ꯄꯦꯗꯤꯀꯦꯜ ꯁ꯭ꯛꯔꯨꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯊꯥꯕꯒꯦ?

ꯄꯦꯗꯤꯀꯜ ꯁ꯭ꯛꯔꯨ ꯄ꯭ꯂꯦꯁꯃꯦꯟꯇ ꯃꯦꯊꯗ꯫

1. ꯑꯦꯟꯠꯔꯤ ꯄꯣꯏꯟꯇ: ꯈꯣꯡ, ꯈꯣꯡ ꯑꯃꯁꯨꯡ ꯀꯣꯛ ꯑꯁꯤ ꯇꯣꯉꯥꯟ-ꯇꯣꯉꯥꯅꯕꯥ ꯑꯣꯏ;

2. ꯁ꯭ꯛꯔꯨ ꯑꯦꯟꯠꯔꯤ ꯑꯗꯨꯒꯤ ꯍꯣꯔꯥꯏꯖꯣꯟꯇꯦꯜ ꯄ꯭ꯂꯦꯟ ꯑꯦꯉ꯭ꯒꯜ (TSA) ꯑꯃꯁꯨꯡ ꯁꯦꯖꯤꯇꯦꯜ ꯄ꯭ꯂꯦꯟ ꯑꯦꯉ꯭ꯒꯜ (SSA) ꯑꯗꯨ ꯂꯧꯈꯠꯂꯨ: TSA ꯑꯦꯉ꯭ꯒꯜ ꯑꯗꯨ CT ꯐꯤꯜꯃꯗꯒꯤ ꯂꯦꯄꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯑꯦꯁ.ꯑꯦꯁ.ꯑꯦ.ꯅꯥ ꯍꯀꯆꯥꯡꯒꯤ ꯄꯣꯖꯤꯁꯅꯒꯥ ꯑꯀꯛꯅꯕꯥ ꯃꯔꯤ ꯑꯃꯥ ꯂꯩ, ꯑꯃꯁꯨꯡ ꯑꯣꯄꯔꯦꯁꯅꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯁꯤ-ꯑꯥꯔꯃꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯥ ꯌꯥꯏ꯫

3. ꯊꯨꯄꯆꯤꯅꯕꯥ: ꯁ꯭ꯛꯔꯨꯒꯤ ꯂꯝꯕꯤ ꯑꯁꯤ ꯃꯇꯤꯛ ꯆꯥꯕꯥ ꯕꯥꯏꯑꯣꯃꯦꯀꯥꯅꯤꯀꯦꯜ ꯁ꯭ꯠꯔꯦꯡꯊ ꯐꯪꯅꯕꯒꯤꯗꯃꯛ ꯄꯦꯗꯤꯀꯜ ꯑꯦꯛꯁꯤꯁꯀꯤ ꯂꯝꯕꯤꯒꯤ 80% ꯌꯧꯏ, ꯑꯃꯁꯨꯡ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯌꯥꯝꯅꯥ ꯁꯥꯡꯂꯕꯗꯤ ꯀꯣꯔꯇꯤꯀꯦꯜ ꯕꯣꯅꯗꯥ ꯆꯦꯟꯊꯈꯤꯗꯨꯅꯥ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯂꯁꯤꯡꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫

4. ꯂꯝꯕꯤ: ꯅꯤꯗꯜ ꯏꯅꯁꯥꯔꯁꯟ ꯄꯣꯏꯟꯇꯇꯒꯤ ꯍꯧꯔꯒꯥ ꯚꯔꯇꯤꯕ꯭ꯔꯦꯜ ꯕꯣꯗꯤꯒꯤ ꯑꯦꯟꯇꯤꯔꯤꯑꯣꯔ ꯀꯣꯔꯇꯦꯛꯁꯀꯤ ꯑꯄꯨꯅꯕꯥ ꯂꯦꯡꯖꯨꯃꯒꯤ 83% ꯐꯥꯎꯕꯥ꯫

ꯁꯔꯚꯤꯀꯦꯜ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗ꯫

ꯁꯔꯚꯤꯀꯦꯜ ꯄꯦꯗꯤꯀꯦꯜ ꯁ꯭ꯛꯔꯨ ꯏꯅꯁꯥꯔꯁ ꯇꯧꯕꯒꯤ ꯃꯑꯣꯡ꯫

ꯅꯤꯗꯜ ꯏꯅꯁꯥꯔꯁ ꯇꯧꯕꯒꯤ ꯃꯑꯣꯡ꯫

ꯍꯧꯖꯤꯛꯀꯤ ꯑꯣꯏꯅꯥ ꯅꯤꯗꯜ ꯏꯅꯁꯦꯔꯁꯅꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯄꯥꯝꯕꯩꯁꯤꯡꯗꯤ: ꯑꯕꯨꯃꯤ ꯃꯦꯊꯗ, ꯑꯦꯅꯥꯇꯣꯃꯤꯛ ꯂꯦꯟꯗꯃꯥꯔꯛ ꯄꯣꯖꯤꯁꯟ ꯃꯦꯊꯗ, ꯀꯝꯞꯌꯨꯇꯔ-ꯑꯦꯗꯦꯗ ꯏꯃꯦꯖꯤꯡ ꯄꯣꯖꯤꯁꯟ ꯃꯦꯊꯗ ꯑꯁꯤꯅꯆꯤꯡꯕꯅꯤ꯫

ꯁꯔꯚꯤꯀꯦꯜ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯑꯦꯟꯠꯔꯤ ꯄꯣꯏꯟꯇ꯫

• C2 ꯑꯦꯛꯁꯤꯁꯀꯤ ꯂꯦꯃꯤꯅꯥꯒꯤ ꯃꯊꯛꯀꯤ ꯃꯅꯥꯛꯇꯥ ꯂꯩꯕꯥ ꯍꯣꯔꯥꯏꯖꯣꯟꯇꯦꯜ ꯂꯥꯏꯅꯒꯤ ꯃꯈꯥꯗꯥ ꯂꯩꯕꯥ 5mm ꯑꯃꯁꯨꯡ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯦꯅꯦꯂꯒꯤ ꯃꯦꯗꯤꯌꯝ ꯑꯦꯖꯒꯤ ꯃꯄꯥꯟꯗꯥ 7mmꯒꯤ ꯏꯟꯇꯔꯁꯦꯛꯁꯅꯗꯥ꯫

• C3-C6 ꯁꯥꯏꯗ ꯕ꯭ꯂꯣꯀꯀꯤ ꯃꯇꯨꯡꯗꯥ ꯂꯩꯕꯥ ꯃꯊꯛꯀꯤ ꯃꯌꯥꯏ ꯑꯣꯏꯕꯥ 1/4 ꯍꯣꯔꯥꯏꯖꯣꯟꯇꯦꯜ ꯂꯥꯏꯟ ꯑꯃꯁꯨꯡ ꯃꯔꯛꯇꯥ ꯂꯩꯕꯥ ꯃꯄꯥꯟꯊꯪꯕꯥ 1/4 ꯚꯔꯇꯤꯀꯦꯜ ꯂꯥꯏꯅꯒꯤ ꯏꯟꯇꯔꯁꯦꯛꯁꯟ꯫

• C7 ꯂꯦꯇꯔꯦꯜ ꯕ꯭ꯂꯣꯀꯀꯤ ꯚꯔꯇꯤꯀꯦꯜ ꯃꯤꯗꯂꯥꯏꯟ ꯑꯃꯁꯨꯡ ꯑꯋꯥꯡꯕꯥ ꯃꯤꯗꯜ 1/4 ꯍꯣꯔꯥꯏꯖꯣꯟꯇꯦꯜ ꯂꯥꯏꯅꯒꯤ ꯏꯟꯇꯔꯁꯦꯛꯁꯟ ꯑꯗꯨ ꯃꯊꯛꯇꯥ ꯂꯩ꯫

  
  

ꯁꯔꯚꯤꯀꯦꯜ ꯚꯔꯇꯤꯕ꯭ꯔꯦꯜ ꯁ꯭ꯛꯔꯨꯏꯪ ꯑꯦꯉ꯭ꯒꯜ꯫

• ꯁꯤ ꯲ ꯏꯅꯛꯂꯥꯏꯟ ꯲꯰-꯲꯵° ꯏꯅꯛꯂꯥꯏꯟ ꯱꯰-꯱꯵°꯫

• C3-C6 40-45° ꯏꯅꯛꯂꯥꯏꯟ ꯇꯧꯏ, ꯍꯣꯔꯥꯏꯖꯣꯟꯇꯦꯜ ꯄ꯭ꯂꯦꯟ ꯑꯁꯤ ꯃꯊꯛ ꯑꯃꯁꯨꯡ ꯃꯈꯥ ꯊꯪꯕꯥ ꯑꯦꯟꯗꯞꯂꯦꯠꯁꯤꯡꯒꯥ ꯃꯥꯟꯅꯩ꯫

• C7 ꯏꯅꯛꯂꯤꯅꯦꯁꯟ 30-40°, ꯍꯣꯔꯥꯏꯖꯣꯟꯇꯦꯜ ꯄ꯭ꯂꯦꯟ ꯑꯁꯤ ꯃꯊꯛ ꯑꯃꯁꯨꯡ ꯃꯈꯥ ꯊꯪꯕꯥ ꯑꯦꯟꯗꯞꯂꯦꯠꯁꯤꯡꯒꯥ ꯃꯥꯟꯅꯩ꯫

  
  

ꯁꯔꯚꯤꯀꯦꯜ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯁ꯭ꯛꯔꯨ꯫

• C1～C5ꯗꯥ 3.5mmꯒꯤ ꯗꯥꯏꯑꯦꯃꯤꯇꯔ ꯑꯃꯁꯨꯡ 20mmꯒꯤ ꯑꯋꯥꯡꯕꯥ ꯁ꯭ꯛꯔꯨꯁꯤꯡ ꯃꯊꯧ ꯇꯥꯏ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯦꯇꯂꯥꯁꯀꯤ ꯄꯣꯁ꯭ꯇꯦꯔꯤꯌꯥꯜ ꯑꯥꯔꯆꯀꯤ ꯑꯋꯥꯡꯕꯥ ꯑꯗꯨ 4mmꯗꯒꯤ ꯍꯦꯜꯂꯕꯗꯤ, ꯃꯗꯨ ꯂꯦꯇꯔꯦꯜ ꯃꯥꯁ ꯁ꯭ꯛꯔꯨ ꯑꯃꯗꯥ ꯍꯣꯡꯏ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯦꯛꯁꯤꯁꯀꯤ ꯄꯦꯗꯤꯀꯦꯂꯒꯤ ꯑꯋꯥꯡꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯄꯥꯛ-ꯆꯥꯎꯕꯥ ꯑꯗꯨ 5mmꯗꯒꯤ ꯍꯦꯜꯂꯕꯗꯤ, ꯂꯦꯇꯔꯦꯜ ꯃꯥꯁ ꯁ꯭ꯛꯔꯨ ꯐꯤꯛꯁꯦꯁꯟꯗꯥ ꯍꯣꯡꯗꯣꯀꯄꯥ ꯔꯦꯀꯃꯦꯟꯗ ꯇꯧꯏ꯫

ꯁꯔꯚꯤꯀꯦꯜ ꯂꯦꯇꯔꯦꯜ ꯃꯥꯁ ꯁ꯭ꯛꯔꯨ ꯄ꯭ꯂꯦꯁꯃꯦꯟꯇ꯫

ꯃꯦꯖꯔꯒꯤ ꯃꯦꯊꯗ : ꯁ꯭ꯛꯔꯨ ꯑꯦꯟꯠꯔꯤ ꯄꯣꯏꯟꯇ ꯑꯁꯤ ꯂꯦꯇꯔꯦꯜ ꯃꯥꯁꯀꯤ ꯄꯣꯁ꯭ꯇꯦꯔꯤꯌꯥꯜ ꯋꯥꯂꯒꯤ ꯃꯤꯗꯄꯣꯏꯟꯇꯀꯤ ꯃꯊꯛꯇꯥ 1-2mm ꯐꯥꯎꯕꯥ ꯂꯩ; ꯁ꯭ꯛꯔꯨ ꯑꯦꯟꯠꯔꯤ ꯗꯤꯔꯦꯛꯁꯟ ꯑꯁꯤ 25-30° ꯂꯦꯇꯔꯦꯜ ꯑꯣꯏꯅꯥ ꯂꯦꯡꯗꯅꯥ ꯂꯩ, ꯑꯃꯁꯨꯡ ꯃꯀꯣꯛ ꯑꯗꯨ 30° (ꯑꯋꯥꯡꯕꯥ ꯑꯥꯔꯇꯤꯀꯨꯂꯥꯔ ꯁꯔꯐꯦꯁꯀꯥ ꯃꯥꯟꯅꯕꯥ ꯃꯑꯣꯡꯗꯥ) ꯂꯦꯡꯗꯅꯥ ꯂꯩ, ꯑꯃꯁꯨꯡ ꯀꯟꯠꯔꯣꯂꯦꯇꯔꯦꯜ ꯀꯣꯔꯇꯦꯛꯁ ꯑꯗꯨ ꯗ꯭ꯔꯤꯜ ꯇꯧꯏ; depth measurement 3.5mm ꯀꯣꯔꯇꯤꯀꯦꯜ ꯕꯣꯟ ꯁ꯭ꯛꯔꯨꯁꯤꯡꯗꯥ ꯁ꯭ꯛꯔꯨ ꯇꯧꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ꯫

ꯔꯣꯌ-ꯀꯦꯃꯤꯜ ꯃꯦꯊꯗ : ꯁ꯭ꯛꯔꯨ ꯑꯦꯟꯠꯔꯤ ꯄꯣꯏꯟꯇ ꯑꯁꯤ ꯂꯦꯇꯔꯦꯜ ꯃꯥꯁꯀꯤ ꯃꯇꯨꯡꯗꯥ ꯂꯩꯕꯥ ꯁꯦꯟꯇꯔꯗꯥ ꯂꯩ; ꯁ꯭ꯛꯔꯨ ꯑꯦꯟꯠꯔꯤ ꯗꯤꯔꯦꯛꯁꯟ ꯑꯁꯤ ꯂꯦꯇꯔꯦꯜ ꯑꯣꯏꯅꯥ 10° ꯑꯣꯏ, ꯚꯔꯇꯤꯀꯦꯜ ꯄꯣꯁ꯭ꯇꯦꯔꯤꯌꯥꯜ ꯀꯣꯔꯇꯦꯛꯁ ꯑꯗꯨ ꯗ꯭ꯔꯥꯏꯜ ꯇꯧꯏ, ꯑꯃꯁꯨꯡ ꯀꯟꯠꯔꯣꯂꯦꯇꯔꯦꯜ ꯀꯣꯔꯇꯦꯛꯁ ꯑꯗꯨ ꯗ꯭ꯔꯥꯏꯜ ꯇꯧꯏ; ꯁꯣꯟꯊꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ, 3.5mmꯒꯤ ꯀꯣꯔꯇꯤꯀꯦꯜ ꯕꯣꯟ ꯁ꯭ꯛꯔꯨ ꯑꯃꯥ ꯁ꯭ꯛꯔꯨ ꯇꯧꯏ꯫

ꯑꯦꯟꯗꯔꯁꯅꯒꯤ ꯃꯑꯣꯡ : ꯁ꯭ꯛꯔꯨ ꯑꯦꯟꯠꯔꯤ ꯄꯣꯏꯟꯇ ꯑꯁꯤ ꯂꯦꯇꯔꯦꯜ ꯃꯥꯁꯀꯤ ꯁꯦꯟꯇꯔꯒꯤ ꯃꯅꯨꯡꯗꯥ 1mm ꯂꯩ, ꯁ꯭ꯛꯔꯨ ꯑꯦꯟꯠꯔꯤ ꯗꯤꯔꯦꯛꯁꯟ ꯑꯁꯤ 20° ꯂꯦꯇꯔꯦꯜ ꯑꯣꯏꯅꯥ ꯂꯩ, ꯑꯃꯁꯨꯡ ꯃꯀꯣꯛ ꯑꯗꯨ 20°ꯗꯒꯤ 30° ꯐꯥꯎꯕꯥ ꯂꯦꯡꯗꯅꯥ ꯂꯩꯗꯨꯅꯥ ꯍꯨꯔꯥꯅꯕꯥ ꯑꯗꯨ ꯊꯤꯡꯖꯤꯜꯂꯤ, ꯑꯃꯁꯨꯡ ꯀꯟꯠꯔꯣꯂꯦꯇꯔꯦꯜ ꯀꯣꯔꯇꯦꯛꯁ ꯑꯗꯨ ꯗ꯭ꯔꯤꯜ ꯇꯧꯏ꯫

ꯑꯦꯛꯁꯄꯤꯔꯤꯑꯦꯟꯁꯀꯤ ꯁꯃꯖꯤꯟꯅꯐꯝ꯫

(꯱) ꯁ꯭ꯛꯔꯨ ꯏꯃꯞꯂꯥꯟꯇ ꯇꯧꯕꯒꯤ ꯁꯦꯐꯇꯤꯗꯥ ꯑꯈꯟꯅꯕꯥ ꯃꯤꯠꯌꯦꯡ ꯆꯪꯒꯗꯕꯅꯤ꯫ ꯁꯔꯖꯔꯤꯅꯥ ꯁꯔꯚꯤꯀꯦꯜ ꯑꯦꯅꯥꯇꯣꯃꯤ ꯑꯃꯁꯨꯡ ꯄꯦꯗꯤꯀꯦꯜ ꯁ꯭ꯛꯔꯨ ꯇꯦꯛꯅꯤꯀꯀꯤ ꯃꯥꯁ꯭ꯇꯔꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ ꯃꯇꯤꯛ ꯆꯥꯕꯥ ꯃꯦꯊꯗ ꯑꯗꯨ ꯈꯅꯒꯗꯕꯅꯤ꯫

(2) C3-C6 ꯁꯦꯒꯃꯦꯟꯇꯇꯥ ꯂꯩꯕꯥ ꯂꯦꯇꯔꯦꯜ ꯃꯥꯁ ꯁ꯭ꯛꯔꯨ ꯐꯤꯛꯁꯦꯁꯟ ꯑꯁꯤ ꯄꯦꯗꯤꯀꯜ ꯁ꯭ꯛꯔꯨ ꯐꯤꯛꯁ ꯇꯧꯕꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯂꯥꯌꯕꯥ ꯑꯃꯁꯨꯡ ꯍꯦꯟꯅꯥ ꯁꯥꯐꯕꯥ ꯑꯣꯏ꯫

(3) ꯈꯨꯠꯂꯥꯏ ꯑꯗꯨꯅꯥ ꯄꯦꯗꯤꯀꯦꯂꯒꯤ ꯃꯄꯥꯟꯊꯪꯕꯥ ꯋꯥꯜ ꯑꯗꯨꯗꯥ ꯆꯪꯁꯤꯅꯕꯥ ꯉꯃꯗꯦ, ꯅꯠꯠꯔꯕꯗꯤ ꯃꯁꯤꯅꯥ ꯃꯅꯥꯛ ꯅꯀꯄꯥ ꯅꯔꯚꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯂꯁꯤꯡꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯅꯒꯅꯤ꯫

(4) ꯁ꯭ꯛꯔꯨ ꯏꯅꯁꯥꯔꯁꯅꯒꯤ ꯑꯦꯉ꯭ꯒꯜ ꯑꯗꯨ ꯚꯔꯇꯤꯕ꯭ꯔꯦꯜ ꯑꯥꯔꯆꯀꯤ ꯑꯦꯉ꯭ꯒꯂꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯈꯦꯠꯅꯒꯗꯕꯅꯤ꯫

(5) ꯚꯔꯇꯤꯕ꯭ꯔꯦꯜ ꯕꯣꯗꯤꯒꯤ ꯃꯃꯥꯡꯗꯥ ꯀꯣꯔꯇꯤꯀꯦꯜ ꯕꯣꯟ (cortical bone)ꯗꯥ ꯆꯦꯟꯊꯔꯀꯄꯥ ꯊꯤꯡꯒꯗꯕꯅꯤ꯫

(꯶) ꯏꯟꯠꯔꯥꯑꯣꯄꯔꯦꯇꯤꯕ ꯐ꯭ꯂꯨꯑꯣꯔꯣꯁ꯭ꯀꯣꯄꯤꯅꯥ ꯚꯔꯇꯤꯕ꯭ꯔꯦꯜ ꯕꯣꯗꯤ ꯑꯃꯁꯨꯡ ꯏꯟꯇꯔꯚꯥꯔꯇꯦꯕ꯭ꯔꯦꯜ ꯁ꯭ꯄꯦꯁ ꯑꯁꯤ ꯑꯆꯨꯝꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯈꯉꯗꯣꯀꯄꯥ ꯉꯃꯒꯅꯤ, ꯑꯃꯁꯨꯡ ꯏꯟꯇꯔꯚꯥꯔꯇꯦꯕ꯭ꯔꯦꯜ ꯁ꯭ꯄꯦꯁ ꯑꯃꯁꯨꯡ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯦꯅꯦꯂꯗꯥ ꯁ꯭ꯛꯔꯨꯁꯤꯡ ꯊꯤꯡꯅꯕꯥ ꯁ꯭ꯛꯔꯨꯁꯤꯡ ꯑꯆꯨꯝꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯏꯃꯞꯂꯥꯟꯇ ꯇꯧꯕꯥ ꯉꯃꯒꯅꯤ꯫

ꯊꯣꯔꯥꯁꯤꯛ ꯑꯣꯏꯕꯥ꯫

ꯅꯤꯗꯜ ꯑꯦꯟꯠꯔꯤ ꯄꯣꯏꯟꯇ: ꯱.

1. ꯃꯥꯔꯒꯦꯜ ꯑꯃꯁꯨꯡ ꯔꯣꯌ ꯀꯦꯃꯤꯂꯅꯥ ꯇ꯭ꯔꯥꯟꯁꯕꯔꯁ ꯄ꯭ꯔꯣꯁꯦꯁꯀꯤ ꯃꯤꯗꯄꯣꯏꯟꯇꯀꯤ ꯍꯣꯔꯥꯏꯖꯣꯟꯇꯦꯜ ꯂꯥꯏꯟ ꯑꯃꯁꯨꯡ ꯁꯨꯄꯤꯔꯤꯌꯔ ꯑꯥꯔꯇꯤꯀꯨꯂꯥꯔ ꯄ꯭ꯔꯣꯁꯦꯁꯀꯤ ꯃꯄꯥꯅꯒꯤ ꯑꯦꯖꯒꯤ ꯚꯔꯇꯤꯀꯦꯜ ꯂꯥꯏꯟ ꯑꯁꯤ ꯑꯦꯟꯠꯔꯤ ꯄꯣꯏꯟꯇ ꯑꯣꯏꯅꯥ ꯂꯧꯈꯤ꯫

2. ꯏꯕ꯭ꯔꯥꯍꯦꯃꯅꯥ ꯇꯤ.꯱-ꯇꯤ.꯲ꯒꯤ ꯄꯦꯗꯤꯀꯂꯒꯤ ꯁꯦꯟꯇꯔ ꯑꯁꯤ ꯁꯨꯄꯔꯤꯌꯔ ꯑꯥꯔꯇꯤꯀꯨꯂꯥꯔ ꯄ꯭ꯔꯣꯁꯦꯁꯀꯤ ꯃꯄꯥꯟꯊꯣꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯃꯤꯃꯤ ꯷-꯸, ꯑꯃꯁꯨꯡ ꯇ꯭ꯔꯥꯟꯁꯕꯔꯁ ꯄ꯭ꯔꯣꯁꯦꯁꯀꯤ ꯃꯤꯗꯂꯥꯏꯅꯗꯥ ꯃꯤꯃꯤ ꯳-꯴ ꯂꯩ ꯍꯥꯌꯅꯥ ꯄ꯭ꯔꯄꯣꯖ ꯇꯧꯈꯤ꯫ ~꯸ꯃꯤ.ꯃꯤ.

3. ꯂꯣꯌꯔꯕꯥ ꯖꯣꯅꯒꯤ ꯃꯤꯗꯄꯣꯏꯟꯇꯀꯤ ꯃꯄꯥꯟꯗꯥ ꯃꯤꯃꯤ 3ꯒꯤ ꯚꯔꯇꯤꯀꯦꯜ ꯂꯥꯏꯟ ꯑꯃꯥ ꯁꯦꯝꯃꯨ, ꯑꯃꯁꯨꯡ ꯇ꯭ꯔꯥꯟꯁꯕꯔꯁ ꯄ꯭ꯔꯣꯁꯦꯁꯀꯤ ꯕꯦꯖꯒꯤ ꯃꯊꯛꯀꯤ 1/3ꯗꯒꯤ ꯍꯣꯔꯥꯏꯖꯣꯟꯇꯦꯜ ꯂꯥꯏꯟ ꯑꯃꯥ ꯁꯦꯝꯃꯨ, ꯑꯃꯁꯨꯡ ꯂꯥꯏꯟ ꯑꯅꯤꯗꯨꯒꯤ ꯏꯟꯇꯔꯁꯦꯛꯁꯟ ꯑꯗꯨꯅꯥ ꯅꯦꯜ ꯑꯦꯟꯠꯔꯤ ꯄꯣꯏꯟꯇ ꯑꯗꯨꯅꯤ꯫

4. ꯏꯅꯐꯦꯔꯤꯌꯔ ꯑꯥꯔꯇꯤꯀꯨꯂꯥꯔ ꯄ꯭ꯔꯣꯁꯦꯁꯀꯤ ꯂꯣꯟꯇꯤꯆꯨꯗꯅꯦꯜ ꯑꯦꯛꯁꯤꯁꯀꯤ ꯃꯤꯗꯂꯥꯏꯟ ꯑꯃꯁꯨꯡ ꯇ꯭ꯔꯥꯟꯁꯕꯔꯁ ꯄ꯭ꯔꯣꯁꯦꯁꯀꯤ ꯔꯨꯠꯀꯤ ꯃꯤꯗꯄꯣꯏꯟꯇꯀꯤ ꯍꯣꯔꯥꯏꯖꯣꯟꯇꯦꯜ ꯂꯥꯏꯅꯒꯤ ꯏꯟꯇꯔꯁꯦꯛꯁꯟꯗꯥ, ꯐꯦꯁꯦꯠꯀꯤ ꯃꯈꯥꯗꯥ ꯃꯤꯃꯤ ꯱;

5. ꯑꯔꯨꯕꯥ ꯀꯦꯁꯁꯤꯡꯗꯥ, ꯂꯦꯃꯤꯅꯥꯒꯤ ꯁꯔꯨꯛ ꯑꯃꯥ ꯂꯧꯊꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯗꯥꯏꯔꯦꯛꯇ ꯚꯤꯖꯅꯒꯤ ꯃꯈꯥꯗꯥ ꯄꯦꯗꯤꯀꯜ ꯁ꯭ꯛꯔꯨꯁꯤꯡ ꯏꯃꯞꯂꯥꯟꯇ ꯇꯧꯕꯥ ꯑꯁꯤ ꯁꯥꯐꯕꯥ ꯋꯥꯔꯦꯞ ꯑꯃꯅꯤ꯫

ꯊꯣꯔꯥꯁꯤꯛ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯏꯅꯁꯥꯔꯁꯟ ꯑꯦꯉ꯭ꯒꯜ꯫

ꯁꯦꯖꯤꯇꯦꯜ ꯄ꯭ꯂꯦꯟ : ꯄꯦꯗꯤꯀꯦꯜ ꯏꯅꯛꯂꯤꯅꯦꯁꯟ ꯑꯁꯤ T1ꯗꯒꯤ T12 ꯐꯥꯎꯕꯥ ꯍꯟꯊꯕꯥ꯫ ꯇꯤ ꯱: ꯲꯵° ꯑꯃꯁꯨꯡ ꯑꯦꯟ. ꯇꯤ ꯲: ꯲꯰° ꯑꯃꯁꯨꯡ ꯑꯦꯟ. ꯇꯤ꯳: ꯱꯵° ꯑꯃꯁꯨꯡ ꯑꯦꯟ. ꯇꯤ꯴-꯹: ꯱꯰° ꯑꯃꯁꯨꯡ ꯑꯦꯟ. ꯇꯤ꯱꯰: ꯵° ꯑꯃꯁꯨꯡ ꯵°; ꯇꯤ꯱꯱-꯱꯲: ꯰° ꯑꯣꯏ꯫

ꯑꯋꯥꯡꯕꯥ ꯊꯣꯔꯥꯁꯤꯛ ꯚꯔꯇꯤꯕ꯭ꯔꯦꯂꯒꯤ ꯄꯦꯗꯤꯀꯜ ꯁ꯭ꯛꯔꯨꯁꯤꯡ ꯑꯁꯤ ꯁꯦꯖꯤꯇꯦꯜ ꯄ꯭ꯂꯦꯅꯒꯥ ꯂꯣꯌꯅꯅꯥ 10-20°ꯒꯤ ꯏꯅꯛꯂꯤꯅꯦꯁꯟ ꯑꯦꯉ꯭ꯒꯜ ꯑꯃꯥ ꯂꯩꯒꯗꯕꯅꯤ, ꯑꯃꯁꯨꯡ ꯃꯌꯥꯏ ꯑꯣꯏꯕꯥ ꯑꯃꯁꯨꯡ ꯃꯈꯥ ꯊꯪꯕꯥ ꯊꯣꯔꯥꯁꯤꯛ ꯚꯔꯇꯤꯕ꯭ꯔꯦꯂꯁꯤꯡꯒꯤ ꯄꯦꯗꯤꯀꯜ ꯁ꯭ꯛꯔꯨꯁꯤꯡꯅꯥ ꯁꯦꯖꯤꯇꯦꯜ ꯄ꯭ꯂꯦꯅꯒꯥ 0-10°ꯒꯤ ꯏꯅꯛꯂꯤꯅꯦꯁꯟ ꯑꯦꯉ꯭ꯒꯜ ꯑꯃꯥ ꯂꯩꯒꯗꯕꯅꯤ꯫ ꯑꯦꯕ꯭ꯔꯥꯍꯦꯃꯅꯥ T1 ꯑꯃꯁꯨꯡ T2 ꯄꯦꯗꯤꯀꯜ ꯁ꯭ꯛꯔꯨꯁꯤꯡ ꯑꯁꯤ ꯁꯦꯖꯤꯇꯦꯜ ꯄ꯭ꯂꯦꯅꯒꯥ ꯂꯣꯌꯅꯅꯥ 30-40° ꯏꯅꯛꯂꯤꯅꯦꯁꯟ ꯑꯣꯏꯒꯗꯕꯅꯤ, T3-T11 ꯑꯁꯤ 20-25° ꯑꯣꯏꯒꯗꯕꯅꯤ, ꯑꯃꯁꯨꯡ T12 ꯑꯁꯤ 10° ꯑꯣꯏꯒꯗꯕꯅꯤ ꯍꯥꯌꯅꯥ ꯄ꯭ꯔꯄꯣꯖ ꯇꯧꯈꯤ꯫

ꯍꯣꯔꯥꯏꯖꯣꯟꯇꯦꯜ ꯄ꯭ꯂꯦꯟ : ꯃꯊꯛ ꯑꯃꯁꯨꯡ ꯃꯈꯥ ꯊꯪꯕꯥ ꯑꯦꯟꯗꯞꯂꯦꯠꯁꯤꯡꯒꯥ ꯃꯥꯟꯅꯕꯥ ꯑꯣꯏꯒꯗꯕꯅꯤ꯫

ꯊꯣꯔꯥꯁꯤꯛ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯁꯦꯂꯦꯛꯁꯟ ꯁ꯭ꯛꯔꯨ꯫

• T1～T5 ꯁ꯭ꯛꯔꯨ ꯗꯥꯏꯑꯦꯃꯤꯇꯔ 3.5～4.0mm ꯃꯊꯧ ꯇꯥꯏ꯫

• T6～T10 ꯑꯁꯤ 4.0—5.0mm ꯃꯊꯧ ꯇꯥꯏ꯫

• ꯇꯤ꯱꯱, ꯇꯤ꯱꯲ ꯑꯁꯤ ꯵.꯵ꯃꯤ.ꯃꯤ

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ꯑꯍꯜ ꯑꯣꯏꯔꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯒꯤ ꯑꯣꯏꯅꯗꯤ, ꯊꯣꯔꯥꯁꯤꯛ ꯄꯦꯗꯤꯀꯦꯜ ꯁ꯭ꯛꯔꯨꯒꯤ ꯗꯥꯏꯑꯦꯃꯤꯇꯔ ꯑꯁꯤ 5mmꯗꯒꯤ ꯍꯦꯜꯂꯤ, ꯑꯃꯁꯨꯡ ꯁ꯭ꯛꯔꯨ ꯁꯣꯀꯄꯒꯤ ꯔꯤꯁ꯭ꯛ ꯂꯩ꯫ ꯃꯤꯗ-ꯊꯣꯔꯥꯁꯤꯛ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗꯀꯤ ꯀꯦꯁ ꯀꯌꯥꯗꯥ, ꯃꯤꯃꯤ 5ꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯆꯥꯎꯕꯥ ꯁ꯭ꯛꯔꯨꯁꯤꯡ ꯊꯝꯕꯥ ꯉꯃꯗꯦ, ꯃꯗꯨꯅꯥ ꯄꯦꯗꯤꯀꯦꯜ ꯔꯄꯆꯔ (pedicle rupture) ꯐꯖꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫

ꯁ꯭ꯀꯣꯂꯥꯔ ꯈꯔꯅꯥ ꯄꯦꯗꯤꯀꯦꯂꯒꯤ ꯂꯦꯇꯔꯦꯜ ꯄ꯭ꯂꯦꯁꯃꯦꯟꯇ ꯑꯁꯤ ꯁꯤꯖꯤꯟꯅꯩ, ꯃꯁꯤꯅꯥ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯐꯖꯅꯥ ꯀꯣꯀꯍꯜꯂꯤ꯫ ꯄꯤꯟ ꯑꯗꯨꯗꯥ ꯆꯪꯅꯕꯥ ꯇ꯭ꯔꯥꯟꯁꯕꯔꯁ ꯄ꯭ꯔꯣꯁꯦꯁꯀꯤ ꯇꯤꯞ ꯑꯗꯨ ꯀ꯭ꯂꯤꯛ ꯇꯧ, ꯑꯃꯁꯨꯡ ꯇ꯭ꯔꯥꯟꯁꯕꯔꯁ ꯄ꯭ꯔꯣꯁꯦꯁꯀꯤ ꯃꯤꯗꯂꯥꯏꯟ ꯑꯗꯨ ꯍꯣꯔꯥꯏꯖꯣꯟꯇꯦꯜ ꯑꯣꯏ꯫ ꯑꯍꯥꯅꯕꯗꯥ ꯑꯄꯤꯀꯄꯥ ꯍꯣꯜ ꯑꯃꯥ ꯑꯣꯟꯊꯣꯀꯎ, ꯑꯃꯁꯨꯡ ꯑꯣꯜ ꯑꯗꯨꯒꯤ ꯃꯥꯌꯀꯩ ꯑꯗꯨ ꯚꯔꯇꯤꯕ꯭ꯔꯦꯂꯒꯤ ꯐꯦꯁ ꯖꯣꯅꯒꯤ ꯂꯦꯇꯔꯦꯜ ꯑꯦꯖꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯏꯟꯇꯔꯁꯦꯛꯇ ꯇꯧ꯫ ꯁꯦꯖꯤꯇꯦꯜ ꯄ꯭ꯂꯦꯅꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯑꯦꯉ꯭ꯒꯜ ꯑꯁꯤ ꯗꯤꯒ꯭ꯔꯤ 25-40 ꯑꯣꯏ, ꯑꯃꯁꯨꯡ ꯗꯤꯒ꯭ꯔꯤ ꯑꯁꯤ T12ꯗꯒꯤ ꯃꯊꯛꯇꯥ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯍꯦꯅꯒꯠꯂꯀꯏ꯫

ꯏꯅꯁꯥꯔꯁ ꯇꯧꯔꯕꯥ ꯁ꯭ꯛꯔꯨ ꯑꯗꯨꯅꯥ ꯇ꯭ꯔꯥꯟꯁꯕꯔꯁ ꯄ꯭ꯔꯣꯁꯦꯁ, ꯀꯣꯁ꯭ꯇꯣꯠꯔꯥꯟꯁꯕꯔꯁ ꯄ꯭ꯔꯣꯁꯦꯁꯀꯤ ꯁꯔꯨꯛ ꯑꯃꯥ, ꯀꯣꯁ꯭ꯇꯣꯚꯔꯇꯦꯕ꯭ꯔꯦꯜ ꯖꯣꯟ ꯑꯃꯁꯨꯡ ꯚꯔꯇꯤꯕ꯭ꯔꯦꯜ ꯕꯣꯗꯤꯒꯤ ꯂꯦꯇꯔꯦꯜ ꯋꯥꯂꯗꯥ ꯆꯠꯀꯅꯤ꯫ ꯁ꯭ꯛꯔꯨ ꯏꯅꯁꯥꯔꯁꯟ ꯔꯨꯠ ꯑꯁꯤ ꯐꯦꯁ ꯖꯣꯅꯒꯤ ꯃꯄꯥꯟꯗꯥ ꯂꯩꯕꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯦꯅꯦꯂꯗꯥ ꯆꯪꯂꯀꯄꯥ ꯌꯥꯗꯦ, ꯃꯁꯤꯅꯥ ꯍꯦꯟꯅꯥ ꯁꯥꯐꯕꯥ ꯑꯣꯏ꯫ ꯃꯁꯤꯒꯤ ꯃꯊꯛꯇꯥ, ꯏꯅꯛꯂꯤꯅꯦꯁꯟ ꯑꯦꯉ꯭ꯒꯜ ꯍꯦꯅꯒꯠꯂꯀꯄꯅꯥ ꯁ꯭ꯛꯔꯨ ꯑꯗꯨ ꯍꯦꯟꯅꯥ ꯁꯥꯡꯗꯣꯀꯍꯜꯂꯤ꯫ , ꯍꯦꯟꯅꯥ ꯂꯨꯝꯃꯤ, ꯐꯤꯛꯁꯦꯁꯅꯒꯤ ꯃꯄꯥꯉ꯭ꯒꯜ ꯍꯦꯅꯒꯠꯂꯀꯏ, ꯏꯃꯞꯂꯥꯟꯇ ꯇꯧꯕꯒꯤ ꯑꯦꯉ꯭ꯒꯜ ꯔꯦꯟꯖ ꯑꯁꯤ ꯆꯥꯎꯏ, ꯁ꯭ꯛꯔꯨꯁꯤꯡ ꯑꯁꯤ ꯂꯥꯏꯟ ꯑꯃꯗꯥ ꯊꯝꯕꯥ ꯌꯥꯏ, ꯑꯃꯁꯨꯡ ꯑꯦꯁꯦꯝꯕꯂꯤ ꯑꯁꯤ ꯍꯦꯟꯅꯥ ꯈꯨꯗꯣꯡꯆꯥꯕꯥ ꯑꯣꯏ꯫

ꯂꯝꯕꯔ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗ꯫

ꯂꯝꯕꯔ ꯑꯦꯟꯠꯔꯤ ꯄꯣꯏꯟꯇ꯫

1. ꯍꯦꯔꯤꯡꯕꯣꯟ ꯔꯤꯖꯒꯤ ꯑꯦꯄꯦꯛꯁꯇꯥ ꯅꯤꯗꯜ ꯏꯅꯁꯥꯔꯁꯟ ꯃꯦꯊꯗ (ꯁꯨꯄꯤꯔꯤꯌꯔ ꯑꯥꯔꯇꯤꯀꯨꯂꯥꯔ ꯄ꯭ꯔꯣꯁꯦꯁ ꯑꯃꯁꯨꯡ ꯏꯁ꯭ꯇꯃꯁ ꯔꯤꯖꯒꯤ ꯃꯔꯨꯃꯒꯤ ꯄꯣꯁ꯭ꯇꯦꯔꯣꯂꯦꯇꯦꯔꯦꯜ ꯁꯥꯏꯗꯇꯥ ꯂꯩꯕꯥ ꯑꯦꯛꯁꯦꯁꯔꯤ ꯄ꯭ꯔꯣꯁꯦꯁ ꯔꯤꯖꯒꯤ ꯃꯤꯐꯝ ꯄꯣꯏꯟꯇ), ꯄꯣꯖꯤꯁꯟ ꯑꯁꯤꯒꯤ ꯚꯦꯔꯤꯑꯦꯁꯟ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯅꯦꯝꯃꯤ (ꯊꯣꯀꯄꯒꯤ ꯆꯥꯡ ꯑꯁꯤ ꯹꯸%), ꯑꯃꯁꯨꯡ ꯑꯦꯛꯁꯦꯁꯔꯤ ꯄ꯭ꯔꯣꯁꯦꯁ ꯑꯁꯤ ꯄꯣꯖꯤꯁꯟ ꯇꯧꯗꯨꯅꯥ ꯆꯦꯠꯁꯤꯜꯂꯀꯏ꯫

2. ꯏꯟꯇꯔꯁꯦꯛꯁꯟ ꯃꯦꯊꯗ: ꯇ꯭ꯔꯥꯟꯁꯕꯔꯁ ꯄ꯭ꯔꯣꯁꯦꯁꯀꯤ ꯇ꯭ꯔꯥꯟꯁꯕꯔꯁ ꯑꯦꯛꯁꯤꯁꯀꯤ ꯃꯤꯗꯂꯥꯏꯟ ꯑꯃꯁꯨꯡ ꯐꯦꯁꯦꯠ ꯖꯣꯅꯒꯤ ꯃꯄꯥꯟꯗꯥ ꯂꯩꯕꯥ ꯂꯣꯟꯇꯤꯆꯨꯗꯅꯦꯜ ꯑꯦꯛꯁꯤꯁꯀꯤ ꯏꯟꯇꯔꯁꯦꯛꯁꯟ, ꯅꯠꯠꯔꯒꯥ ꯁꯨꯄꯔꯤꯌꯔ ꯑꯥꯔꯇꯤꯀꯨꯂꯥꯔ ꯄ꯭ꯔꯣꯁꯦꯁꯀꯤ ꯃꯄꯥꯟꯊꯪꯕꯥ ꯁꯔꯨꯛ,

3. ꯑꯔꯨꯕꯥ ꯀꯦꯁꯁꯤꯡꯗꯥ, ꯂꯦꯃꯤꯅꯥꯒꯤ ꯁꯔꯨꯛ ꯑꯃꯥ ꯂꯧꯊꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯗꯥꯏꯔꯦꯛꯇ ꯚꯤꯖꯅꯒꯤ ꯃꯈꯥꯗꯥ ꯄꯦꯗꯤꯀꯜ ꯁ꯭ꯛꯔꯨꯁꯤꯡ ꯏꯃꯞꯂꯥꯟꯇ ꯇꯧꯕꯥ ꯑꯁꯤ ꯁꯥꯐꯕꯥ ꯋꯥꯔꯦꯞ ꯑꯃꯅꯤ꯫

ꯂꯝꯕꯔ ꯁ꯭ꯛꯔꯨ ꯑꯦꯉ꯭ꯒꯜ꯫

• ꯁꯦꯖꯤꯇꯦꯜ ꯄ꯭ꯂꯦꯟ ꯑꯦꯉ꯭ꯒꯜ : L1-L3ꯗꯥ ꯏꯅꯚꯥꯔꯁꯟ ꯗꯤꯒ꯭ꯔꯤ 5-10 ꯂꯩ, L4-L5ꯗꯥ ꯏꯅꯚꯥꯔꯁꯟ ꯗꯤꯒ꯭ꯔꯤ 10-15 ꯂꯩ꯫

• ꯍꯣꯔꯥꯏꯖꯣꯟꯇꯦꯜ ꯄ꯭ꯂꯦꯟ ꯑꯦꯉ꯭ꯒꯜ : L1-4: ꯑꯦꯟꯗꯞꯂꯦꯇꯀꯥ ꯃꯥꯟꯅꯕꯥ; L5: ꯃꯈꯥꯗꯥ ꯂꯩꯕꯥ ꯗꯤꯒ꯭ꯔꯤ 10 (L5 ꯚꯔꯇꯤꯕ꯭ꯔꯦꯜ ꯕꯣꯗꯤ ꯕꯦꯀꯋꯥꯔꯗ)꯫

  
  

ꯂꯝꯕꯔ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯁꯦꯂꯦꯛꯁꯟ ꯁ꯭ꯛꯔꯨ꯫

• L1～L5 ꯁ꯭ꯛꯔꯨ ꯗꯥꯏꯑꯦꯃꯤꯇꯔ 6.5mm, 40-45mml ꯁ꯭ꯛꯔꯨ ꯃꯊꯧ ꯇꯥꯏ꯫

  
  

ꯁꯔꯖꯔꯤꯒꯤ ꯆꯦꯀꯁꯤꯟ ꯊꯧꯔꯥꯡꯁꯤꯡ꯫

1. ꯁꯔꯖꯔꯤꯒꯤ ꯃꯃꯥꯡꯗꯥ, ꯂꯝꯕꯔ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗꯀꯤ ꯃꯌꯦꯛ ꯁꯦꯡꯕꯥ ꯐ꯭ꯔꯟꯇꯜ ꯑꯃꯁꯨꯡ ꯂꯦꯇꯔꯦꯜ ꯚꯤꯎ ꯑꯃꯥ ꯂꯩꯒꯗꯕꯅꯤ꯫ ꯑꯦꯟꯇꯤꯔꯤꯑꯣꯔ ꯚꯤꯎꯅꯥ ꯁ꯭ꯛꯔꯨ ꯑꯗꯨꯒꯤ ꯄꯣꯖꯤꯁꯟ ꯑꯗꯨ ꯍꯣꯔꯥꯏꯖꯣꯟꯇꯦꯜ ꯗꯤꯔꯦꯛꯁꯟꯗꯥ ꯎꯠꯂꯤ, ꯑꯃꯁꯨꯡ ꯂꯦꯇꯔꯦꯜ ꯚꯤꯎ ꯑꯗꯨꯅꯥ ꯁ꯭ꯛꯔꯨ ꯑꯗꯨꯒꯤ ꯄꯣꯖꯤꯁꯟ ꯑꯗꯨ ꯚꯔꯇꯤꯀꯦꯜ ꯑꯣꯏꯕꯥ ꯄꯣꯖꯤꯁꯟꯗꯥ ꯇꯥꯀꯄꯥ ꯌꯥꯏ꯫

2. ꯑꯦꯟꯠꯔꯤ ꯄꯣꯏꯟꯇ ꯑꯗꯨ ꯑꯆꯨꯝꯕꯥ ꯑꯃꯁꯨꯡ ꯃꯇꯤꯛ ꯆꯥꯅꯥ ꯆꯥꯎꯊꯣꯀꯍꯅꯒꯗꯕꯅꯤ, ꯑꯃꯁꯨꯡ ꯑꯦꯉ꯭ꯀꯔ ꯄꯣꯏꯟꯇ ꯑꯗꯨꯗꯥ ꯂꯩꯕꯥ ꯀꯣꯔꯇꯤꯀꯦꯜ ꯕꯣꯟ ꯑꯗꯨ ꯇ꯭ꯔꯤꯑꯦꯉ꯭ꯒꯨꯂꯥꯔ ꯄꯤꯔꯥꯃꯤꯗ ꯅꯠꯠꯔꯒꯥ ꯔꯣꯡꯒꯦꯔ ꯑꯗꯨ ꯍꯥꯡꯗꯣꯀꯄꯅꯥ ꯂꯧꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫

3. ꯖꯦꯅꯦꯔꯦꯜ ꯗꯤꯔꯦꯛꯁꯟ ꯑꯗꯨ ꯂꯦꯄꯊꯣꯛꯂꯕꯥ ꯃꯇꯨꯡꯗꯥ, ꯁꯔꯛꯌꯨꯏꯠ ꯑꯗꯨ ꯆꯦꯀꯁꯤꯟꯅꯥ ꯍꯥꯡꯗꯣꯛꯅꯕꯥ ꯃꯇꯤꯛ ꯆꯥꯕꯥ ꯐꯣꯔꯁ ꯁꯤꯖꯤꯟꯅꯧ꯫ ꯕ꯭ꯂꯟꯇ-ꯇꯤꯞ ꯄ꯭ꯔꯣꯕ ꯑꯗꯨꯅꯥ ꯅꯤꯗꯜ ꯏꯅꯁꯥꯔꯁ ꯇꯧꯕꯥ ꯃꯇꯃꯗꯥ ꯃꯌꯦꯛ ꯁꯦꯡꯕꯥ ꯔꯦꯁꯤꯁ꯭ꯇꯦꯟꯁ ꯑꯃꯥ ꯊꯦꯡꯅꯔꯣꯏꯗꯕꯅꯤ꯫ 'ꯐꯦꯜ' ꯅꯠꯔꯒꯥ ꯈꯉꯍꯧꯗꯅꯥ ꯂꯥꯟꯊꯦꯡꯅꯕꯒꯤ ꯋꯥꯈꯜꯂꯣꯟ ꯂꯩꯔꯣꯏꯗꯕꯅꯤ꯫ ꯑꯍꯥꯅꯕꯥ 5~15mmꯗꯥ ꯔꯦꯁꯤꯁ꯭ꯇꯦꯟꯁ ꯊꯦꯡꯅꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯃꯁꯤ ꯃꯇꯝ ꯆꯥꯅꯥ ꯑꯣꯏꯒꯗꯕꯅꯤ꯫ ꯅꯤꯗꯜ ꯑꯦꯟꯠꯔꯤ ꯄꯣꯏꯟꯇ ꯑꯃꯁꯨꯡ ꯑꯦꯉ꯭ꯒꯜ ꯑꯗꯨ ꯑꯦꯗꯖꯁ꯭ꯠ ꯇꯧ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯀꯅꯕꯥ ꯔꯦꯁꯤꯁ꯭ꯇꯦꯟꯁ ꯊꯦꯡꯅꯔꯕꯗꯤ, ꯑꯍꯥꯅꯕꯗꯥ ꯊꯣꯛꯂꯛꯇꯨꯅꯥ ꯆꯪꯒꯗꯕꯥ ꯃꯥꯌꯀꯩ ꯑꯗꯨ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯈꯅꯕꯗꯥ ꯔꯦꯀꯃꯦꯟꯗ ꯇꯧꯏ꯫ ꯄꯦꯗꯤꯀꯦꯂꯒꯤ ꯃꯥꯌꯀꯩ ꯑꯗꯨ ꯁꯣꯌꯗꯅꯥ ꯏꯅꯒꯗꯕꯅꯤ꯫ ꯄꯦꯗꯤꯀꯦꯂꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯂꯩꯕꯥ ꯁꯔꯨꯛ ꯑꯁꯤ ꯀꯦꯟꯁꯦꯜ ꯕꯣꯟꯅꯤ ꯑꯃꯁꯨꯡ ꯃꯄꯥꯟꯊꯪꯕꯥ ꯁꯔꯨꯛ ꯑꯁꯤ ꯀꯣꯔꯇꯤꯀꯦꯜ ꯕꯣꯟꯅꯤ, ꯃꯁꯤꯅꯥ ꯑꯦꯟꯠꯔꯤ ꯄꯣꯏꯟꯇ ꯑꯗꯨ ꯑꯆꯨꯝꯕꯥ ꯑꯃꯁꯨꯡ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯆꯥꯎꯈꯠꯍꯅꯕꯥ ꯌꯥꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯃꯁꯥ ꯃꯊꯟꯇꯥ ꯂꯃꯖꯤꯡꯕꯤꯕꯥ ꯌꯥꯏ; ꯃꯤꯗꯂꯥꯏꯅꯗꯥ 10-15° ꯐꯥꯎꯕꯥ ꯂꯦꯡꯗꯅꯥ ꯂꯩꯌꯨ, ꯚꯔꯇꯤꯕ꯭ꯔꯦꯜ ꯕꯣꯗꯤꯒꯤ ꯃꯊꯛ ꯊꯪꯕꯥ ꯁꯔꯨꯛ ꯑꯗꯨꯒꯥ ꯃꯥꯟꯅꯕꯥ ꯄ꯭ꯂꯦꯟ ꯑꯗꯨꯗꯥ ꯄꯨꯛꯅꯤꯡ ꯆꯪꯎ ꯑꯃꯁꯨꯡ ꯆꯥꯎꯔꯥꯛꯅꯥ ꯁꯦꯟꯇꯤꯃꯤꯇꯔ 3 ꯐꯥꯎꯕꯒꯤ ꯑꯔꯨꯝꯕꯥ ꯑꯗꯨ ꯂꯧꯊꯣꯀꯎ꯫ ꯐꯤꯜ ꯑꯁꯤ ꯃꯔꯨꯑꯣꯏ꯫

꯴.ꯋꯥꯜ ꯃꯔꯤ, ꯃꯔꯨꯑꯣꯏꯅꯥ ꯃꯅꯨꯡꯒꯤ, ꯃꯈꯥꯒꯤ ꯑꯃꯁꯨꯡ ꯃꯈꯥꯒꯤ ꯋꯥꯂꯁꯤꯡ ꯑꯁꯤ ꯊꯤꯖꯤꯟꯅꯕꯥ ꯄꯦꯗꯤꯀꯜ ꯄ꯭ꯔꯣꯕ ꯁꯤꯖꯤꯟꯅꯕꯥ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫

5. ꯂꯣꯌꯔꯕꯥ ꯊꯣꯔꯥꯁꯤꯛ ꯑꯃꯁꯨꯡ ꯂꯝꯕꯔ ꯚꯔꯇꯤꯕ꯭ꯔꯦꯂꯒꯤ ꯃꯔꯛꯇꯥ ꯂꯩꯕꯥ ꯑꯦꯅꯥꯇꯣꯃꯤꯛ ꯑꯣꯏꯕꯥ ꯈꯦꯠꯅꯕꯥ ꯑꯗꯨ ꯃꯌꯦꯛ ꯁꯦꯡꯗꯕꯥ ꯃꯇꯃꯗꯥ, ꯑꯦꯛꯁꯦꯁꯔꯤ ꯄ꯭ꯔꯣꯁꯦꯁ ꯑꯃꯁꯨꯡ ꯂꯣꯌꯔꯕꯥ ꯑꯥꯔꯇꯤꯀꯨꯂꯥꯔ ꯄ꯭ꯔꯣꯁꯦꯁ ꯑꯗꯨ ꯊꯤꯡꯖꯤꯜꯂꯨ, ꯑꯃꯁꯨꯡ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯃꯊꯛꯀꯤ ꯑꯥꯔꯇꯤꯀꯨꯂꯥꯔ ꯄ꯭ꯔꯣꯁꯦꯁ ꯑꯗꯨ ꯁꯔꯨꯛ ꯈꯔꯗꯤ ꯊꯤꯡꯖꯤꯜꯂꯨ, ꯑꯃꯁꯨꯡ ꯄꯦꯗꯤꯛꯂꯒꯤ ꯃꯅꯨꯡꯒꯤ ꯋꯥꯜ ꯑꯃꯁꯨꯡ ꯄꯦꯗꯤꯛꯂꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯍꯀꯊꯦꯡꯅꯅꯥ ꯌꯦꯡꯎ꯫

6. ꯃꯅꯨꯡꯗꯥ ꯆꯠꯄꯗꯒꯤ ꯃꯄꯥꯟꯗꯥ ꯊꯣꯀꯄꯥ ꯍꯦꯟꯅꯥ ꯐꯩ, ꯃꯊꯛꯇꯥ ꯆꯠꯂꯨ ꯑꯃꯁꯨꯡ ꯆꯠꯂꯣꯏꯗꯕꯅꯤ; ꯔꯣꯇꯦꯁꯟ ꯑꯁꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯋꯥꯐꯃꯅꯤ, ꯑꯃꯁꯨꯡ ꯐꯣꯔꯋꯥꯔꯗ ꯑꯁꯤ ꯁꯞꯂꯤꯃꯦꯟꯇꯅꯤ; ꯑꯦꯗꯚꯥꯟꯁ ꯇꯧꯕꯥ ꯑꯃꯁꯨꯡ ꯄ꯭ꯔꯣꯕꯤꯡ ꯇꯧꯕꯥ ꯃꯇꯃꯗꯥ, ꯅꯍꯥꯛꯅꯥ ꯀꯟꯅꯥ ꯎꯕꯥ ꯃꯇꯃꯗꯥ ꯊꯤꯡꯖꯤꯜꯂꯨ, ꯃꯇꯃꯗꯥ ꯑꯦꯗꯖꯁ꯭ꯠ ꯇꯧ, ꯐꯤꯉ꯭ꯒꯔ ꯐꯣꯔꯁ ꯈꯛꯇꯃꯛ ꯁꯤꯖꯤꯟꯅꯧ, ꯐꯣꯔꯁ ꯑꯣꯏꯅꯥ ꯇꯩꯁꯤꯜꯂꯣꯏꯗꯕꯅꯤ꯫

7. ꯁ꯭ꯛꯔꯨꯒꯤ ꯗꯥꯏꯑꯦꯃꯤꯇꯔ ꯑꯁꯤ ꯄꯦꯗꯤꯀꯦꯂꯒꯤ ꯃꯄꯥꯟꯊꯪꯕꯥ ꯀꯣꯔꯇꯦꯛꯁꯀꯤ ꯗꯥꯏꯑꯦꯃꯤꯇꯔꯒꯤ 83%ꯗꯒꯤ ꯍꯦꯜꯂꯣꯏꯗꯕꯅꯤ꯫

ꯑꯣꯔꯊꯣꯄꯦꯗꯤꯛ ꯏꯃꯞꯂꯥꯟꯇ ꯑꯃꯁꯨꯡ ꯑꯣꯔꯊꯣꯄꯦꯗꯤꯛ ꯏꯅꯁ꯭ꯠꯔꯨꯃꯦꯟꯇꯁꯤꯡ ꯀꯔꯝꯅꯥ ꯂꯧꯒꯅꯤ?

ꯃꯔꯃꯗꯤ... ꯁꯤ.ꯖꯦ.ꯑꯦꯝ.ꯗꯤ.ꯇꯦꯛ , ꯑꯩꯈꯣꯌꯅꯥ ꯑꯣꯔꯊꯣꯄꯦꯗꯤꯛ ꯁꯔꯖꯔꯤ ꯏꯃꯞꯂꯥꯟꯇꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯃꯔꯤ ꯂꯩꯅꯕꯥ ꯏꯅꯁ꯭ꯠꯔꯨꯃꯦꯟꯇꯁꯤꯡꯒꯤ ꯌꯥꯝꯅꯥ ꯃꯄꯨꯡ ꯐꯥꯕꯥ ꯄ꯭ꯔꯗꯛꯇ ꯂꯥꯏꯟ ꯑꯃꯥ ꯂꯩꯔꯤ, ꯃꯗꯨꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯄꯣꯠꯊꯣꯀꯁꯤꯡ ꯌꯥꯑꯣꯔꯤ꯫ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯏꯃꯞꯂꯥꯟꯇ ꯇꯧꯕꯥ꯫, ꯏꯟꯠꯔꯥꯃꯦꯗꯨꯂꯦꯔꯤ ꯅꯦꯂꯁꯤꯡ꯫, ꯇ꯭ꯔꯥꯎꯃꯥ ꯄ꯭ꯂꯦꯠ꯫, ꯂꯣꯀꯤꯡ ꯄ꯭ꯂꯦꯠ꯫, ꯀ꯭ꯔꯦꯅꯤꯑꯦꯜ-ꯃꯦꯛꯁꯤꯂꯣꯐꯦꯁꯤꯑꯦꯜ ꯑꯣꯏꯕꯥ꯫, ꯄ꯭ꯔꯣꯁ꯭ꯊꯦꯁꯤꯁ ꯇꯧꯕꯥ꯫, ꯄꯥꯋꯔ ꯇꯨꯂꯁꯤꯡ꯫, ꯃꯄꯥꯅꯒꯤ ꯐꯤꯛꯁꯇꯔꯁꯤꯡ꯫, ꯑꯥꯔꯇꯔꯣꯁ꯭ꯀꯣꯄꯤ ꯇꯧꯕꯥ꯫, ꯚꯦꯇꯦꯔꯤꯅꯥꯔꯤ ꯀꯦꯌꯔ ꯑꯃꯁꯨꯡ ꯃꯈꯣꯌꯒꯤ ꯁꯄꯣꯔꯇꯤꯡ ꯏꯅꯁ꯭ꯠꯔꯨꯃꯦꯟꯇ ꯁꯦꯠꯁꯤꯡ꯫

ꯃꯁꯤꯒꯤ ꯃꯊꯛꯇꯥ, ꯑꯩꯈꯣꯌꯅꯥ ꯂꯦꯞꯇꯅꯥ ꯑꯅꯧꯕꯥ ꯄꯣꯠꯊꯣꯀꯁꯤꯡ ꯄꯨꯊꯣꯛꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯄꯣꯠꯊꯣꯛ ꯂꯥꯏꯅꯁꯤꯡ ꯄꯥꯀꯊꯣꯛ ꯆꯥꯎꯊꯣꯀꯍꯟꯅꯕꯥ ꯋꯥꯁꯛꯂꯤ, ꯃꯗꯨꯅꯥ ꯗꯣꯛꯇꯔ ꯑꯃꯁꯨꯡ ꯑꯅꯥꯕꯥ ꯀꯌꯥꯒꯤ ꯁꯔꯖꯤꯀꯦꯂꯒꯤ ꯃꯊꯧ ꯇꯥꯕꯁꯤꯡ ꯑꯗꯨ ꯐꯪꯍꯅꯒꯅꯤ, ꯑꯃꯁꯨꯡ ꯃꯁꯤꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯀꯝꯄꯦꯅꯤ ꯑꯁꯤ ꯃꯥꯂꯦꯃꯒꯤ ꯑꯣꯔꯊꯣꯄꯦꯗꯤꯛ ꯏꯃꯞꯂꯥꯟꯇ ꯑꯃꯁꯨꯡ ꯏꯅꯁ꯭ꯠꯔꯨꯃꯦꯟꯇ ꯏꯟꯗꯁ꯭ꯠꯔꯤ ꯄꯨꯝꯅꯃꯛꯇꯥ ꯍꯦꯟꯅꯥ ꯀꯝꯄꯤꯇꯤꯇꯤꯕ ꯑꯣꯏꯍꯅꯒꯅꯤ꯫

ꯑꯩꯈꯣꯌꯅꯥ ꯃꯥꯂꯦꯝ ꯁꯤꯅꯕꯥ ꯊꯨꯡꯅꯥ ꯑꯦꯛꯁꯄꯣꯔꯠ ꯇꯧꯏ, ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯑꯗꯣꯝꯅꯥ ꯇꯧꯕꯥ ꯉꯃꯒꯅꯤ꯫ ꯀꯟꯇꯦꯛꯇ ꯇꯧꯕꯤꯌꯨ , ꯅꯠꯔꯒꯥ ꯊꯨꯅꯥ ꯄꯥꯎꯈꯨꯝ ꯄꯤꯅꯕꯒꯤꯗꯃꯛ ꯋꯥꯇꯁꯑꯦꯄꯇꯥ ꯄꯥꯎ ꯊꯥꯕꯤꯌꯨ +86- 18112515727 . ꯐ꯭ꯔꯤ ꯀꯣꯠꯀꯤꯗꯃꯛ ꯏꯃꯦꯜ ꯑꯦꯗ꯭ꯔꯦꯁ song@orthopedic-china.com 18112515727

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯍꯦꯅꯕꯥ ꯏꯅꯐꯣꯔꯃꯦꯁꯟ ꯈꯪꯅꯤꯡꯂꯕꯗꯤ,ꯀ꯭ꯂꯤꯛ ꯇꯧꯔꯣ꯫ CZMEDITECH . ꯑꯍꯦꯅꯕꯥ ꯑꯀꯨꯞꯄꯥ ꯃꯔꯣꯂꯁꯤꯡ ꯐꯪꯅꯕꯒꯤꯗꯃꯛ