ꯃꯤꯑꯣꯏ ꯀꯌꯥꯅꯥ ꯑꯦꯟꯀꯤꯂꯣꯁꯤꯡ ꯁ꯭ꯄꯣꯟꯗꯤꯂꯥꯏꯇꯤꯁ, ꯅꯠꯠꯔꯒꯥ ꯋꯥꯍꯩ ꯈꯔꯥ ꯍꯥꯌꯔꯕꯗꯥ AS ꯑꯁꯤ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗꯇꯥ ꯁꯣꯀꯍꯜꯂꯤꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ ꯍꯥꯌꯅꯥ ꯈꯜꯂꯤ, ꯃꯗꯨꯅꯥ ꯑꯅꯥꯕꯥ ꯑꯃꯁꯨꯡ ꯁꯣꯟꯊꯕꯥ ꯊꯣꯀꯍꯜꯂꯤ꯫ ꯃꯁꯤ ꯑꯆꯨꯝꯕꯅꯤ, ꯂꯥꯌꯅꯥ ꯑꯁꯤꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯏꯐꯦꯛꯇ ꯑꯁꯤ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗꯇꯥ ꯂꯩ꯫ ꯑꯗꯨꯕꯨ ꯑꯗꯣꯝꯅꯥ ꯈꯉꯕꯤꯔꯃꯒꯅꯤ ꯃꯗꯨꯗꯤ ꯑꯦ.ꯑꯦꯁ.ꯀꯤ ꯑꯅꯥꯕꯥ ꯑꯍꯨꯃꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯑꯃꯅꯥ ꯍꯀꯆꯥꯡꯒꯤ ꯑꯇꯣꯞꯄꯥ ꯃꯐꯃꯁꯤꯡꯗꯁꯨ, ꯃꯔꯨꯑꯣꯏꯅꯥ ꯈꯣꯡꯗꯥ ꯁꯃꯁ꯭ꯌꯥ ꯂꯩꯕꯥ ꯌꯥꯏ? ꯍꯣꯌ, ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡ, ꯈꯣꯡꯄꯥꯛ, ꯈꯣꯡꯄꯥꯛ ꯅꯠꯠꯔꯒꯥ ꯈꯣꯡꯒꯤ ꯃꯈꯨꯠꯁꯤꯡꯒꯨꯝꯕꯥ ꯃꯐꯃꯁꯤꯡꯗꯥ ꯁꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯑꯅꯥꯕꯥ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯅꯦꯝꯃꯤ, ꯑꯗꯨꯕꯨ ꯃꯤꯑꯣꯏ ꯈꯔꯒꯤ ꯑꯣꯏꯅꯗꯤ ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ ꯃꯗꯨꯗꯤ ꯃꯈꯣꯌꯅꯥ ꯈꯣꯡꯅꯥ ꯆꯠꯄꯥ ꯐꯥꯎꯕꯥ ꯉꯃꯗꯦ꯫ ꯑꯗꯨꯅꯥ ꯉꯁꯤꯗꯤ ꯑꯦ.ꯑꯦꯁ.ꯅꯥ ꯈꯣꯡꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯏꯐꯦꯛꯇꯁꯤꯡꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯁꯤ꯫
ASꯅꯥ ꯈꯣꯡꯗꯥ ꯀꯔꯤ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯃꯁꯤꯡ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯕꯒꯦ?
ꯑꯦꯟꯀꯤꯂꯣꯁꯤꯡ ꯁ꯭ꯄꯣꯟꯗꯤꯂꯥꯏꯇꯤꯁ (AS)ꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯃꯈꯜ ꯀꯌꯥꯒꯤ ꯃꯑꯣꯡꯗꯥ ꯁꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯔꯝ ꯑꯁꯤ ꯁꯔꯨ ꯇꯥꯡꯁꯤꯡꯗꯥ ꯑꯃꯁꯨꯡ ꯇꯦꯟꯗꯣꯅꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯂꯤꯒꯥꯃꯦꯟꯇꯁꯤꯡꯅꯥ ꯁꯔꯨ ꯇꯥꯡꯁꯤꯡꯗꯥ (`ꯑꯦꯟꯊꯦꯁꯤꯁ` ꯍꯥꯌꯅꯥ ꯀꯧꯕꯥ) ꯏꯅꯐ꯭ꯂꯦꯃꯦꯁꯅꯅꯤ꯫ ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯍꯀꯆꯥꯡꯒꯤ ꯏꯝꯝꯌꯨꯟ ꯁꯤꯁ꯭ꯇꯦꯃꯅꯥ ꯃꯐꯃꯁꯤꯡ ꯑꯁꯤꯗꯥ ꯑꯦꯇꯦꯛ ꯇꯧꯏ꯫ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯁꯟ ꯑꯁꯤꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯕꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯈꯔꯗꯤ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤ꯫
| ꯈꯣꯡꯒꯤ ꯀꯟꯗꯤꯁꯟ ꯂꯩꯕꯥ꯫ | ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ ꯃꯁꯤ ꯊꯣꯀꯄꯅꯤ꯫ |
|---|---|
| ꯄ꯭ꯂꯥꯟꯇꯥꯔ ꯐꯦꯁꯤꯌꯇꯤꯁ꯫ | ꯄ꯭ꯂꯥꯟꯇꯥꯔ ꯐꯦꯁꯤꯂꯤꯇꯤ ꯍꯥꯌꯕꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯒꯤ ꯃꯈꯥ ꯊꯪꯕꯥ ꯁꯔꯨꯛꯇꯥ ꯂꯩꯕꯥ ꯇꯤꯁꯨꯒꯤ ꯑꯀꯅꯕꯥ ꯕꯦꯟꯗ ꯑꯗꯨꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯄꯥꯛ ꯑꯗꯨꯒꯤ ꯃꯈꯥ ꯊꯪꯕꯥ ꯁꯔꯨꯛ ꯑꯗꯨꯒꯥ ꯁꯝꯅꯍꯅꯕꯥ (swelling) ꯑꯃꯅꯤ꯫ ꯃꯁꯤꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯦꯡ-ꯑꯣꯠꯄꯗꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯔꯨꯝꯕꯥ ꯊꯝꯂꯕꯥ ꯃꯇꯃꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡ ꯑꯃꯁꯨꯡ ꯈꯣꯡꯒꯤ ꯃꯈꯥ ꯊꯪꯕꯥ ꯁꯔꯨꯛꯇꯥ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯅꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯍꯜꯂꯤ꯫ ꯃꯤꯑꯣꯏ ꯈꯔꯗꯗꯤ ꯑꯌꯨꯛ-ꯅꯨꯡꯊꯤꯂꯗꯥ ꯐꯃꯨꯡꯗꯒꯤ ꯑꯍꯥꯅꯕꯥ ꯈꯣꯡꯊꯥꯡ ꯐꯥꯑꯣꯕꯥ ꯂꯧꯈꯠꯄꯥ ꯉꯃꯗꯦ꯫ ꯃꯍꯧꯁꯥꯅꯥ ꯑꯅꯥꯕꯥ ꯑꯗꯨ ꯃꯤꯅꯠ 5-10ꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯍꯟꯊꯔꯀꯏ꯫ |
| ꯑꯦꯀꯤꯂꯁ ꯇꯦꯟꯗꯣꯅꯥꯏꯇꯤꯁ꯫ | ꯈꯣꯡꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯂꯩꯕꯥ, ꯈꯣꯡꯒꯤ ꯃꯊꯛꯇꯥ ꯂꯩꯕꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯆꯥꯎꯕꯥ ꯇꯦꯟꯗꯣꯟ (achilles tendon) ꯑꯁꯤ ꯁꯣꯟꯊꯔꯀꯏ꯫ ꯃꯁꯤꯅꯥ ꯑꯩꯈꯣꯌꯅꯥ ꯈꯣꯡꯅꯥ ꯆꯠꯄꯥ ꯑꯃꯁꯨꯡ ꯂꯥꯟꯊꯦꯡꯅꯕꯗꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯈꯣꯡꯎꯞ ꯂꯧꯊꯣꯀꯄꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫ ꯃꯁꯤꯅꯥ ꯁꯣꯟꯊꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯈꯣꯡꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯑꯃꯁꯨꯡ ꯈꯣꯡꯒꯤ ꯃꯐꯝ ꯑꯗꯨ ꯁꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯁꯣꯀꯆꯤꯜꯂꯀꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯅꯍꯥꯛꯅꯥ ꯃꯐꯝ ꯑꯗꯨꯗꯥ ꯁꯣꯛ-ꯄꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯈꯣꯡ ꯍꯥꯝꯕꯥ ꯐꯥꯎꯕꯥ ꯎꯕꯥ ꯐꯪꯏ꯫ |
| ꯈꯣꯡꯒꯤ ꯗꯥꯛꯇꯤꯂꯥꯏꯇꯤꯁ꯫ | ꯑꯦ.ꯑꯦꯁ.ꯅꯥ ꯈꯣꯡꯗꯥ ꯁꯣꯀꯍꯜꯂꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯈꯣꯡꯗꯥ ꯁꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯂꯥꯂꯍꯧꯕꯥ ꯑꯣꯏꯔꯀꯏ꯫ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤꯕꯨ "ꯁꯁꯦꯖ ꯗꯤꯖꯤꯠ" ꯍꯥꯌꯅꯥꯁꯨ ꯀꯧꯏ ꯃꯔꯃꯗꯤ ꯈꯣꯡ ꯍꯥꯝꯂꯕꯥ ꯈꯣꯡꯄꯥꯀꯁꯤꯡ ꯑꯁꯤ ꯁꯁꯦꯖꯒꯨꯝꯅꯥ ꯎꯕꯥ ꯐꯪꯏ꯫ ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯋꯥꯅꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯑꯅꯥꯕꯥ ꯑꯗꯨ ꯂꯥꯀꯁꯤꯜꯂꯀꯏ, ꯑꯗꯨꯕꯨ ꯁꯣꯛ-ꯄꯅꯕꯥ ꯑꯗꯨꯗꯤ ꯂꯦꯡꯗꯅꯥ ꯂꯩꯕꯥ ꯌꯥꯏ꯫ |
| ꯈꯣꯡꯅꯥ ꯆꯠꯄꯒꯤ ꯃꯑꯣꯡ-ꯃꯇꯧꯗꯥ ꯑꯍꯣꯡꯕꯥ ꯂꯥꯀꯄꯥ꯫ | ꯀꯣꯛ ꯑꯃꯁꯨꯡ ꯍꯀꯆꯥꯡꯒꯤ ꯇꯣꯉꯥꯟ-ꯇꯣꯉꯥꯅꯕꯥ ꯃꯐꯃꯁꯤꯡꯗꯥ ꯑꯅꯥꯕꯥ ꯑꯃꯁꯨꯡ ꯁꯣꯟꯊꯔꯀꯄꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯑꯩꯈꯣꯌꯅꯥ ꯑꯅꯥꯕꯥ ꯑꯁꯤꯗꯒꯤ ꯉꯥꯀꯊꯣꯛꯅꯕꯥ ꯑꯩꯈꯣꯌꯅꯥ ꯆꯠꯊꯣꯛ-ꯆꯠꯁꯤꯟ, ꯐꯃꯐꯝ ꯑꯃꯁꯨꯡ ꯂꯦꯡ-ꯑꯣꯠꯄꯒꯤ ꯃꯑꯣꯡ ꯑꯁꯤ ꯈꯉꯗꯅꯥ ꯍꯣꯡꯏ꯫ ꯃꯁꯤꯅꯥ ꯈꯣꯡꯒꯤ ꯃꯁꯂꯁꯤꯡꯗꯥ ꯑꯍꯦꯅꯕꯥ ꯁ꯭ꯠꯔꯦꯟ ꯂꯩꯍꯜꯂꯤ, ꯃꯗꯨꯅꯥ ꯈꯣꯡꯗꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯑꯃꯁꯨꯡ ꯂꯦꯡ-ꯑꯣꯠꯄꯒꯤ ꯊꯧꯑꯣꯡ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ |
ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯋꯥꯐꯃꯗꯤ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯦ.ꯑꯦꯁ.ꯅꯥ ꯅꯥꯕꯥ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯑꯅꯧꯕꯥ ꯑꯅꯥꯕꯥ ꯑꯃꯥ ꯂꯥꯀꯄꯥ ꯍꯧꯔꯛꯂꯕꯗꯤ, ꯃꯗꯨ ꯌꯦꯡꯁꯤꯅꯕꯤꯒꯅꯨ꯫ ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯁꯣꯌꯗꯅꯥ ꯈꯪꯍꯅꯕꯤꯌꯨ꯫
ꯑꯦ.ꯑꯦꯁ.ꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯂꯦꯡ-ꯑꯣꯠꯄꯒꯤ ꯑꯅꯥꯕꯥ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯒꯗꯒꯦ?
ꯈꯣꯡꯗꯥ ꯁꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯁꯣꯀꯄꯥ ꯍꯟꯊꯍꯟꯅꯕꯒꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯥ ꯄꯥꯝꯕꯩꯗꯤ ꯅꯍꯥꯛꯀꯤ ꯑꯦ.ꯑꯦꯁ. ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯔꯤꯀꯃꯦꯟꯗ ꯇꯧꯔꯤꯕꯥ ꯂꯥꯏꯌꯦꯡ ꯑꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯗꯨꯒꯤ ꯃꯑꯣꯡ-ꯃꯇꯧ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯑꯄꯨꯅꯕꯥ ꯍꯀꯁꯦꯜ ꯌꯥꯑꯣꯅꯥ ꯐꯦꯛꯇꯔ ꯀꯌꯥꯒꯤ ꯃꯈꯥ ꯄꯣꯜꯂꯤ꯫ ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯄ꯭ꯂꯥꯟ ꯑꯃꯗꯥ ꯃꯍꯧꯁꯥꯅꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯁꯤꯡꯁꯤ ꯌꯥꯎꯏ:
ꯑꯦꯛꯁꯔꯁꯥꯏꯖ, ꯐꯤꯖꯤꯀꯦꯜ ꯊꯦꯔꯥꯄꯤ, ꯑꯃꯁꯨꯡ ꯄꯣꯁ꯭ꯇꯨꯔ ꯇ꯭ꯔꯦꯅꯤꯡ꯫
ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯑꯅꯥꯕꯥ ꯑꯃꯁꯨꯡ ꯁꯣꯟꯊꯕꯥ ꯍꯟꯊꯍꯅꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ, ꯁꯔꯨ ꯇꯥꯡꯁꯤꯡꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯟꯗꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯄꯣꯁ꯭ꯇꯨꯔ ꯐꯒꯠꯍꯅꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫ ꯅꯍꯥꯛꯀꯤ ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯄ꯭ꯂꯥꯟ ꯑꯗꯨꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯁꯔꯨ ꯇꯥꯡꯁꯤꯡꯗꯥ ꯌꯥꯝꯅꯥ ꯋꯥꯅꯥ ꯁꯣꯀꯍꯟꯗꯕꯥ ꯂꯣ-ꯏꯝꯄꯦꯛꯇ ꯋꯥꯔꯀꯑꯥꯎꯇꯁꯤꯡ ꯌꯥꯎꯕꯥ ꯌꯥꯏ꯫ ꯇꯥꯏ ꯆꯤ ꯑꯃꯁꯨꯡ ꯌꯣꯒꯒꯨꯝꯕꯥ ꯃꯥꯏꯟꯗ-ꯕꯣꯗꯤ ꯑꯦꯛꯁꯔꯁꯥꯏꯖꯁꯤꯡꯅꯁꯨ ꯅꯍꯥꯀꯄꯨ ꯅꯨꯡꯉꯥꯏꯅꯥ ꯂꯩꯍꯅꯕꯗꯥ ꯑꯃꯁꯨꯡ ꯑꯅꯥꯕꯥ ꯍꯟꯊꯍꯅꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫
ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯗꯤ: ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯄ꯭ꯔꯣꯒ꯭ꯔꯥꯝ ꯑꯃꯍꯦꯛꯇꯕꯨ ꯍꯧꯗ꯭ꯔꯤꯉꯩꯗꯥ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯄꯥꯎꯇꯥꯛ ꯂꯧꯅꯕꯥ ꯁꯣꯌꯗꯅꯥ ꯋꯥꯔꯤ ꯁꯥꯕꯤꯌꯨ꯫ ꯃꯍꯥꯛꯅꯥ ꯅꯍꯥꯛꯀꯤꯗꯃꯛꯇꯥ ꯀꯔꯤ ꯑꯦꯛꯁꯔꯁꯥꯏꯖꯁꯤꯡ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯈꯪꯍꯜꯂꯛꯀꯅꯤ꯫
ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ꯫
ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯁꯣꯀꯄꯥ ꯍꯟꯊꯍꯟꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯑꯅꯥꯕꯥ ꯑꯃꯁꯨꯡ ꯁꯣꯛ-ꯄꯅꯕꯥ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯅꯕꯥ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯍꯤꯗꯥꯀꯁꯤꯡ ꯄꯤꯕꯥ ꯌꯥꯏ:
- ꯅꯟ-ꯁ꯭ꯇꯦꯔꯣꯏꯗ ꯑꯦꯟꯇꯤ-ꯏꯅꯐ꯭ꯂꯦꯃꯦꯇꯔꯤ ꯗ꯭ꯔꯒꯁꯤꯡ (NSAIDs): ꯃꯁꯤꯒꯤ ꯈꯨꯗꯃꯁꯤꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯏꯕꯨꯞꯔꯣꯐꯦꯟ ꯑꯃꯁꯨꯡ ꯅꯦꯞꯔꯣꯛꯁꯦꯅꯒꯨꯝꯕꯥ ꯗ꯭ꯔꯒꯁꯤꯡ ꯑꯁꯤ ꯌꯥꯎꯏ꯫
- ꯒ꯭ꯂꯨꯀꯣꯀꯣꯔꯇꯤꯀꯣꯏꯗ ꯏꯅꯖꯦꯀꯁꯅꯁꯤꯡ: ꯃꯁꯤ ꯑꯁꯣꯀꯄꯥ ꯁꯔꯨ ꯇꯥꯡꯗꯥ ꯍꯀꯊꯦꯡꯅꯅꯥ ꯄꯤꯕꯥ ꯁ꯭ꯇꯦꯔꯣꯏꯗ ꯏꯅꯖꯦꯀꯁꯅꯁꯤꯡꯅꯤ꯫
- ꯂꯥꯌꯅꯥ ꯃꯣꯗꯤꯐꯥꯏ ꯇꯧꯕꯥ ꯑꯦꯟꯇꯤ-ꯔꯤꯎꯃꯦꯇꯤꯛ ꯗ꯭ꯔꯒꯁꯤꯡ (DMARDs): ꯁꯂꯐꯥꯁꯥꯂꯥꯖꯤꯟ ꯑꯃꯁꯨꯡ ꯃꯦꯊꯣꯠꯔꯦꯛꯁꯦꯇꯒꯨꯝꯕꯥ ꯗ꯭ꯔꯒꯁꯤꯡ꯫
- ꯕꯥꯏꯑꯣꯂꯣꯖꯤꯀꯦꯜ ꯗ꯭ꯔꯒꯁꯤꯡ: ꯱.ꯍꯥꯌꯔꯤꯕꯥ ꯑꯁꯤ ꯏꯝꯝꯌꯨꯟ ꯁꯤꯁ꯭ꯇꯦꯃꯒꯤ ꯑꯀꯛꯅꯕꯥ ꯁꯔꯨꯀꯁꯤꯡꯗꯥ ꯄꯥꯟꯗꯝ ꯊꯝꯂꯤꯕꯥ ꯃꯣꯗꯔꯟ ꯗ꯭ꯔꯒꯁꯤꯡꯅꯤ꯫ ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ ꯑꯦꯟꯇꯤ-ꯇꯤ.ꯑꯦꯟ.ꯑꯦꯐ., ꯑꯦꯟꯇꯤ-ꯏꯟꯇꯔꯂꯤꯌꯨꯀꯤꯟ ꯱꯷, ꯑꯃꯁꯨꯡ ꯖꯦ.ꯑꯦ.ꯀꯦ.
- ꯄꯦꯅꯀꯤꯂꯔꯁꯤꯡ (Opioids): ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯑꯅꯥꯕꯒꯤꯗꯃꯛ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯃꯇꯝ ꯈꯔꯒꯤ ꯑꯣꯏꯅꯥ ꯄꯤꯕꯥ ꯌꯥꯏ꯫
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯄꯣꯗꯤꯑꯦꯠꯔꯤꯁ꯭ꯠ ꯑꯃꯗꯥ ꯔꯤꯐꯔ ꯇꯧꯕꯥ ꯌꯥꯏ , ꯑꯃꯁꯨꯡ ꯃꯍꯥꯛꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯒꯤ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯑꯗꯨꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯑꯀꯛꯅꯕꯥ ꯖꯨꯇꯣꯁꯤꯡ, ꯇꯦꯄꯤꯡ ꯑꯃꯁꯨꯡ ꯑꯣꯔꯊꯣꯇꯤꯀꯁꯤꯡꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯄꯥꯎꯇꯥꯛ ꯄꯤꯕꯥ ꯌꯥꯏ꯫
ꯌꯨꯃꯗꯥ ꯀꯔꯤ ꯊꯕꯛ ꯇꯧꯕꯥ ꯌꯥꯕꯒꯦ?
ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯄꯤꯕꯥ ꯂꯥꯏꯌꯦꯡꯒꯥ ꯂꯣꯌꯅꯅꯥ, ꯅꯍꯥꯛꯅꯥ ꯌꯨꯃꯗꯥ ꯇꯧꯕꯥ ꯌꯥꯕꯥ ꯏꯆꯝ ꯆꯝꯕꯥ ꯊꯕꯛ ꯈꯔꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯈꯣꯡꯒꯤ ꯑꯅꯥꯕꯥ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯍꯟꯊꯍꯅꯕꯥ ꯌꯥꯏ꯫
- ꯑꯥꯏꯁ ꯊꯥꯕꯥ: ꯅꯣꯡꯃꯗꯥ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯃꯤꯅꯠ 20 ꯔꯣꯝ ꯑꯅꯥꯕꯥ ꯃꯐꯝ ꯑꯗꯨꯗꯥ ꯑꯥꯏꯁ ꯄꯦꯛ ꯑꯃꯥ ꯊꯥꯎ꯫ ꯃꯁꯤꯅꯥ ꯁꯣꯛ-ꯄꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯑꯅꯥꯕꯥ ꯍꯟꯊꯍꯅꯒꯅꯤ꯫
- ꯃꯁꯤꯗꯥ ꯕ꯭ꯔꯦꯛ ꯑꯃꯥ ꯄꯤꯌꯨ: ꯌꯥꯔꯤꯕꯃꯈꯩ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯕ꯭ꯔꯦꯛ ꯑꯃꯥ ꯄꯤꯌꯨ꯫ ꯃꯈꯣꯌꯕꯨ ꯋꯥꯡꯅꯥ ꯊꯝꯕꯥ ꯉꯝꯂꯕꯗꯤ ꯍꯦꯟꯅꯥ ꯐꯩ꯫
- ꯅꯍꯥꯛꯀꯤ ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯑꯗꯨ ꯕꯦꯂꯦꯟꯁ ꯇꯧ: ꯌꯥꯔꯤꯕꯃꯈꯩ ꯔꯟ ꯇꯧꯕꯥ ꯑꯃꯁꯨꯡ ꯂꯥꯞꯅꯥ ꯆꯠꯄꯒꯨꯝꯕꯥ ꯍꯥꯏ-ꯏꯝꯄꯦꯛꯇ ꯑꯦꯛꯁꯔꯁꯥꯏꯖꯁꯤꯡ ꯂꯤꯃꯤꯠ ꯇꯧ꯫ ꯑꯗꯨꯕꯨ ꯃꯗꯨꯒꯤ ꯑꯔꯊꯗꯤ ꯅꯨꯃꯤꯠ ꯈꯨꯗꯤꯡꯒꯤ ꯃꯐꯝ ꯑꯃꯗꯥ ꯐꯃꯗꯨꯅꯥ ꯂꯩꯕꯥ ꯍꯥꯌꯕꯗꯨ ꯅꯠꯇꯦ꯫ ꯃꯁꯤ ꯇꯧꯕꯅꯥ ꯁꯣꯟꯊꯕꯥ ꯑꯃꯁꯨꯡ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯍꯦꯅꯒꯠꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯕ꯭ꯔꯤꯁ꯭ꯛ ꯋꯥꯀꯤꯡꯒꯨꯝꯕꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯃꯠꯇꯥ ꯑꯐꯕꯥ ꯑꯣꯏ꯫
- ꯁ꯭ꯠꯔꯦꯆ ꯇꯧꯕꯥ: ꯅꯍꯥꯛꯀꯤ ꯍꯤꯄꯐꯝ, ꯈꯣꯡ ꯑꯃꯁꯨꯡ ꯈꯣꯡꯗꯥ ꯀꯥꯟꯅꯕꯥ ꯄꯤꯕꯥ ꯏꯆꯝ ꯆꯝꯕꯥ ꯁ꯭ꯠꯔꯦꯆꯁꯤꯡ ꯇꯧ꯫
- ꯄ꯭ꯂꯥꯟꯇꯥꯔ ꯐꯦꯁꯤꯏꯇꯤꯁꯀꯤ ꯑꯣꯏꯅꯗꯤ: ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯒꯤ ꯃꯈꯥꯗꯥ ꯂꯩꯕꯥ ꯇꯦꯅꯤꯁ ꯕꯣꯜ ꯑꯃꯥ ꯊꯝꯃꯨ, ꯆꯦꯌꯥꯔ ꯑꯃꯗꯥ ꯐꯃꯗꯨꯅꯥ ꯊꯝꯃꯨ ꯑꯃꯁꯨꯡ ꯃꯗꯨ ꯀꯨꯄꯁꯤꯜꯂꯨ꯫
- ꯑꯦꯀꯤꯂꯤꯁ ꯇꯦꯟꯗꯣꯅꯥꯏꯇꯤꯁꯀꯤꯗꯃꯛꯇꯥ: ꯋꯥꯜ ꯑꯃꯒꯤ ꯃꯅꯥꯛꯇꯥ ꯂꯦꯞꯇꯨꯅꯥ, ꯈꯣꯡ ꯑꯃꯥ ꯈꯨꯎꯗꯥ ꯀꯨꯄꯁꯤꯜꯂꯨ, ꯑꯃꯁꯨꯡ ꯑꯁꯣꯀꯄꯥ ꯈꯣꯡ ꯑꯗꯨ ꯅꯍꯥꯛꯀꯤ ꯃꯇꯨꯡꯗꯥ ꯂꯦꯡꯗꯅꯥ ꯊꯝꯃꯨ, ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡ ꯑꯗꯨ ꯐ꯭ꯂꯣꯔꯗꯥ ꯊꯝꯃꯨ꯫ ꯍꯧꯖꯤꯛ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯎꯞ ꯑꯗꯨ ꯋꯥꯜ ꯑꯗꯨꯒꯤ ꯃꯅꯥꯛꯇꯥ ꯊꯝꯃꯨ꯫ ꯅꯍꯥꯛꯀꯤ ꯍꯦꯃꯁ꯭ꯠꯔꯤꯡ ꯑꯦꯔꯤꯌꯥ ꯑꯗꯨꯗꯥ ꯁ꯭ꯠꯔꯦꯁ ꯑꯃꯥ ꯐꯥꯎꯕꯥ ꯐꯥꯎꯕꯥ ꯊꯝꯃꯨ, ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯊꯤꯡꯖꯤꯜꯂꯨ꯫ ꯃꯁꯤ ꯇꯧꯕꯤꯌꯨ, ꯑꯃꯁꯨꯡ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯅꯥꯕꯥ ꯑꯗꯨ ꯍꯦꯅꯒꯠꯂꯛꯂꯕꯗꯤ ꯊꯤꯡꯖꯤꯜꯂꯨ꯫
- ꯃꯇꯤꯛ ꯆꯥꯕꯥ ꯈꯣꯡꯎꯞ ꯁꯤꯖꯤꯟꯅꯧ: ꯌꯥꯔꯤꯕꯃꯈꯩ ꯈꯣꯡꯅꯥ ꯆꯠꯄꯥ ꯑꯃꯁꯨꯡ ꯁꯦꯟꯗꯂꯋꯨꯗ ꯁꯤꯖꯤꯟꯅꯔꯣꯏꯗꯕꯅꯤ꯫ ꯑꯐꯕꯥ ꯑꯥꯔꯆ ꯁꯄꯣꯔꯠ ꯑꯃꯁꯨꯡ ꯀꯨꯁꯟ ꯁꯣꯜ ꯂꯩꯕꯥ ꯖꯨꯇꯣꯁꯤꯡ , ꯃꯔꯨꯑꯣꯏꯅꯥ ꯑꯐꯕꯥ ꯑꯦꯊꯂꯦꯇꯤꯛ ꯖꯨꯇꯣꯁꯤꯡ ꯁꯤꯖꯤꯟꯅꯕꯥ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫
ꯇꯦꯛ-ꯍꯣꯝ ꯃꯦꯁꯦꯖ ꯇꯧꯕꯥ꯫
- ꯑꯦꯟꯀꯤꯂꯣꯁꯤꯡ ꯁ꯭ꯄꯣꯟꯗꯤꯂꯥꯏꯇꯤꯁ (AS) ꯑꯁꯤ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗꯀꯤ ꯂꯥꯌꯅꯥ ꯈꯛꯇꯒꯤ ꯅꯠꯇꯦ꯫ ꯃꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯑꯃꯁꯨꯡ ꯑꯇꯩ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯃꯁꯤꯡꯁꯨ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡ, ꯈꯣꯡ ꯅꯠꯠꯔꯒꯥ ꯈꯣꯡꯗꯥ ꯑꯅꯧꯕꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ, ꯁꯣꯛ-ꯄꯅꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯁꯣꯛ-ꯄꯅꯕꯥ ꯂꯩꯔꯕꯗꯤ, ꯃꯗꯨ ꯌꯦꯡꯁꯤꯅꯕꯤꯒꯅꯨ꯫ ꯃꯁꯤ ꯑꯦ.ꯑꯦꯁ.ꯀꯤ ꯁꯔꯨꯛ ꯑꯃꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫
- ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯁꯣꯌꯗꯅꯥ ꯋꯥꯔꯤ ꯁꯥꯕꯤꯌꯨ꯫ ꯃꯍꯥꯛꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯑꯆꯨꯝꯕꯥ ꯂꯥꯏꯌꯦꯡ ꯑꯃꯁꯨꯡ ꯄꯥꯎꯇꯥꯛ ꯄꯤꯒꯅꯤ꯫
- ꯑꯅꯥꯕꯥ ꯑꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯇꯥꯀꯄꯥ ꯃꯇꯨꯡꯏꯟꯅꯥ ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯇꯧꯗꯨꯅꯥ, ꯌꯨꯃꯗꯥ ꯁꯤꯖꯤꯟꯅꯕꯥ ꯏꯆꯝ ꯆꯝꯕꯥ ꯂꯥꯏꯌꯦꯡꯁꯤꯡ (ꯑꯥꯏꯁꯤꯡ, ꯁ꯭ꯠꯔꯦꯆꯤꯡ) ꯁꯤꯖꯤꯟꯅꯗꯨꯅꯥ ꯑꯃꯁꯨꯡ ꯃꯇꯤꯛ ꯆꯥꯕꯥ ꯈꯣꯡꯎꯞ ꯁꯤꯖꯤꯟꯅꯕꯅꯥ ꯑꯆꯧꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯥ ꯌꯥꯏ꯫
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