ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯨꯠꯁꯥ ꯑꯗꯨ ꯁꯣꯀꯄꯥ ꯇꯥꯔꯕꯗꯤ ꯀꯔꯤ ꯇꯧꯒꯅꯤ? (ꯐ꯭ꯔꯦꯀꯆꯔ ꯑꯥꯔꯝ) ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯑꯀꯨꯞꯄꯥ ꯃꯔꯣꯂꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯁꯤ!

ꯑꯣꯍ, ꯅꯉꯒꯤ ꯈꯨꯠꯁꯥ ꯑꯗꯨ ꯈꯉꯍꯧꯗꯅꯥ ꯐꯠꯇꯅꯥ ꯁꯣꯀꯄꯥ ꯍꯧꯔꯀꯈꯤꯕꯔꯥ? ꯁꯣꯀꯄꯥ ꯃꯇꯨꯡꯗꯥ ꯑꯣꯏꯔꯝꯕꯥ ꯌꯥꯏ, ꯅꯠꯔꯒꯥ ꯁꯥꯟꯅꯄꯣꯠ ꯁꯥꯟꯅꯕꯗꯒꯤ ꯑꯣꯏꯔꯝꯕꯥ ꯌꯥꯏ꯫ ꯅꯍꯥꯛꯀꯤ ꯈꯨꯠꯁꯥ ꯑꯗꯨ ꯁꯣꯀꯄꯥ, ꯅꯤꯜ ꯈꯣꯡꯕꯥ, ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯈꯨꯠꯁꯥꯒꯤ ꯃꯑꯣꯡ ꯑꯗꯨ ꯈꯔꯥ ꯍꯣꯡꯂꯛꯂꯕꯔꯥ? ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯣꯏꯔꯒꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯈꯨꯠꯁꯥ ꯑꯗꯨ ꯐ꯭ꯔꯦꯀꯆꯔ ꯇꯧꯔꯕꯥ ꯑꯣꯏꯔꯝꯕꯥ ꯌꯥꯏ꯫ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯂꯩꯔꯣꯏꯗꯕꯅꯤ, ꯃꯁꯤ ꯅꯍꯥꯛꯅꯥ ꯈꯜꯂꯤꯕꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯀꯃꯟ ꯑꯣꯏ꯫ ꯃꯁꯤ ꯄꯨꯝꯅꯃꯛ ꯑꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯉꯁꯤ ꯃꯌꯦꯛ ꯁꯦꯡꯅꯥ ꯑꯃꯁꯨꯡ ꯂꯥꯏꯅꯥ ꯋꯥꯔꯤ ꯁꯥꯁꯤ꯫

ꯐ꯭ꯔꯦꯀꯆꯔ ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ?

ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯃꯈꯨꯠ ꯁꯣꯀꯄꯥ ꯍꯥꯌꯕꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯈꯨꯠꯁꯥꯗꯥ ꯂꯩꯕꯥ ꯁꯔꯨ ꯇꯥꯡ ꯑꯃꯥ ꯁꯣꯀꯄꯥ ꯍꯥꯌꯕꯁꯤꯅꯤ꯫ ꯑꯩꯈꯣꯌꯒꯤ ꯃꯈꯨꯠꯇꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯁꯔꯨ ꯑꯍꯨꯝ ꯂꯩ꯫ ꯃꯈꯣꯌꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯤꯅꯣ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯁꯤ꯫

• ꯍ꯭ꯌꯨꯃꯦꯔꯥꯁ: ꯃꯁꯤ ꯃꯊꯛ ꯊꯪꯕꯥ ꯁꯔꯨꯛꯇꯥ ꯂꯩꯕꯥ ꯁꯔꯨꯅꯤ꯫ ꯆꯨꯝꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯃꯁꯤ ꯈꯨꯎꯗꯒꯤ ꯍꯧꯔꯒꯥ ꯃꯀꯣꯀꯊꯣꯡꯕꯗꯥ ꯆꯠꯄꯥ ꯑꯃꯠꯇꯥ ꯉꯥꯏꯔꯕꯥ ꯁꯥꯡꯕꯥ ꯁꯔꯨꯅꯤ꯫
• ꯎꯂꯅꯥ: ꯃꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯃꯃꯥꯌꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯂꯩ꯫ ꯃꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯑꯄꯤꯀꯄꯥ ꯃꯈꯨꯠ ꯑꯗꯨ ꯂꯩꯔꯤꯕꯥ ꯃꯄꯥꯟꯗꯥ ꯂꯩꯕꯥ ꯁꯔꯨ ꯑꯅꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯅꯤ꯫
• ꯔꯦꯗꯤꯌꯁ: ꯃꯁꯤꯒꯤ ꯁꯔꯨ ꯑꯁꯤꯁꯨ ꯃꯈꯨꯠꯀꯤ ꯃꯄꯥꯟꯗꯥ ꯂꯩ, ꯑꯗꯨꯕꯨ ꯃꯅꯨꯡꯗꯥ ꯂꯩ꯫ ꯍꯥꯌꯕꯗꯤ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯎꯞ ꯑꯗꯨ ꯂꯩꯔꯤꯕꯥ ꯃꯐꯝ ꯑꯗꯨꯗꯥ ꯂꯩꯕꯥ ꯁꯔꯨ ꯑꯗꯨ꯫

ꯈꯟꯗꯨꯅꯥ ꯌꯦꯡꯕꯤꯌꯨ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯑꯆꯧꯕꯥ ꯑꯦꯛꯁꯤꯗꯦꯟꯇ ꯑꯃꯗꯥ, ꯁꯔꯨ ꯑꯍꯨꯝ ꯑꯁꯤ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯁꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯕꯨ ꯑꯌꯥꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯁꯔꯨ ꯑꯍꯨꯝ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯈꯛꯇꯃꯛ ꯁꯣꯀꯏ꯫

ꯅꯍꯥꯛꯅꯥ ꯈꯨꯠꯁꯥ ꯑꯃꯥ ꯁꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯁꯔꯨ ꯇꯥꯡ ꯑꯗꯨ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯁꯦꯠ ꯇꯧꯅꯕꯥ ꯁꯔꯖꯔꯤ ꯇꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯏ꯫ ꯑꯗꯨꯕꯨ ꯃꯤꯄꯨꯝ ꯈꯨꯗꯤꯡꯃꯛ ꯁꯔꯖꯔꯤꯒꯤ ꯃꯊꯧ ꯇꯥꯗꯦ꯫ ꯃꯤꯑꯣꯏ ꯈꯔꯗꯤ ꯀꯥꯁ꯭ꯠ, ꯁ꯭ꯞꯂꯤꯟꯇ ꯅꯠꯠꯔꯒꯥ ꯕ꯭ꯔꯦꯁ ꯑꯃꯅꯥ ꯐꯒꯠꯂꯀꯄꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯈꯨꯠꯁꯥꯗꯥ ꯄꯥꯉ꯭ꯒꯜ ꯑꯃꯁꯨꯡ ꯆꯠꯊꯣꯛ-ꯆꯠꯁꯤꯟ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯐꯪꯅꯕꯒꯤꯗꯃꯛ ꯐꯤꯖꯤꯀꯦꯜ ꯊꯦꯔꯥꯄꯤ ꯑꯁꯤ ꯁꯣꯌꯗꯅꯥ ꯃꯊꯧ ꯇꯥꯏ꯫

ꯁꯣꯀꯄꯥ ꯈꯨꯠꯁꯥꯒꯤ ꯃꯈꯂꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯤꯅꯣ?

ꯅꯍꯥꯛꯀꯤ ꯈꯨꯠꯇꯥ ꯀꯔꯝꯕꯥ ꯁꯔꯨ ꯇꯥꯡ ꯁꯣꯀꯄꯥ ꯍꯥꯌꯕꯁꯤ ꯈꯪꯕꯇꯥ ꯅꯠꯇꯅꯥ, ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯐ꯭ꯔꯦꯀꯆꯔꯁꯤꯡ ꯑꯁꯤ ꯀ꯭ꯂꯥꯁꯤꯐꯥꯏ ꯇꯧꯏ꯫ ꯍꯥꯌꯕꯗꯤ ꯃꯈꯣꯌꯅꯥ ꯃꯈꯣꯌꯕꯨ ꯀꯔꯝꯅꯥ ꯁꯣꯀꯍꯅꯕꯒꯦ ꯍꯥꯌꯕꯗꯨꯗꯥ ꯌꯨꯝꯐꯝ ꯑꯣꯏꯔꯒꯥ ꯃꯃꯤꯡ ꯊꯣꯜꯂꯤ꯫ ꯃꯁꯤꯅꯥ ꯗꯣꯛꯇꯔꯅꯥ ꯀꯔꯝꯕꯥ ꯁꯔꯨ ꯇꯥꯡꯕꯒꯦ ꯑꯃꯁꯨꯡ ꯀꯔꯝꯅꯥ ꯁꯣꯀꯍꯅꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯊꯨꯅꯥ ꯈꯪꯕꯥ ꯉꯃꯍꯜꯂꯤ꯫

ꯐ꯭ꯔꯦꯀꯆꯔꯒꯤ ꯃꯑꯣꯡ-ꯃꯇꯧꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ ꯀ꯭ꯂꯥꯁꯤꯐꯥꯏ ꯇꯧꯕꯥ ꯃꯈꯂꯁꯤꯡ ꯂꯩ:

• ꯇ꯭ꯔꯥꯟꯁꯕꯔꯁ ꯐ꯭ꯔꯦꯀꯆꯔ (transverse fracture): ꯁꯔꯨ ꯇꯥꯡꯗꯥ ꯍꯀꯊꯦꯡꯅꯅꯥ ꯁꯣꯀꯄꯥ (break)꯫
• ꯑꯣꯕꯂꯤꯛ ꯐ꯭ꯔꯦꯀꯆꯔ (Oblique fracture): ꯃꯥꯌꯀꯩ ꯑꯃꯔꯣꯃꯗꯥ ꯆꯦꯟꯊꯈꯤꯕꯥ ꯁꯔꯨ ꯇꯥꯡ ꯑꯃꯅꯤ꯫
• ꯁ꯭ꯄꯥꯏꯔꯦꯜ ꯐ꯭ꯔꯦꯀꯆꯔ (Spiral fracture): ꯁꯔꯨ ꯇꯥꯡ ꯑꯗꯨ ꯁ꯭ꯄꯥꯏꯔꯦꯜ ꯑꯃꯗꯥ ꯆꯦꯟꯊꯈꯤꯕꯥ ꯐ꯭ꯔꯦꯀꯆꯔ ꯑꯃꯅꯤ꯫ ꯃꯁꯤ ꯑꯌꯥꯝꯕꯗꯤ ꯃꯈꯨꯠ ꯑꯗꯨ ꯀꯨꯄꯁꯤꯜꯂꯕꯥ ꯃꯇꯃꯗꯥ ꯊꯣꯀꯏ꯫
• ꯁꯦꯒꯃꯦꯟꯇꯦꯜ ꯐ꯭ꯔꯦꯀꯆꯔ (segmental fracture): ꯆꯞ ꯃꯥꯟꯅꯕꯥ ꯃꯐꯝ ꯑꯃꯗꯥ ꯁꯔꯨꯛ ꯑꯅꯤꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯆꯦꯟꯊꯔꯀꯄꯥ ꯁꯔꯨ, ꯍꯥꯌꯕꯗꯤ ꯁꯔꯨꯒꯤ ꯃꯔꯛꯇꯥ ꯂꯩꯕꯥ ꯁꯔꯨꯛ ꯑꯃꯥ ꯇꯣꯈꯥꯌꯅꯥ ꯂꯩꯕꯥ ꯍꯥꯌꯕꯁꯤꯅꯤ꯫
• ꯀꯃꯤꯅꯤꯎꯇꯦꯗ ꯐ꯭ꯔꯦꯀꯆꯔ (comminuted fracture): ꯁꯔꯨ ꯇꯥꯡ ꯑꯗꯨ ꯆꯦꯟꯊꯈꯤꯕꯒꯨꯝꯅꯥ, ꯁꯔꯨ ꯇꯥꯡ ꯀꯌꯥꯗꯥ ꯆꯦꯟꯊꯈꯤ꯫
• ꯕꯀꯜ/ꯏꯝꯄꯦꯛꯇ ꯐ꯭ꯔꯦꯀꯆꯔ: ꯃꯁꯤ ꯅꯍꯥ ꯑꯣꯏꯔꯤꯕꯥ ꯑꯉꯥꯡꯁꯤꯡꯗꯥ ꯍꯦꯟꯅꯥ ꯀꯃꯟ ꯑꯣꯏ꯫ ꯁꯔꯨ ꯑꯗꯨ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯆꯦꯟꯊꯈꯤꯗꯦ, ꯑꯗꯨꯕꯨ ꯃꯗꯨ ꯃꯥꯌꯀꯩ ꯑꯃꯗꯥ ꯃꯅꯨꯡꯗꯥ ꯈꯔꯥ ꯀꯨꯄꯁꯤꯜꯂꯤ꯫ ꯍꯦꯟꯅꯥ ꯃꯌꯦꯛ ꯁꯦꯡꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯁꯔꯨꯁꯤꯡ ꯑꯁꯤ ꯄꯨꯟꯅꯥ ꯆꯦꯜꯂꯤ꯫

ꯐ꯭ꯔꯦꯀꯆꯔ ꯈꯔꯗꯤ ꯃꯈꯣꯌ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯊꯣꯀꯈꯤꯕꯒꯦ ꯍꯥꯌꯕꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ ꯀ꯭ꯂꯥꯁꯤꯐꯥꯏ ꯇꯧꯏ:

• ꯁ꯭ꯠꯔꯦꯁ ꯐ꯭ꯔꯦꯀꯆꯔ: ꯱.ꯃꯇꯃꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ, ꯁꯔꯨ ꯇꯥꯡ ꯑꯗꯨ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯁꯣꯟꯊꯔꯀꯏ ꯑꯃꯁꯨꯡ ꯃꯐꯝ ꯑꯃꯗꯥ ꯂꯦꯞꯇꯅꯥ ꯑꯔꯨꯝꯕꯥ ꯍꯦꯅꯒꯠꯂꯀꯄꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯁꯣꯟꯊꯔꯀꯏ꯫ ꯃꯁꯤ ꯁꯥꯟꯅꯔꯣꯏꯁꯤꯡꯗꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫
• ꯑꯦꯚꯂꯁꯟ ꯐ꯭ꯔꯦꯀꯆꯔ (Avulsion fracture): ꯃꯁꯜ ꯅꯠꯠꯔꯒꯥ ꯂꯤꯒꯥꯃꯦꯟꯇ ꯑꯃꯅꯥ ꯁꯔꯨ ꯇꯥꯡ ꯑꯃꯗꯥ ꯆꯦꯟꯊꯈꯤꯕꯥ, ꯃꯁꯜ ꯅꯠꯠꯔꯒꯥ ꯇꯦꯟꯗꯣꯟ ꯑꯗꯨꯅꯥ ꯃꯗꯨꯗꯥ ꯆꯦꯟꯊꯈꯤꯕꯥ ꯐꯣꯔꯁꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯁꯔꯨꯒꯤ ꯑꯄꯤꯀꯄꯥ ꯁꯔꯨꯛ ꯑꯃꯥ ꯂꯥꯀꯁꯤꯅꯕꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯐ꯭ꯔꯦꯀꯆꯔ ꯑꯃꯅꯤ꯫

ꯃꯔꯝ ꯑꯗꯨꯅꯥ, ꯅꯍꯥꯛꯅꯥ ꯇ꯭ꯔꯥꯟꯁꯕꯔꯁ ꯍ꯭ꯌꯨꯃꯦꯔꯁ ꯐ꯭ꯔꯦꯀꯆꯔ ꯅꯠꯠꯔꯒꯥ ꯁꯦꯒꯃꯦꯟꯇꯦꯜ ꯔꯦꯗꯤꯌꯁ ꯐ꯭ꯔꯦꯀꯆꯔ ꯑꯃꯥ ꯂꯩꯕꯥ ꯌꯥꯏ꯫ ꯍꯥꯌꯔꯤꯕꯥ ꯃꯤꯡꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯗꯣꯛꯇꯔꯗꯥ ꯀꯔꯝꯕꯥ ꯁꯔꯨ ꯁꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯃꯁꯤꯗꯥ ꯀꯔꯤ ꯊꯣꯀꯈꯤꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯊꯨꯅꯥ ꯑꯃꯁꯨꯡ ꯑꯆꯨꯝꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯈꯉꯍꯅꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫

ꯃꯁꯤ ꯀꯌꯥ ꯌꯥꯝꯅꯥ ꯀꯃꯟ ꯑꯣꯏꯕꯒꯦ?

ꯎꯂꯅꯥ ꯅꯠꯠꯔꯒꯥ ꯔꯦꯗꯤꯌꯁꯀꯤ ꯐ꯭ꯔꯦꯀꯆꯔꯁꯤꯡ ꯑꯣꯏꯔꯤꯕꯥ ꯐꯣꯔꯑꯥꯔꯝ ꯐ꯭ꯔꯦꯀꯆꯔꯁꯤꯡ ꯑꯁꯤ ꯇꯁꯦꯡꯅꯥ ꯌꯥꯝꯅꯥ ꯀꯃꯟ ꯑꯣꯏ, ꯃꯔꯨꯑꯣꯏꯅꯥ ꯅꯍꯥ ꯑꯣꯏꯔꯤꯕꯥ ꯑꯉꯥꯡꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯇꯤꯅꯑꯦꯖꯔꯁꯤꯡꯒꯤ ꯃꯔꯛꯇꯥ꯫ ꯑꯈꯉ-ꯑꯍꯩꯁꯤꯡꯅꯥ ꯍꯥꯌꯔꯤ ꯃꯗꯨꯗꯤ ꯆꯍꯤ ꯈꯨꯗꯤꯡꯒꯤ ꯑꯉꯥꯡ ꯱꯰꯰ꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯑꯃꯅꯥ ꯃꯈꯣꯌꯒꯤ ꯎꯂꯅꯥ ꯅꯠꯠꯔꯒꯥ ꯔꯦꯗꯤꯌꯁ ꯁꯣꯀꯏ꯫ ꯃꯗꯨ ꯀꯌꯥꯗꯥ ꯀꯃꯟ ꯑꯣꯏꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯈꯟꯗꯨꯅꯥ ꯌꯦꯡꯕꯤꯌꯨ!

ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯍ꯭ꯌꯨꯃꯦꯔꯥꯁ (uper arm bone)ꯒꯤ ꯐ꯭ꯔꯦꯀꯆꯔ ꯑꯁꯤꯗꯤ ꯌꯥꯝꯅꯥ ꯀꯃꯟ ꯑꯣꯏꯗꯦ꯫ ꯇꯁꯦꯡꯕꯗꯤ, ꯍ꯭ꯌꯨꯃꯦꯔꯥꯁ ꯐ꯭ꯔꯦꯀꯆꯔ ꯑꯁꯤꯅꯥ ꯐ꯭ꯔꯦꯀꯆꯔ ꯄꯨꯝꯅꯃꯛꯀꯤ 10%ꯗꯒꯤ ꯇꯥꯅꯥ ꯊꯣꯀꯏ꯫

ꯃꯈꯨꯠ ꯁꯣꯟꯊꯔꯀꯄꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?

ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯑꯁꯤ ꯈꯨꯠꯁꯥ ꯁꯣꯀꯄꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡꯅꯤ:

• ꯁꯥꯊꯤꯕꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ: ꯃꯁꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯋꯥꯐꯝꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯑꯋꯥꯕꯥ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯋꯥꯅꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫
• ꯁꯣꯛ-ꯄꯅꯕꯥ: ꯐ꯭ꯔꯦꯀꯆꯔꯒꯤ ꯑꯀꯣꯌꯕꯗꯥ ꯁꯣꯛ-ꯄꯅꯕꯥ ꯌꯥꯝꯅꯥ ꯂꯩ꯫
• ꯇꯦꯟꯗꯔꯅꯦꯁ (Tenderness): ꯁꯣꯀꯄꯥ ꯁꯔꯨꯛ ꯑꯗꯨ ꯁꯣꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯊꯤꯡꯖꯤꯅꯕꯥ ꯃꯇꯃꯗꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯏ꯫
• ꯈꯨꯠꯅꯥ ꯆꯠꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯁꯤꯖꯤꯟꯅꯕꯥ ꯉꯃꯗꯕꯥ: ꯈꯨꯠꯅꯥ ꯋꯥꯡꯈꯠꯄꯥ, ꯂꯧꯊꯣꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯃꯠꯇꯥ ꯇꯧꯕꯥ ꯉꯃꯗꯕꯥ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯣꯏꯊꯣꯀꯄꯥ ꯉꯃꯗꯕꯥ ꯑꯣꯏꯔꯕꯗꯤ ꯌꯥꯝꯅꯥ ꯂꯨꯕꯥ ꯑꯣꯏꯔꯀꯏ꯫
• ꯁꯣꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯃꯆꯨ ꯁꯪꯂꯕꯥ: ꯑꯁꯣꯀꯄꯥ ꯑꯗꯨꯒꯤ ꯑꯀꯣꯌꯕꯗꯥ ꯂꯩꯕꯥ ꯈꯣꯡ ꯑꯗꯨ ꯅꯤꯜ ꯅꯠꯠꯔꯒꯥ ꯃꯆꯨ ꯃꯆꯨꯒꯤ ꯑꯣꯏꯔꯀꯄꯥ ꯌꯥꯏ꯫
• ꯗꯤꯐꯣꯔꯃꯤꯇꯤ (Deformity): ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯅꯥ ꯈꯨꯠꯇꯥ ꯂꯩꯇꯕꯥ ꯂꯪꯁ ꯅꯠꯠꯔꯒꯥ ꯄ꯭ꯔꯣꯠꯔꯨꯁꯟ (protrusion) ꯑꯃꯥ ꯎꯕꯥ ꯐꯪꯏ꯫ ꯃꯁꯤꯅꯥ ꯇꯥꯀꯄꯗꯤ ꯈꯨꯠꯀꯤ ꯃꯑꯣꯡ ꯃꯇꯧ ꯍꯣꯡꯂꯀꯄꯥ ꯎꯕꯥ ꯐꯪꯏ꯫

ꯁꯣꯀꯄꯥ ꯈꯨꯠꯁꯥ ꯑꯗꯨ ꯀꯔꯝꯅꯥ ꯑꯣꯏꯕꯒꯦ?

ꯑꯌꯥꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯁꯣꯀꯄꯥ ꯃꯈꯨꯠ ꯑꯃꯅꯥ ꯑꯍꯥꯅꯕꯥ ꯌꯦꯡꯕꯗꯥ ꯇꯣꯉꯥꯅꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯎꯒꯅꯤ꯫ ꯅꯍꯥꯛꯅꯥ ꯐ꯭ꯔꯦꯀꯆꯔ ꯑꯗꯨꯒꯤ ꯑꯀꯣꯌꯕꯗꯥ ꯁꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯃꯆꯨ ꯁꯪꯂꯕꯥ (ꯕ꯭ꯂꯨ/ ꯃꯆꯨ ꯁꯪꯂꯕꯥ) ꯎꯕꯥ ꯐꯪꯒꯅꯤ꯫ ꯅꯍꯥꯛꯅꯥ ꯈꯨꯠꯁꯥ ꯑꯗꯨ ꯊꯨꯒꯥꯌꯕꯥ ꯃꯇꯃꯗꯥ ꯅꯠꯠꯔꯒꯥ ꯃꯄꯥꯟꯊꯣꯡꯗꯒꯤ ꯌꯦꯡꯕꯗꯥ ꯂꯪꯐꯩ ꯅꯠꯠꯔꯒꯥ ꯗꯤꯐꯣꯔꯃꯤꯇꯤ ꯑꯃꯁꯨ ꯎꯕꯥ ꯐꯪꯒꯅꯤ꯫ ꯁꯥꯊꯤꯕꯥ ꯀꯦꯁ ꯈꯔꯗꯗꯤ, ꯁꯣꯀꯄꯥ ꯁꯔꯨ ꯇꯥꯡ ꯑꯗꯨ ꯈꯣꯡꯗꯥ ꯆꯦꯟꯊꯔꯀꯄꯥ ꯐꯥꯎꯕꯥ ꯌꯥꯏ꯫

ꯃꯈꯨꯠ ꯁꯣꯟꯊꯔꯀꯄꯒꯤ ꯃꯔꯃꯁꯤꯡ ꯀꯔꯤꯅꯣ?

ꯑꯌꯥꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯃꯈꯨꯠ ꯁꯣꯀꯄꯥ ꯑꯁꯤ ꯃꯈꯜ ꯑꯃꯍꯦꯛꯇꯒꯤ ꯑꯦꯛꯁꯤꯗꯦꯟꯇ (ꯇ꯭ꯔꯣꯃꯥ)ꯅꯥ ꯊꯣꯀꯍꯅꯕꯅꯤ꯫ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯃꯔꯃꯁꯤꯡꯗꯤ:

• ꯁꯣꯀꯄꯥ: ꯃꯔꯨꯑꯣꯏꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯨꯠꯁꯥ ꯑꯗꯨ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯃꯥꯡꯂꯣꯃꯗꯥ ꯆꯪꯁꯤꯜꯂꯀꯄꯥ ꯃꯇꯃꯗꯥ꯫ ꯕꯥꯏꯛ ꯑꯃꯗꯒꯤ ꯂꯥꯞꯅꯥ ꯂꯩꯕꯥ, ꯎꯃꯪꯗꯒꯤ ꯂꯥꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯌꯨꯃꯗꯥ ꯆꯦꯟꯊꯔꯀꯄꯥ ꯃꯐꯝ ꯑꯃꯗꯥ ꯆꯦꯟꯊꯔꯀꯄꯥ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯋꯥꯐꯃꯁꯤꯡ ꯈꯅꯕꯤꯌꯨ꯫
• ꯒꯥꯔꯤꯒꯤ ꯑꯦꯛꯁꯤꯗꯦꯟꯇꯁꯤꯡ: ꯒꯥꯔꯤ ꯑꯃꯁꯨꯡ ꯕꯥꯏꯛ ꯑꯦꯛꯁꯤꯗꯦꯟꯇꯁꯤꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯨꯠꯁꯥ ꯑꯗꯨ ꯁꯣꯀꯍꯅꯕꯒꯤ ꯔꯤꯁ꯭ꯛ ꯌꯥꯝꯅꯥ ꯂꯩ꯫
• ꯁꯥꯟꯅ-ꯈꯣꯠꯅꯕꯒꯤ ꯑꯦꯛꯁꯤꯗꯦꯟꯇꯁꯤꯡ: ꯀ꯭ꯔꯤꯀꯦꯠ, ꯐꯨꯇꯕꯣꯜ, ꯑꯃꯁꯨꯡ ꯔꯒꯕꯤꯒꯨꯝꯕꯥ ꯍꯥꯏ-ꯏꯝꯄꯦꯛꯇ ꯁ꯭ꯄꯣꯔꯇꯁ ꯁꯥꯟꯅꯕꯥ ꯃꯇꯃꯗꯥ ꯈꯨꯠ ꯁꯣꯀꯄꯥ ꯌꯥꯏ꯫

ꯃꯁꯤꯒꯤꯗꯃꯛꯇꯥ ꯀꯅꯥꯅꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯔꯤꯁ꯭ꯛ ꯂꯩꯕꯒꯦ?

ꯃꯈꯨꯠ ꯁꯣꯀꯄꯥ ꯑꯁꯤ ꯀꯅꯥꯒꯨꯝꯕꯥ ꯑꯃꯠꯇꯗꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯏ ꯍꯥꯌꯔꯕꯁꯨ, ꯃꯤꯑꯣꯏ ꯈꯔꯗꯤ ꯈꯔꯥ ꯍꯦꯟꯅꯥ ꯔꯤꯁ꯭ꯛ ꯂꯩ:

• ꯈꯣꯡꯅꯥ ꯆꯠꯂꯤꯕꯥ ꯑꯉꯥꯡꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯅꯍꯥ ꯑꯣꯏꯔꯤꯕꯥ ꯑꯉꯥꯡꯁꯤꯡ: ꯃꯈꯣꯌꯅꯥ ꯂꯦꯞꯄꯥ ꯂꯩꯇꯅꯥ ꯂꯥꯟꯊꯦꯡꯅꯔꯤꯕꯥ ꯑꯃꯁꯨꯡ ꯁꯥꯟꯅꯕꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯁꯣꯀꯄꯒꯤ ꯆꯥꯡ ꯍꯦꯜꯂꯤ꯫
• ꯍꯥꯏ-ꯏꯝꯄꯦꯛꯇ ꯁ꯭ꯄꯣꯔꯇꯁ ꯁꯥꯟꯅꯔꯤꯕꯥ ꯄ꯭ꯂꯦꯌꯔꯁꯤꯡ꯫
• ꯆꯍꯤ 65ꯒꯤ ꯃꯊꯛꯇꯥ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡ: ꯃꯔꯨꯑꯣꯏꯅꯥ ꯁꯣꯀꯄꯒꯤ ꯔꯤꯁ꯭ꯛ ꯍꯦꯅꯒꯠꯂꯛꯂꯤꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡ꯫ ꯃꯁꯤ ꯈꯣꯡꯅꯥ ꯆꯠꯄꯥ ꯃꯇꯃꯗꯥ ꯕꯦꯂꯦꯟꯁ ꯂꯩꯇꯕꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫
• ꯕꯣꯟ ꯗꯦꯟꯁꯤꯇꯤꯗꯥ ꯁꯣꯀꯍꯜꯂꯤꯕꯥ ꯍꯀꯁꯦꯂꯒꯤ ꯐꯤꯚꯃꯁꯤꯡ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡ: ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯃꯦꯇꯥꯕꯣꯂꯤꯛ ꯕꯣꯟ ꯗꯤꯖꯤꯖ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡ .

ꯑꯣꯁ꯭ꯇꯤꯑꯣꯄꯣꯔꯣꯁꯤꯁ ꯅꯠꯠꯔꯒꯥ ꯑꯣꯁ꯭ꯇꯤꯑꯣꯄꯦꯅꯤꯌꯥꯅꯥ ꯅꯥꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯗꯥ ꯃꯔꯨꯑꯣꯏꯅꯥ ꯁꯣꯀꯄꯗꯒꯤ ꯐ꯭ꯔꯦꯀꯆꯔꯒꯤ ꯔꯤꯁ꯭ꯛ ꯍꯦꯟꯅꯥ ꯂꯩ꯫ ꯑꯣꯁ꯭ꯇꯤꯑꯣꯄꯣꯔꯣꯁꯤꯁ (osteoporosis)ꯅꯥ ꯁꯔꯨ ꯇꯥꯡꯁꯤꯡ (bone) ꯁꯣꯟꯊꯍꯜꯂꯤ꯫ ꯑꯗꯨꯗꯒꯤ, ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯑꯄꯤꯀꯄꯥ ꯄꯣꯠꯁꯛ ꯑꯃꯅꯥ ꯐꯥꯎꯕꯥ ꯁꯔꯨ ꯇꯥꯡ ꯑꯃꯥ ꯈꯪꯍꯧꯗꯅꯥ ꯁꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯃꯤꯑꯣꯏ ꯀꯌꯥꯅꯥ ꯃꯈꯣꯌꯅꯥ ꯁꯔꯨ ꯇꯥꯡ ꯑꯃꯥ ꯁꯣꯀꯍꯟꯗ꯭ꯔꯤꯐꯥꯎꯕꯥ ꯃꯈꯣꯌꯗꯥ ꯑꯣꯁ꯭ꯇꯤꯑꯣꯄꯣꯔꯣꯁꯤꯁ ꯂꯩ ꯍꯥꯌꯕꯥ ꯈꯪꯗꯦ꯫ ꯃꯁꯤꯒꯤ ꯃꯔꯃꯗꯤ ꯃꯁꯤ ꯑꯍꯥꯅꯕꯗꯥ ꯑꯀꯛꯅꯕꯥ ꯂꯥꯏꯑꯣꯡ ꯑꯃꯠꯇꯥ ꯂꯩꯇꯕꯅꯤ꯫

ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯃꯁꯤ ꯀꯔꯝꯅꯥ ꯈꯉꯗꯣꯀꯄꯥ ꯉꯃꯒꯅꯤ?

ꯗꯣꯛꯇꯔ ꯑꯃꯅꯥ ꯐꯤꯖꯤꯀꯦꯜ ꯑꯦꯀꯖꯥꯝ ꯑꯃꯁꯨꯡ ꯏꯃꯦꯖꯤꯡ ꯇꯦꯁ꯭ꯠ ꯈꯔꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯈꯨꯠ ꯁꯣꯀꯄꯥ ꯑꯃꯥ ꯈꯉꯗꯣꯛꯀꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯒꯥꯔꯤꯒꯤ ꯑꯦꯛꯁꯤꯗꯦꯟꯇꯒꯨꯝꯕꯥ ꯊꯧꯗꯣꯛ ꯑꯃꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯏꯃꯔꯖꯦꯟꯁꯤ ꯔꯨꯝ (ETU) ꯗꯥ ꯆꯠꯂꯕꯗꯤ ꯃꯐꯃꯗꯨꯗꯥ ꯂꯩꯔꯤꯕꯥ ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯈꯪꯗꯣꯀꯄꯥ ꯉꯃꯒꯅꯤ꯫

ꯀꯔꯤ ꯃꯈꯂꯒꯤ ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯇꯧꯒꯅꯤ?

ꯐ꯭ꯔꯦꯀꯆꯔꯒꯤ ꯃꯌꯦꯛ ꯁꯦꯡꯕꯥ ꯐꯤꯚꯝ ꯑꯃꯥ ꯐꯪꯅꯕꯒꯤꯗꯃꯛ, ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯃꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯇꯧꯕꯥ ꯌꯥꯏ:

• ꯑꯦꯛꯁ-ꯔꯦ: ꯑꯦꯛꯁ-ꯔꯦ ꯑꯃꯅꯥ ꯁꯔꯨ ꯇꯥꯡ ꯑꯃꯥ ꯁꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯀꯌꯥ ꯌꯥꯝꯅꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯅꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯆꯨꯝꯅꯥ ꯎꯠꯄꯥ ꯉꯝꯃꯤ꯫ ꯃꯁꯤ ꯑꯍꯥꯅꯕꯥ ꯑꯣꯏꯅꯥ ꯄꯥꯡꯊꯣꯀꯄꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯇꯦꯁ꯭ꯇꯅꯤ꯫
• ꯃꯦꯒ꯭ꯅꯦꯇꯤꯛ ꯔꯤꯖꯣꯅꯦꯟꯁ ꯏꯃꯦꯖꯤꯡ (MRI): ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯁꯔꯨ ꯇꯥꯡꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯑꯀꯣꯌꯕꯗꯥ ꯂꯩꯕꯥ ꯇꯔꯨ-ꯇꯅꯥꯅꯕꯥ ꯇꯤꯁꯨꯁꯤꯡꯗꯥ ꯊꯣꯀꯄꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯑꯗꯨ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯌꯦꯡꯁꯤꯟꯅꯕꯥ ꯑꯦꯝ.ꯑꯥꯔ.ꯑꯥꯏ. ꯑꯦꯝ.ꯑꯥꯔ.ꯑꯥꯏ.ꯅꯥ ꯁꯔꯨ ꯇꯥꯡꯁꯤꯡꯒꯤ ꯑꯀꯣꯌꯕꯗꯥ ꯂꯩꯕꯥ ꯀꯥꯔꯇꯤꯂꯦꯖ ꯑꯃꯁꯨꯡ ꯂꯤꯒꯥꯃꯦꯟꯇꯁꯤꯡꯁꯨ ꯍꯦꯟꯅꯥ ꯐꯅꯥ ꯎꯕꯥ ꯉꯝꯃꯤ꯫
• ꯀꯝꯞꯌꯨꯇꯔ ꯇꯣꯃꯣꯒ꯭ꯔꯥꯐꯤ (CT scan): ꯁꯤ.ꯇꯤ.

ꯃꯈꯨꯠ ꯁꯣꯟꯊꯔꯀꯄꯒꯤ ꯂꯥꯏꯌꯦꯡ ꯀꯔꯤꯅꯣ?

ꯅꯍꯥꯛꯀꯤ ꯁꯣꯀꯄꯥ ꯈꯨꯠꯁꯥ ꯑꯗꯨ ꯀꯔꯝꯅꯥ ꯂꯥꯏꯌꯦꯡꯒꯅꯤ ꯍꯥꯌꯕꯁꯤ ꯀꯔꯝꯕꯥ ꯁꯔꯨ ꯇꯥꯡ ꯁꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯑꯇꯩ ꯑꯁꯣꯛ-ꯑꯄꯅꯁꯤꯡ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯁꯤꯒꯨꯝꯕꯥ ꯐꯦꯛꯇꯔꯁꯤꯡꯒꯤ ꯃꯈꯥ ꯄꯣꯜꯂꯤ꯫

ꯏꯃꯣꯕꯤꯂꯥꯏꯖꯦꯁꯟ ꯇꯧꯕꯥ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯐ꯭ꯔꯦꯀꯆꯔ ꯑꯗꯨ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯑꯣꯏꯗ꯭ꯔꯕꯗꯤ, ꯍꯥꯌꯕꯗꯤ ꯁꯔꯨ ꯇꯥꯡꯁꯤꯡ ꯑꯗꯨ ꯃꯐꯃꯗꯨꯗꯒꯤ ꯂꯥꯞꯅꯥ ꯂꯩꯠꯔꯕꯗꯤ ( ꯅꯟ-ꯗꯤꯁꯞꯂꯦꯁ ꯇꯧꯔꯕꯥ ꯐ꯭ꯔꯦꯀꯆꯔ ꯑꯃꯥ ), ꯅꯍꯥꯛꯅꯥ ꯄꯦꯔꯤꯁ ꯀꯥꯁ꯭ꯠ ꯅꯠꯠꯔꯒꯥ ꯁ꯭ꯞꯂꯤꯟꯇꯀꯤ ꯄ꯭ꯂꯥꯁ꯭ꯇꯔ ꯑꯃꯈꯛꯇꯅꯥ ꯍꯤꯡꯕꯥ ꯉꯃꯒꯅꯤ꯫ ꯃꯁꯤ ꯀꯌꯥꯝ ꯁꯥꯡꯅꯥ ꯊꯝꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯒꯦ ꯍꯥꯌꯕꯁꯤ ꯐ꯭ꯔꯦꯀꯆꯔꯒꯤ ꯃꯈꯜ ꯑꯗꯨꯒꯤ ꯃꯈꯥ ꯄꯣꯜꯂꯤ꯫ ꯑꯌꯥꯝꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯅꯥ ꯅꯨꯃꯤꯠ ꯈꯔꯅꯤꯒꯤ ꯑꯣꯏꯅꯥ ꯀꯥꯁ꯭ꯠ ꯑꯃꯥ ꯊꯝꯕꯥ ꯃꯊꯧ ꯇꯥꯒꯅꯤ꯫ ꯁꯔꯨ ꯇꯥꯡ ꯑꯗꯨ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯐꯒꯠꯂꯛꯂꯤꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯅꯕꯒꯤꯗꯃꯛ ꯃꯇꯝ ꯃꯇꯃꯒꯤ ꯑꯣꯏꯅꯥ ꯑꯦꯛꯁ-ꯔꯦ ꯂꯧꯕꯁꯨ ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯏ꯫

ꯂꯦꯟꯕ

ꯍꯦꯟꯗ ꯐ꯭ꯔꯦꯀꯆꯔ ꯈꯔꯗꯤ ꯁꯔꯖꯔꯤ ꯇꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯏ꯫

ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯁꯔꯖꯔꯤ ꯑꯁꯤ ꯏꯟꯇꯔꯅꯦꯜ ꯐꯤꯛꯁꯦꯁꯟ (ORIF)ꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯑꯣꯄꯟ ꯔꯤꯗꯛꯁꯅꯅꯤ꯫ ꯃꯁꯤꯗꯥ ꯁꯔꯖꯔꯤꯅꯥ ꯁꯣꯀꯍꯜꯂꯕꯥ ꯁꯔꯨ ꯇꯥꯡꯁꯤꯡ ꯑꯗꯨ ꯃꯈꯣꯌꯒꯤ ꯑꯆꯨꯝꯕꯥ ꯃꯐꯃꯗꯥ ꯊꯝꯃꯤ, ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯃꯈꯣꯌꯗꯨ ꯄꯨꯟꯅꯥ ꯐꯤꯠ ꯑꯣꯏꯅꯥ ꯂꯩꯍꯟꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯐꯒꯠꯂꯀꯄꯥ ꯌꯥꯅꯕꯥ ꯐꯤꯛꯁ ꯇꯧꯏ꯫ ꯃꯁꯤ ꯃꯍꯧꯁꯥꯅꯥ ꯏꯟꯇꯔꯅꯦꯜ ꯐꯤꯛꯁꯦꯁꯟ ꯁꯤꯖꯤꯟꯅꯗꯨꯅꯥ ꯇꯧꯏ꯫ ꯃꯁꯤꯅꯥ ꯇꯥꯀꯄꯗꯤ ꯁꯔꯖꯔꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯁꯔꯨꯗꯥ ꯙꯥꯇꯨꯒꯤ ꯄ꯭ꯂꯦꯇꯁꯤꯡ, ꯁ꯭ꯛꯔꯨꯁꯤꯡ ꯅꯠꯠꯔꯒꯥ ꯄꯤꯅꯁꯤꯡ ꯊꯥꯗꯨꯅꯥ ꯃꯗꯨ ꯐꯒꯠꯂꯛꯠꯔꯤꯐꯥꯎꯕꯥ ꯃꯐꯃꯗꯨꯗꯥ ꯊꯃꯖꯤꯜꯂꯤ꯫

ꯙꯥꯇꯨꯒꯤ ꯄꯣꯠꯁꯀꯁꯤꯡ ꯑꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯄꯨꯟꯁꯤ ꯆꯨꯞꯄꯥ ꯅꯍꯥꯛꯀꯤ ꯁꯔꯨꯗꯥ ꯂꯩꯕꯥ ꯌꯥꯏ꯫ ꯃꯤꯑꯣꯏ ꯈꯔꯗꯤ ꯃꯈꯣꯌꯕꯨ ꯂꯧꯊꯣꯛꯅꯕꯒꯤꯗꯃꯛ ꯑꯇꯣꯞꯄꯥ ꯁꯔꯖꯔꯤ ꯑꯃꯥ ꯇꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯏ꯫

ꯐ꯭ꯔꯦꯀꯆꯔ ꯁꯔꯖꯔꯤꯒꯤ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ꯫

ꯁꯔꯖꯔꯤꯗꯒꯤ ꯂꯥꯀꯄꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯅꯦꯝꯃꯤ, ꯑꯗꯨꯕꯨ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯊꯧꯗꯣꯀꯁꯤꯡ ꯑꯁꯤ ꯊꯣꯀꯄꯥ ꯌꯥꯏ:

• ꯑꯦꯛꯌꯨꯠ ꯀꯝꯄꯥꯔꯇꯃꯦꯟꯇ ꯁꯤꯟꯗ꯭ꯔꯣꯝ (ACS): ꯃꯁꯂꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯄ꯭ꯔꯦꯁꯔ ꯍꯦꯅꯒꯠꯂꯀꯄꯅꯥ ꯇꯤꯁꯨꯁꯤꯡꯗꯥ ꯏ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯆꯦꯅꯕꯥ ꯉꯃꯍꯟꯗꯦ꯫ ꯃꯁꯤꯅꯥ ꯃꯇꯝ ꯆꯨꯞꯄꯒꯤ ꯑꯣꯏꯅꯥ ꯃꯁꯜ ꯑꯃꯁꯨꯡ ꯅꯔꯚꯁꯤꯡꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤ ꯏꯃꯔꯖꯦꯟꯁꯤ ꯑꯃꯅꯤ꯫
• ꯃꯥꯂꯌꯨꯅꯤꯌꯟ: ꯐꯒꯠꯂꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯌꯥꯎꯗꯕꯥ ꯁꯔꯨ ꯇꯥꯡ ꯑꯃꯅꯤ꯫
• ꯅꯟ-ꯌꯨꯅꯤꯌꯟ: ꯁꯔꯨ ꯑꯗꯨ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯐ꯭ꯌꯨꯖ ꯇꯧꯗꯦ, ꯅꯠꯠꯔꯒꯥ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯐ꯭ꯌꯨꯖ ꯇꯧꯗꯦ꯫

ꯑꯁꯣꯀꯄꯥ ꯈꯨꯠꯁꯥ ꯑꯃꯅꯥ ꯐꯒꯠꯂꯀꯄꯗꯥ ꯃꯇꯝ ꯀꯌꯥ ꯆꯪꯕꯒꯦ?

ꯃꯍꯧꯁꯥꯅꯥ ꯑꯁꯣꯀꯄꯥ ꯈꯨꯠꯁꯥ ꯑꯗꯨ ꯐꯒꯠꯂꯀꯄꯗꯥ ꯊꯥ ꯀꯌꯥ ꯆꯪꯏ꯫ ꯃꯈꯣꯌꯒꯤ ꯃꯈꯨꯠ ꯁꯣꯀꯄꯥ ꯃꯤꯑꯣꯏ ꯀꯌꯥ ꯑꯃꯅꯥ ꯊꯥ ꯀꯌꯥꯒꯤ ꯐꯤꯖꯤꯀꯦꯜ ꯊꯦꯔꯥꯄꯤ ꯃꯊꯧ ꯇꯥꯒꯅꯤ . ꯐꯤꯖꯤꯀꯦꯜ ꯊꯦꯔꯥꯄꯤꯁ꯭ꯠ ꯑꯃꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯨꯠꯁꯥꯗꯥ ꯄꯥꯉ꯭ꯒꯜ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯐꯪꯍꯅꯕꯗꯥ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯖꯦꯂꯒꯤ ꯔꯦꯟꯖ ꯍꯦꯅꯒꯠꯍꯅꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔ ꯅꯠꯠꯔꯒꯥ ꯁꯔꯖꯔꯤꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯀꯔꯤ ꯊꯣꯛꯀꯗꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯈꯪꯍꯜꯂꯛꯀꯅꯤ꯫

ꯈꯨꯠ ꯑꯃꯥ ꯐꯍꯅꯕꯒꯤ ꯃꯇꯝ꯫

ꯅꯍꯥꯛꯀꯤ ꯈꯨꯠꯁꯥ ꯑꯗꯨ ꯐꯒꯠꯂꯀꯄꯗꯥ ꯃꯇꯝ ꯀꯌꯥ ꯂꯧꯕꯒꯦ ꯍꯥꯌꯕꯁꯤ ꯐꯦꯛꯇꯔ ꯀꯌꯥꯒꯤ ꯃꯈꯥ ꯄꯣꯜꯂꯤ:

• ꯀꯔꯝꯕꯥ ꯁꯔꯨ ꯑꯗꯨ ꯁꯣꯀꯈꯤꯕꯒꯦ?
• ꯕ꯭ꯔꯦꯛ ꯑꯁꯤꯒꯤ ꯃꯔꯝ ꯀꯔꯤꯅꯣ?
• ꯀꯔꯤ ꯃꯈꯂꯒꯤ ꯂꯥꯌꯦꯡ ꯃꯊꯧ ꯇꯥꯈꯤꯕꯒꯦ?
• ꯑꯗꯣꯃꯒꯤ ꯑꯇꯣꯞꯄꯥ ꯑꯁꯣꯀꯄꯥ ꯑꯃꯠꯇꯥ ꯂꯩꯈꯤꯕ꯭ꯔꯥ?

ꯑꯌꯥꯝꯕꯥ ꯐ꯭ꯔꯦꯀꯆꯔꯁꯤꯡ ꯑꯁꯤ ꯐꯒꯠꯂꯀꯄꯗꯥ ꯊꯥ ꯀꯌꯥ ꯆꯪꯏ꯫ ꯅꯍꯥꯛꯀꯤ ꯑꯀꯛꯅꯕꯥ ꯐꯤꯚꯝ ꯑꯗꯨꯒꯥ ꯆꯨꯅꯕꯥ ꯃꯇꯃꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔ ꯅꯠꯠꯔꯒꯥ ꯁꯔꯖꯔꯤꯗꯥ ꯍꯪꯕꯤꯌꯨ꯫

ꯅꯍꯥꯛꯅꯥ ꯀꯗꯥꯏꯗꯥ ꯐꯤꯖꯤꯀꯦꯜ ꯑꯦꯛꯇꯤꯚꯤꯇꯤꯁꯤꯡ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯍꯧꯕꯥ ꯌꯥꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯍꯪꯎ꯫ ꯅꯍꯥꯛꯅꯥ ꯐꯒꯠꯂꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯨꯠꯁꯥ ꯑꯗꯨ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯁꯣꯀꯍꯟꯗꯅꯕꯥ ꯈꯔꯥ ꯂꯧꯊꯣꯀꯄꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯏ, ꯑꯗꯨꯕꯨ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯍꯥꯌꯔꯛꯠꯔꯤꯐꯥꯎꯕꯥ ꯁꯥꯟꯅꯄꯣꯠꯁꯤꯡ, ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯇꯧꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯔꯨꯝꯕꯥ ꯂꯧꯊꯣꯀꯄꯥ ꯍꯧꯒꯅꯨ꯫

ꯃꯇꯧ ꯀꯔꯝꯅꯥ ꯈꯨꯠꯁꯥ ꯁꯣꯀꯄꯥ ꯊꯤꯡꯒꯅꯤ?

ꯃꯈꯨꯠ ꯁꯣꯀꯄꯥ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯊꯤꯡꯕꯥ ꯉꯃꯗꯕꯥ ꯌꯥꯏ, ꯃꯔꯃꯗꯤ ꯑꯁꯣꯛ-ꯑꯄꯅꯁꯤꯡ ꯑꯁꯤ ꯑꯌꯥꯝꯕꯗꯤ ꯄ꯭ꯂꯥꯟ ꯇꯧꯗꯕꯥ ꯑꯦꯛꯁꯤꯗꯦꯟꯇꯁꯤꯡꯒꯤ ꯃꯍꯩ ꯑꯣꯏꯅꯥ ꯊꯣꯀꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯅꯍꯥꯛꯅꯥ ꯖꯦꯅꯦꯔꯦꯜ ꯁꯦꯐꯇꯤ ꯇꯤꯄꯁꯤꯡ ꯑꯁꯤ ꯏꯅꯗꯨꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯔꯤꯁ꯭ꯛ ꯑꯗꯨ ꯍꯟꯊꯍꯅꯕꯥ ꯌꯥꯏ:

• ꯒꯥꯔꯤ ꯑꯃꯗꯥ ꯆꯦꯅꯕꯥ ꯃꯇꯃꯗꯥ ꯃꯇꯝ ꯄꯨꯝꯅꯃꯛꯇꯥ ꯁꯤꯠ ꯕꯦꯜꯇ ꯑꯃꯥ ꯁꯤꯖꯤꯟꯅꯒꯗꯕꯅꯤ꯫
• ꯑꯦꯛꯇꯤꯚꯤꯇꯤ ꯑꯃꯁꯨꯡ ꯁꯥꯟꯅꯄꯣꯠ ꯈꯨꯗꯤꯡꯃꯛꯀꯤꯗꯃꯛ ꯃꯇꯤꯛ ꯆꯥꯕꯥ ꯁꯦꯐꯇꯤ ꯏꯛꯌꯨꯏꯄꯃꯦꯟꯇ ꯁꯤꯖꯤꯟꯅꯧ꯫
• ꯅꯍꯥꯀꯄꯨ ꯅꯠꯠꯔꯒꯥ ꯑꯇꯣꯞꯄꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯕꯨ ꯇ꯭ꯔꯤꯞ ꯇꯧꯕꯥ ꯌꯥꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ ꯂꯧꯊꯣꯛꯇꯨꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯌꯨꯝ ꯑꯃꯁꯨꯡ ꯊꯕꯛ ꯃꯐꯝ ꯑꯗꯨ ꯁꯦꯡꯅꯥ ꯊꯝꯃꯨ꯫
• ꯃꯊꯛꯇꯒꯤ ꯄꯣꯠꯁꯤꯡ ꯌꯧꯅꯕꯥ ꯃꯇꯝ ꯄꯨꯝꯅꯃꯛꯇꯥ ꯑꯆꯨꯝꯕꯥ ꯈꯨꯠꯂꯥꯌꯁꯤꯡ ꯅꯠꯠꯔꯒꯥ ꯈꯨꯠꯂꯥꯌꯁꯤꯡ ꯁꯤꯖꯤꯟꯅꯧ꯫ ꯆꯦꯌꯥꯔ ꯅꯠꯠꯔꯒꯥ ꯇꯦꯕꯂꯁꯤꯡꯗꯥ ꯆꯦꯅꯒꯅꯨ꯫
• ꯅꯍꯥꯛꯀꯤ ꯁꯔꯨꯒꯤ ꯍꯀꯁꯦꯜ ꯉꯥꯛꯇꯨꯅꯥ ꯊꯝꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯒꯗꯕꯥ ꯗꯥꯏꯠ ꯑꯃꯁꯨꯡ ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯄ꯭ꯂꯥꯟ ꯑꯃꯥ ꯏꯅꯒꯗꯕꯅꯤ .
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯆꯍꯤ 65ꯒꯤ ꯃꯊꯛꯇꯥ ꯂꯩꯕꯥ ꯑꯣꯏꯔꯕꯗꯤ, ꯅꯠꯠꯔꯒꯥ ꯅꯍꯥꯛꯀꯤ ꯏꯃꯨꯡꯒꯤ ꯃꯤꯑꯣꯏ ꯑꯃꯅꯥ ꯑꯣꯁ꯭ꯇꯤꯑꯣꯄꯣꯔꯣꯁꯤꯁ ꯂꯩꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯕꯣꯟ ꯗꯦꯟꯁꯤꯇꯤ ꯇꯦꯁ꯭ꯠ ꯑꯃꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯕꯤꯌꯨ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯈꯣꯡꯅꯥ ꯆꯠꯄꯗꯥ ꯈꯨꯗꯣꯡꯆꯥꯗꯕꯥ ꯂꯩꯔꯕꯗꯤ ꯅꯠꯠꯔꯒꯥ ꯈꯣꯡ ꯍꯥꯝꯕꯒꯤ ꯔꯤꯁ꯭ꯛ ꯌꯥꯝꯅꯥ ꯂꯩꯔꯕꯗꯤ, ꯀꯦꯟ ꯅꯠꯠꯔꯒꯥ ꯋꯥꯀꯔ ꯑꯃꯥ ꯁꯤꯖꯤꯟꯅꯧ꯫

ꯅꯍꯥꯛꯅꯥ ꯀꯗꯥꯏꯗꯥ ꯏꯃꯔꯖꯦꯟꯁꯤ ꯔꯨꯃꯗꯥ ꯆꯠꯀꯗꯒꯦ?

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯨꯠꯁꯥ ꯑꯗꯨ ꯁꯣꯟꯊꯔꯦ ꯍꯥꯌꯅꯥ ꯈꯜꯂꯕꯗꯤ, ꯈꯨꯗꯛꯇꯥ ꯏꯃꯔꯖꯦꯟꯁꯤ ꯔꯨꯃꯗꯥ ꯆꯠꯂꯨ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯍꯦꯛꯇꯥ ꯂꯩꯔꯕꯗꯤ ꯏ.ꯑꯥꯔ.ꯗꯥ ꯁꯣꯌꯗꯅꯥ ꯆꯠꯂꯨ:

• ꯌꯥꯝꯅꯥ ꯋꯥꯕꯥ ꯑꯋꯥꯕꯥ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯈꯨꯠ ꯊꯥꯕꯥ ꯉꯃꯗ꯭ꯔꯕꯗꯤ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯨꯠꯁꯥꯒꯤ ꯃꯑꯣꯡ ꯃꯇꯧ ꯑꯗꯨ ꯃꯌꯦꯛ ꯁꯦꯡꯅꯥ ꯍꯣꯡꯂꯛꯂꯕꯗꯤ , ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯐꯝ ꯑꯗꯨꯗꯒꯤ ꯂꯥꯞꯅꯥ ꯂꯩꯕꯥ ꯎꯔꯕꯗꯤ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯁꯔꯨ ꯇꯥꯡ ꯑꯗꯨ ꯈꯣꯡꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯎꯕꯥ ꯐꯪꯂꯕꯗꯤ꯫
• ꯄꯣꯝꯈꯠꯄ.
• ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯈꯪꯍꯧꯗꯅꯥ ꯑꯅꯧꯕꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯍꯅꯕꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯂꯥꯀꯏ꯫

ꯑꯩꯒꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯀꯔꯤ ꯋꯥꯍꯪ ꯍꯪꯒꯗꯒꯦ?

ꯅꯍꯥꯛꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯋꯥꯍꯪꯁꯤꯡ ꯑꯁꯤ ꯍꯪꯕꯤꯔꯀꯄꯥ ꯌꯥꯏ:

• ꯑꯩꯒꯤ ꯈꯨꯠꯇꯥ ꯀꯔꯤ ꯁꯔꯨ ꯁꯣꯛꯂꯤꯕꯅꯣ?
• ꯑꯩꯅꯥ ꯁꯔꯖꯔꯤ ꯇꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯕ꯭ꯔꯥ?
• ꯑꯩꯅꯥ ꯄ꯭ꯂꯥꯁ꯭ꯇꯔ ꯀꯥꯁ꯭ꯠ ꯑꯃꯥ ꯀꯌꯥ ꯀꯨꯏꯅꯥ ꯆꯠꯀꯗꯒꯦ?
• ꯑꯩꯅꯥ ꯃꯇꯝ ꯀꯌꯥꯝ ꯁꯥꯡꯅꯥ ꯐꯤꯖꯤꯀꯦꯜ ꯊꯦꯔꯥꯄꯤ ꯇꯧꯒꯗꯒꯦ?
• ꯊꯕꯛ ꯑꯃꯁꯨꯡ ꯁꯥꯟꯅꯄꯣꯠꯒꯨꯝꯕꯥ ꯅꯣꯔꯃꯦꯜ ꯑꯦꯛꯇꯤꯚꯤꯇꯤꯁꯤꯡ ꯑꯁꯤ ꯀꯗꯥꯏꯗꯥ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯍꯧꯕꯥ ꯌꯥꯕꯒꯦ?

ꯑꯩꯒꯤ ꯈꯨꯠꯁꯥ ꯑꯗꯨ ꯁꯣꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯁꯣꯀꯄꯥ ꯌꯥꯏ ꯍꯥꯌꯕꯁꯤ ꯑꯩꯅꯥ ꯀꯔꯝꯅꯥ ꯈꯪꯒꯅꯤ?

ꯕꯣꯟ ꯐ꯭ꯔꯦꯀꯆꯔ ꯑꯃꯁꯨꯡ ꯁ꯭ꯞꯔꯦꯟ ꯑꯁꯤ ꯃꯥꯟꯅꯕꯥ ꯑꯦꯛꯁꯤꯗꯦꯟꯇꯁꯤꯡꯗꯒꯤ ꯊꯣꯀꯄꯥ ꯌꯥꯕꯥ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯇꯣꯉꯥꯅꯕꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯑꯅꯤꯅꯤ, ꯑꯗꯨꯕꯨ ꯃꯈꯣꯌ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯇꯣꯉꯥꯜꯂꯤ꯫

ꯐ꯭ꯔꯦꯀꯆꯔ (fracture) ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯄꯣꯠꯁꯛ ꯑꯃꯅꯥ ꯁꯔꯨ ꯇꯥꯡ ꯑꯃꯥ ꯁꯣꯀꯍꯜꯂꯕꯥ, ꯃꯗꯨ ꯆꯦꯟꯊꯔꯀꯄꯥ, ꯁꯣꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯁꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯊꯣꯀꯏ꯫ ꯅꯍꯥꯛꯀꯤ ꯈꯨꯠꯁꯥ ꯑꯗꯨ ꯁꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ "ꯀ꯭ꯔꯦꯛ" ꯍꯥꯌꯕꯥ ꯈꯣꯟꯖꯦꯜ ꯑꯃꯥ ꯇꯥꯕꯥ ꯌꯥꯏ꯫

ꯅꯍꯥꯛꯀꯤ ꯂꯤꯒꯥꯃꯦꯟꯇꯁꯤꯡ (ꯁꯔꯨ ꯇꯥꯡꯁꯤꯡ ꯁꯝꯅꯍꯜꯂꯤꯕꯥ ꯇꯤꯁꯨꯒꯤ ꯕꯦꯟꯗꯁꯤꯡ) ꯑꯃꯅꯥ ꯆꯦꯟꯊꯔꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯁꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯁꯣꯀꯄꯥ (sprain) ꯊꯣꯀꯏ꯫ ꯅꯍꯥꯛꯀꯤ ꯃꯈꯨꯠ, ꯀꯣꯛ ꯅꯠꯠꯔꯒꯥ ꯈꯨꯎꯗꯥ ꯁꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯦꯛꯁꯤꯗꯦꯟꯇ ꯑꯃꯗꯥ ꯁꯣꯀꯍꯜꯂꯕꯥ ꯃꯇꯃꯗꯥ ꯇꯧꯕꯒꯨꯝꯅꯥ, ꯅꯍꯥꯛꯀꯤ ꯈꯨꯠꯁꯥꯗꯥ ꯁꯔꯨ ꯇꯥꯡ ꯑꯃꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯃꯗꯒꯤ ꯍꯦꯅꯕꯁꯨ ꯁꯣꯀꯄꯥ ꯌꯥꯏ꯫

ꯃꯈꯨꯠ ꯅꯠꯠꯔꯒꯥ ꯈꯣꯡ ꯑꯃꯥ ꯑꯣꯏꯔꯕꯁꯨ ꯁꯔꯨ ꯑꯃꯍꯦꯛꯇꯕꯨ ꯁꯣꯀꯍꯅꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯑꯦꯛꯁꯄꯔꯤꯌꯦꯟꯁ ꯑꯃꯅꯤ꯫ ꯑꯅꯥꯕꯥ, ꯁꯣꯛ-ꯄꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯁꯤꯖꯤꯟꯅꯕꯥ ꯃꯥꯡꯈꯤꯕꯒꯤ ꯃꯊꯛꯇꯥ, ꯅꯍꯥꯛꯅꯥ ꯌꯥꯝꯅꯥ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯐꯥꯎꯕꯁꯨ ꯌꯥꯏ꯫ ꯑꯗꯨꯕꯨ ꯍꯤꯡꯕꯒꯤ ꯊꯧꯑꯣꯡ ꯑꯗꯨꯗꯤ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯌꯥꯡꯅꯥ ꯄꯥꯌꯈꯠꯂꯣꯏꯗꯕꯅꯤ꯫ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡꯅꯥ ꯁꯣꯀꯍꯜꯂꯕꯥ ꯁꯔꯨ ꯑꯗꯨ ꯐꯒꯠꯍꯟꯅꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯃꯇꯝ ꯑꯗꯨ ꯄꯤꯌꯨ꯫ ꯅꯨꯡꯉꯥꯏꯕꯥ ꯄꯥꯎ ꯑꯃꯗꯤ ꯑꯌꯥꯝꯕꯥ ꯁꯣꯀꯄꯥ ꯈꯨꯠꯁꯥꯁꯤꯡ ꯑꯁꯤ ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯁꯣꯀꯍꯟꯗꯅꯥ ꯐꯖꯅꯥ ꯐꯒꯠꯂꯀꯏ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯀꯥꯁ꯭ꯠ ꯑꯃꯥ ꯁꯣꯀꯄꯥ ꯇꯥꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔ ꯅꯠꯠꯔꯒꯥ ꯁꯔꯖꯔꯤꯗꯥ ꯃꯗꯨ ꯀꯔꯝꯅꯥ ꯌꯦꯡꯁꯤꯅꯒꯗꯒꯦ ꯍꯥꯌꯅꯥ ꯍꯪꯕꯤꯌꯨ꯫ ꯃꯈꯣꯌꯅꯥ ꯅꯉꯣꯟꯗꯥ ꯅꯣꯡꯃꯒꯤ ꯑꯣꯏꯕꯥ ꯊꯕꯛ ꯊꯧꯔꯃꯁꯤꯡ, ꯍꯥꯌꯕꯗꯤ ꯂꯨ-ꯅꯥꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯄꯣꯠ-ꯆꯩꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯌꯦꯡꯁꯤꯅꯒꯗꯒꯦ ꯍꯥꯌꯕꯒꯤ ꯏꯅꯁ꯭ꯠꯔꯛꯁꯅꯁꯤꯡ ꯄꯤꯒꯅꯤ꯫

ꯑꯔꯣꯏꯕꯗꯥ ꯅꯤꯡꯁꯤꯡꯒꯗꯕꯥ ꯋꯥꯐꯃꯁꯤꯡ꯫

ꯃꯈꯨꯠ ꯁꯣꯀꯄꯥ ꯑꯁꯤ ꯁꯥꯊꯤꯕꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯑꯃꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ, ꯑꯗꯨꯕꯨ ꯑꯆꯨꯝꯕꯥ ꯂꯥꯏꯌꯦꯡ ꯑꯃꯁꯨꯡ ꯌꯦꯡꯁꯤꯅꯕꯤꯗꯕꯅꯥ ꯅꯍꯥꯛ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯐꯒꯠꯂꯀꯄꯥ ꯌꯥꯏ꯫ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯗꯨ ꯈꯪꯖꯤꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯃꯇꯝ ꯆꯥꯅꯥ ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯄꯥꯎꯇꯥꯛ ꯂꯧꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫ ꯃꯁꯤꯗꯁꯨ ꯅꯠꯇꯅꯥ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯍꯥꯌꯔꯀꯄꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ ꯂꯥꯏꯌꯦꯡ ꯑꯗꯨ ꯏꯅꯒꯗꯕꯅꯤ ꯑꯃꯁꯨꯡ ꯐꯤꯖꯤꯀꯦꯜ ꯊꯦꯔꯥꯄꯤ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯄꯥꯡꯊꯣꯀꯄꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯐꯒꯠꯂꯀꯄꯒꯤꯗꯃꯛ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫ ꯑꯦꯛꯁꯤꯗꯦꯟꯇꯁꯤꯡꯗꯒꯤ ꯉꯥꯀꯊꯣꯛꯅꯕꯥ ꯆꯦꯀꯁꯤꯟ ꯊꯧꯔꯥꯡ ꯈꯨꯗꯤꯡꯃꯛ ꯂꯧꯈꯠꯄꯥ ꯍꯥꯌꯕꯁꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯩ꯫ ꯑꯗꯣꯝ ꯑꯊꯨꯕꯥ ꯃꯇꯃꯗꯥ ꯐꯒꯠꯂꯀꯄꯒꯤ ꯌꯥꯏꯐ-ꯄꯥꯎꯖꯦꯜ ꯄꯤꯖꯔꯤ!

` ꯐ꯭ꯔꯦꯀꯆꯔ ꯇꯧꯔꯕꯥ ꯑꯥꯔꯝ, ꯐ꯭ꯔꯦꯀꯆꯔ ꯇꯧꯔꯕꯥ ꯁꯔꯨ, ꯐ꯭ꯔꯦꯀꯆꯔ ꯇꯧꯔꯕꯥ ꯑꯥꯔꯝ, ꯍ꯭ꯌꯨꯃꯦꯔꯁ, ꯎꯂꯅꯥ, ꯔꯦꯗꯤꯌꯁ, ꯈꯨꯠꯇꯥ ꯑꯁꯣꯀꯄꯥ, ꯐ꯭ꯔꯦꯀꯆꯔ ꯇꯧꯔꯕꯥ ꯑꯥꯔꯝ, ꯐ꯭ꯔꯦꯀꯆꯔ ꯇꯧꯔꯕꯥ ꯁꯔꯨ꯫