أمراض خبيثة

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‫ﺳـــﺮﻃـــﺎن‬
‫اﻟﻤﺴﺘﻘﻴﻢ‬ ‫و‬ ‫اﻟﻘﻮﻟﻮن‬

2. ‫ﻣﺎﻫﻮ؟‬
‫اﻟﻤﺴﺘﻘﻴﻢ‬ ‫و‬ ‫اﻟﻘﻮﻟﻮن‬ ‫ﺳﺮﻃﺎن‬
‫اﻟﺴﻔﻠﻲ‬ ‫اﻟﺠﺰء‬ ‫ﻳﺼﻴﺐ‬ ‫ﺳﺮﻃﺎن‬ ‫ﻫﻮ‬
‫ﻟﻺﻧﺴﺎن‬ ‫اﻟﻬﻀﻤﻲ‬ ‫اﻟﺠﻬﺎز‬ ‫ﻣﻦ‬
‫واﻟﻤﺴﺘﻘﻴﻢ‬ ‫اﻟﻘﻮﻟﻮن‬ ‫وﺗﺸﻤﻞ‬
‫ﻳﺼﻴﺐ؟‬ ‫ﻣﻦ‬
‫ﺑﻌﺪ‬ ٪٩٠ ‫ﺑﻨﺴﺒﺔ‬ ‫اﻻﺻﺎﺑﺔ‬ ‫ﺗﺰﻳﺪ‬
‫اﻟﺠﻨﺴﻴﻦ‬ ‫ﻟﺪى‬ ‫اﻟﺨﻤﺴﻴﻦ‬ ‫ﺳﻦ‬
‫ﻳﺒﺪأ؟‬ ‫ﻛﻴﻒ‬
‫اﻟﺪاﺧﻠﻲ‬ ‫اﻟﺠﺪار‬ ‫ﻓﻲ‬ ‫ﻟﺤﻤﻴﺔ‬ ‫ﺑﺰواﺋﺪ‬ ‫ﻳﺒﺪأ‬
‫ﻋﻠﻰ‬ ‫ﺑﺒﻂء‬ ‫وﺗﻨﻤﻮ‬ ‫اﻟﻤﺴﺘﻘﻴﻢ‬ ‫أو‬ ‫ﻟﻠﻘﻮﻟﻮن‬
‫ﻣﻨﻬﺎ‬ ‫ﺟﺰء‬ ‫ﻟﻴﺘﺤﻮل‬ ‫ﺳﻨﻮات‬ ١٠ ‫إﻟﻰ‬ ٥ ‫ﻣﺪى‬
‫ﺳﺮﻃﺎﻧﻴﻪ‬ ‫أورام‬ ‫إﻟﻰ‬ ‫اﻟﻮﻗﺖ‬ ‫ﻣﺮور‬ ‫ﻣﻊ‬

3. ‫ﻓﺘﺤﺔ‬ ‫ﻣﻦ‬ ‫ﻧﺰﻳﻒ‬
‫دم‬ ‫وﺟﻮد‬ ‫أو‬ ‫اﻟﺸﺮج‬
.‫اﻟﺒﺮاز‬ ‫ﻣﻊ‬
‫اﻟﺒﻄﻦ‬ ‫ﻓﻲ‬ ‫اﺿﻄﺮاﺑﺎت‬
‫أو‬ ‫ﻏﺎزات‬ ‫أو‬ ‫ﻛﺘﺸﻨﺠﺎت‬
.‫ﻃﻮﻳﻠﺔ‬ ‫ﻟﻔﺘﺮة‬ ‫آﻻم‬
‫ﺑﻌﺪم‬ ‫اﻟﺸﻌﻮر‬
‫ﻛﺎﻣﻼ‬ ‫اﻟﺒﻄﻦ‬ ‫اﻓﺮاغ‬
.‫اﻟﺘﺒﺮز‬ ‫ﻋﻨﺪ‬
‫اﻟﺸﺪﻳﺪ‬ ‫اﻟﺪم‬ ‫ﻓﻘﺮ‬
.‫ﺳﺒﺒﻪ‬ ‫ﻣﻌﺮوف‬ ‫اﻟﻐﻴﺮ‬
‫اﻟﻐﻴﺮ‬ ‫اﻟﻮزن‬ ‫ﻧﻘﺺ‬
.‫ﺳﺒﺒﻪ‬ ‫ﻣﻌﺮوف‬
‫اﻟﻀﻌﻒ‬ ‫و‬ ‫اﻟﻮﻫﻦ‬
‫ﻣﻊ‬ ‫اﻟﺸﻬﻴﺔ‬ ‫وﻗﻠﺔ‬
.‫اﻟﻌﺎﻣﺔ‬ ‫اﻟﺼﺤﺔ‬ ‫ﺗﺪﻫﻮر‬ ‫اﻹﺧﺮاج‬ ‫ﻓﻲ‬ ‫ﺗﻐﻴﺮ‬
‫ﻓﻲ‬ ‫ﺗﻐﻴﺮ‬ ‫أو‬ ‫اﻣﺴﺎك‬ ‫أو‬ ‫)اﺳﻬﺎل‬
.(‫أﺳﺒﻮﻋﻴﻦ‬ ‫ﻣﻦ‬ ‫ﻷﻛﺜﺮ‬ ‫اﻟﺒﺮاز‬ ‫ﻃﺒﻴﻌﺔ‬
‫اﻟﻤﺒﻜﺮة‬ ‫اﻷﻋﺮاض‬
:‫اﻟﻘﻮﻟﻮن‬ ‫ﻟﺴﺮﻃﺎن‬
‫اﻟﻤﺴﺘﻘﻴﻢ‬ ‫و‬ ‫اﻟﻘﻮﻟﻮن‬ ‫ﺳﺮﻃﺎن‬
‫اﻟﻤﺴﺘﻘﻴﻢ‬ ‫و‬ ‫اﻟﻘﻮﻟﻮن‬ ‫ﺳﺮﻃﺎن‬

4. ‫اﻟﻤﺴﺘﻘﻴﻢ‬ ‫و‬ ‫اﻟﻘﻮﻟﻮن‬ ‫ﺳﺮﻃﺎن‬
‫اﻹﺻﺎﺑﺔ؟‬‫ﻋﻮاﻣﻞ‬‫ﻣﺎﻫﻲ‬
‫ﻋﺎﺋﻠﻲ‬ ‫ﺗﺎرﻳﺦ‬
‫اﻟﻤﺰﻣﻦ‬ ‫اﻻﻣﻌﺎء‬ ‫اﻟﺘﻬﺎب‬
‫ﻛﺮون‬ ‫و‬ ‫اﻟﺘﻘﺮﺣﻲ‬ ‫ﻣﺜﻞ‬
‫اﻟـﺴــﻜــﺮي‬ ‫ﻣـــﺮض‬
‫اﻟﻤﻔﺮﻃﻪ‬ ‫واﻟﺴﻤﻨﺔ‬
‫اﻟﺪﻫﻮن‬ ‫وﻛﺜﺮة‬ ‫اﻷﻟﻴﺎف‬ ‫ﺗﻨﺎول‬ ‫ﻗﻠﺔ‬
‫واﻟﻤﺼﻨﻌﺔ‬ ‫اﻟﺤﻤﺮاء‬ ‫واﻟﻠﺤﻮم‬
‫اﻟﺮﻳﺎﺿﻴﺔ‬ ‫اﻷﻧﺸﻄﺔ‬ ‫ﻗﻠﺔ‬
‫اﻟﺸﺨﺼﻴﺔ‬ ‫اﻻﺻﺎﺑﺔ‬
‫اﻟﻠﺤﻤﻴﺔ‬ ‫ﺑﺎﻟﺰواﺋﺪ‬
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‫؟‬‫اﻹﺻﺎﺑﺔ‬‫أﻣﻨﻊ‬‫ﻛﻴﻒ‬
‫ﻋﻠﻰ‬ ‫اﻟﺤﻔﺎظ‬ ‫و‬ ‫اﻟﺴﻤﻨﺔ‬ ‫ﺐ‬‫ﱡ‬‫ﺗﺠﻨ‬
.‫ﺻﺤﻲ‬ ‫وزن‬
.‫اﻟﺘﺪﺧﻴﻦ‬ ‫ﻋﻦ‬ ‫اﻹﻗﻼع‬
‫اﻟﻐﻨﻲ‬ ‫اﻟﺼﺤﻲ‬ ‫اﻟﻐﺬاء‬ ‫ﺗﻨﺎول‬
‫اﻟﺤﻤﺮاء‬ ‫اﻟﻠﺤﻮم‬ ‫ﻗﻠﻴﻞ‬ ‫و‬ ‫ﺑﺎﻷﻟﻴﺎف‬
.‫اﻟﻤﺼﻨﻌﺔ‬ ‫و‬
‫أي‬ ‫ﺣﺪوث‬ ‫ﻋﻨﺪ‬ ‫اﻟﻄﺒﻴﺐ‬ ‫زﻳﺎرة‬
‫ﻓﻲ‬ ‫ﻃﺒﻴﻌﻴﺔ‬ ‫ﻏﻴﺮ‬ ‫ﺗﻐﻴﺮات‬
‫اﻟﺠﺴﻢ‬
‫ﻟﻠﻘﻮﻟﻮن‬ ‫اﻟﺪوري‬ ‫اﻟﻔﺤﺺ‬
‫ﻛﻞ‬‫ﻣـــﺮة‬‫واﻟـﻤﺴـﺘﻘـﻴــﻢ‬
‫ﺳﻦ‬ ‫ﻣﻦ‬ ‫ﺳﻨﻮات‬ ‫ﺳﻨﺔ‬
‫ﻓﻮق‬ ‫ﻓﻤﺎ‬ ٤٥

5. ‫اﻟﻌﻼج‬ ‫ﻧﺠﺎح‬ ‫ﻧﺴﺐ‬ ‫رﻓﻊ‬
-‫ﷲ‬ ‫ﺑﺈذن‬- ‫واﻟﺸﻔﺎء‬
‫اﻹﺻﺎﺑﺔ‬ ‫أﻋﺪاد‬ ‫ﺗﻘﻠﻴﻞ‬
‫ﺑﺎﻟﻤﺮض‬
(‫ﺳﻨﺔ‬ ٧٥ – ٤٥) ‫اﻟﻌﻤﺮ‬
‫واﻹﻧﺎث‬ ‫اﻟﺬﻛﻮر‬ ‫ﻣﻦ‬
‫ﺷﺨﺼﻴﺔ‬ ‫إﺻﺎﺑﺔ‬ ‫او‬ ‫ﻋﺎﺋﻠﻲ‬ ‫ﺗﺎرﻳﺦ‬ ‫وﺟﻮد‬
‫أو‬ ‫واﻟﻤﺴﺘﻘﻴﻢ‬ ‫اﻟﻘﻮﻟﻮن‬ ‫ﺑﺴﺮﻃﺎن‬
‫اﻟﻠﺤﻤﻴﺔ‬ ‫ﺑﺎﻟﺰواﺋﺪ‬ ‫اﻹﺻﺎﺑﺔ‬
‫ﻟﻔﺘﺮة‬ ‫اﻷﻣﻌﺎء‬ ‫ﺑﺎﻟﺘﻬﺎب‬ ‫اﻹﺻﺎﺑﺔ‬
‫اﻟﺘﻬﺎب‬ ‫ﻣﺮض‬ ‫أو‬ ‫ﻛﺮون‬ ‫ﻛﻤﺮض‬ ‫ﻃﻮﻳﻠﺔ‬
‫اﻟﺘﻘﺮﺣﻲ‬ ‫اﻷﻣﻌﺎء‬
‫ﺧﻼل‬ ‫اﺷﻌﺎﻋﻲ‬ ‫ﻟﻌﻼج‬ ‫اﻟﺘﻌﺮض‬
‫اﻟﻄﻔﻮﻟﺔ‬ ‫ﻓﺘﺮة‬
‫ﻣﺜﻞ‬ ‫اﻟﺠﻴﻨﻴﺔ‬ ‫اﻷﻣﺮاض‬ ‫ﺑﺄﺣﺪ‬ ‫اﻹﺻﺎﺑﺔ‬
.‫اﻟﻌﺎﺋﻠﻴﺔ‬ ‫اﻟﻐﺪدﻳﺔ‬ ‫اﻟﻠﺤﻤﻴﺎت‬ ‫ﻣﺘﻼزﻣﺔ‬
‫وﻧﻤﻂ‬ ‫ﺟﻮدة‬ ‫ﺗﺤﺴﻴﻦ‬
.‫ﻟﻠﻤﺮﺿﻰ‬‫اﻟﺤﻴﺎة‬
‫اﻟﻮﻓﻴﺎت‬ ‫ﻋﺪد‬ ‫ﺗﻘﻠﻴﻞ‬
.‫اﻟﻤﺮض‬ ‫ﻣﻦ‬ ‫اﻟﻨﺎﺗﺠﺔ‬
‫ﺳﺮﻃﺎن‬ ‫ﻋﻦ‬ ‫اﻟﻤﺒﻜﺮ‬ ‫اﻟﻜﺸﻒ‬ ‫ﺑﺮﻧﺎﻣﺞ‬
‫اﻟﻤﻤـﻠﻜﺔ‬ ‫ﻓﻲ‬ ‫واﻟﻤﺴﺘﻘﻴﻢ‬ ‫اﻟﻘﻮﻟﻮن‬
‫اﻟﻤﺒﻜﺮ‬ ‫اﻟﻜﺸﻒ‬ ‫أﻫﺪاف‬
:‫اﻟﻤﺴﺘﻘﻴﻢ‬ ‫و‬ ‫اﻟﻘﻮﻟﻮن‬ ‫ﺳﺮﻃﺎن‬ ‫ﻋﻦ‬
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‫اﻟﻤﺎدي‬ ‫اﻟﻌﺐء‬ ‫ﺗﺨﻔﻴﻒ‬
‫اﻟﻤﻨﻈﻮﻣﺔ‬ ‫ﻋﻠﻰ‬
‫اﻟﻤﺮﻳﺾ‬ ‫وﻋﻠﻰ‬ ‫اﻟﺼﺤﻴﺔ‬
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: ‫اﻟﻤﺴﺘﻬﺪﻓﺔ‬ ‫اﻟﻔﺌﺔ‬
‫اﻟﺨﻄﻮرة‬ ‫ذوي‬ ‫اﻷﺷﺨﺎص‬
:‫ﻟﻺﺻﺎﺑﺔ‬ ‫اﻟﻤﻌﺘﺪﻟﺔ‬
‫اﻟﺨﻄﻮرة‬ ‫ذوي‬ ‫اﻷﺷﺨﺎص‬
:‫ﻟﻺﺻﺎﺑﺔ‬ ‫اﻟﻤﺘﺰاﻳﺪة‬

6. ‫ﻓﺤﺺ‬ ‫اﻟﺒﺮاز‬ ‫ﻓﻲ‬ ‫اﻟﺨﻔﻲ‬ ‫اﻟﺪم‬ ‫اﺧﺘﺒﺎر‬
:( FIT Test) ‫اﻟﻜﻴﻤﻴﺎﺋﻲ‬ ‫اﻟﻤﻨﺎﻋﻲ‬ ‫اﻟﺒﺮاز‬
:(colonoscopy)‫ﻟﻠﻤﺴﺘﻘﻴﻢ‬ ‫اﻟﻜﻠﻲ‬ ‫اﻟﺘﻨﻈﻴﺮ‬
‫اﻟﻤﺒﻜﺮ‬ ‫اﻟﻜﺸﻒ‬ ‫ﻓﺤﻮﺻﺎت‬ ‫أﻧﻮاع‬
:‫اﻟﻤﺴﺘﻘﻴﻢ‬ ‫و‬ ‫اﻟﻘﻮﻟﻮن‬ ‫ﺳﺮﻃﺎن‬ ‫ﻋﻦ‬
‫ﻟﻺﺻﺎﺑﺔ‬ ‫اﻟﻤﻌﺘﺪﻟﺔ‬ ‫اﻟﺨﻄﻮرة‬ ‫ذوي‬ ‫ﻟﻸﺷﺨﺎص‬
.( ‫ﺳﻨﺔ‬ ٧٥- ٤٥ )
‫ﻟﻺﺻﺎﺑﺔ‬ ‫اﻟﻤﺘﺰاﻳﺪة‬ ‫اﻟﺨﻄﻮرة‬ ‫ذوي‬ ‫ﻟﻸﺷﺨﺎص‬
‫اﻟﺒﺮاز‬ ‫ﻓﺤﺺ‬ ‫ﻓﻲ‬ ‫اﻹﻳﺠﺎﺑﻴﺔ‬ ‫اﻟﻨﺘﺎﺋﺞ‬ ‫وأﺻﺤﺎب‬
‫ﺣﻴﻦ‬ ‫ﻋﻤﺮ‬ ‫ﺑﺄي‬ ( FIT test ) ‫اﻟﻜﻴﻤﺎﺋﻲ‬ ‫اﻟﻤﻨﺎﻋﻲ‬
‫ﺧﻄﻮرة‬ ‫ﻋﻮاﻣﻞ‬ ‫وﺟﻮد‬
‫اﻟﻤﺴﺘﻘﻴﻢ‬ ‫و‬ ‫اﻟﻘﻮﻟﻮن‬ ‫ﺳﺮﻃﺎن‬
‫اﻟﺠﻨﺴﻴﺔ‬ ‫ﺳﻌﻮدي‬
‫ﺳﻨﺔ‬ ٧٥ – ٤٥ ‫ﻣﻦ‬ ‫اﻟﻌﻤﺮ‬
‫ﻋﻤﺮ‬ ‫وﺑﺄي‬ ‫اﻟﻤﻌﺘﺪﻟﺔ‬ ‫اﻟﺨﻄﻮرة‬ ‫ﻟﺬوي‬
‫اﻟﻤﺮﺗﻔﻌﺔ‬ ‫اﻟﺨﻄﻮرة‬ ‫ذوي‬ ‫ﻟﻼﺷﺨﺎص‬
:‫اﻟﻜﺸﻒ‬ ‫ﺷﺮوط‬

7. ‫اﻟﺪاﻣﻴﺔ‬ ‫اﻟﺒﻮاﺳﻴﺮ‬
‫ﻣﻦ‬ ‫ﻧﺰﻳﻒ‬ ‫)وﺟﻮد‬
(‫اﻟﺒﻮاﺳﻴﺮ‬
:ً‫ﺳﻨﻮﻳﺎ‬
‫اﻟﺤﻴﺾ‬ ‫ﻓﺘﺮة‬
‫اﻟﺴﻴﺪات‬ ‫ﻟﺪى‬
‫اﻟﺨــــﻄﻮرة‬ ‫ذوي‬ ‫ﻟﻸﺷــﺨﺎص‬ :ً‫ﺎ‬‫ﺳﻨـﻮﻳـ‬
.‫ﻟﻺﺻــﺎﺑﺔ‬ ‫اﻟﻤﻌﺘــﺪﻟﺔ‬
‫اﻟﻘﻮﻟﻮن‬ ‫ﺳﺮﻃﺎن‬ ‫ﻋﻦ‬ ‫اﻟﻤﺒﻜﺮ‬ ‫اﻟﻜﺸﻒ‬ ‫ﺧﺪﻣﺔ‬ ‫ﺗﺘﻮﻓﺮ‬
‫ﻓﻲ‬ ‫اﻷوﻟﻴﺔ‬ ‫اﻟﺼﺤﻴﺔ‬ ‫اﻟﺮﻋﺎﻳﺔ‬ ‫ﺑﻤﺮاﻛﺰ‬ ‫واﻟﻤﺴﺘﻘﻴﻢ‬
.‫اﻟﻤﻤﻠﻜﺔ‬‫ﻣﻨﺎﻃﻖ‬‫ﻣﺨﺘﻠﻒ‬
‫ﺑﻤﺠﺮى‬ ‫اﻟﺘﻬﺎﺑﺎت‬ ‫وﺟﻮد‬
‫أو‬ ‫دم‬ ‫)وﺟﻮد‬ ‫اﻟﺒﻮل‬
(‫ﺑﺎﻟﺒﻮل‬ ‫ﺻﺪﻳﺪ‬
‫اﻟﺒـﺮاز‬ ‫ﻓﺤــﺺ‬ ‫إﺟـﺮاء‬ ‫ﻣﻮاﻧﻊ‬
:(FIT test) ‫اﻟﻤﻨﺎﻋﻲ‬ ‫اﻟﻜﻤﻴﺎﺋﻲ‬
‫اﻟﻜﺸﻒ‬ ‫ﻳﺘﻢ‬ ‫ﻣﺘﻰ‬
‫واﻟﻤﺴﺘﻘﻴﻢ؟‬ ‫اﻟﻘﻮﻟﻮن‬ ‫ﺳﺮﻃﺎن‬ ‫ﻋﻦ‬
:‫اﻟﺨﺪﻣﺔ‬ ‫ﺗﻮﻓﺮ‬ ‫أﻣﺎﻛﻦ‬
‫اﻟﻤﺴﺘﻘﻴﻢ‬ ‫و‬ ‫اﻟﻘﻮﻟﻮن‬ ‫ﺳﺮﻃﺎن‬
‫اﻟﻔـــﺤﺺ‬‫ﻣــﺮاﻛﺰ‬‫ﻟﻘــﺎﺋـﻤﺔ‬‫ﻫﻨﺎ‬‫اﺿﻐﻂ‬
‫واﻟﻤﺴﺘﻘﻴﻢ‬‫اﻟﻘﻮﻟﻮن‬‫ﻟﺴﺮﻃﺎن‬‫اﻟﻤﺒﻜﺮ‬

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‫اﻟﻌﻴﻨﺔ‬ ‫أﺧﺬ‬ ‫ﻛﻴﻔﻴﺔ‬
‫اﻟﻌﻴﻨﺔ‬ ‫ﻷﺧﺬ‬ ‫أﻧﺒﻮﺑﺎن‬ ‫ﻳﻮﺟﺪ‬
‫اﻟﺒﺮاز‬ ‫ﺳﻄﺢ‬ ‫اﺧﺪش‬
‫ﻫﻨﺎ‬ ‫ﻣﻦ‬ ‫اﻣﺴﻚ‬
02
03
‫اﻷول‬ ‫ﻟﻠﻴﻮم‬ ‫اﻟﻮردي‬ •
‫اﻟﺜﺎﻧﻲ‬ ‫اﻟﻴﻮم‬ ‫اﻷﺻﻔﺮ‬ •
‫واﻟﻤﻌﻠﻮﻣﺎت‬ ‫ﺑﺎﻻﺳﻢ‬ ‫واﻣﻸﻫﺎ‬ ‫اﻟﺘﻌﺮﻳﻒ‬ ‫رﻗﻌﺔ‬ ‫ﺑﻔﺘﺢ‬ ‫ﻗﻢ‬ •
‫اﻟﻤﻄﻠﻮﺑﺔ‬ ‫اﻷﺧﺮى‬
‫ﻟﻠﺨﺎرج‬ ‫اﺳﺤﺒﻪ‬ ‫ﺛﻢ‬ ‫اﻟﻐﻼف‬ ‫ﻟﻒ‬ •
‫أﻋﻠﻰ‬ ‫اﻟﻔﺮﺷﺎة‬ ‫ﺑﺎﺳﺘﺨﺪام‬ ‫ﺑﺮﻓﻖ‬ ‫اﻟﺒﺮاز‬ ‫ﺳﻄﺢ‬ ‫اﺧﺪش‬ •
‫اﻟﻌﻴﻨﺎت‬ ‫أﺧﺬ‬ ‫أﻧﺒﻮب‬
‫ﻛﻤﺎ‬ ‫ﻟﻼﺧﺘﺒﺎر‬ ‫ﻛﺎﻓﻴﺔ‬ ‫وﻫﻲ‬ ‫ﺻﻐﻴﺮة‬ ‫اﻟﻤﻄﻠﻮﺑﺔ‬ ‫اﻟﻜﻤﻴﺔ‬ •
‫ﺑﺎﻟﺼﻮرة‬ ‫ﻣﺸﺎر‬
‫ﺗﺘﻮﻗﻒ‬ ‫ﺣﺘﻰ‬ ‫أدرﻫﺎ‬ ‫و‬ ‫اﻟﻔﺮﺷﺎة‬ ‫أدﺧﻞ‬ •
‫اﻟﻤﺮﻓﻖ‬ ‫اﻟﺒﻼﺳﺘﻴﻜﻲ‬ ‫اﻟﻜﻴﺲ‬ ‫ﻓﻲ‬ ‫اﻷﻧﺒﻮب‬ ‫ﺿﻊ‬ •
( ‫ﻣﺌﻮﻳﺔ‬ ‫درﺟﺔ‬ ٨-٢) ‫ﺑﺤﺮارة‬ ‫اﻟﺜﻼﺟﺔ‬ ‫ﻓﻲ‬ ‫اﻟﻌﻴﻨﺔ‬ ‫ﺗﺤﻔﻆ‬ •
‫ﻟﻠﻤﺨﺘﺒﺮ‬ ‫ﺗﺴﻠﻴﻤﻬﺎ‬ ‫ﻟﺤﻴﻦ‬
‫ﺗـﺤـﺬﻳـــﺮ‬
‫ﺑﻘﻮة‬‫اﻟﻔﺮﺷﺎة‬‫ﻻﺗﺪﺧﻞ‬
‫اﻹﻏﻼق‬ ‫ﺑﻌﺪ‬ ‫أﺧﺮى‬ ‫ﻣﺮة‬ ‫اﻷﻧﺒﻮب‬ ‫ﻻﺗﻔﺘﺢ‬
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01
‫اﻟﺤﻴﺾ‬ ‫ﻓﺘﺮة‬ ‫ﺧﻼل‬ ‫ﻋﻴﻨﺔ‬ ‫ﻻﺗﺄﺧﺬ‬ ‫ﻟﻠﺴﻴﺪات‬ •
‫اﻷﻃﻔﺎل‬ ‫ﻋﻦ‬ ً‫ﺑﻌﻴﺪا‬ ‫ﺑﺎﻟﻌﻴﻨﺎت‬ ‫اﺣﺘﻔﻆ‬ •
‫اﻟﻤﺴﺘﻘﻴﻢ‬ ‫و‬ ‫اﻟﻘﻮﻟﻮن‬ ‫ﺳﺮﻃﺎن‬

9. ‫اﻟﻤﺴﺘﻘﻴﻢ‬ ‫و‬ ‫اﻟﻘﻮﻟﻮن‬ ‫ﺳﺮﻃﺎن‬
:‫اﻟﻤـﺮاﺟـﻊ‬ ‫ﻣﺴــﺎر‬
‫اﻟﺘﻮﻋﻴﺔ‬
‫اﻷﺷﺨﺎص‬
‫اﻟﺨﻄﻮرة‬ ‫ذوي‬
‫اﻟﻤﻌﺘﺪﻟﺔ‬
‫ذوي‬ ‫اﻷﺷﺨﺎص‬
‫اﻟﻌﺎﻟﻴﺔ‬ ‫اﻟﺨﻄﻮرة‬
‫اﻻﺳﺘﻘﺒﺎل‬
‫اﻟﻄﺒﻴﺐ‬ ‫ﻋﻴﺎدة‬
‫ﻋﻮاﻣﻞ‬
‫اﻟﺨﻄﻮرة‬ ‫وﺗﻘﻴﻢ‬ ‫اﻟﻤﺮﺿﻲ‬ ‫اﻟﺘﺎرﻳﺦ‬ ‫اﺧﺬ‬ ‫ﻳﺘﻢ‬ ‫ﺣﻴﺚ‬
‫اﻟﺨﺎﺻﺔﺑﺴﺮﻃﺎن‬ ‫اﻟﺨﻄﻮرة‬ ‫ﻋﻮاﻣﻞ‬
‫واﻟﻤﺴﺘﻘﻴﻢ‬ ‫اﻟﻘﻮﻟﻮن‬
‫اﻟﺒﺮاز‬ ‫ﻣﻦ‬ ‫ﻋﻴﻨﺘﻴﻦ‬ ‫ﻃﻠﺐ‬ ‫ﻳﺘﻢ‬
‫اﻷﻗﻞ‬ ‫ﻋﻠﻰ‬ ‫ﺳﺎﻋﺔ‬ (٢٤) ‫ﺑﻔﺎﺻﻞ‬
‫اﻟﺒﺮاز‬ ‫ﻓﺤﺺ‬
‫اﻟﻤﻨﺎﻋﻲ‬
‫اﻟﻜﻴﻤﻴﺎﺋﻲ‬
(FIT)
‫ﻟﻠﺮﻋﺎﻳﺔ‬ ‫اﻹﺣﺎﻟﺔ‬
‫ﻹﺟﺮاء‬ ‫اﻟﺜﺎﻧﻮﻳﺔ‬
‫اﻟﻘﻮﻟﻮن‬ ‫ﻣﻨﻈﺎر‬
‫اﻟﻤﺨﺘﺒﺮ‬ ‫ﻓﻲ‬ ‫اﻟﻌﻴﻨﺎت‬ ‫اﺳﺘﻼم‬
‫ﺣﺮارة‬ ‫ﺑﺪرﺟﺔ‬ ‫ﺑﺎﻟﺜﻼﺟﺔ‬ ‫وﺣﻔﻈﻬﺎ‬
‫ﻳﺘﻢ‬ ‫أن‬ ‫إﻟﻰ‬ ‫ﻣﺌﻮﻳﺔ‬ (٨-٢) ‫ﺑﻴﻦ‬
‫اﻟﻤﺮﺟﻌﻲ‬ ‫ﺑﺎﻟﻤﺨﺘﺒﺮ‬ ‫ﺗﺤﻠﻴﻠﻬﺎ‬
‫اﻟﺜﺎﻧﻮﻳﺔ‬ ‫ﻟﻠﺮﻋﺎﻳﺔ‬ ‫اﻹﺣﺎﻟﺔ‬
‫اﻟﻘﻮﻟﻮن‬ ‫ﻣﻨﻈﺎر‬ ‫ﻹﺟﺮاء‬
(COLONOSCOPY)
‫اﻟﻔﺤﺺ‬ ‫إﻋﺎدة‬
‫ﺳﻨﺔ‬ ‫ﺑﻌﺪ‬
‫إﻳﺠﺎﺑﻴﺔ‬
‫ﺳﻠﺒﻴﺔ‬
‫إﻳﺠﺎﺑﻴﺔ‬
‫ﺳﻠﺒﻴﺔ‬
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‫اﻟﻌﻤﺮ‬
(‫ﺳﻨﺔ‬ ٧٥ – ٤٥)
‫أﻋﺮاض‬ ‫وﺟﻮد‬ ‫ﻋﺪم‬
‫ﺗﺎرﻳﺦ‬ ‫أو‬ ‫ﻟﻠﻤﺮض‬
‫ﻟﻺﺻﺎﺑﺔ‬ ‫ﻋﺎﺋﻠﻲ‬
‫اﻟﻘﻮﻟﻮن‬ ‫ﺑﺴﺮﻃﺎن‬
‫أو‬ ‫واﻟﻤﺴﺘﻘﻴﻢ‬
.‫اﻟﻠﺤﻤﻴﺔ‬ ‫اﻟﺰواﺋﺪ‬
‫ﻣﻦ‬ ‫اﻟﻨﺘﻴﺠﺔ‬ ‫ارﺳﺎل‬
‫ﻟﻠﻌﻴﺎدة‬ ‫اﻟﻤﺨﺘﺒﺮ‬
‫اﻟﻔﺤﺺ‬ ‫إﻋﺎدة‬
‫ﺳﻨﻮات‬ ٥ ‫ﺑﻌﺪ‬
‫ﻟﻠﻌﻼج‬ ‫اﻹﺣﺎﻟﺔ‬
‫إﻳﺠﺎﺑﻴﺔ‬
‫ﺳﻠﺒﻴﺔ‬
‫اﻟﻔﺤﺺ‬ ‫إﻋﺎدة‬
‫ﺳﻨﺔ‬ ‫ﺑﻌﺪ‬
‫اﻹﺣﺎﻟﺔ‬
‫ﻟﻠﻌﻼج‬
‫اﻷﻣﻌﺎء‬ ‫ﺑﺎﻟﺘﻬﺎب‬ ‫اﻹﺻﺎﺑﺔ‬
‫اﻟﺘﻬﺎب‬ ،‫ﻛﺮون‬ ‫)ﻣﺮض‬
(‫اﻟﺘﻘﺮﺣﻲ‬ ‫اﻟﻘﻮﻟﻮن‬
‫وراﺛﻴﺔ‬ ‫ﻣﺘﻼزﻣﺎت‬
(FAP، HNPCC)
‫اﻟﺴﺎﺑﻘﺔ‬ ‫اﻹﺻﺎﺑﺔ‬
‫اﻟﻘﻮﻟﻮن‬ ‫ﺑﺴﺮﻃﺎن‬
‫أو‬ ‫واﻟﻤﺴﺘﻘﻴﻢ‬
.‫اﻟﻠﺤﻤﻴﺔ‬ ‫اﻟﺰواﺋﺪ‬
‫ﻋﺎﺋﻠﻲ‬ ‫ﺗﺎرﻳﺦ‬
‫اﻟﻘﻮﻟﻮن‬ ‫ﺑﺴﺮﻃﺎن‬
‫واﻟﻤﺴﺘﻘﻴﻢ‬

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‫اﻟﻤﺰﻳﺪ‬ ‫ﺗﺠﺪ‬ ‫ﻫﻨﺎ‬
‫أﻋﺠــﺒﻚ‬ ‫ﻫـﻞ‬
‫اﻟﻤـﻠﻒ؟‬ ‫ﻫـﺬا‬