ꯅꯍꯥꯛꯀꯤ ꯇꯦꯁ꯭ꯇꯤꯀꯂꯁꯤꯡꯗꯥ ꯚꯦꯅꯝ ꯑꯃꯥ ꯂꯥꯀꯄꯥ ꯐꯥꯎꯕ꯭ꯔꯥ? ꯅꯠꯔꯒꯥ ꯃꯐꯝ ꯑꯗꯨꯗꯥ ꯑꯀꯅꯕꯥ ꯅꯠꯔꯒꯥ ꯈꯔꯥ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯋꯥꯐꯝ ꯑꯃꯥ ꯂꯩꯕꯔꯥ? ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ ꯑꯁꯤꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯑꯉꯥꯡ ꯑꯃꯥ ꯄꯣꯀꯄꯗꯥ ꯈꯨꯗꯣꯡꯆꯥꯗꯕꯥ ꯂꯩꯔꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ‘ꯚꯦꯔꯤꯀꯣꯁꯦꯜ’ ꯍꯥꯌꯅꯥ ꯀꯧꯕꯥ ꯄꯣꯠꯁꯛ ꯑꯃꯥ ꯂꯩꯕꯥ ꯌꯥꯏ꯫ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯂꯩꯔꯣꯏꯗꯕꯅꯤ, ꯃꯁꯤ ꯅꯨꯄꯥ ꯀꯌꯥꯗꯥ ꯁꯣꯀꯍꯜꯂꯤꯕꯥ ꯂꯥꯏꯌꯦꯡꯕꯥ ꯌꯥꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫ ꯑꯗꯨꯅꯥ ꯉꯁꯤꯗꯤ ꯚꯦꯔꯤꯀꯣꯁꯦꯜ ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ ꯑꯃꯁꯨꯡ ꯃꯁꯤꯒꯤꯗꯃꯛꯇꯥ ꯄꯥꯡꯊꯣꯀꯄꯥ ꯚꯦꯔꯤꯀꯣꯁꯦꯂꯦꯛꯇꯣꯃꯤ ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯁꯤ꯫
ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯚꯦꯔꯤꯀꯣꯁꯦꯜ ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ?
ꯚꯦꯔꯤꯀꯣꯁꯦꯜ ꯍꯥꯌꯕꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯁ꯭ꯛꯔꯣꯇꯃꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯂꯩꯕꯥ ꯚꯦꯅꯃꯁꯤꯡ ꯑꯗꯨ ꯁꯣꯟꯊꯕꯥ, ꯆꯥꯎꯈꯠꯄꯥ ꯑꯃꯁꯨꯡ ꯀꯨꯄꯁꯤꯅꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫ ꯃꯁꯤ ꯃꯤꯑꯣꯏ ꯈꯔꯅꯥ ꯃꯈꯣꯌꯒꯤ ꯈꯣꯡꯗꯥ ꯚꯦꯔꯤꯀꯣꯁ ꯚꯦꯅꯝ ꯂꯥꯀꯄꯒꯤ ꯃꯑꯣꯡꯒꯥ ꯃꯥꯟꯅꯩ꯫ ꯇꯦꯁ꯭ꯇꯤꯀꯂꯁꯤꯡꯗꯒꯤ ꯑꯁꯪꯕꯥ ꯏ ꯄꯨꯗꯨꯅꯥ ꯆꯠꯂꯤꯕꯥ ꯚꯦꯅꯃꯁꯤꯡꯗꯥ ꯂꯩꯕꯥ ꯚꯜꯌꯨꯁꯤꯡ ꯑꯗꯨ ꯁꯣꯟꯊꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯏ ꯑꯁꯤ ꯚꯦꯅꯃꯁꯤꯡ ꯑꯁꯤꯗꯥ ꯕꯦꯛ ꯇꯧꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯅꯥ ꯚꯦꯅꯃꯁꯤꯡ ꯑꯁꯤ ꯁꯣꯟꯊꯔꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯆꯥꯎꯈꯠꯂꯀꯄꯥ ꯃꯇꯃꯅꯤ꯫
ꯃꯁꯤ ꯆꯍꯤ ꯑꯃꯍꯦꯛꯇꯗꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯏ ꯍꯥꯌꯕꯁꯤ ꯈꯪꯂꯕꯁꯨ, ꯃꯤꯑꯣꯏ ꯑꯌꯥꯝꯕꯅꯥ ꯃꯈꯣꯌꯒꯤ ꯅꯍꯥ ꯑꯣꯏꯔꯤꯉꯩ ꯃꯇꯃꯗꯥ, ꯍꯥꯌꯕꯗꯤ ꯃꯤꯔꯣꯜꯂꯤꯉꯩ ꯃꯇꯃꯗꯥ ꯃꯁꯤ ꯂꯩ ꯍꯥꯌꯕꯁꯤ ꯈꯪꯏ꯫
ꯀꯅꯥꯅꯥ ꯚꯦꯔꯤꯀꯣꯁꯦꯂꯦꯛꯇꯣꯃꯤ ꯁꯔꯖꯔꯤ ꯇꯧꯒꯗꯒꯦ?
ꯚꯦꯔꯤꯀꯣꯁꯦꯜ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏ ꯈꯨꯗꯤꯡꯃꯛ ꯁꯔꯖꯔꯤꯒꯤ ꯃꯊꯧ ꯇꯥꯗꯦ, ꯑꯗꯨꯕꯨ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯁꯔꯖꯔꯤ ꯑꯁꯤ ꯔꯤꯀꯃꯦꯟꯗ ꯇꯧꯕꯥ ꯌꯥꯕꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯔꯝ ꯀꯌꯥ ꯂꯩ꯫
- ꯅꯨꯄꯥꯒꯤ ꯃꯤꯔꯣꯅꯕꯥ : ꯚꯦꯔꯤꯀꯣꯁꯦꯜ ꯑꯁꯤ ꯅꯨꯄꯥꯒꯤ ꯃꯤꯔꯣꯅꯕꯥ ꯊꯣꯀꯍꯅꯕꯒꯤ ꯑꯆꯧꯕꯥ ꯃꯔꯝ ꯑꯃꯅꯤ꯫ ꯃꯁꯤꯒꯤ ꯃꯔꯃꯗꯤ ꯚꯦꯅꯃꯁꯤꯡ ꯑꯁꯤ ꯏꯅꯥ ꯊꯜꯂꯕꯥ ꯑꯃꯁꯨꯡ ꯇꯦꯁ꯭ꯇꯤꯀꯂꯁꯤꯡꯒꯤ ꯑꯀꯣꯌꯕꯗꯥ ꯂꯩꯕꯥ ꯇꯦꯝꯄꯦꯔꯦꯆꯔ ꯍꯦꯅꯒꯠꯂꯀꯏ꯫ ꯇꯦꯝꯄꯦꯔꯦꯆꯔ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ ꯑꯁꯤꯅꯥ ꯁ꯭ꯄꯥꯔꯝ ꯄꯨꯊꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯃꯈꯣꯌꯒꯤ ꯀ꯭ꯕꯥꯂꯤꯇꯤꯗꯥ ꯅꯦꯒꯦꯇꯤꯚ ꯑꯣꯏꯅꯥ ꯁꯣꯀꯍꯜꯂꯤ꯫ ꯑꯗꯨꯅꯥ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯉꯥꯡ ꯑꯃꯥ ꯄꯣꯛꯅꯕꯥ ꯍꯣꯠꯅꯔꯤꯕꯥ ꯃꯄꯨꯔꯣꯏꯕꯥ ꯑꯃꯅꯥ ꯅꯨꯄꯥꯒꯤ ꯃꯥꯌꯀꯩꯗꯥ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯑꯁꯤ ꯂꯩꯔꯕꯗꯤ, ꯗꯣꯛꯇꯔꯅꯥ ꯁꯔꯖꯔꯤ ꯑꯁꯤ ꯔꯤꯀꯃꯦꯟꯗ ꯇꯧꯒꯅꯤ꯫
- ꯇꯦꯁ꯭ꯇꯤꯀꯂꯒꯤ ꯑꯅꯥꯕꯥ (Testicular pain): ꯃꯤꯑꯣꯏ ꯈꯔꯗꯗꯤ ꯚꯦꯔꯤꯀꯣꯁꯦꯂꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯃꯈꯣꯌꯒꯤ ꯇꯦꯁ꯭ꯇꯤꯀꯂꯁꯤꯡꯗꯥ ꯂꯦꯡ-ꯑꯣꯠꯄꯒꯤ ꯐꯤꯚꯝ ꯑꯃꯥ ꯅꯠꯠꯔꯒꯥ ꯄꯨꯁꯤꯜꯂꯀꯄꯥ (pulling pain) ꯑꯃꯥ ꯂꯩꯕꯥ ꯌꯥꯏ꯫ ꯅꯨꯃꯤꯠ ꯈꯨꯗꯤꯡꯒꯤ ꯂꯦꯡ-ꯑꯣꯠꯄꯗꯥ ꯅꯠꯠꯔꯒꯥ ꯁꯥꯖꯦꯜ ꯇꯧꯕꯥ ꯃꯇꯃꯗꯥ ꯑꯅꯥꯕꯥ ꯑꯁꯤ ꯍꯦꯟꯅꯥ ꯁꯣꯀꯆꯤꯜꯂꯀꯄꯥ ꯌꯥꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯅꯥꯕꯥ ꯑꯁꯤꯅꯥ ꯅꯣꯡꯃꯒꯤ ꯑꯣꯏꯕꯥ ꯊꯕꯛ ꯊꯧꯔꯃꯁꯤꯡꯗꯥ ꯑꯀꯥꯌꯕꯥ ꯄꯤꯔꯕꯗꯤ ꯁꯔꯖꯔꯤ ꯑꯁꯤ ꯑꯐꯕꯥ ꯁꯣꯂꯨꯁꯟ ꯑꯃꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫
- ꯇꯦꯁ꯭ꯇꯤꯀꯨꯂꯥꯔ ꯑꯦꯠꯔꯣꯐꯤ (Testicular Atrophy): ꯑꯁꯣꯀꯄꯥ ꯇꯦꯁ꯭ꯇꯤꯀꯜ ꯑꯗꯨ ꯌꯥꯝꯅꯥ ꯄꯤꯀꯄꯥ ꯑꯣꯏꯔꯀꯄꯥ ꯌꯥꯏ ꯑꯃꯁꯨꯡ ꯚꯦꯔꯤꯀꯣꯁꯦꯂꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯁꯣꯟꯊꯕꯥ ꯍꯧꯔꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯒꯤ ꯀꯦꯁ ꯑꯁꯤꯗꯥ ꯗꯣꯛꯇꯔꯅꯥ ꯁꯔꯖꯔꯤ ꯇꯧꯅꯕꯥ ꯄꯥꯎꯇꯥꯛ ꯄꯤꯕꯥ ꯌꯥꯏ꯫
- ꯇꯦꯁ꯭ꯇꯣꯁ꯭ꯇꯦꯔꯣꯟ ꯍꯟꯊꯔꯀꯄꯥ: ꯀꯦꯁ ꯈꯔꯗꯗꯤ, ꯚꯦꯔꯤꯀꯣꯁꯦꯂꯅꯥ ꯅꯨꯄꯥꯒꯤ ꯍꯣꯔꯃꯣꯟ ꯇꯦꯁ꯭ꯇꯣꯁ꯭ꯇꯦꯔꯣꯟ ꯄꯨꯊꯣꯀꯄꯥ ꯍꯟꯊꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯁꯨ ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯦꯡ ꯄꯥꯡꯅꯕꯒꯤ ꯃꯔꯝ ꯑꯃꯅꯤ꯫
ꯈꯟꯗꯨꯅꯥ ꯌꯦꯡꯕꯤꯌꯨ, ꯅꯨꯄꯥꯒꯤ ꯃꯤꯔꯣꯅꯕꯥ ꯌꯥꯗꯕꯒꯤ ꯂꯥꯏꯌꯦꯡ ꯊꯤꯔꯤꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯒꯤ ꯁꯔꯨꯛ ꯑꯍꯨꯝ ꯊꯣꯀꯄꯒꯤ ꯑꯃꯗꯤ ꯇꯁꯦꯡꯅꯥ ꯚꯦꯔꯤꯀꯣꯁꯦꯂꯦꯛꯇꯣꯃꯤ ꯇꯧꯏ꯫ ꯃꯗꯨꯅꯥ ꯑꯗꯣꯃꯗꯥ ꯂꯥꯌꯦꯡ ꯑꯁꯤ ꯀꯌꯥ ꯌꯥꯝꯅꯥ ꯃꯥꯌ ꯄꯥꯀꯄꯒꯦ ꯍꯥꯌꯕꯒꯤ ꯋꯥꯈꯜꯂꯣꯟ ꯑꯃꯥ ꯄꯤꯔꯤ꯫
ꯃꯁꯤ ꯀꯔꯝꯅꯥ ꯐꯪꯒꯅꯤ ꯗꯣꯛꯇꯔ?
ꯅꯍꯥꯛꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯇꯥꯟꯅꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯃꯍꯥꯛꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡꯒꯤ ꯃꯔꯃꯗꯥ ꯍꯪꯒꯅꯤ ꯑꯃꯁꯨꯡ ꯐꯤꯖꯤꯀꯦꯜ ꯑꯦꯀꯖꯥꯃꯤꯅꯦꯁꯟ ꯑꯃꯥ ꯇꯧꯒꯅꯤ꯫ ꯃꯍꯥꯛꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯁ꯭ꯛꯔꯣꯇꯝ ꯑꯗꯨ ꯌꯦꯡꯁꯤꯅꯒꯅꯤ꯫ ꯅꯍꯥꯀꯄꯨ ꯂꯦꯡꯗꯅꯥ ꯂꯩꯅꯕꯥ, ꯐꯝꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯂꯦꯄꯍꯟꯅꯕꯥ ꯍꯥꯌꯔꯀꯄꯥ ꯌꯥꯏ (ꯚꯥꯂꯁꯥꯂꯚꯥ ꯃꯦꯟꯌꯨꯑꯣꯔ)꯫ ꯅꯍꯥꯛꯅꯥ ꯃꯁꯤ ꯇꯧꯕꯥ ꯃꯇꯃꯗꯥ, ꯅꯍꯥꯛꯅꯥ ꯁꯣꯀꯄꯥ ꯌꯥꯕꯥ ꯚꯦꯅꯃꯁꯤꯡ ꯑꯁꯤ ꯃꯌꯦꯛ ꯁꯦꯡꯅꯥ ꯎꯕꯥ ꯐꯪꯒꯅꯤ꯫
ꯑꯌꯥꯝꯕꯥ ꯃꯇꯃꯗꯥ (ꯆꯥꯎꯔꯥꯛꯅꯥ 90%) ꯚꯦꯔꯤꯀꯣꯁꯦꯜ ꯑꯁꯤ ꯂꯦꯡ-ꯑꯣꯠꯄꯗꯥ ꯊꯣꯀꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯃꯥꯌꯀꯩ ꯑꯅꯤꯃꯛꯇꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫
ꯗꯣꯛꯇꯔꯅꯥ ꯗꯥꯏꯒ꯭ꯅꯣꯁꯤꯁ ꯀꯅꯐꯥꯔꯝ ꯇꯧꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤꯒꯤ ꯁꯥꯊꯤꯕꯥ ꯑꯗꯨ ꯈꯉꯗꯣꯛꯅꯕꯥ ꯑꯍꯦꯅꯕꯥ ꯇꯦꯁ꯭ꯠ ꯀꯌꯥ ꯑꯃꯥ ꯑꯣꯔꯗꯔ ꯇꯧꯒꯅꯤ꯫
- ꯑꯂꯠꯔꯥꯁꯥꯎꯟꯗ ꯁ꯭ꯀꯦꯟ: ꯃꯁꯤꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯚꯦꯅꯃꯁꯤꯡꯒꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯁꯨꯡ ꯇꯦꯁ꯭ꯇꯤꯀꯂꯁꯤꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯏ ꯆꯦꯅꯕꯥ ꯑꯗꯨ ꯃꯌꯦꯛ ꯁꯦꯡꯅꯥ ꯎꯕꯥ ꯉꯃꯍꯜꯂꯤ꯫
- ꯁꯦꯃꯦꯟ ꯑꯦꯅꯥꯂꯥꯏꯁꯤꯁ: ꯇꯦꯁ꯭ꯠ ꯑꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯁ꯭ꯄꯥꯔꯃꯒꯤ ꯁꯥꯏꯖ, ꯆꯠꯊꯣꯛ-ꯆꯠꯁꯤꯟ ꯑꯃꯁꯨꯡ ꯃꯑꯣꯡ-ꯃꯇꯧ ꯑꯗꯨ ꯈꯪꯗꯣꯛꯅꯕꯥ ꯃꯔꯨꯑꯣꯏ꯫
- ꯕ꯭ꯂꯗ ꯇꯦꯁ꯭ꯠ: ꯃꯁꯤꯅꯥ ꯍꯣꯔꯃꯣꯅꯒꯤ ꯆꯥꯡ, ꯃꯔꯨꯑꯣꯏꯅꯥ ꯇꯦꯁ꯭ꯇꯣꯁ꯭ꯇꯦꯔꯣꯅꯒꯤ ꯆꯥꯡ ꯌꯦꯡꯁꯤꯅꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫
ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ, ꯅꯍꯥꯛꯀꯤ ꯚꯦꯔꯤꯀꯣꯁꯦꯂꯒꯤ ꯃꯑꯣꯡ-ꯃꯇꯧ ꯑꯗꯨꯗꯥ ꯌꯨꯝꯐꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯒ꯭ꯔꯦꯗ ꯑꯃꯥ ꯁꯦꯝꯃꯤ꯫
| ꯊꯥꯛ | ꯃꯁꯛ ꯈꯪꯗꯣꯀꯄꯥ (ꯁꯤꯝꯄꯜ) |
|---|---|
| ꯒ꯭ꯔꯦꯗ ꯰ꯗꯥ ꯂꯩꯕꯥ꯫ | ꯃꯁꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯄꯤꯀꯄꯥ ꯇꯥꯟꯖꯥꯅꯤ꯫ ꯗꯣꯛꯇꯔꯅꯥ ꯃꯦꯅꯨꯑꯦꯜ ꯑꯣꯏꯅꯥ ꯌꯦꯡꯁꯤꯟꯗꯨꯅꯥ ꯐꯪꯕꯥ ꯉꯃꯗꯦ꯫ ꯃꯁꯤ ꯑꯂꯠꯔꯥꯁꯥꯎꯟꯗ ꯁ꯭ꯀꯦꯟ ꯈꯛꯇꯅꯥ ꯎꯕꯥ ꯐꯪꯒꯅꯤ꯫ |
| ꯒ꯭ꯔꯦꯗ Iꯗꯥ ꯂꯩꯕꯥ꯫ | ꯗꯣꯛꯇꯔꯅꯥ ꯃꯁꯤ ꯅꯍꯥꯛꯅꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯂꯦꯄꯍꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯊꯤꯡꯖꯤꯅꯕꯥ ꯃꯇꯃꯗꯥ ꯈꯛꯇꯗꯥ ꯐꯥꯎꯕꯥ ꯉꯃꯒꯅꯤ (Valsalva maneuver)꯫ |
| ꯒ꯭ꯔꯦꯗ II | ꯑꯩꯍꯥꯛ ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯕꯥ ꯐꯤꯚꯃꯗꯥ ꯂꯩꯔꯕꯁꯨ ꯗꯣꯛꯇꯔꯒꯤ ꯈꯨꯠꯁꯥ ꯑꯗꯨꯗꯤ ꯐꯥꯑꯣꯕꯥ ꯉꯃꯗꯦ ꯑꯗꯨꯕꯨ ꯃꯄꯥꯟꯗꯥ ꯎꯕꯥ ꯐꯪꯗꯦ꯫ |
| ꯒ꯭ꯔꯦꯗ III | ꯃꯁꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯆꯥꯎꯕꯥ ꯇꯥꯟꯖꯥꯅꯤ꯫ ꯚꯦꯅꯃꯁꯤꯡ ꯑꯁꯤ ꯃꯄꯥꯟꯊꯣꯡꯗꯒꯤ ꯃꯌꯦꯛ ꯁꯦꯡꯅꯥ ꯎꯕꯥ ꯐꯪꯏ꯫ |
ꯚꯦꯔꯤꯀꯣꯁꯦꯂꯦꯛꯇꯣꯃꯤ ꯄꯥꯡꯊꯣꯀꯄꯒꯤ ꯄꯥꯝꯕꯩꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯤꯅꯣ?
ꯁꯔꯖꯔꯤ ꯑꯁꯤ ꯄꯥꯡꯊꯣꯛꯅꯕꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯄꯥꯝꯕꯩ ꯑꯅꯤ ꯂꯩ꯫ ꯑꯃꯅꯥ ꯇ꯭ꯔꯦꯗꯤꯁ꯭ꯅꯦꯜ ꯑꯣꯄꯟ ꯁꯔꯖꯔꯤꯅꯤ꯫ ꯑꯇꯣꯞꯄꯥ ꯑꯃꯅꯥ ꯃꯤꯅꯤꯃꯝ ꯏꯅꯚꯦꯁꯤꯕ ꯁꯔꯖꯔꯤꯅꯤ꯫ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯛꯀꯤꯗꯃꯛꯇꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯥ ꯃꯦꯊꯗ ꯑꯗꯨ ꯂꯦꯄꯀꯅꯤ꯫
꯱.ꯑꯣꯄꯟ ꯁꯔꯖꯔꯤ ꯇꯧꯕꯥ꯫
ꯃꯁꯤꯗꯥ ꯈꯣꯡ ꯍꯥꯝꯃꯤ ꯑꯃꯁꯨꯡ ꯃꯔꯤ ꯂꯩꯅꯕꯥ ꯚꯦꯅꯃꯁꯤꯡ ꯂꯥꯌꯦꯡꯏ꯫
- ꯏꯅꯒꯨꯏꯅꯦꯜ ꯂꯤꯒꯦꯁꯟ: ꯚꯦꯅꯃꯁꯤꯡ ꯑꯁꯤ ꯒ꯭ꯔꯣꯏꯟ ꯑꯦꯔꯤꯌꯥꯗꯥ ꯑꯄꯤꯀꯄꯥ ꯏꯅꯁꯤꯁꯟ ꯑꯃꯥ ꯁꯦꯃꯗꯨꯅꯥ ꯂꯥꯏꯌꯦꯡꯏ꯫
- ꯁꯕ-ꯏꯉ꯭ꯒꯨꯏꯅꯦꯜ ꯂꯤꯒꯦꯁꯟ (subingguinal Ligation): ꯒ꯭ꯔꯨꯏꯅꯒꯤ ꯃꯈꯥꯗꯥ ꯂꯩꯕꯥ ꯏꯅꯁꯤꯁꯟ ꯑꯃꯥ ꯁꯦꯝꯃꯤ꯫
- ꯔꯦꯠꯔꯣꯄꯦꯔꯤꯇꯣꯅꯤꯑꯦꯜ ꯂꯥꯏꯒꯦꯁꯟ (retroperitoneal Ligation): ꯈꯣꯡꯒꯤ ꯃꯅꯥꯛꯇꯥ ꯑꯄꯤꯀꯄꯥ ꯏꯅꯁꯤꯁꯟ ꯑꯃꯥ ꯁꯦꯝꯃꯤ ꯑꯃꯁꯨꯡ ꯚꯦꯅꯃꯁꯤꯡ ꯑꯗꯨ ꯃꯅꯨꯡꯗꯒꯤ ꯂꯥꯏꯌꯦꯡꯏ꯫
ꯃꯤꯅꯤꯃꯝ ꯏꯅꯚꯦꯁꯤꯕ ꯁꯔꯖꯔꯤ ꯇꯧꯕꯥ꯫
ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯍꯀꯆꯥꯡꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯍꯟꯊꯍꯜꯂꯤ ꯑꯃꯁꯨꯡ ꯐꯒꯠꯂꯀꯄꯒꯤ ꯃꯇꯝ ꯍꯟꯊꯅꯥ ꯃꯊꯧ ꯇꯥꯏ꯫
- ꯂꯦꯄꯔꯣꯁ꯭ꯀꯣꯄꯤꯛ ꯚꯦꯔꯤꯀꯣꯁꯦꯂꯦꯛꯇꯣꯃꯤ: ꯁꯔꯖꯔꯤ ꯑꯁꯤ ꯈꯣꯡꯗꯥ ꯌꯥꯝꯅꯥ ꯑꯄꯤꯀꯄꯥ ꯏꯅꯁꯤꯁꯟ ꯀꯌꯥ ꯁꯦꯃꯗꯨꯅꯥ, ꯀꯦꯃꯦꯔꯥ ꯑꯃꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯊꯤꯟ ꯇꯨꯕ (ꯂꯦꯄꯥꯔꯣꯁ꯭ꯀꯣꯞ) ꯑꯃꯥ ꯍꯥꯄꯆꯤꯟꯗꯨꯅꯥ, ꯑꯃꯁꯨꯡ ꯃꯗꯨ ꯃꯣꯅꯤꯇꯔ ꯑꯃꯗꯥ ꯌꯦꯡꯗꯨꯅꯥ, ꯃꯌꯦꯛ ꯁꯦꯡꯕꯥ ꯏꯅꯁ꯭ꯠꯔꯨꯃꯦꯟꯇꯁꯤꯡ ꯁꯤꯖꯤꯟꯅꯗꯨꯅꯥ ꯄꯥꯡꯊꯣꯀꯏ꯫
- ꯃꯥꯏꯛꯔꯣꯁꯔꯖꯤꯀꯦꯜ ꯚꯦꯔꯤꯀꯣꯁꯦꯂꯦꯛꯇꯣꯃꯤ: ꯃꯁꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯥꯌꯄꯥꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯥ ꯄꯥꯝꯕꯩꯅꯤ ꯍꯥꯌꯅꯥ ꯂꯧꯅꯩ꯫ ꯒ꯭ꯔꯣꯏꯟ ꯑꯦꯔꯤꯌꯥꯗꯥ ꯌꯥꯝꯅꯥ ꯑꯄꯤꯀꯄꯥ ꯏꯅꯁꯤꯁꯟ ꯑꯃꯥ ꯁꯦꯝꯃꯤ, ꯑꯃꯁꯨꯡ ꯚꯦꯅꯃꯁꯤꯡ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯄꯥꯉ꯭ꯒꯜ ꯀꯅꯕꯥ ꯃꯥꯏꯛꯔꯣꯁ꯭ꯀꯣꯞ (ꯑꯣꯄꯔꯦꯇꯤꯡ ꯃꯥꯏꯛꯔꯣꯁ꯭ꯀꯣꯞ) ꯑꯃꯒꯤ ꯂꯃꯖꯤꯡ ꯃꯈꯥꯗꯥ ꯌꯥꯝꯅꯥ ꯂꯨꯅꯥ ꯂꯥꯌꯦꯡꯏ꯫ ꯃꯁꯤꯒꯤ ꯃꯦꯊꯗ ꯑꯁꯤꯗꯥ, ꯍꯀꯁꯦꯜ ꯐꯕꯥ ꯚꯦꯅꯃꯁꯤꯡ, ꯂꯤꯝꯐꯦꯇꯤꯛ ꯚꯦꯁꯦꯂꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯑꯥꯔꯇꯦꯔꯤꯁꯤꯡꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯄꯒꯤ ꯔꯤꯁ꯭ꯛ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯅꯦꯝꯃꯤ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡꯁꯨ ꯍꯟꯊꯩ꯫
ꯁꯔꯖꯔꯤꯒꯤ ꯃꯃꯥꯡꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯀꯔꯝꯅꯥ ꯁꯦꯝ-ꯁꯥꯕꯒꯦ?
ꯁꯔꯖꯔꯤꯒꯤ ꯅꯨꯃꯤꯠ ꯈꯔꯅꯤꯒꯤ ꯃꯃꯥꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯏꯅꯁ꯭ꯠꯔꯛꯁꯅꯁꯤꯡꯒꯤ ꯁꯦꯠ ꯑꯃꯥ ꯄꯤꯒꯅꯤ꯫
- ꯅꯍꯥꯛꯅꯥ ꯂꯧꯔꯤꯕꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛ ꯑꯃꯍꯦꯛꯇꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯈꯪꯍꯅꯕꯤꯌꯨ: ꯅꯍꯥꯛꯅꯥ ꯂꯧꯔꯤꯕꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯛ, ꯚꯤꯇꯥꯃꯤꯟ ꯅꯠꯠꯔꯒꯥ ꯍꯔꯕꯦꯜ ꯄ꯭ꯔꯗꯛꯇ ꯑꯃꯍꯦꯛꯇꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯁꯣꯌꯗꯅꯥ ꯈꯪꯍꯅꯕꯤꯌꯨ꯫ ꯃꯔꯨꯑꯣꯏꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯦꯁ꯭ꯄꯤꯔꯤꯅꯒꯨꯝꯕꯥ ꯕ꯭ꯂꯗ ꯊꯤꯅꯔꯁꯤꯡ ꯁꯤꯖꯤꯟꯅꯔꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯃꯈꯣꯌꯗꯨ ꯁꯔꯖꯔꯤꯒꯤ ꯅꯨꯃꯤꯠ ꯈꯔꯅꯤꯒꯤ ꯃꯃꯥꯡꯗꯥ ꯊꯤꯡꯅꯕꯥ ꯍꯥꯌꯒꯅꯤ꯫
- ꯅꯍꯥꯛꯅꯥ ꯂꯩꯔꯤꯕꯥ ꯑꯦꯂꯥꯔꯖꯤ ꯑꯃꯍꯦꯛꯇꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯈꯪꯍꯜꯂꯨ (ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ, ꯈꯣꯡ-ꯈꯨꯠ ꯁꯦꯡꯗꯣꯀꯄꯥ, ꯂꯦꯇꯦꯛꯁ)꯫
- ꯔꯣꯖꯥ: ꯅꯍꯥꯛꯅꯥ ꯁꯔꯖꯔꯤꯒꯤ ꯃꯃꯥꯡꯗꯥ ꯄꯨꯡ ꯈꯔꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯃꯠꯇꯥ ꯆꯥꯔꯣꯏꯗꯕꯅꯤ ꯅꯠꯠꯔꯒꯥ ꯊꯛꯂꯣꯏꯗꯕꯅꯤ ꯍꯥꯌꯅꯥ ꯄꯥꯎꯇꯥꯛ ꯄꯤꯒꯅꯤ꯫ ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ . ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯦꯅꯥꯁ꯭ꯇꯦꯁꯤꯌꯥꯒꯤ ꯃꯈꯥꯗꯥ ꯂꯩꯔꯤꯉꯩꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯆꯤꯟꯖꯥꯛ ꯂꯩꯔꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯃꯗꯨ ꯋꯥꯈꯜ ꯇꯥꯗꯕꯥ ꯌꯥꯏ ꯑꯃꯁꯨꯡ ꯃꯗꯨ ꯅꯍꯥꯛꯀꯤ ꯂꯪꯁꯇꯥ ꯆꯪꯂꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯏꯅꯐꯦꯛꯁꯟ (ꯑꯦꯁ꯭ꯄꯤꯔꯦꯁꯟ ꯅ꯭ꯌꯨꯃꯣꯅꯤꯌꯥ) ꯑꯃꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫
ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯃꯗꯥ ꯀꯔꯤ ꯊꯣꯀꯏ?
ꯑꯀꯤꯕꯥ ꯄꯣꯀꯍꯅꯕꯥ ꯌꯥꯕꯥ ꯀꯔꯤꯁꯨ ꯂꯩꯇꯦ꯫ ꯃꯁꯤꯒꯤ ꯁꯔꯖꯔꯤ ꯑꯁꯤ ꯌꯨꯔꯤꯅꯔꯤ ꯑꯃꯁꯨꯡ ꯔꯤꯞꯔꯗꯛꯇꯤꯚ ꯁꯤꯁ꯭ꯇꯦꯃꯒꯤ ꯁ꯭ꯄꯦꯁꯤꯑꯦꯂꯤꯁ꯭ꯇꯁꯤꯡꯒꯤ ꯀꯥꯡꯕꯨ ꯑꯃꯅꯥ (ꯌꯨꯔꯣꯂꯣꯖꯤꯁ꯭ꯠ), ꯑꯦꯅꯥꯁ꯭ꯇꯦꯁꯤꯑꯣꯂꯣꯖꯤꯁ꯭ꯠ ꯑꯃꯥ ꯑꯃꯁꯨꯡ ꯅꯔꯁꯤꯡ ꯁ꯭ꯇꯥꯐ ꯑꯃꯅꯥ ꯄꯥꯡꯊꯣꯀꯏ꯫
ꯅꯍꯥꯀꯄꯨ ꯖꯦꯅꯦꯔꯦꯜ ꯑꯦꯅꯥꯁ꯭ꯇꯦꯇꯤꯛ ꯑꯃꯥ ꯄꯤꯒꯅꯤ, ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯃꯗꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯑꯃꯠꯇꯥ ꯐꯥꯎꯔꯣꯏ꯫ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯇꯨꯝꯂꯤꯕꯒꯨꯝꯅꯥ ꯑꯣꯏꯒꯅꯤ꯫
ꯅꯍꯥꯛꯅꯥ ꯋꯥꯈꯜ ꯇꯥꯗꯕꯥ ꯃꯇꯨꯡꯗꯥ, ꯗꯣꯛꯇꯔ ꯑꯗꯨꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯈꯅꯒꯠꯂꯕꯥ ꯃꯦꯊꯗ ꯑꯗꯨꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ ꯏꯅꯁꯤꯁꯟ ꯑꯃꯥ ꯁꯦꯃꯒꯅꯤ ꯑꯃꯁꯨꯡ ꯁꯣꯀꯄꯥ ꯌꯥꯕꯥ ꯚꯦꯅꯝ (varicocele) ꯑꯗꯨ ꯈꯪꯗꯣꯛꯀꯅꯤ꯫ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ, ꯚꯦꯅꯝ ꯑꯗꯨ ꯀꯀꯊꯠꯂꯒꯥ ꯃꯊꯛ ꯑꯅꯤꯗꯨ ꯁꯤꯜ ꯇꯧꯏ꯫ ꯃꯁꯤꯅꯥ ꯏ ꯑꯗꯨ ꯚꯦꯅꯝ ꯑꯗꯨꯗꯥ ꯆꯦꯅꯕꯥ ꯊꯤꯡꯏ ꯑꯃꯁꯨꯡ ꯏ ꯑꯗꯨ ꯁ꯭ꯛꯔꯣꯇꯃꯗꯥ ꯂꯩꯕꯥ ꯑꯇꯩ ꯍꯀꯁꯦꯜ ꯐꯕꯥ ꯚꯦꯅꯃꯁꯤꯡꯗꯥ ꯆꯦꯅꯕꯥ ꯌꯥꯍꯜꯂꯤ꯫
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯈꯣꯃꯖꯤꯜꯂꯀꯄꯥ ꯏ ꯅꯠꯠꯔꯒꯥ ꯐ꯭ꯂꯨꯏꯗ ꯑꯃꯍꯦꯛꯇꯕꯨ ꯂꯧꯊꯣꯛꯅꯕꯥ ꯑꯄꯤꯀꯄꯥ ꯁꯤꯂꯤꯀꯣꯟ ꯇꯤꯎꯕꯁꯤꯡ (ꯗ꯭ꯔꯦꯅꯁꯤꯡ) ꯊꯝꯕꯥ ꯌꯥꯏ꯫ ꯑꯔꯣꯏꯕꯗꯥ, ꯏꯅꯁꯤꯁꯟ ꯑꯗꯨ ꯁ꯭ꯇꯤꯆꯁꯤꯡꯅꯥ ꯊꯤꯡꯖꯤꯜꯂꯤ꯫
ꯃꯍꯧꯁꯥꯅꯥ, ꯂꯦꯄꯔꯣꯁ꯭ꯀꯣꯄꯤꯛ ꯁꯔꯖꯔꯤ ꯑꯃꯅꯥ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯃꯤꯅꯠ 30-40 ꯆꯪꯕꯥ ꯌꯥꯏ, ꯑꯗꯨꯒꯥ ꯃꯥꯏꯛꯔꯣꯁꯔꯖꯤꯀꯦꯜ ꯁꯔꯖꯔꯤ ꯑꯃꯅꯥ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯄꯨꯡ 1-3 ꯆꯪꯕꯥ ꯌꯥꯏ꯫
ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯀꯔꯤ ꯑꯣꯏꯒꯅꯤ?
ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯅꯍꯥꯀꯄꯨ ꯔꯤꯀꯣꯚꯔꯤ ꯔꯨꯝ ꯑꯃꯗꯥ ꯄꯨꯈꯠꯀꯅꯤ, ꯃꯐꯃꯗꯨꯗꯥ ꯃꯦꯗꯤꯀꯦꯜ ꯁ꯭ꯇꯥꯐꯁꯤꯡꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯗꯨ ꯅꯍꯥꯛꯅꯥ ꯋꯥꯈꯜ ꯇꯥꯕꯥ ꯍꯧꯔꯛꯠꯔꯤꯐꯥꯎꯕꯥ ꯌꯦꯡꯁꯤꯅꯒꯅꯤ꯫
ꯅꯍꯥꯛꯅꯥ ꯋꯥꯈꯜ ꯇꯥꯕꯥ ꯍꯧꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯅꯍꯥꯛꯅꯥ ꯈꯔꯥ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯍꯧꯔꯀꯄꯥ ꯌꯥꯏ ꯑꯃꯁꯨꯡ ꯏꯅꯁꯤꯁꯟ ꯃꯐꯝ ꯑꯗꯨꯗꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯈꯔꯥ ꯂꯩꯔꯀꯄꯥ ꯌꯥꯏ꯫ ꯄꯨꯝꯅꯃꯛ ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯔꯦ ꯍꯥꯌꯕꯥ ꯀꯅꯐꯥꯔꯝ ꯇꯧꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯄꯨꯡ ꯈꯔꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯌꯨꯃꯗꯥ ꯆꯠꯄꯥ ꯌꯥꯍꯅꯒꯅꯤ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯅꯍꯥꯀꯄꯨ ꯌꯨꯃꯗꯥ ꯄꯨꯁꯤꯜꯂꯛꯀꯗꯕꯥ ꯀꯅꯥꯒꯨꯝꯕꯥ ꯑꯃꯠꯇꯥ ꯂꯩꯒꯗꯕꯅꯤ꯫ ꯑꯍꯥꯅꯕꯥ ꯅꯨꯃꯤꯠ ꯅꯠꯠꯔꯒꯥ ꯑꯅꯤꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯅꯕꯥ ꯀꯅꯥꯒꯨꯝꯕꯥ ꯑꯃꯥ ꯂꯩꯕꯥ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫
ꯁꯔꯖꯔꯤ ꯑꯁꯤꯒꯤ ꯀꯥꯟꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯈꯨꯗꯣꯡꯊꯤꯕꯁꯤꯡ ꯀꯔꯤꯅꯣ?
ꯁꯔꯖꯔꯤ ꯑꯃꯍꯦꯛꯇꯒꯨꯝꯅꯥ ꯃꯁꯤꯒꯤ ꯑꯃꯅꯥ ꯀꯥꯟꯅꯕꯥ ꯄꯤꯕꯇꯥ ꯅꯠꯇꯅꯥ ꯑꯄꯤꯀꯄꯥ ꯔꯤꯁ꯭ꯛ ꯈꯔꯁꯨ ꯂꯩ꯫
ꯀꯥꯟꯅꯕꯁꯤꯡ꯫
- ꯌꯥꯝꯅꯥ ꯁꯥꯐꯕꯥ ꯁꯔꯖꯔꯤ ꯑꯃꯥ: ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡꯒꯤ ꯔꯤꯁ꯭ꯛ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯅꯦꯝꯃꯤ꯫
- ꯃꯤꯔꯣꯅꯕꯥ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ: ꯁ꯭ꯄꯥꯔꯝ ꯄꯨꯊꯣꯀꯄꯥ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯇꯦꯁ꯭ꯇꯣꯁ꯭ꯇꯦꯔꯣꯟ ꯍꯣꯔꯃꯣꯅꯒꯤ ꯆꯥꯡ ꯍꯦꯅꯒꯠꯂꯀꯄꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯑꯉꯥꯡ ꯄꯣꯀꯄꯒꯤ ꯆꯥꯡ ꯑꯁꯤ 70% ꯐꯥꯎꯕꯥ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ ꯌꯥꯏ꯫
- ꯄꯦꯏꯟ ꯔꯤꯂꯤꯐ (Pain relief): ꯇꯦꯁ꯭ꯇꯤꯀꯂꯁꯤꯡꯗꯥ ꯂꯩꯕꯥ ꯑꯅꯥꯕꯥ ꯑꯃꯁꯨꯡ ꯑꯔꯨꯝꯕꯥ ꯑꯗꯨ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯃꯥꯡꯈꯤ꯫
- ꯃꯑꯣꯡ-ꯃꯇꯧ ꯐꯒꯠꯂꯀꯄꯥ: ꯅꯨꯡꯉꯥꯏꯇꯕꯥ "ꯕꯣꯜ ꯑꯣꯐ ꯋꯥꯔꯃꯁꯤꯡ"ꯒꯤ ꯃꯑꯣꯡ-ꯃꯇꯧ ꯑꯗꯨ ꯃꯥꯡꯈꯤ, ꯑꯃꯁꯨꯡ ꯁ꯭ꯛꯔꯣꯇꯃꯒꯤ ꯃꯑꯣꯡ-ꯃꯇꯧ ꯑꯗꯨ ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯅꯥ ꯍꯟꯖꯤꯜꯂꯀꯏ꯫
ꯔꯤꯁ꯭ꯀꯁꯤꯡ꯫
ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯇꯣꯏꯅꯥ ꯊꯣꯛꯇꯦ, ꯑꯗꯨꯕꯨ ꯃꯗꯨꯕꯨ ꯈꯪꯖꯤꯅꯕꯥ ꯑꯁꯤ ꯑꯐꯕꯥ ꯑꯃꯅꯤ꯫
- ꯑꯦꯅꯥꯁ꯭ꯇꯦꯁꯤꯌꯥꯒꯥ ꯃꯔꯤ ꯂꯩꯅꯕꯥ ꯔꯤꯁ꯭ꯀꯁꯤꯡ꯫
- ꯑꯁꯣꯛ-ꯑꯄꯟ ꯐꯒꯠꯂꯀꯄꯒꯤ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯅꯠꯠꯔꯒꯥ ꯏꯅꯐꯦꯛꯁꯅꯁꯤꯡ꯫
- ꯏ ꯊꯣꯀꯄꯥ (Hematoma)꯫
- ꯁꯣꯛ-ꯄꯅꯕꯥ, ꯁꯣꯛ-ꯄꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯁꯣꯀꯄꯥ꯫
- ꯍꯥꯏꯗ꯭ꯔꯣꯁꯦꯜ (ꯇꯦꯁ꯭ꯇꯤꯀꯂꯁꯤꯡꯒꯤ ꯑꯀꯣꯌꯕꯗꯥ ꯐ꯭ꯂꯨꯏꯗ ꯑꯦꯛꯌꯨꯃꯨꯂꯦꯁꯟ)꯫
- ꯇꯦꯁ꯭ꯇꯤꯀꯂꯗꯥ ꯏ ꯁꯞꯂꯥꯏ ꯇꯧꯔꯤꯕꯥ ꯑꯥꯔꯇꯦꯔꯤ ꯑꯃꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯄꯥ (ꯌꯥꯝꯅꯥ ꯇꯣꯏꯅꯥ ꯊꯣꯀꯄꯥ)꯫
- ꯚꯦꯔꯤꯀꯣꯁꯦꯜ ꯔꯤꯀꯣꯚꯔꯤ ꯂꯩꯕꯥ꯫
ꯔꯤꯀꯣꯚꯔꯤꯒꯤ ꯃꯇꯝ ꯑꯃꯁꯨꯡ ꯌꯨꯃꯗꯥ ꯇꯨꯡ ꯏꯟꯅꯒꯗꯕꯥ ꯋꯥꯐꯃꯁꯤꯡ꯫
ꯃꯄꯨꯡꯐꯥꯅꯥ ꯐꯒꯠꯂꯀꯄꯗꯥ ꯆꯪꯕꯥ ꯃꯇꯝ ꯑꯁꯤ ꯃꯤꯑꯣꯏ ꯑꯃꯗꯒꯤ ꯃꯤꯑꯣꯏ ꯑꯃꯗꯥ ꯈꯦꯠꯅꯩ꯫ ꯃꯍꯧꯁꯥꯅꯥ, ꯁꯣꯛ-ꯄꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯁꯣꯛ-ꯄꯅꯕꯥ ꯑꯁꯤ ꯅꯨꯃꯤꯠ 3-4ꯅꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯂꯩꯒꯅꯤ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯒ꯭ꯔꯣꯏꯟ ꯑꯦꯔꯤꯌꯥꯗꯥ ꯑꯅꯥꯕꯥ ꯈꯔꯗꯤ ꯅꯨꯃꯤꯠ 6 ꯐꯥꯎꯕꯥ ꯂꯦꯡꯗꯅꯥ ꯂꯩꯕꯥ ꯌꯥꯏ꯫
- ꯄꯦꯟ ꯃꯦꯅꯦꯖꯃꯦꯟꯇ: ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯄꯤꯕꯥ ꯄꯦꯅꯀꯤꯂꯔꯁꯤꯡ ꯃꯇꯝ ꯆꯥꯅꯥ ꯂꯧ꯫ ꯁꯣꯛ-ꯄꯅꯕꯥ ꯍꯟꯊꯍꯟꯅꯕꯒꯤꯗꯃꯛ, ꯑꯁꯣꯀꯄꯥ ꯃꯐꯝ ꯑꯗꯨꯒꯤ ꯃꯊꯛꯇꯥ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯃꯤꯅꯠ 10 ꯔꯣꯝ ꯊꯃꯖꯤꯜꯂꯨ꯫ ꯃꯁꯤ ꯅꯍꯥꯛꯅꯥ ꯅꯣꯡꯃꯗꯥ ꯀꯌꯥꯃꯔꯨꯝ ꯇꯧꯕꯥ ꯌꯥꯏ꯫
- ꯑꯁꯣꯀꯄꯥ ꯑꯗꯨ ꯁꯦꯡꯅꯥ ꯊꯝꯃꯨ: ꯑꯁꯣꯀꯄꯥ ꯑꯗꯨ ꯊꯨꯒꯥꯌꯗ꯭ꯔꯤꯉꯩꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯨꯠꯁꯥ ꯑꯗꯨ ꯁꯥꯄꯣꯟ ꯑꯃꯁꯨꯡ ꯏꯁꯤꯡꯅꯥ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯁꯦꯡꯗꯣꯀꯎ꯫ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯇꯥꯀꯄꯥ ꯃꯇꯨꯡꯏꯟꯅꯥ ꯕꯦꯟꯗꯦꯖꯁꯤꯡ ꯍꯣꯡꯗꯣꯀꯎ꯫
- ꯂꯨ-ꯅꯥꯅꯕꯥ: ꯅꯍꯥꯛꯅꯥ ꯐꯒꯠꯂꯛꯠꯔꯤꯐꯥꯎꯕꯥ ꯇꯕ ꯑꯃꯗꯥ ꯏꯁꯤꯡ ꯇꯨꯡꯁꯤꯅꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯇꯨꯝꯕꯥ ꯌꯥꯗꯕꯥ꯫ ꯁꯣꯔꯣꯛ ꯇꯧꯕꯥ ꯑꯁꯤ ꯑꯐꯕꯥ ꯑꯃꯅꯤ꯫
- ꯑꯔꯨꯝꯕꯥ ꯂꯧꯊꯣꯀꯄꯥ: ꯌꯥꯃꯗ꯭ꯔꯕꯗꯥ ꯅꯨꯃꯤꯠ ꯑꯅꯤꯒꯤ ꯑꯣꯏꯅꯥ ꯀꯤꯂꯣꯒ꯭ꯔꯥꯝ 5ꯗꯒꯤ ꯍꯦꯅꯕꯥ ꯑꯔꯨꯝꯕꯥ ꯂꯧꯔꯣꯏꯗꯕꯅꯤ꯫ ꯑꯀꯅꯕꯥ ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯑꯃꯁꯨꯡ ꯑꯀꯅꯕꯥ ꯊꯕꯛ ꯇꯧꯔꯣꯏꯗꯕꯅꯤ꯫
- ꯗꯥꯏꯠ: ꯀꯟꯁ꯭ꯇꯤꯄꯁꯟ (constipation) ꯊꯤꯡꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫ ꯕꯣꯋꯦꯜ ꯃꯨꯚꯃꯦꯟꯇꯀꯤ ꯃꯇꯃꯗꯥ ꯁ꯭ꯠꯔꯦꯁ ꯂꯩꯔꯀꯄꯥ ꯑꯁꯤ ꯑꯁꯣꯀꯄꯥ ꯑꯗꯨꯒꯤꯗꯃꯛ ꯑꯐꯕꯥ ꯑꯣꯏꯗꯦ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ, ꯒ꯭ꯔꯤꯟ, ꯎꯍꯩ-ꯋꯥꯍꯩ ꯑꯃꯁꯨꯡ ꯃꯅꯥ-ꯃꯁꯤꯡꯒꯨꯝꯕꯥ ꯐꯥꯏꯕꯔ ꯌꯥꯝꯅꯥ ꯌꯥꯎꯕꯥ ꯆꯤꯟꯖꯥꯀꯁꯤꯡ ꯌꯥꯝꯅꯥ ꯆꯥꯒꯗꯕꯅꯤ꯫ ꯅꯨꯃꯤꯠ ꯈꯨꯗꯤꯡꯒꯤ ꯏꯁꯤꯡ ꯃꯔꯥꯡ ꯀꯥꯌꯅꯥ ꯊꯀꯎ꯫
- ꯁꯦꯛꯁꯨꯑꯦꯜ ꯑꯦꯛꯇꯤꯚꯤꯇꯤ: ꯌꯥꯃꯗ꯭ꯔꯕꯗꯥ ꯅꯨꯃꯤꯠ ꯑꯃꯥ ꯆꯨꯞꯅꯥ ꯁꯦꯛꯁ ꯇꯧꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯃꯁꯥ ꯃꯊꯟꯇꯥ ꯂꯦꯄꯆꯕꯥ ꯉꯃꯒꯅꯨ .
- ꯊꯕꯛ ꯅꯠꯠꯔꯒꯥ ꯁ꯭ꯀꯨꯂꯗꯥ ꯆꯠꯄꯥ: ꯃꯤꯑꯣꯏ ꯑꯌꯥꯝꯕꯅꯥ ꯃꯈꯣꯌꯒꯤ ꯅꯣꯔꯃꯦꯜ ꯑꯦꯛꯇꯤꯚꯤꯇꯤꯁꯤꯡꯗꯥ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯅꯨꯃꯤꯠ ꯍꯨꯝꯅꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯍꯜꯂꯀꯄꯥ ꯉꯝꯃꯤ꯫
ꯀꯗꯥꯏꯗꯥ ꯈꯨꯗꯛꯇꯥ ꯗꯣꯛꯇꯔꯒꯥ ꯇꯥꯟꯅꯒꯗꯒꯦ꯫
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯍꯦꯛꯇꯕꯨ ꯊꯦꯡꯅꯔꯕꯗꯤ, ꯈꯨꯗꯛꯇꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯐꯣꯟ ꯇꯧ꯫
- ꯀꯀꯊꯠꯄꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯏ ꯊꯣꯀꯄꯥ꯫
- 100°F (38°C) ꯅꯠꯠꯔꯒꯥ ꯃꯁꯤꯗꯒꯤ ꯍꯦꯅꯕꯥ ꯐꯤꯚꯝ ꯂꯩꯕꯥ꯫
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯁꯣꯀꯄꯥ ꯑꯗꯨ ꯁꯣꯀꯄꯥ, ꯂꯥꯂꯍꯧꯕꯥ, ꯑꯃꯁꯨꯡ ꯏꯁꯤꯡ ꯊꯨꯃꯖꯤꯅꯕꯥ (infection of signs) ꯑꯣꯏꯔꯕꯗꯤ꯫
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯅꯥꯕꯥ ꯑꯗꯨ ꯍꯦꯟꯅꯥ ꯐꯠꯆꯤꯜꯂꯛꯂꯕꯗꯤ꯫
ꯇꯦꯛ-ꯍꯣꯝ ꯃꯦꯁꯦꯖ ꯇꯧꯕꯥ꯫
- ꯚꯦꯔꯤꯀꯣꯁꯦꯜ ꯑꯁꯤ ꯅꯨꯄꯥꯁꯤꯡꯒꯤ ꯃꯔꯛꯇꯥ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯑꯃꯁꯨꯡ ꯂꯥꯏꯌꯦꯡꯕꯥ ꯌꯥꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫ ꯃꯁꯤꯗꯥ ꯂꯥꯡꯇꯛꯅꯕꯥ ꯅꯠꯔꯒꯥ ꯑꯀꯤꯕꯥ ꯄꯣꯀꯄꯥ ꯃꯊꯧ ꯇꯥꯗꯦ꯫
- ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤꯅꯥ ꯅꯨꯄꯥꯒꯤ ꯃꯤꯔꯣꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯇꯦꯁ꯭ꯇꯤꯀꯜ ꯄꯦꯏꯅꯒꯤ ꯑꯆꯧꯕꯥ ꯃꯔꯝ ꯑꯃꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫
- ꯚꯦꯔꯤꯀꯣꯁꯦꯂꯦꯛꯇꯣꯃꯤ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯁꯥꯐꯕꯥ ꯑꯃꯁꯨꯡ ꯃꯥꯌꯄꯥꯀꯄꯥ ꯁꯔꯖꯔꯤ ꯑꯃꯅꯤ꯫ ꯃꯔꯨꯑꯣꯏꯅꯥ ꯃꯥꯏꯛꯔꯣꯁꯔꯖꯤꯀꯦꯂꯒꯤ ꯃꯑꯣꯡ ꯑꯁꯤꯅꯥ ꯌꯥꯝꯅꯥ ꯐꯕꯥ ꯐꯂꯁꯤꯡ ꯄꯤꯔꯤ꯫
- ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯗꯣꯛꯇꯔꯒꯤ ꯏꯅꯁ꯭ꯠꯔꯛꯁꯅꯁꯤꯡ ꯑꯗꯨ ꯆꯨꯝꯅꯥ ꯏꯅꯕꯁꯤ ꯊꯨꯅꯥ ꯑꯃꯁꯨꯡ ꯑꯐꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯐꯒꯠꯂꯀꯄꯒꯤꯗꯃꯛ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯍꯪ ꯑꯃꯠꯇꯥ ꯍꯪꯂꯕꯗꯤ ꯅꯠꯠꯔꯒꯥ ꯆꯤꯡꯅꯕꯥ ꯂꯩꯔꯕꯗꯤ, ꯃꯗꯨ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯑꯃꯨꯛꯇꯪ ꯈꯟꯅꯕꯤꯌꯨ꯫
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