ꯅꯍꯥꯛꯀꯤ ꯃꯈꯨꯠꯁꯨ ꯁꯣꯀꯕ꯭ꯔꯥ? ꯃꯁꯤ ꯔꯤꯁ꯭ꯠ ꯑꯥꯔꯊ꯭ꯔꯥꯏꯇꯤꯁ ꯑꯣꯏꯕꯥ ꯌꯥꯕ꯭ꯔꯥ?

ꯑꯩꯈꯣꯌꯅꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯃꯈꯨꯠ ꯑꯁꯤ ꯅꯨꯡꯇꯤꯒꯤ ꯊꯕꯀꯁꯤꯡꯗꯥ ꯀꯌꯥ ꯌꯥꯝꯅꯥ ꯁꯤꯖꯤꯟꯅꯕꯒꯦ? ꯈꯟꯊꯕꯤꯌꯨ, ꯏꯁꯤꯡꯒꯤ ꯕꯣꯇꯜ ꯑꯃꯥ ꯍꯥꯡꯗꯣꯀꯄꯥ, ꯊꯣꯡ ꯍꯥꯡꯗꯣꯀꯄꯥ, ꯏꯕꯥ, ꯆꯥꯛ ꯆꯥꯕꯥ, ꯑꯩꯈꯣꯌꯒꯤ ꯐꯣꯟ ꯁꯤꯖꯤꯟꯅꯕꯥ... ꯑꯩꯈꯣꯌꯅꯥ ꯅꯨꯃꯤꯠ ꯈꯨꯗꯤꯡꯒꯤ ꯇꯧꯔꯤꯕꯥ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯑꯄꯤꯀꯄꯥ ꯊꯕꯛ ꯈꯨꯗꯤꯡꯃꯛꯀꯤꯗꯃꯛ ꯑꯩꯈꯣꯌꯒꯤ ꯃꯈꯨꯠ ꯃꯊꯧ ꯇꯥꯏ꯫ ꯑꯗꯨꯅꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯃꯈꯨꯠꯁꯤꯡ ꯑꯁꯤ ꯂꯦꯞꯇꯅꯥ ꯁꯣꯀꯄꯥ, ꯁꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯇꯧꯕꯗꯥ ꯑꯁꯨꯛ ꯌꯥꯝꯅꯥ ꯑꯋꯥꯕꯥ ꯑꯣꯏꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯀꯌꯥꯗꯥ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯐꯥꯑꯣꯕꯒꯦ? ꯑꯌꯥꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯑꯔꯊ꯭ꯔꯥꯏꯇꯤꯁꯅꯥ ꯂꯦꯡ-ꯑꯣꯠꯄꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯔꯝ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯉꯁꯤ ꯁꯨꯞꯅꯇꯒꯤ ꯋꯥꯔꯤ ꯁꯥꯁꯤ꯫

ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯔꯤꯁ꯭ꯠ ꯑꯥꯔꯊ꯭ꯔꯥꯏꯇꯤꯁ ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ?

ꯑꯔꯊ꯭ꯔꯥꯏꯇꯤꯁ ꯍꯥꯌꯕꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯁꯔꯨ ꯇꯥꯡꯁꯤꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯂꯩꯕꯥ ꯀꯥꯔꯇꯤꯂꯦꯖ ꯑꯗꯨ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯁꯣꯟꯊꯔꯀꯄꯅꯤ꯫ ꯃꯁꯤ ꯃꯦꯁꯤꯟ ꯑꯃꯒꯤ ꯁꯔꯨꯛ ꯑꯅꯤꯒꯨꯝꯅꯥ ꯈꯅꯕꯤꯌꯨ꯫ ꯀꯥꯔꯇꯤꯂꯦꯖ ꯑꯁꯤꯅꯥ ‘ꯕꯦꯔꯤꯡ’ ꯑꯃꯒꯨꯝꯅꯥ ꯊꯕꯛ ꯇꯧꯏ ꯑꯃꯁꯨꯡ ꯃꯁꯤꯅꯥ ꯁꯔꯨꯛ ꯑꯅꯤ ꯑꯁꯤ ꯑꯃꯒꯥ ꯑꯃꯒꯥ ꯁꯣꯛꯅ-ꯁꯝꯅꯗꯅꯥ ꯐꯖꯅꯥ ꯆꯠꯄꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫ ꯑꯔꯊ꯭ꯔꯥꯏꯇꯤꯁꯇꯥ ꯀꯥꯔꯇꯤꯂꯦꯖ ꯀꯧꯕꯥ ‘ꯀꯨꯁꯟ’ ꯑꯁꯤ ꯁꯣꯀꯏ ꯑꯃꯁꯨꯡ ꯁꯔꯨ ꯑꯅꯤ ꯑꯁꯤ ꯑꯃꯒꯥ ꯑꯃꯒꯥ ꯍꯀꯊꯦꯡꯅꯅꯥ ꯁꯣꯀꯄꯥ ꯍꯧꯏ꯫ ꯃꯗꯨꯗꯥ ꯑꯅꯥꯕꯥ, ꯁꯣꯀꯄꯥ, ꯑꯃꯁꯨꯡ ꯁꯔꯨ ꯇꯥꯡ ꯁꯣꯀꯄꯥ ꯑꯁꯤꯅꯆꯤꯡꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ ꯊꯣꯀꯏ꯫

ꯑꯩꯈꯣꯌꯒꯤ ꯃꯈꯨꯠ ꯑꯁꯤ ꯇꯁꯦꯡꯅꯥ ꯍꯀꯆꯥꯡꯗꯥ ꯌꯥꯝꯅꯥ ꯀꯝꯞꯂꯦꯛꯁ ꯑꯣꯏꯕꯥ ꯁꯔꯨꯛ ꯑꯃꯅꯤ꯫ ꯃꯁꯤꯗꯥ ꯑꯃꯒꯥ ꯑꯃꯒꯥ ꯁꯝꯅꯔꯕꯥ ꯑꯄꯤꯀꯄꯥ ꯁꯔꯨ ꯀꯌꯥ ꯂꯩ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯑꯔꯊ꯭ꯔꯥꯏꯇꯤꯁꯀꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤꯅꯥ ꯁꯔꯨ ꯇꯥꯡ ꯑꯁꯤꯒꯤ ꯁꯔꯨꯛ ꯑꯃꯍꯦꯛꯇꯗꯥ ꯁꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤ ꯃꯇꯃꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ ꯍꯦꯟꯅꯥ ꯁꯣꯀꯆꯤꯜꯂꯀꯄꯥ ꯀ꯭ꯔꯣꯅꯤꯛ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫

ꯀꯔꯝꯕꯥ ꯃꯈꯂꯒꯤ ꯑꯔꯊ꯭ꯔꯥꯏꯇꯤꯁꯅꯥ ꯃꯈꯨꯠꯇꯥ ꯁꯣꯀꯍꯜꯂꯤꯕꯒꯦ?

ꯃꯈꯨꯠꯇꯥ ꯁꯣꯀꯍꯜꯂꯤꯕꯥ ꯑꯔꯊ꯭ꯔꯥꯏꯇꯤꯁ ꯃꯈꯜ ꯀꯌꯥ ꯂꯩ꯫ ꯃꯈꯣꯌ ꯑꯁꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯀꯦꯇꯦꯒꯣꯔꯤ ꯑꯅꯤꯗꯥ ꯈꯥꯌꯗꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯑꯃꯅꯥ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯁꯟ ꯌꯥꯎꯗꯅꯥ ꯊꯣꯀꯄꯥ ꯃꯈꯂꯅꯤ꯫ ꯑꯇꯣꯞꯄꯥ ꯑꯃꯅꯥ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯁꯅꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯊꯣꯀꯄꯥ ꯃꯈꯜ ꯑꯗꯨꯅꯤ꯫

ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯇꯦꯕꯜ ꯑꯁꯤꯗꯒꯤ ꯃꯈꯂꯁꯤꯡ ꯑꯁꯤ ꯍꯦꯟꯅꯥ ꯃꯌꯦꯛ ꯁꯦꯡꯅꯥ ꯈꯉꯁꯤ꯫

ꯔꯤꯁ꯭ꯠꯔꯀꯆꯔꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯤꯅꯣ?

ꯑꯔꯊ꯭ꯔꯥꯏꯇꯤꯁꯀꯤ ꯃꯈꯂꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯈꯔꯥ ꯈꯦꯠꯅꯕꯥ ꯌꯥꯏ, ꯑꯗꯨꯕꯨ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯂꯥꯏꯑꯣꯡ ꯈꯔꯗꯤ ꯂꯩ꯫

ꯃꯍꯧꯁꯥꯅꯥ, ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯊꯕꯀꯁꯤꯡ ꯑꯁꯤ ꯇꯧꯕꯥ ꯃꯇꯃꯗꯥ ꯑꯅꯥꯕꯥ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ ꯌꯥꯏ꯫

• ꯖ꯭ꯌꯥꯃꯒꯤ ꯖꯥꯔ ꯅꯠꯠꯔꯒꯥ ꯏꯁꯤꯡꯒꯤ ꯕꯣꯇꯜ ꯑꯃꯒꯨꯝꯕꯥ ꯄꯣꯠꯁꯛ ꯑꯃꯥ ꯍꯥꯡꯗꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ꯫
• ꯗꯣꯔ ꯂꯣꯛ ꯑꯃꯥ ꯇꯨꯡꯁꯤꯅꯕꯥ ꯃꯇꯃꯗꯥ꯫
• ꯀꯝꯞꯌꯨꯇꯔꯗꯥ ꯇꯥꯏꯞ ꯇꯧꯕꯥ ꯃꯇꯃꯗꯥ꯫
• ꯐꯤ ꯑꯃꯥ ꯀꯨꯄꯁꯤꯅꯕꯥ ꯃꯇꯃꯗꯥ꯫

ꯃꯁꯤꯒꯤ ꯃꯊꯛꯇꯥ, ꯍꯥꯌꯔꯤꯕꯥ ꯐꯤꯆꯔꯁꯤꯡ ꯑꯁꯤꯁꯨ ꯎꯕꯥ ꯐꯪꯒꯅꯤ:

• ꯁꯔꯨ ꯇꯥꯡ ꯑꯗꯨ ꯁꯣꯟꯊꯕꯥ, ꯂꯥꯂꯍꯧꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯁꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯅꯨꯡꯉꯥꯏꯕꯥ ꯐꯥꯎꯏ꯫
• ꯃꯈꯨꯠ ꯑꯗꯨ ꯆꯠꯊꯣꯛ-ꯆꯠꯁꯤꯟ ꯇꯧꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯀꯨꯄꯁꯤꯅꯕꯥ ꯃꯇꯃꯗꯥ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯁꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯑꯁꯣꯛ-ꯑꯄꯟ (reduced range of motion)꯫
• ꯑꯌꯨꯛꯇꯥ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯍꯧꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯁꯔꯨ ꯇꯥꯡꯗꯥ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯁꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯁꯣꯀꯄꯥ . ꯃꯁꯤ ꯅꯨꯃꯤꯠ ꯍꯨꯝꯅꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯍꯟꯊꯔꯀꯏ꯫
• ꯈꯨꯠ ꯑꯃꯁꯨꯡ ꯃꯈꯨꯠꯇꯥ ꯁꯣꯟꯊꯕꯥ ꯐꯥꯎꯕꯥ꯫
• ꯃꯈꯨꯠ ꯁꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ "ꯀꯥ-ꯀꯥ-ꯀꯥ" ꯅꯠꯠꯔꯒꯥ "ꯀꯤꯀꯤ-ꯀꯤꯀꯤ" ꯍꯥꯌꯕꯥ ꯈꯣꯟꯖꯦꯜ ꯑꯃꯥ ꯇꯥꯕꯥ ꯐꯪꯏ꯫
• ꯅꯍꯥꯛꯀꯤ ꯃꯈꯨꯠꯇꯥ ꯁꯣꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯇꯤꯟ ꯁꯤꯠꯄꯥ (tingling sensation) ꯑꯃꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯁꯤ ``ꯀꯥꯔꯄꯜ ꯇꯅꯦꯜ ꯁꯤꯟꯗꯣꯝ'' ꯀꯧꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯒꯥ ꯃꯔꯤ ꯂꯩꯅꯕꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫

ꯑꯣꯁ꯭ꯇꯤꯑꯣꯑꯔꯊ꯭ꯔꯥꯏꯇꯤꯁꯒꯨꯝꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯥ ꯃꯈꯨꯠ ꯑꯃꯈꯛꯇꯗꯥ ꯁꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯔꯤꯌꯨꯃꯦꯇꯣꯏꯗ ꯑꯔꯊ꯭ꯔꯥꯏꯇꯤꯁꯒꯨꯝꯕꯥ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯇꯔꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯥ ꯑꯌꯥꯝꯕꯅꯥ ꯃꯇꯝ ꯑꯃꯗꯥ ꯃꯈꯨꯠ ꯑꯅꯤꯃꯛ ꯁꯣꯀꯍꯜꯂꯤ . ꯍꯀꯆꯥꯡꯒꯤ ꯑꯇꯩ ꯁꯔꯨ ꯇꯥꯡꯁꯤꯡꯗꯁꯨ ꯁꯣꯀꯍꯜꯂꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯁꯤ ꯈꯛꯇꯥ ꯅꯠꯇꯅꯥ, ꯂꯥꯏꯍꯧ, ꯋꯥꯈꯜ ꯆꯔꯥꯡꯅꯕꯥ, ꯑꯃꯁꯨꯡ ꯈꯣꯡ-ꯈꯨꯠ ꯁꯣꯛꯅ-ꯁꯝꯅꯒꯨꯝꯕꯥ ꯖꯦꯅꯦꯔꯦꯜ ꯂꯥꯏꯑꯣꯡꯁꯤꯡꯅꯁꯨ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯇꯔꯤ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ ꯑꯁꯤꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯂꯥꯀꯄꯥ ꯌꯥꯏ꯫

ꯑꯔꯊ꯭ꯔꯥꯏꯇꯤꯁ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯈꯪꯗꯣꯀꯄꯒꯦ?

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯂꯩꯔꯕꯗꯤ, ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯥ ꯊꯕꯛ ꯑꯗꯨꯗꯤ ꯗꯣꯛꯇꯔ ꯑꯃꯒꯥ ꯇꯥꯟꯅꯕꯅꯤ . ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯍꯪꯒꯅꯤ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯃꯈꯨꯠ ꯑꯗꯨ ꯌꯦꯡꯁꯤꯅꯒꯅꯤ꯫ ꯃꯈꯣꯌꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯨꯠ ꯑꯗꯨ ꯀꯨꯄꯁꯤꯅꯕꯥ, ꯆꯦꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯍꯨꯔꯥꯅꯕꯥ ꯌꯥꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯒꯅꯤ꯫ ꯃꯈꯣꯌꯅꯥ ꯁꯣꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯁꯣꯀꯄꯥ ꯑꯃꯠꯇꯥ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯆꯦꯛ ꯇꯧꯒꯅꯤ꯫

ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ, ꯑꯔꯊ꯭ꯔꯥꯏꯇꯤꯁꯀꯤ ꯃꯈꯜ ꯑꯗꯨ ꯑꯆꯨꯝꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯈꯪꯗꯣꯛꯅꯕꯥ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯑꯁꯤ ꯑꯣꯔꯗꯔ ꯇꯧꯕꯥ ꯌꯥꯏ:

• ꯑꯦꯛꯁ-ꯔꯦ: ꯃꯁꯤꯅꯥ ꯁꯔꯨ ꯇꯥꯡꯒꯤ ꯁꯔꯨ ꯇꯥꯡꯁꯤꯡꯒꯤ ꯃꯔꯛꯇꯥ ꯂꯩꯕꯥ ꯃꯐꯝ ꯑꯗꯨ ꯀꯨꯄꯁꯤꯅꯕꯥ, ꯀꯥꯔꯇꯤꯂꯦꯖ ꯁꯣꯟꯊꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯁꯔꯨ ꯇꯥꯡꯁꯤꯡꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯄꯥ ꯌꯦꯡꯕꯗꯥ ꯁꯤꯖꯤꯟꯅꯕꯥ ꯌꯥꯏ꯫
• ꯕ꯭ꯂꯗ ꯇꯦꯁ꯭ꯠ: ꯕ꯭ꯂꯗ ꯇꯦꯁ꯭ꯇꯁꯤꯡꯅꯥ ꯏꯗꯥ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯇꯔꯤ ꯃꯥꯔꯀꯔꯁꯤꯡ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯆꯦꯛ ꯇꯧꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ, ꯃꯔꯨꯑꯣꯏꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯔꯤꯌꯨꯃꯦꯇꯣꯏꯗ ꯑꯔꯊ꯭ꯔꯥꯏꯇꯤꯁꯒꯨꯝꯕꯥ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯇꯔꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯥ ꯆꯤꯡꯅꯕꯥ ꯂꯩꯔꯕꯗꯤ꯫

ꯔꯤꯁ꯭ꯠꯔꯀꯆꯔꯒꯤ ꯂꯥꯏꯌꯦꯡꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?

ꯑꯔꯊ꯭ꯔꯥꯏꯇꯤꯁ ꯂꯥꯌꯦꯡꯕꯗꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯄꯥꯟꯗꯝ ꯑꯅꯤ ꯂꯩ꯫ ꯑꯃꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ (ꯑꯅꯥꯕꯥ, ꯁꯣꯀꯄꯥ) ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯅꯤ꯫ ꯑꯇꯣꯞꯄꯥ ꯑꯃꯅꯥ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯌꯥꯕꯥ ꯇꯥꯔꯕꯗꯤ, ꯁꯔꯨ ꯇꯥꯡ ꯑꯗꯨꯗꯥ ꯃꯈꯥ ꯇꯥꯅꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯊꯤꯡꯅꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯊꯤꯡꯖꯤꯅꯕꯥ ꯍꯥꯌꯕꯁꯤꯅꯤ꯫ ꯃꯍꯧꯁꯥꯅꯥ ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯏꯆꯝ ꯆꯝꯕꯥ, ꯐꯖꯅꯥ ꯂꯥꯏꯌꯦꯡꯕꯗꯒꯤ ꯍꯧꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯈꯣꯌꯁꯤꯡ ꯑꯗꯨꯅꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯗꯨ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯗ꯭ꯔꯕꯈꯛꯇꯗꯥ ꯃꯈꯣꯌꯅꯥ ꯍꯦꯟꯅꯥ ꯆꯥꯎꯈꯠꯄꯥ ꯂꯥꯌꯦꯡꯁꯤꯡꯗꯥ ꯆꯪꯁꯤꯜꯂꯤ꯫

ꯑꯍꯥꯅꯕꯗꯥ ꯍꯣꯠꯅꯒꯗꯕꯥ ꯏꯆꯝ ꯆꯝꯕꯥ ꯂꯥꯏꯌꯦꯡꯁꯤꯡ꯫

ꯍꯥꯌꯔꯤꯕꯥ ꯑꯁꯤ ꯅꯍꯥꯛꯅꯥ ꯌꯨꯃꯗꯥ ꯐꯥꯑꯣꯕꯥ ꯇꯧꯕꯥ ꯌꯥꯕꯥ ꯊꯕꯀꯁꯤꯡꯅꯤ꯫

꯱.ꯍꯣꯠ /ꯀꯣꯜꯗ ꯊꯦꯔꯥꯄꯤ: ꯱ .ꯃꯦꯊꯗ ꯑꯅꯤ ꯑꯁꯤ ꯑꯅꯥꯕꯥ ꯍꯟꯊꯍꯟꯅꯕꯥ ꯁꯤꯖꯤꯟꯅꯕꯥ ꯌꯥꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯁꯔꯨ ꯇꯥꯡ ꯑꯗꯨ ꯁꯣꯟꯊꯔꯕꯥ ꯑꯃꯁꯨꯡ ꯏꯪꯊꯔꯕꯗꯤ, ꯑꯥꯏꯁ ꯄꯦꯛ ꯑꯃꯥ ꯊꯥꯕꯅꯥ ꯁꯣꯛ-ꯄꯅꯕꯥ ꯑꯗꯨ ꯍꯟꯊꯍꯅꯒꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯌꯨꯛ-ꯅꯨꯡꯊꯤꯂꯗꯥ ꯁꯔꯨ ꯇꯥꯡ ꯑꯗꯨ ꯇꯔꯨ-ꯇꯅꯥꯟꯅꯥ ꯂꯩꯔꯕꯗꯤ, ꯃꯗꯨ ꯑꯁꯥꯕꯥ ꯏꯁꯤꯡꯗꯥ ꯌꯥꯟꯁꯤꯟꯅꯕꯅꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯁꯥꯕꯥ ꯏꯁꯤꯡꯒꯤ ꯕꯦꯁꯤꯟ ꯑꯃꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯨꯠ ꯑꯗꯨ ꯊꯃꯖꯤꯅꯕꯅꯥ ꯇꯔꯨ-ꯇꯅꯥꯅꯕꯥ ꯑꯗꯨ ꯍꯟꯊꯍꯅꯕꯥ ꯉꯝꯃꯤ꯫

2. ꯄꯦꯟ ꯀꯤꯂꯔꯁꯤꯡ: ꯅꯍꯥꯛꯅꯥ ꯄꯦꯔꯥꯁꯤꯇꯥꯃꯣꯜ ꯅꯠꯠꯔꯒꯥ ꯅꯟ-ꯁ꯭ꯇꯦꯔꯣꯏꯗ ꯑꯦꯟꯇꯤ-ꯏꯅꯐ꯭ꯂꯦꯃꯦꯇꯔꯤ ꯗ꯭ꯔꯒꯁꯤꯡ (NSAIDs) (ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯏꯕꯨꯞꯔꯣꯐꯦꯟ, ꯗꯤꯛꯂꯣꯐꯦꯅꯥꯛ)ꯒꯨꯝꯕꯥ ꯑꯣꯚꯔ-ꯗꯤ-ꯀꯎꯟꯇꯔ ꯄꯦꯏꯅꯀꯤꯂꯥꯔꯁꯤꯡ ꯁꯤꯖꯤꯟꯅꯕꯥ ꯌꯥꯏ꯫ ꯇꯣꯄꯤꯀꯦꯜ ꯄꯦꯅꯀꯤꯂꯔꯁꯤꯡꯅꯁꯨ ꯃꯇꯦꯡ ꯄꯥꯡꯕꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯕꯨ ꯅꯤꯡꯁꯤꯡꯕꯤꯌꯨ, ꯍꯤꯗꯥꯛ ꯑꯃꯠꯇꯥ ꯁꯤꯖꯤꯟꯅꯗ꯭ꯔꯤꯉꯩ ꯃꯃꯥꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯇꯥꯟꯅꯕꯅꯥ ꯃꯇꯝ ꯄꯨꯝꯅꯃꯛꯇꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯩ꯫

3. ꯐꯤꯖꯤꯀꯦꯜ ꯊꯦꯔꯥꯄꯤ: ꯐꯤꯖꯤꯀꯦꯜ ꯊꯦꯔꯥꯄꯤꯁ꯭ꯠ ꯑꯃꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯨꯠꯁꯥ ꯑꯗꯨ ꯃꯄꯥꯉ꯭ꯒꯜ ꯀꯅꯈꯠꯍꯅꯕꯗꯥ ꯑꯃꯁꯨꯡ ꯐ꯭ꯂꯦꯛꯁꯤꯕꯤꯂꯤꯇꯤ ꯍꯦꯅꯒꯠꯍꯅꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯅꯕꯥ ꯑꯀꯛꯅꯕꯥ ꯑꯦꯛꯁꯔꯁꯥꯏꯖꯁꯤꯡ ꯇꯝꯕꯤꯕꯥ ꯌꯥꯏ꯫ ꯆꯥꯡ ꯅꯥꯏꯅꯥ , ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯇꯧꯕꯅꯥ ꯁꯔꯨ ꯇꯥꯡꯒꯤ ꯑꯀꯣꯌꯕꯗꯥ ꯂꯩꯕꯥ ꯇꯤꯁꯨꯁꯤꯡꯗꯥ ꯏ ꯆꯦꯅꯕꯥ ꯐꯒꯠꯍꯅꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ ꯑꯃꯁꯨꯡ ꯁꯣꯟꯊꯕꯥ ꯊꯤꯡꯏ꯫

4. ꯅꯍꯥꯛꯀꯤ ꯔꯨꯇꯤꯟ ꯑꯗꯨ ꯍꯣꯡꯗꯣꯀꯎ꯫ ꯑꯣꯛꯌꯨꯄꯦꯁꯅꯦꯜ ꯊꯦꯔꯥꯄꯤꯁ꯭ꯠ ꯑꯃꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯃꯈꯨꯠꯇꯥ ꯁ꯭ꯠꯔꯦꯁ ꯍꯟꯊꯍꯟꯅꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯅꯣꯡꯃꯒꯤ ꯔꯨꯇꯤꯟ ꯑꯗꯨ ꯀꯔꯝꯅꯥ ꯍꯣꯡꯗꯣꯛꯀꯗꯒꯦ ꯍꯥꯌꯕꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯄꯥꯎꯇꯥꯛ ꯄꯤꯕꯥ ꯌꯥꯏ꯫

ꯗꯣꯛꯇꯔꯅꯥ ꯄꯤꯕꯥ ꯑꯈꯟꯅꯕꯥ ꯂꯥꯏꯌꯦꯡ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯅꯥꯕꯥ ꯑꯗꯨ ꯏꯆꯝ ꯆꯝꯕꯥ ꯂꯥꯏꯌꯦꯡꯁꯤꯡꯅꯥ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯗꯥ ꯑꯋꯥꯕꯥ ꯑꯣꯏꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯃꯈꯂꯒꯤ ꯂꯥꯏꯌꯦꯡꯁꯤꯡꯗꯥ ꯔꯤꯐꯔ ꯇꯧꯕꯥ ꯌꯥꯏ꯫

• ꯀꯣꯔꯇꯤꯁꯣꯟ ꯁꯣꯇꯁꯤꯡ: ꯃꯁꯤ ꯁ꯭ꯇꯦꯔꯣꯏꯗ ꯏꯅꯖꯦꯀꯁꯅꯁꯤꯡꯅꯤ꯫ ꯍꯥꯌꯔꯤꯕꯥ ꯏꯅꯖꯦꯀꯁꯅꯁꯤꯡ ꯑꯁꯤ ꯃꯈꯨꯠꯀꯤ ꯃꯈꯨꯠꯇꯥ ꯍꯀꯊꯦꯡꯅꯅꯥ ꯏꯅꯖꯦꯀꯁꯟ ꯇꯧꯏ꯫ ꯃꯈꯣꯌꯅꯥ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯁꯟ ꯑꯃꯁꯨꯡ ꯑꯅꯥꯕꯗꯒꯤ ꯈꯨꯗꯛꯇꯥ ꯑꯃꯁꯨꯡ ꯌꯥꯡꯅꯥ ꯔꯤꯂꯤꯐ ꯄꯤ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯃꯈꯣꯌꯒꯤ ꯏꯐꯦꯛꯇꯁꯤꯡ ꯑꯁꯤ ꯃꯇꯝ ꯈꯔꯒꯤ ꯑꯣꯏꯕꯥ ꯑꯣꯏ꯫
• ꯄ꯭ꯂꯦꯇꯂꯦꯠ ꯔꯤꯆ ꯄ꯭ꯂꯥꯖꯃꯥ (PRP) ꯏꯅꯖꯦꯀꯁꯅꯁꯤꯡ: ꯃꯁꯤ ꯑꯣꯁ꯭ꯇꯤꯑꯣꯑꯔꯊ꯭ꯔꯥꯏꯇꯤꯁꯀꯤ ꯌꯥꯝꯅꯥ ꯑꯅꯧꯕꯥ ꯂꯥꯏꯌꯦꯡ ꯑꯃꯅꯤ꯫ ꯃꯁꯤꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯏꯁꯥꯒꯤ ꯏꯗꯒꯤ ꯄ꯭ꯂꯦꯇꯂꯦꯇꯁꯤꯡ ꯂꯧꯊꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯃꯈꯣꯌꯕꯨ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯁꯔꯨ ꯇꯥꯡꯗꯥ ꯏꯅꯖꯦꯀꯁꯟ ꯇꯧꯕꯥ ꯌꯥꯎꯏ꯫ ꯁ꯭ꯇꯗꯤ ꯈꯔꯅꯥ ꯃꯁꯤꯅꯥ ꯑꯁꯣꯀꯄꯥ ꯀꯥꯔꯇꯤꯂꯦꯖ ꯈꯔꯗꯤ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯁꯦꯃꯒꯠꯅꯕꯥ ꯊꯧꯅꯥ ꯍꯥꯞꯄꯥ ꯉꯝꯃꯤ ꯍꯥꯌꯕꯥ ꯎꯠꯂꯦ꯫
• ꯑꯣꯔꯦꯜ ꯁ꯭ꯇꯦꯔꯣꯏꯗ ꯄꯤꯂꯁꯤꯡ: ꯃꯁꯤ ꯔꯤꯌꯨꯃꯦꯇꯣꯏꯗ ꯑꯔꯊ꯭ꯔꯥꯏꯇꯤꯁꯒꯨꯝꯕꯥ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯇꯔꯤ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯗꯥ ꯁꯤꯖꯤꯟꯅꯩ꯫ ꯃꯈꯣꯌꯅꯥ ꯏꯝꯝꯌꯨꯟ ꯁꯤꯁ꯭ꯇꯦꯃꯒꯤ ꯑꯦꯛꯇꯤꯚꯤꯇꯤ ꯊꯤꯡꯏ ꯑꯃꯁꯨꯡ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯁꯟ ꯍꯟꯊꯍꯜꯂꯤ꯫
• ꯗꯤ.ꯑꯦꯝ.ꯑꯥꯔ.ꯗꯤ.ꯑꯦꯁ.: ꯃꯁꯤꯅꯥ ``ꯗꯤꯖꯤꯖ-ꯃꯣꯗꯤꯐꯥꯏꯌꯤꯡ ꯑꯦꯟꯇꯤꯔꯤꯎꯃꯦꯇꯤꯛ ꯗ꯭ꯔꯒꯁꯤꯡ'' ꯍꯥꯌꯕꯅꯤ꯫ ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯔꯤꯌꯨꯃꯦꯇꯣꯏꯗ ꯑꯔꯊ꯭ꯔꯥꯏꯇꯤꯁꯒꯨꯝꯕꯥ ꯑꯣꯇꯣꯏꯝꯌꯨꯟ ꯂꯥꯌꯅꯥꯁꯤꯡ ꯂꯥꯌꯦꯡꯕꯗꯥ ꯄꯤꯕꯥ ꯑꯈꯟꯅꯕꯥ ꯍꯤꯗꯥꯀꯁꯤꯡꯅꯤ꯫ ꯃꯈꯣꯌꯅꯥ ꯂꯥꯌꯅꯥ ꯑꯁꯤꯒꯤ ꯀꯣꯔꯁ ꯍꯣꯡꯗꯣꯀꯏ ꯑꯃꯁꯨꯡ ꯁꯔꯨ ꯇꯥꯡꯁꯤꯡꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯍꯟꯊꯍꯜꯂꯤ꯫

ꯁꯔꯖꯔꯤ ꯇꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯏ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯇꯩ ꯂꯥꯏꯌꯦꯡ ꯄꯨꯝꯅꯃꯛꯅꯥ ꯑꯅꯥꯕꯥ ꯑꯗꯨ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯥ ꯉꯃꯗ꯭ꯔꯕꯗꯤ, ꯅꯠꯠꯔꯒꯥ ꯑꯔꯊ꯭ꯔꯥꯏꯇꯤꯁ ꯑꯗꯨ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯑꯣꯏꯔꯕꯗꯤ ꯅꯨꯃꯤꯠ ꯈꯨꯗꯤꯡꯒꯤ ꯊꯕꯛ ꯊꯧꯔꯃꯁꯤꯡ ꯄꯥꯡꯊꯣꯀꯄꯗꯥ ꯑꯋꯥꯕꯥ ꯑꯣꯏꯔꯕꯗꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯁꯔꯖꯔꯤ ꯇꯧꯅꯕꯥ ꯄꯥꯎꯇꯥꯛ ꯄꯤꯕꯥ ꯌꯥꯏ꯫

꯱.ꯄ꯭ꯔꯣꯛꯁꯤꯃꯥꯜ ꯔꯣ ꯀꯥꯔꯄꯦꯛꯇꯣꯃꯤ: ꯱ .ꯃꯁꯤꯗꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯍꯜꯂꯤꯕꯥ ꯃꯈꯨꯠꯇꯥ ꯂꯩꯕꯥ ꯑꯄꯤꯀꯄꯥ ꯁꯔꯨꯁꯤꯡ (carpal bones) ꯀꯌꯥ ꯂꯧꯊꯣꯀꯄꯥ ꯌꯥꯎꯏ꯫ ꯃꯁꯤꯅꯥ ꯂꯦꯃꯍꯧꯔꯤꯕꯥ ꯁꯔꯨꯁꯤꯡ ꯑꯗꯨ ꯁꯣꯀꯍꯟꯗꯅꯥ ꯍꯦꯟꯅꯥ ꯅꯤꯡꯊꯤꯅꯥ ꯆꯠꯊꯣꯛ-ꯆꯠꯁꯤꯟ ꯇꯧꯕꯥ ꯉꯃꯍꯜꯂꯤ꯫

2. ꯖꯣꯏꯟꯇ ꯐ꯭ꯌꯨꯖꯟ ꯁꯔꯖꯔꯤ: ꯃꯁꯤꯗꯥ, ꯑꯁꯣꯀꯄꯥ ꯁꯔꯨ ꯇꯥꯡꯁꯤꯡ ꯑꯗꯨ ꯄꯤꯟ ꯑꯃꯁꯨꯡ ꯁ꯭ꯛꯔꯨꯁꯤꯡꯅꯥ ꯄꯨꯟꯅꯥ ꯐꯤꯛꯁ ꯇꯧꯏ꯫ ꯁꯔꯨꯁꯤꯡ ꯑꯗꯨ ꯐꯤꯛꯁ ꯇꯧꯔꯀꯄꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯑꯅꯥꯕꯥ ꯑꯗꯨꯁꯨ ꯃꯥꯡꯈꯤ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯃꯁꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ, ꯃꯈꯨꯠ ꯑꯗꯨ ꯀꯨꯄꯁꯤꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯆꯦꯅꯕꯥ ꯉꯝꯕꯒꯤ ꯁꯛꯇꯤ ꯑꯗꯨ ꯃꯥꯡꯈꯤ꯫

3. ꯔꯤꯁ꯭ꯠ ꯑꯥꯔꯊ꯭ꯔꯣꯞꯂꯥꯁ꯭ꯇꯤ: ꯃꯁꯤꯗꯥ ꯑꯁꯣꯀꯄꯥ ꯁꯔꯨ ꯇꯥꯡ ꯑꯗꯨ ꯂꯧꯊꯣꯛꯇꯨꯅꯥ ꯃꯗꯨꯒꯤ ꯃꯍꯨꯠꯇꯥ ꯙꯥꯇꯨ ꯅꯠꯠꯔꯒꯥ ꯄ꯭ꯂꯥꯁ꯭ꯇꯤꯀꯅꯥ ꯁꯦꯝꯕꯥ ꯑꯥꯔꯇꯤꯐꯤꯁꯤꯑꯦꯜ ꯖꯣꯟ ꯑꯃꯅꯥ ꯃꯍꯨꯠ ꯁꯤꯅꯕꯅꯤ꯫ ꯃꯁꯤꯅꯥ ꯑꯅꯥꯕꯥ ꯍꯟꯊꯍꯅꯕꯥ ꯉꯝꯃꯤ ꯑꯃꯁꯨꯡ ꯃꯈꯨꯠꯀꯤ ꯈꯣꯡꯖꯦꯜ ꯈꯔꯥ ꯉꯥꯀꯊꯣꯀꯄꯥ ꯉꯝꯃꯤ꯫