ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯗꯥ ꯁꯦꯔꯤꯕ꯭ꯔꯦꯜ ꯄꯥꯂꯁꯤ ꯂꯩꯕ꯭ꯔꯥ? ꯑꯗꯣꯝꯅꯥ ꯈꯉꯕꯤꯔꯃꯒꯅꯤ ꯃꯗꯨꯗꯤ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯑꯉꯥꯡꯁꯤꯡꯒꯤ ꯃꯈꯣꯡꯗꯥ ꯂꯩꯕꯥ ꯃꯁꯂꯁꯤꯡ, ꯃꯔꯨꯑꯣꯏꯅꯥ ꯈꯣꯡꯗꯥ ꯂꯩꯔꯤꯕꯥ ꯃꯁꯂꯁꯤꯡ ꯑꯁꯤ ꯃꯊꯧ ꯇꯥꯗꯅꯥ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯁꯣꯟꯊꯕꯥ ꯑꯃꯁꯨꯡ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯁꯣꯟꯊꯕꯥ ꯌꯥꯏ꯫ ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯋꯥꯍꯟꯊꯣꯛꯇꯥ ꯑꯩꯈꯣꯌꯅꯥ ꯃꯁꯤꯕꯨ ‘ꯁ꯭ꯄꯥꯁ꯭ꯇꯤꯁꯤꯇꯤ’ ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ ꯃꯁꯤꯒꯤ ꯇꯀꯈꯥꯌꯕꯥ ꯑꯁꯤꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯑꯉꯥꯡ ꯑꯗꯨꯅꯥ ꯈꯣꯡꯅꯥ ꯆꯠꯄꯥ, ꯈꯣꯡꯅꯥ ꯆꯠꯄꯥ, ꯈꯣꯡꯅꯥ ꯆꯠꯄꯥ ꯈꯛꯇꯥ ꯅꯠꯇꯅꯥ ꯅꯨꯃꯤꯠ ꯈꯨꯗꯤꯡꯒꯤ ꯊꯕꯛ ꯇꯧꯕꯗꯁꯨ ꯌꯥꯝꯅꯥ ꯑꯋꯥꯕꯥ ꯑꯣꯏ꯫ ꯑꯗꯨꯅꯥ ꯉꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯃꯁꯤꯒꯤ ꯁꯃꯁ꯭ꯌꯥ ꯑꯁꯤꯒꯤ ꯄꯔꯃꯦꯅꯦꯟꯇ ꯁꯣꯂꯨꯁꯟ ꯑꯃꯥ ꯑꯣꯏꯅꯥ ꯄꯥꯡꯊꯣꯀꯄꯥ ꯑꯈꯟꯅꯕꯥ ꯁꯔꯖꯔꯤ ꯑꯃꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯔꯤ꯫ ꯍꯥꯌꯕꯗꯤ ꯁꯦꯂꯦꯛꯇꯤꯕ ꯗꯣꯔꯁꯦꯜ ꯔꯥꯏꯖꯣꯇꯣꯃꯤ, ꯅꯠꯔꯒꯥ ꯊꯣꯏꯗꯣꯛꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ ꯑꯦꯁ.ꯗꯤ.ꯑꯥꯔ.
ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯑꯦꯁ.ꯗꯤ.ꯑꯥꯔ.ꯒꯤ ꯁꯔꯖꯔꯤ ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ?
ꯁꯦꯂꯦꯛꯇꯤꯚ ꯗꯣꯔꯁꯦꯜ ꯔꯥꯏꯖꯣꯇꯣꯃꯤ (SDR) ꯍꯥꯌꯕꯁꯤ ꯁꯦꯔꯤꯕ꯭ꯔꯦꯜ ꯄꯥꯂꯁꯤ ꯂꯩꯕꯥ ꯑꯉꯥꯡꯁꯤꯡꯗꯥ ꯃꯁꯜ ꯁꯣꯟꯊꯕꯥ (spasticity) ꯃꯇꯝ ꯆꯨꯞꯄꯒꯤ ꯑꯣꯏꯅꯥ ꯍꯟꯊꯍꯅꯕꯥ ꯉꯝꯕꯥ ꯁꯔꯖꯤꯀꯦꯜ ꯄ꯭ꯔꯣꯁꯤꯗ꯭ꯌꯨꯑꯣꯔ ꯑꯃꯅꯤ꯫ ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯀꯝꯞꯂꯦꯛꯁ ꯑꯣꯏꯕꯥ ꯄ꯭ꯔꯣꯁꯤꯗ꯭ꯌꯨꯑꯣꯔ ꯑꯃꯅꯤ ꯍꯥꯌꯔꯕꯁꯨ, ꯏꯆꯝ ꯆꯝꯕꯥ ꯋꯥꯍꯟꯊꯣꯛ ꯑꯃꯗꯥ, ꯃꯁꯤꯅꯥ ꯑꯉꯥꯡ ꯑꯗꯨꯒꯤ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗꯀꯤ ꯃꯈꯥ ꯊꯪꯕꯥ ꯁꯔꯨꯛꯇꯥ ꯂꯩꯕꯥ ꯁꯦꯟꯁꯔꯤ ꯅꯔꯚ ꯐꯥꯏꯕꯔ ꯈꯔꯗꯤ ꯈꯅꯒꯠꯂꯒꯥ ꯀꯥꯄꯁꯤꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯂꯧꯊꯣꯀꯄꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯈꯣꯡꯗꯥ ꯃꯁꯜ ꯁꯣꯟꯊꯕꯥ ꯊꯣꯀꯍꯜꯂꯤ꯫
ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯋꯥꯐꯃꯗꯤ ꯃꯁꯤꯒꯤ ꯁꯔꯖꯔꯤ ꯑꯁꯤꯅꯥ ꯑꯉꯥꯡ ꯑꯗꯨꯒꯤ ꯃꯁꯥꯗꯥ ꯄꯦꯔꯥꯂꯥꯏꯁꯤꯁ ꯊꯣꯀꯍꯟꯗꯦ꯫ ꯃꯁꯤꯅꯥ ꯈꯣꯡꯒꯤ ꯆꯠꯊꯣꯛ-ꯆꯠꯁꯤꯅꯗꯁꯨ ꯍꯀꯊꯦꯡꯅꯅꯥ ꯁꯣꯀꯍꯜꯂꯣꯏ꯫ ꯃꯁꯤꯅꯥ ꯃꯊꯧ ꯇꯥꯗꯅꯥ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯁꯣꯀꯄꯥ ꯃꯁꯂꯁꯤꯡ ꯑꯗꯨ ꯈꯛꯇꯃꯛ ꯔꯤꯂꯤꯖ ꯇꯧꯏ꯫
ꯑꯗꯨꯕꯨ ꯋꯥꯈꯂꯗꯥ ꯊꯃꯒꯗꯕꯥ ꯋꯥꯐꯝ ꯑꯃꯗꯤ ꯁꯔꯖꯔꯤ ꯑꯁꯤꯗꯒꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯥ ꯐꯂꯁꯤꯡ ꯐꯪꯅꯕꯒꯤꯗꯃꯛ ꯑꯉꯥꯡ ꯑꯗꯨꯅꯥ ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯏꯟꯇꯦꯟꯁꯤꯕ ꯔꯤꯍꯦꯕꯤꯂꯤꯇꯦꯁꯟ ꯑꯃꯁꯨꯡ ꯐꯤꯖꯤꯀꯦꯜ ꯊꯦꯔꯥꯄꯤ ꯇꯧꯒꯗꯕꯅꯤ꯫ ꯃꯁꯤꯗꯁꯨ ꯅꯠꯇꯅꯥ, ꯁꯦꯔꯤꯕ꯭ꯔꯦꯜ ꯄꯥꯂꯁꯤ ꯂꯩꯕꯥ ꯑꯉꯥꯡ ꯄꯨꯝꯅꯃꯛ ꯑꯁꯤ ꯁꯔꯖꯔꯤ ꯑꯁꯤꯒꯤꯗꯃꯛꯇꯥ ꯆꯨꯃꯗꯦ꯫
ꯃꯁꯤꯒꯤ ꯁꯔꯖꯔꯤ ꯑꯁꯤ ꯀꯅꯥꯅꯥ ꯇꯧꯒꯗꯒꯦ? ꯑꯉꯥꯡ ꯄꯨꯝꯅꯃꯛꯀꯤꯗꯃꯛ ꯆꯨꯝꯂꯕꯔꯥ?
ꯑꯦꯁ.ꯗꯤ.ꯑꯥꯔ.ꯒꯤ ꯁꯔꯖꯔꯤ ꯑꯁꯤ ꯃꯔꯨꯑꯣꯏꯅꯥ ꯁꯦꯔꯤꯕ꯭ꯔꯦꯜ ꯄꯥꯂꯁꯤꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯃꯁꯜ ꯁꯣꯟꯊꯕꯥ (ꯁ꯭ꯄꯦꯁ꯭ꯇꯤꯁꯤꯇꯤ)ꯒꯤ ꯂꯥꯏꯌꯦꯡ ꯑꯃꯥ ꯑꯣꯏꯅꯥ ꯄꯥꯡꯊꯣꯀꯏ꯫
ꯅꯍꯥꯛꯅꯥ ꯈꯪꯂꯤꯕꯃꯈꯩ, ꯁꯦꯔꯤꯕ꯭ꯔꯦꯜ ꯄꯥꯂꯁꯤ (CP) ꯍꯥꯌꯕꯁꯤ ꯑꯉꯥꯡ ꯑꯃꯒꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯈꯣꯡꯖꯦꯜ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯥ ꯉꯝꯕꯗꯥ ꯁꯣꯀꯍꯜꯂꯤꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫ ꯃꯁꯤ ꯃꯨꯚꯃꯦꯟꯇ ꯑꯃꯁꯨꯡ ꯀꯣꯑꯣꯔꯗꯤꯅꯦꯁꯟ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯔꯤꯕꯥ ꯕ꯭ꯔꯦꯅꯒꯤ ꯁꯔꯨꯀꯁꯤꯡꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯅꯕꯅꯥ ꯊꯣꯀꯍꯅꯕꯅꯤ꯫ ꯁꯤ.ꯄꯤ.ꯅꯥ ꯅꯥꯕꯥ ꯑꯉꯥꯡ ꯀꯌꯥꯗꯥ ‘ꯁ꯭ꯄꯥꯁ꯭ꯇꯤꯁꯤꯇꯤ’ ꯀꯧꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯥ ꯂꯩ꯫ ꯃꯁꯤꯅꯥ ꯇꯥꯀꯄꯗꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯅꯥ ꯆꯠꯊꯣꯛ-ꯆꯠꯁꯤꯟ ꯇꯧꯅꯕꯥ ꯍꯣꯠꯅꯔꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯂꯦꯡꯗꯅꯥ ꯂꯩꯕꯥ ꯃꯇꯃꯗꯥ ꯃꯁꯜ ꯈꯔꯗꯤ ꯈꯪꯍꯧꯗꯅꯥ ꯍꯤꯡꯁꯥꯅꯥ ꯁꯣꯀꯍꯜꯂꯤ꯫ ꯃꯁꯤꯅꯥ ꯑꯉꯥꯡ ꯑꯗꯨꯕꯨ ꯈꯣꯡꯅꯥ ꯆꯠꯄꯥ, ꯅꯣꯡꯃꯒꯤ ꯑꯣꯏꯕꯥ ꯊꯕꯛ-ꯊꯧꯔꯃꯁꯤꯡ ꯄꯥꯡꯊꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯐꯥꯎꯕꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫
ꯑꯦꯁ.ꯗꯤ.ꯑꯥꯔ.ꯒꯤ ꯁꯔꯖꯔꯤꯅꯥ ꯑꯀꯛꯅꯅꯥ ꯄꯥꯟꯗꯝ ꯊꯝꯂꯤ:
- ꯁ꯭ꯄꯥꯁ꯭ꯇꯤꯛ ꯗꯤꯞꯂꯦꯖꯤꯛ ꯁꯦꯔꯤꯕ꯭ꯔꯦꯜ ꯄꯥꯂꯁꯤ (spastic diplegic cerebral palsy): ꯃꯁꯤꯅꯥ ꯃꯔꯨꯑꯣꯏꯅꯥ ꯈꯣꯡꯗꯥ ꯁꯣꯀꯍꯜꯂꯤꯕꯥ ꯃꯁꯜ ꯁꯣꯟꯊꯕꯥ ꯂꯩꯕꯥ ꯑꯉꯥꯡꯁꯤꯡꯕꯨ ꯈꯪꯅꯩ꯫
- ꯁꯥꯊꯤꯕꯥ ꯁ꯭ꯄꯥꯁ꯭ꯇꯤꯛ ꯀ꯭ꯕ꯭ꯌꯥꯗ꯭ꯔꯤꯞꯂꯦꯖꯤꯛ ꯁꯦꯔꯤꯕ꯭ꯔꯦꯜ ꯄꯥꯂꯁꯤ (severe spastic quadriplegic cerebral palsy) : ꯃꯁꯤꯅꯥ ꯂꯤꯝꯐ ꯃꯔꯤ ꯄꯨꯝꯅꯃꯛꯇꯥ ꯁꯣꯀꯍꯜꯂꯤꯕꯥ ꯁꯥꯊꯤꯕꯥ ꯃꯁꯜ ꯁꯣꯟꯊꯕꯥ ꯂꯩꯕꯥ ꯑꯉꯥꯡꯁꯤꯡꯕꯨ ꯈꯪꯅꯩ꯫
ꯑꯣꯀꯦ, ꯃꯁꯤꯒꯤ ꯁꯔꯖꯔꯤ ꯑꯁꯤꯅꯥ ꯀꯔꯝꯅꯥ ꯃꯁꯜ ꯁꯣꯟꯊꯕꯥ ꯍꯟꯊꯍꯅꯒꯅꯤ?
ꯃꯁꯤ ꯈꯉꯅꯕꯒꯤꯗꯃꯛ ꯑꯩꯈꯣꯌꯒꯤ ꯅꯔꯚ ꯁꯤꯁ꯭ꯇꯦꯃꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯃꯤꯀꯨꯞ ꯑꯃꯒꯤ ꯑꯣꯏꯅꯥ ꯈꯟꯊꯁꯤ꯫ ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯃꯁꯂꯁꯤꯡꯒꯤ ꯅꯣꯔꯃꯦꯜ ꯃꯁꯜ ꯇꯣꯟ ꯑꯁꯤ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗꯇꯥ ꯂꯩꯕꯥ ꯅꯔꯚꯁ ꯁꯤꯁ꯭ꯇꯦꯝ ꯑꯃꯒꯤ ꯑꯦꯛꯇꯤꯚꯤꯇꯤꯅꯥ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯏ꯫
ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯇꯦꯂꯤꯐꯣꯅꯒꯨꯝꯕꯥ ꯅꯔꯚꯁ ꯁꯤꯁ꯭ꯇꯦꯝ ꯑꯃꯥ ꯂꯩ ꯍꯥꯌꯅꯥ ꯈꯅꯕꯤꯌꯨ꯫
1. ꯁꯦꯟꯁꯔꯤ ꯅꯔꯚꯁꯤꯡ: ꯃꯁꯤꯅꯥ ꯃꯁꯂꯁꯤꯡꯗꯒꯤ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗꯇꯥ ꯏꯅꯐꯣꯔꯃꯦꯁꯟ ꯄꯨꯊꯣꯀꯏ꯫
2. ꯃꯣꯇꯣꯔ ꯅꯔꯚꯁꯤꯡ: ꯃꯁꯤꯅꯥ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗꯇꯒꯤ ꯃꯁꯂꯁꯤꯡꯗꯥ ꯑꯃꯨꯛ ꯍꯟꯅꯥ "ꯃꯁꯤꯒꯨꯝꯅꯥ ꯀꯟꯠꯔꯦꯛꯇ" ꯇꯧꯅꯕꯥ ꯀꯃꯥꯟꯗꯁꯤꯡ ꯊꯥꯏ꯫
ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯅꯥ, ꯑꯩꯈꯣꯌꯒꯤ ꯕ꯭ꯔꯦꯅꯅꯥ ꯃꯦꯁꯦꯖ ꯐ꯭ꯂꯣ ꯑꯁꯤ ꯐꯖꯅꯥ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯏ꯫ ꯍꯥꯌꯕꯗꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯄꯥꯝꯂꯤꯕꯃꯈꯩ ꯑꯩꯈꯣꯌꯒꯤ ꯃꯁꯂꯁꯤꯡ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯥ ꯉꯃꯒꯅꯤ꯫ ꯑꯗꯨꯕꯨ ꯁꯦꯔꯤꯕ꯭ꯔꯦꯜ ꯄꯥꯂꯁꯤꯗꯥ ꯕ꯭ꯔꯦꯅꯅꯥ ꯅꯔꯚꯁꯤꯡ ꯑꯁꯤꯕꯨ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯥ ꯉꯝꯕꯒꯤ ꯁꯛꯇꯤ ꯑꯁꯤ ꯍꯟꯊꯔꯀꯏ꯫ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯊꯣꯛꯀꯗꯕꯗꯤ ꯁꯦꯟꯁꯔꯤ ꯅꯔꯚ ꯈꯔꯗꯤ ꯑꯣꯚꯔꯑꯦꯛꯇꯤꯚ ꯑꯣꯏꯔꯀꯏ ꯑꯃꯁꯨꯡ ꯃꯁꯂꯁꯤꯡꯗꯥ ꯑꯔꯥꯅꯕꯥ ꯁꯤꯒꯅꯦꯂꯁꯤꯡ ꯊꯥꯗꯨꯅꯥ ꯂꯩꯔꯤ, ꯃꯈꯣꯌꯗꯥ "ꯇꯞꯅꯥ ꯇꯞꯅꯥ, ꯇꯞꯅꯥ ꯇꯞꯅꯥ" ꯍꯥꯌꯔꯀꯏ꯫
ꯑꯦꯁ.ꯗꯤ.ꯑꯥꯔ.ꯒꯤ ꯁꯔꯖꯔꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯀꯔꯤ ꯊꯣꯀꯄꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤ:
ꯁꯔꯖꯔꯤꯅꯥ ꯃꯁꯜ ꯁꯣꯟꯊꯍꯜꯂꯤꯕꯥ ꯑꯃꯁꯨꯡ ꯃꯊꯧ ꯇꯥꯗꯅꯥ ꯑꯦꯛꯇꯤꯚ ꯑꯣꯏꯍꯜꯂꯤꯕꯥ ꯁꯦꯟꯁꯔꯤ ꯅꯔꯚ ꯔꯨꯇꯂꯦꯠ ꯈꯛꯇꯃꯛ ꯈꯅꯒꯠꯂꯤ ꯑꯃꯁꯨꯡ ꯀꯀꯊꯠꯂꯤ꯫ ꯀꯔꯝꯕꯥ ꯅꯔꯚꯁꯤꯡꯅꯥ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯊꯕꯛ ꯇꯧꯔꯤꯕꯒꯦ ꯑꯃꯁꯨꯡ ꯀꯔꯝꯕꯥ ꯅꯔꯚꯁꯤꯡꯅꯥ ꯑꯔꯥꯅꯕꯥ ꯁꯤꯒꯅꯦꯂꯁꯤꯡ ꯊꯥꯔꯤꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯈꯉꯗꯣꯛꯅꯕꯥ ꯑꯈꯟꯅꯕꯥ ꯇꯦꯁ꯭ꯠ (ꯏ.ꯑꯦꯝ.ꯖꯤ.) ꯑꯃꯥ ꯁꯤꯖꯤꯟꯅꯩ꯫ ꯃꯁꯤꯅꯥ ꯑꯇꯣꯞꯄꯥ ꯊꯕꯛ ꯊꯧꯔꯃꯁꯤꯡꯗꯥ ꯑꯀꯥꯌꯕꯥ ꯄꯤꯗꯅꯥ ꯃꯁꯜ ꯁꯣꯟꯊꯕꯥ ꯈꯛꯇꯃꯛ ꯍꯟꯊꯍꯅꯕꯥ ꯉꯃꯍꯜꯂꯤ꯫
ꯃꯁꯤꯒꯤ ꯃꯑꯣꯡ ꯑꯁꯤꯅꯥ, ꯃꯁꯜ ꯁꯣꯟꯊꯕꯥ (stiffness) ꯑꯗꯨ ꯂꯥꯀꯁꯤꯜꯂꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯃꯈꯥꯗꯥ ꯂꯩꯔꯤꯕꯥ ꯃꯁꯂꯁꯤꯡ ꯑꯗꯨꯅꯥ ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯅꯥ ꯊꯕꯛ ꯇꯧꯕꯥ ꯍꯧꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯅꯥ ꯑꯉꯥꯡ ꯑꯗꯨꯒꯤ ꯃꯣꯕꯤꯂꯤꯇꯤ ꯑꯃꯁꯨꯡ ꯐꯉ꯭ꯀꯁꯟ ꯐꯒꯠꯍꯜꯂꯤ꯫ ꯃꯁꯤꯅꯥ ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯃꯁꯜ ꯁꯣꯟꯊꯔꯀꯄꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯕꯥ ꯁꯔꯨ ꯑꯃꯁꯨꯡ ꯁꯔꯨ ꯇꯥꯡꯁꯤꯡꯗꯥ ꯗꯤꯐꯣꯔꯃꯤꯇꯤꯁꯤꯡ ꯊꯤꯡꯕꯗꯁꯨ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫
ꯁꯔꯖꯔꯤꯒꯤ ꯃꯃꯥꯡꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯀꯔꯝꯅꯥ ꯁꯦꯝ-ꯁꯥꯕꯒꯦ?
SDR ꯁꯔꯖꯔꯤ ꯑꯁꯤ ꯑꯉꯥꯡ ꯈꯨꯗꯤꯡꯃꯛꯀꯤ ꯑꯣꯏꯅꯥ ꯆꯨꯅꯕꯥ ꯑꯣꯏꯗꯕꯅꯥ, ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯅꯥ ꯃꯈꯣꯌꯗꯥ ꯀꯥꯟꯅꯕꯥ ꯄꯤꯒꯗ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯂꯦꯄꯊꯣꯛꯅꯕꯥ ꯁ꯭ꯄꯦꯁꯤꯑꯦꯂꯤꯁ꯭ꯇꯁꯤꯡꯒꯤ ꯀꯥꯡꯕꯨ ꯑꯃꯅꯥ ꯏꯚꯥꯜꯌꯨꯑꯦꯠ ꯇꯧꯒꯅꯤ꯫ ꯃꯍꯧꯁꯥꯅꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯁ꯭ꯄꯦꯁꯤꯑꯦꯂꯤꯁ꯭ꯇꯁꯤꯡ ꯑꯁꯤ ꯊꯧꯑꯣꯡ ꯑꯁꯤꯗꯥ ꯁꯔꯨꯛ ꯌꯥꯔꯤ:
| ꯁ꯭ꯄꯦꯁꯤꯑꯦꯂꯤꯁ꯭ꯠ ꯗꯣꯛꯇꯔ꯫ | ꯃꯈꯣꯌꯒꯤ ꯊꯧꯗꯥꯡ꯫ |
|---|---|
| ꯄꯦꯗꯤꯑꯦꯠꯔꯤꯛ ꯅ꯭ꯌꯨꯔꯣꯁꯔꯖꯔ꯫ | ꯑꯦꯁ.ꯗꯤ.ꯑꯥꯔ.ꯒꯤ ꯁꯔꯖꯔꯤꯒꯤ ꯑꯦꯛꯁꯄꯤꯔꯤꯑꯦꯟꯁ ꯂꯩꯕꯥ ꯁ꯭ꯄꯦꯁꯤꯑꯦꯂꯤꯁ꯭ꯠ ꯑꯃꯅꯥ ꯑꯉꯥꯡ ꯑꯗꯨꯒꯤ ꯈꯣꯡ ꯑꯃꯁꯨꯡ ꯃꯁꯂꯁꯤꯡ ꯑꯗꯨ ꯁꯔꯖꯔꯤꯒꯤꯗꯃꯛꯇꯥ ꯆꯨꯝꯃꯤ ꯍꯥꯌꯕꯥ ꯈꯪꯗꯣꯛꯅꯕꯥ ꯌꯦꯡꯁꯤꯅꯒꯅꯤ꯫ |
| ꯄꯦꯗꯤꯑꯦꯠꯔꯤꯛ ꯑꯣꯔꯊꯣꯄꯦꯗꯤꯛ ꯁꯔꯖꯔ꯫ | ꯀꯔꯤꯒꯨꯝꯕꯥ ꯕꯣꯟ ꯗꯤꯐꯣꯔꯃꯤꯇꯤ ꯅꯠꯠꯔꯒꯥ ꯃꯁꯜ ꯀꯟꯠꯔꯦꯀꯆꯔꯒꯨꯝꯕꯥ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯃꯁꯤꯡ ꯂꯩꯔꯕꯗꯤ ꯃꯈꯣꯌꯕꯨ ꯑꯇꯣꯞꯄꯥ ꯁꯔꯖꯔꯤꯁꯤꯡ ꯃꯊꯧ ꯇꯥꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯒꯅꯤ꯫ |
| ꯐꯤꯖꯤꯀꯦꯜ ꯊꯦꯔꯥꯄꯤꯁ꯭ꯠ ꯑꯃꯥ ꯑꯣꯏꯅꯥ ꯊꯕꯛ ꯇꯧꯕꯥ꯫ | ꯑꯉꯥꯡ ꯑꯗꯨꯒꯤ ꯈꯣꯡꯗꯥ ꯂꯩꯕꯥ ꯃꯁꯂꯒꯤ ꯃꯄꯥꯉ꯭ꯒꯜ ꯑꯃꯁꯨꯡ ꯐꯉ꯭ꯀꯁꯟ ꯑꯗꯨ ꯂꯦꯄꯊꯣꯀꯏ꯫ |
| ꯑꯣꯛꯌꯨꯄꯦꯁꯅꯦꯜ ꯊꯦꯔꯥꯄꯤꯁ꯭ꯠ꯫ | ꯅꯣꯡꯃꯒꯤ ꯑꯣꯏꯕꯥ ꯊꯕꯛ ꯊꯧꯔꯃꯁꯤꯡ ꯍꯥꯌꯕꯗꯤ ꯈꯣꯡꯅꯥ ꯆꯠꯄꯥ, ꯆꯥꯕꯥ, ꯑꯃꯁꯨꯡ ꯄꯣꯠꯆꯩ ꯌꯣꯅꯕꯥ ꯑꯁꯤꯅꯆꯤꯡꯕꯥ ꯄꯥꯡꯊꯣꯀꯄꯥ ꯉꯝꯕꯒꯤ ꯆꯥꯡ ꯑꯁꯤ ꯏꯚꯥꯜꯌꯨꯑꯦꯠ ꯇꯧꯏ꯫ |
ꯃꯤꯑꯣꯏ ꯄꯨꯝꯅꯃꯛ ꯑꯁꯤꯅꯥ ꯑꯉꯥꯡ ꯑꯗꯨꯕꯨ ꯌꯦꯡꯁꯤꯜꯂꯤ ꯑꯃꯁꯨꯡ ꯇꯤꯝ ꯑꯃꯥ ꯑꯣꯏꯅꯥ ꯄꯨꯟꯅꯥ ꯂꯥꯀꯃꯤꯟꯅꯗꯨꯅꯥ ꯑꯦꯁ.ꯗꯤ.ꯑꯥꯔ.ꯒꯤ ꯁꯔꯖꯔꯤꯅꯥ ꯑꯉꯥꯡ ꯑꯗꯨꯗꯥ ꯀꯥꯟꯅꯕꯥ ꯄꯤꯒꯗ꯭ꯔꯥ ꯍꯥꯌꯕꯒꯤ ꯑꯔꯣꯏꯕꯥ ꯋꯥꯔꯦꯞ ꯂꯧꯏ꯫
ꯃꯁꯤꯒꯤ ꯃꯊꯛꯇꯥ, ꯅꯍꯥꯛꯅꯥ ꯁꯔꯖꯔꯤꯒꯤ ꯃꯃꯥꯡꯗꯥ ꯑꯇꯣꯞꯄꯥ ꯇꯦꯁ꯭ꯠ ꯀꯌꯥ ꯑꯃꯥ ꯇꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯏ:
- ꯐꯤꯖꯤꯀꯦꯜ ꯑꯃꯁꯨꯡ ꯑꯣꯛꯌꯨꯄꯦꯁꯅꯦꯜ ꯊꯦꯔꯥꯄꯤꯁ꯭ꯇꯁꯤꯡꯅꯥ ꯑꯉꯥꯡ ꯑꯗꯨꯒꯤ ꯐꯤꯖꯤꯀꯦꯜ ꯑꯦꯕꯤꯂꯤꯇꯤꯁꯤꯡ ꯑꯗꯨ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯌꯦꯡꯁꯤꯟꯅꯕꯥ ꯌꯥꯝꯅꯥ ꯀꯨꯞꯄꯥ ꯏꯚꯥꯜꯌꯨꯑꯦꯁꯟ ꯑꯃꯥ ꯄꯥꯡꯊꯣꯀꯏ꯫ ꯃꯈꯣꯌꯅꯥ ꯑꯉꯥꯡ ꯑꯗꯨꯒꯤ ꯃꯨꯚꯃꯦꯟꯇꯁꯤꯡ ꯑꯗꯨ ꯚꯤꯗꯤꯑꯣ ꯇꯦꯞ ꯇꯧꯏ ꯑꯃꯁꯨꯡ ꯃꯊꯧ ꯇꯥꯕꯥ ꯄꯣꯁ꯭ꯠ-ꯑꯣꯄꯔꯦꯇꯤꯚ ꯇ꯭ꯔꯤꯇꯃꯦꯟꯇ ꯑꯃꯍꯦꯛꯇꯕꯨ ꯄ꯭ꯂꯥꯟ ꯇꯧꯏ꯫
- ꯑꯇꯣꯞꯄꯥ ꯅ꯭ꯌꯨꯔꯣꯂꯣꯖꯤꯀꯦꯜ ꯗꯤꯁꯑꯣꯔꯗꯔ ꯑꯃꯠꯇꯥ ꯂꯩꯇꯦ ꯍꯥꯌꯕꯥ ꯈꯪꯗꯣꯛꯅꯕꯥ ꯕ꯭ꯔꯦꯅꯒꯤ ꯑꯦꯝ.ꯑꯥꯔ.ꯑꯥꯏ.
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯇꯣꯞꯄꯥ ꯅ꯭ꯌꯨꯔꯣꯂꯣꯖꯤꯀꯦꯜ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯑꯃꯍꯦꯛꯇꯥ ꯂꯩꯔꯕꯗꯤ, ꯄꯦꯗꯤꯑꯦꯠꯔꯤꯛ ꯅ꯭ꯌꯨꯔꯣꯂꯣꯖꯤꯁ꯭ꯠ ꯑꯃꯒꯥ ꯇꯥꯟꯅꯧ .
- ꯁꯔꯖꯔꯤꯒꯤ ꯈꯨꯗꯣꯡꯊꯤꯕꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯐꯒꯠꯂꯀꯄꯒꯤ ꯃꯇꯃꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯅꯕꯥ ꯅ꯭ꯌꯨꯔꯣꯁꯔꯖꯅꯒꯥ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯎꯅꯕꯤꯌꯨ꯫
- ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯗꯥ ꯑꯦꯅꯥꯁ꯭ꯇꯦꯁꯤꯌꯥ ꯄꯤꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯁꯥꯐꯕꯥ ꯑꯣꯏꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯅꯕꯒꯤꯗꯃꯛ ꯑꯦꯅꯥꯁ꯭ꯇꯦꯁꯤꯌꯥꯑꯣꯂꯣꯖꯤꯁ꯭ꯠ ꯑꯃꯗꯥ ꯆꯠꯂꯨ꯫
ꯃꯇꯧ ꯀꯔꯝꯅꯥ ꯁꯔꯖꯔꯤ ꯑꯁꯤ ꯈꯣꯡꯊꯥꯡ ꯈꯨꯗꯤꯡꯒꯤ ꯄꯥꯡꯊꯣꯛꯀꯗꯒꯦ꯫
ꯃꯍꯧꯁꯥꯅꯥ ꯑꯦꯁ.ꯗꯤ.ꯑꯥꯔ.ꯒꯤ ꯁꯔꯖꯔꯤ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯊꯣꯀꯄꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤ:
1. ꯑꯦꯅꯥꯁ꯭ꯇꯦꯁꯤꯌꯥ: ꯑꯍꯥꯅꯕꯗꯥ, ꯑꯦꯅꯥꯁ꯭ꯇꯦꯁꯤꯑꯣꯂꯣꯖꯤꯁ꯭ꯠ ꯑꯗꯨꯅꯥ ꯑꯉꯥꯡ ꯑꯗꯨꯗꯥ ꯖꯦꯅꯦꯔꯦꯜ ꯑꯦꯅꯥꯁ꯭ꯇꯦꯁꯤꯌꯥ ꯄꯤ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯑꯉꯥꯡ ꯑꯗꯨꯅꯥ ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯃꯗꯥ ꯅꯤꯡꯊꯤꯅꯥ ꯇꯨꯝꯃꯤ ꯑꯃꯁꯨꯡ ꯑꯋꯥꯕꯥ ꯑꯃꯠꯇꯥ ꯐꯥꯑꯣꯗꯦ꯫
2. ꯏꯅꯁꯤꯁꯟ: ꯅ꯭ꯌꯨꯔꯣꯁꯔꯖꯅꯅꯥ ꯑꯉꯥꯡ ꯑꯗꯨꯒꯤ ꯃꯈꯥ ꯊꯪꯕꯥ ꯁꯔꯨꯛꯇꯥ ꯑꯄꯤꯀꯄꯥ ꯏꯅꯁꯤꯁꯟ ꯑꯃꯥ ꯁꯦꯝꯃꯤ꯫
3. ꯅꯔꯚ ꯑꯦꯛꯁꯄꯣꯖꯔ: ꯏꯅꯁꯤꯁꯟ ꯑꯁꯤꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ, ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗ ꯑꯗꯨ ꯀꯨꯄꯁꯤꯜꯂꯤꯕꯥ ꯗꯨꯔꯥ ꯑꯗꯨ ꯍꯥꯡꯗꯣꯀꯏ, ꯃꯁꯜ ꯑꯃꯁꯨꯡ ꯁꯔꯨ ꯇꯥꯡꯁꯤꯡꯗꯥ ꯆꯦꯟꯊꯈꯤꯗꯨꯅꯥ ꯃꯈꯥꯗꯥ ꯂꯩꯕꯥ ꯅꯔꯚ ꯐꯤꯕꯔꯁꯤꯡ ꯑꯗꯨ ꯑꯦꯛꯁꯄꯣꯖ ꯇꯧꯏ꯫
4. ꯅꯔꯚ ꯁꯦꯄꯥꯔꯦꯁꯟ: ꯃꯊꯪꯗꯥ ꯁꯔꯖꯔꯤꯅꯥ ꯃꯣꯇꯣꯔ ꯅꯔꯚ ꯑꯃꯁꯨꯡ ꯁꯦꯟꯁꯔꯤ ꯅꯔꯚꯁꯤꯡ ꯑꯃꯒꯥ ꯑꯃꯒꯥ ꯇꯣꯈꯥꯌꯅꯥ ꯊꯃꯏ꯫ ꯃꯣꯇꯣꯔ ꯅꯔꯚꯁꯤꯡ ꯑꯁꯤ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯑꯃꯍꯦꯛꯇꯗꯒꯤ ꯉꯥꯀꯊꯣꯀꯏ꯫
꯵.ꯑꯔꯥꯅꯕꯥ ꯅꯔꯚꯁꯤꯡ ꯈꯉꯗꯣꯀꯄꯥ: ꯍꯧꯖꯤꯛꯇꯤ ꯏꯂꯦꯛꯠꯔꯤꯗꯁꯤꯡ ꯑꯁꯤ ꯁꯦꯟꯁꯔꯤ ꯅꯔꯚꯀꯤ ꯃꯔꯨꯁꯤꯡꯗꯥ ꯌꯥꯑꯣꯔꯦ, ꯑꯃꯁꯨꯡ ꯏꯂꯦꯛꯠꯔꯣꯃꯥꯌꯣꯒ꯭ꯔꯥꯐꯤ (ꯏ.ꯑꯦꯝ.ꯖꯤ.) ꯇꯧꯔꯦ꯫ꯏꯂꯦꯛꯠꯔꯤꯀꯦꯜ ꯁ꯭ꯇꯤꯝꯌꯨꯂꯦꯁꯟ ꯑꯁꯤ "ꯁ꯭ꯇꯤꯝꯌꯨꯂꯦꯇꯔ" ꯀꯧꯕꯥ ꯃꯦꯁꯤꯟ ꯑꯃꯥ ꯁꯤꯖꯤꯟꯅꯗꯨꯅꯥ ꯄꯤꯔꯤ꯫ ꯃꯁꯤꯅꯥ ꯑꯩꯈꯣꯌꯗꯥ ꯀꯔꯝꯕꯥ ꯅꯔꯚꯁꯤꯡꯅꯥ ꯃꯁꯜ ꯁꯣꯟꯊꯍꯜꯂꯤꯕꯅꯣ, ꯀꯅꯥꯅꯥ ꯑꯔꯥꯅꯕꯥ ꯁꯤꯒꯅꯦꯂꯁꯤꯡ ꯊꯥꯔꯤꯕꯅꯣ ꯑꯃꯁꯨꯡ ꯀꯔꯝꯕꯥ ꯅꯔꯚꯁꯤꯡꯅꯥ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯊꯕꯛ ꯇꯧꯔꯤꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯑꯆꯨꯝꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯈꯉꯗꯣꯀꯄꯥ ꯉꯃꯍꯜꯂꯤ꯫
6. ꯅꯔꯚ ꯀꯀꯄꯥ: ꯌꯥꯝꯅꯥ ꯆꯦꯀꯁꯤꯟꯅꯥ, ꯃꯁꯛ ꯈꯪꯗꯣꯛꯂꯕꯥ ꯑꯦꯕꯅꯣꯔꯃꯦꯜ ꯁꯦꯟꯁꯔꯤ ꯅꯔꯚꯁꯤꯡꯒꯤ ꯑꯀꯛꯅꯕꯥ ꯆꯥꯗꯥ ꯑꯃꯥ ꯀꯀꯊꯠꯂꯤ꯫ ꯀꯔꯝꯕꯥ ꯅꯔꯚꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯀꯌꯥꯝ ꯀꯨꯄꯁꯤꯜꯂꯤꯕꯅꯣ ꯍꯥꯌꯕꯁꯤ ꯑꯉꯥꯡ ꯑꯃꯗꯒꯤ ꯑꯉꯥꯡ ꯑꯃꯗꯥ ꯈꯦꯠꯅꯩ꯫
7. ꯏꯅꯁꯤꯁꯟ ꯑꯗꯨ ꯊꯤꯡꯖꯤꯅꯕꯥ: ꯅꯔꯚ ꯀꯀꯄꯥ ꯑꯗꯨ ꯂꯣꯌꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ, ꯏꯅꯁꯤꯁꯟ ꯑꯗꯨ ꯂꯦꯡ-ꯑꯣꯠꯄꯗꯥ ꯂꯦꯡ-ꯑꯣꯠꯄꯗꯥ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯁꯦꯃꯖꯤꯜꯂꯤ꯫
8. ꯐꯒꯠꯂꯀꯄꯥ: ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯑꯉꯥꯡ ꯑꯗꯨꯕꯨ ꯏꯟꯇꯦꯟꯁꯤꯚ ꯀꯦꯌꯔ ꯌꯨꯅꯤꯠ (ICU) ꯅꯠꯠꯔꯒꯥ ꯑꯈꯟꯅꯕꯥ ꯔꯤꯀꯣꯚꯔꯤ ꯔꯨꯝ ꯑꯃꯗꯥ ꯇ꯭ꯔꯥꯟꯁꯐꯔ ꯇꯧꯏ ꯑꯃꯁꯨꯡ ꯃꯦꯗꯤꯀꯦꯜ ꯇꯤꯃꯅꯥ ꯀꯨꯞꯅꯥ ꯌꯦꯡꯁꯤꯜꯂꯤ꯫
ꯃꯁꯤꯒꯤ ꯁꯔꯖꯔꯤ ꯑꯁꯤ ꯃꯍꯧꯁꯥꯅꯥ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯄꯨꯡ ꯃꯔꯤ ꯅꯠꯠꯔꯒꯥ ꯃꯉꯥ ꯆꯪꯏ꯫
ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯀꯔꯤ ꯑꯣꯏꯒꯅꯤ?
ꯑꯉꯥꯡꯁꯤꯡꯅꯥ ꯁꯔꯖꯔꯤ ꯇꯧꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯅꯨꯃꯤꯠ ꯃꯉꯥꯅꯤ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯂꯗꯥ ꯂꯩꯕꯥ ꯃꯊꯧ ꯇꯥꯒꯅꯤ꯫ ꯑꯍꯥꯅꯕꯥ ꯄꯨꯡ 24-48 ꯐꯥꯎꯕꯗꯥ ꯑꯉꯥꯡ ꯑꯗꯨ ꯐꯃꯨꯡꯗꯥ ꯂꯩꯕꯥ ꯃꯊꯧ ꯇꯥꯒꯅꯤ꯫ ꯁꯔꯖꯔꯤꯒꯤ ꯅꯨꯃꯤꯠ ꯈꯔꯅꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯐꯤꯖꯤꯀꯦꯜ ꯊꯦꯔꯥꯄꯤ ꯍꯧꯔꯒꯅꯤ꯫
ꯁꯔꯖꯔꯤ ꯑꯁꯤꯒꯤ ꯀꯥꯟꯅꯕꯁꯤꯡ ꯀꯔꯤꯅꯣ?
ꯑꯦꯁ.ꯗꯤ.ꯑꯥꯔ.ꯒꯤ ꯁꯔꯖꯔꯤꯒꯤ ꯐꯂꯁꯤꯡ ꯑꯁꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯒꯤ ꯀꯟꯗꯤꯁꯅꯒꯤ ꯃꯇꯨꯡ ꯏꯟꯅꯥ ꯈꯦꯠꯅꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯗꯁꯨ ꯅꯠꯇꯅꯥ, ꯁꯔꯖꯔꯤꯒꯤ ꯃꯥꯌ ꯄꯥꯀꯄꯥ ꯑꯁꯤ ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯄꯥꯡꯊꯣꯀꯄꯥ ꯏꯟꯇꯦꯟꯁꯤꯚ ꯐꯤꯖꯤꯀꯦꯜ ꯊꯦꯔꯥꯄꯤ ꯇ꯭ꯔꯤꯠꯃꯦꯟꯇ ꯑꯗꯨꯗꯥ ꯃꯄꯨꯡ ꯐꯥꯅꯥ ꯃꯈꯥ ꯄꯣꯜꯂꯤ꯫
| ꯑꯉꯥꯡ ꯑꯗꯨꯒꯤ ꯐꯤꯚꯝ꯫ | ꯑꯣꯏꯊꯣꯀꯄꯥ ꯌꯥꯕꯥ ꯀꯥꯟꯅꯕꯁꯤꯡ꯫ |
|---|---|
| ꯁ꯭ꯄꯥꯁ꯭ꯇꯤꯛ ꯗꯤꯞꯂꯦꯖꯤꯛ ꯁꯤ.ꯄꯤ.(ꯈꯣꯡꯗꯥ ꯍꯦꯟꯅꯥ ꯁꯣꯀꯍꯜꯂꯕꯥ ꯑꯉꯥꯡꯁꯤꯡ) |
|
| ꯁ꯭ꯄꯥꯁ꯭ꯇꯤꯛ ꯀ꯭ꯕꯥꯗ꯭ꯔꯤꯞꯂꯦꯖꯤꯛ ꯁꯤ.ꯄꯤ.(ꯃꯈꯣꯌ ꯃꯔꯤ ꯄꯨꯝꯅꯃꯛ ꯁꯣꯀꯍꯜꯂꯕꯥ ꯑꯉꯥꯡꯁꯤꯡ) |
|
ꯁꯔꯖꯔꯤ ꯈꯨꯗꯤꯡꯃꯀꯒꯨꯝꯅꯥ, ꯔꯤꯁ꯭ꯛ ꯑꯃꯠꯇꯥ ꯂꯩꯕ꯭ꯔꯥ?
ꯍꯣꯌ, ꯁꯔꯖꯔꯤ ꯑꯃꯍꯦꯛꯇꯒꯨꯝꯅꯥ, ꯑꯦꯁ.ꯗꯤ.ꯑꯥꯔ.ꯒꯤ ꯁꯔꯖꯔꯤꯅꯥ ꯔꯤꯁ꯭ꯛ ꯈꯔꯗꯤ ꯄꯨꯔꯀꯏ, ꯑꯗꯨꯕꯨ ꯃꯇꯝ ꯆꯨꯞꯄꯒꯤ ꯑꯣꯏꯅꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡꯗꯤ ꯌꯥꯝꯅꯥ ꯅꯦꯝꯃꯤ꯫
| ꯔꯤꯁ꯭ꯛ ꯃꯈꯜ꯫ | ꯀꯔꯤ ꯑꯣꯏꯕꯥ ꯌꯥꯕꯒꯦ꯫ |
|---|---|
| ꯑꯇꯦꯅꯕꯥ ꯃꯇꯃꯒꯤ ꯑꯣꯏꯕꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ꯫ | |
| ꯃꯍꯤꯛ ꯄꯛꯄ | ꯁꯔꯖꯤꯀꯦꯜ ꯏꯅꯁꯤꯁꯟ ꯏꯅꯐꯦꯛꯁꯟ ꯂꯩꯕꯥ꯫ |
| ꯏ ꯊꯣꯀꯄꯥ꯫ | ꯁꯔꯖꯔꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯅꯠꯠꯔꯒꯥ ꯃꯇꯨꯡꯗꯥ ꯏ ꯌꯥꯝꯅꯥ ꯊꯣꯀꯄꯥ꯫ |
| ꯁꯤ.ꯑꯦꯁ.ꯑꯦꯐ.ꯀꯤ ꯐ꯭ꯂꯨꯏꯗ ꯂꯤꯛ ꯑꯣꯏꯕꯥ꯫ | ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗꯀꯤ ꯑꯀꯣꯌꯕꯗꯥ ꯁꯦꯔꯤꯕ꯭ꯔꯣꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯐ꯭ꯂꯨꯏꯗ (CSF) ꯂꯤꯛ ꯑꯣꯏꯕꯥ꯫ |
| ꯃꯇꯝ ꯆꯨꯞꯄꯒꯤ ꯑꯣꯏꯅꯥ (ꯑꯗꯨꯕꯨ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ) ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ꯫ | |
| ꯍꯥꯏꯄꯔꯁ꯭ꯇꯦꯁꯤꯌꯥ (hyperesthesia) ꯂꯩꯕꯥ꯫ | ꯁꯣꯛ-ꯄꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯍꯅꯕꯗꯥ ꯍꯥꯏꯄꯔꯁꯦꯟꯁꯤꯇꯤꯚ ꯑꯣꯏꯕꯥ꯫ |
| ꯌꯨꯔꯤꯅꯔꯤ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯥ ꯉꯃꯗꯕꯥ꯫ | ꯌꯨꯔꯤꯅꯔꯤ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯥ ꯉꯃꯗꯕꯥ꯫ |
| ꯕꯣꯋꯦꯜ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯥ ꯉꯃꯗꯕꯥ꯫ | ꯕꯣꯋꯦꯜ ꯃꯨꯚꯃꯦꯟꯇ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯥ ꯉꯃꯗꯕꯥ꯫ |
| ꯑꯁꯣꯟꯕ | ꯃꯃꯥꯡꯗꯥ ꯆꯠꯄꯒꯤ ꯃꯄꯥꯉ꯭ꯒꯜ ꯁꯣꯟꯊꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯃꯥꯡꯈꯤꯕꯥ꯫ |
ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡꯒꯤ ꯃꯦꯗꯤꯀꯦꯜ ꯇꯤꯃꯅꯥ ꯁꯔꯖꯔꯤꯒꯤ ꯃꯃꯥꯡꯗꯥ ꯅꯍꯥꯛꯀꯥ ꯂꯣꯌꯅꯅꯥ ꯔꯤꯁ꯭ꯛ ꯄꯨꯝꯅꯃꯛ ꯑꯁꯤ ꯑꯀꯨꯞꯄꯥ ꯃꯔꯣꯂꯗꯥ ꯈꯟꯅꯒꯅꯤ꯫
ꯐꯒꯠꯂꯀꯄꯒꯤ ꯃꯇꯝ ꯑꯃꯁꯨꯡ ꯐꯤꯖꯤꯀꯦꯜ ꯊꯦꯔꯥꯄꯤꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ꯫
ꯃꯁꯤ ꯑꯦꯁ.ꯗꯤ.ꯑꯥꯔ.ꯒꯤ ꯁꯔꯖꯔꯤꯒꯤ ꯃꯥꯌ ꯄꯥꯀꯄꯒꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯑꯃꯁꯨꯡ ꯇꯉꯥꯏꯐꯗꯕꯥ ꯁꯔꯨꯛ ꯑꯃꯅꯤ꯫ ꯁꯔꯖꯔꯤ ꯑꯁꯤ ꯈꯣꯉꯆꯠ ꯑꯁꯤꯒꯤ ꯑꯍꯥꯅꯕꯥ ꯈꯣꯡꯊꯥꯡ ꯈꯛꯇꯅꯤ꯫ ꯇꯁꯦꯡꯕꯥ ꯐꯂꯁꯤꯡ ꯐꯪꯅꯕꯒꯤꯗꯃꯛ ꯔꯤꯍꯦꯕꯤꯂꯤꯇꯦꯁꯟ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫
ꯐꯤꯖꯤꯀꯦꯜ ꯊꯦꯔꯥꯄꯤ ꯑꯃꯁꯨꯡ ꯑꯣꯛꯌꯨꯄꯦꯁꯅꯦꯜ ꯊꯦꯔꯥꯄꯤ ꯑꯁꯤ ꯁꯔꯖꯔꯤꯒꯤ ꯅꯨꯃꯤꯠ ꯈꯔꯅꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯍꯧꯏ꯫ ꯑꯉꯥꯡ ꯑꯗꯨꯅꯥ ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯊꯥ ꯑꯍꯨꯃꯗꯒꯤ ꯊꯥ 6 ꯐꯥꯎꯕꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯅꯨꯃꯤꯠ ꯈꯨꯗꯤꯡꯒꯤ ꯅꯨꯃꯤꯠ ꯀꯌꯥꯅꯤ ꯂꯥꯏꯌꯦꯡꯕꯁꯤꯡ ꯑꯁꯤ ꯌꯥꯎꯍꯅꯒꯗꯕꯅꯤ꯫
- ꯐꯤꯖꯤꯀꯦꯜ ꯊꯦꯔꯥꯄꯤꯁ꯭ꯠ: ꯑꯉꯥꯡꯒꯤ ꯃꯁꯂꯁꯤꯡꯗꯥ ꯃꯄꯥꯉ꯭ꯒꯜ ꯀꯅꯈꯠꯍꯟꯅꯕꯥ, ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯁꯣꯟꯊꯍꯟꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯔꯦꯟꯖ ꯑꯣꯐ ꯃꯣꯁꯟ ꯐꯒꯠꯍꯟꯅꯕꯥ ꯑꯦꯛꯁꯔꯁꯥꯏꯖꯁꯤꯡ꯫ ꯑꯍꯥꯅꯕꯗꯥ, ꯊꯦꯔꯥꯄꯤꯁ꯭ꯠ ꯑꯗꯨꯅꯥ ꯑꯦꯛꯁꯔꯁꯥꯏꯖꯁꯤꯡ ꯑꯗꯨ ꯄꯥꯡꯊꯣꯛꯀꯅꯤ, ꯑꯃꯁꯨꯡ ꯑꯉꯥꯡ ꯑꯗꯨꯅꯥ ꯐꯒꯠꯂꯀꯄꯒꯥ ꯂꯣꯌꯅꯅꯥ, ꯑꯉꯥꯡ ꯑꯗꯨꯅꯥ ꯃꯁꯥꯃꯛ ꯑꯦꯛꯁꯔꯁꯥꯏꯖꯁꯤꯡ ꯑꯗꯨꯗꯥ ꯑꯦꯛꯇꯤꯕ ꯑꯣꯏꯅꯥ ꯁꯔꯨꯛ ꯌꯥꯒꯅꯤ꯫
- ꯑꯣꯛꯌꯨꯄꯦꯁꯅꯦꯜ ꯊꯦꯔꯥꯄꯤꯁ꯭ꯠ: ꯑꯉꯥꯡ ꯑꯗꯨꯕꯨ ꯅꯨꯃꯤꯠ ꯈꯨꯗꯤꯡꯒꯤ ꯇꯧꯒꯗꯕꯥ ꯊꯕꯀꯁꯤꯡ (ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯄꯣꯠ-ꯆꯩ ꯊꯝꯕꯥ, ꯁꯥꯟꯅꯕꯥ) ꯍꯦꯟꯅꯥ ꯐꯖꯅꯥ ꯑꯃꯁꯨꯡ ꯃꯁꯥ ꯃꯊꯟꯇꯥ ꯄꯥꯡꯊꯣꯀꯄꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫
ꯑꯦꯛꯁꯔꯁꯥꯏꯖꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯄꯥꯟꯗꯃꯁꯤꯡꯗꯤ:
- ꯏꯅꯔꯖꯤ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ꯫
- ꯐꯃꯗꯨꯅꯥ ꯑꯃꯁꯨꯡ ꯂꯦꯡꯗꯅꯥ ꯂꯩꯔꯤꯉꯩꯗꯥ ꯕꯦꯂꯦꯟꯁ ꯑꯃꯁꯨꯡ ꯑꯆꯨꯝꯕꯥ ꯄꯣꯁ꯭ꯇꯨꯔ ꯁꯦꯃꯒꯠꯄꯥ꯫
- ꯂꯦꯡꯗꯅꯥ ꯂꯩꯅꯕꯥ ꯈꯣꯡ ꯁꯦꯝ-ꯁꯥꯕꯥ꯫
- ꯐꯃꯐꯝ ꯑꯃꯗꯒꯤ ꯂꯦꯡꯗꯅꯥ ꯂꯩꯕꯒꯨꯝꯕꯥ ꯃꯨꯚꯃꯦꯟꯇꯁꯤꯡ ꯍꯦꯟꯅꯥ ꯅꯤꯡꯊꯤꯅꯥ ꯄꯥꯡꯊꯣꯛꯅꯕꯥ ꯇ꯭ꯔꯦꯅꯤꯡ ꯄꯤꯕꯥ꯫
ꯃꯃꯥ-ꯃꯄꯥꯁꯤꯡꯅꯥ ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯇꯥꯕꯥ ꯃꯇꯃꯗꯥ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯐꯥꯎꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯅꯣꯔꯃꯦꯂꯅꯤ꯫ ꯑꯗꯨꯕꯨ ꯅꯤꯡꯁꯤꯡꯕꯤꯌꯨ, ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡꯒꯤ ꯃꯦꯗꯤꯀꯦꯜ ꯇꯤꯝ ꯑꯁꯤ ꯂꯝ ꯑꯁꯤꯗꯥ ꯑꯦꯛꯁꯄꯔꯇꯁꯤꯡꯅꯤ꯫ ꯃꯈꯣꯌꯅꯥ ꯅꯍꯥꯛ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯕꯨ ꯁꯔꯖꯔꯤ ꯑꯁꯤꯒꯤꯗꯃꯛ ꯁꯦꯝ-ꯁꯥꯒꯅꯤ꯫ ꯅꯍꯥꯛꯅꯥ ꯍꯪꯂꯀꯄꯥ ꯋꯥꯍꯪꯁꯤꯡ ꯅꯠꯠꯔꯒꯥ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯑꯃꯍꯦꯛꯇꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯃꯈꯣꯌꯒꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯕꯗꯥ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯂꯩꯔꯣꯏꯗꯕꯅꯤ꯫
ꯀꯗꯥꯏꯗꯥ ꯗꯣꯛꯇꯔꯒꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯒꯦ?
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯂꯗꯒꯤ ꯌꯨꯃꯗꯥ ꯄꯨꯁꯤꯜꯂꯛꯂꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯒꯤ ꯈꯨꯗꯝ ꯑꯃꯥ ꯂꯩꯔꯕꯗꯤ, ꯈꯨꯗꯛꯇꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯀꯧ꯫
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯁꯔꯖꯤꯀꯦꯜ ꯏꯅꯁꯤꯁꯟ ꯑꯗꯨ ꯂꯥꯂꯍꯧꯕꯥ, ꯁꯣꯟꯊꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯄꯣꯃꯈꯠꯄꯥ (pus) ꯊꯣꯛꯂꯛꯂꯕꯗꯤ (ꯏꯅꯐꯦꯛꯁꯅꯒꯤ ꯈꯨꯗꯃꯁꯤꯡ)꯫
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯉꯥꯡ ꯑꯗꯨꯗꯥ ꯂꯥꯏꯍꯧ ꯍꯧꯔꯛꯂꯕꯗꯤ꯫
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯌꯨꯔꯤꯟ ꯅꯠꯠꯔꯒꯥ ꯁ꯭ꯇꯣꯜ ꯑꯗꯨ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯒꯤ ꯇꯧꯕꯥ ꯉꯝꯕꯗꯨ ꯃꯥꯡꯈꯤꯕꯥ ꯇꯥꯔꯕꯗꯤ꯫
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯑꯆꯝꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯎꯕꯥ ꯐꯪꯂꯕꯗꯤ ꯈꯨꯗꯛꯇꯥ ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯄꯥꯎꯇꯥꯛ ꯂꯧꯕꯤꯌꯨ꯫
ꯇꯦꯛ-ꯍꯣꯝ ꯃꯦꯁꯦꯖ ꯇꯧꯕꯥ꯫
- SDR ꯍꯥꯌꯕꯁꯤ ꯁꯦꯔꯤꯕ꯭ꯔꯦꯜ ꯄꯥꯂꯁꯤ ꯂꯩꯕꯥ ꯑꯉꯥꯡ ꯈꯔꯗꯥ ꯃꯁꯜ ꯁꯣꯟꯊꯕꯥ (spasticity) ꯍꯟꯊꯍꯟꯅꯕꯥ ꯄꯥꯡꯊꯣꯀꯄꯥ ꯑꯈꯟꯅꯕꯥ ꯁꯔꯖꯔꯤ ꯑꯃꯅꯤ꯫
- ꯃꯁꯤꯗꯥ ꯃꯊꯧ ꯇꯥꯗꯅꯥ ꯑꯦꯛꯇꯤꯚ ꯑꯣꯏꯍꯜꯂꯤꯕꯥ ꯁꯦꯟꯁꯔꯤ ꯅꯔꯚꯁꯤꯡ ꯑꯗꯨ ꯈꯅꯒꯠꯂꯒꯥ ꯂꯧꯊꯣꯀꯄꯥ ꯌꯥꯎꯏ꯫ ꯃꯁꯤꯅꯥ ꯃꯇꯝ ꯆꯨꯞꯄꯒꯤ ꯑꯣꯏꯅꯥ ꯃꯁꯜ ꯁꯣꯟꯊꯕꯥ ꯍꯟꯊꯍꯜꯂꯤ꯫
- ꯃꯁꯤꯒꯤ ꯁꯔꯖꯔꯤ ꯑꯁꯤ ꯑꯉꯥꯡ ꯈꯨꯗꯤꯡꯃꯛꯀꯤꯗꯃꯛ ꯆꯨꯃꯗꯦ꯫ ꯃꯁꯤꯒꯤꯗꯃꯛꯇꯥ ꯑꯉꯥꯡ ꯑꯃꯕꯨ ꯁ꯭ꯄꯦꯁꯤꯑꯦꯂꯤꯁ꯭ꯠ ꯗꯣꯛꯇꯔꯁꯤꯡꯒꯤ ꯀꯥꯡꯕꯨ ꯑꯃꯅꯥ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯏꯚꯥꯜꯌꯨꯑꯦꯠ ꯇꯧꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯈꯛꯇꯗꯥ ꯈꯅꯒꯠꯂꯤ꯫
- ꯁꯔꯖꯔꯤ ꯑꯁꯤ ꯃꯥꯌ ꯄꯥꯛꯅꯕꯒꯤꯗꯃꯛ ꯏꯟꯇꯦꯟꯁꯤꯕ ꯑꯃꯁꯨꯡ ꯀꯟꯇꯤꯟꯌꯨꯑꯣꯁ ꯐꯤꯖꯤꯀꯦꯜ ꯊꯦꯔꯥꯄꯤ ꯑꯃꯁꯨꯡ ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯑꯣꯛꯌꯨꯄꯦꯁꯅꯦꯜ ꯊꯦꯔꯥꯄꯤ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫ ꯃꯁꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯔꯨ ꯑꯣꯏꯕꯥ ꯋꯥꯐꯃꯅꯤ꯫
- ꯁꯔꯖꯔꯤꯒꯤ ꯃꯃꯥꯡꯗꯥ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯀꯥꯟꯅꯕꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯔꯤꯁ꯭ꯀꯁꯤꯡ ꯑꯗꯨ ꯈꯟꯅꯧ ꯑꯃꯁꯨꯡ ꯃꯈꯣꯌꯗꯨ ꯈꯪꯖꯤꯅꯕꯤꯌꯨ꯫
💬 Comments (0)
No comments yet. Be the first to share your thoughts here.
Add Your Comment