Page 8 - (کیهان لندن - سال سى و دوم ـ شماره ۵۳ (دوره جديد

‫ﺑﺪﻭﻥ ﺷﻤﺎﺭﺓ ﺻﻔﺤﻪ ‪ -‬ﺷﻤﺎﺭﻩ ‪53‬‬
‫ﺟﻤﻌﻪ ‪ 13‬ﺗﺎ ﭘﻨﺠﺸﻨﺒﻪ‪ 19‬ﻓﺮﻭﺭﺩﻳﻦﻣﺎﻩ ‪1395‬ﺧﻮﺭﺷﻴﺪﻯ‬

‫زنروز‬ ‫ﺯﻧﺎﻥ ﺷﺎﺧﺺ‬

‫ﺑﻴﺘﺎ ﺩﺭﻳﺎﺑﺎﺭﻯ‬

‫ﺍﻯ ﺧﻮﺷﺎ ﻣﺴﺘﺎﻧﻪ ﺳﺮ ﺩﺭ ﭘﺎﻯ ﺩﻟﺒﺮ ﺩﺍﺷﺘﻦ‬ ‫ﻫﻨﺮﻯ ﻭ ﻓﺮﻫﻨﮕﻰ ﺍﻳﺮﺍﻥ ﻛﺮﺩﻩ ﻛﻪ‬ ‫ﺑﻴﺘﺎ ﺩﺭﻳﺎﺑﺎﺭﻯ ﻣﺆﺳﺲ ﻣﺮﻛﺰ ﺑﺮﺍﺑﺮﻯ‬
‫ﻣﻰﺗﻮﺍﻥ ﺍﺯ ﻣﻬﻤﺘﺮﻳﻦ ﺁﻧﻬﺎ ﺑﻪ ﺗﺄﺳﻴﺲ‬ ‫ﭘﺎﺭﺱ )‪ (Pars equality center‬ﻭ‬
‫ﺩﻝ ﺗﻬﻰ ﺍﺯ ﺧﻮﺏ ﻭ ﺯﺷﺖ ﭼﺮﺥ ﺍﺧﻀﺮ ﺩﺍﺷﺘﻦ‬ ‫ﻣﺮﻛﺰ ﻣﻄﺎﻟﻌﺎﺕ ﺍﻳﺮﺍﻧﺸﻨﺎﺳﻰ ﺩﺍﻧﺸﮕﺎﻩ‬ ‫ﺣﺎﻣﻰ ﻣﺎﻟﻰ ﭘﺮﻭژﻩﻫﺎﻯ ﺍﻳﺮﺍﻧﺸﻨﺎﺳﻰ‬
‫ﺍﺳﺘﻨﻔﻮﺭﺩ‪ ،‬ﺗﺄﺳﻴﺲ ﺟﺎﻳﺰﻩ ﺍﺩﺑﻰ ﺑﻴﺘﺎ‬
‫ﻧﺰﺩ ﺷﺎﻫﻴﻦ ﻣﺤﺒﺖ ﺑﻰ ﭘﺮ ﻭ ﺑﺎﻝ ﺁﻣﺪﻥ‬ ‫ﺍﺳﺘﻔﺎﺩﻩ ﺍﺯ‬ ‫ﺩﺭ ﺳﺎﻝ ‪ 2008‬ﻭ ﻫﻤﭽﻨﻴﻦ ﺣﻤﺎﻳﺖ ﺍﺯ‬ ‫ﺩﺍﻧﺸﮕﺎﻩ ﺍﺳﺘﻨﻔﻮﺭﺩ ﻭ ﻛﻤﺒﺮﻳﺞ ﺍﺳﺖ‪.‬‬
‫ﭘﻴﺶ ﺑﺎﺯ ﻋﺸﻖ ﺁﺋﻴﻦ ﻛﺒﻮﺗﺮ ﺩﺍﺷﺘﻦ‬ ‫ﺍﺛﺮﺍﻧﮕﺸﺖﺩﺭﺯﻣﻴﻨﻪﻫﺎﻯﻣﺨﺘﻠﻒ‬ ‫ﺑﺮﮔﺰﺍﺭﻯ ﻧﻤﺎﻳﺸﮕﺎﻩ ﺷﺎﻩ ﻋﺒﺎﺱ ﺩﺭ ﻣﻮﺯﻩ‬ ‫ﺧﺎﻧﻢ ﺩﺭﻳﺎﺑﺎﺭﻯ ﺩﺭ ‪ 16‬ﺳﺎﻟﮕﻰ ﺍﻳﺮﺍﻥ‬
‫ﺭﺍ ﺑﻪ ﻣﻨﻈﻮﺭ ﺗﺤﺼﻴﻞ ﺩﺭ ﺭﺷﺘﻪﻫﺎﻯ‬
‫ﺁﺏ ﺣﻴﻮﺍﻥ ﻳﺎﻓﺘﻦ ﺑﻴﺮﻧﺞ ﺩﺭ ﻇﻠﻤﺎﺕ ﺩﻝ‬ ‫ﺑﺮﻳﺘﺎﻧﻴﺎ ﺩﺭ ﻟﻨﺪﻥ ﺍﺷﺎﺭﻩ ﻛﺮﺩ‪.‬‬ ‫ﻛﺎﻣﭙﻴﻮﺗﺮﻯ ﺩﺭ ﺁﻣﺮﻳﻜﺎ ﺗﺮﻙ ﻛﺮﺩ ﻭ‬
‫ﺍﻭ ﺑﻨﻴﺎﺩ ﺑﺮﺍﺑﺮﻯ ﭘﺎﺭﺱ ﺭﺍ ﺩﺭ ‪ 2010‬ﺩﺭ‬ ‫ﭘﺲ ﺍﺯ ﭘﺎﻳﺎﻥ ﺗﺤﺼﻴﻼﺕ ﺩﺭ ﺭﺷﺘﻪ ﻋﻠﻮﻡ‬
‫ﭘﺮﻭﻳﻦ ﺍﻋﺘﺼﺎﻣﻰ‬ ‫ﺯﺍﻥ ﻫﻤﻰ ﻧﻮﺷﻴﺪﻥ ﻭ ﻳﺎﺩ ﺳﻜﻨﺪﺭ ﺩﺍﺷﺘﻦ‬ ‫ﺑﻪ ﺗﺎﺯﮔﻰ ﺑﺎ ﺍﺳﺘﻔﺎﺩﻩ ﺍﺯ ﺍﺛﺮﺍﻧﮕﺸﺖ ﻣﻰﺗﻮﺍﻥ ﺟﻨﺴﻴﺖ‬ ‫ﺟﻬﺖ ﺣﻤﺎﻳﺖ ﺍﺯ ﺁﻣﺮﻳﻜﺎﻳﻰﻫﺎﻯ ﺍﻳﺮﺍﻧﻰ‬ ‫ﻛﺎﻣﭙﻴﻮﺗﺮﻯ ﻓﻌﺎﻟﻴﺖﻫﺎﻯ ﺣﺮﻓﻪﺍﻯ ﺧﻮﺩ‬
‫ﺍﺯ ﺑﺮﺍﻯ ﺳﻮﺩ‪ ،‬ﺩﺭ ﺩﺭﻳﺎﻯ ﺑﻰ ﭘﺎﻳﺎﻥ ﻋﻠﻢ‬ ‫ﺍﻓﺮﺍﺩ ﺭﺍ ﺣﺪﺱ ﺯﺩ ﻭ ﺍﻳﻦ ﺍﻣﺮ ﺩﺭ ﭘﻴﺸﮕﻴﺮﻯ ﺍﺯ ﺑﺮﻭﺯ ﺟﻨﺎﻳﺎﺕ‬ ‫ﺍﻻﺻﻞ ﺷﺎﻣﻞ ﻣﻬﺎﺟﺮﻳﻦ‪ ،‬ﭘﻨﺎﻫﻨﺪﮔﺎﻥ ﻭ‬ ‫ﺭﺍ ﺩﺭ ﺯﻣﻴﻨﻪ ﻓﻨﺎﻭﺭﻯ ﻭ ﺍﺭﺗﺒﺎﻃﺎﺕ ﺩﻧﺒﺎﻝ‬
‫ﻋﻘﻞ ﺭﺍ ﻣﺎﻧﻨﺪ ﻏﻮﺍﺻﺎﻥ‪ ،‬ﺷﻨﺎﻭﺭ ﺩﺍﺷﺘﻦ‬ ‫ﻭ ﺑﺰﻫﻜﺎﺭﻯ ﻫﺎ ﺑﺴﻴﺎﺭ ﻣﻔﻴﺪ ﻣﻮﺛﺮ ﺧﻮﺍﻫﺪﺑﻮﺩ ﻣﺤﻘﻘﻴﻦ ﺍﺯ ﻃﺮﻳﻖ ﺍﺛﺮ‬ ‫ﻛﺴﺎﻧﻰ ﻛﻪ ﺩﺭ ﺁﻣﺮﻳﻜﺎ ﺑﻪ ﺩﻧﻴﺎ ﺁﻣﺪﻧﺪ‪،‬‬
‫ﺩﺭ ﮔﻠﺴﺘﺎﻥ ﻫﻨﺮ ﭼﻮﻥ ﻧﺨﻞ ﺑﻮﺩﻥ ﺑﺎﺭﻭﺭ‬ ‫ﺍﻧﮕﺸﺖ ﺑﻪ ﻛﺸﻔﻴﺎﺕ ﺟﺎﻟﺒﻰ ﺩﺳﺖ ﻳﺎﻓﺘﻪ ﺍﻧﺪ‪ .‬ﻣﺠﺮﻳﺎﻥ ﻗﺎﻧﻮﻥ ﺑﻪ ﻣﺪﺕ‬ ‫ﻭ ﺩﺭ ﺟﻬﺖ ﺣﻤﺎﻳﺖ ﺍﺯ ﺁﻧﻬﺎ ﺩﺭ ﺟﺎﻣﻌﻪ‬ ‫ﻛﺮﺩ‪.‬‬
‫ﻋﺎﺭ ﺍﺯ ﻧﺎﭼﻴﺰﻯ ﺳﺮﻭ ﻭ ﺻﻨﻮﺑﺮ ﺩﺍﺷﺘﻦ‬ ‫ﻃﻮﻻﻧﻰ ﺑﺮﺍﺳﺘﻔﺎﺩﻩ ﺍﺯ ﺍﺛﺮ ﺍﻧﮕﺸﺖ ﺑﻪ ﻋﻨﻮﺍﻥ ﺍﺑﺰﺍﺭﻯ ﺑﺮﺍﻯ ﺩﺳﺘﮕﻴﺮﻯ ﻣﺠﺮﻣﺎﻥ‬ ‫ﺩﺭ ﺳﺎﻝ ‪ ،2008‬ﺑﻴﺘﺎ ﺩﺭﻳﺎﺑﺎﺭﻯ ﺑﺎ‬
‫ﺗﻜﻴﻪ ﺩﺍﺷﺘﻨﺪ ‪ .‬ﺍﻣﺎ ﺑﺮﺍﻯ ﺍﻳﻦ ﺭﻭﺵ ﺷﻨﺎﺳﺎﻳﻰ ﺑﺎﻳﺪ ﺳﺎﺑﻘﻪ ﻭ ﭘﻴﺸﻴﻨﻪ ﺍﻳﻰ ﺍﺯﻫﻮﻳﺖ‬ ‫ﺁﻣﺮﻳﻜﺎﻳﻰ ﺗﺄﺳﻴﺲ ﻛﺮﺩ‪.‬‬ ‫ﻧﺎﻣﻪ ﻧﮕﺎﺭﻯ ﺑﺎ ﺩﺍﻧﺸﮕﺎﻩ ﺍﺳﺘﻔﻮﺭﺩ‪ ،‬ﺍﻭ ﻧﻪ‬
‫ﺍﺯ ﻣﺲ ﺩﻝ ﺳﺎﺧﺘﻦ ﺑﺎ ﺩﺳﺖ ﺩﺍﻧﺶ ﺯﺭ ﻧﺎﺏ‬ ‫ﺷﺨﺺ ﻭﺟﻮﺩ ﺩﺍﺷﺘﻪ ﺑﺎﺷﺪ ‪ .‬ﺑﺪﻭﻥ ﺍﻳﻦ ﺍﻃﻼﻋﺎﺕ ﺍﻳﻦ ﻧﺸﺎﻧﻪ ﻫﺎ ﻭ ﻋﻼﻣﺖﻫﺎﻯ ﺑﻪ‬ ‫ﺗﻨﻬﺎ ﺣﺎﻣﻰ ﻣﺎﻟﻰ ﺍﺳﺘﺨﺪﺍﻡ ﺍﺳﺘﺎﺩ ﺗﻤﺎﻡ‬
‫ﻋﻠﻢ ﻭ ﺟﺎﻥ ﺭﺍ ﻛﻴﻤﻴﺎ ﻭ ﻛﻴﻤﻴﺎﮔﺮ ﺩﺍﺷﺘﻦ‬ ‫ﺩﺳﺖ ﺁﻣﺪﻩ ﻭ ﻣﺸﺨﺺ ﻛﺎﺭﺁﻣﺪ ﻧﺨﻮﺍﻫﻨﺪ ﺑﻮﺩ ‪.‬ﺍﺧﻴﺮﺍ ﻣﺤﻘﻘﺎﻧﻰ ﺍﺯ ﺩﺍﻧﺸﮕﺎﻩ ﺁﻟﺒﺎﻧﻰ ﺩﺭﺻﺪﺩ‬ ‫ﻭﻗﺖ ﺍﺩﺑﻴﺎﺕ ﻓﺎﺭﺳﻰ ﺷﺪ‪ ،‬ﺑﻠﻜﻪ ﺑﻮﺩﺟﻪ‬
‫ﻣﺎﻟﻰ ﻣﺮﻛﺰ ﭘﮋﻭﻫﺶ ﺍﻳﺮﺍﻧﺸﻨﺎﺳﻰ‬
‫ﺑﺮﺍﻯ ﻛﻨﻔﺮﺍﻧﺲﻫﺎ‪ ،‬ﺗﺪﺭﻳﺲ ﺯﺑﺎﻥ‬
‫ﻓﺎﺭﺳﻰ ﺑﺮﺍﻯ ﺗﻤﺎﻡ ﻣﺮﺍﺣﻞ ﺗﺨﺼﺺ ﻭ‬
‫ﻫﻤﭽﻨﻴﻦ ﺍﻋﻄﺎﻯ ﺟﻮﺍﻳﺰ ﺳﺎﻻﻧﻪ ﺑﻴﺘﺎ ﺑﻪ‬

‫ﻧﻮﻳﺴﻨﺪﮔﺎﻥ ﻓﺎﺭﺳﻰ ﺯﺑﺎﻥ ﺑﻮﺩ‪.‬‬
‫ﺩﺭﻳﺎﺑﺎﺭﻯ ﻣﺒﻠﻐﻰ ﺑﻴﺶ ﺍﺯ ‪ 2‬ﻣﻴﻠﻴﻮﻥ‬
‫ﺩﻻﺭ ﺑﻪ ﺑﺨﺶ ﺷﺎﻫﻨﺎﻣﻪ ﺩﺍﻧﺸﻜﺪﻩ‬
‫»ﭘﻤﺒﺮﻭﻙ« ﺩﺍﻧﺸﮕﺎﻩ ﻛﻤﺒﺮﻳﺞ ﺩﺭ‬
‫ﺍﻧﮕﻠﺴﺘﺎﻥ ﻛﻤﻚ ﻛﺮﺩ‪.‬ﺍﻭ ﺗﺎ ﺑﻪ ﺣﺎﻝ‬
‫ﻛﻤﻚﻫﺎﻯ ﻣﺘﻌﺪﺩﻯ ﺑﻪ ﻓﻌﺎﻟﻴﺖﻫﺎﻯ‬

‫ﻫﺴﺘﻨﺪ ﺗﺎ ﺑﺎ ﻳﻚ ﺭﻭﺵ ﺟﺪﻳﺪ ﺗﺮﻛﻴﺐ ﺷﻴﻤﻴﺎﻳﻰ ﺍﺛﺮ ﺍﻧﮕﺸﺖ ﺭﺍ ﺗﺠﺰﻳﻪ ﻭ ﺗﺤﻠﻴﻞ ﻛﻨﻨﺪ‬ ‫ﺑﻮﺗﺎﮐﺲ ﮐﺮدن و اﯾﻦ آﺳﯿﺐ ﻫﺎ‬

‫ﺗﺎ ﺟﻨﺴﻴﺖ ﺻﺎﺣﺐ ﺁﻥ ﺍﺛﺮ ﺍﻧﮕﺸﺖ ﻣﺸﺨﺺ ﺷﻮﺩ ‪ .‬ﺍﻳﻦ ﺭﻭﺵ ﻣﻘﺪﺍﺭ ﺍﺳﻴﺪ ﺁﻣﻴﻨﻪ ﻭﻇﻴﻔﻪ ﭘﺮﺳﺘﺎﺭ ﺩﺭ ﺟﺮﺍﺣﻰ ﮔﻮﺵ‬
‫ﺩﺭ ‪ DNA‬ﺍﺛﺮ ﺍﻧﮕﺸﺖ ﺑﺎﻗﻰ ﻣﺎﻧﺪﻩ ﺭﺍ ﺗﺠﺰﻳﻪ ﻭ ﺗﺤﻠﻴﻞ ﻣﻰﻛﻨﺪ‪.‬ﻫﻤﺎﻧﻄﻮﺭ ﻛﻪ ﺩﻛﺘﺮ‬
‫‪ Jan Halamek‬ﺍﺳﺘﺎﺩ ﺷﻴﻤﻰ ﺩﺭ ﺩﺍﻧﺸﮕﺎﻩ ﻭ ﻫﻤﻜﺎﺭﺍﻧﺶ ﺩﺭ ﻣﺠﻠﻪ ﺗﺠﺰﻳﻪ ﺷﻴﻤﻰ‬
‫ﺟﻨﺒﻪ ﻣﻮﻗﺘﻰ ﺩﺍﺭﺩ‪ .‬ﻣﻰ ﺗﻮﺍﻥ ﺍﺯ‬ ‫ﺑﻮﺳﻴﻠﻪ ﻣﺤﻠﻮﻝ ﺁﻧﺘﻰ ﺑﻴﻮﺗﻴﻜﻰ ﺁﻏﺸﺘﻪ‬ ‫)‪ (Analytical Chemistry‬ﻧﻮﺷﺘﻨﺪ ﻛﻪ ﺍﺯﻃﺮﻳﻖ ﻋﺮﻕ ﺑﺎﻗﻰ ﻣﺎﻧﺪﻩ ﺗﻐﻴﻴﺮﺍﺕ‬ ‫ﻛﺴﺎﻧﻰ ﻛﻪ ﻣﺒﺘﻼ ﺑﻪ ﻓﻠﺞ ﻋﻀﻼﺕ‬ ‫ﺍﻣﺮﻭﺯﻩ ﻣﺪ ﺷﺪﻩ ﺑﺴﻴﺎﺭﻯ ﺍﺯ ﺩﺧﺘﺮﺧﺎﻧﻢ‬
‫ﺩﺍﺭﻭﻫﺎﻯ ﺿﺪ ﺗﻬﻮﻉ ﻳﺎ ﺿﺪ ﺳﺮﮔﻴﺠﻪ‬ ‫ﺷﻮﻧﺪ‪ .‬ﺑﺮﺍﻯ ﭘﻴﺸﮕﻴﺮﻯ ﺍﺯ ﻋﻔﻮﻧﺖ‪ ،‬ﺍﺯ‬ ‫ﻫﺴﺘﻨﺪ ﻳﺎ ﻋﻔﻮﻧﺖ ﻓﻌﺎﻝ ﺩﺭ ﻣﺤﻞ ﺩﺍﺭﻧﺪ‬ ‫ﻫﺎ ﻭ ﺣﺘﻰ ﭘﺴﺮﻫﺎﻯ ﻛﻢ ﺳﻦ ﻭ ﺳﺎﻝ‬
‫ﺍﺳﺘﻔﺎﺩﻩ ﻛﺮﺩ‪ .‬ﺑﻴﻤﺎﺭ ﺑﺎﻳﺪ ﺩﺭﺑﺎﺭﻩ‬ ‫ﺁﻧﺘﻰ ﺑﻴﻮﺗﻴﻜﻬﺎ ﺑﺼﻮﺭﺕ ﭘﺮﻭﻓﻴﻼﻛﺴﻰ‬ ‫ﻇﺮﻳﻒ ﺩﺭ ﻣﺤﺘﻮﺍﻯ ﺍﺳﻴﺪ ﺁﻣﻴﻨﻪ ﺑﻴﻦ ﺯﻥ ﻭ ﻣﺮﺩ ﺭﺍ ﺗﺠﺰﻳﻪ ﻭ ﺗﺤﻠﻴﻞ ﻣﻰ ﻛﻨﻨﺪ‬ ‫ﻳﺎ ﺑﻪ ﺁﻟﺮژﻯ ﻫﺎﻯ ﻓﻌﺎﻝ ﻣﺒﺘﻼ ﻫﺴﺘﻨﺪ‪،‬‬ ‫ﺑﺮﺍﻯ ﺗﺰﺭﻳﻖ ﺑﻮﺗﺎﻛﺲ ﻣﺮﺍﺟﻌﻪ ﻣﻰ‬
‫ﺍﺛﺮﺍﺕ ﻣﻔﻴﺪ ﺩﺍﺭﻭ ﻭ ﻋﻮﺍﺭﺽ ﺟﺎﻧﺒﻰ‬ ‫ﺍﺳﺘﻔﺎﺩﻩ ﻣﻰ ﺷﻮﺩ ﺑﻪ ﺑﻴﻤﺎﺭ ﺁﻣﻮﺯﺵ‬ ‫ﻛﻨﻨﺪ ﻭ ﺗﻮﺟﻴﻪ ﺷﺎﻥ ﺍﻳﻦ ﺍﺳﺖ ﻛﻪ ﺍﮔﺮ‬
‫ﺁﻥ ﺁﻣﻮﺯﺵ ﺩﺍﺩﻩ ﺷﻮﺩ‪ .‬ﻣﻌﻴﺎﺭﻫﺎﻯ‬ ‫ﺩﺍﺩﻩ ﻣﻰ ﺷﻮﺩ ﻛﻪ ﺗﺎ ‪ 6‬ﻫﻔﺘﻪ ﺑﻌﺪ ﺍﺯ‬ ‫‪.‬ﺑﻪ ﻭﻳﮋﻩ ﺁﻥ ﻫﺎ ﺍﺷﺎﺭﻩ ﺩﺍﺷﺘﻨﺪ ﻛﻪ ﺯﻧﺎﻥ ﻧﺴﺒﺖ ﺑﻪ ﻣﺮﺩﺍﻥ ﻣﻌﻤﻮﻻ ﺩﻭﺑﺮﺍﺑﺮ‬ ‫ﺗﺰﺭﻳﻖ ﺑﻮﺗﺎﻛﺲ ﻣﻤﻨﻮﻉ ﺍﺳﺖ‪.‬‬ ‫ﺑﺎ ‪ 6-5‬ﺑﺎﺭ ﺯﺩﻥ ﺑﻮﺗﺎﻛﺲ ﻋﻀﻼﺕ ﻓﻠﺞ‬
‫ﺍﻳﻤﻨﻰ ﻧﻈﻴﺮ ﻛﻤﻚ ﺑﻪ ﺑﻴﻤﺎﺭ ﺩﺭ ﺣﻴﻦ‬ ‫ﻋﻤﻞ‪ ،‬ﺍﺯ ﻭﺭﻭﺩ ﺁﺏ ﺩﺭ ﻛﺎﻧﺎﻝ ﮔﻮﺵ‬ ‫ﺑﻪ ﻫﺮ ﺣﺎﻝ ﺑﻮﺗﺎﻛﺲ ﻧﻮﻋﻰ ﺳﻢ ﺍﺳﺖ‬ ‫ﻣﻰ ﺷﻮﺩ ﻭ ﭼﺮﻭﻙ ﻧﺨﻮﺍﻫﺪ ﺍﻓﺘﺎﺩ‪ ،‬ﭼﺮﺍ‬
‫ﺣﺮﻛﺖ‪ ،‬ﺑﺮﺍﻯ ﭘﻴﺸﮕﻴﺮﻯ ﺍﺯ ﺳﻘﻮﻁ‬ ‫ﺑﻴﺸﺘﺮ ﺍﺳﻴﺪ ﺁﻣﻴﻨﻪ ﺍﺯ ﺧﻮﺩ ﺑﺎﻗﻰ ﻣﻰﮔﺬﺍﺭﻧﺪ ﻭ ﺑﻪ ﻭﺿﻮﺡ ﺩﺭ ﻭﺟﻮﺩ ﻭ‬ ‫ﻭ ﺍﺣﺘﻤﺎﻝ ﺩﺍﺭﺩ ﺑﻪ ﺟﻨﻴﻦ ﺑﺮﺳﺪ‪ .‬ﻭﻗﺘﻰ‬ ‫ﺻﺒﺮ ﻛﻨﻴﻢ ﺗﺎ ﭼﺮﻭﻙ ﻫﺎ ﻇﺎﻫﺮ ﺷﻮﻧﺪ؟‬
‫ﺟﻠﻮﮔﻴﺮﻯ ﻛﻨﺪ‪.‬‬ ‫ﻓﺮﺩﻯ ﺑﻪ ﺑﻮﺗﺎﻛﺲ ﺣﺴﺎﺳﻴﺖ ﻧﺸﺎﻥ ﻣﻰ‬ ‫ﻧﻈﺮ ﺷﻤﺎ ﭼﻴﺴﺖ؟ ﺗﺰﺭﻳﻖ ﺑﻮﺗﺎﻛﺲ ﺍﺯ‬
‫ﺑﻴﻤﺎﺭ ﺍﺟﺮﺍ ﻣﻰ ﺷﻮﻧﺪ‪.‬‬ ‫ﺑﺮﺍﻯ ﭘﻴﺸﮕﻴﺮﻯ ﺍﺯ ﺁﻟﻮﺩﮔﻰ ﻧﺎﺷﻰ‬ ‫ﺑﻮﺗﺎﻛﺲ ﭘﺨﺶ ﺍﺳﻴﺪ ﺁﻣﻴﻨﻪ ﺍﺯ ﺯﻧﺎﻥ ﻭ ﻣﺮﺩﺍﻥ ﺗﻔﺎﻭﺕ ﻫﺎﻳﻰ ﻭﺟﻮﺩ ﺩﺍﺭﺩ‬ ‫ﺩﻫﺪ‪ ،‬ﺑﻪ ﺍﻳﻦ ﻣﻌﻨﻰ ﺍﺳﺖ ﻛﻪ ﺁﻧﺘﻴﮋﻥ‬
‫ﺍﺯ ﺁﺏ ﻳﻚ ﺗﻜﻪ ﭘﻨﺒﻪ ﻳﺎ ﭘﺎﺭﭼﻪ‬ ‫ﺯﺩﻥ ﺭﺍ ﺑﻰ ‪.‬ﺍﻳﻦ ﺭﻭﺵ ﺑﻪ ﻋﻨﻮﺍﻥ ﺟﺎﻳﮕﺰﻳﻨﻰ ﺑﺮﺍﻯ ﺗﻜﻨﻴﻚ ﻫﺎﻯ ﺍ ﻃﻼ ﻋﺎ ﺗﻰ‬ ‫ﺍﻳﻦ ﺳﻢ ﻭﺍﺭﺩ ﻣﻮﻳﺮگ ﻫﺎﻯ ﺭﻳﺰ ﺧﻮﻧﻰ‬ ‫ﺳﻨﻴﻦ ﭘﺎﻳﻴﻦ ﺩﺭﺳﺖ ﺍﺳﺖ؟‬
‫ﭘﻴﺸﮕﻴﺮﻯ ﺍﺯ ﺍﺧﺘﻼﻝ ﺣﺲ‪-‬‬ ‫ﭘﺸﻤﻰ ﺑﻪ ژﻟﻪ ﭘﺘﺮﻭﻻﺗﻮﻡ ﺁﻏﺸﺘﻪ‬ ‫ﻣﻮﺭﺩ ﺩﺍﻧﺴﺘﻴﻢ‪ ،‬ﻣﺮﺳﻮﻡ ﺗﺸﺨﻴﺺ ﻫﻮﻳﺖ ﺑﻪ ﻛﺎﺭ ﮔﺮﻓﺘﻪ ﻛﻪ ﺟﺮﺍﺝ ﮔﻮﺵ‬ ‫ﺷﺪﻩ ﻭ ﻭﺍﻛﻨﺶ ﻫﺎﻯ ﭘﻮﺳﺘﻰ ﻧﺸﺎﻥ‬ ‫ﺗﺰﺭﻳﻖ ﺑﻮﺗﺎﻛﺲ ﺭﺍ ﻣﻰ ﺗﻮﺍﻥ ﺍﺯ ‪18‬‬
‫ﻛﺮﺩﻩ ﻭ ﺩﺭ ﻛﺎﻧﺎﻝ ﮔﻮﺵ ﻗﺮﺍﺭ ﺩﺍﺩﻩ‬ ‫ﻧﻤﻰﺷﻮﺩ ‪.‬‬ ‫ﺩﺭ ﺳﺎﻟﻤﻨﺪﻯ ﻫﻢ‬ ‫ﺩﺍﺩﻩ ﺍﺳﺖ‪ .‬ﺍﻳﻦ ﺍﺣﺘﻤﺎﻝ ﻭﺟﻮﺩ ﺩﺍﺭﺩ ﻛﻪ‬ ‫ﺳﺎﻟﮕﻰ ﺷﺮﻭﻉ ﻛﺮﺩ؛ ﻳﻌﻨﻰ ﺑﻌﺪ ﺍﺯ ﺍﻳﻦ‬
‫ﺍﺩﺭﺍﻛﻰ‬ ‫ﻣﻰ ﺷﻮﺩ‪ .‬ﺗﺎ ﺩﻭ ﺭﻭﺯ ﻣﺤﻞ ﺑﺮﺵ‬ ‫ﺩﺭﺑﺎﺭﻩ ﺁﻧﻬﺎ ﺑﺎ ﺑﻴﻤﺎﺭ‬ ‫ﺁﻧﺘﻰ ﺑﺎﻳﺪ ﻫﺎ ﺑﻌﺪ ﺍﺯ ﺗﺰﺭﻳﻖ ﺑﻮﺗﺎﻛﺲ‬ ‫ﺳﻦ ﻣﻤﻨﻮﻋﻴﺖ ﺗﺰﺭﻳﻖ ﻧﺪﺍﺭﻳﻢ ﺍﻣﺎ‬
‫ﺁﺳﻴﺐ ﺑﻪ ﻋﺼﺐ ﺻﻮﺭﺗﻰ ﻳﻚ ﻋﺎﺭﺿﻪ‬ ‫ﺟﺮﺍﺣﻰ‪ ،‬ﺧﺸﻚ ﻧﮕﻬﺪﺍﺷﺘﻪ ﻣﻰ‬ ‫ﺑﻮﺗﺎﻛﺲ ﺑﻪ ﺗﻨﻬﺎﻳﻰ ﺍﺛﺮﺑﺨﺶ‬ ‫ﻓﻌﺎﻝ ﺷﻮﻧﺪ ﻭ ﺑﻪ ﺟﻨﻴﻦ ﺁﺳﻴﺐ ﺑﺮﺳﺪ‪.‬‬ ‫ﺗﺰﺭﻳﻖ ﺑﻮﺗﺎﻛﺲ ﺍﺯ ﺍﻳﻦ ﺳﻦ ﺗﻮﺻﻴﻪ‬
‫ﺍﺣﺘﻤﺎﻟﻰ ﺍﻣﺎ ﻧﺎﺩﺭ ﭘﺲ ﺍﺯ ﺟﺮﺍﺣﻰ‬ ‫ﺷﻮﺩ‪ .‬ﻋﻼﺋﻢ ﻋﻔﻮﻧﺖ ﺍﺯ ﻗﺒﻴﻞ ﺍﻓﺰﺍﻳﺶ‬ ‫ﺑﺤﺚ ﻣﻰ ﻛﻨﺪ ﺷﺎﻣﻞ ﺑﻴﻬﻮﺷﻰ‪،‬‬ ‫ﻧﻤﻰ ﺷﻮﺩ‪ .‬ﺍﺳﺘﻔﺎﺩﻩ ﺍﺯ ﺑﻮﺗﺎﻛﺲ ﺑﺮﺍﻯ‬
‫ﻣﺎﺳﺘﻮﺋﻴﺪ ﺍﺳﺖ‪ .‬ﺑﻪ ﺑﻴﻤﺎﺭ ﺁﻣﻮﺯﺵ‬ ‫ﺩﺭﺟﻪ ﺣﺮﺍﺭﺕ ﻭ ﺗﺮﺷﺢ ﭼﺮﻛﻰ ﺑﺎﻳﺪ‬ ‫ﻧﻴﺴﺖ ﻭ ﻛﻤﻜﻰ ﺑﻪ ﺭﻓﻊ ﭼﺮﻭﻙ ﻫﺎﻯ ﻣﻮﺿﻊ ﺑﺮﺵ )ﭘﺸﺖ ﮔﻮﺷﻰ( ﻭ ﻧﺘﺎﻳﺞ‬ ‫ﻛﺴﺎﻧﻰ ﻛﻪ ﺑﻪ ﺑﻴﻤﺎﺭﻯ ﻫﺎﻯ ﻧﻘﺾ‬ ‫ﺟﻮﺍﻧﺴﺎﺯﻯ ﭼﻴﺰﻯ ﻧﻴﺴﺖ ﻛﻪ ﺑﺎ‬
‫ﺩﺍﺩﻩ ﻣﻰ ﺷﻮﺩ ﻛﻪ ﺷﻮﺍﻫﺪ ﺿﻌﻒ‬ ‫ﺑﻪ ﭘﺰﺷﻚ ﮔﺰﺍﺭﺵ ﮔﺮﺩﺩ‪ .‬ﻣﻘﺪﺍﺭﻯ‬ ‫ﻋﻤﻘﻰﻧﻤﻰﻛﻨﺪ‪.‬ﺍﻳﻦﺍﻓﺮﺍﺩﺑﺎﻳﺪﺑﻪﻛﻤﻚ ﻣﻮﺭﺩ ﻧﻈﺮ ﺑﺮﺍﻯ ﺟﺮﺍﺣﻰ )ﺷﻨﻮﺍﻳﻰ‪،‬‬ ‫ﺳﻴﺴﺘﻢ ﺍﻳﻤﻨﻰ ﻣﺒﺘﻼ ﻫﺴﺘﻨﺪ ﻫﻢ‬ ‫ﺗﻮﺟﻪ ﺑﻪ ﻋﻮﺍﺭﺿﻰ ﻛﻪ ﺩﺍﺭﺩ ﺑﺘﻮﺍﻥ ﺑﻪ‬
‫ﻋﺼﺐ ﺻﻮﺭﺗﻰ ﺍﺯ ﺟﻤﻠﻪ ﺍﻓﺘﺎﺩﮔﻰ‬ ‫ﺳﺎﻳﺮ ﺩﺭﻣﺎﻥ ﻫﺎ‪ ،‬ﺍﻓﺘﺎﺩﮔﻰ ﻫﺎ ﺭﺍ ﺩﺭﻣﺎﻥ ﺗﻌﺎﺩﻝ‪ ،‬ﭼﺸﺎﻳﻰ‪ ،‬ﺣﺮﻛﺎﺕ ﺻﻮﺭﺕ( ﻣﻰ‬ ‫ﻫﺮ ﻫﺮ ﻛﺴﻰ ﭘﻴﺸﻨﻬﺎﺩ ﺩﺍﺩ‪ .‬ﻛﺴﺎﻧﻰ‬
‫ﺩﻫﺎﻥ ﺩﺭ ﻃﺮﻑ ﻋﻤﻞ ﺷﺪﻩ ﺭﺍ ﻓﻮﺭﺍ‬ ‫ﻛﻨﻨﺪ‪ .‬ﻟﻴﺰﺭ‪ ،‬ﺭﺍﻳﻮﻓﺮﻛﻮﺋﻨﻴﺲ‪ ،‬ﻛﺮﻡ ﻫﺎﻯ ﺑﺎﺷﻨﺪ‪ .‬ﻫﻤﭽﻨﻴﻦ ﺑﻴﻤﺎﺭ ﺗﺸﻮﻳﻖ ﻣﻰ‬ ‫ﻧﺒﺎﻳﺪ ﺑﻮﺗﺎﻛﺲ ﺑﺰﻧﻨﺪ؟‬ ‫ﺑﺎﻳﺪ ﺑﻮﺗﺎﻛﺲ ﺑﺰﻧﻨﺪ ﻛﻪ ﻭﺍﻗﻌﺎ ﺑﻪ ﺁﻥ‬
‫ﻣﻮﺿﻌﻰ‪ ،‬ژﻝ ﻭ ﭘﺮﻛﻨﻨﺪﻩ ﻫﺎ ﻭ ﺩﺭ ﻧﻬﺎﻳﺖ ﺷﻮﺩ ﻛﻪ ﻫﺮ ﮔﻮﻧﻪ ﺍﺿﻄﺮﺍﺏ ﻭ ﻧﮕﺮﺍﻧﻰ‬ ‫ﻧﻴﺎﺯ ﺩﺍﺭﻧﺪ‪ .‬ﺗﺰﺭﻳﻖ ﺑﻮﺗﺎﻛﺲ ﺑﺮﺍﻯ‬
‫ﺑﻮﺗﺎﻛﺲ ﺩﺭ ﺍﻳﻦ ﺳﻦ ﺩﺭ ﻛﻨﺎﺭ ﻫﻢ ﺑﻪ ﺧﻮﺩ ﺭﺍ ﺩﺭ ﻣﻮﺭﺩ ﺟﺮﺍﺣﻰ ﺑﻴﺎﻥ ﻛﻨﺪ‪.‬‬ ‫ﺑﻠﻪ‪ ،‬ﻛﺴﺎﻧﻰ ﻛﻪ ﺑﻴﻤﺎﺭﻯ ﻫﺎﻯ‬ ‫ﻧﻮﺟﻮﺍﻧﻰ ﻛﻪ ﭼﻴﻦ ﻭ ﭼﺮﻭﻛﻰ ﻧﺪﺍﺭﺩ‬
‫ﺟﻮﺍﻧﺴﺎﺯﻯ ﺻﻮﺭﺕ ﻛﻤﻚ ﻣﻰ ﻛﻨﻨﺪ‪.‬‬ ‫ﺧﻮﺩﺍﻳﻤﻨﻰ ﺩﺍﺭﻧﺪ ﺑﻬﺘﺮ ﺍﺳﺖ ﺑﻮﺗﺎﻛﺲ‬ ‫ﻭ ﺑﻴﺸﺘﺮ ﺑﻪ ﻫﻮﺍﻯ ﺑﺎﻻﻛﺸﻴﺪﻥ ﺍﺑﺮﻭ ﻳﺎ‬
‫ﺗﺰﺭﻳﻖ ﻧﻜﻨﻨﺪ ﺯﻳﺮﺍ ﺳﻴﺴﺘﻢ ﺍﻳﻤﻨﻰ ﺩﺭ‬ ‫ﺗﻐﻴﻴﺮ ﭼﻬﺮﻩ ﻣﻰ ﺁﻳﺪ‪ ،‬ﺩﺭﺳﺖ ﻧﻴﺴﺖ‪.‬‬
‫ﮔﺰﺍﺭﺵ ﻛﻨﺪ‪ .‬ﺍﺧﺘﻼﻝ ﺩﺭ ﻋﺼﺐ‬ ‫ﺩﺭﻧﺎژ ﺳﺮﻭﺯﻯ‪ -‬ﺧﻮﻧﻰ ﺍﺯ ﻛﺎﻧﺎﻝ‬ ‫ﺗﺴﻜﻴﻦ ﺩﺭﺩ‬ ‫ﻋﻮﺍﺭﺽ ﺷﺎﻳﻊ ﻭ ﻧﺎﺷﺎﻳﻊ ﺑﻮﺗﺎﻛﺲ‬ ‫ﺍﻳﻦ ﺍﻓﺮﺍﺩ ﺿﻌﻴﻒ ﺍﺳﺖ ﻭ ﻫﺮ ﻋﺎﻣﻞ‬ ‫ﺍﮔﺮ ﻫﺪﻑ ﺍﺯ ﺑﻮﺗﺎﻛﺲ ﭘﻴﺸﮕﻴﺮﻯ ﺍﺯ‬
‫‪ Chorda tympani‬ﺷﻴﻮﻉ ﺑﻴﺸﺘﺮﻯ‬ ‫ﮔﻮﺵ ﺧﺎﺭﺟﻰ‪ ،‬ﺑﻌﺪ ﺍﺯ ﺟﺮﺍﺣﻰ‬ ‫ﮔﺮﭼﻪ ﺍﻛﺜﺮ ﺑﻴﻤﺎﺭﺍﻥ ﺍﺯ ﻧﺎﺭﺍﺣﺘﻰ‬ ‫ﺟﺪﻳﺪ ﻣﻰ ﺗﻮﺍﻧﺪ ﻭﺍﻛﻨﺶ ﻫﺎﻯ ﺍﻳﻤﻨﻰ‬ ‫ﺑﺮﻭﺯ ﭼﻴﻦ ﻭ ﭼﺮﻭﻙ ﻫﺎﻯ ﭘﻮﺳﺘﻰ‬
‫ﺩﺍﺭﺩ ﺍﻳﻦ ﻋﺼﺐ ﻳﻜﻰ ﺍﺯ ﺷﺎﺧﻪ‬ ‫ﺧﻴﻠﻰ ﻛﻤﻰ ﺩﺭ ﻣﺤﻞ ﺑﺮﺵ ﺟﺮﺍﺣﻰ‬ ‫ﺑﺮﺧﻰ ﻋﻮﺍﺭﺽ ﺑﻮﺍﺗﻜﺲ‪ ،‬ﻧﺴﺒﺘﺎ ﺷﺎﻳﻊ‬ ‫ﺍﻳﺠﺎﺩ ﻛﻨﺪ ﻭ ﺑﺎﻋﺚ ﺗﺸﺪﻳﺪ ﺑﻴﻤﺎﺭﻯ‬ ‫ﺍﺳﺖ‪ ،‬ﺗﻮﺻﻴﻪﻫﺎﻯ ﺳﺎﺩﻩ ﺭﺍ ﻣﻰ ﺗﻮﺍﻥ‬
‫ﻫﺎﻯ ﻋﺼﺐ ﺻﻮﺭﺕ ﺍﺳﺖ ﻛﻪ ﺑﻪ‬ ‫ﻃﺒﻴﻌﻰ ﺍﺳﺖ‪.‬‬ ‫ﻣﺎﺳﺘﻮﺋﻴﺪ‪ ،‬ﺷﻜﺎﻳﺖ ﻣﻰ ﻛﻨﻨﺪ ﺍﻣﺎ ﺁﻧﻬﺎ‬ ‫ﻭ ﻣﻮﺿﻌﻰ ﻫﺴﺘﻨﺪ؛ ﻣﺜﻞ ﺍﻓﺘﺎﺩﮔﻰ‬
‫ﮔﻮﺵ ﻣﻴﺎﻧﻰ ﻣﻰ ﺭﺳﺪ‪ .‬ﺑﻴﻤﺎﺭﺍﻥ ﺗﺎ‬ ‫ﻏﺎﻟﺒﺎ ﺍﺯ ﻧﺎﺭﺍﺣﺘﻰ ﮔﻮﺵ ﺭﻧﺞ ﻣﻰ ﺑﺮﻧﺪ‪.‬‬ ‫ﭘﻠﻚ‪ ،‬ﻛﺒﻮﺩﻯ ﻳﺎ ﺧﻮﻧﻤﺮﺩﮔﻰ‪ ،‬ﺳﺮﺧﻰ‬ ‫ﻗﺒﻠﻰ ﺷﻮﺩ‪.‬‬ ‫ﺟﺎﻳﮕﺰﻳﻦ ﺑﻮﺗﺎﻛﺲ ﻛﺮﺩ‪.‬‬
‫ﭼﻨﺪﻳﻦ ﻣﺎﻩ ﺑﻌﺪ ﺍﺯ ﻋﻤﻞ ﻛﻪ ﻋﺼﺐ‬ ‫ﺑﻬﺒﻮﺩ ﺷﻨﻮﺍﻳﻰ ﻭ ﺍﺭﺗﺒﺎﻁ‬ ‫ﺍﺣﺴﺎﺱ ﭘﺮﻯ ﻳﺎ ﻓﺸﺎﺭ ﺩﺭ ﮔﻮﺵ ﭘﺲ‬ ‫ﺻﻮﺭﺕ‪ ،‬ﺣﺎﻟﺖ ﺗﻬﻮﻉ ﻭ ﺳﺮﺩﺭﺩ ﻛﻪ ﺩﺭ‬ ‫ﺍﮔﺮ ﺑﻪ ﻣﻮﻗﻊ ﺍﺯ ﺿﺪﺁﻓﺘﺎﺏ ﻭ ﻋﻴﻨﻚ‬
‫ﺻﺪﻣﻪ ﺩﻳﺪﻩ ﺩﻭﺑﺎﺭﻩ ﺗﺮﻣﻴﻢ ﻣﻰ ﺷﻮﺩ‬ ‫ﺷﻨﻮﺍﻳﻰ ﺩﺭ ﮔﻮﺵ ﻋﻤﻞ ﺷﺪﻩ‬ ‫ﺍﺯ ﺟﺮﺍﺣﻰ ﺩﺭ ﺍﺛﺮ ﺑﺎﻗﻰ ﻣﺎﻧﺪﻥ ﺧﻮﻥ‬ ‫ﻋﺮﺽ ﭼﻨﺪ ﺭﻭﺯ ﺗﺎ ﭼﻨﺪ ﻣﺎﻩ ﺑﺮﻃﺮﻑ‬ ‫ﺩﺭ ﻛﺴﺎﻧﻰ ﻛﻪ ﺑﻴﻤﺎﺭﻯ ﻫﺎﻯ‬ ‫ﺁﻓﺘﺎﺑﻰ ﻭ ﻛﺮﻡ ﻫﺎﻯ ﻣﺮﻃﻮﺏ ﻛﻨﻨﺪﻩ‬
‫ﻣﻤﻜﻨﺴﺖ ﺍﺧﺘﻼﻝ ﭼﺸﺎﻳﻰ ﻭ ﺧﺸﻜﻰ‬ ‫ﺑﻌﻠﺖ ﺍﺩﻡ ﺗﺠﻤﻊ ﺧﻮﻥ ﻭ ﻣﺎﻳﻊ ﺩﺭ‬ ‫ﻳﺎ ﻣﺎﻳﻊ ﺩﺭ ﮔﻮﺵ ﻣﻴﺎﻧﻰ ﺍﻳﺠﺎﺩ ﻣﻰ‬ ‫ﻣﻰ ﺷﻮﺩ‪ .‬ﺑﺮﺧﻰ ﻋﻮﺍﺭﺽ ﻧﻴﺰ ﺷﻴﻮﻉ‬ ‫ﺯﻣﻴﻨﻪﺍﻯ ﺩﺍﺭﻧﺪ‪ ،‬ﻣﺜﻼ ﺑﻪ ﻗﻨﺪ ﺧﻮﻥ‬ ‫ﺍﺳﺘﻔﺎﺩﻩ ﻛﻨﻴﻢ ﻭ ﻫﻨﮕﺎﻡ ﻣﻄﺎﻟﻌﻪ ﻳﺎ‬
‫ﺑﺎﻓﺘﻬﺎﻯ ﮔﻮﺵ ﻣﻴﺎﻧﻰ ﻭ ﭘﺎﻧﺴﻤﺎﻥ‬ ‫ﺷﻮﺩ‪ .‬ﻣﻤﻜﻨﺴﺖ ﺗﺎ ‪ 24‬ﺳﺎﻋﺖ ﭘﺲ‬ ‫ﻛﻤﺘﺮﻯ ﺩﺍﺭﻧﺪ؛ ﻣﺜﻼ ﺗﺰﺭﻳﻖ ﺑﻴﺶ ﺍﺯ‬ ‫ﻳﺎ ﻓﺸﺎﺭ ﺧﻮﻥ ﻣﺒﺘﻼ ﻫﺴﺘﻨﺪ‪،‬‬ ‫ﺗﻤﺎﺷﺎﻯ ﺗﻠﻮﻳﺰﻳﻮﻥ ﺍﺧﻢ ﻧﻜﻨﻴﻢ ﺷﺎﻳﺪ ﺗﺎ‬
‫ﺩﻫﺎﻥ ﺭﺍ ﺗﺠﺮﺑﻪ ﻛﻨﻨﺪ‪.‬‬ ‫ﺳﻨﮕﻴﻦ‪ ،‬ﺗﺎ ﭼﻨﺪ ﻫﻔﺘﻪ ﻛﺎﻫﺶ ﻣﻰ‬ ‫ﺍﺯ ﺟﺮﺍﺣﻰ ﺍﺯ ﻣﺴﻜﻦ ﺑﺮﺍﻯ ﻛﺎﻫﺶ‬ ‫ﺍﻧﺪﺍﺯﻩ ﺑﻮﺗﺎﻛﺲ‪ ،‬ﺍﻧﺘﺸﺎﺭ ﺩﺍﺭﻭ ﺑﻪ ﺍﻃﺮﺍﻑ‬ ‫ﺳﺎﻝ ﻫﺎ ﻫﻴﭻ ﻧﻴﺎﺯﻯ ﺑﻪ ﺗﺰﺭﻳﻖ ﺑﻮﺗﺎﻛﺲ‬
‫ﻳﺎﺑﺪ‪ .‬ﻣﻌﻴﺎﺭﻫﺎﻯ ﻣﻮﺭﺩ ﻧﻴﺎﺯ ﺑﺮﺍﻯ‬ ‫ﺩﺭﺩ ﺍﺳﺘﻔﺎﺩﻩ ﺷﻮﺩ‪ .‬ﻧﺤﻮﻩ ﺍﺳﺘﻔﺎﺩﻩ‬ ‫ﻭ ﺭﺳﻴﺪﻥ ﺑﻪ ﻧﻘﺎﻃﻰ ﻛﻪ ﻏﻴﺮﻗﺎﺑﻞ‬ ‫ﭼﻄﻮﺭ؟‬ ‫ﻧﺪﺍﺷﺘﻪ ﺑﺎﺷﻴﻢ‪ .‬ﺣﺘﻰ ﺑﺎ ﺑﺮﻭﺯ ﺍﻭﻟﻴﻦ‬
‫ﺗﺎﻣﻴﻦ ﺍﻟﺘﻴﺎﻡ ﺯﺧﻢ‬ ‫ﺑﻬﺒﻮﺩ ﺷﻨﻮﺍﻳﻰ ﻭ ﺍﺭﺗﺒﺎﻁ ﻋﺒﺎﺭﺗﻨﺪ ﺍﺯ‪:‬‬ ‫ﻭ ﻋﻮﺍﺭﺽ ﺟﺎﻧﺒﻰ ﺩﺍﺭﻭ ﺑﻪ ﺑﻴﻤﺎﺭ‬ ‫ﭘﻴﺸﮕﻴﺮﻯ ﺍﻧﺪ‪ ،‬ﺑﺎﻋﺚ ﺍﺯ ﻛﺎﺭﺍﻓﺘﺎﺩﮔﻰ‬ ‫ﭼﺮﻭﻙ ﻫﺎﻯ ﺳﻄﺤﻰ ﻣﻰ ﺗﻮﺍﻥ ﺍﺯ ﻟﻴﺰﺭ‬
‫ﺑﻪ ﺑﻴﻤﺎﺭ ﺁﻣﻮﺯﺵ ﺩﺍﺩﻩ ﻣﻰ ﺷﻮﺩ‬ ‫ﻛﺎﻫﺶ ﺳﺮ ﻭ ﺻﺪﺍﻯ ﻣﺤﻴﻂ‪ ،‬ﺭﻭﺑﺮﻭ‬ ‫ﺁﻣﻮﺯﺵ ﺩﺍﺩﻩ ﻣﻰ ﺷﻮﺩ‪ .‬ﻣﻤﻜﻨﺴﺖ‬ ‫ﻳﺎ ﺿﻌﻒ ﻋﻀﻼﺕ ﺍﻃﺮﺍﻑ ﻧﺎﺣﻴﻪ ﻭ‬ ‫ﻛﺴﺎﻧﻰ ﻛﻪ ﺩﺍﺭﻭﻫﺎﻯ ﺿﺪﺍﻧﻌﻘﺎﺩ ﻣﺜﻞ‬ ‫ﻓﺮﺍﻛﺸﻨﺎﻝ ﻛﻤﻚ ﮔﺮﻓﺖ ﻛﻪ ﺑﻪ ﺻﻮﺭﺕ‬
‫ﻛﻪ ﺍﺯ ﺑﻠﻨﺪ ﻛﺮﺩﻥ ﺍﺷﻴﺎء ﺳﻨﮕﻴﻦ‪،‬‬ ‫ﺷﺪﻥ ﺑﺎ ﺑﻴﻤﺎﺭ ﺩﺭ ﻫﻨﮕﺎﻡ ﺻﺤﺒﺖ‬ ‫ﻫﻤﺰﻣﺎﻥ ﺑﺎ ﻋﻤﻞ ﻣﺎﺳﺘﻮﺋﻴﺪﻛﺘﻮﻣﻰ‪،‬‬ ‫ﻏﻴﺮﻃﺒﻴﻌﻰ ﺷﺪﻥ ﭼﻬﺮﻩ ﻓﺮﺩ ﻳﺎ ﺍﺯ ﺑﻴﻦ‬ ‫ﻭﺍﺭﻓﺎﺭﻳﻦ ﻣﺼﺮﻑ ﻣﻰ ﻛﻨﻨﺪ‪ ،‬ﺑﻬﺘﺮ ﺍﺳﺖ‬ ‫ﻃﺒﻴﻌﻰ ﭘﻮﺳﺖ ﺭﺍ ﺟﻮﺍﻧﺴﺎﺯﻯ ﻣﻰ ﻛﻨﺪ‬
‫ﺯﻭﺭ ﺯﺩﻥ‪ ،‬ﻓﻌﺎﻟﻴﺖ ﺯﻳﺎﺩ ﻭ ﺩﻣﻴﺪﻥ ﺩﺭ‬ ‫ﻛﺮﺩﻥ‪ ،‬ﺻﺤﺒﺖ ﻛﺮﺩﻥ ﺑﻄﻮﺭ ﻭﺍﺿﺢ‬ ‫ﺗﻤﭙﺎﻧﻮﭘﻼﺳﺘﻰ ﻫﻢ ﺍﻧﺠﺎﻡ ﺷﻮﺩ‪ .‬ﭘﺲ‬ ‫ﺍﺯ ﻳﻚ ﻫﻔﺘﻪ ﻗﺒﻞ ﺍﺯ ﺑﻮﺗﺎﻛﺲ ﻣﺼﺮﻑ‬
‫ﺑﻴﻨﻰ ﺗﺎ ‪ 2-3‬ﻫﻔﺘﻪ ﺑﻌﺪ ﺍﺯ ﺟﺮﺍﺣﻰ‬ ‫ﻭ ﺷﻤﺮﺩﻩ ﺑﺪﻭﻥ ﻓﺮﻳﺎﺩ‪ ،‬ﺗﺎﻣﻴﻦ ﻧﻮﺭ‬ ‫ﺍﺯ ﺗﻤﭙﺎﻧﻮﭘﻼﺳﺘﻰ‪ ،‬ﺑﺮﺍﻯ ﺗﺜﺒﻴﺖ ﭘﺮﺩﻩ‬ ‫ﺭﻓﺘﻦ ﺗﻘﺎﺭﻥ ﻣﻰ ﺷﻮﺩ‪.‬‬ ‫ﺩﺍﺭﻭ ﺭﺍ ﻗﻄﻊ ﻛﻨﻨﺪ ﺗﺎ ﻣﻮﻗﻊ ﺗﺰﺭﻳﻖ‬ ‫ﻭ ﺑﻬﺘﺮ ﺍﺯ ﺑﻮﺗﺎﻛﺲ ﺍﺳﺖ‪.‬‬
‫ﺍﺟﺘﻨﺎﺏ ﻛﻨﺪ ﺯﻳﺮﺍ ﻣﻤﻜﻨﺴﺖ ﺍﻳﻦ‬ ‫ﻛﺎﻓﻰ ﺩﺭ ﺻﻮﺭﺗﻰ ﻛﻪ ﺑﻴﻤﺎﺭ ﻟﺐ‬ ‫ﺻﻤﺎﺥ ﺍﺯ ﻳﻚ ﻓﺘﻴﻠﻪ ﻳﺎ ﭘﺎﻧﺴﻤﺎﻥ ﺩﺭ‬ ‫ﺗﺰﺭﻳﻖ ﺩﻭﺯ ﻧﺎﻣﻨﺎﺳﺐ ﺑﻮﺗﺎﻛﺲ ﺍﻃﺮﺍﻑ‬ ‫ﺧﻮﻧﺮﻳﺰﻯ ﻧﺪﺍﺷﺘﻪ ﺑﺎﺷﻨﺪ‪ .‬ﺩﺭ ﺍﻓﺮﺍﺩﻯ‬ ‫ﻛﺴﺎﻧﻰ ﻛﻪ ﺑﻪ ﺩﻟﻴﻞ ﺣﺮﻛﺎﺕ ﺯﻳﺎﺩ‬
‫ﺍﻗﺪﺍﻣﺎﺕ ﻣﻨﺠﺮ ﺑﻪ ﺑﺠﺎﺑﺠﺎ ﺷﻮﻧﺪ ﭘﻴﻮﻧﺪ‬ ‫ﺧﻮﺍﻧﻰ ﻣﻰ ﻛﻨﺪ ﻭ ﺍﺳﺘﻔﺎﺩﻩ ﺍﺯ ﭘﻴﺎﻡ‬ ‫ﻛﺎﻧﺎﻝ ﮔﻮﺵ ﺍﺳﺘﻔﺎﺩﻩ ﻣﻰ ﺷﻮﺩ‪ .‬ﺑﺎﻳﺪ‬ ‫ﭼﺸﻢ ﺑﺎﻋﺚ ﺑﻴﺮﻭﻥ ﺯﺩﮔﻰ ﭼﺸﻢ‪،‬‬ ‫ﻛﻪ ﺑﻴﻤﺎﺭﻯ ﺯﻣﻴﻨﻪ ﺍﻯ ﻛﻨﺘﺮﻝ ﺷﺪﻩ‬ ‫ﻋﻀﻼﺕ ﺻﻮﺭﺕ‪ ،‬ﭼﺮﻭﻙ ﻫﺎﻯ ﺳﻄﺤﻰ‬
‫ﺩﺭ ﭘﺮﺩﻩ ﺻﻤﺎﺥ ﻳﺎ ﺟﺎﺑﺠﺎﻳﻰ ﭘﺮﻭﺗﺰ‬ ‫ﻫﺎﻯ ﻏﻴﺮ ﻛﻼﻣﻰ ﻭ ﺳﺎﻳﺮ ﺍﺷﻜﺎﻝ‬ ‫ﺑﻪ ﺑﻴﻤﺎﺭﺍﻥ ﺍﻃﻼﻉ ﺩﺍﺩ ﻛﻪ ﻣﻤﻜﻨﺴﺖ‬ ‫ﺩﻭﺑﻴﻨﻰ ﻳﺎ ﻧﺎﺗﻮﺍﻧﻰ ﺩﺭ ﺑﺴﺘﻦ ﺍﺭﺍﺩﻯ‬ ‫ﺩﺍﺭﻧﺪ‪ ،‬ﺗﺰﺭﻳﻖ ﺑﻮﺗﺎﻛﺲ ﻣﺸﻜﻠﻰ ﺍﻳﺠﺎﺩ‬ ‫ﺭﻭﻯ ﭘﻮﺳﺘﺸﺎﻥ ﻇﺎﻫﺮ ﺷﺪﻩ ﻭ ﺩﺭ ﺣﺎﻝ‬
‫ﺩﭼﺎﺭ ﺩﺭﺩﻫﺎﻯ ﻧﺎﮔﻬﺎﻧﻰ ﺷﺪﻳﺪ ﺩﺭ‬ ‫ﭼﺸﻢ ﻣﻰ ﺷﻮﺩ‪ .‬ﻗﻮﺱ ﻏﻴﺮﻃﺒﻴﻌﻰ‬ ‫ﻧﻤﻰ ﻛﻨﺪ ﺍﻣﺎ ﻫﻤﻴﺸﻪ ﺑﻬﺘﺮ ﺍﺳﺖ ﺑﺎ‬ ‫ﭘﻴﺸﺮﻓﺖ ﻭ ﻋﻤﻴﻖ ﺗﺮ ﺷﺪﻥ ﺍﺳﺖ‪،‬‬
‫ﺍﺳﺘﺨﻮﺍﻧﭽﻪﻫﺎ ﺷﻮﻧﺪ‪.‬‬ ‫ﺍﺭﺗﺒﺎﻃﻰ‪.‬‬ ‫ﮔﻮﺵ ﺷﻮﻧﺪ )ﺗﺎ ‪ 2-3‬ﺭﻭﺯ ﺑﻌﺪ ﺍﺯ‬ ‫ﺍﺑﺮﻭ ﻭ ﺑﺮﻭﺯ ﺣﺎﻟﺖ ﻣﺘﻌﺠﺐ ﻳﺎ ﺷﻴﻄﺎﻧﻰ‬ ‫ﭘﺰﺷﻚ ﻣﺸﻮﺭﺕ ﻛﻨﻨﺪ‪ .‬ﻛﺴﺎﻧﻰ ﻛﻪ‬ ‫ﺑﺮﺍﻯ ﺑﻮﺗﺎﻛﺲ ﮔﺰﻳﻨﻪ ﻣﻨﺎﺳﺒﻰ ﻫﺴﺘﻨﺪ‪.‬‬
‫ﺍﻋﻀﺎء ﺧﺎﻧﻮﺍﺩﻩ ﺑﺎﻳﺪ ﺩﺭﺑﺎﺭﻩ ﺭﺍﻫﻬﺎﻯ‬ ‫ﺟﺮﺍﺣﻰ( ﻛﻪ ﻋﻠﺖ ﺍﻳﻦ ﺩﺭﺩﻫﺎ ﺑﺎﺯ‬ ‫ﻳﺎ ﺍﻓﺴﺮﺩﻩ ﺩﺭ ﺻﻮﺭﺕ ﻓﺮﺩ ﻧﻴﺰ ﻧﺘﻴﺠﻪ‬ ‫ﺍﮔﺰﻣﺎﻫﺎﻯ ﭘﻮﺳﺘﻰ ﺩﺍﺭﻧﺪ ﻧﻴﺰ ﺑﻬﺘﺮ ﺍﺳﺖ‬ ‫ﺍﺳﺘﻔﺎﺩﻩ ﺍﺯ ﺑﻮﺗﺎﻛﺲ ﺩﺭ ﺯﻣﻴﻨﻪﻫﺎﻯ‬
‫ﺍﻓﺰﺍﻳﺶ ﺁﮔﺎﻫﻰ‬ ‫ﻣﻮﺛﺮ ﺑﺮﻗﺮﺍﺭﻯ ﺍﺭﺗﺒﺎﻁ ﺑﺎ ﺑﻴﻤﺎﺭ‪،‬‬ ‫ﺷﺪﻥ ﻟﻮﻟﻪ ﺍﺳﺘﺎﺵ ﻭ ﻭﺭﻭﺩ ﻫﻮﺍ ﺩﺭ‬ ‫ﺗﺰﺭﻳﻖ ﻧﺎﺩﺭﺳﺖ ﺑﻮﺗﺎﻛﺲ ﺍﺳﺖ‪ .‬ﮔﺎﻫﻰ‬ ‫ﺻﺒﺮ ﻛﻨﻨﺪ ﺗﺎ ﺑﻴﻤﺎﺭﻯ ﺧﺎﻣﻮﺵ ﺷﻮﺩ‪ .‬ﺑﻪ‬ ‫ﺩﺭﻣﺎﻧﻰ ﻧﻴﺰ ﺑﺮﺍﻯ ﻛﺴﺎﻧﻰ ﻛﻪ ﺩﭼﺎﺭ‬
‫ﺑﻴﻤﺎﺭ ﺩﺭﺑﺎﺭﻩ ﺟﺮﺍﺣﻰ ﻭ ﻣﺤﻴﻂ‬ ‫ﺁﻣﻮﺯﺵ ﺑﺒﻴﻨﻨﺪ‪ .‬ﺍﮔﺮ ﺑﻴﻤﺎﺭ ﺍﺯ ﺍﺑﺰﺍﺭ‬ ‫ﺣﺘﻰ ﺗﺰﺭﻳﻖ ﺑﻮﺗﺎﻛﺲ ﻣﺴﻤﻮﻣﻴﺖ‬ ‫ﺩﻧﺒﺎﻝ ﺗﺰﺭﻳﻖ ﺑﻮﺗﺎﻛﺲ‪ ،‬ﺍﮔﺰﻣﺎ ﻭ ﻋﻔﻮﻧﺖ‬ ‫ﮔﺮﻓﺘﮕﻰ ﻫﺎﻯ ﻋﻀﻼﺕ ﮔﺮﺩﻥ ﻳﺎ‬
‫ﺍﻃﺎﻕ ﻋﻤﻞ ﺁﻣﻮﺯﺵ ﺩﺍﺩﻩ ﻣﻰ ﺷﻮﺩ‪.‬‬ ‫ﻛﻤﻚ ﺷﻨﻮﺍﻳﻰ ﺍﺳﺘﻔﺎﺩﻩ ﻣﻰ ﻛﻨﺪ ﺑﺎﻳﺪ‬ ‫ﮔﻮﺵ ﻣﻴﺎﻧﻰ ﺍﺳﺖ‪.‬‬ ‫ﺯﺍﺳﺖ ﻭ ﻋﻼﺋﻢ ﺣﺴﺎﺳﻴﺖ ﺑﺮﻭﺯ‬ ‫ﻓﻌﺎﻝ ﺩﺭ ﻫﺮ ﻧﺎﺣﻴﻪ ﺍﺯ ﺻﻮﺭﺕ ﻣﻰ ﺗﻮﺍﻧﺪ‬ ‫ﺍﺳﭙﺎﺳﻢ ﭘﻠﻚ ﻫﺴﺘﻨﺪ‪ ،‬ﺍﻧﺤﺮﺍﻑ ﭼﺸﻢ‬
‫ﺑﺤﺚ ﻛﺮﺩﻥ ﺩﺭ ﻣﻮﺭﺩ ﺍﻧﺘﻈﺎﺭﺍﺕ‬ ‫ﻣﻰ ﻛﻨﺪ ﻛﻪ ﺩﺭ ﺍﻳﻦ ﺷﺮﺍﻳﻂ ﺗﺰﺭﻳﻖ‬ ‫ﺩﺍﺭﻧﺪ‪ ،‬ﺩﭼﺎﺭ ﺗﻌﺮﻳﻖ ﺑﻴﺶ ﺍﺯ ﺣﺪ‬
‫ﺑﻌﺪ ﺍﺯ ﻋﻤﻞ ﺑﻪ ﻛﺎﻫﺶ ﺍﺿﻄﺮﺍﺏ‬ ‫ﺁﻥ ﺭﺍ ﺩﺭ ﮔﻮﺵ ﺳﺎﻟﻢ ﻗﺮﺍﺭ ﺩﻫﺪ‪.‬‬ ‫ﭘﻴﺸﮕﻴﺮﻯ ﺍﺯ ﻋﻔﻮﻧﺖ‬ ‫ﻣﺠﺪﺩ ﺑﻮﺗﺎﻛﺲ ﺗﻮﺻﻴﻪ ﻧﻤﻰ ﺷﻮﺩ‪.‬‬ ‫ﺳﻴﺴﺘﻢ ﺍﻳﻤﻨﻰ ﺭﺍ ﺩﺭﮔﻴﺮ ﻛﻨﺪ‪.‬‬ ‫ﺩﺭ ﻧﻮﺍﺣﻰ ﻣﺜﻞ ﺯﻳﺮﺑﻐﻞ ﻫﺴﺘﻨﺪ ﻳﺎ‬
‫ﺑﻴﻤﺎﺭ ﻛﻤﻚ ﻣﻰ ﻛﻨﺪ‪ .‬ﺁﻣﻮﺯﺷﻬﺎﻯ‬ ‫ﻣﻌﻴﺎﺭﻫﺎﻯ ﻻﺯﻡ ﺑﺮﺍﻯ ﭘﻴﺸﮕﻴﺮﻯ‬ ‫ﺑﺮﻭﺯ ﻣﺸﻜﻼﺗﻰ ﺩﺭ ﺑﻠﻊ ﻳﺎ ﺗﻐﻴﻴﺮ ﺻﺪﺍ‬ ‫ﻣﻴﮕﺮﻥ ﺩﺍﺭﻧﺪ‪ ،‬ﺗﻮﺻﻴﻪ ﻣﻰ ﺷﻮﺩ‪ .‬ﺑﺮﺍﻯ‬
‫ﺑﻌﺪ ﺍﺯ ﻋﻤﻞ ﺩﺭ ﻣﻮﺭﺩ ﺟﺮﺍﺣﻰ‬ ‫ﭘﻴﺸﮕﻴﺮﻯ ﺍﺯ ﺁﺳﻴﺐ‬ ‫ﺍﺯ ﻋﻔﻮﻧﺖ ﺩﺭ ﺟﺮﺍﺣﻰ ﮔﻮﺵ ﺍﺟﺮﺍ‬ ‫ﻧﻴﺰ ﺍﺯ ﺟﻤﻠﻪ ﻋﻮﺍﺭﺽ ﺗﺰﺭﻳﻖ ﺑﻮﺗﺎﻛﺲ‬ ‫ﺩﺭ ﺳﺎﻟﻤﻨﺪﺍﻥ ﺍﺳﺘﻔﺎﺩﻩ ﺍﺯ ﺑﻮﺗﺎﻛﺲ‬ ‫ﺭﻓﻊ ﭼﻴﻦ ﻭ ﭼﺮﻭﻙ ﭼﺎﻧﻪ ﻭ ﮔﺮﺩﻥ ﻭ‬
‫ﻣﺎﺳﺘﻮﺋﻴﺪ ﺑﻪ ﻧﻈﺮ ﺟﺮﺍﺡ ﺑﺴﺘﮕﻰ‬ ‫ﭘﺲ ﺍﺯ ﺟﺮﺍﺣﻰ ﻣﺎﺳﺘﻮﺋﻴﺪ ﺩﺭ‬ ‫ﻣﻰ ﺷﻮﻧﺪ‪ .‬ﺩﺭ ﻛﺎﻧﺎﻝ ﮔﻮﺵ ﺧﺎﺭﺟﻰ‬ ‫ﺑﻪ ﮔﺮﺩﻥ ﺑﺮﺍﻯ ﺭﻓﻊ ﭼﺮﻭﻙ ﻫﺎﻯ ﺍﻳﻦ‬ ‫ﻣﻨﻌﻰ ﻧﺪﺍﺭﺩ؟‬ ‫ﺩﻭﺭﻟﺐ ﻳﺎ ﺑﺎﻻﺑﺮﺩﻥ ﮔﻮﺷﻪ ﻟﺐ ﻭ ﺍﺑﺮﻭﻫﺎ‬
‫ﺩﺍﺭﺩ ﺑﻨﺎﺑﺮﺍﻳﻦ ﺑﺮﺍﻯ ﭘﺮﺳﺘﺎﺭ ﺍﻳﻦ‬ ‫ﺻﻮﺭﺗﻴﻜﻪ ﻣﺠﺎﺭﻯ ﻧﻴﻢ ﺩﺍﻳﺮﻩ ﻳﺎ ﺳﺎﻳﺮ‬ ‫ﻣﻤﻜﻨﺴﺖ ﻳﻚ ﻓﺘﻴﻠﻪ ﻳﺎ ﭘﺎﻧﺴﻤﺎﻥ‬ ‫ﻭ ﻛﺎﻫﺶ ﻧﻤﺎﻳﺶ ﻟﺜﻪ ﻣﻮﻗﻊ ﺧﻨﺪﻩ ﻧﻴﺰ‬
‫ﻧﻜﺘﻪ ﺍﻫﻤﻴﺖ ﺩﺍﺭﺩ ﻛﻪ ﺩﺭ ﻫﻨﮕﺎﻡ‬ ‫ﻗﺴﻤﺘﻬﺎﻯ ﮔﻮﺵ ﺩﺍﺧﻠﻰ ﺩﭼﺎﺭ ﺗﺮﻭﻣﺎ‬ ‫ﻭﺟﻮﺩ ﺩﺍﺷﺘﻪ ﺑﺎﺷﺪ ﻛﻪ ﺑﺎﻳﺪ ﻗﺒﻼ‬ ‫ﻧﺎﺣﻴﻪ ﺍﺳﺖ‪.‬‬ ‫ﻫﻤﺎﻧﻄﻮﺭ ﻛﻪ ﺩﺭ ﻣﻮﺭﺩ ﻧﻮﺟﻮﺍﻥ ﻫﺎ‬ ‫ﻣﻰ ﺗﻮﺍﻥ ﺍﺯ ﺑﻮﺗﺎﻛﺲ ﺍﺳﺘﻔﺎﺩﻩ ﻛﺮﺩ‬
‫ﺁﻣﻮﺯﺵ ﺑﻴﻤﺎﺭ ﺍﺯ ﻧﻘﻄﻪ ﻧﻈﺮﺍﺕ‬ ‫ﺷﺪﻩ ﺑﺎﺷﻨﺪ‪ ،‬ﺳﺮﮔﻴﺠﻪ ﻭﺟﻮﺩ ﺩﺍﺭﺩ‪.‬‬ ‫ﺍﻣﺎ ﭘﺰﺷﻚ ﻣﺘﺨﺼﺺ ﺑﺎﻳﺪ ﺍﻳﻦ ﻛﺎﺭ ﺭﺍ‬
‫ﺍﻳﻦ ﻧﺸﺎﻧﻪ ﺑﻌﺪ ﺍﺯ ﺍﻳﻦ ﻧﻮﻉ ﺟﺮﺍﺣﻰ‬ ‫ﺍﻧﺠﺎﻡ ﺩﻫﺪ ﻭ ﺍﺯ ﺑﻮﺗﺎﻛﺲ ﺍﺳﺘﻔﺎﺩﻩ ﺷﻮﺩ‪.‬‬
‫ﺟﺮﺍﺡ‪ ،‬ﻣﻄﻠﻊ ﺑﺎﺷﺪ‪.‬‬ ‫ﮔﻮﺵ‪ ،‬ﻧﺴﺒﺘﺎ ﻧﺎﺩﺭ ﺍﺳﺖ ﻭ ﻣﻌﻤﻮﻻ‬ ‫ﺍﺯ ﻋﺎﺭﺿﻪ ﺑﻮﺗﺎﻛﺲﻫﺎﻯ ﺗﻘﻠﺒﻰ ﻭ‬
‫ﭼﻴﻨﻰ ﺯﻳﺎﺩ ﺷﻨﻴﺪﻩﺍﻳﻢ‪ .‬ﺩﺭ ﺍﻳﺮﺍﻥ‬
‫ﺑﻮﺗﺎﻛﺲ ﻛﺎﻧﺎﺩﺍﻳﻰ ﺍﺻﻞ ﻧﺪﺍﺭﻳﻢ ﺍﻣﺎ‬
‫ﺭﻭﻯ ﺧﻴﻠﻰ ﺍﺯ ﺑﻮﺗﺎﻛﺲ ﻫﺎﻯ ﭼﻴﻨﻰ‬
‫ﺁﺭﻡ ﻛﺎﻧﺎﺩﺍﻳﻰ ﺧﻮﺭﺩﻩ ﺍﺳﺖ‪ .‬ﺣﺘﻰ‬
‫ﺑﻮﺗﺎﻛﺲﻫﺎﻯ ﺍﺳﺘﺎﻧﺪﺍﺭﺩ ﺍﮔﺮ ﺩﺭﺳﺖ ﻭ‬
‫ﺑﺠﺎ ﻭ ﺑﺎ ﺩﻭﺯ ﻣﻨﺎﺳﺐ ﺗﺰﺭﻳﻖ ﻧﺸﻮﻧﺪ‪،‬‬

‫ﻣﻰﺗﻮﺍﻧﻨﺪ ﻋﺎﺭﺿﻪ ﺩﺍﺷﺘﻪ ﺑﺎﺷﻨﺪ‪.‬‬

‫ﺩﺭ ﭼﻪ ﻛﺴﺎﻧﻰ ﻭ ﺩﺭﭼﻪ ﻣﻮﻗﻌﻴﺖ‬

‫ﻫﺎﻳﻰ ﻧﺒﺎﻳﺪ ﺑﻮﺗﺎﻛﺲ ﺗﺰﺭﻳﻖ ﻛﺮﺩ؟‬

‫ﺩﺭ ﺧﺎﻧﻢ ﻫﺎﻯ ﺑﺎﺭﺩﺍﺭ ﻭ ﺷﻴﺮﺩﻩ‪،‬‬