ꯑꯩꯈꯣꯌꯅꯥ ꯅꯨꯃꯤꯠ ꯈꯨꯗꯤꯡꯒꯤ ꯈꯨꯠꯅꯥ ꯀꯌꯥ ꯌꯥꯝꯅꯥ ꯊꯕꯛ ꯇꯧꯔꯤꯕꯒꯦ? ꯏꯕꯥ, ꯕꯥꯒꯥꯟ ꯇꯧꯕꯥ, ꯑꯩꯈꯣꯌꯒꯤ ꯐꯣꯟ ꯁꯤꯖꯤꯟꯅꯕꯥ, ꯑꯔꯨꯝꯕꯥ ꯂꯧꯊꯣꯀꯄꯥ ꯐꯥꯑꯣꯕꯥ, ꯑꯩꯈꯣꯌꯒꯤ ꯃꯈꯨꯠ ꯑꯁꯤ ꯄꯣꯠ ꯈꯨꯗꯤꯡꯃꯛꯀꯤꯗꯃꯛ ꯁꯤꯖꯤꯟꯅꯩ꯫ ꯑꯗꯨꯅꯥ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯩꯈꯣꯌꯅꯥ ꯑꯁꯨꯛ ꯌꯥꯝꯅꯥ ꯀꯟꯅꯥ ꯍꯣꯠꯅꯒꯗꯕꯗꯤ, ꯑꯩꯈꯣꯌꯒꯤ ꯃꯈꯨꯠꯇꯥ ꯑꯋꯥꯕꯥ ꯈꯔꯥ ꯅꯠꯔꯒꯥ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯐꯥꯑꯣꯕꯥ, ꯃꯁꯤꯅꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯅꯨꯃꯤꯠ ꯄꯨꯝꯕꯗꯥ ꯀꯔꯝꯅꯥ ꯁꯣꯀꯍꯅꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯑꯗꯣꯝꯅꯥ ꯈꯉꯕꯤꯔꯃꯒꯅꯤ꯫ ꯑꯌꯥꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯑꯅꯥꯕꯥ ꯑꯁꯤ ꯅꯨꯃꯤꯠ ꯈꯔꯅꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯍꯟꯊꯔꯀꯏ, ꯑꯗꯨꯕꯨ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯊꯧꯗꯣꯛ ꯑꯃꯒꯤ ꯂꯥꯏꯑꯣꯡ ꯑꯃꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯅꯥ ꯉꯁꯤꯗꯤ ꯃꯁꯤꯒꯤ ꯃꯈꯨꯠꯀꯤ ꯑꯋꯥꯕꯥ ꯑꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯁꯤ꯫
ꯃꯁꯤꯒꯤ ꯔꯤꯁ꯭ꯇꯕꯦꯟꯗ ꯑꯁꯤ ꯇꯁꯦꯡꯅꯥ ꯀꯔꯤꯅꯣ?
ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯃꯈꯨꯠ ꯑꯁꯤ ꯁꯨꯞꯅꯒꯤ ꯖꯣꯟ ꯑꯃꯈꯛꯇꯃꯛ ꯅꯠꯇꯦ꯫ ꯃꯁꯤ ꯑꯄꯤꯀꯄꯥ, ꯀꯝꯞꯂꯦꯛꯁ ꯃꯦꯁꯤꯟ ꯑꯃꯒꯨꯝꯕꯅꯤ꯫ ꯑꯩꯈꯣꯌꯒꯤ ꯈꯨꯠꯀꯤ ꯀꯨꯄꯁꯤꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯀꯨꯄꯁꯤꯅꯕꯥ ꯈꯣꯡꯖꯦꯜ ꯄꯨꯝꯅꯃꯛꯇꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯂꯤꯕꯥ ꯑꯄꯤꯀꯄꯥ ꯃꯐꯝ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯌꯥꯝꯅꯥ ꯊꯣꯛꯂꯤ꯫
- ꯁꯔꯨ: ꯃꯈꯨꯠ ꯑꯁꯤ ꯑꯄꯤꯀꯄꯥ ꯁꯔꯨ ꯇꯥꯡ ꯀꯌꯥꯅꯥ ꯁꯦꯝꯕꯅꯤ꯫
- ꯃꯁꯂꯁꯤꯡ (muscles): ꯃꯁꯂꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯈꯨꯠ ꯑꯃꯁꯨꯡ ꯃꯈꯨꯠꯁꯤꯡ ꯑꯗꯨ ꯆꯦꯠꯁꯤꯂꯍꯜꯂꯤ꯫
- ꯅꯔꯚꯁꯤꯡ: ꯅꯔꯚꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯕ꯭ꯔꯦꯅꯗꯒꯤ ꯈꯨꯠꯇꯥ ꯄꯥꯎꯖꯦꯂꯁꯤꯡ ꯄꯨꯗꯨꯅꯥ ꯆꯠꯂꯤ ꯑꯃꯁꯨꯡ ꯈꯨꯠꯁꯥꯗꯒꯤ ꯕ꯭ꯔꯦꯅꯗꯥ ꯁꯦꯟꯁꯅꯁꯤꯡ (ꯍꯤꯠ, ꯀꯣꯜꯗ, ꯄꯦꯏꯟ) ꯄꯨꯗꯨꯅꯥ ꯆꯠꯂꯤ꯫
- ꯇꯦꯟꯗꯣꯅꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯂꯤꯒꯥꯃꯦꯟꯇꯁꯤꯡ (tendons and Ligaments): ꯃꯁꯤꯅꯥ ꯁꯔꯨ ꯇꯥꯡꯁꯤꯡ ꯑꯁꯤ ꯑꯃꯒꯥ ꯑꯃꯒꯥ ꯁꯝꯅꯍꯜꯂꯤ ꯑꯃꯁꯨꯡ ꯁꯔꯨ ꯇꯥꯡꯁꯤꯡ ꯑꯁꯤ ꯃꯄꯥꯉ꯭ꯒꯜ ꯀꯅꯈꯠꯍꯜꯂꯤ꯫
- ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯂꯁꯤꯡ: ꯃꯁꯤꯅꯥ ꯇꯤꯁꯨ ꯄꯨꯝꯅꯃꯛꯇꯥ ꯏ ꯁꯞꯂꯥꯏ ꯇꯧꯏ꯫
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯁꯔꯨꯀꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯕꯨ ꯁꯣꯀꯍꯅꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯍꯅꯕꯥ ꯇꯥꯔꯕꯗꯤ, ꯑꯩꯈꯣꯌꯅꯥ ꯃꯈꯨꯠꯇꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯄꯥ ꯍꯧꯏ꯫
ꯑꯋꯥꯕꯥ ꯑꯁꯤ ꯀꯗꯥꯏꯗꯥ ꯐꯥꯑꯣꯔꯤꯕꯒꯦ?
ꯗꯣꯛꯇꯔ ꯑꯃꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯅꯥꯕꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯍꯪꯂꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯃꯈꯣꯌꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯨꯠꯁꯥꯗꯥ ꯃꯗꯨ ꯀꯗꯥꯏꯗꯥ ꯂꯩꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯆꯨꯝꯅꯥ ꯈꯪꯗꯣꯛꯅꯕꯥ ꯍꯣꯠꯅꯒꯅꯤ꯫ ꯃꯁꯤꯅꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯈꯪꯗꯣꯀꯄꯗꯥ ꯑꯆꯧꯕꯥ ꯃꯇꯦꯡ ꯑꯃꯥ ꯑꯣꯏꯒꯅꯤ꯫
- ꯎꯅꯁꯥꯒꯤ ꯃꯈꯨꯠ ꯁꯣꯀꯄꯥ (Ulnar wrist pain): ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯃꯈꯨꯠ ꯑꯗꯨ ꯅꯍꯥꯛꯀꯤ ꯑꯄꯤꯀꯄꯥ ꯃꯈꯨꯠ ꯑꯗꯨ ꯂꯩꯔꯤꯕꯥ ꯃꯐꯝ ꯑꯗꯨꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯨꯠꯁꯥꯒꯤ ꯃꯄꯥꯟꯗꯥ ꯁꯣꯀꯄꯥ ꯇꯥꯔꯕꯗꯤ, ꯃꯗꯨ ꯃꯈꯜ ꯑꯁꯤꯒꯤ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫
- ꯔꯦꯗꯤꯑꯦꯜ ꯔꯤꯁ꯭ꯠ ꯄꯦꯏꯟ (radial wrist pain): ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯃꯈꯨꯠ ꯑꯗꯨ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯂꯩꯔꯤꯕꯥ ꯃꯐꯝ ꯑꯗꯨꯗꯥ ꯁꯣꯀꯄꯥ ꯇꯥꯔꯕꯗꯤ, ꯃꯁꯤ ꯀꯦꯇꯦꯒꯣꯔꯤ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡ ꯆꯜꯂꯤ꯫
ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯑꯅꯥꯕꯥ ꯑꯗꯨ ꯀꯗꯥꯏꯗꯥ ꯂꯩꯔꯕꯁꯨ, ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯋꯥꯐꯃꯗꯤ ꯃꯔꯝ ꯑꯗꯨ ꯈꯪꯗꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯂꯥꯏꯌꯦꯡꯕꯅꯤ꯫
ꯃꯈꯨꯠ ꯁꯣꯛꯅꯕꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯔꯃꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?
ꯃꯈꯨꯠ ꯁꯣꯛꯅꯕꯒꯤ ꯃꯔꯝ ꯑꯃꯠꯇꯥ ꯂꯩꯇꯦ, ꯑꯗꯨꯕꯨ ꯀꯌꯥ ꯑꯃꯁꯨ ꯂꯩ꯫ ꯑꯩꯈꯣꯌꯅꯥ ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯀꯦꯇꯦꯒꯣꯔꯤ ꯑꯅꯤꯗꯥ ꯈꯥꯌꯗꯣꯛꯀꯅꯤ꯫ ꯑꯃꯅꯥ ꯑꯁꯣꯛ-ꯑꯄꯅꯁꯤꯡꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯑꯅꯥꯕꯁꯤꯡꯅꯤ, ꯑꯗꯨꯒꯥ ꯑꯇꯣꯞꯄꯥ ꯑꯃꯅꯥ ꯍꯀꯁꯦꯂꯒꯤ ꯐꯤꯚꯃꯁꯤꯡꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯑꯅꯥꯕꯁꯤꯡꯅꯤ꯫
| ꯃꯔꯝ ꯃꯈꯜ꯫ | ꯃꯁꯛ ꯈꯪꯗꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯈꯨꯗꯃꯁꯤꯡ꯫ |
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| ꯑꯦꯛꯁꯤꯗꯦꯟꯇ ꯑꯃꯁꯨꯡ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯄꯥ꯫ | ꯍꯥꯌꯔꯤꯕꯥ ꯑꯁꯤ ꯈꯉꯍꯧꯗꯅꯥ ꯊꯣꯀꯄꯥ ꯊꯧꯗꯣꯀꯁꯤꯡꯅꯤ꯫
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| ꯍꯀꯁꯦꯂꯒꯤ ꯐꯤꯚꯃꯁꯤꯡ꯫ | ꯑꯅꯥꯕꯁꯤꯡ ꯑꯁꯤ ꯃꯇꯃꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯍꯦꯅꯒꯠꯂꯀꯄꯥ ꯌꯥꯏ꯫
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ꯑꯅꯥꯕꯥ ꯑꯁꯤ ꯂꯥꯌꯦꯡꯅꯕꯥ ꯀꯔꯤ ꯇꯧꯕꯥ ꯌꯥꯕꯒꯦ?
ꯅꯍꯥꯛꯅꯥ ꯃꯊꯧ ꯇꯥꯔꯤꯕꯥ ꯂꯥꯏꯌꯦꯡ ꯑꯗꯨ ꯅꯍꯥꯛꯀꯤ ꯑꯅꯥꯕꯒꯤ ꯃꯔꯝ ꯑꯗꯨꯒꯤ ꯃꯈꯥ ꯄꯣꯜꯂꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯅꯍꯥꯛꯅꯥ ꯌꯨꯃꯗꯥ ꯇꯧꯕꯥ ꯌꯥꯕꯥ ꯏꯆꯝ ꯆꯝꯕꯥ ꯊꯕꯀꯁꯤꯡꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯋꯥꯕꯥ ꯑꯗꯨ ꯀꯣꯀꯍꯅꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫
ꯌꯨꯃꯗꯥ ꯇꯧꯕꯥ ꯌꯥꯕꯥ ꯊꯕꯀꯁꯤꯡ꯫
- ꯅꯨꯡꯉꯥꯏꯅꯥ ꯂꯩꯅꯕꯥ: ꯑꯅꯥꯕꯥ ꯑꯗꯨ ꯊꯣꯀꯍꯅꯈꯤꯕꯥ ꯑꯦꯛꯇꯤꯚꯤꯇꯤ (ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯀꯝꯞꯌꯨꯇꯔ ꯁꯤꯖꯤꯟꯅꯕꯥ, ꯁꯥꯟꯅꯄꯣꯠ) ꯑꯗꯨꯗꯒꯤ ꯅꯨꯃꯤꯠ ꯈꯔꯅꯤꯒꯤ ꯁꯨꯇꯤ ꯂꯧꯕꯥ꯫ ꯃꯁꯤꯅꯥ ꯑꯁꯣꯀꯄꯥ ꯇꯤꯁꯨꯁꯤꯡ ꯑꯗꯨ ꯐꯒꯠꯂꯀꯄꯒꯤ ꯃꯇꯝ ꯄꯤꯒꯅꯤ꯫
- ꯑꯥꯏꯁꯛꯔꯤꯝ: ꯅꯣꯡꯃꯗꯥ ꯀꯌꯥꯃꯔꯨꯝ ꯃꯤꯅꯠ 10-15 ꯐꯥꯎꯕꯥ ꯑꯥꯏꯁ ꯄꯦꯛ ꯑꯃꯥ ꯊꯥꯎ꯫ ꯀꯩꯗꯧꯉꯩꯗꯥ ꯈꯣꯡꯗꯥ ꯍꯀꯊꯦꯡꯅꯅꯥ ꯑꯥꯏꯁ ꯊꯃꯒꯅꯨ꯫ ꯃꯗꯨ ꯑꯄꯤꯀꯄꯥ ꯇꯣꯏꯂꯦꯠ ꯑꯃꯗꯥ ꯀꯨꯄꯁꯤꯜꯂꯨ ꯑꯃꯁꯨꯡ ꯃꯗꯨ ꯊꯥꯎ꯫
- ꯄꯦꯅꯀꯤꯂꯔꯁꯤꯡ: ꯅꯍꯥꯛꯅꯥ ꯗꯣꯛꯇꯔꯅꯥ ꯇꯥꯀꯄꯥ ꯃꯇꯨꯡꯏꯟꯅꯥ ꯄꯦꯅꯀꯤꯂꯔꯁꯤꯡ (NSAIDs) ꯂꯧꯕꯥ ꯌꯥꯏ, ꯃꯗꯨꯅꯥ ꯑꯅꯥꯕꯥ ꯑꯃꯁꯨꯡ ꯁꯣꯛ-ꯄꯅꯕꯥ ꯍꯟꯊꯍꯜꯂꯤ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯃꯁꯥ ꯃꯊꯟꯇꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ ꯊꯀꯄꯥ ꯌꯥꯗꯕꯅꯤ꯫
ꯃꯦꯗꯤꯀꯦꯜ ꯇ꯭ꯔꯤꯠꯃꯦꯟꯇ꯫
ꯀꯔꯤꯒꯨꯝꯕꯥ ꯌꯨꯃꯗꯥ ꯂꯥꯏꯌꯦꯡꯕꯅꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯗ꯭ꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯂꯥꯏꯌꯦꯡ ꯃꯈꯜ ꯑꯁꯤ ꯄꯤꯕꯥ ꯌꯥꯏ꯫
- ꯐꯤꯖꯤꯀꯦꯜ ꯊꯦꯔꯥꯄꯤ: ꯐꯤꯖꯤꯀꯦꯜ ꯊꯦꯔꯥꯄꯤꯁ꯭ꯠ ꯑꯃꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯃꯈꯨꯠ ꯑꯗꯨ ꯃꯄꯥꯉ꯭ꯒꯜ ꯀꯅꯈꯠꯍꯟꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯐ꯭ꯂꯦꯛꯁꯤꯕꯤꯂꯤꯇꯤ ꯍꯦꯅꯒꯠꯍꯟꯅꯕꯥ ꯑꯈꯟꯅꯕꯥ ꯑꯦꯛꯁꯔꯁꯥꯏꯖꯁꯤꯡ ꯇꯝꯕꯤꯒꯅꯤ꯫
- ꯏꯃꯣꯕꯤꯂꯥꯏꯖꯦꯁꯟ: ꯅꯍꯥꯛꯀꯤ ꯃꯈꯨꯠ ꯑꯗꯨ ꯏꯃꯣꯕꯤꯂꯥꯏꯖꯦꯁꯟ ꯇꯧꯗꯅꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯀꯥꯁ꯭ꯠ, ꯁ꯭ꯞꯂꯤꯟꯇ ꯅꯠꯠꯔꯒꯥ ꯕ꯭ꯔꯦꯁ ꯑꯃꯥ ꯁꯤꯖꯤꯟꯅꯅꯕꯥ ꯍꯥꯌꯔꯀꯄꯥ ꯌꯥꯏ꯫
- ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ: ꯗꯣꯛꯇꯔꯅꯥ ꯁꯣꯛ-ꯄꯅꯕꯥ ꯍꯟꯊꯍꯟꯅꯕꯥ ꯁ꯭ꯇꯦꯔꯣꯏꯗꯁꯤꯡ (corticosteroids)ꯒꯨꯝꯕꯥ ꯍꯤꯗꯥꯀꯁꯤꯡ ꯏꯅꯖꯦꯀꯁꯟ ꯇꯧꯕꯥ ꯌꯥꯏ꯫
- ꯁꯔꯖꯔꯤ꯫ ꯃꯁꯤ ꯏꯆꯝ ꯆꯝꯕꯥ ꯑꯣꯄꯟ ꯁꯔꯖꯔꯤ ꯑꯃꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯄꯤꯀꯄꯥ ꯏꯅꯁꯤꯁꯟ ꯀꯌꯥꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯇꯧꯕꯥ ꯑꯥꯔꯊ꯭ꯔꯣꯁ꯭ꯀꯣꯄꯤꯛ ꯁꯔꯖꯔꯤ ꯑꯃꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫
ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯋꯥꯐꯃꯗꯤ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯗꯨꯅꯥ ꯅꯍꯥꯛꯀꯤꯗꯃꯛꯇꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯥ ꯂꯥꯏꯌꯦꯡ ꯑꯗꯨ ꯂꯦꯄꯊꯣꯀꯄꯅꯤ꯫
ꯃꯇꯧ ꯀꯔꯝꯅꯥ ꯃꯈꯨꯠ ꯁꯣꯀꯄꯥ ꯊꯤꯡꯒꯗꯒꯦ?
ꯃꯈꯣꯌꯅꯥ ꯍꯥꯌꯔꯤ ꯃꯗꯨꯗꯤ ꯂꯥꯌꯦꯡꯕꯗꯒꯤ ꯉꯥꯀꯊꯣꯀꯄꯥ ꯑꯁꯤ ꯍꯦꯟꯅꯥ ꯐꯩ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯄꯤꯀꯄꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ ꯑꯁꯤ ꯌꯦꯡꯁꯤꯅꯕꯤꯔꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯃꯈꯨꯠ ꯁꯣꯛꯅꯕꯒꯤ ꯔꯤꯁ꯭ꯛ ꯍꯟꯊꯍꯅꯕꯥ ꯉꯃꯒꯅꯤ꯫
ꯀꯝꯞꯌꯨꯇꯔ ꯁꯤꯖꯤꯟꯅꯔꯤꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯒꯤ ꯑꯣꯏꯅꯗꯤ:
- ꯅꯍꯥꯛꯅꯥ ꯇꯥꯏꯞ ꯇꯧꯕꯥ ꯃꯇꯃꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯃꯈꯨꯠꯁꯤꯡ ꯑꯗꯨ ꯃꯊꯛꯇꯥ ꯀꯨꯄꯁꯤꯅꯗꯅꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯀꯤꯕꯣꯔꯗ ꯑꯗꯨ ꯈꯔꯥ ꯍꯟꯊꯍꯜꯂꯨ꯫
- ꯂꯦꯞꯇꯅꯥ ꯇꯥꯏꯞ ꯇꯧꯕꯒꯤ ꯃꯍꯨꯠꯇꯥ ꯌꯥꯃꯗ꯭ꯔꯕꯗꯥ ꯄꯨꯡ ꯑꯃꯗꯥ ꯑꯇꯦꯅꯕꯥ ꯃꯇꯃꯒꯤ ꯕ꯭ꯔꯦꯛ ꯑꯃꯥ ꯂꯧ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯈꯨꯠꯁꯥ ꯑꯗꯨ ꯂꯦꯡꯗꯅꯥ ꯂꯩꯌꯨ꯫
- ꯀꯤꯕꯣꯔꯗ ꯑꯃꯁꯨꯡ ꯃꯥꯎꯁꯀꯤꯗꯃꯛꯇꯥ ꯔꯤꯁ꯭ꯠ ꯔꯦꯁ꯭ꯠ ꯑꯃꯥ ꯁꯤꯖꯤꯟꯅꯧ꯫
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯌꯥꯕꯥ ꯇꯥꯔꯕꯗꯤ, ꯃꯥꯎꯁ ꯁꯤꯖꯤꯟꯅꯔꯤꯕꯥ ꯈꯨꯠ ꯑꯗꯨ ꯍꯣꯡꯗꯣꯀꯎ꯫
ꯖꯦꯅꯦꯔꯦꯜ ꯁꯦꯐꯇꯤꯒꯤ ꯏꯅꯁ꯭ꯠꯔꯛꯁꯅꯁꯤꯡ:
- ꯒꯥꯔꯤꯗꯥ ꯆꯦꯅꯕꯥ ꯃꯇꯃꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯁꯤꯠ ꯕꯦꯜꯇ ꯑꯗꯨ ꯁꯣꯌꯗꯅꯥ ꯁꯤꯖꯤꯟꯅꯧ꯫
- ꯁꯥꯟꯅꯄꯣꯠ ꯁꯥꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯀꯅꯕꯥ ꯊꯕꯛ ꯇꯧꯕꯥ ꯃꯇꯃꯗꯥ ꯃꯇꯤꯛ ꯆꯥꯕꯥ ꯉꯥꯀꯊꯣꯛꯅꯕꯥ ꯈꯨꯠꯂꯥꯌꯁꯤꯡ (ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯔꯤꯁ꯭ꯠ ꯒꯥꯔꯗꯁꯤꯡ) ꯁꯤꯖꯤꯟꯅꯧ꯫
- ꯅꯍꯥꯛꯀꯤ ꯌꯨꯝ ꯑꯃꯁꯨꯡ ꯊꯕꯛ ꯃꯐꯝ ꯑꯗꯨ ꯅꯤꯡꯊꯤꯅꯥ ꯊꯝꯃꯨ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯀꯄꯨ ꯁꯣꯀꯍꯅꯕꯥ ꯌꯥꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ ꯂꯧꯊꯣꯛꯇꯨꯅꯥ ꯊꯝꯃꯨ꯫
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯗꯤꯁꯑꯦꯕꯤꯂꯤꯇꯤ ꯂꯩꯔꯕꯗꯤ, ꯋꯥꯀꯤꯡ ꯑꯦꯗ (ꯀꯦꯟ/ ꯋꯥꯀꯔ) ꯁꯤꯖꯤꯟꯅꯧ꯫
ꯀꯗꯥꯏꯗꯥ ꯗꯣꯛꯇꯔꯒꯥ ꯇꯥꯟꯅꯒꯗꯒꯦ?
ꯑꯌꯥꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯃꯈꯨꯠꯀꯤ ꯑꯅꯥꯕꯥ ꯑꯁꯤ ꯅꯨꯃꯤꯠ ꯈꯔꯅꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯍꯟꯊꯔꯛꯀꯅꯤ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯥ ꯍꯦꯛꯇꯥ ꯂꯩꯔꯕꯗꯤ ꯃꯇꯝ ꯃꯥꯡꯍꯅꯒꯅꯨ ꯑꯃꯁꯨꯡ ꯗꯣꯛꯇꯔ ꯑꯃꯒꯥ ꯇꯥꯟꯅꯧ꯫
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯨꯠ, ꯃꯈꯨꯠ ꯅꯠꯠꯔꯒꯥ ꯈꯣꯡꯎꯞ ꯑꯗꯨ ꯂꯧꯊꯣꯀꯄꯥ ꯉꯃꯗ꯭ꯔꯕꯗꯤ꯫
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯃꯈꯨꯠ ꯅꯠꯠꯔꯒꯥ ꯈꯨꯠꯁꯥꯗꯥ ꯌꯥꯝꯅꯥ ꯋꯥꯅꯥ ꯑꯅꯥꯕꯥ ꯂꯩꯔꯕꯗꯤ꯫
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯃꯈꯨꯠ, ꯈꯨꯠ ꯅꯠꯠꯔꯒꯥ ꯃꯈꯨꯠꯁꯤꯡ ꯑꯗꯨ ꯁꯣꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯃꯆꯨ ꯁꯪꯂꯕꯥ ꯑꯣꯏꯔꯕꯗꯤ꯫
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯌꯨꯃꯗꯥ ꯂꯥꯏꯌꯦꯡ ꯍꯧꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯅꯨꯃꯤꯠ ꯑꯅꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯑꯅꯥꯕꯥ ꯑꯗꯨ ꯍꯟꯊꯔꯛꯠꯔꯕꯗꯤ ꯅꯠꯠꯔꯒꯥ ꯑꯅꯥꯕꯥ ꯑꯗꯨ ꯃꯈꯥ ꯇꯥꯅꯥ ꯍꯦꯅꯒꯠꯂꯛꯂꯕꯗꯤ꯫
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯃꯈꯨꯠ ꯑꯗꯨ ꯁꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯑꯦꯛꯁꯤꯗꯦꯟꯇ ꯑꯃꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯁꯣꯀꯍꯜꯂꯕꯥ ꯎꯔꯕꯗꯤ, ꯈꯨꯗꯛꯇꯥ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯂꯒꯤ ꯏ.ꯇꯤ.ꯌꯨ. (ꯏꯃꯔꯖꯦꯟꯁꯤ ꯇ꯭ꯔꯤꯇꯃꯦꯟꯇ ꯌꯨꯅꯤꯠ) ꯑꯃꯗꯥ ꯆꯠꯂꯨ꯫
ꯇꯦꯛ-ꯍꯣꯝ ꯃꯦꯁꯦꯖ ꯇꯧꯕꯥ꯫
- ꯃꯈꯨꯠ ꯁꯣꯀꯄꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫ ꯃꯁꯤ ꯑꯉꯀꯄꯥ ꯑꯃꯅꯤ ꯃꯔꯃꯗꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯅꯨꯃꯤꯠ ꯈꯨꯗꯤꯡꯒꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯈꯨꯠ ꯁꯤꯖꯤꯟꯅꯩ꯫
- ꯑꯌꯥꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯌꯥꯝꯅꯥ ꯅꯨꯡꯉꯥꯏꯅꯥ ꯂꯩꯕꯥ ꯑꯃꯁꯨꯡ ꯑꯥꯏꯁꯛꯔꯤꯝ ꯊꯥꯕꯅꯥ ꯑꯅꯥꯕꯥ ꯍꯟꯊꯍꯅꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫
- ꯃꯔꯨꯑꯣꯏꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯨꯃꯤꯠ ꯈꯔꯅꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯂꯩꯔꯛꯠꯔꯕꯗꯤ ꯅꯠꯠꯔꯒꯥ ꯍꯦꯟꯅꯥ ꯐꯠꯆꯤꯜꯂꯛꯂꯕꯗꯤ ꯑꯅꯥꯕꯥ ꯑꯗꯨ ꯌꯦꯡꯁꯤꯅꯕꯤꯒꯅꯨ꯫
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯁꯣꯛ-ꯄꯅꯕꯥ ꯉꯃꯗꯕꯥ, ꯁꯣꯛ-ꯄꯅꯕꯥ, ꯅꯍꯥꯛꯀꯤ ꯈꯨꯠ ꯍꯥꯃꯗꯣꯀꯄꯥ ꯉꯃꯗꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯁꯣꯟꯊꯕꯥ ꯂꯩꯔꯕꯗꯤ, ꯈꯨꯗꯛꯇꯥ ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯄꯥꯎꯇꯥꯛ ꯂꯧꯕꯤꯌꯨ꯫
- ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯃꯈꯨꯠ ꯑꯗꯨ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯅꯥ ꯁꯣꯀꯄꯥ ꯃꯔꯝꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯅꯨꯡꯇꯤꯒꯤ ꯊꯕꯛ ꯊꯧꯔꯃꯁꯤꯡ ꯄꯥꯡꯊꯣꯀꯄꯥ ꯉꯃꯗ꯭ꯔꯕꯗꯤ, ꯃꯗꯨꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯇꯥꯟꯅꯧ꯫ ꯃꯍꯥꯛꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯊꯨꯅꯥ ꯐꯒꯠꯂꯀꯄꯗꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯂꯃꯖꯤꯡ-ꯂꯃꯇꯥꯛ ꯑꯗꯨ ꯄꯤꯒꯅꯤ꯫
👩🏽 ⚕️ ꯑꯍꯦꯅꯕꯥ ꯋꯥꯍꯪꯁꯤꯡ (FAQs)
💬 ꯅꯤꯃꯣꯗꯤꯄꯤꯟ (Nimodipine / Nymalize) ꯀꯦꯄꯁꯨꯜ/ꯂꯤꯛꯌꯨꯏꯗ ꯑꯁꯤ ꯀꯔꯝꯕꯥ ꯂꯥꯌꯅꯥꯒꯤꯗꯃꯛ ꯄꯤꯕꯥ ꯌꯥꯝꯅꯥ ꯑꯀꯛꯅꯕꯥ ꯍꯤꯗꯥꯛ ꯑꯃꯅꯤ?
ꯃꯁꯤ ꯑꯆꯝꯕꯥ ꯄ꯭ꯔꯦꯁꯔ ꯄꯤꯜ ꯑꯃꯅꯤ! ꯃꯁꯤ ꯕ꯭ꯔꯦꯅꯗꯥ ꯂꯩꯕꯥ ꯏꯒꯤ ꯈꯣꯡꯖꯦꯜ ꯑꯃꯥ ꯁꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯏ ꯊꯣꯀꯄꯥ (Subarachnoid Hemorrhage - SAH)ꯗꯥ 100% ꯄꯦꯔꯥꯂꯥꯏꯁꯤꯁ ꯑꯃꯁꯨꯡ ꯁꯤꯕꯥ (Neurologic deficit prevention) ꯊꯤꯡꯅꯕꯥ ꯍꯣꯁ꯭ꯄꯤꯇꯥꯂꯁꯤꯡꯗꯥ ꯁꯤꯖꯤꯟꯅꯕꯥ ꯌꯥꯝꯅꯥ ꯃꯄꯥꯉ꯭ꯒꯜ ꯀꯅꯕꯥ ꯑꯈꯟꯅꯕꯥ (Calcium Channel Blocker) ꯗ꯭ꯔꯒ ꯑꯃꯅꯤ꯫ ꯐꯨꯃꯖꯤꯅꯕꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯕ꯭ꯔꯦꯅꯗꯥ ꯂꯩꯕꯥ ꯑꯇꯩ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯂꯁꯤꯡꯅꯥ ꯀꯟꯠꯔꯦꯛꯇ ꯇꯧꯕꯥ/ ꯁ꯭ꯄꯥꯁꯝ ꯇꯧꯕꯥ, ꯄꯦꯁꯦꯟꯇ ꯑꯗꯨꯒꯤ ꯕ꯭ꯔꯦꯅꯗꯥ ꯏ ꯆꯦꯅꯕꯥ ꯊꯤꯡꯏ!
💬 ꯕ꯭ꯔꯦꯅꯗꯥ ꯂꯩꯕꯥ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯜ ꯑꯃꯥ ꯁꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯍꯤꯗꯥꯛ (Nimodipine) ꯑꯁꯤꯅꯥ ꯀꯔꯝꯅꯥ ꯄꯦꯔꯥꯂꯥꯏꯁꯤꯁ/ꯁꯤꯕꯥ ꯊꯤꯡꯒꯅꯤ?
ꯅꯣꯔꯃꯦꯜ (CCB) ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ ꯄꯤꯂꯁꯤꯡꯅꯥ ꯍꯀꯆꯥꯡꯗꯥ ꯂꯩꯕꯥ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯂꯁꯤꯡ ꯔꯤꯂꯥꯛꯁ ꯇꯧꯏ꯫ ꯑꯗꯨꯕꯨ ꯃꯁꯤꯒꯤ ꯑꯃꯒꯤ ꯑꯈꯟꯅꯕꯥ ꯃꯑꯣꯡꯗꯤ ꯃꯁꯤꯅꯥ ꯕ꯭ꯔꯦꯅꯗꯥ ꯂꯩꯕꯥ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯂꯁꯤꯡꯗꯥ ꯍꯀꯊꯦꯡꯅꯅꯥ ꯊꯕꯛ ꯇꯧꯏ (High Cerebrovascular Selectivity)! ꯕ꯭ꯔꯦꯅꯗꯥ ꯂꯩꯕꯥ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯜ ꯑꯃꯅꯥ ꯁꯣꯀꯍꯜꯂꯕꯥ ꯃꯇꯃꯗꯥ, ꯑꯇꯩ ꯚꯦꯁꯦꯂꯁꯤꯡ ꯑꯗꯨ ꯁꯣꯟꯊꯔꯀꯏ ꯑꯃꯁꯨꯡ ꯁꯣꯟꯊꯔꯀꯏ꯫ ꯍꯤꯗꯥꯛ ꯑꯁꯤꯅꯥ ꯕ꯭ꯔꯦꯅꯗꯥ ꯌꯧꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯃꯁꯤꯅꯥ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯂꯁꯤꯡ ꯑꯗꯨꯗꯥ ꯆꯪꯂꯀꯄꯥ ꯀꯦꯂꯁꯤꯌꯝ ꯑꯗꯨ ꯊꯤꯡꯏ, ꯑꯃꯁꯨꯡ ꯚꯦꯁꯦꯜ ꯑꯗꯨ ꯄꯨꯝꯅꯃꯛ ꯔꯤꯂꯥꯛꯁ ꯇꯧꯏ (Vasodilation)꯫ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯕ꯭ꯔꯦꯟ ꯁꯦꯂꯁꯤꯡ ꯑꯗꯨ ꯃꯈꯥ ꯇꯥꯅꯥ ꯐꯒꯠꯂꯀꯏ ꯑꯃꯁꯨꯡ ꯃꯈꯣꯌꯗꯨ ꯂꯦꯡ-ꯑꯣꯠꯄꯗꯥ ꯁꯣꯀꯍꯜꯂꯣꯏ꯫
💬 ꯀꯔꯤꯒꯤꯗꯃꯛꯇꯥ ꯗ꯭ꯔꯒ (Nimodipine) ꯑꯁꯤꯅꯥ ‘ꯀꯩꯗꯧꯉꯩꯗꯥ IV ꯏꯅꯖꯦꯀꯁꯟ ꯄꯤꯔꯣꯏꯗꯕꯅꯤ’ ꯍꯥꯌꯅꯥ ‘ꯕ꯭ꯂꯦꯛ ꯕꯣꯛꯁ ꯋꯥꯔꯅꯤꯡ’ ꯑꯃꯥ ꯂꯩꯔꯤꯕꯅꯣ?
ꯃꯁꯤꯒꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯈꯨꯗꯣꯡꯊꯤꯅꯤꯡꯉꯥꯏ ꯑꯣꯏꯕꯥ ꯑꯃꯁꯨꯡ ꯁꯤꯕꯥ ꯌꯥꯕꯥ ꯈꯨꯗꯣꯡꯊꯤꯕꯥ ꯑꯗꯨꯅꯤ! ꯍꯤꯗꯥꯛ ꯑꯁꯤꯒꯤ ꯂꯤꯛꯌꯨꯏꯗ ꯃꯑꯣꯡ ꯑꯁꯤ ꯃꯤꯠ ꯈꯛꯇꯅꯥ ꯂꯧꯒꯗꯕꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯁꯤ ꯑꯁꯣꯌꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯁꯣꯌꯕꯥ ꯑꯃꯅꯥ ꯁꯤꯔꯤꯟꯖ ꯑꯃꯅꯥ ꯚꯦꯅꯝ (IV) ꯑꯃꯗꯥ ꯏꯅꯖꯦꯀꯁꯟ ꯇꯧꯔꯕꯗꯤ, ꯄꯦꯁꯦꯟꯇ ꯑꯗꯨꯒꯤ ꯕ꯭ꯂꯗ ꯄ꯭ꯔꯦꯁꯔ ꯑꯗꯨ ꯈꯨꯗꯛꯇꯥ ꯖꯤꯔꯣꯗꯥ ꯍꯟꯊꯔꯛꯀꯅꯤ (Profound Hypotension), ꯍꯥꯔꯠ ꯑꯗꯨ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯂꯦꯄꯀꯅꯤ (Cardiac Arrest / Death) ꯑꯃꯁꯨꯡ ꯄꯦꯁꯦꯟꯇ ꯑꯗꯨ ꯈꯨꯗꯛꯇꯥ ꯁꯤꯒꯅꯤ! (ꯃꯁꯤ ꯃꯥꯂꯦꯃꯗꯥ ꯀꯌꯥ ꯌꯥꯝꯅꯥ ꯊꯣꯀꯈꯤꯕꯥ ꯊꯧꯗꯣꯛ ꯑꯃꯅꯤ)꯫
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