ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯒꯤ ꯃꯈꯥ ꯊꯪꯕꯥ ꯁꯔꯨꯛꯇꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯕꯥ ꯂꯪꯁꯁꯤꯡ ꯊꯦꯡꯅꯔꯤꯕ꯭ꯔꯥ? ꯄ꯭ꯂꯥꯟꯇꯥꯔ ꯐꯥꯏꯕ꯭ꯔꯣꯃꯦꯇꯣꯁꯤꯁ ꯅꯠꯠꯔꯒꯥ ꯂꯦꯗꯔꯍꯣꯖ ꯗꯤꯖꯤꯖꯒꯤ ꯃꯔꯃꯗꯥ ꯈꯪꯖꯤꯅꯁꯤ꯫

ꯅꯍꯥꯛꯅꯥ ꯈꯣꯡꯗꯥ ꯆꯠꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯁꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯒꯤ ꯃꯈꯥ ꯊꯪꯕꯥ ꯁꯔꯨꯛꯇꯥ ꯂꯪꯊꯣꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯁꯣꯀꯄꯥ ꯑꯃꯥ ꯐꯥꯎꯈꯤꯕ꯭ꯔꯥ? ꯅꯍꯥꯛꯀꯤ ꯈꯣꯉꯎꯄꯇꯥ ꯑꯄꯤꯀꯄꯥ ꯃꯅꯥ-ꯃꯁꯤꯡ ꯑꯃꯥ ꯆꯦꯟꯊꯔꯀꯄꯒꯨꯝ ꯐꯥꯑꯣꯔꯤꯕꯔꯥ? ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯦꯡ-ꯑꯣꯠꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯈꯣꯡꯅꯥ ꯆꯠꯄꯥ ꯃꯇꯃꯗꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯉꯁꯤ ꯋꯥꯔꯤ ꯁꯥꯒꯗꯧꯔꯤꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤꯅꯤ, ꯃꯁꯤꯕꯨ ꯄ꯭ꯂꯥꯟꯇꯥꯔ ꯐꯥꯏꯕ꯭ꯔꯣꯃꯦꯇꯣꯁꯤꯁ , ꯅꯠꯔꯒꯥ ꯂꯦꯗꯔꯍꯣꯖ ꯗꯤꯖꯤꯖ ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯊꯣꯀꯄꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ, ꯑꯗꯨꯕꯨ ꯃꯁꯤ ꯈꯪꯖꯤꯅꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫

ꯃꯁꯤ ꯀꯔꯤꯅꯣ (ꯄ꯭ꯂꯥꯟꯇꯥꯔ ꯐꯥꯏꯕ꯭ꯔꯣꯃꯦꯇꯣꯁꯤꯁ)?

ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯄ꯭ꯂꯥꯟꯇꯥꯔ ꯐꯥꯏꯕ꯭ꯔꯣꯃꯦꯇꯣꯁꯤꯁ ꯍꯥꯌꯕꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯒꯤ ꯃꯈꯥ ꯊꯪꯕꯥ ꯁꯔꯨꯛꯇꯥ ꯁꯄꯣꯔꯠ ꯇꯧꯕꯥ ꯑꯃꯁꯨꯡ ꯉꯥꯀꯊꯣꯀꯄꯥ ꯉꯝꯕꯥ ꯇꯤꯁꯨꯒꯤ ꯑꯀꯅꯕꯥ ꯂꯦꯌꯔ ꯑꯃꯥ ꯑꯣꯏꯔꯤꯕꯥ ꯄ꯭ꯂꯥꯟꯇꯥꯔ ꯐꯦꯁꯤꯌꯥꯗꯥ ꯊꯣꯀꯄꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫ ꯃꯁꯤꯗꯥ ꯄ꯭ꯂꯥꯟꯇꯥꯔ ꯐꯥꯏꯕ꯭ꯔꯣꯃꯥ ꯀꯧꯕꯥ ꯑꯄꯤꯀꯄꯥ, ꯑꯀꯅꯕꯥ ꯂꯪꯁꯁꯤꯡ ꯑꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ, ꯃꯔꯨꯑꯣꯏꯅꯥ ꯑꯥꯔꯆꯀꯤ ꯃꯔꯛꯇꯥ ꯊꯣꯀꯏ꯫ ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯀ꯭ꯂꯦꯏ ꯅꯠꯠꯔꯒꯥ ꯃꯅꯥ-ꯃꯁꯤꯡꯒꯤ ꯑꯄꯤꯀꯄꯥ ꯄꯣꯠꯁꯛ ꯑꯃꯒꯨꯝꯅꯥ ꯐꯥꯎꯕꯥ ꯌꯥꯏ꯫ ꯍꯥꯌꯔꯤꯕꯥ ꯂꯃꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ ꯌꯥꯏ, ꯁꯦꯟꯇꯤꯃꯤꯇꯔ 1 ꯅꯠꯠꯔꯒꯥ 2 ꯐꯥꯎꯕꯒꯤ ꯆꯥꯡꯗꯥ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ ꯌꯥꯏ꯫

ꯍꯧꯖꯤꯛꯇꯤ ꯑꯗꯣꯝꯅꯥ ꯈꯅꯕꯤꯔꯃꯒꯅꯤ ꯃꯗꯨꯗꯤ ꯂꯝꯕꯤꯁꯤꯡ ꯑꯁꯤ ꯀꯦꯟꯁꯔ ꯑꯣꯏꯕꯔꯥ꯫ ꯅꯠꯇꯦ, ꯃꯈꯣꯌ ꯑꯁꯤ ꯀꯦꯟꯁꯔ (benign) ꯅꯠꯇꯦ꯫ ꯃꯁꯤꯅꯥ ꯇꯥꯀꯄꯗꯤ ꯃꯈꯣꯌ ꯑꯁꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯑꯇꯩ ꯃꯐꯃꯁꯤꯡꯗꯥ ꯁꯟꯗꯣꯀꯄꯥ ꯉꯃꯗꯦ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ ꯃꯈꯣꯌ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯋꯥꯅꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯏ . ꯃꯈꯣꯌꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯂꯦꯡ-ꯑꯣꯠꯄꯒꯤ ꯑꯃꯁꯨꯡ ꯆꯠꯄꯒꯤ ꯃꯄꯥꯉ꯭ꯒꯂꯗꯥ ꯑꯀꯥꯌꯕꯥ ꯄꯤꯕꯥ ꯌꯥꯏ, ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯄꯨꯟꯁꯤꯒꯤ ꯃꯒꯨꯅꯁꯨ ꯍꯟꯊꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯂꯩꯔꯕꯗꯤ, ꯄꯥꯎꯇꯥꯛ ꯂꯧꯅꯕꯒꯤꯗꯃꯛ ꯗꯣꯛꯇꯔ ꯑꯃꯒꯥ ꯇꯥꯟꯅꯕꯅꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯩ꯫

ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤꯒꯤ ꯁ꯭ꯇꯦꯖꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯤꯅꯣ?

ꯄ꯭ꯂꯥꯟꯇꯦꯇꯔ ꯐꯥꯏꯕ꯭ꯔꯣꯃꯦꯇꯣꯁꯤꯁꯀꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯁ꯭ꯇꯦꯖ ꯑꯍꯨꯝ ꯂꯩ꯫ ꯃꯈꯣꯌꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯤꯅꯣ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯁꯤ:

1. ꯑꯍꯥꯅꯕꯥ ꯐꯦꯖ (ꯄ꯭ꯔꯣꯂꯤꯐꯦꯔꯦꯇꯤꯚ ꯐꯦꯖ): ꯐꯦꯖ ꯑꯁꯤꯗꯥ, ꯃꯈꯥꯗꯥ ꯂꯩꯕꯥ ꯇꯤꯁꯨ ꯑꯗꯨ ꯁꯦꯃꯒꯠꯂꯤꯕꯥ ꯐꯥꯏꯕ꯭ꯔꯣꯕ꯭ꯂꯥꯁ꯭ꯠ ꯀꯧꯕꯥ ꯁꯦꯜ ꯃꯈꯜ ꯑꯃꯥ ꯂꯩ, ꯑꯃꯁꯨꯡ ꯁꯦꯂꯁꯤꯡ ꯑꯗꯨꯒꯤ ꯃꯁꯤꯡ ꯍꯦꯅꯒꯠꯂꯀꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ ꯃꯇꯝ ꯑꯁꯤꯗꯥ ꯀꯣꯂꯥꯖꯦꯟ ꯀꯧꯕꯥ ꯄ꯭ꯔꯣꯇꯤꯟ ꯌꯥꯝꯅꯥ ꯅꯦꯝꯃꯤ .

2. ꯑꯦꯛꯇꯤꯕ ꯐꯦꯖ: ꯃꯐꯝ ꯑꯁꯤꯗꯥ, ꯐꯥꯏꯕ꯭ꯔꯣꯕ꯭ꯂꯥꯁ꯭ꯇꯁꯤꯡ ꯑꯁꯤ ꯃꯈꯥ ꯇꯥꯅꯥ ꯍꯦꯅꯒꯠꯂꯀꯏ, ꯑꯃꯁꯨꯡ ꯀꯣꯂꯥꯖꯦꯅꯒꯤ ꯆꯥꯡ ꯍꯦꯅꯒꯠꯂꯀꯏ꯫ ꯐꯦꯖ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯩꯈꯣꯌꯅꯥ ꯄꯅꯈꯤꯕꯥ ꯅꯣꯗ꯭ꯌꯨꯂꯁꯤꯡ ꯑꯁꯤ ꯁꯦꯝꯕꯥ ꯍꯧꯏ꯫

3. ꯔꯦꯁꯤꯗꯦꯟꯇ ꯐꯦꯖ: ꯐꯦꯖ ꯑꯁꯤꯗꯥ ꯐꯥꯏꯕ꯭ꯔꯣꯕ꯭ꯂꯥꯁ꯭ꯇꯀꯤ ꯑꯦꯛꯇꯤꯚꯤꯇꯤ ꯍꯟꯊꯔꯀꯏ, ꯑꯗꯨꯕꯨ ꯀꯣꯂꯥꯖꯦꯟ ꯄꯨꯊꯣꯀꯄꯥ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯊꯣꯀꯏ꯫ ꯃꯁꯤꯅꯥ ꯁ꯭ꯀꯥꯔ ꯇꯤꯁꯨꯁꯤꯡ ꯁꯦꯃꯒꯠꯂꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯀꯟꯠꯔꯦꯛꯇ ꯇꯧꯕꯥ ꯍꯧꯔꯀꯏ꯫

ꯀꯔꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯅꯍꯥꯛꯅꯥ ꯐꯥꯎꯕꯥ ꯌꯥꯕꯒꯦ?

ꯂꯦꯗꯔꯍꯣꯁ ꯗꯤꯖꯤꯖꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯒꯤ ꯃꯈꯥ ꯊꯪꯕꯥ ꯁꯔꯨꯛꯇꯥ ꯂꯝ ꯑꯃꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯃꯗꯒꯤ ꯍꯦꯅꯕꯥ ꯊꯣꯀꯍꯜꯂꯤ꯫ ꯃꯁꯤꯅꯥ ꯌꯥꯝꯅꯥ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯅꯨꯡꯇꯤꯒꯤ ꯊꯕꯛ ꯊꯧꯔꯃꯁꯤꯡꯗꯥ ꯑꯀꯥꯌꯕꯥ ꯄꯤꯕꯥ ꯌꯥꯏ꯫ ꯄ꯭ꯂꯥꯟꯇꯥꯔ ꯐꯥꯏꯕ꯭ꯔꯣꯃꯦꯇꯣꯁꯤꯁꯀꯤ ꯑꯇꯩ ꯂꯥꯏꯑꯣꯡ ꯈꯔꯗꯤ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤ:

• ꯈꯣꯡꯒꯤ ꯈꯣꯡꯄꯥꯛꯇꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯑꯃꯁꯨꯡ ꯁꯣꯟꯊꯕꯥ (swelling) : ꯃꯔꯨꯑꯣꯏꯅꯥ ꯈꯣꯡ-ꯈꯨꯠꯀꯤ ꯃꯅꯥꯛ ꯅꯛꯅꯥ ꯂꯩꯕꯥ ꯃꯐꯝ ꯑꯗꯨꯗꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯂꯦꯡ-ꯑꯣꯠꯄꯗꯥ ꯅꯠꯠꯔꯒꯥ ꯈꯣꯡꯅꯥ ꯆꯠꯄꯥ ꯃꯇꯃꯗꯥ ꯑꯅꯥꯕꯥ ꯑꯁꯤ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ ꯌꯥꯏ꯫
• ꯂꯦꯡ-ꯑꯣꯠꯄꯗꯥ ꯑꯃꯁꯨꯡ/ꯅꯠꯠꯔꯒꯥ ꯆꯠꯄꯗꯥ ꯑꯋꯥꯕꯥ:ꯃꯔꯃꯗꯤ ꯈꯣꯡꯒꯤ ꯈꯣꯡꯄꯥꯛ ꯑꯗꯨ ꯃꯥꯂꯦꯃꯗꯥ ꯂꯩꯕꯥ ꯃꯇꯃꯗꯥ ꯁꯣꯛ-ꯄꯅꯕꯥ ꯊꯣꯀꯍꯜꯂꯤ, ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯃꯤꯑꯣꯏ ꯈꯔꯗꯤ ꯈꯣꯡꯅꯥ ꯆꯠꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯂꯦꯡ-ꯑꯣꯠꯄꯗꯥ ꯐꯥꯎꯕꯥ ꯑꯋꯥꯕꯥ ꯃꯥꯌꯣꯛꯅꯔꯤ꯫
• ꯈꯣꯡꯒꯤ ꯃꯈꯥ ꯊꯪꯕꯥ ꯁꯔꯨꯛꯇꯥ ꯀꯨꯄꯁꯤꯅꯕꯥ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯈꯣꯡꯒꯤ ꯃꯈꯨꯠꯁꯤꯡ ꯑꯁꯤ ꯃꯍꯧꯁꯥꯅꯥ ꯃꯈꯥꯗꯥ ꯀꯨꯄꯁꯤꯅꯕꯥ ꯌꯥꯏ, ꯍꯥꯌꯕꯗꯤ ꯈꯣꯡꯒꯤ ꯃꯌꯥꯏꯗꯥ ꯀꯨꯄꯁꯤꯅꯕꯥ ꯌꯥꯏ꯫
• ꯈꯨꯠꯁꯥꯁꯤꯡ ꯆꯦꯠꯁꯤꯂꯍꯅꯕꯥ ꯉꯃꯗꯕꯥ: ꯅꯍꯥꯛꯀꯤ ꯈꯨꯠꯁꯥ ꯑꯗꯨ ꯑꯁꯨꯝꯅꯥ ꯀꯨꯄꯁꯤꯜꯂꯕꯥ ꯃꯇꯨꯡꯗꯥ, ꯃꯈꯣꯌꯗꯨ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯁꯦꯡꯗꯣꯀꯄꯗꯥ ꯑꯋꯥꯕꯥ ꯑꯣꯏꯔꯀꯄꯥ ꯌꯥꯏ꯫

ꯃꯁꯤꯒꯤ ꯃꯔꯝ ꯀꯔꯤ ꯑꯣꯏꯕꯥ ꯌꯥꯕꯒꯦ?

ꯔꯤꯁꯔꯆꯔꯁꯤꯡꯅꯥ ꯍꯧꯖꯤꯛ ꯐꯥꯑꯣꯕꯥ ꯄ꯭ꯂꯥꯟꯇꯥꯔ ꯐꯥꯏꯕ꯭ꯔꯣꯃꯦꯇꯣꯁꯤꯁ ꯊꯣꯀꯍꯅꯕꯒꯤ ꯃꯔꯃꯗꯥ ꯇꯁꯦꯡꯅꯥ ꯈꯉꯕꯥ ꯉꯃꯗ꯭ꯔꯤ, ꯑꯗꯨꯕꯨ ꯃꯈꯣꯌꯅꯥ ꯊꯥꯖꯩ ꯃꯗꯨꯗꯤ ꯐꯦꯛꯇꯔ ꯀꯌꯥ ꯑꯃꯅꯥ ꯃꯁꯤꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯌꯥꯑꯣꯔꯤ:

• ꯖꯦꯅꯦꯇꯤꯛꯁ: ꯃꯁꯤꯅꯥ ꯇꯥꯀꯄꯗꯤ ꯃꯁꯤ ꯍꯦꯔꯤꯇꯦꯖ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫
• ꯑꯇꯣꯞꯄꯥ ꯃꯔꯤ ꯂꯩꯅꯕꯥ ꯍꯀꯁꯦꯂꯒꯤ ꯐꯤꯚꯃꯁꯤꯡ: ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯃꯁꯤ ꯗꯨꯄꯨꯌꯠꯔꯦꯟ ꯀꯟꯠꯔꯦꯀꯆꯔ (ꯈꯨꯠꯂꯥꯏꯁꯤꯡ ꯑꯁꯤ ꯃꯅꯨꯡꯗꯥ ꯀꯨꯄꯁꯤꯅꯕꯥ ꯃꯐꯝ), ꯄꯦꯌꯔꯅꯤꯒꯤ ꯂꯥꯌꯅꯥ (ꯅꯨꯄꯥꯁꯤꯡꯗꯥ ꯂꯤꯉ꯭ꯒꯨꯏꯁꯇꯥ ꯁꯣꯀꯍꯜꯂꯤꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯥ), ꯑꯃꯁꯨꯡ ꯅꯛꯅꯕꯥ ꯄꯦꯗꯁꯤꯡꯒꯨꯝꯕꯥ ꯀꯟꯗꯤꯁꯅꯁꯤꯡꯒꯥ ꯃꯔꯤ ꯂꯩꯅꯕꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫
• ꯈꯣꯡꯒꯤ ꯈꯣꯡꯗꯥ ꯁꯣꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯄꯥ: ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯈꯣꯡꯒꯤ ꯈꯣꯡꯗꯥ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯅꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯄꯗꯒꯤꯁꯨ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫

ꯃꯁꯤ ꯀꯅꯥꯅꯥ ꯍꯦꯟꯅꯥ ꯆꯥꯎꯈꯠꯂꯀꯄꯒꯦ? (ꯔꯤꯁ꯭ꯛ ꯐꯦꯛꯇꯔꯁꯤꯡ) ꯑꯃꯁꯨꯡ ꯑꯦꯟ.

ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ (ꯂꯦꯗꯔꯍꯣꯖ ꯗꯤꯖꯤꯖ) ꯑꯁꯤ ꯆꯍꯤ ꯑꯃꯍꯦꯛꯇꯗꯥ ꯂꯥꯀꯄꯥ ꯌꯥꯏ, ꯑꯗꯨꯕꯨ ꯃꯁꯤ ꯆꯍꯤ 30 ꯑꯃꯁꯨꯡ 50ꯒꯤ ꯃꯔꯛꯇꯥ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯗꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯀꯃꯟ ꯑꯣꯏ, ꯃꯁꯤꯗꯁꯨ ꯅꯠꯇꯅꯥ, ꯃꯤꯑꯣꯏ ꯈꯔꯗꯗꯤ ꯃꯁꯤ ꯂꯥꯀꯄꯒꯤ ꯆꯥꯡ ꯍꯦꯟꯅꯥ ꯋꯥꯡꯏ꯫ ꯈꯨꯗꯝ ꯑꯣꯏꯅ:

• ꯅꯣꯔꯊꯋꯦꯁ꯭ꯇꯔꯟ ꯌꯨꯔꯣꯄꯤꯌꯟ ꯃꯤꯑꯣꯏꯁꯤꯡꯒꯤꯗꯃꯛꯇꯗꯤ꯫
• ꯅꯨꯄꯥꯁꯤꯡꯅꯥ ꯃꯁꯤ ꯅꯨꯄꯤꯁꯤꯡꯗꯒꯤ ꯈꯔꯥ ꯍꯦꯟꯅꯥ ꯆꯥꯎꯈꯠꯍꯜꯂꯤ꯫
• ꯃꯩꯈꯨ ꯊꯥꯗꯣꯀꯄꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯁꯨ ꯍꯦꯟꯅꯥ ꯔꯤꯁ꯭ꯛ ꯂꯩ꯫

ꯃꯁꯤꯒꯤ ꯃꯊꯛꯇꯥ, ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ (Plantar Fibromatosis) ꯑꯁꯤ ꯑꯀꯛꯅꯕꯥ ꯑꯇꯩ ꯂꯥꯌꯅꯥ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯗꯥ ꯍꯦꯟꯅꯥ ꯀꯃꯟ ꯑꯣꯏ꯫ ꯍꯥꯌꯔꯤꯕꯥ ꯋꯥꯐꯃꯁꯤꯡ ꯑꯁꯤ ꯈꯟꯊꯕꯤꯌꯨ:

• ꯌꯥꯝꯅꯥ ꯊꯀꯄꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯒꯤꯗꯃꯛ (ꯑꯂꯀꯣꯍꯣꯜ ꯌꯨꯖ ꯗꯤꯁꯑꯣꯔꯗꯔ)
• ꯗꯥꯏꯑꯦꯕꯦꯇꯤꯖ (ꯗꯥꯏꯕꯦꯇꯤꯁ ꯃꯦꯂꯤꯇꯁ) ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯒꯤ ꯑꯣꯏꯅꯗꯤ
• ꯗꯨꯄꯨꯌꯠꯔꯦꯟ ꯀꯟꯠꯔꯦꯀꯆꯔ ꯀꯧꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯥ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯒꯤ ꯑꯣꯏꯅꯗꯤ (ꯃꯁꯤꯁꯨ ꯂꯥꯌꯅꯥ ꯑꯁꯤꯒꯥ ꯈꯔꯥ ꯃꯥꯟꯅꯩ)
• ꯏꯄꯤꯂꯦꯄꯁꯤꯅꯥ ꯅꯥꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯒꯤꯗꯃꯛ꯫
• ꯐ꯭ꯔꯣꯖꯟ ꯁꯣꯜꯗꯔ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯒꯤꯗꯃꯛ꯫
• ꯅꯛꯅꯕꯥ ꯄꯦꯗ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯒꯤꯗꯃꯛ꯫
• ꯄꯦꯌꯔꯅꯤꯖ ꯗꯤꯖꯤꯖ ꯀꯧꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯥ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯒꯤꯗꯃꯛ꯫

ꯗꯣꯛꯇꯔ ꯑꯃꯅꯥ ꯃꯁꯤ ꯀꯔꯝꯅꯥ ꯂꯥꯌꯦꯡꯒꯅꯤ?

ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯒꯤ ꯃꯈꯥ ꯊꯪꯕꯥ ꯁꯔꯨꯛꯇꯥ ꯂꯪꯁ ꯑꯃꯥ ꯂꯩꯕꯥ ꯗꯣꯛꯇꯔ ꯑꯃꯗꯥ ꯆꯠꯄꯥ ꯃꯇꯃꯗꯥ, ꯃꯍꯥꯛꯅꯥ ꯃꯗꯨ ꯀꯔꯝꯅꯥ ꯇꯁꯦꯡꯅꯥ ꯈꯪꯗꯣꯀꯄꯥ ꯉꯃꯒꯅꯤ (Plantar Fibromatosis)?

ꯑꯍꯥꯅꯕꯗꯥ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯉꯣꯟꯗꯥ ꯋꯥꯍꯪ ꯈꯔꯥ ꯍꯪꯒꯅꯤ꯫ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯋꯥꯐꯃꯁꯤꯡ ꯑꯁꯤ ꯈꯟꯊꯕꯤꯌꯨ:

• ‘ꯅꯍꯥꯛꯀꯤ ꯏꯃꯨꯡꯗꯥ ꯀꯅꯥꯒꯨꯝꯕꯥ ꯑꯃꯗꯥ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯃꯈꯂꯒꯤ ꯄ꯭ꯂꯥꯟꯇꯦꯇꯔ ꯋꯥꯔꯇꯁꯤꯡ ꯂꯩꯕ꯭ꯔꯥ?’ (ꯃꯗꯨꯗꯤ ꯍꯦꯔꯤꯇꯦꯖ ꯂꯤꯉ꯭ꯛ ꯑꯃꯥ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯎ)
• ‘ꯃꯃꯥꯡꯗꯥ ꯃꯁꯤꯒꯥ ꯃꯥꯟꯅꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯥ (ꯗꯨꯄꯨꯌꯠꯔꯦꯟ ꯀꯟꯠꯔꯦꯀꯆꯔ) ꯊꯦꯡꯅꯈꯤꯕꯔꯥ?’
• ‘ꯅꯉꯗꯥ ꯗꯥꯏꯕꯦꯇꯤꯁ ꯂꯩꯕ꯭ꯔꯥ?’ ꯍꯥꯌꯅꯥ ꯍꯥꯌꯔꯀꯏ꯫
• ‘ꯅꯉꯅꯥ ꯏꯄꯤꯂꯦꯄꯁꯤ ꯂꯩꯕ꯭ꯔꯥ?’ ꯍꯥꯌꯅꯥ ꯍꯥꯌꯔꯀꯏ꯫

ꯋꯥꯍꯪꯁꯤꯡ ꯑꯁꯤ ꯍꯪꯂꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡ ꯑꯗꯨ ꯆꯦꯀꯁꯤꯟꯅꯥ ꯌꯦꯡꯁꯤꯅꯒꯅꯤ꯫ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ, ꯃꯈꯣꯌꯅꯥ ꯃꯈꯥꯒꯤ ꯋꯥꯐꯃꯁꯤꯡ ꯑꯁꯤꯗꯥ ꯄꯨꯛꯅꯤꯡ ꯆꯪꯒꯅꯤ:

• ꯈꯣꯡꯒꯤ ꯈꯣꯡꯄꯥꯛ ꯑꯗꯨ ꯁꯣꯀꯄꯥ, ꯁꯣꯛ-ꯄꯅꯕꯥ, ꯌꯦꯔꯨꯝ, ꯑꯁꯣꯛ-ꯑꯄꯟ ꯅꯠꯠꯔꯒꯥ ꯑꯇꯩ ꯑꯁꯣꯛ-ꯑꯄꯅꯁꯤꯡ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯆꯦꯛ ꯇꯧꯏ꯫
• ꯃꯈꯣꯌꯅꯥ ꯈꯣꯡ ꯑꯃꯁꯨꯡ ꯈꯣꯡꯄꯥꯛꯇꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯕꯥ ꯃꯐꯃꯁꯤꯡ ꯂꯩꯕ꯭ꯔꯥ, ꯅꯠꯠꯔꯒꯥ ꯊꯤꯡꯖꯤꯜꯂꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯍꯅꯕꯥ ꯃꯐꯃꯁꯤꯡ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯅꯣꯠ ꯇꯧꯏ꯫
• ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯂꯩꯕꯥ ꯑꯦꯆꯤꯂꯤꯁ ꯇꯦꯟꯗꯣꯟ ꯑꯃꯁꯨꯡ ꯃꯗꯨꯒꯤ ꯑꯀꯣꯌꯕꯗꯥ ꯂꯩꯕꯥ ꯃꯁꯂꯁꯤꯡ ꯑꯗꯨ ꯌꯦꯡꯁꯤꯅꯒꯅꯤ꯫
• ꯈꯣꯡꯒꯤ ꯈꯣꯡꯖꯦꯂꯒꯤ ꯔꯦꯟꯖ ꯑꯗꯨ ꯆꯦꯛ ꯇꯧꯏ꯫
• ꯅꯍꯥꯀꯄꯨ ꯑꯇꯦꯅꯕꯥ ꯃꯇꯃꯒꯤ ꯑꯣꯏꯅꯥ ꯈꯣꯡꯅꯥ ꯆꯠꯅꯕꯥ ꯍꯥꯌꯒꯅꯤ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡ ꯑꯃꯁꯨꯡ ꯈꯣꯡꯎꯞ ꯑꯗꯨ ꯆꯠꯊꯣꯛ-ꯆꯠꯁꯤꯟ ꯇꯧꯅꯕꯥ ꯌꯦꯡꯁꯤꯅꯒꯅꯤ꯫

ꯂꯥꯌꯅꯥ ꯑꯁꯤ ꯀꯅꯐꯔꯝ ꯇꯧꯅꯕꯥ ꯇꯦꯁ꯭ꯠ ꯇꯧꯕꯥ꯫

ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯗꯣꯛꯇꯔ ꯑꯗꯨꯅꯥ ꯑꯆꯨꯝꯕꯥ ꯗꯥꯏꯑꯦꯒ꯭ꯅꯣꯁꯤꯁ ꯑꯗꯨ ꯀꯅꯐꯥꯔꯝ ꯇꯧꯅꯕꯥ ꯇꯦꯁ꯭ꯠ ꯈꯔꯁꯨ ꯄꯥꯡꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫

• ꯑꯂꯠꯔꯥꯁꯥꯎꯟꯗ: ꯅꯍꯥꯛꯀꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯃꯦꯗꯤꯀꯦꯜ ꯍꯤꯁ꯭ꯇꯔꯤ ꯑꯗꯨ ꯌꯦꯡꯁꯤꯜꯂꯕꯥ ꯃꯇꯨꯡꯗꯥ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯄ꯭ꯂꯥꯟꯇꯦꯇꯔ ꯐꯥꯏꯕ꯭ꯔꯣꯃꯦꯇꯣꯁꯤꯁ ꯂꯩꯔꯦ ꯍꯥꯌꯅꯥ ꯆꯤꯡꯅꯕꯥ ꯂꯩꯔꯕꯗꯤ, ꯃꯈꯣꯌꯅꯥ ꯗꯥꯏꯑꯦꯒ꯭ꯅꯣꯁꯤꯁ ꯑꯗꯨ ꯀꯅꯐꯥꯔꯝ ꯇꯧꯅꯕꯥ ꯑꯂꯠꯔꯥꯁꯥꯎꯟꯗ ꯑꯃꯥ ꯄꯥꯡꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫
• Magnetic Resonance Imaging (MRI) scan: Sometimes, when the disease is more severe, the lumps may have spread into the underlying tissue. ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯇꯣꯏꯅꯥ ꯊꯣꯀꯏ꯫ MRI ꯁ꯭ꯀꯦꯟ ꯑꯃꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯗꯨ ꯀꯌꯥꯝ ꯁꯥꯊꯤꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯈꯪꯗꯣꯀꯄꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫
• ꯕꯥꯏꯑꯣꯞꯁꯤ: ꯃꯁꯤꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯃꯈꯥ ꯊꯪꯕꯥ ꯁꯔꯨꯛ ꯑꯗꯨꯗꯒꯤ ꯇꯤꯁꯨ, ꯁꯦꯂꯁꯤꯡ ꯅꯠꯠꯔꯒꯥ ꯐ꯭ꯂꯨꯏꯗꯀꯤ ꯑꯄꯤꯀꯄꯥ ꯁꯔꯨꯛ ꯑꯃꯥ ꯂꯧꯗꯨꯅꯥ ꯇꯦꯁ꯭ꯠ ꯇꯧꯕꯥ ꯌꯥꯎꯏ꯫ ꯕꯥꯏꯑꯣꯞꯁꯤ ꯑꯃꯅꯥ ꯂꯝ ꯑꯁꯤ ꯀꯦꯟꯁꯔ ꯑꯣꯏꯗꯦ ꯍꯥꯌꯕꯥ ꯀꯅꯐꯥꯔꯝ ꯇꯧꯕꯥ ꯌꯥꯏ꯫

ꯃꯁꯤꯒꯤ ꯂꯥꯏꯌꯦꯡ ꯑꯁꯤ ꯀꯔꯤꯅꯣ? (ꯂꯥꯏꯌꯦꯡꯕ)

ꯑꯣꯀꯦ, ꯍꯧꯖꯤꯛ ꯃꯁꯤꯒꯤꯗꯃꯛꯇꯥ ꯀꯔꯤ ꯂꯥꯏꯌꯦꯡꯁꯤꯡ ꯂꯩꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯁꯤ (ꯄ꯭ꯂꯥꯟꯇꯔ ꯐꯥꯏꯕ꯭ꯔꯣꯃꯦꯇꯣꯁꯤꯁ)꯫ ꯃꯁꯤꯒꯤ ꯑꯍꯥꯅꯕꯥ ꯇꯥꯉ꯭ꯀꯛꯇꯥ ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯃꯍꯧꯁꯥꯅꯥ ꯃꯌꯥꯏ ꯑꯣꯏꯕꯥ, ꯏꯆꯝ ꯆꯝꯕꯥ ꯂꯥꯏꯌꯦꯡꯁꯤꯡꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯔꯤꯂꯤꯐ ꯄꯤꯅꯕꯥ ꯍꯣꯠꯅꯩ꯫

ꯉꯟꯅꯥ ꯂꯥꯏꯌꯦꯡꯕꯥ꯫

• ꯑꯥꯏꯁ ꯑꯦꯞꯂꯤꯀꯦꯁꯟ: ꯑꯀꯪꯕꯥ ꯐꯤꯅꯥ ꯀꯨꯄꯁꯤꯜꯂꯕꯥ ꯑꯥꯏꯁ ꯄꯦꯛ ꯑꯃꯥ ꯈꯣꯡꯒꯤ ꯃꯊꯛꯇꯥ ꯂꯩꯕꯥ ꯑꯁꯣꯀꯄꯥ ꯃꯐꯝ ꯑꯗꯨꯗꯥ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯃꯤꯅꯠ 20 ꯊꯃꯒꯗꯕꯅꯤ꯫ ꯃꯁꯤ ꯅꯍꯥꯛꯅꯥ ꯅꯣꯡꯃꯗꯥ ꯑꯍꯨꯃꯗꯒꯤ ꯃꯔꯤ ꯐꯥꯎꯕꯥ ꯇꯧꯕꯥ ꯌꯥꯏ꯫
• ꯍꯤꯗꯥꯀꯁꯤꯡ: ꯅꯍꯥꯛꯅꯥ ꯑꯅꯥꯕꯥ ꯑꯃꯁꯨꯡ ꯁꯣꯀꯄꯥ ꯍꯟꯊꯍꯟꯅꯕꯥ ꯑꯣꯚꯔ-ꯗꯤ-ꯀꯎꯟꯇꯔ ꯄꯦꯟ ꯔꯤꯂꯤꯚꯔꯁꯤꯡ, ꯅꯠꯠꯔꯒꯥ NSAIDꯁꯤꯡ (ꯅꯟ-ꯁ꯭ꯇꯦꯔꯣꯏꯗ ꯑꯦꯟꯇꯤ-ꯏꯅꯐ꯭ꯂꯦꯃꯦꯇꯔꯤ ꯍꯤꯗꯥꯀꯁꯤꯡ) (ꯑꯦꯁ꯭ꯄꯤꯔꯤꯟ, ꯏꯕꯨꯞꯔꯣꯐꯦꯟ, ꯅꯠꯠꯔꯒꯥ ꯅꯦꯞꯔꯣꯛꯁꯦꯅꯒꯨꯝꯕꯥ) ꯂꯧꯕꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯗꯣꯛꯇꯔ ꯑꯃꯒꯥ ꯇꯥꯟꯅꯕꯅꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯩ꯫
• ꯑꯣꯔꯊꯣꯇꯤꯛꯁ: ꯑꯣꯚꯔ-ꯗꯤ-ꯀꯎꯟꯇꯔ (OTC) ꯖꯨꯇꯣ ꯏꯅꯁꯥꯔꯇꯁꯤꯡ ꯅꯠꯠꯔꯒꯥ ꯀꯁ꯭ꯇꯝ ꯑꯣꯔꯊꯣꯇꯤꯀꯁꯤꯡꯅꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯎꯄꯀꯤ ꯏꯅꯁꯥꯔꯇꯁꯤꯡ ꯑꯗꯨ ꯕꯝꯄꯁꯤꯡꯒꯤ ꯃꯊꯛꯇꯥ ꯐꯤꯠ ꯑꯣꯏꯅꯥ ꯂꯩꯅꯕꯥ ꯍꯣꯂꯁꯤꯡ ꯀꯥꯄꯁꯤꯅꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯅꯥ ꯕꯝꯄꯁꯤꯡꯗꯥ ꯄ꯭ꯔꯦꯁꯔ ꯍꯟꯊꯍꯅꯒꯅꯤ꯫
• ꯈꯣꯡꯒꯤ ꯃꯈꯥ ꯊꯪꯕꯥ ꯁꯔꯨꯛꯇꯥ ꯃꯥꯁ ꯇꯧ: ꯈꯣꯡꯒꯤ ꯃꯅꯥ-ꯃꯁꯤꯡ ꯑꯗꯨ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯃꯥꯁ ꯇꯧ꯫ ꯑꯗꯨꯕꯨ ꯕꯝꯄꯁꯤꯡ ꯑꯗꯨ ꯁꯣꯀꯍꯜꯂꯣꯏꯗꯕꯅꯤ , ꯃꯔꯃꯗꯤ ꯃꯗꯨ ꯇꯧꯕꯅꯥ ꯑꯅꯥꯕꯥ ꯑꯗꯨ ꯍꯦꯅꯒꯠꯍꯅꯕꯥ ꯌꯥꯏ꯫
• ꯐꯤꯖꯤꯀꯦꯜ ꯊꯦꯔꯥꯄꯤ: ꯱.ꯅꯍꯥꯛꯅꯥ ꯐꯤꯖꯤꯀꯦꯜ ꯊꯦꯔꯥꯄꯤꯁ꯭ꯠ ꯑꯃꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯈꯣꯡꯒꯤ ꯃꯈꯥ ꯊꯪꯕꯥ ꯁꯔꯨꯛꯇꯥ ꯂꯩꯕꯥ ꯀꯅꯦꯛꯇꯤꯚ ꯇꯤꯁꯨ ꯑꯗꯨ ꯆꯦꯠꯁꯤꯂꯍꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯃꯄꯥꯉ꯭ꯒꯜ ꯀꯅꯈꯠꯍꯅꯕꯥ ꯉꯝꯕꯥ ꯑꯦꯛꯁꯔꯁꯥꯏꯖꯁꯤꯡ ꯇꯧꯕꯥ ꯌꯥꯏ꯫

ꯅꯤꯡꯁꯤꯡꯕꯤꯌꯨ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯏꯆꯝ ꯆꯝꯕꯥ ꯂꯥꯏꯌꯦꯡꯁꯤꯡ ꯑꯁꯤꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯊꯥ ꯈꯔꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯑꯅꯥꯕꯥ ꯑꯗꯨ ꯍꯟꯊꯔꯛꯠꯔꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯁꯣꯌꯗꯅꯥ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯗꯣꯛꯇꯔꯒꯥ ꯇꯥꯟꯅꯒꯗꯕꯅꯤ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯅꯥꯕꯥ ꯑꯗꯨ ꯍꯟꯊꯔꯛꯠꯔꯕꯗꯤ ꯂꯥꯏꯌꯦꯡ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯅꯥꯕꯥ ꯑꯗꯨ ꯊꯥ ꯈꯔꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯏꯆꯝ ꯆꯝꯕꯥ ꯂꯥꯏꯌꯦꯡꯁꯤꯡꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯍꯟꯊꯔꯛꯠꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯑꯇꯩ ꯂꯥꯏꯌꯦꯡꯁꯤꯡ, ꯍꯥꯌꯕꯗꯤ:

• ꯏꯟꯠꯔꯥꯂꯦꯁꯅꯦꯜ ꯁ꯭ꯇꯦꯔꯣꯏꯗꯁꯤꯡ: ꯂꯦꯡ-ꯑꯣꯠꯄꯗꯥ ꯍꯀꯊꯦꯡꯅꯅꯥ ꯏꯅꯖꯦꯀꯁꯟ ꯇꯧꯕꯥ ꯁ꯭ꯇꯦꯔꯣꯏꯗ ꯏꯅꯖꯦꯀꯁꯅꯁꯤꯡ꯫
• (ꯚꯦꯔꯥꯄꯥꯃꯤꯜ) ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛ: ꯃꯁꯤ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯃꯍꯤꯛ ꯑꯣꯏꯅꯥ ꯄꯤꯖꯩ꯫
• ꯔꯦꯗꯤꯑꯦꯁꯟ ꯊꯦꯔꯥꯄꯤ: ꯱.
• ꯑꯦꯛꯁꯠꯔꯥꯀꯣꯔꯄꯣꯔꯦꯜ ꯁꯣꯛ ꯋꯦꯕ ꯊꯦꯔꯥꯄꯤ (ESWT): ꯍꯥꯏ-ꯑꯦꯅꯔꯖꯤ ꯁꯥꯎꯟꯗ ꯋꯦꯕ ꯁꯤꯖꯤꯟꯅꯗꯨꯅꯥ ꯂꯥꯏꯌꯦꯡ ꯑꯃꯅꯤ꯫
• (ꯇꯥꯃꯣꯛꯁꯤꯐꯦꯟ) ꯍꯤꯗꯥꯛ: ꯱.
• (ꯁꯣꯔꯥꯐꯦꯅꯤꯕ) ꯍꯤꯗꯥꯛ: ꯱.
• ꯀꯣꯂꯥꯖꯦꯅꯦꯖ ꯏꯅꯖꯦꯀꯁꯟ (collagenase injection): ꯀꯣꯂꯥꯖꯦꯅꯕꯨ ꯁꯣꯀꯍꯜꯂꯤꯕꯥ ꯑꯦꯅꯖꯥꯏꯝ ꯑꯃꯥ ꯌꯥꯎꯕꯥ ꯏꯅꯖꯦꯀꯁꯟ ꯑꯃꯅꯤ꯫
• ꯁꯔꯖꯔꯤ: ꯃꯍꯧꯁꯥꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯇꯩ ꯂꯥꯏꯌꯦꯡ ꯄꯨꯝꯅꯃꯛ ꯃꯥꯌꯄꯥꯛꯠꯔꯕꯗꯤ ꯁꯔꯖꯔꯤ ꯑꯁꯤ ꯑꯔꯣꯏꯕꯥ ꯄꯥꯝꯕꯩꯅꯤ ꯍꯥꯌꯅꯥ ꯂꯧꯅꯩ, ꯃꯔꯃꯗꯤ ꯇꯤꯎꯃꯔꯁꯤꯡ ꯑꯁꯤ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯂꯥꯀꯄꯥ ꯌꯥꯏ꯫

ꯑꯩꯅꯥ ꯇꯁꯦꯡꯅꯥ ꯀꯗꯥꯏꯗꯥ ꯗꯣꯛꯇꯔꯒꯥ ꯎꯅꯒꯗꯒꯦ?

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯍꯦꯛꯇꯕꯨ ꯂꯩꯔꯕꯗꯤ, ꯁꯣꯌꯗꯅꯥ ꯗꯣꯛꯇꯔ ꯑꯃꯒꯥ ꯇꯥꯟꯅꯅꯕꯥ ꯑꯦꯄꯣꯏꯟꯇꯃꯦꯟꯇ ꯑꯃꯥ ꯂꯧꯕꯤꯌꯨ:

• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯁꯣꯜ ꯑꯗꯨꯒꯤ ꯃꯔꯛꯇꯥ ꯂꯪꯁ ꯎꯔꯕꯗꯤ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯦꯡ-ꯑꯣꯠꯄꯗꯥ ꯅꯠꯠꯔꯒꯥ ꯆꯠꯄꯗꯥ ꯑꯋꯥꯕꯥ ꯃꯥꯌꯣꯛꯅꯔꯕꯗꯤ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯂꯣꯌꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯑꯅꯥꯕꯥ ꯂꯩꯔꯕꯗꯤ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯄꯥꯛ ꯑꯗꯨ ꯁꯦꯡꯗꯣꯀꯄꯗꯥ ꯑꯋꯥꯕꯥ ꯑꯣꯏꯔꯕꯗꯤ, ꯅꯠꯠꯔꯒꯥ ꯃꯈꯣꯌꯗꯨ ꯃꯈꯥꯗꯥ ꯀꯨꯄꯁꯤꯅꯕꯥ ꯎꯔꯕꯗꯤ꯫

ꯗꯣꯛꯇꯔꯗꯥ ꯀꯔꯤ ꯋꯥꯍꯪ ꯍꯪꯕꯥ ꯌꯥꯕꯒꯦ?

ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯎꯅꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯍꯪꯂꯀꯄꯥ ꯋꯥꯍꯪ ꯑꯃꯠꯇꯥ ꯍꯪꯕꯤꯒꯅꯨ꯫ ꯈꯨꯗꯝ ꯑꯣꯏꯅ:

• ‘ꯗꯣꯛꯇꯔ, ꯑꯩꯅꯥ ꯀꯔꯤ ꯊꯕꯛ ꯊꯧꯔꯃꯁꯤꯡꯗꯒꯤ ꯂꯥꯞꯅꯥ ꯂꯩꯒꯗꯒꯦ? ꯀꯌꯥ ꯀꯨꯏꯅꯥ ꯆꯠꯀꯗꯒꯦ?'
• ‘ꯑꯋꯥꯕꯥ ꯑꯁꯤ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯅꯕꯥ ꯑꯩꯅꯥ ꯀꯔꯤ ꯇꯧꯕꯥ ꯌꯥꯕꯒꯦ?’
• ‘ꯗꯣꯛꯇꯔꯅꯥ ꯑꯩꯒꯤꯗꯃꯛ ꯀꯔꯤ ꯃꯈꯂꯒꯤ ꯂꯥꯌꯦꯡ ꯔꯤꯀꯃꯦꯟꯗ ꯇꯧꯔꯤꯕꯅꯣ?’

ꯐꯤꯚꯝ ꯑꯁꯤꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯀꯔꯤ ꯑꯥꯁꯥ ꯇꯧꯕꯥ ꯌꯥꯕꯒꯦ?

(Ledderhose Disease) ꯅꯠꯠꯔꯒꯥ (Plantar Fibromatosis) ꯑꯁꯤꯅꯥ ꯈꯣꯡꯒꯤ ꯃꯈꯥ ꯊꯪꯕꯥ ꯁꯔꯨꯛꯇꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯂꯥꯏꯌꯦꯡꯗ꯭ꯔꯕꯗꯤ, ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯁꯣꯀꯆꯤꯜꯂꯀꯄꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯕꯨ ꯅꯨꯡꯉꯥꯏꯔꯕꯥ ꯄꯥꯎ ꯑꯃꯗꯤ ꯃꯁꯤꯒꯤ ꯂꯥꯌꯅꯥ ꯑꯁꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯑꯇꯣꯞꯄꯥ ꯁꯔꯨꯀꯁꯤꯡꯗꯥ ꯁꯟꯗꯣꯀꯄꯥ ꯉꯃꯗꯦ, ꯑꯃꯁꯨꯡ ꯃꯁꯤꯅꯥ ꯄꯨꯟꯁꯤꯗꯥ ꯈꯨꯗꯣꯡꯊꯤꯕꯥ ꯅꯪꯍꯜꯂꯣꯏꯗꯕꯅꯤ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯑꯇꯣꯞꯄꯥ ꯈꯨꯗꯣꯡꯊꯤꯅꯤꯉꯥꯏ ꯑꯣꯏꯕꯥ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ ꯂꯩꯇꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯑꯆꯨꯝꯕꯥ ꯂꯥꯏꯌꯦꯡ ꯐꯪꯅꯕꯒꯤꯗꯃꯛ ꯅꯍꯥꯛꯅꯥ ꯗꯣꯛꯇꯔ ꯑꯃꯒꯥ ꯁꯣꯌꯗꯅꯥ ꯇꯥꯛꯀꯗꯕꯅꯤ꯫

ꯃꯁꯤ (ꯄ꯭ꯂꯥꯟꯇꯥꯔ ꯐꯥꯏꯕ꯭ꯔꯣꯃꯦꯇꯣꯁꯤꯁ) ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯊꯣꯀꯄꯥ ꯂꯥꯌꯅꯥ ꯑꯃꯅꯤ ꯍꯥꯌꯔꯕꯁꯨ, ꯃꯁꯤꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯍꯤꯡꯕꯅꯥ ꯌꯥꯝꯅꯥ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯑꯃꯁꯨꯡ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯂꯥꯌꯅꯥ ꯑꯁꯤꯅꯥ ꯅꯥꯕꯥ ꯍꯦꯅꯒꯠꯂꯀꯄꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯍꯟꯗꯅꯥ ꯈꯣꯡꯅꯥ ꯆꯠꯄꯥ ꯑꯃꯁꯨꯡ ꯂꯦꯡ-ꯑꯣꯠꯄꯗꯥ ꯍꯦꯟꯅꯥ ꯑꯋꯥꯕꯥ ꯑꯣꯏꯔꯀꯄꯥ ꯎꯕꯥ ꯐꯪꯒꯅꯤ꯫ (ꯂꯦꯗꯔꯍꯣꯁ ꯗꯤꯖꯤꯖ)ꯗꯥ ꯁꯦꯝꯕꯥ ꯂꯪꯁꯁꯤꯡ ꯑꯁꯤ ꯀꯦꯟꯁꯔ ꯑꯣꯏꯗ꯭ꯔꯕꯁꯨ, ꯃꯈꯣꯌꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯅꯨꯡꯇꯤꯒꯤ ꯄꯨꯟꯁꯤꯗꯥ ꯅꯦꯒꯦꯇꯤꯚ ꯑꯣꯏꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯁꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤꯒꯤ ꯂꯥꯏꯑꯣꯡ ꯂꯩꯔꯕꯗꯤ, ꯗꯣꯛꯇꯔ ꯑꯃꯒꯥ ꯁꯣꯌꯗꯅꯥ ꯋꯥꯔꯤ ꯁꯥꯕꯤꯌꯨ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯇꯣꯏꯅꯥ ꯈꯪꯂꯕꯗꯤ, ꯃꯁꯤ ꯏꯆꯝ ꯆꯝꯕꯥ ꯂꯥꯏꯌꯦꯡꯁꯤꯡꯅꯥ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯥ ꯌꯥꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯗꯨ ꯈꯔꯥ ꯍꯦꯟꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯑꯣꯏꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯈꯣꯡ ꯑꯃꯁꯨꯡ ꯈꯣꯡꯎꯄꯀꯤ ꯁ꯭ꯄꯦꯁꯤꯑꯦꯂꯤꯁ꯭ꯠ ꯑꯃꯗꯥ ꯔꯤꯐꯔ ꯇꯧꯕꯁꯨ ꯌꯥꯏ꯫

ꯑꯔꯣꯏꯕꯥ ꯇꯦꯛ-ꯍꯣꯝ ꯃꯦꯁꯦꯖ꯫

ꯑꯗꯨꯅꯥ, ꯑꯩꯍꯥꯛꯅꯥ ꯑꯥꯁꯥ ꯇꯧꯔꯤ ꯃꯗꯨꯗꯤ ꯍꯧꯖꯤꯛꯇꯤ ꯑꯗꯣꯝꯅꯥ ꯑꯩꯈꯣꯌꯅꯥ ꯋꯥꯔꯤ ꯁꯥꯈꯤꯕꯥ (ꯄ꯭ꯂꯥꯟꯇꯔ ꯐꯥꯏꯕ꯭ꯔꯣꯃꯦꯇꯣꯁꯤꯁ) ꯑꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯍꯦꯟꯅꯥ ꯈꯉꯕꯥ ꯉꯝꯂꯦ꯫

• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯑꯅꯧꯕꯥ ꯂꯪꯁꯁꯤꯡ ꯎꯕꯥ ꯐꯪꯂꯕꯗꯤ, ꯃꯔꯨꯑꯣꯏꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯈꯣꯌꯗꯨ ꯁꯣꯀꯍꯜꯂꯕꯗꯤ, ꯗꯣꯛꯇꯔ ꯑꯃꯗꯥ ꯁꯣꯌꯗꯅꯥ ꯇꯥꯀꯄꯤꯌꯨ꯫
• ꯍꯥꯌꯔꯤꯕꯥ ꯂꯪꯁꯁꯤꯡ ꯑꯁꯤ ꯀꯦꯟꯁꯔ ꯑꯣꯏꯗꯦ, ꯑꯗꯨꯕꯨ ꯃꯈꯣꯌꯅꯥ ꯅꯨꯃꯤꯠ ꯈꯨꯗꯤꯡꯒꯤ ꯊꯕꯛ ꯊꯧꯔꯃꯁꯤꯡ ꯄꯥꯡꯊꯣꯀꯄꯗꯥ ꯑꯋꯥꯕꯥ ꯑꯣꯏꯍꯅꯕꯥ ꯌꯥꯏ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯉꯟꯅꯥ ꯈꯪꯗꯣꯛꯂꯕꯥ ꯑꯃꯁꯨꯡ ꯂꯥꯏꯌꯦꯡꯂꯕꯗꯤ, ꯔꯤꯂꯤꯐꯀꯤ ꯆꯥꯡ ꯍꯦꯟꯅꯥ ꯋꯥꯡꯏ꯫
• ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯤ ꯏꯅꯁ꯭ꯠꯔꯛꯁꯅꯁꯤꯡ ꯑꯗꯨ ꯆꯦꯀꯁꯤꯟꯅꯥ ꯏꯅꯒꯗꯕꯅꯤ ꯑꯃꯁꯨꯡ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯊꯧ ꯇꯥꯔꯕꯗꯤ ꯐꯤꯖꯤꯀꯦꯜ ꯊꯦꯔꯥꯄꯤ ꯂꯧꯒꯗꯕꯅꯤ꯫
• ꯈꯣꯡꯎꯞ ꯈꯅꯕꯗꯥ ꯆꯦꯀꯁꯤꯅꯒꯗꯕꯅꯤ, ꯑꯃꯁꯨꯡ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯊꯧ ꯇꯥꯔꯕꯗꯤ ꯑꯣꯔꯊꯣꯇꯤꯀꯁꯤꯡ ꯁꯤꯖꯤꯟꯅꯧ꯫

ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯃꯐꯝ ꯈꯨꯗꯤꯡꯃꯛꯇꯥ ꯄꯨꯗꯨꯅꯥ ꯆꯠꯂꯤ, ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯃꯈꯣꯌꯕꯨ ꯌꯦꯡꯁꯤꯅꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫ ꯏꯅꯐꯣꯔꯃꯦꯁꯟ ꯑꯁꯤꯅꯥ ꯑꯗꯣꯃꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯒꯅꯤ ꯍꯥꯌꯅꯥ ꯑꯩꯅꯥ ꯊꯥꯖꯩ!

` ꯄ꯭ꯂꯥꯟꯇꯥꯔ ꯐꯥꯏꯕ꯭ꯔꯣꯃꯦꯇꯣꯁꯤꯁ, ꯂꯦꯗꯔꯍꯣꯖ ꯗꯤꯖꯤꯖ, ꯄ꯭ꯂꯥꯟꯇꯥꯔ ꯐꯦꯁꯤꯏꯇꯤꯁ, ꯈꯣꯡꯗꯥ ꯑꯅꯥꯕꯥ, ꯄ꯭ꯂꯥꯟꯇꯥꯔ ꯄꯦꯏꯟ, ꯄ꯭ꯂꯥꯟꯇꯥꯔ ꯐꯥꯏꯕ꯭ꯔꯣꯃꯥ, ꯈꯣꯡꯒꯤ ꯂꯥꯌꯅꯥꯁꯤꯡ꯫