ꯑꯌꯥꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯃꯀꯣꯛ ꯑꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯍꯧꯔꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯀꯣꯛꯇꯥ ꯆꯠꯄꯥ ꯑꯆꯝꯕꯥ ꯑꯅꯥꯕꯥ ꯑꯃꯥ ꯂꯩꯕ꯭ꯔꯥ? ꯃꯔꯨꯑꯣꯏꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯀꯣꯛ ꯆꯤꯀꯄꯥ, ꯈꯣꯡ ꯍꯥꯝꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯀꯅꯕꯥ ꯄꯣꯠꯁꯛ ꯑꯃꯥ ꯂꯧꯊꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯑꯅꯥꯕꯥ ꯑꯁꯤ ꯍꯦꯅꯒꯠꯂꯛꯀꯗ꯭ꯔꯥ? ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯐꯥꯎꯕ꯭ꯔꯥ , ꯈꯣꯡꯅꯥ ꯆꯠꯄꯥ ꯃꯇꯃꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯕꯦꯂꯦꯟꯁ ꯑꯗꯨ ꯃꯥꯡꯈꯤꯕ꯭ꯔꯥ ꯅꯠꯠꯔꯒꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯨꯠꯁꯥꯗꯥ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯐꯥꯎꯕ꯭ꯔꯥ? ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯕꯥ ꯍꯦꯗ-ꯑꯦꯀꯁꯤꯡꯅꯤ ꯍꯥꯌꯅꯥ ꯈꯜꯂꯕꯁꯨ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯃꯈꯣꯌꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯑꯇꯣꯞꯄꯥ ꯂꯣꯠꯄꯥ ꯃꯔꯝ ꯑꯃꯥ ꯂꯩꯕꯥ ꯌꯥꯏ꯫ ꯃꯗꯨ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯑꯗꯨꯕꯨ ꯈꯉꯖꯤꯅꯒꯗꯕꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯀꯟꯗꯤꯁꯅꯁꯤꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯅꯤ꯫
ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯆꯤꯌꯥꯔꯤ ꯃꯥꯂꯐꯣꯔꯃꯦꯁꯟ ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ?
ꯃꯁꯤ ꯈꯔꯥ ꯌꯥꯝꯅꯥ ꯂꯨꯕꯥ ꯃꯤꯡ ꯑꯃꯅꯤ ꯑꯗꯨꯕꯨ ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯊꯃꯁꯤ꯫ ꯑꯩꯈꯣꯌꯒꯤ ꯕ꯭ꯔꯦꯟ ꯑꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯃꯀꯣꯛ ꯃꯅꯨꯡꯗꯥ ꯉꯥꯀꯊꯣꯀꯏ꯫ ꯃꯀꯣꯛ ꯑꯁꯤꯒꯤ ꯃꯈꯥꯗꯥ, ꯈꯣꯡꯅꯥ ꯃꯀꯣꯛ ꯑꯗꯨꯒꯥ ꯆꯞ ꯃꯥꯟꯅꯕꯥ ꯃꯐꯃꯗꯥ, ꯑꯩꯈꯣꯌꯒꯤ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗꯇꯥ ꯆꯪꯂꯀꯄꯥ ꯍꯨꯔꯥꯅꯕꯥ ꯑꯃꯥ ꯂꯩ꯫ ꯃꯁꯤꯕꯨ ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯋꯥꯍꯟꯊꯣꯛꯇꯥ ``ꯐꯣꯔꯥꯃꯦꯟ ꯃꯦꯒ꯭ꯅꯝ'' ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫
ꯆꯤꯌꯥꯔꯤ ꯃꯥꯂꯐꯣꯔꯃꯦꯁꯟ ꯀꯧꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯗꯥ, ꯑꯩꯈꯣꯌꯒꯤ ꯕ꯭ꯔꯦꯅꯒꯤ ꯃꯈꯥ ꯊꯪꯕꯥ ꯁꯔꯨꯛ, ꯃꯔꯨꯑꯣꯏꯅꯥ ꯁꯦꯔꯤꯕꯦꯂꯝ ꯀꯧꯕꯥ ꯁꯔꯨꯛ ꯑꯗꯨ, ꯐꯣꯔꯥꯃꯦꯟ ꯃꯦꯒ꯭ꯅꯥꯃꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ, ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗ ꯂꯩꯕꯥ ꯃꯐꯝ ꯑꯗꯨꯗꯥ ꯆꯦꯟꯊꯈꯤ ꯅꯠꯠꯔꯒꯥ ꯆꯦꯟꯊꯈꯤ꯫ ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯄꯤꯀꯄꯥ ꯃꯐꯝ ꯑꯃꯗꯥ ꯐꯤꯠ ꯇꯧꯕꯥ ꯉꯝꯕꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯆꯥꯎꯕꯥ ꯄꯣꯠꯁꯛ ꯑꯃꯥ ꯐꯤꯠ ꯇꯧꯅꯕꯥ ꯍꯣꯠꯅꯕꯒꯨꯝꯅꯥ ꯈꯅꯕꯤꯌꯨ꯫
ꯑꯩꯈꯣꯌꯒꯤ ꯁꯦꯔꯤꯕꯦꯂꯝ ꯑꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯆꯠꯊꯣꯛ-ꯆꯠꯁꯤꯟ, ꯈꯣꯡꯅꯥ ꯆꯠꯄꯥ ꯃꯇꯃꯗꯥ ꯕꯦꯂꯦꯟꯁ, ꯄꯣꯁ꯭ꯇꯨꯔ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯥ ꯑꯃꯁꯨꯡ ꯆꯥꯡ ꯈꯔꯗꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯄꯨꯛꯅꯤꯡ ꯆꯪꯕꯥ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯏ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯁꯔꯨꯛ ꯑꯁꯤ ꯁꯣꯀꯍꯜꯂꯕꯥ ꯃꯇꯃꯗꯥ ꯃꯔꯤ ꯂꯩꯅꯕꯥ ꯁꯃꯁ꯭ꯌꯥꯁꯤꯡ ꯂꯥꯀꯄꯥ ꯌꯥꯏ꯫
ꯃꯁꯤꯒꯤ ꯀꯝꯞꯔꯦꯁꯟ ꯑꯁꯤꯅꯥ ꯕ꯭ꯔꯦꯟ ꯑꯃꯁꯨꯡ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗꯀꯤ ꯑꯀꯣꯌꯕꯗꯥ ꯆꯠꯊꯣꯛ-ꯆꯠꯁꯤꯟ ꯇꯧꯕꯥ ꯁꯦꯔꯤꯕ꯭ꯔꯣꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯐ꯭ꯂꯨꯏꯗ (CSF)ꯒꯤ ꯐ꯭ꯂꯣꯗꯥ ꯑꯀꯥꯌꯕꯥ ꯄꯤ꯫ ꯃꯁꯤ ꯕ꯭ꯂꯣꯛ ꯇꯧꯔꯕꯥ ꯏꯁꯤꯡꯒꯤ ꯄꯥꯏꯞ ꯑꯃꯒꯨꯝꯅꯥ ꯑꯣꯏꯔꯤ꯫ ꯃꯁꯤꯅꯥ ꯕ꯭ꯔꯦꯟ ꯑꯃꯁꯨꯡ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗꯀꯤ ꯁꯔꯨꯀꯁꯤꯡꯗꯥ ꯄ꯭ꯔꯦꯁꯔ ꯄꯤꯗꯨꯅꯥ ꯇꯣꯉꯥꯟ-ꯇꯣꯉꯥꯅꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯊꯣꯀꯍꯜꯂꯤ꯫
ꯃꯁꯤ ꯀꯔꯤꯒꯤ ꯊꯣꯛꯂꯤꯕꯅꯣ? ꯃꯔꯃꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?
ꯑꯌꯥꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯆꯤꯌꯥꯔꯤ ꯃꯦꯂꯐꯣꯔꯃꯦꯁꯟ ꯑꯁꯤ ꯀꯣꯟꯖꯤꯅꯤꯑꯦꯜ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ . ꯃꯁꯤꯅꯥ ꯇꯥꯀꯄꯗꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯅꯥ ꯃꯤꯔꯣꯜꯂꯤꯉꯩ ꯃꯇꯃꯗꯥ ꯕ꯭ꯔꯦꯟ ꯑꯃꯁꯨꯡ ꯁ꯭ꯀꯨꯂꯒꯤ ꯗꯤꯚꯦꯂꯄꯃꯦꯟꯇꯗꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯄꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯊꯣꯀꯏ ꯍꯥꯌꯕꯅꯤ꯫ ꯃꯁꯤꯒꯤ ꯃꯔꯃꯗꯤ ꯃꯤꯑꯣꯏ ꯈꯔꯒꯤ ꯃꯀꯣꯀꯊꯣꯡꯕꯗꯥ ꯅꯣꯔꯃꯦꯂꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯄꯤꯀꯄꯥ ꯃꯐꯝ ꯑꯃꯥ ꯂꯩ, ꯃꯗꯨ ꯕ꯭ꯔꯦꯟ ꯑꯗꯨ ꯂꯩꯔꯤꯕꯥ ꯃꯐꯝ ꯑꯗꯨꯗꯥ ꯄꯣꯁ꯭ꯇꯦꯔꯤꯌꯥꯜ ꯐꯣꯁꯥ (posterior fossa) ꯀꯧꯏ꯫ ꯑꯗꯨꯕꯨ ꯔꯤꯁꯔꯆꯔꯁꯤꯡꯅꯥ ꯍꯧꯖꯤꯛ ꯐꯥꯑꯣꯕꯥ ꯃꯁꯤ ꯀꯔꯤꯒꯤ ꯊꯣꯛꯂꯤꯕꯅꯣ ꯍꯥꯌꯕꯥ ꯈꯉꯕꯥ ꯉꯃꯗ꯭ꯔꯤ꯫
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯃꯁꯤ ꯖꯤꯅꯦꯇꯤꯛ ꯑꯣꯏꯕꯥ ꯃꯔꯝ ꯑꯃꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫
ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ, ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯄꯣꯀꯄꯥ ꯃꯇꯨꯡꯗꯥ, ꯍꯥꯌꯕꯗꯤ ꯏꯅꯈꯠꯂꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯏ . ꯃꯁꯤ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯁꯤꯡꯁꯤꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ:
- ꯕ꯭ꯔꯦꯟ ꯇꯤꯎꯃꯔ ꯑꯃꯥ꯫
- ꯃꯀꯣꯛꯇꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯄꯅꯥ ꯕ꯭ꯔꯦꯅꯗꯥ ꯐ꯭ꯂꯨꯏꯗꯅꯥ ꯊꯜꯂꯕꯥ ꯁꯦꯛ (cyst) ꯅꯠꯠꯔꯒꯥ ꯕ꯭ꯂꯗ ꯀ꯭ꯂꯣꯠ (hematoma) ꯑꯃꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫
- ``ꯍꯥꯏꯗ꯭ꯔꯣꯁꯦꯐꯥꯂꯁ'' ꯀꯧꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ, ꯃꯁꯤꯅꯥ ꯕ꯭ꯔꯦꯅꯗꯥ ꯏꯁꯤꯡ ꯊꯨꯃꯖꯤꯅꯕꯅꯤ꯫
- ꯇꯦꯗꯔ ꯀꯣꯔꯗ ꯁꯤꯟꯗꯣꯃꯒꯨꯝꯕꯥ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗꯀꯥ ꯃꯔꯤ ꯂꯩꯅꯕꯥ ꯑꯇꯩ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ꯫
ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤꯒꯤ ꯇꯣꯉꯥꯟ-ꯇꯣꯉꯥꯅꯕꯥ ꯃꯈꯂꯁꯤꯡ ꯂꯩꯕ꯭ꯔꯥ?
ꯍꯣꯌ, ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯃꯁꯤꯒꯤ ꯁꯥꯊꯤꯕꯥ ꯃꯑꯣꯡ ꯑꯃꯁꯨꯡ ꯕ꯭ꯔꯦꯅꯒꯤ ꯁꯔꯨꯀꯁꯤꯡꯗꯥ ꯁꯣꯀꯍꯅꯕꯒꯤ ꯆꯥꯡꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯈꯜ ꯀꯌꯥꯗꯥ ꯈꯥꯌꯗꯣꯀꯏ꯫
| ꯃꯈꯜ | ꯏꯆꯝ ꯆꯝꯕꯥ ꯃꯌꯦꯛ ꯁꯦꯡꯅꯥ ꯇꯥꯀꯄꯥ꯫ |
|---|---|
| ꯇꯥꯏꯞ I | ꯃꯁꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯑꯃꯁꯨꯡ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯌꯥꯝꯅꯥ ꯁꯣꯀꯍꯜꯂꯕꯥ ꯃꯈꯂꯅꯤ . ꯁꯦꯔꯤꯕꯦꯂꯒꯤ ꯃꯈꯥ ꯊꯪꯕꯥ ꯁꯔꯨꯛ ꯑꯗꯨꯈꯛꯇꯅꯥ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯦꯅꯦꯂꯗꯥ ꯄꯨꯁꯤꯜꯂꯀꯏ꯫ ꯃꯤꯑꯣꯏ ꯈꯔꯗꯤ ꯂꯥꯏꯑꯣꯡ ꯑꯃꯠꯇꯥ ꯂꯩꯍꯟꯗꯅꯥ ꯍꯤꯡꯕꯥ ꯉꯝꯃꯤ꯫ ꯃꯁꯤ ꯑꯌꯥꯝꯕꯅꯥ ꯑꯇꯣꯞꯄꯥ ꯃꯔꯝ ꯑꯃꯒꯤꯗꯃꯛ ꯑꯦꯝ.ꯑꯥꯔ.ꯑꯥꯏ. |
| ꯇꯥꯏꯞ II | ꯃꯁꯤꯕꯨ `(Arnold-Chiari malformation)` ꯍꯥꯌꯅꯥꯁꯨ ꯀꯧꯏ꯫ꯃꯐꯝ ꯑꯁꯤꯗꯥ, ꯁꯦꯔꯤꯕꯦꯜ ꯑꯃꯁꯨꯡ ꯕ꯭ꯔꯦꯟ ꯁ꯭ꯇꯦꯝ ꯑꯅꯤꯃꯛ ꯃꯈꯥ ꯇꯥꯅꯥ ꯆꯦꯜꯂꯤ꯫ ꯃꯁꯤ ꯑꯌꯥꯝꯕꯅꯥ ꯄꯣꯀꯄꯗꯥ ꯉꯥꯏꯔꯤꯕꯥ ꯑꯉꯥꯡꯁꯤꯡꯒꯥ ꯂꯣꯌꯅꯅꯥ `(spina bifida)`ꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯎꯕꯥ ꯐꯪꯏ꯫ |
| ꯇꯥꯏꯞ III | ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯊꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯃꯈꯜ ꯑꯃꯅꯤ꯫ ꯕ꯭ꯔꯦꯅꯒꯤ ꯁꯔꯨꯀꯁꯤꯡ ꯑꯁꯤ ꯃꯀꯣꯀꯊꯣꯡꯕꯗꯒꯤ ꯊꯣꯛꯂꯀꯏ ꯑꯃꯁꯨꯡ ꯈꯣꯡꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯂꯥꯀꯏ꯫ ꯃꯁꯤꯅꯥ ꯄꯨꯟꯁꯤꯗꯥ ꯈꯨꯗꯣꯡꯊꯤꯕꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ |
| ꯇꯥꯏꯞ IV | ꯃꯁꯤꯁꯨ ꯌꯥꯝꯅꯥ ꯊꯦꯡꯅꯩ꯫ ꯃꯁꯤꯒꯤ ꯀꯦꯁ ꯑꯁꯤꯗꯥ, ꯁꯦꯔꯤꯕꯦꯂꯝ ꯑꯁꯤ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯗꯤꯚꯦꯂꯞ ꯇꯧꯗꯦ꯫ ꯅꯠꯔꯒꯥ, ꯁꯔꯨꯀꯁꯤꯡ ꯑꯗꯨ ꯌꯥꯑꯣꯗ꯭ꯔꯤ꯫ |
ꯇꯥꯏꯞ Iꯒꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?
ꯇꯥꯏꯞ Iꯅꯥ ꯅꯥꯕꯥ ꯃꯤꯑꯣꯏ ꯈꯨꯗꯤꯡꯃꯛꯇꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯎꯕꯥ ꯐꯪꯂꯣꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯂꯥꯛꯂꯕꯗꯤ, ꯃꯈꯣꯌ ꯈꯔꯗꯤ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯁꯤꯡꯁꯤꯅꯤ:
- ꯑꯣꯛꯁꯤꯄꯤꯇꯦꯜ ꯍꯦꯗ-ꯑꯦꯛ ꯑꯃꯁꯨꯡ ꯅꯦꯛ ꯄꯦꯏꯟ:ꯃꯁꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯑꯃꯁꯨꯡ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯂꯥꯏꯑꯣꯡꯅꯤ꯫ ꯀꯣꯛ ꯆꯤꯀꯄꯥ, ꯈꯣꯡ ꯍꯥꯝꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯔꯨꯝꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ ꯂꯧꯊꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯑꯅꯥꯕꯥ ꯑꯁꯤ ꯍꯦꯅꯒꯠꯂꯀꯏ꯫
- ꯃꯤꯠ ꯎꯗꯕꯥ ꯑꯃꯁꯨꯡ ꯕꯦꯂꯦꯟꯁꯀꯤ ꯁꯃꯁ꯭ꯌꯥꯁꯤꯡ: ꯈꯣꯡ ꯍꯥꯝꯂꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯋꯥꯈꯜ ꯃꯥꯡꯈꯤꯕꯥ, ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯐꯥꯎꯕꯥ꯫
- ꯃꯁꯜ ꯁꯣꯟꯊꯕꯥ꯫
- ꯈꯨꯠ ꯑꯃꯁꯨꯡ ꯈꯣꯡꯗꯥ ꯁꯣꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯇꯩ ꯑꯆꯝꯕꯥ ꯁꯦꯟꯁꯅꯁꯤꯡ ꯂꯩꯕꯥ .
- ꯃꯤꯠ ꯎꯗꯕꯒꯤ ꯁꯃꯁ꯭ꯌꯥꯁꯤꯡ: ꯕ꯭ꯂꯔ ꯚꯤꯖꯟ, ꯗꯕꯜ ꯚꯤꯖꯟ꯫
- ꯂꯧꯅꯒꯅꯕꯥ ꯂꯥꯌꯅꯥꯁꯤꯡ꯫
- ꯅꯥꯀꯣꯡꯗꯥ ꯔꯤꯡ ꯁꯣꯀꯄꯥ (ꯇꯤꯅꯤꯇꯁ) ꯑꯃꯁꯨꯡ ꯇꯥꯕꯥ ꯉꯃꯗꯕꯥ꯫
- ꯇꯨꯝꯕꯥ ꯉꯃꯗꯕꯥ (sleep problems): ꯇꯨꯝꯕꯥ ꯉꯃꯗꯕꯥ, ꯅꯠꯠꯔꯒꯥ ꯇꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯑꯇꯦꯅꯕꯥ ꯃꯇꯃꯒꯤ ꯑꯣꯏꯅꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯂꯦꯄꯈꯤꯕꯥ (sleep apnea)꯫
- ꯅꯣꯡꯃꯩ ꯀꯥꯞꯄꯥ ꯑꯃꯁꯨꯡ ꯈꯣꯡ ꯍꯥꯝꯕꯥ꯫
ꯃꯔꯨꯑꯣꯏꯕꯥ ꯋꯥꯐꯃꯗꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯃꯤꯑꯣꯏ ꯑꯃꯗꯒꯤ ꯃꯤꯑꯣꯏ ꯑꯃꯗꯥ ꯌꯥꯝꯅꯥ ꯈꯦꯠꯅꯕꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯒꯥ ꯃꯈꯣꯌ ꯃꯇꯝ ꯄꯨꯝꯅꯃꯛꯇꯥ ꯑꯃꯒꯥ ꯑꯃꯒꯥ ꯃꯥꯟꯅꯗꯦ꯫ ꯅꯨꯃꯤꯠ ꯈꯔꯅꯤꯗꯤ ꯃꯈꯣꯌ ꯍꯦꯟꯅꯥ ꯐꯠꯇꯕꯥ ꯑꯣꯏꯔꯀꯄꯥ ꯌꯥꯏ, ꯅꯨꯃꯤꯠ ꯈꯔꯅꯤꯗꯤ ꯍꯦꯟꯅꯥ ꯐꯕꯥ ꯑꯣꯏꯔꯀꯄꯥ ꯌꯥꯏ꯫
ꯃꯁꯤ ꯀꯔꯝꯅꯥ ꯐꯪꯒꯅꯤ ꯗꯣꯛꯇꯔ?
ꯅꯍꯥꯛꯀꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯗꯨ ꯈꯪꯗꯣꯛꯂꯕꯥ ꯃꯇꯨꯡꯗꯥ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯑꯍꯥꯅꯕꯗꯥ ꯅꯍꯥꯀꯄꯨ ꯆꯦꯀꯁꯤꯟꯅꯥ ꯌꯦꯡꯁꯤꯅꯒꯅꯤ, ꯃꯔꯨꯑꯣꯏꯅꯥ ꯅ꯭ꯌꯨꯔꯣꯂꯣꯖꯤꯀꯦꯜ ꯑꯦꯀꯖꯥꯝ ꯑꯃꯥ . ꯃꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯕꯦꯂꯦꯟꯁ, ꯃꯁꯂꯒꯤ ꯃꯄꯥꯉ꯭ꯒꯜ, ꯔꯤꯐ꯭ꯂꯦꯛꯁ ꯑꯃꯁꯨꯡ ꯁꯦꯟꯁꯁ ꯑꯗꯨ ꯆꯦꯛ ꯇꯧꯒꯅꯤ꯫
ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯆꯤꯡꯅꯕꯥ ꯂꯩꯔꯕꯗꯤ, ꯃꯈꯣꯌꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯃꯁꯤ ꯀꯅꯐꯥꯔꯝ ꯇꯧꯅꯕꯥ ꯇꯦꯁ꯭ꯠ ꯀꯌꯥꯒꯤꯗꯃꯛ ꯔꯤꯐꯔ ꯇꯧꯒꯅꯤ꯫
- ꯑꯦꯝ.ꯑꯥꯔ.ꯑꯥꯏ.(ꯃꯦꯒ꯭ꯅꯦꯇꯤꯛ ꯔꯤꯖꯣꯅꯦꯟꯁ ꯏꯃꯦꯖꯤꯡ) ꯁ꯭ꯀꯦꯟ: ꯃꯁꯤꯅꯥ ꯆꯤꯌꯥꯔꯤ ꯃꯦꯂꯐꯣꯔꯃꯦꯁꯟ ꯈꯉꯗꯣꯛꯅꯕꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯥ ꯑꯃꯁꯨꯡ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯇꯦꯁ꯭ꯇꯅꯤ꯫ ꯑꯦꯝ.ꯑꯥꯔ.ꯑꯥꯏ.ꯅꯥ ꯕ꯭ꯔꯦꯟ ꯑꯃꯁꯨꯡ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗꯀꯤ ꯁ꯭ꯠꯔꯀꯆꯔ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯌꯦꯛ ꯁꯦꯡꯅꯥ ꯎꯕꯥ ꯐꯪꯏ꯫ ꯃꯁꯤꯅꯥ ꯕ꯭ꯔꯦꯟ ꯑꯁꯤ ꯀꯌꯥ ꯌꯥꯝꯅꯥ ꯀꯝꯞꯔꯦꯁꯟ ꯇꯧꯕꯒꯦ ꯑꯃꯁꯨꯡ `CSF` ꯐ꯭ꯂꯨꯏꯗꯀꯤ ꯐ꯭ꯂꯣꯗꯥ ꯑꯀꯥꯌꯕꯥ ꯄꯤꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯇꯁꯦꯡꯅꯥ ꯎꯕꯥ ꯉꯝꯃꯤ꯫
- ꯁꯤꯅꯦ ꯑꯦꯝ.ꯑꯥꯔ.ꯑꯥꯏ.: ꯃꯁꯤ ꯑꯈꯟꯅꯕꯥ ꯃꯈꯂꯒꯤ ꯑꯦꯝ.ꯑꯥꯔ.ꯑꯥꯏ. ꯃꯁꯤ ꯚꯤꯗꯤꯑꯣ ꯑꯃꯒꯨꯝꯕꯅꯤ꯫ ꯅꯍꯥꯛꯅꯥ ꯁꯤ.ꯑꯦꯁ.ꯑꯦꯐ.ꯅꯥ ꯕ꯭ꯔꯦꯅꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯔꯤꯑꯦꯜ-ꯇꯥꯏꯝ, ꯍꯥꯌꯕꯗꯤ ꯂꯥꯏꯕ ꯑꯣꯏꯅꯥ ꯆꯠꯄꯥ ꯎꯕꯥ ꯐꯪꯒꯅꯤ꯫
- ꯁꯤ.ꯇꯤ.(ꯀꯝꯞꯌꯨꯇꯦꯗ ꯇꯣꯃꯣꯒ꯭ꯔꯥꯐꯤ) ꯁ꯭ꯀꯦꯟ: ꯃꯁꯤꯅꯥ ꯃꯀꯣꯛ ꯑꯗꯨꯒꯤ ꯁꯔꯨ ꯇꯥꯡꯁꯤꯡꯗꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯆꯦꯛ ꯇꯧꯕꯥ ꯌꯥꯏ꯫
ꯂꯥꯏꯌꯦꯡꯕꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?
ꯂꯥꯏꯌꯦꯡ ꯑꯁꯤ ꯅꯍꯥꯛꯅꯥ ꯂꯩꯔꯤꯕꯥ ꯃꯈꯜ ꯑꯗꯨꯒꯤ ꯃꯈꯥ ꯄꯣꯜꯂꯤ, ꯅꯍꯥꯛꯀꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯗꯨꯒꯤ ꯃꯑꯣꯡ-ꯃꯇꯧ ꯑꯃꯁꯨꯡ ꯃꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯅꯨꯡꯇꯤꯒꯤ ꯄꯨꯟꯁꯤꯗꯥ ꯀꯔꯝꯅꯥ ꯁꯣꯀꯍꯅꯕꯒꯦ ꯍꯥꯌꯕꯗꯨꯒꯤ ꯃꯈꯥ ꯄꯣꯜꯂꯤ꯫
1. ꯂꯥꯏꯑꯣꯡ ꯂꯩꯇꯕꯥ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯇꯥꯏꯞ I ꯂꯩꯔꯕꯗꯤ ꯑꯃꯁꯨꯡ ꯂꯥꯏꯑꯣꯡ ꯑꯃꯠꯇꯥ ꯂꯩꯠꯔꯕꯗꯤ, ꯅꯠꯠꯔꯒꯥ ꯃꯈꯣꯌꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯁꯣꯀꯍꯜꯂꯣꯏꯗꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯂꯥꯏꯌꯦꯡ ꯑꯃꯠꯇꯥ ꯃꯊꯧ ꯇꯥꯗꯕꯥ ꯌꯥꯏ . ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯗꯨ ꯌꯦꯡꯁꯤꯟꯅꯕꯥ ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯆꯦꯛ-ꯑꯄꯀꯤꯗꯃꯛ ꯂꯥꯀꯎ ꯍꯥꯌꯅꯥ ꯍꯥꯌꯒꯅꯤ꯫
ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛ: ꯲.ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯍꯦꯗ-ꯑꯦꯛ ꯑꯃꯁꯨꯡ ꯈꯣꯡ-ꯈꯨꯠ ꯁꯣꯛꯅꯤꯡꯉꯥꯏ ꯑꯣꯏꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯂꯩꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯃꯈꯣꯌꯕꯨ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯅꯕꯥ ꯄꯦꯏꯅꯀꯤꯂꯥꯔ (NSAID) ꯑꯃꯁꯨꯡ ꯃꯁꯜ ꯔꯤꯂꯥꯛꯁꯦꯟꯇꯁꯤꯡ ꯄꯤꯕꯥ ꯌꯥꯏ꯫
3. ꯁꯔꯖꯔꯤ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡꯅꯥ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯥ ꯉꯃꯗꯕꯥ ꯑꯀꯅꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯂꯩꯔꯕꯗꯤ, ꯅꯠꯠꯔꯒꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯁ꯭ꯀꯦꯅꯁꯤꯡꯅꯥ ꯕ꯭ꯔꯦꯟ ꯅꯠꯠꯔꯒꯥ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗꯇꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯄꯥ ꯎꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯁꯔꯖꯔꯤ ꯇꯧꯅꯕꯥ ꯄꯥꯎꯇꯥꯛ ꯄꯤꯕꯥ ꯌꯥꯏ꯫
ꯁꯔꯖꯔꯤꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯄꯥꯟꯗꯝ ꯑꯅꯤꯗꯤ:
- ꯕ꯭ꯔꯦꯟ ꯑꯃꯁꯨꯡ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗꯇꯥ ꯄ꯭ꯔꯦꯁꯔ ꯍꯟꯊꯍꯅꯕꯥ꯫
- ꯁꯤ.ꯑꯦꯁ.ꯑꯦꯐ.ꯀꯤ ꯐ꯭ꯂꯨꯏꯗꯀꯤ ꯐ꯭ꯂꯣ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯁꯦꯃꯒꯠꯄꯥ꯫
ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯁꯔꯖꯔꯤ ꯑꯁꯤ ꯄꯣꯁ꯭ꯇꯦꯔꯤꯌꯥꯜ ꯐꯣꯁꯥ ꯗꯤꯀꯃꯞꯔꯦꯁꯟ ꯁꯔꯖꯔꯤꯅꯤ . ꯃꯁꯤꯗꯥ ꯁꯔꯖꯔꯤꯅꯥ ꯃꯀꯣꯛ ꯑꯗꯨꯒꯤ ꯃꯈꯥ ꯊꯪꯕꯥ ꯁꯔꯨꯛ ꯑꯗꯨꯗꯒꯤ ꯑꯄꯤꯀꯄꯥ ꯁꯔꯨ ꯇꯥꯡ ꯑꯃꯥ ꯂꯧꯊꯣꯀꯏ, ꯃꯐꯝ ꯑꯗꯨꯗꯥ ꯃꯗꯨ ꯈꯣꯡ ꯑꯗꯨꯒꯥ ꯊꯦꯡꯅꯩ꯫ ꯃꯁꯤꯅꯥ ꯕ꯭ꯔꯦꯟ ꯑꯃꯁꯨꯡ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗꯀꯤ ꯃꯐꯝ ꯍꯦꯟꯅꯥ ꯁꯦꯃꯒꯠꯂꯤ꯫ ꯕ꯭ꯔꯦꯟ (dura)ꯒꯤ ꯑꯀꯣꯌꯕꯗꯥ ꯂꯩꯕꯥ ꯃꯦꯝꯕ꯭ꯔꯦꯟ (membrane) ꯑꯗꯨꯁꯨ ꯍꯥꯡꯗꯣꯀꯏ ꯑꯃꯁꯨꯡ ꯃꯐꯃꯗꯨꯗꯥ ꯄꯦꯠ ꯑꯃꯥ ꯁꯦꯝꯃꯤ꯫ ꯃꯁꯤꯅꯥ ꯁꯦꯔꯤꯕ꯭ꯔꯣꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯐ꯭ꯂꯨꯏꯗ (CSF) ꯑꯁꯤ ꯑꯃꯨꯛꯇꯪ ꯆꯦꯅꯕꯥ ꯉꯃꯍꯜꯂꯤ꯫
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯍꯥꯏꯗ꯭ꯔꯣꯁꯦꯐꯥꯂꯁ (ꯕ꯭ꯔꯦꯅꯗꯥ ꯏꯁꯤꯡ ꯇꯨꯡꯁꯤꯅꯕꯥ)ꯁꯨ ꯂꯩꯔꯕꯗꯤ, ꯑꯍꯦꯅꯕꯥ ꯐ꯭ꯂꯨꯏꯗ ꯑꯗꯨ ꯂꯧꯊꯣꯛꯅꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯁꯦꯡꯗꯣꯀꯄꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯏ꯫
ꯇꯦꯛ-ꯍꯣꯝ ꯃꯦꯁꯦꯖ ꯇꯧꯕꯥ꯫
- ꯆꯤꯌꯥꯔꯤ ꯃꯥꯂꯐꯣꯔꯃꯦꯁꯟ ꯍꯥꯌꯕꯁꯤ ꯕ꯭ꯔꯦꯅꯒꯤ ꯃꯈꯥ ꯊꯪꯕꯥ ꯁꯔꯨꯛ ꯑꯗꯨ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯦꯅꯦꯂꯗꯥ ꯄꯨꯁꯤꯜꯂꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯊꯣꯀꯄꯥ ꯁ꯭ꯠꯔꯀꯆꯔꯦꯜ ꯗꯤꯐꯦꯛꯇ ꯑꯃꯅꯤ꯫
- ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯃꯈꯂꯒꯤ ꯇꯥꯏꯞ Iꯗꯥ, ꯃꯤꯑꯣꯏ ꯑꯌꯥꯝꯕꯗꯥ ꯂꯥꯏꯑꯣꯡ ꯑꯃꯠꯇꯥ ꯎꯕꯥ ꯐꯪꯗꯦ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯂꯩꯔꯕꯁꯨ, ꯃꯔꯨꯑꯣꯏꯕꯥ ꯂꯥꯏꯑꯣꯡ ꯑꯗꯨꯗꯤ ꯃꯀꯣꯛ ꯑꯃꯁꯨꯡ ꯃꯀꯣꯀꯊꯣꯡꯕꯗꯥ ꯃꯀꯣꯛ ꯁꯣꯀꯄꯥ ꯑꯁꯤꯅꯤ꯫
- ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯈꯉꯗꯣꯛꯅꯕꯥ ꯁꯤꯖꯤꯟꯅꯔꯤꯕꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯇꯦꯁ꯭ꯠ ꯑꯁꯤ ꯑꯦꯝ.ꯑꯥꯔ.ꯑꯥꯏ .
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯂꯩꯠꯔꯕꯗꯤ ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯃꯊꯧ ꯇꯥꯗꯦ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯂꯩꯔꯕꯗꯤ ꯃꯈꯣꯌꯕꯨ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛ ꯅꯠꯠꯔꯒꯥ ꯁꯔꯖꯔꯤꯅꯥ ꯂꯥꯏꯌꯦꯡꯏ꯫
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯆꯤꯡꯅꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯂꯥꯏꯑꯣꯡ ꯑꯃꯠꯇꯥ ꯂꯩꯔꯕꯗꯤ, ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯥ ꯊꯕꯛ ꯑꯗꯨꯗꯤ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯄꯥꯎꯇꯥꯛ ꯂꯧꯕꯁꯤꯅꯤ . ꯏꯟꯇꯔꯅꯦꯇꯇꯥ ꯏꯅꯐꯣꯔꯃꯦꯁꯟ ꯊꯤꯕꯒꯤ ꯃꯍꯨꯠꯇꯥ ꯃꯦꯗꯤꯀꯦꯜ ꯑꯦꯗꯚꯥꯏꯖꯔꯤꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ ꯊꯕꯛ ꯇꯧꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫
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