ꯕꯣꯟ ꯐ꯭ꯔꯦꯀꯆꯔ ꯑꯃꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯏꯆꯝ ꯆꯝꯕꯥ ꯋꯥꯍꯟꯊꯣꯛ ꯑꯃꯗꯥ ꯈꯉꯂꯁꯤ!

ꯅꯉꯅꯥ ꯀꯩꯗꯧꯉꯩꯗꯁꯨ ꯁꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯅꯉꯒꯤ ꯃꯈꯨꯠ ꯅꯠꯠꯔꯒꯥ ꯈꯣꯡꯗꯥ ꯑꯁꯨꯛ ꯌꯥꯝꯅꯥ ꯁꯣꯀꯈꯤꯕꯔꯥ ꯃꯗꯨꯗꯤ ꯅꯉꯅꯥ ꯂꯥꯡꯇꯛꯅꯈꯤ, "ꯑꯣꯍ, ꯑꯩꯅꯥ ꯁꯔꯨ ꯑꯃꯥ ꯁꯣꯀꯈꯤꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯥ ꯑꯩ ꯈꯉꯗꯦ꯫" ꯅꯠꯠꯔꯒꯥ ꯁꯥꯟꯅꯄꯣꯠ ꯁꯥꯟꯅꯔꯤꯉꯩꯗꯥ ꯅꯠꯠꯔꯒꯥ ꯒꯥꯔꯤꯒꯤ ꯑꯦꯛꯁꯤꯗꯦꯟꯇ ꯑꯃꯗꯥ ꯁꯔꯨ ꯇꯥꯡ ꯁꯣꯀꯄꯥ ꯇꯥꯈꯤꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯑꯣꯏꯅꯥ ‘ ꯕꯣꯟ ꯐ꯭ꯔꯦꯀꯆꯔ ’ ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ ꯃꯁꯤ ꯈꯔꯥ ꯂꯥꯡꯇꯛꯅꯔꯕꯁꯨ ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯃꯌꯦꯛ ꯁꯦꯡꯅꯥ ꯈꯉꯕꯥ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ . ꯑꯗꯨꯅꯥ ꯉꯁꯤꯗꯤ ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯏꯆꯝ ꯆꯝꯅꯥ, ꯃꯌꯥꯝꯅꯥ ꯈꯉꯕꯥ ꯉꯝꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯁꯤ꯫

‘ꯐ꯭ꯔꯦꯀꯆꯔ’ ꯑꯃꯁꯨꯡ ‘ꯕ꯭ꯔꯦꯛ’ ꯑꯁꯤ ꯇꯣꯉꯥꯅꯕꯥ ꯋꯥꯐꯝ ꯑꯅꯤꯅꯤ?

ꯑꯍꯥꯅꯕꯗꯥ ꯑꯩꯅꯥ ꯋꯥꯍꯪ ꯑꯁꯤꯒꯤ ꯄꯥꯎꯈꯨꯝ ꯄꯤꯖꯒꯦ꯫ ꯅꯠꯇꯦ ꯃꯈꯣꯌ ꯑꯁꯤ ꯑꯃꯒꯥ ꯑꯃꯒꯥ ꯃꯥꯟꯅꯩ꯫ ‘ꯕꯣꯟ ꯐ꯭ꯔꯦꯀꯆꯔ’ ꯍꯥꯌꯕꯁꯤ ꯁꯣꯀꯍꯜꯂꯕꯥ ꯁꯔꯨ ꯑꯃꯒꯤ ꯃꯦꯗꯤꯀꯦꯜ ꯇꯔꯃꯅꯤ꯫ ‘ꯕ꯭ꯔꯣꯀꯦꯟ ꯕꯣꯟ’ ꯍꯥꯌꯕꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯀꯃꯟ ꯄꯥꯔꯂꯦꯟꯁꯇꯥ ꯁꯤꯖꯤꯟꯅꯔꯤꯕꯥ ꯋꯥꯍꯩꯅꯤ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ‘ꯐ꯭ꯔꯦꯀꯆꯔ’ ꯍꯥꯌꯔꯕꯗꯤ ꯃꯗꯨꯒꯤ ꯑꯔꯊꯗꯤ ꯁꯔꯨ ꯇꯥꯡ ꯁꯣꯀꯄꯥ ꯍꯥꯌꯕꯁꯤꯅꯤ꯫

ꯐ꯭ꯔꯦꯀꯆꯔ ꯑꯃꯁꯨꯡ ꯕꯣꯟ ꯕ꯭ꯔꯨꯁꯀꯤ ꯃꯔꯛꯇꯥ ꯀꯔꯤ ꯈꯦꯠꯅꯕꯥ ꯂꯩꯕꯒꯦ?

ꯍꯥꯌꯔꯤꯕꯥ ꯋꯥꯐꯝ ꯑꯅꯤ ꯑꯁꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯑꯀꯅꯕꯥ ꯁꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯊꯣꯀꯏ꯫ ꯅꯍꯥꯛꯅꯥ ꯁꯥꯟꯅꯄꯣꯠꯁꯤꯡ ꯁꯥꯟꯅꯔꯤꯉꯩꯗꯥ ꯁꯣꯀꯄꯥ, ꯒꯥꯔꯤꯒꯤ ꯑꯦꯛꯁꯤꯗꯦꯟꯇ ꯑꯃꯗꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ ꯍꯥꯌꯅꯥ ꯈꯅꯕꯤꯌꯨ꯫ ꯐꯤꯚꯝ ꯑꯅꯤ ꯑꯁꯤ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯃꯇꯝ ꯑꯁꯤꯗꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫

ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯑꯩꯈꯣꯌꯒꯤ ꯈꯣꯡꯗꯥ ꯁꯣꯀꯄꯥ ꯌꯥꯕꯒꯨꯝꯅꯥ, ꯑꯩꯈꯣꯌꯒꯤ ꯁꯔꯨꯁꯤꯡꯁꯨ ꯁꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯕꯨ ꯁꯔꯨ ꯑꯃꯥ ꯁꯣꯛꯅꯕꯒꯤꯗꯃꯛ, ꯅꯍꯥꯛꯅꯥ ꯃꯗꯨ ꯌꯥꯝꯅꯥ ꯍꯦꯟꯅꯥ ꯀꯟꯅꯥ ꯁꯣꯀꯄꯥ ꯃꯊꯧ ꯇꯥꯏ꯫ ꯃꯁꯤ ꯊꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯁꯔꯨ ꯇꯥꯡ ꯑꯗꯨ ꯆꯦꯟꯊꯈꯤꯗꯦ, ꯃꯗꯨꯒꯤ ꯃꯍꯨꯠꯇꯥ ꯃꯅꯨꯡꯗꯒꯤ ꯏ ꯊꯣꯀꯏ, ꯑꯃꯁꯨꯡ ꯏ ꯑꯗꯨ ꯁꯔꯨꯒꯤ ꯇꯤꯁꯨꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯆꯦꯟꯊꯈꯤ꯫ ꯃꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯕꯣꯟ ꯕ꯭ꯔꯨꯏꯁ ꯍꯥꯌꯅꯥ ꯀꯧꯏ .

ꯑꯗꯨꯕꯨ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯕ꯭ꯂꯣꯛ ꯑꯗꯨꯒꯤ ꯐꯣꯔꯁꯅꯥ ꯌꯥꯃꯗ꯭ꯔꯕꯗꯥ ꯃꯐꯝ ꯑꯃꯗꯥ ꯁꯔꯨ ꯇꯥꯡ ꯑꯗꯨ ꯁꯣꯀꯍꯜꯂꯕꯗꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯃꯁꯤꯕꯨ ꯐ꯭ꯔꯦꯀꯆꯔ ꯍꯥꯌꯅꯥ ꯀꯧꯏ . ꯐ꯭ꯔꯦꯀꯆꯔ ꯑꯁꯤ ꯕ꯭ꯔꯨꯁꯇꯒꯤ ꯍꯦꯟꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯑꯣꯏ꯫ ꯃꯁꯤ ꯐꯒꯠꯂꯀꯄꯗꯁꯨ ꯃꯇꯝ ꯍꯦꯟꯅꯥ ꯆꯪꯏ꯫

ꯐ꯭ꯔꯦꯀꯆꯔꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯈꯂꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?

ꯐ꯭ꯔꯦꯀꯆꯔꯁꯤꯡ ꯑꯁꯤ ꯃꯑꯣꯡ ꯀꯌꯥꯗꯥ ꯀ꯭ꯂꯥꯁꯤꯐꯥꯏ ꯇꯧꯕꯥ ꯌꯥꯏ꯫ ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯃꯔꯨꯑꯣꯏꯅꯥ ꯃꯈꯣꯌꯕꯨ ꯐ꯭ꯔꯦꯀꯆꯔꯒꯤ ꯃꯑꯣꯡ-ꯃꯇꯧ, ꯐ꯭ꯔꯦꯀꯆꯔꯒꯤ ꯃꯔꯝ ꯑꯃꯁꯨꯡ ꯍꯀꯆꯥꯡꯗꯥ ꯀꯗꯥꯏꯗꯥ ꯊꯣꯀꯈꯤꯕꯒꯦ ꯍꯥꯌꯕꯗꯨꯗꯥ ꯌꯨꯝꯐꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯀ꯭ꯂꯥꯁꯤꯐꯥꯏ ꯇꯧꯏ꯫ ꯃꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯈꯔꯥ ꯁꯟꯗꯣꯛꯅꯥ ꯌꯦꯡꯁꯤ꯫

ꯑꯇꯣꯞꯄꯥ ꯋꯥꯐꯝ ꯑꯃꯅꯥ ꯗꯤꯁꯞꯂꯦꯁ ꯑꯃꯁꯨꯡ ꯅꯟ-ꯗꯤꯁꯞꯂꯦꯁꯁꯤꯡꯒꯤ ꯀ꯭ꯂꯥꯁꯤꯐꯤꯀꯦꯁꯟ ꯑꯁꯤꯅꯤ .

• ꯅꯟ-ꯗꯤꯁꯞꯂꯦꯁ ꯇꯧꯔꯕꯥ ꯐ꯭ꯔꯦꯀꯆꯔ ꯍꯥꯌꯕꯁꯤ ꯁꯔꯨ ꯇꯥꯡꯒꯤ ꯁꯔꯨꯛ ꯑꯅꯤꯗꯨ ꯍꯧꯖꯤꯀꯁꯨ ꯑꯦꯂꯥꯏꯟꯃꯦꯟꯇ ꯑꯃꯗꯥ ꯂꯩꯕꯥ, ꯍꯥꯌꯕꯗꯤ ꯂꯥꯏꯟ ꯑꯃꯗꯥ ꯂꯩꯕꯥ ꯐ꯭ꯔꯦꯀꯆꯔ ꯑꯃꯅꯤ꯫
• ꯗꯤꯁꯞꯂꯦꯁ ꯇꯧꯔꯕꯥ ꯐ꯭ꯔꯦꯀꯆꯔ ꯍꯥꯌꯕꯁꯤ ꯁꯣꯀꯍꯜꯂꯕꯥ ꯁꯔꯨ ꯇꯥꯡ ꯑꯅꯤꯗꯨ ꯗꯤꯁꯞꯂꯦꯁ ꯇꯧꯔꯕꯥ ꯑꯃꯁꯨꯡ ꯑꯦꯂꯥꯏꯟꯃꯦꯟꯇꯀꯤ ꯃꯄꯥꯟꯗꯥ ꯂꯩꯕꯥ ꯐ꯭ꯔꯦꯀꯆꯔ ꯑꯃꯅꯤ꯫ ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯃꯍꯧꯁꯥꯅꯥ ꯀꯣꯀꯍꯟꯅꯕꯥ ꯁꯔꯖꯔꯤ ꯇꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯏ꯫

ꯀꯅꯥꯅꯥ ꯕꯣꯟ ꯐ꯭ꯔꯦꯀꯆꯔꯒꯤ ꯔꯤꯁ꯭ꯛ ꯍꯦꯟꯅꯥ ꯂꯩꯕꯒꯦ?

ꯀꯅꯥꯒꯨꯝꯕꯥ ꯑꯃꯅꯥ ꯑꯦꯛꯁꯤꯗꯦꯟꯇ ꯑꯃꯗꯥ ꯁꯔꯨ ꯇꯥꯡ ꯑꯃꯥ ꯁꯣꯀꯄꯥ ꯌꯥꯏ, ꯑꯗꯨꯕꯨ ꯃꯤꯑꯣꯏ ꯈꯔꯗꯤ ꯍꯦꯟꯅꯥ ꯔꯤꯁ꯭ꯛ ꯂꯩ꯫

ꯃꯔꯨꯑꯣꯏꯅꯥ ꯑꯣꯁ꯭ꯇꯤꯑꯣꯄꯣꯔꯣꯁꯤꯁ꯫ꯃꯁꯤꯒꯤ ꯔꯤꯁ꯭ꯛ ꯑꯁꯤ ꯀꯟꯗꯤꯁꯟ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯗꯥ ꯌꯥꯝꯅꯥ ꯍꯦꯜꯂꯤ꯫ ꯑꯣꯁ꯭ꯇꯤꯑꯣꯄꯣꯔꯣꯁꯤꯁ ꯍꯥꯌꯕꯁꯤ ꯁꯔꯨ ꯇꯥꯡꯁꯤꯡ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯌꯥꯡꯅꯥ ꯆꯦꯅꯕꯥ, ꯁꯣꯟꯊꯕꯥ ꯑꯃꯁꯨꯡ ꯐꯖꯅꯥ ꯁꯣꯀꯄꯥ ꯌꯥꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫ ꯑꯌꯥꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯃꯤꯑꯣꯏꯕꯅꯥ ꯃꯈꯣꯌꯗꯥ ꯂꯥꯌꯅꯥ ꯑꯁꯤ ꯂꯩꯔꯦ ꯍꯥꯌꯕꯥ ꯈꯪꯂꯕꯈꯛꯇꯗꯥ ꯁꯔꯨ ꯇꯥꯡ ꯑꯃꯥ ꯁꯣꯛꯂꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯈꯪꯏ꯫

ꯕꯣꯟ ꯐ꯭ꯔꯦꯀꯆꯔꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?

ꯁꯔꯨ ꯇꯥꯡ ꯁꯣꯀꯄꯥ ꯑꯃꯅꯥ ꯃꯈꯜ-ꯃꯈꯥ ꯀꯌꯥꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ, ꯑꯗꯨꯕꯨ ꯃꯈꯣꯌ ꯑꯁꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡꯅꯤ:

• ꯁꯥꯊꯤꯕꯥ ꯑꯅꯥꯕꯥ: ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯄꯥ ꯃꯐꯝ ꯑꯗꯨꯗꯥ ꯌꯥꯝꯅꯥ ꯋꯥꯅꯥ ꯅꯥꯕꯥ ꯊꯣꯀꯏ꯫
• ꯁꯣꯛ-ꯄꯅꯕꯥ: ꯑꯁꯣꯀꯄꯥ ꯃꯐꯝ ꯑꯗꯨ ꯌꯥꯝꯅꯥ ꯋꯥꯡꯈꯠꯂꯀꯏ꯫
• ꯇꯦꯟꯗꯔꯅꯦꯁ (Tenderness): ꯃꯐꯝ ꯑꯗꯨ ꯈꯨꯠꯅꯥ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯁꯣꯀꯄꯥ ꯃꯇꯃꯗꯁꯨ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯑꯅꯥꯕꯥ ꯂꯩ꯫
• ꯆꯠꯊꯣꯛ-ꯆꯠꯁꯤꯟ ꯇꯧꯕꯥ ꯉꯃꯗꯕꯥ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯈꯨꯠ ꯅꯠꯠꯔꯒꯥ ꯈꯣꯡ ꯑꯃꯥ ꯁꯣꯀꯄꯥ ꯇꯥꯔꯕꯗꯤ, ꯁꯔꯨꯛ ꯑꯗꯨ ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯅꯥ ꯆꯪꯁꯤꯅꯕꯥ ꯉꯃꯂꯣꯏ꯫
• ꯁꯣꯛ-ꯄꯅꯕꯥ: ꯑꯁꯣꯀꯄꯥ ꯑꯗꯨꯒꯤ ꯑꯀꯣꯌꯕꯗꯥ ꯂꯩꯕꯥ ꯈꯣꯡ ꯑꯗꯨ ꯃꯆꯨ ꯍꯣꯡꯂꯀꯄꯥ ꯌꯥꯏ꯫
• ꯗꯤꯐꯣꯔꯃꯤꯇꯤ (deformity): ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯃꯐꯝ ꯑꯃꯥ, ꯍꯥꯌꯕꯗꯤ ꯃꯈꯨꯠ ꯅꯠꯠꯔꯒꯥ ꯈꯣꯡꯗꯥ ꯆꯦꯟꯊꯔꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯑꯆꯝꯕꯥ ꯃꯑꯣꯡ ꯑꯃꯥ ꯂꯩꯕꯥ ꯎꯕꯥ ꯐꯪꯏ꯫
• ꯈꯣꯡꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯎꯕꯥ ꯐꯪꯂꯤꯕꯥ ꯁꯔꯨ: ꯃꯁꯤ ꯑꯍꯥꯡꯕꯥ ꯐ꯭ꯔꯦꯀꯆꯔ ꯑꯃꯗꯥ ꯎꯕꯥ ꯐꯪꯏ꯫

ꯗꯣꯛꯇꯔ ꯑꯃꯅꯥ ꯐ꯭ꯔꯦꯀꯆꯔ ꯑꯃꯥ ꯀꯔꯝꯅꯥ ꯈꯪꯗꯣꯛꯀꯅꯤ?

ꯅꯍꯥꯛꯅꯥ ꯏ.ꯇꯤ.ꯌꯨ.ꯗꯥ ꯆꯠꯄꯥ ꯃꯇꯃꯗꯥ, ꯗꯣꯛꯇꯔ ꯑꯗꯨꯅꯥ ꯑꯍꯥꯅꯕꯗꯥ ꯅꯍꯥꯀꯄꯨ ꯌꯦꯡꯁꯤꯅꯒꯅꯤ ꯑꯃꯁꯨꯡ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯑꯗꯨꯒꯤ ꯃꯑꯣꯡ-ꯃꯇꯧ ꯑꯗꯨ ꯑꯦꯁꯦꯁ ꯇꯧꯒꯅꯤ꯫ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯃꯈꯣꯌꯅꯥ ꯐ꯭ꯔꯦꯀꯆꯔ ꯑꯃꯥ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯀꯅꯐꯥꯔꯝ ꯇꯧꯅꯕꯥ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯇꯦꯁ꯭ꯠ ꯈꯔꯥ ꯇꯧꯒꯅꯤ꯫

• ꯑꯦꯛꯁ-ꯔꯦ: ꯃꯁꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯇꯦꯁ꯭ꯇꯅꯤ꯫ ꯑꯦꯛꯁ-ꯔꯦ ꯑꯃꯅꯥ ꯁꯔꯨ ꯇꯥꯡ ꯑꯃꯥ ꯁꯣꯀꯍꯜꯂꯕꯗꯤ, ꯃꯗꯨ ꯀꯗꯥꯏꯗꯥ ꯁꯣꯀꯈꯤꯕꯒꯦ ꯑꯃꯁꯨꯡ ꯀꯌꯥꯝ ꯐꯠꯇꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯁꯣꯀꯈꯤꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯃꯌꯦꯛ ꯁꯦꯡꯅꯥ ꯎꯠꯄꯥ ꯉꯝꯃꯤ꯫
• MRI ꯁ꯭ꯀꯦꯟ (ꯃꯦꯒ꯭ꯅꯦꯇꯤꯛ ꯔꯤꯖꯣꯅꯦꯟꯁ ꯏꯃꯦꯖꯤꯡ): ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯁꯔꯨ ꯇꯥꯡꯒꯤ ꯑꯀꯣꯌꯕꯗꯥ ꯂꯩꯕꯥ ꯇꯔꯨ-ꯇꯅꯥꯅꯕꯥ ꯇꯤꯁꯨꯁꯤꯡ (ꯃꯁꯜ ꯑꯃꯁꯨꯡ ꯂꯤꯒꯥꯃꯦꯟꯇꯁꯤꯡꯒꯨꯝꯕꯥ)ꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯅꯕꯒꯤꯗꯃꯛ ꯑꯦꯝ.ꯑꯥꯔ.ꯑꯥꯏ.
• ꯁꯤ.ꯇꯤ.ꯁ꯭ꯀꯦꯟ: ꯃꯁꯤꯅꯥ ꯁꯔꯨ ꯑꯃꯁꯨꯡ ꯑꯀꯣꯌꯕꯗꯥ ꯂꯩꯕꯥ ꯇꯤꯁꯨꯁꯤꯡꯒꯤ ꯍꯦꯟꯅꯥ ꯃꯌꯦꯛ ꯁꯦꯡꯕꯥ, ꯊ꯭ꯔꯤ-ꯗꯤꯃꯦꯟꯁꯤꯑꯦꯜ ꯏꯃꯦꯖ ꯑꯃꯥ ꯄꯨꯊꯣꯀꯄꯥ ꯉꯝꯃꯤ꯫ ꯃꯁꯤ ꯀꯃꯞꯂꯦꯛꯁ ꯐ꯭ꯔꯦꯀꯆꯔꯁꯤꯡꯗꯥ ꯌꯥꯝꯅꯥ ꯀꯥꯟꯅꯩ꯫

ꯕꯣꯟ ꯐ꯭ꯔꯦꯀꯆꯔ ꯑꯃꯥ ꯅꯍꯥꯛꯅꯥ ꯀꯔꯝꯅꯥ ꯂꯥꯏꯌꯦꯡꯒꯅꯤ?

ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯃꯑꯣꯡ ꯑꯁꯤ ꯅꯍꯥꯛꯅꯥ ꯂꯩꯔꯤꯕꯥ ꯐ꯭ꯔꯦꯀꯆꯔꯒꯤ ꯃꯈꯜ, ꯃꯁꯤꯒꯤ ꯁꯥꯊꯤꯕꯥ ꯃꯑꯣꯡ ꯑꯃꯁꯨꯡ ꯑꯇꯩ ꯐꯦꯛꯇꯔ ꯀꯌꯥꯒꯤ ꯃꯈꯥ ꯄꯣꯜꯂꯤ꯫

ꯆꯠꯊꯣꯛ-ꯆꯠꯁꯤꯟ ꯇꯧꯕꯥ ꯊꯤꯡꯕꯥ (ꯏꯃꯣꯕꯤꯂꯥꯏꯖꯦꯁꯟ) ꯱.

ꯃꯁꯤ ꯑꯌꯥꯝꯕꯥ ꯏꯆꯝ ꯆꯝꯕꯥ, ꯅꯟ-ꯗꯤꯁꯞꯂꯦꯁ ꯇꯧꯔꯕꯥ ꯐ꯭ꯔꯦꯀꯆꯔꯁꯤꯡꯒꯤ ꯂꯥꯏꯌꯦꯡꯅꯤ꯫ ꯁꯣꯀꯄꯥ ꯁꯔꯨ ꯑꯗꯨ ꯏꯃꯣꯕꯤꯂꯥꯏꯖ ꯇꯧꯏ ꯑꯃꯁꯨꯡ ꯃꯁꯥ ꯃꯊꯟꯇꯥ ꯐꯒꯠꯂꯀꯄꯒꯤ ꯃꯇꯝ ꯄꯤ꯫

• ꯁ꯭ꯞꯂꯤꯟꯇ: ꯕꯣꯔꯗ ꯑꯃꯒꯨꯝꯕꯥ ꯄꯣꯠꯁꯛ ꯑꯃꯥ ꯁꯦꯝꯅꯕꯥ꯫
• ꯀꯥꯁ꯭ꯠ: ꯄ꯭ꯂꯥꯁ꯭ꯇꯔ ꯊꯥꯕꯥ꯫ ꯃꯍꯧꯁꯥꯅꯥ ꯅꯨꯃꯤꯠ 6-8 ꯐꯥꯎꯕꯥ ꯂꯩ꯫

2. ꯀ꯭ꯂꯣꯖꯗ ꯍꯟꯊꯍꯅꯕꯥ꯫

ꯃꯁꯤ ꯁꯔꯖꯔꯤ ꯅꯠꯇꯦ꯫ ꯗꯤꯁꯞꯂꯦꯁ ꯇꯧꯔꯕꯥ ꯐ꯭ꯔꯦꯀꯆꯔ ꯑꯃꯗꯥ, ꯗꯣꯛꯇꯔꯅꯥ ꯄꯦꯁꯦꯟꯇ ꯑꯗꯨꯕꯨ ꯑꯦꯅꯥꯁ꯭ꯇꯦꯇꯤꯛ ꯇꯧꯒꯅꯤ ꯑꯃꯁꯨꯡ ꯃꯄꯥꯅꯒꯤ ꯃꯦꯟꯌꯨꯑꯦꯜ ꯇꯦꯛꯅꯤꯀꯁꯤꯡ ꯁꯤꯖꯤꯟꯅꯗꯨꯅꯥ ꯁꯣꯀꯍꯜꯂꯕꯥ ꯁꯔꯨ ꯇꯥꯡꯁꯤꯡ ꯑꯗꯨ ꯃꯐꯃꯗꯨꯗꯥ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯄꯨꯁꯤꯜꯂꯛꯀꯅꯤ ꯑꯃꯁꯨꯡ ꯂꯧꯊꯣꯛꯀꯅꯤ꯫ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ, ꯃꯈꯣꯌꯕꯨ ꯃꯐꯝ ꯆꯥꯅꯥ ꯊꯝꯅꯕꯥ ꯀꯥꯁ꯭ꯠ ꯑꯃꯥ ꯊꯃꯒꯅꯤ꯫

꯳.ꯁꯔꯖꯔꯤ ꯇꯧꯕꯥ꯫

ꯀꯃꯞꯂꯦꯛꯁ, ꯀ꯭ꯔꯥꯁ ꯅꯠꯠꯔꯒꯥ ꯑꯣꯄꯟ ꯐ꯭ꯔꯦꯀꯆꯔꯒꯨꯝꯕꯥ ꯁꯥꯊꯤꯕꯥ ꯀꯦꯁꯁꯤꯡꯗꯥ, ꯁꯔꯖꯔꯤ ꯇꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯏ꯫

• ꯏꯟꯇꯔꯅꯦꯜ ꯐꯤꯛꯁꯦꯁꯟ: ꯁꯔꯖꯔꯤ ꯑꯁꯤ ꯁꯣꯀꯄꯥ ꯁꯔꯨ ꯇꯥꯡꯁꯤꯡ ꯑꯗꯨ ꯄꯨꯟꯅꯥ ꯊꯃꯗꯨꯅꯥ ꯃꯅꯨꯡꯗꯒꯤ ꯔꯣꯗ, ꯄ꯭ꯂꯦꯠ ꯑꯃꯁꯨꯡ ꯁ꯭ꯛꯔꯨ ꯁꯤꯖꯤꯟꯅꯗꯨꯅꯥ ꯐꯤꯛꯁ ꯇꯧꯏ꯫
• ꯃꯄꯥꯟꯊꯣꯡꯒꯤ ꯐꯤꯛꯁꯦꯁꯟ (External Fixation): ꯁꯔꯨ ꯇꯥꯡ ꯑꯁꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯃꯄꯥꯟꯗꯥ ꯂꯩꯕꯥ ꯄꯣꯠꯁꯛ ꯑꯃꯗꯥ, ꯍꯥꯌꯕꯗꯤ ꯐ꯭ꯔꯦꯝ ꯑꯃꯗꯥ ꯆꯦꯟꯊꯗꯨꯅꯥ ꯐꯤꯛꯁ ꯇꯧꯏ꯫
• ꯑꯥꯔꯊ꯭ꯔꯣꯞꯂꯥꯁ꯭ꯇꯤ (joint replacement): ꯀꯔꯤꯒꯨꯝꯕꯥ ꯁꯔꯨ ꯇꯥꯡ ꯑꯃꯥ, ꯍꯥꯌꯕꯗꯤ ꯍꯤꯄꯐꯝ ꯅꯠꯠꯔꯒꯥ ꯈꯨꯎ (joint replacement) ꯑꯃꯥ ꯁꯣꯀꯄꯥ ꯇꯥꯔꯕꯗꯤ, ꯁꯔꯨ ꯇꯥꯡ ꯑꯗꯨ ꯃꯁꯥ ꯃꯊꯟꯇꯥ ꯂꯧꯊꯣꯀꯄꯥ ꯌꯥꯏ ꯑꯃꯁꯨꯡ ꯑꯥꯔꯇꯤꯐꯤꯁꯤꯑꯦꯜ ꯑꯣꯏꯕꯥ ꯁꯔꯨ ꯇꯥꯡ ꯑꯃꯥ ꯏꯃꯞꯂꯥꯟꯇ ꯇꯧꯕꯥ ꯌꯥꯏ꯫

ꯀꯔꯤ ꯃꯇꯃꯗꯥ ꯑꯩꯅꯥ ꯈꯨꯗꯛꯇꯥ ꯏ.ꯇꯤ.ꯌꯨ.ꯗꯥ ꯆꯠꯀꯗꯒꯦ?

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯦꯛꯁꯤꯗꯦꯟꯇ ꯑꯃꯥ ꯊꯣꯀꯈꯤꯕꯥ, ꯁꯣꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯁꯥꯊꯤꯅꯥ ꯁꯣꯀꯍꯜꯂꯕꯥ ꯑꯃꯁꯨꯡ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯍꯦꯛꯇꯥ ꯂꯩꯔꯕꯗꯤ, ꯑꯇꯩ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯃꯠꯇꯥ ꯈꯟꯊꯗꯅꯥ ꯈꯨꯗꯛꯇꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯅꯀꯄꯥ ETU (ꯏꯃꯔꯖꯦꯟꯁꯤ ꯇ꯭ꯔꯤꯇꯃꯦꯟꯇ ꯌꯨꯅꯤꯠ) ꯗꯥ ꯆꯠꯂꯨ꯫

ꯈꯨꯗꯛꯇꯥ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯂꯗꯥ ꯆꯠꯂꯨ:

• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯌꯥꯝꯅꯥ ꯋꯥꯕꯥ ꯑꯋꯥꯕꯥ ꯑꯃꯥ ꯂꯩꯔꯕꯗꯤ .
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯁꯣꯀꯄꯥ ꯃꯈꯨꯠ/ ꯈꯣꯡ ꯑꯗꯨ ꯂꯧꯊꯣꯀꯄꯥ ꯉꯃꯗ꯭ꯔꯕꯗꯤ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯐꯝ ꯑꯗꯨ ꯁꯣꯟꯊꯔꯕꯗꯤ ꯑꯃꯁꯨꯡ ꯑꯆꯝꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯎꯔꯕꯗꯤ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯈꯣꯡ ꯑꯗꯨ ꯆꯦꯟꯊꯔꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯁꯔꯨ ꯑꯗꯨ ꯎꯕꯥ ꯐꯪꯂꯕꯗꯤ .
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯐꯝ ꯑꯗꯨ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯅꯥ ꯁꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯅꯤꯜ/ ꯃꯆꯨ ꯁꯪꯂꯕꯥ ꯑꯣꯏꯔꯕꯗꯤ .

ꯐ꯭ꯔꯦꯀꯆꯔꯒꯤ ꯃꯑꯣꯡ-ꯃꯇꯧꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ ꯍꯤꯡꯕꯒꯤ ꯃꯇꯝ ꯑꯁꯤ ꯈꯦꯠꯅꯩ꯫ ꯏꯆꯝ ꯆꯝꯕꯥ ꯐ꯭ꯔꯦꯀꯆꯔ ꯑꯃꯅꯥ ꯅꯨꯃꯤꯠ ꯈꯔꯅꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯐꯒꯠꯂꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯁꯥꯊꯤꯕꯥ ꯐ꯭ꯔꯦꯀꯆꯔ ꯑꯃꯅꯥ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯐꯒꯠꯂꯀꯄꯗꯥ ꯆꯍꯤ ꯑꯃꯥ ꯅꯠꯠꯔꯒꯥ ꯃꯁꯤꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯆꯪꯂꯀꯄꯥ ꯌꯥꯏ꯫ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯋꯥꯐꯃꯗꯤ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯤ ꯏꯅꯁ꯭ꯠꯔꯛꯁꯅꯁꯤꯡ ꯑꯗꯨ ꯆꯦꯀꯁꯤꯟꯅꯥ ꯏꯅꯒꯗꯕꯅꯤ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡ ꯑꯗꯨ ꯐꯒꯠꯂꯀꯄꯗꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯃꯇꯝ ꯑꯗꯨ ꯄꯤꯕꯅꯤ꯫