ꯅꯍꯥꯛꯀꯤ ꯃꯤꯠ ꯑꯗꯨ ꯂꯦꯞꯇꯅꯥ ꯏꯁꯤꯡ ꯇꯨꯡꯁꯤꯜꯂꯤꯕ꯭ꯔꯥ? ꯃꯁꯤ ꯕ꯭ꯂꯣꯛ ꯇꯧꯔꯕꯥ ꯇꯤꯌꯥꯔ ꯗꯛꯇ (Nasolacrimal Duct Obstruction) ꯑꯃꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ!

ꯅꯍꯥꯛꯀꯤ ꯏꯆꯥꯅꯨꯄꯤꯒꯤ ꯃꯃꯤꯠꯁꯤꯡ ꯑꯗꯨ ꯃꯇꯝ ꯄꯨꯝꯅꯃꯛꯇꯥ ꯃꯤꯠ ꯎꯏꯁꯤꯅꯈꯤꯕ꯭ꯔꯥ? ꯅꯠꯔꯒꯥ ꯑꯌꯨꯛꯇꯥ ꯃꯤꯠ ꯑꯅꯤꯃꯛ ꯀꯨꯄꯁꯤꯟꯗꯨꯅꯥ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯃꯤꯠ ꯎꯏꯁꯤꯟꯗꯨꯅꯥ ꯂꯦꯞꯂꯒꯥ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯍꯧꯔꯀꯄꯔꯥ? ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯑꯍꯜ ꯑꯣꯏꯔꯕꯥ ꯃꯇꯃꯗꯁꯨ, ꯅꯍꯥꯛꯅꯥ ꯃꯔꯝ ꯑꯃꯠꯇꯥ ꯂꯩꯇꯅꯥ ꯃꯤꯠ ꯑꯃꯗꯒꯤ ꯂꯦꯞꯇꯅꯥ ꯏꯁꯤꯡ ꯇꯨꯡꯁꯤꯅꯕꯥ ꯊꯦꯡꯅꯔꯀꯄꯥ ꯌꯥꯏ꯫ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯋꯥꯐꯝ ꯑꯃꯥ ꯎꯕꯗꯥ ꯈꯔꯥ ꯂꯥꯡꯇꯛꯅꯕꯥ ꯐꯥꯑꯣꯕꯁꯤ ꯅꯣꯔꯃꯦꯂꯅꯤ꯫ ꯑꯗꯨꯕꯨ ꯃꯁꯤꯒꯤ ꯃꯔꯃꯗꯤ ꯑꯌꯥꯝꯕꯅꯥ "ꯕ꯭ꯂꯣꯛ ꯇꯧꯔꯕꯥ ꯇꯤꯌꯥꯔ ꯗꯛꯇ" ꯀꯧꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ, ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯑꯩꯈꯣꯌꯅꯥ ꯉꯁꯤ ꯋꯥꯔꯤ ꯁꯥꯅꯔꯤ꯫ ꯂꯥꯡꯇꯛꯅꯕꯥ ꯑꯃꯠꯇꯥ ꯂꯩꯇꯦ, ꯋꯥꯐꯝ ꯈꯨꯗꯤꯡꯃꯛ ꯏꯆꯝ ꯆꯝꯕꯥ ꯋꯥꯍꯟꯊꯣꯛ ꯑꯃꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯁꯤ꯫

ꯕ꯭ꯂꯣꯛ ꯇꯧꯔꯕꯥ ꯇꯤꯌꯥꯔ ꯗꯛꯇ ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ?

ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯃꯁꯤꯅꯥ ꯇꯥꯀꯄꯗꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯃꯤꯠꯇꯥ ꯄꯨꯊꯣꯀꯄꯥ ꯃꯤꯠꯀꯨꯄꯁꯤꯡ ꯑꯁꯤ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯏꯁꯤꯡ ꯇꯨꯡꯁꯤꯅꯕꯥ ꯉꯃꯗꯦ, ꯑꯗꯨꯕꯨ ꯁꯤꯁ꯭ꯇꯦꯝ ꯑꯗꯨꯒꯤ ꯃꯐꯝ ꯑꯃꯗꯥ ꯂꯦꯞꯂꯤ꯫ ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯋꯥꯍꯟꯊꯣꯛꯀꯤ ꯃꯇꯨꯡ ꯏꯟꯅꯥ, ꯑꯩꯈꯣꯌꯅꯥ ꯃꯁꯤꯕꯨ ``ꯅꯥꯁꯣꯂꯦꯛꯔꯤꯃꯦꯜ ꯗꯛꯇ ꯑꯣꯕꯁ꯭ꯠꯔꯥꯀꯁꯟ'' ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫

ꯍꯧꯖꯤꯛꯇꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯃꯤꯠꯁꯤꯡ ꯑꯁꯤ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯊꯕꯛ ꯇꯧꯅꯕꯒꯤꯗꯃꯛ ꯃꯤꯠꯀꯨꯞ ꯑꯁꯤ ꯇꯉꯥꯏꯐꯗꯕꯥ ꯑꯣꯏꯔꯦ꯫ ꯃꯤꯠꯀꯨꯞ ꯑꯁꯤꯅꯥ ꯃꯃꯤꯠꯁꯤꯡ ꯑꯗꯨ ꯇꯔꯨ-ꯇꯅꯥꯟꯅꯥ ꯊꯝꯃꯤ ꯑꯃꯁꯨꯡ ꯂꯨꯕ꯭ꯔꯤꯀꯦꯠ ꯇꯧꯗꯨꯅꯥ ꯊꯝꯃꯤ꯫ ꯃꯈꯣꯌꯅꯥ ꯀꯣꯔꯅꯤꯌꯥꯗꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯑꯣꯛꯁꯤꯖꯦꯟ ꯐꯪꯍꯅꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ ꯑꯃꯁꯨꯡ ꯃꯤꯠꯀꯤ ꯖꯔꯃꯁꯤꯡꯗꯒꯤ ꯉꯥꯀꯊꯣꯀꯏ꯫

ꯃꯁꯤ ꯈꯉꯅꯕꯒꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯥ ꯈꯨꯗꯃꯗꯤ ꯌꯨꯝ ꯑꯃꯒꯤ ꯌꯨꯃꯊꯛꯇꯥ ꯂꯩꯕꯥ ꯒꯇꯔ ꯑꯁꯤꯅꯤ꯫ ꯈꯅꯕꯤꯌꯨ, ꯒꯇꯔ ꯑꯁꯤ ꯌꯨꯃꯊꯛꯇꯥ ꯆꯦꯟꯊꯔꯀꯄꯥ ꯏꯁꯤꯡ ꯑꯗꯨ ꯈꯣꯃꯖꯤꯟꯗꯨꯅꯥ ꯄꯥꯏꯞ ꯑꯃꯒꯤ ꯃꯈꯥꯗꯥ ꯄꯨꯊꯣꯛꯅꯕꯥ ꯂꯩꯔꯤ꯫ ꯑꯗꯨꯕꯨ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯄꯥꯏꯞ ꯑꯁꯤ ꯄꯥꯝꯕꯤ ꯑꯃꯁꯨꯡ ꯃꯩꯈꯨ ꯆꯦꯟꯗꯕꯥ ꯑꯣꯏꯔꯕꯗꯤ ꯀꯔꯤ ꯑꯣꯏꯒꯅꯤ? ꯏꯁꯤꯡ ꯑꯗꯨ ꯆꯦꯟꯊꯈꯤꯗꯦ, ꯑꯗꯨꯕꯨ ꯒꯇꯔꯗꯒꯤ ꯊꯣꯔꯀꯏ꯫ ꯑꯩꯈꯣꯌꯒꯤ ꯇꯤꯌꯥꯔ ꯁꯤꯁ꯭ꯇꯦꯃꯒꯤ ꯃꯇꯥꯡꯗꯁꯨ ꯑꯗꯨꯃꯛ ꯑꯣꯏꯔꯤ꯫ ꯃꯤꯠꯁꯤꯡ ꯑꯗꯨ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯆꯠꯄꯥ ꯉꯃꯗꯕꯥ ꯑꯃꯁꯨꯡ ꯊꯣꯡ-ꯊꯥꯀꯄꯗꯥ ꯊꯤꯡꯖꯤꯅꯕꯥ ꯃꯇꯃꯗꯥ, ꯃꯈꯣꯌꯗꯨ ꯃꯤꯠꯀꯤ ꯃꯄꯥꯟꯗꯥ ꯊꯣꯀꯄꯥ ꯍꯧꯏ꯫

ꯑꯩꯈꯣꯌꯒꯤ ꯇꯤꯌꯥꯔ ꯗ꯭ꯔꯦꯅꯦꯖ ꯁꯤꯁ꯭ꯇꯦꯝ ꯑꯁꯤꯅꯥ ꯃꯇꯧ ꯀꯔꯝꯅꯥ ꯊꯕꯛ ꯇꯧꯕꯒꯦ:

ꯈꯣꯡꯆꯠ ꯑꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯈꯔꯥ ꯈꯉꯂꯁꯤ꯫

• ꯄꯉ꯭ꯀꯖ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯤꯔꯔꯗꯥ ꯌꯦꯡꯂꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯎꯕꯥ ꯐꯪꯒꯅꯤ ꯃꯗꯨꯗꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯃꯊꯛ ꯑꯃꯁꯨꯡ ꯃꯈꯥ ꯊꯪꯕꯥ ꯃꯤꯠꯀꯤ ꯃꯅꯨꯡꯗꯥ, ꯅꯥꯀꯣꯡꯒꯤ ꯃꯅꯥꯛꯇꯥ ꯑꯄꯤꯀꯄꯥ ꯍꯨꯔꯥꯅꯕꯥ ꯑꯅꯤ ꯂꯩ꯫ ꯏꯁꯤꯡꯒꯤ ꯕꯦꯁꯤꯟ ꯑꯃꯗꯥ ꯂꯩꯕꯥ ꯍꯨꯏꯁꯤꯡꯒꯨꯝꯅꯥ ꯊꯕꯛ ꯇꯧꯕꯥ ``ꯄꯉ꯭ꯀꯇꯥ'' ꯀꯧꯕꯥ ꯍꯨꯔꯥꯅꯕꯥ ꯑꯅꯤ ꯑꯁꯤꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯃꯤꯠꯀꯤ ꯃꯃꯤ ꯇꯥꯕꯥ ꯍꯧꯏ꯫
• ꯑꯄꯤꯀꯄꯥ ꯀꯦꯅꯥꯂꯤꯀꯨꯂꯤꯁꯤꯡ: ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯍꯨꯔꯥꯅꯕꯥ ꯑꯅꯤꯗꯨꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯆꯪꯂꯀꯄꯥ ꯏꯁꯤꯡ ꯑꯗꯨ ``ꯀꯦꯅꯥꯂꯤꯀꯨꯂꯤ'' ꯀꯧꯕꯥ ꯌꯥꯝꯅꯥ ꯂꯨꯕꯥ ꯇꯤꯎꯕ ꯑꯅꯤꯗꯥ ꯆꯪꯏ꯫
• ꯅꯥꯀꯣꯡꯒꯤ ꯗꯛꯇ (nasolacrimal Duct): ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯃꯤꯠꯁꯤꯡ ꯑꯗꯨ ꯅꯥꯀꯣꯡꯗꯥ ꯆꯦꯟꯊꯈꯤꯗꯨꯅꯥ ꯅꯥꯀꯣꯡꯗꯥ ꯆꯦꯟꯊꯈꯤ꯫
• ꯍꯥꯁꯅꯔꯒꯤ ꯚꯜꯌꯨ: ꯇꯤꯌꯥꯔ ꯗꯛꯇ ꯑꯁꯤꯒꯤ ꯃꯈꯥꯗꯥ, ꯃꯁꯤꯅꯥ ꯅꯥꯀꯣꯡꯗꯥ ꯍꯥꯡꯗꯣꯀꯄꯥ ꯃꯐꯃꯗꯥ, ``ꯍꯥꯁꯅꯔꯒꯤ ꯚꯜꯌꯨ'' ꯀꯧꯕꯥ ꯚꯜꯌꯨ ꯑꯃꯥ ꯂꯩ꯫ ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯅꯥ, ꯚꯜꯌꯨ ꯑꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯄꯣꯀꯄꯥ ꯃꯃꯥꯡꯗꯥ ꯍꯥꯡꯗꯣꯀꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯑꯉꯥꯡ ꯈꯔꯗꯤ ꯄꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯍꯧꯖꯤꯛ ꯐꯥꯎꯕꯥ ꯍꯥꯡꯗꯣꯀꯄꯥ ꯉꯃꯗ꯭ꯔꯤ꯫ ꯃꯗꯨ ꯀꯣꯟꯖꯤꯅꯤꯑꯦꯜ ꯇꯤꯌꯥꯔ ꯗꯛꯇ ꯕ꯭ꯂꯣꯀꯦꯖꯁꯤꯡ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯃꯇꯃꯅꯤ꯫

ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯀꯌꯥꯝ ꯀꯃꯟ ꯑꯣꯏꯕꯒꯦ?

ꯕ꯭ꯂꯣꯛ ꯇꯧꯔꯕꯥ ꯇꯤꯌꯥꯔ ꯗꯛꯇꯁꯤꯡ ꯑꯁꯤ ꯅꯧꯅꯥ ꯄꯣꯀꯄꯥ ꯑꯉꯥꯡꯁꯤꯡꯗꯥ ꯌꯥꯝꯅꯥ ꯀꯃꯟ ꯑꯣꯏ꯫ ꯁꯔꯚꯦꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ, ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤꯅꯥ ꯅꯧꯅꯥ ꯄꯣꯀꯄꯥ ꯑꯉꯥꯡꯁꯤꯡꯒꯤ 6% ꯑꯃꯁꯨꯡ 20%ꯒꯤ ꯃꯔꯛꯇꯥ ꯁꯣꯀꯍꯜꯂꯤ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯃꯁꯤ ꯃꯄꯨꯡ-ꯃꯔꯩ ꯐꯥꯔꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯒꯤ ꯃꯔꯛꯇꯥ ꯌꯥꯝꯅꯥ ꯀꯃꯟ ꯑꯣꯏꯗꯦ꯫

ꯇꯤꯌꯥꯔ ꯗꯛꯇꯁꯤꯡ ꯊꯤꯡꯖꯤꯅꯕꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?

ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤꯗꯥ ꯎꯕꯥ ꯐꯪꯒꯗꯕꯥ ꯂꯥꯏꯑꯣꯡ ꯀꯌꯥ ꯂꯩ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯕ꯭ꯂꯣꯀꯦꯖ ꯑꯁꯤꯅꯥ ꯏꯅꯐꯦꯛꯁꯟ ꯐꯥꯎꯕꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯍꯦꯟꯅꯥ ꯀꯨꯞꯅꯥ ꯌꯦꯡꯁꯤ꯫

ꯀꯔꯤꯒꯤꯗꯃꯛꯇꯥ ꯇꯤꯌꯥꯔ ꯗꯛꯇꯁꯤꯡ ꯑꯁꯤ ꯑꯁꯤꯒꯨꯝꯅꯥ ꯕ꯭ꯂꯣꯛ ꯇꯧꯔꯤꯕꯅꯣ?

ꯃꯁꯤꯒꯤ ꯃꯔꯝ ꯀꯌꯥ ꯑꯃꯥ ꯂꯩꯕꯥ ꯌꯥꯏ꯫ ꯈꯔꯗꯤ ꯀꯣꯟꯖꯤꯅꯤꯑꯦꯜ ꯑꯣꯏ, ꯑꯗꯨꯒꯥ ꯑꯇꯩ ꯈꯔꯗꯤ ꯇꯨꯡꯗꯥ ꯄꯨꯟꯁꯤꯗꯥ ꯆꯥꯎꯈꯠꯂꯀꯏ꯫

ꯗꯣꯛꯇꯔ, ꯃꯁꯤ ꯀꯔꯝꯅꯥ ꯈꯉꯒꯅꯤ?

ꯃꯍꯧꯁꯥꯅꯥ, ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯍꯪꯗꯨꯅꯥ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯃꯤꯠ ꯑꯃꯁꯨꯡ ꯑꯀꯣꯌꯕꯗꯥ ꯂꯩꯕꯥ ꯃꯐꯝ ꯑꯗꯨ ꯌꯦꯡꯁꯤꯟꯗꯨꯅꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯗꯨꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯈꯜꯂꯣꯟ ꯑꯃꯥ ꯂꯧꯕꯥ ꯌꯥꯏ꯫

ꯃꯁꯤꯒꯤ ꯃꯊꯛꯇꯥ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ "ꯗꯥꯏ ꯗꯤꯁꯑꯦꯕꯤꯂꯤꯇꯤ ꯇꯦꯁ꯭ꯠ" ꯀꯧꯕꯥ ꯏꯆꯝ ꯆꯝꯕꯥ ꯇꯦꯁ꯭ꯠ ꯑꯃꯥ ꯄꯥꯡꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫

• ꯃꯁꯤꯗꯥ ``ꯐ꯭ꯂꯨꯑꯣꯔꯁꯦꯟ'' ꯀꯧꯕꯥ ꯑꯈꯟꯅꯕꯥ ꯗꯥꯏꯑꯦꯠ ꯑꯃꯥ ꯅꯍꯥꯛꯀꯤ ꯃꯤꯠꯇꯥ ꯊꯝꯕꯥ ꯌꯥꯎꯏ꯫
• ꯃꯁꯤꯒꯤ ꯄꯤꯒꯃꯦꯟꯇ ꯑꯁꯤ ꯅꯤꯜ ꯃꯉꯥꯂꯒꯤ ꯃꯈꯥꯗꯥ ꯉꯥꯅꯊꯣꯀꯏ꯫
• ꯆꯥꯎꯔꯥꯛꯅꯥ ꯃꯤꯅꯠ 5ꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯗꯣꯛꯇꯔꯅꯥ ꯄꯤꯒꯃꯦꯟꯇ ꯑꯗꯨ ꯃꯤꯠꯀꯤ ꯃꯄꯥꯟꯗꯥ ꯊꯣꯀꯈꯤꯕ꯭ꯔꯥ ꯅꯠꯠꯔꯒꯥ ꯍꯧꯖꯤꯀꯁꯨ ꯂꯩꯔꯤꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯁꯤꯜꯂꯤ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯇꯤꯌꯥꯔ ꯗꯛꯇ ꯑꯗꯨ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯊꯕꯛ ꯇꯧꯔꯕꯗꯤ, ꯄꯤꯒꯃꯦꯟꯇ ꯑꯁꯤ ꯂꯩꯔꯣꯏꯗꯕꯅꯤ꯫ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯤꯠꯇꯥ ꯍꯧꯖꯤꯀꯁꯨ ꯄꯤꯒꯃꯦꯟꯇ ꯂꯩꯔꯕꯗꯤ, ꯃꯁꯤꯅꯥ ꯇꯥꯀꯄꯗꯤ ꯇꯤꯌꯥꯔ ꯗꯛꯇ ꯑꯗꯨ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯅꯠꯠꯔꯒꯥ ꯁꯔꯨꯛ ꯈꯔꯗꯤ ꯕ꯭ꯂꯣꯛ ꯇꯧꯔꯦ ꯍꯥꯌꯕꯅꯤ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯕ꯭ꯂꯣꯀꯦꯖꯒꯤ ꯑꯇꯣꯞꯄꯥ ꯃꯔꯝ ꯑꯃꯥ ꯆꯤꯡꯅꯕꯥ ꯂꯩꯔꯕꯗꯤ, ꯅꯍꯥꯀꯄꯨ ꯑꯇꯩ ꯑꯈꯟꯅꯕꯥ ꯇꯦꯁ꯭ꯇꯁꯤꯡꯒꯤꯗꯃꯛ ꯔꯤꯐꯔ ꯇꯧꯕꯥ ꯌꯥꯏ꯫

ꯕ꯭ꯂꯣꯛ ꯇꯧꯔꯕꯥ ꯇꯤꯌꯥꯔ ꯗꯛꯇꯁꯤꯡꯒꯤ ꯂꯥꯏꯌꯦꯡꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?

ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯂꯥꯏꯌꯦꯡꯕꯥ ꯌꯥꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ, ꯑꯗꯨꯕꯨ ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯃꯑꯣꯡꯁꯤꯡꯗꯤ ꯆꯍꯤ ꯑꯃꯁꯨꯡ ꯑꯇꯩ ꯐꯦꯛꯇꯔꯁꯤꯡꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ ꯈꯦꯠꯅꯩ꯫

ꯑꯄꯤꯀꯄꯥ ꯑꯉꯥꯡꯁꯤꯡꯒꯤ ꯂꯥꯏꯌꯦꯡ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯧꯅꯥ ꯄꯣꯀꯄꯥ ꯑꯉꯥꯡ ꯑꯃꯗꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯂꯩꯔꯕꯗꯤ, ꯃꯍꯧꯁꯥꯅꯥ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯀꯦꯁ 90%ꯗꯥ ꯃꯍꯥꯛꯀꯤ ꯑꯍꯥꯅꯕꯥ ꯃꯄꯣꯛ ꯅꯨꯃꯤꯠ ꯌꯧꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯃꯁꯥ ꯃꯊꯟꯇꯥ ꯂꯥꯀꯁꯤꯅꯒꯅꯤ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯏꯅꯐꯦꯛꯁꯟ ꯊꯣꯀꯍꯟꯗꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯑꯅꯥꯕꯥ ꯐꯒꯠꯂꯀꯄꯒꯤ ꯈꯣꯡꯖꯦꯜ ꯌꯥꯡꯁꯤꯟꯅꯕꯥ ꯂꯥꯏꯌꯦꯡꯕꯅꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯩ꯫

• ꯃꯦꯁꯦꯖ ꯇꯦꯛꯅꯤꯛ: ꯃꯁꯤ ꯑꯉꯥꯡꯁꯤꯡꯒꯤꯗꯃꯛꯇꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯑꯃꯁꯨꯡ ꯏꯐꯦꯛꯇꯤꯚ ꯑꯣꯏꯕꯥ ꯂꯥꯏꯌꯦꯡꯅꯤ꯫ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯃꯁꯤ ꯇꯧꯅꯕꯒꯤ ꯑꯆꯨꯝꯕꯥ ꯃꯑꯣꯡ ꯑꯗꯨ ꯇꯥꯀꯄꯤꯒꯅꯤ꯫ ꯃꯤꯠꯀꯤ ꯃꯅꯨꯡꯒꯤ ꯀꯣꯟꯅꯥ ꯑꯃꯁꯨꯡ ꯅꯥꯀꯣꯡꯒꯤ ꯃꯔꯛꯇꯥ ꯂꯩꯕꯥ ꯃꯐꯝ ꯑꯗꯨ ꯑꯆꯨꯝꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯃꯥꯁ ꯇꯧꯗꯨꯅꯥ, ꯅꯍꯥꯛꯅꯥ ꯍꯥꯡꯗꯣꯛꯠꯔꯤꯕꯥ ꯚꯜꯌꯨ ꯑꯗꯨꯗꯥ ꯄ꯭ꯔꯦꯁꯔ ꯄꯤꯕꯥ ꯌꯥꯏ ꯑꯃꯁꯨꯡ ꯃꯗꯨ ꯍꯥꯡꯗꯣꯀꯄꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫
• ꯑꯦꯟꯇꯤꯕꯥꯏꯑꯣꯇꯤꯀꯁꯤꯡ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯃꯤꯠ ꯑꯗꯨ ꯌꯥꯝꯅꯥ ꯂꯨꯕꯥ ꯑꯣꯏꯔꯕꯗꯤ, ꯍꯥꯌꯕꯗꯤ ꯏꯅꯐꯦꯛꯁꯟ ꯂꯩꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯑꯦꯟꯇꯤꯕꯥꯏꯑꯣꯇꯤꯛ ꯑꯥꯏ ꯗ꯭ꯔꯣꯄꯁꯤꯡ ꯄꯤꯒꯅꯤ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯉꯥꯡ ꯑꯗꯨ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯆꯍꯤ ꯑꯃꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯃꯦꯁꯦꯖ ꯃꯦꯊꯗ ꯑꯁꯤꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯐꯒꯠꯂꯛꯠꯔꯕꯗꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯑꯉꯥꯡ ꯑꯗꯨꯕꯨ ꯑꯇꯩ ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯃꯑꯣꯡꯁꯤꯡꯗꯥ ꯔꯤꯐꯔ ꯇꯧꯕꯥ ꯌꯥꯏ꯫

ꯑꯍꯜ ꯑꯣꯏꯔꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯑꯇꯩ ꯃꯤꯑꯣꯏꯁꯤꯡꯒꯤ ꯂꯥꯏꯌꯦꯡ꯫

ꯃꯦꯁꯦꯖ ꯑꯁꯤ ꯑꯍꯂꯁꯤꯡꯗꯥ ꯏꯐꯦꯛꯇꯤꯚ ꯑꯣꯏꯗꯦ, ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯑꯇꯩ ꯃꯦꯊꯗꯁꯤꯡ ꯃꯊꯧ ꯇꯥꯏ꯫

• ꯗꯥꯏꯂꯦꯁꯟ, ꯄ꯭ꯔꯣꯕꯤꯡ, ꯑꯃꯁꯨꯡ ꯏꯔꯤꯒꯦꯁꯟ: ꯃꯁꯤ ꯏꯆꯝ ꯆꯝꯕꯥ ꯊꯧꯑꯣꯡ ꯑꯃꯅꯤ꯫

1. ꯗꯥꯏꯂꯦꯁꯟ: ꯑꯍꯥꯅꯕꯗꯥ, ꯃꯤꯠꯀꯤ ꯑꯄꯤꯀꯄꯥ ꯍꯣꯂꯁꯤꯡ (puncta) ꯑꯁꯤ ꯑꯈꯟꯅꯕꯥ ꯏꯅꯁ꯭ꯠꯔꯨꯃꯦꯟꯇ ꯑꯃꯅꯥ ꯈꯔꯥ ꯄꯥꯀꯊꯣꯛ-ꯆꯥꯎꯊꯣꯀꯍꯜꯂꯤ꯫

2. ꯄ꯭ꯔꯣꯕꯤꯡ: ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯌꯥꯝꯅꯥ ꯐꯖꯕꯥ ꯏꯅꯁ꯭ꯠꯔꯨꯃꯦꯟꯇ ꯑꯃꯥ ꯇꯨꯕꯀꯤ ꯃꯈꯥꯗꯥ ꯄꯥꯁ ꯇꯧꯗꯨꯅꯥ ꯕ꯭ꯂꯣꯀꯦꯖ ꯑꯗꯨ ꯊꯤꯗꯣꯛꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯂꯧꯊꯣꯛꯅꯕꯥ ꯍꯣꯠꯅꯩ꯫

3. ꯏꯁꯤꯡ ꯇꯨꯡꯁꯤꯅꯕꯥ: ꯑꯔꯣꯏꯕꯗꯥ, ꯃꯄꯨꯡꯐꯥꯅꯥ ꯁꯦꯡꯅꯥ ꯑꯃꯁꯨꯡ ꯐꯖꯅꯥ ꯍꯥꯡꯗꯣꯀꯄꯥ ꯉꯝꯅꯕꯥ ꯇꯨꯕ ꯑꯗꯨꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯁꯦꯂꯥꯏꯟ ꯐ꯭ꯂꯨꯏꯗ ꯑꯃꯥ ꯊꯥꯏ꯫

• ꯕꯦꯂꯨꯟ ꯗꯥꯏꯂꯦꯁꯟ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯗꯛꯇ ꯑꯗꯨ ꯌꯥꯝꯅꯥ ꯀꯨꯞꯅꯥ ꯌꯦꯡꯂꯕꯗꯤ, ꯕꯦꯂꯨꯟ ꯑꯃꯥ ꯌꯥꯎꯕꯥ ꯑꯄꯤꯀꯄꯥ ꯗꯤꯚꯥꯏꯁ ꯑꯃꯥ ꯗꯛꯇ ꯑꯗꯨꯗꯥ ꯊꯥꯗꯨꯅꯥ ꯕꯦꯂꯨꯟ ꯑꯗꯨ ꯃꯅꯨꯡꯗꯒꯤ ꯄꯥꯀꯊꯣꯛ-ꯆꯥꯎꯊꯣꯛꯅꯕꯥ ꯕꯦꯂꯨꯟ ꯑꯗꯨ ꯐꯨꯃꯖꯤꯜꯂꯤ꯫

• ꯁ꯭ꯇꯦꯟꯇ ꯅꯠꯠꯔꯒꯥ ꯏꯅꯇꯨꯕꯦꯁꯟ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯗꯛꯇ ꯑꯗꯨ ꯍꯟꯖꯤꯟ ꯍꯟꯖꯤꯟ ꯀꯨꯄꯁꯤꯜꯂꯕꯗꯤ, ꯁꯤꯂꯤꯀꯣꯟ (ꯁ꯭ꯇꯦꯟꯇ)ꯅꯥ ꯁꯦꯝꯕꯥ ꯌꯥꯝꯅꯥ ꯂꯨꯕꯥ ꯇꯤꯎꯕ ꯑꯃꯥ ꯗꯛꯇ ꯑꯗꯨꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯃꯇꯝ ꯈꯔꯒꯤ ꯑꯣꯏꯅꯥ ꯊꯃꯗꯨꯅꯥ ꯃꯗꯨ ꯍꯥꯡꯗꯣꯛꯇꯨꯅꯥ ꯊꯝꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯒꯤ ꯇꯤꯎꯕ ꯑꯁꯤ ꯊꯥ ꯈꯔꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯂꯧꯊꯣꯀꯏ꯫

• ꯁꯔꯖꯤꯀꯦꯂꯒꯤ ꯊꯧꯑꯣꯡꯁꯤꯡ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯇꯣꯞꯄꯥ ꯂꯥꯏꯌꯦꯡ ꯑꯃꯠꯇꯥ ꯃꯥꯌꯄꯥꯛꯠꯔꯕꯗꯤ ꯁꯔꯖꯔꯤ ꯇꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯏ꯫
• DCR (Dacryocystorhinostomy): ꯃꯁꯤꯗꯥ ꯕ꯭ꯂꯣꯛ ꯇꯧꯔꯕꯥ ꯃꯐꯝ ꯑꯗꯨ ꯂꯥꯟꯊꯣꯛꯇꯨꯅꯥ, ꯅꯥꯀꯣꯡꯗꯥ ꯏꯁꯤꯡ ꯇꯨꯡꯁꯤꯅꯕꯒꯤ ꯑꯅꯧꯕꯥ ꯂꯝꯕꯤ ꯑꯃꯥ ꯁꯦꯝꯕꯥ ꯌꯥꯎꯏ꯫
• ꯁꯤ.ꯗꯤ.ꯁꯤ.ꯑꯥꯔ.(ꯀꯟꯖꯉ꯭ꯀꯇꯤꯚꯣꯗꯥꯛꯔꯥꯏꯑꯣꯁꯤꯁ꯭ꯇꯣꯔꯤꯅꯣꯁ꯭ꯇꯣꯃꯤ):ꯃꯁꯤ ꯍꯦꯟꯅꯥ ꯀꯝꯞꯂꯦꯛꯁ ꯑꯣꯏꯕꯥ ꯁꯔꯖꯔꯤ ꯑꯃꯅꯤ꯫ ꯃꯁꯤ ꯇꯤꯌꯥꯔ ꯁꯤꯁ꯭ꯇꯦꯝ ꯄꯨꯝꯅꯃꯛ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯁꯦꯃꯒꯠꯄꯥ ꯀꯦꯁꯁꯤꯡꯗꯥ ꯄꯥꯡꯊꯣꯀꯏ꯫

ꯕ꯭ꯂꯣꯛ ꯇꯧꯔꯕꯥ ꯇꯤꯌꯥꯔ ꯗꯛꯇꯁꯤꯡ ꯊꯤꯡꯅꯕꯒꯤ ꯄꯥꯝꯕꯩ ꯂꯩꯕ꯭ꯔꯥ?

ꯇꯁꯦꯡꯕꯗꯤ ꯃꯁꯤ ꯊꯣꯀꯍꯜꯂꯤꯕꯥ ꯄꯣꯠꯂꯝ ꯀꯌꯥ ꯑꯁꯤ ꯊꯥꯖꯗꯕꯥ ꯑꯃꯁꯨꯡ ꯑꯩꯈꯣꯌꯒꯤ ꯀꯟꯠꯔꯣꯂꯒꯤ ꯃꯄꯥꯟꯗꯥ ꯂꯩ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯃꯁꯤ ꯱꯰꯰% ꯊꯤꯡꯅꯕꯥ ꯄꯥꯝꯕꯩ ꯑꯃꯠꯇꯥ ꯂꯩꯇꯦ꯫

ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯕ꯭ꯂꯣꯀꯦꯖ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯕꯥ ꯏꯅꯐꯦꯛꯁꯅꯁꯤꯡꯒꯤ ꯔꯤꯁ꯭ꯛ ꯍꯟꯊꯍꯟꯅꯕꯥ ꯑꯩꯈꯣꯌꯅꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯑꯁꯤ ꯇꯧꯕꯥ ꯌꯥꯏ:

• ꯃꯇꯝ ꯄꯨꯝꯅꯃꯛꯇꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯨꯠꯁꯥ ꯑꯗꯨ ꯁꯥꯄꯣꯟꯅꯥ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯁꯦꯡꯗꯣꯀꯎ꯫
• ꯅꯍꯥꯛꯀꯤ ꯃꯤꯠ ꯑꯗꯨ ꯃꯊꯧ ꯇꯥꯗꯅꯥ ꯁꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯁꯣꯀꯄꯥ ꯂꯦꯄꯀꯅꯨ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯀꯟꯇꯦꯛꯇ ꯂꯦꯟꯁ ꯁꯤꯖꯤꯟꯅꯔꯕꯗꯤ ꯃꯗꯨ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯁꯦꯡꯗꯣꯀꯎ ꯑꯃꯁꯨꯡ ꯃꯇꯝ ꯆꯥꯅꯥ ꯍꯣꯡꯗꯣꯀꯎ꯫
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