ꯃꯁꯤꯒꯤ ꯔꯤꯌꯨꯃꯦꯇꯣꯂꯣꯖꯤꯁ꯭ꯠ ꯑꯁꯤ ꯀꯅꯥꯅꯣ? ꯃꯁꯤꯒꯤ ꯁ꯭ꯄꯦꯁꯤꯑꯦꯂꯤꯁ꯭ꯠ ꯑꯁꯤꯒꯥ ꯈꯉꯅꯔꯁꯤ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯁꯔꯨ ꯇꯥꯡꯁꯤꯡꯗꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ, ꯑꯌꯨꯛ-ꯅꯨꯡꯊꯤꯂꯒꯤ ꯃꯇꯃꯗꯥ ꯁꯣꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯁꯨꯞꯅꯒꯤ ꯖꯦꯅꯦꯔꯦꯜ ꯑꯣꯏꯅꯥ ꯁꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯑꯅꯥꯕꯥ ꯂꯩꯕ꯭ꯔꯥ? ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯋꯥꯐꯃꯁꯤꯡ ꯑꯁꯤ ꯅꯨꯃꯤꯠ ꯈꯔꯅꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯂꯣꯏꯁꯤꯅꯕꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯃꯁꯤꯡ ꯑꯁꯤ ꯂꯦꯡꯗꯅꯥ ꯂꯩꯔꯕꯗꯤ ꯅꯠꯠꯔꯒꯥ ꯍꯦꯟꯅꯥ ꯐꯠꯆꯤꯜꯂꯛꯂꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯃꯗꯨ ꯌꯦꯡꯁꯤꯅꯕꯥ ꯃꯊꯧ ꯇꯥꯏ꯫ ꯃꯗꯨꯗꯥ ꯑꯩꯈꯣꯌꯅꯥ ꯔꯤꯌꯨꯃꯦꯇꯣꯂꯣꯖꯤꯁ꯭ꯠ ꯑꯃꯒꯤ ꯃꯇꯦꯡ ꯃꯊꯧ ꯇꯥꯏ꯫

ꯔꯤꯌꯨꯃꯦꯇꯣꯂꯣꯖꯤꯁ꯭ꯠ ꯀꯅꯥꯅꯣ?

ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯔꯤꯌꯨꯃꯦꯇꯣꯂꯣꯖꯤꯁ꯭ꯠ ꯍꯥꯌꯕꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯁꯔꯨ, ꯁꯔꯨ ꯇꯥꯡ, ꯃꯁꯜ ꯑꯃꯁꯨꯡ ꯀꯅꯦꯛꯇꯤꯕ ꯇꯤꯁ꯭ꯌꯨꯒꯤ ꯑꯔꯨꯕꯥ ꯂꯥꯌꯅꯥꯁꯤꯡꯗꯥ ꯑꯈꯟꯅꯕꯥ ꯃꯤꯠꯌꯦꯡ ꯆꯪꯕꯥ ꯗꯣꯛꯇꯔ ꯑꯃꯅꯤ꯫ ꯍꯥꯌꯔꯤꯕꯥ ꯗꯣꯛꯇꯔꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯖꯦꯅꯔꯦꯜ ꯃꯦꯗꯤꯁꯤꯅꯗꯒꯤ ꯒ꯭ꯔꯦꯖꯨꯑꯦꯁꯟ ꯂꯣꯏꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯂꯝ ꯑꯁꯤꯗꯥ ꯆꯍꯤ ꯀꯌꯥ ꯑꯈꯟꯅꯕꯥ ꯇ꯭ꯔꯦꯅꯤꯡ ꯂꯧꯔꯤ꯫

ꯑꯌꯥꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯂꯥꯌꯅꯥꯁꯤꯡ ꯑꯁꯤ ꯀ꯭ꯔꯣꯅꯤꯛ ꯅꯠꯠꯔꯒꯥ ꯑꯣꯇꯣꯏꯝꯌꯨꯟ ꯑꯣꯏ, ꯍꯥꯌꯕꯗꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯏꯝꯝꯌꯨꯟ ꯁꯤꯁ꯭ꯇꯦꯃꯅꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯏꯁꯥꯒꯤ ꯁꯦꯂꯁꯤꯡꯗꯥ ꯑꯦꯇꯦꯛ ꯇꯧꯏ . ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯃꯤꯔꯣꯜ ꯑꯃꯗꯒꯤ ꯃꯤꯔꯣꯜ ꯑꯃꯗꯥ ꯌꯧꯔꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ, ꯔꯤꯌꯨꯃꯦꯇꯣꯂꯣꯖꯤꯁ꯭ꯠ ꯑꯃꯅꯥ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯑꯅꯥꯕꯁꯤꯡ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ ꯑꯃꯁꯨꯡ ꯍꯀꯆꯥꯡꯗꯥ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯁꯟ ꯍꯟꯊꯍꯅꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫

ꯔꯤꯌꯨꯃꯦꯇꯣꯂꯣꯖꯤ ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ?

ꯔꯤꯌꯨꯃꯦꯇꯣꯂꯣꯖꯤ ꯑꯁꯤ ꯃꯔꯨꯑꯣꯏꯅꯥ "ꯔꯤꯎꯃꯦꯇꯤꯛ ꯂꯥꯌꯅꯥꯁꯤꯡ"ꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯊꯤꯖꯤꯜꯂꯤꯕꯥ ꯃꯦꯗꯤꯁꯤꯅꯒꯤ ꯁꯔꯨꯛ ꯑꯃꯅꯤ꯫ ꯍꯥꯌꯔꯤꯕꯥ ꯑꯁꯤ ꯑꯌꯥꯝꯕꯅꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯀꯅꯦꯛꯇꯤꯕ ꯇꯤꯁ꯭ꯌꯨꯁꯤꯡꯗꯥ ꯁꯣꯀꯍꯜꯂꯤꯕꯥ ꯀ꯭ꯔꯣꯅꯤꯛ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯇꯔꯤ ꯂꯥꯌꯅꯥꯁꯤꯡꯅꯤ, ꯍꯥꯌꯕꯗꯤ ꯑꯩꯍꯥꯛꯅꯥ ꯃꯃꯥꯡꯗꯥ ꯍꯥꯌꯈꯤꯕꯒꯨꯝꯅꯥ ꯁꯔꯨ, ꯁꯔꯨ ꯇꯥꯡ, ꯃꯁꯂꯁꯤꯡ, ꯇꯦꯟꯗꯣꯅꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯂꯤꯒꯥꯃꯦꯟꯇꯁꯤꯡꯗꯥ ꯁꯣꯀꯍꯜꯂꯤ꯫

ꯈꯟꯊꯕꯤꯌꯨ, ꯑꯔꯊ꯭ꯔꯥꯏꯇꯤꯁ ꯃꯈꯜ ꯈꯔꯗꯤ ꯂꯩ, ꯃꯗꯨꯕꯨ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯇꯔꯤ ꯑꯔꯊ꯭ꯔꯥꯏꯇꯤꯁ'' ꯍꯥꯌꯅꯥꯁꯨ ꯀꯧꯏ꯫ꯃꯁꯤꯒꯤ ꯂꯥꯌꯅꯥꯁꯤꯡ ꯑꯁꯤꯗꯥ ꯍꯀꯆꯥꯡꯅꯥ ꯃꯁꯥꯒꯤ ꯇꯤꯁꯨꯁꯤꯡꯗꯥ ꯔꯤꯑꯦꯛꯇ ꯇꯧꯏ꯫ ꯑꯇꯣꯞꯄꯥ ꯂꯥꯌꯅꯥꯁꯤꯡꯁꯨ ꯂꯩ, ꯃꯈꯣꯌ ꯑꯁꯤ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯑꯔꯤꯕꯥ ꯑꯁꯣꯀꯄꯥ ꯑꯃꯥ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯐꯒꯠꯂꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯍꯧꯖꯤꯛ ꯆꯠꯊꯔꯤꯕꯥ ꯃꯁꯜ ꯅꯠꯠꯔꯒꯥ ꯁꯔꯨꯒꯤ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯃꯁꯤꯡ ꯑꯣꯏꯔꯀꯄꯥ ꯌꯥꯏ꯫ ꯍꯥꯌꯔꯤꯕꯥ ꯄꯨꯝꯅꯃꯛ ꯑꯁꯤ ꯔꯤꯌꯨꯃꯦꯇꯣꯂꯣꯖꯤꯒꯤ ꯂꯃꯗꯥ ꯆꯜꯂꯤ꯫

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Medical test equipment that can be used at home

Essential home medical devices including blood pressure monitors, oximeters and digital thermometers.

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ꯔꯤꯌꯨꯃꯦꯇꯣꯂꯣꯖꯤꯁ꯭ꯠ ꯑꯃꯅꯥ ꯀꯔꯤ ꯇꯧꯕꯒꯦ?

ꯔꯤꯌꯨꯃꯦꯇꯣꯂꯣꯖꯤꯁ꯭ꯠ ꯑꯃꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯊꯕꯛ ꯑꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯁꯔꯨ, ꯁꯔꯨ ꯇꯥꯡ, ꯃꯁꯂꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯀꯅꯦꯛꯇꯤꯕ ꯇꯤꯁ꯭ꯌꯨꯁꯤꯡꯗꯥ ꯁꯣꯀꯍꯜꯂꯤꯕꯥ ꯑꯔꯨꯕꯥ ꯂꯥꯌꯅꯥꯁꯤꯡ ꯑꯆꯨꯝꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯈꯉꯗꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯂꯥꯌꯦꯡꯕꯅꯤ꯫ ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯏꯆꯝ ꯆꯝꯕꯥ ꯕ꯭ꯔꯨꯁ ꯅꯠꯠꯔꯒꯥ ꯁ꯭ꯞꯔꯦꯅꯒꯨꯝꯕꯥ ꯏꯆꯝ ꯆꯝꯕꯥ ꯋꯥꯐꯃꯁꯤꯡ ꯅꯠꯇꯦ, ꯃꯗꯨꯒꯤ ꯃꯍꯨꯠꯇꯥ ꯃꯗꯨꯗꯒꯤ ꯈꯔꯥ ꯍꯦꯟꯅꯥ ꯂꯨꯝꯂꯕꯥ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯃꯁꯤꯡꯅꯤ꯫

ꯔꯤꯌꯨꯃꯦꯇꯤꯛ ꯂꯥꯌꯅꯥ ꯃꯈꯜ ꯀꯌꯥ ꯂꯩ:

• ꯑꯣꯇꯣꯏꯝꯌꯨꯟ ꯂꯥꯌꯅꯥꯁꯤꯡ : ꯃꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯏꯝꯝꯌꯨꯟ ꯁꯤꯁ꯭ꯇꯦꯃꯅꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯏꯁꯥꯒꯤ ꯍꯀꯆꯥꯡ ꯐꯕꯥ ꯁꯦꯂꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯇꯤꯁꯨꯁꯤꯡꯗꯥ ꯑꯁꯣꯌꯕꯥ ꯂꯩꯇꯅꯥ ꯑꯦꯇꯦꯛ ꯇꯧꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯑꯣꯏ꯫
• ꯀꯅꯦꯛꯇꯤꯚ ꯇꯤꯁꯨꯒꯤ ꯂꯥꯌꯅꯥꯁꯤꯡ: ꯃꯁꯤꯅꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡ ꯄꯨꯝꯅꯃꯛꯇꯥ ꯁꯄꯣꯔꯇꯤꯡ ꯁ꯭ꯠꯔꯀꯆꯔꯁꯤꯡꯗꯥ ꯁꯣꯀꯍꯜꯂꯤ꯫
• ꯏꯅꯐ꯭ꯂꯦꯃꯦꯇꯔꯤ ꯗꯤꯁꯑꯣꯔꯗꯔꯁꯤꯡ ꯅꯠꯠꯔꯒꯥ ꯏꯅꯐꯦꯛꯁꯅꯁꯤꯡ: ꯃꯁꯤꯅꯥ ꯃꯁꯂꯁꯤꯡ, ꯁꯔꯨ ꯇꯥꯡꯁꯤꯡ ꯅꯠꯠꯔꯒꯥ ꯁꯔꯨ ꯇꯥꯡꯁꯤꯡꯗꯥ ꯁꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫

ꯂꯥꯌꯅꯥꯁꯤꯡ ꯑꯁꯤ ꯈꯉꯗꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯏꯒꯤ ꯇꯦꯁ꯭ꯠ ꯑꯃꯁꯨꯡ ꯇꯣꯉꯥꯟ ꯇꯣꯉꯥꯅꯕꯥ (ꯏꯃꯦꯖꯤꯡ) ꯁ꯭ꯀꯦꯅꯁꯤꯡ (ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ (ꯑꯦꯛꯁ-ꯔꯦ), (ꯑꯂꯠꯔꯥꯁꯥꯎꯟꯗ)) ꯁꯤꯖꯤꯟꯅꯩ꯫ ꯂꯥꯏꯌꯦꯡ ꯑꯁꯤ ꯆꯞ ꯃꯥꯟꯅꯗꯦ꯫ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯁꯔꯨ ꯇꯥꯡꯁꯤꯡꯗꯥ ꯑꯈꯟꯅꯕꯥ ꯏꯅꯖꯦꯀꯁꯅꯁꯤꯡ, ꯑꯃꯁꯨꯡ ꯐꯤꯖꯤꯀꯦꯜ ꯊꯦꯔꯥꯄꯤ ꯑꯁꯤꯅꯆꯤꯡꯕꯥ ꯇꯣꯉꯥꯟ-ꯇꯣꯉꯥꯅꯕꯥ ꯄꯥꯝꯕꯩꯁꯤꯡ ꯄꯨꯅꯁꯤꯟꯗꯨꯅꯥ ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯊꯧꯔꯥꯡ ꯑꯃꯥ ꯁꯦꯝꯃꯤ꯫

ꯔꯤꯌꯨꯃꯦꯇꯣꯂꯣꯖꯤꯁ꯭ꯠ ꯑꯃꯅꯥ ꯀꯔꯤ ꯂꯥꯌꯅꯥ ꯂꯥꯌꯦꯡꯕꯒꯦ?

ꯔꯤꯌꯨꯃꯦꯇꯣꯂꯣꯖꯤꯁ꯭ꯠ ꯑꯃꯅꯥ ꯂꯥꯏꯌꯦꯡꯕꯥ ꯂꯥꯌꯅꯥꯁꯤꯡꯒꯤ ꯂꯤꯁ꯭ꯠ ꯑꯃꯥ ꯂꯩ꯫ ꯍꯥꯌꯔꯤꯕꯥ ꯃꯤꯡ ꯈꯔꯗꯤ ꯑꯗꯣꯝꯅꯥ ꯇꯥꯕꯤꯔꯝꯂꯒꯅꯤ꯫

• ꯑꯦꯟꯀꯤꯂꯣꯁꯤꯡ ꯁ꯭ꯄꯣꯟꯗꯤꯂꯥꯏꯇꯤꯁ (Ankylosing Spondylitis): ꯃꯁꯤꯅꯥ ꯃꯔꯨꯑꯣꯏꯅꯥ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗꯀꯤ ꯁꯔꯨ ꯇꯥꯡꯁꯤꯡꯗꯥ ꯁꯣꯟꯊꯕꯥ ꯑꯃꯁꯨꯡ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯍꯜꯂꯤ꯫
• ꯕꯔꯁꯥꯏꯇꯤꯁ: ꯁꯔꯨ ꯇꯥꯡꯁꯤꯡꯒꯤ ꯑꯀꯣꯌꯕꯗꯥ ꯂꯩꯕꯥ ꯐ꯭ꯂꯨꯏꯗꯅꯥ ꯊꯜꯂꯕꯥ ꯁꯦꯀꯁꯤꯡ (bursa) ꯏꯅꯐꯦꯛꯁꯟ꯫
• ꯒꯥꯎꯠ (Gout) : ꯍꯀꯆꯥꯡꯗꯥ ꯌꯨꯔꯤꯛ ꯑꯦꯁꯤꯗ ꯌꯥꯎꯔꯀꯄꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯁꯔꯨ ꯇꯥꯡꯁꯤꯡꯗꯥ ꯁꯣꯛ-ꯄꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯅꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯍꯅꯕꯥ ꯂꯥꯌꯅꯥ ꯑꯃꯅꯤ꯫
• ꯑꯣꯁ꯭ꯇꯤꯑꯣꯑꯔꯊ꯭ꯔꯥꯏꯇꯤꯁ (Osteoarthritis): ꯆꯍꯤ ꯌꯥꯃꯈꯠꯂꯀꯄꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯁꯔꯨ ꯇꯥꯡꯁꯤꯡ ꯁꯣꯟꯊꯔꯀꯄꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫
• ꯔꯤꯌꯨꯃꯦꯇꯣꯏꯗ ꯑꯔꯊ꯭ꯔꯥꯏꯇꯤꯁ: ꯃꯁꯤ ꯑꯣꯇꯣꯏꯝꯌꯨꯟ ꯂꯥꯌꯅꯥ ꯑꯃꯅꯤ꯫ ꯍꯀꯆꯥꯡꯗꯥ ꯂꯩꯔꯤꯕꯥ ꯁꯔꯨ ꯇꯥꯡꯁꯤꯡ ꯑꯁꯤ ꯑꯌꯨꯛ-ꯅꯨꯡꯊꯤꯂꯗꯥ ꯁꯣꯀꯄꯥ, ꯁꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯁꯣꯟꯊꯕꯥ ꯑꯣꯏꯔꯀꯏ꯫
• ꯔꯤꯌꯨꯃꯦꯇꯤꯛ ꯐꯤꯕꯔ: ꯀꯣꯛꯇꯥ ꯏꯅꯐꯦꯛꯁꯟ ꯂꯩꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ, ꯃꯁꯤꯅꯥ ꯍꯥꯔꯠ, ꯁꯔꯨ ꯇꯥꯡ ꯑꯃꯁꯨꯡ ꯕ꯭ꯔꯦꯅꯒꯨꯝꯕꯥ ꯃꯐꯃꯁꯤꯡꯗꯥ ꯁꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫
• ꯂꯨꯄꯁ (Systemic Lupus Erythematosus - SLE): ꯃꯁꯤꯁꯨ ꯍꯀꯆꯥꯡꯒꯤ ꯇꯣꯉꯥꯟ-ꯇꯣꯉꯥꯅꯕꯥ ꯃꯐꯃꯁꯤꯡꯗꯥ ꯁꯣꯀꯍꯅꯕꯥ ꯌꯥꯕꯥ ꯑꯣꯇꯣꯏꯝꯌꯨꯟ ꯂꯥꯌꯅꯥ ꯑꯃꯅꯤ꯫
• ꯁ꯭ꯛꯂꯦꯔꯣꯗꯥꯔꯃꯥ (Scleroderma): ꯈꯣꯡ ꯍꯥꯝꯂꯕꯥ ꯑꯃꯁꯨꯡ ꯃꯅꯨꯡꯒꯤ ꯑꯣꯏꯕꯥ ꯑꯣꯔꯒꯥꯅꯁꯤꯡꯗꯁꯨ ꯁꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫
• ꯚꯦꯁꯀꯨꯂꯥꯔ (vasculitis): ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯂꯁꯤꯡꯒꯤ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯁꯟ (inflammation)꯫

ꯔꯤꯌꯨꯃꯦꯇꯣꯂꯣꯖꯤꯁ꯭ꯇꯁꯤꯡꯅꯥ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯑꯇꯣꯞꯄꯥ ꯂꯥꯌꯅꯥ ꯀꯌꯥ ꯂꯥꯌꯦꯡꯏ꯫ ꯂꯥꯌꯅꯥ ꯈꯨꯗꯤꯡꯃꯛ ꯑꯁꯤ ꯇꯣꯉꯥꯟ-ꯇꯣꯉꯥꯅꯕꯥ ꯑꯣꯏ, ꯑꯃꯁꯨꯡ ꯃꯔꯝ ꯑꯁꯤꯅꯥ ꯂꯥꯏꯌꯦꯡꯁꯤꯡ ꯑꯁꯤ ꯇꯣꯉꯥꯟ-ꯇꯣꯉꯥꯅꯕꯥ ꯑꯣꯏ꯫

ꯔꯤꯌꯨꯃꯦꯇꯣꯂꯣꯖꯤꯁ꯭ꯠ ꯑꯃꯥ ꯑꯣꯏꯅꯕꯒꯤꯗꯃꯛ ꯀꯌꯥ ꯌꯥꯝꯅꯥ ꯁ꯭ꯇꯗꯤ ꯇꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯒꯦ?

ꯃꯁꯤ ꯏꯆꯝ ꯆꯝꯕꯥ ꯈꯣꯡꯆꯠ ꯅꯠꯇꯦ꯫ ꯔꯤꯌꯨꯃꯦꯇꯣꯂꯣꯖꯤꯁ꯭ꯠ ꯑꯃꯥ ꯑꯣꯏꯅꯕꯒꯤꯗꯃꯛ, ꯅꯍꯥꯛꯅꯥ ꯑꯍꯥꯅꯕꯗꯥ ꯕꯦꯆꯂꯔ ꯗꯤꯒ꯭ꯔꯤ ꯑꯃꯥ ꯂꯧꯕꯥ ꯇꯥꯏ, ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯃꯦꯗꯤꯀꯦꯜ ꯁ꯭ꯀꯨꯜ (MD ꯅꯠꯠꯔꯒꯥ DO ꯗꯤꯒ꯭ꯔꯤ) ꯆꯍꯤ ꯃꯔꯤ ꯂꯣꯌꯁꯤꯅꯒꯗꯕꯅꯤ꯫ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯏꯟꯇꯔꯅꯦꯜ ꯃꯦꯗꯤꯁꯤꯟ ꯅꯠꯠꯔꯒꯥ ꯄꯦꯗꯤꯑꯦꯠꯔꯤꯀꯇꯥ ꯆꯍꯤ ꯑꯍꯨꯃꯒꯤ ꯔꯦꯁꯤꯗꯦꯟꯁꯤ ꯑꯃꯥ ꯂꯣꯌꯁꯤꯅꯒꯗꯕꯅꯤ꯫

ꯃꯁꯤꯒꯤ ꯔꯦꯁꯤꯗꯦꯟꯁꯤ ꯑꯁꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯂꯝ ꯑꯗꯨꯒꯤ ꯁ꯭ꯄꯦꯁꯤꯑꯦꯂꯤꯁ꯭ꯠ ꯑꯃꯥ ꯑꯣꯏꯅꯕꯒꯤꯗꯃꯛ ꯄꯔꯤꯈꯥ ꯑꯃꯥ ꯄꯥꯁ ꯇꯧꯒꯗꯕꯅꯤ꯫ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯔꯤꯌꯨꯃꯦꯇꯣꯂꯣꯖꯤꯒꯤ ꯂꯃꯗꯥ ꯑꯇꯣꯞꯄꯥ ꯆꯍꯤ ꯑꯅꯤ-ꯑꯍꯨꯃꯒꯤ ꯑꯈꯟꯅꯕꯥ ꯇ꯭ꯔꯦꯅꯤꯡ ((ꯐꯦꯂꯣꯁꯤꯞ)) ꯑꯃꯥ ꯂꯧꯒꯗꯕꯅꯤ꯫ ꯇ꯭ꯔꯦꯅꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ, ꯅꯍꯥꯛꯅꯥ ꯁꯔꯨ, ꯁꯔꯨ ꯇꯥꯡ ꯑꯃꯁꯨꯡ ꯑꯣꯇꯣꯏꯝꯌꯨꯟ ꯂꯥꯌꯅꯥꯁꯤꯡꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯌꯥꯝꯅꯥ ꯀꯨꯞꯅꯥ ꯈꯉꯏ꯫ ꯑꯔꯣꯏꯕꯗꯥ, ꯅꯍꯥꯛꯅꯥ ꯂꯧꯁꯤꯡ ꯑꯗꯨ ꯀꯅꯐꯤꯗ ꯇꯧꯕꯥ ꯑꯇꯣꯞꯄꯥ ꯑꯀꯅꯕꯥ ꯄꯔꯤꯈꯥ ꯑꯃꯥ ꯄꯥꯁ ꯇꯧꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯈꯛꯇꯗꯥ ꯔꯤꯌꯨꯃꯦꯇꯣꯂꯣꯖꯤꯁ꯭ꯠ ꯑꯃꯥ ꯑꯣꯏꯅꯥ ꯁꯀꯈꯉꯏ꯫ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯑꯅꯧꯕꯥ ꯋꯥꯐꯃꯁꯤꯡ ((ꯀꯟꯇꯤꯟꯌꯨꯏꯪ ꯃꯦꯗꯤꯀꯦꯜ ꯑꯦꯖꯨꯀꯦꯁꯟ - ꯁꯤ.ꯑꯦꯝ.ꯏ.)) ꯇꯝꯂꯒꯥ ꯅꯍꯥꯛꯀꯤ ꯂꯧꯁꯤꯡ ꯑꯗꯨ ꯂꯦꯞꯇꯅꯥ ꯑꯄꯗꯦꯠ ꯇꯧꯒꯗꯕꯅꯤ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯃꯁꯤꯗꯥ ꯀꯌꯥ ꯌꯥꯝꯅꯥ ꯀꯠꯊꯣꯀꯄꯥ ꯃꯊꯧ ꯇꯥꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯑꯗꯣꯝꯅꯥ ꯈꯉꯕꯥ ꯉꯃꯒꯅꯤ꯫

ꯀꯔꯤꯒꯤꯗꯃꯛꯇꯥ ꯑꯩꯈꯣꯌꯅꯥ ꯔꯤꯌꯨꯃꯦꯇꯣꯂꯣꯖꯤꯁ꯭ꯠ ꯑꯃꯒꯥ ꯎꯅꯕꯒꯤ ꯃꯊꯧ ꯇꯥꯔꯤꯕꯅꯣ?

ꯅꯍꯥꯛꯅꯥ ꯔꯤꯌꯨꯃꯦꯇꯣꯂꯣꯖꯤꯁ꯭ꯠ ꯑꯃꯒꯥ ꯇꯥꯟꯅꯕꯒꯤ ꯃꯔꯝ ꯀꯌꯥ ꯂꯩꯕꯥ ꯌꯥꯏ꯫

• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯏꯃꯨꯡꯒꯤ ꯃꯤꯑꯣꯏ ꯑꯃꯗꯥ ꯔꯤꯌꯨꯃꯦꯇꯤꯛ ꯗꯤꯖꯤꯖ ꯅꯠꯠꯔꯒꯥ ꯑꯣꯇꯣꯏꯝꯌꯨꯟ ꯗꯤꯖꯤꯖ ꯂꯩꯔꯕꯗꯤ: ꯂꯥꯌꯅꯥꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯈꯔꯗꯤ ꯍꯦꯔꯤꯇꯦꯖ ꯑꯣꯏꯕꯥ ꯌꯥꯏ, ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯇꯣꯏꯅꯥ ꯇꯦꯁ꯭ꯠ ꯇꯧꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯍꯦꯟꯅꯥ ꯐꯩ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯄ꯭ꯔꯥꯏꯃꯥꯔꯤ ꯀꯦꯌꯔ ꯄ꯭ꯔꯣꯚꯥꯏꯗꯔ (PCP)ꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯔꯤꯐꯔ ꯇꯧꯔꯕꯗꯤ: ꯅꯍꯥꯛꯀꯤ ꯂꯥꯏꯑꯣꯡ ꯈꯔꯗꯤ ꯌꯦꯡꯂꯕꯥ ꯃꯇꯨꯡꯗꯥ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯗꯣꯛꯇꯔ ꯑꯗꯨꯅꯥ ꯃꯁꯤ ꯔꯤꯌꯨꯃꯦꯇꯤꯛ ꯂꯥꯌꯅꯥ ꯑꯃꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ ꯍꯥꯌꯅꯥ ꯆꯤꯡꯅꯔꯕꯗꯤ, ꯃꯍꯥꯛꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯔꯤꯌꯨꯃꯦꯇꯣꯂꯣꯖꯤꯁ꯭ꯠ ꯑꯃꯗꯥ ꯔꯤꯐꯔ ꯇꯧꯒꯅꯤ꯫

ꯔꯤꯌꯨꯃꯦꯇꯤꯛ ꯂꯥꯌꯅꯥꯁꯤꯡꯒꯤ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯂꯥꯏꯑꯣꯡ ꯈꯔꯗꯤ ꯂꯩ:

• ꯃꯁꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯃꯐꯝ ꯑꯃꯈꯛꯇꯗꯥ ꯅꯠꯇꯅꯥ ꯃꯐꯝ ꯀꯌꯥꯗꯥ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯅꯥ ꯍꯀꯆꯥꯡ ꯄꯨꯝꯕꯗꯁꯨ ꯁꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫
• ꯃꯁꯤꯅꯥ ꯇꯣꯉꯥꯟ-ꯇꯣꯉꯥꯅꯕꯥ ꯃꯈꯂꯒꯤ ꯇꯤꯁꯨꯁꯤꯡ, ꯍꯥꯌꯕꯗꯤ ꯃꯁꯂꯁꯤꯡ, ꯅꯔꯚꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯈꯣꯡꯗꯥ ꯁꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫
• ꯃꯐꯃꯁꯤꯡ ꯑꯗꯨꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ, ꯁꯣꯟꯊꯕꯥ ꯑꯃꯁꯨꯡ ꯁꯣꯛ-ꯄꯅꯕꯥ ꯐꯥꯎꯕꯥ ꯌꯥꯏ꯫
• ꯃꯁꯤꯒꯤ ꯃꯊꯛꯇꯥ, ꯂꯥꯏꯍꯧ ꯑꯃꯁꯨꯡ ꯋꯥꯈꯜ ꯆꯔꯥꯡꯅꯕꯥ ꯑꯁꯤꯅꯆꯤꯡꯕꯥ ꯁꯤꯁ꯭ꯇꯦꯃꯤꯛ ꯂꯥꯏꯑꯣꯡꯁꯤꯡꯁꯨ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫

ꯈꯅꯕꯤꯌꯨ, ꯑꯌꯨꯛꯇꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯨꯠꯁꯥꯒꯤ ꯁꯔꯨ ꯇꯥꯡꯁꯤꯡ ꯑꯗꯨ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯁꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯁꯣꯀꯄꯥ, ꯀꯨꯄꯁꯤꯅꯕꯥ ꯉꯃꯗꯕꯥ꯫ ꯃꯇꯝ ꯈꯔꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯈꯔꯥ ꯍꯟꯊꯔꯛꯀꯅꯤ꯫ ꯑꯗꯨꯕꯨ ꯃꯁꯤ ꯅꯨꯃꯤꯠ ꯈꯨꯗꯤꯡꯒꯤ ꯊꯣꯛꯂꯤ꯫ ꯅꯠꯠꯔꯒꯥ, ꯃꯔꯝ ꯑꯃꯠꯇꯥ ꯂꯩꯇꯅꯥ, ꯍꯀꯆꯥꯡꯒꯤ ꯇꯣꯉꯥꯟ-ꯇꯣꯉꯥꯅꯕꯥ ꯃꯐꯃꯁꯤꯡꯗꯥ ꯈꯣꯡꯗꯥ ꯂꯥꯂꯍꯧꯒꯤ ꯃꯐꯃꯁꯤꯡ ꯊꯣꯀꯏ, ꯃꯁꯤꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯁꯔꯨ ꯇꯥꯡꯁꯤꯡꯗꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯑꯃꯁꯨꯡ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯊꯣꯀꯏ꯫ ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯔꯤꯌꯨꯃꯦꯇꯤꯛ ꯂꯥꯌꯅꯥꯁꯤꯡꯗꯥ ꯎꯕꯥ ꯐꯪꯂꯤꯕꯥ ꯋꯥꯐꯃꯁꯤꯡꯅꯤ꯫

ꯅꯍꯥꯛꯅꯥ ꯀꯗꯥꯏꯗꯥ ꯔꯤꯌꯨꯃꯦꯇꯣꯂꯣꯖꯤꯁ꯭ꯠ ꯑꯃꯒꯥ ꯇꯥꯟꯅꯒꯗꯒꯦ?

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛ ꯅꯠꯠꯔꯒꯥ ꯅꯍꯥꯛꯀꯤ ꯖꯦꯅꯦꯔꯦꯜ ꯄ꯭ꯔꯦꯛꯇꯤꯁꯅꯔꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯔꯤꯌꯨꯃꯦꯇꯤꯛ ꯗꯤꯖꯤꯖ ꯂꯩꯔꯦ ꯍꯥꯌꯅꯥ ꯆꯤꯡꯅꯔꯕꯗꯤ, ꯌꯥꯔꯤꯕꯃꯈꯩ ꯊꯨꯅꯥ ꯁ꯭ꯄꯦꯁꯤꯑꯦꯂꯤꯁ꯭ꯠ ꯑꯃꯥ, ꯔꯤꯌꯨꯃꯦꯇꯣꯂꯣꯖꯤꯁ꯭ꯠ ꯑꯃꯒꯥ ꯇꯥꯟꯅꯕꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫ ꯃꯔꯨꯑꯣꯏꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯗꯨ ꯈꯪꯍꯧꯗꯅꯥ ꯍꯧꯔꯛꯂꯕꯗꯤ ꯅꯠꯠꯔꯒꯥ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯐꯒꯠꯂꯛꯂꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯁꯣꯌꯗꯅꯥ ꯊꯨꯅꯥ ꯇꯧꯒꯗꯕꯅꯤ꯫

ꯃꯔꯃꯗꯤ, ꯔꯤꯌꯨꯃꯦꯇꯤꯛ ꯂꯥꯌꯅꯥꯁꯤꯡ ꯑꯁꯤ ꯑꯌꯥꯝꯕꯅꯥ ꯄ꯭ꯔꯣꯒ꯭ꯔꯦꯁꯤꯚ ꯑꯣꯏ꯫ ꯍꯥꯌꯕꯗꯤ ꯂꯥꯌꯅꯥ ꯑꯁꯤꯅꯥ ꯍꯦꯟꯅꯥ ꯆꯥꯎꯔꯀꯄꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯇꯤꯁꯨꯁꯤꯡꯗꯥ ꯍꯦꯟꯅꯥ ꯁꯣꯀꯍꯜꯂꯀꯄꯥ ꯌꯥꯏ ꯑꯃꯁꯨꯡ ꯑꯅꯧꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯂꯥꯀꯄꯥ ꯌꯥꯏ꯫ ꯂꯥꯌꯅꯥ ꯈꯔꯅꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯇꯤꯁꯨꯁꯤꯡꯗꯥ ꯃꯇꯝ ꯆꯨꯞꯄꯒꯤ ꯑꯣꯏꯅꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯐꯥꯑꯣꯕꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯂꯥꯌꯅꯥ ꯑꯁꯤ ꯇꯣꯌꯅꯥ ꯈꯪꯗꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯂꯥꯏꯌꯦꯡ ꯍꯧꯗꯨꯅꯥ ꯃꯁꯤꯒꯤ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯑꯁꯤ ꯍꯟꯊꯍꯅꯕꯥ ꯌꯥꯏ꯫

ꯔꯤꯌꯨꯃꯦꯇꯣꯂꯣꯖꯤꯁ꯭ꯠ ꯑꯃꯗꯥ ꯆꯠꯅꯕꯥ ꯃꯇꯧ ꯀꯔꯝꯅꯥ ꯁꯦꯝ-ꯁꯥꯕꯒꯦ?

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯔꯤꯌꯨꯃꯦꯇꯣꯂꯣꯖꯤꯁ꯭ꯠ ꯑꯃꯗꯥ ꯆꯠꯠꯔꯤꯉꯩꯒꯤ ꯃꯃꯥꯡꯗꯥ ꯊꯕꯀꯁꯤꯡ ꯑꯁꯤ ꯇꯧꯔꯕꯗꯤ ꯗꯣꯛꯇꯔ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤꯗꯃꯛꯇꯥ ꯍꯦꯟꯅꯥ ꯂꯥꯌꯕꯥ ꯑꯣꯏꯒꯅꯤ꯫

• ꯅꯍꯥꯛꯀꯤ ꯑꯔꯤꯕꯥ ꯃꯦꯗꯤꯀꯦꯜ ꯔꯦꯀꯣꯔꯗꯁꯤꯡ ꯑꯗꯨ ꯑꯣꯔꯗꯔ ꯇꯧꯗꯨꯅꯥ ꯊꯝꯃꯨ: ꯃꯁꯤꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯃꯥꯡꯗꯥ ꯎꯈꯤꯕꯥ ꯗꯣꯛꯇꯔꯁꯤꯡꯒꯤ ꯅꯣꯇꯁꯤꯡ, ꯇꯦꯁ꯭ꯇꯀꯤ ꯔꯤꯖꯜꯇꯁꯤꯡ ꯑꯁꯤꯅꯆꯤꯡꯕꯥ ꯌꯥꯎꯏ, ꯃꯈꯣꯌ ꯑꯁꯤ ꯅꯍꯥꯛꯅꯥ ꯍꯥꯟꯅꯅꯥ ꯂꯩꯔꯕꯥ ꯌꯥꯏ, ꯅꯠꯠꯔꯒꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯈꯣꯌꯗꯨ ꯃꯊꯧ ꯇꯥꯕꯥ ꯁꯣꯔꯁꯁꯤꯡꯗꯒꯤ ꯔꯤꯀꯣꯔꯗ ꯇꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯏ꯫
• ꯅꯍꯥꯛꯀꯤ ꯃꯦꯗꯤꯀꯦꯜ ꯍꯤꯁ꯭ꯇꯔꯤ꯫
• ꯁꯤꯝꯄꯇꯝ ꯖꯔꯅꯦꯜ ꯑꯃꯥ ꯊꯝꯃꯨ: ꯔꯤꯌꯨꯃꯦꯇꯤꯛ ꯁꯤꯝꯄꯇꯃꯁꯤꯡ ꯑꯁꯤ ꯇꯣꯉꯥꯟ-ꯇꯣꯉꯥꯅꯕꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ ꯑꯃꯁꯨꯡ ꯊꯨꯅꯥ ꯍꯣꯡꯂꯀꯄꯥ ꯌꯥꯏ꯫ "ꯉꯁꯤ ꯑꯌꯨꯛ, ꯉꯁꯤ ꯅꯨꯃꯤꯗꯥꯡꯋꯥꯏꯔꯝ, ꯉꯔꯥꯡ" ꯑꯁꯤꯒꯨꯝꯕꯥ ꯑꯀꯨꯞꯄꯥ ꯃꯔꯣꯂꯁꯤꯡ ꯏꯕꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯀꯟꯗꯤꯁꯅꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯍꯦꯟꯅꯥ ꯃꯌꯦꯛ ꯁꯦꯡꯕꯥ ꯋꯥꯐꯝ ꯑꯃꯥ ꯂꯧꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯒꯅꯤ꯫
• ꯗꯣꯛꯇꯔꯅꯥ ꯍꯥꯌꯔꯤꯕꯥ ꯑꯗꯨ ꯏꯅꯕꯥ ꯊꯧꯔꯥꯡ ꯇꯧꯕꯤꯌꯨ:ꯑꯍꯥꯅꯕꯥ ꯑꯣꯏꯅꯥ ꯆꯠꯄꯥ ꯃꯇꯃꯗꯥ ꯑꯅꯧꯕꯥ ꯏꯅꯐꯣꯔꯃꯦꯁꯟ ꯀꯌꯥ ꯑꯃꯥ ꯇꯃꯒꯅꯤ꯫ ꯄꯨꯝꯅꯃꯀꯄꯨ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯅꯤꯡꯁꯤꯡꯕꯗꯥ ꯑꯋꯥꯕꯥ ꯑꯣꯏꯔꯀꯄꯥ ꯌꯥꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯌꯥꯕꯥ ꯇꯥꯔꯕꯗꯤ, ꯃꯔꯨꯞ ꯑꯃꯥ ꯅꯠꯠꯔꯒꯥ ꯏꯃꯨꯡꯒꯤ ꯃꯤꯑꯣꯏ ꯑꯃꯥ ꯅꯍꯥꯛꯀꯥ ꯂꯣꯌꯅꯅꯥ ꯆꯠꯂꯨ꯫ ꯃꯈꯣꯌꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯋꯥꯐꯃꯁꯤꯡ ꯏꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯕꯥ ꯉꯃꯒꯅꯤ꯫

ꯔꯤꯌꯨꯃꯦꯇꯣꯂꯣꯖꯤꯁ꯭ꯇꯁꯤꯡꯅꯥ ꯂꯥꯌꯅꯥ ꯑꯁꯤ ꯈꯪꯗꯣꯛꯅꯕꯥ ꯀꯔꯤ ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯁꯤꯖꯤꯟꯅꯔꯤꯕꯒꯦ?

ꯐꯤꯖꯤꯀꯦꯜ ꯑꯦꯀꯖꯥꯃꯤꯅꯦꯁꯟ ꯑꯃꯒꯤ ꯃꯊꯛꯇꯥ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯗꯨ ꯈꯪꯗꯣꯀꯄꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯅꯕꯥ ꯑꯇꯣꯞꯄꯥ ꯇꯦꯁ꯭ꯠ ꯀꯌꯥ ꯑꯃꯥ ꯑꯣꯔꯗꯔ ꯇꯧꯕꯥ ꯌꯥꯏ꯫ ꯈꯨꯗꯝ ꯑꯣꯏꯅ:

• ꯕ꯭ꯂꯗ ꯇꯦꯁ꯭ꯠ: ꯃꯁꯤꯅꯥ ꯍꯀꯆꯥꯡꯗꯥ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯁꯟ ꯂꯩꯕ꯭ꯔꯥ ꯑꯃꯁꯨꯡ ꯑꯣꯇꯣꯏꯝꯌꯨꯟ ꯀꯟꯗꯤꯁꯅꯁꯤꯡꯒꯥ ꯃꯔꯤ ꯂꯩꯅꯕꯥ ꯑꯦꯟꯇꯤꯕꯣꯗꯤꯁꯤꯡ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨꯒꯨꯝꯕꯥ ꯋꯥꯐꯝ ꯀꯌꯥ ꯈꯪꯗꯣꯀꯄꯥ ꯉꯝꯃꯤ꯫
• ꯏꯃꯦꯖꯤꯡ ꯇꯦꯁ꯭ꯇꯁꯤꯡ: ꯑꯦꯛꯁ-ꯔꯦ, ꯑꯂꯠꯔꯥꯁꯥꯎꯟꯗ, ꯁꯤ.ꯇꯤ.ꯁ꯭ꯀꯦꯟ, ꯅꯠꯠꯔꯒꯥ ꯑꯦꯝ.ꯑꯥꯔ.ꯑꯥꯏ.ꯒꯨꯝꯕꯥ ꯇꯦꯁ꯭ꯇꯁꯤꯡꯅꯥ ꯁꯔꯨ ꯇꯥꯡ, ꯁꯔꯨ ꯑꯃꯁꯨꯡ ꯃꯁꯂꯁꯤꯡꯒꯤ ꯐꯤꯚꯝ ꯌꯦꯡꯁꯤꯅꯕꯥ ꯌꯥꯏ꯫
• ꯕꯣꯟ ꯗꯦꯟꯁꯤꯇꯤ ꯇꯦꯁ꯭ꯠ (DEXA scan): ꯕꯣꯟ ꯁ꯭ꯠꯔꯦꯡꯊ ꯍꯟꯊꯔꯀꯄꯥ (ꯑꯣꯁ꯭ꯇꯤꯑꯣꯄꯣꯔꯣꯁꯤꯁ) ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯆꯦꯛ ꯇꯧ꯫
• ꯇꯤꯁꯨ ꯕꯥꯏꯑꯣꯞꯁꯤ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯑꯁꯣꯀꯄꯥ ꯇꯤꯁꯨꯒꯤ ꯑꯄꯤꯀꯄꯥ ꯁꯔꯨꯛ ꯑꯃꯥ ꯇꯦꯁ꯭ꯠ ꯇꯧꯅꯕꯒꯤꯗꯃꯛ ꯂꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯏ꯫
• ꯏꯂꯦꯛꯠꯔꯣꯃꯥꯌꯣꯒ꯭ꯔꯥꯝ (EMG): ꯃꯁꯜ ꯑꯃꯁꯨꯡ ꯅꯔꯚꯁꯤꯡꯒꯤ ꯐꯉ꯭ꯀꯁꯟ ꯌꯦꯡꯁꯤꯟꯅꯕꯥ ꯇꯦꯁ꯭ꯠ ꯑꯃꯅꯤ꯫
• ꯑꯣꯔꯒꯥꯟ ꯐꯉ꯭ꯀꯁꯟ ꯇꯦꯁ꯭ꯇꯁꯤꯡ: ꯀꯤꯗꯅꯤ ꯑꯃꯁꯨꯡ ꯂꯤꯚꯔꯒꯨꯝꯕꯥ ꯑꯣꯔꯒꯥꯅꯁꯤꯡꯗꯥ ꯁꯣꯀꯍꯜꯂꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯆꯦꯛ ꯇꯧ꯫

ꯔꯤꯌꯨꯃꯦꯇꯣꯂꯣꯖꯤꯁ꯭ꯇꯁꯤꯡꯅꯥ ꯂꯥꯌꯅꯥꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯂꯥꯌꯦꯡꯕꯒꯦ?

ꯔꯤꯌꯨꯃꯦꯇꯤꯛ ꯂꯥꯌꯅꯥꯁꯤꯡ ꯂꯥꯌꯦꯡꯕꯗꯥ ꯈꯔꯥ ꯍꯦꯟꯅꯥ ꯂꯨꯝꯃꯤ꯫ ꯃꯔꯃꯗꯤ ꯃꯤꯄꯨꯝ ꯈꯨꯗꯤꯡꯃꯀꯄꯨ ꯆꯞ ꯃꯥꯟꯅꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯌꯦꯡꯁꯤꯅꯕꯥ ꯉꯃꯗꯦ꯫ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ, ꯂꯥꯌꯅꯥ ꯑꯁꯤꯒꯤ ꯃꯑꯣꯡ-ꯃꯇꯧ, ꯑꯃꯁꯨꯡ ꯂꯥꯏꯌꯦꯡꯕꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯔꯦꯁ꯭ꯄꯣꯟꯁ ꯑꯁꯤꯅꯆꯤꯡꯕꯥ ꯐꯦꯛꯇꯔ ꯀꯌꯥꯗꯥ ꯌꯨꯝꯐꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯅꯍꯥꯛꯀꯤꯗꯃꯛꯇꯥ ꯆꯨꯅꯕꯥ ꯂꯥꯏꯌꯦꯡꯒꯤ ꯄ꯭ꯂꯥꯟ ꯑꯃꯥ ꯁꯦꯃꯒꯅꯤ꯫

ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯃꯑꯣꯡ ꯀꯌꯥ ꯂꯩ:

• ꯀꯣꯔꯇꯤꯀꯣꯁ꯭ꯇꯦꯔꯣꯏꯗꯁꯤꯡ: ꯃꯁꯤꯅꯥ ꯍꯀꯆꯥꯡꯗꯥ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯁꯟ ꯊꯨꯅꯥ ꯍꯟꯊꯍꯅꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫
• ꯏꯝꯝꯌꯨꯅꯣꯁꯞꯔꯦꯁꯦꯟꯇꯁꯤꯡ: ꯍꯥꯌꯔꯤꯕꯁꯤꯡ ꯑꯁꯤ ꯑꯣꯇꯣꯏꯝꯌꯨꯟ ꯂꯥꯌꯅꯥꯁꯤꯡꯗꯥ ꯍꯀꯆꯥꯡꯒꯤ ꯏꯝꯝꯌꯨꯟ ꯁꯤꯁ꯭ꯇꯦꯃꯒꯤ ꯑꯦꯛꯇꯤꯚꯤꯇꯤ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯅꯕꯥ ꯄꯤ꯫
• ꯗꯤꯖꯤꯖ-ꯃꯣꯗꯤꯐꯥꯏꯌꯤꯡ ꯑꯦꯟꯇꯤꯔꯤꯎꯃꯦꯇꯤꯛ ꯗ꯭ꯔꯒꯁꯤꯡ (DMARDs): ꯍꯤꯗꯥꯀꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯂꯥꯌꯅꯥ ꯑꯁꯤꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯁꯔꯨ ꯇꯥꯡꯁꯤꯡꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯍꯟꯊꯍꯅꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ ꯑꯃꯁꯨꯡ ꯂꯥꯌꯅꯥ ꯑꯁꯤꯒꯤ ꯄ꯭ꯔꯣꯒ꯭ꯔꯦꯁ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫
• ꯁꯔꯨ ꯇꯥꯡꯁꯤꯡꯗꯥ ꯏꯅꯖꯦꯀꯁꯟ (joint injections): ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ ꯑꯁꯤ ꯑꯁꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯁꯣꯀꯄꯥ ꯁꯔꯨ ꯇꯥꯡꯁꯤꯡꯗꯥ ꯍꯀꯊꯦꯡꯅꯅꯥ ꯏꯅꯖꯦꯀꯁꯟ ꯇꯧꯕꯥ ꯌꯥꯏ꯫
• ꯑꯣꯔꯊꯣꯇꯤꯛꯁ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯁꯔꯨ ꯇꯥꯡꯁꯤꯡꯗꯥ ꯁꯄꯣꯔꯠ ꯄꯤꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯑꯅꯥꯕꯥ ꯍꯟꯊꯍꯟꯅꯕꯥ ꯁꯤꯖꯤꯟꯅꯩ꯫
• ꯐꯤꯖꯤꯀꯦꯜ ꯊꯦꯔꯥꯄꯤ: ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯑꯃꯁꯨꯡ ꯑꯇꯩ ꯃꯦꯊꯗꯁꯤꯡꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯁꯔꯨ ꯇꯥꯡꯒꯤ ꯐꯉ꯭ꯀꯁꯟ ꯑꯃꯁꯨꯡ ꯄꯥꯉ꯭ꯒꯜ ꯐꯒꯠꯍꯅꯕꯥ꯫
• ꯑꯣꯛꯌꯨꯄꯦꯁꯅꯦꯜ ꯊꯦꯔꯥꯄꯤ: ꯅꯣꯡꯃꯒꯤ ꯑꯣꯏꯕꯥ ꯊꯕꯀꯁꯤꯡ ꯀꯔꯝꯅꯥ ꯍꯦꯟꯅꯥ ꯐꯖꯅꯥ ꯄꯥꯡꯊꯣꯛꯀꯗꯒꯦ ꯍꯥꯌꯕꯒꯤ ꯇ꯭ꯔꯦꯅꯤꯡ꯫
• ꯑꯣꯔꯊꯣꯄꯦꯗꯤꯛ ꯁꯔꯖꯔꯤ ꯑꯃꯗꯥ ꯔꯤꯐꯔ ꯇꯧꯕꯥ:ꯀꯦꯁ ꯈꯔꯗꯗꯤ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯁꯔꯨ ꯇꯥꯡꯁꯤꯡ ꯑꯗꯨ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯅꯥ ꯁꯣꯀꯍꯜꯂꯕꯗꯤ, ꯁꯔꯖꯔꯤ ꯇꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯏ꯫

ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯋꯥꯐꯃꯗꯤ ꯂꯥꯏꯌꯦꯡꯁꯤꯡ ꯑꯁꯤꯒꯤꯗꯃꯛꯇꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯌꯦꯡꯁꯤꯅꯕꯥ, ꯃꯊꯧ ꯇꯥꯕꯥ ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯄꯥꯡꯊꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯗꯨ ꯌꯦꯡꯁꯤꯅꯕꯥ ꯑꯁꯤꯅꯤ꯫ ꯃꯔꯃꯗꯤ ꯂꯥꯌꯅꯥꯁꯤꯡ ꯑꯁꯤ ꯃꯇꯃꯒꯤ ꯃꯇꯨꯡ ꯏꯟꯅꯥ ꯍꯣꯡꯂꯀꯄꯥ ꯌꯥꯏ ꯑꯃꯁꯨꯡ ꯑꯅꯧꯕꯥ ꯈꯨꯗꯣꯡꯆꯥꯗꯕꯥ ꯀꯌꯥ ꯊꯣꯔꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯂꯥꯏꯌꯦꯡꯒꯤ ꯄ꯭ꯂꯥꯟ ꯑꯗꯨ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ ꯍꯣꯡꯗꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯆꯥꯡ ꯅꯥꯏꯅꯥ ꯀꯟꯇꯦꯛꯇ ꯇꯧꯗꯨꯅꯥ ꯂꯩꯕꯅꯥ, ꯅꯍꯥꯛꯅꯥ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯑꯃꯠꯇꯥ ꯐꯥꯎꯗ꯭ꯔꯤꯉꯩꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯂꯥꯏꯌꯦꯡ ꯑꯗꯨ ꯁꯦꯃꯗꯣꯛ-ꯁꯦꯃꯖꯤꯟ ꯇꯧꯕꯥ ꯌꯥꯏ꯫

ꯑꯔꯣꯏꯕꯗꯥ ꯅꯤꯡꯁꯤꯡꯒꯗꯕꯥ ꯋꯥꯐꯃꯁꯤꯡ꯫

ꯑꯣꯀꯦ, ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯑꯩꯍꯥꯛꯅꯥ ꯑꯥꯁꯥ ꯇꯧꯔꯤ ꯃꯗꯨꯗꯤ ꯍꯧꯖꯤꯛꯇꯤ ꯑꯗꯣꯃꯗꯥ ꯔꯤꯌꯨꯃꯦꯇꯣꯂꯣꯖꯤꯁ꯭ꯠ ꯀꯅꯥꯅꯣ ꯑꯃꯁꯨꯡ ꯃꯍꯥꯛꯅꯥ ꯀꯔꯤ ꯇꯧꯔꯤꯕꯒꯦ ꯍꯥꯌꯕꯒꯤ ꯑꯐꯕꯥ ꯋꯥꯈꯜꯂꯣꯟ ꯑꯃꯥ ꯂꯩꯔꯦ꯫

ꯅꯤꯡꯁꯤꯡꯕꯤꯌꯨ, ꯔꯤꯌꯨꯃꯦꯇꯣꯂꯣꯖꯤꯁ꯭ꯇꯁꯤꯡ ꯑꯁꯤ ꯑꯌꯥꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯍꯀꯆꯥꯡꯒꯤ ꯁꯔꯨ ꯇꯥꯡꯁꯤꯡ, ꯃꯁꯂꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯀꯅꯦꯛꯇꯤꯕ ꯇꯤꯁ꯭ꯌꯨꯁꯤꯡꯒꯥ ꯃꯔꯤ ꯂꯩꯅꯕꯥ ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯆꯠꯄꯥ ꯑꯃꯁꯨꯡ ꯑꯔꯨꯕꯥ ꯐꯤꯚꯃꯁꯤꯡ ꯂꯥꯌꯦꯡꯂꯤꯕꯥ ꯁ꯭ꯄꯦꯁꯤꯑꯦꯂꯤꯁ꯭ꯇꯁꯤꯡꯅꯤ꯫

• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯁꯔꯨ ꯇꯥꯡꯁꯤꯡꯗꯥ ꯂꯦꯡ-ꯑꯣꯠꯄꯗꯥ ꯋꯥꯕꯥ, ꯁꯣꯛ-ꯄꯅꯕꯥ, ꯁꯣꯟꯊꯕꯥ, ꯅꯠꯠꯔꯒꯥ ꯃꯔꯝ ꯆꯥꯗꯅꯥ ꯍꯀꯆꯥꯡ ꯁꯣꯀꯄꯥ ꯂꯩꯔꯕꯗꯤ, ꯃꯗꯨ ꯁꯨꯞꯅꯒꯤ ꯌꯦꯡꯁꯤꯅꯕꯤꯒꯅꯨ꯫
• ꯑꯍꯥꯅꯕꯗꯥ, ꯅꯍꯥꯛꯀꯤ ꯐꯦꯃꯤꯂꯤ ꯗꯣꯛꯇꯔ (GP)ꯒꯥ ꯇꯥꯟꯅꯧ꯫ ꯃꯍꯥꯛꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯗꯨ ꯑꯦꯁꯦꯁ ꯇꯧꯕꯥ ꯌꯥꯏ ꯑꯃꯁꯨꯡ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯊꯧ ꯇꯥꯔꯕꯗꯤ ꯅꯍꯥꯀꯄꯨ ꯔꯤꯌꯨꯃꯦꯇꯣꯂꯣꯖꯤꯁ꯭ꯠ ꯑꯃꯗꯥ ꯔꯤꯐꯔ ꯇꯧꯕꯥ ꯌꯥꯏ꯫
• ꯑꯁꯤꯒꯨꯝꯕꯥ ꯂꯥꯌꯅꯥꯁꯤꯡ ꯑꯁꯤꯗꯥ , ꯉꯟꯅꯥ ꯈꯉꯗꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯃꯇꯤꯛ ꯆꯥꯅꯥ ꯂꯥꯌꯦꯡꯕꯅꯥ ꯑꯆꯧꯕꯥ ꯑꯃꯥꯡ-ꯑꯇꯥꯁꯤꯡ ꯊꯤꯡꯕꯥ ꯉꯝꯃꯤ ꯑꯃꯁꯨꯡ ꯑꯐꯕꯥ ꯄꯨꯟꯁꯤ ꯑꯃꯥ ꯍꯤꯡꯕꯥ ꯉꯃꯍꯜꯂꯤ꯫

ꯃꯔꯝ ꯑꯗꯨꯅꯥ, ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡ ꯑꯗꯨ ꯌꯦꯡꯁꯤꯅꯕꯤꯌꯨ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯈꯨꯗꯣꯡꯆꯥꯗꯕꯥ ꯑꯃꯥ ꯂꯩꯔꯕꯗꯤ ꯗꯣꯛꯇꯔ ꯑꯃꯒꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯕꯗꯥ ꯑꯀꯤꯕꯥ ꯂꯩꯔꯣꯏꯗꯕꯅꯤ꯫