ꯇꯦꯁ꯭ꯇꯤꯀꯨꯂꯥꯔ ꯄꯦꯏꯟ ꯂꯩꯕꯥ? ꯏꯄꯤꯗꯤꯗꯥꯏꯃꯥꯏꯇꯤꯁꯀꯤ ꯃꯔꯃꯗꯥ ꯈꯪꯖꯤꯅꯁꯤ꯫

ꯅꯨꯄꯥ ꯑꯃꯅꯥ ꯃꯍꯥꯛꯀꯤ ꯇꯦꯁ꯭ꯇꯤꯀꯂꯁꯤꯡꯗꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯅꯠꯠꯔꯒꯥ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯐꯥꯎꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯇꯁꯦꯡꯅꯥ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯑꯃꯁꯨꯡ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫ ꯀꯅꯥꯒꯨꯝꯕꯥ ꯑꯃꯒꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯕꯗꯁꯨ ꯅꯍꯥꯛꯅꯥ ꯂꯥꯡꯇꯛꯅꯕꯥ ꯐꯥꯑꯣꯔꯀꯄꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯕꯨ ꯃꯁꯤꯒꯤ ꯃꯈꯜ ꯑꯁꯤꯒꯤ ꯑꯋꯥꯕꯥ ꯑꯁꯤ ꯃꯐꯝ ꯑꯁꯤꯗꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯈꯔꯥ ꯑꯁꯣꯏꯕꯥ ꯂꯩꯔꯦ ꯍꯥꯌꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡꯗꯒꯤ ꯂꯥꯀꯄꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯁꯤꯒꯅꯦꯜ ꯑꯃꯅꯤ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯃꯁꯤꯕꯨ ꯌꯥꯅꯤꯡꯗꯕꯥ ꯐꯣꯡꯗꯣꯀꯄꯥ ꯑꯁꯤ ꯑꯐꯕꯥ ꯅꯠꯇꯦ꯫ ꯉꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯏꯄꯤꯗꯤꯗꯥꯏꯃꯥꯏꯇꯤꯁ ꯀꯧꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯔꯤ, ꯃꯁꯤ ꯅꯨꯄꯥꯁꯤꯡꯗꯥ ꯌꯥꯝꯅꯥ ꯊꯦꯡꯅꯩ ꯑꯃꯁꯨꯡ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯃꯈꯂꯒꯤ ꯑꯋꯥꯕꯥ ꯑꯃꯁꯨꯡ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫

ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯑꯦꯄꯤꯗꯤꯗꯥꯏꯃꯥꯏꯇꯤꯁ ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ?

ꯃꯁꯤ ꯈꯉꯅꯕꯒꯤꯗꯃꯛ, ꯑꯍꯥꯅꯕꯗꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯃꯔꯤ ꯂꯩꯅꯕꯥ ꯁꯔꯨꯛ ꯑꯗꯨꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯈꯔꯥ ꯈꯉꯂꯁꯤ꯫ ꯅꯨꯄꯥ ꯈꯨꯗꯤꯡꯃꯛꯀꯤ ꯇꯦꯁ꯭ꯇꯤꯀꯜ ꯑꯅꯤ ꯂꯩ꯫ ꯃꯈꯣꯌꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯊꯕꯛ ꯑꯁꯤ ꯁ꯭ꯄꯥꯔꯝ ꯄꯨꯊꯣꯀꯄꯅꯤ꯫ ꯍꯧꯖꯤꯛꯇꯤ ꯄꯨꯊꯣꯀꯄꯥ ꯁ꯭ꯄꯥꯔꯃꯁꯤꯡ ꯑꯁꯤ ꯊꯃꯖꯤꯜꯂꯦ, ꯄꯤꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯇꯦꯁ꯭ꯇꯤꯀꯂꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯂꯩꯕꯥ ꯁꯥꯡꯕꯥ, ꯀꯣꯏꯜ ꯇꯨꯕꯒꯨꯝꯕꯥ ꯁꯔꯨꯛ ꯑꯃꯗꯥ ꯁꯤꯃꯦꯅꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯔꯤꯂꯤꯖ ꯇꯧꯅꯕꯥ ꯁꯦꯝ ꯁꯥꯔꯦ꯫ ꯃꯁꯤꯒꯤ ꯁꯔꯨꯛ ꯑꯁꯤꯕꯨ ꯑꯦꯄꯤꯗꯤꯗꯥꯏꯃꯤꯁ ꯍꯥꯌꯅꯥ ꯀꯧꯏ .

ꯍꯧꯖꯤꯛ ꯃꯔꯝ ꯈꯔꯗꯒꯤ, ꯃꯔꯨꯑꯣꯏꯅꯥ ꯕꯦꯛꯇꯦꯔꯤꯌꯥꯒꯤ ꯏꯅꯐꯦꯛꯁꯟ ꯑꯃꯅꯥ, ꯑꯦꯄꯤꯗꯤꯗꯥꯏꯃꯤꯁ ꯀꯧꯕꯥ ꯇꯤꯎꯕ ꯑꯁꯤ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯁꯟ ꯑꯣꯏꯔꯀꯏ ꯍꯥꯌꯅꯥ ꯈꯅꯕꯤꯌꯨ . ꯃꯁꯤꯅꯥ ꯇꯥꯀꯄꯗꯤ ꯃꯗꯨ ꯐꯨꯃꯖꯤꯜꯂꯀꯏ, ꯂꯥꯂꯍꯧꯕꯥ ꯑꯣꯏꯔꯀꯏ ꯑꯃꯁꯨꯡ ꯑꯁꯣꯀꯄꯥ ꯑꯣꯏꯔꯀꯏ꯫ ꯑꯩꯈꯣꯌꯅꯥ ꯑꯦꯄꯤꯗꯤꯗꯥꯏꯃꯥꯏꯇꯤꯁ ꯍꯥꯌꯅꯥ ꯀꯧꯔꯤꯕꯥ ꯑꯁꯤꯅꯤ꯫ ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯑꯃꯁꯨꯡ ꯑꯋꯥꯕꯥ ꯑꯦꯛꯁꯄꯔꯤꯌꯦꯟꯁ ꯑꯃꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫

ꯑꯦꯄꯤꯗꯤꯗꯥꯏꯃꯥꯏꯇꯤꯁꯀꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯈꯜ ꯑꯅꯤ ꯂꯩ:

ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯃꯁꯤ ꯅꯍꯥꯛꯅꯥ ꯊꯦꯡꯅꯔꯤꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯃꯈꯣꯌꯅꯥ ꯀꯌꯥ ꯌꯥꯝꯅꯥ ꯁꯥꯡꯅꯥ ꯂꯩꯕꯒꯦ ꯍꯥꯌꯕꯒꯤ ꯃꯇꯨꯡ ꯏꯟꯅꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯈꯜ ꯑꯅꯤꯗꯥ ꯈꯥꯌꯗꯣꯀꯏ꯫

ꯑꯦꯄꯤꯗꯤꯗꯥꯏꯃꯥꯏꯇꯤꯁꯅꯥ ꯅꯥꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯅꯥ ꯀꯔꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯊꯦꯡꯅꯔꯤꯕꯒꯦ?

ꯅꯍꯥꯛꯅꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯊꯦꯡꯅꯔꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯈꯣꯌ ꯀꯌꯥ ꯑꯃꯁꯨ ꯄꯨꯟꯅꯥ ꯊꯦꯡꯅꯔꯀꯄꯥ ꯌꯥꯏ꯫

• ꯇꯦꯁ꯭ꯇꯤꯀꯜ ꯄꯦꯏꯟ (Testicular pain): ꯃꯁꯤꯅꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯂꯥꯏꯑꯣꯡꯅꯤ꯫ ꯇꯦꯁ꯭ꯇꯤꯀꯂꯒꯤ ꯅꯥꯀꯜ ꯑꯃꯗꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯅꯤꯃꯛꯇꯥ ꯑꯅꯥꯕꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯒꯤ ꯑꯅꯥꯕꯥ ꯑꯁꯤ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯒ꯭ꯔꯣꯏꯟ ꯑꯦꯔꯤꯌꯥꯗꯥ ꯁꯟꯗꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯤꯑꯣꯏ ꯈꯔꯒꯤ ꯑꯣꯏꯅꯗꯤ ꯑꯅꯥꯕꯥ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯅꯦꯝꯂꯕꯁꯨ, ꯑꯇꯣꯞꯄꯁꯤꯡꯒꯤꯗꯃꯛꯇꯗꯤ ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯋꯥꯅꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫
• ꯇꯦꯁ꯭ꯇꯤꯀꯂꯁꯤꯡ (Testicles) ꯁꯣꯟꯊꯕꯥ: ꯑꯅꯥꯕꯒꯥ ꯂꯣꯌꯅꯅꯥ, ꯇꯦꯁ꯭ꯇꯤꯀꯂꯁꯤꯡ (testicles) ꯁꯣꯛ-ꯄꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯁꯣꯛ-ꯄꯅꯕꯥ ꯐꯥꯎꯕꯥ ꯌꯥꯏ꯫
• ꯂꯥꯏꯍꯧ ꯑꯃꯁꯨꯡ ꯆꯤꯀꯄꯥ: ꯍꯀꯆꯥꯡꯗꯥ ꯏꯅꯐꯦꯛꯁꯟ ꯂꯩꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯂꯥꯏꯍꯧ ꯍꯧꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯀꯃꯟ ꯑꯣꯏ꯫
• ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯄꯥ (Dysuria): ꯂꯥꯏꯑꯣꯡ ꯑꯁꯤ ꯌꯨꯔꯤꯅꯔꯤ ꯇ꯭ꯔꯦꯛꯇꯇꯥ ꯏꯅꯐꯦꯛꯁꯟ ꯅꯠꯠꯔꯒꯥ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯁꯟ ꯂꯩꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫
• ꯁꯤꯃꯦꯟꯗꯥ ꯏ ꯊꯣꯀꯄꯥ (Hematospermia): ꯃꯁꯤ ꯃꯤꯄꯨꯝ ꯈꯨꯗꯤꯡꯃꯛꯇꯥ ꯊꯣꯛꯇꯦ, ꯑꯗꯨꯕꯨ ꯃꯤꯑꯣꯏ ꯈꯔꯅꯥ ꯏ ꯊꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯃꯈꯣꯌꯒꯤ ꯁꯤꯃꯦꯟꯗꯥ ꯏ ꯌꯥꯎꯔꯀꯄꯥ ꯎꯕꯥ ꯐꯪꯏ꯫
• ꯇꯦꯁ꯭ꯇꯤꯀꯜ (testicle)ꯗꯥ ꯂꯪꯁ (lump) ꯑꯃꯥ ꯑꯣꯏꯅꯥ ꯐꯥꯎꯕꯥ: ꯁꯣꯟꯊꯔꯕꯥ ꯑꯦꯄꯤꯗꯤꯗꯥꯏꯃꯤꯁ (epididymis) ꯑꯗꯨ ꯁꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯂꯪꯁ (lump) ꯑꯃꯒꯨꯝꯅꯥ ꯐꯥꯎꯕꯥ ꯌꯥꯏ꯫

ꯀꯔꯤꯒꯤꯗꯃꯛꯇꯥ ꯐꯤꯚꯝ ꯑꯁꯤ ꯊꯣꯛꯂꯤꯕꯅꯣ? ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯔꯃꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?

ꯑꯦꯄꯤꯗꯤꯗꯥꯏꯃꯥꯏꯇꯤꯁꯀꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯔꯝ ꯑꯁꯤ ꯕꯦꯛꯇꯦꯔꯤꯌꯥ ꯏꯅꯐꯦꯛꯁꯟ ꯑꯃꯅꯤ , ꯑꯗꯨꯕꯨ ꯏꯅꯐꯦꯛꯁꯟ ꯑꯁꯤ ꯊꯣꯀꯄꯒꯤ ꯃꯑꯣꯡ ꯑꯁꯤ ꯆꯍꯤ ꯌꯥꯃꯈꯠꯂꯀꯄꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯍꯣꯡꯂꯀꯄꯥ ꯌꯥꯏ꯫

ꯆꯍꯤ 35ꯒꯤ ꯃꯈꯥꯗꯥ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯒꯤ ꯑꯣꯏꯅꯥ꯫

ꯅꯍꯥ ꯑꯣꯏꯔꯤꯕꯥ, ꯁꯦꯛꯁꯨꯑꯦꯜꯂꯤ ꯑꯦꯛꯇꯤꯚ ꯑꯣꯏꯕꯥ ꯅꯨꯄꯥꯁꯤꯡꯗꯥ ꯑꯦꯄꯤꯗꯤꯗꯥꯏꯃꯥꯏꯇꯤꯁꯀꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯔꯃꯗꯤ ꯃꯍꯧꯁꯥꯅꯥ ꯁꯦꯛꯁꯨꯑꯦꯜꯂꯤ ꯇ꯭ꯔꯥꯟꯁꯃꯤꯇꯦꯗ ꯏꯅꯐꯦꯛꯁꯅꯁꯤꯡ (STIs) ꯑꯁꯤꯅꯤ꯫ ꯃꯔꯨꯑꯣꯏꯅꯥ: ꯱.

• ꯀ꯭ꯜꯌꯥꯃꯤꯗꯤꯌꯥ꯫
• ꯒꯣꯅꯣꯔꯤꯌꯥ ꯂꯩꯕꯥ꯫

ꯍꯥꯌꯔꯤꯕꯥ ꯃꯈꯂꯒꯤ ꯏꯅꯐꯦꯛꯁꯅꯁꯤꯡ ꯑꯁꯤ ꯏꯎꯔꯦꯊ꯭ꯔꯥꯒꯤ ꯃꯊꯛꯇꯥ ꯆꯠꯂꯤ ꯑꯃꯁꯨꯡ ꯏꯄꯤꯗꯤꯗꯥꯏꯃꯤꯁꯇꯥ ꯆꯪꯁꯤꯜꯂꯤ, ꯃꯗꯨꯅꯥ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯁꯟ ꯊꯣꯀꯍꯜꯂꯤ꯫

ꯆꯍꯤ ꯳꯵ꯒꯤ ꯃꯊꯛꯇꯥ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯒꯤꯗꯃꯛ꯫

ꯆꯍꯤ ꯀꯥꯡꯂꯨꯞ ꯑꯁꯤꯗꯥ ꯑꯦꯄꯤꯗꯤꯗꯥꯏꯃꯥꯏꯇꯤꯁꯀꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯔꯝ ꯑꯁꯤ ꯌꯨꯔꯤꯅꯔꯤ ꯇ꯭ꯔꯦꯛꯇ ꯏꯅꯐꯦꯛꯁꯟ ꯑꯃꯅꯤ꯫ ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯏꯅꯐꯦꯛꯁꯟ ꯂꯩꯔꯕꯥ ꯌꯨꯔꯤꯟ ꯈꯔꯗꯤ ꯏꯄꯤꯗꯤꯗꯥꯏꯃꯤꯁꯇꯥ ꯃꯇꯨꯡꯗꯥ (backflows) ꯆꯦꯜꯂꯤ꯫ ꯃꯁꯤ ꯃꯔꯨꯑꯣꯏꯅꯥ ꯏ . ꯃꯁꯤ ꯃꯍꯧꯁꯥꯅꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯗꯥꯏꯖꯦꯁ꯭ꯇꯤꯚ ꯇ꯭ꯔꯦꯛꯇꯇꯥ ꯂꯩꯕꯥ ꯕꯦꯛꯇꯦꯔꯤꯌꯥ ꯑꯃꯅꯤ꯫

ꯑꯇꯣꯞꯄꯥ ꯃꯔꯃꯁꯤꯡ꯫

ꯃꯊꯛꯇꯥ ꯄꯅꯈ꯭ꯔꯤꯕꯥ ꯃꯔꯃꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯊꯛꯇꯥ, ꯐꯤꯚꯝ ꯑꯁꯤ ꯑꯇꯣꯞꯄꯥ ꯃꯔꯝ ꯀꯌꯥꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫

• ꯌꯨꯔꯤꯅꯔꯤ ꯇ꯭ꯔꯦꯛꯇ ꯑꯣꯕꯁ꯭ꯠꯔꯥꯀꯁꯟ (Urinary tract obstruction): ꯌꯨꯔꯤꯟ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯊꯨꯒꯥꯌꯕꯥ ꯉꯃꯗꯕꯥ ꯃꯇꯃꯗꯥ, ꯄ꯭ꯔꯣꯁ꯭ꯇꯦꯇꯇꯥ ꯂꯦꯃꯍꯧꯔꯤꯕꯥ ꯌꯨꯔꯤꯟ ꯑꯗꯨ ꯏꯅꯐꯦꯛꯁꯟ ꯂꯩꯔꯀꯄꯥ ꯌꯥꯏ ꯑꯃꯁꯨꯡ ꯃꯇꯨꯡꯗꯥ ꯆꯦꯅꯕꯥ ꯌꯥꯏ꯫
• ꯄ꯭ꯔꯣꯁ꯭ꯇꯦꯇꯥꯏꯇꯤꯁ: ꯄ꯭ꯔꯣꯁ꯭ꯇꯦꯠ ꯒ꯭ꯜꯌꯥꯟꯗꯇꯥ ꯏꯅꯐꯦꯛꯁꯟ ꯂꯩꯔꯕꯥ ꯃꯇꯃꯗꯥ, ꯃꯁꯤꯅꯥ ꯑꯦꯄꯤꯗꯤꯗꯥꯏꯃꯤꯁꯇꯥ ꯁꯟꯗꯣꯀꯄꯥ ꯌꯥꯏ꯫
• ꯌꯨꯔꯤꯅꯔꯤ ꯀꯦꯇꯦꯇꯔ ꯁꯤꯖꯤꯟꯅꯕꯥ: ꯃꯦꯗꯤꯀꯦꯜ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯌꯨꯔꯤꯅꯔꯤ ꯀꯦꯇꯦꯇꯔ ꯑꯃꯥ ꯃꯐꯃꯗꯨꯗꯥ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯗꯥ ꯏꯅꯐꯦꯛꯁꯟ ꯂꯥꯀꯄꯒꯤ ꯔꯤꯁ꯭ꯛ ꯍꯦꯅꯒꯠꯂꯀꯏ꯫
• ꯒ꯭ꯔꯣꯏꯟ ꯑꯦꯔꯤꯌꯥꯗꯥ ꯑꯁꯣꯀꯄꯥ ꯑꯃꯥ:ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯑꯦꯛꯁꯤꯗꯦꯟꯇ ꯅꯠꯠꯔꯒꯥ ꯑꯦꯇꯦꯛ ꯑꯃꯗꯒꯤ ꯃꯐꯝ ꯑꯁꯤꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯄꯗꯒꯤꯁꯨ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫
• ꯑꯀꯛꯅꯕꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ: ꯍꯥꯔꯇꯀꯤ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛ ꯑꯦꯃꯤꯑꯣꯗꯥꯔꯣꯅꯁꯨ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯑꯦꯄꯤꯗꯤꯗꯥꯏꯃꯥꯏꯇꯤꯁ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫

ꯃꯁꯤ ꯀꯔꯝꯅꯥ ꯐꯪꯒꯅꯤ ꯗꯣꯛꯇꯔ?

ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯂꯩꯕꯥ ꯗꯣꯛꯇꯔ ꯑꯃꯒꯥ ꯎꯅꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯃꯍꯥꯛꯅꯥ ꯑꯍꯥꯅꯕꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯗꯨꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯑꯀꯨꯞꯄꯥ ꯃꯔꯣꯂꯗꯥ ꯍꯪꯒꯅꯤ꯫ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ, ꯃꯈꯣꯌꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯁ꯭ꯛꯔꯣꯇꯝ ꯑꯦꯔꯤꯌꯥ ꯑꯗꯨ ꯌꯦꯡꯗꯨꯅꯥ ꯑꯁꯣꯀꯄꯥ, ꯁꯣꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯂꯪꯁ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯒꯅꯤ꯫ ꯃꯁꯤꯒꯤ ꯃꯊꯛꯇꯥ, ꯃꯈꯣꯌꯅꯥ ꯑꯆꯨꯝꯕꯥ ꯃꯔꯝ ꯑꯗꯨ ꯈꯪꯗꯣꯛꯅꯕꯥ ꯇꯦꯁ꯭ꯠ ꯀꯌꯥ ꯑꯃꯥ ꯄꯥꯡꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫

• ꯌꯨꯔꯤꯅꯂꯥꯏꯁꯤꯁ: ꯌꯨꯔꯤꯟ ꯁꯦꯝꯄꯜ ꯑꯃꯥ ꯂꯧꯗꯨꯅꯥ ꯕꯦꯛꯇꯦꯔꯤꯌꯥ ꯅꯠꯠꯔꯒꯥ ꯏꯅꯐꯦꯛꯁꯅꯒꯤ ꯈꯨꯗꯃꯁꯤꯡ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯆꯦꯛ ꯇꯧꯏ꯫
• ꯕ꯭ꯂꯗ ꯇꯦꯁ꯭ꯠ: ꯃꯁꯤꯅꯥ ꯍꯀꯆꯥꯡꯗꯥ ꯏꯅꯐꯦꯛꯁꯟ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯀꯅꯐꯥꯔꯝ ꯇꯧꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫
• ꯁ꯭ꯕꯥꯕ ꯇꯦꯁ꯭ꯠ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯁꯦꯛꯁꯨꯑꯦꯜꯂꯤ ꯇ꯭ꯔꯥꯟꯁꯃꯤꯇꯦꯗ ꯗꯤꯖꯤꯖ ꯑꯃꯥ ꯆꯤꯡꯅꯕꯥ ꯂꯩꯔꯕꯗꯤ, ꯄꯦꯅꯤꯁꯀꯤ ꯏꯎꯔꯦꯊ꯭ꯔꯥꯜ ꯑꯣꯄꯅꯤꯡꯗꯒꯤ ꯑꯄꯤꯀꯄꯥ ꯁꯦꯝꯄꯜ (ꯁ꯭ꯕ꯭ꯌꯥꯕ) ꯑꯃꯥ ꯂꯧꯗꯨꯅꯥ ꯇꯦꯁ꯭ꯠ ꯇꯧꯅꯕꯥ ꯂꯦꯕꯣꯔꯦꯇꯔꯤꯗꯥ ꯊꯥꯏ꯫
• ꯑꯂꯠꯔꯥꯁꯥꯎꯟꯗ ꯁ꯭ꯀꯦꯟ: ꯃꯁꯤꯅꯥ ꯇꯦꯁ꯭ꯇꯤꯀꯜ ꯑꯃꯁꯨꯡ ꯑꯦꯄꯤꯗꯤꯗꯥꯏꯃꯤꯁꯇꯥ ꯁꯣꯀꯄꯥ, ꯏ ꯊꯣꯀꯄꯥ, ꯑꯃꯁꯨꯡ ꯑꯇꯩ ꯑꯀꯅꯕꯥ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ (ꯇꯦꯁ꯭ꯇꯤꯀꯨꯂꯥꯔ ꯇꯣꯔꯁꯅꯒꯨꯝꯕꯥ) ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯃꯌꯦꯛ ꯁꯦꯡꯅꯥ ꯆꯦꯛ ꯇꯧꯕꯥ ꯉꯝꯃꯤ꯫

ꯃꯁꯤ ꯀꯔꯝꯅꯥ ꯂꯥꯌꯦꯡꯕꯒꯦ? ꯃꯁꯤ ꯐꯍꯅꯕꯥ ꯉꯃꯒꯗ꯭ꯔꯥ?

ꯍꯣꯌ, ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯁꯣꯌꯗꯅꯥ ꯂꯥꯏꯌꯦꯡꯕꯥ ꯉꯃꯒꯅꯤ꯫ ꯂꯥꯏꯌꯦꯡ ꯑꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯏꯄꯤꯗꯤꯗꯥꯏꯃꯥꯏꯇꯤꯁꯀꯤ ꯃꯔꯝ ꯑꯗꯨꯒꯤ ꯃꯈꯥ ꯄꯣꯜꯂꯤ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯕꯦꯛꯇꯦꯔꯤꯌꯥꯒꯤ ꯏꯅꯐꯦꯛꯁꯟ ꯂꯩꯔꯕꯗꯤ꯫

ꯑꯌꯥꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯃꯔꯝ ꯑꯁꯤ ꯕꯦꯛꯇꯦꯔꯤꯌꯥ ꯏꯅꯐꯦꯛꯁꯟ ꯑꯃꯅꯤ, ꯑꯃꯁꯨꯡ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯂꯥꯏꯌꯦꯡ ꯑꯁꯤ ꯑꯦꯟꯇꯤꯕꯥꯏꯑꯣꯇꯤꯀꯁꯤꯡꯅꯤ . ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯛꯀꯤꯗꯃꯛꯇꯥ ꯑꯆꯨꯝꯕꯥ ꯑꯦꯟꯇꯤꯕꯥꯏꯑꯣꯇꯤꯀꯁꯤꯡ ꯄꯤꯒꯅꯤ꯫

• ꯗꯣꯛꯁꯤꯁꯥꯏꯛꯂꯤꯟ ( ꯗꯣꯛꯁꯤꯁꯥꯏꯛꯂꯤꯟ ) .
• ꯁꯤꯞꯔꯣꯐ꯭ꯂꯣꯛꯁꯦꯁꯤꯟ꯫
• ꯂꯦꯚꯣꯐ꯭ꯂꯣꯛꯁꯦꯁꯤꯅꯒꯨꯝꯕꯥ ꯗ꯭ꯔꯒꯁꯤꯡ ꯑꯁꯤ ꯃꯍꯧꯁꯥꯅꯥ ꯁꯤꯖꯤꯟꯅꯩ꯫

ꯃꯍꯧꯁꯥꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ ꯑꯁꯤ ꯅꯨꯃꯤꯠ ꯑꯃꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯅꯤꯒꯤ ꯑꯣꯏꯅꯥ ꯂꯧꯒꯗꯕꯅꯤ꯫ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯋꯥꯐꯃꯗꯤ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯄꯤꯕꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛꯀꯤ ꯃꯄꯨꯡꯐꯥꯕꯥ ꯗꯣꯖ ꯑꯗꯨ ꯃꯄꯨꯡꯐꯥꯕꯥ ꯃꯇꯃꯒꯤ ꯑꯣꯏꯅꯥ ꯂꯧꯕꯅꯤ꯫ ꯅꯍꯥꯛꯀꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯗꯨ ꯍꯟꯊꯔꯀꯄꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯍꯤꯗꯥꯛ ꯑꯗꯨ ꯊꯀꯄꯥ ꯂꯦꯄꯀꯅꯨ꯫ ꯃꯁꯤ ꯇꯧꯕꯅꯥ ꯏꯅꯐꯦꯛꯁꯟ ꯑꯗꯨ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯐꯒꯠꯍꯟꯗꯅꯥ ꯍꯟꯖꯤꯜꯂꯀꯄꯥ ꯌꯥꯏ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯇ꯭ꯌꯨꯕꯔꯀꯨꯂꯣꯁꯤꯁꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯑꯣꯏꯔꯕꯗꯤ꯫

ꯌꯥꯝꯅꯥ ꯇꯣꯏꯅꯥ, ꯑꯦꯄꯤꯗꯤꯗꯥꯏꯃꯥꯏꯇꯤꯁ ꯑꯁꯤ ꯇ꯭ꯌꯨꯕꯔꯀꯨꯂꯣꯁꯤꯁꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯒꯤ ꯀꯦꯁ ꯑꯁꯤꯗꯥ, ꯅꯍꯥꯛꯅꯥ ꯃꯇꯝ ꯁꯥꯡꯅꯥ, ꯆꯥꯎꯔꯥꯛꯅꯥ ꯊꯥ 6-9 ꯐꯥꯎꯕꯒꯤ ꯑꯣꯏꯅꯥ ꯑꯈꯟꯅꯕꯥ ꯇ꯭ꯌꯨꯕꯔꯀꯨꯂꯣꯁꯤꯁꯀꯤ ꯍꯤꯗꯥꯀꯁꯤꯡ ꯂꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯒꯅꯤ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯗ꯭ꯔꯒ ꯑꯁꯤꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯑꯦꯃꯤꯑꯣꯗꯥꯔꯣꯟ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯍꯤꯗꯥꯛ ꯑꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯦꯄꯤꯗꯤꯗꯥꯏꯃꯥꯏꯇꯤꯁ ꯊꯣꯀꯍꯜꯂꯤ ꯍꯥꯌꯅꯥ ꯀꯅꯐꯥꯔꯝ ꯇꯧꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯍꯤꯗꯥꯛ ꯑꯗꯨꯒꯤ ꯗꯣꯖ ꯑꯗꯨ ꯍꯟꯊꯍꯅꯒꯅꯤ ꯅꯠꯠꯔꯒꯥ ꯅꯍꯥꯀꯄꯨ ꯑꯇꯣꯞꯄꯥ ꯍꯤꯗꯥꯛ ꯑꯃꯗꯥ ꯍꯣꯡꯗꯣꯛꯀꯅꯤ꯫ꯀꯩꯗꯧꯉꯩꯗꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛ ꯂꯧꯕꯥ ꯂꯦꯄꯍꯜꯂꯣꯏꯗꯕꯅꯤ ꯅꯠꯠꯔꯒꯥ ꯗꯣꯛꯇꯔꯗꯥ ꯍꯪꯗꯅꯥ ꯗꯣꯖ ꯑꯗꯨ ꯃꯁꯥ ꯃꯊꯟꯇꯥ ꯍꯣꯡꯗꯣꯛꯂꯣꯏꯗꯕꯅꯤ꯫

ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯃꯇꯃꯗꯥ ꯑꯅꯥꯕꯥ ꯍꯟꯊꯍꯟꯅꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯌꯨꯃꯗꯥ ꯇꯧꯕꯥ ꯌꯥꯕꯥ ꯊꯕꯀꯁꯤꯡ꯫

ꯑꯦꯟꯇꯤꯕꯥꯏꯑꯣꯇꯤꯀꯁꯤꯡꯅꯥ ꯏꯅꯐꯦꯛꯁꯟ ꯑꯗꯨ ꯀ꯭ꯂꯤꯌꯥꯔ ꯇꯧꯕꯗꯥ ꯅꯨꯃꯤꯠ ꯈꯔꯅꯤ ꯆꯪꯒꯅꯤ꯫ ꯃꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ, ꯅꯍꯥꯛꯅꯥ ꯑꯅꯥꯕꯥ ꯑꯃꯁꯨꯡ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯍꯟꯊꯍꯅꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯅꯕꯥ ꯊꯕꯀꯁꯤꯡ ꯑꯁꯤ ꯇꯧꯕꯥ ꯌꯥꯏ꯫

• ꯅꯨꯡꯉꯥꯏꯅꯥ ꯂꯩꯅꯕꯥ: ꯌꯥꯔꯤꯕꯃꯈꯩ ꯐꯃꯨꯡꯗꯥ ꯂꯦꯡꯗꯅꯥ ꯂꯩꯌꯨ꯫ ꯈꯣꯡꯅꯥ ꯆꯠꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯔꯨꯝꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ ꯂꯧꯊꯣꯀꯄꯥ ꯊꯤꯡꯖꯤꯜꯂꯨ꯫
• ꯁ꯭ꯛꯔꯣꯇꯦꯜ ꯏꯂꯦꯚꯦꯁꯟ (Scrotal Elevation): ꯃꯁꯤꯅꯥ ꯁꯣꯛ-ꯄꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯑꯅꯥꯕꯥ ꯍꯟꯊꯍꯅꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫ ꯂꯦꯡꯗꯅꯥ ꯂꯩꯔꯤꯉꯩꯗꯥ, ꯑꯄꯤꯀꯄꯥ ꯇꯣꯏꯂꯦꯠ ꯑꯃꯥ ꯀꯨꯄꯁꯤꯜꯂꯨ ꯑꯃꯁꯨꯡ ꯃꯗꯨ ꯈꯔꯥ ꯋꯥꯡꯈꯠꯍꯟꯅꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯁ꯭ꯛꯔꯣꯇꯃꯒꯤ ꯃꯈꯥꯗꯥ ꯊꯝꯃꯨ꯫
• ꯑꯥꯏꯁ ꯄꯦꯀꯁꯤꯡ ꯁꯤꯖꯤꯟꯅꯧ: ꯑꯥꯏꯁ ꯀ꯭ꯌꯨꯕ ꯈꯔꯗꯤ ꯑꯁꯦꯡꯕꯥ ꯐꯤ ꯑꯃꯗꯥ ꯀꯨꯄꯁꯤꯜꯂꯨ ꯑꯃꯁꯨꯡ ꯃꯈꯣꯌꯗꯨ ꯑꯁꯣꯀꯄꯥ ꯃꯐꯝ ꯑꯗꯨꯗꯥ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯃꯤꯅꯠ 15-20 ꯊꯃꯒꯗꯕꯅꯤ꯫ ꯃꯁꯤ ꯅꯣꯡꯃꯗꯥ ꯀꯌꯥꯃꯔꯨꯝ ꯇꯧꯒꯗꯕꯅꯤ꯫
• ꯁꯄꯣꯔꯇꯤꯚ ꯑꯟꯗꯔꯋꯦꯌꯔ ꯁꯤꯖꯤꯟꯅꯧ: ꯈꯔꯥ ꯇꯞꯅꯥ, ꯁꯄꯣꯔꯇꯤꯚ ꯑꯣꯏꯕꯥ ꯑꯟꯗꯔꯋꯦꯌꯔ (ꯑꯦꯊꯂꯦꯇꯤꯛ ꯁꯄꯣꯔꯇꯔꯒꯨꯝꯕꯥ) ꯁꯤꯖꯤꯟꯅꯕꯅꯥ ꯇꯦꯁ꯭ꯇꯤꯀꯜ ꯁꯣꯀꯄꯥ ꯍꯟꯊꯍꯅꯕꯗꯥ ꯑꯃꯁꯨꯡ ꯑꯅꯥꯕꯥ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫
• ꯏꯁꯤꯡ ꯃꯔꯥꯡ ꯀꯥꯌꯅꯥ ꯊꯀꯎ: ꯅꯣꯡꯃꯗꯥ ꯌꯥꯃꯗ꯭ꯔꯕꯗꯥ ꯏꯁꯤꯡ ꯒ꯭ꯂꯥꯁ 8-10 ꯊꯀꯎ꯫
• ꯄꯦꯏꯅꯀꯤꯂꯥꯔꯁꯤꯡ: ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯇꯥꯀꯄꯥ ꯃꯇꯨꯡꯏꯟꯅꯥ NSAIDꯁꯤꯡ (ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯏꯕꯨꯞꯔꯣꯐꯦꯟ) ꯂꯧꯕꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯑꯇꯩ ꯃꯦꯗꯤꯀꯦꯜ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯒꯤꯗꯃꯛꯇꯗꯤ ꯆꯨꯃꯗꯕꯥ ꯑꯣꯏꯔꯀꯄꯥ ꯌꯥꯏ, ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛ ꯑꯃꯠꯇꯥ ꯂꯧꯗ꯭ꯔꯤꯉꯩꯗꯥ ꯃꯇꯝ ꯄꯨꯝꯅꯃꯛꯇꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯇꯥꯟꯅꯧ꯫

ꯑꯩꯅꯥ ꯀꯗꯥꯏꯗꯥ ꯗꯣꯛꯇꯔꯒꯥ ꯎꯅꯒꯗꯒꯦ? ꯑꯩꯅꯥ ꯀꯗꯥꯏꯗꯥ ꯏꯃꯔꯖꯦꯟꯁꯤ ꯗꯤꯄꯥꯔꯇꯃꯦꯟꯇ (ETU)ꯗꯥ ꯆꯠꯀꯗꯒꯦ?

ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯖꯦꯅꯦꯔꯦꯜ ꯄꯦꯏꯟ, ꯁꯣꯀꯄꯥ, ꯑꯃꯁꯨꯡ ꯂꯥꯏꯍꯧ ꯑꯁꯤꯅꯆꯤꯡꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯂꯩꯔꯕꯗꯤ, ꯌꯥꯔꯤꯕꯃꯈꯩ ꯊꯨꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯐꯦꯃꯤꯂꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯇꯥꯟꯅꯧ꯫