ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯑꯅꯥꯕꯒꯤ ꯑꯈꯟꯅꯕꯥ ꯍꯤꯗꯥꯛ ꯑꯃꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯈꯪꯖꯤꯅꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯁꯤꯡ (Bupivacaine; Meloxicam)

ꯅꯍꯥꯛꯅꯥ ꯑꯣꯄꯔꯦꯁꯟ ꯑꯃꯥ ꯄꯥꯡꯊꯣꯛꯅꯕꯥ ꯁꯦꯝ ꯁꯥꯔꯤꯕ꯭ꯔꯥ? ꯅꯠꯔꯒꯥ ꯍꯟꯗꯛꯇꯥ ꯑꯗꯣꯝꯅꯥ ꯑꯃꯥ ꯐꯪꯂꯕ꯭ꯔꯥ? ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯃꯤꯑꯣꯏ ꯀꯌꯥꯅꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯆꯥꯎꯕꯥ ꯑꯀꯤꯕꯥ ꯑꯁꯤ ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯊꯣꯀꯄꯥ ꯑꯅꯥꯕꯥ ꯑꯁꯤꯅꯤ꯫ ꯃꯁꯤꯒꯤ ꯑꯅꯥꯕꯥ ꯑꯁꯤꯅꯥ ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯕꯥ ꯊꯕꯛ ꯇꯧꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯈꯣꯡꯅꯥ ꯆꯠꯄꯥ ꯐꯥꯎꯕꯗꯥ ꯑꯋꯥꯕꯥ ꯄꯤꯕꯥ ꯃꯇꯝ ꯂꯩ꯫ ꯑꯗꯨꯅꯥ, ꯑꯥꯔꯇꯤꯀꯜ ꯑꯁꯤꯗꯥ ꯑꯩꯈꯣꯌꯅꯥ ꯑꯈꯟꯅꯕꯥ ꯍꯤꯗꯥꯛ ꯂꯥꯡꯊꯛꯀꯤ ꯁꯣꯂꯨꯁꯟ ꯑꯃꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯉꯥꯡꯂꯤ ꯃꯗꯨꯅꯥ ꯑꯗꯣꯃꯗꯥ ꯑꯋꯥꯕꯥ ꯑꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯍꯦꯟꯅꯥ ꯐꯕꯥ ꯀꯟꯠꯔꯣꯜ ꯑꯃꯥ ꯄꯤꯔꯤ, ꯈꯔꯥ ꯇꯣꯉꯥꯅꯕꯥ ꯃꯑꯣꯡꯗꯥ꯫

ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯃꯁꯤꯒꯤ ꯍꯤꯗꯥꯛ ꯑꯁꯤ ꯀꯔꯤꯅꯣ?

ꯃꯁꯤ ꯍꯤꯗꯥꯛ ꯑꯅꯤꯒꯤ ꯀꯝꯕꯤꯅꯦꯁꯟ ꯑꯃꯅꯤ꯫ ꯃꯗꯨꯗꯤ ꯕꯨꯄꯤꯚꯥꯀꯦꯟ ꯑꯃꯁꯨꯡ ꯃꯦꯂꯣꯛꯁꯤꯀꯃꯅꯤ . ꯑꯅꯤꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯀꯔꯤ ꯑꯣꯏꯔꯤꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯁꯤ꯫

• ꯕꯨꯄꯤꯚꯥꯀꯦꯟ : ꯃꯁꯤ ꯅꯍꯥꯛꯅꯥ ꯈꯣꯡ ꯍꯥꯝꯂꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯐꯪꯂꯤꯕꯥ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯍꯤꯗꯥꯛ ꯑꯗꯨꯒꯥ ꯃꯥꯟꯅꯩ꯫ ꯑꯗꯨꯕꯨ ꯁꯔꯖꯔꯤ ꯇꯧꯔꯤꯕꯥ ꯃꯐꯝ ꯑꯗꯨꯗꯥ ꯏꯅꯖꯦꯀꯁꯟ ꯇꯧꯕꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯃꯐꯝ ꯑꯗꯨ ꯃꯄꯨꯡ ꯐꯥꯅꯥ ꯁꯣꯀꯍꯜꯂꯤ꯫ ꯃꯁꯤꯅꯥ ꯑꯅꯥꯕꯥ ꯑꯗꯨ ꯕ꯭ꯔꯦꯅꯗꯥ ꯆꯠꯄꯥ ꯊꯤꯡꯏ, ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯅꯥ ꯑꯅꯥꯕꯥ ꯑꯗꯨ ꯌꯥꯝꯅꯥ ꯍꯟꯊꯅꯥ ꯐꯥꯎꯏ꯫ ꯑꯩꯈꯣꯌꯅꯥ ꯃꯁꯤꯕꯨ " ꯂꯣꯀꯦꯜ ꯑꯦꯅꯥꯁ꯭ꯇꯦꯇꯤꯛ " ꯍꯥꯌꯅꯥ ꯀꯧꯏ ꯫

• ꯃꯦꯂꯣꯛꯁꯤꯀꯦꯝ: ꯃꯁꯤ NSAID (Nonsteroidal Anti-inflammatory Drug) ꯀꯧꯕꯥ ꯄꯦꯏꯅꯀꯤꯂꯥꯔ ꯀꯥꯡꯂꯨꯄꯀꯤ ꯃꯅꯨꯡ ꯆꯜꯂꯤ꯫ ꯃꯁꯤꯅꯥ ꯁꯔꯖꯔꯤꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯁꯣꯛ-ꯄꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯁꯟ ꯍꯟꯊꯍꯟꯗꯨꯅꯥ ꯊꯕꯛ ꯇꯧꯏ꯫ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯁꯟ ꯍꯟꯊꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯑꯅꯥꯕꯥ ꯑꯗꯨꯁꯨ ꯑꯆꯧꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯏ꯫

ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯍꯤꯗꯥꯛ ꯑꯅꯤꯒꯤ ꯀꯝꯕꯤꯅꯦꯁꯟ ꯑꯁꯤꯅꯥ ꯁꯔꯖꯤꯀꯦꯜ ꯑꯣꯏꯕꯥ ꯑꯁꯣꯀꯄꯥ ꯑꯗꯨꯒꯤ ꯑꯀꯣꯌꯕꯗꯥ ꯂꯩꯕꯥ ꯃꯐꯝ ꯑꯗꯨ ꯁꯣꯀꯍꯜꯂꯤ ꯑꯃꯁꯨꯡ ꯑꯅꯥꯕꯥ ꯑꯗꯨ ꯍꯟꯊꯍꯜꯂꯤ, ꯑꯗꯨꯒꯥ ꯑꯁꯣꯀꯄꯥ ꯑꯗꯨꯗꯥ ꯁꯣꯀꯄꯥ ꯍꯟꯊꯍꯜꯂꯤ ꯑꯃꯁꯨꯡ ꯑꯅꯥꯕꯥ ꯑꯗꯨ ꯃꯈꯥ ꯇꯥꯅꯥ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯏ꯫ ꯃꯁꯤ ꯍꯤꯗꯥꯛ ꯅꯠꯠꯔꯒꯥ ꯚꯦꯅꯝ ꯑꯃꯗꯥ ꯏꯅꯖꯦꯀꯁꯟ ꯇꯧꯕꯥ ꯅꯠꯇꯦ꯫ ꯃꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯁꯔꯖꯔꯤꯅꯥ ꯁꯔꯖꯔꯤꯒꯤ ꯑꯔꯣꯏꯕꯗꯥ ꯁꯔꯖꯤꯀꯦꯜ ꯑꯣꯏꯕꯥ ꯑꯁꯣꯀꯄꯥ ꯑꯗꯨꯗꯥ ꯊꯥꯕꯥ ꯂꯤꯛꯌꯨꯏꯗ ꯑꯃꯅꯤ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯃꯁꯤꯒꯤ ꯏꯐꯦꯛꯇꯁꯤꯡ ꯑꯁꯤ ꯅꯨꯃꯤꯠ ꯀꯌꯥꯅꯤ ꯂꯩꯕꯥ ꯌꯥꯏ꯫

ꯍꯤꯗꯥꯛ ꯑꯁꯤ ꯄꯤꯗ꯭ꯔꯤꯉꯩꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯈꯪꯍꯅꯒꯗꯕꯥ ꯋꯥꯐꯃꯁꯤꯡ:

ꯑꯣꯀꯦ, ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫ ꯍꯤꯗꯥꯛ ꯑꯁꯤ ꯅꯍꯥꯛꯀꯤꯗꯃꯛꯇꯥ ꯆꯨꯝꯃꯤ ꯍꯥꯌꯕꯁꯤ ꯂꯦꯄꯊꯣꯛꯠꯔꯤꯉꯩ ꯃꯃꯥꯡꯗꯥ, ꯗꯣꯛꯇꯔ ꯑꯗꯨꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯁꯦꯂꯒꯤ ꯐꯤꯚꯃꯒꯤ ꯃꯄꯨꯡꯐꯥꯕꯥ ꯑꯀꯨꯞꯄꯥ ꯃꯔꯣꯂꯁꯤꯡ ꯑꯗꯨ ꯈꯪꯖꯤꯅꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫ ꯃꯔꯃꯗꯤ, ꯑꯀꯛꯅꯕꯥ ꯃꯦꯗꯤꯀꯦꯜ ꯀꯟꯗꯤꯁꯟ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯅꯥ ꯍꯤꯗꯥꯛ ꯑꯁꯤ ꯄꯤꯕꯗꯥ ꯌꯥꯝꯅꯥ ꯆꯦꯀꯁꯤꯅꯕꯥ ꯃꯊꯧ ꯇꯥꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯍꯦꯛꯇꯕꯨ ꯂꯩꯔꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯗꯣꯛꯇꯔꯗꯥ ꯁꯣꯌꯗꯅꯥ ꯈꯪꯍꯅꯒꯗꯕꯅꯤ꯫

ꯍꯤꯗꯥꯛ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯁꯤꯖꯤꯟꯅꯒꯅꯤ ꯑꯃꯁꯨꯡ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯩꯅꯥ ꯑꯣꯚꯔꯗꯣꯖ ꯇꯧꯔꯕꯗꯤ ꯀꯔꯤ ꯇꯧꯒꯗꯒꯦ?

ꯃꯁꯤ ꯌꯨꯃꯗꯥ ꯄꯨꯔꯀꯄꯥ ꯌꯥꯕꯥ ꯍꯤꯗꯥꯛ ꯅꯠꯇꯦ꯫ ꯃꯁꯤ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯜ ꯅꯠꯔꯒꯥ ꯀ꯭ꯂꯤꯅꯤꯛ ꯑꯃꯗꯥ ꯁꯔꯖꯔꯤ ꯑꯃꯈꯛꯇꯅꯥ ꯁꯤꯖꯤꯟꯅꯕꯥ ꯍꯤꯗꯥꯛ ꯑꯃꯅꯤ . ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯗꯣꯖ ꯑꯃꯥ ꯃꯥꯡꯈꯤꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯃꯁꯤ ꯀꯔꯝꯅꯥ ꯁꯤꯖꯤꯟꯅꯒꯗꯒꯦ ꯍꯥꯌꯕꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯃꯊꯧ ꯇꯥꯗꯦ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯍꯤꯗꯥꯛ ꯑꯁꯤ ꯂꯧꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯑꯆꯝꯕꯥ ꯂꯥꯏꯑꯣꯡ ꯑꯃꯠꯇꯥ ꯎꯕꯥ ꯐꯪꯂꯕꯗꯤ, ꯃꯁꯤ ꯗ꯭ꯔꯒ ꯏꯅꯇꯣꯂꯦꯟꯁ ꯅꯠꯠꯔꯒꯥ ꯑꯣꯚꯔꯗꯣꯖꯒꯤ ꯈꯨꯗꯝ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯋꯥꯐꯝ ꯑꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯆꯤꯡꯅꯕꯥ ꯂꯩꯔꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯈꯨꯗꯛꯇꯥ ꯀꯣꯂꯝꯕꯣ ꯅꯦꯁꯅꯦꯜ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯂꯗꯥ ꯂꯩꯕꯥ ꯅꯦꯁꯅꯦꯜ ꯄꯣꯏꯖꯅꯁ ꯏꯅꯐꯣꯔꯃꯦꯁꯟ ꯁꯦꯟꯇꯔꯗꯥ ꯐꯣꯟ ꯇꯧꯒꯗꯕꯅꯤ ꯅꯠꯠꯔꯒꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯅꯀꯄꯥ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯂꯒꯤ ꯏꯃꯔꯖꯦꯟꯁꯤ ꯗꯤꯄꯥꯔꯇꯃꯦꯟꯇ (ETU) ꯗꯥ ꯆꯠꯀꯗꯕꯅꯤ꯫

ꯑꯇꯣꯞꯄꯥ ꯀꯔꯤ ꯍꯤꯗꯥꯀꯁꯤꯡꯅꯥ ꯍꯤꯗꯥꯛ ꯑꯁꯤꯒꯥ ꯏꯟꯇꯔꯦꯛꯇ ꯇꯧꯕꯥ ꯌꯥꯕꯒꯦ?

ꯍꯤꯗꯥꯛ ꯑꯁꯤꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯧꯔꯤꯕꯥ ꯑꯇꯩ ꯍꯤꯗꯥꯀꯁꯤꯡꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯁꯣꯀꯍꯜꯂꯀꯄꯥ ꯌꯥꯏ, ꯃꯗꯨꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯁꯥꯏꯗ ꯏꯐꯦꯛꯇꯀꯤ ꯔꯤꯁ꯭ꯛ ꯍꯦꯅꯒꯠꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯚꯤꯇꯥꯃꯤꯟ ꯑꯃꯁꯨꯡ ꯍꯔꯕꯦꯜ ꯍꯤꯗꯥꯀꯁꯤꯡ ꯌꯥꯎꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯧꯔꯤꯕꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛ ꯄꯨꯝꯅꯃꯛꯀꯤ ꯃꯇꯥꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯈꯪꯍꯅꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯍꯦꯛꯇꯕꯨ ꯂꯧꯔꯕꯗꯤ ꯃꯔꯨꯑꯣꯏꯅꯥ ꯆꯦꯀꯁꯤꯅꯒꯗꯕꯅꯤ:

ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯍꯤꯗꯥꯛ ꯑꯁꯤ ꯂꯩꯕꯥ ꯃꯇꯃꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯆꯦꯀꯁꯤꯅꯒꯗꯕꯥ ꯋꯥꯐꯃꯁꯤꯡ꯫

ꯍꯤꯗꯥꯛ ꯑꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯌꯥꯑꯣꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ, ꯅꯍꯥꯛꯅꯥ ꯆꯦꯀꯁꯤꯅꯒꯗꯕꯥ ꯋꯥꯐꯝ ꯈꯔꯥ ꯂꯩ꯫

ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ (numbness)ꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯑꯦꯛꯁꯤꯗꯦꯟꯇꯁꯤꯡꯗꯒꯤ ꯆꯦꯀꯁꯤꯅꯒꯗꯕꯅꯤ꯫

ꯁꯔꯖꯤꯀꯦꯜ ꯑꯦꯔꯤꯌꯥ ꯑꯗꯨ ꯁꯣꯟꯊꯔꯀꯄꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯃꯐꯃꯗꯨꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯑꯃꯠꯇꯥ ꯐꯥꯑꯣꯔꯣꯏ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯐꯝ ꯑꯗꯨꯗꯥ ꯁꯣꯛ-ꯄꯅꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯁꯣꯀꯍꯟꯗꯅꯕꯥ ꯆꯦꯀꯁꯤꯅꯒꯗꯕꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯑꯃꯠꯇꯥ ꯐꯥꯎꯗ꯭ꯔꯕꯁꯨ, ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯑꯁꯣꯀꯄꯥ ꯑꯗꯨ ꯐꯒꯠꯍꯅꯕꯗꯥ ꯑꯀꯥꯌꯕꯥ ꯄꯤꯕꯥ ꯌꯥꯏ꯫

ꯑꯇꯣꯞꯄꯥ ꯄꯦꯏꯅꯀꯤꯂꯥꯔꯁꯤꯡ (NSAIDs) ꯁꯤꯖꯤꯟꯅꯗꯅꯕꯥ ꯍꯣꯠꯅꯒꯗꯕꯅꯤ꯫

ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫ ꯍꯤꯗꯥꯛ ꯑꯁꯤꯗꯥ ꯍꯥꯟꯅꯅꯥ ꯃꯦꯂꯣꯛꯁꯤꯀꯦꯝ ꯀꯧꯕꯥ ꯑꯦꯟ.ꯑꯦꯁ.ꯑꯦ.ꯑꯥꯏ.ꯗꯤ. ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯍꯪꯗꯅꯥ ꯀꯩꯗꯧꯉꯩꯗꯥ ꯐꯥꯔꯃꯥꯁꯤꯗꯒꯤ ꯏꯕꯨꯞꯔꯣꯐꯦꯟ, ꯅꯦꯞꯔꯣꯛꯁꯦꯟ, ꯗꯤꯛꯂꯣꯐꯦꯅꯥꯀꯒꯨꯝꯕꯥ ꯑꯇꯩ NSAIDꯁꯤꯡ ꯂꯧꯔꯣꯏꯗꯕꯅꯤ꯫ ꯃꯁꯤ ꯇꯧꯕꯅꯥ ꯁ꯭ꯇꯣꯃꯥꯛ ꯕ꯭ꯂꯤꯗꯤꯡ ꯑꯃꯁꯨꯡ ꯀꯤꯗꯅꯤꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯄꯥ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯁꯥꯊꯤꯕꯥ ꯁꯥꯏꯗ ꯏꯐꯦꯛꯇꯁꯤꯡꯒꯤ ꯔꯤꯁ꯭ꯛ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯍꯦꯅꯒꯠꯍꯜꯂꯤ꯫

ꯁ꯭ꯇꯣꯃꯥꯛ ꯕ꯭ꯂꯤꯗꯤꯡ ꯑꯃꯁꯨꯡ ꯑꯁꯣꯛ-ꯑꯄꯅꯁꯤꯡꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯆꯦꯀꯁꯤꯅꯒꯗꯕꯅꯤ꯫

NSAIDꯁꯤꯡꯅꯥ ꯁ꯭ꯇꯣꯃꯥꯀꯀꯤ ꯄ꯭ꯔꯣꯇꯦꯛꯇꯤꯚ ꯂꯥꯏꯅꯤꯡꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯈꯣꯡꯗꯥ ꯑꯅꯥꯕꯥ, ꯕ꯭ꯂꯦꯛ ꯁ꯭ꯇꯣꯜ, ꯀꯣꯐꯤ ꯒ꯭ꯔꯥꯎꯟꯗꯒꯨꯝꯕꯥ ꯎꯅꯁꯥ, ꯅꯠꯠꯔꯒꯥ ꯏ ꯊꯣꯀꯄꯥ ꯑꯁꯤꯅꯆꯤꯡꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯂꯩꯔꯕꯗꯤ, ꯃꯁꯤ ꯈꯣꯡꯗꯥ ꯏ ꯊꯣꯀꯄꯒꯤ ꯈꯨꯗꯝ ꯑꯃꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯁꯤ ꯑꯣꯏꯔꯕꯗꯤ ꯈꯨꯗꯛꯇꯥ ꯗꯣꯛꯇꯔ ꯑꯃꯒꯥ ꯇꯥꯟꯅꯧ .

ꯍꯥꯔꯠ ꯑꯦꯇꯦꯛ ꯑꯃꯁꯨꯡ ꯁ꯭ꯠꯔꯣꯀꯀꯤ ꯔꯤꯁ꯭ꯛ ꯂꯩꯕꯥ꯫

ꯑꯦꯟ.ꯑꯦꯁ.ꯑꯦ.ꯑꯥꯏ.ꯗꯤ.ꯁꯤꯡ ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯁꯤꯖꯤꯟꯅꯕꯅꯥ ꯏ ꯊꯣꯀꯄꯥ, ꯍꯥꯔꯠ ꯑꯦꯇꯦꯛ ꯑꯃꯁꯨꯡ ꯁ꯭ꯠꯔꯣꯀꯀꯤ ꯔꯤꯁ꯭ꯛ ꯈꯔꯥ ꯍꯦꯅꯒꯠꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯍꯥꯟꯅꯅꯥ ꯍꯥꯔꯇꯀꯤ ꯂꯥꯌꯅꯥ ꯂꯩꯔꯕꯗꯤ, ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯅꯥꯀꯜ ꯑꯃꯗꯥ ꯆꯦꯡ-ꯍꯋꯥꯏ, ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ, ꯅꯠꯠꯔꯒꯥ ꯁꯣꯟꯊꯕꯥ ꯑꯁꯤꯅꯆꯤꯡꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯂꯩꯔꯕꯗꯤ ꯈꯨꯗꯛꯇꯥ ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯃꯇꯦꯡ ꯂꯧꯒꯗꯕꯅꯤ꯫

ꯑꯣꯏꯊꯣꯀꯄꯥ ꯌꯥꯕꯥ ꯁꯥꯊꯤꯕꯥ ꯁ꯭ꯀꯤꯟ ꯔꯤꯑꯦꯛꯁꯅꯁꯤꯡ꯫

ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ, ꯃꯤꯑꯣꯏ ꯈꯔꯗꯤ ꯍꯤꯗꯥꯛ ꯑꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯁꯥꯊꯤꯕꯥ ꯑꯦꯂꯥꯔꯖꯤꯒꯤ ꯔꯤꯑꯦꯛꯁꯟ ꯂꯩꯕꯥ ꯌꯥꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯥꯏꯍꯧ, ꯍꯀꯆꯥꯡ ꯁꯣꯛ-ꯄꯅꯕꯥ, ꯂꯥꯂꯍꯧꯕꯥ, ꯈꯣꯡ ꯍꯥꯝꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯈꯣꯡ-ꯈꯨꯠ ꯁꯣꯛ-ꯄꯅꯕꯥ ꯊꯦꯡꯅꯔꯕꯗꯤ, ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯈꯨꯗꯛꯇꯥ ꯗꯣꯛꯇꯔ ꯑꯃꯒꯥ ꯇꯥꯟꯅꯧ꯫

ꯑꯣꯏꯊꯣꯀꯄꯥ ꯌꯥꯕꯥ ꯁꯥꯏꯗ ꯏꯐꯦꯛꯇꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?

ꯍꯤꯗꯥꯛ ꯑꯃꯍꯦꯛꯇꯒꯨꯝꯅꯥ, ꯃꯁꯤꯒꯤ ꯑꯃꯅꯥ ꯃꯤꯑꯣꯏ ꯈꯔꯗꯗꯤ ꯁꯥꯏꯗ ꯏꯐꯦꯛꯇ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯈꯔꯗꯤ ꯁꯤꯔꯤꯌꯁ ꯑꯣꯏ, ꯈꯔꯗꯤ ꯀꯃꯟ ꯑꯣꯏ꯫ ꯕꯨꯄꯤꯚꯥꯀꯦꯟ, ꯃꯦꯂꯣꯛꯁꯤꯀꯦꯝ, ꯁꯔꯖꯔꯤ, ꯑꯅꯥꯕꯥ, ꯄꯦꯟ ꯀꯤꯂꯔ, ꯁꯔꯖꯔꯤ, ꯁꯥꯏꯗ ꯏꯐꯦꯛꯇꯁꯤꯡ꯫