ꯉꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯍꯤꯔꯝ ꯑꯃꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯔꯛꯂꯤ, ꯃꯗꯨ ꯈꯔꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯕꯗꯥ ꯌꯥꯝꯅꯥ ꯂꯨꯕꯥ ꯋꯥꯐꯝ ꯑꯃꯅꯤ, ꯑꯗꯨꯕꯨ ꯃꯗꯨ ꯌꯥꯝꯅꯥ ꯃꯔꯨ ꯑꯣꯏ꯫ ꯃꯗꯨꯗꯤ ꯇꯦꯁ꯭ꯇꯤꯀꯂꯁꯤꯡꯗꯥ ꯑꯅꯥꯕꯥ . ꯃꯁꯤꯒꯤ ꯑꯅꯥꯕꯥ ꯑꯁꯤ ꯈꯪꯍꯧꯗꯅꯥ ꯂꯥꯀꯄꯥ ꯌꯥꯏ, ꯅꯠꯠꯔꯒꯥ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯔꯝ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯃꯥ ꯑꯣꯏꯔꯕꯁꯨ, ꯃꯁꯤ ꯃꯤꯠꯌꯦꯡ ꯆꯪꯗꯕꯥ ꯋꯥꯐꯝ ꯅꯠꯇꯦ꯫ ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯕꯗꯥ ꯂꯥꯡꯇꯛꯅꯒꯅꯨ ꯅꯠꯠꯔꯒꯥ ꯂꯥꯡꯇꯛꯅꯒꯅꯨ꯫ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯋꯥꯐꯃꯗꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯈꯪꯖꯤꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯊꯧ ꯇꯥꯔꯕꯗꯤ ꯌꯥꯔꯤꯕꯃꯈꯩ ꯊꯨꯅꯥ ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯄꯥꯎꯇꯥꯛ ꯂꯧꯕꯅꯤ꯫
ꯑꯍꯥꯅꯕꯗꯥ, ꯌꯦꯡꯁꯤ, ꯇꯦꯁ꯭ꯇꯤꯀꯜ ꯄꯦꯏꯟ ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ?
ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯇꯦꯁ꯭ꯇꯤꯀꯂꯁꯤꯡ ꯑꯁꯤ ꯅꯨꯄꯥꯒꯤ ꯔꯤꯞꯔꯗꯛꯇꯤꯚ ꯁꯤꯁ꯭ꯇꯦꯃꯗꯥ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ, ꯉꯥ ꯃꯑꯣꯡꯒꯤ ꯑꯣꯔꯒꯥꯟ ꯑꯅꯤꯅꯤ꯫ ꯃꯈꯣꯌ ꯑꯁꯤ ꯁ꯭ꯛꯔꯣꯇꯝ ꯀꯧꯕꯥ ꯈꯣꯡꯒꯤ ꯄꯣꯠꯁꯛ ꯑꯃꯒꯤ ꯃꯅꯨꯡꯗꯥ, ꯂꯤꯅꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯂꯩ꯫ ꯇꯦꯁ꯭ꯇꯤꯀꯜ ꯑꯃꯗꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯅꯤꯃꯛꯇꯥ ꯑꯅꯥꯕꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫
ꯑꯗꯨꯕꯨ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯑꯅꯥꯕꯥ ꯑꯗꯨ ꯇꯦꯁ꯭ꯇꯤꯀꯂꯁꯤꯡꯗꯥ ꯐꯥꯑꯣꯔꯕꯁꯨ, ꯃꯔꯝ ꯑꯗꯨ ꯇꯁꯦꯡꯅꯥ ꯑꯇꯣꯞꯄꯥ ꯃꯐꯝ ꯑꯃꯗꯥ ꯂꯩꯕꯥ ꯌꯥꯏ꯫ ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯇꯦꯁ꯭ꯇꯤꯀꯂꯁꯤꯡꯗꯁꯨ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ, ꯃꯔꯃꯗꯤ ꯈꯣꯡ ꯅꯠꯠꯔꯒꯥ ꯈꯣꯡꯗꯥ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯑꯃꯥ ꯂꯩꯔꯀꯄꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ꯫ ꯑꯩꯈꯣꯌꯅꯥ ꯃꯁꯤꯕꯨ "ꯔꯤꯐꯔꯦꯟꯁ ꯄꯦꯟ" ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫
ꯃꯁꯤꯒꯤ ꯑꯋꯥꯕꯥ ꯑꯁꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯑꯣꯡ ꯑꯅꯤꯗꯥ ꯂꯥꯀꯄꯥ ꯌꯥꯏ:
- ꯑꯦꯛꯌꯨꯠ ꯄꯦꯏꯟ (acute Pain): ꯃꯁꯤ ꯈꯪꯍꯧꯗꯅꯥ ꯍꯧꯔꯀꯄꯥ, ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯑꯃꯁꯨꯡ ꯃꯇꯝ ꯈꯔꯒꯤ ꯑꯣꯏꯅꯥ ꯂꯩꯕꯥ ꯑꯅꯥꯕꯥ ꯑꯃꯅꯤ꯫
- ꯀ꯭ꯔꯣꯅꯤꯛ ꯄꯦꯏꯟ (Chronic Pain): ꯃꯁꯤ ꯈꯪꯍꯧꯗꯅꯥ ꯍꯧꯔꯀꯄꯥ, ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯂꯩꯕꯥ ꯑꯅꯥꯕꯥ ꯑꯃꯅꯤ꯫
ꯅꯤꯡꯁꯤꯡꯕꯤꯌꯨ, ꯇꯦꯁ꯭ꯇꯤꯀꯂꯁꯤꯡ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯁꯦꯟꯁꯤꯇꯤꯕ ꯑꯣꯏꯕꯥ ꯃꯐꯝ ꯑꯃꯅꯤ ꯑꯃꯁꯨꯡ ꯃꯁꯤꯗꯥ ꯅꯔꯚ ꯀꯌꯥ ꯂꯩ . ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯄꯤꯀꯄꯥ ꯑꯅꯥꯕꯥ ꯐꯥꯑꯣꯕꯥ ꯌꯥꯝꯅꯥ ꯀꯟꯅꯥ ꯁꯣꯀꯄꯥ ꯌꯥꯏ꯫
ꯃꯁꯤꯒꯤ ꯑꯋꯥꯕꯥ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯅꯍꯥꯛꯅꯥ ꯀꯔꯝꯅꯥ ꯈꯉꯒꯅꯤ? - ꯈꯨꯗꯛꯇꯥ ꯌꯦꯡꯁꯤꯅꯒꯗꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ꯫
ꯃꯁꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯁꯔꯨꯛ ꯑꯃꯅꯤ꯫ ꯇꯦꯁ꯭ꯇꯤꯀꯂꯁꯤꯡꯗꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯄꯥ ꯍꯥꯌꯕꯁꯤ ꯑꯆꯝꯕꯥ ꯊꯧꯑꯣꯡ ꯅꯠꯇꯦ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯄꯤꯀꯄꯥ ꯁꯣꯀꯄꯥ ꯌꯥꯕꯥ ꯄꯣꯠꯁꯛ ꯑꯃꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯃꯤꯅꯤꯠ ꯈꯔꯅꯤꯒꯤ ꯑꯣꯏꯅꯥ ꯁꯣꯀꯄꯥ ꯇꯥꯔꯕꯗꯤ ꯃꯁꯤ ꯇꯣꯉꯥꯅꯕꯥ ꯋꯥꯔꯤꯅꯤ꯫ ꯑꯗꯨꯕꯨ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯍꯦꯛꯇꯥ ꯂꯩꯔꯕꯗꯤ, ꯈꯨꯗꯛꯇꯥ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯜ ꯑꯃꯒꯤ ꯏꯃꯔꯖꯦꯟꯁꯤ ꯗꯤꯄꯥꯔꯇꯃꯦꯟꯇ (ETU)ꯗꯥ ꯆꯠꯂꯨ꯫
- ꯇꯦꯁ꯭ꯇꯤꯀꯜ ꯑꯃꯗꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯅꯤꯃꯛꯇꯥ ꯈꯪꯍꯧꯗꯅꯥ, ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯌꯥꯡꯅꯥ ꯁꯣꯀꯄꯥ꯫
- ꯑꯁꯣꯛ -ꯑꯄꯅꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯅꯣꯡꯃꯩ ꯀꯥꯞꯄꯥ ꯑꯃꯁꯨꯡ ꯈꯣꯡ ꯍꯥꯝꯕꯥ꯫
- ꯁ꯭ꯛꯔꯣꯇꯃꯗꯥ ꯁꯣꯀꯄꯥ, ꯂꯥꯎꯕꯥ , ꯅꯠꯠꯔꯒꯥ ꯃꯆꯨ ꯁꯪꯂꯀꯄꯥ꯫
- ꯑꯅꯥꯕꯥ ꯑꯗꯨ ꯄꯨꯡ ꯑꯃꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯂꯩ ꯅꯠꯠꯔꯒꯥ ꯂꯦꯡ-ꯑꯣꯠꯄꯗꯥ ꯐꯥꯎꯕꯥ ꯍꯟꯊꯗꯦ꯫
ꯍꯥꯌꯔꯤꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯇꯦꯁ꯭ꯇꯤꯀꯨꯂꯥꯔ ꯇꯣꯔꯁꯅꯅꯤ .ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯚꯦꯁ ꯗꯤꯐꯦꯔꯦꯟꯁ ꯀꯧꯕꯥ ꯌꯥꯝꯅꯥ ꯈꯨꯗꯣꯡꯊꯤꯅꯤꯉꯥꯏ ꯑꯣꯏꯕꯥ ꯑꯦꯃꯔꯖꯦꯟꯁꯤ ꯑꯃꯒꯤ ꯈꯨꯗꯃꯁꯤꯡ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤ ꯇꯦꯁ꯭ꯇꯤꯀꯂꯗꯥ ꯏꯒꯤ ꯁꯞꯂꯥꯏ ꯀꯀꯊꯠꯂꯕꯥ ꯑꯃꯁꯨꯡ ꯏꯒꯤ ꯁꯞꯂꯥꯏ ꯀꯀꯊꯠꯂꯕꯥ ꯃꯇꯃꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯁꯤ ꯄꯨꯡ ꯈꯔꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯁꯔꯖꯔꯤꯅꯥ ꯀꯣꯀꯍꯅꯕꯥ ꯉꯃꯗ꯭ꯔꯕꯗꯤ, ꯇꯦꯁ꯭ꯇꯤꯀꯜ ꯑꯗꯨ ꯃꯇꯝ ꯆꯨꯞꯄꯒꯤ ꯑꯣꯏꯅꯥ ꯗꯤꯁꯑꯦꯕꯜ ꯑꯣꯏꯔꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯐꯤꯚꯝ ꯑꯁꯤꯗꯥ ꯊꯨꯅꯥ ꯊꯕꯛ ꯄꯥꯌꯈꯠꯄꯥ ꯍꯥꯌꯕꯁꯤ ꯄꯨꯟꯁꯤꯒꯤꯗꯃꯛ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫
ꯇꯦꯁ꯭ꯇꯤꯀꯜ ꯄꯦꯅꯒꯤ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯃꯔꯃꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯅꯥꯕꯥ ꯑꯗꯨ ꯑꯦꯛꯁꯤꯗꯦꯟꯇ ꯅꯠꯠꯔꯒꯥ ꯁꯥꯟꯅꯄꯣꯠꯀꯤ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯑꯃꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯑꯣꯏꯔꯕꯗꯤ ꯃꯔꯝ ꯑꯗꯨ ꯃꯌꯦꯛ ꯁꯦꯡꯅꯥ ꯎꯕꯥ ꯐꯪꯏ꯫ ꯑꯗꯨꯕꯨ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯃꯔꯝ ꯑꯗꯨ ꯊꯤꯕꯗꯥ ꯑꯋꯥꯕꯥ ꯑꯣꯏꯔꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯇꯦꯕꯜ ꯑꯁꯤꯗꯥ ꯌꯥꯑꯣꯔꯤꯕꯥ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯃꯔꯃꯁꯤꯡ ꯑꯁꯤ ꯏꯆꯝ ꯆꯝꯅꯥ ꯌꯦꯡꯁꯤ꯫
| ꯑꯋꯥꯕꯥ ꯑꯁꯤꯒꯤ ꯃꯔꯝ꯫ | ꯏꯆꯝ ꯆꯝꯕꯥ ꯄꯥꯎꯈꯨꯝ ꯑꯃꯥ꯫ |
|---|---|
| ꯑꯣꯔꯀꯤꯇꯤꯁ ꯊꯣꯀꯄꯥ꯫ | ꯕꯦꯛꯇꯦꯔꯤꯌꯥ ꯅꯠꯠꯔꯒꯥ ꯚꯥꯏꯔꯁ ꯏꯅꯐꯦꯛꯁꯟ ꯑꯃꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯇꯦꯁ꯭ꯇꯤꯀꯂꯁꯤꯡ ꯁꯣꯀꯄꯥ꯫ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯅꯍꯥ ꯑꯣꯏꯔꯤꯕꯥ ꯑꯉꯥꯡꯁꯤꯡꯗꯥ ꯃꯝꯄꯁ ꯂꯩꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫ |
| ꯑꯦꯄꯤꯗꯤꯗꯥꯏꯃꯥꯏꯇꯤꯁ꯫ | ꯇꯦꯁ꯭ꯇꯤꯀꯂꯁꯤꯡꯗꯒꯤ ꯁ꯭ꯄꯥꯔꯝ ꯄꯨꯕꯥ ꯇꯤꯎꯕ (epididymis) ꯏꯅꯐꯦꯛꯁꯟ꯫ ꯁ꯭ꯛꯔꯣꯇꯝ (scrotum) ꯑꯗꯨ ꯁꯣꯟꯊꯔꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯏꯪꯊꯕꯥ ꯐꯥꯎꯕꯥ ꯌꯥꯏ꯫ |
| ꯏꯅꯒꯨꯏꯅꯦꯜ ꯍꯔꯅꯤꯌꯥ꯫ | ꯏꯟꯇꯦꯁ꯭ꯇꯥꯏꯅꯒꯤ ꯁꯔꯨꯛ ꯑꯃꯅꯥ ꯑꯦꯕꯗꯣꯃꯦꯟꯗꯥ ꯂꯩꯕꯥ ꯑꯁꯣꯀꯄꯥ ꯃꯐꯝ ꯑꯃꯗꯒꯤ ꯒ꯭ꯔꯨꯏꯅꯒꯤ ꯃꯥꯌꯀꯩꯗꯥ ꯆꯦꯜꯂꯤ꯫ ꯃꯁꯤꯅꯥ ꯇꯦꯁ꯭ꯇꯤꯀꯂꯁꯤꯡꯗꯥ ꯄ꯭ꯔꯦꯁꯔ ꯑꯃꯁꯨꯡ ꯑꯅꯥꯕꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ |
| ꯚꯦꯔꯤꯀꯣꯁ ꯚꯦꯅꯃꯁꯤꯡ (Varicocele) . | ꯁ꯭ꯛꯔꯣꯇꯃꯗꯥ ꯂꯩꯕꯥ ꯚꯦꯅꯃꯁꯤꯡ ꯑꯗꯨ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯍꯅꯕꯥ꯫ ꯈꯣꯡꯗꯥ ꯂꯩꯕꯥ ꯚꯦꯅꯃꯁꯤꯡ ꯑꯗꯨ ꯅꯣꯡꯃꯩ ꯀꯥꯞꯄꯒꯨꯝꯅꯥ ꯐꯥꯎꯏ꯫ ꯈꯣꯡꯅꯥ ꯆꯠꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯊꯕꯛ ꯇꯧꯕꯥ ꯃꯇꯃꯗꯥ ꯑꯅꯥꯕꯥ ꯑꯁꯤ ꯍꯦꯅꯒꯠꯂꯀꯏ, ꯑꯃꯁꯨꯡ ꯂꯦꯡ-ꯑꯣꯠꯄꯗꯥ ꯍꯟꯊꯔꯀꯏ꯫ |
| ꯍꯥꯏꯗ꯭ꯔꯣꯁꯦꯜ ꯑꯃꯁꯨꯡ ꯍꯦꯃꯥꯇꯣꯁꯦꯜ꯫ | ꯇꯦꯁ꯭ꯇꯤꯀꯂꯁꯤꯡꯒꯤ ꯑꯀꯣꯌꯕꯗꯥ ꯂꯩꯕꯥ ꯈꯣꯡꯗꯥ ꯐ꯭ꯂꯨꯏꯗ (ꯏꯁꯤꯡ) ꯅꯠꯠꯔꯒꯥ ꯏꯒꯤ ꯈꯣꯃꯖꯤꯅꯕꯥ ꯑꯃꯥ꯫ ꯍꯥꯌꯗ꯭ꯔꯣꯁꯦꯜ ꯑꯁꯤ ꯑꯦꯛꯁꯤꯗꯦꯟꯇ ꯑꯃꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯍꯥꯌꯗ꯭ꯔꯣꯁꯦꯜ ꯑꯁꯤ ꯅꯍꯥ ꯑꯣꯏꯔꯤꯕꯥ ꯑꯉꯥꯡꯁꯤꯡꯗꯥ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫ |
| ꯀꯤꯗꯅꯤꯒꯤ ꯁ꯭ꯇꯣꯅꯁꯤꯡ꯫ | ꯏꯎꯔꯦꯊ꯭ꯔꯥ ꯕ꯭ꯂꯣꯛ ꯇꯧꯔꯀꯄꯗꯒꯤ ꯀꯤꯗꯅꯤꯒꯤ ꯁ꯭ꯇꯣꯅꯁꯤꯡꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯑꯅꯥꯕꯁꯤꯡ ꯑꯁꯤ ꯇꯦꯁ꯭ꯇꯤꯀꯂꯁꯤꯡꯗꯥ ꯁꯟꯗꯣꯀꯄꯥ ꯌꯥꯏ꯫ |
| ꯇꯦꯁ꯭ꯇꯤꯀꯨꯂꯥꯔ ꯀꯦꯟꯁꯔ ꯂꯩꯕꯥ꯫ | ꯃꯁꯤ ꯆꯍꯤ 15-35ꯒꯤ ꯃꯔꯛꯇꯥ ꯂꯩꯕꯥ ꯅꯍꯥꯁꯤꯡꯗꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯀꯃꯟ ꯑꯣꯏ꯫ ꯃꯁꯤ ꯁꯥꯊꯤꯕꯥ ꯑꯅꯥꯕꯥ ꯑꯃꯥ ꯑꯣꯏꯅꯥ ꯐꯥꯎꯕꯥ ꯌꯥꯏ, ꯑꯗꯨꯕꯨ ꯇꯞꯅꯥ ꯇꯞꯅꯥ, ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯁꯣꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯂꯪꯐꯩ ꯑꯃꯥ ꯑꯣꯏꯅꯥ ꯐꯥꯎꯕꯥ ꯌꯥꯏ꯫ |
| ꯁꯦꯛꯁꯨꯑꯦꯜꯂꯤ ꯇ꯭ꯔꯥꯟꯁꯃꯤꯇꯦꯗ ꯏꯅꯐꯦꯛꯁꯅꯁꯤꯡ (STIs) . | ꯒꯣꯅꯣꯔꯤꯌꯥ ꯑꯃꯁꯨꯡ ꯀ꯭ꯂꯃꯤꯗꯤꯌꯥꯒꯨꯝꯕꯥ ꯏꯅꯐꯦꯛꯁꯅꯁꯤꯡꯅꯥ ꯇꯦꯁ꯭ꯇꯤꯀꯂꯁꯤꯡꯗꯥ ꯁꯣꯛ-ꯄꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ |
ꯃꯁꯤ ꯀꯔꯝꯅꯥ ꯐꯪꯒꯅꯤ ꯗꯣꯛꯇꯔ?
ꯅꯍꯥꯛꯅꯥ ꯗꯣꯛꯇꯔ ꯑꯃꯗꯥ ꯆꯠꯄꯥ ꯃꯇꯃꯗꯥ, ꯅꯍꯥꯛꯅꯥ ꯃꯍꯥꯛꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯂꯥꯡꯇꯛꯅꯗꯅꯥ ꯑꯆꯨꯝꯕꯥ ꯑꯗꯨ ꯍꯥꯌꯒꯅꯤ ꯍꯥꯌꯅꯥ ꯊꯥꯖꯩ, ꯃꯔꯃꯗꯤ ꯃꯗꯨ ꯑꯆꯨꯝꯕꯥ ꯗꯥꯏꯑꯦꯒ꯭ꯅꯣꯁꯤꯁ ꯑꯃꯒꯤꯗꯃꯛ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫
1. ꯋꯥꯍꯪ ꯍꯪꯕꯥ: ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯑꯅꯥꯕꯥ ꯑꯗꯨ ꯀꯗꯥꯏꯗꯒꯤ ꯍꯧꯔꯀꯈꯤꯕꯅꯣ, ꯃꯇꯝ ꯀꯌꯥꯗꯒꯤ ꯂꯩꯔꯛꯂꯤꯕꯅꯣ, ꯑꯅꯥꯕꯥ ꯑꯗꯨ ꯇꯁꯦꯡꯅꯥ ꯀꯗꯥꯏꯗꯥ ꯂꯩꯕꯒꯦ, ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯈꯔꯥ ꯇꯧꯕꯥ ꯃꯇꯃꯗꯥ ꯑꯅꯥꯕꯥ ꯑꯗꯨ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ/ ꯍꯟꯊꯔꯀꯄꯥ (e.g. exercise, sex ) ꯑꯁꯤꯅꯆꯤꯡꯕꯥ ꯋꯥꯍꯪꯁꯤꯡ ꯍꯪꯒꯅꯤ꯫
2. ꯐꯤꯖꯤꯀꯦꯜ ꯑꯦꯀꯖꯥꯃꯤꯅꯦꯁꯟ : ꯅꯍꯥꯛꯅꯥ ꯂꯦꯡꯗꯅꯥ ꯂꯩꯔꯤꯉꯩꯗꯥ ꯑꯃꯁꯨꯡ ꯂꯦꯡꯗꯅꯥ ꯂꯩꯔꯤꯉꯩꯗꯥ ꯃꯍꯥꯛꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯇꯦꯁ꯭ꯇꯤꯀꯂꯁꯤꯡ ꯑꯗꯨ ꯌꯦꯡꯁꯤꯅꯒꯅꯤ꯫ ꯃꯍꯥꯛꯅꯥ ꯁꯣꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯁꯣꯀꯄꯥ ꯑꯃꯠꯇꯥ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯆꯦꯛ ꯇꯧꯒꯅꯤ꯫
꯳.ꯇꯦꯁ꯭ꯇꯁꯤꯡ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯊꯧ ꯇꯥꯔꯕꯗꯤ ꯃꯈꯥꯒꯤ ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯑꯁꯤ ꯄꯥꯡꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫
- ꯌꯨꯔꯤꯅꯂꯥꯏꯁꯤꯁ: ꯏꯅꯐꯦꯛꯁꯟ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯁꯤꯟꯅꯕꯥ꯫
- ꯕ꯭ꯂꯗ ꯇꯦꯁ꯭ꯠ: ꯍꯀꯆꯥꯡꯒꯤ ꯏꯅꯐꯦꯛꯁꯅꯒꯤ ꯐꯤꯚꯃꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯈꯪꯖꯤꯅꯕꯤꯌꯨ꯫
- ꯑꯂꯠꯔꯥꯁꯥꯎꯟꯗ ꯁ꯭ꯀꯦꯟ: ꯃꯁꯤꯅꯥ ꯇꯦꯁ꯭ꯇꯤꯀꯂꯁꯤꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯇꯤꯎꯃꯔ, ꯐ꯭ꯂꯨꯏꯗ ꯑꯦꯛꯌꯨꯃꯨꯂꯦꯁꯟ ꯅꯠꯠꯔꯒꯥ ꯁ꯭ꯠꯔꯀꯆꯔꯦꯜ ꯍꯣꯡꯂꯀꯄꯥ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯃꯌꯦꯛ ꯁꯦꯡꯅꯥ ꯈꯪꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯀꯦꯟꯁꯔꯒꯤ ꯑꯀꯤꯕꯥ ꯂꯩꯔꯕꯗꯤ ꯇꯦꯁ꯭ꯠ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫
ꯃꯁꯤ ꯀꯔꯝꯅꯥ ꯂꯥꯌꯦꯡꯕꯒꯦ?
ꯂꯥꯏꯌꯦꯡ ꯑꯁꯤ ꯑꯅꯥꯕꯒꯤ ꯃꯔꯝ ꯑꯗꯨꯒꯤ ꯃꯈꯥ ꯄꯣꯜꯂꯤ꯫
ꯌꯨꯃꯗꯥ ꯇꯧꯕꯥ ꯌꯥꯕꯥ ꯊꯕꯀꯁꯤꯡ꯫
ꯑꯄꯤꯀꯄꯥ ꯑꯁꯣꯀꯄꯥ ꯑꯃꯥ ꯊꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯄꯣꯠꯁꯀꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯗꯣꯛꯇꯔ ꯑꯃꯒꯥ ꯇꯥꯟꯅꯗ꯭ꯔꯤꯐꯥꯎꯕꯥ ꯑꯅꯥꯕꯥ ꯑꯗꯨ ꯂꯥꯀꯁꯤꯅꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ:
- ꯑꯥꯏꯁ: ꯇꯣꯏꯂꯦꯠ ꯑꯃꯅꯥ ꯀꯨꯄꯁꯤꯜꯂꯕꯥ ꯑꯥꯏꯁ ꯄꯦꯛ ꯑꯃꯥ ꯑꯁꯣꯀꯄꯥ ꯃꯐꯝ ꯑꯗꯨꯗꯥ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯃꯤꯅꯠ 15 ꯊꯃꯒꯗꯕꯅꯤ꯫ ꯃꯁꯤ ꯅꯣꯡꯃꯗꯥ ꯀꯌꯥꯃꯔꯨꯝ ꯇꯧꯒꯗꯕꯅꯤ꯫ ꯀꯩꯗꯧꯉꯩꯗꯥ ꯈꯣꯡꯗꯥ ꯍꯀꯊꯦꯡꯅꯅꯥ ꯑꯥꯏꯁ ꯊꯥꯒꯅꯨ꯫
- ꯁꯄꯣꯔꯠ: ꯂꯦꯡꯗꯅꯥ ꯂꯩꯔꯤꯉꯩꯗꯥ, ꯁ꯭ꯛꯔꯣꯇꯃꯒꯤ ꯃꯈꯥꯗꯥ ꯀꯨꯄꯁꯤꯜꯂꯕꯥ ꯇꯣꯏꯂꯦꯠ ꯑꯃꯥ ꯊꯝꯃꯨ꯫
- ꯄꯦꯟ ꯀꯤꯂꯔꯁꯤꯡ: NSAID ꯄꯦꯏꯅꯀꯤꯂꯥꯔꯁꯤꯡ (ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯏꯕꯨꯞꯔꯣꯐꯦꯟ)ꯅꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯕꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛ ꯑꯃꯠꯇꯥ ꯂꯧꯗ꯭ꯔꯤꯉꯩꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯁꯣꯌꯗꯅꯥ ꯇꯥꯟꯅꯒꯗꯕꯅꯤ꯫
ꯃꯦꯗꯤꯀꯦꯜ ꯇ꯭ꯔꯤꯠꯃꯦꯟꯇ꯫
- ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯁꯤ ꯏꯅꯐꯦꯛꯁꯟ ꯑꯣꯏꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯛꯀꯤꯗꯃꯛꯇꯥ ꯆꯨꯅꯕꯥ ꯑꯦꯟꯇꯤꯕꯥꯏꯑꯣꯇꯤꯀꯁꯤꯡ ꯄꯤꯒꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯁꯤ ꯅꯔꯚꯀꯥ ꯃꯔꯤ ꯂꯩꯅꯕꯥ ꯑꯅꯥꯕꯥ ꯑꯣꯏꯔꯕꯗꯤ ꯃꯈꯣꯌꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯑꯇꯩ ꯍꯤꯗꯥꯀꯁꯤꯡ ꯄꯤꯒꯅꯤ꯫
- ꯁꯔꯖꯔꯤ: ꯇꯦꯁ꯭ꯇꯤꯀꯨꯂꯥꯔ ꯇꯣꯔꯁꯟ, ꯍꯔꯅꯤꯌꯥ, ꯑꯃꯁꯨꯡ ꯀꯦꯟꯁꯔꯒꯤ ꯀꯟꯗꯤꯁꯟ ꯈꯔꯗꯥ ꯁꯔꯖꯔꯤ ꯇꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯏ꯫ ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯒꯤ ꯃꯈꯥ ꯄꯣꯜꯂꯤ꯫
ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯆꯞ ꯃꯥꯟꯅꯕꯥ ꯄꯣꯖꯤꯁꯟꯗꯥ ꯐꯃꯗꯨꯅꯥ ꯂꯩꯕꯥ, ꯅꯠꯠꯔꯒꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡ ꯑꯗꯨ ꯀ꯭ꯔꯣꯁ ꯇꯧꯕꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯄꯣꯖꯤꯁꯅꯁꯤꯡ ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯍꯣꯡꯗꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯃꯇꯝ ꯈꯔꯒꯤ ꯑꯣꯏꯅꯥ ꯂꯦꯞꯄꯥ ꯑꯁꯤ ꯑꯐꯕꯥ ꯍꯩꯅꯕꯤ ꯑꯃꯅꯤ꯫
ꯇꯦꯛ-ꯍꯣꯝ ꯃꯦꯁꯦꯖ ꯇꯧꯕꯥ꯫
- ꯈꯪꯍꯧꯗꯅꯥ, ꯇꯦꯁ꯭ꯇꯤꯀꯂꯁꯤꯡꯗꯥ ꯌꯥꯝꯅꯥ ꯋꯥꯅꯥ ꯊꯣꯀꯄꯥ ꯑꯅꯥꯕꯥ ꯑꯁꯤ ꯃꯦꯗꯤꯀꯦꯜ ꯏꯃꯔꯖꯦꯟꯁꯤ ꯑꯃꯅꯤ꯫ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯜ ꯑꯃꯒꯤ ꯏꯃꯔꯖꯦꯟꯁꯤ ꯗꯤꯄꯥꯔꯇꯃꯦꯟꯇ (ETU)ꯗꯥ ꯈꯨꯗꯛꯇꯥ ꯆꯠꯂꯨ꯫
- ꯄꯨꯡ ꯑꯃꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯁꯥꯡꯅꯥ ꯆꯠꯄꯥ ꯑꯅꯥꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯁꯣꯀꯄꯥ ꯑꯃꯍꯦꯛꯇꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯗꯣꯛꯇꯔ ꯑꯃꯗꯥ ꯁꯣꯌꯗꯅꯥ ꯈꯪꯍꯅꯕꯤꯌꯨ꯫
- ꯑꯁꯤꯒꯨꯝꯕꯥ ꯋꯥꯐꯝ ꯑꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯕꯗꯥ ꯂꯥꯡꯇꯛꯅꯒꯅꯨ ꯅꯠꯔꯒꯥ ꯂꯥꯡꯇꯛꯅꯒꯅꯨ꯫ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯁꯦꯜ ꯑꯁꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯅꯤ꯫
- ꯑꯅꯥꯕꯥ ꯄꯨꯝꯅꯃꯛ ꯑꯁꯤ ꯈꯨꯗꯣꯡꯊꯤꯅꯤꯉꯥꯏ ꯑꯣꯏꯗ꯭ꯔꯕꯁꯨ, ꯃꯔꯝ ꯑꯗꯨ ꯃꯌꯦꯛ ꯁꯦꯡꯅꯥ ꯈꯪꯗꯣꯀꯄꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯃꯁꯥ ꯃꯊꯟꯇꯥ ꯗꯥꯏꯑꯦꯒ꯭ꯅꯣꯁꯤꯁ ꯇꯧꯔꯣꯏꯗꯕꯅꯤ ꯑꯃꯁꯨꯡ ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯄꯥꯎꯇꯥꯛ ꯂꯧꯒꯗꯕꯅꯤ꯫
- ꯁꯥꯟꯅ-ꯈꯣꯠꯅꯕꯥ ꯁꯥꯟꯅꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯀꯅꯕꯥ ꯐꯤꯖꯤꯀꯦꯜ ꯑꯦꯛꯇꯤꯚꯤꯇꯤ ꯇꯧꯕꯥ ꯃꯇꯃꯗꯥ, ꯇꯦꯁ꯭ꯇꯤꯀꯂꯁꯤꯡ ꯉꯥꯀꯊꯣꯛꯅꯕꯥ ꯃꯇꯤꯛ ꯆꯥꯕꯥ ꯄ꯭ꯔꯣꯇꯦꯛꯇꯤꯕ ꯒꯤꯌꯥꯔ (ꯑꯦꯊꯂꯦꯇꯤꯛ ꯀꯄꯁꯤꯡ) ꯁꯤꯖꯤꯟꯅꯕꯁꯤ ꯂꯧꯁꯤꯡꯅꯤ꯫
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