{"id":8211,"date":"2026-08-24T09:48:53","date_gmt":"2026-08-24T06:48:53","guid":{"rendered":"https:\/\/dmdwarrior.com\/?p=8211"},"modified":"2026-08-24T10:12:17","modified_gmt":"2026-08-24T07:12:17","slug":"gastrostomy-tubes-in-duchenne-muscular-dystrophy","status":"publish","type":"post","link":"https:\/\/dmdwarrior.com\/ar\/gastrostomy-tubes-in-duchenne-muscular-dystrophy\/","title":{"rendered":"\u0623\u0646\u0627\u0628\u064a\u0628 \u0641\u063a\u0631 \u0627\u0644\u0645\u0639\u062f\u0629 \u0641\u064a \u0636\u0645\u0648\u0631 \u062f\u0648\u0634\u064a\u0646 \u0627\u0644\u0639\u0636\u0644\u064a (DMD): \u0645\u062a\u0649 \u062a\u0643\u0648\u0646 \u0647\u0646\u0627\u0643 \u062d\u0627\u062c\u0629 \u0625\u0644\u0649 \u0623\u0646\u0628\u0648\u0628 PEG\u060c \u0648\u0627\u0644\u0641\u0648\u0627\u0626\u062f\u060c \u0648\u0627\u0644\u0645\u062e\u0627\u0637\u0631\u060c \u0648\u062f\u0644\u064a\u0644 \u0627\u0644\u062a\u063a\u0630\u064a\u0629"},"content":{"rendered":"<p class=\"wp-block-paragraph\"><strong>\u0623\u0635\u0628\u062d\u062a \u0623\u0646\u0627\u0628\u064a\u0628 \u0641\u063a\u0631 \u0627\u0644\u0645\u0639\u062f\u0629 \u0641\u064a \u0636\u0645\u0648\u0631 \u062f\u0648\u0634\u064a\u0646 \u0627\u0644\u0639\u0636\u0644\u064a (DMD) \u0639\u0646\u0635\u0631\u064b\u0627 \u0645\u0647\u0645\u064b\u0627 \u0641\u064a \u0627\u0644\u0631\u0639\u0627\u064a\u0629 \u0645\u062a\u0639\u062f\u062f\u0629 \u0627\u0644\u062a\u062e\u0635\u0635\u0627\u062a \u0644\u0644\u0623\u0641\u0631\u0627\u062f \u0627\u0644\u0630\u064a\u0646 \u064a\u0639\u0627\u0646\u0648\u0646 \u0645\u0646 \u0635\u0639\u0648\u0628\u0627\u062a \u0627\u0644\u0628\u0644\u0639 \u0627\u0644\u062a\u062f\u0631\u064a\u062c\u064a\u0629\u060c \u0623\u0648 \u0641\u0642\u062f\u0627\u0646 \u0627\u0644\u0648\u0632\u0646 \u063a\u064a\u0631 \u0627\u0644\u0645\u0642\u0635\u0648\u062f\u060c \u0623\u0648 \u0632\u064a\u0627\u062f\u0629 \u062e\u0637\u0631 \u0627\u0644\u0627\u0633\u062a\u0646\u0634\u0627\u0642.<\/strong> \u064a\u0648\u0641\u0631 \u0623\u0646\u0628\u0648\u0628 PEG \u0641\u064a DMD (\u0623\u0646\u0628\u0648\u0628 \u0641\u063a\u0631 \u0627\u0644\u0645\u0639\u062f\u0629 \u0639\u0646 \u0637\u0631\u064a\u0642 \u0627\u0644\u062c\u0644\u062f \u0628\u0627\u0644\u0645\u0646\u0638\u0627\u0631) \u0648\u0635\u0648\u0644\u0627\u064b \u0645\u0628\u0627\u0634\u0631\u0627\u064b \u0625\u0644\u0649 \u0627\u0644\u0645\u0639\u062f\u0629\u060c \u0645\u0645\u0627 \u064a\u0633\u0645\u062d \u0628\u0627\u0644\u062a\u063a\u0630\u064a\u0629 \u0648\u0627\u0644\u062a\u0631\u0637\u064a\u0628 \u0627\u0644\u0643\u0627\u0641\u064a\u064a\u0646 \u0648\u0625\u0639\u0637\u0627\u0621 \u0627\u0644\u0623\u062f\u0648\u064a\u0629 \u0639\u0646\u062f\u0645\u0627 \u064a\u0635\u0628\u062d \u062a\u0646\u0627\u0648\u0644 \u0627\u0644\u0637\u0639\u0627\u0645 \u0639\u0646 \u0637\u0631\u064a\u0642 \u0627\u0644\u0641\u0645 \u0635\u0639\u0628\u0627\u064b \u0623\u0648 \u063a\u064a\u0631 \u0622\u0645\u0646.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u0628\u0627\u0644\u0646\u0633\u0628\u0629 \u0644\u0644\u0639\u062f\u064a\u062f \u0645\u0646 \u0627\u0644\u0639\u0627\u0626\u0644\u0627\u062a\u060c \u0642\u062f \u064a\u0643\u0648\u0646 \u0633\u0645\u0627\u0639 \u062e\u0628\u0631 \u0627\u062d\u062a\u064a\u0627\u062c \u0637\u0641\u0644\u0647\u0645 \u0644\u0623\u0646\u0628\u0648\u0628 \u062a\u063a\u0630\u064a\u0629 \u0628\u0633\u0628\u0628 \u0636\u0645\u0648\u0631 \u062f\u0648\u0634\u064a\u0646 \u0627\u0644\u0639\u0636\u0644\u064a \u0623\u0645\u0631\u064b\u0627 \u0635\u0639\u0628\u064b\u0627 \u0645\u0646 \u0627\u0644\u0646\u0627\u062d\u064a\u0629 \u0627\u0644\u0646\u0641\u0633\u064a\u0629. \u063a\u0627\u0644\u0628\u064b\u0627 \u0645\u0627 \u064a\u0642\u0644\u0642 \u0627\u0644\u0622\u0628\u0627\u0621 \u0645\u0646 \u0623\u0646 \u0630\u0644\u0643 \u064a\u0645\u062b\u0644 &quot;\u0627\u0644\u0645\u0631\u062d\u0644\u0629 \u0627\u0644\u0623\u062e\u064a\u0631\u0629&quot; \u0645\u0646 \u0627\u0644\u0645\u0631\u0636\u060c \u0623\u0648 \u0623\u0646 \u0637\u0641\u0644\u0647\u0645 \u0644\u0646 \u064a\u062a\u0645\u0643\u0646 \u0645\u0646 \u062a\u0646\u0627\u0648\u0644 \u0627\u0644\u0637\u0639\u0627\u0645 \u0628\u0634\u0643\u0644 \u0637\u0628\u064a\u0639\u064a \u0645\u0631\u0629 \u0623\u062e\u0631\u0649. \u0644\u062d\u0633\u0646 \u0627\u0644\u062d\u0638\u060c \u0643\u0644\u0627 \u0627\u0644\u0627\u0641\u062a\u0631\u0627\u0636\u064a\u0646 \u063a\u064a\u0631 \u0635\u062d\u064a\u062d. <strong>\u062a\u0624\u0643\u062f \u0627\u0644\u0625\u0631\u0634\u0627\u062f\u0627\u062a \u0627\u0644\u0633\u0631\u064a\u0631\u064a\u0629 \u0627\u0644\u062d\u062f\u064a\u062b\u0629 \u0639\u0644\u0649 \u0636\u0631\u0648\u0631\u0629 \u0627\u0639\u062a\u0628\u0627\u0631 \u0623\u0646\u0627\u0628\u064a\u0628 \u0641\u063a\u0631 \u0627\u0644\u0645\u0639\u062f\u0629 \u0641\u064a \u0636\u0645\u0648\u0631 \u062f\u0648\u0634\u064a\u0646 \u0627\u0644\u0639\u0636\u0644\u064a \u0628\u0645\u062b\u0627\u0628\u0629 \u0639\u0644\u0627\u062c \u063a\u0630\u0627\u0626\u064a \u062f\u0627\u0639\u0645 \u0628\u062f\u0644\u0627\u064b \u0645\u0646 \u0643\u0648\u0646\u0647\u0627 \u0639\u0644\u0627\u0645\u0629 \u0639\u0644\u0649 \u0627\u0644\u0641\u0634\u0644 \u0623\u0648 \u062a\u0637\u0648\u0631 \u0627\u0644\u0645\u0631\u0636.<\/strong> \u0639\u0646\u062f \u0648\u0636\u0639 \u0623\u0646\u0628\u0648\u0628 \u0627\u0644\u062a\u063a\u0630\u064a\u0629 \u0639\u0646 \u0637\u0631\u064a\u0642 \u0627\u0644\u062c\u0644\u062f (PEG) \u0641\u064a \u0627\u0644\u0648\u0642\u062a \u0627\u0644\u0645\u0646\u0627\u0633\u0628\u060c \u064a\u0645\u0643\u0646 \u0623\u0646 \u064a\u062d\u0633\u0646 \u0627\u0644\u062d\u0627\u0644\u0629 \u0627\u0644\u062a\u063a\u0630\u0648\u064a\u0629\u060c \u0648\u064a\u0642\u0644\u0644 \u0645\u0646 \u0627\u0644\u062a\u0648\u062a\u0631 \u0623\u062b\u0646\u0627\u0621 \u062a\u0646\u0627\u0648\u0644 \u0627\u0644\u0637\u0639\u0627\u0645\u060c \u0648\u064a\u0642\u0644\u0644 \u0645\u0646 \u062e\u0637\u0631 \u0627\u0644\u0627\u0633\u062a\u0646\u0634\u0627\u0642\u060c \u0648\u064a\u0639\u0632\u0632 \u062c\u0648\u062f\u0629 \u0627\u0644\u062d\u064a\u0627\u0629 \u0628\u0634\u0643\u0644 \u0639\u0627\u0645.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u0645\u0639 \u062a\u0641\u0627\u0642\u0645 \u0636\u0645\u0648\u0631 \u062f\u0648\u0634\u064a\u0646 \u0627\u0644\u0639\u0636\u0644\u064a\u060c \u062a\u0636\u0639\u0641 \u0639\u0636\u0644\u0627\u062a \u0627\u0644\u0647\u064a\u0643\u0644 \u0627\u0644\u0639\u0638\u0645\u064a \u0641\u064a \u062c\u0645\u064a\u0639 \u0623\u0646\u062d\u0627\u0621 \u0627\u0644\u062c\u0633\u0645 \u062a\u062f\u0631\u064a\u062c\u064a\u064b\u0627\u060c \u0628\u0645\u0627 \u0641\u064a \u0630\u0644\u0643 \u062a\u0644\u0643 \u0627\u0644\u0645\u0633\u0624\u0648\u0644\u0629 \u0639\u0646 \u0627\u0644\u0645\u0636\u063a \u0648\u0627\u0644\u0628\u0644\u0639. \u0648\u0642\u062f \u064a\u0632\u064a\u062f \u0636\u0639\u0641 \u0639\u0636\u0644\u0627\u062a \u0627\u0644\u062c\u0647\u0627\u0632 \u0627\u0644\u062a\u0646\u0641\u0633\u064a \u0645\u0646 \u062e\u0637\u0631 \u062f\u062e\u0648\u0644 \u0627\u0644\u0637\u0639\u0627\u0645 \u0625\u0644\u0649 \u0645\u062c\u0631\u0649 \u0627\u0644\u0647\u0648\u0627\u0621 \u0628\u062f\u0644\u064b\u0627 \u0645\u0646 \u0627\u0644\u0645\u0639\u062f\u0629. \u0647\u0630\u0647 \u0627\u0644\u062a\u063a\u064a\u0631\u0627\u062a \u0642\u062f \u062a\u062c\u0639\u0644 \u062a\u0646\u0627\u0648\u0644 \u0627\u0644\u0637\u0639\u0627\u0645 \u0645\u0631\u0647\u0642\u064b\u0627\u060c \u0628\u0644 \u0648\u062e\u0637\u064a\u0631\u064b\u0627 \u0641\u064a \u0628\u0639\u0636 \u0627\u0644\u0623\u062d\u064a\u0627\u0646. <strong>\u0648\u0628\u0627\u0644\u062a\u0627\u0644\u064a\u060c \u063a\u0627\u0644\u0628\u0627\u064b \u0645\u0627 \u064a\u0639\u0645\u0644 \u0623\u062e\u0635\u0627\u0626\u064a\u0648 \u0627\u0644\u062a\u063a\u0630\u064a\u0629\u060c \u0648\u0623\u0637\u0628\u0627\u0621 \u0627\u0644\u0623\u0639\u0635\u0627\u0628\u060c \u0648\u0623\u0637\u0628\u0627\u0621 \u0627\u0644\u0631\u0626\u0629\u060c \u0648\u0623\u062e\u0635\u0627\u0626\u064a\u0648 \u0623\u0645\u0631\u0627\u0636 \u0627\u0644\u0646\u0637\u0642 \u0648\u0627\u0644\u0644\u063a\u0629\u060c \u0648\u0623\u0637\u0628\u0627\u0621 \u0627\u0644\u062c\u0647\u0627\u0632 \u0627\u0644\u0647\u0636\u0645\u064a \u0645\u0639\u0627\u064b \u0644\u062a\u062d\u062f\u064a\u062f \u0645\u0627 \u0625\u0630\u0627 \u0643\u0627\u0646 \u0623\u0646\u0628\u0648\u0628 \u0641\u063a\u0631 \u0627\u0644\u0645\u0639\u062f\u0629 \u0645\u0646\u0627\u0633\u0628\u0627\u064b \u0641\u064a \u062d\u0627\u0644\u0629 \u0636\u0645\u0648\u0631 \u062f\u0648\u0634\u064a\u0646 \u0627\u0644\u0639\u0636\u0644\u064a.<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>\u0648\u0645\u0646 \u0627\u0644\u0645\u0647\u0645 \u0627\u0644\u0625\u0634\u0627\u0631\u0629 \u0625\u0644\u0649 \u0623\u0646 \u0627\u0644\u0639\u062f\u064a\u062f \u0645\u0646 \u0627\u0644\u0623\u0641\u0631\u0627\u062f \u0627\u0644\u0630\u064a\u0646 \u064a\u062a\u0644\u0642\u0648\u0646 \u0623\u0646\u0628\u0648\u0628 \u062a\u063a\u0630\u064a\u0629 \u0639\u0646 \u0637\u0631\u064a\u0642 \u0627\u0644\u062c\u0644\u062f (PEG) \u0641\u064a \u0645\u0631\u0636 \u0636\u0645\u0648\u0631 \u0627\u0644\u0639\u0636\u0644\u0627\u062a \u0627\u0644\u062f\u0648\u0634\u064a\u0646\u064a (DMD) \u064a\u0633\u062a\u0645\u0631\u0648\u0646 \u0641\u064a \u0627\u0644\u0627\u0633\u062a\u0645\u062a\u0627\u0639 \u0628\u062a\u0646\u0627\u0648\u0644 \u0627\u0644\u0637\u0639\u0627\u0645 \u0639\u0646 \u0637\u0631\u064a\u0642 \u0627\u0644\u0641\u0645.<\/strong> \u063a\u0627\u0644\u0628\u0627\u064b \u0645\u0627 \u064a\u064f\u0633\u062a\u062e\u062f\u0645 \u0623\u0646\u0628\u0648\u0628 \u0627\u0644\u062a\u063a\u0630\u064a\u0629 \u0643\u0645\u0643\u0645\u0644 \u0648\u0644\u064a\u0633 \u0628\u062f\u064a\u0644\u0627\u064b \u0639\u0646 \u0627\u0644\u0648\u062c\u0628\u0627\u062a \u0627\u0644\u0639\u0627\u062f\u064a\u0629\u060c \u0645\u0645\u0627 \u064a\u0633\u0645\u062d \u0644\u0644\u0645\u0631\u0636\u0649 \u0628\u062a\u0646\u0627\u0648\u0644 \u0627\u0644\u0623\u0637\u0639\u0645\u0629 \u0627\u0644\u0645\u0641\u0636\u0644\u0629 \u0628\u0623\u0645\u0627\u0646 \u0645\u0639 \u062a\u0644\u0642\u064a \u0633\u0639\u0631\u0627\u062a \u062d\u0631\u0627\u0631\u064a\u0629 \u0648\u0633\u0648\u0627\u0626\u0644 \u0648\u0623\u062f\u0648\u064a\u0629 \u0625\u0636\u0627\u0641\u064a\u0629 \u0645\u0646 \u062e\u0644\u0627\u0644 \u0627\u0644\u0623\u0646\u0628\u0648\u0628 \u0639\u0646\u062f \u0627\u0644\u0636\u0631\u0648\u0631\u0629.<\/p>\n\n\n\n<div class=\"wp-block-rank-math-toc-block\" id=\"rank-math-toc\"><h2>\u062c\u062f\u0648\u0644 \u0627\u0644\u0645\u062d\u062a\u0648\u064a\u0627\u062a<\/h2><nav><ul><li><a href=\"#why-do-some-people-with-dmd-need-a-peg-tube\">\u0644\u0645\u0627\u0630\u0627 \u064a\u062d\u062a\u0627\u062c \u0628\u0639\u0636 \u0627\u0644\u0623\u0634\u062e\u0627\u0635 \u0627\u0644\u0645\u0635\u0627\u0628\u064a\u0646 \u0628\u0636\u0645\u0648\u0631 \u0627\u0644\u0639\u0636\u0644\u0627\u062a \u0627\u0644\u062f\u0648\u0634\u064a\u0646\u064a \u0625\u0644\u0649 \u0623\u0646\u0628\u0648\u0628 \u062a\u063a\u0630\u064a\u0629 \u0639\u0646 \u0637\u0631\u064a\u0642 \u0627\u0644\u062c\u0644\u062f (PEG Tube)\u061f<\/a><\/li><li><a href=\"#how-do-you-know-if-a-child-with-dmd-needs-a-peg-tube\">\u0643\u064a\u0641 \u062a\u0639\u0631\u0641 \u0645\u0627 \u0625\u0630\u0627 \u0643\u0627\u0646 \u0627\u0644\u0637\u0641\u0644 \u0627\u0644\u0645\u0635\u0627\u0628 \u0628\u0636\u0645\u0648\u0631 \u0627\u0644\u0639\u0636\u0644\u0627\u062a \u0627\u0644\u062f\u0648\u0634\u064a\u0646\u064a \u064a\u062d\u062a\u0627\u062c \u0625\u0644\u0649 \u0623\u0646\u0628\u0648\u0628 \u062a\u063a\u0630\u064a\u0629 \u0639\u0646 \u0637\u0631\u064a\u0642 \u0627\u0644\u062c\u0644\u062f (PEG Tube)\u061f<\/a><\/li><li><a href=\"#early-warning-signs-that-should-never-be-ignored\">\u0639\u0644\u0627\u0645\u0627\u062a \u062a\u062d\u0630\u064a\u0631\u064a\u0629 \u0645\u0628\u0643\u0631\u0629 \u0644\u0627 \u064a\u0646\u0628\u063a\u064a \u062a\u062c\u0627\u0647\u0644\u0647\u0627 \u0623\u0628\u062f\u0627\u064b<\/a><\/li><li><a href=\"#how-doctors-decide-whether-a-peg-tube-is-necessary\">\u0643\u064a\u0641 \u064a\u0642\u0631\u0631 \u0627\u0644\u0623\u0637\u0628\u0627\u0621 \u0645\u0627 \u0625\u0630\u0627 \u0643\u0627\u0646 \u0623\u0646\u0628\u0648\u0628 \u0627\u0644\u062a\u063a\u0630\u064a\u0629 \u0639\u0646 \u0637\u0631\u064a\u0642 \u0627\u0644\u062c\u0644\u062f (PEG) \u0636\u0631\u0648\u0631\u064a\u0627\u064b<\/a><\/li><li><a href=\"#is-peg-tube-placement-an-emergency-or-a-planned-procedure\">\u0647\u0644 \u064a\u064f\u0639\u062f\u0651 \u0648\u0636\u0639 \u0623\u0646\u0628\u0648\u0628 \u0627\u0644\u062a\u063a\u0630\u064a\u0629 \u0639\u0646 \u0637\u0631\u064a\u0642 \u0627\u0644\u062c\u0644\u062f (PEG) \u0625\u062c\u0631\u0627\u0621\u064b \u0637\u0627\u0631\u0626\u0627\u064b \u0623\u0645 \u0625\u062c\u0631\u0627\u0621\u064b \u0645\u064f\u062e\u0637\u0637\u0627\u064b \u0644\u0647\u061f<\/a><\/li><li><a href=\"#is-a-peg-tube-safe-for-duchenne-muscular-dystrophy\">\u0647\u0644 \u0623\u0646\u0628\u0648\u0628 \u0627\u0644\u062a\u063a\u0630\u064a\u0629 \u0639\u0646 \u0637\u0631\u064a\u0642 \u0627\u0644\u062c\u0644\u062f \u0622\u0645\u0646 \u0644\u0645\u0631\u0636 \u0636\u0645\u0648\u0631 \u062f\u0648\u0634\u064a\u0646 \u0627\u0644\u0639\u0636\u0644\u064a\u061f<\/a><\/li><li><a href=\"#pre-procedure-evaluation\">\u0627\u0644\u062a\u0642\u064a\u064a\u0645 \u0642\u0628\u0644 \u0627\u0644\u0625\u062c\u0631\u0627\u0621<\/a><\/li><li><a href=\"#how-is-a-peg-tube-inserted-in-dmd-patients\">\u0643\u064a\u0641 \u064a\u062a\u0645 \u0625\u062f\u062e\u0627\u0644 \u0623\u0646\u0628\u0648\u0628 \u0627\u0644\u062a\u063a\u0630\u064a\u0629 \u0639\u0646 \u0637\u0631\u064a\u0642 \u0627\u0644\u062c\u0644\u062f (PEG) \u0644\u0645\u0631\u0636\u0649 \u0636\u0645\u0648\u0631 \u0627\u0644\u0639\u0636\u0644\u0627\u062a \u0627\u0644\u062f\u0648\u0634\u064a\u0646\u064a\u061f<\/a><\/li><li><a href=\"#what-happens-during-the-hospital-stay\">\u0645\u0627\u0630\u0627 \u064a\u062d\u062f\u062b \u0623\u062b\u0646\u0627\u0621 \u0627\u0644\u0625\u0642\u0627\u0645\u0629 \u0641\u064a \u0627\u0644\u0645\u0633\u062a\u0634\u0641\u0649\u061f<\/a><\/li><li><a href=\"#does-peg-placement-hurt\">\u0647\u0644 \u0639\u0645\u0644\u064a\u0629 \u0625\u062f\u062e\u0627\u0644 \u0623\u0646\u0628\u0648\u0628 \u0627\u0644\u062a\u063a\u0630\u064a\u0629 \u0639\u0646 \u0637\u0631\u064a\u0642 \u0627\u0644\u062c\u0644\u062f \u0645\u0624\u0644\u0645\u0629\u061f<\/a><\/li><li><a href=\"#what-are-the-risks-of-peg-tube-placement-in-duchenne\">\u0645\u0627 \u0647\u064a \u0645\u062e\u0627\u0637\u0631 \u0648\u0636\u0639 \u0623\u0646\u0628\u0648\u0628 \u0627\u0644\u062a\u063a\u0630\u064a\u0629 \u0639\u0646 \u0637\u0631\u064a\u0642 \u0627\u0644\u062c\u0644\u062f (PEG) \u0641\u064a \u062d\u0627\u0644\u0629 \u062f\u0648\u0634\u064a\u0646\u061f<\/a><\/li><li><a href=\"#common-minor-complications\">\u0627\u0644\u0645\u0636\u0627\u0639\u0641\u0627\u062a \u0627\u0644\u0628\u0633\u064a\u0637\u0629 \u0627\u0644\u0634\u0627\u0626\u0639\u0629<\/a><\/li><li><a href=\"#serious-complications\">\u0645\u0636\u0627\u0639\u0641\u0627\u062a \u062e\u0637\u064a\u0631\u0629<\/a><\/li><li><a href=\"#can-people-with-dmd-still-eat-after-getting-a-gastrostomy-tube\">\u0647\u0644 \u064a\u0633\u062a\u0637\u064a\u0639 \u0645\u0631\u0636\u0649 \u0636\u0645\u0648\u0631 \u0627\u0644\u0639\u0636\u0644\u0627\u062a \u0627\u0644\u062f\u0648\u0634\u064a\u0646\u064a \u062a\u0646\u0627\u0648\u0644 \u0627\u0644\u0637\u0639\u0627\u0645 \u0628\u0639\u062f \u062a\u0631\u0643\u064a\u0628 \u0623\u0646\u0628\u0648\u0628 \u0641\u063a\u0631 \u0627\u0644\u0645\u0639\u062f\u0629\u061f<\/a><\/li><li><a href=\"#emotional-impact-on-families\">\u0627\u0644\u0623\u062b\u0631 \u0627\u0644\u0639\u0627\u0637\u0641\u064a \u0639\u0644\u0649 \u0627\u0644\u0623\u0633\u0631<\/a><\/li><li><a href=\"#nutrition-after-peg-placement-in-duchenne-muscular-dystrophy\">\u0627\u0644\u062a\u063a\u0630\u064a\u0629 \u0628\u0639\u062f \u0648\u0636\u0639 \u0623\u0646\u0628\u0648\u0628 \u0627\u0644\u062a\u063a\u0630\u064a\u0629 \u0639\u0646 \u0637\u0631\u064a\u0642 \u0627\u0644\u062c\u0644\u062f \u0628\u0627\u0644\u0645\u0646\u0638\u0627\u0631 \u0641\u064a \u0636\u0645\u0648\u0631 \u062f\u0648\u0634\u064a\u0646 \u0627\u0644\u0639\u0636\u0644\u064a<\/a><\/li><li><a href=\"#what-foods-can-be-given-through-a-peg-tube\">\u0645\u0627 \u0647\u064a \u0627\u0644\u0623\u0637\u0639\u0645\u0629 \u0627\u0644\u062a\u064a \u064a\u0645\u0643\u0646 \u0625\u0639\u0637\u0627\u0624\u0647\u0627 \u0639\u0628\u0631 \u0623\u0646\u0628\u0648\u0628 \u0627\u0644\u062a\u063a\u0630\u064a\u0629 \u0639\u0646 \u0637\u0631\u064a\u0642 \u0627\u0644\u062c\u0644\u062f (PEG Tube)\u061f<\/a><\/li><li><a href=\"#can-a-peg-tube-prevent-weight-loss-in-duchenne-muscular-dystrophy\">\u0647\u0644 \u064a\u0645\u0643\u0646 \u0644\u0623\u0646\u0628\u0648\u0628 \u0627\u0644\u062a\u063a\u0630\u064a\u0629 \u0639\u0646 \u0637\u0631\u064a\u0642 \u0627\u0644\u062c\u0644\u062f (PEG) \u0623\u0646 \u064a\u0645\u0646\u0639 \u0641\u0642\u062f\u0627\u0646 \u0627\u0644\u0648\u0632\u0646 \u0644\u062f\u0649 \u0645\u0631\u0636\u0649 \u0636\u0645\u0648\u0631 \u062f\u0648\u0634\u064a\u0646 \u0627\u0644\u0639\u0636\u0644\u064a\u061f<\/a><\/li><li><a href=\"#daily-care-of-a-gastrostomy-tube-at-home\">\u0627\u0644\u0639\u0646\u0627\u064a\u0629 \u0627\u0644\u064a\u0648\u0645\u064a\u0629 \u0628\u0623\u0646\u0628\u0648\u0628 \u0641\u063a\u0631 \u0627\u0644\u0645\u0639\u062f\u0629 \u0641\u064a \u0627\u0644\u0645\u0646\u0632\u0644<\/a><\/li><li><a href=\"#giving-medications-through-a-peg-tube\">\u0625\u0639\u0637\u0627\u0621 \u0627\u0644\u0623\u062f\u0648\u064a\u0629 \u0639\u0628\u0631 \u0623\u0646\u0628\u0648\u0628 \u0627\u0644\u062a\u063a\u0630\u064a\u0629 \u0639\u0646 \u0637\u0631\u064a\u0642 \u0627\u0644\u062c\u0644\u062f<\/a><\/li><li><a href=\"#can-a-person-still-enjoy-eating\">\u0647\u0644 \u0644\u0627 \u064a\u0632\u0627\u0644 \u0628\u0625\u0645\u0643\u0627\u0646 \u0627\u0644\u0634\u062e\u0635 \u0627\u0644\u0627\u0633\u062a\u0645\u062a\u0627\u0639 \u0628\u062a\u0646\u0627\u0648\u0644 \u0627\u0644\u0637\u0639\u0627\u0645\u061f<\/a><\/li><li><a href=\"#does-a-feeding-tube-improve-quality-of-life-in-duchenne\">\u0647\u0644 \u064a\u064f\u062d\u0633\u0651\u0646 \u0623\u0646\u0628\u0648\u0628 \u0627\u0644\u062a\u063a\u0630\u064a\u0629 \u0646\u0648\u0639\u064a\u0629 \u0627\u0644\u062d\u064a\u0627\u0629 \u0644\u062f\u0649 \u0645\u0631\u0636\u0649 \u062f\u0648\u0634\u064a\u0646\u061f<\/a><\/li><li><a href=\"#practical-advice-for-families\">\u0646\u0635\u0627\u0626\u062d \u0639\u0645\u0644\u064a\u0629 \u0644\u0644\u0639\u0627\u0626\u0644\u0627\u062a<\/a><\/li><li><a href=\"#fa-qs-gastrostomy-tubes-in-duchenne-muscular-dystrophy\">\u0627\u0644\u0623\u0633\u0626\u0644\u0629 \u0627\u0644\u0634\u0627\u0626\u0639\u0629: \u0623\u0646\u0627\u0628\u064a\u0628 \u0641\u063a\u0631 \u0627\u0644\u0645\u0639\u062f\u0629 \u0641\u064a \u0636\u0645\u0648\u0631 \u062f\u0648\u0634\u064a\u0646 \u0627\u0644\u0639\u0636\u0644\u064a<\/a><\/li><li><a href=\"#conclusion\">\u062e\u0627\u062a\u0645\u0629<\/a><\/li><li><a href=\"#academic-sources-and-references\">\u0627\u0644\u0645\u0635\u0627\u062f\u0631 \u0648\u0627\u0644\u0645\u0631\u0627\u062c\u0639 \u0627\u0644\u0623\u0643\u0627\u062f\u064a\u0645\u064a\u0629<\/a><\/li><\/ul><\/nav><\/div>\n\n\n\n<h2 id=\"why-do-some-people-with-dmd-need-a-peg-tube\" class=\"wp-block-heading\">\u0644\u0645\u0627\u0630\u0627 \u064a\u062d\u062a\u0627\u062c \u0628\u0639\u0636 \u0627\u0644\u0623\u0634\u062e\u0627\u0635 \u0627\u0644\u0645\u0635\u0627\u0628\u064a\u0646 \u0628\u0636\u0645\u0648\u0631 \u0627\u0644\u0639\u0636\u0644\u0627\u062a \u0627\u0644\u062f\u0648\u0634\u064a\u0646\u064a \u0625\u0644\u0649 \u0623\u0646\u0628\u0648\u0628 \u062a\u063a\u0630\u064a\u0629 \u0639\u0646 \u0637\u0631\u064a\u0642 \u0627\u0644\u062c\u0644\u062f (PEG Tube)\u061f<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">\u0644\u0627 \u064a\u0642\u062a\u0635\u0631 \u0645\u0631\u0636 \u0636\u0645\u0648\u0631 \u062f\u0648\u0634\u064a\u0646 \u0627\u0644\u0639\u0636\u0644\u064a \u0639\u0644\u0649 \u0627\u0644\u062a\u0623\u062b\u064a\u0631 \u0639\u0644\u0649 \u0627\u0644\u062d\u0631\u0643\u0629 \u0641\u0642\u0637. \u0641\u0645\u0639 \u062a\u0641\u0627\u0642\u0645 \u0636\u0639\u0641 \u0627\u0644\u0639\u0636\u0644\u0627\u062a\u060c \u0642\u062f \u062a\u062a\u0623\u062b\u0631 \u0623\u064a\u0636\u0627\u064b \u0627\u0644\u0639\u0636\u0644\u0627\u062a \u0627\u0644\u0645\u0633\u0624\u0648\u0644\u0629 \u0639\u0646 \u0627\u0644\u0645\u0636\u063a \u0648\u0627\u0644\u0628\u0644\u0639 \u0648\u0627\u0644\u0633\u0639\u0627\u0644 \u0648\u0627\u0644\u062a\u0646\u0641\u0633. \u0648\u062a\u0632\u064a\u062f \u0647\u0630\u0647 \u0627\u0644\u062a\u063a\u064a\u0631\u0627\u062a \u0645\u0646 \u0635\u0639\u0648\u0628\u0629 \u0627\u0644\u062a\u063a\u0630\u064a\u0629 \u0627\u0644\u062a\u064a \u0642\u062f \u062a\u062a\u0637\u0648\u0631 \u062a\u062f\u0631\u064a\u062c\u064a\u0627\u064b \u0639\u0644\u0649 \u0645\u062f\u0649 \u0634\u0647\u0648\u0631 \u0623\u0648 \u0633\u0646\u0648\u0627\u062a.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>\u062a\u0633\u0627\u0647\u0645 \u0639\u062f\u0629 \u0639\u0648\u0627\u0645\u0644 \u0641\u064a \u0627\u0644\u062d\u0627\u062c\u0629 \u0625\u0644\u0649 \u0623\u0646\u0627\u0628\u064a\u0628 \u0641\u063a\u0631 \u0627\u0644\u0645\u0639\u062f\u0629 \u0641\u064a \u0645\u0631\u0636 \u0636\u0645\u0648\u0631 \u062f\u0648\u0634\u064a\u0646 \u0627\u0644\u0639\u0636\u0644\u064a:<\/strong><\/p>\n\n\n\n<h3 id=\"progressive-swallowing-muscle-weakness\" class=\"wp-block-heading\">\u0636\u0639\u0641 \u062a\u062f\u0631\u064a\u062c\u064a \u0641\u064a \u0639\u0636\u0644\u0627\u062a \u0627\u0644\u0628\u0644\u0639<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">\u062a\u0636\u0639\u0641 \u0639\u0636\u0644\u0627\u062a \u0627\u0644\u0641\u0645 \u0648\u0627\u0644\u0644\u0633\u0627\u0646 \u0648\u0627\u0644\u062d\u0644\u0642 \u0648\u0627\u0644\u0645\u0631\u064a\u0621 \u062a\u062f\u0631\u064a\u062c\u064a\u064b\u0627. \u0639\u0644\u0649 \u0627\u0644\u0631\u063a\u0645 \u0645\u0646 \u0623\u0646 \u0627\u0644\u0628\u0644\u0639 \u063a\u0627\u0644\u0628\u064b\u0627 \u0645\u0627 \u064a\u0628\u062f\u0648 \u0637\u0628\u064a\u0639\u064a\u064b\u0627 \u062e\u0644\u0627\u0644 \u0645\u0631\u062d\u0644\u0629 \u0627\u0644\u0637\u0641\u0648\u0644\u0629 \u0627\u0644\u0645\u0628\u0643\u0631\u0629\u060c \u0625\u0644\u0627 \u0623\u0646 \u0627\u0644\u0645\u0631\u0627\u0647\u0642\u064a\u0646 \u0648\u0627\u0644\u0628\u0627\u0644\u063a\u064a\u0646 \u0627\u0644\u0645\u0635\u0627\u0628\u064a\u0646 \u0628\u0636\u0645\u0648\u0631 \u0627\u0644\u0639\u0636\u0644\u0627\u062a \u0627\u0644\u062f\u0648\u0634\u064a\u0646\u064a \u0642\u062f \u064a\u064f\u0635\u0627\u0628\u0648\u0646 \u0628\u0645\u0627 \u064a\u0644\u064a:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u0635\u0639\u0648\u0628\u0629 \u0641\u064a \u0645\u0636\u063a \u0627\u0644\u0623\u0637\u0639\u0645\u0629 \u0627\u0644\u0635\u0644\u0628\u0629<\/li>\n\n\n\n<li>\u062a\u0646\u0627\u0648\u0644 \u0627\u0644\u0637\u0639\u0627\u0645 \u0628\u0628\u0637\u0621<\/li>\n\n\n\n<li>\u0627\u0644\u0634\u0639\u0648\u0631 \u0628\u0627\u0644\u062a\u0639\u0628 \u0623\u062b\u0646\u0627\u0621 \u062a\u0646\u0627\u0648\u0644 \u0627\u0644\u0637\u0639\u0627\u0645<\/li>\n\n\n\n<li>\u0627\u0644\u0633\u0639\u0627\u0644 \u0627\u0644\u0645\u062a\u0643\u0631\u0631 \u0623\u062b\u0646\u0627\u0621 \u0627\u0644\u0628\u0644\u0639<\/li>\n\n\n\n<li>\u0627\u0644\u0634\u0639\u0648\u0631 \u0628\u0627\u0646\u062d\u0634\u0627\u0631 \u0627\u0644\u0637\u0639\u0627\u0645<\/li>\n\n\n\n<li>\u062d\u0644\u0642\u0627\u062a \u0627\u0644\u0627\u062e\u062a\u0646\u0627\u0642<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>\u062a\u0634\u064a\u0631 \u0647\u0630\u0647 \u0627\u0644\u0623\u0639\u0631\u0627\u0636 \u0645\u062c\u062a\u0645\u0639\u0629 \u0625\u0644\u0649 \u0639\u0633\u0631 \u0627\u0644\u0628\u0644\u0639\u060c \u0648\u0647\u064a \u062d\u0627\u0644\u0629 \u062a\u0633\u062a\u062f\u0639\u064a \u062a\u0642\u064a\u064a\u0645\u064b\u0627 \u0637\u0628\u064a\u064b\u0627 \u0641\u0648\u0631\u064a\u064b\u0627.<\/strong> \u0627\u0642\u0631\u0623 \u0627\u0644\u0645\u0632\u064a\u062f: <a href=\"https:\/\/dmdwarrior.com\/ar\/swallowing-difficulty-dysphagia-in-duchenne-muscular-dystrophy\/\" data-type=\"post\" data-id=\"6281\">\u0639\u0633\u0631 \u0627\u0644\u0628\u0644\u0639 \u0641\u064a \u062f\u0648\u0634\u064a\u0646<\/a><\/p>\n\n\n\n<h3 id=\"increased-caloric-requirements\" class=\"wp-block-heading\">\u0632\u064a\u0627\u062f\u0629 \u0627\u0644\u0627\u062d\u062a\u064a\u0627\u062c\u0627\u062a \u0645\u0646 \u0627\u0644\u0633\u0639\u0631\u0627\u062a \u0627\u0644\u062d\u0631\u0627\u0631\u064a\u0629<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">\u064a\u062d\u062a\u0627\u062c \u0627\u0644\u0639\u062f\u064a\u062f \u0645\u0646 \u0627\u0644\u0623\u0641\u0631\u0627\u062f \u0627\u0644\u0645\u0635\u0627\u0628\u064a\u0646 \u0628\u0636\u0645\u0648\u0631 \u0627\u0644\u0639\u0636\u0644\u0627\u062a \u0627\u0644\u062f\u0648\u0634\u064a\u0646\u064a \u0625\u0644\u0649 \u0625\u062f\u0627\u0631\u0629 \u063a\u0630\u0627\u0626\u064a\u0629 \u062f\u0642\u064a\u0642\u0629. \u0641\u0628\u064a\u0646\u0645\u0627 \u062a\u062a\u0631\u0627\u062c\u0639 \u0627\u0644\u0642\u062f\u0631\u0629 \u0639\u0644\u0649 \u0627\u0644\u062d\u0631\u0643\u0629 \u0628\u0645\u0631\u0648\u0631 \u0627\u0644\u0648\u0642\u062a\u060c \u0642\u062f \u064a\u0624\u062f\u064a \u0627\u0644\u062c\u0647\u062f \u0627\u0644\u062a\u0646\u0641\u0633\u064a \u0627\u0644\u0645\u0632\u0645\u0646\u060c \u0648\u0627\u0644\u0639\u062f\u0648\u0649\u060c \u0648\u0627\u0644\u0639\u0644\u0627\u062c \u0628\u0627\u0644\u0643\u0648\u0631\u062a\u064a\u0643\u0648\u0633\u062a\u064a\u0631\u0648\u064a\u062f\u0627\u062a\u060c \u0648\u062a\u062f\u0647\u0648\u0631 \u0627\u0644\u0639\u0636\u0644\u0627\u062a \u0625\u0644\u0649 \u062a\u063a\u064a\u064a\u0631 \u0627\u062d\u062a\u064a\u0627\u062c\u0627\u062a \u0627\u0644\u0637\u0627\u0642\u0629.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u064a\u0641\u0642\u062f \u0628\u0639\u0636 \u0627\u0644\u0645\u0631\u0636\u0649 \u0627\u0644\u0648\u0632\u0646 \u062f\u0648\u0646 \u0642\u0635\u062f \u0628\u0633\u0628\u0628:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u062a\u0633\u062a\u063a\u0631\u0642 \u0627\u0644\u0648\u062c\u0628\u0627\u062a \u0648\u0642\u062a\u0627\u064b \u0637\u0648\u064a\u0644\u0627\u064b.<\/li>\n\n\n\n<li>\u064a\u0635\u0628\u062d \u062a\u0646\u0627\u0648\u0644 \u0627\u0644\u0637\u0639\u0627\u0645 \u0645\u0631\u0647\u0642\u0627\u064b \u062c\u0633\u062f\u064a\u0627\u064b.<\/li>\n\n\n\n<li>\u062a\u0642\u0644 \u0627\u0644\u0634\u0647\u064a\u0629.<\/li>\n\n\n\n<li>\u0627\u0644\u0634\u0639\u0648\u0631 \u0628\u0639\u062f\u0645 \u0627\u0644\u0631\u0627\u062d\u0629 \u0639\u0646\u062f \u0627\u0644\u0628\u0644\u0639 \u064a\u062b\u0646\u064a \u0639\u0646 \u062a\u0646\u0627\u0648\u0644 \u0627\u0644\u0637\u0639\u0627\u0645.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>\u0639\u0646\u062f\u0645\u0627 \u064a\u0646\u062e\u0641\u0636 \u062a\u0646\u0627\u0648\u0644 \u0627\u0644\u0633\u0639\u0631\u0627\u062a \u0627\u0644\u062d\u0631\u0627\u0631\u064a\u0629 \u0628\u0627\u0633\u062a\u0645\u0631\u0627\u0631 \u0639\u0646 \u0627\u0644\u0627\u062d\u062a\u064a\u0627\u062c\u0627\u062a \u0627\u0644\u063a\u0630\u0627\u0626\u064a\u0629\u060c \u0642\u062f \u064a\u0648\u0635\u064a \u0627\u0644\u0623\u0637\u0628\u0627\u0621 \u0628\u062a\u0631\u0643\u064a\u0628 \u0623\u0646\u0628\u0648\u0628 \u062a\u063a\u0630\u064a\u0629 \u0639\u0646 \u0637\u0631\u064a\u0642 \u0627\u0644\u062c\u0644\u062f (PEG) \u0641\u064a \u0645\u0631\u0636\u0649 \u0636\u0645\u0648\u0631 \u0627\u0644\u0639\u0636\u0644\u0627\u062a \u0627\u0644\u062f\u0648\u0634\u064a\u0646\u064a \u0642\u0628\u0644 \u062a\u0637\u0648\u0631 \u0633\u0648\u0621 \u0627\u0644\u062a\u063a\u0630\u064a\u0629 \u0627\u0644\u062d\u0627\u062f.<\/strong><\/p>\n\n\n\n<h3 id=\"safer-medication-administration\" class=\"wp-block-heading\">\u0625\u062f\u0627\u0631\u0629 \u0627\u0644\u0623\u062f\u0648\u064a\u0629 \u0628\u0634\u0643\u0644 \u0623\u0643\u062b\u0631 \u0623\u0645\u0627\u0646\u064b\u0627<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">\u064a\u062a\u0646\u0627\u0648\u0644 \u0645\u0631\u0636\u0649 \u0636\u0645\u0648\u0631 \u062f\u0648\u0634\u064a\u0646 \u0627\u0644\u0639\u0636\u0644\u064a \u0639\u0627\u062f\u0629\u064b \u0623\u062f\u0648\u064a\u0629 \u0645\u062a\u0639\u062f\u062f\u0629\u060c \u062a\u0634\u0645\u0644 \u0627\u0644\u0643\u0648\u0631\u062a\u064a\u0643\u0648\u0633\u062a\u064a\u0631\u0648\u064a\u062f\u0627\u062a\u060c \u0648\u0623\u062f\u0648\u064a\u0629 \u0627\u0644\u0642\u0644\u0628\u060c \u0648\u0645\u0643\u0645\u0644\u0627\u062a \u0635\u062d\u0629 \u0627\u0644\u0639\u0638\u0627\u0645\u060c \u0648\u0641\u064a\u062a\u0627\u0645\u064a\u0646 \u062f\u060c \u0648\u0627\u0644\u0643\u0627\u0644\u0633\u064a\u0648\u0645\u060c \u0648\u0639\u0644\u0627\u062c\u0627\u062a \u0627\u0644\u062c\u0647\u0627\u0632 \u0627\u0644\u062a\u0646\u0641\u0633\u064a. \u0648\u0642\u062f \u064a\u0635\u0628\u062d \u0628\u0644\u0639 \u0627\u0644\u0639\u062f\u064a\u062f \u0645\u0646 \u0627\u0644\u0623\u0642\u0631\u0627\u0635 \u064a\u0648\u0645\u064a\u064b\u0627 \u0623\u0645\u0631\u064b\u0627 \u0635\u0639\u0628\u064b\u0627 \u0628\u0634\u0643\u0644 \u0645\u062a\u0632\u0627\u064a\u062f.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u064a\u0648\u0641\u0631 \u0623\u0646\u0628\u0648\u0628 \u0641\u063a\u0631 \u0627\u0644\u0645\u0639\u062f\u0629 \u0645\u0633\u0627\u0631\u064b\u0627 \u0645\u0648\u062b\u0648\u0642\u064b\u0627 \u0644\u0625\u0639\u0637\u0627\u0621 \u0627\u0644\u0639\u062f\u064a\u062f \u0645\u0646 \u0627\u0644\u0623\u062f\u0648\u064a\u0629 \u0628\u0623\u0645\u0627\u0646 \u062a\u062d\u062a \u0625\u0634\u0631\u0627\u0641 \u0627\u0644\u0637\u0628\u064a\u0628.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 id=\"how-do-you-know-if-a-child-with-dmd-needs-a-peg-tube\" class=\"wp-block-heading\">\u0643\u064a\u0641 \u062a\u0639\u0631\u0641 \u0645\u0627 \u0625\u0630\u0627 \u0643\u0627\u0646 \u0627\u0644\u0637\u0641\u0644 \u0627\u0644\u0645\u0635\u0627\u0628 \u0628\u0636\u0645\u0648\u0631 \u0627\u0644\u0639\u0636\u0644\u0627\u062a \u0627\u0644\u062f\u0648\u0634\u064a\u0646\u064a \u064a\u062d\u062a\u0627\u062c \u0625\u0644\u0649 \u0623\u0646\u0628\u0648\u0628 \u062a\u063a\u0630\u064a\u0629 \u0639\u0646 \u0637\u0631\u064a\u0642 \u0627\u0644\u062c\u0644\u062f (PEG Tube)\u061f<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">\u0623\u062d\u062f \u0623\u0643\u062b\u0631 \u0627\u0644\u0623\u0633\u0626\u0644\u0629 \u0634\u064a\u0648\u0639\u0627\u064b \u0627\u0644\u062a\u064a \u062a\u0637\u0631\u062d\u0647\u0627 \u0627\u0644\u0639\u0627\u0626\u0644\u0627\u062a \u0647\u0648:<\/p>\n\n\n\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\">\n<p class=\"wp-block-paragraph\"><strong>\u201c&quot;\u0643\u064a\u0641 \u062a\u0639\u0631\u0641 \u0645\u062a\u0649 \u064a\u062d\u064a\u0646 \u0648\u0642\u062a \u062a\u0631\u0643\u064a\u0628 \u0623\u0646\u0628\u0648\u0628 \u0627\u0644\u062a\u063a\u0630\u064a\u0629 \u0639\u0646 \u0637\u0631\u064a\u0642 \u0627\u0644\u062c\u0644\u062f (PEG)\u061f&quot;\u201d<\/strong><\/p>\n<\/blockquote>\n\n\n\n<p class=\"wp-block-paragraph\">\u0644\u0627 \u064a\u0648\u062c\u062f \u0639\u0645\u0631 \u0623\u0648 \u0645\u0631\u062d\u0644\u0629 \u0639\u0645\u0631\u064a\u0629 \u0648\u0627\u062d\u062f\u0629 \u062a\u062d\u062f\u062f \u0627\u0644\u0625\u062c\u0627\u0628\u0629. \u0628\u062f\u0644\u0627\u064b \u0645\u0646 \u0630\u0644\u0643\u060c \u064a\u0642\u0648\u0645 \u0627\u0644\u0623\u0637\u0628\u0627\u0621 \u0628\u062a\u0642\u064a\u064a\u0645 \u0639\u0648\u0627\u0645\u0644 \u0645\u062a\u0639\u062f\u062f\u0629 \u0641\u064a \u0648\u0642\u062a \u0648\u0627\u062d\u062f.<\/p>\n\n\n\n<h3 id=\"weight-loss\" class=\"wp-block-heading\">\u0641\u0642\u062f\u0627\u0646 \u0627\u0644\u0648\u0632\u0646<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">\u064a\u064f\u0639\u062f \u0641\u0642\u062f\u0627\u0646 \u0627\u0644\u0648\u0632\u0646 \u0627\u0644\u0645\u0633\u062a\u0645\u0631 \u0645\u0646 \u0623\u0642\u0648\u0649 \u0627\u0644\u0645\u0624\u0634\u0631\u0627\u062a.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u064a\u0634\u0639\u0631 \u0645\u0642\u062f\u0645\u0648 \u0627\u0644\u0631\u0639\u0627\u064a\u0629 \u0627\u0644\u0635\u062d\u064a\u0629 \u0628\u0627\u0644\u0642\u0644\u0642 \u0639\u0646\u062f\u0645\u0627 \u064a\u0639\u0627\u0646\u064a \u0627\u0644\u0637\u0641\u0644 \u0645\u0645\u0627 \u064a\u0644\u064a:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u064a\u0646\u062e\u0641\u0636 \u0628\u0634\u0643\u0644 \u0645\u0644\u062d\u0648\u0638 \u0639\u0646 \u0645\u0646\u062d\u0646\u064a\u0627\u062a \u0627\u0644\u0646\u0645\u0648 \u0627\u0644\u0645\u062a\u0648\u0642\u0639\u0629<\/li>\n\n\n\n<li>\u064a\u0641\u0642\u062f \u0623\u0643\u062b\u0631 \u0645\u0646 10 \u0628\u0627\u0644\u0645\u0627\u0626\u0629 \u062a\u0642\u0631\u064a\u0628\u064b\u0627 \u0645\u0646 \u0648\u0632\u0646 \u0627\u0644\u062c\u0633\u0645<\/li>\n\n\n\n<li>\u0644\u0627 \u064a\u0633\u062a\u0637\u064a\u0639 \u0627\u0644\u062d\u0641\u0627\u0638 \u0639\u0644\u0649 \u062a\u0646\u0627\u0648\u0644 \u0643\u0645\u064a\u0629 \u0643\u0627\u0641\u064a\u0629 \u0645\u0646 \u0627\u0644\u0633\u0639\u0631\u0627\u062a \u0627\u0644\u062d\u0631\u0627\u0631\u064a\u0629 \u0639\u0644\u0649 \u0627\u0644\u0631\u063a\u0645 \u0645\u0646 \u0627\u0644\u0627\u0633\u062a\u0634\u0627\u0631\u0627\u062a \u0627\u0644\u063a\u0630\u0627\u0626\u064a\u0629<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">\u064a\u0624\u062f\u064a \u0627\u0644\u062a\u062f\u062e\u0644 \u0627\u0644\u0645\u0628\u0643\u0631 \u0639\u0645\u0648\u0645\u0627\u064b \u0625\u0644\u0649 \u0646\u062a\u0627\u0626\u062c \u0623\u0641\u0636\u0644 \u0645\u0646 \u0627\u0644\u0627\u0646\u062a\u0638\u0627\u0631 \u062d\u062a\u0649 \u064a\u062a\u0637\u0648\u0631 \u0633\u0648\u0621 \u0627\u0644\u062a\u063a\u0630\u064a\u0629 \u0627\u0644\u062d\u0627\u062f.<\/p>\n\n\n\n<h3 id=\"swallowing-evaluation\" class=\"wp-block-heading\">\u062a\u0642\u064a\u064a\u0645 \u0627\u0644\u0628\u0644\u0639<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">\u0642\u062f \u064a\u0642\u0648\u0645 \u0623\u062e\u0635\u0627\u0626\u064a\u0648 \u0623\u0645\u0631\u0627\u0636 \u0627\u0644\u0646\u0637\u0642 \u0648\u0627\u0644\u0644\u063a\u0629 \u0628\u0625\u062c\u0631\u0627\u0621 \u062a\u0642\u064a\u064a\u0645\u0627\u062a \u0645\u062a\u062e\u0635\u0635\u0629 \u0644\u0644\u0628\u0644\u0639\u060c \u0628\u0645\u0627 \u0641\u064a \u0630\u0644\u0643:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u0627\u0644\u0641\u062d\u0648\u0635\u0627\u062a \u0627\u0644\u0633\u0631\u064a\u0631\u064a\u0629 \u0644\u0644\u0628\u0644\u0639<\/li>\n\n\n\n<li>\u062f\u0631\u0627\u0633\u0629 \u0627\u0628\u062a\u0644\u0627\u0639 \u0627\u0644\u0628\u0627\u0631\u064a\u0648\u0645 \u0627\u0644\u0645\u0639\u062f\u0644\u0629 (VFSS)<\/li>\n\n\n\n<li>\u0627\u0644\u062a\u0642\u064a\u064a\u0645 \u0627\u0644\u062a\u0646\u0638\u064a\u0631\u064a \u0627\u0644\u0644\u064a\u0641\u064a \u0627\u0644\u0628\u0635\u0631\u064a \u0644\u0644\u0628\u0644\u0639 (FEES)<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">\u062a\u0633\u0627\u0639\u062f \u0647\u0630\u0647 \u0627\u0644\u0627\u062e\u062a\u0628\u0627\u0631\u0627\u062a \u0641\u064a \u062a\u062d\u062f\u064a\u062f \u0645\u0627 \u0625\u0630\u0627 \u0643\u0627\u0646 \u0627\u0644\u0637\u0639\u0627\u0645 \u0623\u0648 \u0627\u0644\u0633\u0648\u0627\u0626\u0644 \u062a\u062f\u062e\u0644 \u0645\u062c\u0631\u0649 \u0627\u0644\u0647\u0648\u0627\u0621 \u0628\u062f\u0644\u0627\u064b \u0645\u0646 \u0627\u0644\u0645\u0631\u064a\u0621.<\/p>\n\n\n\n<h3 id=\"mealtimes-become-extremely-long\" class=\"wp-block-heading\">\u0623\u0635\u0628\u062d\u062a \u0623\u0648\u0642\u0627\u062a \u0627\u0644\u0648\u062c\u0628\u0627\u062a \u0637\u0648\u064a\u0644\u0629 \u0644\u0644\u063a\u0627\u064a\u0629<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">\u062a\u0633\u062a\u063a\u0631\u0642 \u0627\u0644\u0648\u062c\u0628\u0629 \u0627\u0644\u0635\u062d\u064a\u0629 \u0639\u0627\u062f\u0629\u064b \u0645\u0646 20 \u0625\u0644\u0649 30 \u062f\u0642\u064a\u0642\u0629.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u064a\u062d\u062a\u0627\u062c \u0628\u0639\u0636 \u0627\u0644\u0623\u0641\u0631\u0627\u062f \u0627\u0644\u0645\u0635\u0627\u0628\u064a\u0646 \u0628\u0636\u0645\u0648\u0631 \u0627\u0644\u0639\u0636\u0644\u0627\u062a \u0627\u0644\u062f\u0648\u0634\u064a\u0646\u064a \u0627\u0644\u0645\u062a\u0642\u062f\u0645 \u0625\u0644\u0649:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u0633\u0627\u0639\u0629 \u0648\u0627\u062d\u062f\u0629<\/li>\n\n\n\n<li>\u062a\u0633\u0639\u0648\u0646 \u062f\u0642\u064a\u0642\u0629<\/li>\n\n\n\n<li>\u062d\u062a\u0649 \u0633\u0627\u0639\u062a\u064a\u0646<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">\u0644\u0643\u0644 \u0648\u062c\u0628\u0629.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u063a\u0627\u0644\u0628\u0627\u064b \u0645\u0627 \u062a\u0634\u064a\u0631 \u0627\u0644\u0648\u062c\u0628\u0627\u062a \u0627\u0644\u0637\u0648\u064a\u0644\u0629 \u0625\u0644\u0649 \u0632\u064a\u0627\u062f\u0629 \u0625\u062c\u0647\u0627\u062f \u0639\u0636\u0644\u0627\u062a \u0627\u0644\u0628\u0644\u0639.<\/p>\n\n\n\n<h3 id=\"frequent-chest-infections\" class=\"wp-block-heading\">\u0627\u0644\u062a\u0647\u0627\u0628\u0627\u062a \u0627\u0644\u0635\u062f\u0631 \u0627\u0644\u0645\u062a\u0643\u0631\u0631\u0629<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>\u0642\u062f \u064a\u0634\u064a\u0631 \u062a\u0643\u0631\u0627\u0631 \u0627\u0644\u0625\u0635\u0627\u0628\u0629 \u0628\u0627\u0644\u0627\u0644\u062a\u0647\u0627\u0628 \u0627\u0644\u0631\u0626\u0648\u064a \u0623\u0648 \u0627\u0644\u062a\u0647\u0627\u0628\u0627\u062a \u0627\u0644\u062c\u0647\u0627\u0632 \u0627\u0644\u062a\u0646\u0641\u0633\u064a \u0625\u0644\u0649 \u062d\u062f\u0648\u062b \u0627\u0633\u062a\u0646\u0634\u0627\u0642.<\/strong> \u0627\u0642\u0631\u0623 \u0627\u0644\u0645\u0632\u064a\u062f: <a href=\"https:\/\/dmdwarrior.com\/ar\/respiratory-health-care-in-duchenne-muscular-dystrophy\/\" data-type=\"post\" data-id=\"6477\">\u0627\u0644\u0631\u0639\u0627\u064a\u0629 \u0627\u0644\u062a\u0646\u0641\u0633\u064a\u0629 \u0641\u064a \u062f\u0648\u0634\u064a\u0646<\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u064a\u062d\u062f\u062b \u0627\u0644\u0627\u0633\u062a\u0646\u0634\u0627\u0642 \u0639\u0646\u062f\u0645\u0627 \u064a\u062f\u062e\u0644 \u0627\u0644\u0637\u0639\u0627\u0645 \u0623\u0648 \u0627\u0644\u0633\u0648\u0627\u0626\u0644 \u0623\u0648 \u0627\u0644\u0644\u0639\u0627\u0628 \u0625\u0644\u0649 \u0627\u0644\u0631\u0626\u062a\u064a\u0646 \u0628\u062f\u0644\u0627\u064b \u0645\u0646 \u0627\u0644\u0645\u0639\u062f\u0629. \u062d\u062a\u0649 &quot;\u0627\u0644\u0627\u0633\u062a\u0646\u0634\u0627\u0642 \u0627\u0644\u0635\u0627\u0645\u062a&quot;\u060c \u0627\u0644\u0630\u064a \u0642\u062f \u064a\u062d\u062f\u062b \u062f\u0648\u0646 \u0627\u062e\u062a\u0646\u0627\u0642 \u0648\u0627\u0636\u062d\u060c \u064a\u0645\u0643\u0646 \u0623\u0646 \u064a\u0633\u0627\u0647\u0645 \u0641\u064a \u0627\u0644\u0625\u0635\u0627\u0628\u0629 \u0628\u0623\u0645\u0631\u0627\u0636 \u0627\u0644\u062c\u0647\u0627\u0632 \u0627\u0644\u062a\u0646\u0641\u0633\u064a \u0627\u0644\u0645\u062a\u0643\u0631\u0631\u0629.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 id=\"early-warning-signs-that-should-never-be-ignored\" class=\"wp-block-heading\">\u0639\u0644\u0627\u0645\u0627\u062a \u062a\u062d\u0630\u064a\u0631\u064a\u0629 \u0645\u0628\u0643\u0631\u0629 \u0644\u0627 \u064a\u0646\u0628\u063a\u064a \u062a\u062c\u0627\u0647\u0644\u0647\u0627 \u0623\u0628\u062f\u0627\u064b<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">\u063a\u0627\u0644\u0628\u0627\u064b \u0645\u0627 \u062a\u0644\u0627\u062d\u0638 \u0627\u0644\u0639\u0627\u0626\u0644\u0627\u062a \u062a\u063a\u064a\u0631\u0627\u062a \u0637\u0641\u064a\u0641\u0629 \u0642\u0628\u0644 \u0623\u0634\u0647\u0631 \u0645\u0646 \u0627\u0644\u062a\u0634\u062e\u064a\u0635 \u0627\u0644\u0631\u0633\u0645\u064a \u0644\u0639\u0633\u0631 \u0627\u0644\u0628\u0644\u0639.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u062a\u0634\u0645\u0644 \u0639\u0644\u0627\u0645\u0627\u062a \u0627\u0644\u062a\u062d\u0630\u064a\u0631 \u0645\u0627 \u064a\u0644\u064a:<\/p>\n\n\n\n<h3 id=\"eating-much-more-slowly\" class=\"wp-block-heading\">\u062a\u0646\u0627\u0648\u0644 \u0627\u0644\u0637\u0639\u0627\u0645 \u0628\u0628\u0637\u0621 \u0623\u0643\u062b\u0631<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">\u0642\u062f \u064a\u062d\u062a\u0627\u062c \u0627\u0644\u0637\u0641\u0644 \u0627\u0644\u0630\u064a \u0643\u0627\u0646 \u064a\u0646\u0647\u064a \u0627\u0644\u0639\u0634\u0627\u0621 \u0641\u064a 20 \u062f\u0642\u064a\u0642\u0629 \u0625\u0644\u0649 \u0623\u0643\u062b\u0631 \u0645\u0646 \u0633\u0627\u0639\u0629 \u0641\u062c\u0623\u0629.<\/p>\n\n\n\n<h3 id=\"avoiding-certain-foods\" class=\"wp-block-heading\">\u062a\u062c\u0646\u0628 \u0628\u0639\u0636 \u0627\u0644\u0623\u0637\u0639\u0645\u0629<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">\u062a\u0634\u0645\u0644 \u0627\u0644\u0623\u0637\u0639\u0645\u0629 \u0627\u0644\u062a\u064a \u064a\u062a\u0645 \u062a\u062c\u0646\u0628\u0647\u0627 \u0639\u0627\u062f\u0629\u064b \u0645\u0627 \u064a\u0644\u064a:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u0634\u0631\u064a\u062d\u0629 \u0644\u062d\u0645<\/li>\n\n\n\n<li>\u062e\u0628\u0632<\/li>\n\n\n\n<li>\u0623\u0631\u0632<\/li>\n\n\n\n<li>\u062f\u062c\u0627\u062c \u062c\u0627\u0641<\/li>\n\n\n\n<li>\u0627\u0644\u0628\u0633\u0643\u0648\u064a\u062a<\/li>\n\n\n\n<li>\u062e\u0636\u0631\u0627\u0648\u0627\u062a \u0646\u064a\u0626\u0629<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">\u062a\u062a\u0637\u0644\u0628 \u0647\u0630\u0647 \u0627\u0644\u0623\u0637\u0639\u0645\u0629 \u0639\u0636\u0644\u0627\u062a \u0645\u0636\u063a \u0623\u0642\u0648\u0649.<\/p>\n\n\n\n<h3 id=\"drinking-excess-water-during-meals\" class=\"wp-block-heading\">\u0634\u0631\u0628 \u0643\u0645\u064a\u0627\u062a \u0632\u0627\u0626\u062f\u0629 \u0645\u0646 \u0627\u0644\u0645\u0627\u0621 \u0623\u062b\u0646\u0627\u0621 \u062a\u0646\u0627\u0648\u0644 \u0627\u0644\u0637\u0639\u0627\u0645<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">\u064a\u0644\u062c\u0623 \u0628\u0639\u0636 \u0627\u0644\u0623\u0641\u0631\u0627\u062f \u0625\u0644\u0649 \u0634\u0631\u0628 \u0627\u0644\u0645\u0627\u0621 \u0628\u0634\u0643\u0644 \u0645\u062a\u0643\u0631\u0631 \u0628\u0639\u062f \u0643\u0644 \u0644\u0642\u0645\u0629 \u0644\u0623\u0646 \u0627\u0644\u0628\u0644\u0639 \u064a\u0635\u0628\u062d \u0635\u0639\u0628\u0627\u064b.<\/p>\n\n\n\n<h3 id=\"coughing-while-eating\" class=\"wp-block-heading\">\u0627\u0644\u0633\u0639\u0627\u0644 \u0623\u062b\u0646\u0627\u0621 \u062a\u0646\u0627\u0648\u0644 \u0627\u0644\u0637\u0639\u0627\u0645<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">\u064a\u0646\u0628\u063a\u064a \u062f\u0627\u0626\u0645\u0627\u064b \u0645\u0646\u0627\u0642\u0634\u0629 \u0627\u0644\u0633\u0639\u0627\u0644 \u0627\u0644\u0645\u0633\u062a\u0645\u0631 \u0623\u062b\u0646\u0627\u0621 \u062a\u0646\u0627\u0648\u0644 \u0627\u0644\u0637\u0639\u0627\u0645 \u0645\u0639 \u0627\u0644\u0641\u0631\u064a\u0642 \u0627\u0644\u0637\u0628\u064a.<\/p>\n\n\n\n<h3 id=\"wet-or-gurgly-voice\" class=\"wp-block-heading\">\u0635\u0648\u062a \u0631\u0637\u0628 \u0623\u0648 \u0645\u062a\u063a\u0631\u063a\u0631<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">\u0642\u062f \u064a\u0634\u064a\u0631 \u0627\u0644\u0635\u0648\u062a \u0627\u0644\u0631\u0637\u0628 \u0645\u0628\u0627\u0634\u0631\u0629 \u0628\u0639\u062f \u0627\u0644\u0628\u0644\u0639 \u0625\u0644\u0649 \u0648\u062c\u0648\u062f \u0628\u0642\u0627\u064a\u0627 \u0637\u0639\u0627\u0645 \u0623\u0648 \u0633\u0627\u0626\u0644 \u0628\u0627\u0644\u0642\u0631\u0628 \u0645\u0646 \u0645\u062c\u0631\u0649 \u0627\u0644\u0647\u0648\u0627\u0621.<\/p>\n\n\n\n<h3 id=\"weight-plateau\" class=\"wp-block-heading\">\u062b\u0628\u0627\u062a \u0627\u0644\u0648\u0632\u0646<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">\u064a\u0646\u0628\u063a\u064a \u0625\u062e\u0636\u0627\u0639 \u0627\u0644\u0623\u0637\u0641\u0627\u0644 \u0627\u0644\u0630\u064a\u0646 \u064a\u062a\u0648\u0642\u0641\u0648\u0646 \u0639\u0646 \u0627\u0643\u062a\u0633\u0627\u0628 \u0627\u0644\u0648\u0632\u0646 \u0639\u0644\u0649 \u0627\u0644\u0631\u063a\u0645 \u0645\u0646 \u0646\u0645\u0648 \u0637\u0648\u0644\u0647\u0645 \u0627\u0644\u0637\u0628\u064a\u0639\u064a \u0644\u062a\u0642\u064a\u064a\u0645 \u063a\u0630\u0627\u0626\u064a.<\/p>\n\n\n\n<h3 id=\"fatigue-after-meals\" class=\"wp-block-heading\">\u0627\u0644\u0634\u0639\u0648\u0631 \u0628\u0627\u0644\u062a\u0639\u0628 \u0628\u0639\u062f \u062a\u0646\u0627\u0648\u0644 \u0627\u0644\u0637\u0639\u0627\u0645<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">\u064a\u0635\u0641 \u0627\u0644\u0639\u062f\u064a\u062f \u0645\u0646 \u0627\u0644\u0645\u0631\u0636\u0649 \u062a\u0646\u0627\u0648\u0644 \u0627\u0644\u0637\u0639\u0627\u0645 \u0628\u0623\u0646\u0647 \u0645\u0631\u0647\u0642 \u062c\u0633\u062f\u064a\u0627\u064b.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u0628\u062f\u0644\u0627\u064b \u0645\u0646 \u0627\u0644\u0627\u0633\u062a\u0645\u062a\u0627\u0639 \u0628\u0648\u062c\u0628\u0627\u062a \u0627\u0644\u0639\u0634\u0627\u0621 \u0627\u0644\u0639\u0627\u0626\u0644\u064a\u0629\u060c \u0623\u0635\u0628\u062d \u062a\u0646\u0627\u0648\u0644 \u0627\u0644\u0637\u0639\u0627\u0645 \u0645\u0647\u0645\u0629 \u064a\u0648\u0645\u064a\u0629 \u0634\u0627\u0642\u0629.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 id=\"how-doctors-decide-whether-a-peg-tube-is-necessary\" class=\"wp-block-heading\">\u0643\u064a\u0641 \u064a\u0642\u0631\u0631 \u0627\u0644\u0623\u0637\u0628\u0627\u0621 \u0645\u0627 \u0625\u0630\u0627 \u0643\u0627\u0646 \u0623\u0646\u0628\u0648\u0628 \u0627\u0644\u062a\u063a\u0630\u064a\u0629 \u0639\u0646 \u0637\u0631\u064a\u0642 \u0627\u0644\u062c\u0644\u062f (PEG) \u0636\u0631\u0648\u0631\u064a\u0627\u064b<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">\u0644\u0627 \u064a\u062a\u062e\u0630 \u0623\u064a \u0637\u0628\u064a\u0628 \u0647\u0630\u0627 \u0627\u0644\u0642\u0631\u0627\u0631 \u0628\u0645\u0641\u0631\u062f\u0647.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u0628\u062f\u0644\u0627\u064b \u0645\u0646 \u0630\u0644\u0643\u060c \u062a\u0634\u0645\u0644 \u0639\u064a\u0627\u062f\u0627\u062a \u0636\u0645\u0648\u0631 \u0627\u0644\u0639\u0636\u0644\u0627\u062a \u0627\u0644\u062f\u0648\u0634\u064a\u0646\u064a \u0645\u062a\u0639\u062f\u062f\u0629 \u0627\u0644\u062a\u062e\u0635\u0635\u0627\u062a \u0639\u0627\u062f\u0629\u064b \u0645\u0627 \u064a\u0644\u064a:<\/p>\n\n\n\n<h3 id=\"neurologist\" class=\"wp-block-heading\">\u0637\u0628\u064a\u0628 \u0623\u0639\u0635\u0627\u0628<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">\u064a\u0642\u064a\u0645 \u062a\u0637\u0648\u0631 \u0627\u0644\u0645\u0631\u0636 \u0628\u0634\u0643\u0644 \u0639\u0627\u0645.<\/p>\n\n\n\n<h3 id=\"pulmonologist\" class=\"wp-block-heading\">\u0637\u0628\u064a\u0628 \u0623\u0645\u0631\u0627\u0636 \u0627\u0644\u0631\u0626\u0629<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">\u064a\u0642\u064a\u0633 \u0642\u0648\u0629 \u0639\u0636\u0644\u0627\u062a \u0627\u0644\u062c\u0647\u0627\u0632 \u0627\u0644\u062a\u0646\u0641\u0633\u064a \u0644\u0623\u0646 \u0645\u062e\u0627\u0637\u0631 \u0627\u0644\u062a\u062e\u062f\u064a\u0631 \u062a\u0632\u062f\u0627\u062f \u0645\u0639 \u0627\u0646\u062e\u0641\u0627\u0636 \u0648\u0638\u0627\u0626\u0641 \u0627\u0644\u0631\u0626\u0629.<\/p>\n\n\n\n<h3 id=\"gastroenterologist\" class=\"wp-block-heading\">\u0623\u062e\u0635\u0627\u0626\u064a \u0623\u0645\u0631\u0627\u0636 \u0627\u0644\u062c\u0647\u0627\u0632 \u0627\u0644\u0647\u0636\u0645\u064a<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">\u064a\u0642\u0648\u0645 \u0628\u0625\u062c\u0631\u0627\u0621 \u0627\u0644\u062a\u0642\u064a\u064a\u0645 \u0628\u0627\u0644\u0645\u0646\u0638\u0627\u0631 \u0648\u062a\u0631\u0643\u064a\u0628 \u0623\u0646\u0628\u0648\u0628 \u0627\u0644\u062a\u063a\u0630\u064a\u0629 \u0639\u0646 \u0637\u0631\u064a\u0642 \u0627\u0644\u062c\u0644\u062f (PEG).<\/p>\n\n\n\n<h3 id=\"speech-language-pathologist\" class=\"wp-block-heading\">\u0623\u062e\u0635\u0627\u0626\u064a \u0623\u0645\u0631\u0627\u0636 \u0627\u0644\u0646\u0637\u0642 \u0648\u0627\u0644\u0644\u063a\u0629<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">\u064a\u064f\u0642\u064a\u0651\u0645 \u0633\u0644\u0627\u0645\u0629 \u0627\u0644\u0628\u0644\u0639 \u0648\u062e\u0637\u0631 \u0627\u0644\u0627\u0633\u062a\u0646\u0634\u0627\u0642.<\/p>\n\n\n\n<h3 id=\"registered-dietitian\" class=\"wp-block-heading\">\u0623\u062e\u0635\u0627\u0626\u064a\u0629 \u062a\u063a\u0630\u064a\u0629 \u0645\u0633\u062c\u0644\u0629<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">\u064a\u062d\u0633\u0628 \u0627\u0644\u0627\u062d\u062a\u064a\u0627\u062c\u0627\u062a \u0645\u0646 \u0627\u0644\u0633\u0639\u0631\u0627\u062a \u0627\u0644\u062d\u0631\u0627\u0631\u064a\u0629\u060c \u0648\u064a\u0631\u0627\u0642\u0628 \u0623\u0648\u062c\u0647 \u0627\u0644\u0642\u0635\u0648\u0631 \u0627\u0644\u063a\u0630\u0627\u0626\u064a\u060c \u0648\u064a\u0648\u0635\u064a \u0628\u0627\u0644\u062a\u0631\u0643\u064a\u0628\u0627\u062a \u0627\u0644\u063a\u0630\u0627\u0626\u064a\u0629 \u0639\u0646\u062f \u0627\u0644\u062d\u0627\u062c\u0629.<\/p>\n\n\n\n<h3 id=\"anesthesiologist\" class=\"wp-block-heading\">\u0637\u0628\u064a\u0628 \u0627\u0644\u062a\u062e\u062f\u064a\u0631<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">\u064a\u062c\u0628 \u0627\u0644\u062a\u062e\u0637\u064a\u0637 \u0644\u0644\u062a\u062e\u062f\u064a\u0631 \u0628\u0639\u0646\u0627\u064a\u0629 \u0644\u0623\u0646 \u0627\u0644\u0623\u0641\u0631\u0627\u062f \u0627\u0644\u0645\u0635\u0627\u0628\u064a\u0646 \u0628\u0636\u0645\u0648\u0631 \u062f\u0648\u0634\u064a\u0646 \u0627\u0644\u0639\u0636\u0644\u064a \u0644\u062f\u064a\u0647\u0645 \u0627\u0639\u062a\u0628\u0627\u0631\u0627\u062a \u062a\u062e\u062f\u064a\u0631 \u0641\u0631\u064a\u062f\u0629.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u062a\u0624\u0643\u062f \u0627\u0644\u062a\u0648\u0635\u064a\u0627\u062a \u0627\u0644\u062f\u0648\u0644\u064a\u0629 \u0627\u0644\u062d\u0627\u0644\u064a\u0629 \u0644\u0631\u0639\u0627\u064a\u0629 \u0645\u0631\u0636\u0649 \u0636\u0645\u0648\u0631 \u0627\u0644\u0639\u0636\u0644\u0627\u062a \u0627\u0644\u062f\u0648\u0634\u064a\u0646\u064a \u0639\u0644\u0649 \u0623\u0646\u0647 \u0645\u0646 \u0627\u0644\u0623\u0641\u0636\u0644 \u0625\u062c\u0631\u0627\u0621 \u0648\u0636\u0639 \u0623\u0646\u0628\u0648\u0628 \u0627\u0644\u062a\u063a\u0630\u064a\u0629 \u0639\u0646 \u0637\u0631\u064a\u0642 \u0627\u0644\u062c\u0644\u062f \u0642\u0628\u0644 \u062d\u062f\u0648\u062b \u0642\u0635\u0648\u0631 \u062a\u0646\u0641\u0633\u064a \u062d\u0627\u062f \u0623\u0648 \u0633\u0648\u0621 \u062a\u063a\u0630\u064a\u0629 \u0639\u0645\u064a\u0642\u060c \u062d\u064a\u062b \u064a\u0631\u062a\u0628\u0637 \u0627\u0644\u062a\u062f\u062e\u0644 \u0627\u0644\u0645\u0628\u0643\u0631 \u0639\u0645\u0648\u0645\u064b\u0627 \u0628\u0645\u062e\u0627\u0637\u0631 \u0625\u062c\u0631\u0627\u0626\u064a\u0629 \u0623\u0642\u0644 \u0648\u062a\u062d\u0633\u064a\u0646 \u0627\u0644\u062a\u0639\u0627\u0641\u064a.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 id=\"is-peg-tube-placement-an-emergency-or-a-planned-procedure\" class=\"wp-block-heading\">\u0647\u0644 \u064a\u064f\u0639\u062f\u0651 \u0648\u0636\u0639 \u0623\u0646\u0628\u0648\u0628 \u0627\u0644\u062a\u063a\u0630\u064a\u0629 \u0639\u0646 \u0637\u0631\u064a\u0642 \u0627\u0644\u062c\u0644\u062f (PEG) \u0625\u062c\u0631\u0627\u0621\u064b \u0637\u0627\u0631\u0626\u0627\u064b \u0623\u0645 \u0625\u062c\u0631\u0627\u0621\u064b \u0645\u064f\u062e\u0637\u0637\u0627\u064b \u0644\u0647\u061f<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>\u0641\u064a \u0645\u0639\u0638\u0645 \u0627\u0644\u062d\u0627\u0644\u0627\u062a\u060c \u064a\u0639\u062a\u0628\u0631 \u0648\u0636\u0639 \u0623\u0646\u0628\u0648\u0628 \u0627\u0644\u062a\u063a\u0630\u064a\u0629 \u0639\u0646 \u0637\u0631\u064a\u0642 \u0627\u0644\u062c\u0644\u062f (PEG) \u0641\u064a \u0645\u0631\u0636 \u0636\u0645\u0648\u0631 \u0627\u0644\u0639\u0636\u0644\u0627\u062a \u0627\u0644\u062f\u0648\u0634\u064a\u0646\u064a \u0625\u062c\u0631\u0627\u0621\u064b \u0645\u062e\u0637\u0637\u0627\u064b \u0644\u0647 \u0648\u0627\u062e\u062a\u064a\u0627\u0631\u064a\u0627\u064b \u0628\u062f\u0644\u0627\u064b \u0645\u0646 \u0643\u0648\u0646\u0647 \u062a\u062f\u062e\u0644\u0627\u064b \u0637\u0627\u0631\u0626\u0627\u064b.<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u0642\u062f \u064a\u0624\u062f\u064a \u0627\u0644\u0627\u0646\u062a\u0638\u0627\u0631 \u062d\u062a\u0649 \u064a\u064f\u0635\u0627\u0628 \u0627\u0644\u0645\u0631\u064a\u0636 \u0628\u0646\u0642\u0635 \u062d\u0627\u062f \u0641\u064a \u0627\u0644\u0648\u0632\u0646 \u0623\u0648 \u0627\u0644\u062c\u0641\u0627\u0641 \u0623\u0648 \u0627\u0644\u062a\u0647\u0627\u0628 \u0631\u0626\u0648\u064a \u0645\u062a\u0643\u0631\u0631 \u0625\u0644\u0649 \u0632\u064a\u0627\u062f\u0629 \u0645\u062e\u0627\u0637\u0631 \u0627\u0644\u0625\u062c\u0631\u0627\u0621. \u0644\u0647\u0630\u0627 \u0627\u0644\u0633\u0628\u0628\u060c \u064a\u0648\u0635\u064a \u0627\u0644\u0639\u062f\u064a\u062f \u0645\u0646 \u0623\u062e\u0635\u0627\u0626\u064a\u064a \u0627\u0644\u0623\u0639\u0635\u0627\u0628 \u0648\u0627\u0644\u0639\u0636\u0644\u0627\u062a \u0628\u0645\u0646\u0627\u0642\u0634\u0629 \u062a\u0631\u0643\u064a\u0628 \u0623\u0646\u0628\u0648\u0628 \u0641\u063a\u0631 \u0627\u0644\u0645\u0639\u062f\u0629 \u0645\u0628\u0643\u0631\u064b\u0627\u060c \u062d\u062a\u0649 \u0644\u0648 \u0644\u0645 \u062a\u0643\u0646 \u0647\u0646\u0627\u0643 \u062d\u0627\u062c\u0629 \u0641\u0648\u0631\u064a\u0629 \u0644\u0644\u0623\u0646\u0628\u0648\u0628. \u062a\u064f\u0645\u0643\u0651\u0646 \u0627\u0644\u0645\u062d\u0627\u062f\u062b\u0627\u062a \u0627\u0644\u0645\u0628\u0643\u0631\u0629 \u0627\u0644\u0639\u0627\u0626\u0644\u0627\u062a \u0645\u0646 \u0641\u0647\u0645 \u0627\u0644\u0625\u062c\u0631\u0627\u0621\u060c \u0648\u0637\u0631\u062d \u0627\u0644\u0623\u0633\u0626\u0644\u0629\u060c \u0648\u0627\u062a\u062e\u0627\u0630 \u0642\u0631\u0627\u0631\u0627\u062a \u0645\u062f\u0631\u0648\u0633\u0629 \u062f\u0648\u0646 \u0636\u063a\u0637 \u062d\u0627\u0644\u0629 \u0637\u0628\u064a\u0629 \u0637\u0627\u0631\u0626\u0629.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u064a\u064f\u0639\u062f\u0651 \u0627\u0644\u062a\u062e\u0637\u064a\u0637 \u0627\u0644\u062f\u0642\u064a\u0642 \u0642\u0628\u0644 \u0627\u0644\u0625\u062c\u0631\u0627\u0621 \u0628\u0627\u0644\u063a \u0627\u0644\u0623\u0647\u0645\u064a\u0629\u060c \u0644\u0627 \u0633\u064a\u0645\u0627 \u0641\u064a \u062d\u0627\u0644\u0629 \u0636\u0645\u0648\u0631 \u062f\u0648\u0634\u064a\u0646 \u0627\u0644\u0639\u0636\u0644\u064a\u060c \u0644\u0623\u0646 \u0636\u0639\u0641 \u0639\u0636\u0644\u0627\u062a \u0627\u0644\u062c\u0647\u0627\u0632 \u0627\u0644\u062a\u0646\u0641\u0633\u064a \u0648\u0627\u0639\u062a\u0644\u0627\u0644 \u0639\u0636\u0644\u0629 \u0627\u0644\u0642\u0644\u0628 \u0642\u062f \u064a\u0632\u064a\u062f\u0627\u0646 \u0645\u0646 \u0627\u0644\u0645\u062e\u0627\u0637\u0631 \u0627\u0644\u0645\u0631\u062a\u0628\u0637\u0629 \u0628\u0627\u0644\u062a\u062e\u062f\u064a\u0631. \u0642\u0628\u0644 \u062a\u062d\u062f\u064a\u062f \u0645\u0648\u0639\u062f \u0644\u062a\u0631\u0643\u064a\u0628 \u0623\u0646\u0628\u0648\u0628 \u0627\u0644\u062a\u063a\u0630\u064a\u0629 \u0639\u0646 \u0637\u0631\u064a\u0642 \u0627\u0644\u062c\u0644\u062f \u0628\u0627\u0644\u0645\u0646\u0638\u0627\u0631\u060c \u064a\u0642\u0648\u0645 \u0627\u0644\u0623\u0637\u0628\u0627\u0621 \u0639\u0627\u062f\u0629\u064b \u0628\u062a\u0642\u064a\u064a\u0645 \u0645\u0627 \u064a\u0644\u064a:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u0648\u0638\u0627\u0626\u0641 \u0627\u0644\u0631\u0626\u0629 (\u0645\u062b\u0644 \u0627\u0644\u0633\u0639\u0629 \u0627\u0644\u062d\u064a\u0648\u064a\u0629 \u0627\u0644\u0642\u0633\u0631\u064a\u0629)<\/li>\n\n\n\n<li>\u0648\u0638\u0627\u0626\u0641 \u0627\u0644\u0642\u0644\u0628 \u0628\u0627\u0633\u062a\u062e\u062f\u0627\u0645 \u062a\u062e\u0637\u064a\u0637 \u0635\u062f\u0649 \u0627\u0644\u0642\u0644\u0628 \u0648\/\u0623\u0648 \u062a\u062e\u0637\u064a\u0637 \u0643\u0647\u0631\u0628\u064a\u0629 \u0627\u0644\u0642\u0644\u0628<\/li>\n\n\n\n<li>\u0627\u0644\u062d\u0627\u0644\u0629 \u0627\u0644\u062a\u063a\u0630\u0648\u064a\u0629<\/li>\n\n\n\n<li>\u0627\u0644\u0623\u062f\u0648\u064a\u0629 \u0627\u0644\u062d\u0627\u0644\u064a\u0629<\/li>\n\n\n\n<li>\u0627\u0639\u062a\u0628\u0627\u0631\u0627\u062a \u0625\u062f\u0627\u0631\u0629 \u0645\u062c\u0631\u0649 \u0627\u0644\u0647\u0648\u0627\u0621<\/li>\n\n\n\n<li>\u0627\u0644\u062d\u0627\u062c\u0629 \u0625\u0644\u0649 \u062f\u0639\u0645 \u0627\u0644\u062a\u0647\u0648\u064a\u0629 \u063a\u064a\u0631 \u0627\u0644\u063a\u0627\u0632\u064a\u0629 \u0641\u064a \u0627\u0644\u0641\u062a\u0631\u0629 \u0627\u0644\u0645\u062d\u064a\u0637\u0629 \u0628\u0627\u0644\u062c\u0631\u0627\u062d\u0629<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">\u0627\u0644\u0647\u062f\u0641 \u0647\u0648 \u0625\u062c\u0631\u0627\u0621 \u0627\u0644\u0639\u0645\u0644\u064a\u0629 \u0639\u0646\u062f\u0645\u0627 \u062a\u0643\u0648\u0646 \u062d\u0627\u0644\u0629 \u0627\u0644\u0645\u0631\u064a\u0636 \u0645\u0633\u062a\u0642\u0631\u0629 \u0637\u0628\u064a\u0627\u064b\u060c \u0628\u062f\u0644\u0627\u064b \u0645\u0646 \u062a\u0623\u062c\u064a\u0644\u0647\u0627 \u062d\u062a\u0649 \u062a\u062a\u062f\u0647\u0648\u0631 \u0627\u0644\u062a\u063a\u0630\u064a\u0629 \u0623\u0648 \u0648\u0638\u0627\u0626\u0641 \u0627\u0644\u062c\u0647\u0627\u0632 \u0627\u0644\u062a\u0646\u0641\u0633\u064a \u0628\u0634\u0643\u0644 \u0645\u0644\u062d\u0648\u0638. \u0627\u0642\u0631\u0623 \u0627\u0644\u0645\u0632\u064a\u062f: <a href=\"https:\/\/dmdwarrior.com\/ar\/heart-health-in-duchenne-muscular-dystrophy\/\" data-type=\"post\" data-id=\"6816\">\u0627\u0639\u062a\u0644\u0627\u0644 \u0639\u0636\u0644\u0629 \u0627\u0644\u0642\u0644\u0628 \u0641\u064a \u062f\u0648\u0634\u064a\u0646<\/a><\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h3 id=\"key-takeaways\" class=\"wp-block-heading\">\u0627\u0644\u0646\u0642\u0627\u0637 \u0627\u0644\u0631\u0626\u064a\u0633\u064a\u0629<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u0623\u0646\u0628\u0648\u0628 \u0627\u0644\u062a\u063a\u0630\u064a\u0629 \u0639\u0646 \u0637\u0631\u064a\u0642 \u0627\u0644\u062c\u0644\u062f (PEG) \u0641\u064a \u0645\u0631\u0636 \u0636\u0645\u0648\u0631 \u0627\u0644\u0639\u0636\u0644\u0627\u062a \u0627\u0644\u062f\u0648\u0634\u064a\u0646\u064a \u0647\u0648 \u0639\u0644\u0627\u062c \u062f\u0627\u0639\u0645 \u064a\u0633\u0627\u0639\u062f \u0641\u064a \u0627\u0644\u062d\u0641\u0627\u0638 \u0639\u0644\u0649 \u0627\u0644\u062a\u063a\u0630\u064a\u0629 \u0648\u0627\u0644\u062a\u0631\u0637\u064a\u0628 \u0648\u0625\u064a\u0635\u0627\u0644 \u0627\u0644\u0623\u062f\u0648\u064a\u0629.<\/li>\n\n\n\n<li><strong>\u064a\u0633\u062a\u0645\u0631 \u0627\u0644\u0639\u062f\u064a\u062f \u0645\u0646 \u0627\u0644\u0623\u0634\u062e\u0627\u0635 \u0627\u0644\u0645\u0635\u0627\u0628\u064a\u0646 \u0628\u0636\u0645\u0648\u0631 \u062f\u0648\u0634\u064a\u0646 \u0627\u0644\u0639\u0636\u0644\u064a \u0648\u0627\u0644\u0630\u064a\u0646 \u0644\u062f\u064a\u0647\u0645 \u0623\u0646\u0627\u0628\u064a\u0628 \u0641\u063a\u0631 \u0627\u0644\u0645\u0639\u062f\u0629 \u0641\u064a \u062a\u0646\u0627\u0648\u0644 \u0627\u0644\u0637\u0639\u0627\u0645 \u0639\u0646 \u0637\u0631\u064a\u0642 \u0627\u0644\u0641\u0645.<\/strong><\/li>\n\n\n\n<li>\u062a\u064f\u0639\u062f \u0635\u0639\u0648\u0628\u0627\u062a \u0627\u0644\u0628\u0644\u0639 \u0627\u0644\u062a\u062f\u0631\u064a\u062c\u064a\u0629\u060c \u0648\u0641\u0642\u062f\u0627\u0646 \u0627\u0644\u0648\u0632\u0646\u060c \u0648\u0641\u062a\u0631\u0627\u062a \u062a\u0646\u0627\u0648\u0644 \u0627\u0644\u0637\u0639\u0627\u0645 \u0627\u0644\u0645\u0637\u0648\u0644\u0629\u060c \u0648\u062e\u0637\u0631 \u0627\u0644\u0627\u0633\u062a\u0646\u0634\u0627\u0642 \u0645\u0646 \u0627\u0644\u0623\u0633\u0628\u0627\u0628 \u0627\u0644\u0634\u0627\u0626\u0639\u0629 \u0644\u0644\u0646\u0638\u0631 \u0641\u064a \u0648\u0636\u0639 \u0623\u0646\u0628\u0648\u0628 \u0627\u0644\u062a\u063a\u0630\u064a\u0629 \u0639\u0646 \u0637\u0631\u064a\u0642 \u0627\u0644\u062c\u0644\u062f (PEG).<\/li>\n\n\n\n<li><strong>\u064a\u0646\u0628\u063a\u064a \u0627\u062a\u062e\u0627\u0630 \u0627\u0644\u0642\u0631\u0627\u0631\u0627\u062a \u0645\u0646 \u0642\u0628\u0644 \u0641\u0631\u064a\u0642 \u0645\u062a\u0639\u062f\u062f \u0627\u0644\u062a\u062e\u0635\u0635\u0627\u062a \u0645\u062a\u062e\u0635\u0635 \u0641\u064a \u0627\u0644\u0623\u0645\u0631\u0627\u0636 \u0627\u0644\u0639\u0635\u0628\u064a\u0629 \u0627\u0644\u0639\u0636\u0644\u064a\u0629\u060c \u0648\u064a\u0641\u0636\u0644 \u0623\u0646 \u064a\u0643\u0648\u0646 \u0630\u0644\u0643 \u0642\u0628\u0644 \u062d\u062f\u0648\u062b \u0633\u0648\u0621 \u062a\u063a\u0630\u064a\u0629 \u062d\u0627\u062f \u0623\u0648 \u062a\u062f\u0647\u0648\u0631 \u0641\u064a \u0627\u0644\u062c\u0647\u0627\u0632 \u0627\u0644\u062a\u0646\u0641\u0633\u064a.<\/strong><\/li>\n\n\n\n<li>\u064a\u0645\u0643\u0646 \u0644\u0644\u0645\u0646\u0627\u0642\u0634\u0627\u062a \u0627\u0644\u0645\u0628\u0643\u0631\u0629 \u062d\u0648\u0644 \u0641\u063a\u0631 \u0627\u0644\u0645\u0639\u062f\u0629 \u0623\u0646 \u062a\u0642\u0644\u0644 \u0645\u0646 \u0627\u0644\u062a\u0648\u062a\u0631 \u0648\u062a\u0633\u0645\u062d \u0644\u0644\u0639\u0627\u0626\u0644\u0627\u062a \u0628\u0627\u062a\u062e\u0627\u0630 \u0642\u0631\u0627\u0631\u0627\u062a \u0645\u0633\u062a\u0646\u064a\u0631\u0629.<\/li>\n<\/ul>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 id=\"is-a-peg-tube-safe-for-duchenne-muscular-dystrophy\" class=\"wp-block-heading\">\u0647\u0644 \u0623\u0646\u0628\u0648\u0628 \u0627\u0644\u062a\u063a\u0630\u064a\u0629 \u0639\u0646 \u0637\u0631\u064a\u0642 \u0627\u0644\u062c\u0644\u062f \u0622\u0645\u0646 \u0644\u0645\u0631\u0636 \u0636\u0645\u0648\u0631 \u062f\u0648\u0634\u064a\u0646 \u0627\u0644\u0639\u0636\u0644\u064a\u061f<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">\u063a\u0627\u0644\u0628\u0627\u064b \u0645\u0627 \u064a\u0643\u0648\u0646 \u0627\u0644\u0623\u0645\u0627\u0646 \u0647\u0648 \u0627\u0644\u0634\u0627\u063a\u0644 \u0627\u0644\u0623\u0648\u0644 \u0627\u0644\u0630\u064a \u062a\u062b\u064a\u0631\u0647 \u0627\u0644\u0639\u0627\u0626\u0644\u0627\u062a \u0639\u0646\u062f \u0645\u0646\u0627\u0642\u0634\u0629 \u0639\u0645\u0644\u064a\u0629 \u0641\u063a\u0631 \u0627\u0644\u0645\u0639\u062f\u0629. \u0648\u0645\u0646 \u0627\u0644\u0637\u0628\u064a\u0639\u064a \u0623\u0646 \u064a\u0634\u0639\u0631 \u0627\u0644\u0622\u0628\u0627\u0621 \u0628\u0627\u0644\u0642\u0644\u0642 \u0628\u0634\u0623\u0646 \u0627\u0644\u062a\u062e\u062f\u064a\u0631\u060c \u0648\u0627\u0644\u0639\u0645\u0644\u064a\u0629 \u0646\u0641\u0633\u0647\u0627\u060c \u0648\u0645\u0627 \u0625\u0630\u0627 \u0643\u0627\u0646 \u0637\u0641\u0644\u0647\u0645 \u0633\u064a\u062a\u0639\u0627\u0641\u0649 \u0628\u0634\u0643\u0644 \u062c\u064a\u062f. <strong>\u0648\u0627\u0644\u062e\u0628\u0631 \u0627\u0644\u0645\u0637\u0645\u0626\u0646 \u0647\u0648 \u0623\u0646 \u0623\u0646\u0627\u0628\u064a\u0628 \u0641\u063a\u0631 \u0627\u0644\u0645\u0639\u062f\u0629 \u0641\u064a \u0636\u0645\u0648\u0631 \u062f\u0648\u0634\u064a\u0646 \u0627\u0644\u0639\u0636\u0644\u064a \u062a\u0639\u062a\u0628\u0631 \u0625\u062c\u0631\u0627\u0621\u064b \u0631\u0627\u0633\u062e\u0627\u064b \u0648\u0622\u0645\u0646\u0627\u064b \u0628\u0634\u0643\u0644 \u0639\u0627\u0645 \u0639\u0646\u062f \u0625\u062c\u0631\u0627\u0626\u0647\u0627 \u0645\u0646 \u0642\u0628\u0644 \u0641\u0631\u064a\u0642 \u0645\u062a\u0639\u062f\u062f \u0627\u0644\u062a\u062e\u0635\u0635\u0627\u062a \u0630\u064a \u062e\u0628\u0631\u0629 \u0639\u0644\u0649 \u062f\u0631\u0627\u064a\u0629 \u0628\u0627\u0644\u0627\u0636\u0637\u0631\u0627\u0628\u0627\u062a \u0627\u0644\u0639\u0635\u0628\u064a\u0629 \u0627\u0644\u0639\u0636\u0644\u064a\u0629.<\/strong> \u0627\u0642\u0631\u0623 \u0627\u0644\u0645\u0632\u064a\u062f: <a href=\"https:\/\/dmdwarrior.com\/ar\/multidisciplinary-neuromuscular-team-duchenne-muscular-dystrophy\/\">\u0641\u0631\u064a\u0642 \u0645\u062a\u0639\u062f\u062f \u0627\u0644\u062a\u062e\u0635\u0635\u0627\u062a \u0641\u064a \u0645\u062c\u0627\u0644 \u0627\u0644\u0623\u0639\u0635\u0627\u0628 \u0648\u0627\u0644\u0639\u0636\u0644\u0627\u062a \u0641\u064a \u062f\u0648\u0634\u064a\u0646<\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>\u0644\u0627 \u062a\u0631\u062a\u0628\u0637 \u0627\u0644\u0645\u062e\u0627\u0637\u0631 \u0627\u0644\u0623\u0643\u0628\u0631 \u0639\u0627\u062f\u0629\u064b \u0628\u0623\u0646\u0628\u0648\u0628 \u0627\u0644\u062a\u063a\u0630\u064a\u0629 \u0639\u0646 \u0637\u0631\u064a\u0642 \u0627\u0644\u062c\u0644\u062f \u0646\u0641\u0633\u0647\u060c \u0628\u0644 \u0628\u0627\u0644\u0645\u0636\u0627\u0639\u0641\u0627\u062a \u0627\u0644\u062a\u0646\u0641\u0633\u064a\u0629 \u0648\u0627\u0644\u0642\u0644\u0628\u064a\u0629 \u0627\u0644\u062a\u064a \u064a\u0645\u0643\u0646 \u0623\u0646 \u062a\u0635\u0627\u062d\u0628 \u0645\u0631\u0636 \u0636\u0645\u0648\u0631 \u0627\u0644\u0639\u0636\u0644\u0627\u062a \u0627\u0644\u062f\u0648\u0634\u064a\u0646\u064a \u0627\u0644\u0645\u062a\u0642\u062f\u0645.<\/strong> \u0648\u0644\u0647\u0630\u0627 \u0627\u0644\u0633\u0628\u0628\u060c \u062a\u0648\u0635\u064a \u0625\u0631\u0634\u0627\u062f\u0627\u062a \u0627\u0644\u0631\u0639\u0627\u064a\u0629 \u0627\u0644\u062f\u0648\u0644\u064a\u0629 \u0628\u062a\u0642\u064a\u064a\u0645 \u0627\u0644\u0645\u0631\u0636\u0649 \u0642\u0628\u0644 \u062d\u062f\u0648\u062b \u062a\u062f\u0647\u0648\u0631 \u062d\u0627\u062f \u0641\u064a \u0627\u0644\u062c\u0647\u0627\u0632 \u0627\u0644\u062a\u0646\u0641\u0633\u064a \u0623\u0648 \u0633\u0648\u0621 \u062a\u063a\u0630\u064a\u0629 \u0634\u062f\u064a\u062f.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u0623\u0638\u0647\u0631\u062a \u0627\u0644\u062f\u0631\u0627\u0633\u0627\u062a \u0627\u0644\u062a\u064a \u0646\u0634\u0631\u062a\u0647\u0627 \u0645\u062c\u0645\u0648\u0639\u0629 \u0639\u0645\u0644 \u0627\u0639\u062a\u0628\u0627\u0631\u0627\u062a \u0631\u0639\u0627\u064a\u0629 \u062f\u0648\u0634\u064a\u0646 \u0623\u0646 \u0627\u0644\u0645\u0631\u0636\u0649 \u0627\u0644\u0630\u064a\u0646 \u064a\u062e\u0636\u0639\u0648\u0646 \u0644\u0639\u0645\u0644\u064a\u0629 \u0632\u0631\u0639 \u0623\u0646\u0628\u0648\u0628 \u0627\u0644\u062a\u063a\u0630\u064a\u0629 \u0639\u0646 \u0637\u0631\u064a\u0642 \u0627\u0644\u062c\u0644\u062f (PEG) \u0641\u064a \u0639\u0645\u0644\u064a\u0629 \u0632\u0631\u0639 \u0623\u0646\u0628\u0648\u0628 \u0627\u0644\u062a\u063a\u0630\u064a\u0629 \u0639\u0646 \u0637\u0631\u064a\u0642 \u0627\u0644\u062c\u0644\u062f (PEG) \u0623\u062b\u0646\u0627\u0621 \u0628\u0642\u0627\u0621 \u062d\u0627\u0644\u062a\u0647\u0645 \u0627\u0644\u062a\u063a\u0630\u0648\u064a\u0629 \u0648\u0627\u0644\u062a\u0646\u0641\u0633\u064a\u0629 \u0645\u0633\u062a\u0642\u0631\u0629 \u0646\u0633\u0628\u064a\u064b\u0627 \u064a\u062d\u0642\u0642\u0648\u0646 \u0639\u0645\u0648\u0645\u064b\u0627 \u0646\u062a\u0627\u0626\u062c \u0623\u0641\u0636\u0644 \u0645\u0646 \u0623\u0648\u0644\u0626\u0643 \u0627\u0644\u0630\u064a\u0646 \u064a\u062e\u0636\u0639\u0648\u0646 \u0644\u0639\u0645\u0644\u064a\u0629 \u0632\u0631\u0639 \u0637\u0627\u0631\u0626\u0629 \u0628\u0639\u062f \u0641\u0642\u062f\u0627\u0646 \u0643\u0628\u064a\u0631 \u0641\u064a \u0627\u0644\u0648\u0632\u0646 \u0623\u0648 \u0627\u0644\u062a\u0647\u0627\u0628 \u0631\u0626\u0648\u064a \u0645\u062a\u0643\u0631\u0631 \u0646\u0627\u062a\u062c \u0639\u0646 \u0627\u0644\u0627\u0633\u062a\u0646\u0634\u0627\u0642.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u0645\u0646 \u0627\u0644\u0645\u0647\u0645 \u0623\u0646 \u0646\u062a\u0630\u0643\u0631 \u0623\u0646 \u0643\u0644 \u0645\u0631\u064a\u0636 \u064a\u062e\u062a\u0644\u0641 \u0639\u0646 \u0627\u0644\u0622\u062e\u0631. \u0642\u062f \u064a\u062a\u062d\u0645\u0644 \u0627\u0644\u0637\u0641\u0644 \u0627\u0644\u0630\u064a \u064a\u062a\u0645\u062a\u0639 \u0628\u0648\u0638\u0627\u0626\u0641 \u0631\u0626\u0648\u064a\u0629 \u0633\u0644\u064a\u0645\u0629 \u0627\u0644\u0625\u062c\u0631\u0627\u0621 \u0628\u0634\u0643\u0644 \u0645\u062e\u062a\u0644\u0641 \u062a\u0645\u0627\u0645\u064b\u0627 \u0639\u0646 \u0627\u0644\u0628\u0627\u0644\u063a \u0627\u0644\u0630\u064a \u064a\u0639\u0627\u0646\u064a \u0645\u0646 \u0636\u0639\u0641 \u0645\u062a\u0642\u062f\u0645 \u0641\u064a \u0639\u0636\u0644\u0627\u062a \u0627\u0644\u062c\u0647\u0627\u0632 \u0627\u0644\u062a\u0646\u0641\u0633\u064a \u0648\u064a\u062d\u062a\u0627\u062c \u0625\u0644\u0649 \u062a\u0647\u0648\u064a\u0629 \u063a\u064a\u0631 \u062c\u0631\u0627\u062d\u064a\u0629.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h3 id=\"why-timing-matters\" class=\"wp-block-heading\">\u0644\u0645\u0627\u0630\u0627 \u064a\u064f\u0639\u062f\u0651 \u0627\u0644\u062a\u0648\u0642\u064a\u062a \u0645\u0647\u0645\u0627\u064b\u061f<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">\u0645\u0646 \u0623\u0643\u062b\u0631 \u0627\u0644\u0645\u0641\u0627\u0647\u064a\u0645 \u0627\u0644\u062e\u0627\u0637\u0626\u0629 \u0634\u064a\u0648\u0639\u0627\u064b \u0627\u0644\u0627\u0639\u062a\u0642\u0627\u062f \u0628\u0623\u0646\u0647 \u0644\u0627 \u064a\u0646\u0628\u063a\u064a \u0627\u0644\u062a\u0641\u0643\u064a\u0631 \u0641\u064a \u0623\u0646\u0628\u0648\u0628 \u0627\u0644\u062a\u063a\u0630\u064a\u0629 \u0625\u0644\u0627 \u0639\u0646\u062f\u0645\u0627 \u064a\u0635\u0628\u062d \u062a\u0646\u0627\u0648\u0644 \u0627\u0644\u0637\u0639\u0627\u0645 \u0645\u0633\u062a\u062d\u064a\u0644\u0627\u064b.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>\u0641\u064a \u0627\u0644\u0648\u0627\u0642\u0639\u060c \u064a\u0648\u0635\u064a \u0627\u0644\u0645\u062a\u062e\u0635\u0635\u0648\u0646 \u0628\u0634\u0643\u0644 \u0645\u062a\u0632\u0627\u064a\u062f \u0628\u0645\u0646\u0627\u0642\u0634\u0629 \u0623\u0646\u0627\u0628\u064a\u0628 \u0641\u063a\u0631 \u0627\u0644\u0645\u0639\u062f\u0629 \u0641\u064a \u062d\u0627\u0644\u0627\u062a \u0636\u0645\u0648\u0631 \u062f\u0648\u0634\u064a\u0646 \u0627\u0644\u0639\u0636\u0644\u064a \u0641\u064a \u0648\u0642\u062a \u0645\u0628\u0643\u0631 \u062c\u062f\u064b\u0627.<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u0642\u062f \u064a\u0633\u0627\u0639\u062f \u0627\u0644\u062a\u062f\u062e\u0644 \u0627\u0644\u0645\u0628\u0643\u0631 \u0641\u064a \u0645\u0646\u0639 \u0645\u0627 \u064a\u0644\u064a:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u0633\u0648\u0621 \u0627\u0644\u062a\u063a\u0630\u064a\u0629 \u0627\u0644\u062d\u0627\u062f<\/li>\n\n\n\n<li>\u0627\u0644\u062c\u0641\u0627\u0641 \u0627\u0644\u0645\u0632\u0645\u0646<\/li>\n\n\n\n<li>\u0627\u0644\u062a\u0647\u0627\u0628 \u0631\u0626\u0648\u064a \u0645\u062a\u0643\u0631\u0631 \u0646\u0627\u062a\u062c \u0639\u0646 \u0627\u0644\u0627\u0633\u062a\u0646\u0634\u0627\u0642<\/li>\n\n\n\n<li>\u0641\u0642\u062f\u0627\u0646 \u0645\u0644\u062d\u0648\u0638 \u0641\u064a \u0627\u0644\u0648\u0632\u0646<\/li>\n\n\n\n<li><a href=\"https:\/\/dmdwarrior.com\/ar\/emergency-care-in-duchenne-muscular-dystrophy\/\" data-type=\"post\" data-id=\"6956\">\u0645\u0633\u062a\u0634\u0641\u0649 \u0627\u0644\u0637\u0648\u0627\u0631\u0626<\/a><\/li>\n\n\n\n<li>\u0632\u064a\u0627\u062f\u0629 \u0645\u062e\u0627\u0637\u0631 \u0627\u0644\u062a\u062e\u062f\u064a\u0631 \u0627\u0644\u0645\u0631\u062a\u0628\u0637\u0629 \u0628\u062a\u062f\u0647\u0648\u0631 \u0627\u0644\u062c\u0647\u0627\u0632 \u0627\u0644\u062a\u0646\u0641\u0633\u064a \u0627\u0644\u0645\u062a\u0642\u062f\u0645<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">\u0642\u062f \u064a\u0624\u062f\u064a \u0627\u0644\u0627\u0646\u062a\u0638\u0627\u0631 \u062d\u062a\u0649 \u062a\u062a\u062f\u0647\u0648\u0631 \u0627\u0644\u062d\u0627\u0644\u0629 \u0627\u0644\u062a\u063a\u0630\u0648\u064a\u0629 \u0628\u0634\u0643\u0644 \u0643\u0628\u064a\u0631 \u0625\u0644\u0649 \u062c\u0639\u0644 \u0627\u0644\u062a\u0639\u0627\u0641\u064a \u0623\u0643\u062b\u0631 \u0635\u0639\u0648\u0628\u0629.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 id=\"pre-procedure-evaluation\" class=\"wp-block-heading\">\u0627\u0644\u062a\u0642\u064a\u064a\u0645 \u0642\u0628\u0644 \u0627\u0644\u0625\u062c\u0631\u0627\u0621<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>\u0642\u0628\u0644 \u0627\u0644\u062a\u0648\u0635\u064a\u0629 \u0628\u0627\u0633\u062a\u062e\u062f\u0627\u0645 \u0623\u0646\u0628\u0648\u0628 \u0627\u0644\u062a\u063a\u0630\u064a\u0629 \u0639\u0646 \u0637\u0631\u064a\u0642 \u0627\u0644\u062c\u0644\u062f (PEG) \u0641\u064a \u062d\u0627\u0644\u0627\u062a \u0636\u0645\u0648\u0631 \u0627\u0644\u0639\u0636\u0644\u0627\u062a \u0627\u0644\u062f\u0648\u0634\u064a\u0646\u064a (DMD)\u060c \u064a\u0642\u0648\u0645 \u0627\u0644\u0623\u0637\u0628\u0627\u0621 \u0639\u0627\u062f\u0629\u064b \u0628\u0625\u062c\u0631\u0627\u0621 \u062a\u0642\u064a\u064a\u0645 \u0634\u0627\u0645\u0644.<\/strong><\/p>\n\n\n\n<h3 id=\"cardiac-assessment\" class=\"wp-block-heading\">\u0627\u0644\u062a\u0642\u064a\u064a\u0645 \u0627\u0644\u0642\u0644\u0628\u064a<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">\u0646\u0638\u0631\u0627\u064b \u0644\u0623\u0646 \u0636\u0645\u0648\u0631 \u062f\u0648\u0634\u064a\u0646 \u0627\u0644\u0639\u0636\u0644\u064a \u064a\u0624\u062b\u0631 \u0639\u0627\u062f\u0629\u064b \u0639\u0644\u0649 \u0639\u0636\u0644\u0629 \u0627\u0644\u0642\u0644\u0628\u060c \u0641\u0625\u0646 \u0627\u0644\u0645\u0631\u0636\u0649 \u064a\u062e\u0636\u0639\u0648\u0646 \u0639\u0627\u062f\u0629\u064b \u0644\u0645\u0627 \u064a\u0644\u064a:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u062a\u062e\u0637\u064a\u0637 \u0643\u0647\u0631\u0628\u064a\u0629 \u0627\u0644\u0642\u0644\u0628 (ECG)<\/li>\n\n\n\n<li>\u062a\u062e\u0637\u064a\u0637 \u0635\u062f\u0649 \u0627\u0644\u0642\u0644\u0628<\/li>\n\n\n\n<li>\u0627\u0633\u062a\u0634\u0627\u0631\u0629 \u0637\u0628\u064a\u0628 \u0627\u0644\u0642\u0644\u0628<\/li>\n\n\n\n<li>\u0645\u0631\u0627\u062c\u0639\u0629 \u0627\u0644\u0623\u062f\u0648\u064a\u0629<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">\u0642\u062f \u064a\u062d\u062a\u0627\u062c \u0627\u0644\u0645\u0631\u0636\u0649 \u0627\u0644\u0645\u0635\u0627\u0628\u0648\u0646 \u0628\u0627\u0639\u062a\u0644\u0627\u0644 \u0639\u0636\u0644\u0629 \u0627\u0644\u0642\u0644\u0628 \u0625\u0644\u0649 \u062a\u0639\u062f\u064a\u0644\u0627\u062a \u0641\u064a \u062e\u0637\u0629 \u0627\u0644\u062a\u062e\u062f\u064a\u0631.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h3 id=\"respiratory-assessment\" class=\"wp-block-heading\">\u062a\u0642\u064a\u064a\u0645 \u0627\u0644\u062c\u0647\u0627\u0632 \u0627\u0644\u062a\u0646\u0641\u0633\u064a<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">\u064a\u0634\u0645\u0644 \u0627\u0644\u062a\u0642\u064a\u064a\u0645 \u0627\u0644\u0631\u0626\u0648\u064a \u0639\u0627\u062f\u0629\u064b \u0645\u0627 \u064a\u0644\u064a:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u0627\u0644\u0633\u0639\u0629 \u0627\u0644\u062d\u064a\u0648\u064a\u0629 \u0627\u0644\u0642\u0633\u0631\u064a\u0629 (FVC)<\/li>\n\n\n\n<li>\u0630\u0631\u0648\u0629 \u062a\u062f\u0641\u0642 \u0627\u0644\u0633\u0639\u0627\u0644<\/li>\n\n\n\n<li>\u062a\u0634\u0628\u0639 \u0627\u0644\u0623\u0643\u0633\u062c\u064a\u0646<\/li>\n\n\n\n<li>\u062f\u0631\u0627\u0633\u0627\u062a \u0627\u0644\u0646\u0648\u0645 \u0625\u0630\u0627 \u0644\u0632\u0645 \u0627\u0644\u0623\u0645\u0631<\/li>\n\n\n\n<li>\u0645\u0631\u0627\u062c\u0639\u0629 \u0627\u0633\u062a\u062e\u062f\u0627\u0645 \u0627\u0644\u062a\u0647\u0648\u064a\u0629 \u063a\u064a\u0631 \u0627\u0644\u063a\u0627\u0632\u064a\u0629<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">\u0642\u062f \u064a\u0648\u0635\u064a \u0623\u062e\u0635\u0627\u0626\u064a\u0648 \u0627\u0644\u0639\u0644\u0627\u062c \u0627\u0644\u062a\u0646\u0641\u0633\u064a \u0628\u0627\u0633\u062a\u062e\u062f\u0627\u0645 \u0623\u062c\u0647\u0632\u0629 \u0645\u0633\u0627\u0639\u062f\u0629 \u0627\u0644\u0633\u0639\u0627\u0644 \u0642\u0628\u0644 \u0627\u0644\u062c\u0631\u0627\u062d\u0629 \u0648\u0628\u0639\u062f\u0647\u0627 \u0644\u0644\u062d\u062f \u0645\u0646 \u0627\u0644\u0645\u0636\u0627\u0639\u0641\u0627\u062a \u0627\u0644\u0631\u0626\u0648\u064a\u0629. \u0627\u0642\u0631\u0623 \u0627\u0644\u0645\u0632\u064a\u062f: <a href=\"https:\/\/dmdwarrior.com\/ar\/respiratory-devices-for-duchenne-muscular-dystrophy\/\">\u0623\u062c\u0647\u0632\u0629 \u0627\u0644\u062a\u0646\u0641\u0633 \u0644\u0645\u0631\u0636\u0649 \u0636\u0645\u0648\u0631 \u0627\u0644\u0639\u0636\u0644\u0627\u062a \u0627\u0644\u062f\u0648\u0634\u064a\u0646\u064a<\/a><\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h3 id=\"nutritional-assessment\" class=\"wp-block-heading\">\u0627\u0644\u062a\u0642\u064a\u064a\u0645 \u0627\u0644\u063a\u0630\u0627\u0626\u064a<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">\u064a\u0642\u0648\u0645 \u0623\u062e\u0635\u0627\u0626\u064a\u0648 \u0627\u0644\u062a\u063a\u0630\u064a\u0629 \u0628\u062a\u0642\u064a\u064a\u0645 \u0645\u0627 \u064a\u0644\u064a:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u0627\u0644\u0648\u0632\u0646 \u0627\u0644\u062d\u0627\u0644\u064a<\/li>\n\n\n\n<li>\u0645\u0624\u0634\u0631 \u0643\u062a\u0644\u0629 \u0627\u0644\u062c\u0633\u0645<\/li>\n\n\n\n<li>\u0645\u062e\u0637\u0637\u0627\u062a \u0627\u0644\u0646\u0645\u0648<\/li>\n\n\n\n<li>\u0643\u0645\u064a\u0629 \u0627\u0644\u0633\u0639\u0631\u0627\u062a \u0627\u0644\u062d\u0631\u0627\u0631\u064a\u0629 \u0627\u0644\u064a\u0648\u0645\u064a\u0629<\/li>\n\n\n\n<li>\u0646\u0642\u0635 \u0627\u0644\u0641\u064a\u062a\u0627\u0645\u064a\u0646\u0627\u062a<\/li>\n\n\n\n<li>\u062d\u0627\u0644\u0629 \u0627\u0644\u062a\u0631\u0637\u064a\u0628<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">\u062a\u0633\u0627\u0639\u062f \u0647\u0630\u0647 \u0627\u0644\u0642\u064a\u0627\u0633\u0627\u062a \u0641\u064a \u062a\u062d\u062f\u064a\u062f \u0645\u0627 \u0625\u0630\u0627 \u0643\u0627\u0646 \u064a\u0646\u0628\u063a\u064a \u0627\u0644\u0628\u062f\u0621 \u0628\u0627\u0644\u062a\u063a\u0630\u064a\u0629 \u0627\u0644\u062a\u0643\u0645\u064a\u0644\u064a\u0629 \u0645\u0628\u0627\u0634\u0631\u0629 \u0628\u0639\u062f \u0648\u0636\u0639 \u0627\u0644\u0623\u0646\u0628\u0648\u0628.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 id=\"how-is-a-peg-tube-inserted-in-dmd-patients\" class=\"wp-block-heading\">\u0643\u064a\u0641 \u064a\u062a\u0645 \u0625\u062f\u062e\u0627\u0644 \u0623\u0646\u0628\u0648\u0628 \u0627\u0644\u062a\u063a\u0630\u064a\u0629 \u0639\u0646 \u0637\u0631\u064a\u0642 \u0627\u0644\u062c\u0644\u062f (PEG) \u0644\u0645\u0631\u0636\u0649 \u0636\u0645\u0648\u0631 \u0627\u0644\u0639\u0636\u0644\u0627\u062a \u0627\u0644\u062f\u0648\u0634\u064a\u0646\u064a\u061f<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>\u0639\u0627\u062f\u0629 \u0645\u0627 \u064a\u062a\u0645 \u0648\u0636\u0639 \u0623\u0646\u0628\u0648\u0628 PEG \u0641\u064a \u0645\u0631\u0636 \u0636\u0645\u0648\u0631 \u0627\u0644\u0639\u0636\u0644\u0627\u062a \u0627\u0644\u062f\u0648\u0634\u064a\u0646\u064a \u0628\u0627\u0633\u062a\u062e\u062f\u0627\u0645 \u0641\u063a\u0631 \u0627\u0644\u0645\u0639\u062f\u0629 \u0628\u0627\u0644\u0645\u0646\u0638\u0627\u0631 \u0639\u0646 \u0637\u0631\u064a\u0642 \u0627\u0644\u062c\u0644\u062f (PEG)\u060c \u0648\u0627\u0644\u0630\u064a \u0623\u0635\u0628\u062d \u0627\u0644\u062a\u0642\u0646\u064a\u0629 \u0627\u0644\u0623\u0643\u062b\u0631 \u0634\u064a\u0648\u0639\u064b\u0627 \u0641\u064a \u062c\u0645\u064a\u0639 \u0623\u0646\u062d\u0627\u0621 \u0627\u0644\u0639\u0627\u0644\u0645.<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u0627\u0644\u0625\u062c\u0631\u0627\u0621 \u0637\u0641\u064a\u0641 \u0627\u0644\u062a\u0648\u063a\u0644 \u0648\u064a\u0633\u062a\u063a\u0631\u0642 \u0639\u0627\u062f\u0629 \u0645\u0627 \u0628\u064a\u0646 20 \u0648 40 \u062f\u0642\u064a\u0642\u0629\u060c \u0639\u0644\u0649 \u0627\u0644\u0631\u063a\u0645 \u0645\u0646 \u0623\u0646 \u0627\u0644\u062a\u062d\u0636\u064a\u0631 \u0648\u0627\u0644\u062a\u0639\u0627\u0641\u064a \u064a\u062a\u0637\u0644\u0628\u0627\u0646 \u0648\u0642\u062a\u064b\u0627 \u0625\u0636\u0627\u0641\u064a\u064b\u0627.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h3 id=\"step-1-sedation-or-general-anesthesia\" class=\"wp-block-heading\">\u0627\u0644\u062e\u0637\u0648\u0629 \u0627\u0644\u0623\u0648\u0644\u0649: \u0627\u0644\u062a\u062e\u062f\u064a\u0631 \u0627\u0644\u0645\u0648\u0636\u0639\u064a \u0623\u0648 \u0627\u0644\u062a\u062e\u062f\u064a\u0631 \u0627\u0644\u0639\u0627\u0645<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">\u0628\u062d\u0633\u0628 \u0627\u0644\u0639\u0645\u0631\u060c \u0648\u062d\u0627\u0644\u0629 \u0627\u0644\u062c\u0647\u0627\u0632 \u0627\u0644\u062a\u0646\u0641\u0633\u064a\u060c \u0648\u0627\u0644\u0645\u0645\u0627\u0631\u0633\u0627\u062a \u0627\u0644\u0645\u062a\u0628\u0639\u0629 \u0641\u064a \u0627\u0644\u0645\u0624\u0633\u0633\u0629\u060c \u064a\u062a\u0644\u0642\u0649 \u0627\u0644\u0645\u0631\u064a\u0636 \u0645\u0627 \u064a\u0644\u064a:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u0627\u0644\u062a\u062e\u062f\u064a\u0631 \u0627\u0644\u0648\u0627\u0639\u064a<\/li>\n\n\n\n<li>\u0627\u0644\u062a\u062e\u062f\u064a\u0631 \u0627\u0644\u0639\u0645\u064a\u0642<\/li>\n\n\n\n<li>\u0627\u0644\u062a\u062e\u062f\u064a\u0631 \u0627\u0644\u0639\u0627\u0645<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">\u0646\u0638\u0631\u0627\u064b \u0644\u0623\u0646 \u0627\u0644\u0623\u0641\u0631\u0627\u062f \u0627\u0644\u0645\u0635\u0627\u0628\u064a\u0646 \u0628\u0636\u0645\u0648\u0631 \u062f\u0648\u0634\u064a\u0646 \u0627\u0644\u0639\u0636\u0644\u064a \u0644\u062f\u064a\u0647\u0645 \u0627\u0639\u062a\u0628\u0627\u0631\u0627\u062a \u062a\u062e\u062f\u064a\u0631 \u0641\u0631\u064a\u062f\u0629\u060c \u0641\u0645\u0646 \u0627\u0644\u0623\u0641\u0636\u0644 \u0623\u0646 \u062a\u062a\u0645 \u0625\u062f\u0627\u0631\u0629 \u0627\u0644\u062a\u062e\u062f\u064a\u0631 \u0645\u0646 \u0642\u0628\u0644 \u0623\u0637\u0628\u0627\u0621 \u0630\u0648\u064a \u062e\u0628\u0631\u0629 \u0641\u064a \u0627\u0644\u0623\u0645\u0631\u0627\u0636 \u0627\u0644\u0639\u0635\u0628\u064a\u0629 \u0627\u0644\u0639\u0636\u0644\u064a\u0629.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>\u064a\u0646\u0628\u063a\u064a \u0639\u0645\u0648\u0645\u0627\u064b \u062a\u062c\u0646\u0628 \u0628\u0639\u0636 \u0639\u0648\u0627\u0645\u0644 \u0627\u0644\u062a\u062e\u062f\u064a\u0631\u060c \u0648\u062e\u0627\u0635\u0629 \u0627\u0644\u0633\u0643\u0633\u064a\u0646\u064a\u0644 \u0643\u0648\u0644\u064a\u0646\u060c \u0644\u0623\u0646\u0647\u0627 \u0642\u062f \u062a\u0633\u0628\u0628 \u0641\u0631\u0637 \u0628\u0648\u062a\u0627\u0633\u064a\u0648\u0645 \u0627\u0644\u062f\u0645 \u0627\u0644\u062d\u0627\u062f \u0648\u0645\u0636\u0627\u0639\u0641\u0627\u062a \u0642\u0644\u0628\u064a\u0629 \u062a\u0647\u062f\u062f \u0627\u0644\u062d\u064a\u0627\u0629 \u0644\u062f\u0649 \u0627\u0644\u0645\u0631\u0636\u0649 \u0627\u0644\u0645\u0635\u0627\u0628\u064a\u0646 \u0628\u0636\u0645\u0648\u0631 \u0627\u0644\u0639\u0636\u0644\u0627\u062a \u0627\u0644\u062f\u0648\u0634\u064a\u0646\u064a.<\/strong> \u062a\u064f\u0633\u062a\u062e\u062f\u0645 \u0645\u062e\u062f\u0631\u0627\u062a \u0627\u0644\u0627\u0633\u062a\u0646\u0634\u0627\u0642 \u0627\u0644\u0645\u062a\u0637\u0627\u064a\u0631\u0629 \u0628\u062d\u0630\u0631 \u0623\u064a\u0636\u064b\u0627 \u0646\u0638\u0631\u064b\u0627 \u0644\u062e\u0637\u0631 \u0627\u0646\u062d\u0644\u0627\u0644 \u0627\u0644\u0631\u0628\u064a\u062f\u0627\u062a \u0627\u0644\u0646\u0627\u062a\u062c \u0639\u0646 \u0627\u0644\u062a\u062e\u062f\u064a\u0631. \u0648\u062a\u064f\u0641\u0636\u0651\u0644 \u0627\u0644\u062a\u0648\u0635\u064a\u0627\u062a \u0627\u0644\u062d\u0627\u0644\u064a\u0629 \u0644\u0644\u062a\u062e\u062f\u064a\u0631 \u0627\u0644\u062a\u062e\u062f\u064a\u0631 \u0627\u0644\u0648\u0631\u064a\u062f\u064a \u0627\u0644\u0643\u0644\u064a (TIVA) \u0639\u0646\u062f \u0627\u0644\u0627\u0642\u062a\u0636\u0627\u0621. \u0627\u0642\u0631\u0623 \u0627\u0644\u0645\u0632\u064a\u062f:&nbsp;<a href=\"https:\/\/dmdwarrior.com\/ar\/dmd-surgery-anesthesia\/\" target=\"_blank\" rel=\"noreferrer noopener\">\u0627\u0644\u062c\u0631\u0627\u062d\u0629 \u062a\u062d\u062a \u0627\u0644\u062a\u062e\u062f\u064a\u0631 \u0641\u064a \u0636\u0645\u0648\u0631 \u0627\u0644\u0639\u0636\u0644\u0627\u062a \u0627\u0644\u062f\u0648\u0634\u064a\u0646\u064a<\/a><\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h3 id=\"step-2-endoscopic-examination\" class=\"wp-block-heading\">\u0627\u0644\u062e\u0637\u0648\u0629 \u0627\u0644\u062b\u0627\u0646\u064a\u0629: \u0627\u0644\u0641\u062d\u0635 \u0628\u0627\u0644\u0645\u0646\u0638\u0627\u0631<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">\u064a\u062a\u0645 \u0625\u062f\u062e\u0627\u0644 \u0645\u0646\u0638\u0627\u0631 \u062f\u0627\u062e\u0644\u064a \u0645\u0631\u0646 \u0628\u0631\u0641\u0642 \u0639\u0628\u0631 \u0627\u0644\u0641\u0645 \u0625\u0644\u0649 \u0627\u0644\u0645\u0639\u062f\u0629.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u064a\u0642\u0648\u0645 \u0627\u0644\u0637\u0628\u064a\u0628 \u0628\u0627\u0644\u0641\u062d\u0635:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u0627\u0644\u0645\u0631\u064a\u0621<\/li>\n\n\n\n<li>\u0645\u0639\u062f\u0629<\/li>\n\n\n\n<li>\u062c\u062f\u0627\u0631 \u0627\u0644\u0645\u0639\u062f\u0629<\/li>\n\n\n\n<li>\u0645\u0648\u0642\u0639 \u0627\u0644\u0625\u062f\u062e\u0627\u0644 \u0627\u0644\u0645\u0646\u0627\u0633\u0628<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">\u0643\u0645\u0627 \u064a\u0633\u0645\u062d \u0627\u0644\u0645\u0646\u0638\u0627\u0631 \u0628\u0646\u0641\u062e \u0627\u0644\u0645\u0639\u062f\u0629 \u0628\u062d\u064a\u062b \u062a\u0633\u062a\u0642\u0631 \u0639\u0644\u0649 \u062c\u062f\u0627\u0631 \u0627\u0644\u0628\u0637\u0646.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h3 id=\"step-3-tube-placement\" class=\"wp-block-heading\">\u0627\u0644\u062e\u0637\u0648\u0629 3: \u0648\u0636\u0639 \u0627\u0644\u0623\u0646\u0628\u0648\u0628<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">\u064a\u062a\u0645 \u0639\u0645\u0644 \u0634\u0642 \u0635\u063a\u064a\u0631 \u0641\u064a \u0627\u0644\u062c\u0644\u062f.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u064a\u062a\u0645 \u062a\u0648\u062c\u064a\u0647 \u0623\u0646\u0628\u0648\u0628 \u0627\u0644\u062a\u063a\u0630\u064a\u0629 \u0645\u0628\u0627\u0634\u0631\u0629 \u0625\u0644\u0649 \u0627\u0644\u0645\u0639\u062f\u0629 \u062a\u062d\u062a \u0627\u0644\u0631\u0624\u064a\u0629 \u0627\u0644\u062a\u0646\u0638\u064a\u0631\u064a\u0629.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u062a\u062d\u062a\u0648\u064a \u0645\u0639\u0638\u0645 \u0623\u0646\u0627\u0628\u064a\u0628 \u0627\u0644\u062a\u063a\u0630\u064a\u0629 \u0639\u0646 \u0637\u0631\u064a\u0642 \u0627\u0644\u062c\u0644\u062f (PEG) \u0639\u0644\u0649 \u0648\u0627\u0642\u064a \u062f\u0627\u062e\u0644\u064a \u064a\u0633\u0627\u0639\u062f \u0639\u0644\u0649 \u062a\u062b\u0628\u064a\u062a \u0627\u0644\u0623\u0646\u0628\u0648\u0628 \u0641\u064a \u0645\u0643\u0627\u0646\u0647.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h3 id=\"step-4-recovery\" class=\"wp-block-heading\">\u0627\u0644\u062e\u0637\u0648\u0629 \u0627\u0644\u0631\u0627\u0628\u0639\u0629: \u0627\u0644\u062a\u0639\u0627\u0641\u064a<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">\u064a\u062a\u0645 \u0645\u0631\u0627\u0642\u0628\u0629 \u0627\u0644\u0645\u0631\u0636\u0649 \u0628\u0639\u0646\u0627\u064a\u0629 \u0645\u0646 \u0623\u062c\u0644:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u0627\u0633\u062a\u0642\u0631\u0627\u0631 \u0627\u0644\u062c\u0647\u0627\u0632 \u0627\u0644\u062a\u0646\u0641\u0633\u064a<\/li>\n\n\n\n<li>\u0646\u0628\u0636\u0627\u062a \u0627\u0644\u0642\u0644\u0628<\/li>\n\n\n\n<li>\u0627\u0644\u0633\u064a\u0637\u0631\u0629 \u0639\u0644\u0649 \u0627\u0644\u0623\u0644\u0645<\/li>\n\n\n\n<li>\u0646\u0632\u064a\u0641<\/li>\n\n\n\n<li>\u0639\u062f\u0648\u0649<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">\u064a\u0628\u062f\u0623 \u0627\u0644\u0639\u062f\u064a\u062f \u0645\u0646 \u0627\u0644\u0623\u0637\u0641\u0627\u0644 \u0628\u062a\u0644\u0642\u064a \u0627\u0644\u0645\u0627\u0621 \u0641\u064a \u063a\u0636\u0648\u0646 \u0633\u0627\u0639\u0627\u062a \u0642\u0644\u064a\u0644\u0629\u060c \u064a\u0644\u064a\u0647 \u0627\u0644\u062a\u063a\u0630\u064a\u0629 \u0627\u0644\u0623\u0646\u0628\u0648\u0628\u064a\u0629 \u0648\u0641\u0642\u064b\u0627 \u0644\u0644\u0628\u0631\u0648\u062a\u0648\u0643\u0648\u0644\u0627\u062a \u0627\u0644\u0645\u0624\u0633\u0633\u064a\u0629.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 id=\"what-happens-during-the-hospital-stay\" class=\"wp-block-heading\">\u0645\u0627\u0630\u0627 \u064a\u062d\u062f\u062b \u0623\u062b\u0646\u0627\u0621 \u0627\u0644\u0625\u0642\u0627\u0645\u0629 \u0641\u064a \u0627\u0644\u0645\u0633\u062a\u0634\u0641\u0649\u061f<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>\u064a\u0628\u0642\u0649 \u0645\u0639\u0638\u0645 \u0627\u0644\u0645\u0631\u0636\u0649 \u0641\u064a \u0627\u0644\u0645\u0633\u062a\u0634\u0641\u0649 \u0644\u0645\u062f\u0629 \u062a\u062a\u0631\u0627\u0648\u062d \u0628\u064a\u0646 \u064a\u0648\u0645 \u0648\u0627\u062d\u062f \u0648\u062b\u0644\u0627\u062b\u0629 \u0623\u064a\u0627\u0645\u060c \u0639\u0644\u0649 \u0627\u0644\u0631\u063a\u0645 \u0645\u0646 \u0623\u0646 \u0647\u0630\u0627 \u064a\u062e\u062a\u0644\u0641 \u0628\u0627\u062e\u062a\u0644\u0627\u0641 \u0648\u0638\u0627\u0626\u0641 \u0627\u0644\u062c\u0647\u0627\u0632 \u0627\u0644\u062a\u0646\u0641\u0633\u064a \u0648\u0627\u0644\u0645\u0645\u0627\u0631\u0633\u0627\u062a \u0627\u0644\u0645\u062d\u0644\u064a\u0629.<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u0623\u062b\u0646\u0627\u0621 \u0641\u062a\u0631\u0629 \u0627\u0644\u0625\u0642\u0627\u0645\u0629 \u0641\u064a \u0627\u0644\u0645\u0633\u062a\u0634\u0641\u0649\u060c \u062a\u062a\u0639\u0644\u0645 \u0627\u0644\u0639\u0627\u0626\u0644\u0627\u062a \u0645\u0627 \u064a\u0644\u064a:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u062a\u0646\u0638\u064a\u0641 \u0627\u0644\u0623\u0646\u0627\u0628\u064a\u0628<\/li>\n\n\n\n<li>\u0623\u0633\u0627\u0644\u064a\u0628 \u0627\u0644\u062a\u063a\u0630\u064a\u0629<\/li>\n\n\n\n<li>\u0625\u0639\u0637\u0627\u0621 \u0627\u0644\u062f\u0648\u0627\u0621<\/li>\n\n\n\n<li>\u0625\u062c\u0631\u0627\u0621\u0627\u062a \u0627\u0644\u062a\u0646\u0638\u064a\u0641<\/li>\n\n\n\n<li>\u0627\u0644\u062a\u0639\u0631\u0641 \u0639\u0644\u0649 \u0627\u0644\u0645\u0636\u0627\u0639\u0641\u0627\u062a<\/li>\n\n\n\n<li>\u0625\u062c\u0631\u0627\u0621\u0627\u062a \u0627\u0644\u0627\u062a\u0635\u0627\u0644 \u0641\u064a \u062d\u0627\u0644\u0627\u062a \u0627\u0644\u0637\u0648\u0627\u0631\u0626<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">\u064a\u064f\u0639\u062f \u0627\u0644\u062a\u0639\u0644\u064a\u0645 \u0623\u062d\u062f \u0623\u0647\u0645 \u062c\u0648\u0627\u0646\u0628 \u0627\u0644\u0625\u062f\u0627\u0631\u0629 \u0627\u0644\u0646\u0627\u062c\u062d\u0629 \u0644\u0623\u0646\u0627\u0628\u064a\u0628 \u0627\u0644\u062a\u063a\u0630\u064a\u0629 \u0639\u0646 \u0637\u0631\u064a\u0642 \u0627\u0644\u062c\u0644\u062f (PEG).<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 id=\"does-peg-placement-hurt\" class=\"wp-block-heading\">\u0647\u0644 \u0639\u0645\u0644\u064a\u0629 \u0625\u062f\u062e\u0627\u0644 \u0623\u0646\u0628\u0648\u0628 \u0627\u0644\u062a\u063a\u0630\u064a\u0629 \u0639\u0646 \u0637\u0631\u064a\u0642 \u0627\u0644\u062c\u0644\u062f \u0645\u0624\u0644\u0645\u0629\u061f<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>\u0639\u0627\u062f\u0629\u064b \u0645\u0627 \u064a\u0643\u0648\u0646 \u0627\u0644\u0623\u0644\u0645 \u0627\u0644\u0630\u064a \u064a\u0644\u064a \u0648\u0636\u0639 \u0623\u0646\u0628\u0648\u0628 \u0627\u0644\u062a\u063a\u0630\u064a\u0629 \u0639\u0646 \u0637\u0631\u064a\u0642 \u0627\u0644\u062c\u0644\u062f (PEG) \u0641\u064a \u0639\u0645\u0644\u064a\u0629 \u0632\u0631\u0639 \u0623\u0646\u0628\u0648\u0628 \u0627\u0644\u062a\u063a\u0630\u064a\u0629 \u0641\u064a \u0636\u0645\u0648\u0631 \u0627\u0644\u0639\u0636\u0644\u0627\u062a \u0627\u0644\u062f\u0648\u0634\u064a\u0646\u064a \u062e\u0641\u064a\u0641\u064b\u0627 \u0625\u0644\u0649 \u0645\u062a\u0648\u0633\u0637.<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u064a\u062d\u062f\u062b \u0645\u0639\u0638\u0645 \u0627\u0644\u0627\u0646\u0632\u0639\u0627\u062c \u062e\u0644\u0627\u0644 \u0627\u0644\u0623\u064a\u0627\u0645 \u0627\u0644\u0642\u0644\u064a\u0644\u0629 \u0627\u0644\u0623\u0648\u0644\u0649.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u062a\u0634\u0645\u0644 \u0627\u0644\u0623\u0639\u0631\u0627\u0636 \u0627\u0644\u0634\u0627\u0626\u0639\u0629 \u0645\u0627 \u064a\u0644\u064a:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u0623\u0644\u0645 \u062e\u0641\u064a\u0641 \u0641\u064a \u0627\u0644\u0628\u0637\u0646<\/li>\n\n\n\n<li>\u0623\u0644\u0645 \u0639\u0646\u062f \u0627\u0644\u0644\u0645\u0633 \u062d\u0648\u0644 \u0645\u0648\u0636\u0639 \u0627\u0644\u0625\u062f\u062e\u0627\u0644<\/li>\n\n\n\n<li>\u0627\u0646\u062a\u0641\u0627\u062e \u0645\u0624\u0642\u062a<\/li>\n\n\n\n<li>\u0627\u0644\u0634\u0639\u0648\u0631 \u0628\u0639\u062f\u0645 \u0627\u0644\u0631\u0627\u062d\u0629 \u0641\u064a \u0627\u0644\u0639\u0636\u0644\u0627\u062a \u0639\u0646\u062f \u062a\u063a\u064a\u064a\u0631 \u0627\u0644\u0648\u0636\u0639\u064a\u0629<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">\u064a\u062a\u062d\u0633\u0646 \u0627\u0644\u0623\u0644\u0645 \u0628\u0634\u0643\u0644 \u0645\u0644\u062d\u0648\u0638 \u062e\u0644\u0627\u0644 \u0627\u0644\u0623\u0633\u0628\u0648\u0639 \u0627\u0644\u0623\u0648\u0644. \u0627\u0642\u0631\u0623 \u0627\u0644\u0645\u0632\u064a\u062f: <a href=\"https:\/\/dmdwarrior.com\/ar\/pain-management-in-duchenne-muscular-dystrophy\/\">\u0625\u062f\u0627\u0631\u0629 \u0627\u0644\u0623\u0644\u0645 \u0641\u064a \u062f\u0648\u0634\u064a\u0646<\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u064a\u0648\u0635\u064a \u0627\u0644\u0623\u0637\u0628\u0627\u0621 \u0639\u0627\u062f\u0629\u064b \u0628\u0645\u0627 \u064a\u0644\u064a:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u062f\u064a\u0627\u0632\u064a\u0628\u0627\u0645\u060c \u0625\u064a\u062a\u0648\u0645\u064a\u062f\u0627\u062a\u060c \u0643\u064a\u062a\u0627\u0645\u064a\u0646\u060c \u0645\u064a\u062b\u0648\u0647\u064a\u0643\u0633\u064a\u062a\u0627\u0644\u060c \u0645\u064a\u062f\u0627\u0632\u0648\u0644\u0627\u0645\u060c \u0628\u0631\u0648\u0628\u0648\u0641\u0648\u0644\u060c \u062b\u064a\u0648\u0628\u0646\u062a\u0627\u0644<\/li>\n\n\n\n<li>\u0648\u0635\u0641 \u0645\u0633\u0643\u0646\u0627\u062a \u0627\u0644\u0623\u0644\u0645 \u0627\u0644\u0645\u0646\u0627\u0633\u0628\u0629 \u0625\u0630\u0627 \u0644\u0632\u0645 \u0627\u0644\u0623\u0645\u0631<\/li>\n\n\n\n<li>\u062d\u0631\u0643\u0629 \u0644\u0637\u064a\u0641\u0629<\/li>\n\n\n\n<li>\u062a\u0646\u0638\u064a\u0641 \u0627\u0644\u062c\u0631\u0648\u062d \u0628\u0639\u0646\u0627\u064a\u0629<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">\u064a\u0646\u0628\u063a\u064a \u062f\u0627\u0626\u0645\u0627\u064b \u062a\u0642\u064a\u064a\u0645 \u0627\u0644\u0623\u0644\u0645 \u0627\u0644\u0645\u0633\u062a\u0645\u0631 \u0623\u0648 \u0627\u0644\u0645\u062a\u0641\u0627\u0642\u0645 \u0639\u0644\u0649 \u0627\u0644\u0641\u0648\u0631.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 id=\"what-are-the-risks-of-peg-tube-placement-in-duchenne\" class=\"wp-block-heading\">\u0645\u0627 \u0647\u064a \u0645\u062e\u0627\u0637\u0631 \u0648\u0636\u0639 \u0623\u0646\u0628\u0648\u0628 \u0627\u0644\u062a\u063a\u0630\u064a\u0629 \u0639\u0646 \u0637\u0631\u064a\u0642 \u0627\u0644\u062c\u0644\u062f (PEG) \u0641\u064a \u062d\u0627\u0644\u0629 \u062f\u0648\u0634\u064a\u0646\u061f<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">\u0643\u0644 \u0625\u062c\u0631\u0627\u0621 \u0637\u0628\u064a \u064a\u0646\u0637\u0648\u064a \u0639\u0644\u0649 \u0645\u062e\u0627\u0637\u0631 \u0645\u062d\u062a\u0645\u0644\u0629.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>\u0644\u062d\u0633\u0646 \u0627\u0644\u062d\u0638\u060c \u062a\u0638\u0644 \u0627\u0644\u0645\u0636\u0627\u0639\u0641\u0627\u062a \u0627\u0644\u062e\u0637\u064a\u0631\u0629 \u0646\u0627\u062f\u0631\u0629 \u0646\u0633\u0628\u064a\u0627\u064b \u0639\u0646\u062f \u0648\u0636\u0639 \u0623\u0646\u0627\u0628\u064a\u0628 \u0641\u063a\u0631 \u0627\u0644\u0645\u0639\u062f\u0629 \u0641\u064a \u062d\u0627\u0644\u0627\u062a \u0636\u0645\u0648\u0631 \u062f\u0648\u0634\u064a\u0646 \u0627\u0644\u0639\u0636\u0644\u064a \u0628\u0648\u0627\u0633\u0637\u0629 \u0641\u0631\u0642 \u0630\u0627\u062a \u062e\u0628\u0631\u0629.<\/strong><\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 id=\"common-minor-complications\" class=\"wp-block-heading\">\u0627\u0644\u0645\u0636\u0627\u0639\u0641\u0627\u062a \u0627\u0644\u0628\u0633\u064a\u0637\u0629 \u0627\u0644\u0634\u0627\u0626\u0639\u0629<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">\u0627\u0644\u0645\u0634\u0627\u0643\u0644 \u0627\u0644\u0628\u0633\u064a\u0637\u0629 \u0623\u0643\u062b\u0631 \u0634\u064a\u0648\u0639\u0627\u064b \u0628\u0643\u062b\u064a\u0631 \u0645\u0646 \u0627\u0644\u0645\u0636\u0627\u0639\u0641\u0627\u062a \u0627\u0644\u0643\u0628\u064a\u0631\u0629.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u0648\u0645\u0646 \u0627\u0644\u0623\u0645\u062b\u0644\u0629 \u0639\u0644\u0649 \u0630\u0644\u0643:<\/p>\n\n\n\n<h3 id=\"skin-irritation\" class=\"wp-block-heading\">\u062a\u0647\u064a\u062c \u0627\u0644\u062c\u0644\u062f<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">\u0642\u062f \u064a\u062d\u062f\u062b \u0627\u062d\u0645\u0631\u0627\u0631 \u062d\u0648\u0644 \u0645\u0648\u0636\u0639 \u0627\u0644\u0623\u0646\u0628\u0648\u0628 \u0623\u062b\u0646\u0627\u0621 \u0641\u062a\u0631\u0629 \u0627\u0644\u062a\u0639\u0627\u0641\u064a.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u0627\u0644\u062a\u0646\u0638\u064a\u0641 \u0627\u0644\u0645\u0646\u0627\u0633\u0628 \u0639\u0627\u062f\u0629\u064b \u0645\u0627 \u064a\u062d\u0644 \u0645\u0634\u0643\u0644\u0629 \u0627\u0644\u062a\u0647\u064a\u062c \u0627\u0644\u0637\u0641\u064a\u0641.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h3 id=\"leakage\" class=\"wp-block-heading\">\u062a\u0633\u0631\u0628<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">\u062a\u062a\u0633\u0631\u0628 \u0643\u0645\u064a\u0627\u062a \u0635\u063a\u064a\u0631\u0629 \u0645\u0646 \u0627\u0644\u0633\u0627\u0626\u0644 \u0627\u0644\u0645\u0639\u062f\u064a \u0623\u062d\u064a\u0627\u0646\u064b\u0627 \u062d\u0648\u0644 \u0627\u0644\u0623\u0646\u0628\u0648\u0628.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u063a\u0627\u0644\u0628\u0627\u064b \u0645\u0627 \u062a\u0624\u062f\u064a \u0627\u0644\u062a\u0639\u062f\u064a\u0644\u0627\u062a \u0639\u0644\u0649 \u0648\u0636\u0639 \u0627\u0644\u0623\u0646\u0628\u0648\u0628 \u0623\u0648 \u0627\u0644\u0636\u0645\u0627\u062f\u0627\u062a \u0625\u0644\u0649 \u062d\u0644 \u0627\u0644\u0645\u0634\u0643\u0644\u0629.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h3 id=\"granulation-tissue\" class=\"wp-block-heading\">\u0646\u0633\u064a\u062c \u062d\u0628\u064a\u0628\u064a<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">\u0642\u062f \u062a\u062a\u0643\u0648\u0646 \u0623\u0646\u0633\u062c\u0629 \u0627\u0644\u062a\u0626\u0627\u0645 \u0632\u0627\u0626\u062f\u0629 \u062d\u0648\u0644 \u0627\u0644\u0641\u062a\u062d\u0629.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u0639\u0644\u0649 \u0627\u0644\u0631\u063a\u0645 \u0645\u0646 \u0623\u0646 \u0627\u0644\u0623\u0645\u0631 \u064a\u0628\u062f\u0648 \u0645\u062b\u064a\u0631\u0627\u064b \u0644\u0644\u0642\u0644\u0642\u060c \u0625\u0644\u0627 \u0623\u0646 \u0627\u0644\u0646\u0633\u064a\u062c \u0627\u0644\u062d\u0628\u064a\u0628\u064a \u062d\u0645\u064a\u062f \u0628\u0634\u0643\u0644 \u0639\u0627\u0645 \u0648\u064a\u0645\u0643\u0646 \u0639\u0644\u0627\u062c\u0647 \u0641\u064a \u0643\u062b\u064a\u0631 \u0645\u0646 \u0627\u0644\u0623\u062d\u064a\u0627\u0646 \u0628\u0627\u0644\u0639\u0644\u0627\u062c\u0627\u062a \u0627\u0644\u0645\u0648\u0636\u0639\u064a\u0629 \u0623\u0648 \u0627\u0644\u0643\u064a \u0639\u0646\u062f \u0627\u0644\u0636\u0631\u0648\u0631\u0629.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h3 id=\"tube-blockage\" class=\"wp-block-heading\">\u0627\u0646\u0633\u062f\u0627\u062f \u0627\u0644\u0623\u0646\u0628\u0648\u0628<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">\u0642\u062f \u062a\u062a\u0633\u0628\u0628 \u0628\u0642\u0627\u064a\u0627 \u0627\u0644\u0623\u062f\u0648\u064a\u0629 \u0623\u0648 \u0627\u0644\u062a\u0631\u0643\u064a\u0628\u0627\u062a \u0627\u0644\u063a\u0630\u0627\u0626\u064a\u0629 \u0627\u0644\u0633\u0645\u064a\u0643\u0629 \u0641\u064a \u0627\u0646\u0633\u062f\u0627\u062f \u0627\u0644\u0623\u0646\u0628\u0648\u0628.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u064a\u0642\u0644\u0644 \u0627\u0644\u062a\u0646\u0638\u064a\u0641 \u0627\u0644\u0631\u0648\u062a\u064a\u0646\u064a \u0642\u0628\u0644 \u0648\u0628\u0639\u062f \u0627\u0644\u0631\u0636\u0627\u0639\u0629 \u0628\u0634\u0643\u0644 \u0643\u0628\u064a\u0631 \u0645\u0646 \u062e\u0637\u0631 \u0627\u0644\u0627\u0646\u0633\u062f\u0627\u062f.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 id=\"serious-complications\" class=\"wp-block-heading\">\u0645\u0636\u0627\u0639\u0641\u0627\u062a \u062e\u0637\u064a\u0631\u0629<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">\u0639\u0644\u0649 \u0627\u0644\u0631\u063a\u0645 \u0645\u0646 \u0646\u062f\u0631\u0629 \u062d\u062f\u0648\u062b\u0647\u0627\u060c \u0625\u0644\u0627 \u0623\u0646 \u0627\u0644\u0623\u0637\u0628\u0627\u0621 \u064a\u0631\u0627\u0642\u0628\u0648\u0646 \u0628\u0639\u0646\u0627\u064a\u0629 \u0645\u0627 \u064a\u0644\u064a:<\/p>\n\n\n\n<h3 id=\"infection\" class=\"wp-block-heading\">\u0639\u062f\u0648\u0649<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">\u062a\u0634\u0645\u0644 \u0627\u0644\u0644\u0627\u0641\u062a\u0627\u062a \u0645\u0627 \u064a\u0644\u064a:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u062d\u0645\u0649<\/li>\n\n\n\n<li>\u0627\u0632\u062f\u064a\u0627\u062f \u0627\u0644\u0627\u062d\u0645\u0631\u0627\u0631<\/li>\n\n\n\n<li>\u062a\u0648\u0631\u0645<\/li>\n\n\n\n<li>\u0635\u062f\u064a\u062f<\/li>\n\n\n\n<li>\u0623\u0644\u0645 \u0634\u062f\u064a\u062f \u0639\u0646\u062f \u0627\u0644\u0644\u0645\u0633<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">\u063a\u0627\u0644\u0628\u0627\u064b \u0645\u0627 \u064a\u0643\u0648\u0646 \u0627\u0644\u0639\u0644\u0627\u062c \u0627\u0644\u0645\u0628\u0643\u0631 \u0628\u0627\u0644\u0645\u0636\u0627\u062f\u0627\u062a \u0627\u0644\u062d\u064a\u0648\u064a\u0629 \u0641\u0639\u0627\u0644\u0627\u064b.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h3 id=\"peritonitis\" class=\"wp-block-heading\">\u0627\u0644\u062a\u0647\u0627\u0628 \u0627\u0644\u0635\u0641\u0627\u0642<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">\u064a\u064f\u0639\u062f \u062a\u0633\u0631\u0628 \u0645\u062d\u062a\u0648\u064a\u0627\u062a \u0627\u0644\u0645\u0639\u062f\u0629 \u0625\u0644\u0649 \u062a\u062c\u0648\u064a\u0641 \u0627\u0644\u0628\u0637\u0646 \u0623\u0645\u0631\u0627\u064b \u0646\u0627\u062f\u0631\u0627\u064b \u0648\u0644\u0643\u0646\u0647 \u064a\u062a\u0637\u0644\u0628 \u0639\u0646\u0627\u064a\u0629 \u0637\u0628\u064a\u0629 \u0641\u0648\u0631\u064a\u0629.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u062a\u0634\u0645\u0644 \u0627\u0644\u0623\u0639\u0631\u0627\u0636 \u0645\u0627 \u064a\u0644\u064a:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u0623\u0644\u0645 \u0634\u062f\u064a\u062f \u0641\u064a \u0627\u0644\u0628\u0637\u0646<\/li>\n\n\n\n<li>\u062d\u0645\u0649<\/li>\n\n\n\n<li>\u0628\u0637\u0646 \u0645\u062a\u0635\u0644\u0628<\/li>\n\n\n\n<li>\u0627\u0644\u0642\u064a\u0621<\/li>\n<\/ul>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h3 id=\"bleeding\" class=\"wp-block-heading\">\u0646\u0632\u064a\u0641<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">\u064a\u064f\u0639\u062f \u0627\u0644\u0646\u0632\u064a\u0641 \u0627\u0644\u0637\u0641\u064a\u0641 \u0634\u0627\u0626\u0639\u0627\u064b \u0646\u0633\u0628\u064a\u0627\u064b \u0645\u0628\u0627\u0634\u0631\u0629 \u0628\u0639\u062f \u0648\u0636\u0639 \u0627\u0644\u062f\u0639\u0627\u0645\u0629.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u064a\u064f\u0639\u062f \u0627\u0644\u0646\u0632\u064a\u0641 \u0627\u0644\u0645\u0633\u062a\u0645\u0631 \u0623\u0648 \u0627\u0644\u063a\u0632\u064a\u0631 \u0623\u0645\u0631\u0627\u064b \u063a\u064a\u0631 \u0645\u0639\u062a\u0627\u062f \u0648\u064a\u062a\u0637\u0644\u0628 \u062a\u0642\u064a\u064a\u0645\u0627\u064b \u0639\u0627\u062c\u0644\u0627\u064b.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h3 id=\"respiratory-complications\" class=\"wp-block-heading\">\u0627\u0644\u0645\u0636\u0627\u0639\u0641\u0627\u062a \u0627\u0644\u062a\u0646\u0641\u0633\u064a\u0629<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">\u0646\u0638\u0631\u0627\u064b \u0644\u0634\u064a\u0648\u0639 \u0636\u0639\u0641 \u0639\u0636\u0644\u0627\u062a \u0627\u0644\u062c\u0647\u0627\u0632 \u0627\u0644\u062a\u0646\u0641\u0633\u064a \u0641\u064a \u0645\u0631\u0636 \u0636\u0645\u0648\u0631 \u0627\u0644\u0639\u0636\u0644\u0627\u062a \u0627\u0644\u062f\u0648\u0634\u064a\u0646\u064a\u060c \u064a\u0631\u0627\u0642\u0628 \u0627\u0644\u0623\u0637\u0628\u0627\u0621 \u0639\u0646 \u0643\u062b\u0628 \u0645\u0627 \u064a\u0644\u064a:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u0627\u0646\u062e\u0645\u0627\u0635 \u0627\u0644\u0631\u0626\u0629<\/li>\n\n\n\n<li>\u0627\u0644\u062a\u0647\u0627\u0628 \u0631\u0626\u0648\u064a<\/li>\n\n\n\n<li>\u0625\u062f\u0627\u0631\u0629 \u0645\u062c\u0631\u0649 \u0627\u0644\u0647\u0648\u0627\u0621 \u0627\u0644\u0635\u0639\u0628\u0629<\/li>\n\n\n\n<li>\u0627\u0646\u062e\u0641\u0627\u0636 \u0627\u0644\u062a\u0647\u0648\u064a\u0629 \u0628\u0639\u062f \u0627\u0644\u062a\u062e\u062f\u064a\u0631<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">\u0644\u0642\u062f \u0633\u0627\u0647\u0645 \u0627\u0633\u062a\u062e\u062f\u0627\u0645 \u0623\u062c\u0647\u0632\u0629 \u0627\u0644\u0645\u0633\u0627\u0639\u062f\u0629 \u0639\u0644\u0649 \u0627\u0644\u0633\u0639\u0627\u0644 \u0648\u0627\u0644\u062a\u0647\u0648\u064a\u0629 \u063a\u064a\u0631 \u0627\u0644\u063a\u0627\u0632\u064a\u0629 \u0639\u0646\u062f \u0627\u0644\u062d\u0627\u062c\u0629 \u0641\u064a \u062a\u062d\u0633\u064a\u0646 \u0627\u0644\u0633\u0644\u0627\u0645\u0629 \u0628\u0639\u062f \u0627\u0644\u062c\u0631\u0627\u062d\u0629 \u0628\u0634\u0643\u0644 \u0643\u0628\u064a\u0631.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 id=\"can-people-with-dmd-still-eat-after-getting-a-gastrostomy-tube\" class=\"wp-block-heading\">\u0647\u0644 \u064a\u0633\u062a\u0637\u064a\u0639 \u0645\u0631\u0636\u0649 \u0636\u0645\u0648\u0631 \u0627\u0644\u0639\u0636\u0644\u0627\u062a \u0627\u0644\u062f\u0648\u0634\u064a\u0646\u064a \u062a\u0646\u0627\u0648\u0644 \u0627\u0644\u0637\u0639\u0627\u0645 \u0628\u0639\u062f \u062a\u0631\u0643\u064a\u0628 \u0623\u0646\u0628\u0648\u0628 \u0641\u063a\u0631 \u0627\u0644\u0645\u0639\u062f\u0629\u061f<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>\u0625\u062d\u062f\u0649 \u0623\u0643\u0628\u0631 \u0627\u0644\u062e\u0631\u0627\u0641\u0627\u062a \u0627\u0644\u0645\u062d\u064a\u0637\u0629 \u0628\u0623\u0646\u0628\u0648\u0628 \u0627\u0644\u062a\u063a\u0630\u064a\u0629 \u0639\u0646 \u0637\u0631\u064a\u0642 \u0627\u0644\u062c\u0644\u062f (PEG) \u0641\u064a \u0645\u0631\u0636 \u0636\u0645\u0648\u0631 \u0627\u0644\u0639\u0636\u0644\u0627\u062a \u0627\u0644\u062f\u0648\u0634\u064a\u0646\u064a \u0647\u064a \u0623\u0646 \u062a\u0646\u0627\u0648\u0644 \u0627\u0644\u0637\u0639\u0627\u0645 \u0639\u0646 \u0637\u0631\u064a\u0642 \u0627\u0644\u0641\u0645 \u064a\u062a\u0648\u0642\u0641 \u0641\u0648\u0631\u0627\u064b.<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u0641\u064a \u0627\u0644\u0648\u0627\u0642\u0639\u060c \u064a\u0633\u062a\u0645\u0631 \u0627\u0644\u0639\u062f\u064a\u062f \u0645\u0646 \u0627\u0644\u0645\u0631\u0636\u0649 \u0641\u064a \u062a\u0646\u0627\u0648\u0644 \u0627\u0644\u0637\u0639\u0627\u0645 \u0628\u0634\u0643\u0644 \u0637\u0628\u064a\u0639\u064a \u0644\u0623\u0634\u0647\u0631 \u0623\u0648 \u0633\u0646\u0648\u0627\u062a \u0628\u0639\u062f \u0648\u0636\u0639 \u0623\u0646\u0628\u0648\u0628 \u0627\u0644\u062a\u063a\u0630\u064a\u0629 \u0639\u0646 \u0637\u0631\u064a\u0642 \u0627\u0644\u062c\u0644\u062f.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u064a\u0639\u062a\u0645\u062f \u0645\u0627 \u0625\u0630\u0627 \u0643\u0627\u0646 \u0627\u0644\u062a\u063a\u0630\u064a\u0629 \u0627\u0644\u0641\u0645\u0648\u064a\u0629 \u0622\u0645\u0646\u0629 \u0639\u0644\u0649 \u0645\u0627 \u064a\u0644\u064a:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u0648\u0638\u064a\u0641\u0629 \u0627\u0644\u0628\u0644\u0639<\/li>\n\n\n\n<li>\u062e\u0637\u0631 \u0627\u0644\u0627\u0633\u062a\u0646\u0634\u0627\u0642<\/li>\n\n\n\n<li>\u0627\u0644\u0627\u062d\u062a\u064a\u0627\u062c\u0627\u062a \u0627\u0644\u063a\u0630\u0627\u0626\u064a\u0629<\/li>\n\n\n\n<li>\u062a\u0648\u0635\u064a\u0627\u062a \u0645\u0646 \u0623\u062e\u0635\u0627\u0626\u064a \u0623\u0645\u0631\u0627\u0636 \u0627\u0644\u0646\u0637\u0642 \u0648\u0627\u0644\u0644\u063a\u0629<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">\u064a\u0633\u062a\u062e\u062f\u0645 \u0627\u0644\u0639\u062f\u064a\u062f \u0645\u0646 \u0627\u0644\u0623\u0641\u0631\u0627\u062f \u0627\u0644\u0623\u0646\u0628\u0648\u0628 \u0645\u0646 \u0623\u062c\u0644:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u062a\u0644\u0642\u064a \u0627\u0644\u062a\u063a\u0630\u064a\u0629 \u0637\u0648\u0627\u0644 \u0627\u0644\u0644\u064a\u0644<\/li>\n\n\n\n<li>\u062a\u0646\u0627\u0648\u0644 \u0627\u0644\u0623\u062f\u0648\u064a\u0629<\/li>\n\n\n\n<li>\u062d\u0627\u0641\u0638 \u0639\u0644\u0649 \u062a\u0631\u0637\u064a\u0628 \u062c\u0633\u0645\u0643<\/li>\n\n\n\n<li>\u0633\u0639\u0631\u0627\u062a \u062d\u0631\u0627\u0631\u064a\u0629 \u0625\u0636\u0627\u0641\u064a\u0629<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">\u0645\u0639 \u0627\u0644\u0627\u0633\u062a\u0645\u0631\u0627\u0631 \u0641\u064a \u0627\u0644\u0627\u0633\u062a\u0645\u062a\u0627\u0639 \u0628\u0627\u0644\u0648\u062c\u0628\u0627\u062a \u0627\u0644\u0645\u0641\u0636\u0644\u0629 \u0645\u0639 \u0627\u0644\u0639\u0627\u0626\u0644\u0629.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u063a\u0627\u0644\u0628\u0627\u064b \u0645\u0627 \u064a\u0642\u0644\u0644 \u0647\u0630\u0627 \u0627\u0644\u0646\u0647\u062c \u0645\u0646 \u0627\u0644\u062a\u0648\u062a\u0631 \u0644\u0623\u0646 \u0627\u0644\u0645\u0631\u0636\u0649 \u0644\u0645 \u064a\u0639\u0648\u062f\u0648\u0627 \u064a\u0634\u0639\u0631\u0648\u0646 \u0628\u0627\u0644\u0636\u063a\u0637 \u0644\u062a\u0646\u0627\u0648\u0644 \u0633\u0639\u0631\u0627\u062a \u062d\u0631\u0627\u0631\u064a\u0629 \u0643\u0627\u0641\u064a\u0629 \u062e\u0644\u0627\u0644 \u0643\u0644 \u0648\u062c\u0628\u0629.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 id=\"emotional-impact-on-families\" class=\"wp-block-heading\">\u0627\u0644\u0623\u062b\u0631 \u0627\u0644\u0639\u0627\u0637\u0641\u064a \u0639\u0644\u0649 \u0627\u0644\u0623\u0633\u0631<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>\u0646\u0627\u062f\u0631\u0627\u064b \u0645\u0627 \u064a\u064f\u0628\u0646\u0649 \u0642\u0631\u0627\u0631 \u0625\u062c\u0631\u0627\u0621 \u0639\u0645\u0644\u064a\u0629 \u0641\u063a\u0631 \u0627\u0644\u0645\u0639\u062f\u0629 \u0641\u064a \u062d\u0627\u0644\u0627\u062a \u0636\u0645\u0648\u0631 \u062f\u0648\u0634\u064a\u0646 \u0627\u0644\u0639\u0636\u0644\u064a \u0639\u0644\u0649 \u0627\u0644\u0623\u062f\u0644\u0629 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\u0623\u062e\u0631\u0649\u061f&quot;\u201d<\/li>\n\n\n\n<li>\u201c&quot;\u0647\u0644 \u0627\u0646\u062a\u0638\u0631\u0646\u0627 \u0648\u0642\u062a\u0627\u064b \u0637\u0648\u064a\u0644\u0627\u064b\u061f&quot;\u201d<\/li>\n\n\n\n<li>\u201c&quot;\u0647\u0644 \u0646\u0633\u062a\u0633\u0644\u0645\u061f&quot;\u201d<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">\u0647\u0630\u0647 \u0627\u0644\u0645\u0634\u0627\u0639\u0631 \u0645\u0641\u0647\u0648\u0645\u0629 \u062a\u0645\u0627\u0645\u0627\u064b. \u0645\u0639 \u0630\u0644\u0643\u060c \u062a\u064f\u0641\u064a\u062f \u0627\u0644\u0639\u062f\u064a\u062f \u0645\u0646 \u0627\u0644\u0639\u0627\u0626\u0644\u0627\u062a \u0628\u0623\u0646\u0651 \u0623\u0646\u0628\u0648\u0628 \u0627\u0644\u062a\u063a\u0630\u064a\u0629 \u0639\u0628\u0631 \u0627\u0644\u062c\u0644\u062f (PEG) \u064a\u064f\u0642\u0644\u0651\u0644 \u0628\u0634\u0643\u0644 \u0645\u0644\u062d\u0648\u0638 \u0645\u0646 \u0627\u0644\u0642\u0644\u0642 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has-alpha-channel-opacity\"\/>\n\n\n\n<h3 id=\"key-takeaways-1\" class=\"wp-block-heading\">\u0627\u0644\u0646\u0642\u0627\u0637 \u0627\u0644\u0631\u0626\u064a\u0633\u064a\u0629<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>\u062a\u0639\u062a\u0628\u0631 \u0639\u0645\u0644\u064a\u0629 \u0648\u0636\u0639 \u0623\u0646\u0628\u0648\u0628 \u0627\u0644\u062a\u063a\u0630\u064a\u0629 \u0639\u0646 \u0637\u0631\u064a\u0642 \u0627\u0644\u062c\u0644\u062f \u0622\u0645\u0646\u0629 \u0628\u0634\u0643\u0644 \u0639\u0627\u0645 \u0639\u0646\u062f \u0625\u062c\u0631\u0627\u0626\u0647\u0627 \u0645\u0646 \u0642\u0628\u0644 \u0641\u0631\u0642 \u0630\u0627\u062a \u062e\u0628\u0631\u0629 \u0639\u0644\u0649 \u062f\u0631\u0627\u064a\u0629 \u0628\u0645\u0631\u0636 \u0636\u0645\u0648\u0631 \u0627\u0644\u0639\u0636\u0644\u0627\u062a \u0627\u0644\u062f\u0648\u0634\u064a\u0646\u064a.<\/strong><\/li>\n\n\n\n<li>\u063a\u0627\u0644\u0628\u0627\u064b \u0645\u0627 \u064a\u0631\u062a\u0628\u0637 \u0627\u0644\u0625\u064a\u062f\u0627\u0639 \u0627\u0644\u0645\u0628\u0643\u0631 \u0628\u0646\u062a\u0627\u0626\u062c \u0623\u0641\u0636\u0644 \u0645\u0646 \u0627\u0644\u0625\u064a\u062f\u0627\u0639 \u0627\u0644\u0637\u0627\u0631\u0626 \u0628\u0639\u062f \u0633\u0648\u0621 \u0627\u0644\u062a\u063a\u0630\u064a\u0629 \u0627\u0644\u062d\u0627\u062f.<\/li>\n\n\n\n<li><strong>\u062a\u0639\u062a\u0628\u0631 \u0627\u0644\u062a\u0642\u064a\u064a\u0645\u0627\u062a \u0627\u0644\u0634\u0627\u0645\u0644\u0629 \u0644\u0644\u0642\u0644\u0628 \u0648\u0627\u0644\u062c\u0647\u0627\u0632 \u0627\u0644\u062a\u0646\u0641\u0633\u064a \u0648\u0627\u0644\u062a\u063a\u0630\u064a\u0629 \u0636\u0631\u0648\u0631\u064a\u0629 \u0642\u0628\u0644 \u0627\u0644\u0625\u062c\u0631\u0627\u0621.<\/strong><\/li>\n\n\n\n<li>\u064a\u0639\u0627\u0646\u064a \u0645\u0639\u0638\u0645 \u0627\u0644\u0645\u0631\u0636\u0649 \u0645\u0646 \u0627\u0646\u0632\u0639\u0627\u062c \u0637\u0641\u064a\u0641 \u0641\u0642\u0637 \u0628\u0639\u062f \u0627\u0644\u0639\u0645\u0644\u064a\u0629 \u0627\u0644\u062c\u0631\u0627\u062d\u064a\u0629 \u0648\u064a\u0628\u0642\u0648\u0646 \u0641\u064a \u0627\u0644\u0645\u0633\u062a\u0634\u0641\u0649 \u0644\u0645\u062f\u0629 \u062a\u062a\u0631\u0627\u0648\u062d \u0628\u064a\u0646 \u064a\u0648\u0645 \u0648\u0627\u062d\u062f \u0648\u062b\u0644\u0627\u062b\u0629 \u0623\u064a\u0627\u0645.<\/li>\n\n\n\n<li><strong>\u064a\u0633\u062a\u0645\u0631 \u0627\u0644\u0639\u062f\u064a\u062f \u0645\u0646 \u0627\u0644\u0623\u0641\u0631\u0627\u062f \u0641\u064a \u062a\u0646\u0627\u0648\u0644 \u0627\u0644\u0637\u0639\u0627\u0645 \u0639\u0646 \u0637\u0631\u064a\u0642 \u0627\u0644\u0641\u0645 \u0628\u0639\u062f \u062a\u0631\u0643\u064a\u0628 \u0623\u0646\u0628\u0648\u0628 \u0627\u0644\u062a\u063a\u0630\u064a\u0629 \u0639\u0646 \u0637\u0631\u064a\u0642 \u0627\u0644\u062c\u0644\u062f (PEG)\u060c \u0648\u064a\u0633\u062a\u062e\u062f\u0645\u0648\u0646\u0647 \u0628\u0634\u0643\u0644 \u0623\u0633\u0627\u0633\u064a 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noopener\">\u0627\u0644\u062a\u063a\u0630\u064a\u0629 \u0641\u064a \u0636\u0645\u0648\u0631 \u062f\u0648\u0634\u064a\u0646 \u0627\u0644\u0639\u0636\u0644\u064a<\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u064a\u064f\u0634\u0643\u0651\u0644 \u0636\u0645\u0648\u0631 \u062f\u0648\u0634\u064a\u0646 \u0627\u0644\u0639\u0636\u0644\u064a \u062a\u062d\u062f\u064a\u0627\u062a \u063a\u0630\u0627\u0626\u064a\u0629 \u0641\u0631\u064a\u062f\u0629 \u0637\u0648\u0627\u0644 \u0641\u062a\u0631\u0629 \u0627\u0644\u0645\u0631\u0636. \u0641\u0641\u064a \u0645\u0631\u062d\u0644\u0629 \u0627\u0644\u0637\u0641\u0648\u0644\u0629\u060c \u0642\u062f \u064a\u064f\u0633\u0627\u0647\u0645 \u0627\u0644\u0639\u0644\u0627\u062c \u0627\u0644\u0645\u0637\u0648\u0651\u0644 \u0628\u0627\u0644\u0643\u0648\u0631\u062a\u064a\u0643\u0648\u0633\u062a\u064a\u0631\u0648\u064a\u062f\u0627\u062a \u0641\u064a \u0632\u064a\u0627\u062f\u0629 \u0627\u0644\u0648\u0632\u0646 \u0627\u0644\u0645\u0641\u0631\u0637\u0629\u060c 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(PEG) \u0641\u064a \u0645\u0631\u0636 \u0636\u0645\u0648\u0631 \u0627\u0644\u0639\u0636\u0644\u0627\u062a \u0627\u0644\u062f\u0648\u0634\u064a\u0646\u064a \u0637\u0631\u064a\u0642\u0629 \u0645\u0648\u062b\u0648\u0642\u0629 \u0644\u062a\u0648\u0635\u064a\u0644 \u0627\u0644\u0633\u0639\u0631\u0627\u062a \u0627\u0644\u062d\u0631\u0627\u0631\u064a\u0629 \u0648\u0627\u0644\u0633\u0648\u0627\u0626\u0644 \u0648\u0627\u0644\u0641\u064a\u062a\u0627\u0645\u064a\u0646\u0627\u062a \u0648\u0627\u0644\u0645\u0639\u0627\u062f\u0646 \u0648\u0627\u0644\u0623\u062f\u0648\u064a\u0629 \u0639\u0646\u062f\u0645\u0627 \u0644\u0627 \u064a\u0643\u0648\u0646 \u062a\u0646\u0627\u0648\u0644 \u0627\u0644\u0637\u0639\u0627\u0645 \u0639\u0646 \u0637\u0631\u064a\u0642 \u0627\u0644\u0641\u0645 \u0648\u062d\u062f\u0647 \u0643\u0627\u0641\u064a\u064b\u0627.<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u064a\u0646\u0628\u063a\u064a \u0623\u0646 \u062a\u0643\u0648\u0646 \u0627\u0644\u062a\u063a\u0630\u064a\u0629 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class=\"wp-block-heading\">\u0645\u0627 \u0647\u064a \u0627\u0644\u0623\u0637\u0639\u0645\u0629 \u0627\u0644\u062a\u064a \u064a\u0645\u0643\u0646 \u0625\u0639\u0637\u0627\u0624\u0647\u0627 \u0639\u0628\u0631 \u0623\u0646\u0628\u0648\u0628 \u0627\u0644\u062a\u063a\u0630\u064a\u0629 \u0639\u0646 \u0637\u0631\u064a\u0642 \u0627\u0644\u062c\u0644\u062f (PEG Tube)\u061f<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">\u064a\u062a\u0633\u0627\u0621\u0644 \u0627\u0644\u0639\u062f\u064a\u062f \u0645\u0646 \u0627\u0644\u0639\u0627\u0626\u0644\u0627\u062a \u0639\u0645\u0627 \u0625\u0630\u0627 \u0643\u0627\u0646 \u0645\u0646 \u0627\u0644\u0645\u0645\u0643\u0646 \u0627\u0633\u062a\u062e\u062f\u0627\u0645 \u062a\u0631\u0643\u064a\u0628\u0627\u062a \u0637\u0628\u064a\u0629 \u0645\u062a\u062e\u0635\u0635\u0629 \u0641\u0642\u0637 \u0639\u0628\u0631 \u0623\u0646\u0628\u0648\u0628 \u0627\u0644\u062a\u063a\u0630\u064a\u0629 \u0627\u0644\u0645\u0639\u062f\u064a (PEG) \u0641\u064a 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class=\"wp-block-list\">\n<li>\u0628\u0631\u0648\u062a\u064a\u0646<\/li>\n\n\n\n<li>\u0627\u0644\u0643\u0631\u0628\u0648\u0647\u064a\u062f\u0631\u0627\u062a<\/li>\n\n\n\n<li>\u0627\u0644\u062f\u0647\u0648\u0646 \u0627\u0644\u0635\u062d\u064a\u0629<\/li>\n\n\n\n<li>\u0627\u0644\u0641\u064a\u062a\u0627\u0645\u064a\u0646\u0627\u062a<\/li>\n\n\n\n<li>\u0627\u0644\u0645\u0639\u0627\u062f\u0646<\/li>\n\n\n\n<li>\u0627\u0644\u0625\u0644\u0643\u062a\u0631\u0648\u0644\u064a\u062a\u0627\u062a<\/li>\n\n\n\n<li>\u0627\u0644\u0623\u0644\u064a\u0627\u0641 (\u0639\u0646\u062f \u0627\u0644\u0627\u0642\u062a\u0636\u0627\u0621)<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">\u062a\u062a\u0648\u0641\u0631 \u0623\u064a\u0636\u0627\u064b \u062a\u0631\u0643\u064a\u0628\u0627\u062a \u0645\u062a\u062e\u0635\u0635\u0629 \u0644\u0644\u0623\u0641\u0631\u0627\u062f \u0627\u0644\u0645\u0635\u0627\u0628\u064a\u0646 \u0628\u0645\u0631\u0636 \u0627\u0644\u0633\u0643\u0631\u064a\u060c \u0623\u0648 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class=\"wp-block-paragraph\">\u0645\u0639 \u0630\u0644\u0643\u060c \u062a\u062a\u0637\u0644\u0628 \u0627\u0644\u0623\u0639\u0644\u0627\u0641 \u0627\u0644\u0645\u0646\u0632\u0644\u064a\u0629 \u062a\u062d\u0636\u064a\u0631\u0627\u064b \u062f\u0642\u064a\u0642\u0627\u064b \u0644\u0636\u0645\u0627\u0646 \u0627\u0643\u062a\u0645\u0627\u0644 \u0627\u0644\u0639\u0646\u0627\u0635\u0631 \u0627\u0644\u063a\u0630\u0627\u0626\u064a\u0629\u060c \u0648\u0642\u0648\u0627\u0645\u0647\u0627 \u0627\u0644\u0645\u0646\u0627\u0633\u0628\u060c \u0648\u0633\u0644\u0627\u0645\u062a\u0647\u0627. \u0642\u062f \u062a\u062a\u0633\u0628\u0628 \u0627\u0644\u0623\u0637\u0639\u0645\u0629 \u063a\u064a\u0631 \u0627\u0644\u0645\u0645\u0632\u0648\u062c\u0629 \u062c\u064a\u062f\u0627\u064b \u0641\u064a \u0627\u0646\u0633\u062f\u0627\u062f \u0627\u0644\u0623\u0646\u0628\u0648\u0628\u060c \u0628\u064a\u0646\u0645\u0627 \u064a\u0632\u064a\u062f \u0627\u0644\u062a\u062e\u0632\u064a\u0646 \u063a\u064a\u0631 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href=\"https:\/\/dmdwarrior.com\/ar\/constipation-in-duchenne-muscular-dystrophy\/\" data-type=\"post\" data-id=\"7703\">\u0627\u0644\u0625\u0645\u0633\u0627\u0643 \u0641\u064a \u0636\u0645\u0648\u0631 \u0627\u0644\u0639\u0636\u0644\u0627\u062a \u0627\u0644\u062f\u0648\u0634\u064a\u0646\u064a<\/a><\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 id=\"can-a-peg-tube-prevent-weight-loss-in-duchenne-muscular-dystrophy\" class=\"wp-block-heading\">\u0647\u0644 \u064a\u0645\u0643\u0646 \u0644\u0623\u0646\u0628\u0648\u0628 \u0627\u0644\u062a\u063a\u0630\u064a\u0629 \u0639\u0646 \u0637\u0631\u064a\u0642 \u0627\u0644\u062c\u0644\u062f (PEG) \u0623\u0646 \u064a\u0645\u0646\u0639 \u0641\u0642\u062f\u0627\u0646 \u0627\u0644\u0648\u0632\u0646 \u0644\u062f\u0649 \u0645\u0631\u0636\u0649 \u0636\u0645\u0648\u0631 \u062f\u0648\u0634\u064a\u0646 \u0627\u0644\u0639\u0636\u0644\u064a\u061f<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>\u0623\u062d\u062f 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(BMI)<\/li>\n\n\n\n<li>\u0627\u0644\u062d\u0627\u0644\u0629 \u0627\u0644\u062a\u063a\u0630\u0648\u064a\u0629<\/li>\n\n\n\n<li>\u0627\u0644\u062a\u0631\u0637\u064a\u0628<\/li>\n\n\n\n<li>\u0627\u0644\u0627\u0644\u062a\u0632\u0627\u0645 \u0628\u062a\u0646\u0627\u0648\u0644 \u0627\u0644\u0623\u062f\u0648\u064a\u0629<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">\u0628\u0639\u062f \u0625\u062c\u0631\u0627\u0621 \u0641\u063a\u0631 \u0627\u0644\u0645\u0639\u062f\u0629.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>\u0648\u0627\u0644\u0623\u0647\u0645 \u0645\u0646 \u0630\u0644\u0643\u060c \u064a\u0647\u062f\u0641 \u0627\u0644\u0623\u0637\u0628\u0627\u0621 \u0625\u0644\u0649 \u0627\u0644\u062a\u062f\u062e\u0644 \u0642\u0628\u0644 \u062d\u062f\u0648\u062b \u0641\u0642\u062f\u0627\u0646 \u062d\u0627\u062f \u0641\u064a \u0627\u0644\u0648\u0632\u0646.<\/strong> \u0628\u0645\u062c\u0631\u062f \u062d\u062f\u0648\u062b \u0633\u0648\u0621 \u062a\u063a\u0630\u064a\u0629 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class=\"wp-block-paragraph\">\u064a\u0646\u0628\u063a\u064a \u062a\u0646\u0638\u064a\u0641 \u0627\u0644\u062c\u0644\u062f \u0627\u0644\u0645\u062d\u064a\u0637 \u0628\u0627\u0644\u0623\u0646\u0628\u0648\u0628 \u064a\u0648\u0645\u064a\u0627\u064b \u0628\u0627\u0633\u062a\u062e\u062f\u0627\u0645 \u0645\u0627 \u064a\u0644\u064a:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u0635\u0627\u0628\u0648\u0646 \u0644\u0637\u064a\u0641<\/li>\n\n\n\n<li>\u0645\u0627\u0621 \u062f\u0627\u0641\u0626<\/li>\n\n\n\n<li>\u0642\u0637\u0639\u0629 \u0642\u0645\u0627\u0634 \u0646\u0638\u064a\u0641\u0629 \u0648\u0646\u0627\u0639\u0645\u0629 \u0623\u0648 \u0634\u0627\u0634<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">\u0639\u0627\u062f\u0629 \u0645\u0627 \u062a\u0643\u0648\u0646 \u0627\u0644\u0645\u0637\u0647\u0631\u0627\u062a \u0627\u0644\u0642\u0648\u064a\u0629 \u063a\u064a\u0631 \u0636\u0631\u0648\u0631\u064a\u0629 \u0625\u0644\u0627 \u0625\u0630\u0627 \u0623\u0648\u0635\u0649 \u0628\u0647\u0627 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class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h3 id=\"flushing-the-tube\" class=\"wp-block-heading\">\u062a\u0646\u0638\u064a\u0641 \u0627\u0644\u0623\u0646\u0628\u0648\u0628<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">\u064a\u064f\u0639\u062f\u0651 \u0627\u0644\u062a\u0646\u0638\u064a\u0641 \u0627\u0644\u062f\u0648\u0631\u064a \u0636\u0631\u0648\u0631\u064a\u064b\u0627.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u064a\u0646\u0628\u063a\u064a \u0639\u0645\u0648\u0645\u0627\u064b \u0634\u0637\u0641 \u0627\u0644\u0623\u0646\u0628\u0648\u0628:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u0642\u0628\u0644 \u0625\u0637\u0639\u0627\u0645 \u0627\u0644\u0637\u0641\u0644<\/li>\n\n\n\n<li>\u0628\u0639\u062f \u0627\u0644\u0631\u0636\u0627\u0639\u0629<\/li>\n\n\n\n<li>\u0642\u0628\u0644 \u062a\u0646\u0627\u0648\u0644 \u0627\u0644\u0623\u062f\u0648\u064a\u0629<\/li>\n\n\n\n<li>\u0628\u064a\u0646 \u062a\u0646\u0627\u0648\u0644 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\u0627\u0644\u062f\u0648\u0634\u064a\u0646\u064a \u0641\u064a \u062a\u0628\u0633\u064a\u0637 \u0639\u0645\u0644\u064a\u0629 \u0625\u0639\u0637\u0627\u0621 \u0627\u0644\u062f\u0648\u0627\u0621.<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u064a\u062a\u0646\u0627\u0648\u0644 \u0627\u0644\u0639\u062f\u064a\u062f \u0645\u0646 \u0627\u0644\u0645\u0631\u0636\u0649 \u0639\u062f\u0629 \u0623\u062f\u0648\u064a\u0629 \u064a\u0648\u0645\u064a\u0627\u064b\u060c \u0628\u0645\u0627 \u0641\u064a \u0630\u0644\u0643:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u0627\u0644\u0643\u0648\u0631\u062a\u064a\u0643\u0648\u0633\u062a\u064a\u0631\u0648\u064a\u062f\u0627\u062a<\/li>\n\n\n\n<li>\u0645\u062b\u0628\u0637\u0627\u062a \u0627\u0644\u0625\u0646\u0632\u064a\u0645 \u0627\u0644\u0645\u062d\u0648\u0644 \u0644\u0644\u0623\u0646\u062c\u064a\u0648\u062a\u0646\u0633\u064a\u0646<\/li>\n\n\n\n<li>\u062d\u0627\u0635\u0631\u0627\u062a \u0628\u064a\u062a\u0627<\/li>\n\n\n\n<li>\u0641\u064a\u062a\u0627\u0645\u064a\u0646 \u062f<\/li>\n\n\n\n<li>\u0627\u0644\u0643\u0627\u0644\u0633\u064a\u0648\u0645<\/li>\n\n\n\n<li>\u0623\u062f\u0648\u064a\u0629 \u0635\u062d\u0629 \u0627\u0644\u0639\u0638\u0627\u0645<\/li>\n\n\n\n<li>\u0623\u062f\u0648\u064a\u0629 \u0627\u0644\u062c\u0647\u0627\u0632 \u0627\u0644\u0647\u0636\u0645\u064a<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">\u064a\u0641\u0636\u0644 \u0627\u0633\u062a\u062e\u062f\u0627\u0645 \u0627\u0644\u062a\u0631\u0643\u064a\u0628\u0627\u062a \u0627\u0644\u0633\u0627\u0626\u0644\u0629 \u0643\u0644\u0645\u0627 \u0623\u0645\u0643\u0646 \u0630\u0644\u0643.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u0625\u0630\u0627 \u0644\u0632\u0645 \u0633\u062d\u0642 \u0627\u0644\u0623\u0642\u0631\u0627\u0635\u060c \u0641\u064a\u0646\u0628\u063a\u064a \u0639\u0644\u0649 \u0645\u0642\u062f\u0645\u064a \u0627\u0644\u0631\u0639\u0627\u064a\u0629 \u0627\u0644\u062a\u0623\u0643\u062f \u0623\u0648\u0644\u0627\u064b \u0645\u0646 \u0625\u0645\u0643\u0627\u0646\u064a\u0629 \u062a\u0639\u062f\u064a\u0644 \u0627\u0644\u062f\u0648\u0627\u0621 \u0628\u0623\u0645\u0627\u0646. \u0628\u0639\u0636 \u0627\u0644\u0623\u062f\u0648\u064a\u0629 \u0630\u0627\u062a \u0627\u0644\u0625\u0637\u0644\u0627\u0642 \u0627\u0644\u0645\u0645\u062a\u062f \u0623\u0648 \u0627\u0644\u0645\u063a\u0644\u0641\u0629 \u0645\u0639\u0648\u064a\u0627\u064b \u0644\u0627 \u064a\u062c\u0628 \u0633\u062d\u0642\u0647\u0627 \u0645\u0637\u0644\u0642\u0627\u064b \u0644\u0623\u0646 \u0630\u0644\u0643 \u0642\u062f \u064a\u063a\u064a\u0631 \u0637\u0631\u064a\u0642\u0629 \u0627\u0645\u062a\u0635\u0627\u0635 \u0627\u0644\u062f\u0648\u0627\u0621.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u064a\u0646\u0628\u063a\u064a \u0639\u0645\u0648\u0645\u0627\u064b \u0625\u0639\u0637\u0627\u0621 \u0643\u0644 \u062f\u0648\u0627\u0621 \u0639\u0644\u0649 \u062d\u062f\u0629 \u0645\u0639 \u0634\u0637\u0641\u0647 \u0628\u0627\u0644\u0645\u0627\u0621 \u0628\u064a\u0646 \u0627\u0644\u062c\u0631\u0639\u0627\u062a \u0644\u062a\u0642\u0644\u064a\u0644 \u062e\u0637\u0631 \u0627\u0646\u0633\u062f\u0627\u062f \u0627\u0644\u0623\u0646\u0628\u0648\u0628.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 id=\"can-a-person-still-enjoy-eating\" class=\"wp-block-heading\">\u0647\u0644 \u0644\u0627 \u064a\u0632\u0627\u0644 \u0628\u0625\u0645\u0643\u0627\u0646 \u0627\u0644\u0634\u062e\u0635 \u0627\u0644\u0627\u0633\u062a\u0645\u062a\u0627\u0639 \u0628\u062a\u0646\u0627\u0648\u0644 \u0627\u0644\u0637\u0639\u0627\u0645\u061f<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>\u0625\u0646 \u0623\u062d\u062f \u0623\u0643\u0628\u0631 \u0627\u0644\u0645\u062e\u0627\u0648\u0641 \u0627\u0644\u0639\u0627\u0637\u0641\u064a\u0629 \u0627\u0644\u0645\u062d\u064a\u0637\u0629 \u0628\u0623\u0646\u0627\u0628\u064a\u0628 \u0641\u063a\u0631 \u0627\u0644\u0645\u0639\u062f\u0629 \u0641\u064a \u0636\u0645\u0648\u0631 \u062f\u0648\u0634\u064a\u0646 \u0627\u0644\u0639\u0636\u0644\u064a \u0647\u0648 \u0627\u0644\u062e\u0648\u0641 \u0645\u0646 \u0641\u0642\u062f\u0627\u0646 \u0645\u062a\u0639\u0629 \u062a\u0646\u0627\u0648\u0644 \u0627\u0644\u0637\u0639\u0627\u0645.<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u0644\u062d\u0633\u0646 \u0627\u0644\u062d\u0638\u060c \u0644\u0627 \u064a\u0632\u0627\u0644 \u0627\u0644\u0639\u062f\u064a\u062f \u0645\u0646 \u0627\u0644\u0623\u0641\u0631\u0627\u062f \u064a\u0633\u062a\u0645\u062a\u0639\u0648\u0646 \u0628\u062a\u0646\u0627\u0648\u0644 \u0627\u0644\u0637\u0639\u0627\u0645 \u0639\u0646 \u0637\u0631\u064a\u0642 \u0627\u0644\u0641\u0645.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u0628\u062d\u0633\u0628 \u0633\u0644\u0627\u0645\u0629 \u0627\u0644\u0628\u0644\u0639\u060c \u0642\u062f \u064a\u062a\u0645\u0643\u0646 \u0627\u0644\u0645\u0631\u0636\u0649 \u0645\u0646 \u062a\u0646\u0627\u0648\u0644 \u0627\u0644\u0637\u0639\u0627\u0645:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u0628\u0648\u0638\u0629<\/li>\n\n\n\n<li>\u0628\u0637\u0627\u0637\u0633 \u0645\u0647\u0631\u0648\u0633\u0629<\/li>\n\n\n\n<li>\u0627\u0644\u0645\u0639\u0643\u0631\u0648\u0646\u0629 \u0627\u0644\u0637\u0631\u064a\u0629<\/li>\n\n\n\n<li>\u0627\u0644\u0632\u0628\u0627\u062f\u064a<\/li>\n\n\n\n<li>\u0628\u0648\u062f\u0646\u063a<\/li>\n\n\n\n<li>\u062e\u0636\u0631\u0627\u0648\u0627\u062a \u0645\u0637\u0628\u0648\u062e\u0629 \u062c\u064a\u062f\u0627\u064b<\/li>\n\n\n\n<li>\u0627\u0644\u0641\u0648\u0627\u0643\u0647 \u0627\u0644\u0637\u0631\u064a\u0629<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">\u064a\u062a\u0646\u0627\u0648\u0644 \u0628\u0639\u0636 \u0627\u0644\u0623\u0641\u0631\u0627\u062f \u0648\u062c\u0628\u0627\u062a \u0635\u063a\u064a\u0631\u0629 \u0639\u0646 \u0637\u0631\u064a\u0642 \u0627\u0644\u0641\u0645 \u0623\u062b\u0646\u0627\u0621 \u062a\u0644\u0642\u064a\u0647\u0645 \u062a\u063a\u0630\u064a\u0629 \u0625\u0636\u0627\u0641\u064a\u0629 \u0637\u0648\u0627\u0644 \u0627\u0644\u0644\u064a\u0644 \u0645\u0646 \u062e\u0644\u0627\u0644 \u0623\u0646\u0628\u0648\u0628 \u0627\u0644\u062a\u063a\u0630\u064a\u0629 \u0627\u0644\u0645\u0639\u0648\u064a\u0629 (PEG).<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u062a\u064f\u062e\u0641\u0641 \u0647\u0630\u0647 \u0627\u0644\u0627\u0633\u062a\u0631\u0627\u062a\u064a\u062c\u064a\u0629 \u0627\u0644\u0636\u063a\u0637 \u0639\u0644\u0649 \u0627\u0644\u0645\u0631\u0636\u0649 \u0644\u062a\u0646\u0627\u0648\u0644 \u0633\u0639\u0631\u0627\u062a \u062d\u0631\u0627\u0631\u064a\u0629 \u0643\u0627\u0641\u064a\u0629 \u062e\u0644\u0627\u0644 \u0648\u062c\u0628\u0627\u062a \u0627\u0644\u0646\u0647\u0627\u0631\u060c \u0645\u0639 \u0627\u0644\u0633\u0645\u0627\u062d \u0644\u0647\u0645 \u0641\u064a \u0627\u0644\u0648\u0642\u062a \u0646\u0641\u0633\u0647 \u0628\u0645\u0648\u0627\u0635\u0644\u0629 \u0627\u0644\u0645\u0634\u0627\u0631\u0643\u0629 \u0641\u064a \u0648\u062c\u0628\u0627\u062a \u0627\u0644\u0637\u0639\u0627\u0645 \u0627\u0644\u0639\u0627\u0626\u0644\u064a\u0629 \u0648\u0627\u0644\u0641\u0639\u0627\u0644\u064a\u0627\u062a \u0627\u0644\u0627\u062c\u062a\u0645\u0627\u0639\u064a\u0629.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 id=\"does-a-feeding-tube-improve-quality-of-life-in-duchenne\" class=\"wp-block-heading\">\u0647\u0644 \u064a\u064f\u062d\u0633\u0651\u0646 \u0623\u0646\u0628\u0648\u0628 \u0627\u0644\u062a\u063a\u0630\u064a\u0629 \u0646\u0648\u0639\u064a\u0629 \u0627\u0644\u062d\u064a\u0627\u0629 \u0644\u062f\u0649 \u0645\u0631\u0636\u0649 \u062f\u0648\u0634\u064a\u0646\u061f<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">\u0628\u0627\u0644\u0646\u0633\u0628\u0629 \u0644\u0644\u0639\u062f\u064a\u062f \u0645\u0646 \u0627\u0644\u0639\u0627\u0626\u0644\u0627\u062a\u060c \u0627\u0644\u0625\u062c\u0627\u0628\u0629 \u0647\u064a \u0646\u0639\u0645.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u0648\u0642\u062f \u0623\u0641\u0627\u062f\u062a \u0627\u0644\u0639\u062f\u064a\u062f \u0645\u0646 \u0627\u0644\u062f\u0631\u0627\u0633\u0627\u062a \u0627\u0644\u0642\u0627\u0626\u0645\u0629 \u0639\u0644\u0649 \u0627\u0644\u0645\u0644\u0627\u062d\u0638\u0629 \u0628\u062a\u062d\u0633\u0646 \u062c\u0648\u062f\u0629 \u062d\u064a\u0627\u0629 \u0643\u0644 \u0645\u0646 \u0627\u0644\u0645\u0631\u064a\u0636 \u0648\u0645\u0642\u062f\u0645 \u0627\u0644\u0631\u0639\u0627\u064a\u0629 \u0628\u0639\u062f \u0648\u0636\u0639 \u0623\u0646\u0628\u0648\u0628 \u0627\u0644\u062a\u063a\u0630\u064a\u0629 \u0639\u0646 \u0637\u0631\u064a\u0642 \u0627\u0644\u062c\u0644\u062f \u0628\u0627\u0644\u0645\u0646\u0638\u0627\u0631.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u062a\u0634\u0645\u0644 \u0627\u0644\u0641\u0648\u0627\u0626\u062f \u0627\u0644\u062a\u064a \u064a\u062a\u0645 \u0627\u0644\u0625\u0628\u0644\u0627\u063a \u0639\u0646\u0647\u0627 \u0639\u0627\u062f\u0629\u064b \u0645\u0627 \u064a\u0644\u064a:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u0623\u0648\u0642\u0627\u062a \u0648\u062c\u0628\u0627\u062a \u0623\u0642\u0644 \u062a\u0648\u062a\u0631\u0627\u064b<\/li>\n\n\n\n<li>\u062d\u0627\u0644\u0629 \u062a\u063a\u0630\u0648\u064a\u0629 \u0623\u0641\u0636\u0644<\/li>\n\n\n\n<li>\u0627\u0646\u062e\u0641\u0627\u0636 \u0627\u0644\u0642\u0644\u0642 \u0628\u0634\u0623\u0646 \u0627\u0644\u0627\u062e\u062a\u0646\u0627\u0642<\/li>\n\n\n\n<li>\u062a\u0633\u0647\u064a\u0644 \u0625\u0639\u0637\u0627\u0621 \u0627\u0644\u062f\u0648\u0627\u0621<\/li>\n\n\n\n<li>\u062a\u062d\u0633\u064a\u0646 \u0627\u0644\u062a\u0631\u0637\u064a\u0628<\/li>\n\n\n\n<li>\u062a\u0642\u0644\u064a\u0644 \u0627\u0644\u0648\u0642\u062a \u0627\u0644\u0630\u064a \u064a\u0642\u0636\u064a\u0647 \u0627\u0644\u0634\u062e\u0635 \u0641\u064a \u062a\u0646\u0627\u0648\u0644 \u0627\u0644\u0637\u0639\u0627\u0645<\/li>\n\n\n\n<li>\u0632\u064a\u0627\u062f\u0629 \u0627\u0644\u0645\u0634\u0627\u0631\u0643\u0629 \u0641\u064a \u0627\u0644\u0623\u0646\u0634\u0637\u0629 \u0627\u0644\u0639\u0627\u0626\u0644\u064a\u0629<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">\u0643\u062b\u064a\u0631\u0627\u064b \u0645\u0627 \u064a\u0630\u0643\u0631 \u0627\u0644\u0622\u0628\u0627\u0621 \u0623\u0646 \u0627\u0644\u0648\u062c\u0628\u0627\u062a \u0623\u0635\u0628\u062d\u062a \u0645\u0645\u062a\u0639\u0629 \u0645\u0631\u0629 \u0623\u062e\u0631\u0649 \u0644\u0623\u0646\u0647\u0627 \u0644\u0645 \u062a\u0639\u062f \u062a\u0631\u0643\u0632 \u0641\u0642\u0637 \u0639\u0644\u0649 \u062a\u0634\u062c\u064a\u0639 \u062a\u0646\u0627\u0648\u0644 \u0627\u0644\u0633\u0639\u0631\u0627\u062a \u0627\u0644\u062d\u0631\u0627\u0631\u064a\u0629 \u0627\u0644\u0643\u0627\u0641\u064a\u0629.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u0628\u0627\u0644\u0646\u0633\u0628\u0629 \u0644\u0644\u0645\u0631\u0636\u0649\u060c \u0642\u062f \u064a\u0633\u0627\u0647\u0645 \u062a\u062d\u0633\u064a\u0646 \u0627\u0644\u062a\u063a\u0630\u064a\u0629 \u0641\u064a \u0632\u064a\u0627\u062f\u0629 \u0645\u0633\u062a\u0648\u064a\u0627\u062a \u0627\u0644\u0637\u0627\u0642\u0629 \u0648\u062a\u0642\u0644\u064a\u0644 \u0627\u0644\u062a\u0639\u0628\u060c \u0639\u0644\u0649 \u0627\u0644\u0631\u063a\u0645 \u0645\u0646 \u0623\u0646 \u0623\u0646\u0628\u0648\u0628 \u0627\u0644\u062a\u063a\u0630\u064a\u0629 \u0644\u0627 \u064a\u063a\u064a\u0631 \u0645\u0646 \u0627\u0644\u062a\u0637\u0648\u0631 \u0627\u0644\u0623\u0633\u0627\u0633\u064a \u0644\u0636\u0645\u0648\u0631 \u062f\u0648\u0634\u064a\u0646 \u0627\u0644\u0639\u0636\u0644\u064a.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 id=\"practical-advice-for-families\" class=\"wp-block-heading\">\u0646\u0635\u0627\u0626\u062d \u0639\u0645\u0644\u064a\u0629 \u0644\u0644\u0639\u0627\u0626\u0644\u0627\u062a<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>\u0644\u0627 \u064a\u0646\u0628\u063a\u064a \u0627\u0644\u062a\u0633\u0631\u0639 \u0641\u064a \u0627\u062a\u062e\u0627\u0630 \u0642\u0631\u0627\u0631 \u0625\u062c\u0631\u0627\u0621 \u0639\u0645\u0644\u064a\u0629 \u0625\u062f\u062e\u0627\u0644 \u0623\u0646\u0628\u0648\u0628 \u0627\u0644\u062a\u063a\u0630\u064a\u0629 \u0639\u0646 \u0637\u0631\u064a\u0642 \u0627\u0644\u062c\u0644\u062f (PEG) \u0641\u064a \u0645\u0631\u0636 \u0636\u0645\u0648\u0631 \u0627\u0644\u0639\u0636\u0644\u0627\u062a \u0627\u0644\u062f\u0648\u0634\u064a\u0646\u064a\u060c \u0648\u0644\u0643\u0646 \u0644\u0627 \u064a\u0646\u0628\u063a\u064a \u0623\u064a\u0636\u064b\u0627 \u062a\u0623\u062c\u064a\u0644\u0647 \u062d\u062a\u0649 \u062a\u062a\u0637\u0648\u0631 \u0623\u0632\u0645\u0629.<\/strong> \u062a\u0633\u062a\u0641\u064a\u062f \u0627\u0644\u0639\u0627\u0626\u0644\u0627\u062a \u0645\u0646 \u0645\u0646\u0627\u0642\u0634\u0629 \u0627\u0644\u062e\u064a\u0627\u0631 \u0645\u0628\u0643\u0631\u0627\u064b \u0645\u0639 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\u0639\u0644\u0649 \u0623\u0641\u0636\u0644 \u0648\u062c\u0647.<\/strong><\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<figure class=\"wp-block-image size-full\"><img decoding=\"async\" width=\"864\" height=\"1821\" src=\"https:\/\/dmdwarrior.com\/wp-content\/uploads\/2026\/07\/gastrostomy-tubes-duchenne-muscular-dystrophy-infographic.jpg\" alt=\"\u0631\u0633\u0645 \u0628\u064a\u0627\u0646\u064a \u0645\u0641\u0635\u0644 \u064a\u0634\u0631\u062d \u0623\u0646\u0627\u0628\u064a\u0628 \u0641\u063a\u0631 \u0627\u0644\u0645\u0639\u062f\u0629 \u0641\u064a \u0636\u0645\u0648\u0631 \u062f\u0648\u0634\u064a\u0646 \u0627\u0644\u0639\u0636\u0644\u064a (DMD)\u060c \u0628\u0645\u0627 \u0641\u064a \u0630\u0644\u0643 \u0648\u0636\u0639 \u0623\u0646\u0628\u0648\u0628 PEG\u060c \u0648\u0627\u0644\u062f\u0639\u0645 \u0627\u0644\u063a\u0630\u0627\u0626\u064a\u060c \u0648\u0627\u0644\u0641\u0648\u0627\u0626\u062f\u060c \u0648\u0627\u0644\u0645\u062e\u0627\u0637\u0631\u060c \u0648\u0627\u0644\u0631\u0639\u0627\u064a\u0629 \u0627\u0644\u0645\u0646\u0632\u0644\u064a\u0629\u060c \u0648\u0627\u0644\u062a\u0639\u0627\u0641\u064a.\" class=\"wp-image-8217\" title=\"\" srcset=\"https:\/\/dmdwarrior.com\/wp-content\/uploads\/2026\/07\/gastrostomy-tubes-duchenne-muscular-dystrophy-infographic.jpg 864w, https:\/\/dmdwarrior.com\/wp-content\/uploads\/2026\/07\/gastrostomy-tubes-duchenne-muscular-dystrophy-infographic-142x300.jpg 142w, https:\/\/dmdwarrior.com\/wp-content\/uploads\/2026\/07\/gastrostomy-tubes-duchenne-muscular-dystrophy-infographic-486x1024.jpg 486w, https:\/\/dmdwarrior.com\/wp-content\/uploads\/2026\/07\/gastrostomy-tubes-duchenne-muscular-dystrophy-infographic-768x1619.jpg 768w, https:\/\/dmdwarrior.com\/wp-content\/uploads\/2026\/07\/gastrostomy-tubes-duchenne-muscular-dystrophy-infographic-729x1536.jpg 729w, https:\/\/dmdwarrior.com\/wp-content\/uploads\/2026\/07\/gastrostomy-tubes-duchenne-muscular-dystrophy-infographic-6x12.jpg 6w, https:\/\/dmdwarrior.com\/wp-content\/uploads\/2026\/07\/gastrostomy-tubes-duchenne-muscular-dystrophy-infographic-199x420.jpg 199w, https:\/\/dmdwarrior.com\/wp-content\/uploads\/2026\/07\/gastrostomy-tubes-duchenne-muscular-dystrophy-infographic-150x316.jpg 150w, https:\/\/dmdwarrior.com\/wp-content\/uploads\/2026\/07\/gastrostomy-tubes-duchenne-muscular-dystrophy-infographic-300x632.jpg 300w, https:\/\/dmdwarrior.com\/wp-content\/uploads\/2026\/07\/gastrostomy-tubes-duchenne-muscular-dystrophy-infographic-696x1467.jpg 696w\" sizes=\"(max-width: 864px) 100vw, 864px\" \/><figcaption class=\"wp-element-caption\">\u0631\u0633\u0645 \u0628\u064a\u0627\u0646\u064a \u0634\u0627\u0645\u0644 \u064a\u0634\u0631\u062d \u0645\u062a\u0649 \u064a\u064f\u0646\u0635\u062d \u0628\u0627\u0633\u062a\u062e\u062f\u0627\u0645 \u0623\u0646\u0628\u0648\u0628 \u0627\u0644\u062a\u063a\u0630\u064a\u0629 \u0639\u0646 \u0637\u0631\u064a\u0642 \u0627\u0644\u062c\u0644\u062f (PEG) \u0641\u064a \u062d\u0627\u0644\u0629 \u0636\u0645\u0648\u0631 \u062f\u0648\u0634\u064a\u0646 \u0627\u0644\u0639\u0636\u0644\u064a\u060c \u0648\u0643\u064a\u0641 \u064a\u0639\u0645\u0644\u060c \u0648\u0641\u0648\u0627\u0626\u062f\u0647\u060c \u0648\u0645\u062e\u0627\u0637\u0631\u0647 \u0627\u0644\u0645\u062d\u062a\u0645\u0644\u0629\u060c \u0648\u0627\u0644\u0631\u0639\u0627\u064a\u0629 \u0627\u0644\u064a\u0648\u0645\u064a\u0629.<\/figcaption><\/figure>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 id=\"fa-qs-gastrostomy-tubes-in-duchenne-muscular-dystrophy\" class=\"wp-block-heading\">\u0627\u0644\u0623\u0633\u0626\u0644\u0629 \u0627\u0644\u0634\u0627\u0626\u0639\u0629: \u0623\u0646\u0627\u0628\u064a\u0628 \u0641\u063a\u0631 \u0627\u0644\u0645\u0639\u062f\u0629 \u0641\u064a \u0636\u0645\u0648\u0631 \u062f\u0648\u0634\u064a\u0646 \u0627\u0644\u0639\u0636\u0644\u064a<\/h2>\n\n\n<div id=\"rank-math-faq\" class=\"rank-math-block\">\n<div class=\"rank-math-list\">\n<div id=\"faq-question-1783673887687\" class=\"rank-math-list-item\">\n<h3 class=\"rank-math-question\">\u0645\u062a\u0649 \u064a\u062d\u062a\u0627\u062c \u0627\u0644\u0637\u0641\u0644 \u0627\u0644\u0645\u0635\u0627\u0628 \u0628\u0636\u0645\u0648\u0631 \u062f\u0648\u0634\u064a\u0646 \u0627\u0644\u0639\u0636\u0644\u064a \u0625\u0644\u0649 \u0623\u0646\u0628\u0648\u0628 \u062a\u063a\u0630\u064a\u0629 \u0639\u0646 \u0637\u0631\u064a\u0642 \u0627\u0644\u062c\u0644\u062f (PEG)\u061f<\/h3>\n<div class=\"rank-math-answer\">\n\n<p>\u0642\u062f \u064a\u062d\u062a\u0627\u062c \u0627\u0644\u0637\u0641\u0644 \u0627\u0644\u0645\u0635\u0627\u0628 \u0628\u0636\u0645\u0648\u0631 \u062f\u0648\u0634\u064a\u0646 \u0627\u0644\u0639\u0636\u0644\u064a \u0625\u0644\u0649 \u0623\u0646\u0628\u0648\u0628 \u062a\u063a\u0630\u064a\u0629 \u0639\u0646 \u0637\u0631\u064a\u0642 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\u062a\u0631\u0643\u064a\u0628 \u0623\u0646\u0628\u0648\u0628 \u0627\u0644\u062a\u063a\u0630\u064a\u0629 \u0639\u0646 \u0637\u0631\u064a\u0642 \u0627\u0644\u062c\u0644\u062f (PEG) \u0622\u0645\u0646\u0627\u064b \u0644\u0644\u0623\u0634\u062e\u0627\u0635 \u0627\u0644\u0645\u0635\u0627\u0628\u064a\u0646 \u0628\u0636\u0645\u0648\u0631 \u062f\u0648\u0634\u064a\u0646 \u0627\u0644\u0639\u0636\u0644\u064a\u061f<\/h3>\n<div class=\"rank-math-answer\">\n\n<p>\u0646\u0639\u0645\u060c \u064a\u064f\u0639\u062a\u0628\u0631 \u062a\u0631\u0643\u064a\u0628 \u0623\u0646\u0628\u0648\u0628 \u0627\u0644\u062a\u063a\u0630\u064a\u0629 \u0639\u0646 \u0637\u0631\u064a\u0642 \u0627\u0644\u062c\u0644\u062f (PEG) \u0622\u0645\u0646\u064b\u0627 \u0628\u0634\u0643\u0644 \u0639\u0627\u0645 \u0639\u0646\u062f \u0625\u062c\u0631\u0627\u0626\u0647 \u0645\u0646 \u0642\u0628\u0644 \u0641\u0631\u064a\u0642 \u0645\u062a\u0639\u062f\u062f \u0627\u0644\u062a\u062e\u0635\u0635\u0627\u062a \u0630\u064a \u062e\u0628\u0631\u0629 \u0648\u0627\u0633\u0639\u0629 \u0641\u064a \u0645\u062c\u0627\u0644 \u0636\u0645\u0648\u0631 \u062f\u0648\u0634\u064a\u0646 \u0627\u0644\u0639\u0636\u0644\u064a. \u0642\u0628\u0644 \u0627\u0644\u0625\u062c\u0631\u0627\u0621\u060c \u064a\u064f\u0642\u064a\u0651\u0645 \u0627\u0644\u0623\u0637\u0628\u0627\u0621 \u0628\u062f\u0642\u0629 \u0648\u0638\u0627\u0626\u0641 \u0627\u0644\u0642\u0644\u0628 \u0648\u0627\u0644\u0631\u0626\u062a\u064a\u0646 \u0648\u0627\u0644\u062d\u0627\u0644\u0629 \u0627\u0644\u062a\u063a\u0630\u0648\u064a\u0629 \u0648\u0645\u062e\u0627\u0637\u0631 \u0627\u0644\u062a\u062e\u062f\u064a\u0631. \u0639\u0627\u062f\u0629\u064b \u0645\u0627 \u064a\u0631\u062a\u0628\u0637 \u0627\u0644\u062a\u0631\u0643\u064a\u0628 \u0627\u0644\u0645\u0628\u0643\u0631\u060c \u0642\u0628\u0644 \u062a\u0637\u0648\u0631 \u0636\u0639\u0641 \u062a\u0646\u0641\u0633\u064a \u062d\u0627\u062f\u060c \u0628\u0646\u062a\u0627\u0626\u062c \u0623\u0641\u0636\u0644 \u0648\u0645\u0636\u0627\u0639\u0641\u0627\u062a \u0623\u0642\u0644.<\/p>\n\n<\/div>\n<\/div>\n<div id=\"faq-question-1783673950179\" class=\"rank-math-list-item\">\n<h3 class=\"rank-math-question\">\u0647\u0644 \u064a\u064f\u062d\u0633\u0651\u0646 \u0623\u0646\u0628\u0648\u0628 \u0627\u0644\u062a\u063a\u0630\u064a\u0629 \u0639\u0646 \u0637\u0631\u064a\u0642 \u0627\u0644\u062c\u0644\u062f (PEG) \u062c\u0648\u062f\u0629 \u0627\u0644\u062d\u064a\u0627\u0629 \u0644\u062f\u0649 \u0645\u0631\u0636\u0649 \u0636\u0645\u0648\u0631 \u0627\u0644\u0639\u0636\u0644\u0627\u062a \u0627\u0644\u062f\u0648\u0634\u064a\u0646\u064a (DMD)\u061f<\/h3>\n<div class=\"rank-math-answer\">\n\n<p>\u0628\u0627\u0644\u0646\u0633\u0628\u0629 \u0644\u0644\u0639\u062f\u064a\u062f \u0645\u0646 \u0627\u0644\u0639\u0627\u0626\u0644\u0627\u062a\u060c \u0627\u0644\u0625\u062c\u0627\u0628\u0629 \u0647\u064a \u0646\u0639\u0645. \u064a\u0645\u0643\u0646 \u0644\u0623\u0646\u0628\u0648\u0628 \u0627\u0644\u062a\u063a\u0630\u064a\u0629 \u0639\u0646 \u0637\u0631\u064a\u0642 \u0627\u0644\u062c\u0644\u062f (PEG) \u0641\u064a \u062d\u0627\u0644\u0627\u062a \u0636\u0645\u0648\u0631 \u0627\u0644\u0639\u0636\u0644\u0627\u062a \u0627\u0644\u062f\u0648\u0634\u064a\u0646\u064a \u0623\u0646 \u064a\u0642\u0644\u0644 \u0645\u0646 \u0627\u0644\u062a\u0648\u062a\u0631 \u0623\u062b\u0646\u0627\u0621 \u062a\u0646\u0627\u0648\u0644 \u0627\u0644\u0637\u0639\u0627\u0645\u060c \u0648\u064a\u062d\u0633\u0646 \u0627\u0644\u062d\u0627\u0644\u0629 \u0627\u0644\u062a\u063a\u0630\u0648\u064a\u0629\u060c \u0648\u064a\u0633\u0647\u0644 \u0625\u0639\u0637\u0627\u0621 \u0627\u0644\u0623\u062f\u0648\u064a\u0629\u060c \u0648\u064a\u0642\u0644\u0644 \u0645\u0646 \u0627\u0644\u062c\u0641\u0627\u0641\u060c \u0648\u064a\u062e\u0641\u0636 \u062e\u0637\u0631 \u0627\u0644\u0627\u0633\u062a\u0646\u0634\u0627\u0642. \u0648\u064a\u0634\u064a\u0631 \u0627\u0644\u0639\u062f\u064a\u062f \u0645\u0646 \u0645\u0642\u062f\u0645\u064a \u0627\u0644\u0631\u0639\u0627\u064a\u0629 \u0625\u0644\u0649 \u0623\u0646 \u0637\u0641\u0644\u0647\u0645 \u064a\u062a\u0645\u062a\u0639 \u0628\u0645\u0632\u064a\u062f \u0645\u0646 \u0627\u0644\u0637\u0627\u0642\u0629 \u0648\u064a\u0642\u0636\u064a \u0648\u0642\u062a\u064b\u0627 \u0623\u0642\u0644 \u0641\u064a \u0645\u062d\u0627\u0648\u0644\u0629 \u0625\u0646\u0647\u0627\u0621 \u0648\u062c\u0628\u0627\u062a\u0647\u060c \u0645\u0645\u0627 \u064a\u0624\u062f\u064a \u0625\u0644\u0649 \u062a\u062d\u0633\u0646 \u0639\u0627\u0645 \u0641\u064a \u062c\u0648\u062f\u0629 \u062d\u064a\u0627\u062a\u0647.<\/p>\n\n<\/div>\n<\/div>\n<div id=\"faq-question-1783673956688\" class=\"rank-math-list-item\">\n<h3 class=\"rank-math-question\">\u0643\u0645 \u0645\u0646 \u0627\u0644\u0648\u0642\u062a \u064a\u0633\u062a\u063a\u0631\u0642 \u0627\u0644\u062a\u0639\u0627\u0641\u064a \u0628\u0639\u062f \u0648\u0636\u0639 \u0623\u0646\u0628\u0648\u0628 \u0627\u0644\u062a\u063a\u0630\u064a\u0629 \u0639\u0646 \u0637\u0631\u064a\u0642 \u0627\u0644\u062c\u0644\u062f (PEG)\u061f<\/h3>\n<div class=\"rank-math-answer\">\n\n<p>\u064a\u062a\u0639\u0627\u0641\u0649 \u0645\u0639\u0638\u0645 \u0627\u0644\u0645\u0631\u0636\u0649 \u0641\u064a \u063a\u0636\u0648\u0646 \u0623\u0633\u0628\u0648\u0639 \u0625\u0644\u0649 \u0623\u0633\u0628\u0648\u0639\u064a\u0646 \u0628\u0639\u062f \u062a\u0631\u0643\u064a\u0628 \u0623\u0646\u0628\u0648\u0628 \u0627\u0644\u062a\u063a\u0630\u064a\u0629 \u0639\u0646 \u0637\u0631\u064a\u0642 \u0627\u0644\u062c\u0644\u062f (PEG). \u064a\u064f\u0639\u062f\u0651 \u0627\u0644\u0634\u0639\u0648\u0631 \u0628\u0623\u0644\u0645 \u062e\u0641\u064a\u0641 \u062d\u0648\u0644 \u0645\u0648\u0636\u0639 \u0627\u0644\u0625\u062f\u062e\u0627\u0644 \u0623\u0645\u0631\u064b\u0627 \u0634\u0627\u0626\u0639\u064b\u0627 \u062e\u0644\u0627\u0644 \u0627\u0644\u0623\u064a\u0627\u0645 \u0627\u0644\u0642\u0644\u064a\u0644\u0629 \u0627\u0644\u0623\u0648\u0644\u0649\u060c \u0648\u0639\u0627\u062f\u0629\u064b \u0645\u0627 \u064a\u062a\u062d\u0633\u0646 \u0645\u0639 \u0645\u0633\u0643\u0646\u0627\u062a \u0627\u0644\u0623\u0644\u0645 \u0627\u0644\u0628\u0633\u064a\u0637\u0629. \u064a\u0628\u062f\u0623 \u0627\u0644\u0639\u062f\u064a\u062f \u0645\u0646 \u0627\u0644\u0645\u0631\u0636\u0649 \u0628\u0627\u0633\u062a\u062e\u062f\u0627\u0645 \u0627\u0644\u0623\u0646\u0628\u0648\u0628 \u0641\u064a \u063a\u0636\u0648\u0646 \u0633\u0627\u0639\u0627\u062a \u0623\u0648 \u064a\u0648\u0645 \u0648\u0627\u062d\u062f \u0628\u0639\u062f \u0627\u0644\u0639\u0645\u0644\u064a\u0629\u060c \u0648\u0630\u0644\u0643 \u0628\u0646\u0627\u0621\u064b \u0639\u0644\u0649 \u062a\u0648\u0635\u064a\u0627\u062a \u0627\u0644\u0637\u0628\u064a\u0628. \u064a\u0633\u062a\u063a\u0631\u0642 \u0627\u0644\u0634\u0641\u0627\u0621 \u0627\u0644\u062a\u0627\u0645 \u0644\u0644\u0641\u063a\u0631\u0629 \u0639\u0627\u062f\u0629\u064b \u0639\u062f\u0629 \u0623\u0633\u0627\u0628\u064a\u0639.<\/p>\n\n<\/div>\n<\/div>\n<div id=\"faq-question-1783673966048\" class=\"rank-math-list-item\">\n<h3 class=\"rank-math-question\">\u0645\u0627 \u0647\u064a \u0623\u0643\u062b\u0631 \u0627\u0644\u0645\u0636\u0627\u0639\u0641\u0627\u062a \u0634\u064a\u0648\u0639\u0627\u064b \u0644\u0623\u0646\u0628\u0648\u0628 \u0627\u0644\u062a\u063a\u0630\u064a\u0629 \u0639\u0646 \u0637\u0631\u064a\u0642 \u0627\u0644\u062c\u0644\u062f (PEG) \u0641\u064a \u0645\u0631\u0636 \u0636\u0645\u0648\u0631 \u0627\u0644\u0639\u0636\u0644\u0627\u062a \u0627\u0644\u062f\u0648\u0634\u064a\u0646\u064a (DMD)\u061f<\/h3>\n<div class=\"rank-math-answer\">\n\n<p>\u062a\u0634\u0645\u0644 \u0627\u0644\u0645\u0636\u0627\u0639\u0641\u0627\u062a \u0627\u0644\u0623\u0643\u062b\u0631 \u0634\u064a\u0648\u0639\u064b\u0627 \u062a\u0647\u064a\u062c\u064b\u0627 \u0637\u0641\u064a\u0641\u064b\u0627 \u0641\u064a \u0627\u0644\u062c\u0644\u062f\u060c \u0648\u062a\u0643\u0648\u0651\u0646 \u0646\u0633\u064a\u062c \u062d\u0628\u064a\u0628\u064a\u060c \u0648\u0627\u0646\u0633\u062f\u0627\u062f \u0627\u0644\u0623\u0646\u0628\u0648\u0628\u060c \u0648\u062a\u0633\u0631\u0628\u064b\u0627 \u062d\u0648\u0644 \u0645\u0648\u0636\u0639 \u0627\u0644\u0625\u062f\u062e\u0627\u0644. \u0623\u0645\u0627 \u0627\u0644\u0645\u0636\u0627\u0639\u0641\u0627\u062a \u0627\u0644\u062e\u0637\u064a\u0631\u0629 \u0643\u0627\u0644\u0625\u0635\u0627\u0628\u0629 \u0628\u0627\u0644\u0639\u062f\u0648\u0649 \u0623\u0648 \u0627\u0644\u0646\u0632\u064a\u0641 \u0623\u0648 \u0627\u0644\u062a\u0647\u0627\u0628 \u0627\u0644\u0635\u0641\u0627\u0642 \u0641\u0647\u064a \u063a\u064a\u0631 \u0634\u0627\u0626\u0639\u0629\u060c \u0648\u0644\u0643\u0646\u0647\u0627 \u062a\u062a\u0637\u0644\u0628 \u0639\u0646\u0627\u064a\u0629 \u0637\u0628\u064a\u0629 \u0641\u0648\u0631\u064a\u0629. \u0648\u064a\u064f\u0633\u0647\u0645 \u0627\u0644\u062a\u0646\u0638\u064a\u0641 \u0627\u0644\u064a\u0648\u0645\u064a\u060c \u0648\u063a\u0633\u0644 \u0627\u0644\u0623\u0646\u0628\u0648\u0628 \u0628\u0634\u0643\u0644 \u0635\u062d\u064a\u062d\u060c \u0648\u0627\u0644\u0645\u062a\u0627\u0628\u0639\u0629 \u0627\u0644\u0645\u0646\u062a\u0638\u0645\u0629 \u0645\u0639 \u0627\u0644\u0641\u0631\u064a\u0642 \u0627\u0644\u0637\u0628\u064a \u0628\u0634\u0643\u0644 \u0643\u0628\u064a\u0631 \u0641\u064a \u062a\u0642\u0644\u064a\u0644 \u062e\u0637\u0631 \u062d\u062f\u0648\u062b \u0627\u0644\u0645\u0636\u0627\u0639\u0641\u0627\u062a.<\/p>\n\n<\/div>\n<\/div>\n<div id=\"faq-question-1783673983152\" class=\"rank-math-list-item\">\n<h3 class=\"rank-math-question\">\u0647\u0644 \u064a\u0645\u0643\u0646 \u0644\u0623\u0646\u0628\u0648\u0628 \u0627\u0644\u062a\u063a\u0630\u064a\u0629 \u0639\u0646 \u0637\u0631\u064a\u0642 \u0627\u0644\u062c\u0644\u062f (PEG) \u0623\u0646 \u064a\u0645\u0646\u0639 \u0641\u0642\u062f\u0627\u0646 \u0627\u0644\u0648\u0632\u0646 \u0641\u064a \u0636\u0645\u0648\u0631 \u062f\u0648\u0634\u064a\u0646 \u0627\u0644\u0639\u0636\u0644\u064a\u061f<\/h3>\n<div class=\"rank-math-answer\">\n\n<p>\u0646\u0639\u0645. \u0645\u0646 \u0623\u0647\u0645 \u0641\u0648\u0627\u0626\u062f \u0623\u0646\u0627\u0628\u064a\u0628 \u0641\u063a\u0631 \u0627\u0644\u0645\u0639\u062f\u0629 \u0641\u064a \u0639\u0644\u0627\u062c \u0636\u0645\u0648\u0631 \u062f\u0648\u0634\u064a\u0646 \u0627\u0644\u0639\u0636\u0644\u064a \u0627\u0644\u0645\u0633\u0627\u0639\u062f\u0629 \u0641\u064a \u0645\u0646\u0639 \u0641\u0642\u062f\u0627\u0646 \u0627\u0644\u0648\u0632\u0646 \u063a\u064a\u0631 \u0627\u0644\u0645\u0642\u0635\u0648\u062f. \u0641\u0645\u0646 \u062e\u0644\u0627\u0644 \u062a\u0648\u0641\u064a\u0631 \u0627\u0644\u062a\u063a\u0630\u064a\u0629 \u0648\u0627\u0644\u062a\u0631\u0637\u064a\u0628 \u0648\u0627\u0644\u0623\u062f\u0648\u064a\u0629 \u0628\u0634\u0643\u0644 \u0645\u0648\u062b\u0648\u0642 \u0645\u0628\u0627\u0634\u0631\u0629 \u0625\u0644\u0649 \u0627\u0644\u0645\u0639\u062f\u0629\u060c \u064a\u0633\u0627\u0639\u062f \u0623\u0646\u0628\u0648\u0628 \u0641\u063a\u0631 \u0627\u0644\u0645\u0639\u062f\u0629 \u0639\u0646 \u0637\u0631\u064a\u0642 \u0627\u0644\u062c\u0644\u062f (PEG) \u0641\u064a \u0627\u0644\u062d\u0641\u0627\u0638 \u0639\u0644\u0649 \u0648\u0632\u0646 \u0627\u0644\u062c\u0633\u0645 \u0648\u064a\u0642\u0644\u0644 \u0645\u0646 \u062e\u0637\u0631 \u0633\u0648\u0621 \u0627\u0644\u062a\u063a\u0630\u064a\u0629\u060c \u0644\u0627 \u0633\u064a\u0645\u0627 \u0644\u062f\u0649 \u0627\u0644\u0645\u0631\u0636\u0649 \u0627\u0644\u0630\u064a\u0646 \u064a\u0639\u0627\u0646\u0648\u0646 \u0645\u0646 \u0635\u0639\u0648\u0628\u0629 \u0641\u064a \u0627\u0644\u0628\u0644\u0639 \u0623\u0648 \u0636\u0639\u0641 \u0627\u0644\u0634\u0647\u064a\u0629.<\/p>\n\n<\/div>\n<\/div>\n<div id=\"faq-question-1783673990980\" class=\"rank-math-list-item\">\n<h3 class=\"rank-math-question\">\u0645\u0627 \u0647\u064a \u0627\u0644\u0623\u0637\u0639\u0645\u0629 \u0627\u0644\u062a\u064a \u064a\u0645\u0643\u0646 \u0625\u0639\u0637\u0627\u0624\u0647\u0627 \u0639\u0628\u0631 \u0623\u0646\u0628\u0648\u0628 \u0627\u0644\u062a\u063a\u0630\u064a\u0629 \u0639\u0646 \u0637\u0631\u064a\u0642 \u0627\u0644\u062c\u0644\u062f (PEG)\u061f<\/h3>\n<div class=\"rank-math-answer\">\n\n<p>\u064a\u062a\u0644\u0642\u0649 \u0645\u0639\u0638\u0645 \u0627\u0644\u0623\u0641\u0631\u0627\u062f \u062a\u0631\u0643\u064a\u0628\u0627\u062a \u0627\u0644\u062a\u063a\u0630\u064a\u0629 \u0627\u0644\u0645\u0639\u0648\u064a\u0629 \u0627\u0644\u0645\u064f\u062d\u0636\u0651\u0631\u0629 \u062a\u062c\u0627\u0631\u064a\u064b\u0627 \u0644\u0623\u0646\u0647\u0627 \u062a\u0648\u0641\u0631 \u0633\u0639\u0631\u0627\u062a \u062d\u0631\u0627\u0631\u064a\u0629 \u0648\u0628\u0631\u0648\u062a\u064a\u0646\u0627\u062a \u0648\u0641\u064a\u062a\u0627\u0645\u064a\u0646\u0627\u062a \u0648\u0645\u0639\u0627\u062f\u0646 \u0645\u062a\u0648\u0627\u0632\u0646\u0629. \u0641\u064a \u0628\u0639\u0636 \u0627\u0644\u062d\u0627\u0644\u0627\u062a\u060c \u064a\u0645\u0643\u0646 \u0627\u0633\u062a\u062e\u062f\u0627\u0645 \u0648\u062c\u0628\u0627\u062a \u0645\u064f\u062d\u0636\u0651\u0631\u0629 \u0628\u0639\u0646\u0627\u064a\u0629 \u0648\u0645\u064f\u0647\u0631\u0648\u0633\u0629 \u062a\u062d\u062a \u0625\u0634\u0631\u0627\u0641 \u0623\u062e\u0635\u0627\u0626\u064a \u062a\u063a\u0630\u064a\u0629 \u0645\u064f\u0631\u062e\u0635. \u064a\u062c\u0628 \u062f\u0627\u0626\u0645\u064b\u0627 \u062a\u062e\u0635\u064a\u0635 \u062e\u0637\u0629 \u0627\u0644\u062a\u063a\u0630\u064a\u0629 \u0628\u0646\u0627\u0621\u064b \u0639\u0644\u0649 \u0639\u0645\u0631 \u0627\u0644\u0645\u0631\u064a\u0636 \u0648\u0627\u062d\u062a\u064a\u0627\u062c\u0627\u062a\u0647 \u0627\u0644\u063a\u0630\u0627\u0626\u064a\u0629 \u0648\u0642\u062f\u0631\u062a\u0647 \u0639\u0644\u0649 \u0627\u0644\u0647\u0636\u0645 \u0648\u062d\u0627\u0644\u062a\u0647 \u0627\u0644\u0635\u062d\u064a\u0629 \u0627\u0644\u0639\u0627\u0645\u0629.<\/p>\n\n<\/div>\n<\/div>\n<div id=\"faq-question-1783674000698\" class=\"rank-math-list-item\">\n<h3 class=\"rank-math-question\">\u0643\u064a\u0641 \u062a\u0639\u062a\u0646\u064a \u0628\u0623\u0646\u0628\u0648\u0628 \u0627\u0644\u062a\u063a\u0630\u064a\u0629 \u0639\u0646 \u0637\u0631\u064a\u0642 \u0627\u0644\u062c\u0644\u062f (PEG) \u0641\u064a \u0627\u0644\u0645\u0646\u0632\u0644\u061f<\/h3>\n<div class=\"rank-math-answer\">\n\n<p>\u062a\u0634\u0645\u0644 \u0627\u0644\u0639\u0646\u0627\u064a\u0629 \u0627\u0644\u064a\u0648\u0645\u064a\u0629 \u0628\u0623\u0646\u0628\u0648\u0628 \u0627\u0644\u062a\u063a\u0630\u064a\u0629 \u0639\u0646 \u0637\u0631\u064a\u0642 \u0627\u0644\u062c\u0644\u062f \u062a\u0646\u0638\u064a\u0641 \u0627\u0644\u062c\u0644\u062f \u0627\u0644\u0645\u062d\u064a\u0637 \u0628\u0627\u0644\u0623\u0646\u0628\u0648\u0628 \u0628\u0627\u0644\u0645\u0627\u0621 \u0648\u0627\u0644\u0635\u0627\u0628\u0648\u0646 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\u064a\u062a\u0639\u0644\u0642 \u0628\u062a\u062f\u0648\u064a\u0631 \u0627\u0644\u0623\u0646\u0628\u0648\u0628\u060c \u0648\u062a\u063a\u064a\u064a\u0631 \u0627\u0644\u0636\u0645\u0627\u062f\u0627\u062a\u060c \u0648\u0645\u062a\u0649 \u064a\u062c\u0628 \u0637\u0644\u0628 \u0627\u0644\u0631\u0639\u0627\u064a\u0629 \u0627\u0644\u0637\u0628\u064a\u0629.<\/p>\n\n<\/div>\n<\/div>\n<div id=\"faq-question-1783674008955\" class=\"rank-math-list-item\">\n<h3 class=\"rank-math-question\">\u0647\u0644 \u064a\u0645\u0643\u0646 \u0625\u0632\u0627\u0644\u0629 \u0623\u0646\u0628\u0648\u0628 \u0627\u0644\u062a\u063a\u0630\u064a\u0629 \u0639\u0646 \u0637\u0631\u064a\u0642 \u0627\u0644\u062c\u0644\u062f (PEG) \u0625\u0630\u0627 \u0644\u0645 \u062a\u0639\u062f \u0647\u0646\u0627\u0643 \u062d\u0627\u062c\u0629 \u0625\u0644\u064a\u0647\u061f<\/h3>\n<div class=\"rank-math-answer\">\n\n<p>\u0646\u0639\u0645. \u0625\u0630\u0627 \u062a\u062d\u0633\u0651\u0646\u062a \u0648\u0638\u064a\u0641\u0629 \u0627\u0644\u0628\u0644\u0639 \u0623\u0648 \u0644\u0645 \u062a\u0639\u062f \u0647\u0646\u0627\u0643 \u062d\u0627\u062c\u0629 \u0644\u0644\u062f\u0639\u0645 \u0627\u0644\u063a\u0630\u0627\u0626\u064a\u060c \u0641\u063a\u0627\u0644\u0628\u064b\u0627 \u0645\u0627 \u064a\u0645\u0643\u0646 \u0625\u0632\u0627\u0644\u0629 \u0623\u0646\u0628\u0648\u0628 \u0627\u0644\u062a\u063a\u0630\u064a\u0629 \u0639\u0646 \u0637\u0631\u064a\u0642 \u0627\u0644\u062c\u0644\u062f (PEG) \u0628\u0648\u0627\u0633\u0637\u0629 \u0623\u062e\u0635\u0627\u0626\u064a \u0631\u0639\u0627\u064a\u0629 \u0635\u062d\u064a\u0629. \u064a\u0639\u062a\u0645\u062f \u0627\u0644\u0642\u0631\u0627\u0631 \u0639\u0644\u0649 \u0642\u062f\u0631\u0629 \u0627\u0644\u0645\u0631\u064a\u0636 \u0639\u0644\u0649 \u0627\u0644\u062d\u0641\u0627\u0638 \u0639\u0644\u0649 \u0627\u0644\u062a\u063a\u0630\u064a\u0629 \u0648\u0627\u0644\u062a\u0631\u0637\u064a\u0628 \u0627\u0644\u0643\u0627\u0641\u064a\u064a\u0646 \u0639\u0646 \u0637\u0631\u064a\u0642 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\u0627\u0644\u062a\u063a\u0630\u064a\u0629 \u0639\u0646 \u0637\u0631\u064a\u0642 \u0627\u0644\u062c\u0644\u062f (PEG) \u0641\u064a \u0645\u0631\u0636 \u0636\u0645\u0648\u0631 \u0627\u0644\u0639\u0636\u0644\u0627\u062a \u0627\u0644\u062f\u0648\u0634\u064a\u0646\u064a \u0644\u064a\u0633 \u0639\u0644\u0627\u062c\u064b\u0627 \u0644\u0636\u0645\u0648\u0631 \u0627\u0644\u0639\u0636\u0644\u0627\u062a \u0627\u0644\u062f\u0648\u0634\u064a\u0646\u064a \u0646\u0641\u0633\u0647\u061b \u0628\u0644 \u0647\u0648 \u0623\u062f\u0627\u0629 \u062a\u0633\u0627\u0639\u062f \u0641\u064a \u0627\u0644\u062d\u0641\u0627\u0638 \u0639\u0644\u0649 \u0627\u0644\u062a\u063a\u0630\u064a\u0629 \u0627\u0644\u0643\u0627\u0641\u064a\u0629 \u0648\u0627\u0644\u062a\u0631\u0637\u064a\u0628 \u0648\u0625\u064a\u0635\u0627\u0644 \u0627\u0644\u0623\u062f\u0648\u064a\u0629 \u0648\u0627\u0644\u0635\u062d\u0629 \u0627\u0644\u0639\u0627\u0645\u0629.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u0645\u0646 \u0623\u0647\u0645 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\u0641\u063a\u0631 \u0627\u0644\u0645\u0639\u062f\u0629 \u0642\u0628\u0644 \u062d\u062f\u0648\u062b \u0623\u0632\u0645\u0629 \u062a\u063a\u0630\u064a\u0629\u060c \u0645\u0645\u0627 \u064a\u062a\u064a\u062d \u0644\u0644\u0645\u0631\u0636\u0649 \u0648\u0645\u0642\u062f\u0645\u064a \u0627\u0644\u0631\u0639\u0627\u064a\u0629 \u0627\u062a\u062e\u0627\u0630 \u0642\u0631\u0627\u0631\u0627\u062a \u0645\u062f\u0631\u0648\u0633\u0629 \u0628\u0647\u062f\u0648\u0621 \u0648\u062a\u062e\u0637\u064a\u0637.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>\u064a\u0638\u0644 \u0627\u0644\u0646\u0647\u062c \u0645\u062a\u0639\u062f\u062f \u0627\u0644\u062a\u062e\u0635\u0635\u0627\u062a \u0636\u0631\u0648\u0631\u064a\u0627\u064b. \u064a\u0644\u0639\u0628 \u0643\u0644 \u0645\u0646 \u0623\u0637\u0628\u0627\u0621 \u0627\u0644\u0623\u0639\u0635\u0627\u0628\u060c \u0648\u0623\u0637\u0628\u0627\u0621 \u0627\u0644\u0631\u0626\u0629\u060c \u0648\u0623\u0637\u0628\u0627\u0621 \u0627\u0644\u0642\u0644\u0628\u060c \u0648\u0623\u0637\u0628\u0627\u0621 \u0627\u0644\u062c\u0647\u0627\u0632 \u0627\u0644\u0647\u0636\u0645\u064a\u060c \u0648\u0623\u062e\u0635\u0627\u0626\u064a\u064a \u0627\u0644\u062a\u063a\u0630\u064a\u0629\u060c \u0648\u0623\u062e\u0635\u0627\u0626\u064a\u064a \u0623\u0645\u0631\u0627\u0636 \u0627\u0644\u0646\u0637\u0642 \u0648\u0627\u0644\u0644\u063a\u0629\u060c \u0648\u0623\u0637\u0628\u0627\u0621 \u0627\u0644\u062a\u062e\u062f\u064a\u0631\u060c \u0648\u0627\u0644\u0645\u0645\u0631\u0636\u064a\u0646\u060c \u0648\u0645\u0642\u062f\u0645\u064a \u0627\u0644\u0631\u0639\u0627\u064a\u0629 \u062f\u0648\u0631\u0627\u064b \u0645\u0647\u0645\u0627\u064b \u0641\u064a \u0636\u0645\u0627\u0646 \u0646\u062a\u0627\u0626\u062c \u0646\u0627\u062c\u062d\u0629 \u0639\u0644\u0649 \u0627\u0644\u0645\u062f\u0649 \u0627\u0644\u0637\u0648\u064a\u0644.<\/strong> \u0645\u0639 \u0627\u0644\u0645\u062a\u0627\u0628\u0639\u0629 \u0627\u0644\u0637\u0628\u064a\u0629 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\u0627\u0644\u0639\u0627\u0637\u0641\u064a \u0644\u0644\u0631\u0639\u0627\u064a\u0629. \u0641\u0643\u062b\u064a\u0631\u0627\u064b \u0645\u0627 \u062a\u0631\u0628\u0637 \u0627\u0644\u0639\u0627\u0626\u0644\u0627\u062a \u0623\u0646\u0627\u0628\u064a\u0628 \u0627\u0644\u062a\u063a\u0630\u064a\u0629 \u0628\u062a\u0641\u0627\u0642\u0645 \u0627\u0644\u0645\u0631\u0636\u060c \u0625\u0644\u0627 \u0623\u0646 \u0627\u0644\u0643\u062b\u064a\u0631\u064a\u0646 \u064a\u0635\u0641\u0648\u0646 \u0644\u0627\u062d\u0642\u0627\u064b \u062a\u0631\u0643\u064a\u0628 \u0623\u0646\u0628\u0648\u0628 \u0627\u0644\u062a\u063a\u0630\u064a\u0629 \u0639\u0646 \u0637\u0631\u064a\u0642 \u0627\u0644\u062c\u0644\u062f (PEG) \u0628\u0623\u0646\u0647 \u0646\u0642\u0637\u0629 \u062a\u062d\u0648\u0651\u0644 \u0633\u0627\u0647\u0645\u062a \u0641\u064a \u062a\u062e\u0641\u064a\u0641 \u0627\u0644\u062a\u0648\u062a\u0631\u060c \u0648\u062a\u0642\u0635\u064a\u0631 \u0623\u0648\u0642\u0627\u062a \u0627\u0644\u0648\u062c\u0628\u0627\u062a \u0627\u0644\u0645\u0631\u0647\u0642\u0629\u060c \u0648\u062a\u062d\u0633\u064a\u0646 \u0627\u0644\u062d\u0641\u0627\u0638 \u0639\u0644\u0649 \u0627\u0644\u0648\u0632\u0646\u060c \u0648\u062a\u0639\u0632\u064a\u0632 \u062c\u0648\u062f\u0629 \u0627\u0644\u062d\u064a\u0627\u0629. \u0648\u0645\u0646 \u062e\u0644\u0627\u0644 \u062f\u0639\u0645 \u0627\u0644\u062a\u063a\u0630\u064a\u0629 \u0627\u0644\u0633\u0644\u064a\u0645\u0629\u060c \u0648\u0627\u0644\u062d\u062f\u0651 \u0645\u0646 \u062e\u0637\u0631 \u0627\u0644\u0627\u0633\u062a\u0646\u0634\u0627\u0642\u060c \u0648\u062a\u0628\u0633\u064a\u0637 \u0625\u0639\u0637\u0627\u0621 \u0627\u0644\u0623\u062f\u0648\u064a\u0629\u060c \u064a\u0645\u0643\u0646 \u0644\u0623\u0646\u0627\u0628\u064a\u0628 \u0641\u063a\u0631 \u0627\u0644\u0645\u0639\u062f\u0629 \u0641\u064a \u0639\u0644\u0627\u062c \u0636\u0645\u0648\u0631 \u062f\u0648\u0634\u064a\u0646 \u0627\u0644\u0639\u0636\u0644\u064a \u0623\u0646 \u062a\u0633\u0627\u0639\u062f \u0627\u0644\u0645\u0631\u0636\u0649 \u0639\u0644\u0649 \u0627\u0644\u0628\u0642\u0627\u0621 \u0628\u0635\u062d\u0629 \u0623\u0641\u0636\u0644 \u0648\u0631\u0627\u062d\u0629 \u0623\u0643\u0628\u0631 \u0637\u0648\u0627\u0644 \u0641\u062a\u0631\u0629 \u0627\u0644\u0645\u0631\u0636.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u0639\u0644\u0649 \u0627\u0644\u0631\u063a\u0645 \u0645\u0646 \u0623\u0646 \u0643\u0644 \u0641\u0631\u062f \u0645\u0635\u0627\u0628 \u0628\u0636\u0645\u0648\u0631 \u0627\u0644\u0639\u0636\u0644\u0627\u062a \u0627\u0644\u062f\u0648\u0634\u064a\u0646\u064a \u064a\u0645\u0631 \u0628\u0631\u062d\u0644\u0629 \u0639\u0644\u0627\u062c\u064a\u0629 \u0641\u0631\u064a\u062f\u0629\u060c \u0625\u0644\u0627 \u0623\u0646 \u0627\u0644\u0623\u062f\u0644\u0629 \u062a\u062f\u0639\u0645 \u0628\u0642\u0648\u0629 \u0627\u0644\u062a\u0642\u064a\u064a\u0645 \u0627\u0644\u062a\u063a\u0630\u0648\u064a \u0627\u0644\u0645\u0628\u0643\u0631\u060c \u0648\u0627\u0644\u062a\u0642\u064a\u064a\u0645\u0627\u062a \u0627\u0644\u0631\u0648\u062a\u064a\u0646\u064a\u0629 \u0644\u0644\u0628\u0644\u0639\u060c \u0648\u0627\u0644\u0646\u0638\u0631 \u0641\u064a \u0627\u0644\u0648\u0642\u062a \u0627\u0644\u0645\u0646\u0627\u0633\u0628 \u0641\u064a \u062a\u0631\u0643\u064a\u0628 \u0623\u0646\u0628\u0648\u0628 \u062a\u063a\u0630\u064a\u0629 \u0639\u0646 \u0637\u0631\u064a\u0642 \u0627\u0644\u062c\u0644\u062f (PEG) \u0639\u0646\u062f \u0627\u0644\u062d\u0627\u062c\u0629 \u0627\u0644\u0637\u0628\u064a\u0629. \u0648\u064a\u064f\u0639\u062f \u0627\u0644\u062a\u0648\u0627\u0635\u0644 \u0627\u0644\u0645\u0641\u062a\u0648\u062d \u0628\u064a\u0646 \u0627\u0644\u0639\u0627\u0626\u0644\u0627\u062a \u0648\u0641\u0631\u0642 \u0637\u0628 \u0627\u0644\u0623\u0639\u0635\u0627\u0628 \u0648\u0627\u0644\u0639\u0636\u0644\u0627\u062a \u0630\u0627\u062a \u0627\u0644\u062e\u0628\u0631\u0629 \u0623\u0641\u0636\u0644 \u0637\u0631\u064a\u0642\u0629 \u0644\u062a\u062d\u062f\u064a\u062f \u0627\u0644\u062a\u0648\u0642\u064a\u062a \u0627\u0644\u0645\u0646\u0627\u0633\u0628 \u0648\u0627\u0644\u0627\u0633\u062a\u0631\u0627\u062a\u064a\u062c\u064a\u0629 \u0627\u0644\u062a\u063a\u0630\u0648\u064a\u0629 \u0627\u0644\u0623\u0646\u0633\u0628 \u0644\u0643\u0644 \u0645\u0631\u064a\u0636.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 id=\"academic-sources-and-references\" class=\"wp-block-heading\">\u0627\u0644\u0645\u0635\u0627\u062f\u0631 \u0648\u0627\u0644\u0645\u0631\u0627\u062c\u0639 \u0627\u0644\u0623\u0643\u0627\u062f\u064a\u0645\u064a\u0629<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u0628\u064a\u0631\u0646\u0643\u0631\u0627\u0646\u062a \u062f\u064a \u062c\u064a\u0647 \u0648\u0622\u062e\u0631\u0648\u0646. \u062a\u0634\u062e\u064a\u0635 \u0648\u0639\u0644\u0627\u062c \u0636\u0645\u0648\u0631 \u062f\u0648\u0634\u064a\u0646 \u0627\u0644\u0639\u0636\u0644\u064a\u060c \u0627\u0644\u062c\u0632\u0621 2: \u0627\u0644\u062c\u0647\u0627\u0632 \u0627\u0644\u062a\u0646\u0641\u0633\u064a\u060c \u0627\u0644\u0642\u0644\u0628\u060c \u0635\u062d\u0629 \u0627\u0644\u0639\u0638\u0627\u0645\u060c \u0648\u0627\u0644\u0625\u062f\u0627\u0631\u0629 \u0627\u0644\u062a\u0642\u0648\u064a\u0645\u064a\u0629. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/29395990\/\" target=\"_blank\" rel=\"noreferrer noopener\">\u0645\u062c\u0644\u0629 \u0644\u0627\u0646\u0633\u064a\u062a \u0644\u0637\u0628 \u0627\u0644\u0623\u0639\u0635\u0627\u0628<\/a>. 2018.<\/li>\n\n\n\n<li>\u0628\u064a\u0631\u0646\u0643\u0631\u0627\u0646\u062a \u062f\u064a \u062c\u064a\u0647 \u0648\u0622\u062e\u0631\u0648\u0646. \u062a\u0634\u062e\u064a\u0635 \u0648\u0639\u0644\u0627\u062c \u0636\u0645\u0648\u0631 \u062f\u0648\u0634\u064a\u0646 \u0627\u0644\u0639\u0636\u0644\u064a\u060c \u0627\u0644\u062c\u0632\u0621 \u0627\u0644\u0623\u0648\u0644: \u0627\u0644\u062a\u0634\u062e\u064a\u0635\u060c \u0648\u0627\u0644\u0625\u062f\u0627\u0631\u0629 \u0627\u0644\u0639\u0635\u0628\u064a\u0629 \u0627\u0644\u0639\u0636\u0644\u064a\u0629\u060c \u0648\u0625\u0639\u0627\u062f\u0629 \u0627\u0644\u062a\u0623\u0647\u064a\u0644\u060c \u0648\u0627\u0644\u063a\u062f\u062f \u0627\u0644\u0635\u0645\u0627\u0621\u060c \u0648\u0627\u0644\u062c\u0647\u0627\u0632 \u0627\u0644\u0647\u0636\u0645\u064a. \u0645\u062c\u0644\u0629 \u0644\u0627\u0646\u0633\u064a\u062a \u0644\u0637\u0628 \u0627\u0644\u0623\u0639\u0635\u0627\u0628. 2018.<\/li>\n\n\n\n<li>\u0628\u064a\u0631\u0646\u0643\u0631\u0627\u0646\u062a \u062f\u064a \u062c\u064a\u0647\u060c \u0648\u0622\u062e\u0631\u0648\u0646. \u0641\u0631\u064a\u0642 \u0639\u0645\u0644 \u0627\u0639\u062a\u0628\u0627\u0631\u0627\u062a \u0631\u0639\u0627\u064a\u0629 \u0636\u0645\u0648\u0631 \u062f\u0648\u0634\u064a\u0646 \u0627\u0644\u0639\u0636\u0644\u064a. \u0645\u062c\u0644\u0629 \u0644\u0627\u0646\u0633\u064a\u062a \u0644\u0639\u0644\u0645 \u0627\u0644\u0623\u0639\u0635\u0627\u0628. 2018.<\/li>\n\n\n\n<li>\u0631\u0648\u0645\u0627\u0646\u0648 \u0633\u064a\u060c \u0648\u0622\u062e\u0631\u0648\u0646. \u0648\u0631\u0642\u0629 \u0645\u0648\u0642\u0641 \u0627\u0644\u062c\u0645\u0639\u064a\u0629 \u0627\u0644\u0623\u0648\u0631\u0648\u0628\u064a\u0629 \u0644\u0623\u0645\u0631\u0627\u0636 \u0627\u0644\u062c\u0647\u0627\u0632 \u0627\u0644\u0647\u0636\u0645\u064a \u0648\u0627\u0644\u0643\u0628\u062f \u0648\u0627\u0644\u062a\u063a\u0630\u064a\u0629 \u0644\u062f\u0649 \u0627\u0644\u0623\u0637\u0641\u0627\u0644 (ESPGHAN) \u0628\u0634\u0623\u0646 \u0641\u063a\u0631 \u0627\u0644\u0645\u0639\u062f\u0629 \u0628\u0627\u0644\u0645\u0646\u0638\u0627\u0631 \u0639\u0646 \u0637\u0631\u064a\u0642 \u0627\u0644\u062c\u0644\u062f \u0639\u0646\u062f \u0627\u0644\u0623\u0637\u0641\u0627\u0644. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/34155150\/\" target=\"_blank\" rel=\"noreferrer noopener\">\u0645\u062c\u0644\u0629 \u0637\u0628 \u0627\u0644\u062c\u0647\u0627\u0632 \u0627\u0644\u0647\u0636\u0645\u064a \u0648\u0627\u0644\u062a\u063a\u0630\u064a\u0629 \u0644\u0644\u0623\u0637\u0641\u0627\u0644<\/a>. 2021.<\/li>\n\n\n\n<li>\u0627\u0644\u0623\u0643\u0627\u062f\u064a\u0645\u064a\u0629 \u0627\u0644\u0623\u0645\u0631\u064a\u0643\u064a\u0629 \u0644\u0637\u0628 \u0627\u0644\u0623\u0637\u0641\u0627\u0644. \u0627\u0644\u0625\u062f\u0627\u0631\u0629 \u0627\u0644\u063a\u0630\u0627\u0626\u064a\u0629 \u0648\u0627\u0644\u0645\u0639\u0648\u064a\u0629 \u0644\u0644\u0623\u0637\u0641\u0627\u0644 \u0627\u0644\u0645\u0635\u0627\u0628\u064a\u0646 \u0628\u0627\u0636\u0637\u0631\u0627\u0628\u0627\u062a \u0639\u0635\u0628\u064a\u0629 \u0639\u0636\u0644\u064a\u0629.<\/li>\n\n\n\n<li>\u0627\u0644\u062c\u0645\u0639\u064a\u0629 \u0627\u0644\u0623\u0648\u0631\u0648\u0628\u064a\u0629 \u0644\u0644\u062a\u063a\u0630\u064a\u0629 \u0627\u0644\u0633\u0631\u064a\u0631\u064a\u0629 \u0648\u0627\u0644\u0623\u064a\u0636 (ESPEN). <a href=\"https:\/\/www.espen.org\/files\/ESPEN-Guidelines\/ESPEN-guideline_clinical_nutrition_in_neurology.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">\u062f\u0644\u064a\u0644 \u0627\u0644\u062a\u063a\u0630\u064a\u0629 \u0627\u0644\u0633\u0631\u064a\u0631\u064a\u0629 \u0641\u064a \u0637\u0628 \u0627\u0644\u0623\u0639\u0635\u0627\u0628<\/a>.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>","protected":false},"excerpt":{"rendered":"<p>Gastrostomy tubes in Duchenne Muscular Dystrophy (DMD) have become an important component of multidisciplinary care for individuals who experience progressive swallowing difficulties, unintended weight loss, or an increased risk of aspiration. A PEG tube in DMD (Percutaneous Endoscopic Gastrostomy tube) provides direct access to the stomach, allowing adequate nutrition, hydration, and medication administration when eating [&hellip;]<\/p>\n","protected":false},"author":7,"featured_media":8220,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[563],"tags":[379,492,833,832,836,835,831,146,830,834],"class_list":["post-8211","post","type-post","status-publish","format-standard","has-post-thumbnail","category-care-guidelines","tag-dmd-care","tag-dysphagia","tag-enteral-nutrition","tag-feeding-tube","tag-g-tube-feedings","tag-g-tubes","tag-gastrostomy","tag-nutrition","tag-peg-tube","tag-weight-loss"],"subtitle":"\u0639\u0646\u062f\u0645\u0627 \u064a\u0635\u0628\u062d \u062a\u0646\u0627\u0648\u0644 \u0627\u0644\u0637\u0639\u0627\u0645 \u0635\u0639\u0628\u0627\u064b\u060c \u0642\u062f \u062a\u0633\u0627\u0639\u062f \u0623\u0646\u0627\u0628\u064a\u0628 \u0641\u063a\u0631 \u0627\u0644\u0645\u0639\u062f\u0629 \u0641\u064a \u062d\u0627\u0644\u0627\u062a \u0636\u0645\u0648\u0631 \u062f\u0648\u0634\u064a\u0646 \u0627\u0644\u0639\u0636\u0644\u064a \u0639\u0644\u0649 \u0627\u0644\u062d\u0641\u0627\u0638 \u0639\u0644\u0649 \u0627\u0644\u062a\u063a\u0630\u064a\u0629 \u0648\u0646\u0648\u0639\u064a\u0629 \u0627\u0644\u062d\u064a\u0627\u0629. \u064a\u0634\u0631\u062d \u0647\u0630\u0627 \u0627\u0644\u062f\u0644\u064a\u0644 \u0645\u062a\u0649 \u064a\u064f\u0646\u0635\u062d \u0628\u0627\u0633\u062a\u062e\u062f\u0627\u0645 \u0623\u0646\u0628\u0648\u0628 \u0641\u063a\u0631 \u0627\u0644\u0645\u0639\u062f\u0629 \u0639\u0646 \u0637\u0631\u064a\u0642 \u0627\u0644\u062c\u0644\u062f (PEG) \u0641\u064a \u062d\u0627\u0644\u0627\u062a \u0636\u0645\u0648\u0631 \u062f\u0648\u0634\u064a\u0646 \u0627\u0644\u0639\u0636\u0644\u064a\u060c \u0648\u0643\u064a\u0641 \u064a\u0639\u0645\u0644\u060c \u0648\u0645\u0627 \u0627\u0644\u0630\u064a \u064a\u062c\u0628 \u0623\u0646 \u062a\u062a\u0648\u0642\u0639\u0647 \u0627\u0644\u0639\u0627\u0626\u0644\u0627\u062a.","_links":{"self":[{"href":"https:\/\/dmdwarrior.com\/ar\/wp-json\/wp\/v2\/posts\/8211","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/dmdwarrior.com\/ar\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/dmdwarrior.com\/ar\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/dmdwarrior.com\/ar\/wp-json\/wp\/v2\/users\/7"}],"replies":[{"embeddable":true,"href":"https:\/\/dmdwarrior.com\/ar\/wp-json\/wp\/v2\/comments?post=8211"}],"version-history":[{"count":3,"href":"https:\/\/dmdwarrior.com\/ar\/wp-json\/wp\/v2\/posts\/8211\/revisions"}],"predecessor-version":[{"id":8563,"href":"https:\/\/dmdwarrior.com\/ar\/wp-json\/wp\/v2\/posts\/8211\/revisions\/8563"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/dmdwarrior.com\/ar\/wp-json\/wp\/v2\/media\/8220"}],"wp:attachment":[{"href":"https:\/\/dmdwarrior.com\/ar\/wp-json\/wp\/v2\/media?parent=8211"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/dmdwarrior.com\/ar\/wp-json\/wp\/v2\/categories?post=8211"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/dmdwarrior.com\/ar\/wp-json\/wp\/v2\/tags?post=8211"}],"curies":[{"name":"\u0648\u0648\u0631\u062f\u0628\u0631\u064a\u0633","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}