ꯅꯍꯥꯛꯀꯤ ꯅꯥꯀꯣꯡꯗꯒꯤ ꯍꯨꯏꯒꯤ ꯈꯣꯟꯖꯦꯜ ꯑꯃꯥ ꯂꯥꯀꯄꯥ ꯂꯩꯕ꯭ꯔꯥ? ꯅꯥꯀꯣꯡꯒꯤ ꯋꯥꯂꯗꯥ ꯍꯨꯔꯥꯅꯕꯥ ꯑꯃꯥ (Nasal Septal Perforation) ꯈꯪꯖꯤꯅꯕꯤꯌꯨ꯫

ꯅꯍꯥꯛꯀꯤ ꯅꯥꯀꯣꯡ ꯑꯗꯨ ꯂꯦꯟ ꯑꯅꯤꯒꯤ ꯂꯝꯕꯤ ꯑꯃꯥ ꯑꯣꯏꯅꯥ ꯈꯅꯕꯤꯌꯨ꯫ ꯅꯥꯀꯣꯡ ꯑꯅꯤꯗꯨ ꯇꯣꯈꯥꯌꯅꯥ ꯇꯥꯍꯜꯂꯤꯕꯥ ꯃꯔꯛꯇꯥ ꯂꯩꯕꯥ ꯋꯥꯜ ꯑꯗꯨꯕꯨ ꯁꯦꯞꯇꯝ ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ ꯃꯁꯤ ꯀꯥꯔꯇꯤꯂꯦꯖ ꯑꯃꯁꯨꯡ ꯕꯣꯟ . ꯃꯁꯤꯒꯤ ꯋꯥꯜ ꯑꯁꯤꯅꯥ ꯑꯩꯈꯣꯌꯕꯨ ꯅꯥꯀꯣꯡꯒꯤ ꯈꯣꯡꯎꯞ ꯑꯃꯅꯥ ꯊꯣꯡ ꯂꯣꯜꯂꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯑꯇꯣꯞꯄꯥ ꯃꯄꯥꯟꯗꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫

ꯑꯗꯨꯕꯨ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯋꯥꯜ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ, ꯁꯦꯞꯇꯃꯗꯥ ꯍꯨꯔꯥꯅꯕꯥ ꯑꯃꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯑꯣꯏꯅꯥ ꯃꯁꯤꯕꯨ ꯅꯥꯀꯣꯡꯒꯤ ꯁꯦꯞꯇꯥꯜ ꯄꯔꯐꯣꯔꯦꯁꯟ ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ ꯃꯁꯤꯒꯤ ꯃꯈꯜ ꯑꯁꯤꯒꯤ ꯍꯣꯜ ꯑꯁꯤ ꯂꯥꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯅꯍꯥꯛꯅꯥ ꯅꯥꯀꯣꯡꯗꯥ ꯏ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯅꯍꯥꯛꯅꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯃꯇꯃꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯅꯥꯀꯣꯡꯗꯒꯤ ꯂꯥꯀꯄꯥ ꯍꯨꯏꯁꯂꯒꯤ ꯈꯣꯟꯖꯦꯜ ꯑꯃꯁꯨ ꯎꯕꯥ ꯐꯪꯒꯅꯤ꯫ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯅꯥꯀꯣꯡꯗꯥ (ꯑꯦꯟꯗꯣꯁ꯭ꯀꯣꯞ ꯍꯥꯌꯅꯥ ꯀꯧꯕꯥ) ꯀꯦꯃꯦꯔꯥ ꯑꯃꯥ ꯌꯥꯎꯕꯥ ꯌꯥꯝꯅꯥ ꯂꯨꯕꯥ ꯇꯤꯎꯕ ꯑꯃꯥ ꯍꯥꯄꯆꯤꯟꯗꯨꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯈꯪꯗꯣꯛꯀꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯃꯈꯂꯒꯤ ꯍꯨꯔꯥꯅꯕꯥ ꯑꯁꯤ ꯂꯩꯔꯦ ꯍꯥꯌꯕꯥ ꯈꯪꯂꯕꯗꯤ, ꯃꯁꯤ ꯃꯇꯝ ꯄꯨꯝꯅꯃꯛꯇꯥ ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯃꯊꯧ ꯇꯥꯗꯕꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯗꯨꯅꯥ ꯁꯣꯀꯍꯜꯂꯕꯗꯤ, ꯁꯔꯖꯔꯤ ꯑꯁꯤ ꯑꯐꯕꯥ ꯑꯣꯄꯁꯟ ꯑꯃꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫

ꯅꯥꯀꯣꯡꯒꯤ ꯋꯥꯜ ꯑꯗꯨꯗꯥ ꯀꯔꯤꯅꯥ ꯍꯨꯔꯥꯅꯕꯥ ꯊꯣꯀꯍꯜꯂꯤꯕꯅꯣ?

ꯅꯥꯀꯣꯡꯒꯤ ꯋꯥꯜ, ꯅꯠꯠꯔꯒꯥ ꯁꯦꯄꯇꯃꯗꯥ ꯍꯨꯔꯥꯅꯕꯥ ꯑꯃꯥ ꯁꯦꯝꯕꯥ ꯌꯥꯕꯒꯤ ꯃꯔꯝ ꯀꯌꯥ ꯂꯩ꯫ ꯃꯈꯣꯌꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯤꯅꯣ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯁꯤ꯫

ꯃꯁꯤꯒꯤ ꯃꯊꯛꯇꯥ, ꯇ꯭ꯌꯨꯕꯔꯀꯨꯂꯣꯁꯤꯁ, ꯁꯥꯔꯀꯣꯏꯗꯣꯁꯤꯁ , ꯁꯤꯐꯤꯂꯤꯁ, ꯑꯃꯁꯨꯡ ꯋꯦꯒꯦꯅꯔꯒꯤ ꯒ꯭ꯔꯦꯅꯨꯂꯣꯃꯦꯇꯣꯁꯤꯁꯒꯨꯝꯕꯥ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯊꯣꯀꯄꯥ ꯂꯥꯌꯅꯥꯁꯤꯡꯅꯁꯨ ꯅꯥꯀꯣꯡꯒꯤ ꯋꯥꯂꯗꯥ ꯍꯨꯔꯥꯅꯕꯥ ꯌꯥꯏ꯫ ꯕ꯭ꯔꯦꯁ꯭ꯠ ꯀꯦꯟꯁꯔ ꯈꯔꯗꯥ ꯁꯤꯖꯤꯟꯅꯕꯥ ꯗ꯭ꯔꯒ ꯕꯦꯚꯥꯁꯤꯖꯨꯃꯕꯀꯥ ꯂꯣꯌꯅꯅꯥ ꯀꯦꯃꯣꯊꯦꯔꯥꯄꯤ ꯂꯧꯕꯥ ꯃꯇꯃꯗꯁꯨ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯊꯣꯀꯄꯥ ꯌꯥꯏ ꯫

ꯁꯔꯖꯔꯤ ꯇꯧꯗꯅꯥ ꯄꯥꯡꯊꯣꯀꯄꯥ ꯌꯥꯕꯥ ꯂꯥꯏꯌꯦꯡꯁꯤꯡ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯅꯥꯀꯣꯡꯒꯤ ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯍꯨꯔꯥꯅꯕꯥ ꯑꯃꯥ ꯂꯥꯀꯄꯥ ꯇꯥꯔꯕꯗꯤ, ꯃꯗꯨꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯇꯥꯟꯅꯧ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯂꯥꯏꯑꯣꯡ ꯑꯃꯠꯇꯥ ꯂꯩꯠꯔꯕꯗꯤ, ꯃꯁꯤ ꯂꯥꯏꯌꯦꯡ ꯑꯃꯠꯇꯥ ꯃꯊꯧ ꯇꯥꯗꯕꯥ ꯌꯥꯏ꯫

ꯃꯁꯤꯒꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯥ ꯑꯃꯁꯨꯡ ꯂꯥꯏꯅꯥ ꯁꯣꯂꯨꯁꯅꯗꯤ ꯅꯍꯥꯛꯀꯤ ꯅꯥꯀꯣꯡ ꯑꯗꯨ ꯇꯔꯨ ꯇꯅꯥꯟꯅꯥ ꯊꯝꯕꯥ ꯑꯁꯤꯅꯤ . ꯅꯍꯥꯛꯅꯥ ꯐꯥꯔꯃꯥꯁꯤꯗꯥ ꯌꯣꯅꯕꯥ ꯌꯥꯕꯥ ꯁꯦꯂꯥꯏꯟ ꯅꯥꯀꯣꯡꯒꯤ ꯁ꯭ꯞꯔꯦ ꯁꯤꯖꯤꯟꯅꯗꯨꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯅꯥꯀꯣꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯇꯔꯨ-ꯇꯅꯥꯅꯕꯥ ꯊꯝꯕꯥ ꯌꯥꯏ꯫

ꯑꯇꯣꯞꯄꯥ ꯑꯣꯄꯁꯟ ꯑꯃꯗꯤ ꯗꯣꯛꯇꯔ ꯑꯃꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯅꯥꯀꯣꯡꯒꯤ ꯊꯣꯡꯅꯥꯎꯁꯤꯡ ꯊꯤꯡꯅꯕꯥ ꯇꯔꯨ-ꯇꯅꯥꯅꯕꯥ, ꯐ꯭ꯂꯦꯛꯁꯤꯕꯜ ꯄ꯭ꯂꯥꯁ꯭ꯇꯤꯀꯅꯥ ꯁꯦꯝꯕꯥ ꯑꯈꯟꯅꯕꯥ ‘ꯅꯥꯀꯣꯡꯒꯤ ꯕꯇꯟ’ ꯑꯃꯥ ꯍꯥꯄꯀꯗꯕꯅꯤ꯫ ꯁ꯭ꯇꯗꯤꯁꯤꯡꯅꯥ ꯐꯥꯑꯣꯕꯥ ꯎꯠꯂꯦ ꯃꯗꯨꯗꯤ ꯕꯇꯅꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯅꯥꯀꯣꯡꯒꯤ ꯏ ꯊꯣꯀꯄꯥ, ꯀ꯭ꯔꯁ꯭ꯇꯤꯡ ꯑꯃꯁꯨꯡ ꯍꯨꯏꯁ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯍꯟꯊꯍꯜꯂꯤ꯫

ꯅꯍꯥꯛꯅꯥ ꯇꯁꯦꯡꯅꯥ ꯁꯔꯖꯔꯤꯒꯤ ꯃꯊꯧ ꯇꯥꯕ꯭ꯔꯥ?

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯅꯥꯀꯣꯡ ꯁꯣꯛ-ꯄꯅꯕꯥ ꯑꯁꯤꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯇꯁꯦꯡꯅꯥ ꯁꯣꯀꯍꯜꯂꯕꯗꯤ, ꯍꯥꯌꯕꯗꯤ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯏ ꯌꯥꯝꯅꯥ ꯊꯣꯀꯄꯥ, ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯋꯥꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯍꯨꯔꯥꯅꯕꯥ ꯌꯥꯕꯥ ꯈꯣꯟꯖꯦꯜ ꯑꯃꯥ ꯊꯣꯛꯂꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯁꯔꯖꯔꯤ ꯇꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯏ꯫

ꯁꯔꯖꯔꯤ ꯑꯁꯤꯗꯥ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯑꯇꯣꯞꯄꯥ ꯃꯐꯝ ꯑꯃꯗꯒꯤ, ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯅꯍꯥꯛꯀꯤ ꯅꯥꯀꯣꯡꯒꯤ ꯃꯅꯨꯡꯗꯒꯤ ꯅꯠꯠꯔꯒꯥ ꯑꯇꯣꯞꯄꯥ ꯃꯐꯝ ꯑꯃꯗꯒꯤ ꯇꯤꯁꯨ ꯑꯃꯥ ꯂꯧꯗꯨꯅꯥ, ꯃꯗꯨꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯍꯨꯔꯥꯅꯕꯥ ꯑꯗꯨ ꯁꯦꯃꯖꯤꯜꯂꯤ꯫ ꯅꯠꯠꯔꯒꯥ ꯃꯍꯥꯛꯅꯥ ꯇꯤꯁꯨꯅꯥ ꯁꯦꯝꯕꯥ ‘ꯐ꯭ꯂꯦꯞ’ ꯑꯃꯅꯥ ꯍꯨꯔꯥꯅꯕꯥ ꯑꯗꯨ ꯊꯤꯡꯖꯤꯜꯂꯤ꯫ ꯃꯁꯤꯒꯤ ꯁꯔꯖꯔꯤ ꯑꯁꯤ ꯃꯍꯧꯁꯥꯅꯥ ꯖꯦꯅꯦꯔꯦꯜ ꯑꯦꯅꯥꯁ꯭ꯇꯦꯁꯤꯌꯥꯒꯤ ꯃꯈꯥꯗꯥ ꯇꯧꯏ , ꯃꯁꯤꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯋꯥꯈꯜ ꯇꯥꯗꯕꯥ ꯍꯥꯌꯕꯅꯤ꯫

ꯅꯥꯀꯣꯡꯒꯤ ꯋꯥꯂꯗꯥ ꯍꯨꯔꯥꯅꯕꯥ ꯑꯃꯥ ꯁꯦꯃꯖꯤꯟꯅꯕꯒꯤ ꯄꯥꯝꯕꯩ ꯀꯌꯥ ꯂꯩ꯫ ꯃꯦꯊꯗ ꯈꯔꯗꯤ ꯁꯔꯖꯔꯤ ꯑꯅꯤ ꯇꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯏ꯫ ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ``ꯏꯅꯐꯦꯔꯤꯌꯔ ꯇꯔꯕꯤꯅꯦꯠ ꯐ꯭ꯂꯦꯞ'' ꯀꯧꯕꯥ ``ꯄꯤꯌꯥꯟ'' ꯃꯦꯊꯗꯇꯥ, ꯑꯍꯥꯅꯕꯥ ꯁꯔꯖꯔꯤ ꯑꯁꯤ ꯖꯦꯅꯦꯔꯦꯜ ꯑꯦꯅꯥꯁ꯭ꯇꯦꯁꯤꯌꯥꯒꯤ ꯃꯈꯥꯗꯥ ꯇꯧꯏ꯫ ꯃꯁꯤꯒꯤꯗꯃꯛꯇꯥ ꯅꯨꯃꯤꯠ ꯑꯃꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯅꯤꯒꯤ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯂꯗꯥ ꯂꯩꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯏ꯫ ꯑꯅꯤꯁꯨꯕꯥ ꯁꯔꯖꯔꯤ (ꯐꯣꯂꯣ-ꯑꯞ) ꯑꯁꯤ ꯅꯍꯥꯛꯅꯥ ꯋꯥꯈꯜ ꯇꯥꯗꯅꯥ ꯂꯩꯔꯤꯉꯩꯗꯥ ꯇꯧꯏ, ꯅꯍꯥꯛꯀꯤ ꯅꯥꯀꯣꯡ ꯑꯗꯨ ꯈꯛꯇꯥ ꯁꯣꯀꯍꯟꯗꯅꯥ ꯇꯧꯏ꯫ ꯃꯁꯤ ꯑꯥꯎꯠꯄꯦꯁꯦꯟꯇ ꯄ꯭ꯔꯣꯁꯤꯗ꯭ꯌꯨꯔ ꯑꯣꯏꯕꯅꯥ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯂꯗꯥ ꯂꯩꯕꯒꯤ ꯃꯊꯧ ꯇꯥꯗꯦ꯫

ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯀꯔꯤ ꯑꯥꯁꯥ ꯇꯧꯒꯗꯒꯦ?

ꯅꯍꯥꯛꯀꯤ ꯅꯥꯀꯣꯡ ꯑꯗꯨ ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯄꯨꯡ 48 ꯐꯥꯎꯕꯥ ꯒꯣꯖꯅꯥ ꯄꯦꯛ ꯇꯧꯒꯅꯤ꯫ ꯏ ꯊꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯑꯅꯥꯕꯥ ꯈꯔꯥ ꯂꯩꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯅꯣꯔꯃꯦꯂꯅꯤ꯫ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯐꯒꯠꯂꯀꯄꯒꯤ ꯃꯇꯃꯗꯥ ꯇꯧꯔꯣꯏꯗꯕꯥ ꯊꯕꯀꯁꯤꯡꯒꯤ ꯃꯌꯦꯛ ꯁꯦꯡꯕꯥ ꯂꯤꯁ꯭ꯠ ꯑꯃꯥ ꯄꯤꯒꯅꯤ꯫ ꯃꯔꯨ ꯑꯣꯏꯕꯥ ꯃꯈꯣꯌꯁꯤꯡ ꯑꯗꯨꯗꯤ:

• ꯅꯥꯀꯣꯡ ꯁꯣꯀꯄꯥ ꯍꯟꯊꯍꯅꯕꯥ ꯉꯝꯕꯥ ꯁ꯭ꯞꯔꯦ ꯑꯃꯁꯨꯡ ꯍꯤꯗꯥꯀꯁꯤꯡ ꯁꯤꯖꯤꯟꯅꯔꯣꯏꯗꯕꯅꯤ .
• ꯀꯦꯐꯥꯏꯟ ꯌꯥꯎꯕꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯊꯛꯅꯕꯥ ꯏꯁꯤꯡ ꯁꯤꯖꯤꯟꯅꯔꯣꯏꯗꯕꯅꯤ꯫
• ꯃꯩꯈꯨ ꯊꯥꯗꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯆꯨꯔꯨꯠ ꯊꯀꯄꯥ ꯌꯥꯕꯥ ꯃꯐꯃꯁꯤꯡꯗꯥ ꯂꯩꯕꯥ ꯊꯤꯡꯖꯤꯜꯂꯨ꯫