ꯕꯣꯟ ꯀꯦꯟꯁꯔꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯏꯆꯝ ꯆꯝꯕꯥ ꯋꯥꯍꯟꯊꯣꯛ ꯑꯃꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯁꯤ꯫

ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯃꯐꯝ ꯑꯃꯗꯥ, ꯌꯥꯔꯤꯕꯃꯈꯩ, ꯃꯈꯨꯠ, ꯈꯣꯡ ꯅꯠꯠꯔꯒꯥ ꯑꯇꯣꯞꯄꯥ ꯃꯐꯝ ꯑꯃꯗꯥ ꯂꯩꯕꯥ ꯁꯔꯨ ꯇꯥꯡ ꯑꯃꯗꯥ ꯂꯦꯡ-ꯑꯣꯠꯄꯒꯤ ꯑꯋꯥꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯁꯣꯀꯄꯥ ꯌꯥꯕꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯂꯩꯕ꯭ꯔꯥ? ꯑꯗꯣꯝ ꯂꯥꯡꯇꯛꯅꯕꯥ ꯄꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯑꯩꯈꯣꯌ ꯄꯨꯝꯅꯃꯛ "ꯕꯣꯟ ꯀꯦꯟꯁꯔ" ꯍꯥꯌꯕꯥ ꯃꯤꯡ ꯑꯁꯤ ꯇꯥꯕꯗꯥ ꯈꯔꯥ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯊꯦꯡꯅꯩ꯫ ꯑꯗꯨꯕꯨ ꯑꯩꯈꯣꯌꯅꯥ ꯂꯥꯡꯇꯛꯅꯗ꯭ꯔꯤꯉꯩ ꯃꯃꯥꯡꯗꯥ, ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯏꯆꯝ ꯆꯝꯕꯥ ꯋꯥꯍꯟꯊꯣꯛ ꯑꯃꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯁꯤ꯫ ꯄꯨꯝꯅꯃꯀꯄꯨ ꯃꯇꯤꯛ ꯆꯥꯅꯥ ꯈꯉꯕꯅꯥ ꯗꯔꯀꯥꯔ ꯑꯣꯏꯗꯕꯥ ꯑꯀꯤꯕꯥ ꯃꯨꯠꯊꯠꯄꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯒꯅꯤ꯫

ꯕꯣꯟ ꯀꯦꯟꯁꯔ ꯍꯥꯌꯕꯁꯤ ꯇꯁꯦꯡꯅꯥ ꯀꯔꯤꯅꯣ?

ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯕꯣꯟ ꯀꯦꯟꯁꯔ ꯍꯥꯌꯕꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯁꯔꯨꯗꯥ ꯂꯩꯕꯥ ꯁꯦꯂꯁꯤꯡ ꯑꯗꯨ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯑꯃꯁꯨꯡ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯗꯅꯥ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ ꯍꯧꯔꯀꯄꯅꯤ꯫ ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯃꯐꯝ ꯑꯃꯗꯥ ꯀꯦꯟꯁꯔ ꯑꯁꯤ ꯃꯇꯧ ꯀꯔꯝꯅꯥ ꯊꯣꯀꯍꯅꯕꯒꯦ ꯍꯥꯌꯕꯗꯨꯅꯤ꯫

ꯑꯗꯨꯕꯨ ꯑꯩꯈꯣꯌꯅꯥ ꯃꯐꯝ ꯑꯁꯤꯗꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯋꯥꯐꯝ ꯑꯃꯥ ꯈꯉꯕꯥ ꯃꯊꯧ ꯇꯥꯏ ꯃꯗꯨꯗꯤ ꯕꯣꯟ ꯀꯦꯟꯁꯔꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯈꯜ ꯑꯅꯤ ꯂꯩ꯫

1. ꯄ꯭ꯔꯥꯏꯃꯥꯔꯤ ꯕꯣꯟ ꯀꯦꯟꯁꯔ: ꯃꯁꯤꯅꯥ ꯇꯥꯀꯄꯗꯤ ꯀꯦꯟꯁꯔ ꯑꯁꯤ ꯑꯍꯥꯅꯕꯗꯥ ꯕꯣꯟ ꯁꯦꯂꯁꯤꯡꯗꯥ ꯍꯧꯏ . ꯃꯁꯤ ꯇꯁꯦꯡꯕꯗꯤ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯊꯣꯀꯄꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫ ꯃꯁꯤꯅꯥ ꯃꯥꯂꯦꯃꯗꯥ ꯔꯤꯄꯣꯔꯠ ꯇꯧꯔꯀꯄꯥ ꯀꯦꯟꯁꯔ ꯄꯨꯝꯅꯃꯛꯀꯤ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯱% ꯑꯣꯏꯔꯤ꯫

2. ꯁꯦꯀꯦꯟꯗꯔꯤ ꯅꯠꯠꯔꯒꯥ ꯃꯦꯇꯥꯁ꯭ꯇꯦꯇꯤꯛ ꯕꯣꯟ ꯀꯦꯟꯁꯔ: ꯃꯁꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯃꯈꯂꯅꯤ . ꯃꯁꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯑꯇꯣꯞꯄꯥ ꯃꯐꯝ ꯑꯃꯗꯒꯤ (ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯕ꯭ꯔꯦꯁ꯭ꯠ, ꯂꯪꯁ ꯅꯠꯠꯔꯒꯥ ꯄ꯭ꯔꯣꯁ꯭ꯇꯦꯇꯒꯨꯝꯕꯥ) ꯍꯧꯔꯀꯄꯥ ꯀꯦꯟꯁꯔ ꯑꯗꯨꯅꯥ ꯃꯇꯨꯡꯗꯥ ꯁꯔꯨ ꯇꯥꯡꯁꯤꯡꯗꯥ ꯁꯟꯗꯣꯔꯀꯄꯥ ꯃꯇꯃꯅꯤ꯫

ꯁꯔꯨꯗꯒꯤ ꯍꯧꯔꯀꯄꯥ ꯀꯦꯟꯁꯔꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯈꯂꯁꯤꯡ꯫

ꯄ꯭ꯔꯥꯏꯃꯥꯔꯤ ꯕꯣꯟ ꯀꯦꯟꯁꯔ ꯃꯈꯜ ꯀꯌꯥ ꯂꯩ꯫ ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯑꯃꯒꯥ ꯑꯃꯒꯥ ꯈꯦꯠꯅꯩ ꯑꯃꯁꯨꯡ ꯇꯣꯉꯥꯟ-ꯇꯣꯉꯥꯅꯕꯥ ꯆꯍꯤ ꯀꯥꯡꯂꯨꯄꯁꯤꯡꯗꯥ ꯁꯣꯀꯍꯜꯂꯤ꯫ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯈꯂꯁꯤꯡ ꯑꯗꯨ ꯌꯦꯡꯁꯤ꯫

ꯕꯦꯅꯤꯐꯤꯁꯔꯤ ꯕꯣꯟ ꯇꯤꯎꯃꯔꯁꯤꯡꯒꯤ ꯃꯇꯥꯡꯗꯁꯨ ꯈꯪꯖꯤꯅꯁꯤ꯫

ꯅꯍꯥꯛꯅꯥ ꯁꯔꯨ ꯑꯃꯗꯥ "ꯇꯤꯎꯃꯔ" ꯑꯃꯥ ꯂꯩꯕꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯃꯁꯤ ꯀꯦꯟꯁꯔꯅꯤ ꯍꯥꯌꯕꯗꯤ ꯅꯠꯇꯦ꯫ ꯀꯦꯟꯁꯔ ꯅꯠꯇꯕꯥ, ꯈꯨꯗꯣꯡꯊꯤꯅꯤꯉꯥꯏ ꯑꯣꯏꯗꯕꯥ ꯇꯤꯎꯃꯔꯁꯤꯡꯁꯨ ꯂꯩ꯫ ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤꯕꯨ ꯕꯦꯅꯤꯐꯤꯁꯔꯤ ꯕꯣꯟ ꯇꯤꯎꯃꯔ ꯍꯥꯌꯅꯥ ꯀꯧꯏ . ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯌꯥꯝꯅꯥ ꯆꯍꯤ 30ꯒꯤ ꯃꯈꯥꯗꯥ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯗꯥ ꯎꯕꯥ ꯐꯪꯏ, ꯃꯔꯨꯑꯣꯏꯅꯥ ꯑꯉꯥꯡꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯅꯍꯥ ꯑꯣꯏꯔꯤꯕꯥ ꯑꯍꯂꯁꯤꯡꯗꯥ ꯃꯈꯣꯌꯒꯤ ꯁꯔꯨ ꯇꯥꯡꯁꯤꯡ ꯑꯁꯤ ꯍꯧꯖꯤꯀꯁꯨ ꯍꯦꯅꯒꯠꯂꯛꯂꯤ꯫ ꯇꯤꯎꯃꯔꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ ꯑꯗꯨꯕꯨ ꯃꯈꯣꯌ ꯑꯁꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯑꯇꯩ ꯃꯐꯃꯁꯤꯡꯗꯥ ꯁꯟꯗꯣꯀꯄꯥ ꯉꯃꯗꯦ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯃꯈꯣꯌ ꯑꯁꯤ ꯀꯦꯟꯁꯔ ꯍꯥꯌꯅꯥ ꯂꯧꯅꯗꯦ꯫

ꯕꯣꯟ ꯀꯦꯟꯁꯔꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯀꯔꯤꯅꯣ?

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯕꯣꯟ ꯀꯦꯟꯁꯔ ꯑꯁꯤ ꯂꯥꯏꯑꯣꯡ ꯑꯃꯠꯇꯥ ꯌꯥꯎꯗꯅꯥ ꯂꯩꯕꯥ ꯌꯥꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯃꯁꯤ ꯑꯇꯣꯞꯄꯥ ꯃꯔꯝ ꯑꯃꯒꯤꯗꯃꯛ ꯑꯦꯛꯁ-ꯔꯦ ꯂꯧꯕꯥ ꯃꯇꯃꯗꯥ ꯊꯧꯗꯣꯛ ꯑꯃꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯈꯪꯗꯣꯀꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯂꯥꯀꯄꯥ ꯇꯥꯔꯕꯗꯤ, ꯃꯈꯣꯌ ꯑꯁꯤ ꯃꯔꯨꯑꯣꯏꯅꯥ ꯎꯕꯥ ꯐꯪꯏ꯫

• ꯂꯦꯡ-ꯑꯣꯠꯄꯒꯤ ꯃꯑꯣꯡ (persistent bone pain): ꯃꯁꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯂꯥꯏꯑꯣꯡꯅꯤ꯫ ꯑꯍꯥꯅꯕꯗꯥ, ꯑꯅꯥꯕꯥ ꯑꯗꯨ ꯂꯥꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯆꯠꯄꯥ ꯌꯥꯏ, ꯑꯗꯨꯕꯨ ꯃꯇꯃꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ, ꯃꯁꯤ ꯂꯦꯞꯇꯅꯥ ꯑꯃꯁꯨꯡ ꯁꯥꯊꯤꯕꯥ ꯑꯣꯏꯔꯀꯄꯥ ꯌꯥꯏ꯫ ꯀꯦꯟꯁꯔ ꯃꯈꯜ ꯈꯔꯗꯗꯤ (ꯏꯎꯏꯪ ꯁꯥꯔꯀꯣꯃꯥꯒꯨꯝꯕꯥ) ꯑꯅꯥꯕꯥ ꯑꯁꯤ ꯑꯌꯨꯛ-ꯅꯨꯡꯊꯤꯂꯗꯥ ꯍꯦꯟꯅꯥ ꯐꯠꯆꯤꯜꯂꯀꯏ꯫
• ꯁꯣꯛ-ꯄꯅꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯈꯣꯝꯂꯥꯡ ꯑꯃꯥ (lump) : ꯑꯅꯥꯕꯥ ꯃꯐꯝ ꯑꯗꯨ ꯁꯣꯀꯄꯥ ꯍꯧꯔꯀꯄꯥ ꯌꯥꯏ, ꯅꯠꯠꯔꯒꯥ ꯈꯨꯠꯇꯥ ꯆꯦꯟꯊꯔꯀꯄꯥ ꯌꯥꯕꯥ ꯂꯪꯂꯥ ꯑꯃꯒꯨꯝꯅꯥ ꯐꯥꯎꯕꯥ ꯌꯥꯏ꯫
• ꯂꯤꯝꯐꯝ (limping): ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯂꯩꯕꯥ ꯁꯔꯨ ꯇꯥꯡ ꯑꯃꯗꯥ ꯀꯦꯟꯁꯔ ꯂꯩꯔꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯂꯤꯝꯐꯝ (limp) ꯑꯃꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯆꯠꯄꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯏ꯫
• ꯃꯁꯥ ꯃꯊꯟꯇꯥ ꯁꯣꯀꯍꯜꯂꯕꯥ ꯁꯔꯨ ꯇꯥꯡ (bone fracture) : ꯀꯔꯤꯒꯨꯝꯕꯥ ꯁꯔꯨ ꯇꯥꯡ ꯑꯃꯅꯥ ꯑꯆꯧꯕꯥ ꯑꯦꯛꯁꯤꯗꯦꯟꯇ ꯑꯃꯠꯇꯥ ꯂꯩꯍꯟꯗꯅꯥ, ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯍꯅꯕꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯑꯣꯏꯔꯀꯄꯥ ꯌꯥꯏ꯫
• ꯁꯔꯨ ꯇꯥꯡꯁꯤꯡꯗꯥ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯁꯣꯀꯄꯥ:ꯀꯔꯤꯒꯨꯝꯕꯥ ꯀꯦꯟꯁꯔ ꯑꯗꯨ ꯁꯔꯨ ꯇꯥꯡ ꯑꯃꯒꯤ ꯃꯅꯥꯛꯇꯥ ꯂꯩꯔꯕꯗꯤ, ꯁꯔꯨ ꯇꯥꯡ ꯑꯗꯨ ꯀꯨꯄꯁꯤꯅꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯁꯦꯡꯗꯣꯀꯄꯗꯥ ꯑꯋꯥꯕꯥ ꯑꯣꯏꯔꯀꯄꯥ ꯌꯥꯏ꯫
• ꯃꯌꯦꯛ ꯁꯦꯡꯗꯕꯥ ꯂꯥꯏꯍꯧ: ꯂꯦꯡ-ꯑꯣꯠꯄꯒꯤ ꯃꯑꯣꯡ ꯑꯃꯥ꯫
• ꯑꯇꯩ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯀꯦꯟꯁꯔ ꯑꯗꯨ ꯁꯟꯗꯣꯀꯈ꯭ꯔꯕꯗꯤ ꯋꯥꯈꯜ ꯆꯔꯥꯡꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯑꯔꯨꯝꯕꯥ ꯍꯟꯊꯔꯀꯄꯁꯨ ꯎꯕꯥ ꯐꯪꯏ꯫

ꯗꯣꯛꯇꯔꯅꯥ ꯂꯥꯌꯅꯥ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯈꯪꯗꯣꯀꯄꯒꯦ?

ꯃꯊꯛꯇꯥ ꯄꯅꯈ꯭ꯔꯤꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯗꯣꯛꯇꯔ ꯑꯃꯗꯥ ꯆꯠꯄꯥ ꯃꯇꯃꯗꯥ, ꯃꯍꯥꯛꯅꯥ ꯗꯥꯏꯑꯦꯒ꯭ꯅꯣꯁꯤꯁ ꯑꯃꯥ ꯁꯦꯝꯅꯕꯒꯤꯗꯃꯛ ꯈꯣꯡꯊꯥꯡ ꯀꯌꯥ ꯂꯧꯈꯠꯀꯅꯤ꯫

1. ꯃꯦꯗꯤꯀꯦꯜ ꯑꯦꯀꯖꯥꯃꯤꯅꯦꯁꯟ: ꯑꯍꯥꯅꯕꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯍꯪꯒꯅꯤ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡ ꯑꯗꯨ ꯌꯦꯡꯁꯤꯅꯒꯅꯤ꯫

2. ꯑꯦꯛꯁ-ꯔꯦ: ꯃꯍꯧꯁꯥꯅꯥ ꯃꯁꯤ ꯇꯧꯕꯥ ꯑꯍꯥꯅꯕꯥ ꯇꯦꯁ꯭ꯇꯅꯤ꯫ ꯑꯦꯛꯁ-ꯔꯦ ꯑꯁꯤꯅꯥ ꯁꯔꯨ ꯇꯥꯡꯗꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯅꯠꯠꯔꯒꯥ ꯇꯤꯎꯃꯔ ꯑꯃꯠꯇꯥ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯆꯦꯛ ꯇꯧꯕꯥ ꯌꯥꯏ꯫

꯳.ꯑꯇꯣꯞꯄꯥ ꯁ꯭ꯀꯦꯅꯁꯤꯡ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯦꯛꯁ-ꯔꯦꯗꯥ ꯑꯀꯤꯕꯥ ꯄꯣꯀꯍꯅꯕꯥ ꯌꯥꯕꯥ ꯋꯥꯐꯝ ꯑꯃꯥ ꯂꯩꯔꯕꯗꯤ, ꯑꯁꯤꯒꯨꯝꯕꯥ ꯃꯈꯂꯒꯤ ꯁ꯭ꯀꯦꯅꯁꯤꯡ ꯑꯁꯤ ꯍꯦꯟꯅꯥ ꯑꯀꯨꯞꯄꯥ ꯃꯔꯣꯂꯁꯤꯡ ꯈꯉꯗꯣꯛꯅꯕꯥ ꯁꯤꯖꯤꯟꯅꯩ꯫

• ꯁꯤ.ꯇꯤ.ꯁ꯭ꯀꯦꯟ: ꯑꯦꯛꯁ-ꯔꯦ ꯑꯁꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯀ꯭ꯔꯣꯁ-ꯁꯦꯛꯁꯟ ꯏꯃꯦꯖꯁꯤꯡ ꯂꯧꯕꯗꯥ ꯁꯤꯖꯤꯟꯅꯩ꯫
• ꯑꯦꯝ.ꯑꯥꯔ.ꯑꯥꯏ.ꯁ꯭ꯀꯦꯟ: ꯌꯥꯝꯅꯥ ꯃꯌꯦꯛ ꯁꯦꯡꯕꯥ, ꯑꯀꯨꯞꯄꯥ ꯏꯃꯦꯖꯁꯤꯡ ꯄꯨꯊꯣꯛꯅꯕꯥ ꯃꯦꯒ꯭ꯅꯦꯇꯤꯛ ꯐꯤꯜꯗ ꯑꯃꯥ ꯁꯤꯖꯤꯟꯅꯩ꯫
• ꯕꯣꯟ ꯁ꯭ꯀꯦꯟ (bone Scan): ꯁꯔꯨ ꯇꯥꯡꯁꯤꯡꯗꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯍꯟꯗꯅꯕꯥ ꯍꯀꯆꯥꯡꯗꯥ ꯔꯦꯗꯤꯑꯣꯑꯦꯛꯇꯤꯚ ꯃꯆꯥꯀꯁꯤꯡꯒꯤ ꯑꯄꯤꯀꯄꯥ ꯃꯁꯤꯡ ꯑꯃꯥ ꯏꯅꯖꯦꯀꯁꯟ ꯇꯧꯏ꯫
• ꯄꯤ.ꯏ.ꯇꯤ.ꯁ꯭ꯀꯦꯟ: ꯃꯁꯤꯅꯥ ꯍꯀꯆꯥꯡꯒꯤ ꯃꯐꯝ ꯑꯃꯗꯥ ꯀꯦꯟꯁꯔ ꯁꯦꯂꯁꯤꯡ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯈꯉꯗꯣꯀꯄꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫

꯴.ꯕꯥꯏꯑꯣꯞꯁꯤ : ꯃꯁꯤ ꯂꯥꯌꯅꯥ ꯑꯁꯤ ꯱꯰꯰% ꯀꯅꯐꯔꯝ ꯇꯧꯅꯕꯥ ꯇꯧꯕꯥ ꯇꯦꯁ꯭ꯇꯅꯤ . ꯃꯐꯝ ꯑꯁꯤꯗꯥ ꯇꯧꯔꯤꯕꯥ ꯑꯁꯤ ꯇꯤꯎꯃꯔꯗꯒꯤ ꯌꯥꯝꯅꯥ ꯑꯄꯤꯀꯄꯥ ꯇꯤꯁ꯭ꯌꯨ ꯑꯃꯥ ꯂꯧꯗꯨꯅꯥ ꯃꯥꯏꯛꯔꯣꯁ꯭ꯀꯣꯄꯀꯤ ꯃꯈꯥꯗꯥ ꯌꯦꯡꯁꯤꯅꯕꯅꯤ꯫ ꯃꯁꯤꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯇꯤꯎꯃꯔ ꯑꯗꯨ ꯀꯦꯟꯁꯔ ꯑꯣꯏꯕ꯭ꯔꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯣꯏꯗꯕ꯭ꯔꯥ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯀꯦꯟꯁꯔ ꯂꯩꯕ꯭ꯔꯥ, ꯃꯗꯨ ꯀꯔꯝꯕꯥ ꯃꯈꯂꯒꯤꯅꯣ ꯑꯃꯁꯨꯡ ꯀꯌꯥꯝ ꯌꯥꯡꯅꯥ ꯍꯦꯅꯒꯠꯂꯛꯂꯤꯕꯅꯣ ꯍꯥꯌꯕꯗꯨ ꯆꯨꯝꯅꯥ ꯈꯪꯍꯅꯕꯥ ꯉꯃꯒꯅꯤ꯫ ꯇꯦꯁ꯭ꯠ ꯑꯁꯤ ꯕꯣꯟ ꯀꯦꯟꯁꯔꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯑꯈꯟꯅꯕꯥ ꯑꯣꯔꯊꯣꯄꯦꯗꯤꯛ ꯑꯣꯟꯀꯣꯂꯣꯖꯤꯁ꯭ꯠ ꯑꯃꯅꯥ ꯇꯧꯕꯥ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫

5. ꯕ꯭ꯂꯗ ꯇꯦꯁ꯭ꯠ: ꯕꯣꯟ ꯀꯦꯟꯁꯔꯗꯥ ꯑꯀꯛꯅꯕꯥ ꯑꯦꯅꯖꯥꯏꯃꯁꯤꯡ (ALP, LDH)ꯒꯤ ꯆꯥꯡ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯁꯤ ꯗꯥꯏꯑꯦꯒ꯭ꯅꯣꯁꯤꯁꯀꯤ ꯀ꯭ꯂꯨ ꯑꯃꯥ ꯑꯣꯏꯅꯥ ꯁꯤꯖꯤꯟꯅꯩ꯫

ꯂꯥꯏꯌꯦꯡꯕꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?

ꯕꯣꯟ ꯀꯦꯟꯁꯔꯒꯤ ꯂꯥꯏꯌꯦꯡ ꯑꯁꯤ ꯀꯦꯟꯁꯔ ꯃꯈꯜ, ꯃꯁꯤꯒꯤ ꯃꯐꯝ, ꯃꯁꯤꯅꯥ ꯁꯟꯗꯣꯔꯀꯄꯒꯤ ꯆꯥꯡ (ꯁ꯭ꯇꯦꯖ), ꯄꯦꯁꯦꯟꯇ ꯑꯗꯨꯒꯤ ꯆꯍꯤ, ꯑꯃꯁꯨꯡ ꯑꯄꯨꯅꯕꯥ ꯍꯀꯁꯦꯜ ꯑꯁꯤꯅꯆꯤꯡꯕꯥ ꯐꯦꯛꯇꯔ ꯀꯌꯥꯒꯤ ꯃꯈꯥ ꯄꯣꯜꯂꯤ꯫ ꯃꯍꯧꯁꯥꯅꯥ, ꯂꯥꯏꯌꯦꯡ ꯑꯃꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯃꯗꯒꯤ ꯍꯦꯅꯕꯥ ꯀꯝꯕꯤꯅꯦꯁꯟ ꯑꯃꯥ ꯁꯤꯖꯤꯟꯅꯩ꯫

ꯂꯦꯟꯕ

ꯑꯌꯥꯝꯕꯥ ꯕꯣꯟ ꯀꯦꯟꯁꯔꯁꯤꯡꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯂꯥꯏꯌꯦꯡꯗꯤ ꯁꯔꯖꯔꯤꯅꯤ . ꯄꯥꯟꯗꯝ ꯑꯁꯤ ꯀꯦꯟꯁꯔꯒꯤ ꯇꯤꯎꯃꯔ ꯑꯁꯤ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯂꯧꯊꯣꯀꯄꯅꯤ꯫ ꯁꯔꯖꯔꯤꯅꯥ ꯇꯤꯎꯃꯔ ꯑꯃꯁꯨꯡ ꯃꯗꯨꯒꯤ ꯑꯀꯣꯌꯕꯗꯥ ꯂꯩꯕꯥ ꯍꯀꯁꯦꯜ ꯐꯕꯥ ꯇꯤꯁꯨ ꯈꯔꯗꯤ ꯂꯧꯊꯣꯀꯏ꯫

• ꯂꯤꯝꯐ ꯁꯦꯂꯚꯦꯖ ꯁꯔꯖꯔꯤ: ꯌꯥꯔꯤꯕꯃꯈꯩ, ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯀꯦꯟꯁꯔꯅꯥ ꯅꯥꯕꯥ ꯁꯔꯨꯒꯤ ꯁꯔꯨꯛ ꯑꯗꯨ ꯈꯛꯇꯃꯛ ꯂꯧꯊꯣꯛꯇꯨꯅꯥ ꯃꯗꯨꯒꯤ ꯃꯍꯨꯠꯇꯥ ꯙꯥꯇꯨꯒꯤ ꯄ꯭ꯔꯣꯁ꯭ꯊꯦꯁꯤꯁ ꯅꯠꯠꯔꯒꯥ ꯑꯇꯣꯞꯄꯥ ꯃꯐꯝ ꯑꯃꯗꯒꯤ ꯂꯧꯊꯣꯀꯄꯥ ꯁꯔꯨꯒꯤ ꯁꯔꯨꯛ ꯑꯃꯥ ꯁꯤꯖꯤꯟꯅꯗꯨꯅꯥ ꯂꯤꯝꯐ/ꯂꯦꯒ ꯑꯗꯨ ꯀꯟꯅꯕꯥ ꯍꯣꯠꯅꯩ꯫
• ꯑꯦꯝꯄꯨꯇꯦꯁꯟ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯀꯦꯟꯁꯔ ꯑꯗꯨ ꯌꯥꯝꯅꯥ ꯆꯥꯎꯔꯕꯗꯤ, ꯅꯠꯠꯔꯒꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯂꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯅꯔꯚꯁꯤꯡꯗꯥ ꯁꯟꯗꯣꯀꯈ꯭ꯔꯕꯗꯤ, ꯂꯤꯝꯐ ꯑꯗꯨ ꯀꯅꯕꯥ ꯉꯃꯗꯕꯥ ꯌꯥꯏ꯫ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯀꯦꯁꯁꯤꯡꯗꯗꯤ, ꯂꯤꯝꯐꯀꯤ ꯁꯔꯨꯛ ꯑꯃꯥ ꯂꯧꯊꯣꯀꯄꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯏ꯫

ꯀꯦꯃꯣꯊꯦꯔꯥꯄꯤ ꯇꯧꯕꯥ꯫

ꯃꯁꯤꯗꯥ ꯀꯦꯟꯁꯔ ꯁꯦꯂꯁꯤꯡꯕꯨ ꯍꯥꯠꯄꯥ ꯉꯝꯕꯥ ꯍꯀꯆꯥꯡꯗꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ ꯄꯤꯕꯒꯥ ꯃꯔꯤ ꯂꯩꯅꯩ꯫ ꯀꯦꯃꯣꯊꯦꯔꯥꯄꯤ ꯑꯁꯤ ꯑꯣꯁ꯭ꯇꯤꯑꯣꯁꯥꯔꯀꯣꯃꯥ ꯑꯃꯁꯨꯡ ꯏꯎꯏꯪꯁ ꯁꯥꯔꯀꯣꯃꯥꯒꯨꯝꯕꯥ ꯀꯦꯟꯁꯔꯁꯤꯡꯒꯤꯗꯃꯛ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯂꯥꯏꯌꯦꯡ ꯑꯁꯤ ꯁꯔꯖꯔꯤꯒꯤ ꯃꯃꯥꯡꯗꯥ ꯄꯤꯗꯨꯅꯥ ꯇꯤꯎꯃꯔ ꯑꯗꯨ ꯁꯣꯟꯊꯍꯟꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯂꯦꯃꯍꯧꯔꯤꯕꯥ ꯁꯦꯜ ꯑꯃꯍꯦꯛꯇꯕꯨ ꯍꯥꯠꯅꯕꯥ ꯄꯤ꯫

ꯔꯦꯗꯤꯑꯦꯁꯟ ꯊꯦꯔꯥꯄꯤ ꯇꯧꯕꯥ꯫

ꯃꯁꯤꯗꯥ ꯀꯦꯟꯁꯔ ꯁꯦꯂꯁꯤꯡ ꯃꯥꯡꯍꯟ ꯇꯥꯀꯍꯟꯅꯕꯥ ꯍꯥꯏ-ꯑꯦꯅꯔꯖꯤ ꯔꯦꯁꯤꯡ ꯁꯤꯖꯤꯟꯅꯕꯥ ꯌꯥꯑꯣꯔꯤ꯫ ꯃꯁꯤꯒꯤ ꯂꯥꯏꯌꯦꯡ ꯑꯁꯤ ꯀꯦꯟꯁꯔ ꯃꯈꯜ ꯈꯔꯗꯥ, ꯃꯔꯨꯑꯣꯏꯅꯥ ꯏꯎꯏꯪꯒꯤ ꯁꯥꯔꯀꯣꯃꯥꯗꯥ ꯁꯤꯖꯤꯟꯅꯩ꯫ ꯃꯁꯤ ꯑꯣꯄꯔꯦꯁꯟ ꯇꯧꯗꯕꯥ ꯀꯦꯟꯁꯔꯁꯤꯡꯒꯤꯗꯃꯛꯇꯁꯨ ꯁꯤꯖꯤꯟꯅꯩ꯫

ꯇꯥꯔꯒꯦꯠ ꯇꯧꯔꯕꯥ ꯊꯦꯔꯥꯄꯤ꯫

ꯍꯥꯌꯔꯤꯕꯥ ꯑꯁꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯅꯧꯕꯥ ꯍꯤꯗꯥꯛ ꯃꯈꯂꯁꯤꯡꯅꯤ꯫ ꯗ꯭ꯔꯒꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯅꯣꯔꯃꯦꯜ ꯍꯀꯆꯥꯡ ꯐꯕꯥ ꯁꯦꯂꯁꯤꯡꯗꯥ ꯑꯀꯥꯌꯕꯥ ꯄꯤꯗꯅꯥ, ꯀꯦꯟꯁꯔ ꯁꯦꯂꯁꯤꯡꯒꯤ ꯆꯥꯎꯈꯠꯄꯗꯥ ꯑꯀꯥꯌꯕꯥ ꯄꯤꯔꯤꯕꯥ ꯑꯀꯛꯅꯕꯥ ꯖꯤꯅꯁꯤꯡ ꯅꯠꯠꯔꯒꯥ ꯄ꯭ꯔꯣꯇꯤꯅꯁꯤꯡꯗꯥ ꯄꯥꯟꯗꯝ ꯊꯝꯂꯤ꯫ ꯃꯈꯣꯌ ꯑꯁꯤ ꯀꯣꯔꯗꯣꯃꯥꯒꯨꯝꯕꯥ ꯀꯦꯃꯣꯊꯦꯔꯥꯄꯤꯗꯥ ꯐꯖꯅꯥ ꯔꯦꯁ꯭ꯄꯣꯟꯁ ꯇꯧꯗꯕꯥ ꯀꯦꯟꯁꯔꯁꯤꯡꯒꯤꯗꯃꯛ ꯁꯤꯖꯤꯟꯅꯩ꯫

ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯄꯨꯟꯁꯤ ꯑꯃꯁꯨꯡ ꯔꯤꯍꯦꯕꯤꯂꯤꯇꯦꯁꯟ꯫

ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯅꯣꯔꯃꯦꯜ ꯂꯥꯏꯐꯇꯥ ꯁꯤꯖꯤꯟꯅꯅꯕꯥ ꯔꯤꯍꯦꯕꯤꯂꯤꯇꯦꯁꯟ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫ ꯃꯔꯨꯑꯣꯏꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯈꯨꯠ ꯅꯠꯠꯔꯒꯥ ꯈꯣꯡ ꯑꯃꯒꯤ ꯁꯔꯖꯔꯤ ꯇꯧꯈ꯭ꯔꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯐꯤꯖꯤꯑꯣꯊꯦꯔꯥꯄꯤꯁ꯭ꯠ ꯑꯃꯒꯤ ꯃꯇꯦꯡꯅꯥ ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯇꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯏ ꯑꯃꯁꯨꯡ ꯂꯤꯝꯐ ꯑꯗꯨꯒꯤ ꯐꯉ꯭ꯀꯁꯟ ꯑꯗꯨ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯐꯪꯍꯅꯕꯥ ꯃꯊꯧ ꯇꯥꯏ꯫ ꯃꯁꯤ ꯈꯔꯥ ꯁꯤꯡꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯃꯇꯝ ꯌꯥꯝꯅꯥ ꯆꯪꯕꯥ ꯊꯧꯑꯣꯡ ꯑꯃꯥ ꯑꯣꯏꯔꯕꯁꯨ, ꯃꯁꯤ ꯊꯥꯗꯣꯛꯇꯨꯅꯥ ꯆꯠꯄꯥ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫

ꯃꯁꯤꯗꯁꯨ ꯅꯠꯇꯅꯥ, ꯂꯥꯏꯌꯦꯡ ꯂꯣꯌꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯌꯦꯡꯁꯤꯅꯕꯥ ꯍꯥꯌꯕꯁꯤꯁꯨ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ (ꯐꯣꯂꯣ-ꯑꯞ ꯑꯦꯄꯣꯏꯟꯇꯃꯦꯟꯇꯁꯤꯡ) . ꯑꯍꯥꯅꯕꯥ ꯆꯍꯤ ꯈꯔꯒꯤ ꯑꯣꯏꯅꯥ ꯌꯥꯃꯗ꯭ꯔꯕꯗꯥ ꯊꯥ 3-6 ꯈꯨꯗꯤꯡꯒꯤ ꯆꯦꯛ-ꯑꯞ ꯇꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯏ꯫ ꯃꯁꯤꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯂꯥꯌꯅꯥ ꯑꯁꯤ ꯍꯟꯖꯤꯜꯂꯛꯂꯤꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯊꯨꯅꯥ ꯈꯪꯗꯣꯀꯄꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯒꯅꯤ꯫