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(40) 13 ؛1389 ﺖﻣﻼﺳ ﺖﻳﺮﻳﺪﻣ

ﻥﻮﺧ ﻥﺎﻃﺮﺳ ﻥﺎﻣﺭﺩ ﻩﻮﻴﺷ ﺩﺭﻮﻣ ﺭﺩ

2ﻱﺮﻫﺎﻃ ﻦﺴﺤﻣ ﻩﺩﻮﺳ ،¹ ﻲﻘﻠﺷﺍ ﻲﻋﻮﻠﻃ ﺱﺎﺒﻋ

ﻩﺪﻴﻜﭼ ﻲﺣﺍﺮﻃ ﺺﺼﺨﺘﻣ ﺮﻴﻏ ﺩﺍﺮــﻓﺍ ﻱﺍﺮﺑ ،ﺺﺼﺨﺘﻣ ﺩﺍﺮﻓﺍ ﻱﺎﻫ ﺕﺭﺎﻬﻣ ﻥﺩﺍﺩ ﺭﺍﺮــﻗ ﺱﺮﺘــﺳﺩ ﺭﺩ ﻑﺪﻫ ﺎﺑ ﻩﺮﺒﺧ ﻱﺎﻫ ﻢﺘــﺴﻴﺳ :ﻪﻣﺪﻘﻣ ﻩﺮﺒﺧ ﻱﺎﻫ ﻢﺘﺴﻴﺳ ﺩﺮﻜﻠﻤﻋ ﻲﻜﻳﺩﺰﻧ ﺚﻋﺎﺑ ﻭ ﺪﻨﻨﻛ ﻲﻣ ﻱﺯﺎﺳ ﻪﻴﺒﺷ ﺍﺭ ﻥﺎﺴﻧﺍ ﺩﺮﻜﻠﻤﻋ ﻱ ﻩﻮﻴﺷ ﻭ ﺮﻜﻔﺗ ﻱﻮﮕﻟﺍ ﺎﻫ ﻪﻣﺎﻧﺮﺑ ﻦﻳﺍ .ﺪﻧﺍ ﻩﺪﺷ ﻦﻳﺍ ﺯﺍ ﻭ ﻩﺪﺷ ﻪﺋﺍﺭﺍ ﻲﻜﺷﺰﭘ ﻡﻮﻠﻋ ﻱ ﻪﻨﻴﻣﺯ ﺭﺩ ﻥﻮﮔﺎﻧﻮﮔ ﻱ ﻩﺮﺒﺧ ﻱﺎﻫ ﻢﺘﺴﻴﺳ ﻥﻮﻨﻛ ﺎﺗ .ﺪﻧﻮــﺷ ﻲﻣ ﻩﺮﺒﺧ ﺩﺮﻓ ﺎﻳ ﻥﺎــﺴﻧﺍ ﺩﺮﻜﻠﻤﻋ ﺎﺑ ﻥﺍﺭﺎﻤﻴﺑ ﻝﺎﺣ ﺩﻮﺒﻬﺑ ﺭﺩ ﻭ ﻥﻮﺧ ﻥﺎﻃﺮﺳ ﻱﺭﺎﻤﻴﺑ ﻥﺎﻣﺭﺩ ﻭ ﺺﻴﺨﺸﺗ ﺭﺩ ﻩﺭﺍﻮﻤﻫ ﻞﻤﻋ ﺖﻋﺮﺳ .ﺪﺷﺎﺑ ﻲﻣ ﺯﺎﺘﺸﻴﭘ ﻡﻮﻠﻋ ﺯﺍ ﻲﻜﻳ ﺚﻴﺣ ﺎﺑ ﻲﻤﺘﺴﻴﺳ ﻲﺣﺍﺮﻃ ﻭﺭ ﻦﻳﺍ ﺯﺍ ﻭ ﺩﺭﺍﺪﻧ ﺩﻮﺟﻭ ﻥﺍﺭﺎﻤﻴﺑ ﻱﺍﺮﺑ ﺺﺼﺨﺘﻣ ﻥﺎﻜﺷﺰﭘ ﻪﺑ ﻲﺳﺮﺘﺳﺩ ﻲﻫﺎﮔ ﺎﻣﺍ ،ﺪــﺷﺎﺑ ﻲﻣ ﺮﺛﺆﻣ ﺭﺎﻴــﺴﺑ ﻢﻫﺍﺮﻓ ﺍﺭ ﻥﺍﺭﺎﻤﻴﺑ ﻊﻗﻮﻣ ﻪﺑ ﻥﺎﻣﺭﺩ ﻂﻳﺍﺮﺷ ،ﺪﻳﺎﻤﻧ ﻪﺋﺍﺭﺍ ﻥﺍﺭﺎﻤﻴﺑ ﻪﺑ ﺍﺭ ﺐﺳﺎﻨﻣ ﻥﺎﻣﺭﺩ ﻩﺍﺭ ﻭ ﺺﻴﺨﺸﺗ ﻪﻛ ﺺﺼﺨﺘﻣ ﻚــﺷﺰﭘ ﺶﻧﺍﺩ .ﺪﻨﻛ ﻲﻣ ﻥﺁ ﺭﺩ ﻭ ؛ﻪﺋﺍﺭﺍ VP - Expert ﻪﺘﺳﻮﭘ ﺯﺍ ﻩﺩﺎﻔﺘﺳﺍ ﺎﺑ ﻥﻮﺧ ﻥﺎﻃﺮﺳ ﺺﻴﺨﺸﺗ ﻱﺍﺮﺑ ﻩﺮﺒﺧ ﻢﺘــﺴﻴﺳ ﻚﻳ ﻪﻟﺎﻘﻣ ﻦﻳﺍ ﺭﺩ :ﻲـﺳﺭﺮﺑ ﺵﻭﺭ .ﺖﺳﺍ ﻩﺪﺷ ﻩﺮﻴﺧﺫ ﻢﺘﺴﻴﺳ ﺶﻧﺍﺩ ﻩﺎﮕﻳﺎﭘ ﺭﺩ ﺪﻋﺍﻮﻗ ﺕﺭﻮﺻ ﻪﺑ ﻥﺎﻣﺭﺩ ﺩﺎﻬﻨﺸﻴﭘ ﻭ ﺺﻴﺨﺸﺗ ﻱﺍﺮﺑ ﻡﺯﻻ ﺶﻧﺍﺩ ﺺﻴﺨﺸﺗ ﻪﺑ ﻱﺩﺎﻤﺘﻋﺍ ﻞﺑﺎﻗ ًﺎﺘﺒﺴﻧ ﺪﺣﺎﺗ ﻥﺍﻮﺗ ﻲﻣ ﺪﻨﻤﺷﻮﻫ ﻱﺎﻫﺭﺍﺰﻓﺍ ﻡﺮﻧ ﺯﺍ ﻩﺩﺎﻔﺘﺳﺍ ﺎﺑ ﻥﺎﮔﺮﺒﺧ ﺭﻮﻀﺣ ﻡﺪﻋ ﺕﺭﻮﺻ ﺭﺩ :ﺎﻫ ﻪﺘﻓﺎﻳ .ﺖﺧﺍﺩﺮﭘ ﻥﺎﻣﺭﺩ ﻩﻮﻴﺷ ﻪﺋﺍﺭﺍ ﻭ ﺭﺩ ﺭﺎﻳ ﻢﻴﻤﺼﺗ ﺕﺭﻮﺻ ﻪﺑ ﺪﻧﺍﻮﺗ ﻲﻣ ﻩﺮﺒﺧ ﻱﺎﻫ ﻢﺘﺴﻴﺳ ﻥﻮﭼ ﻱﺪﻨﻤﺷﻮﻫ ﻪﻤﻴﻧ ﻭ ﺪﻨﻤﺷﻮﻫ ﻱﺎﻫ ﻢﺘــﺴﻴﺳ ﺯﺍ ﻩﺩﺎﻔﺘــﺳﺍ :ﻱﺮﻴﮔ ﻪﺠﻴﺘﻧ .ﺩﻮﺷ ﻥﺎﮔﺮﺒﺧ ﻦﻳﺰﮕﻳﺎﺟ ﺪﻧﺍﻮﺗ ﻲﻤﻧ ﻪﺟﻭ ﭻﻴﻫ ﻪﺑ ﺮﺿﺎﺣ ﻝﺎﺣ ﺭﺩ ﺪﻨﭼ ﺮﻫ.ﺩﺮﻴﮔ ﺭﺍﺮﻗ ﻥﺎﮔﺪﻨﻨﻛ ﻩﺩﺎﻔﺘﺳﺍ ﺭﺎﻴﺘﺧﺍ ﻥﺎﻣﺭﺩ ﻱ ﻩﻮﻴﺷ ،ﻱﺭﺎﻤﻴﺑ ﺺﻴﺨﺸﺗ ،ﻥﻮﺧ ﻥﺎﻃﺮﺳ ﻱ ﻩﺮﺒﺧ ﻢﺘﺴﻴﺳ :ﺎﻫ ﻩژﺍﻭ ﺪﻴﻠﻛ 89/3/19 :ﻲﻳﺎﻬﻧ ﺵﺮﻳﺬﭘ • 88/2/6 :ﻲﻳﺎﻬﻧ ﺡﻼﺻﺍ • 88/10/21 :ﻪﻟﺎﻘﻣ ﻝﻮﺻﻭ •

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ﻪﻣﺪﻘﻣ ﻢﻴﻤﺼﺗ ﻱﺎﻫ ﻢﺘﺴﻴﺳ ،ﺕﺎﻋﻼﻃﺍ ﻱﺭﻭﺎﻨﻓ ﺩﺮﺑﺭﺎﻛ ﺵﺮﺘﺴﮔ ﺎﺑ ﻪﻧﺎﻳﺍﺭ ﺮﺑ ﻲﻨﺘﺒﻣ ﻱﺎﻫ ﻱﺮﻴﮔ ﻢﻴﻤﺼﺗ ﻲﻠﻛ ﺭﻮﻃ ﻪﺑ ﺎﻳ ﻭ ﻱﺮﻴﮔ ﻱﺎﻫ ﻢﺘﺴﻴﺳ ﻪﻨﻴﻣﺯ ﻦﻳﺍ ﺭﺩ .ﺪﻧﺍ ﻪﺘﻓﺎﻳ ﻱﺩﺎﻳﺯ ﺭﺎﻴــﺴﺑ ﺖﻴﻤﻫﺍ ﺵﻮﻫ ﻪﺑ ﺏﻮــﺴﻨﻣ ﻱﺎﻫ ﺶﺨﺑ ﺯﺍ ﻲــﻜﻳ ﻥﺍﻮﻨﻋ ﻪﺑ ﻩﺮــﺒﺧ ﻉﺍﻮﻧﺍ ﻩﺮﺒﺧ ﻱﺎﻫ ﻢﺘﺴﻴﺳ ﺭﺩ .ﺪﻧﺭﺍﺩ ﺍﺭ ﻲﻠﺻﺍ ﺶﻘﻧ ﻲﻋﻮﻨﺼﻣ ﻱﺎﻫ ﻢﺘــﺴﻴﺳ .ﺪﻧﻮــﺷ ﻲﻣ ﺫﺎﺨﺗﺍ ﻪﻧﺎﻳﺍﺭ ﻚﻤﻛ ﻪﺑ ﺎﻫ ﻢﻴﻤﺼﺗ ﺭﺩ ﺶﻧﺍﺩ ﻭ ﺪﻨﺷﺎﺑ ﻲﻣ ﺶﻧﺍﺩ ﺮﺑ ﻲﻨﺘﺒﻣ ﻲﻳﺎﻫ ﻢﺘــﺴﻴﺳ ،ﻩﺮﺒﺧ ﺶﻧﺍﺩ ﺎﻫ ﻢﺘﺴﻴﺳ ﻦﻳﺍ ﺭﺩ .ﺖﺳﺍ ﺎﻫ ﻥﺁ ﺶﺨﺑ ﻦﻳﺮﺗ ﻢﻬﻣ ﻊﻗﺍﻭ ﻱﺎﻫ ﻢﺘﺴﻴﺳ .ﺩﻮﺷ ﻲﻣ ﻞﻘﺘﻨﻣ ﻪﻧﺎﻳﺍﺭ ﻪﺑ ﻲﻤﻠﻋ ﺮﻫ ﻥﺎﮔﺮﺒﺧ ﺯﺍ .ﺪﻧﺍ ﻪﺘﺷﺍﺩ ﻥﺎﻬﺟ ﻒﻠﺘﺨﻣ ﻡﻮﻠﻋ ﺭﺩ ﻲﻌﻴــﺳﻭ ﺩﺮﺑﺭﺎﻛ ﻩﺮﺒﺧ ﻪﻠﻤﺟ ﺯﺍ ﻲﻳﺎﻫ ﻪﻨﻴﻣﺯ ﺭﺩ ﻲﻔﻠﺘﺨﻣ ﻩﺮﺒﺧ ﻱﺎﻫ ﻢﺘﺴﻴﺳ ﻥﻮﻨﻛﺎﺗ ﻭ ﻲﻟﺎﻣ ﻱﺎﻫ ﻱﺮﻴﮔ ﻢــﻴﻤﺼﺗ ،ﻱﺩﺭﻮﻧﺎﻀﻓ ،ﻝﺮﺘﻨﻛ ،ﺖــﻌﻨﺻ [1] .ﺪﻧﺍ ﻩﺪﺷ ﻪﺋﺍﺭﺍﻭ ﻲﺣﺍﺮﻃ ﻩﺮﻴﻏ ﻩﺍﺭ ﺰﻴﻧ ﻲﻜﺷﺰﭘ ﻱﺎﻴﻧﺩ ﻪﺑ ﻩﺮﺒﺧ ﻱﺎﻫ ﻢﺘﺴﻴﺳ ﺯﺍ ﻩﺩﺎﻔﺘﺳﺍ ﺖﻬﺟ 1965 ﻝﺎــﺳ ﺭﺩ ^DENDRAL ﻪﻣﺎﻧﺮﺑ .ﺖــﺳﺍ ﻪﺘﻓﺎﻳ ﺭﺍﺰﻓﺍ ﻡﺮﻧ [2] .ﺪﺷ ﻩﺩﺍﺩ ﻪﺋﺍﺭﺍ ﻲﻟﻮﻜﻟﻮﻣ ﺭﺎﺘﺧﺎﺳ ﻥﺎﻴﺑ ﻭ ﺡﺮﺷ ﻱﺎﻫ ﻱﺭﺎﻤﻴﺑ ﺺﻴﺨــﺸﺗ ﺖﻬﺟ 1976 ﻝﺎــﺳ ﺭﺩ ^MYCIN ﻱﺍﺮﺑ ^PUFF ﺭﺍﺰــﻓﺍ ﻡﺮﻧ ﻦــﻴﻨﭽﻤﻫ [3] .ﺪــﺷ ﻪﺋﺍﺭﺍ ﻲــﺒﻠﻗ

XBONE ﺭﺍﺰﻓﺍ ﻡﺮﻧ ﺰﻴﻧ ﻭ [4] ﻱﻮﻳﺭ ﻱﺎﻫ ﻱﺭﺎﻤﻴﺑ ﺺﻴﺨﺸﺗ ﺭﺍﺰﻓﺍ ﻡﺮﻧ ﺭﻮﻄﻨﻴﻤﻫ ﻭ ،[5] ﻥﺍﻮﺨﺘﺳﺍ ﺽﺍﺮﻣﺍ ﺺﻴﺨﺸﺗ ﻱﺍﺮﺑ ﻭ ﻩﮋﻳﻭ ﻱﺎﻫ ﺖﺒﻗﺍﺮﻣ ﺪﻨﻣﺯﺎﻴﻧ ﻥﺍﺭﺎﻤﻴﺑ ﺮﺑ ﺕﺭﺎﻈﻧ ﻱﺍﺮﺑ ^VM ﻱﺎﻫ ﻱﺭﺎﻤﻴﺑ ﺺﻴﺨــﺸﺗ ﻱﺍﺮﺑ ^CADCUCEUS ﻦﻴﻨﭽﻤﻫ ﺺﻴﺨــﺸﺗ ﻱﺍﺮﺑ ^{BLUE BOX} ،ﻲﻠﺧﺍﺩ ﺐــﻃ ﻪﺑ ﻁﻮﺑﺮﻣ ﺭﻮﻈﻨﻣ ﻪﺑ ﻪﻛ ﻱﺍ ﻩﺮﺒﺧ ﻱﺎﻫ ﻢﺘــﺴﻴﺳ ﻭ ﻲﮔﺩﺮﺴﻓﺍ ﻥﺎﻣﺭﺩ ﻭ ﺭﻮﻣﺍ ﺭﺩ ﺵﺯﻮﻣﺁ ،ﺎﻫ ﺖﻴﻟﻭﺮﺘﻜﻟﺍ ﻭ ﻱﺪﻴﺳﺍ ﺩﺍﻮﻣ ﺺﻴﺨــﺸﺗ ﺐﻃ ﻪﺑ ﻁﻮﺑﺮﻣ ﻱﺎﻫ ﻱﺭﺎﻤﻴﺑ ﺺﻴﺨﺸﺗ ،ﻲــﺷﻮﻬﻴﺑ ﺖﻳﺮﻳﺪﻣ [6] .ﺪﻨﺘﺴﻫ ﺖﺳﺩ ﻦﻳﺍ ﺯﺍ ،ﻲﻠﺧﺍﺩ ﻱﺍﺮﺑ ﻩﺮﺒﺧ ﻢﺘــﺴﻴﺳ ﻚﻳ ﻪﺋﺍﺭﺍ ﻪــﻟﺎﻘﻣ ﻦﻳﺍ ﺯﺍ ﻑﺪــﻫ ﻥﻮﺧ ﻥﺎﻃﺮﺳ ﻱﺭﺎﻤﻴﺑ ﻥﺎﻣﺭﺩ ﻩﻮﻴــﺷ ﺩﺎﻬﻨﺸﻴﭘ ﻭ ﺺﻴﺨــﺸﺗ ﻭ ﺪﺷ ﺪﻫﺍﻮﺧ ﻪﺘﺧﺍﺩﺮﭘ ﻪﻟ ﺄﺴﻣ ﻥﺎﻴﺑ ﻪﺑ ﻪﻣﺍﺩﺍ ﺭﺩ .ﺪــﺷﺎﺑ ﻲﻣ ﺖﺧﺎﺳ ﻞﺣﺍﺮﻣ ،ﻥﻮﺧ ﻥﺎﻃﺮﺳ ﻩﺭﺎﺑﺭﺩ ﻲﺒﻟﺎﻄﻣ ﻪﺋﺍﺭﺍ ﺯﺍ ﺪﻌﺑ ﻚﻳ ﺎﺑ ﺎﻬﺘﻧﺍ ﺭﺩ ﻭ ﺩﺩﺮــﮔ ﻲﻣ ﻥﺎــﻴﺑ ﻥﺁ ﻱﺍﺰــﺟﺍ ﻭ ﻢﺘــﺴﻴﺳ ﺢﻳﺮﺸﺗ ،ﻩﺪﺷ ﻲﺣﺍﺮﻃ ﻢﺘــﺴﻴﺳ ﺭﺎﻛ ﻞﺣﺍﺮﻣ ﻱﺩﺮﺑﺭﺎﻛ ﻝﺎﺜﻣ .ﺩﺩﺮﮔ ﻲﻣ ﻱﺮﺗﻮﻴﭙﻣﺎﻛ ﻪــﻣﺎﻧﺮﺑ ﻚﻳ ﻲﻜــﺷﺰﭘ ﻩﺮﺒﺧ ﻢﺘــﺴﻴﺳ ﻚﻳ

ﻱﺎﻫ ﻚﻤﻛ ،ﺪﺷﺎﺑ ﻩﺪﺷ ﻩﺩﺎﻴﭘ ﺖــﺳﺭﺩ ﻪﻛ ﻲﻧﺎﻣﺯ ﻪﻛ ﺖــﺳﺍ ﻭ ﺎﻫ ﻱﺭﺎﻤﻴﺑ ﺺﻴﺨــﺸﺗ ﺩﺭﻮﻣ ﺭﺩ ﻱﺮﻴﮔ ﻢﻴﻤﺼﺗ ﺭﺩ ﻱﺮﺛﺆﻣ ﺺﻴﺨﺸﺗ .ﺪﻫﺩ ﻲﻣ ﻪﺋﺍﺭﺍ ﺍﺭ ،ﻥﺎﻣﺭﺩ ﻩﻮﻴﺷ ﺩﺭﻮﻣ ﺭﺩ ﺩﺎﻬﻨﺸﻴﭘ ،ﻪﻣﺎﻧﺮﺑ ﻪــﻜﻨﻳﺍ ﺯﺍ ﺪﻌﺑ ﺽﺭﺍﻮــﻋ ﻲــﻨﻴﺑ ﺶﻴﭘ ﻭ ﺎــﻫ ﻱﺭﺎﻤﻴﺑ ﻦﻳﺍ .ﺩﻮــﺷ ﻲﻣ ﻡﺎﺠﻧﺍ ،ﺪﻨﻛ ﻲﻣ ﺖﻓﺎﻳﺭﺩ ﺍﺭ ﺭﺎﻤﻴﺑ ﺕﺎــﻋﻼﻃﺍ .ﺩﻮﺷ ﻲﻣ ﻞﻘﺘﻨﻣ ﻚﺷﺰﭘ ﻪﺑ ﺭﺎﻤﻴﺑ ﻖﻳﺮﻃ ﺯﺍ ﻻﻮﻤﻌﻣ ﺕﺎﻋﻼﻃﺍ ﻪﻛ ﺪﻨﺘﺴﻫ ﻲﻳﺎﻫ ﻲﮔﮋﻳﻭ ﻱﺍﺭﺍﺩ ﻲﻜﺷﺰﭘ ﻩﺮﺒﺧ ﻱﺎﻫ ﻢﺘــﺴﻴﺳ .ﺪﻨﻛ ﻲﻣ ﺰﻳﺎﻤﺘﻣ ﻲﻜــﺷﺰﭘ ﻱﺎﻫﺭﺍﺰﻓﺍ ﻡﺮﻧ ﺮــﮕﻳﺩ ﺯﺍ ﺍﺭ ﺎﻫ ﻥﺁ ﻱﺍﺮﺑ ،ﺎﻫ ﻢﺘﺴﻴﺳ ﻦﻳﺍ ﻪﻛ ﺖــﺳﺍ ﻦﻳﺍ ﺕﻭﺎﻔﺗ ﻦﻳﺍ ﻪﺒﻨﺟ ﻚﻳ ﻚﻳ ﻱﺎﻫ ﻝﻻﺪﺘﺳﺍ ،ﻡﺪﻗ ﻪﺑ ﻡﺪﻗ ،ﺢﻴﺤﺻ ﺞﻳﺎﺘﻧ ﻪﺑ ﻥﺪﻴــﺳﺭ ﺺﺼﺨﺘﻣ ،ﺩﺭﺍﻮﻣ ﺮﺜﻛﺍ ﺭﺩ .ﺪﻨﻨﻛ ﻲﻣ ﺪﻴﻠﻘﺗ ﺍﺭ ﻩﺮﺒﺧ ﻚــﺷﺰﭘ ﺮﺒﺧ ﺎﺑ ﻲﻟﺍﻮﺘﻣ ﻱﺎﻫ ﻝﻻﺪﺘﺳﺍ ﻦﻳﺍ ﺯﺍ ﺭﺍﺰﻓﺍ ﻡﺮﻧ ﻦﻳﺍ ﺯﺍ ﻩﺩﺎﻔﺘﺳﺍ ﻱﺎﻫ ﻢﺘﺴﻴﺳ ﻪﻛ ﺖﺳﺍ ﻦﻳﺍ ،ﺖــﺳﺍ ﻲﻬﻳﺪﺑ ﻪﻛ ﻱﺮﻣﺍ .ﺖﺳﺍ ﻱﺎﻫ ﺖﻘﻴﻘﺣ ﻭ ﻦﻴﻧﺍﻮﻗ ﺯﺍ ﻱﺩﺎﻳﺯ ﺭﺎﻴﺴﺑ ﺩﺍﺪﻌﺗ ﻪﺑ ﺯﺎﻴﻧ ﻩﺮﺒﺧ ،ﺪﻧﺭﺍﺩ ﻱﺭﺎﻤﻴﺑ ﻂﻳﺍﺮﺷ ﻭ ﺎﻫ ﻱﺭﺎﻤﻴﺑ ﻪﻨﻴﻣﺯ ﺭﺩ ﻲﻜﺷﺰﭘ ﻢﻠﻋ .ﺪﻨﻫﺩ ﻪﺋﺍﺭﺍ ﻲﻘﻴﻗﺩ ﻪﺠﻴﺘﻧ ﺪﻨﻧﺍﻮﺘﺑ ﺎﺗ ﺖﺳﺍ ﻲﻳﺎﻫ ﻥﺎﻃﺮــﺳ ﻦﻳﺮﺗ ﻢﻬﻣ ﺯﺍ ﻲﻜﻳ ﻥﻮﺧ ﻥﺎﻃﺮــﺳ ﻻﻮﻤﻌﻣ .ﺖﺳﺍ ﻩﺩﺮﻛ ﺮﻴﮔﺭﺩ ﺩﻮﺧ ﺎﺑ ﺍﺭ ﻱﺮــﺸﺑ ﻱ ﻪﻌﻣﺎﺟ ﻪﻛ ﻲﻧﺎﻣﺯ ﻭ ﺩﺭﺍﺪﻧ ﺩﻮﺟﻭ ﻥﻮﺧ ﻥﺎﻃﺮﺳ ﻱﺍﺮﺑ ﻲﺼﺨﺸﻣ ﻪﻧﺎﺸﻧ ﻩﺩﻮﺑ ﻩﺪﻴﭽﻴﭘ ﻭ ﻢﻬﺒﻣ ﺭﺎﻴﺴﺑ ،ﺪﻧﻮــﺷ ﻲﻣ ﻥﺎﻳﺎﻤﻧ ﺎﻫ ﻪﻧﺎﺸﻧ ﻪﻛ .ﺪﻧﺭﺍﺩ ﺍﺰﻧﺁﻮﻠﻔﻧﺁ ﻱﺭﺎﻤﻴﺑ ﻱﺎﻫ ﻪﻧﺎــﺸﻧ ﻪﺑ ﻱﺩﺎﻳﺯ ﺖﻫﺎﺒــﺷ ﻭ ﻩﺪﻫﺎــﺸﻣ ﺎﺑ ﻪﻛ ﺩﻮﻤﻧ ﻲﺣﺍﺮﻃ ﺍﺭ ﻱﺍ ﻩﺮﺒﺧ ﻢﺘــﺴﻴﺳ ﻥﺍﻮﺘﻴﻣ ﻭ ﻩﺩﺍﺩ ﺺﻴﺨــﺸﺗ ﺍﺭ ﻥﻮﺧ ﻥﺎﻃﺮــﺳ ﻱﺭﺎﻤﻴﺑ ،ﻕﻮﻓ ﻢﺋﻼﻋ .ﺪﻫﺩ ﺩﺎﻬﻨﺸﻴﭘ ﺍﺭ ﺹﺎﺧ ﻲﻧﺎﻣﺭﺩ ﻱﺎﻫ ﺵﻭﺭ ﻲﻳﺎﻳﺍﺰﻣ ﻱﺍﺭﺍﺩ ﻩﺮﺒﺧ ﻱﺭﺍﺰﻓﺍ ﻡﺮﻧ ﻱﺎﻫ ﻢﺘﺴﻴﺳ ﺯﺍ ﻩﺩﺎﻔﺘﺳﺍ

:ﻪﻜﻨﻳﺍ ﻪﻠﻤﺟ ﺯﺍ ﺪﺷﺎﺑ ﻲﻣ ﺩﺮﻓ ﻝﺎﺜﻣ ﻱﺍﺮﺑ .ﺖﺳﺍ ﻲﻧﺎﻓ ﻭ ﺭﺬﮔﺩﻭﺯ ﺩﺍﺮﻓﺍ ﺺﺼﺨﺗ ﺪﻨﻧﺎﻣ ﻭ ﺩﻮﺷ ﺾﻳﺮﻣ ،ﺪﻫﺩ ﺮﻴﻴﻐﺗ ﺍﺭ ﺶﻠﻐــﺷ ﺖﺳﺍ ﻦﻜﻤﻣ

.ﺖﺳﺍ ﻲﻤﻳﺍﺩ ﻪﻧﺎﻳﺍﺭ ﺺﺼﺨﺗ ﻲﻟﻭ ،ﺎﻬﻨﻳﺍ ﺪﻨﻧﺍﻮﺗ ﻲﻣ ﺺﺼﺨﺘﻣ ﺩﺍﺮﻓﺍ .ﺖﺴﻴﻧ ﺭﺍﺪﻳﺎﭘ ﺩﺮﻓ ﺺﺼﺨﺗ ﻪﻛ ﺪﻨــﺷﺎﺑ ﻪﺘــﺷﺍﺩ ﻩﺮﻴﻏ ﻭ ﻲﺤﻳﺮﻔﺗ ﻱﺎﻫ ﻪﻣﺎﻧﺮﺑ ،ﺕﻼﻴﻄﻌﺗ ﻱﺭﻭﺁ ﻥﺎﻳﺯ ﺭﻮﻃ ﻪﺑ ﺩﺍﺮﻓﺍ ﻲﻌﻴﺒﻃ ﺩﺮﻜﻠﻤﻋ ﻱﻭﺭ ﺮﺑ ﺎﻬﻨﻳﺍ ﻪﻤﻫ ﻂﻳﺍﺮﺷ ﺭﺩ ﻭ ﺪﻧﺭﺍﺩ ﺕﺎﺒﺛ ﺎﻫ ﻪﻧﺎﻳﺍﺭ ﻲﻟﻭ ،ﺖــﺳﺍ ﺭﺍﺬﮔ ﺮﻴﺛﺄﺗ .ﺪﻨﻫﺩ ﻲﻣ ﻪﺋﺍﺭﺍ ﺍﺭ ﺎﻫ ﻲﺟﻭﺮﺧ ﻥﺎﻤﻫ ،ﺺﺨﺸﻣﻭ ﻥﺎﺴﻜﻳ

(3)

(40) 13 ؛1389 ﺖﻣﻼﺳ ﺖﻳﺮﻳﺪﻣ

ﺩﺮﻓ ﻚﻳ .ﺖــﺳﺍ ﻞﻜــﺸﻣ ﻝﺎﻘﺘﻧﺍ ﺖﻬﺟ ﺩﺮﻓ ﺺﺼﺨﺗ ،ﺪﺷﺎﺑ ﻪﺘــﺷﺍﺩ ﺭﻮﻀﺣ ﻥﺎﻜﻣ ﻭﺩ ﺭﺩ ﻥﺎﻣﺯ ﻚﻳ ﺭﺩ ﺪﻧﺍﻮﺗ ﻲﻤﻧ ﻚﻳ ﻝﺎﺜﻣ ﻱﺍﺮﺑ .ﺖــﺳﺍ ﻝﺎﻘﺘﻧﺍ ﻞﺑﺎﻗ ﻪﻧﺎﻳﺍﺭ ﺺــﺼﺨﺗ ﻲﻟﻭ ﺖﺳﺍ ﻩﺪــﺷ ﺐﺼﻧ ﺮﺗﻮﻴﭙﻣﺎﻛ ﻚﻳ ﻱﻭﺭ ﻪﻛ ﻩﺮﺒﺧ ﻢﺘــﺴﻴﺳ ﺮﮕﻳﺩ ﻲﻧﺎﻜﻣ ﺭﺩ ﻭﺮﮕﻳﺩ ﻱﺮﺗﻮﻴﭙﻣﺎﻛ ﺭﺩ ﻥﺪــﺷ ﻲﭙﻛ ﻪﺑ ﺭﺩﺎﻗ ﺮﻳﺬﭘ ﻥﺎﻜﻣﺍ ﻪﻜﺒــﺷ ﻖﻳﺮﻃ ﺯﺍ ﻥﺁ ﺖﻓﺎﻳﺭﺩ ﻲﺘﺣ ﺎﻳﻭ ﺖــﺳﺍ .ﺖﺳﺍ ﻕﻮﻘﺣ .ﺖــﺳﺍ ﺮﺑ ﻪﻨﻳﺰﻫﻭ ﻥﺍﺮﮔ ﻻﻮﻤﻌﻣ ﺩﺮﻓ ﺺﺼﺨﺗ ﺭﺍﺰﻓﺍ ﻡﺮﻧ ﻭ ﺭﺍﺰﻓﺍ ﺖﺨــﺳ ﻪﻨﻳﺰﻫ ﺯﺍ ﺮﺘــﺸﻴﺑ ﻲﻠﻴﺧ ﻲﻠﻨــﺳﺮﭘ

.ﺪﺷﺎﺑ ﻲﻣ ﺯﺍ .ﺪﻧﺭﺍﺩ ﺍﺭ ءﺎﻘﺗﺭﺍ ﻲﻳﺎﻧﺍﻮﺗ ﻩﺮﺒﺧ ﻱﺎﻫ ﻢﺘﺴﻴﺳ ﻦﻴﻨﭽﻤﻫ ﻥﺍﻮﺗ ﻲﻣ ﺪﻨﻨﻛ ﻲﻣ ﺩﺎﺠﻳﺍ ﻩﺮﺒﺧ ﻱﺎﻫ ﻢﺘﺴﻴﺳ ﻪﻛ ﻲﻳﺎﻳﺍﺰﻣ ﺮﮕﻳﺩ

:ﺩﺮﻛ ﻩﺭﺎﺷﺍ ﺮﻳﺯ ﺩﺭﺍﻮﻣ ﻪﺑ ﺖﻴﻠﺑﺎﻗ ،ﻊﻳﺮﺳ ﻭ ﻞﻣﺎﻛ ﻲﻳﻮﮕﺨﺳﺎﭘ ﻥﺎﻣﺯ ،ﻻﺎﺑ ﺩﺮﻜﻠﻤﻋ ﺶﻫﺎﻛ ،ﻱﺮﻳﺬﭘ ﻑﺎﻄﻌﻧﺍ ،ﻥﺩﻮﺑ ﻢــﻬﻓ ﻞﺑﺎﻗ ،ﺏﻮﺧ ﻥﺎﻨﻴﻤﻃﺍ

.ﻪﻧﺎﮔﺪﻨﭼ ﻱﺎﻫ ﺺﺼﺨﺗ ﺩﻮﺟﻭ ﻭ ءﺎﻘﺑ ﻭ ﻡﺍﻭﺩ ،ﺮﻄﺧ ،ﻪﻟﺎﻘﻣ ﻦﻳﺍ ﻪــﺋﺍﺭﺍ ﻪﺑ ﻲﻬﺘﻨﻣ ﻩژﻭﺮــﭘ ﻱﺍﺮﺟﺍ ﺯﺍ ﻑﺪــﻫ ﻲﺑﺎﻴﺘﺳﺩ ﺭﻮﻈﻨﻣ ﻪﺑ ﻱﺭﺍﺰﻓﺍ ﻡﺮﻧ ﻢﺘــﺴﻴﺳ ﻚﻳ ﺯﺍ ﻱﺮﻴﮔ ﻩﺮﻬﺑ ﻱﺭﺎﻤﻴﺑ ﺺﻴﺨﺸﺗ ﻱﺍﺮﺑ ﻩﺮﺒﺧ ﻢﺘﺴﻴﺳ ﻚﻳ ﻱﺎﻳﺍﺰﻣ ﻡﺎﻤﺗ ﻪﺑ .ﺪﺷﺎﺑ ﻲﻣ ﻥﻮﺧ ﻥﺎﻃﺮــﺳ ﻥﺎﻣﺭﺩ ﻩﻮﻴﺷ ﺩﺭﻮﻣﺭﺩ ﺩﺎﻬﻨــﺸﻴﭘ ﻭ [6،8]

ﻥﺪﺑ ﻱﺎﻫ ﺖﻓﺎﺑ ﻦــﻳﺮﺗ گﺭﺰﺑ ﺯﺍ ﻥﻮﺧ :ﻥﻮﺧ ﻥﺎﻃﺮــﺳ ﻩﺪﺷ ﻞﻴﻜﺸﺗ ﺎﻫ ﻝﻮﻠــﺳ ﻭ ﻊﻳﺎﻣ ﺖﻤــﺴﻗ ﻭﺩ ﺯﺍ ﻪﻛ ﺖــﺳﺍ ،ﺪﻧﻮﺷ ﻲﻣ ﻩﺪﻴﻣﺎﻧ ﺎﻤــﺳﻼﭘ ﻉﻮﻤﺠﻣ ﺭﺩ ﻪﻛ ﺕﺎﻌﻳﺎﻣ .ﺖــﺳﺍ 90 ﺩﻭﺪﺣ ﺭﺩ .ﺪﻧﺍ ﻩﺩﺍﺩ ﻞﻴﻜــﺸﺗ ﺍﺭ ﻥﻮﺧ ﻢﺠﺣ ﺪﺻﺭﺩ 55 ﻥﺁ ﻱ ﻩﺪﻧﺎﻤﻴﻗﺎﺑ ﺪــﺻﺭﺩ 10 ﻭ ﺖــﺳﺍ ﺏﺁ ﺎﻤــﺳﻼﭘ ﺪﺻﺭﺩ ،(ﺎﻫ ﺖﻴﻟﻭﺮﺘﻜﻟﺍ) ﻝﻮــﻠﺤﻣ ﻱﺎﻫ ﻚﻤﻧ ،ﻱﺬﻐﻣ ﺩﺍﻮﻣ ﻞﻣﺎــﺷ ﻦﻴﺌﺗﻭﺮﭘ ،(ﻦﺑﺮﻛﺪﻴــﺴﻛﺍ ﻱﺩ ﻭ ﻥﮋﻴــﺴﻛﺍ ﻞﻣﺎــﺷ) ﺎــﻫﺯﺎﮔ ﻭ ﺎﻫ ﻢﻳﺰﻧﺁ ،ﺪﺋﺍﺯ ﺩﺍﻮﻣ ،ﺎﻫ ﻦﺗﺩﺎﭘ ،ﻱﺩﺎﻘﻌﻧﺍ ﻞﻣﺍﻮﻋ ،ﻦــﻴﻣﻮﺒﻟﺁ .ﺖﺳﺍ ﺎﻫ ﻥﻮﻣﺭﻮﻫ ﻱﺎﻫ ﻝﻮﻠــﺳ ﺍﺭ ﻥﻮﺧ ﻢﺠﺣ ﺯﺍ ﻩﺪــﻧﺎﻤﻴﻗﺎﺑ ﺪــﺻﺭﺩ 45 :ﺪﻨﺘــﺴﻫ ﻉﻮﻧ ﻪــﺳ ﺮﺑ ﺩﻮﺧ ﻪﻛ ﺪﻨﻫﺩ ﻲﻣ ﻞﻴﻜــﺸﺗ ﻲــﻧﻮﺧ ﺎﻫ ﺖﻴﺳﻮﻛﻮﻟ ،ﻥﻮﺧ ﺰﻣﺮﻗ ﻱﺎﻫ ﻝﻮﺒﻠﮔ ﻥﺎﻤﻫ ﺎﻳ ﺎﻫ ﺖﻴﺳﻭﺮﺘﻳﺭﺍ ﻱﺎﻫ ﺖﻛﻼﭘ ﺎﻳ ﺎﻫ ﺖﻴﺳﻮﺒﻣﻭﺮﺗ ﻭ ﻥﻮﺧ ﺪﻴﻔﺳ ﻱﺎﻫ ﻝﻮﺒﻠﮔ ﺎﻳ ﺩﺍﻮﻣ ﻭ ﺎﻫﺯﺎﮔ ﻝﺎﻘﺘﻧﺍ ﻥﻮﺧ ﺖﻓﺎﺑ ﻱ ﻪﻔﻴﻇﻭ ﻦﻳﺮﺗ ﻢﻬﻣ .ﻥﻮﺧ ﺰﻴﻧ ﺪﺋﺍﺯ ﺩﺍﻮﻣ ﻦﻴﻨﭽﻤﻫ .ﺖــﺳﺍ ﻥﺪﺑ ﻱﺎﻫ ﻝﻮﻠﺳ ﺯﺎﻴﻧ ﺩﺭﻮﻣ

ﺯﺍ .ﺪﻧﻮﺷ ﻲﻣ ﻊﻓﺩ ﻭ ﻩﺪــﺷ ﻞﻘﺘﻨﻣ ﺎﻫ ﻪﻴﻠﻛ ﻪﺑ ﻥﻮﺧ ﻖﻳﺮﻃ ﺯﺍ ﻒﻳﺎﻇﻭ ،ﻥﺪﺑ ﻱﺎﻣﺩ ﻢﻴﻈﻨﺗ ﻪﺑ ﻥﺍﻮﺗ ﻲﻣ ﻥﻮﺧ ﻒﻳﺎﻇﻭ ﺮﮕﻳﺩ .ﺩﺮﻛ ﻩﺭﺎﺷﺍ ﺎﻫ ﻦﻴﺌﺗﻭﺮﭘ ﻝﺎﻘﺘﻧﺍ ﻭ ﻲﻋﺎﻓﺩ ﺖﺳﺍ ﻲﻳﺎﻫ ﻥﺎﻃﺮــﺳ ﻦﻳﺮﺗ ﻢﻬﻣ ﺯﺍ ﻲﻜﻳ ﻥﻮﺧ ﻥﺎﻃﺮــﺳ ﻥﺎﻃﺮﺳ .ﺖﺳﺍ ﻩﺩﺮﻛ ﺮﻴﮔﺭﺩ ﺩﻮﺧ ﻪﺑ ﺍﺭ ﻱﺮﺸﺑ ﻱ ﻪﻌﻣﺎﺟ ﻪﻛ ﻪﺑ ﻪﻛ ﺩﺭﺍﺩ ﻱﺍ ﻩﺪﻴﭽﻴﭘ ﻭ ﺕﻭﺎــﻔﺘﻣ ﻱﺎﻫ ﻱﺪﻨﺑ ﻢﻴــﺴﻘﺗ ﻥﻮﺧ ﺭﺩ .ﺖــﺳﺍ ﻩﺪﻴﻣﺎﺠﻧﺍ ﻦﻴﺼﺼﺨﺘﻣ ﻥﺎﻴﻣ ﻲﻧﺍﻭﺍﺮﻓ ﻱﺎﻫ ﺚﺤﺑ ﻲﻤﻴﺧﺪﺑ ﻥﻮﮔﺎﻧﻮﮔ ﻉﻮﻧ 30 ﺯﺍ ﺶﻴﺑ ﻥﻮﺧ ﻥﺎﻃﺮﺳ ﺖﻘﻴﻘﺣ ﻪﺘﺳﺩ ﻭﺩ ﻪﺑ ءﺎﺸﻨﻣ ﺱﺎــﺳﺍﺮﺑ ﻥﻮﺧ ﻥﺎﻃﺮــﺳ .ﺩﺭﺍﺩ ﺮﺑﺭﺩ ﺍﺭ :ﺩﻮﺷ ﻲﻣ ﻱﺪﻨﺑ ﻢﻴﺴﻘﺗ ﺮﻴﻏ ﻭ ﻥﺍﻮﺨﺘﺳﺍ ﺰﻐﻣ ءﺎﺸﻨﻣ ﺎﺑ ﻥﻮﺧ ﻥﺎﻃﺮﺳ ﻪﺑ :ﻲﻤﺳﻮﻟ ﺪﻴﻔﺳ ﻱﺎﻫ ﻝﻮﺒﻠﮔ ﺖﻟﺎﺣ ﻦﻳﺍ ﺭﺩ .ﺩﻮــﺷ ﻲﻣ ﻕﻼﻃﺍ ﻱﻭﺎﻔﻨﻟ

.ﺪﻧﻮﺷ ﻲﻣ ﻥﻮﺧ ﻥﺎﻳﺮﺟ ﺩﺭﺍﻭ ﻥﺍﻮﺨﺘﺳﺍ ﺰﻐﻣ ﺯﺍ ﻢﻴﺧﺪﺑ ﻱﺎﻫ ﻩﺪﻏ ﻭ ﺖــﻓﺎﺑ ءﺎــﺸﻨﻣ ﺎﺑ ﻥﻮﺧ ﻥﺎﻃﺮــﺳ ﻪﺑ :ﻡﻮﻔﻨﻟ ﺪﻴﻔﺳ ﻱﺎﻫ ﻝﻮﺒﻠﮔ ﺖﻟﺎﺣ ﻦﻳﺍ ﺭﺩ .ﺩﻮﺷ ﻲﻣ ﻕﻼﻃﺍ ﻥﺪﺑ ﻱﻭﺎﻔﻨﻟ ﻲﻧﺎﻃﺮــﺳ ﻲﻔﻨﻟ ﻱﺎﻫ ﻩﺪﻏ ﻭ ﻥﺪﺑ ﻱﻭﺎﻔﻨﻟ ﺖﻓﺎﺑ ﺭﺩ ﺩﻮﺟﻮﻣ ﺩﺭﺍﻭ ﻭ ﺪﻧﺭﻭﺁ ﻲﻣ ﻡﻮﺠﻫ ﺎﻫ ﻥﺎﮔﺭﺍ ﻭ ﺎﻫ ﺖﻓﺎﺑ ﺮﻳﺎﺳ ﻪﺑ ﻭ ﻩﺪﺷ ﻡﻮﻔﻨﻟ ،ﻦﻴﻘﻘﺤﻣ ﻭ ﻊﺑﺎﻨﻣ ﻲﺧﺮﺑ .ﺪﻧﻮﺷ ﻲﻣ ﺰﻴﻧ ﻥﻮﺧ ﻥﺎﻳﺮﺟ ﻭ ﺪﻨﻣﺎﻧ ﻲﻣ ﻱﻭﺎﻔﻨﻟ ﻩﺎﮕﺘﺳﺩ ﻥﺎﻃﺮــﺳ ﻥﺁ ءﺎــﺸﻨﻣ ﻞﻴﻟﺩ ﻪﺑ ﺍﺭ .ﺪﻨﻨﻛ ﻲﻣ ﺍﺪﺟ ﻥﻮﺧ ﻱﺎﻫ ﻲﻤﻴﺧﺪﺑ ﺯﺍ ﺍﺭ ﻥﺁ ﺰﻴﻧ ﻭ ﻥﺩﻮﺑ ﺩﺎﺣ ﺎﻳ ﻦﻣﺰﻣ ﺱﺎــﺳﺍﺮﺑ ﺩﻮﺧ ﺰﻴﻧ ﻲﻤــﺳﻮﻟ ﻢﻴﺴﻘﺗ ،ﻪﺘﺳﺩ ﺭﺎﻬﭼ ﻪﺑ ،ﺮﻴﮔﺭﺩ ﺪﻴﻔﺳ ﻝﻮﺒﻠﮔ ﻉﻮﻧ ﺱﺎــﺳﺍﺮﺑ

:ﺩﻮﺷ ﻲﻣ (^AML) ﺩﺎﺣ ﻚﻴﻧژﻮﻠﻴﻣ ﻲﻤﺳﻮﻟ .1 (^CML) ﻦﻣﺰﻣ ﻚﻴﻧژﻮﻠﻴﻣ ﻲﻤﺳﻮﻟ .2 (^ALL) ﺩﺎﺣ ﻚﻴﺘﻴﺳﻮﻔﻨﻟ ﻲﻤﺳﻮﻟ .3 (^CLL) ﻦﻣﺰﻣ ﻚﻴﺘﻴﺳﻮﻔﻨﻟ ﻲﻤﺳﻮﻟ .4 ﻥﺩﻮﺑ ﻎﻟﺎﺑ ﻲﻤــﺳﻮﻟ ﻚﻳ ﻱﺪﻨﺑ ﻪﻘﺒﻃ ﺭﺩ ﻪﻟﺄــﺴﻣ ﻦﻴﻟﻭﺍ (ﻥﻮﺧ ﺵﺩﺮﮔ ﺭﺩ ﺩﻮﺟﻮﻣ ﻲﻌﻴﺒﻃ ﺪﻴﻔﺳ ﻱﺎﻫ ﻝﻮﺒﻠﮔ ﻪﺑﺎﺸﻣ) ﺩﺎﺣ ﻲﻤﺳﻮﻟ ﺭﺩ .ﺖــﺳﺍ ﺪﻴﻔــﺳ ﻱﺎﻫ ﻝﻮﺒﻠﮔ ﻥﺩﻮﺑ ﻎﻟﺎﺑﺎﻧ ﺎﻳ ﻦﻳﺍ .ﺪﻧﺭﺍﺪﻧ ﺍﺭ ﻍﻮــﻠﺑ ﻲﻳﺎﻧﺍﻮﺗ ﻥﺍﻮﺨﺘــﺳﺍ ﺰﻐﻣ ﻱﺎﻫ ﻝﻮﻠــﺳ ﺰﻐﻣ ﺭﺩ ﻭ ﺪﻨﻫﺩ ﻲﻣ ﻪﻣﺍﺩﺍ ﺩﻮﺧ ﺪﻴﻟﻮﺗ ﻪﺑ ﻎﻟﺎﺑﺎﻧ ﻱﺎﻫ ﻝﻮﻠــﺳ ﻦﻳﺍ ﻪﻛ ﺖــﺳﺍ ﺢﺿﺍﻭ .ﺪﻨﺑﺎﻳ ﻲﻣ ﻊﻤﺠﺗ ﻥﻮﺧ ﻭ ﻥﺍﻮﺨﺘــﺳﺍ ﺩﻮﺧ ﻒﻳﺎﻇﻭ ﻡﺎﺠﻧﺍ ﻪﺑ ﺭﺩﺎﻗ ﻥﺩﻮﺑ ﻎﻟﺎﺑﺎﻧ ﻞﻴﻟﺩ ﻪﺑ ﺎﻫ ﻝﻮﻠــﺳ

(4)

(40) 13 ؛1389 ﺖﻣﻼﺳ ﺖﻳﺮﻳﺪﻣ

ﻱﺎﻫ ﻝﻮﺒﻠﮔ ﻥﻮﭼ ﺎﻫ ﻝﻮﻠــﺳ ﺮﮕﻳﺩ ﻱﺍﺮﺑ ﺍﺭ ﺎﻀﻓ ﻭ ﺪﻨﺘــﺴﻴﻧ ﺮﺜﻛﺍ ،ﻥﺎﻣﺭﺩ ﻡﺪــﻋ ﺕﺭﻮﺻ ﺭﺩ .ﺪــﻨﻨﻛ ﻲﻣ ﮓﻨﺗ ﺰﻴﻧ ﺰــﻣﺮﻗ ﺕﻮﻓ ﻩﺎﻣ ﺪﻨﭼ ﺯﺍ ﺮــﺘﻤﻛ ﻝﻮﻃ ﺭﺩ ،ﺩﺎﺣ ﻲﻤــﺳﻮﻟ ﻥﺍﺭﺎــﻤﻴﺑ ،ﺪﻨﺘﺴﻫ ﻎﻟﺎﺑ ﺪﻴﻔﺳ ﻱﺎﻫ ﻝﻮﺒﻠﮔ ﻦﻣﺰﻣ ﻲﻤــﺳﻮﻟ ﺭﺩ .ﺪﻨﻨﻛ ﻲﻣ ﻲﺒــﺳﺎﻨﻣ ﺩﺮﻜﻠﻤﻋ ﻲﻜﻴﺘﻧژ ﺭﺎﺘﺧﺎــﺳ ﺭﺩ ﺺﻘﻧ ﻞﻴﻟﺩ ﻪﺑ ﺎﻣﺍ ﻆﻔﺣ ﺎﻫ ﺖﻧﻮﻔﻋ ﻞــﺑﺎﻘﻣ ﺭﺩ ﺍﺭ ﻥﺪﺑ ﺪﻨﻧﺍﻮﺗ ﻲﻤﻧ ﻭ ﺪــﻧﺭﺍﺪﻧ ﻦﻣﺰﻣ ﻲﻤﺳﻮﻟ ﺪﻧﻭﺭ ﻲﻃ ﺭﺩ ﻪﻛ ﻱﺪﻴﻔــﺳ ﻱﺎﻫ ﻝﻮﺒﻠﮔ .ﺪﻨﻨﻛ ﺮﻤﻋ ،ﻥﺎــﺸﺘﻴﻌﻤﺟ ﺩﺎﻳﺩﺯﺍ ﺮــﺑ ﻩﻭﻼﻋ ،ﺪﻧﻮــﺷ ﻲﻣ ﻪﺘﺧﺎــﺳ .ﺪﻧﺭﺍﺩ ﻲﻌﻴﺒﻃ ﺪﻴﻔﺳ ﻱﺎﻫ ﻝﻮﺒﻠﮔ ﻪﺑ ﺖﺒﺴﻧ ﻱﺮﺗ ﻲﻧﻻﻮﻃ ﻱﺎﻫ ﻝﻮﻠــﺳ ﻉﻮﻧ ﻲﻤــﺳﻮﻟ ﻱﺪﻨﺑ ﻪﻘﺒﻃ ﺭﺩ ﻱﺪﻌﺑ ﻞﻣﺎﻋ ﺖﻴــﺳﻮﻔﻨﻟ ﻉﻮﻧ ﺯﺍ ﺮﻴﮔﺭﺩ ﻱﺎﻫ ﻝﻮﻠــﺳ ﺮﮔﺍ .ﺖــﺳﺍ ﺮﻴﮔﺭﺩ ﻱﺎﻫ ﻝﻮﺒﻠﮔ ﻲﻗﺎﺑ ﺮﮔﺍ ﻭ ﻚﻴﺘﻴﺳﻮﻔﻨﻟ ﻲﻤﺳﻮﻟ ﻥﺁ ﻪﺑ ،ﺪﻨــﺷﺎﺑ ﺭﺩ .ﺪﻨﻳﻮﮔ ﻲﻣ ﻚﻴﻧژﻮﻠﻴﻣ ﻲﻤﺳﻮﻟ ﻥﺁ ﻪﺑ ،ﺪﻨﺷﺎﺑ ﺮﻴﮔﺭﺩ ﺪﻴﻔﺳ ﺮﻴﮔﺭﺩ ﻱﻭﺎﻔﻨﻟ ﺖﻓﺎﺑ ﺭﺩ ﺩﻮﺟﻮﻣ ﻱﺎﻫ ﺖﻴــﺳﻮﻔﻨﻟ ﻢﻫ ﻡﻮﻔﻨﻟ ،ﻲﻠﺻﺍ ﻱ ﻪﺘــﺳﺩ ﺭﺎﻬﭼ ﻦﻳﺍ ﺯﺍ ﺮــﻴﻐﺑ .ﺪﻧﻮــﺷ ﻲﻣ ﻲﻤﻴﺧﺪﺑ (^HCL) ﻲﻳﻮﻣ ﻝﻮﻠﺳ ﻲﻤﺳﻮﻟ ﺪﻨﻧﺎﻣ ﻱﺮﮕﻳﺩ ﻉﺍﻮﻧﺍ ﻲﻤﺳﻮﻟ ﺩﺮﻴﮔ ﻲﻣ ﺮﺑﺭﺩ ﺰﻴﻧ ﺍﺭ ^T ﻝﻮﻠﺳ ﻦﻣﺰﻣ ﻚﻴﺘﻴﺳﻮﻔﻨﻟ ﻲﻤﺳﻮﻟ ﻭ ﻦﻳﺮﺗ ﻢﻬﻣ .ﺪﻨﺘﺴﻴﻧ ﻊﻳﺎــﺷ ﻲﻠﻴﺧ ﻕﻮﻓ ﻩﻭﺮﮔ ﺭﺎﻬﭼ ﺪﻨﻧﺎﻣ ﻪﻛ :ﺪﻨﺘﺴﻫ ﺡﺮﺷ ﻦﻳﺪﺑ ﻲﻤﺳﻮﻟ ﻢﻳﻼﻋ ﻥﺍﻮﺨﺘــﺳﺍ ﺰﻐﻣ ﻥﺪــﺷ ﺮﭘ ﻞــﻴﻟﺩ ﻪــﺑ :ﻥﺍﻮﺨﺘــﺳﺍ ﺩﺭﺩ .ﺪﻧﻮــﺷ ﻲﻣ ﺪﻴﻟﻮﺗ ﻪﻳﻭﺭ ﻲﺑ ﻪــﻛ ﻲﻧﺎﻃﺮــﺳ ﻱﺎﻫ ﻝﻮﻠــﺳ ﺎﺑ ﺭﺎﺸﻓ ﺎﺑ ،ﺪﺷﺎﺑ ﺩﺎﻳﺯ ﺭﺎﻴﺴﺑ ﺎﻫ ﻝﻮﻠــﺳ ﺩﺍﺪﻌﺗ ﺮﮔﺍ ﺹﻮﺼﺨﺑ ﺺﺨﺷ ،ﻥﺁ ﻥﺩﺮﻛ ﺱﺎﺴﺣ ﻭ ﻙﺯﺎﻧ ﻭ ﻲﻧﺍﻮﺨﺘــﺳﺍ ﺖﻓﺎﺑ ﻪﺑ ﺶﻳﺎﻣﺯﺁ ﻚﻳ .ﺩﻮــﺷ ﻲﻣ ﺱﺭﺩﻭﺯ ﻱﺎﻫ ﻲﮕﺘﺴﻜﺷ ﺪﻌﺘــﺴﻣ ﻦــﻴﻨﭽﻤﻫ ﻭ ﻥﻮــﺧ ﻭ ﻥﺍﻮﺨﺘــﺳﺍ ﺰــﻐﻣ ﺯﺍ ﻱﺭﺍﺩﺮــﺑ ﻪﻧﻮﻤﻧ ﺯﺍ ﺍﺭ ﻥﺎﻃﺮــﺳ ﻦﻳﺍ ﻢﻴﺧﺪﺑ ﺪﻴﻔــﺳ ﻱﺎﻫ ﻝﻮﺒﻠﮔ ﻱ ﻩﺪﻫﺎــﺸﻣ ﻪﻛ) ﻲﻧﺍﻮﺨﺘﺳﺍ ﻚﻴﺗﺍﺪﻴﻫ ﺖــﺴﻴﻛ ﺎﻳ ﻭ ﻥﺍﻮﺨﺘﺳﺍ ﻥﺎﻃﺮــﺳ (ﺩﻮﺷ ﻲﻣ ﻥﺍﻮﺨﺘﺳﺍ ﻲﮕﺘﺴﻜﺷ ﻭ ﻥﺪﺷ ﻙﺯﺎﻧ ﺐﺟﻮﻣ ﻢﻫ ﻥﺁ .ﺩﺍﺩ ﺪﻫﺍﻮﺧ ﻖﻳﺮﻔﺗ ﻞﻴﻟﺩ ﻦــﻳﺍ ﻪﺑ :ﻩﺪﻧﻭﺮــﺸﻴﭘ ﻲــﮔﺪﻳﺮﭘ ﮓﻧﺭ ﻭ ﻱﺩﻮــﺒﻛ ﺩﻮﺟﻭ ﻞﻴﻟﺩ ﻪﺑ ﻥﺍﻮﺨﺘــﺳﺍ ﺰﻐﻣ ﺭﺩ ﺍﺪﺘﺑﺍ ﻪﻛ ﺪﺘﻓﺍ ﻲﻣ ﻕﺎــﻔﺗﺍ ﻱﺍﺮﺑ ﻲﻳﺎﻀﻓ ،ﻢــﻴﺧﺪﺑ ﺪﻴﻔــﺳ ﻱﺎﻫ ﻝﻮﺒﻠﮔ ﺩﺎﻳﺯ ﺖــﻴﻌﻤﺟ ﺩﻭﺭﻭ ﻪﻛ ﻦﻳﺍ ﺮﮕﻳﺩ ﻭ ﺩﺭﺍﺪﻧ ﺩﻮﺟﻭ ﺰﻣﺮﻗ ﻱﺎﻫ ﻝﻮﺒﻠﮔ ﺪــﻴﻟﻮﺗ ﺍﺭ ﺎﻀﻓ ،ﻥﻮﺧ ﺵﺩﺮﮔ ﻢﺘــﺴﻴﺳ ﻪﺑ ﻢﻴﺧﺪﺑ ﻱﺎﻫ ﻝﻮﺒﻠﮔ ﻦﻳﺍ ﺎﻬﺘﻧﺍ ﺭﺩ ﻭ ﻩﺩﺮﻛ ﮓﻨﺗ ﺵﺩﺮــﮔ ﺭﺩ ﺰﻣﺮﻗ ﻱﺎﻫ ﻝﻮﺒﻠﮔ ﻱﺍﺮــﺑ ﻭ ﻪﺘﻓﺎﻳ ﺶﻫﺎﻛ ﻲﻧﺎﺳﺭ ﻥﮋﻴــﺴﻛﺍ ،ﻞﻳﻻﺩ ﻦﻳﺍ ﻪﺑ ﻪﺟﻮﺗ ﺎﺑ ﻭ

.ﺪﺷ ﺪﻫﺍﻮﺧ ﺮﻫﺎﻇ ﻲﮔﺪﻳﺮﭘ ﮓﻧﺭ ًﺎﺘﻳﺎﻬﻧ ﻭ ﻱﺩﻮﺒﻛ ﻪﺿﺭﺎﻋ ﻦﻳﺍ ﻻﺎﺑ ﺭﺩ ﻩﺪــﺷ ﺮﻛﺫ ﻞﻳﻻﺩ ﺮﺑﺎﻨﺑ :ﻲــﻧﻮﺧ ﻢﻛ

.ﺩﺍﺩ ﺪﻫﺍﻮﺧ ﺥﺭ ،ﻱﺍ ﻪــﻄﻘﻧ ﻱﺎــﻫ ﻱﺰﻳﺮﻧﻮﺧ :ﺭﺮــﻜﻣ ﻱﺎــﻫ ﻱﺰﻳﺮﻧﻮﺧ ﻭ ﻲﮔﺪﻳﺮﺑ ﻞﺤﻣ ﺭﺩ ﻱﺰﻳﺮﻧﻮﺧ ﻥﺪﺸﻧ ﻪﺘﺨﻟ ،ﻲﻨﻴﺑ ﺯﺍ ﻱﺰﻳﺮﻧﻮﺧ

.ﺪﻫﺩ ﻲﻣ ﺥﺭ ﺎﻫ ﺖﻛﻼﭘ ﺪﻳﺪﺷ ﺶﻫﺎﻛ ﻞﻴﻟﺩ ﻪﺑ ﻪﺜﻟ ﺯﺍ ﻱﺰﻳﺮﻧﻮﺧ ﺮﮕﻧﺎﻴﺑ ﻪﻛ :ﻱﻭﺎــﻔﻨﻟ ﻱﺎﻫ ﻩﺪﻏ ﻭ ﻝﺎــﺤﻃ ﻭ ﺪﺒﻛ ﻡﺭﻮــﺗ ﺱﺎﺴﺣﺍ ﻪﺑ ﺮﺠﻨﻣ ﻮﻀﻋ ﻭﺩ ﻦﻳﺍ ﻡﺭﻮﺗ .ﺖﺳﺍ ﻲﻤﺳﻮﻟ ﺭﺎﺸﺘﻧﺍ ﻱﺎﻫ ﻩﺪﻘﻋ ﺮﮔﺍ .ﺩﻮﺷ ﻲﻣ ﻢﻜــﺷ ﻩﺮﻔﺣ ﺭﺩ ﻲﮔﺪﻣﺁﺮﺑ ﻭ ﻱﺮﭘ ﻞﻐﺑ ﺮﻳﺯ ،ﻥﺍﺭ ﻪﻟﺎﺸﻛ ،ﻲﻧﺩﺮﮔ ﻱﺎﻫ ﻩﺪﻏ ﺪﻨﻧﺎﻣ ﻲﺤﻄﺳ ﻲﻔﻨﻟ ﻲﺘــﺷﺍﺪﻬﺑ ﻦﻴﺒﻗﺍﺮﻣ ﺎﻳ ﺭﺎﻤﻴﺑ .ﺪﻧﻮــﺷ ﻡﺭﻮﺘﻣ ﻩﻮﻗﺮﺗ ﻱﻻﺎﺑ ﻭ ﻞﺧﺍﺩ ﻲﻔﻨﻟ ﻱﺎﻫ ﻩﺪﻘﻋ ﻡﺭﻮــﺗ ﺎﻣﺍ ﺪــﺷ ﺪﻨﻫﺍﻮﺧ ﻥﺁ ﻪﺟﻮﺘﻣ ﻦﻜﺳﺍ ﻲﺗ ﻲﺳ ﺎﻳ ﻱﺁ ﺭﺁ ﻡﺍ ﻡﺎﺠﻧﺍ ﺎﺑ ﻂﻘﻓ ﻢﻜﺷ ﺎﻳ ﻪﻨﻴﺳ ﻪﺴﻔﻗ .ﺖﺳﺍ ﺺﻴﺨﺸﺗ ﻞﺑﺎﻗ ﺯﺍ ﻲــﺷﺎﻧ ﻪﻛ :ﺎﻫ ﺖﻧﻮﻔﻋ ﻝﻮﻤﻌﻣ ﺪــﺣ ﺯﺍ ﺶﻴﺑ ﺯﻭﺮــﺑ ﻥﺎﻃﺮﺳ ﻱ ﻪﺠﻴﺘﻧ ﺭﺩ ﻲﻨﻤﻳﺍ ﻢﺘﺴﻴﺳ ﺩﺭﻮﺧﺮﺑ ﺕﺭﺪﻗ ﺶﻫﺎﻛ ﺩﻮﺟﻭ ﻢﻫ ﺯﺪﻳﺍ ﻪﺑ ﻼﺘﺒﻣ ﻥﺍﺭﺎﻤﻴﺑ ﺭﺩ ﺖﻣﻼﻋ ﻦﻳﺍ ﻪﺘﺒﻟﺍ ،ﺖﺳﺍ .ﺪﻧﻮﺷ ﻲﻣ ﻩﺩﺍﺩ ﻖﻳﺮﻔﺗ ﻢﻫ ﺯﺍ ﻥﻮﺧ ﺶﻳﺎﻣﺯﺁ ﺎﺑ ﻪﻛ ﺩﺭﺍﺩ ﺩﺎﻳﺩﺯﺍ ﻪﻛ ﺖــﺳﺍ ﺢﺿﺍﻭ :ﺖﻴﻟﺎﻌﻓ ﻡﺎﺠﻧﺍ ﺭﺩ ﺲﻔﻧ ﻲﮕﻨﺗ ﺪﺷ ﻩﺩﺍﺩ ﺡﺮــﺷ ﻪﻛ ﺭﻮﻃ ﻥﺎﻤﻫ ﻢﻴﺧﺪﺑ ﺪﻴﻔــﺳ ﻱﺎﻫ ﻝﻮﻠــﺳ ﺩﺎﺠﻳﺍ ﺰﻣﺮﻗ ﻱﺎــﻫ ﻝﻮﺒﻠﮔ ﻱ ﻪﻔﻴﻇﻭ ﻡﺎــﺠﻧﺍ ﻭ ﺪﻴﻟﻮﺗ ﻱﺍﺮــﺑ ﻭ ﻥﮋﻴــﺴﻛﺍ) ﺎﻫﺯﺎﮔ ﻝﺎﻘﺘﻧﺍ ﺮــﻣﺍ ﻦﻳﺍﺮﺑﺎﻨﺑ ﺪــﻨﻛ ﻲﻣ ﻞﻜــﺸﻣ ﺮﮕﻳﺩ ﺯﺍ .ﺪﺷ ﺪﻫﺍﻮﺧ ﻭﺭ ﻪﺑﻭﺭ ﻝﺎﻜــﺷﺍ ﺎﺑ (ﻦﺑﺮﻛﺪﻴﺴﻛﺍ ﻱﺩ ،ﻲﻳﺎﻬﺘﺷﺍ ﻲﺑ ،ﻲﻣﻮﻤﻋ ﻲﮕﺘﺴﺧ ﻭ ﻒﻌﺿ ﻪﺑ ﻥﺍﻮﺗ ﻲﻣ ﻢﻳﻼﻋ ،ﻱﺭﺎﻴــﺷﻮﻫ ﺢﻄــﺳ ﺶﻫﺎﻛ ﻥﻮﭼ ﻲﺒﺼﻋ ﻢﻳﻼﻋ ﻭ ﻱﺮﻏﻻ .ﺩﺮﻛ ﻩﺭﺎﺷﺍ ﻝﺩﺎﻌﺗ ﻆﻔﺣ ﻡﺪﻋ ﻭ ﻲﺠﻠﻓ ،ﺞﻨﺸﺗ ﺪﻳﺎﺑ ،ﻱﺩﻮﺒﻬﺑ ﻱﺍﺮﺑ ﻥﻮﺧ ﻥﺎﻃﺮــﺳ ﻱﺭﺎﻤﻴﺑ ﻪﺑ ﻥﺎﻳﻼﺘﺒﻣ ﻥﺍﻮﺨﺘﺳﺍ ﺰﻐﻣ ﺪﻧﻮﻴﭘ ﻭ ﻱﺭﺎﺘﺳﺮﭘ ﻭ ﻲﻳﻭﺭﺍﺩ ﻱﺎﻫ ﺖﺒﻗﺍﺮﻣ ﺯﺍ

[9-12] .ﺪﻨﻳﺎﻤﻧ ﻩﺩﺎﻔﺘﺳﺍ ﻲﺳﺭﺮﺑ ﺵﻭﺭ ﻢﺘﺴﻴﺳ ﺖﺧﺎﺳ ﻞﺣﺍﺮﻣ .1 ﻂــﺳﻮﺗ ﻪﻛ ﻲﺣﺍﺮﻃ ﻱﺎــﻫ ﺵﻭﺭ ﻦــﻳﺮﺗ ﻝﻭﺍﺪﺘﻣ ﺯﺍ ﻲــﻜﻳ ،ﺩﺮﻴﮔ ﻲﻣ ﺭﺍﺮﻗ ﻩﺩﺎﻔﺘﺳﺍ ﺩﺭﻮﻣ ﻩﺮﺒﺧ ﻱﺎﻫ ﻢﺘﺴﻴﺳ ﻥﺎﮔﺪﻧﺯﺎﺳ

(5)

(40) 13 ؛1389 ﺖﻣﻼﺳ ﺖﻳﺮﻳﺪﻣ

ﻲﻳﺎﻫ ﻢﺘــﺴﻴﺳ ﺵﻭﺭ ﻦﻳﺍ ﺭﺩ .ﺪــﺷﺎﺑ ﻲﻣ ^Prototype ﺵﻭﺭ ﻪﺋﺍﺭﺍ ﻥﺍﺮﺑﺭﺎﻛ ﻪﺑ ،ﺪﻨﺘــﺴﻴﻧ ﻲﻤــﺳﺭ ﻞﻳﻮﺤﺗ ﻩﺩﺎﻣﺁ ﺯﻮﻨﻫ ﻪﻛ ﻡﺯﻻ ﺕﺎﺣﻼﺻﺍ ﻭ ﺪﻳﺁ ﺖﺳﺩ ﻪﺑ ﻡﺯﻻ ﺩﺭﻮﺧﺯﺎﺑ ﺎﺗ ﺪﻧﺩﺮﮔ ﻲﻣ ﻪﻠﺣﺮﻣ ﻪﺳ ﻞﻣﺎﺷ ﺵﻭﺭ ﻦﻳﺍ .ﺩﺮﻳﺬﭘ ﻡﺎﺠﻧﺍ ﻢﺘﺴﻴﺳ ﻱﻭﺭ ﺮﺑ ﺎﺑ ﻭ ﺎﺠﻜﻳ ﺭﻮﻃ ﻪﺑ ﻪﻛ ،ﺪــﺷﺎﺑ ﻲﻣ ﺍﺮﺟﺍ ﻭ ﻲﺣﺍﺮﻃ ،ﻞــﻴﻠﺤﺗ [13].ﺪﻧﻮﺷ ﻲﻣ ﺭﺍﺮﻜﺗ ﻢﻫ

Prototype ﺰــﻴﻧ ﻪﻟﺎﻘﻣ ﻦــﻳﺍ ﺭﺩ ﻪــﺘﻓﺭ ﺭﺎﻛ ﻪــﺑ ﺵﻭﺭ ﻢﺘﺴﻴﺳ ﻱﺎﻫ ﻑﺪﻫ ﻭ ﺪﺻﺎﻘﻣ ﺍﺪﺘﺑﺍ ﺭﻮﻈﻨﻣ ﻦﻳﺪﺑ .ﺪــﺷﺎﺑ ﻲﻣ ﻭ ﻂﺒﺗﺮﻣ ﺕﺎﻘﻴﻘﺤﺗ ﺭﻭﺮﻣ ﻪﺑ ﺲﭙﺳ ﻭ ﻩﺪﻳﺩﺮﮔ ﻒﻳﺮﻌﺗ ﻩﺮﺒﺧ ﻂﺒﺗﺮﻣ ﻱﺎﻫ ﻪﺑﺮﺠﺗ ﻭ ﺎﻫﺭﺍﺰﻓﺍ ﻡﺮﻧ ﻭ ﺎﻫﺭﺍﺰﻓﺍ ﺖﺨﺳ ﻲﻳﺎﺳﺎﻨﺷ ﺢﻳﺮﺸﺗ ﻩﺮﺒﺧ ﻢﺘــﺴﻴﺳ ﻂﻴﺤﻣ ﺲﭙــﺳ .ﺩﻮــﺷ ﻲﻣ ﻪﺘﺧﺍﺩﺮﭘ ،ﻲﺣﺍﺮﻃ ﻭ ﻞــﻴﻠﺤﺗ ﻭ ﻪﻳﺰﺠﺗ ﻪــﺑ ﻥﺁ ﺯﺍ ﺪــﻌﺑ ﻭ ﻩﺪــﻳﺩﺮﮔ ﻥﺎﻜﻣﺍ ﻲﻋﻮﻧ ﻊﻗﺍﻭ ﺭﺩ ﻭ ﺩﺩﺮﮔ ﻲﻣ ﻪﺘﺧﺍﺩﺮﭘ ﻢﺘﺴﻴﺳ ﻲﻣﻮﻬﻔﻣ ﻢﺘﺴﻴﺳ ﻱﺍﺰﺟﺍ ﺪﻌﺑ ﻱ ﻪﻠﺣﺮﻣ ﺭﺩ .ﺖﻓﺮﮔ ﺕﺭﻮﺻ ﻲﺠﻨــﺳ ﻥﺁ ﺯﺍ ﺪﻧﺍﻮﺗ ﻲﻣ ﻪــﻛ ﻲﻳﺎﻫﺭﺍﺰﻓﺍ ﻡﺮﻧ ﻭ ﺪﻳﺩﺮﮔ ﻦــﻴﻴﻌﺗ ﻩﺮﺒﺧ .ﺪﺷ ﺺﺨﺸﻣ ﻭ ﻲﺳﺭﺮﺑ ،ﺪﻨﻳﺎﻤﻧ ﻲﻧﺎﺒﻴﺘﺸﭘ ﻢﺘــﺴﻴﺳ ﻱﺍﺰﺟﺍ ﻱﺍﺰﺟﺍ ﻥﺩﺍﺩ ﺭﺍﺮﻗ ﻢﻫ ﺭﺎﻨﻛ ﺭﺩ ﻭ ﻢﺘﺴﻴﺳ ﺖﺧﺎﺳ ﻪﺑ ﺎﻬﺘﻧﺍ ﺭﺩ .ﺪﺷ ﻪﺘﺧﺍﺩﺮﭘ ﻥﺁ ﻩﺮﺒﺧ ﻢﺘﺴﻴﺳ ﻱﺍﺰﺟﺍ .2 ﻱﺭﺎﻤﻴﺑ ﺩﺭﻮــﻣ ﺭﺩ ﺩﺎﻬﻨــﺸﻴﭘ ﻭ ﺺﻴﺨــﺸﺗ ﻩﺮﺒﺧ ﻢﺘــﺴﻴﺳ ﻲﻠﺻﺍ ءﺰﺟ 3 ﺯﺍ ﻱﺍ ﻩﺮﺒﺧ ﻢﺘﺴﻴﺳ ﺮﻫ ﺪﻨﻧﺎﻣ ﻥﻮﺧ ﻥﺎﻃﺮــﺳ :ﺖﺳﺍ ﻩﺪﺷ ﻞﻴﻜﺸﺗ ﺮﻳﺯ ﺶﻧﺍﺩ ﻩﺎﮕﻳﺎﭘ ﺖﻳﺮﻳﺪﻣ ﻢﺘﺴﻴﺳ ﺮﻳﺯ - 1

ﺮﺑﺭﺎﻛ ﻂﺑﺍﺭ ﺖﻳﺮﻳﺪﻣ ﻢﺘﺴﻴﺳ ﺮﻳﺯ - 2 ﺝﺎﺘﻨﺘﺳﺍ ﺭﻮﺗﻮﻣ ﻢﺘﺴﻴﺳ ﺮﻳﺯ - 3 ﻞﻜﺷ ﺭﺩ ﺍﺭ ﻩﺮﺒﺧ ﻢﺘﺴﻴﺳ ﻚﻳ ﻱﺍﺰﺟﺍ ﻚﻴﺗﺎﻤﺷ ﻱﺎﻤﻧ ﺯﺍ ءﺰﺟ ﻪﺳ ﺮﻫ ﺢﻳﺮﺸﺗ ﻪﺑ ﻪﻣﺍﺩﺍ ﺭﺩ .ﺖﺳﺍ ﻩﺪﺷ ﺺﺨﺸﻣ 1

[6,7,13] .ﺩﻮﺷ ﻲﻣ ﻪﺘﺧﺍﺩﺮﭘ ،ﻩﺪﺷ ﻲﺣﺍﺮﻃ ﻢﺘﺴﻴﺳ ﻩﺮﺒﺧ ﻪﺘﺳﻮﭘ ﺯﺍ ﺭﻮﻛﺬﻣ ﻩﺮﺒﺧ ﻢﺘﺴﻴﺳ ﻲﺣﺍﺮﻃ ﺭﻮﻈﻨﻣ ﻪﺑ ﻝﺎﺳ ﺭﺩ ﺭﺍﺰﻓﺍ ﻡﺮﻧ ﻦﻳﺍ .ﺖــﺳﺍ ﻩﺪﺷ ﻩﺩﺎﻔﺘــﺳﺍ ^VP-Expert ﺭﺩ Word Tech Systems ﺖﻛﺮﺷ ﻂــﺳﻮﺗ ﻱﺩﻼﻴﻣ 1993 ﻩﺮﺒﺧ ﻱﺎﻫ ﻢﺘﺴﻴﺳ ﻪﻌــﺳﻮﺗ ﻱﺍﺮﺑ ﻱﺭﺍﺰﺑﺍ ﻥﺍﻮﻨﻋ ﻪﺑ ﺎﻜﻳﺮﻣﺁ ﻦﻳﺍ ﺕﺎﻴﺻﻮﺼﺧ ﺯﺍ .ﺖــﺳﺍ ﻩﺪــﺷ ﻪﺿﺮﻋ ﺪﻋﺍﻮﻗ ﺮﺑ ﻲﻨﺘﺒﻣ :[14,7]ﺩﺮﻛ ﻩﺭﺎﺷﺍ ﺮﻳﺯ ﺩﺭﺍﻮﻣ ﻪﺑ ﻥﺍﻮﺗ ﻲﻣ ﺭﺍﺰﻓﺍ ﻡﺮﻧ ﻩﺩﺎﺳ ﻝﻭﺪﺟ ﻚﻳ ﺎﺑ ﺶﻧﺍﺩ ﻩﺎﮕﻳﺎﭘ ﻞﻳﺎﻓ ﺩﺎﺠﻳﺍ ﺖﻴﻠﺑﺎﻗ • ﺪﺻﺭﺩ ﺮﻳﺩﺎﻘﻣ ﻪﺑ ﻁﻮﺑﺮﻣ ﺕﺎﺒﺳﺎﺤﻣ ﻡﺎﺠﻧﺍ ﻭ ﺩﺎﺠﻳﺍ ﺖﻴﻠﺑﺎﻗ • ﻖﻴﻗﺩ ﺎﻧ ﻝﻻﺪﺘــﺳﺍ ﻲﻋﻮﻧ ﺪﻧﺍﻮﺗ ﻲﻣ ﻪﻛ ،(^CNF) ﺩﺎــﻤﺘﻋﺍ ﺕﺎﻴﺻﻮﺼﺧ ﻦﻳﺍ ﻪــﺘﺒﻟﺍ .ﺪﻫﺩ ﺭﺍﺮﻗ ﺮﺑﺭﺎﻛ ﺭﺎــﻴﺘﺧﺍ ﺭﺩ ﺍﺭ ﻭ ﺹﺎﺧ ﺏﻮﭼﺭﺎﭼ ﻚــﻳ ﺭﺩ ﻥﺩﻮﺑ ﺩﻭﺪــﺤﻣ ﺮﻃﺎﺧ ﻪﺑ ﻱﺩﺭﺍﻮﻣ ﺭﺩ ﺎﻬﻨﺗ ،ﺺﺨــﺸﻣ ﻭ ﺖﺑﺎﺛ ﻱﺪﻋﺍﻮﻗ ﺯﺍ ﺖﻴﻌﺒﺗ ﻲﺳﺭﺮﺑ ﺩﺭﻮﻣ ﻢﻴﻫﺎﻔﻣ ﺖﻌﻴﺒﻃ ﺎﺑ ﻪﻛ ﺖﺳﺍ ﻩﺩﺎﻔﺘــﺳﺍ ﻞﺑﺎﻗ .ﺪﺷﺎﺑ ﺭﺎﮔﺯﺎﺳ ﺩﺪﻌﺘﻣ ﺶﻧﺍﺩ ﻱﺎﻫ ﻩﺎﮕﻳﺎﭘ ﺪﻧﻮﻴﭘ ﻱﺍﺮــﺑ ^chaining ﺖﻴﻠﺑﺎﻗ •

ﺮﮕﻳﺪﻜﻳ ﻪﺑ

[6]ﻩﺮﺒﺧ ﻱﺎﻫ ﻢﺘﺴﻴﺳ ﺭﺩ ﻥﻮﮔﺎﻧﻮﮔ ﻱﺍﺰﺟﺍ ﻦﻴﺑ ﻪﻄﺑﺍﺭ : 1ﻞﻜﺷ

(6)

(40) 13 ؛1389 ﺖﻣﻼﺳ ﺖﻳﺮﻳﺪﻣ

ﺦﺳﺎﭘ ﻦﺘﺴﻧﺍﺩ ﻥﻭﺪﺑ ﻪﻛ ﺕﻻﺍﺆــﺳ ﻲﺧﺮﺑ ﺭﺎﻛﺩﻮﺧ ﺪﻴﻟﻮﺗ • ﺖﺴﻴﻧ ﻦﻜﻤﻣ ﻪﺠﻴﺘﻧ ﻪﺑ ﻥﺪﻴﺳﺭ ﺎﻬﻧﺁ

ﻉﻮﻨﺘﻣ ًﺎﺘﺒﺴﻧ ﻲﺿﺎﻳﺭ ﻊﺑﺍﻮﺗ ﺩﻮﺟﻭ•

ﺪﻫﺍﻮﺧ ﻲﻣ ﻩﺮــﺒﺧ ﻢﺘــﺴﻴﺳ ﺯﺍ ﻪــﻛ ﻲﺗﺍﺭﻮﺘــﺳﺩ ﺩﻮــﺟﻭ • ﺪﻫﺩ ﺢﻴﺿﻮﺗ ﻱﺍ ﻩﺭﻭﺎﺸﻣ ﺭﺎﻛ ﻚﻳ ﻲﻃ ﺍﺭ ﺶﻳﺎﻫ ﺖﻴﻟﺎﻌﻓ

Vp - ﻪﺘــﺳﻮﭘ .ﻕﺪﺻ ﺎﻳ ﺖﻘﻴﻘﺣ ﻪﻧﺎﺘــﺳﺁ ﺢﻄــﺳ ﺩﻮﺟﻭ •

CNF ﻝﻻﺪﺘــﺳﺍ ﻥﺎــﻳﺮﺟ ﺭﺩ ﻪــﻛ ﺍﺭ ﻲــﺗﺎﻴﻌﻗﺍﻭ ^Expert ﺯﺍ ،ﺪﻧﺭﻭﺁ ﺖﺳﺩ ﻪﺑ ﺭﻮﻛﺬﻣ ﻪﻧﺎﺘﺳﺁ ﺢﻄــﺳ ﺯﺍ ﺮﺗ ﻚﭼﻮﻛ .ﺪﻨﻛ ﻲﻣ ﺝﺭﺎﺧ ﻢﺘﺴﻴﺳ ﺕﺎﻴﻌﻗﺍﻭ ﻪﻋﻮﻤﺠﻣ

ﺶﻧﺍﺩ ﻩﺎﮕﻳﺎﭘ ﻢﺘﺴﻴﺳﺮﻳﺯ .3 ﻱﺎﻫﺭﺍﺩﻮﻤﻧ ﺯﺍ ﺭﻮﻛﺬﻣ ﻢﺘﺴﻴﺳ ﺶﻧﺍﺩ ﻩﺎﮕﻳﺎﭘ ﻪﺑ ﻲﺑﺎﻴﺘﺳﺩ ﻱﺍﺮﺑ ﻲﻛﻮﻠﺑ ﻱﺎﻫﺭﺍﺩﻮﻤﻧ .ﺖﺳﺍ ﻩﺪﺷ ﻪﺘﻓﺮﮔ ﻩﺮﻬﺑ ﺮﻠﻛﻮﻣ ﻭ ﻲﻛﻮﻠﺑ ﻢﺘــﺴﻴﺳ ﻲﻠﺻﺍ ﻒﻳﺎﻇﻭ ﺎﻫ ﻥﺁ ﺭﺩ ﻪﻛ ﺪﻨﺘــﺴﻫ ﻲﻳﺎﻫﺭﺍﺩﻮﻤﻧ ﻑﺪﻫ ﻭ ﻞﻣﺍﻮﻋ ﻦﻴﺑ ﻁﺎﺒﺗﺭﺍ ﻥﺎﻴﺑ ﻱﺍﺮﺑ ﻭ ﺩﻮﺷ ﻲﻣ ﺺﺨﺸﻣ ﺺﻴﺨﺸﺗ ﻪﺑ ﻁﻮﺑﺮﻣ ﻲﻛﻮﻠﺑ ﺭﺍﺩﻮﻤﻧ.ﺖــﺳﺍ ﺐﺳﺎﻨﻣ ﺭﺎﻴــﺴﺑ ﺶﻳﺎﻣﺯﺁ ﺶﺨﺑ ﻪﺳ ﺯﺍ ﻝﻭﺍ ﺢﻄﺳ ﺭﺩ ﻥﻮﺧ ﻥﺎﻃﺮﺳ ﻱﺭﺎﻤﻴﺑ ﻩﺪﺷ ﻞﻴﻜﺸﺗ ﻱﺭﺎﻤﻴﺑ ﻉﻭﺮﺷ ﻥﺎﻣﺯ ﻭ ﻱﺭﺎﻤﻴﺑ ﻢﺋﻼﻋ ،ﻥﻮﺧ ﻪﺑ ﻥﻮﺧ ﺶﻳﺎﻣﺯﺁ ﺶﺨﺑ ﺭﺍﺩﻮﻤﻧ ﻱﺪﻌﺑ ﺢﻄــﺳ ﺭﺩ .ﺖــﺳﺍ ﻭ ^WBC ﻭ ^H.C.T ﻭ ^P.L.T ﺩﺭﺍﻮــﻣ ﺎﺑ ﺶﺨﺑ ﺮــﻳﺯ ﺖﻔﻫ ﻩﺪــﺷ ﻚﻴﻜﻔﺗ ﺖﻴــﺴﻨﺟ ﻭ ^Lymph ،ﻦﻴﺑﻮﻠﮔﻮﻤﻫ ،^RBC ﻱﺎﻫ ﺶﺨﺑ ﺮــﻳﺯ ﻪﺑ ﺰﻴﻧ ﻱﺭﺎــﻤﻴﺑ ﻢﺋﻼﻋ ﺖﻤــﺴﻗ .ﺖــﺳﺍ ﻲﮔﺭﺰﺑ ،ﺩﺭﺩﺮﺳ ،ﻱﻭﺎﻔﻨﻟ ﺩﺪﻏ ﻲﮔﺭﺰﺑ ،ﻍﺍﺮﻔﺘﺳﺍ ،ﻲﻳﺎﻬﺘﺷﺍ ﻲﺑ ،ﻱﺰﻳﺮﻧﻮﺧ ،ﻲــﻧﻮﺧ ﻢﻛ ،ﻒﻌﺿ ،ﺖﻧﻮﻔﻋ ،ﻝﺎــﺤﻃ ﺎﻳ ﺪﺒﻛ

ﺲﻔﻧ ﻲﮕﻨﺗ ﻭ ﺐﺗ ،ﻲﺠﻴﮔ ،ﻲﮕﺘﺴﺧ ،ﻥﺯﻭ ﺶﻫﺎﻛ ،ﻖﻳﺮﻌﺗ .ﺖﺳﺍ ﻩﺪﺷ ﻚﻴﻜﻔﺗ ﻲﻜﻤﻛ ﭻﻴﻫ ﺪــﻋﺍﻮﻗ ﻦﺘــﺷﻮﻧ ﺭﺩ ﻲﻛﻮﻠﺑ ﻱﺎــﻫﺭﺍﺩﻮﻤﻧ .ﺪﻧﺭﺍﺪﻧ ﺍﺭ ﺭﺎﻛ ﻦﻳﺍ ﻱﺍﺮﺑ ﻱﺭﻭﺮﺿ ﺕﺎﻴﻳﺰﺟ ﺍﺮﻳﺯ ،ﺪﻨﻨﻛ ﻲﻤﻧ ﻞﻣﺍﻮﻋ ﻦﻴﺑ ﻁﺎﺒﺗﺭﺍ ﻪﻛ ﺖــﺳﺍ ﻡﺯﻻ ﻲﻣﺍﺮﮔﺎﻳﺩ ﻪﻄﺑﺍﺭ ﻦﻳﺍ ﺭﺩ ﺪﻋﺍﻮﻗ ،ﺕﻻﺍﺆــﺳ ﻥﺩﺮﻛ ﺺﺨــﺸﻣ ﺎﺑ ﺍﺭ ﻑﺪﻫ ﺮــﺑ ﺮﺛﺆﻣ ﺭﺍﺩﻮﻤﻧ ﺎﻳ ﺮــﻠﻛﻮﻣ ﺭﺍﺩﻮﻤﻧ .ﺪﻨﻛ ﺺﺨــﺸﻣ ﺍﺭ ﺎــﻫ ﻪﻴﺻﻮﺗ ﻭ ﺐــﺳﺎﻨﻣ ﺭﺎﻜﻨﻳﺍ ﻱﺍﺮﺑ ﻪﻛ ﺖــﺳﺍ ﺭﺍﺩﻮﻤﻧ ﻲﻋﻮﻧ ﻲﮕﺘــﺴﺑﺍﻭ ﻱﺍﺮﺑ ﺪﻴﻔﻣ ﻱﺎﻫ ﺵﻭﺭ ﺯﺍ ﻲﻜﻳ ﺮﻠﻛﻮﻣ ﺭﺍﺩﻮﻤﻧ [7] .ﺪﺷﺎﺑ ﻲﻣ ﺖــﺳﺍ ﻑﺪﻫ ﻭ ﻞﻣﺍﻮﻋ ﻦﻴﺑ ﺕﺎﻃﺎﺒﺗﺭﺍ ﺢﻴﺿﻮﺗ ﻭ ﻒﻴﺻﻮﺗ ﻭ ﻩﺩﻮﻤﻧ ﻥﺎﻳﺎﻤﻧ ﺍﺭ ﻑﺪــﻫ ﻱﺩﻭﺭﻭ ﺕﻻﺍﺆــﺳ ﻖﻳﺮﻃﺯﺍ ﻪﻛ ﺍﺭ ﻪﻴﻟﻭﺍ ﻪﻧﻮﻤﻧ ﻂﺳﻮﺗ ﻩﺪﺷ ﻪﺘﺧﺎــﺳ ﻱﺎﻫ ﻒﻴﺻﻮﺗ ﻭ ﺪﻋﺍﻮﻗ ﻁﻮﻄﺧ ﻱﻭﺭ ،ﺎﻫ ﺮﻴﻐﺘﻣ ﺮــﻠﻛﻮﻣ ﺭﺍﺩﻮﻤﻧ ﺭﺩ .ﺪﻫﺩ ﻲﻣ ﻥﺎــﺸﻧ ﺩﺮﻴﮔ ﻲﻣ ﺭﺍﺮﻗ ﺚﻠﺜﻣ ﻞﺧﺍﺩ ﺭﺩ ﻪﻃﻮﺑﺮﻣ ﺕﺎﻤﻴﻤﺼﺗ ﻭ ﻑﺎﺻ ﺮﺗﻻﺎﺑ ﺡﻮﻄﺳ ﻪﺑ ﺮﺗ ﻦﻴﻳﺎﭘ ﺡﻮﻄــﺳ ﺯﺍ ﺕﺎﻤﻴﻤﺼﺗ ﻦﻳﺍ .[2]

ﺺﻴﺨﺸﺗ ﻪﻛ ﻲﻳﺎﻬﻧ ﻢﻴﻤﺼﺗ ﺖﻳﺎﻬﻧ ﺭﺩ ﺎﺗ ،ﻩﺩﻮﻤﻧ ﺍﺪﻴﭘ ﻪﻣﺍﺩﺍ ﻲﻛﻮﻠﺑ ﻱﺎﻫﺭﺍﺩﻮﻤﻧ ﺯﺍ .ﺪــﻨﻫﺩ ﻡﺎﺠﻧﺍ ،ﺍﺭ ﺪــﺷﺎﺑ ﻲﻣ ﻱﺭﺎﻤﻴﺑ .ﺖﺳﺍ ﻩﺪﺷ ﺝﺍﺮﺨﺘﺳﺍ ﺮﻠﻛﻮﻣ ﺭﺍﺩﻮﻤﻧ ،ﻩﺪﺷ ﻪﻴﻬﺗ ﻱﺭﺎﻤﻴﺑ ﺺﻴﺨــﺸﺗ ﻱﺍﺮﺑ ﺮﻠﻛﻮﻣ ﺭﺍﺩﻮــﻤﻧ ﻝﻭﺍ ﺢﻄــﺳ

.ﺖﺳﺍ ﻩﺪﺷ ﻩﺩﺍﺩ ﻥﺎﺸﻧ 2 ﻞﻜﺷ ﺭﺩ ﻥﻮﺧ ﻥﺎﻃﺮﺳ ﻪﺑ ﻁﻮﺑﺮﻣ ﻝﺍﺆﺳ ،ﺖﺳﺍ ﻩﺪــﺷ ﺺﺨﺸﻣ ﻪﻛ ﺭﻮﻃ ﻥﺎﻤﻫ

̶ϣ̵έΎϤϴΑί΍ΕΪϣϪ̩

ˮΩέά̳

̶ϧϻϮσϥΎϣίΕΪϣˬ̶ϧΎϬ̳Ύϧωϭήη

;

κϴΨθΗ

̵έΎϤϴΑϢ΋ϼϋ

ϥϮΧζϳΎϣί΁

ﻥﻮﺧ ﻥﺎﻃﺮﺳ ﻱﺭﺎﻤﻴﺑ ﺺﻴﺨﺸﺗ ﻪﺑ ﻁﻮﺑﺮﻣ ﺮﻠﻛﻮﻣ ﺭﺍﺩﻮﻤﻧ :2ﻞﻜﺷ

(7)

(40) 13 ؛1389 ﺖﻣﻼﺳ ﺖﻳﺮﻳﺪﻣ

ﻭ ﺖــﺳﺍ ﻩﺪﻣﺁ ﻑﺎﺻ ﻂﺧ ﻱﻭﺭ ﺮﺑ ﻱﺭﺎــﻤﻴﺑ ﻥﺎﻣﺯ ﺕﺪــﻣ ﻩﺪﻳﺩ ﻂﺧ ﻥﺎﻤﻫ ﺮﻳﺯ ﺭﺩ ﺰــﻴﻧ ﻝﺍﺆــﺳ ﻪﺑ ﻁﻮﺑﺮﻣ ﻱﺎﻫ ﻪﻨﻳﺰﮔ ﻢﺋﻼﻋ ﻭ ﻥﻮــﺧ ﺶﻳﺎﻣﺯﺁ ﻪﺑ ﻁﻮﺑﺮﻣ ﺕﻻﺍﺆــﺳ .ﺩﻮــﺷ ﻲﻣ ﺭﺩ ﺮﺑﺭﺎﻛ ﻱﺎﻫ ﺦــﺳﺎﭘ ﺖﻓﺎﻳﺭﺩ ﺭﻮﻈﻨﻣ ﻪــﺑ ﻪﻛ ﺰﻴﻧ ﻱﺭﺎــﻤﻴﺑ ﺭﺩ ،ﺪــﺷﺎﺑ ﻲﻣ ﻲﻛﻮﻠﺑ ﺭﺍﺩﻮﻤﻧ ﺭﺩ ﻩﺪﻣﺁ ﻱﺎﻫﺮﻴﻐﺘﻣ ﻱ ﻪــﻨﻴﻣﺯ .ﺖﺳﺍ ﻩﺪﻣﺁ ﻱﺪﻌﺑ ﺢﻄﺳ ﻭ ﺕﻻﺍﺆــﺳ ﺮﻠﻛﻮﻣ ﻱﺎــﻫﺭﺍﺩﻮﻤﻧ ﻢــﺳﺭ ﺎﺑ ﻪــﻛ ﻝﺎﺣ ﻦﻴﻴﻌﺗ ﻝﺍﺆــﺳ ﺮﻫ ﻪﺑ ﺦــﺳﺎﭘ ﺭﺩ ﺪﻳﺎﺑ ﺮﺑﺭﺎﻛ ﻪﻛ ﻲﻳﺎﻫ ﻪﻨﻳﺰﮔ ﻭ ﺞﻳﺎﺘﻧ ﻦــﻴﻴﻌﺗ ﻪﺑ ﻥﺍﻮــﺗ ﻲﻣ ،ﺪــﻳﺩﺮﮔ ﺺﺨــﺸﻣ ،ﺪﻳﺎﻤﻧ ﺮﺑﺭﺎﻛ ﺖــﺳﺍ ﻦﻜﻤﻣ ﻪﻛ ﺖﺧﺍﺩﺮﭘ ﻲﻧﻮﮔﺎﻧﻮﮔ ﻱﺎﻫ ﺖﻴﻌﺿﻭ ﺯﺍ ﺭﻮﻈﻨﻣ ﻦﻳﺍ ﻱﺍﺮﺑ .ﺪﻳﺎﻤﻧ ﻝﺎﻤﻋﺍ ﻝﺍﺆــﺳ ﺮﻫ ﻪﺑ ﺦــﺳﺎﭘ ﺭﺩ ﻉﻮﻧ ﺝﺎﺘﻨﺘﺳﺍ ،ﺭﺎﻤﻴﺑ ﺺﻴﺨــﺸﺗ ﺭﻮﻈﻨﻣ ﻪﺑ ﻢﻴﻤﺼﺗ ﻝﻭﺪﺟ 3 ﻱﺭﺎﻤﻴﺑ ﻢﺋﻼﻋ ﺖﻟﺎﺣ ﻉﻮﻧ ﺝﺎﺘﻨﺘﺳﺍ ﻭ ﻥﻮﺧ ﺶﻳﺎﻣﺯﺁ ﺖﻟﺎﺣ .ﺪﺷ ﻪﺘﻓﺮﮔ ﻩﺮﻬﺑ ﻲﻨﻌﻳ ﻥﻮﺧ ﻥﺎﻃﺮﺳ ﻱﺭﺎﻤﻴﺑ ﻉﻮﻧ ﻥﺪﺷ ﺺﺨﺸﻣ ﺯﺍ ﺪﻌﺑ ﺐﺳﺎﻨﺗ ﻪﺑ ،ﻢﺘﺴﻴﺳ ﻱﻮﺳ ﺯﺍ ^CML ﻭ ALL، AML، CLL

.ﺪﻫﺩ ﻲﻣ ﺩﺎﻬﻨﺸﻴﭘ ﺮﺑﺭﺎﻛ ﻪﺑ ﺍﺭ ﻥﺎﻣﺭﺩ ﻉﻮﻧ ﻢﺘــﺴﻴﺳ ،ﻱﺭﺎﻤﻴﺑ ﺭﺩ ﺭﻮﻛﺬﻣ ﻩﺮــﺒﺧ ﻢﺘــﺴﻴﺳ ﺭﺩ ﺩﻮﺟﻮﻣ ﺪﻋﺍﻮﻗ ﺯﺍ ﻲــﺸﺨﺑ :ﺖﺳﺍ ﻩﺪﻣﺁ ﺮﻳﺯ ﺖﻤﺴﻗ

Rule assessment_1 if blood_test= healthy and sick_time=sudden_start and sick_sign=ALL

then assessment= more_scrutiny;

Rule assessment_2 if blood_test= sick and sick_time=sudden_start and sick_sign=ALL

then assessment=ALL;

Rule assessment_3 if blood_test= healthy and sick_time=long_time and sick_sign=ALL

then assessment=more_scrutiny ; Rule assessment_4

if blood_test=sick and sick_time=sudden_start and sick_sign=AML

then assessment=AML;

Rule assessment_5 if blood_test=healthy and sick_time=long_time and sick_sign=AML

If blood_test=sick and sick_time=long_time and sick_sign=AML

if blood_test=healthy and sick_time=sudden_start and sick_sign=CLL

if blood_test=sick and sick_time=long_time and sick_sign=CLL

then assessment=CLL;

Rule assessment_9 if blood_test=sick and sick_time=long_time and sick_sign=CML

then assessment=CML;

Rule assessment_10 if blood_test=healthy and sick_sign=healthy then assessment=healthy;

ﺝﺎﺘﻨﺘﺳﺍ ﺭﻮﺗﻮﻣ ﻢﺘﺴﻴﺳ ﺮﻳﺯ .4 ﻦﻳﺍ ﻪﺑ ﺝﺎﺘﻨﺘــﺳﺍ ﺭﻮﺗﻮﻣ ،ﺪﻋﺍﻮﻗ ﺮﺑ ﻲﻨﺘﺒﻣ ﻱﺎﻫ ﻢﺘــﺴﻴﺳ ﺭﺩ

(8)

(40) 13 ؛1389 ﺖﻣﻼﺳ ﺖﻳﺮﻳﺪﻣ

ﺏﺎﺨﺘﻧﺍ ﻥﻮﻣﺯﺁ ﻱﺍﺮﺑ ﺍﺭ ﻩﺪﻋﺎﻗ ﻚﻳ ﻪﻛ ﺪﻨﻛ ﻲﻣ ﺭﺎﻛ ﺕﺭﻮﺻ ﺢﻴﺤﺻ ﻩﺪﻋﺎﻗ ﻦﻳﺍ ﻂﻳﺍﺮﺷ ﺎﻳﺁ ﻪﻛ ﺪﻨﻛ ﻲﻣ ﻲﺳﺭﺮﺑ ﻭ ﺪﻨﻛ ﻲﻣ ﺯﺍ ﻝﺍﺆﺳ ﻖﻳﺮﻃ ﺯﺍ ﺖﺳﺍ ﻦﻜﻤﻣ ﻂﻳﺍﺮﺷ ﻦﻳﺍ ؟ﺮﻴﺧ ﺎﻳ ﺪﻨﺘﺴﻫ ﻲﺷﺎﻧ ﻲﻳﺎﻫ ﺖﻴﻌﻗﺍﻭ ﺯﺍ ﺖﺳﺍ ﻦﻜﻤﻣ ﺎﻳ ﻭ ﺩﻮﺷ ﻲﺳﺭﺮﺑ ﺮﺑﺭﺎﻛ ﻂﻳﺍﺮﺷ ﻲﺘﻗﻭ .ﺪﻧﺍ ﻩﺪﻣﺁ ﺖﺳﺩ ﻪﺑ ﻪﺒﺣﺎﺼﻣ ﻝﻮﻃ ﺭﺩ ﻪﻛ ﺩﻮﺷ ﻩﺪﻋﺎﻗ ﻥﺁ ﻪﺠﻴﺘﻧ ﻩﺎﮕﻧﺁ ،ﺪﻨﺷﺎﺑ ﺢﻴﺤﺻ ﻩﺪﻋﺎﻗ ﻚﻳ ﻪﺑ ﻁﻮﺑﺮﻣ

ﻪﺠﻴﺘﻧ ﻭ ﻩﺪﺷ ﻝﺎﻌﻓ ﻥﻮﻧﺎﻗ ﻦﻳﺍ ﺲﭘ .ﺩﻮﺑ ﺪﻫﺍﻮﺧ ﺖﺳﺭﺩ ﺰﻴﻧ ﻢﺘﺴﻴﺳ ﺭﺩ ﻥﻮﭼ [8] .ﺩﻮــﺷ ﻲﻣ ﻩﺩﻭﺰﻓﺍ ﺶﻧﺍﺩ ﻩﺎﮕﻳﺎﭘ ﻪﺑ ﻥﺁ ﺖﺳﺍ ﻩﺪﺷ ﻩﺩﺎﻔﺘﺳﺍ VP - Expert ﻪﺘﺳﻮﭘ ﺯﺍ ﻩﺪــﺷ ﻲﺣﺍﺮﻃ ﻦﻳﺍ VP - Expert ﻪﺘﺳﻮﭘ ﺐــﺳﺎﻨﻣ ﻱﺎﻫ ﻲﮔﮋﻳﻭ ﺯﺍ ﻲﻜﻳ ﻭ

ﻍﺍﺮﻔﺘﺳﺍ ﻱﺭﺎﻤﻴﺑ ﺖﻣﻼﻋ ﺩﺭﻮﻣ ﺭﺩ ﺮﺑﺭﺎﻛ ﺯﺍ VP - Expert ﻢﺘﺴﻴﺳ ﻝﺍﺆﺳ :3 ﻞﻜﺷ

ﺮﺑﺭﺎﻛ ﻪﺑ VP - Expert ﻢﺘﺴﻴﺳ ﻲﻳﺎﻬﻧ ﺦﺳﺎﭘ:4ﻞﻜﺷ

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(40) 13 ؛1389 ﺖﻣﻼﺳ ﺖﻳﺮﻳﺪﻣ

ﻲﺣﺍﺮﻃ ،ﺩﺭﺍﺪﻧ ﺝﺎﺘﻨﺘﺳﺍ ﺭﻮﺗﻮﻣ ﻲﺣﺍﺮﻃ ﻪﺑ ﻱﺯﺎﻴﻧ ﻪﻛ ﺖﺳﺍ .ﺩﻮﺑ ﺪﻫﺍﻮﺧ ﻥﺎﺳﺁ ﻩﺮﺒﺧ ﻢﺘﺴﻴﺳ ﻪﻌﺳﻮﺗ ﻭ ﺮﺑﺭﺎﻛ ﻂﺑﺍﺭ ﻢﺘﺴﻴﺳ ﺮﻳﺯ .5 ﺕﺭﺪﻗ ﺯﺍ ﺪﻳﺎﺑ ًﺎــﺘﻌﻴﺒﻃ ،ﻩﺮﺒﺧ ﻢﺘــﺴﻴﺳ ﻚﻳ ﺮﺑﺭﺎﻛ ﻂــﺳﺍﻭ ﺕﺎﻋﻼﻃﺍ ﻝﺩﺎﺒﺗ ﺭﺎﺘﺧﺎﺳ ﺎﺗ ،ﺪﺷﺎﺑ ﺭﺍﺩﺭﻮﺧﺮﺑ ﻲﻳﻻﺎﺑ ﻲﻟﺩﺎﺒﺗ ﺕﺭﻮﺻ ﻩﺮﺒﺧ ﻥﺎــﺴﻧﺍ ﻭ ﻲﺿﺎﻘﺘﻣ ﻚﻳ ﻱﻮﮕﺘﻔﮔ ﻞﻜــﺷ ﻪﺑ ﺮﺑﺭﺎﻛ ﻂﺑﺍﺭ ﻚﻳ ﻱﺍﺭﺍﺩ VP - Expert ﻪﺘــﺳﻮﭘ [8] .ﺩﺮــﻴﮔ ﻢﺘﺴﻴﺳ ﺶﻧﺍﺩ ﻩﺎﮕﻳﺎﭘ ﺪﻋﺍﻮﻗ ﺱﺎــﺳﺍﺮﺑ ﻥﺁ ﺭﺩ ﻪﻛ ﺪﺷﺎﺑ ﻲﻣ ﻲﺨﺳﺎﭘ ﺱﺎﺳﺍﺮﺑ ﻭ ﺩﻮﺷ ﻲﻣ ﻩﺪﻴﺳﺮﭘ ﺮﺑﺭﺎﻛ ﺯﺍ ﺍﺭ ﻲﺗﻻﺍﺆــﺳ ﻩﺪﺷ ﻡﺎﺠﻧﺍ ﻡﺯﻻ ﺕﺎﺟﺎﺘﻨﺘﺳﺍ ،ﺪﻫﺩ ﻲﻣ ﻢﺘــﺴﻴﺳ ﻪﺑ ﺮﺑﺭﺎﻛ ﻪﻛ ﺶﺨﺑ ﺭﺩ .ﺩﻮﺷ ﻲﻣ ﻪﺋﺍﺭﺍ ﻲﺒﺳﺎﻨﻣ ﺦﺳﺎﭘ ﺮﺑﺭﺎﻛ ﻪﺑ ﻥﺎﻳﺎﭘ ﺭﺩ ﻭ ﻩﺮﺒﺧ ﻢﺘــﺴﻴﺳ ﺭﺎﻛ ﻞﺣﺍﺮﻣ ﻱﺩﺮﺑﺭﺎﻛ ﻝﺎــﺜﻣ ﻚﻳ ﺎﺑ ﻱﺪــﻌﺑ .ﺖﺳﺍ ﻩﺪﺷ ﺢﻳﺮﺸﺗ ﻱﺯﺎﺳ ﻩﺩﺎﻴﭘ .6 ،ﻍﺍﺮﻔﺘــﺳﺍ ﺭﺎﭼﺩ ﻲﻧﺎﻬﮔﺎﻧ ﺭﻮﻃ ﻪﺑ ﻱﺩﺮﻣ ﻪﻛ ﺪﻳﺮﻴﮕﺑ ﺮﻈﻧ ﺭﺩ ﺶﻳﺎﻣﺯﺁ ﻭ ﺖﺳﺍ ﻩﺪﺷ ﻝﺎﺤﻃ ﻲﮔﺭﺰﺑ ﻭ ﻲﻧﻮﺧ ﻢﻛ ،ﺩﺭﺩﺮﺳ

WBC ،19000 ﺮﺑﺍﺮﺑ ^PLT ﻪﻛ ﺪﻫﺩ ﻲﻣ ﻥﺎﺸﻧ ﺩﺮﻓ ﻦﻳﺍ ﻥﻮﺧ ﻭ 0.30 ﺮﺑﺍﺮﺑ ^HCT ،5 ﺮــﺑﺍﺮﺑ ^RBC ،ﺪﺣﺍﻭ 3000 ﺮــﺑﺍﺮﺑ ﺩﺮﻓ ﻦﻳﺍ .ﺪــﺷﺎﺑ ﻲﻣ ﺪﺣﺍﻭ 11 ﺎﺑ ﺮﺑﺍﺮﺑ ﻦﻴﺑﻮﻠﮔﻮﻤﻫ ﻥﺍﺰــﻴﻣ ﻥﺁ ﻉﻮﻧ ﻭ (ﻱﺭﺎﻤﻴﺑ ﻡﺪﻋ ﺎﻳ) ﻱﺭﺎﻤﻴﺑ ﺖﻴﻌﺿﻭ ﺎﺗ ﺩﺭﺍﺩ ﺪﺼﻗ ﺯﺍ ﻲﻳﺎﻤﻧ .ﺪﻳﺎﻤﻧ ﻲﺳﺭﺮﺑ ،ﻩﺪﺷ ﻲﺣﺍﺮﻃ ﻩﺮﺒﺧ ﻢﺘــﺴﻴﺳ ﺎﺑ ﺍﺭ 4 ﻭ 3 ﻞﻜﺷ ﺭﺩ ﻩﺪﺷ ﻲﺣﺍﺮﻃ ﻢﺘﺴﻴﺳ ﺦﺳﺎﭘ ﻭ ﺮﺑﺭﺎﻛ ﻂﺑﺍﺭ ﻱﺎﻫ ﻩﺍﺭ ﻢﺘﺴﻴﺳ ،ﻱﺭﺎﻤﻴﺑ ﻉﻮﻧ ﺺﻴﺨﺸﺗ ﺯﺍ ﺪﻌﺑ .ﺖﺳﺍ ﻩﺪﻣﺁ .ﺪﻨﻛ ﻲﻣ ﻪﺋﺍﺭﺍ ﺰﻴﻧ ﺍﺭ ﻱﺭﺎﻤﻴﺑ ﻥﺎﻣﺭﺩ ﻱﺮﻴﮔ ﻪﺠﻴﺘﻧ ﻭ ﺚﺤﺑ ﺺﻴﺨــﺸﺗ ﻱﺍﺮﺑ ﻩﺮﺒﺧ ﻢﺘــﺴﻴﺳ ﻚﻳ ﻪﺋﺍﺭﺍ ﻪﺑ ﻪﻟﺎﻘﻣ ﻦﻳﺍ ﺭﺩ ﻩﺪﺷ ﻪﺘﺧﺍﺩﺮﭘ ﻥﻮﺧ ﻥﺎﻃﺮﺳ ﻱﺭﺎﻤﻴﺑ ﻥﺎﻣﺭﺩ ﻩﺍﺭ ﺩﺎﻬﻨــﺸﻴﭘ ﻭ ﻢﺘــﺴﻴﺳ ﻱﺎﻫ ﻑﺪﻫ ﻭ ﺪﺻﺎﻘﻣ ﺍﺪﺘﺑﺍ ﺭﻮــﻈﻨﻣ ﻦﻳﺪﺑ .ﺖــﺳﺍ ﻭ ﻂﺒﺗﺮﻣ ﺕﺎﻘﻴﻘﺤﺗ ﺭﻭﺮﻣ ﻪﺑ ﺲﭙﺳ ﻭ ﺪﻳﺩﺮﮔ ﻒﻳﺮﻌﺗ ﻩﺮﺒﺧ ﻂﺒﺗﺮﻣ ﻱﺎﻫ ﻪﺑﺮﺠﺗ ﻭ ﺎﻫﺭﺍﺰﻓﺍ ﻡﺮﻧ ﻭ ﺎﻫﺭﺍﺰﻓﺍ ﺖﺨﺳ ﻲﻳﺎﺳﺎﻨﺷ ﺪﻌﺑ .ﺪﻳﺩﺮﮔ ﺢﻳﺮﺸﺗ ﻩﺮﺒﺧ ﻢﺘــﺴﻴﺳ ﻂﻴﺤﻣ ﻭ ﺪﺷ ﻪﺘﺧﺍﺩﺮﭘ ﻭ ﻢﺘــﺴﻴﺳ ﻲﻣﻮﻬﻔﻣ ﻲﺣﺍﺮﻃ ﻭ ﻞﻴﻠﺤﺗ ﻭ ﻪﻳﺰﺠﺗ ﻪــﺑ ﻥﺁ ﺯﺍ ﻪﻠﺣﺮﻣ ﺭﺩ .ﺖﻓﺮﮔ ﺕﺭﻮﺻ ﻲﺠﻨــﺳ ﻥﺎﻜﻣﺍ ﻲﻋﻮﻧ ﻊﻗﺍﻭ ﺭﺩ

VP ﻪﺘﺳﻮﭘ ﻭ ﺪﻳﺩﺮﮔ ﻦﻴﻴﻌﺗ ﻩﺮﺒﺧ ﻢﺘــﺴﻴﺳ ﻱﺍﺰﺟﺍ ﺪﻌﺑ ﻱ ءﺍﺰﺟﺍ ﻥﺁ ﺯﺍ ﺪﻧﺍﻮﺗ ﻲﻣ ﻪــﻛ ﻱﺭﺍﺰﻓﺍ ﻡﺮﻧ ﻥﺍﻮﻨﻋ ﻪــﺑ ^{- Expert}

.ﺪﺷ ﻦﻴﻴﻌﺗ ﺪﻨﻳﺎﻤﻧ ﻲﻧﺎﺒﻴﺘﺸﭘ ﻲﻳﺎﻫ ﻢﺘﺴﻴﺳ ﺎﺗ ﺩﻮــﺷ ﻲﻌﺳ ﺪﻳﺎﺑ ﻪﻛ ﺖــﺳﺍ ﺮﻛﺫ ﻞﺑﺎﻗ ﻱﺯﺎﺳ ﻪﻴﺒﺷ ﺍﺭ ﺺﺼﺨﺘﻣ ﺩﺍﺮﻓﺍ ﺭﺎﺘﻓﺭ ﺪﻧﺍﻮﺘﺑ ﻪﻛ ﺩﺩﺮﮔ ﻪﺋﺍﺭﺍ ﺐﻳﺎﻌﻣ ﺯﺍ .ﺖــﺴﻴﻧ ﺮﻳﺬﭘ ﻥﺎﻜﻣﺍ ﺮﻣﺍ ﻦﻳﺍ ﻩﺭﺍﻮﻤﻫ ﺎﻣﺍ ،ﺪــﻳﺎﻤﻧ ﻲﻨﻴﻟﺎﺑ ﻲﺳﺭﺮﺑ ﻥﺎﻜﻣﺍ ﻪﻛ ﺖــﺳﺍ ﻦﻳﺍ ﻩﺪﺷ ﻲﺣﺍﺮﻃ ﻢﺘﺴﻴﺳ ﺮﺑﺭﺎﻛ ﻱﺎﻫ ﺦــﺳﺎﭘ ﺱﺎــﺳﺍﺮﺑ ﺎﻬﻨﺗ ﻢﺘــﺴﻴﺳ ﻭ ﺩﺭﺍﺪﻧ ﺩﻮﺟﻭ ﺯﺍ ﻲﺘﻓﺎﻳﺭﺩ ﻱﺎﻫ ﺦــﺳﺎﭘ ﺖﺤﺻ ﺪﻧﺍﻮﺗ ﻲﻤﻧ ﻭ ﺪﻨﻛ ﻲﻣ ﻞﻤﻋ .ﺪﻳﺎﻤﻧ ﻲﺳﺭﺮﺑ ﺍﺭ ﺮﺑﺭﺎﻛ ﻱﻮﺳ

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(40) 13 ؛1389 ﺖﻣﻼﺳ ﺖﻳﺮﻳﺪﻣ Simonovic SP. User Manual of VP-EXPERT: Rule- 14.

based expert system development tool. London:

Wordtech System; 1993.

Durkin J. Expert Systems: Design and Development.

1.

New York: Prentice Hall; 1994.

Edward A, Feigenbaum BG, Buchanan D, Meta 2.

D. Roots of Knowledge Systems and Expert System Applications. Artif Intell 1933; 59(1-2); 233-40.

Shorrtliffe EH. Computer-based Medical 3.

Consultations: MYCIN. New York: Elsevier; 1976.

Siyadat M, Soltaniyanzadeh H. Hippocampus 4.

location in the human brain in MRI process by expert systems. Journal of Engineering Faculty of Tehran University; 2001; 341: 9-23. [Persian]

Hatzilygeroudis P, Vassilakos J, Tsakalidis A.

5.

XBONE: A Hybrid Expert System Supporting Diagnosis of Bone Diseases. London: Proceeding of the Medical Informatics: Europe’97; 1997.

Ghazanfari M, Kazemi Z. Expert Systems. Tehran:

6.

Elmo Sanat; 2004. [Persian]

Elahi Sh, Rajabzadeh A. Expert Systems: Intelligent 7.

Decision Making Pattern. Tehran: Bazargani; 2004.

[Persian]

Darligton K. Expert Systems (Trans. by Motameni 8.

H). Tehran: Olome Rayane; 2003. [Persian]

Babamohammadi H. Internal Surgery Nursing 9.

Textbook. Tehran: Boshra; 2009. [Persian]

Bahadori M. Robbins Pathology. Tehran: Andishe 10.

Rafi; 2006. [Persian]

Robbins SL. Historical Specificity. Tehran: Andishe 11.

Rafi; 1998. [Persian]

Shahbazi K. What is a Cancer. [Cited 02 June 12.

2010]. Available form: URL: http://www.knowclub.com/

paper/?p=47 [Persian]

Turban E, Aronson JE, Liang TP. Decision Support 13.

Systems and Intelligent Systems. 7th ed. New York:

Prentice Hall; 2005.

References

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Journal of Health Administration 2010; 13 (40) Toloie Ashlaqi A.¹ / Mohsen Taheri S.²

Introduction: Expert systems are computer programs that have been designed aimed to make available personnel skills, for non-specialists. These programs are trying to model thinking to simulate human performance, and make correlation between performances of individual experts and software. Nowadays various expert systems have been presented in medical sciences. In diagnosis and treatment of blood cancer patients quickly acts are very influential. But sometimes access to specialists for patients and hence design a system based on knowledge to provide a specialist diagnosis and treatment is important. This make to patients, timely offers..

Methods: This article presents an expert system for diagnosis of leukemia using VP-expert shell.

That knowledge has been offer rules of knowledge base system for diagnosis and treatment.

Results: In this paper, we shown that the absence of experts, using intelligent software can be relatively provide a reliable diagnosis and treatment methods.

Conclusion: The use of intelligent systems and semi-intelligent expert systems such as decision support systems can provide for. However, currently experts cannot be replaced by systems.

Keywords: Expert system, Blood cancer, Diagnosis, treatment methods Abstract