ꯅꯍꯥꯛꯀꯤ ꯈꯨꯠꯁꯥ ꯑꯗꯨ ꯍꯨꯏꯒꯤ ꯈꯣꯡꯎꯄꯒꯨꯝꯅꯥ ꯆꯦꯟꯊꯈꯤꯕ꯭ꯔꯥ? ꯁ꯭ꯕꯟ ꯅꯦꯛ ꯗꯤꯐꯣꯔꯃꯤꯇꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯈꯉꯁꯤ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯆꯝꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯈꯣꯡꯎꯞ ꯑꯃꯥ ꯅꯠꯠꯔꯒꯥ ꯃꯈꯨꯠ ꯀꯌꯥ ꯑꯃꯥ ꯀꯨꯄꯁꯤꯅꯕꯥ ꯎꯈꯤꯕꯥ ꯌꯥꯏ, ꯅꯠꯠꯔꯒꯥ ꯊꯦꯡꯅꯈꯤꯕꯥ ꯌꯥꯏ꯫ ꯍꯨꯏꯒꯤ ꯈꯣꯡꯎꯄꯒꯨꯝꯅꯥ꯫ ꯃꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯃꯦꯗꯤꯁꯤꯅꯗꯥ (ꯁ꯭ꯕꯟ ꯅꯦꯛ ꯗꯤꯐꯣꯔꯃꯤꯇꯤ) ꯍꯥꯌꯅꯥ ꯀꯧꯏ . ꯉꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯃꯁꯤ ꯇꯁꯦꯡꯅꯥ ꯀꯔꯤꯅꯣ, ꯀꯔꯤꯒꯤ ꯊꯣꯛꯂꯤꯕꯅꯣ, ꯑꯃꯁꯨꯡ ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯀꯔꯤ ꯇꯧꯕꯥ ꯌꯥꯕꯒꯦ ꯍꯥꯌꯕꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯒꯅꯤ꯫

ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯁ꯭ꯕꯟ ꯅꯦꯛ ꯗꯤꯐꯣꯔꯃꯤꯇꯤ ꯍꯥꯌꯕꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯂꯩꯕꯥ ꯇꯦꯟꯗꯣꯅꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯁꯔꯨ ꯇꯥꯡꯁꯤꯡꯗꯥ ꯁꯣꯀꯍꯜꯂꯤꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫ ꯀꯔꯤ ꯊꯣꯛꯂꯤꯕꯅꯣ ꯍꯥꯌꯕꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯈꯨꯠꯁꯥꯒꯤ ꯃꯊꯛꯇꯥ ꯂꯩꯕꯥ ꯁꯔꯨ ꯇꯥꯡ ꯑꯗꯨ ꯃꯃꯥꯡꯂꯣꯃꯗꯥ ꯆꯦꯠꯁꯤꯜꯂꯀꯏ , ꯃꯗꯨꯒꯤ ꯑꯔꯊꯗꯤ ꯃꯅꯨꯡꯗꯥ ꯆꯦꯜꯂꯤ꯫ ꯃꯤꯗꯜ ꯖꯣꯟ ꯑꯁꯤ ꯍꯥꯏꯄꯔꯑꯦꯛꯁꯇꯦꯟꯗ ꯇꯧꯏ . ꯃꯁꯤ ‘ꯑꯦꯁ’ ꯍꯥꯌꯕꯥ ꯑꯛꯁꯔꯒꯨꯝꯅꯥ ꯈꯅꯕꯤꯌꯨ꯫ ꯃꯁꯤꯒꯤ ꯃꯃꯤꯡ ꯑꯁꯤ ꯍꯋꯥꯏ-ꯆꯦꯡꯋꯥꯏꯒꯤ ꯈꯣꯡꯎꯄꯒꯨꯝꯅꯥ ꯎꯕꯥ ꯐꯪꯕꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯐꯪꯂꯤ꯫

ꯃꯁꯤꯒꯤ ꯑꯣꯟꯅ-ꯇꯩꯅꯕꯗꯥ (Swan Neck Deformity) ꯑꯁꯤ (Boutonniere Deformity) ꯀꯧꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫ ꯃꯁꯤꯗꯥ, ꯃꯌꯥꯏ ꯑꯣꯏꯕꯥ ꯁꯔꯨ ꯇꯥꯡ ꯑꯗꯨꯅꯥ ꯃꯃꯥꯡꯂꯣꯃꯗꯥ ꯀꯨꯄꯁꯤꯜꯂꯤ ꯑꯃꯁꯨꯡ ꯈꯣꯡꯒꯤ ꯃꯊꯛꯇꯥ ꯂꯩꯕꯥ ꯁꯔꯨ ꯇꯥꯡ ꯑꯗꯨꯅꯥ ꯃꯇꯨꯡꯗꯥ ꯀꯨꯄꯁꯤꯜꯂꯤ꯫ ꯅꯍꯥꯛꯀꯤ ꯈꯨꯠꯁꯥꯗꯥ ꯂꯩꯕꯥ ꯇꯣꯉꯥꯟ-ꯇꯣꯉꯥꯅꯕꯥ ꯇꯦꯟꯗꯣꯅꯁꯤꯡ ꯑꯗꯨ ꯁꯣꯀꯍꯜꯂꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯁꯔꯨ ꯇꯥꯡꯁꯤꯡꯗꯥ ꯆꯦꯟꯊꯈꯤꯕꯥ ꯐꯣꯔꯁꯁꯤꯡꯒꯤ ꯃꯌꯦꯛ ꯁꯦꯡꯕꯥ ꯕꯦꯂꯦꯟꯁ ꯑꯗꯨ ꯍꯣꯡꯗꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯗꯨꯗꯥ ꯈꯨꯠꯁꯥꯁꯤꯡ ꯑꯁꯤ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯇꯣꯉꯥꯟ ꯇꯣꯉꯥꯅꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯀꯨꯄꯁꯤꯅꯕꯥ ꯍꯧꯔꯀꯏ꯫ ꯑꯌꯥꯝꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯗꯥ (Swan Neck Deformity) ꯑꯁꯤ (Rheumatoid Arthritis)ꯒꯨꯝꯕꯥ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯇꯔꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯊꯣꯀꯏ꯫ ꯑꯗꯨꯕꯨ ꯈꯔꯒꯤ ꯑꯣꯏꯅꯗꯤ ꯃꯁꯤ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯑꯃꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯑꯀꯛꯅꯕꯥ ꯅ꯭ꯌꯨꯔꯣꯂꯣꯖꯤꯀꯦꯜ ꯗꯤꯁꯑꯣꯔꯗꯔ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯗꯁꯨ (Swan Neck Deformity) ꯂꯥꯀꯄꯥ ꯌꯥꯏ꯫

ꯁ꯭ꯕꯟ ꯅꯦꯛ ꯗꯤꯐꯣꯔꯃꯤꯇꯤꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯀꯔꯤꯅꯣ?

ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯂꯥꯏꯑꯣꯡꯗꯤ ꯅꯍꯥꯛꯀꯤ ꯐꯤꯉ꯭ꯒꯔ (finger joints) ꯑꯗꯨ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯍꯅꯕꯅꯤ꯫ ꯅꯍꯥꯛꯅꯥ ꯗꯤꯐꯣꯔꯃꯤꯇꯤ ꯑꯁꯤ ꯂꯩꯕꯥ ꯃꯇꯃꯗꯥ, ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡ ꯅꯠꯠꯔꯒꯥ ꯈꯣꯡ ꯑꯗꯨ ꯂꯦꯡꯗꯅꯥ ꯂꯩꯔꯤꯕꯗꯁꯨ ꯃꯑꯣꯡ ꯑꯗꯨꯗꯥ ꯂꯩ꯫ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯃꯇꯃꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ ꯍꯦꯟꯅꯥ ꯐꯠꯆꯤꯜꯂꯛꯇꯕꯥ ꯌꯥꯏ꯫ ꯅꯍꯥꯛꯅꯥ ꯁꯣꯀꯍꯜꯂꯕꯥ ꯃꯈꯨꯠ ꯑꯗꯨ ꯁꯥꯡꯗꯣꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯀꯨꯄꯁꯤꯅꯕꯗꯥ ꯑꯋꯥꯕꯥ ꯃꯥꯌꯣꯛꯅꯔꯀꯄꯥ ꯌꯥꯏ, ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯈꯨꯠꯁꯥ ꯑꯗꯨ ꯁꯤꯖꯤꯟꯅꯕꯗꯁꯨ ꯑꯋꯥꯕꯥ ꯃꯥꯌꯣꯛꯅꯔꯀꯄꯥ ꯌꯥꯏ꯫

ꯅꯍꯥꯛꯅꯥ ꯁ꯭ꯕꯟ ꯅꯦꯛ ꯗꯤꯐꯣꯔꯃꯤꯇꯤ ꯑꯃꯥ ꯐꯤꯉ꯭ꯒꯔꯗꯥ ꯂꯩꯕꯥ ꯇꯣꯞ ꯇꯣꯞꯄꯥ ‘S’ ꯃꯑꯣꯡ ꯑꯗꯨ ꯌꯦꯡꯗꯨꯅꯥ ꯈꯪꯕꯥ ꯌꯥꯏ:

• ꯅꯥꯀꯣꯡꯒꯤ ꯃꯅꯥꯛꯇꯥ ꯂꯩꯕꯥ ꯗꯤꯁ꯭ꯇꯦꯜ ꯖꯣꯟ ꯑꯗꯨ ꯃꯃꯥꯡꯂꯣꯃꯗꯥ ꯀꯨꯄꯁꯤꯜꯂꯦ ꯑꯃꯁꯨꯡ ꯇꯨꯔꯦꯂꯒꯤ ꯁꯔꯨꯛ ꯑꯃꯒꯨꯝꯅꯥ ꯋꯥꯡꯈꯠꯂꯛꯂꯦ꯫
• ꯃꯔꯛꯇꯥ ꯂꯩꯕꯥ ꯖꯣꯟ ꯑꯗꯨ ꯍꯟꯖꯤꯟ ꯍꯟꯖꯤꯟ ꯀꯨꯄꯁꯤꯜꯂꯤ ꯑꯃꯁꯨꯡ ꯂꯃꯗꯝ ꯑꯃꯒꯨꯝꯅꯥ ꯍꯟꯊꯍꯜꯂꯤ꯫

ꯑꯇꯣꯞꯄꯥ ꯑꯣꯏꯊꯣꯀꯄꯥ ꯌꯥꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡꯗꯤ:

• ꯃꯇꯃꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ ꯍꯦꯅꯒꯠꯂꯛꯂꯤꯕꯥ ꯐꯤꯉ꯭ꯒꯔꯒꯤ ꯁꯔꯨ ꯇꯥꯡꯁꯤꯡꯗꯥ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯁꯣꯟꯊꯕꯥ꯫
• ꯅꯍꯥꯛꯀꯤ ꯐꯤꯉ꯭ꯒꯔ ꯁꯤꯖꯤꯟꯅꯅꯕꯥ ꯍꯣꯠꯅꯕꯗꯥ ꯁ꯭ꯅꯦꯞ ꯇꯧꯕꯥ ꯁꯦꯟꯁꯟ ꯑꯃꯥ꯫
• ꯐꯤꯉ꯭ꯒꯔ ꯑꯗꯨ ꯀꯨꯄꯁꯤꯟꯅꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯁꯤꯖꯤꯟꯅꯅꯕꯥ ꯍꯣꯠꯅꯕꯗꯥ ꯑꯅꯥꯕꯥ ꯐꯥꯎꯕꯥ꯫
• ꯈꯨꯠ ꯁꯤꯖꯤꯟꯅꯕꯗꯥ ꯑꯋꯥꯕꯥ .

ꯃꯁꯤ ꯀꯔꯤꯒꯤ ꯊꯣꯛꯂꯤꯕꯅꯣ? ꯁ꯭ꯕꯟ ꯅꯦꯛ ꯗꯤꯐꯣꯔꯃꯤꯇꯤꯒꯤ ꯃꯔꯃꯁꯤꯡ ꯀꯔꯤꯅꯣ?

ꯇꯁꯦꯡꯅꯥ ꯃꯁꯤꯒꯤ ꯃꯔꯝ ꯀꯌꯥ ꯑꯃꯥ ꯂꯩꯕꯥ ꯌꯥꯏ꯫

• ꯑꯔꯊ꯭ꯔꯥꯏꯇꯤꯁꯀꯤ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ: ꯃꯔꯨꯑꯣꯏꯅꯥ ꯈꯨꯠꯁꯥꯒꯤ ꯁꯔꯨ ꯇꯥꯡꯁꯤꯡꯗꯥ ꯁꯣꯀꯍꯜꯂꯕꯥ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ꯫ꯃꯁꯤ ꯑꯌꯥꯝꯕꯅꯥ ꯔꯤꯌꯨꯃꯦꯇꯣꯏꯗ ꯑꯔꯊ꯭ꯔꯥꯏꯇꯤꯁꯒꯨꯝꯕꯥ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯇꯔꯤ ꯀꯟꯗꯤꯁꯅꯁꯤꯡꯅꯥ ꯊꯣꯀꯍꯅꯕꯅꯤ . ꯁꯣꯔꯤꯌꯥꯇꯤꯛ ꯑꯔꯊ꯭ꯔꯥꯏꯇꯤꯁ ꯑꯁꯤꯁꯨ ꯐꯦꯛꯇꯔ ꯑꯃꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯐꯤꯉ꯭ꯒꯔꯗꯥ ꯂꯩꯕꯥ ꯇꯔꯨ-ꯇꯅꯥꯅꯕꯥ ꯇꯤꯁꯨꯁꯤꯡꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯜꯂꯤ ꯑꯃꯁꯨꯡ ꯇꯦꯟꯗꯣꯅꯁꯤꯡ ꯁꯣꯀꯍꯜꯂꯤ꯫
• ꯀꯅꯦꯛꯇꯤꯕ ꯇꯤꯁꯨꯒꯤ ꯂꯥꯌꯅꯥꯁꯤꯡ : ꯅꯍꯥꯛꯀꯤ ꯈꯨꯠꯁꯥꯗꯥ ꯁꯣꯀꯍꯜꯂꯤꯕꯥ ꯂꯥꯌꯅꯥ ꯈꯔꯗꯤ, ꯍꯥꯌꯕꯗꯤ ꯁ꯭ꯛꯂꯦꯔꯣꯗꯥꯔꯃꯥ ꯑꯃꯁꯨꯡ ꯂꯨꯄꯁꯅꯥ ꯇꯔꯨ-ꯇꯅꯥꯅꯕꯥ ꯇꯤꯁꯨꯁꯤꯡꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ ꯑꯃꯁꯨꯡ ꯇꯦꯟꯗꯣꯅꯁꯤꯡ ꯁꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫
• ꯃꯁꯜ ꯁ꯭ꯄꯥꯁ꯭ꯇꯤꯁꯤꯇꯤ : ꯇ꯭ꯔꯣꯃꯥꯇꯤꯛ ꯕ꯭ꯔꯦꯅꯒꯤ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯅꯠꯠꯔꯒꯥ ꯁꯦꯔꯤꯕ꯭ꯔꯦꯜ ꯄꯥꯂꯁꯤꯒꯨꯝꯕꯥ ꯅ꯭ꯌꯨꯔꯣꯂꯣꯖꯤꯀꯦꯜ ꯗꯤꯁꯑꯣꯔꯗꯔ ꯈꯔꯗꯤ ꯏꯅꯚꯣꯂꯨꯟꯇꯔꯤ ꯃꯁꯜ ꯁ꯭ꯄꯥꯁꯃꯁꯤꯡ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯅꯥ ꯐꯤꯉ꯭ꯒꯔꯗꯥ ꯂꯩꯕꯥ ꯃꯁꯜ ꯈꯔꯗꯤ ꯌꯥꯝꯅꯥ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯁꯣꯟꯊꯍꯅꯕꯥ ꯌꯥꯏ, ꯃꯗꯨꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯏꯃꯕꯦꯂꯦꯟꯁ ꯂꯩꯍꯅꯕꯥ ꯌꯥꯏ꯫
• ꯁꯣꯀꯍꯜꯂꯕꯥ ꯑꯁꯣꯛ-ꯑꯄꯅꯁꯤꯡ (traumatic Injuries): ꯐꯤꯉ꯭ꯒꯔꯗꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯍꯅꯕꯥ , ꯍꯥꯌꯕꯗꯤ ꯁꯣꯛ-ꯄꯅꯕꯥ, ꯐ꯭ꯔꯦꯀꯆꯔ ꯅꯠꯠꯔꯒꯥ ꯇꯦꯟꯗꯣꯅꯒꯤ ꯑꯁꯣꯛ-ꯑꯄꯟ ( Mallet Finger) , ꯑꯁꯤꯅꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤ ꯐꯤꯉ꯭ꯒꯔꯗꯥ ꯂꯩꯕꯥ ꯑꯀꯛꯅꯕꯥ ꯇꯦꯟꯗꯣꯅꯁꯤꯡ (Swan Neck Deformity) ꯁꯣꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯁꯣꯀꯄꯗꯒꯤꯁꯨ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫

ꯐꯤꯉ꯭ꯒꯔ ꯖꯣꯅꯁꯤꯡ ꯑꯁꯤ ꯐꯤꯉ꯭ꯒꯔ ꯖꯣꯅꯁꯤꯡ ꯑꯁꯤ ꯀꯨꯄꯁꯤꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯁꯦꯡꯗꯣꯀꯄꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯂꯤꯕꯥ ꯃꯌꯦꯛ ꯁꯦꯡꯕꯥ ꯃꯦꯀꯥꯅꯤꯖꯝ ꯑꯗꯨꯗꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯃꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯁꯣꯀꯍꯜꯂꯤ – ꯑꯩꯈꯣꯌꯅꯥ ꯃꯁꯤꯕꯨ ‘ꯑꯦꯛꯁꯇꯦꯟꯁꯔ ꯃꯦꯀꯥꯅꯤꯖꯝ’ ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯀꯝꯞꯂꯦꯛꯁ ꯑꯣꯏꯕꯥ ꯁꯤꯁ꯭ꯇꯦꯝ ꯑꯃꯅꯤ꯫ ꯇꯦꯟꯗꯣꯅꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯃꯁꯂꯁꯤꯡꯅꯥ ꯂꯤꯚꯔ ꯑꯃꯁꯨꯡ ꯄꯨꯂꯤꯁꯤꯡꯒꯨꯝꯅꯥ ꯐꯤꯉ꯭ꯒꯔ ꯖꯣꯅꯁꯤꯡꯗꯥ ꯄꯨꯟꯅꯥ ꯊꯕꯛ ꯇꯧꯃꯤꯟꯅꯩ꯫ ꯁꯔꯨꯛ ꯄꯨꯝꯅꯃꯛ ꯑꯁꯤ ꯄꯨꯟꯅꯥ ꯊꯕꯛ ꯇꯧꯃꯤꯟꯅꯗꯨꯅꯥ ꯑꯃꯒꯥ ꯑꯃꯒꯥ ꯕꯦꯂꯦꯟꯁ ꯇꯧꯕꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯁꯔꯨꯛ ꯑꯃꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯅꯕꯅꯥ ꯑꯇꯣꯞꯄꯥ ꯁꯔꯨꯀꯁꯤꯡꯗꯥ ꯇꯣꯉꯥꯟ-ꯇꯣꯉꯥꯅꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯁꯣꯀꯍꯜꯂꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯖꯣꯟ ꯑꯃꯗꯥ ꯃꯥꯌꯀꯩ ꯑꯃꯗꯥ ꯄꯨꯁꯤꯜꯂꯀꯄꯥ ꯐꯣꯔꯁ ꯑꯗꯨ ꯍꯟꯊꯔꯛꯂꯕꯗꯤ, ꯑꯇꯣꯞꯄꯥ ꯖꯣꯟ ꯑꯃꯗꯥ ꯑꯇꯣꯞꯄꯥ ꯃꯥꯌꯀꯩ ꯑꯃꯗꯥ ꯄꯨꯁꯤꯜꯂꯤꯕꯥ ꯐꯣꯔꯁ ꯑꯗꯨ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ ꯌꯥꯏ꯫ (Swan Neck Deformity) ꯃꯁꯤ ꯑꯌꯥꯝꯕꯗꯤ ꯁꯔꯨ ꯇꯥꯡ ꯑꯃꯗꯒꯤ ꯍꯧꯏ, ꯑꯃꯁꯨꯡ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯑꯇꯩ ꯁꯔꯨ ꯇꯥꯡꯁꯤꯡꯗꯨꯁꯨ ꯃꯗꯨꯒꯥ ꯃꯥꯟꯅꯅꯥ ꯍꯣꯡꯏ꯫

ꯃꯁꯤ ꯊꯣꯀꯄꯥ ꯌꯥꯕꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯑꯣꯡ ꯑꯍꯨꯝ ꯂꯩ:

• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯐꯤꯉ꯭ꯒꯔꯒꯤ ꯃꯊꯛꯇꯥ ꯂꯩꯕꯥ ꯑꯦꯛꯁꯇꯦꯟꯁꯟ ꯇꯦꯟꯗꯣꯟ ꯑꯗꯨ ꯁꯣꯀꯍꯜꯂꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯁꯣꯟꯊꯔꯕꯗꯤ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯐꯤꯉ꯭ꯒꯔꯒꯤ ꯃꯈꯥ ꯊꯪꯕꯥ ꯁꯔꯨꯛꯇꯥ ꯂꯩꯕꯥ ꯂꯤꯒꯥꯃꯦꯟꯇ (Volar Plate Ligament) ꯑꯗꯨ ꯁꯣꯀꯍꯜꯂꯕꯗꯤ ꯅꯠꯠꯔꯒꯥ ꯁꯣꯟꯊꯔꯕꯗꯤ꯫
• ꯀꯟꯠꯔꯦꯛꯇ ꯑꯁꯤ ꯐꯤꯉ꯭ꯒꯔꯗꯥ ꯂꯩꯕꯥ ꯃꯁꯂꯁꯤꯡ ꯑꯗꯨ ꯌꯥꯝꯅꯥ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯁꯣꯟꯊꯔꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯀꯟꯠꯔꯦꯛꯇ ꯇꯧꯕꯥ ꯃꯇꯃꯗꯥ ꯊꯣꯀꯏ꯫

ꯗꯣꯛꯇꯔ ꯑꯃꯅꯥ ꯃꯁꯤ ꯀꯔꯝꯅꯥ ꯈꯉꯒꯅꯤ?

ꯗꯣꯛꯇꯔ ꯑꯃꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯐꯤꯉ꯭ꯒꯔ ꯅꯠꯠꯔꯒꯥ ꯐꯤꯉ꯭ꯒꯔ ꯑꯗꯨ ꯌꯦꯡꯁꯤꯟꯗꯨꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯁ꯭ꯕꯟ ꯅꯦꯛ ꯗꯤꯐꯣꯔꯃꯤꯇꯤ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯈꯪꯗꯣꯛꯀꯅꯤ꯫ ꯃꯈꯣꯌꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯁꯔꯨ ꯇꯥꯡ ꯑꯗꯨ ꯀꯌꯥꯝ ꯂꯥꯞꯅꯥ ꯀꯨꯄꯁꯤꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯁꯥꯡꯗꯣꯀꯄꯥ ꯌꯥꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯒꯅꯤ, ꯑꯃꯁꯨꯡ ꯃꯗꯨ ꯀꯌꯥꯝ ꯀꯨꯄꯁꯤꯅꯕꯥ ꯌꯥꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯒꯅꯤ꯫ ꯃꯈꯣꯌꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯁꯦꯂꯒꯤ ꯍꯤꯁ꯭ꯇꯔꯤ, ꯅꯍꯥꯛꯅꯥ ꯊꯦꯡꯅꯔꯤꯕꯥ ꯀ꯭ꯔꯣꯅꯤꯛ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯍꯦꯛꯇꯒꯤ ꯃꯇꯥꯡꯗꯁꯨ ꯍꯪꯒꯅꯤ, ꯅꯠꯠꯔꯒꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯗꯨꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯈꯤꯕꯥ ꯌꯥꯕꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯑꯃꯍꯦꯛꯇꯒꯤ ꯃꯇꯥꯡꯗꯁꯨ ꯍꯪꯒꯅꯤ꯫

ꯌꯥꯑꯣꯔꯃꯒꯗꯕꯗꯤ ꯅꯍꯥꯛꯅꯥ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯑꯁꯤꯁꯨ ꯇꯧꯕꯥ ꯌꯥꯏ:

• (ꯑꯦꯛꯁ-ꯔꯦ) ꯅꯠꯠꯔꯒꯥ (MRI) ꯁ꯭ꯀꯦꯟ – ꯑꯁꯣꯛ-ꯑꯄꯟ ꯅꯠꯠꯔꯒꯥ ꯑꯔꯊ꯭ꯔꯥꯏꯇꯤꯁ ꯑꯃꯠꯇꯥ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯁꯤꯟꯅꯕꯥ꯫
• ꯕ꯭ꯂꯗ ꯇꯦꯁ꯭ꯠ – ꯏꯅꯐ꯭ꯂꯦꯃꯦꯇꯔꯤ ꯂꯥꯌꯅꯥꯁꯤꯡ ꯈꯪꯗꯣꯀꯄꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯅꯕꯥ꯫

ꯃꯁꯤ ꯂꯥꯌꯦꯡꯅꯕꯥ ꯀꯔꯤ ꯇꯧꯕꯥ ꯌꯥꯕꯒꯦ?

ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯑꯌꯥꯝꯕꯗꯤ ꯃꯁꯤ (Swan Neck Deformity) ꯑꯁꯤ ꯍꯦꯟꯗ ꯊꯦꯔꯥꯄꯤ ꯑꯃꯁꯨꯡ ꯁ꯭ꯞꯂꯤꯟꯇꯤꯡ (ꯃꯁꯤꯅꯥ, ꯐꯤꯉ꯭ꯒꯔꯗꯥ ꯁꯄꯣꯔꯠ ꯑꯃꯥ ꯊꯃꯗꯨꯅꯥ)ꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯀꯣꯀꯍꯟꯅꯕꯥ ꯍꯣꯠꯅꯩ꯫ ꯍꯦꯟꯗ ꯊꯦꯔꯥꯄꯤꯁ꯭ꯠ ꯑꯃꯅꯥ ꯇꯣꯉꯥꯟ-ꯇꯣꯉꯥꯅꯕꯥ ꯃꯈꯂꯒꯤ ꯐꯤꯉ꯭ꯒꯔ ꯁ꯭ꯞꯂꯤꯟꯇꯁꯤꯡ ꯄꯤꯕꯥ ꯌꯥꯏ ꯑꯃꯁꯨꯡ ꯇꯣꯉꯥꯟ-ꯇꯣꯉꯥꯅꯕꯥ ꯁꯔꯨ ꯇꯥꯡꯁꯤꯡ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯀꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯃꯈꯣꯌꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯌꯨꯃꯗꯥ ꯇꯧꯕꯥ ꯌꯥꯕꯥ ꯏꯆꯝ ꯆꯝꯕꯥ ꯐꯤꯉ꯭ꯒꯔ ꯑꯦꯛꯁꯔꯁꯥꯏꯖꯁꯤꯡꯁꯨ ꯇꯝꯕꯤꯕꯥ ꯌꯥꯏ꯫

ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯁꯔꯨ ꯇꯥꯡꯁꯤꯡ ꯑꯗꯨ ꯌꯥꯝꯅꯥ ꯂꯨꯕꯥ ꯑꯣꯏꯔꯕꯗꯤ ꯅꯠꯠꯔꯒꯥ ꯅꯍꯥꯛꯅꯥ ꯁꯦꯃꯖꯤꯟ-ꯁꯥꯖꯤꯅꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯑꯁꯣꯀꯄꯥ ꯑꯃꯥ ꯂꯩꯔꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯁꯔꯖꯔꯤ ꯇꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯏ . ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯃꯗꯥ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯇꯤꯁꯨ ꯈꯔꯗꯤ ꯔꯤꯂꯤꯖ ꯇꯧꯕꯥ ꯑꯃꯁꯨꯡ ꯑꯇꯩ ꯔꯤꯄꯦꯌꯥꯔ ꯇꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯏ꯫ ꯅꯠꯠꯔꯒꯥ, ꯅꯍꯥꯛꯀꯤ ꯐꯤꯉ꯭ꯒꯔ ꯖꯣꯅꯁꯤꯡꯗꯥ ꯂꯩꯕꯥ ꯐꯣꯔꯁꯁꯤꯡ ꯑꯗꯨ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯕꯦꯂꯦꯟꯁ ꯇꯧꯅꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯇꯦꯟꯗꯣꯅꯁꯤꯡ ꯑꯗꯨ ꯂꯧꯊꯣꯀꯄꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯏ꯫ ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ, ꯅꯍꯥꯛꯅꯥ ꯁ꯭ꯞꯂꯤꯟꯇ ꯑꯃꯥ ꯁꯤꯖꯤꯟꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯍꯦꯟꯗ ꯊꯦꯔꯥꯄꯤ ꯃꯈꯥ ꯆꯠꯊꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯏ꯫

ꯐꯤꯚꯝ ꯑꯁꯤꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯑꯩꯅꯥ ꯀꯔꯤ ꯑꯥꯁꯥ ꯇꯧꯕꯥ ꯌꯥꯕꯒꯦ?

ꯂꯥꯏꯌꯦꯡꯕꯅꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯗꯨ ꯐꯒꯠꯍꯅꯕꯥ ꯉꯝꯃꯤ ꯑꯃꯁꯨꯡ ꯈꯣꯡꯗꯥ ꯆꯠꯄꯒꯤ ꯔꯦꯟꯖ ꯈꯔꯥ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯄꯨꯔꯀꯄꯥ ꯉꯝꯃꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯗꯨ ꯇꯣꯏꯅꯥ ꯈꯪꯗꯣꯛꯂꯕꯥ ꯑꯃꯁꯨꯡ ꯇꯣꯏꯅꯥ ꯂꯥꯏꯌꯦꯡꯂꯕꯗꯤ ꯐꯂꯁꯤꯡ ꯑꯁꯤ ꯃꯔꯨꯑꯣꯏꯅꯥ ꯐꯩ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯁꯔꯖꯔꯤꯗꯁꯨ ꯀꯟꯗꯤꯁꯟ ꯑꯗꯨ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯀꯣꯀꯍꯅꯕꯥ ꯉꯃꯗꯕꯥ ꯌꯥꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯗꯨ ꯊꯣꯀꯍꯜꯂꯤꯕꯥ ꯀ꯭ꯔꯣꯅꯤꯛ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯥ ꯂꯩꯔꯕꯗꯤ ꯃꯗꯨ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯂꯥꯀꯄꯥ ꯌꯥꯏ꯫

ꯑꯩꯒꯤ ꯃꯥꯌꯀꯩꯗꯒꯤ ꯀꯔꯤ ꯇꯧꯕꯥ ꯌꯥꯕꯒꯦ?

ꯅꯍꯥꯛꯅꯥ ꯖꯦꯅꯦꯔꯦꯜ ꯇ꯭ꯔꯤꯠꯃꯦꯟꯇ ꯅꯠꯠꯔꯒꯥ ꯁꯔꯖꯔꯤ ꯇꯧꯔꯕꯁꯨ, ꯅꯍꯥꯛꯀꯤ ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯐꯒꯠꯂꯀꯄꯗꯥ ꯍꯦꯟꯗ ꯊꯦꯔꯥꯄꯤ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯁ꯭ꯕꯟ ꯅꯦꯛ ꯗꯤꯐꯣꯔꯃꯤꯇꯤꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯂꯤꯕꯥ ꯑꯟꯗꯔꯂꯥꯏꯟ ꯃꯦꯗꯤꯀꯦꯜ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯥ ꯂꯩꯔꯕꯗꯤ ꯃꯁꯤ ꯃꯔꯨꯑꯣꯏꯅꯥ ꯆꯨꯝꯃꯤ꯫ ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯍꯦꯟꯗ ꯊꯦꯔꯥꯄꯤ ꯃꯈꯥ ꯇꯥꯅꯥ ꯁꯤꯖꯤꯟꯅꯕꯅꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯥ ꯐꯂꯁꯤꯡ ꯐꯪꯅꯕꯒꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯥ ꯄꯥꯝꯕꯩꯅꯤ꯫

ꯁ꯭ꯕꯟ ꯅꯦꯛ ꯗꯤꯐꯣꯔꯃꯤꯇꯤꯒꯤ ꯂꯥꯏꯌꯦꯡ ꯑꯁꯤ ꯑꯌꯥꯝꯕꯗꯤ ꯃꯈꯥꯒꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯗꯨ ꯂꯥꯏꯌꯦꯡꯕꯗꯥ ꯌꯨꯝꯐꯝ ꯑꯣꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯃꯁꯤ ꯑꯟꯗꯔꯂꯥꯏꯟ ꯀꯟꯗꯤꯁꯅꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ ꯌꯥꯝꯅꯥ ꯂꯨꯕꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫ ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯃꯇꯝ ꯑꯃꯗꯥ ꯑꯁꯣꯀꯄꯥ ꯑꯃꯥ ꯁꯔꯖꯔꯤꯅꯥ ꯔꯤꯄꯦꯌꯥꯔ ꯇꯧꯕꯥ ꯌꯥꯏ, ꯑꯗꯨꯕꯨ ꯔꯤꯌꯨꯃꯦꯇꯣꯏꯗ ꯑꯔꯊ꯭ꯔꯥꯏꯇꯤꯁꯒꯨꯝꯕꯥ ꯀ꯭ꯔꯣꯅꯤꯛ ꯀꯟꯗꯤꯁꯅꯁꯤꯡꯗꯤ ꯄꯨꯟꯁꯤ ꯆꯨꯞꯄꯥ ꯂꯥꯏꯌꯦꯡꯕꯥ ꯃꯊꯧ ꯇꯥꯏ꯫

ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯁ꯭ꯕꯟ ꯅꯦꯛ ꯗꯤꯐꯣꯔꯃꯤꯇꯤꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯂꯤꯕꯥ ꯇꯣꯉꯥꯟ-ꯇꯣꯉꯥꯅꯕꯥ ꯐꯦꯛꯇꯔꯁꯤꯡ ꯑꯗꯨ ꯃꯦꯅꯦꯖ ꯇꯧꯅꯕꯥ ꯃꯈꯣꯌꯒꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯥ ꯊꯕꯛ ꯇꯧꯒꯅꯤ꯫ ꯃꯈꯣꯌꯅꯥ ꯑꯗꯣꯃꯗꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯍꯦꯟꯅꯥ ꯐꯠꯆꯤꯜꯂꯛꯇꯕꯥ ꯑꯃꯁꯨꯡ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯂꯥꯀꯄꯥ ꯊꯤꯡꯒꯗꯒꯦ ꯍꯥꯌꯕꯒꯤ ꯄꯥꯎꯇꯥꯀꯁꯨ ꯄꯤꯒꯅꯤ꯫ ꯃꯈꯣꯌꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯨꯠꯁꯥꯁꯤꯡ ꯑꯗꯨ ꯈꯔꯥ ꯇꯣꯉꯥꯅꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯎꯔꯕꯁꯨ ꯌꯥꯔꯤꯕꯃꯈꯩ ꯐꯉ꯭ꯀꯁꯟ ꯑꯃꯁꯨꯡ ꯃꯨꯚꯃꯦꯟꯇ ꯑꯗꯨ ꯂꯦꯡꯗꯅꯥ ꯊꯝꯅꯕꯒꯤꯗꯃꯛ ꯌꯨꯃꯗꯥ ꯇꯧꯕꯥ ꯌꯥꯕꯥ ꯊꯕꯀꯁꯤꯡꯒꯤ ꯃꯇꯥꯡꯗꯁꯨ ꯈꯪꯍꯜꯂꯛꯀꯅꯤ꯫

ꯑꯗꯨꯅꯥ, ꯃꯁꯤ ꯄꯨꯝꯅꯃꯛ ꯑꯁꯤꯗꯒꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯅꯤꯡꯁꯤꯡꯒꯗꯕꯥ ꯋꯥꯐꯃꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?

• ꯁ꯭ꯕꯟ ꯅꯦꯛ ꯗꯤꯐꯣꯔꯃꯤꯇꯤ ꯍꯥꯌꯕꯁꯤ ꯈꯣꯏꯍꯤꯒꯤ ꯈꯣꯡꯒꯨꯝꯅꯥ ‘S’ ꯃꯑꯣꯡ ꯑꯃꯗꯥ ꯀꯨꯄꯁꯤꯅꯕꯥ ꯌꯥꯕꯥ ꯗꯤꯐꯣꯔꯃꯤꯇꯤ ꯑꯃꯅꯤ꯫ ꯃꯁꯤ ꯐꯤꯉ꯭ꯒꯔ ꯑꯗꯨꯒꯤ ꯃꯀꯣꯛ ꯑꯗꯨ ꯃꯃꯥꯡꯂꯣꯃꯗꯥ ꯀꯨꯄꯁꯤꯜꯂꯕꯥ ꯑꯃꯁꯨꯡ ꯃꯔꯛꯇꯥ ꯂꯩꯕꯥ ꯁꯔꯨ ꯇꯥꯡ ꯑꯗꯨ ꯃꯇꯨꯡꯗꯥ ꯀꯨꯄꯁꯤꯜꯂꯕꯥ ꯃꯇꯃꯗꯥ ꯊꯣꯀꯏ꯫
• ꯃꯁꯤ ꯑꯌꯥꯝꯕꯗꯤ ꯔꯤꯌꯨꯃꯦꯇꯣꯏꯗ ꯑꯔꯊ꯭ꯔꯥꯏꯇꯤꯁꯒꯨꯝꯕꯥ ꯑꯔꯊ꯭ꯔꯥꯏꯇꯤꯁꯀꯤ ꯀꯟꯗꯤꯁꯅꯁꯤꯡꯅꯥ ꯊꯣꯀꯍꯅꯕꯅꯤ, ꯑꯗꯨꯕꯨ ꯃꯁꯤ ꯑꯁꯣꯛ-ꯑꯄꯟ, ꯑꯇꯩ ꯀꯅꯦꯛꯇꯤꯚ ꯇꯤꯁꯨꯒꯤ ꯂꯥꯌꯅꯥꯁꯤꯡ, ꯑꯃꯁꯨꯡ ꯅꯔꯚ ꯗꯤꯁꯑꯣꯔꯗꯔꯁꯤꯡꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫
• ꯃꯔꯨꯑꯣꯏꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡꯗꯤ ꯐꯤꯉ꯭ꯒꯔꯗꯥ ꯁꯣꯟꯊꯕꯥ, ꯃꯗꯨ ꯀꯨꯄꯁꯤꯅꯕꯥ ꯃꯇꯃꯗꯥ ‘ꯀ꯭ꯂꯤꯛ’ ꯇꯧꯔꯀꯄꯥ, ꯑꯁꯣꯛ-ꯑꯄꯟ, ꯑꯃꯁꯨꯡ ꯈꯨꯠ ꯁꯤꯖꯤꯟꯅꯕꯗꯥ ꯑꯋꯥꯕꯥ ꯑꯁꯤꯅꯤ꯫
• ꯃꯁꯤ ꯃꯦꯗꯤꯀꯦꯜ ꯑꯦꯀꯖꯥꯃꯤꯅꯦꯁꯟ ꯑꯃꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ, ꯑꯦꯛꯁ-ꯔꯦ ꯅꯠꯠꯔꯒꯥ ꯑꯦꯝ.ꯑꯥꯔ.ꯑꯥꯏ .
• ꯍꯦꯟꯗ ꯊꯦꯔꯥꯄꯤ , ꯁ꯭ꯞꯂꯤꯟꯇꯤꯡ , ꯑꯃꯁꯨꯡ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯁꯔꯖꯔꯤ ꯑꯁꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯂꯥꯌꯦꯡꯁꯤꯡꯅꯤ꯫
• ꯉꯟꯅꯥ ꯂꯥꯏꯌꯦꯡ ꯍꯧꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫ ꯃꯁꯤꯗꯁꯨ ꯅꯠꯇꯅꯥ, ꯑꯟꯗꯔꯂꯥꯏꯟ ꯀꯟꯗꯤꯁꯟ ꯑꯗꯨ ꯃꯇꯤꯛ ꯆꯥꯅꯥ ꯂꯥꯏꯌꯦꯡꯕꯥ ꯑꯃꯁꯨꯡ ꯃꯈꯥ ꯇꯥꯅꯥ ꯃꯦꯅꯨꯑꯦꯜ ꯊꯦꯔꯥꯄꯤ ꯑꯁꯤ ꯐꯒꯠꯍꯟꯅꯕꯒꯤꯗꯃꯛ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯂꯩꯔꯕꯗꯤ, ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯌꯥꯎꯗꯅꯥ ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯄꯥꯎꯇꯥꯛ ꯂꯧꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯩ꯫ ꯈꯨꯗꯛꯇꯥ ꯂꯥꯏꯌꯦꯡꯕꯅꯥ ꯌꯥꯝꯅꯥ ꯐꯕꯥ ꯐꯜ ꯄꯤꯕꯥ ꯉꯝꯃꯤ꯫

` ꯁ꯭ꯕꯟ ꯅꯦꯛ ꯗꯤꯐꯣꯔꯃꯤꯇꯤ, ꯐꯤꯉ꯭ꯒꯔ ꯑꯦꯛꯁꯇꯦꯟꯁꯟ, ꯑꯔꯊ꯭ꯔꯥꯏꯇꯤꯁ, ꯖꯣꯏꯟꯇ ꯗꯤꯖꯤꯖ, ꯍꯦꯟꯗ ꯊꯦꯔꯥꯄꯤ, ꯐꯤꯉ꯭ꯒꯔ ꯄꯦꯏꯟ꯫