ꯅꯍꯥꯛꯅꯥ ꯈꯪꯍꯧꯗꯅꯥ, ꯁꯥꯊꯤꯕꯥ ꯈꯣꯡꯎꯄꯀꯤ ꯑꯁꯣꯛ-ꯑꯄꯅꯁꯤꯡ ꯊꯦꯡꯅꯔꯤꯕ꯭ꯔꯥ? ꯄꯥꯌꯣꯗꯥꯔꯃꯥ ꯒ꯭ꯌꯥꯡꯒ꯭ꯔꯦꯅꯣꯁꯃꯒꯤ ꯃꯔꯃꯗꯥ ꯈꯉꯂꯁꯤ!

ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯑꯄꯤꯀꯄꯥ ꯕ꯭ꯂꯤꯁ꯭ꯇꯔ ꯅꯠꯠꯔꯒꯥ ꯔꯦꯗ ꯁ꯭ꯄꯣꯠ ꯑꯃꯥ ꯂꯩꯔꯀꯄꯥ ꯌꯥꯏ, ꯃꯗꯨ ꯑꯄꯤꯀꯄꯥ ꯕ꯭ꯂꯤꯁ꯭ꯇꯔ ꯅꯠꯠꯔꯒꯥ ꯔꯦꯗ ꯁ꯭ꯄꯣꯠ ꯑꯃꯥ ꯑꯣꯏꯅꯥ ꯍꯧꯔꯀꯈꯤ ꯑꯃꯁꯨꯡ ꯈꯪꯍꯧꯗꯅꯥ ꯑꯆꯧꯕꯥ, ꯑꯁꯣꯀꯄꯥ ꯑꯂꯁꯔ ꯑꯃꯥ ꯑꯣꯏꯔꯀꯈꯤꯕ꯭ꯔꯥ? ꯃꯁꯤ ꯃꯐꯝ ꯑꯃꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯏ, ꯑꯗꯨꯕꯨ ꯃꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯃꯐꯝ ꯀꯌꯥꯗꯁꯨ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯁꯤ ꯇꯁꯦꯡꯕꯗꯤ ꯄꯨꯛꯅꯤꯡ ꯈꯔꯥ ꯆꯪꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ ꯑꯃꯁꯨꯡ ꯃꯁꯤ ꯈꯔꯥ ꯍꯦꯟꯅꯥ ꯂꯨꯝꯅꯥ ꯂꯧꯕꯥ ꯌꯥꯏ꯫ ꯉꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯄꯥꯌꯣꯗꯥꯔꯃꯥ ꯒ꯭ꯌꯥꯡꯒ꯭ꯔꯦꯅꯣꯁꯝ ꯀꯧꯕꯥ ꯈꯣꯡꯎꯄꯀꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯔꯤ, ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯈꯉꯖꯤꯅꯒꯗꯕꯥ ꯑꯗꯨꯕꯨ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯂꯩꯔꯣꯏꯗꯕꯅꯤ, ꯃꯁꯤ ꯏꯆꯝ ꯆꯝꯅꯥ ꯊꯃꯁꯤ꯫

ꯃꯁꯤ ꯄ꯭ꯌꯣꯗꯔꯃꯥ ꯒ꯭ꯌꯥꯡꯒ꯭ꯔꯦꯅꯣꯁꯝ ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ?

ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯄꯥꯏꯑꯣꯗꯥꯔꯃꯥ ꯒ꯭ꯌꯥꯡꯒ꯭ꯔꯦꯅꯣꯁꯝ ꯑꯁꯤ ꯀ꯭ꯔꯣꯅꯤꯛ , ꯍꯥꯌꯕꯗꯤ ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯂꯩꯕꯥ, ꯑꯃꯁꯨꯡ ꯍꯟꯖꯤꯟ ꯍꯟꯖꯤꯟ ꯊꯣꯀꯄꯥ ꯈꯣꯡꯒꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫ ꯊꯣꯛꯂꯤꯕꯥ ꯑꯁꯤꯗꯤ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯑꯍꯥꯅꯕꯗꯥ ꯑꯄꯤꯀꯄꯥ, ꯃꯆꯨ ꯁꯪꯂꯕꯥ (ꯂꯥꯂꯍꯧꯕꯥ, ꯃꯆꯨ ꯁꯪꯂꯕꯥ, ꯅꯤꯜ, ꯑꯉꯧꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯕ꯭ꯂꯦꯛ ꯑꯣꯏꯕꯥ ꯌꯥꯏ) ꯅꯠꯠꯔꯒꯥ ꯐ꯭ꯂꯨꯏꯗꯅꯥ ꯊꯜꯂꯕꯥ ꯕ꯭ꯂꯤꯁ꯭ꯇꯔꯁꯤꯡ (bullae) ꯂꯥꯀꯄꯥ ꯍꯧꯏ꯫ ꯍꯦꯟꯅꯥ ꯈꯨꯗꯣꯡꯊꯤꯅꯤꯉꯥꯏ ꯑꯣꯏꯕꯥ ꯋꯥꯐꯃꯗꯤ ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯆꯥꯎꯈꯠꯂꯀꯄꯥ, ꯄꯨꯟꯅꯥ ꯆꯠꯃꯤꯟꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯌꯥꯝꯅꯥ ꯂꯨꯕꯥ, ꯑꯍꯥꯡꯕꯥ ꯑꯁꯣꯛ-ꯑꯄꯅꯁꯤꯡ (ꯑꯂꯁꯔ) ꯑꯣꯏꯔꯀꯄꯥ ꯌꯥꯏ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯄꯣꯠꯁꯛ ꯑꯃꯅꯥ ꯑꯄꯤꯀꯄꯥ ꯄꯤꯖ-ꯄꯤꯊꯛ ꯑꯃꯥ ꯑꯣꯏꯅꯥ ꯍꯧꯔꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯅꯨꯃꯤꯠ ꯈꯔꯅꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯃꯗꯨ ꯅꯤꯀꯂꯒꯤ ꯆꯥꯡꯗꯥ ꯑꯁꯣꯀꯄꯥ ꯑꯂꯁꯔ ꯑꯃꯥ ꯑꯣꯏꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯀꯔꯤ ꯑꯣꯏꯒꯅꯤ ꯍꯥꯌꯕꯗꯨ ꯈꯟꯗꯨꯅꯥ ꯌꯦꯡꯕꯤꯌꯨ? ꯃꯐꯝ ꯑꯁꯤꯗꯥ ꯃꯗꯨ ꯑꯣꯏꯔꯤ꯫ ꯃꯤꯑꯣꯏ ꯈꯔꯗꯤ ꯑꯂꯁꯔ ꯑꯃꯈꯛꯇꯃꯛ ꯂꯥꯀꯄꯥ ꯌꯥꯏ, ꯑꯗꯨꯕꯨ ꯁꯥꯊꯤꯕꯥ ꯀꯦꯁꯁꯤꯡꯗꯗꯤ, ꯃꯜꯇꯤꯄꯜ ꯑꯂꯁꯔꯁꯤꯡ ꯑꯁꯤ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯂꯥꯀꯄꯥ ꯌꯥꯏ꯫ ꯍꯥꯌꯔꯤꯕꯥ ꯑꯂꯁꯔꯁꯤꯡ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯁꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ .

ꯃꯔꯨꯑꯣꯏꯅꯥ, ꯄꯥꯏꯑꯣꯗꯥꯔꯃꯥ ꯒ꯭ꯌꯥꯡꯒ꯭ꯔꯦꯅꯣꯁꯝ ꯑꯁꯤ ꯑꯌꯥꯝꯕꯅꯥ ꯑꯇꯣꯞꯄꯥ ꯁꯤꯁ꯭ꯇꯦꯃꯤꯛ ꯂꯥꯌꯅꯥꯁꯤꯡꯒꯥ ꯃꯔꯤ ꯂꯩꯅꯩ , ꯃꯁꯤꯅꯥ ꯇꯥꯀꯄꯗꯤ ꯃꯁꯤ ꯈꯣꯡꯒꯤ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯈꯛꯇꯒꯤ ꯅꯠꯇꯦ꯫

ꯃꯁꯤ ꯀꯅꯥꯅꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯌꯥꯝꯅꯥ ꯐꯪꯒꯅꯤ?

ꯄꯥꯏꯑꯣꯗꯥꯔꯃꯥ ꯒ꯭ꯌꯥꯡꯒ꯭ꯔꯦꯅꯣꯁꯝ ꯑꯁꯤ ꯆꯍꯤ ꯑꯃꯍꯦꯛꯇꯗꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯏ, ꯑꯗꯨꯕꯨ ꯃꯁꯤ ꯑꯉꯥꯡꯁꯤꯡꯗꯥ ꯌꯥꯝꯅꯥ ꯇꯥꯡꯅꯥ ꯊꯣꯀꯏ . ꯃꯁꯤ ꯆꯍꯤ 20 ꯑꯃꯁꯨꯡ 50ꯒꯤ ꯃꯔꯛꯇꯥ ꯂꯩꯕꯥ ꯅꯨꯄꯤꯁꯤꯡꯗꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯀꯃꯟ ꯑꯣꯏ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯍꯦꯛꯇꯕꯨ ꯂꯩꯔꯕꯗꯤ ꯅꯍꯥꯛꯅꯥ ꯄꯥꯏꯑꯣꯗꯥꯔꯃꯥ ꯒ꯭ꯌꯥꯡꯒ꯭ꯔꯦꯅꯣꯁꯝ ꯂꯥꯀꯄꯒꯤ ꯔꯤꯁ꯭ꯛ ꯍꯦꯟꯅꯥ ꯂꯩꯕꯥ ꯌꯥꯏ:

• ꯔꯤꯌꯨꯃꯦꯇꯣꯏꯗ ꯑꯔꯊ꯭ꯔꯥꯏꯇꯤꯁ (Rheumatoid arthritis) - ꯃꯁꯤ ꯁꯔꯨ ꯇꯥꯡꯁꯤꯡꯗꯥ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯁꯟ (inflammation) ꯊꯣꯀꯍꯜꯂꯤꯕꯥ ꯂꯥꯌꯅꯥ ꯑꯃꯅꯤ꯫
• ꯑꯂꯁꯦꯔꯦꯇꯤꯚ ꯀꯣꯂꯥꯏꯇꯤꯁ - ꯑꯆꯧꯕꯥ ꯏꯟꯇꯦꯁ꯭ꯇꯥꯏꯅꯗꯥ ꯑꯂꯁꯔ ꯂꯩꯕꯥ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯇꯔꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫
• ꯀ꯭ꯔꯣꯅꯤꯛ ꯂꯥꯌꯅꯥ - ꯗꯥꯏꯖꯦꯁ꯭ꯇꯤꯚ ꯇ꯭ꯔꯦꯛꯇꯇꯥ ꯊꯣꯀꯄꯥ ꯑꯇꯣꯞꯄꯥ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯇꯔꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫
• ꯀꯦꯟꯁꯔ ꯃꯈꯜ ꯈꯔꯗꯤ, ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯕ꯭ꯂꯗ ꯀꯦꯟꯁꯔ ꯍꯥꯌꯕꯗꯤ ꯂꯤꯎꯀꯦꯃꯤꯌꯥ ꯅꯠꯠꯔꯒꯥ ꯂꯤꯝꯐꯣꯃꯥ꯫

ꯃꯁꯤ ꯑꯃꯦꯔꯤꯀꯥꯗꯥ ꯃꯤꯑꯣꯏ ꯂꯤꯁꯤꯡ ꯑꯃꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯑꯃꯗꯥ ꯊꯣꯀꯏ ꯍꯥꯌꯅꯥ ꯍꯥꯌꯔꯤ . ꯍꯥꯌꯕꯗꯤ ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯀꯃꯟ ꯑꯣꯏꯗꯦ꯫

ꯃꯁꯤꯅꯥ ꯍꯀꯆꯥꯡꯗꯥ ꯀꯔꯝꯅꯥ ꯁꯣꯀꯍꯅꯕꯒꯦ? ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?

ꯄꯥꯏꯑꯣꯗꯥꯔꯃꯥ ꯒ꯭ꯌꯥꯡꯒ꯭ꯔꯦꯅꯣꯁꯃꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯑꯄꯤꯀꯄꯥ, ꯃꯆꯨ ꯁꯪꯂꯕꯥ ꯕ꯭ꯂꯤꯁ꯭ꯇꯔꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯁꯟ (inflammation) ꯍꯥꯌꯕꯗꯤ ꯁꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯂꯥꯎꯕꯥ (inflammation) ꯊꯣꯀꯍꯜꯂꯤ꯫ ꯕ꯭ꯂꯤꯁ꯭ꯇꯔꯁꯤꯡ ꯑꯁꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯃꯐꯝ ꯑꯃꯍꯦꯛꯇꯗꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯏ, ꯑꯗꯨꯕꯨ ꯃꯈꯣꯌ ꯑꯁꯤ ꯑꯌꯥꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯈꯣꯡ, ꯈꯣꯡ ꯑꯃꯁꯨꯡ ꯈꯣꯡ (lower extremities)ꯗꯥ ꯎꯕꯥ ꯐꯪꯏ꯫

ꯕ꯭ꯂꯤꯁ꯭ꯇꯔꯁꯤꯡ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯌꯥꯡꯅꯥ ꯆꯦꯟꯊꯔꯀꯄꯥ ꯌꯥꯏ, ꯑꯆꯧꯕꯥ, ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯕꯥ ꯑꯂꯁꯔꯁꯤꯡꯗꯥ ꯑꯣꯟꯊꯣꯀꯄꯥ ꯌꯥꯏ ꯑꯃꯁꯨꯡ ꯁꯟꯗꯣꯀꯄꯥ ꯌꯥꯏ꯫ꯃꯔꯨꯑꯣꯏꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡꯗꯤ:

• ꯑꯄꯤꯀꯄꯥ, ꯃꯆꯨ ꯁꯪꯂꯕꯥ (ꯂꯥꯂꯍꯧ, ꯃꯆꯨ, ꯅꯤꯜ, ꯑꯉꯧꯕꯥ, ꯅꯠꯠꯔꯒꯥ ꯕ꯭ꯂꯦꯛ) ꯐꯨꯂꯁꯤꯡꯅꯥ ꯊꯜꯂꯕꯥ ꯕ꯭ꯂꯤꯁ꯭ꯇꯔꯁꯤꯡ꯫ ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯊꯨꯅꯥ ꯆꯥꯎꯈꯠꯂꯀꯏ .
• ꯑꯍꯥꯡꯕꯥ ꯑꯁꯣꯛ-ꯑꯄꯅꯁꯤꯡ (ꯑꯂꯁꯔ) ꯊꯣꯀꯏ꯫ ꯑꯁꯣꯀꯄꯥ ꯑꯁꯤꯒꯤ ꯑꯀꯣꯌꯕꯗꯥ ꯂꯩꯕꯥ ꯃꯐꯃꯁꯤꯡ ꯑꯁꯤ ꯋꯥꯡꯈꯠꯂꯀꯏ ꯑꯃꯁꯨꯡ ꯃꯌꯦꯛ ꯁꯦꯡꯅꯥ ꯎꯕꯥ ꯐꯪꯏ .
• ꯑꯁꯣꯀꯄꯥ ꯃꯐꯝ ꯑꯗꯨꯒꯤ ꯑꯀꯣꯌꯕꯗꯥ ꯁꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯁꯥꯊꯤꯅꯥ ꯁꯣꯀꯄꯥ꯫
• ꯃꯤꯑꯣꯏ ꯈꯔꯗꯤ ꯂꯥꯏꯍꯧ ꯍꯧꯔꯀꯄꯥ ꯌꯥꯏ .
• ꯁꯔꯨ ꯇꯥꯡꯒꯤ ꯑꯅꯥꯕꯁꯨ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫

ꯑꯁꯣꯛ-ꯑꯄꯅꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯌꯥꯝꯅꯥ ꯆꯥꯎꯕꯥ ꯑꯃꯁꯨꯡ ꯌꯥꯝꯅꯥ ꯂꯨꯕꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ , ꯑꯃꯁꯨꯡ ꯑꯁꯣꯛ-ꯑꯄꯅꯁꯤꯡ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯂꯨꯕꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫

ꯁ꯭ꯇꯗꯤ ꯈꯔꯅꯥ ꯇꯥꯛꯂꯤ ꯃꯗꯨꯗꯤ ꯄꯥꯏꯑꯣꯗꯥꯔꯃꯥ ꯒ꯭ꯌꯥꯡꯒ꯭ꯔꯦꯅꯣꯁꯝ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯒꯤ 70% ꯐꯥꯎꯕꯗꯤ ꯃꯇꯝ ꯑꯃꯗꯥ ꯑꯇꯣꯞꯄꯥ ꯀꯟꯗꯤꯁꯟ (ꯀꯣꯃꯣꯔꯕꯤꯗꯤꯇꯤ) ꯑꯃꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯂꯩꯕꯥ ꯌꯥꯏ꯫ ꯄꯥꯏꯑꯣꯗꯥꯔꯃꯥ ꯒ꯭ꯌꯥꯡꯒ꯭ꯔꯦꯅꯣꯁꯝ ꯑꯁꯤ ꯑꯇꯩ ꯀꯟꯗꯤꯁꯅꯁꯤꯡꯒꯥ ꯄꯨꯟꯁꯤꯟꯅꯔꯕꯥ ꯃꯇꯃꯗꯥ, ꯁꯤꯕꯒꯤ ꯔꯤꯁ꯭ꯛ ꯑꯁꯤ 30% ꯐꯥꯎꯕꯥ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ ꯌꯥꯏ ꯍꯥꯌꯅꯥ ꯍꯥꯌꯅꯩ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯂꯧꯕꯥ ꯌꯥꯕꯥ ꯋꯥꯐꯝ ꯅꯠꯇꯦ꯫

ꯃꯁꯤ ꯑꯣꯇꯣꯏꯝꯌꯨꯟ ꯂꯥꯌꯅꯥ ꯑꯃꯅꯤ ꯍꯥꯌꯕꯁꯤꯅꯤ?

ꯍꯣꯌ, ꯄꯥꯏꯑꯣꯗꯥꯔꯃꯥ ꯒ꯭ꯌꯥꯡꯒ꯭ꯔꯦꯅꯣꯁꯝ ꯑꯁꯤ ꯑꯣꯇꯣꯏꯝꯌꯨꯟ ꯂꯥꯌꯅꯥ ꯑꯃꯅꯤ ꯍꯥꯌꯅꯥ ꯊꯥꯖꯅꯩ . ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯃꯁꯥꯒꯤ ꯑꯣꯏꯕꯥ ꯗꯤꯐꯦꯟꯁ ꯁꯤꯁ꯭ꯇꯦꯝ, ꯏꯝꯝꯌꯨꯟ ꯁꯤꯁ꯭ꯇꯦꯝ ꯑꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯏꯁꯥꯒꯤ ꯈꯣꯡꯖꯦꯂꯒꯤ ꯁꯦꯂꯁꯤꯡꯗꯥ ꯑꯦꯇꯦꯛ ꯇꯧꯏ꯫ ꯃꯤꯑꯣꯏ ꯈꯔꯒꯤ ꯑꯣꯏꯅꯗꯤ, ꯃꯊꯛꯇꯥ ꯄꯅꯈ꯭ꯔꯤꯕꯥ ꯑꯇꯩ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ ꯑꯁꯤ ꯂꯥꯏꯌꯦꯡꯕꯥ ꯃꯇꯃꯗꯥ ꯄꯥꯏꯑꯣꯗꯥꯔꯃꯥ ꯒ꯭ꯌꯥꯡꯒ꯭ꯔꯦꯅꯣꯁꯝ ꯑꯁꯤ ꯐꯒꯠꯂꯀꯏ꯫

ꯀꯔꯤꯒꯤꯗꯃꯛꯇꯥ ꯄꯥꯏꯑꯣꯗꯥꯔꯃꯥ ꯒ꯭ꯌꯥꯡꯒ꯭ꯔꯦꯅꯣꯁꯝ ꯊꯣꯛꯂꯤꯕꯅꯣ?

ꯃꯦꯗꯤꯀꯦꯜ ꯑꯦꯛꯁꯄꯔꯇꯁꯤꯡꯅꯥ ꯍꯧꯖꯤꯛ ꯐꯥꯎꯕꯥ ꯑꯆꯨꯝꯕꯥ ꯃꯔꯝ ꯑꯗꯨ ꯈꯪꯗ꯭ꯔꯤ , ꯑꯗꯨꯕꯨ ꯄꯥꯏꯑꯣꯗꯥꯔꯃꯥ ꯒ꯭ꯌꯥꯡꯒ꯭ꯔꯦꯅꯣꯁꯝ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯒꯤ ꯁꯔꯨꯛ ꯑꯍꯨꯝ ꯊꯣꯀꯄꯒꯤ ꯑꯃꯗꯒꯤ ꯍꯦꯅꯕꯗꯥ ꯑꯇꯩ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ (ꯑꯥꯔꯊ꯭ꯔꯥꯏꯇꯤꯁ, ꯂꯤꯎꯀꯦꯃꯤꯌꯥ, ꯑꯃꯁꯨꯡ ꯀ꯭ꯔꯣꯅꯤꯛ ꯂꯥꯌꯅꯥꯒꯨꯝꯕꯥ) ꯂꯩ, ꯃꯗꯨ ꯃꯃꯥꯡꯗꯥ ꯄꯅꯈꯤꯕꯒꯨꯝꯅꯥ꯫

ꯃꯁꯤꯒꯤ ꯃꯊꯛꯇꯥ, ꯄꯥꯏꯑꯣꯗꯥꯔꯃꯥ ꯒ꯭ꯌꯥꯡꯒ꯭ꯔꯦꯅꯣꯁꯝ ꯑꯁꯤ ꯈꯣꯡꯗꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ, ꯁꯣꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯁꯔꯖꯔꯤ (pathergy)ꯒꯤ ꯃꯇꯨꯡꯗꯁꯨ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯅꯍꯥꯛꯀꯤ ꯈꯨꯠꯇꯥ ꯑꯄꯤꯀꯄꯥ ꯑꯦꯕꯔꯦꯁꯟ ꯑꯃꯥ, ꯅꯠꯠꯔꯒꯥ ꯑꯄꯤꯀꯄꯥ ꯁꯔꯖꯔꯤ ꯑꯃꯥ ꯈꯅꯕꯤꯌꯨ, ꯑꯃꯁꯨꯡ ꯃꯁꯤꯗꯒꯤ ꯂꯥꯌꯅꯥ ꯑꯁꯤ ꯍꯧꯔꯀꯄꯥ ꯌꯥꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯑꯁꯣꯛ-ꯑꯄꯅꯁꯤꯡ ꯑꯁꯤ ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯁ꯭ꯇꯣꯃꯥ ꯁꯥꯏꯠ ꯑꯃꯒꯤ ꯑꯀꯣꯌꯕꯗꯥꯁꯨ ꯊꯣꯀꯏ꯫ ꯃꯁꯤꯕꯨ ꯄꯦꯔꯤꯁ꯭ꯇꯣꯃꯥꯜ ꯄꯥꯏꯑꯣꯗꯥꯔꯃꯥ ꯒ꯭ꯌꯥꯡꯒ꯭ꯔꯦꯅꯣꯁꯝ ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫

ꯃꯁꯤ ꯂꯧꯅꯒꯅꯕꯥ ꯂꯥꯌꯅꯥ ꯑꯣꯏꯕꯔꯥ?

ꯅꯠꯇꯦ ꯄꯥꯌꯣꯗꯥꯔꯃꯥ ꯒ꯭ꯌꯥꯡꯒ꯭ꯔꯦꯅꯣꯁꯝ ꯑꯁꯤ ꯂꯧꯅꯒꯅꯕꯥ ꯂꯥꯌꯅꯥ ꯑꯃꯅꯤ . ꯃꯁꯤ ꯁ꯭ꯀꯤꯟ-ꯇꯨ-ꯁ꯭ꯀꯤꯟ ꯀꯟꯇꯦꯛꯇꯀꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯗꯒꯤ ꯑꯇꯣꯞꯄꯥ ꯑꯃꯗꯥ ꯁꯟꯗꯣꯀꯄꯥ ꯌꯥꯗꯦ꯫ ꯃꯁꯤ ꯃꯤꯑꯣꯏ ꯀꯌꯥ ꯑꯃꯅꯥ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯋꯥꯐꯝ ꯑꯃꯅꯤ, ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯃꯌꯦꯛ ꯁꯦꯡꯅꯥ ꯈꯉꯕꯥ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫

ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯃꯁꯤ ꯀꯔꯝꯅꯥ ꯈꯉꯒꯅꯤ?

ꯆꯨꯝꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯄꯥꯏꯑꯣꯗꯥꯔꯃꯥ ꯒ꯭ꯌꯥꯡꯒ꯭ꯔꯦꯅꯣꯁꯝ ꯑꯁꯤ ꯈꯉꯗꯣꯀꯄꯥ ꯑꯁꯤ ꯈꯔꯥ ꯁꯤꯡꯅꯕꯥ ꯑꯃꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ . ꯃꯁꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯗꯨꯅꯤ ꯍꯥꯌꯕꯥ ꯀꯅꯐꯥꯔꯝ ꯇꯧꯕꯥ ꯉꯝꯕꯥ ꯗꯤꯐꯤꯅꯤꯇꯤꯚ ꯇꯦꯁ꯭ꯠ ꯑꯃꯠꯇꯥ ꯂꯩꯇꯦ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯃꯍꯧꯁꯥꯅꯥ ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯆꯞ ꯃꯥꯟꯅꯕꯥ ꯈꯣꯡꯖꯦꯂꯒꯤ ꯁꯃꯁ꯭ꯌꯥꯁꯤꯡ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯕꯥ ꯑꯇꯩ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ ꯊꯤꯡꯅꯕꯥ ꯇꯦꯁ꯭ꯠ ꯇꯧꯏ꯫ ꯍꯥꯌꯕꯗꯤ ꯃꯈꯣꯌꯅꯥ ꯑꯍꯥꯅꯕꯗꯥ ꯃꯥꯟꯅꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯂꯩꯕꯥ ꯑꯇꯩ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯁꯣꯌꯗꯅꯥ ꯈꯪꯗꯣꯀꯏ꯫ ꯈꯨꯗꯝ ꯑꯣꯏꯅ:

• ꯇꯣꯉꯥꯟ-ꯇꯣꯉꯥꯅꯕꯥ ꯏꯅꯐꯦꯛꯁꯅꯁꯤꯡ꯫
• ꯁ꯭ꯀꯤꯟ ꯀꯦꯟꯁꯔꯁꯤꯡ꯫
• ꯈꯣꯡꯗꯥ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯜ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯁꯟ ꯂꯩꯕꯥ꯫
• ꯂꯨꯄꯁꯀꯤ ꯂꯥꯌꯅꯥ꯫
• ꯁ꯭ꯕꯤꯠ ꯁꯤꯟꯗꯣꯝ ꯀꯧꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫

ꯃꯁꯤꯒꯤꯗꯃꯛꯇꯥ ꯇꯦꯁ꯭ꯇꯁꯤꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯌꯥꯑꯣꯕꯥ ꯌꯥꯏ:

• ꯕ꯭ꯂꯗ ꯇꯦꯁ꯭ꯠ ꯇꯧꯕꯥ꯫
• ꯑꯦꯀꯖꯥꯃꯤꯅꯦꯁꯅꯒꯤꯗꯃꯛꯇꯥ ꯈꯣꯡꯒꯤ ꯑꯄꯤꯀꯄꯥ ꯁꯔꯨꯛ ꯑꯃꯥ ꯂꯧꯕꯥ (Biopsy)꯫
• ꯕꯣꯟ ꯃꯦꯔꯣ ꯁꯦꯝꯄꯂꯤꯡ - ꯃꯔꯨꯑꯣꯏꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯕ꯭ꯂꯗ ꯀꯦꯟꯁꯔꯒꯨꯝꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ ꯑꯁꯤ ꯆꯤꯡꯅꯕꯥ ꯂꯩꯔꯕꯗꯤ꯫
• ꯄ꯭ꯔꯣꯛꯇꯣꯁ꯭ꯀꯣꯄꯤ ꯇꯧꯕꯥ꯫
• ꯀꯣꯂꯣꯅꯣꯁ꯭ꯀꯣꯄꯤ - ꯀꯔꯤꯒꯨꯝꯕꯥ ꯀ꯭ꯔꯣꯅꯤꯛ ꯂꯥꯌꯅꯥꯒꯨꯝꯕꯥ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ ꯆꯤꯡꯅꯕꯥ ꯂꯩꯔꯕꯗꯤ꯫

ꯇꯦꯁ꯭ꯠ ꯄꯨꯝꯅꯃꯛ ꯑꯁꯤ ꯇꯧꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯑꯃꯁꯨꯡ ꯑꯇꯣꯞꯄꯥ ꯄꯨꯝꯅꯃꯛ ꯂꯧꯊꯣꯛꯂꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯈꯛꯇꯗꯥ ꯗꯣꯛꯇꯔꯅꯥ ꯃꯁꯤ ꯄꯥꯏꯑꯣꯗꯥꯔꯃꯥ ꯒ꯭ꯌꯥꯡꯒ꯭ꯔꯦꯅꯣꯁꯃꯅꯤ ꯍꯥꯌꯅꯥ ꯋꯥꯔꯦꯞ ꯂꯧꯏ꯫

ꯂꯥꯏꯌꯦꯡꯕꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?

ꯄꯥꯏꯑꯣꯗꯥꯔꯃꯥ ꯒ꯭ꯌꯥꯡꯒ꯭ꯔꯦꯅꯣꯁꯃꯒꯤ ꯂꯥꯏꯌꯦꯡꯒꯤ ꯑꯣꯄꯁꯟ ꯀꯌꯥ ꯂꯩ꯫ ꯉꯟꯅꯥ ꯈꯉꯗꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯂꯥꯌꯦꯡꯕꯅꯥ ꯁꯣꯀꯍꯟꯗꯅꯕꯥ ꯃꯔꯨꯑꯣꯏ .

ꯀꯃꯟ ꯑꯣꯏꯕꯥ, ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯀꯦꯁꯁꯤꯡꯒꯤ ꯂꯥꯏꯌꯦꯡ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯁꯣꯛ-ꯑꯄꯅꯁꯤꯡ ꯑꯗꯨ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯑꯣꯏꯔꯕꯗꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯇꯣꯄꯤꯀꯦꯜ ꯀ꯭ꯔꯤꯝ ꯅꯠꯠꯔꯒꯥ ꯃꯍꯤꯀꯁꯤꯡ ꯄꯤꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯌꯥꯑꯣꯔꯤ:

• ꯀꯣꯔꯇꯤꯀꯣꯁ꯭ꯇꯦꯔꯣꯏꯗꯁꯤꯡ: ꯃꯁꯤ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯁꯟ ꯍꯟꯊꯍꯅꯕꯥ ꯉꯝꯕꯥ ꯗ꯭ꯔꯒꯁꯤꯡꯅꯤ꯫ ꯃꯈꯣꯌ ꯑꯁꯤ ꯑꯁꯣꯛ-ꯑꯄꯅꯁꯤꯡꯗꯥ ꯀ꯭ꯔꯤꯝ ꯑꯃꯥ ꯑꯣꯏꯅꯥ ꯅꯠꯠꯔꯒꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛ ꯑꯣꯏꯅꯥ ꯂꯧꯕꯥ ꯌꯥꯏ꯫ ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ: ꯀꯣꯔꯇꯤꯁꯣꯟ, ꯄ꯭ꯔꯦꯗꯅꯤꯁꯟ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯆꯥꯛ ꯆꯥꯕꯥ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ, ꯑꯔꯨꯝꯕꯥ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ, ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ, ꯑꯦꯛꯅꯤ, ꯑꯃꯁꯨꯡ ꯇꯨꯝꯕꯥ ꯌꯥꯗꯕꯥ ꯑꯁꯤꯅꯆꯤꯡꯕꯥ ꯁꯥꯏꯗ ꯏꯐꯦꯛꯇꯁꯤꯡ ꯂꯩꯕꯥ ꯌꯥꯏ꯫
• ꯅꯟ-ꯁ꯭ꯇꯦꯔꯣꯏꯗ ꯑꯦꯟꯇꯤ-ꯏꯅꯐ꯭ꯂꯦꯃꯦꯇꯔꯤ ꯗ꯭ꯔꯒꯁꯤꯡ (NSAIDs): ꯃꯈꯣꯌ ꯑꯁꯤ ꯄꯦꯟ ꯔꯤꯂꯤꯚꯔꯁꯤꯡꯅꯤ꯫ ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ: ꯑꯦꯁ꯭ꯄꯤꯔꯤꯟ, ꯏꯕꯨꯞꯔꯣꯐꯦꯟ꯫ ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯒ꯭ꯌꯥꯁ , ꯈꯣꯡ ꯍꯥꯝꯕꯥ, ꯈꯣꯡ ꯍꯥꯝꯕꯥ, ꯋꯥꯈꯜ ꯆꯔꯥꯡꯅꯕꯥ, ꯈꯣꯡ ꯍꯥꯝꯕꯥ, ꯗꯥꯏꯔꯤꯌꯥ, ꯑꯃꯁꯨꯡ ꯈꯣꯡ ꯍꯥꯝꯕꯥ ꯌꯥꯏ꯫
• ꯁꯤꯂꯚꯥꯔ ꯁꯂꯐꯥꯗꯤꯌꯥꯖꯤꯟ ꯁ꯭ꯀꯤꯟ ꯀ꯭ꯔꯤꯝ: ꯃꯁꯤ ꯇꯁꯦꯡꯕꯗꯤ ꯑꯦꯟꯇꯤꯕꯥꯏꯑꯣꯇꯤꯛ ꯀ꯭ꯔꯤꯝ ꯑꯃꯅꯤ ꯑꯃꯁꯨꯡ ꯃꯁꯤ ꯏꯅꯐꯦꯛꯁꯟ ꯊꯤꯡꯅꯕꯥ ꯃꯩꯅꯥ ꯆꯥꯀꯄꯁꯤꯡꯗꯥ ꯊꯥꯏ꯫ ꯃꯁꯤ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤꯗꯁꯨ ꯁꯤꯖꯤꯟꯅꯩ꯫ ꯃꯁꯤꯅꯥ ꯁꯣꯛ-ꯄꯅꯕꯥ, ꯂꯥꯏꯍꯧ, ꯆꯤꯀꯄꯥ, ꯈꯣꯡ-ꯈꯨꯠ ꯁꯣꯛ-ꯄꯅꯕꯥ, ꯑꯃꯁꯨꯡ ꯅꯨꯃꯤꯠꯀꯤ ꯃꯉꯥꯂꯅꯥ ꯁꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫

ꯈꯔꯥ ꯍꯥꯔꯁ ꯑꯣꯏꯕꯥ?

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯑꯗꯨ ꯍꯦꯟꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯑꯣꯏꯔꯕꯗꯤ, ꯗꯣꯛꯇꯔ ꯑꯗꯨꯅꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯂꯥꯏꯌꯦꯡꯁꯤꯡ ꯑꯁꯤ ꯄꯤꯕꯥ ꯌꯥꯏ:

• ꯏꯝꯝꯌꯨꯅꯣꯁꯞꯔꯦꯁꯦꯟꯇ ꯍꯤꯗꯥꯀꯁꯤꯡ: ꯃꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯏꯝꯝꯌꯨꯟ ꯁꯤꯁ꯭ꯇꯦꯃꯅꯥ ꯃꯁꯥꯒꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯅꯕꯒꯤ ꯇꯧꯕꯥ ꯉꯝꯕꯗꯨ ꯍꯟꯊꯍꯟꯗꯨꯅꯥ ꯊꯕꯛ ꯇꯧꯏ꯫ ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ: ꯃꯥꯏꯀꯣꯐꯦꯅꯣꯂꯦꯠ, ꯁꯥꯏꯛꯂꯣꯁ꯭ꯄꯣꯔꯤꯟ꯫
• ꯕꯥꯏꯑꯣꯂꯣꯖꯤꯀꯦꯜ ꯑꯦꯖꯦꯟꯇꯁꯤꯡ: ꯃꯁꯤ ꯑꯅꯧꯕꯥ ꯃꯈꯂꯒꯤ ꯗ꯭ꯔꯒꯁꯤꯡꯅꯤ꯫ ꯃꯈꯣꯌꯅꯥ ꯍꯀꯆꯥꯡꯗꯥ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯁꯟ ꯊꯣꯀꯍꯜꯂꯤꯕꯥ ꯑꯀꯛꯅꯕꯥ ꯄ꯭ꯔꯣꯇꯤꯅꯁꯤꯡꯗꯥ ꯄꯥꯟꯗꯝ ꯊꯃꯗꯨꯅꯥ ꯊꯕꯛ ꯇꯧꯏ꯫ ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ: ꯏꯅꯐ꯭ꯂꯤꯛꯁꯤꯃꯦꯕ, ꯑꯗꯥꯂꯤꯃꯨꯃꯕ, ꯎꯁ꯭ꯇꯦꯀꯤꯅꯨꯃꯥꯕ꯫
• ꯍꯥꯏꯄꯔꯕꯦꯔꯤꯛ ꯑꯣꯛꯁꯤꯖꯦꯟ ꯊꯦꯔꯥꯄꯤ: ꯃꯁꯤꯗꯥ ꯑꯈꯟꯅꯕꯥ ꯆꯦꯝꯕꯔ ꯑꯃꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯱꯰꯰% ꯑꯣꯛꯁꯤꯖꯦꯟ ꯄꯤꯕꯥ ꯌꯥꯑꯣꯏ꯫ ꯃꯁꯤꯅꯥ ꯍꯀꯆꯥꯡꯒꯤ ꯇꯤꯁꯨꯁꯤꯡ ꯐꯒꯠꯍꯅꯕꯗꯥ ꯈꯣꯡꯖꯦꯜ ꯌꯥꯡꯁꯤꯂꯍꯜꯂꯤ ꯍꯥꯌꯅꯥ ꯍꯥꯌꯔꯤ꯫

ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯥꯡꯗꯁꯨ ꯈꯉꯂꯁꯤ꯫

ꯀꯦꯁ ꯈꯔꯗꯗꯤ, ꯑꯁꯣꯀꯄꯥ ꯑꯗꯨꯗꯒꯤ ꯑꯁꯤꯕꯥ ꯇꯤꯁꯨꯁꯤꯡ ꯑꯗꯨ ꯁꯔꯖꯤꯀꯦꯜ ꯑꯣꯏꯅꯥ ꯂꯧꯊꯣꯀꯄꯅꯥ (debriding) ꯃꯇꯦꯡ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ ꯃꯁꯤꯗꯥ ꯔꯤꯁ꯭ꯀꯁꯤꯡꯁꯨ ꯂꯩꯔꯤ .ꯈꯣꯡꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯅꯕꯥ (ꯄꯦꯊꯔꯖꯤ)ꯅꯥ ꯄꯥꯏꯑꯣꯗꯥꯔꯃꯥ ꯒ꯭ꯌꯥꯡꯒ꯭ꯔꯦꯅꯣꯁꯃꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯍꯦꯟꯅꯥ ꯐꯠꯆꯤꯜꯂꯛꯇꯕꯥ ꯃꯔꯝꯅꯥ, ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯆꯦꯀꯁꯤꯟꯅꯥ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯤ ꯑꯄꯥꯝꯕꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ ꯇꯧꯒꯗꯕꯅꯤ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯁ꯭ꯀꯤꯟ ꯒ꯭ꯔꯥꯐ ꯑꯃꯥ ꯄꯥꯡꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯅꯥ ꯇꯥꯀꯄꯗꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯍꯀꯁꯦꯜ ꯐꯕꯥ ꯁꯔꯨꯛ ꯑꯃꯗꯒꯤ ꯈꯣꯡ ꯑꯁꯤ ꯂꯧꯊꯣꯀꯏ ꯑꯃꯁꯨꯡ ꯑꯁꯣꯀꯄꯥ ꯃꯐꯝ ꯑꯗꯨꯗꯥ ꯇ꯭ꯔꯥꯟꯁꯞꯂꯥꯟꯇ ꯇꯧꯏ꯫

ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯥ ꯑꯣꯏꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯀꯔꯤ ꯈꯪꯒꯗꯒꯦ?

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯄꯥꯏꯑꯣꯗꯥꯔꯃꯥ ꯒ꯭ꯌꯥꯡꯒ꯭ꯔꯦꯅꯣꯁꯝ ꯂꯩꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯃꯈꯜ ꯑꯃꯍꯦꯛꯇꯒꯤ ꯑꯁꯣꯛ-ꯑꯄꯟ – ꯀꯀꯄꯥ, ꯁꯣꯀꯄꯥ, ꯁꯣꯀꯄꯥ – ꯅꯍꯥꯛꯀꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯗꯨ ꯍꯦꯟꯅꯥ ꯐꯒꯠꯍꯅꯕꯥ ꯉꯝꯃꯤ . ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯌꯥꯔꯤꯕꯃꯈꯩ ꯆꯦꯀꯁꯤꯅꯒꯗꯕꯅꯤ꯫ ꯅꯍꯥꯛꯅꯥ ꯕꯥꯒꯥꯟꯗꯥ ꯅꯠꯠꯔꯒꯥ ꯀꯤꯆꯦꯅꯗꯥ ꯊꯕꯛ ꯇꯧꯔꯤ ꯍꯥꯌꯅꯥ ꯈꯅꯕꯤꯌꯨ, ꯑꯃꯁꯨꯡ ꯑꯄꯤꯀꯄꯥ ꯁꯣꯀꯄꯥ ꯑꯃꯅꯥ ꯐꯥꯑꯣꯕꯥ ꯑꯆꯧꯕꯥ ꯁꯃꯁ꯭ꯌꯥ ꯑꯃꯥ ꯑꯣꯏꯔꯀꯄꯥ ꯌꯥꯏ꯫

ꯃꯁꯤꯗꯁꯨ ꯅꯠꯇꯅꯥ, ꯏꯅꯐꯦꯛꯁꯟ ꯊꯤꯡꯅꯕꯥ ꯑꯁꯣꯛ-ꯑꯄꯅꯁꯤꯡ ꯁꯦꯡꯅꯥ ꯊꯝꯕꯥ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ .

• ꯑꯁꯣꯛ-ꯑꯄꯅꯁꯤꯡ ꯑꯗꯨ ꯑꯁꯦꯡꯕꯥ, ꯏꯁꯤꯡ ꯇꯨꯡꯁꯤꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯁꯥꯄꯣꯟꯅꯥ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯁꯦꯡꯗꯣꯀꯎ꯫
• ꯑꯗꯨꯗꯒꯤ, ꯑꯁꯣꯀꯄꯥ ꯑꯗꯨ ꯅꯟ-ꯑꯦꯗꯖꯦꯁꯤꯚ ꯕꯦꯟꯗꯦꯖ ꯑꯃꯅꯥ ꯆꯦꯀꯁꯤꯟꯅꯥ ꯀꯨꯄꯁꯤꯜꯂꯨ꯫ ꯃꯁꯤꯅꯥ ꯃꯩꯁꯥ ꯑꯃꯁꯨꯡ ꯖꯔꯃꯁꯤꯡ ꯆꯪꯂꯀꯄꯥ ꯊꯤꯡꯒꯅꯤ꯫
• ꯅꯍꯥꯛꯀꯤ ꯗꯥꯔꯃꯦꯇꯣꯂꯣꯖꯤꯁ꯭ꯇꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯑꯁꯣꯀꯄꯥ ꯑꯗꯨ ꯀꯔꯝꯅꯥ ꯁꯦꯡꯅꯥ ꯊꯃꯒꯗꯒꯦ ꯑꯃꯁꯨꯡ ꯕꯦꯟꯗꯦꯖꯁꯤꯡ ꯀꯔꯝꯅꯥ ꯁꯤꯖꯤꯟꯅꯒꯗꯒꯦ ꯍꯥꯌꯕꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯍꯦꯟꯅꯥ ꯏꯅꯐꯣꯔꯃꯦꯁꯟ ꯄꯤꯒꯅꯤ꯫ ꯍꯥꯌꯔꯤꯕꯥ ꯏꯅꯁ꯭ꯠꯔꯛꯁꯅꯁꯤꯡ ꯑꯗꯨ ꯆꯦꯀꯁꯤꯟꯅꯥ ꯏꯅꯒꯗꯕꯅꯤ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯍꯤꯛ ꯑꯃꯥ ꯄꯤꯈ꯭ꯔꯕꯗꯤ, ꯑꯁꯣꯀꯄꯥ ꯑꯗꯨ ꯁꯦꯡꯗꯣꯀꯎ, ꯃꯍꯤꯛ ꯑꯗꯨ ꯊꯥꯎ ꯑꯃꯁꯨꯡ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯕꯦꯟꯗꯦꯖ ꯇꯧ꯫

ꯑꯀꯅꯕꯥ ꯑꯁꯣꯛ-ꯑꯄꯅꯁꯤꯡꯒꯤ ꯑꯣꯏꯅꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯍꯥꯏꯗ꯭ꯔꯣꯀꯣꯂꯣꯏꯗ ꯕꯦꯟꯗꯦꯖ ꯑꯃꯥ ꯔꯤꯀꯃꯦꯟꯗ ꯇꯧꯕꯥ ꯌꯥꯏ . ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯑꯁꯣꯀꯄꯥ ꯑꯗꯨ ꯃꯈꯥ ꯇꯥꯅꯥ ꯁꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯏꯅꯐꯦꯛꯁꯟ ꯇꯧꯕꯗꯒꯤ ꯉꯥꯀꯊꯣꯀꯏ꯫ ꯃꯈꯣꯌ ꯑꯁꯤ ꯅꯨꯃꯤꯠ ꯑꯅꯤꯗꯒꯤ ꯑꯍꯨꯝ ꯐꯥꯎꯕꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯈꯣꯡꯗꯥ "ꯃꯦꯜꯠ" ꯇꯧꯒꯅꯤ꯫

ꯐꯒꯠꯂꯀꯄꯗꯥ ꯃꯇꯝ ꯀꯌꯥ ꯆꯪꯕꯒꯦ?

ꯄꯥꯌꯣꯗꯥꯔꯃꯥ ꯒ꯭ꯌꯥꯡꯒ꯭ꯔꯦꯅꯣꯁꯝ ꯑꯁꯤ ꯂꯥꯌꯦꯡꯕꯗꯥ ꯑꯔꯨꯕꯥ ꯐꯤꯚꯝ ꯑꯃꯅꯤ . ꯃꯇꯤꯛ ꯆꯥꯅꯥ ꯂꯥꯏꯌꯦꯡꯂꯕꯁꯨ, ꯑꯁꯣꯛ-ꯑꯄꯅꯁꯤꯡ ꯑꯁꯤ ꯐꯒꯠꯂꯀꯄꯗꯥ ꯅꯨꯃꯤꯠ ꯀꯌꯥꯅꯤ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯊꯥ ꯀꯌꯥ ꯆꯪꯂꯝꯕꯥ ꯌꯥꯏ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯑꯗꯣꯝꯅꯥ ꯑꯁꯥꯑꯣꯕꯥ ꯄꯣꯀꯄꯥ ꯃꯊꯧ ꯇꯥꯏ꯫

ꯃꯁꯤ ꯊꯤꯡꯕꯥ ꯉꯃꯒꯗ꯭ꯔꯥ?

ꯃꯁꯤꯒꯤ ꯑꯆꯨꯝꯕꯥ ꯃꯔꯝ ꯑꯗꯨ ꯈꯉꯕꯥ ꯉꯃꯗꯕꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯃꯁꯤꯕꯨ ꯀꯔꯝꯅꯥ ꯉꯥꯀꯊꯣꯛꯀꯗꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯁꯣꯏꯗꯅꯥ ꯍꯥꯌꯕꯥ ꯌꯥꯝꯅꯥ ꯂꯨꯏ . ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯤꯎꯀꯦꯃꯤꯌꯥ ꯅꯠꯠꯔꯒꯥ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯇꯔꯤ ꯕꯣꯋꯦꯜ ꯗꯤꯖꯤꯖꯒꯨꯝꯕꯥ ꯔꯤꯁ꯭ꯛ ꯐꯦꯛꯇꯔꯁꯤꯡ ꯂꯩꯔꯕꯗꯤ, ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯅꯥ ꯑꯅꯧꯕꯥ ꯈꯣꯡꯖꯦꯂꯒꯤ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯃꯁꯤꯡ (ꯃꯔꯨꯑꯣꯏꯅꯥ ꯊꯨꯅꯥ ꯌꯥꯡꯅꯥ ꯆꯥꯎꯈꯠꯂꯀꯄꯥ ꯑꯁꯣꯛ-ꯑꯄꯅꯁꯤꯡ) ꯂꯥꯀꯄꯥ ꯇꯥꯔꯕꯗꯤ , ꯈꯨꯗꯛꯇꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯍꯥꯌꯌꯨ꯫ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯅꯍꯥꯀꯄꯨ ꯗꯥꯔꯃꯦꯇꯣꯂꯣꯖꯤꯁ꯭ꯠ ꯅꯠꯠꯔꯒꯥ ꯑꯇꯣꯞꯄꯥ ꯁ꯭ꯄꯦꯁꯤꯑꯦꯂꯤꯁ꯭ꯠ ꯑꯃꯗꯥ ꯔꯤꯐꯔ ꯇꯧꯅꯕꯥ ꯍꯥꯌꯌꯨ, ꯃꯈꯣꯌꯗꯨ ꯄꯥꯏꯑꯣꯗꯥꯔꯃꯥ ꯒ꯭ꯌꯥꯡꯒ꯭ꯔꯦꯅꯣꯁꯃꯒꯤ ꯑꯦꯛꯁꯄꯤꯔꯤꯑꯦꯟꯁ ꯂꯩꯕꯥ꯫

ꯑꯩꯅꯥ ꯀꯗꯥꯏꯗꯥ ꯗꯣꯛꯇꯔꯒꯥ ꯎꯅꯒꯗꯒꯦ?

ꯀꯦꯁꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯗꯣꯛꯇꯔ ꯑꯃꯒꯥ ꯁꯣꯌꯗꯅꯥ ꯇꯥꯛꯀꯗꯕꯅꯤ:

• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯇꯔꯤ ꯕꯣꯋꯦꯜ ꯗꯤꯖꯤꯖ, ꯑꯔꯊ꯭ꯔꯥꯏꯇꯤꯁ ꯅꯠꯠꯔꯒꯥ ꯕ꯭ꯂꯗ ꯗꯤꯁꯑꯣꯔꯗꯔ ꯑꯃꯥ ꯂꯩꯔꯕꯗꯤ ꯑꯃꯁꯨꯡ ꯊꯨꯅꯥ ꯌꯥꯡꯅꯥ ꯆꯥꯎꯈꯠꯂꯀꯄꯥ ꯕ꯭ꯂꯤꯁ꯭ꯇꯔꯁꯤꯡ ꯅꯠꯠꯔꯒꯥ ꯁꯣꯔꯣꯀꯁꯤꯡ ꯂꯥꯀꯄꯥ ꯇꯥꯔꯕꯗꯤ .
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯁꯣꯀꯄꯥ ꯑꯗꯨ ꯏꯅꯐꯦꯛꯁꯟ ꯂꯩꯔꯕꯥ (ꯂꯥꯂꯍꯧ, ꯃꯆꯨ, ꯑꯉꯧꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯁꯪꯕꯥ, ꯁꯣꯀꯄꯥ, ꯅꯠꯠꯔꯒꯥ ꯁꯣꯀꯄꯥ) ꯎꯔꯕꯗꯤ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯅꯧꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯂꯥꯀꯄꯥ ꯇꯥꯔꯕꯗꯤ .
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯍꯤꯗꯥꯛ ꯑꯗꯨ ꯂꯧꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯁꯥꯊꯤꯕꯥ ꯁꯥꯏꯗ ꯏꯐꯦꯛꯇꯁꯤꯡ ꯂꯩꯔꯕꯗꯤ꯫

ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯍꯪꯒꯗꯕꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯋꯥꯍꯪꯁꯤꯡ꯫

ꯗꯣꯛꯇꯔꯒꯥ ꯎꯅꯅꯕꯥ ꯆꯠꯄꯥ ꯃꯇꯃꯗꯥ ꯋꯥꯍꯪꯁꯤꯡ ꯑꯁꯤ ꯍꯪꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ:

• ꯑꯩꯉꯣꯟꯗꯥ ꯄꯥꯏꯑꯣꯗꯥꯔꯃꯥ ꯒ꯭ꯌꯥꯡꯒ꯭ꯔꯦꯅꯣꯁꯝ ꯂꯩ ꯍꯥꯌꯅꯥ ꯑꯗꯣꯝꯅꯥ ꯃꯇꯧ ꯀꯔꯝꯅꯥ ꯇꯁꯦꯡꯅꯥ ꯍꯥꯌꯔꯤꯕꯒꯦ?
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯩꯅꯥ ꯄꯥꯏꯑꯣꯗꯥꯔꯃꯥ ꯒ꯭ꯌꯥꯡꯒ꯭ꯔꯦꯅꯣꯁꯝ ꯂꯩꯠꯔꯕꯗꯤ, ꯃꯁꯤ ꯑꯇꯣꯞꯄꯥ ꯀꯔꯤ ꯈꯣꯡꯒꯤ ꯂꯥꯌꯅꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯕꯒꯦ?
• ꯑꯗꯣꯝꯅꯥ ꯀꯔꯤ ꯃꯈꯂꯒꯤ ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯇꯧꯒꯅꯤ ꯍꯥꯌꯅꯥ ꯑꯥꯁꯥ ꯇꯧꯔꯤꯕꯒꯦ?
• ꯀꯔꯤ ꯃꯈꯂꯒꯤ ꯍꯤꯗꯥꯛ ꯅꯠꯠꯔꯒꯥ ꯂꯥꯏꯌꯦꯡꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯔꯤꯀꯃꯦꯟꯗ ꯇꯧꯔꯤꯕꯒꯦ?
• ꯑꯩꯉꯣꯟꯗꯥ ꯀ꯭ꯔꯤꯝ ꯈꯔꯥ ꯄꯤꯕꯤꯅꯕꯥ ꯅꯠꯔꯒꯥ ꯊꯛꯅꯕꯥ ꯍꯤꯗꯥꯛ ꯈꯔꯥ ꯄꯤꯕꯤꯔꯀꯄꯥ ꯌꯥꯒꯗ꯭ꯔꯥ?
• ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯂꯥꯏꯌꯦꯡꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯁꯥꯏꯗ ꯏꯐꯦꯛꯇꯁꯤꯡꯒꯤ ꯃꯄꯨꯡꯐꯥꯕꯥ ꯂꯤꯁ꯭ꯠ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?
• ꯑꯩꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯍꯟꯊꯍꯟꯅꯕꯥ ꯑꯩꯅꯥ ꯑꯇꯩ ꯀꯔꯤ ꯇꯧꯒꯗꯒꯦ?
• ꯑꯩꯅꯥ ꯗꯥꯔꯃꯦꯇꯣꯂꯣꯖꯤꯁ꯭ꯠ, ꯄ꯭ꯂꯥꯁ꯭ꯇꯤꯛ ꯁꯔꯖꯔꯤ, ꯒꯦꯁ꯭ꯠꯔꯣꯏꯟꯇꯦꯔꯣꯂꯣꯖꯤꯁ꯭ꯠ, ꯏꯝꯝꯌꯨꯅꯣꯂꯣꯖꯤꯁ꯭ꯠ ꯅꯠꯠꯔꯒꯥ ꯑꯇꯩ ꯁ꯭ꯄꯦꯁꯤꯑꯦꯂꯤꯁ꯭ꯠ ꯑꯃꯒꯥ ꯇꯥꯟꯅꯒꯗ꯭ꯔꯥ?

ꯋꯥꯍꯪꯁꯤꯡ ꯑꯁꯤ ꯍꯪꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯐꯤꯚꯃꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯃꯌꯦꯛ ꯁꯦꯡꯅꯥ ꯈꯉꯕꯥ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫

ꯄꯥꯏꯑꯣꯗꯥꯔꯃꯥ ꯒ꯭ꯌꯥꯡꯒ꯭ꯔꯦꯅꯣꯁꯝ ꯑꯃꯁꯨꯡ ꯑꯦꯛꯇꯤꯃꯥ ꯒ꯭ꯌꯥꯡꯒ꯭ꯔꯦꯅꯣꯁꯃꯒꯤ ꯃꯔꯛꯇꯥ ꯀꯔꯤ ꯈꯦꯠꯅꯕꯥ ꯂꯩꯕꯒꯦ?

ꯍꯥꯌꯔꯤꯕꯥ ꯃꯤꯡ ꯑꯅꯤ ꯑꯁꯤ ꯈꯔꯥ ꯃꯥꯟꯅꯩ, ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯃꯈꯣꯌ ꯑꯁꯤ ꯂꯥꯟꯅꯥ ꯂꯃꯖꯤꯡꯕꯤꯕꯥ ꯌꯥꯏ꯫

ꯏꯛꯇꯤꯃꯥ ꯒ꯭ꯌꯥꯡꯒ꯭ꯔꯦꯅꯣꯁꯝ ꯍꯥꯌꯕꯁꯤ ꯏꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯂꯩꯃꯥꯌꯗꯥ ꯃꯍꯧꯁꯥꯅꯥ ꯊꯣꯀꯄꯥ ꯕꯦꯛꯇꯦꯔꯤꯌꯥ ꯑꯃꯥ ꯑꯣꯏꯔꯤꯕꯥ ꯁ꯭ꯌꯨꯗꯣꯃꯣꯅꯥꯁ ꯕꯦꯛꯇꯦꯔꯤꯌꯥꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯊꯣꯀꯄꯥ ꯈꯣꯡꯒꯤ ꯏꯅꯐꯦꯛꯁꯟ ꯑꯃꯅꯤ꯫ ꯃꯁꯤꯅꯥ ꯈꯣꯡ-ꯈꯨꯠ ꯁꯣꯛ-ꯄꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯑꯀꯣꯌꯕꯗꯥ ꯂꯩꯕꯥ ꯇꯤꯁꯨꯁꯤꯡꯗꯥ ꯅꯦꯛꯔꯣꯁꯤꯁ ꯊꯣꯀꯍꯅꯕꯁꯨ ꯌꯥꯏ꯫ ꯃꯁꯤꯅꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯀꯃꯟ ꯑꯣꯏꯅꯥ ꯏꯝꯝꯌꯨꯟ ꯁꯤꯁ꯭ꯇꯦꯝ ꯁꯣꯟꯊꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯗꯥ ꯁꯣꯀꯍꯜꯂꯤ .

ꯄꯥꯏꯑꯣꯗꯥꯔꯃꯥ ꯒ꯭ꯌꯥꯡꯒ꯭ꯔꯦꯅꯣꯁꯃꯅꯥ ꯈꯣꯡꯗꯥ ꯁꯣꯀꯍꯅꯕꯁꯨ ꯌꯥꯏ꯫ ꯃꯁꯤꯒꯤ ꯑꯆꯨꯝꯕꯥ ꯃꯔꯝ ꯈꯉꯕꯥ ꯉꯃꯗ꯭ꯔꯤ꯫ ꯃꯁꯤ ꯑꯣꯇꯣꯏꯝꯌꯨꯟ ꯗꯤꯁꯑꯣꯔꯗꯔ ꯑꯃꯅꯤ ꯍꯥꯌꯅꯥ ꯈꯟꯅꯩ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯃꯁꯤ ꯃꯔꯨꯑꯣꯏꯅꯥ ꯏꯝꯝꯌꯨꯟ ꯁꯤꯁ꯭ꯇꯦꯝ ꯋꯥꯠꯄꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯗꯥ ꯁꯣꯀꯍꯜꯂꯤꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ .

ꯄꯥꯏꯑꯣꯗꯥꯔꯃꯥ ꯒ꯭ꯌꯥꯡꯒ꯭ꯔꯤꯅꯣꯁꯃꯒꯤ ꯇꯣꯉꯥꯟ-ꯇꯣꯉꯥꯅꯕꯥ ꯃꯈꯂꯒꯤ ꯂꯥꯌꯅꯥꯁꯤꯡ ꯂꯩꯕ꯭ꯔꯥ?

ꯍꯣꯌ, ꯄꯥꯏꯑꯣꯗꯥꯔꯃꯥ ꯒ꯭ꯌꯥꯡꯒ꯭ꯔꯦꯅꯣꯁꯝ ꯂꯦꯖꯔꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯈꯜ ꯃꯔꯤ ꯂꯩ:

• ꯀ꯭ꯂꯥꯁꯤꯛ ꯄꯥꯏꯑꯣꯗꯥꯔꯃꯥ ꯒ꯭ꯌꯥꯡꯒ꯭ꯔꯦꯅꯣꯁꯝ: ꯃꯁꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯃꯈꯂꯅꯤ꯫ ꯃꯍꯧꯁꯥꯅꯥ ꯈꯣꯡꯗꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯏ꯫
• ꯑꯦꯇꯤꯄꯤꯀꯦꯜ ꯅꯠꯠꯔꯒꯥ ꯕꯨꯂꯁ ꯄꯥꯏꯑꯣꯗꯥꯔꯃꯥ ꯒ꯭ꯌꯥꯡꯒ꯭ꯔꯦꯅꯣꯁꯝ: ꯃꯈꯜ ꯑꯁꯤ ꯐ꯭ꯂꯨꯏꯗꯅꯥ ꯊꯜꯂꯕꯥ ꯕ꯭ꯂꯤꯁ꯭ꯇꯔꯁꯤꯡ ꯑꯣꯏꯅꯥ ꯎꯕꯥ ꯐꯪꯏ꯫ ꯃꯍꯧꯁꯥꯅꯥ ꯃꯁꯤ ꯈꯨꯠꯇꯥ ꯎꯕꯥ ꯐꯪꯏ꯫ ꯃꯁꯤ ꯂꯤꯎꯀꯦꯃꯤꯌꯥꯅꯥ ꯅꯥꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯗꯥ ꯍꯦꯟꯅꯥ ꯀꯃꯟ ꯑꯣꯏ꯫
• ꯄꯨꯁ꯭ꯇꯨꯂꯥꯔ ꯄꯥꯏꯑꯣꯗꯥꯔꯃꯥ ꯒ꯭ꯌꯥꯡꯒ꯭ꯔꯦꯅꯣꯁꯝ (pustular pyoderma gangrenosum) : ꯃꯈꯨꯠ ꯑꯃꯁꯨꯡ ꯈꯣꯡꯗꯥ ꯑꯄꯤꯀꯄꯥ, ꯐꯨꯂꯁꯤꯡꯅꯥ ꯊꯜꯂꯕꯥ ꯕ꯭ꯂꯤꯁ꯭ꯇꯔꯁꯤꯡ (pustules) ꯑꯣꯏꯅꯥ ꯎꯕꯥ ꯐꯪꯏ꯫ ꯃꯁꯤ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯇꯔꯤ ꯕꯣꯋꯦꯜ ꯗꯤꯖꯤꯖ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯗꯥ ꯍꯦꯟꯅꯥ ꯀꯃꯟ ꯑꯣꯏ꯫
• ꯚꯦꯖꯦꯇꯦꯇꯤꯚ ꯄꯥꯏꯑꯣꯗꯥꯔꯃꯥ ꯒ꯭ꯌꯥꯡꯒ꯭ꯔꯦꯅꯣꯁꯝ: ꯃꯁꯤꯒꯤ ꯃꯈꯜ ꯑꯁꯤꯒꯤ ꯂꯦꯡ-ꯑꯣꯠꯄꯒꯤ ꯃꯑꯣꯡ ꯑꯁꯤ ꯃꯍꯧꯁꯥꯅꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯍꯟꯗꯦ꯫

ꯑꯔꯣꯏꯕꯗꯥ ꯅꯤꯡꯁꯤꯡꯒꯗꯕꯥ ꯋꯥꯐꯃꯁꯤꯡ꯫

ꯄꯥꯏꯑꯣꯗꯥꯔꯃꯥ ꯒ꯭ꯌꯥꯡꯒ꯭ꯔꯦꯅꯣꯁꯝ ꯍꯥꯌꯕꯁꯤ ꯈꯣꯡꯗꯥ ꯑꯄꯤꯀꯄꯥ ꯕ꯭ꯂꯤꯁ꯭ꯇꯔꯁꯤꯡ ꯑꯣꯏꯅꯥ ꯍꯧꯔꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯑꯆꯧꯕꯥ ꯂꯦꯡ-ꯑꯣꯠꯄꯁꯤꯡꯗꯥ ꯑꯣꯟꯊꯣꯀꯄꯥ ꯌꯥꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫ ꯃꯁꯤ ꯈꯪꯗꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯂꯥꯏꯌꯦꯡꯕꯗꯥ ꯑꯋꯥꯕꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ , ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯅꯍꯥꯛ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔ ꯑꯅꯤꯃꯛꯅꯥ ꯑꯁꯥꯑꯣꯕꯥ ꯄꯣꯀꯄꯥ ꯃꯊꯧ ꯇꯥꯏ꯫

ꯅꯤꯡꯁꯤꯡꯕꯤꯌꯨ, ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯁꯣꯀꯍꯅꯕꯥ ꯌꯥꯕꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯑꯃꯍꯦꯛꯇꯗꯒꯤ ꯆꯦꯀꯁꯤꯅꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ, ꯃꯔꯃꯗꯤ ꯃꯁꯤꯅꯥ ꯑꯅꯧꯕꯥ ꯂꯥꯌꯅꯥꯁꯤꯡ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯄꯥꯏꯑꯣꯗꯥꯔꯃꯥ ꯒ꯭ꯌꯥꯡꯒ꯭ꯔꯦꯅꯣꯁꯝ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯑꯣꯏꯔꯕꯗꯤ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯅꯥ ꯑꯇꯩ ꯀꯣꯃꯣꯔꯕꯤꯗꯤꯇꯤꯁꯤꯡ ꯂꯩꯔꯕꯗꯤ, ꯃꯁꯤꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ, ꯁꯣꯛ-ꯄꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯄꯨꯟꯁꯤꯕꯨ ꯈꯨꯗꯣꯡꯊꯤꯍꯅꯕꯥ ꯌꯥꯕꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ ꯐꯥꯎꯕꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯣꯇꯣꯏꯝꯌꯨꯟ ꯗꯤꯖꯤꯖ ꯑꯃꯥ ꯂꯩꯔꯕꯗꯤ ꯑꯃꯁꯨꯡ ꯈꯣꯡꯖꯦꯜ ꯌꯥꯡꯅꯥ ꯍꯦꯅꯒꯠꯂꯛꯂꯤꯕꯥ ꯈꯣꯡꯒꯤ ꯂꯥꯌꯅꯥꯁꯤꯡ ꯂꯩꯔꯕꯗꯤ ꯈꯨꯗꯛꯇꯥ ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯃꯇꯦꯡ ꯂꯧꯒꯗꯕꯅꯤ꯫ ꯉꯟꯅꯥ ꯈꯪꯗꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯂꯥꯏꯌꯦꯡꯕꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯍꯦꯟꯅꯥ ꯐꯒꯠꯍꯅꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯂꯩꯔꯣꯏꯗꯕꯅꯤ , ꯑꯗꯨꯕꯨ ꯆꯦꯀꯁꯤꯅꯒꯗꯕꯅꯤ꯫

` ꯄꯥꯌꯣꯗꯥꯔꯃꯥ ꯒ꯭ꯌꯥꯡꯒ꯭ꯔꯦꯅꯣꯁꯝ, ꯈꯣꯡꯒꯤ ꯂꯥꯌꯅꯥ, ꯑꯁꯣꯀꯄꯥ, ꯑꯂꯁꯔ, ꯏꯝꯝꯌꯨꯟ ꯁꯤꯁ꯭ꯇꯦꯝ, ꯗꯔꯃꯦꯇꯣꯂꯣꯖꯤ, ꯀ꯭ꯔꯣꯅꯤꯛ ꯂꯥꯌꯅꯥ꯫