Scholarly Quarterly of the Horizon of Medical Sciences Volume 23, Issue 1, Winter 2017
Pages: 23-29
Type: Original Research
*Corresponding Author Tel: +98 (21) 51212470 Fax: +98 (21) 51212433
Address:Clinical Psychology Department, Humanities Sciences Faculty, Shahed University, Affront of Imam Khomeini Holy Shrine, Persian Gulf Freeway, Tehran, Iran
Effectiveness of “Task Concentration Training” in Reducing the Anxiety Symptoms in Individuals with Social Anxiety Disorder
Golmohammadi K.* MSc, Shairi M.R.1 PhD, Asghari Moghaddam M.A.1 PhD
*Clinical Psychology Department, Literature & Humanities Sciences Faculty, University of Shahed, Tehran, Iran
1Clinical Psychology Department, Literature & Humanities Sciences Faculty, University of Shahed, Tehran, Iran
Abstract
Aims: As a common disorder, the social anxiety disorder is characterized by the persistent fear of social situations and severe physical and mental reactions. Its prevalence and effect being noticed, different psychotherapy methods were raised to reduce or annihilate it. The aim of the study was to determine the effectiveness of task-concentration training technics on the social anxiety symptom reduction in persons with social anxiety.
Materials & Methods: In the controlled pretest-posttest quasi-experimental study, 20 students with social anxiety disorder were studied in Shahed University in 2014-15 academic year. The subjects, selected via stepwise cluster sampling method, were randomly divided into two groups including control and experimental (task concentration training) groups. Data was collected using the social anxiety questionnaire and the structured clinical interview. Five one-hour task-concentration treatment sessions were conducted in experimental group. Data was analyzed by SPSS 16 software using independent T test.
Findings: The mean scores of social anxiety and its sub-scales were not significantly different in experimental and control groups at the pretest stage (p>0.05). Nevertheless, the pretest-posttest differences of the scores of social anxiety and its subscales including avoidance, fear, and physiologic discomfort between the groups were significant (p<0.05).
Conclusion: The task-concentration training techniques reduce the social anxiety symptoms in persons with social anxiety disorders.
Keywords
Social Anxiety Disorder [https://www.ncbi.nlm.nih.gov/mesh/2016799];
Task Concentration Training [Not in MeSH];
Cognitive Behavior Therapy [https://www.ncbi.nlm.nih.gov/mesh/68015928]
ﻞﮔ ﻢﻳﺮﮐ٢٤ ﻱﺪﻤﺤﻣ ﻥﺍﺭﺎﮑﻤﻫ ﻭ ــــــــــــ ـــــ
ـ ــــ ـــــــــــ ـ
ــــــــــــــــــــــــــــ ــــــــــــــــــــــــــــــــــ
ﺶﻫﺎﮐ ﺮﺑ "ﻒﻴﻠﮑﺗ ﺮﺑ ﺰﮐﺮﻤﺗ ﺵﺯﻮﻣﺁ" ﻲﺸﺨﺑﺮﺛﺍ ﻝﻼﺘﺧﺍ ﻪﺑ ﻼﺘﺒﻣ ﺩﺍﺮﻓﺍ ﺭﺩ ﺏﺍﺮﻄﺿﺍ ﻥﺎﮕﻧﺎﺸﻧ ﻲﻋﺎﻤﺘﺟﺍ ﺏﺍﺮﻄﺿﺍ
ﻞﮔ ﻢﻳﺮﮐ ﻱﺪﻤﺤﻣ
* MSc
ﻩﻭﺮﮔ ﻥﺍﻭﺭ ﻲﺳﺎﻨﺷ
،ﻲﻨﻴﻟﺎﺑ ﻩﺪﮑﺸﻧﺍﺩ ﺕﺎﻴﺑﺩﺍ ﻭ ﻡﻮﻠﻋ
،ﻲﻧﺎﺴﻧﺍ ﻩﺎﮕﺸﻧﺍﺩ
،ﺪﻫﺎﺷ
،ﻥﺍﺮﻬﺗ
ﻥﺍﺮﻳﺍ ﻱﺮﻴﻌﺷ ﺎﺿﺭﺪﻤﺤﻣ PhD
ﻩﻭﺮﮔ ﻥﺍﻭﺭ ﻲﺳﺎﻨﺷ
،ﻲﻨﻴﻟﺎﺑ ﻩﺪﮑﺸﻧﺍﺩ ﺕﺎﻴﺑﺩﺍ ﻭ ﻡﻮﻠﻋ
،ﻲﻧﺎﺴﻧﺍ ﻩﺎﮕﺸﻧﺍﺩ
،ﺪﻫﺎﺷ
،ﻥﺍﺮﻬﺗ
ﻥﺍﺮﻳﺍ ﻡﺪﻘﻣ ﻱﺮﻐﺻﺍ ﻲﻠﻋﺪﻤﺤﻣ PhD
ﻥﺍﻭﺭ ﻩﻭﺮﮔ ،ﻥﺍﺮﻬﺗ ،ﺪﻫﺎﺷ ﻩﺎﮕﺸﻧﺍﺩ ،ﻲﻧﺎﺴﻧﺍ ﻡﻮﻠﻋ ﻭ ﺕﺎﻴﺑﺩﺍ ﻩﺪﮑﺸﻧﺍﺩ ،ﻲﻨﻴﻟﺎﺑ ﻲﺳﺎﻨﺷ
ﻥﺍﺮﻳﺍ
ﻩﺪﻴﮑﭼ
:ﻑﺍﺪﻫﺍ ﻥﺁ ﻪﺼﺨﺸﻣ ﻪﮐ ﺖﺳﺍ ﻲﻌﻳﺎﺷ ﻝﻼﺘﺧﺍ ﻲﻋﺎﻤﺘﺟﺍ ﺏﺍﺮﻄﺿﺍ ﻝﻼﺘﺧﺍ
ﺖﻴﻌﻗﻮﻣ ﺯﺍ ﺭﺍﺪﻳﺎﭘ ﺱﺮﺗ ﺶﻨﮐﺍﻭ ﻭ ﻲﻋﺎﻤﺘﺟﺍ ﻱﺎﻫ
ﻲﻧﺍﻭﺭ ﻭ ﻲﻧﺎﻤﺴﺟ ﻱﺎﻫ
،ﻝﻼﺘﺧﺍ ﻦﻳﺍ ﺕﺍﺮﻴﺛﺎﺗ ﻭ ﻉﻮﻴﺷ ﻥﺍﺰﻴﻣ ﻪﺑ ﻪﺟﻮﺗ ﺎﺑ .ﺖﺳﺍ ﺪﻳﺪﺷ ﻥﺎﻣﺭﺩ
ﻱﺎﻫ
ﻥﺍﻭﺭ ﻦﻴﺑﺯﺍ ﺎﻳ ﺶﻫﺎﮐ ﻱﺍﺮﺑ ﻱﺩﺪﻌﺘﻣ ﻲﺘﺧﺎﻨﺷ .ﺖﺳﺍ ﻩﺪﻣﺁ ﺪﻳﺪﭘ ﻥﺁ ﻥﺩﺮﺑ
ﻑﺪﻫ
ﻦﻴﻴﻌﺗ ﺶﻫﻭﮋﭘ ﻦﻳﺍ ﺶﻫﺎﮐ ﺮﺑ ﻒﻴﻠﮑﺗ ﺮﺑ ﺰﮐﺮﻤﺗ ﺵﺯﻮﻣﺁ ﮏﻴﻨﮑﺗ ﻲﺸﺨﺑﺮﺛﺍ
.ﺩﻮﺑ ﻲﻋﺎﻤﺘﺟﺍ ﺏﺍﺮﻄﺿﺍ ﻪﺑ ﻼﺘﺒﻣ ﺩﺍﺮﻓﺍ ﺭﺩ ﻲﻋﺎﻤﺘﺟﺍ ﺏﺍﺮﻄﺿﺍ ﻥﺎﮕﻧﺎﺸﻧ
ﺵﻭﺭ ﻭ ﺩﺍﻮﻣ :ﺎﻫ
ﻪﺒﺷ ﺶﻫﻭﮋﭘ ﻦﻳﺍ ﺭﺩ ﺶﻴﭘ ﺡﺮﻃ ﺎﺑ ﻲﺸﻳﺎﻣﺯﺁ
ﻥﻮﻣﺯﺁ -
ﺲﭘ ،ﻝﺮﺘﻨﮐ ﻩﻭﺮﮔ ﺎﺑ ﻥﻮﻣﺯﺁ ﻥﺎﻳﻮﺠﺸﻧﺍﺩ ﺯﺍ ﺮﻔﻧ۲۰
ﺏﺍﺮﻄﺿﺍ ﻝﻼﺘﺧﺍ ﻪﺑ ﻼﺘﺒﻣ
ﻩﺎﮕﺸﻧﺍﺩ ﻲﻋﺎﻤﺘﺟﺍ ﻲﻠﻴﺼﺤﺗ ﻝﺎﺳ ﺭﺩ ﺪﻫﺎﺷ
٩٤ - ﻪﺑ١٣٩٣ ﻪﻧﻮﻤﻧ ﺵﻭﺭ ﯼﺮﻴﮔ
ﻪﺷﻮﺧ ﻪﻠﺣﺮﻣ ﻱﺍ ﻱﺍ ﻪﺑ ﻭ ﻩﺪﺷ ﺏﺎﺨﺘﻧﺍ ﻭ ﻝﺮﺘﻨﮐ ﻩﻭﺮﮔ ﻭﺩ ﺭﺩ ﯽﻓﺩﺎﺼﺗ ﺕﺭﻮﺻ
ﺶﻫﻭﮋﭘ ﺭﺍﺰﺑﺍ .ﺪﻧﺪﺷ ﻦﻳﺰﮕﻳﺎﺟ (ﻒﻴﻠﮑﺗ ﺮﺑ ﺰﮐﺮﻤﺗ ﺵﺯﻮﻣﺁ) ﺶﻳﺎﻣﺯﺁ ﺶﺳﺮﭘ ﻲﻋﺎﻤﺘﺟﺍ ﺏﺍﺮﻄﺿﺍ ﻪﻣﺎﻧ ﻭ
ﻞﮑﺗﻭﺮﭘ .ﺩﻮﺑ ﻲﻨﻴﻟﺎﺑ ﻪﺘﻓﺎﻳﺭﺎﺘﺧﺎﺳ ﻪﺒﺣﺎﺼﻣ
ﺭﺩ ﻒﻴﻠﮑﺗ ﺮﺑ ﺰﮐﺮﻤﺗ ﻲﻧﺎﻣﺭﺩ ﮏﻳ ﻪﺴﻠﺟ۵
ﺭﺍﺰﮔﺮﺑ ﺶﻳﺎﻣﺯﺁ ﻩﻭﺮﮔ ﯼﺍﺮﺑ ﻪﺘﻋﺎﺳ
ﻩﺩﺍﺩ ﻞﻴﻠﺤﺗ ﻭ ﻪﻳﺰﺠﺗ .ﺪﺷ ﻪﺑ ﺎﻫ
ﻡﺮﻧ ﻪﻠﻴﺳﻭ ﺭﺍﺰﻓﺍ SPSS 16 ﺯﺍ ﻩﺩﺎﻔﺘﺳﺍ ﺎﺑ ﻭ
ﻥﻮﻣﺯﺁ .ﺖﻓﺮﮔ ﺕﺭﻮﺻ ﻞﻘﺘﺴﻣT
ﻪﺘﻓﺎﻳ :ﺎﻫ ﺶﻴﭘ ﻪﻠﺣﺮﻣ ﺭﺩ ﻝﺮﺘﻨﮐ ﻭ ﺶﻳﺎﻣﺯﺁ ﻩﻭﺮﮔ ﻭﺩ ﺕﺍﺮﻤﻧ ﻦﻴﮕﻧﺎﻴﻣ ﻥﻮﻣﺯﺁ
ﻩﺩﺮﺧ ﻭ ﻲﻋﺎﻤﺘﺟﺍ ﺏﺍﺮﻄﺿﺍ ﺮﻴﻐﺘﻣ ﺭﺩ ﺱﺎﻴﻘﻣ
ﯽﻨﻌﻣ ﺕﻭﺎﻔﺗ ﻥﺁ ﻱﺎﻫ ﻱﺭﺍﺩ
) ﺖﺷﺍﺪﻧ ۰۵ / ۰ p>
ﺶﻴﭘ ﺕﺍﺮﻤﻧ ﻞﺿﺎﻔﺗ ﻪﺴﻳﺎﻘﻣ ﺭﺩ ﻲﻟﻭ ،(
ﺲﭘ - ﺭﺩ ﻥﻮﻣﺯﺁ
ﻩﺩﺮﺧ ﻭ ﻲﻋﺎﻤﺘﺟﺍ ﺏﺍﺮﻄﺿﺍ ﺮﻴﻐﺘﻣ ﺱﺎﻴﻘﻣ
ﻱﺎﻫ ﺱﺮﺗ ،ﺏﺎﻨﺘﺟﺍ ﻲﺘﺣﺍﺭﺎﻧ ﻭ
ﻲﻳﺎﻳﮊﻮﻟﻮﻳﺰﻴﻓ ﻭﺩ ﻦﻴﺑ
ﯽﻨﻌﻣ ﺕﻭﺎﻔﺗ ﻩﻭﺮﮔ ) ﺪﺷ ﻩﺪﻫﺎﺸﻣ ﺭﺍﺩ
۰۵ / ۰ p<
.(
ﻪﺠﻴﺘﻧ :ﻱﺮﻴﮔ ﻥﺎﮕﻧﺎﺸﻧ ﺶﻫﺎﮐ ﺮﺑ ،ﻒﻴﻠﮑﺗ ﺮﺑ ﺰﮐﺮﻤﺗ ﺵﺯﻮﻣﺁ ﮏﻴﻨﮑﺗ
ﻲﻋﺎﻤﺘﺟﺍ ﺏﺍﺮﻄﺿﺍ ﻪﺑ ﻼﺘﺒﻣ ﺩﺍﺮﻓﺍ ﺭﺩ
ﻝﻼﺘﺧﺍ .ﺖﺳﺍ ﺮﺛﻮﻣ ﻲﻋﺎﻤﺘﺟﺍ ﺏﺍﺮﻄﺿﺍ
ﻩﮊﺍﻭﺪﻴﻠﮐ ﻥﺎﻣﺭﺩ ،ﻒﻴﻠﮑﺗ ﺮﺑ ﺰﮐﺮﻤﺗ ﺵﺯﻮﻣﺁ ﮏﻴﻨﮑﺗ ،ﻲﻋﺎﻤﺘﺟﺍ ﺏﺍﺮﻄﺿﺍ ﻝﻼﺘﺧﺍ:ﺎﻫ
ﻲﺘﺧﺎﻨﺷ ﻱﺭﺎﺘﻓﺭ-
ﺦﻳﺭﺎﺗ :ﺖﻓﺎﻳﺭﺩ ۰۹ / ۱۱ / ۱۳۹۴
:ﺵﺮﻳﺬﭘ ﺦﻳﺭﺎﺗ ۲۹
/ ۰۴ / ۱۳۹۵
:ﻝﻮﺌﺴﻣ ﻩﺪﻨﺴﻳﻮﻧ* [email protected]
ﻪﻣﺪﻘﻣ
ﻪﺑ ﺏﺍﺮﻄﺿﺍ ﻪﻳﺎﻣ ﻲﻧﺎﻣﺯ ﺎﻣﺍ ،ﺖﺳﺍ ﻲﻣﺩﺁ ﻲﮔﺪﻧﺯ ﺯﺍ ﻲﺸﺨﺑ ﻪﻟﺰﻨﻣ
ﻲﻣ ﻲﻧﺍﺮﮕﻧ ﻪﺑ ﻥﺁ ﺕﺪﺷ ﻪﮐ ﺩﻮﺷ ﻪﻧﻮﮔ
ﻞﻤﻋ ﻲﻳﺎﻧﺍﻮﺗ ﻪﮐ ﺪﺷﺎﺑ ﻱﺍ ﻥﺩﺮﮐ
ﻪﺑ ،ﺪﻨﮐ ﻞﺘﺨﻣ ﺍﺭ ﻩﺮﻣﺯﻭﺭ ﻲﮔﺪﻧﺯ ﺭﺩ ﺭﺎﭼﺩ ﺩﺮﻓ ﻪﮐ ﻱﺭﻮﻃ
ﺖﻟﺎﺣ
ﻪﻧﺍﺭﺎﮔﺯﺎﺳﺎﻧ ﺶﻨﮐﺍﻭ ﻥﺁ ﻪﺼﺨﺸﻣ ﻪﮐ ﺩﻮﺷ ﻱﺍ ﻲﻧﺍﻭﺭ ﻭ ﻲﻧﺎﻤﺴﺟ ﻱﺎﻫ
ﺖﺳﺍ ﺪﻳﺪﺷ ﺏﺍﺮﻄﺿﺍ ﻝﻼﺘﺧﺍ ،ﻲﺑﺍﺮﻄﺿﺍ ﺕﻻﻼﺘﺧﺍ ﻉﺍﻮﻧﺍ ﺯﺍ ﻲﮑﻳ .[1]
ﻲﻋﺎﻤﺘﺟﺍ ﺏﺍﺮﻄﺿﺍ ﻝﻼﺘﺧﺍ .ﺖﺳﺍ ﻲﻋﺎﻤﺘﺟﺍ ﻦﺳ .ﺖﺳﺍ ﻊﻳﺎﺷ ﻲﻟﻼﺘﺧﺍ
ﻦﻴﺑ ﻥﺁ ﻉﻮﻴﺷ ﻭ ﻦﻴﻳﺎﭘ ﻝﻼﺘﺧﺍ ﻦﻳﺍ ﻉﻭﺮﺷ ﺎﺗ٧
ﻱﻻﺎﺑ ﻲﻫﺎﮔ ﻭ %١٢
ﺖﺳﺍ ﻩﺪﺷ ﺵﺭﺍﺰﮔ %١٣
[2-4]
.
،ﻝﻼﺘﺧﺍ ﻦﻳﺍ ﺕﺍﺮﻴﺛﺎﺗ ﻭ ﻉﻮﻴﺷ ﻥﺍﺰﻴﻣ ﻪﺑ ﻪﺟﻮﺗ ﺎﺑ ﻥﺎﻣﺭﺩ
ﻱﺎﻫ
ﻥﺍﻭﺭ ﻦﻴﺑﺯﺍ ﺎﻳ ﺶﻫﺎﮐ ﻱﺍﺮﺑ ﻱﺩﺪﻌﺘﻣ ﻲﺘﺧﺎﻨﺷ .ﺖﺳﺍ ﻩﺪﻣﺁ ﺪﻳﺪﭘ ﻥﺁ ﻥﺩﺮﺑ
ﻥﺎﻣﺭﺩ ،ﻦﻴﺑ ﻦﻳﺍ ﺯﺍ ﻲﺘﺧﺎﻨﺷ ﻭ ﻱﺭﺎﺘﻓﺭ ﻱﺎﻫ
ﺮﻳﺎﺳ ﺯﺍ ﺶﻴﺑ ﻱﺭﺎﺘﻓﺭ-
ﻥﺎﻣﺭﺩ ﻥﺍﻭﺭ ﻱﺎﻫ ﻪﻧﺎﺸﻧ ﺶﻫﺎﻛ ﻱﺍﺮﺑ ﻲﺘﺧﺎﻨﺷ ﺏﺍﺮﻄﺿﺍ ﻝﻼﺘﺧﺍ ﻱﺎﻫ
ﻪﺑ ﻲﻋﺎﻤﺘﺟﺍ ﻭ ﻩﺪﺷ ﻩﺩﺮﺑ ﺭﺎﻛ
ﺖﺳﺍ ﻪﺘﻓﺮﮔ ﺭﺍﺮﻗ ﻲﺳﺭﺮﺑ ﺩﺭﻮﻣ
[5-7]
.
ﺖﺴﺨﻧ ﻩﻭﺮﮔ ﺭﺩ ؛ﺖﺳﺍ ﻩﺪﺷ ﻝﺎﺒﻧﺩ ﻪﺒﻨﺟ ﻭﺩ ﺭﺩ ﻩﺭﺎﺷﺍ ﺩﺭﻮﻣ ﺕﻼﺧﺍﺪﻣ ﻪﻣﺎﻧﺮﺑ ﻪﺑ ﻲﻧﺎﻣﺭﺩ ﻱﺎﻫ ﮏﻴﻨﮑﺗ ،ﻡﻭﺩ ﻩﻭﺮﮔ ﺭﺩ ﻭ ﻲﻠﮐ ﺕﺭﻮﺻ
ﻱﺎﻫ
ﻪﻣﺎﻧﺮﺑ ﺭﺩ ﻞﺧﺍﺪﺘﻣ ﻪﺑ ﻲﻧﺎﻣﺭﺩ ﻱﺎﻫ
ﺭﺍﺮﻗ ﻪﻌﻟﺎﻄﻣ ﺖﺤﺗ ﺩﺮﻔﻨﻣ ﻞﮑﺷ
ﻪﺘﻓﺮﮔ .ﺪﻧﺍ ﺖﻳﺩﻭﺪﺤﻣ ﻪﮐ ﺖﺷﺍﺩ ﻪﺟﻮﺗ ﺪﻳﺎﺑ ﺱﺎﺳﺍ ﻦﻳﺍ ﺮﺑ ﺩ ﻱﺎﻫ
ﻲﺘﺧﺎﻨﺷ ﻥﺎﻣﺭ -
ﺶﻫﻭﮋﭘ ﻡﺎﺠﻧﺍ ﻪﺑ ﺯﺎﻴﻧ ،ﻱﺭﺎﺘﻓﺭ ﻞﻴﻜﺸﺗ ﺮﺻﺎﻨﻋ ﻪﻨﻴﻣﺯ ﺭﺩ ﻲﻳﺎﻫ
ﻩﺪﻨﻫﺩ
ﻆﻔﺣ ﻦﻤﺿ ﻲﻧﺎﻣﺭﺩ ﻱﺎﻫﻮﮕﻟﺍ ﺎﺗ ﺖﺳﺍ ﻪﺘﺧﺎﺳ ﻱﺭﻭﺮﺿ ﺍﺭ ﻥﺎﻣﺭﺩ ﻪﻔﻟﻮﻣ ﻪﺑ ،ﺩﻮﺧ ﺪﻣﺁﺭﺎﻛ ﻱﺎﻫ ﻩﻮﻴﺷ ﻑﺬﺣ ﻱﻮﺳ
ﺖﮐﺮﺣ ﻱﺭﻭﺮﺿﺮﻴﻏ ﻱﺎﻫ
ﺪﻨﻨﮐ .[8]
،ﻲﻋﺎﻤﺘﺟﺍ ﺏﺍﺮﻄﺿﺍ ﻝﻼﺘﺧﺍ ﻲﺘﺧﺎﻨﺷ ﺮﺻﺎﻨﻋ ،ﺎﺘﺳﺍﺭ ﻦﻴﻤﻫ ﺭﺩ ﻳﺍﺰﻓ ﻪﺟﻮﺗ ﹰﺍﺮﻴﺧﺍ ﻩﺪﻨ
ﺖﺳﺍ ﻩﺩﺮﻛ ﺐﻠﺟ ﺩﻮﺧ ﻪﺑ ﺍﺭ ﻱﺍ .[9]
ﻪﺑ ،ﻝﺎﺜﻣ ﺭﻮﻃ
ﻪﺑ ﻪﺟﻮﺗ ﻱﺮﻴﮔﻮﺳ ﻡﺰﻴﻧﺎﮑﻣ ﺯﺍ ﻲﮑﻳ ﻲﻋﺎﻤﺘﺟﺍ ﺪﻳﺪﻬﺗ ﺖﻤﺳ
ﻲﻤﻬﻣ ﻱﺎﻫ
ﻲﻣ ﺭﻮﺼﺗ ﻪﮐ ﺖﺳﺍ ﻲﻣ ﻲﻋﺎﻤﺘﺟﺍ ﺏﺍﺮﻄﺿﺍ ﻆﻔﺣ ﺚﻋﺎﺑ ﺩﻮﺷ
ﺩﻮﺷ
[10-
.13]
ﺏﺍﺮﻄﺿﺍ ﻝﻼﺘﺧﺍ ﻱﺍﺭﺍﺩ ﺩﺍﺮﻓﺍ ﺯﺍ ﻱﺭﺎﻴﺴﺑ ،ﺮﮕﻳﺩ ﻱﻮﺳ ﺯﺍ ﻪﺑ ،ﻲﻋﺎﻤﺘﺟﺍ ﻼﻋ ﻪﮐ ﺪﻨﺘﺴﻫ ﻦﻳﺍ ﻥﺍﺮﮕﻧ ﻲﺻﺎﺼﺘﺧﺍ ﺭﻮﻃ
ﻞﺑﺎﻗ ﻢﻳ
ﻕﺮﻋ ،ﻩﺮﻬﭼ ﻲﺧﺮﺳ ﻞﺜﻣ ،ﻩﺪﻫﺎﺸﻣ ﻲﻧﻭﺭﺩ ﺱﺎﺴﺣﺍ ،ﻥﺪﻳﺯﺮﻟ ﺎﻳ ﻥﺩﺮﮐ
ﺪﻨﻫﺩ ﻥﺎﺸﻧ ﺍﺭ ﺏﺍﺮﻄﺿﺍ ﻱﺍﺭﺍﺩ ﺩﺍﺮﻓﺍ ﻪﮐ ﺖﺳﺍ ﻩﺩﺍﺩ ﻥﺎﺸﻧ ﺕﺎﻘﻴﻘﺤﺗ .
ﻩﺯﺍﺪﻧﺍ ﺯﺍ ﺶﻴﺑ ﻲﺑﺎﻳﺯﺭﺍ ﻪﺑ ﻞﻳﺎﻤﺗ ،ﻻﺎﺑ ﻲﻠﻴﺧ ﻲﻋﺎﻤﺘﺟﺍ ﺏﺍﺮﻄﺿﺍ ﻪﻧﺎﺸﻧ ﺮﻫﺎﻇ ﻪﮐ ﺪﻧﺭﺍﺩ ﺩﺎﻘﺘﻋﺍ ﻭ ﺪﻧﺭﺍﺩ ﺏﺍﺮﻄﺿﺍ ﻩﺪﻫﺎﺸﻣ ﻞﺑﺎﻗ ﻱﺎﻫ
ﮕﻧﺍﺮﺑ ﹰﺎﻘﻴﻗﺩ ﻲﻧﻭﺮﻴﺑ ﻲﻣ ﺲﮑﻌﻨﻣ ﺍﺭ ﻲﻧﻭﺭﺩ ﮏﻳﮊﻮﻟﻮﻳﺰﻴﻓ ﻲﮕﺘﺨﻴ
-
ﺪﻨﮐ .[14]
ﺮﮕﻳﺩ ﺩﺍﺮﻓﺍ ﻪﮐ ﺪﻧﺭﺍﺩ ﺩﺎﻘﺘﻋﺍ ﻲﻋﺎﻤﺘﺟﺍ ﺏﺍﺮﻄﺿﺍ ﻱﺍﺭﺍﺩ ﺩﺍﺮﻓﺍ ﻪﻧﺎﺸﻧ ﻪﺑ ﻲﻣ ﻪﺟﻮﺗ ﺎﻬﻧﺁ ﺏﺍﺮﻄﺿﺍ ﻱﺎﻫ ﻪﻧﺎﺸﻧ ﻦﻳﺍ ﻭ ﺪﻨﻨﮐ
ﻲﮑﺒﺳ ﻪﺑ ﺍﺭ ﺎﻫ
ﻲﻣ ﺮﻴﺴﻔﺗ ﻲﻔﻨﻣ ﺪﻨﻳﺎﻤﻧ
.[15]
ﻪﮐ ﺪﻧﺩﺮﮐ ﺵﺭﺍﺰﮔ ﻥﺍﺭﺎﮑﻤﻫ ﻭ ﭺﻻﺮﮔ
ﺥﺮﺳ ﺯﺍ ﻩﺪﻤﻋ ﺖﻳﺎﮑﺷ ﺎﺑ ﻲﻋﺎﻤﺘﺟﺍ ﺏﺍﺮﻄﺿﺍ ﻝﻼﺘﺧﺍ ﻱﺍﺭﺍﺩ ﺩﺍﺮﻓﺍ ،ﻥﺪﺷ
،ﺖﻳﺎﮑﺷ ﻦﻳﺍ ﻥﻭﺪﺑ ﻲﻋﺎﻤﺘﺟﺍ ﺏﺍﺮﻄﺿﺍ ﻝﻼﺘﺧﺍ ﻱﺍﺭﺍﺩ ﺩﺍﺮﻓﺍ ﻪﺑ ﺖﺒﺴﻧ ﻪﺑ ﯽﻨﻌﻣ ﺭﻮﻃ ﻩﺩﺮﮐ ﮎﺍﺭﺩﺍ ﺮﺘﺸﻴﺑ ﻱﺭﺍﺩ ﻩﺪﺷ ﺥﺮﺳ ﻪﮐ ﺪﻧﺍ
ﺭﺩ ﻦﻳﺍ ﻭ ﺪﻧﺍ
ﻦﻴﺑ ﻩﺮﻬﭼ ﮓﻧﺭ ﺭﺩ ﻲﻌﻗﺍﻭ ﮏﻳﮊﻮﻟﻮﻳﺰﻴﻓ ﺕﻭﺎﻔﺗ ﻪﮐ ﺖﺳﺍ ﻲﻟﺎﺣ ﻭﺩ
ﺖﺷﺍﺪﻧ ﺩﻮﺟﻭ ﻩﻭﺮﮔ .[16]
ـــــــــــــ ــــــ
ـــــــ ــ ـ ـــــ ــ ــ ﻲﻋﺎﻤﺘﺟﺍ ﺏﺍﺮﻄﺿﺍ ﻝﻼﺘﺧﺍ ﻪﺑ ﻼﺘﺒﻣ ﺩﺍﺮﻓﺍ ﺭﺩ ﺏﺍﺮﻄﺿﺍ ﻥﺎﮕﻧﺎﺸﻧ ﺶﻫﺎﮐ ﺮﺑ "ﻒﻴﻠﮑﺗ ﺮﺑ ﺰﮐﺮﻤﺗ ﺵﺯﻮﻣﺁ" ﻲﺸﺨﺑﺮﺛﺍ
۲۵
ﺍ ﺭﺩ ﻳ ﻦ ﺗﺎﻌﻟﺎﻄﻣ ،ﺎﺘﺳﺍﺭ ﻲ
ﺳﺭﺮﺑ ﻪﺑ ﻪﮐ
" ﻲ ﻪﺟﻮﺗ ﺰﮐﺮﻤﺗ ﻱﺮﻴﮔﻮﺳ
"
ﺭﺩ
ﻋﺎﻤﺘﺟﺍ ﺏﺍﺮﻄﺿﺍ ﻝﻼﺘﺧﺍ ﻲ
ﺡﻼﺻﺍ ﺮﻴﺛﺎﺗ ﻭ ﺁ
ﺶﻫﺎﮐ ﺭﺩ ﻥ ﺍ
ﺏﺍﺮﻄﺿ
ﻋﺎﻤﺘﺟﺍ ﻲ ﻪﺘﺧﺍﺩﺮﭘ ﺴﻘﺗ ﻪﺘﺳﺩ ﻭﺩ ﻪﺑ ،ﺪﻧﺍ ﻴ
ﻢ ﻲﻣ
؛ﺪﻧﻮﺷ ﻳ ﮏ ﻪﮐ ﺎﻬﻧﺁ ﻪﺘﺳﺩ
ﺡﻼﺻﺍ ﺮﺑ ﻱﺮﻴﮔﻮﺳ ﮎﺮﺤﻣ ﺯﺍ ﻪﺟﻮﺗ ﺎﻫ
ﻱ ﺏﺍﺮﻄﺿﺍ ﺁ ﺑ ﺭﻭ ﻴ ﻧﻭﺮ ﻲ ﻞﺜﻣ)
ﺶﻨﮐﺍﻭ ﺎﻫ ﻱ ﻔﻨﻣ ﻳ ﻲ ﺎ ﻩﺪﻫﺎﺸﻣ ﻢﻬﺒﻣ ﻥﺍﺮﮔ
ﻩﺮﻴﻏ ﻭ ﮐﺎﺗ ( ﻴ ﺪ ﻲﻣ ﺪﻨﻨﮐ ﻭ
ﺘﺳﺩ ﻪ ﺩﻳ
،ﺮﮕ ﺁ ﺎﻬﻧ ﻲﻳ ﮎﺮﺤﻣ ﺯﺍ ﻪﺟﻮﺗ ﻱﺮﻴﮔﻮﺳ ﺡﻼﺻﺍ ﺮﺑ ﻪﮐ ﺎﻫ
ﻱ
ﺏﺍﺮﻄﺿﺍ ﺁ ﻧﻭﺭﺩ ﺭﻭ ﻲ ﺖﺳﺩ ﺵﺯﺮﻟ ،ﺐﻠﻗ ﺶﭙﺗ ﻪﺑ ﻪﺟﻮﺗ ﻞﺜﻣ) ﻭ
ﺍﺪﺻ
،
ﻖﭙﺗ ﻥﺩﺯ ﻭ ﺥﺮﺳ ﻩﺪﺷ ﺰﮐﺮﻤﺘﻣ (ﻥﺪﺷ ﺪﻧﺍ
ﺍ ﺭﺩ ﻪﮐ ﻳ ﻦ ﻝﺪﻣ ﺎﻫ ﺮﺑ ﺵﻼﺗ
ﻋﺎﻤﺘﺟﺍ ﺏﺍﺮﻄﺿﺍ ﺶﻫﺎﮐ ﻲ
ﻬﺟﺍﻮﻣ ﺭﺩ ﮎﺮﺤﻣ ﺎﺑ ﻪ ﺎﻫ
ﻱ ﺏﺍﺮﻄﺿﺍ ﺭﻭﺁ
ﻧﻭﺭﺩ ﻲ .ﺖﺳﺍ ﻪﺟﻮﺗ ﺵﺯﻮﻣﺁ ﮏﻴﻨﮑﺗ ،ﻝﻭﺍ ﻉﻮﻧ ﻱﺎﻫﺩﺮﻜﻳﻭﺭ ﻩﺯﻮﺣ ﺭﺩ
(ATT) ﻪﺑ ﺍﺭ ﺩﻮﺧ ﻲﺳﺎﺳﺍ ﻑﺪﻫ ﺖﺳﺍ ﻩﺪﻴﺷﻮﮐ ،ﻩﺯﺎﺗ ﻲﮑﻴﻨﮑﺗ ﻥﺍﻮﻨﻋ
ﻱﺮﻴﮔﻮﺳ ﻱﺯﺎﺳﺯﺎﺑ ﻪﺟﻮﺘﻣ ﹰﺎﻤﻴﻘﺘﺴﻣ ﻪﺑ ﻥﺎﻳﻼﺘﺒﻣ ﺭﺩ ﻲﻬﺟﻮﺗ ﻱﺎﻫ
ﺪﻨﮐ ﺏﺍﺮﻄﺿﺍ
[17, 18]
ﺩﺎﻳ ﺩﺮﻓ ﻪﮐ ﺖﺳﺍ ﻦﻳﺍ ،ﻲﺷﺯﻮﻣﺁ ﻦﻴﻨﭼ ﻑﺪﻫ .
ﺎﺗ ﺩﺮﻴﮕﺑ ﮎﺮﺤﻣ ﺯﺍ ﺍﺭ ﺩﻮﺧ ﻪﺟﻮﺗ ﻂﻴﺤﻣ ﺭﺩ ﺏﺍﺮﻄﺿﺍ ﺎﺑ ﻂﺒﺗﺮﻣ ﻱﺎﻫ
ﻪﺑ ﮎﺮﺤﻣ ﻱﻮﺳ ﺪﻨﮐ ﺖﻳﺍﺪﻫ ﻲﺜﻨﺧ ﻱﺎﻫ
. [11]
ﺮﺑ ﺰﮐﺮﻤﺗ ﺵﺯﻮﻣﺁ ﮏﻴﻨﮑﺗ ﺰﻴﻧ ﻡﻭﺩ ﺩﺮﮑﻳﻭﺭ ﻩﺯﻮﺣ ﺭﺩ ﻒﻴﻠﮑﺗ
(TCT)
ﻲﻣ ﺡﺮﻄﻣ ﻪﺒﻨﺟ ﻪﺑ ﻪﺟﻮﺗ ﺵﺯﻮﻣﺁ ﺮﺑ ﻪﮐ ﺩﻮﺷ (ﻒﻴﻠﮑﺗ) ﺖﻴﻌﻗﻮﻣ ﻱﺎﻫ
ﻪﺑ ﻪﺟﻮﺗ) ﺏﺍﺮﻄﺿﺍ ﻢﻳﻼﻋ ﻭ ﺕﺍﺮﮑﻔﺗ ،ﺕﺎﺳﺎﺴﺣﺍ ﺮﺑ ﺰﮐﺮﻤﺗ ﻱﺎﺟ
ﺰﮐﺮﻤﺘﻣ ﻲﻣ ﺪﻴﮐﺎﺗ (ﺩﻮﺧ ﺮﺑ .ﺪﻨﮐ
ﻼﺘﺒﻣ ﺩﺍﺮﻓﺍ ﺮﺑ ﮏﻴﻨﮑﺗ ﻦﻳﺍ ﺮﻴﺛﺎﺗ ﻪﻨﻴﻣﺯ ﺭﺩ ﻲﺘﺒﺜﻣ ﺞﻳﺎﺘﻧ ﻪﻌﻟﺎﻄﻣ ﻦﻳﺪﻨﭼ ﻩﺩﺮﮐ ﺵﺭﺍﺰﮔ ﻲﻋﺎﻤﺘﺟﺍ ﺏﺍﺮﻄﺿﺍ ﻝﻼﺘﺧﺍ ﻪﺑ ﺪﻧﺍ
.[19]
ﺰﻠﮔﻮﺑ ﻲﺳﺭﺮﺑ ﻪﺑ
ﻲﻌﻗﺍﻭ ﻪﻬﺟﺍﻮﻣ ﻭ ﻒﻴﻠﮑﺗ ﺮﺑ ﺰﮐﺮﻤﺗ ﺵﺯﻮﻣﺁ ﮏﻴﻨﮑﺗ ﻭﺩ ﺮﻴﺛﺎﺗ (EXP)
۳۱ ﻱﻭﺭ ﻦﻳﺍ ﻪﺑ ﻭ ﺖﺧﺍﺩﺮﭘ ﻲﻋﺎﻤﺘﺟﺍ ﺏﺍﺮﻄﺿﺍ ﻝﻼﺘﺧﺍ ﻪﺑ ﻼﺘﺒﻣ ﺭﺎﻤﻴﺑ ﻭ ﻩﺩﻮﺑ ﺮﺛﻮﻣ ﺏﺍﺮﻄﺿﺍ ﺶﻫﺎﮐ ﺭﺩ ﺵﻭﺭ ﻭﺩ ﺮﻫ ﻪﮐ ﺪﻴﺳﺭ ﻪﺠﻴﺘﻧ ﻪﻬﺟﺍﻮﻣ ﻪﺑ ﺖﺒﺴﻧ ﻱﺮﺘﺸﻴﺑ ﺮﻴﺛﺎﺗ ﻒﻴﻠﮑﺗ ﺮﺑ ﺰﮐﺮﻤﺗ ﮏﻴﻨﮑﺗ ﻦﻴﻨﭽﻤﻫ ﺥﺮﺳ ﺯﺍ ﺱﺮﺗ ﺶﻫﺎﮐ ﺭﺩ ﺖﻠﻋ ﻩﺭﺎﺑﺭﺩ .ﺖﺳﺍ ﻪﺘﺷﺍﺩ ﺩﺍﺮﻓﺍ ﻦﻳﺍ ﺭﺩ ﻥﺪﺷ
ﻲﻣ ﺮﻴﺛﺎﺗ ﻦﻳﺍ ﻖﺑﺎﻄﻣ ﻪﮐ ﺖﻔﮔ ﻥﺍﻮﺗ
ﻝﺪﻣ ﺎﺑ ﺏﺍﺮﻄﺿﺍ ﻲﺘﺧﺎﻨﺷ ﻱﺎﻫ
ﻪﺑ ﻪﺟﻮﺗ ﺰﮐﺮﻤﺗ ،ﻲﻋﺎﻤﺘﺟﺍ ﻢﻳﻼﻋ ﺯﺍ ﻲﻫﺎﮔﺁ ﺶﻫﺎﮐ ﺚﻋﺎﺑ ﻥﻭﺮﻴﺑ ﺖﻤﺳ
ﻲﻔﻨﻣ ﻱﺎﻫﺭﻭﺎﺑ ﻭ ﻲﻧﺪﺑ ﻢﻳﻼﻋ ﺯﺍ ﺱﺮﺗ ﺶﻫﺎﮐ ﻪﺠﻴﺘﻧ ﺭﺩ ﻭ ﻲﻧﺪﺑ ﻲﻣ ﻩﺯﺍﺪﻧﺍ ﻱﺎﻫﺭﺍﺰﺑﺍ ،ﺎﺘﺳﺍﺭ ﻦﻳﺍ ﺭﺩ .ﺩﻮﺷ ﻲﻣ ﻥﺎﺸﻧ ﺰﻴﻧ ﻪﺟﻮﺗ ﻱﺮﻴﮔ
ﺪﻨﻫﺩ
ﺰﮐﺮﻤﺘﻣ ﻪﺟﻮﺗ ﺶﻫﺎﮐ ﺭﺩ ﻲﻤﻬﻣ ﺶﻘﻧ ،ﻒﻴﻠﮑﺗ ﺮﺑ ﺰﮐﺮﻤﺗ ﺵﺯﻮﻣﺁ ﻪﮐ ﻲﻣ ﻦﻳﺍﺮﺑﺎﻨﺑ ﻭ ﺩﺭﺍﺩ ﺩﻮﺧ ﺮﺑ ﺶﻫﺎﮐ ﺭﺩ ﻥﺁ ﻱﺭﺍﺬﮔﺮﻴﺛﺎﺗ ﺖﻠﻋ ﻥﺍﻮﺗ
ﺖﺴﻧﺍﺩ ﻪﺟﻮﺗ ﺮﻴﻴﻐﺗ ﺮﺑ ﻥﺁ ﺮﻴﺛﺎﺗ ﺍﺭ ﻲﻋﺎﻤﺘﺟﺍ ﺏﺍﺮﻄﺿﺍ ﻢﻳﻼﻋ .[20]
ﻪﺑ ﻑﺎﺻﻭﺍ ﻦﻳﺍ ﺎﺑ ﻲﻣ ﺮﻈﻧ
ﻲﺘﺧﺎﻨﺷ ﻱﻮﮕﻟﺍ ﻪﮐ ﺪﺳﺭ ﺮﺑ ﻲﻨﺘﺒﻣ ﻱﺭﺎﺘﻓﺭ -
ﻪﺑ ،ﻲﻋﺎﻤﺘﺟﺍ ﺏﺍﺮﻄﺿﺍ ﻝﻼﺘﺧﺍ ﻱﺍﺮﺑ ﻪﻬﺟﺍﻮﻣ ﻪﮐ ﺖﺳﺍ ﻲﺘﻳﺩﻮﺟﻮﻣ ﻥﺎﺳ
ﻡﺎﮔ ﻪﺑ ﺎﻤﻴﭘ ﻝﺎﺣ ﺭﺩ ﻡﺎﮔ ﻩﺮﺘﺴﮔ ﺭﺩ ﺩﻮﺧ ﻞﻣﺎﮑﺗ ﻭ ﻝﻮﺤﺗ ﻞﺣﺍﺮﻣ ﺶﻳ
ﺶﻳﺍﺯ ﻲﻠﺻﺍ ﺮﻴﺴﻣ ﻥﺩﺮﮐﺍﺪﻴﭘ ﺎﺑ ﺖﻳﺎﻬﻧ ﺭﺩ ﻪﮐ ﻲﺘﻳﺩﻮﺟﻮﻣ .ﺖﺳﺍ ﻲﻨﻴﻟﺎﺑ ﻲﻌﻗﺍﻭ ﺖﻳﻮﻫ ،ﺩﻮﺧ ﻲﻣ ﻥﺎﻳﺎﻤﻧ ﺍﺭ ﺵﺍ
ﺮﺑ ﻪﻴﮑﺗ ﺎﺑ ﺎﻳ ﻪﮐ ﻲﺘﻳﻮﻫ .ﺩﺯﺎﺳ
ﻥﺪﺷﻼﻣﺮﺑ ﺯﺍ ﺩﺮﻓ ﺱﺮﺗ ﻱﺎﻨﺒﻣ ﺮﺑ ﺎﻳ ﻲﻋﺎﻤﺘﺟﺍ ﺖﻴﻌﻗﻮﻣ ﺯﺍ ﺩﺮﻓ ﺱﺮﺗ ﻲﮔﮋﻳﻭ ﺺﻗﺍﻮﻧ ﺮﻫ ﻦﺘﻓﺮﮔﺮﺑﺭﺩ ﺎﺑ ﺎﻳ ،ﻦﺘﺸﻳﻮﺧ ﻱﺎﻫ
ﺍﺪﻳﻮﻫ ﻪﺒﻨﺟ ﻭﺩ
ﻲﻣ ﻪﺘﮑﻧ .ﺩﻮﺷ ﻦﻳﺍ ﺮﺘﺴﺑ ،ﺖﺷﺍﺩ ﺭﻭﺩ ﺮﻈﻧ ﺯﺍ ﺪﻳﺎﺒﻧ ﻥﺎﻴﻣ ﻦﻳﺍ ﺭﺩ ﻪﮐ ﻱﺍ
ﻲﻣ ﺮﻫﺎﻇ ﻥﺁ ﺭﺩ ﻝﻼﺘﺧﺍ ﻦﻳﺍ ﻪﮐ ﺖﺳﺍ ﻲﮕﻨﻫﺮﻓ ﻲﻨﻌﻳ ،ﺶﻳﺍﺯ .ﺩﻮﺷ
ﻭ ﻲﻋﺎﻤﺘﺟﺍ ﻖﻓﻮﻣ ﺭﺎﺘﻓﺭ ﺯﺍ ﻱﺩﺮﻓ ﮎﺍﺭﺩﺍ ﺮﺑ ﹰﻻﺎﻤﺘﺣﺍ ﻲﮕﻨﻫﺮﻓ ﺖﻓﺎﺑ ﺶﻴﭘ ﻲﻋﺎﻤﺘﺟﺍ ﻱﺎﻫﺪﻣﺎﻴﭘ ﺪﻳﺪﻬﺗ ﻲﺑﺎﻳﺯﺭﺍ ﻲﻨﻴﺑ
ﺎﻧ ﺭﺎﺘﻓﺭ ﻩﺪﺷ ﻪﺑ
ﻭ ﺎﺟ
ﺮﻴﻏ ﮓﻨﻫﺮﻓ ﺭﺩ ﻝﺎﺜﻣ ﻱﺍﺮﺑ .ﺖﺳﺍ ﺮﺛﻮﻣ ،ﻝﻮﺒﻗ ﻞﺑﺎﻗ ﻥﺍﺭﺎﻤﻴﺑ ،ﻲﺑﺮﻏ ﻱﺎﻫ
ﺥﺮﺳ ﺖﻳﺎﮑﺷ ﺎﺑ ﻕﺮﻋ ﻭ ﺕﺭﻮﺻ ﻥﺪﺷ
ﻪﻌﺟﺍﺮﻣ ﺺﺼﺨﺘﻣ ﻪﺑ ﻥﺩﺮﮐ
ﻲﻣ ﻲﻟﺎﺣ ﺭﺩ ،ﺪﻨﻨﮐ ﮓﻨﻫﺮﻓ ﺭﺩ ﻪﮐ
ﻝﻼﺘﺧﺍ ﻦﻳﺍ ﻢﻳﻼﻋ ﻲﻗﺮﺷ ﻱﺎﻫ
ﻪﺑ ﻲﻣ ﻪﺘﻓﺮﮔ ﺮﻈﻧ ﺭﺩ ﻥﺍﺮﮕﻳﺩ ﻪﺑ ﺖﻧﺎﻫﺍ ﺯﺍ ﺱﺮﺗ ﻥﺍﻮﻨﻋ ﺩﺍﺮﻓﺍ .ﺩﻮﺷ
ﻲﻣ ﻝﻼﺘﺧﺍ ﻦﻳﺍ ﻪﺑ ﻼﺘﺒﻣ ﻪﮐ ﺪﻨﺳﺮﺗ
ﺎﺑ ﻲﻤﺸﭼ ﺱﺎﻤﺗ ﻱﺭﺍﺮﻗﺮﺑ
ﺥﺮﺳ ،ﻥﺍﺮﮕﻳﺩ ﻲﻣ ﺭﻮﺼﺗ ﺩﻮﺧ ﺮﻫﺎﻇ ﺭﺩ ﻪﮐ ﻲﺼﻳﺎﻘﻧ ،ﺕﺭﻮﺻ ﻥﺪﺷ
ﺪﻨﻨﮐ
ﺪﻫﺩ ﺭﺍﺯﺁ ﺍﺭ ﺎﻬﻧﺁ ﻭ ﻩﺩﻮﺑ ﻥﺍﺮﮕﻳﺩ ﻪﺑ ﻦﻴﻫﻮﺗ ،ﺎﻬﻧﺁ ﻥﺪﺑ ﺪﺑ ﻱﻮﺑ ﻭ . [21]
ﻲﺸﺨﺑﺮﺛﺍ ﻲﺳﺭﺮﺑ ﻡﻭﺰﻟ ،ﻮﺳ ﮏﻳ ﺯﺍ ،ﺪﺷ ﺮﮐﺫ ﻪﭽﻧﺁ ﻪﺑ ﻪﺟﻮﺗ ﺎﺑ ﮏﻴﻨﮑﺗ ﻪﺑ ﻲﻧﺎﻣﺭﺩ ﺩﻭﺪﺤﻣ ﻭ ﻞﻘﺘﺴﻣ ﻱﺎﻫ ﺯﺍ ﻱﺮﺻﺎﻨﻋ ﻥﺍﻮﻨﻋ
ﻥﺎﻣﺭﺩ ﻱﺎﻫ ﻊﻴﺳﻭ ﻪﺑ ﻭ ﺮﺗ ﻪﻔﻟﻮﻣ ﻒﺸﮐ ﺭﻮﻈﻨﻣ ﺯﺍ ﻭ ،ﻥﺎﻣﺭﺩ ﺪﻣﺁﺭﺎﮐ ﻱﺎﻫ
ﺕﻭﺎﻔﺗ ﻪﺑ ﻪﺟﻮﺗ ﻡﻭﺰﻟ ﺮﮕﻳﺩ ﻱﻮﺳ ﺭﺩ ﻥﺁ ﺮﻴﺛﺎﺗ ﻭ ﻲﮕﻨﻫﺮﻓ ﻱﺎﻫ
ﻥﺎﻣﺭﺩ ﻲﺸﺨﺑﺮﺛﺍ ﻲﻣ ﻦﺷﻭﺭ ﺍﺭ ﺮﺿﺎﺣ ﺶﻫﻭﮋﭘ ﻪﻟﺎﺴﻣ ،ﺎﻫ
ﻦﻳﺍﺮﺑﺎﻨﺑ .ﺩﺯﺎﺳ
ﮏﻴﻨﮑﺗ ﻦﻳﺍ ﻥﻮﻨﮐﺎﺗ ﻪﮐ ﻢﻬﻣ ﻦﻳﺍ ﻥﺎﻴﺑ ﻭ ﻩﺪﺷﺩﺎﻳ ﺕﺍﺪﻴﻬﻤﺗ ﻪﺑ ﻪﺟﻮﺗ ﺎﺑ ﻪﻌﻟﺎﻄﻣ ﺩﺭﻮﻣ ﻥﺍﺮﻳﺍ ﺭﺩ ﻲﻧﺎﻣﺭﺩ ﻲﺳﺎﺳﺍ ﻑﺪﻫ ،ﺖﺳﺍ ﻪﺘﻓﺮﮕﻧ ﺭﺍﺮﻗ
ﻪﻣﺎﻧﺮﺑ ﺮﻴﺛﺎﺗ ﻲﺳﺭﺮﺑ ﺮﺿﺎﺣ ﺶﻫﻭﮋﭘ ﻒﻴﻠﮑﺗ ﺮﺑ ﺰﮐﺮﻤﺗ ﺵﺯﻮﻣﺁ
(TCT) ﻪﻧﺎﺸﻧ ﺶﻫﺎﮐ ﺮﺑ ﻪﻧﻮﻤﻧ ﺭﺩ ﻲﻋﺎﻤﺘﺟﺍ ﺏﺍﺮﻄﺿﺍ ﻱﺎﻫ
ﺯﺍ ﻱﺍ
.ﺩﻮﺑ ﻲﻋﺎﻤﺘﺟﺍ ﺏﺍﺮﻄﺿﺍ ﻪﺑ ﻼﺘﺒﻣ ﻲﻧﺍﺮﻳﺍ ﻥﺎﻳﻮﺠﺸﻧﺍﺩ
ﺵﻭﺭ ﻭ ﺩﺍﻮﻣ ﺎﻫ
ﻪﺒﺷ ﻉﻮﻧ ﺯﺍ ﺮﺿﺎﺣ ﺶﻫﻭﮋﭘ ﺶﻴﭘ ﺡﺮﻃ ﺎﺑ ﻲﺸﻳﺎﻣﺯﺁ
ﺲﭘ ﻭ ﻥﻮﻣﺯﺁ ﻥﻮﻣﺯﺁ
ﻦﻴﺑ ﺭﺩ ﻪﮐ ﺖﺳﺍ ﻝﺮﺘﻨﮐ ﻩﻭﺮﮔ ﺎﺑ ﻩﺍﺮﻤﻫ ﻝﻼﺘﺧﺍ ﻪﺑ ﻼﺘﺒﻣ ﻥﺎﻳﻮﺠﺸﻧﺍﺩ
ﻩﺎﮕﺸﻧﺍﺩ ﻲﻋﺎﻤﺘﺟﺍ ﺏﺍﺮﻄﺿﺍ ﻝﺎﺳ ﺭﺩ ﻞﻴﺼﺤﺗ ﻪﺑ ﻞﻏﺎﺷ ،ﺪﻫﺎﺷ
ﻲﻠﻴﺼﺤﺗ ٩٤ - ﻪﻌﻟﺎﻄﻣ ﺩﺭﻮﻣ ﻪﻧﻮﻤﻧ ﻢﺠﺣ .ﺪﺷ ﻡﺎﺠﻧﺍ١٣٩٣ ﺩﻮﺑ ﺮﻔﻧ٢٠
ﻪﮐ ﻭ ﻝﺮﺘﻨﮐ ﻩﻭﺮﮔ ﺭﺩ ﺮﻔﻧ ١٠ ﺵﺯﻮﻣﺁ) ﺶﻳﺎﻣﺯﺁ ﻩﻭﺮﮔ ﺭﺩ ﺮﻔﻧ ١٠
ﺪﺷ ﻦﻳﺰﮕﻳﺎﺟ (ﻒﻴﻠﮑﺗ ﺮﺑ ﺰﮐﺮﻤﺗ .ﺪﻧ
ﻪﻧﻮﻤﻧ :ﺪﺷ ﻡﺎﺠﻧﺍ ﻪﻠﺣﺮﻣ ﻭﺩ ﺭﺩ ﻱﺮﻴﮔ
ﺶﺳﺮﭘ ﺍﺪﺘﺑﺍ ﺶﻫﻭﮋﭘ ﻡﺎﺠﻧﺍ ﻱﺍﺮﺑ :(ﻲﺗﺎﻣﺪﻘﻣ ﺪﻧﺮﺳ) ﻝﻭﺍ ﻪﻠﺣﺮﻣ ﻪﻣﺎﻧ
ﻲﻋﺎﻤﺘﺟﺍ ﺱﺍﺮﻫ ﺭﺩ ﻞﻴﺼﺤﺗ ﻪﺑ ﻞﻏﺎﺷ ﺮﺴﭘ ﻭ ﺮﺘﺧﺩ ﻥﺎﻳﻮﺠﺸﻧﺍﺩ ﻦﻴﺑ
ﻲﺳﺎﻨﺷﺭﺎﮐ ﻭ ﻲﺳﺎﻨﺷﺭﺎﮐ ﻩﺭﻭﺩ ﺵﻭﺭ ﺯﺍ ﻩﺩﺎﻔﺘﺳﺍ ﺎﺑ ﺪﻫﺎﺷ ﻩﺎﮕﺸﻧﺍﺩ ﺪﺷﺭﺍ
ﻪﺷﻮﺧ ﻪﻠﺣﺮﻣ ﻱﺍ ﻝﻭﺍ ﻪﻠﺣﺮﻣ ﺭﺩ .ﺪﺷ ﻊﻳﺯﻮﺗ ﻱﺍ ﻥﺎﻳﻮﺠﺸﻧﺍﺩ ﺯﺍ ﺮﻔﻧ۶۱۷
ﻩﺪﮑﺸﻧﺍﺩ) ﺪﻫﺎﺷ ﻩﺎﮕﺸﻧﺍﺩ ﻲﻨﻓ ،ﻱﺯﺭﻭﺎﺸﮐ ،ﻲﻧﺎﺴﻧﺍ ﻱﺎﻫ
ﻡﻮﻠﻋ ،ﻲﺳﺪﻨﻬﻣ
ﻥﺍﺪﻧﺩ ﻭ ﻲﮑﺷﺰﭘ ،ﻱﺭﺎﺘﺳﺮﭘ ،ﻪﻳﺎﭘ ﺶﺳﺮﭘ (ﻲﮑﺷﺰﭘ
ﻲﻋﺎﻤﺘﺟﺍ ﺱﺍﺮﻫ ﻪﻣﺎﻧ
،ﺩﺍﺪﻌﺗ ﻦﻳﺍ ﺯﺍ .ﺪﻧﺩﺮﮐ ﻞﻴﻤﮑﺗ ﺍﺭ ﻲﻋﺎﻤﺘﺟﺍ ﺏﺍﺮﻄﺿﺍ ﻱﺍﺭﺍﺩ ﺮﻔﻧ ۷۰
ﺶﺳﺮﭘ ﻦﻳﺍ ﺱﺎﺳﺍﺮﺑ .ﺪﻧﺩﻮﺑ ﺭﺎﻴﻌﻣ ﻪﻄﻘﻧ ﻪﺑ ﻪﺟﻮﺗ ﺎﺑ ،ﻪﻣﺎﻧ
ﻱﺩﺍﺮﻓﺍ ،۲۴
ﻪﻧﺎﺸﻧ ﻱﺍﺭﺍﺩ ﻪﮐ ﺩﺭﺍﻭ ﻭ ﻩﺪﺷ ﺏﺎﺨﺘﻧﺍ ،ﺪﻧﺩﻮﺑ ﻲﻋﺎﻤﺘﺟﺍ ﺏﺍﺮﻄﺿﺍ ﻱﺎﻫ
ﺶﻫﻭﮋﭘ ﻪﺑ ﻪﺟﻮﺗ ﺎﺑ ﻩﺮﻤﻧ ﻦﻳﺍ .ﺪﻧﺪﺷ ﺶﻫﻭﮋﭘ ﻡﺎﺠﻧﺍ ﯽﻠﺒﻗ ﯼﺎﻫ
ﺭﺩ ﻩﺪﺷ
ﺪﺷ ﻪﺘﻓﺮﮔ ﺮﻈﻧ ﺭﺩ ﻪﻨﻴﻣﺯ ﻦﻳﺍ .[22]
) ﻡﻭﺩ ﻪﻠﺣﺮﻣ ﻩﻭﺮﮔ ﺭﺩ ﻲﻨﻳﺰﮕﻳﺎﺟ
ﻪﻧﺎﮔﻭﺩ ﻱﺎﻫ ﻪﻠﺣﺮﻣ ﻦﻳﺍ ﺭﺩ :(
ﻲﻧﺩﻮﻣﺯﺁ ﺶﺳﺮﭘ ﻖﻳﺮﻃ ﺯﺍ ﻪﮐ ﻲﻳﺎﻫ ﻲﻋﺎﻤﺘﺟﺍ ﺱﺍﺮﻫ ﻪﻣﺎﻧ
(SPIN)
ﺱﺎﺳﺍﺮﺑ ،ﺪﻧﺩﻮﺑ ﻩﺪﺷ ﻩﺩﺍﺩ ﺺﻴﺨﺸﺗ ﻻﺎﺑ ﻲﻋﺎﻤﺘﺟﺍ ﺏﺍﺮﻄﺿﺍ ﻱﺍﺭﺍﺩ
ﻞﮔ ﻢﻳﺮﮐ٢٦ ﻱﺪﻤﺤﻣ ﻥﺍﺭﺎﮑﻤﻫ ﻭ ــــــــــــ ـــــ
ـ ــــ ـــــــــــ ـ
ــــــــــــــــــــــــــــ ــــــــــــــــــــــــــــــــــ
ﻲﻨﻴﻟﺎﺑ ﻪﺘﻓﺎﻳﺭﺎﺘﺧﺎﺳ ﻪﺒﺣﺎﺼﻣ (SCID-I)
.ﺪﻨﺘﻓﺮﮔ ﺭﺍﺮﻗ ﻲﺑﺎﻳﺯﺭﺍ ﺩﺭﻮﻣ
ﺪﻧﺩﺮﮐ ﺖﻓﺎﻳﺭﺩ ﺍﺭ ﻲﻋﺎﻤﺘﺟﺍ ﺏﺍﺮﻄﺿﺍ ﻝﻼﺘﺧﺍ ﺺﻴﺨﺸﺗ ﻪﮐ ﻱﺩﺍﺮﻓﺍ ۴۰
ﺩﺍﺪﻌﺗ ﻥﺎﻴﻣ ﻦﻳﺍ ﺯﺍ ﻪﮐ ﺪﻧﺩﻮﺑ ﺮﻔﻧ ﺎﺑ ﻱﺭﺎﮑﻤﻫ ﻲﮔﺩﺎﻣﺁ ﻪﮐ ﺮﻔﻧ ۲۰
ﻠﺟ ﺭﺩ ﺖﮐﺮﺷ ﻭ ﻖﻴﻘﺤﺗ ﻪﻣﺎﻧﺮﺑ ﺕﺎﺴ
ﻪﺑ ،ﺪﻨﺘﺷﺍﺩ ﺍﺭ TCT ﺕﺭﻮﺻ
ﺭﺍﺮﻗ ﻝﺮﺘﻨﮐ ﻩﻭﺮﮔ ﻭ ﻒﻴﻠﮑﺗ ﺮﺑ ﺰﮐﺮﻤﺗ ﺵﺯﻮﻣﺁ ﻩﻭﺮﮔ ﻭﺩ ﺭﺩ ﻲﻓﺩﺎﺼﺗ :ﺪﺷ ﻩﺩﺎﻔﺘﺳﺍ ﺮﻳﺯ ﻱﺎﻫﺭﺍﺰﺑﺍ ﺯﺍ ﺕﺎﻋﻼﻃﺍ ﻱﺭﻭﺁﺩﺮﮔ ﻱﺍﺮﺑ .ﺪﻨﺘﻓﺮﮔ
ﺶﺳﺮﭘ ﻲﻋﺎﻤﺘﺟﺍ ﺏﺍﺮﻄﺿﺍ ﻪﻣﺎﻧ (SPIN)
ﺶﺳﺮﭘ ﻦﻳﺍ : ﻪﻣﺎﻧ
ﻂﺳﻮﺗ ﺭﺎﺑ ﻦﻴﺘﺴﺨﻧ ﺭﻮﻧﺎﮐ
ﻝﺎﺳ ﺭﺩ ﻭ ﻥﺍﺭﺎﮑﻤﻫ ﻭ ﻪﺑ ٢٠٠٠
ﺭﻮﻈﻨﻣ
ﺑﺎﻳﺯﺭﺍ ﺶﺳﺮﭘ ﻦﻳﺍ .ﺪﺷ ﻪﻴﻬﺗ ﻲﻋﺎﻤﺘﺟﺍ ﺱﺍﺮﻫ ﻲ ﺱﺎﻴﻘﻣ ﮏﻳ ﻪﻣﺎﻧ
ﻲﺠﻨﺳﺩﻮﺧ ﻩﺩﺎﻣ١٧
ﺎﻳ ﻲﻋﺮﻓ ﺱﺎﻴﻘﻣ ﻪﺳ ﻱﺍﺭﺍﺩ ﻪﮐ ﺖﺳﺍ ﻱﺍ
ﻩﺩﺮﺧ ) ﺱﺮﺗ ﺱﺎﻴﻘﻣ ) ﺏﺎﻨﺘﺟﺍ ،(ﻩﺩﺎﻣ٦
ﮏﻳﮊﻮﻟﻮﻳﺰﻴﻓ ﻲﺘﺣﺍﺭﺎﻧ ﻭ (ﻩﺩﺎﻣ٧
) ﺕﺮﮑﻴﻟ ﺱﺎﻴﻘﻣ ﺱﺎﺳﺍﺮﺑ ﻝﺍﻮﺌﺳ ﺎﻳ ﻩﺩﺎﻣ ﺮﻫ .ﺖﺳﺍ (ﻩﺩﺎﻣ ٤
ﺞﻨﭘ ﻪﺟﺭﺩ ﻪﻨﻳﺰﮔ ﺎﺑ ﻱﺍ ﻪﺑ" ﯼﺎﻫ
ﭻﻴﻫ ﻪﺑ" ،"ﻢﮐ" ،"ﻪﺟﻭ ،"ﻝﻮﻤﻌﻣ ﻞﮑﺷ
ﻲﺑ" ﻭ "ﺩﺎﻳﺯ ﻲﻠﻴﺧ"
ﺎﺗ ﺮﻔﺻ ﺯﺍ ﺐﻴﺗﺮﺗ ﻪﺑ "ﺖﻳﺎﻬﻧ ﻪﺟﺭﺩ٤
ﻲﻣ ﻱﺪﻨﺑ ﻭ ﺩﻮﺷ
ﺎﺗ ﺮﻔﺻ ﻪﻨﻣﺍﺩ ﺭﺩ ﻥﺁ ﻲﻠﮐ ﻩﺮﻤﻧ ﻦﻳﺍ ﻦﻴﻨﭽﻤﻫ .ﺩﺭﺍﺩ ﺭﺍﺮﻗ ٦٨
ﺶﺳﺮﭘ ﺍﺭ ﻲﻋﺎﻤﺘﺟﺍ ﺏﺍﺮﻄﺿﺍ ﻝﻼﺘﺧﺍ ﻱﺍﺭﺍﺩ ﻩﻭﺮﮔ ﺖﺳﺍ ﻩﺩﻮﺑ ﺭﺩﺎﻗ ﻪﻣﺎﻧ ﺐﻳﺮﺿ .ﺪﻨﮐ ﺰﻳﺎﻤﺘﻣ ،ﺪﻧﺩﻮﺒﻧ ﻩﺪﺷﺩﺎﻳ ﻝﻼﺘﺧﺍ ﻪﺑ ﻼﺘﺒﻣ ﻪﮐ ﻲﻫﻭﺮﮔ ﺯﺍ
ﻣﺯﺁﺯﺎﺑ ﻲﻃ ﻥﺁ ﻲﻳﺎ ﻦﻴﺑ ،ﻪﺘﻔﻫ٢
٧٨ / ﻭ٠ ٨٩ / ﻥﺁ ﻲﻧﻭﺭﺩ ﻲﻧﺎﺴﻤﻫ ﻭ٠
ﻪﺑ ﺥﺎﺒﻧﻭﺮﻛ ﻱﺎﻔﻟﺁ ﻪﻠﻴﺳﻭ ٩٤
/ ٠ - ٨٢ / ﺰﻴﻧ ﻥﺍﺮﻳﺍ ﺭﺩ .ﺖﺳﺍ ﻩﺪﺷ ﺵﺭﺍﺰﮔ٠
ﺶﻫﻭﮋﭘ ﺭﺩ ﺪﻧﻮﻨﺴﺣ
ﻩﺩﺍﺯﻮﻤﻋ ﻦﻳﺍ ﺥﺎﺒﻧﻭﺮﻛ ﻱﺎﻔﻟﺁ ،ﻥﺍﺭﺎﻜﻤﻫ ﻭ
ﺶﺳﺮﭘ ﻦﻴﺑ ﻪﻣﺎﻧ ٧٤ / ﺎﺗ٠ ٨٩ / ﻥﺁ ﻲﻳﺎﻣﺯﺁﺯﺎﺑ ﺐﻳﺮﺿ ﻭ٠ ٦٨
/ ﺭﺎﺒﺘﻋﺍ ﻭ٠
ﺱﺎﻴﻘﻣ ﺎﺑ ﻲﮕﺘﺴﺒﻤﻫ ﺭﺩ ﻥﺁ ﻥﺎﻣﺰﻤﻫ ﺶﺳﺮﭘ) ﻩﺩﺎﻔﺘﺳﺍ ﺩﺭﻮﻣ ﻱﺎﻫ
ﻪﻣﺎﻧ
ﻪﺟﺭﺩ ﺱﺎﻴﻘﻣ ،ﻲﺘﺧﺎﻨﺷ ﻱﺎﻄﺧ ﮏﻴﺑﻮﻓ ﺏﺍﺮﻄﺿﺍ ﻭ ﺩﻮﺧ ﺖﻣﺮﺣ ﻱﺪﻨﺑ
ﮏﭼ ﻩﺪﺷﺮﻈﻧﺪﻳﺪﺠﺗ ﻪﺨﺴﻧ ﺯﺍ ﻥﺎﮕﻧﺎﺸﻧ ﺖﺴﻴﻟ
ﻪﺑ (ﻲﻟﺍﻮﺌﺳ٩٠ ﺐﻴﺗﺮﺗ
٣٥ / ،٠ ۵۸ / ﻭ۰ ۷۰ / ﺖﺳﺍ ﻩﺪﺷ ﺵﺭﺍﺰﮔ۰ .[22]
ﻲﻨﻴﻟﺎﺑ ﻪﺘﻓﺎﻳﺭﺎﺘﺧﺎﺳ ﻪﺒﺣﺎﺼﻣ (SCID-I)
ﻪﺒﺣﺎﺼﻣ: ﺍ ﻱ ﻪﮐ ﺖﺳﺍ
ﺑ ﺮ ﺎﻨﺒﻣ ﻱ ﮎﻼﻣ ﺎﻫ ﻱ ﺨﺸﺗ ﻴ ﺼ ﻲ ﻣﺭﺎﻬﭼ ﻴ ﻦ ﻪﻘﺒﻃ ﺪﻨﺑ ﻱ ﺭﺎﻣﺁ ﻱ ﻭ
ﺨﺸﺗ ﻴ ﺼ ﻲ ﺑ ﻴ ﺭﺎﻤ ﻱ ﺎﻫ ﻱ ﻧﺍﻭﺭ ﻲ (DSM-IV) ﻭ
ﻪﺑ ﺨﺸﺗ ﺭﻮﻈﻨﻣ ﻴ
ﺺ
ﻧﺍﻭﺭ ﺕﻻﻼﺘﺧﺍ ﻲ
، ﻪﺑ ﺕﺭﻮﺻ ﻪﻤﻴﻧ ﺭﺎﺘﺧﺎﺳ ﻳ ﻪﺘﻓﺎ ﺣﺍﺮﻃ ﻲ ﺍ ﻩﺪﺷ ﺖﺳ .
ﻲﮔﮋﻳﻭ ﻥﺍﻭﺭ ﻱﺎﻫ ﻂﺳﻮﺗ ﻥﺍﺮﻳﺍ ﺭﺩ ﺭﺍﺰﺑﺍ ﻦﻳﺍ ﻲﺠﻨﺳ ﻲﻨﻴﻣﺍ
ﻥﺍﺭﺎﮑﻤﻫ ﻭ
ﺺﻴﺨﺸﺗ ﻡﺎﻤﺗ ﻱﺍﺮﺑ ﺎﭘﺎﮐ ﺶﻫﻭﮋﭘ ﻦﻳﺍ ﺭﺩ .ﺖﺳﺍ ﻩﺪﺷ ﺵﺭﺍﺰﮔ ﺰﺟ ﺎﻫ
ﺯﺍ ﺮﺗﻻﺎﺑ ﻲﺑﺍﺮﻄﺿﺍ ﺕﻻﻼﺘﺧﺍ ﻞﻛ ۴
/ ﺮﺜﻛﺍ ﺭﺩ ﻦﻴﻨﭽﻤﻫ .ﺪﺷ ﺵﺭﺍﺰﮔ۰
ﺺﻴﺨﺸﺗ ﺯﺍ ﺮﺗﻻﺎﺑ ،ﻲﮔﮋﻳﻭ ﺎﻫ ۸۵
/ ﺯﺍ ﺮﺗﻻﺎﺑ ﺩﺍﺪﻌﺗ ﻦﻳﺍ ﺯﺍ ﻲﻤﻴﻧ ﺭﺩ ﻭ۰
۹ / ﻥﺎﺸﻧ ﻪﮐ ﻩﺩﻮﺑ۰ ﻩﺪﻨﻫﺩ
ﻪﺘﻓﺎﻳﺭﺎﺘﺧﺎﺳ ﻪﺒﺣﺎﺼﻣ ﻦﻳﺍ ﺏﻮﻠﻄﻣ ﻲﮔﮋﻳﻭ
ﻪﻤﺟﺮﺗ ﺯﺍ ﺶﻫﻭﮋﭘ ﻦﻳﺍ ﺭﺩ .ﺖﺳﺍ ﺍﻳ
ﻦ ﻂﺳﻮﺗ ﻪﺒﺣﺎﺼﻣ ﻧﺎﺧﺪﻤﺤﻣ
ﻭﻲ
ﻥﺍﺭﺎﮑﻤﻫ ﺖﺳﺍ ﻩﺪﺷ ﻩﺩﺎﻔﺘﺳﺍ ﻪﮐ
ﻊﻗﺍﻭ ﺭﺩ ﺳ ﻪﻋﻮﻤﺠﻣ ﻮﺌ
ﺎﺑ ﻂﺒﺗﺮﻣ ﺕﻻﺍ
ﻋﺎﻤﺘﺟﺍ ﺏﺍﺮﻄﺿﺍ ﻝﻼﺘﺧﺍ ﻲ
ﺨﺸﺗ ﻭ ﻴ ﺺ ﺎﻫ ﻱ ﻗﺍﺮﺘﻓﺍ ﻲ ﺯﺍ ﻥﺁ ﻪﺑ ﻁﻮﺑﺮﻣ
ﻋﻮﻤﺠﻣ ﻪ ﻠﺻﺍ ﻲ ﺍﺰﺠﻣ ﻩﺪﺷ ﺐﻟﺎﻗ ﺭﺩ ﻭ ﻳ
ﮏ ﺒﺣﺎﺼﻣ ﻪ ﺩﻭﺪﺤﻣ ﻢﻴﻈﻨﺗ
ﻲﻋﺎﻤﺘﺟﺍ ﺏﺍﺮﻄﺿﺍ ﻝﻼﺘﺧﺍ ﺪﻴﻳﺎﺗ ﻱﺍﺮﺑ ﻪﺒﺣﺎﺼﻣ ﻦﻳﺍ ﺯﺍ .ﺖﺳﺍ ﻩﺪﺷ ﻲﻧﺩﻮﻣﺯﺁ ﺖﺳﺍ ﻩﺪﺷ ﻩﺩﺎﻔﺘﺳﺍ ﺺﻴﺨﺸﺗ ﺭﺩ ﻲﻗﺍﺮﺘﻓﺍ ﺩﺭﺍﻮﻣ ﻭ ﺎﻫ .[23]
ﻒﻴﻠﮑﺗ ﺮﺑ ﺰﮐﺮﻤﺗ ﺵﺯﻮﻣﺁ ﮏﻴﻨﮑﺗ (TCT)
ﮏﻴﻨﮑﺗ : ﺎﻳTCT
ﻲﻧﺎﻣﺭﺩ ﮏﻴﻨﮑﺗ ﮏﻳ ﻒﻴﻠﮑﺗ ﺮﺑ ﺰﮐﺮﻤﺗ ﺵﺯﻮﻣﺁ ۶
- ﻪﺴﻠﺟ۴ ﻪﮐ ﺖﺳﺍ ﻱﺍ ﻂﺳﻮﺗ
ﺰﻠﮔﻮﺑ ﻪﺑ ﻥﺍﺭﺎﮑﻤﻫ ﻭ ﻴﻴﻐﺗ ﺭﻮﻈﻨﻣ
ﺏﺍﺮﻄﺿﺍ ﻪﺑ ﻼﺘﺒﻣ ﺩﺍﺮﻓﺍ ﻪﺟﻮﺗ ﺮ
ﻲﻫﺎﮔﺁ ﺪﻨﻧﺎﻣ ﻒﻴﻠﮑﺗ ﺎﺑ ﻂﺒﺗﺮﻣﺎﻧ ﻲﻄﻴﺤﻣ ﻞﻣﺍﻮﻋ ﻭ ﺩﻮﺧ ﺯﺍ ﻲﻋﺎﻤﺘﺟﺍ ﻪﻧﺎﺸﻧ ﺯﺍ ﻥﺍﺮﮕﻳﺩ ﻪﺑ ﺩﺮﻓ ﺏﺍﺮﻄﺿﺍ ﻱﺎﻫ
.ﺪﺷ ﻲﺣﺍﺮﻃ ﻒﻴﻠﮑﺗ ﺩﻮﺧ ﺖﻤﺳ
ﻪﺑ ﺖﺒﺴﻧ ﺩﺮﻓ ،ﻝﻭﺍ ﻪﻠﺣﺮﻣ ﺭﺩ ؛ﺖﺳﺍ ﻪﻠﺣﺮﻣ ﻪﺳ ﻞﻣﺎﺷ ﮏﻴﻨﮑﺗ ﻲﻣ ﺍﺪﻴﭘ ﺶﻨﻴﺑ ﺩﻮﺧ ﻪﺑ ﻑﻮﻄﻌﻣ ﻪﺟﻮﺗ ﺕﺍﺮﻴﺛﺎﺗ ﻭ ﻪﺟﻮﺗ ﻱﺎﻫﺪﻨﻳﺁﺮﻓ .ﺪﻨﮐ
ﺖﻴﻌﻗﻮﻣ ﺭﺩ ﻒﻴﻠﮑﺗ ﻪﺑ ﻪﺟﻮﺗ ﺰﮐﺮﻤﺗ ﺮﺑ ﻡﻭﺩ ﻪﻠﺣﺮﻣ ﺭﺩ ﻱﺎﻫ
ﻲﻣ ﺪﻴﮐﺎﺗ ﻩﺪﻨﻨﮐﺪﻳﺪﻬﺗﺮﻴﻏ ﺭﺎﻤﻴﺑ ﻪﺑ ،ﻥﺎﻣﺭﺩ ﺯﺍ ﺶﺨﺑ ﻦﻳﺍ ﺭﺩ .ﺩﻮﺷ
ﻲﻣ ﻩﺩﺍﺩ ﺵﺯﻮﻣﺁ ﺖﻴﻌﻗﻮﻣ ﺭﺩ ﺎﺗ ﺩﻮﺷ
ﺮﺑ ،ﻩﺪﻨﻨﮐﺪﻳﺪﻬﺗﺮﻴﻏ ﻩﺮﻣﺯﻭﺭ ﻱﺎﻫ
ﮎﺭﺎﭘ ﺎﻳ ﺖﺧﺭﺩ ﻲﻫﻮﺒﻧﺍ) ﺖﮐﺎﺳ ﻲﻠﮕﻨﺟ ﺭﺩ ﹰﻼﺜﻣ .ﺩﻮﺷ ﺰﮐﺮﻤﺘﻣ ﻒﻴﻠﮑﺗ ﻪﮐ ﻲﻟﺎﺣ ﺭﺩ ﻭ ﺪﻧﺰﺑ ﻡﺪﻗ (ﺖﮐﺎﺳ ﻲﻣ ﻡﺪﻗ ﺩﺭﺍﺩ
ﻪﺒﻨﺟ ﻡﺎﻤﺗ ﻪﺑ ،ﺪﻧﺯ ﻱﺎﻫ
ﺩﻮﺧ ﻥﺪﺑ ﺮﺑ ﻩﻭﻼﻋ ،(ﻪﺴﻣﻻ ،ﻲﻳﺎﻳﻮﺑ ،ﻱﺭﺍﺪﻴﻨﺷ ،ﻲﻳﺎﻨﻴﺑ) ﻞﮕﻨﺟ ﻥﺁ ﺭﺩ ﻒﻴﻠﮑﺗ ﻪﺑ ﻪﺟﻮﺗ ﺰﮐﺮﻤﺗ ﻡﻮﺳ ﻪﻠﺣﺮﻣ ﺭﺩ ﹰﺎﺘﻳﺎﻬﻧ .ﺪﻨﮐ ﻪﺟﻮﺗ ﺖﻴﻌﻗﻮﻣ ﻲﻣ ﻩﺩﺍﺩ ﺵﺯﻮﻣﺁ ﺩﺮﻓ ﻪﺑ ﻩﺪﻨﻨﮐﺪﻳﺪﻬﺗ ﻱﺎﻫ ﻪﻠﺣﺮﻣ ﻦﻳﺍ ﺭﺩ .ﺩﻮﺷ
ﻪﺑ ﺖﻴﻌﻗﻮﻣ ﺭﺩ ﻪﺟﻮﺗ ﺰﮐﺮﻤﺗ ﻦﻳﺮﻤﺗ ﺭﻮﻈﻨﻣ ﻨﻨﮐﺪﻳﺪﻬﺗ ﻱﺎﻫ
ﻲﺘﺳﺮﻬﻓ ،ﻩﺪ
ﻲﮔﮋﻳﻭ ﺯﺍ ﻲﻣ ﺩﺮﻓ ﻪﮐ ﮏﻳﮊﻮﻟﻮﻳﺰﻴﻓ ﻩﺯﻮﺣ ﺭﺩ ﺩﺮﻓ ﻱﺎﻫ ﺮﮔﺍ ﺪﺳﺮﺗ
ﻪﻧﺎﺸﻧ ﻱﺎﻫﺪﻣﺎﻴﭘ ،ﺪﻫﺩ ﻥﺎﺸﻧ ﺍﺭ ﺎﻬﻧﺁ ﻝﺮﺘﻨﮐ ﻡﺪﻋ ﻭ ﮏﻳﮊﻮﻟﻮﻳﺰﻴﻓ ﻱﺎﻫ
ﻲﻣ ﻲﺣﺍﺮﻃ ﺪﺷﺎﺑ ﻪﺘﺷﺍﺩ ﻱﺪﻨﻳﺎﺷﻮﺧﺎﻧ .ﺩﻮﺷ
ﻦﻳﺍ ﺖﺳﺮﻬﻓ ﺭﺎﺘﺧﺎﺳ ﮏﻳ
ﻪﻠﺴﻠﺳ ﺭﺩ ﺍﺭ ﺱﺮﺗ ﻦﻳﺮﺘﻤﮐ ﻪﮐ ﺖﺳﺍ ﻲﮔﮋﻳﻭ ،ﻢﺘﻳﺁ ﻦﻴﻟﻭﺍ .ﺩﺭﺍﺩ ﻲﺒﺗﺍﺮﻣ
ﻲﻣ ﺩﺎﺠﻳﺍ ﺩﺮﻓ ﺑ ،ﻥﺁ ﻑﺪﻫ .ﺪﻨﮐ
ﻪ ﺮﻫ ﺭﺩ ﻒﻴﻠﮑﺗ ﺮﺑ ﺰﮐﺮﻤﺗ ﻦﺘﻓﺮﮔﺭﺎﮐ
ﺱﺍﻮﺣ ،ﺖﻴﻌﻗﻮﻣ ﺠﻴﺘﻧ ﺭﺩ ﻲﺗﺮﭘ
ﻩﺭﺎﺑﺭﺩ ﻥﺩﺮﮐﺮﮑﻓ ﻪ ﻪﻧﺎﺸﻧ
ﻱﺎﻫ
ﻊﻳﺮﺳ ﺩﺪﺠﻣ ﺰﮐﺮﻤﺗ ﺲﭙﺳ ﻭ ﺎﻬﻧﺁ ﻝﺮﺘﻨﮐ ﺭﺩ ﻱﺪﻣﺁﺭﺎﮐﺎﻧ ﻭ ﮏﻳﮊﻮﻟﻮﻳﺰﻴﻓ ﻒﻴﻠﮑﺗ ﺮﺑ ﻪﺟﻮﺗ ﺖﺳﺍ
.[24]
ﺶﺳﺮﭘ ،ﺖﺴﺨﻧ ﻪﻠﺣﺮﻣ ﺭﺩ ؛ﻪﮐ ﺩﻮﺑ ﺕﺭﻮﺻ ﻦﻳﺪﺑ ﺶﻫﻭﮋﭘ ﻱﺍﺮﺟﺍ ﻪﻣﺎﻧ
ﻲﻋﺎﻤﺘﺟﺍ ﺱﺍﺮﻫ ﺭﺩSPIN
ﻩﺪﮑﺸﻧﺍﺩ ﺭﺩ ﻲﻌﻴﺳﻭ ﺢﻄﺳ ﻒﻠﺘﺨﻣ ﻱﺎﻫ
ﻡﻮﻠﻋ ﻩﺪﮑﺸﻧﺍﺩ ،ﻱﺯﺭﻭﺎﺸﮐ ﻩﺪﮑﺸﻧﺍﺩ ،ﻲﻧﺎﺴﻧﺍ ﻩﺪﮑﺸﻧﺍﺩ) ﺪﻫﺎﺷ ﻩﺎﮕﺸﻧﺍﺩ ﻲﻨﻓ ﻩﺪﮑﺸﻧﺍﺩ ،ﻪﻳﺎﭘ ﻭ ﻲﮑﺷﺰﭘ ﻩﺪﮑﺸﻧﺍﺩ ،ﻱﺭﺎﺘﺳﺮﭘ ﻩﺪﮑﺸﻧﺍﺩ ،ﻲﺳﺪﻨﻬﻣ
ﻥﺍﺪﻧﺩ ﻩﺪﮑﺸﻧﺍﺩ ﺶﺳﺮﭘ ﻱﺍﺮﺟﺍ ﺯﺍ ﺪﻌﺑ .ﺪﺷ ﺍﺮﺟﺍ (ﻲﮑﺷﺰﭘ
ﻩﺮﻤﻧ ﻪﻣﺎﻧ
ﺕﺍﺮﻤﻧ ﻭ ﻲﺳﺭﺮﺑ ﻥﺎﻳﻮﺠﺸﻧﺍﺩ ﻪﺑ ﻥﺁ ﺯﺍ ﺮﺗﻻﺎﺑ ﻭ۲۴
ﻮﻨﻋ ﻱﺍﺭﺍﺩ ﺕﺍﺮﻤﻧ ﻥﺍ
ﻱﻮﺠﺸﻧﺍﺩ ﻭﺩ ﻂﺳﻮﺗ ﻥﺁ ﺯﺍ ﺲﭘ .ﺪﻧﺪﺷ ﺏﺎﺨﺘﻧﺍ ﻻﺎﺑ ﻲﻋﺎﻤﺘﺟﺍ ﺏﺍﺮﻄﺿﺍ ﻲﺳﺎﻨﺷﺭﺎﮐ ﻥﺍﻭﺭ ﺪﺷﺭﺍ ﻭ ﺮﺴﭘ ﻥﺎﻳﻮﺠﺸﻧﺍﺩ ﺎﺑ ﻥﺯ ﻭ ﺩﺮﻣ ﻲﻨﻴﻟﺎﺑ ﻲﺳﺎﻨﺷ
ﺢﻴﺿﻮﺗ ﺯﺍ ﺲﭘ .ﺪﺷ ﻪﺘﻓﺮﮔ ﺱﺎﻤﺗ ﻻﺎﺑ ﻲﻋﺎﻤﺘﺟﺍ ﺏﺍﺮﻄﺿﺍ ﻱﺍﺭﺍﺩ ﺮﺘﺧﺩ ﺶﻫﻭﮋﭘ ﺭﺩ ﺖﮐﺮﺷ ﻱﺍﺮﺑ ﺎﻬﻧﺁ ﺯﺍ ﺶﻫﻭﮋﭘ ﻱﺍﺮﺟﺍ ﻩﺭﺎﺑﺭﺩ ﻲﺗﺎﻣﺪﻘﻣ ﻪﺑ ﺕﻮﻋﺩ ﻞﻤﻋ ﺶﺳﺮﭘ ﻱﺍﺪﺘﺑﺍ ﺭﺩ ﻪﮐ ﺖﺳﺍ ﺮﮐﺫ ﻪﺑ ﻡﺯﻻ .ﺪﻣﺁ ﻪﻣﺎﻧ
ﺎﻬﻨﺗ ﺱﺎﻤﺗ ﻦﻳﺍ ﻭ ﺩﻮﺑ ﻩﺪﺷ ﻩﺩﺍﺩ ﺶﻫﻭﮋﭘ ﻩﺭﺎﺑﺭﺩ ﻲﺗﺎﺤﻴﺿﻮﺗ SPIN .ﺪﺷ ﻡﺎﺠﻧﺍ ﺶﻫﻭﮋﭘ ﺪﻌﺑ ﻪﻠﺣﺮﻣ ﺢﻴﺿﻮﺗ ﻪﻳﺍﺭﺍ ﻱﺍﺮﺑ
ﺪﻌﺑ ﻪﻠﺣﺮﻣ ﺭﺩ ﺺﻴﺨﺸﺗ ﻭ ﻪﻴﻟﻭﺍ ﺺﻴﺨﺸﺗ ﺪﻴﻳﺎﺗ ﯼﺍﺮﺑ
ﻲﻗﺍﺮﺘﻓﺍ ﻱﺎﻫ
ﻲﻧﺩﻮﻣﺯﺁ ﺯﺍ ﻪﻤﻴﻧ ﻪﺒﺣﺎﺼﻣ ﺎﻫ ﻪﺘﻓﺎﻳﺭﺎﺘﺧﺎﺳ
SCID-I ﻪﺑ .ﺪﻣﺁ ﻞﻤﻋ ﻝﺍﻭﺭ
ﺖﮐﺮﺷ ،ﺖﻗﻭ ﻦﻴﻴﻌﺗ ﺯﺍ ﺲﭘ ﻪﮐ ﺩﻮﺑ ﺕﺭﻮﺻ ﻦﻳﺍ ﻪﺑ ﺭﺎﮐ ﻱﺍﺮﺑ ﻥﺎﮔﺪﻨﻨﮐ
ﻦﻳﺍ ﺭﺩ ﻪﮐ ﺪﻧﺩﺮﮐ ﻪﻌﺟﺍﺮﻣ ﻪﺒﺣﺎﺼﻣ ﻡﺎﺠﻧﺍ ﻭ ﻲﻠﻴﻤﮑﺗ ﺕﺎﻋﻼﻃﺍ ﺖﻓﺎﻳﺭﺩ ﻲﺳﺎﻨﺷﺭﺎﮐ) ﻢﻧﺎﺧ ﺭﺎﻴﺘﺳﺩ ﮏﻳ ﺖﻤﺴﻗ ﻥﺍﻭﺭ ﺪﺷﺭﺍ
ﻱﺍﺮﺑ (ﻲﻨﻴﻟﺎﺑ ﻲﺳﺎﻨﺷ
ﻢﻧﺎﺧ ﺎﺑ ﻪﺒﺣﺎﺼﻣ ﻲﻠﮐ ﺕﺎﻋﻼﻃﺍ ﺍﺪﺘﺑﺍ .ﺖﺷﺍﺩ ﻱﺭﺎﮑﻤﻫ ﺮﮕﺸﻫﻭﮋﭘ ﺎﺑ ﺎﻫ
ﺭﺎﺑﺭﺩ ﻱﺭﻭﺮﺿ ﻭ ﺖﮐﺮﺷ ﺭﺎﻴﺘﺧﺍ ﺭﺩ ﺶﻫﻭﮋﭘ ﻩ
.ﺖﻓﺮﮔ ﺭﺍﺮﻗ ﻥﺎﮔﺪﻨﻨﮐ
ـــــــــــــ ــــــ
ـــــــ ــ ـ ـــــ ــ ــ ﻲﻋﺎﻤﺘﺟﺍ ﺏﺍﺮﻄﺿﺍ ﻝﻼﺘﺧﺍ ﻪﺑ ﻼﺘﺒﻣ ﺩﺍﺮﻓﺍ ﺭﺩ ﺏﺍﺮﻄﺿﺍ ﻥﺎﮕﻧﺎﺸﻧ ﺶﻫﺎﮐ ﺮﺑ "ﻒﻴﻠﮑﺗ ﺮﺑ ﺰﮐﺮﻤﺗ ﺵﺯﻮﻣﺁ" ﻲﺸﺨﺑﺮﺛﺍ
۲۷
ﻪﻤﻴﻧ ﻪﺒﺣﺎﺼﻣ ﺲﭙﺳ ﺭﺎﺘﺧﺎﺳ
ﻲﻨﻴﻟﺎﺑ ﻪﺘﻓﺎﻳ SCID-I
ﻝﻼﺘﺧﺍ ﺎﺑ ﺐﺳﺎﻨﺘﻣ
ﻪﺒﻨﺟ ﻭ ﻲﻋﺎﻤﺘﺟﺍ ﺏﺍﺮﻄﺿﺍ ﻲﻗﺍﺮﺘﻓﺍ ﻱﺎﻫ
ﻪﺑ ﺪﻣﺁ ﻞﻤﻋ ﻥﺎﻳﺎﭘ ﺭﺩ .
ﻲﻧﺩﻮﻣﺯﺁ ﻱﺎﻨﺒﻣ ﺮﺑ ﺍﺭ ﻲﻋﺎﻤﺘﺟﺍ ﺏﺍﺮﻄﺿﺍ ﻝﻼﺘﺧﺍ ﺺﻴﺨﺸﺗ ﻪﮐ ﻲﻳﺎﻫ
ﻪﺒﺣﺎﺼﻣ SCID-I ﻪﺑ ﺪﻧﺩﻮﺑ ﻩﺩﺮﮐ ﺖﻓﺎﻳﺭﺩ ﻩﻭﺮﮔ ﻭﺩ ﺭﺩ ﻲﻓﺩﺎﺼﺗ ﺭﻮﻃ
ﻡﺎﺠﻧﺍ ﺯﺍ ﺲﭘ .ﺪﻨﺘﻓﺮﮔ ﺭﺍﺮﻗ ﻝﺮﺘﻨﮐ ﻩﻭﺮﮔ ﻭ "ﻒﻴﻠﮑﺗ ﺮﺑ ﺰﮐﺮﻤﺗ ﺵﺯﻮﻣﺁ"
ﺵﺯﻮﻣﺁ" ﻩﻭﺮﮔ ﺩﺍﺮﻓﺍ ﺎﺑ ﻲﻧﺎﻣﺭﺩ ﻪﻣﺎﻧﺮﺑ ﻉﻭﺮﺷ ﯼﺍﺮﺑ ﻲﻧﺎﻣﺯ ،ﻕﻮﻓ ﻞﺣﺍﺮﻣ ﺎﻬﻧﺁ ﺎﺑ ﻭ ﺪﻧﺪﻧﺎﻣ ﺭﺎﻈﺘﻧﺍ ﺭﺩ ﻝﺮﺘﻨﮐ ﻩﻭﺮﮔ .ﺪﺷ ﻢﻴﻈﻨﺗ "ﻒﻴﻠﮑﺗ ﺮﺑ ﺰﮐﺮﻤﺗ ﻧﺎﻣﺭﺩ ﻪﻣﺎﻧﺮﺑ ﻡﺎﺠﻧﺍ ﻩﺭﺎﺑﺭﺩ ﺖﻔﮔ ﺮﮕﻳﺩ ﻲﻧﺎﻣﺯ ﺖﺻﺮﻓ ﺭﺩ ﻲ
ﻪﺑ ﻮﮔﻭ ﻞﻤﻋ
ﺍﺮﺟﺍ ﻲﺸﻳﺎﻣﺯﺁ ﻩﻭﺮﮔ ﻱﻭﺭ ﻪﮐ ﻒﻴﻠﮑﺗ ﺮﺑ ﺰﮐﺮﻤﺗ ﻲﻧﺎﻣﺭﺩ ﻞﮑﺗﻭﺮﭘ .ﺪﻣﺁ ﻞﻣﺎﺷ ،ﺪﺷ ﮏﻳ ﻪﺴﻠﺟ۵
ﻪﺑ ﻪﮐ ﺩﻮﺑ ﻪﺘﻋﺎﺳ ﻪﺴﻠﺟ ﮏﻳ ،ﻪﺘﻔﻫ ﺮﻫ ﺕﺭﻮﺻ
ﻲﻣ ﺭﺍﺰﮔﺮﺑ ﻝﻭﺪﺟ) ﺪﺷ ﹰﺍﺩﺪﺠﻣ ﯽﺷﺯﻮﻣﺁ ﻩﺭﻭﺩ ﻥﺎﻳﺎﭘ ﺯﺍ ﺲﭘ .(۱
ﺶﺳﺮﭘ .ﺪﺷ ﻞﻴﻤﮑﺗ ﻩﻭﺮﮔ ﻭﺩ ﻂﺳﻮﺗ ﻲﻋﺎﻤﺘﺟﺍ ﺏﺍﺮﻄﺿﺍ ﻪﻣﺎﻧ
ﺟ ﻝﻭﺪ ۱ ﻒﻴﻠﮑﺗ ﺮﺑ ﺰﮐﺮﻤﺗ ﻲﻧﺎﻣﺭﺩ ﻞﮑﺗﻭﺮﭘ (
ﻝﻭﺍ ﻪﺴﻠﺟ ﻥﺎﻣﺭﺩ ﺭﺩ ﻲﮔﺩﺎﻣﺁ ﺩﺎﺠﻳﺍ ﻭ ﻥﺎﻣﺭﺩ ﻖﻄﻨﻣ ﺢﻴﺿﻮﺗ ﻪﺑ ﻮﺟ
ﻞﮑﺗﻭﺮﭘ ﻱﺍﺮﺟﺍ ﺭﻮﻈﻨﻣ
.ﻲﻧﺎﻣﺭﺩ ﻡﻭﺩ ﻪﺴﻠﺟ
ﻦﻳﺮﻤﺗ ﻡﺎﺠﻧﺍ ﺵﻮﮔ ﻱﺎﻫ ﻪﺑ ﻪﮐ ﻥﺩﺍﺩ ﻥﺎﺘﺳﺍﺩ ﻞﻘﻧ ﻪﺑ ﻉﻭﺮﺷ ﺮﮕﻧﺎﻣﺭﺩ ﻥﺁ ﺐﺟﻮﻣ ﻲﻳﺎﻫ
ﻲﻣ ﻪﺘﻓﺭ ﻪﮐ ﺪﻨﮐ ﻩﺪﻴﭽﻴﭘ ﻪﺘﻓﺭ ﻲﻣ ﺮﺗ ﻥﺎﻣﺭﺩ ﻭ ﺪﻧﻮﺷ ﻮﺟ
ﻪﺑ ﻥﺁ ﻡﺎﻤﺗﺍ ﺯﺍ ﺪﻌﺑ ﻲﺘﺴﻳﺎﺑ
ﺺﺨﺸﻣ ﺍﺭ ﻂﻴﺤﻣ ﻭ ﺩﻮﺧ ،ﻒﻴﻠﮑﺗ ﻪﺑ ﺶﻬﺟﻮﺗ ﻥﺍﺰﻴﻣ ﻭ ﻪﺘﺧﺍﺩﺮﭘ ﻥﺁ ﻪﺻﻼﺧ ﻥﺎﻴﺑ ﻪﺑ ﻭ ﺪﻨﮐ ﻦﻳﺮﻤﺗ ،ﻲﮕﻧﺎﺧ ﻒﻴﻠﮑﺗ ﻥﺍﻮﻨﻋ ﺭﺩ ﻭ ﻝﺰﻨﻣ ﺭﺩ ﺍﺭ ﻒﻴﻠﮑﺗ ﺮﺑ ﺰﮐﺮﻤﺗ ﻱﺎﻫ
ﺖﻴﻌﻗﻮﻣ .ﺪﻫﺩ ﻡﺎﺠﻧﺍ ﮎﺭﺎﭘ ﻭ ﻞﮕﻨﺟ ﺪﻨﻧﺎﻣ ﻲﻟﻮﻤﻌﻣ ﻱﺎﻫ
ﻡﻮﺳ ﻪﺴﻠﺟ
ﺎﻬﻧﺁ ﻞﺣ ﻩﻮﺤﻧ ﻭ ﺕﻼﮑﺸﻣ ﻭ ﻊﻧﺍﻮﻣ ﻲﺳﺭﺮﺑ ،ﻞﺒﻗ ﻪﺴﻠﺟ ﻲﮕﻧﺎﺧ ﻒﻴﻠﮑﺗ ﻲﺳﺭﺮﺑ ﻪﺑ ﻲﻣ ﻪﺘﺧﺍﺩﺮﭘ ﻥﺎﻣﺭﺩ ﻭ ﺩﻮﺷ ﺯﺍ ﻲﺘﺴﻴﻟ ﻪﻴﻬﺗ ﻪﺑ ﻡﺍﺪﻗﺍ ﺮﮕﻧﺎﻣﺭﺩ ﻱﺭﺎﮑﻤﻫ ﺎﺑ ﻮﺟ
ﺖﻴﻌﻗﻮﻣ ﻲﻣ ﺏﺍﺮﻄﺿﺍ ﺭﺎﭼﺩ ﺎﻬﻧﺁ ﺭﺩ ﻪﮐ ﻲﻳﺎﻫ ﻲﻣ ،ﺩﻮﺷ
.ﺪﻨﮐ
ﻡﺭﺎﻬﭼ ﻪﺴﻠﺟ
ﺖﻴﻌﻗﻮﻣ ﻥﺎﻴﺑ ﻱﺎﻫ ﺭ ﺏﺍﺮﻄﺿﺍ ﻦﻳﺮﺘﻤﮐ ﻪﮐ ﻲﺘﻴﻌﻗﻮﻣ ﺯﺍ ﺖﺴﻴﻟ ﺭﺩ ﻩﺪﺷ ﻲﻣ ﺪﻳﺪﭘ ﺍ
،ﺩﺭﻭﺁ
ﻲﻣ ﺭﺍﺮﻗ ﻦﻳﺮﻤﺗ ﺩﺭﻮﻣ ﻥﺎﻣﺭﺩ ﻱﺍﺮﺑ ﺍﺭ ﻥﺁ ﺮﮕﻧﺎﻣﺭﺩ ﻪﮐ ﻲﺗﺭﻮﺻ ﺭﺩ ﻭ ﺪﻧﺮﻴﮔ
ﻮﺟ
ﻲﻣ ﻥﺎﻣﺭﺩ ،ﺪﻧﺍﻮﺧ ﺮﺑ ﺩﻮﺧ ﻪﺟﻮﺗ ﺰﮐﺮﻤﺗ ﻱﺍﺮﺑ ﺵﻼﺗ ﻭ ﺎﻬﻧﺁ ﻢﺴﺠﺗ ﻪﺑ ﻉﻭﺮﺷ ﻮﺟ
ﻲﻣ ﻥﺍﺮﮕﻳﺩ ﻭ ﺩﻮﺧ ﻪﻧ ﻭ ﺖﻴﻌﻗﻮﻣ ﺖﻴﻌﻗﻮﻣ ﻲﻣﺎﻤﺗ .ﺪﻨﮐ
) ﺖﺴﻴﻟ ﺭﺩ ﺡﺮﻄﻣ ﻱﺎﻫ ١٠
ﻲﻣ ﺭﺍﺮﻗ ﻦﻳﺮﻤﺗ ﺩﺭﻮﻣ (ﺖﻴﻌﻗﻮﻣ ﻪﺑ ﻭ ﺪﻧﺮﻴﮔ
ﻋ ﻥﺎﻣﺭﺩ ﻲﮕﻧﺎﺧ ﻒﻴﻠﮑﺗ ﻥﺍﻮﻨ ﻪﺑ ﻡﺰﻠﻣ ﻮﺟ
ﻲﻣ ﻲﻌﻴﺒﻃ ﺖﻴﻌﻗﻮﻣ ﺭﺩ ﺎﻬﻧﺁ ﻡﺎﺠﻧﺍ .ﺩﻮﺷ
ﻢﺠﻨﭘ ﻪﺴﻠﺟ
ﻲﻣ ﺚﺤﺑ ﻥﺁ ﺵﺮﻳﺬﭘ ﺯﺍ ﻥﺎﻨﻴﻤﻃﺍ ﻭ ﻥﺎﻣﺭﺩ ﻖﻄﻨﻣ ﻩﺭﺎﺑﺭﺩ ﹰﺍﺩﺪﺠﻣ
،ﺮﮕﻧﺎﻣﺭﺩ ﻭ ﺩﻮﺷ
ﻥﺎﻣﺭﺩ ﻪﺑ ﻱﺍﺮﺑ ﺍﺭ ﻮﺟ ﻦﮑﻤﻣ ﻪﮐ ﻲﻌﻧﺍﻮﻣ ﻭ ﻲﻌﻴﺒﻃ ﻲﮔﺪﻧﺯ ﺭﺩ ﮏﻴﻨﮑﺗ ﻦﻳﺍ ﻱﺮﻴﮔﺭﺎﮐ
ﻩﺩﺎﻣﺁ ﺎﻬﻧﺁ ﻞﺣ ﻩﻮﺤﻧ ﻭ ﺪﻳﺁ ﺪﻳﺪﭘ ﺖﺳﺍ ﻲﻣ
ﻪﺑ ﻲﻧﺎﻣﺯ ﻩﺯﺎﺑ ﮏﻳ ﹰﺎﺘﻳﺎﻬﻧ ﻭ ﺪﻨﮐ ﺭﻮﻈﻨﻣ
ﻪﻧﺎﺸﻧ ﺩﺪﺠﻣ ﻲﺑﺎﻳﺯﺭﺍ ﻲﻣ ﻢﻴﻈﻨﺗ ﻲﻧﺎﻣﺭﺩ ﻞﮑﺗﻭﺮﭘ ﺕﺍﺮﻴﺛﺎﺗ ﻡﻭﺍﺪﺗ ﻭ ﺎﻫ
.ﺩﻮﺷ
ﻩﺩﺍﺩ ﻞﻴﻠﺤﺗ ﻭ ﻪﻳﺰﺠﺗ ﻪﺑ ﺎﻫ
ﻡﺮﻧ ﻪﻠﻴﺳﻭ ﺭﺍﺰﻓﺍ SPSS 16 ﺯﺍ ﻩﺩﺎﻔﺘﺳﺍ ﺎﺑ ﻭ
ﻥﻮﻣﺯﺁ ﻩﻭﺮﮔ ﻭﺩ ﺭﺩ ﺶﻫﻭﮋﭘ ﻱﺎﻫﺮﻴﻐﺘﻣ ﻪﺴﻳﺎﻘﻣ ﻱﺍﺮﺑ ﻞﻘﺘﺴﻣ T
ﺶﻴﭘ ﺕﺍﺮﻤﻧ ﻞﺿﺎﻔﺗ ﺱﺎﺳﺍﺮﺑ ﺲﭘ ﻭ ﻥﻮﻣﺯﺁ
.ﺖﻓﺮﮔ ﺕﺭﻮﺻ ﻥﻮﻣﺯﺁ
ﻪﺘﻓﺎﻳ ﺎﻫ
ﺐﻴﺗﺮﺗ ﻪﺑ ﻝﺮﺘﻨﮐ ﻭ ﺶﻳﺎﻣﺯﺁ ﻩﻭﺮﮔ ﻭﺩ ﯽﻨﺳ ﻦﻴﮕﻧﺎﻴﻣ ۹۴
/ ۲
± ۳۰ / ﻭ۲۱
۹۶ / ۲
± ۵۵ / .ﺩﻮﺑ ﻝﺎﺳ۲۰ ﺶﻴﭘ ﻪﻠﺣﺮﻣ ﺭﺩ ﻝﺮﺘﻨﮐ ﻭ ﺶﻳﺎﻣﺯﺁ ﻩﻭﺮﮔ ﻭﺩ ﺕﺍﺮﻤﻧ ﻦﻴﮕﻧﺎﻴﻣ
ﺭﺩ ﻥﻮﻣﺯﺁ
ﺏﺍﺮﻄﺿﺍ ﺮﻴﻐﺘﻣ ﻩﺩﺮﺧ ﻭ ﻲﻋﺎﻤﺘﺟﺍ
ﺱﺎﻴﻘﻣ ﯽﻨﻌﻣ ﺕﻭﺎﻔﺗ ﻥﺁ ﻱﺎﻫ ﻱﺭﺍﺩ
ﺶﻴﭘ ﺕﺍﺮﻤﻧ ﻞﺿﺎﻔﺗ ﻪﺴﻳﺎﻘﻣ ﺭﺩ ﻲﻟﻭ ،ﺖﺷﺍﺪﻧ ﺲﭘ -
ﺮﻴﻐﺘﻣ ﺭﺩ ﻥﻮﻣﺯﺁ
ﻩﺩﺮﺧ ﻭ ﻲﻋﺎﻤﺘﺟﺍ ﺏﺍﺮﻄﺿﺍ ﺱﺎﻴﻘﻣ
ﻱﺎﻫ ﺱﺮﺗ ،ﺏﺎﻨﺘﺟﺍ ﻲﺘﺣﺍﺭﺎﻧ ﻭ
ﻲﻳﺎﻳﮊﻮﻟﻮﻳﺰﻴﻓ ﯽﻨﻌﻣ ﺕﻭﺎﻔﺗ
ﻝﻭﺪﺟ) ﺪﺷ ﻩﺪﻫﺎﺸﻣ ﺭﺍﺩ ۲
.(
ﻝﻭﺪﺟ ٢ ﻩﺩﺮﺧ ﻭ ﻲﻋﺎﻤﺘﺟﺍ ﺏﺍﺮﻄﺿﺍ ﺕﺍﺮﻤﻧ ﯼﺭﺎﻣﺁ ﻦﻴﮕﻧﺎﻴﻣ ﻪﺴﻳﺎﻘﻣ( ﺱﺎﻴﻘﻣ
ﯼﺎﻫ
ﺶﻴﭘ ﻞﺣﺍﺮﻣ ﺭﺩ ﻝﺮﺘﻨﮐ ﻭ ﺶﻳﺎﻣﺯﺁ ﻩﻭﺮﮔ ﻭﺩ ﺭﺩ ﻥﺁ ﺲﭘ ﻭ ﻥﻮﻣﺯﺁ
ﺎﻬﻧﺁ ﻞﺿﺎﻔﺗ ﻭ ﻥﻮﻣﺯﺁ
ﺎﻫﺮﻴﻐﺘﻣ ﺶﻳﺎﻣﺯﺁ ﻩﻭﺮﮔ
) (ﺮﻔﻧ١٠ ﻝﺮﺘﻨﮐ ﻩﻭﺮﮔ
) (ﺮﻔﻧ١٠ ﺢﻄﺳ
ﯽﻨﻌﻣ ﻱﺭﺍﺩ
ﺏﺍﺮﻄﺿﺍ ﻲﻋﺎﻤﺘﺟﺍ
ﺶﻴﭘ ﻥﻮﻣﺯﺁ ٧٨
/ ٦
± ٦٠ / ٣١ ١٩ / ٦
± ٨٤ / ٢٩ ٥٥٢ / ٠
ﺲﭘ ﻥﻮﻣﺯﺁ ٦٠
/ ٦
± ١٠ / ١٧ ٣١ / ٨
± ٢٠ / ٢٦ ٠١٤ / ٠
ﺶﻴﭘ ﺲﭘ- ﻥﻮﻣﺯﺁ ٨٧ / ٧
± ٥٠ / ١٤ ٠٨ / ٥
± ٦٤ / ٣ ٠٠٢ / ٠
ﻩﺩﺮﺧ ﺏﺎﻨﺘﺟﺍ ﺱﺎﻴﻘﻣ
ﺶﻴﭘ ﻥﻮﻣﺯﺁ ٥٠
/ ٢
± ٤٠ / ١٣ ٤٧ / ٣
± ٤٠ / ١٣ ٠ / ١
ﺲﭘ ﻥﻮﻣﺯﺁ ٢٧
/ ٣
± ٦٠ / ٧ ٢٠ / ٤
± ٩٠ / ١١ ٠٢٠ / ٠
ﺶﻴﭘ ﺲﭘ- ﻥﻮﻣﺯﺁ ٨٩ / ٢
± ٨٠ / ٥ ٢٧ / ٢
± ٥٠ / ١ ٠٠٢ / ٠
ﻩﺩﺮﺧ ﺱﺮﺗ ﺱﺎﻴﻘﻣ
ﺶﻴﭘ ﻥﻮﻣﺯﺁ ٤٥
/ ٣
± ٢٠ / ١١ ٧٠ / ٣
± ١٤ / ٨ ٠٧٢ / ٠
ﺲﭘ ﻥﻮﻣﺯﺁ ١٦
/ ٣
± ٤٠ / ٦ ٠٩ / ٣
± ٤٠ / ٧ ٤٨٥ / ٠
ﺶﻴﭘ ﺲﭘ- ﻥﻮﻣﺯﺁ ٧٦ / ٣
± ٨٠ / ٤ ٢٨ / ٢
± ٧٤٢ / ٠ ٠٠٩ / ٠
ﻩﺩﺮﺧ ﻲﻳﺎﻳﮊﻮﻟﻮﻳﺰﻴﻓ ﻲﺘﺣﺍﺭﺎﻧ ﺱﺎﻴﻘﻣ
ﺶﻴﭘ ﻥﻮﻣﺯﺁ ٩٣
/ ٣
± ٠٠ / ٧ ٧٥ / ٢
± ٣٠ / ٨ ٤٠٥ / ٠
ﺲﭘ ﻥﻮﻣﺯﺁ ٥٢
/ ١
± ١٠ / ٣ ٨٤ / ٣
± ٩٠ / ٦ ٠٠٩ / ٠
ﺶﻴﭘ ﺲﭘ- ﻥﻮﻣﺯﺁ ٣٣ / ٣
± ٩٠ / ٣ ٦٤ / ١
± ٤٠ / ١ ٠٤٧ / ٠
ﺚﺤﺑ
ﺮﺿﺎﺣ ﺶﻫﻭﮋﭘ ﻑﺪﻫ ﺮﺑ ﺰﮐﺮﻤﺗ ﺵﺯﻮﻣﺁ ﮏﻴﻨﮑﺗ ﻲﺸﺨﺑﺮﺛﺍ ﻦﻴﻴﻌﺗ
ﺞﻳﺎﺘﻧ .ﺩﻮﺑ ﻲﻋﺎﻤﺘﺟﺍ ﺏﺍﺮﻄﺿﺍ ﻝﻼﺘﺧﺍ ﻥﺎﮕﻧﺎﺸﻧ ﺶﻫﺎﮐ ﺮﺑ ﻒﻴﻠﮑﺗ ﺮﺛﻮﻣ ﻲﮑﻴﻨﮑﺗ ،ﻒﻴﻠﮑﺗ ﺮﺑ ﺰﮐﺮﻤﺗ ﺵﺯﻮﻣﺁ ﮏﻴﻨﮑﺗ ﺩﺍﺩ ﻥﺎﺸﻧ ﺶﻫﻭﮋﭘ ﺶﻫﻭﮋﭘ ﺞﻳﺎﺘﻧ .ﺖﺳﺍ ﻲﻋﺎﻤﺘﺟﺍ ﺏﺍﺮﻄﺿﺍ ﻝﻼﺘﺧﺍ ﻥﺎﮕﻧﺎﺸﻧ ﺶﻫﺎﮐ ﺭﺩ ﻲﻣ ﺍﺭ ﺮﺿﺎﺣ ﺶﻫﻭﮋﭘ ﺞﻳﺎﺘﻧ ﺎﺑ ﻮﺴﻤﻫ ﻥﺍﻮﺗ
ﺯﻮﺣ ﻦﻳﺍ ﺭﺩ ﻖﺑﺎﺳ ﻱﺎﻫ ﻩ
ﺖﺴﻧﺍﺩ
[19, 20, 24]
. ﺰﻠﮔﻮﺑ ﺵﺯﻮﻣﺁ ﻥﺍﻮﻨﻋ ﺎﺑ ﻲﺸﻫﻭﮋﭘ ﺭﺩ ﻥﺍﺭﺎﮑﻤﻫ ﻭ
ﻱﺍﺭﺍﺩ ﺩﺍﺮﻓﺍ ﺭﺩ ﮏﻴﻨﮑﺗ ﻦﻳﺍ ﻲﺸﺨﺑﺮﺛﺍ ﻲﺳﺭﺮﺑ ﻪﺑ ﻒﻴﻠﮑﺗ ﺮﺑ ﺰﮐﺮﻤﺗ ﺩﺭﻮﻣ ﻲﻧﺩﻮﻣﺯﺁ ﻭﺩ ﺶﻫﻭﮋﭘ ﻦﻳﺍ ﺭﺩ .ﺪﻨﺘﺧﺍﺩﺮﭘ ﻲﻋﺎﻤﺘﺟﺍ ﺏﺍﺮﻄﺿﺍ ﺍﺪﺘﺑﺍ ﻝﻭﺍ ﻲﻧﺩﻮﻣﺯﺁ ﺭﺩ .ﺪﻨﺘﻓﺮﮔ ﺭﺍﺮﻗ ﻲﺳﺭﺍﻭ ﺵﺯﻮﻣﺁ ﮏﻴﻨﮑﺗ ﻪﺴﻠﺟ۶
ﺪﺷ ﻡﺎﺠﻧﺍ ﻒﻴﻠﮑﺗ ﺮﺑ ﺰﮐﺮﻤﺗ ﺖﺤﺗ ﻲﻧﺩﻮﻣﺯﺁ ﺲﭙﺳ ﻭ
ﻥﺎﻣﺭﺩ ﻪﺴﻠﺟ۶
ﺖﺤﺗ ﺰﻴﻧ ﻡﻭﺩ ﻲﻧﺩﻮﻣﺯﺁ .ﺖﻓﺮﮔ ﺭﺍﺮﻗ ﻲﺘﺧﺎﻨﺷ ﺰﮐﺮﻤﺗ ﺵﺯﻮﻣﺁ ﻪﺴﻠﺟ۸
ﻩﺭﻭﺩ ﺲﭙﺳ ﻭ ﺖﻓﺮﮔ ﺭﺍﺮﻗ ﻒﻴﻠﮑﺗ ﺮﺑ ﻪﺴﻠﺟ۸
ﺰﻴﻧ ﺍﺭ ﻲﺘﺧﺎﻨﺷ ﻥﺎﻣﺭﺩ ﻱﺍ
ﺲﭘ ﺞﻳﺎﺘﻧ .ﺪﻧﺍﺭﺬﮔ ﮏﻳ ﻱﺮﻴﮕﻴﭘ ﻩﺭﻭﺩ ﻭ ﻥﻮﻣﺯﺁ
ﻥﺎﺸﻧ ﻪﻟﺎﺳ ﻪﮐ ﺩﺍﺩ
ﺱﺮﺗ ﺶﻫﺎﮐ ﺭﺩ ﻱﺮﺛﻮﻣ ﮏﻴﻨﮑﺗ ﻒﻴﻠﮑﺗ ﺮﺑ ﺰﮐﺮﻤﺗ ﺵﺯﻮﻣﺁ ﮏﻴﻨﮑﺗ ﺯﺍ
ﺖﺳﺍ ﻲﻋﺎﻤﺘﺟﺍ ﺏﺍﺮﻄﺿﺍ ﻝﻼﺘﺧﺍ ﻥﺎﮕﻧﺎﺸﻧ ﺮﻳﺎﺳ ﻭ ﻲﻔﻨﻣ ﻲﺑﺎﻳﺯﺭﺍ .[24]
ﺶﻫﻭﮋﭘ ﺞﻳﺎﺘﻧ ﺰﻨﻴﮑﻟﺎﻣ
ﺵﺯﻮﻣﺁ ﮏﻴﻨﮑﺗ ﻪﮐ ﺩﺍﺩ ﻥﺎﺸﻧ ﺰﻴﻧ ﻥﺍﺭﺎﮑﻤﻫ ﻭ
ﻲﻌﻗﺍﻭ ﻪﻬﺟﺍﻮﻣ ﮏﻴﻨﮑﺗ ﻪﺑ ﺖﺒﺴﻧ ﻱﺮﺗﻻﺎﺑ ﻲﺸﺨﺑﺮﺛﺍ ﻒﻴﻠﮑﺗ ﺮﺑ ﺰﮐﺮﻤﺗ
ﻞﮔ ﻢﻳﺮﮐ٢٨ ﻱﺪﻤﺤﻣ ﻥﺍﺭﺎﮑﻤﻫ ﻭ ــــــــــــ ـــــ
ـ ــــ ـــــــــــ ـ
ــــــــــــــــــــــــــــ ــــــــــــــــــــــــــــــــــ
(EXP) ﻱﺮﻴﮕﻴﭘ ﻩﺭﻭﺩ ﺭﺩ ﻦﻴﻨﭽﻤﻫ .ﺩﺭﺍﺩ ﻪﺘﻔﻫ۶
ﮏﻴﻨﮑﺗ ﺰﻴﻧ ﻱﺍ
ﻪﺑ ﻒﻴﻠﮑﺗ ﺮﺑ ﺰﮐﺮﻤﺗ ﺵﺯﻮﻣﺁ ﯽﻨﻌﻣ ﺭﻮﻃ
ﻲﺘﺧﺎﻨﺷ ﺕﺍﺮﻴﻴﻐﺗ ﺚﻋﺎﺑ ﻱﺭﺍﺩ
ﮏﻳ ﻩﺭﻭﺩ ﺭﺩ .ﺩﻮﺑ ﻩﺪﺷ ﻪﻬﺟﺍﻮﻣ ﮏﻴﻨﮑﺗ ﺎﺑ ﻪﺴﻳﺎﻘﻣ ﺭﺩ ﺮﺘﺸﻴﺑ ﻪﻟﺎﺳ
ﻲﻧﺩﻮﻣﺯﺁ ﻱﺮﻴﮕﻴﭘ ﻭﺩ ﻦﻴﺑ ﻲﺗﻭﺎﻔﺗ ﻲﻟﻭ ،ﺪﻧﺩﻮﺑ ﻪﺘﻓﺎﻳ ﻱﺮﺘﺸﻴﺑ ﺩﻮﺒﻬﺑ ﺎﻫ
ﻩﺪﻳﺩ ﻱﺩﻮﺒﻬﺑ ﻥﺍﺰﻴﻣ ﺮﻈﻧ ﺯﺍ ﻒﻴﻠﮑﺗ ﺮﺑ ﺰﮐﺮﻤﺗ ﺵﺯﻮﻣﺁ ﻭ ﻪﻬﺟﺍﻮﻣ ﻩﻭﺮﮔ ﺪﺸﻧ .[19]
ﺰﻠﮔﻮﺑ ﺵﺯﻮﻣﺁ ﮏﻴﻨﮑﺗ ﺮﻴﺛﺎﺗ ﯽﺳﺭﺮﺑ ﻪﺑ ،ﺮﮕﻳﺩ ﯽﻘﻴﻘﺤﺗ ﺭﺩ
ﻒﻴﻠﮑﺗ ﺮﺑ ﺰﮐﺮﻤﺗ (TCT)
ﻱﺩﺮﺑﺭﺎﮐ ﻲﮔﺪﻴﻣﺭﺁ ﻭ ﻼﺘﺒﻣ ﺩﺍﺮﻓﺍ ﺭﺩ(AR)
ﻩﺭﻭﺩ ﻡﺎﻤﺗﺍ ﺯﺍ ﺪﻌﺑ ﻩﻭﺮﮔ ﻭﺩ ﺮﻫ .ﺖﺧﺍﺩﺮﭘ ﻲﻋﺎﻤﺘﺟﺍ ﺏﺍﺮﻄﺿﺍ ﻪﺑ ﻱﺎﻫ
ﻲﺘﺧﺎﻨﺷ ﻥﺎﻣﺭﺩ ﺖﺤﺗ ،ﺩﻮﺧ ﺪﻨﺘﻓﺮﮔ ﺭﺍﺮﻗ ﺰﻴﻧ (CT)
ﺶﻫﻭﮋﭘ ﺞﻳﺎﺘﻧ .
ﻥﺎﺸﻧ ﻱﻭ ﺯﻮﻣﺁ ﮏﻴﻨﮑﺗ ﺮﺘﺸﻴﺑ ﻲﺸﺨﺑﺮﺛﺍ ﻩﺪﻨﻫﺩ ﺭﺩ ﻒﻴﻠﮑﺗ ﺮﺑ ﺰﮐﺮﻤﺗ ﺵ
ﺩﻮﺑ ﻱﺩﺮﺑﺭﺎﮐ ﻲﮔﺪﻴﻣﺭﺁ ﮏﻴﻨﮑﺗ ﺎﺑ ﻪﺴﻳﺎﻘﻣ .[20]
ﻪﺑ ﻲﻣ ﻲﻠﮐ ﺭﻮﻃ ﺎﺘﺳﺍﺮﻤﻫ ﻭ ﻡﺎﮕﻤﻫ ﺮﻴﺧﺍ ﺶﻫﻭﮋﭘ ﺞﻳﺎﺘﻧ ﻪﮐ ﺖﻔﮔ ﻥﺍﻮﺗ
ﺶﻫﻭﮋﭘ ﺎﺑ ﻡﺎﺠﻧﺍ ﻱﺎﻫ ﮏﻳ ﺯﺍ ﺮﻣﺍ ﻦﻳﺍ ﻪﺘﺒﻟﺍ .ﺖﺳﺍ ﻪﻨﻴﻣﺯ ﻦﻳﺍ ﺭﺩ ﻩﺪﺷ
ﻪﺑ ﺞﻳﺎﺘﻧ ﻪﮐ ﺖﺳﺍ ﺐﺳﺎﻨﻣ ﺖﻬﺟ ﺖﺳﺩ
ﺎﻫﺭﻮﺸﮐ ﺮﮕﻳﺩ ﺭﺩ ﻪﭽﻧﺁ ﺎﺑ ﻩﺪﻣﺁ
ﻱﺍﺭﺍﺩ ﻩﺪﺷ ﻡﺎﺠﻧﺍ ﻪﺑ ،ﺖﺳﺍ ﻮﺴﻤﻫ ﻭ ﻱﺯﺍﻮﻣ ﺞﻳﺎﺘﻧ
ﺞﻳﺎﺘﻧ ﺎﺑ ﻩﮋﻳﻭ
ﺶﻫﻭﮋﭘ ﺖﻬﺟ ﺯﺍ ﺎﻣﺍ .ﻒﻴﻠﮑﺗ ﺮﺑ ﺰﮐﺮﻤﺗ ﺵﺯﻮﻣﺁ ﺡﺍﺮﻃ ﻭ ﻊﺿﺍﻭ ﻱﺎﻫ
ﻲﻣ ﻲﺳﺎﺳﺍ ﻪﭼ ﺮﺑ ﻥﻮﻨﮐﺍ ﻪﮐ ﺩﺮﮐ ﻩﺭﺎﺷﺍ ﺪﻳﺎﺑ ﻪﻠﺻﺎﻓﻼﺑ ﺮﮕﻳﺩ ﻥﺍﻮﺗ
ﻪﺘﻓﺎﻳ ﻦﻴﻨﭼ
؟ﺩﺮﮐ ﻦﻴﻴﺒﺗ ﺍﺭ ﻲﻳﺎﻫ
ﻲﻣ ﺯﺎﻏﺁ ﺭﺩ ﺍﺭ ﻱﺮﻣﺍ ﻦﻴﻨﭼ ﻦﻴﻴﺒﺗ ﻪﻳﺎﭘ ﻪﺑ ﺪﻳﺎﺑ
ﻥﻮﭽﻤﻫ ﻱﺮﻈﻧ ﻱﺎﻫ
ﻱﺮﻴﮔﻮﺳ ﻱﺎﻫ ﻲﮑﺘﻣ ﻲﻋﺎﻤﺘﺟﺍ ﺏﺍﺮﻄﺿﺍ ﻪﺑ ﻼﺘﺒﻣ ﺩﺍﺮﻓﺍ ﺭﺩ ﻲﻬﺟﻮﺗ
.ﺖﺳﺍ ﻩﺪﺷ ﻲﺷﺎﻧ ﻥﺁ ﺯﺍ ﻒﻴﻠﮑﺗ ﺮﺑ ﺰﮐﺮﻤﺗ ﺵﺯﻮﻣﺁ ﮏﻴﻨﮑﺗ ﻪﮐ ﺩﻮﻤﻧ ﻝﺪﻣ ﺎﺑ ﻖﺑﺎﻄﻣ ﻪﺑ ﻪﺟﻮﺗ ﺰﮐﺮﻤﺗ ،ﻲﻋﺎﻤﺘﺟﺍ ﺏﺍﺮﻄﺿﺍ ﻲﺘﺧﺎﻨﺷ ﻱﺎﻫ
ﺖﻤﺳ
ﺱﺮﺗ ﺶﻫﺎﮐ ﻪﺠﻴﺘﻧ ﺭﺩ ﻭ ﻲﻧﺪﺑ ﻢﻳﻼﻋ ﺯﺍ ﻲﻫﺎﮔﺁ ﺶﻫﺎﮐ ﺚﻋﺎﺑ ﻥﻭﺮﻴﺑ ﻲﻣ ﻲﻔﻨﻣ ﻱﺎﻫﺭﻭﺎﺑ ﻭ ﻲﻧﺪﺑ ﻢﻳﻼﻋ ﺯﺍ ﻦﻴﻨﭽﻤﻫ .ﺩﻮﺷ
ﻲﻣ ﻪﺘﻔﮔ ﻪﮐ ﺩﻮﺷ
ﻩﺪﻤﻋ ﺶﻘﻧ ﺩﻮﺧ ﺮﺑ ﺰﮐﺮﻤﺘﻣ ﻪﺟﻮﺗ ﻢﻳﻼﻋ ﻪﺑ ﺖﺒﺴﻧ ﺩﺮﻓ ﻲﻫﺎﮔﺁ ﺭﺩ ﻱﺍ
ﻪﺑ ﺰﻴﻧ ﺏﺍﺮﻄﺿﺍ ﻢﻳﻼﻋ ﺯﺍ ﻁﺮﻔﻣ ﻲﻫﺎﮔﺁ ﻦﻳﺍ .ﺩﺭﺍﺩ ﺏﺍﺮﻄﺿﺍ ﻪﺑﻮﻧ
ﺩﻮﺧ
ﻲﻣ ﺩﺮﻓ ﺭﺩ ﺏﺍﺮﻄﺿﺍ ﺶﻳﺍﺰﻓﺍ ﺚﻋﺎﺑ ﻪﺧﺮﭼ ﺭﺩ ﺩﺮﻓ ﺕﺭﻮﺻ ﻦﻳﺪﺑ ﻭ ﺩﻮﺷ
ﻲﻣ ﺭﺍﺮﻗ ﻲﺑﻮﻴﻌﻣ ﻩﺯﺍﺪﻧﺍ ﻱﺎﻫﺭﺍﺰﺑﺍ ،ﺎﺘﺳﺍﺭ ﻦﻳﺍ ﺭﺩ .ﺩﺮﻴﮔ
ﺎﺸﻧ ﻪﺟﻮﺗ ﻱﺮﻴﮔ ﻥ
ﻲﻣ ﺯﺍ ﺩﺮﻓ ﻲﻫﺎﮔﺁ ﺶﻫﺎﮐ ﺚﻋﺎﺑ ﻒﻴﻠﮑﺗ ﺮﺑ ﺰﮐﺮﻤﺗ ﺵﺯﻮﻣﺁ ﻪﮐ ﺪﻨﻫﺩ
ﻲﻣ ﺩﻮﺧ ﺮﺑ ﺰﮐﺮﻤﺘﻣ ﻪﺟﻮﺗ ﻪﺧﺮﭼ ﺭﺩ ﻝﻼﺘﺧﺍ ﺚﻋﺎﺑ ﺐﻴﺗﺮﺗ ﻦﻳﺪﺑ ﻭ ﺩﻮﺷ
ﻲﻣ ﺶﻫﺎﮐ ﺍﺭ ﺏﺍﺮﻄﺿﺍ ﻥﺍﺰﻴﻣ ﻭ ﻩﺪﺷ ﺭﻮﮐﺬﻣ ﻲﻣ ﻦﻳﺍﺮﺑﺎﻨﺑ .ﺪﻫﺩ
ﻥﺍﻮﺗ
ﺍﺭ ﻲﻋﺎﻤﺘﺟﺍ ﺏﺍﺮﻄﺿﺍ ﻢﻳﻼﻋ ﺶﻫﺎﮐ ﺭﺩ ﮏﻴﻨﮑﺗ ﻦﻳﺍ ﻱﺭﺍﺬﮔﺮﻴﺛﺎﺗ ﺖﻠﻋ ﻭ ﻪﺟﻮﺗ ﺮﻴﻴﻐﺗ ﺮﺑ ﻥﺁ ﺮﻴﺛﺎﺗ .ﺖﺴﻧﺍﺩ ﺩﻮﺧ ﺮﺑ ﺰﮐﺮﻤﺘﻣ ﻪﺟﻮﺗ ﺶﻫﺎﮐ
ﻪﮑﻨﻳﺍ ﻥﺁ ﻭ ﺩﻮﻤﻧ ﻪﺟﻮﺗ ﻢﻫ ﻱﺮﮕﻳﺩ ﻪﺘﮑﻧ ﻪﺑ ﺪﻳﺎﺑ ﻦﻴﻴﺒﺗ ﻦﻳﺍ ﺮﺑ ﻩﻭﻼﻋ ﻪﺑ ﺎﺑ ﻖﺑﺎﻄﻣ ﺭﺎﮐ ﺯﺎﻏﺁ ﻥﺎﻤﻫ ﺯﺍ ﺮﻴﺧﺍ ﺶﻫﻭﮋﭘ ﺰﻴﻧ ﻲﻠﻤﻋ ﻅﺎﺤﻟ
ﺶﻫﻭﮋﭘ ﻱﺎﻫﺭﺍﺰﺑﺍ ،ﺶﻫﻭﮋﭘ ﺪﻧﻭﺭ ﻅﺎﺤﻟ ﺯﺍ ﻪﻨﻴﻣﺯ ﻦﻳﺍ ﺭﺩ ﻦﻴﺸﻴﭘ ﻱﺎﻫ
ﺰﻴﻧ ﻅﺎﺤﻟ ﻦﻳﺍ ﺯﺍ ﺍﺬﻟ ﻭ ﻪﺘﻓﺭ ﺶﻴﭘ ﻩﺮﻴﻏ ﻭ ﻩﺩﺎﻔﺘﺳﺍ ﺩﺭﻮﻣ ﺭﺎﻈﺘﻧﺍ
ﺖﺳﺩ ﺶﻫﻭﮋﭘ ﻦﻳﺍ ﺞﻳﺎﺘﻧ ﺎﺑ ﻮﺴﻤﻫ ﻲﺠﻳﺎﺘﻧ ﻪﺑ ﻲﺑﺎﻳ ﻲﻣ ﺎﻫ
.ﺩﻭﺭ
ﻪﺑ ﻪﺟﻮﺗ ﺎﺑ ﻪﮐ ﻢﻴﺳﺮﭙﺑ ﺩﻮﺧ ﺯﺍ ﺖﺳﺍ ﻪﺘﺴﻳﺎﺷ ،ﻪﮑﻨﻳﺍ ﺖﻳﺎﻬﻧ ﺭﺩ ﻭ ﺕﻭﺎﻔﺗ ﻪﻧﻮﻤﻧ ﺭﺩ ﻲﮕﻨﻫﺮﻓ ﻱﺎﻫ ﺞﻳﺎﺘﻧ ،ﻲﻧﺍﺮﻳﺍﺮﻴﻏ ﻭ ﻲﻧﺍﺮﻳﺍ ﻱﺎﻫ
ﻪﺑ ﺖﺳﺩ ﻲﻣ ﻦﻴﻴﺒﺗ ﻪﻧﻮﮕﭼ ﻩﺪﻣﺁ ﻁﺎﻴﺘﺣﺍ ﺖﻳﺎﻋﺭ ﺎﺑ ﻥﺍﻮﺘﺑ ﺪﻳﺎﺷ ؟ﺩﻮﺷ
ﻱﺎﻫ
ﺑ ﻦﻴﻨﭼ ﺍﺭ ﺖﻠﻋ ﻡﺯﻻ ﻲﻠﻋ ﻪﮐ ﺩﺮﮐ ﻥﺎﻴ
ﺕﻭﺎﻔﺗ ﻢﻏﺭ ﺭﺩ ﻲﮕﻨﻫﺮﻓ ﻱﺎﻫ
ﺏﺍﺮﻄﺿﺍ ﻝﻼﺘﺧﺍ ﻪﻨﻴﻣﺯ ﺭﺩ ،ﻲﺑﺮﻏ ﻊﻣﺍﻮﺟ ﻭ ﺮﺿﺎﺣ ﺶﻫﻭﮋﭘ ﻪﻌﻣﺎﺟ ﺡﺮﻄﻣ ﻲﺑﺮﻏ ﻊﻣﺍﻮﺟ ﺭﺩ ﻪﮐ ﻲﻧﺎﮕﻧﺎﺸﻧ ﻭ ﻢﻳﻼﻋ ﻥﺎﻤﻫ ،ﻲﻋﺎﻤﺘﺟﺍ ﻲﻣ ﻲﻣ ﻩﺪﻳﺩ ﻥﺎﮕﻧﺎﺸﻧ ﻭ ﻢﻳﻼﻋ ﻥﺎﻤﻫ ﺰﻴﻧ ﺎﻣ ﮓﻨﻫﺮﻓ ﺭﺩ ،ﺩﻮﺷ .ﺩﻮﺷ
ﺩﺍﺮﻓﺍ ﺎﻣ ﻪﮐ ﺪﺷﺎﺑ ﻱﺭﻭﺮﺿ ﻪﺘﮑﻧ ﻦﻳﺍ ﻪﺑ ﻩﺭﺎﺷﺍ ﺪﻳﺎﺷ ﻪﺘﺒﻟﺍ ﺮﺑ ﺍﺭ ﻼﺘﺒﻣ
ﻩﺩﺮﮐ ﺡﺮﻄﻣ ﺎﻬﻧﺁ ﻪﮐ ﻲﻧﺎﮕﻧﺎﺸﻧ ﻭ ﺱﺎﺳﺍ ﻥﺎﻤﻫ ﻲﻣ ﺏﺎﺨﺘﻧﺍ ،ﺪﻧﺍ
؛ﻢﻴﻨﮐ
ﻥﺎﮕﻧﺎﺸﻧ ﻦﻳﺍ ﺯﺍ ﻲﺑﺮﻏ ﻊﻣﺍﻮﺟ ﮓﻨﻫﺮﻓ ﺪﻨﻧﺎﻤﻫ ﺰﻴﻧ ﺎﻣ ﮓﻨﻫﺮﻓ ﺭﺩ ﻲﻨﻌﻳ ﻪﺑ ﻲﻣ ﻩﺩﺎﻔﺘﺳﺍ ﻲﻋﺎﻤﺘﺟﺍ ﺏﺍﺮﻄﺿﺍ ﻪﺑ ﻼﺘﺒﻣ ﺩﺮﻓ ﺏﺎﺨﺘﻧﺍ ﺭﻮﻈﻨﻣ ﺯﺍ .ﺩﻮﺷ
ﺰﻴﻧ ﻲﺑﺮﻏ ﻊﻣﺍﻮﺟ ﮓﻨﻫﺮﻓ ﺭﺩ ﻪﮐ ﻢﻴﻨﮐ ﻥﺎﻴﺑ ﺖﺳﺍ ﻡﺯﻻ ﺮﮕﻳﺩ ﻑﺮﻃ ﺪﻨﻧﺎﻤﻫ .ﺖﺳﺍ ﻥﺎﮕﻧﺎﺸﻧ ﻭ ﻢﻳﻼﻋ ﻦﻴﻤﻫ ﺮﺑ ﺰﮐﺮﻤﺘﻣ ﻥﺎﻣﺭﺩ ﺎﻣ ﻪﻌﻣﺎﺟ
ﻞﻤﻌﻟﺍﺭﻮﺘﺳﺩ ﻖﻴﻗﺩ ﺖﻳﺎﻋﺭ ﺕﺭﻮﺻ ﺭﺩ ﻦﻳﺍﺮﺑﺎﻨﺑ ﻲﻣ ﻲﻤﻠﻋ ﻱﺎﻫ
ﻥﺍﻮﺗ
ﻪﺘﻓﺎﻳ ﺪﻫﺎﺷ ﺶﻫﻭﮋﭘ ﺭﺩ ﻪﺑﺎﺸﻣ ﻱﺎﻫ
ﺕﻭﺎﻔﺗ ﺩﻮﺟﻭ ﻪﺑ ﻪﺟﻮﺗ ﺎﺑ ﺎﻫ ﻱﺎﻫ
.ﺩﻮﺑ ﻲﮕﻨﻫﺮﻓ ﺖﻳﺩﻭﺪﺤﻣ ﻱﺍﺭﺍﺩ ﻲﺸﻫﻭﮋﭘ ﺮﻫ ﺪﻨﻧﺎﻤﻫ ﺰﻴﻧ ﺮﻴﺧﺍ ﺶﻫﻭﮋﭘ ﺹﺎﺧ ﻱﺎﻫ
ﻣ ﻪﻠﻤﺟ ﻥﺁ ﺯﺍ ﻪﮐ ﺖﺳﺍ ﺩﻮﺧ ﻲ
ﺭﺩ ﻪﻧﻮﻤﻧ ﺩﺍﺪﻌﺗ ﺭﺩ ﺖﻳﺩﻭﺪﺤﻣ ﻪﺑ ﻥﺍﻮﺗ
ﻪﺘﻓﺎﻳ ﻢﻴﻤﻌﺗ ﻡﺪﻋ ،ﻝﺮﺘﻨﮐ ﻭ ﺶﻳﺎﻣﺯﺁ ﻩﻭﺮﮔ ﻭﺩ ﻱﺮﻴﮕﻴﭘ ﻡﺪﻋ ﻭ ﺎﻫ
ﺮﻴﻐﺘﻣ ﺭﺩ ﺕﺍﺮﻴﻴﻐﺗ .ﺩﺮﮐ ﻩﺭﺎﺷﺍ ﻲﻧﺎﻣﺭﺩ ﺕﺎﺴﻠﺟ ﻂﺳﺍﻭﺍ ﺭﺩ ﺎﻫ
ﺖﻳﺩﻭﺪﺤﻣ ﺎﺑ ﺐﺳﺎﻨﺘﻣ ﻪﻳﺍﺭﺍ ﺰﻴﻧ ﻲﺗﺍﺩﺎﻬﻨﺸﻴﭘ ،ﺪﺷ ﻥﺎﻴﺑ ﻪﮐ ﻲﻳﺎﻫ
ﻲﻣ ﺶﻫﻭﮋﭘ ﺖﻗﺩ ﻭ ﺖﻴﻔﻴﮐ ﺶﻳﺍﺰﻓﺍ ﺐﺟﻮﻣ ﺎﺗ ﺩﻮﺷ ﻦﻳﺍ ﺭﺩ ﻲﺗﺁ ﻱﺎﻫ
ﺶﻫﻭﮋﭘ ﻡﺎﺠﻧﺍ ﻪﮑﻨﻳﺍ ﺍﺪﺘﺑﺍ .ﺩﻮﺷ ﻪﻨﻴﻣﺯ ﻖﻴﻗﺩ ﺰﮐﺮﻤﺗ ﺎﺑ ﻪﺑﺎﺸﻣ ﻲﻳﺎﻫ
ﺮﺑ ﺮﺗ
ﻪﺑ ﻩﺮﻴﻏ ﻭ ﻪﻧﻮﻤﻧ ﺩﺍﺪﻌﺗ ،ﻲﻨﺳ ،ﻲﺘﻴﺴﻨﺟ ﻱﺎﻫﺮﻴﻐﺘﻣ ﺖﺳﺩ ﺭﻮﻈﻨﻣ
ﻪﺑ ﻲﺑﺎﻳ
ﻖﻴﻗﺩ ﺞﻳﺎﺘﻧ ﻱﺭﺎﮐﻭﺯﺎﺳ ﻢﻴﻈﻨﺗ ﻦﻴﻨﭽﻤﻫ .ﺖﺳﺍ ﻡﺯﻻ ﻪﻨﻴﻣﺯ ﻦﻳﺍ ﺭﺩ ﺮﺗ
ﻪﺑ ﻞﺻﺍﻮﻓ ﺭﺩ ﺶﻫﻭﮋﭘ ﻱﺎﻫﺮﻴﻐﺘﻣ ﺭﺩ ﻲﻧﺎﻣﺭﺩ ﺕﺍﺮﻴﻴﻐﺗ ﻲﺳﺭﺮﺑ ﺭﻮﻈﻨﻣ
ﺐﺳﺎﻨﻣ ﻲﻧﺎﻣﺯ ﻱﺮﻴﮕﻴﭘ ﻡﺎﺠﻧﺍ ﺰﻴﻧ ﻭ
ﻪﺑ ﻪﻧﺎﮔﺪﻨﭼ ﻱﺎﻫ ﻲﺳﺭﺍﻭ ﺭﻮﻈﻨﻣ
ﻪﺑ ﺞﻳﺎﺘﻧ ﻱﺭﺍﺪﻳﺎﭘ ﺖﺳﺩ
ﺶﻫﻭﮋﭘ ﻡﺎﺠﻧﺍ ﻭ ﻩﺪﻣﺁ ﻪﺴﻳﺎﻘﻣ ﻭ ﻲﻘﻴﻔﻠﺗ ﻱﺎﻫ
ﻱﺍ
ﻪﺑ ﺮﺑ ﺰﮐﺮﻤﺗ ﺵﺯﻮﻣﺁ ﮏﻴﻨﮑﺗ ﻲﺸﺨﺑﺮﺛﺍ ﻪﺴﻳﺎﻘﻣ ﻭ ﻲﺳﺭﺮﺑ ﺭﻮﻈﻨﻣ
ﻪﻠﺧﺍﺪﻣ ﺎﺑ ﻪﺴﻳﺎﻘﻣ ﺭﺩ ﺎﻳ ﻖﻴﻔﻠﺗ ﺭﺩ ﻒﻴﻠﮑﺗ ﺰﻴﻧ ﺮﮕﻳﺩ ﻲﻧﺎﻣﺭﺩ ﻱﺎﻫ
ﻲﻣ .ﺩﻮﺷ ﺶﻫﻭﮋﭘ ﺖﻴﻔﻴﮐ ﺶﻳﺍﺰﻓﺍ ﺚﻋﺎﺑ
ﺍ ﺎﺑ ﺯﺍ ﻲﺷﺎﻧ ﻱﺩﺎﺼﺘﻗﺍ ﻭ ﻲﻋﺎﻤﺘﺟﺍ ﻱﺎﻫﺪﻣﺎﻴﭘ ﻪﺑ ﻪﺟﻮﺗ ﺎﺑ ﻭ ﻑﺎﺻﻭﺍ ﻦﻳ ﺮﺑ ﺰﮐﺮﻤﺗ ﺵﺯﻮﻣﺁ ﮏﻴﻨﮑﺗ ﻲﺸﺨﺑﺮﺛﺍ ﻦﻴﻨﭽﻤﻫ ﻭ ﻲﻋﺎﻤﺘﺟﺍ ﺏﺍﺮﻄﺿﺍ
ﻲﻣ ﻒﻴﻠﮑﺗ ﺍﺭ ﻲﻫﺎﮕﻳﺎﺟ ،ﻝﻼﺘﺧﺍ ﻦﻳﺍ ﻲﻧﺎﻣﺭﺩ ﺕﻼﺧﺍﺪﻣ ﻥﺎﻴﻣ ﺭﺩ ﻥﺍﻮﺗ ﺯﺍ ﻩﺩﺎﻔﺘﺳﺍ ﻞﻴﻟﺩ ﻦﻴﻤﻫ ﻪﺑ ﻭ ﺩﺮﮐ ﻅﺎﺤﻟ ﻦﻳﻮﻧ ﮏﻴﻨﮑﺗ ﻦﻳﺍ ﻱﺍﺮﺑ ﺰﻴﻧ
ﮏﻴﻨﻴﻠﮐ ﺭﺩ ﮏﻴﻨﮑﺗ ﻦﻳﺍ ﺍﻭﺭ ﻱﺎﻫ
ﻥ ﻲﻣ ﻩﺭﻭﺎﺸﻣ ﺰﮐﺍﺮﻣ ﻭ ﻲﻧﺎﻣﺭﺩ ﺪﻧﺍﻮﺗ
ﻪﺑ ﻲﻋﺎﻤﺘﺟﺍ ﺏﺍﺮﻄﺿﺍ ﻪﺑ ﻼﺘﺒﻣ ﺩﺍﺮﻓﺍ ﺏﺍﺮﻄﺿﺍ ﻥﺎﮕﻧﺎﺸﻧ ﺶﻫﺎﮐ ﺭﻮﻈﻨﻣ
.ﺪﺷﺎﺑ ﻪﺘﺷﺍﺩ ﺩﺮﺑﺭﺎﮐ
ﻪﺠﻴﺘﻧ ﻱﺮﻴﮔ
ﺏﺍﺮﻄﺿﺍ ﻥﺎﮕﻧﺎﺸﻧ ﺶﻫﺎﮐ ﺮﺑ ،ﻒﻴﻠﮑﺗ ﺮﺑ ﺰﮐﺮﻤﺗ ﺵﺯﻮﻣﺁ ﮏﻴﻨﮑﺗ ﻲﻋﺎﻤﺘﺟﺍ ﻪﺑ ﻼﺘﺒﻣ ﺩﺍﺮﻓﺍ ﺭﺩ ﻝﻼﺘﺧﺍ
.ﺖﺳﺍ ﺮﺛﻮﻣ ﻲﻋﺎﻤﺘﺟﺍ ﺏﺍﺮﻄﺿﺍ
:ﻲﻧﺍﺩﺭﺪﻗ ﻭ ﺮﮑﺸﺗ ﺯﺍ ﺍﺭ ﺩﻮﺧ ﻲﻧﺍﺩﺭﺪﻗ ﻭ ﺮﮑﺸﺗ ﺐﺗﺍﺮﻣ ﻥﺍﺮﮕﺸﻫﻭﮋﭘ
ﻲﻣ ﻡﻼﻋﺍ ﺪﻧﺩﺮﮐ ﺖﮐﺮﺷ ﺶﻫﻭﮋﭘ ﻦﻳﺍ ﺭﺩ ﻪﮐ ﻲﻧﺎﻳﻮﺠﺸﻧﺍﺩ .ﺪﻧﺭﺍﺩ