ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯗꯥ ꯏꯎꯔꯦꯊ꯭ꯔꯥ ꯑꯃꯁꯨꯡ ꯚꯦꯖꯤꯅꯦꯜ ꯂꯩꯕ꯭ꯔꯥ? (ꯌꯨꯔꯣꯖꯦꯅꯤꯇꯦꯜ ꯁꯥꯏꯅꯣꯁ) ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯁꯤ!

ꯃꯃꯥ ꯅꯠꯠꯔꯒꯥ ꯃꯄꯥ ꯑꯃꯅꯥ ꯅꯧꯅꯥ ꯄꯣꯀꯄꯥ ꯑꯉꯥꯡ ꯑꯃꯕꯨ ꯌꯦꯡꯂꯨꯔꯒꯥ ꯃꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯑꯄꯤꯀꯄꯥ ꯑꯍꯣꯡꯕꯥ ꯈꯔꯥ ꯎꯕꯗꯥ ꯀꯌꯥ ꯌꯥꯝꯅꯥ ꯋꯥꯅꯥ ꯊꯣꯀꯍꯅꯕꯒꯦ? ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯌꯥꯝꯅꯥ ꯇꯣꯏꯅꯥ ꯊꯣꯀꯄꯥ ꯄꯣꯠꯁꯛ ꯑꯃꯅꯥ ꯐꯥꯎꯕꯥ, ꯑꯩꯈꯣꯌꯒꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯗꯥ ꯁꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ ꯑꯃꯁꯨꯡ ꯑꯩꯈꯣꯌꯕꯨ ꯌꯥꯝꯅꯥ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯐꯥꯎꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯉꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯌꯥꯝꯅꯥ ꯋꯥꯅꯥ ꯇꯥꯕꯥ, ꯑꯗꯨꯕꯨ ꯈꯉꯕꯥ ꯌꯥꯝꯅꯥ ꯃꯔꯨ ꯑꯣꯏꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯔꯤ꯫ ꯑꯩꯈꯣꯌꯅꯥ ꯃꯁꯤꯕꯨ (Urogenital Sinus) ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫

ꯃꯁꯤ ꯀꯔꯤꯅꯣ (ꯌꯨꯔꯣꯖꯦꯅꯤꯇꯦꯜ ꯁꯥꯏꯅꯣꯁ)? ꯃꯁꯤ ꯁꯨꯞꯅꯇꯒꯤ ꯂꯧꯁꯤꯅꯁꯤ?

ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯏꯎꯔꯣꯖꯦꯅꯤꯇꯦꯜ ꯁꯥꯏꯅꯣꯁ ꯍꯥꯌꯕꯁꯤ ꯅꯨꯄꯤ ꯑꯃꯒꯤ ꯌꯨꯔꯤꯅꯔꯤ ꯁꯤꯁ꯭ꯇꯦꯝ ꯑꯃꯁꯨꯡ ꯔꯤꯞꯔꯗꯛꯇꯤꯚ ꯁꯤꯁ꯭ꯇꯦꯃꯗꯥ ꯂꯩꯕꯥ ꯀꯣꯟꯖꯤꯅꯤꯑꯦꯜ ꯗꯤꯐꯦꯛꯇ ꯑꯃꯅꯤ꯫ ꯍꯧꯖꯤꯛ, ꯌꯦꯡꯎ, ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯅꯥ ꯅꯨꯄꯤ ꯑꯉꯥꯡ ꯑꯃꯅꯥ ꯍꯀꯆꯥꯡꯗꯒꯤ ꯊꯣꯛꯂꯀꯄꯥ ꯑꯃꯣꯠꯄꯁꯤꯡꯒꯤ ꯑꯍꯥꯡꯕꯥ ꯃꯐꯝ ꯑꯍꯨꯝ ꯂꯩ: ꯑꯃꯅꯥ ꯔꯦꯛꯇꯝ, ꯃꯐꯝ ꯑꯗꯨꯗꯥ ꯁ꯭ꯇꯣꯜ ꯊꯣꯀꯄꯥ, ꯑꯇꯣꯞꯄꯥ ꯑꯃꯅꯥ ꯏꯎꯔꯦꯊ꯭ꯔꯥꯜ ꯑꯣꯄꯅꯤꯡ, ꯃꯐꯝ ꯑꯗꯨꯗꯥ ꯌꯨꯔꯤꯟ ꯊꯣꯀꯄꯥ, ꯑꯃꯁꯨꯡ ꯑꯍꯨꯃꯁꯨꯕꯥ ꯑꯗꯨꯅꯥ ꯚꯦꯖꯤꯅꯥ . ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯏꯎꯔꯣꯖꯦꯅꯤꯇꯦꯜ ꯁꯥꯏꯅꯣꯁ ꯂꯩꯕꯥ ꯑꯉꯥꯡ ꯑꯃꯗꯥ ꯑꯣꯄꯅꯤꯡ ꯑꯅꯤ ꯂꯩ꯫ ꯑꯃꯅꯥ ꯔꯦꯛꯇꯃꯅꯤ, ꯃꯐꯃꯗꯨꯗꯥ ꯁ꯭ꯇꯣꯜ ꯊꯣꯀꯏ, ꯑꯃꯁꯨꯡ ꯑꯇꯣꯞꯄꯥ ꯑꯃꯅꯥ ꯏꯎꯔꯦꯊ꯭ꯔꯥ ꯑꯃꯁꯨꯡ ꯚꯦꯖꯤꯅꯦꯜ ꯑꯅꯤꯃꯛꯀꯤ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯑꯣꯄꯅꯤꯡ ꯑꯃꯅꯤ꯫ ꯃꯁꯤꯅꯥ ꯇꯥꯀꯄꯗꯤ ꯌꯨꯔꯤꯟ ꯊꯣꯀꯏ ꯑꯃꯁꯨꯡ ꯃꯐꯝ ꯑꯃꯗꯒꯤ ꯚꯦꯖꯤꯅꯒꯥ ꯁꯝꯅꯍꯜꯂꯤ꯫

ꯃꯁꯤꯒꯤ (Urogenital Sinus) ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯐꯤꯇꯁ ꯗꯤꯚꯦꯂꯄꯃꯦꯟꯇꯒꯤ ꯑꯍꯥꯅꯕꯥ ꯁ꯭ꯇꯦꯖꯁꯤꯡꯗꯥ ꯊꯣꯀꯏ꯫ ꯈꯅꯕꯤꯌꯨ, ꯐꯤꯇꯁꯀꯤ ꯁ꯭ꯇꯦꯖꯗꯥ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯃꯇꯝ ꯈꯔꯒꯤ ꯑꯣꯏꯅꯥ, ꯁꯤꯁ꯭ꯇꯦꯝ ꯑꯍꯨꯝ ꯄꯨꯝꯅꯃꯛ – ꯏꯟꯇꯦꯁ꯭ꯇꯥꯏꯅꯒꯤ ꯇ꯭ꯔꯦꯛꯇ (rectum), ꯖꯦꯅꯤꯇꯦꯜ ꯇ꯭ꯔꯦꯛꯇ (vagina), ꯑꯃꯁꯨꯡ ꯌꯨꯔꯤꯅꯔꯤ ꯇ꯭ꯔꯦꯛꯇ (ꯌꯨꯔꯤꯅꯔꯤ ꯕ꯭ꯂꯦꯗꯔ) – ꯄꯨꯝꯅꯃꯛ ꯑꯁꯤ ꯀꯦꯚꯤꯇꯤ ꯑꯃꯗꯤ ꯑꯣꯄꯅꯤꯡ ꯑꯃꯈꯛꯇꯗꯥ ꯁꯝꯅꯍꯜꯂꯤ꯫ ꯑꯩꯈꯣꯌꯅꯥ ꯃꯁꯤꯕꯨ ( ꯀ꯭ꯂꯣꯌꯥꯀꯥ ) ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ ꯐꯤꯇꯁ ꯑꯗꯨꯅꯥ ꯆꯥꯎꯈꯠꯂꯀꯄꯒꯥ ꯂꯣꯌꯅꯅꯥ, ꯁꯤꯁ꯭ꯇꯦꯝ ꯑꯍꯨꯝ ꯑꯁꯤꯅꯥ ꯇꯣꯉꯥꯟ-ꯇꯣꯉꯥꯅꯕꯥ ꯑꯣꯄꯅꯤꯡ ꯑꯍꯨꯝ (vagina, urethra , ꯑꯃꯁꯨꯡ anus) ꯁꯦꯝꯃꯤ꯫ ꯑꯗꯨꯕꯨ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯃꯔꯝ ꯈꯔꯗꯒꯤ, ꯌꯨꯔꯤꯅꯔꯤ ꯇ꯭ꯔꯦꯛꯇ ꯑꯃꯁꯨꯡ ꯔꯤꯞꯔꯗꯛꯇꯤꯚ ꯁꯤꯁ꯭ꯇꯦꯝ – ꯃꯔꯨꯑꯣꯏꯅꯥ ꯏꯎꯔꯦꯊ꯭ꯔꯥ ꯑꯃꯁꯨꯡ ꯚꯦꯖꯤꯅꯦꯜ – ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯇꯣꯈꯥꯌꯅꯥ ꯂꯩꯇꯦ, ꯑꯗꯨꯕꯨ ꯃꯈꯥ ꯇꯥꯅꯥ ꯑꯣꯄꯅꯤꯡ ꯑꯃꯈꯛꯇꯃꯛ ꯂꯩ꯫ ꯑꯗꯨꯒꯨꯝꯕꯥ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯑꯣꯄꯅꯤꯡ ꯑꯗꯨꯕꯨ (Urogenital Sinus) ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ ꯃꯤꯑꯣꯏ ꯈꯔꯅꯥ ꯃꯁꯤꯕꯨ (Persistent Urogenital Sinus - PUGS) ꯍꯥꯌꯅꯥꯁꯨ ꯀꯧꯏ꯫

ꯃꯍꯧꯁꯥꯅꯥ ꯏꯎꯔꯣꯖꯦꯅꯤꯇꯦꯜ ꯁꯥꯏꯅꯣꯁ ꯑꯁꯤ ꯀꯔꯤꯅꯥ ꯊꯣꯀꯍꯅꯕꯒꯦ?

ꯅꯣꯔꯃꯦꯜ ꯗꯤꯚꯦꯂꯄꯃꯦꯟꯇꯒꯤ ꯃꯇꯃꯗꯥ, ꯃꯐꯝ ꯑꯁꯤ (ꯌꯨꯔꯣꯖꯦꯅꯤꯇꯦꯜ ꯁꯥꯏꯅꯣꯁ ꯍꯥꯌꯅꯥ ꯀꯧꯕꯥ) ꯑꯁꯤ ꯃꯇꯨꯡꯗꯥ ꯏꯎꯔꯦꯊ꯭ꯔꯥ ꯑꯃꯁꯨꯡ ꯚꯦꯖꯤꯅꯦꯂꯒꯤ ꯑꯍꯥꯡꯕꯥ ꯃꯐꯝ (vulvar vestibule)ꯒꯤ ꯑꯀꯣꯌꯕꯗꯥ ꯂꯩꯕꯥ ꯈꯣꯡ ꯑꯗꯨ ꯑꯣꯏꯔꯛꯀꯅꯤ꯫ ꯏꯎꯔꯦꯊ꯭ꯔꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯨꯔꯤꯅꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡꯗꯒꯤ ꯊꯣꯀꯄꯥ ꯇꯤꯎꯕ ꯑꯗꯨꯕꯨꯅꯤ꯫ ꯚꯦꯖꯤꯅꯦꯂꯒꯤ ꯑꯍꯥꯡꯕꯥ ꯃꯐꯝ (vulvar vestibule)ꯒꯤ ꯑꯀꯣꯌꯕꯗꯥ ꯂꯩꯕꯥ ꯈꯣꯡ ꯑꯗꯨ ꯂꯦꯕꯤꯌꯥꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯂꯩꯕꯥ, ꯏꯎꯔꯦꯊ꯭ꯔꯥ ꯑꯃꯁꯨꯡ ꯚꯦꯖꯤꯅꯥꯒꯤ ꯑꯍꯥꯡꯕꯥ ꯃꯐꯝ ꯑꯗꯨꯒꯤ ꯃꯔꯛꯇꯥ ꯂꯩꯕꯥ ꯈꯣꯡ ꯑꯗꯨꯅꯤ꯫

ꯏꯎꯔꯣꯖꯦꯅꯤꯇꯦꯜ ꯁꯥꯏꯅꯣꯁ ꯑꯁꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯀꯗꯥꯏꯗꯥ ꯂꯩꯕꯒꯦ?

ꯃꯁꯤ (Urogenital Sinus) ꯑꯁꯤ ꯏꯎꯔꯦꯊ꯭ꯔꯥ ꯑꯃꯁꯨꯡ ꯚꯦꯖꯤꯅꯒꯥ ꯁꯝꯅꯩ꯫

ꯏꯎꯔꯣꯖꯦꯅꯤꯇꯦꯜ ꯁꯥꯏꯅꯣꯁꯀꯤ ꯃꯈꯂꯁꯤꯡ ꯂꯩꯕ꯭ꯔꯥ?

ꯍꯣꯌ, ꯏꯎꯔꯣꯖꯦꯅꯤꯇꯦꯜ ꯁꯥꯏꯅꯣꯁꯀꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯈꯜ ꯑꯅꯤ ꯂꯩ꯫ ꯃꯁꯤ ꯈꯪꯗꯣꯀꯄꯥ ꯍꯥꯌꯕꯁꯤ ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯊꯧꯔꯥꯡ ꯇꯧꯕꯗꯥ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫

1. ꯂꯣ-ꯖꯣꯏꯟ / ꯂꯣ ꯀꯟꯐ꯭ꯂꯨꯑꯦꯟꯁ (low-joined / low confluence): ꯃꯈꯜ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ, ꯏꯎꯔꯦꯊ꯭ꯔꯥ ꯑꯃꯁꯨꯡ ꯚꯦꯖꯤꯅꯦꯜ ꯑꯁꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯃꯄꯥꯟꯊꯪꯕꯥ ꯑꯍꯥꯡꯕꯥ ꯃꯐꯝ ꯑꯗꯨꯒꯥ ꯌꯥꯝꯅꯥ ꯅꯛꯅꯥ, ꯍꯥꯌꯕꯗꯤ ꯃꯈꯥꯗꯥ ꯌꯥꯎꯏ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯋꯥꯐꯝ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯀꯨꯏꯔꯦ꯫ ꯃꯁꯤꯒꯤ ꯀꯦꯁ ꯑꯁꯤꯗꯥ, ꯏꯎꯔꯦꯊ꯭ꯔꯥ ꯑꯃꯁꯨꯡ ꯚꯦꯖꯤꯅꯦꯜ ꯑꯁꯤ ꯅꯣꯔꯃꯦꯂꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯁꯥꯏꯖ ꯑꯃꯁꯨꯡ ꯄꯣꯖꯤꯁꯅꯗꯥ ꯌꯥꯝꯅꯥ ꯃꯥꯟꯅꯩ꯫ ꯃꯁꯤ ꯈꯔꯥ ꯍꯦꯟꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫

2. ꯍꯥꯏ-ꯖꯣꯏꯟ / ꯍꯥꯏ ꯀꯟꯐ꯭ꯂꯨꯑꯦꯟꯁ (High-joined / High confluence): ꯃꯁꯤꯒꯤ ꯀꯦꯁ ꯑꯁꯤꯗꯥ, ꯏꯎꯔꯦꯊ꯭ꯔꯥ ꯑꯃꯁꯨꯡ ꯚꯦꯖꯤꯅꯦꯜ ꯑꯁꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯃꯄꯥꯟꯊꯪꯕꯥ ꯑꯍꯥꯡꯕꯥ ꯃꯐꯃꯗꯒꯤ ꯂꯥꯞꯅꯥ ꯂꯩꯕꯥ, ꯍꯥꯌꯕꯗꯤ ꯃꯊꯛꯇꯥ ꯌꯥꯎꯏ꯫ ꯑꯗꯨꯗꯒꯤ ꯀꯃꯟ ꯄꯦꯁꯦꯖ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯁꯥꯡꯏ꯫ ꯃꯁꯤꯒꯤ ꯃꯈꯜ ꯑꯁꯤꯒꯤ ꯑꯋꯥꯡꯕꯥ ꯀꯟꯐ꯭ꯂꯨꯑꯦꯟꯁ ꯑꯁꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯁꯥꯊꯤꯕꯥ ꯑꯣꯏ꯫ ꯃꯔꯃꯗꯤ, ꯃꯁꯤꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯑꯇꯩ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯍꯀꯆꯥꯡꯗꯥ ꯅꯣꯔꯃꯦꯂꯗꯒꯤ ꯌꯥꯝꯅꯥ ꯍꯦꯟꯅꯥ ꯃꯥꯡꯂꯣꯃꯗꯥ ꯂꯩꯕꯥ ꯌꯥꯏ꯫

ꯃꯁꯤꯒꯤ (ꯌꯨꯔꯣꯖꯦꯅꯤꯇꯦꯜ ꯁꯥꯏꯅꯣꯁ) ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯀꯌꯥꯝ ꯋꯥꯡꯕꯒꯦ?

ꯏꯎꯔꯣꯖꯦꯅꯤꯇꯦꯜ ꯁꯥꯏꯅꯣꯁ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯊꯣꯀꯄꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ . ꯆꯥꯎꯔꯥꯛꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯃꯁꯤꯅꯥ ꯅꯧꯅꯥ ꯄꯣꯀꯄꯥ ꯑꯉꯥꯡ 10,000ꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯆꯥꯎꯔꯥꯛꯅꯥ 0.6ꯗꯥ ꯁꯣꯀꯍꯜꯂꯤ꯫

ꯏꯎꯔꯣꯖꯦꯅꯤꯇꯦꯜ ꯁꯥꯏꯅꯣꯁꯀꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯤꯅꯣ?

ꯏꯎꯔꯣꯖꯦꯅꯤꯇꯦꯜ ꯁꯥꯏꯅꯣꯁꯥꯏꯇꯤꯁꯀꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯗꯨꯒꯤ ꯃꯑꯣꯡ-ꯃꯇꯧꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ ꯈꯦꯠꯅꯕꯥ ꯌꯥꯏ꯫ ꯍꯦꯟꯅꯥ ꯃꯌꯦꯛ ꯁꯦꯡꯕꯥ ꯂꯥꯏꯑꯣꯡ ꯈꯔꯗꯤ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯁꯤꯡꯁꯤꯅꯤ:

• ꯐꯤꯁꯀꯤꯗꯃꯛꯇꯥ ꯑꯥꯎꯇꯂꯦꯠ ꯑꯃꯈꯛꯇꯃꯛ ꯂꯩꯕꯥ ꯑꯃꯁꯨꯡ ꯚꯦꯖꯤꯅꯦꯜ ꯑꯃꯁꯨꯡ ꯏꯎꯔꯦꯊ꯭ꯔꯥ ꯑꯅꯤꯃꯛꯇꯥ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯑꯇꯣꯞꯄꯥ ꯑꯥꯎꯇꯂꯦꯠ ꯑꯃꯥ ꯂꯩꯕꯥ꯫
• ꯌꯨꯔꯤꯟ ꯊꯨꯃꯖꯤꯅꯕꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯚꯦꯖꯤꯅꯦꯜ (vagina) ꯁꯣꯟꯊꯕꯥ꯫ ꯃꯁꯤꯕꯨ (ꯍꯥꯏꯗ꯭ꯔꯣꯀꯣꯂꯄꯣꯁ) ꯍꯥꯌꯅꯥꯁꯨ ꯀꯧꯏ꯫
• ꯚꯦꯖꯤꯅꯦꯜ ꯑꯗꯨ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯚꯦꯖꯤꯅꯦꯜ ꯑꯃꯠꯇꯥ ꯂꯩꯇꯕꯥ ꯌꯥꯏ꯫
• ꯏꯎꯇꯦꯔꯥꯁ, ꯑꯣꯚꯔꯑꯣꯜ ꯅꯠꯠꯔꯒꯥ ꯐꯦꯂꯣꯄꯤꯌꯥꯟ ꯇꯤꯎꯕꯁꯤꯡ ꯑꯁꯤ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯁꯦꯃꯒꯠꯄꯥ ꯉꯃꯗꯦ꯫

ꯏꯎꯔꯣꯖꯦꯅꯤꯇꯦꯜ ꯁꯥꯏꯅꯣꯁꯀꯤ ꯃꯔꯃꯁꯤꯡ ꯀꯔꯤꯅꯣ?

ꯆꯨꯝꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯃꯦꯗꯤꯀꯦꯜ ꯑꯦꯛꯁꯄꯔꯇꯁꯤꯡ ꯐꯥꯑꯣꯕꯥ ꯏꯎꯔꯣꯖꯦꯅꯤꯇꯦꯜ ꯁꯥꯏꯅꯣꯁꯀꯤ ꯂꯦꯞꯄꯥ ꯂꯩꯇꯕꯥ ꯃꯔꯝ ꯑꯃꯥ ꯊꯤꯗꯣꯀꯄꯥ ꯉꯃꯗꯦ꯫

ꯀꯦꯁ ꯈꯔꯗꯗꯤ, ꯃꯁꯤ ꯀꯣꯟꯖꯤꯅꯤꯑꯦꯜ ꯑꯦꯗ꯭ꯔꯤꯅꯜ ꯍꯥꯏꯄꯔꯞꯂꯥꯁꯤꯌꯥ (CAH) ꯀꯧꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯒꯥ ꯃꯔꯤ ꯂꯩꯅꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯁꯤ.ꯑꯦ.ꯑꯩꯆ.ꯅꯥ ꯖꯤꯅꯦꯇꯤꯛ ꯑꯣꯏꯕꯥ ꯂꯥꯌꯅꯥꯁꯤꯡꯒꯤ ꯀꯥꯡꯂꯨꯞ ꯑꯃꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ CAH ꯂꯩꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯑꯦꯗ꯭ꯔꯤꯅꯜ ꯒ꯭ꯜꯌꯥꯟꯗ ꯑꯃꯅꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯅꯤꯃꯛꯅꯥ ꯍꯣꯔꯃꯣꯅꯁꯤꯡ ꯁꯦꯝꯕꯗꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯑꯦꯅꯖꯥꯏꯝ ꯑꯃꯥ ꯄꯨꯊꯣꯛꯇꯦ꯫ ꯃꯁꯤꯅꯥ ꯁꯦꯛꯁꯀꯤ ꯑꯣꯔꯒꯥꯅꯁꯤꯡ ꯑꯗꯨ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ CAHꯅꯥ ꯀꯅꯥꯒꯨꯝꯕꯥ ꯑꯃꯠꯇꯗꯥ ꯁꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ, ꯑꯗꯨꯕꯨ ꯅꯨꯄꯤꯃꯆꯥꯁꯤꯡꯗꯥ ꯑꯦꯕꯅꯣꯔꯃꯦꯜ ꯁꯦꯛꯁ ꯑꯣꯔꯒꯥꯅꯁꯤꯡ ꯂꯩꯕꯒꯤ ꯆꯥꯡ ꯍꯦꯜꯂꯤ꯫

ꯚꯤꯔꯤꯂꯥꯏꯖꯦꯁꯟ ꯀꯧꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯥ ꯏꯎꯔꯣꯖꯦꯅꯤꯇꯥꯜ ꯁꯥꯏꯅꯣꯁꯥꯏꯇꯤꯁꯁꯨ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯚꯤꯔꯥꯏꯂꯥꯏꯖꯦꯁꯟ ꯍꯥꯌꯕꯁꯤ ꯅꯨꯄꯥꯃꯆꯥ ꯑꯃꯒꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯅꯨꯄꯥꯒꯤ ꯁꯦꯛꯁ ꯍꯣꯔꯃꯣꯟ (ꯑꯦꯟꯗ꯭ꯔꯣꯖꯦꯅꯁꯤꯡ) ꯌꯥꯝꯅꯥ ꯌꯥꯎꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯑꯣꯏ꯫ ꯑꯦꯟꯗ꯭ꯔꯣꯖꯦꯅꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯍꯀꯆꯥꯡꯕꯨ ꯄꯤꯀꯄꯥ ꯉꯃꯍꯜꯂꯤ, ꯑꯃꯁꯨꯡ ꯃꯈꯣꯌꯅꯥ ꯈꯣꯟꯖꯦꯜ, ꯍꯀꯆꯥꯡꯒꯤ ꯈꯣꯡꯖꯦꯜ, ꯑꯃꯁꯨꯡ ꯃꯁꯜ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ ꯑꯁꯤꯅꯆꯤꯡꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡꯗꯁꯨ ꯁꯣꯀꯍꯜꯂꯤ꯫

ꯏꯎꯔꯣꯖꯦꯅꯤꯇꯦꯜ ꯁꯥꯏꯅꯣꯁ ꯗꯤꯖꯤꯖ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯈꯪꯗꯣꯀꯄꯒꯦ?

(Urogenital Sinus) ꯑꯁꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯂꯥꯌꯦꯡꯒꯗꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯂꯦꯄꯊꯣꯀꯄꯗꯥ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫ ꯃꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯒꯤ ꯖꯦꯅꯤꯇꯦꯜ ꯈꯛꯇꯥ ꯅꯠꯇꯅꯥ ꯃꯈꯣꯌꯒꯤ ꯑꯄꯨꯅꯕꯥ ꯒ꯭ꯔꯣꯊ ꯑꯃꯁꯨꯡ ꯗꯤꯚꯦꯂꯄꯃꯦꯟꯇꯗꯁꯨ ꯁꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯑꯉꯥꯡ ꯑꯗꯨ ꯄꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯑꯂꯠꯔꯥꯁꯥꯎꯟꯗꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯀꯟꯗꯤꯁꯟ (Urogenital Sinus) ꯑꯁꯤ ꯈꯪꯗꯣꯀꯄꯥ ꯉꯝꯃꯤ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯑꯌꯥꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯑꯉꯥꯡ ꯑꯗꯨ ꯄꯣꯀꯄꯥ ꯃꯇꯨꯡꯗꯥ ꯑꯍꯥꯅꯕꯥ ꯐꯤꯖꯤꯀꯦꯜ ꯑꯦꯀꯖꯥꯃꯤꯅꯦꯁꯟ ꯇꯧꯕꯥ ꯃꯇꯃꯗꯥ ꯊꯦꯡꯅꯩ꯫ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯃꯈꯣꯌꯅꯥ ꯑꯉꯥꯡ ꯑꯗꯨꯒꯤ ꯑꯄꯨꯅꯕꯥ ꯍꯀꯁꯦꯜ ꯑꯃꯁꯨꯡ ꯖꯦꯅꯦꯇꯤꯛ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯃꯁꯤꯡꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯍꯦꯟꯅꯥ ꯈꯪꯅꯕꯒꯤꯗꯃꯛ ꯕ꯭ꯂꯗ ꯇꯦꯁ꯭ꯠ ꯇꯧꯕꯥ ꯌꯥꯏ꯫

ꯗꯣꯛꯇꯔꯅꯥ ꯗꯥꯏꯑꯦꯒ꯭ꯅꯣꯁꯤꯁ ꯑꯗꯨ ꯀꯅꯐꯥꯔꯝ ꯇꯧꯅꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯏꯎꯔꯣꯖꯦꯅꯤꯇꯦꯜ ꯁꯥꯏꯅꯣꯁꯀꯤ ꯆꯥꯡ ꯑꯗꯨ ꯍꯦꯟꯅꯥ ꯈꯪꯗꯣꯛꯅꯕꯥ ꯃꯈꯥ ꯇꯥꯕꯥ ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯇꯧꯅꯕꯥ ꯑꯣꯔꯗꯔ ꯇꯧꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯁꯤꯡꯁꯤ ꯌꯥꯎꯕꯥ ꯌꯥꯏ:

• ꯑꯂꯠꯔꯥꯁꯥꯎꯟꯗ: ꯃꯁꯤꯅꯥ ꯍꯥꯏ-ꯐ꯭ꯔꯤꯛꯕꯦꯟꯁꯤ ꯁꯥꯎꯟꯗ ꯋꯦꯕ ꯁꯤꯖꯤꯟꯅꯗꯨꯅꯥ ꯍꯀꯆꯥꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯂꯩꯕꯥ ꯑꯣꯔꯒꯥꯅꯁꯤꯡꯒꯤ ꯚꯤꯗꯤꯑꯣ ꯅꯠꯠꯔꯒꯥ ꯄꯤꯀꯆꯔꯁꯤꯡ ꯂꯧꯏ꯫ ꯃꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡꯒꯤ ꯀꯤꯗꯅꯤ, ꯕ꯭ꯂꯦꯗꯔ, ꯚꯦꯖꯤꯅꯦꯜ ꯑꯃꯁꯨꯡ ꯔꯦꯛꯇꯃꯗꯥ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯃꯁꯤꯡ ꯎꯠꯄꯥ ꯌꯥꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯅꯥ ꯚꯦꯖꯤꯅꯦꯂꯗꯥ ꯌꯨꯔꯤꯟ (hydrocolpos) ꯌꯥꯎꯔꯕꯗꯤ ꯃꯁꯤꯅꯥ ꯈꯪꯗꯣꯀꯄꯥ ꯉꯝꯃꯤ꯫
• ꯔꯦꯠꯔꯣꯒ꯭ꯔꯦꯗ ꯖꯦꯅꯤꯇꯣꯒ꯭ꯔꯥꯝ: ꯃꯁꯤꯁꯨ ꯏꯃꯦꯖꯤꯡ ꯇꯦꯁ꯭ꯠ ꯃꯈꯜ ꯑꯃꯅꯤ꯫ ꯇꯦꯁ꯭ꯠ ꯑꯁꯤꯗꯥ ꯗꯣꯛꯇꯔ ꯑꯃꯅꯥ ꯏꯎꯔꯦꯊ꯭ꯔꯥ/ꯚꯦꯖꯤꯅꯥꯗꯥ ꯑꯈꯟꯅꯕꯥ ꯗꯥꯏ ꯑꯃꯥ ꯏꯅꯖꯦꯀꯁꯟ ꯇꯧꯗꯨꯅꯥ ꯑꯦꯛꯁ-ꯔꯦ ꯂꯧꯏ꯫ ꯃꯁꯤꯒꯤ ꯗꯥꯏ ꯑꯁꯤꯅꯥ ꯇꯤꯁ꯭ꯌꯨ ꯑꯃꯁꯨꯡ ꯑꯣꯔꯒꯥꯅꯁꯤꯡꯒꯤ ꯁꯥꯏꯖ, ꯃꯑꯣꯡ ꯑꯃꯁꯨꯡ ꯃꯐꯝ ꯃꯌꯦꯛ ꯁꯦꯡꯅꯥ ꯈꯉꯗꯣꯀꯄꯥ ꯉꯃꯍꯜꯂꯤ꯫
• ꯃꯦꯒ꯭ꯅꯦꯇꯤꯛ ꯔꯤꯖꯣꯅꯦꯟꯁ ꯏꯃꯦꯖꯤꯡ (MRI) ꯇꯦꯁ꯭ꯠ: ꯑꯦꯝ.ꯑꯥꯔ.ꯑꯥꯏ.ꯅꯥ ꯃꯦꯒ꯭ꯅꯦꯇꯤꯛ, ꯔꯦꯗꯤꯑꯣ ꯋꯦꯕ ꯑꯃꯁꯨꯡ ꯀꯝꯞꯌꯨꯇꯔ ꯁꯤꯖꯤꯟꯅꯗꯨꯅꯥ ꯍꯀꯆꯥꯡꯒꯤ ꯃꯌꯦꯛ ꯁꯦꯡꯕꯥ ꯐꯣꯇꯣꯁꯤꯡ ꯂꯧꯏ꯫ ꯃꯁꯤꯅꯥ ꯏꯎꯔꯣꯖꯦꯅꯤꯇꯦꯜ ꯁꯥꯏꯅꯣꯁꯀꯤ ꯌꯥꯝꯅꯥ ꯑꯀꯨꯞꯄꯥ ꯃꯔꯣꯂꯁꯤꯡ ꯄꯤꯕꯥ ꯉꯃꯒꯅꯤ꯫ MRI ꯑꯁꯤ ꯑꯉꯥꯡꯒꯤ ꯄꯦꯂꯚꯤꯁ ꯑꯃꯁꯨꯡ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗꯇꯥ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯑꯃꯍꯦꯛꯇꯕꯨ ꯆꯦꯛ ꯇꯧꯕꯗꯁꯨ ꯁꯤꯖꯤꯟꯅꯕꯥ ꯌꯥꯏ꯫
• ꯑꯦꯟꯗꯣꯁ꯭ꯀꯣꯄꯤ: ꯑꯦꯟꯗꯣꯁ꯭ꯀꯣꯄꯤ ꯑꯃꯅꯥ ꯃꯊꯛ ꯑꯃꯗꯥ ꯃꯉꯥꯜ ꯑꯃꯁꯨꯡ ꯀꯦꯃꯦꯔꯥ ꯑꯃꯥ ꯌꯥꯎꯕꯥ ꯑꯄꯤꯀꯄꯥ, ꯁꯥꯡꯕꯥ ꯇꯤꯎꯕ (endoscope) ꯑꯃꯥ ꯁꯤꯖꯤꯟꯅꯩ꯫ ꯃꯁꯤꯒꯤ ꯑꯦꯟꯗꯣꯁ꯭ꯀꯣꯞ ꯑꯁꯤ ꯃꯅꯨꯡꯗꯥ ꯂꯩꯕꯥ ꯑꯦꯅꯥꯇꯣꯃꯤ ꯑꯗꯨ ꯌꯦꯡꯅꯕꯒꯤꯗꯃꯛ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯏꯎꯔꯦꯊ꯭ꯔꯥ/ ꯚꯦꯖꯤꯅꯦꯂꯗꯥ ꯊꯥꯏ꯫

ꯏꯎꯔꯣꯖꯦꯅꯤꯇꯦꯜ ꯁꯥꯏꯅꯣꯁ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯂꯥꯌꯦꯡꯒꯗꯒꯦ?

ꯏꯎꯔꯣꯖꯦꯅꯤꯇꯦꯜ ꯁꯥꯏꯅꯣꯁ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯥ ꯂꯥꯏꯌꯦꯡꯅꯕꯒꯤ ꯑꯃꯠꯇꯥ ꯉꯥꯏꯔꯕꯥ ꯄꯥꯝꯕꯩꯗꯤ ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯒꯤ ꯚꯦꯖꯤꯅꯦꯜ ꯑꯃꯁꯨꯡ ꯏꯎꯔꯦꯊ꯭ꯔꯥ ꯇꯣꯉꯥꯟꯅꯥ ꯂꯩꯅꯕꯥ ꯁꯔꯖꯔꯤ ꯇꯧꯕꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯃꯔꯨꯑꯣꯏꯅꯥ ꯚꯤꯔꯤꯂꯥꯏꯖ ꯇꯧꯔꯕꯥ (ꯀꯣꯟꯖꯦꯅꯤꯑꯦꯜ ꯑꯦꯗ꯭ꯔꯤꯅꯜ ꯍꯥꯏꯄꯔꯞꯂꯥꯁꯤꯌꯥ (CAH)ꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ) ꯑꯃꯁꯨꯡ ꯗꯤꯁꯑꯣꯔꯗꯔ ꯁꯦꯛꯁꯨꯑꯦꯜ ꯗꯤꯚꯦꯂꯄꯃꯦꯟꯇ (DSD) ꯂꯩꯔꯦ ꯍꯥꯌꯅꯥ ꯈꯪꯂꯕꯥ ꯑꯉꯥꯡꯁꯤꯡꯗꯥ, ꯁꯔꯖꯔꯤ ꯄꯥꯡꯊꯣꯀꯄꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯃꯤꯛꯁ ꯇꯧꯔꯕꯥ ꯋꯥꯈꯜꯂꯣꯅꯁꯤꯡ ꯂꯩꯕꯥ ꯌꯥꯏ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯁꯔꯖꯔꯤ ꯇꯧꯗ꯭ꯔꯤꯉꯩ ꯃꯃꯥꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨ ꯂꯥꯏꯌꯦꯡꯂꯤꯕꯥ ꯃꯦꯗꯤꯀꯦꯜ ꯇꯤꯃꯒꯥ ꯌꯥꯝꯅꯥ ꯑꯀꯨꯞꯄꯥ ꯃꯔꯣꯂꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯒꯗꯕꯅꯤ꯫ ꯇꯤꯝ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯃꯍꯧꯁꯥꯅꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯌꯥꯑꯣꯔꯤ:

• ꯌꯨꯔꯤꯅꯔꯤ ꯁꯤꯁ꯭ꯇꯦꯝ ꯑꯃꯁꯨꯡ ꯔꯤꯞꯔꯗꯛꯇꯤꯚ ꯁꯤꯁ꯭ꯇꯦꯃꯒꯤ ꯂꯥꯌꯅꯥꯁꯤꯡꯗꯥ ꯑꯈꯟꯅꯕꯥ ꯗꯣꯛꯇꯔ ꯑꯃꯥ ((ꯌꯨꯔꯣꯂꯣꯖꯤꯁ꯭ꯠ))꯫
• ꯑꯦꯟꯗꯣꯛꯔꯥꯏꯅꯣꯂꯣꯖꯤꯁ꯭ꯠ ꯍꯥꯌꯕꯁꯤ ꯑꯦꯟꯗꯣꯛꯔꯥꯏꯟ ꯁꯤꯁ꯭ꯇꯦꯃꯒꯥ ꯃꯔꯤ ꯂꯩꯅꯕꯥ ꯂꯥꯌꯅꯥꯁꯤꯡꯗꯥ ꯑꯈꯟꯅꯕꯥ ꯃꯤꯠꯌꯦꯡ ꯆꯪꯕꯥ ꯗꯣꯛꯇꯔ ꯑꯃꯅꯤ꯫ ꯅꯍꯥꯛꯀꯤ ꯑꯦꯟꯗꯣꯛꯔꯥꯏꯟ ꯁꯤꯁ꯭ꯇꯦꯝ ꯑꯁꯤꯅꯥ ꯍꯣꯔꯃꯣꯅꯁꯤꯡ ꯁꯦꯝꯃꯤ ꯑꯃꯁꯨꯡ ꯔꯤꯂꯤꯖ ꯇꯧꯏ꯫

ꯁꯔꯖꯔꯤ ꯑꯁꯤ ꯃꯍꯧꯁꯥꯅꯥ ꯑꯉꯥꯡ ꯑꯗꯨꯒꯤ ꯑꯍꯥꯅꯕꯥ ꯆꯍꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯄꯥꯡꯊꯣꯀꯏ . ꯃꯁꯤꯒꯤ ꯁꯔꯖꯔꯤ ꯑꯁꯤ ꯏꯎꯔꯣꯂꯣꯖꯤꯁ꯭ꯠ ꯑꯃꯅꯥ ꯄꯥꯡꯊꯣꯀꯏ꯫

ꯂꯣ-ꯖꯣꯏꯟ (Urogenital Sinus) ꯀꯟꯗꯤꯁꯟ ꯑꯃꯒꯤ ꯑꯣꯏꯅꯗꯤ, (Urologist) ꯑꯃꯅꯥ ꯑꯌꯥꯝꯕꯥ ꯃꯇꯃꯗꯥ (Flap vaginoplasty) ꯀꯧꯕꯥ ꯁꯔꯖꯔꯤ ꯑꯃꯥ ꯄꯥꯡꯊꯣꯛꯀꯅꯤ꯫ ꯃꯁꯤꯗꯥ ꯃꯈꯣꯌꯅꯥ ꯍꯀꯆꯥꯡꯒꯤ ꯃꯄꯥꯟꯗꯥ ꯇꯣꯉꯥꯅꯕꯥ ꯑꯍꯥꯡꯕꯥ ꯃꯐꯝ ꯑꯅꯤ ꯁꯦꯝꯃꯤ – ꯑꯃꯅꯥ ꯚꯦꯖꯤꯅꯦꯂꯒꯤꯗꯃꯛ, ꯑꯃꯁꯨꯡ ꯑꯇꯣꯞꯄꯥ ꯑꯃꯅꯥ ꯏꯎꯔꯦꯊ꯭ꯔꯥꯒꯤꯗꯃꯛ꯫

ꯍꯥꯏ-ꯖꯣꯏꯟ (Urogenital Sinus) ꯀꯟꯗꯤꯁꯟ ꯑꯃꯒꯤ ꯑꯣꯏꯅꯗꯤ, (Urologist) ꯑꯃꯅꯥ ꯃꯍꯧꯁꯥꯅꯥ (Pull-through vaginoplasty) ꯀꯧꯕꯥ ꯁꯔꯖꯔꯤ ꯑꯃꯥ ꯄꯥꯡꯊꯣꯀꯏ꯫ ꯃꯁꯤ ꯈꯔꯥ ꯍꯦꯟꯅꯥ ꯀꯝꯄꯤꯇꯤꯇꯤꯕ ꯑꯣꯏꯕꯥ ꯁꯔꯖꯔꯤ ꯑꯃꯅꯤ꯫ ꯃꯁꯤꯗꯥ, (ꯌꯨꯔꯣꯂꯣꯖꯤꯁ꯭ꯠ)ꯅꯥ ꯚꯦꯖꯤꯅꯦꯜ ꯑꯗꯨ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯑꯣꯄꯅꯤꯡ ꯑꯗꯨꯗꯒꯤ ꯇꯣꯈꯥꯌꯅꯥ ꯊꯝꯃꯤ, ꯇꯣꯉꯥꯅꯕꯥ ꯑꯃꯥ ꯁꯦꯝꯃꯤ ꯑꯃꯁꯨꯡ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯑꯣꯄꯅꯤꯡ ꯑꯗꯨ ꯊꯤꯡꯏ꯫ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ, ꯃꯃꯥꯡꯗꯥ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯑꯣꯄꯅꯤꯡ ꯑꯗꯨ ꯂꯩꯔꯝꯕꯥ ꯃꯐꯝ ꯑꯗꯨꯗꯒꯤ ꯌꯨꯔꯤꯟ ꯃꯈꯥ ꯇꯥꯅꯥ ꯆꯦꯟꯊꯔꯀꯏ꯫

ꯍꯥꯏ-ꯖꯣꯏꯟ (Urogenital Sinus)ꯒꯤ ꯀꯦꯁ ꯈꯔꯗꯗꯤ, (Urologist) ꯑꯃꯅꯥ (Flap vaginoplasty)ꯒꯥ ꯂꯣꯌꯅꯅꯥ (Urogenital mobilization) ꯀꯧꯕꯥ ꯄ꯭ꯔꯣꯁꯤꯗ꯭ꯌꯨꯑꯣꯔ ꯑꯃꯥ ꯄꯥꯡꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫ (ꯌꯨꯔꯣꯖꯦꯅꯤꯇꯦꯜ ꯃꯣꯕꯤꯂꯥꯏꯖꯦꯁꯟ)ꯒꯤ ꯃꯅꯨꯡꯗꯥ, ꯃꯈꯣꯌꯅꯥ:

• ꯔꯦꯛꯇꯝ ꯑꯗꯨ ꯇꯣꯈꯥꯌꯅꯥ ꯂꯩ꯫
• ꯏꯎꯔꯦꯊ꯭ꯔꯥ ꯑꯃꯁꯨꯡ ꯚꯦꯖꯤꯅꯦꯜ ꯑꯁꯤ ꯇꯣꯈꯥꯌꯅꯥ ꯊꯃꯗꯨꯅꯥ ꯄꯨꯟꯅꯥ ꯃꯣꯕꯤꯂꯥꯏꯖ ꯇꯧꯗꯨꯅꯥ ꯄꯦꯔꯤꯅꯤꯌꯃꯗꯥ ꯄꯨꯔꯀꯏ꯫
• ꯔꯦꯛꯇꯝ ꯑꯁꯤ ꯑꯦꯅꯥꯜ ꯁ꯭ꯐꯤꯡꯛꯇꯔꯒꯥ ꯁꯝꯅꯩ꯫
• ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ (ꯐ꯭ꯂꯦꯞ ꯚꯦꯖꯤꯅꯣꯞꯂꯥꯁ꯭ꯇꯤ) ꯄꯥꯡꯊꯣꯀꯏ꯫

ꯑꯉꯥꯡ ꯈꯔꯗꯤ ꯀ꯭ꯂꯤꯇꯣꯔꯣꯞꯂꯥꯁ꯭ꯇꯤ ꯑꯃꯁꯨꯡ/ꯅꯠꯠꯔꯒꯥ ꯂꯦꯕꯤꯌꯥꯞꯂꯥꯁ꯭ꯇꯤ ꯀꯧꯕꯥ ꯁꯔꯖꯔꯤ ꯑꯃꯁꯨ ꯇꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯏ꯫ ꯀ꯭ꯂꯤꯇꯣꯔꯣꯞꯂꯥꯁ꯭ꯇꯤ ꯍꯥꯌꯕꯁꯤꯗꯥ ꯅꯣꯔꯃꯦꯜ ꯀ꯭ꯂꯤꯇꯣꯔꯤꯁ ꯑꯃꯥ ꯁꯦꯝꯅꯕꯥ ꯇꯤꯁꯨ ꯑꯗꯨ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯁꯦꯃꯗꯣꯀꯄꯥ ꯌꯥꯎꯏ꯫ ꯁꯔꯖꯔꯤꯅꯥ ꯌꯥꯔꯤꯕꯃꯈꯩ ꯅꯔꯚ ꯀꯌꯥ ꯉꯥꯛꯇꯨꯅꯥ ꯊꯝꯅꯕꯥ ꯍꯣꯠꯅꯩ ꯃꯗꯨꯅꯥ ꯑꯉꯥꯡ ꯑꯗꯨꯅꯥ ꯆꯥꯎꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯍꯀꯁꯦꯜ ꯐꯕꯥ ꯁꯦꯛꯁꯀꯤ ꯄꯨꯟꯁꯤ ꯑꯃꯥ ꯍꯤꯡꯕꯥ ꯉꯃꯒꯅꯤ꯫ ꯂꯦꯕꯤꯌꯥꯞꯂꯥꯁ꯭ꯇꯤ ꯍꯥꯌꯕꯁꯤꯗꯥ ꯂꯦꯕꯤꯌꯥꯕꯨ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯁꯦꯃꯗꯣꯀꯄꯥ ꯌꯥꯎꯏ, ꯃꯈꯣꯌꯗꯨꯗꯤ ꯚꯦꯖꯤꯅꯦꯂꯒꯤ ꯑꯀꯣꯌꯕꯗꯥ ꯂꯩꯕꯥ ꯂꯤꯄꯁꯤꯡꯅꯤ꯫

ꯏꯎꯔꯣꯖꯦꯅꯤꯇꯦꯜ ꯁꯥꯏꯅꯣꯁ ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯑꯉꯥꯡ ꯑꯃꯅꯥ ꯐꯒꯠꯂꯀꯄꯗꯥ ꯃꯇꯝ ꯀꯌꯥ ꯆꯪꯕꯒꯦ?

ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨ (ꯌꯨꯔꯣꯖꯦꯅꯤꯇꯦꯜ ꯁꯥꯏꯅꯣꯁ) ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯅꯨꯃꯤꯠ ꯈꯔꯅꯤꯒꯤ ꯑꯣꯏꯅꯥ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯂꯗꯥ ꯂꯩꯕꯥ ꯃꯊꯧ ꯇꯥꯒꯅꯤ꯫ ꯅꯨꯃꯤꯠ ꯑꯃꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯅꯥꯕꯥ ꯑꯗꯨ ꯍꯟꯊꯕꯥ ꯍꯧꯒꯗꯕꯅꯤ, ꯑꯃꯁꯨꯡ ꯑꯉꯥꯡ ꯑꯗꯨ ꯊꯥ ꯑꯃꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯐꯒꯠꯍꯅꯒꯗꯕꯅꯤ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯒꯤ (Urogenital Sinus)ꯒꯤ ꯃꯑꯣꯡ-ꯃꯇꯧ ꯑꯗꯨꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ, ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯒꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯍꯦꯟꯅꯥ ꯃꯌꯦꯛ ꯁꯦꯡꯕꯥ ꯋꯥꯈꯜꯂꯣꯟ ꯑꯃꯥ ꯄꯤꯒꯅꯤ꯫

ꯏꯎꯔꯣꯖꯦꯅꯤꯇꯦꯜ ꯁꯥꯏꯅꯣꯁ ꯑꯁꯤ ꯊꯤꯡꯕꯥ ꯉꯃꯒꯗ꯭ꯔꯥ?

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯏꯃꯨꯡꯒꯤ ꯃꯤꯑꯣꯏ ꯑꯃꯅꯥ ꯀꯣꯟꯖꯤꯅꯤꯑꯦꯜ ꯑꯦꯗ꯭ꯔꯤꯅꯜ ꯍꯥꯏꯄꯔꯞꯂꯥꯁꯤꯌꯥ (CAH) ꯀꯧꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯥ ꯂꯩꯔꯕꯗꯤ, ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯅꯥ ꯃꯤꯔꯣꯜꯂꯤꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯃꯤꯔꯣꯅꯕꯥ ꯍꯣꯠꯅꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫ ꯏꯎꯔꯣꯖꯦꯅꯤꯇꯦꯜ ꯁꯥꯏꯅꯣꯁ ꯑꯃꯥ ꯊꯤꯡꯅꯕꯒꯤꯗꯃꯛ, ꯍꯣꯔꯃꯣꯅꯁꯤꯡ ꯑꯁꯤ ꯄ꯭ꯔꯤꯅꯦꯇꯦꯜ ꯑꯣꯏꯅꯥ ꯄꯤꯕꯥ ꯌꯥꯏ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯩꯒꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯗꯥ ꯏꯎꯔꯣꯖꯦꯅꯤꯇꯦꯜ ꯁꯥꯏꯅꯣꯁ ꯂꯩꯔꯕꯗꯤ ꯑꯩꯅꯥ ꯀꯔꯤ ꯑꯥꯁꯥ ꯇꯧꯒꯗꯒꯦ?

ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯒꯤ ꯐꯜ ꯑꯗꯨ ꯃꯍꯥꯛꯀꯤ ꯏꯎꯔꯣꯖꯦꯅꯤꯇꯦꯜ ꯁꯥꯏꯅꯣꯁꯀꯤ ꯁꯥꯏꯖ ꯑꯗꯨꯒꯤ ꯃꯈꯥ ꯄꯣꯜꯂꯤ꯫ ꯁꯔꯖꯔꯤꯒꯤ ꯄꯥꯟꯗꯃꯗꯤ ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯗꯥ ꯅꯣꯔꯃꯦꯜ ꯐꯉ꯭ꯀꯁꯟ ꯑꯃꯁꯨꯡ ꯖꯦꯅꯤꯇꯦꯂꯁꯤꯡꯒꯤ ꯃꯑꯣꯡ-ꯃꯇꯧ ꯄꯤꯕꯅꯤ꯫ ꯁꯔꯖꯔꯤ ꯇꯧꯔꯤꯕꯥ ꯑꯉꯥꯡ ꯑꯌꯥꯝꯕꯗꯤ ꯐꯒꯠꯂꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯅꯥ ꯌꯨꯔꯤꯟ ꯇꯧꯕꯥ ꯉꯝꯃꯤ꯫

ꯑꯉꯥꯡ ꯑꯗꯨꯅꯥ ꯆꯥꯎꯈꯠꯂꯀꯄꯒꯥ ꯂꯣꯌꯅꯅꯥ, ꯚꯦꯖꯤꯅꯦꯜ ꯑꯗꯨ ꯀꯨꯄꯁꯤꯅꯕꯥ (vaginal stenosis) ꯑꯃꯁꯨꯡ ꯀꯨꯄꯁꯤꯅꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯅꯥ ꯚꯦꯖꯤꯅꯦꯜ ꯁꯦꯛꯁꯨꯑꯦꯜ ꯏꯟꯇꯔꯀꯣꯔꯁꯀꯤ ꯃꯇꯃꯗꯥ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫

ꯏꯎꯔꯣꯖꯦꯅꯤꯇꯦꯜ ꯁꯥꯏꯅꯣꯁ ꯀꯟꯗꯤꯁꯟ ꯂꯩꯕꯥ ꯑꯉꯥꯡ ꯑꯃꯅꯥ ꯃꯈꯣꯌꯕꯨ ꯃꯤꯔꯣꯅꯕꯥ ꯊꯤꯡꯗꯦ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯁꯔꯖꯔꯤ ꯑꯗꯨ ꯌꯥꯝꯅꯥ ꯄꯥꯛ-ꯆꯥꯎꯅꯥ ꯇꯧꯔꯕꯗꯤ, ꯑꯉꯥꯡ ꯄꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯁꯤꯖꯔꯤꯌꯥꯟ ꯁꯦꯛꯁꯟ (C-section) ꯇꯧꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯃꯇꯤꯛ ꯆꯥꯕꯥ ꯃꯇꯃꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯒꯥ ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯈꯟꯅꯒꯅꯤ꯫

ꯑꯩꯒꯤ ꯑꯉꯥꯡ ꯑꯗꯨ ꯀꯔꯝꯅꯥ ꯌꯦꯡꯁꯤꯅꯒꯅꯤ?

ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯒꯤ ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯃꯍꯥꯀꯄꯨ ꯀꯔꯝꯅꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯥ ꯂꯥꯏꯌꯦꯡꯒꯗꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯈꯪꯍꯜꯂꯛꯀꯅꯤ꯫ (ꯌꯨꯔꯣꯖꯦꯅꯤꯇꯦꯜ ꯁꯥꯏꯅꯣꯁ)ꯒꯤ ꯁꯥꯊꯤꯕꯥ ꯃꯑꯣꯡ ꯑꯃꯁꯨꯡ ꯁꯔꯖꯔꯤꯒꯤ ꯐꯂꯁꯤꯡꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯍꯥꯀꯄꯨ ꯀꯔꯝꯅꯥ ꯃꯈꯥ ꯇꯥꯅꯥ ꯌꯦꯡꯁꯤꯅꯒꯅꯤ ꯍꯥꯌꯕꯗꯨ ꯂꯦꯄꯀꯅꯤ꯫

ꯑꯩꯅꯥ ꯀꯗꯥꯏꯗꯥ ꯗꯣꯛꯇꯔꯒꯥ ꯎꯅꯒꯗꯒꯦ?

ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ, ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯅꯥ ꯃꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡ ꯑꯗꯨ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯐꯒꯠꯂꯛꯂꯤ ꯑꯃꯁꯨꯡ ꯃꯈꯥ ꯇꯥꯅꯥ ꯊꯕꯛ ꯇꯧꯔꯤꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯁꯤꯟꯅꯕꯥ ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯐꯣꯂꯣ-ꯑꯞ ꯑꯦꯄꯣꯏꯟꯇꯃꯦꯟꯇꯁꯤꯡ ꯂꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯏ꯫ ꯑꯦꯄꯣꯏꯟꯇꯃꯦꯟꯇ ꯄꯨꯝꯅꯃꯛ ꯑꯁꯤꯗꯥ ꯁꯣꯌꯗꯅꯥ ꯁꯔꯨꯛ ꯌꯥꯕꯤꯌꯨ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯌꯨꯔꯤꯅꯔꯤ ꯏꯅꯀꯟꯇꯤꯅꯦꯟꯁꯒꯨꯝꯕꯥ ꯑꯅꯧꯕꯥ ꯂꯥꯏꯑꯣꯡ ꯑꯃꯠꯇꯥ ꯎꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯒꯤ ꯄꯦꯗꯤꯑꯦꯠꯔꯤꯛ ꯅꯠꯠꯔꯒꯥ ꯏꯎꯔꯣꯂꯣꯖꯤꯁ꯭ꯠ ꯑꯃꯒꯥ ꯇꯥꯟꯅꯧ꯫

ꯑꯩꯒꯤ ꯑꯉꯥꯡꯒꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯀꯔꯤ ꯋꯥꯍꯪ ꯍꯪꯒꯗꯒꯦ?

ꯃꯈꯥꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯍꯪꯂꯀꯄꯥ ꯌꯥꯕꯥ ꯋꯥꯍꯪ ꯈꯔꯗꯤ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤ:

• ꯑꯩꯒꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯗꯥ ꯀꯔꯤ ꯃꯈꯂꯒꯤ ꯏꯎꯔꯣꯖꯦꯅꯤꯇꯦꯜ ꯁꯥꯏꯅꯣꯁ ꯂꯩꯕꯒꯦ?
• ꯀꯔꯤ ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯔꯤꯀꯃꯦꯟꯗ ꯇꯧꯔꯤꯕꯒꯦ?
• ꯆꯍꯤ ꯀꯌꯥꯗꯥ ꯁꯔꯖꯔꯤ ꯇꯧꯅꯕꯥ ꯔꯦꯀꯃꯦꯟꯗ ꯇꯧꯔꯤꯕꯒꯦ?
• ꯑꯩꯒꯤ ꯑꯉꯥꯡ ꯑꯗꯨ ꯑꯋꯥꯕꯥ ꯅꯪꯂꯕꯔꯥ ꯅꯠꯔꯒꯥ ꯍꯥꯟꯅꯗꯒꯤ ꯑꯋꯥꯕꯥ ꯅꯪꯂꯕꯔꯥ?
• ꯑꯉꯥꯡ ꯑꯗꯨꯅꯥ ꯆꯍꯤ ꯌꯥꯃꯈꯠꯂꯀꯄꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯑꯍꯦꯅꯕꯥ ꯁꯔꯖꯔꯤꯁꯤꯡ ꯃꯊꯧ ꯇꯥꯒꯗ꯭ꯔꯥ?
• ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯅꯥ ꯆꯥꯎꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯃꯈꯣꯌꯒꯤ ꯏꯎꯔꯦꯊ꯭ꯔꯥ ꯅꯠꯠꯔꯒꯥ ꯚꯦꯖꯤꯅꯦꯂꯗꯥ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯂꯩꯒꯅꯤ ꯍꯥꯌꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯊꯥꯖꯕ꯭ꯔꯥ?
• ꯃꯁꯤꯅꯥ ꯑꯩꯒꯤ ꯑꯉꯥꯡꯒꯤ ꯊꯥꯒꯤ ꯈꯣꯡꯀꯥꯄꯇꯥ ꯑꯀꯥꯌꯕꯥ ꯄꯤꯒꯗ꯭ꯔꯥ?
• ꯃꯁꯤꯅꯥ ꯑꯩꯒꯤ ꯑꯉꯥꯡ ꯄꯣꯀꯄꯒꯤ ꯇꯧꯕꯥ ꯉꯝꯕꯗꯥ ꯑꯀꯥꯌꯕꯥ ꯄꯤꯒꯗ꯭ꯔꯥ?
• ꯑꯩꯒꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯅꯥ ꯁꯥꯐꯅꯥ ꯄꯣꯀꯄꯥ ꯉꯃꯒꯗ꯭ꯔꯥ?

ꯃꯔꯨꯑꯣꯏꯕꯥ: ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯍꯪꯂꯀꯄꯥ ꯋꯥꯍꯪꯁꯤꯡ ꯑꯗꯨ ꯀꯌꯥꯝ ꯑꯄꯤꯀꯄꯥ ꯑꯣꯏꯔꯕꯁꯨ, ꯀꯩꯗꯧꯉꯩꯗꯥ ꯂꯥꯡꯇꯛꯅꯒꯅꯨ꯫ ꯄꯨꯝꯅꯃꯛ ꯃꯌꯦꯛ ꯁꯦꯡꯅꯥ ꯈꯉꯅꯕꯒꯤ ꯑꯙꯤꯀꯥꯔ ꯂꯩ꯫

ꯃꯍꯧꯁꯥꯅꯥ ꯌꯨꯔꯣꯖꯦꯅꯤꯇꯦꯜ ꯗꯤꯁꯑꯣꯔꯗꯔ ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ?

ꯏꯎꯔꯣꯖꯦꯅꯤꯇꯦꯜ ꯗꯤꯁꯑꯣꯔꯗꯔ ꯍꯥꯌꯕꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯌꯨꯔꯤꯅꯔꯤ ꯁꯤꯁ꯭ꯇꯦꯝ ꯑꯃꯁꯨꯡ ꯔꯤꯞꯔꯗꯛꯇꯤꯚ ꯁꯤꯁ꯭ꯇꯦꯃꯗꯥ ꯁꯣꯀꯍꯜꯂꯤꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯍꯦꯛꯇꯕꯨꯅꯤ꯫ ꯑꯇꯣꯞꯄꯥ ꯈꯨꯗꯃꯁꯤꯡꯗꯤ:

• ꯕꯦꯅꯤꯐꯤꯁꯔꯤ ꯇꯤꯎꯃꯔꯁꯤꯡ꯫
• ꯍꯔꯅꯤꯌꯥ꯫
• ꯁꯦꯛꯁꯨꯑꯦꯜꯂꯤ ꯇ꯭ꯔꯥꯟꯁꯃꯤꯇꯦꯗ ꯏꯅꯐꯦꯛꯁꯅꯁꯤꯡ (STIs)꯫
• ꯕ꯭ꯂꯦꯗꯔ ꯀꯦꯟꯁꯔ, ꯑꯣꯕꯦꯔꯤꯌꯟ ꯀꯦꯟꯁꯔ, ꯅꯠꯠꯔꯒꯥ ꯏꯎꯇꯦꯔꯥꯏꯟ ꯀꯦꯟꯁꯔꯒꯨꯝꯕꯥ ꯀꯦꯟꯁꯔꯁꯤꯡ꯫
• ꯏꯟꯇꯔꯁ꯭ꯇꯦꯇꯤꯚ ꯁꯤꯁ꯭ꯇꯦꯇꯤꯁ/ ꯕ꯭ꯂꯦꯗꯔ ꯄꯦꯟ ꯁꯤꯟꯗ꯭ꯔꯣꯝ (IC/BPS)꯫

ꯑꯔꯣꯏꯕꯗꯥ, ꯅꯤꯡꯁꯤꯡꯒꯗꯕꯥ ꯋꯥꯐꯃꯁꯤꯡ (ꯇꯦꯛ-ꯍꯣꯝ ꯃꯦꯁꯦꯖ)

ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯗꯥ ꯏꯎꯔꯣꯖꯦꯅꯤꯇꯦꯜ ꯁꯥꯏꯅꯣꯁ ꯂꯩꯔꯦ ꯍꯥꯌꯕꯥ ꯈꯪꯂꯕꯥ ꯃꯇꯃꯗꯥ ꯁꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯐꯥꯎꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯅꯣꯔꯃꯦꯂꯅꯤ꯫ ꯑꯗꯨꯕꯨ ꯅꯤꯡꯁꯤꯡꯕꯤꯌꯨ, ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡꯒꯤ ꯏꯎꯔꯦꯊ꯭ꯔꯥ ꯑꯃꯁꯨꯡ ꯚꯦꯖꯤꯅꯦꯜ ꯇꯣꯈꯥꯌꯅꯥ ꯂꯩꯅꯕꯥ ꯁꯔꯖꯔꯤꯅꯥ ꯂꯥꯏꯌꯦꯡꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯅꯥ ꯇꯥꯀꯄꯗꯤ ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨ ꯅꯨꯡꯉꯥꯏꯅꯥ ꯌꯨꯔꯤꯅꯔꯤ ꯇꯧꯕꯥ ꯉꯃꯒꯗꯕꯅꯤ꯫ꯃꯍꯥꯛꯅꯥ ꯆꯍꯤ ꯌꯥꯃꯈꯠꯂꯀꯄꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯃꯍꯥꯛꯀꯤ ꯄꯤꯔꯤꯌꯗꯁꯨ ꯂꯩꯒꯗꯕꯅꯤ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯃꯍꯥꯛꯅꯥ ꯆꯍꯤ ꯌꯥꯃꯈꯠꯂꯀꯄꯒꯥ ꯂꯣꯌꯅꯅꯥ, ꯃꯍꯥꯛꯅꯥ ꯚꯦꯖꯤꯅꯦꯜ ꯏꯟꯇꯔꯀꯣꯔꯁꯀꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯈꯔꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫

ꯃꯔꯨꯑꯣꯏꯕꯥ ꯋꯥꯐꯃꯗꯤ, ꯑꯗꯣꯝꯅꯥ ꯋꯥꯐꯃꯁꯤꯡ ꯑꯁꯤ ꯈꯛꯇꯅꯥ ꯊꯦꯡꯅꯕꯥ ꯃꯊꯧ ꯇꯥꯗꯦ꯫ ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡꯒꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯇꯥꯟꯅꯧ꯫ ꯃꯈꯣꯌꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯋꯥꯍꯪ ꯄꯨꯝꯅꯃꯛꯀꯤ ꯄꯥꯎꯈꯨꯝ ꯄꯤꯕꯥ ꯉꯃꯒꯅꯤ, ꯅꯍꯥꯛꯀꯤ ꯑꯀꯤꯕꯥ ꯑꯗꯨ ꯍꯟꯊꯍꯅꯕꯥ ꯉꯃꯒꯅꯤ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯑꯉꯥꯡ ꯑꯗꯨꯒꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯥ ꯂꯥꯏꯌꯦꯡ ꯑꯃꯁꯨꯡ ꯌꯦꯡꯁꯤꯅꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯒꯅꯤ꯫

` ꯏꯎꯔꯣꯖꯦꯅꯤꯇꯦꯜ ꯁꯥꯏꯟꯁ, ꯄꯤ.ꯌꯨ.ꯖꯤ.ꯑꯦꯁ., ꯀꯣꯟꯖꯤꯅꯤꯑꯦꯜ ꯗꯤꯐꯦꯛꯇꯁꯤꯡ, ꯌꯨꯔꯤꯅꯔꯤ ꯁꯤꯁ꯭ꯇꯦꯝ, ꯔꯤꯞꯔꯗꯛꯇꯤꯚ ꯁꯤꯁ꯭ꯇꯦꯝ, ꯁꯔꯖꯔꯤ, ꯑꯉꯥꯡꯒꯤ ꯍꯀꯁꯦꯜ꯫