ꯑꯋꯥꯕꯥ ꯌꯥꯝꯅꯥ ꯋꯥꯅꯥ ꯑꯀꯤꯕꯥ ꯂꯩꯕꯥ: ꯑꯩꯈꯣꯌꯅꯥ ꯑꯦꯂꯒꯣꯐꯣꯕꯤꯌꯥꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯒꯗ꯭ꯔꯥ?

ꯀꯅꯥꯒꯨꯝꯕꯥ ꯑꯃꯅꯥ ꯏꯅꯖꯦꯀꯁꯟ ꯑꯃꯥ ꯂꯧꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯑꯁꯨꯛ ꯌꯥꯝꯅꯥ ꯋꯥꯅꯥ ꯊꯣꯀꯄꯥ ꯎꯕꯥ ꯐꯪꯂꯕ꯭ꯔꯥ? ꯅꯠꯔꯒꯥ ꯑꯄꯤꯀꯄꯥ ꯀꯣꯛ ꯆꯤꯀꯄꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯅꯥ ꯌꯨꯃꯗꯒꯤ ꯊꯣꯔꯀꯄꯥ ꯐꯥꯑꯣꯕꯥ ꯌꯥꯝꯅꯥ ꯂꯥꯡꯇꯛꯅꯔꯤꯕꯔꯥ? ꯑꯩꯈꯣꯌꯒꯤ ꯃꯔꯛꯇꯒꯤ ꯀꯅꯥ ꯑꯃꯠꯇꯅꯥ ꯑꯋꯥꯕꯥ ꯄꯥꯃꯗꯦ꯫ ꯃꯗꯨ ꯅꯣꯔꯃꯦꯂꯅꯤ꯫ ꯑꯗꯨꯕꯨ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯑꯅꯥꯕꯒꯤ ꯑꯀꯤꯕꯥ ꯑꯁꯤ ꯅꯣꯔꯃꯦꯜ ꯂꯤꯃꯤꯠꯇꯒꯤ ꯍꯦꯟꯅꯥ ꯋꯥꯡꯏ꯫ ꯍꯥꯌꯕꯗꯤ ꯑꯅꯥꯕꯒꯤ ꯋꯥꯈꯜ ꯈꯛꯇꯅꯥ ꯑꯆꯧꯕꯥ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ, ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯋꯥꯈꯂꯒꯤ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯊꯣꯀꯍꯜꯂꯤ꯫ ꯃꯗꯨ ꯑꯩꯈꯣꯌꯅꯥ ꯃꯦꯗꯤꯁꯤꯅꯗꯥ ꯑꯦꯂꯒꯣꯐꯣꯕꯤꯌꯥ ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫

ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯑꯦꯂꯒꯣꯐꯣꯕꯤꯌꯥ ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ?

ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯑꯦꯂꯒꯣꯐꯣꯕꯤꯌꯥ ꯍꯥꯌꯕꯁꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯑꯁꯣꯛ-ꯑꯄꯅꯒꯤ ꯑꯀꯅꯕꯥ, ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯕꯥ ꯑꯀꯤꯕꯥ ꯑꯃꯅꯤ꯫ ꯃꯁꯤ ꯏꯆꯝ ꯆꯝꯕꯥ ꯋꯥꯈꯜ ꯑꯃꯈꯛꯇꯅꯤ, "ꯑꯣꯍ, ꯃꯗꯨ ꯑꯋꯥꯕꯥ ꯑꯣꯏꯒꯅꯤ"꯫ ꯃꯁꯤꯗꯒꯤ ꯌꯥꯝꯅꯥ ꯍꯦꯟꯅꯥ ꯂꯨꯝꯃꯤ꯫ ꯃꯁꯤꯒꯤ ꯑꯀꯤꯕꯥ ꯑꯁꯤ ꯑꯁꯨꯛ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ ꯃꯗꯨꯗꯤ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯈꯛꯇꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ, ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯐꯥꯎꯍꯅꯕꯥ ꯌꯥꯏ꯫

ꯈꯟꯊꯕꯤꯌꯨ, ꯂꯝꯕꯤꯗꯥ ꯆꯠꯂꯤꯉꯩꯗꯥ ꯈꯉꯍꯧꯗꯅꯥ ꯅꯣꯡꯁꯥ ꯑꯃꯥ ꯎꯔꯕꯗꯤ ꯂꯥꯡꯇꯛꯅꯕꯥ ꯄꯣꯀꯄꯥ ꯑꯁꯤ ꯅꯣꯔꯃꯦꯂꯅꯤ, ꯅꯠꯇꯦ? ꯑꯗꯨꯒꯨꯝꯕꯥ ꯑꯀꯤꯕꯥ ꯑꯗꯨꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯈꯨꯗꯣꯡꯊꯤꯕꯥ ꯊꯣꯀꯍꯟꯗꯅꯕꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫ ꯑꯗꯨꯕꯨ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯔꯝ ꯑꯃꯠꯇꯥ ꯂꯩꯇꯅꯥ ꯑꯀꯤꯕꯥ ꯄꯣꯀꯍꯟꯗꯨꯅꯥ ꯍꯤꯡꯂꯕꯗꯤ, ꯃꯐꯝ ꯈꯨꯗꯤꯡꯗꯥ ꯅꯣꯡꯁꯥꯁꯤꯡ ꯂꯩꯔꯤ ꯍꯥꯌꯅꯥ ꯈꯟꯗꯨꯅꯥ ꯂꯩꯔꯕꯗꯤ ꯃꯗꯨ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯑꯃꯅꯤ꯫ ꯑꯦꯂꯒꯣꯐꯣꯕꯤꯌꯥ ꯑꯁꯤ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯋꯥꯐꯝ ꯑꯃꯅꯤ꯫ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯕ꯭ꯔꯦꯅꯅꯥ ꯑꯩꯈꯣꯌꯕꯨ ꯑꯅꯥꯕꯗꯒꯤ ꯉꯥꯀꯊꯣꯛꯅꯕꯥ ꯁꯦꯃꯒꯠꯄꯥ ꯗꯤꯐꯦꯟꯁ ꯃꯦꯀꯥꯅꯤꯖꯝ ꯑꯗꯨꯅꯥ ꯈꯔꯥ ꯍꯦꯟꯅꯥ ꯀꯟꯅꯥ ꯊꯕꯛ ꯇꯧꯕꯥ ꯍꯧꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯊꯣꯀꯏ꯫

ꯑꯉꯀꯄꯥ ꯑꯣꯏꯅꯥ, ꯑꯦꯂꯒꯣꯐꯣꯕꯤꯌꯥꯒꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯅꯥꯕꯒꯤ ꯁꯦꯟꯁꯤꯇꯤꯚꯤꯇꯤꯁꯨ ꯍꯦꯅꯒꯠꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯃꯇꯝ ꯁꯥꯡꯅꯥ, ꯀ꯭ꯔꯣꯅꯤꯛ ꯄꯦꯟ ꯁꯤꯟꯗ꯭ꯔꯣꯃꯁꯤꯡꯅꯥ ꯅꯥꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯗꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯀꯃꯟ ꯑꯣꯏ꯫ ꯈꯔꯅꯥ ꯃꯁꯤꯕꯨ "ꯄꯦꯅꯒꯥ ꯃꯔꯤ ꯂꯩꯅꯕꯥ ꯑꯀꯤꯕꯥ" ꯅꯠꯠꯔꯒꯥ "ꯄꯦꯟ ꯑꯦꯟꯁꯤꯇꯤ" ꯍꯥꯌꯅꯥꯁꯨ ꯀꯧꯏ꯫

ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯀꯌꯥꯝ ꯀꯃꯟ ꯑꯣꯏꯕꯒꯦ?

ꯃꯁꯤ ꯅꯍꯥꯛꯅꯥ ꯈꯜꯂꯤꯕꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯀꯃꯟ ꯑꯣꯏ, ꯃꯔꯨꯑꯣꯏꯅꯥ ꯀ꯭ꯔꯣꯅꯤꯛ ꯄꯦꯏꯅꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯍꯤꯡꯂꯤꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯒꯤ ꯃꯔꯛꯇꯥ꯫ ꯊꯤꯖꯤꯅꯕꯒꯤ ꯊꯕꯛ ꯑꯃꯅꯥ ꯀ꯭ꯔꯣꯅꯤꯛ ꯕꯦꯛ ꯄꯦꯟ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯒꯤ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯁꯔꯨꯛ ꯑꯍꯨꯝ ꯊꯣꯀꯄꯒꯤ ꯑꯃꯗꯤ ꯃꯈꯣꯌꯒꯤ ꯑꯅꯥꯕꯒꯤ ꯑꯀꯤꯕꯥ ꯌꯥꯝꯅꯥ ꯂꯩ ꯍꯥꯌꯅꯥ ꯊꯤꯖꯤꯅꯕꯒꯤ ꯊꯕꯛ ꯑꯃꯅꯥ ꯐꯣꯉꯗꯣꯀꯈꯤ꯫ ꯍꯥꯌꯕꯗꯤ ꯀꯣꯛ ꯆꯤꯀꯄꯥ ꯃꯤꯑꯣꯏ ꯱꯰ꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯃꯉꯥꯗꯤ ꯑꯅꯥꯕꯥ ꯑꯁꯤꯒꯤ ꯑꯀꯤꯕꯥ ꯌꯥꯝꯅꯥ ꯂꯩ꯫

ꯃꯥꯂꯦꯝ ꯁꯤꯅꯕꯥ ꯊꯨꯡꯅꯥ, ꯃꯤꯑꯣꯏ 20%ꯗꯒꯤ 50% ꯐꯥꯎꯕꯗꯤ ꯀ꯭ꯔꯣꯅꯤꯛ ꯄꯦꯏꯟ ꯃꯈꯜ ꯑꯃꯍꯦꯛꯇꯅꯥ ꯅꯥꯔꯤ꯫ ꯑꯃꯁꯨꯡ ꯀ꯭ꯔꯣꯅꯤꯛ ꯄꯦꯏꯟ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ 67% ꯅꯠꯠꯔꯒꯥ ꯑꯍꯨꯃꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯑꯅꯤꯗꯤ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯒꯨꯝꯕꯥ ꯃꯦꯟꯇꯦꯜ ꯍꯦꯂꯊ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯑꯃꯁꯨ ꯂꯩ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯑꯅꯤꯁꯤꯒꯤ ꯃꯔꯛꯇꯥ ꯑꯆꯧꯕꯥ ꯃꯔꯤ ꯑꯃꯥ ꯂꯩ ꯍꯥꯌꯕꯁꯤ ꯃꯌꯦꯛ ꯁꯦꯡꯏ꯫

ꯃꯁꯤ ꯀꯔꯤꯒꯤ ꯊꯣꯛꯂꯤꯕꯅꯣ? ꯃꯔꯃꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?

ꯃꯁꯤꯒꯤ ꯃꯔꯝ ꯑꯃꯈꯛꯇꯃꯛ ꯊꯤꯖꯤꯅꯕꯥ ꯑꯁꯤ ꯑꯔꯨꯕꯥ ꯑꯃꯅꯤ, ꯑꯗꯨꯕꯨ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯋꯥꯐꯝ ꯈꯔꯗꯤ ꯂꯩ꯫

ꯑꯩꯈꯣꯌꯒꯤ ꯕ꯭ꯔꯦꯟ ꯑꯁꯤ ꯑꯩꯈꯣꯌꯕꯨ ꯈꯨꯗꯣꯡꯊꯤꯕꯥ ꯊꯣꯀꯍꯟꯗꯅꯕꯥ ꯁꯦꯃꯈꯤꯕꯅꯤ꯫ ꯈꯉꯍꯧꯗꯅꯥ ꯑꯀꯤꯕꯥ ꯑꯃꯁꯨꯡ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯑꯁꯤ ꯗꯤꯐꯦꯟꯁ ꯁꯤꯁ꯭ꯇꯦꯝ ꯑꯗꯨꯒꯤ ꯁꯔꯨꯛ ꯑꯃꯅꯤ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯃꯤꯑꯣꯏꯕꯅꯥ ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯀ꯭ꯔꯣꯅꯤꯛ ꯄꯦꯅꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯍꯤꯡꯕꯥ ꯃꯇꯃꯗꯥ, ꯗꯤꯐꯦꯟꯁ ꯁꯤꯁ꯭ꯇꯦꯝ ꯑꯁꯤ ꯑꯣꯚꯔꯑꯦꯛꯇꯤꯚ ꯑꯣꯏꯔꯀꯏ꯫ ꯃꯈꯣꯌꯅꯥ ꯑꯅꯥꯕꯥ ꯑꯗꯨ ꯍꯦꯅꯒꯠꯂꯛꯀꯅꯤ ꯑꯃꯁꯨꯡ ꯀꯟꯗꯤꯁꯟ ꯑꯗꯨ ꯍꯦꯟꯅꯥ ꯐꯠꯆꯤꯜꯂꯛꯀꯅꯤ ꯍꯥꯌꯅꯥ ꯈꯟꯗꯨꯅꯥ, ꯑꯀꯛꯅꯕꯥ ꯊꯕꯛ-ꯊꯧꯔꯃꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯐꯤꯚꯃꯁꯤꯡꯗꯒꯤ ꯂꯥꯞꯅꯥ ꯂꯩꯕꯥ ꯍꯧꯏ꯫

ꯑꯇꯣꯞꯄꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯋꯥꯐꯝ ꯑꯃꯅꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯕ꯭ꯔꯦꯅꯗꯥ ꯂꯩꯔꯤꯕꯥ ꯑꯀꯤꯕꯥ ꯑꯃꯁꯨꯡ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯔꯤꯕꯥ ꯀꯦꯃꯤꯀꯦꯂꯁꯤꯡ (ꯅ꯭ꯌꯨꯔꯣꯠꯔꯥꯟꯁꯃꯤꯇꯔꯁꯤꯡ) ꯑꯃꯁꯨꯡ ꯑꯅꯥꯕꯒꯤ ꯋꯥꯈꯜꯂꯣꯟ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯔꯤꯕꯥ ꯀꯦꯃꯤꯀꯦꯂꯁꯤꯡꯒꯤ ꯃꯔꯛꯇꯥ ꯑꯆꯦꯠꯄꯥ ꯃꯔꯤ ꯑꯃꯥ ꯂꯩꯔꯤ . ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯀꯦꯃꯤꯀꯦꯂꯁꯤꯡ ꯑꯁꯤꯗꯥ ꯏꯃꯕꯦꯂꯦꯟꯁ ꯂꯩꯔꯕꯗꯤ, ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯑꯅꯤ ꯑꯁꯤ ꯄꯨꯟꯅꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫

ꯀꯅꯥꯅꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯔꯤꯁ꯭ꯛ ꯂꯩꯕꯒꯦ?

ꯀꯅꯥꯒꯨꯝꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯗꯥ ꯑꯦꯂꯒꯣꯐꯣꯕꯤꯌꯥ ꯂꯥꯀꯄꯥ ꯌꯥꯏ ꯑꯗꯨꯕꯨ ꯃꯁꯤ ꯃꯔꯨꯑꯣꯏꯅꯥ ꯀ꯭ꯔꯣꯅꯤꯛ ꯄꯦꯏꯟ ꯀꯟꯗꯤꯁꯅꯁꯤꯡꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯍꯤꯡꯂꯤꯕꯥ ꯑꯍꯜ ꯑꯣꯏꯔꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯗꯥ ꯌꯥꯝꯅꯥ ꯀꯃꯟ ꯑꯣꯏ꯫ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯀ꯭ꯔꯣꯅꯤꯛ ꯄꯦꯅꯒꯤ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯃꯈꯜ ꯈꯔꯗꯤ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤ:

• ꯀꯦꯟꯁꯔꯒꯥ ꯃꯔꯤ ꯂꯩꯅꯕꯥ ꯑꯅꯥꯕꯥ: ꯀꯦꯟꯁꯔ ꯅꯠꯠꯔꯒꯥ ꯃꯁꯤꯒꯤ ꯂꯥꯏꯌꯦꯡꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯑꯅꯥꯕꯥ꯫
• ꯍꯦꯗ-ꯑꯦꯛ: ꯃꯥꯏꯒ꯭ꯔꯦꯅꯒꯨꯝꯕꯥ ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯍꯦꯗ-ꯑꯦꯛ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ꯫
• ꯏꯅꯐ꯭ꯂꯦꯃꯦꯇꯔꯤ ꯄꯦꯏꯟ (inflammatory pain): ꯏꯅꯐꯦꯛꯁꯅꯁꯤꯡ ꯅꯠꯠꯔꯒꯥ ꯑꯔꯊ꯭ꯔꯥꯏꯇꯤꯁꯒꯨꯝꯕꯥ ꯑꯣꯇꯣꯏꯝꯌꯨꯟ ꯂꯥꯌꯅꯥꯁꯤꯡꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯑꯅꯥꯕꯥ꯫
• ꯃꯁꯜ ꯁꯣꯟꯊꯕꯥ (Musculoskeletal pain): ꯀꯣꯛ ꯆꯤꯀꯄꯥ, ꯈꯨꯎꯒꯤ ꯑꯅꯥꯕꯥ, ꯑꯃꯁꯨꯡ ꯈꯣꯡꯗꯥ ꯑꯅꯥꯕꯥ ꯑꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯂꯩꯕꯥꯛ ꯑꯁꯤꯗꯥ ꯃꯤꯑꯣꯏ ꯀꯌꯥꯒꯤ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯁꯃꯁ꯭ꯌꯥꯁꯤꯡꯅꯤ꯫
• ꯅ꯭ꯌꯨꯔꯣꯖꯦꯅꯤꯛ ꯄꯦꯏꯟ: ꯗꯥꯏꯑꯦꯕꯦꯇꯤꯖ ꯅꯠꯠꯔꯒꯥ ꯑꯇꯩ ꯅ꯭ꯌꯨꯔꯣꯂꯣꯖꯤꯀꯦꯜ ꯗꯤꯖꯤꯖꯁꯤꯡꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯅꯔꯚꯁꯤꯡꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯑꯅꯥꯕꯥ꯫
• ꯅꯣꯁꯤꯁꯦꯄꯇꯤꯚ ꯄꯦꯏꯟ (Nociceptive pain): ꯑꯁꯣꯛ-ꯑꯄꯟ ꯑꯃꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯑꯅꯥꯕꯥ, ꯍꯥꯌꯕꯗꯤ ꯁꯣꯛ-ꯄꯅꯕꯥ, ꯃꯩꯅꯥ ꯆꯥꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯁꯣꯀꯄꯥ꯫
• ꯁꯥꯏꯀꯣꯖꯦꯅꯤꯛ ꯄꯦꯏꯟ (psychogenic pain): ꯐꯤꯖꯤꯀꯦꯜ ꯃꯔꯃꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯁꯥꯏꯀꯣꯂꯣꯖꯤꯀꯦꯜ ꯁ꯭ꯠꯔꯦꯁꯒꯨꯝꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯍꯦꯟꯅꯥ ꯁꯣꯀꯍꯜꯂꯀꯄꯥ ꯑꯅꯥꯕꯥ꯫

ꯑꯦꯂꯒꯣꯐꯣꯕꯤꯌꯥꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯤꯅꯣ?

ꯑꯦꯂꯒꯣꯐꯣꯕꯤꯌꯥꯅꯥ ꯅꯥꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯅꯥ ꯑꯅꯥꯕꯥ ꯑꯃꯁꯨꯡ ꯑꯀꯤꯕꯒꯤ ꯆꯌꯣꯜ ꯑꯃꯗꯥ ꯊꯨꯒꯥꯌꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯒꯤ ꯁꯥꯏꯀꯜ ꯑꯁꯤꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯁ꯭ꯇꯦꯖ ꯑꯍꯨꯝ ꯂꯩ꯫

ꯄꯦꯅꯤꯛ ꯑꯦꯇꯦꯀꯁꯤꯡ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯑꯦꯂꯒꯣꯐꯣꯕꯤꯌꯥꯅꯥ ꯅꯥꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯅꯥ ꯑꯅꯥꯕꯒꯤ ꯃꯔꯃꯗꯥ ꯈꯟꯊꯕꯈꯛꯇꯗꯥ ꯄꯦꯅꯤꯛ ꯑꯦꯇꯦꯛ ꯑꯃꯥ ꯂꯥꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯇꯝ ꯑꯗꯨꯗꯥ ꯃꯈꯣꯌꯅꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯊꯦꯡꯅꯔꯀꯄꯥ ꯌꯥꯏ:

• ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡ ꯑꯗꯨ ꯅꯣꯡꯃꯩ ꯀꯥꯞꯄꯥ ꯉꯃꯗꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯐꯥꯎꯕꯥ꯫
• ꯃꯤꯠ ꯎꯗꯕꯥ ꯑꯃꯁꯨꯡ ꯃꯀꯣꯛ ꯊꯣꯡꯕꯥ ꯐꯥꯎꯕꯥ꯫
• ꯌꯥꯝꯅꯥ ꯋꯥꯅꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ (hyperhydrosis)꯫
• ꯈꯣꯡꯗꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯅꯠꯠꯔꯒꯥ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯁꯟ (dispepsia) ꯂꯩꯕꯥ꯫
• ꯅꯍꯥꯛꯀꯤ ꯍꯥꯔꯠ ꯑꯗꯨ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯌꯥꯡꯅꯥ ꯆꯦꯜꯂꯤ (hart palpitations) ꯍꯥꯌꯅꯥ ꯐꯥꯎꯕꯥ꯫
• ꯀꯣꯛ ꯉꯥꯎꯕ.
• ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ (dispnea) ꯐꯥꯎꯕꯥ꯫
• ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡ ꯑꯗꯨ ꯁꯣꯟꯊꯔꯀꯄꯒꯨꯝꯅꯥ ꯐꯥꯎꯕꯥ꯫

ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯈꯪꯗꯣꯛꯀꯅꯤ?

ꯑꯦꯂꯒꯣꯐꯣꯕꯤꯌꯥ ꯑꯁꯤ ꯇꯁꯦꯡꯅꯥ ꯈꯪꯗꯣꯀꯄꯗꯥ ꯈꯔꯥ ꯍꯦꯟꯅꯥ ꯂꯨꯝꯃꯤ, ꯃꯔꯨꯑꯣꯏꯅꯥ ꯀ꯭ꯔꯣꯅꯤꯛ ꯄꯦꯏꯟ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯗꯥ꯫ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯅꯥꯕꯒꯤ ꯑꯀꯤꯕꯥ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯅꯥ ꯊꯦꯡꯅꯔꯤꯕꯥ ꯇꯁꯦꯡꯕꯥ ꯍꯀꯆꯥꯡꯒꯤ ꯑꯋꯥꯕꯥ ꯑꯗꯨꯒꯤ ꯃꯔꯛꯇꯥ ꯈꯦꯠꯅꯕꯥ ꯊꯝꯅꯕꯥ ꯍꯣꯠꯅꯒꯅꯤ꯫

ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯅꯥꯕꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯌꯥꯔꯤꯕꯃꯈꯩ ꯑꯀꯨꯞꯄꯥ ꯃꯔꯣꯂꯁꯤꯡ ꯈꯪꯍꯅꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫

• ꯀꯌꯥ ꯌꯥꯝꯅꯥ ꯑꯋꯥꯕꯥ ꯄꯤꯕꯒꯦ?
• ꯑꯋꯥꯕꯥ ꯑꯁꯤ ꯀꯌꯥ ꯀꯨꯏꯅꯥ ꯂꯩꯔꯛꯂꯤꯕꯅꯣ?
• ꯑꯅꯥꯕꯥ ꯑꯁꯤ ꯀꯌꯥꯝ ꯀꯨꯏꯅꯥ ꯊꯣꯛꯀꯗꯒꯦ?

ꯅꯍꯥꯛꯅꯥ ꯗꯣꯛꯇꯔꯗꯥ ꯑꯅꯥꯕꯥ ꯑꯗꯨꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯐꯤꯚꯃꯁꯤꯡ (ꯑꯀꯤꯕꯥ, ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ) ꯑꯗꯨꯁꯨ ꯈꯪꯍꯅꯒꯗꯕꯅꯤ꯫

ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯦꯂꯒꯣꯐꯣꯕꯤꯌꯥꯒꯤ ꯃꯑꯣꯡ-ꯃꯇꯧ ꯑꯗꯨ ꯌꯦꯡꯁꯤꯟꯅꯕꯥ ꯄꯦꯟ ꯑꯦꯟꯁꯤꯇꯤ ꯁꯤꯝꯄꯇꯝ ꯁ꯭ꯀꯦꯜ (PASS) ꯀꯧꯕꯥ ꯇꯦꯁ꯭ꯠ ꯑꯃꯥ ꯁꯤꯖꯤꯟꯅꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯅꯥ ꯅꯍꯥꯀꯄꯨ "ꯑꯩꯅꯥ ꯑꯋꯥꯕꯥ ꯇꯥꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯑꯩꯅꯥ ꯃꯌꯦꯛ ꯁꯦꯡꯅꯥ ꯈꯅꯕꯥ ꯉꯃꯗꯦ" ꯅꯠꯠꯔꯒꯥ "ꯑꯩꯅꯥ ꯑꯋꯥꯕꯥ ꯇꯥꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯐꯥꯑꯣꯏ" ꯍꯥꯌꯕꯥ ꯋꯥꯐꯃꯁꯤꯡꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯌꯥꯅꯕꯥ ꯄꯨꯔꯀꯄꯒꯤ ꯊꯥꯛ ꯑꯗꯨ ꯰ (ꯀꯩꯗꯧꯉꯩꯗꯥ)ꯗꯒꯤ ꯵ (ꯃꯇꯝ ꯄꯨꯝꯕꯗꯥ) ꯐꯥꯑꯣꯕꯒꯤ ꯁ꯭ꯀꯦꯂꯗꯥ ꯔꯦꯠ ꯇꯧꯅꯕꯥ ꯍꯥꯌꯔꯤ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯑꯁꯤ ꯅꯍꯥꯛꯀꯤꯗꯃꯛꯇꯥ ꯆꯠꯅꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯑꯦꯂꯒꯣꯐꯣꯕꯤꯌꯥ ꯂꯩꯔꯦ ꯍꯥꯌꯅꯥ ꯂꯧꯕꯥ ꯌꯥꯏ:

• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯀꯛꯅꯕꯥ ꯊꯕꯛ-ꯊꯧꯔꯃꯁꯤꯡ ꯅꯠꯠꯔꯒꯥ ꯐꯤꯚꯃꯁꯤꯡꯗꯒꯤ ꯂꯥꯞꯅꯥ ꯂꯩꯔꯕꯗꯤ ꯃꯈꯣꯌꯅꯥ ꯑꯋꯥꯕꯥ ꯄꯤꯒꯅꯤ ꯍꯥꯌꯅꯥ ꯈꯜꯂꯕꯗꯤ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯁꯣꯛ-ꯑꯄꯅꯒꯤ ꯃꯔꯃꯗꯥ ꯈꯟꯗꯨꯅꯥ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯑꯀꯤꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯐꯥꯎꯔꯕꯗꯤ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯊꯥ 6ꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯑꯅꯥꯕꯒꯤ ꯑꯀꯤꯕꯥ ꯑꯁꯤ ꯂꯩꯔꯕꯗꯤ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯀꯤꯕꯥ ꯑꯁꯤꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯄꯨꯟꯁꯤꯒꯤ ꯃꯒꯨꯟ ꯍꯟꯊꯔꯛꯂꯕꯗꯤ꯫

ꯃꯁꯤ ꯀꯔꯝꯅꯥ ꯂꯥꯌꯦꯡꯒꯅꯤ ꯑꯃꯁꯨꯡ ꯃꯦꯅꯦꯖ ꯇꯧꯒꯅꯤ?

ꯑꯅꯥꯕꯒꯥ ꯃꯔꯤ ꯂꯩꯅꯕꯥ ꯑꯀꯤꯕꯥ ꯑꯁꯤꯒꯤ ꯂꯥꯏꯌꯦꯡ ꯂꯩꯔꯤ꯫ ꯃꯍꯧꯁꯥꯅꯥ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯂꯥꯏꯌꯦꯡꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯃꯗꯒꯤ ꯍꯦꯅꯕꯥ ꯔꯤꯀꯃꯦꯟꯗ ꯇꯧꯕꯥ ꯌꯥꯏ:

ꯃꯁꯤꯒꯤ ꯐꯤꯚꯝ ꯑꯁꯤ ꯊꯤꯡꯕꯥ ꯉꯃꯒꯗ꯭ꯔꯥ?

ꯑꯦꯂꯒꯣꯐꯣꯕꯤꯌꯥ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯊꯤꯡꯅꯕꯒꯤ ꯄꯥꯝꯕꯩ ꯂꯩꯇꯦ꯫ ꯑꯗꯨꯕꯨ ꯅꯍꯥꯛꯀꯤ ꯄꯦꯟ ꯑꯦꯟꯁꯤꯇꯤ ꯑꯃꯁꯨꯡ ꯀ꯭ꯔꯣꯅꯤꯛ ꯄꯦꯅꯒꯤ ꯔꯤꯁ꯭ꯛ ꯍꯟꯊꯍꯟꯅꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯇꯧꯕꯥ ꯌꯥꯕꯥ ꯊꯕꯛ ꯈꯔꯗꯤ ꯂꯩ:

• ꯋꯥꯈꯜ ꯆꯔꯥꯡꯅꯕꯥ ꯍꯦꯅꯒꯠꯍꯅꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡꯗꯒꯤ ꯂꯥꯞꯅꯥ ꯂꯩꯌꯨ: ꯀꯦꯐꯤꯟ (ꯀꯣꯐꯤ, ꯆꯥ), ꯗ꯭ꯔꯒ ꯑꯃꯁꯨꯡ ꯌꯨꯒꯨꯝꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯍꯦꯅꯒꯠꯍꯅꯕꯥ ꯌꯥꯏ꯫
• ꯍꯀꯁꯦꯜ ꯐꯕꯥ ꯄꯨꯟꯁꯤ ꯃꯍꯤꯡ ꯑꯃꯥ ꯊꯝꯃꯨ: ꯃꯩꯈꯨ ꯊꯥꯗꯣꯀꯄꯥ, ꯐꯖꯅꯥ ꯇꯨꯝꯕꯥ, ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯇꯧꯕꯥ ꯑꯃꯁꯨꯡ ꯆꯥꯡ ꯃꯥꯟꯅꯕꯥ ꯗꯥꯏꯠ ꯆꯥꯕꯥ꯫
• ꯅꯍꯥꯛꯀꯤ ꯑꯀꯤꯕꯥ ꯑꯃꯁꯨꯡ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯑꯗꯨ ꯁꯦꯌꯔ ꯇꯧꯕꯤꯌꯨ: ꯅꯍꯥꯛꯀꯤ ꯏꯃꯨꯡ-ꯃꯅꯨꯡ, ꯃꯔꯨꯞ-ꯃꯄꯥꯡꯁꯤꯡ ꯅꯠꯠꯔꯒꯥ ꯅꯍꯥꯛꯅꯥ ꯊꯥꯖꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯒꯥ ꯅꯍꯥꯛꯀꯤ ꯐꯤꯚꯃꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯕꯤꯌꯨ꯫ ꯕꯣꯇꯂꯗꯥ ꯊꯃꯖꯤꯜꯂꯣꯏꯗꯕꯅꯤ꯫
• ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯕꯤꯌꯨ: ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯋꯥꯕꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯑꯀꯤꯕꯁꯤꯡ ꯑꯗꯨ ꯈꯪꯍꯅꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫

ꯑꯩꯅꯥ ꯀꯗꯥꯏꯗꯥ ꯗꯣꯛꯇꯔꯒꯥ ꯎꯅꯒꯗꯒꯦ?

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯋꯥꯐꯃꯁꯤꯡ ꯑꯁꯤ ꯊꯦꯡꯅꯔꯕꯗꯤ, ꯁꯣꯌꯗꯅꯥ ꯗꯣꯛꯇꯔ ꯑꯃꯒꯥ ꯇꯥꯟꯅꯧ꯫

• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯍꯅꯕꯒꯤ ꯑꯀꯤꯕꯥ ꯂꯩꯕꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯅꯣꯡꯃꯒꯤ ꯑꯣꯏꯕꯥ ꯊꯕꯀꯁꯤꯡ ꯄꯥꯡꯊꯣꯀꯄꯗꯥ ꯈꯨꯗꯣꯡꯆꯥꯗꯕꯥ ꯂꯩꯔꯕꯗꯤ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯄꯦꯅꯤꯛ ꯑꯦꯇꯦꯛ ꯑꯃꯒꯤ ꯂꯥꯏꯑꯣꯡ ꯎꯕꯥ ꯐꯪꯂꯕꯗꯤ .