ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯒꯤ ꯃꯈꯥꯗꯥ ꯂꯩꯕꯥ ꯑꯀꯅꯕꯥ, ꯑꯀꯅꯕꯥ ꯈꯣꯡꯄꯥꯛ ꯑꯃꯥ ꯐꯥꯎꯕ꯭ꯔꯥ? ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ (ꯄ꯭ꯂꯥꯟꯇꯔ ꯐꯥꯏꯕ꯭ꯔꯣꯃꯥ) ꯈꯉꯂꯁꯤ!

ꯅꯍꯥꯛꯅꯥ ꯈꯣꯉꯅꯥ ꯆꯠꯄꯥ ꯃꯇꯃꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯃꯥ ꯁꯣꯀꯄꯥ ꯌꯥꯏ ꯍꯥꯌꯅꯥ ꯈꯜꯂꯨꯕꯥ ꯌꯥꯏ? ꯃꯐꯃꯗꯨꯗꯥ ꯀꯔꯤꯁꯨ ꯂꯩꯇꯦ꯫ ꯅꯠꯠꯔꯒꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ, ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯒꯤ ꯑꯥꯔꯆꯇꯥ ꯑꯄꯤꯀꯄꯥ ꯄꯣꯠꯁꯛ ꯑꯃꯥ ꯐꯥꯎꯕ꯭ꯔꯥ? ꯃꯁꯤ ꯉꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯋꯥꯔꯤ ꯁꯥꯒꯗꯧꯔꯤꯕꯥ ``ꯄ꯭ꯂꯥꯟꯇꯥꯔ ꯐꯥꯏꯕ꯭ꯔꯣꯃꯥ'' ꯀꯧꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯂꯩꯔꯣꯏ, ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯂꯨꯕꯥ ꯅꯠꯇꯦ, ꯑꯗꯨꯕꯨ ꯃꯁꯤ ꯈꯔꯥ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫

(ꯄ꯭ꯂꯥꯟꯇꯥꯔ ꯐꯥꯏꯕ꯭ꯔꯣꯃꯥ) ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ? ꯇꯁꯦꯡꯅꯥ ꯈꯉꯂꯁꯤ!

ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ``ꯄ꯭ꯂꯥꯟꯇꯥꯔ ꯐꯥꯏꯕ꯭ꯔꯣꯃꯥ'' ꯍꯥꯌꯕꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯒꯤ ꯃꯈꯥ ꯊꯪꯕꯥ ꯁꯔꯨꯛꯇꯥ ꯁꯦꯝꯕꯥ ꯕꯦꯅꯤꯐꯤꯁꯔꯤ, ꯅꯟ-ꯀꯦꯟꯁꯔ ꯂꯝ ꯑꯃꯅꯤ . ꯈꯟꯗꯨꯅꯥ ꯌꯦꯡꯕꯤꯌꯨ, ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯒꯤ ꯈꯣꯡꯎꯄꯇꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯎꯄꯇꯒꯤ ꯍꯧꯔꯒꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯆꯠꯄꯥ ꯌꯥꯕꯥ ꯐꯤꯕꯔꯒꯤ ꯇꯤꯁꯨꯒꯤ ꯑꯀꯅꯕꯥ, ꯏꯂꯥꯁ꯭ꯇꯤꯛ ꯕꯦꯟꯗ ꯑꯃꯥ ꯂꯩ, ꯅꯠꯇꯦ? ꯑꯩꯈꯣꯌꯅꯥ ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯑꯣꯏꯅꯥ ``ꯄ꯭ꯂꯥꯟꯇꯔ ꯐꯦꯁꯤꯌꯥ'' ꯍꯥꯌꯅꯥ ꯀꯧꯔꯤꯕꯥ ꯑꯁꯤꯅꯤ꯫ ꯃꯁꯤꯒꯤ ``ꯄ꯭ꯂꯥꯟꯇꯥꯔ ꯐꯥꯏꯕ꯭ꯔꯣꯃꯥ'' ꯂꯝ ꯑꯁꯤ ``ꯄ꯭ꯂꯥꯟꯇꯥꯔ ꯐꯦꯁꯤꯌꯥ'' ꯑꯗꯨꯒꯤ ꯃꯊꯛꯇꯥ ꯁꯦꯝꯃꯤ꯫

ꯍꯥꯌꯔꯤꯕꯥ ꯕꯝꯄꯁꯤꯡ ꯑꯁꯤ ꯃꯍꯧꯁꯥꯅꯥ ꯌꯥꯝꯅꯥ ꯄꯤꯀꯄꯥ , ꯏꯟꯆꯤ ꯑꯃꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯋꯥꯡꯏ꯫ ꯑꯍꯥꯅꯕꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯈꯣꯌ ꯂꯩ ꯍꯥꯌꯕꯁꯤꯁꯨ ꯈꯪꯂꯃꯗꯕꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯕꯨ ꯃꯈꯣꯌ ꯍꯦꯟꯅꯥ ꯆꯥꯎꯈꯠꯂꯀꯄꯒꯥ ꯂꯣꯌꯅꯅꯥ, ꯅꯠꯠꯔꯒꯥ ꯖꯨꯇꯣꯒꯨꯝꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡꯅꯥ ꯄ꯭ꯔꯦꯁꯔ ꯄꯤꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯁꯣꯀꯄꯥ ꯍꯧꯔꯀꯄꯥ ꯌꯥꯏ .

ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯋꯥꯐꯃꯗꯤ ꯂꯝ (Plantar Fibroma) ꯑꯁꯤ ꯀꯩꯗꯧꯉꯩꯗꯥ ꯀꯦꯟꯁꯔ ꯑꯣꯏꯗꯦ , ꯍꯥꯌꯕꯗꯤ ꯃꯈꯣꯌ ꯑꯁꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯑꯇꯩ ꯃꯐꯃꯁꯤꯡꯗꯥ ꯁꯟꯗꯣꯀꯄꯥ ꯉꯃꯗꯦ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯂꯪꯁꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯁꯦꯃꯒꯠꯂꯛꯂꯕꯗꯤ ꯑꯃꯁꯨꯡ ꯌꯥꯡꯅꯥ ꯆꯥꯎꯈꯠꯂꯛꯂꯕꯗꯤ, ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤꯕꯨ ``ꯄ꯭ꯂꯥꯟꯇꯥꯔ ꯐꯥꯏꯕ꯭ꯔꯣꯃꯦꯇꯣꯁꯤꯁ`` ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯒꯤ ꯃꯈꯥꯗꯥ ꯂꯩꯕꯥ ꯑꯅꯧꯕꯥ ꯂꯝ ꯑꯃꯥ ꯂꯩꯔꯕꯗꯤ, ꯃꯗꯨ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯍꯜꯂꯤꯕꯥ ꯑꯣꯏꯔꯕꯗꯤ, ꯄꯥꯎꯇꯥꯛ ꯂꯧꯅꯕꯥ ꯗꯣꯛꯇꯔ ꯑꯃꯒꯥ ꯇꯥꯟꯅꯕꯅꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯩ꯫

ꯃꯁꯤꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯤꯅꯣ? ꯑꯗꯣꯝꯅꯥ ꯃꯁꯤ ꯀꯔꯝꯅꯥ ꯈꯉꯕꯤꯔꯤꯕꯒꯦ?

``ꯄ꯭ꯂꯥꯟꯇꯥꯔ ꯐꯥꯏꯕ꯭ꯔꯣꯃꯥ``ꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯂꯥꯏꯑꯣꯡꯗꯤ ꯈꯣꯡꯒꯤ ꯃꯌꯥꯏꯗꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯄꯅꯤ . ꯃꯁꯤꯒꯤ ꯑꯅꯥꯕꯥ ꯑꯁꯤ ꯑꯌꯥꯝꯕꯗꯤ ꯈꯣꯡꯒꯤ ꯈꯣꯡꯄꯥꯛꯇꯥ ꯊꯣꯀꯏ꯫

• ꯅꯍꯥꯛꯅꯥ ꯑꯍꯥꯅꯕꯥ ꯑꯣꯏꯅꯥ ꯈꯣꯡꯗꯥ ꯆꯠꯄꯥ ꯃꯇꯃꯗꯥ ꯑꯋꯥꯕꯥ ꯑꯁꯤ ꯐꯥꯎꯕꯥ ꯍꯧꯔꯀꯄꯥ ꯌꯥꯏ , ꯃꯔꯃꯗꯤ ꯈꯣꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯈꯣꯡꯒꯤ ꯕꯣꯜ ꯑꯗꯨꯗꯥ ꯄ꯭ꯔꯦꯁꯔ ꯄꯤ꯫
• ꯃꯤꯑꯣꯏ ꯈꯔꯅꯥ ꯃꯈꯣꯌꯒꯤ ꯈꯣꯉꯎꯄꯇꯥ ꯑꯄꯤꯀꯄꯥ ꯈꯣꯉꯎꯞ ꯑꯃꯥ ꯆꯦꯟꯊꯔꯀꯄꯥ ꯌꯥꯏ ꯍꯥꯌꯅꯥ ꯈꯜꯂꯤ . ꯅꯉꯅꯥ ꯈꯣꯉꯎꯞ ꯑꯗꯨ ꯂꯧꯊꯣꯛꯇꯨꯅꯥ ꯆꯦꯅꯁꯤꯜꯂꯀꯏ, ꯑꯗꯨꯒꯥ ꯃꯁꯤ ꯀꯔꯤꯁꯨ ꯅꯠꯇꯦ꯫ ꯑꯗꯨꯕꯨ ꯈꯣꯡꯅꯥ ꯆꯠꯄꯥ ꯃꯇꯃꯗꯥ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯃꯗꯨꯃꯛ ꯐꯥꯑꯣꯏ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯈꯣꯡꯒꯤ ꯃꯈꯥꯗꯒꯤ ꯊꯣꯔꯀꯄꯥ ꯕꯝꯄ ꯑꯁꯤ ꯎꯕꯥ ꯐꯪꯒꯅꯤ . ꯃꯁꯤ ꯈꯣꯡꯒꯤ ꯃꯈꯥꯗꯥ ꯑꯄꯤꯀꯄꯥ ꯃꯥꯔꯕꯜ ꯑꯃꯒꯨꯝꯅꯥ ꯎꯕꯥ ꯐꯪꯏ꯫ ꯃꯍꯧꯁꯥꯅꯥ ꯏꯟꯆꯤ ꯑꯃꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯅꯦꯝꯃꯤ꯫ ꯈꯣꯡꯒꯤ ꯃꯈꯥ ꯊꯪꯕꯥ ꯁꯔꯨꯛꯇꯥ ꯂꯩꯕꯥ ꯈꯣꯡ ꯑꯗꯨ ꯈꯔꯥ ꯋꯥꯡꯈꯠꯄꯥ ꯃꯑꯣꯡꯗꯥ ꯎꯕꯥ ꯐꯪꯏ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡ ꯑꯃꯁꯨꯡ ꯈꯣꯡꯎꯞ ꯑꯗꯨ ꯃꯊꯛꯇꯥ (ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯄꯥꯛ ꯑꯗꯨꯒꯤ ꯃꯅꯥꯛꯇꯥ) ꯀꯨꯄꯁꯤꯜꯂꯕꯥ ꯑꯃꯁꯨꯡ ꯃꯈꯣꯌꯕꯨ ꯂꯧꯊꯣꯛꯂꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯅꯣꯡꯃꯩ ꯑꯁꯤꯒꯤ ꯍꯦꯟꯅꯥ ꯐꯕꯥ ꯐꯤꯚꯝ ꯑꯃꯥ ꯐꯪꯒꯅꯤ ꯑꯃꯁꯨꯡ ꯃꯗꯨ ꯍꯦꯟꯅꯥ ꯃꯌꯦꯛ ꯁꯦꯡꯅꯥ ꯎꯕꯥ ꯉꯃꯒꯅꯤ꯫

ꯀꯔꯤꯒꯤꯗꯃꯛꯇꯥ ꯃꯁꯤ (ꯄ꯭ꯂꯥꯟꯇꯥꯔ ꯐꯥꯏꯕ꯭ꯔꯣꯃꯥ) ꯊꯣꯛꯂꯤꯕꯅꯣ? ꯃꯔꯃꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?

ꯆꯨꯝꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯃꯁꯤꯒꯤ `(ꯄ꯭ꯂꯥꯟꯇꯔ ꯐꯥꯏꯕ꯭ꯔꯣꯃꯥ)`ꯒꯤ ꯃꯌꯦꯛ ꯁꯦꯡꯕꯥ, ꯑꯀꯛꯅꯕꯥ ꯃꯔꯝ ꯑꯃꯥ ꯐꯪꯗ꯭ꯔꯤ꯫ ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯁꯨꯞꯅꯇꯒꯤ ꯔꯦꯟꯗꯝ ꯑꯣꯏꯅꯥ ꯊꯣꯀꯏ꯫ ꯃꯁꯤꯅꯥ ꯇꯥꯀꯄꯗꯤ ꯀꯅꯥꯒꯨꯝꯕꯥ ꯑꯃꯠꯇꯅꯥ ꯃꯁꯤ ꯗꯤꯕꯦꯂꯞ ꯇꯧꯕꯥ ꯉꯃꯒꯅꯤ꯫

ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯁ꯭ꯇꯗꯤ ꯈꯔꯅꯥ ꯖꯦꯅꯦꯇꯤꯛ ꯄ꯭ꯔꯤꯗꯤꯁꯄꯣꯖꯤꯁꯟ ꯑꯃꯥ ꯐꯪꯂꯦ꯫(`ꯖꯦꯅꯦꯇꯤꯛ ꯄ꯭ꯔꯤꯗꯤꯁꯄꯣꯖꯤꯁꯟ`) ꯑꯁꯤꯅꯥ ꯃꯁꯤꯗꯥ ꯁꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯍꯥꯌꯕꯗꯤ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯏꯃꯨꯡꯒꯤ ꯃꯤꯑꯣꯏ ꯑꯃꯗꯥ, ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯃꯃꯥ-ꯃꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯃꯆꯤꯟ-ꯃꯅꯥꯑꯣ ꯑꯃꯗꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯂꯩꯔꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯃꯁꯤ ꯂꯥꯀꯄꯒꯤ ꯆꯥꯡ ꯈꯔꯥ ꯍꯦꯟꯅꯥ ꯋꯥꯡꯕꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯕꯨ ꯑꯗꯣꯝꯅꯥ ꯃꯁꯤ ꯁꯣꯏꯗꯅꯥ ꯗꯤꯕꯦꯂꯞ ꯇꯧꯒꯅꯤ ꯍꯥꯌꯕꯗꯤ ꯅꯠꯇꯦ꯫

ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯀꯅꯥꯅꯥ ꯍꯦꯟꯅꯥ ꯆꯥꯎꯈꯠꯂꯀꯄꯒꯦ? (ꯔꯤꯁ꯭ꯛ ꯐꯦꯛꯇꯔꯁꯤꯡ) ꯑꯃꯁꯨꯡ ꯑꯦꯟ.

ꯍꯧꯖꯤꯛ, ꯌꯦꯡꯁꯤ, ꯀꯅꯥꯒꯨꯝꯕꯥ ꯑꯃꯅꯥ ``ꯄ꯭ꯂꯥꯟꯇꯥꯔ ꯐꯥꯏꯕ꯭ꯔꯣꯃꯥ'' ꯑꯁꯤ ꯂꯥꯀꯄꯥ ꯉꯃꯂꯕꯁꯨ, ꯃꯤꯑꯣꯏ ꯈꯔꯗꯤ ꯑꯇꯣꯞꯄꯁꯤꯡꯗꯒꯤ ꯈꯔꯥ ꯍꯦꯟꯅꯥ ꯔꯤꯁ꯭ꯛ ꯂꯩ꯫ ꯃꯈꯣꯌ ꯀꯅꯥꯅꯣ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯁꯤ, ꯑꯩꯈꯣꯌꯅꯥ?

• ꯖꯦꯟꯗꯔ: ꯅꯨꯄꯥꯁꯤꯡꯅꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ (Plantar fibromatosis) ꯂꯥꯀꯄꯒꯤ ꯆꯥꯡ ꯑꯁꯤ ꯅꯨꯄꯤꯁꯤꯡꯗꯒꯤ ꯑꯅꯤꯔꯛ ꯍꯦꯜꯂꯤ ꯍꯥꯌꯅꯥ ꯍꯥꯌꯅꯩ꯫
• ꯆꯍꯤ: ꯃꯍꯧꯁꯥꯅꯥ, ꯆꯍꯤ 30 ꯑꯃꯁꯨꯡ 50ꯒꯤ ꯃꯔꯛꯇꯥ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡ, ꯍꯥꯌꯕꯗꯤ ꯆꯍꯤ ꯃꯌꯥꯏ ꯑꯣꯏꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯗꯥ, ꯅꯍꯥ ꯑꯣꯏꯔꯤꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯍꯜ ꯑꯣꯏꯔꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯂꯝ ꯑꯁꯤ ꯂꯥꯀꯄꯥ ꯎꯕꯥ ꯐꯪꯏ꯫
• ꯖꯦꯅꯦꯇꯤꯛ ꯏꯅꯐ꯭ꯂꯨꯑꯦꯟꯖꯥ: ꯃꯃꯥꯡꯗꯥ ꯄꯅꯈ꯭ꯔꯤꯕꯥ ꯃꯇꯨꯡꯏꯟꯅꯥ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯏꯃꯨꯡꯒꯤ ꯃꯤꯑꯣꯏ ꯑꯃꯗꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯂꯩꯔꯕꯗꯤ, ꯃꯁꯤꯅꯥ ꯏꯝꯄꯦꯛꯇ ꯑꯃꯁꯨ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫
• ꯍꯧꯔꯀꯐꯝ: ꯅꯣꯡꯄꯣꯛ ꯌꯨꯔꯣꯄꯤꯌꯟ ꯂꯃꯗꯃꯒꯤ ꯃꯤꯑꯣꯏꯁꯤꯡꯅꯥ ꯃꯁꯤ ꯑꯇꯣꯞꯄꯥ ꯏꯊꯠꯁꯤꯡꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯎꯕꯥ ꯐꯪꯏ꯫

ꯃꯁꯤꯗꯁꯨ ꯅꯠꯇꯅꯥ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯇꯩ ꯍꯀꯁꯦꯂꯒꯤ ꯐꯤꯚꯃꯁꯤꯡ ꯑꯁꯤ ꯂꯩꯔꯕꯗꯤ , ꯅꯍꯥꯛꯀꯤ ``ꯄ꯭ꯂꯥꯟꯇꯔ ꯐꯥꯏꯕ꯭ꯔꯣꯃꯥ'' ꯂꯥꯀꯄꯒꯤ ꯆꯥꯡ ꯑꯁꯤ ꯈꯔꯥ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ ꯌꯥꯏ:

• ` (ꯑꯂꯀꯣꯍꯣꯜ ꯌꯨꯖ ꯗꯤꯁꯑꯣꯔꯗꯔ)` (ꯑꯂꯀꯣꯍꯣꯜ ꯑꯦꯕꯤꯎꯖ)
• ` (ꯗꯥꯏꯑꯦꯕꯦꯇꯤꯖ)` (ꯗꯥꯏꯕꯦꯇꯤꯁ) ꯑꯃꯁꯨꯡ ꯌꯨ.ꯑꯦꯁ.
• ` (Dupuytren's disease)` (ꯃꯁꯤ ꯈꯨꯠꯀꯤ ꯃꯈꯨꯠꯁꯤꯡ ꯑꯗꯨ ꯀꯨꯄꯁꯤꯜꯂꯕꯥ ꯇꯤꯁꯨꯁꯤꯡ ꯑꯗꯨ ꯀꯨꯄꯁꯤꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯃꯈꯨꯠꯁꯤꯡ ꯑꯗꯨ ꯀꯨꯄꯁꯤꯅꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ)
• ` (ꯏꯄꯤꯂꯦꯄꯁꯤ)` (ꯏꯄꯤꯂꯦꯄꯁꯤ ꯅꯠꯠꯔꯒꯥ ꯏꯄꯤꯂꯦꯄꯁꯤ)
• ` (ꯐ꯭ꯔꯣꯖꯦꯟ ꯁꯣꯜꯗꯔ)` (ꯈꯨꯎ ꯑꯗꯨ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯆꯠꯄꯥ ꯉꯃꯗꯕꯥ ꯑꯃꯁꯨꯡ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯆꯠꯄꯥ ꯉꯃꯗꯕꯥ ꯀꯟꯗꯤꯁꯟ)
• ` (Nuckle pads)` (ꯅꯛꯅꯕꯥ ꯈꯣꯡꯗꯥ ꯈꯣꯡ ꯍꯥꯝꯕꯥ, ꯂꯪꯁ ꯁꯦꯝꯕꯥ)
• ` (ꯄꯦꯌꯔꯅꯤꯖ ꯗꯤꯖꯤꯖ)` (ꯃꯁꯤ ꯅꯨꯄꯥꯒꯤ ꯖꯦꯅꯤꯇꯥꯂꯤꯗꯥ ꯊꯣꯀꯄꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ)

ꯗꯣꯛꯇꯔ ꯑꯃꯅꯥ ꯃꯁꯤ ꯀꯔꯝꯅꯥ ꯂꯥꯌꯦꯡꯒꯅꯤ?

ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯕ꯭ꯌꯨꯖꯤꯅꯦꯁ ꯑꯃꯥ ꯂꯩꯕꯥ ꯗꯣꯛꯇꯔ ꯑꯃꯗꯥ ꯆꯠꯄꯥ ꯃꯇꯃꯗꯥ, ꯃꯍꯥꯛꯅꯥ ꯑꯍꯥꯅꯕꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯃꯄꯨꯡꯐꯥꯕꯥ ꯃꯦꯗꯤꯀꯦꯜ ꯍꯤꯁ꯭ꯇꯔꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯍꯪꯒꯅꯤ . ꯃꯁꯤꯅꯥ ꯇꯥꯀꯄꯗꯤ ꯅꯍꯥꯛꯅꯥ ꯂꯩꯔꯤꯕꯥ ꯑꯇꯣꯞꯄꯥ ꯃꯦꯗꯤꯀꯦꯜ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯍꯦꯛꯇꯕꯨ, ꯅꯍꯥꯛꯀꯤ ꯏꯃꯨꯡꯒꯤ ꯀꯅꯥꯒꯨꯝꯕꯥ ꯑꯃꯅꯥ ꯃꯥꯟꯅꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯂꯩꯔꯕꯁꯨ, ꯑꯁꯤꯅꯆꯤꯡꯕꯥ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯃꯈꯣꯌꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡ ꯑꯗꯨ ꯆꯦꯀꯁꯤꯟꯅꯥ ꯌꯦꯡꯁꯤꯅꯒꯅꯤ .

• ꯃꯈꯣꯌꯅꯥ ꯅꯣꯡꯃꯩ ꯀꯥꯞꯇꯨꯅꯥ ꯃꯗꯨꯒꯤ ꯁꯥꯏꯖ ꯑꯃꯁꯨꯡ ꯍꯥꯔꯗꯅꯦꯁ ꯑꯗꯨ ꯌꯦꯡꯏ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯌꯥꯕꯥ ꯇꯥꯔꯕꯗꯤ, ꯃꯗꯨ ꯑꯇꯣꯞꯄꯥ ꯈꯣꯡ ꯑꯗꯨꯒꯥ ꯆꯥꯡꯗꯝꯅꯕꯤꯌꯨ꯫
• ꯗꯣꯛꯇꯔꯒꯤ ꯑꯍꯥꯅꯕꯥ ꯄꯥꯟꯗꯃꯗꯤ ꯃꯁꯤ ``ꯐꯥꯏꯕ꯭ꯔꯣꯃꯥ'' ꯅꯠꯠꯔꯒꯥ ꯑꯇꯩ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯃꯠꯇꯥ ꯑꯣꯏꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯀꯅꯐꯥꯔꯝ ꯇꯧꯕꯅꯤ꯫

ꯑꯌꯥꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯃꯁꯤ ꯄ꯭ꯂꯥꯟꯇꯦꯇꯔ ꯐꯥꯏꯕ꯭ꯔꯣꯃꯥ ꯑꯃꯥ ꯑꯣꯏꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯈꯪꯗꯣꯀꯄꯥ ꯉꯝꯃꯤ, ꯃꯁꯤ ꯃꯁꯤꯒꯤ ꯃꯑꯣꯡ ꯑꯁꯤ ꯌꯦꯡꯕꯈꯛꯇꯗꯥ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯃꯈꯥ ꯇꯥꯅꯥ ꯆꯤꯡꯅꯕꯥ ꯂꯩꯔꯕꯗꯤ, ꯅꯠꯠꯔꯒꯥ ꯃꯁꯤ ꯍꯦꯟꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ ꯍꯥꯌꯕꯥ ꯁꯣꯌꯗꯅꯥ ꯈꯪꯗꯣꯀꯄꯥ ꯄꯥꯝꯂꯕꯗꯤ, ꯃꯈꯣꯌꯅꯥ ꯑꯈꯟꯅꯕꯥ ꯏꯃꯦꯖꯤꯡ ꯇꯦꯁ꯭ꯠ ꯈꯔꯗꯤ ꯑꯣꯔꯗꯔ ꯇꯧꯕꯥ ꯌꯥꯏ, ꯃꯈꯣꯌ ꯑꯗꯨꯗꯤ:

• ꯃꯦꯒ꯭ꯅꯦꯇꯤꯛ ꯔꯤꯖꯣꯅꯦꯟꯁ ꯏꯃꯦꯖꯤꯡ (MRI) ꯁ꯭ꯀꯦꯟ: MRI ꯑꯃꯅꯥ ꯃꯁꯤ ꯐꯥꯏꯕ꯭ꯔꯣꯃꯥ, ꯁꯤꯁ꯭ꯇꯦꯝ ꯅꯠꯠꯔꯒꯥ ꯑꯇꯩ ꯇꯤꯁꯨ ꯑꯃꯍꯦꯛꯇꯕꯨ ꯃꯌꯦꯛ ꯁꯦꯡꯅꯥ ꯈꯪꯗꯣꯀꯄꯥ ꯉꯝꯃꯤ꯫
• ꯈꯣꯡꯒꯤ ꯑꯦꯛꯁ-ꯔꯦ ꯅꯠꯠꯔꯒꯥ ꯕꯣꯟ ꯁ꯭ꯀꯦꯟ ꯇꯧꯕꯥ: ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯂꯪꯁꯀꯤ ꯑꯀꯣꯌꯕꯗꯥ ꯂꯩꯕꯥ ꯁꯔꯨꯁꯤꯡꯗꯥ ꯑꯍꯣꯡꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯑꯃꯍꯦꯛꯇꯕꯨ ꯌꯦꯡꯁꯤꯜꯂꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯊꯣꯛꯂꯕꯁꯨ, ꯃꯈꯣꯌꯅꯥ ꯁꯥꯔꯀꯣꯃꯥꯒꯨꯝꯕꯥ ꯀꯦꯟꯁꯔꯒꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯁꯨ ꯂꯥꯀꯁꯤꯅꯕꯥ ꯉꯝꯃꯤ꯫
• ꯑꯂꯠꯔꯥꯁꯥꯎꯟꯗ ꯁ꯭ꯀꯦꯟ: ꯑꯂꯠꯔꯥꯁꯥꯎꯟꯗ ꯁ꯭ꯀꯦꯟ ꯑꯃꯅꯥ ꯁꯔꯨ ꯇꯥꯡꯒꯤ ꯑꯦꯛꯁ-ꯔꯦꯒꯥ ꯃꯥꯟꯅꯅꯥ ꯇꯔꯨ-ꯇꯅꯥꯅꯕꯥ ꯇꯤꯁꯨꯁꯤꯡ ꯌꯦꯡꯏ꯫ ꯃꯁꯤꯅꯥ ꯂꯝ ꯑꯗꯨꯒꯤ ꯑꯀꯣꯌꯕꯗꯥ ꯂꯩꯕꯥ ꯇꯤꯁꯨꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯃꯅꯨꯡꯗꯥ ꯂꯩꯕꯥ ꯂꯝ ꯑꯗꯨꯒꯤ ꯃꯑꯣꯡ-ꯃꯇꯧ ꯑꯗꯨꯒꯤ ꯑꯐꯕꯥ ꯃꯑꯣꯡ-ꯃꯇꯧ ꯑꯃꯥ ꯂꯧꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫

ꯃꯁꯤꯒꯤ ꯂꯥꯏꯌꯦꯡꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯤꯅꯣ? (ꯂꯥꯏꯌꯦꯡꯕ)

ꯑꯣꯀꯦ, ꯑꯗꯨꯅꯥ ꯍꯧꯖꯤꯛ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯀꯄꯨ ``ꯄ꯭ꯂꯥꯟꯇꯔ ꯐꯥꯏꯕ꯭ꯔꯣꯃꯥ'' ꯂꯩꯔꯦ ꯍꯥꯌꯅꯥ ꯍꯥꯌꯔꯀꯄꯗꯒꯤ ꯅꯍꯥꯛꯅꯥ ꯃꯊꯪꯗꯥ ꯀꯔꯤ ꯇꯧꯒꯅꯤ? ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯑꯃꯠꯇꯥ ꯂꯩꯇꯦ, ꯑꯌꯥꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯃꯁꯤꯒꯤ ꯂꯥꯌꯦꯡ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯂꯥꯏ꯫ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯄꯥꯟꯗꯃꯗꯤ ꯅꯍꯥꯛꯀꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ, ꯃꯔꯨꯑꯣꯏꯅꯥ ꯑꯅꯥꯕꯥ ꯑꯗꯨ ꯍꯟꯊꯍꯅꯕꯅꯤ꯫

ꯃꯈꯥꯗꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯀꯃꯟ ꯑꯣꯏꯅꯥ ꯁꯤꯖꯤꯟꯅꯕꯥ ꯂꯥꯏꯌꯦꯡ ꯈꯔꯗꯤ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤ:

• ꯄꯦꯏꯅꯀꯤꯂꯥꯔ ꯑꯃꯁꯨꯡ ꯑꯦꯟꯇꯤ-ꯏꯅꯐ꯭ꯂꯦꯃꯦꯇꯔꯤ ꯍꯤꯗꯥꯀꯁꯤꯡ: ꯑꯦꯁ꯭ꯄꯤꯔꯤꯟ ꯑꯃꯁꯨꯡ ꯏꯕꯨꯞꯔꯣꯐꯦꯅꯒꯨꯝꯕꯥ ꯑꯣꯚꯔ-ꯗꯤ-ꯀꯎꯟꯇꯔ ꯄꯦꯏꯅꯀꯤꯂꯥꯔ (NSAID)ꯅꯥ ꯑꯅꯥꯕꯥ ꯑꯃꯁꯨꯡ ꯁꯣꯛ-ꯄꯅꯕꯥ ꯍꯟꯊꯍꯅꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯃꯇꯝ ꯄꯨꯝꯅꯃꯛꯇꯥ ꯗꯣꯛꯇꯔ ꯑꯃꯒꯥ ꯇꯥꯟꯅꯕꯅꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯩ꯫
• ꯑꯣꯔꯊꯣꯇꯤꯛꯁ: ꯃꯁꯤ ꯑꯈꯟꯅꯅꯥ ꯗꯤꯖꯥꯏꯟ ꯇꯧꯔꯕꯥ ꯏꯅꯁꯣꯂꯁꯤꯡꯅꯤ ꯑꯃꯁꯨꯡ ꯃꯈꯣꯌ ꯑꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯎꯄꯀꯤ ꯃꯅꯨꯡꯗꯥ ꯊꯝꯃꯤ꯫ ꯃꯈꯣꯌ ꯑꯁꯤ ꯈꯣꯡꯒꯤ ꯕꯣꯜ ꯑꯗꯨꯗꯥ ꯄ꯭ꯔꯦꯁꯔ ꯍꯟꯊꯍꯟꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯈꯣꯡꯗꯥ ꯅꯨꯡꯉꯥꯏꯕꯥ ꯄꯤꯅꯕꯥ ꯁꯦꯃꯈꯤꯕꯅꯤ꯫
• ꯑꯣꯐꯂꯣꯗꯤꯡ ꯄꯦꯗꯁꯤꯡ: ꯃꯁꯤ ꯈꯣꯡꯒꯤ ꯕꯣꯜ ꯑꯗꯨꯗꯥ ꯄ꯭ꯔꯦꯁꯔ ꯍꯟꯊꯍꯟꯅꯕꯥ ꯈꯣꯡꯒꯤ ꯕꯣꯜ ꯑꯗꯨꯒꯤ ꯑꯀꯣꯌꯕꯗꯥ ꯊꯝꯕꯥ ꯗꯣꯅꯦꯠ ꯃꯑꯣꯡꯒꯤ ꯄꯦꯗꯁꯤꯡꯅꯤ꯫ ꯈꯣꯡꯒꯤ ꯕꯣꯜ ꯑꯗꯨꯒꯤ ꯑꯀꯣꯌꯕꯗꯥ ꯊꯝꯂꯕꯥ ꯃꯇꯃꯗꯥ, ꯈꯣꯡꯒꯤ ꯕꯣꯜ ꯑꯗꯨ ꯈꯣꯡꯒꯤ ꯕꯣꯜ ꯑꯗꯨꯗꯥ ꯍꯀꯊꯦꯡꯅꯅꯥ ꯆꯦꯠꯄꯥ ꯉꯃꯗꯦ꯫
• ꯁ꯭ꯠꯔꯦꯆ ꯇꯧꯕꯥ (stratching): ꯄ꯭ꯂꯥꯟꯇꯥꯔ ꯐꯦꯁꯤꯌꯥ (stratching) ꯊꯤꯡꯅꯕꯥ ꯏꯆꯝ ꯆꯝꯕꯥ ꯑꯦꯛꯁꯔꯁꯥꯏꯖꯁꯤꯡꯅꯥ ꯑꯅꯥꯕꯥ ꯍꯟꯊꯍꯅꯕꯗꯥ ꯑꯃꯁꯨꯡ ꯀꯟꯗꯤꯁꯟ ꯑꯗꯨ ꯐꯒꯠꯍꯅꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫
• ꯚꯦꯔꯥꯄꯥꯃꯤꯜ ꯀ꯭ꯔꯤꯝ: ꯃꯁꯤ ꯈꯣꯡꯒꯤ ꯈꯣꯡꯗꯥ ꯊꯥꯕꯥ ꯄ꯭ꯔꯦꯁ꯭ꯛꯔꯤꯄꯁꯟ ꯀ꯭ꯔꯤꯝ ꯑꯃꯅꯤ꯫ ꯁ꯭ꯇꯗꯤ ꯈꯔꯅꯥ ꯇꯥꯛꯂꯤ ꯃꯗꯨꯗꯤ ꯃꯁꯤꯅꯥ ꯁꯣꯀꯄꯥ ꯍꯟꯊꯍꯅꯕꯥ ꯉꯝꯃꯤ ꯑꯃꯁꯨꯡ ꯈꯣꯡ ꯁꯣꯛꯅꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫
• ꯀꯣꯔꯇꯤꯁꯣꯟ ꯏꯅꯖꯦꯀꯁꯅꯁꯤꯡ: ꯑꯅꯥꯕꯥ ꯑꯃꯁꯨꯡ ꯁꯣꯛ-ꯄꯅꯕꯥ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯍꯟꯊꯍꯟꯅꯕꯥ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯀꯣꯔꯇꯤꯁꯣꯟ ꯀꯧꯕꯥ ꯍꯤꯗꯥꯛ ꯑꯃꯥ ꯂꯝꯐꯃꯒꯤ ꯃꯐꯝ ꯑꯗꯨꯗꯥ ꯏꯅꯖꯦꯀꯁꯟ ꯇꯧꯏ꯫
• ꯐꯤꯖꯤꯀꯦꯜ ꯊꯦꯔꯥꯄꯤ: ꯐꯤꯖꯤꯀꯦꯜ ꯊꯦꯔꯥꯄꯤꯁ꯭ꯠ ꯑꯃꯅꯥ ꯅꯍꯥꯛꯀꯤꯗꯃꯛꯇꯥ ꯑꯆꯨꯝꯕꯥ ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯑꯃꯁꯨꯡ ꯂꯥꯏꯌꯦꯡꯁꯤꯡ ꯇꯝꯕꯤꯕꯥ ꯌꯥꯏ꯫

ꯄ꯭ꯂꯥꯟꯇꯦꯇꯔ ꯐꯥꯏꯕ꯭ꯔꯣꯃꯥꯒꯤꯗꯃꯛꯇꯥ ꯑꯩꯅꯥ ꯁꯔꯖꯔꯤ ꯇꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯕ꯭ꯔꯥ?

ꯃꯈꯥ ꯊꯪꯕꯥ ꯁꯔꯨꯛꯇꯥ ꯐꯥꯏꯕ꯭ꯔꯣꯃꯥ ꯑꯃꯥ ꯂꯧꯊꯣꯛꯅꯕꯥ ꯁꯔꯖꯔꯤ ꯇꯧꯕꯥ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯌꯥꯝꯅꯥ ꯊꯦꯡꯅꯩ . ꯑꯌꯥꯝꯕꯥ ꯀꯦꯁꯁꯤꯡꯗꯗꯤ, ꯃꯊꯛꯇꯥ ꯄꯅꯈ꯭ꯔꯤꯕꯥ ꯑꯇꯩ ꯂꯥꯏꯌꯦꯡꯁꯤꯡ ꯑꯁꯤꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯥ ꯌꯥꯏ꯫

ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯂꯥꯏꯌꯦꯡꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯠꯇꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯅꯥꯕꯥ ꯑꯗꯨ ꯀꯣꯀꯍꯅꯕꯥ ꯉꯃꯗ꯭ꯔꯕꯗꯤ, ꯑꯃꯁꯨꯡ ꯃꯁꯤꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯅꯨꯃꯤꯠ ꯈꯨꯗꯤꯡꯒꯤ ꯊꯕꯛ ꯇꯧꯕꯥ ꯐꯥꯎꯕꯥ ꯉꯃꯗ꯭ꯔꯕꯗꯤ, ꯁꯔꯖꯔꯤ ꯑꯁꯤ ꯑꯔꯣꯏꯕꯥ ꯄꯥꯝꯕꯩ ꯑꯃꯥ ꯑꯣꯏꯅꯥ ꯂꯧꯏ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯁꯔꯖꯔꯤ ꯇꯧꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯁꯔꯖꯔꯤ ꯑꯗꯨꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯇꯤꯁꯨ ꯀꯌꯥ ꯂꯧꯊꯣꯛꯀꯅꯤ ꯑꯃꯁꯨꯡ ꯀꯔꯤ ꯃꯈꯂꯒꯤ ꯁꯔꯖꯔꯤ ꯇꯧꯒꯅꯤ ꯍꯥꯌꯕꯗꯨ ꯈꯪꯍꯜꯂꯛꯀꯅꯤ꯫ ꯃꯍꯧꯁꯥꯅꯥ ꯄꯥꯡꯊꯣꯀꯄꯥ ꯁꯔꯖꯔꯤ ꯃꯈꯜ ꯀꯌꯥ ꯂꯩ:

• ` (ꯂꯣꯀꯦꯜ ꯑꯦꯛꯁꯁꯤꯁꯟ)`: 1.1.ꯀꯦꯁ ꯑꯁꯤꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯇꯧꯔꯤꯕꯥ ꯑꯁꯤ ꯀꯀꯊꯠꯂꯒꯥ ``(ꯐꯥꯏꯕ꯭ꯔꯣꯃꯥ)`` ꯂꯝ ꯈꯛꯇꯃꯛ ꯂꯧꯊꯣꯀꯏ꯫
• ` (ꯋꯥꯏꯗ ꯑꯦꯛꯁꯁꯤꯁꯟ)`: ꯃꯁꯤꯗꯥ ꯇꯤꯎꯃꯔ ꯈꯛꯇꯥ ꯅꯠꯇꯅꯥ ꯃꯗꯨꯒꯤ ꯑꯀꯣꯌꯕꯗꯥ ꯂꯩꯕꯥ ꯍꯀꯁꯦꯜ ꯐꯕꯥ ꯇꯤꯁꯨꯁꯤꯡ (ꯆꯥꯎꯔꯥꯛꯅꯥ ꯃꯤꯂꯤꯃꯤꯇꯔ 2-3)ꯁꯨ ꯂꯧꯊꯣꯀꯏ꯫ ꯃꯁꯤ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯂꯥꯀꯄꯥ ꯊꯤꯡꯅꯕꯥ ꯇꯧꯏ꯫
• ` (Plantar fasciectomy)`: ꯃꯁꯤꯗꯥ ꯈꯣꯡꯒꯤ ꯃꯊꯛꯇꯥ ꯂꯩꯕꯥ `(Plantar fascia)` ꯇꯤꯁꯨ ꯄꯨꯝꯅꯃꯛ ꯂꯧꯊꯣꯀꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯇꯧꯏ ꯑꯃꯁꯨꯡ ꯃꯁꯤꯕꯨ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯒꯤ ꯑꯇꯣꯞꯄꯥ ꯃꯑꯣꯡ ꯑꯃꯠꯇꯥ ꯂꯩꯠꯔꯕꯗꯤ ꯇꯧꯕꯥ ꯉꯃꯗꯦ꯫
• ` (ꯄꯔꯛꯌꯨꯇꯦꯅꯤꯌꯝ ꯐꯦꯁꯤꯌꯦꯛꯇꯣꯃꯤ)`: ꯃꯁꯤ ꯃꯊꯛꯇꯥ ꯄꯅꯈ꯭ꯔꯤꯕꯥ ꯑꯁꯤꯒꯥ ꯃꯥꯟꯅꯩ, ꯑꯗꯨꯕꯨ `(ꯄ꯭ꯂꯥꯟꯇꯥꯔ ꯐꯦꯁꯤꯌꯥ)`ꯒꯤ ꯑꯄꯤꯀꯄꯥ ꯁꯔꯨꯛ ꯈꯛꯇꯃꯛ ꯍꯤꯂꯒꯤ ꯃꯐꯃꯗꯒꯤ ꯂꯧꯊꯣꯀꯏ, ꯃꯁꯤꯗꯥ `(ꯑꯂꯠꯔꯥꯁꯥꯎꯟꯗ)` ꯑꯃꯥ ꯁꯤꯖꯤꯟꯅꯩ꯫

ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯐꯒꯠꯂꯀꯄꯗꯥ ꯃꯇꯝ ꯈꯔꯥ ꯆꯪꯏ, ꯑꯃꯁꯨꯡ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯂꯪꯁꯁꯤꯡ ꯑꯁꯤ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯂꯥꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯔꯝ ꯑꯁꯤꯅꯥ ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯃꯈꯣꯌꯕꯨ ꯌꯥꯔꯤꯕꯃꯈꯩ ꯁꯔꯖꯔꯤꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯑꯇꯣꯞꯄꯥ ꯂꯥꯌꯦꯡꯁꯤꯡꯅꯥ ꯂꯥꯌꯦꯡꯅꯕꯥ ꯍꯣꯠꯅꯩ꯫

ꯑꯩꯅꯥ ꯀꯗꯥꯏꯗꯥ ꯗꯣꯛꯇꯔꯒꯥ ꯎꯅꯒꯗꯒꯦ?

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯍꯦꯛꯇꯥ ꯂꯩꯔꯕꯗꯤ, ꯁꯣꯌꯗꯅꯥ ꯗꯣꯛꯇꯔ ꯑꯃꯒꯥ ꯇꯥꯟꯅꯧ:

• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯑꯅꯧꯕꯥ ꯄꯣꯠꯁꯛ ꯑꯃꯥ ꯎꯕꯥ ꯐꯪꯂꯕꯗꯤ , ꯅꯠꯠꯔꯒꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯒꯤ ꯃꯑꯣꯡ-ꯃꯇꯧꯗꯥ ꯑꯍꯣꯡꯕꯥ ꯑꯃꯥ ꯂꯥꯀꯄꯥ ꯎꯔꯕꯗꯤ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯅꯧꯕꯥ ꯑꯅꯥꯕꯥ ꯑꯃꯥ ꯐꯥꯎꯕꯥ ꯍꯧꯔꯛꯂꯕꯗꯤ , ꯃꯔꯨꯑꯣꯏꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯅꯥꯕꯥ ꯑꯗꯨ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯍꯦꯅꯒꯠꯂꯛꯂꯕꯗꯤ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯈꯣꯡꯅꯥ ꯆꯠꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯈꯣꯡ ꯍꯥꯝꯕꯗꯥ ꯑꯋꯥꯕꯥ ꯃꯥꯌꯣꯛꯅꯔꯕꯗꯤ .

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯕꯣꯇꯂꯗꯥ ꯑꯅꯧꯕꯥ ꯄꯣꯠꯁꯛ ꯑꯃꯥ, ꯂꯪꯁ (lump) ꯑꯃꯥ ꯎꯔꯕꯗꯤ, ꯃꯗꯨ ꯅꯣꯔꯃꯦꯂꯅꯤ ꯍꯥꯌꯅꯥ ꯂꯧꯒꯅꯨ꯫ ꯃꯁꯤ ꯈꯨꯗꯣꯡꯊꯤꯅꯤꯉꯥꯏ ꯑꯣꯏꯕꯥ ꯋꯥꯐꯝ ꯑꯃꯠꯇꯥ ꯑꯣꯏꯗꯕꯥ ꯌꯥꯏ, ꯑꯗꯨꯕꯨ ꯃꯁꯤ ꯀꯔꯤꯅꯣ ꯍꯥꯌꯕꯗꯨ ꯇꯁꯦꯡꯅꯥ ꯈꯪꯗꯣꯛꯅꯕꯥ ꯗꯣꯛꯇꯔ ꯑꯃꯒꯥ ꯇꯥꯟꯅꯕꯅꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯩ꯫

ꯑꯩꯅꯥ ꯗꯣꯛꯇꯔꯗꯥ ꯀꯔꯤ ꯍꯪꯒꯗꯒꯦ?

ꯗꯣꯛꯇꯔꯒꯥ ꯎꯅꯅꯕꯥ ꯆꯠꯄꯥ ꯃꯇꯃꯗꯥ, ꯅꯍꯥꯛꯅꯥ ꯂꯩꯔꯤꯕꯥ ꯋꯥꯍꯪꯁꯤꯡ ꯍꯪꯕꯤꯌꯨ꯫ ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯅꯍꯥꯛꯅꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯋꯥꯐꯃꯁꯤꯡ ꯑꯁꯤ ꯍꯪꯂꯀꯄꯥ ꯌꯥꯏ:

• "ꯑꯋꯥꯕꯥ ꯑꯁꯤ ꯍꯟꯊꯍꯟꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯑꯩꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯅꯕꯥ ꯑꯩꯅꯥ ꯀꯔꯤ ꯇꯧꯒꯗꯒꯦ?"
• "ꯑꯩꯅꯥ ``ꯑꯣꯔꯊꯣꯇꯤꯛꯁ'' ꯅꯠꯠꯔꯒꯥ ꯇꯣꯉꯥꯅꯕꯥ ꯃꯈꯂꯒꯤ ꯖꯨꯇꯣꯒꯨꯝꯕꯥ ꯑꯈꯟꯅꯕꯥ ꯈꯣꯡꯒꯤ ꯁꯄꯣꯔꯇꯁꯤꯡ ꯁꯤꯖꯤꯟꯅꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯔꯥ?"
• "ꯑꯩꯒꯤ ꯁꯔꯖꯔꯤ ꯃꯊꯧ ꯇꯥꯕꯔꯥ?"
• "ꯑꯩꯒꯤ ꯃꯈꯥꯗꯥ ꯂꯩꯔꯤꯕꯥ ꯂꯪꯂꯥ ꯑꯁꯤ ꯃꯄꯨꯡ ꯐꯥꯅꯥ ꯐꯒꯠꯂꯀꯄꯗꯥ ꯃꯇꯝ ꯀꯌꯥ ꯆꯪꯒꯅꯤ?"
• "ꯃꯁꯤ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯕꯔꯥ?"

ꯑꯔꯣꯏꯕꯗꯥ, ꯈꯪꯖꯤꯅꯒꯗꯕꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯋꯥꯐꯃꯁꯤꯡ (ꯄ꯭ꯂꯥꯟꯇꯥꯔ ꯐꯥꯏꯕ꯭ꯔꯣꯃꯥ) (ꯇꯦꯛ-ꯍꯣꯝ ꯃꯦꯁꯦꯖ)

ꯑꯣꯀꯦ, ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯍꯧꯖꯤꯛꯇꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯔꯤꯕꯥ (ꯄ꯭ꯂꯥꯟꯇꯔ ꯐꯥꯏꯕ꯭ꯔꯣꯃꯥ) ꯑꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯑꯗꯣꯝꯅꯥ ꯍꯦꯟꯅꯥ ꯂꯧꯁꯤꯡ ꯂꯩꯔꯦ꯫ ꯑꯔꯣꯏꯕꯗꯥ, ꯋꯥꯐꯃꯁꯤꯡ ꯑꯁꯤ ꯋꯥꯈꯂꯗꯥ ꯊꯝꯃꯨ:

• ``ꯄ꯭ꯂꯥꯟꯇꯥꯔ ꯐꯥꯏꯕ꯭ꯔꯣꯃꯥ'' ꯀꯧꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯈꯔꯥ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯑꯃꯁꯨꯡ ꯑꯋꯥꯕꯥ ꯄꯤꯕꯥ ꯌꯥꯏ, ꯑꯗꯨꯕꯨ ꯃꯁꯤ ꯄꯨꯟꯁꯤꯕꯨ ꯈꯨꯗꯣꯡꯊꯤꯍꯅꯕꯥ ꯌꯥꯕꯥ ꯅꯠꯇꯦ . ꯑꯃꯁꯨꯡ ꯃꯁꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯑꯇꯣꯞꯄꯥ ꯁꯔꯨꯀꯁꯤꯡꯗꯥ ꯁꯟꯗꯣꯀꯄꯥ ꯉꯃꯗꯦ .
• ꯗꯣꯛꯇꯔ ꯑꯃꯅꯥ ꯅꯍꯥꯀꯄꯨ ``ꯄ꯭ꯂꯥꯟꯇꯥꯔ ꯐꯥꯏꯕ꯭ꯔꯣꯃꯥ'' ꯂꯩꯔꯦ ꯍꯥꯌꯅꯥ ꯀꯅꯐꯥꯔꯝ ꯇꯧꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ, ꯅꯍꯥꯛꯀꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯤꯠꯌꯦꯡ ꯑꯗꯨ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯗꯨ ꯃꯦꯅꯦꯖ ꯇꯧꯕꯗꯥ ꯑꯣꯏꯒꯗꯕꯅꯤ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯂꯩꯠꯔꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯕꯥ ꯅꯣꯡꯃꯒꯤ ꯑꯣꯏꯕꯥ ꯊꯕꯛ ꯊꯧꯔꯃꯁꯤꯡ, ꯍꯥꯌꯕꯗꯤ ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯇꯧꯕꯥ, ꯔꯟ ꯇꯧꯕꯥ ꯑꯃꯁꯨꯡ ꯁꯥꯟꯅꯕꯒꯤ ꯊꯕꯛ ꯃꯈꯥ ꯆꯠꯊꯕꯥ ꯌꯥꯏ꯫
• ꯑꯗꯨꯕꯨ, ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯇꯧꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ, ꯅꯠꯠꯔꯒꯥ ꯃꯍꯧꯁꯥꯒꯨꯝꯅꯥ ꯁꯨꯞꯅꯒꯤ ꯆꯠꯊꯣꯛ-ꯆꯠꯁꯤꯟ ꯇꯧꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ,ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯅꯧꯕꯥ ꯑꯅꯥꯕꯥ, ꯄ꯭ꯔꯦꯁꯔ ꯅꯠꯠꯔꯒꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯑꯃꯠꯇꯥ ꯂꯩꯔꯕꯗꯤ, ꯃꯗꯨꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯇꯥꯟꯅꯧ꯫
• ꯃꯁꯤꯒꯤ ``ꯄ꯭ꯂꯥꯟꯇꯔ ꯐꯥꯏꯕ꯭ꯔꯣꯃꯥ`` ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯊꯣꯀꯄꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ . ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯄ꯭ꯂꯥꯟꯇꯦꯇꯔ ꯄꯦꯅꯒꯤ ꯀꯦꯁ ꯄꯨꯝꯅꯃꯛ ꯃꯁꯤꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯗꯦ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯐꯪꯂꯕꯁꯨ, ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯑꯌꯥꯝꯕꯗꯤ ꯌꯥꯝꯅꯥ ꯅꯦꯝꯃꯤ ꯑꯃꯁꯨꯡ ꯃꯁꯤ ꯑꯣꯚꯔ-ꯗꯤ-ꯀꯎꯟꯇꯔ ꯄꯦꯟ ꯀꯤꯂꯔꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯏꯆꯝ ꯆꯝꯕꯥ ꯃꯦꯊꯗꯁꯤꯡꯅꯥ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯥ ꯌꯥꯏ꯫
• ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯈꯣꯡꯒꯤ ꯃꯈꯥꯗꯥ ꯑꯅꯧꯕꯥ ꯄꯣꯠꯁꯛ ꯑꯃꯥ ꯅꯠꯠꯔꯒꯥ ꯃꯥꯁ ꯑꯃꯥ ꯎꯕꯥ ꯐꯪꯂꯕꯗꯤ, ꯗꯣꯛꯇꯔ ꯑꯃꯒꯥ ꯇꯥꯟꯅꯕꯅꯥ ꯂꯧꯁꯤꯡ ꯂꯩ . ꯃꯁꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯌꯥꯝꯅꯥ ꯁꯣꯀꯍꯟꯗꯕꯥ ꯌꯥꯏ, ꯑꯗꯨꯕꯨ ꯃꯇꯝ ꯄꯨꯝꯅꯃꯛꯇꯥ ꯆꯦꯛ ꯇꯧꯕꯥ ꯑꯁꯤ ꯑꯐꯕꯥ ꯑꯃꯅꯤ, ꯋꯥꯈꯂꯒꯤ ꯁꯥꯟꯇꯤꯒꯤꯗꯃꯛ, ꯅꯠꯇꯦ?

ꯑꯗꯨꯅꯥ, ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯎꯞ ꯑꯗꯨꯁꯨ ꯌꯦꯡꯁꯤꯅꯕꯤꯌꯨ꯫ ꯃꯔꯃꯗꯤ ꯑꯄꯤꯀꯄꯥ ꯈꯣꯡ ꯑꯅꯤ ꯑꯁꯤꯅꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡ ꯄꯨꯝꯕꯒꯤ ꯑꯔꯨꯝꯕꯥ ꯑꯗꯨ ꯁꯄꯣꯔꯠ ꯇꯧꯏ!

` ꯄ꯭ꯂꯥꯟꯇꯥꯔ ꯐꯥꯏꯕ꯭ꯔꯣꯃꯥ, ꯄ꯭ꯂꯥꯟꯇꯥꯔ ꯐꯥꯏꯕ꯭ꯔꯣꯃꯥ, ꯈꯣꯡꯗꯥ ꯑꯅꯥꯕꯥ, ꯄ꯭ꯂꯥꯟꯇꯥꯔ ꯐꯦꯁꯤꯌꯥ, ꯈꯣꯡꯒꯤ ꯑꯂꯁꯔ, ꯈꯣꯡꯗꯥ ꯁꯣꯀꯄꯥ, ꯈꯣꯡꯗꯥ ꯑꯅꯥꯕꯥ꯫