ꯀꯤꯗꯅꯤꯒꯤ ꯁ꯭ꯇꯣꯅꯁꯤꯡ ꯂꯧꯊꯣꯛꯅꯕꯥ ꯑꯆꯧꯕꯥ ꯑꯣꯄꯔꯦꯁꯟ ꯑꯃꯥ ꯇꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯗꯁꯨ ꯅꯍꯥꯛꯅꯥ ꯀꯤꯔꯤꯕ꯭ꯔꯥ? ꯃꯃꯥꯡꯗꯥ ꯑꯆꯧꯕꯥ ꯏꯅꯁꯤꯁꯟ ꯇꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯔꯝꯕꯥ ꯑꯗꯨꯒꯨꯝꯅꯥ ꯑꯆꯧꯕꯥ ꯁꯔꯖꯔꯤꯁꯤꯡ ꯇꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯒꯤ ꯃꯍꯨꯠꯇꯥ ꯍꯧꯖꯤꯛꯇꯤ ꯑꯄꯤꯀꯄꯥ ꯏꯅꯁꯤꯁꯟ ꯑꯃꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯊꯥꯔꯀꯄꯥ ꯀꯦꯃꯦꯔꯥ ꯑꯃꯥ ꯁꯤꯖꯤꯟꯅꯗꯨꯅꯥ ꯀꯤꯗꯅꯤꯒꯤ ꯁ꯭ꯇꯣꯅꯁꯤꯡ ꯂꯧꯊꯣꯀꯄꯥ ꯌꯥꯔꯦ ꯍꯥꯌꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯈꯉꯂꯕ꯭ꯔꯥ? ꯃꯗꯨ ꯑꯩꯈꯣꯌꯅꯥ ‘ꯅꯦꯐ꯭ꯔꯣꯁ꯭ꯀꯣꯄꯤ’ ꯀꯧꯕꯥ ꯃꯣꯗꯔꯟ ꯇ꯭ꯔꯤꯠꯃꯦꯟꯇ ꯃꯦꯊꯗ ꯑꯃꯥ ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ ꯉꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯑꯀꯨꯞꯄꯥ ꯑꯃꯁꯨꯡ ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯒꯅꯤ꯫
ꯅꯦꯐ꯭ꯔꯣꯁ꯭ꯀꯣꯄꯤ ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ?
ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯃꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯀꯤꯗꯅꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯌꯦꯡꯁꯤꯟꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯑꯀꯛꯅꯕꯥ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ ꯂꯥꯌꯦꯡꯕꯗꯥ ꯁꯤꯖꯤꯟꯅꯕꯥ ꯊꯧꯑꯣꯡ ꯑꯃꯅꯤ꯫ ꯃꯁꯤꯗꯥ ꯍꯥꯟꯅꯒꯨꯝ ꯀꯀꯊꯠꯄꯥ ꯌꯥꯑꯣꯗꯦ꯫
ꯃꯁꯤ ꯅꯦꯐ꯭ꯔꯣꯁ꯭ꯀꯣꯞ ꯀꯧꯕꯥ ꯑꯈꯟꯅꯕꯥ, ꯑꯄꯤꯀꯄꯥ ꯏꯅꯁ꯭ꯠꯔꯨꯃꯦꯟꯇ ꯑꯃꯥ ꯁꯤꯖꯤꯟꯅꯗꯨꯅꯥ ꯄꯥꯡꯊꯣꯀꯏ꯫ ꯃꯁꯤ ꯄꯦꯟꯁꯤꯂꯗꯒꯤ ꯈꯔꯥ ꯍꯦꯟꯅꯥ ꯂꯨꯝꯕꯥ ꯂꯝꯕꯥ ꯇꯨꯕ ꯑꯃꯅꯤ꯫ ꯅꯍꯥꯛꯀꯤ ꯀꯣꯛꯇꯥ ꯂꯩꯕꯥ ꯈꯣꯡꯗꯥ ꯌꯥꯝꯅꯥ ꯑꯄꯤꯀꯄꯥ ꯏꯅꯁꯤꯁꯟ ꯑꯃꯥ ꯁꯦꯝꯃꯤ, ꯑꯃꯁꯨꯡ ꯇꯤꯎꯕ ꯑꯁꯤ ꯀꯤꯗꯅꯤꯗꯥ ꯊꯥꯏ꯫ ꯇꯨꯕ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯃꯩ, ꯀꯦꯃꯦꯔꯥ (ꯇꯦꯂꯤꯁ꯭ꯀꯣꯄꯒꯨꯝꯕꯥ) ꯑꯃꯁꯨꯡ ꯁꯔꯖꯔꯤ ꯇꯧꯔꯤꯕꯥ ꯃꯐꯝ ꯑꯗꯨ ꯁꯦꯡꯗꯣꯛꯅꯕꯥ ꯏꯔꯤꯒꯦꯁꯟ ꯁꯤꯁ꯭ꯇꯦꯝ ꯑꯃꯥ ꯂꯩ꯫ ꯗꯣꯛꯇꯔꯅꯥ ꯀꯦꯃꯦꯔꯥ ꯑꯁꯤꯗꯒꯤ ꯏꯃꯦꯖꯁꯤꯡ ꯑꯗꯨ ꯑꯆꯧꯕꯥ ꯁ꯭ꯛꯔꯤꯟ ꯑꯃꯗꯥ ꯌꯦꯡꯗꯨꯅꯥ ꯂꯥꯌꯦꯡ ꯑꯗꯨ ꯄꯥꯡꯊꯣꯀꯏ꯫
ꯅꯍꯥꯛꯅꯥ ꯀꯤꯗꯅꯤꯒꯤ ꯁ꯭ꯇꯣꯟ ꯑꯃꯥ ꯂꯧꯊꯣꯀꯄꯥ ꯃꯊꯧ ꯇꯥꯏ ꯍꯥꯌꯅꯥ ꯈꯅꯕꯤꯌꯨ꯫ ꯅꯍꯥꯛꯅꯥ ꯅꯦꯐ꯭ꯔꯣꯁ꯭ꯀꯣꯞ ꯑꯁꯤꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯁ꯭ꯇꯣꯟ ꯑꯗꯨ ꯆꯦꯟꯊꯍꯟꯅꯕꯥ ꯑꯂꯠꯔꯥꯁꯥꯎꯟꯗ ꯅꯠꯠꯔꯒꯥ ꯂꯦꯖꯔ ꯂꯥꯏꯠ ꯁꯤꯖꯤꯟꯅꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤ ꯊꯨꯒꯥꯏꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ, ꯇꯤꯎꯕ ꯑꯁꯤꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯁꯔꯨꯀꯁꯤꯡ ꯑꯗꯨ ꯂꯧꯊꯣꯀꯏ꯫ ꯃꯁꯤꯒꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯆꯥꯎꯕꯥ ꯀꯥꯟꯅꯕꯗꯤ ꯅꯍꯥꯛꯅꯥ ꯍꯥꯟꯅꯒꯨꯝꯅꯥ ꯑꯆꯧꯕꯥ ꯑꯣꯄꯟ ꯁꯔꯖꯔꯤ ꯑꯃꯥ ꯇꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯗꯦ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯑꯗꯣꯝ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯐꯒꯠꯂꯀꯄꯥ ꯉꯃꯒꯅꯤ꯫
ꯅꯦꯐ꯭ꯔꯣꯁ꯭ꯀꯣꯄꯤꯒꯤ ꯀꯥꯟꯅꯕꯁꯤꯡ ꯀꯔꯤꯅꯣ?
ꯃꯁꯤꯒꯤ ꯂꯥꯌꯦꯡꯕꯒꯤ ꯃꯑꯣꯡ ꯑꯁꯤ ꯃꯔꯨꯑꯣꯏꯅꯥ ꯐꯤꯚꯝ ꯀꯌꯥꯒꯤꯗꯃꯛ ꯁꯤꯖꯤꯟꯅꯩ꯫ ꯃꯈꯣꯌꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯤꯅꯣ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯁꯤ꯫
| ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯈꯨꯗꯣꯡꯆꯥꯕꯥ꯫ | ꯏꯆꯝ ꯆꯝꯕꯥ ꯃꯌꯦꯛ ꯁꯦꯡꯅꯥ ꯇꯥꯀꯄꯥ꯫ |
|---|---|
| ꯀꯤꯗꯅꯤ ꯁ꯭ꯇꯣꯟ ꯂꯧꯊꯣꯀꯄꯥ (ꯄꯤ.ꯁꯤ.ꯑꯦꯟ.ꯑꯦꯜ.) | ꯃꯁꯤꯒꯤ ꯃꯦꯊꯗ ꯑꯁꯤ ꯀꯤꯗꯅꯤꯒꯤ ꯁ꯭ꯇꯣꯅꯁꯤꯡ, ꯃꯔꯨꯑꯣꯏꯅꯥ ꯍꯦꯟꯅꯥ ꯆꯥꯎꯕꯥ (ꯁꯦꯃꯤ 1ꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯋꯥꯡꯕꯥ)ꯁꯤꯡ ꯂꯧꯊꯣꯛꯅꯕꯥ ꯁꯤꯖꯤꯟꯅꯩ꯫ ꯃꯁꯤꯒꯤ ꯑꯈꯟꯅꯕꯥ ꯃꯃꯤꯡ ꯑꯁꯤ ꯄꯔꯛꯌꯨꯇꯦꯅꯤꯌꯝ ꯅꯦꯐ꯭ꯔꯣꯂꯤꯊꯣꯇꯣꯃꯤ ꯅꯠꯠꯔꯒꯥ (PCNL) . |
| ꯁꯤꯂꯒꯤ ꯁꯔꯨꯀꯁꯤꯡ ꯂꯧꯊꯣꯀꯄꯥ꯫ | ꯃꯁꯤ ꯑꯇꯣꯞꯄꯥ ꯂꯥꯏꯌꯦꯡꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯂꯦꯃꯍꯧꯔꯤꯕꯥ ꯀꯤꯗꯅꯤꯒꯤ ꯁ꯭ꯇꯣꯟ ꯐ꯭ꯔꯦꯀꯆꯔꯁꯤꯡ ꯂꯧꯊꯣꯀꯄꯗꯁꯨ ꯁꯤꯖꯤꯟꯅꯩ꯫ |
| ꯑꯄꯤꯀꯄꯥ ꯇꯤꯎꯃꯔꯁꯤꯡ ꯂꯧꯊꯣꯀꯄꯥ꯫ | ꯀꯤꯗꯅꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯂꯩꯕꯥ ꯑꯄꯤꯀꯄꯥ, ꯀꯦꯟꯁꯔ ꯅꯠꯇꯕꯥ ꯇꯤꯎꯃꯔ ꯈꯔꯗꯤ ꯂꯧꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫ |
| ꯀꯤꯗꯅꯤꯒꯤ ꯁꯤꯁ꯭ꯇꯦꯃꯁꯤꯡ ꯂꯧꯊꯣꯀꯄꯥ꯫ | ꯃꯁꯤꯒꯤ ꯄꯥꯝꯕꯩ ꯑꯁꯤ ꯁꯤꯁ꯭ꯇꯦꯃꯁꯤꯡ ꯂꯥꯌꯦꯡꯕꯗꯁꯨ ꯁꯤꯖꯤꯟꯅꯩ, ꯃꯈꯣꯌ ꯑꯁꯤ ꯀꯤꯗꯅꯤꯗꯥ ꯁꯦꯝꯕꯥ ꯐ꯭ꯂꯨꯏꯗꯅꯥ ꯊꯜꯂꯕꯥ ꯁꯦꯀꯁꯤꯡꯅꯤ꯫ |
| ꯑꯣꯕꯁ꯭ꯠꯔꯥꯀꯁꯅꯒꯤ ꯂꯥꯏꯌꯦꯡ (ꯌꯨ.ꯄꯤ.ꯖꯦ. | ꯏꯎꯔꯦꯇꯦꯔꯣꯄꯦꯂꯚꯤꯛ ꯖꯉ꯭ꯀꯁꯟ (UPJ) ꯑꯣꯕꯁ꯭ꯠꯔꯥꯀꯁꯟ , ꯍꯥꯌꯕꯗꯤ ꯀꯤꯗꯅꯤꯗꯒꯤ ꯕ꯭ꯂꯦꯗꯔꯗꯥ ꯌꯨꯔꯤꯟ ꯄꯨꯕꯥ ꯇꯤꯎꯕꯀꯤ ꯍꯧꯔꯀꯐꯃꯗꯥ ꯂꯩꯕꯥ ꯕ꯭ꯂꯣꯀꯦꯖ ꯑꯃꯥ ꯂꯥꯌꯦꯡꯕꯥ꯫ |
| ꯑꯇꯣꯞꯄꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ ꯂꯧꯊꯣꯀꯄꯥ꯫ | ꯃꯁꯤꯒꯤ ꯃꯦꯊꯗ ꯑꯁꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯃꯄꯥꯟꯗꯥ ꯊꯃꯈꯤꯕꯥ ꯄꯣꯠꯁꯛ ꯑꯃꯥ, ꯍꯥꯌꯕꯗꯤ ꯃꯃꯥꯡꯗꯥ ꯊꯃꯈꯤꯕꯥ ꯁ꯭ꯇꯦꯟꯇ ꯑꯃꯥ ꯂꯧꯊꯣꯀꯄꯗꯁꯨ ꯁꯤꯖꯤꯟꯅꯕꯥ ꯌꯥꯏ꯫ |
ꯁꯔꯖꯔꯤ ꯑꯁꯤꯒꯤꯗꯃꯛꯇꯥ ꯑꯩꯅꯥ ꯀꯔꯝꯅꯥ ꯁꯦꯝ-ꯁꯥꯒꯗꯒꯦ?
ꯑꯁꯤꯒꯨꯝꯕꯥ ꯃꯈꯂꯒꯤ ꯂꯥꯏꯌꯦꯡ ꯑꯁꯤ ꯄꯥꯡꯊꯣꯛꯠꯔꯤꯉꯩ ꯃꯃꯥꯡꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯁꯦꯝ-ꯁꯥꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯋꯥꯐꯝ ꯀꯌꯥ ꯂꯩ꯫
- ꯇꯦꯁ꯭ꯇꯁꯤꯡ: ꯅꯍꯥꯛꯀꯤ ꯌꯨꯔꯤꯅꯗꯥ ꯏꯅꯐꯦꯛꯁꯟ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯅꯕꯒꯤꯗꯃꯛ ꯌꯨꯔꯤꯟ ꯇꯦꯁ꯭ꯠ ꯑꯃꯥ ꯇꯧꯒꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯏꯅꯐꯦꯛꯁꯟ ꯑꯃꯥ ꯂꯩꯔꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯑꯦꯟꯇꯤꯕꯥꯏꯑꯣꯇꯤꯛ ꯂꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯒꯅꯤ꯫
- ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛꯀꯤ ꯏꯅꯐꯣꯔꯃꯦꯁꯟ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯦꯁ꯭ꯄꯤꯔꯤꯟ ꯅꯠꯠꯔꯒꯥ ꯋꯥꯔꯐꯦꯔꯤꯟ (Coumadin®)ꯒꯨꯝꯕꯥ ꯕ꯭ꯂꯗ ꯊꯤꯅꯔꯁꯤꯡ ꯂꯧꯔꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯁꯣꯌꯗꯅꯥ ꯈꯪꯍꯅꯒꯗꯕꯅꯤ꯫ ꯃꯍꯥꯛꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯁꯔꯖꯔꯤꯒꯤ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯅꯨꯃꯤꯠ ꯑꯃꯥ ꯃꯃꯥꯡꯗꯥ ꯍꯤꯗꯥꯀꯁꯤꯡ ꯑꯁꯤ ꯂꯧꯕꯥ ꯂꯦꯄꯍꯟꯅꯕꯥ ꯄꯥꯎꯇꯥꯛ ꯄꯤꯒꯅꯤ꯫
- ꯆꯥꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯊꯛꯅꯕꯥ ꯏꯁꯤꯡ: ꯃꯍꯧꯁꯥꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯁꯔꯖꯔꯤꯒꯤ ꯃꯃꯥꯡꯗꯥ ꯄꯨꯡ 8 ꯐꯥꯎꯕꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯃꯠꯇꯥ ꯆꯥꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯊꯀꯄꯥ ꯉꯃꯗꯦ꯫
- ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯄꯥꯎꯇꯥꯛ: ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯋꯥꯐꯃꯗꯤ ꯃꯁꯤ ꯄꯨꯝꯅꯃꯛ ꯑꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯕꯅꯤ ꯑꯃꯁꯨꯡ ꯃꯍꯥꯛꯀꯤ ꯏꯅꯁ꯭ꯠꯔꯛꯁꯅꯁꯤꯡ ꯑꯗꯨ ꯆꯨꯝꯅꯥ ꯏꯅꯒꯗꯕꯅꯤ꯫
ꯁꯔꯖꯔꯤ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯇꯧꯕꯒꯦ?
ꯑꯣꯀꯦ, ꯍꯧꯖꯤꯛ ꯂꯥꯌꯦꯡ ꯑꯁꯤꯒꯤꯗꯃꯛꯇꯥ ꯀꯔꯤ ꯈꯣꯡꯊꯥꯡꯁꯤꯡ ꯂꯩꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯁꯤ꯫
ꯑꯍꯥꯅꯕꯗꯥ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯇꯧꯈꯤꯕꯥ ꯁ꯭ꯀꯦꯟ ꯑꯃꯍꯦꯛꯇꯕꯨ (ꯁꯤ.ꯇꯤ. ꯁ꯭ꯀꯦꯟ ꯅꯠꯠꯔꯒꯥ ꯌꯨꯔꯣꯒ꯭ꯔꯥꯃꯒꯨꯝꯕꯥ) ꯆꯦꯀꯁꯤꯟꯅꯥ ꯌꯦꯡꯁꯤꯅꯒꯅꯤ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯁꯔꯖꯔꯤ ꯑꯗꯨ ꯄ꯭ꯂꯥꯟ ꯇꯧꯒꯅꯤ꯫ ꯅꯍꯥꯀꯄꯨ ꯖꯦꯅꯦꯔꯦꯜ ꯑꯦꯅꯥꯁ꯭ꯇꯦꯁꯤꯌꯥ ꯄꯤꯒꯅꯤ, ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯇꯨꯝꯕꯥ ꯌꯥꯗꯕꯒꯨꯝꯅꯥ, ꯑꯋꯥꯕꯥ ꯑꯃꯠꯇꯥ ꯐꯥꯑꯣꯔꯣꯏ꯫
ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯅꯍꯥꯀꯄꯨ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡ ꯑꯗꯨ ꯃꯈꯥꯗꯥ ꯊꯝꯂꯒꯥ ꯑꯣꯄꯔꯦꯇꯤꯡ ꯇꯦꯕꯂꯗꯥ ꯊꯃꯒꯅꯤ꯫ ꯑꯍꯥꯅꯕꯗꯥ, ꯑꯄꯤꯀꯄꯥ ꯇꯤꯎꯕ (catheter) ꯑꯃꯥ ꯅꯍꯥꯛꯀꯤ ꯏꯎꯔꯦꯊ꯭ꯔꯥꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯀꯤꯗꯅꯤꯗꯥ ꯊꯥꯒꯅꯤ꯫ ꯇꯤꯎꯕ ꯑꯗꯨꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯈꯟꯅꯕꯥ ꯗꯥꯏꯑꯦ ꯑꯃꯥ ꯄꯥꯁ ꯇꯧꯒꯅꯤ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯀꯤꯗꯅꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯂꯩꯕꯥ ꯃꯐꯝ ꯑꯗꯨ ꯃꯌꯦꯛ ꯁꯦꯡꯅꯥ ꯎꯕꯥ ꯐꯪꯅꯕꯥ ꯑꯦꯛꯁ-ꯔꯦ ꯂꯧꯒꯅꯤ꯫
ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ, ꯊꯧꯔꯥꯡ ꯇꯧꯔꯀꯄꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ, ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯂꯩꯕꯥ ꯈꯣꯡ ꯑꯗꯨꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯅꯤꯗꯜ ꯑꯃꯥ ꯀꯤꯗꯅꯤꯗꯥ ꯊꯥꯏ꯫ ꯃꯐꯝ ꯑꯗꯨ ꯈꯔꯥ ꯍꯦꯟꯅꯥ ꯄꯥꯀꯊꯣꯛ-ꯆꯥꯎꯊꯣꯀꯍꯜꯂꯤ, ꯑꯃꯁꯨꯡ ꯇꯨꯕ (sheath) ꯑꯃꯥ ꯊꯥꯏ꯫ ꯃꯁꯤ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯂꯨꯄꯥ ꯑꯃꯒꯤ ꯆꯥꯡꯗꯥ ꯑꯄꯤꯀꯄꯥ ꯏꯅꯁꯤꯁꯟ ꯑꯃꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯇꯧꯏ꯫ ꯍꯧꯖꯤꯛꯇꯤ ꯇꯨꯕ ꯑꯁꯤꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯅꯦꯐ꯭ꯔꯣꯁ꯭ꯀꯣꯞ ꯑꯃꯁꯨꯡ ꯑꯇꯣꯞꯄꯥ ꯁꯔꯖꯤꯀꯦꯜ ꯏꯅꯁ꯭ꯠꯔꯨꯃꯦꯟꯇꯁꯤꯡ ꯑꯁꯤ ꯍꯀꯊꯦꯡꯅꯅꯥ ꯀꯤꯗꯅꯤꯗꯥ ꯌꯧꯍꯅꯕꯥ ꯉꯝꯂꯦ꯫
ꯍꯧꯖꯤꯛ, ꯗꯣꯛꯇꯔꯅꯥ ꯀꯦꯃꯦꯔꯥꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯌꯦꯡꯗꯨꯅꯥ ꯀꯤꯗꯅꯤꯒꯤ ꯁ꯭ꯇꯣꯟ ꯑꯃꯥ ꯊꯨꯒꯥꯏꯔꯤ, ꯅꯠꯠꯔꯒꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯁꯤ ꯑꯀꯥꯌꯕꯥ ꯑꯃꯥ ꯑꯣꯏꯔꯕꯗꯤ, ꯃꯗꯨ ꯂꯧꯊꯣꯀꯏ, ꯑꯃꯁꯨꯡ ꯅꯦꯐ꯭ꯔꯣꯁ꯭ꯀꯣꯄꯀꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ ꯑꯗꯨ ꯂꯧꯊꯣꯀꯏ꯫
ꯑꯔꯣꯏꯕꯗꯥ, ꯏꯎꯔꯦꯇꯔ ꯁ꯭ꯇꯦꯟꯇ ꯀꯧꯕꯥ ꯄꯣꯠꯁꯛ ꯑꯃꯥ ꯀꯤꯗꯅꯤꯗꯒꯤ ꯕ꯭ꯂꯦꯗꯔ (ureter) ꯐꯥꯎꯕꯥ ꯆꯠꯂꯤꯕꯥ ꯇꯤꯎꯕ ꯑꯗꯨꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯊꯝꯃꯤ꯫ ꯃꯁꯤ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯏꯟꯆꯤ ꯱꯰-꯱꯲ ꯁꯥꯡꯕꯥ ꯍꯣꯂꯣ ꯄ꯭ꯂꯥꯁ꯭ꯇꯤꯛ ꯇꯨꯕ ꯑꯃꯅꯤ꯫ ꯃꯁꯤꯅꯥ ꯌꯨꯔꯤꯟ ꯍꯦꯟꯅꯥ ꯐꯖꯅꯥ ꯆꯠꯄꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ ꯑꯃꯁꯨꯡ ꯀꯤꯗꯅꯤ ꯑꯗꯨ ꯌꯥꯡꯅꯥ ꯐꯒꯠꯍꯅꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫ ꯃꯍꯧꯁꯥꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯗꯣꯛꯇꯔꯒꯥ ꯎꯅꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯁ꯭ꯇꯦꯟꯇ ꯑꯗꯨ ꯂꯧꯊꯣꯀꯏ꯫
ꯌꯨꯃꯗꯥ ꯆꯠꯂꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯌꯦꯡꯁꯤꯅꯒꯗꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?
ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯅꯍꯥꯀꯄꯨ ꯔꯤꯀꯣꯚꯔꯤ ꯔꯨꯝ ꯑꯃꯗꯥ ꯄꯨꯈꯠꯀꯅꯤ꯫ ꯄꯨꯝꯅꯃꯛ ꯐꯩ ꯍꯥꯌꯅꯥ ꯀꯅꯐꯥꯔꯝ ꯇꯧꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯃꯍꯧꯁꯥꯅꯥ ꯃꯊꯪꯒꯤ ꯅꯨꯃꯤꯠꯇꯥ ꯌꯨꯃꯗꯥ ꯆꯠꯄꯥ ꯌꯥꯒꯅꯤ꯫ ꯌꯨꯃꯗꯥ ꯆꯠꯂꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ ꯑꯁꯤ ꯑꯈꯟꯅꯕꯥ ꯃꯤꯠꯌꯦꯡ ꯆꯪꯕꯤꯌꯨ꯫
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯥꯏꯍꯧ ꯍꯧꯔꯛꯂꯕꯗꯤ, ꯅꯣꯡꯖꯨ-ꯅꯨꯡꯁꯥ ꯈꯥꯛꯇꯅꯥ ꯂꯩꯔꯕꯗꯤ, ꯅꯠꯠꯔꯒꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯄꯤꯕꯥ ꯄꯦꯟ ꯀꯤꯂꯔꯁꯤꯡꯅꯥ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯥ ꯉꯃꯗꯕꯥ ꯁꯥꯊꯤꯕꯥ ꯑꯅꯥꯕꯥ ꯂꯩꯔꯕꯗꯤ, ꯈꯨꯗꯛꯇꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯀꯧꯕꯤꯌꯨ꯫
- ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯌꯨꯔꯤꯅꯗꯥ ꯏ ꯈꯔꯥ ꯂꯩꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯅꯣꯔꯃꯦꯂꯅꯤ꯫ ꯑꯗꯨꯕꯨ...
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯌꯨꯔꯤꯅꯗꯥ ꯏ ꯌꯥꯝꯅꯥ ꯊꯣꯀꯄꯥ ꯂꯩꯔꯕꯗꯤ, ꯅꯠꯠꯔꯒꯥ ꯑꯆꯧꯕꯥ ꯏ ꯊꯣꯀꯄꯥ ꯎꯔꯕꯗꯤ, ꯈꯨꯗꯛꯇꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯅꯀꯄꯥ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯜ ꯏꯃꯔꯖꯦꯟꯁꯤ ꯔꯨꯝ (ETU)ꯗꯥ ꯆꯠꯂꯨ꯫ ꯃꯁꯤ ꯊꯦꯡꯊꯕꯥ ꯌꯥꯕꯥ ꯋꯥꯐꯝ ꯅꯠꯇꯦ꯫
- ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯑꯇꯣꯞꯄꯥ ꯃꯑꯣꯡ ꯑꯃꯗꯥ ꯄꯥꯎꯇꯥꯛ ꯄꯤꯗ꯭ꯔꯤꯐꯥꯎꯕꯥ, ꯑꯔꯨꯝꯕꯥ ꯂꯧꯊꯣꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯅꯨꯃꯤꯠ ꯑꯅꯤꯗꯒꯤ ꯃꯔꯤ ꯐꯥꯎꯕꯥ ꯑꯀꯅꯕꯥ ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯇꯧꯔꯣꯏꯗꯕꯅꯤ꯫
ꯂꯥꯏꯌꯦꯡ ꯑꯁꯤꯒꯤ ꯀꯥꯟꯅꯕꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯈꯨꯗꯣꯡꯊꯤꯕꯁꯤꯡ ꯀꯔꯤꯅꯣ?
ꯃꯁꯤꯒꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯆꯥꯎꯕꯥ ꯀꯥꯟꯅꯕꯗꯤ ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯁꯥꯐꯕꯥ ꯃꯦꯊꯗ ꯑꯃꯅꯤ ꯑꯃꯁꯨꯡ ꯑꯆꯧꯕꯥ ꯁꯔꯖꯔꯤ (ꯇ꯭ꯔꯦꯗꯤꯁꯅꯦꯜ ꯁꯔꯖꯔꯤ)ꯒꯤ ꯃꯊꯧ ꯇꯥꯗꯦ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯐꯒꯠꯂꯀꯄꯒꯤ ꯃꯇꯝ ꯀꯨꯏꯅꯥ ꯂꯩ ꯑꯃꯁꯨꯡ ꯏꯅꯐꯦꯛꯁꯅꯒꯤ ꯔꯤꯁ꯭ꯀꯁꯨ ꯍꯟꯊꯩ꯫
ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯁꯔꯖꯔꯤ ꯑꯃꯍꯦꯛꯇꯒꯨꯝꯅꯥ, ꯑꯄꯤꯀꯄꯥ ꯔꯤꯁ꯭ꯛ ꯈꯔꯗꯤ ꯂꯩꯕꯥ ꯌꯥꯏ꯫
- ꯁꯔꯖꯔꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯅꯠꯠꯔꯒꯥ ꯃꯇꯨꯡꯗꯥ ꯏ ꯊꯣꯀꯄꯥ (ꯃꯁꯤꯒꯤ ꯃꯇꯝ ꯑꯁꯤꯗꯥ ꯏ ꯊꯥꯗꯣꯀꯄꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯏ)꯫
- ꯂꯪꯁꯇꯥ ꯐ꯭ꯂꯨꯏꯗ ꯑꯦꯛꯌꯨꯃꯨꯂꯦꯁꯟ ꯇꯧꯕꯥ꯫
- ꯁꯦꯄꯁꯤꯁꯒꯨꯝꯕꯥ ꯁꯥꯊꯤꯕꯥ ꯏꯅꯐꯦꯛꯁꯟ ꯑꯃꯅꯤ꯫
- ꯌꯨꯔꯤꯅꯔꯤ ꯇ꯭ꯔꯦꯛꯇ ꯏꯅꯐꯦꯛꯁꯟ ꯂꯩꯕꯥ꯫
- ꯀꯤꯗꯅꯤ ꯅꯠꯠꯔꯒꯥ ꯌꯨꯔꯤꯅꯔꯤ ꯇ꯭ꯔꯦꯛꯇꯇꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯄꯥ꯫
ꯍꯥꯌꯔꯤꯕꯥ ꯔꯤꯁ꯭ꯀꯁꯤꯡ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯅꯦꯝꯃꯤ꯫ ꯁꯔꯖꯔꯤꯒꯤ ꯃꯃꯥꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯃꯁꯤ ꯄꯨꯝꯅꯃꯛ ꯑꯁꯤ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯈꯪꯍꯜꯂꯛꯀꯅꯤ, ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯑꯃꯠꯇꯥ ꯂꯩꯇꯦ꯫
ꯇꯦꯛ-ꯍꯣꯝ ꯃꯦꯁꯦꯖ ꯇꯧꯕꯥ꯫
- ꯅꯦꯐ꯭ꯔꯣꯁ꯭ꯀꯣꯄꯤ ꯑꯁꯤ ꯀꯤꯗꯅꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯂꯩꯕꯥ ꯑꯃꯁꯨꯡ ꯂꯥꯌꯦꯡꯅꯕꯥ ꯈꯣꯡꯗꯥ ꯑꯄꯤꯀꯄꯥ ꯀꯀꯄꯥ ꯑꯃꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯀꯦꯃꯦꯔꯥ ꯑꯃꯥ ꯍꯥꯄꯆꯤꯟꯗꯨꯅꯥ ꯃꯣꯗꯔꯟ ꯄ꯭ꯔꯣꯁꯤꯖꯔ ꯑꯃꯅꯤ꯫
- ꯃꯁꯤ ꯃꯔꯨꯑꯣꯏꯅꯥ ꯑꯆꯧꯕꯥ ꯀꯤꯗꯅꯤ ꯁ꯭ꯇꯣꯅꯁꯤꯡ (PCNL ꯃꯦꯊꯗ), ꯑꯄꯤꯀꯄꯥ ꯁꯤꯁ꯭ꯇꯦꯃꯁꯤꯡ, ꯑꯃꯁꯨꯡ ꯑꯣꯕꯁ꯭ꯠꯔꯥꯀꯁꯅꯁꯤꯡ ꯂꯧꯊꯣꯀꯄꯗꯥ ꯌꯥꯝꯅꯥ ꯏꯐꯦꯛꯇꯤꯚ ꯑꯣꯏ꯫
- ꯃꯁꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯐꯒꯠꯂꯀꯄꯒꯤ ꯃꯇꯝ ꯑꯁꯤ ꯑꯆꯧꯕꯥ ꯑꯦꯝꯄꯨꯇꯦꯁꯟ ꯑꯃꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯌꯥꯝꯅꯥ ꯀꯨꯏꯔꯦ꯫
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯂꯥꯏꯍꯧ, ꯀꯟꯠꯔꯣꯜ ꯇꯧꯗꯕꯥ ꯑꯅꯥꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯏ ꯌꯥꯝꯅꯥ ꯊꯣꯀꯄꯥ ꯂꯩꯔꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯈꯨꯗꯛꯇꯥ ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯄꯥꯎꯇꯥꯛ ꯂꯧꯒꯗꯕꯅꯤ꯫
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