ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯑꯌꯨꯛꯇꯥ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯍꯧꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯐꯥꯑꯣꯕ꯭ꯔꯥ? ꯅꯠꯠꯔꯒꯥ ꯅꯨꯃꯤꯠ ꯈꯨꯗꯤꯡꯒꯤ ꯅꯍꯥꯛꯀꯤ ꯀꯣꯛ ꯆꯤꯀꯄꯥ ꯂꯩꯕ꯭ꯔꯥ? ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗꯇꯥ ꯁꯣꯀꯍꯜꯂꯤꯕꯥ ꯑꯔꯊ꯭ꯔꯥꯏꯇꯤꯁ ꯃꯈꯜ ꯑꯅꯤ ꯂꯩ ꯑꯃꯁꯨꯡ ꯃꯈꯣꯌꯗꯨꯒꯥ ꯃꯥꯟꯅꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯂꯩ꯫ ꯑꯃꯅꯥ ꯗꯤ.ꯑꯥꯏ.ꯑꯦꯁ.ꯑꯩꯆ.(ꯗꯤꯐ꯭ꯌꯨꯖ ꯏꯗꯤꯑꯣꯄꯦꯊꯤꯛ ꯁ꯭ꯀꯦꯂꯦꯇꯦꯜ ꯍꯥꯏꯄꯦꯔꯣꯁ꯭ꯇꯣꯁꯤꯁ) ꯑꯃꯁꯨꯡ ꯑꯇꯣꯞꯄꯥ ꯑꯃꯅꯥ ꯑꯦ.ꯑꯦꯁ.(ꯑꯦꯟꯀꯤꯂꯣꯁꯤꯡ ꯁ꯭ꯄꯣꯟꯗꯤꯂꯥꯏꯇꯤꯁ) . ꯑꯅꯤꯃꯛꯀꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯈꯔꯥ ꯃꯥꯟꯅꯩ, ꯃꯗꯨꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯑꯩꯈꯣꯌꯕꯨ ꯂꯥꯡꯇꯛꯅꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯅꯥ ꯉꯁꯤꯗꯤ ꯂꯥꯌꯅꯥ ꯑꯅꯤ ꯑꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯑꯀꯨꯞꯄꯥ ꯃꯔꯣꯂꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯁꯤ ꯑꯃꯁꯨꯡ ꯃꯁꯤꯒꯤ ꯈꯦꯟꯅꯕꯥ ꯑꯁꯤ ꯀꯔꯤꯅꯣ, ꯃꯁꯤꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯤꯅꯣ, ꯑꯃꯁꯨꯡ ꯃꯁꯤꯕꯨ ꯀꯔꯝꯅꯥ ꯂꯥꯌꯦꯡꯒꯗꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯃꯌꯦꯛ ꯁꯦꯡꯅꯥ ꯈꯉꯂꯁꯤ꯫
ꯂꯥꯌꯅꯥ ꯑꯅꯤ ꯑꯁꯤ ꯀꯔꯤꯅꯥ ꯊꯣꯀꯍꯅꯕꯒꯦ?
ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯂꯥꯌꯅꯥ ꯑꯅꯤꯃꯛ ꯑꯁꯤꯅꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗꯇꯥ ꯂꯩꯕꯥ ꯁꯔꯨ ꯇꯥꯡꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯂꯤꯒꯥꯃꯦꯟꯇꯁꯤꯡꯗꯥ ꯁꯣꯀꯍꯜꯂꯤ ꯑꯗꯨꯕꯨ ꯃꯈꯣꯌꯅꯥ ꯁꯣꯀꯍꯅꯕꯒꯤ ꯃꯑꯣꯡ ꯑꯁꯤꯗꯤ ꯈꯔꯥ ꯈꯦꯠꯅꯩ꯫
DISH (ꯗꯤꯐ꯭ꯌꯨꯖ ꯏꯗꯤꯑꯣꯄꯦꯊꯤꯛ ꯁ꯭ꯀꯦꯂꯦꯇꯜ ꯍꯥꯏꯄꯔꯁ꯭ꯇꯣꯁꯤꯁ) ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ?
DISH ꯍꯥꯌꯕꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗꯀꯤ ꯑꯀꯣꯌꯕꯗꯥ ꯂꯩꯕꯥ ꯂꯤꯒꯥꯃꯦꯟꯇꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯇꯦꯟꯗꯣꯅꯁꯤꯡꯗꯥ ꯀꯦꯂꯁꯤꯌꯝ ꯁꯣꯜꯇ ꯁꯦꯃꯒꯠꯂꯀꯄꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫ ꯃꯁꯤꯒꯤ ꯀꯦꯂꯁꯤꯌꯝ ꯑꯁꯤꯅꯥ ꯃꯐꯃꯁꯤꯡ ꯑꯗꯨ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯁꯔꯨ ꯇꯥꯡꯒꯨꯝꯅꯥ ꯀꯅꯕꯥ ꯑꯣꯏꯍꯜꯂꯤ, ꯃꯔꯃꯗꯤ ꯑꯅꯧꯕꯥ ꯁꯔꯨ ꯇꯥꯡꯁꯤꯡ ꯍꯦꯅꯒꯠꯂꯛꯂꯤꯕꯒꯨꯝꯅꯥ꯫ ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯃꯁꯤꯒꯤ ꯃꯔꯝ ꯑꯁꯤ ꯀꯔꯤꯅꯣ ꯍꯥꯌꯕꯗꯨ ꯆꯨꯝꯅꯥ ꯈꯉꯗꯦ꯫ ꯑꯗꯨꯕꯨ ꯃꯈꯣꯌꯅꯥ ꯊꯥꯖꯩ ꯃꯗꯨꯗꯤ ꯖꯦꯅꯦꯇꯤꯛꯁ, ꯑꯦꯅꯚꯥꯏꯔꯅꯃꯦꯟꯇꯀꯤ ꯐꯦꯛꯇꯔꯁꯤꯡ ꯅꯠꯠꯔꯒꯥ ꯑꯅꯤꯃꯛꯀꯤ ꯀꯝꯕꯤꯅꯦꯁꯟ ꯑꯃꯅꯥ ꯊꯧꯗꯥꯡ ꯂꯧꯕꯥ ꯌꯥꯏ꯫
ꯑꯦꯟꯀꯤꯂꯣꯁꯤꯡ ꯁ꯭ꯄꯣꯟꯗꯤꯂꯥꯏꯇꯤꯁ (AS) ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯊꯣꯀꯍꯅꯕꯒꯦ?
ꯖꯤꯅꯦꯇꯤꯛ ꯑꯃꯁꯨꯡ ꯑꯦꯅꯚꯥꯏꯔꯅꯃꯦꯟꯇꯀꯤ ꯐꯦꯛꯇꯔꯁꯤꯡꯅꯥ ꯑꯦ.ꯑꯦꯁ.ꯇꯥ ꯊꯧꯗꯥꯡ ꯂꯧꯔꯤ ꯍꯥꯌꯅꯥ ꯊꯥꯖꯅꯔꯤ꯫ HLA-B27 ꯖꯤꯟ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯗꯥ ꯂꯥꯌꯅꯥ ꯑꯁꯤ ꯂꯥꯀꯄꯒꯤ ꯔꯤꯁ꯭ꯛ ꯍꯦꯅꯒꯠꯂꯀꯏ꯫ ꯍꯥꯌꯔꯤꯕꯥ HLAꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯏꯝꯝꯌꯨꯟ ꯁꯤꯁ꯭ꯇꯦꯃꯗꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯏꯁꯥꯒꯤ ꯁꯦꯂꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯃꯄꯥꯟ ꯂꯩꯕꯥꯛꯀꯤ ꯏꯅꯚꯦꯗꯔꯁꯤꯡꯒꯤ ꯃꯔꯛꯇꯥ ꯈꯦꯠꯅꯕꯥ ꯊꯝꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯑꯀꯛꯅꯕꯥ ꯖꯤꯟ ꯑꯁꯤꯅꯥ ꯀꯔꯝꯅꯥ ꯑꯦ.ꯑꯦꯁ. ꯑꯦ.ꯑꯦꯁ.ꯇꯥ, ꯏꯝꯝꯌꯨꯟ ꯁꯤꯁ꯭ꯇꯦꯃꯅꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗꯇꯥ ꯂꯩꯕꯥ ꯁꯔꯨ ꯇꯥꯡꯁꯤꯡꯗꯥ ꯑꯦꯇꯦꯛ ꯇꯧꯏ꯫ ꯃꯁꯤꯅꯥ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯁꯟ ꯊꯣꯀꯍꯜꯂꯤ, ꯃꯗꯨꯅꯥ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗꯇꯥ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯁꯣꯟꯊꯕꯥ ꯑꯃꯁꯨꯡ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯍꯜꯂꯤ꯫
ꯂꯥꯌꯅꯥꯁꯤꯡ ꯑꯁꯤ ꯀꯅꯥꯅꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯊꯣꯀꯍꯅꯕꯒꯦ?
ꯂꯥꯌꯅꯥ ꯑꯅꯤ ꯑꯁꯤ ꯂꯥꯀꯄꯒꯤ ꯆꯍꯤ ꯑꯃꯁꯨꯡ ꯔꯤꯁ꯭ꯛ ꯐꯦꯛꯇꯔꯁꯤꯡꯒꯤ ꯃꯔꯛꯇꯥ ꯃꯌꯦꯛ ꯁꯦꯡꯕꯥ ꯈꯦꯠꯅꯕꯥ ꯂꯩ꯫ ꯇꯦꯕꯜ ꯑꯁꯤꯗꯒꯤ ꯐꯖꯅꯥ ꯈꯉꯂꯁꯤ꯫
| ꯏꯄꯥꯎ | ꯗꯤ.ꯑꯥꯏ.ꯑꯦꯁ.ꯑꯩꯆ.(ꯗꯤꯐ꯭ꯌꯨꯖ ꯏꯗꯤꯑꯣꯄꯦꯊꯤꯛ ꯁ꯭ꯀꯦꯂꯦꯇꯦꯜ ꯍꯥꯏꯄꯦꯔꯣꯁ꯭ꯇꯣꯁꯤꯁ) | ꯑꯦ.ꯑꯦꯁ.(ꯑꯦꯟꯀꯤꯂꯣꯁꯤꯡ ꯁ꯭ꯄꯣꯟꯗꯤꯂꯥꯏꯇꯤꯁ) |
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| ꯁꯣꯀꯍꯜꯂꯕꯥ ꯆꯍꯤ꯫ | ꯃꯍꯧꯁꯥꯅꯥ ꯃꯁꯤ ꯆꯍꯤ 50ꯒꯤ ꯃꯊꯛꯇꯥ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯗꯥ ꯊꯣꯀꯏ . | ꯃꯍꯧꯁꯥꯅꯥ ꯃꯁꯤ ꯅꯍꯥ ꯑꯣꯏꯔꯤꯕꯥ ꯆꯍꯤꯗꯥ , ꯆꯍꯤ 15-30ꯒꯤ ꯃꯔꯛꯇꯥ ꯍꯧꯏ꯫ |
| ꯑꯦꯐꯦꯛꯇ ꯇꯧꯔꯕꯥ ꯄꯥꯔꯇꯤ꯫ | ꯅꯨꯄꯤꯁꯤꯡꯗꯒꯤ ꯅꯨꯄꯥꯁꯤꯡꯗꯥ ꯍꯦꯟꯅꯥ ꯀꯃꯟ ꯑꯣꯏ꯫ | ꯅꯨꯄꯤꯁꯤꯡꯗꯒꯤ ꯅꯨꯄꯥꯁꯤꯡꯗꯥ ꯍꯦꯟꯅꯥ ꯀꯃꯟ ꯑꯣꯏ꯫ |
| ꯑꯇꯣꯞꯄꯥ ꯔꯤꯁ꯭ꯛ ꯐꯦꯛꯇꯔꯁꯤꯡ꯫ |
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ꯃꯔꯨꯑꯣꯏꯕꯥ ꯋꯥꯐꯃꯗꯤ ꯗꯤ.ꯑꯥꯏ.ꯑꯦꯁ.ꯑꯩꯆ.ꯅꯥ ꯅꯥꯕꯥ ꯃꯤꯑꯣꯏ ꯀꯌꯥꯗꯥ ꯂꯥꯏꯑꯣꯡ ꯑꯃꯠꯇꯥ ꯎꯕꯥ ꯐꯪꯗꯦ꯫ ꯃꯁꯤ ꯑꯌꯥꯝꯕꯅꯥ ꯑꯇꯣꯞꯄꯥ ꯃꯔꯝ ꯑꯃꯒꯤꯗꯃꯛ ꯑꯦꯛꯁ-ꯔꯦ ꯂꯧꯕꯥ ꯃꯇꯃꯗꯥ ꯊꯧꯗꯣꯛ ꯑꯃꯗꯥ ꯊꯦꯡꯅꯩ꯫
ꯂꯥꯏꯑꯣꯡꯁꯤꯡꯒꯤ ꯈꯦꯠꯅꯕꯥ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?
ꯂꯥꯌꯅꯥ ꯑꯅꯤꯃꯛꯀꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡꯗꯤ ꯀꯣꯛ ꯆꯤꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯁꯣꯟꯊꯕꯥ ꯑꯁꯤꯅꯤ, ꯑꯗꯨꯕꯨ ꯑꯅꯥꯕꯥ ꯑꯁꯤ ꯀꯗꯥꯏꯗꯒꯤ ꯂꯥꯀꯄꯒꯦ, ꯀꯔꯝꯅꯥ ꯐꯥꯎꯕꯒꯦ ꯑꯃꯁꯨꯡ ꯃꯁꯤꯒꯥ ꯂꯣꯌꯅꯕꯥ ꯑꯇꯩ ꯂꯥꯏꯑꯣꯡꯁꯤꯡꯒꯤ ꯃꯔꯛꯇꯥ ꯃꯌꯦꯛ ꯁꯦꯡꯕꯥ ꯈꯦꯠꯅꯕꯥ ꯂꯩ꯫
| ꯃꯒꯨꯟ ꯂꯩꯕꯥ꯫ | ꯗꯤ.ꯑꯥꯏ.ꯑꯦꯁ.ꯑꯩꯆ.ꯗꯥ ꯎꯕꯥ ꯐꯪꯂꯤꯕꯥ ꯃꯇꯨꯡ ꯏꯟꯅꯥ꯫ | ꯑꯦ.ꯑꯦꯁ.ꯇꯥ ꯎꯕꯥ ꯐꯪꯂꯤꯕꯥ ꯑꯗꯨꯒꯨꯝꯅꯥ꯫ |
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| ꯑꯅꯥꯕꯥ ꯑꯗꯨ ꯊꯣꯀꯄꯥ ꯃꯐꯝ ꯑꯗꯨ꯫ | ꯑꯅꯥꯕꯥ ꯑꯁꯤ ꯑꯌꯥꯝꯕꯗꯤ ꯃꯊꯛ ꯊꯪꯕꯥ ꯁꯔꯨꯛꯇꯥ ꯊꯣꯀꯏ꯫ | ꯑꯅꯥꯕꯥ ꯑꯁꯤ ꯃꯈꯥ ꯊꯪꯕꯥ ꯁꯔꯨꯛꯇꯥ ꯍꯧꯏ꯫ |
| ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯇꯧꯕꯒꯤ ꯏꯐꯦꯛꯇ꯫ | ꯑꯈꯟꯅꯕꯥ ꯏꯐꯦꯛꯇ ꯑꯃꯠꯇꯥ ꯂꯩꯇꯦ꯫ | ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯇꯧꯕꯥ ꯑꯃꯁꯨꯡ ꯈꯣꯡꯅꯥ ꯆꯠꯄꯥ ꯃꯇꯃꯗꯥ ꯑꯅꯥꯕꯥ ꯑꯃꯁꯨꯡ ꯁꯣꯟꯊꯕꯥ ꯍꯟꯊꯔꯀꯏ꯫ |
| ꯀꯣꯛ ꯆꯤꯀꯄꯥ꯫ | ꯈꯨꯎ, ꯈꯨꯎ, ꯈꯨꯎ, ꯑꯃꯁꯨꯡ ꯈꯣꯡꯄꯥꯛ ꯑꯁꯤꯅꯆꯤꯡꯕꯥ ꯃꯐꯃꯁꯤꯡꯗꯥ ꯑꯅꯥꯕꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫ | ꯔꯤꯕꯟ, ꯈꯨꯎ, ꯈꯣꯡ, ꯈꯨꯎ ꯅꯠꯠꯔꯒꯥ ꯈꯣꯡꯗꯥ ꯑꯅꯥꯕꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫ |
| ꯑꯇꯣꯞꯄꯥ ꯑꯈꯟꯅꯕꯥ ꯐꯤꯆꯔꯁꯤꯡ꯫ | ꯈꯣꯡꯗꯥ ꯁꯔꯨ ꯇꯥꯡꯒꯤ ꯒ꯭ꯔꯣꯊ ꯑꯃꯅꯥ ꯅꯔꯚꯁꯤꯡꯕꯨ ꯀꯝꯞꯔꯦꯁꯟ ꯇꯧꯕꯥ ꯌꯥꯏ, ꯃꯗꯨꯅꯥ ꯈꯣꯟꯖꯦꯜ ꯑꯗꯨ ꯁꯣꯟꯊꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯈꯣꯟꯖꯦꯜ ꯁꯣꯀꯄꯥ ꯊꯣꯀꯍꯜꯂꯀꯄꯥ ꯌꯥꯏ꯫ | ꯍꯀꯆꯥꯡ ꯄꯨꯝꯕꯗꯥ ꯁꯣꯀꯍꯜꯂꯤꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯎꯠꯂꯤ꯫ ꯈꯨꯗꯝ ꯑꯣꯏꯅ: - ꯑꯔꯨꯝꯕꯥ ꯍꯟꯊꯕꯥ꯫ - ꯑꯀꯅꯕꯥ ꯋꯥꯈꯜ ꯋꯥꯕꯥ꯫ - ꯈꯣꯡꯒꯤ ꯂꯥꯌꯅꯥ (rass) . - ꯈꯣꯡꯗꯥ ꯁꯣꯀꯄꯥ꯫ - ꯃꯤꯠ ꯎꯗꯕꯥ (redness, pain) |
ꯗꯣꯛꯇꯔ ꯑꯃꯅꯥ ꯂꯥꯌꯅꯥ ꯑꯅꯤ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯈꯦꯠꯅꯍꯅꯒꯅꯤ ꯑꯃꯁꯨꯡ ꯈꯉꯗꯣꯛꯀꯅꯤ?
ꯀꯟꯗꯤꯁꯟ ꯑꯅꯤ ꯑꯁꯤ ꯈꯪꯗꯣꯀꯄꯥ ꯍꯥꯌꯕꯁꯤ ꯈꯔꯥ ꯍꯦꯟꯅꯥ ꯂꯨꯝꯅꯥ ꯂꯧꯕꯥ ꯌꯥꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯥꯏꯑꯦꯒ꯭ꯅꯣꯁꯤꯁꯀꯤ ꯃꯇꯥꯡꯗꯥ ꯆꯤꯡꯅꯕꯥ ꯂꯩꯔꯕꯗꯤ, ꯑꯅꯤꯁꯨꯕꯥ ꯋꯥꯈꯜꯂꯣꯅꯒꯤꯗꯃꯛ ꯑꯇꯣꯞꯄꯥ ꯗꯣꯛꯇꯔ ꯑꯃꯒꯥ ꯎꯅꯕꯗꯥ ꯑꯁꯣꯌꯕꯥ ꯑꯃꯠꯇꯥ ꯂꯩꯇꯦ꯫
ꯗꯣꯛꯇꯔ ꯑꯗꯨꯅꯥ ꯑꯍꯥꯅꯕꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯃꯦꯗꯤꯀꯦꯜ ꯍꯤꯁ꯭ꯇꯔꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯍꯪꯒꯅꯤ꯫ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯃꯍꯥꯛꯅꯥ ꯐꯤꯖꯤꯀꯦꯜ ꯑꯦꯀꯖꯥꯃꯤꯅꯦꯁꯟ ꯑꯃꯥ ꯇꯧꯒꯅꯤ꯫ ꯃꯁꯤꯒꯤ ꯃꯊꯛꯇꯥ, ꯃꯍꯥꯛꯅꯥ ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯑꯁꯤ ꯑꯣꯔꯗꯔ ꯇꯧꯕꯥ ꯌꯥꯏ꯫
ꯕ꯭ꯂꯗ ꯇꯦꯁ꯭ꯠ ꯇꯧꯕꯥ꯫
ꯑꯦ.ꯑꯦꯁ.ꯇꯥ, ꯑꯩꯆ.ꯑꯦꯜ.ꯑꯦ.-ꯕꯤ.꯲꯷ ꯖꯤꯅꯒꯤ ꯇꯦꯁ꯭ꯠ ꯇꯧꯕꯗꯥ ꯑꯌꯥꯝꯕꯅꯥ ꯄꯣꯖꯤꯇꯤꯕ ꯑꯣꯏ꯫ ꯍꯀꯆꯥꯡꯗꯥ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯁꯟ ꯌꯦꯡꯁꯤꯜꯂꯤꯕꯥ ꯇꯦꯁ꯭ꯇꯁꯤꯡ, ꯍꯥꯌꯕꯗꯤ ꯁꯤ-ꯔꯤꯑꯦꯛꯇꯤꯕ ꯄ꯭ꯔꯣꯇꯤꯟ (ꯁꯤ.ꯑꯥꯔ.ꯄꯤ.) ꯑꯃꯁꯨꯡ ꯏ.ꯑꯦꯁ.ꯑꯥꯔ. ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯃꯍꯧꯁꯥꯅꯥ ꯗꯤ.ꯑꯥꯏ.ꯑꯦꯁ.ꯑꯩꯆ.
ꯏꯃꯦꯖꯤꯡ ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯇꯧꯕꯥ꯫
ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯍꯀꯆꯥꯡꯒꯤ ꯃꯅꯨꯡꯒꯤ ꯐꯤꯚꯃꯁꯤꯡ ꯂꯧꯏ ꯑꯃꯁꯨꯡ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗ ꯑꯃꯁꯨꯡ ꯁꯔꯨ ꯇꯥꯡꯁꯤꯡꯗꯥ ꯑꯍꯣꯡꯕꯥ ꯂꯥꯀꯄꯥ ꯌꯦꯡꯏ꯫
- ꯑꯦꯛꯁ-ꯔꯦ: ꯁꯔꯨ ꯇꯥꯡꯁꯤꯡꯗꯥ ꯑꯍꯣꯡꯕꯥ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯎ꯫
- ꯑꯦꯝ.ꯑꯥꯔ.ꯑꯥꯏ.(ꯃꯦꯒ꯭ꯅꯦꯇꯤꯛ ꯔꯤꯖꯣꯅꯦꯟꯁ ꯏꯃꯦꯖꯤꯡ): ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗ, ꯁꯔꯨ ꯇꯥꯡ ꯑꯃꯁꯨꯡ ꯀꯅꯦꯛꯇꯤꯚ ꯇꯤꯁꯨꯁꯤꯡꯒꯤ ꯑꯀꯨꯞꯄꯥ ꯏꯃꯦꯖꯁꯤꯡ ꯂꯧꯕꯥ꯫
- ꯁꯤ.ꯇꯤ.ꯁ꯭ꯀꯦꯟ (ꯀꯝꯞꯌꯨꯇꯦꯗ ꯇꯣꯃꯣꯒ꯭ꯔꯥꯐꯤ): ꯌꯥꯝꯅꯥ ꯑꯀꯨꯞꯄꯥ ꯏꯃꯦꯖꯁꯤꯡ ꯂꯧꯕꯥ꯫
ꯍꯥꯌꯔꯤꯕꯥ ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯑꯁꯤꯗꯥ ꯎꯕꯥ ꯐꯪꯂꯤꯕꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯇꯨꯡ ꯏꯟꯅꯥ ꯂꯥꯌꯅꯥ ꯑꯅꯤ ꯑꯁꯤ ꯈꯦꯠꯅꯍꯅꯕꯥ ꯌꯥꯏ꯫
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ AS: ꯁꯦꯛꯔꯣꯏꯂꯤꯌꯥꯛ ꯖꯣꯅꯁꯤꯡ (secroiliitis) ꯏꯅꯐ꯭ꯂꯦꯃꯦꯁꯟ ꯑꯃꯁꯨꯡ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯁꯣꯀꯄꯥ ( secroiliitis) .ꯅꯈꯣꯌꯅꯥ ꯎꯕꯥ ꯐꯪꯒꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗꯁꯤꯡ ꯑꯁꯤ ꯑꯃꯒꯥ ꯑꯃꯒꯥ ꯁꯝꯅꯗꯨꯅꯥ ꯕꯦꯝꯕꯣꯀꯒꯨꯝꯅꯥ ꯎꯕꯥ ꯐꯪꯏ꯫ ꯃꯁꯤꯕꯨ ꯕꯦꯝꯕꯣꯛ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯍꯥꯌꯅꯥ ꯀꯧꯏ .
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ DISH ꯂꯩꯔꯕꯗꯤ: ꯅꯍꯥꯛꯅꯥ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗꯀꯤ ꯃꯃꯥꯡꯗꯥ ꯆꯠꯂꯤꯕꯥ ꯀꯅꯦꯛꯇꯤꯚ ꯇꯤꯁꯨ ꯑꯗꯨ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯁꯣꯟꯊꯔꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯁꯔꯨ ꯇꯥꯡ ꯑꯣꯏꯅꯥ ꯑꯣꯟꯊꯣꯀꯄꯥ ꯎꯕꯥ ꯐꯪꯒꯅꯤ꯫ ꯑꯗꯨꯕꯨ ꯅꯍꯥꯛꯅꯥ ꯁꯦꯛꯔꯣꯏꯂꯤꯇꯤꯁꯀꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯗꯨ ꯎꯕꯥ ꯐꯪꯂꯣꯏ꯫ ꯃꯁꯤ ꯑꯅꯤꯁꯤꯕꯨ ꯈꯦꯠꯅꯍꯜꯂꯤꯕꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯔꯃꯁꯤꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯅꯤ꯫
ꯃꯁꯤꯒꯤ ꯂꯥꯏꯌꯦꯡꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯤꯅꯣ?
AS ꯑꯃꯁꯨꯡ DISH ꯑꯅꯤꯃꯛ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯐꯍꯅꯕꯥ ꯉꯃꯗꯦ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯑꯆꯨꯝꯕꯥ ꯂꯥꯏꯌꯦꯡꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯥ ꯉꯝꯃꯤ ꯑꯃꯁꯨꯡ ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯕꯥ ꯄꯨꯟꯁꯤ ꯑꯃꯥ ꯍꯤꯡꯕꯥ ꯉꯝꯃꯤ꯫ ꯂꯥꯌꯅꯥ ꯑꯅꯤꯁꯤꯗꯥ, ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗ ꯑꯁꯤ ꯀꯝꯞꯔꯦꯁꯟ ꯇꯧꯏ, ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯑꯄꯤꯀꯄꯥ ꯑꯦꯛꯁꯤꯗꯦꯟꯇ ꯑꯃꯗꯥ ꯐꯥꯎꯕꯥ ꯐ꯭ꯔꯦꯀꯆꯔꯒꯤ ꯔꯤꯁ꯭ꯛ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯋꯥꯡꯏ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯆꯦꯀꯁꯤꯟꯅꯥ ꯂꯩꯕꯥ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨ ꯑꯣꯏ꯫
ꯑꯅꯤꯃꯛꯀꯤ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯂꯥꯏꯌꯦꯡꯁꯤꯡ:
- ꯐꯤꯖꯤꯀꯦꯜ ꯊꯦꯔꯥꯄꯤ ꯑꯃꯁꯨꯡ ꯑꯦꯛꯁꯔꯁꯥꯏꯖ: ꯃꯁꯤ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗꯀꯤ ꯑꯀꯣꯌꯕꯗꯥ ꯂꯩꯕꯥ ꯃꯁꯂꯁꯤꯡ ꯃꯄꯥꯉ꯭ꯒꯜ ꯀꯅꯈꯠꯍꯟꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯁꯔꯨ ꯇꯥꯡꯁꯤꯡꯗꯥ ꯐ꯭ꯂꯦꯛꯁꯤꯕꯤꯂꯤꯇꯤ ꯊꯝꯅꯕꯒꯤꯗꯃꯛ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫
- ꯄꯦꯏꯅꯀꯤꯂꯥꯔꯁꯤꯡ: ꯏꯕꯨꯞꯔꯣꯐꯦꯟ ꯑꯃꯁꯨꯡ ꯅꯦꯞꯔꯣꯛꯁꯦꯅꯒꯨꯝꯕꯥ NSAIDꯁꯤꯡ (ꯅꯟ-ꯁ꯭ꯇꯦꯔꯣꯏꯗ ꯑꯦꯟꯇꯤ-ꯏꯅꯐ꯭ꯂꯦꯃꯦꯇꯔꯤ ꯗ꯭ꯔꯒꯁꯤꯡ) ꯅꯥ ꯑꯅꯥꯕꯥ ꯑꯃꯁꯨꯡ ꯁꯣꯀꯄꯥ ꯍꯟꯊꯍꯜꯂꯤ꯫
- ꯁ꯭ꯇꯦꯔꯣꯏꯗ ꯏꯅꯖꯦꯀꯁꯅꯁꯤꯡ: ꯑꯁꯣꯀꯄꯥ ꯁꯔꯨ ꯇꯥꯡꯁꯤꯡꯗꯥ ꯍꯀꯊꯦꯡꯅꯅꯥ ꯁ꯭ꯇꯦꯔꯣꯏꯗ ꯏꯅꯖꯦꯀꯁꯅꯁꯤꯡ ꯄꯤꯕꯅꯥ ꯑꯇꯦꯅꯕꯥ ꯃꯇꯃꯒꯤ ꯔꯤꯂꯤꯐ ꯄꯤꯕꯥ ꯉꯝꯃꯤ꯫
- ꯁꯔꯖꯔꯤ: ꯃꯁꯤ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯂꯥꯏꯌꯦꯡ ꯑꯃꯅꯤ, ꯑꯗꯨꯕꯨ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯇꯩ ꯂꯥꯏꯌꯦꯡꯁꯤꯡꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯥ ꯉꯃꯗꯕꯥ ꯁꯥꯊꯤꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯂꯩꯔꯕꯗꯤ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯁꯔꯖꯔꯤ ꯇꯧꯅꯕꯥ ꯄꯥꯎꯇꯥꯛ ꯄꯤꯕꯥ ꯌꯥꯏ꯫
ꯑꯦ.ꯑꯦꯁ.ꯀꯤ ꯑꯀꯛꯅꯕꯥ ꯂꯥꯌꯦꯡꯁꯤꯡ: ꯱.
ꯃꯊꯛꯇꯥ ꯄꯅꯈ꯭ꯔꯤꯕꯥ ꯑꯦ.ꯑꯦꯁ.ꯀꯤ ꯂꯥꯌꯦꯡꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯊꯛꯇꯥ, ꯏꯝꯝꯌꯨꯟ ꯁꯤꯁ꯭ꯇꯦꯃꯒꯤ ꯊꯕꯛ ꯊꯧꯔꯃꯁꯤꯡ ꯍꯣꯡꯗꯣꯛꯇꯨꯅꯥ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯁꯟ ꯍꯟꯊꯍꯜꯂꯤꯕꯥ ꯗ꯭ꯔꯒꯁꯤꯡꯒꯤ ꯑꯈꯟꯅꯕꯥ ꯀ꯭ꯂꯥꯁ ꯑꯃꯥ ꯂꯩꯔꯤ꯫ ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤꯕꯨ ꯗꯤ.ꯑꯦꯝ.ꯑꯥꯔ.ꯗꯤ.ꯁꯤꯡ (ꯗꯤꯖꯤꯖ-ꯃꯣꯗꯤꯐꯥꯏꯌꯤꯡ ꯑꯦꯟꯇꯤꯔꯤꯎꯃꯦꯇꯤꯛ ꯗ꯭ꯔꯒꯁꯤꯡ) ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ ꯈꯨꯗꯝ ꯈꯔꯗꯤ:
- ꯏꯟꯇꯔꯂꯤꯌꯨꯀꯤꯟ-꯱꯷ (ꯑꯥꯏ.ꯑꯦꯜ.-꯱꯷) ꯏꯅꯍꯤꯕꯤꯇꯔꯁꯤꯡ (ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯁꯦꯀꯨꯀꯤꯅꯨꯃꯦꯕ, ꯏꯛꯁꯦꯀꯤꯖꯨꯃꯕ)
- ꯖꯦ.ꯑꯦ.ꯀꯦ.ꯒꯤ ꯏꯅꯍꯤꯕꯤꯇꯔꯁꯤꯡ (ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯇꯣꯐꯦꯁꯤꯇꯤꯅꯤꯕ, ꯎꯄꯥꯗꯥꯁꯤꯇꯤꯅꯤꯕ)
- ꯇꯤ.ꯑꯦꯟ.ꯑꯦꯐ.ꯀꯤ ꯏꯅꯍꯤꯕꯤꯇꯔꯁꯤꯡ (ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯑꯗꯥꯂꯤꯃꯨꯃꯕ, ꯏꯇꯥꯅꯔꯁꯦꯞꯇ, ꯏꯅꯐ꯭ꯂꯤꯛꯁꯤꯃꯦꯕ)
- ꯃꯦꯊꯣꯠꯔꯦꯛꯁꯦꯠ꯫
- ꯁꯂꯐꯥꯁꯥꯂꯥꯖꯤꯟ ꯑꯁꯤꯅꯆꯤꯡꯕꯥ꯫
ꯍꯥꯌꯔꯤꯕꯥ ꯍꯤꯗꯥꯀꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯀꯅꯥꯅꯥ ꯅꯍꯥꯛꯀꯤꯗꯃꯛꯇꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯆꯨꯅꯕꯥ ꯑꯣꯏꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯂꯦꯄꯀꯅꯤ꯫
ꯇꯦꯛ-ꯍꯣꯝ ꯃꯦꯁꯦꯖ ꯇꯧꯕꯥ꯫
- DISH ꯑꯃꯁꯨꯡ AS ꯑꯁꯤ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗꯇꯥ ꯁꯣꯀꯍꯜꯂꯤꯕꯥ ꯑꯔꯊ꯭ꯔꯥꯏꯇꯤꯁ ꯃꯈꯜ ꯑꯅꯤꯅꯤ꯫ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯃꯥꯟꯅꯔꯕꯁꯨ, ꯃꯔꯝ ꯑꯃꯁꯨꯡ ꯏꯐꯦꯛꯇꯁꯤꯡꯗꯤ ꯇꯣꯉꯥꯜꯂꯤ꯫
- DISH ꯑꯁꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯀꯃꯟ ꯑꯣꯏꯅꯥ ꯆꯍꯤ 50ꯒꯤ ꯃꯊꯛꯇꯥ ꯂꯩꯕꯥ ꯅꯨꯄꯥꯁꯤꯡꯗꯥ ꯊꯣꯀꯏ ꯑꯃꯁꯨꯡ ꯑꯌꯥꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯂꯥꯏꯑꯣꯡ ꯑꯃꯠꯇꯥ ꯂꯩꯇꯦ꯫ AS ꯑꯁꯤ ꯅꯍꯥ ꯑꯣꯏꯔꯤꯕꯥ ꯆꯍꯤꯗꯥ ꯍꯧꯕꯥ ꯌꯥꯏ꯫
- ꯑꯅꯥꯕꯥ ꯑꯗꯨꯒꯤ ꯃꯐꯝ (DISH - ꯃꯊꯛꯀꯤ ꯃꯊꯛꯇꯥ, AS - ꯈꯣꯡꯒꯤ ꯃꯈꯥꯗꯥ) ꯑꯃꯁꯨꯡ ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯇꯧꯕꯒꯤ ꯔꯦꯁꯄꯣꯟꯁ (ASꯗꯥ ꯑꯅꯥꯕꯥ ꯍꯟꯊꯔꯀꯄꯥ) ꯑꯁꯤꯅꯥ ꯑꯅꯤꯁꯤꯕꯨ ꯈꯦꯠꯅꯕꯥ ꯊꯝꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫
- ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯃꯦꯗꯤꯀꯦꯜ ꯍꯤꯁ꯭ꯇꯔꯤ, ꯑꯦꯀꯖꯥꯃꯤꯅꯦꯁꯟ, ꯕ꯭ꯂꯗ ꯇꯦꯁ꯭ꯠ, ꯑꯃꯁꯨꯡ ꯏꯃꯦꯖꯤꯡ ꯇꯦꯁ꯭ꯠ (ꯃꯔꯨꯑꯣꯏꯅꯥ ꯑꯦꯛꯁ-ꯔꯦ ꯑꯃꯁꯨꯡ ꯑꯦꯝ.ꯑꯥꯔ.ꯑꯥꯏ.)ꯗꯥ ꯌꯨꯝꯐꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯑꯆꯨꯝꯕꯥ ꯗꯥꯏꯑꯦꯒ꯭ꯅꯣꯁꯤꯁ ꯑꯃꯥ ꯇꯧꯒꯅꯤ꯫
- ꯂꯥꯌꯅꯥꯁꯤꯡ ꯑꯁꯤ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯐꯍꯅꯕꯥ ꯉꯃꯗ꯭ꯔꯕꯁꯨ, ꯐꯤꯖꯤꯀꯦꯜ ꯊꯦꯔꯥꯄꯤ, ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛ ꯑꯃꯁꯨꯡ ꯄꯨꯟꯁꯤ ꯃꯍꯤꯡꯗꯥ ꯑꯍꯣꯡꯕꯥ ꯂꯥꯀꯄꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯗꯨ ꯃꯦꯅꯦꯖ ꯇꯧꯕꯗꯥ ꯑꯃꯁꯨꯡ ꯃꯥꯌꯄꯥꯛꯅꯥ ꯄꯨꯟꯁꯤ ꯑꯃꯥ ꯍꯤꯡꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫ ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯃꯇꯝ ꯄꯨꯝꯅꯃꯛꯇꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯕꯤꯌꯨ꯫
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