ꯅꯍꯥꯛꯀꯤ ꯑꯦꯛꯁ-ꯔꯦꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯀꯣꯛ ꯆꯤꯀꯄꯒꯤ ꯃꯔꯝ ꯑꯗꯨ ꯎꯠꯄꯥ ꯉꯃꯒꯗ꯭ꯔꯥ? ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯁꯤ! (ꯅꯟ-ꯔꯦꯗꯤꯑꯣꯒ꯭ꯔꯥꯐꯤꯛ ꯑꯦꯛꯁꯦꯁꯤꯑꯦꯜ ꯁ꯭ꯄꯣꯟꯗꯤꯂꯣꯑꯔꯊ꯭ꯔꯥꯏꯇꯤꯁ)

ꯑꯩꯈꯣꯌ ꯄꯨꯝꯅꯃꯛꯀꯤ ꯄꯨꯟꯁꯤꯒꯤ ꯃꯇꯝ ꯈꯔꯗꯥ ꯀꯣꯛ ꯆꯤꯀꯄꯥ ꯊꯦꯡꯅꯈꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯑꯔꯨꯝꯕꯥ ꯋꯥꯡꯈꯠꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯄꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯂꯥꯀꯄꯥ ꯑꯅꯥꯕꯥ ꯑꯗꯨ ꯅꯨꯃꯤꯠ ꯈꯔꯅꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯍꯟꯊꯔꯛꯀꯅꯤ꯫ ꯑꯗꯨꯕꯨ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯊꯥ ꯀꯌꯥ ꯂꯦꯡꯗꯅꯥ ꯂꯩꯕꯥ ꯀꯣꯛ ꯆꯤꯀꯄꯥ ꯂꯩꯔꯕꯗꯤ, ꯃꯔꯨꯑꯣꯏꯅꯥ ꯑꯌꯨꯛ-ꯅꯨꯡꯊꯤꯂꯗꯥ ꯑꯃꯁꯨꯡ ꯑꯌꯨꯛ-ꯅꯨꯡꯊꯤꯂꯗꯥ ꯇꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯃꯗꯨ ꯁꯨꯞꯅꯒꯤ ꯃꯤꯠꯌꯦꯡ ꯊꯃꯒꯅꯨ꯫ ꯉꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯅꯟ-ꯔꯦꯗꯤꯑꯣꯒ꯭ꯔꯥꯐꯤꯛ ꯑꯦꯛꯁꯦꯁꯤꯑꯦꯜ ꯁ꯭ꯄꯣꯟꯗꯤꯂꯣꯑꯥꯔꯊ꯭ꯔꯥꯏꯇꯤꯁ , ꯅꯠꯠꯔꯒꯥ ꯑꯩꯈꯣꯌꯅꯥ ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯀꯧꯔꯤꯕꯥ (nr-axSpA) , ꯑꯦꯛꯁ- ꯔꯦꯗꯥ ꯎꯕꯥ ꯐꯪꯗꯕꯥ ꯑꯗꯨꯕꯨ ꯅꯍꯥꯛꯀꯤ ꯄꯨꯟꯁꯤꯗꯥ ꯁꯣꯀꯍꯅꯕꯥ ꯌꯥꯕꯥ ꯑꯔꯊ꯭ꯔꯥꯏꯇꯤꯁ ꯃꯈꯜ ꯑꯃꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯒꯅꯤ꯫

ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, nr-axSpA ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ?

ꯅꯍꯥꯛꯅꯥ ꯑꯣꯁ꯭ꯇꯤꯑꯣꯑꯔꯊ꯭ꯔꯥꯏꯇꯤꯁ , ꯅꯍꯥꯛꯅꯥ ꯆꯍꯤ ꯌꯥꯃꯈꯠꯂꯀꯄꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯈꯨꯎ ꯑꯃꯁꯨꯡ ꯈꯣꯡꯎꯄꯒꯨꯝꯕꯥ ꯁꯔꯨ ꯇꯥꯡꯁꯤꯡ ꯁꯣꯀꯍꯜꯂꯤꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯇꯥꯕꯤꯔꯝꯂꯒꯅꯤ꯫ ꯑꯗꯨꯕꯨ nr-axSpA ꯑꯁꯤ ꯇꯣꯉꯥꯅꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ, ꯃꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯏꯝꯝꯌꯨꯟ ꯁꯤꯁ꯭ꯇꯦꯃꯗꯥ ꯑꯁꯣꯏ-ꯑꯉꯥꯝ ꯌꯥꯑꯣꯗꯕꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯊꯣꯀꯍꯅꯕꯅꯤ . ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯏꯁꯥꯒꯤ ꯗꯤꯐꯦꯟꯁ ꯁꯤꯁ꯭ꯇꯦꯝ ꯅꯠꯠꯔꯒꯥ ꯏꯝꯝꯌꯨꯟ ꯁꯦꯂꯁꯤꯡꯅꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯏꯁꯥꯒꯤ ꯁꯔꯨ ꯇꯥꯡꯁꯤꯡꯗꯥ ꯑꯁꯣꯌꯕꯥ ꯂꯩꯍꯟꯗꯨꯅꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗ ꯑꯃꯁꯨꯡ ꯄꯦꯂꯚꯤꯁꯀꯥ ꯁꯝꯅꯍꯜꯂꯤ . ꯃꯁꯤꯅꯥ ꯁꯔꯨ ꯇꯥꯡꯁꯤꯡ ꯑꯗꯨꯗꯥ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯁꯟ ꯊꯣꯀꯍꯜꯂꯤ, ꯃꯗꯨꯅꯥ ꯁꯣꯟꯊꯕꯥ ꯑꯃꯁꯨꯡ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯍꯜꯂꯤ꯫

ꯂꯥꯌꯅꯥ ꯑꯁꯤ ꯑꯦꯟꯀꯤꯂꯣꯁꯤꯡ ꯁ꯭ꯄꯣꯟꯗꯤꯂꯥꯏꯇꯤꯁ (AS) ꯀꯧꯕꯥ ꯍꯦꯟꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯑꯔꯊ꯭ꯔꯥꯏꯇꯤꯁꯀꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯒꯥ ꯌꯥꯝꯅꯥ ꯅꯛꯅꯥ ꯃꯔꯤ ꯂꯩꯅꯩ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ nr-axSpA ꯑꯁꯤ ASꯒꯤ ꯑꯍꯥꯅꯕꯥ ꯁ꯭ꯇꯦꯖ ꯑꯃꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, nr-axSpA ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏ ꯈꯨꯗꯤꯡꯃꯛ ꯑꯦ.ꯑꯦꯁ.

ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯤꯅꯣ?

nr-axSpAꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯂꯥꯏꯑꯣꯡ ꯑꯁꯤ ꯀꯣꯛ ꯆꯤꯀꯄꯥ ꯍꯥꯌꯕꯁꯤꯅꯤ . ꯑꯗꯨꯕꯨ ꯃꯁꯤ ꯅꯣꯔꯃꯦꯜ ꯕꯦꯛ ꯄꯦꯅꯗꯒꯤ ꯇꯣꯉꯥꯜꯂꯤ꯫ ꯃꯁꯤꯒꯤ ꯈꯦꯟꯅꯕꯥ ꯑꯁꯤ ꯃꯌꯦꯛ ꯁꯦꯡꯅꯥ ꯈꯉꯁꯤ꯫

ꯀꯣꯛ ꯆꯤꯀꯄꯒꯤ ꯃꯊꯛꯇꯥ, ꯑꯇꯩ ꯂꯥꯏꯑꯣꯡ ꯀꯌꯥꯁꯨ ꯎꯕꯥ ꯐꯪꯏ:

• ꯈꯣꯡꯗꯥ ꯑꯅꯥꯕꯥ : ꯃꯔꯨꯑꯣꯏꯅꯥ ꯈꯣꯡꯒꯤ ꯃꯈꯥꯗꯥ ꯂꯩꯕꯥ ꯑꯦꯆꯤꯂꯁ ꯇꯦꯟꯗꯣꯅꯒꯨꯝꯕꯥ ꯃꯐꯃꯁꯤꯡꯗꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯑꯃꯁꯨꯡ ꯁꯣꯟꯊꯕꯥ꯫
• ꯃꯈꯨꯠ ꯁꯣꯛ-ꯄꯅꯕꯥ (fingers of the fingers): ꯃꯈꯨꯠ ꯅꯠꯠꯔꯒꯥ ꯈꯣꯡꯄꯥꯛ ꯑꯃꯅꯥ ꯁꯁꯦꯖꯒꯨꯝꯅꯥ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯁꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯑꯩꯈꯣꯌꯅꯥ ꯃꯁꯤꯕꯨ ꯗꯥꯛꯇꯤꯂꯥꯏꯇꯤꯁ ꯍꯥꯌꯅꯥ ꯀꯧꯏ .
• ꯑꯇꯣꯞꯄꯥ ꯁꯔꯨ ꯇꯥꯡꯁꯤꯡꯗꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ : ꯑꯅꯥꯕꯥ ꯑꯁꯤ ꯑꯇꯩ ꯁꯔꯨ ꯇꯥꯡꯁꯤꯡ, ꯍꯥꯌꯕꯗꯤ ꯍꯤꯄꯐꯝ, ꯈꯨꯎ, ꯑꯃꯁꯨꯡ ꯈꯨꯎꯁꯤꯡꯗꯁꯨ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫
• ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯋꯥꯈꯜ ꯋꯥꯕꯥ : .ꯅꯍꯥꯛꯅꯥ ꯀꯌꯥ ꯌꯥꯝꯅꯥ ꯇꯨꯝꯕꯥ ꯌꯥꯗꯕꯁꯨ ꯌꯥꯝꯅꯥ ꯋꯥꯅꯥ ꯑꯃꯁꯨꯡ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯐꯥꯎꯕꯥ꯫

ꯃꯁꯤ ꯀꯔꯤꯒꯤ ꯊꯣꯛꯂꯤꯕꯅꯣ? ꯔꯤꯁ꯭ꯛ ꯐꯦꯛꯇꯔꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?

ꯑꯩꯈꯣꯌꯅꯥ ꯃꯃꯥꯡꯗꯥ ꯍꯥꯌꯈꯤꯕꯒꯨꯝꯅꯥ ꯃꯁꯤꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯔꯃꯗꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯏꯝꯝꯌꯨꯟ ꯁꯤꯁ꯭ꯇꯦꯃꯗꯥ ꯊꯣꯀꯄꯥ ꯗꯤꯁꯑꯣꯔꯗꯔ ꯑꯃꯅꯤ꯫ ꯃꯁꯤꯒꯤ ꯑꯆꯨꯝꯕꯥ ꯃꯔꯝ ꯈꯉꯕꯥ ꯉꯃꯗ꯭ꯔꯤ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ ꯔꯤꯁꯔꯆꯔꯁꯤꯡꯅꯥ ꯖꯤꯅꯦꯇꯤꯛ ꯂꯤꯉ꯭ꯛ ꯑꯃꯥ ꯂꯩ ꯍꯥꯌꯅꯥ ꯊꯥꯖꯩ꯫

ꯃꯔꯨꯑꯣꯏꯅꯥ HLA-B27 ꯀꯧꯕꯥ ꯖꯤꯟ ꯑꯃꯥ ꯃꯁꯤꯒꯥ ꯃꯔꯤ ꯂꯩꯅꯩ ꯍꯥꯌꯕꯥ ꯈꯉꯂꯦ꯫ nr-axSpA ꯑꯃꯁꯨꯡ AS ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏ ꯀꯌꯥꯗꯥ ꯖꯤꯟ ꯑꯁꯤ ꯂꯩ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯃꯁꯤꯅꯥ HLA-B27 ꯖꯤꯟ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏ ꯈꯨꯗꯤꯡꯃꯛꯇꯥ ꯑꯔꯊ꯭ꯔꯥꯏꯇꯤꯁ ꯑꯁꯤ ꯂꯥꯛꯀꯅꯤ ꯍꯥꯌꯕꯗꯤ ꯅꯠꯇꯦ꯫ ꯃꯁꯤ ꯑꯀꯛꯅꯕꯥ ꯂꯥꯌꯅꯥ ꯑꯃꯒꯤ ꯄ꯭ꯔꯤꯗꯤꯁꯄꯣꯖꯤꯁꯟ ꯈꯛꯇꯅꯤ꯫

ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤꯒꯤ ꯃꯇꯦꯡ ꯄꯥꯡꯂꯤꯕꯥ ꯑꯇꯩ ꯔꯤꯁ꯭ꯛ ꯐꯦꯛꯇꯔꯁꯤꯡꯗꯤ:

• ꯆꯍꯤ: ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯃꯍꯧꯁꯥꯅꯥ ꯅꯍꯥ ꯑꯣꯏꯔꯤꯕꯥ ꯑꯍꯜ ꯑꯣꯏꯔꯕꯥ ꯃꯇꯃꯗꯥ, ꯆꯍꯤ 20 ꯑꯃꯁꯨꯡ 40ꯒꯤ ꯃꯔꯛꯇꯥ ꯍꯧꯏ꯫
• ꯏꯃꯨꯡꯒꯤ ꯍꯤꯁ꯭ꯇꯔꯤ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯨꯗꯛꯀꯤ ꯑꯣꯏꯕꯥ ꯏꯃꯨꯡ-ꯃꯅꯨꯡ (ꯃꯃꯥ-ꯃꯄꯥ, ꯃꯆꯤꯟ-ꯃꯅꯥꯑꯣ)ꯗꯥ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯅꯥ nr-axSpA ꯅꯠꯠꯔꯒꯥ AS ꯂꯩꯔꯕꯗꯤ, ꯅꯍꯥꯀꯁꯨ ꯃꯁꯤ ꯂꯥꯀꯄꯒꯤ ꯔꯤꯁ꯭ꯛ ꯍꯦꯟꯅꯥ ꯂꯩ꯫
• ꯊꯛꯅꯕꯥ ꯏꯁꯤꯡ : ꯊꯛꯅꯕꯁꯤꯡꯗꯥ ꯂꯥꯌꯅꯥ ꯑꯁꯤ ꯂꯥꯀꯄꯒꯤ ꯔꯤꯁ꯭ꯛ ꯍꯦꯟꯅꯥ ꯂꯩ, ꯃꯁꯤꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯂꯥꯌꯅꯥ ꯑꯁꯤ ꯍꯦꯟꯅꯥ ꯐꯠꯆꯤꯜꯂꯀꯄꯒꯤ ꯔꯤꯁ꯭ꯛ ꯂꯩ꯫

ꯂꯥꯌꯅꯥ ꯑꯁꯤ ꯃꯇꯧ ꯀꯔꯝꯅꯥ ꯑꯆꯨꯝꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯈꯪꯗꯣꯀꯄꯥ ꯌꯥꯕꯒꯦ?

ꯂꯥꯌꯅꯥ ꯑꯁꯤ ꯈꯉꯗꯣꯀꯄꯥ ꯑꯁꯤ ꯈꯔꯥ ꯁꯤꯡꯅꯕꯥ ꯑꯃꯅꯤ ꯃꯔꯃꯗꯤ ꯃꯁꯤ ꯑꯦꯛꯁ-ꯔꯦꯗꯥ ꯎꯕꯥ ꯐꯪꯗꯦ, ꯑꯃꯁꯨꯡ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯑꯌꯥꯝꯕꯅꯥ ꯅꯍꯥ ꯑꯣꯏꯔꯤꯕꯥ, ꯍꯀꯆꯥꯡ ꯐꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯗꯥ ꯎꯕꯥ ꯐꯪꯏ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯃꯁꯤ ꯏꯆꯝ ꯆꯝꯕꯥ ꯀꯣꯛ ꯆꯤꯀꯄꯥ ꯑꯃꯅꯤ ꯍꯥꯌꯅꯥ ꯑꯔꯥꯅꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯂꯧꯕꯥ ꯌꯥꯏ, ꯃꯗꯨꯅꯥ ꯂꯥꯏꯌꯦꯡꯕꯗꯥ ꯊꯦꯡꯊꯕꯥ ꯊꯣꯀꯍꯜꯂꯤ꯫

ꯅꯍꯥꯛꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯎꯅꯅꯕꯥ ꯆꯠꯄꯥ ꯃꯇꯃꯗꯥ, ꯃꯍꯥꯛꯅꯥ ꯊꯕꯀꯁꯤꯡ ꯑꯁꯤ ꯇꯧꯒꯅꯤ:

1. ꯃꯍꯥꯛꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯗꯨ ꯅꯤꯡꯊꯤꯅꯥ ꯇꯥꯒꯅꯤ: ꯑꯅꯥꯕꯥ ꯑꯗꯨ ꯀꯗꯥꯏꯗꯒꯤ ꯍꯧꯔꯀꯄꯒꯦ, ꯀꯌꯥꯝ ꯁꯥꯡꯅꯥ ꯂꯩꯔꯛꯂꯤꯕꯅꯣ, ꯑꯃꯁꯨꯡ ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯇꯧꯕꯅꯥ ꯍꯦꯟꯅꯥ ꯐꯒꯠꯂꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯑꯀꯨꯞꯄꯥ ꯃꯔꯣꯂꯗꯥ ꯍꯪꯕꯤꯌꯨ꯫

2. ꯐꯤꯖꯤꯀꯦꯜ ꯑꯦꯀꯖꯥꯃꯤꯅꯦꯁꯟ ꯑꯃꯥ ꯄꯥꯡꯊꯣꯀꯏ: ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗꯀꯤ ꯆꯠꯊꯣꯛ-ꯆꯠꯁꯤꯟ ꯑꯃꯁꯨꯡ ꯑꯅꯥꯕꯥ ꯃꯐꯃꯁꯤꯡ ꯌꯦꯡꯁꯤꯜꯂꯤ꯫

꯳.ꯏꯒꯤ ꯇꯦꯁ꯭ꯠ ꯇꯧꯅꯕꯥ ꯑꯣꯔꯗꯔ ꯇꯧꯏ: ꯑꯩꯆ.ꯑꯦꯜ.ꯑꯦ.-ꯕꯤ.꯲꯷ ꯖꯤꯟ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯁꯤꯟꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯍꯀꯆꯥꯡꯗꯥ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯁꯟ ꯂꯩ ꯍꯥꯌꯕꯥ ꯇꯥꯀꯄꯥ ꯁꯤ.ꯑꯥꯔ.ꯄꯤ. ꯑꯃꯁꯨꯡ ꯏ.ꯑꯦꯁ.ꯑꯥꯔ.ꯒꯨꯝꯕꯥ ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯑꯣꯔꯗꯔ ꯇꯧꯅꯕꯥ꯫

꯴.ꯑꯦꯝ.ꯑꯥꯔ.ꯑꯥꯏ.ꯁ꯭ꯀꯦꯟ: ꯃꯁꯤ nr-axSpA ꯈꯉꯗꯣꯛꯅꯕꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯇꯦꯁ꯭ꯇꯅꯤ꯫ ꯑꯦꯝ.ꯑꯥꯔ.ꯑꯥꯏ.ꯒꯤ ꯁ꯭ꯀꯦꯟ ꯑꯃꯅꯥ ꯑꯦꯛꯁ-ꯔꯦꯗꯥ ꯎꯕꯥ ꯐꯪꯗꯕꯥ ꯁꯔꯨ ꯇꯥꯡꯁꯤꯡꯗꯥ ꯃꯌꯦꯛ ꯁꯦꯡꯅꯥ ꯎꯕꯥ ꯐꯪꯏ꯫

ꯂꯥꯏꯌꯦꯡꯕꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?

nr-axSpA ꯃꯦꯅꯦꯖ ꯇꯧꯕꯥ ꯑꯁꯤ ꯑꯦꯛꯁꯔꯁꯥꯏꯖ, ꯐꯤꯖꯤꯀꯦꯜ ꯊꯦꯔꯥꯄꯤ ꯑꯃꯁꯨꯡ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡꯒꯤ ꯀꯝꯕꯤꯅꯦꯁꯟ ꯑꯃꯅꯤ꯫

꯱.ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯇꯧꯕꯥ꯫

ꯃꯁꯤ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯒꯨꯝꯕꯅꯤ꯫ ꯅꯨꯃꯤꯠ ꯈꯨꯗꯤꯡꯒꯤ ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯇꯧꯕꯥ ꯑꯁꯤ ꯇꯉꯥꯏꯐꯗꯕꯥ ꯑꯃꯅꯤ꯫ ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯇꯧꯕꯅꯥ ꯑꯅꯥꯕꯥ ꯍꯟꯊꯍꯜꯂꯤ, ꯀꯣꯛ ꯆꯤꯀꯄꯥ ꯍꯟꯊꯍꯜꯂꯤ ꯑꯃꯁꯨꯡ ꯃꯇꯝ ꯄꯨꯝꯅꯃꯛꯇꯥ ꯅꯍꯥꯛꯅꯥ ꯐꯥꯎꯔꯤꯕꯥ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯍꯟꯊꯍꯜꯂꯤ꯫ ꯃꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗ ꯑꯗꯨ ꯃꯐꯝ ꯑꯃꯗꯥ ꯊꯝꯕꯗꯥ ꯑꯃꯁꯨꯡ ꯂꯦꯡꯗꯅꯥ ꯂꯩꯍꯅꯕꯗꯁꯨ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫

꯲.ꯗ꯭ꯔꯒꯁꯤꯡ꯫

ꯑꯍꯥꯅꯕꯗꯥ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯄꯦꯅꯀꯤꯂꯥꯔ ꯑꯃꯁꯨꯡ ꯅꯟ-ꯁ꯭ꯇꯦꯔꯣꯏꯗ ꯑꯦꯟꯇꯤ-ꯏꯅꯐ꯭ꯂꯦꯃꯦꯇꯔꯤ ꯗ꯭ꯔꯒꯁꯤꯡ (NSAIDs) (ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯏꯟꯗꯣꯃꯦꯊꯥꯁꯤꯟ, ꯅꯦꯞꯔꯣꯛꯁꯦꯟ) ꯄꯤꯕꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯌꯦꯡꯁꯤꯅꯕꯒꯤ ꯃꯈꯥꯗꯥ ꯈꯛꯇꯃꯛ ꯁꯤꯖꯤꯟꯅꯒꯗꯕꯅꯤ . ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯁꯤꯖꯤꯟꯅꯕꯅꯥ ꯁ꯭ꯇꯣꯃꯥꯛ ꯏꯔꯤꯇꯦꯁꯟ ꯑꯃꯁꯨꯡ ꯀꯤꯗꯅꯤ ꯃꯥꯡ-ꯇꯥꯀꯄꯒꯨꯝꯕꯥ ꯁꯥꯏꯗ ꯏꯐꯦꯛꯇꯁꯤꯡ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ NSAIDꯁꯤꯡ ꯑꯁꯤ ꯏꯐꯦꯛꯇꯤꯚ ꯑꯣꯏꯗ꯭ꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯏꯝꯝꯌꯨꯟ ꯁꯤꯁ꯭ꯇꯦꯝ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯥ ꯑꯀꯛꯅꯕꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ (ꯕꯥꯏꯑꯣꯂꯣꯖꯤꯀꯦꯜ) ꯄꯤꯕꯥ ꯌꯥꯏ, ꯍꯥꯌꯕꯗꯤ TNF ꯏꯅꯍꯤꯕꯤꯇꯔꯁꯤꯡ .

꯳.ꯐꯤꯖꯤꯀꯦꯜ ꯊꯦꯔꯥꯄꯤ ꯇꯧꯕꯥ꯫

ꯇ꯭ꯔꯦꯟ ꯇꯧꯔꯕꯥ ꯐꯤꯖꯤꯀꯦꯜ ꯊꯦꯔꯥꯄꯤꯁ꯭ꯠ ꯑꯃꯒꯤ ꯂꯃꯖꯤꯡ ꯃꯈꯥꯗꯥ ꯑꯆꯨꯝꯕꯥ ꯑꯦꯛꯁꯔꯁꯥꯏꯖꯁꯤꯡ ꯇꯝꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫ ꯃꯈꯣꯌꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗ ꯑꯗꯨ ꯃꯄꯥꯉ꯭ꯒꯜ ꯀꯅꯈꯠꯍꯅꯕꯥ, ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯃꯁꯂꯁꯤꯡ ꯆꯦꯠꯁꯤꯂꯍꯅꯕꯥ, ꯄꯣꯁ꯭ꯠ-ꯑꯣꯔꯒꯥꯅꯥꯏꯖꯦꯁꯟ ꯑꯗꯨ ꯆꯨꯃꯊꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯒꯤ ꯇꯦꯛꯅꯤꯀꯁꯤꯡ ꯇꯝꯕꯤꯒꯅꯤ꯫

ꯃꯁꯤꯅꯥ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗ ꯈꯛꯇꯗꯥ ꯁꯣꯀꯍꯅꯕꯔꯥ? ꯑꯇꯣꯞꯄꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ ꯂꯩꯕ꯭ꯔꯥ?

ꯍꯣꯌ, nr-axSpA ꯑꯁꯤ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗꯇꯥ ꯂꯤꯃꯤꯠ ꯂꯩꯕꯥ ꯂꯥꯌꯅꯥ ꯑꯃꯅꯤ꯫ ꯃꯁꯤꯒꯤ ꯏꯝꯝꯌꯨꯟ ꯁꯤꯁ꯭ꯇꯦꯝ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯁꯟ ꯑꯁꯤꯅꯥ ꯍꯀꯆꯥꯡꯒꯤ ꯑꯇꯩ ꯃꯐꯃꯁꯤꯡꯗꯁꯨ ꯁꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫

• ꯃꯤꯠ: ꯌꯨꯕꯦꯇꯤꯁ ꯑꯁꯤ ꯃꯤꯠꯀꯤ ꯃꯅꯨꯡꯗꯥ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯁꯟ ꯊꯣꯀꯍꯅꯕꯥ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫ ꯂꯥꯏꯑꯣꯡꯁꯤꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯂꯥꯂꯍꯧꯕꯥ , ꯑꯅꯥꯕꯥ, ꯃꯤꯠ ꯎꯗꯕꯥ , ꯑꯃꯁꯨꯡ ꯃꯉꯥꯂꯗꯥ ꯁꯦꯟꯁꯤꯇꯤꯚ ꯑꯣꯏꯕꯥ ꯑꯁꯤꯅꯆꯤꯡꯕꯥ ꯌꯥꯎꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯍꯦꯛꯇꯕꯨ ꯊꯦꯡꯅꯔꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯈꯨꯗꯛꯇꯥ ꯑꯥꯏ ꯗꯣꯛꯇꯔ ꯑꯃꯒꯥ ꯇꯥꯟꯅꯒꯗꯕꯅꯤ .
• ꯗꯥꯏꯖꯦꯁ꯭ꯇꯤꯚ ꯁꯤꯁ꯭ꯇꯦꯝ: ꯃꯤꯑꯣꯏ ꯈꯔꯒꯤ ꯑꯣꯏꯅꯗꯤ꯫ꯀ꯭ꯔꯣꯅꯤꯛ ꯗꯤꯖꯤꯖ ꯅꯠꯠꯔꯒꯥ ꯑꯂꯁꯦꯔꯦꯇꯤꯚ ꯀꯣꯂꯥꯏꯇꯤꯁꯒꯨꯝꯕꯥ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯇꯔꯤ ꯕꯣꯋꯦꯜ ꯗꯤꯖꯤꯖ (IBD) ꯑꯁꯤꯅꯥ ꯈꯣꯡ ꯍꯥꯝꯕꯥ ꯑꯃꯁꯨꯡ ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯗꯥꯏꯔꯤꯌꯥ ꯂꯩꯔꯀꯄꯒꯨꯝꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫
• ꯈꯣꯡ: ꯆꯥꯎꯔꯥꯛꯅꯥ ꯄꯦꯁꯦꯟꯇ 10%ꯗꯤ ꯁꯣꯔꯤꯌꯥꯁꯤꯁ , ꯈꯣꯡꯗꯥ ꯂꯥꯂꯍꯧꯕꯥ, ꯂꯦꯡ-ꯑꯣꯠꯄꯒꯤ ꯃꯑꯣꯡ-ꯃꯇꯧꯁꯤꯡ ꯊꯣꯀꯍꯜꯂꯤꯕꯥ ꯈꯣꯡꯒꯤ ꯂꯥꯌꯅꯥ ꯑꯃꯁꯨ ꯂꯥꯀꯄꯥ ꯌꯥꯏ꯫

ꯃꯇꯃꯒꯤ ꯃꯇꯨꯡ ꯏꯟꯅꯥ ꯂꯥꯌꯅꯥ ꯑꯁꯤꯅꯥ ꯑꯗꯣꯃꯗꯥ ꯀꯔꯝꯅꯥ ꯁꯣꯀꯍꯅꯒꯅꯤ ꯍꯥꯌꯕꯁꯤ ꯆꯨꯝꯅꯥ ꯍꯥꯌꯕꯥ ꯉꯃꯗꯦ꯫ ꯃꯤꯑꯣꯏ ꯈꯔꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯆꯞ ꯃꯥꯟꯅꯅꯥ ꯂꯩꯕꯥ ꯌꯥꯏ, ꯑꯗꯨꯒꯥ ꯑꯇꯩ ꯈꯔꯗꯗꯤ ꯍꯦꯟꯅꯥ ꯐꯠꯆꯤꯜꯂꯛꯇꯕꯥ ꯌꯥꯏ꯫ ꯃꯤꯑꯣꯏ ꯈꯔꯒꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯑꯦ.ꯑꯦꯁ. ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯑꯆꯨꯝꯕꯥ ꯂꯥꯏꯌꯦꯡ ꯑꯃꯁꯨꯡ ꯄꯨꯟꯁꯤ ꯃꯍꯤꯡꯒꯥ ꯂꯣꯌꯅꯅꯥ, ꯅꯍꯥꯛꯅꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯐꯖꯅꯥ ꯃꯦꯅꯦꯖ ꯇꯧꯕꯥ ꯉꯃꯒꯅꯤ ꯑꯃꯁꯨꯡ ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯕꯥ ꯄꯨꯟꯁꯤ ꯑꯃꯥ ꯍꯤꯡꯕꯥ ꯉꯃꯒꯅꯤ꯫