څرنګه چې د تنفسي سېستم د توبرکلوز ناروغي يوه ډېره ساري ، وژونکي او ژوند تحديد کوونکي ناروغي ده چې د انسانانو ژوند ېې د ګواښ سره مخامخ کړی او په ټوله نړۍ کې خاصتاً په وروسته پاتې هېوادونوکې ېې پېښې مخ په زياتېدو دي په دې کې يو هم زمونږ ګران هېواد افغانستان د هغو دوه ويشت هېوادونو له جملې څخه شمېرل کېږي چې په هرو سل زرو تنو کې ېې يونيم سل تنه د توبرکلوز بلغم مثبت پېژندل شوي دي ، او دتوبرکلوز ټول واقعات په هرو سل زرو نفوسو کې درې سوه دري ديرشت تنه ښودل شوي دي ،نو په همدې خاطر که چيرې په چټک ډول تشخيص او تداوي نه شي نو د ټولنې يوه زياته برخه به ددې ناروغۍ دخطر سره لاس او ګرېوان شي. دغه څېړنه د پنځو فصلونو او ( 51 ) مخونو درلودونکې ده.

1. 1
D
r.Farooqi
Prepared by: Dr.Nasrullah “Farooqi”
Designed by: Eng.Mukaram “Farooqi”

2. ‫ﻣﻮﺿﻮع‬ ‫ﻣﻮﻧﻮ－ﺮاف‬ ‫د‬:
‫دﺗﻨﻔﺴﻲ‬‫او‬ ３＋‫ﻧ‬ ‫ﻧﺎروﻏﺎﻧﻮ‬ ‫ﻣﺜﺒﺖ‬ ‫ﺑﻠﻐﻢ‬ ‫ﺟﻬﺎز‬３‫ﻧ＋ﺎﻧ‬
‫ﮐﺎﻧﺪﻳﺪ‬ ‫ﺗﻪ‬ ‫ﺗﺨﺼﺺ‬:‫ﻧﺼﺮاﷲ‬ ‫داﮐﺘﺮ‬))‫ﻓﺎروﻗﻲ‬((
‫اﺳﺘﺎد‬ ‫ﻻر＊ﻮد‬:‫ﻣﺤﻤﺪ‬ ‫ﻓﻘﻴﺮ‬ ‫دوﮐﺘﻮر‬ ‫اﻟﺤﺎج‬ ‫ﻣﺘﺨﺼﺺ‬ ‫ﺗﺮﻳﻨﺮ‬))‫ﺷﺮﻓﻤﻞ‬((
‫ﻧ５＂ﻪ‬:1391‫ﻟﻤﺮﻳﺰ‬ ‫ﻫﺠﺮي‬
‫ﭼﺎرې‬ ‫ﮐﻤﭙﻴﻮﺗﺮې‬:‫ﻣﮑﺮم‬ ‫اﻧﺠﻴﻨﺮ‬)‫ﻓﺎروﻗﻲ‬(
2
D
r.Farooqi
Prepared by: Dr.Nasrullah “Farooqi”
Designed by: Eng.Mukaram “Farooqi”

3. 3
‫－ﺮاف‬ ‫ﻣﻮﻧﻮ‬ ‫د‬‫ﺟﻮړووﻧﮑﻲ‬‫دي‬ ‫ډول‬ ‫ﻻﻧﺪې‬ ‫ﭘﻪ‬ ‫＇ﭙﺮﮐﻲ‬:
‫＇ﭙﺮﮐﯽ‬ ‫ﭘﻨ％ﻢ‬
‫ﻣﺨﺘﻠﻔﻮ‬ ‫د‬
‫ﭘﻪ‬ ‫＄ﺎﻧ／７ﺗﻴﺎوو‬
‫ﺳﺮه‬ ‫ﻧﻴﻮﻟﻮ‬ ３‫ﮐ‬ ‫ﭘﺎم‬
‫ﻧﺎروﻏﺎﻧﻮ‬ ‫د‬
‫ﻣﻨﺎﻗﺸﻪ‬
‫＇ﭙﺮﮐﯽ‬ ‫＇ﻠﻮرم‬
‫＄ﺎﻧ／７ﻧﻮ‬ ‫ﻣﺨﺘﻠﻔﻮ‬ ‫د‬
‫ﺳﺮه‬ ‫ﻧﻴﻮﻟﻮ‬ ３‫ﮐ‬ ‫ﭘﺎم‬ ‫ﭘﻪ‬
‫＇５７ﻧﻪ‬ ‫دﻧﺎروﻏﺎﻧﻮ‬
‫＇ﭙﺮﮐﯽ‬ ‫در４ﻢ‬
‫ﻣﻴﺘﻮدوﻟﻮژي‬
‫ډﻳﺰاﻳﻦ‬ ３‫＇５７ﻧ‬ ‫د‬
‫ﺗ／ﻼره‬ ‫！ﻮﻟﻮﻟﻮ‬ ‫د‬ ‫ﻧﻤﻮﻧﻮ‬ ‫د‬
‫او‬ ‫ﻣﻮاد‬ ３‫＇５７ﻧ‬ ‫د‬
‫ﮐ７ﻧﻼره‬
‫ﮐﻮﻟﻮ‬ ‫ﺟﻤﻊ‬ ‫د‬ ‫ارﻗﺎﻣﻮ‬ ‫د‬
‫ﻣ５ﺘﻮدوﻧﻪ‬
‫ﺗﺠﺰﻳﻪ‬ ‫او‬ ‫ﺗﺤﻠﻴﻞ‬
‫＇ﭙﺮﮐﯽ‬ ‫دوﻫﻢ‬
‫اﻧﺎﺗﻮﻣﻲ‬ ‫ﺳ５ﺴﺘﻢ‬ ‫ﺗﻨﻔﺴﻲ‬ ‫د‬
‫ډوﻟﻮﻧﻪ‬ ３‫دﻫﻐ‬ ‫او‬ ‫ﺗﻮﺑﺮﮐﻠﻮز‬
‫ﺧﻮاص‬ ‫ﻣﺎﻳﮑﻮﺑﮑﺘﻴﺮﻳﻮم‬ ‫د‬
‫ﺗﺎرﻳﺨﭽﻪ‬
‫او‬ ‫اﻋﺮاض‬ ‫دﻧﺎروﻏﺎﻧﻮ‬ ‫ﺗﻮﺑﺮﮐﻠﻮز‬ ‫د‬
‫ﻋﻼﻳﻢ‬
‫ﻣﻌﺎﻳﻨﻪ‬ ‫ﻓﺰﻳﮑﻲ‬ ‫ﻧﺎروﻏﺎﻧﻮ‬ ‫د‬
‫ﻣﻌﺎﻳﻨﻪ‬ ‫ﻓﺰﻳﮑﻲ‬ ３‫ﺳﻴﻨ‬ ‫د‬ ‫ﻧﺎروﻏﺎﻧﻮ‬ ‫د‬
‫ﺗﺸﺨﻴﺼﻮل‬ ‫ﻧﺎروﻏﺎﻧﻮ‬ ‫ﻣﺜﺒﺖ‬ ‫ﺑﻠﻐﻢ‬ ‫د‬
‫＇ﭙﺮﮐﯽ‬ ‫ﻟﻮﻣ７ی‬
‫ﺳﺮﻟﻴﮏ‬
‫ﺑﻴﺎن‬ ３‫دﻣﺴﻠ‬
‫اړﺗﻴﺎ‬ ３‫＇５７ﻧ‬ ‫د‬
３‫＇５７ﻧ‬ ‫د‬ ‫او‬ ‫ﻟﻨ６ﻳﺰ‬
‫اﻫﺪاف‬
D
r.Farooqi
Prepared by: Dr.Nasrullah “Farooqi”
Designed by: Eng.Mukaram “Farooqi”

4. 4
D
r.Farooqi
Prepared by: Dr.Nasrullah “Farooqi”
Designed by: Eng.Mukaram “Farooqi”

5. 5
‫＇ﺮﻧ／ﻪ‬‫ﺗﺤﺪﻳﺪ‬ ‫ژوﻧﺪ‬ ‫او‬ ‫وژوﻧﮑﻲ‬ ، ‫ﺳﺎري‬ ‫ډ４ﺮه‬ ‫ﻳﻮه‬ ‫ﻧﺎروﻏﻲ‬ ‫ﺗﻮﺑﺮﮐﻠﻮز‬ ‫د‬ ‫ﺳ５ﺴﺘﻢ‬ ‫ﺗﻨﻔﺴﻲ‬ ‫د‬ ３‫ﭼ‬
３‫ﮐ‬ ‫ﻧ７ۍ‬ ‫！ﻮﻟﻪ‬ ‫ﭘﻪ‬ ‫او‬ ‫ﮐ７ی‬ ‫ﻣﺨﺎﻣﺦ‬ ‫ﺳﺮه‬ ‫－ﻮاښ‬ ‫د‬ ３４ ‫ژوﻧﺪ‬ ‫اﻧﺴﺎﻧﺎﻧﻮ‬ ‫د‬ ３‫ﭼ‬ ‫ده‬ ‫ﻧﺎروﻏﻲ‬ ‫ﮐﻮوﻧﮑﻲ‬
８‫زﻣﻮﻧ‬ ‫ﻫﻢ‬ ‫ﻳﻮ‬ ３‫ﮐ‬ ‫دې‬ ‫ﭘﻪ‬ ‫دي‬ ‫زﻳﺎﺗ５ﺪو‬ ‫ﭘﻪ‬ ‫ﻣﺦ‬ ３＋５‫ﭘ‬ ３４ ３‫ﻫ５ﻮادوﻧﻮﮐ‬ ３‫ﭘﺎﺗ‬ ‫وروﺳﺘﻪ‬ ‫ﭘﻪ‬ ً‫ﺎ‬‫ﺘ‬請‫ﺧﺎ‬
‫ﭘﻪ‬ ３‫ﭼ‬ ‫ﮐ５８ي‬ ‫ﺷﻤ５ﺮل‬ ‫＇ﺨﻪ‬ ３‫ﺟﻤﻠ‬ ‫ﻟﻪ‬ ‫ﻫ５ﻮادوﻧﻮ‬ ‫وﻳﺸﺖ‬ ‫دوه‬ ‫ﻫﻐﻮ‬ ‫د‬ ‫اﻓﻐﺎﻧﺴﺘﺎن‬ ‫ﻫ５ﻮاد‬ ‫－ﺮان‬
‫او‬ ، ‫دي‬ ‫ﺷﻮي‬ ‫ﭘ５ﮋﻧﺪل‬ ‫ﻣﺜﺒﺖ‬ ‫ﺑﻠﻐﻢ‬ ‫ﺗﻮﺑﺮﮐﻠﻮز‬ ‫د‬ ‫ﺗﻨﻪ‬ ‫ﺳﻞ‬ ‫ﻳﻮﻧﻴﻢ‬ ３４ ３‫ﮐ‬ ‫ﺗﻨﻮ‬ ‫زرو‬ ‫ﺳﻞ‬ ‫ﻫﺮو‬
‫＊ﻮدل‬ ‫ﺗﻨﻪ‬ ‫دﻳﺮﺷﺖ‬ ‫دري‬ ‫ﺳﻮه‬ ‫درې‬ ３‫ﮐ‬ ‫ﻧﻔﻮﺳﻮ‬ ‫زرو‬ ‫ﺳﻞ‬ ‫ﻫﺮو‬ ‫ﭘﻪ‬ ‫واﻗﻌﺎت‬ ‫！ﻮل‬ ‫دﺗﻮﺑﺮﮐﻠﻮز‬
‫د‬ ‫ﻧﻮ‬ ‫ﺷﻲ‬ ‫ﻧﻪ‬ ‫ﺗﺪاوي‬ ‫او‬ ‫ﺗﺸﺨﻴﺺ‬ ‫ډول‬ ‫ﭼ＂ﮏ‬ ‫ﭘﻪ‬ ‫ﭼﻴﺮې‬ ‫ﮐﻪ‬ ‫ﺧﺎﻃﺮ‬ ‫ﻫﻤﺪې‬ ‫ﭘﻪ‬ ‫،ﻧﻮ‬ ‫دي‬ ‫ﺷﻮي‬
‫وي‬ ‫－ﺮ４ﻮان‬ ‫او‬ ‫ﻻس‬ ‫ﺳﺮه‬ ‫دﺧﻄﺮ‬ ９‫ﻧﺎروﻏ‬ ‫ددې‬ ‫ﺑﻪ‬ ‫ﺑﺮﺧﻪ‬ ‫زﻳﺎﺗﻪ‬ ‫ﻳﻮه‬ ３‫！ﻮﻟﻨ‬.
‫او‬ ‫ﻓﺼﻠﻮﻧﻮ‬ ‫ﭘﻨ％ﻮ‬ ‫د‬ ‫＇５７ﻧﻪ‬ ‫دﻏﻪ‬)51(‫ده‬ ３‫درﻟﻮدوﻧﮑ‬ ‫ﻣﺨﻮﻧﻮ‬.
‫ﺳﺮﻟﻴﮏ‬:
D
r.Farooqi
Prepared by: Dr.Nasrullah “Farooqi”
Designed by: Eng.Mukaram “Farooqi”

6. ‫ﺑﻴﺎن‬ ３‫ﻣﺴﻠ‬ ‫د‬:
6
‫د‬ ３‫ﮐ‬ ‫ﺳﺮو４ﺲ‬ ‫ﺗﻮﺑﺮﮐﻠﻮز‬ ‫ﭘﻪ‬ ‫روﻏﺘﻮن‬ ‫ﺣﻮزوي‬ ‫د‬ ‫اﺑﺎد‬ ‫ﺟﻼل‬ ‫د‬ ３‫ﭼ‬ ‫＇５７ﻧﻪ‬ ‫ﻫﻐﻪ‬
‫ﺗﻨﻪ‬ ‫ﺳﻞ‬ ‫ﭘﻪ‬ ３‫ﮐ‬ ‫اوږدو‬ ‫ﭘﻪ‬ ‫ﮐﺎل‬ ‫ﻳﻮ‬ ‫د‬ ‫ﻧﺎروﻏﺎﻧﻮ‬ ‫ﻟﺮوﻧﮑﻲ‬ ‫ﻣﺜﺒﺖ‬ ‫ﺑﻠﻐﻢ‬ ‫ﺗﻮﺑﺮﮐﻠﻮز‬
‫ﻳﻮ‬ ‫د‬ ３‫ﭼ‬ ‫＄ﮑﻪ‬ ‫ده‬ ‫ﻧﻪ‬ ‫ﮐﺎﻣﻠﻪ‬ ‫او‬ ‫ﺑﺸﭙ７ه‬ ‫ډول‬ ‫ﭘﻮره‬ ‫ﭘﻪ‬ ‫ﺷﻮې‬ ‫ﺗﺮﺳﺮه‬ ‫ﻧﺎروﻏﺎﻧﻮ‬
‫او‬ ‫،اﺟﺘﻤﺎﻋﻲ‬ ‫ﮐﺮﻧﻪ‬ ‫ﺑﻠﻐﻤﻮ‬ ‫د‬ ‫ډول‬ ‫ﺧﺎص‬ ‫ﭘﻪ‬ ‫ﻣﺤﺪودﻳﺖ‬ ‫ﻣﻌﺎﻳﻨﺎﺗﻮ‬ ‫ﺷﻤ５ﺮ‬
‫ﺤﻲ‬請 ３‫ﭼ‬ ‫ﮐﻮﻻی‬ ‫ﺷﻲ‬ ‫ﻧﻪ‬ ‫ﻧﺎروﻏﺎن‬ ‫اﺳﺎس‬ ‫ﭘﻪ‬ ‫دې‬ ‫د‬ ３‫ﭼ‬ ‫ﺳﺘﻮﻧﺰې‬ ‫ﮐﻠﺘﻮري‬
‫او‬ ‫！ﻴ＂ﻮاﻟﯽ‬ ３‫ﺳﻄﺤ‬ ‫ﻋﻠﻤﻲ‬ ‫د‬ ‫ﻃﺮﻓﻪ‬ ‫دﺑﻠﻪ‬ ‫او‬ ‫ﭘ５ﺪاﮐ７ي‬ ‫رﺳﯽ‬ ‫ﻻس‬ ‫ﺗﻪ‬ ‫ﺧﺪﻣﺎﺗﻮ‬
‫ﭘﻪ‬ ‫ﻣﺮﻳﻀﺎن‬ ３‫ﭼ‬ ‫ﺷﻮی‬ ‫ﺳﺒﺐ‬ ‫ددې‬ ‫ﻫﻢ‬ ‫ﮐﻤﻮاﻟﯽ‬ ‫ﺗﻌﻠﻴﻤﺎﺗﻮ‬ ‫او‬ ‫ﺗﺒﻠﻴﻐﺎﺗﻮ‬ ‫ﺤﻲ‬請‫د‬
‫ﻣﻌﻠﻮﻣﺎت‬ ‫ﻫﮑﻠﻪ‬ ‫ﭘﻪ‬ ９‫دﻧﺎروﻏ‬ ‫او‬ ‫ووﻳﻨﻲ‬ ‫ﺳﺮه‬ ‫ډاﮐﺘﺮ‬ ‫ﻣﺮﺑﻮﻃﻪ‬ ‫ﻟﻪ‬ ‫وﺧﺖ‬ ‫ﺧﭙﻞ‬
‫ﺗﻨﻮ‬ ‫ﺳﻞ‬ ‫ﭘﻪ‬ ‫ﺗﺤﻘﻴﻖ‬ ‫دﻏﻪ‬ ‫ﺳﺮه‬ ‫ﺳﺮه‬ ‫ﮐﻮﺷﺸﻮﻧﻮ‬ ‫ډﻳﺮو‬ ‫ﻟﻪ‬ ‫ﻫﻢ‬ ‫ﺑﻴﺎ‬ ‫ﺧﻮ‬ ‫ورﮐ７ي‬
‫دی‬ ‫ﺷﻮی‬ ‫ﺗﺮﺳﺮه‬ ‫ﻧﺎروﻏﺎﻧﻮ‬ ‫ﺗﻮﺑﺮﮐﻠﻮز‬ ‫ﻣﺜﺒﺖ‬ ‫ﺑﻠﻐﻢ‬.
D
r.Farooqi
Prepared by: Dr.Nasrullah “Farooqi”
Designed by: Eng.Mukaram “Farooqi”

7. ‫اړﺗﻴﺎ‬ ３‫＇５７ﻧ‬ ‫د‬:
7
３‫داﺳ‬‫ﻣﺜﺒﺖ‬ ‫ﺑﻠﻐﻢ‬ ‫ﺗﻮﺑﺮﮐﻠﻮز‬ ‫د‬ ‫ﺟﻬﺎز‬ ‫ﺗﻨﻔﺴﻲ‬ ‫د‬ ３‫ﭼ‬ ‫ﻣﻮﺿﻮع‬ ‫ﺗﺤﻘﻴﻘﻲ‬ ‫ﻋﻠﻤﻲ‬ ‫ﻳﻮ‬
‫روﻏﺘﻮن‬ ‫ﭘﻪ‬ ８‫زﻣﻮﻧ‬ ‫ﭘﻮرې‬ ‫اوﺳﻪ‬ ‫ﺗﺮ‬ ‫وي‬ ‫ﺷﻮې‬ ‫ﺗﺮﺳﺮه‬ ‫ﻫﮑﻠﻪ‬ ‫ﭘﻪ‬ ３‫ﭘ５ﮋﻧﺪﻧ‬ ‫د‬ ‫ﻧﺎروﻏﺎﻧﻮ‬
‫ﻣﻮﺿﻮع‬ ‫دﻣﻮﻧﻮ－ﺮاف‬ ‫زﻣﺎ‬ ３‫ﭼ‬ ‫＇ﺮﻧ／ﻪ‬ ‫ﻧﻮ‬ ‫ﺷﻮې‬ ‫ﺳﺮه‬ ‫ﺗﺮ‬ ‫ده‬ ‫ﻧﻪ‬ ３‫ﮐ‬)‫ﺟﻬﺎز‬ ‫ﺗﻨﻔﺴﻲ‬ ‫د‬
３‫ﻧ＋ﺎﻧ‬ ‫او‬ ３＋‫ﻧ‬ ‫ﮐﻠﻴﻨﻴﮑﻲ‬ ‫ﻧﺎروﻏﺎﻧﻮ‬ ‫ﻣﺜﺒﺖ‬ ‫ﺑﻠﻐﻢ‬ ‫د‬ ‫ﺗﻮﺑﺮﮐﻠﻮز‬ ‫د‬(‫ﻋﻠﻤﻲ‬ ‫ﻳﻮې‬ ‫د‬ ‫او‬ ‫ده‬
‫ﻋﻤﻮﻣﻲ‬ ‫داﺧﻠﻪ‬ ‫د‬ ３‫ﻣﺨ‬ ‫ﻟﻪ‬ ‫اړﺗﻴﺎوو‬ ‫ﭘﻮرﺗﻨﻴﻮ‬ ‫د‬ ‫ﻧﻮ‬ ‫وه‬ ‫اړﺗﻴﺎ‬ ‫ﺗﻪ‬ ３‫＇５７ﻧ‬ ‫ﻣﻮﺿﻮع‬
‫ﻣﺤﻤﺪ‬ ‫ﻓﻘﻴﺮ‬ ‫اﺳﺘﺎد‬ ‫ﻣﺤﺘﺮم‬ ‫د‬ ‫ﺧﻮا‬ ‫ﻟﻪ‬ ３／‫＇ﺎﻧ‬))‫ﺷﺮﻓﻤﻞ‬((３‫ﻻر＊ﻮوﻧ‬ ‫ﻣﺴﺘﻘﻴﻤﻲ‬
‫ﻗﻮﻋﺎﺗﻮ‬ ‫و‬ ‫د‬ ‫ﻧﺎروﻏﺎﻧﻮ‬ ‫ﻣﺜﺒﺖ‬ ‫ﺑﻠﻐﻢ‬ ‫ﺗﻨﻮ‬ ‫ﺳﻞ‬ ‫ﭘﻪ‬ ３‫ﭼ‬ ‫ﺷﻮه‬ ‫راﮐ７ل‬ ‫دﻧﺪه‬ ‫ﻣﺎﺗﻪ‬ ‫ﻻﻧﺪې‬
‫ﻋﻼﻳﻢ‬ ‫او‬ ‫اﻋﺮاض‬ ‫ﻧﺎروﻏﺎﻧﻮ‬ ‫ﻣﺜﺒﺖ‬ ‫ﺑﻠﻐﻢ‬ ‫د‬ ‫ﺳ５ﺴﺘﻢ‬ ‫ﺗﻨﻔﺴﻲ‬ ‫د‬ ‫ﻻﻧﺪې‬ ‫ﻋﻨﻮان‬ ‫ﺗﺮ‬
‫ﮐ７م‬ ‫ﺗﺮﺳﺮه‬ ‫＇５７ﻧﻪ‬ ‫ﺗﺤﻘﻴﻘﻲ‬.
D
r.Farooqi
Prepared by: Dr.Nasrullah “Farooqi”
Designed by: Eng.Mukaram “Farooqi”

8. ‫اﻫﺪاف‬ ３‫＇５７ﻧ‬ ‫د‬ ‫او‬ ‫ﻟﻨ６ﻳﺰ‬:
8
‫دﻏﻪ‬ ‫ﻧﻮ‬ ‫ﮐ５８ي‬ ‫ﺗﺮﺳﺮه‬ ‫ﻟﭙﺎره‬ ３‫ﻣﻮﺧ‬ ‫＄ﺎﻧ／７ې‬ ‫ﻳﻮ‬ ‫د‬ ‫ﻟﻴﮑﻨﻪ‬ ‫ﻣﻮﺿﻮع‬ ‫ﻫﺮه‬ ３‫ﭼ‬ ‫＇ﺮﻧ／ﻪ‬
‫ﻧﻮﻣﻮړي‬ ‫او‬ ‫＇ﺮ－ﻨﺪوي‬ ‫ﭘ５ﮋﻧﺪﻧﻪ‬ ‫ﻣﺜﺒﺖ‬ ‫ﺗﻮﺑﺮﮐﻠﻮز‬ ‫د‬ ‫ﺳ５ﺴﺘﻢ‬ ‫ﺗﻨﻔﺴﻲ‬ ‫د‬ ３‫ﭼ‬ ‫＇５７ﻧﻪ‬
‫ﭘﻪ‬ ３＋‫ﻧ‬ ‫او‬ ３‫－ﻴﻠ‬ ‫ﮐﻠﻴﻨﻴﮑﻲ‬ ‫＊ﮑﺎره‬ ３‫ﭼ‬ ‫ده‬ ‫ﻣﻮﺟﻮده‬ ３‫ﮐ‬ ‫ﻧ７ۍ‬ ‫！ﻮﻟﻪ‬ ‫ﭘﻪ‬ ‫ﻧﺎروﻏﻲ‬
‫ډول‬ ‫ډول‬ ‫ﮐﺒﻠﻪ‬ ‫ﻟﻪ‬ ‫ﻧﺎروﻏﻴﻮ‬ ‫ﻧﻮﻣﻮړﻳﻮ‬ ‫د‬ ‫ﻫﻢ‬ ‫او‬ ‫راوړي‬ ‫ﻣﻨ％ﺘﻪ‬ ３‫ﮐ‬ ‫ﻧﺎروﻏﺎﻧﻮ‬
‫راﻣﻨ％ﺘﻪ‬ ‫ﻣﻌﻴﻮﺑ５ﺘﻮﻧﻪ‬ ３‫＄ﻴﻨ‬ ‫ﮐﺒﻠﻪ‬ ‫ﻟﻪ‬ ９‫ﻧﺎروﻏ‬ ‫ﻧﻮﻣﻮړې‬ ‫د‬ ‫ﺣﺘﯽ‬ ‫او‬ ‫اﺧﺘﻼﻃﺎت‬
‫ﭼ５ﺮې‬ ‫ﮐﻪ‬ ‫دی‬ ‫ﮐ７ی‬ ‫ﻣﺨﺎﻣﺦ‬ ‫ﺳﺮه‬ ‫－ﻮاښ‬ ‫ﻟﻪ‬ ３４ ‫ژوﻧﺪ‬ ‫اﻧﺴﺎﻧﺎﻧﻮ‬ ‫زﻳﺎﺗﻮ‬ ‫د‬ ‫او‬ ‫ﮐ５８ي‬
‫ﭘﻪ‬ ３＄‫ﻳﻮا‬ ‫ﻧﻪ‬ ‫ﻧﻮ‬ ‫ﺷﻲ‬ ‫ﺗﺪاوي‬ ‫او‬ ‫ﺗﺸﺨﻴﺺ‬ ３‫ﮐ‬ ‫وﺧﺖ‬ ‫ﻣﻨﺎﺳﺐ‬ ‫ﭘﻪ‬ ‫ﻧﺎروﻏﺎن‬ ‫ﻧﻮﻣﻮړي‬
‫او‬ ‫ﺳﺮاﻳﺖ‬ ‫ﻟﻪ‬ ９‫ﻧﺎروﻏ‬ ‫دې‬ ‫د‬ ‫ﻫﻢ‬ ‫ﺑﻪ‬ ‫！ﻮﻟﻨﻪ‬ ‫ﺑﻠﮑﻪ‬ ‫ﮐﺴﺎن‬ ‫اﺧﺘﻪ‬ ９‫ﻧﺎروﻏ‬ ‫دﻏﻪ‬
‫ﺷﻲ‬ ‫ﺧﻮﻧﺪي‬ ‫＇ﺨﻪ‬ ‫ﻣﻌﻴﻮﺑ５ﺘﻮﻧﻮ‬.
D
r.Farooqi
Prepared by: Dr.Nasrullah “Farooqi”
Designed by: Eng.Mukaram “Farooqi”

9. 9
‫＇ﭙﺮﮐﯽ‬ ‫دوﻳﻢ‬
)‫اﻧﺎﺗﻮﻣﻲ‬ ‫ﺳ５ﺴﺘﻢ‬ ‫ﺗﻨﻔﺴﻲ‬ ‫د‬(
‫ﻳﺎ‬ ‫ﺑﺮﺧﻪ‬ ‫وﻇﻴﻔﻮي‬
Physiologic portion
‫ﺑﺮاﻧﺸﻴﻮﻟﻮﻧﻮ‬ ‫ﻧﻬﺎﻳﻲ‬ ‫د‬ ‫ﺑﺮﺧﻪ‬ ‫دﻏﻪ‬
‫دې‬ ‫ﭘﻪ‬ ‫ﻣﻮﻣﻲ‬ ‫ﺧﺎﺗﻤﻪ‬ ‫ﮐ（ﻮړو‬ ‫ﻫﻮاﻳﻲ‬ ‫ﮐﻮﭼﻨﻴﻮ‬ ‫ﭘﻪ‬ ‫او‬ ‫ﺷﺮوع‬ ‫＇ﺨﻪ‬
‫ﺑﺮاﻧﺸﻴﻮﻟﻮﻧﻪ‬ ‫ﻧﻬﺎﻳﻲ‬ ３‫ﮐ‬ ‫ﺑﺮﺧﻪ‬
،Alveoler duct،Alveoler sac‫او‬Alveli‫دي‬ ‫ﺷﺎﻣﻞ‬.
‫ﻳﺎ‬ ‫ﺑﺮﺧﻪ‬ ‫اﻧﺘﻘﺎﻟﻲ‬
Conducting portion
‫ﭘﻪ‬‫ﻟﻪ‬ ‫دي‬ ‫ﻋﺒﺎرت‬ ‫اﺟﺰا‬ ‫ﺷﺎﻣﻞ‬ ３‫ﮐ‬ ‫ﺑﺮﺧﻪ‬ ‫اﻧﺘﻘﺎﻟﻲ‬
‫ﻧﻬﺎﻳﻲ‬ ‫او‬ ‫ﻗﺼﺒﺎت‬ ‫ﻋﻤﺪه‬ ،‫ﺗﺮاﺧﻴﺎ‬ ،‫ﭘﻮزې،ﺣﻨﺠﺮې‬
‫ﻟﻪ‬ ‫ﻫﻮا‬ ‫واﺳﻄﻪ‬ ‫ﭘﻪ‬ ３‫ﺑﺮﺧ‬ ‫ددې‬ ‫＇ﺨﻪ‬ ‫ﺑﺮاﻧﺸﻴﻮﻟﻮﻧﻮ‬
‫اﻧﺘﻘﺎﻟ５８ي‬ ‫ﺗﻪ‬ ‫ﺳ８و‬ ‫او‬ ‫ﮐ５８ي‬ ‫اﺧﻴﺴﺘﻞ‬ ‫＇ﺨﻪ‬ ‫ﺑ５ﺮون‬.
D
r.Farooqi
Prepared by: Dr.Nasrullah “Farooqi”
Designed by: Eng.Mukaram “Farooqi”

10. 10
‫ﺑﺮﺧﻪ‬ ‫اﻧﺘﻘﺎﻟﻲ‬ ‫ﻟﻮﻣ７ی‬:-
‫ﭘﻮزه‬‫ﻳﺎ‬Nose:
‫ﻓﻠﺘﺮ‬ ، ‫اﺧﻴﺴﺘﻠﻮ‬ ‫د‬ ‫ﻫﻮا‬ ‫د‬ ３‫ﭼ‬ ‫ده‬ ‫ﺟﻮړه‬ ‫＇ﺨﻪ‬ ‫ژورو‬ ‫او‬ ‫ﻟﻮړو‬ ‫ﺗﻌﺪاد‬ ‫ﻳﻮ‬ ‫د‬ ３‫ﭼ‬ ‫ده‬ ‫ﺑﺮﺧﻪ‬ ９‫ﻟﻮﻣ７ﻧ‬ ‫ﺳ５ﺴﺘﻢ‬ ‫ﺗﻨﻔﺴﻲ‬ ‫د‬ ‫ﭘﻮزه‬
‫ﻟﺮي‬ ‫ﻏﺎړه‬ ‫ﭘﻪ‬ ‫وﻇﻴﻔﻪ‬ ‫ﮐﻮﻟﻮ‬ ‫ﻣﺮﻃﻮب‬ ‫او‬ ‫ﮐﻮﻟﻮ‬.
‫ﻳﺎ‬ ‫ﺣﻨﺠﺮه‬Larynx:
‫ﻳﺎ‬ ‫ﻨﺪوق‬請 ８‫ﻏ‬ ‫د‬ ３‫ﭼ‬ ‫ده‬ ‫ﺑﺮﺧﻪ‬ ‫دوﻳﻤﻪ‬ ‫ﺳ５ﺴﺘﻢ‬ ‫دﺗﻨﻔﺴﻲ‬ ‫دا‬Voice box‫زﻳﺎﺗﻮ‬ ‫ﺗﻌﺪاد‬ ‫ﻳﻮ‬ ‫د‬ ３‫ﭼ‬ ‫ﮐ５８ي‬ ‫ﺑﻠﻞ‬ ‫ﻫﻢ‬
‫د‬ ３‫ﭼ‬ ‫ﺷﻮی‬ ‫ﺟﻮړ‬ ‫＇ﺨﻪ‬ ‫ﻋﻀﺮوﻓﻮﻧﻮ‬Fibro muscular membrane‫ﭘﻪ‬ ‫ﻫﻤﺪارﻧ／ﻪ‬ ‫ﮐ５８ي‬ ‫ﻣﺮﺗﺒﻂ‬ ‫ﺳﺮه‬ ‫واﺳﻄﻪ‬ ‫ﭘﻪ‬
‫ﺗﻌﺪاد‬ ‫ﻳﻮ‬ ３‫ﮐ‬ ‫داﺧﻞ‬Folds‫ﻟﺮي‬ ‫ﻏﺎړه‬ ‫ﭘﻪ‬ ‫وﻇﻴﻔﻪ‬ ‫ﺗﻮﻟﻴﺪ‬ ‫د‬ ‫اواز‬ ‫د‬ ３‫ﭼ‬ ‫ﮐ５８ي‬ ‫ﺑﻠﻞ‬ ‫ﺣﺒﻮل‬ ‫ﻮﺗﻲ‬請 ３‫ﭼ‬ ‫ﻟﺮي‬ ‫وﺟﻮد‬.
‫ﻳﺎ‬ ‫ﻗﺼﺒﺎت‬ ‫او‬ ‫ﺗﺮاﺧﻴﺎ‬Trachea and Broncos:
‫＇ﺨﻪ‬ ‫ﺣﻨﺠﺮې‬ ‫د‬ ３‫ﮐ‬ ‫ﺑﺮﺧﻪ‬ ‫ﻗﺪاﻣﻲ‬ ‫ﭘﻪ‬ ‫ﺟﻮف‬ ‫د‬ ３‫دﺳﻴﻨ‬ ‫او‬ ‫ﻏﺎړې‬ ‫د‬ ３‫ﭼ‬ ‫دی‬ ‫！ﻴﻮب‬ ‫ﻏﺸﺎﻳﻲ‬ ‫ﻋﻀﻼﺗﻲ‬ ‫ﻳﻮ‬ ‫ﺗﺮاﺧﻴﻪ‬
‫ﭘﻪ‬ ３‫ﮐ‬ ‫ﺑﺮﺧﻪ‬ ‫دﻏﻪ‬ ‫ﭘﻪ‬ ‫！ﻴﻮب‬ ‫ﻧﻮﻣﻮړی‬ ‫ﻟﺮي‬ ‫ﻣﻮﻗﻴﻌﺖ‬ ‫ﭘﻮرې‬ ‫ﮐﻨﺎر‬ ‫ﻔﻠﻲ‬請 ‫ﺟﺴﻢ‬ ‫د‬ ‫ﻓﻘﺮې‬ ‫ﺪري‬請 ３‫＇ﻠﻮرﻣ‬ ‫ﺗﺮ‬ ‫ﻻﻧﺪې‬
‫ﻗﺼﺒﻪ‬ ‫ﭼﭙﻪ‬ ‫او‬ ‫ﺗﻪ‬ ‫ﺳ８ي‬ ‫＊ﻲ‬ ‫ﻗﺼﺒﻪ‬ ９＊ ３‫ﭼ‬ ، ‫دي‬ ‫ﻗﺼﺒﺎت‬ ‫ﻋﻤﺪه‬ ‫ﭼﭗ‬ ‫او‬ ‫＊ﻲ‬ ３‫ﭼ‬ ‫ﮐ５８ي‬ ‫و４ﺸﻞ‬ ‫ﺑﺮﺧﻮ‬ ‫ﻋﻤﺪه‬ ‫دوه‬
‫داﺧﻠ５８ي‬ ‫ﺗﻪ‬ ‫ﺳ８ي‬ ‫ﭼﭗ‬.
‫ﻳﺎ‬ ‫ﺳ８ي‬Lungs:
‫د‬ ‫او‬ ‫ﻣﻴ６ﻳﺎﺳ＂ﻴﻨﻮم‬ ‫د‬ ‫ﺳ８ي‬ ‫دواړه‬ ‫ﻟﺮي‬ ‫ﻣﻮﻗﻴﻌﺖ‬ ３‫ﮐ‬ ‫ﺟﻮف‬ ‫ﭘﻪ‬ ３‫ﺳﻴﻨ‬ ‫د‬ ３‫ﭼ‬ ‫ﮐﻮم‬ ‫دي‬ ‫ﻋﺪده‬ ‫دوه‬ ‫ﺳ８ي‬
‫ﮐ５８ي‬ ‫ﺟﺪا‬ ‫＇ﺨﻪ‬ ‫ﺑﻞ‬ ‫ﻟﻪ‬ ‫ﻳﻮ‬ ‫واﺳﻄﻪ‬ ‫ﭘﻪ‬ ‫ﻣﺤﺘﻮﻳﺎﺗﻮ‬ ‫ﻣﻴ６ﻳﺎﺳ＂ﻴﻨﻮم‬.
‫اﻓﻘﻲ‬ ‫او‬ ‫ﻣﺎﻳﻞ‬ ‫د‬ ３‫ﭼ‬ ‫ﮐ５８ي‬ ‫و４ﺸﻞ‬ ‫ﻟﻮﺑﻮﻧﻮ‬ ‫درې‬ ‫ﭘﻪ‬ ‫واﺳﻄﻪ‬ ‫ﭘﻪ‬ ‫درزوﻧﻮ‬ ‫دوه‬ ‫د‬ ‫او‬ ‫دی‬ ‫ﻟﻮې‬ ‫ﻧﺴﺒﺖ‬ ‫ﭘﻪ‬ ‫ﭼﭗ‬ ‫د‬ ‫ﺳ８ی‬ ‫＊ﯽ‬
‫ﭘﻪ‬ ‫درز‬ ‫ﻣﺎﻳﻞ‬ ‫ﻳﻮ‬ ‫د‬ ‫ﺳ８ی‬ ‫ﻃﺮف‬ ‫،ﭼﭗ‬ ‫دي‬ ‫ﻋﺒﺎرت‬ ‫＇ﺨﻪ‬ ‫ﻟﻮﺑﻮﻧﻮ‬ ‫＊ﮑﺘﻨﻲ‬ ‫او‬ ‫،وﺳﻄﻲ‬ ‫ﻋﻠﻮي‬ ３‫ﭼ‬ ‫دي‬ ‫ﻋﺒﺎرت‬ ‫＇ﺨﻪ‬ ‫درز‬
‫دي‬ ‫ﻋﺒﺎرت‬ ‫＇ﺨﻪ‬ ‫ﻟﻮﺑﻮﻧﻮ‬ ‫ﺳﻔﻠﻲ‬ ‫او‬ ‫ﻋﻠﻮي‬ ‫د‬ ３‫ﭼ‬ ‫دی‬ ‫ﺷﻮی‬ ‫ﺗﻘﺴﻴﻢ‬ ‫ﻟﻮﺑﻮﻧﻮ‬ ‫دوه‬ ‫ﭘﻪ‬ ‫واﺳﻄﻪ‬.
D
r.Farooqi
Prepared by: Dr.Nasrullah “Farooqi”
Designed by: Eng.Mukaram “Farooqi”

11. ‫ﭘﻠﻮرا‬)Plura(:
11
‫ﺷﻮې‬ ‫ﭘﻮ＊ﻞ‬ ‫واﺳﻄﻪ‬ ‫ﭘﻪ‬ ‫ﻏﺸﺎء‬ ‫ﻓﺎﻳﺒﺮوﺳ５ﺮوزي‬ ‫ﻳﻮ‬ ‫د‬ ‫ﺳ８ي‬ ‫دواړه‬ ３‫ﮐ‬ ‫ﺟﻮف‬ ‫ﭘﻪ‬ ‫ﺳ８و‬ ‫د‬
‫ﺑﺮﺧﻪ‬ ‫د４ﻮاﻟﻲ‬ ‫ﻳﻮ‬ ３‫ﭼ‬ ‫ده‬ ‫ﺷﻮې‬ ‫ﺟﻮړه‬ ‫＇ﺨﻪ‬ ‫ورﻗﻮ‬ ‫دوه‬ ‫ﻟﻪ‬ ‫دا‬ ３‫ﭼ‬)Prital portion(‫ﮐﻮم‬
‫ﻳﺎ‬ ‫ورﻗﻪ‬ ‫ﺣﺸﻮي‬ ３４ ‫ﺑﻞ‬ ‫او‬ ‫ﭘﻮ＊ﻮي‬ ‫ﺑﺮﺧﻪ‬ ‫داﺧﻠﻲ‬ ‫د４ﻮال‬ ‫د‬ ３‫ﺳﻴﻨ‬ ‫د‬ ３‫ﭼ‬)Vissceral
Portion(３‫ﮐ‬ ‫درزوﻧﻮ‬ ‫ﺳ８و‬ ‫د‬ ‫او‬ ‫ده‬ ‫ﻞ‬請‫و‬ ‫ﺳﺮه‬ ３‫ﺳﻄﺤ‬ ‫ﺧﺎرﺟﻲ‬ ‫ﺳ８و‬ ‫د‬ ３‫ﭼ‬ ‫ده‬ ‫ﺑﺮﺧﻪ‬
‫اﻧﺪازه‬ ‫ﮐﻤﻪ‬ ‫ﭘﻪ‬ ３‫ﭼ‬ ‫واﺳﻄﻪ‬ ‫ﭘﻪ‬ ‫ﺗﺸﻴﺎل‬ ‫ﻳﻮې‬ ‫د‬ ‫＇ﺨﻪ‬ ‫ﺑﻞ‬ ‫ﻟﻪ‬ ‫ﻳﻮ‬ ３‫ورﻗ‬ ‫دواړه‬ ‫داﺧﻠ５８ي‬ ‫ﻫﻢ‬
‫ﻧﻮم‬ ‫ﭘﻪ‬ ‫ﻣﺎﻳﻊ‬ ‫ﭘﻠﻮرل‬ ‫د‬ ‫ﻣﺎﻳﻊ‬ ‫ﺳ５ﺮوزي‬ ‫دﻏﻪ‬ ３‫ﭼ‬ ‫ﺷﻮې‬ ‫ﺑ５ﻠﻪ‬ ‫ﻟﺮي‬ ‫ﻣﺎﻳﻊ‬ ‫ﺳ５ﺮوزي‬
‫ﺑﻞ‬ ‫ﻟﻪ‬ ‫ﻳﻮ‬ ３‫ورﻗ‬ ‫دواړه‬ ‫ژﻏﻮري‬ ‫＇ﺨﻪ‬ ‫ﻄﮑﺎک‬請‫ا‬ ‫ﻳﺎ‬ ‫ﺳﻮﻟﻴﺪو‬ ‫د‬ ‫ﺳ８ي‬ ‫دواړه‬ ‫او‬ ‫ﻳﺎد４８ي‬
‫د‬ ‫ﺳ８و‬ ‫د‬ ‫ﺳﺮه‬Hillus３‫ﭼ‬ ‫ﮐ５８ي‬ ‫＄ﺎی‬ ‫ﻳﻮ‬ ３‫ﮐ‬ ‫ﺑﺮﺧﻪ‬ ‫ﭘﻪ‬Plural Cuff３‫ﭼ‬ ‫ﺟﻮړوي‬
‫＇ﺨﻪ‬ ３‫ﻧﻘﻄ‬ ‫ﻫﻤﺪې‬ ‫او‬ ‫ﮐ５８ي‬ ‫ﭘﻮ＊ﻞ‬ ‫ﺑ５ﺨﻮﻧﻪ‬ ‫ﻗﺼﺒﺎﺗﻮ‬ ‫او‬ ‫اوﻋﻴﻮ‬ ‫ﻏ＂ﻮ‬ ‫د‬ ‫واﺳﻄﻪ‬ ‫ﭘﻪ‬ ‫ددې‬
‫ﻧﻮ‬ ‫＄ﮑﻪ‬ ‫وي‬ ‫＄ﻮړﻧﺪ‬ ３‫ﮐ‬ ‫ﺟﻮف‬ ‫ﭘﻪ‬ ３‫ﺳﻴﻨ‬ ‫د‬ ‫ﺳ８ي‬Hillus‫ﮐ５８ي‬ ‫ﺑﻠﻞ‬ ‫رﻳ＋ﻲ‬ ‫ﺳ８و‬ ‫د‬.
D
r.Farooqi
Prepared by: Dr.Nasrullah “Farooqi”
Designed by: Eng.Mukaram “Farooqi”

12. 12
‫ﺗﻨﻔﺴﻲ‬ ‫د‬
‫ذﮐﺮ‬ ‫ﺳ５ﺴﺘﻢ‬
３‫ﺑﺮﺧ‬ ‫ﺷﻮې‬
‫ﻣﺨﺎﻣﺦ‬ ‫ﭘﻪ‬
‫ﭘﻪ‬ ３‫ﮐ‬ ‫اﻧ％ﻮر‬
‫او‬ ‫واﺿﺢ‬
‫ﺷﮑﻞ‬ ‫＊ﮑﺎره‬
‫ﺷﻮ‬ ‫ﻟﻴﺪﻟﯽ‬.
D
r.Farooqi
Prepared by: Dr.Nasrullah “Farooqi”
Designed by: Eng.Mukaram “Farooqi”

13. ‫ﺗﻮﺑﺮﮐﻠﻮز‬)‫ِﻞ‬‫ﺳ‬(＃‫رﻧ‬ ‫ﻧﺮی‬ ‫ﻳﺎ‬:
13
‫ﺗﻌﺮﻳﻒ‬:‫ﻧﺎروﻏﻲ‬ ‫،－ﺮاﻧﻮﻟﻮﻣﺎﺗﻮز‬ ‫،ﺳﺎري‬ ‫ﻣﺰﻣﻨﻪ‬ ‫ﻳﻮه‬ ‫ﺗﻮﺑﺮﮐﻠﻮز‬
‫راﻣﻨ％ﺘﻪ‬ ‫واﺳﻄﻪ‬ ‫ﭘﻪ‬ ‫ﺑﺴﻴﻞ‬ ‫ﺗﻮﺑﺮﮐﻠﻮز‬ ‫ﻣﺎﻳﮑﻮﺑﮑ＂ﻴﺮﻳﻮم‬ ‫د‬ ３‫ﭼ‬ ‫ده‬
‫د‬ ‫ﻋﺎﻣﻞ‬ ‫ددې‬ ３‫،ﭼ‬ ‫ﮐ５８ي‬Mycobacterium
actinomycitisum‫ﻟﺮي‬ ‫اړه‬ ‫ﭘﻮرې‬ ‫ﻓﺎﻣﻴﻞ‬.
‫ﭘﻪ‬ ‫ﻟﭙﺎره‬ ‫＄ﻞ‬ ‫ﻟﻮﻣ７ي‬ ‫د‬ ‫ﻣﮑﺮوب‬ ‫دﻏﻪ‬1882‫د‬ ３‫ﮐ‬ ‫ﮐﺎل‬ ‫ﻣﻴﻼدي‬
３‫ﭼ‬ ‫واﺳﻄﻪ‬ ‫ﭘﻪ‬ ‫ﻋﺎﻟﻢ‬ ‫ﺟﺮﻣﻨﻲ‬ ‫ﻳﻮ‬Robert Koch‫ﮐﺸﻒ‬ ‫ﻧﻮﻣ５ﺪه‬
３‫ﻳﻌﻨ‬ ‫ﺷﻮ‬ ‫وﻧﻮﻣﻮل‬ ‫ﻧﺎﻣﻪ‬ ‫ﭘﻪ‬ ３‫ﻫﻤﻐ‬ ‫د‬ ‫＄ﮑﻪ‬ ‫ﻧﻮ‬ ‫ﺷﻮ‬
MycobacteriumTuberculosis‫ﻳﺎ‬Mycobacterium kochi‫ﻳﺎ‬
Bacil kochi‫د‬ ３４ ‫ﻧﻮم‬ ６‫ﻟﻨ‬ ３‫ﭼ‬BK‫دی‬ ‫ﻋﺒﺎرت‬ ‫＇ﺨﻪ‬.
D
r.Farooqi
Prepared by: Dr.Nasrullah “Farooqi”
Designed by: Eng.Mukaram “Farooqi”

14. 14
‫دوه‬ ‫ﭘﻪ‬ ‫ډول‬ ‫ﻋﻤﻮﻣﻲ‬ ‫ﭘﻪ‬ ‫ﺗﻮﺑﺮﮐﻠﻮز‬ ‫ﻣﺎﻳﮑﻮﺑﮑ＂ﻴﺮﻳﻮم‬‫ډوﻟﻮ‬‫دی‬ ‫ﻋﺒﺎرت‬ ３‫ﭼ‬ ‫ﺷﻮی‬ ‫و４ﺸﻞ‬‫ﻟﻪ‬:
‫ﻔﻲ‬請‫و‬‫ﻳﺎ‬Typical‫او‬‫ﻏﻴﺮ‬‫ﻳﺎ‬ ‫ﻔﻲ‬請‫و‬Atypical
D
r.Farooqi
Prepared by: Dr.Nasrullah “Farooqi”
Designed by: Eng.Mukaram “Farooqi”

15. ‫ﺧﻮاص‬ ‫ﺑﮑ＂ﻴﺮﻳﻮم‬ ‫ﻣﺎﻳﮑﻮ‬ ‫د‬:
15
‫ﭘﻪ‬ ‫دﻣﻘﺎوﻣﺖ‬ ‫ﺳﺮه‬ ‫ﻣﺤﻴﻂ‬ ‫ﺗﻴﺰاﺑﻲ‬ ‫د‬ ‫ﻧﻈﺮ‬ ‫ﺗﻮﺑﺮﮐﻠﻮز‬ ‫ﺑﮑ＂ﻴﺮﻳﻮم‬ ‫ﻣﺎﻳﮑﻮ‬
‫اﺳﺎس‬‫دﻏﻪ‬ ３‫ﻳﻌﻨ‬ ‫ﮐ５８ي‬ ‫ﻓﺮق‬ ‫＇ﺨﻪ‬ ‫ﻣﺎﻳﮑﺮوار－ﺎﻧ５ﺰﻣﻮﻧﻮ‬ ‫ﻧﻮرو‬ ‫د‬‫ار－ﺎﻧ５ﺰم‬
‫＇ﻮ‬ ‫ﭘﻪ‬‫ﻣﺤﻴﻄﻮﻧﻮ‬ ‫ډوﻟﻪ‬‫ﺛﺎﺑﺖ‬ ‫ﭘﻪ‬ ３‫ﮐ‬ ‫اﻟﮑﻮﻟﻲ‬ ‫او‬ ‫،اﻟﻘﻠﻲ‬ ‫ﺗ５ﺰاﺑﻲ‬ ‫ﻟﮑﻪ‬‫ﺷﮑﻞ‬
３‫ﭘﺎﺗ‬ ‫ﺑﺎﻧﺪې‬‫ﮐ５８ي‬.‫ﻣﺎﻳﮑﺮوار－ﺎﻧ５ﺰم‬ ‫دﻏﻪ‬‫ډول‬ ‫ﻣﺘﺠﺎﻧﺲ‬ ‫ﻏﻴﺮې‬ ‫ﻳﻮې‬ ‫د‬
‫ﭘﺮدې‬‫ﺷﺤﻤﻲ‬ ‫د‬ ３‫ﮐ‬ ‫ﻣﻘﺎﺑﻞ‬ ‫ﭘﻪ‬ ‫اﻟﻘﻠﻲ‬ ‫او‬ ‫ﺗ５ﺰاﺑﻮ‬ ‫د‬ ３‫ﭼ‬ ‫ده‬ ‫ﻟﺮوﻧﮑﯽ‬‫ﻗﻄﺮاﺗﻮ‬
‫ﻃﻮل‬ ３‫ﭼ‬ ‫ﻟﺮي‬ ‫ﺷﮑﻞ‬ ‫ډوﻟﻪ‬ ‫ﺗﻴﻠﻲ‬ ‫ﺗﻮﺑﺮﮐﻠﻮز‬ ‫،ﻣﺎﻳﮑﻮﺑﮑ＂ﻴﺮﻳﻮم‬ ‫راوړي‬ ‫ﻣﻨ％ﺘﻪ‬ ‫ﺧﻮاص‬ ‫ﺷﻮي‬ ‫ذﮐﺮ‬ ３‫ﭼ‬ ‫ده‬ ３‫ﻟﺮوﻧﮑ‬
‫د‬ ３４5-8.8 micron‫د‬ ３４ ‫ﻋﺮض‬ ‫او‬ ‫ﭘﻮرې‬0.2-0.3‫وي‬ ‫ﭘﻮرې‬.‫دﻏﻪ‬‫ډوﻟﻪ‬ ‫ﺗﻴﻠﻲ‬ ‫ﻣﺎﻳﮑﺮوار－ﺎﻧ５ﺰم‬‫اوږد‬‫اوﻳﺎ‬
‫ﮐ５８ي‬ ‫ﻟﻴﺪل‬ ‫ﺷﮑﻠﻪ‬ ‫ﻣﻨﺤﻨﻲ‬３‫ﭼ‬３‫＇ﻮﮐ‬‫ﺷﻮې‬ ‫ﭘ５７ې‬ ‫او‬ ‫－ﺮدې‬ ３４‫وي‬‫او‬‫،ﺧﻄﻲ‬ ‫ﺷﻌﺎﻋﻲ‬ ‫ﭘﻪ‬ ３‫داﭼ‬ ‫ﻳﺎ‬،‫ﭘﻮﮐﺎ１ﻪ‬‫ﻳﻲ‬
‫ﭘﻪ‬ ‫ﻟﺮوﻧﮑﻲ‬ ‫ﻧﻮک‬ ‫او‬‫ﻧﻈﺮرا＄ﻲ‬‫ﻧﺸﻲ‬ ‫ﮐﭙﺴﻮل‬ ‫او‬ ‫ﺳﭙﻮر‬ ‫او‬‫ﺗﻮﻟﻴﺪوﻻی‬.
D
r.Farooqi
Prepared by: Dr.Nasrullah “Farooqi”
Designed by: Eng.Mukaram “Farooqi”

16. ‫ﺗﺎرﻳﺨﭽﻪ‬ ‫ﺗﻮﺑﺮﮐﻠﻮز‬ ‫د‬:
16
١-‫دﻏﻪ‬３‫ﮐ‬ ‫ﻓﻘﺮات‬ ‫ﺳﺘﻮن‬ ‫ﭘﻪ‬ ‫ﺟﺴﺪوﻧﻮ‬ ‫ﺷﻮو‬ ‫ﻣﻮﻣﻴﺎﻳﻲ‬ ‫ﻣﺼﺮي‬ ‫ﭘﻪ‬ ３‫ﮐ‬ ‫ﻣﻮزﻳﻢ‬ ‫ﭘﻪ‬ ６‫اﻧ／ﻠﻴﻨ‬ ‫د‬ ‫ﻧﺎروﻏﻲ‬
‫د‬ ３‫ﭼ‬ ‫ﻣﻌﻠﻮﻣ５８ي‬ ‫دا‬ ‫＇ﺨﻪ‬ ‫دې‬ ‫ﻟﻪ‬ ‫ﻟﺮﻟﻪ‬ ‫اړه‬ ３４ ‫ﭘﻮرې‬ ‫اﻟﻤﻴﻼد‬ ‫ﻗﺒﻞ‬ ‫زره‬ ‫＇ﻠﻮر‬ ً‫ﺎ‬‫ﺗﻘﺮﻳﺒ‬ ３‫ﭼ‬ ‫وه‬ ‫ﺷﻮې‬ ‫ﻟﻴﺪل‬
‫د‬ ‫ﭘ５＋ﻪ‬ ‫ﺷﻮې‬ ‫ﭘﻴﺪا‬ ９‫ﻟﻤ７ﻧ‬ ‫ددې‬ ‫ده‬ ‫ﺷﻮې‬ ‫راﻣﻨ％ﺘﻪ‬ ‫ﺳﻢ‬ ‫ﺳﺮه‬ ‫ﭘ５ﺪاﻳ＋ﺖ‬ ‫د‬ ‫اﻧﺴﺎن‬ ‫د‬ ‫ﻧﺎروﻏﻲ‬ ‫ﮐﻠﻮز‬ ‫ﺗﻮﺑﺮ‬
‫ده‬ ‫ﺷﻮې‬ ‫ﭘ５ﮋﻧﺪل‬ ‫راﭘﺪ４ﺨﻮا‬ ‫ﮐﻠﻮﻧﻮ‬ ‫زره‬ ‫اوﻟﺲ‬.
٢-‫د‬ ‫ﻧﺎروﻏﻲ‬ ‫دﻏﻪ‬ ３‫ﭼ‬ ‫رﺳ５８و‬ ‫ﺗﻪ‬ ３‫ﭘﺎﻳﻠ‬ ‫دې‬ ‫＇ﺨﻪ‬ ‫ﻫ６وﮐﻮ‬ ‫د‬ ‫دﻫﻐﻮي‬ ‫او‬ ‫اﺳﮑﻠ５＂ﻮﻧﻮ‬ ‫د‬ ‫اﻧﺴﺎﻧﺎﻧﻮ‬ ‫د‬
Neolite‫د‬ ‫او‬ ‫ډﺑﺮو‬ ‫ﺷﻮﻳﻮ‬ ‫،ﻧﻘﺎﺷﻲ‬ ‫ﻣﺠﺴﻤﻮ‬ ‫ﭘﺨﻮاﻧﻴﻮ‬ ‫ﭘﻪ‬ ‫دﻣﺼﺮ‬ ، ‫ﺷﻮی‬ ‫ﺛﺎﺑﺖ‬ ３‫ﮐ‬ ‫دور‬ ‫ﺣﺠﺮوي‬ ３‫ﻳﻌﻨ‬
‫د‬ ‫دﭘﺎﺳﻪ‬ ‫ﺟﺴﺪوﻧﻮ‬ ‫ﺷﻮﻳﻮ‬ ‫ﻣﻮﻣﻴﺎﻳﻲ‬ ‫،د‬ ‫ﮐﻮي‬ ‫＊ﮑﺎرﻧﺪوﻳﻲ‬ ‫ﺗﻮﺑﺮﮐﻠﻮز‬ ‫د‬ ‫ﺳ８و‬ ‫د‬ ３‫ﻟﻴﮑﻨ‬ ‫دﭘﺎﺳﻪ‬ ‫ډﺑﺮو‬
‫ﺳﺘﺮ－ﻮ‬ ‫ﺗﺮ‬ ３‫ﻧ＋ﺎﻧ‬ ３＋‫ﻧ‬ ‫ﺗﻮﺑﺮﮐﻠﻮز‬ ‫د‬ ‫ﺑﻨﺪوﻧﻮ‬ ‫د‬ ‫او‬ ‫ﻫ６وﮐﻮ‬،‫ﮐ５８ي‬‫وﺧﺖ‬ ‫ﭘﻪ‬ ‫ﭘﺎﭼﺎ‬ ‫ﻳﻮوﻳﺸﺘﻢ‬ ‫د‬ ‫ﻣﺼﺮ‬ ‫د‬
‫ﺳﻮه‬ ‫ﭘﻨ％ﻪ‬ ‫د‬ ً‫ﺎ‬‫ﺗﻘﺮﻳﺒ‬ ３‫ﭼ‬ ‫ؤ‬ ‫ﺷﻮی‬ ‫ﺛﺎﺑﺖ‬ ‫ﺗﻮﺑﺮﮐﻠﻮز‬ ‫ﻓﻘﺮات‬ ‫ﺳﺘﻮن‬ ‫د‬ ‫دﭘﺎﺳﻪ‬ ‫ﺟﺴﺪ‬ ‫ﺷﻮي‬ ‫ﻣﻮﻣﻴﺎﻳﻲ‬ ‫ﻳﻮ‬ ３‫ﮐ‬
‫ﺧﻮري‬ ‫ﺳﻤﻮن‬ ‫ﺳﺮه‬ ‫اﻟﻤﻴﻼد‬ ‫ﻗﺒﻞ‬.
٣-‫ﮐﺘﺎب‬ ‫ﻣﻘﺪس‬ ‫ﭘﻪ‬ ‫ﺑﺎﻳﺒﻞ‬ ‫د‬ ‫ﻫﻤﺪارﻧ／ﻪ‬‫او‬３‫ﭼ‬ ３‫ﮐ‬ ‫ﮐﺘﺎب‬ ‫ﭘﻪ‬ ‫وﻳﺪا‬ ‫د‬‫ﺧﻮا‬ ‫او‬ ‫ﺷﺎ‬‫اﻟﻤﻴﻼد‬ ‫ﻗﺒﻞ‬ ‫زره‬ ‫دوه‬
‫د‬ ، ‫ده‬ ‫ﻣﻮﺟﻮده‬ ‫ﺷﻮې‬ ‫ذﮐﺮ‬ ‫ﻟﭙﺎره‬ ‫ﻋﻼج‬ ‫د‬ ‫ﺗﻮﺑﺮﮐﻠﻮز‬ ‫د‬ ３‫ﭼ‬ ‫ﺑﻴﺎﻧﻴﻪ‬ ‫ﻣﺬﻫﺒﻲ‬ ‫ﻳﻮه‬ ‫ﺑﺮاﺑﺮ４８ي‬ ‫ﺳﺮه‬Mano‫د‬
‫ﺳﺮه‬ ‫اﻟﻤﻴﻼد‬ ‫ﻗﺒﻞ‬ ‫زر‬ ‫ﻟﻪ‬ ً‫ﺎ‬‫ﺗﻘﺮﻳﺒ‬ ３‫ﭼ‬ ３‫ﮐ‬ ‫ﻣﺠﻤﻮﻋﻪ‬ ‫ﭘﻪ‬ ‫ﻗﻮاﻧﻴﻨﻮ‬３４ ‫ﻫﻢ‬ ‫ﺑﺮاﺑﺮ４８ي‬‫دی‬ ‫ﺷﻮی‬ ‫ذﮐﺮ‬.
D
r.Farooqi
Prepared by: Dr.Nasrullah “Farooqi”
Designed by: Eng.Mukaram “Farooqi”

17. ‫اداﻣﻪ‬ ‫ﺗﺎرﻳﺨﭽﻪ‬:
17
۴-‫د‬‫ﭘﻪ‬ ３‫ﭼ‬ ‫اﺛﺮ‬ ‫ارز＊ﺘﻪ‬ ‫ﺑﺎ‬ ‫ډﻳﺮ‬ ‫ﮐﺮات‬ ‫ﻫﺎﻳﭙﻮ‬377-460９‫ﻧﺎروﻏ‬ ‫دې‬ ‫د‬ ‫دی‬ ３‫راﭘﺎﺗ‬ ‫ﻧﻪ‬ ‫اﻟﻤﻴﻼد‬ ‫ﻗﺒﻞ‬
‫او‬ ‫،ﻓﺰﻳﻮﻟﻮژي‬ ‫ﻋﺎﻣﻞ‬ ‫ﭘﻪ‬ ９‫ﻧﺎروﻏ‬ ‫ددې‬ ‫ﻫﺎﻳﭙﻮﮐﺮات‬ ３‫ﭼ‬ ‫ددې‬ ‫ﺑﺎوﺟﻮد‬ ، ‫ده‬ ‫ﺷﻮې‬ ‫ﻳﺎدوﻧﻪ‬ ‫＇ﺨﻪ‬
‫ﻣﻌﺎﻳﻨﺎﺗﻮ‬ ‫ﻻﺑﺮاﺗﻮاري‬ ‫او‬ ‫ﭘﻮﻫ５ﺪه‬ ‫ﻧﻪ‬ ‫ﭘﺘﻮﻓﺰﻳﻮﻟﻮژي‬Instrumental‫اﺟﺮا‬ ‫اﺗﻮﭘﺴﻲ‬ ‫د‬ ‫ﻣ７ي‬ ‫د‬ ‫او‬
‫دﻏﻪ‬ ‫او‬ ‫ؤ‬ ‫ﺷﻮي‬ ‫＊ﻮدل‬ ‫ﻟﺮي‬ ‫اﻫﻤﻴﺖ‬ ‫ﭘﻮرې‬ ‫ﺗﺮاوﺳﻪ‬ ３４ ‫ﻋﻼﻳﻢ‬ ‫او‬ ‫اﻋﺮاض‬ ９‫ﻧﺎروﻏ‬ ‫د‬ ‫ﺷﻮه‬ ‫ﻧﻪ‬ ‫ﮐﻮﻻی‬
‫ﺗﺒﻪ‬ ، ‫،ﺧﻮﻟﻪ‬ ‫اﺷﺘﻬﺎﻳﻲ‬ ３‫،ﺑ‬ ‫ﻗﻮﺗﻲ‬ ‫،ﮐﻢ‬ ‫،ﺧﻮارواﻟﯽ‬ ‫،！ﻮﺧﯽ‬ ‫ﻟ７زې‬ ‫ﻟﻪ‬ ‫وو‬ ‫ﻋﺒﺎرت‬ ‫ﻋﻼﻳﻢ‬ ‫او‬ ‫اﻋﺮاض‬
‫ﻧﻴﻮﻧﻪ‬ ３‫دﺳﻴﻨ‬ ‫او‬ ‫درد‬ ３‫دﺳﻴﻨ‬ ،.
３‫ﮐ‬ ‫ﺳ８و‬ ‫ﭘﻪ‬ ３‫ﭼ‬ ‫ﺗﻐﻴﺮات‬ ‫اﺳﺎﺳﻲ‬ ‫ﻫﻐﻪ‬ ‫ﮐﺎوه‬ ‫ﻓﮑﺮ‬ ‫ﺟﺎﻟﻴﻨﻮس‬ ‫ﻃﺒﻴﺐ‬ ‫روﻣﻲ‬ ‫وروﺳﺘﻪ‬ ‫ﻧﻪ‬ ‫دې‬ ‫ﻟﻪ‬
‫ﺳﺒﺐ‬ ‫ﺗﻮﻟﻴﺪ４ﺪو‬ ‫د‬ ‫اوﺑﻮ‬ ‫د‬ ３‫ﮐ‬ ‫ﺳ８و‬ ‫ﭘﻪ‬ ‫ﻫﻤﺪا‬ ‫ﮐ５８ي‬ ‫ﺳﺒﺐ‬ ‫ﭘ７ﺳﻮب‬ ‫د‬ ‫دﺳ８و‬ ‫او‬ ‫ﮐ５８ي‬ ‫راﻣﻨ％ﺘﻪ‬
３‫ﭼ‬ ‫ﺧﺎرﺟ５８ي‬ ‫دﺑﺎﻧﺪې‬ ‫ﻣﺤﺘﻮا‬ ‫اوﺑﻮ‬ ３‫ﻫﻤﺪﻏ‬ ‫د‬ ‫ﮐﻮي‬ ‫！ﻮﺧﯽ‬ ‫ﻣﺮﻳﺾ‬ ３‫ﭼ‬ ‫ﮐﻠﻪ‬ ‫ﮐﺎوه‬ ‫ﻓﮑﺮ‬ ‫،ده‬ ‫ﮐ５８ي‬
‫د‬ ３‫ﮐ‬ ‫ﺳ８و‬ ‫ﭘﻪ‬ ３‫ﮐ‬ ‫ﻧﺘﻴﺠﻪ‬ ‫ﭘﻪ‬Cavity‫ﻣﺮﻳﻀﺎن‬ ‫ﺑﺎاﻻﺧﺮه‬ ３‫ﭼ‬ ‫ﮐ５８ي‬ ‫ﺳﺒﺐ‬ ‫ﺟﻮړ４ﺪو‬ ‫د‬ ‫ﺧﺎﻟﻴ／ﺎوو‬ ‫ﻳﺎ‬
‫ورﮐﻮي‬ ‫ﻻﺳﻪ‬ ‫د‬ ‫وزن‬ ‫ﺧﭙﻞ‬ ‫او‬ ‫ﺿﻌﻴﻒ‬ ３‫ﮐ‬ ‫ﻧﺘﻴﺠﻪ‬ ‫ﭘﻪ‬.
D
r.Farooqi
Prepared by: Dr.Nasrullah “Farooqi”
Designed by: Eng.Mukaram “Farooqi”

18. ‫اداﻣﻪ‬ ‫ﺗﺎرﻳﺨﭽﻪ‬:
18
۵-‫او‬ ‫ﻟﻮﺑﻮﻟﯽ‬ ‫رول‬ ‫ﻋﻤﺪه‬ ‫ډﻳﺮ‬ ‫ﺑﻠﺨﻲ‬ ‫ﺳﻴﻨﺎ‬ ‫اﺑﻮﻋﻠﻲ‬ ‫ﻧﺎﺑﻐﻪ‬ ‫دﺷﺮق‬ ３‫ﮐ‬ ‫اﻧﮑﺸﺎف‬ ‫ﭘﻪ‬ ９‫دﻧﺎروﻏ‬ ‫ﺗﻮﺑﺮﮐﻠﻮز‬ ‫د‬
‫دې‬ ‫ﭘﻪ‬ ‫ﻧﻮﻣﻮړي‬ ３‫ﭼ‬ ‫دی‬ ‫اﺛﺮ‬ ‫ﻧﻮم‬ ‫ﭘﻪ‬ ‫ﻗﺎﻧﻮن‬ ‫د‬ ‫ﻃﺒﺎﺑﺖ‬ ‫د‬ ‫ﻫﻢ‬ ‫ﻳﻮ‬ ‫＇ﺨﻪ‬ ３‫ﺟﻤﻠ‬ ‫ﻟﻪ‬ ‫اﺛﺎرو‬ ‫ﻋﻠﻤﻲ‬ ‫ډﻳﺮو‬ ‫د‬
‫د‬ ‫ﺳﺮه‬ ‫ﺷﮑﻞ‬ ‫ﻣﻔﺼﻞ‬ ‫ﭘﻪ‬ ‫ﻧﻮﻣﻮړي‬ ‫ده‬ ‫ﮐ７ې‬ ‫ﻟﻴﮑﻨﻪ‬ ‫ﺑﺎارز＊ﺘﻪ‬ ‫ډﻳﺮ‬ ３‫ﮐ‬ ‫ﺑﺎره‬ ‫ﭘﻪ‬ ‫دﺗﻮﺑﺮﮐﻠﻮز‬ ３‫ﮐ‬ ‫رﺳﺎﻟﻪ‬
‫د‬ ３‫ﭼ‬ ‫وه‬ ‫ﻧﻈﺮﻳﻪ‬ ‫ﺑﺎار＊ﺘﻪ‬ ‫ﻫﻤﺪا‬ ‫ﺳﻴﻨﺎ‬ ‫اﺑﻦ‬ ‫د‬ ３‫ﭼ‬ ‫ﮐ７ې‬ ‫ذﮐﺮ‬ ‫ﻟﻮﺣﻪ‬ ‫ﮐﻠﻴﻨﻴﮑﻲ‬ ‫ﺗﻮﺑﺮﮐﻠﻮز‬ ‫د‬ ‫ﺳ８و‬
‫ﻧﻈﺮ‬ ‫دﻏﻪ‬ ‫او‬ ‫ﮐ７ی‬ ‫ﻣﻌﺮﻓﻲ‬ ‫ﮐ５８ي‬ ‫ﻟﻴﺪل‬ ‫ﻧﻪ‬ ‫ﺳﺘﺮ－ﻮ‬ ‫ﭘﻪ‬ ３‫ﭼ‬ ‫ﻣﺎﻳﮑﺮوار－ﺎﻧ５ﺰم‬ ‫ﻳﻮ‬ ３４ ‫ﻋﺎﻣﻞ‬ ‫ﺗﻮﺑﺮﮐﻠﻮز‬
‫ؤ‬ ‫ﺷﻮی‬ ‫ورﮐ７ل‬ ‫دﻣﺨﻪ‬ ‫＇ﺨﻪ‬ ‫ﮐﺸﻒ‬ ‫د‬ ‫ﻣﺎﻳﮑﺮوﺳﮑﻮپ‬ ‫د‬ ‫ﮐﺎﻟﻪ‬ ‫ﺷﭙ８ﺳﻮه‬.
‫اﻧﺴﺎﻧﻲ‬ ‫ﻳﻮه‬ ‫دا‬ ３‫ﭼ‬ ‫دي‬ ３‫وﻳﻠ‬ ３‫داﺳ‬ ３‫ﮐ‬ ‫ﺑﺎره‬ ‫ﭘﻪ‬ ‫ﺗﻮﺑﺮﮐﻠﻮز‬ ‫د‬ ３‫ﮐ‬ ‫ﮐﺘﺎب‬ ‫ﭘﻪ‬ ‫دﻗﺎﻧﻮن‬ ‫ﻃﺒﺎﺑﺖ‬ ‫د‬ ‫ﺳﻴﻨﺎ‬ ‫اﺑﻦ‬
‫د‬ ‫ﻧﺎروﻏﻲ‬ ‫دﻏﻪ‬ ３‫ﭼ‬ ‫ﮐ５８ي‬ ‫راﻣﻨ％ﺘﻪ‬ ‫واﺳﻄﻪ‬ ‫ﭘﻪ‬ ‫ﻣﻮﺟﻮداﺗﻮ‬ ‫ژوﻧﺪﻳﻮ‬ ‫ﮐﻮﭼﻨﻴﻮ‬ ‫ډﻳﺮو‬ ‫د‬ ３‫ﭼ‬ ‫ده‬ ‫ﻧﺎروﻏﻲ‬
‫وﻫﻮا‬ ‫اب‬ ‫د‬ ‫ﻋﻮاﻣﻞ‬ ‫ډﻳﺮﻋﻤﺪه‬ ‫اﻧﺘﻘﺎل‬ ‫د‬ ‫ددې‬ ‫او‬ ‫ﮐﻮي‬ ‫اﻧﺘﻘﺎل‬ ‫ﺗﻪ‬ ‫ﺷﺨﺺ‬ ‫روغ‬ ‫＇ﺨﻪ‬ ‫ﺷﺨﺺ‬ ‫اﺧﺘﻪ‬
‫او‬ ‫ﺷﻲ‬ ‫ﮐﻮﻟﯽ‬ ‫اﺧﺘﻪ‬ ‫اﻋﻀﺎء‬ ‫！ﻮل‬ ‫وﺟﻮد‬ ‫د‬ ３‫ﭼ‬ ‫دي‬ ‫ﺷﻮي‬ ‫ذﮐﺮ‬ ‫ﺗﺮﺿﻴﺪاض‬ ‫ﻓﺰﻳﮑﻲ‬ ‫او‬ ‫،روﺣﻲ‬ ‫ﺗﻐﻴﺮات‬
‫،دﻟﻤﺮ‬ ‫ﺗﺪاوي‬ ‫اﻗﻠﻴﻤﻲ‬ ‫ﻟﭙﺎره‬ ‫ﺗﺪاوۍ‬ ‫د‬ ‫ﻣﺮض‬ ‫ددې‬ ‫ﺗﺒﺪﻳﻠ５８ي‬ ‫ﺷﮑﻞ‬ ‫＄ﻨ６ﻧﻲ‬ ‫ﭘﻪ‬ ‫＇ﺨﻪ‬ ‫ﺷﮑﻞ‬ ‫ﺑ５７ﻧﻲ‬ ‫د‬
‫ﺗﺪاوۍ‬ ‫ﭘﻪ‬ ‫ﺗﻮﺑﺮﮐﻠﻮز‬ ‫د‬ ‫،ﻫﻤﺪارﻧ／ﻪ‬ ‫وې‬ ‫ﺷﻮې‬ ‫＊ﻮدل‬ ‫ﻋﺼﺎرې‬ ‫ﻧﺒﺎﺗﺎﺗﻮ‬ ３‫＄ﻴﻨ‬ ‫د‬ ‫او‬ ‫ﺗﺪاوي‬ ‫وړاﻧ／ﻮ‬ ‫د‬
‫دي‬ ‫ﺷﻮي‬ ‫ﻴﻪ‬請‫ﺗﻮ‬ ‫ﮐﻮل‬ ‫ﻣﺮاﻋﺖ‬ ３‫اﻟﺼﺤ‬ ‫ﺣﻔﻆ‬ ‫د‬ ３‫ﮐ‬.
D
r.Farooqi
Prepared by: Dr.Nasrullah “Farooqi”
Designed by: Eng.Mukaram “Farooqi”

19. ‫اداﻣﻪ‬ ‫ﺗﺎرﻳﺨﭽﻪ‬:
19
۶-Francis-Cylvius‫د‬1614‫او‬1672‫د‬ ‫ﻟﭙﺎره‬ ‫＄ﻞ‬ ‫اول‬ ‫د‬ ＃‫ﺗﺮﻣﻨ‬Tubercle‫ﮐ７ه‬ ‫راﻣﻨ％ﺘﻪ‬ ‫ﻄﻼح‬請‫ا‬
‫،وروﺳﺘﻪ‬ ‫ﮐﻮي‬ ‫راﻣﻨ％ﺘﻪ‬ ‫ﺗﻮﺑﺮﮐﻠﻮز‬ ３‫ﮐ‬ ‫ﺳ８و‬ ‫ﭘﻪ‬ ‫ﺗﻮﺑﺮﮐﻠﻮﻧﻪ‬ ‫دﻏﻪ‬ ３‫ﭼ‬Bayle３‫ﭼ‬ ‫ورﺳﻮﻟﻪ‬ ‫اﺛﺒﺎت‬ ‫ﭘﻪ‬
Tuberculum‫ﺗﻮﺑﺮﮐﻠﻮز‬ ‫د‬ ‫ﺑﻠﮑﻪ‬ ‫ﮐﻮي‬ ‫راﻣﻨ％ﺘﻪ‬ ‫ﺗﻮﺑﺮﮐﻠﻮز‬ ‫د‬ ‫ﺗﻐﻴﺮات‬ ‫ﻣﻮرﻓﻮﻟﮋﻳﮏ‬ ３‫ﭼ‬ ‫دا‬ ３＄‫ﻳﻮا‬ ‫ﻧﻪ‬
３‫ﭼ‬ ‫ﺗﻐﻴﺮات‬ ‫ﭘﺘﺎﻟﻮژﻳﮏ‬ ‫ﻫﻐﻪ‬ ‫！ﻮل‬ ３‫ﭼ‬ ‫ورﺳ５ﺪه‬ ‫ﺗﻪ‬ ３‫ﻧﺘﻴﺠ‬ ‫دې‬ ‫،ﻧﻮﻣﻮړی‬ ‫ﺟﻮړوي‬ ‫اﺳﺎس‬ ９‫دﻧﺎروﻏ‬
‫وﭘ５ﮋﻧﻲ‬ ‫ﮐ５８ي‬ ‫راﻣﻨ％ﺘﻪ‬ ９‫ﻧﺎروﻏ‬ ‫ﻧﻮﻣﻮړې‬ ‫ﭘﻪ‬.
‫ﺗﻮﺑﺮﮐﻠﻮز‬ ‫د‬ ‫ﻟ５ﮑﻦ‬‫ﻋﺎﻣﻞ‬‫ﻟﻮې‬ ‫ﻳﻮ‬ ‫د‬ ‫ﮐ５ﺪل‬ ‫ﮐﺸﻒ‬‫واﺳﻄﻪ‬ ‫ﭘﻪ‬ ‫ﻋﺎﻟﻢ‬‫ﮐﺸﻒ‬ ‫ﻧﻮﻣ５ﺪه‬ ‫ﮐﻮخ‬ ‫راﺑﺮت‬ ３‫ﭼ‬‫ﺷﻮ‬
３４ ３‫ﮐ‬ ‫ﻋﻠﻢ‬ ‫ﭘﻪ‬ ‫ﺗﻮﺑﺮﮐﻠﻮز‬ ‫د‬ ３‫ﭼ‬ ７‫ﮐ‬ ‫ﺗﺸﺮﻳﺢ‬ ３‫ﮐ‬ ‫ﺑﻠﻐﻤﻮ‬ ‫ﭘﻪ‬ ‫ﻧﺎروﻏﺎﻧﻮ‬ ‫اﺧﺘﻪ‬ ‫د‬ ‫ﻋﺎﻣﻞ‬ ‫دﻏﻪ‬ ‫ﻧﻮﻣﻮړي‬ ３‫ﭼ‬
‫ﭘﻪ‬ ‫ﻣﻄﺎﻟﻌﺎت‬ ‫ﺧﭙﻞ‬ ‫ﻧﻮﻣﻮړي‬ ‫او‬ ‫راوړ‬ ‫ﻣﻨ％ﺘﻪ‬ ‫ﺑﺎب‬ ‫ﻧﻮی‬ ‫ﻳﻮ‬24‫ﻣﺎرچ‬ ‫د‬1882‫ﻧﺸﺮ‬ ３‫ﮐ‬ ‫ﺑﺮﻟ５ﻦ‬ ‫ﭘﻪ‬ ‫ﮐﺎل‬ ‫م‬
‫ﮐ７ل‬.
٧-‫د‬1874‫ﺗﺮ‬ ‫＇ﺨﻪ‬1929‫ﭘﻮرې‬ ‫ﮐﺎل‬ ‫م‬Clens von priqut７‫ﮐ‬ ‫ﻣﻌﺮﻓﻲ‬ ‫اﻟﻌﻤﻞ‬ ‫ﻋﮑﺲ‬ ‫ﺗﻮﺑﺮﮐﻮﻟﻴﻦ‬ ‫د‬
،Calmatte‫او‬Geurine‫د‬ ‫او‬ ‫ﮐ７ل‬ ‫ﻣﻄﺎﻟﻌﻪ‬ ‫واﮐﺴ５ﻨ５ﺸﻦ‬ ‫ﺑﺎﻧﺪې‬ ‫ﺣ５ﻮاﻧﺎﺗﻮ‬ ‫ﭘﻪ‬BCG‫ﻣﻄﺎﻟﻌﻪ‬ ３４ ‫ﻧﻮم‬ ‫ﭘﻪ‬
‫او‬ ‫ﻟﺮي‬ ‫ﻧﻪ‬ ‫ﻗﺪرت‬ ‫ﺗﻮﻟﻴﺪ‬ ‫د‬ ‫ﻣﺮض‬ ‫د‬ ３‫ﭼ‬ ‫＇ﺨﻪ‬ ‫ﺑﺴﻴﻠﻮﻧﻮ‬ ‫ﺷﻮﻳﻮ‬ ‫ﺿﻌﻴﻒ‬ ‫ﻫﻐﻮ‬ ‫د‬ ‫دی‬ ‫ﻋﺒﺎرت‬ ３‫ﭼ‬ ‫ﮐ７ل‬
‫ﮐ５８ي‬ ‫ﺳﺒﺐ‬ ‫ﮐﻮﻟﻮ‬ ‫راﻣﻨ％ﺘﻪ‬ ‫د‬ ‫ﻣﻌﺎﻓﻴﺖ‬ ‫د‬.
Calmatte‫د‬ ‫او‬ ‫ﮐ５８ي‬ ‫راﻣﻨ％ﺘﻪ‬ ３‫ﮐ‬ ‫وﺟﻮد‬ ‫ﭘﻪ‬ ‫ﻟﭙﺎره‬ ‫ﮐﻠﻮﻧﻮ‬ ‫زﻳﺎﺗﻮ‬ ‫ﻳﺎ‬ ‫ﭘﻨ％ﻮ‬ ‫د‬ ‫ﻣﻌﺎﻓﻴﺖ‬ ３‫ﭼ‬ ‫و＊ﻮدﻟﻪ‬
BCG‫دي‬ ‫ﺿﺮره‬ ３‫ﺑ‬ ‫ﮐﻮل‬ ‫واﮐﺴﻴﻦ‬ ‫دوﺑﺎره‬
D
r.Farooqi
Prepared by: Dr.Nasrullah “Farooqi”
Designed by: Eng.Mukaram “Farooqi”

20. ‫اداﻣﻪ‬ ‫ﺗﺎرﻳﺨﭽﻪ‬:
20
‫د‬ ３‫ﮐ‬ ‫وﺧﺖ‬ ‫ﭘﻪ‬ ‫ﺧﺎن‬ ‫اﷲ‬ ‫آﻣﺎن‬ ‫ﻏﺎزي‬ ‫د‬ ３‫ﮐ‬ ‫ﺷﺮوع‬ ‫ﭘﻪ‬ ‫ﭘ５７ۍ‬ ３‫ﺷﻠﻤ‬ ‫د‬ ３‫ﮐ‬ ‫ﻫ５ﻮاد‬ ‫－ﺮان‬ ‫ﭘﻪ‬ ８‫زﻣﻮﻧ‬
‫ﻳﮑﻪ‬ ‫ﭘﻪ‬ ‫ﭘﻐﻤﺎن‬ ‫د‬ ‫ﻟﭙﺎره‬ ‫ﺗﺪاوۍ‬ ‫د‬ ‫دﻧﺎروﻏﺎﻧﻮ‬ ‫ﺗﻮﺑﺮﮐﻠﻮز‬ ‫د‬ ３‫ﭼ‬ ‫ﺷﻮه‬ ‫ﮐ５＋ﻮدل‬ ‫ﺗﻴ８ه‬ ‫ﺳﻨﺎﺗﻮرﻳﻢ‬ ‫اوﻟﻴﻦ‬
‫ﮐﺒﻠﻪ‬ ‫ﻟﻪ‬ ‫ﻣﻮﺟﻮدﻳﺖ‬ ‫ﻧﻪ‬ ‫د‬ ‫ﮐﺪروﻧﻮ‬ ‫ﻃﺒﻲ‬ ‫د‬ ３‫ﭼ‬ ‫ﻣﺘﺎءﺳﻔﺎﻧﻪ‬ ‫ﻣ／ﺮ‬ ‫درﻟﻮده‬ ‫ﻣﻮﻗﻴﻌﺖ‬ ３４ ３‫ﮐ‬ ‫ﺳﻴﻤﻪ‬ ‫ﺗﻮت‬
‫ﭘﻪ‬ ‫ﺑﺎاﻻﺧﺮه‬ ７‫ﮐ‬ ‫وﻧﻪ‬ ‫ﭘ５ﻞ‬ ‫ﮐﺎر‬ ‫ﭘﻪ‬ ３４1311‫د‬ ‫ﭘﻮﻫﻨﺘﻮن‬ ‫ﻃﺒﻲ‬ ‫د‬ ‫ﮐﺎﺑﻞ‬ ‫د‬ ３‫ﮐ‬ ‫ﮐﺎل‬ ‫ﻟﻤﺮﻳﺰ‬ ‫ﻫﺠﺮي‬
‫ﺗﺎﺳﻴﺲ‬ ‫ﻟﭙﺎره‬ ‫ﻧﺎروﻏﺎﻧﻮ‬ ‫د‬ ‫ﺗﻮﺑﺮﮐﻠﻮز‬ ‫د‬ ３‫ﮐ‬ ‫ﺑﺎغ‬ ‫آﺑﺎد‬ ‫ﻋﻠﻲ‬ ‫ﭘﻪ‬ ‫روﻏﺘﻮن‬ ‫ﺑﺴﺘﺮﻳﺰ‬ ‫ﺷﭙ５ﺘﻪ‬ ‫ﻻﻧﺪې‬ ‫ﭼﻮﮐﺎټ‬
‫ﺷﻮ‬.
D
r.Farooqi
Prepared by: Dr.Nasrullah “Farooqi”
Designed by: Eng.Mukaram “Farooqi”

21. ‫اوﻋﻼﻳﻢ‬ ‫اﻋﺮاض‬ ‫دﺗﻮﺑﺮﮐﻠﻮزدﻧﺎروﻏﺎﻧﻮ‬:
21
‫دي‬ ‫ﻣﻮﺟﻮد‬ ‫اوﻋﻼﻳﻢ‬ ‫اﻋﺮاض‬ ‫ډوﻟﻪ‬ ‫دوه‬ ３‫ﮐ‬ ‫ﻧﺎروﻏﺎﻧﻮ‬ ‫ﭘﻪ‬ ‫دﺗﻮﺑﺮﮐﻠﻮز‬
‫ﻟﻤ７ی‬:‫ﭘﻪ‬Constitation symptoms３‫ﮐ‬‫ﺷﺎﻣﻞ‬‫اﻋﺮاض‬‫ﻟﻪ‬ ‫دي‬ ‫ﻋﺒﺎرت‬، ‫ﺳﺘ７ﺗﻴﺎ،ﺳﺮدرد‬
‫او‬ ‫اﺷﺘﻬﺎﻳﻲ‬ ３‫ﺑ‬ ، ‫ﮐ５ﺪل‬ ‫ﺧﻮﻟﻪ‬ ‫ﺧﻮا‬ ‫ﻟﻪ‬ ３‫دﺷﭙ‬‫＇ﺨﻪ‬ ‫ﻧﻮرو‬ ３‫داﺳ‬.
‫دوﻳﻢ‬:Respiratory symptoms:-
، ‫ﺗﻨ／ﻲ‬ ‫،ﻧﻔﺲ‬ ‫درد‬ ３‫،ﺳﻴﻨ‬ ‫！ﻮﺧﻰ‬ ３‫ﮐ‬ ‫اﻋﺮاﺿﻮ‬ ‫ډول‬ ‫ﭘﺪې‬Wheezing،Hemoptysis
‫دي‬ ‫ﺷﺎﻣﻞ‬ ‫ﻧﻮر‬ ３‫داﺳ‬ ‫او‬.
)B(Signs of pulmonaryT.B:-
‫دي‬ ‫ﻋﺒﺎرت‬ ‫ﻋﻼﻳﻢ‬ ‫دﻧﺎروﻏﺎﻧﻮ‬ ‫دﺗﻮﺑﺮﮐﻠﻮز‬‫ﻟﻪ‬Anemia،Fever،Cachexia،Clubbing‫دﺗﻨﻔﺲ‬
‫زﻳﺎﺗﻮاﻟﻰ‬ ‫دﺣﺮﮐﺎﺗﻮ‬ ‫،دزړه‬ ‫زﻳﺎﺗﻮاﻟﻰ‬ ‫دﺗﻌﺪاد‬)Tachy cardia(،Keratitis،Phylacteuular
conjunctivitis،Anasarca Leukonychia‫د‬ ‫او‬ ‫ﻏ＂ﻮاﻟﻲ‬ ‫ﻋﻘﺪاﺗﻮ‬ ‫دﻟﻤﻔﺎوي‬ ،Trail signs‫＇ﺨﻪ‬
‫دي‬ ‫ﻋﺒﺎرت‬.
‫ﮐ５８ي‬ ‫ﺗﺸﺮ４ﺢ‬ ‫ﺳﺮه‬ ‫ډول‬ ‫ﻣﻔﺼﻞ‬ ‫ﭘﻪ‬ ‫ﻫﺮﻳﻮ‬ ‫اوﻋﻼﻳﻢ‬ ‫اﻋﺮاض‬ ‫ﭘﻮرﺗﻪ‬ ３‫ﭼ‬.
D
r.Farooqi
Prepared by: Dr.Nasrullah “Farooqi”
Designed by: Eng.Mukaram “Farooqi”

22. )‫اﻟﻒ‬(‫！ﻮﺧﻰ‬:-
22
‫ﮐ５ﺪوﻧﮑﻰ‬ ‫واﻗﻊ‬ ‫اﮐﺜﺮه‬ ‫ﻧﺎ＇ﺎﭘﻪ‬ ‫ﻳﻮ‬ ‫！ﻮﺧﻰ‬Reflux‫ﻋﻤﻞ‬‫دوﺟﻮد‬ ３‫ﭼ‬ ‫دى‬
‫ﺳ５ﺴﺘﻢ‬ ‫دﺗﻨﻔﺴﻲ‬‫ﻣﻴﮑﺎﻧ５ﺰم‬ ‫ددﻓﺎﻋﻲ‬‫ﻻرو‬ ‫ﻫﻮاﻳﻲ‬ ‫د‬ ‫ﺳﺮه‬‫داﻓﺮازاﺗﻮﺗﺨﺮﻳﺸﺎﺗﻮ‬
،‫او‬ ‫ﺟﺴﻤﻮﻧﻮ‬ ‫ﺑ５／ﺎﻧﻪ‬‫دﻣﮑﺮوﺑﻮﻧﻮ‬‫ﮐ５８ي‬ ‫وړل‬ ‫ﻟﭙﺎره‬ ‫ﮐﻮﻟﻮ‬ ‫دﻟﻴﺮې‬ ‫دﻗﻄﺮاﺗﻮ‬.
‫ﻟﻪ‬ ‫دي‬ ‫ﻋﺒﺎرت‬ ３‫ﭼ‬ ‫ﻟﺮي‬ ３‫ﻣﺮﺣﻠ‬ ‫درې‬ ‫！ﻮﺧﻰ‬Inhaltation‫ﭘﻪ‬ ３‫ﭼ‬‫ﻋﻤﻴﻖ‬
‫ﺷﻬﻴﻖ‬ ‫د‬ ‫ﺳﺮه‬ ‫ډول‬)Inspir(３４ ‫ﺑﺎﻧﺪې‬ ‫ﺗﻌﻘﻴﺐ‬ ‫ﭘﻪ‬ ‫او‬ ‫ﮐ５８ي‬ ‫ﺷﺮوع‬ ‫＇ﺨﻪ‬
‫ﻗﻮي‬Exhalation３４ ‫ﺗﻌﻘﻴﺐ‬ ‫ﭘﻪ‬ ‫او‬ ‫ﮐ５８ي‬ ‫ﺗﻪ‬ ＃‫راﻣﻨ‬Epiglots‫ﺗ７ل‬‫ﮐ５８ي‬
‫ﻧﺘﻴﺠﻪ‬ ‫ﭘﻪ‬ ‫ﻓﺸﺎر‬ ‫زﻳﺎت‬ ‫ﺪري‬請 ‫داﺧﻞ‬ ‫د‬ ‫ﺧﻮ‬３‫ﮐ‬‫دﻗﻮي‬ ‫ﻋﻀﻼﺗﻮ‬ ‫دﺗﻨﻔﺴﻲ‬ ‫او‬
‫ﺗﻘﻠﺺ‬３‫ﮐ‬ ‫ﻧﺘﻴﺠﻪ‬ ‫ﭘﻪ‬Epiglots‫ورﺗﻪ‬ ３‫ﭼ‬ ‫ﮐﻮي‬ ‫اواز‬ ‫ډول‬ ‫ﺧﺎص‬ ‫ﻳﻮ‬ ‫او‬ ‫５８ي‬請‫ﺧﻼ‬ ‫ﺳﺮه‬ ‫ډول‬ ‫ﺟﺒﺮي‬ ‫ﭘﻪ‬
‫ﺟﺴﻤﻮﻧﻪ‬ ‫اﺟﻨﺒﻲ‬ ‫ﻫﻐﻪ‬ ‫او‬ ‫ﮐ５８ي‬ ‫وﻳﻞ‬ ‫！ﻮﺧﻰ‬
)‫،واﻳﺮﺳﻮﻧﻪ‬ ‫،ﻓﻨ／ﺴﻮﻧﻪ‬ ‫ﺑﮑﺘﺮﻳﺎوې‬ ،‫اﻓﺮازات‬(.....‫ﺧﺎرﺟ５８ي‬ ‫وي‬ ‫ﻣﻮﺟﻮد‬ ３‫ﮐ‬ ‫ﻻرو‬ ‫ﻫﻮاﻳﻲ‬ ‫ﭘﻪ‬ ３‫ﭼ‬.
D
r.Farooqi
Prepared by: Dr.Nasrullah “Farooqi”
Designed by: Eng.Mukaram “Farooqi”

23. )‫ب‬(‫ﺗﺒﻪ‬:-
23
‫ﺗﻌﺮﻳﻒ‬:‫دﻧﺎرﻣﻞ‬ ‫وﺟﻮد‬ ‫د‬‫ﺣﺮارت‬３‫درﺟ‬)36,5±0,5(‫د‬ ‫ﺣﺮارت‬ ‫د‬ ‫＇ﺨﻪ‬
３‫درﺟ‬‫دﻟﻮړ４ﺪو‬‫ده‬ ‫ﻋﺒﺎرت‬ ‫＇ﺨﻪ‬.‫دﺗﻮﺑﺮﮐﻠﻮز‬ ‫ﺗﺒﻪ‬‫دﻧﺎروﻏﺎﻧﻮ‬‫ﭘﻪ‬٦٢‫ﺳﻠﻨﻪ‬３‫ﮐ‬
‫ﮐ５８ي‬ ‫راﻣﻨ％ﺘﻪ‬،‫ﻣﺨﺘﻠﻔﻮ‬ ‫ﭘﻪ‬ ‫ﺗﺒﻪ‬ ３‫ﻧﺎروﻏﺎﻧﻮﮐ‬ ‫ﭘﻪ‬ ‫ﺗﻮﺑﺮﮐﻠﻮز‬ ‫د‬ ‫او‬‫ﺳﺮه‬ ‫ډوﻟﻮﻧﻮ‬
‫وي‬ ‫ﻣﻮﺟﻮده‬.‫ﭘﻪ‬ ‫ﺗﺒﻪ‬ ３‫ﮐ‬ ‫ﻧﺎروﻏﺎﻧﻮ‬ ３‫＄ﻴﻨ‬Sub fibrid‫ﻣﻮﺟﻮده‬ ‫ﺳﺮه‬ ‫ډول‬‫وي‬
‫وي‬ ‫ﻣﻮﺟﻮده‬ ３‫ﮐ‬ ‫وﺧﺘﻮﻧﻮ‬ ‫ﻟﻮﻣ７ﻳﻮ‬ ‫ﭘﻪ‬ ‫ﮐ５ﺪو‬ ‫ﺷﺮوع‬ ‫د‬ ９‫ﻧﺎروﻏ‬ ‫د‬ ‫اﮐﺜﺮه‬ ‫دا‬ ３‫ﭼ‬،
‫ﻟﻮړه‬ ３‫وﺧﺘﻮﻧﻮﮐ‬ ‫ﻟﻮﻣ７ﻳﻮ‬ ‫ﭘﻪ‬ ‫＇ﺨﻪ‬ ‫ﮐ５ﺪو‬ ‫ﺷﺮوع‬ ‫د‬ ９‫ﻧﺎروﻏ‬ ‫د‬ ‫ﻧﺎروﻏﺎن‬ ３‫＄ﻴﻨ‬
‫درﺟﻪ‬３‫ﺣﻤﻠ‬ ‫ﺗﮑﺮاري‬ ‫د‬ ９‫ﻧﺎروﻏ‬ ‫د‬ ‫اﮐﺜﺮه‬ ‫دا‬ ３‫ﭼ‬ ‫ﻟﺮي‬ ‫ﺗﺒﻪ‬
،Multi tuberculosis‫،ﺣﺎد‬‫ﺣﺎﻟﺖ‬ ‫ﻫﻐﻪ‬ ‫ﻳﺎ‬ ‫او‬ ‫اﻓﺖ‬ ‫ﭘﻠﻮاى‬ ‫ﺗﻮﺑﺮﮐﻠﻮزﻳﮏ‬３‫ﮐ‬
３‫ﭼ‬Caseation‫ﻧﻤﻮﻧﻴﺎ‬‫راﻣﻨ％ﺘﻪ‬‫وي‬ ‫ﺷﻮې‬.‫ﺗﺒﻪ‬ ‫دﻧﺎروﻏﺎﻧﻮ‬ ‫ﺗﻮﺑﺮﮐﻠﻮز‬ ‫د‬Intermittent‫ﻒ‬請‫و‬‫ﻟﺮي‬
‫＇ﺨﻪ‬ ３‫دﻏﺮﻣ‬ ３‫ﭼ‬ ‫وي‬ ‫ﻣﻮﺟﻮد‬ ‫ﺳﺮه‬ ‫ډول‬ ‫ﻧﻮرﻣﺎل‬ ‫ﻏ５ﺮې‬ ‫ﭘﻪ‬ ‫－ﺮاف‬ ３‫دﺗﺒ‬ ‫او‬‫وروﺳﺘﻪ‬
‫＇ﺨﻪ‬ ‫ﺧﻮا‬ ‫د‬ ３＄‫ور‬ ‫د‬ ‫او‬ ‫ﺗﺸﺪﻳﺪ４８ي‬ ‫ﺣﻤﻠﻪ‬ ‫ﻣﺎ＊ﺎﻣﻪ‬ ‫د‬ ‫ﺑﻌﺪ‬ ‫ﻳﺎ‬ ‫او‬‫ﻧﺎرﻣﻞ‬‫ﺗﻪ‬ ‫ﺣﺎﻟﺖ‬ ‫ﻧﮋدې‬ ‫ﺗﻪ‬‫راﮔﺮ＄ﻴ‬３‫ﭼ‬ ‫ﺪا‬
‫ﻓﻌﺎﻟﻴﺖ‬ ‫ﻓﺰﻳﮑﻲ‬ ‫د‬ ‫＇ﺨﻪ‬ ‫ﺧﻮا‬ ‫ﻟﻪ‬ ３‫دﺷﭙ‬ ‫وي‬ ‫ﮐﻤﻪ‬ ‫ﻃﺮﻓﻪ‬ ‫ﻟﻪ‬ ３＄‫ور‬ ‫د‬ ‫او‬ ‫زﻳﺎﺗﻪ‬ ‫ﺗﺒﻪ‬ ‫＇ﺨﻪ‬ ‫ﺧﻮا‬ ‫ﻟﻪ‬ ３‫دﺷﭙ‬ ３‫وﻟ‬
３‫ﮐ‬ ‫ﻧﺘﻴﺠﻪ‬ ‫ﭘﻪ‬ ‫او‬ ‫ﮐﻤ５８ي‬ ‫ﺣﺮﮐﺎت‬ ３‫ﺳﻴﻨ‬ ‫د‬ ‫ورﺳﺮه‬ ３‫ﭼ‬ ‫ﺷﺘﻮن‬ ‫ﻧﻪ‬Sneezing reflux،Cough reflux
‫وي‬ ‫＇ﺨﻪ‬ ‫ﺧﻮا‬ ‫ﻟﻪ‬ ３‫ﺷﭙ‬ ‫د‬ ‫اﻧﺤﻄﺎط‬ ‫ﻣﺮاﮐﺰو‬ ‫دﺗﻨﻔﺴﻲ‬ ‫او‬ ‫ﮐﻤ５８ي‬.
D
r.Farooqi
Prepared by: Dr.Nasrullah “Farooqi”
Designed by: Eng.Mukaram “Farooqi”

24. )‫ج‬(‫ﮐ５ﺪل‬ ‫ﺧﻮﻟﻪ‬ ３‫دﺷﭙ‬)Night Sweating:(-
24
‫ﺗﻮﺑﺮﮐﻠﻮز‬ ‫د‬ ‫ﮐ５ﺪل‬ ‫ﺧﻮﻟﻪ‬ ‫＇ﺨﻪ‬ ‫ﺧﻮا‬ ‫د‬ ３‫ﺷﭙ‬ ‫د‬‫دﻧﺎروﻏﺎﻧﻮ‬48‫ﺳﻠﻨﻪ‬
‫وي‬ ‫ﻣﻮﺟﻮد‬ ３‫ﮐ‬.３‫دﺷﭙ‬‫دډ４ﺮو‬ ‫ﺗﻮﺑﺮﮐﻠﻮز‬ ‫د‬ ‫ﮐ５ﺪل‬ ‫ﺧﻮﻟﻪ‬ ‫ﻃﺮﻓﻪ‬ ‫ﻟﻪ‬
‫ﻋﺎﻣﻮاﻋﺮاﺿﻮ‬‫د‬ ‫ﻧﮋدې‬ ３‫ﭼ‬ ‫دي‬ ‫＇ﺨﻪ‬ ３‫ﺟﻤﻠ‬ ‫ﻟﻪ‬‫ﺗﻮﺑﺮﮐﻠﻮزﭘﻪ‬‫！ﻮﻟﻮ‬
３‫ﻧﺎروﻏﺎﻧﻮﮐ‬‫وي‬ ‫ﻣﻮﺟﻮد‬.‫ﺧﻮﭘ＂ﻪ‬３‫＄ﻴﻨ‬ ３‫ﭼ‬ ‫وي‬ ‫ﻧﻪ‬ ３‫ﭘﺎﺗ‬ ‫دې‬‫ﻧﻮر‬
‫ﻓﺰﻳﺎﻟﻮژﻳﮑﺎو‬‫ﺧﻮا‬ ‫د‬ ３‫ﺷﭙ‬ ‫د‬ ３‫ﭼ‬ ‫ﺷﺘﻪ‬ ‫ﻫﻢ‬ ‫ﺣﺎﻟﺘﻮﻧﻪ‬ ‫ﭘﺘﺎﻟﻮژﻳﮏ‬
‫＇ﺨﻪ‬‫او‬ ‫ﺷﻲ‬ ‫وﭘ５ﮋﻧﺪل‬ ‫ﺑﺎﻳﺪ‬ ３‫ﭼ‬ ‫ﮐ５８ي‬ ‫ﺳﺒﺐ‬ ‫ﺗﻮﻟﻴﺪ‬ ‫د‬ ３‫دﺧﻮﻟ‬
‫ورﺳﺮه‬‫د‬ ３４ ‫ﻋﻤﺮ‬ ３‫ﭼ‬ ３‫ﮐ‬ ‫ؤ‬ ‫＊％ﻴﻨﻪ‬ ‫ﻟﮑﻪ‬ ‫ﻧﺸﻲ‬ ‫ﻣﻐﺎﻟﻄﻪ‬40‫ﮐﺎﻟﻮ‬
‫او‬ ‫وي‬ ‫زﻳﺎت‬ ‫＇ﺨﻪ‬Post menu past‫اﮐﺜﺮه‬ ３‫ﭼ‬ ３‫ﮐ‬ ‫＊％ﻮ‬‫ددﻏﻪ‬
‫ﺳﻦ‬‫د‬‫ﻋﻠﺖ‬ ‫ﻋﺎم‬ ３４ ‫ﺗﺸﻮﻳﺶ‬ ‫ﻫﻮرﻣﻮﻧﻮ‬‫دى‬.‫او‬‫ﺧﻮﻟﻪ‬ ３‫دﺷﭙ‬ ‫ﻫﻢ‬ ３‫ﮐ‬ ‫وﺧﺖ‬ ‫ﭘﻪ‬ ９／‫ﺣﺎﻣﻠ‬ ‫د‬ ‫ﻫﻤﺪارﻧ／ﻪ‬
‫ﮐ５ﺪاى‬ ‫－６وډي‬ ‫ﻫﻮرﻣﻮﻧﻲ‬ ‫ﻫﻢ‬ ‫ﻋﻠﺖ‬ ‫ددې‬ ３‫ﭼ‬ ‫وي‬ ‫ﻣﻮﺟﻮده‬‫ﺷﻲ‬.‫ﭘﻪ‬‫ﻫﻢ‬ ‫ډول‬ ‫ﺟﻨﺘﻴﮑﻲ‬ ‫ﭘﻪ‬ ‫ډول‬ ‫ﻫﻤﺪې‬
‫－ﺮ＄ﻲ‬ ‫وﻧﻪ‬ ‫ﺳﺒﺐ‬ ‫ﺗﺸﻮﻳﺶ‬ ‫دﮐﻮم‬ ‫ﺑﺎﻳﺪ‬ ‫دا‬ ３‫ﭼ‬ ‫ﮐ５８ي‬ ‫ﺧﻮﻟﻪ‬ ‫＇ﺨﻪ‬ ‫ﺧﻮا‬ ‫ﻟﻪ‬ ３‫دﺷﭙ‬ ‫ﺧﻠﮏ‬ ３‫＄ﻴﻨ‬.
‫دﺧﻮب‬ ‫زﻳﺎﺗﺮه‬ ‫او‬ ‫وي‬ ‫ﺑﻪ‬ ３‫ﮐﻮوﻧﮑ‬ ‫راﺣﺘﻪ‬ ‫ﻧﺎ‬ ‫ډﻳﺮ‬ ‫ﻧﻮ‬ ‫وي‬ ‫ﺷﻮې‬ ‫راﻣﻨ％ﺘﻪ‬ ‫ﮐﺒﻠﻪ‬ ‫ﻟﻪ‬ ３‫دﺗﺒ‬ ‫ﺧﻮﻟﻪ‬ ‫ﭼ５ﺮﺗﻪ‬ ‫ﮐﻪ‬ ‫ﺧﻮ‬
‫ﻫﻢ‬ ‫ﺳﺒﺐ‬ ‫ﻟﻤﺪ４ﺪو‬ ‫د‬ ‫دﺑﺴﺘﺮ‬ ‫ﻧﻮ‬ ‫وي‬ ‫ﻧﺎراﺣﺘﻪ‬ ‫ﻧﺎروغ‬ ‫ورﺳﺮه‬ ３‫ﭼ‬ ‫ﮐﻠﻪ‬ ‫او‬ ، ‫－ﺮ＄ﻲ‬ ‫ﻫﻢ‬ ‫ﻻﻣﻞ‬ ‫راوﻳ＋５ﺪو‬ ‫د‬ ‫＇ﺨﻪ‬
‫ﮐ５８ي‬.
D
r.Farooqi
Prepared by: Dr.Nasrullah “Farooqi”
Designed by: Eng.Mukaram “Farooqi”

25. )‫د‬(‫ﻋﻘﺪاﺗﻮ‬ ‫دﻟﻤﻔﺎوي‬‫ﭘ７ﺳﻮب‬:
25
‫ﭘﻪ‬ ３‫ﮐ‬ ‫ﺑﺮﺧﻮ‬ ‫！ﻮﻟﻮ‬ ‫ﭘﻪ‬ ‫وﺟﻮد‬ ‫د‬ ３‫ﭼ‬ ‫دي‬ ３‫ﺑﺮﺧ‬ ‫ﺷﻮې‬ ‫ﮐﻠﻮﻟﻪ‬ ‫ﻳﺎ‬ ‫وړې‬ ‫ﺳ５ﺴﺘﻢ‬ ‫ﻣﻌﺎﻓ５ﺘﻲ‬ ‫د‬ ‫ﻧﻮډوﻧﻪ‬ ‫ﻟﻤﻒ‬
‫د‬ ３‫ﭼ‬ ‫ﮐﻮم‬ ‫دي‬ ‫ﺷﻮې‬ ‫ﺗ７ﻟﻰ‬ ‫ﺳﺮه‬ ‫واﺳﻄﻪ‬ ‫ﭘﻪ‬ ‫اوﻋﻴﻮ‬ ‫ﻟﻤﻔﺎوي‬ ‫د‬ ‫او‬ ‫دي‬ ‫ﺷﻮې‬ ‫ﺧﭙﺮې‬ ‫ﺳﺮه‬ ‫ﭘ５ﻤﺎﻧﻪ‬ ‫ﭘﺮاﺧﻪ‬
B,I‫ﭘﻪ‬ ‫او‬ ‫ﮐﻮي‬ ‫ادا‬ ‫رول‬ ‫ارز＊ﺘﻤﻨﺪ‬ ‫ﺧﻮرا‬ ３‫ﮐ‬ ‫ﺳ５ﺴﺘﻢ‬ ‫ﻣﻌﺎﻓ５ﺘﻲ‬ ‫ﭘﻪ‬ ３‫ﭼ‬ ‫دي‬ ３‫ﻟﺮوﻧﮑ‬ ‫ﺣﺠﺮاﺗﻮ‬ ‫ﻧﻮرو‬ ‫او‬
３‫ﭼ‬ ‫ﮐ５８ي‬ ‫＊ﮑﺎره‬ ‫اﺳﺎس‬ ‫ﭘﻪ‬ ‫وﺗﻴﺮې‬ ‫ﻣﺮﺿﻲ‬ ‫د‬ ‫ﺷﮑﻠﻮﻧﻮ‬ ‫ﻣﺨﺘﻠﻔﻮ‬ ‫ﭘﻪ‬ ‫او‬ ‫ﮐ５８ي‬ ‫ﻣﺘﺎﺛﺮه‬ ３‫ﮐ‬ ‫ﭘﺘﻮې‬ ‫ﻣﺮﺿﻲ‬
‫د‬ ‫ﺳﺮه‬ ‫ډول‬ ‫ﭘﻪ‬ ３／‫ﺑ５ﻠ‬ ‫د‬ ‫ﻟﺮي‬ ‫رول‬ ‫اﺳﺎﺳﻲ‬ ３‫ﮐ‬ ‫اﻧﺰارو‬ ‫او‬ ‫ﺗﺸﺨﻴﺺ‬ ‫ﭘﻪ‬ ９‫دﻧﺎروﻏ‬Sore throat‫＇ﺨﻪ‬
‫ﺳﺘﻮﻧﻲ‬ ‫د‬ ‫اﻧﺘﺎن‬ ‫ﺣﺎد‬ ‫ﻳﻮ‬ ‫ﭘﻪ‬ ‫او‬ ‫ﮐ５８ي‬ ‫راﻣﻨ％ﺘﻪ‬ ‫ﭘ７ﺳﻮب‬ ‫ﻋﻘﺪاﺗﻮ‬ ‫ﻟﻤﻔﺎوي‬ ‫د‬ ‫دﻏﺎړې‬ ‫ورﺳﺮه‬ ３‫ﭼ‬ ３‫ﻧﻴﻮﻟ‬
‫ﻟﮑﻪ‬ ‫ﻧﺎروغ‬ ‫ﻣﺰﻣﻦ‬ ‫ﻳﻮ‬ ‫ﺗﺮ‬ ‫ﮐﻮي‬ ‫دﻻﻟﺖ‬Clavicular３‫ﭼ‬ ‫ﻧﺎروﻏﻲ‬ ‫ﻫﻮﺟﮑﻦ‬ ‫د‬ ３‫ﭼ‬ ‫ﭘ７ﺳﻮب‬ ‫ﻋﻘﺪاﺗﻮ‬ ‫ﻟﻤﻔﺎوي‬
‫ﺷﻲ‬ ‫ﮐﻮﻻى‬ ３４ ‫ﺗﻌﻴﻦ‬ ‫داﻧﺰارو‬ ‫او‬ ‫ﺗﺸﺨﻴﺼﻮي‬ ‫ده‬ ‫ﻧﺎروﻏﻲ‬ ‫ﺧﺒﻴﺜﻪ‬ ‫او‬ ‫ﺧﻄﺮﻧﺎﮐﻪ‬ ‫ﻳﻮه‬.
D
r.Farooqi
Prepared by: Dr.Nasrullah “Farooqi”
Designed by: Eng.Mukaram “Farooqi”

26. )‫ﻫـ‬(‫ﻳﺎ‬ ‫اﺷﺘﻬﺎﻳﻲ‬ ３‫ﺑ‬Anorexia:-
26
‫اﻟﻌﻤﻞ‬ ‫دﻋﮑﺲ‬ ‫ﻣﺮﺣﻠﻮ‬ ‫دﺣﺎدو‬ ‫داﻧﺘﺎﻧﺎﺗﻮ‬ ‫دا‬‫ﻳﻮه‬‫ﺑﺮﺧﻪ‬‫ده‬３‫ﭼ‬
‫اﻟﻌﻤﻞ‬ ‫ﻋﮑﺲ‬ ‫ﺣﺎد‬ ‫دا‬‫د‬Lipoply sachrid‫او‬Peptid glycan
‫ﭘﻪ‬‫ﺑﮑﺘﺮﻳﺎوو‬ ‫د‬ ３‫ﭼ‬ ‫ﮐﻮم‬ ‫ﮐ５８ي‬ ‫ﺗﻨﺒﻪ‬ ‫واﺳﻄﻪ‬‫ﭘﻪ‬‫ﺣﺠﺮوي‬‫ﻏﺸﺎ‬
３‫ﮐ‬‫ﭘﻪ‬ ‫دﺑﮑﺘﺮﻳﺎوو‬ ３‫ﭼ‬ ‫وي‬ ‫ﻣﻮﺟﻮد‬D.N.A‫ﭘﻪ‬ ‫وﻳﺮوﺳﻮﻧﻮ‬ ‫د‬ ‫او‬
Double strand R.N.A３‫ﭼ‬ ‫وي‬ ‫ﻣﻮﺟﻮد‬ ３‫ﮐ‬‫دﻣﺨﺘﻠﻔﻮ‬
Pro inflammatory cytokines‫ﻏ５ﺮې‬ ‫ﺑﺎﻧﺪې‬ ３４‫اﺷﺘﻬﺎ‬ ３‫ﺑ‬ ‫ﭘﻪ‬ ‫داﻓﮑﺘﻮروﻧﻪ‬ ‫او‬ ‫ﮐ５８ي‬ ‫ﺗﻨﺒﻪ‬ ‫واﺳﻄﻪ‬ ‫ﭘﻪ‬
‫اﻓﺮازي‬ ‫او‬ ‫ﺳﺎﺣﻪ‬ ‫اﻓﺮازوي‬ ‫ﻣﺤﻴﻄﻲ‬ ‫ﻟﮑﻪ‬ ‫ﻟﺮي‬ ‫اړه‬ ‫ﭘﻮرې‬ ‫ﻋﻮاﻣﻠﻮ‬ ‫ﻳﻮﺗﻌﺪاد‬ ‫ﭘﻪ‬ ３‫ﭼ‬ ‫ﮐﻮم‬ ‫ﻟﺮي‬ ‫ﺗﺎﺛﻴﺮ‬ ‫ﻣﺴﺘﻘﻴﻢ‬
‫ﺑﺮﺧﻪ‬.
D
r.Farooqi
Prepared by: Dr.Nasrullah “Farooqi”
Designed by: Eng.Mukaram “Farooqi”

27. )‫و‬(‫ﻳﺎ‬ ‫ﺳﺘ７ﺗﻴﺎ‬Fatigue:-
27
‫ﺳﺮه‬ ‫ﺷﮑﻞ‬ ‫ﭘﻪ‬ ‫ﻋﺮض‬ ‫ﻳﻮ‬ ‫د‬ ３‫ﻧﺎروﻏﺎﻧﻮﮐ‬ ‫ﭘﻪ‬ ‫دﺗﻮﺑﺮﮐﻠﻮز‬ ３‫ﭼ‬ ‫ﺷﻲ‬ ‫ﮐ５ﺪاى‬ ‫ﺳﺘ７ﺗﻴﺎ‬ ‫ﺷﻮې‬ ３‫ﻣﺸﺨﺼ‬ ‫ﻏﻴﺮې‬
‫ﭘﻪ‬ ‫دﺗﻮﺑﺮﮐﻠﻮز‬ ‫ﺧﻮ‬ ‫ﮐ５８ي‬ ‫راﻣﻨ％ﺘﻪ‬ ‫ﻫﻢ‬ ３‫ﮐ‬ ‫ﻧﺎروﻏﻴﻮ‬ ‫ﺳﺎري‬ ‫ډ４ﺮو‬ ‫ﻧﻮرو‬ ‫ﭘﻪ‬ ‫دﻏﻪ‬ ３‫ﭼ‬ ‫ا－ﺮ‬ ‫ﺷﻲ‬ ‫راﻣﻨ％ﺘﻪ‬
‫ﭘﻪ‬ ‫او‬ ‫ﺷﻲ‬ ‫وﭘ５ﮋﻧﺪل‬ ‫ډول‬ ‫ﭘﻪ‬ ‫ﻋﺮض‬ ‫ﻣﺘﻤﻤﻪ‬ ‫د‬ ‫ﺳﺮه‬ ‫ﻋﻼﻳﻤﻮ‬ ‫او‬ ‫اﻋﺮاﺿﻮ‬ ‫ﮐﻼﺳﻴﮑﻮ‬ ‫ﻧﻮرو‬ ‫د‬ ‫ﺑﺎﻳﺪ‬ ３‫ﻧﺎروﻏﺎﻧﻮﮐ‬
‫ﺷﻲ‬ ‫ﮐ７ل‬ ‫ورﻧﻪ‬ ‫ارز＊ﺖ‬ ‫ډ４ﺮ‬ ‫ﺑﺎﻳﺪ‬ ‫ورﺗﻪ‬ ‫ډول‬ ３＄‫ﻳﻮا‬.
)‫ز‬(‫ﻳﺎ‬ ‫درد‬ ３‫دﺳﻴﻨ‬Chest pain:-
‫ﻧﺎروﻏﺎﻧﻮ‬ ‫ﭘﻪ‬ ３‫ﭼ‬ ، ‫دى‬ ‫＇ﺨﻪ‬ ３‫ﺟﻤﻠ‬ ‫ﻟﻪ‬ ‫اﻋﺮاﺿﻮ‬ ‫ﻣﻬﻤﻮ‬ ‫ډ４ﺮو‬ ‫د‬ ‫ﻳﻮ‬ ‫درد‬ ３‫دﺳﻴﻨ‬ ３‫ﮐ‬ ‫ﻧﺎروﻏﺎﻧﻮ‬ ‫ﭘﻪ‬ ‫دﺗﻮﺑﺮﮐﻠﻮز‬
‫ﺑﺎرز‬ ‫ډ４ﺮ‬ ３‫ﮐ‬ ‫ﺷﺮوع‬ ‫ﭘﻪ‬ ９‫ﻧﺎروﻏ‬ ‫د‬ ３‫ﮐ‬)‫رو＊ﺎﻧﻪ‬(３‫ﮐ‬ ‫ﻧﺘﻴﺠﻪ‬ ‫ﭘﻪ‬ ‫ﻓﻌﺎﻟﻴﺖ‬ ‫ﻓﺰﻳﮑﻲ‬ ‫د‬ ３＄‫ﻳﻮا‬ ‫او‬ ‫وي‬ ‫ﻧﻪ‬
‫ﮐ５８ي‬ ‫راﻣﻨ％ﺘﻪ‬.
‫ﺳﺮه‬ ‫ډول‬ ‫وﺧﻴﻢ‬ ‫ﭘﻪ‬ ‫ﺗﻮﺑﺮﮐﻠﻮز‬ ‫ﻳﺎ‬ ، ‫وي‬ ‫ﺷﻮې‬ ‫راﻣﻨ％ﺘﻪ‬ ‫ﺳﺮه‬ ‫ﺷﺪت‬ ‫ﭘﻪ‬ ‫ﭘ５＋ﻪ‬ ‫ﻣﺮﺿﻲ‬ ‫ﭼ５ﺮﺗﻪ‬ ‫ﮐﻪ‬ ‫ﺧﻮ‬
３‫ﮐ‬ ‫ﺣﺎﻟﺖ‬ ‫ﭘﻪ‬ ‫اﺳﺘﺮاﺣﺖ‬ ‫د‬ ‫＇ﺨﻪ‬ ‫ﺷﺮوع‬ ‫دﻫﻤﺎﻏﻪ‬ ‫ﺗﻨ／ﻲ‬ ‫ﻧﻔﺲ‬ ‫ﺑﻪ‬ ３‫ﮐ‬ ‫ﻮرت‬請 ‫دې‬ ‫ﭘﻪ‬ ‫ﻧﻮ‬ ‫وي‬ ‫راﻏﻠﻰ‬ ‫ﻣﻨ％ﺘﻪ‬
‫وي‬ ‫ﻣﻮﺟﻮده‬ ‫ورﺳﺮه‬.
‫ﻧﻴﻤﻪ‬ ‫اوږې‬ ‫د‬ ‫درد‬ ‫دﻏﻪ‬ ３‫دﺳﻴﻨ‬ ‫اﮐﺜﺮه‬ ‫او‬ ‫وي‬ ‫ﻫﻢ‬ ‫ﻟﺮوﻧﮑﻰ‬ ‫ﺧﺎر＊ﺖ‬ ‫د‬ ３‫ﭼ‬ ‫ﻟﺮي‬ ‫ﻒ‬請‫و‬ ‫دروﻧﺪ‬ ‫اﮐﺜﺮه‬ ‫درد‬
‫ﮐﻮي‬ ‫اﻧﺘﺸﺎر‬ ‫ﺗﻪ‬ ‫ﻃﺮف‬ ‫وﺣﺸﻲ‬.
D
r.Farooqi
Prepared by: Dr.Nasrullah “Farooqi”
Designed by: Eng.Mukaram “Farooqi”

28. )‫ح‬(‫ﻳﺎ‬ ‫ﺧﺎرﺟ５ﺪل‬ ‫ﺑﻠﻐﻢ‬ ‫د‬Expectoration:-
28
‫دﻧﺎروﻏﺎﻧﻮ‬ ‫ﺗﻮﺑﺮﮐﻠﻮز‬ ‫د‬ ‫ﻋﺮض‬ ‫دا‬48‫＇ﺨﻪ‬ ３‫ﺟﻤﻠ‬ ‫ﻟﻪ‬ ‫اﻋﺮاﺿﻮ‬ ‫ﻣﻬﻤﻮ‬ ‫د‬ ‫ﺗﻮﺑﺮﮐﻠﻮز‬ ‫د‬ ‫دﺳ８و‬ ３‫ﭼ‬ ‫ﺟﻮړوي‬ ‫ﺳﻠﻨﻪ‬
‫ﻧﻪ‬ ‫ﻣﻮﺟﻮد‬ ３‫ﮐ‬ ‫ور＄ﻮ‬ ‫ﻟﻤ７ﻳﻮ‬ ‫ﭘﻪ‬ ‫ﻣﺮض‬ ‫د‬ ３‫ﮐ‬ ‫ﻧﺎروﻏﺎﻧﻮ‬ ‫اﺧﺘﻪ‬ ‫ﺗﻮﺑﺮﮐﻠﻮز‬ ‫ﭘﻪ‬ ‫ﺳ８و‬ ‫د‬ ３‫ﭼ‬ ‫ﮐﻮم‬ ‫ﮐ５８ي‬ ‫ﺷﻤ５ﺮل‬
‫رﻳﻮي‬ ‫ﭘﻪ‬ ‫اﻧﺴﺎج‬ ‫ﺗﺨﺮﻳﺒﻲ‬ ‫او‬ ‫وﮐ７ي‬ ‫ﭘ５ﺸﺮﻓﺖ‬ ‫ﭘ５＋ﻪ‬ ‫ﻣﺮﺿﻲ‬ ‫ﮐﻠﻪ‬ ３‫ﭼ‬ ‫ﮐ５８ي‬ ‫راﻣﻨ％ﺘﻪ‬ ‫وﺧﺖ‬ ‫ﻫﻐﻪ‬ ‫او‬ ‫وي‬
‫ﭘﻪ‬ ３‫ﭼ‬ ‫ﻟﺮي‬ ‫اﻣﮑﺎن‬ ‫او‬ ‫زﻳﺎﺗ５８ي‬ ‫ﺳﺮه‬ ‫ډول‬ ‫ﺗﺪرﻳﺠﻲ‬ ‫ﭘﻪ‬ ‫ﻣﻘﺪار‬ ‫ددې‬ ، ‫ﺷﻲ‬ ‫راﻣﻨ％ﺘﻪ‬ ３‫ﮐ‬ ‫ﻧﺴﺞ‬24
‫ﺗﺮ‬ ３‫ﺳﺎﻋﺘﻮﻧﻮﮐ‬200cc‫ﻣﺨﺎﻃﻲ‬ ３‫ﭼ‬ ‫ﻟﺮي‬ ‫اﻣﮑﺎن‬ ‫ﻫﻢ‬ ‫او‬ ‫ﻟﺮي‬ ‫ﻒ‬請‫و‬ ‫ﻣﺨﺎﻃﻲ‬ ‫اﮐﺜﺮه‬ ３‫ﭼ‬ ‫ورﺳ５８ي‬ ‫ﭘﻮرې‬
‫اﻣﮑﺎن‬ ‫ﺣﺘﻰ‬ ３‫ﭼ‬ ‫ﺑ５ﻠ５８ي‬ ‫ﺳﺮه‬ ９‫اﺳﺎﻧ‬ ‫ﭘﻪ‬ ３‫ﮐ‬ ‫وﺧﺘﻮﻧﻮ‬ ‫ﻟﻤ７ﻳﻮ‬ ‫ﭘﻪ‬ ３‫ﭼ‬ ‫ﮐ７ي‬ ‫اﺧﺘﻴﺎر‬ ‫ﺷﮑﻞ‬ ‫ﻗ５ﺤﻲ‬ ‫ﻳﺎ‬ ‫او‬ ‫ﻗ５ﺤﻲ‬
‫رﺳ５ﺪو‬ ‫ﺳﺮﺗﻪ‬ ‫＊ﻪ‬ ‫ﭘﻪ‬ ‫وﻇﺎﻳﻔﻮ‬ ‫د‬ ‫دﺳﻠﻴﺎوو‬ ‫ﻏﺸﺎ‬ ‫دﻣﺨﺎﻃﻲ‬ ‫دا‬ ３‫ﭼ‬ ‫ﻧﺸﻲ‬ ‫ﻫﻢ‬ ‫ﻣﺘﻮﺟﻪ‬ ‫ﺑﻴﺨﻲ‬ ‫ورﺗﻪ‬ ‫ﻧﺎروغ‬ ３‫ﭼ‬ ‫ﻟﺮي‬
‫ﺷﺨﺺ‬ ３‫ﭼ‬ ‫ﮐﻠﻪ‬ ‫او‬ ‫رﺳ５８ي‬ ‫ﺗﻪ‬ ‫ﺣﻨﺠﺮې‬ ‫او‬ ‫ﻗﺼﺒﺎﺗﻮ‬ ‫ﺑﻠﻐﻢ‬ ‫وﺧﺖ‬ ‫ﭘﻪ‬ ‫دﺧﻮب‬ ３‫ﭼ‬ ‫ﮐﻮم‬ ‫ﮐﻮي‬ ‫دﻻﻟﺖ‬ ‫ﺑﺎﻧﺪې‬
‫ﮐﻮي‬ ‫اﻃﺮاح‬ ‫ﺑ５ﻠ５８ي‬ ‫ﺳﺮه‬ ９‫اﺳﺎﻧ‬ ‫ﭘﻪ‬ ３‫ﭼ‬ ‫ﺑﻠﻐﻢ‬ ‫اﻧﺪازه‬ ‫زﻳﺎﺗﻪ‬ ‫ﭘﻪ‬ ‫ﻧﻮ‬ ‫ﭘﺎ＇５８ي‬ ‫＇ﺨﻪ‬ ‫دﺧﻮب‬.
D
r.Farooqi
Prepared by: Dr.Nasrullah “Farooqi”
Designed by: Eng.Mukaram “Farooqi”

29. )‫ط‬(Hemoptysis:-
29
‫ﻧﮋدې‬ ‫دﻧﺎروﻏﺎﻧﻮ‬ ‫دﺗﻮﺑﺮﮐﻠﻮز‬ ‫ﻋﺮض‬ ‫دا‬40،‫ﺟﻮړوي‬ ‫ﺳﻠﻨﻪ‬Hemoptysis‫وﺧﻴﻤﻮ‬ ‫د‬ ‫ﺗﻮﺑﺮﮐﻠﻮز‬ ‫د‬ ‫ﺳ８و‬ ‫د‬
‫دﺳ８و‬ ‫اﮐﺜﺮه‬ ‫او‬ ‫را＄ﻲ‬ ‫ﻣﻨ％ﺘﻪ‬ ３‫ﮐ‬ ‫دﺗﻮﺑﺮﮐﻠﻮز‬ ‫ﺷﮑﻞ‬ ‫اﺧﺘﻼﻃﻲ‬ ‫ﭘﻪ‬ ‫اﮐﺜﺮه‬ ３‫ﭼ‬ ‫دى‬ ‫＇ﺨﻪ‬ ３‫ﺟﻤﻠ‬ ‫ﻟﻪ‬ ‫اﻋﺮاﺿﻮ‬
３‫ﮐ‬ ‫ﻧﺘﻴﺠﻪ‬ ‫ﭘﻪ‬ ‫دﺗﺨﺮﻳﺐ‬ ‫ﺟﺪار‬ ‫د‬ ‫اوﻋﻴﻮ‬ ‫د‬ ‫ﻳﺎ‬ ‫او‬ ‫ﺳ５ﺴﺘﻢ‬ ‫دوراﻧﻲ‬ ‫ﻐﻴﺮه‬請 ‫د‬ ‫ﻳﺎ‬ ‫ﺗﺨﺮﻳﺐ‬ ‫ﺷﺪﻳﺪ‬ ‫ﭘﻪ‬ ‫دﻧﺴﺞ‬
‫ﮐ５８ي‬ ‫راﻣﻨ％ﺘﻪ‬.
)‫ي‬(‫ﻳﺎ‬ ‫ﺧﻮارواﻟﻰ‬Weight loss:-
‫ﭘﻪ‬ ‫ﻧﺎروﻏﺎﻧﻮ‬ ‫د‬ ‫دﺗﻮﺑﺮﮐﻠﻮز‬ ‫ﻋﻼﻣﻪ‬ ‫دﻏﻪ‬76‫ﻣﻮﺟﻮده‬ ３‫ﮐ‬ ‫ﺳﻠﻨﻪ‬‫وي‬.‫د‬‫ﻧﺎروﻏﺎﻧﻮ‬ ‫ﭘﻪ‬ ‫ﺗﻮﺑﺮﮐﻠﻮز‬ ‫د‬ ‫ﺑﺎﻳﻠﻞ‬ ‫وزن‬
‫وﺧﻴﻢ‬ ‫ﺗﺮ‬ ‫＇ﺨﻪ‬ ‫ﺣﺎﻟﺖ‬ ‫ﺧﻔﻴﻒ‬ ‫د‬ ‫وي‬ ‫ﻣﻮﺟﻮد‬ ‫ﺳﺮه‬ ‫درﺟﻮ‬ ‫ﻣﺨﺘﻠﻔﻮ‬ ‫ﭘﻪ‬ ３‫ﮐ‬)Cachexia(‫اﻣﮑﺎن‬ ‫ﭘﻮرې‬ ‫ﺣﺎﻟﺖ‬
‫راﻣﻨ％ﺘﻪ‬ ３‫ﮐ‬ ‫ﺧﻠﮑﻮ‬ ‫اﮐﺜﺮه‬ ‫اﺧﺘﻪ‬ ‫ﺗﻮﺑﺮﮐﻠﻮز‬ ‫ﭘﻪ‬ ３‫ﭼ‬ ‫ﺷﻲ‬ ‫راﻣﻨ％ﺘﻪ‬ ‫ﻟﺮي‬‫ﮐ５８ي‬،‫ﻟ５ﮑﻦ‬３‫ﮐ‬ ‫ﺧﻠﮑﻮ‬ ３‫ﺑﻌﻀ‬ ‫ﭘﻪ‬
‫ﻣﻮﺟﻮده‬ ３‫ﮐ‬ ‫ﭘﻪ‬ ‫ﺿﻴﺎع‬ ‫وزن‬ ‫د‬ ‫وي‬ ‫ﻫﻢ‬ ‫ﮐ７ې‬ ‫اﺷﻐﺎل‬ ‫ﺑﺮﺧﻪ‬ ‫ﭘﺮاﺧﻪ‬ ‫دﺳ８و‬ ‫اﻓﺖ‬ ‫ﺗﻮﺑﺮﮐﻠﻮزﻳﮏ‬ ３‫ﭼ‬ ‫ددې‬ ‫ﺳﺮه‬
‫وي‬ ‫ﻧﻪ‬.‫ﻏﺬاﻳﻲ‬ ３‫،دﺑﻌﻀ‬ ‫اﺷﺘﻬﺎدﮐﻤﻮاﻟﻲ‬ ‫د‬ ３‫ﮐ‬ ‫ﻧﺎروﻏﺎﻧﻮ‬ ‫ﭘﻪ‬ ‫دﺗﻮﺑﺮﮐﻠﻮز‬ ‫ﮐ５ﺪل‬ ‫ﺗﻪ‬ ＃‫راﻣﻨ‬ ‫ﺿﻴﺎع‬ ‫د‬ ‫وزن‬ ‫د‬
‫،د‬ ‫ﺧﻮراک‬ ‫ﻧﻪ‬ ‫د‬ ‫ﻣﻮادو‬Dyspepsia‫ﮐ５ﺪل‬ ‫ﺗﻪ‬ ＃‫راﻣﻴﻨ‬ ‫داﺳﻬﺎل‬ ３‫ﮐ‬ ‫ﺧﻠﮑﻮ‬ ３‫ﺑﻌﻀ‬ ‫ﭘﻪ‬ ‫او‬ ‫ﮐ５ﺪﻟﻮ‬ ‫راﻣﻨ％ﺘﻪ‬ ‫د‬
‫د‬ ‫ﻫﻤﺪارﻧ／ﻪ‬ ‫را＄ﻲ‬ ‫ﻣﻨ％ﺘﻪ‬ ‫ﺿﻴﺎع‬ ‫وزن‬ ‫د‬ ‫او‬ ‫ﺧﺮاﺑ５８ي‬ ‫ﺟﺬب‬ ‫ﻣﻮادو‬ ‫ﻏﺬاﻳﻲ‬ ‫ﺿﺮوري‬ ‫د‬ ３‫ﮐ‬ ‫ﻧﺘﻴﺠﻪ‬ ‫ﭘﻪ‬ ３‫ﭼ‬
‫ﻣﻮاد‬ ‫دﻏﺬاﻳﻲ‬ ‫اﻧﺪازه‬ ‫ﮐﻤﻪ‬ ‫ﭘﻪ‬ ‫＇ﺨﻪ‬ ‫ﺧﻮا‬ ３‫دﺑﻠ‬ ‫او‬ ‫ﻟﻮړ４８ي‬ ‫ﻣ５ﺘﺎﺑﻮﻟ５ﺰم‬ ‫وﺟﻮد‬ ‫د‬ ‫ﮐﺒﻠﻪ‬ ‫ﻟﻪ‬ ３‫ﺗﺒ‬ ‫دواﻣﺪاره‬
‫－ﺮ＄ﻲ‬ ‫ﻻﻣﻞ‬ ‫ﺿﻴﺎع‬ ‫د‬ ‫وزن‬ ‫د‬ ３‫ﮐ‬ ‫ﻧﺘﻴﺠﻪ‬ ‫ﭘﻪ‬ ‫！ﻮل‬ ‫دا‬ ３‫ﭼ‬ ‫اﺧﻴﺴﺘﻞ‬.
D
r.Farooqi
Prepared by: Dr.Nasrullah “Farooqi”
Designed by: Eng.Mukaram “Farooqi”

30. )‫ک‬(Clubbing:-
30
‫د‬Clubbing‫دي‬ ‫ﺷﻮې‬ ‫＊ﻮدل‬ ‫ﻋﻠﺘﻮﻧﻪ‬ ‫ﺗﻴﻮرﻳﮑﻲ‬ ‫ﻣﺘﻌﺪد‬ ‫ﺧﻮ‬ ‫ﻣﻌﻠﻮم‬ ‫دې‬ ‫ﻧﻪ‬ ‫ﺳﺒﺐ‬ ‫واﻗﻌﻲ‬ ‫دﭘﺎره‬ ‫دﭘ５ﺪاﮐ５ﺪو‬.
‫＇ﺨﻪ‬ ‫اوﻋﻴﻮ‬ ‫د‬ ３‫ﮐ‬ ‫ﺑ５ﺦ‬ ‫ﭘﻪ‬ ‫دﻧﻮﮐﺎﻧﻮ‬ ３‫ﭼ‬ ‫دى‬ ‫ﺷﻮى‬ ‫وړاﻧﺪې‬ ‫ﻧﻈﺮ‬ ３‫داﺳ‬Vasso dilatation‫د‬ ،Growth
‫ﺗﻮﻟﻴﺪ‬ ‫ﻓﮑﺘﻮروﻧﻮ‬３‫ﭼ‬‫دﺳ８و‬‫ﻟﮑﻪ‬ ‫ﺗﻮﻟﻴﺪ４８ي‬ ‫＇ﺨﻪ‬
Platelat derived growth‫او‬ ‫ﻓﮑﺘﻮر‬
Hepatocyt Growth‫ﻓﮑﺘﻮر‬.
‫ﭘﻪ‬Primary osteo artheropithy３‫داﺳ‬ ３‫ﮐ‬
‫دﭘﺮودﺳﺘﺎ－ﻼﻧﺪﻳﻦ‬ ３‫ﭼ‬ ‫دي‬ ‫ﺷﻮې‬ ‫ﮐﺸﻒ‬ ‫ﺗﻐﻴﺮات‬
‫دا‬ ‫او‬ ‫ﮐﻮي‬ ‫راﻣﻨ％ﺘﻪ‬ ‫ﺗﻐﻴﺮات‬ ３‫ﮐ‬ ‫ﻣ５ﺘﺎﺑﻮﻟ５ﺰم‬ ‫ﭘﻪ‬
‫د‬PhE2３‫ﭼ‬ ‫ﮐ５８ي‬ ‫ﺗﻮﻟﻴﺪﺳﺒﺐ‬ ‫زﻳﺎت‬ ‫د‬
３‫ﮐ‬ ‫ﻧﺘﻴﺠﻪ‬ ‫ﭘﻪ‬ ‫او‬ ‫دى‬ ‫ﻓﮑﺘﻮر‬ ‫ﮐ５ﺪوﻧﮑﻰ‬ ‫واﻗﻊ‬ ‫ﻟﭙﺎره‬ ‫ددې‬ ‫ﻫﻤﺪا‬Clubbing‫ﮐ５８ي‬ ‫راﻣﻨ％ﺘﻪ‬.
D
r.Farooqi
Prepared by: Dr.Nasrullah “Farooqi”
Designed by: Eng.Mukaram “Farooqi”

31. ‫ﻣﻌﺎﻳﻨﻪ‬ ‫ﻓﺰﻳﮑﻲ‬ ‫ﻧﺎروﻏﺎﻧﻮ‬ ‫د‬ ‫دﺗﻮﺑﺮﮐﻠﻮز‬ ‫دﺳ８و‬:-
31
‫ﺳﺮه‬ ‫ﺗﻔﺘﻴﺶ‬ ‫ﭘﻪ‬ ‫ﻧﺎروﻏﺎن‬ ‫دﺗﻮﺑﺮﮐﻠﻮز‬ ３‫دﺳﻴﻨ‬I11‫ﻧﺎروﻏﺎن‬ ‫اﮐﺜﺮه‬ ３‫ﭼ‬ ‫ﻣﻌﻠﻮﻣ５８ي‬Cachexic‫اﻧﺠﻴﺎ‬ ‫او‬
‫ﻳﺎ‬ ‫او‬ ‫زﻳ８ه‬ ‫وﻳ＋ﺘﺎن‬ ３‫ﭼ‬ ‫ﺷﻲ‬ ‫راﻣﻨ％ﺘﻪ‬ ‫ﺗﻐﻴﺮات‬ ３‫＄ﻴﻨ‬ ３‫ﭼ‬ ‫ﺷﻲ‬ ‫ﮐ５ﺪاى‬ ‫ﻫﻢ‬ ３‫ﮐ‬ ‫وﻳ＋ﺘﺎﻧﻮ‬ ‫،ﭘﻪ‬ ‫ﻟﺮي‬
３‫ﭼ‬ ‫ﻟﺮي‬ ‫اﻣﮑﺎن‬ ３‫ﮐ‬ ‫ﺳﺘﺮ－ﻮ‬ ‫ﭘﻪ‬ ‫ډول‬ ‫ﻫﻤﺪې‬ ‫ﭘﻪ‬ ، ‫ﺷﻲ‬ ‫وﻻړ‬ ‫ﻣﻨ％ﻪ‬ ‫ﻟﻪ‬ ３‫ﭼ‬ ‫ﺷﻲ‬ ‫ﮐ５ﺪاى‬Phlyctenular
conjunctivitis‫ﻳﺎ‬ ‫او‬Keratitis‫وي‬ ‫ﻣﻮﺟﻮد‬.
３‫ﭼ‬ ‫ﺷﺘﻪ‬ ‫ددې‬ ‫اﻣﮑﺎن‬ ３‫ﮐ‬ ‫ﻧﺎروغ‬ ‫ﭘﻪ‬Trail sign)Sternocliedo mastoid،‫ﻋﻀﻠﻪ‬Clavicular‫ﭘﻪ‬ ‫ﺳﺮه‬
‫وي‬ ‫ﺑﺎرز‬ ‫وي‬ ‫ﻣﻮﺟﻮد‬ ‫ﺳﺒﺐ‬ ‫واﺿﺢ‬ ‫ﮐﻮم‬ ‫ﺑﻞ‬ ３‫ﭼ‬ ‫ددې‬ ‫ﻏ５ﺮ‬(‫وي‬ ‫ﻣﺜﺒﺖ‬.
‫ازﻳﻤﺎ‬ ‫ﻋﻤﻮﻣﻲ‬ ‫ﮐﺒﻠﻪ‬ ‫ﻟﻪ‬ ‫دﻓﻘﺪان‬ ‫ﭘﺮوﺗﻴﻨﻮﻧﻮ‬ ‫د‬)Anasarca(‫ﭘﻪ‬ ３‫ﮐ‬ ‫ﻧﻮﮐﺎﻧﻮ‬ ‫ﭘﻪ‬ ‫ﻫﻤﺪارﻧ／ﻪ‬ ‫او‬ ‫وي‬ ‫ﻣﻮﺟﻮده‬
３‫ﮐ‬ ９‫ﻧﺎروﻏ‬ ‫د‬ ‫ﺣﺎﻟﺖ‬ ‫ﺷﺪﻳﺪ‬Clubbing‫وي‬ ‫ﻣﻮﺟﻮد‬.
D
r.Farooqi
Prepared by: Dr.Nasrullah “Farooqi”
Designed by: Eng.Mukaram “Farooqi”

32. ‫ﻣﻌﺎﻳﻨﻪ‬ ‫ﻓﺰﻳﮑﻲ‬ ３‫دﺳﻴﻨ‬ ‫دﻧﺎروﻏﺎﻧﻮ‬ ‫دﺗﻮﺑﺮﮐﻠﻮز‬ ‫ﺳ８و‬ ‫د‬:-
32
‫او‬ ‫وي‬ ‫ﺗﻠﻠﻰ‬ ‫ﻣﻨ％ﻪ‬ ‫ﻟﻪ‬ ３‫ﭼ‬ ‫ﺷﻲ‬ ‫ﮐ５ﺪاى‬ ‫ﺗﻨﺎﻇﺮ‬ ‫ﺪر‬請‫د‬ ‫دﻧﺎروغ‬ ‫ﺳﺮه‬ ‫ﺗﻔﺘﻴﺶ‬ ‫ﭘﻪ‬Trachea３‫ﭼ‬ ‫ﺷﻲ‬ ‫ﮐ５ﺪاى‬
Pull‫ﻳﺎ‬Push‫ﻟﮑﻪ‬ ‫وي‬ ‫ﮐﺒﻠﻪ‬ ‫ﻋﻮاﻣﻠﻮﻟﻪ‬ ‫ﻻﻧﺪې‬ ‫د‬ ３‫ﭼ‬ ‫وي‬ ‫ﺷﻮې‬Febrosis،Collaps،Pleural
effusion،Empyema‫ﻧﻴﻤﻮﺗﻮراﮐﺲ‬ ،....‫وي‬ ‫ﮐﺒﻠﻪ‬ ‫ﻟﻪ‬.
‫ﭼ５ﺮﺗﻪ‬ ‫ﮐﻪ‬ ‫ﺳﺮه‬ ‫ﺣﺒﺲ‬ ‫ﭘﻪ‬Consolidation‫ﻟﻮﻳﻪ‬ ‫ﻳﻮه‬ ‫ﻳﺎ‬ ‫وي‬ ‫ﮐ７ى‬ ‫ﺗﺎﺋﺴﺲ‬Cavity‫او‬ ‫وي‬ ‫ﮐ７ى‬ ‫ﺗﺎﺋﺴﺲ‬
‫دﭘﺎﺳﻪ‬ ３‫دﻫﻐ‬Resonans‫ﻧﻮ‬ ‫ﺷﻲ‬ ‫اﺟﺮا‬Vocal resonans‫وي‬ ‫ﺷﻮى‬ ‫＊ﮑﺘﻪ‬ ‫ﺑﻪ‬.
‫ﭼ５ﺮﺗﻪ‬ ‫ﮐﻪ‬ ‫ﺳﺮه‬ ‫ﻗﺮﻋﻪ‬ ‫ﭘﻪ‬Dulness‫ﺑﻪ‬ ３‫ﮐ‬ ‫ﺳ８و‬ ‫ﭘﻪ‬ ‫ﻧﻮ‬ ‫ؤ‬ ‫ﻣﻮﺟﻮد‬Collaps‫ﺳ８و‬ ‫ﭘﻪ‬ ‫ﻳﺎ‬ ‫او‬ ‫ﺿﺨﻴﻤﻮاﻟﻰ‬ ‫،دﭘﻠﻮرا‬
‫زﻳﺎت‬ ‫ﭘﻪ‬ ３‫ﮐ‬Infiltration‫ﮐﻮي‬ ‫دﻻﻟﺖ‬.
‫ﺳﺮه‬ ‫ﻗﺮﻋﻪ‬ ‫ﭘﻪ‬ ‫ﭼ５ﺮﺗﻪ‬ ‫ﮐﻪ‬Stony dullness‫ﭘﻪ‬ ‫ﻧﻮ‬ ‫وي‬ ‫ﻣﻮﺟﻮد‬Pleural effusion‫ﻳﺎ‬ ‫او‬Empyema‫ﺑﺎﻧﺪې‬
‫ﺳﺮه‬ ‫ﻗﺮﻋﻪ‬ ‫ﭘﻪ‬ ‫ﭼ５ﺮﺗﻪ‬ ‫ﮐﻪ‬ ‫ﮐﻮي‬ ‫دﻻﻟﺖ‬Hyper resonans‫ﮐﻪ‬ ‫ﮐﻮي‬ ‫دﻻﻟﺖ‬ ‫ﻧﻴﻤﻮﺗﻮراﮐﺲ‬ ‫ﭘﻪ‬ ‫ﻧﻮ‬ ‫وي‬ ‫ﻣﻮﺟﻮد‬
‫ﺳﺮه‬ ‫ﻗﺮﻋﻪ‬ ‫ﭘﻪ‬ ‫ﭼ５ﺮﺗﻪ‬Craked pot sound‫ﻳﻮه‬ ３‫ﭼ‬ ‫ﮐﻮي‬ ‫دﻻﻟﺖ‬ ‫ﺣﺎﻟﺖ‬ ‫ﻳﻮ‬ ３‫داﺳ‬ ‫ﭘﻪ‬ ‫دا‬ ‫ﺷﻲ‬ ‫واور４ﺪل‬
Cavity‫ﻫﻮا‬ ‫ﺗﺮې‬ ３‫ﮐ‬ ‫وﺧﺖ‬ ‫ﭘﻪ‬ ３‫دﻗﺮﻋ‬ ３‫ﭼ‬ ‫ده‬ ‫ﺷﻮې‬ ‫ﻪ‬請‫ﺧﻼ‬ ‫ﺧﻮﻟﻪ‬ ３４ ‫ﺗﻪ‬ ‫ﻃﺮف‬ ‫ﺑﺮاﻧﮑﺲ‬ ３‫ﭼ‬ ‫ده‬ ‫ﻣﻮﺟﻮده‬
‫ﺷﻮى‬ ‫ﺳﺒﺐ‬ ‫راﺗﻠﻮ‬ ‫دﻣﻨ％ﺘﻪ‬ ‫اواز‬ ‫ډول‬ ‫ددﻏﻪ‬ ‫او‬ ‫ﺧﺎرﺟ５８ي‬.３‫ﭼ‬ ３‫ﮐ‬ ‫ﻮرت‬請 ‫ﻫﻐﻪ‬ ‫ﭘﻪ‬Tuberculosic‫ﻧﻤﻮﻧﻴﺎ‬
‫ﻧﻮ‬ ‫وي‬ ‫ﺷﻮې‬ ‫راﻣﻨ％ﺘﻪ‬High pitched bronchial‫ﻳﺎ‬ ‫اواز‬Tubular‫ﮐ５８ي‬ ‫اور４ﺪل‬ ‫ﺑﻪ‬ ‫اواز‬.
D
r.Farooqi
Prepared by: Dr.Nasrullah “Farooqi”
Designed by: Eng.Mukaram “Farooqi”

33. ‫ﮐﻮل‬ ‫ﺗﺸﺨﻴﺺ‬ ‫ﻧﺎروﻏﺎﻧﻮ‬ ‫ﻣﺜﺒﺖ‬ ‫دﺑﻠﻐﻢ‬ ‫ﺳ８و‬ ‫د‬:
33
‫ﮐ５８ي‬ ‫وړل‬ ‫ﮐﺎر‬ ‫ﭘﻪ‬ ‫ﻣﻌﻴﺎروﻧﻪ‬ ‫ﻻﻧﺪې‬ ‫ﻟﭙﺎره‬ ‫ﺗﺸﺨﻴﺺ‬ ‫د‬ ‫ﻧﺎروﻏﺎﻧﻮ‬ ‫ددې‬:
(1‫ﮐﺘﻨﻪ‬ ‫ﻓﺰﻳﮑﻲ‬ ‫او‬ ‫ﺗﺎرﻳﺨﭽﻪ‬ ‫دﻗﻴﻘﻪ‬ ‫ﻧﺎروغ‬ ‫د‬
(2‫ﻣﻌﺎﻳﻨﻪ‬ ‫ﻣﺴﺘﻘﻴﻤﻪ‬ ‫ﺑﻠﻐﻤﻮ‬ ‫د‬
(3‫د‬‫ﮐﺮﻧﻪ‬ ‫ﺑﻠﻐﻤﻮ‬
(4‫راډﻳﻮ－ﺮاﻓﻲ‬ ３‫ﺳﻴﻨ‬ ‫د‬
(5‫ﻣﻌﺎﻳﻨﺎت‬ ３‫وﻳﻨ‬ ‫د‬
(6‫ﺑﺮاﻧﮑﻮﺳﮑﻮﭘﻲ‬
(7TST
(8‫ﻣﻌﺎﻳﻨﺎت‬ ‫ﺳﺎﻳﺘﻮﻟﻮژﻳﮏ‬ ‫او‬ ‫ﺑﺎﻳﻮﭘﺴﻲ‬
D
r.Farooqi
Prepared by: Dr.Nasrullah “Farooqi”
Designed by: Eng.Mukaram “Farooqi”

34. ‫ﻳﺎ‬ ‫ﺗﺪاوي‬Treatment
34
‫ﻟﺮي‬ ‫وﺟﻮد‬ ‫رژﻳﻤﻮﻧﻪ‬ ‫ډوﻟﻪ‬ ‫دوه‬ ‫ﻟﭙﺎره‬ ‫ﺗﺪاوۍ‬ ‫د‬ ‫ﻧﺎروﻏﺎﻧﻮ‬ ‫ﻣﺜﺒﺖ‬ ‫ﺑﻠﻐﻢ‬ ‫ﻧﻮي‬ ‫د‬ ３‫ﮐ‬ ‫ﻫ５ﻮاد‬ ‫ﭘﻪ‬ ８‫زﻣﻮﻧ‬:
.1‫ﻣﻴﺎﺷﺘﻮ‬ ‫ﺷﭙ８و‬ ‫د‬‫رژﻳﻢ‬
.2‫د‬‫رژﻳﻢ‬ ‫ﻣﻴﺎﺷﺘﻮ‬ ‫اﺗﻮ‬
‫ﺗﻌﻘﻴﺒﻲ‬ ‫او‬ ‫ﻣﺮﺣﻠﻪ‬ ‫اﺑﺘﺪاﻳﻲ‬ ‫ﻟﻪ‬ ‫دي‬ ‫ﻋﺒﺎرت‬ ３‫ﭼ‬ ‫دي‬ ‫ﻣﻮﺟﻮدې‬ ３‫ﻔﺤ‬請 ‫دوه‬ ３‫ﮐ‬ ‫رژﻳﻢ‬ ‫ﭘﻪ‬ ‫ﻣﻴﺎﺷﺘﻮ‬ ‫ﺷﭙ８و‬ ‫د‬
‫＇ﺨﻪ‬ ３‫ﻣﺮﺣﻠ‬.
‫ﻣﺮﺣﻠﻪ‬ ‫اﺑﺘﺪاﻳﻲ‬ ‫ﻟﻮﻣ７ی‬:‫ﻟﻪ‬ ‫دي‬ ‫ﻋﺒﺎرت‬ ３‫ﭼ‬ ‫＇ﺨﻪ‬ ‫درﻣﻠﻮ‬ ‫＇ﻠﻮرو‬ ‫د‬ ３‫ﮐ‬ ‫ﻣﺮﺣﻠﻪ‬ ‫اﺑﺘﺪاﻳﻲ‬ ‫ﭘﻪ‬)INH
،Ethambutol،Pyrazinamid‫او‬Rifampicin(‫ورﮐﻮل‬ ‫دوز‬ ‫اړوﻧﺪ‬ ‫ﭘﻪ‬ ‫دﭘﺎره‬ ‫ﻣﻴﺎﺷﺘﻮ‬ ‫دوه‬ ‫ﻟﻮﻣ７ﻳﻮ‬ ‫د‬ ‫＇ﺨﻪ‬
‫ﮐ５８ي‬.
‫ﻣﺮﺣﻠﻪ‬ ‫ﺗﻌﻘﻴﺒﻲ‬ ‫دوﻫﻢ‬:３‫ﭼ‬ ‫ﮐ５８ي‬ ‫ورﮐﻮل‬ ‫ﻟﭙﺎره‬ ‫ﻣﻴﺎﺷﺘﻮ‬ ‫＇ﻠﻮرو‬ ‫د‬ ‫درﻣﻞ‬ ‫دوه‬ ３‫ﮐ‬ ‫ﻣﺮﺣﻠﻪ‬ ‫دﻏﻪ‬ ‫ﭘﻪ‬
‫ﻟﻪ‬ ‫دي‬ ‫ﻋﺒﺎرت‬)Rifampicin‫او‬Ethambutol(‫＇ﺨﻪ‬.
D
r.Farooqi
Prepared by: Dr.Nasrullah “Farooqi”
Designed by: Eng.Mukaram “Farooqi”

35. 35
‫رژﻳﻢ‬ ‫ډول‬ ‫دوﻫﻢ‬ ‫ﺗﺪاوۍ‬ ‫د‬:
‫ﭘﻪ‬‫ﮐ５８ي‬ ‫ورﮐﻮل‬ ‫ﻟﭙﺎره‬ ‫ﻣﻴﺎﺷﺘﻮ‬ ‫اﺗﻮ‬ ‫د‬ ３‫ﭼ‬ ‫دي‬ ３‫ﺷﺎﻣﻠ‬ ３‫ﻔﺤ‬請 ‫دوه‬ ‫ﺗﺪاوۍ‬ ‫د‬ ３‫ﮐ‬ ‫رژﻳﻢ‬ ‫دﻏﻪ‬.
‫ﻟﻤ７ۍ‬‫ﻣﺮﺣﻠﻪ‬ ‫ﺗﺸﺪﻳﺪي‬ ‫ﻳﺎ‬ ‫ﻔﺤﻪ‬請:‫ﻣﻴﺎﺷﺘﻮ‬ ‫ددوه‬ ３‫ﭼ‬ ‫دي‬ ３‫ﺷﺎﻣﻠ‬ ３‫دوا－ﺎﻧ‬ ‫＇ﻠﻮر‬ ３‫ﮐ‬ ‫ﻔﺤﻪ‬請 ‫دﻏﻪ‬ ‫ﭘﻪ‬
‫ﻟﻪ‬ ‫دي‬ ‫ﻋﺒﺎرت‬ ‫درﻣﻞ‬ ‫دﻏﻪ‬ ‫ﮐ５８ي‬ ‫ورﮐﻮل‬ ‫ﻟﭙﺎره‬)INH،Ethambutol،Pyrazinamid‫او‬Rifampicin(
‫＇ﺨﻪ‬.
‫ﻣﺮﺣﻠﻪ‬ ‫ﺗﻌﻘﻴﺒﻲ‬ ‫ﻳﺎ‬ ‫ﻔﺤﻪ‬請 ‫دوﻳﻤﻪ‬:‫ﮐ５８ي‬ ‫اﺳﺘﻔﺎده‬ ‫＇ﺨﻪ‬ ‫درﻣﻠﻮ‬ ‫دوه‬ ‫د‬ ３‫ﮐ‬ ‫ﻣﺮﺣﻠﻪ‬ ‫دﻏﻪ‬ ‫ﭘﻪ‬ ‫دﺗﺪاوۍ‬
‫ﻟﻪ‬ ‫دي‬ ‫ﻋﺒﺎرت‬ ３‫ﭼ‬)Ethambutol‫او‬INH(‫ﺷﭙ８و‬ ‫د‬ ‫ﻣﻄﺎﺑﻖ‬ ‫دوز‬ ‫اړوﻧﺪ‬ ‫د‬ ‫درﻣﻞ‬ ‫دوه‬ ‫دﻏﻪ‬ ３‫ﭼ‬ ‫＇ﺨﻪ‬
‫ﮐ５８ي‬ ‫ورﮐﻮل‬ ‫ﻟﭙﺎره‬ ‫ﻣﻴﺎﺷﺘﻮ‬.
D
r.Farooqi
Prepared by: Dr.Nasrullah “Farooqi”
Designed by: Eng.Mukaram “Farooqi”

36. 36
D
r.Farooqi
Prepared by: Dr.Nasrullah “Farooqi”
Designed by: Eng.Mukaram “Farooqi”

37. ‫ډﻳﺰاﻳﻦ‬ ３‫د＇５７ﻧ‬Study Design:
37
‫ﻧﺎروﻏﺎﻧﻮ‬ ‫د‬ ３‫ﮐ‬ ‫ﻃﺮﺣﻪ‬ ‫دې‬ ‫ﭘﻪ‬ ‫دی‬ ‫ﺷﻮی‬ ‫اﺟﺮا‬ ‫ﻧﺎروﻏﺎﻧﻮ‬ ‫ﺳﻠﻮ‬ ‫ﭘﻪ‬ ３‫ﭼ‬ ‫ډﻳﺰاﻳﻦ‬ ‫ﻳﺎ‬ ‫ﻃﺮﺣﻪ‬ ３‫＇５７ﻧ‬ ‫ددې‬
‫،د‬ ‫ﻋﻼﻳﻢ‬ ‫او‬ ‫اﻋﺮاض‬ ９‫دﻧﺎروﻏ‬ ، ‫اﮐﺴﺮې‬ ３‫ﺳﻴﻨ‬ ‫،د‬ ‫راﭘﻮروﻧﻪ‬ ‫ﻧﺘﻴﺠﻮ‬ ‫د‬ ‫ﺑﻠﻐﻤﻮ‬ ‫،د‬ ‫ﻣﻌﻠﻮﻣﺎت‬ ‫ﺷﺨﺼﻲ‬
‫ذﮐﺮ‬ ‫ﺑﻪ‬ ‫وروﺳﺘﻪ‬ ３‫ﭼ‬ ‫ﻣﻌﺎﻳﻨﺎت‬ ‫ﻻﺑﺮاﺗﻮاري‬ ‫اﺑﺘﺪاﻳﻲ‬ ‫او‬ ‫ﻣﻮده‬ ‫دوام‬ ‫د‬ ９‫ﻧﺎروﻏ‬‫ور＇ﺨﻪ‬ ‫ﺷﻲ‬‫ﻳﺎدوﻧﻪ‬‫ده‬ ‫ﺷﻮې‬.
‫ﻟﻪ‬ ‫دی‬ ‫ﻋﺒﺎرت‬ ３‫ﭼ‬ ‫ﻻرو‬ ‫دوو‬ ‫ﭘﻪ‬ ‫＇５７ﻧﻪ‬ ‫ﺗﺤﻘﻴﻘﺎﺗﻲ‬ ‫دﻏﻪ‬ ‫ﻣﻄﺎﺑﻖ‬ ‫ﭘﻼن‬ ‫ﺷﻮي‬ ‫ﺗﻬﻴﻪ‬ ‫د‬ ‫ﮐﺎر‬ ‫د‬Retrospective
‫او‬Prospective‫ده‬ ‫ﺷﻮې‬ ‫اﺟﺮا‬ ‫ﺑﺎﻧﺪې‬.‫د‬Retrospective‫د‬ ３‫دوﺳﻴ‬ ‫ﻧﺎروﻏﺎﻧﻮ‬ ‫＇ﻠﻮ４＋ﺘﻮ‬ ‫د‬ ３‫ﮐ‬ ‫ﻮرت‬請 ‫ﭘﻪ‬
‫ﺟﻼل‬‫ﻣﺮﺑﻮﻃﻪ‬ ‫د‬ ‫او‬ ‫ﺷﻮﻳﻮ‬ ‫ﺑﺴﺘﺮ‬ ３‫ﻣﺨﮑ‬ ３‫ﮐ‬ ‫وارډ‬ ‫ﺗﻮﺑﺮﮐﻠﻮز‬ ‫او‬ ３‫ﺳﻴﻨ‬ ‫داﺧﻠﻪ‬ ‫د‬ ３‫ﮐ‬ ‫روﻏﺘﻮن‬ ‫ﺣﻮزوي‬ ‫ﭘﻪ‬ ‫اﺑﺎد‬
‫ﻣﻄﺎﻟﻌﻪ‬ ‫ﺗﺪاوي‬ ‫او‬ ３＋‫ﻧ‬ ‫ﻓﺰﻳﮑﻲ‬ ‫ﻣﺸﺎﻫﺪې‬ ‫ﻣﻌﺎﻳﻨﺎﺗﻮ‬ ‫ﺷﻮﻳﻮ‬ ‫اﺟﺮا‬ ‫ﻻﺑﺮاﺗﻮاری‬‫ﺷﻮې‬.‫ﭘﻪ‬Prospective‫ﮐ７ﻧﻼره‬
‫ﺑﺴﺘﺮ‬ ３‫ﮐ‬ ‫وارډ‬ ‫ﺗﻮﺑﺮﮐﻠﻮز‬ ‫او‬ ３‫ﺳﻴﻨ‬ ‫د‬ ‫داﺧﻠﻪ‬ ‫د‬ ‫روﻏﺘﻮن‬ ‫ﺣﻮزوي‬ ‫اﺑﺎد‬ ‫ﺟﻼل‬ ‫د‬ ３‫ﭼ‬ ‫ﻧﺎروﻏﺎن‬ ‫ﺷﭙ５ﺘﻪ‬ ３‫ﮐ‬
‫دي‬ ‫ﺷﻮې‬ ‫ﻣﻄﺎﻟﻌﻪ‬ ‫او‬ ‫ﺗﻌﻘﻴﺐ‬ ‫وروﺳﺘﻪ‬ ‫＇ﺨﻪ‬ ３‫درﻣﻠﻨ‬ ‫او‬ ‫ﺗﺸﺨﻴﺺ‬ ‫د‬ ‫ﮐ７ې‬ ‫ﻣﺮاﺟﻌﻪ‬ ３４ ‫ﻳﺎ‬ ‫او‬ ‫ﺷﻮي‬.
D
r.Farooqi
Prepared by: Dr.Nasrullah “Farooqi”
Designed by: Eng.Mukaram “Farooqi”

38. ‫ﺗ／ﻼره‬ ‫！ﻮﻟﻮﻟﻮ‬ ‫د‬ ‫ﻧﻤﻮﻧﻮ‬ ‫د‬Sampling Method:
38
‫ﻳﺎ‬ ‫ﺗﺼﺎدﻓﻲ‬ ‫ﺳﺎده‬ ‫ﭘﻪ‬ ３‫ﭼ‬ ‫ﮐ７ﻧﻼره‬ ‫ډول‬ ‫ﻳﻮ‬ ‫ﺳﻤﭙﻠﻮﻧﻮ‬ ‫ﻳﺎ‬ ‫ﻧﻤﻮﻧﻮ‬ ‫د‬ ３‫ﮐ‬ ‫ﺗﺤﻘﻴﻖ‬ ‫دې‬ ‫ﭘﻪ‬Simple randomly
sampling‫د‬ ‫روﻏﺘﻮن‬ ‫روﻏﺘﻴﺎ‬ ３‫ﻋﺎﻣ‬ ‫د‬ ‫ﻧﻨ／ﺮﻫﺎر‬ ‫د‬ ‫ﺷﮑﻞ‬ ‫رﻧ６وم‬ ‫ﭘﻪ‬ ‫ﺗﺤﻘﻴﻖ‬ ‫دﻏﻪ‬ ‫او‬ ‫ﺷﻮې‬ ‫اﺳﺘﻔﺎده‬ ‫دی‬
‫ﻧﺎروﻏﺎﻧﻮ‬ ‫ﻫﻐﻮ‬ ‫ﺗﻨﻮ‬ ‫ﺳﻠﻮ‬ ‫ﭘﻪ‬ ３‫ﮐ‬ ‫ﻃﺮز‬ ‫ﭘﻪ‬ ３‫＇５７ﻧ‬ ‫د‬ ‫دي‬ ‫ﺷﻮې‬ ‫راﺟﻤﻊ‬ ‫＇ﺨﻪ‬ ‫دﻳﭙﺎرﺗﻤﻨﺖ‬ ‫او‬ ３／‫＇ﺎﻧ‬ ‫ﺗﻮﺑﺮﮐﻠﻮز‬
‫او‬ ３‫ﺳﻴﻨ‬ ‫داﺧﻠﻪ‬ ‫د‬ ‫روﻏﺘﻮن‬ ‫روﻏﺘﻴﺎ‬ ３‫ﻋﺎﻣ‬ ‫د‬ ‫ﻧﻨ／ﺮﻫﺎر‬ ‫د‬ ‫او‬ ‫ؤ‬ ‫اﺧﺘﻪ‬ ９‫ﻧﺎروﻏ‬ ‫ﭘﻪ‬ ‫ﺳ５ﺴﺘﻢ‬ ‫ﺗﻨﻔﺴﻲ‬ ‫د‬ ３‫ﭼ‬
‫دي‬ ‫ﺷﻮي‬ ‫اﺟﺮا‬ ‫وروﺳﺘﻪ‬ ‫ﻣﻌﺎﻳﻨﺎﺗﻮ‬ ‫ﻻزﻣﻪ‬ ‫د‬ ‫دي‬ ‫ﺷﻮي‬ ‫ﺑﺴﺘﺮ‬ ‫او‬ ‫وو‬ ‫راﻏﻠﻲ‬ ‫ﻟﭙﺎره‬ ３‫درﻣﻠﻨ‬ ‫د‬ ‫وارډ‬ ‫ﺗﻮﺑﺮﮐﻠﻮز‬.
３‫＇５７ﻧ‬ ‫د‬‫ﻣﻮاد‬:
‫ددې‬‫،ﻓﺰﻳﮑﻲ‬ ‫،ﺗﺎرﻳﺨﭽﻮ‬ ‫ﺳﺎﻳ＂ﻮﻧﻮ‬ ‫وﻳﺐ‬ ‫،اﻧ＂ﺮﻧﻴ＂ﻲ‬ ‫ﮐﺘﺎﺑﻮﻧﻮ‬ ‫ﻣﻌﻴﺎري‬ ‫ﻧ７ﻳﻮاﻟﻮ‬ ‫د‬ ‫ﻟﭙﺎره‬ ‫ﺑﺸﭙ７４ﺪو‬ ‫د‬ ３‫＇５７ﻧ‬
‫ﺷﻮې‬ ‫اﺳﺘﻔﺎده‬ ‫＇ﺨﻪ‬ ‫ﮐﺘﻨﻮ‬ ‫ﻻﺑﺮاﺗﻮاري‬ ‫او‬ ‫ﻣﻌﺎﻳﻨﺎﺗﻮ‬.
D
r.Farooqi
Prepared by: Dr.Nasrullah “Farooqi”
Designed by: Eng.Mukaram “Farooqi”

39. ‫ﮐ７ﻧﻼره‬:
39
‫ﺷﻮې‬ ‫ﺗﺮﺳﺮه‬ ‫ﺳﺮه‬ ‫ډول‬ ‫ﻻﻧﺪې‬ ‫ﭘﻪ‬ ‫＇５７ﻧﻪ‬‫ده‬:‫！ﻮل‬‫اﻋﺮاﺿﻮ‬ ‫ﻣﺰﻣﻦ‬ ‫د‬ ‫ﺟﻬﺎز‬ ‫ﺗﻨﻔﺴﻲ‬ ‫د‬ ３‫ﭼ‬ ‫ﻧﺎروﻏﺎن‬ ‫ﺗﻨﻪ‬ ‫ﺳﻞ‬
‫ﺣﻮزې‬ ‫ﻣﺮﮐﺰي‬ ‫د‬ ‫او‬ ‫وﻻﻳﺘﻮﻧﻮ‬ ‫＇ﻠﻮرو‬ ‫د‬ ‫ﺣﻮزې‬ ‫ﺷﺮﻗﻲ‬ ‫د‬ ３‫ﭼ‬ ‫ﺷﻮل‬ ‫وﻧﻴﻮل‬ ‫ﻻﻧﺪې‬ ３‫＇５７ﻧ‬ ‫د‬ ‫ؤ‬ ‫ﻣﻦ‬ ‫－ﻴﻠﻪ‬ ‫＇ﺨﻪ‬
‫راﻏﻠﻲ‬ ‫＇ﺨﻪ‬ ９‫وﻟﺴﻮاﻟ‬ ‫ازرې‬ ‫د‬ ‫ﻟﻮ－ﺮ‬ ‫د‬‫ؤ‬.‫ﭘﻪ‬‫ﻧﻴﻮل‬ ３‫ﮐ‬ ‫ﻧﻈﺮ‬ ‫ﭘﻪ‬ ‫＄ﺎی‬ ‫او‬ ‫،ﺟﻨﺲ‬ ‫ﻋﻤﺮ‬ ‫ﻧﺎروﻏﺎﻧﻮ‬ ‫د‬ ３‫ﮐ‬ ‫＇５７ﻧﻪ‬
‫ﺷﻮي‬ ‫ﺗﺸﺮﻳﺢ‬ ３‫ﮐ‬ ‫ﺟﺪوﻟﻮﻧﻮ‬ ‫ﭘﻪ‬ ３‫ﭼ‬ ‫ﺷﻮی‬‫دي‬.‫ﭘﻪ‬‫ﺗﺎرﻳﺨﭽﻪ‬ ‫ﺑﺸﭙ７ه‬ ‫＇ﺨﻪ‬ ‫ﻧﺎروﻏﺎﻧﻮ‬ ‫د‬ ３‫ﮐ‬ ‫＇５７ﻧﻪ‬ ‫دې‬
‫ﺗﺎرﻳﺨﭽﻪ‬ ９‫ﮐﻮرﻧ‬ ９‫دﻧﺎروﻏ‬ ‫او‬ ‫،ﻋﻤﺮ،＄ﺎی‬ ‫،ﺟﻨﺲ‬ ‫ﻧﻮم‬ ‫دﭘﻼر‬ ، ‫ﻧﻮم‬ ‫دﻧﺎروﻏﺎﻧﻮ‬ ３‫ﭘﮑ‬ ３‫ﭼ‬ ‫ﺷﻮې‬ ‫اﺧﻴﺴﺘﻞ‬
‫د‬ ３‫ﻣﺨ‬ ‫ﻟﻪ‬ ‫ﮐﺘﻨﻮ‬ ‫ﻻﺑﺮاﺗﻮاري‬ ‫او‬ ３‫ﻣﻌﺎﻳﻨ‬ ‫،ﻓﺰﻳﮑﻲ‬ ３‫ﺗﺎرﻳﺨﭽ‬ ‫ﺑﺸﭙ７ې‬ ‫د‬ ３‫ﭼ‬ ‫ﮐﻮم‬ ‫ده‬ ‫ﺷﻮې‬ ‫ل‬ ‫ﻧﻴﻮ‬ ３‫ﮐ‬ ‫ﭘﺎم‬ ‫ﭘﻪ‬
‫ﺷﻮې‬ ‫ﻳﺎدوﻧﻪ‬ ‫ﺗﺮې‬ ３‫ﮐ‬ ‫ﺟﺪول‬ ‫ﭘﻪ‬ ３‫ﭼ‬ ‫ﺷﻮې‬ ‫و４ﺸﻞ‬ ‫ﺑﺮﺧﻮ‬ ‫درې‬ ‫ﭘﻪ‬ ‫ﻧﻈﺮه‬ ‫ﻟﻪ‬ ‫وﺿﺎﺣﺖ‬.
‫،دوزن‬ ‫اﺷﺘﻬﺎﻳﻲ‬ ３‫،ﺑ‬ ‫ﮐ５ﺪل‬ ‫ﺧﻮﻟﻪ‬ ‫او‬ ‫ﺗﺒﻪ‬ ‫ﺧﻮا‬ ‫ﻟﻪ‬ ３‫،دﺷﭙ‬ ‫！ﻮﺧﯽ‬ ‫ﻟﺮوﻧﮑﯽ‬ ‫ﺑﻠﻐﻢ‬ ‫ﻧﺎروغ‬ ‫د‬ ３‫ﮐ‬ ‫ﺗﺎرﻳﺨﭽﻪ‬ ‫ﭘﻪ‬
‫ډول‬ ‫دﻗﻴﻖ‬ ‫ﭘﻪ‬ ‫ﺗﺎرﻳﺨﭽﻪ‬ ‫او‬ ‫ﺷﻮي‬ ３‫ﭘﻮ＊ﺘﻨ‬ ‫ﻣﻮﺟﻮدﻳﺖ‬ ９‫ﻧﺎروﻏ‬ ‫د‬ ３‫ﮐ‬ ‫ﺧﭙﻠﻮاﻧﻮ‬ ‫ﻧﮋدې‬ ‫ﻳﺎ‬ ‫ﮐﻮر‬ ‫ﭘﻪ‬ ‫او‬ ‫ﺿﻴﺎع‬
‫ﺷﻮې‬ ‫اﺧﻴﺴﺘﻞ‬.
D
r.Farooqi
Prepared by: Dr.Nasrullah “Farooqi”
Designed by: Eng.Mukaram “Farooqi”

40. ‫ﮐﻮﻟﻮ‬ ‫دﺟﻤﻊ‬ ‫ارﻗﺎﻣﻮ‬ ‫د‬‫ﻣ５ﺘﻮدوﻧﻪ‬:
40
３‫دﻋﺎﻣ‬ ‫دﻧﻨ／ﺮﻫﺎر‬ ３‫ﭼ‬ ‫دي‬ ‫ﮐ７ې‬ ‫راﺟﻤﻊ‬ ‫اﺷﺨﺎص‬ ‫ﻫﻐﻪ‬ ‫＇ﺨﻪ‬ ‫ﮐﻮﻟﻮ‬ ‫ﺟﻤﻊ‬ ‫د‬ ‫ارﻗﺎﻣﻮ‬ ‫د‬ ‫ﻣﻮ‬ ３‫ﮐ‬ ‫ﺗﺤﻘﻴﻖ‬ ‫دې‬ ‫ﭘﻪ‬
‫د‬ ３‫ﭼ‬ ‫ؤ‬ ‫راﻏﻠﻲ‬ ‫ﻟﭙﺎره‬ ‫ﺗﺪاوۍ‬ ‫او‬ ‫ﺗﺸﺨﻴﺺ‬ ‫د‬ ‫ﺗﻪ‬ ３／‫＇ﺎﻧ‬ ‫ﺗﻮﺑﺮﮐﻠﻮز‬ ‫روﻏﺘﻮن‬ ‫ﺣﻮزوي‬ ‫روﻏﺘﻴﺎ‬1390‫او‬1392‫د‬ ‫ﮐﺎل‬
‫ارﻗﺎم‬ ‫ﻣﺨﺘﻠﻒ‬ ‫ﻧﻈﺮه‬ ‫ﻟﻪ‬ ‫ﺳﻦ‬ ‫او‬ ‫ﺟﻨﺲ‬ ‫د‬ ‫ﻧﺎروﻏﺎﻧﻮ‬ ‫دﻏﻪ‬ ‫او‬ ‫ﮐ７ې‬ ‫ﻣﺮاﺟﻌﻪ‬ ３４ ‫ﭘﻮرې‬ ‫اﺧﺮې‬ ‫ﺗﺮ‬ ３‫دﻣﻴﺎﺷﺘ‬ ‫ﺣﻮت‬
‫درﻟﻮدل‬.
‫دﻧﺎروغ‬ ‫او‬ ‫وه‬ ‫ﮐ７ې‬ ‫اﻣﺎده‬ ３‫ﻣ‬ ‫دﻣﺨﻪ‬ ３‫ﭼ‬ ‫دوﺳﻴﻪ‬ ‫ﻳﻮه‬ ‫او‬ ‫ﮐ７ه‬ ‫ﺷﺮوع‬ ‫ډول‬ ‫ﺷﻔﺎﻫﻲ‬ ‫او‬ ‫ﺳﺎده‬ ‫ﭘﻪ‬ ３‫ﻣ‬ ‫＇５７ﻧﻪ‬ ‫ﺗﺤﻘﻴﻘﻲ‬
، ‫وه‬ ‫ﮐ７ې‬ ‫ډﮐﻪ‬ ‫＇ﺨﻪ‬ ‫ﻧﻘﺎﻃﻮ‬ ‫ﻻﻧﺪې‬ ‫د‬ ３‫ﻣ‬ ‫دوﺳﻴﻪ‬ ‫دﻏﻪ‬ ‫او‬ ‫وو‬ ‫ﮐ７ې‬ ‫＄ﺎی‬ ‫ﭘﻪ‬ ‫＄ﺎي‬ ３‫ﮐ‬ ‫ﭘﻪ‬ ３‫ﻣ‬ ‫ﻣﻌﺎﻳﻨﺎت‬ ‫！ﻮل‬
‫ﻣﻌﺎﻳﻨﺎت‬ ‫اﺑﺘﺪاﻳﻲ‬ ، ‫ﻋﻼﻳﻢ‬ ‫او‬ ‫،اﻋﺮاض‬ ‫ﺣﺎﻟﺖ‬ ‫،ﻣﺪﻧﻲ‬ ‫،دﻧﺪه‬ ‫،ﻫﺴﺘﻮ－ﻨﻪ‬ ‫،ﺟﻨﺲ‬ ‫،ﻋﻤﺮ‬ ‫دﭘﻼرﻧﻮم‬ ، ‫ﻧﻮم‬ ‫دﻧﺎروغ‬
‫ﺷﻮی‬ ‫ﻧﻴﻮل‬ ３‫ﮐ‬ ‫ﻧﻈﺮ‬ ‫ﭘﻪ‬ ‫رژﻳﻢ‬ ‫ﺗﺪاوۍ‬ ‫د‬ ‫او‬ ‫اﻧﺘﺨﺎب‬ ‫دﺗﺪاوۍ‬ ، ‫وﺧﺖ‬ ‫ﺗﺪاوۍ‬ ‫د‬ ، ‫وﺧﺖ‬ ９‫دﻧﺎرﻏ‬ ،.
D
r.Farooqi
Prepared by: Dr.Nasrullah “Farooqi”
Designed by: Eng.Mukaram “Farooqi”

41. ‫ﺗﺠﺰﻳﻪ‬ ‫او‬ ‫ﺗﺤﻠﻴﻞ‬:
41
７‫ﺑﺸﭙ‬ ９‫دﻧﺎروﻏ‬ ３‫ﭼ‬ ‫ﻧﺎروﻏﺎﻧﻮ‬ ‫ﻫﻐﻮ‬ ‫ﺗﻨﻮ‬ ‫ﺳﻞ‬ ‫ﭘﻪ‬ ３‫ﭼ‬ ‫ﺷﻮه‬ ‫＇ﺮ－ﻨﺪه‬ ‫ا‬ ‫د‬ ‫ﺳﺮه‬ ‫ﺑﺸﭙ７４ﺪو‬ ‫د‬ ３‫＇５７ﻧ‬ ‫ﺗﺤﻘﻴﻘﺎﺗﻲ‬ ‫د‬
‫ؤ‬ ‫اﺧﺘﻪ‬ ９‫ﻧﺎروﻏ‬ ‫ﭘﻪ‬ ‫او‬ ‫درﻟﻮدل‬ ３４ ‫ﻋﻼﻳﻢ‬ ‫او‬ ‫اﻋﺮاض‬56%‫او‬ ‫＊％ﻴﻨﻪ‬44%‫ﻋﻤﺮ‬ ‫اوﺳﻂ‬ ９‫دﻧﺎروﻏ‬ ３‫ﭼ‬ ‫ﻧﺎرﻳﻨﻪ‬
‫د‬ ‫ﻟﭙﺎره‬ ‫ﻧﺎرﻳﻨﺆ‬ ‫د‬15-35‫د‬ ‫ﻟﭙﺎره‬ ‫＊％ﻴﻨﺆ‬ ‫د‬ ‫او‬ ＃‫ﺗﺮﻣﻨ‬ ‫ﮐﻠﻮ‬20-40‫ﻟﻴﺪل‬ ＃‫ﺗﺮﻣﻨ‬ ‫ﮐﻠﻮﻧﻮ‬‫ﮐ５ﺪه‬.
‫ﻫﺴﺘﻮ－ﻨ％ﯽ‬‫ﺷﻤ５ﺮ‬ ‫ﻧﺎروﻏﺎﻧﻮ‬ ‫د‬‫ﻓﻴﺼﺪي‬
‫ﻧﻨ／ﺮﻫﺎر‬6767%
‫ﻟﻐﻤﺎن‬1616%
７‫ﮐﻨ‬1010%
‫ﻧﻮرﺳﺘﺎن‬55%
‫ﻟﻮ－ﺮ‬22%
‫！ﻮل‬100100%
‫ﺟﺪول‬ ‫ﻟﻤ７ی‬:‫ﮐﺘﻨﻪ‬ ‫ﻧﺎروﻏﺎﻧﻮ‬ ‫ﻣﺜﺒﺖ‬ ‫ﺑﻠﻐﻢ‬ ‫د‬ ‫ﺗﻮﺑﺮﮐﻠﻮز‬ ‫د‬ ３‫ﺳﻴﻨ‬ ‫د‬ ‫ﻧﻈﺮه‬ ‫ﻟﻪ‬ ３‫ﻫﺴﺘﻮ－ﻨ‬ ‫د‬!
D
r.Farooqi
Prepared by: Dr.Nasrullah “Farooqi”
Designed by: Eng.Mukaram “Farooqi”

42. 42
D
r.Farooqi
Prepared by: Dr.Nasrullah “Farooqi”
Designed by: Eng.Mukaram “Farooqi”

43. ‫اﻧﺪازه‬ ‫دﻧﺎروﻏﺎﻧﻮ‬ ‫ﺳﺮه‬ ‫ﻧﻴﻮﻟﻮ‬ ３‫ﮐ‬ ‫ﭘﺎم‬ ‫ﭘﻪ‬ ‫دﺟﻨﺴﻴﺖ‬:
43
‫ﺟﻨﺲ‬‫ﺷﻤ５ﺮ‬‫ﻓﻴﺼﺪي‬
‫ﻧﺎرﻳﻨﻪ‬4444%
‫＊％ﻴﻨﻪ‬5656%
D
r.Farooqi
Prepared by: Dr.Nasrullah “Farooqi”
Designed by: Eng.Mukaram “Farooqi”

44. ‫اﻧﺪازه‬ ‫دﻧﺎروﻏﺎﻧﻮ‬ ‫ﺳﺮه‬ ‫ﻧﻴﻮﻟﻮ‬ ３‫ﮐ‬ ‫ﭘﺎم‬ ‫ﭘﻪ‬ ‫دﻋﻤﺮ‬:
44
‫ﺳﻠﻨﻪ‬ ３＋５‫ﭘ‬ ，‫راﺗ‬ ‫ﻣﻨ％ﺘﻪ‬ ‫د‬ ９‫ﻧﺎروﻏ‬ ‫د‬ ‫ﻧﻈﺮه‬ ‫ﻟﻪ‬ ‫ﻋﻤﺮ‬ ‫د‬ ‫－２ﻪ‬
27% ‫د‬15‫ﺗﺮ‬ ‫＇ﺨﻪ‬25‫ﭘﻮرې‬ ‫ﮐﻠﻮﻧﻮ‬ 1
21% ‫د‬26‫ﺗﺮ‬ ‫＇ﺨﻪ‬35‫ﭘﻮرې‬ ‫ﮐﻠﻮﻧﻮ‬ 2
19% ‫د‬36‫ﺗﺮ‬ ‫＇ﺨﻪ‬45‫ﭘﻮرې‬ ‫ﮐﻠﻮﻧﻮ‬ 3
13% ‫د‬46‫ﺗﺮ‬ ‫＇ﺨﻪ‬55‫ﭘﻮرې‬ ‫ﮐﻠﻮﻧﻮ‬ 4
17% ‫د‬56‫ﺗﺮ‬ ‫＇ﺨﻪ‬65‫ﭘﻮرې‬ ‫ﮐﻠﻮﻧﻮ‬ 5
3% ‫د‬ ３４ ‫ﻋﻤﺮوﻧﻪ‬ ３‫ﭼ‬ ‫ﮐﺴﺎن‬ ‫ﻫﻐﻪ‬70‫وي‬ ‫ﭘﻮرﺗﻪ‬ ‫＇ﺨﻪ‬ ‫ﮐﻠﻮﻧﻮ‬ 6
D
r.Farooqi
Prepared by: Dr.Nasrullah “Farooqi”
Designed by: Eng.Mukaram “Farooqi”

45. ‫اﻧﺪازه‬ ‫دﻧﺎروﻏﺎﻧﻮ‬ ‫ﺳﺮه‬ ‫ﻧﻴﻮﻟﻮ‬ ３‫ﮐ‬ ‫ﭘﺎم‬ ‫ﭘﻪ‬ ３‫داﺳﺘﻮ－ﻨ‬:
45
‫ﻧﻮم‬ ‫وﻻﻳﺖ‬ ‫د‬‫ﺷﻤ５ﺮ‬ ‫ﻧﺎروﻏﺎﻧﻮ‬ ‫د‬‫ﻓﻴﺼﺪي‬
‫ﻧﻨ／ﺮﻫﺎر‬6767%
‫ﻟﻐﻤﺎن‬1616%
‫ﮐﻨﺮ‬1010%
‫ﻧﻮرﺳﺘﺎن‬55%
‫ﻟﻮ－ﺮ‬22%
D
r.Farooqi
Prepared by: Dr.Nasrullah “Farooqi”
Designed by: Eng.Mukaram “Farooqi”

46. ‫اﻧﺪازه‬ ‫دﻧﺎروﻏﺎﻧﻮ‬ ‫ﺳﺮه‬ ‫ﻧﻴﻮﻟﻮ‬ ３‫ﮐ‬ ‫ﭘﺎم‬ ‫ﭘﻪ‬ ‫ﻧ＋ﺎﻧﻮ‬ ‫او‬ ‫ﻧ＋ﻮ‬ ‫دﻏﻮره‬:
46
87
33
82
42 45
0
15
40 43
‫－２ﻪ‬３＋‫ﻧ‬ ‫او‬ ３‫－ﻴﻠ‬ ‫ﻏﻮره‬‫ﺳﻠﻨﻪ‬
1‫！ﻮﺧﯽ‬ ‫ﻟﺮوﻧﮑﯽ‬ ‫ﺑﻠﻐﻢ‬87%
2‫ﺗﺒﻪ‬ ‫ﺧﻮا‬ ‫ﻟﻪ‬ ３‫ﺷﭙ‬ ‫د‬33%
3‫ﮐ５ﺪل‬ ‫ﺿﺎﻳﻊ‬ ‫دوزن‬ ‫او‬ ‫اﺷﺘﻬﺎﻳﻲ‬ ３‫ﺑ‬82%
4‫ﮐ５ﺪل‬ ‫ﺧﻮﻟﻪ‬ ‫ﺧﻮاﻧﻪ‬ ‫ﻟﻪ‬ ３‫ﺷﭙ‬ ‫د‬42%
5Hemoptysis45%
6Clubbing0%
7‫ﻏ＂ﻮاﻟﯽ‬ ‫ﻋﻘﺪاﺗﻮ‬ ‫ﻟﻤﻔﺎوي‬ ‫د‬15%
8Post tussive Crepitation40%
9‫ﺧﻮﻧﻲ‬ ‫ﮐﻢ‬43%
D
r.Farooqi
Prepared by: Dr.Nasrullah “Farooqi”
Designed by: Eng.Mukaram “Farooqi”

47. ‫ﻣﻮﺟﻮدﻳﺖ‬ ‫ﻧﻪ‬ ‫او‬ ‫واﻟﯽ‬ ‫ﺷﺘﻪ‬ ‫ﺗﻐﻴﺮاﺗﻮ‬ ‫واﺿﺢ‬ ‫اﮐﺴﺮې‬ ‫د‬ ３‫ﺳﻴﻨ‬ ‫د‬ ３‫ﮐ‬ ‫ﻧﺎروﻏﺎﻧﻮ‬ ‫ﭘﻪ‬:
47
‫－２ﻪ‬‫＄ﺎﻧ／７ﺗﻴﺎ‬ ‫ﺗﻐﻴﺮاﺗﻮ‬ ‫اﮐﺴﺮې‬ ‫واﺿﺢ‬ ‫د‬‫ﻓﻴﺼﺪي‬
1‫واﻟﯽ‬ ‫ﺷﺘﻪ‬ ‫ﺗﻐﻴﺮاﺗﻮ‬ ‫اﮐﺴﺮې‬ ‫واﺿﺢ‬ ‫د‬57%
2‫ﻣﻮﺟﻮدﻳﺖ‬ ‫ﻧﻪ‬ ‫ﺗﻐﻴﺮاﺗﻮ‬ ‫اﮐﺴﺮې‬ ‫واﺿﺢ‬ ‫د‬43%
‫ﺗﻐﻴﺮاﺗﻮ‬ ‫اﮐﺴﺮې‬ ‫واﺿﺢ‬ ‫د‬
‫واﻟﯽ‬ ‫ﺷﺘﻪ‬
‫ﻧﻪ‬ ‫ﺗﻐﻴﺮاﺗﻮ‬ ‫اﮐﺴﺮې‬ ‫واﺿﺢ‬ ‫د‬
‫ﻣﻮﺟﻮدﻳﺖ‬
57
43
D
r.Farooqi
Prepared by: Dr.Nasrullah “Farooqi”
Designed by: Eng.Mukaram “Farooqi”

48. ‫ﻣﻌﺪې‬ ‫د‬ ‫او‬ ‫زﻳ７ي‬ ‫د‬ ３‫ﮐ‬ ‫ﻧﺎروغ‬ ‫ﭘﻪ‬ ‫وړاﻧﺪې‬ ‫ﭘﻪ‬ ‫درﻣﻠﻮ‬ ‫د‬
‫ﻣﻌﺎﻳﻲ‬‫ﮐ５ﺪل‬ ‫راﻣﻨ％ﺘﻪ‬ ‫ﻋﻼﻳﻢ‬ ‫او‬ ‫اﻋﺮﺿﻮ‬:
48
12
36
‫زيړی‬ ‫معايي‬ ‫معدې‬
‫－２ﻪ‬‫ﮐ５ﺪل‬ ‫راﻣﻨ％ﺘﻪ‬ ‫ﻧﺎﺧﻮاﻟﻮ‬ ‫د‬ ３‫ﮐ‬ ‫ﻣﻘﺎﺑﻞ‬ ‫ﭘﻪ‬ ‫درﻣﻠﻮ‬ ‫د‬‫ﺳﻠﻨﻪ‬
1‫ﮐ５ﺪل‬ ‫راﻣﻨ％ﺘﻪ‬ ‫ﻧﺎﺧﻮاﻟﻮ‬ ‫ﻣﻌﺎﻳﻲ‬ ‫ﻣﻌﺪې‬ ‫د‬36%
2‫ﮐ５ﺪل‬ ‫راﻣﻨ％ﺘﻪ‬ ‫ﻧﺎﺧﻮاﻟﻮ‬ ‫د‬ ‫زﻳ７ي‬ ‫د‬12%
D
r.Farooqi
Prepared by: Dr.Nasrullah “Farooqi”
Designed by: Eng.Mukaram “Farooqi”

49. ‫د‬ ‫＄ﺎی‬ ‫ﻳﻮ‬ ‫ﺳﺮه‬ ９‫ﻧﺎروﻏ‬ ‫ددې‬HIV،HBS‫او‬HCV‫ﺷﺘﻮن‬!
49
HIV HBS HCV
2
12
3
‫－２ﻪ‬‫واﻟﯽ‬ ‫ﺷﺘﻪ‬ ‫ﻧﺎروﻏﻴﻮ‬ ‫ﻣﺰﻣﻨﻮ‬ ‫ﺳﺎري‬ ‫ﻧﻮرو‬ ‫د‬‫ﻓﻴﺼﺪي‬
1‫د‬HIV‫واﻟﯽ‬ ‫ﺷﺘﻪ‬2%
2‫د‬HBS‫واﻟﯽ‬ ‫ﺷﺘﻪ‬12%
3‫د‬HCV‫واﻟﯽ‬ ‫ﺷﺘﻪ‬3%
D
r.Farooqi
Prepared by: Dr.Nasrullah “Farooqi”
Designed by: Eng.Mukaram “Farooqi”

50. ‫ﻣﻘﺎﺑﻞ‬ ‫ﭘﻪ‬ ‫درﻣﻠﻮ‬ ‫،د‬ ‫ورﮐ５ﺪل‬ ‫ﻧﺎروﻏﺎﻧﻮ‬ ‫د‬ ３‫ﮐ‬ ‫ﺟﺮﻳﺎن‬ ‫ﭘﻪ‬ ‫ﺗﺪاوۍ‬ ‫د‬
３‫ﮐ‬‫ﮐﺘﻨﻪ‬ ‫ﮐ５ﺪو‬ ‫راﻣﻨ％ﺘﻪ‬ ‫دوﺑﺎره‬ ‫د‬ ９‫ﻧﺎروﻏ‬ ‫د‬ ‫او‬ ‫ﻣﻘﺎوﻣﺖ‬
50
‫ﻣﻘﺎوﻣﺖ‬ ３‫ﮐ‬ ‫ﻣﻘﺎﺑﻞ‬ ‫ﭘﻪ‬ ‫ﺗﺪاوۍ‬ ‫د‬
‫ﮐ５ﺪل‬ ‫راﻣﻨ％ﺘﻪ‬
‫د‬ ３‫ﮐ‬ ‫ﺟﺮﻳﺎن‬ ‫ﭘﻪ‬ ‫ﺗﺪاوۍ‬ ‫د‬
‫ورﮐ５ﺪل‬ ‫ﻧﺎروﻏﺎﻧﻮ‬ ‫د‬ ‫وروﺳﺘﻪ‬ ‫＇ﺨﻪ‬ ‫ﮐ５ﺪو‬ ‫ﺷﻔﺎ‬ ‫د‬
，‫راﺗ‬ ‫ﻣﻨ％ﺘﻪ‬ ‫دوﺑﺎره‬ ９‫ﻧﺎروﻏ‬
7
9
12
‫ﺳﻠﻨﻪ‬ ３‫ﻧﺎﺧﻮاﻟ‬ ‫ﺟﺪي‬ ‫اړوﻧﺪ‬ ９‫ﻧﺎروﻏ‬ ‫د‬ ‫－２ﻪ‬
7% ‫ﮐ５ﺪل‬ ‫راﻣﻨ％ﺘﻪ‬ ‫دﻣﻘﺎوﻣﺖ‬ ３‫ﮐ‬ ‫ﻣﻘﺎﺑﻞ‬ ‫ﭘﻪ‬ ‫ﺗﺪاوۍ‬ ‫د‬ 1
9% ‫ورﮐ５ﺪل‬ ‫ﻧﺎروﻏﺎﻧﻮ‬ ‫د‬ ３‫ﮐ‬ ‫ﺟﺮﻳﺎن‬ ‫ﭘﻪ‬ ‫ﺗﺪاوۍ‬ ‫د‬ 2
12% ，‫راﺗ‬ ‫ﻣﻨ％ﺘﻪ‬ ‫دوﺑﺎره‬ ９‫ﻧﺎروﻏ‬ ‫د‬ ‫وروﺳﺘﻪ‬ ‫ﮐ５ﺪو‬ ‫ﺷﻔﺎ‬ ‫د‬ 3
D
r.Farooqi
Prepared by: Dr.Nasrullah “Farooqi”
Designed by: Eng.Mukaram “Farooqi”

51. 51
D
r.Farooqi
Prepared by: Dr.Nasrullah “Farooqi”
Designed by: Eng.Mukaram “Farooqi”

52. ‫ﻣﻨﺎﻗﺸﻪ‬:
52
‫＇ﺨﻪ‬ ３‫ﺟﻤﻠ‬ ‫ﻟﻪ‬ ‫ﻧﺎروﻏﺎﻧﻮ‬ ‫ددې‬ ３‫ﭼ‬ ‫ده‬ ３‫رﺳ５ﺪﻟ‬ ‫ﺳﺮﺗﻪ‬ ‫ﻧﺎروﻏﺎﻧﻮ‬ ‫ﺳﻠﻮ‬ ‫ﭘﻪ‬ ３‫ﮐ‬ ‫زون‬ ‫ﺷﺮﻗﻲ‬ ‫ﭘﻪ‬ ‫＇５７ﻧﻪ‬ ‫دﻏﻪ‬
‫ﺷﻮي‬ ‫ﻣﻄﺎﻟﻌﻪ‬ ‫ډول‬ ‫ﭘﺮوﺳﭙ５ﮑ＂ﻴﻒ‬ ‫ﭘﻪ‬ ‫ﻧﺎروﻏﺎن‬ ‫ﺷﭙ５ﺘﻪ‬ ３‫ﭘﺎﺗ‬ ‫او‬ ‫ر４ﺘﺮوﺳﭙﻴﮑ＂ﻴﻒ‬ ‫ﭘﻪ‬ ‫ﻧﺎروﻏﺎن‬ ‫＇ﻠﻮ４＋ﺖ‬
‫دي‬ ‫ﺷﻮي‬ ‫＇５７ل‬ ‫ﺗﻐﻴﺮات‬ ‫ﻻﻧﺪې‬ ３‫ﮐ‬ ‫＇５７ﻧﻪ‬ ‫دې‬ ‫ﭘﻪ‬ ３‫ﭼ‬:
.1‫ﻧﻈﺮه‬ ‫ﻟﻪ‬ ‫ﺟﻨﺲ‬ ‫د‬:８‫ﺷﭙ‬ ３‫ﮐ‬ ‫دې‬ ‫ﭘﻪ‬ ３‫ﭼ‬ ３‫رﺳ５ﺪﻟ‬ ‫ﺳﺮﺗﻪ‬ ３‫ﮐ‬ ‫ﻧﺎروﻏﺎﻧﻮ‬ ‫ﺳﻠﻮ‬ ‫ﭘﻪ‬ ‫＇５７ﻧﻪ‬ ‫دﻏﻪ‬
‫ﻫ５ﻮادوﻧﻮ‬ ‫ﭘﺮﻣﺨﺘﻠﻠﻲ‬ ‫د‬ ‫ﻧﻈﺮه‬ ‫ﻟﻪ‬ ‫ﺟﻨﺲ‬ ‫د‬ ３‫ﭼ‬ ‫دي‬ ‫ﺷﺎﻣﻞ‬ ‫ﻧﺎرﻳﻨﻪ‬ ‫＇ﻠﻮر＇ﻠﻮ４＋ﺖ‬ ‫او‬ ３％＊ ‫ﭘﻨ％ﻮس‬
‫ﻏﺬاﻳﻲ‬ ‫ﻣﺘﻮازن‬ ‫،ﻏﻴﺮ‬ ‫اﻟﺼﺤﻪ‬ ‫ﺣﻔﻆ‬ ‫ﺧﺮاﺑﻪ‬ ３‫ﮐ‬ ‫＊％ﻮ‬ ‫ﭘﻪ‬ ３４ ‫ﻋﻮاﻣﻞ‬ ３‫ﭼ‬ ‫ﻟﺮي‬ ‫ﺗﻮﭘﻴﺮ‬ ‫اﻧﺪازه‬ ‫ﮐﻤﻪ‬ ‫ﺳﺮه‬
‫وﺧﺖ‬ ‫ﭘﻪ‬ ‫ﺗﻪ‬ ‫،روﻏﺘﻮﻧﻮﻧﻮ‬ ‫ﮐﺒﻠﻪ‬ ‫ﻟﻪ‬ ‫ﻧﺎروﻏﻴﻮ‬ ‫ﺳﺎري‬ ‫ﻧﻮرو‬ ‫د‬ ‫ﺿﻌﻴﻔﻮاﻟﯽ‬ ‫ﺳ５ﺴﺘﻢ‬ ‫ﻣﻌﺎﻓﻴﺘﻲ‬ ‫،د‬ ‫رژﻳﻢ‬
‫دي‬ ３‫ﺷﺎﻣﻠ‬ ３‫ﭘﺎﺑﻨﺪﻳﺎﻧ‬ ‫ﮐﻠﺘﻮري‬ ‫او‬ ‫اﺟﺘﻤﺎﻋﻲ‬ ‫او‬ ‫ﮐﻮل‬ ‫ﻧﻪ‬ ‫ﻣﺮاﺟﻌﻪ‬ ‫ﺳﺮه‬.
.2‫ﻧﻈﺮه‬ ‫ﻟﻪ‬ ‫ﻋﻤﺮ‬ ‫د‬:‫ﻣﺨﺘﻠﻔﻮ‬ ‫ﭘﻪ‬ ‫و－７ي‬ ‫ﺳﻨﻮﻧﻮ‬ ‫ﻣﺨﺘﻠﻔﻮ‬ ‫د‬ ３‫ﭼ‬ ‫دي‬ ‫ﺷﻮي‬ ‫＊ﻮدل‬ ３‫ﮐ‬ ‫＇５７ﻧﻪ‬ ‫دې‬ ‫ﭘﻪ‬
‫د‬ ３‫ﭼ‬ ‫ﮐ５８ي‬ ‫اﺧﺘﻪ‬ ‫ﻣﺮض‬ ‫دې‬ ‫ﭘﻪ‬ ‫ﺳﺮه‬ ‫اﻧﺪازو‬15-25‫ﭘﻮرې‬ ‫ﮐﻠﻮﻧﻮ‬27‫،د‬ ‫ﺳﻠﻨﻪ‬26-35‫ﭘﻮرې‬21
‫،د‬ ‫ﺳﻠﻨﻪ‬36-45‫ﭘﻮرې‬19‫د‬ ،‫ﺳﻠﻨﻪ‬46-55‫ﭘﻮرې‬13‫،د‬ ‫ﺳﻠﻨﻪ‬56-65‫ﭘﻮرې‬17‫د‬ ‫او‬ ‫ﺳﻠﻨﻪ‬70９‫ﮐﻠﻨ‬
‫اﻧﺪازه‬ ‫دﻏﻪ‬ ‫ﭘﻮرﺗﻪ‬ ‫＇ﺨﻪ‬3‫ﻋﻮاﻣﻞ‬ ‫زﻳﺎﺗﻮاﻟﻲ‬ ‫د‬ ３＋５‫ﭘ‬ ‫د‬ ３‫ﮐ‬ ‫ﻋﻤﺮ‬ ‫＄ﻮان‬ ‫ﭘﻪ‬ ３‫ﭼ‬ ‫ﮐﻮي‬ ‫ﺗﻐﻴﺮ‬ ‫ﺗﻪ‬ ‫ﺳﻠﻨﻮ‬
‫راﺗﻠﻞ‬ ‫وﺧﺖ‬ ‫ﭘﻪ‬ ‫ﺗﻪ‬ ‫ﻣﺮاﮐﺰو‬ ‫ﺤﻲ‬請 ‫او‬ ‫اوﺳ５ﺪل‬ ３‫ﮐ‬ ‫－ﻮ１ﻪ‬ ‫－２ﻪ‬ ‫زﻳﺎﺗﻪ‬ ‫،ﭘﻪ‬ ‫＇＋ﻞ‬ ‫ﺳ／ﺮټ‬‫دي‬.
D
r.Farooqi
Prepared by: Dr.Nasrullah “Farooqi”
Designed by: Eng.Mukaram “Farooqi”

53. 53
.3‫ﻧﻈﺮه‬ ‫ﻟﻪ‬ ３‫اﺳﺘﻮ－ﻨ‬ ‫د‬:‫،ﻟﻐﻤﺎن‬ ‫ﻧﻨ／ﺮﻫﺎر‬ ‫د‬ ‫ﺗﻪ‬ ‫روﻏﺘﻮن‬ ‫ﺣﻮزوي‬ ‫اﺑﺎد‬ ‫ﺟﻼل‬ ‫د‬ ３‫ﭼ‬ ‫＇ﺮﻧ／ﻪ‬
‫ﭘﻪ‬ ‫ﻧﻮ‬ ‫ﮐﻮي‬ ‫ﻣﺮاﺟﻌﻪ‬ ‫اﻧﺪازه‬ ‫زﻳﺎﺗﻪ‬ ‫ﭘﻪ‬ ‫ﻧﺎروﻏﺎن‬ ‫＇ﺨﻪ‬ ９‫وﻟﺴﻮاﻟ‬ ‫د‬ ‫ازرې‬ ‫د‬ ‫ﻟﻮ－ﺮ‬ ‫د‬ ‫او‬ ‫،ﮐﻨ７،ﻧﻮرﺳﺘﺎن‬
‫و－７ي‬ ‫وﻻﻳﺘﻮﻧﻮ‬ ‫ﻧﻮرو‬ ‫د‬ ‫او‬ ‫دي‬ ‫＇ﺨﻪ‬ ‫وﻻﻳﺘﻮﻧﻮ‬ ‫دﻫﻤﺪې‬ ‫ﻧﺎروﻏﺎن‬ ‫ﺷﻮي‬ ‫＇５７ل‬ ‫！ﻮل‬ ‫ﺧﺎﻃﺮ‬ ‫ﻫﻤﺪې‬
‫＇ﺨﻪ‬ ３‫ﺟﻤﻠ‬ ‫د‬ ‫ﻧﺎروﻏﺎﻧﻮ‬ ‫ﺳﻠﻮ‬ ‫د‬ ３‫ﭼ‬ ‫ﺷﻮي‬ ‫＇５７ل‬ ‫دي‬ ‫ﻧﻪ‬ ３‫ﮐ‬ ‫ﭘﻪ‬67، ‫ﻧﻨ／ﺮﻫﺎر‬ ‫د‬ ‫ﺗﻨﻪ‬16‫د‬ ‫ﺗﻨﻪ‬
، ‫ﻟﻐﻤﺎن‬10، ７‫دﮐﻨ‬ ‫ﺗﻨﻪ‬5‫وﻻﻳﺖ‬ ‫دﻧﻨ／ﺮﻫﺎر‬ ، ‫ؤ‬ ‫اوﺳ５ﺪوﻧﮑﻲ‬ ‫ﻟﻮ－ﺮ‬ ‫د‬ ‫ﺗﻨﻪ‬ ‫دوه‬ ‫او‬ ‫ﻧﻮرﺳﺘﺎن‬ ‫د‬ ‫ﺗﻨﻪ‬
‫ﺧﻠﮑﻮ‬ ‫د‬ ‫ﺗﻪ‬ ‫روﻏﺘﻮن‬ ‫دې‬ ‫ډ４ﺮه‬ ‫ﺗﺮ‬ ‫ﻋﻠﺖ‬ ‫زﻳﺎﺗﻮاﻟﻲ‬ ‫د‬ ‫ﻧﺎروﻏﺎﻧﻮ‬ ‫د‬ ‫＇ﺨﻪ‬９‫اﺳﺎﻧ‬ ‫ﭘﻪ‬‫رﺳﻴﺪ－ﻲ‬ ‫ﺳﺮه‬‫ده‬.
.4‫او‬ ３‫－ﻴﻠ‬ ‫ﻏﻮره‬３＋‫ﻧ‬:３‫ﮐ‬ ‫ﻧﺎروﻏﺎﻧﻮ‬ ‫ﺷﻮﻳﻮ‬ ‫＇５７ل‬ ‫！ﻮﻟﻮ‬ ‫ﭘﻪ‬87‫ﻟﺮوﻧﮑﻲ‬ ‫ﺑﻠﻐﻢ‬ ‫د‬ ‫ﻧﺎروﻏﺎن‬ ‫ﺳﻠﻨﻪ‬
، ‫！ﻮﺧﻲ‬57، ３‫ﺗﺒ‬ ‫د‬ ‫ﻧﺎروﻏﺎن‬ ‫ﺳﻠﻨﻪ‬82‫ﭘﻪ‬ ،‫ﺿﻴﺎع‬ ‫وزن‬ ‫د‬ ３‫ﮐ‬ ‫ﺧﻠﮑﻮ‬ ‫ﺳﻠﻨﻪ‬42３‫ﮐ‬ ‫ﺧﻠﮑﻮ‬ ‫ﺳﻠﻨﻪ‬
‫ﺧﻮﻟﻪ‬ ‫ﺧﻮا‬ ‫ﻟﻪ‬ ３‫دﺷﭙ‬‫ﭘﻪ‬ ،‫ﮐ５ﺪل‬45３‫ﮐ‬ ‫ﺧﻠﮑﻮ‬ ‫ﺳﻠﻨﻪ‬Hemoptysis‫ﭘﻪ‬ ‫او‬43‫د‬ ３‫ﮐ‬ ‫ﺧﻠﮑﻮ‬ ‫ﺳﻠﻨﻪ‬
３‫وﻳﻨ‬‫وو‬ ‫ﻣﻮﺟﻮد‬ ‫ﮐﻤﻮاﻟﯽ‬.
D
r.Farooqi
Prepared by: Dr.Nasrullah “Farooqi”
Designed by: Eng.Mukaram “Farooqi”