ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯑꯩꯈꯣꯌꯅꯥ ꯈꯟꯊꯕꯥ ꯉꯃꯗꯕꯥ ꯍꯀꯁꯦꯂꯒꯤ ꯁꯃꯁ꯭ꯌꯥꯁꯤꯡ ꯊꯦꯡꯅꯒꯗꯕꯅꯤ꯫ ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯅꯥ ꯌꯨꯔꯤꯟ ꯇꯧꯕꯥ ꯉꯃꯗꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯃꯈꯣꯌꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯅꯤ꯫ ꯉꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯑꯀꯛꯅꯕꯥ ꯃꯦꯗꯤꯀꯦꯜ ꯀꯟꯗꯤꯁꯅꯁꯤꯡꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯕ꯭ꯂꯦꯗꯔ ꯑꯁꯤ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯥ ꯉꯃꯗꯕꯥ ꯃꯇꯃꯗꯥ ꯁꯣꯂꯨꯁꯟ ꯑꯣꯏꯅꯥ ꯄꯥꯡꯊꯣꯀꯄꯥ ꯑꯈꯟꯅꯕꯥ ꯁꯔꯖꯔꯤ ꯑꯃꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯔꯤ꯫ ꯃꯁꯤ ꯇꯥꯕꯗꯥ ꯑꯀꯤꯕꯥ ꯂꯩꯔꯣꯏꯗꯕꯅꯤ꯫ ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯆꯦꯀꯁꯤꯅꯕꯥ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨ ꯑꯣꯏ꯫
ꯃꯤꯠꯔꯣꯐꯦꯅꯣꯐ ꯁꯔꯖꯔꯤ ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ?
ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ ꯃꯁꯤ ꯁꯔꯖꯤꯀꯦꯜ ꯄ꯭ꯔꯣꯁꯤꯖꯔ ꯑꯃꯅꯤ꯫ ꯃꯁꯤꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯕ꯭ꯂꯦꯗꯔꯗꯒꯤ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯒꯤ ꯃꯊꯛꯇꯥ ꯂꯩꯕꯥ ꯑꯄꯤꯀꯄꯥ ꯇꯤꯎꯕꯒꯨꯝꯕꯥ ꯆꯦꯅꯦꯜ ꯑꯃꯥ ꯁꯦꯝꯕꯥ ꯌꯥꯎꯏ꯫ ꯃꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯕ꯭ꯂꯦꯗꯔꯗꯥ ꯑꯅꯧꯕꯥ ꯑꯦꯟꯠꯔꯥꯟꯁ ꯑꯃꯥ ꯁꯦꯝꯕꯒꯨꯝꯅꯥ ꯈꯅꯕꯤꯌꯨ꯫ ꯁꯔꯖꯔꯤꯁꯤꯡꯅꯥ ꯆꯦꯅꯦꯜ ꯑꯁꯤ ꯁꯦꯝꯅꯕꯒꯤꯗꯃꯛ ꯑꯦꯄꯦꯟꯗꯤꯛꯁ ꯀꯧꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯏꯁꯥꯒꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯁꯔꯨꯛ ꯑꯃꯥ ꯁꯤꯖꯤꯟꯅꯩ꯫
ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ, ꯀꯦꯇꯦꯇꯔ ꯀꯧꯕꯥ ꯑꯈꯟꯅꯕꯥ ꯇꯤꯎꯕ ꯑꯃꯥ, ꯈꯣꯡꯗꯥ ꯂꯩꯕꯥ ꯑꯄꯤꯀꯄꯥ ꯑꯍꯥꯡꯕꯥ ꯃꯐꯝ ꯑꯁꯤꯗꯥ ( ꯁ꯭ꯇꯣꯃꯥ ꯍꯥꯌꯅꯥ ꯀꯧꯕꯥ) ꯊꯥꯗꯨꯅꯥ ꯕ꯭ꯂꯦꯗꯔ ꯑꯗꯨ ꯏꯪꯊꯍꯜꯂꯤ꯫ ꯃꯁꯤ ꯏꯎꯔꯦꯊ꯭ꯔꯥꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯀꯦꯇꯦꯒꯣꯔꯤ ꯑꯃꯥ ꯊꯥꯗꯣꯀꯄꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯂꯥꯌꯕꯥ ꯑꯃꯁꯨꯡ ꯑꯋꯥꯕꯥ ꯍꯟꯊꯩ꯫
ꯃꯁꯤ ꯈꯉꯅꯕꯒꯤꯗꯃꯛ, ꯑꯍꯥꯅꯕꯗꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯌꯨꯔꯤꯅꯔꯤ ꯁꯤꯁ꯭ꯇꯦꯝ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯊꯕꯛ ꯇꯧꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯁꯤ꯫
ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯂꯩꯔꯤꯕꯥ ꯌꯨꯔꯤꯅꯔꯤ ꯁꯤꯁ꯭ꯇꯦꯝ ꯑꯁꯤ ꯐꯤꯜꯇꯔ ꯁꯤꯁ꯭ꯇꯦꯝ ꯑꯃꯒꯨꯝꯅꯥ ꯂꯩ꯫
- ꯑꯍꯥꯅꯕꯗꯥ, ꯑꯩꯈꯣꯌꯒꯤ ꯀꯤꯗꯅꯤꯅꯥ ꯏ ꯐꯤꯜꯇꯔ ꯇꯧꯏ, ꯑꯃꯣꯠꯄꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ ꯇꯣꯉꯥꯟꯅꯥ ꯊꯝꯃꯤ ꯑꯃꯁꯨꯡ ꯌꯨꯔꯤꯟ ꯄꯨꯊꯣꯀꯏ꯫
- ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯌꯨꯔꯤꯟ ꯑꯁꯤꯅꯥ ꯏꯎꯔꯦꯇꯔ ꯀꯧꯕꯥ ꯑꯄꯤꯀꯄꯥ ꯇꯤꯎꯕ ꯑꯅꯤꯒꯤ ꯃꯈꯥꯗꯥ ꯆꯠꯂꯤ ꯑꯃꯁꯨꯡ ꯕ꯭ꯂꯦꯗꯔꯗꯥ ꯈꯣꯃꯖꯤꯜꯂꯤ .
- ꯕ꯭ꯂꯦꯗꯔ ꯍꯥꯌꯕꯁꯤ ꯕꯦꯂꯨꯅꯒꯨꯝꯅꯥ ꯆꯦꯅꯕꯥ ꯃꯁꯂꯁꯤꯡꯅꯥ ꯁꯦꯝꯕꯥ ꯑꯣꯔꯒꯥꯟ ꯑꯃꯅꯤ꯫ ꯃꯄꯨꯡ ꯐꯥꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯈꯛꯇꯗꯥ ꯑꯩꯈꯣꯌꯅꯥ ꯌꯨꯔꯤꯅꯔꯤꯒꯤ ꯃꯊꯧ ꯇꯥꯕꯥ ꯑꯗꯨ ꯐꯥꯑꯣꯏ꯫
- ꯑꯩꯈꯣꯌꯅꯥ ꯌꯨꯔꯤꯟ ꯇꯧꯕꯥ ꯃꯇꯃꯗꯥ, ꯌꯨꯔꯤꯟ ꯑꯁꯤ ꯕ꯭ꯂꯦꯗꯔꯗꯒꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯃꯄꯥꯟꯗꯥ ꯏꯎꯔꯦꯊ꯭ꯔꯥ ꯀꯧꯕꯥ ꯇꯤꯎꯕ ꯑꯃꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯆꯠꯂꯤ꯫
ꯃꯦꯗꯤꯀꯦꯜ ꯀꯟꯗꯤꯁꯟ ꯈꯔꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯊꯧꯑꯣꯡ ꯑꯁꯤ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯊꯣꯛꯇꯦ꯫ ꯃꯗꯨꯗꯥ ꯃꯤꯠꯔꯣꯐꯦꯅꯣꯐꯒꯨꯝꯕꯥ ꯃꯦꯊꯗ ꯑꯃꯥ ꯃꯊꯧ ꯇꯥꯏ꯫
ꯑꯗꯨꯅꯥ ꯑꯦꯄꯦꯟꯗꯤꯛꯁ ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ?
ꯑꯦꯄꯦꯟꯗꯤꯛꯁ ꯑꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯑꯆꯧꯕꯥ ꯏꯟꯇꯦꯁ꯭ꯇꯥꯏꯅꯒꯤ ꯑꯍꯥꯅꯕꯥ ꯁꯔꯨꯛꯇꯥ ꯆꯦꯅꯕꯥ ꯑꯄꯤꯀꯄꯥ, ꯐꯤꯉ꯭ꯒꯔꯒꯨꯝꯕꯥ ꯇꯤꯎꯕ ꯑꯃꯅꯤ꯫ ꯃꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯈꯣꯡꯒꯤ ꯃꯈꯥ ꯊꯪꯕꯥ ꯁꯔꯨꯛꯇꯥ ꯂꯩ꯫
ꯃꯁꯤꯅꯥ ꯑꯇꯣꯞꯄꯥ ꯀꯔꯤ ꯐꯉ꯭ꯀꯁꯟ ꯇꯧꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯍꯧꯖꯤꯛ ꯐꯥꯑꯣꯕꯥ ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯈꯉꯕꯥ ꯉꯃꯗ꯭ꯔꯤ꯫ ꯈꯔꯅꯥ ꯍꯥꯌꯔꯤ ꯃꯗꯨꯗꯤ ꯃꯁꯤꯅꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯏꯟꯇꯦꯁ꯭ꯇꯤꯅꯁꯤꯡꯗꯥ ꯂꯩꯔꯤꯕꯥ ꯑꯐꯕꯥ ꯕꯦꯛꯇꯦꯔꯤꯌꯥꯁꯤꯡ ꯉꯥꯀꯊꯣꯀꯏ꯫ ꯑꯗꯨꯕꯨ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯋꯥꯐꯃꯗꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯑꯦꯄꯦꯟꯗꯤꯛꯁ ꯌꯥꯑꯣꯗꯅꯥ ꯑꯋꯥꯕꯥ ꯑꯃꯠꯇꯥ ꯂꯩꯇꯅꯥ ꯍꯀꯆꯥꯡ ꯐꯕꯥ ꯄꯨꯟꯁꯤ ꯑꯃꯥ ꯍꯤꯡꯕꯥ ꯉꯝꯕꯅꯤ꯫ ꯅꯍꯥꯛꯅꯥ ꯇꯥꯕꯤꯔꯃꯒꯅꯤ ꯃꯗꯨꯗꯤ ꯅꯍꯥꯛꯅꯥ ꯑꯦꯄꯦꯟꯗꯤꯁꯥꯏꯇꯤꯁ ꯂꯩꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯃꯗꯨ ꯂꯧꯊꯣꯛꯀꯗꯕꯅꯤ꯫ ꯃꯗꯨꯃꯛ ꯑꯣꯏꯔꯤ꯫
ꯃꯤꯠꯔꯣꯐꯦꯅꯣꯐ ꯄ꯭ꯔꯣꯁꯤꯖꯔꯗꯥ ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯑꯦꯄꯦꯟꯗꯤꯛꯁ ꯑꯗꯨ ꯂꯧꯗꯨꯅꯥ ꯌꯨꯔꯤꯟ ꯄꯥꯁ ꯇꯧꯅꯕꯒꯤꯗꯃꯛ ꯑꯅꯧꯕꯥ ꯄꯦꯁꯦꯖ ꯑꯃꯥ ꯁꯦꯝꯅꯕꯥ ꯁꯤꯖꯤꯟꯅꯩ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯒꯤ ꯑꯦꯄꯦꯟꯗꯤꯛꯁ ꯑꯗꯨ ꯍꯥꯟꯅꯅꯥ ꯂꯧꯊꯣꯀꯈ꯭ꯔꯕꯗꯤ, ꯁꯔꯖꯔꯤꯅꯥ ꯃꯗꯨꯒꯤ ꯃꯍꯨꯠꯇꯥ ꯑꯄꯤꯀꯄꯥ ꯏꯟꯇꯦꯁ꯭ꯇꯥꯏꯅꯒꯤ ꯁꯔꯨꯛ ꯑꯃꯥ ꯁꯤꯖꯤꯟꯅꯗꯨꯅꯥ ꯄꯥꯁ ꯇꯧꯕꯥ ꯌꯥꯏ꯫
ꯃꯁꯤꯒꯤ ꯁꯔꯖꯔꯤ ꯑꯁꯤ ꯀꯅꯥꯒꯤ ꯃꯊꯧ ꯇꯥꯕꯒꯦ?
ꯃꯁꯤꯒꯤ ꯁꯔꯖꯔꯤ ꯑꯁꯤ ꯑꯉꯥꯡ ꯑꯃꯁꯨꯡ ꯑꯍꯂꯁꯤꯡ ꯑꯅꯤꯃꯛꯀꯤ ꯑꯣꯏꯅꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤ ꯊꯣꯀꯍꯜꯂꯤꯕꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ ꯑꯗꯨ ꯊꯨꯒꯥꯏꯔꯁꯤ꯫
| ꯃꯤꯠꯔꯣꯐꯦꯅꯣꯐ ꯁꯔꯖꯔꯤꯒꯤ ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯕꯥ ꯐꯤꯚꯃꯁꯤꯡ꯫ | |
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| ꯑꯉꯥꯡꯁꯤꯡꯒꯤꯗꯃꯛ꯫ | |
ꯀꯣꯟꯖꯤꯅꯤꯑꯦꯜ ꯀꯟꯗꯤꯁꯟ ꯈꯔꯅꯥ ꯅꯔꯚꯁ ꯁꯤꯁ꯭ꯇꯦꯃꯗꯥ ꯁꯣꯀꯍꯜꯂꯤ ꯑꯃꯁꯨꯡ ꯕ꯭ꯂꯦꯗꯔ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯥ ꯉꯃꯗꯕꯥ ꯊꯣꯀꯍꯜꯂꯤ꯫ ꯃꯁꯤꯕꯨ ꯅ꯭ꯌꯨꯔꯣꯖꯦꯅꯤꯛ ꯕ꯭ꯂꯦꯗꯔ ꯍꯥꯌꯅꯥ ꯀꯧꯏ . ꯑꯇꯣꯞꯄꯥ ꯀꯟꯗꯤꯁꯅꯁꯤꯡꯁꯨ ꯂꯩꯔꯤ:
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| ꯑꯦꯗꯜꯇꯁꯤꯡꯒꯤ ꯑꯣꯏꯅꯗꯤ꯫ | |
ꯑꯍꯜ ꯑꯣꯏꯔꯕꯁꯤꯡꯗꯁꯨ ꯇꯣꯉꯥꯟ-ꯇꯣꯉꯥꯅꯕꯥ ꯃꯔꯃꯁꯤꯡꯅꯥ ꯁꯔꯖꯔꯤ ꯑꯁꯤ ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯏ:
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ꯁꯔꯖꯔꯤ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯄꯥꯡꯊꯣꯛꯀꯅꯤ ꯑꯃꯁꯨꯡ ꯐꯒꯠꯂꯀꯄꯒꯤ ꯃꯇꯝ꯫
ꯁꯔꯖꯔꯤꯒꯤ ꯃꯃꯥꯡꯗꯥ꯫
ꯁꯔꯖꯔꯤꯒꯤ ꯃꯃꯥꯡꯗꯥ, ꯅꯍꯥꯛꯅꯥ ꯏꯅꯐꯦꯛꯁꯅꯒꯤ ꯔꯤꯁ꯭ꯛ ꯍꯟꯊꯍꯟꯅꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯕꯣꯋꯦꯂꯁꯤꯡ ꯑꯗꯨ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯁꯦꯡꯗꯣꯀꯄꯥ ꯃꯊꯧ ꯇꯥꯏ꯫ ꯃꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯤ ꯏꯅꯁ꯭ꯠꯔꯛꯁꯅꯁꯤꯡ ꯑꯗꯨ ꯆꯨꯝꯅꯥ ꯏꯅꯒꯗꯕꯅꯤ꯫ ꯃꯁꯤꯅꯥ ꯔꯣꯖꯥ ꯇꯧꯕꯥ ꯑꯃꯁꯨꯡ ꯕꯣꯋꯦꯜ ꯀ꯭ꯂꯤꯟ ꯇꯧꯕꯥ ꯍꯥꯌꯕꯁꯤꯅꯤ꯫
ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯃꯗꯥ꯫
ꯃꯁꯤꯒꯤ ꯁꯔꯖꯔꯤ ꯑꯁꯤ ꯖꯦꯅꯦꯔꯦꯜ ꯑꯦꯅꯥꯁ꯭ꯇꯦꯁꯤꯌꯥꯒꯤ ꯃꯈꯥꯗꯥ ꯄꯥꯡꯊꯣꯀꯏ꯫ ꯃꯁꯤꯅꯥ ꯇꯥꯀꯄꯗꯤ ꯅꯉꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯃꯠꯇꯥ ꯐꯥꯑꯣꯔꯣꯏ, ꯅꯉꯅꯥ ꯇꯨꯝꯂꯃꯒꯅꯤ꯫ ꯁꯔꯖꯔꯤꯅꯥ ꯁ꯭ꯇꯦꯄꯁꯤꯡ ꯑꯁꯤ ꯏꯅꯒꯅꯤ:
1. ꯁ꯭ꯇꯣꯃꯥꯛ ꯁ꯭ꯀꯤꯟ ꯑꯗꯨ ꯀꯀꯊꯠꯄꯥ (incision) ꯑꯃꯁꯨꯡ ꯑꯦꯄꯦꯟꯗꯤꯛꯁ ꯑꯗꯨ ꯑꯆꯧꯕꯥ ꯏꯟꯇꯦꯁ꯭ꯇꯥꯏꯅꯗꯒꯤ ꯇꯣꯈꯥꯌꯅꯥ ꯊꯝꯕꯥ꯫
2. ꯏꯂꯤꯑꯣꯁ꯭ꯇꯣꯃꯤ ꯇꯤꯎꯕꯀꯤ ꯃꯌꯥꯏ ꯑꯃꯥ ꯕ꯭ꯂꯦꯗꯔꯒꯥ ꯁꯝꯅꯍꯜꯂꯤ ꯑꯃꯁꯨꯡ ꯑꯇꯣꯞꯄꯥ ꯃꯔꯣꯜ ꯑꯃꯅꯥ ꯈꯣꯡꯗꯥ ꯁꯦꯝꯕꯥ ꯑꯄꯤꯀꯄꯥ ꯑꯍꯥꯡꯕꯥ (stoma) ꯑꯃꯒꯥ ꯁꯝꯅꯍꯜꯂꯤ꯫
3. ꯕ꯭ꯂꯦꯗꯔꯒꯥ ꯀꯅꯦꯛꯁꯟ ꯑꯁꯤ ꯕ꯭ꯂꯦꯗꯔ ꯃꯄꯨꯡ ꯐꯥꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯃꯁꯥ ꯃꯊꯟꯇꯥ ꯂꯣꯠꯄꯥ ꯚꯜꯌꯨ ꯑꯃꯒꯨꯝꯅꯥ ꯁꯦꯝꯃꯤ꯫ ꯃꯁꯤꯅꯥ ꯌꯨꯔꯤꯟ ꯂꯤꯛ ꯇꯧꯕꯥ ꯊꯤꯡꯏ꯫
4. ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ, ꯕ꯭ꯂꯦꯗꯔ ꯑꯗꯨ ꯐꯒꯠꯂꯛꯠꯔꯤꯕꯐꯥꯎꯕꯥ ꯌꯨꯔꯤꯟ ꯆꯦꯅꯕꯥ ꯌꯥꯅꯕꯥ ꯃꯇꯝ ꯈꯔꯒꯤ ꯑꯣꯏꯕꯥ ꯇꯤꯎꯕ (suprapubic tube) ꯑꯃꯥ ꯊꯥꯏ꯫
5. ꯑꯔꯣꯏꯕꯗꯥ, ꯁꯔꯖꯤꯀꯦꯜ ꯁꯥꯏꯠ ꯑꯗꯨ ꯗꯤꯁꯁꯣꯂꯚꯦꯕꯜ ꯁ꯭ꯇꯤꯆꯁꯤꯡꯅꯥ ꯊꯤꯡꯖꯤꯜꯂꯤ꯫
ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ꯫
ꯅꯍꯥꯛꯅꯥ ꯅꯨꯃꯤꯠ ꯈꯔꯅꯤꯒꯤ ꯑꯣꯏꯅꯥ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯂꯗꯥ ꯂꯩꯕꯥ ꯃꯊꯧ ꯇꯥꯒꯅꯤ, ꯑꯣꯏꯊꯣꯀꯄꯥ ꯌꯥꯕꯥ ꯅꯨꯃꯤꯠ ꯑꯃꯥ꯫ ꯅꯍꯥꯛꯀꯤ ꯐꯒꯠꯂꯀꯄꯒꯤ ꯃꯇꯃꯗꯥ, ꯅꯍꯥꯛꯅꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯑꯁꯤ ꯑꯥꯁꯥ ꯇꯧꯕꯥ ꯌꯥꯏ:
- ꯁꯦꯂꯥꯏꯟ (IV ꯐ꯭ꯂꯨꯏꯗ) ꯈꯛꯇꯃꯛ ꯅꯨꯃꯤꯠ ꯈꯔꯅꯤꯒꯤ ꯑꯣꯏꯅꯥ ꯄꯤꯒꯅꯤ꯫
- ꯑꯍꯥꯅꯕꯥ ꯅꯨꯃꯤꯠ 4-6ꯅꯤꯒꯤ ꯑꯣꯏꯅꯥ, ꯅꯧꯅꯥ ꯁꯦꯝꯕꯥ ꯄꯦꯁꯦꯖ (Mitrofanoff tunnel) ꯑꯗꯨꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯀꯦꯇꯦꯇꯔ ꯑꯃꯥ ꯊꯃꯗꯨꯅꯥ ꯃꯗꯨ ꯊꯤꯡꯖꯤꯜꯂꯤ꯫
- ꯆꯥꯎꯔꯥꯛꯅꯥ ꯅꯨꯃꯤꯠ 6ꯅꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯀꯦꯇꯦꯇꯔ ꯑꯃꯥ ꯁꯤꯖꯤꯟꯅꯗꯨꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯕ꯭ꯂꯦꯗꯔ ꯑꯗꯨ ꯃꯁꯥ ꯃꯊꯟꯇꯥ ꯏꯝꯄꯣꯔꯠ ꯇꯧꯒꯗꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯇꯥꯀꯄꯤꯒꯅꯤ꯫
ꯃꯁꯤꯒꯤ ꯀꯥꯟꯅꯕꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯈꯨꯗꯣꯡꯊꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯤꯅꯣ?
ꯁꯔꯖꯔꯤ ꯑꯁꯤꯒꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯆꯥꯎꯕꯥ ꯀꯥꯟꯅꯕꯗꯤ ꯃꯁꯤꯅꯥ ꯑꯇꯣꯞꯄꯒꯤ ꯃꯇꯦꯡ ꯌꯥꯑꯣꯗꯅꯥ ꯌꯨꯔꯤꯟ ꯂꯤꯛ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯥ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯕ꯭ꯂꯦꯗꯔ ꯑꯗꯨ ꯏꯝꯄꯣꯔꯠ ꯇꯧꯕꯥ ꯉꯃꯍꯜꯂꯤ꯫ ꯅꯍꯥ ꯑꯣꯏꯔꯤꯕꯥ ꯑꯉꯥꯡꯁꯤꯡꯅꯁꯨ ꯃꯁꯤ ꯃꯁꯥ ꯃꯊꯟꯇꯥ ꯇꯧꯕꯥ ꯇꯝꯕꯥ ꯌꯥꯏ꯫
ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯁꯔꯖꯔꯤ ꯑꯃꯍꯦꯛꯇꯒꯨꯝꯅꯥ, ꯔꯤꯁ꯭ꯛ ꯈꯔꯗꯤ ꯂꯩ꯫
- ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯑꯣꯄꯔꯦꯁꯟ ꯇꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯏ: ꯃꯇꯃꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ, ꯁꯦꯃꯈꯤꯕꯥ ꯄꯦꯁꯦꯖ ꯑꯗꯨ ꯀꯨꯄꯁꯤꯅꯕꯥ (stenosis) ꯅꯠꯠꯔꯒꯥ ꯁꯣꯟꯊꯕꯥ ꯌꯥꯏ, ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯃꯗꯨ ꯔꯤꯄꯦꯌꯥꯔ ꯇꯧꯅꯕꯥ ꯑꯇꯣꯞꯄꯥ ꯁꯔꯖꯔꯤ ꯑꯃꯥ ꯃꯊꯧ ꯇꯥꯏ꯫
- ꯃ꯭ꯌꯨꯀꯁ ꯄꯨꯊꯣꯀꯄꯥ: ꯑꯦꯄꯦꯟꯗꯤꯛꯁ ꯑꯗꯨ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯁꯤꯖꯤꯟꯅꯔꯀꯄꯥ ꯃꯇꯃꯗꯁꯨ ꯃꯗꯨ ꯃꯈꯥ ꯇꯥꯅꯥ ꯃ꯭ꯌꯨꯀꯁ ꯄꯨꯊꯣꯀꯄꯥ ꯉꯝꯃꯤ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯄꯦꯁꯦꯖ ꯑꯁꯤ ꯁꯦꯂꯥꯏꯅꯒꯨꯝꯕꯥ ꯁꯣꯜꯌꯨꯁꯟ ꯑꯃꯅꯥ ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯏꯁꯤꯡ ꯄꯤꯗꯨꯅꯥ ꯁꯦꯡꯅꯥ ꯊꯃꯒꯗꯕꯅꯤ꯫
- ꯑꯇꯩ ꯔꯤꯁ꯭ꯀꯁꯤꯡ: ꯕ꯭ꯂꯦꯗꯔ ꯁ꯭ꯇꯣꯟ, ꯌꯨꯔꯤꯅꯔꯤ ꯇ꯭ꯔꯦꯛꯇ ꯏꯅꯐꯦꯛꯁꯟ (UTIs), ꯑꯃꯁꯨꯡ ꯏ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫
ꯔꯤꯁ꯭ꯀꯁꯤꯡ ꯑꯁꯤꯗꯒꯤ ꯀꯤꯒꯅꯨ꯫ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯃꯁꯤ ꯄꯨꯝꯅꯃꯛꯀꯤ ꯃꯇꯥꯡꯗꯥ ꯈꯪꯍꯜꯂꯛꯀꯅꯤ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯀꯄꯨ ꯃꯊꯧ ꯇꯥꯕꯥ ꯄꯥꯎꯇꯥꯛ ꯄꯤꯒꯅꯤ꯫
ꯀꯗꯥꯏꯗꯥ ꯗꯣꯛꯇꯔꯒꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯒꯦ?
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯍꯦꯛꯇꯕꯨ ꯊꯦꯡꯅꯔꯕꯗꯤ, ꯈꯨꯗꯛꯇꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯈꯪꯍꯅꯕꯤꯌꯨ ꯅꯠꯠꯔꯒꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯅꯀꯄꯥ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯂꯒꯤ ꯏꯃꯔꯖꯦꯟꯁꯤ ꯗꯤꯄꯥꯔꯇꯃꯦꯟꯇ (ETU)ꯗꯥ ꯆꯠꯄꯤꯌꯨ .
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯕ꯭ꯂꯦꯗꯔ ꯑꯗꯨ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯏꯝꯄꯣꯔꯠ ꯇꯧꯕꯥ ꯉꯃꯗ꯭ꯔꯕꯗꯤ꯫
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯏ ꯌꯥꯝꯅꯥ ꯊꯣꯀꯄꯥ, ꯁꯣꯟꯊꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯁꯣꯛ-ꯄꯅꯕꯥ ꯂꯩꯔꯕꯗꯤ꯫
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯣꯡꯃꯩ ꯀꯥꯞꯄꯥ ꯑꯃꯁꯨꯡ ꯋꯥꯈꯜ ꯇꯥꯗꯕꯥ ꯂꯩꯔꯕꯗꯤ꯫
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯁꯥꯊꯤꯕꯥ, ꯁꯣꯟꯊꯕꯥ ꯉꯃꯗꯕꯥ ꯑꯅꯥꯕꯥ ꯂꯩꯔꯕꯗꯤ꯫
- ꯏꯅꯐꯦꯛꯁꯅꯒꯤ ꯈꯨꯗꯃꯁꯤꯡ, ꯍꯥꯌꯕꯗꯤ ꯁ꯭ꯇꯣꯃꯥ ꯅꯠꯠꯔꯒꯥ ꯐꯤꯕꯔꯗꯒꯤ ꯃꯍꯤꯛ-ꯃꯇꯥꯏ ꯂꯩꯕꯥ ꯏꯁꯤꯡ ꯊꯨꯃꯖꯤꯅꯕꯥ (foul-smelling discharge) ꯑꯁꯤꯅꯆꯤꯡꯕꯥ꯫
ꯇꯦꯛ-ꯍꯣꯝ ꯃꯦꯁꯦꯖ ꯇꯧꯕꯥ꯫
- ꯃꯥꯏꯠꯔꯣꯐꯦꯅꯣꯐ ꯑꯁꯤ ꯕ꯭ꯂꯦꯗꯔꯗꯒꯤ ꯈꯣꯡꯗꯥ ꯆꯠꯄꯥ ꯌꯥꯕꯥ ꯂꯝꯕꯤ ꯑꯃꯥ ꯁꯦꯝꯕꯥ, ꯑꯃꯁꯨꯡ ꯃꯗꯨꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯀꯦꯇꯦꯇꯔ ꯑꯃꯥ ꯊꯥꯗꯨꯅꯥ ꯌꯨꯔꯤꯟ ꯊꯥꯗꯣꯀꯄꯥ ꯌꯥꯍꯅꯕꯒꯤ ꯁꯔꯖꯤꯀꯦꯜ ꯄ꯭ꯔꯣꯁꯤꯗ꯭ꯌꯨꯑꯣꯔ ꯑꯃꯅꯤ꯫
- ꯃꯁꯤ ꯃꯔꯨꯑꯣꯏꯅꯥ ꯀꯣꯟꯖꯤꯅꯤꯑꯦꯜ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ, ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗꯀꯤ ꯑꯁꯣꯛ-ꯑꯄꯟ, ꯅꯠꯠꯔꯒꯥ ꯀꯦꯟꯁꯔꯒꯨꯝꯕꯥ ꯀꯟꯗꯤꯁꯅꯁꯤꯡꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯃꯈꯣꯌꯒꯤ ꯌꯨꯔꯤꯅꯔꯤ ꯁꯤꯁ꯭ꯇꯦꯃꯒꯤ ꯀꯟꯠꯔꯣꯜ ꯃꯥꯡꯈꯤꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯒꯤꯗꯃꯛ ꯃꯊꯧ ꯇꯥꯏ꯫
- ꯁꯔꯖꯔꯤ ꯑꯁꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯃꯤꯑꯣꯏ ꯑꯌꯥꯝꯕꯅꯥ ꯅꯣꯔꯃꯦꯜ, ꯑꯦꯛꯇꯤꯚ ꯑꯣꯏꯕꯥ ꯄꯨꯟꯁꯤ ꯑꯃꯥ ꯍꯤꯡꯕꯥ ꯉꯝꯃꯤ꯫ ꯂꯃꯍꯥꯡꯗꯥ ꯈꯣꯉ ꯍꯥꯃꯗꯕꯒꯨꯝꯕꯥ ꯊꯕꯛ ꯊꯧꯔꯃꯁꯤꯡ ꯐꯥꯑꯣꯕꯥ ꯑꯊꯤꯡꯕꯥ ꯂꯩꯇꯦ꯫
- ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯤ ꯏꯅꯁ꯭ꯠꯔꯛꯁꯅꯁꯤꯡ ꯑꯗꯨ ꯆꯦꯀꯁꯤꯟꯅꯥ ꯉꯥꯛꯅꯥ ꯆꯠꯄꯥ ꯑꯃꯁꯨꯡ ꯐꯣꯂꯣ-ꯑꯞ ꯑꯦꯄꯣꯏꯟꯇꯃꯦꯟꯇꯁꯤꯡꯗꯥ ꯃꯇꯝ ꯆꯥꯅꯥ ꯂꯥꯀꯄꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯀꯤꯕꯥ ꯑꯃꯥ ꯂꯩꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯇꯥꯟꯅꯧ꯫
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