ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯎꯞ ꯑꯗꯨ ꯃꯐꯝ ꯑꯃꯗꯥ ꯄꯣꯄꯊꯣꯛꯂꯤꯕ꯭ꯔꯥ? (ꯄꯦꯇꯦꯂꯥꯔ ꯁꯕꯂꯛꯁꯦꯁꯟ) ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯁꯤ!

ꯅꯍꯥꯛꯅꯥ ꯂꯥꯟꯊꯦꯡꯅꯔꯤꯉꯩꯗꯥ, ꯊꯣꯉꯅꯥꯑꯣꯗꯥ ꯆꯦꯅꯁꯤꯜꯂꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯅꯠꯠꯔꯒꯥ ꯁꯨꯞꯅꯒꯤ ꯂꯦꯞꯄꯥ ꯃꯇꯃꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯎꯞ ꯑꯗꯨ ꯃꯐꯝ ꯑꯃꯗꯒꯤ ꯂꯥꯞꯅꯥ ꯄꯣꯄꯆꯤꯜꯂꯀꯄꯒꯨꯝ ꯐꯥꯑꯣꯈꯤꯕ꯭ꯔꯥ? ꯃꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯨꯎ ꯑꯗꯨ ꯁꯣꯀꯄꯥ, ꯁꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯆꯠꯄꯗꯥ ꯑꯋꯥꯕꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤ ꯃꯇꯝ ꯈꯔꯗꯗꯤ ꯌꯥꯝꯅꯥ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯑꯦꯛꯁꯄꯔꯤꯌꯦꯟꯁ ꯑꯃꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯅꯥ, ꯉꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯃꯁꯤꯒꯤ ꯅꯤꯀꯦꯞ ꯄꯣꯄꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯔꯤ, ꯃꯁꯤ ``ꯄꯦꯇꯦꯂꯥꯔ ꯁꯕꯂꯛꯁꯦꯁꯟ'' ꯀꯧꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫

ꯃꯐꯝ ꯑꯃꯗꯥ ꯆꯦꯟꯊꯔꯀꯄꯥ ꯈꯣꯡꯎꯞ ꯑꯁꯤ ꯀꯔꯤꯅꯣ (Patellar Subluxation)?

ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ``ꯄꯦꯇꯦꯂꯥꯔ ꯁꯕꯂꯛꯁꯦꯁꯟ'' ꯍꯥꯌꯕꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯎꯞ, ꯑꯩꯈꯣꯌꯅꯥ ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯑꯣꯏꯅꯥ ``ꯄꯦꯇꯦꯂꯥ'' ꯍꯥꯌꯅꯥ ꯀꯧꯕꯥ ꯁꯔꯨꯛ ꯑꯗꯨ ꯃꯁꯥꯒꯤ ꯃꯐꯝ ꯑꯗꯨꯗꯒꯤ ꯁꯔꯨꯛ ꯈꯔꯗꯤ ꯂꯧꯊꯣꯀꯄꯥ ꯃꯇꯃꯗꯥꯅꯤ꯫ ꯃꯁꯤ ``ꯄꯦꯇꯦꯂꯥꯔ ꯗꯤꯁꯂꯣꯀꯦꯁꯟ'' ꯑꯃꯅꯤ, ꯃꯁꯤ ꯈꯨꯎꯒꯤ ꯃꯄꯨꯡꯐꯥꯕꯥ ꯗꯤꯁꯂꯣꯀꯦꯁꯟ ꯑꯃꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯂꯥꯟꯅꯥ ꯂꯧꯔꯣꯏꯗꯕꯅꯤ꯫ ``ꯗꯤꯁꯂꯣꯀꯦꯁꯟ'' ꯑꯃꯗꯥ, ꯈꯣꯡꯎꯞ ꯑꯁꯤ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯃꯗꯨꯒꯤ ꯁꯣꯀꯦꯠ ꯑꯗꯨꯗꯒꯤ ꯊꯣꯔꯀꯏ꯫

ꯅꯍꯥꯛꯀꯤ ꯊꯣꯡꯅꯥꯎ (Femur) ꯑꯃꯁꯨꯡ ꯁꯤꯟ ꯕꯣꯟ (Tibia)ꯒꯤ ꯃꯔꯛꯇꯥ ꯂꯩꯕꯥ ꯈꯨꯎꯒꯤ ꯈꯣꯡꯄꯥꯛ ꯅꯠꯠꯔꯒꯥ ꯄꯦꯇꯦꯂꯥ ꯑꯗꯨ ꯃꯍꯧꯁꯥꯅꯥ ꯇ꯭ꯔꯣꯛꯂꯤꯌꯔ ꯒ꯭ꯔꯨꯞ (trochlear groove) ꯀꯧꯕꯥ ꯚꯔꯇꯤꯀꯦꯜ ꯒ꯭ꯔꯨꯞ ꯑꯃꯗꯥ ꯃꯊꯛꯇꯥ ꯑꯃꯁꯨꯡ ꯃꯈꯥꯗꯥ ꯆꯦꯟꯊꯈꯤ ꯍꯥꯌꯅꯥ ꯈꯅꯕꯤꯌꯨ꯫ ꯃꯁꯤ ꯇ꯭ꯔꯦꯟ ꯑꯃꯒꯤ ꯃꯊꯛꯇꯥ ꯆꯠꯂꯤꯕꯥ ꯇ꯭ꯔꯦꯟ ꯑꯃꯒꯨꯝꯕꯅꯤ꯫ ꯄꯦꯇꯦꯂꯥꯔ ꯁꯕꯂꯛꯁꯦꯁꯟ ꯑꯃꯗꯥ, ꯈꯨꯎꯒꯤ ꯈꯣꯡ ꯑꯗꯨ ꯃꯇꯝ ꯈꯔꯒꯤ ꯑꯣꯏꯅꯥ ꯒ꯭ꯔꯨꯞ ꯑꯁꯤꯗꯒꯤ ꯂꯥꯞꯅꯥ ꯂꯩ ꯑꯃꯁꯨꯡ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯃꯐꯝ ꯑꯗꯨꯗꯥ ꯂꯩꯔꯝꯕꯥ ꯃꯐꯝ ꯑꯗꯨꯗꯥ ꯍꯜꯂꯀꯏ . ꯑꯌꯥꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯈꯨꯎꯒꯤ ꯈꯣꯡꯄꯥꯛ ꯑꯗꯨ ꯈꯣꯡꯒꯤ ꯃꯄꯥꯟꯗꯥ ꯆꯦꯟꯊꯈꯤ, ꯑꯗꯨꯕꯨ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯃꯗꯨ ꯃꯅꯨꯡꯗꯥ ꯆꯦꯟꯊꯈꯤꯕꯥ ꯌꯥꯏ꯫

ꯃꯁꯤꯅꯥ ꯌꯥꯝꯅꯥ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯑꯃꯁꯨꯡ ꯈꯣꯡꯅꯥ ꯆꯠꯄꯗꯥ ꯑꯋꯥꯕꯥ ꯄꯤꯕꯥ ꯌꯥꯏ꯫ ꯍꯟꯖꯤꯟ ꯍꯟꯖꯤꯟ ꯄꯦꯇꯦꯂꯥꯔ ꯁꯕꯂꯛꯁꯦꯁꯟ ꯇꯧꯕꯅꯥ ꯑꯔꯊ꯭ꯔꯥꯏꯇꯤꯁ, ꯀꯥꯔꯇꯤꯂꯦꯖ ꯃꯥꯡꯍꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯈꯨꯎꯒꯤ ꯑꯄꯨꯅꯕꯥ ꯏꯅꯁ꯭ꯇꯦꯕꯤꯂꯤꯇꯤ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ . ꯃꯁꯤꯅꯥ ꯑꯇꯣꯞꯄꯥ ꯈꯨꯎꯒꯤ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯃꯁꯤꯡ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯄꯦꯇꯦꯂꯥꯔ ꯗꯤꯁꯂꯣꯀꯦꯁꯟ ꯑꯗꯨ ꯃꯐꯃꯗꯨꯗꯥ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯆꯪꯂꯕꯁꯨ, ꯂꯥꯏꯌꯦꯡꯅꯕꯒꯤꯗꯃꯛ ꯗꯣꯛꯇꯔ ꯑꯃꯒꯥ ꯇꯥꯟꯅꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫

``ꯄꯦꯇꯦꯂꯥꯔ ꯁꯕꯂꯛꯁꯦꯁꯟ'' ꯑꯃꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯀꯔꯤꯅꯣ?

ꯈꯨꯎꯒꯤ ꯈꯣꯡꯄꯥꯛ ꯑꯗꯨ ꯄꯣꯄꯊꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯅꯍꯥꯛꯅꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯎꯕꯥ ꯐꯪꯒꯅꯤ:

• ꯈꯨꯎꯒꯤ ꯃꯄꯥꯟꯊꯣꯡꯗꯒꯤ ꯎꯕꯥ ꯐꯪꯂꯤꯕꯥ ꯗꯤꯐꯣꯔꯃꯤꯇꯤ (ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯈꯨꯎꯒꯤ ꯈꯣꯡ ꯑꯗꯨ ꯃꯥꯌꯀꯩ ꯑꯃꯗꯥ ꯂꯦꯡꯗꯅꯥ ꯂꯩꯕꯥ ꯎꯕꯥ ꯐꯪꯏ)꯫
• ꯈꯨꯎꯗꯥ ꯁꯥꯊꯤꯕꯥ ꯑꯅꯥꯕꯥ .
• ꯈꯨꯎꯗꯥ ꯁꯣꯀꯄꯥ .
• ꯈꯨꯎꯗꯒꯤ ꯂꯥꯀꯄꯥ "ꯀ꯭ꯂꯤꯛ" ꯅꯠꯠꯔꯒꯥ "ꯄꯣꯞ" ꯍꯥꯌꯕꯥ ꯈꯣꯟꯖꯦꯜ ꯑꯃꯒꯤ ꯐꯤꯚꯝ ꯅꯠꯠꯔꯒꯥ ꯇꯥꯕꯥ꯫
• ꯈꯨꯎ ꯑꯗꯨ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯁꯣꯀꯄꯥ, ꯅꯠꯠꯔꯒꯥ "ꯂꯣꯛ" ꯇꯧꯔꯀꯄꯒꯨꯝꯕꯥ ꯐꯤꯚꯝ ꯑꯃꯥ .
• ꯈꯨꯎꯒꯤ ꯏꯅꯁ꯭ꯇꯦꯕꯤꯂꯤꯇꯤ , ꯈꯨꯎ ꯑꯗꯨ "ꯋꯥꯕꯂꯤꯡ" ꯇꯧꯕꯒꯨꯝꯅꯥ꯫
• ꯁ꯭ꯇꯦꯖꯁꯤꯡꯗꯥ ꯆꯠꯄꯥ ꯑꯃꯁꯨꯡ ꯂꯥꯞꯅꯥ ꯆꯠꯄꯥ, ꯅꯠꯠꯔꯒꯥ ꯂꯦꯡꯗꯅꯥ ꯂꯩꯕꯥ .
• ꯈꯨꯎꯒꯤ ꯐꯤꯚꯝ ꯑꯁꯤ "ꯅꯣꯡꯃꯩ ꯀꯥꯞꯄꯥ" ꯅꯠꯠꯔꯒꯥ "ꯊꯋꯥꯌ ꯊꯥꯗꯣꯀꯄꯥ" ꯍꯥꯌꯕꯁꯤꯅꯤ꯫

ꯅꯍꯥꯛꯅꯥ ``Patellar Subluxation'' ꯑꯃꯥ ꯂꯩꯕꯥ ꯃꯇꯃꯗꯥ, ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡ ꯑꯗꯨ ꯍꯧꯖꯤꯀꯁꯨ ꯁꯣꯀꯦꯠꯀꯤ ꯃꯅꯨꯡꯗꯥ ꯆꯥꯡ ꯈꯔꯗꯥ ꯆꯪꯁꯤꯜꯂꯤ, ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯈꯣꯡꯅꯥ ꯆꯠꯄꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯕꯨ ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯑꯃꯁꯨꯡ ꯇꯪꯗꯨ ꯂꯩꯇꯥꯗꯕꯥ ꯐꯥꯎꯕꯥ ꯌꯥꯏ꯫ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯄꯥꯛ ꯑꯗꯨ ꯆꯠꯄꯥ ꯃꯇꯃꯗꯥ "ꯀ꯭ꯂꯤꯛ" ꯍꯥꯌꯕꯥ ꯈꯣꯟꯖꯦꯜ ꯑꯃꯁꯨ ꯇꯥꯕꯥ ꯌꯥꯏ꯫

ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤꯒꯤ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ ꯅꯠꯠꯔꯒꯥ ꯂꯣꯡ-ꯇꯔꯝ ꯏꯐꯦꯛꯇꯁꯤꯡ ꯀꯔꯤꯅꯣ?

ꯃꯁꯤꯒꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤꯕꯨ ``ꯄꯦꯇꯦꯂꯥ ꯁꯕꯂꯛꯁꯦꯁꯟ`` ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ꯃꯁꯤ ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯕꯥ ꯋꯥꯐꯝ ꯑꯃꯅꯤ꯫ ꯃꯁꯤꯗꯁꯨ ꯅꯠꯇꯅꯥ, ꯃꯁꯤ ꯑꯌꯥꯝꯕꯅꯥ ꯃꯄꯨꯡꯐꯥꯕꯥ ``ꯗꯤꯁꯂꯣꯀꯦꯁꯟ`` ꯑꯃꯗꯥ ꯄ꯭ꯔꯣꯒ꯭ꯔꯦꯁ ꯇꯧꯕꯥ ꯌꯥꯏ, ꯃꯁꯤꯅꯥ ꯇꯥꯀꯄꯗꯤ ꯈꯨꯎꯒꯤ ꯈꯣꯡꯄꯥꯛ ꯑꯗꯨ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯃꯐꯃꯗꯨꯗꯒꯤ ꯂꯥꯞꯅꯥ ꯂꯩ ꯍꯥꯌꯕꯅꯤ꯫ ꯃꯁꯤꯒꯤ ꯃꯊꯛꯇꯥ, ꯈꯣꯡꯗꯥ ꯇꯪꯗꯨ ꯂꯩꯇꯥꯗꯕꯥ ꯑꯁꯤꯅꯥ ꯀꯥꯔꯇꯤꯂꯦꯖꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ . ꯃꯇꯃꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ, ꯃꯁꯤꯅꯥ ꯈꯨꯎꯒꯤ ꯑꯣꯁ꯭ꯇꯤꯑꯣꯑꯔꯊ꯭ꯔꯥꯏꯇꯤꯁ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫

ꯈꯅꯕꯤꯌꯨ, ꯁ꯭ꯀꯨꯂꯒꯤ ꯅꯦꯇꯕꯣꯜ ꯇꯤꯃꯗꯥ ꯂꯩꯕꯥ ꯅꯤꯁꯥꯜ ꯀꯧꯕꯥ ꯅꯍꯥ ꯑꯣꯏꯔꯤꯕꯥ ꯅꯨꯄꯤꯃꯆꯥ ꯑꯃꯥ ꯂꯩꯔꯤ꯫ ꯅꯨꯃꯤꯠ ꯑꯃꯗꯥ ꯄ꯭ꯔꯦꯛꯇꯤꯁ ꯇꯧꯔꯤꯉꯩꯗꯥ ꯈꯉꯍꯧꯗꯅꯥ ꯃꯍꯥꯛꯀꯤ ꯈꯣꯉꯎꯞ ꯑꯗꯨ ꯈꯔꯥ ꯂꯥꯄꯊꯣꯀꯈꯤ, ꯑꯃꯁꯨꯡ "ꯀ꯭ꯂꯤꯛ" ꯍꯥꯌꯕꯥ ꯈꯣꯟꯖꯦꯜ ꯑꯃꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯃꯍꯥꯛꯀꯤ ꯈꯣꯉꯎꯞ ꯑꯗꯨ ꯃꯥꯏꯀꯩ ꯑꯃꯗꯥ ꯆꯦꯅꯁꯤꯜꯂꯀꯄꯒꯨꯝ ꯐꯥꯑꯣꯈꯤ꯫ ꯃꯇꯝ ꯈꯔꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯃꯍꯥꯛ ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯅꯥ ꯍꯜꯂꯀꯈꯤꯕꯒꯨꯝ ꯐꯥꯑꯣꯈꯤ ꯑꯗꯨꯕꯨ ꯃꯍꯥꯛꯀꯤ ꯈꯨꯎ ꯑꯗꯨ ꯁꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯁꯣꯀꯄꯥ ꯍꯧꯔꯀꯈꯤ꯫ ꯃꯍꯥꯛꯅꯥ ꯃꯁꯤꯗꯥ ꯌꯥꯝꯅꯥ ꯃꯤꯠꯌꯦꯡ ꯆꯪꯈꯤꯗꯦ꯫ ꯑꯗꯨꯕꯨ ꯃꯇꯨꯡꯗꯥ ꯃꯍꯥꯛꯀꯤ ꯈꯣꯉꯎꯞ ꯑꯗꯨ ꯃꯇꯝ ꯄꯨꯝꯅꯃꯛꯇꯥ "ꯆꯠꯄꯥ" ꯍꯧꯔꯀꯈꯤ, ꯑꯃꯁꯨꯡ ꯃꯍꯥꯛ ꯁꯥꯟꯅꯕꯁꯨ ꯉꯃꯈꯤꯗꯦ꯫ ꯃꯍꯥꯛꯅꯥ ꯗꯣꯛꯇꯔꯗꯥ ꯎꯠꯂꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯈꯛꯇꯗꯥ ꯃꯍꯥꯛꯅꯥ ꯃꯁꯤ ``ꯄꯦꯇꯦꯂꯥꯔ ꯁꯕꯂꯛꯁꯦꯁꯟ'' ꯑꯃꯅꯤ ꯍꯥꯌꯕꯥ ꯈꯉꯈꯤ, ꯑꯃꯁꯨꯡ ꯀꯥꯔꯇꯤꯂꯦꯖꯗꯥ ꯑꯃꯥꯡ ꯑꯇꯥ ꯈꯔꯥ ꯊꯣꯀꯈꯤ꯫

`(Patellar Subluxation)`ꯒꯤ ꯃꯔꯃꯁꯤꯡ ꯀꯔꯤꯅꯣ?

ꯑꯌꯥꯝꯕꯥ ꯀꯦꯁꯁꯤꯡꯗꯗꯤ, ꯈꯨꯎꯒꯤ ꯈꯣꯡ ꯑꯁꯤ ꯑꯁꯤꯒꯨꯝꯅꯥ ꯄꯣꯄꯊꯣꯛꯂꯀꯄꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯔꯃꯗꯤ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯄꯅꯤ . ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯈꯣꯡꯗꯥ ꯍꯀꯊꯦꯡꯅꯅꯥ ꯁꯣꯀꯄꯥ꯫ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯐꯨꯇꯕꯣꯂꯒꯨꯝꯕꯥ ꯍꯥꯏ-ꯏꯝꯄꯦꯛꯇ ꯁ꯭ꯄꯣꯔꯇꯁ ꯁꯥꯟꯅꯔꯤꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯗꯥ ꯍꯦꯟꯅꯥ ꯊꯣꯀꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯃꯈꯥ ꯊꯪꯕꯥ ꯁꯔꯨꯛ ꯑꯗꯨ ꯃꯥꯂꯦꯃꯗꯥ ꯆꯦꯠꯅꯥ ꯊꯃꯖꯤꯜꯂꯕꯗꯤ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯈꯨꯎ ꯑꯗꯨ ꯈꯪꯍꯧꯗꯅꯥ ꯃꯅꯨꯡꯗꯥ ꯅꯠꯠꯔꯒꯥ ꯃꯄꯥꯟꯗꯥ ꯆꯦꯟꯊꯈꯤꯕꯁꯨ ꯌꯥꯏ꯫

ꯃꯁꯤꯒꯤ ꯃꯊꯛꯇꯥ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯈꯨꯎꯒꯤ ꯁꯔꯨ ꯇꯥꯡꯗꯥ ꯂꯩꯕꯥ ꯂꯤꯒꯥꯃꯦꯟꯇꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯇꯦꯟꯗꯣꯅꯁꯤꯡꯗꯥ ꯖꯦꯅꯦꯔꯦꯜ ꯂꯦꯛꯁꯤ (patellar instability) ꯂꯩꯔꯕꯗꯤ , ꯃꯁꯤꯅꯥ ꯄꯦꯇꯦꯂꯥꯔ ꯁꯕꯂꯛꯁꯦꯁꯟ ꯑꯃꯁꯨ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫

ꯄꯦꯇꯦꯂꯔ ꯁꯕꯂꯛꯁꯦꯁꯅꯒꯤ ꯔꯤꯁ꯭ꯛ ꯐꯦꯛꯇꯔꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯤꯅꯣ?

ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤꯅꯥ ꯀꯅꯥꯒꯨꯝꯕꯥ ꯑꯃꯠꯇꯗꯥ ꯁꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ ꯑꯗꯨꯕꯨ ꯃꯁꯤ ꯈꯣꯡꯒꯤ ꯃꯁꯂꯁꯤꯡ ꯁꯣꯟꯊꯕꯥ ꯑꯃꯁꯨꯡ ꯇꯦꯟꯗꯣꯟ ꯂꯦꯛꯁꯤꯖꯦꯟ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯗꯥ ꯍꯦꯟꯅꯥ ꯀꯃꯟ ꯑꯣꯏ꯫ ꯃꯁꯤ ꯃꯈꯥꯒꯤ ꯃꯤꯑꯣꯏꯁꯤꯡꯗꯁꯨ ꯍꯦꯟꯅꯥ ꯀꯃꯟ ꯑꯣꯏ:

• ꯆꯍꯤ 10 ꯑꯃꯁꯨꯡ 20ꯒꯤ ꯃꯔꯛꯇꯥ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡ (ꯃꯔꯨꯑꯣꯏꯅꯥ ꯅꯍꯥ ꯑꯣꯏꯔꯤꯕꯥ ꯁꯥꯟꯅꯔꯣꯏꯁꯤꯡ)꯫
• ꯐꯤꯖꯤꯀꯦꯜ ꯑꯣꯏꯅꯥ ꯑꯦꯛꯇꯤꯕ ꯑꯣꯏꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡ .
• ꯅꯨꯄꯤꯁꯤꯡ (ꯅꯨꯄꯤꯃꯆꯥꯁꯤꯡꯗꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯂꯥꯀꯄꯒꯤ ꯆꯥꯡ ꯈꯔꯥ ꯍꯦꯟꯅꯥ ꯋꯥꯡꯏ)꯫
• ꯁꯥꯟꯅꯔꯣꯏꯁꯤꯡ ꯅꯠꯠꯔꯒꯥ ꯁꯥꯟꯅꯄꯣꯠꯁꯤꯡꯗꯥ ꯌꯥꯝꯅꯥ ꯇꯣꯏꯅꯥ ꯁꯔꯨꯛ ꯌꯥꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡ꯫
• ꯆꯥꯡꯆꯠꯇꯥ ꯍꯦꯟꯅꯥ ꯋꯥꯡꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡ .

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯃꯥꯡꯗꯥ ꯈꯨꯎꯒꯤ ꯈꯣꯡꯄꯥꯛ ꯑꯗꯨ ꯗꯤꯁꯂꯣꯀꯦꯁꯟ ꯅꯠꯠꯔꯒꯥ ꯄꯥꯔꯁꯤꯑꯦꯜ ꯗꯤꯁꯂꯣꯀꯦꯁꯅꯒꯤ ꯁꯔꯖꯔꯤ ꯇꯧꯈ꯭ꯔꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯂꯥꯀꯄꯒꯤ ꯆꯥꯡ ꯍꯦꯜꯂꯤ꯫

`(Patellar Subluxation)` ꯑꯃꯥ ꯅꯍꯥꯛꯅꯥ ꯀꯔꯝꯅꯥ ꯗꯥꯏꯑꯦꯒ꯭ꯅꯣꯁꯤꯁ ꯇꯧꯒꯅꯤ?

ꯗꯣꯛꯇꯔ ꯑꯃꯒꯥ ꯎꯅꯔꯕꯥ ꯃꯇꯃꯗꯥ ꯃꯈꯣꯌꯅꯥ ꯐꯤꯖꯤꯀꯦꯜ ꯑꯦꯀꯖꯥꯃꯤꯅꯦꯁꯟ ꯑꯃꯥ ꯇꯧꯒꯅꯤ . ꯃꯈꯣꯌꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡ ꯑꯗꯨ ꯀꯨꯄꯁꯤꯅꯒꯅꯤ ꯑꯃꯁꯨꯡ ꯆꯦꯠꯁꯤꯅꯍꯅꯒꯅꯤ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯈꯨꯎꯒꯤ ꯑꯀꯣꯌꯕꯗꯥ ꯐꯥꯑꯣꯒꯅꯤ꯫ ꯃꯈꯣꯌꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯈꯨꯎꯒꯤ ꯈꯣꯡꯎꯞ ꯑꯗꯨ ꯆꯦꯟꯊꯗ꯭ꯔꯤꯉꯩꯗꯥ ꯀꯔꯤ ꯊꯣꯀꯈꯤꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯍꯪꯒꯅꯤ꯫

ꯗꯣꯛꯇꯔ ꯑꯗꯨꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯑꯈꯟꯅꯕꯥ ꯇꯦꯁ꯭ꯠ (subluxation tests) ꯈꯔꯁꯨ ꯄꯥꯡꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯈꯣꯌꯅꯥ ꯏꯃꯦꯖꯤꯡ ꯇꯦꯁ꯭ꯠ ꯈꯔꯁꯨ ꯇꯧꯕꯥ ꯌꯥꯏ , ꯃꯈꯣꯌꯁꯤꯡ ꯑꯗꯨꯗꯤ:

• ꯈꯨꯎꯒꯤ ꯑꯦꯛꯁ-ꯔꯦ ꯇꯧꯕꯥ꯫ꯇꯦꯁ꯭ꯠ ꯑꯃꯥ꯫
• ꯑꯦꯝ.ꯑꯥꯔ.ꯑꯥꯏ.ꯁ꯭ꯀꯦꯟ `(ꯑꯦꯝ.ꯑꯥꯔ.ꯑꯥꯏ.ꯁ꯭ꯀꯦꯟ)` ꯇꯦꯁ꯭ꯠ ꯇꯧꯕꯥ꯫
• ꯁꯤ.ꯇꯤ.ꯁ꯭ꯀꯦꯟ ꯑꯃꯥ ꯍꯥꯌꯕꯁꯤ ꯇꯦꯁ꯭ꯠ ꯑꯃꯅꯤ꯫

ꯄꯦꯇꯦꯂꯥꯔ ꯁꯕꯂꯛꯁꯦꯁꯟ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯂꯥꯌꯦꯡꯕꯒꯦ?

ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯑꯍꯥꯅꯕꯗꯥ ꯃꯁꯤ ꯂꯥꯌꯦꯡꯅꯕꯥ ꯅꯟ-ꯁꯔꯖꯤꯀꯦꯜ ꯃꯦꯊꯗꯁꯤꯡ ꯍꯣꯠꯅꯒꯅꯤ, ꯃꯔꯨꯑꯣꯏꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯊꯧꯗꯣꯛ ꯑꯁꯤ ꯑꯍꯥꯅꯕꯥ ꯑꯣꯏꯅꯥ ꯊꯣꯛꯂꯕꯗꯤ꯫ ꯅꯟ-ꯁꯔꯖꯤꯀꯦꯜ ꯇ꯭ꯔꯤꯇꯃꯦꯟꯇ ꯑꯣꯄꯁꯅꯁꯤꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯁꯤꯡꯁꯤ ꯌꯥꯎꯏ:

• ꯔꯥꯏꯁ ꯃꯦꯊꯗ: ꯃꯁꯤꯒꯤ ꯑꯔꯊꯗꯤ:
• `ꯔꯦꯁ꯭ꯠ`: ꯈꯨꯎꯗꯥ ꯔꯦꯁ꯭ꯠ ꯇꯧꯕꯥ꯫
• `ꯑꯥꯏꯁ`: ꯁꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯑꯅꯥꯕꯥ ꯍꯟꯊꯍꯟꯅꯕꯥ ꯑꯥꯏꯁ ꯊꯥꯕꯥ꯫
• ꯀꯝꯞꯔꯦꯁꯟ (compression): ꯁꯣꯀꯄꯥ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯅꯕꯥ ꯈꯨꯎꯒꯤ ꯑꯀꯣꯌꯕꯗꯥ ꯑꯀꯅꯕꯥ ꯕꯦꯟꯗꯦꯖ ꯑꯃꯥ꯫
• ꯋꯥꯡꯈꯠꯄꯥ (elevation): ꯈꯣꯡ ꯍꯥꯝꯕꯥ ꯍꯟꯊꯍꯟꯅꯕꯥ ꯈꯣꯡ ꯑꯗꯨ ꯋꯥꯡꯈꯠꯍꯟꯗꯨꯅꯥ ꯊꯝꯕꯥ꯫
• ꯑꯦꯟ.ꯑꯦꯁ.ꯑꯦ.ꯑꯥꯏ.ꯗꯤ.ꯁꯤꯡ: ꯃꯁꯤ ꯅꯟ-ꯁ꯭ꯇꯦꯔꯣꯏꯗ ꯑꯦꯟꯇꯤ-ꯏꯅꯐ꯭ꯂꯦꯃꯦꯇꯔꯤ ꯗ꯭ꯔꯒꯁꯤꯡ (ꯑꯦꯟ.ꯑꯦꯁ.ꯑꯦ.ꯑꯥꯏ.ꯗꯤ.ꯁꯤꯡ)ꯅꯤ, ꯃꯈꯣꯌꯁꯤꯡ ꯑꯁꯤ ꯄꯦꯟ ꯀꯤꯂꯔ ꯑꯃꯁꯨꯡ ꯑꯦꯟꯇꯤ-ꯏꯅꯐ꯭ꯂꯦꯃꯦꯇꯔꯤ ꯗ꯭ꯔꯒꯁꯤꯡꯅꯤ꯫ ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯏꯕꯨꯞꯔꯣꯐꯦꯟ (Advil®)꯫
• ꯏꯃꯣꯕꯤꯂꯥꯏꯖꯦꯁꯟ: ꯑꯁꯣꯛ-ꯑꯄꯟ ꯑꯗꯨꯒꯤ ꯃꯑꯣꯡ-ꯃꯇꯧꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ, ꯈꯨꯎꯒꯤ ꯕ꯭ꯔꯦꯁ ꯅꯠꯠꯔꯒꯥ ꯀꯥꯁ꯭ꯠ ꯑꯃꯥ ꯁꯤꯖꯤꯟꯅꯗꯨꯅꯥ ꯈꯨꯎ ꯑꯗꯨ ꯏꯃꯣꯕꯤꯂꯥꯏꯖꯦꯁꯟ ꯇꯧꯕꯥ ꯌꯥꯏ꯫
• ꯈꯣꯡꯅꯥ ꯆꯠꯄꯥ/ ꯆꯠꯊꯣꯛ-ꯆꯠꯁꯤꯟ ꯇꯧꯕꯥ ꯌꯥꯕꯥ ꯃꯇꯦꯡꯁꯤꯡ: ꯅꯍꯥꯛꯀꯤ ꯈꯨꯎꯗꯥ ꯂꯣꯗ ꯍꯟꯊꯍꯟꯅꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯀ꯭ꯔꯨꯆ, ꯀꯦꯟ ꯅꯠꯠꯔꯒꯥ ꯋꯥꯀꯔ ꯑꯃꯥ ꯁꯤꯖꯤꯟꯅꯅꯕꯥ ꯍꯥꯌꯔꯀꯄꯥ ꯌꯥꯏ꯫ ꯅꯍꯥꯀꯄꯨ ꯖꯦ-ꯕ꯭ꯔꯦꯁ ꯅꯠꯠꯔꯒꯥ ꯄꯦꯇꯦꯂꯥ-ꯁ꯭ꯇꯦꯕꯤꯂꯥꯏꯖꯤꯡ ꯁ꯭ꯂꯤꯚꯒꯨꯝꯕꯥ ꯐꯉ꯭ꯀꯁꯅꯦꯜ ꯅꯤ ꯕ꯭ꯔꯦꯁ ꯑꯃꯥ ꯁꯤꯖꯤꯟꯅꯅꯕꯥ ꯍꯥꯌꯕꯁꯨ ꯌꯥꯏ꯫
• ꯑꯣꯔꯊꯣꯇꯤꯛꯁ (ꯑꯈꯟꯅꯕꯥ ꯖꯨꯇꯣꯁꯤꯡ): ꯅꯍꯥꯛꯅꯥ ꯈꯨꯎꯗꯥ ꯄ꯭ꯔꯦꯁꯔ ꯍꯟꯊꯍꯟꯅꯕꯥ ꯑꯈꯟꯅꯅꯥ ꯗꯤꯖꯥꯏꯟ ꯇꯧꯔꯕꯥ ꯖꯨꯇꯣꯁꯤꯡ ꯅꯠꯠꯔꯒꯥ ꯏꯅꯁꯣꯂꯁꯤꯡ ꯁꯤꯖꯤꯟꯅꯅꯕꯥ ꯄꯥꯎꯇꯥꯛ ꯄꯤꯕꯥ ꯌꯥꯏ꯫
• ꯐꯤꯖꯤꯀꯦꯜ ꯊꯦꯔꯥꯄꯤ: ꯃꯁꯤꯅꯥ ꯈꯨꯎꯒꯤ ꯑꯀꯣꯌꯕꯗꯥ ꯂꯩꯕꯥ ꯃꯁꯂꯁꯤꯡ ꯃꯄꯥꯉ꯭ꯒꯜ ꯀꯅꯈꯠꯍꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯁꯣꯟꯊꯍꯅꯕꯇꯥ ꯅꯠꯇꯅꯥ ꯕꯦꯂꯦꯟꯁ ꯐꯒꯠꯍꯅꯕꯇꯥ ꯅꯠꯇꯅꯥ (ꯄ꯭ꯔꯣꯞꯔꯤꯑꯣꯁꯦꯄꯁꯟ) ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯗꯨ ꯊꯥ ꯀꯌꯥꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯐꯒꯠꯂꯛꯠꯔꯕꯗꯤ, ꯅꯠꯠꯔꯒꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯄꯦꯇꯦꯂꯔ ꯁꯕꯂꯛꯁꯦꯁꯟ ꯑꯃꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯂꯩꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯁꯔꯖꯔꯤ ꯇꯧꯅꯕꯥ ꯄꯥꯎꯇꯥꯛ ꯄꯤꯕꯥ ꯌꯥꯏ . ꯁꯔꯖꯤꯀꯦꯜ ꯑꯣꯄꯁꯅꯁꯤꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯁꯤꯡꯁꯤ ꯌꯥꯎꯏ:

• ꯂꯦꯇꯔꯦꯜ ꯔꯤꯂꯤꯖ: ꯃꯁꯤꯗꯥ ``ꯂꯦꯇꯔꯦꯜ ꯔꯦꯇꯤꯅꯥꯀꯨꯂꯝ'' ꯀꯧꯕꯥ ꯈꯨꯎꯒꯤ ꯁꯔꯨꯛ ꯑꯗꯨ ꯀꯀꯊꯠꯄꯥ ꯑꯃꯁꯨꯡ ꯈꯨꯎꯒꯤ ꯄꯣꯖꯤꯁꯟ ꯑꯗꯨ ꯆꯨꯃꯊꯣꯀꯄꯥ (``Patella Positioning'') ꯌꯥꯎꯏ꯫ ꯃꯁꯤ ꯃꯍꯧꯁꯥꯅꯥ ꯑꯇꯩ ꯔꯤꯀꯟꯁꯠꯔꯛꯁꯟ ꯄ꯭ꯔꯣꯁꯤꯗ꯭ꯌꯨꯑꯣꯔꯁꯤꯡꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯄꯥꯡꯊꯣꯀꯏ꯫
• ꯃꯦꯗꯤꯌꯝ ꯄꯦꯇꯦꯂꯣꯐꯦꯃꯣꯔꯦꯜ ꯂꯤꯒꯥꯃꯦꯟꯇ (MPFL) ꯔꯤꯄꯦꯌꯥꯔ ꯇꯧꯕꯥ (Medial Patellofemoral Ligament) (MPFL) ꯔꯤꯄꯦꯌꯥꯔ ꯇꯧꯕꯥ (medial Patellofemoral Ligament) (MPFL) ꯔꯤꯄꯦꯌꯥꯔ ꯇꯧꯕꯥ (medial Patellofemoral Ligament) (MPFL) ꯔꯤꯄꯦꯌꯥꯔ ꯇꯧꯕꯥ (medial Patellofemoral Ligament) (MPFL) ꯔꯤꯄꯦꯌꯥꯔ ꯇꯧꯕꯥ (medial Patellofemoral Ligament) (MPFL) ꯔꯤꯄꯦꯌꯥꯔ ꯇꯧꯕꯥ (repair and strengthen) ꯂꯤꯒꯥꯃꯦꯟꯇꯁꯤꯡ ꯑꯗꯨ ꯔꯤꯄꯦꯌꯥꯔ ꯇꯧꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯃꯄꯥꯉ꯭ꯒꯜ ꯀꯅꯈꯠꯍꯟꯅꯕꯥ ꯁꯔꯖꯔꯤ ꯑꯃꯅꯤ꯫
• ꯑꯦꯝ.ꯄꯤ.ꯑꯦꯐ.ꯑꯦꯜ.ꯒꯤ ꯔꯤꯀꯟꯁꯠꯔꯛꯁꯟ: ꯃꯁꯤ ꯑꯥꯔꯊ꯭ꯔꯣꯁ꯭ꯀꯣꯄꯤꯛ ꯁꯔꯖꯔꯤ ꯑꯃꯅꯤ, ꯃꯁꯤꯅꯥ ꯇꯥꯀꯄꯗꯤ ꯃꯁꯤ ꯀꯦꯃꯦꯔꯥ ꯁꯤꯖꯤꯟꯅꯗꯨꯅꯥ ꯑꯄꯤꯀꯄꯥ ꯏꯅꯁꯤꯁꯅꯁꯤꯡꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯄꯥꯡꯊꯣꯀꯏ꯫ ꯃꯁꯤꯗꯥ, ꯅꯍꯥꯛꯀꯤ ꯏꯁꯥꯒꯤ ꯍꯦꯃꯁ꯭ꯠꯔꯤꯡ ꯃꯁꯂꯒꯤ ꯁꯔꯨꯛ ꯑꯃꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯂꯧꯊꯣꯀꯏ ꯑꯃꯁꯨꯡ ꯃꯦꯗꯤꯌꯝ ꯄꯦꯇꯦꯂꯣꯐꯦꯃꯣꯔꯦꯜ ꯂꯤꯒꯥꯃꯦꯟꯇ ꯑꯗꯨ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯁꯦꯃꯒꯠꯂꯀꯏ꯫
• ꯑꯣꯁ꯭ꯇꯤꯑꯣꯇꯣꯃꯤ: ꯱.ꯃꯁꯤꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯁꯤꯟ ꯕꯣꯟ (Tibia) ꯑꯗꯨ ꯑꯀꯛꯅꯕꯥ ꯑꯦꯉ꯭ꯒꯂꯁꯤꯡꯗꯥ ꯀꯀꯊꯠꯄꯥ ꯑꯃꯁꯨꯡ ꯁꯤꯟ ꯕꯣꯟ, ꯅꯤꯀꯦꯞ, ꯊꯤꯡꯖꯤꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯀꯅꯦꯛꯇꯤꯚ ꯇꯤꯁꯨꯁꯤꯡ ꯑꯗꯨ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯄꯣꯖꯤꯁꯟ ꯇꯧꯕꯥ ꯌꯥꯎꯏ꯫

ꯑꯩꯅꯥ ꯀꯗꯥꯏꯗꯥ ꯗꯣꯛꯇꯔꯒꯥ ꯎꯅꯒꯗꯒꯦ?

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ``Patellar Subluxation'' ꯑꯃꯥ ꯂꯩꯕꯥ ꯌꯥꯏ ꯍꯥꯌꯅꯥ ꯈꯜꯂꯕꯗꯤ, ꯍꯥꯌꯕꯗꯤ ꯅꯍꯥꯛꯅꯥ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯂꯩꯔꯦ ꯍꯥꯌꯅꯥ ꯈꯜꯂꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯁꯣꯌꯗꯅꯥ ꯗꯣꯛꯇꯔ ꯑꯃꯒꯥ ꯇꯥꯟꯅꯒꯗꯕꯅꯤ:

• ꯑꯅꯥꯕꯥ ꯑꯃꯁꯨꯡ ꯁꯣꯀꯄꯥ .
• ꯈꯣꯡꯅꯥ ꯃꯥꯂꯦꯃꯗꯥ ꯑꯔꯨꯝꯕꯥ ꯂꯧꯕꯥ ꯉꯃꯗꯕꯥ .
• "ꯀ꯭ꯂꯤꯛ" ꯇꯧꯕꯥ ꯈꯣꯟꯖꯦꯜ ꯑꯃꯥ ꯅꯠꯠꯔꯒꯥ ꯈꯨꯎꯗꯥ "ꯕꯛꯂꯤꯡ" ꯑꯣꯏꯕꯥ ꯐꯤꯚꯝ ꯑꯃꯥ꯫
• ꯈꯨꯎꯒꯤ ꯈꯣꯡ ꯑꯗꯨ ꯁꯣꯀꯦꯠ ꯑꯗꯨꯗꯒꯤ ꯊꯣꯔꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯏ .

ꯅꯤꯡꯁꯤꯡꯕꯤꯌꯨ, ꯅꯍꯥꯛꯀꯤ ꯈꯨꯎ ꯑꯗꯨ ꯃꯐꯃꯗꯨꯗꯥ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯆꯪꯁꯤꯜꯂꯛꯂꯦ ꯍꯥꯌꯅꯥ ꯈꯜꯂꯕꯁꯨ, ꯗꯣꯛꯇꯔ ꯑꯃꯒꯥ ꯇꯥꯟꯅꯕꯁꯤ ꯍꯧꯖꯤꯀꯁꯨ ꯃꯔꯨꯑꯣꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯂꯥꯏꯌꯦꯡꯗ꯭ꯔꯕꯗꯤ, ꯃꯁꯤ ꯍꯦꯟꯅꯥ ꯇꯣꯏꯅꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯏ ꯑꯃꯁꯨꯡ ꯇꯨꯡꯗꯥ ꯍꯦꯟꯅꯥ ꯆꯥꯎꯕꯥ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯃꯁꯤꯡ ꯊꯣꯀꯍꯜꯂꯀꯄꯥ ꯌꯥꯏ꯫

ꯑꯩꯅꯥ ꯗꯣꯛꯇꯔꯗꯥ ꯀꯔꯤ ꯋꯥꯍꯪ ꯍꯪꯒꯗꯒꯦ?

ꯗꯣꯛꯇꯔ ꯑꯃꯒꯥ ꯎꯅꯅꯕꯥ ꯆꯠꯄꯥ ꯃꯇꯃꯗꯥ, ꯅꯍꯥꯛꯅꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯋꯥꯍꯪꯁꯤꯡ ꯑꯁꯤ ꯍꯪꯂꯀꯄꯥ ꯌꯥꯏ:

• ꯀꯔꯤ ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯑꯣꯄꯁꯅꯁꯤꯡ ꯅꯍꯥꯛꯅꯥ ꯔꯤꯀꯃꯦꯟꯗ ꯇꯧꯔꯤꯕꯒꯦ?
• ꯑꯩꯅꯥ ꯁꯔꯖꯔꯤ ꯇꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯕ꯭ꯔꯥ?
• ꯑꯩꯉꯣꯟꯗꯥ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯂꯥꯀꯄꯒꯤ ꯆꯥꯡ ꯀꯔꯤꯅꯣ?
• ꯑꯩꯒꯤ ꯈꯣꯡꯎꯞ ꯑꯁꯤ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯄꯣꯄꯊꯣꯛꯅꯕꯥ ꯑꯩꯅꯥ ꯀꯔꯤ ꯇꯧꯕꯥ ꯌꯥꯕꯒꯦ?

``ꯄꯦꯇꯦꯂꯥꯔ ꯁꯕꯂꯛꯁꯦꯁꯟ'' ꯑꯃꯗꯒꯤ ꯐꯒꯠꯂꯀꯄꯗꯥ ꯃꯇꯝ ꯀꯌꯥ ꯆꯪꯕꯒꯦ?

ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤꯗꯒꯤ ꯐꯒꯠꯂꯀꯄꯗꯥ ꯆꯪꯕꯥ ꯃꯇꯝ ꯑꯁꯤ ꯐꯦꯛꯇꯔ ꯀꯌꯥꯒꯤ ꯃꯈꯥ ꯄꯣꯜꯂꯤ:

• ꯃꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯑꯍꯥꯅꯕꯥ ꯁꯕꯂꯛꯁꯟ ꯑꯣꯏꯕꯔꯥ ꯅꯠꯔꯒꯥ ꯔꯤꯀꯣꯔꯗ ꯑꯣꯏꯕꯔꯥ ?
• ꯅꯍꯥꯛꯀꯤ ꯀꯟꯗꯤꯁꯅꯒꯤ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯃꯑꯣꯡ ꯑꯗꯨ .
• ꯑꯗꯣꯝꯅꯥ ꯀꯔꯤ ꯃꯈꯂꯒꯤ ꯂꯥꯌꯦꯡ ꯐꯪꯈꯤꯕꯒꯦ ?

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯑꯍꯥꯅꯕꯥ ꯁꯕꯂꯛꯁꯟ ꯑꯣꯏꯔꯕꯗꯤ, ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯑꯣꯏꯗ꯭ꯔꯕꯗꯤ, ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯅꯥ ꯁꯔꯖꯔꯤꯒꯤ ꯃꯊꯧ ꯇꯥꯗ꯭ꯔꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯅꯨꯃꯤꯠ ꯃꯔꯤꯅꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯐꯒꯠꯍꯅꯒꯗꯕꯅꯤ . ꯑꯌꯥꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯐꯤꯖꯤꯀꯦꯜ ꯊꯦꯔꯥꯄꯤ ꯔꯤꯀꯃꯦꯟꯗ ꯇꯧꯒꯅꯤ꯫ ꯅꯍꯥꯛꯀꯤ ꯐꯤꯖꯤꯀꯦꯜ ꯊꯦꯔꯥꯄꯤꯁ꯭ꯠ ꯑꯗꯨꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯑꯀꯛꯅꯕꯥ ꯃꯇꯝ ꯑꯃꯥ ꯄꯤꯕꯥ ꯌꯥꯏ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯁꯕꯂꯛꯁꯦꯁꯟ ꯑꯃꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯇꯧꯈ꯭ꯔꯕꯗꯤ, ꯑꯆꯧꯕꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯑꯃꯥ ꯅꯠꯠꯔꯒꯥ ꯁꯔꯖꯔꯤ ꯑꯃꯥ ꯇꯧꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯔꯤꯀꯣꯚꯔꯤꯒꯤ ꯃꯇꯝ ꯑꯗꯨ ꯍꯦꯟꯅꯥ ꯁꯥꯡꯒꯅꯤ . ꯅꯍꯥꯛꯅꯥ ꯅꯨꯃꯤꯠ 6ꯗꯒꯤ 8 ꯐꯥꯎꯕꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯂꯥꯏꯠ ꯑꯦꯛꯇꯤꯚꯤꯇꯤꯁꯤꯡ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯍꯧꯕꯥ ꯉꯃꯒꯗꯕꯅꯤ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯅꯍꯥꯛꯅꯥ ꯁꯥꯟꯅ-ꯈꯣꯠꯅꯕꯥ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯍꯧꯗ꯭ꯔꯤꯉꯩꯗꯥ ꯆꯍꯤ ꯑꯃꯥ ꯅꯠꯠꯔꯒꯥ ꯃꯁꯤꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯆꯪꯂꯕꯥ ꯌꯥꯏ꯫

ꯄꯦꯇꯦꯂꯥꯔ ꯁꯕꯂꯛꯁꯦꯁꯟ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯊꯤꯡꯒꯗꯒꯦ?

ꯑꯌꯥꯝꯕꯥ ꯄꯦꯇꯦꯂꯥꯔ ꯁꯕꯂꯛꯁꯦꯁꯅꯁꯤꯡ ꯑꯁꯤ ꯑꯁꯣꯛ-ꯑꯄꯅꯁꯤꯡꯅꯥ ꯊꯣꯀꯍꯅꯕꯅꯤ, ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯑꯩꯈꯣꯌꯅꯥ ꯃꯈꯣꯌ ꯄꯨꯝꯅꯃꯛ ꯊꯤꯡꯕꯥ ꯉꯃꯗꯦ꯫ ꯑꯗꯨꯕꯨ ꯅꯍꯥꯛꯀꯤ ꯈꯨꯎꯒꯤ ꯑꯀꯣꯌꯕꯗꯥ ꯂꯩꯕꯥ ꯀꯅꯦꯛꯇꯤꯕ ꯇꯤꯁꯨ ꯑꯗꯨ ꯃꯄꯥꯉ꯭ꯒꯜ ꯀꯅꯈꯠꯍꯟꯅꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯇꯧꯕꯥ ꯌꯥꯕꯥ ꯊꯕꯛ ꯀꯌꯥ ꯂꯩ꯫ ꯅꯍꯥꯛꯀꯤ ꯈꯨꯎꯒꯤ ꯈꯣꯡꯎꯞ ꯑꯗꯨ ꯄꯣꯄꯊꯣꯛꯂꯣꯏꯗꯕꯅꯤ ꯍꯥꯌꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯇꯧꯕꯥ ꯌꯥꯕꯥ ꯊꯕꯛ ꯈꯔꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤ:

• ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯂꯩꯕꯥ ꯃꯁꯜ ꯈꯨꯗꯤꯡꯃꯛ ꯃꯄꯥꯉ꯭ꯒꯜ ꯀꯅꯈꯠꯍꯅꯕꯥ ꯉꯝꯕꯥ ꯍꯀꯆꯥꯡꯒꯤ ꯊꯕꯛ ꯊꯧꯔꯃꯁꯤꯡꯗꯥ ꯁꯔꯨꯛ ꯌꯥꯕꯥ .
• ꯀꯟꯇꯦꯛꯇ ꯁ꯭ꯄꯣꯔꯇꯁ ꯁꯥꯟꯅꯕꯥ ꯃꯇꯃꯗꯥ ꯈꯨꯎꯒꯤ ꯄꯦꯗꯁꯤꯡ ꯁꯤꯖꯤꯟꯅꯕꯥ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯃꯥꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯨꯎꯗꯥ ꯑꯁꯣꯀꯄꯥ ꯂꯩꯔꯕꯗꯤ, ꯈꯨꯎꯒꯤ ꯕ꯭ꯔꯦꯁ ꯑꯃꯥ ꯁꯤꯖꯤꯟꯅꯕꯅꯥ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯍꯟꯗꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯛꯀꯤꯗꯃꯛꯇꯥ ꯐꯤꯖꯤꯀꯦꯜ ꯊꯦꯔꯥꯄꯤ ꯄꯤꯔꯕꯗꯤ, ꯏꯅꯁ꯭ꯠꯔꯛꯁꯅꯁꯤꯡ ꯑꯗꯨ ꯆꯨꯝꯅꯥ ꯏꯅꯒꯗꯕꯅꯤ .

ꯇꯦꯛ-ꯍꯣꯝ ꯃꯦꯁꯦꯖ ꯇꯧꯕꯥ꯫

ꯄꯦꯇꯦꯂꯥꯔ ꯁꯕꯂꯛꯁꯦꯁꯟ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯑꯃꯁꯨꯡ ꯑꯋꯥꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯨꯎ ꯑꯗꯨ ꯇꯪꯗꯨ ꯂꯩꯇꯥꯗꯕꯥ ꯑꯣꯏꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯅꯍꯥꯛꯀꯤ ꯈꯨꯎ ꯑꯗꯨ ꯃꯐꯃꯗꯨꯗꯥ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯊꯝꯕꯥ ꯌꯥꯏ, ꯑꯗꯨꯕꯨ ꯅꯍꯥꯛꯅꯥ ꯁꯣꯌꯗꯅꯥ ꯗꯣꯛꯇꯔ ꯑꯃꯒꯥ ꯇꯥꯟꯅꯒꯗꯕꯅꯤ . ꯃꯔꯃꯗꯤ, ꯃꯇꯃꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ, ꯃꯈꯜ ꯀꯌꯥꯒꯤ ꯁꯕꯂꯛꯁꯦꯁꯅꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯗꯤꯁꯂꯣꯀꯦꯁꯅꯁꯤꯡ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤ ꯊꯣꯀꯍꯟꯗꯅꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯕꯥ ꯌꯥꯏ꯫ ꯃꯍꯥꯛꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯨꯎ ꯑꯗꯨ ꯃꯄꯥꯉ꯭ꯒꯜ ꯀꯅꯈꯠꯍꯟꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯀꯄꯨ ꯂꯝꯕꯤꯗꯥ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯄꯨꯔꯛꯅꯕꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯥ ꯂꯥꯏꯌꯦꯡꯒꯤ ꯑꯣꯄꯁꯅꯁꯤꯡ ꯔꯤꯀꯃꯦꯟꯗ ꯇꯧꯕꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯅꯥ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯈꯨꯎꯒꯤ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯑꯃꯥ ꯂꯩꯔꯕꯗꯤ, ꯃꯗꯨ ꯌꯦꯡꯁꯤꯜꯂꯣꯏꯗꯕꯅꯤ, ꯈꯨꯗꯛꯇꯥ ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯄꯥꯎꯇꯥꯛ ꯂꯧꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯂꯧꯁꯤꯡꯅꯤ!

` ꯄꯦꯇꯦꯂꯥꯔ ꯁꯕꯂꯛꯁꯦꯁꯟ, ꯅꯤꯀꯦꯞ ꯗꯤꯁꯂꯣꯀꯦꯁꯟ, ꯈꯨꯎꯗꯥ ꯑꯅꯥꯕꯥ, ꯈꯨꯎꯒꯤ ꯑꯁꯣꯛ-ꯑꯄꯟ, ꯈꯨꯎꯒꯤ ꯗꯤꯁꯑꯣꯔꯗꯔ, ꯐꯤꯖꯤꯀꯦꯜ ꯊꯦꯔꯥꯄꯤ, ꯈꯨꯎꯒꯤ ꯁꯔꯖꯔꯤ꯫