ꯃꯈꯨꯠ ꯁꯣꯀꯄꯥ? ꯃꯁꯤ ꯈꯨꯠꯇꯥ ꯂꯩꯕꯥ ꯁꯔꯨ ꯑꯅꯤ ꯊꯣꯀꯄꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ (Scapholunate Dissociation)!

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯨꯠꯁꯥꯗꯥ ꯑꯆꯝꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯁꯣꯀꯄꯥ ꯑꯃꯥ ꯐꯥꯎꯕ꯭ꯔꯥ? ꯃꯁꯤꯒꯤ ꯑꯋꯥꯕꯥ ꯑꯁꯤ ꯅꯍꯥꯛꯅꯥ ꯁꯣꯀꯄꯥ, ꯑꯀꯅꯕꯥ ꯄꯣꯠꯁꯛ ꯑꯃꯥ ꯂꯧꯊꯣꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯁꯥꯟꯅꯄꯣꯠ ꯁꯥꯕꯥ ꯃꯇꯃꯗꯥ ꯍꯧꯔꯀꯄꯥ ꯌꯥꯏ꯫ ꯑꯌꯥꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯑꯩꯈꯣꯌꯅꯥ ꯈꯜꯂꯤ, "ꯑꯣꯍ, ꯃꯁꯤ ꯁꯨꯞꯅꯇꯒꯤ ꯁꯣꯀꯄꯥ ꯈꯛꯇꯅꯤ꯫" ꯑꯗꯨꯕꯨ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯃꯁꯤ ꯈꯔꯥ ꯍꯦꯟꯅꯥ ꯄꯨꯛꯅꯤꯡ ꯆꯪꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫ ꯉꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯔꯤꯕꯥ ꯑꯁꯤꯅꯤ, ꯃꯈꯨꯠꯇꯥ ꯊꯣꯀꯄꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ ꯃꯗꯨꯗꯥ ꯈꯔꯥ ꯍꯦꯟꯅꯥ ꯀꯨꯞꯅꯥ ꯌꯦꯡꯁꯤꯅꯕꯥ ꯃꯊꯧ ꯇꯥꯏ꯫

ꯃꯈꯨꯠꯀꯤ ꯁꯔꯨ ꯇꯥꯡꯒꯤ ꯗꯤꯁꯂꯣꯀꯦꯁꯟ ꯑꯁꯤ ꯀꯔꯤꯅꯣ? (ꯁ꯭ꯀꯦꯐꯣꯂꯨꯅꯦꯠ ꯗꯤꯁꯑꯣꯔꯗꯔ) ꯑꯃꯁꯨꯡ ꯑꯦꯟ.

ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯃꯁꯤꯒꯤ `(Scapholunate Dissociation)` ꯑꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯃꯈꯨꯠꯇꯥ ꯂꯩꯕꯥ ꯑꯄꯤꯀꯄꯥ ꯁꯔꯨ ꯑꯅꯤ, `Scaphoid` bone ꯑꯃꯁꯨꯡ `Lunate` bone, ꯃꯈꯣꯌꯅꯥ ꯂꯩꯒꯗꯕꯥ ꯃꯐꯝ ꯑꯗꯨꯗꯒꯤ ꯈꯔꯥ ꯂꯥꯄꯊꯣꯛꯅꯥ ꯂꯩꯔꯒꯥ ꯃꯈꯣꯌꯒꯤ ꯃꯔꯛꯇꯥ ꯒꯦꯞ ꯑꯃꯥ, ꯅꯠꯔꯒꯥ `gap` ꯑꯃꯥ ꯁꯦꯃꯒꯠꯂꯀꯄꯥ ꯃꯇꯃꯅꯤ꯫ ꯆꯨꯝꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯁꯔꯨ ꯑꯅꯤ ꯑꯁꯤ ꯑꯃꯒꯥ ꯑꯃꯒꯥ ꯌꯥꯝꯅꯥ ꯃꯄꯥꯉ꯭ꯒꯜ ꯀꯅꯕꯥ ꯂꯤꯒꯥꯃꯦꯟꯇ ꯑꯃꯅꯥ ꯁꯝꯅꯍꯜꯂꯤ, ꯃꯁꯤꯕꯨ ꯑꯩꯈꯣꯌꯅꯥ `ꯁ꯭ꯀꯦꯐꯣꯂꯨꯅꯦꯠ ꯏꯟꯇꯔꯑꯣꯁꯤꯌꯁ ꯂꯤꯒꯥꯃꯦꯟꯇ (SLIL) ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ ꯑꯦꯛꯁꯤꯗꯦꯟꯇ ꯈꯔꯗꯗꯤ, ꯃꯔꯨꯑꯣꯏꯅꯥ ꯈꯨꯠꯅꯥ ꯀꯨꯄꯁꯤꯜꯂꯕꯥ ꯑꯃꯁꯨꯡ ꯁꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ, `ꯂꯤꯒꯥꯃꯦꯟꯇ` ꯑꯁꯤꯅꯥ ꯁꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯃꯗꯨꯗꯥ ꯁꯔꯨ ꯑꯅꯤꯒꯤ ꯃꯔꯛꯇꯥ ꯂꯩꯕꯥ ꯀꯅꯦꯛꯁꯟ ꯑꯗꯨ ꯂꯨꯃꯁꯤꯜꯂꯀꯏ, ꯑꯃꯁꯨꯡ ꯃꯈꯣꯌꯅꯥ ꯆꯠꯊꯣꯛ-ꯆꯠꯁꯤꯟ ꯇꯧꯕꯥ ꯍꯧꯔꯀꯏ꯫ ꯅꯍꯥꯛꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯃꯈꯨꯠ ꯑꯗꯨ ꯁꯤꯖꯤꯟꯅꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯁꯔꯨ ꯑꯅꯤ ꯑꯁꯤ ꯑꯃꯒꯥ ꯑꯃꯒꯥ ꯂꯥꯞꯅꯥ ꯂꯩ, ꯅꯠꯠꯔꯒꯥ `ꯗꯤꯁꯣꯁꯤꯑꯦꯠ` ꯇꯧꯏ꯫

ꯃꯁꯤ ꯈꯣꯉꯎꯞ ꯑꯅꯤꯅꯥ ꯆꯦꯅꯁꯤꯜꯂꯀꯄꯥ ꯅꯣꯡꯃꯩ ꯑꯃꯒꯨꯝꯕꯅꯤ꯫ ꯈꯣꯡꯎꯞ ꯑꯗꯨ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯁꯣꯟꯊꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯔꯣꯞ ꯑꯅꯤꯗꯨ ꯄꯨꯟꯅꯥ ꯂꯩꯃꯤꯟꯅꯩ, ꯑꯗꯨꯕꯨ ꯅꯣꯡꯃꯩ ꯀꯥꯞꯄꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯔꯣꯞ ꯑꯅꯤꯗꯨ ꯇꯣꯉꯥꯟꯅꯥ ꯆꯠꯂꯤ꯫

ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯀꯅꯥꯅꯥ ꯍꯦꯟꯅꯥ ꯊꯣꯀꯍꯅꯕꯒꯦ?

ꯇꯁꯦꯡꯕꯗꯤ, `(Scapholunate Dissociation)` ꯀꯧꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯀꯅꯥꯒꯨꯝꯕꯥ ꯑꯃꯗꯥ, ꯖꯦꯟꯗꯔ, ꯖꯥꯇꯤ ꯅꯠꯠꯔꯒꯥ ꯙꯔꯝꯃꯒꯤ ꯃꯇꯨꯡ ꯏꯟꯅꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯋꯥꯡꯕꯥ ꯔꯤꯁ꯭ꯛ ꯑꯁꯤ ꯃꯈꯣꯌꯒꯤ ꯈꯨꯠ ꯑꯃꯁꯨꯡ ꯈꯨꯎꯗꯥ ꯁꯣꯀꯄꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯒꯤꯗꯃꯛꯇꯅꯤ . ꯈꯅꯕꯤꯌꯨ, ꯅꯈꯣꯌꯅꯥ ꯂꯝꯕꯤꯗꯥ ꯆꯠꯂꯤ ꯑꯃꯁꯨꯡ ꯈꯉꯍꯧꯗꯅꯥ ꯂꯥꯟꯊꯦꯡꯅꯔꯤ, ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯑꯩꯈꯣꯌꯅꯥ ꯃꯁꯥ ꯃꯊꯟꯇꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯈꯨꯠ ꯑꯁꯤ ꯃꯥꯂꯦꯃꯗꯥ ꯊꯃꯗꯨꯅꯥ ꯑꯩꯈꯣꯌ ꯏꯁꯥꯕꯨ ꯀꯅꯕꯤꯔꯤ꯫ ꯃꯗꯨꯗꯥ ꯑꯦꯛꯁꯤꯗꯦꯟꯇ ꯑꯁꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯌꯥꯝꯅꯥ ꯊꯣꯀꯄꯥ ꯃꯇꯝ ꯑꯗꯨꯅꯤ꯫

ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯀꯌꯥꯝ ꯀꯃꯟ ꯑꯣꯏꯕꯒꯦ?

ꯑꯩꯈꯣꯌꯅꯥ ꯎꯕꯥ ꯐꯪꯂꯤ ꯃꯗꯨꯗꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯑꯇꯣꯞꯄꯥ ꯃꯈꯨꯠ ꯁꯣꯛꯅ-ꯁꯝꯅꯕꯁꯤꯡ ꯌꯦꯡꯂꯨꯔꯒꯗꯤ, ꯃꯁꯤꯒꯤ `(Scapholunate Dissociation)` ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯀꯦꯁ ꯵% (`꯵%`)ꯗꯥ ꯎꯕꯥ ꯐꯪꯏ . ꯃꯁꯤꯗꯁꯨ ꯅꯠꯇꯅꯥ, ꯃꯈꯨꯠꯀꯤ ꯃꯐꯃꯗꯥ ꯐ꯭ꯔꯦꯀꯆꯔ ꯈꯔꯗꯤ, ꯃꯔꯨꯑꯣꯏꯅꯥ ꯑꯩꯈꯣꯌꯅꯥ ``ꯗꯤꯁ꯭ꯇꯦꯜ ꯔꯦꯗꯤꯌꯁ ꯐ꯭ꯔꯦꯀꯆꯔ`` ꯍꯥꯌꯅꯥ ꯀꯧꯕꯥ ꯃꯈꯂꯒꯤ ꯐ꯭ꯔꯦꯀꯆꯔꯁꯤꯡ, ꯍꯥꯌꯕꯗꯤ ꯈꯨꯠꯇꯥ ꯂꯩꯕꯥ ꯑꯆꯧꯕꯥ ꯁꯔꯨ ꯑꯗꯨ ꯃꯈꯨꯠꯇꯥ ꯅꯛꯅꯥ ꯁꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ, `(SL dissociation)` ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯂꯩꯕꯥ ꯀꯦꯁꯁꯤꯡꯒꯤ ꯆꯥꯎꯔꯥꯛꯅꯥ 40% (`40%`)ꯗꯥ ꯎꯕꯥ ꯐꯪꯏ꯫ ``ꯁꯣꯐꯔ ꯐ꯭ꯔꯦꯀꯆꯔ``ꯒꯨꯝꯕꯥ ꯑꯈꯟꯅꯕꯥ ꯐ꯭ꯔꯦꯀꯆꯔ ꯈꯔꯗꯤ ꯂꯩ, ꯃꯈꯣꯌꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯃꯁꯤ ꯑꯌꯥꯝꯕꯅꯥ ꯎꯕꯥ ꯐꯪꯏ꯫

ꯃꯁꯤ ꯀꯔꯤꯒꯤ ꯊꯣꯛꯂꯤꯕꯅꯣ? ꯃꯔꯃꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?

ꯑꯩꯍꯥꯛꯅꯥ ꯃꯃꯥꯡꯗꯥ ꯍꯥꯌꯈꯤꯕꯒꯨꯝꯅꯥ ꯃꯁꯤꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯔꯃꯗꯤ ꯑꯌꯥꯝꯕꯅꯥ ``ꯈꯨꯠꯂꯥꯏ ꯄꯥꯌꯕꯥ`` . ꯆꯨꯝꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯅꯍꯥꯛꯅꯥ ꯁꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯈꯨꯠ ꯑꯗꯨ ꯃꯥꯂꯦꯃꯗꯥ ꯊꯝꯂꯒꯥ ꯃꯗꯨꯗꯥ ꯑꯔꯨꯝꯕꯥ ꯊꯝꯂꯕꯥ ꯃꯇꯃꯗꯥ, ꯄ꯭ꯔꯦꯁꯔ ꯑꯗꯨꯅꯥ ``ꯁ꯭ꯀꯦꯐꯣꯂꯨꯅꯦꯠ ꯏꯟꯇꯔꯑꯣꯁꯁ ꯂꯤꯒꯥꯃꯦꯟꯇ (SLIL)`` ꯑꯗꯨ ꯁꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫

ꯃꯁꯤꯒꯤ ꯃꯊꯛꯇꯥ ꯑꯇꯣꯞꯄꯥ ꯃꯔꯝ ꯀꯌꯥ ꯑꯃꯁꯨ ꯂꯩꯕꯥ ꯌꯥꯏ:

• ꯒꯥꯔꯤꯒꯨꯝꯕꯥ ꯒꯥꯔꯤꯒꯤ ꯑꯦꯛꯁꯤꯗꯦꯟꯇ ꯑꯃꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯁ꯭ꯇꯤꯌꯔꯤꯡ ꯍꯨꯏꯜ ꯑꯗꯨ ꯆꯦꯠꯅꯥ ꯊꯝꯕꯥ: ꯈꯪꯍꯧꯗꯅꯥ ꯁꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯈꯨꯠꯇꯥ ꯁꯣꯀꯍꯅꯕꯅꯥ ꯂꯤꯒꯥꯃꯦꯟꯇ ꯑꯁꯤ ꯁꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫
• ꯍꯦꯔꯤꯇꯦꯖ ꯀꯟꯗꯤꯁꯟ ꯈꯔꯗꯤ: ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, `ꯍꯦꯔꯤꯗꯤꯇꯦꯔꯤ ꯁ꯭ꯄꯥꯁ꯭ꯇꯤꯛ ꯄꯦꯔꯥꯄꯦꯔꯦꯁꯤꯁ`ꯒꯨꯝꯕꯥ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ꯫
• ꯀꯣꯟꯖꯤꯅꯤꯑꯦꯜ ꯂꯤꯒꯥꯃꯦꯟꯇ ꯂꯦꯛꯁꯤ (congenital Ligament Laxity): ꯃꯤꯑꯣꯏ ꯈꯔꯗꯤ ꯃꯈꯣꯌꯒꯤ ꯁꯔꯨ ꯇꯥꯡꯁꯤꯡꯗꯥ ꯂꯨꯄꯊꯣꯛꯂꯕꯥ ꯂꯤꯒꯥꯃꯦꯟꯇꯁꯤꯡ ꯂꯩꯗꯨꯅꯥ ꯄꯣꯀꯏ꯫ ꯃꯁꯤ ꯃꯈꯣꯌꯗꯥ ꯍꯦꯟꯅꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫
• ꯔꯤꯌꯨꯃꯦꯇꯣꯏꯗ ꯑꯔꯊ꯭ꯔꯥꯏꯇꯤꯁ (Rheumatoid Arthritis): ꯃꯁꯤ ꯁꯔꯨ ꯇꯥꯡꯁꯤꯡꯗꯥ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯁꯟ ꯊꯣꯀꯍꯅꯕꯥ ꯂꯥꯌꯅꯥ ꯑꯃꯅꯤ꯫ ꯂꯥꯌꯅꯥ ꯑꯁꯤꯅꯥ ꯂꯤꯒꯥꯃꯦꯟꯇꯁꯤꯡ (ligaments) ꯁꯣꯟꯊꯍꯅꯕꯁꯨ ꯌꯥꯏ, ꯃꯗꯨꯅꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫

ꯃꯁꯤꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯤꯅꯣ? ꯀꯔꯝꯅꯥ ꯐꯥꯑꯣꯔꯤꯕꯅꯣ?

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ``Scapholunate Dissociation'' ꯀꯧꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯥ ꯂꯩꯔꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯃꯍꯧꯁꯥꯅꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯑꯁꯤ ꯊꯦꯡꯅꯒꯅꯤ:

• ꯃꯔꯨꯑꯣꯏꯅꯥ ꯄꯣꯠꯁꯛ ꯑꯃꯕꯨ ꯆꯦꯠꯅꯥ ꯊꯃꯖꯤꯜꯂꯀꯄꯥ ꯃꯇꯃꯗꯥ (`strong gripping motion`) ꯃꯈꯨꯠꯀꯤ ꯃꯇꯨꯡꯗꯥ ꯂꯩꯕꯥ ꯑꯅꯥꯕꯥ : ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯕꯣꯇꯂꯒꯤ ꯀꯦꯞ ꯑꯃꯥ ꯍꯥꯡꯗꯣꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯊꯣꯡꯅꯥꯎ ꯑꯃꯥ ꯍꯥꯡꯗꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ꯫
• ꯒ꯭ꯔꯤꯞ ꯁ꯭ꯠꯔꯦꯡꯊꯇꯥ ꯋꯥꯠꯄꯥ: ꯍꯥꯟꯅꯒꯨꯝꯅꯥ ꯄꯣꯠꯁꯀꯁꯤꯡꯕꯨ ꯆꯦꯠꯅꯥ ꯒ꯭ꯔꯤꯞ ꯇꯧꯕꯥ ꯉꯃꯗꯕꯥ꯫
• ꯃꯈꯨꯠꯀꯤ ꯑꯀꯣꯌꯕꯗꯥ ꯁꯣꯛ-ꯄꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯇꯔꯨ-ꯇꯅꯥꯅꯕꯥ: ꯃꯈꯨꯠꯀꯤ ꯑꯀꯣꯌꯕꯗꯥ ꯂꯩꯕꯥ ꯃꯐꯝ ꯑꯗꯨ ꯁꯣꯟꯊꯕꯥ ꯑꯃꯁꯨꯡ ꯁꯣꯛꯅ-ꯁꯝꯅꯕꯗꯥ ꯑꯋꯥꯕꯥ ꯑꯣꯏ꯫
• ꯅꯍꯥꯛꯀꯤ ꯃꯈꯨꯠ ꯑꯗꯨ ꯁꯥꯡꯗꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ : ꯅꯍꯥꯛꯀꯤ ꯈꯨꯠꯁꯥ ꯑꯗꯨ ꯊꯤꯡꯖꯤꯜꯂꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯏ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯃꯈꯨꯠꯇꯥ "ꯀ꯭ꯂꯤꯛ" ꯇꯧꯕꯥ ꯈꯣꯟꯖꯦꯜ ꯑꯃꯥ ꯇꯥꯕꯥ ꯌꯥꯏ꯫

ꯅꯤꯡꯁꯤꯡꯕꯤꯌꯨ, ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯃꯤꯄꯨꯝ ꯈꯨꯗꯤꯡꯃꯛꯀꯤ ꯑꯣꯏꯅꯥ ꯆꯞ ꯃꯥꯟꯅꯅꯥ ꯊꯣꯛꯇꯦ꯫ ꯃꯤꯑꯣꯏ ꯈꯔꯅꯥ ꯑꯋꯥꯕꯥ ꯍꯦꯟꯅꯥ ꯊꯦꯡꯅꯩ, ꯈꯔꯅꯥ ꯍꯦꯟꯅꯥ ꯁꯣꯀꯏ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯃꯈꯨꯠꯇꯥ ꯑꯆꯝꯕꯥ ꯄꯣꯠꯁꯛ ꯑꯃꯥ ꯐꯥꯑꯣꯔꯕꯗꯤ, ꯗꯣꯛꯇꯔ ꯑꯃꯒꯥ ꯇꯥꯟꯅꯕꯅꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯩ꯫

ꯗꯣꯛꯇꯔ ꯑꯃꯅꯥ ꯃꯁꯤ ꯀꯔꯝꯅꯥ ꯂꯥꯌꯦꯡꯒꯅꯤ?

ꯅꯍꯥꯛꯅꯥ ꯗꯣꯛꯇꯔ ꯑꯃꯒꯥ ꯇꯥꯟꯅꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯃꯈꯣꯌꯅꯥ ꯑꯍꯥꯅꯕꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡꯒꯤ ꯃꯔꯃꯗꯥ ꯍꯪꯒꯅꯤ꯫ ꯑꯗꯣꯝꯅꯥ ꯑꯋꯥꯕꯥ ꯑꯁꯤ ꯀꯌꯥ ꯀꯨꯏꯅꯥ ꯂꯩꯔꯛꯂꯤꯕꯅꯣ, ꯃꯁꯤ ꯀꯔꯝꯅꯥ ꯍꯧꯔꯀꯈꯤꯕꯅꯣ ꯑꯃꯁꯨꯡ ꯀꯗꯥꯌꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯐꯠꯆꯤꯜꯂꯛꯂꯤꯕꯅꯣ? ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯃꯈꯣꯌꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯃꯈꯨꯠ ꯑꯗꯨ ꯑꯁꯣꯛ-ꯑꯄꯟ, ꯁꯣꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯁꯣꯛ-ꯄꯅꯕꯥ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯒꯅꯤ꯫

ꯃꯁꯤꯒꯤ ꯃꯊꯛꯇꯥ, ꯗꯣꯛꯇꯔ ꯑꯃꯅꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯑꯁꯤ ꯄꯥꯡꯊꯣꯀꯄꯥ ꯌꯥꯏ:

• ꯁ꯭ꯀꯦꯐꯣꯏꯗ ꯁꯤꯐꯠ ꯇꯦꯁ꯭ꯠ: ꯇꯦꯁ꯭ꯠ ꯑꯁꯤꯗꯥ ꯗꯣꯛꯇꯔꯅꯥ ꯃꯍꯥꯛꯀꯤ ꯃꯈꯨꯠ ꯑꯗꯨ ꯅꯍꯥꯛꯀꯤ ꯁ꯭ꯀꯦꯐꯣꯏꯗ ꯕꯣꯟ ꯑꯗꯨꯒꯤ ꯃꯊꯛꯇꯥ ꯊꯝꯃꯤ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯃꯈꯨꯠ ꯑꯗꯨ ꯆꯦꯠꯁꯤꯂꯍꯜꯂꯤ꯫ ꯇꯦꯁ꯭ꯠ ꯑꯁꯤꯅꯥ ꯁ꯭ꯀꯦꯐꯣꯏꯗ ꯕꯣꯅꯒꯤ ꯁ꯭ꯇꯦꯕꯤꯂꯤꯇꯤ ꯑꯗꯨ ꯆꯦꯛ ꯇꯧꯏ꯫
• ꯑꯦꯛꯁ-ꯔꯦ: ꯃꯁꯤꯅꯥ ꯁ꯭ꯀꯦꯐꯣꯏꯗ ꯑꯃꯁꯨꯡ ꯂꯨꯅꯦꯠ ꯕꯣꯅꯁꯤꯡꯒꯤ ꯃꯔꯛꯇꯥ ꯂꯩꯕꯥ ꯒꯦꯞ ꯑꯗꯨ ꯀꯌꯥꯝ ꯆꯥꯎꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯎꯠꯄꯥ ꯉꯝꯃꯤ (scapholunate gap)꯫ ꯃꯍꯧꯁꯥꯅꯥ, ꯒꯦꯞ ꯑꯁꯤ ꯃꯤꯂꯤꯃꯤꯇꯔ 2 (2 mm) ꯅꯠꯠꯔꯒꯥ ꯃꯁꯤꯗꯒꯤ ꯍꯦꯅꯕꯥ ꯑꯣꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯑꯦꯁ.ꯑꯦꯜ.ꯗꯤꯁꯣꯁꯤꯑꯦꯁꯅꯒꯤ ꯑꯣꯏꯅꯗꯤ, ꯒꯦꯞ ꯑꯁꯤ ꯃꯤꯂꯤꯃꯤꯇꯔ 5 (ꯃꯤꯃꯤ 5) ꯅꯠꯠꯔꯒꯥ ꯃꯁꯤꯗꯒꯤ ꯍꯦꯅꯕꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯅꯍꯥꯛꯅꯥ ꯑꯦꯛꯁ-ꯔꯦꯗꯥ "ꯔꯤꯡ ꯁꯥꯏꯟ" ꯀꯧꯕꯥ ꯄꯣꯠꯁꯛ ꯑꯃꯥ ꯎꯕꯥ ꯐꯪꯏ꯫ ꯃꯁꯤ ꯁ꯭ꯀꯦꯐꯣꯏꯗ ꯕꯣꯟ (scaphoid bon)ꯒꯤ ꯃꯤꯁꯥꯏꯜ (mislaignment) ꯑꯃꯅꯤ꯫
• ꯑꯦꯝ.ꯑꯥꯔ.ꯑꯥꯏ.(ꯃꯦꯒ꯭ꯅꯦꯇꯤꯛ ꯔꯤꯖꯣꯅꯦꯟꯁ ꯏꯃꯦꯖꯤꯡ) ꯇꯦꯁ꯭ꯠ ꯇꯧꯕꯥ: ꯱.ꯑꯦꯝ.ꯑꯥꯔ.ꯑꯥꯏ.ꯅꯥ ꯁ꯭ꯀꯦꯐꯣꯂꯨꯅꯦꯠ ꯏꯟꯇꯔꯑꯣꯁꯁ ꯂꯤꯒꯥꯃꯦꯟꯇ (SLIL) ꯑꯁꯤ ꯁꯣꯀꯍꯜꯂꯕꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯌꯥꯝꯅꯥ ꯃꯌꯦꯛ ꯁꯦꯡꯅꯥ ꯎꯠꯄꯥ ꯉꯝꯃꯤ꯫ ꯃꯁꯤꯅꯥ ꯁꯔꯨꯒꯤ ꯑꯀꯣꯌꯕꯗꯥ ꯂꯩꯕꯥ ꯇꯔꯨ-ꯇꯅꯥꯅꯕꯥ ꯇꯤꯁꯨꯁꯤꯡꯒꯤ ꯑꯐꯕꯥ ꯄꯤꯀꯆꯔ ꯑꯃꯥ ꯂꯧꯕꯥ ꯉꯝꯃꯤ꯫
• ꯑꯥꯔꯊ꯭ꯔꯣꯁ꯭ꯀꯣꯄꯤ: ꯃꯁꯤꯗꯥ ꯌꯥꯝꯅꯥ ꯑꯄꯤꯀꯄꯥ ꯏꯅꯁꯤꯁꯟ ꯑꯃꯥ ꯁꯦꯃꯗꯨꯅꯥ ꯃꯗꯨꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯀꯦꯃꯦꯔꯥ (ꯁ꯭ꯀꯣꯞ) ꯑꯃꯥ ꯍꯥꯄꯆꯤꯟꯗꯨꯅꯥ ꯁꯔꯨꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯌꯦꯡꯕꯗꯥ ꯌꯥꯎꯏ꯫ ꯃꯁꯤꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯤꯒꯥꯃꯦꯟꯇꯁꯤꯡꯗꯥ ꯊꯣꯀꯄꯥ ꯑꯃꯥꯡ-ꯑꯇꯥꯁꯤꯡ ꯑꯗꯨ ꯍꯀꯊꯦꯡꯅꯅꯥ ꯎꯕꯥ ꯉꯃꯍꯜꯂꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯂꯥꯏꯌꯦꯡ ꯑꯁꯤ ꯑꯥꯔꯇꯔꯣꯁ꯭ꯀꯣꯄꯤꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯄꯥꯡꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫

ꯃꯁꯤ ꯀꯔꯝꯅꯥ ꯂꯥꯌꯦꯡꯕꯒꯦ? (ꯂꯥꯏꯌꯦꯡꯕ)

`Scapholunate Dissociation` ꯀꯧꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯥ ꯂꯥꯌꯦꯡꯕꯗꯥ, ꯑꯍꯥꯅꯕꯥ ꯑꯣꯏꯅꯥ ꯇꯧꯒꯗꯕꯥ ꯊꯕꯀꯁꯤꯡꯗꯤ:

• ꯑꯦꯅꯥꯂꯖꯦꯁꯤꯀꯁꯤꯡ: ꯑꯅꯥꯕꯥ ꯍꯟꯊꯍꯟꯅꯕꯥ ꯍꯤꯗꯥꯀꯁꯤꯡ ꯄꯤ꯫
• ꯁ꯭ꯞꯂꯤꯟꯇꯤꯡ (splinting): ꯑꯈꯟꯅꯕꯥ ꯁ꯭ꯞꯂꯤꯟ ꯑꯃꯥ ꯑꯁꯤ ꯃꯈꯨꯠ ꯑꯃꯁꯨꯡ ꯈꯣꯡꯄꯥꯛ ꯑꯗꯨ ꯂꯦꯡꯗꯅꯥ ꯊꯝꯅꯕꯥ ꯁꯤꯖꯤꯟꯅꯩ꯫ ꯃꯁꯤꯅꯥ ꯑꯁꯣꯀꯄꯥ ꯂꯤꯒꯥꯃꯦꯟꯇꯁꯤꯡ ꯑꯗꯨ ꯐꯒꯠꯍꯅꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫

ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯍꯦꯟꯗ ꯁ꯭ꯄꯦꯁꯤꯑꯦꯂꯤꯁ꯭ꯠ ꯑꯃꯗꯥ ꯔꯤꯐꯔ ꯇꯧꯔꯀꯄꯥ ꯌꯥꯏ꯫ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤꯅꯥ ꯑꯌꯥꯝꯕꯗꯤ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯛꯂꯕꯥ ꯃꯇꯨꯡ ꯅꯨꯃꯤꯠ 6ꯅꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯈꯨꯠꯁꯥꯒꯤ ꯁꯔꯖꯔꯤ ꯇꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯏ꯫

ꯁꯔꯖꯔꯤ꯫ ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯃꯗꯥ ꯗꯣꯛꯇꯔꯅꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯁꯤꯡꯁꯤ ꯇꯧꯒꯅꯤ:

• ꯃꯈꯨꯠꯀꯤ ꯃꯇꯨꯡꯗꯥ ꯑꯄꯤꯀꯄꯥ ꯏꯅꯁꯤꯁꯟ ꯑꯃꯥ ꯁꯦꯝꯃꯤ꯫
• ꯑꯁꯣꯀꯄꯥ ꯇꯤꯁꯨ ꯑꯗꯨ ꯂꯧꯊꯣꯀꯏ ꯑꯃꯁꯨꯡ ꯁꯦꯡꯗꯣꯀꯏ꯫
• ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ, ꯁ꯭ꯀꯦꯐꯣꯏꯗ ꯑꯃꯁꯨꯡ ꯂꯨꯅꯦꯇꯀꯤ ꯁꯔꯨꯁꯤꯡꯒꯤ ꯃꯔꯛꯇꯥ ꯂꯩꯕꯥ ꯑꯔꯥꯞꯄꯥ ꯑꯗꯨ ꯊꯤꯡꯅꯕꯥ, ꯍꯥꯌꯕꯗꯤ ꯁꯔꯨ ꯑꯅꯤꯗꯨ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯄꯨꯟꯁꯤꯟꯅꯅꯕꯥ, ꯅꯍꯥꯛꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯏꯁꯥꯒꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯑꯇꯣꯞꯄꯥ ꯃꯐꯝ ꯑꯃꯗꯒꯤ ꯂꯧꯊꯣꯀꯄꯥ ꯇꯦꯟꯗꯣꯟ ꯑꯃꯥ, ꯁꯨꯇꯔ ꯑꯃꯥ ꯅꯠꯠꯔꯒꯥ ꯙꯥꯇꯨꯒꯤ ꯁ꯭ꯛꯔꯨ ꯑꯃꯥ ꯁꯤꯖꯤꯟꯅꯩ꯫
• ꯑꯔꯣꯏꯕꯗꯥ, ꯏꯅꯁꯤꯁꯟ ꯑꯗꯨ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯁꯦꯃꯖꯤꯜꯂꯤ꯫

ꯔꯤꯁ꯭ꯛ ꯑꯁꯤ ꯍꯟꯊꯍꯟꯅꯕꯥ ꯑꯩꯅꯥ ꯀꯔꯤ ꯇꯧꯕꯥ ꯌꯥꯕꯒꯦ?

`(Scapholunate Dissociation)`ꯒꯤ ꯔꯤꯁ꯭ꯛ ꯍꯟꯊꯍꯟꯅꯕꯒꯤꯗꯃꯛ, ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯋꯥꯐꯃꯗꯤ ꯅꯍꯥꯛꯀꯤ ꯏꯁꯥꯕꯨ ꯁꯣꯀꯍꯟꯗꯅꯕꯥ ꯈꯣꯡꯊꯥꯡꯁꯤꯡ ꯂꯧꯈꯠꯄꯅꯤ꯫ ꯅꯍꯥꯛꯅꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯊꯕꯀꯁꯤꯡ ꯑꯁꯤ ꯇꯧꯕꯥ ꯌꯥꯏ:

• ꯕꯦꯂꯦꯟꯁ, ꯀꯣꯑꯣꯔꯗꯤꯅꯦꯁꯟ ꯑꯃꯁꯨꯡ ꯁ꯭ꯠꯔꯦꯡꯊ ꯐꯒꯠꯍꯅꯕꯥ ꯉꯝꯕꯥ ꯑꯦꯛꯁꯔꯁꯥꯏꯖꯁꯤꯡꯗꯥ ꯌꯥꯎꯕꯥ꯫
• ꯌꯨꯃꯗꯥ ꯆꯠꯄꯒꯤ ꯈꯨꯗꯣꯡꯊꯤꯕꯁꯤꯡ ꯂꯧꯊꯣꯀꯄꯥ꯫ ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯂꯨ-ꯅꯥꯅꯕꯥ ꯀꯣꯔꯗꯁꯤꯡ, ꯃꯩ ꯆꯥꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯔꯨꯒꯁꯤꯡ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯆꯦꯛ ꯇꯧ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯊꯧ ꯇꯥꯔꯕꯗꯤ, ꯀꯦꯟ ꯅꯠꯠꯔꯒꯥ ꯋꯥꯀꯔꯒꯨꯝꯕꯥ ꯑꯦꯁꯤꯁ꯭ꯇꯦꯟꯇ ꯗꯤꯚꯥꯏꯁ ꯑꯃꯥ ꯁꯤꯖꯤꯟꯅꯧ꯫
• ꯐ꯭ꯂꯦꯠ, ꯃꯄꯥꯉ꯭ꯒꯜ ꯀꯅꯕꯥ, ꯑꯐꯕꯥ ꯇ꯭ꯔꯦꯛꯁꯟ ꯖꯨꯇꯣꯁꯤꯡ ꯁꯤꯖꯤꯟꯅꯕꯥ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯩꯅꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯂꯩꯔꯕꯗꯤ ꯑꯩꯅꯥ ꯀꯔꯤ ꯑꯥꯁꯥ ꯇꯧꯕꯥ ꯌꯥꯕꯒꯦ? (ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ) ꯴.

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ SL ꯗꯤꯁꯑꯣꯔꯗꯔꯒꯤ ꯂꯥꯏꯌꯦꯡ ꯊꯨꯅꯥ ꯐꯪꯗ꯭ꯔꯕꯗꯤ, ꯑꯁꯤꯒꯨꯝꯕꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ ꯑꯁꯤ ꯊꯣꯀꯄꯥ ꯌꯥꯏ:

• ꯀ꯭ꯔꯣꯅꯤꯛ ꯄꯦꯏꯟ (chronic pain): ꯅꯍꯥꯛꯅꯥ ꯃꯈꯥ ꯇꯥꯅꯥ ꯃꯈꯨꯠ ꯁꯣꯀꯄꯥ ꯌꯥꯏ꯫
• ꯏꯅꯐ꯭ꯂꯦꯃꯦꯇꯔꯤ ꯑꯔꯊ꯭ꯔꯥꯏꯇꯤꯁ: ꯑꯔꯊ꯭ꯔꯥꯏꯇꯤꯁ ꯑꯁꯤ ꯁꯔꯨ ꯇꯥꯡꯗꯥ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯁꯅꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯂꯥꯀꯄꯥ ꯌꯥꯏ꯫
• ꯖꯣꯏꯟꯇ ꯏꯅꯁ꯭ꯇꯦꯕꯤꯂꯤꯇꯤ (joint instability): ꯃꯈꯨꯠ ꯑꯗꯨ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯗꯅꯥ ꯆꯪꯁꯤꯜꯂꯀꯄꯒꯨꯝꯅꯥ ꯐꯥꯎꯕꯥ ꯌꯥꯏ꯫
• ꯒ꯭ꯔꯤꯞ ꯁ꯭ꯠꯔꯦꯡꯊ ꯍꯟꯊꯔꯀꯄꯥ: ꯅꯍꯥꯛꯅꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯒ꯭ꯔꯤꯞ ꯇꯧꯕꯥ ꯉꯃꯗꯕꯥ ꯌꯥꯏ꯫
• Scapholunate Advanced Collapse (SLAC) Ankle: This is a degenerative arthritis condition that causes the wrist joint to wear down. ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯋꯥꯅꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯩꯅꯥ (Scapholunate Dissociation) ꯂꯩꯔꯕꯗꯤ ꯑꯩꯅꯥ ꯐꯒꯠꯂꯀꯄꯗꯥ ꯃꯇꯝ ꯀꯌꯥ ꯆꯪꯒꯅꯤ? (ꯑꯥꯎꯠꯂꯨꯛ) ꯑꯃꯁꯨꯡ ꯑꯦꯟ.

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ SL ꯗꯤꯁꯑꯣꯔꯗꯔꯒꯤꯗꯃꯛꯇꯥ ꯁꯔꯖꯔꯤ ꯇꯧꯔꯕꯗꯤ, ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯅꯨꯃꯤꯠ ꯈꯔꯅꯤꯒꯤ ꯑꯣꯏꯅꯥ ꯀꯥꯁ꯭ꯠ ꯑꯃꯥ ꯊꯝꯕꯥ ꯃꯊꯧ ꯇꯥꯏ꯫ ꯗꯣꯛꯇꯔꯅꯥ ꯃꯗꯨ ꯂꯧꯊꯣꯛꯂꯕꯥ ꯃꯇꯨꯡꯗꯥ, ꯐꯤꯖꯤꯀꯦꯜ ꯊꯦꯔꯥꯄꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯃꯈꯨꯠ ꯑꯗꯨ ꯃꯄꯥꯉ꯭ꯒꯜ ꯀꯅꯈꯠꯍꯅꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯒꯅꯤ꯫ ꯃꯇꯤꯛ ꯆꯥꯕꯥ ꯂꯥꯏꯌꯦꯡ ꯑꯃꯁꯨꯡ ꯐꯤꯖꯤꯀꯦꯜ ꯊꯦꯔꯥꯄꯤꯒꯥ ꯂꯣꯌꯅꯅꯥ, ꯅꯍꯥꯛꯅꯥ ꯊꯥ ꯈꯔꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯅꯣꯔꯃꯦꯜ ꯑꯦꯛꯇꯤꯚꯤꯇꯤꯁꯤꯡꯗꯥ ꯍꯜꯂꯀꯄꯥ ꯉꯃꯒꯗꯕꯅꯤ꯫

ꯁ꯭ꯀꯦꯐꯣꯂꯨꯅꯦꯠ ꯗꯤꯁꯑꯣꯔꯗꯔ ꯑꯁꯤꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯑꯩꯅꯥ ꯃꯇꯧ ꯀꯔꯝꯅꯥ ꯏꯁꯥꯕꯨ ꯌꯦꯡꯁꯤꯅꯕꯤꯒꯅꯤ?

SL ꯗꯤꯁꯑꯣꯔꯗꯔꯒꯤ ꯂꯥꯏꯌꯦꯡꯒꯤ ꯃꯇꯨꯡꯗꯥ, ꯅꯍꯥꯛꯅꯥ ꯁꯥꯐꯅꯥ ꯀꯔꯤ ꯃꯈꯂꯒꯤ ꯑꯦꯛꯇꯤꯚꯤꯇꯤꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯑꯦꯛꯁꯔꯁꯥꯏꯖꯁꯤꯡ ꯇꯧꯕꯥ ꯌꯥꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯇꯥꯟꯅꯧ꯫ ꯅꯍꯥꯛꯀꯤ ꯃꯈꯨꯠꯇꯥ ꯄꯥꯉ꯭ꯒꯜ ꯑꯃꯁꯨꯡ ꯔꯦꯟꯖ ꯑꯣꯐ ꯃꯣꯁꯟ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯐꯪꯍꯅꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯕꯥ ꯌꯥꯕꯥ ꯑꯀꯛꯅꯕꯥ ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯄ꯭ꯔꯣꯒ꯭ꯔꯥꯃꯁꯤꯡ ꯂꯩ꯫ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯍꯥꯌꯔꯀꯄꯗꯒꯤ ꯀꯩꯗꯧꯉꯩꯗꯥ ꯆꯠꯂꯣꯏꯗꯕꯅꯤ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯃꯈꯨꯠꯇꯥ ꯌꯥꯝꯅꯥ ꯂꯨꯕꯥ ꯊꯕꯀꯁꯤꯡ ꯇꯧꯔꯣꯏꯗꯕꯅꯤ꯫

ꯇꯦꯛ-ꯍꯣꯝ ꯃꯦꯁꯦꯖ ꯇꯧꯕꯥ꯫

ꯑꯣꯀꯦ, ꯑꯗꯨꯅꯥ ꯑꯩꯈꯣꯌꯅꯥ ꯋꯥꯔꯤ ꯁꯥꯈꯤꯕꯥ `ꯁ꯭ꯀꯦꯐꯣꯂꯨꯅꯦꯠ ꯗꯤꯁꯣꯁꯤꯑꯦꯁꯟ` ꯑꯁꯤ ꯃꯈꯨꯠꯇꯥ ꯂꯩꯕꯥ ꯑꯄꯤꯀꯄꯥ ꯁꯔꯨ ꯑꯅꯤ, `ꯁ꯭ꯀꯦꯐꯣꯏꯗ` ꯑꯃꯁꯨꯡ `ꯂꯨꯅꯦꯠ`ꯅꯥ ꯃꯐꯝ ꯑꯃꯗꯒꯤ ꯂꯥꯞꯅꯥ ꯆꯠꯇꯨꯅꯥ ꯃꯈꯣꯌꯒꯤ ꯃꯔꯛꯇꯥ ꯒꯦꯞ ꯑꯃꯥ ꯁꯦꯃꯒꯠꯂꯀꯄꯅꯤ꯫ ꯃꯁꯤꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯔꯃꯗꯤ ꯁꯔꯨ ꯑꯅꯤ ꯑꯁꯤꯕꯨ ꯁꯝꯅꯍꯜꯂꯤꯕꯥ `ꯂꯤꯒꯥꯃꯦꯟꯇ`ꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯄꯅꯤ꯫ ꯃꯁꯤ ꯑꯌꯥꯝꯕꯗꯤ ꯅꯍꯥꯛꯀꯤ ꯈꯨꯠꯁꯥ ꯑꯗꯨ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯁꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯊꯣꯀꯏ꯫

ꯃꯔꯨꯑꯣꯏꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡꯗꯤ ꯃꯈꯨꯠ ꯁꯣꯛ-ꯄꯅꯕꯥ, ꯁꯣꯛ-ꯄꯅꯕꯥ, ꯇꯔꯨ-ꯇꯅꯥꯅꯕꯥ, ꯑꯃꯁꯨꯡ ꯒ꯭ꯔꯤꯞ ꯁ꯭ꯠꯔꯦꯡꯊ ꯍꯟꯊꯔꯀꯄꯅꯤ꯫ ꯗꯣꯛꯇꯔ ꯑꯃꯅꯥ ꯃꯁꯤ ꯈꯉꯗꯣꯛꯅꯕꯥ ꯁ꯭ꯀꯦꯐꯣꯏꯗ ꯁꯤꯐꯠ ꯇꯦꯁ꯭ꯠ, ꯑꯦꯛꯁ-ꯔꯦ, ꯑꯦꯝ.ꯑꯥꯔ.ꯑꯥꯏ., ꯑꯃꯁꯨꯡ ꯑꯥꯔꯊ꯭ꯔꯣꯁ꯭ꯀꯣꯄꯤꯒꯨꯝꯕꯥ ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯁꯤꯖꯤꯟꯅꯩ꯫

ꯑꯌꯥꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯁꯔꯖꯔꯤ ꯑꯁꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯥ ꯂꯥꯏꯌꯦꯡꯅꯤ꯫ ꯃꯇꯤꯛ ꯆꯥꯕꯥ ꯂꯥꯏꯌꯦꯡ ꯑꯃꯁꯨꯡ ꯐꯤꯖꯤꯀꯦꯜ ꯊꯦꯔꯥꯄꯤ ꯂꯩꯔꯕꯗꯤ, ꯃꯤꯑꯣꯏ ꯑꯌꯥꯝꯕꯅꯥ ꯊꯥ ꯈꯔꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯃꯈꯣꯌꯒꯤ ꯅꯣꯔꯃꯦꯜ ꯑꯦꯛꯇꯤꯚꯤꯇꯤꯁꯤꯡꯗꯥ ꯍꯜꯂꯀꯄꯥ ꯉꯝꯃꯤ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯃꯈꯨꯠꯇꯥ ꯂꯦꯞꯇꯅꯥ ꯑꯅꯥꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯂꯩꯔꯕꯗꯤ, ꯃꯁꯤ ꯁꯨꯞꯅꯒꯤ ꯁꯣꯀꯄꯥ ꯈꯛꯇꯅꯤ ꯍꯥꯌꯅꯥ ꯂꯧꯕꯗꯒꯤ ꯗꯣꯛꯇꯔ ꯑꯃꯒꯥ ꯇꯥꯟꯅꯗꯨꯅꯥ ꯄꯥꯎꯇꯥꯛ ꯂꯧꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫

` ꯃꯈꯨꯠ, ꯃꯈꯨꯠ ꯁꯣꯀꯄꯥ, ꯈꯨꯠꯁꯥꯒꯤ ꯁꯔꯨ, ꯂꯤꯒꯥꯃꯦꯟꯇ, ꯁ꯭ꯀꯦꯐꯣꯂꯨꯅꯦꯠ ꯗꯤꯁꯑꯣꯔꯗꯔ, ꯐ꯭ꯔꯦꯀꯆꯔ, ꯁꯔꯖꯔꯤ꯫