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ـﻫ١٤٣٠ ﺔﻴﻧﺎﺜﻟﺍ ﻯﺩﺎﻤﺟ ــ ﻝﻭﻷﺍ ﻊﻴﺑﺭ (٣٠ــ٢٩) ﻥﺍﺩﺪﻌﻟﺍ
ÍÃMI¹Ä
١٠٦
ﺾﻌﺒﻟﺍﻭ ﻦﺴﻟﺍ ﺍﺬﻬﻟ ﺔﺒﺣﺎﺼﻤﻟﺍ ﺕﺍﺮﻴﻐﺘﻟﺍ ﻦﻣ
ﻑﺮﻌﺘﻠﻟ ﺐﻴﺒﻄﻠﻟ ﺐﻫﺬﻳ (ﺢﺻﻷﺍ ﻮﻫﻭ) ﺮﺧﻵﺍ
.ﺎﻬﺟﻼﻋ ﺔﻴﻔﻴﻛﻭ ﺔﻠﻜــﺸﻤﻟﺍ ﻩﺬﻫ ﺏﺎﺒﺳﺃ ﻰﻠﻋ
ﺎﻬﻤﺠﺣ ﻲﻓ ﺓﺩﺎﻳﺰﻟﺍ ﻲﻓ ﺕﺎﺘﺳﻭﺮﺒﻟﺍ ﺓﺪﻏ ﺃﺪﺒﺗ
ﺮﺧﺁ ﻰﻟﺇ ﻞــﺟﺭ ﻦﻣ ﺓﺩﺎﻳﺰﻟﺍ ﻩﺬــﻫ ﺕﻭﺎــﻔﺘﺗﻭ
ﻂﻐﺿ ﻙﺎﻨﻫ ﺙﺪــﺤﻳ ﺓﺩﺎﻳﺰﻟﺍ ﻩﺬــﻫ ﺔــﺠﻴﺘﻧﻭ
ﻦﻣ ﺔﻠﻤﺟ ﺐﺒــﺴﻳ ﺎﻤﻣ ﺔــﻴﻟﻮﺒﻟﺍ ﺓﺎــﻨﻘﻟﺍ ﻰــﻠﻋ
ﻲﻓ ﺾﻳﺮﻤﻟﺍ ﺎــﻬﻨﻣ ﻲﻜﺘــﺸﻳ ﻲﺘﻟﺍ ﺽﺍﺮﻋﻷﺍ
ﻙﺎﻨﻫ ﻥﺃ ﺮــﻛﺬﻟﺎﺑ ﺮﻳﺪﺠﻟﺍ .ﻦــﺴﻟﺍ ﺍﺬﻫ ﻞﺜﻣ
ﻲﻓ ﺓﺮﻴﺒﻛ ﺓﺩﺎﻳﺯ ﻢﻬﻳﺪﻟ ﻦــﻳﺬﻟﺍ ﻝﺎﺟﺮﻟﺍ ﺾﻌﺑ
ﺽﺍﺮﻋﺃ ﺎﻬﺒﺣﺎﺼﻳ ﻻ ﻦﻜﻟﻭ ﺕﺎﺘﺳﻭﺮﺒﻟﺍ ﻢﺠﺣ
ﻥﺃ ﻰﻨﻌﻤﺑ ﺢــﻴﺤﺻ ً
ﺎﻀﻳﺃ ﺲــﻜﻌﻟﺍﻭ ﺔــﺠﻋﺰﻣ
ﻲﻓ ﺔﻄﻴﺴﺑ ﺓﺩﺎﻳﺯ ﻢﻬﻳﺪﻟ ﻝﺎﺟﺮﻟﺍ ﺾﻌﺑ ﻙﺎﻨﻫ
ﺎﻬﺒﺣﺎﺼﻳ ﻚﻟﺫ ﻊــﻣ ﻦﻜﻟﻭ ﺕﺎﺘــﺳﻭﺮﺒﻟﺍ ﻢﺠﺣ
.ﺔﺠﻋﺰﻣﻭ ﺓﺮﻴﺜﻛ ﺽﺍﺮﻋﺃ
ﺾﻳﺮﻤﻟﺍ ﻖﻠﻗ ﺮﻴﺜﻳ ﺎﻣ ﺓﺩﺎﻋ ﻱﺬﻟﺍ ﻝﺍﺆﺴﻟﺍﻭ
ﻮﻫ ﺕﺎﺘﺳﻭﺮﺒﻟﺍ ﺓﺪﻏ ﻲﻓ ﻢﺨﻀﺘﻟﺍ ﻥﺃ ﻞﻫ ﻮﻫ
:ﺏﺍﻮﺠﻟﺍﻭ ؟ﺔﺜﻴﺒﺨﻟﺍ ﻡﺍﺭﻭﻷﺍ ﻉﺍﻮــﻧﺃ ﻦﻣ ﻉﻮــﻧ
ﺕﺎﺘــﺳﻭﺮﺒﻟﺍ ﺓﺪﻏ ﻢﺨﻀﺗ ﻰﻤــﺴﻳ ﻚﻟﺬﻟ ،ﻻ
ﻻﻭ ﺚﻴﺒﺧ ﻡﺭﻮﺑ ﺲﻴﻟ ﻮﻬﻓ ﺪﻴﻤﺤﻟﺍ ﻢﺨﻀﺘﻟﺎﺑ
ﻡﺍﺭﻭﻷﺍ ﻖﺒﺴﺗ ﻲﺘﻟﺍ ﺽﺍﺮﻣﻷﺍ ﻦﻣ ً
ﺎﻀﻳﺃ ﺮﺒﺘﻌﻳ
ﻖﻠﻘﻠﻟ ﻲــﻋﺍﺩ ﻻ ﻚﻟﺬﻟﻭ ﺎﻬﺒﺒــﺴﺗ ﻭﺃ ﺔــﺜﻴﺒﺨﻟﺍ
ً
ﺍﺪﻴﻤﺣ ً
ﺎــﻤﺨﻀﺗ ﻪﻳﺪﻟ ﻥﺃ ﻞﺟﺮﻟﺍ ﻢــﻠﻌﻳ ﻦﻴﺣ
ﺐﻴﺒﻃ ﺔــﻌﺑﺎﺘﻣ ﻪــﻣﺰﻠﻳ ﻦــﻜﻟﻭ ﺕﺎﺘــﺳﻭﺮﺒﻟﺎﺑ
ﻢﺨﻀﺗ ﺽﺍﺮــﻋﺃ ﺝﻼﻌﻟ ﺔــﻴﻟﻮﺒﻟﺍ ﻚﻟﺎــﺴﻤﻟﺍ
ﻥﺇ ﺔﻴﻠﺒﻘﺘﺴﻤﻟﺍ ﻪﺗﺎﻔﻋﺎﻀﻣ ﻊﻨﻣﻭ ﺕﺎﺘــﺳﻭﺮﺒﻟﺍ
.ﷲﺍ ﺀﺎﺷ
ﺪــﻴﻤﺤﻟﺍ ﻢــﺨﻀﺘﻟﺍ ﻦــﻴﺑ ﺰــﻴﻴﻤﺘﻟﺍ ﻢــﺘﻳ
ﻖﻳﺮﻃ ﻦــﻋ ﺎــﻬﻨﻣ ﺚــﻴﺒﺨﻟﺍﻭ ﺕﺎﺘــﺳﻭﺮﺒﻠﻟ
ﻚﻟﺎــﺴﻤﻟﺍ ﺐﻴﺒﻃ ﺎﻬﻳﺮﺠﻳ ﻲﺘﻟﺍ ﺕﺎــﺻﻮﺤﻔﻟﺍ
ﻢﺨﻀﺗ ﻪﻳﺪﻟ ﺾــﻳﺮﻤﻟﺍ ﻥﺎﻛ ﺍﺫﺇ ﺎــﻣ ﺔــﻓﺮﻌﻤﻟ
:ﻲﻠﻳ ﺎﻤﻛﻭ ﺚﻴﺒﺧ ﻡﺭﻭ ﻭﺃ ﺪﻴﻤﺣ
ﺚﻴﺣ ﺕﺎﺘﺳﻭﺮﺒﻟﺍ ﺓﺪﻐﻟ ﻱﺮﻳﺮﺳﺺﺤﻓ ـ١
ﻢﺨﻀﺘﻟﺍ ﺕﺍﺫ ﺕﺎﺘــﺳﻭﺮﺒﻟﺍ ﺲــﻤﻠﻣ ﺰــﻴﻤﺘﻳ
ﺚﻴﺒﺨﻟﺍ ﻡﺭﻮﻟﺍ ﺕﺍﺫ ﺕﺎﺘﺳﻭﺮﺒﻟﺍ ﻦﻋ ﺪﻴﻤﺤﻟﺍ
ﺮﻴﻏﻭ ﻖﻴﻗﺩ ﺮﻴﻏ ﻩﺩﺮﻔﻤﺑ ﺺﺤﻔﻟﺍ ﺍﺬﻫ ﻦﻜﻟﻭ
ﻡﺭﻮﻟﺍﻭ ﺪﻴﻤﺤﻟﺍ ﻢــﺨﻀﺘﻟﺍ ﻦﻴﺑ ﺰﻴﻴﻤﺘﻠﻟ ﻑﺎﻛ
.ﺚﻴﺒﺨﻟﺍ
ﺓﺪﻏ ﻦﻣ ﺯﺮــﻔﺗ ﺓﺩﺎــﻤﻟ ﻡﺪــﻟﺍ ﺺــﺤﻓ ـ٢
PSA Prostate) ﻰﻤــﺴﺗ ﺕﺎﺘــﺳﻭﺮﺒﻟﺍ
ﻯﻮﺘــﺴﻣ ﺪــﻳﺰﻳﻭ ( Specific Antigen
ﻦﻴﺑﺎﺼﻤﻟﺍ ﻰﺿﺮﻤﻟﺍ ﺪــﻨﻋ ً
ﺍﺮﻴﺜﻛ ﺓﺩﺎﻤﻟﺍ ﻩﺬﻫ
.ﺔﺜﻴﺒﺨﻟﺍ ﻡﺍﺭﻭﻷﺎﺑ
ﻞﻤﻋ ﻢــﻬﻤﻟﺍ ﻦــﻣ ﻥﺃ ﺮــﻛﺬﻟﺎﺑ ﺮــﻳﺪﺠﻟﺍ
ﻞﻜﻟ ﺎﻤﻫﺪﺣﺃ ﺲــﻴﻟﻭ ﻦﻴﻘﺑﺎــﺴﻟﺍ ﻦــﻴﺼﺤﻔﻟﺍ
ﻡﺭﻭ ﺀﺎﻨﺜﺘــﺳﺍ ﻊﻴﻄﺘــﺴﻧ ﻰــﺘﺣ ﻰــﺿﺮﻤﻟﺍ
. ً
ﺎﻴﺒﺴﻧ ﺔﻘﻴﻗﺩ ﺓﺭﻮﺼﺑ ﺕﺎﺘﺳﻭﺮﺒﻟﺍ
ﺕﺎﺘﺳﻭﺮﺒﻟﺍ ﻢﺨﻀﺗ ﺽﺍﺮﻋﺃ
.ﻝﻮﺒﻟﺍ ﻖﻓﺪﺗ ﻒﻌﺿ ـ١
.ﻡﻮﻴﻟﺍ ﻲﻓ ﻝ ّ
ﻮﺒﺘﻟﺍ ﺕﺍﺮﻣ ﺩﺪﻋ ﺓﺩﺎﻳﺯ ـ٢
. ً
ﻼﻴﻟ ﻝ ّ
ﻮﺒﺘﻟﺍ ﺕﺍﺮﻣ ﺩﺪﻋ ﺓﺩﺎﻳﺯ ـ٣
ﻞﻣﺎﻜﻟﺍ ﺔﻧﺎﺜﻤﻟﺍ ﻍﺍﺮﻓﺇ ﻡﺪﻌﺑ ﺱﺎــﺴﺣﺇ ـ٤
.ﻝ ّ
ﻮﺒﺘﻟﺍ ﺪﻌﺑ
ﺱﺎــﺴﺣﻹﺍ ﺪــﻌﺑ ﺭﺎــﻈﺘﻧﻻﺍ ﺔــﺑﻮﻌﺻ ـ٥
.ﻝ ّ
ﻮﺒﺘﻟﺍ ﻲﻓ ﺔﺒﻏﺮﻟﺍﻭ ﺔﻧﺎﺜﻤﻟﺍ ﺀﻼﺘﻣﺎﺑ
ﺕﺍﺬﻟﺎﺑﻭ ﻝﻮــﺒﻟﺍ ﺝﻭﺮﺧ ﺔﻳﺍﺪﺑ ﺮــﺧﺄﺗ ـ٦
. ً
ﺎﺣﺎﺒﺻ
ﺽﺍﺮﻋﻷﺍ ﻩﺬــﻫ ﺓﺪــﺷ ﺔــﺟﺭﺩ ﺕﻭﺎــﻔﺘﺗ
ﺐﻴﺒﻃ ﻡﻮﻘﻳ ﻚــﻟﺬﻟﻭ ﺮﺧﺁ ﻰــﻟﺇ ﺾﻳﺮﻣ ﻦــﻣ
ﻩﺬﻫ ﺓﺪــﺷ ﺔﺟﺭﺩ ﺪﻳﺪﺤﺘﺑ ﺔﻴﻟﻮﺒﻟﺍ ﻚﻟﺎــﺴﻤﻟﺍ
.ﺽﺍﺮﻋﻷﺍ
؟ﺮﻃﺎﺨﻤﻟﺍ ﻲﻫ ﺎﻣ
ﺪﺣ ﻲﻓ ﺕﺎﺘــﺳﻭﺮﺒﻟﺍ ﻢــﺨﻀﺗ ﻞﻜــﺸﻳ ﻻ
ﺔﺛﻼﺛ ﻙﺎﻨﻫ ﻦﻜﻟﻭ ،ﺓﺮﻄﺧ ﺔﻴﺿﺮﻣ ﺔﻟﺎﺣ ﻪﺗﺍﺫ
:ﺔﻴﺴﻴﺋﺭ ﺮﻃﺎﺨﻣ
ﺔﻠﻣﺎﻛ ﺓﺭﻮﺼﺑﻭ ً
ﺍﺪــﺑﺃ ﻍﺮﻔﺗ ﻢــﻟ ﺍﺫﺇ :
ً
ﻻﻭﺃ
ﻞﻤﺘﺤﻤﻟﺍ ﻦﻤﻓ ،ﻝﻮﺒﻟﺍ ﻦﻣ ﺔﻧﺎﺜﻤﻟﺍ ﺕﺎــﻳﻮﺘﺤﻣ
ﺎﻬﻴﻓ ﺪﻛﺍﺮﻟﺍ ﻝﻮﺒﻟﺍ ﺐﺒﺴﺑ ﺺﺨﺸﻟﺍ ﺏﺎﺼﻳ ﻥﺃ