ꯑꯌꯨꯛꯇꯥ ꯐꯃꯨꯡꯗꯒꯤ ꯊꯣꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯅꯍꯥꯀꯁꯨ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯁꯣꯀꯄꯥ, ꯁꯣꯀꯄꯥ ꯌꯥꯕꯥ ꯈꯣꯡꯎꯞ ꯑꯃꯥ ꯐꯥꯎꯕ꯭ꯔꯥ? ꯑꯗꯨꯕꯨ ꯑꯋꯥꯕꯥ ꯑꯁꯤ ꯅꯍꯥꯛꯅꯥ ꯈꯔꯥ ꯈꯣꯡꯅꯥ ꯆꯠꯂꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯅꯨꯃꯤꯠꯀꯤ ꯊꯕꯛ ꯍꯧꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯍꯟꯊꯔꯛꯀꯗ꯭ꯔꯥ? ꯃꯤꯑꯣꯏ ꯀꯌꯥꯅꯥ ꯃꯁꯤ ꯕꯦꯛ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯈꯛꯇꯅꯤ ꯍꯥꯌꯅꯥ ꯈꯜꯂꯕꯁꯨ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯃꯁꯤ ꯈꯔꯥ ꯍꯦꯟꯅꯥ ꯄꯨꯛꯅꯤꯡ ꯆꯪꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫ ꯉꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯃꯦꯗꯤꯀꯦꯜ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯥ ꯂꯩꯔꯕꯁꯨ ꯃꯥꯌ ꯄꯥꯛꯅꯥ ꯊꯦꯡꯅꯈꯤꯕꯥ ꯑꯃꯁꯨꯡ ꯑꯦꯛꯇꯤꯕ ꯑꯣꯏꯕꯥ ꯄꯨꯟꯁꯤ ꯑꯃꯥ ꯍꯤꯡꯈꯤꯕꯥ ꯀꯅꯥꯒꯨꯝꯕꯥ ꯑꯃꯒꯤ ꯃꯔꯃꯗꯥ ꯉꯥꯡꯂꯤ꯫
ꯆꯥꯗ ꯕꯦꯀꯥꯔ - ꯂꯥꯌꯅꯥ ꯑꯁꯤꯕꯨ ꯆꯦꯂꯦꯟꯖ ꯇꯧꯈꯤꯕꯥ ꯁꯥꯟꯅꯔꯣꯏ꯫
ꯆꯥꯗ ꯕꯦꯀꯥꯔ ꯑꯁꯤ ꯌꯨ.ꯑꯦꯁ.ꯑꯦ.ꯒꯤ ꯀꯣꯂꯣꯔꯥꯗꯣꯗꯒꯤ ꯃꯆꯥ ꯃꯔꯤꯒꯤ ꯃꯄꯥ ꯑꯃꯅꯤ꯫ ꯃꯍꯥꯛ ꯁ꯭ꯀꯨꯜ ꯑꯦꯗꯃꯤꯅꯤꯁ꯭ꯠꯔꯦꯇꯔ ꯑꯃꯅꯤ ꯑꯃꯁꯨꯡ ꯄꯨꯟꯁꯤ ꯆꯨꯞꯄꯥ ꯁꯥꯟꯅꯄꯣꯠꯀꯤ ꯅꯨꯡꯁꯤꯖꯔꯕꯥ ꯃꯤꯁꯛ ꯑꯃꯅꯤ꯫ ꯃꯍꯥꯛꯅꯥ ꯕꯥꯁ꯭ꯀꯦꯠꯕꯣꯜ, ꯇ꯭ꯔꯦꯛ, ꯁꯣꯀꯔ ꯌꯥꯑꯣꯅꯥ ꯁꯥꯟꯅꯄꯣꯠ ꯀꯌꯥꯗꯥ ꯀꯣꯆ ꯑꯣꯏꯅꯥ ꯊꯕꯛ ꯇꯧꯈ꯭ꯔꯦ꯫
ꯆꯥꯗꯀꯤ ꯋꯥꯔꯤ ꯑꯁꯤ ꯑꯈꯟꯅꯕꯥ ꯑꯃꯅꯤ ꯃꯔꯃꯗꯤ ꯃꯍꯥꯛ ꯆꯍꯤ ꯲꯰ꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯦꯟꯀꯤꯂꯣꯁꯤꯡ ꯁ꯭ꯄꯣꯟꯗꯤꯂꯥꯏꯇꯤꯁꯅꯥ ꯅꯥꯔꯦ ꯍꯥꯌꯅꯥ ꯂꯥꯌꯦꯡꯈꯤ꯫ ꯃꯍꯧꯁꯥꯅꯥ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯂꯥꯌꯅꯥ ꯑꯃꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯑꯦꯛꯇꯤꯕ ꯑꯣꯏꯅꯥ ꯂꯩꯕꯥ ꯑꯁꯤ ꯑꯔꯨꯕꯥ ꯑꯣꯏꯔꯕꯁꯨ, ꯍꯧꯖꯤꯛꯇꯤ ꯆꯥꯗ ꯑꯁꯤ ꯆꯍꯤ ꯴꯰ ꯁꯨꯔꯦ ꯑꯃꯁꯨꯡ ꯌꯥꯝꯅꯥ ꯍꯀꯆꯥꯡ ꯐꯕꯥ, ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯕꯥ ꯄꯨꯟꯁꯤ ꯑꯃꯥ ꯍꯤꯡꯂꯤ꯫ ꯃꯍꯥꯛꯅꯥ ꯍꯥꯌ ꯃꯗꯨꯗꯤ ꯃꯁꯤꯒꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯆꯥꯎꯕꯥ ꯃꯔꯃꯗꯤ ꯃꯍꯥꯛ ꯂꯥꯌꯅꯥ ꯑꯁꯤꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯐꯤꯖꯤꯀꯦꯜ ꯑꯣꯏꯅꯥ ꯏꯅꯑꯦꯛꯇꯤꯕ ꯑꯣꯏꯈꯤꯗꯦ, ꯑꯗꯨꯕꯨ ꯃꯈꯥ ꯇꯥꯅꯥ ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯇꯧꯈꯤ ꯑꯃꯁꯨꯡ ꯃꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡ ꯑꯁꯤ ꯃꯄꯥꯉ꯭ꯒꯜ ꯀꯅꯈꯠꯍꯅꯈꯤ꯫ ꯃꯍꯥꯛꯀꯤ ꯋꯥꯔꯤ ꯑꯁꯤꯅꯥ ꯑꯩꯈꯣꯌꯗꯥ ꯂꯥꯌꯅꯥ ꯑꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯕꯒꯤ ꯑꯆꯧꯕꯥ ꯈꯨꯗꯝ ꯑꯃꯥ ꯄꯤꯔꯤ꯫
ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯑꯦꯟꯀꯤꯂꯣꯁꯤꯡ ꯁ꯭ꯄꯣꯟꯗꯤꯂꯥꯏꯇꯤꯁ (AS) ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ?
ꯃꯤꯡ ꯑꯁꯤ ꯈꯔꯥ ꯁꯥꯡꯕꯥ ꯑꯃꯁꯨꯡ ꯑꯆꯝꯕꯥ ꯋꯥꯐꯝ ꯑꯣꯏꯔꯕꯁꯨ ꯋꯥꯐꯝ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯂꯥꯏꯕꯛ ꯐꯕꯅꯤ꯫ ꯃꯁꯤꯕꯨ ꯋꯥꯍꯩ ꯑꯅꯤꯗꯥ ꯈꯥꯌꯗꯣꯛꯇꯨꯅꯥ ꯂꯧꯁꯤꯅꯁꯤ꯫
- ꯁ꯭ꯄꯣꯟꯗꯤꯂꯥꯏꯇꯤꯁ (Spondylitis): ꯃꯁꯤꯅꯥ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗꯀꯤ ꯚꯔꯇꯤꯕ꯭ꯔꯦꯂꯁꯤꯡꯒꯤ ꯃꯔꯛꯇꯥ ꯂꯩꯕꯥ ꯁꯔꯨ ꯇꯥꯡꯁꯤꯡꯗꯥ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯁꯟ (inflammation) ꯍꯥꯌꯕꯁꯤꯕꯨ ꯈꯪꯅꯩ꯫
- ꯑꯦꯟꯀꯤꯂꯣꯁꯤꯡ (Ankylosing): ꯃꯁꯤꯅꯥ ꯃꯇꯃꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ, ꯏꯅꯐ꯭ꯂꯦꯃꯦꯁꯟ ꯇꯧꯔꯕꯥ ꯁꯔꯨ ꯇꯥꯡꯁꯤꯡ ꯑꯗꯨ ꯄꯨꯟꯅꯥ ꯐ꯭ꯌꯨꯖ ꯇꯧꯔꯀꯄꯥ, ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯁꯣꯟꯊꯔꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯁꯣꯟꯊꯔꯀꯄꯥ ꯍꯥꯌꯕꯁꯤꯕꯨ ꯈꯪꯅꯩ꯫
ꯍꯥꯌꯕꯗꯤ, ꯑꯦꯟꯀꯤꯂꯣꯁꯤꯡ ꯁ꯭ꯄꯣꯟꯗꯤꯂꯥꯏꯇꯤꯁ ꯑꯁꯤ ꯃꯔꯨꯑꯣꯏꯅꯥ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗꯇꯥ ꯁꯣꯀꯍꯜꯂꯤꯕꯥ ꯀ꯭ꯔꯣꯅꯤꯛ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯇꯔꯤ ꯑꯔꯊ꯭ꯔꯥꯏꯇꯤꯁꯀꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫
ꯃꯁꯤ ꯑꯣꯇꯣꯏꯝꯌꯨꯟ ꯂꯥꯌꯅꯥ ꯑꯃꯅꯤ꯫ ꯃꯁꯤꯅꯥ ꯇꯥꯀꯄꯗꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯕꯨ ꯉꯥꯀꯊꯣꯀꯄꯥ ꯉꯃꯒꯗꯕꯥ ꯏꯝꯝꯌꯨꯟ ꯁꯤꯁ꯭ꯇꯦꯝ ꯑꯁꯤꯅꯥ ꯑꯁꯣꯌꯕꯥ ꯂꯩꯇꯅꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯏꯁꯥꯒꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯍꯀꯁꯦꯜ ꯐꯕꯥ ꯁꯔꯨꯀꯁꯤꯡꯗꯥ, ꯃꯔꯨꯑꯣꯏꯅꯥ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗ ꯑꯃꯁꯨꯡ ꯄꯦꯂꯚꯤꯁꯇꯥ ꯂꯩꯕꯥ ꯁꯔꯨꯀꯁꯤꯡꯗꯥ ꯑꯦꯇꯦꯛ ꯇꯧꯕꯥ ꯍꯧꯏ꯫ ꯃꯁꯤꯅꯥ ꯁꯔꯨ ꯇꯥꯡꯁꯤꯡ (joints) ꯁꯣꯟꯊꯍꯜꯂꯤ ꯑꯃꯁꯨꯡ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯍꯜꯂꯤ꯫
ꯂꯥꯌꯅꯥ ꯑꯁꯤꯒꯤ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯤꯅꯣ?
ꯑꯦ.ꯑꯦꯁ.ꯀꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯃꯤꯑꯣꯏ ꯑꯃꯗꯒꯤ ꯃꯤꯑꯣꯏ ꯑꯃꯗꯥ ꯈꯦꯠꯅꯕꯥ ꯌꯥꯏ, ꯑꯗꯨꯕꯨ ꯈꯪꯖꯤꯅꯒꯗꯕꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯂꯥꯏꯑꯣꯡ ꯈꯔꯗꯤ ꯂꯩ꯫
| ꯂꯥꯏꯑꯣꯡ꯫ | ꯋꯥꯔꯣꯜ |
|---|---|
| ꯕꯦꯛ ꯑꯃꯁꯨꯡ ꯕꯠꯇꯣꯛ ꯑꯦꯔꯤꯌꯥꯗꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯑꯃꯁꯨꯡ ꯁꯣꯟꯊꯕꯥ꯫ | ꯃꯁꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯂꯥꯏꯑꯣꯡꯅꯤ꯫ ꯃꯁꯤꯒꯤ ꯑꯅꯥꯕꯥ ꯑꯃꯁꯨꯡ ꯁꯣꯟꯊꯕꯥ ꯑꯁꯤ ꯃꯔꯨꯑꯣꯏꯅꯥ ꯑꯌꯨꯛ-ꯅꯨꯡꯊꯤꯂꯗꯥ ꯅꯠꯠꯔꯒꯥ ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯆꯞ ꯃꯥꯟꯅꯕꯥ ꯄꯣꯖꯤꯁꯟꯗꯥ ꯂꯩꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ (ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯐꯃꯗꯨꯅꯥ ꯂꯩꯕꯥ ꯃꯇꯃꯗꯥ) ꯍꯦꯟꯅꯥ ꯐꯩ꯫ |
| ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯇꯧꯕꯥ ꯃꯇꯃꯗꯥ ꯑꯅꯥꯕꯥ ꯍꯟꯊꯔꯀꯄꯥ꯫ | ꯑꯇꯩ ꯕꯦꯛ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯃꯁꯤꯡꯒꯥ ꯃꯥꯟꯅꯗꯅꯥ, ꯐꯤꯖꯤꯀꯦꯜ ꯑꯦꯛꯇꯤꯚꯤꯇꯤ ꯑꯃꯁꯨꯡ ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯇꯧꯕꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯑꯅꯥꯕꯥ ꯑꯃꯁꯨꯡ ꯁꯣꯟꯊꯕꯥ ꯑꯁꯤ ꯍꯟꯊꯔꯀꯏ, ꯑꯃꯁꯨꯡ ꯅꯨꯡꯉꯥꯏꯅꯥ ꯂꯩꯕꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯍꯦꯅꯒꯠꯂꯀꯏ꯫ |
| ꯑꯇꯣꯞꯄꯥ ꯁꯔꯨ ꯇꯥꯡꯁꯤꯡꯗꯥ ꯑꯅꯥꯕꯥ ꯂꯩꯕꯥ꯫ | ꯀꯣꯛꯇꯥ ꯅꯠꯇꯅꯥ, ꯍꯤꯄꯐꯝ (hip joints), ꯈꯨꯎ, ꯈꯨꯎ, ꯑꯃꯁꯨꯡ ꯈꯣꯡ-ꯈꯨꯠ ꯑꯁꯤꯅꯆꯤꯡꯕꯥ ꯃꯐꯃꯁꯤꯡꯗꯥ ꯑꯅꯥꯕꯥ ꯑꯃꯁꯨꯡ ꯁꯣꯛ-ꯄꯅꯕꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫ |
| ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯑꯃꯁꯨꯡ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ꯫ | ꯃꯔꯝ ꯑꯃꯠꯇꯥ ꯂꯩꯇꯅꯥ ꯌꯥꯝꯅꯥ ꯋꯥꯅꯥ ꯑꯃꯁꯨꯡ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯐꯥꯎꯕꯁꯨ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯂꯥꯏꯑꯣꯡ ꯑꯃꯅꯤ꯫ |
| ꯃꯤꯠꯀꯤ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯁꯟ (Uveitis) . | ꯃꯤꯑꯣꯏ ꯈꯔꯗꯗꯤ ꯃꯤꯠ ꯎꯗꯕꯥ, ꯑꯅꯥꯕꯥ, ꯑꯃꯁꯨꯡ ꯃꯉꯥꯜ ꯌꯦꯡꯕꯗꯥ ꯑꯋꯥꯕꯥ ꯑꯁꯤꯅꯆꯤꯡꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯊꯦꯡꯅꯔꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯁꯤ ꯌꯨꯕꯦꯇꯤꯁ ꯀꯧꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫ |
ꯂꯥꯌꯅꯥ ꯑꯁꯤ ꯂꯥꯀꯄꯒꯤ ꯔꯤꯁ꯭ꯛ ꯑꯁꯤ ꯀꯅꯥꯅꯥ ꯍꯦꯟꯅꯥ ꯋꯥꯡꯕꯒꯦ?
ꯂꯥꯌꯅꯥ ꯑꯁꯤ ꯃꯍꯧꯁꯥꯅꯥ ꯅꯍꯥ ꯑꯣꯏꯔꯤꯉꯩꯗꯥ, ꯆꯍꯤ 17ꯗꯒꯤ 45 ꯐꯥꯎꯕꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯈꯪꯗꯣꯀꯏ, ꯂꯥꯌꯅꯥ ꯑꯁꯤ ꯅꯨꯄꯤꯁꯤꯡꯗꯒꯤ ꯅꯨꯄꯥꯁꯤꯡꯗꯥ ꯍꯦꯟꯅꯥ ꯊꯣꯀꯏ꯫ ꯑꯃꯗꯤ ꯃꯁꯤꯒꯤ ꯖꯦꯅꯦꯇꯤꯛ ꯂꯤꯉ꯭ꯛ ꯑꯃꯁꯨ ꯂꯩꯔꯤ . ꯖꯤꯟ HLA-B27 ꯄꯨꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯗꯥ ꯂꯥꯌꯅꯥ ꯑꯁꯤ ꯂꯥꯀꯄꯒꯤ ꯔꯤꯁ꯭ꯛ ꯍꯦꯟꯅꯥ ꯂꯩ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ ꯃꯁꯤ ꯅꯤꯡꯁꯤꯡꯕꯥ ꯌꯥꯝꯅꯥ ꯃꯔꯨ ꯑꯣꯏ ꯃꯗꯨꯗꯤ ꯖꯤꯟ ꯑꯁꯤ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏ ꯈꯨꯗꯤꯡꯃꯛ ꯂꯥꯌꯅꯥ ꯑꯁꯤ ꯂꯥꯛꯂꯣꯏ꯫
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯂꯥꯌꯅꯥ ꯑꯁꯤ ꯍꯦꯟꯅꯥ ꯐꯠꯆꯤꯜꯂꯛꯂꯕꯗꯤ ꯀꯔꯤ ꯑꯣꯏꯒꯅꯤ?
ꯀꯔꯤꯒꯨꯝꯕꯥ AS ꯑꯁꯤ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯂꯥꯏꯌꯦꯡꯗ꯭ꯔꯕꯗꯤ ꯅꯠꯠꯔꯒꯥ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯗ꯭ꯔꯕꯗꯤ, ꯃꯇꯃꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ ꯂꯥꯀꯄꯥ ꯌꯥꯏ꯫
- ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯐ꯭ꯌꯨꯖꯟ: ꯱.ꯃꯁꯤ ꯂꯥꯌꯅꯥ ꯑꯁꯤꯒꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯁꯥꯊꯤꯕꯥ ꯁ꯭ꯇꯦꯖꯅꯤ꯫ ꯂꯦꯞꯇꯅꯥ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯁꯟ ꯂꯩꯕꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯍꯀꯆꯥꯡꯅꯥ ꯑꯅꯧꯕꯥ ꯁꯔꯨ ꯇꯥꯡ ꯑꯃꯥ ꯁꯦꯝꯃꯤ, ꯃꯗꯨꯅꯥ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗꯇꯥ ꯂꯩꯕꯥ ꯚꯔꯇꯤꯕ꯭ꯔꯦꯂꯁꯤꯡꯒꯤ ꯃꯔꯛꯇꯥ ꯂꯩꯕꯥ ꯑꯔꯥꯞꯄꯥ ꯑꯗꯨ ꯃꯄꯨꯡ ꯐꯥꯍꯜꯂꯤ꯫ ꯃꯁꯤꯒꯤ ꯃꯍꯩ ꯑꯣꯏꯅꯥ, ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗ ꯑꯗꯨ ꯁ꯭ꯇꯤꯛ ꯑꯃꯒꯨꯝꯅꯥ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯁꯣꯀꯆꯤꯜꯂꯀꯏ, ꯃꯗꯨꯅꯥ ꯃꯗꯨꯒꯤ ꯐ꯭ꯂꯦꯛꯁꯤꯕꯤꯂꯤꯇꯤ ꯑꯗꯨ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯃꯥꯡꯍꯜꯂꯤ꯫ ꯃꯁꯤꯕꯨ "ꯕꯦꯝꯕꯣ ꯁ꯭ꯄꯥꯏꯅꯦꯜ" ꯍꯥꯌꯅꯥꯁꯨ ꯀꯧꯏ꯫
- ꯍꯨꯟꯗꯣꯀꯄꯥ ꯄꯣꯁ꯭ꯇꯨꯔ (Hunched Posture): ꯃꯃꯥꯡꯂꯣꯃꯗꯥ ꯀꯨꯄꯁꯤꯅꯕꯥ, ꯍꯨꯟꯗꯣꯛ-ꯁꯦꯃꯖꯤꯟ ꯇꯧꯕꯥ ꯄꯣꯁ꯭ꯠ (hunched posture) ꯑꯁꯤ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗꯀꯤ ꯀꯨꯄꯁꯤꯅꯕꯥ (curvature) ꯑꯃꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫
- ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯆꯦꯡ ꯑꯃꯁꯨꯡ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗꯇꯥ ꯁꯝꯅꯔꯤꯕꯥ ꯔꯤꯕꯅꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯁꯔꯨ ꯇꯥꯡꯁꯤꯡ ꯑꯗꯨ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯁꯟ ꯑꯃꯁꯨꯡ ꯀꯟꯠꯔꯤꯕ꯭ꯌꯨꯠ ꯇꯧꯔꯕꯗꯤ, ꯃꯁꯤꯅꯥ ꯆꯦꯁ꯭ꯠ ꯑꯗꯨ ꯄꯥꯀꯊꯣꯛ-ꯆꯥꯎꯊꯣꯀꯍꯅꯕꯗꯥ ꯑꯀꯥꯌꯕꯥ ꯄꯤꯕꯥ ꯌꯥꯏ ꯑꯃꯁꯨꯡ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯗꯥ ꯑꯋꯥꯕꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫
- ꯑꯣꯁ꯭ꯇꯤꯑꯣꯄꯣꯔꯣꯁꯤꯁ (Osteoporosis): ꯁꯔꯨ ꯇꯥꯡꯁꯤꯡ ꯑꯁꯤ ꯁꯣꯟꯊꯔꯀꯏ ꯑꯃꯁꯨꯡ ꯐꯖꯅꯥ ꯁꯣꯀꯄꯒꯤ ꯔꯤꯁ꯭ꯛ ꯍꯦꯅꯒꯠꯂꯀꯏ꯫
ꯃꯁꯤ ꯀꯔꯝꯅꯥ ꯂꯥꯌꯦꯡꯒꯅꯤ ꯑꯃꯁꯨꯡ ꯃꯦꯅꯦꯖ ꯇꯧꯒꯅꯤ?
ꯑꯍꯥꯅꯕꯗꯥ ꯍꯥꯌꯒꯗꯕꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯋꯥꯐꯃꯗꯤ ꯍꯧꯖꯤꯛ ꯐꯥꯑꯣꯕꯥ ꯑꯦꯟꯀꯤꯂꯣꯁꯤꯡ ꯁ꯭ꯄꯣꯟꯗꯤꯂꯥꯏꯇꯤꯁꯀꯤ ꯂꯥꯌꯦꯡ ꯑꯃꯠꯇꯥ ꯂꯩꯇꯦ꯫ ꯑꯗꯨꯕꯨ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯂꯩꯔꯣꯏꯗꯕꯅꯤ꯫ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯅꯕꯥ, ꯂꯥꯌꯅꯥ ꯑꯁꯤꯒꯤ ꯄ꯭ꯔꯣꯒ꯭ꯔꯦꯁ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯕꯥ ꯄꯨꯟꯁꯤ ꯑꯃꯥ ꯍꯤꯡꯅꯕꯥ ꯌꯥꯝꯅꯥ ꯏꯐꯦꯛꯇꯤꯚ ꯑꯣꯏꯕꯥ ꯂꯥꯏꯌꯦꯡꯁꯤꯡ ꯂꯩ꯫
ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯋꯥꯐꯃꯗꯤ ꯂꯥꯌꯅꯥ ꯑꯁꯤ ꯈꯪꯗꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯌꯥꯔꯤꯕꯃꯈꯩ ꯇꯣꯏꯅꯥ ꯂꯥꯏꯌꯦꯡ ꯍꯧꯕꯅꯤ꯫ ꯁꯔꯨ ꯇꯥꯡꯁꯤꯡꯗꯥ ꯃꯇꯝ ꯆꯨꯞꯄꯒꯤ ꯑꯣꯏꯅꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯛꯂꯛꯠꯔꯤꯉꯩ ꯃꯃꯥꯡꯗꯥ ꯂꯥꯏꯌꯦꯡꯕꯥ ꯍꯧꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯐꯜ ꯑꯗꯨ ꯍꯦꯟꯅꯥ ꯐꯩ꯫
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯊꯛꯇꯥ ꯄꯅꯈ꯭ꯔꯤꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯥ ꯍꯦꯛꯇꯥ ꯂꯩꯔꯕꯗꯤ, ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯥ ꯊꯕꯛ ꯑꯗꯨꯗꯤ ꯈꯨꯗꯛꯇꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯇꯥꯟꯅꯕꯅꯤ꯫ ꯃꯍꯥꯛꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯌꯦꯡꯁꯤꯅꯒꯅꯤ ꯑꯃꯁꯨꯡ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯊꯧ ꯇꯥꯔꯕꯗꯤ, ꯀꯟꯗꯤꯁꯟ ꯑꯗꯨ ꯑꯆꯨꯝꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯈꯪꯗꯣꯛꯅꯕꯥ ꯑꯦꯛꯁ-ꯔꯦ, ꯑꯦꯝ.ꯑꯥꯔ.ꯑꯥꯏ.
ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯃꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯀꯦꯇꯦꯒꯣꯔꯤ ꯀꯌꯥꯗꯥ ꯈꯥꯌꯗꯣꯀꯄꯥ ꯌꯥꯏ:
1. ꯐꯤꯖꯤꯀꯦꯜ ꯊꯦꯔꯥꯄꯤ ꯑꯃꯁꯨꯡ ꯑꯦꯛꯁꯔꯁꯥꯏꯖ: ꯃꯁꯤ ꯑꯦ.ꯑꯦꯁ . ꯐ꯭ꯂꯦꯛꯁꯤꯕꯤꯂꯤꯇꯤ ꯊꯝꯅꯕꯥ, ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯑꯦꯂꯥꯏꯟꯃꯦꯟꯇ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯊꯝꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯑꯅꯥꯕꯥ ꯍꯟꯊꯍꯟꯅꯕꯥ ꯑꯀꯛꯅꯕꯥ ꯑꯦꯛꯁꯔꯁꯥꯏꯖꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯁ꯭ꯠꯔꯦꯆꯤꯡ ꯑꯦꯛꯁꯔꯁꯥꯏꯖꯁꯤꯡ ꯂꯩ꯫ ꯐꯤꯖꯤꯀꯦꯜ ꯊꯦꯔꯥꯄꯤꯁ꯭ꯠ ꯑꯃꯒꯤ ꯂꯃꯖꯤꯡ ꯃꯈꯥꯗꯥ ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯇꯧꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫
ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ: ꯱.
- ꯑꯦꯟ.ꯑꯦꯁ.ꯑꯦ.ꯑꯥꯏ.ꯗꯤ.ꯁꯤꯡ (ꯅꯟ-ꯁ꯭ꯇꯦꯔꯣꯏꯗ ꯑꯦꯟꯇꯤ-ꯏꯅꯐ꯭ꯂꯦꯃꯦꯇꯔꯤ ꯗ꯭ꯔꯒꯁꯤꯡ): ꯃꯁꯤ ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯑꯍꯥꯅꯕꯥ ꯂꯥꯏꯅꯅꯤ꯫ ꯏꯕꯨꯞꯔꯣꯐꯦꯟ ꯑꯃꯁꯨꯡ ꯅꯥꯞꯔꯣꯛꯁꯦꯅꯒꯨꯝꯕꯥ ꯄꯦꯏꯅꯀꯤꯂꯥꯔ ꯑꯃꯁꯨꯡ ꯑꯦꯟꯇꯤ-ꯏꯅꯐ꯭ꯂꯦꯃꯦꯇꯔꯤ ꯗ꯭ꯔꯒꯁꯤꯡꯅꯥ ꯑꯅꯥꯕꯥ ꯑꯃꯁꯨꯡ ꯁꯣꯀꯄꯥ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫
- ꯕꯥꯏꯑꯣꯂꯣꯖꯤꯀꯦꯜ ꯍꯤꯗꯥꯀꯁꯤꯡ: ꯀꯔꯤꯒꯨꯝꯕꯥ NSAIDꯁꯤꯡꯅꯥ ꯃꯇꯤꯛ ꯆꯥꯕꯥ ꯀꯟꯠꯔꯣꯜ ꯄꯤꯗ꯭ꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯍꯦꯟꯅꯥ ꯆꯥꯎꯈꯠꯄꯥ ꯍꯤꯗꯥꯀꯁꯤꯡ ꯑꯁꯤ ꯔꯤꯀꯃꯦꯟꯗ ꯇꯧꯕꯥ ꯌꯥꯏ꯫ ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯏꯝꯝꯌꯨꯟ ꯁꯤꯁ꯭ꯇꯦꯃꯗꯥ ꯂꯩꯕꯥ ꯑꯀꯛꯅꯕꯥ ꯀꯦꯃꯤꯀꯦꯂꯁꯤꯡꯗꯥ ꯍꯀꯊꯦꯡꯅꯅꯥ ꯇꯥꯔꯒꯦꯠ ꯇꯧꯗꯨꯅꯥ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯁꯟ ꯊꯣꯀꯍꯜꯂꯤ꯫ ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ ꯇꯤꯎꯃꯔ ꯅꯦꯛꯔꯣꯁꯤꯁ ꯐꯦꯛꯇꯔ (TNF) ꯕ꯭ꯂꯣꯀꯔꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯏꯟꯇꯔꯂꯤꯌꯨꯀꯤꯟ 17 (IL-17) ꯏꯅꯍꯤꯕꯤꯇꯔꯁꯤꯡ ꯑꯁꯤ ꯌꯥꯎꯏ꯫
꯳.ꯁꯔꯖꯔꯤ: ꯃꯁꯤ ꯑꯔꯣꯏꯕꯥ ꯄꯥꯝꯕꯩꯅꯤ꯫ ꯁꯔꯨ ꯇꯥꯡꯁꯤꯡ ꯑꯗꯨ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯅꯥ ꯁꯣꯀꯍꯜꯂꯕꯥ ꯑꯃꯁꯨꯡ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯑꯗꯨ ꯊꯤꯡꯕꯥ ꯉꯃꯗꯕꯥ ꯀꯦꯁꯁꯤꯡꯗꯥ, ꯍꯤꯄꯐꯝ (hip replacement)ꯒꯨꯝꯕꯥ ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯈꯟꯅꯔꯀꯄꯥ ꯌꯥꯏ꯫
ꯆꯥꯗ ꯕꯦꯀꯔꯒꯤ ꯋꯥꯔꯤ ꯑꯁꯤꯅꯥ ꯑꯩꯈꯣꯌꯗꯥ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯅꯤꯡꯁꯤꯡꯍꯜꯂꯤ ꯃꯗꯨꯗꯤ ꯑꯦꯛꯇꯤꯕ ꯑꯣꯏꯕꯥ ꯄꯨꯟꯁꯤ ꯃꯍꯤꯡ ꯑꯁꯤ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯒꯨꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ, ꯑꯃꯁꯨꯡ ꯃꯁꯤꯗꯒꯤꯁꯨ ꯍꯦꯟꯅꯥ ꯃꯔꯨꯑꯣꯏꯕꯁꯨ ꯌꯥꯏ꯫ꯑꯃꯁꯨꯡ ꯂꯥꯌꯅꯥ ꯑꯁꯤꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯅꯨꯡꯉꯥꯏꯅꯥ ꯍꯤꯡꯅꯕꯥ ꯄꯣꯖꯤꯇꯤꯕ ꯑꯣꯏꯕꯥ ꯋꯥꯈꯜꯂꯣꯟ ꯑꯁꯤ ꯀꯌꯥꯗꯥ ꯃꯔꯨ ꯑꯣꯏꯕꯒꯦ꯫
ꯇꯦꯛ-ꯍꯣꯝ ꯃꯦꯁꯦꯖ ꯇꯧꯕꯥ꯫
- ꯑꯦꯟꯀꯤꯂꯣꯁꯤꯡ ꯁ꯭ꯄꯣꯟꯗꯤꯂꯥꯏꯇꯤꯁ (AS) ꯍꯥꯌꯕꯁꯤ ꯃꯔꯨꯑꯣꯏꯅꯥ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗꯇꯥ ꯁꯣꯀꯍꯜꯂꯤꯕꯥ ꯑꯔꯊ꯭ꯔꯥꯏꯇꯤꯁ ꯃꯈꯜ ꯑꯃꯅꯤ꯫
- ꯑꯌꯨꯛꯇꯥ ꯊꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯇꯧꯕꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯍꯟꯊꯔꯀꯄꯥ ꯀꯣꯛ ꯆꯤꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯁꯣꯟꯊꯕꯥ ꯑꯁꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡꯅꯤ꯫
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯂꯩꯔꯕꯗꯤ, ꯃꯈꯣꯌꯗꯨ ꯌꯦꯡꯁꯤꯅꯕꯤꯒꯅꯨ ꯑꯃꯁꯨꯡ ꯌꯥꯔꯤꯕꯃꯈꯩ ꯊꯨꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯇꯥꯟꯅꯧ꯫
- ꯃꯁꯤ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯐꯍꯅꯕꯥ ꯉꯃꯗ꯭ꯔꯕꯁꯨ, ꯃꯥꯌꯄꯥꯛꯅꯥ ꯂꯥꯏꯌꯦꯡꯕꯅꯥ ꯂꯥꯌꯅꯥ ꯑꯁꯤ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯥ ꯉꯝꯃꯤ ꯑꯃꯁꯨꯡ ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯕꯥ ꯄꯨꯟꯁꯤ ꯑꯃꯥ ꯍꯤꯡꯕꯥ ꯉꯝꯃꯤ꯫
- ꯑꯦ.ꯑꯦꯁ.ꯀꯤ ꯃꯦꯅꯦꯖꯃꯦꯟꯇꯇꯥ ꯐꯤꯖꯤꯀꯦꯜ ꯊꯦꯔꯥꯄꯤ ꯑꯃꯁꯨꯡ ꯅꯨꯃꯤꯠ ꯈꯨꯗꯤꯡꯒꯤ ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯇꯧꯕꯥ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫ ꯃꯁꯤ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯒꯨꯝꯅꯥ ꯁꯛꯇꯤ ꯂꯩꯕꯥ ꯂꯥꯏꯌꯦꯡ ꯑꯃꯅꯤ꯫
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