ꯁꯔꯚꯤꯀꯦꯜ ꯄꯣꯂꯤꯄꯁꯀꯤ ꯃꯇꯥꯡꯗꯥ ꯍꯦꯟꯅꯥ ꯈꯪꯖꯤꯅꯁꯤ꯫ ꯑꯩꯈꯣꯌꯅꯥ ꯃꯈꯣꯌꯕꯨ ꯀꯤꯒꯗ꯭ꯔꯥ?

ꯅꯍꯥꯛꯅꯥ ꯑꯦꯕꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯕꯥ ꯚꯦꯖꯤꯅꯦꯜ ꯕ꯭ꯂꯤꯗꯤꯡ ꯑꯃꯥ ꯊꯦꯡꯅꯔꯀꯄꯥ ꯌꯥꯏ, ꯅꯠꯠꯔꯒꯥ ꯅꯍꯥꯛꯀꯤ ꯊꯥꯒꯤ ꯃꯇꯝ ꯑꯗꯨ ꯌꯥꯝꯅꯥ ꯂꯨꯕꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯅꯍꯥꯛꯅꯥ ꯂꯥꯏꯑꯣꯡ ꯑꯃꯠꯇꯥ ꯌꯥꯎꯗꯅꯥ ꯁꯔꯚꯤꯀꯦꯜ ꯄꯣꯂꯤꯞ ꯑꯃꯥ ꯂꯩꯕꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯅꯥ ꯉꯁꯤꯗꯤ ꯁꯔꯚꯤꯀꯦꯜ ꯄꯣꯂꯤꯄꯁ ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ, ꯀꯔꯤꯒꯤꯗꯃꯛꯇꯥ ꯁꯦꯝꯂꯤꯕꯅꯣ, ꯑꯃꯁꯨꯡ ꯃꯈꯣꯌꯒꯤꯗꯃꯛꯇꯥ ꯀꯔꯤ ꯂꯥꯏꯌꯦꯡꯁꯤꯡ ꯂꯩꯕꯒꯦ ꯍꯥꯌꯕꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯁꯤ꯫

ꯁꯔꯚꯤꯀꯦꯜ ꯄꯣꯂꯤꯞ ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ? ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯂꯧꯁꯤꯅꯁꯤ!

ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯁꯔꯚꯤꯀꯦꯜ ꯄꯣꯂꯤꯄꯁꯤꯡ ꯑꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯁꯔꯚꯤꯛꯁꯀꯤ ꯃꯊꯛꯇꯥ ꯅꯠꯠꯔꯒꯥ ꯅꯍꯥꯛꯀꯤ ꯁꯔꯚꯤꯀꯦꯜ ꯀꯦꯅꯦꯂꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯁꯦꯝꯕꯥ ꯑꯄꯤꯀꯄꯥ, ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯁꯦꯝꯕꯥ ꯒ꯭ꯔꯣꯊꯁꯤꯡꯅꯤ꯫ ꯅꯍꯥꯛꯅꯥ ꯈꯪꯂꯤꯕꯃꯈꯩ, ꯁꯔꯚꯤꯛꯁ ꯍꯥꯌꯕꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯏꯎꯇꯦꯔꯥꯁ ꯑꯗꯨ ꯅꯍꯥꯛꯀꯤ ꯚꯦꯖꯤꯅꯦꯂꯒꯥ ꯁꯝꯅꯍꯜꯂꯤꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯁꯔꯨꯛ ꯑꯗꯨꯅꯤ꯫

ꯈꯟꯊꯕꯤꯌꯨ, ꯑꯩꯈꯣꯌꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯈꯣꯡꯗꯥ ꯑꯄꯤꯀꯄꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ ꯊꯦꯡꯅꯕꯒꯨꯝ, ꯅꯠꯇꯦ? ꯃꯁꯤꯒꯤ ꯄꯣꯂꯤꯞ ꯑꯁꯤ ꯃꯗꯨꯃꯛ ꯑꯣꯏꯔꯤ꯫ ꯑꯗꯨꯕꯨ ꯃꯁꯤꯒꯤ ꯑꯃꯅꯥ ꯁꯔꯚꯤꯛꯁꯇꯥ ꯂꯩ꯫ ꯁꯔꯚꯤꯀꯦꯜ ꯄꯣꯂꯤꯞ ꯑꯃꯥ ꯀꯦꯟꯁꯔ ꯑꯣꯏꯔꯀꯄꯒꯤ ꯆꯥꯡ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯅꯦꯝꯃꯤ꯫ ꯍꯥꯌꯕꯗꯤ ꯑꯌꯥꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯃꯈꯣꯌ ꯑꯁꯤ ꯑꯁꯣꯏ-ꯑꯉꯥꯝ ꯌꯥꯑꯣꯗꯕꯥ ꯑꯣꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ, ꯄꯣꯂꯤꯞ ꯈꯔꯗꯤ ꯄ꯭ꯔꯤꯀꯦꯟꯁꯔ ꯑꯣꯏꯔꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯔꯝ ꯑꯁꯤꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯥꯏꯑꯣꯡ ꯑꯃꯠꯇꯥ ꯂꯩꯔꯕꯗꯤ ꯗꯣꯛꯇꯔ ꯑꯃꯅꯥ ꯄꯣꯂꯤꯄꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯕꯨ ꯂꯧꯊꯣꯛꯅꯕꯥ ꯄꯥꯎꯇꯥꯛ ꯄꯤꯕꯥ ꯌꯥꯏ꯫

ꯁꯔꯚꯤꯀꯦꯜ ꯄꯣꯂꯤꯄꯀꯤ ꯃꯈꯂꯁꯤꯡ ꯂꯩꯕ꯭ꯔꯥ?

ꯍꯣꯌ, ꯃꯔꯨ ꯑꯣꯏꯕꯥ ꯃꯈꯜ ꯑꯅꯤ ꯂꯩ꯫ ꯃꯈꯣꯏ ꯑꯁꯤ:

• ꯑꯦꯛꯇꯣꯁꯔꯚꯤꯀꯦꯜ ꯄꯣꯂꯤꯄꯁꯤꯡ : ꯃꯈꯣꯌ ꯑꯁꯤ ꯁꯔꯚꯤꯛꯁꯀꯤ ꯁꯦꯂꯁꯤꯡꯒꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯄꯥꯟꯊꯪꯕꯥ ꯂꯦꯡ-ꯑꯣꯠꯄꯗꯥ ꯁꯦꯝꯃꯤ꯫
• ꯑꯦꯟꯗꯣꯁꯔꯚꯤꯀꯦꯜ ꯄꯣꯂꯤꯄꯁꯤꯡ (Endocervical polyps) : ꯃꯈꯣꯌ ꯑꯁꯤ ꯁꯔꯚꯤꯀꯦꯜ ꯀꯦꯅꯦꯂꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯁꯦꯃꯒꯠꯂꯀꯄꯥ ꯄꯣꯂꯤꯄꯁꯤꯡꯅꯤ꯫ ꯃꯁꯤꯒꯤ ꯃꯈꯜ ꯑꯁꯤ ꯈꯔꯥ ꯍꯦꯟꯅꯥ ꯀꯃꯟ ꯑꯣꯏ꯫

ꯁꯔꯚꯤꯀꯦꯜ ꯄꯣꯂꯤꯄꯁꯤꯡ ꯑꯁꯤ ꯀꯌꯥꯝ ꯀꯃꯟ ꯑꯣꯏꯕꯒꯦ? ꯃꯈꯣꯌꯁꯤꯡ ꯑꯁꯤ ꯀꯅꯥꯅꯥ ꯍꯦꯟꯅꯥ ꯐꯪꯂꯤꯕꯅꯣ?

ꯆꯥꯎꯔꯥꯛꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯅꯨꯄꯤꯁꯤꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ 2% ꯑꯃꯁꯨꯡ 5%ꯒꯤ ꯃꯔꯛꯇꯥ ꯁꯔꯚꯤꯀꯦꯜ ꯄꯣꯂꯤꯄꯁꯤꯡ ꯑꯁꯤ ꯊꯣꯀꯏ꯫ ꯃꯈꯣꯌ ꯑꯁꯤ ꯑꯉꯥꯡ ꯄꯣꯀꯄꯒꯤ ꯆꯍꯤ ꯂꯣꯌꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ, ꯆꯥꯎꯔꯥꯛꯅꯥ ꯆꯍꯤ 40 ꯁꯨꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯑꯃꯁꯨꯡ ꯑꯉꯥꯡ ꯑꯃꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯄꯣꯀꯄꯥ ꯃꯃꯥꯁꯤꯡꯒꯤ ꯃꯔꯛꯇꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯌꯥꯝꯅꯥ ꯎꯕꯥ ꯐꯪꯏ꯫

ꯃꯔꯨꯑꯣꯏꯕꯥ ꯋꯥꯐꯃꯗꯤ ꯁꯔꯚꯤꯀꯦꯜ ꯄꯣꯂꯤꯄꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯑꯌꯥꯝꯕꯥ ꯁꯔꯨꯛ ꯑꯁꯤ ꯀꯦꯟꯁꯔ (benign) ꯑꯣꯏꯗꯦ꯫ ꯃꯦꯂꯤꯒꯅꯦꯟꯇ ꯄꯣꯂꯤꯄꯁꯤꯡ ꯑꯁꯤ ꯄꯣꯁ꯭ꯠ-ꯃꯦꯅꯣꯄꯣꯖꯒꯤ ꯅꯨꯄꯤꯁꯤꯡꯗꯥ ꯍꯦꯟꯅꯥ ꯀꯃꯟ ꯑꯣꯏ꯫ ꯑꯗꯨꯕꯨ ꯃꯗꯨ ꯍꯧꯖꯤꯀꯁꯨ ꯀꯦꯁ ꯄꯨꯝꯅꯃꯛꯀꯤ ꯱%ꯗꯒꯤ ꯇꯥꯅꯥ ꯂꯩꯔꯤ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯑꯃꯠꯇꯥ ꯂꯩꯇꯦ꯫

ꯁꯔꯚꯤꯀꯦꯜ ꯄꯣꯂꯤꯄꯀꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ? ꯑꯗꯣꯃꯗꯁꯨ ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯅꯥ ꯌꯦꯡꯕꯤꯌꯨ꯫

ꯄꯣꯂꯤꯞ ꯑꯁꯤꯅꯥ ꯅꯥꯕꯥ ꯃꯤꯑꯣꯏ ꯀꯌꯥꯗꯥ ꯂꯥꯏꯑꯣꯡ ꯑꯃꯠꯇꯥ ꯎꯕꯥ ꯐꯪꯗꯦ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯃꯤꯑꯣꯏ ꯈꯔꯗꯗꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯊꯦꯡꯅꯔꯀꯄꯥ ꯌꯥꯏ꯫ ꯅꯍꯥꯛꯅꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯎ:

• ꯃꯤꯔꯣꯜꯂꯤꯉꯩ ꯃꯇꯃꯗꯥ ꯌꯥꯝꯅꯥ ꯋꯥꯅꯥ ꯏ ꯊꯣꯀꯄꯥ (menorrhagia)꯫ ꯃꯁꯤꯅꯥ ꯇꯥꯀꯄꯗꯤ ꯅꯍꯥꯛꯀꯤ ꯄꯤꯔꯤꯌꯗ ꯑꯗꯨ ꯅꯣꯔꯃꯦꯂꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯁꯥꯡꯅꯥ ꯂꯩ, ꯅꯠꯠꯔꯒꯥ ꯅꯍꯥꯛꯅꯥ ꯏ ꯌꯥꯝꯅꯥ ꯊꯣꯀꯏ꯫
• ꯁꯦꯛꯁꯀꯤ ꯃꯇꯨꯡꯗꯥ ꯏ ꯊꯣꯀꯄꯥ꯫
• ꯑꯆꯝꯕꯥ ꯚꯦꯖꯤꯅꯦꯜ ꯕ꯭ꯂꯤꯗꯤꯡ꯫ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯊꯥꯒꯤ ꯈꯣꯡꯀꯥꯄꯀꯤ ꯃꯔꯛꯇꯥ ꯏ ꯊꯣꯀꯄꯥ, ꯅꯠꯠꯔꯒꯥ ꯊꯥꯒꯤ ꯈꯣꯡꯀꯥꯞ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯂꯦꯄꯈ꯭ꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ (ꯃꯦꯅꯣꯄꯣꯖꯒꯤ ꯃꯇꯨꯡꯗꯥ) ꯏ ꯊꯣꯀꯄꯥ꯫
• ꯑꯁꯪꯕꯥ ꯃꯆꯨꯒꯤ ꯃꯍꯤꯛ-ꯃꯇꯥꯏ ꯂꯩꯕꯥ ꯑꯃꯁꯨꯡ ꯃꯩꯁꯥ (pus -like) ꯑꯣꯏꯕꯥ ꯑꯉꯧꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯌꯦꯔꯨꯝ ꯀꯣꯀꯐꯝ (white or yellow vaginal discharge) ꯑꯃꯥ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯄꯣꯠꯁꯛ ꯑꯃꯥ ꯂꯩꯔꯕꯗꯤ, ꯗꯣꯛꯇꯔ ꯑꯃꯒꯥ ꯇꯥꯟꯅꯗꯨꯅꯥ ꯄꯥꯎꯇꯥꯛ ꯂꯧꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯁꯣꯌꯗꯅꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯩ꯫

ꯁꯔꯚꯤꯀꯦꯜ ꯄꯣꯂꯤꯞ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯑꯣꯏꯕꯒꯦ?

ꯍꯥꯌꯔꯤꯕꯥ ꯄꯣꯂꯤꯄꯁꯤꯡ ꯑꯁꯤ ꯑꯌꯥꯝꯕꯗꯤ ꯂꯦꯡ-ꯑꯣꯠꯄꯗꯥ ꯋꯥꯕꯥ, ꯃꯤꯠꯀꯨꯞ-ꯅꯥꯍꯨꯝ ꯁꯤꯡꯅꯥ ꯂꯩꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯑꯣꯏ꯫ ꯃꯈꯣꯌ ꯑꯁꯤ ꯁꯔꯚꯤꯛꯁꯇꯒꯤ ꯊꯣꯀꯈꯤꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯎꯕꯥ ꯐꯪꯏ꯫ ꯃꯈꯣꯌ ꯑꯁꯤ ꯁꯣꯛꯅ-ꯁꯝꯅꯕꯗꯥ ꯌꯥꯝꯅꯥ ꯂꯨꯕꯥ, ꯅꯠꯠꯔꯒꯥ ꯈꯔꯥ ꯁ꯭ꯄꯣꯟꯖ ꯑꯣꯏꯕꯥ ꯐꯥꯎꯏ꯫ ꯃꯈꯣꯌ ꯑꯁꯤ ꯃꯌꯦꯛ ꯁꯦꯡꯕꯥ ꯂꯥꯜ, ꯄꯤꯀꯄꯥ-ꯃꯆꯨ ꯅꯠꯠꯔꯒꯥ ꯑꯉꯧꯕꯥ ꯃꯆꯨꯒꯤ ꯑꯣꯏꯕꯥ ꯌꯥꯏ . ꯄꯣꯂꯤꯞ ꯈꯔꯗꯤ ꯁꯥꯡꯕꯥ, ꯑꯄꯤꯀꯄꯥ ꯈꯣꯡꯎꯞ (pedicle) ꯑꯃꯥ ꯂꯩ꯫ ꯃꯈꯣꯌ ꯑꯁꯤ ꯃꯍꯧꯁꯥꯅꯥ ꯏꯟꯆꯤ ꯇꯪꯈꯥꯌꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯄꯤꯀꯄꯥ ꯑꯣꯏ, ꯑꯗꯨꯕꯨ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯍꯦꯟꯅꯥ ꯆꯥꯎꯈꯠꯄꯥ ꯌꯥꯏ꯫ ꯃꯈꯣꯌꯗꯨ ꯁꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯏ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫

ꯀꯔꯤꯒꯤꯗꯃꯛꯇꯥ ꯁꯔꯚꯤꯀꯦꯜ ꯄꯣꯂꯤꯄꯁꯤꯡ ꯑꯁꯤ ꯁꯦꯃꯒꯠꯂꯤꯕꯅꯣ? ꯃꯔꯃꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?

ꯃꯁꯤꯒꯤ ꯑꯀꯛꯅꯕꯥ ꯃꯔꯝ ꯑꯁꯤ ꯊꯤꯖꯤꯅꯕꯥ ꯑꯁꯤ ꯑꯔꯨꯕꯥ ꯑꯣꯏꯔꯕꯁꯨ, ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯔꯝ ꯀꯌꯥ ꯑꯃꯥ ꯑꯣꯏꯅꯥ ꯈꯟꯅꯔꯤꯕꯥ ꯑꯁꯤ:

• ꯁꯔꯚꯤꯛꯁꯀꯤ ꯀ꯭ꯔꯣꯅꯤꯛ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯁꯟ ꯂꯩꯕꯥ꯫ ꯃꯁꯤꯅꯥ ꯇꯥꯀꯄꯗꯤ ꯁꯔꯚꯤꯛꯁ ꯑꯁꯤ ꯂꯦꯞꯇꯅꯥ ꯏꯅꯐꯦꯛꯁꯟ ꯂꯩꯔꯀꯏ ꯑꯃꯁꯨꯡ ꯁꯣꯟꯊꯔꯀꯏ꯫
• ꯁꯦꯛꯁꯨꯑꯦꯜꯂꯤ ꯇ꯭ꯔꯥꯟꯁꯃꯤꯇꯦꯗ ꯏꯅꯐꯦꯛꯁꯅꯁꯤꯡ ( STIs ), ꯍꯥꯌꯕꯗꯤ ꯀ꯭ꯂꯃꯤꯗꯤꯌꯥ ꯑꯃꯁꯨꯡ ꯒꯣꯅꯣꯔꯤꯌꯥ ꯑꯁꯤꯅꯆꯤꯡꯕꯥ꯫
• ꯌꯦꯔꯨꯝ ꯏꯅꯐꯦꯛꯁꯟ ꯅꯠꯠꯔꯒꯥ ꯕꯦꯛꯇꯦꯔꯤꯌꯥ ꯏꯅꯐꯦꯛꯁꯅꯁꯤꯡꯅꯁꯨ ꯁꯔꯚꯤꯁꯥꯏꯇꯤꯁ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫
• ꯍꯣꯔꯃꯣꯟ ꯏꯁ꯭ꯠꯔꯣꯖꯦꯅꯒꯤ ꯆꯥꯡ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ꯫ ꯃꯁꯤꯒꯤ ꯍꯣꯔꯃꯣꯟ ꯑꯁꯤꯅꯥ ꯅꯨꯄꯤꯒꯤ ꯔꯤꯞꯔꯗꯛꯇꯤꯚ ꯁꯤꯁ꯭ꯇꯦꯃꯒꯤ ꯊꯕꯛ ꯊꯧꯔꯃꯁꯤꯡꯗꯥ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯅꯥ ꯁꯣꯀꯍꯜꯂꯤ꯫

ꯗꯣꯛꯇꯔ ꯑꯃꯅꯥ ꯃꯁꯤ ꯀꯔꯝꯅꯥ ꯂꯥꯌꯦꯡꯒꯅꯤ? (ꯗꯥꯏꯒ꯭ꯅꯣꯁꯤꯁ) ꯑꯃꯁꯨꯡ ꯑꯦꯟ.

ꯃꯍꯧꯁꯥꯅꯥ ꯁꯔꯚꯤꯀꯦꯜ ꯄꯣꯂꯤꯞ ꯑꯁꯤ ꯄꯦꯂꯚꯤꯛ ꯑꯦꯀꯖꯥꯝ ꯅꯠꯠꯔꯒꯥ ꯄꯦꯞ ꯇꯦꯁ꯭ꯠ ꯇꯧꯕꯥ ꯃꯇꯃꯗꯥ ꯎꯕꯥ ꯐꯪꯏ . ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯚꯦꯖꯤꯅꯦꯂꯗꯥ ꯁ꯭ꯄꯦꯛꯌꯨꯂꯝ ꯀꯧꯕꯥ ꯗꯤꯚꯥꯏꯁ ꯑꯃꯥ ꯍꯥꯄꯆꯤꯟꯗꯨꯅꯥ ꯁꯔꯚꯤꯛꯁ ꯑꯗꯨ ꯃꯌꯦꯛ ꯁꯦꯡꯅꯥ ꯎꯕꯥ ꯐꯪꯍꯜꯂꯤ꯫ ꯃꯗꯨꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯄꯣꯂꯤꯞ ꯑꯃꯥ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯕꯥ ꯉꯃꯒꯅꯤ꯫ ꯁ꯭ꯄꯦꯛꯌꯨꯂꯝ ꯍꯥꯌꯕꯁꯤ ꯁꯔꯚꯤꯛꯁ ꯑꯗꯨ ꯃꯌꯦꯛ ꯁꯦꯡꯅꯥ ꯎꯕꯥ ꯉꯝꯅꯕꯥ ꯚꯦꯖꯤꯅꯦꯂꯒꯤ ꯋꯥꯂꯁꯤꯡ ꯑꯗꯨ ꯇꯣꯈꯥꯌꯅꯥ ꯊꯝꯅꯕꯥ ꯁꯤꯖꯤꯟꯅꯕꯥ ꯈꯨꯠꯂꯥꯏ ꯑꯃꯅꯤ꯫

ꯑꯗꯣꯝꯅꯥ ꯑꯇꯣꯞꯄꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯃꯠꯇꯥ ꯇꯦꯁ꯭ꯠ ꯇꯧꯔꯤꯕ꯭ꯔꯥ?

ꯑꯌꯥꯝꯕꯥ ꯀꯦꯁꯁꯤꯡꯗꯗꯤ, ꯁ꯭ꯄꯦꯛꯌꯨꯂꯝ ꯑꯦꯀꯖꯥꯃꯤꯅꯦꯁꯟ ꯑꯃꯅꯥ ꯄꯣꯂꯤꯞ ꯑꯃꯥ ꯈꯪꯗꯣꯀꯄꯥ ꯉꯝꯃꯤ꯫ ꯃꯈꯥ ꯇꯥꯕꯥ ꯇꯦꯁ꯭ꯠ ꯑꯃꯠꯇꯥ ꯃꯊꯧ ꯇꯥꯗꯦ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ ꯗꯣꯛꯇꯔꯅꯥ ꯄꯣꯂꯤꯞ ꯑꯁꯤ ꯂꯧꯊꯣꯛꯇꯨꯅꯥ ꯀꯦꯟꯁꯔ ꯁꯦꯂꯁꯤꯡ ꯌꯦꯡꯁꯤꯟꯅꯕꯥ ꯂꯦꯕ ꯑꯃꯗꯥ ꯊꯥꯒꯅꯤ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯗꯣꯛꯇꯔꯅꯥ ꯑꯂꯠꯔꯥꯁꯥꯎꯟꯗ ꯁꯤꯖꯤꯟꯅꯗꯨꯅꯥ ꯁꯔꯚꯤꯀꯦꯜ ꯄꯣꯂꯤꯄꯀꯤ ꯑꯀꯣꯌꯕꯗꯥ ꯂꯩꯕꯥ ꯃꯐꯝ ꯑꯗꯨ ꯌꯦꯡꯕꯁꯨ ꯌꯥꯏ꯫ ꯕꯥꯏꯑꯣꯞꯁꯤ ꯍꯥꯌꯕꯁꯤ ꯁꯔꯚꯤꯀꯦꯜ ꯇꯤꯁꯨꯒꯤ ꯑꯄꯤꯀꯄꯥ ꯁꯔꯨꯛ ꯑꯃꯥ ꯂꯧꯕꯥ ꯇꯦꯁ꯭ꯠ ꯑꯃꯅꯤ꯫ꯃꯁꯤꯅꯥ ꯄꯣꯂꯤꯞ ꯑꯁꯤ ꯀꯦꯟꯁꯔ ꯑꯣꯏꯕꯔꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯣꯏꯗꯕꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯂꯦꯄꯊꯣꯀꯏ꯫ ꯑꯗꯨꯕꯨ ꯑꯩꯍꯥꯛꯅꯥ ꯃꯃꯥꯡꯗꯥ ꯍꯥꯌꯈꯤꯕꯒꯨꯝꯅꯥ ꯁꯔꯚꯤꯀꯦꯜ ꯄꯣꯂꯤꯞ ꯑꯃꯥ ꯀꯦꯟꯁꯔ ꯑꯣꯏꯔꯀꯄꯒꯤ ꯆꯥꯡ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯅꯦꯝꯃꯤ꯫

ꯑꯩꯅꯥ ꯄꯣꯂꯤꯞ ꯑꯁꯤ ꯂꯧꯊꯣꯀꯄꯥ ꯃꯊꯧ ꯇꯥꯕ꯭ꯔꯥ?

ꯍꯣꯌ, ꯑꯌꯥꯝꯕꯥ ꯀꯦꯁꯁꯤꯡꯗꯗꯤ, ꯄꯣꯂꯤꯞ ꯑꯃꯥ ꯂꯧꯊꯣꯀꯄꯥ ꯍꯥꯌꯕꯁꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯁꯥꯐꯕꯥ ꯑꯣꯄꯁꯅꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯏ ꯊꯣꯀꯄꯒꯨꯝꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯂꯩꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯚꯦꯖꯤꯅꯦꯜ ꯑꯦꯀꯖꯥꯃꯤꯅꯦꯁꯟ ꯑꯃꯒꯤ ꯃꯅꯨꯡꯗꯥ (i.e., ꯃꯗꯨ ꯊꯦꯡꯅꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ) ꯄꯣꯂꯤꯞ ꯑꯗꯨ ꯂꯧꯊꯣꯛꯀꯅꯤ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯄꯣꯂꯤꯞ ꯑꯗꯨ ꯌꯥꯝꯅꯥ ꯆꯥꯎꯔꯕꯗꯤ, ꯑꯃꯁꯨꯡ ꯊꯣꯀꯄꯥ ꯌꯥꯕꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ ꯂꯩꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯑꯣꯄꯔꯦꯁꯟ ꯔꯨꯝ ꯑꯃꯗꯥ ꯊꯥꯗꯨꯅꯥ ꯃꯗꯨ ꯂꯧꯊꯣꯛꯅꯕꯥ ꯑꯦꯅꯥꯁ꯭ꯇꯦꯁꯤꯌꯥ ꯄꯤꯕꯥ ꯌꯥꯏ꯫

ꯂꯧꯊꯣꯀꯈꯤꯕꯥ ꯄꯣꯂꯤꯞ ꯑꯁꯤ ꯀꯦꯟꯁꯔꯒꯤ ꯈꯨꯗꯝ ꯑꯃꯠꯇꯥ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯥ ꯈꯉꯗꯣꯛꯅꯕꯥ ꯇꯦꯁ꯭ꯠ ꯇꯧꯅꯕꯥ ꯂꯦꯕꯇꯥ ꯁꯣꯏꯗꯅꯥ ꯊꯥꯒꯅꯤ꯫

ꯁꯔꯚꯤꯀꯦꯜ ꯄꯣꯂꯤꯞ ꯑꯃꯥ ꯀꯔꯝꯅꯥ ꯂꯧꯊꯣꯛꯀꯅꯤ? (ꯄꯣꯂꯤꯄꯦꯛꯇꯣꯃꯤ) ꯑꯃꯁꯨꯡ ꯑꯦꯟ.

ꯄꯣꯂꯤꯞ ꯑꯃꯥ ꯂꯧꯊꯣꯀꯄꯕꯨ ꯄꯣꯂꯤꯄꯦꯛꯇꯣꯃꯤ ꯍꯥꯌꯅꯥ ꯀꯧꯏ . ꯃꯁꯤ ꯃꯍꯧꯁꯥꯅꯥ ꯗꯣꯛꯇꯔꯒꯤ ꯑꯣꯐꯤꯁꯇꯥ, ꯚꯦꯖꯤꯅꯦꯜ ꯑꯦꯀꯖꯥꯃꯤꯅꯦꯁꯟ ꯑꯃꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯇꯧꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯄꯣꯂꯤꯞ ꯑꯗꯨ ꯌꯥꯝꯅꯥ ꯆꯥꯎꯔꯕꯗꯤ, ꯃꯁꯤ ꯑꯦꯅꯥꯁ꯭ꯇꯦꯁꯤꯌꯥꯒꯤ ꯃꯈꯥꯗꯥ ꯑꯣꯄꯔꯦꯁꯟ ꯔꯨꯝ ꯑꯃꯗꯥ ꯇꯧꯏ꯫

ꯑꯄꯤꯀꯄꯥ ꯁꯔꯚꯤꯀꯦꯜ ꯄꯣꯂꯤꯄꯁꯤꯡ ꯑꯁꯤ ꯇ꯭ꯔꯦꯛꯁꯟ ꯗꯤꯚꯥꯏꯁ ꯀꯧꯕꯥ ꯐꯣꯔꯁꯦꯄꯁꯒꯨꯝꯕꯥ ꯇꯦꯛꯅꯤꯛ ꯑꯃꯥ ꯁꯤꯖꯤꯟꯅꯗꯨꯅꯥ ꯂꯧꯊꯣꯀꯏ꯫ ꯃꯁꯤ ꯑꯦꯅꯥꯁ꯭ꯇꯦꯁꯤꯌꯥꯒꯤ ꯃꯈꯥꯗꯥ ꯇꯧꯗꯦ, ꯑꯃꯁꯨꯡ ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯑꯃꯁꯨꯡ ꯑꯋꯥꯕꯥ ꯂꯩꯇꯕꯥ ꯊꯧꯑꯣꯡ ꯑꯃꯅꯤ꯫

ꯑꯗꯨꯕꯨ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯄꯣꯂꯤꯞ ꯑꯗꯨꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯧꯈꯠꯄꯥ ꯌꯥꯕꯥ ꯁ꯭ꯇꯣꯜ ꯑꯃꯥ ꯂꯩꯠꯔꯕꯗꯤ, ꯅꯠꯠꯔꯒꯥ ꯄꯣꯂꯤꯞ ꯑꯗꯨ ꯌꯥꯝꯅꯥ ꯆꯥꯎꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ LEEP (Loop Electrosurgical Excision Procedure) ꯀꯧꯕꯥ ꯄ꯭ꯔꯣꯁꯤꯗ꯭ꯌꯨꯑꯣꯔ ꯑꯃꯥ ꯁꯤꯖꯤꯟꯅꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯗꯥ ꯄꯣꯂꯤꯞ ꯑꯗꯨ ꯑꯁꯥꯕꯥ ꯋꯥꯏꯔꯞ ꯂꯨꯞ ꯑꯃꯅꯥ ꯁꯔꯚꯤꯛꯁꯀꯤ ꯃꯊꯛꯇꯥ ꯃꯩ ꯊꯥꯗꯣꯀꯄꯅꯤ꯫ LEEP ꯄ꯭ꯔꯣꯁꯤꯗ꯭ꯌꯨꯑꯣꯔ ꯑꯗꯨ ꯄꯥꯡꯊꯣꯛꯠꯔꯤꯉꯩ ꯃꯃꯥꯡꯗꯥ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯁꯔꯚꯤꯛꯁ (anesthetic) ꯑꯗꯨ ꯁꯣꯀꯍꯅꯒꯅꯤ꯫

ꯄꯣꯂꯤꯞ ꯑꯃꯥ ꯂꯧꯊꯣꯛꯂꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯟ ꯂꯩꯕ꯭ꯔꯥ?

ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯇꯣꯏꯅꯥ ꯊꯣꯀꯏ, ꯑꯗꯨꯕꯨ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯊꯣꯀꯄꯥ ꯀꯦꯁꯁꯤꯡꯗꯗꯤ, ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯑꯁꯤ ꯊꯣꯀꯄꯥ ꯌꯥꯏ:

• ꯃꯍꯤꯛ ꯄꯛꯄ.
• ꯌꯥꯝꯅꯥ ꯍꯦꯟꯅꯥ ꯏ ꯊꯣꯀꯄꯥ꯫
• ꯏꯎꯇꯦꯔꯥꯏꯟ ꯄꯔꯐꯣꯔꯦꯁꯟ (ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯇꯣꯏꯅꯥ ꯊꯣꯀꯄꯥ)

ꯄꯣꯂꯤꯞ ꯑꯃꯥ ꯂꯧꯊꯣꯛꯂꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯐꯒꯠꯂꯀꯄꯗꯥ ꯃꯇꯝ ꯀꯌꯥ ꯆꯪꯕꯒꯦ?

ꯄꯣꯂꯤꯞ ꯑꯃꯥ ꯂꯧꯊꯣꯀꯈ꯭ꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ, ꯅꯍꯥꯛꯅꯥ ꯃꯌꯥꯏ ꯑꯣꯏꯕꯥ ꯀ꯭ꯔꯦꯝꯄ ꯑꯃꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯏ . ꯃꯤꯑꯣꯏ ꯀꯌꯥꯗꯁꯨ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯏ ꯊꯣꯀꯄꯥ ꯈꯔꯥ ꯊꯦꯡꯅꯔꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯁꯤ ꯄꯦꯔꯥꯁꯤꯇꯥꯃꯣꯜ ꯅꯠꯠꯔꯒꯥ ꯏꯕꯨꯞꯔꯣꯐꯦꯅꯒꯨꯝꯕꯥ ꯄꯦꯟ ꯀꯤꯂꯥꯔ ꯑꯃꯥ ꯂꯧꯕꯅꯥ ꯀꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯅꯍꯥꯛꯅꯥ ꯌꯥꯃꯗ꯭ꯔꯕꯗꯥ ꯅꯨꯃꯤꯠ ꯑꯅꯤꯅꯤ, ꯅꯠꯠꯔꯒꯥ ꯏ ꯊꯣꯀꯄꯥ ꯑꯗꯨ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯊꯤꯡꯖꯤꯜꯂꯛꯠꯔꯤꯐꯥꯎꯕꯥ ꯁꯦꯛꯁ ꯇꯧꯕꯥ ꯑꯃꯁꯨꯡ ꯇꯦꯝꯄꯅꯁꯤꯡ ꯁꯤꯖꯤꯟꯅꯔꯣꯏꯗꯕꯅꯤ꯫ ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯇꯥꯟꯅꯧ꯫

ꯄꯣꯂꯤꯞ ꯑꯃꯥ ꯂꯧꯊꯣꯀꯄꯒꯤ ꯁꯥꯏꯗ ꯏꯐꯦꯛꯇꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?

ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯁꯥꯏꯗ ꯏꯐꯦꯛꯇꯁꯤꯡꯗꯤ ꯏ ꯊꯣꯀꯄꯥ ꯈꯔꯥ ꯑꯃꯁꯨꯡ ꯃꯁꯥ ꯃꯊꯟꯇꯥ ꯁꯣꯀꯄꯥ ꯑꯁꯤꯅꯤ꯫ ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯅꯨꯃꯤꯠ ꯈꯔꯅꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯍꯟꯊꯔꯛꯀꯅꯤ꯫ ꯄꯣꯂꯤꯞ ꯑꯃꯥ ꯂꯧꯊꯣꯀꯄꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯑꯃꯁꯨꯡ ꯁꯥꯐꯕꯥ ꯊꯧꯑꯣꯡ ꯑꯃꯅꯤ꯫ ꯑꯆꯧꯕꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯇꯣꯏꯅꯥ ꯊꯣꯀꯏ꯫ ꯄꯣꯂꯤꯞ ꯑꯗꯨ ꯂꯧꯊꯣꯛꯂꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯅꯨꯃꯤꯠ ꯑꯃꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯅꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯅꯣꯔꯃꯦꯜ ꯑꯦꯛꯇꯤꯚꯤꯇꯤꯁꯤꯡ ꯑꯗꯨ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯍꯧꯕꯥ ꯉꯃꯒꯗꯕꯅꯤ꯫

ꯁꯔꯚꯤꯀꯦꯜ ꯄꯣꯂꯤꯄꯁꯤꯡ ꯑꯁꯤ ꯁꯦꯝꯕꯥ ꯍꯟꯊꯍꯅꯕꯥ ꯉꯃꯒꯗ꯭ꯔꯥ?

ꯁꯔꯚꯤꯀꯦꯜ ꯄꯣꯂꯤꯄꯁꯤꯡ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯊꯤꯡꯕꯗꯥ ꯑꯋꯥꯕꯥ ꯑꯣꯏꯔꯤ ꯃꯔꯃꯗꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯃꯔꯝ ꯈꯔꯗꯤ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯥ ꯉꯃꯗꯦ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯅꯍꯥꯛꯀꯤ ꯏꯅꯐꯦꯛꯁꯅꯒꯤ ꯔꯤꯁ꯭ꯛ ꯍꯟꯊꯍꯟꯅꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯇꯧꯕꯥ ꯌꯥꯕꯥ ꯊꯕꯛ ꯀꯌꯥ ꯂꯩ꯫ ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯁꯦꯐ ꯁꯦꯛꯁ (ꯀꯟꯗꯣꯝ ꯑꯃꯥ ꯁꯤꯖꯤꯟꯅꯗꯨꯅꯥ) ꯄ꯭ꯔꯦꯛꯇꯤꯁ ꯇꯧꯕꯥ꯫

ꯑꯗꯨꯕꯨ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯥ ꯋꯥꯐꯃꯗꯤ ꯒꯥꯏꯅꯣꯀꯣꯂꯣꯖꯤꯁ꯭ꯠ ꯑꯃꯒꯥ ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯚꯦꯖꯤꯅꯦꯜ ꯑꯦꯀꯖꯥꯝ ꯑꯃꯁꯨꯡ ꯄꯦꯞ ꯇꯦꯁ꯭ꯠ ꯇꯧꯕꯅꯤ꯫ ꯃꯗꯨꯒꯤ ꯃꯑꯣꯡ ꯑꯗꯨꯗꯥ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯄꯣꯂꯤꯄꯁꯤꯡ ꯑꯁꯤ ꯂꯩꯔꯕꯗꯤ, ꯃꯈꯣꯌꯗꯨ ꯂꯥꯏꯑꯣꯡ ꯎꯠꯠꯔꯤꯉꯩ ꯃꯃꯥꯡꯗꯥ ꯊꯤꯕꯥ ꯑꯃꯁꯨꯡ ꯂꯥꯏꯌꯦꯡꯕꯥ ꯌꯥꯏ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯩꯉꯣꯟꯗꯥ ꯁꯔꯚꯤꯀꯦꯜ ꯄꯣꯂꯤꯞ ꯂꯩꯔꯦ ꯍꯥꯌꯅꯥ ꯍꯥꯌꯔꯛꯂꯕꯗꯤ ꯑꯩꯅꯥ ꯂꯥꯡꯇꯛꯅꯒꯗ꯭ꯔꯥ?

ꯇꯁꯦꯡꯕꯗꯤ, ꯑꯌꯥꯝꯕꯥ ꯁꯔꯚꯤꯀꯦꯜ ꯄꯣꯂꯤꯄꯁꯤꯡ ꯑꯁꯤ ꯕꯦꯅꯤꯐꯤꯁꯔꯤ ꯑꯣꯏ ꯑꯃꯁꯨꯡ ꯐꯖꯅꯥ ꯂꯧꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯈꯣꯌꯅꯥ ꯃꯊꯧ ꯇꯥꯔꯦ ꯍꯥꯌꯅꯥ ꯂꯧꯔꯕꯈꯛꯇꯗꯥ ꯗꯣꯛꯇꯔꯅꯥ ꯂꯧꯊꯣꯛꯅꯕꯥ ꯄꯥꯎꯇꯥꯛ ꯄꯤꯒꯅꯤ꯫ ꯁꯔꯚꯤꯀꯦꯜ ꯄꯣꯂꯤꯞ ꯑꯃꯥ ꯂꯩꯕꯅꯥ ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯆꯠꯄꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯟ ꯑꯃꯠꯇꯥ ꯊꯣꯀꯍꯟꯗꯦ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯃꯊꯧ ꯇꯥꯗꯅꯥ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯂꯩꯔꯣꯏꯗꯕꯅꯤ꯫

ꯃꯁꯤꯒꯤ ꯄꯣꯂꯤꯞ ꯑꯁꯤ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ ꯌꯥꯒꯗ꯭ꯔꯥ?

ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯂꯥꯀꯄꯥ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯊꯦꯡꯅꯩ꯫ ꯑꯗꯨꯕꯨ ꯃꯁꯤ ꯑꯣꯏꯊꯣꯀꯄꯥ ꯉꯃꯗꯕꯥ ꯅꯠꯇꯦ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯃꯥꯡꯗꯥ ꯁꯔꯚꯤꯀꯦꯜ ꯄꯣꯂꯤꯄꯁꯤꯡ ꯂꯩꯔꯕꯗꯤ, ꯃꯈꯣꯌꯗꯨ ꯍꯜꯂꯛꯅꯕꯒꯤ ꯑꯄꯤꯀꯄꯥ ꯆꯥꯡ ꯂꯩꯕꯥ ꯌꯥꯏ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯩꯅꯥ ꯃꯤꯔꯣꯜꯂꯤꯉꯩ ꯃꯇꯃꯗꯥ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯊꯧꯗꯣꯛ ꯑꯃꯥ ꯊꯣꯛꯂꯕꯗꯤ ꯑꯩꯅꯥ ꯀꯔꯤ ꯇꯧꯒꯗꯒꯦ?

ꯃꯤꯔꯣꯜꯂꯤꯉꯩ ꯃꯇꯃꯗꯥ ꯁꯔꯚꯤꯀꯦꯜ ꯄꯣꯂꯤꯄꯁꯤꯡ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯀꯃꯟ ꯑꯣꯏꯗꯦ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯈꯣꯌ ꯑꯁꯤ ꯊꯣꯛꯂꯕꯗꯤ, ꯃꯈꯣꯌ ꯑꯁꯤ ꯃꯍꯧꯁꯥꯅꯥ ꯑꯄꯤꯀꯄꯥ ꯑꯣꯏ ꯑꯃꯁꯨꯡ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯊꯣꯀꯍꯟꯗꯦ꯫ ꯗꯣꯛꯇꯔ ꯈꯔꯅꯥ ꯃꯤꯔꯣꯜꯂꯤꯉꯩ ꯃꯇꯃꯗꯥ ꯁꯔꯚꯤꯀꯦꯜ ꯄꯣꯂꯤꯄꯁꯤꯡ ꯂꯧꯊꯣꯛꯅꯕꯥ ꯄꯥꯎꯇꯥꯛ ꯄꯤꯔꯤ, ꯑꯗꯨꯕꯨ ꯑꯇꯩ ꯈꯔꯅꯥ ꯇꯧꯗꯦ꯫ ꯃꯁꯤꯒꯤ ꯃꯔꯃꯗꯤ ꯃꯁꯤꯅꯥ ꯁꯔꯚꯤꯛꯁꯇꯥ ꯑꯄꯥꯝꯕꯥ ꯏꯐꯦꯛꯇꯁꯤꯡ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯤꯔꯣꯜꯂꯤꯉꯩ ꯃꯇꯃꯗꯥ ꯄꯣꯂꯤꯞ ꯑꯃꯥ ꯂꯥꯀꯄꯥ ꯇꯥꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯃꯗꯨ ꯂꯧꯊꯣꯛꯀꯅꯤ ꯅꯠꯠꯔꯒꯥ ꯂꯧꯊꯣꯛꯂꯣꯏꯗꯕꯅꯤ ꯍꯥꯌꯕꯒꯤ ꯋꯥꯔꯦꯞ ꯑꯗꯨ ꯅꯍꯥꯛꯀꯤ ꯀꯟꯗꯤꯁꯟ, ꯄꯣꯂꯤꯞ ꯑꯗꯨꯒꯤ ꯁꯥꯏꯖ ꯑꯃꯁꯨꯡ ꯃꯗꯨꯒꯤ ꯃꯐꯝ ꯑꯗꯨꯒꯤ ꯃꯈꯥ ꯄꯣꯜꯂꯤ꯫

ꯀꯗꯥꯏꯗꯥ ꯗꯣꯛꯇꯔꯒꯥ ꯇꯥꯟꯅꯒꯗꯒꯦ?

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯍꯦꯛꯇꯥ ꯂꯩꯔꯕꯗꯤ, ꯗꯣꯛꯇꯔ ꯑꯃꯗꯥ ꯁꯣꯌꯗꯅꯥ ꯇꯥꯀꯄꯤꯌꯨ:

• ꯑꯥꯏꯔꯦꯒꯨꯂꯔ ꯅꯠꯠꯔꯒꯥ ꯑꯦꯕꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯕꯥ ꯚꯦꯖꯦꯅꯥꯏꯜ ꯕ꯭ꯂꯤꯗꯤꯡ꯫
• ꯊꯥꯒꯤ ꯈꯣꯡꯀꯥꯞ ꯌꯥꯝꯅꯥ ꯇꯥꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯄꯤꯔꯤꯌꯗꯀꯤ ꯃꯔꯛꯇꯥ ꯏ ꯊꯣꯀꯄꯥ꯫
• ꯊꯥꯒꯤ ꯈꯣꯡꯀꯥꯄꯀꯤ ꯃꯇꯨꯡꯗꯥ ꯏ ꯊꯣꯀꯄꯥ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯊꯤꯡꯖꯤꯜꯂꯕꯥ (postmenopause)꯫
• ꯃꯍꯤꯛ-ꯃꯇꯥꯏ ꯂꯩꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯆꯝꯕꯥ ꯚꯦꯖꯦꯅꯥꯏꯜ ꯗꯤꯁꯆꯥꯔꯖ ꯑꯃꯥ꯫

ꯅꯤꯡꯁꯤꯡꯕꯤꯌꯨ, ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯚꯦꯖꯤꯅꯦꯜ ꯑꯦꯀꯖꯥꯃꯤꯅꯦꯁꯟ ꯇꯧꯕꯅꯥ ꯁꯔꯚꯤꯀꯦꯜ ꯄꯣꯂꯤꯄꯒꯨꯝꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ ꯇꯣꯏꯅꯥ ꯈꯪꯗꯣꯛꯅꯕꯒꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯥ ꯄꯥꯝꯕꯩꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯆꯝꯕꯥ ꯚꯦꯖꯦꯅꯥꯏꯜ ꯕ꯭ꯂꯤꯗꯤꯡ ꯂꯩꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯁꯣꯌꯗꯅꯥ ꯈꯪꯍꯅꯕꯤꯌꯨ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯁꯔꯚꯤꯀꯦꯜ ꯄꯣꯂꯤꯞ ꯑꯃꯥ ꯂꯩꯔꯦ ꯍꯥꯌꯅꯥ ꯈꯪꯂꯕꯁꯨ, ꯑꯌꯥꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯃꯁꯤ ꯑꯆꯧꯕꯥ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯑꯃꯥ ꯅꯠꯠꯔꯒꯥ ꯀꯦꯟꯁꯔ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯕꯥ ꯄꯣꯠꯁꯛ ꯑꯃꯅꯤ, ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯑꯃꯠꯇꯥ ꯂꯩꯇꯦ꯫

ꯑꯔꯣꯏꯕꯗꯥ, ꯅꯍꯥꯛꯅꯥ ꯅꯤꯡꯁꯤꯡꯒꯗꯕꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯋꯥꯐꯃꯁꯤꯡ꯫

ꯑꯣꯀꯦ, ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯑꯩꯈꯣꯌꯅꯥ ꯋꯥꯔꯤ ꯁꯥꯈꯤꯕꯥ ꯑꯗꯨꯗꯒꯤ ꯅꯍꯥꯛꯅꯥ ꯅꯤꯡꯁꯤꯡꯒꯗꯕꯥ ꯋꯥꯐꯝ ꯈꯔꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤ:

• ꯁꯔꯚꯤꯀꯦꯜ ꯄꯣꯂꯤꯄꯁꯤꯡ ꯑꯁꯤ ꯁꯔꯚꯤꯛꯁꯇꯥ ꯁꯦꯝꯕꯥ ꯑꯄꯤꯀꯄꯥ ꯃꯁꯥ ꯃꯎ ꯐꯕꯥ ꯒ꯭ꯔꯣꯊꯁꯤꯡꯅꯤ꯫
• ꯃꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯌꯥꯝꯕꯗꯤ ꯀꯦꯟꯁꯔꯒꯤ ꯀꯟꯗꯤꯁꯅꯁꯤꯡꯅꯤ꯫ ꯍꯥꯌꯕꯗꯤ ꯃꯈꯣꯌ ꯑꯁꯤ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯂꯩꯇꯦ꯫
• ꯃꯤꯑꯣꯏ ꯈꯔꯗꯗꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ (ꯃꯔꯨꯑꯣꯏꯕꯥ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ, ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯏ ꯊꯣꯀꯄꯥ) ꯊꯦꯡꯅꯔꯀꯄꯥ ꯌꯥꯏ, ꯑꯗꯨꯒꯥ ꯑꯇꯩ ꯈꯔꯗꯗꯤ ꯂꯥꯏꯑꯣꯡ ꯑꯃꯠꯇꯥ ꯂꯩꯇꯕꯥ ꯌꯥꯏ꯫
• ꯗꯣꯛꯇꯔ ꯑꯃꯅꯥ ꯚꯦꯖꯤꯅꯦꯜ ꯑꯦꯀꯖꯥꯃꯤꯅꯦꯁꯟ ꯑꯃꯅꯥ ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯐꯖꯅꯥ ꯈꯪꯗꯣꯀꯄꯥ ꯉꯝꯃꯤ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯊꯧ ꯇꯥꯔꯕꯗꯤ, ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯐꯖꯅꯥ ꯂꯧꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫
• ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯒꯥꯏꯅꯣꯀꯣꯂꯣꯖꯤꯀꯦꯜ ꯆꯦꯀꯑꯞ ꯇꯧꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯆꯝꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯂꯩꯔꯕꯗꯤ, ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯄꯥꯎꯇꯥꯛ ꯁꯣꯌꯗꯅꯥ ꯂꯧꯕꯤꯌꯨ꯫

ꯃꯔꯝ ꯑꯗꯨꯅꯥ, ꯏꯅꯐꯣꯔꯃꯦꯁꯟ ꯑꯁꯤ ꯑꯗꯣꯃꯒꯤꯗꯃꯛ ꯀꯥꯟꯅꯕꯥ ꯑꯣꯏꯒꯅꯤ ꯍꯥꯌꯅꯥ ꯑꯩꯅꯥ ꯊꯥꯖꯩ꯫ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯁꯦꯜ ꯌꯦꯡꯁꯤꯅꯕꯥ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯈꯨꯗꯣꯡꯆꯥꯗꯕꯥ ꯑꯃꯥ ꯂꯩꯔꯕꯗꯤ ꯗꯣꯛꯇꯔ ꯑꯃꯒꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯕꯗꯥ ꯑꯀꯤꯕꯥ ꯂꯩꯔꯣꯏꯗꯕꯅꯤ꯫