ꯕ꯭ꯔꯣꯀꯦꯟ ꯐꯦꯃꯨꯔꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯈꯉꯂꯁꯤ? ꯂꯥꯡꯇꯛꯅꯒꯅꯨ, ꯋꯥꯔꯤ ꯁꯥꯟꯅꯔꯁꯤ!

ꯑꯣꯍ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯂꯩꯔꯤꯕꯥ ꯑꯆꯧꯕꯥ, ꯃꯄꯥꯉ꯭ꯒꯜ ꯀꯅꯕꯥ ꯁꯔꯨ ꯑꯗꯨ, ꯅꯍꯥꯛꯀꯤ ꯍꯤꯄꯇꯒꯤ ꯍꯧꯔꯒꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯨꯎ ꯐꯥꯑꯣꯕꯥ – ꯐꯤꯖꯤꯀꯦꯜ ꯑꯣꯏꯅꯥ – ꯁꯣꯀꯍꯜꯂꯕꯗꯤ ꯀꯔꯤ ꯑꯣꯏꯒꯅꯤ ꯍꯥꯌꯕꯗꯨ ꯈꯟꯗꯨꯅꯥ ꯌꯦꯡꯕꯤꯌꯨ! ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯑꯦꯛꯁꯄꯔꯤꯌꯦꯟꯁ ꯑꯃꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫ ꯐꯤꯃꯔ ꯑꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯁꯥꯡꯕꯥ, ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯂꯨꯝꯕꯥ ꯑꯃꯁꯨꯡ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯄꯥꯉ꯭ꯒꯜ ꯀꯅꯕꯥ ꯁꯔꯨꯅꯤ꯫ ꯑꯗꯨꯅꯥ, ꯃꯁꯤ ꯊꯨꯒꯥꯏꯅꯕꯒꯤꯗꯃꯛ, ꯃꯁꯤ ꯇꯁꯦꯡꯅꯥ ꯑꯆꯧꯕꯥ ꯐꯣꯔꯁ ꯑꯃꯥ ꯑꯣꯏꯒꯗꯕꯅꯤ, ꯇꯁꯦꯡꯅꯥ ꯑꯆꯧꯕꯥ ꯑꯦꯛꯁꯤꯗꯦꯟꯇ ꯑꯃꯥ ꯑꯣꯏꯒꯗꯕꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯐꯤꯚꯝ ꯑꯃꯥ ꯁꯣꯛꯂꯕꯗꯤ, ꯈꯨꯗꯛꯇꯥ ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯃꯇꯦꯡ ꯂꯧꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫ ꯃꯔꯃꯗꯤ ꯃꯁꯤ ꯐꯒꯠꯂꯀꯄꯗꯥ ꯊꯥ ꯀꯌꯥ ꯆꯪꯂꯝꯕꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯅꯥ, ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯈꯔꯥ ꯍꯦꯟꯅꯥ ꯑꯀꯨꯞꯄꯥ ꯃꯔꯣꯂꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯁꯤ, ꯅꯠꯇꯦ?

ꯐꯦꯃꯔ ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ? ꯃꯁꯤ ꯁꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯀꯔꯤ ꯑꯣꯏꯒꯅꯤ?

ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯐꯤꯃꯔ ꯑꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯂꯩꯕꯥ ꯑꯃꯠꯇꯥ ꯉꯥꯏꯔꯕꯥ ꯁꯔꯨꯅꯤ꯫ ꯑꯩꯈꯣꯌꯅꯥ ꯃꯃꯥꯡꯗꯥ ꯍꯥꯌꯈꯤꯕꯒꯨꯝꯅꯥ ꯃꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯆꯥꯎꯕꯥ ꯑꯃꯁꯨꯡ ꯃꯄꯥꯉ꯭ꯒꯜ ꯀꯅꯕꯥ ꯁꯔꯨꯅꯤ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯃꯁꯤꯕꯨ ꯊꯨꯒꯥꯏꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯇꯉꯥꯏꯐꯗꯕꯥ ꯋꯥꯐꯝ ꯅꯠꯇꯦ꯫ ꯃꯍꯧꯁꯥꯅꯥ ꯃꯁꯤ ꯑꯄꯤꯀꯄꯥ ꯁꯣꯀꯄꯥ ꯑꯃꯗꯒꯤ ꯊꯨꯒꯥꯏꯕꯥ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯇꯣꯏꯅꯥ ꯊꯣꯀꯏ꯫ ꯃꯁꯤ ꯑꯌꯥꯝꯕꯗꯤ ꯑꯆꯧꯕꯥ ꯒꯥꯔꯤꯒꯤ ꯑꯦꯛꯁꯤꯗꯦꯟꯇ, ꯑꯋꯥꯡꯕꯥ ꯃꯐꯃꯗꯒꯤ ꯂꯥꯞꯅꯥ ꯂꯩꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯒꯨꯂꯤ ꯊꯥꯕꯥ ꯌꯥꯕꯥ ꯄꯣꯠꯁꯛ ꯑꯃꯅꯥ ꯁꯣꯀꯍꯜꯂꯤ꯫

ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯃꯔꯨꯑꯣꯏꯅꯥ ꯆꯍꯤ 65ꯒꯤ ꯃꯊꯛꯇꯥ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯒꯤ ꯑꯣꯏꯅꯗꯤ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯈꯣꯌꯅꯥ ꯂꯦꯡ-ꯑꯣꯠꯄꯗꯥ ꯋꯥꯕꯥ ꯑꯃꯁꯨꯡ ꯂꯦꯡ-ꯑꯣꯠꯄꯒꯤ ꯆꯥꯡ ꯑꯁꯤ ꯍꯦꯟꯅꯥ ꯋꯥꯡꯏ (ꯃꯔꯨꯑꯣꯏꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯈꯣꯌꯗꯥ ꯑꯣꯁ꯭ꯇꯤꯑꯣꯄꯣꯔꯣꯁꯤꯁꯒꯨꯝꯕꯥ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ ꯂꯩꯔꯕꯗꯤ), ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯐꯦꯃꯔ ꯑꯁꯤ ꯁꯣꯀꯍꯅꯕꯒꯤ ꯆꯥꯡ ꯑꯁꯤ ꯍꯦꯟꯅꯥ ꯋꯥꯡꯏ꯫

ꯀꯔꯤꯒꯤꯗꯃꯛꯇꯥ ꯐꯦꯃꯔ ꯐ꯭ꯔꯦꯀꯆꯔ ꯑꯁꯤ ꯑꯁꯨꯛ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯑꯃꯥ ꯑꯣꯏꯔꯤꯕꯅꯣ?

ꯅꯍꯥꯛꯅꯥ ꯐꯤꯝꯌꯨꯔ ꯑꯃꯥ ꯁꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯃꯁꯤ ꯃꯈꯨꯠ ꯅꯠꯠꯔꯒꯥ ꯈꯣꯡ ꯑꯃꯥ ꯁꯣꯀꯄꯥ ꯈꯛꯇꯒꯥ ꯃꯥꯟꯅꯗꯦ꯫ ꯈꯔꯥ ꯍꯦꯟꯅꯥ ꯂꯨꯝꯅꯥ ꯂꯧꯕꯥ ꯌꯥꯕꯥ ꯋꯥꯐꯝ ꯈꯔꯥ ꯂꯩꯔꯤ꯫ ꯌꯦꯡꯕꯤꯌꯨ:

• ꯏ ꯌꯥꯝꯅꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯏ ꯊꯣꯀꯄꯥ ꯑꯁꯤ ꯃꯅꯨꯡꯒꯤ ꯑꯣꯏꯅꯥ ꯐꯥꯎꯕꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫
• ꯁꯣꯛ-ꯄꯅꯕꯥ (Shock): ꯍꯀꯆꯥꯡꯗꯥ ꯏ ꯌꯥꯝꯅꯥ ꯊꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯑꯅꯥꯕꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯁꯣꯀꯄꯥ ꯌꯥꯏ꯫
• ꯍꯤꯄꯐꯝ (hip bone) ꯑꯗꯨ ꯁꯣꯀꯄꯥ ꯌꯥꯏ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯊꯤꯡꯖꯤꯅꯕꯥ (hip bone) ꯑꯗꯨꯒꯤ ꯃꯊꯛꯀꯤ ꯁꯔꯨꯛ ꯑꯗꯨ, ꯍꯥꯌꯕꯗꯤ ꯍꯤꯄꯐꯝ (hip joint) ꯑꯗꯨꯒꯤ ꯃꯅꯥꯛꯇꯥ ꯂꯩꯕꯥ ꯁꯔꯨꯛ ꯑꯗꯨ ꯁꯣꯀꯄꯥ ꯌꯥꯏ, ꯃꯗꯨꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯍꯤꯄꯐꯝ (hip bone) ꯑꯗꯨ ꯁꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯒꯤ ꯔꯤꯁ꯭ꯛ ꯑꯁꯤ ꯑꯣꯁ꯭ꯇꯤꯑꯣꯄꯣꯔꯣꯁꯤꯁꯅꯥ ꯅꯥꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯗꯥ ꯍꯦꯟꯅꯥ ꯋꯥꯡꯏ꯫
• ꯈꯨꯎꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯄꯥ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯈꯨꯎꯒꯤ ꯃꯈꯥ ꯊꯪꯕꯥ ꯁꯔꯨꯛ, ꯍꯥꯌꯕꯗꯤ ꯈꯨꯎꯒꯤ ꯃꯅꯥꯛꯇꯥ ꯂꯩꯕꯥ ꯁꯔꯨꯛ ꯑꯗꯨ ꯁꯣꯀꯄꯥ ꯇꯥꯔꯕꯗꯤ, ꯈꯨꯎ ꯑꯗꯨꯁꯨ ꯁꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤ ꯈꯨꯎ ꯔꯤꯞꯂꯦꯁꯃꯦꯟꯇ ꯁꯔꯖꯔꯤ ꯇꯧꯔꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡ ꯅꯠꯠꯔꯒꯥ ꯑꯣꯁ꯭ꯇꯤꯑꯣꯄꯣꯔꯣꯁꯤꯁ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯗꯁꯨ ꯌꯥꯝꯅꯥ ꯀꯃꯟ ꯑꯣꯏ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯄꯥꯛ ꯑꯗꯨ ꯁꯣꯀꯍꯜꯂꯕꯗꯤ ꯀꯌꯥꯝ ꯑꯋꯥꯕꯥ ꯐꯥꯎꯕꯒꯦ?

ꯑꯣꯍ ꯃꯥꯏ! ꯃꯗꯨ ꯌꯥꯝꯅꯥ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯋꯥꯐꯝ ꯑꯃꯅꯤ꯫ ꯋꯥꯍꯩꯅꯥ ꯐꯣꯡꯗꯣꯀꯄꯥ ꯑꯁꯤ ꯑꯔꯨꯕꯥ ꯑꯃꯅꯤ꯫ ꯑꯗꯨꯕꯨ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯂꯩꯔꯣꯏ, ꯍꯣꯁ꯭ꯄꯤꯇꯥꯂꯗꯥ ꯂꯥꯌꯦꯡꯂꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯅꯥꯕꯥ ꯑꯗꯨ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯅꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯍꯤꯗꯥꯀꯁꯤꯡ ꯁꯣꯏꯗꯅꯥ ꯄꯤꯒꯅꯤ꯫

ꯐꯤꯖꯤꯀꯦꯜ ꯐꯤꯚꯃꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯇꯣꯞꯄꯥ ꯑꯦꯛꯁꯤꯗꯦꯟꯇ ꯑꯃꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯤꯄꯐꯝ ꯑꯗꯨ ꯁꯣꯀꯍꯜꯂꯕꯗꯤ, ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯌꯦꯡꯁꯤꯜꯂꯨ:

• ꯑꯋꯥꯕꯥ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯋꯥꯅꯥ .
• ꯅꯍꯥꯛꯀꯤ ꯑꯁꯣꯀꯄꯥ ꯈꯣꯡ ꯑꯗꯨ ꯂꯦꯡꯗꯅꯥ ꯊꯝꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯃꯗꯨꯗꯥ ꯑꯔꯨꯝꯕꯥ ꯊꯝꯕꯥ ꯐꯥꯑꯣꯕꯥ ꯌꯥꯔꯣꯏ .
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯁꯣꯟꯊꯔꯕꯥ ꯁꯔꯨ ꯇꯥꯡꯁꯤꯡꯅꯥ ꯈꯣꯡꯗꯥ ꯆꯦꯟꯊꯔꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯊꯣꯛꯂꯀꯄꯥ ꯌꯥꯏ, ꯃꯗꯨꯅꯥ ꯏ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫ꯃꯁꯤꯕꯨ ``ꯑꯣꯄꯟ ꯐ꯭ꯔꯦꯀꯆꯔ'' ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫
• ꯑꯇꯣꯞꯄꯥ ꯃꯇꯃꯗꯥ, ꯁꯔꯨ ꯇꯥꯡꯒꯤ ꯁꯔꯨ ꯇꯥꯡꯁꯤꯡ ꯑꯁꯤ ꯈꯣꯡꯒꯤ ꯃꯊꯛꯇꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯏ ꯑꯃꯁꯨꯡ ꯎꯕꯥ ꯐꯪꯏ, ꯑꯗꯨꯕꯨ ꯈꯣꯡꯗꯥ ꯆꯦꯟꯊꯈꯤꯗꯦ . ꯃꯁꯤꯕꯨ ``ꯀ꯭ꯂꯣꯖꯗ ꯐ꯭ꯔꯦꯀꯆꯔ'' ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫
• ꯊꯣꯡꯒꯤ ꯃꯐꯝ ꯑꯗꯨ ꯅꯤꯜ ꯑꯣꯏ ꯑꯃꯁꯨꯡ ꯁꯣꯀꯄꯥ ꯎꯕꯥ ꯐꯪꯏ .
• ꯊꯣꯡꯅꯥꯎꯒꯤ ꯃꯐꯝ ꯈꯔꯗꯤ ꯁꯣꯀꯄꯥ ꯌꯥꯏ .
• ꯑꯁꯣꯀꯄꯥ ꯈꯣꯡ ꯑꯗꯨ ꯑꯇꯣꯞꯄꯥ ꯈꯣꯡ ꯑꯗꯨꯗꯒꯤ ꯈꯔꯥ ꯍꯦꯟꯅꯥ ꯀꯨꯞꯄꯥ ꯎꯕꯥ ꯐꯪꯏ꯫ ꯑꯁꯣꯀꯄꯥ ꯈꯣꯡ ꯑꯗꯨ ꯃꯄꯥꯟꯗꯥ (ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡꯗꯒꯤ ꯂꯥꯞꯅꯥ) ꯂꯥꯞꯅꯥ ꯂꯩꯕꯥ ꯌꯥꯏ꯫

ꯅꯍꯥꯛꯅꯥ ꯊꯣꯡꯅꯥꯎ ꯍꯥꯡꯗꯣꯀꯄꯥ ꯉꯃꯒꯗ꯭ꯔꯥ?

ꯃꯄꯨꯡ ꯐꯥꯅꯥ ꯅꯠꯇꯦ꯫ ꯅꯍꯥꯛꯀꯤ ꯐꯤꯝꯌꯨꯔ ꯑꯗꯨ ꯁꯣꯟꯊꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ, ꯅꯍꯥꯛꯅꯥ ꯈꯣꯡ ꯑꯗꯨꯗꯥ ꯑꯔꯨꯝꯕꯥ ꯊꯝꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯂꯦꯡꯗꯅꯥ ꯂꯩꯕꯥ ꯉꯝꯂꯣꯏ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯈꯣꯡꯅꯥ ꯆꯠꯄꯒꯤ ꯃꯇꯥꯡꯗꯁꯨ ꯈꯟꯊꯕꯤꯒꯅꯨ꯫

ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯍꯤꯞ ꯐ꯭ꯔꯦꯀꯆꯔ ꯃꯈꯜ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯈꯪꯗꯣꯀꯄꯒꯦ?

ꯅꯍꯥꯛꯅꯥ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯂꯗꯥ ꯆꯠꯄꯥ ꯃꯇꯃꯗꯥ ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯑꯍꯥꯅꯕꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯁꯣꯀꯄꯥ ꯈꯣꯡ ꯑꯗꯨ ꯆꯦꯀꯁꯤꯟꯅꯥ ꯌꯦꯡꯁꯤꯅꯒꯅꯤ꯫ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ, ꯃꯈꯣꯌꯅꯥ ꯁꯣꯏꯗꯅꯥ `(ꯑꯦꯛꯁ-ꯔꯦ)` ꯇꯦꯁ꯭ꯠ ꯑꯃꯥ ꯇꯧꯒꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯐ꯭ꯔꯦꯀꯆꯔꯒꯤ ꯃꯑꯣꯡ-ꯃꯇꯧ ꯑꯗꯨ ꯍꯦꯟꯅꯥ ꯃꯌꯦꯛ ꯁꯦꯡꯅꯥ ꯎꯅꯕꯒꯤꯗꯃꯛ `(ꯀꯝꯞꯌꯨꯇꯦꯗ ꯇꯣꯃꯣꯒ꯭ꯔꯥꯐꯤ ꯁ꯭ꯀꯦꯟ)`, `(CT scan)` ꯍꯥꯌꯅꯥꯁꯨ ꯈꯪꯅꯕꯥ ꯇꯧꯕꯁꯨ ꯌꯥꯏ꯫ ꯃꯁꯤꯒꯤ ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯑꯁꯤꯗꯒꯤ ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯑꯗꯣꯃꯗꯥ ꯀꯔꯤ ꯃꯈꯂꯒꯤ ꯐ꯭ꯔꯦꯀꯆꯔ (`(ꯐ꯭ꯔꯦꯀꯆꯔ ꯃꯈꯜ)`) ꯂꯩꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯆꯨꯝꯅꯥ ꯈꯉꯗꯣꯀꯄꯥ ꯉꯃꯒꯅꯤ꯫

ꯐꯦꯃꯔ ꯐ꯭ꯔꯦꯀꯆꯔꯒꯤ ꯃꯈꯜ ꯀꯌꯥ ꯂꯩ:

• ꯇ꯭ꯔꯥꯟꯁꯕꯔꯁ ꯐ꯭ꯔꯦꯀꯆꯔ (transverse fracture): ꯁꯔꯨ ꯇꯥꯡ ꯑꯗꯨ ꯃꯗꯨꯒꯤ ꯃꯊꯛꯇꯥ ꯍꯣꯔꯥꯏꯖꯣꯟꯇꯦꯜ ꯂꯥꯏꯟ ꯑꯃꯗꯥ ꯆꯦꯟꯊꯈꯤ꯫
• ꯁ꯭ꯄꯥꯏꯔꯦꯜ ꯐ꯭ꯔꯦꯀꯆꯔ (Spiral fracture): ꯁꯔꯨ ꯇꯥꯡ ꯑꯗꯨ ꯁ꯭ꯄꯥꯏꯔꯦꯜ ꯃꯑꯣꯡ ꯑꯃꯗꯥ ꯁꯣꯀꯏ꯫
• ꯑꯣꯕꯂꯤꯛ ꯐ꯭ꯔꯦꯀꯆꯔ (Oblique fracture): ꯁꯔꯨ ꯇꯥꯡ ꯑꯗꯨ ꯃꯄꯥꯟꯊꯪꯕꯥ ꯁꯔꯨꯛꯇꯥ ꯆꯦꯟꯊꯈꯤ꯫
• ꯀꯃꯤꯅꯤꯎꯇꯦꯗ ꯐ꯭ꯔꯦꯀꯆꯔ (comminuted fracture): ꯁꯔꯨ ꯇꯥꯡ ꯑꯗꯨ ꯁꯔꯨ ꯇꯥꯡ ꯑꯍꯨꯝ ꯅꯠꯠꯔꯒꯥ ꯃꯁꯤꯗꯒꯤ ꯍꯦꯅꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯆꯦꯟꯊꯈ꯭ꯔꯦ꯫
• `(ꯑꯃꯨꯛꯇꯪ ꯅꯠꯠꯔꯒꯥ ꯀꯝꯄꯥꯎꯟꯗ ꯐ꯭ꯔꯦꯀꯆꯔ)` (ꯑꯃꯨꯛꯇꯪ ꯐ꯭ꯔꯦꯀꯆꯔ): ꯁꯔꯨ ꯇꯥꯡ ꯑꯗꯨ ꯁꯣꯟꯊꯔꯦ ꯑꯃꯁꯨꯡ ꯁꯔꯨ ꯇꯥꯡꯒꯤ ꯁꯔꯨꯀꯁꯤꯡ ꯑꯗꯨꯅꯥ ꯈꯣꯡꯗꯥ ꯆꯦꯟꯊꯈꯤꯗꯨꯅꯥ ꯊꯣꯛꯂꯀꯏ꯫

ꯐꯦꯃꯔ ꯐ꯭ꯔꯦꯀꯆꯔ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯂꯥꯏꯌꯦꯡꯕꯒꯦ?

ꯑꯍꯥꯅꯕꯗꯥ, ꯑꯅꯥꯕꯥ ꯍꯟꯊꯍꯟꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯁꯣꯀꯄꯥ ꯁꯔꯨ ꯑꯗꯨ ꯆꯠꯊꯣꯛ-ꯆꯠꯁꯤꯟ ꯇꯧꯗꯅꯕꯥ, ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯒꯤ ꯑꯌꯥꯝꯕꯥ ꯁꯔꯨꯛ ꯑꯗꯨ ꯀꯨꯄꯁꯤꯟꯗꯨꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯒꯤ ꯑꯀꯣꯌꯕꯗꯥ ꯕꯣꯔꯗ ꯃꯈꯜ ꯑꯃꯥ (splint) ꯑꯃꯥ ꯊꯝꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤ ꯃꯇꯝ ꯈꯔꯒꯤ ꯑꯣꯏꯕꯥ ꯈꯣꯡꯊꯥꯡ ꯑꯃꯅꯤ꯫

ꯃꯁꯤꯒꯤ ꯃꯊꯛꯇꯥ `(ꯇ꯭ꯔꯦꯀꯁꯟ)` ꯀꯧꯕꯥ ꯂꯥꯏꯌꯦꯡ ꯑꯃꯁꯨ ꯁꯤꯖꯤꯟꯅꯩ꯫ ꯃꯁꯤꯅꯥ ꯁꯣꯀꯍꯜꯂꯕꯥ ꯁꯔꯨꯁꯤꯡ ꯑꯗꯨ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯂꯦꯡꯗꯅꯥ ꯂꯩꯍꯅꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫ `(ꯇ꯭ꯔꯦꯀꯁꯟ)`ꯒꯤ ꯃꯈꯜ ꯑꯅꯤ ꯂꯩ:

• ꯋꯦꯏꯇꯦꯗ ꯇ꯭ꯔꯦꯛꯁꯟ ꯁ꯭ꯞꯂꯤꯟꯇꯁꯤꯡ: ꯃꯁꯤꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯁ꯭ꯠꯔꯞ ꯑꯃꯥ ꯊꯥꯕꯥ, ꯃꯗꯨꯗꯥ ꯑꯔꯨꯝꯕꯥ ꯌꯥꯎꯕꯥ ꯑꯃꯁꯨꯡ ꯐ꯭ꯔꯦꯝ ꯑꯃꯁꯨꯡ ꯄꯨꯂꯤꯁꯤꯡꯒꯤ ꯃꯔꯛꯇꯥ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯆꯦꯅꯕꯥ ꯑꯁꯤ ꯌꯥꯎꯏ꯫ ꯃꯁꯤꯅꯥ ꯐꯤꯃꯔꯗꯥ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯄ꯭ꯔꯦꯁꯔ ꯄꯤ, ꯃꯗꯨꯅꯥ ꯁꯔꯨ ꯇꯥꯡꯁꯤꯡ ꯑꯗꯨ ꯂꯦꯡꯗꯅꯥ ꯂꯩꯍꯅꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫
• ꯁ꯭ꯀꯦꯂꯦꯇꯜ ꯇ꯭ꯔꯦꯛꯁꯟ (skeletal traction): ꯃꯁꯤꯗꯥ ꯗꯣꯛꯇꯔꯅꯥ ꯑꯄꯤꯀꯄꯥ ꯑꯣꯄꯔꯦꯁꯟ ꯑꯃꯥ ꯄꯥꯡꯊꯣꯀꯏ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯊꯣꯡꯅꯥꯎ (femur) ꯅꯠꯠꯔꯒꯥ shin bone (tibia)ꯗꯥ ꯄꯤꯟ ꯑꯃꯥ ꯊꯥꯏ꯫ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ, ꯅꯍꯥꯛꯀꯤ ꯊꯣꯡꯅꯥꯎ ꯑꯗꯨ ꯂꯦꯡꯗꯅꯥ ꯂꯩꯍꯟꯅꯕꯥ ꯄꯤꯟ ꯑꯗꯨꯗꯥ ꯑꯔꯨꯝꯕꯥ ꯑꯃꯥ ꯊꯥꯏ꯫

ꯍꯤꯞ ꯐ꯭ꯔꯦꯀꯆꯔ ꯈꯨꯗꯤꯡꯃꯛ ꯁꯔꯖꯔꯤ ꯇꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯕ꯭ꯔꯥ?

ꯍꯣꯌ, ꯁꯣꯏꯗꯅꯥ꯫ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯒꯤ ꯁꯔꯨꯛ ꯑꯗꯨ ꯁꯣꯀꯍꯜꯂꯕꯗꯤ, ꯃꯗꯨ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯐꯒꯠꯍꯟꯅꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯁꯔꯖꯔꯤ ꯇꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯒꯅꯤ꯫ ꯃꯁꯤꯒꯤ ꯁꯔꯖꯔꯤ ꯑꯁꯤ ꯃꯍꯧꯁꯥꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯁꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯂꯗꯥ ꯂꯥꯌꯦꯡꯂꯕꯥ ꯃꯇꯨꯡ ꯄꯨꯡ 24ꯗꯒꯤ 48 ꯐꯥꯎꯕꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯇꯧꯏ꯫ ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯁꯔꯖꯔꯤ ꯃꯈꯜ ꯑꯅꯤ ꯄꯥꯡꯊꯣꯀꯏ:

• `(ꯑꯣꯄꯟ ꯔꯤꯗꯛꯁꯟ ꯑꯃꯁꯨꯡ ꯏꯟꯇꯔꯅꯦꯜ ꯐꯤꯛꯁꯦꯁꯟ - ꯑꯣ.ꯑꯥꯔ.ꯑꯥꯏ.ꯑꯦꯐ.)`
• `(ꯃꯄꯥꯅꯒꯤ ꯐꯤꯛꯁꯦꯁꯟ)`

ꯃꯁꯤꯒꯤ `(ORIF)` ꯁꯔꯖꯔꯤ ꯑꯁꯤ ꯀꯔꯤꯅꯣ?

ꯄ꯭ꯔꯣꯁꯤꯗ꯭ꯌꯨꯑꯣꯔ ꯑꯁꯤꯗꯥ, ꯁꯔꯖꯔꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯤꯄꯐꯝ ꯅꯠꯠꯔꯒꯥ ꯈꯨꯎꯒꯤ ꯁꯔꯨ ꯇꯥꯡꯒꯤ ꯃꯅꯥꯛꯇꯥ ꯏꯅꯁꯤꯁꯟ ꯑꯃꯥ ꯁꯦꯝꯃꯤ ꯑꯃꯁꯨꯡ ꯁꯣꯀꯍꯜꯂꯕꯥ ꯁꯔꯨ ꯇꯥꯡꯁꯤꯡ ꯑꯗꯨ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯁꯦꯃꯗꯣꯛ-ꯁꯦꯃꯖꯤꯟ ꯇꯧꯏ꯫ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ, ꯁꯔꯨ ꯇꯥꯡ ꯑꯗꯨ ꯂꯦꯡꯗꯅꯥ ꯂꯩꯅꯕꯥ ꯙꯥꯇꯨꯒꯤ ꯈꯨꯠꯂꯥꯏ ꯑꯃꯥ (ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯔꯣꯗ ꯅꯠꯠꯔꯒꯥ ꯄ꯭ꯂꯦꯠ ꯑꯃꯥ) ꯊꯥꯏ꯫

`(ꯑꯣ.ꯑꯥꯔ.ꯑꯥꯏ.ꯑꯦꯐ.)` ꯁꯔꯖꯔꯤ ꯑꯁꯤꯗꯥ ꯀꯔꯤ ꯙꯥꯇꯨꯒꯤ ꯏꯅꯁ꯭ꯠꯔꯨꯃꯦꯟꯇꯁꯤꯡ ꯁꯤꯖꯤꯟꯅꯔꯤꯕꯒꯦ?

• ꯔꯣꯗꯁꯤꯡ: ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯏꯟꯠꯔꯥꯃꯦꯗꯨꯂꯥꯔꯤ ꯅꯦꯜ ꯀꯧꯕꯥ ꯁꯔꯖꯤꯀꯦꯜ ꯄ꯭ꯔꯣꯁꯤꯗ꯭ꯌꯨꯑꯣꯔ ꯑꯃꯗꯥ ꯁꯤꯖꯤꯟꯅꯩ꯫ ꯁꯔꯖꯔꯤꯅꯥ ꯔꯣꯗꯁꯤꯡ ꯑꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ, ꯃꯦꯗꯨꯂꯦꯔꯤ ꯀꯦꯚꯤꯇꯤꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ (ꯃꯁꯤꯅꯥ ꯕꯣꯟ ꯃꯦꯔꯣ ꯂꯩꯕꯥ ꯃꯐꯝ ꯑꯗꯨꯅꯤ) ꯊꯥꯏ꯫
• ꯁ꯭ꯛꯔꯨꯁꯤꯡ: ꯃꯃꯥꯡꯗꯥ ꯄꯅꯈ꯭ꯔꯤꯕꯥ ꯁ꯭ꯇꯤꯛ ꯅꯠꯠꯔꯒꯥ ꯙꯥꯇꯨꯒꯤ ꯄ꯭ꯂꯦꯠ ꯑꯗꯨ ꯆꯠꯊꯣꯛ-ꯆꯠꯁꯤꯟ ꯇꯧꯗꯅꯕꯥ, ꯃꯗꯨꯒꯤ ꯃꯊꯛꯇꯥ ꯑꯃꯁꯨꯡ ꯃꯈꯥꯗꯥ ꯁ꯭ꯛꯔꯨꯁꯤꯡ ꯊꯝꯃꯤ꯫
• ꯙꯥꯇꯨꯒꯤ ꯄ꯭ꯂꯦꯇꯁꯤꯡ: ꯁ꯭ꯞꯂꯤꯟꯇ ꯑꯃꯒꯥ ꯃꯥꯟꯅꯅꯥ, ꯁꯔꯖꯔꯤꯅꯥ ꯙꯥꯇꯨꯒꯤ ꯄ꯭ꯂꯦꯇꯁꯤꯡ ꯑꯁꯤ ꯁꯔꯨꯒꯤ ꯃꯄꯥꯟꯗꯥ ꯊꯝꯃꯤ ꯑꯃꯁꯨꯡ ꯃꯈꯣꯌꯕꯨ ꯁ꯭ꯛꯔꯨꯁꯤꯡꯅꯥ ꯆꯦꯠꯁꯤꯂꯍꯟꯗꯨꯅꯥ ꯐ꯭ꯔꯦꯀꯆꯔ ꯑꯗꯨ ꯂꯦꯡꯗꯅꯥ ꯊꯝꯃꯤ꯫

ꯑꯗꯨꯅꯥ ``(External fixation)`` ꯁꯔꯖꯔꯤ ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ?

ꯃꯁꯤ ꯈꯣꯡꯒꯤ ꯁꯔꯨꯛ ꯑꯗꯨ ꯇꯪꯗꯨ ꯂꯩꯇꯥꯕꯥ ꯑꯣꯏꯍꯟꯅꯕꯥ ꯁꯔꯖꯔꯤ ꯑꯃꯁꯨꯅꯤ꯫ ꯃꯁꯤꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯒꯤ ꯁꯔꯨꯛꯇꯥ ꯙꯥꯇꯨꯒꯤ ꯄꯤꯟ (ꯕꯣꯜꯇ/ ꯄꯤꯟ) ꯀꯌꯥ ꯑꯃꯥ ꯊꯥꯗꯨꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯒꯤ ꯃꯄꯥꯟꯗꯥ ꯂꯩꯕꯥ ꯐ꯭ꯔꯦꯝ (ꯐ꯭ꯔꯦꯝ) ꯑꯃꯗꯥ ꯆꯦꯠꯅꯥ ꯊꯝꯕꯥ ꯌꯥꯎꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯄ꯭ꯔꯣꯁꯤꯗ꯭ꯌꯨꯑꯣꯔ ꯑꯁꯤ ꯑꯣ.ꯑꯥꯔ.ꯑꯥꯏ.ꯑꯦꯐ.ꯀꯤ ꯁꯔꯖꯔꯤꯒꯤ ꯃꯃꯥꯡꯗꯥ ꯃꯇꯝ ꯈꯔꯒꯤ ꯑꯣꯏꯅꯥ ꯁꯔꯨ ꯑꯗꯨ ꯁ꯭ꯇꯦꯕꯤꯂꯥꯏꯖ ꯇꯧꯅꯕꯥ ꯁꯤꯖꯤꯟꯅꯩ꯫ ꯅꯠꯠꯔꯒꯥ, ꯃꯁꯤ ꯑꯣ.ꯑꯥꯔ.ꯑꯥꯏ.ꯑꯦꯐ.ꯀꯤ ꯁꯔꯖꯔꯤ ꯄꯥꯡꯊꯣꯀꯄꯥ ꯉꯃꯗꯕꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯑꯗꯨ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯃꯇꯃꯗꯥ ꯁꯤꯖꯤꯟꯅꯕꯥ ꯌꯥꯏ꯫

ꯃꯁꯤꯒꯤ ``(ꯑꯦꯛꯁꯇꯔꯅꯦꯜ ꯐꯤꯛꯁꯦꯁꯟ)`` ꯁꯔꯖꯔꯤ ꯑꯁꯤ ꯑꯦꯅꯥꯁ꯭ꯇꯦꯁꯤꯌꯥꯒꯤ ꯃꯈꯥꯗꯥ ꯄꯥꯡꯊꯣꯀꯏ꯫ ꯁꯔꯖꯔꯤꯁꯤꯡꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯒꯤ ꯁꯔꯨ ꯇꯥꯡꯒꯤ ꯃꯊꯛꯇꯥ ꯑꯃꯁꯨꯡ ꯃꯈꯥꯗꯥ ꯂꯩꯕꯥ ꯑꯁꯣꯀꯄꯥ ꯁꯔꯨ ꯇꯥꯡ ꯑꯗꯨꯗꯥ ꯍꯨꯔꯥꯅꯕꯥ (holes) ꯇꯧꯏ ꯑꯃꯁꯨꯡ ꯃꯈꯣꯌꯗꯨꯗꯥ ꯔꯣꯗꯁꯤꯡ ꯊꯥꯏ꯫ ꯍꯥꯌꯔꯤꯕꯥ ꯔꯣꯗꯁꯤꯡ ꯑꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯒꯤ ꯃꯄꯥꯟꯗꯥ ꯐ꯭ꯔꯦꯝ ꯑꯃꯗꯥ ꯆꯦꯜꯂꯤ꯫ ꯐ꯭ꯔꯦꯝ ꯑꯁꯤꯗꯥ ꯂꯩꯔꯤꯕꯥ ``(ꯕꯣꯜ-ꯑꯦꯟꯗ-ꯁꯣꯀꯦꯠ ꯖꯣꯅꯁꯤꯡ)`` ꯑꯁꯤꯅꯥ ꯔꯣꯗꯁꯤꯡ ꯑꯁꯤ ꯁꯦꯃꯖꯤꯟ-ꯁꯥꯖꯤꯅꯕꯥ ꯌꯥꯍꯜꯂꯤ ꯃꯗꯨꯅꯥ ꯁꯣꯀꯍꯜꯂꯕꯥ ꯁꯔꯨ ꯇꯥꯡꯁꯤꯡ ꯑꯗꯨ ꯆꯞ ꯃꯥꯟꯅꯅꯥ ꯂꯥꯏꯟ ꯇꯧꯕꯥ ꯌꯥꯍꯜꯂꯤ꯫

ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯐꯤꯖꯤꯀꯦꯜ ꯊꯦꯔꯥꯄꯤ ꯃꯊꯧ ꯇꯥꯕ꯭ꯔꯥ?

ꯆꯞ ꯆꯥꯅꯥ ꯌꯥꯕ! ꯅꯍꯥꯛꯀꯤ ꯔꯤꯀꯣꯚꯔꯤ ꯄꯨꯝꯅꯃꯛꯇꯥ ꯐꯤꯖꯤꯀꯦꯜ ꯊꯦꯔꯥꯄꯤ ꯃꯊꯧ ꯇꯥꯒꯅꯤ꯫ ꯃꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯒꯤ ꯃꯁꯂꯁꯤꯡ ꯑꯗꯨ ꯃꯄꯥꯉ꯭ꯒꯜ ꯀꯅꯈꯠꯍꯅꯒꯅꯤ, ꯁꯔꯨ ꯇꯥꯡꯁꯤꯡꯒꯤ ꯃꯣꯕꯤꯂꯤꯇꯤ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯄꯨꯔꯛꯀꯅꯤ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯀꯄꯨ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯅꯥ ꯆꯠꯄꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯒꯅꯤ꯫

ꯅꯍꯥꯛꯅꯥ ꯄꯦꯟ ꯀꯤꯂꯔꯁꯤꯡ ꯄꯤꯔꯤꯕ꯭ꯔꯥ?

ꯍꯣꯌ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯅꯥꯕꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯈꯟꯅꯒꯅꯤ ꯑꯃꯁꯨꯡ ꯃꯇꯤꯛ ꯆꯥꯕꯥ ꯑꯅꯥꯕꯒꯤ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛ ꯄꯤꯒꯅꯤ꯫

ꯁꯔꯖꯔꯤꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯕꯥ ꯔꯤꯁ꯭ꯛ ꯅꯠꯠꯔꯒꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?

ꯁꯔꯖꯔꯤ ꯑꯃꯍꯦꯛꯇꯒꯥ ꯃꯥꯟꯅꯅꯥ, ꯍꯤꯞ ꯐ꯭ꯔꯦꯀꯆꯔꯒꯤ ꯁꯔꯖꯔꯤꯗꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯟ ꯈꯔꯗꯤ ꯂꯩꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯌꯥꯑꯣꯔꯤ:

• ꯑꯦꯛꯌꯨꯠ ꯀꯝꯄꯥꯔꯇꯃꯦꯟꯇ ꯁꯤꯟꯗ꯭ꯔꯣꯝ (ACS): ꯃꯁꯤ ꯃꯁꯂꯁꯤꯡꯗꯥ ꯄ꯭ꯔꯦꯁꯔ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯃꯁꯂꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯇꯤꯁꯨꯁꯤꯡꯗꯥ ꯏꯒꯤ ꯈꯣꯡꯖꯦꯜ ꯍꯟꯊꯔꯀꯄꯥ ꯃꯇꯃꯅꯤ꯫ ꯃꯁꯤꯅꯥ ꯃꯇꯝ ꯆꯨꯞꯄꯒꯤ ꯑꯣꯏꯅꯥ ꯃꯁꯜ ꯑꯃꯁꯨꯡ ꯅꯔꯚꯁꯤꯡꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫
• ꯁꯔꯨꯒꯤ ꯁꯔꯨ ꯇꯥꯡꯁꯤꯡ (bone fragments) ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯐꯤꯠ ꯇꯧꯗꯕꯥ: ꯃꯁꯤꯅꯥ ꯁꯔꯨ ꯇꯥꯡ ꯑꯗꯨ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫
• ꯏꯅꯁꯥꯔꯠ ꯇꯧꯔꯕꯥ ꯅꯦꯜ ꯑꯃꯁꯨꯡ ꯁ꯭ꯛꯔꯨꯁꯤꯡꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ꯫
• `(ꯐꯦꯠ ꯑꯦꯝꯕꯣꯂꯤꯖꯝ ꯁꯤꯟꯗꯣꯝ)`: ꯃꯁꯤꯗꯥ ꯐꯦꯠ ꯄꯥꯔꯇꯤꯀꯦꯂꯁꯤꯡ ꯏꯗꯥ ꯌꯥꯎꯕꯥ ꯌꯥꯏ꯫ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ ꯑꯃꯁꯨꯡ ꯋꯥꯈꯜ ꯃꯥꯡꯈꯤꯕꯥ ꯑꯁꯤꯅꯆꯤꯡꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫
• ꯏ ꯊꯣꯀꯄꯥ꯫
• ꯁꯣꯀꯍꯜꯂꯕꯥ ꯁꯔꯨ ꯇꯥꯡꯁꯤꯡꯒꯤ ꯁꯥꯊꯤꯕꯥ ꯃꯅꯥꯛ ꯅꯛꯅꯥ ꯂꯩꯕꯥ ꯃꯐꯃꯁꯤꯡꯅꯥ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯂꯁꯤꯡ ꯅꯠꯠꯔꯒꯥ ꯅꯔꯚꯁꯤꯡꯗꯥ ꯁꯣꯀꯍꯅꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯃꯥꯡꯍꯅꯕꯥ ꯌꯥꯏ꯫
• ꯃꯍꯤꯛ ꯄꯛꯄ.

ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯑꯩꯅꯥ ꯏꯁꯥꯕꯨ ꯀꯔꯝꯅꯥ ꯌꯦꯡꯁꯤꯅꯒꯗꯒꯦ?

ꯑꯍꯥꯅꯕꯥ ꯅꯨꯃꯤꯠ ꯑꯅꯤꯒꯤ ꯑꯣꯏꯅꯥ ꯌꯨꯃꯗꯥ ꯀꯅꯥꯒꯨꯝꯕꯥ ꯑꯃꯅꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯅꯕꯥ ꯂꯩꯕꯥ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫ (ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯌꯨꯃꯗꯥ ꯂꯥꯛꯇꯨꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯃꯇꯦꯡ ꯄꯥꯡꯅꯕꯥ ꯇ꯭ꯔꯦꯟ ꯇꯧꯔꯕꯥ ꯀꯦꯌꯔꯒꯤꯚꯔ ꯑꯃꯥ ꯊꯤꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯕꯥ ꯌꯥꯏ꯫)

ꯅꯍꯥꯛꯅꯥ ꯇꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯅꯍꯥꯛꯅꯥ ꯁꯣꯀꯄꯥ ꯈꯣꯡ ꯑꯗꯨ ꯅꯍꯥꯛꯀꯤ ꯊꯝꯃꯣꯌꯒꯤ ꯃꯊꯛꯇꯥ ꯋꯥꯡꯈꯠꯍꯟꯗꯨꯅꯥ ꯂꯦꯡꯗꯅꯥ ꯇꯨꯝꯕꯥ ꯇꯥꯏ . ꯃꯁꯤꯒꯤ ꯃꯑꯣꯡ ꯑꯁꯤꯅꯥ ꯇꯨꯝꯕꯥ ꯑꯁꯤꯅꯥ ꯈꯣꯡꯗꯥ ꯁꯣꯀꯄꯥ ꯍꯟꯊꯍꯅꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫

ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯐꯒꯠꯂꯀꯄꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯁꯥ ꯃꯊꯟꯇꯥ ꯌꯨꯃꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯆꯪꯁꯤꯅꯕꯥ ꯄꯥꯝꯂꯒꯅꯤ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯑꯔꯨꯝꯕꯥ ꯀꯌꯥ ꯊꯝꯕꯥ ꯌꯥꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯍꯪꯕꯤꯌꯨ꯫ ꯅꯍꯥꯛꯅꯥ ꯀꯦꯟ, ꯀ꯭ꯔꯨꯆ ꯅꯠꯠꯔꯒꯥ ꯋꯥꯀꯔ ꯑꯃꯥ ꯁꯤꯖꯤꯟꯅꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯏ꯫ ꯅꯍꯥꯛꯀꯤ ꯐꯤꯖꯤꯀꯦꯜ ꯊꯦꯔꯥꯄꯤꯁ꯭ꯠ ꯑꯗꯨꯅꯥ ꯃꯈꯣꯌꯗꯨ ꯀꯔꯝꯅꯥ ꯁꯤꯖꯤꯟꯅꯒꯗꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯇꯥꯛꯀꯅꯤ꯫

ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯋꯥꯐꯃꯗꯤ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯁꯣꯀꯄꯥ ꯌꯥꯗꯅꯕꯥ ꯆꯦꯀꯁꯤꯅꯕꯅꯤ! ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯁꯣꯀꯄꯥ ꯇꯥꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯐꯤꯖꯤꯀꯦꯜ ꯐꯤꯚꯃꯗꯥ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯁꯣꯀꯄꯥ ꯍꯟꯊꯍꯟꯅꯕꯥ, ꯊꯕꯀꯁꯤꯡ ꯑꯁꯤ ꯇꯧꯕꯤꯌꯨ:

• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯁꯣꯌꯐꯝ ꯑꯃꯁꯨꯡ ꯕꯥꯊꯔꯨꯝ ꯑꯗꯨ ꯃꯊꯛꯇꯥ ꯂꯩꯔꯕꯗꯤ, ꯃꯇꯝ ꯈꯔꯒꯤ ꯑꯣꯏꯅꯥ ꯁꯨꯕꯥ ꯌꯥꯕꯥ ꯃꯐꯝ ꯑꯃꯥ ꯑꯃꯁꯨꯡ ꯃꯈꯥꯗꯥ ꯄꯣꯔꯇꯦꯕꯜ ꯀꯃꯣꯗ ꯑꯃꯥ ꯁꯦꯝꯃꯨ꯫ ꯃꯇꯧ ꯑꯁꯨꯝꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯊꯣꯉꯅꯥꯑꯣꯗꯥ ꯂꯥꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯆꯠꯄꯥ ꯃꯊꯧ ꯇꯥꯔꯣꯏ꯫
• ꯅꯍꯥꯛꯅꯥ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯁꯣꯀꯄꯥ ꯌꯥꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ, ꯍꯥꯌꯕꯗꯤ ꯐ꯭ꯂꯣꯔꯗꯥ ꯂꯩꯕꯥ ꯋꯥꯏꯔꯁꯤꯡ ꯅꯠꯠꯔꯒꯥ ꯑꯄꯤꯀꯄꯥ ꯔꯨꯒꯁꯤꯡ ꯑꯁꯤ ꯂꯧꯊꯣꯀꯎ꯫
• ꯕꯥꯊꯔꯨꯃꯗꯥ, ꯕꯥꯊꯔꯨꯝ ꯅꯠꯠꯔꯒꯥ ꯁꯣꯔꯣꯛꯇꯥ ꯅꯠꯠꯔꯒꯥ ꯇꯣꯏꯂꯦꯠꯀꯤ ꯃꯅꯥꯛꯇꯥ ꯍꯦꯟꯗꯔꯦꯂꯁꯤꯡ ꯊꯝꯃꯨ꯫
• ꯁ꯭ꯇꯦꯖꯁꯤꯡꯒꯤ ꯅꯥꯀꯜ ꯑꯅꯤꯃꯛꯇꯥ ꯍꯦꯟꯗꯔꯦꯂꯁꯤꯡ ꯏꯅꯁ꯭ꯇꯣꯜ ꯇꯧ꯫
• ꯃꯩ ꯍꯦꯟꯅꯥ ꯍꯥꯄꯆꯤꯟꯗꯨꯅꯥ ꯅꯠꯠꯔꯒꯥ ꯍꯦꯟꯅꯥ ꯃꯌꯦꯛ ꯁꯦꯡꯕꯥ ꯕꯜꯕꯁꯤꯡ ꯁꯤꯖꯤꯟꯅꯗꯨꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯌꯨꯝ ꯑꯗꯨ ꯐꯖꯅꯥ ꯃꯩ ꯊꯥꯗꯣꯀꯎ꯫
• ꯅꯍꯥꯛꯅꯥ ꯌꯥꯝꯅꯥ ꯇꯣꯏꯅꯥ ꯁꯤꯖꯤꯟꯅꯔꯤꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ ꯑꯗꯨ ꯂꯧꯅꯕꯒꯤꯗꯃꯛ ꯆꯦꯌꯥꯔ ꯑꯃꯗꯥ ꯆꯦꯅꯕꯥ ꯃꯊꯧ ꯇꯥꯗꯅꯥ ꯌꯧꯕꯥ ꯌꯥꯕꯥ ꯀꯦꯕꯤꯅꯦꯠꯁꯤꯡꯗꯥ ꯊꯝꯃꯨ꯫
• ꯕꯥꯊꯔꯨꯃꯒꯤ ꯐ꯭ꯂꯣꯔꯗꯥ ꯅꯟ-ꯁ꯭ꯂꯤꯞ ꯃꯦꯇꯁꯤꯡ ꯊꯝꯃꯨ꯫

ꯑꯁꯣꯀꯄꯥ ꯊꯣꯡꯅꯥꯎ ꯑꯃꯥ ꯐꯒꯠꯍꯅꯕꯗꯥ ꯃꯇꯝ ꯀꯌꯥ ꯆꯪꯕꯒꯦ?

ꯃꯄꯨꯡꯐꯥꯅꯥ ꯐꯒꯠꯂꯀꯄꯗꯥ ꯊꯥ ꯃꯔꯤꯗꯒꯤ ꯶ ꯐꯥꯎꯕꯥ ꯆꯪꯕꯥ ꯌꯥꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯐ꯭ꯔꯦꯀꯆꯔꯒꯤ ꯃꯑꯣꯡ-ꯃꯇꯧ, ꯅꯍꯥꯛꯀꯤ ꯆꯍꯤ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯑꯄꯨꯅꯕꯥ ꯍꯀꯁꯦꯂꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ ꯍꯦꯟꯅꯥ ꯁꯥꯡꯅꯥ ꯆꯪꯂꯀꯄꯥ ꯌꯥꯏ꯫

ꯀꯔꯤꯒꯤ ꯐꯒꯠꯂꯀꯄꯗꯥ ꯃꯇꯝ ꯌꯥꯝꯅꯥ ꯆꯪꯂꯤꯕꯅꯣ? ꯃꯔꯃꯗꯤ ꯁꯣꯀꯄꯥ ꯐꯦꯃꯔ ꯑꯃꯅꯥ ꯃꯍꯧꯁꯥꯒꯤ ꯑꯣꯏꯕꯥ ꯍꯤꯡꯕꯒꯤ ꯊꯧꯑꯣꯡ ꯑꯃꯗꯥ ꯆꯠꯂꯤ꯫ ꯃꯁꯤꯒꯤ ꯁ꯭ꯇꯦꯖ ꯀꯌꯥ ꯂꯩ: ꯱.

• ꯅꯨꯃꯤꯠ ꯱-꯵ ꯐꯥꯑꯣꯕꯥ: ꯱.ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯒꯤ ꯁꯔꯨ ꯇꯥꯡ ꯑꯗꯨ ꯁꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯃꯗꯨꯕꯨ ꯏꯒꯤ ꯁꯞꯂꯥꯏ ꯇꯧꯔꯤꯕꯥ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯂꯁꯤꯡꯁꯨ ꯁꯣꯀꯏ꯫ ꯁꯣꯀꯍꯜꯂꯕꯥ ꯏꯒꯤ ꯈꯣꯡꯖꯦꯂꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯐ꯭ꯔꯦꯀꯆꯔꯒꯤ ꯃꯐꯝ ꯑꯗꯨꯗꯥ ``ꯍꯦꯃꯦꯇꯣꯃꯥ,'' ꯏꯒꯤ ꯈꯣꯡꯖꯦꯜ ꯑꯃꯥ ꯊꯣꯀꯍꯜꯂꯤ꯫ ꯕ꯭ꯂꯗ ꯀ꯭ꯂꯣꯠ ꯑꯁꯤꯅꯥ ꯃꯇꯝ ꯈꯔꯒꯤ ꯑꯣꯏꯕꯥ ꯐ꯭ꯔꯦꯃꯋꯥꯔꯛ ꯑꯃꯥ ꯑꯣꯏꯅꯥ ꯊꯕꯛ ꯇꯧꯏ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯁꯔꯨ ꯑꯗꯨ ꯐꯒꯠꯍꯅꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫ ꯅꯍꯥꯛꯀꯤ ꯏꯝꯝꯌꯨꯟ ꯁꯤꯁ꯭ꯇꯦꯃꯅꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯑꯁꯤꯒꯤ ꯄꯥꯎꯈꯨꯝ ꯄꯤꯗꯨꯅꯥ, ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯕꯥ ꯇꯤꯁꯨꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯍꯤꯡꯕꯗꯥ ꯊꯧꯅꯥ ꯍꯥꯞꯂꯤꯕꯥ ꯁꯦꯂꯁꯤꯡ ꯑꯗꯨ ꯑꯦꯛꯇꯤꯚ ꯑꯣꯏꯍꯜꯂꯤ꯫
• ꯅꯨꯃꯤꯠ 5-11ꯅꯤ: ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡꯅꯥ ꯁꯣꯀꯍꯜꯂꯕꯥ ꯁꯔꯨ ꯇꯥꯡꯁꯤꯡꯒꯤ ꯃꯔꯛꯇꯥ ꯀꯥꯔꯇꯤꯂꯦꯖꯒꯤ ꯅꯦꯇꯋꯥꯔꯛ ꯑꯃꯥ ꯁꯦꯝꯕꯥ ꯍꯧꯏ꯫ ꯃꯁꯤꯅꯥ ꯑꯅꯧꯕꯥ ꯁꯔꯨ (woven bone) ꯁꯦꯝꯕꯥ ꯍꯧꯏ꯫
• ꯅꯨꯃꯤꯠ ꯱꯱-꯲꯸ꯅꯤ: ꯀꯥꯔꯇꯤꯂꯦꯖ ꯅꯦꯇꯋꯥꯔꯛ ꯑꯗꯨ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯁꯣꯀꯆꯤꯜꯂꯀꯏ꯫ ꯑꯅꯧꯕꯥ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯂꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯍꯦꯟꯅꯥ ꯑꯅꯧꯕꯥ ꯁꯔꯨꯁꯤꯡ ꯁꯦꯃꯒꯠꯂꯤ꯫ ꯊꯧꯑꯣꯡ ꯑꯁꯤ ꯃꯈꯥ ꯆꯠꯊꯔꯀꯄꯒꯥ ꯂꯣꯌꯅꯅꯥ, ꯅꯍꯥꯛꯀꯤ ꯁꯔꯨ ꯑꯗꯨ ꯃꯁꯥ ꯃꯊꯟꯇꯥ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯁꯦꯃꯖꯤꯅꯕꯥ ꯍꯧꯔꯀꯏ, ꯑꯃꯁꯨꯡ ꯑꯔꯣꯏꯕꯗꯥ ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯕꯥ ꯁꯔꯨ ꯑꯣꯏꯔꯀꯏ꯫ ꯃꯁꯤꯒꯤ ꯊꯧꯑꯣꯡ ꯄꯨꯝꯅꯃꯛ ꯑꯁꯤ ꯊꯥ ꯀꯌꯥ, ꯆꯍꯤ ꯀꯌꯥ ꯐꯥꯑꯣꯕꯥ ꯆꯪꯂꯝꯕꯥ ꯌꯥꯏ꯫

ꯑꯩꯅꯥ ꯀꯔꯝꯅꯥ ꯐꯤꯖꯤꯀꯦꯜ ꯐꯤꯚꯃꯗꯥ ꯁꯣꯀꯍꯅꯕꯥ ꯌꯥꯕꯒꯦ?

ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯋꯥꯐꯝ ꯑꯃꯅꯥ, ꯐꯤꯖꯤꯀꯦꯜ ꯐꯤꯚꯃꯗꯥ ꯁꯣꯀꯍꯜꯂꯕꯥ ꯊꯧꯗꯣꯀꯁꯤꯡ (ꯀꯥꯔ ꯑꯦꯛꯁꯤꯗꯦꯟꯇ, ꯁꯣꯀꯄꯥ, ꯒꯨꯂꯤ ꯊꯥꯕꯥ) ꯑꯁꯤ ꯑꯩꯈꯣꯌꯗꯥ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯗꯥ ꯑꯋꯥꯕꯥ ꯑꯣꯏ꯫

ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯆꯍꯤ ꯌꯥꯃꯈꯠꯂꯀꯄꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯁꯣꯀꯄꯒꯤ ꯔꯤꯁ꯭ꯛ ꯍꯦꯟꯅꯥ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯅꯥ (ꯃꯔꯨꯑꯣꯏꯅꯥ ꯆꯍꯤ 65ꯒꯤ ꯃꯊꯛꯇꯥ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡ) ꯆꯦꯀꯁꯤꯅꯒꯗꯕꯅꯤ꯫ ꯃꯈꯣꯌ ꯑꯁꯤ ꯁꯨꯞꯅꯒꯤ ꯂꯦꯡꯗꯅꯥ ꯂꯩꯔꯤꯉꯩꯗꯥ ꯐꯥꯎꯕꯥ ꯁꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯆꯍꯤ 65ꯒꯤ ꯃꯊꯛꯇꯥ ꯂꯩꯔꯕꯗꯤ ꯑꯃꯁꯨꯡ ꯁꯣꯀꯄꯒꯤ ꯑꯀꯤꯕꯥ ꯂꯩꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯁꯣꯀꯍꯅꯕꯒꯤ ꯔꯤꯁ꯭ꯀꯀꯤ ꯃꯇꯥꯡꯗꯥ ꯍꯪꯕꯤꯌꯨ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯇꯨꯝꯕꯥ ꯌꯥꯗꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯋꯥꯈꯜ ꯃꯥꯡꯍꯅꯕꯥ ꯌꯥꯕꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ ꯂꯧꯔꯕꯗꯤ ꯃꯍꯥꯀꯄꯨ ꯈꯪꯍꯜꯂꯨ꯫ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯔꯤꯁ꯭ꯛ ꯍꯟꯊꯍꯟꯅꯕꯥ ꯇꯧꯕꯥ ꯌꯥꯕꯥ ꯊꯕꯀꯁꯤꯡ ꯔꯤꯀꯃꯦꯟꯗ ꯇꯧꯕꯥ ꯌꯥꯏ꯫ ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯃꯈꯣꯌꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯃꯄꯥꯉ꯭ꯒꯜ ꯀꯅꯈꯠꯍꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯕꯦꯂꯦꯟꯁ ꯐꯒꯠꯍꯅꯕꯥ ꯉꯝꯕꯥ ꯑꯦꯛꯁꯔꯁꯥꯏꯖꯁꯤꯡ ꯔꯤꯀꯃꯦꯟꯗ ꯇꯧꯕꯥ ꯌꯥꯏ꯫

ꯑꯩꯒꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯀꯗꯥꯏꯗꯥ ꯆꯠꯀꯗꯒꯦ?

ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯎꯅꯅꯕꯥ ꯐꯣꯂꯣ-ꯑꯞ ꯑꯦꯄꯣꯏꯟꯇꯃꯦꯟꯇꯁꯤꯡ ꯄꯤꯒꯅꯤ, ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯅꯨꯃꯤꯠ ꯑꯅꯤꯗꯒꯤ ꯍꯧꯗꯨꯅꯥ, ꯑꯃꯁꯨꯡ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯅꯨꯃꯤꯠ ꯈꯔꯅꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ꯫ ꯑꯦꯄꯣꯏꯟꯇꯃꯦꯟꯇ ꯈꯨꯗꯤꯡꯃꯛꯇꯥ ꯁꯣꯌꯗꯅꯥ ꯆꯠꯀꯗꯕꯅꯤ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯔꯤꯀꯣꯚꯔꯤꯒꯤ ꯄ꯭ꯔꯣꯒ꯭ꯔꯦꯁꯀꯤ ꯃꯇꯥꯡꯗꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯀꯛꯅꯕꯥ ꯏꯁꯨꯁꯤꯡ, ꯍꯥꯌꯕꯗꯤ ꯄꯦꯟ ꯃꯦꯅꯦꯖꯃꯦꯟꯇꯒꯨꯝꯕꯥ ꯋꯥꯍꯪꯁꯤꯡ ꯂꯩꯔꯕꯗꯤ, ꯃꯈꯣꯌꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯁꯣꯌꯗꯅꯥ ꯋꯥꯔꯤ ꯁꯥꯕꯤꯌꯨ꯫

ꯑꯩꯅꯥ ꯀꯗꯥꯏꯗꯥ ꯑꯩꯒꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯐꯣꯟ ꯇꯧꯒꯗꯒꯦ ꯅꯠꯠꯔꯒꯥ ꯑꯦꯃꯔꯖꯦꯟꯁꯤ ꯃꯦꯗꯤꯀꯦꯜ ꯑꯦꯇꯦꯟꯁꯟ ꯂꯧꯒꯗꯒꯦ?

ꯁꯣꯀꯍꯜꯂꯕꯥ ꯍꯤꯄꯐꯝ ꯑꯃꯗꯒꯤ ꯐꯒꯠꯂꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯍꯦꯛꯇꯥ ꯂꯩꯔꯕꯗꯤ , ꯈꯨꯗꯛꯇꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯀꯧꯕꯤꯌꯨ ꯅꯠꯠꯔꯒꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯅꯀꯄꯥ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯂꯗꯥ ꯆꯠꯄꯤꯌꯨ:

• ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯗꯥ ꯋꯥꯕꯥ (chest pain)꯫
• ꯌꯨꯔꯤꯟ ꯇꯧꯕꯥ ꯃꯇꯃꯗꯥ ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯌꯨꯔꯤꯟ ꯅꯠꯠꯔꯒꯥ ꯃꯩꯅꯥ ꯆꯥꯀꯄꯥ꯫
• ꯁꯔꯖꯤꯀꯦꯜ ꯑꯣꯏꯕꯥ ꯑꯁꯣꯀꯄꯥ ꯑꯗꯨꯒꯤ ꯑꯀꯣꯌꯕꯗꯥ ꯂꯥꯎꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯅꯥꯕꯥ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ꯫
• ꯑꯁꯣꯀꯄꯥ ꯑꯗꯨꯗꯒꯤ ꯄꯨꯁꯒꯨꯝꯕꯥ ꯐ꯭ꯂꯨꯏꯗ ꯑꯃꯥ ꯂꯤꯛ ꯑꯣꯏꯔꯀꯏ꯫
• ꯈꯣꯡ ꯑꯃꯗꯥ ꯁꯣꯛ-ꯄꯅꯕꯥ (ꯃꯁꯤ ꯂꯥꯂꯍꯧꯕꯥ ꯑꯃꯁꯨꯡ ꯑꯇꯣꯞꯄꯥ ꯈꯣꯡ ꯑꯗꯨꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯅꯨꯡꯉꯥꯏꯕꯥ ꯐꯥꯎꯒꯅꯤ)꯫
• ꯀꯥꯜꯐ ꯄꯦꯏꯟ ꯇꯧꯕꯥ꯫
• 101°F (38.3°C)ꯒꯤ ꯃꯊꯛꯇꯥ ꯂꯩꯕꯥ ꯂꯥꯏꯍꯧ꯫
• ꯅꯍꯥꯛꯀꯤ ꯄꯦꯟ ꯀꯤꯂꯔꯁꯤꯡꯅꯥ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯥ ꯉꯃꯗꯕꯥ ꯑꯅꯥꯕꯥ ꯑꯃꯅꯤ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯈꯪꯍꯧꯗꯅꯥ ꯈꯣꯡꯅꯥ ꯆꯠꯄꯗꯥ ꯑꯋꯥꯕꯥ ꯑꯣꯏꯔꯕꯗꯤ ꯅꯠꯠꯔꯒꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯑꯔꯨꯝꯕꯥ ꯊꯝꯂꯕꯗꯤ꯫

ꯑꯩꯒꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯀꯔꯤ ꯋꯥꯍꯪ ꯍꯪꯒꯗꯒꯦ?

ꯍꯤꯄꯐꯝ (broken hip) ꯍꯥꯌꯕꯁꯤ ꯑꯦꯃꯔꯖꯦꯟꯁꯤ ꯃꯦꯗꯤꯀꯦꯜ ꯇ꯭ꯔꯤꯠꯃꯦꯟꯇ ꯃꯊꯧ ꯇꯥꯕꯥ ꯁꯥꯊꯤꯕꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯑꯃꯅꯤ꯫ ꯅꯍꯥꯛꯀꯤ ꯈꯨꯗꯛꯀꯤ ꯑꯣꯏꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯁꯤꯡ ꯑꯗꯨ ꯌꯦꯡꯁꯤꯜꯂꯕꯥ ꯃꯇꯨꯡꯗꯥ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯋꯥꯍꯪꯁꯤꯡ ꯑꯁꯤ ꯍꯪꯕꯁꯤ ꯑꯐꯕꯥ ꯋꯥꯈꯜꯂꯣꯟ ꯑꯃꯅꯤ:

• ꯑꯩꯅꯥ ꯍꯦꯟꯅꯥ ꯁꯔꯖꯔꯤ ꯇꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯕ꯭ꯔꯥ?
• ꯑꯩꯅꯥ ꯀꯗꯥꯏꯗꯒꯤ ꯐꯤꯖꯤꯀꯦꯜ ꯊꯦꯔꯥꯄꯤ ꯍꯧꯒꯗꯒꯦ?
• ꯑꯩꯒꯤ ꯑꯅꯥꯕꯥ ꯑꯗꯨ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯅꯕꯥ ꯑꯩꯅꯥ ꯀꯔꯤ ꯇꯧꯒꯗꯒꯦ?
• ꯑꯩꯅꯥ ꯀꯗꯥꯌꯗꯥ ꯈꯣꯡꯅꯥ ꯆꯠꯄꯥ ꯉꯃꯒꯅꯤ?
• ꯑꯩꯒꯤ ꯑꯣꯐꯤꯁ ꯅꯠꯔꯒꯥ ꯊꯕꯛ ꯃꯐꯃꯗꯥ ꯀꯗꯥꯌꯗꯥ ꯍꯜꯂꯀꯄꯥ ꯉꯃꯒꯅꯤ?

ꯁꯣꯀꯍꯜꯂꯕꯥ ꯐꯤꯖꯤꯀꯦꯜ ꯐꯤꯚꯃꯁꯤꯡ ꯑꯗꯨ ꯂꯥꯏꯌꯦꯡꯂꯕꯥ ꯃꯇꯨꯡ ꯆꯍꯤ ꯀꯌꯥꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯍꯧꯖꯤꯀꯁꯨ ꯑꯅꯥꯕꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯕ꯭ꯔꯥ?

ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯋꯥꯐꯝ ꯑꯃꯅꯥ, ꯍꯣꯌ꯫ ꯅꯍꯥꯛꯀꯤ ꯐ꯭ꯔꯦꯀꯆꯔ ꯑꯗꯨ ꯐꯒꯠꯂꯕꯥ ꯃꯇꯨꯡꯗꯁꯨ, ꯅꯍꯥꯛꯅꯥ ꯃꯐꯝ ꯑꯗꯨꯗꯥ ꯑꯅꯥꯕꯥ ꯂꯩꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯕꯨ ꯀ꯭ꯔꯣꯅꯤꯛ ꯄꯦꯏꯟ ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ ꯃꯁꯤꯒꯤ ꯃꯔꯝ ꯀꯌꯥ ꯂꯩꯕꯥ ꯌꯥꯏ:

• ꯑꯔꯤꯕꯥ ꯐ꯭ꯔꯦꯀꯆꯔ ꯅꯠꯠꯔꯒꯥ ꯂꯥꯏꯌꯦꯡ ꯑꯗꯨꯗꯒꯤ ꯅꯔꯚꯁꯤꯡꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯄꯥ꯫
• ꯁ꯭ꯀꯥꯔ ꯇꯤꯁ꯭ꯌꯨ꯫
• ꯑꯔꯊ꯭ꯔꯥꯏꯇꯤꯁꯅꯥ ꯅꯥꯕꯥ꯫
• ꯅꯟ-ꯌꯨꯅꯤꯌꯟ ꯍꯥꯌꯕꯁꯤ ꯁꯔꯨꯁꯤꯡ ꯑꯁꯤ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯄꯨꯟꯅꯥ ꯆꯠꯃꯤꯟꯅꯗꯕꯥ ꯍꯥꯌꯕꯁꯤꯅꯤ꯫

ꯃꯁꯤꯒꯤ ꯀ꯭ꯔꯣꯅꯤꯛ ꯄꯦꯏꯟ ꯑꯁꯤ ꯐꯤꯖꯤꯀꯦꯜ ꯊꯦꯔꯥꯄꯤ, ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯑꯃꯁꯨꯡ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡꯅꯥ ꯍꯟꯊꯍꯅꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯂꯧꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫

ꯅꯤꯡꯁꯤꯡꯒꯗꯕꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯋꯥꯐꯃꯁꯤꯡ (ꯇꯦꯛ-ꯍꯣꯝ ꯃꯦꯁꯦꯖ)

ꯑꯣꯀꯦ, ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯑꯩꯈꯣꯌꯅꯥ ꯁꯣꯀꯄꯥ ꯐꯦꯃꯔ ꯑꯃꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯌꯥꯝꯅꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯈ꯭ꯔꯦ꯫ ꯅꯤꯡꯁꯤꯡꯕꯤꯌꯨ, ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯑꯁꯣꯀꯄꯥ ꯑꯃꯥ ꯑꯣꯏꯔꯕꯁꯨ, ꯃꯇꯤꯛ ꯆꯥꯕꯥ ꯃꯦꯗꯤꯀꯦꯜ ꯀꯦꯌꯔ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯀꯠꯊꯣꯀꯄꯥ ꯂꯩꯔꯕꯗꯤ ꯅꯍꯥꯛ ꯐꯖꯅꯥ ꯐꯒꯠꯂꯀꯄꯥ ꯉꯃꯒꯅꯤ꯫

ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯐꯒꯠꯂꯀꯄꯒꯤ ꯊꯣꯏꯗꯣꯀꯄꯥ ꯃꯑꯣꯡꯗꯤ ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯏꯅꯁ꯭ꯠꯔꯛꯁꯅꯁꯤꯡ ꯆꯨꯝꯅꯥ ꯉꯥꯛꯅꯥ ꯆꯠꯄꯥ, ꯌꯥꯊꯪꯒꯤ ꯃꯇꯨꯡ ꯏꯟꯅꯥ ꯐꯤꯖꯤꯀꯦꯜ ꯊꯦꯔꯥꯄꯤ ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯇꯧꯕꯥ ꯑꯃꯁꯨꯡ ꯑꯁꯥꯑꯣꯕꯥ ꯄꯣꯀꯄꯥ ꯑꯁꯤꯅꯤ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯃꯈꯥ ꯇꯥꯕꯥ ꯋꯥꯍꯪꯁꯤꯡ ꯂꯩꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯕꯗꯥ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯂꯩꯔꯣꯏꯗꯕꯅꯤ꯫ ꯑꯗꯣꯝ ꯑꯊꯨꯕꯥ ꯃꯇꯃꯗꯥ ꯐꯒꯠꯂꯀꯄꯒꯤ ꯌꯥꯏꯐ-ꯄꯥꯎꯖꯦꯜ ꯄꯤꯖꯔꯤ!

` ꯐꯤꯃꯔ, ꯁꯣꯀꯄꯥ ꯐꯦꯃꯔ, ꯊꯤꯡꯖꯤꯅꯕꯥ, ꯐ꯭ꯔꯦꯀꯆꯔ, ꯁꯔꯖꯔꯤ, ꯔꯤꯀꯣꯚꯔꯤ, ꯐꯤꯖꯤꯀꯦꯜ ꯊꯦꯔꯥꯄꯤ꯫