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أ ﻋ ﺮا ض اﻟ ﻘ ﻮﻟ ﻮ ن اﻟ ﺘ ﺸ ﻨ ﺠ ﻲ ) اﻟ ﻘ ﻮﻟ ﻮ ن اﻟ ﻌ ﺼ ﺒ ﻰ ( AHMED ABDELBAKY
ﯾ ﺠ ﺐ ﺗ ﺸ ﺨ ﯿ ﺺ ﺣﺎ ﻟ ﺔ ا ﻟ ﻘ ﻮ ﻟ ﻮ ن ا ﻟ ﻌ ﺼ ﺒ ﻰ ﺑ ﻮ ا ﺳ ﻄ ﺔ ﻃ ﺒ ﯿ ﺐ ﻣ ﺨ ﺘ ﺺ ،و ذ ﻟ ﻚ ﻻ ﺣ ﺘ ﻤﺎ ل ﺗ ﺸﺎ ﺑ ﺔ ا ﻻ ﻋ ﺮ ا ض ﻣ ﻊ ا ﻋ ﺮ ا ض ﺣﺎ ﻻ ت ﻣ ﺮ ﺿ ﯿ ﺔ ا ﺧ ﺮ ى ،و ﻟ ﺬ ﻟ ﻚ ﻣ ﻦ ا ﻟ ﻤ ﻬ ﻢ ﺗ ﺸ ﺨ ﯿ ﺺ ا ﻟ ﺤﺎ ﻟ ﺔ ﺑ ﻮ ا ﺳ ﻄ ﺔ ﻃ ﺒ ﯿ ﺐ ﻣ ﺘ ﺨ ﺼ ﺺ ﻓ ﻰ ا ﻻ ﻣ ﺮ ا ض ا ﻟ ﺒﺎ ﻃ ﻨ ﺔ .
ﯾ ﺘ ﻤ ﯿ ﺰ اﻟ ﻘ ﻮﻟ ﻮ ن اﻟ ﻌ ﺼ ﺒ ﻰ ) اﻟ ﻘ ﻮﻟ ﻮ ن اﻟ ﺘ ﺸ ﻨ ﺠ ﻰ ( ﺑ ﻌ ﺪ ة ا ﻋ ﺮا ض ﻣ ﻨ ﻬﺎ : .1أﻟﻢ ﻣﺴﺘﻤﺮ أو ﻣﺘﻜﺮر أﺳﻔﻞ اﻟﺒﻄﻦ . .2
ﺣ ﺪ ا ﻻ ﻟ ﻢ ﻓ ﻰ ا ﻟ ﺒ ﻄ ﻦ ﺗ ﺘ ﺮ ا و ح ﻣ ﻦ ﺧ ﻔ ﯿ ﺔ ا ﻟ ﻰ ﺷ ﺪ ﯾ ﺪ ة ) .ﻓ ﺸ ﺪ ة ا ﻟ ﺤﺎ ﻟ ﺔ ﺗ ﺨ ﺘ ﻠ ﻒ ﻣ ﻦ ﺷ ﺨ ﺺ ﻻ ﺧ ﺮ ( .
.3ﺗﻐﯿﺮ ﻓﻰ ﺣﺮﻛﯿﺔ اﻷﻣﻌﺎء ) ﻓﻘﺪ ﯾﺤﺪث اﻹﺳﻬﺎل،أو اﻹﻣﺴﺎك ،أو ﻛﻠﯿﻬﻤﺎ(. .4ﻫﺠﻤﺎت اﻋﺮاض اﻟﻘﻮﻟﻮن اﻟﻌﺼﺒﻰ ﻗﺪ ﺗﺤﺪث ﻓﺠﺄة ﻓﻲ أي وﻗﺖ ﻣﻦ اﻟﻨﻬﺎر أو اﻟﻠﯿﻞ ،ورﺑﻤﺎ ﻓﻲ ﺑﻌﺾ اﻷﺣﯿﺎن – ﯾﻤﻜﻦ ان ﺗﻮﻗﻆ اﻟﻤﺮﯾﺾ ﻣﻦ اﻟﻨﻮم . .5اﻟﻐﺎزات واﻟﻨﻔﺨﺔ ﻣﻦ اﻻﻋﺮاض اﻟﺸﺎﺋﻌﺔ ﻓﻰ ﺣﺎﻻت اﻟﻘﻮﻟﻮن اﻟﻌﺼﺒﻰ . .6اﻟﻘﻰء )،ﻟﯿﺲ ﻣﻦ اﻋﺮاض اﻟﻘﻮﻟﻮن اﻟﻌﺼﺒﻰ ( ،و ﻟﻜﻦ ﯾﻤﻜﻦ ان ﯾﺤﺪث ﺑﺴﺒﺐ اﻟﻐﺜﯿﺎن ﻧﺘﯿﺠﺔ اﻻﻟﻢ . .7ﻓﻰ اﻟﻌﺎدة ﻻ ﺗﺤﺪث اى اﻋﺮاض ﻓﻰ اﻟﺠﻬﺎز اﻟﻬﻀﻤﻲ اﻟﻌﻠﻮي. .8ﺑﺎﻟﻨﺴﺒﺔ ﻟﻠﻨﺴﺎء ،ﻏﺎﻟﺒﺎ ﻣﺎ ﺗﺮﺗﺒﻂ اﻟﻬﺠﻤﺎت ﻣﻊ اﻟﺤﯿﺾ.
ﻣﺎ ا ﻷ ﻣ ﺮا ض اﻟ ﺘ ﻰ ﯾ ﺠ ﺐ ا ﺳ ﺘ ﺒ ﻌﺎ د و ﺟ ﻮ د ﻫﺎ ﺧ ﻼ ل ﺗ ﺸ ﺨ ﯿ ﺺ ﺣﺎﻟ ﺔ اﻟ ﻘ ﻮﻟ ﻮ ن اﻟ ﻌ ﺼ ﺒ ﻰ ؟ ﻻ ﯾ ﻮ ﺟ ﺪ ا ﺧ ﺘ ﺒﺎ ر ﻣ ﻌ ﻤ ﻠ ﻰ ﻣ ﻌ ﯿ ﻦ ﯾ ﻤ ﻜ ﻦ ﻣ ﻦ ﺧ ﻼ ﻟ ﺔ ﺗ ﺤ ﺪ ﯾ ﺪ ا ﻟ ﺘ ﺸ ﺨ ﯿ ﺺ ﻟ ﺤﺎ ﻟ ﺔ ا ﻟ ﻘ ﻮ ﻟ ﻮ ن ا ﻟ ﻌ ﺼ ﺒ ﻰ ،و ﺑ ﺪ ﻻ ﻣ ﻦ ذ ﻟ ﻚ ،ﻗ ﺪ ﯾ ﻘ ﻮ م ا ﻟ ﻄ ﺒ ﯿ ﺐ ﺑﺎ ﺟ ﺮ ا ء ا ﺧ ﺘ ﺒﺎ ر ا ت ﻻ ﺳ ﺘ ﺒ ﻌﺎ د ا ﻻ ﻣ ﺮ ا ض ا ﻻ ﺧ ﺮ ى ا ﻟ ﺘ ﻰ ﺗ ﺤﺎ ﻛ ﻰ ﻓ ﻰ ا ﻋ ﺮ ا ﺿ ﻬﺎ ،ا ﻋ ﺮ ا ض ﻣ ﺘ ﻼ ز ﻣ ﺔ ا ﻟ ﻘ ﻮ ﻟ ﻮ ن ا ﻟ ﻌ ﺼ ﺒ ﻰ ،و ا ذ ا ﻛﺎ ﻧ ﺖ ا ﻻ ﺟ ﺮ ا ء ا ت ا ﻻ ﺧ ﺮ ى ﺗ ﻨ ﻔ ﻰ و ﺟ ﻮ د ا ﻟ ﺤﺎ ﻻ ت ا ﻷ ﺧ ﺮ ى ﻓﺎ ﻧ ﺔ ﺳ ﯿ ﻘ ﻮ م ا ﻟ ﻄ ﺒ ﯿ ﺐ ﺑ ﻨﺎ ء ﻋﻠ ﻰ ا ﻋ ﺮا ﺿ ﻚ ﺑﺘ ﺸ ﺨﯿ ﺼ ﻚ ﺑ ﻤﺘ ﻼ ز ﻣ ﺔ اﻟﻘ ﻮﻟ ﻮ ن اﻟ ﻌ ﺼﺒ ﻰ . ا ﻻ ﻣ ﺮ ا ض ا ﻟ ﺘ ﻰ ﯾ ﺠ ﺐ ا ﺳ ﺘ ﺒ ﻌﺎ د ﻫﺎ ﻗ ﺒ ﻞ ﻗ ﺒ ﻮ ل ﺗ ﺸ ﺨ ﯿ ﺺ ا ﻻ ﺻﺎ ﺑ ﺔ ﺑ ﻤ ﺘ ﻼ ز ﻣ ﺔ ا ﻟ ﻘ ﻮ ﻟ ﻮ ن ا ﻟ ﻌ ﺼ ﺒ ﻰ : .1ﺳﺮﻃﺎن اﻟﻘﻮﻟﻮن .2أﻣﺮاض اﻷﻣﻌﺎء اﻻﻟﺘﻬﺎﺑﯿﺔ )ﻣﺮض ﻛﺮون واﻟﺘﻬﺎب اﻟﻘﻮﻟﻮن اﻟﺘﻘﺮﺣﻲ( . .3اﻧﺴﺪادات اﻷﻣﻌﺎء . DIVERTICULOSIS .4 .5اﻟﺤﺼﻰ ﻓﻲ اﻟﻤﺮارة .6اﻟﺤﺴﺎﺳﯿﺔ اﻟﻐﺬاﺋﯿﺔ .7اﻻﺿﻄﺮاﺑﺎت اﻟﻬﻀﻤﯿﺔ اﻟﺠﯿﻨﯿﺔ . .8اﻻﻟﺘﻬﺎﺑﺎت اﻟﺒﻜﺘﯿﺮﯾﺔ .9اﻟﻄﻔﯿﻠﯿﺎت اﻟﻤﻌﻮﯾﺔ .10اﻟﺘﻬﺎب ﺑﻄﺎﻧﺔ اﻟﺮﺣﻢ .11ﺳﺮﻃﺎن اﻟﻤﺒﯿﺾ