ꯀ꯭ꯔꯣꯅꯤꯛ ꯄꯦꯅꯒꯤ ꯁꯣꯂꯨꯁꯟ ꯑꯃꯥ: ꯅꯔꯚꯁꯤꯡꯕꯨ ꯗꯤꯑꯦꯛꯇꯤꯚꯦꯠ ꯇꯧꯕꯥ ꯂꯥꯏꯌꯦꯡ ꯑꯃꯥ ꯑꯣꯏꯔꯤꯕꯥ ꯅ꯭ꯌꯨꯔꯣꯂꯥꯏꯁꯤꯁꯀꯤ ꯃꯇꯥꯡꯗꯥ ꯈꯪꯖꯤꯅꯁꯤ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯑꯩꯈꯣꯌꯅꯥ ꯍꯤꯗꯥꯛ ꯂꯥꯡꯊꯛ ꯀꯌꯥ ꯂꯧꯔꯕꯁꯨ ꯅꯠꯠꯔꯒꯥ ꯐꯤꯖꯤꯀꯦꯜ ꯊꯦꯔꯥꯄꯤ ꯇꯧꯔꯕꯁꯨ ꯂꯥꯀꯁꯤꯅꯕꯥ ꯉꯃꯗꯕꯥ ꯑꯅꯥꯕꯥ ꯂꯩ꯫ ꯑꯩꯈꯣꯌꯕꯨ ꯊꯥ ꯀꯌꯥ, ꯆꯍꯤ ꯀꯌꯥ ꯐꯥꯑꯣꯕꯥ ꯁꯣꯀꯍꯜꯂꯤꯕꯥ ꯊꯦꯡꯅꯔꯤꯕꯥ ꯑꯋꯥꯕꯥ ꯑꯁꯤꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯍꯤꯡꯕꯥ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯂꯨꯕꯥ ꯑꯃꯅꯤ, ꯅꯠꯇꯦ? ꯑꯗꯨꯅꯥ, ꯑꯁꯤꯒꯨꯝꯕꯥ ꯐꯤꯚꯝ ꯑꯁꯤꯗꯥ, ꯑꯗꯣꯝꯅꯥ ꯑꯋꯥꯕꯥ ꯋꯥꯈꯜ ꯄꯣꯀꯍꯅꯕꯥ ꯉꯝꯕꯥ ꯑꯈꯟꯅꯕꯥ ꯂꯥꯌꯦꯡ ꯑꯃꯒꯤ ꯃꯔꯃꯗꯥ ꯇꯥꯕꯤꯔꯝꯂꯒꯅꯤ? ꯉꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯂꯥꯌꯦꯡ ꯑꯃꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯔꯤ, ꯃꯗꯨꯗꯤ ꯅ꯭ꯌꯨꯔꯣꯂꯥꯏꯁꯤꯁꯀꯤ ꯃꯇꯥꯡꯗꯥ꯫

ꯅ꯭ꯌꯨꯔꯣꯂꯥꯏꯁꯤꯁ ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ?

ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯅ꯭ꯌꯨꯔꯣꯂꯥꯏꯁꯤꯁ ꯑꯁꯤ ꯄꯦꯟ ꯃꯦꯅꯦꯖꯃꯦꯟꯇꯀꯤꯗꯃꯛꯇꯥ ꯁꯤꯖꯤꯟꯅꯕꯥ ꯑꯈꯟꯅꯕꯥ ꯃꯦꯗꯤꯀꯦꯜ ꯄ꯭ꯔꯣꯁꯤꯗ꯭ꯌꯨꯑꯣꯔ ꯑꯃꯅꯤ꯫ ꯃꯁꯤꯗꯥ ꯑꯅꯥꯕꯥ ꯊꯣꯀꯍꯜꯂꯤꯕꯥ ꯅꯔꯚ ꯑꯃꯒꯤ ꯃꯅꯥꯛꯇꯥ ꯀꯦꯃꯤꯀꯦꯜ ꯄꯣꯠꯁꯛ ꯑꯃꯥ ꯏꯅꯖꯦꯀꯁꯟ ꯇꯧꯕꯥ, ꯅꯔꯚ ꯑꯗꯨ ꯃꯥꯡꯍꯅꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯏꯅꯑꯦꯛꯇꯤꯚ ꯑꯣꯏꯍꯅꯕꯥ ꯑꯁꯤ ꯌꯥꯎꯏ꯫ ꯃꯁꯤ ꯃꯍꯧꯁꯥꯅꯥ ꯑꯂꯀꯣꯍꯣꯜ `(ꯏꯊꯥꯅꯣꯜ)`, ꯐꯦꯅꯣꯜ `(ꯐꯦꯅꯣꯜ)`, ꯅꯠꯠꯔꯒꯥ ꯒ꯭ꯂꯥꯏꯁꯦꯔꯣꯜ `(ꯒ꯭ꯂꯥꯏꯁꯦꯔꯣꯜ) ꯁꯤꯖꯤꯟꯅꯗꯨꯅꯥ ꯇꯧꯏ꯫

ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯑꯁꯤꯒꯨꯝꯅꯥ ꯈꯟꯊꯕꯤꯌꯨ: ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯂꯩꯔꯤꯕꯥ ꯅꯔꯚꯁꯤꯡ ꯑꯁꯤ ꯏꯂꯦꯛꯠꯔꯤꯀꯦꯜ ꯋꯥꯌꯥꯔꯒꯨꯝꯅꯥ ꯑꯣꯏ꯫ ꯃꯈꯣꯌꯅꯥ ꯕ꯭ꯔꯦꯅꯗꯒꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯑꯇꯩ ꯃꯐꯃꯁꯤꯡꯗꯥ ꯄꯥꯎꯖꯦꯂꯁꯤꯡ ꯄꯨꯗꯨꯅꯥ ꯆꯠꯂꯤ꯫ ꯍꯥꯌꯔꯤꯕꯥ ꯄꯥꯎꯖꯦꯂꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯑꯩꯈꯣꯌꯗꯥ ꯑꯋꯥꯕꯥ ꯑꯃꯁꯨꯡ ꯊꯋꯥꯏ ꯌꯥꯑꯣꯕꯥ ꯄꯣꯀꯍꯜꯂꯤ꯫ ꯅ꯭ꯌꯨꯔꯣꯂꯥꯏꯁꯤꯁ ꯍꯥꯌꯕꯁꯤꯗꯥ ꯑꯅꯥꯕꯒꯤ ꯄꯥꯎꯖꯦꯜ ꯑꯗꯨ ꯄꯨꯔꯤꯕꯥ ꯅꯔꯚ ꯑꯗꯨ ꯈꯅꯕꯗꯥ, ꯃꯗꯨꯕꯨ ꯗꯤꯁꯑꯦꯕꯜ ꯇꯧꯕꯥ ꯑꯃꯁꯨꯡ ꯃꯦꯁꯦꯖ ꯑꯗꯨ ꯕ꯭ꯔꯦꯅꯗꯥ ꯆꯠꯄꯥ ꯊꯤꯡꯕꯗꯥ ꯌꯥꯎꯏ꯫

"ꯅ꯭ꯌꯨꯔꯣꯂꯥꯏꯁꯤꯁ" ꯍꯥꯌꯕꯥ ꯋꯥꯍꯩ ꯑꯁꯤ ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯅꯔꯚ ꯑꯃꯕꯨ ꯏꯅꯇꯦꯟꯁꯅꯦꯜ ꯑꯣꯏꯅꯥ ꯗꯤꯑꯦꯛꯇꯤꯚꯦꯠ ꯇꯧꯕꯥ ꯃꯦꯊꯗ ꯑꯃꯍꯦꯛꯇꯕꯨ ꯈꯪꯅꯅꯕꯥ ꯖꯦꯅꯦꯔꯦꯜ ꯑꯣꯏꯅꯥ ꯁꯤꯖꯤꯟꯅꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯒꯤ ꯃꯇꯨꯡ ꯏꯟꯅꯥ ꯀꯦꯃꯤꯀꯦꯂꯁꯤꯡ ꯏꯅꯖꯦꯀꯁꯟ ꯇꯧꯕꯒꯤ ꯃꯊꯛꯇꯥ ꯄꯥꯝꯕꯩ ꯀꯌꯥ ꯑꯃꯥ ꯂꯩꯔꯤ꯫

• ꯔꯦꯗꯤꯑꯣꯐ꯭ꯔꯤꯛꯕꯦꯟꯁꯤ ꯑꯦꯕꯂꯦꯁꯟ ( RFA ): ꯃꯁꯤꯅꯥ ꯔꯦꯗꯤꯑꯣ ꯋꯦꯕ ꯁꯤꯖꯤꯟꯅꯗꯨꯅꯥ ꯍꯤꯠ ꯊꯣꯀꯍꯜꯂꯤ ꯑꯃꯁꯨꯡ ꯅꯔꯚꯀꯤ ꯑꯄꯤꯀꯄꯥ ꯁꯔꯨꯛ ꯑꯃꯥ ꯃꯥꯡꯍꯜꯂꯤ꯫
• ꯀ꯭ꯔꯥꯏꯑꯣꯑꯦꯕꯂꯦꯁꯟ: ꯃꯁꯤꯗꯥ ꯑꯀꯅꯕꯥ ꯀꯣꯜꯗ (ꯀ꯭ꯔꯥꯏꯑꯣꯊꯦꯔꯥꯄꯤ) ꯁꯤꯖꯤꯟꯅꯗꯨꯅꯥ ꯅꯔꯚ ꯑꯃꯥ ꯃꯥꯡꯍꯅꯕꯥ ꯌꯥꯎꯏ꯫
• ꯁꯔꯖꯤꯀꯦꯜ ꯅ꯭ꯌꯨꯔꯣꯂꯥꯏꯁꯤꯁ (neurectomy): ꯅꯔꯚ ꯑꯃꯒꯤ ꯁꯔꯨꯛ ꯑꯃꯥ ꯂꯧꯊꯣꯛꯅꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯅꯥꯕꯥ ꯍꯟꯊꯍꯟꯅꯕꯥ ꯅꯔꯚꯀꯤ ꯑꯀꯣꯌꯕꯗꯥ ꯂꯩꯕꯥ ꯑꯄꯥꯝꯕꯥ ꯇꯤꯁꯨꯁꯤꯡ ꯂꯧꯊꯣꯛꯅꯕꯥ ꯁꯔꯖꯔꯤ꯫

ꯂꯥꯏꯌꯦꯡ ꯀꯌꯥ ꯑꯁꯤꯒꯥ ꯃꯥꯟꯅꯅꯥ, ꯅ꯭ꯌꯨꯔꯣꯂꯥꯏꯁꯤꯁꯀꯤ ꯐꯂꯁꯤꯡ ꯑꯁꯤ ꯃꯤꯑꯣꯏ ꯑꯃꯗꯒꯤ ꯃꯤꯑꯣꯏ ꯑꯃꯗꯥ ꯈꯦꯠꯅꯕꯥ ꯌꯥꯏ꯫ ꯀ꯭ꯔꯣꯅꯤꯛ ꯄꯦꯏꯟ ꯑꯁꯤ ꯑꯔꯨꯕꯥ ꯋꯥꯐꯝ ꯑꯃꯅꯤ, ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯂꯥꯏꯌꯦꯡ ꯑꯁꯤ ꯅꯍꯥꯛꯀꯤꯗꯃꯛꯇꯥ ꯆꯨꯝꯃꯤ ꯍꯥꯌꯕꯗꯨ ꯂꯦꯄꯊꯣꯛꯅꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯊꯕꯛ ꯇꯧꯃꯤꯟꯅꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫

ꯃꯁꯤꯒꯤ ꯂꯥꯌꯦꯡ ꯑꯁꯤ ꯀꯅꯥꯅꯥ ꯃꯊꯧ ꯇꯥꯔꯤꯕꯒꯦ?

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯐꯤꯖꯤꯀꯦꯜ ꯊꯦꯔꯥꯄꯤ ꯅꯠꯠꯔꯒꯥ ꯑꯦꯅꯥꯂꯖꯦꯁꯤꯀꯁꯤꯡꯒꯨꯝꯕꯥ ꯀꯟꯚꯦꯟꯁꯅꯦꯜ ꯇ꯭ꯔꯤꯠꯃꯦꯟꯇꯁꯤꯡꯅꯥ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯗꯕꯥ ꯁꯥꯊꯤꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯀ꯭ꯔꯣꯅꯤꯛ ꯑꯣꯏꯕꯥ ꯑꯅꯥꯕꯥ ꯂꯩꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅ꯭ꯌꯨꯔꯣꯂꯥꯏꯁꯤꯁ ꯔꯤꯀꯃꯦꯟꯗ ꯇꯧꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤ ꯃꯔꯨꯑꯣꯏꯅꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯑꯅꯥꯕꯁꯤꯡ ꯑꯁꯤꯒꯤꯗꯃꯛꯇꯥ ꯁꯤꯖꯤꯟꯅꯩ:

• ꯅ꯭ꯌꯨꯔꯣꯄꯦꯊꯤꯛ ꯄꯦꯏꯟ ꯂꯩꯕꯥ꯫
• ꯀꯦꯟꯁꯔꯅꯥ ꯅꯥꯕꯥ꯫
• ꯏꯟꯇꯔꯅꯦꯜ ꯑꯣꯔꯒꯥꯅꯁꯤꯡꯗꯒꯤ ꯍꯧꯔꯀꯄꯥ ꯑꯅꯥꯕꯥ (visceral pain)

ꯃꯁꯤꯒꯤ ꯃꯊꯛꯇꯥ, ꯂꯥꯏꯌꯦꯡ ꯑꯁꯤ `ꯃꯣꯔꯇꯅꯒꯤ ꯅ꯭ꯌꯨꯔꯣꯃꯥ` ꯀꯧꯕꯥ ꯈꯣꯡꯒꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯥ ꯂꯥꯏꯌꯦꯡꯕꯗꯁꯨ ꯁꯤꯖꯤꯟꯅꯕꯥ ꯌꯥꯏ ꯑꯃꯁꯨꯡ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯃꯁꯜ ꯌꯥꯝꯅꯥ ꯁꯣꯀꯄꯥ (spasticity) ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯗꯁꯨ ꯁꯤꯖꯤꯟꯅꯕꯥ ꯌꯥꯏ꯫

ꯅ꯭ꯌꯨꯔꯣꯂꯥꯏꯁꯤꯁ ꯑꯃꯁꯨꯡ ꯅꯔꯚ ꯕ꯭ꯂꯣꯛ ꯑꯁꯤ ꯇꯣꯉꯥꯅꯕꯥ ꯋꯥꯐꯝ ꯑꯅꯤꯅꯤ?

ꯃꯤꯡ ꯑꯅꯤ ꯑꯁꯤ ꯃꯥꯟꯅꯔꯕꯁꯨ ꯃꯈꯣꯌ ꯑꯁꯤ ꯇꯣꯉꯥꯅꯕꯥ ꯂꯥꯌꯦꯡ ꯑꯅꯤꯅꯤ꯫ ꯑꯅꯤꯃꯛꯀꯤ ꯄꯥꯟꯗꯃꯗꯤ ꯑꯅꯥꯕꯥ ꯍꯟꯊꯍꯅꯕꯅꯤ ꯍꯥꯌꯔꯕꯁꯨ ꯃꯈꯣꯌꯒꯤ ꯊꯕꯛ ꯇꯧꯕꯒꯤ ꯃꯑꯣꯡ ꯑꯃꯁꯨꯡ ꯃꯈꯣꯌꯒꯤ ꯏꯐꯦꯛꯇꯁꯤꯡꯒꯤ ꯃꯇꯝ ꯑꯁꯤ ꯇꯣꯉꯥꯜꯂꯤ꯫ ꯃꯁꯤꯒꯤ ꯈꯦꯟꯅꯕꯥ ꯑꯁꯤ ꯃꯌꯦꯛ ꯁꯦꯡꯅꯥ ꯈꯉꯁꯤ꯫

ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯃꯃꯥꯡꯗꯥ ꯃꯇꯧ ꯀꯔꯝꯅꯥ ꯁꯦꯝ-ꯁꯥꯒꯗꯒꯦ?

ꯂꯥꯏꯌꯦꯡ ꯑꯁꯤꯒꯤꯗꯃꯛꯇꯥ ꯅꯍꯥꯛꯅꯥ ꯀꯔꯝꯅꯥ ꯁꯦꯝ-ꯁꯥꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯅꯍꯥꯛꯀꯤ ꯂꯥꯏꯌꯦꯡ ꯑꯗꯨꯒꯤ ꯃꯔꯝ ꯑꯃꯁꯨꯡ ꯏꯅꯖꯦꯀꯁꯟ ꯑꯗꯨꯒꯤ ꯃꯐꯝ ꯑꯗꯨꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ ꯈꯦꯠꯅꯕꯥ ꯌꯥꯏ꯫ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯑꯀꯛꯅꯕꯥ ꯏꯅꯁ꯭ꯠꯔꯛꯁꯅꯁꯤꯡ ꯄꯤꯒꯅꯤ꯫ ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯑꯀꯛꯅꯕꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ ꯃꯇꯝ ꯈꯔꯒꯤ ꯑꯣꯏꯅꯥ ꯊꯤꯡꯅꯕꯥ ꯍꯥꯌꯔꯀꯄꯥ ꯌꯥꯏ꯫ ꯍꯥꯌꯔꯤꯕꯥ ꯏꯅꯁ꯭ꯠꯔꯛꯁꯅꯁꯤꯡ ꯑꯁꯤ ꯆꯞ ꯆꯥꯅꯥ ꯏꯅꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫

ꯀꯦꯁ ꯈꯔꯗꯗꯤ, ꯂꯥꯏꯌꯦꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯅꯍꯥꯀꯄꯨ ꯔꯤꯂꯥꯛꯁꯦꯁꯟ ꯑꯃꯁꯨꯡ ꯇꯨꯝꯕꯥ ꯌꯥꯗꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯅꯕꯥ ꯁꯦꯗꯦꯇꯤꯚ ꯑꯃꯥ ꯄꯤꯕꯥ ꯌꯥꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯁꯤ ꯇꯧꯔꯕꯗꯤ, ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯃꯃꯥꯡꯗꯥ ꯄꯨꯡ 6-8 ꯔꯣꯝ ꯔꯣꯖꯥ (ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯃꯠꯇꯥ ꯆꯥꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯊꯀꯄꯥ ꯌꯥꯗꯅꯕꯥ) ꯍꯥꯌꯒꯅꯤ꯫ ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯅꯍꯥꯀꯄꯨ ꯌꯨꯃꯗꯥ ꯄꯨꯔꯛꯅꯕꯥ ꯀꯅꯥꯒꯨꯝꯕꯥ ꯑꯃꯕꯨꯁꯨ ꯄꯨꯔꯀꯄꯥ ꯃꯊꯧ ꯇꯥꯒꯅꯤ꯫

ꯅ꯭ꯌꯨꯔꯣꯂꯥꯏꯁꯤꯁ ꯇ꯭ꯔꯤꯇꯃꯦꯟꯇ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯄꯥꯡꯊꯣꯛꯀꯗꯒꯦ꯫

ꯍꯀꯆꯥꯡꯗꯥ ꯇꯣꯉꯥꯟ-ꯇꯣꯉꯥꯅꯕꯥ ꯅꯔꯚꯁꯤꯡꯗꯥ ꯇꯥꯔꯒꯦꯠ ꯇꯧꯕꯥ ꯅ꯭ꯌꯨꯔꯣꯂꯥꯏꯁꯤꯁꯀꯤ ꯃꯈꯜ ꯀꯌꯥ ꯂꯩꯕꯅꯥ, ꯊꯧꯑꯣꯡ ꯑꯁꯤꯗꯥ ꯈꯔꯥ ꯈꯦꯠꯅꯕꯥ ꯂꯩ, ꯑꯗꯨꯕꯨ ꯃꯍꯧꯁꯥꯅꯥ ꯃꯁꯤ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯆꯠꯂꯤ:

1. ꯄꯣꯖꯤꯁꯟ: ꯗꯣꯛꯇꯔꯅꯥ ꯚꯦꯛꯁꯤꯟ ꯏꯅꯖꯦꯀꯁꯟ ꯇꯧꯕꯗꯥ ꯂꯥꯌꯍꯟꯅꯕꯥ ꯅꯍꯥꯀꯄꯨ ꯑꯦꯀꯖꯥꯃꯤꯅꯦꯁꯟ ꯇꯦꯕꯜ ꯑꯃꯗꯥ ꯑꯀꯛꯅꯕꯥ ꯄꯣꯖꯤꯁꯟ ꯑꯃꯗꯥ ꯂꯦꯡꯗꯅꯥ ꯂꯩꯅꯕꯥ ꯍꯥꯌꯒꯅꯤ꯫

2. ꯁꯦꯗꯦꯁꯟ : ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯊꯧ ꯇꯥꯔꯕꯗꯤ, ꯅꯍꯥꯀꯄꯨ ꯔꯤꯂꯥꯛꯁꯦꯁꯟ ꯇꯧꯅꯕꯥ IV ꯂꯥꯏꯅꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛ ꯄꯤꯒꯅꯤ꯫

3. ꯁꯦꯡꯗꯣꯀꯄꯥ: ꯏꯅꯖꯦꯀꯁꯟ ꯇꯧꯔꯤꯕꯥ ꯃꯐꯝ ꯑꯗꯨ ꯗꯤꯁꯏꯅꯐꯦꯛꯇꯦꯟꯇ ꯁꯣꯜꯌꯨꯁꯟ ꯑꯃꯅꯥ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯁꯦꯡꯗꯣꯀꯏ꯫

4. ꯅꯣꯡꯃꯩ ꯀꯥꯞꯄꯥ: ꯃꯊꯪꯗꯥ, ꯅ꯭ꯌꯨꯔꯣꯂꯥꯏꯁꯤꯁ ꯏꯅꯖꯦꯀꯁꯟ ꯄꯤꯈꯤꯕꯥ ꯃꯐꯝ ꯑꯗꯨ ꯅꯨꯡꯉꯥꯏꯅꯥ ꯂꯩꯅꯕꯥ ꯂꯣꯀꯦꯜ ꯑꯦꯅꯥꯁ꯭ꯇꯦꯇꯤꯀꯀꯤ ꯑꯄꯤꯀꯄꯥ ꯏꯅꯖꯦꯀꯁꯟ ꯑꯃꯥ ꯄꯤ꯫ ꯃꯇꯝ ꯑꯁꯤꯗꯥ, ꯅꯍꯥꯛꯅꯥ ꯅꯤꯜ ꯑꯗꯨꯅꯥ ꯁꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯈꯔꯥ ꯁꯣꯀꯄꯥ ꯌꯥꯏ꯫

5. ꯃꯐꯝ ꯑꯗꯨ ꯀꯅꯐꯥꯔꯝ ꯇꯧꯕꯥ: ꯗꯣꯛꯇꯔꯅꯥ ꯑꯂꯠꯔꯥꯁꯥꯎꯟꯗ , ꯐ꯭ꯂꯨꯑꯣꯔꯣꯁ꯭ꯀꯣꯄꯤ (ꯑꯦꯛꯁ-ꯔꯦ), ꯅꯠꯠꯔꯒꯥ ꯁꯤ.ꯇꯤ.ꯒꯨꯝꯕꯥ ꯁ꯭ꯀꯦꯅꯤꯡ ꯇꯦꯛꯅꯤꯛ ꯑꯃꯥ ꯁꯤꯖꯤꯟꯅꯗꯨꯅꯥ ꯅꯔꯚ ꯑꯗꯨ ꯀꯗꯥꯏꯗꯥ ꯂꯩꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯆꯨꯝꯅꯥ ꯎꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯅꯥ ꯏꯅꯖꯦꯀꯁꯟ ꯑꯗꯨꯒꯤ ꯑꯆꯨꯝꯕꯥ ꯃꯐꯝ ꯑꯗꯨ ꯈꯪꯗꯣꯀꯄꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫

6. ꯇꯤꯀꯥ ꯄꯤꯕꯥ: ꯃꯊꯪꯗꯥ, ꯀꯦꯃꯤꯀꯦꯜ ꯑꯗꯨ ꯅꯔꯚ ꯑꯗꯨꯒꯥ ꯌꯥꯝꯅꯥ ꯅꯛꯅꯥ ꯏꯅꯖꯦꯀꯁꯟ ꯇꯧꯏ꯫

7. ꯌꯦꯡꯁꯤꯅꯕꯥ: ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯃꯇꯨꯡꯗꯥ, ꯅꯍꯥꯛꯅꯥ ꯗꯣꯛꯇꯔ ꯑꯃꯅꯥ ꯃꯇꯝ ꯈꯔꯒꯤ ꯑꯣꯏꯅꯥ ꯌꯦꯡꯁꯤꯅꯒꯅꯤ, ꯃꯗꯨꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯃꯈꯥ ꯇꯥꯅꯥ ꯊꯥꯖꯗꯕꯥ ꯁꯥꯏꯗ ꯏꯐꯦꯛꯇ ꯑꯃꯠꯇꯥ ꯂꯩꯔꯣꯏ꯫

8. ꯌꯨꯃꯗꯥ ꯆꯠꯄꯥ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯄꯨꯝꯅꯃꯛ ꯐꯅꯥ ꯂꯩꯔꯕꯗꯤ ꯌꯨꯃꯗꯥ ꯆꯠꯄꯥ ꯌꯥꯍꯅꯒꯅꯤ꯫

ꯂꯥꯏꯌꯦꯡ ꯑꯁꯤꯒꯤ ꯀꯥꯟꯅꯕꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯀꯥꯟꯅꯕꯁꯤꯡ ꯀꯔꯤꯅꯣ?

ꯀꯥꯟꯅꯕꯁꯤꯡ

ꯂꯥꯌꯦꯡ ꯑꯁꯤꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯀꯥꯟꯅꯕꯗꯤ ꯑꯅꯥꯕꯗꯒꯤ ꯂꯥꯄꯊꯣꯀꯄꯅꯤ . ꯃꯁꯤ ꯃꯇꯝ ꯈꯔꯒꯤ ꯑꯣꯏꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯃꯇꯝ ꯆꯨꯞꯄꯒꯤ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯒꯤ ꯔꯤꯂꯤꯐ ꯑꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯅꯨꯡꯇꯤꯒꯤ ꯊꯕꯀꯁꯤꯡ ꯍꯦꯟꯅꯥ ꯐꯖꯅꯥ ꯄꯥꯡꯊꯣꯀꯄꯗꯥ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯄꯨꯟꯁꯤꯒꯤ ꯃꯒꯨꯟ ꯍꯦꯅꯒꯠꯍꯅꯕꯗꯥ ꯌꯥꯝꯅꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯒꯅꯤ .

ꯔꯤꯁ꯭ꯛ ꯑꯃꯁꯨꯡ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ꯫

ꯃꯦꯗꯤꯀꯦꯜ ꯄ꯭ꯔꯣꯁꯤꯗ꯭ꯌꯨꯑꯣꯔ ꯑꯃꯍꯦꯛꯇꯒꯨꯝꯅꯥ, ꯅ꯭ꯌꯨꯔꯣꯂꯥꯏꯁꯤꯁ ꯂꯥꯌꯦꯡꯕꯗꯥ ꯑꯀꯛꯅꯕꯥ ꯔꯤꯁ꯭ꯛ ꯑꯃꯁꯨꯡ ꯁꯥꯏꯗ ꯏꯐꯦꯛꯇꯁꯤꯡ ꯂꯩ꯫ꯃꯁꯤꯒꯤ ꯔꯤꯁ꯭ꯛ ꯑꯁꯤ ꯏꯅꯖꯦꯀꯁꯟ ꯇꯧꯔꯤꯕꯥ ꯃꯐꯝ ꯑꯃꯁꯨꯡ ꯇꯥꯔꯒꯦꯠ ꯇꯧꯔꯕꯥ ꯅꯔꯚ ꯑꯗꯨꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ ꯈꯦꯠꯅꯩ꯫ ꯏꯅꯖꯦꯀꯁꯟ ꯇꯧꯔꯕꯥ ꯀꯦꯃꯤꯀꯦꯜ ꯑꯗꯨ ꯂꯤꯛꯌꯨꯏꯗ ꯑꯣꯏꯕꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯃꯅꯥꯛ ꯅꯀꯄꯥ ꯇꯤꯁꯨꯁꯤꯡ, ꯅꯔꯚꯁꯤꯡ ꯅꯠꯠꯔꯒꯥ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯂꯁꯤꯡꯗꯥ ꯁꯟꯗꯣꯔꯀꯄꯒꯤ ꯆꯥꯡ ꯌꯥꯝꯅꯥ ꯅꯦꯝꯃꯤ꯫

ꯑꯣꯏꯊꯣꯀꯄꯥ ꯌꯥꯕꯥ ꯁꯥꯏꯗ ꯏꯐꯦꯛꯇ ꯈꯔꯗꯤ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯁꯤꯡꯁꯤꯅꯤ:

• ꯏꯅꯖꯦꯀꯁꯟ ꯇꯧꯔꯤꯕꯥ ꯃꯐꯝ ꯑꯗꯨꯗꯥ ꯏꯅꯐꯦꯛꯁꯟ ꯅꯠꯠꯔꯒꯥ ꯏ ꯊꯣꯀꯄꯥ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯆꯠꯊꯣꯛ-ꯆꯠꯁꯤꯟ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯔꯤꯕꯥ ꯃꯅꯥꯛ ꯅꯀꯄꯥ ꯃꯣꯇꯣꯔ ꯅꯔꯚ ꯑꯃꯥ ꯁꯣꯀꯍꯜꯂꯕꯗꯤ, ꯄꯦꯔꯥꯂꯥꯏꯁꯤꯁ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫
• ꯅ꯭ꯌꯨꯔꯥꯏꯇꯤꯁ (neuritis): ꯀꯔꯤꯒꯨꯝꯕꯥ ꯂꯥꯏꯌꯦꯡꯂꯤꯕꯥ ꯅꯔꯚ ꯑꯗꯨ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯁꯦꯃꯒꯠꯄꯥ ꯍꯧꯔꯛꯂꯕꯗꯤ, ꯍꯥꯏꯄꯔꯁ꯭ꯇꯦꯁꯤꯌꯥ (ꯈꯨꯠꯂꯥꯏ ꯄꯥꯌꯕꯗꯥ ꯌꯥꯝꯅꯥ ꯋꯥꯅꯥ ꯊꯣꯀꯄꯥ) ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫
• ꯌꯨꯔꯤꯟ ꯅꯠꯠꯔꯒꯥ ꯁ꯭ꯇꯣꯜ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯗꯥ ꯑꯋꯥꯕꯥ꯫
• ꯁꯦꯛꯁꯨꯑꯦꯜ ꯗꯤꯁꯐꯉ꯭ꯀꯁꯟ ꯂꯩꯕꯥ꯫

ꯑꯀꯤꯕꯥ ꯄꯣꯛꯂꯣꯏꯗꯕꯅꯤ꯫ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯊꯦꯡꯅꯒꯗꯧꯔꯤꯕꯥ ꯅ꯭ꯌꯨꯔꯣꯂꯥꯏꯁꯤꯁꯀꯤ ꯃꯈꯜ ꯑꯗꯨꯒꯥ ꯃꯔꯤ ꯂꯩꯅꯕꯥ ꯔꯤꯁ꯭ꯛ ꯄꯨꯝꯅꯃꯛ ꯈꯪꯍꯜꯂꯛꯀꯅꯤ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯃꯇꯝ ꯑꯗꯨꯗꯥ ꯑꯗꯣꯃꯒꯤ ꯋꯥꯍꯪꯁꯤꯡ ꯅꯠꯔꯒꯥ ꯑꯋꯥꯕꯥ ꯑꯃꯠꯇꯥ ꯁꯣꯏꯗꯅꯥ ꯍꯪꯕꯤꯌꯨ꯫

ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯏꯐꯦꯛꯇ ꯑꯁꯤ ꯀꯌꯥꯝ ꯁꯥꯡꯅꯥ ꯂꯩꯕꯒꯦ?

ꯅ꯭ꯌꯨꯔꯣꯂꯥꯏꯁꯤꯁꯇꯒꯤ ꯂꯥꯀꯄꯥ ꯄꯦꯟ ꯔꯤꯂꯤꯐꯀꯤ ꯃꯇꯝ ꯑꯁꯤ ꯃꯤꯑꯣꯏ ꯑꯃꯗꯒꯤ ꯃꯤꯑꯣꯏ ꯑꯃꯗꯥ ꯌꯥꯝꯅꯥ ꯈꯦꯠꯅꯩ꯫ ꯃꯁꯤ ꯅꯨꯃꯤꯠ ꯈꯔꯅꯤ, ꯅꯨꯃꯤꯠ ꯈꯔꯅꯤ, ꯊꯥ ꯈꯔꯅꯤ ꯅꯠꯠꯔꯒꯥ ꯆꯍꯤ ꯀꯌꯥ ꯐꯥꯎꯕꯥ ꯂꯩꯕꯥ ꯌꯥꯏ꯫ ꯃꯍꯧꯁꯥꯅꯥ, ꯐꯦꯅꯣꯜ ꯂꯥꯏꯌꯦꯡꯕꯅꯥ ꯅꯨꯃꯤꯠ 8-12ꯅꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯔꯤꯂꯤꯐ ꯄꯤ꯫ ꯌꯨ ꯊꯀꯄꯒꯤ ꯂꯥꯏꯌꯦꯡ ꯑꯁꯤ ꯈꯔꯥ ꯍꯦꯟꯅꯥ ꯁꯥꯡꯏ, ꯆꯥꯎꯔꯥꯛꯅꯥ ꯅꯨꯃꯤꯠ 12-24 ꯐꯥꯎꯕꯥ꯫

ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯗꯨꯗꯥ ꯌꯨꯝꯐꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯀꯔꯤ ꯐꯜ ꯂꯥꯛꯀꯅꯤ ꯍꯥꯌꯕꯒꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯥ ꯋꯥꯈꯜꯂꯣꯟ ꯑꯗꯨ ꯄꯤꯒꯅꯤ ꯑꯃꯁꯨꯡ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯂꯥꯏꯌꯦꯡ ꯑꯗꯨ ꯃꯥꯌꯄꯥꯛꯠꯔꯕꯗꯤ ꯃꯊꯪꯗꯥ ꯀꯔꯤ ꯇꯧꯒꯗꯒꯦ ꯍꯥꯌꯕꯒꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯥ ꯋꯥꯈꯜꯂꯣꯟ ꯑꯗꯨ ꯄꯤꯒꯅꯤ꯫