ꯃꯈꯨꯠ ꯁꯣꯀꯄꯥ? ꯀꯣꯂꯦꯁꯀꯤ ꯐ꯭ꯔꯦꯀꯆꯔꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯁꯤ꯫

ꯅꯍꯥꯛꯅꯥ ꯂꯝꯕꯤꯗꯥ ꯆꯠꯂꯤꯉꯩꯗꯥ ꯈꯉꯍꯧꯗꯅꯥ ꯆꯦꯅꯁꯤꯜꯂꯒꯥ ꯊꯨꯡꯂꯈꯤ, ꯑꯗꯨꯕꯨ ꯅꯍꯥꯛꯅꯥ ꯅꯁꯥꯕꯨ ꯀꯅꯕꯤꯅꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯨꯠ ꯑꯗꯨ ꯃꯥꯂꯦꯃꯗꯥ ꯊꯃꯈꯤ ꯍꯥꯌꯅꯥ ꯈꯅꯕꯤꯌꯨ꯫ ꯅꯠꯔꯒꯥ ꯅꯍꯥꯛꯅꯥ ꯁꯥꯟꯅꯄꯣꯠ ꯁꯥꯟꯅꯔꯤꯉꯩꯗꯥ ꯅꯠꯠꯔꯒꯥ ꯕꯥꯏꯛ ꯑꯃꯥ ꯊꯧꯔꯤꯉꯩꯗꯥ ꯁꯣꯀꯈꯤ ꯍꯥꯌꯅꯥ ꯂꯧꯔꯁꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯈꯪꯍꯧꯗꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯃꯈꯨꯠꯇꯥ ꯁꯥꯊꯤꯕꯥ ꯑꯁꯣꯀꯄꯥ ꯑꯃꯥ ꯐꯥꯑꯣꯔꯕꯗꯤ, ꯃꯐꯝ ꯑꯗꯨ ꯁꯣꯀꯄꯥ ꯍꯧꯔꯛꯂꯕꯗꯤ, ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯈꯨꯠꯁꯥꯒꯤ ꯃꯑꯣꯡ ꯑꯗꯨ ꯈꯔꯥ ꯍꯣꯡꯂꯛꯂꯕꯥ ꯎꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯈꯨꯠꯁꯥꯗꯥ ꯁꯔꯨ ꯇꯥꯡ ꯑꯃꯥ ꯁꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯁꯤ ꯉꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯔꯤꯕꯥ ꯐ꯭ꯔꯦꯀꯆꯔꯒꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯃꯈꯂꯅꯤ꯫

ꯀꯣꯂꯦꯁ ꯐ꯭ꯔꯦꯀꯆꯔ ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ?

ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯀꯣꯂꯦꯁ ꯐ꯭ꯔꯦꯀꯆꯔ ꯍꯥꯌꯕꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯃꯃꯥꯌꯗꯥ ꯂꯩꯕꯥ ꯁꯔꯨ ꯑꯅꯤꯗꯨꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯍꯦꯟꯅꯥ ꯆꯥꯎꯕꯥ ꯔꯦꯗꯤꯌꯁ ꯕꯣꯟ ꯑꯗꯨꯗꯥ ꯕ꯭ꯔꯦꯛ ꯇꯧꯕꯅꯤ꯫ ꯃꯤꯑꯣꯏ ꯈꯔꯅꯥ ꯃꯁꯤꯕꯨ "ꯍꯦꯟꯗ ꯔꯤꯁ꯭ꯠ ꯐ꯭ꯔꯦꯀꯆꯔ" ꯍꯥꯌꯅꯥꯁꯨ ꯀꯧꯏ꯫ ꯃꯁꯤ ꯌꯥꯝꯅꯥ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯑꯃꯅꯤ꯫ ꯇꯁꯦꯡꯕꯗꯤ ꯃꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯈꯨꯠꯇꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯕꯣꯟ ꯐ꯭ꯔꯦꯀꯆꯔꯅꯤ꯫

ꯃꯁꯤ ꯀꯅꯥꯒꯨꯝꯕꯥ ꯑꯃꯠꯇꯗꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯏ ꯍꯥꯌꯔꯕꯁꯨ, ꯃꯁꯤ ꯃꯔꯨꯑꯣꯏꯅꯥ ꯀꯟꯇꯦꯛꯇ ꯁ꯭ꯄꯣꯔꯇꯁ, ꯍꯥꯌꯕꯗꯤ ꯁ꯭ꯀꯤꯏꯪ, ꯔꯣꯂꯔ ꯁ꯭ꯀꯦꯇꯤꯡ, ꯑꯃꯁꯨꯡ ꯁꯥꯏꯛꯂꯤꯡ ꯑꯁꯤ ꯁꯥꯟꯅꯔꯤꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯗꯥ ꯈꯨꯗꯣꯡꯊꯤꯅꯤꯉꯥꯏ ꯑꯣꯏ꯫ ꯃꯁꯤꯗꯁꯨ ꯅꯠꯇꯅꯥ, ꯁꯔꯨ ꯇꯥꯡꯁꯤꯡ ꯁꯣꯀꯍꯜꯂꯤꯕꯥ ꯂꯥꯌꯅꯥ ꯑꯃꯥ ꯑꯣꯏꯔꯤꯕꯥ ꯑꯣꯁ꯭ꯇꯤꯑꯣꯄꯣꯔꯣꯁꯤꯁ (osteoporosis)ꯅꯥ ꯅꯥꯕꯥ ꯑꯍꯂꯁꯤꯡꯅꯥ, ꯃꯔꯨꯑꯣꯏꯅꯥ ꯅꯨꯄꯤꯁꯤꯡꯗꯥ, ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯍꯅꯕꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯁꯣꯀꯍꯜꯂꯀꯄꯥ ꯌꯥꯏ꯫

ꯑꯁꯤꯒꯨꯝꯕꯥ ꯕ꯭ꯔꯦꯀꯑꯥꯄꯀꯤ ꯈꯨꯗꯃꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯤꯅꯣ?

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯃꯈꯨꯠ ꯑꯗꯨ ꯁꯣꯀꯄꯥ ꯇꯥꯔꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯃꯗꯒꯤ ꯍꯦꯅꯕꯥ ꯊꯦꯡꯅꯔꯀꯄꯥ ꯌꯥꯏ꯫ ꯑꯊꯨꯕꯥ ꯃꯇꯃꯗꯥ ꯂꯥꯏꯌꯦꯡꯕꯥ ꯉꯝꯅꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯈꯪꯖꯤꯅꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫

ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯑꯍꯥꯅꯕꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯨꯠꯁꯥ ꯑꯗꯨ ꯆꯦꯀꯁꯤꯟꯅꯥ ꯌꯦꯡꯁꯤꯅꯒꯅꯤ꯫ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ, ꯃꯈꯣꯌꯅꯥ ꯐ꯭ꯔꯦꯀꯆꯔ ꯑꯗꯨ ꯀꯔꯝꯅꯥ ꯑꯣꯏꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯆꯨꯝꯅꯥ ꯈꯪꯗꯣꯛꯅꯕꯥ ꯑꯦꯛꯁ-ꯔꯦ ꯀꯌꯥ ꯑꯃꯥ ꯑꯣꯔꯗꯔ ꯇꯧꯒꯅꯤ꯫

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ꯗꯣꯛꯇꯔꯅꯥ ꯃꯁꯤ ꯀꯔꯝꯅꯥ ꯂꯥꯌꯦꯡꯒꯅꯤ?

ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯃꯑꯣꯡ ꯑꯁꯤ ꯐ꯭ꯔꯦꯀꯆꯔꯒꯤ ꯃꯑꯣꯡ-ꯃꯇꯧ ꯑꯗꯨꯒꯤ ꯃꯈꯥ ꯄꯣꯜꯂꯤ꯫

• ꯕꯣꯟ ꯔꯤꯑꯦꯂꯥꯏꯟꯃꯦꯟꯇ (bone realignment): ꯀꯔꯤꯒꯨꯝꯕꯥ ꯁꯣꯀꯄꯥ ꯁꯔꯨ ꯇꯥꯡꯁꯤꯡ ꯑꯗꯨ ꯑꯆꯨꯝꯕꯥ ꯃꯐꯃꯗꯥ ꯂꯩꯠꯔꯕꯗꯤ, ꯗꯣꯛꯇꯔꯅꯥ ꯃꯈꯣꯌꯕꯨ ꯔꯤꯁꯦꯠ ꯇꯧꯒꯗꯕꯅꯤ꯫ ꯃꯁꯤ ꯈꯔꯥ ꯁꯣꯀꯏ, ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯃꯍꯧꯁꯥꯅꯥ ꯃꯁꯤ ꯑꯦꯅꯥꯁ꯭ꯇꯦꯁꯤꯌꯥꯒꯤ ꯃꯈꯥꯗꯥ ꯇꯧꯏ . ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ, ꯑꯅꯥꯕꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ ꯄꯤ꯫

• ꯁ꯭ꯞꯂꯤꯟꯇ ꯑꯃꯥ ꯊꯝꯕꯥ: ꯑꯍꯥꯅꯕꯥ ꯑꯣꯏꯅꯥ ꯁꯣꯀꯄꯥ ꯂꯩꯕꯅꯥ, ꯁ꯭ꯞꯂꯤꯟꯇ ꯑꯃꯥ ꯅꯨꯃꯤꯠ ꯈꯔꯅꯤ ꯅꯠꯠꯔꯒꯥ ꯅꯨꯃꯤꯠ ꯑꯃꯥ ꯆꯨꯞꯅꯥ ꯁꯣꯀꯄꯥ ꯌꯥꯏ꯫

• ꯀꯥꯁ꯭ꯠ ꯑꯃꯥ ꯊꯝꯕꯥ: ꯁꯣꯛ-ꯄꯅꯕꯥ ꯑꯗꯨ ꯍꯟꯊꯔꯀꯄꯒꯤ ꯃꯇꯨꯡꯗꯥ, ꯁꯔꯨ ꯇꯥꯡ ꯑꯗꯨ ꯂꯦꯡꯗꯅꯥ ꯂꯩꯅꯕꯥ ꯀꯥꯁ꯭ꯠ ꯑꯃꯥ ꯊꯝꯃꯤ꯫ ꯐ꯭ꯔꯦꯀꯆꯔꯒꯤ ꯃꯑꯣꯡ-ꯃꯇꯧꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ, ꯀꯥꯁ꯭ꯠ ꯑꯁꯤ ꯅꯨꯃꯤꯠ 6-8 ꯅꯠꯠꯔꯒꯥ ꯃꯁꯤꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯁꯥꯡꯅꯥ ꯊꯝꯕꯥ ꯌꯥꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯑꯅꯤꯁꯨꯕꯥ ꯀꯥꯁ꯭ꯠ ꯑꯃꯥ ꯊꯝꯕꯥ ꯌꯥꯏ ꯃꯔꯃꯗꯤ ꯑꯍꯥꯅꯕꯥ ꯀꯥꯁ꯭ꯠ ꯑꯗꯨ ꯁꯣꯀꯄꯥ ꯑꯗꯨ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯍꯟꯊꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯃꯥꯡꯈꯤꯕꯥ ꯌꯥꯏ꯫

• ꯑꯦꯛꯁ-ꯔꯦ ꯆꯦꯛ-ꯑꯄꯁꯤꯡ: ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯃꯇꯝ ꯃꯇꯃꯒꯤ ꯑꯣꯏꯅꯥ ꯑꯦꯛꯁ-ꯔꯦ ꯂꯧꯗꯨꯅꯥ ꯁꯔꯨ ꯇꯥꯡ ꯑꯗꯨ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯐꯒꯠꯂꯛꯂꯤꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯅꯕꯥ ꯍꯥꯌꯒꯅꯤ꯫

ꯀꯗꯥꯏꯗꯥ ꯁꯔꯖꯔꯤ ꯇꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯒꯦ?

ꯑꯌꯥꯝꯕꯥ ꯀꯦꯁꯁꯤꯡꯗꯗꯤ, ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯀꯥꯁ꯭ꯠ ꯑꯃꯅꯥ ꯂꯥꯏꯌꯦꯡꯕꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯀꯦꯁ ꯈꯔꯗꯗꯤ ꯁꯔꯖꯔꯤ ꯇꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯏ꯫ ꯃꯔꯨꯑꯣꯏꯅꯥ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯗꯣꯛꯇꯔ ꯑꯗꯨꯅꯥ ꯀꯥꯁ꯭ꯠ ꯑꯃꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯁꯔꯨ ꯇꯥꯡ ꯑꯗꯨ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯐꯒꯠꯂꯛꯂꯣꯏ ꯍꯥꯌꯅꯥ ꯈꯜꯂꯕꯗꯤ, ꯃꯍꯥꯛꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯁꯔꯖꯔꯤꯒꯤꯗꯃꯛꯇꯥ ꯔꯤꯐꯔ ꯇꯧꯒꯅꯤ꯫ ꯃꯁꯤꯒꯤ ꯀꯦꯁ ꯑꯁꯤꯗꯥ, ꯁꯔꯨ ꯇꯥꯡ ꯑꯗꯨ ꯃꯐꯃꯗꯨꯗꯥ ꯂꯦꯡꯗꯅꯥ ꯊꯝꯅꯕꯒꯤꯗꯃꯛ ꯄꯤꯟ, ꯄ꯭ꯂꯦꯠ ꯅꯠꯠꯔꯒꯥ ꯁ꯭ꯛꯔꯨꯒꯨꯝꯕꯥ ꯑꯄꯤꯀꯄꯥ ꯈꯨꯠꯂꯥꯏꯁꯤꯡ ꯁꯤꯖꯤꯟꯅꯩ꯫

ꯅꯍꯥꯛꯅꯥ ꯐꯒꯠꯂꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯌꯨꯃꯗꯥ ꯇꯧꯕꯥ ꯌꯥꯕꯥ ꯊꯕꯀꯁꯤꯡ꯫

ꯀꯥꯁ꯭ꯇꯇꯒꯤ ꯌꯨꯃꯗꯥ ꯌꯧꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯄꯣꯠꯁꯀꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯊꯨꯅꯥ ꯐꯒꯠꯍꯅꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯒꯅꯤ꯫

• ꯅꯍꯥꯛꯀꯤ ꯈꯨꯠꯁꯥ ꯑꯗꯨ ꯋꯥꯡꯈꯠꯍꯅꯒꯗꯕꯅꯤ: ꯑꯍꯥꯅꯕꯥ ꯅꯨꯃꯤꯠ ꯈꯔꯅꯤꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯈꯨꯠꯁꯥ ꯑꯗꯨ ꯆꯦꯌꯥꯔꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯅꯠꯠꯔꯒꯥ ꯇꯥꯎꯅꯒꯤ ꯃꯊꯛꯇꯥ ꯋꯥꯡꯈꯠꯅꯥ ꯊꯝꯃꯨ꯫ ꯃꯁꯤꯅꯥ ꯑꯅꯥꯕꯥ ꯑꯃꯁꯨꯡ ꯁꯣꯀꯄꯥ ꯑꯅꯤꯃꯛ ꯍꯟꯊꯍꯅꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯒꯅꯤ꯫
• ꯑꯥꯏꯁ ꯊꯥꯎ: ꯅꯨꯃꯤꯠ ꯑꯅꯤꯗꯒꯤ ꯑꯍꯨꯝ ꯐꯥꯎꯕꯥ ꯄꯨꯡ 2-3 ꯈꯨꯗꯤꯡꯒꯤ ꯃꯤꯅꯠ 15-20 ꯐꯥꯎꯕꯥ ꯑꯥꯏꯁ ꯊꯥꯎ꯫ ꯀꯥꯁ꯭ꯠ ꯅꯠꯠꯔꯒꯥ ꯁ꯭ꯞꯂꯤꯟꯇ ꯑꯗꯨ ꯇꯔꯨ ꯇꯅꯥꯟꯅꯥ ꯊꯃꯗꯅꯕꯥ ꯆꯦꯀꯁꯤꯅꯒꯗꯕꯅꯤ .
• ꯄꯦꯅꯀꯤꯂꯥꯔꯁꯤꯡ: ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯇꯥꯟꯅꯧ ꯑꯃꯁꯨꯡ ꯃꯍꯥꯛꯅꯥ ꯄꯤꯔꯤꯕꯥ ꯄꯦꯅꯀꯤꯂꯥꯔ ꯑꯃꯍꯦꯛꯇꯕꯨ ꯂꯧ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯏꯕꯨꯞꯔꯣꯐꯦꯅꯒꯨꯝꯕꯥ NSAIDꯁꯤꯡ (ꯅꯟ-ꯁ꯭ꯇꯦꯔꯣꯏꯗ ꯑꯦꯟꯇꯤ-ꯏꯅꯐ꯭ꯂꯦꯃꯦꯇꯔꯤ ꯗ꯭ꯔꯒꯁꯤꯡ) ꯄꯤꯕꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯁꯤꯖꯤꯟꯅꯕꯅꯥ ꯁꯔꯨ ꯇꯥꯡꯁꯤꯡ ꯐꯒꯠꯍꯅꯕꯗꯥ ꯊꯦꯡꯊꯍꯅꯕꯥ ꯌꯥꯏ, ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯃꯈꯣꯌ ꯑꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯇꯥꯀꯄꯥ ꯃꯇꯨꯡꯏꯟꯅꯥ ꯈꯛꯇꯃꯛ ꯁꯤꯖꯤꯟꯅꯧ .
• ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯇꯧꯕꯥ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯔꯤꯀꯃꯦꯟꯗ ꯇꯧꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯈꯨꯎ, ꯈꯣꯡ ꯑꯃꯁꯨꯡ ꯈꯨꯎꯒꯤꯗꯃꯛ ꯏꯆꯝ ꯆꯝꯕꯥ ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯇꯧ꯫ ꯃꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯨꯠꯁꯥꯗꯥ ꯁꯣꯀꯄꯥ ꯍꯟꯊꯍꯅꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫

ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯅꯥ ꯍꯜꯂꯀꯄꯗꯥ ꯃꯇꯝ ꯀꯌꯥ ꯆꯪꯒꯅꯤ?

ꯃꯁꯤ ꯃꯤꯄꯨꯝ ꯈꯨꯗꯤꯡꯃꯛꯅꯥ ꯈꯉꯅꯤꯡꯕꯥ ꯋꯥꯍꯪꯅꯤ꯫ ꯑꯗꯨꯕꯨ ꯃꯁꯤꯒꯤ ꯄꯥꯎꯈꯨꯝ ꯑꯃꯠꯇꯥ ꯂꯩꯇꯦ꯫ ꯃꯁꯤ ꯃꯤꯑꯣꯏ ꯑꯃꯗꯒꯤ ꯃꯤꯑꯣꯏ ꯑꯃꯗꯥ ꯑꯃꯁꯨꯡ ꯕ꯭ꯔꯦꯀꯑꯄꯀꯤ ꯃꯑꯣꯡ-ꯃꯇꯧꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ ꯈꯦꯠꯅꯩ꯫

ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯋꯥꯐꯃꯗꯤ ꯅꯍꯥꯛꯅꯥ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯐꯒꯠꯂꯛꯠꯔꯤꯉꯩ ꯃꯃꯥꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯅꯣꯔꯃꯦꯜ ꯑꯦꯛꯇꯤꯚꯤꯇꯤꯁꯤꯡꯗꯥ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯂꯥꯀꯄꯥ ꯌꯥꯗꯕꯅꯤ꯫ ꯃꯁꯤ ꯇꯧꯕꯅꯥ ꯐꯤꯚꯝ ꯑꯁꯤ ꯍꯦꯟꯅꯥ ꯐꯠꯆꯤꯜꯂꯛꯇꯕꯥ ꯌꯥꯏ꯫

ꯍꯤꯡꯂꯤꯉꯩ ꯃꯇꯃꯗꯥ ꯋꯥꯐꯃꯁꯤꯡ ꯑꯁꯤ ꯋꯥꯈꯂꯗꯥ ꯊꯝꯃꯨ:

• ꯈꯨꯠ ꯑꯃꯅꯥ ꯐꯒꯠꯂꯀꯄꯗꯥ ꯅꯨꯃꯤꯠ 8 ꯅꯠꯠꯔꯒꯥ ꯃꯁꯤꯗꯒꯤ ꯍꯦꯅꯕꯥ ꯃꯇꯝ ꯆꯪꯕꯥ ꯌꯥꯏ꯫ ꯁꯥꯊꯤꯕꯥ ꯐ꯭ꯔꯦꯀꯆꯔ ꯑꯃꯒꯤ ꯑꯣꯏꯅꯗꯤ, ꯃꯁꯤꯅꯥ ꯊꯥ 6 ꯐꯥꯎꯕꯥ ꯆꯪꯕꯥ ꯌꯥꯏ .
• ꯅꯍꯥꯛꯀꯤ ꯈꯨꯠꯇꯥ ꯍꯧꯖꯤꯀꯁꯨ ꯊꯥ ꯀꯌꯥ, ꯆꯍꯤ ꯀꯌꯥ ꯐꯥꯎꯕꯥ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯑꯃꯁꯨꯡ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯁꯣꯀꯄꯥ ꯌꯥꯏ꯫
• ꯀꯥꯁ꯭ꯠ ꯑꯗꯨ ꯀꯔꯝꯅꯥ ꯌꯦꯡꯁꯤꯅꯒꯗꯒꯦ ꯍꯥꯌꯕꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯤ ꯏꯅꯁ꯭ꯠꯔꯛꯁꯅꯁꯤꯡ ꯑꯗꯨ ꯏꯅꯒꯗꯕꯅꯤ꯫ ꯀꯥꯁ꯭ꯠ ꯑꯗꯨ ꯇꯔꯨ-ꯇꯅꯥꯟꯅꯥ ꯊꯃꯒꯅꯨ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯀꯥꯁ꯭ꯠ ꯑꯗꯨ ꯊꯝꯂꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯑꯅꯥꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯁꯣꯀꯄꯥ ꯑꯗꯨ ꯃꯈꯥ ꯇꯥꯅꯥ ꯍꯦꯅꯒꯠꯂꯛꯂꯕꯗꯤ, ꯅꯠꯠꯔꯒꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯨꯠꯁꯥ ꯑꯗꯨ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯁꯣꯟꯊꯔꯕꯗꯤ, ꯈꯨꯗꯛꯇꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯇꯥꯟꯅꯧ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯂꯥꯏꯌꯦꯡꯗ꯭ꯔꯕꯗꯤ ꯀꯔꯤ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ ꯊꯣꯀꯄꯥ ꯌꯥꯕꯒꯦ?

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯈꯨꯗꯛꯇꯥ ꯂꯥꯏꯌꯦꯡꯂꯕꯗꯤ ꯑꯃꯁꯨꯡ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯐꯣꯂꯣ-ꯑꯞ ꯇꯧꯔꯕꯗꯤ, ꯃꯍꯧꯁꯥꯅꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ ꯊꯣꯛꯇꯦ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯂꯥꯏꯌꯦꯡ ꯑꯗꯨ ꯊꯦꯡꯊꯔꯕꯗꯤ ꯅꯠꯠꯔꯒꯥ ꯐ꯭ꯔꯦꯀꯆꯔ ꯑꯗꯨ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯑꯣꯏꯔꯕꯗꯤ, ꯀꯃꯞꯂꯤꯀꯦꯁꯟ ꯈꯔꯗꯤ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫

• ꯇꯣꯏꯅꯥ ꯊꯣꯀꯄꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ: ꯅꯔꯚꯁꯤꯡ ꯅꯠꯠꯔꯒꯥ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯂꯁꯤꯡꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯄꯥ꯫ ꯃꯤꯑꯣꯏ ꯈꯔꯗꯗꯤ ꯀꯝꯄꯥꯔꯇꯃꯦꯟꯇ ꯁꯤꯟꯗꯣꯝ ꯀꯧꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯥ ꯂꯥꯀꯄꯥ ꯌꯥꯏ, ꯃꯁꯤꯅꯥ ꯃꯁꯂꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯄ꯭ꯔꯦꯁꯔ ꯍꯦꯅꯒꯠꯂꯀꯄꯒꯤ ꯈꯨꯗꯣꯡꯊꯤꯅꯤꯉꯥꯏ ꯑꯣꯏ꯫
• ꯇꯨꯡꯗꯥ ꯂꯥꯀꯄꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ: ꯀꯥꯔꯄꯦꯜ ꯇꯅꯦꯜ ꯁꯤꯟꯗ꯭ꯔꯣꯝ ( ꯃꯈꯨꯠꯇꯥ ꯅꯔꯚ ꯀꯝꯞꯔꯦꯁꯟ) ꯑꯃꯁꯨꯡ ꯑꯣꯁ꯭ꯇꯤꯑꯣꯑꯔꯊ꯭ꯔꯥꯏꯇꯤꯁ ( joint degeneration)ꯒꯨꯝꯕꯥ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ ꯑꯁꯤ ꯇꯨꯡꯗꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫

ꯁꯥꯊꯤꯕꯥ ꯀꯦꯁ ꯈꯔꯗꯗꯤ, ꯁꯣꯟꯊꯔꯕꯥ ꯁꯔꯨ ꯇꯥꯡ ꯑꯃꯥ ꯈꯣꯡꯗꯥ ꯆꯦꯟꯊꯔꯀꯄꯥ ꯌꯥꯏ, ꯁꯔꯨ ꯇꯥꯡ ꯑꯗꯨ ꯃꯐꯝ ꯀꯌꯥꯗꯥ ꯆꯦꯟꯊꯔꯀꯄꯥ ꯌꯥꯏ, ꯅꯠꯠꯔꯒꯥ ꯁꯔꯨ ꯇꯥꯡꯁꯤꯡ ꯑꯗꯨꯅꯥ ꯏꯒꯤ ꯈꯣꯡꯖꯦꯜ ꯅꯠꯠꯔꯒꯥ ꯅꯔꯚꯁꯤꯡꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫

ꯑꯁꯤꯒꯨꯝꯕꯥ ꯑꯦꯛꯁꯤꯗꯦꯟꯇꯁꯤꯡ ꯑꯁꯤ ꯊꯤꯡꯕꯥ ꯉꯃꯒꯗ꯭ꯔꯥ?

ꯃꯁꯤꯒꯤ ꯃꯈꯜ ꯑꯁꯤꯒꯤ ꯐ꯭ꯔꯦꯀꯆꯔ ꯑꯁꯤ ꯊꯤꯡꯕꯗꯥ ꯍꯦꯟꯅꯥ ꯂꯨꯝꯃꯤ ꯃꯔꯃꯗꯤ ꯃꯁꯤ ꯈꯨꯗꯣꯡꯊꯤꯅꯤꯉꯥꯏ ꯑꯣꯏꯅꯥ ꯁꯣꯀꯄꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯊꯣꯀꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯔꯤꯁ꯭ꯛ ꯂꯩꯕꯥ ꯁꯥꯟꯅꯄꯣꯠꯁꯤꯡ ꯁꯥꯟꯅꯔꯕꯗꯤ, ꯔꯤꯁ꯭ꯠ ꯒꯥꯔꯗꯁꯤꯡ ꯁꯤꯖꯤꯟꯅꯕꯅꯥ ꯉꯥꯀꯊꯣꯀꯄꯥ ꯈꯔꯥ ꯄꯤꯕꯥ ꯉꯃꯒꯅꯤ꯫ ꯃꯔꯨꯑꯣꯏꯅꯥ ꯅꯨꯄꯤꯁꯤꯡꯗꯥ ꯃꯈꯨꯠ ꯁꯣꯀꯄꯥ ꯑꯁꯤ ꯑꯣꯁ꯭ꯇꯤꯑꯣꯄꯣꯔꯣꯁꯤꯁꯀꯤ ꯈꯨꯗꯝ ꯑꯃꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯁꯔꯨꯒꯤ ꯍꯀꯁꯦꯜ ꯑꯃꯁꯨꯡ ꯔꯤꯁ꯭ꯛ ꯐꯦꯛꯇꯔꯁꯤꯡꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯇꯥꯟꯅꯧ꯫ ꯍꯀꯆꯥꯡ ꯐꯅꯥ ꯂꯩꯅꯕꯥ ꯊꯕꯛ ꯀꯌꯥ ꯑꯃꯥ ꯂꯩꯔꯤ ꯫