ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯎꯞ ꯑꯗꯨ ꯄꯣꯄꯊꯣꯀꯈꯤꯕ꯭ꯔꯥ? (ꯄꯦꯇꯦꯂꯥ ꯗꯤꯁꯂꯣꯀꯦꯁꯟ) ꯃꯁꯤ ꯀꯔꯤꯅꯣ ꯍꯥꯌꯕꯗꯨ ꯇꯁꯦꯡꯅꯥ ꯈꯉꯂꯁꯤ!

ꯅꯍꯥꯛꯅꯥ ꯁꯥꯟꯅꯔꯤꯉꯩꯗꯥ, ꯅꯥꯠꯀꯤ ꯑꯣꯏꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯅꯠꯠꯔꯒꯥ ꯈꯪꯍꯧꯗꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯆꯦꯅꯁꯤꯜꯂꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯨꯎꯗꯥ ‘ꯄꯣꯞ’ ꯑꯃꯥ ꯐꯥꯑꯣꯈꯤꯕ꯭ꯔꯥ? ꯅꯍꯥꯛꯀꯤ ꯈꯨꯎ ꯑꯗꯨ ꯃꯥꯌꯀꯩ ꯑꯃꯔꯣꯃꯗꯥ ꯆꯠꯈꯤꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯑꯋꯥꯕꯥ ꯑꯃꯥ ꯐꯥꯑꯣꯈꯤꯕ꯭ꯔꯥ? ꯅꯍꯥꯛꯅꯥ ꯅꯁꯥꯕꯨ ꯈꯣꯡꯅꯥ ꯆꯠꯄꯥ ꯉꯃꯗꯕꯥ ꯎꯈꯤꯕ꯭ꯔꯥ? ꯃꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯑꯣꯏꯅꯥ ꯄꯦꯇꯦꯂꯥ ꯗꯤꯁꯂꯣꯀꯦꯁꯟ ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯑꯦꯛꯁꯄꯔꯤꯌꯦꯟꯁ ꯑꯃꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ ꯑꯗꯨꯕꯨ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯁꯤ ꯈꯉꯂꯕꯗꯤ ꯃꯁꯤ ꯃꯦꯅꯦꯖ ꯇꯧꯕꯗꯥ ꯌꯥꯝꯅꯥ ꯂꯥꯏ꯫ ꯑꯗꯨꯅꯥ, ꯉꯁꯤ ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯁꯤ꯫

ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯃꯁꯤꯒꯤ ꯅꯤꯀꯦꯞ ꯖꯝꯄꯤꯡ ꯑꯁꯤꯒꯤ ꯑꯔꯊ ꯀꯔꯤꯅꯣ?

ꯃꯁꯤ ꯈꯉꯅꯕꯒꯤꯗꯃꯛ ꯑꯍꯥꯅꯕꯗꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯈꯨꯎ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯁꯦꯝꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯁꯤ꯫ ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯏꯆꯝ ꯆꯝꯕꯥ ꯋꯥꯐꯝꯅꯤ꯫ ꯑꯩꯈꯣꯌꯒꯤ ꯈꯨꯎꯒꯤ ꯁꯔꯨꯛ ꯑꯁꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯁꯔꯨ ꯑꯍꯨꯃꯅꯥ ꯁꯦꯝꯕꯅꯤ꯫

1. ꯐꯤꯃꯔ (femur): ꯃꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯃꯊꯛ ꯊꯪꯕꯥ ꯁꯔꯨꯛꯇꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯁꯥꯡꯕꯥ ꯁꯔꯨꯅꯤ꯫

2. ꯂꯦꯡ-ꯑꯣꯠꯄꯒꯤ ꯃꯈꯥ ꯊꯪꯕꯥ ꯁꯔꯨꯛ (tibia): ꯃꯁꯤ ꯈꯨꯎꯒꯤ ꯃꯈꯥꯗꯥ ꯑꯃꯁꯨꯡ ꯃꯃꯥꯡꯗꯥ ꯂꯩꯕꯥ ꯑꯀꯅꯕꯥ ꯁꯔꯨꯅꯤ꯫

3. Kneecap (patella): ꯃꯁꯤ ꯃꯔꯛꯇꯥ ꯂꯩꯕꯥ, ꯁꯔꯨ ꯑꯅꯤ ꯑꯁꯤꯒꯤ ꯃꯃꯥꯡꯗꯥ ꯂꯩꯕꯥ ꯑꯄꯤꯀꯄꯥ, ꯇ꯭ꯔꯤ-ꯑꯦꯉ꯭ꯒꯨꯂꯥꯔ ꯕꯣꯟ ꯑꯃꯅꯤ꯫

ꯃꯁꯤ ꯔꯦꯂꯋꯦ ꯇ꯭ꯔꯦꯛ ꯑꯃꯗꯥ ꯇ꯭ꯔꯦꯟ ꯑꯃꯒꯨꯝ ꯈꯅꯕꯤꯌꯨ꯫ ꯑꯩꯈꯣꯌꯅꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯈꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯀꯨꯄꯁꯤꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯁꯦꯡꯗꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯈꯣꯡꯒꯤ ꯁꯔꯨꯛ (femur)ꯒꯤ ꯃꯈꯥꯗꯥ ꯂꯩꯕꯥ ꯒ꯭ꯔꯨꯞ ꯑꯃꯗꯥ (ꯑꯩꯈꯣꯌꯅꯥ ꯃꯁꯤꯕꯨ `trochlear groove` ꯍꯥꯌꯅꯥ ꯀꯧꯏ) ꯃꯊꯛꯇꯥ ꯑꯃꯁꯨꯡ ꯃꯈꯥꯗꯥ ꯆꯠꯂꯤ꯫ ꯇꯦꯟꯗꯣꯟ ꯑꯃꯁꯨꯡ ꯂꯤꯒꯥꯃꯦꯟꯇꯁꯤꯡꯒꯤ ꯅꯦꯇꯋꯥꯔꯛ ꯑꯃꯅꯥ ꯃꯁꯤꯕꯨ ꯒ꯭ꯔꯨꯞ ꯑꯁꯤꯗꯥ ꯊꯝꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫

ꯄꯦꯇꯦꯂꯥ ꯗꯤꯁꯂꯣꯀꯦꯁꯟ ꯍꯥꯌꯕꯁꯤ ꯈꯨꯎꯒꯤ ꯈꯣꯡ ꯑꯗꯨ, ꯃꯔꯝ ꯈꯔꯗꯒꯤ, ꯃꯗꯨꯒꯤ ꯇ꯭ꯔꯣꯛꯂꯤꯌꯔ ꯒ꯭ꯔꯨꯞ ꯑꯗꯨꯗꯒꯤ ꯂꯥꯞꯅꯥ ꯂꯩꯕꯥ ꯃꯇꯃꯗꯥ ꯑꯣꯏ꯫ ꯃꯁꯤ ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯅꯥ ꯆꯠꯊꯣꯛ-ꯆꯠꯁꯤꯟ ꯇꯧꯕꯥ ꯉꯃꯗꯦ, ꯑꯃꯁꯨꯡ ꯈꯨꯎ ꯑꯗꯨ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯁꯣꯀꯆꯤꯜꯂꯀꯏ꯫ ꯑꯌꯥꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯃꯁꯤꯅꯥ ꯈꯨꯎꯒꯤ ꯃꯄꯥꯟꯗꯥ ꯆꯦꯜꯂꯤ꯫ ꯖꯣꯏꯟꯇ ꯗꯤꯁꯂꯣꯀꯦꯁꯟ ꯑꯃꯍꯦꯛꯇꯒꯨꯝꯅꯥ, ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯁꯣꯀꯏ꯫ ꯑꯗꯨꯕꯨ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯈꯨꯎꯒꯤ ꯈꯣꯡ ꯑꯗꯨ ꯃꯁꯥ ꯃꯊꯟꯇꯥ ꯃꯐꯃꯗꯨꯗꯥ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯁꯣꯀꯄꯥ ꯌꯥꯏ꯫

ꯃꯁꯤꯗꯁꯨ ꯅꯠꯇꯅꯥ, ꯈꯨꯎꯒꯤ ꯈꯣꯡ ꯑꯗꯨ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯃꯐꯃꯗꯨꯗꯒꯤ ꯂꯥꯞꯅꯥ ꯂꯩꯕꯥ ꯃꯇꯃꯗꯥ, ꯈꯔꯥ ꯈꯛꯇꯃꯛ, ꯑꯩꯈꯣꯌꯅꯥ ꯃꯁꯤꯕꯨ (patella subluxation) ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫

ꯈꯣꯡꯎꯞ ꯑꯃꯥ ꯄꯣꯄꯊꯣꯛꯅꯕꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯑꯣꯡ ꯑꯅꯤ ꯂꯩ꯫

ꯑꯩꯈꯣꯌꯅꯥ ꯐꯤꯚꯝ ꯑꯁꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯁꯔꯨꯛ ꯑꯅꯤꯗꯥ ꯈꯥꯌꯗꯣꯀꯏ꯫

• ꯑꯦꯛꯌꯨꯠ ꯄꯦꯇꯦꯂꯥ ꯗꯤꯁꯂꯣꯀꯦꯁꯟ (acute Patella Dislocation): ꯃꯁꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯗꯤꯁꯂꯣꯀꯦꯁꯟ ꯃꯈꯜ ꯑꯃꯅꯤ꯫ ꯃꯁꯤ ꯑꯦꯛꯁꯤꯗꯦꯟꯇ, ꯁꯣꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯁꯣꯛ-ꯄꯅꯕꯥ ꯑꯃꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯈꯨꯎꯒꯤ ꯈꯣꯡ ꯑꯗꯨ ꯈꯪꯍꯧꯗꯅꯥ ꯁꯣꯀꯍꯜꯂꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯊꯣꯀꯏ꯫ ꯈꯨꯎꯒꯤ ꯈꯣꯡ ꯑꯁꯤ ꯑꯇꯩ ꯁꯔꯨ ꯇꯥꯡꯁꯤꯡꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯄꯥꯋꯔ ꯂꯩꯕꯥ ꯌꯥꯏ꯫
• ꯀꯣꯟꯖꯤꯅꯤꯑꯦꯜ ꯄꯦꯇꯦꯂꯥ ꯗꯤꯁꯂꯣꯀꯦꯁꯟ (congenital Patella Dislocation): ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯇꯣꯏꯅꯥ ꯊꯣꯀꯄꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫ ꯑꯉꯥꯡ ꯑꯃꯅꯥ ꯆꯥꯎꯈꯠꯂꯀꯄꯒꯥ ꯂꯣꯌꯅꯅꯥ, ꯈꯨꯎꯒꯤ ꯈꯣꯡ ꯑꯗꯨ ꯇ꯭ꯔꯣꯛꯂꯤꯌꯔ ꯒ꯭ꯔꯨꯞ ꯑꯗꯨꯗꯒꯤ ꯂꯥꯞꯅꯥ ꯂꯩꯔꯀꯏ꯫ ꯃꯁꯤꯕꯨ ꯇ꯭ꯔꯣꯛꯂꯤꯌꯔ ꯗꯤꯁꯞꯂꯦꯁꯤꯌꯥ ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ꯍꯥꯌꯅꯁꯨ ꯍꯥꯌꯔꯤ꯫

ꯅꯍꯥꯛꯀꯤ ꯈꯨꯎ ꯑꯗꯨ ꯁꯣꯀꯍꯜꯂꯦ ꯍꯥꯌꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯀꯔꯝꯅꯥ ꯈꯪꯒꯅꯤ?

ꯈꯨꯎꯒꯤ ꯈꯣꯡꯄꯥꯛ ꯑꯃꯥ ꯄꯣꯄꯊꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯃꯍꯧꯁꯥꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯃꯗꯒꯤ ꯍꯦꯅꯕꯥ ꯎꯕꯥ ꯐꯪꯒꯅꯤ꯫ ꯃꯈꯣꯌꯕꯨ ꯃꯌꯦꯛ ꯁꯦꯡꯅꯥ ꯈꯉꯅꯅꯕꯥ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯌꯦꯡꯁꯤ꯫

ꯃꯁꯤꯅꯥ ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯏꯐꯦꯛꯇ ꯇꯧꯕꯥ ꯉꯃꯒꯗ꯭ꯔꯥ?

ꯍꯣꯌ, ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯆꯠꯀꯗꯕꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯟ ꯈꯔꯗꯤ ꯂꯩꯕꯥ ꯌꯥꯏ꯫ ꯈꯨꯎꯒꯤ ꯈꯣꯡꯄꯥꯛ ꯑꯗꯨ ꯄꯣꯄꯊꯣꯛꯂꯕꯥ ꯃꯇꯨꯡꯗꯥ, ꯁꯔꯨ ꯇꯥꯡ ꯑꯗꯨꯕꯨ ꯊꯤꯡꯖꯤꯜꯂꯤꯕꯥ ꯂꯤꯒꯥꯃꯦꯟꯇꯁꯤꯡ ꯑꯗꯨ ꯂꯦꯡꯗꯅꯥ ꯂꯩꯍꯜꯂꯤ, ꯃꯗꯨꯅꯥ ꯁꯔꯨ ꯇꯥꯡ ꯑꯗꯨ ꯂꯦꯡꯗꯅꯥ ꯂꯩꯍꯜꯂꯤ . ꯃꯁꯤꯗꯁꯨ ꯅꯠꯇꯅꯥ, ꯈꯨꯎꯒꯤ ꯃꯈꯥꯗꯥ ꯂꯩꯕꯥ ꯇꯔꯨ-ꯇꯅꯥꯅꯕꯥ ꯀꯥꯔꯇꯤꯂꯦꯖ ꯑꯗꯨꯁꯨ ꯁꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯅꯥ ꯇꯨꯡꯗꯥ ꯈꯨꯎꯒꯤ ꯑꯣꯁ꯭ꯇꯤꯑꯣꯑꯔꯊ꯭ꯔꯥꯏꯇꯤꯁ ꯂꯥꯀꯄꯒꯤ ꯔꯤꯁ꯭ꯛ ꯍꯦꯅꯒꯠꯍꯜꯂꯤ꯫

ꯃꯔꯨꯑꯣꯏꯅꯥ, ꯈꯨꯎꯒꯤ ꯈꯣꯡꯖꯦꯜ ꯌꯥꯡꯅꯥ ꯆꯦꯅꯕꯥ ꯃꯤꯑꯣꯏ ꯆꯥꯎꯔꯥꯛꯅꯥ 45%ꯗꯤ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯂꯥꯛꯀꯅꯤ꯫ ꯃꯁꯤ ꯅꯨꯃꯤꯠ ꯈꯔꯅꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯅꯠꯠꯔꯒꯥ ꯆꯍꯤ ꯀꯌꯥꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯐꯥꯎꯕꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫

ꯀꯔꯤꯒꯤꯗꯃꯛ ꯈꯣꯡꯎꯞ ꯑꯁꯤ ꯑꯁꯤꯒꯨꯝꯅꯥ ꯂꯥꯞꯅꯥ ꯂꯩꯔꯤꯕꯅꯣ?

ꯑꯦꯛꯁꯤꯗꯦꯟꯇ ꯖꯝꯄꯁꯤꯡꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯔꯃꯗꯤ ꯐꯣꯔꯁ ꯑꯦꯞꯂꯤꯀꯦꯁꯅꯅꯤ꯫ ꯃꯁꯤ ꯃꯑꯣꯡ ꯑꯅꯤꯗꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫

1. ꯍꯀꯊꯦꯡꯅꯅꯥ ꯁꯣꯀꯍꯅꯕꯥ (direct impact): ꯈꯨꯎꯗꯥ ꯍꯀꯊꯦꯡꯅꯅꯥ ꯁꯣꯀꯄꯥ, ꯁꯣꯛ-ꯄꯅꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯀꯟꯅꯥ ꯁꯣꯀꯄꯅꯥ ꯈꯨꯎꯒꯤ ꯈꯣꯡ ꯑꯗꯨ ꯁꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫

2. ꯇ꯭ꯌꯨꯏꯁ꯭ꯇꯤꯡ ꯃꯣꯁꯟ: ꯃꯁꯤ ꯃꯇꯝ ꯄꯨꯝꯅꯃꯛꯇꯥ ꯑꯆꯧꯕꯥ ꯑꯦꯛꯁꯤꯗꯦꯟꯇ ꯑꯃꯥ ꯑꯣꯏꯕꯥ ꯃꯊꯧ ꯇꯥꯗꯦ꯫ ꯅꯍꯥꯛꯅꯥ ꯁꯥꯟꯅꯔꯤ, ꯅꯥꯟꯊꯣꯛꯂꯤ ꯅꯠꯠꯔꯒꯥ ꯂꯥꯟꯊꯦꯡꯅꯔꯤ ꯑꯃꯁꯨꯡ ꯈꯪꯍꯧꯗꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡ ꯑꯗꯨ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯊꯃꯖꯤꯜꯂꯒꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡ ꯑꯗꯨ ꯑꯇꯣꯞꯄꯥ ꯃꯄꯥꯟꯗꯥ ꯀꯨꯄꯁꯤꯜꯂꯤ ꯍꯥꯌꯅꯥ ꯈꯅꯕꯤꯌꯨ꯫ ꯃꯁꯤ ꯊꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯃꯈꯥ ꯊꯪꯕꯥ ꯈꯣꯡ ꯑꯗꯨ ꯃꯐꯝ ꯑꯃꯗꯥ ꯂꯩ, ꯃꯗꯨꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯈꯣꯡꯒꯤ ꯁꯔꯨ ꯇꯥꯡ ꯑꯗꯨ ꯀꯨꯄꯁꯤꯜꯂꯤ꯫ ꯃꯁꯤꯒꯤ ꯐꯣꯔꯁ ꯑꯁꯤꯅꯥ ꯈꯨꯎꯒꯤ ꯈꯣꯡꯄꯥꯛ ꯑꯗꯨ ꯄꯣꯄꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯁꯤ ꯁꯥꯟꯅꯔꯣꯏꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯅꯥꯠꯀꯤ ꯃꯤꯑꯣꯏꯁꯤꯡꯗꯥ ꯌꯥꯝꯅꯥ ꯊꯦꯡꯅꯩ꯫

ꯃꯁꯤꯒꯤ ꯃꯊꯛꯇꯥ, ꯃꯤꯑꯣꯏ ꯈꯔꯗꯤ ꯃꯈꯣꯌꯒꯤ ꯈꯨꯎꯒꯤ ꯈꯣꯡ ꯑꯗꯨ ꯃꯐꯃꯗꯨꯗꯥ ꯊꯃꯖꯤꯜꯂꯤꯕꯥ ꯂꯨꯕꯥ ꯂꯤꯒꯥꯃꯦꯟꯇ ꯑꯃꯁꯨꯡ ꯇꯦꯟꯗꯣꯟ ꯑꯃꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯄꯣꯀꯏ꯫ ꯑꯩꯈꯣꯌꯅꯥ ꯃꯁꯤꯕꯨ ꯄꯦꯇꯦꯂꯔ ꯏꯅꯁ꯭ꯇꯦꯕꯤꯂꯤꯇꯤ ꯍꯥꯌꯅꯥ ꯀꯧꯏ . ꯑꯁꯤꯒꯨꯝꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯅꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯈꯣꯡꯖꯦꯜ ꯌꯥꯡꯅꯥ ꯆꯠꯄꯥ ꯐꯥꯑꯣꯕꯥ ꯃꯈꯣꯌꯒꯤ ꯈꯣꯡꯎꯞ ꯑꯗꯨ ꯄꯣꯄꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫

ꯀꯅꯥꯅꯥ ꯍꯦꯟꯅꯥ ꯈꯨꯗꯣꯡꯊꯤꯕꯥ ꯅꯪꯂꯤꯕꯅꯣ?

ꯑꯦꯛꯁꯤꯗꯦꯟꯇ ꯑꯃꯗꯥ ꯀꯅꯥꯒꯨꯝꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯅꯥ ꯈꯨꯎꯒꯤ ꯈꯣꯡꯖꯦꯜ ꯌꯥꯡꯅꯥ ꯁꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ ꯑꯗꯨꯕꯨ ꯃꯤꯑꯣꯏ ꯈꯔꯒꯤ ꯑꯣꯏꯅꯗꯤ ꯔꯤꯁ꯭ꯛ ꯑꯁꯤ ꯍꯦꯟꯅꯥ ꯋꯥꯡꯏ꯫

ꯗꯣꯛꯇꯔꯅꯥ ꯃꯁꯤ ꯀꯔꯝꯅꯥ ꯇꯁꯦꯡꯅꯥ ꯐꯪꯒꯅꯤ?

ꯃꯍꯧꯁꯥꯅꯥ, ꯗꯣꯛꯇꯔ ꯑꯃꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯨꯎ ꯑꯗꯨ ꯌꯦꯡꯁꯤꯟꯗꯨꯅꯥ, ꯑꯦꯛꯁꯤꯗꯦꯟꯇ ꯑꯗꯨꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯍꯪꯗꯨꯅꯥ ꯑꯃꯁꯨꯡ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯨꯎꯒꯤ ꯈꯣꯡ ꯑꯗꯨ ꯌꯦꯡꯁꯤꯟꯗꯨꯅꯥ ꯈꯪꯗꯣꯀꯄꯥ ꯌꯥꯏ꯫

ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯑꯇꯣꯞꯄꯥ ꯃꯅꯨꯡꯒꯤ ꯑꯣꯏꯕꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯑꯃꯠꯇꯥ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯀꯅꯐꯥꯔꯝ ꯇꯧꯅꯕꯥ ꯏꯃꯦꯖꯤꯡ ꯇꯦꯁ꯭ꯠ ꯀꯌꯥ ꯑꯃꯥ ꯇꯧꯅꯕꯥ ꯄꯥꯎꯇꯥꯛ ꯄꯤꯔꯤ꯫

• ꯈꯨꯎꯒꯤ ꯑꯦꯛꯁ-ꯔꯦ: ꯁꯔꯨ ꯇꯥꯡꯁꯤꯡꯗꯥ ꯐ꯭ꯔꯦꯀꯆꯔ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯆꯦꯛ ꯇꯧ꯫
• ꯑꯦꯝ.ꯑꯥꯔ.ꯑꯥꯏ.
• ꯁꯤ.ꯇꯤ.ꯁ꯭ꯀꯦꯟ: ꯁꯔꯨ ꯇꯥꯡꯁꯤꯡꯒꯤ ꯃꯁꯛ ꯊꯣꯀꯄꯥ ꯐ꯭ꯔꯦꯀꯆꯔ ꯑꯃꯁꯨꯡ ꯄꯣꯖꯤꯁꯟ ꯑꯗꯨ ꯀꯨꯞꯅꯥ ꯊꯤꯖꯤꯅꯕꯥ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯈꯣꯡꯄꯥꯛ ꯑꯗꯨ ꯄꯣꯄꯊꯣꯛꯇꯨꯅꯥ ꯃꯁꯥ ꯃꯊꯟꯇꯥ ꯃꯐꯃꯗꯨꯗꯥ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯆꯦꯜꯂꯤ꯫ ꯃꯁꯤ ꯄꯣꯄꯊꯣꯀꯈꯤꯕꯥ ꯑꯗꯨ ꯅꯍꯥꯛꯅꯥ ꯈꯉꯕꯥ ꯐꯥꯑꯣꯕꯥ ꯉꯃꯗꯦ꯫ ꯑꯗꯨꯕꯨ ꯈꯨꯎ ꯑꯗꯨ ꯁꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯁꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯀꯦꯁꯁꯤꯡꯗꯁꯨ ꯗꯣꯛꯇꯔꯅꯥ ꯃꯊꯛꯇꯥ ꯄꯅꯈ꯭ꯔꯤꯕꯥ ꯁ꯭ꯀꯦꯅꯁꯤꯡ ꯑꯁꯤ ꯁꯤꯖꯤꯟꯅꯗꯨꯅꯥ ꯃꯁꯤ ꯄꯣꯞ ꯑꯃꯅꯤ ꯅꯠꯠꯔꯒꯥ ꯑꯇꯣꯞꯄꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯑꯃꯠꯇꯥ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯈꯪꯗꯣꯀꯄꯥ ꯌꯥꯏ꯫

ꯅꯍꯥꯛꯅꯥ ꯈꯨꯎꯒꯤ ꯈꯣꯡꯖꯦꯜ ꯌꯥꯡꯕꯥ ꯃꯇꯃꯗꯥ ꯀꯔꯤ ꯇꯧꯒꯗꯒꯦ? ꯂꯥꯏꯌꯦꯡꯕꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?

ꯂꯥꯏꯌꯦꯡ ꯑꯁꯤ ꯈꯨꯎꯗꯥ ꯂꯦꯡꯗꯅꯥ ꯂꯩꯕꯗꯒꯤ ꯍꯧꯏ꯫ ꯃꯁꯤꯗꯥ ꯈꯣꯡꯅꯥ ꯆꯠꯂꯣꯏꯗꯕꯅꯤ ꯅꯠꯠꯔꯒꯥ ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯕꯥ ꯊꯕꯛ ꯊꯧꯔꯃꯁꯤꯡ ꯇꯧꯔꯣꯏꯗꯕꯅꯤ꯫ ꯑꯅꯥꯕꯥ ꯑꯃꯁꯨꯡ ꯁꯣꯛ-ꯄꯅꯕꯥ ꯍꯟꯊꯍꯟꯅꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯥꯏꯁ ꯊꯥꯕꯥ ꯌꯥꯏ, ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯄꯤꯕꯥ ꯃꯇꯨꯡꯏꯟꯅꯥ ꯄꯦꯟ ꯀꯤꯂꯔꯁꯤꯡ (e.g. NSAIDs) ꯂꯧꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯒꯤ ꯃꯊꯛꯇꯥ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯃꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯏꯅꯒꯅꯤ꯫

ꯃꯁꯤ ꯑꯩꯍꯥꯛ ꯏꯁꯥꯃꯛ ꯐꯤꯛꯁ ꯇꯧꯕꯥ ꯉꯃꯂꯣꯏꯗ꯭ꯔꯥ? ꯑꯩꯅꯥ ꯗꯣꯛꯇꯔ ꯑꯃꯒꯥ ꯇꯥꯟꯅꯕꯒꯤ ꯃꯊꯧ ꯇꯥꯕ꯭ꯔꯥ?

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯅꯍꯥꯛꯅꯥ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡ ꯑꯗꯨ ꯁꯥꯡꯗꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯃꯗꯨ ꯃꯐꯃꯗꯨꯗꯥ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯁꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯕꯨ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯅꯥꯕꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡ ꯑꯗꯨ ꯁꯥꯡꯗꯣꯀꯄꯥ ꯉꯃꯗ꯭ꯔꯕꯗꯤ ꯃꯗꯨ ꯇꯧꯔꯣꯏꯗꯕꯅꯤ꯫ ꯗꯣꯛꯇꯔ ꯑꯃꯅꯥ ꯑꯅꯥꯕꯥ ꯑꯗꯨ ꯍꯟꯊꯍꯅꯕꯥ ꯉꯝꯃꯤ ꯑꯃꯁꯨꯡ ꯍꯦꯟꯅꯥ ꯂꯥꯌꯊꯣꯀꯍꯅꯕꯥ ꯉꯝꯃꯤ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯨꯎ ꯑꯗꯨ ꯇꯪꯗꯨ ꯂꯩꯇꯥꯗꯕꯥ ꯑꯣꯏꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡ ꯑꯗꯨ ꯋꯥꯡꯈꯠꯍꯅꯕꯗꯥ ꯑꯋꯥꯕꯥ ꯃꯥꯌꯣꯛꯅꯔꯕꯗꯤ, ꯑꯁꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯁꯣꯛ-ꯄꯅꯕꯥ ꯂꯩꯔꯕꯗꯤ, ꯅꯠꯠꯔꯒꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯨꯎ ꯑꯗꯨ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯁꯣꯀꯆꯤꯜꯂꯀꯄꯥ ꯎꯔꯕꯗꯤ, ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯄꯥꯎꯇꯥꯛ ꯁꯣꯌꯗꯅꯥ ꯂꯧꯕꯤꯌꯨ꯫

ꯐꯒꯠꯂꯀꯄꯗꯥ ꯃꯇꯝ ꯀꯌꯥ ꯆꯪꯕꯒꯦ?

ꯃꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯑꯗꯨꯒꯤ ꯃꯑꯣꯡ-ꯃꯇꯧ ꯑꯃꯁꯨꯡ ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯃꯑꯣꯡ ꯑꯗꯨꯒꯤ ꯃꯈꯥ ꯄꯣꯜꯂꯤ꯫

• ꯑꯍꯥꯅꯕꯥ ꯑꯣꯏꯅꯥ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯆꯧꯕꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯑꯃꯠꯇꯥ ꯂꯩꯠꯔꯕꯗꯤ: ꯐꯒꯠꯂꯀꯄꯒꯤ ꯃꯤꯠꯌꯦꯡ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯐꯩ꯫ ꯑꯌꯥꯝꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯅꯥ ꯅꯨꯃꯤꯠ ꯶-꯸ꯅꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯕꯥ ꯅꯣꯡꯃꯒꯤ ꯊꯕꯛ ꯊꯧꯔꯃꯁꯤꯡꯗꯥ ꯍꯜꯂꯀꯄꯥ ꯌꯥꯏ . ꯃꯈꯣꯌꯅꯥ ꯊꯥ ꯳-꯴ꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯁꯥꯟꯅꯄꯣꯠ ꯁꯥꯕꯥ ꯍꯧꯕꯥ ꯌꯥꯏ .
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯍꯟꯖꯤꯟ ꯍꯟꯖꯤꯟ ꯁꯣꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯁꯔꯖꯔꯤ ꯇꯧꯈ꯭ꯔꯕꯗꯤ: ꯐꯒꯠꯂꯀꯄꯒꯤ ꯃꯇꯝ ꯑꯁꯤ ꯍꯦꯟꯅꯥ ꯁꯥꯡꯒꯅꯤ꯫ ꯅꯍꯥꯛꯅꯥ ꯁꯥꯟꯅꯄꯣꯠꯁꯤꯡ ꯁꯥꯟꯅꯕꯗꯥ ꯍꯟꯖꯤꯜꯂꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯆꯍꯤ ꯑꯃꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯆꯪꯂꯝꯕꯥ ꯌꯥꯏ꯫

ꯃꯁꯤ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯊꯣꯀꯍꯟꯗꯅꯕꯥ ꯑꯩꯈꯣꯌꯅꯥ ꯀꯔꯝꯅꯥ ꯊꯤꯡꯒꯅꯤ?

ꯁꯔꯨ ꯇꯥꯡ ꯑꯃꯥ ꯁꯣꯟꯊꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ, ꯂꯤꯒꯥꯃꯦꯟꯇꯁꯤꯡ ꯑꯗꯨ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯁꯣꯀꯆꯤꯜꯂꯀꯏ, ꯃꯗꯨꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯆꯞ ꯃꯥꯟꯅꯕꯥ ꯑꯦꯛꯁꯤꯗꯦꯟꯇ ꯑꯗꯨ ꯊꯣꯛꯂꯕꯗꯤ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯁꯣꯀꯍꯅꯕꯒꯤ ꯆꯥꯡ ꯍꯦꯅꯒꯠꯂꯀꯏ꯫ ꯑꯦꯛꯁꯤꯗꯦꯟꯇ ꯉꯥꯀꯊꯣꯀꯄꯥ ꯑꯁꯤ ꯑꯔꯨꯕꯥ ꯑꯣꯏꯔꯕꯁꯨ, ꯔꯤꯁ꯭ꯛ ꯍꯟꯊꯍꯟꯅꯕꯥ ꯑꯩꯈꯣꯌꯅꯥ ꯇꯧꯕꯥ ꯌꯥꯕꯥ ꯊꯕꯛ ꯀꯌꯥ ꯂꯩꯔꯤ꯫

• ꯐꯤꯖꯤꯀꯦꯜ ꯊꯦꯔꯥꯄꯤ ꯑꯁꯤ ꯃꯌꯦꯛ ꯁꯦꯡꯅꯥ ꯄꯥꯡꯊꯣꯀꯎ: ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔ ꯑꯃꯁꯨꯡ ꯐꯤꯖꯤꯀꯦꯜ ꯊꯦꯔꯥꯄꯤꯁ꯭ꯇꯅꯥ ꯇꯥꯀꯄꯥ ꯃꯇꯨꯡꯏꯟꯅꯥ, ꯑꯀꯛꯅꯕꯥ ꯃꯇꯃꯒꯤ ꯑꯣꯏꯅꯥ ꯑꯦꯛꯁꯔꯁꯥꯏꯖꯁꯤꯡ ꯑꯗꯨ ꯇꯧ꯫ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯑꯔꯨꯝꯕꯥ ꯌꯥꯝꯅꯥ ꯊꯝꯅꯕꯥ ꯂꯥꯡꯇꯛꯅꯒꯅꯨ꯫
• ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯒꯤ ꯃꯁꯂꯁꯤꯡ ꯃꯄꯥꯉ꯭ꯒꯜ ꯀꯅꯈꯠꯍꯅꯒꯗꯕꯅꯤ: ꯅꯍꯥꯛꯀꯤ ꯈꯨꯎꯒꯤ ꯑꯀꯣꯌꯕꯗꯥ ꯂꯩꯕꯥ ꯃꯁꯂꯁꯤꯡ (ꯃꯔꯨꯑꯣꯏꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯒꯤ ꯃꯃꯥꯡ ꯑꯃꯁꯨꯡ ꯃꯇꯨꯡꯗꯥ) ꯃꯄꯥꯉ꯭ꯒꯜ ꯀꯅꯈꯠꯍꯅꯕꯥ ꯉꯝꯕꯥ ꯑꯦꯛꯁꯔꯁꯥꯏꯖꯁꯤꯡ ꯇꯧ꯫ ꯃꯁꯤꯅꯥ ꯃꯁꯜ ꯒ꯭ꯔꯨꯞ ꯑꯃꯈꯛꯇꯗꯥ ꯑꯍꯦꯅꯕꯥ ꯁ꯭ꯠꯔꯦꯁ ꯂꯩꯍꯟꯗꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯒꯅꯤ꯫
• ꯁꯥꯟꯅꯕꯒꯤ ꯃꯑꯣꯡ-ꯃꯇꯧ ꯆꯨꯝꯅꯥ ꯂꯧꯕꯥ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛ ꯑꯁꯤ ꯁꯥꯟꯅꯔꯣꯏ ꯑꯃꯥ ꯑꯣꯏꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯖꯦꯜ ꯑꯃꯁꯨꯡ ꯄꯣꯁ꯭ꯇꯨꯔ ꯑꯗꯨ ꯑꯆꯨꯝꯕꯥ ꯑꯣꯏꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯁ꯭ꯄꯦꯁꯤꯑꯦꯂꯤꯁ꯭ꯠ ꯑꯃꯅꯥ ꯆꯦꯛ ꯇꯧꯍꯜꯂꯨ꯫
• ꯁꯔꯖꯔꯤ꯫

ꯃꯁꯤꯅꯥ ꯌꯥꯝꯅꯥ ꯁꯣꯀꯍꯜꯂꯤꯕꯔꯥ? ꯈꯣꯡꯎꯞ ꯑꯃꯥ ꯄꯣꯄꯊꯣꯛꯂꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯑꯩꯅꯥ ꯆꯠꯄꯥ ꯌꯥꯕ꯭ꯔꯥ?

ꯍꯣꯌ, ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫ ꯈꯨꯎꯒꯤ ꯈꯣꯡꯄꯥꯛ ꯑꯗꯨ ꯆꯦꯟꯊꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯈꯣꯡꯅꯥ ꯆꯠꯄꯥ ꯉꯃꯗꯦ꯫ ꯈꯨꯎ ꯑꯗꯨ ꯂꯣꯛꯂꯤ, ꯅꯠꯠꯔꯒꯥ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯗꯅꯥ ꯀꯨꯄꯁꯤꯜꯂꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯗꯨꯗꯥ ꯑꯔꯨꯝꯕꯥ ꯄꯤꯅꯕꯥ ꯍꯣꯠꯅꯔꯕꯗꯤ, ꯈꯨꯎ ꯑꯗꯨ ‘ꯕꯛꯀꯜ’ ꯇꯧꯒꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯗꯨ ꯃꯐꯃꯗꯨꯗꯥ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯁꯣꯀꯄꯥ ꯇꯥꯔꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯈꯣꯡꯅꯥ ꯆꯠꯄꯥ ꯉꯃꯗꯕꯥ ꯌꯥꯏ, ꯑꯗꯨꯕꯨ ꯑꯅꯥꯕꯥ ꯑꯃꯁꯨꯡ ꯁꯣꯛ-ꯄꯅꯕꯥ ꯂꯩꯒꯅꯤ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯀ꯭ꯔꯆꯁꯤꯡ ꯁꯤꯖꯤꯟꯅꯕꯅꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯥ ꯑꯣꯄꯁꯅꯅꯤ꯫

ꯈꯨꯎꯒꯤ ꯈꯣꯡꯖꯦꯜ ꯌꯥꯡꯕꯥ (necap dislocation) ꯑꯃꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯑꯃꯁꯨꯡ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯕꯥ ꯑꯦꯛꯁꯄꯤꯔꯤꯑꯦꯟꯁ ꯑꯃꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯕꯨ ꯑꯆꯨꯝꯕꯥ ꯂꯥꯏꯌꯦꯡ ꯑꯃꯁꯨꯡ ꯔꯤꯍꯦꯕꯤꯂꯤꯇꯦꯁꯅꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯐꯒꯠꯂꯀꯄꯥ ꯌꯥꯏ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯅꯣꯔꯃꯦꯜ ꯂꯥꯏꯐ ꯑꯃꯁꯨꯡ ꯁꯥꯟꯅ-ꯈꯣꯠꯅꯕꯒꯤ ꯊꯕꯛ ꯊꯧꯔꯃꯁꯤꯡꯗꯥ ꯍꯜꯂꯀꯄꯥ ꯌꯥꯏ꯫ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯋꯥꯐꯃꯗꯤ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯤ ꯏꯅꯁ꯭ꯠꯔꯛꯁꯅꯁꯤꯡ ꯉꯥꯛꯅꯥ ꯆꯠꯄꯅꯤ꯫