭ꯔꯣꯁ꯭ꯇꯦꯠ ꯑꯗꯨ ꯂꯩꯔꯤꯕꯥ ꯃꯐꯝ ꯑꯗꯨ ꯅꯨꯡꯉꯥꯏꯅꯥ ꯂꯩꯅꯕꯥ ꯂꯣꯀꯦꯜ ꯑꯦꯅꯥꯁ꯭ꯇꯦꯇꯤꯛ ꯑꯃꯥ ꯄꯤꯒꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯅꯍꯥꯀꯄꯨ ꯕꯥꯏꯑꯣꯞꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯃꯌꯥꯏ ꯑꯣꯏꯕꯥ ꯁꯦꯗꯦꯇꯤꯚ ꯑꯃꯥ ꯄꯤꯕꯥ ꯌꯥꯏ꯫ ꯅꯉꯅꯥ ꯅꯨꯃꯤꯠ ꯑꯗꯨꯃꯛꯇꯗꯥ ꯌꯨꯃꯗꯥ ꯆꯠꯀꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯀꯄꯨ ꯁꯦꯗꯦꯇꯤꯚ ꯑꯃꯥ ꯄꯤꯔꯛꯠꯔꯕꯗꯤ, ꯅꯍꯥꯀꯄꯨ ꯂꯧꯕꯥ ꯌꯥꯕꯥ ꯀꯅꯥꯒꯨꯝꯕꯥ ꯑꯃꯒꯤ ꯃꯊꯧ ꯇꯥꯗꯕꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯅꯍꯥꯛꯀꯥ ꯂꯣꯌꯅꯅꯥ ꯀꯅꯥꯒꯨꯝꯕꯥ ꯑꯃꯥ ꯂꯩꯕꯥ ꯑꯁꯤ ꯑꯐꯕꯥ ꯋꯥꯈꯜꯂꯣꯟ ꯑꯃꯅꯤ, ꯁꯨꯞꯅꯒꯤ ꯊꯧꯗꯣꯛ ꯑꯃꯈꯛꯇꯗꯥ꯫

ꯑꯌꯥꯝꯕꯥ ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯄ꯭ꯔꯣꯁ꯭ꯇꯦꯇꯀꯤ ꯇꯣꯉꯥꯟ-ꯇꯣꯉꯥꯅꯕꯥ ꯃꯐꯃꯁꯤꯡꯗꯒꯤ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯇꯤꯁꯨ ꯁꯦꯝꯄꯜ (ꯀꯣꯔ) 12ꯗꯒꯤ 16 ꯐꯥꯎꯕꯥ ꯂꯧꯏ꯫ ꯕꯥꯏꯑꯣꯞꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯄꯤꯀꯄꯥ ꯁꯦꯟꯁꯟ ꯑꯃꯥ ꯐꯥꯎꯕꯥ ꯌꯥꯏ꯫ ꯇꯦꯁ꯭ꯠ ꯑꯁꯤ ꯈꯔꯥ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯑꯣꯏꯔꯀꯄꯥ ꯌꯥꯏ, ꯑꯗꯨꯕꯨ ꯃꯁꯤ ꯑꯋꯥꯕꯥ ꯑꯣꯏꯔꯣꯏꯗꯕꯅꯤ꯫

ꯇ꯭ꯔꯥꯟꯁꯔꯦꯛꯇꯜ ꯑꯦꯝ.ꯑꯥꯔ.ꯑꯥꯏ.ꯅꯥ ꯒꯥꯏꯗ ꯇꯧꯕꯥ ꯄ꯭ꯔꯣꯁ꯭ꯇꯦꯠ ꯕꯥꯏꯑꯣꯞꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯀꯔꯤ ꯊꯣꯀꯏ?

ꯇ꯭ꯔꯥꯟꯁꯔꯦꯛꯇꯜ ꯕꯥꯏꯑꯣꯞꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ, ꯅꯍꯥꯛꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯅꯥꯀꯂꯗꯥ ꯂꯦꯡꯗꯅꯥ ꯂꯩꯔꯤ꯫ ꯑꯦꯀꯖꯥꯃꯤꯅꯦꯁꯅꯒꯤ ꯃꯇꯃꯗꯥ ꯗꯣꯛꯇꯔꯅꯥ:

• ꯂꯨꯕ꯭ꯔꯤꯀꯦꯟꯇ ꯑꯃꯥ ꯊꯥꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ, ꯕꯥꯏꯑꯣꯞꯁꯤ ꯇꯨꯜ ꯑꯗꯨ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯔꯦꯛꯇꯃꯗꯥ ꯊꯥꯏ꯫
• ꯕꯥꯏꯑꯣꯞꯁꯤ ꯏꯅꯁ꯭ꯠꯔꯨꯃꯦꯟꯇ ꯑꯗꯨꯗꯥ ꯒꯥꯏꯗꯂꯥꯏꯟ ꯁ꯭ꯂꯣꯠ ꯑꯃꯥ ꯁꯤꯖꯤꯟꯅꯗꯨꯅꯥ ꯂꯣꯀꯦꯜ ꯑꯦꯅꯥꯁ꯭ꯇꯦꯇꯤꯛ ꯄꯤꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯕꯥꯏꯑꯣꯞꯁꯤ ꯂꯧꯅꯕꯥ ꯅꯤꯗꯜ ꯑꯗꯨ ꯊꯥꯏ꯫
• ꯑꯍꯣꯡꯕꯥ ꯁꯣꯐ꯭ꯇꯋꯦꯌꯔ ꯑꯃꯁꯨꯡ ꯑꯦꯝ.ꯑꯥꯔ.ꯑꯥꯏ.ꯗꯒꯤ ꯂꯧꯕꯥ ꯏꯃꯦꯖꯁꯤꯡ ꯁꯤꯖꯤꯟꯅꯗꯨꯅꯥ ꯅꯤꯗꯜ ꯑꯗꯨ ꯒꯥꯏꯗ ꯇꯧꯏ ꯑꯃꯁꯨꯡ ꯇꯤꯁ꯭ꯌꯨ ꯁꯦꯝꯄꯂꯁꯤꯡ ꯂꯧꯏ꯫

ꯇ꯭ꯔꯥꯟꯁꯄꯦꯔꯤꯅꯦꯜ ꯑꯦꯝ.ꯑꯥꯔ.ꯑꯥꯏ.ꯅꯥ ꯒꯥꯏꯗ ꯇꯧꯔꯕꯥ ꯄ꯭ꯔꯣꯁ꯭ꯇꯦꯠ ꯕꯥꯏꯑꯣꯞꯁꯤ ꯑꯃꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯀꯔꯤ ꯊꯣꯀꯏ?

ꯄꯦꯔꯤꯅꯦꯜ ꯕꯥꯏꯑꯣꯞꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ, ꯅꯍꯥꯛꯅꯥ ꯈꯣꯡ ꯑꯗꯨ ꯁ꯭ꯇꯦꯔꯄꯁꯤꯡꯗꯥ ꯂꯦꯡꯗꯅꯥ ꯂꯩꯒꯅꯤ꯫ ꯑꯦꯀꯖꯥꯃꯤꯅꯦꯁꯟ ꯑꯗꯨꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯗꯣꯛꯇꯔ ꯑꯗꯨꯅꯥ:

• ꯑꯂꯠꯔꯥꯁꯥꯎꯟꯗ ꯄ꯭ꯔꯣꯕ ꯑꯃꯥ ꯅꯍꯥꯛꯀꯤ ꯔꯦꯛꯇꯃꯗꯥ ꯍꯥꯄꯆꯤꯜꯂꯤ꯫
• ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡ ꯑꯃꯁꯨꯡ ꯄ꯭ꯔꯣꯁ꯭ꯇꯦꯠ ꯑꯗꯨ ꯂꯣꯀꯦꯜ ꯑꯦꯅꯥꯁ꯭ꯇꯦꯇꯤꯛ ꯑꯃꯅꯥ ꯁꯣꯀꯍꯜꯂꯤ꯫
• ꯑꯍꯣꯡꯕꯥ ꯁꯣꯐ꯭ꯇꯋꯦꯌꯔ ꯑꯃꯁꯨꯡ ꯑꯦꯝ.ꯑꯥꯔ.ꯑꯥꯏ.ꯗꯒꯤ ꯂꯧꯕꯥ ꯏꯃꯦꯖꯁꯤꯡ ꯁꯤꯖꯤꯟꯅꯗꯨꯅꯥ ꯅꯤꯗꯜ ꯑꯗꯨ ꯒꯥꯏꯗ ꯇꯧꯏ ꯑꯃꯁꯨꯡ ꯇꯤꯁ꯭ꯌꯨ ꯁꯦꯝꯄꯂꯁꯤꯡ ꯂꯧꯏ꯫

MRI-ꯑꯦꯁꯤꯁ꯭ꯇꯦꯟꯇ ꯄ꯭ꯔꯣꯁ꯭ꯇꯦꯠ ꯕꯥꯏꯑꯣꯞꯁꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯀꯔꯤ ꯊꯣꯀꯏ?

ꯅꯍꯥꯛꯅꯥ ꯐꯒꯠꯂꯛꯂꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯁꯥꯏꯅꯁꯤꯡ ꯑꯗꯨ ꯑꯐꯕꯥ ꯐꯤꯚꯃꯗꯥ ꯂꯩꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ, ꯅꯍꯥꯛꯅꯥ ꯌꯨꯃꯗꯥ ꯆꯠꯄꯥ ꯌꯥꯏ꯫ ꯅꯍꯥꯛꯅꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯑꯁꯤ ꯊꯦꯡꯅꯔꯀꯄꯥ ꯌꯥꯏ:

• ꯅꯍꯥꯛꯅꯥ ꯇꯦꯁ꯭ꯠ ꯇꯧꯔꯤꯕꯥ ꯃꯐꯝ ꯑꯗꯨꯗꯒꯤ ꯏ ꯊꯣꯀꯄꯥ ꯈꯔꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯏ, ꯃꯗꯨꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯃꯌꯥꯏ ꯑꯣꯏꯕꯥ ꯑꯅꯥꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ .
• ꯏꯅꯐꯦꯛꯁꯟ ꯂꯩꯍꯟꯗꯅꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯦꯟꯇꯤꯕꯥꯏꯑꯣꯇꯤꯀꯁꯤꯡ ꯂꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯏ꯫
• ꯅꯍꯥꯛꯅꯥ ꯇꯦꯁ꯭ꯠ ꯇꯧꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯅꯨꯃꯤꯠ ꯈꯔꯅꯤꯒꯤ ꯑꯣꯏꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯌꯨꯔꯤꯅꯗꯥ ꯏꯒꯤ ꯆꯥꯡ (ꯍꯦꯃꯆꯨꯔꯤꯌꯥ) ꯅꯠꯠꯔꯒꯥ ꯅꯍꯥꯛꯀꯤ ꯁꯤꯃꯦꯟ (ꯍꯦꯃꯥꯇꯣꯁ꯭ꯄꯥꯔꯃꯤꯌꯥ)ꯗꯥ ꯏ ꯌꯥꯎꯕꯥ ꯎꯕꯥ ꯐꯪꯒꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯇ꯭ꯔꯥꯟꯁꯔꯦꯛꯇꯜ ꯄ꯭ꯔꯣꯁ꯭ꯇꯦꯠ ꯕꯥꯏꯑꯣꯞꯁꯤ ꯇꯧꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯔꯦꯛꯇꯃꯗꯥ ꯏꯒꯤ ꯆꯥꯡ ꯈꯔꯥ ꯂꯩꯕꯁꯨ ꯌꯥꯏ꯫

ꯕꯥꯏꯑꯣꯞꯁꯤꯒꯤ ꯔꯤꯖꯜꯇꯁꯤꯡ ꯑꯁꯤ ꯀꯗꯥꯏꯗꯥ ꯐꯪꯒꯅꯤ?

ꯗꯣꯛꯇꯔꯅꯥ ꯇꯤꯁ꯭ꯌꯨ ꯁꯦꯝꯄꯜ ꯑꯗꯨ ꯂꯦꯕ ꯑꯃꯗꯥ ꯊꯥꯏ꯫ ꯃꯁꯤꯒꯤ ꯐꯂꯁꯤꯡ ꯑꯁꯤ ꯐꯪꯕꯗꯥ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯅꯨꯃꯤꯠ ꯑꯃꯥ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯍꯦꯟꯅꯥ ꯁꯥꯡꯅꯥ ꯆꯪꯂꯝꯕꯥ ꯌꯥꯏ꯫

ꯕꯥꯏꯑꯣꯞꯁꯤꯒꯤ ꯔꯤꯖꯜꯇꯁꯤꯡꯅꯥ ꯀꯔꯤ ꯍꯥꯌꯔꯤꯕꯒꯦ?

ꯅꯍꯥꯛꯀꯤ ꯕꯥꯏꯑꯣꯞꯁꯤꯒꯤ ꯔꯤꯖꯜꯇꯁꯤꯡ ꯑꯁꯤ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯁꯤꯒꯨꯝꯅꯥ ꯎꯕꯥ ꯐꯪꯒꯅꯤ:

• ꯅꯦꯒꯦꯇꯤꯕ `(ꯅꯦꯒꯦꯇꯤꯕ)`: ꯱.ꯀꯦꯟꯁꯔ ꯁꯦꯜ ꯑꯃꯠꯇꯥ ꯂꯩꯇꯦ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯑꯔꯥꯅꯕꯥ-ꯅꯦꯒꯦꯇꯤꯚ ꯔꯤꯖꯜꯇ ꯑꯃꯥ ꯂꯥꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯅꯥ ꯇꯥꯀꯄꯗꯤ ꯇꯦꯁ꯭ꯠ ꯑꯗꯨꯅꯥ ꯎꯠꯂꯕꯁꯨ ꯅꯍꯥꯛꯅꯥ ꯀꯦꯟꯁꯔ ꯂꯩꯕꯥ ꯌꯥꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ PSA ꯂꯦꯚꯦꯜ ꯑꯗꯨ ꯋꯥꯡꯈꯠꯂꯕꯗꯤ ꯅꯠꯠꯔꯒꯥ ꯅꯍꯥꯛꯅꯥ ꯄ꯭ꯔꯣꯁ꯭ꯇꯦꯠ ꯀꯦꯟꯁꯔꯒꯤ ꯑꯇꯩ ꯈꯨꯗꯃꯁꯤꯡ ꯂꯩꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯊꯥ ꯈꯔꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯑꯇꯣꯞꯄꯥ ꯕꯥꯏꯑꯣꯞꯁꯤ ꯑꯃꯥ ꯑꯣꯔꯗꯔ ꯇꯧꯕꯥ ꯌꯥꯏ꯫
• ꯄꯣꯖꯤꯇꯤꯕ ꯑꯣꯏꯕꯥ : ꯀꯦꯟꯁꯔ ꯁꯦꯂꯁꯤꯡ ꯂꯩ꯫ ꯃꯁꯤꯅꯥ ꯇꯥꯀꯄꯗꯤ ꯅꯍꯥꯛꯅꯥ ꯄ꯭ꯔꯣꯁ꯭ꯇꯦꯠ ꯀꯦꯟꯁꯔ ꯂꯩꯔꯦ ꯍꯥꯌꯕꯅꯤ꯫ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯂꯥꯏꯌꯦꯡꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯌꯦꯡꯁꯤꯅꯕꯥ ꯑꯁꯤꯅꯆꯤꯡꯕꯥ ꯃꯊꯪꯗꯥ ꯀꯔꯤ ꯇꯧꯒꯗꯒꯦ ꯍꯥꯌꯕꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯅꯍꯥꯛꯀꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯒꯅꯤ꯫
• ꯆꯤꯡꯅꯕꯥ ꯂꯩꯕꯥ: ꯔꯤꯖꯜꯇꯁꯤꯡ ꯑꯁꯤ ꯑꯦꯕꯅꯣꯔꯃꯦꯜ ꯑꯣꯏ ꯑꯃꯁꯨꯡ ꯀꯦꯟꯁꯔ ꯂꯩ ꯍꯥꯌꯕꯁꯤ ꯁꯣꯌꯗꯅꯥ ꯈꯪꯗꯦ꯫ ꯗꯣꯛꯇꯔꯅꯥ ꯊꯥ ꯈꯔꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯃꯈꯥ ꯇꯥꯅꯥ ꯇꯦꯁ꯭ꯠ ꯇꯧꯅꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯇꯣꯞꯄꯥ ꯕꯥꯏꯑꯣꯞꯁꯤ ꯇꯧꯅꯕꯥ ꯄꯥꯎꯇꯥꯛ ꯄꯤꯕꯥ ꯌꯥꯏ꯫

ꯕꯥꯏꯑꯣꯞꯁꯤꯒꯤ ꯔꯤꯖꯜꯇꯁꯤꯡꯗꯒꯤ ꯄ꯭ꯔꯣꯁ꯭ꯇꯦꯠ ꯀꯦꯟꯁꯔꯒꯤ ꯁꯣꯀꯍꯜꯂꯀꯄꯒꯤ ꯆꯥꯡ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯂꯦꯄꯀꯅꯤ?

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯄꯦꯊꯣꯂꯣꯖꯤꯁ꯭ꯠ ꯑꯗꯨꯅꯥ ꯀꯦꯟꯁꯔ ꯁꯦꯂꯁꯤꯡ ꯐꯪꯂꯕꯗꯤ ꯃꯈꯣꯌꯅꯥ ꯃꯈꯣꯌꯕꯨ ꯀꯌꯥ ꯌꯥꯝꯅꯥ ꯑꯦꯕꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯕꯒꯦ ꯍꯥꯌꯕꯗꯨꯗꯥ ꯌꯨꯝꯐꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯒ꯭ꯔꯦꯗ ꯱ꯗꯒꯤ ꯵ ꯐꯥꯑꯣꯕꯥ ꯄꯤꯔꯤ꯫ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯃꯈꯣꯌꯅꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯋꯥꯡꯕꯥ ꯒ꯭ꯔꯦꯗ ꯑꯅꯤ ꯑꯗꯨ ꯄꯨꯟꯅꯥ ꯍꯥꯄꯆꯤꯟꯗꯨꯅꯥ ꯒ꯭ꯂꯤꯁꯟ ꯁ꯭ꯀꯣꯔ ꯑꯃꯥ (ꯃꯁꯤ ꯶ꯇꯒꯤ ꯱꯰ ꯐꯥꯑꯣꯕꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯂꯩ) ꯁꯦꯝꯃꯤ꯫ ꯁ꯭ꯀꯣꯔ ꯑꯁꯤ ꯐꯣꯡꯗꯣꯛꯅꯕꯒꯤ ꯑꯇꯣꯞꯄꯥ ꯃꯑꯣꯡ ꯑꯃꯗꯤ ꯒ꯭ꯔꯦꯗ ꯒ꯭ꯔꯨꯞ ꯁ꯭ꯀꯦꯜ (1ꯗꯒꯤ 5 ꯐꯥꯎꯕꯥ) ꯑꯁꯤꯅꯤ꯫

ꯑꯋꯥꯡꯕꯥ ꯒ꯭ꯔꯦꯗꯀꯤ ꯀꯦꯟꯁꯔꯁꯤꯡ (ꯒ꯭ꯔꯦꯗ ꯒ꯭ꯔꯨꯞ 5) ꯑꯁꯤ ꯂꯣꯌꯔꯕꯥ ꯒ꯭ꯔꯦꯗꯀꯤ ꯀꯦꯟꯁꯔꯁꯤꯡ (ꯒ꯭ꯔꯦꯗ ꯒ꯭ꯔꯨꯞ 1)ꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯑꯦꯒ꯭ꯔꯦꯁꯤꯚ ꯑꯃꯁꯨꯡ ꯁꯟꯗꯣꯀꯄꯥ (ꯃꯦꯇꯥꯁ꯭ꯇꯦꯖ) ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫ ꯒ꯭ꯔꯦꯗ ꯒ꯭ꯔꯨꯞ ꯑꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯕꯨ ꯅꯍꯥꯛꯀꯤꯗꯃꯛꯇꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯥ ꯂꯥꯏꯌꯦꯡ ꯈꯅꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫

ꯑꯩꯅꯥ ꯀꯗꯥꯌꯗꯥ ꯗꯣꯛꯇꯔꯒꯥ ꯎꯅꯒꯗꯒꯦ?

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯕꯥꯏꯑꯣꯞꯁꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯏꯅꯐꯦꯛꯁꯅꯒꯤ ꯈꯨꯗꯃꯁꯤꯡ, ꯂꯥꯏꯍꯧ ꯑꯃꯁꯨꯡ ꯆꯤꯀꯄꯥ ꯑꯁꯤꯅꯆꯤꯡꯕꯥ ꯂꯩꯔꯕꯗꯤ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯄꯥꯎ ꯐꯥꯎꯅꯒꯗꯕꯅꯤ꯫

ꯃꯁꯤꯗꯁꯨ ꯅꯠꯇꯅꯥ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯄ꯭ꯔꯣꯁ꯭ꯇꯦꯠ ꯀꯦꯟꯁꯔꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯅꯠꯠꯔꯒꯥ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯃꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯍꯦꯛꯇꯥ ꯂꯩꯔꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯇꯥꯟꯅꯒꯗꯕꯅꯤ:

• ꯅꯍꯥꯛꯀꯤ ꯌꯨꯔꯤꯟ ꯅꯠꯠꯔꯒꯥ ꯁꯦꯃꯦꯟꯗꯥ ꯏ ꯊꯣꯀꯄꯥ꯫
• ꯏꯔꯦꯛꯇꯥꯏꯜ ꯗꯤꯁꯐꯉ꯭ꯀꯁꯟ ꯂꯩꯕꯥ꯫
• ꯕꯣꯋꯦꯜ ꯃꯨꯚꯃꯦꯟꯇ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯥ ꯉꯃꯗꯕꯥ (Fecal (bowel) incontinence)꯫
• ꯑꯌꯨꯛ-ꯅꯨꯡꯊꯤꯂꯗꯥ ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯌꯨꯔꯤꯅꯔꯤ (nocturia)꯫
• ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯄꯥ (dysuria) ꯅꯠꯠꯔꯒꯥ ꯏ ꯊꯣꯀꯄꯥ꯫
• ꯌꯨꯔꯤꯅꯔꯤ ꯏꯅꯀꯟꯇꯤꯅꯦꯟꯁ, ꯌꯨꯔꯤꯟ ꯁ꯭ꯠꯔꯤꯝ ꯑꯃꯥ ꯁꯣꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯊꯤꯡꯖꯤꯅꯕꯥ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯀꯛꯅꯕꯥ ꯇꯦꯁ꯭ꯇꯁꯤꯡꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯄ꯭ꯔꯣꯁ꯭ꯇꯦꯠ ꯀꯦꯟꯁꯔ ꯂꯩꯔꯦ ꯍꯥꯌꯕꯥ ꯇꯥꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯄ꯭ꯔꯣꯁ꯭ꯇꯦꯠ ꯕꯥꯏꯑꯣꯞꯁꯤ ꯇꯧꯕꯥ ꯌꯥꯏ, ꯃꯗꯨ ꯑꯦꯝ.ꯑꯥꯔ.ꯑꯥꯏ. ꯑꯦꯝ.ꯑꯥꯔ.ꯑꯥꯏ.ꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯄ꯭ꯔꯣꯁ꯭ꯇꯦꯇꯇꯥ ꯆꯤꯡꯅꯕꯥ ꯂꯩꯕꯥ ꯃꯐꯃꯁꯤꯡ ꯊꯤꯕꯥ ꯑꯃꯁꯨꯡ ꯇꯥꯔꯒꯦꯠ ꯇꯧꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯐ꯭ꯌꯨꯖꯟ-ꯒꯥꯏꯗꯦꯗ ꯕꯥꯏꯑꯣꯞꯁꯤ ꯑꯃꯁꯨ ꯇꯧꯕꯥ ꯌꯥꯏ, ꯃꯗꯨꯗꯥ ꯑꯦꯝ.ꯑꯥꯔ.ꯑꯥꯏ. ꯀꯔꯤꯒꯨꯝꯕꯥ ꯕꯥꯏꯑꯣꯞꯁꯤꯒꯤ ꯔꯤꯖꯜꯇ ꯑꯗꯨꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯄ꯭ꯔꯣꯁ꯭ꯇꯦꯠ ꯀꯦꯟꯁꯔ ꯂꯩꯔꯦ ꯍꯥꯌꯕꯥ ꯀꯅꯐꯥꯔꯝ ꯇꯧꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯛꯀꯥ ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯑꯣꯄꯁꯅꯁꯤꯡꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯕꯥ ꯌꯥꯏ꯫

ꯇꯦꯛ-ꯍꯣꯝ ꯃꯦꯁꯦꯖ ꯇꯧꯕꯥ꯫

ꯑꯣꯀꯦ, ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯍꯧꯖꯤꯛꯇꯤ ꯅꯍꯥꯛꯅꯥ ꯑꯦꯝ.ꯑꯥꯔ.ꯑꯥꯏ.-ꯑꯦꯁꯤꯁ꯭ꯇꯦꯗ ꯄ꯭ꯔꯣꯁ꯭ꯇꯦꯠ ꯕꯥꯏꯑꯣꯞꯁꯤ ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ ꯍꯥꯌꯕꯒꯤ ꯍꯦꯟꯅꯥ ꯐꯕꯥ ꯋꯥꯈꯜꯂꯣꯟ ꯑꯃꯥ ꯂꯩꯔꯦ꯫ ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯋꯥꯍꯩ ꯑꯃꯥ ꯑꯣꯏꯅꯥ ꯁꯣꯜꯂꯤꯕꯁꯨ, ꯇꯁꯦꯡꯕꯗꯤ ꯃꯁꯤ ꯄ꯭ꯔꯣꯁ꯭ꯇꯦꯠ ꯀꯦꯟꯁꯔꯒꯨꯝꯕꯥ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ ꯉꯟꯅꯥ ꯈꯉꯗꯣꯀꯄꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯕꯥ ꯉꯝꯕꯥ ꯑꯍꯣꯡꯕꯥ ꯇꯦꯁ꯭ꯠ ꯑꯃꯅꯤ꯫

ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯋꯥꯐꯃꯗꯤ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯇꯦꯁ꯭ꯠ ꯑꯁꯤ ꯔꯤꯀꯃꯦꯟꯗ ꯇꯧꯔꯕꯗꯤ ꯅꯍꯥꯀꯄꯨ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯈꯪꯍꯅꯒꯗꯕꯅꯤ ꯑꯃꯁꯨꯡ ꯃꯁꯤꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯆꯠꯃꯤꯟꯅꯕꯗꯥ ꯂꯥꯡꯇꯛꯅꯔꯣꯏꯗꯕꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯋꯥꯈꯜ ꯆꯔꯥꯡꯅꯕꯥ ꯑꯃꯥ ꯂꯩꯔꯕꯗꯤ, ꯃꯗꯨꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯑꯃꯨꯛꯇꯪ ꯋꯥꯔꯤ ꯁꯥꯕꯤꯌꯨ꯫ ꯅꯤꯡꯁꯤꯡꯕꯤꯌꯨ, ꯉꯟꯅꯥ ꯈꯪꯗꯣꯀꯄꯥ ꯍꯥꯌꯕꯁꯤꯅꯥ ꯃꯥꯌꯄꯥꯛꯅꯥ ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯥ ꯄꯥꯝꯕꯩꯅꯤ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ PSA ꯂꯦꯚꯦꯜ ꯋꯥꯡꯈꯠꯂꯛꯂꯕꯗꯤ ꯅꯠꯠꯔꯒꯥ ꯑꯇꯩ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯂꯩꯔꯕꯗꯤ, ꯃꯗꯨ ꯌꯦꯡꯁꯤꯅꯕꯤꯒꯅꯨ꯫ ꯄꯥꯎꯇꯥꯛ ꯂꯧꯅꯕꯒꯤꯗꯃꯛ ꯈꯨꯗꯛꯇꯥ ꯗꯣꯛꯇꯔ ꯑꯃꯒꯥ ꯇꯥꯟꯅꯧ꯫ ꯑꯩꯈꯣꯌ ꯄꯨꯝꯅꯃꯛ ꯍꯀꯆꯥꯡ ꯐꯕꯥ ꯄꯨꯟꯁꯤ ꯑꯃꯥ ꯍꯤꯡꯕꯥ ꯉꯃꯒꯅꯤ!

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