ꯅꯍꯥꯛꯀꯤ ꯕ꯭ꯂꯦꯗꯔ ꯑꯗꯨ ꯂꯧꯊꯣꯛꯇꯨꯅꯥ ꯑꯅꯧꯕꯥ ꯑꯃꯥ ꯁꯦꯝꯕꯥ ꯌꯥꯕ꯭ꯔꯥ? ꯅꯤꯑꯣꯕ꯭ꯂꯦꯗꯔ ꯁꯔꯖꯔꯤ (Neobladder Reconstruction)ꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯁꯤ

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯀꯦꯟꯁꯔ ꯅꯠꯠꯔꯒꯥ ꯑꯇꯩ ꯁꯥꯊꯤꯕꯥ ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯐꯤꯚꯃꯁꯤꯡꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯒꯤ ꯕ꯭ꯂꯦꯗꯔ ꯄꯨꯝꯅꯃꯛ ꯂꯧꯊꯣꯀꯄꯥ ꯃꯊꯧ ꯇꯥꯏ꯫ ꯃꯤꯑꯣꯏ ꯀꯌꯥꯅꯥ ꯂꯥꯡꯇꯛꯅꯔꯤ, "ꯍꯧꯖꯤꯛ ꯑꯩꯅꯥ ꯀꯔꯝꯅꯥ ꯌꯨꯔꯤꯅꯒꯅꯤ?" ꯑꯗꯨꯕꯨ ꯑꯀꯤꯕꯥ ꯂꯩꯔꯣꯏ, ꯃꯦꯗꯤꯀꯦꯜ ꯁꯥꯏꯟꯁꯀꯤ ꯆꯥꯎꯈꯠꯂꯀꯄꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯃꯁꯤꯒꯤ ꯑꯐꯕꯥ ꯁꯣꯂꯨꯁꯟ ꯑꯃꯥ ꯂꯩꯔꯦ꯫ ꯍꯥꯌꯕꯗꯤ ꯅꯍꯥꯛꯀꯤ ꯏꯁꯥꯒꯤ ꯏꯟꯇꯦꯁ꯭ꯇꯥꯏꯅꯒꯤ ꯁꯔꯨꯛ ꯑꯃꯥ ꯁꯤꯖꯤꯟꯅꯗꯨꯅꯥ ꯍꯀꯆꯥꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯅꯧꯕꯥ ꯕ꯭ꯂꯦꯗꯔ ꯑꯃꯥ ꯁꯦꯝꯃꯤ꯫ ꯉꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯑꯉꯀꯄꯥ ꯁꯔꯖꯔꯤ ꯑꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯔꯤ, ꯃꯗꯨꯕꯨ ꯅꯤꯑꯣꯕ꯭ꯂꯦꯗꯔ ꯁꯔꯖꯔꯤ ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫

‘ꯅꯤꯑꯣꯕ꯭ꯂꯦꯗꯔ’ ꯁꯔꯖꯔꯤ ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ?

ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯃꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯂꯥꯌꯅꯥ ꯂꯩꯔꯕꯥ, ꯊꯕꯛ ꯇꯧꯗꯕꯥ ꯕ꯭ꯂꯦꯗꯔ ꯑꯗꯨꯒꯤ ꯃꯍꯨꯠ ꯁꯤꯟꯅꯕꯥ ꯑꯅꯧꯕꯥ ꯕ꯭ꯂꯦꯗꯔ ꯑꯃꯥ ꯁꯦꯝꯅꯕꯥ ꯁꯔꯖꯔꯤ ꯑꯃꯅꯤ꯫ ꯃꯁꯤꯗꯥ ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯑꯍꯥꯅꯕꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯔꯤꯕꯥ ꯕ꯭ꯂꯦꯗꯔ ꯑꯗꯨ ꯁꯔꯖꯔꯤꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯂꯧꯊꯣꯀꯏ꯫ ꯃꯁꯤꯕꯨ ꯁꯤꯁ꯭ꯇꯦꯛꯇꯣꯃꯤ ꯍꯥꯌꯅꯥ ꯀꯧꯏ . ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ, ꯃꯈꯣꯌꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯏꯁꯥꯒꯤ ꯑꯄꯤꯀꯄꯥ ꯏꯟꯇꯦꯁ꯭ꯇꯥꯏꯅꯒꯤ ꯑꯄꯤꯀꯄꯥ ꯁꯔꯨꯛ ꯑꯃꯥ ꯂꯧꯗꯨꯅꯥ ꯕꯣꯜ ꯑꯃꯒꯨꯝꯅꯥ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯁꯦꯝꯕꯥ ꯑꯅꯧꯕꯥ ꯕ꯭ꯂꯦꯗꯔ (neobladder) ꯑꯃꯥ ꯁꯦꯝꯅꯕꯥ ꯁꯤꯖꯤꯟꯅꯩ꯫

ꯃꯁꯤꯒꯤ ꯑꯅꯧꯕꯥ ꯕ꯭ꯂꯦꯗꯔ ꯑꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯑꯔꯤꯕꯥ ꯕ꯭ꯂꯦꯗꯔ ꯑꯗꯨꯒꯥ ꯆꯞ ꯃꯥꯟꯅꯕꯥ ꯃꯐꯃꯗꯥ ꯊꯝꯃꯤ꯫ ꯃꯔꯝ ꯑꯁꯤꯅꯥ ꯃꯁꯤꯕꯨ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ‘ꯑꯣꯔꯊꯣꯇꯣꯄꯤꯛ’ ꯅꯤꯑꯣꯕ꯭ꯂꯦꯗꯔ ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ 'ꯑꯣꯔꯊꯣꯇꯣꯄꯤꯛ' ꯍꯥꯌꯕꯁꯤ "ꯃꯐꯝ ꯑꯃꯗꯥ" ꯍꯥꯌꯕꯅꯤ꯫ ꯃꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯅꯤꯑꯣꯕ꯭ꯂꯦꯗꯔ ꯔꯤꯀꯟꯁꯠꯔꯛꯁꯟ ꯍꯥꯌꯅꯥ ꯀꯧꯏ, ꯃꯁꯤꯅꯥ ꯌꯨꯔꯤꯟ ꯊꯝꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯊꯥꯗꯣꯛꯅꯕꯥ ꯑꯅꯧꯕꯥ ꯁꯤꯁ꯭ꯇꯦꯝ ꯑꯃꯥ ꯁꯦꯝꯃꯤ꯫

ꯑꯗꯨꯕꯨ ꯃꯁꯤꯒꯤ ꯁꯔꯖꯔꯤ ꯑꯁꯤ ꯃꯤꯄꯨꯝ ꯈꯨꯗꯤꯡꯃꯛꯀꯤ ꯅꯠꯇꯦ꯫ ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯀꯤꯗꯅꯤ ꯑꯃꯁꯨꯡ ꯂꯤꯚꯔ ꯑꯁꯤ ꯀꯌꯥ ꯌꯥꯝꯅꯥ ꯍꯀꯁꯦꯜ ꯐꯕꯒꯦ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯅꯥ ꯕ꯭ꯂꯦꯗꯔ ꯀꯦꯟꯁꯔ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨꯒꯨꯝꯕꯥ ꯐꯦꯛꯇꯔ ꯀꯌꯥꯗꯥ ꯌꯨꯝꯐꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯅꯍꯥꯛ ꯑꯁꯤꯒꯤꯗꯃꯛꯇꯥ ꯆꯨꯝꯃꯤꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯂꯦꯄꯀꯅꯤ꯫

ꯀꯔꯤ ꯀꯦꯁꯁꯤꯡꯗꯥ ꯁꯔꯖꯔꯤ ꯑꯁꯤ ꯃꯊꯧ ꯇꯥꯕꯒꯦ?

ꯗꯣꯛꯇꯔ ꯑꯃꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯕ꯭ꯂꯦꯗꯔꯒꯤ ꯍꯀꯁꯦꯜ ꯅꯠꯠꯔꯒꯥ ꯐꯉ꯭ꯀꯁꯅꯗꯥ ꯁꯣꯀꯍꯜꯂꯤꯕꯥ ꯃꯈꯜ-ꯃꯈꯥ ꯀꯌꯥꯒꯤ ꯀꯟꯗꯤꯁꯅꯁꯤꯡꯒꯤꯗꯃꯛ ꯁꯔꯖꯔꯤ ꯑꯁꯤ ꯔꯤꯀꯃꯦꯟꯗ ꯇꯧꯕꯥ ꯌꯥꯏ꯫ ꯃꯈꯣꯌꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯤꯅꯣ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯁꯤ꯫

ꯁꯔꯖꯔꯤꯒꯤ ꯃꯃꯥꯡꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯀꯔꯝꯅꯥ ꯁꯦꯝ-ꯁꯥꯕꯒꯦ?

ꯁꯔꯖꯔꯤꯒꯤ ꯃꯃꯥꯡꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯏꯎꯔꯣꯂꯣꯖꯤꯁ꯭ꯠ ꯑꯃꯒꯥ ꯎꯅꯒꯅꯤ꯫ ꯃꯍꯥꯛꯅꯥ ꯁꯔꯖꯔꯤꯒꯤ ꯀꯥꯟꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯑꯋꯥꯕꯥ, ꯂꯣꯌꯅꯅꯥ ꯑꯇꯣꯞꯄꯥ ꯑꯣꯄꯁꯅꯁꯤꯡꯁꯨ ꯐꯣꯡꯗꯣꯛꯀꯅꯤ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯃꯦꯗꯤꯀꯦꯜ ꯍꯤꯁ꯭ꯇꯔꯤ ꯑꯗꯨ ꯌꯦꯡꯁꯤꯅꯒꯅꯤ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯑꯄꯨꯅꯕꯥ ꯍꯀꯁꯦꯜ ꯑꯗꯨ ꯌꯦꯡꯁꯤꯟꯅꯕꯥ ꯐꯤꯖꯤꯀꯦꯜ ꯑꯦꯀꯖꯥꯃꯤꯅꯦꯁꯟ ꯑꯃꯥ ꯄꯥꯡꯊꯣꯛꯀꯅꯤ꯫

ꯃꯁꯤꯒꯤ ꯃꯊꯛꯇꯥ, ꯑꯗꯣꯃꯗꯥ ꯋꯥꯐꯃꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯍꯪꯒꯅꯤ:

• ꯅꯍꯥꯛꯅꯥ ꯂꯧꯔꯤꯕꯥ ꯍꯤꯗꯥꯀꯁꯤꯡ: ꯅꯍꯥꯛꯅꯥ ꯂꯧꯔꯤꯕꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ (ꯄ꯭ꯔꯤꯁ꯭ꯛꯔꯤꯄꯁꯟ ꯑꯃꯁꯨꯡ ꯑꯣꯚꯔ-ꯗꯤ-ꯀꯎꯟꯇꯔ ꯑꯅꯤꯃꯛ)ꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯈꯪꯍꯅꯒꯗꯕꯅꯤ꯫ ꯄꯦꯟ ꯔꯤꯂꯤꯚꯔ (NSAID) ꯑꯃꯁꯨꯡ ꯕ꯭ꯂꯗ ꯊꯤꯅꯔ (ꯑꯦꯟꯇꯤꯀꯣꯑꯦꯒꯨꯂꯦꯟꯇ) ꯈꯔꯗꯤ ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯃꯗꯥ ꯏ ꯊꯣꯀꯄꯒꯤ ꯔꯤꯁ꯭ꯛ ꯍꯦꯅꯒꯠꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯕꯨ ꯅꯤꯡꯁꯤꯡꯕꯤꯌꯨ, ꯑꯍꯥꯅꯕꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯍꯪꯗꯅꯥ ꯍꯤꯗꯥꯛ ꯑꯃꯠꯇꯥ ꯊꯀꯄꯥ ꯂꯦꯄꯀꯅꯨ꯫
• ꯅꯍꯥꯛꯀꯤ ꯑꯦꯂꯥꯔꯖꯤꯁꯤꯡ: ꯅꯍꯥꯛꯅꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ, ꯈꯣꯡ-ꯈꯨꯠ ꯁꯦꯡꯗꯣꯀꯄꯥ (ꯑꯥꯏꯑꯣꯗꯤꯅꯒꯨꯝꯕꯥ), ꯂꯦꯇꯦꯛꯁ ꯅꯠꯠꯔꯒꯥ ꯆꯤꯟꯖꯥꯀꯁꯤꯡꯗꯥ ꯂꯩꯕꯥ ꯑꯦꯂꯥꯔꯖꯤ ꯑꯃꯍꯦꯛꯇꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯑꯩꯈꯣꯌꯗꯥ ꯁꯣꯌꯗꯅꯥ ꯈꯪꯍꯅꯕꯤꯌꯨ꯫
• ꯆꯥꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯊꯛꯅꯕꯥ ꯏꯁꯤꯡ: ꯁꯔꯖꯔꯤꯒꯤ ꯃꯃꯥꯡꯒꯤ ꯅꯨꯃꯤꯠꯇꯥ ꯅꯨꯃꯤꯗꯥꯡꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯃꯠꯇꯥ ꯆꯥꯔꯣꯏꯗꯕꯅꯤ ꯅꯠꯠꯔꯒꯥ ꯊꯛꯂꯣꯏꯗꯕꯅꯤ ꯍꯥꯌꯅꯥ ꯄꯥꯎꯇꯥꯛ ꯄꯤꯒꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯇꯉꯥꯏꯐꯗꯕꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛ ꯑꯃꯥ ꯂꯩꯔꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯃꯗꯨ ꯏꯁꯤꯡ ꯊꯀꯄꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯂꯧꯕꯥ ꯌꯥꯏ꯫

ꯃꯇꯧ ꯀꯔꯝꯅꯥ ꯁꯔꯖꯔꯤ ꯑꯁꯤ ꯈꯣꯡꯊꯥꯡ ꯈꯨꯗꯤꯡꯒꯤ ꯄꯥꯡꯊꯣꯛꯀꯗꯒꯦ꯫

ꯃꯁꯤ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯄꯨꯡ ꯑꯅꯤꯗꯒꯤ ꯶ ꯐꯥꯑꯣꯕꯥ ꯆꯪꯕꯥ ꯑꯆꯧꯕꯥ ꯁꯔꯖꯔꯤ ꯑꯃꯅꯤ꯫ ꯃꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯀꯔꯤ ꯊꯣꯛꯂꯤꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯈꯣꯉꯊꯥꯡ ꯈꯨꯗꯤꯡꯒꯤ ꯌꯦꯡꯁꯤ꯫

ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯀꯔꯤ ꯑꯣꯏꯒꯅꯤ? ꯐꯒꯠꯂꯀꯄꯗꯥ ꯃꯇꯝ ꯀꯌꯥ ꯆꯪꯒꯅꯤ?

ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ, ꯅꯍꯥꯛꯅꯥ ꯅꯨꯃꯤꯠ ꯈꯔꯅꯤꯒꯤ ꯑꯣꯏꯅꯥ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯂꯗꯥ ꯂꯩꯕꯥ ꯃꯊꯧ ꯇꯥꯒꯅꯤ꯫ ꯅꯍꯥꯛꯅꯥ ꯋꯥꯈꯜ ꯈꯟꯊꯕꯥ ꯍꯧꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯈꯔꯥ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯐꯥꯑꯣꯒꯅꯤ꯫ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯂꯗꯥ, ꯃꯦꯗꯤꯀꯦꯜ ꯇꯤꯃꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯅꯥꯕꯥ ꯑꯗꯨ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯁꯦꯜ ꯌꯦꯡꯁꯤꯟꯅꯕꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ ꯄꯤꯒꯅꯤ꯫

ꯐꯒꯠꯂꯀꯄꯒꯤ ꯃꯇꯃꯗꯥ, ꯅꯍꯥꯀꯄꯨ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯑꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯇꯥꯀꯄꯤꯒꯅꯤ:

• ꯄꯦꯂꯚꯤꯛ ꯐ꯭ꯂꯣꯔ ꯑꯦꯛꯁꯔꯁꯥꯏꯖꯁꯤꯡ (ꯀꯦꯒꯦꯜ ꯑꯦꯛꯁꯔꯁꯥꯏꯖꯁꯤꯡ): ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫ ꯑꯦꯛꯁꯔꯁꯥꯏꯖꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯕ꯭ꯂꯦꯗꯔ ꯑꯗꯨ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯔꯤꯕꯥ ꯃꯁꯂꯁꯤꯡ ꯑꯗꯨ ꯃꯄꯥꯉ꯭ꯒꯜ ꯀꯅꯈꯠꯍꯜꯂꯤ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯃꯁꯤꯅꯥ ꯌꯨꯔꯤꯅꯔꯤ ꯏꯅꯀꯟꯇꯤꯅꯦꯟꯁ ꯊꯤꯡꯕꯗꯥ ꯌꯥꯝꯅꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫
• ꯁꯦꯂꯐ-ꯀꯦꯇꯦꯇꯥꯏꯖꯦꯁꯟ: ꯃꯤꯄꯨꯝ ꯈꯨꯗꯤꯡꯃꯛꯅꯥ ꯃꯊꯧ ꯇꯥꯗꯦ, ꯑꯗꯨꯕꯨ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯃꯤꯑꯣꯏ 15%ꯅꯥ ꯑꯍꯥꯅꯕꯗꯥ ꯃꯈꯣꯌꯒꯤ ꯕ꯭ꯂꯦꯗꯔ ꯑꯗꯨ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯁꯦꯡꯗꯣꯛꯅꯕꯥ ꯃꯦꯊꯗ ꯑꯁꯤ ꯁꯤꯖꯤꯟꯅꯕꯥ ꯃꯊꯧ ꯇꯥꯒꯅꯤ꯫ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯂꯩꯔꯣꯏꯗꯕꯅꯤ, ꯑꯩꯈꯣꯌꯅꯥ ꯑꯗꯣꯃꯗꯥ ꯃꯇꯧ ꯀꯔꯝꯅꯥ ꯇꯧꯒꯗꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯑꯆꯨꯝꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯎꯠꯂꯒꯅꯤ꯫

ꯃꯄꯨꯡꯐꯥꯅꯥ ꯐꯒꯠꯂꯀꯄꯗꯥ ꯊꯥ ꯀꯌꯥ ꯆꯪꯂꯝꯕꯥ ꯌꯥꯏ꯫ ꯅꯍꯥꯛꯀꯤ ꯑꯅꯧꯕꯥ ꯕ꯭ꯂꯦꯗꯔ ꯑꯗꯨ ꯁꯤꯖꯤꯟꯅꯕꯗꯥ ꯃꯇꯝ ꯆꯪꯏ, ꯃꯗꯨ ꯀꯔꯝꯅꯥ ꯏꯃꯞꯂꯤꯃꯦꯟꯇ ꯇꯧꯒꯗꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯇꯃꯁꯤꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯃꯁꯂꯁꯤꯡ ꯑꯗꯨ ꯃꯄꯥꯉ꯭ꯒꯜ ꯀꯅꯈꯠꯍꯅꯕꯗꯥ ꯃꯇꯝ ꯆꯪꯏ꯫ ꯃꯁꯤ ꯄꯨꯝꯅꯃꯛ ꯑꯁꯤꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔ ꯑꯃꯁꯨꯡ ꯅꯔꯁꯤꯡ ꯁ꯭ꯇꯥꯐꯁꯤꯡꯅꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯒꯅꯤ꯫

ꯅꯤꯑꯣꯕ꯭ꯂꯦꯗꯔ ꯑꯃꯒꯤ ꯀꯥꯟꯅꯕꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯈꯨꯗꯣꯡꯆꯥꯗꯕꯁꯤꯡ ꯀꯔꯤꯅꯣ?

ꯑꯗꯨꯕꯨ ꯄꯨꯝꯅꯃꯀꯒꯨꯝꯅꯥ ꯃꯁꯤꯗꯥ ꯈꯨꯗꯣꯡꯊꯤꯕꯥ ꯑꯃꯁꯨꯡ ꯈꯨꯗꯣꯡꯆꯥꯗꯕꯥ ꯈꯔꯥ ꯂꯩ꯫

• ꯕ꯭ꯂꯦꯗꯔ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯥ : ꯑꯍꯥꯅꯕꯗꯥ, ꯃꯔꯨꯑꯣꯏꯅꯥ ꯑꯌꯨꯛ-ꯅꯨꯡꯊꯤꯂꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯕ꯭ꯂꯦꯗꯔ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯗꯥ ꯑꯋꯥꯕꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯃꯇꯃꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ, ꯃꯔꯨꯑꯣꯏꯅꯥ ꯀꯦꯒꯦꯜ ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯇꯧꯕꯒꯥ ꯂꯣꯌꯅꯅꯥ, ꯆꯥꯎꯔꯥꯛꯅꯥ ꯃꯤꯑꯣꯏ 90%ꯗꯤ ꯅꯨꯃꯤꯗꯥꯡꯗꯥ ꯑꯐꯕꯥ ꯀꯟꯠꯔꯣꯜ ꯂꯩꯒꯅꯤ꯫
• ꯌꯨꯔꯤꯅꯗꯥ ꯃ꯭ꯌꯨꯀꯁ: ꯑꯅꯧꯕꯥ ꯕ꯭ꯂꯦꯗꯔ ꯑꯁꯤ ꯏꯟꯇꯦꯁ꯭ꯇꯥꯏꯅꯒꯤ ꯁꯦꯛꯁꯟ ꯑꯃꯗꯒꯤ ꯁꯦꯝꯕꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯃ꯭ꯌꯨꯀꯁꯒꯨꯝꯕꯥ ꯁꯦꯛꯔꯦꯁꯟ ꯑꯃꯥ ꯊꯣꯀꯍꯜꯂꯤ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯏꯅꯐꯦꯛꯁꯟ ꯊꯤꯡꯅꯕꯒꯤꯗꯃꯛ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯀꯦꯇꯦꯇꯔ ꯑꯃꯥ ꯍꯥꯄꯆꯤꯟꯗꯨꯅꯥ ꯕ꯭ꯂꯦꯗꯔꯗꯥ ꯏꯁꯤꯡ ꯇꯨꯡꯁꯤꯅꯕꯥ ꯃꯊꯧ ꯇꯥꯏ꯫
• ꯑꯇꯩ ꯔꯤꯁ꯭ꯀꯁꯤꯡ: ꯏ ꯊꯣꯀꯄꯥ, ꯏ ꯊꯣꯀꯄꯥ, ꯕꯦꯛꯇꯦꯔꯤꯌꯥ ꯏꯅꯐꯦꯛꯁꯟ, ꯌꯨꯔꯤꯅꯔꯤ ꯇ꯭ꯔꯦꯛꯇ ꯏꯅꯐꯦꯛꯁꯟ (UTIs), ꯌꯨꯔꯤꯅꯔꯤ ꯔꯤꯇꯦꯟꯁꯟ ꯑꯁꯤꯅꯆꯤꯡꯕꯥ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯏꯂꯦꯛꯠꯔꯣꯂꯥꯏꯠ ꯏꯃꯕꯦꯂꯦꯟꯁ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫

ꯅꯤꯑꯣꯕ꯭ꯂꯦꯗꯔ ꯑꯃꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯕꯥ ꯄꯨꯟꯁꯤ ꯑꯃꯥ ꯍꯤꯡꯕꯥ ꯌꯥꯕ꯭ꯔꯥ?

ꯍꯣꯌ, ꯃꯄꯨꯡ ꯐꯥꯅꯥ! ꯅꯤꯑꯣꯕ꯭ꯂꯦꯗꯔ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯌꯥꯝꯕꯅꯥ ꯃꯈꯣꯌꯒꯤ ꯅꯣꯔꯃꯦꯜ ꯑꯦꯛꯇꯤꯚꯤꯇꯤꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯊꯕꯀꯁꯤꯡ ꯃꯈꯥ ꯆꯠꯊꯕꯥ ꯌꯥꯏ꯫

ꯑꯍꯥꯅꯕꯗꯥ, ꯅꯍꯥꯛꯅꯥ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯄꯨꯡ ꯑꯅꯤ ꯈꯨꯗꯤꯡꯒꯤ ꯌꯨꯔꯤꯟ ꯇꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯒꯅꯤ꯫ ꯑꯗꯨꯕꯨ ꯃꯇꯃꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ, ꯅꯍꯥꯛꯀꯤ ꯑꯅꯧꯕꯥ ꯕ꯭ꯂꯦꯗꯔ ꯑꯗꯨ ꯆꯦꯟꯊꯔꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯃꯄꯥꯉ꯭ꯒꯜ ꯀꯅꯈꯠꯂꯀꯄꯒꯥ ꯂꯣꯌꯅꯅꯥ, ꯅꯍꯥꯛꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯌꯨꯔꯤꯟ ꯑꯗꯨ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯄꯨꯡ 4-6 ꯐꯥꯎꯕꯥ ꯊꯃꯖꯤꯅꯕꯥ ꯉꯃꯒꯅꯤ꯫ ꯅꯨꯃꯤꯠ ꯈꯔꯅꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯑꯗꯣꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯊꯕꯛ ꯇꯧꯕꯥ ꯉꯝꯂꯒꯅꯤ ꯑꯃꯁꯨꯡ ꯊꯕꯛꯇꯥ ꯆꯠꯄꯥ ꯉꯝꯂꯒꯅꯤ꯫ ꯑꯈꯟꯅꯕꯥ ꯆꯥꯅꯕꯥ ꯑꯊꯤꯡꯕꯥ ꯑꯃꯠꯇꯥ ꯂꯩꯇꯦ, ꯑꯃꯁꯨꯡ ꯑꯊꯤꯡꯕꯥ ꯑꯃꯠꯇꯥ ꯌꯥꯑꯣꯗꯅꯥ ꯆꯠꯊꯣꯛ-ꯆꯠꯁꯤꯟ ꯇꯧꯕꯥ ꯌꯥꯏ꯫

ꯗꯣꯛꯇꯔ ꯑꯃꯒꯥ ꯇꯥꯟꯅꯕꯥ ꯄꯥꯝꯂꯤꯕꯥ ꯊꯧꯗꯣꯀꯁꯤꯡ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯂꯩꯔꯕꯗꯤ, ꯈꯨꯗꯛꯇꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯐꯣꯟ ꯇꯧ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯗꯨ ꯁꯥꯊꯤꯕꯥ ꯑꯣꯏꯔꯕꯗꯤ, ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯅꯀꯄꯥ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯂꯒꯤ ꯏꯃꯔꯖꯦꯟꯁꯤ ꯗꯤꯄꯥꯔꯇꯃꯦꯟꯇ (ETU)ꯗꯥ ꯆꯠꯂꯨ꯫

• ꯏꯅꯐꯦꯛꯁꯅꯒꯤ ꯈꯨꯗꯃꯁꯤꯡ ꯍꯥꯌꯕꯗꯤ ꯂꯥꯏꯍꯧ, ꯆꯤꯀꯄꯥ, ꯑꯃꯁꯨꯡ ꯏꯁꯤꯡ ꯇꯨꯡꯁꯤꯅꯕꯥ (cloudy urine) ꯑꯁꯤꯅꯆꯤꯡꯕꯥ꯫
• ꯀꯦꯇꯦꯒꯣꯔꯤ ꯑꯗꯨ ꯃꯁꯥ ꯃꯊꯟꯇꯥ ꯊꯥꯗꯣꯀꯄꯗꯥ ꯑꯋꯥꯕꯥ ꯑꯣꯏ꯫
• ꯌꯨꯔꯤꯅꯗꯥ ꯏ ꯊꯣꯀꯄꯥ (ꯍꯦꯃꯆꯨꯔꯤꯌꯥ) .
• ꯁ꯭ꯇꯣꯃꯥꯛ ꯅꯠꯠꯔꯒꯥ ꯔꯤꯕꯟ ꯑꯃꯁꯨꯡ ꯍꯤꯄꯐꯃꯒꯤ ꯃꯔꯛꯇꯥ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯅꯥ ꯁꯣꯀꯄꯥ꯫