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1أهمية التغذية والنشاط البدني خلال وبعد الإصابة بمرض سرطان 22
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1أهمية التغذية والنشاط البدني خلال وبعد الإصابة بمرض سرطان 22

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  • 1. ْ‫عشؽج‬ ‫دّشع‬ ‫ثإلطجدز‬ ‫ٚدؼذ‬ ‫خالي‬ ٟٔ‫ثٌذذ‬ ‫ٚثٌٕشجؽ‬ ‫ثٌضغز٠ز‬ ‫أّ٘١ز‬: ‫ٚأؽٛدضٙج‬ ‫ثٌّؼضجدر‬ ‫ٚأعتٍز‬ ‫أؽٛدز‬ ‫ٚثألِشثع‬ ‫ثٌغزثء‬ ‫وضجح‬ ِٓ(3) ‫ثٌشش٠ه‬ ‫٠ٛعف‬ ‫ثٌذوضٛس‬ ‫صأٌ١ف‬ Dr. Yousef Elshrek ‫ثٌضغز٠ز‬–ٟ٘‫٠قضجؽٙج‬ ٟ‫ثٌض‬ ‫دجٌّغز٠جس‬ ُ‫ثٌؾغ‬ ‫إِذثد‬–‫ثٌٕشجؽ‬ ‫ِّجسعز‬ ‫دؾجٔخ‬ ،‫ثألفشثد‬ ‫ٌؾّ١غ‬ ‫ِّٙز‬ ٟ٘ٚ ‫ثٌّطٍٛح‬ ٟ‫ثٌظق‬ ْ‫دجٌٛص‬ ‫ٚثالفضفجظ‬ ،‫ثٌش٠جػز‬ ّٕٗ‫ػ‬ ِٓٚ ، ِٟٛ١ٌ‫ث‬ ٟٔ‫ثٌذذ‬،‫ثٌغزثء‬ ٍٝ‫ػ‬ ‫ثٌقظٛي‬ ‫ِغ‬ ٟ‫ٚثٌىجف‬ ٟ‫ٚثٌظق‬ ْ‫ثٌّضٛثص‬،،‫ٌٍشخض‬ ‫ثٌظق١ز‬ ‫ٚثٌقجٌز‬ ٟٔ‫ثٌذذ‬ ‫ٚثٌٕشجؽ‬ ‫ٚثٌطٛي‬ ‫ثٌؼّش‬ ‫فغخ‬ ٍٝ‫ػ‬ ‫ٚطق١ج‬ ‫لٛ٠ج‬ ٖ‫ٚدمجء‬ ُ‫ثٌؾغ‬ ‫ٌّغجػذر‬،َ‫فجال٘ضّج‬ ٗ١ٍ‫ٚػ‬ ،ٞ‫ثٌغذ‬ ْ‫عشؽج‬ ‫ِشع‬ ً‫ِغ‬ ، ‫ٌألِشثع‬ ‫ِٚمجِٚج‬ ‫دجٌغزثء‬،‫ثٌطشق‬ ‫أٔؾـ‬ ِٓ ‫٠ؼضذش‬ ‫ثٌّشع‬ ‫ٚدؼذ‬ ‫ٚأعٕجء‬ ً‫لذ‬ٚ ٞ‫ٌضفجد‬ٞ‫ثٌغذ‬ ْ‫عشؽج‬ ‫ِشع‬ ‫ػالػ‬،ِٓ ٖ‫ٚغ١ش‬ ٜ‫ثألخش‬ ‫ثألِشثع‬. ، ْ‫ثٌغشؽج‬ ٝ‫ِشػ‬ ‫دثةّج‬ ‫٠ذقظ‬ِٕٗ ٓ١‫ٚثٌٕجؽ‬‫ثٌظق١ز‬ ‫ثٌؼٕج٠ز‬ ‫فٛي‬ ،‫ٚٔظجةـ‬ ‫ِؼٍِٛجس‬ ٍٝ‫ػ‬ ‫ٚثٌغزثة١ز‬ُٙ‫فجٌض‬ ٓ١‫ٌضقغ‬ ٟٔ‫ثٌذذ‬ ‫ثٌٕشجؽ‬ ‫ٚٔٛع‬ ،‫ثٌّىٍّز‬ ‫ثألغز٠ز‬ ‫ٚٔٛع‬ ،‫ثٌّٕجعخ‬ ‫ثٌغزثء‬ ‫ثخض١جس‬ ٟ‫ٚف‬ ، ُ‫صٙض‬ ٟ‫ثٌض‬ ‫ثٌؼٍّ١ز‬ ‫ٚثٌذسثعجس‬ ،‫ثإلخذجس٠ز‬ ‫صمجس٠ش‬ ٓ‫ػ‬ ‫رٌه‬ ‫دؾجٔخ‬ ْٛ‫٠ذقغ‬ ْٚ‫أخش‬ ‫إفشثد‬ ‫ٕٚ٘جن‬ ،‫ثٌظق١ز‬ ‫دؼذ‬ ، ‫ثٌظق١ز‬ ُٙ‫فجٌض‬ ٓ١‫ٚصقغ‬ ،‫ثٌؼالػ‬ ِٓ ‫وؾضء‬ ،ُٙ‫ف١جص‬ ‫أعٍٛح‬ ‫صغ١ش‬ ‫ٚو١ف١ز‬ ،ُٙ‫صغز٠ض‬ ‫ٚؽشق‬ ،ُٙ‫دظقض‬ ‫ثٌّشع‬ ِٓ ُٙ‫شفجة‬،‫ثٌضجٌ١ز‬ ‫ثألعتٍز‬ ِٓ ‫وغ١ش‬ ْ‫ثٌغشؽج‬ ‫ِشع‬ ِٓ ُٙ‫شفجة‬ ‫دؼذ‬ ‫ثٌٕجط‬ ِٓ ‫وغ١ش‬ ‫٠طشؿ‬-: ‫ثٌغشؽجْ؟‬ ‫ِشع‬ ِٓ ‫ثٌؼالػ‬ ٟ‫ف‬ ‫دٚس٘ج‬ ‫ِٚج‬ ‫ثألوغذر‬ ‫ثٌّؼجدثس‬ ٟ٘ ‫ِج‬ ‫ػ‬ ٓ١ِ‫ف١ضج‬ ‫ثألوغذر‬ ‫ثٌّؼجدثس‬ ُ‫صؼ‬( C )‫ٚ٘ـ‬(E)‫ٚوشٚص١ٕ١ذثس‬(Carotenoids)،‫ٚثألخ١شر‬ ‫ٌٍخؼشٚثس‬ ‫ثٌّّ١ضر‬ ْ‫ثألٌٛث‬ ٟ‫صؼط‬،‫ثٌّخضٍفز‬ ٗ‫ٚثٌفٛثو‬، ‫رٌه‬ ‫،دؾجٔخ‬ٍٝ‫ػ‬ ‫ثٌّقضٛ٠ز‬ ‫ثألغز٠ز‬ ِٓ ‫وغ١ش‬ ‫ثٌى١ّجة١ز‬ ‫ثألغز٠ز‬ ‫ِىٛٔجس‬(Photochemical)،‫خال٠ج‬ َ‫٘ذ‬ ‫ِٕغ‬ ٟ‫ف‬ ‫صغجػذ‬ ٟ‫ثٌض‬ ‫ثٌٕذجصجس‬ ٟ‫ف‬ ‫ثٌّضٛثؽذر‬ ٓ١‫ثألوغؾ‬ ‫ِغ‬ ‫ثٌى١ّ١جة١ز‬ ‫ثٌضفجػالس‬ ‫دٛثعطز‬ ُ‫ثٌؾغ‬(‫ثٌقشر‬ ‫ثٌؾزٚس‬). ‫ثػضالي‬ ْٛ‫٠ى‬ ‫ٚلذ‬ُ‫ثٌؾغ‬ ‫خال٠ج‬،‫فذٚط‬ ٟ‫ف‬ ‫ثألعذجح‬ ‫أفذ‬ ِٓ،‫ثٌغشؽجٔ١ز‬ ‫ثألِشثع‬ ‫ٚصطٛس‬،‫فمذ‬ ٗ١ٍ‫ٚػ‬ ‫ثألدقجط‬ ِٓ ‫وغ١ش‬ ‫روشس‬،‫ثٌؼٍّ١ز‬ ‫ٚثٌذسثعجس‬،‫ثػضالي‬ ‫فذٚط‬ ‫صّٕغ‬ ‫ثألوغذر‬ ‫ِؼجدثس‬ ْ‫دأ‬،‫ثٌخال٠ج‬ َ‫ٚ٘ذ‬، ‫ثٌغشؽجٔ١ز‬ ‫ثألِشثع‬ ‫ٚصطٛس‬ ‫فذٚط‬ ‫ِٕغ‬ ُ‫ع‬ ِٓٚ. ‫ثٌذسثعجس‬ ِٓ ‫وغ١ش‬ ‫صمضشؿ‬،‫ثٌطجصؽز‬ ٗ‫ٚثٌفٛثو‬ ‫ثٌخؼشٚثس‬ ٌْٛٚ‫٠ضٕج‬ ِٓ ْٚ‫٠ىغش‬ ٓ٠‫ثٌز‬ ْ‫دأ‬(‫ٌٚ١غش‬ ‫ثألغز٠ز‬ ‫ِىّالس‬)،‫ف١ضجِ١ٕجس‬ ِٓ ‫ثألوغذر‬ ‫ثٌّؼجدثس‬ ٍٝ‫ػ‬ ‫ثٌّقضٛ٠ز‬،ًٍ‫صم‬ ،‫٠ِٛ١ج‬ ‫ثٌذل١مز‬ ‫ثٌغزثة١ز‬ ‫ٚثٌؼٕجطش‬ ُ‫ثٌؾغ‬ ِٓ ‫ِخضٍفز‬ ٓ‫أِجو‬ ٟ‫ف‬ ‫ؽذ٠ذ‬ ِٓ ‫ثٌّشع‬ ‫فذٚط‬ ‫ِخجؽش‬ ِٓ.
  • 2. ‫ثٌغشؽجْ؟‬ ‫ِشع‬ ‫ِؼجٌؾز‬ ‫أعٕجء‬ ‫إِٕٔج‬ ‫٠ؼضذش‬ ‫ثألوغذر‬ ‫دجٌّؼجدثس‬ ‫صضٚ٠ذ‬ ً٘ ‫ثٌغزثة١ز‬ ‫ثٌّىّالس‬ ِٓ ‫وغ١ش‬ ٞٛ‫صقض‬،‫ثألوغذر‬ ‫ِؼجدثس‬ ِٓ ‫وغ١ش‬(‫٘ـ‬ ٚ ‫ػ‬ ٓ١ِ‫ف١ضج‬ ً‫ِغ‬)،ِٓ ٍٝ‫أػ‬ ‫٠ِٛ١ج‬ ٖ‫أخز‬ ‫ثٌّطٍٛح‬،،‫ثألِشثع‬ ‫ِٚمجِٚز‬ ُ‫ثٌؾغ‬ ‫طقز‬ ٍٝ‫ػ‬ ‫ٌٍقفجظ‬ٗ١ٍ‫ٚػ‬ْ‫ٔظش٠ضج‬ ‫ٕ٘جن‬،ٌٝٚ‫ثأل‬ ‫ثٌٕظش٠ز‬ ‫ثٌضغز٠ز‬ ‫ٚخذشثء‬ ‫ثألؽذجء‬ ِٓ ‫وغ١ش‬ ْ‫أ‬ ‫صمٛي‬،ٟ‫ٚثإلشؼجػ‬ ٟ‫ثٌى١ّ١جة‬ ‫ثٌؼالػ‬ ‫أعٕجء‬ ‫أخز٘ج‬ َ‫دؼذ‬ ْٛ‫٠ٕظق‬، ،‫ثٌغشؽجٔ١ز‬ ‫ٌألِشثع‬ٌٝ‫إ‬ ‫رٌه‬ ‫ٚ٠شؽغ‬‫ثفضّجي‬‫ح‬‫ثٌغشؽجٔ١ز‬ ‫دجٌخال٠ج‬ ‫ثألػشثس‬ ‫إطالؿ‬ ‫صغذخ‬ ‫لذ‬ ‫أٔٙج‬،ُ‫ع‬ ِٓٚ ‫ثٌٕظش٠ز‬ ‫أِج‬ ،‫ثٌّشع‬ ‫ػذ‬ ‫فؼجٌ١ز‬ ً‫أل‬ ‫ثٌؼالػ‬ ً‫٠ؾؼ‬ ‫ِّج‬ ، ‫ثٌّؼجٌؾز‬ ‫ثألدٚ٠ز‬ ‫فؼجٌ١ز‬ ِٓ ًٍ‫صم‬ٛ‫صم‬ ‫ثٌغجٔ١ز‬‫ي‬، ًّ‫صؼ‬‫ثألوغذر‬ ‫ثٌّؼجدثس‬‫ثٌخال٠ج‬ ‫فّج٠ز‬ ٍٝ‫ػ‬،‫ثٌغٍ١ّز‬ ‫ثٌّضغشؽٕز‬ ‫غ١ش‬،‫ثٌؾجٔذ١ز‬ ‫ثٌضفجػالس‬ ِٓ‫فضشر‬ ‫أعٕجء‬ ، ، ‫ثٌّشع‬ ‫ِؼجٌؾز‬ٛ‫شف‬ ٓ٠‫ثٌز‬ ٝ‫ثٌّشػ‬ ٍٝ‫ػ‬ ‫٠ؾخ‬ ٗ١ٍ‫ٚػ‬ْٞ‫ثٌغشؽج‬ ‫ِشع‬ ِٓ ‫ث‬،‫ثٌّىّالس‬ ‫أخز‬ ‫٠ضقجشٛث‬ ْ‫أ‬ ، ‫ثٌٕجدسر‬ ْ‫ثٌّؼجد‬ ِٓ ٓ١‫ِؼ‬ ‫ٔٛع‬ ٚ‫أ‬ ، ‫ثٌف١ضجِ١ٕجس‬ ِٓ ٓ١‫ِؼ‬ ‫ٔٛع‬ ٟ‫ف‬ ‫ٔمظٙج‬ ‫فذٚط‬ ‫فجٌز‬ ٟ‫ف‬ ‫إال‬ ، ‫ثٌغزثة١ز‬ ‫ثٌقجٌز‬ ٖ‫٘ز‬ ً‫ِغ‬ ٟ‫فف‬،‫صقجش١ٙج‬ ‫٠ؾخ‬‫لذ‬ ‫ألٔٙج‬ ،‫ِٕٙج‬ ‫ثٌّطٍٛح‬ ِٓ ‫دأوغش‬ ُ‫ٌٍؾغ‬ ‫صضٚد٘ج‬ِٓ ‫وغ١ش‬ ‫ٚصغذخ‬ ‫ثٌظق١ز‬ ً‫ثٌّشجو‬. .‫ِٕٗ؟‬ ‫ثٌشفجء‬ ‫دؼذ‬ ْ‫ثٌغشؽج‬ ‫ِشع‬ ‫سؽٛع‬ ‫ِخجؽش‬ ِٓ ًٍ‫صم‬ ‫دمٍز‬ ْٛ٘‫ثٌذ‬ ‫صٕجٚي‬ ً٘ ‫ثٌذسثعجس‬ ِٓ ‫ػذ٠ذ‬ ‫ثلضشفش‬،ٓ٘‫ثٌذ‬ ً١ٍ‫ل‬ ٟ‫غزثة‬ َ‫ٔظج‬ ‫دئصذجع‬،،ٗ‫ػالؽ‬ ‫دؼذ‬ ٞ‫ثٌغذ‬ ْ‫عشؽج‬ ٝ‫ٌّشػ‬ً١ٍ‫ٌضم‬ ،ِٕٗ ‫ٚشف١ج‬ ٗ‫د‬ ٓ‫أطذ‬ ٟ‫ٌالص‬ ‫ٚخظٛطج‬ ،‫ؽذ٠ذ‬ ِٓ ٗ‫ػٛدص‬ ‫ِخجؽش‬ِْٚٛ‫٘ش‬ ‫ِغضمذالس‬ ٍّٓ‫٠ق‬ ٟ‫ٌالص‬ ٟ‫ف‬ ‫ػجٌ١ز‬ ْٛ‫صى‬ ْ‫أ‬ ً١ّ‫ص‬ ْٛ٘‫ثٌذ‬ ِٓ ‫ثٌؼجٌ١ز‬ ‫ثٌغزثة١ز‬ ‫ثٌٛؽذجس‬ ْ‫دأ‬ ‫ثٌّؼشٚف‬ ِٓٚ ،‫ثٌغجٌذز‬ ٓ١‫ثالعضشٚؽ‬ ‫ثٌقشثس٠ز‬ ‫عؼشثصٙج‬،‫ثٌغّٕز‬ ‫ٚصشصذؾ‬ ،‫ثٌغّٕز‬ ٌٝ‫إ‬ ٞ‫صؤد‬ ‫عٛف‬ ٟ‫ٚثٌض‬،‫دؼذ‬ ‫ثٌّشع‬ ‫ػٛدر‬ ‫ِخجؽش‬ ‫دجسصفجع‬ ‫ثٌق١جر‬ ‫ل١ذ‬ ٍٝ‫ػ‬ ‫ثٌذمجء‬ ‫فشطز‬ ً١ٍ‫ٚصم‬ ُ‫ع‬ ِٓٚ ،ِٕٗ ‫ثٌشفجء‬. ‫دؼذ‬ ٗ‫ٚػٛدص‬ ْ‫ثٌغشؽج‬ ‫دّشع‬ ‫ثإلطجدز‬ ‫ِخجؽش‬ ِٓ ‫صض٠ذ‬ ْٛ٘‫ثٌذ‬ ِٓ ‫أٔٛثع‬ ‫دؼغ‬ ً٘ ‫ِٕٗ؟‬ ‫ثٌشفجء‬ ‫ثٌقّشثء‬ َٛ‫ثٌٍق‬ ٟ‫ف‬ ‫ثٌّٛؽٛدر‬ ‫ثٌّشذؼز‬ ‫ثٌذٕ٘١ز‬ ‫ثألفّجع‬ ْ‫دأ‬ ‫صش١ش‬ ‫أدٌز‬ ‫ٕ٘جن‬(‫ثألدمجس‬ َٛ‫ٌق‬ ‫خظٛطج‬ َ‫ٚثألغٕج‬)،‫ثٌّٙذسؽز‬ ‫ٚص٠ٛس‬(‫ثألغز٠ز‬ ِٓ ‫ٚوغ١ش‬ ‫ٚثٌّؼؾٕجس‬ ‫ثٌغش٠ؼز‬ ‫ٚثٌٛؽذجس‬ ٓ٠‫ثٌّجسؽش‬ ‫ِظجدس٘ج‬ ‫ثٌّظٕؼز‬)،،ٗ‫ِؼجٌؾض‬ ‫دؼذ‬ ٗ‫ٚػٛدص‬ ْ‫ثٌغشؽج‬ ‫دّشع‬ ‫ثإلطجدز‬ ‫ِخجؽش‬ ِٓ ‫صض٠ذ‬‫صغذخ‬‫ثٌمٍخ‬ ‫أِشثع‬ ‫ثٌضشذغ‬ ‫أفجد٠ز‬ ‫ثٌذٕ٘١ز‬ ‫ثألفّجع‬ ًّ‫صؼ‬ ‫د١ّٕج‬ ،‫ثٌذِٛ٠ز‬ ‫ٚثألٚػ١ز‬(‫ثٌىجٔٛال‬ ‫ٚص٠ش‬ ْٛ‫ثٌض٠ض‬ ‫ص٠ش‬)ٚ،‫ثٌقجِغ‬ ‫أِ١ؾج‬ ٟٕ٘‫ثٌذ‬3(ً‫ِغ‬ ‫ثٌذٕ٘١ز‬ ‫ثألعّجن‬:‫ثٌظٛ٠ج‬ ‫ٚفٛي‬ ‫ٚثٌضٛٔز‬ ً٠‫ٚثٌّجوش‬ ٓ٠‫ٚثٌغشد‬ ٍّْٛ‫ثٌغ‬(ٛ‫ثٌضٛف‬)، ‫ثٌمشػز‬ ‫ٚدزٚس‬ ٚ‫ٚثألفٛوجد‬ ٟٔ‫ثٌغٛدث‬ ‫ٚثٌفٛي‬ ْٛ‫ثٌض٠ض‬ ‫ٚص٠ش‬ ‫ٚثٌّىغشثس‬ ‫ٚص٠ٛصٙج‬ ْ‫ثٌىضج‬ ‫ٚدزٚس‬ ‫ثٌضد١خ‬ ‫ثٌشّظ‬ ‫ٚػذجد‬ ٍٟ‫ثٌؼغ‬)ٗ‫د‬ ‫ثإلطجدز‬ ً١ٍ‫صم‬ ٍٝ‫ػ‬ ‫دؼذ‬ ٗ‫ػٛدص‬ ‫ِخجؽش‬ ً١ٍ‫ٚصم‬ ْ‫ثٌغشؽج‬ ‫ِشع‬ ِٓ ‫ثٌٛلج٠ز‬ ٍٝ‫ػ‬ ًّ‫صؼ‬ ‫ثألٌ١جف‬ ً٘ ‫ِؼجٌؾضٗ؟‬ ،‫صّضض‬ ‫ٚال‬ ُ‫صٙؼ‬ ‫ال‬ ‫ثٌقشثس٠ز؛‬ ‫ثٌغؼشثس‬ ِٓ ‫خجٌ١ز‬ ،‫ِٙؼِٛز‬ ‫غ١ش‬ ‫عٍ١ٌٛٛص٠ز‬ ‫ٔذجص١ز‬ ‫ِجدر‬ ‫ثألٌ١جف‬ ً‫ِغ‬ ،‫ثٌٕذجص١ز‬ ‫ثألغز٠ز‬ ‫ؽّ١غ‬ ٟ‫ف‬ ‫ِٚضٛثؽذر‬:ُ‫ٚصٕمغ‬ ، ‫ٚثٌّىغشثس‬ ،‫ٚثٌذمٌٛ١جس‬ ‫ٚثٌقذٛح‬ ٗ‫ٚثٌفٛثو‬ ‫ثٌخؼجس‬ ٓ١ٌ‫ثٌضج‬ ٓ١‫ٔٛػ‬ ٌٝ‫إ‬:
  • 3. 1.ٓ١‫ثٌذىض‬ ً‫ِغ‬ ،‫ثٌّجء‬ ٟ‫ف‬ ‫رثةذز‬ ‫أٌ١جف‬Pectin‫ٚثٌظّغ‬Gum(‫ػجٌ١ز‬ ‫وّ١ز‬ ٍٝ‫ػ‬ ‫ِغال‬ ‫ثٌضفجؿ‬ ٞٛ‫٠قض‬ ‫ثٌزثةذز‬ ‫غ١ش‬ ‫ثألٌ١جف‬ ِٓٚ ٛ٘ٚ ،ٓ١‫ثٌذىض‬ ِٓ،‫دخفغ‬ َٛ‫٠م‬ ٞ‫ثٌز‬ ،‫ثألِؼجء‬ ً‫دثخ‬ َ‫٘ال‬ ْٛ‫ٚ٠ى‬ ‫ثٌّؼٛ٠ز‬ ‫ثٌؼؼالس‬ ‫لذسر‬ ٓ١‫صقغ‬ ٓ‫ػ‬ ‫فؼال‬ ،َ‫ثٌذ‬ ٟ‫ف‬ ‫ثٌىٌٛ١غضشٚي‬ ‫ِغضٛ٠جس‬،ِٓ ‫ثٌّخٍفجس‬ ‫ٌذفغ‬ ّٟ‫ثٌٙؼ‬ ‫ثٌؾٙجص‬. 2.ً‫ِغ‬ ،‫ثٌخشٕز‬ ‫ثٌّجء‬ ٟ‫ف‬ ‫رثةذز‬ ‫غ١ش‬ ‫أٌ١جف‬:‫ثٌغ١ٍ١ٌٛٛص‬Cellulose(َٛ١‫ٚثٌىجٌغ‬ ‫ثٌقذ٠ذ‬ ‫دّغه‬ َٛ‫صم‬ ً‫لذ‬ ِٓ ‫ثِضظجطٙج‬ ْٚ‫د‬ ‫ٚصقٛي‬ ‫ثٌٕجدسر‬ ْ‫ٌّؼجد‬ ‫ثٌشقٕز‬ ‫عٕجة١ز‬ ‫ثٌّشوذجس‬ ِٓ ُ٘‫ٚغ١ش‬ َٛ١‫ٚثٌّجغٕ١غ‬ ُ‫ثٌؾغ‬)‫ثٌغ١ٍ١ٌٛٛص‬ ٖ‫ٚأشذج‬Semicellulose. ‫ؽّ١غ‬ ٟ‫ف‬ ‫ثٌزثةذز‬ ‫ٚغ١ش‬ ‫ثٌزثةذز‬ ‫ثألٌ١جف‬ ‫ٚصٛؽذ‬ ،‫ث٢خش‬ ٓ‫ػ‬ ‫ِخضٍفز‬ ‫ٚآعجس‬ ‫طفجس‬ ‫ثألٌ١جف‬ ِٓ ‫ٔٛع‬ ً‫ٌٚى‬ ‫ثٌغجدش‬ ِٓٚ ،‫ثٌزثةذز‬ ‫غ١ش‬ ‫ثألٌ١جف‬ ٜ‫ثألخش‬ ٍٝ‫ػ‬ ‫صغٍخ‬ ‫د١ّٕج‬ ،‫ثٌزثةذز‬ ‫ثألٌ١جف‬ ‫دؼؼٙج‬ ٍٝ‫ػ‬ ‫٠غٍخ‬ ٓ‫ٌٚى‬ ،‫ثٌٕذجصجس‬ ‫ِٕٙج‬ ،‫ثٌزثةذز‬ ‫ثألٌ١جف‬ ‫ٚدجٌزثس‬ ‫طق١ز‬ ‫فٛثةذ‬ ‫ٌألٌ١جف‬ ْ‫أ‬ ً‫ج‬١ٍّ‫ػ‬،‫ثٌشدٞء‬ ‫ثٌىٌٛ١غضشٚي‬ ٜٛ‫ِغض‬ ‫صخف١غ‬ (LDL)ًٍ‫ٚصم‬ ‫ثٌضجؽ١ز‬ ‫ثٌمٍخ‬ ٓ١٠‫ششث‬ ‫ثٔغذثد‬ ً١ٍ‫ٚصم‬ ، ‫ثٌىغجفز‬ ‫ِٕخفغ‬ ٟٕ٘‫ثٌذ‬ ٓ١‫ثٌذشٚص‬ ُ‫دجع‬ ‫ثٌّؼشٚف‬ ‫ثٌمٍخ‬ ‫أِشثع‬(ً‫شى‬1‫ٚؽذٚي‬1.) ً‫شى‬(1)ٟ‫ٚثٌؾ‬ ‫ثٌشدٞء‬ ‫ثٌىٌٛ١غض١شٚي‬ ‫ٌّىٛٔجس‬ ٟ‫صٛػ١ق‬ ُ‫سع‬. ‫ؽذٚي‬(1)‫ف١ٙج‬ ‫ثٌذثخٍز‬ ‫ٚثٌّىٛٔجس‬ ‫ثٌذٕ٘١ز‬ ‫ثٌّشوذجس‬ ٓ٘‫ثٌذ‬ ‫ِشوذجس‬ ‫أٔٛثع‬‫ف١ٙج‬ ‫ثٌذثخٍز‬ ‫ثٌّىٛٔجس‬ ٓ١‫أدٌٛ١ذٛدشٚص‬Apolipoproteinْٛ٘‫ثٌذ‬ ‫ِغ‬ ‫ِضقذ‬ ٓ١‫دشٚص‬ ‫ثعضش‬ ‫وٌٛ١غض١شٚي‬Cholesteryl esterٟٕ٘‫د‬ ‫ٚفجِغ‬ ‫ثٌىٌٛ١غض١شٚي‬ ِٓ ْٛ‫صضى‬ ‫ِجدر‬ ‫ثٌغالع١ز‬ ‫ثٌؾٍ١غ١شثس‬Triglyceride‫دٕ٘١ز‬ ‫ٚأفّجع‬ ‫ثٌؾٍ١غشٚي‬ ِٓ ْٛ‫صضى‬ ‫ِجدر‬ ‫ثٌفٛعفٌٛ١ذذ‬Phospholipidٓ١ٌٛ‫ٚو‬ ٓ١١ٕ٘‫د‬ ٓ١‫ٚفجِؼ‬ ‫ثٌؾٍ١غشٚي‬ ِٓ ْٛ‫صضى‬ ‫ِجدر‬ ٓ١‫ثٌٍ١غض‬ ً‫ِغ‬ ‫ِغضقٍخ‬ ِٓٚ ٚ ‫فٛعف١ش‬
  • 4. ‫ثألِش٠ى١ز‬ ‫ثٌمٍخ‬ ‫ؽّؼ١ز‬ ٟ‫صٛط‬،‫ثألعّش‬ ‫ثٌخذض‬ ‫دضٕجٚي‬،ِٓ ‫ف١ٙج‬ ‫ٌّج‬ ‫ٚثٌفٛثوٗ؛‬ ‫ٚثٌخؼجس‬ ‫ٚثٌذمٛي‬ ْٛ٘‫ثٌذ‬ ‫ثِضظجص‬ ًٍ‫صم‬ ٟ‫ثٌض‬ ‫ثألٌ١جف‬،ّٟ‫ثٌٙؼ‬ ‫ثٌؾٙجص‬ ِٓ ‫ٚثٌىٌٛغضشٚي‬(ً‫شى‬2)‫ٚظ١فز‬ ‫أدثء‬ ٓ١‫ٚصقغ‬ ، ٍٝ‫ػ‬ ٞٛ‫صقض‬ ٟ‫ثٌض‬ ‫ثألغز٠ز‬ ‫فغجح‬ ٍٝ‫ػ‬ ْٛ‫ع١ى‬ ‫ثألٌ١جف‬ ٍٝ‫ػ‬ ٞٛ‫صقض‬ ٟ‫ثٌض‬ ‫ثألغز٠ز‬ ‫صٕجٚي‬ ْ‫ٚإ‬ ، ‫ثألِؼجء‬ ‫ثٌقّ١ز‬ ‫دشثِؼ‬ ٟ‫ف‬ ‫٠غجػذ‬ ‫ٚرٌه‬ ،‫ثٌٛثفذر‬ ‫ثٌٛؽذز‬ ٟ‫ف‬ ‫ثٌّغضٍٙىز‬ ‫ثٌغؼشثس‬ ‫وّ١ز‬ ِٓ ًٍ‫صم‬ ُ‫ع‬ ِٓٚ ،ْٛ٘‫ثٌذ‬ ‫ثٌغّٕز‬ ‫ٌؼالػ‬. ‫ٚثٌؾ١ٛح‬ ٌْٛٛ‫ثٌم‬ ْ‫ٚعشؽج‬ ‫ٚثإلعٙجي‬ ‫ثإلِغجن‬ ‫٠ؼجٌؼ‬ ‫ثألٌ١جف‬ ٍٝ‫ػ‬ ٞٛ‫صقض‬ ٟ‫ثٌض‬ ‫ثألغز٠ز‬ ‫صٕجٚي‬ ْ‫أ‬ ‫وّج‬ ‫ثٌّؼٛ٠ز‬Diverticulitis(ً‫شى‬3)ُ‫ع‬ ِٓٚ ،‫ثألِؼجء‬ ِٓ ‫ثٌغىش٠جس‬ ‫ثِضظجص‬ ُ١‫صٕظ‬ ٍٝ‫ػ‬ ‫ثألٌ١جف‬ ًّ‫ٚصؼ‬ ، ٞ‫ثٌغىش‬ ٝ‫ِشػ‬ ٜ‫ٌذ‬ ً‫ثألو‬ ‫دؼذ‬ ‫ِذجششر‬ َ‫ثٌذ‬ ٟ‫ف‬ ‫ثٌغىش‬ ٜٛ‫ِغض‬ ‫ثسصفجع‬ ًٍ‫صم‬. ً‫شى‬(2)‫ثٌىغجفز‬ ٌٟ‫ػج‬ ٟٕ٘‫ثٌذ‬ ٓ١‫ثٌذشٚص‬ ِٓ ً‫و‬ َٛ‫٠م‬HDL)(‫دجٌضخٍض‬ ‫ثٌزثةذز‬ ‫ثألٌ١جف‬ ‫ٚخظٛطج‬ ‫ٚثألٌ١جف‬ ‫ثٌىغجفز‬ ‫ِٕخفغ‬ ٟٕ٘‫ثٌذ‬ ٓ١‫ثٌذشٚص‬ ًّ‫٠ؼ‬ ‫د١ّٕج‬ ، ٓ١١‫ثٌششثة‬ ٟ‫ف‬ ‫ثٌّضشعذز‬ ْٛ٘‫ثٌذ‬ ِٓ( LDL)‫صشع١ذٙج‬ ٍٝ‫ػ‬ ‫صؤخش‬‫ثألِؼجء‬ ِٓ ‫ثٌغىش٠جس‬ ‫ثِضظجص‬ ‫عشػز‬ ‫ٚصذطب‬ ،‫ٚثألِؼجء‬ ‫ثٌّؼذر‬ ‫صفش٠غ‬ ‫ثٌزثةذز‬ ‫ثألٌ١جف‬(ًِ‫ػج‬ ‫ِٕخفغ‬ ‫ثألِؼجء‬ ِٓ ‫ثٌغىش‬ ‫ثِضظجص‬Low glycemic index))(،ٞ‫ثٌغىش‬ ‫دثء‬ ٝ‫ِشػ‬ ‫٠ف١ذ‬ ٛ٘ٚ ، ‫ثٌىٌٛ١غضشٚي‬ ًٍ‫ٚصم‬ ،‫ثإلعٙجي‬ ‫ٚصؼجٌؼ‬. ْ‫ٚعشؽج‬ ‫ثإلِغجن‬ ‫فضّٕغ‬ ‫ٚثألِؼجء‬ ‫ثٌّؼذر‬ ‫فشوز‬ ‫ع‬ّ‫صغش‬ ‫ـ‬ ‫ثألعّش‬ ‫ثٌخذض‬ ٟ‫ف‬ ٟ‫ثٌض‬ ً‫ِغ‬ ‫ـ‬ ‫ثٌزثةذز‬ ‫غ١ش‬ ‫ٚثألٌ١جف‬ ًٍ‫ٚصم‬ ٌْٛٛ‫ثٌم‬ِٓ‫ثٌىٌٛ١غضشٚي‬.
  • 5. ً‫شى‬(3)ٌْٛٛ‫ثٌم‬ ٍٝ‫ػ‬ ‫ثٌّضىٛٔز‬ ‫ثٌّؼٛ٠ز‬ ‫ثٌؾ١ٛح‬ ٌٝ‫إ‬ ‫ثٌٛثفذ‬ ‫ثٌشخض‬ ‫٠قضجػ‬25-30‫ثٌّجء‬ ِٓ ‫ٚثفشر‬ ‫وّ١ز‬ ٌٝ‫إ‬ ‫ٚ٠قضجػ‬ ،‫ثألٌ١جف‬ ِٓ ً‫ج‬١ِٛ٠ ُ‫ؽ‬،ً‫و‬ ْ‫ٚإ‬1 ُ‫ؽ‬‫دّؼذي‬ ‫ثٌىٌٛ١غضشٚي‬ ‫٠خفغ‬ ً‫ج‬١ِٛ٠ ‫ثٌزثةذز‬ ‫ثألٌ١جف‬ ِٓ0.5-2%ٍٟ‫ثٌى‬ ‫ثٌىٌٛ١غضشٚي‬ ‫ِؾّٛع‬ ِٓ. ‫ثٌطجصؽز‬ ٗ‫ٚثٌفٛثو‬ ‫ٚثٌخؼجس‬ ،‫ثألعّش‬ ‫ثٌخذض‬ ً‫ِغ‬ ،‫ثألٌ١جف‬ ٍٝ‫ػ‬ ٞٛ‫صقض‬ ٟ‫ثٌض‬ ‫ثألغز٠ز‬ ‫دضٕجٚي‬ ٟ‫٠ٛط‬ ًّ‫صؼ‬ ٗ١ٍ‫ٚػ‬ ،‫ِٕٙج‬ ‫ثٌّؼٍذجس‬ ٚ‫أ‬ ‫ثٌؼظجةش‬ ِٓ ً‫أفؼ‬ ‫ثٌطجصؽز‬ ‫فجٌخؼجس‬ ،‫ٚثٌّىغشثس‬ ‫غغٍٙج‬ ‫دؼذ‬ ‫دمشش٘ج‬ ٗ‫ػالؽ‬ ‫دؼذ‬ ٗ‫ٚػٛدص‬ ْ‫دجٌغشؽج‬ ‫إطجدز‬ ‫ِخجؽش‬ ‫صخفغ‬ ُ‫ع‬ ِٓٚ ٌْٛٛ‫ثٌم‬ ‫صٕظ١ف‬ ٍٝ‫ػ‬ ‫ثألٌ١جف‬. ‫ثٌشؼ١ش‬ ٓ١ِ‫ف١ضج‬ ً‫ِغ‬ ‫ف١ضجِ١ٕجس‬ ٍٝ‫ػ‬ ‫ثٌشؼ١ش‬ ٞٛ‫٠قض‬(EٚA)،‫دٚسث‬ ‫صٍؼخ‬ ٟ‫ثٌض‬ ‫ثألوغذر‬ ‫وّؼجدثس‬ ًّ‫صؼ‬ ٟ‫ٚثٌض‬ ‫ثٌقشر‬ ‫ثٌؾزٚس‬ ِٓ ُ‫ثٌؾغ‬ ‫فّج٠ز‬ ٟ‫ف‬(Free radicals)‫ٚثألفّجع‬ ،‫ثٌخٍٛ٠ز‬ ‫ثألغش١ز‬ ِٓ ً‫و‬ ُ‫صٙجؽ‬ ٟ‫ثٌض‬ ‫ثٌٕٛٚ٠ز‬‫ثٌذٔج‬ ٟ‫ف‬(DNA)ْ‫ثٌغشؽج‬ ِٓ ‫ِؼ١ٕز‬ ‫أٔٛثع‬ ‫فذٚط‬ ‫ِغذذز‬ ،،،ِٕٗ ‫ثٌشفجء‬ ‫دؼذ‬ ٗ‫ػٛدص‬ ٟ‫ف‬ ‫ٚصغذخ‬ ‫ٚصغذخ‬‫ثٌش١خٛخز‬ ِٓ ً‫و‬ ‫فذٚط‬ ٟ‫ف‬ ‫ٚصغشع‬ ،‫ثٌمٍخ‬ ‫أِشثع‬ٚ،‫ثٌض٘ج٠ّ١ش‬ ‫ِشع‬. ٟ‫ثٌطذ١ؼ‬ ٓ١ٔٛ‫ثٌّ١الص‬ ِْٛ‫٘ش‬ ‫ثٌشؼ١ش‬ ٟ‫ف‬ ‫٠ضٛفش‬ ‫وّج‬،‫ثٌظٕٛدش٠ز‬ ‫ثٌغذر‬ ِٓ ‫٠فشص‬ ٞ‫ثٌز‬،ٟ‫ف‬ ‫ثٌّٛؽٛدر‬ ،‫ثٌمٍخ‬ ‫أِشثع‬ ِٓ ‫ثٌٛلج٠ز‬ ٍٝ‫ػ‬ ٗ‫لذسص‬ ٌٝ‫إ‬ ٗ‫أّ٘١ض‬ ‫ٚصشؽغ‬ ،‫ثٌؼّش‬ َ‫صمذ‬ ‫ِغ‬ ٖ‫إفشثص‬ ً‫٠م‬ ،ٓ١ٕ١‫ثٌؼ‬ ‫خٍف‬ ‫ثٌّخ‬ ‫ثٌشػجػ‬ ًٍ‫دجٌش‬ ‫أ٠ؼج‬ ‫ػاللز‬ ٌٗٚ ،َ‫ثٌذ‬ ‫ػغؾ‬ ‫خفغ‬ ٍٝ‫ػ‬ ًّ‫٠ؼ‬ ‫وّج‬ ،َ‫ثٌذ‬ ٟ‫ف‬ ‫ثٌىٌٛغضشٚي‬ ‫ٔغذز‬ ‫ٚخفغ‬،‫ػٕذ‬ ٗٔ‫أ‬ ‫وّج‬ ،‫ثٌش١خٛخز‬ ‫أػشثع‬ ‫ظٙٛس‬ ‫صأخ١ش‬ ٍٝ‫ػ‬ ًّ‫٠ؼ‬ ‫وّج‬ ،ُ‫ثٌؾغ‬ ‫ِٕجػز‬ ِٓ ٓ١ٔٛ‫ثٌّ١الص‬ ‫ٚ٠ض٠ذ‬ ، ٓ‫ثٌغ‬ ‫وذجس‬ ‫ٚثالعض١مجظ‬ ٌَٕٛ‫ث‬ ُ١‫صٕظ‬ ٟ‫ف‬ ُِٙ ‫دٚس‬ ٌٗ ‫أ٠ؼج‬. ‫ٚسفغ‬ ،َ‫ثٌذ‬ ٟ‫ف‬ ‫ثٌىٌٛغضشٚي‬ ‫ِؼذالس‬ ‫خفغ‬ ٍٝ‫ػ‬ ًّ‫صؼ‬ ‫و١ّ١جة١ز‬ ‫ِشوذجس‬ ٍٝ‫ػ‬ ‫ثٌشؼ١ش‬ ‫فذٛح‬ ٞٛ‫صقض‬ ‫ِجدر‬ ً‫ِغ‬ ُ‫ٌٍؾغ‬ ‫ثٌّٕجػ١ز‬ ‫ثٌمذسر‬"ْ‫ؽٍٛوج‬ ‫دضج‬" B-Glucan‫ٚؽٛد٘ج‬ ‫ٚ٠ؼضذش‬ ‫ثٌزثةذز‬ ‫ثألٌ١جف‬ ِٓ ٟ٘ٚ ‫ثٌغزثة١ز‬ ‫ٚل١ّضٙج‬ ‫أّ٘١ضٙج‬ ٜ‫ٌّذ‬ ‫ِقذدث‬ ‫ثٌغزثة١ز‬ ‫ثٌّجدر‬ ٟ‫ف‬ ‫ٚٔغذضٙج‬.
  • 6. ‫عالِز‬ ‫ٔجف١ز‬ ِٓ ْ‫ثٌغشؽج‬ ٝ‫ِشػ‬ ‫٠ضخز٘ج‬ ْ‫أ‬ ‫٠ؾخ‬ ‫خجطز‬ ‫ثفض١جؽجس‬ ‫ٕ٘جن‬ ً٘ ‫ثألغز٠ز؟‬ ٟ‫ثٌّٕجػ‬ ‫ثٌؾٙجص‬ ‫ػؼف‬ ٌٝ‫إ‬ ْ‫ثٌغشؽج‬ ‫ِشع‬ ِٓ ْٛ‫ثٌٕجؽ‬ ‫٠ضؼشع‬،‫دغذخ‬‫ػٍّ١ز‬ٟ‫ثٌى١ّ١جة‬ ‫ثٌؼالػ‬ ٖ‫غ١ش‬ ِٜٓٚ‫ثألخش‬ ‫ثٌؼالؽجس‬ ِٓ ‫ث‬‫ثٌالصِز‬ ‫ثالفض١جؽجس‬ ‫أخز‬ ‫٠ؾخ‬ ٗ١ٍ‫ٚػ‬ ،،‫ِغ‬‫ثألغز٠ز‬ ‫صؾٕخ‬ ‫ثٌٍّٛعز‬،‫صٍٛعٙج‬ ‫ٚؽشق‬‫دجي‬‫إِٔز‬ ‫غ١ش‬ ‫ِغضٛ٠جس‬،‫ثٌّ١ىشٚدجس‬ ِٓ ‫ِخضٍفز‬ ‫أٔٛثع‬ ِٓ،‫ٌألِشثع‬ ‫ثٌّغذذز‬ ٟ‫ثٌغزثة‬ ُّ‫ٚثٌضغ‬،ً‫ٚػ‬‫ثٌّشع‬ ِٓ ٓ١‫ثٌٕجؽ‬ ٌٜٟ‫ثٌضج‬ ‫إصذجع‬-: 1.ً‫لذ‬ ٓ٠‫ثٌ١ذ‬ ً‫غغ‬،‫صٕجٚي‬ ‫ٚدؼذ‬،‫ثٌغزثء‬‫ٌّذر‬ ،ْٛ‫ٚثٌظجد‬ ‫ثٌذثفب‬ ‫دجٌّجء‬ ٖ‫ثٌّ١ج‬ ‫دٚسر‬ ِٓ ‫خشٚػ‬ ‫ٚدؼذ‬ 20‫فمؾ‬ ‫ٚثفذر‬ ‫ٌّشر‬ ًّ‫٠غضؼ‬ ٟ‫ٚسل‬ ً٠‫دّٕذ‬ ‫ٚصؾف١فّٙج‬ ،‫عجٔ١ز‬. 2.‫ؽ١ذث‬ ٗ‫ٚثٌفٛثو‬ ‫ثٌخؼشٚثس‬ ً‫غغ‬. 3.‫ثٌّطٍٛدز‬ ‫ثٌقشثس٠ز‬ ‫ثٌذسؽجس‬ ‫صقش‬ ‫ثألغز٠ز‬ ‫ففع‬،‫ثٌغزثء‬ ِٓ ‫ٔٛع‬ ً‫ٌى‬. 4.ٓ١‫د‬ ‫ِج‬ ‫ثٌقشؽز‬ ‫ثٌّٕطمز‬ ٓ‫ػ‬ ‫ٚثالدضؼجد‬ ،‫عجخٕج‬ ٓ‫ٚثٌغجخ‬ ،‫دجسدث‬ ‫ثٌذجسد‬ ‫ثٌغزثء‬ ‫ففع‬ ‫٠ؾخ‬10–50،َ ‫فشثس٠ز‬ ‫دسؽز‬ ٓ١‫د‬ ‫ِج‬ ‫عِّٛٙج‬ ‫صٕضؼ‬ ‫ثٌّ١ىشٚدجس‬ ُ‫ِؼظ‬ ْ‫أل‬12–42َ. 5.‫ثٌٕ١تز‬ ‫ٚثألعّجن‬ َٛ‫ثٌٍق‬ ‫ٚصؾٙ١ض‬ ‫ففع‬ ‫٠ؾخ‬،‫ٚثٌذ١غ‬‫ثٌخؼشثٚثس‬ ‫ٚففع‬ ‫صؾٙ١ض‬ ٓ‫ػ‬ ‫دؼ١ذث‬. 6.ِٓ ‫ٌٍضأوذ‬ ‫ثٌقشثسر‬ ‫دسؽز‬ ‫ِم١جط‬ َ‫ثعضخذث‬ ٓ‫ٚ٠ّى‬ ،‫ؽ١ذث‬ ‫ؽٙ١ج‬ ‫ٚثٌّقجس‬ ‫ٚثألعّجن‬ َٛ‫ثٌٍق‬ ٟٙ‫ؽ‬ ‫٠ؾخ‬ ‫صٕجٌٚٙج‬ ً‫لذ‬ ‫ثٌذثخٍ١ز‬ َٛ‫ثٌٍق‬ ‫فشثسر‬ ‫دسؽز‬. 7.‫ثٌّٛعٛق‬ ‫ثٌششوجس‬ ً‫لذ‬ ِٓ ‫ثٌّؼذأر‬ ‫ثٌمٕ١ٕجس‬ ِٓ ٗ‫ششد‬ ‫٠ؾخ‬ ً‫د‬ ،‫ثٌظٕذٛس‬ ِٓ ٖ‫ثٌّ١ج‬ ‫ششح‬ َ‫ػذ‬ ‫٠ؾخ‬ ‫ف١ٙج‬. 8.ً‫ثٌؼغ‬ ‫صؾٕخ‬،‫ِضؾشعّز‬ ‫دىض١ش٠ج‬ ٍٝ‫ػ‬ ٞٛ‫٠قض‬ ‫لذ‬ ٗٔ‫أل‬،َٛ١ٕ١ٍ١‫دٛص‬ َٛ٠‫وٌٛ١غض١ش٠ذ‬ ً‫ِغ‬ 9.‫س‬‫دغضشصٙج‬ ٚ‫أ‬ ‫صؼم١ّٙج‬ ٟ‫ف‬ ‫ثٌّطٍٛدز‬ ‫دجٌقشثس٠ز‬ ‫ثٌّؼجٍِز‬ ‫غ١ش‬ ‫ِٕٚضؾجصٙج‬ ْ‫ثألٌذج‬ ‫ششح‬ ‫ؽٕخ‬ 10.‫أٔٛثػٙج‬ ‫دؾّ١غ‬ ‫ثٌغش٠ؼز‬ ‫ثٌٛؽذجس‬ ‫صٕجٚي‬ َ‫ػذ‬. ْ‫ثٌغشؽج‬ ‫ِخجؽش‬ ِٓ ‫صض٠ذ‬ ‫ثٌّظٕؼز‬ َٛ‫ٚثٌٍق‬ ‫ٚثٌذ١ؼجء‬ ‫ثٌقّشثء‬ َٛ‫ثٌٍق‬ ‫صٕجٚي‬ ً٘ ‫ِٕٗ؟‬ ‫ثٌشفجء‬ ‫ٚدؼذ‬ ‫أعٕجء‬ ‫ثٌذسثعجس‬ ِٓ ‫وغ١ش‬ ‫سدطش‬ٓ١‫د‬،‫ثٌّؼجٌؾز‬ َٛ‫ٚثٌٍق‬ ، ‫ثٌقّشثء‬ َٛ‫ثٌٍق‬ ِٓ ‫وذ١شر‬ ‫وّ١جس‬ ‫صٕجٚي‬(ُ‫ٌق‬ ً‫ِغ‬ ٍٝ‫ػ‬ ‫ثٌّقضٛ٠ز‬ َٛ‫ثٌٍق‬ ‫ٚخظٛطج‬ ‫ٚثٌّشٛ٠ز‬ ‫ٚثٌّمٍ١ز‬ ‫ثٌذجسدر‬ َٛ‫ٚثٌٍق‬ ،‫ٚثٌغؾك‬ ‫ثٌّمذد،ٚثٌذغطشِز‬ ‫ثٌخٕض٠ش‬ ‫دؾٍذ٘ج‬ ٓ‫ثٌذٚثؽ‬ َٛ‫ٌق‬ ٍٟ‫ٚل‬ ْٛ٘‫ثٌذ‬ ِٓ ‫ػجٌ١ز‬ ‫وّ١جس‬)،‫دض‬ُ١‫ٚثٌّغضم‬ ٌْٛٛ‫ثٌم‬ ْ‫دغشؽج‬ ‫ثإلطجدز‬ ‫خطش‬ ‫٠جدر‬ ٟٔ‫ثٌذذ‬ ‫ٚثٌٕشجؽ‬ ‫ثٌضغز٠ز‬ ٍٝ‫ػ‬ ‫ثألِش٠ى١ز‬ ْ‫ثٌغشؽج‬ ‫ؽّؼ١ز‬ ٟ‫صٛط‬ ٜ‫أخش‬ ‫ؽٙز‬ ِٓٚ ،‫ٚثٌّؼذر‬ ،‫ٚثٌذشٚعضجصج‬ ْ‫ثٌغشؽج‬ ِٓ ‫ٌٍٛلج٠ز‬the American Cancer Society guidelines on nutrition and physical activity for cancer preventionَ‫ٚػذ‬ ، ‫ٚثٌقّشثء‬ ‫ثٌّؼجٌؾز‬ َٛ‫ثٌٍق‬ ‫صٕجٚي‬ ِٓ ‫ٌٍقذ‬ ‫ثٌضٛؽ١ٙ١ز‬ ‫دجٌّذجدا‬ ، ‫ِشؾؼز‬ ‫ِٛثد‬ ‫صٕضؼ‬ ‫عٛف‬ ‫ألٔٙج‬ ‫ػجٌ١ز‬ ‫فشثس٠ز‬ ‫دسؽجس‬ ٍٝ‫ػ‬ ‫دؾٍذ٘ج‬ ٓ‫ٚثٌذٚثؽ‬ ْٛ٘‫دجٌذ‬ ‫ثٌغٕ١ز‬ َٛ‫ثٌٍق‬ ‫ؽذخ‬ ‫ٚع‬ٗ‫ػالؽ‬ ‫دؼذ‬ ْ‫ثٌغشؽج‬ ‫ِشع‬ ‫ػٛدر‬ ٌٝ. ‫ػٛدر‬ ٟ‫ف‬ ُ٘‫ٚصغج‬ ‫ثٌغشؽجٔ١ز‬ ‫دجألِشثع‬ ‫ثإلطجدز‬ ‫أخطجس‬ ِٓ ‫ٚصض٠ذ‬ ‫صغذخ‬ ‫ثٌغّٕز‬ ً٘ ‫ػالؽٗ؟‬ ‫دؼذ‬ ‫ثٌّشع‬ ‫وغ١شر‬ ‫ٚدقٛط‬ ‫دسثعجس‬ ‫ٕ٘جن‬،‫ٚثٌذذثٔز‬ ْ‫ثٌٛص‬ ‫ص٠جدر‬ ٓ١‫د‬ ‫صشدؾ‬‫ِغ‬‫ؽذ٠ذ‬ ِٓ ْ‫ثٌغشؽج‬ ‫ِشع‬ ‫ػٛدر‬ ‫خطش‬ ‫ثٌشفجء‬ ‫دؼذ‬،ِٓ ‫ثٌضخٍض‬ ‫ٚ٠ؼضذش‬ ،‫دجٌؼالػ‬ ِٕٗ ‫ثٌضخٍض‬ ‫دؼذ‬ ‫ثٌق١جر‬ ‫ل١ذ‬ ٍٝ‫ػ‬ ‫ثٌذمجء‬ ‫ثفضّجالس‬ ِٓ ًٍ‫ٚصم‬
  • 7. ‫فّج٠ز‬ ًِ‫ثٌؼٛث‬ ‫أوذش‬ ِٓ ٟٔ‫ثٌذذ‬ ‫ٚثٌٕشجؽ‬ ‫ٚثٌطٛي‬ ‫ثٌؼّش‬ ‫فغخ‬ ٍٝ‫ػ‬ ‫ثٌّٕجعخ‬ ْ‫ثٌٛص‬ ٍٝ‫ػ‬ ‫ٚثٌّقجفظز‬ ‫ثٌغّٕز‬ ٜ‫ثألخش‬ ‫ثألِشثع‬ ِٓ ‫ٚغ١ش٘ج‬ ‫ثٌغشؽجٔ١ز‬ ‫ثألِشثع‬ ِٓ ُ‫ثٌؾغ‬. ‫ثٌؼؼٛ٠ز؟‬ ‫ثألغز٠ز‬ ‫دضٕجٚي‬ ْ‫ثٌغشؽج‬ ‫ِشع‬ ِٓ ٓ١‫ثٌٕجؽ‬ ‫صشؾ١غ‬ ٓ‫ثٌّّى‬ ِٓ ً٘ ‫ثٌؼؼٛ٠ز‬ ‫ثألغز٠ز‬:ِٓ ،‫ؽذ١ؼ١ز‬ ‫غ١ش‬ ‫ِغضقذعز‬ ‫طٕجػ١ز‬ ‫صذخالس‬ ّٓ‫صضؼ‬ ‫ال‬ ‫دأعجٌ١خ‬ ‫ثٌّٕضؾز‬ ‫ثألغز٠ز‬ ٟ٘ ‫ٚصؼذ٠ٍٙج‬ ‫إٔضجؽٙج‬ ‫خالي‬ ِٓ ُ‫٠ض‬ ‫ٚال‬ ، ‫ٚغ١ش٘ج‬ ‫ٚثٌٙشِٛٔجس‬ ،ٞٚ‫و١ّج‬ ‫ٚعّجد‬ ‫طٕجػ١ز‬ ‫فشش٠ز‬ ‫ِذ١ذثس‬ ‫ُظٙش‬‫ص‬ ٌُ ، ‫فجي‬ ‫أ٠ز‬ ٍٝ‫ٚػ‬ ،‫ثٌٙشِٛٔ١ز‬ ٚ‫أ‬ ‫ثٌى١ّجٚ٠ز‬ ‫دجٌّؼجفجس‬ ٚ‫أ‬ ‫ثٌظٕجػ١ز‬ ‫دجٌّز٠ذجس‬ ٚ‫أ‬ ‫ٌإلشؼجع‬ ‫دجٌضؼشع‬ ‫ثٌضمٍ١ذ٠ز‬ ‫دجألعجٌ١خ‬ ‫ثٌّضسٚع‬ ‫ٚثٌغزثء‬ ‫ثٌؼؼٛ٠ز‬ ‫ثألغز٠ز‬ ٓ١‫د‬ ‫ج‬ًِّٙ ‫ج‬ً‫ٚثػق‬ ‫ج‬ً‫ل‬‫فش‬ ْ٢‫ث‬ ٝ‫فض‬ ‫ثٌؼٍّ١ز‬ ‫ثٌذسثعجس‬ ‫إرث‬ ‫ِج‬ ‫صغذش‬ ‫ثٌذشش‬ ٍٝ‫ػ‬ ‫دسثعجس‬ ‫صٛؽذ‬ ‫ال‬ ،‫ثٌٛلش‬ ‫ٔفظ‬ ٟ‫ٚف‬ ،‫ٚثٌّزثق‬ ،‫ثٌغزثة١ز‬ ‫ثألِجْ،ٚثٌم١ّز‬ ‫ف١ظ‬ ِٓ ‫ٚخطش‬ ،ْ‫ثٌغشؽج‬ ‫خطش‬ ِٓ ‫ثٌقذ‬ ‫ف١ظ‬ ِٓ ‫ثٌؼجد٠ز‬ ‫ثألغز٠ز‬ ِٓ ‫غ١ش٘ج‬ ِٓ ً‫أفؼ‬ ٟ٘ ‫ثٌؼؼٛ٠ز‬ ‫ثألغز٠ز‬ ‫وجٔش‬ ‫ثٌشفجء‬ ‫دؼذ‬ ٖ‫صطٛس‬ َ‫ٚػذ‬ ‫ثٌّشع‬ ‫ػٛدر‬. ‫ِّجسعز‬ ‫٠ؾخ‬ ً٘‫ثٌش٠جػز‬‫؟‬ ِٕٗ ‫ثٌشفجء‬ ‫ٚدؼذ‬ ْ‫ثٌغشؽج‬ ‫ػالػ‬ ‫فضشر‬ ‫أعٕجء‬ ‫ِّجسعز‬ ْ‫أ‬ ٌٝ‫إ‬ ‫دمٛر‬ ‫ثٌذقٛط‬ ‫صش١ش‬‫ثٌش٠جػز‬ُِٙ ،‫ر‬‫ثألدثء‬ ٓ١‫صقغ‬ ً‫ٚعجة‬ ِٓ ‫ٚٚثفذ‬ ،‫ؽذث‬ ،‫ثٌّخضٍفز‬ ‫دجألِشثع‬ ‫ثإلطجدز‬ ‫أخطجس‬ ‫ٚخفغ‬ ،ٟٔ‫ثٌذذ‬ٚ،ْ‫ثٌغشؽج‬ ‫ِٕٙج‬‫ِمجِٚز‬ ٍٝ‫ػ‬ ًّ‫ٚصؼ‬ٗ‫ػٛدص‬ ‫ِّجسعز‬ ْ‫دأ‬ ،‫ثٌذسثعجس‬ ٖ‫٘ز‬ ِٓ ٓ١‫صذ‬ ‫ٚلذ‬ ، ِٕٗ ‫ثٌشفجء‬ ‫دؼذ‬‫ثٌش٠جػز‬‫ثٌّؼضذي‬‫ر‬،‫س‬‫ثٌشؼٛس‬ ‫خفغ‬ ٗٔ‫أ‬ ‫وّج‬ ، ‫ٚثٌمٍك‬ ،‫دجٌضؼخ‬‫س‬ ‫ث‬‫وّج‬ ، ‫ثألِشثع‬ ِٓ ‫وغ١ش‬ ِٓ ‫ثٌضخٍض‬ ِٓ ‫ثٌذِٛ٠ز‬ ‫ٚثألٚػ١ز‬ ‫ثٌمٍخ‬ ‫عجػذ‬‫إٔٙج‬ ٓ١‫صقغ‬ ٟ‫ف‬ ُ٘‫صغج‬‫ثٌؼؼالس‬ ‫دٕجء‬ِٓ ‫٠طٍخ‬ ٗ١ٍ‫ٚػ‬ ،ٟ‫ثٌّشػ‬‫ٔشجؽج‬ ‫دّضثٌٚز‬‫س٠جػ١ج‬‫ثألشخجص‬ ِٓ ً‫أل‬ ٓ١‫ثٌّظجد‬ ‫غ١ش‬‫خالي‬ ْ‫ثٌغشؽج‬ ‫دّشع‬‫ثإلشؼجع‬ ٚ‫أ‬ ٟ‫ثٌى١ّ١جة‬ ‫ثٌؼالػ‬ ‫فضشر‬ٞ‫ثٌّخضض‬ ‫ثٌطذ١خ‬ ‫ؽٍخ‬ ‫أرث‬ ‫إال‬ ، ‫ػىظ‬،‫رٌه‬‫ثٌٕمجؽ‬ ‫إصذجع‬ ْ‫دجٌغشؽج‬ ٝ‫ثٌّشػ‬ ٍٝ‫ػ‬ ‫٠ؾخ‬ ‫وّج‬‫ثٌضجٌ١ز‬:- 1.ٍٝ‫ػ‬ ‫٠ؾخ‬‫ثٌشذ٠ذ‬ َ‫ثٌذ‬ ‫فمش‬ ِٓ ْٛٔ‫٠ؼج‬ ٓ٠‫ثٌز‬ ‫ثألشخجص‬(‫ثٔخفجع‬‫ػذ‬َ‫ثٌذ‬ ‫خال٠ج‬ ‫د‬‫ثٌقّشثء‬)،َ‫ػذ‬ َ‫ثٌم١ج‬ٞ‫دأ‬ٟ‫ثٌش٠جػ‬ ‫ٔشجؽ‬،‫أٚال‬ ُٙ٠‫ٌذ‬ َ‫ثٌذ‬ ‫فمش‬ ‫ِشىٍز‬ ‫ِؼجٌؾز‬ ‫دؼذ‬ ‫إال‬،‫ِضثٚي‬ ُ‫ع‬ٗ‫ص‬‫دذؾء‬،‫ٚص٠جدر‬ ‫رٌه‬ ‫دؼذ‬ ‫ثٌٛلش‬ ‫ِشٚس‬ ‫ِغ‬ ٖ‫ِغضٛث‬. 2.ْٛٔ‫٠ؼج‬ ٓ٠‫ثٌز‬ ‫ثألشخجص‬ ٍٝ‫ػ‬ ‫٠ؾخ‬‫ثٌؼجِز‬ ‫ثٌش٠جػ١ز‬ ‫ثٌظجالس‬ ‫صؾٕخ‬ ،ٟ‫ثٌّٕجػ‬ ‫ثٌؾٙجص‬ ٟ‫ف‬ ‫ػؼفج‬ ‫ثٌؼجِز‬ ٓ‫ثألِجو‬ ِٓ ‫ٚغ١ش٘ج‬،ٌٝ‫إ‬ ٝ‫فض‬ْ‫أ‬ٛ‫ِغض‬ ٌٝ‫إ‬ ‫ثٌذ١ؼجء‬ ‫ثٌخال٠ج‬ ‫ػذد‬ ‫صؼٛد‬‫ث٘ج‬ٟ‫ثٌطذ١ؼ‬. 3.‫دجإلشؼجع‬ ْٛ‫٠ؼجٌؾ‬ ٓ٠‫ثٌز‬ ‫ثألشخجص‬ ٍٝ‫ػ‬ ‫٠ؾخ‬،‫ثٌغذجفز‬ ‫فّجِجس‬ ‫صؾٕخ‬،‫ثٌىٍٛس‬ ٍٝ‫ػ‬ ٞٛ‫صقض‬ ‫ألٔٙج‬ ‫ِٕطمز‬ ٟ‫ف‬ ‫صٙ١ؾج‬ ‫٠غذخ‬ ٞ‫ثٌز‬‫ثٌؾٍذ‬ ِٓ ‫ثٌؼالػ‬. 4.َ‫ثٌؼظج‬ ْ‫دغشؽج‬ ْٛ‫ثٌّظجد‬ ‫ثألشخجص‬،َ‫ثٌؼظج‬ ‫دٙشجشز‬ ٚ‫أ‬،ً‫ثٌّفجط‬ ‫ثٌضٙجح‬ ِٓ ْٛٔ‫٠ؼج‬ ٚ‫أ‬،ٚ‫أ‬ ‫ثألػظجح‬ ٟ‫ف‬ ‫صٍف‬(ٟ‫ثٌّق١ط‬ ٟ‫ثٌؼظذ‬ ‫ثالػضالي‬peripheral neuropathy)،ٓ‫ثٌغ‬ ‫وذجس‬ ٚ‫أ‬ ، ‫ٌإلطجدجس‬ ‫ٚصؼشع‬ ‫ثٌغمٛؽ‬ ‫ِخجؽش‬ ِٓ ‫ثٌشذ٠ذ‬ ‫ثٌقزس‬ ٟ‫ثٌضٛخ‬. ‫دؼذ‬ ٗ‫ٚػٛدص‬ ْ‫دغشؽج‬ ‫ثإلطجدز‬ ‫ِخجؽش‬ ًٍ‫صم‬ ْ‫أ‬ ٓ‫٠ّى‬ َ‫دجٔضظج‬ ‫ثٌش٠جػز‬ ‫ِّجسعز‬ ً٘ ‫ِٕٗ؟‬ ‫ثٌؼالػ‬ ‫فٛي‬ ‫وغ١شر‬ ‫دسثعجس‬ ‫صٛؽذ‬ ‫ال‬‫ثٌش٠جػ١ز‬ ‫ثٌضّش٠ٕجس‬ ‫صأع١ش‬،‫ٕ٘جن‬ ٓ‫ٌٚى‬ ، ‫ثٌغشؽجٔجس‬ ‫أٔٛثع‬ ‫ؽّ١غ‬ ٍٝ‫ػ‬ ‫ثي‬ ‫دؼغ‬‫دسثعجس‬‫فٛي‬ ‫أؽش٠ش‬ٞ‫ثٌغذ‬ ْ‫عشؽج‬ ِٓ ٓ١‫ثٌٕجؽ‬ ٍٝ‫ػ‬ ‫صأع١ش٘ج‬،ُ١‫ٚثٌّغضم‬ ‫ٚثٌذشٚعضجصج‬ ٌْٛٛ‫ٚثٌم‬ ‫ٚؽذ‬ ‫فمذ‬ ‫٘زث‬ ،‫ٚثٌّذ١غ‬‫ث‬ٚ ‫أؽٛي‬ ْٛ‫٠ؼ١ش‬ ‫ثٌش٠جػ١ز‬ ‫ثٌضّش٠ٕجس‬ ‫دّضثٌٚز‬ ّْٛ‫٠ٙض‬ ٓ٠‫ثٌز‬ ‫ثألشخجص‬ ْ‫دأ‬ًٍ‫صم‬ ِٓ‫٠ضثٌٚٛٔٙج‬ ‫ال‬ ٓ٠‫ثٌز‬ ‫ثألشخجص‬ ِٓ ِٕٗ ‫ثٌشفجء‬ ‫دؼذ‬ ٜ‫أخش‬ ‫ِشر‬ ْ‫ثٌغشؽج‬ ‫ػٛدر‬ ‫ِخجؽش‬.
  • 8. ‫ثٌغشؽجْ؟‬ ‫ِشع‬ ِٓ ٓ١‫ٌٍٕجؽ‬ ‫ِف١ذر‬ ‫ثٌ١ٛلج‬ ‫س٠جػز‬ ً٘ ،‫ثٌؼالػ‬ ٓ١‫٠ضٍم‬ ‫ِش٠ؼجس‬ ‫عالط‬ ً‫و‬ ٓ١‫د‬ ّٓ‫ف‬ ‫ٌّش٠ؼجصٗ؛‬ ٓ٠‫شذ٠ذ‬ ‫ٚصؼذج‬ ‫إس٘جلج‬ ،ٞ‫ثٌغذ‬ ْ‫عشؽج‬ ‫ػالػ‬ ‫٠غذخ‬ ٌٍٓ٘ٛ ‫ػشػز‬ ‫أوغش‬ ٓ٘ ‫ج‬ً‫ؽ‬‫ٔشج‬ ً‫ثألل‬ ‫ثٌٕجؽ١جس‬ ‫ٚأٌٚته‬ ،‫ثٌ١ِٛ١ز‬ ‫ف١جصٙج‬ ‫أٔشطز‬ ‫ِضثٌٚز‬ ٓ‫ػ‬ ‫ٚثفذر‬ ‫صضٛلف‬ ً١ٍ‫صم‬ ٍٝ‫ػ‬ ًّ‫صؼ‬ ‫إٔٙج‬ ‫ف١ظ‬ ،ٞ‫ثٌغذ‬ ْ‫عشؽج‬ ِٓ ‫ثٌٕجؽ١جس‬ ٟ‫ف‬ ‫ؽ١ذ‬ ‫صأع١ش‬ ‫ٌٙج‬ ‫ثٌ١ٛؽج‬ ْ‫أ‬ ‫ٚٚؽذ‬ ،‫ثٌّذىش‬ ‫ٚثٌّٛس‬ ًِ‫ٚثٌضأ‬ ‫ظ‬ُّ‫ف‬ٕ‫ثٌض‬ ‫صذس٠ذجس‬ ‫دغذخ‬ ‫ع١ّج‬ ‫ال‬ ، ‫ٚثالٌضٙجح‬ ‫ثٌضؼخ‬،ْ‫أ‬ ٓ‫٠ّى‬ ‫ثٌ١ٛؽج‬ ‫ِّجسعز‬ ْ‫أ‬ ‫دسثعجس‬ ‫ٚؽذس‬ ‫ٚلذ‬ ٟ‫صؼجؽ‬ ٍٍْٛ‫٠م‬ ٝ‫ثٌّشػ‬ ‫دؼغ‬ ْ‫إ‬ ٝ‫فض‬ ‫ثٌَٕٛ؛‬ ‫ؽٛدر‬ ٓ‫ٚصقغ‬ ‫ثٌضؼخ‬ ًٍ‫صم‬ ‫إٔٙج‬ ‫ف١ظ‬ ِٓ ْ‫ثٌغشؽج‬ ٝ‫ِشػ‬ ‫صٕفغ‬ ُٙ٠‫ٌذ‬ ٌَٕٛ‫ث‬ ‫ؽٛدر‬ ٓ‫صقغ‬ ‫إعش‬ ٍٝ‫ػ‬ ‫ثألسق‬ ‫أدٚ٠ز‬.‫ٚلٛر‬ ،‫ثٌؾغذ٠ز‬ ‫ثٌٍ١جلز‬ ‫ٔجف١ز‬ ِٓ ‫ِف١ذر‬ ‫غ١ش‬ ‫ٌٚىٕٙج‬ ،‫ثٌؼؼالس‬‫ِضثٌٚضٙج‬ ‫٠ؾخ‬ ٗ١ٍ‫ٚػ‬‫ِشع‬ ‫ػٛدر‬ ‫ثٌّخجؽش‬ ً١ٍ‫صم‬ ٟ‫ف‬ ‫ؽذث‬ ُِٙ ٞ‫ثٌذذ‬ ‫ثٌٕشجؽ‬ ‫ِضثٌٚز‬ ْ‫صٛثص‬ ‫ِغ‬ ٜ‫أخش‬ ‫ِشر‬ ٞ‫ثٌغذ‬ ْ‫عشؽج‬. ‫ثٌى١ّجة١ز‬ ‫ثألغز٠ز‬ ‫ِىٛٔجس‬ ٍٝ‫ػ‬ ً٘(Photochemical)‫ثإلطجدز‬ ‫ِخجؽش‬ ِٓ ًٍ‫صم‬ ‫دجٌغشؽجْ؟‬ ‫ثٌى١ّ١جة١ز‬ ‫ثألغز٠ز‬ ُ‫صؼ‬(Photochemical)‫ثٌّشوذجس‬ ِٓ ‫ٚثعؼز‬ ‫ِؾّٛػز‬‫ثٌى١ّ١جة١ز‬ ‫ثٌذؼغ‬ ٞٛ‫٠قض‬ ‫ثٌٛلش‬ ‫ثٌٕفظ‬ ٟ‫ٚف‬ ،‫ٚثٌقذٛح‬ ،‫ٚثٌذمٌٛ١جس‬ ،ٗ‫ٚثٌفٛثو‬ ‫ثٌخؼشثٚثس‬ ٟ‫ف‬ ‫ثٌّضٛثؽذر‬ ، ‫ثٌٕذجص١ز‬ ‫ثألوغذر‬ ‫ِؼجدثس‬ ٍٝ‫ػ‬ ٞٛ‫صقض‬ ٜ‫ٚثألخش‬ ،‫دجٌٙشِٛٔجس‬ ‫شذ١ٙز‬ ‫ِٛثد‬ ٍٝ‫ػ‬ ‫ِٕٙج‬. ٍٝ‫ػ‬ ٞٛ‫صقض‬ ،‫ثٌٕذجصجس‬ ‫ؽّ١غ‬ ْ‫أ‬ ‫ٚدّج‬ ، ‫ثٌغشؽجٔ١ز‬ ‫ثألِشثع‬ ٍٝ‫ػ‬ ‫صأع١ش٘ج‬ ‫فٛي‬ ‫وغ١شر‬ ‫دسثعجس‬ ‫صٛؽذ‬ ‫ال‬ ‫لذ‬ ٗ١ٍ‫ٚػ‬ ،‫ثٌى١ّ١جة١ز‬ ‫ثألغز٠ز‬ ‫ػّٕٙج‬ ِٓٚ ،‫ثٌذىض١ش٠ز‬ ‫ِٚؼجدثس‬ ،‫ثألوغذر‬ ‫وّؼجدس‬ ًّ‫صؼ‬ ٟ‫ثٌض‬ ‫ف١ٌٕٛ١ز‬ ‫ِٛثد‬ ‫دجألِشثع‬ ‫ثإلطجدز‬ ‫أخطجس‬ ِٓ ًٍ‫صم‬ ٍٝ‫ػ‬ ،‫ثٌف١ٌٕٛ١ز‬ ‫دجٌّٛثد‬ ‫ثٌغٕ١ز‬ ‫ثٌغزثة١ز‬ ‫ثٌى١ّ١جة١ز‬ ‫ثٌّشوذجس‬ ٖ‫٘ز‬ ‫صغجػذ‬ ‫ِٕٙج‬ ‫ثٌشفجء‬ ‫دؼذ‬ ‫ػٛدصٙج‬ ًٍ‫ٚصم‬ ،‫ثٌغشؽجٔ١ز‬. ‫ِىٛٔجس‬ ٍٝ‫ػ‬ ْ‫ثٌغشؽج‬ ‫ِشع‬ ِٓ ٓ١‫ٌٍٕجؽ‬ ‫ثٌغزثة١ز‬ ‫ثٌٛؽذجس‬ ‫ثفضٛثء‬ ٓ‫ثٌّّى‬ ِٓ ً٘ ‫ثٌظٛ٠ج؟‬ ‫ثٌفٛي‬ ِٓ ‫ثٌى١ّجة١ز‬ ‫ٚدجٌّشوذجس‬ ‫دجٌذشٚص١ٕجس‬ ‫ثٌغٕ١ز‬ ‫ثٌظٛ٠ج‬ ‫ثٌفٛي‬ ‫دّٕضؾجس‬ ‫ٚثعضذذثٌٙج‬ َٛ‫ثٌٍق‬ ٓ‫ػ‬ ‫ثالعضغٕجء‬ ٓ‫٠ّى‬ ٞٛ‫٠قض‬ ‫ثألخش‬ ‫ٚثٌذؼغ‬ ٓ١‫ثالعضشٚؽ‬ ِْٛ‫٘ش‬ ‫ٔشجؽ‬ ِٓ ‫طغ١شر‬ ‫وّ١جس‬ ٍٝ‫ػ‬ ٞٛ‫٠قض‬ ‫ِٕٙج‬ ‫ٚثٌذؼغ‬ ،‫ثٌغزثة١ز‬ ‫ِٛثد‬ ٍٝ‫ػ‬ ‫أ٠ؼج‬ ٞٛ‫ٚصقض‬ ،‫ثٌغشؽجٔ١ز‬ ‫ثٌخال٠ج‬ ‫ٚصطٛس‬ ٌّٕٛ ‫ثٌّشؾؼز‬ ‫ثٌٙشِٛٔجس‬ ِٓ ّٟ‫صق‬ ‫ِٕضؾجس‬ ٍٝ‫ػ‬ ‫دىض١ش٠ز‬ ‫ِٚؼجدثس‬ ‫ثألوغذر‬ ‫وّؼجدثس‬ ًّ‫صؼ‬ ٟ‫ثٌض‬ ‫ف١ٌٕٛ١ز‬. ٓ١‫صجِٛوغ١ف‬ ‫ثٌذٚثء‬ ‫ِفؼٛي‬ ‫ص٠جدر‬ ٍٝ‫ػ‬ ٗ‫ِٕٚضؾجص‬ ‫ثٌظٛ٠ج‬ ‫فٛي‬ ًّ‫٠ؼ‬(Tamoxifen)‫ثٌّؼجد‬ ٞ‫ثٌغذ‬ ْ‫عشؽج‬ ‫ِؼجٌؾز‬ ٟ‫ف‬ ًّ‫٠غضؼ‬ ٞ‫ٚثٌز‬ ٓ١‫ٌإلعضشٚؽ‬. ‫ثٌغشؽجٔ١ز؟‬ ‫ثٌخال٠ج‬ ّٛٔ ‫٠شؾغ‬ ‫ثٌغىش‬ ً٘ ‫دّمذثس‬ ٞ‫ثٌغذ‬ ْ‫دغشؽج‬ ‫ٚثإلطجدز‬ ‫ثٌغّٕز‬ ‫ِخجؽش‬ ٓ٘‫ػٕذ‬ ‫صض٠ذ‬ ٍٜٛ‫ثٌق‬ ‫صٕجٚي‬ ٟ‫ف‬ ٓ‫٠غشف‬ ٟ‫ثٌالص‬ ‫ثٌغ١ذثس‬ 27%ٍٜٛ‫ثٌق‬ ِٓ ً‫أل‬ ‫وّ١جس‬ ٌٓٚ‫٠ضٕج‬ ّٓ‫ػ‬،‫ف‬ِٓ ‫ػجٌ١ز‬ ‫ٔغخ‬ ٍٝ‫ػ‬ ٜٛ‫٠قض‬ ٞ‫ثٌز‬ ‫ثٌغزثء‬، ‫ثٌغىش٠جس‬ً‫ِغ‬ ٍٛ‫ثٌق‬ ٟ‫ف‬ ‫صٛؽذ‬ ٟ‫ثٌض‬‫٠جس‬ٞ‫ثٌز‬ َ‫ثٌذ‬ ‫ؽٍٛوٛص‬ ِٓ ‫ػجٌ١ز‬ ‫ِغضٛ٠جس‬ ‫دٛؽٛد‬ ‫صشصذؾ‬‫٠ذفغ‬‫إفشثص‬ ٍٝ‫ػ‬ ُ‫ثٌؾغ‬ ٌّٕٛ‫ث‬ ٍٝ‫ػ‬ ‫ثٌغشؽجٔ١ز‬ ‫ثٌخال٠ج‬ ٓ١ٌٛ‫ثألٔغ‬ ‫٘زث‬ ‫ٚ٠شؾغ‬ ،ٓ١ٌٛ‫ثألٔغ‬،‫ِغضٛ٠جس‬ ‫إفذثط‬ ٌٝ‫إ‬ ٞ‫صؤد‬ ْ‫أ‬ ٓ‫ٚ٠ّى‬ ٞ‫ثٌغذ‬ ْ‫عشؽج‬ ‫صطٛس‬ ِٓ ‫٠ض٠ذ‬ ٞ‫ثٌز‬ ٓ١‫ثالعضشٚؽ‬ ِٓ ‫ػجٌ١ز‬. ‫ٚثٌّؼجدْ؟‬ ‫ثٌف١ضجِ١ٕجس‬ ٍٝ‫ػ‬ ‫ثٌقظٛي‬ ْ‫ثٌغشؽج‬ ‫ِشع‬ ِٓ ٓ١‫ثٌٕجؽ‬ ‫٠غضف١ذ‬ ً٘ ‫ثٌغشؽجٔ١ز‬ ‫ثألِشثع‬ ِٓ ٓ١‫ثٌٕجؽ‬ ٍٝ‫ػ‬ ‫٠ؾخ‬،‫ثٌذل١مز‬ ‫ثٌغزثة١ز‬ ‫ثٌؼٕجطش‬ ٍٝ‫ػ‬ ‫ثٌقظٛي‬،ً‫ِغ‬:‫ثٌف١ضجِ١ٕجس‬ ٜ‫سأ‬ ‫إرث‬ ‫إال‬ ، ‫ثٌغزثة١ز‬ ‫ثٌّىّالس‬ ‫ؽش٠ك‬ ٓ‫ػ‬ ‫ٌٚ١ظ‬ ،‫ثٌغزثء‬ ‫ؽش٠ك‬ ٓ‫ػ‬ ‫٠قضجؽٛٔٙج‬ ٟ‫ثٌض‬ ‫ثٌٕجدسر‬ ْ‫ٚثٌّؼجد‬ ‫ِٕٙج‬ ‫ِؼ١ٕز‬ ‫ثٌّغز٠جس‬ ‫دؼغ‬ ‫ٔمض‬ ‫دغذخ‬ ‫صٕجٌٚٙج‬ ‫ثٌّؼجٌؼ‬ ‫ثٌطذ١خ‬.
  • 9. ‫ٚثٌّؾّذر‬ ‫ثٌطجصؽز‬ ٗ‫ٚثٌفٛثو‬ ‫ٌٍخؼشٚثس‬ ‫ثٌغزثة١ز‬ ‫ثٌم١ّز‬ ٟ‫ف‬ ‫فشق‬ ‫ٕ٘جن‬ ً٘ ‫ٚثٌّؼٍذز؟‬ ٗ‫ثٌفٛثو‬ ‫صؼضذش‬ ٓ‫ٌٚى‬ ، ‫ثٌغزثة١ز‬ ‫ثٌم١ّز‬ ‫ٔجف١ز‬ ِٓ ‫ٚثٌّؾّذر‬ ‫ثٌطجصؽز‬ ‫ثألغز٠ز‬ ٓ١‫د‬ ‫وذ١ش‬ ‫فشق‬ ‫ٕ٘جن‬ ‫ٌ١ظ‬ ‫ثٌغشؽجٔ١ز‬ ‫دجألِشثع‬ ‫ثإلطجدز‬ ‫صشؾغ‬ ُ‫ع‬ ِٓٚ ‫ثٌغّٕز‬ ‫صشؾغ‬ ‫دجٌغىش٠جس‬ ‫ثٌغٕ١ز‬ ‫ثٌّؼٍذز‬،‫دؼذ‬ ‫ػٛدصٙج‬ ‫ٚصشؾغ‬ ‫أعٕجء‬ ‫دضٕجٌٚٙج‬ ْ‫ثٌغشؽج‬ ٝ‫ِشػ‬ ‫٠ٕظـ‬ ‫ال‬ ، ‫ثٌٍّـ‬ ‫إٌ١ٙج‬ ‫ٚثٌّؼجف‬ ‫ثٌّؼٍذز‬ ‫ثٌخؼشٚثس‬ ‫أِج‬ ، ‫ِٕٙج‬ ‫ثٌضخٍض‬ ٚ‫أ‬ ‫ثٌطجصؽز‬ ٗ‫ٚثٌفٛثو‬ ‫ثٌخؼشٚثس‬ ‫دضٕجٚي‬ ، ْ‫ثٌغشؽج‬ ٝ‫ِشػ‬ ‫٠ٕظـ‬ ‫٘زث‬ ٍٝ‫ٚػ‬ ، ِٕٗ ‫ثٌشفجء‬ ‫ٚدؼذ‬ ‫ثٌؼالػ‬ ‫ثٌّؼٍذز‬ ‫ٌٚ١ظ‬ ‫ثٌّؾّذر‬. ‫ٌٍخؼجس؟‬ ‫ثٌغزثة١ز‬ ‫ثٌم١ّز‬ ِٓ ًٍ‫صم‬ ‫ثٌطذخ‬ ‫ػٍّ١ز‬ ً٘ ‫ثٌىجسٚص١ٕجس‬ ‫ثِضظجص‬ ً‫ِغ‬ ‫ثٌغزثة١ز‬ ‫ثٌؼٕجطش‬ ‫دؼغ‬ ‫ثِضظجص‬ ٓ١‫صقغ‬ ٍٝ‫ػ‬ ‫ثٌخؼشٚثس‬ ‫ػٍّ١ز‬ ‫صغجػذ‬ (ٗ‫ٚثٌفٛثو‬ ‫ثٌخؼشٚثس‬ ْ‫أٌٛث‬ ٓ‫ػ‬ ‫ثٌّغؤٌٚز‬ ‫ثٌّشوذجس‬)‫ثٌف١ضجِ١ٕجس‬ ٍٝ‫ػ‬ ‫ثٌّقجفظز‬ ‫ؽشق‬ ً‫أفؼ‬ ِٓٚ ،‫ف‬ٞ ‫صغذخ‬ ، ‫ؽٛ٠ٍز‬ ‫ٌّٚذر‬ ٍٟ‫ثٌغ‬ ‫ؽش٠ك‬ ٓ‫ػ‬ ‫ثٌطذخ‬ ‫أِج‬ ،‫ثٌذخجس‬ ٍٝ‫ػ‬ ‫ٚثٌطذخ‬ ،‫ثٌّ١ىشٚٚ٠ف‬ ‫ؽش٠ك‬ ٓ‫ػ‬ ‫ثٌطذخ‬ ‫ِؾّٛػز‬ ‫ف١ضجِ١ٕجس‬ ً‫ِغ‬ ‫ثٌّجء‬ ٟ‫ف‬ ‫ثٌزثةذز‬ ‫ثٌف١ضجِ١ٕجس‬ ‫صغشح‬(‫ح‬)ٓ١ِ‫ٚف١ضج‬(‫ػ‬). ‫٠ِٛ١ج؟‬ ‫ششدٙج‬ ‫٠ؾخ‬ ٟ‫ثٌض‬ ً‫ثٌغٛثة‬ ‫وّ١ز‬ ٟ٘ ‫ِج‬ ‫ثٌضجٌ١ز‬ ‫فمذ٘ج‬ ٚ‫أ‬ ً‫ٚثٌغٛثة‬ ‫ثٌّجء‬ ‫ششح‬ ‫لٍز‬ ٚ‫أ‬ َ‫ػذ‬ ‫ٔض١ؾز‬ ُ‫ثٌؾغ‬ ‫ؽفجف‬ ‫أػشثع‬ ُ٘‫أ‬ ِٓ-: 1.‫ثٌشذ٠ذ‬ ‫ثٌضؼخ‬ 2.‫ثٌغ١ب‬ ُ‫دجٌطؼ‬ ‫شؼٛس‬ 3.ُ‫ثٌف‬ ‫ؽفجف‬ 4.ْ‫ثٌغغ١ج‬ ٓ١‫د‬ ‫ِج‬ ،ً‫ثٌغٛثة‬ ‫دششح‬ ‫٠ٕظـ‬ ٗ١ٍ‫ٚػ‬2ٌٝ‫إ‬2.5ِٓ ٜ‫أخش‬ ‫ٌضش‬ ‫ٔظف‬ ‫ثٌشخض‬ ً‫٠قظ‬ ‫ٚلذ‬ ،َٛ١ٌ‫ث‬ ٟ‫ف‬ ‫ٌضش‬ ‫دّمذثس‬ ً‫ثٌغٛثة‬ ‫دششح‬ ‫ٚ٠ٕظـ‬ ،‫ثٌ١ِٛ١ز‬ ‫ثٌغزثة١ز‬ ‫ثٌٛؽذجس‬ ‫صٕجٚي‬3.7ٚ ٓ١‫ثٌذجٌغ‬ ‫ٌٍشؽجي‬ ‫ٌضش‬2.5‫ٌٍٕغجء‬ ‫ٌضش‬ ‫ثإلعٙجي‬ ٚ‫أ‬ ‫دجٌمٟء‬ ‫ثإلطجدز‬ ‫فجٌز‬ ٟ‫ف‬ ‫ثٌٛثفذ‬ َٛ١ٌ‫ث‬ ٟ‫ف‬ ‫ثٌذجٌغجس‬،‫ششح‬ ٍٝ‫ػ‬ ‫ثٌمذسر‬ ‫ثٌشخض‬ ‫فمذ‬ ‫ٚإرث‬ ‫ثٌٛس٠ذ‬ ‫ؽش٠ك‬ ٓ‫ػ‬ ً‫ثٌغٛثة‬ ٝ‫فضؼط‬ ،‫ثٌؼجد٠ز‬ ‫دجٌطشق‬ ً‫ثٌغٛثة‬.