ꯅꯍꯥꯛꯀꯤ ꯈꯨꯠꯁꯥꯁꯨ ꯁꯣꯀꯄꯥ ꯌꯥꯏ? (ꯁꯣꯜꯗꯔ ꯐ꯭ꯔꯦꯀꯆꯔ) ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯂꯩꯔꯣꯏ, ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯁꯤ!

ꯑꯣꯍ ꯑꯩꯒꯤ ꯈꯨꯠꯁꯥ... ꯅꯉꯅꯥ ꯃꯗꯨꯕꯨ ꯂꯃꯖꯤꯡꯕꯤꯕꯥ ꯉꯃꯗꯕꯒꯨꯝ ꯐꯥꯑꯣꯔꯤꯕꯔꯥ? ꯁꯣꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯦꯛꯁꯤꯗꯦꯟꯇ ꯈꯔꯒꯤ ꯃꯇꯨꯡꯗꯥ, ꯅꯍꯥꯛꯀꯤ ꯈꯨꯠꯁꯥ ꯑꯗꯨ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯅꯥ ꯁꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯁꯣꯀꯄꯥ, ꯃꯗꯨꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯨꯠꯁꯥ ꯑꯗꯨ ꯐꯥꯎꯕꯥ ꯂꯧꯊꯣꯀꯄꯥ ꯉꯃꯍꯟꯗꯕꯥ ꯎꯕ꯭ꯔꯥ? ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯨꯎꯗꯥ ꯐ꯭ꯔꯦꯀꯆꯔ (shoulder fracture) ꯊꯣꯀꯄꯥ ꯌꯥꯏ, ꯃꯗꯨ ꯈꯨꯎꯗꯥ ꯂꯩꯕꯥ ꯁꯔꯨ ꯇꯥꯡ ꯑꯃꯥ ꯁꯣꯀꯄꯥ ꯌꯥꯏ . ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯑꯀꯨꯞꯄꯥ ꯑꯃꯁꯨꯡ ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯋꯥꯔꯤ ꯁꯥꯁꯤ꯫ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯂꯩꯔꯣꯏꯗꯕꯅꯤ, ꯏꯅꯐꯣꯔꯃꯦꯁꯟ ꯑꯁꯤꯅꯥ ꯑꯗꯣꯃꯗꯥ ꯌꯥꯝꯅꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯒꯅꯤ꯫

ꯁꯣꯜꯗꯔ ꯐ꯭ꯔꯦꯀꯆꯔ ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ?

ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯁꯣꯔꯣꯛ ꯐ꯭ꯔꯦꯀꯆꯔ ꯍꯥꯌꯕꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯈꯨꯎꯒꯤ ꯁꯔꯨ ꯇꯥꯡꯗꯥ ꯆꯦꯟꯊꯈꯤꯕꯥ (break bone) ꯍꯥꯌꯕꯁꯤꯅꯤ, ꯃꯁꯤꯕꯨ ꯑꯩꯈꯣꯌꯅꯥ ꯅꯨꯃꯤꯠ ꯈꯨꯗꯤꯡꯒꯤ ꯋꯥꯔꯤ-ꯋꯥꯇꯥꯏꯗꯥ "ꯕ꯭ꯔꯣꯛ ꯇꯧꯔꯕꯥ ꯁꯔꯨ" ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫

ꯑꯩꯈꯣꯌꯒꯤ ꯈꯨꯠꯁꯥ ꯑꯁꯤ ꯑꯉꯀꯄꯥ ꯖꯣꯟ ꯑꯃꯅꯤ ꯍꯥꯌꯕꯥ ꯑꯗꯣꯝꯅꯥ ꯈꯉꯕꯤꯔꯃꯒꯅꯤ? ꯃꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯈꯨꯠꯁꯥꯁꯤꯡ ꯑꯁꯤ ꯂꯧꯊꯣꯀꯄꯥ, ꯂꯧꯊꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯄꯥꯛ ꯆꯥꯎꯔꯕꯥ ꯈꯣꯡꯖꯦꯂꯗꯥ ꯍꯨꯟꯗꯣꯀꯄꯥ ꯌꯥꯍꯅꯒꯗꯕꯥ ꯖꯣꯟ ꯑꯗꯨꯅꯤ꯫ ꯃꯁꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯁꯔꯨ ꯑꯍꯨꯃꯅꯥ ꯁꯦꯝꯕꯅꯤ꯫ ꯑꯍꯨꯝ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯒꯤ ꯅꯠꯠꯔꯒꯥ ꯑꯃꯗꯒꯤ ꯍꯦꯅꯕꯥ ꯐ꯭ꯔꯦꯀꯆꯔ ꯑꯃꯥ ꯍꯥꯌꯕꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯁꯣꯜꯗꯔ ꯐ꯭ꯔꯦꯀꯆꯔ ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫

ꯈꯨꯎ ꯑꯗꯨ ꯁꯦꯝꯂꯤꯕꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯁꯔꯨꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ? ꯃꯈꯣꯌꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯊꯨꯒꯥꯏꯒꯅꯤ?

ꯈꯨꯎꯒꯤ ꯁꯔꯨ ꯇꯥꯡ (shoulder joint) ꯑꯁꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯁꯔꯨ ꯑꯍꯨꯃꯅꯥ ꯁꯦꯝꯕꯅꯤ꯫ ꯑꯍꯨꯝ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯅꯥ ꯁꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯃꯗꯨꯗꯥ ꯑꯩꯈꯣꯌꯅꯥ ꯃꯁꯤꯕꯨ ‘ꯁꯣꯜꯗꯔ ꯐ꯭ꯔꯦꯀꯆꯔ’ ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫

• ꯄ꯭ꯔꯣꯛꯁꯤꯃꯥꯜ ꯍ꯭ꯌꯨꯃꯦꯔꯁ (proximal Humerus): ꯃꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯃꯊꯛ ꯊꯪꯕꯥ ꯁꯔꯨꯛꯇꯥ ꯂꯩꯕꯥ ꯂꯪꯁ (long bone)ꯒꯤ ꯃꯊꯛꯀꯤ ꯁꯔꯨꯛ ꯑꯗꯨꯅꯤ ꯑꯃꯁꯨꯡ ꯃꯁꯤꯅꯥ ꯈꯨꯎꯒꯥ ꯁꯝꯅꯩ꯫ ꯃꯁꯤ ꯁꯣꯀꯄꯥ ꯌꯥꯏ, ꯍꯥꯌꯕꯗꯤ ꯁꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ꯫
• ꯁ꯭ꯀꯦꯄꯨꯂꯥ: ꯃꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯈꯨꯠꯁꯥ ꯑꯗꯨ ꯑꯩꯈꯣꯌꯒꯤ ꯈꯨꯠꯁꯥꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯂꯩꯕꯥ ꯃꯇꯃꯗꯥ ꯐꯥꯎꯕꯥ ꯂꯦꯡ-ꯑꯣꯠꯄꯒꯤ ꯃꯑꯣꯡ-ꯃꯇꯧ ꯑꯗꯨꯅꯤ꯫ ꯃꯁꯤ ꯃꯁꯂꯅꯥ ꯌꯥꯝꯅꯥ ꯀꯨꯄꯁꯤꯜꯂꯀꯄꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯁꯣꯀꯄꯒꯤ ꯆꯥꯡ ꯍꯟꯊꯩ꯫
• ꯀ꯭ꯂꯦꯚꯤꯀꯜ (clavicle): ‘ꯀꯣꯂꯥꯔ ꯕꯣꯟ’ ꯍꯥꯌꯅꯥ ꯈꯪꯅꯕꯥ, ꯃꯁꯤ ꯈꯣꯡꯒꯤ ꯃꯈꯥ ꯊꯪꯕꯥ ꯁꯔꯨꯛꯇꯒꯤ ꯈꯨꯎ ꯐꯥꯎꯕꯥ ꯆꯦꯅꯕꯥ ꯑꯄꯤꯀꯄꯥ, ꯁꯥꯡꯕꯥ ꯁꯔꯨꯅꯤ꯫ ꯃꯁꯤ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯁꯥꯟꯅꯄꯣꯠ ꯁꯥꯟꯅꯔꯤꯉꯩꯗꯥ ꯁꯣꯀꯄꯥ ꯌꯥꯕꯥ ꯁꯔꯨ ꯑꯗꯨꯅꯤ꯫

ꯁꯔꯨ ꯇꯥꯡꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯍꯦꯛꯇꯒꯤ ꯐ꯭ꯔꯦꯀꯆꯔ (fracture) ꯍꯥꯌꯕꯁꯤ ꯈꯨꯎꯒꯤ ꯐ꯭ꯔꯦꯀꯆꯔ (shoulder fracture) ꯍꯥꯌꯅꯥ ꯂꯧꯅꯩ꯫

ꯈꯨꯎꯒꯤ ꯐ꯭ꯔꯦꯀꯆꯔꯁꯤꯡ ꯑꯁꯤ ꯀꯌꯥꯝ ꯀꯃꯟ ꯑꯣꯏꯕꯒꯦ?

ꯑꯇꯣꯞꯄꯥ ꯈꯨꯎꯒꯤ ꯑꯁꯣꯛ-ꯑꯄꯅꯁꯤꯡ, ꯍꯥꯌꯕꯗꯤ ꯈꯨꯎꯒꯤ ꯑꯁꯣꯛ-ꯑꯄꯅꯁꯤꯡꯒꯥ ꯆꯥꯡꯗꯝꯅꯕꯗꯥ, ꯈꯨꯎꯒꯤ ꯑꯁꯣꯛ-ꯑꯄꯅꯁꯤꯡ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯀꯃꯟ ꯑꯣꯏꯗꯦ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯃꯈꯣꯌ ꯑꯁꯤ ꯀꯦꯁ ꯈꯔꯗꯗꯤ ꯍꯦꯟꯅꯥ ꯀꯃꯟ ꯑꯣꯏ:

• ꯀ꯭ꯂꯦꯚꯤꯀꯦꯜ ꯐ꯭ꯔꯦꯀꯆꯔ (clavicle fractures): ꯃꯁꯤ ꯅꯍꯥ ꯑꯣꯏꯔꯤꯕꯥ ꯑꯉꯥꯡꯁꯤꯡꯗꯥ, ꯃꯔꯨꯑꯣꯏꯅꯥ ꯁꯥꯟꯅꯄꯣꯠ ꯁꯥꯟꯅꯔꯤꯕꯥ ꯑꯉꯥꯡꯁꯤꯡꯗꯥ ꯌꯥꯝꯅꯥ ꯀꯃꯟ ꯑꯣꯏ꯫ ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯁꯥꯟꯅꯔꯤꯉꯩꯗꯥ ꯈꯪꯍꯧꯗꯅꯥ ꯁꯣꯀꯄꯥ ꯇꯥꯔꯕꯗꯤ, ꯃꯁꯤ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫
• ꯄ꯭ꯔꯣꯛꯁꯤꯃꯥꯜ ꯍ꯭ꯌꯨꯃꯦꯔꯥꯁ ꯐ꯭ꯔꯦꯀꯆꯔ (proximal Humerus Fractures): ꯆꯍꯤ 65ꯒꯤ ꯃꯊꯛꯇꯥ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯗꯥ, ꯃꯔꯨꯑꯣꯏꯅꯥ ꯁꯔꯨ ꯇꯥꯡꯁꯤꯡ ( osteoporosis) ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯗꯥ ꯌꯥꯝꯅꯥ ꯀꯃꯟ ꯑꯣꯏ꯫ ꯌꯨꯃꯗꯥ ꯆꯦꯟꯊꯔꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯁꯣꯛꯂꯕꯁꯨ ꯃꯈꯣꯌ ꯑꯁꯤ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫
• ꯁ꯭ꯀꯦꯄꯨꯂꯥ ꯐ꯭ꯔꯦꯀꯆꯔ (scapula fractures): ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯇꯣꯏꯅꯥ ꯊꯣꯀꯏ ꯃꯔꯃꯗꯤ ꯃꯁꯤ ꯈꯣꯡ ꯑꯃꯁꯨꯡ ꯃꯇꯨꯡꯗꯥ ꯂꯩꯕꯥ ꯃꯁꯂꯁꯤꯡꯅꯥ ꯌꯥꯝꯅꯥ ꯉꯥꯀꯊꯣꯀꯏ꯫ ꯑꯆꯧꯕꯥ ꯑꯦꯛꯁꯤꯗꯦꯟꯇ ꯑꯃꯥ ꯊꯣꯛꯂꯛꯠꯔꯤꯕꯐꯥꯎꯕꯥ ꯃꯁꯤ ꯐꯖꯅꯥ ꯁꯣꯀꯍꯟꯗꯦ꯫

ꯈꯨꯎ ꯁꯣꯀꯄꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯨꯠꯁꯥ ꯑꯗꯨ ꯁꯣꯀꯄꯥ ꯇꯥꯔꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯃꯗꯒꯤ ꯍꯦꯅꯕꯥ ꯂꯥꯀꯄꯥ ꯌꯥꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯕꯨ ꯈꯪꯂꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯁꯣꯌꯗꯅꯥ ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯄꯥꯎꯇꯥꯛ ꯂꯧꯒꯗꯕꯅꯤ꯫

• ꯈꯨꯎꯗꯥ ꯁꯥꯊꯤꯕꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ : ꯃꯁꯤꯅꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯂꯥꯏꯑꯣꯡꯅꯤ꯫ ꯑꯅꯥꯕꯥ ꯑꯁꯤ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯌꯥꯝꯅꯥ ꯋꯥꯅꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫
• ꯄꯣꯝꯈꯠꯄ:ꯐ꯭ꯔꯦꯀꯆꯔ ꯁꯥꯏꯠ ꯑꯗꯨꯒꯤ ꯑꯀꯣꯌꯕꯗꯥ ꯁꯣꯛ-ꯄꯅꯕꯥ ꯌꯥꯝꯅꯥ ꯂꯩꯕꯥ ꯌꯥꯏ꯫
• ꯁꯣꯛ-ꯄꯅꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯈꯣꯡꯗꯥ ꯃꯆꯨ ꯁꯪꯂꯕꯥ: ꯑꯁꯣꯀꯄꯥ ꯃꯐꯝ ꯑꯗꯨ ꯅꯤꯜ/ ꯃꯆꯨ ꯃꯆꯨꯒꯤ ꯑꯣꯏꯔꯀꯄꯥ ꯌꯥꯏ꯫
• ꯈꯨꯎ ꯑꯗꯨ ꯆꯠꯊꯣꯛ-ꯆꯠꯁꯤꯟ ꯇꯧꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯁꯤꯖꯤꯟꯅꯕꯥ ꯉꯃꯗꯕꯥ: ꯈꯨꯠꯁꯥ ꯑꯗꯨ ꯋꯥꯡꯈꯠꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯍꯨꯟꯗꯣꯛ-ꯁꯦꯃꯖꯤꯟ ꯇꯧꯕꯗꯥ ꯌꯥꯝꯅꯥ ꯂꯨꯕꯥ, ꯅꯠꯠꯔꯒꯥ ꯑꯣꯏꯊꯣꯀꯄꯥ ꯉꯃꯗꯕꯥ ꯌꯥꯏ꯫
• ꯑꯆꯝꯕꯥ ꯂꯪꯁ, ꯕꯝꯄ ꯅꯠꯠꯔꯒꯥ ꯃꯑꯣꯡ ꯍꯣꯡꯂꯀꯄꯥ ꯑꯁꯤ ꯈꯨꯎꯗꯥ ꯎꯕꯥ ꯐꯪꯏ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯗꯨ ꯑꯇꯣꯞꯄꯥ ꯈꯨꯎꯗꯒꯤ ꯌꯦꯡꯕꯗꯥ ꯈꯦꯠꯅꯕꯥ ꯑꯃꯥ ꯎꯔꯕꯗꯤ ꯃꯗꯨꯁꯨ ꯂꯥꯏꯑꯣꯡ ꯑꯃꯅꯤ꯫

ꯃꯔꯨꯑꯣꯏꯕꯥ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯂꯩꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯈꯨꯠꯁꯥ ꯑꯗꯨ ꯐꯤꯛꯁ ꯇꯧꯅꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯨꯠꯁꯥ ꯑꯗꯨ ꯐꯤꯛꯁ ꯇꯧꯅꯕꯥ ꯍꯣꯠꯅꯒꯅꯨ꯫ ꯈꯨꯗꯛꯇꯥ ꯗꯣꯛꯇꯔ ꯑꯃꯒꯥ ꯇꯥꯟꯅꯧ꯫

ꯀꯔꯤꯒꯤꯗꯃꯛꯇꯥ ꯁꯣꯜꯗꯔ ꯐ꯭ꯔꯦꯀꯆꯔꯁꯤꯡ ꯑꯁꯤ ꯊꯣꯛꯂꯤꯕꯅꯣ?

ꯑꯌꯥꯝꯕꯥ ꯈꯨꯎꯒꯤ ꯐ꯭ꯔꯦꯀꯆꯔꯁꯤꯡ ꯑꯁꯤ ꯈꯨꯎꯗꯥ ꯈꯪꯍꯧꯗꯅꯥ, ꯐꯣꯔꯁꯐꯨꯜ ꯕ꯭ꯂꯣꯛ ꯅꯠꯠꯔꯒꯥ ꯇ꯭ꯔꯥꯎꯃꯥ ꯑꯃꯥ ꯂꯩꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯊꯣꯀꯏ꯫ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯐꯤꯚꯃꯁꯤꯡ ꯑꯁꯤ ꯈꯟꯅꯕꯤꯌꯨ:

• ꯁꯥꯟꯅ-ꯈꯣꯠꯅꯕꯒꯤ ꯑꯦꯛꯁꯤꯗꯦꯟꯇꯁꯤꯡ: ꯁꯥꯟꯅꯔꯤꯉꯩꯗꯥ ꯁꯣꯀꯄꯥ, ꯑꯇꯣꯞꯄꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯒꯥ ꯁꯣꯛꯅ-ꯁꯝꯅꯕꯥ, ꯕꯣꯂꯒꯨꯝꯕꯥ ꯄꯣꯠꯁꯛ ꯑꯃꯅꯥ ꯁꯣꯀꯍꯅꯕꯥ꯫
• ꯏꯁꯤꯡ ꯇꯨꯡꯁꯤꯅꯕꯥ: ꯊꯣꯡꯅꯥꯎ ꯑꯃꯗꯒꯤ ꯂꯥꯞꯅꯥ ꯂꯩꯕꯥ ꯑꯃꯁꯨꯡ ꯁꯣꯀꯄꯥ, ꯕꯥꯊꯔꯨꯃꯗꯥ ꯆꯦꯟꯊꯈꯤꯕꯥ, ꯑꯋꯥꯡꯕꯥ ꯃꯐꯝ ꯑꯃꯗꯒꯤ (ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯎꯄꯥꯜ ꯑꯃꯗꯒꯤ, ꯂꯦꯡ-ꯑꯣꯠꯄꯗꯒꯤ) ꯆꯦꯅꯕꯥ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯂꯝꯕꯤꯗꯥ ꯆꯠꯄꯥ ꯃꯇꯃꯗꯁꯨ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫
• ꯒꯥꯔꯤꯒꯤ ꯑꯦꯛꯁꯤꯗꯦꯟꯇꯁꯤꯡ: ꯀꯥ, ꯁꯥꯏꯀꯜ ꯅꯠꯠꯔꯒꯥ ꯊ꯭ꯔꯤ-ꯍꯨꯏꯂꯔ ꯑꯦꯛꯁꯤꯗꯦꯟꯇꯁꯤꯡꯗꯥ ꯈꯨꯠꯁꯥꯗꯥ ꯍꯀꯊꯦꯡꯅꯅꯥ ꯁꯣꯀꯍꯅꯕꯥ ꯑꯁꯤꯅꯥ ꯃꯗꯨ ꯁꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫

ꯀꯅꯥꯅꯥ ꯁꯣꯜꯗꯔ ꯐ꯭ꯔꯦꯀꯆꯔꯒꯤ ꯔꯤꯁ꯭ꯛ ꯍꯦꯟꯅꯥ ꯂꯩꯕꯒꯦ?

ꯀꯅꯥꯒꯨꯝꯕꯥ ꯑꯃꯅꯥ ꯈꯨꯠꯁꯥ ꯑꯃꯥ ꯁꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯃꯤꯑꯣꯏ ꯈꯔꯗꯤ ꯈꯔꯥ ꯍꯦꯟꯅꯥ ꯔꯤꯁ꯭ꯛ ꯂꯩ:

• ꯑꯉꯥꯡꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯅꯍꯥ ꯑꯣꯏꯔꯤꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡ: ꯃꯈꯣꯌꯅꯥ ꯑꯦꯛꯇꯤꯕ ꯑꯣꯏꯕꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯑꯦꯛꯁꯤꯗꯦꯟꯇꯁꯤꯡꯗꯥ ꯍꯦꯟꯅꯥ ꯁꯣꯀꯍꯜꯂꯤ꯫
• ꯆꯍꯤ 65ꯒꯤ ꯃꯊꯛꯇꯥ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡ: ꯁꯣꯀꯄꯒꯤ ꯔꯤꯁ꯭ꯛ ꯍꯦꯟꯅꯥ ꯂꯩ ꯑꯃꯁꯨꯡ ꯃꯈꯣꯌꯒꯤ ꯁꯔꯨ ꯇꯥꯡꯁꯤꯡꯁꯨ ꯁꯣꯟꯊꯕꯥ ꯌꯥꯏ꯫
• ꯁꯔꯨ ꯇꯥꯡ ꯁꯣꯟꯊꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡ: ꯑꯣꯁ꯭ꯇꯤꯑꯣꯄꯣꯔꯣꯁꯤꯁ ꯅꯠꯠꯔꯒꯥ ꯑꯣꯁ꯭ꯇꯤꯑꯣꯄꯦꯅꯤꯌꯥꯅꯥ ꯅꯥꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯗꯥ, ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯍꯅꯕꯒꯤ ꯔꯤꯁ꯭ꯛ ꯍꯦꯟꯅꯥ ꯂꯩ꯫ ꯑꯣꯁ꯭ꯇꯤꯑꯣꯄꯣꯔꯣꯁꯤꯁ ꯍꯥꯌꯕꯁꯤ ꯁꯔꯨ ꯇꯥꯡꯁꯤꯡ ꯑꯁꯤ ꯂꯦꯡ-ꯑꯣꯠꯄꯗꯥ ꯋꯥꯕꯥ, ꯁꯣꯟꯊꯕꯥ ꯑꯃꯁꯨꯡ ꯐꯖꯅꯥ ꯁꯣꯀꯄꯥ ꯂꯥꯌꯅꯥ ꯑꯃꯅꯤ꯫ ꯃꯤꯑꯣꯏ ꯀꯌꯥꯅꯥ ꯃꯈꯣꯌꯒꯤ ꯁꯔꯨ ꯇꯥꯡ ꯑꯃꯥ ꯁꯣꯛꯂꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯈꯛꯇꯗꯥ ꯂꯥꯌꯅꯥ ꯑꯁꯤ ꯂꯩꯔꯦ ꯍꯥꯌꯕꯥ ꯈꯪꯏ꯫ ꯃꯁꯤꯒꯤ ꯃꯔꯃꯗꯤ ꯃꯁꯤ ꯑꯍꯥꯅꯕꯗꯥ ꯑꯆꯧꯕꯥ ꯂꯥꯏꯑꯣꯡ ꯑꯃꯠꯇꯥ ꯂꯩꯇꯕꯅꯤ꯫

ꯈꯨꯎ ꯁꯣꯀꯄꯒꯤ ꯑꯣꯏꯊꯣꯀꯄꯥ ꯌꯥꯕꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?

ꯁꯣꯀꯄꯥ ꯈꯨꯠꯁꯥ ꯑꯁꯤ ꯏꯆꯝ ꯆꯝꯕꯥ ꯋꯥꯐꯝ ꯅꯠꯇꯦ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯃꯁꯤꯅꯥ ꯑꯇꯩ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯃꯁꯤꯡ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ:

• ꯂꯦꯡ-ꯑꯣꯠꯄꯗꯥ ꯋꯥꯕꯥ (persistent Stiffness): ꯃꯤꯑꯣꯏ ꯀꯌꯥꯅꯥ ꯃꯈꯣꯌꯒꯤ ꯈꯨꯎꯒꯤ ꯐ꯭ꯔꯦꯀꯆꯔ ꯑꯗꯨ ꯐꯒꯠꯂꯀꯄꯒꯤ ꯃꯇꯨꯡꯗꯁꯨ ꯃꯈꯥ ꯇꯥꯅꯥ ꯁꯔꯨ ꯇꯥꯡꯗꯥ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯁꯣꯀꯄꯥ ꯌꯥꯏ꯫
• ꯑꯔꯊ꯭ꯔꯥꯏꯇꯤꯁ: ꯈꯨꯎꯒꯤ ꯐ꯭ꯔꯦꯀꯆꯔ ꯑꯃꯅꯥ ꯇꯨꯡꯗꯥ ꯈꯨꯎ ꯑꯗꯨꯗꯥ ꯑꯔꯊ꯭ꯔꯥꯏꯇꯤꯁ ꯂꯥꯀꯄꯒꯤ ꯔꯤꯁ꯭ꯛ ꯍꯦꯅꯒꯠꯍꯅꯕꯥ ꯌꯥꯏ꯫
• ꯏꯅꯐꯦꯛꯁꯅꯁꯤꯡ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯁꯣꯀꯄꯥ ꯁꯔꯨ ꯇꯥꯡ ꯑꯃꯅꯥ ꯈꯣꯡꯗꯥ ꯆꯦꯟꯊꯈꯤꯕꯥ (ꯑꯃꯨꯛꯇꯪ ꯊꯣꯀꯄꯥ ꯐ꯭ꯔꯦꯀꯆꯔ ꯑꯃꯥ), ꯍꯥꯌꯕꯗꯤ ꯑꯁꯣꯀꯄꯥ ꯑꯗꯨ ꯍꯥꯡꯗꯣꯛꯂꯕꯥ ꯑꯣꯏꯔꯕꯗꯤ, ꯁꯔꯨ ꯇꯥꯡꯒꯤ ꯏꯅꯐꯦꯛꯁꯟ ( osteomyelitis )ꯒꯤ ꯔꯤꯁ꯭ꯛ ꯌꯥꯝꯅꯥ ꯂꯩ꯫
• ꯑꯇꯣꯞꯄꯥ ꯇꯤꯁꯨꯁꯤꯡꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯅꯕꯥ: ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ, ꯈꯨꯎꯒꯤ ꯐ꯭ꯔꯦꯀꯆꯔ ꯊꯣꯀꯍꯅꯈꯤꯕꯥ ꯆꯞ ꯃꯥꯟꯅꯕꯥ ꯑꯦꯛꯁꯤꯗꯦꯟꯇ ꯑꯗꯨꯅꯥ ꯈꯨꯎꯒꯤ ꯑꯇꯩ ꯃꯐꯃꯁꯤꯡꯗꯁꯨ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯈꯨꯗꯝ ꯑꯣꯏꯅ:
• ꯃꯁꯂꯁꯤꯡ꯫
• ꯂꯤꯒꯥꯃꯦꯟꯇꯁꯤꯡ꯫
• ꯇꯦꯟꯗꯣꯅꯁꯤꯡ꯫
• ꯅꯔꯚꯁꯤꯡ꯫
• ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯂꯁꯤꯡ꯫

ꯈꯨꯠꯁꯥ ꯑꯃꯥ ꯁꯣꯀꯄꯥ ꯌꯥꯏ ꯍꯥꯌꯕꯁꯤ ꯀꯔꯝꯅꯥ ꯁꯣꯌꯗꯅꯥ ꯈꯪꯒꯅꯤ?

ꯗꯣꯛꯇꯔ ꯑꯃꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯨꯠꯁꯥ ꯑꯗꯨ ꯌꯦꯡꯁꯤꯅꯒꯅꯤ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯈꯨꯠꯁꯥ ꯑꯗꯨ ꯁꯣꯀꯄꯥ ꯌꯥꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯈꯪꯗꯣꯛꯅꯕꯥ ꯑꯈꯟꯅꯕꯥ ꯏꯃꯦꯖꯤꯡ ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯄꯥꯡꯊꯣꯛꯀꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯦꯛꯁꯤꯗꯦꯟꯇ ꯑꯃꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯏꯃꯔꯖꯦꯟꯁꯤ ꯗꯤꯄꯥꯔꯇꯃꯦꯟꯇ (ETU) ꯗꯥ ꯆꯠꯂꯕꯗꯤ ꯃꯐꯃꯗꯨꯗꯥ ꯂꯩꯔꯤꯕꯥ ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯃꯁꯤ ꯈꯪꯗꯣꯀꯄꯥ ꯌꯥꯏ꯫

ꯍꯥꯌꯔꯤꯕꯥ ꯏꯃꯦꯖꯤꯡ ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯤꯅꯣ?

• ꯑꯦꯛꯁ-ꯔꯦ: ꯃꯁꯤ ꯅꯍꯥꯛꯅꯥ ꯇꯧꯒꯗꯕꯥ ꯑꯍꯥꯅꯕꯥ ꯊꯕꯀꯅꯤ꯫ ꯑꯦꯛꯁ-ꯔꯦ ꯑꯃꯅꯥ ꯐ꯭ꯔꯦꯀꯆꯔ ꯑꯃꯍꯦꯛꯇꯕꯨ ꯀꯅꯐꯥꯔꯝ ꯇꯧꯕꯥ ꯉꯝꯃꯤ ꯑꯃꯁꯨꯡ ꯁꯔꯨ ꯇꯥꯡꯁꯤꯡꯗꯥ ꯀꯌꯥ ꯌꯥꯝꯅꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯅꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯕꯥ ꯌꯥꯏ꯫
• ꯃꯦꯒ꯭ꯅꯦꯇꯤꯛ ꯔꯤꯖꯣꯅꯦꯟꯁ ꯏꯃꯦꯖꯤꯡ (MRI): ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯃꯔꯨꯑꯣꯏꯅꯥ ꯇꯔꯨ-ꯇꯅꯥꯅꯕꯥ ꯇꯤꯁꯨꯁꯤꯡꯗꯥ (ꯂꯤꯒꯥꯃꯦꯟꯇꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯇꯦꯟꯗꯣꯅꯁꯤꯡꯒꯨꯝꯕꯥ) ꯑꯃꯥꯡ-ꯑꯇꯥ ꯌꯦꯡꯅꯕꯒꯤꯗꯃꯛ ꯑꯦꯝ.ꯑꯥꯔ.ꯑꯥꯏ. ꯃꯁꯤꯅꯥ ꯁꯔꯨ ꯇꯥꯡꯁꯤꯡꯗꯥ ꯊꯣꯀꯄꯥ ꯑꯃꯥꯡ-ꯑꯇꯥꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯑꯀꯣꯌꯕꯗꯥ ꯂꯩꯔꯤꯕꯥ ꯇꯤꯁꯨꯁꯤꯡꯒꯤ ꯐꯤꯚꯃꯒꯤ ꯃꯄꯨꯡꯐꯥꯕꯥ ꯄꯤꯀꯆꯔ ꯑꯃꯥ ꯄꯤꯕꯥ ꯉꯃꯒꯅꯤ꯫
• ꯀꯝꯞꯌꯨꯇꯔ ꯇꯣꯃꯣꯒ꯭ꯔꯥꯐꯤ ꯁ꯭ꯀꯦꯟ (CT Scan): ꯁꯤ.ꯇꯤ.ꯁ꯭ꯀꯦꯟ ꯑꯃꯅꯥ ꯑꯦꯛꯁ-ꯔꯦꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯑꯀꯨꯞꯄꯥ ꯃꯔꯣꯂꯗꯥ ꯁꯔꯨ ꯑꯃꯁꯨꯡ ꯑꯀꯣꯌꯕꯗꯥ ꯂꯩꯕꯥ ꯇꯤꯁꯨꯁꯤꯡ ꯌꯦꯡꯕꯥ ꯌꯥꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯁꯔꯖꯔꯤ ꯇꯧꯔꯕꯗꯤ ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ, ꯃꯔꯃꯗꯤ ꯃꯁꯤꯅꯥ ꯁꯔꯖꯔꯤ ꯇꯧꯔꯤꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯗꯨꯅꯥ ꯐ꯭ꯔꯦꯀꯆꯔ ꯑꯗꯨꯒꯤ ꯃꯌꯦꯛ ꯁꯦꯡꯕꯥ ꯐꯤꯚꯝ ꯑꯃꯥ ꯂꯧꯕꯥ ꯉꯃꯍꯜꯂꯤ꯫

ꯁꯣꯀꯍꯜꯂꯕꯥ ꯁꯔꯨꯁꯤꯡ ꯑꯗꯨ ꯃꯐꯝ ꯑꯗꯨꯗꯒꯤ ꯂꯥꯞꯅꯥ ꯂꯩꯕ꯭ꯔꯥ? (ꯗꯤꯁꯞꯂꯦꯁ ꯇꯧꯔꯕꯥ ꯕꯅꯥꯝ ꯅꯟ-ꯗꯤꯁꯞꯂꯦꯁ ꯇꯧꯔꯕꯥ ꯐ꯭ꯔꯦꯀꯆꯔꯁꯤꯡ)

ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯐ꯭ꯔꯦꯀꯆꯔ ꯑꯗꯨ ꯈꯪꯍꯜꯂꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯃꯈꯣꯌꯅꯥ ꯃꯁꯤ ‘ꯗꯤꯁꯞꯂꯦꯁ’ ꯅꯠꯠꯔꯒꯥ ‘ꯅꯟ-ꯗꯤꯁꯞꯂꯦꯁ’ ꯑꯣꯏ ꯍꯥꯌꯅꯥ ꯍꯥꯌꯒꯅꯤ꯫

• ꯗꯤꯁꯞꯂꯦꯁ ꯇꯧꯔꯕꯥ ꯐ꯭ꯔꯦꯀꯆꯔ ꯍꯥꯌꯕꯁꯤ ꯁꯣꯀꯍꯜꯂꯕꯥ ꯄꯣꯠꯁꯛ ꯑꯅꯤꯗꯨ ꯌꯥꯝꯅꯥ ꯂꯥꯞꯅꯥ ꯂꯩꯗꯨꯅꯥ ꯃꯈꯣꯌꯒꯤ ꯃꯔꯛꯇꯥ ꯑꯆꯧꯕꯥ ꯒꯦꯞ ꯑꯃꯥ ꯊꯣꯀꯍꯅꯕꯅꯤ꯫ ꯂꯝꯕꯤꯒꯤ ꯃꯔꯛꯇꯥ ꯆꯦꯟꯊꯔꯀꯄꯥ ꯁꯔꯨ ꯑꯃꯒꯨꯝꯕꯅꯤ꯫ ꯐ꯭ꯔꯦꯀꯆꯔ ꯃꯈꯂꯁꯤꯡ ꯑꯁꯤ ꯑꯌꯥꯝꯕꯅꯥ ꯁꯔꯖꯔꯤ ꯇꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯏ꯫
• ꯅꯟ-ꯗꯤꯁꯞꯂꯦꯁ ꯇꯧꯔꯕꯥ ꯐ꯭ꯔꯦꯀꯆꯔ ꯑꯃꯗꯥ , ꯁꯔꯨ ꯑꯗꯨ ꯍꯧꯖꯤꯀꯁꯨ ꯁꯣꯀꯏ, ꯑꯗꯨꯕꯨ ꯁꯣꯀꯍꯜꯂꯕꯥ ꯁꯔꯨꯀꯁꯤꯡ ꯑꯗꯨꯗꯤ ꯌꯥꯝꯅꯥ ꯂꯥꯞꯅꯥ ꯆꯠꯈꯤꯗ꯭ꯔꯤ, ꯃꯈꯣꯌ ꯑꯗꯨ ꯍꯧꯖꯤꯀꯁꯨ ꯑꯦꯂꯥꯏꯟ ꯇꯧꯗꯨꯅꯥ ꯂꯩꯔꯤ꯫ ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯁꯔꯖꯔꯤ ꯇꯧꯗꯅꯥ ꯂꯥꯌꯦꯡꯕꯥ ꯌꯥꯏ꯫

ꯑꯁꯣꯀꯄꯥ ꯑꯗꯨ ꯍꯥꯡꯗꯣꯛꯂꯕ꯭ꯔꯥ ꯅꯠꯠꯔꯒꯥ ꯊꯤꯡꯖꯤꯜꯂꯕ꯭ꯔꯥ? (ꯑꯣꯄꯟ ꯕꯅꯥꯝ ꯀ꯭ꯂꯣꯖꯗ ꯐ꯭ꯔꯦꯀꯆꯔ)

ꯗꯣꯛꯇꯔꯅꯥ ꯐ꯭ꯔꯦꯀꯆꯔ ꯑꯁꯤꯕꯨ ‘ꯑꯃꯨꯛꯇꯪ’ ꯅꯠꯠꯔꯒꯥ ‘ꯀ꯭ꯂꯣꯖꯗ’ ꯍꯥꯌꯅꯥꯁꯨ ꯀ꯭ꯂꯥꯁꯤꯐꯥꯏ ꯇꯧꯒꯅꯤ꯫

• ꯑꯍꯥꯡꯕꯥ ꯐ꯭ꯔꯦꯀꯆꯔ ꯑꯃꯗꯥ , ꯁꯣꯀꯄꯥ ꯁꯔꯨ ꯑꯗꯨꯅꯥ ꯈꯣꯡꯗꯥ ꯆꯦꯟꯊꯈꯤꯗꯨꯅꯥ ꯃꯄꯥꯟꯗꯥ ꯊꯣꯀꯏ꯫ ꯃꯁꯤꯕꯨ ‘ꯀꯝꯄꯥꯎꯟꯗ ꯐ꯭ꯔꯦꯀꯆꯔ’ ꯍꯥꯌꯅꯥꯁꯨ ꯀꯧꯏ꯫ ꯃꯁꯤ ꯏꯃꯔꯖꯦꯟꯁꯤ ꯑꯃꯅꯤ! ꯑꯍꯥꯡꯕꯥ ꯐ꯭ꯔꯦꯀꯆꯔꯁꯤꯡꯗꯥ ꯏꯅꯐꯦꯛꯁꯟ ꯑꯃꯁꯨꯡ ꯑꯇꯩ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡꯒꯤ ꯔꯤꯁ꯭ꯛ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯋꯥꯡꯏ꯫ ꯈꯟꯊꯕꯤꯌꯨ, ꯁꯔꯨ ꯇꯥꯡ ꯑꯗꯨ ꯁꯣꯀꯍꯜꯂꯕꯥ ꯃꯇꯃꯗꯥ ꯖꯔꯃꯁꯤꯡꯅꯥ ꯐꯖꯅꯥ ꯆꯪꯂꯀꯄꯥ ꯌꯥꯏ, ꯅꯠꯇꯦ?
• ꯀ꯭ꯂꯣꯖꯗ ꯐ꯭ꯔꯦꯀꯆꯔ ꯑꯃꯁꯨ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯑꯣꯏ, ꯑꯗꯨꯕꯨ ꯁꯔꯨ ꯇꯥꯡ ꯑꯗꯨꯗꯤ ꯈꯣꯡꯗꯒꯤ ꯊꯣꯛꯂꯛꯇꯦ꯫

ꯈꯨꯎꯒꯤ ꯐ꯭ꯔꯦꯀꯆꯔ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯂꯥꯏꯌꯦꯡꯕꯒꯦ?

ꯅꯍꯥꯛꯀꯤ ꯈꯨꯎꯒꯤ ꯂꯥꯏꯌꯦꯡ ꯑꯁꯤ ꯀꯔꯝꯕꯥ ꯁꯔꯨ ꯇꯥꯡ ꯁꯣꯀꯄꯥ, ꯃꯗꯨ ꯀꯌꯥꯝ ꯁꯥꯊꯤꯕꯒꯦ (ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯃꯐꯃꯗꯨꯗꯥ ꯆꯦꯟꯊꯈꯤꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯍꯥꯡꯗꯣꯀꯄꯥ) ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯅꯥ ꯑꯇꯩ ꯑꯁꯣꯛ-ꯑꯄꯅꯁꯤꯡ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨꯒꯤ ꯃꯈꯥ ꯄꯣꯜꯂꯤ꯫

ꯏꯃꯣꯕꯤꯂꯥꯏꯖꯦꯁꯟ ꯇꯧꯕꯥ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯐ꯭ꯔꯦꯀꯆꯔ ꯑꯗꯨ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯑꯣꯏꯗ꯭ꯔꯕꯗꯤ, ꯍꯥꯌꯕꯗꯤ ꯁꯔꯨ ꯇꯥꯡꯁꯤꯡ ꯑꯗꯨ ꯌꯥꯝꯅꯥ ꯂꯥꯞꯅꯥ ꯂꯩꯠꯔꯕꯗꯤ (ꯅꯟ-ꯗꯤꯁꯞꯂꯦꯁ ꯇꯧꯔꯕꯥ ꯐ꯭ꯔꯦꯀꯆꯔ), ꯅꯍꯥꯛꯅꯥ ꯁ꯭ꯂꯤꯡ ꯅꯠꯠꯔꯒꯥ ꯕ꯭ꯔꯦꯁ ꯑꯃꯥ ꯈꯛꯇꯃꯛ ꯁꯤꯖꯤꯟꯅꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤ ꯀꯌꯥꯝ ꯁꯥꯡꯅꯥ ꯁꯤꯖꯤꯟꯅꯒꯗꯒꯦ ꯍꯥꯌꯕꯁꯤ ꯐ꯭ꯔꯦꯀꯆꯔꯒꯤ ꯃꯔꯝ ꯑꯃꯁꯨꯡ ꯐ꯭ꯔꯦꯀꯆꯔꯒꯤ ꯃꯈꯜ ꯑꯗꯨꯒꯤ ꯃꯈꯥ ꯄꯣꯜꯂꯤ꯫ ꯃꯍꯧꯁꯥꯅꯥ ꯃꯁꯤ ꯅꯨꯃꯤꯠ ꯈꯔꯅꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯂꯩꯒꯅꯤ꯫ ꯅꯍꯥꯛꯀꯤ ꯁꯔꯨꯁꯤꯡ ꯑꯗꯨ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯐꯒꯠꯂꯛꯂꯤꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯅꯕꯒꯤꯗꯃꯛ ꯅꯍꯥꯛꯅꯥ ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯑꯦꯛꯁ-ꯔꯦ ꯇꯧꯕꯁꯨ ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯏ꯫

ꯑꯌꯥꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯀ꯭ꯂꯦꯚꯤꯀꯦꯜ ꯑꯃꯁꯨꯡ ꯁ꯭ꯀꯦꯄꯨꯂꯥ ꯐ꯭ꯔꯦꯀꯆꯔꯁꯤꯡ ꯑꯁꯤꯒꯨꯝꯅꯥ ꯏꯃꯣꯕꯤꯂꯥꯏꯖꯦꯁꯟ ꯈꯛꯇꯃꯛ ꯃꯊꯧ ꯇꯥꯏ, ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯐꯤꯖꯤꯀꯦꯜ ꯊꯦꯔꯥꯄꯤꯅꯥ ꯈꯨꯎꯒꯤ ꯈꯣꯡꯖꯦꯜ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯆꯪꯁꯤꯅꯕꯥ ꯃꯊꯧ ꯇꯥꯏ꯫

ꯁꯣꯜꯗꯔ ꯐ꯭ꯔꯦꯀꯆꯔ ꯁꯔꯖꯔꯤ ꯇꯧꯕꯥ꯫

ꯁꯣꯔꯣꯛ ꯐ꯭ꯔꯦꯀꯆꯔ ꯈꯔꯗꯤ ꯁꯔꯖꯔꯤ ꯇꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯏ, ꯃꯔꯨꯑꯣꯏꯅꯥ:

• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯁꯣꯀꯄꯥ ꯁꯔꯨ ꯇꯥꯡꯁꯤꯡ ꯑꯗꯨ ꯌꯥꯝꯅꯥ ꯂꯥꯞꯅꯥ ꯆꯠꯈ꯭ꯔꯕꯗꯤ (Displaced Fracture)꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯐ꯭ꯔꯦꯀꯆꯔ ꯑꯗꯨ ꯍꯥꯡꯗꯣꯛꯂꯕꯗꯤ (Open Fracture)꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯒ꯭ꯂꯦꯅꯣꯏꯗ, ꯅꯍꯥꯛꯀꯤ ꯃꯊꯛ ꯊꯪꯕꯥ ꯁꯔꯨꯛꯇꯥ (humerus) ꯂꯦꯡꯗꯅꯥ ꯂꯩꯔꯤꯕꯥ ꯁꯣꯀꯦꯠ ꯑꯗꯨ ꯁꯣꯀꯍꯜꯂꯕꯗꯤ꯫

ꯁꯣꯜꯗꯔ ꯐ꯭ꯔꯦꯀꯆꯔ ꯁꯔꯖꯔꯤꯒꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯃꯈꯂꯁꯤꯡꯗꯤ:

ꯑꯣꯄꯟ ꯔꯤꯗꯛꯁꯟ ꯑꯃꯁꯨꯡ ꯏꯟꯇꯔꯅꯦꯜ ꯐꯤꯛꯁꯦꯁꯟ (ꯑꯣ.ꯑꯥꯔ.ꯑꯥꯏ.ꯑꯦꯐ.)

ꯃꯁꯤꯗꯥ ꯁꯔꯖꯔꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯁꯣꯀꯄꯥ ꯁꯔꯨꯁꯤꯡ ꯑꯗꯨ ꯃꯈꯣꯌꯒꯤ ꯑꯆꯨꯝꯕꯥ ꯃꯐꯃꯗꯥ ꯊꯝꯃꯤ, ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯃꯈꯣꯌꯗꯨ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯄꯨꯟꯅꯥ ꯆꯥꯎꯈꯠꯄꯥ ꯉꯝꯅꯕꯥ ꯐꯤꯛꯁ ꯇꯧꯏ꯫ ꯃꯁꯤ ꯃꯍꯧꯁꯥꯅꯥ ‘ꯏꯟꯇꯔꯅꯦꯜ ꯐꯤꯛꯁꯦꯁꯟ’ ꯑꯃꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯇꯧꯏ꯫ ꯃꯁꯤꯅꯥ ꯇꯥꯀꯄꯗꯤ ꯁꯔꯖꯔꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯁꯔꯨꯗꯥ ꯙꯥꯇꯨꯒꯤ ꯄ꯭ꯂꯦꯇꯁꯤꯡ, ꯁ꯭ꯛꯔꯨꯁꯤꯡ ꯅꯠꯠꯔꯒꯥ ꯄꯤꯅꯁꯤꯡ ꯍꯥꯄꯆꯤꯟꯗꯨꯅꯥ ꯁꯔꯨ ꯇꯥꯡ ꯑꯗꯨ ꯐꯒꯠꯂꯛꯠꯔꯤꯐꯥꯎꯕꯥ ꯃꯐꯃꯗꯨꯗꯥ ꯊꯃꯖꯤꯜꯂꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯙꯥꯇꯨꯒꯤ ꯄꯣꯠꯁꯀꯁꯤꯡ ꯑꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯄꯨꯟꯁꯤ ꯆꯨꯞꯄꯥ ꯂꯩꯕꯥ ꯌꯥꯏ꯫ ꯃꯤꯑꯣꯏ ꯈꯔꯗꯤ ꯃꯈꯣꯌꯕꯨ ꯇꯨꯡꯗꯥ ꯂꯧꯊꯣꯛꯅꯕꯒꯤꯗꯃꯛ ꯑꯇꯣꯞꯄꯥ ꯁꯔꯖꯔꯤ ꯑꯃꯥ ꯇꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯏ꯫

2. ꯖꯣꯏꯟꯇ ꯔꯤꯞꯂꯦꯁꯃꯦꯟꯇ (ꯑꯥꯔꯊ꯭ꯔꯣꯞꯂꯥꯁ꯭ꯇꯤ) .

ꯑꯥꯔꯊ꯭ꯔꯣꯞꯂꯥꯁ꯭ꯇꯤ ꯍꯥꯌꯕꯁꯤ ꯁꯔꯨ ꯇꯥꯡꯒꯤ ꯃꯍꯨꯠ ꯁꯤꯅꯕꯥ ꯌꯥꯕꯥ ꯁꯔꯖꯔꯤ ꯑꯃꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯨꯎꯒꯤ ꯁꯔꯨꯛ ꯑꯗꯨ ꯐ꯭ꯔꯦꯀꯆꯔ ꯑꯃꯅꯥ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯅꯥ ꯁꯣꯀꯍꯜꯂꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯈꯨꯎꯒꯤ ꯃꯍꯨꯠ ꯁꯤꯅꯕꯥ ꯁꯔꯖꯔꯤ ꯇꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯏ꯫ ꯁꯔꯖꯔꯤꯅꯥ ꯑꯁꯣꯀꯄꯥ ꯁꯔꯨ ꯇꯥꯡ ꯑꯗꯨ ꯂꯧꯊꯣꯛꯀꯅꯤ ꯑꯃꯁꯨꯡ ꯃꯗꯨꯒꯤ ꯃꯍꯨꯠꯇꯥ ꯑꯥꯔꯇꯤꯐꯤꯁꯤꯑꯦꯜ ꯖꯣꯟ (ꯄ꯭ꯔꯣꯁ꯭ꯊꯦꯁꯤꯁ) ꯑꯃꯅꯥ ꯃꯍꯨꯠ ꯁꯤꯅꯒꯅꯤ꯫

ꯁꯔꯖꯔꯤꯗꯒꯤ ꯊꯣꯀꯄꯥ ꯌꯥꯕꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ ꯂꯩꯕ꯭ꯔꯥ?

ꯁꯣꯜꯗꯔ ꯐ꯭ꯔꯦꯀꯆꯔ ꯁꯔꯖꯔꯤꯗꯒꯤ ꯂꯥꯀꯄꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯅꯦꯝꯃꯤ, ꯑꯗꯨꯕꯨ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯑꯁꯤ ꯊꯣꯀꯄꯥ ꯌꯥꯏ:

• ꯑꯦꯛꯌꯨꯠ ꯀꯝꯄꯥꯔꯇꯃꯦꯟꯇ ꯁꯤꯟꯗ꯭ꯔꯣꯝ (ACS): ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯃꯁꯂꯁꯤꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯂꯩꯕꯥ ꯄ꯭ꯔꯦꯁꯔ ꯑꯗꯨ ꯍꯦꯅꯒꯠꯂꯛꯂꯕꯗꯤ ꯑꯃꯁꯨꯡ ꯇꯤꯁꯨꯁꯤꯡꯗꯥ ꯏ ꯆꯦꯅꯕꯥ ꯂꯦꯄꯈ꯭ꯔꯕꯗꯤ, ꯃꯁꯤꯅꯥ ꯃꯁꯂꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯅꯔꯚꯁꯤꯡꯗꯥ ꯃꯇꯝ ꯆꯨꯞꯄꯒꯤ ꯑꯣꯏꯅꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫
• ꯃꯥꯂꯌꯨꯅꯤꯌꯟ: ꯃꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯁꯣꯀꯄꯥ ꯁꯔꯨꯁꯤꯡ ꯑꯗꯨ ꯐꯒꯠꯂꯀꯄꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯑꯦꯂꯥꯏꯟ ꯇꯧꯗꯕꯥ ꯃꯇꯃꯗꯥ ꯊꯣꯀꯏ꯫
• ꯅꯟ-ꯌꯨꯅꯤꯌꯟ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯁꯔꯨꯁꯤꯡ ꯑꯗꯨ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯄꯨꯟꯅꯥ ꯆꯠꯃꯤꯟꯅꯗꯕꯥ ꯌꯥꯏ, ꯅꯠꯠꯔꯒꯥ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯌꯥꯎꯗꯕꯥ ꯌꯥꯏ꯫
• ꯏꯅꯐꯦꯛꯁꯟ, ꯏ ꯌꯥꯝꯅꯥ ꯊꯣꯀꯄꯥ, ꯑꯃꯁꯨꯡ ꯑꯦꯅꯥꯁ꯭ꯇꯦꯁꯤꯌꯥꯒꯥ ꯃꯔꯤ ꯂꯩꯅꯕꯥ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯃꯁꯤꯡꯒꯨꯝꯕꯥ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯁꯔꯖꯤꯀꯦꯜ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ꯫

ꯁꯣꯀꯄꯥ ꯈꯨꯎ ꯑꯃꯗꯒꯤ ꯐꯒꯠꯂꯀꯄꯗꯥ ꯃꯇꯝ ꯀꯌꯥ ꯆꯪꯕꯒꯦ? ꯑꯩꯅꯥ ꯀꯔꯤ ꯑꯥꯁꯥ ꯇꯧꯒꯗꯒꯦ?

ꯈꯨꯎ ꯑꯃꯥ ꯁꯣꯀꯄꯥ ꯃꯤꯑꯣꯏ ꯀꯌꯥꯅꯥ ꯃꯈꯣꯌꯒꯤ ꯐꯒꯠꯂꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯊꯥ ꯀꯌꯥꯒꯤ ꯑꯣꯏꯅꯥ ꯐꯤꯖꯤꯀꯦꯜ ꯊꯦꯔꯥꯄꯤ ꯃꯊꯧ ꯇꯥꯒꯅꯤ꯫ꯅꯈꯣꯌꯅꯥ ꯇꯧꯒꯗꯕꯅꯤ꯫ ꯐꯤꯖꯤꯀꯦꯜ ꯊꯦꯔꯥꯄꯤꯁ꯭ꯠ ꯑꯃꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯄꯥꯉ꯭ꯒꯜ ꯑꯃꯁꯨꯡ ꯔꯦꯟꯖ ꯑꯣꯐ ꯃꯣꯁꯟ (ꯅꯍꯥꯛꯀꯤ ꯈꯨꯠꯁꯥ ꯑꯗꯨ ꯀꯌꯥꯝ ꯂꯥꯞꯅꯥ ꯆꯠꯄꯥ ꯌꯥꯕꯒꯦ) ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯐꯪꯍꯅꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫ ꯍꯥꯌꯔꯤꯕꯥ ꯑꯦꯛꯁꯔꯁꯥꯏꯖꯁꯤꯡ ꯑꯁꯤ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯄꯥꯡꯊꯣꯀꯄꯥ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯐꯒꯠꯂꯀꯄꯒꯤꯗꯃꯛ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫

ꯁꯥꯊꯤꯕꯥ ꯈꯨꯎꯒꯤ ꯐ꯭ꯔꯦꯀꯆꯔꯁꯤꯡꯅꯥ ꯃꯇꯝ ꯆꯨꯞꯄꯒꯤ ꯑꯣꯏꯅꯥ ꯁꯣꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯈꯨꯎꯗꯥ ꯆꯠꯄꯒꯤ ꯔꯦꯟꯖ ꯍꯟꯊꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔ ꯅꯠꯠꯔꯒꯥ ꯁꯔꯖꯔꯤꯅꯥ ꯃꯁꯤ ꯅꯍꯥꯀꯄꯨ ꯈꯪꯍꯜꯂꯛꯀꯅꯤ꯫

ꯐꯒꯠꯂꯀꯄꯒꯤ ꯃꯇꯝ꯫

ꯅꯍꯥꯛꯀꯤ ꯈꯨꯎ ꯑꯗꯨ ꯐꯒꯠꯂꯀꯄꯗꯥ ꯃꯇꯝ ꯀꯌꯥ ꯆꯪꯕꯒꯦ ꯍꯥꯌꯕꯁꯤ ꯐꯦꯛꯇꯔ ꯀꯌꯥꯒꯤ ꯃꯈꯥ ꯄꯣꯜꯂꯤ:

• ꯀꯔꯝꯕꯥ ꯁꯔꯨ ꯑꯗꯨ ꯁꯣꯀꯈꯤꯕꯒꯦ?
• ꯕ꯭ꯔꯦꯀꯑꯥꯞ ꯑꯁꯤ ꯀꯌꯥꯗꯥ ꯁꯥꯊꯤꯕꯅꯣ꯫
• ꯅꯍꯥꯛꯅꯥ ꯀꯔꯤ ꯂꯥꯏꯌꯦꯡ ꯃꯊꯧ ꯇꯥꯈꯤꯕꯒꯦ (ꯁꯔꯖꯔꯤ ꯅꯠꯠꯔꯒꯥ ꯇꯧꯗꯕꯥ)꯫
• ꯅꯍꯥꯛꯀꯤ ꯆꯍꯤ ꯑꯃꯁꯨꯡ ꯑꯄꯨꯅꯕꯥ ꯍꯀꯁꯦꯜ꯫
• ꯐꯤꯖꯤꯀꯦꯜ ꯊꯦꯔꯥꯄꯤ ꯑꯦꯛꯁꯔꯁꯥꯏꯖꯁꯤꯡ ꯑꯁꯤ ꯀꯌꯥ ꯌꯥꯝꯅꯥ ꯐꯖꯅꯥ ꯇꯧꯕꯒꯦ꯫

ꯃꯄꯨꯡꯐꯥꯅꯥ ꯐꯒꯠꯂꯀꯄꯗꯥ ꯅꯨꯃꯤꯠ ꯈꯔꯅꯤꯗꯒꯤ ꯊꯥ ꯈꯔꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯃꯐꯝ ꯑꯃꯍꯦꯛꯇꯗꯥ ꯆꯪꯂꯀꯄꯥ ꯌꯥꯏ꯫ ꯁꯥꯊꯤꯕꯥ ꯀꯦꯁ ꯈꯔꯗꯗꯤ, ꯃꯁꯤꯅꯥ ꯃꯇꯝ ꯍꯦꯟꯅꯥ ꯆꯪꯕꯥ ꯌꯥꯏ꯫ ꯅꯍꯥꯛꯀꯤ ꯐꯤꯚꯃꯒꯥ ꯆꯥꯟꯅꯕꯥ ꯃꯇꯃꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔ ꯅꯠꯠꯔꯒꯥ ꯁꯔꯖꯔꯤꯗꯥ ꯍꯪꯕꯤꯌꯨ꯫

ꯅꯍꯥꯛꯅꯥ ꯀꯗꯥꯏꯗꯥ ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯇꯧꯕꯥ ꯑꯃꯁꯨꯡ ꯁꯥꯟꯅꯄꯣꯠꯁꯤꯡ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯍꯧꯕꯥ ꯌꯥꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯍꯪꯎ꯫ ꯅꯍꯥꯛꯀꯤ ꯈꯨꯠꯁꯥ ꯑꯗꯨ ꯐꯒꯠꯂꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯃꯗꯨ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯁꯣꯀꯍꯟꯗꯅꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯦꯡꯗꯅꯥ ꯂꯩꯒꯗꯕꯅꯤ, ꯑꯗꯨꯕꯨ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯑꯐꯕꯥ ꯑꯣꯏꯔꯦ ꯍꯥꯌꯗ꯭ꯔꯤꯉꯩꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯨꯎ ꯑꯗꯨ ꯁꯥꯟꯅꯄꯣꯠ ꯅꯠꯠꯔꯒꯥ ꯑꯀꯅꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ ꯂꯧꯊꯣꯀꯄꯗꯥ ꯁꯤꯖꯤꯟꯅꯒꯅꯨ . ꯃꯁꯤ ꯇꯧꯕꯅꯥ ꯑꯁꯣꯀꯄꯥ ꯑꯗꯨ ꯍꯜꯂꯀꯄꯥ ꯌꯥꯏ꯫

ꯈꯨꯎꯒꯤ ꯐ꯭ꯔꯦꯀꯆꯔꯗꯒꯤ ꯃꯇꯧ ꯀꯔꯝꯅꯥ ꯉꯥꯀꯊꯣꯛꯀꯗꯒꯦ?

"ꯑꯦꯛꯁꯤꯗꯦꯟꯇ ꯑꯃꯥ ꯊꯣꯛꯂꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯐꯥꯑꯣꯕꯗꯒꯤ ꯉꯥꯀꯊꯣꯛꯅꯕꯥ ꯍꯦꯟꯅꯥ ꯐꯩ꯫" ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯁꯦꯐꯇꯤꯒꯤ ꯇꯤꯄꯁꯤꯡ ꯑꯁꯤ ꯏꯅꯒꯗꯕꯅꯤ:

• ꯒꯥꯔꯤꯁꯤꯡꯗꯥ ꯆꯦꯅꯕꯥ ꯃꯇꯃꯗꯥ ꯃꯇꯝ ꯄꯨꯝꯅꯃꯛꯇꯥ ꯁꯤꯇꯕꯦꯜꯇ ꯑꯃꯥ ꯁꯤꯖꯤꯟꯅꯧ꯫
• ꯁꯥꯟꯅꯄꯣꯠ ꯅꯠꯠꯔꯒꯥ ꯊꯕꯛ ꯑꯃꯍꯦꯛꯇꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯃꯇꯤꯛ ꯆꯥꯕꯥ ꯁꯦꯐꯇꯤ ꯏꯛꯌꯨꯏꯄꯃꯦꯟꯇ (ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯍꯦꯂꯃꯦꯠ, ꯁꯣꯜꯗꯔ ꯄꯦꯗ) ꯁꯤꯖꯤꯟꯅꯧ꯫
• ꯅꯍꯥꯛꯀꯤ ꯌꯨꯝ ꯑꯃꯁꯨꯡ ꯊꯕꯛ ꯃꯐꯝ ꯑꯗꯨ ꯅꯤꯡꯊꯤꯅꯥ ꯊꯝꯃꯨ ꯑꯃꯁꯨꯡ ꯂꯦꯡ-ꯑꯣꯠꯄꯥ ꯌꯥꯕꯥ ꯑꯃꯁꯨꯡ ꯁꯣꯀꯄꯥ ꯌꯥꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ ꯂꯩꯍꯟꯗꯅꯥ ꯊꯝꯃꯨ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯐ꯭ꯂꯣꯔ ꯑꯗꯨ ꯇꯔꯨ-ꯇꯅꯥꯅꯕꯥ ꯑꯣꯏꯔꯕꯗꯤ ꯆꯦꯀꯁꯤꯅꯒꯗꯕꯅꯤ꯫
• ꯃꯊꯛꯇꯒꯤ ꯄꯣꯠꯂꯝ ꯑꯃꯥ ꯂꯧꯕꯥ ꯃꯇꯃꯗꯥ ꯃꯇꯝ ꯄꯨꯝꯅꯃꯛꯇꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯈꯨꯠꯂꯥꯏ ꯅꯠꯠꯔꯒꯥ ꯈꯨꯠꯂꯥꯌ ꯑꯗꯨ ꯁꯤꯖꯤꯟꯅꯧ . ꯀꯩꯗꯧꯉꯩꯗꯥ ꯆꯦꯌꯥꯔ ꯅꯠꯠꯔꯒꯥ ꯇꯦꯕꯂꯗꯥ ꯆꯦꯅꯒꯅꯨ꯫
• ꯑꯐꯕꯥ ꯁꯔꯨꯒꯤ ꯍꯀꯁꯦꯜ ꯊꯝꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯅꯕꯥ ꯀꯦꯂꯁꯤꯌꯝ ꯑꯃꯁꯨꯡ ꯚꯤꯇꯥꯃꯤꯟ D ꯌꯥꯝꯅꯥ ꯌꯥꯎꯕꯥ ꯗꯥꯏꯠ ꯑꯃꯁꯨꯡ ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯄ꯭ꯂꯥꯟ ꯑꯃꯥ ꯏꯅꯒꯗꯕꯅꯤ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯆꯍꯤ 65ꯒꯤ ꯃꯊꯛꯇꯥ ꯂꯩꯕꯥ ꯑꯣꯏꯔꯕꯗꯤ, ꯅꯠꯠꯔꯒꯥ ꯅꯍꯥꯛꯀꯤ ꯏꯃꯨꯡꯒꯤ ꯃꯤꯑꯣꯏ ꯑꯃꯅꯥ ꯑꯣꯁ꯭ꯇꯤꯑꯣꯄꯣꯔꯣꯁꯤꯁ ꯂꯩꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯕꯣꯟ ꯗꯦꯟꯁꯤꯇꯤ ꯇꯦꯁ꯭ꯠ ꯑꯃꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯕꯤꯌꯨ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯈꯣꯡꯅꯥ ꯆꯠꯄꯗꯥ ꯑꯋꯥꯕꯥ ꯃꯥꯌꯣꯛꯅꯔꯕꯗꯤ ꯅꯠꯠꯔꯒꯥ ꯈꯣꯡꯅꯥ ꯆꯠꯄꯒꯤ ꯔꯤꯁ꯭ꯛ ꯌꯥꯝꯅꯥ ꯂꯩꯔꯕꯗꯤ, ꯀꯦꯟ ꯅꯠꯠꯔꯒꯥ ꯋꯥꯀꯔ ꯑꯃꯥ ꯁꯤꯖꯤꯟꯅꯧ .

ꯅꯍꯥꯛꯅꯥ ꯀꯗꯥꯏꯗꯥ ꯏꯃꯔꯖꯦꯟꯁꯤ ꯇ꯭ꯔꯤꯇꯃꯦꯟꯇ ꯌꯨꯅꯤꯠ (ETU) ꯗꯥ ꯆꯠꯄꯥ ꯃꯊꯧ ꯇꯥꯕꯒꯦ ?

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯨꯠꯁꯥ ꯑꯗꯨ ꯁꯣꯀꯄꯥ (ꯅꯠꯠꯔꯒꯥ ꯑꯇꯩ ꯁꯔꯨ ꯇꯥꯡ ꯑꯃꯍꯦꯛꯇꯗꯥ) ꯂꯩꯔꯦ ꯍꯥꯌꯅꯥ ꯈꯜꯂꯕꯗꯤ , ꯈꯨꯗꯛꯇꯥ ꯏꯃꯔꯖꯦꯟꯁꯤ ꯔꯨꯃꯗꯥ ꯆꯠꯂꯨ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯃꯗꯒꯤ ꯍꯦꯅꯕꯥ ꯂꯩꯔꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯁꯣꯌꯗꯅꯥ ꯏ.ꯑꯥꯔ.

• ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯑꯅꯥꯕꯥ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯨꯠꯁꯥ ꯑꯗꯨ ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯅꯥ ꯁꯣꯀꯄꯥ ꯉꯃꯗ꯭ꯔꯕꯗꯤ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯨꯎ ꯅꯠꯠꯔꯒꯥ ꯈꯨꯠꯁꯥ ꯑꯗꯨ ꯑꯦꯕꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯅꯥ ꯎꯔꯕꯗꯤ ꯅꯠꯠꯔꯒꯥ ꯄꯣꯖꯤꯁꯟ ꯍꯣꯡꯂꯛꯂꯕꯗꯤ (deformity)꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯁꯔꯨ ꯑꯗꯨ ꯈꯣꯡꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯎꯕꯥ ꯐꯪꯂꯕꯗꯤ (Open Fracture)꯫
• ꯁꯥꯊꯤꯅꯥ ꯁꯣꯀꯄꯥ꯫
• ꯑꯇꯩ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯑꯅꯧꯕꯥ ꯑꯁꯣꯛ-ꯑꯄꯅꯁꯤꯡ ꯎꯕꯥ ꯐꯪꯏ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯨꯠꯇꯥ ꯁꯣꯟꯊꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯂꯦꯡ-ꯑꯣꯠꯄꯒꯤ ꯃꯑꯣꯡ ꯂꯩꯔꯕꯗꯤ (ꯃꯁꯤꯅꯥ ꯏꯒꯤ ꯁꯞꯂꯥꯏ ꯅꯠꯠꯔꯒꯥ ꯅꯔꯚꯁꯤꯡꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯅꯕꯒꯤ ꯈꯨꯗꯝ ꯑꯣꯏꯕꯥ ꯌꯥꯏ)꯫

ꯗꯣꯛꯇꯔꯗꯥ ꯍꯪꯒꯗꯕꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯋꯥꯍꯪꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?

ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯎꯅꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯅꯍꯥꯛꯅꯥ ꯍꯪꯂꯤꯕꯥ ꯋꯥꯍꯪ ꯑꯃꯠꯇꯥ ꯍꯪꯕꯗꯥ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯂꯩꯔꯣꯏꯗꯕꯅꯤ꯫ ꯃꯌꯦꯛ ꯁꯦꯡꯕꯥ ꯂꯧꯁꯤꯡ ꯑꯃꯥ ꯐꯪꯕꯁꯤ ꯍꯤꯡꯕꯒꯤ ꯊꯧꯑꯣꯡꯗꯥ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫ ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯅꯍꯥꯛꯅꯥ ꯋꯥꯍꯪꯁꯤꯡ ꯑꯁꯤ ꯍꯪꯕꯤꯔꯀꯄꯥ ꯌꯥꯏ:

• ꯀꯔꯤ ꯁꯔꯨ ꯁꯣꯛꯂꯤꯕꯅꯣ? ꯃꯁꯤ ꯀꯌꯥ ꯌꯥꯝꯅꯥ ꯂꯨꯕꯥ ꯑꯣꯏꯕꯒꯦ?
• ꯑꯩꯅꯥ ꯁꯔꯖꯔꯤ ꯇꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯕ꯭ꯔꯥ? ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯩꯉꯣꯟꯗꯥ ꯂꯩꯔꯕꯗꯤ ꯀꯔꯤ ꯑꯣꯏꯒꯅꯤ?
• ꯑꯩꯅꯥ ꯀꯌꯥ ꯌꯥꯝꯅꯥ ꯁꯥꯡꯅꯥ ꯆꯦꯅꯁꯤꯜꯂꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯕ꯭ꯔꯦꯁ ꯑꯃꯥ ꯁꯤꯖꯤꯟꯅꯒꯗꯒꯦ?
• ꯑꯅꯥꯕꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯀꯔꯤ ꯇꯧꯕꯥ ꯌꯥꯕꯒꯦ?
• ꯑꯩꯅꯥ ꯀꯗꯥꯌꯗꯒꯤ ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯇꯧꯕꯥ ꯑꯃꯁꯨꯡ ꯁꯥꯟꯅꯄꯣꯠꯁꯤꯡ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯍꯧꯕꯥ ꯌꯥꯕꯒꯦ?
• ꯐꯤꯖꯤꯀꯦꯜ ꯊꯦꯔꯥꯄꯤ ꯑꯁꯤ ꯃꯊꯧ ꯇꯥꯕꯔꯥ? ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯣꯏꯔꯒꯗꯤ ꯀꯗꯥꯌꯗꯒꯤ ꯍꯧꯒꯗꯒꯦ?
• ꯑꯩꯒꯤ ꯈꯨꯎ, ꯃꯈꯨꯠ ꯑꯃꯁꯨꯡ ꯃꯈꯨꯠꯁꯤꯡ ꯑꯁꯤ ꯑꯩꯒꯤ ꯈꯨꯠꯁꯥ ꯑꯗꯨ ꯐꯒꯠꯂꯛꯠꯔꯤꯐꯥꯎꯕꯥ ꯃꯈꯣꯌꯕꯨ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯁꯣꯀꯍꯟꯗꯅꯕꯥ ꯑꯩꯅꯥ ꯂꯧꯊꯣꯀꯄꯥ ꯉꯃꯒꯗ꯭ꯔꯥ?
• ꯌꯨꯃꯗꯥ ꯑꯩꯅꯥ ꯆꯦꯀꯁꯤꯅꯒꯗꯕꯥ ꯑꯈꯟꯅꯕꯥ ꯋꯥꯐꯝ ꯑꯃꯥ ꯂꯩꯕꯔꯥ?

ꯅꯍꯥꯛꯅꯥ ꯁꯣꯀꯍꯜꯂꯕꯥ ꯈꯨꯠꯁꯥ ꯑꯃꯥ ꯂꯧꯊꯣꯀꯄꯥ ꯉꯃꯒꯗ꯭ꯔꯥ?

ꯅꯍꯥꯛꯅꯥ ꯈꯨꯠꯁꯥ ꯑꯃꯥ ꯁꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯅꯍꯥꯛꯅꯥ ꯃꯗꯨ ꯂꯧꯊꯣꯀꯄꯥ ꯉꯃꯗꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯂꯧꯊꯣꯀꯄꯥ ꯉꯃꯗꯕꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯕꯨ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯇꯧꯔꯕꯗꯤ ꯅꯍꯥꯛꯅꯥ ꯑꯋꯥꯕꯥ ꯀꯌꯥ ꯑꯃꯥ ꯐꯥꯑꯣꯒꯅꯤ . ꯅꯍꯥꯛꯀꯤ ꯈꯨꯠꯁꯥ ꯑꯗꯨ ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯅꯥ ꯆꯠꯄꯥ ꯉꯃꯂꯣꯏ꯫

ꯑꯦꯛꯁꯤꯗꯦꯟꯇ ꯑꯃꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯨꯠꯁꯥ ꯑꯗꯨ ꯀꯩꯗꯧꯉꯩꯗꯥ ꯐꯣꯔꯁ ꯑꯣꯏꯅꯥ ꯁꯤꯖꯤꯟꯅꯅꯕꯥ ꯍꯣꯠꯅꯒꯅꯨ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯦꯛꯁꯤꯗꯦꯟꯇ ꯑꯃꯗꯥ ꯁꯣꯀꯍꯜꯂꯕꯥ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯁꯔꯨ ꯇꯥꯡ ꯑꯃꯥ ꯁꯣꯀꯄꯥ ꯌꯥꯏ ꯍꯥꯌꯅꯥ ꯈꯜꯂꯕꯗꯤ, ꯈꯨꯗꯛꯇꯥ ꯏꯃꯔꯖꯦꯟꯁꯤ ꯔꯨꯃꯗꯥ ꯆꯠꯂꯨ꯫

ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔ ꯅꯠꯠꯔꯒꯥ ꯁꯔꯖꯔꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯐ꯭ꯔꯦꯀꯆꯔ ꯑꯗꯨ ꯐꯒꯠꯂꯛꯂꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯨꯠ ꯑꯃꯁꯨꯡ ꯈꯨꯎ ꯑꯗꯨ ꯀꯗꯥꯏꯗꯥ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯆꯪꯁꯤꯅꯕꯥ ꯍꯧꯒꯗꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯈꯪꯍꯜꯂꯛꯀꯅꯤ꯫ ꯅꯍꯥꯛꯀꯤ ꯐꯤꯖꯤꯀꯦꯜ ꯊꯦꯔꯥꯄꯤꯁ꯭ꯠ ꯑꯗꯨꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯐꯒꯠꯂꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯨꯎꯒꯤ ꯑꯀꯣꯌꯕꯗꯥ ꯂꯩꯕꯥ ꯃꯁꯂꯁꯤꯡ ꯑꯗꯨ ꯃꯄꯥꯉ꯭ꯒꯜ ꯀꯅꯈꯠꯍꯟꯅꯕꯥ ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯑꯃꯁꯨꯡ ꯁ꯭ꯠꯔꯦꯁꯁꯤꯡ ꯇꯝꯕꯤꯒꯅꯤ꯫ ꯅꯍꯥꯛꯀꯤ ꯈꯨꯎ ꯑꯗꯨ ꯐꯒꯠꯂꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯅꯍꯥꯛꯀꯤ ꯈꯨꯠꯁꯥꯒꯤ ꯑꯇꯩ ꯁꯔꯨꯀꯁꯤꯡ, ꯍꯥꯌꯕꯗꯤ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡ, ꯃꯈꯨꯠ ꯑꯃꯁꯨꯡ ꯃꯈꯨꯠꯁꯤꯡ ꯑꯗꯨ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯁꯣꯀꯍꯟꯗꯅꯥ ꯆꯠꯄꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯁꯨ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯍꯪꯕꯤꯌꯨ꯫

ꯑꯗꯨꯅꯥ, ꯅꯤꯡꯁꯤꯡꯒꯗꯕꯥ ꯑꯔꯣꯏꯕꯥ ꯋꯥꯐꯃꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ? (ꯇꯦꯛ-ꯍꯣꯝ ꯃꯦꯁꯦꯖ)

ꯈꯨꯎꯒꯤ ꯐ꯭ꯔꯦꯀꯆꯔ (shoulder fracture) ꯍꯥꯌꯕꯁꯤ ꯈꯨꯎꯒꯤ ꯁꯔꯨ ꯇꯥꯡ (shoulder joint)ꯗꯥ ꯁꯣꯀꯄꯥ (break) ꯑꯃꯅꯤ꯫ ꯍꯥꯌꯔꯤꯕꯥ ꯑꯁꯣꯛ-ꯑꯄꯅꯁꯤꯡ ꯑꯁꯤ ꯑꯌꯥꯝꯕꯅꯥ ꯈꯉꯍꯧꯗꯅꯥ ꯊꯣꯀꯏ, ꯑꯩꯈꯣꯌꯅꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯅꯦꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯊꯣꯀꯏ꯫ ꯑꯗꯨꯅꯥ ꯃꯁꯤ ꯈꯔꯥ ꯂꯥꯡꯇꯛꯅꯍꯅꯕꯥ ꯌꯥꯏ, ꯑꯗꯨꯕꯨ ꯃꯗꯨ ꯅꯣꯔꯃꯦꯂꯅꯤ꯫

ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯋꯥꯐꯃꯗꯤ ꯃꯇꯤꯛ ꯆꯥꯕꯥ ꯃꯦꯗꯤꯀꯦꯜ ꯀꯦꯌꯔ ꯂꯧꯕꯥ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯤ ꯏꯅꯁ꯭ꯠꯔꯛꯁꯅꯁꯤꯡ ꯑꯗꯨ ꯆꯨꯝꯅꯥ ꯏꯅꯕꯅꯤ꯫ ꯁꯔꯖꯔꯤ ꯇꯧꯔꯕꯁꯨ, ꯅꯍꯥꯛꯀꯤ ꯈꯨꯎꯒꯤ ꯁꯔꯨꯛ ꯑꯗꯨ ꯊꯥ ꯈꯔꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯐꯒꯠꯍꯅꯒꯗꯕꯅꯤ꯫ ꯅꯍꯥꯛꯀꯤ ꯈꯨꯎꯗꯥ ꯃꯇꯝ ꯈꯔꯒꯤ ꯑꯣꯏꯅꯥ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯁꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯃꯤꯑꯣꯏ ꯑꯌꯥꯝꯕꯅꯥ ꯐꯤꯖꯤꯀꯦꯜ ꯊꯦꯔꯥꯄꯤꯅꯥ ꯃꯈꯣꯌꯒꯤ ꯄꯥꯉ꯭ꯒꯜ ꯑꯃꯁꯨꯡ ꯔꯦꯟꯖ ꯑꯣꯐ ꯃꯣꯁꯅꯒꯤ ꯑꯌꯥꯝꯕꯥ ꯁꯔꯨꯛ ꯑꯗꯨ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯐꯪꯕꯥ ꯉꯝꯃꯤ꯫

ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯂꯩꯔꯣꯏꯗꯕꯅꯤ, ꯑꯁꯥꯑꯣꯕꯥ ꯄꯣꯛꯂꯣꯏꯗꯕꯅꯤ, ꯗꯣꯛꯇꯔꯒꯤ ꯏꯅꯁ꯭ꯠꯔꯛꯁꯅꯁꯤꯡ ꯉꯥꯛꯅꯥ ꯆꯠꯀꯗꯕꯅꯤ ꯑꯃꯁꯨꯡ ꯂꯥꯏꯌꯦꯡ ꯂꯧꯒꯗꯕꯅꯤ꯫ ꯑꯗꯣꯝ ꯊꯨꯅꯥ ꯐꯒꯠꯂꯀꯄꯥ ꯑꯣꯏꯔꯁꯅꯨ!

` ꯁꯣꯜꯗꯔ ꯐ꯭ꯔꯦꯀꯆꯔ, ꯁꯣꯜꯗꯔ ꯐ꯭ꯔꯦꯀꯆꯔ, ꯁꯣꯜꯗꯔ ꯐ꯭ꯔꯦꯀꯆꯔ ꯁꯤꯅꯍꯥꯂꯥ, ꯁꯣꯜꯗꯔ ꯄꯦꯏꯟ, ꯐ꯭ꯔꯦꯀꯆꯔ ꯇ꯭ꯔꯤꯠꯃꯦꯟꯇ, ꯁꯣꯜꯗꯔ ꯁꯔꯖꯔꯤ, ꯐꯤꯖꯤꯀꯦꯜ ꯊꯦꯔꯥꯄꯤ꯫