ꯅꯍꯥꯛꯀꯤ ꯍꯤꯄꯐꯝ ꯑꯗꯨ ꯁꯣꯀꯈꯤꯕ꯭ꯔꯥ? ꯅꯠꯔꯒꯥ ꯀꯅꯥꯒꯨꯝꯕꯥ ꯑꯃꯅꯥ ꯁꯣꯀꯈꯤꯕꯔꯥ? ꯍꯤꯞ ꯐ꯭ꯔꯦꯀꯆꯔꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯇꯁꯦꯡꯅꯥ ꯈꯉꯂꯁꯤ!

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯑꯍꯜ ꯑꯃꯅꯥ, ꯌꯥꯝꯅꯥ ꯋꯥꯅꯥ ꯏꯆꯜ – ꯏꯆꯦ ꯅꯠꯔꯒꯥ ꯏꯆꯜ – ꯏꯆꯦ ꯅꯠꯔꯒꯥ ꯏꯆꯜ – ꯏꯆꯦ ꯑꯃꯥ ꯁꯣꯟꯗꯨꯅꯥ ꯂꯥꯛꯂꯕꯗꯤ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯅꯥ ꯁꯣꯀꯄꯥ ꯌꯥꯏ, ꯅꯠꯇꯦ? ꯑꯩꯈꯣꯌꯅꯥ ꯑꯌꯥꯝꯕꯅꯥ ꯈꯜꯂꯤ, ‘ꯑꯣꯍ, ꯑꯩꯒꯤ ꯍꯤꯄꯐꯝ ꯁꯣꯀꯄꯥ ꯌꯥꯏ ꯍꯥꯌꯕꯥ ꯑꯩ ꯈꯉꯗꯦ꯫’ ꯇꯁꯦꯡꯕꯗꯤ ꯍꯤꯞ ꯑꯁꯤ ꯊꯨꯒꯥꯏꯕꯥ, ꯍꯥꯌꯕꯗꯤ `(ꯍꯤꯞ ꯐ꯭ꯔꯦꯀꯆꯔ)` ꯍꯥꯌꯕꯁꯤ ꯒꯦꯝ ꯑꯃꯅꯤ꯫ ꯃꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯄꯨꯟꯁꯤꯗꯥ ꯁꯣꯀꯍꯅꯕꯥ ꯌꯥꯕꯥ ꯁꯥꯊꯤꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫ ꯑꯗꯨꯅꯥ, ꯉꯁꯤ ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯑꯀꯛꯅꯅꯥ ꯑꯃꯁꯨꯡ ꯂꯥꯏꯅꯥ ꯋꯥꯔꯤ ꯁꯥꯁꯤ꯫

ꯁꯨꯞꯅꯒꯤ ꯍꯤꯄꯐꯝ ꯑꯃꯥ ꯊꯨꯒꯥꯏꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ?

ꯑꯣꯀꯦ, ꯍꯧꯖꯤꯛ ꯍꯤꯞ ꯐ꯭ꯔꯦꯀꯆꯔ ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯁꯤ꯫ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯊꯤꯡꯖꯤꯅꯕꯥ (thigh bone) ꯑꯃꯥ ꯂꯩ, ꯃꯗꯨ ꯍꯤꯄꯐꯃꯗꯒꯤ ꯍꯧꯔꯒꯥ ꯈꯨꯎ ꯐꯥꯎꯕꯒꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯁꯥꯡꯕꯥ ꯑꯃꯁꯨꯡ ꯃꯄꯥꯉ꯭ꯒꯜ ꯀꯅꯕꯥ ꯁꯔꯨꯅꯤ꯫ ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯃꯁꯤꯕꯨ ꯐꯤꯃꯔ ꯍꯥꯌꯅꯥꯁꯨ ꯀꯧꯏ꯫ ꯃꯗꯨ ꯊꯤꯡꯖꯤꯅꯕꯥ ꯁꯔꯨꯛ ꯑꯗꯨꯒꯤ ꯃꯊꯛꯀꯤ ꯁꯔꯨꯛ ꯑꯗꯨꯅꯤ, ꯃꯔꯨꯑꯣꯏꯅꯥ ꯍꯤꯄꯐꯝ (hip joint)ꯒꯤ ꯃꯅꯥꯛꯇꯥ ꯂꯩꯕꯥ ꯁꯔꯨꯛ ꯑꯗꯨꯅꯤ, ꯃꯗꯨꯕꯨ ꯑꯩꯈꯣꯌꯅꯥ ꯍꯤꯄꯐꯝ (hip fracture) ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫

ꯍꯤꯄꯐꯝ (hip bone) ꯍꯥꯌꯕꯁꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯁꯥꯡꯕꯥ ꯑꯃꯁꯨꯡ ꯃꯄꯥꯉ꯭ꯒꯜ ꯀꯅꯕꯥ ꯁꯔꯨꯅꯤ꯫ ꯑꯗꯨꯅꯥ, ꯃꯍꯧꯁꯥꯅꯥ, ꯃꯁꯤ ꯊꯨꯒꯥꯏꯕꯗꯥ ꯌꯥꯝꯅꯥ ꯐꯠꯇꯕꯥ ꯁꯣꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯆꯧꯕꯥ ꯇ꯭ꯔꯥꯎꯃꯥ ꯑꯃꯥ, ꯒꯥꯔꯤꯒꯤ ꯑꯦꯛꯁꯤꯗꯦꯟꯇꯒꯨꯝꯕꯥ ꯑꯃꯥ ꯆꯪꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯍꯤꯞ ꯑꯃꯥ ꯁꯣꯀꯄꯥ ꯇꯥꯔꯕꯗꯤ, ꯑꯌꯥꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯃꯁꯤꯅꯥ ꯇꯥꯀꯄꯗꯤ ꯅꯍꯥꯛꯅꯥ ꯃꯗꯨ ꯐꯤꯛꯁ ꯇꯧꯅꯕꯥ ꯁꯔꯖꯔꯤ ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯏ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯑꯩꯈꯣꯌꯅꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯏꯆꯤꯜ-ꯏꯅꯥꯑꯣꯁꯤꯡꯒꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯩ, ‘ꯑꯩꯅꯥ ꯆꯍꯤ ꯌꯥꯝꯅꯥ ꯁꯨꯔꯀꯄꯗꯒꯤ ꯑꯩꯒꯤ ꯍꯤꯞ ꯁꯣꯀꯈꯤ’ ꯍꯥꯌꯕꯁꯤꯅꯤ꯫ ꯃꯁꯤ ꯁꯨꯞꯅꯇꯒꯤ ꯋꯥꯔꯤꯃꯆꯥ ꯑꯣꯏꯔꯕꯁꯨ, ꯃꯁꯤ ꯅꯤꯡꯁꯤꯡꯕꯥ ꯌꯥꯝꯅꯥ ꯃꯔꯨ ꯑꯣꯏ ꯃꯗꯨꯗꯤ ꯍꯤꯞ ꯁꯣꯀꯄꯥ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ, ꯄꯨꯟꯁꯤ ꯍꯣꯡꯍꯅꯕꯥ ꯉꯝꯕꯥ ꯑꯦꯛꯁꯤꯗꯦꯟꯇ ꯑꯃꯅꯤ . ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯁꯤ ꯌꯥꯗꯔꯕꯗꯤ, ꯃꯗꯨ ꯇꯨꯡꯗꯥ ꯑꯆꯧꯕꯥ ꯁꯃꯁ꯭ꯌꯥꯁꯤꯡ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫

ꯍꯤꯄꯐꯝ ꯑꯃꯥ ꯁꯣꯀꯄꯥ ꯌꯥꯕꯒꯤ ꯃꯑꯣꯡꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?

ꯍꯧꯖꯤꯛ ꯌꯦꯡꯕꯤꯌꯨ, ꯑꯩꯈꯣꯌꯒꯤ ꯍꯤꯞ ꯖꯣꯟ ꯑꯁꯤ ꯕꯣꯜ -ꯑꯦꯟꯗ-ꯁꯣꯀꯦꯠ ꯖꯣꯟ ꯑꯃꯅꯤ꯫ ꯊꯣꯡꯅꯥꯎꯒꯤ ꯁꯔꯨꯛ (femoral head) ꯑꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯄꯦꯂꯚꯤꯁꯇꯥ ꯂꯩꯕꯥ ꯀꯄꯒꯨꯝꯕꯥ ꯁꯣꯀꯦꯠ (acetabulum) ꯑꯃꯗꯥ ꯌꯥꯎꯏ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯑꯩꯈꯣꯌꯅꯥ ‘ꯕ꯭ꯔꯣꯀꯦꯟ ꯍꯤꯞ’ ꯍꯥꯌꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯁꯔꯨ ꯑꯁꯤ ꯊꯣꯡꯅꯥꯎꯒꯤ ꯃꯊꯛꯇꯥ ꯂꯩꯕꯥ ꯃꯐꯝ ꯑꯃꯍꯦꯛꯇꯗꯥ ꯁꯣꯀꯄꯥ ꯌꯥꯏ ꯍꯥꯌꯕꯅꯤ꯫

ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯍꯤꯞ ꯐ꯭ꯔꯦꯀꯆꯔꯁꯤꯡ ꯑꯁꯤ ꯐꯤꯃꯔꯅꯥ ꯀꯗꯥꯏꯗꯥ ꯆꯦꯟꯊꯈꯤꯕꯒꯦ ꯍꯥꯌꯕꯗꯨꯗꯥ ꯌꯨꯝꯐꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯀ꯭ꯂꯥꯁꯤꯐꯥꯏ ꯇꯧꯏ꯫ ꯃꯈꯣꯌꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯤꯅꯣ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯁꯤ:

• ꯐꯦꯃꯣꯔꯦꯜ ꯍꯦꯗ ꯐ꯭ꯔꯦꯀꯆꯔ (femoral head fractures): ꯃꯁꯤ ꯐꯤꯝꯌꯨꯔ (femur)ꯒꯤ ꯕꯣꯜ ꯃꯈꯂꯒꯤ ꯁꯔꯨꯛ, ꯊꯤꯡꯖꯤꯅꯕꯥ ꯁꯔꯨꯛ ꯑꯗꯨꯒꯤ ꯃꯊꯛꯇꯥ ꯂꯩꯕꯥ ꯑꯀꯪꯕꯥ ꯁꯔꯨꯛ ꯑꯗꯨꯒꯤ ꯐ꯭ꯔꯦꯀꯆꯔ ꯑꯃꯅꯤ꯫ ꯃꯁꯤ ꯇꯁꯦꯡꯅꯥ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯊꯣꯀꯄꯥ ꯊꯧꯗꯣꯛ ꯑꯃꯅꯤ꯫
• ꯐꯦꯃꯣꯔꯦꯜ ꯅꯦꯛ ꯐ꯭ꯔꯦꯀꯆꯔ (femoral neck fractures): ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯁꯕꯀꯦꯄꯤꯇꯦꯜ ꯐ꯭ꯔꯦꯀꯆꯔ ꯅꯠꯠꯔꯒꯥ ꯏꯟꯠꯔꯥꯀꯦꯄꯁꯨꯂꯥꯔ ꯐ꯭ꯔꯦꯀꯆꯔ ꯍꯥꯌꯅꯥ ꯀꯧꯕꯥ, ꯃꯁꯤ ꯐꯤꯃꯔꯒꯤ ꯊꯣꯡꯅꯥꯎꯒꯨꯝꯕꯥ ꯁꯔꯨꯛ ꯑꯗꯨꯅꯤ, ꯃꯗꯨ ꯒꯣꯜꯗ ꯍꯦꯗ ꯑꯃꯁꯨꯡ ꯃꯄꯥꯟꯊꯪꯕꯥ ꯁꯔꯨꯛ ꯑꯗꯨꯒꯤ ꯃꯔꯛꯇꯥ ꯂꯩꯕꯥ ꯂꯝꯕꯤꯒꯤ ꯁꯔꯨꯛ ꯑꯃꯅꯤ꯫ ꯃꯁꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯍꯤꯞ ꯐ꯭ꯔꯦꯀꯆꯔꯒꯤ ꯃꯈꯂꯅꯤ꯫ ꯃꯁꯤ ꯕꯣꯇꯜ ꯑꯃꯒꯤ ꯈꯣꯡꯎꯄꯒꯨꯝꯅꯥ ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯁꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫
• ꯏꯟꯇꯔꯠꯔꯣꯆꯦꯟꯇꯦꯔꯤꯛ ꯐ꯭ꯔꯦꯀꯆꯔꯁꯤꯡ (intertrochanteric fractures): ꯐꯤꯃꯔꯒꯤ ꯅꯥꯀꯜ ꯑꯃꯗꯥ ꯁꯔꯨ ꯇꯥꯡꯒꯤ ꯄ꯭ꯔꯣꯃꯤꯅꯦꯟꯁ (trochanters) ꯑꯅꯤ ꯂꯩ꯫ ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯃꯁꯂꯁꯤꯡꯅꯥ ꯆꯦꯅꯕꯥ ꯃꯐꯃꯁꯤꯡꯅꯤ꯫ ꯃꯁꯤꯕꯨ ꯄ꯭ꯔꯣꯃꯤꯅꯦꯟꯁꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯔꯛꯇꯥ ꯂꯩꯕꯥ ꯃꯐꯝ ꯑꯗꯨꯗꯥ ꯐ꯭ꯔꯦꯀꯆꯔ ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫

ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯁꯨ ꯐ꯭ꯔꯦꯀꯆꯔꯒꯤ ꯃꯃꯤꯡ ꯑꯁꯤ ꯐ꯭ꯔꯦꯀꯆꯔꯒꯤ ꯃꯑꯣꯡ-ꯃꯇꯧ (i.e., ꯃꯗꯨ ꯁꯣꯀꯄꯒꯤ ꯃꯑꯣꯡ, ꯃꯑꯣꯡ-ꯃꯇꯧ)ꯗꯥ ꯌꯨꯝꯐꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯀꯧꯏ꯫ ꯃꯈꯥꯗꯥ ꯈꯨꯗꯝ ꯈꯔꯥ ꯄꯤꯔꯤ:

• ꯇ꯭ꯔꯥꯟꯁꯕꯔꯁ ꯐ꯭ꯔꯦꯀꯆꯔꯁꯤꯡ꯫
• ꯑꯣꯕꯂꯤꯛ ꯑꯣꯏꯕꯥ ꯐ꯭ꯔꯦꯀꯆꯔꯁꯤꯡ꯫
• ꯁ꯭ꯄꯥꯏꯔꯦꯜ ꯐ꯭ꯔꯦꯀꯆꯔꯁꯤꯡ꯫
• ꯀꯃꯤꯅꯤꯎꯇꯦꯗ ꯐ꯭ꯔꯦꯀꯆꯔꯁꯤꯡ – ꯃꯁꯤ ꯒ꯭ꯂꯥꯁꯀꯤ ꯄꯣꯠꯁꯛ ꯑꯃꯅꯥ ꯃꯥꯂꯦꯃꯗꯥ ꯆꯦꯟꯊꯔꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯆꯦꯟꯊꯔꯀꯄꯒꯨꯝꯅꯥ ꯑꯣꯏ꯫

ꯃꯁꯤꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯤꯅꯣ?

ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯍꯤꯄꯐꯝ (brown hip)ꯒꯤ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯃꯗꯒꯤ ꯍꯦꯅꯕꯥ ꯂꯩꯔꯕꯗꯤ ꯅꯍꯥꯛꯅꯥ ꯁꯣꯌꯗꯅꯥ ꯋꯥꯈꯜ ꯇꯥꯒꯗꯕꯅꯤ꯫

• ꯑꯩꯒꯤ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯍꯤꯄꯐꯝ ꯑꯃꯥ ꯂꯩꯔꯤ . ꯃꯁꯤꯒꯤ ꯑꯅꯥꯕꯥ ꯑꯁꯤꯅꯥ ꯒ꯭ꯔꯨꯏꯅꯗꯥ ꯔꯦꯗꯤꯑꯦꯠ ꯇꯧꯕꯁꯨ ꯌꯥꯏ꯫
• ꯅꯍꯥꯛꯀꯤ ꯍꯤꯄꯐꯝ ꯅꯠꯠꯔꯒꯥ ꯈꯣꯡ ꯑꯗꯨ ꯆꯠꯄꯥ ꯉꯃꯗꯦ, ꯃꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯃꯣꯕꯤꯂꯤꯇꯤꯗꯥ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯅꯥ ꯑꯊꯤꯡꯕꯥ ꯊꯝꯂꯤ ꯍꯥꯌꯕꯅꯤ꯫ ꯅꯍꯥꯛꯅꯥ ꯑꯔꯨꯝꯕꯥ ꯂꯧꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯂꯦꯞꯄꯥ ꯐꯥꯑꯣꯕꯥ ꯉꯃꯗꯦ꯫
• ꯈꯨꯠꯇꯥ ꯁꯣꯀꯄꯥ ꯌꯥꯕꯥ ꯂꯪꯂꯥ ꯑꯃꯥ ꯂꯩꯕꯥ ꯌꯥꯏ, ꯅꯠꯠꯔꯒꯥ ꯃꯄꯥꯟꯊꯣꯡꯗꯒꯤ ꯎꯕꯥ ꯐꯪꯕꯥ ꯂꯝ ꯑꯃꯥ ꯂꯩꯕꯥ ꯌꯥꯏ꯫
• ꯁꯣꯛ-ꯄꯅꯕꯥ ꯊꯣꯀꯏ꯫
• ꯕ꯭ꯔꯨꯏꯁ, ꯍꯥꯌꯕꯗꯤ ꯅꯤꯜ ꯈꯣꯡꯕꯥ ꯍꯥꯌꯕꯁꯤꯅꯤ꯫
• ꯃꯄꯥꯟꯊꯣꯡꯗꯒꯤ ꯌꯦꯡꯕꯗꯥ ꯍꯤꯄꯐꯝ (hip joint) ꯑꯁꯤ ꯁꯣꯀꯍꯜꯂꯕꯥ ꯑꯃꯁꯨꯡ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯎꯕꯥ ꯐꯪꯗꯕꯥ ꯌꯥꯏ . ꯈꯣꯡ ꯑꯗꯨ ꯈꯔꯥ ꯀꯨꯄꯁꯤꯜꯂꯕꯥ ꯑꯃꯁꯨꯡ ꯃꯄꯥꯟꯗꯥ ꯊꯣꯀꯄꯥ ꯎꯕꯥ ꯐꯪꯕꯁꯨ ꯌꯥꯏ꯫

ꯍꯤꯞ ꯐ꯭ꯔꯦꯀꯆꯔꯒꯤ ꯃꯔꯃꯁꯤꯡ ꯀꯔꯤꯅꯣ?

ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯍꯤꯞ ꯐ꯭ꯔꯦꯀꯆꯔ ꯑꯃꯅꯥ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯑꯦꯛꯁꯤꯗꯦꯟꯇ ꯑꯃꯥ ꯃꯊꯧ ꯇꯥꯏ . ꯃꯔꯃꯗꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯃꯃꯥꯡꯗꯥ ꯍꯥꯌꯈꯤꯕꯒꯨꯝꯅꯥ ꯃꯁꯤ ꯑꯀꯅꯕꯥ ꯁꯔꯨ ꯑꯃꯅꯤ꯫ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯔꯃꯁꯤꯡꯗꯤ:

• ꯏꯁꯤꯡ ꯇꯨꯡꯁꯤꯅꯕꯥ: ꯃꯔꯨꯑꯣꯏꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯋꯥꯡꯕꯥ ꯃꯐꯝ ꯑꯃꯗꯒꯤ (ꯂꯦꯗꯔ, ꯌꯨꯃꯊꯛ, ꯎꯃꯪꯒꯨꯝꯕꯥ) ꯂꯥꯀꯄꯥ ꯑꯣꯏꯔꯕꯗꯤ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯑꯍꯜ ꯑꯣꯏꯔꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯒꯤ ꯑꯣꯏꯅꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯁꯨꯞꯅꯒꯤ ꯂꯦꯡꯗꯅꯥ ꯂꯩꯔꯤꯉꯩꯗꯥ ꯂꯦꯡ-ꯑꯣꯠꯄꯥ ꯑꯃꯁꯨꯡ ꯁꯣꯀꯄꯥ ꯑꯣꯏꯔꯕꯁꯨ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫
• ꯒꯥꯔꯤꯒꯤ ꯑꯦꯛꯁꯤꯗꯦꯟꯇꯁꯤꯡ: ꯒꯥꯔꯤ, ꯁꯥꯏꯀꯜ, ꯑꯃꯁꯨꯡ ꯊ꯭ꯔꯤ-ꯍꯨꯏꯂꯔ ꯑꯦꯛꯁꯤꯗꯦꯟꯇꯁꯤꯡꯅꯥ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯑꯀꯅꯕꯥ ꯑꯁꯣꯛ-ꯑꯄꯅꯁꯤꯡ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫
• ꯁꯥꯟꯅ-ꯈꯣꯠꯅꯕꯒꯤ ꯑꯁꯣꯛ-ꯑꯄꯟ : ꯃꯔꯨꯑꯣꯏꯅꯥ ꯔꯒꯕꯤ ꯑꯃꯁꯨꯡ ꯐꯨꯇꯕꯣꯂꯒꯨꯝꯕꯥ ꯍꯥꯏ-ꯏꯝꯄꯦꯛꯇ ꯁꯥꯟꯅꯄꯣꯠꯁꯤꯡꯗꯥ꯫

ꯀꯅꯥꯅꯥ ꯍꯦꯟꯅꯥ ꯈꯨꯗꯣꯡꯊꯤꯕꯥ ꯅꯪꯂꯤꯕꯅꯣ?

ꯀꯅꯥꯒꯨꯝꯕꯥ ꯑꯃꯅꯥ ꯑꯦꯛꯁꯤꯗꯦꯟꯇ ꯑꯃꯥ ꯊꯣꯛꯂꯛꯇꯨꯅꯥ ꯍꯤꯄꯐꯝ ꯑꯃꯥ ꯁꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯕꯨ ꯃꯤꯑꯣꯏ ꯈꯔꯗꯤ ꯍꯦꯟꯅꯥ ꯔꯤꯁ꯭ꯛ ꯂꯩ꯫ ꯃꯈꯣꯌꯁꯤꯡ ꯑꯗꯨꯗꯤ: ꯱.

• ꯆꯍꯤ 65ꯒꯤ ꯃꯊꯛꯇꯥ ꯂꯩꯕꯥ ꯑꯍꯂꯁꯤꯡ: ꯑꯩꯈꯣꯌꯅꯥ ꯆꯍꯤ ꯌꯥꯃꯈꯠꯂꯀꯄꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯁꯔꯨ ꯇꯥꯡꯁꯤꯡ ꯑꯁꯤ ꯁꯣꯟꯊꯔꯀꯏ ꯑꯃꯁꯨꯡ ꯑꯩꯈꯣꯌꯒꯤ ꯕꯦꯂꯦꯟꯁ ꯍꯟꯊꯔꯀꯏ, ꯃꯗꯨꯅꯥ ꯑꯩꯈꯣꯌꯕꯨ ꯍꯦꯟꯅꯥ ꯁꯣꯀꯍꯜꯂꯤ꯫
• ꯃꯈꯣꯌꯒꯤ ꯁꯔꯨ ꯇꯥꯡꯁꯤꯡ ꯁꯣꯟꯊꯍꯜꯂꯤꯕꯥ ꯂꯥꯌꯅꯥ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡ꯫ ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯈꯣꯌꯗꯥ ``ꯑꯣꯁ꯭ꯇꯤꯑꯣꯄꯣꯔꯣꯁꯤꯁ`` (bone loss) ꯅꯠꯠꯔꯒꯥ ``Osteopenia`` (bone thinning) ꯂꯩꯔꯕꯗꯤ꯫ ꯍꯥꯌꯔꯤꯕꯥ ꯐꯤꯚꯃꯁꯤꯡ ꯑꯁꯤꯗꯥ ꯁꯔꯨꯁꯤꯡ ꯑꯁꯤ ꯕꯤꯁ꯭ꯛꯌꯨꯏꯇꯒꯨꯝꯅꯥ ꯁꯣꯟꯊꯔꯀꯏ꯫
• ꯅꯨꯄꯤꯁꯤꯡꯅꯥ ꯅꯨꯄꯥꯁꯤꯡꯗꯒꯤ ꯈꯔꯥ ꯍꯦꯟꯅꯥ ꯔꯤꯁ꯭ꯛ ꯂꯩ, ꯃꯔꯨꯑꯣꯏꯅꯥ ꯃꯦꯅꯣꯄꯣꯖꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯃꯔꯃꯗꯤ ꯃꯈꯣꯌꯗꯥ ꯑꯣꯁ꯭ꯇꯤꯑꯣꯄꯣꯔꯣꯁꯤꯁ ꯂꯥꯀꯄꯒꯤ ꯆꯥꯡ ꯍꯦꯟꯅꯥ ꯋꯥꯡꯏ꯫
• ꯀꯟꯇꯦꯛꯇ ꯁ꯭ꯄꯣꯔꯇꯁ ꯁꯥꯟꯅꯔꯤꯕꯥ ꯁꯥꯟꯅꯔꯣꯏꯁꯤꯡ꯫

ꯃꯍꯧꯁꯥꯅꯥ, ꯍꯤꯄꯐꯝ (hip fracture) ꯍꯥꯌꯕꯁꯤ ꯃꯤꯑꯣꯏ ꯑꯃꯅꯥ ꯋꯥꯡꯈꯠꯄꯥ ꯃꯐꯝ ꯑꯃꯗꯒꯤ ꯂꯥꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯊꯣꯀꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯆꯍꯤ 65ꯒꯤ ꯃꯊꯛꯇꯥ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏ ꯅꯠꯠꯔꯒꯥ ꯁꯔꯨ ꯇꯥꯡ ꯁꯣꯀꯄꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯒꯤ ꯑꯣꯏꯅꯗꯤ, ꯌꯨꯃꯒꯤ ꯊꯕꯛ ꯇꯧꯔꯤꯉꯩꯗꯥ ꯅꯠꯠꯔꯒꯥ ꯅꯨꯃꯤꯠ ꯈꯨꯗꯤꯡꯒꯤ ꯊꯕꯛ ꯇꯧꯔꯤꯉꯩꯗꯥ ꯂꯦꯡ-ꯑꯣꯠꯄꯒꯤ ꯆꯥꯡ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯋꯥꯡꯏ꯫ ꯈꯟꯗꯨꯅꯥ ꯌꯦꯡꯕꯤꯌꯨ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯌꯨꯃꯗꯥ ꯂꯩꯔꯤꯕꯥ ꯏꯃꯥ ꯑꯃꯅꯥ ꯕꯥꯊꯔꯨꯃꯗꯥ ꯆꯦꯟꯊꯔꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯁꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ... ꯆꯍꯤ ꯌꯥꯃꯈꯠꯂꯀꯄꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯁꯔꯨ ꯈꯔꯥ ꯁꯣꯟꯊꯔꯀꯄꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯍꯤꯞ ꯑꯃꯥ ꯁꯣꯀꯄꯒꯤ ꯆꯥꯡ ꯍꯦꯅꯒꯠꯂꯀꯏ꯫ `(ꯑꯣꯁ꯭ꯇꯤꯑꯣꯄꯣꯔꯣꯁꯤꯁ)` ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯗꯥꯁꯨ ꯃꯁꯤꯃꯛ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫

ꯃꯁꯤꯗꯁꯨ ꯅꯠꯇꯅꯥ, ꯅꯍꯥꯛꯀꯤ ꯕꯦꯂꯦꯟꯁ, ꯁ꯭ꯇꯦꯕꯤꯂꯤꯇꯤ ꯅꯠꯠꯔꯒꯥ ꯈꯣꯡꯖꯦꯜ ꯌꯥꯡꯅꯥ ꯆꯠꯄꯗꯥ ꯑꯀꯥꯌꯕꯥ ꯄꯤꯔꯤꯕꯥ ꯍꯀꯁꯦꯂꯒꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯍꯦꯛꯇꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯤꯞ ꯑꯃꯥ ꯁꯣꯀꯄꯒꯤ ꯔꯤꯁ꯭ꯛ ꯍꯦꯅꯒꯠꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯕꯦꯂꯦꯟꯁ ꯍꯟꯊꯍꯅꯕꯥ ꯉꯝꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯈꯔꯗꯤ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯁꯤꯡꯁꯤꯅꯤ:

• ` (ꯄꯥꯔꯀꯤꯅꯁꯅꯁ ꯗꯤꯖꯤꯖ)` (ꯄꯥꯔꯀꯤꯅꯁꯅꯁ ꯗꯤꯖꯤꯖ)
• ` (ꯚꯦꯔꯇꯤꯒꯣ)` (ꯃꯃꯤꯠ ꯇꯥꯡꯕꯥ) .
• ꯆꯠꯄꯒꯤ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯄꯥ꯫
• ꯏꯄꯤꯂꯦꯄꯁꯤꯒꯨꯝꯕꯥ ꯋꯥꯈꯜ ꯆꯔꯥꯡꯅꯕꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯂꯥꯌꯅꯥꯁꯤꯡ꯫

ꯗꯣꯛꯇꯔ ꯑꯃꯅꯥ ꯃꯁꯤ ꯀꯔꯝꯅꯥ ꯈꯉꯗꯣꯀꯄꯥ ꯉꯃꯒꯅꯤ ?

ꯗꯣꯛꯇꯔ ꯑꯃꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯤꯞ ꯁꯣꯀꯄꯥ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯐꯤꯖꯤꯀꯦꯜ ꯑꯦꯀꯖꯥꯝ ꯑꯃꯁꯨꯡ ꯑꯈꯟꯅꯕꯥ ꯏꯃꯦꯖꯤꯡ ꯇꯦꯁ꯭ꯇꯁꯤꯡꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯁꯣꯏꯗꯅꯥ ꯈꯉꯕꯥ ꯉꯃꯒꯅꯤ . ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯐꯠꯇꯕꯥ ꯁꯣꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯇꯩ ꯑꯦꯛꯁꯤꯗꯦꯟꯇ ꯑꯃꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯏꯃꯔꯖꯦꯟꯁꯤ ꯔꯨꯝ (ER)ꯗꯥ ꯆꯠꯂꯕꯗꯤ, ꯃꯐꯃꯗꯨꯗꯥ ꯂꯩꯔꯤꯕꯥ ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯃꯁꯤ ꯐ꯭ꯔꯦꯀꯆꯔ ꯑꯃꯥ ꯑꯣꯏꯅꯥ ꯈꯪꯗꯣꯀꯄꯥ ꯌꯥꯏ꯫

ꯗꯣꯛꯇꯔꯅꯥ ꯑꯍꯥꯅꯕꯗꯥ ꯅꯍꯥꯀꯄꯨ ꯑꯦꯛꯁꯤꯗꯦꯟꯇ ꯑꯗꯨ ꯀꯔꯝꯅꯥ ꯊꯣꯀꯈꯤꯕꯒꯦ ꯍꯥꯌꯅꯥ ꯍꯪꯒꯅꯤ, ꯑꯅꯥꯕꯥ ꯃꯐꯃꯁꯤꯡ ꯑꯗꯨ ꯌꯦꯡꯒꯅꯤ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡ ꯑꯗꯨ ꯂꯧꯊꯣꯀꯄꯥ ꯉꯃꯒꯗ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯒꯅꯤ꯫ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ, ꯃꯈꯣꯌꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯤꯄꯐꯝ ꯑꯃꯁꯨꯡ ꯑꯀꯣꯌꯕꯗꯥ ꯂꯩꯕꯥ ꯃꯐꯃꯁꯤꯡꯒꯤ ꯐꯣꯇꯣ ꯂꯧꯒꯅꯤ, ꯑꯃꯁꯨꯡ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯃꯗꯒꯤ ꯍꯦꯅꯕꯥ ꯁꯤꯖꯤꯟꯅꯒꯅꯤ:

• ꯍꯤꯞ ꯑꯦꯛꯁ-ꯔꯦ: ꯃꯁꯤꯅꯥ ꯑꯌꯥꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯐ꯭ꯔꯦꯀꯆꯔ ꯑꯃꯥ ꯈꯪꯗꯣꯀꯄꯥ ꯉꯝꯃꯤ꯫
• ꯑꯦꯝ.ꯑꯥꯔ.ꯑꯥꯏ.(ꯃꯦꯒ꯭ꯅꯦꯇꯤꯛ ꯔꯤꯖꯣꯅꯦꯟꯁ ꯏꯃꯦꯖꯤꯡ) ꯇꯦꯁ꯭ꯠ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯦꯛꯁ-ꯔꯦ ꯑꯁꯤ ꯃꯌꯦꯛ ꯁꯦꯡꯗ꯭ꯔꯕꯗꯤ, ꯅꯠꯠꯔꯒꯥ ꯑꯄꯤꯀꯄꯥ ꯐ꯭ꯔꯦꯀꯆꯔ ꯑꯃꯒꯤ ꯆꯤꯡꯅꯕꯥ ꯂꯩꯔꯕꯗꯤ, ꯇꯦꯁ꯭ꯠ ꯑꯁꯤ ꯍꯦꯟꯅꯥ ꯃꯌꯦꯛ ꯁꯦꯡꯅꯥ ꯎꯕꯥ ꯐꯪꯅꯕꯥ ꯁꯤꯖꯤꯟꯅꯕꯥ ꯌꯥꯏ꯫
• `ꯁꯤ.ꯇꯤ.ꯁ꯭ꯀꯦꯟ (ꯀꯝꯞꯌꯨꯇꯦꯗ ꯇꯣꯃꯣꯒ꯭ꯔꯥꯐꯤ ꯁ꯭ꯀꯦꯟ):` ꯇꯦꯁ꯭ꯠ ꯑꯁꯤꯅꯥ ꯁꯔꯨꯁꯤꯡꯒꯤ ꯑꯀꯨꯞꯄꯥ ꯃꯔꯣꯂꯁꯤꯡꯁꯨ ꯂꯧꯕꯥ ꯌꯥꯏ꯫ ꯁꯔꯖꯔꯤ ꯑꯃꯥ ꯊꯧꯔꯥꯡ ꯇꯧꯕꯥ ꯃꯇꯃꯗꯥ ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯀꯥꯟꯅꯩ꯫

ꯂꯥꯏꯌꯦꯡꯕꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?

ꯍꯤꯄꯐꯝ ꯑꯃꯥ ꯁꯣꯀꯄꯥ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯃꯤꯑꯣꯏ ꯈꯨꯗꯤꯡꯃꯛ ꯁꯔꯖꯔꯤ ꯇꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯒꯅꯤ꯫ ꯃꯁꯤꯒꯤ ꯃꯔꯃꯗꯤ ꯃꯁꯤꯅꯥ ꯁꯔꯖꯔꯤ ꯇꯧꯗꯅꯥ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯐꯒꯠꯂꯀꯄꯥ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯊꯦꯡꯅꯩ꯫ ꯅꯍꯥꯛꯅꯥ ꯃꯊꯧ ꯇꯥꯔꯤꯕꯥ ꯁꯔꯖꯔꯤꯒꯤ ꯃꯈꯜ ꯑꯁꯤ ꯐ꯭ꯔꯦꯀꯆꯔꯒꯤ ꯃꯑꯣꯡ-ꯃꯇꯧ, ꯃꯁꯤꯒꯤ ꯃꯈꯜ, ꯅꯍꯥꯛꯀꯤ ꯆꯍꯤ, ꯅꯍꯥꯛꯀꯤ ꯖꯦꯅꯦꯔꯦꯜ ꯍꯦꯂꯊ, ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯅꯥ ꯑꯇꯩ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯅꯠꯠꯔꯒꯥ ꯍꯀꯁꯦꯂꯒꯤ ꯐꯤꯚꯃꯁꯤꯡ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨꯒꯤ ꯃꯈꯥ ꯄꯣꯜꯂꯤ꯫ ꯍꯤꯞ ꯐ꯭ꯔꯦꯀꯆꯔꯒꯤꯗꯃꯛꯇꯥ ꯁꯔꯖꯔꯤꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯈꯜ ꯑꯅꯤ ꯂꯩ:

• ꯍꯤꯞ ꯔꯤꯞꯂꯦꯁꯃꯦꯟꯇ (ꯅꯠꯠꯔꯒꯥ ꯍꯤꯞ ꯑꯥꯔꯊ꯭ꯔꯣꯞꯂꯥꯁ꯭ꯇꯤ): ꯀꯔꯤꯒꯨꯝꯕꯥ ꯆꯍꯤ 65ꯒꯤ ꯃꯊꯛꯇꯥ ꯂꯩꯕꯥ ꯑꯍꯜ ꯑꯃꯅꯥ ꯍꯤꯄꯐꯝ ꯑꯃꯥ ꯁꯣꯀꯄꯥ ꯇꯥꯔꯕꯗꯤ, ꯃꯈꯣꯌꯅꯥ ꯃꯍꯧꯁꯥꯅꯥ ꯍꯤꯞ ꯔꯤꯞꯂꯦꯁꯃꯦꯟꯇ ꯇꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯒꯅꯤ꯫ ꯃꯁꯤꯗꯥ ꯍꯤꯞ ꯖꯣꯅꯒꯤ ꯑꯁꯣꯀꯄꯥ ꯁꯔꯨꯛ ꯑꯗꯨ ꯂꯧꯊꯣꯛꯇꯨꯅꯥ ꯃꯗꯨꯒꯤ ꯃꯍꯨꯠꯇꯥ ꯙꯥꯇꯨ, ꯄ꯭ꯂꯥꯁ꯭ꯇꯤꯛ ꯅꯠꯠꯔꯒꯥ ꯁꯦꯔꯥꯃꯤꯀꯅꯥ ꯁꯦꯝꯕꯥ ꯑꯥꯔꯇꯤꯐꯤꯁꯤꯑꯦꯜ ꯖꯣꯟ ꯑꯃꯅꯥ ꯃꯍꯨꯠ ꯁꯤꯅꯕꯥ ꯌꯥꯎꯏ꯫ ꯃꯁꯤ ꯑꯄꯨꯅꯕꯥ ꯃꯍꯨꯠ ꯁꯤꯅꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯁꯔꯨꯛ ꯈꯔꯗꯤ ꯃꯍꯨꯠ ꯁꯤꯅꯕꯥ ꯌꯥꯏ꯫
• ꯑꯣꯄꯟ ꯔꯤꯗꯛꯁꯟ ꯑꯃꯁꯨꯡ ꯏꯟꯇꯔꯅꯦꯜ ꯐꯤꯛꯁꯦꯁꯟ (ORIF): ꯄ꯭ꯔꯣꯁꯤꯗ꯭ꯌꯨꯑꯣꯔ ꯑꯁꯤꯗꯥ, ꯅꯍꯥꯛꯀꯤ ꯁꯔꯖꯔꯤꯅꯥ ꯁꯣꯀꯍꯜꯂꯕꯥ ꯁꯔꯨ ꯑꯗꯨ ꯃꯐꯃꯗꯨꯗꯥ ꯊꯝꯅꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯤꯄꯐꯝ ꯑꯗꯨꯗꯥ ꯁ꯭ꯛꯔꯨ, ꯄꯤꯟ, ꯄ꯭ꯂꯦꯇꯁꯤꯡ ꯅꯠꯠꯔꯒꯥ ꯙꯥꯇꯨꯒꯤ ꯔꯣꯗ ꯑꯃꯥ ꯊꯥꯏ꯫ ꯃꯁꯤ ꯑꯁꯣꯀꯄꯥ ꯁꯔꯨꯁꯤꯡ ꯑꯗꯨ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯐꯒꯠꯂꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯆꯠꯊꯣꯛ-ꯆꯠꯁꯤꯟ ꯇꯧꯗꯕꯥ ꯃꯇꯃꯅꯤ꯫ ꯃꯤꯑꯣꯏ ꯈꯔꯗꯤ ꯄꯨꯟꯁꯤ ꯆꯨꯞꯄꯥ ꯏꯃꯞꯂꯥꯟꯇꯁꯤꯡ ꯑꯁꯤ ꯁꯤꯖꯤꯟꯅꯕꯥ ꯃꯊꯧ ꯇꯥꯏ꯫ ꯑꯇꯣꯞꯄꯁꯤꯡꯅꯥ ꯃꯈꯣꯌꯒꯤ ꯍꯤꯄꯐꯝ ꯑꯗꯨ ꯐꯒꯠꯂꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯃꯈꯣꯌꯕꯨ ꯂꯧꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫

ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯀꯔꯤ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ ꯊꯣꯀꯄꯥ ꯌꯥꯕꯒꯦ?

ꯁꯔꯖꯔꯤ ꯑꯃꯍꯦꯛꯇꯒꯥ ꯃꯥꯟꯅꯅꯥ, ꯍꯤꯞ ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯕꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯟ ꯈꯔꯗꯤ ꯂꯩ꯫ ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤꯁꯨ ꯈꯉꯕꯥ ꯑꯁꯤ ꯑꯐꯕꯥ ꯑꯃꯅꯤ:

• ꯁꯔꯨ ꯇꯥꯡꯁꯤꯡꯗꯥ ꯏꯒꯤ ꯈꯣꯡꯖꯦꯜ ꯃꯥꯡꯈꯤꯕꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯁꯔꯨ ꯇꯥꯡ ꯁꯤꯕꯥ (`(Avascular necrosis)`):ꯃꯔꯨꯑꯣꯏꯅꯥ ꯐꯦꯃꯣꯔꯦꯜ ꯅꯦꯛ ꯐ꯭ꯔꯦꯀꯆꯔꯁꯤꯡꯗꯥ, ꯁꯔꯨ ꯇꯥꯡꯒꯤ ꯃꯀꯣꯛ ꯑꯗꯨꯗꯥ ꯏꯒꯤ ꯁꯞꯂꯥꯏ ꯑꯁꯤ ꯁꯣꯀꯍꯜꯂꯤ, ꯑꯃꯁꯨꯡ ꯁꯔꯨꯛ ꯑꯗꯨ ꯁꯤꯕꯥ ꯌꯥꯏ꯫
• ꯅꯟ-ꯌꯨꯅꯤꯌꯟ: ꯁꯣꯀꯍꯜꯂꯕꯥ ꯁꯔꯨ ꯑꯗꯨ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯅꯠꯠꯔꯒꯥ ꯁꯔꯨꯛ ꯈꯔꯗꯤ ꯐꯒꯠꯂꯀꯄꯥ ꯉꯃꯗꯕꯥ ꯌꯥꯏ, ꯑꯃꯁꯨꯡ ꯃꯈꯥ ꯇꯥꯅꯥ ꯁꯔꯖꯔꯤ ꯇꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯏ꯫
• ꯃꯥꯂꯌꯨꯅꯤꯌꯟ: ꯃꯁꯤ ꯁꯣꯀꯍꯜꯂꯕꯥ ꯁꯔꯨ ꯇꯥꯡ ꯑꯗꯨ ꯑꯁꯣꯌꯕꯥ ꯂꯩꯇꯅꯥ ꯐꯒꯠꯂꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯃꯤꯄꯥꯏꯕꯥ ꯄꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯊꯣꯀꯏ꯫ ꯃꯁꯤꯅꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ ꯑꯃꯁꯨꯡ ꯃꯇꯝ ꯈꯔꯒꯤ ꯑꯣꯏꯅꯥ ꯈꯣꯡꯅꯥ ꯆꯠꯄꯗꯥ ꯑꯋꯥꯕꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫
• ꯕꯣꯟ ꯏꯅꯐꯦꯛꯁꯟ (Osteomyelitis): ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯍꯥꯡꯕꯥ ꯐ꯭ꯔꯦꯀꯆꯔ ꯑꯃꯥ (ꯁꯔꯨ ꯇꯥꯡ ꯑꯗꯨꯅꯥ ꯈꯣꯡꯗꯥ ꯆꯦꯟꯊꯈꯤꯕꯥ ꯃꯐꯝ ꯑꯃꯥ) ꯂꯩꯔꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯕꯦꯛꯇꯦꯔꯤꯌꯥꯒꯤ ꯏꯅꯐꯦꯛꯁꯟ ꯑꯃꯥ ꯂꯥꯀꯄꯒꯤ ꯔꯤꯁ꯭ꯛ ꯍꯦꯟꯅꯥ ꯂꯩ꯫ ꯁꯔꯖꯤꯀꯦꯜ ꯁꯥꯏꯠꯇꯥ ꯏꯅꯐꯦꯛꯁꯅꯁꯤꯡꯁꯨ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫
• ꯏ ꯊꯣꯀꯄꯥ (blood clots): ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯏ ꯊꯣꯀꯄꯥ ꯌꯥꯏ, ꯃꯔꯨꯑꯣꯏꯅꯥ ꯈꯣꯡꯒꯤ ꯑꯆꯧꯕꯥ ꯚꯦꯅꯃꯁꯤꯡꯗꯥ꯫ ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯈꯨꯗꯣꯡꯊꯤꯅꯤꯡꯉꯥꯏ ꯑꯣꯏ ꯃꯔꯃꯗꯤ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯈꯣꯌꯅꯥ ꯂꯪꯁꯇꯥ ꯆꯠꯂꯕꯗꯤ ꯄꯨꯟꯁꯤ ꯃꯥꯡꯍꯅꯕꯥ ꯌꯥꯏ꯫
• ꯑꯇꯣꯞꯄꯥ ꯃꯔꯤ ꯂꯩꯅꯕꯥ ꯋꯥꯐꯃꯁꯤꯡ: ꯑꯍꯜ ꯑꯣꯏꯔꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯒꯤ ꯑꯣꯏꯅꯗꯤ, ꯂꯪꯁꯀꯤ ꯏꯅꯐꯦꯛꯁꯟ ꯑꯃꯁꯨꯡ ꯌꯨꯔꯤꯅꯔꯤ ꯇ꯭ꯔꯦꯛꯇ ꯏꯅꯐꯦꯛꯁꯅꯒꯨꯝꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ ꯑꯁꯤꯁꯨ ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫

ꯃꯁꯤꯗꯒꯤ ꯃꯇꯧ ꯀꯔꯝꯅꯥ ꯍꯤꯡꯂꯤꯕꯅꯣ?

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯈꯪꯍꯧꯗꯅꯥ ꯁꯣꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯇꯩ ꯑꯦꯛꯁꯤꯗꯦꯟꯇ ꯑꯃꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ, ꯃꯈꯣꯌ ꯑꯁꯤ ꯑꯌꯥꯝꯕꯗꯤ ꯃꯁꯥꯅꯥ ꯌꯥꯖꯗꯅꯥ ꯊꯣꯀꯄꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯍꯤꯄꯐꯝ (hip fractures) ꯊꯤꯡꯕꯗꯥ ꯂꯥꯏꯕꯛ ꯐꯕꯅꯤ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯁꯣꯛ-ꯄꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯑꯦꯛꯁꯤꯗꯦꯟꯇꯀꯤ ꯔꯤꯁ꯭ꯛ ꯍꯟꯊꯍꯟꯅꯕꯒꯤꯗꯃꯛ ꯖꯦꯅꯦꯔꯦꯜ ꯁꯦꯐꯇꯤ ꯇꯤꯄꯁꯤꯡ ꯑꯁꯤ ꯏꯅꯒꯗꯕꯅꯤ꯫ ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯑꯗꯣꯃꯒꯤꯗꯃꯛꯇꯗꯤ ꯈꯛꯇꯥ ꯅꯠꯇꯅꯥ ꯑꯗꯣꯃꯒꯤ ꯏꯃꯨꯡ ꯃꯅꯨꯡꯒꯤꯗꯃꯛꯇꯁꯨ ꯃꯔꯨ ꯑꯣꯏ:

• ꯅꯍꯥꯛꯀꯤ ꯌꯨꯝ ꯑꯃꯁꯨꯡ ꯊꯕꯛ ꯃꯐꯝ ꯑꯗꯨ ꯁꯦꯡꯅꯥ ꯑꯃꯁꯨꯡ ꯃꯊꯧ ꯇꯥꯗꯕꯥ ꯑꯀꯥꯌ-ꯑꯇꯣꯌꯁꯤꯡ ꯂꯩꯍꯟꯗꯅꯥ ꯊꯝꯃꯨ꯫ ꯐ꯭ꯂꯣꯔꯗꯒꯤ ꯋꯥꯌꯥꯔ ꯑꯃꯁꯨꯡ ꯂꯨꯝꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ ꯂꯧꯊꯣꯀꯎ꯫ ꯃꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯅꯠꯠꯔꯒꯥ ꯑꯇꯣꯞꯄꯒꯤ ꯃꯊꯛꯇꯥ ꯇ꯭ꯔꯤꯞ ꯇꯧꯕꯒꯤ ꯆꯥꯡ ꯍꯟꯊꯍꯅꯒꯅꯤ꯫
• ꯅꯟ-ꯁ꯭ꯂꯤꯞ ꯇꯥꯏꯂꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯁꯣꯔꯣꯛ ꯊꯝꯅꯕꯥ ꯕꯥꯊꯔꯨꯃꯗꯥ ꯒ꯭ꯔꯦꯕ ꯕꯥꯔ ꯑꯃꯥ ꯏꯅꯁ꯭ꯇꯣꯜ ꯇꯧ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯆꯍꯤ 65ꯒꯤ ꯃꯊꯛꯇꯥ ꯂꯩꯕꯥ ꯑꯣꯏꯔꯕꯗꯤ, ꯅꯠꯠꯔꯒꯥ ꯅꯍꯥꯛꯀꯤ ꯏꯃꯨꯡꯒꯤ ꯃꯤꯑꯣꯏ ꯑꯃꯗꯥ ꯑꯣꯁ꯭ꯇꯤꯑꯣꯄꯣꯔꯣꯁꯤꯁ ꯂꯩꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯕꯣꯟ ꯗꯦꯟꯁꯤꯇꯤ ꯇꯦꯁ꯭ꯠ ꯑꯃꯥ ꯄꯥꯡꯊꯣꯛꯅꯕꯥ ꯈꯟꯅꯅꯕꯥ ꯈꯟꯅꯧ . ꯃꯁꯤꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯁꯣꯀꯄꯥ ꯁꯔꯨꯁꯤꯡ ꯇꯣꯏꯅꯥ ꯈꯪꯗꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯂꯥꯏꯌꯦꯡꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯒꯅꯤ꯫
• ꯑꯐꯕꯥ ꯁꯔꯨꯒꯤ ꯍꯀꯁꯦꯜ ꯊꯝꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯂꯤꯕꯥ ꯗꯥꯏꯠ ꯑꯃꯁꯨꯡ ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯄ꯭ꯂꯥꯟ ꯑꯃꯥ ꯏꯅꯒꯗꯕꯅꯤ . ꯀꯦꯂꯁꯤꯌꯝ ꯑꯃꯁꯨꯡ ꯚꯤꯇꯥꯃꯤꯟ D ꯌꯥꯝꯅꯥ ꯌꯥꯎꯕꯥ ꯆꯤꯟꯖꯥꯀꯁꯤꯡ ꯆꯥꯕꯥ, ꯈꯣꯡꯅꯥ ꯆꯠꯄꯥ ꯑꯃꯁꯨꯡ ꯂꯥꯏꯠ ꯑꯦꯛꯁꯔꯁꯥꯏꯖꯒꯨꯝꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡꯅꯥ ꯁꯔꯨꯁꯤꯡ ꯃꯄꯥꯉ꯭ꯒꯜ ꯀꯅꯈꯠꯍꯜꯂꯤ꯫
• ꯅꯍꯥꯛꯀꯤ ꯌꯨꯃꯒꯤ ꯃꯊꯛꯇꯥ ꯂꯩꯕꯥ ꯄꯣꯠꯁꯛ ꯑꯃꯥ ꯌꯧꯕꯥ ꯃꯇꯃꯗꯥ ꯃꯇꯝ ꯄꯨꯝꯅꯃꯛꯇꯥ ꯆꯨꯅꯕꯥ ꯈꯨꯠꯂꯥꯏ ꯑꯃꯥ (ꯂꯦꯗꯔꯒꯨꯝꯕꯥ) ꯁꯤꯖꯤꯟꯅꯧ꯫ ꯀꯩꯗꯧꯉꯩꯗꯥ ꯆꯦꯌꯥꯔ ꯅꯠꯠꯔꯒꯥ ꯇꯦꯕꯂꯗꯥ ꯆꯦꯅꯒꯅꯨ꯫
• ꯗ꯭ꯔꯥꯏꯚꯤꯡ ꯇꯧꯕꯥ ꯃꯇꯃꯗꯥ ꯃꯇꯝ ꯄꯨꯝꯅꯃꯛꯇꯥ ꯅꯍꯥꯛꯀꯤ ꯁꯤꯠ ꯕꯦꯜꯇ ꯑꯗꯨ ꯁꯤꯖꯤꯟꯅꯧ꯫
• ꯑꯦꯛꯇꯤꯚꯤꯇꯤ ꯑꯃꯍꯦꯛꯇꯒꯤꯗꯃꯛ ꯅꯠꯠꯔꯒꯥ ꯁꯥꯟꯅꯄꯣꯠ ꯑꯃꯍꯦꯛꯇꯒꯤꯗꯃꯛ ꯃꯇꯤꯛ ꯆꯥꯕꯥ ꯁꯦꯐꯇꯤ ꯒꯤꯌꯥꯔ ꯁꯤꯖꯤꯟꯅꯧ꯫

ꯐꯒꯠꯂꯀꯄꯗꯥ ꯃꯇꯝ ꯀꯌꯥ ꯆꯪꯕꯒꯦ?

ꯁꯣꯀꯍꯜꯂꯕꯥ ꯍꯤꯄꯐꯝ ꯑꯃꯅꯥ ꯐꯒꯠꯂꯀꯄꯗꯥ ꯌꯥꯃꯗ꯭ꯔꯕꯗꯥ ꯊꯥ ꯈꯔꯥ ꯆꯪꯏ꯫ ꯅꯍꯥꯛꯅꯥ ꯍꯦꯟꯅꯥ ꯐꯕꯥ ꯐꯥꯎꯔꯀꯄꯥ ꯌꯥꯏ ꯑꯃꯁꯨꯡ ꯃꯇꯃꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ ꯐꯒꯠꯂꯀꯄꯥ ꯎꯕꯥ ꯐꯪꯏ, ꯑꯃꯁꯨꯡ ꯃꯁꯤꯅꯥ ꯂꯥꯏꯌꯦꯡꯕꯗꯥ ꯆꯍꯤ ꯑꯃꯥ ꯐꯥꯎꯕꯥ ꯆꯪꯂꯝꯕꯥ ꯌꯥꯏ꯫ ꯌꯨꯝ ꯁꯥꯕꯒꯨꯝꯕꯅꯤ, ꯃꯁꯤ ꯌꯨꯝ ꯑꯃꯥ ꯁꯥꯕꯅꯤ꯫ ꯅꯍꯥꯛꯅꯥ ꯐꯒꯠꯂꯀꯄꯗꯥ ꯆꯪꯕꯥ ꯃꯇꯝ ꯑꯁꯤ ꯑꯇꯣꯞꯄꯥ ꯋꯥꯐꯝ ꯈꯔꯒꯤ ꯃꯈꯥ ꯄꯣꯜꯂꯤ:

• ꯅꯍꯥꯛꯅꯥ ꯇꯧꯒꯗꯕꯥ ꯁꯔꯖꯔꯤꯒꯤ ꯃꯈꯜ ꯑꯗꯨ꯫
• ꯑꯗꯣꯃꯒꯤ ꯑꯇꯣꯞꯄꯥ ꯑꯁꯣꯀꯄꯥ ꯑꯃꯠꯇꯥ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯅꯥ ꯑꯩꯅꯥ ꯈꯅꯖꯩ꯫
• ꯅꯍꯥꯛꯀꯤ ꯆꯍꯤ (ꯑꯍꯜ ꯑꯣꯏꯔꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯅꯥ ꯅꯍꯥ ꯑꯣꯏꯔꯤꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯐꯒꯠꯂꯀꯄꯗꯥ ꯃꯇꯝ ꯍꯦꯟꯅꯥ ꯆꯪꯏ)꯫
• ꯅꯍꯥꯛꯀꯤ ꯑꯄꯨꯅꯕꯥ ꯍꯀꯁꯦꯜ (ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯗꯥꯏꯑꯦꯕꯦꯇꯤꯖ ꯂꯩꯔꯕꯗꯤ, ꯔꯤꯀꯣꯚꯔꯤ ꯊꯦꯡꯊꯕꯥ ꯌꯥꯏ)꯫
• ꯕ꯭ꯔꯦꯛ ꯑꯗꯨꯒꯤ ꯃꯔꯝ ꯑꯃꯁꯨꯡ ꯕ꯭ꯔꯦꯛ ꯑꯗꯨꯒꯤ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯃꯑꯣꯡ꯫

ꯅꯍꯥꯛꯀꯤ ꯁꯔꯖꯔꯤ ꯑꯗꯨꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯀꯔꯤ ꯊꯣꯛꯀꯗꯒꯦ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯗꯨꯒꯥ ꯆꯨꯅꯕꯥ ꯔꯤꯀꯣꯚꯔꯤꯒꯤ ꯃꯇꯝ ꯑꯃꯥ ꯈꯪꯍꯜꯂꯛꯀꯅꯤ꯫

ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯑꯊꯨꯕꯥ ꯃꯇꯃꯗꯥ ꯐꯤꯖꯤꯀꯦꯜ ꯊꯦꯔꯥꯄꯤ (PT) ꯍꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯏ꯫ ꯃꯁꯤ ꯅꯍꯥꯛꯅꯥ ꯍꯧꯖꯤꯛ ꯐꯥꯎꯕꯥ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯂꯗꯥ ꯂꯩꯔꯤꯉꯩꯗꯥ ꯍꯧꯔꯀꯄꯥ ꯌꯥꯏ꯫ ꯅꯍꯥꯛꯅꯥ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯆꯠꯊꯣꯛ-ꯆꯠꯁꯤꯟ ꯇꯧꯕꯥ ꯑꯃꯁꯨꯡ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯆꯠꯄꯥ ꯉꯝꯗ꯭ꯔꯤꯉꯩꯗꯥ ꯊꯥ ꯀꯌꯥꯒꯤ ꯑꯣꯏꯅꯥ ꯄꯤ.ꯇꯤ. ꯐꯤꯖꯤꯀꯦꯜ ꯊꯦꯔꯥꯄꯤꯁ꯭ꯠ ꯑꯃꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯤꯄꯀꯤ ꯑꯀꯣꯌꯕꯗꯥ ꯂꯩꯕꯥ ꯃꯁꯂꯁꯤꯡ ꯃꯄꯥꯉ꯭ꯒꯜ ꯀꯅꯈꯠꯍꯟꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯁꯔꯨ ꯇꯥꯡꯗꯥ ꯆꯠꯄꯒꯤ ꯔꯦꯟꯖ ꯍꯦꯅꯒꯠꯍꯟꯅꯕꯥ ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯑꯃꯁꯨꯡ ꯁ꯭ꯠꯔꯦꯆ ꯇꯧꯕꯥ ꯇꯝꯕꯤꯒꯅꯤ꯫ ꯑꯦꯛꯁꯔꯁꯥꯏꯖꯁꯤꯡ ꯑꯁꯤ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯇꯧꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯍꯤꯡꯕꯒꯤ ꯊꯧꯑꯣꯡꯒꯤꯗꯃꯛ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫

ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ, ꯅꯍꯥꯛꯅꯥ ꯐꯒꯠꯂꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯋꯥꯀꯔ, ꯀꯦꯟ ꯅꯠꯠꯔꯒꯥ ꯀ꯭ꯔꯨꯆꯁꯤꯡ ꯁꯤꯖꯤꯟꯅꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯏ꯫ ꯃꯤꯑꯣꯏ ꯈꯔꯅꯥ ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯁꯤꯖꯤꯟꯅꯕꯥ ꯃꯊꯧ ꯇꯥꯏ꯫ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔ ꯅꯠꯠꯔꯒꯥ ꯐꯤꯖꯤꯀꯦꯜ ꯊꯦꯔꯥꯄꯤꯁ꯭ꯠ ꯑꯗꯨꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯈꯣꯡꯅꯥ ꯆꯠꯄꯒꯤ ꯃꯇꯦꯡꯁꯤꯡ ꯑꯁꯤ ꯀꯌꯥꯝ ꯁꯥꯡꯅꯥ ꯁꯤꯖꯤꯟꯅꯒꯗꯒꯦ ꯍꯥꯌꯅꯥ ꯍꯪꯕꯤꯌꯨ꯫

ꯀꯔꯤꯒꯤꯗꯃꯛꯇꯥ ꯁꯣꯀꯄꯥ ꯍꯤꯄꯐꯝ (hip) ꯑꯁꯤ ꯈꯨꯗꯣꯡꯊꯤꯅꯤꯉꯥꯏ ꯑꯣꯏꯔꯤꯕꯅꯣ?

ꯍꯤꯄꯐꯝ (hip fractures) ꯍꯥꯌꯕꯁꯤ ꯁꯨꯞꯅꯒꯤ ꯂꯤꯝꯐ ꯑꯃꯈꯛꯇꯅꯤ꯫ ꯃꯁꯤꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯂꯨꯝꯂꯕꯅꯤ꯫

ꯅꯤꯡꯁꯤꯡꯕꯤꯌꯨ, ꯁꯣꯀꯄꯥ ꯍꯤꯄꯐꯝ ꯑꯁꯤ ꯒꯦꯝ ꯑꯃꯅꯤ, ꯃꯁꯤ ꯑꯦꯃꯔꯖꯦꯟꯁꯤ ꯃꯦꯗꯤꯀꯦꯜ ꯑꯦꯇꯦꯟꯁꯟ ꯃꯊꯧ ꯇꯥꯕꯥ ꯑꯀꯅꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ!

ꯅꯍꯥꯛꯀꯤ ꯐꯤꯖꯤꯀꯦꯜ ꯑꯃꯁꯨꯡ ꯍꯤꯄꯐꯝ (hip joint)ꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯅꯕꯒꯤ ꯃꯊꯛꯇꯥ, ꯍꯤꯄꯐꯝ (hip fractures) ꯑꯁꯤꯅꯥ ꯑꯇꯩ ꯁꯥꯊꯤꯕꯥ ꯑꯁꯣꯛ-ꯑꯄꯅꯁꯤꯡꯁꯨ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤ ꯃꯔꯨꯑꯣꯏꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯀꯟꯅꯥ ꯁꯣꯀꯍꯜꯂꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯒꯥꯔꯤꯒꯤ ꯑꯦꯛꯁꯤꯗꯦꯟꯇ ꯑꯃꯗꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫

ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯒꯤ ꯁꯔꯨ ꯇꯥꯡ ꯑꯗꯨ ꯁꯣꯀꯍꯅꯕꯥ ꯌꯥꯕꯥ ꯁꯥꯊꯤꯕꯥ ꯑꯦꯛꯁꯤꯗꯦꯟꯇ ꯑꯃꯍꯦꯛꯇꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯐꯦꯃꯣꯔꯦꯜ ꯑꯥꯔꯇꯦꯔꯤꯗꯁꯨ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯁꯤ ꯊꯣꯛꯂꯕꯗꯤ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯗꯣꯛꯇꯔ ꯑꯃꯅꯥ ꯊꯨꯅꯥ ꯂꯥꯌꯦꯡꯗ꯭ꯔꯕꯗꯤ ꯁꯥꯊꯤꯅꯥ ꯏ ꯊꯣꯀꯄꯥ ꯑꯁꯤ ꯄꯨꯟꯁꯤ ꯃꯥꯡꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯗꯁꯨ ꯅꯠꯇꯅꯥ, ꯍꯤꯞ ꯁꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯂꯦꯡꯗꯅꯥ ꯂꯩꯕꯒꯤ ꯃꯊꯧ ꯇꯥꯕꯅꯥ ꯏ ꯊꯣꯀꯄꯒꯤ ꯔꯤꯁ꯭ꯛ ꯍꯦꯅꯒꯠꯍꯅꯕꯥ ꯌꯥꯏ꯫

ꯍꯤꯞ ꯐ꯭ꯔꯦꯀꯆꯔ ꯊꯣꯀꯍꯅꯕꯥ ꯑꯀꯅꯕꯥ ꯑꯁꯣꯛ-ꯑꯄꯅꯁꯤꯡ ꯑꯁꯤ ꯆꯍꯤ 65ꯒꯤ ꯃꯊꯛꯇꯥ ꯂꯩꯕꯥ ꯑꯍꯂꯁꯤꯡꯗꯥ ꯃꯔꯨꯑꯣꯏꯅꯥ ꯈꯨꯗꯣꯡꯊꯤꯅꯤꯉꯥꯏ ꯑꯣꯏ , ꯅꯍꯥꯛꯅꯥ ꯆꯍꯤ ꯌꯥꯃꯈꯠꯂꯀꯄꯒꯥ ꯂꯣꯌꯅꯅꯥ, ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡꯅꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯑꯃꯍꯦꯛꯇꯗꯒꯤ ꯐꯒꯠꯂꯀꯄꯗꯥ ꯃꯇꯝ ꯍꯦꯟꯅꯥ ꯆꯪꯏ꯫ ꯃꯁꯤ ꯍꯤꯞ ꯐ꯭ꯔꯦꯀꯆꯔꯒꯨꯝꯕꯥ ꯑꯆꯧꯕꯥ ꯑꯦꯛꯁꯤꯗꯦꯟꯇ ꯑꯃꯗꯥ ꯍꯦꯟꯅꯥ ꯊꯣꯀꯏ꯫ ꯍꯤꯞ ꯔꯤꯞꯂꯦꯁꯃꯦꯟꯇ ꯁꯔꯖꯔꯤ (ꯑꯃꯁꯨꯡ ꯔꯤꯀꯣꯚꯔꯤꯒꯤ ꯃꯇꯝ) ꯑꯁꯤ ꯑꯍꯜ ꯑꯣꯏꯔꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯗꯥ ꯍꯦꯟꯅꯥ ꯈꯨꯗꯣꯡꯊꯤꯅꯤꯉꯥꯏ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯈꯣꯌꯗꯥ ꯑꯇꯣꯞꯄꯥ ꯃꯦꯗꯤꯀꯦꯜ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ ꯂꯩꯔꯕꯗꯤ ꯐꯤꯚꯝ ꯑꯗꯨ ꯍꯦꯟꯅꯥ ꯂꯨꯝꯅꯥ ꯂꯧꯕꯥ ꯌꯥꯏ꯫

ꯁ꯭ꯇꯗꯤꯁꯤꯡꯅꯥ ꯇꯥꯛꯂꯤ ꯃꯗꯨꯗꯤ ꯆꯍꯤ 65ꯒꯤ ꯃꯊꯛꯇꯥ ꯂꯩꯕꯥ ꯑꯍꯂꯁꯤꯡꯅꯥ ꯍꯤꯄꯐꯝ ꯑꯃꯥ ꯁꯣꯀꯍꯜꯂꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯅꯥ ꯐꯒꯠꯂꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯈꯣꯡꯅꯥ ꯆꯠꯄꯒꯨꯝꯕꯥ ꯍꯀꯆꯥꯡꯒꯤ ꯊꯕꯛ ꯊꯧꯔꯃꯁꯤꯡ ꯍꯟꯊꯍꯅꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯊꯤꯡꯖꯤꯅꯕꯥ, ꯑꯃꯁꯨꯡ ꯁꯣꯁꯤꯑꯦꯜ ꯑꯦꯛꯇꯤꯚꯤꯇꯤꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯍꯣꯕꯤꯁꯤꯡꯗꯒꯤ ꯂꯥꯄꯊꯣꯀꯄꯥ ꯍꯦꯜꯂꯤ꯫ ꯃꯁꯤꯒꯤ ꯇꯪꯗꯨ ꯂꯩꯇꯥꯕꯥ ꯑꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯄꯨꯅꯕꯥ ꯍꯀꯁꯦꯜ ꯑꯃꯁꯨꯡ ꯃꯦꯟꯇꯦꯜ ꯋꯦꯂꯐꯦꯌꯔꯗꯥ ꯁꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯍꯤꯞ ꯐ꯭ꯔꯦꯀꯆꯔꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯃꯇꯧ ꯀꯔꯝꯅꯥ ꯑꯦꯛꯇꯤꯚ ꯑꯣꯏꯅꯥ ꯂꯩꯒꯗꯒꯦ ꯍꯥꯌꯕꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯇꯥꯟꯅꯧ꯫ ꯃꯈꯣꯌꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯅꯨꯡꯁꯤꯖꯔꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯅꯥ ꯅꯨꯡꯉꯥꯏꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡꯒꯥ ꯁꯝꯅꯍꯟꯅꯕꯒꯤ ꯁꯥꯐꯕꯥ ꯄꯥꯝꯕꯩꯁꯤꯡ ꯄꯤꯕꯥ ꯌꯥꯏ꯫

ꯀꯗꯥꯏꯗꯥ ꯑꯊꯨꯕꯥ ꯃꯇꯃꯗꯥ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯂꯗꯥ ꯆꯠꯄꯥ ꯃꯊꯧ ꯇꯥꯕꯒꯦ?

ꯍꯤꯞ ꯐ꯭ꯔꯦꯀꯆꯔ ꯈꯨꯗꯤꯡꯃꯛ ꯃꯦꯗꯤꯀꯦꯜ ꯏꯃꯔꯖꯦꯟꯁꯤ ꯑꯃꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯍꯤꯄꯐꯝ ꯑꯃꯥ ꯁꯣꯀꯄꯥ ꯂꯩꯔꯦ ꯍꯥꯌꯅꯥ ꯈꯜꯂꯕꯗꯤ, ꯈꯨꯗꯛꯇꯥ 1990 (ꯅꯠꯠꯔꯒꯥ ꯅꯍꯥꯛꯀꯤ ꯂꯣꯀꯦꯜ ꯏꯃꯔꯖꯦꯟꯁꯤ ꯅꯝꯕꯔ)ꯗꯥ ꯀꯣꯜ ꯇꯧꯕꯤꯌꯨ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯁꯣꯀꯄꯥ, ꯒꯥꯔꯤꯒꯤ ꯑꯦꯛꯁꯤꯗꯦꯟꯇ ꯅꯠꯠꯔꯒꯥ ꯑꯇꯩ ꯁꯥꯊꯤꯕꯥ ꯑꯦꯛꯁꯤꯗꯦꯟꯇ ꯑꯃꯗꯥ ꯁꯣꯀꯍꯜꯂꯕꯥ ꯑꯃꯁꯨꯡ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯃꯗꯒꯤ ꯍꯦꯅꯕꯥ ꯂꯩꯔꯕꯗꯤ ꯏꯃꯔꯖꯦꯟꯁꯤ ꯁꯔꯚꯤꯁꯁꯤꯡꯗꯥ ꯀꯣꯜ ꯇꯧꯕꯤꯌꯨ:

• ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡ ꯅꯠꯠꯔꯒꯥ ꯈꯣꯡ ꯑꯗꯨ ꯆꯠꯄꯥ ꯉꯃꯗꯦ꯫
• ꯌꯥꯝꯅꯥ ꯋꯥꯕꯥ ꯑꯋꯥꯕꯥ ꯑꯃꯥ ꯂꯩꯔꯤ꯫
• ꯅꯍꯥꯛꯀꯤ ꯍꯤꯄꯐꯝ ꯅꯠꯠꯔꯒꯥ ꯈꯣꯡ ꯑꯗꯨ ꯇꯣꯉꯥꯟ-ꯇꯣꯉꯥꯅꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯎꯕꯥ ꯐꯪꯏ, ꯃꯗꯨ ꯍꯥꯟꯅꯗꯒꯤ ꯂꯩꯔꯝꯕꯥ ꯃꯐꯝ ꯑꯗꯨꯗꯥ ꯎꯕꯥ ꯐꯪꯗꯦ, ꯃꯗꯨ ꯆꯦꯟꯊꯔꯀꯄꯥ ꯎꯏ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯈꯣꯡꯗꯥ ꯆꯦꯟꯊꯔꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯁꯔꯨ ꯇꯥꯡꯁꯤꯡ ꯎꯕꯥ ꯐꯪꯏ (ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯑꯃꯅꯤ)꯫
• ꯅꯍꯥꯛꯀꯤ ꯍꯤꯄꯐꯝ ꯑꯗꯨ ꯌꯥꯝꯅꯥ ꯁꯣꯀꯏ꯫
• ꯑꯇꯩ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯈꯪꯍꯧꯗꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯁꯣꯀꯄꯥ (blueness) ꯑꯃꯥ ꯊꯣꯀꯏ꯫

ꯗꯣꯛꯇꯔꯗꯥ ꯀꯔꯤ ꯋꯥꯍꯪ ꯍꯪꯒꯗꯒꯦ?

ꯅꯍꯥꯛꯀꯤ ꯅꯁꯥꯕꯨ ꯅꯠꯠꯔꯒꯥ ꯅꯍꯥꯛꯅꯥ ꯈꯪꯂꯤꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯕꯨ ꯁꯣꯀꯍꯜꯂꯕꯥ ꯍꯤꯄꯐꯝ ꯑꯃꯥ ꯂꯥꯌꯦꯡꯕꯗꯥ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯋꯥꯍꯪꯁꯤꯡ ꯑꯁꯤ ꯍꯪꯕꯁꯤ ꯑꯐꯕꯥ ꯋꯥꯈꯜꯂꯣꯟ ꯑꯃꯅꯤ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯐꯤꯚꯝ ꯑꯗꯨꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯃꯌꯦꯛ ꯁꯦꯡꯅꯥ ꯈꯪꯕꯥ ꯉꯃꯒꯅꯤ꯫

• ꯑꯩꯉꯣꯟꯗꯥ ꯀꯔꯤ ꯃꯈꯂꯒꯤ ꯍꯤꯞ ꯐ꯭ꯔꯦꯀꯆꯔ ꯂꯩꯕꯒꯦ? ꯃꯁꯤ ꯀꯌꯥ ꯌꯥꯝꯅꯥ ꯂꯨꯕꯥ ꯑꯣꯏꯕꯒꯦ?
• ꯑꯩꯅꯥ ꯀꯔꯤ ꯃꯈꯂꯒꯤ ꯁꯔꯖꯔꯤ ꯇꯧꯒꯗꯒꯦ? ꯃꯁꯤꯗꯒꯤ ꯑꯩꯅꯥ ꯀꯔꯤ ꯑꯥꯁꯥ ꯇꯧꯕꯥ ꯌꯥꯕꯒꯦ?
• ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯑꯣꯏꯊꯣꯀꯄꯥ ꯌꯥꯕꯥ ꯔꯤꯁ꯭ꯀꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?
• ꯑꯩꯅꯥ ꯀꯌꯥ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯐꯤꯖꯤꯀꯦꯜ ꯊꯦꯔꯥꯄꯤ (`PT`) ꯍꯧꯒꯗꯒꯦ?
• ꯑꯩꯍꯥꯛ ꯃꯄꯨꯡ ꯐꯥꯅꯥ ꯐꯒꯠꯂꯀꯄꯗꯥ ꯃꯇꯝ ꯀꯌꯥ ꯆꯪꯒꯅꯤ? ꯑꯩꯅꯥ ꯑꯃꯨꯛ ꯊꯕꯛ ꯇꯧꯕꯥ ꯉꯃꯒꯗ꯭ꯔꯥ?
• ꯑꯅꯥꯕꯥ ꯑꯗꯨ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯅꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯀꯔꯤ ꯇꯧꯕꯥ ꯌꯥꯕꯒꯦ?

ꯅꯍꯥꯛꯅꯥ ꯁꯣꯀꯄꯥ ꯍꯤꯄꯐꯝ ꯑꯃꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯆꯠꯄꯥ ꯌꯥꯕ꯭ꯔꯥ?

ꯅꯠꯇꯦ, ꯅꯍꯥꯛꯅꯥ ꯂꯦꯞꯄꯥ, ꯆꯠꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯁꯣꯀꯄꯥ ꯌꯥꯕꯥ ꯍꯤꯄꯐꯝ ꯑꯃꯗꯥ ꯑꯔꯨꯝꯕꯥ ꯑꯃꯠꯇꯥ ꯊꯝꯕꯥ ꯌꯥꯔꯣꯏ꯫ ꯍꯤꯄꯇꯥ ꯄ꯭ꯔꯦꯁꯔ ꯄꯤꯕꯅꯥ ꯐ꯭ꯔꯦꯀꯆꯔ ꯑꯗꯨ ꯍꯦꯟꯅꯥ ꯐꯠꯆꯤꯜꯂꯛꯇꯕꯥ ꯌꯥꯏ, ꯁꯣꯀꯄꯥ ꯁꯔꯨ ꯇꯥꯡ ꯑꯗꯨ ꯁꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ, ꯑꯀꯣꯌꯕꯗꯥ ꯂꯩꯕꯥ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯂꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯅꯔꯚꯁꯤꯡꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ ꯑꯃꯁꯨꯡ ꯑꯇꯩ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯑꯁꯣꯛ-ꯑꯄꯅꯁꯤꯡ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫

ꯅꯍꯥꯛꯀꯤ ꯁꯔꯖꯔꯤ ꯅꯠꯠꯔꯒꯥ ꯍꯦꯂꯊꯀꯦꯌꯔ ꯄ꯭ꯔꯣꯚꯥꯏꯗꯔꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯔꯤꯀꯣꯚꯔꯤꯒꯤ ꯃꯇꯃꯗꯥ ꯃꯇꯧ ꯀꯔꯝꯅꯥ ꯁꯥꯐꯅꯥ ꯂꯦꯡꯗꯅꯥ ꯂꯩꯒꯗꯒꯦ, ꯈꯣꯡꯅꯥ ꯆꯠꯀꯗꯒꯦ ꯑꯃꯁꯨꯡ ꯆꯠꯊꯣꯛ-ꯆꯠꯁꯤꯟ ꯇꯧꯒꯗꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯇꯥꯛꯀꯅꯤ꯫ ꯃꯈꯣꯌꯒꯤ ꯏꯅꯁ꯭ꯠꯔꯛꯁꯅꯁꯤꯡ ꯑꯗꯨ ꯆꯦꯀꯁꯤꯟꯅꯥ ꯏꯅꯒꯗꯕꯅꯤ꯫

ꯀꯅꯥꯒꯨꯝꯕꯥ ꯑꯃꯕꯨ ꯁꯣꯀꯍꯜꯂꯕꯥ ꯍꯤꯄꯐꯝ ꯑꯃꯥ ꯁꯣꯀꯄꯥ ꯍꯥꯌꯕꯁꯤ ꯑꯐꯕꯥ ꯑꯣꯏꯕ꯭ꯔꯥ?

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯀꯅꯥꯒꯨꯝꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯒꯤ ꯍꯤꯄꯐꯝ (hip) ꯁꯣꯀꯄꯥ ꯂꯩꯔꯦ ꯍꯥꯌꯅꯥ ꯈꯜꯂꯕꯗꯤ, ꯈꯨꯗꯛꯇꯥ 1990 (ꯅꯠꯠꯔꯒꯥ ꯅꯍꯥꯛꯀꯤ ꯂꯣꯀꯦꯜ ꯏꯃꯔꯖꯦꯟꯁꯤ ꯅꯝꯕꯔ)ꯗꯥ ꯀꯣꯜ ꯇꯧꯕꯤꯌꯨ꯫ ꯇ꯭ꯔꯦꯟ ꯇꯧꯔꯕꯥ ꯍꯦꯂꯊ ꯄ꯭ꯔꯣꯐꯦꯁꯅꯦꯜ ꯈꯛꯇꯅꯥ ꯍꯤꯄꯐꯝ ꯑꯃꯥ ꯁꯣꯀꯍꯜꯂꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯕꯨ ꯂꯧꯊꯣꯛꯀꯗꯕꯅꯤ, ꯂꯧꯊꯣꯛꯀꯗꯕꯅꯤ ꯅꯠꯠꯔꯒꯥ ꯂꯧꯊꯣꯛꯀꯗꯕꯅꯤ꯫ ꯃꯤꯑꯣꯏ ꯑꯗꯨꯕꯨ ꯌꯥꯔꯤꯕꯃꯈꯩ ꯊꯨꯅꯥ ꯌꯥꯡꯅꯥ, ꯃꯈꯣꯌꯕꯨ ꯂꯧꯊꯣꯛꯇꯨꯅꯥ ꯊꯝꯅꯕꯥ ꯍꯣꯠꯅꯒꯗꯕꯅꯤ꯫ ꯃꯈꯣꯌꯒꯤ ꯈꯣꯡꯗꯥ ꯄ꯭ꯔꯦꯁꯔ ꯑꯃꯠꯇꯥ ꯄꯤꯒꯅꯨ ꯅꯠꯠꯔꯒꯥ ꯃꯈꯣꯌꯕꯨ ꯂꯦꯡꯗꯅꯥ ꯂꯩꯅꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯆꯠꯅꯕꯥ ꯍꯣꯠꯅꯒꯅꯨ꯫ ꯃꯁꯤ ꯇꯧꯕꯅꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯑꯗꯨ ꯍꯦꯟꯅꯥ ꯁꯣꯀꯍꯜꯂꯀꯄꯥ ꯌꯥꯏ꯫

ꯅꯍꯥꯛꯅꯥ ꯏꯃꯔꯖꯦꯟꯁꯤ ꯁꯔꯚꯤꯁꯁꯤꯡꯗꯥ ꯀꯜ ꯇꯧꯕꯥ ꯃꯇꯃꯗꯥ, ꯀꯣꯜ ꯑꯗꯨꯒꯤ ꯄꯥꯎꯈꯨꯝ ꯄꯤꯔꯤꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯗꯨꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯗ꯭ꯔꯤꯉꯩꯗꯥ ꯃꯤꯑꯣꯏ ꯑꯗꯨꯕꯨ ꯀꯔꯝꯅꯥ ꯁꯥꯐꯅꯥ ꯑꯃꯁꯨꯡ ꯇꯪꯗꯨ ꯂꯩꯇꯥꯅꯥ ꯊꯃꯒꯗꯒꯦ ꯍꯥꯌꯕꯒꯤ ꯏꯅꯁ꯭ꯠꯔꯛꯁꯅꯁꯤꯡ ꯍꯪꯕꯤꯌꯨ꯫

ꯍꯤꯞ ꯁꯣꯀꯄꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ, ꯁꯣꯀꯍꯜꯂꯕꯥ ꯊꯧꯗꯣꯛ ꯑꯃꯅꯤ꯫ ꯃꯔꯨꯑꯣꯏꯅꯥ ꯃꯁꯤ ꯁꯦꯀꯦꯟꯗ ꯈꯔꯒꯤ ꯃꯅꯨꯡꯗꯥ, ꯈꯪꯍꯧꯗꯅꯥ ꯁꯣꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯒꯥꯔꯤꯒꯤ ꯑꯦꯛꯁꯤꯗꯦꯟꯇ ꯑꯃꯗꯒꯤ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯍꯤꯞ ꯁꯔꯖꯔꯤꯗꯒꯤ ꯐꯒꯠꯂꯀꯄꯥ ꯑꯁꯤ ꯁꯥꯡꯂꯕꯥ, ꯑꯔꯨꯕꯥ ꯊꯧꯑꯣꯡ ꯑꯃꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫ ꯅꯍꯥꯛꯀꯤ ꯐꯒꯠꯂꯀꯄꯒꯤ ꯈꯣꯉꯆꯠꯇꯥ ꯑꯍꯣꯡꯕꯥ ꯈꯔꯥ ꯄꯨꯔꯀꯄꯥ ꯈꯨꯗꯤꯡꯃꯛ ꯁꯦꯂꯦꯕ꯭ꯔꯦꯠ ꯇꯧꯕꯤꯌꯨ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯆꯠꯊꯣꯛ-ꯆꯠꯁꯤꯟ ꯇꯧꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯁꯥꯖꯦꯜ ꯇꯧꯕꯗꯥ ꯑꯋꯥꯕꯥ ꯂꯩꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔ ꯅꯠꯠꯔꯒꯥ ꯐꯤꯖꯤꯀꯦꯜ ꯊꯦꯔꯥꯄꯤꯁ꯭ꯠ ꯑꯗꯨꯗꯥ ꯈꯪꯍꯜꯂꯨ꯫ ꯃꯈꯣꯌꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯥꯌꯣꯛꯅꯔꯤꯕꯥ ꯁꯤꯡꯅꯕꯥ ꯑꯃꯍꯦꯛꯇꯕꯨ ꯂꯥꯀꯁꯤꯅꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯕꯥ ꯉꯃꯒꯅꯤ꯫

ꯑꯔꯣꯏꯕꯗꯥ ꯅꯤꯡꯁꯤꯡꯒꯗꯕꯥ ꯋꯥꯐꯃꯁꯤꯡ꯫

ꯍꯤꯄꯐꯝ ꯑꯃꯥ ꯁꯣꯀꯄꯒꯤ ꯑꯀꯤꯕꯥ ꯂꯩꯅꯥ ꯍꯤꯡꯕꯥ ꯃꯊꯧ ꯇꯥꯗꯦ꯫ ꯑꯗꯨꯕꯨ ꯃꯁꯤ ꯀꯔꯤ ꯀꯔꯤ ꯐꯦꯛꯇꯔꯁꯤꯡꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯕꯒꯦ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯔꯤꯁ꯭ꯛ ꯑꯗꯨ ꯀꯔꯝꯅꯥ ꯍꯟꯊꯍꯅꯒꯅꯤ ꯍꯥꯌꯕꯗꯨ ꯈꯪꯖꯤꯅꯕꯥ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫ ꯑꯦꯛꯁꯤꯗꯦꯟꯇ ꯑꯃꯥ ꯊꯣꯛꯂꯛꯠꯔꯤꯉꯩ ꯃꯃꯥꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯕꯣꯟ ꯗꯦꯟꯁꯤꯇꯤ ꯅꯠꯠꯔꯒꯥ ꯑꯄꯨꯅꯕꯥ ꯍꯀꯁꯦꯂꯗꯥ ꯑꯍꯣꯡꯕꯥ ꯂꯥꯀꯄꯥ ꯈꯪꯗꯣꯀꯄꯥ ꯉꯝꯕꯥ ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯁ꯭ꯛꯔꯤꯅꯤꯡ ꯇꯧꯕꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯋꯥꯔꯤ ꯁꯥꯕꯤꯌꯨ꯫ ꯏꯁꯥꯕꯨ ꯁꯣꯀꯍꯟꯗꯅꯕꯥ ꯉꯥꯀꯊꯣꯀꯎ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯁꯔꯨꯁꯤꯡ ꯑꯗꯨ ꯃꯄꯥꯉ꯭ꯒꯜ ꯀꯅꯈꯠꯍꯅꯒꯗꯕꯅꯤ꯫ ꯃꯔꯃꯗꯤ ꯍꯀꯆꯥꯡ ꯐꯕꯥ ꯍꯤꯞ ꯑꯁꯤ ꯐ꯭ꯔꯤ, ꯅꯨꯡꯉꯥꯏꯕꯥ ꯄꯨꯟꯁꯤꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯆꯥꯛꯅꯤ! ꯑꯁꯥꯑꯣꯕꯥ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯤ ꯄꯥꯎꯇꯥꯛ ꯉꯥꯛꯅꯥ ꯆꯠꯄꯅꯥ, ꯅꯍꯥꯛꯅꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤꯗꯒꯤ ꯐꯖꯅꯥ ꯐꯒꯠꯂꯀꯄꯥ ꯌꯥꯏ꯫

` ꯍꯤꯞ ꯐ꯭ꯔꯦꯀꯆꯔ, ꯍꯤꯞ ꯐ꯭ꯔꯦꯀꯆꯔ, ꯍꯤꯞ ꯐ꯭ꯔꯦꯀꯆꯔ, ꯐꯦꯃꯨꯔ, ꯑꯍꯜ ꯑꯣꯏꯔꯕꯁꯤꯡꯗꯥ ꯁꯣꯀꯄꯥ, ꯑꯣꯁ꯭ꯇꯤꯑꯣꯄꯣꯔꯣꯁꯤꯁ, ꯍꯤꯞ ꯁꯔꯖꯔꯤ꯫