ꯄꯣꯁ꯭ꯠ-ꯚꯦꯁꯦꯛꯇꯣꯃꯤ ꯄꯦꯟ ꯁꯤꯟꯗ꯭ꯔꯣꯝ (PVPS): ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯁꯤ꯫

ꯚꯦꯁꯦꯛꯇꯣꯃꯤ ꯑꯁꯤ ꯃꯤꯑꯣꯏ ꯀꯌꯥꯅꯥ ꯈꯅꯒꯠꯂꯕꯥ ꯐꯦꯃꯤꯂꯤ ꯄ꯭ꯂꯥꯅꯤꯡꯒꯤ ꯃꯥꯌꯄꯥꯀꯄꯥ ꯃꯦꯊꯗ ꯑꯃꯅꯤ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ, ꯌꯥꯝꯅꯥ ꯅꯦꯝꯕꯥ ꯃꯁꯤꯡꯗꯥ ꯁꯔꯖꯔꯤ ꯑꯁꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯇꯦꯁ꯭ꯇꯤꯀꯂꯁꯤꯡꯗꯥ ꯂꯦꯡ-ꯑꯣꯠꯄꯗꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯉꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯅꯥꯔꯀꯄꯥ ꯑꯅꯥꯕꯥ ꯑꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯔꯤ, ꯃꯁꯤꯕꯨ ``ꯄꯣꯁ꯭ꯠ-ꯚꯦꯁꯦꯛꯇꯣꯃꯤ ꯄꯦꯟ ꯁꯤꯟꯗꯣꯝ'' ꯅꯠꯔꯒꯥ ``(PVPS)'' ꯍꯥꯌꯅꯥꯁꯨ ꯈꯉꯅꯩ꯫ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯂꯩꯔꯣꯏ, ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯀꯃꯟ ꯑꯣꯏꯗꯦ, ꯑꯗꯨꯕꯨ ꯃꯤꯄꯨꯝ ꯈꯨꯗꯤꯡꯃꯛꯅꯥ ꯈꯉꯖꯤꯅꯕꯥ ꯑꯁꯤ ꯑꯐꯕꯥ ꯑꯃꯅꯤ꯫

ꯑꯍꯥꯅꯕꯗꯥ, ꯚꯦꯁꯦꯛꯇꯣꯃꯤ ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ?

ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯚꯦꯁꯦꯛꯇꯣꯃꯤ ꯍꯥꯌꯕꯁꯤ ꯅꯨꯄꯥ ꯑꯃꯗꯥ ꯑꯉꯥꯡ ꯄꯣꯀꯄꯥ ꯌꯥꯗꯅꯕꯥ ꯃꯇꯝ ꯆꯨꯞꯄꯒꯤ ꯑꯣꯏꯅꯥ ꯊꯤꯡꯅꯕꯥ ꯄꯥꯡꯊꯣꯀꯄꯥ ꯑꯄꯤꯀꯄꯥ ꯁꯔꯖꯔꯤ ꯑꯃꯅꯤ . ꯑꯩꯈꯣꯌꯅꯥ ꯃꯁꯤꯕꯨ “ꯅꯨꯄꯥ ꯁ꯭ꯇꯦꯔꯤꯂꯥꯏꯖꯦꯁꯟ” ꯍꯥꯌꯅꯥꯁꯨ ꯀꯧꯏ꯫ ꯃꯁꯤꯒꯤ ꯁꯔꯖꯔꯤ ꯑꯁꯤ ꯃꯍꯧꯁꯥꯅꯥ ꯌꯨꯔꯤꯅꯔꯤ ꯑꯃꯁꯨꯡ ꯔꯤꯞꯔꯗꯛꯇꯤꯚ ꯁꯤꯁ꯭ꯇꯦꯃꯗꯥ ꯑꯈꯟꯅꯕꯥ ꯗꯣꯛꯇꯔ ꯑꯃꯅꯥ ꯇꯧꯏ, ꯃꯗꯨꯕꯨ ꯏꯎꯔꯣꯂꯣꯖꯤꯁ꯭ꯠ ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫

ꯁꯔꯖꯔꯤ ꯑꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯇꯦꯁ꯭ꯇꯤꯀꯂꯁꯤꯡꯗꯒꯤ ꯁ꯭ꯄꯥꯔꯝ ꯄꯨꯕꯥ ꯇꯤꯎꯕ ꯑꯅꯤ, ꯚꯦꯁ ꯗꯤꯐꯦꯔꯦꯟꯁ ꯇꯤꯎꯕꯁꯤꯡ ꯑꯗꯨ ꯀꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯕ꯭ꯂꯣꯛ ꯇꯧꯕꯥ ꯌꯥꯎꯏ꯫ ꯚꯦꯁꯦꯛꯇꯣꯃꯤꯒꯤ ꯃꯃꯥꯡꯗꯥ, ꯁ꯭ꯄꯥꯔꯝ ꯑꯁꯤ ꯑꯇꯩ ꯐ꯭ꯂꯨꯏꯗꯁꯤꯡꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯁꯤꯃꯦꯟ ꯑꯣꯏꯅꯥ ꯊꯥꯗꯣꯀꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ, ꯁ꯭ꯄꯥꯔꯝ ꯑꯁꯤ ꯀꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯕ꯭ꯂꯣꯛ ꯇꯧꯔꯕꯥ ꯇꯤꯎꯕꯁꯤꯡꯗꯥ ꯆꯠꯄꯥ ꯉꯃꯗꯦ꯫ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯁ꯭ꯄꯥꯔꯝ ꯑꯗꯨ ꯇꯦꯁ꯭ꯇꯤꯀꯂꯁꯤꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯍꯀꯆꯥꯡꯗꯥ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯁꯣꯀꯍꯜꯂꯤ꯫

ꯃꯔꯨꯑꯣꯏꯕꯥ ꯋꯥꯐꯃꯗꯤ ꯚꯦꯁꯦꯛꯇꯣꯃꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ, ꯅꯍꯥꯛꯅꯥ ꯃꯍꯧꯁꯥꯒꯨꯝꯅꯥ ꯃꯤꯔꯣꯜꯂꯤꯉꯩ ꯃꯇꯃꯗꯥ ꯑꯣꯔꯒꯥꯁꯝ ꯑꯃꯥ ꯂꯩꯕꯥ ꯌꯥꯏ . ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯑꯗꯨꯒꯨꯝꯕꯥ ꯏꯖꯦꯛꯌꯨꯂꯦꯠ ꯑꯗꯨꯗꯥ ꯑꯉꯥꯡ ꯑꯃꯥ ꯁꯦꯝꯅꯕꯒꯤꯗꯃꯛ ꯃꯊꯧ ꯇꯥꯕꯥ ꯁ꯭ꯄꯥꯔꯝ ꯑꯗꯨ ꯌꯥꯎꯔꯣꯏ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯅꯨꯄꯤ ꯑꯃꯒꯤ ꯉꯥ ꯑꯁꯤ ꯐꯔꯇꯤꯂꯥꯏꯖ ꯇꯧꯔꯣꯏ ꯑꯃꯁꯨꯡ ꯃꯤꯔꯣꯅꯕꯥ ꯊꯣꯛꯂꯣꯏ꯫

ꯈꯟꯊꯕꯤꯌꯨ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯑꯇꯣꯞꯄꯥ ꯑꯉꯥꯡ ꯑꯃꯥ ꯄꯣꯀꯄꯥ ꯄꯥꯝꯂꯕꯗꯤ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯚꯦꯁꯦꯛꯇꯣꯃꯤ ꯑꯁꯤ ꯔꯤꯚꯔꯁ ꯇꯧꯕꯥ ꯌꯥꯏ (`ꯚꯦꯁꯦꯛꯇꯣꯃꯤ ꯔꯤꯚꯔꯁꯜ` ꯅꯠꯠꯔꯒꯥ `ꯚꯦꯁꯣꯚꯥꯁꯣꯁ꯭ꯇꯣꯃꯤ`)꯫ ꯑꯗꯨꯕꯨ ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯃꯁꯤꯕꯨ ꯄꯔꯃꯦꯅꯦꯟꯇ ꯑꯣꯏꯕꯥ ꯕꯔꯊ ꯀꯟꯠꯔꯣꯜ ꯃꯦꯊꯗ ꯑꯃꯅꯤ ꯍꯥꯌꯅꯥ ꯂꯧꯏ .

ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ``(PVPS)'' ꯍꯥꯌꯅꯥ ꯀꯧꯕꯥ ꯀꯌꯥ ꯌꯥꯝꯅꯥ ꯀꯃꯟ ꯑꯣꯏꯕꯒꯦ?

ꯇꯁꯦꯡꯕꯗꯤ, ꯚꯦꯁꯦꯛꯇꯣꯃꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯇꯣꯏꯅꯥ ꯊꯣꯀꯏ꯫ ꯃꯦꯗꯤꯀꯦꯜ ꯔꯤꯄꯣꯔꯇꯀꯤ ꯃꯇꯨꯡ ꯏꯟꯅꯥ, ꯚꯦꯁꯦꯛꯇꯣꯃꯤ ꯁꯔꯖꯔꯤ ꯂꯤꯁꯤꯡ (100) ꯈꯨꯗꯤꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯅꯤꯅꯥ ``PVPS'' ꯀꯧꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯊꯣꯀꯍꯜꯂꯤ꯫ ꯍꯥꯌꯅꯩ ꯃꯗꯨꯗꯤ ꯆꯍꯤ ꯈꯨꯗꯤꯡꯒꯤ ꯃꯥꯂꯦꯝ ꯁꯤꯅꯕꯥ ꯊꯨꯡꯅꯥ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯚꯦꯁꯦꯛꯇꯣꯃꯤ ꯁꯔꯖꯔꯤ ꯂꯤꯁꯤꯡ ꯃꯉꯥ ꯄꯥꯡꯊꯣꯀꯏ꯫ ꯅꯍꯥꯛꯅꯥ ꯃꯁꯤꯒꯨꯝꯅꯥ ꯌꯦꯡꯂꯨꯔꯒꯗꯤ ``PVPS'' ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯊꯣꯀꯄꯥ ꯊꯧꯗꯣꯛ ꯑꯃꯅꯤ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯃꯊꯧ ꯇꯥꯗꯅꯥ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯊꯣꯀꯍꯟꯅꯕꯒꯤ ꯃꯔꯝ ꯑꯃꯠꯇꯥ ꯂꯩꯇꯦ꯫

``ꯄꯣꯁ꯭ꯠ-ꯚꯦꯁꯦꯛꯇꯣꯃꯤ ꯄꯦꯟ ꯁꯤꯟꯗꯣꯝ – PVPS'' ꯑꯁꯤ ꯀꯔꯤꯒꯤ ꯊꯣꯛꯂꯤꯕꯅꯣ?

ꯃꯐꯝ ꯑꯁꯤꯗꯥ ꯃꯁꯤ ꯈꯔꯥ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯑꯣꯏꯔꯀꯏ꯫ ꯃꯦꯗꯤꯀꯦꯜ ꯑꯦꯛꯁꯄꯔꯇꯁꯤꯡꯅꯥ ꯍꯧꯖꯤꯛ ꯐꯥꯑꯣꯕꯥ ꯅꯨꯄꯥ ꯈꯔꯈꯛꯇꯅꯥ ꯀ꯭ꯔꯣꯅꯤꯛ ꯄꯦꯏꯟ ꯑꯁꯤ ꯊꯦꯡꯅꯔꯤꯕꯅꯣ ꯍꯥꯌꯕꯁꯤ ꯇꯁꯦꯡꯅꯥ ꯈꯉꯗ꯭ꯔꯤ . ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯃꯈꯣꯌꯅꯥ ꯃꯁꯤ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ ꯍꯥꯌꯅꯥ ꯈꯜꯂꯤꯕꯥ ꯋꯥꯐꯝ ꯈꯔꯗꯤ ꯂꯩꯔꯤ:

• ꯀꯟꯖꯦꯁ꯭ꯇꯤꯚ ꯑꯦꯄꯤꯗꯤꯗꯥꯏꯃꯤꯇꯤꯁ (congestive epididymitis): ꯑꯦꯄꯤꯗꯤꯗꯥꯏꯃꯤꯁ ꯍꯥꯌꯕꯁꯤ ꯇꯦꯁ꯭ꯇꯤꯀꯂꯁꯤꯡꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯂꯩꯕꯥ ꯑꯄꯤꯀꯄꯥ, ꯀꯣꯏꯂꯥꯡꯒꯤ ꯇꯤꯎꯕ ꯑꯃꯅꯤ ꯑꯃꯁꯨꯡ ꯃꯁꯤꯅꯥ ꯁ꯭ꯄꯥꯔꯝ ꯁ꯭ꯇꯣꯔ ꯇꯧꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯃꯐꯃꯁꯤꯗꯥ ꯁ꯭ꯄꯥꯔꯝ (sperm) ꯁꯣꯟꯊꯕꯥ ꯑꯃꯁꯨꯡ ꯁꯣꯟꯊꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯕꯨ ꯏꯗꯤꯃꯥ ꯍꯥꯌꯅꯥꯁꯨ ꯀꯧꯏ꯫
• ꯚꯦꯁ ꯗꯤꯐꯦꯔꯦꯟꯁꯇꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯄꯥ: ꯚꯦꯁ ꯗꯤꯐꯦꯔꯦꯟꯁꯇꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯈꯔꯗꯤ ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯃꯗꯥ ꯊꯣꯀꯏ꯫
• ꯏꯅꯐ꯭ꯂꯦꯃꯦꯁꯟ (inflammation): ꯁꯔꯖꯤꯀꯦꯜ ꯑꯦꯔꯤꯌꯥꯗꯥ ꯐ꯭ꯂꯦꯌꯔ-ꯑꯄꯒꯨꯝꯕꯥ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯁꯟ ꯃꯈꯜ ꯑꯃꯅꯤ꯫
• ꯅꯔꯚ ꯀꯝꯞꯔꯦꯁꯟ ꯅꯠꯠꯔꯒꯥ ꯅ꯭ꯌꯨꯔꯣꯄꯦꯊꯤ: ꯁꯣꯀꯍꯜꯂꯕꯥ ꯃꯐꯝ ꯑꯗꯨꯗꯥ ꯂꯩꯕꯥ ꯅꯔꯚ ꯑꯃꯗꯥ ꯀꯝꯞꯔꯦꯁꯟ ꯅꯠꯠꯔꯒꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯄꯥ꯫ ꯃꯁꯤꯕꯨ ꯅ꯭ꯌꯨꯔꯣꯄꯦꯊꯤ ꯍꯥꯌꯅꯥꯁꯨ ꯀꯧꯏ꯫
• ꯁ꯭ꯀꯥꯔ ꯇꯤꯁꯨ (Scar tissue): ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯃꯐꯝ ꯑꯗꯨꯗꯥ ꯁ꯭ꯀꯥꯔ ꯇꯤꯁꯨ ꯁꯦꯝꯕꯥ ꯑꯃꯁꯨꯡ ꯃꯗꯨꯗꯒꯤ ꯊꯣꯛꯂꯀꯄꯥ ꯑꯅꯥꯕꯥ꯫
• ꯁ꯭ꯄꯥꯔꯝ ꯒ꯭ꯔꯦꯅꯨꯂꯣꯃꯥ (Sperm granuloma): ꯃꯁꯤ ꯚꯦꯁ ꯗꯤꯐꯦꯔꯦꯟꯁꯀꯤ ꯀꯀꯊꯠꯄꯥ ꯃꯐꯝ ꯑꯗꯨꯗꯒꯤ ꯁ꯭ꯄꯥꯔꯃꯒꯤ ꯑꯄꯤꯀꯄꯥ ꯃꯁꯤꯡ ꯑꯃꯥ ꯂꯤꯛ ꯇꯧꯗꯨꯅꯥ ꯔꯤꯑꯦꯛꯁꯟ ꯑꯃꯥ ꯑꯣꯏꯅꯥ ꯃꯗꯨꯒꯤ ꯑꯀꯣꯌꯕꯗꯥ ꯑꯄꯤꯀꯄꯥ ꯂꯪꯁ ꯑꯃꯥ ꯁꯦꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯑꯣꯏ꯫ ꯃꯁꯤ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫

ꯑꯗꯨꯅꯥ, ꯑꯩꯅꯥ ꯊꯥꯖꯩ ꯃꯗꯨꯗꯤ ꯃꯁꯤꯒꯤ ``(PVPS)``ꯒꯤ ꯐꯤꯚꯝ ꯑꯁꯤ ꯃꯔꯝ ꯑꯃꯅꯥ ꯅꯠꯠꯔꯒꯥ ꯃꯔꯝ ꯀꯌꯥꯒꯤ ꯀꯝꯕꯤꯅꯦꯁꯟ ꯑꯃꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫

ꯃꯁꯤꯒꯤ `(PVPS)` ꯑꯁꯤꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯤꯅꯣ?

PVPSꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯑꯃꯁꯨꯡ ꯑꯃꯠꯇꯥ ꯉꯥꯏꯔꯕꯥ ꯂꯥꯏꯑꯣꯡꯗꯤ ꯊꯥ ꯑꯍꯨꯝ (3) ꯅꯠꯠꯔꯒꯥ ꯃꯁꯤꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯁꯥꯡꯅꯥ ꯂꯩꯕꯥ ꯇꯦꯁ꯭ꯇꯤꯀꯂꯁꯤꯡꯗꯥ ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯄꯅꯤ . ꯃꯤꯑꯣꯏ ꯈꯔꯒꯤ ꯑꯣꯏꯅꯗꯤ, ꯑꯅꯥꯕꯥ ꯑꯁꯤ ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯈꯨꯗꯛꯇꯥ ꯍꯧꯔꯀꯄꯥ ꯌꯥꯏ꯫ ꯑꯇꯣꯞꯄꯁꯤꯡꯒꯤ ꯑꯣꯏꯅꯗꯤ, ꯑꯅꯥꯕꯥ ꯑꯁꯤ ꯊꯥ ꯀꯌꯥꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯅꯠꯠꯔꯒꯥ ꯆꯍꯤ ꯀꯌꯥꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯐꯥꯎꯕꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫

ꯑꯅꯥꯕꯒꯤ ꯃꯑꯣꯡ-ꯃꯇꯧ ꯑꯁꯤ ꯃꯤꯑꯣꯏ ꯑꯃꯗꯒꯤ ꯃꯤꯑꯣꯏ ꯑꯃꯗꯥ ꯈꯦꯠꯅꯕꯥ ꯂꯩꯕꯁꯨ ꯌꯥꯏ:

• ꯃꯤꯑꯣꯏ ꯈꯔꯗꯤ ꯃꯈꯣꯌꯒꯤ ꯇꯦꯁ꯭ꯇꯤꯀꯂꯁꯤꯡꯗꯥ ꯂꯦꯡ -ꯑꯣꯠꯄꯒꯤ ꯃꯑꯣꯡ ꯑꯃꯥ ꯊꯦꯡꯅꯔꯀꯄꯥ ꯌꯥꯏ .
• ꯑꯇꯣꯞꯄꯁꯤꯡꯒꯤ ꯑꯣꯏꯅꯗꯤ, ꯑꯋꯥꯕꯥ ꯑꯁꯤ ꯃꯇꯝ ꯃꯇꯃꯒꯤ ꯑꯣꯏꯅꯥ ꯂꯥꯀꯄꯥ ꯌꯥꯏ ꯑꯃꯁꯨꯡ ꯂꯥꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯆꯠꯄꯥ ꯌꯥꯏ .
• ꯅꯨꯄꯥ ꯈꯔꯗꯤ ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯇꯧꯕꯥ, ꯁꯦꯛꯁꯨꯑꯦꯜ ꯏꯟꯇꯔꯀꯣꯔꯁ ꯇꯧꯕꯥ, ꯏꯔꯦꯛꯁꯟ ꯇꯧꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯏꯖꯦꯛꯌꯨꯂꯦꯁꯟ ꯇꯧꯕꯥ ꯃꯇꯃꯗꯥ ꯍꯦꯟꯅꯥ ꯁꯣꯀꯄꯥ ꯌꯥꯏ .

ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯋꯥꯐꯃꯗꯤ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯃꯈꯂꯒꯤ ꯑꯅꯥꯕꯥ ꯑꯁꯤ ꯂꯩꯔꯕꯗꯤ ꯃꯗꯨ ꯌꯦꯡꯁꯤꯟꯗꯨꯅꯥ ꯂꯩꯔꯣꯏꯗꯕꯅꯤ ꯑꯃꯁꯨꯡ ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯄꯥꯎꯇꯥꯛ ꯂꯧꯒꯗꯕꯅꯤ꯫

ꯑꯇꯣꯞꯄꯥ ꯀꯔꯤ ꯀꯟꯗꯤꯁꯅꯁꯤꯡꯅꯥ PVPSꯒꯥ ꯃꯥꯟꯅꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯊꯣꯀꯍꯜꯂꯤꯕꯒꯦ?

PVPS ꯑꯁꯤ ꯇꯦꯁ꯭ꯇꯤꯀꯂꯒꯤ ꯑꯅꯥꯕꯒꯤ ꯃꯔꯝ ꯑꯃꯈꯛꯇꯃꯛ ꯅꯠꯇꯦ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯗꯣꯛꯇꯔ ꯑꯃꯅꯥ ꯑꯍꯥꯅꯕꯗꯥ ꯑꯅꯥꯕꯥ ꯑꯁꯤꯒꯤ ꯑꯇꯣꯞꯄꯥ ꯃꯔꯃꯁꯤꯡ ꯂꯧꯊꯣꯛꯀꯅꯤ꯫ ꯃꯁꯤ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯕꯥ ꯑꯇꯩ ꯀꯟꯗꯤꯁꯟ ꯈꯔꯗꯤ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤ:

• ꯍꯥꯏꯗ꯭ꯔꯣꯁꯦꯜ: ꯇꯦꯁ꯭ꯇꯤꯀꯂꯁꯤꯡꯒꯤ ꯑꯀꯣꯌꯕꯗꯥ ꯂꯩꯕꯥ ꯐ꯭ꯂꯨꯏꯗꯒꯨꯝꯕꯥ ꯈꯣꯃꯖꯤꯅꯕꯥ ꯑꯃꯅꯤ꯫
• ꯏꯅꯐꯦꯛꯁꯅꯁꯤꯡ: ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯌꯨꯔꯤꯅꯔꯤ ꯇ꯭ꯔꯦꯛꯇ ꯏꯅꯐꯦꯛꯁꯟ (UTI)꯫
• ꯏꯅꯒꯨꯏꯅꯦꯜ ꯍꯔꯅꯤꯌꯥ (inguinal hernia): ꯒ꯭ꯔꯣꯏꯟ ꯑꯦꯔꯤꯌꯥꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯏꯟꯇꯦꯁ꯭ꯇꯥꯏꯅꯒꯤ ꯁꯔꯨꯛ ꯑꯃꯥ ꯊꯣꯀꯄꯥ꯫
• ꯄ꯭ꯔꯣꯁ꯭ꯇꯦꯇꯥꯏꯇꯤꯁ: ꯄ꯭ꯔꯣꯁ꯭ꯇꯦꯠ ꯒ꯭ꯜꯌꯥꯟꯗꯒꯤ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯁꯟ꯫
• ꯇꯦꯁ꯭ꯇꯤꯀꯨꯂꯥꯔ ꯀꯦꯟꯁꯔ: ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯇꯣꯏꯅꯥ ꯊꯣꯀꯏ, ꯑꯗꯨꯕꯨ ꯃꯁꯤ ꯊꯤꯡꯖꯤꯅꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯋꯥꯐꯝ ꯑꯃꯅꯤ꯫
• ꯇꯦꯁ꯭ꯇꯤꯀꯜ ꯇꯣꯔꯁꯟ (Testicular torsion): ꯃꯁꯤ ꯇꯦꯁ꯭ꯇꯤꯀꯜ ꯑꯗꯨꯅꯥ ꯃꯁꯥ ꯃꯊꯟꯇꯥ ꯆꯦꯟꯊꯈꯤꯗꯨꯅꯥ ꯃꯗꯨꯒꯤ ꯏꯒꯤ ꯁꯞꯂꯥꯏ ꯑꯗꯨ ꯀꯀꯊꯠꯄꯥ ꯑꯦꯃꯔꯖꯦꯟꯁꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫
• ꯑꯇꯩ ꯇꯤꯎꯃꯔꯁꯤꯡ: ꯇꯦꯁ꯭ꯇꯤꯀꯂꯁꯤꯡꯗꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯕꯥ ꯑꯇꯩ ꯕꯦꯅꯤꯐꯤꯁꯔꯤ ꯅꯠꯠꯔꯒꯥ ꯃꯦꯂꯤꯒꯅꯦꯟꯇ ꯇꯤꯎꯃꯔꯁꯤꯡ꯫
• ꯚꯦꯔꯤꯀꯣꯁꯦꯜ (Varicocele): ꯇꯦꯁ꯭ꯇꯤꯀꯂꯁꯤꯡꯗꯥ ꯂꯩꯕꯥ ꯚꯦꯅꯃꯁꯤꯡ ( ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯂꯁꯤꯡ ) ꯑꯗꯨ ꯍꯦꯟꯅꯥ ꯋꯥꯡꯈꯠꯂꯀꯄꯒꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫ꯚꯦꯅꯃꯁꯤꯡ (veins) ꯑꯁꯤ ꯁꯣꯟꯊꯕꯥ ꯑꯃꯁꯨꯡ ꯅꯣꯡꯃꯩ ꯀꯥꯞꯄꯥ ꯎꯕꯥ ꯐꯪꯂꯤꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫

ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯇꯦꯁ꯭ꯇꯤꯀꯜ ꯄꯦꯏꯟ ꯂꯩꯔꯕꯗꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯃꯁꯤ ꯄꯨꯝꯅꯃꯛ ꯑꯁꯤ ꯈꯟꯅꯒꯅꯤ ꯑꯃꯁꯨꯡ ꯋꯥꯔꯦꯞ ꯑꯃꯥ ꯂꯧꯒꯅꯤ꯫

ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ``(PVPS)`` ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯑꯆꯨꯝꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯈꯪꯗꯣꯀꯄꯥ ꯉꯃꯒꯅꯤ?

ꯇꯁꯦꯡꯕꯗꯤ PVPS ꯈꯪꯗꯣꯛꯅꯕꯥ ꯑꯀꯛꯅꯕꯥ ꯗꯥꯏꯑꯦꯒ꯭ꯅꯣꯁ꯭ꯇꯤꯛ ꯇꯦꯁ꯭ꯠ ꯑꯃꯠꯇꯥ ꯂꯩꯇꯦ꯫ ꯗꯣꯛꯇꯔ ꯑꯗꯨꯅꯥ ꯃꯔꯨꯑꯣꯏꯅꯥ:

1. ꯅꯍꯥꯛꯀꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯗꯨ ꯅꯤꯡꯊꯤꯅꯥ ꯇꯥꯕꯤꯌꯨ . ꯑꯋꯥꯕꯥ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯑꯣꯏꯔꯤꯕꯒꯦ, ꯀꯌꯥ ꯌꯥꯝꯅꯥ ꯁꯥꯡꯅꯥ ꯂꯩꯔꯛꯂꯤꯕꯅꯣ, ꯑꯃꯁꯨꯡ ꯀꯗꯥꯏꯗꯥ ꯍꯦꯟꯅꯥ ꯐꯠꯆꯤꯜꯂꯀꯄꯒꯨꯝꯕꯥ ꯑꯀꯨꯞꯄꯥ ꯃꯔꯣꯂꯁꯤꯡ꯫

ꯐꯤꯖꯤꯀꯦꯜ ꯑꯦꯀꯖꯥꯃꯤꯅꯦꯁꯟ ꯑꯃꯥ ꯄꯥꯡꯊꯣꯀꯄꯥ . ꯇꯦꯁ꯭ꯇꯤꯀꯜ ꯑꯃꯁꯨꯡ ꯑꯀꯣꯌꯕꯗꯥ ꯂꯩꯕꯥ ꯃꯐꯃꯁꯤꯡ ꯌꯦꯡꯁꯤꯜꯂꯤ꯫

ꯃꯁꯤꯒꯤ ꯃꯊꯛꯇꯥ, ꯑꯩꯈꯣꯌꯅꯥ ꯃꯃꯥꯡꯗꯥ ꯈꯟꯅꯈꯤꯕꯥ ꯇꯦꯁ꯭ꯇꯤꯀꯜ ꯄꯦꯏꯟ ꯑꯁꯤ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯕꯥ ꯑꯇꯣꯞꯄꯥ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ ``ꯔꯨꯜ ꯑꯥꯎꯠ`` ꯇꯧꯅꯕꯥ ꯇꯦꯁ꯭ꯠ ꯈꯔꯗꯤ ꯇꯧꯕꯥ ꯌꯥꯏ :

• ꯌꯨꯔꯤꯅꯂꯥꯏꯁꯤꯁ, ꯌꯨꯔꯤꯟ ꯀꯂꯆꯔ, ꯑꯃꯁꯨꯡ ꯁꯤꯃꯦꯟ ꯀꯂꯆꯔ: ꯃꯁꯤꯅꯥ ꯏꯅꯐꯦꯛꯁꯅꯒꯨꯝꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ ꯈꯪꯗꯣꯀꯄꯥ ꯉꯝꯃꯤ꯫
• ꯏꯃꯦꯖꯤꯡ ꯇꯦꯁ꯭ꯇꯁꯤꯡ: ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯑꯂꯠꯔꯥꯁꯥꯎꯟꯗ ꯁ꯭ꯀꯦꯟ ꯑꯃꯥ꯫ ꯃꯁꯤꯅꯥ ꯇꯦꯁ꯭ꯇꯤꯀꯂꯁꯤꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯌꯦꯡꯁꯤꯅꯕꯥ ꯌꯥꯏ ꯑꯃꯁꯨꯡ ꯁꯤꯁ꯭ꯇꯦꯃꯁꯤꯡꯒꯨꯝꯕꯥ ꯂꯪꯁꯁꯤꯡ (lumps) ꯆꯦꯛ ꯇꯧꯕꯥ ꯌꯥꯏ꯫
• ꯁ꯭ꯄꯥꯔꯃꯦꯇꯤꯛ ꯀꯣꯔꯗ ꯕ꯭ꯂꯣꯛ (ꯅꯠꯠꯔꯒꯥ ꯅꯔꯚ ꯕ꯭ꯂꯣꯛ): ꯃꯁꯤꯗꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ ꯍꯥꯌꯅꯥ ꯈꯟꯅꯔꯕꯥ ꯅꯔꯚꯁꯤꯡꯗꯥ ꯂꯣꯀꯦꯜ ꯑꯦꯅꯥꯁ꯭ꯇꯦꯇꯤꯛ ꯑꯃꯥ ꯏꯅꯖꯦꯀꯁꯟ ꯇꯧꯕꯥ ꯌꯥꯎꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯁꯤꯅꯥ ꯃꯇꯝ ꯈꯔꯒꯤ ꯑꯣꯏꯅꯥ ꯑꯅꯥꯕꯥ ꯑꯗꯨ ꯀꯣꯀꯍꯅꯕꯥ ꯇꯥꯔꯕꯗꯤ, ꯅꯔꯚꯁꯤꯡꯅꯥ ꯑꯅꯥꯕꯥ ꯑꯗꯨꯒꯤ ꯃꯔꯝ ꯑꯣꯏ ꯍꯥꯌꯅꯥ ꯈꯟꯅꯩ꯫ ꯃꯁꯤ ꯗꯥꯏꯑꯦꯒ꯭ꯅꯣꯁꯤꯁ ꯑꯅꯤꯃꯛꯇꯥ ꯁꯤꯖꯤꯟꯅꯩ ꯑꯃꯁꯨꯡ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯂꯥꯏꯌꯦꯡꯕꯥ ꯑꯣꯏꯅꯥ ꯁꯤꯖꯤꯟꯅꯩ꯫

ꯁꯔꯖꯔꯤ ꯇꯧꯗꯅꯥ ꯄꯤ.ꯚꯤ.ꯄꯤ.ꯑꯦꯁ.ꯀꯤ ꯂꯥꯏꯌꯦꯡꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?

ꯑꯌꯥꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯑꯍꯥꯅꯕꯗꯥ ꯅꯟ-ꯁꯔꯖꯤꯀꯦꯜ ꯇ꯭ꯔꯤꯇꯃꯦꯟꯇꯁꯤꯡꯅꯥ ꯑꯅꯥꯕꯥ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯅꯕꯥ ꯍꯣꯠꯅꯩ꯫ ꯑꯩꯈꯣꯌꯅꯥ ꯃꯁꯤꯕꯨ ``ꯅꯟ-ꯁꯔꯖꯤꯀꯦꯜ ꯇ꯭ꯔꯤꯠꯃꯦꯟꯇ'' ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫

• ꯄꯦꯂꯚꯤꯛ ꯐ꯭ꯂꯣꯔ ꯑꯦꯛꯁꯔꯁꯥꯏꯖꯁꯤꯡ: ꯃꯁꯤꯕꯨ “ꯅꯨꯄꯥꯁꯤꯡꯒꯤ ꯀꯦꯒꯦꯂꯁꯤꯡ” ꯍꯥꯌꯅꯥꯁꯨ ꯀꯧꯏ꯫ ꯅꯍꯥꯛꯀꯤ ꯄꯦꯂꯚꯤꯛ ꯐ꯭ꯂꯣꯔꯗꯥ ꯂꯩꯕꯥ ꯃꯁꯂꯁꯤꯡ (ꯅꯍꯥꯛꯀꯤ ꯕ꯭ꯂꯦꯗꯔ, ꯕꯣꯋꯦꯜ ꯑꯃꯁꯨꯡ ꯔꯤꯞꯔꯗꯛꯇꯤꯚ ꯑꯣꯔꯒꯥꯅꯁꯤꯡꯗꯥ ꯁꯄꯣꯔꯠ ꯇꯧꯔꯤꯕꯥ) ꯃꯄꯥꯉ꯭ꯒꯜ ꯀꯅꯈꯠꯍꯅꯕꯅꯥ ꯃꯤꯑꯣꯏ ꯈꯔꯗꯗꯤ ꯑꯅꯥꯕꯥ ꯍꯟꯊꯍꯅꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫ ꯃꯁꯤꯒꯤꯗꯃꯛꯇꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯈꯟꯅꯅꯥ ꯇ꯭ꯔꯦꯟ ꯇꯧꯔꯕꯥ ꯐꯤꯖꯤꯀꯦꯜ ꯊꯦꯔꯥꯄꯤꯁ꯭ꯠ ꯑꯃꯗꯒꯤ ꯃꯇꯦꯡ ꯂꯧꯕꯥ ꯌꯥꯏ꯫
• ꯄꯦꯏꯟ ꯔꯤꯂꯤꯚꯔꯁꯤꯡ: ꯃꯍꯧꯁꯥꯅꯥ ꯁꯤꯖꯤꯟꯅꯕꯥ ꯍꯤꯗꯥꯀꯁꯤꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯅꯟ-ꯁ꯭ꯇꯦꯔꯣꯏꯗ ꯑꯦꯟꯇꯤ-ꯏꯅꯐ꯭ꯂꯦꯃꯦꯇꯔꯤ ꯗ꯭ꯔꯒꯁꯤꯡ (NSAIDs), ꯍꯥꯌꯕꯗꯤ ꯏꯕꯨꯞꯔꯣꯐꯦꯟ ꯑꯃꯁꯨꯡ ꯅꯦꯞꯔꯣꯛꯁꯦꯅꯁꯨ ꯌꯥꯎꯏ꯫
• ꯑꯦꯟꯇꯤꯗꯤꯞꯔꯦꯁꯦꯟꯇꯁꯤꯡ: ꯑꯦꯟꯇꯤꯗꯤꯞꯔꯦꯁꯦꯟꯇ ꯈꯔꯗꯤ, ꯌꯥꯝꯅꯥ ꯅꯦꯝꯕꯥ ꯗꯣꯖꯗꯥ ꯁꯤꯖꯤꯟꯅꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯑꯅꯥꯕꯥ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫
• ꯅ꯭ꯌꯨꯔꯣꯄꯦꯊꯤꯛ ꯄꯦꯟ ꯔꯤꯂꯤꯚꯔꯁꯤꯡ: ꯒꯕꯥꯄꯦꯟꯇꯤꯟ ꯅꯠꯠꯔꯒꯥ ꯄ꯭ꯔꯦꯒꯥꯕꯥꯂꯤꯅꯒꯨꯝꯕꯥ ꯗ꯭ꯔꯒꯁꯤꯡ ꯑꯁꯤ ꯅꯔꯚꯀꯤ ꯑꯅꯥꯕꯥ ꯂꯥꯌꯦꯡꯕꯗꯥ ꯁꯤꯖꯤꯟꯅꯩ꯫
• ꯀꯝꯄꯂꯤꯃꯦꯟꯇꯦꯔꯤ ꯃꯦꯗꯤꯁꯤꯟ: ꯱.ꯃꯤꯑꯣꯏ ꯈꯔꯅꯥ ꯑꯦꯛꯌꯨꯄꯉ꯭ꯀꯆꯔ ꯅꯠꯠꯔꯒꯥ ꯕꯥꯏꯑꯣꯐꯤꯗꯕꯦꯀꯒꯨꯝꯕꯥ ꯄꯥꯝꯕꯩꯁꯤꯡꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯁꯨ ꯔꯤꯂꯤꯐ ꯐꯪꯂꯦ꯫

ꯗꯣꯛꯇꯔꯅꯥ ꯑꯗꯣꯃꯒꯤꯗꯃꯛꯇꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯆꯨꯅꯕꯥ ꯂꯥꯏꯌꯦꯡꯒꯤ ꯄ꯭ꯂꯥꯟ ꯑꯗꯨ ꯂꯥꯏꯌꯦꯡꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯃꯗꯒꯤ ꯍꯦꯅꯕꯥ ꯄꯨꯅꯁꯤꯟꯗꯨꯅꯥ ꯂꯦꯄꯀꯅꯤ꯫

ꯁꯔꯖꯤꯀꯦꯜ ꯇ꯭ꯔꯤꯠꯃꯦꯟꯇꯁꯤꯡ ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ?

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯊꯛꯇꯥ ꯄꯅꯈ꯭ꯔꯤꯕꯥ ꯅꯟ-ꯁꯔꯖꯤꯀꯦꯜ ꯇ꯭ꯔꯤꯇꯃꯦꯟꯇꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯔꯤꯂꯤꯐ ꯃꯇꯤꯛ ꯆꯥꯅꯥ ꯄꯤꯗ꯭ꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯁꯔꯖꯔꯤ ꯇꯧꯅꯕꯥ ꯈꯟꯅꯔꯀꯄꯥ ꯌꯥꯏ꯫ ꯄꯤ.ꯚꯤ.ꯄꯤ.ꯑꯦꯁ.ꯀꯤ ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯅꯥꯔꯀꯄꯥ ꯑꯅꯥꯕꯥ ꯑꯁꯤ ꯂꯥꯌꯦꯡꯕꯗꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯁꯤꯡꯅꯕꯥ ꯑꯃꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ , ꯑꯗꯨꯕꯨ ꯑꯥꯁꯥ ꯄꯤꯕꯥ ꯂꯥꯏꯌꯦꯡꯁꯤꯡꯗꯤ ꯂꯩ꯫

ꯑꯅꯥꯕꯥ ꯑꯗꯨꯒꯤ ꯃꯈꯥ ꯄꯣꯜꯂꯤꯕꯥ ꯃꯔꯝ ꯑꯗꯨꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ, ꯁꯔꯖꯤꯀꯦꯜ ꯑꯣꯄꯁꯟ ꯀꯌꯥ ꯂꯩ:

• ꯚꯦꯁꯦꯛꯇꯣꯃꯤ ꯔꯤꯚꯔꯁ ꯇꯧꯕꯥ: ꯑꯉꯀꯄꯥ ꯑꯣꯏꯅꯥ, ꯃꯁꯤꯅꯥ ꯅꯨꯄꯥ 10ꯒꯤ ꯃꯅꯨꯡꯗꯥ 9 ꯍꯦꯅꯕꯗꯥ ꯑꯅꯥꯕꯥ ꯍꯟꯊꯍꯜꯂꯤ ꯅꯠꯠꯔꯒꯥ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯂꯧꯊꯣꯀꯏ . ꯑꯗꯨꯕꯨ ꯅꯤꯡꯁꯤꯡꯕꯤꯌꯨ, ꯃꯁꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯑꯉꯥꯡ ꯄꯣꯀꯄꯥ ꯉꯝꯂꯒꯅꯤ꯫
• ꯁ꯭ꯄꯥꯔꯝ ꯒ꯭ꯔꯦꯅꯨꯂꯣꯃꯥ ꯑꯃꯥ ꯂꯧꯊꯣꯀꯄꯥ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯁ꯭ꯄꯥꯔꯝ ꯒ꯭ꯔꯦꯅꯨꯂꯣꯃꯥ ꯑꯃꯥ ꯂꯩꯔꯕꯗꯤ, ꯃꯃꯥꯡꯗꯥ ꯍꯥꯌꯈꯤꯕꯒꯨꯝꯅꯥ, ꯃꯗꯨ ꯁꯔꯖꯤꯀꯦꯜ ꯑꯣꯏꯅꯥ ꯂꯧꯊꯣꯀꯏ꯫
• ꯑꯦꯄꯤꯗꯤꯗꯥꯏꯃꯦꯛꯇꯣꯃꯤ: ꯑꯦꯄꯤꯗꯤꯗꯥꯏꯃꯤꯁ ꯑꯃꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯅꯤꯃꯛ ꯂꯧꯊꯣꯀꯄꯥ꯫
• ꯁ꯭ꯄꯥꯔꯃꯦꯇꯤꯛ ꯀꯣꯔꯗꯀꯤ ꯃꯥꯏꯛꯔꯣꯗꯦꯅꯔꯚꯦꯁꯟ (ꯅꯠꯠꯔꯒꯥ ꯀꯣꯔꯗ ꯁ꯭ꯠꯔꯤꯄꯤꯡ): ꯃꯁꯤꯗꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯍꯅꯕꯒꯤ ꯗꯥꯌꯠꯕ ꯂꯧꯔꯤꯕꯥ ꯁ꯭ꯄꯥꯔꯃꯦꯇꯤꯛ ꯀꯣꯔꯗꯇꯥ ꯂꯩꯕꯥ ꯂꯦꯡ-ꯑꯣꯠꯄꯒꯤ ꯃꯑꯣꯡ-ꯃꯇꯧꯁꯤꯡ ꯑꯗꯨ ꯈꯅꯒꯠꯂꯒꯥ ꯂꯧꯊꯣꯀꯄꯥ ꯌꯥꯎꯏ꯫ ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯀꯝꯞꯂꯦꯛꯁ ꯑꯣꯏꯕꯥ ꯊꯧꯑꯣꯡ ꯑꯃꯅꯤ꯫
• ꯑꯣꯔꯀꯤꯌꯦꯛꯇꯣꯃꯤ (Orchiectomy): ꯇꯦꯁ꯭ꯇꯤꯛꯁ ꯑꯃꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯅꯤꯃꯛ ꯂꯧꯊꯣꯀꯄꯥ꯫ ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯇꯧꯏ ꯑꯃꯁꯨꯡ ꯑꯇꯣꯞꯄꯥ ꯂꯥꯌꯦꯡ ꯑꯃꯅꯥ ꯑꯋꯥꯕꯥ ꯑꯁꯤ ꯀꯣꯀꯍꯅꯕꯥ ꯉꯝꯂꯕꯈꯛꯇꯗꯥ ꯇꯧꯏ .

ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯁꯔꯖꯔꯤꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯈꯪꯍꯜꯂꯛꯀꯅꯤ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯐꯤꯚꯃꯗꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯆꯨꯅꯕꯥ ꯑꯃꯥ ꯈꯅꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯒꯅꯤ꯫

ꯃꯁꯤꯒꯤ `(PVPS)` ꯑꯁꯤ ꯊꯣꯀꯍꯟꯗꯅꯕꯥ ꯄꯥꯝꯕꯩ ꯂꯩꯕ꯭ꯔꯥ?

ꯃꯃꯥꯡꯗꯥ ꯍꯥꯌꯈꯤꯕꯒꯨꯝꯅꯥ, PVPS ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯊꯣꯀꯄꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫ ꯑꯃꯗꯤ, ꯃꯁꯤ ꯀꯔꯤꯒꯤꯗꯃꯛꯇꯥ ꯃꯤꯑꯣꯏ ꯈꯔꯈꯛꯇꯗꯥ ꯊꯣꯛꯂꯤꯕꯅꯣ ꯍꯥꯌꯕꯁꯤ ꯇꯁꯦꯡꯅꯥ ꯈꯉꯕꯥ ꯉꯃꯗꯕꯅꯥ, ꯍꯧꯖꯤꯛꯀꯤ ꯑꯣꯏꯅꯥ ꯃꯁꯤꯕꯨ ꯑꯀꯛꯅꯅꯥ ꯉꯥꯀꯊꯣꯛꯅꯕꯥ ꯇꯧꯕꯥ ꯌꯥꯕꯥ ꯑꯃꯠꯇꯥ ꯂꯩꯇꯦ . ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯥ ꯊꯕꯛ ꯑꯁꯤ ꯚꯦꯁꯦꯛꯇꯣꯃꯤ ꯇꯧꯗ꯭ꯔꯤꯉꯩ ꯃꯃꯥꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯕꯅꯤ ꯑꯃꯁꯨꯡ ꯃꯍꯥꯛꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯄꯤꯕꯥ ꯌꯥꯕꯥ ꯄꯣꯁ꯭ꯠ-ꯑꯣꯄꯔꯦꯇꯤꯚ ꯏꯅꯁ꯭ꯠꯔꯛꯁꯟ ꯑꯃꯍꯦꯛꯇꯕꯨ ꯏꯅꯒꯗꯕꯅꯤ꯫

ꯃꯁꯤꯒꯤ `(PVPS)`ꯒꯤ ꯑꯋꯥꯕꯥ ꯑꯁꯤ ꯀꯌꯥꯝ ꯁꯥꯡꯅꯥ ꯂꯩꯒꯅꯤ?

ꯃꯁꯤ ꯍꯥꯌꯕꯗꯥ ꯑꯋꯥꯕꯥ ꯑꯃꯅꯤ꯫ ꯃꯤꯑꯣꯏ ꯈꯔꯗꯤ ꯂꯥꯏꯌꯦꯡꯕꯗꯒꯤ ꯊꯨꯅꯥ ꯔꯤꯂꯤꯐ ꯐꯪꯏ꯫ ꯃꯔꯨꯑꯣꯏꯅꯥ ꯁꯔꯖꯤꯀꯦꯜ ꯇ꯭ꯔꯤꯠꯃꯦꯟꯇꯁꯤꯡ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯥꯌꯄꯥꯀꯄꯥ ꯌꯥꯏ꯫ ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯚꯦꯁꯦꯛꯇꯣꯃꯤ ꯔꯤꯚꯔꯁ ꯇꯧꯕꯅꯥ ꯅꯨꯄꯥ ꯇꯔꯥꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯅꯤꯗꯥ ꯑꯅꯥꯕꯥ ꯍꯟꯊꯍꯜꯂꯤ . ꯃꯥꯏꯛꯔꯣꯗꯦꯅꯔꯚꯦꯁꯟꯅꯥ ꯅꯨꯄꯥ ꯃꯔꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯍꯨꯃꯗꯥ ꯑꯋꯥꯕꯥ ꯀꯣꯀꯍꯜꯂꯤ .

ꯑꯗꯨꯕꯨ, ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯋꯥꯐꯝ ꯑꯃꯅꯥ, ꯅꯨꯄꯥ ꯈꯔꯗꯤ ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯨꯡꯗꯁꯨ ꯃꯈꯥ ꯇꯥꯅꯥ ꯑꯋꯥꯕꯥ ꯃꯥꯌꯣꯛꯅꯔꯀꯄꯥ ꯌꯥꯏ꯫ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯁꯤꯡꯅꯕꯥ ꯑꯁꯤ ꯃꯗꯨꯅꯤ꯫

ꯑꯩꯅꯥ ꯀꯔꯤ ꯃꯇꯃꯗꯥ ꯗꯣꯛꯇꯔꯒꯥ ꯎꯅꯒꯗꯒꯦ?

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯚꯦꯁꯦꯛꯇꯣꯃꯤ ꯇꯧꯈ꯭ꯔꯕꯗꯤ ꯑꯃꯁꯨꯡ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯍꯦꯛꯇꯥ ꯂꯩꯔꯕꯗꯤ, ꯗꯣꯛꯇꯔ ꯑꯃꯗꯥ ꯁꯣꯌꯗꯅꯥ ꯇꯥꯀꯄꯤꯌꯨ:

• ꯁꯦꯛꯁꯨꯑꯦꯜ ꯐꯉ꯭ꯀꯁꯅꯒꯤ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯃꯁꯤꯡ: ꯁꯦꯛꯁꯀꯤ ꯃꯇꯃꯗꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯄꯥ, ꯏꯔꯦꯛꯁꯟ ꯂꯩꯕꯗꯥ ꯑꯋꯥꯕꯥ (erectile dysfunction) ꯑꯁꯤꯅꯆꯤꯡꯕꯥ ꯋꯥꯐꯃꯁꯤꯡ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯇꯦꯁ꯭ꯇꯤꯀꯜ ꯅꯠꯠꯔꯒꯥ ꯇꯦꯁ꯭ꯇꯤꯀꯜ (scrotum)ꯒꯤ ꯑꯀꯣꯌꯕꯗꯥ ꯂꯩꯕꯥ ꯁꯦꯛ ꯑꯗꯨ ꯁꯣꯟꯊꯔꯕꯗꯤ꯫
• ꯊꯥ ꯀꯌꯥꯒꯤ ꯃꯃꯥꯡꯗꯒꯤ ꯂꯩꯔꯛꯂꯕꯥ ꯇꯦꯁ꯭ꯇꯤꯀꯂꯁꯤꯡꯗꯥ ꯑꯅꯥꯕꯥ꯫

ꯑꯁꯤꯒꯨꯝꯕꯥ ꯋꯥꯐꯃꯁꯤꯡ ꯑꯁꯤ ꯌꯥꯗꯕꯤꯒꯅꯨ꯫ ꯌꯥꯔꯤꯕꯃꯈꯩ ꯊꯨꯅꯥ ꯗꯣꯛꯇꯔ ꯑꯃꯒꯥ ꯇꯥꯟꯅꯗꯨꯅꯥ ꯄꯥꯎꯇꯥꯛ ꯂꯧꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯩ꯫

ꯗꯣꯛꯇꯔꯗꯥ ꯀꯔꯤ ꯋꯥꯍꯪ ꯍꯪꯒꯗꯒꯦ?

ꯗꯣꯛꯇꯔꯒꯥ ꯎꯅꯅꯕꯥ ꯆꯠꯄꯥ ꯃꯇꯃꯗꯥ ꯋꯥꯍꯪꯁꯤꯡ ꯑꯁꯤ ꯋꯥꯈꯂꯗꯥ ꯊꯝꯕꯥ ꯑꯁꯤ ꯑꯐꯕꯥ ꯋꯥꯈꯜꯂꯣꯟ ꯑꯃꯅꯤ:

• "ꯑꯩꯒꯤꯗꯃꯛꯇꯗꯤ ꯃꯁꯤꯒꯤ `(PVPS)` ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯀꯔꯤꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯕꯒꯦ?"
• "ꯑꯩꯒꯤꯗꯃꯛꯇꯗꯤ ꯀꯔꯤ ꯅꯟ-ꯁꯔꯖꯤꯀꯦꯜ ꯇ꯭ꯔꯤꯠꯃꯦꯟꯇ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯒꯦ?"
• “ꯑꯩꯒꯤ ꯁꯔꯖꯔꯤꯒꯤ ꯃꯊꯧ ꯇꯥꯕꯔꯥ?, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯊꯧ ꯇꯥꯔꯕꯗꯤ ꯑꯩꯒꯤꯗꯃꯛꯇꯗꯤ ꯀꯔꯤ ꯃꯈꯂꯒꯤ ꯁꯔꯖꯔꯤꯅꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯒꯦ?”
• “ꯑꯩꯍꯥꯛꯅꯥ ꯃꯈꯥ ꯇꯥꯅꯥ ꯌꯦꯡꯁꯤꯅꯒꯗꯕꯥ ꯑꯇꯣꯞꯄꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯟ ꯑꯃꯥ ꯂꯩꯕꯔꯥ?”

ꯋꯥꯍꯪꯁꯤꯡ ꯑꯁꯤ ꯍꯪꯕꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯗꯨ ꯍꯦꯟꯅꯥ ꯈꯪꯕꯥ ꯉꯃꯒꯅꯤ ꯑꯃꯁꯨꯡ ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯈꯪꯍꯅꯕꯥ ꯉꯃꯒꯅꯤ꯫

ꯑꯔꯣꯏꯕꯗꯥ, ꯅꯤꯡꯁꯤꯡꯒꯗꯕꯥ ꯋꯥꯐꯃꯁꯤꯡ (ꯇꯦꯛ-ꯍꯣꯝ ꯃꯦꯁꯦꯖ)

ꯑꯉꯥꯡꯁꯤꯡ ꯄꯥꯃꯗꯕꯥ ꯅꯨꯄꯥ ꯑꯃꯒꯤ ꯑꯣꯏꯅꯗꯤ, ꯚꯦꯁꯦꯛꯇꯣꯃꯤ ꯑꯁꯤ ꯐꯦꯃꯤꯂꯤ ꯄ꯭ꯂꯥꯅꯤꯡꯒꯤ ꯌꯥꯝꯅꯥ ꯁꯥꯐꯕꯥ ꯑꯃꯁꯨꯡ ꯃꯇꯝ ꯆꯨꯞꯄꯒꯤ ꯑꯣꯏꯕꯥ ꯃꯑꯣꯡ ꯑꯃꯅꯤ . ``ꯄꯣꯁ꯭ꯠ-ꯚꯦꯁꯦꯛꯇꯣꯃꯤ ꯄꯦꯟ ꯁꯤꯟꯗ꯭ꯔꯣꯝ (PVPS)'' ꯀꯧꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯥ ꯂꯥꯀꯄꯒꯤ ꯔꯤꯁ꯭ꯛ ꯑꯁꯤ ꯇꯁꯦꯡꯅꯥ ꯌꯥꯝꯅꯥ ꯅꯦꯝꯃꯤ꯫ ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯃꯊꯧ ꯇꯥꯗꯅꯥ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯂꯩꯔꯣꯏꯗꯕꯅꯤ꯫

ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯚꯦꯁꯦꯛꯇꯣꯃꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯈꯪꯍꯧꯗꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯇꯦꯁ꯭ꯇꯤꯀꯂꯁꯤꯡꯗꯥ ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯑꯅꯥꯕꯥ ꯂꯩꯔꯕꯗꯤ, ꯃꯇꯦꯡ ꯄꯥꯡꯕꯥ ꯌꯥꯕꯥ ꯁꯔꯖꯤꯀꯦꯜ ꯑꯃꯁꯨꯡ ꯅꯟ-ꯁꯔꯖꯤꯀꯦꯜ ꯇ꯭ꯔꯤꯠꯃꯦꯟꯇ ꯑꯅꯤꯃꯛ ꯂꯩ . ꯑꯗꯨꯅꯥ, ꯂꯥꯡꯇꯛꯅꯒꯅꯨ ꯅꯠꯔꯒꯥ ꯑꯋꯥꯕꯥ ꯑꯗꯨ ꯊꯦꯡꯅꯒꯅꯨ . ꯑꯅꯥꯕꯥ ꯑꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯈꯪꯍꯜꯂꯨ꯫ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯃꯍꯥꯛꯅꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯇꯧꯕꯥ ꯌꯥꯏ, ꯅꯍꯥꯀꯄꯨ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯆꯨꯅꯕꯥ ꯂꯥꯏꯌꯦꯡ ꯄꯤꯕꯥ ꯌꯥꯏ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯀꯄꯨ ꯔꯤꯂꯤꯐ ꯄꯤꯕꯥ ꯌꯥꯏ꯫ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯁꯦꯂꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯋꯥꯈꯜ ꯇꯥꯒꯗꯕꯥ ꯑꯗꯨ ꯅꯍꯥꯛꯅꯤ꯫

` ꯄꯣꯁ꯭ꯠ-ꯚꯦꯁꯦꯛꯇꯣꯃꯤ ꯄꯦꯟ ꯁꯤꯟꯗꯣꯝ, ꯄꯤ.ꯚꯤ.ꯄꯤ.ꯑꯦꯁ., ꯚꯦꯁꯦꯛꯇꯣꯃꯤ, ꯅꯨꯄꯥꯒꯤ ꯁ꯭ꯇꯦꯔꯤꯂꯥꯏꯖꯦꯁꯟ, ꯇꯦꯁ꯭ꯇꯤꯀꯨꯂꯥꯔ ꯄꯦꯏꯟ, ꯀ꯭ꯔꯣꯅꯤꯛ ꯄꯦꯏꯟ, ꯇꯦꯁ꯭ꯇꯤꯀꯨꯂꯥꯔ ꯄꯦꯏꯟ꯫