Neurology Department
Electromyography (EMG) & Nerve Conduction Studies (NCS)
What is an EMG?
EMG, also known as Electromyography, is a technique for evaluating and recording the electrical activity produced by skeletal muscles. It detects the electrical potential generated by muscle cells when these cells are electrically or neurologically activated. The signal can be analyzed to detect medical abnormalities, activation level, or recruitment order or to analyze the biomechanics of human movement. Part of the study may involve small needles that are inserted into the muscle.
What is NCS?
NCS, known as Nerve Conduction Studies is a medical diagnostic test commonly used to evaluate the function, especially the ability of electrical conduction, of the motor and sensory nerves of the human body.
What is this test used for?
• NCS along with EMG measure nerves and muscle function, and may be indicated when there is pain in the limbs, weakness from spinal nerve compression, or concern about some other neurologic injury or disorder. • NCS are mainly used for evaluation of paresthesias (numbness, tingling, burning) and or weakness of the arm and legs.
Common disorder that can be diagnosed: • • • •
Carpal tunnel syndrome Guillain-Barre syndrome Peripheral neuropathy Tarsal tunnel syndrome
• Ulnar neuropathy • Neuromuscular junction diseases • Myopathies
How to prepare for this test? • Tell the physician or technician performing the EMG/NCS if you are taking Aspirin, blood thinners like Coumadin or have a pacemaker. • Take a shower or bath on the day of the test, wash arms and legs well to remove body oils. • Do not use body lotion, bath oils, or cream on the day of the test. • Wear comfortable, loose fitting clothes (short sleeves, shorts). Otherwise there are no special preparations for this test and there is no recovery from this test.
What to expect? • NCS Testing involves stimulating a nerve with a brief, small electrical impulse to the skin surface and recording the response from a muscle or another portion of the nerve via small metal disc that are placed on the skin.
• EMG part of the study may involve small needles that are inserted into the muscle. You may experience some discomfort during the tests. EMG/NCS testing generally takes between 30 and 60 minutes depending upon the condition being tested and the findings of the study.
What can you expect after the test? • If you are a little sore after the study, you may wish to ice down the areas where the EMG needle was inserted. • Drink plenty of fluids and resume your normal schedule and activities. • You can take some Tylenol for any mild residual discomfort. • Your doctor should be able to give you a preliminary verbal report of your results. A formal report will be sent to your referring physician • Normal activities can be resumed immediately after the test. • Your EMG/NCS reports will be kept on patient file on the system.
Ask your doctor if you have any questions about this test For inquiry call the EMG Department/Unit at: 012-650 9000 Ext. 4711/4014 For appointment call center Ext. 9007
ﻗﺴﻢ ﻃﺐ ﺍﻷﻣﺮﺍﺽ ﺍﻟﻌﺼﺒﻴﺔ
ﻫﻲ ﻋﺒﺎﺭﺓ ﻋﻦ ﺗﻘﻨﻴﺔ ﺗﺴﺘﺨﺪﻡ ﻟﺘﻘﻴﻴﻢ ﻭﺗﺴﺠﻴﻞ ﺍﻟﻨﺸﺎﻁ ﺍﻟﻜﻬﺮﺑﺎﺋﻲ ﺍﻟﺘﻲ ﺗﻨﺘﺠﻬﺎ ﺍﻟﻌﻀﻼﺕ ﻭﺍﻟﻬﻴﻜﻞ ﺍﻟﻬﻴﻜﻠﻴﺔ .ﻓﻬﻲ ﺗﻜﺸﻒ ﺇﻣﻜﺎﻧﺎﺕ ﺍﻟﻜﻬﺮﺑﺎﺋﻴﺔ ﺍﻟﺘﻲ ﺗﻮﻟﺪﻫﺎ ﺧﻼﻳﺎ ﺍﻟﻌﻀﻼﺕ ﻋﻨﺪﻣﺎ ﻳﺘﻢ ﻛﻬﺮﺑﺎﺋﻴﺎ ﺃﻭ ﻋﺼﺒﻴﺎ ﺗﻨﺸﻴﻂ ﻫﺬﻩ ﺍﳋﻼﻳﺎ .ﻭﳝﻜﻦ ﲢﻠﻴﻞ ﺍﻹﺷﺎﺭﺍﺕ ﻟﻠﻜﺸﻒ ﻋﻦ ﺍﻟﺘﺸﻮﻫﺎﺕ ﺍﻟﻄﺒﻴﺔ ،ﻭﻣﺴﺘﻮﻯ ﺍﻟﺘﻨﺸﻴﻂ ،ﺃﻭ ﺃﻣﺮ ﺍﻟﺘﻌﻴﲔ ﺃﻭ ﻟﺘﺤﻠﻴﻞ ﺍﳌﻴﻜﺎﻧﻴﻜﺎ ﺍﳊﻴﻮﻳﺔ ﳊﺮﻛﺔ ﺍﻹﻧﺴﺎﻥ .ﺍﳉﺰﺀ ﻣﻦ ﺍﻟﺪﺭﺍﺳﺔ ﻗﺪ ﺗﻨﻄﻮﻱ ﻋﻠﻰ ﺍﻹﺑﺮ ﺍﻟﺼﻐﻴﺮﺓ ﺍﻟﺘﻲ ﻳﺘﻢ ﺇﺩﺭﺍﺟﻬﺎ ﻓﻲ ﺍﻟﻌﻀﻼﺕ. ﻭﻳﺘﻢ ﺫﻟﻚ ﺑﻜﺸﻒ ﻓﻌﺎﻟﻴﺔ ﺍﻟﻮﺣﺪﺍﺕ ﺍﳊﺮﻛﻴﺔ ﻓﻲ ﺍﻟﻌﻀﻠﺔ ﻭﺗﺴﺠﻴﻠﻬﺎ ﻋﻠﻰ ﺭﺍﺳﻢ ﺍﻟﺬﺑﺬﺑﺎﺕ ،ﻭﻳﻄﺒﻖ ﺫﻟﻚ ﻋﻨﺪ ﺍﻷﺷﺨﺎﺹ ﻏﻴﺮ ﺍﺨﻤﻟﺪﺭﻳﻦ ﻭﺫﻟﻚ ﺃﻣﺎ ﺑﻮﺿﻊ ﺃﻗﻄﺎﺏ ﻣﻌﺪﻧﻴﺔ ﻋﻠﻰ ﺳﻄﺢ ﺍﳉﻠﺪ ﺍﳌﻐﻄﻲ ﻟﻠﻌﻀﻠﺔ ﺍﳌﺴﺘﻬﺪﻓﺔ، ﺣﻴﺚ ﺗﻜﺸﻒ ﻣﺠﻤﻞ ﺍﻟﻔﻌﺎﻟﻴﺎﺕ ﺍﻟﻜﻬﺮﺑﺎﺋﻴﺔ ﻟﻜﻮﺍﻣﻦ ﺍﻟﻔﻌﻞ ﻓﻲ ﺍﻟﻮﺣﺪﺍﺕ ﺍﳊﺮﻛﻴﺔ ﺍﺨﻤﻟﺘﻠﻔﺔ.
ﻣﺎ ﻫﻮ ﺍﺧﺘﺒﺎﺭ ﺍﻟﺘﻮﺻﻴﻞ ﺍﻟﻜﻬﺮﺑﻲ ﻟﻸﻋﺼﺎﺏ؟
ﻫﻮ ﺍﺧﺘﺒﺎﺭ ﺗﺸﺨﻴﺼﻲ ﻳﺴﺘﺨﺪﻡ ﻋﺎﺩﺓ ﻟﺘﻘﻴﻴﻢ ﺍﻟﻮﻇﺎﺋﻒ ﺧﺼﻮﺻﺎ ﹰ ﻗﺪﺭﺓ ﺍﻟﺘﻮﺻﻴﻞ ﺍﻟﻜﻬﺮﺑﻲ ﻟﻸﻋﺼﺎﺏ ﺍﳊﺮﻛﻴﺔ ﻭﺍﳊﺴﻴﺔ ﺩﺍﺧﻞ ﺟﺴﻢ ﺍﻹﻧﺴﺎﻥ.
ﳌﺎﺫﺍ ﻳﺘﻢ ﺇﺟﺮﺍﺀ ﻫﺬﺍ ﺍﻻﺧﺘﺒﺎﺭ؟
ﻳﺴﺘﺨﺪﻡ ﺍﺧﺘﺒﺎﺭﻱ ﺗﺨﻄﻴﻂ ﻛﻬﺮﺑﻴﺔ ﺍﻟﻌﻀﻼﺕ ﻭﺍﻟﺘﻮﺻﻴﻞ ﺍﻟﻜﻬﺮﺑﻲ ﻟﻸﻋﺼﺎﺏ ﻣﻌﺎ ﹰ ﻟﻘﻴﺎﺱ ﻛﻔﺎﺋﺔ ﻭﻇﺎﺋﻒ ﺍﻟﻌﻀﻼﺕ ﻭﺍﻷﻋﺼﺎﺏ ،ﻭﺑﺎﻷﺧﺺ ﻋﻨﺪﻣﺎ ﻳﻌﺎﻧﻲ ﺍﳌﺮﻳﺾ ﻣﻦ ﺃﻟﻢ ﻓﻲ ﺍﻷﻃﺮﺍﻑ ﺃﻭ ﺿﻌﻒ ﻓﻲ ﺿﻐﻂ ﺃﻋﺼﺎﺏ ﺍﻟﻌﻤﻮﺩ ﺍﻟﻔﻘﺮﻱ ﺃﻭ ﻋﻨﺪ ﺍﻻﺷﺘﺒﺎﻩ ﻓﻲ ﻭﺟﻮﺩ ﺇﺻﺎﺑﺔ ﺃﻭ ﺧﻠﻞ ﻋﺼﺒﻲ ﻣﺎ .ﻛﻤﺎ ﻳﺴﺘﺨﺪﻡ ﻓﻲ ﺗﺸﺨﻴﺺ ﺍﻵﻻﻡ )ﻭﺧﺰ ،ﺧﺪﺭ ،ﺣﺮﻗﺎﻥ( ﺃﻭ ﻓﻲ ﺣﺎﻟﺔ ﻇﻬﻮﺭ ﺃﻟﻢ ﻓﻲ ﺍﻷﺫﺭﻉ ﺃﻭ ﺍﻷﺭﺟﻞ.
ﺍﻻﺿﻄﺮﺍﺑﺎﺕ ﺍﻟﺸﺎﺋﻌﺔ ﺍﻟﺘﻲ ﳝﻜﻦ ﺗﺸﺨﻴﺼﻬﺎ:
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ﻲ ﹸﻣ ﹶﺘﻼ ﹶﺯﹺ ﹶﻣ ﹸﺔ ﺍﻟﻨﱠﻔﹶ ﹺﻖ ﺍﻟﺮ ﱡ ﹸﺳ ﹺﻐ ﹼ ﹸﻣ ﹶﺘﻼ ﹶﺯﹺ ﹶﻣ ﹸﺔ ﻏﻴﱠﺎﻥ -ﺑﺎﺭﻳﻪ ) ﺍﻟﺘﻬﺎﺏ ﺍﳉﺬﻭﺭ ﻭﺍﻷﻋﺼﺎﺏ ﺍﳊﺎﺩ( ﹾﺼﺎﺏ ﺍ ﹾﻋﺘﹺﻼ ﹶﻝﹸ ﺍﻷﹶﻋ ﹶ ﻲ ﻐ ﺻ ﺍﻟﺮ ﻖ ﹸﻣ ﹶﺘﻼ ﹶﺯﹺ ﹶﻣ ﹸﺔ ﺍﻟﻨﱠﻔﹶ ﹺ ﱡ ﹸ ﹺ ﹼ ﺍﻻﻋﺘﻼﻝ ﺍﻟﻌﺼﺒﻲ ﺍﻟﺰﻧﺪﻱ ﺃﻣﺮﺍﺽ ﺍﳌﻮﺻﻞ ﺍﻟﻌﺼﺒﻲ ﺍﻟﻌﻀﻠﻲ ﺍﻋﺘﻼﻝ ﺍﻟﻌﻀﻼﺕ
ﻛﻴﻔﻴﺔ ﺍﻟﺘﺤﻀﻴﺮ ﻟﻼﺧﺘﺒﺎﺭ •
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ﻳﺠﺐ ﺇﺧﺒﺎﺭ ﺍﻟﻄﺒﻴﺐ ﻓﻲ ﺣﺎﻝ ﺃﺧﺬ ﺑﻌﺾ ﺃﻧﻮﺍﻉ ﺍﻷﺩﻭﻳﺔ ،ﻣﺜﻞ ﺍﻷﺳﺒﺮﻳﻦ ﺃﻭ ﳑﻴﻌﺎﺕ ﺍﻟﺪﻡ ﻛﺎﻟﻮﺍﺭﻓﺎﺭﻳﻦ )ﺍﻟﻜﻮﻣﺎﺩﻳﻦ( ﺍﻟﺘﻲ ﻳﺠﺐ ﺃﻥ ﺗﹸﻮﻗﻒ ﻗﺒﻞ ﺍﻟﻔﺤﺺ ،ﻭﺃﻳﻀﺎ ﹰ ﻓﻲ ﺣﺎﻟﺔ ﺍﺳﺘﺨﺪﺍﻣﻜﻢ ﳌﻨﻈﻢ ﺿﺮﺑﺎﺕ ﺍﻟﻘﻠﺐ. ﻳﺠﺐ ﺍﻟﺘﺄﻛﺪ ﻣﻦ ﺍﻻﺳﺘﺤﻤﺎﻡ ﻓﻲ ﻳﻮﻡ ﺍﻻﺧﺘﺒﺎﺭ ﻣﻊ ﻣﺮﺍﻋﺎﺓ ﻏﺴﻞ ﺍﻟﺬﺭﺍﻋﲔ ﻭﺍﻟﺴﺎﻗﲔ ﺟﻴﺪﺍ ﹰ ﻟﻠﺘﺨﻠﺺ ﻣﻦ ﺇﻓﺮﺍﺯﺍﺕ ﺍﳉﺴﻢ ﻣﻦ ﺍﻟﺪﻫﻮﻥ. ﳝﻨﻊ ﺍﺳﺘﺨﺪﺍﻡ ﻏﺴﻮﻝ ﺍﳉﺴﻢ ﺃﻭ ﺯﻳﻮﺕ ﺍﻻﺳﺘﺤﻤﺎﻡ ﺃﻭ ﺍﻟﻜﺮﳝﺎﺕ ﻓﻲ ﻳﻮﻡ ﺍﻻﺧﺘﺒﺎﺭ. ﻳﻔﻀﻞ ﺍﺭﺗﺪﺍﺀ ﻣﻼﺑﺲ ﻓﻀﻔﺎﺿﺔ ﻭﻣﺮﻳﺤﺔ )ﻣﺜﻞ ﺍﻟﺘﻴﺸﺮﺕ ﻭﺍﻟﺸﻮﺭﺕ( ،ﻭﺍﳌﻼﺑﺲ ﺍﻟﻔﻀﻔﺎﺿﺔ ﺍﻟﺘﻲ ﳝﻜﻦ ﻃﻴﻬﺎ ﺇﻟﻰ ﻣﺎ ﻓﻮﻕ ﺍﳌﺮﻓﻘﲔ ﻭﺍﻟﺮﻛﺒﺘﲔ ﻟﺘﺴﻬﻴﻞ ﺇﺟﺮﺍﺀ ﺍﻟﻔﺤﺺ. ﻏﻴﺮ ﺫﻟﻚ ﻻ ﺗﻮﺟﺪ ﺃﻱ ﲢﻀﻴﺮﺍﺕ ﺧﺎﺻﺔ ﻟﻬﺬﺍ ﺍﻻﺧﺘﺒﺎﺭ ﻭﻻ ﻳﺴﺘﻠﺰﻡ ﻓﺘﺮﺓ ﻟﻠﺘﻌﺎﻓﻲ.
ﻣﺎﺫﺍ ﻳﺤﺪﺙ ﺃﺛﻨﺎﺀ ﺍﻻﺧﺘﺒﺎﺭ؟
• ﻓﻲ ﻫﺬﺍ ﺍﻻﺧﺘﺒﺎﺭ ﺗﻮﺻﻞ ﻋﺪﺓ ﺃﻗﻄﺎﺏ ﺇﻟﻰ ﺍﳉﻠﺪ ﺑﻮﺍﺳﻄﺔ ﺷﺮﻳﻂ ﻻﺻﻖ ﺧﺎﺹ، ﺛﻢ ﺗﻮﺿﻊ ﺍﻷﻗﻄﺎﺏ ﻋﻠﻰ ﻣﺴﻴﺮ ﺍﻟﻌﺼﺐ ﺍﳌﺮﺍﺩ ﻓﺤﺼﻪ ،ﺣﻴﺚ ﻳﺘﻢ ﻭﺻﻞ ﺍﻟﻘﻄﺐ ﺍﻟﻜﻬﺮﺑﺎﺋﻲ ﻣﻊ ﺍﻟﻌﻀﻼﺕ ﺍﻟﺘﻲ ﻫﻲ ﲢﺖ ﺳﻴﻄﺮﺓ ﺍﻟﻌﺼﺐ .ﺗﻌﻄﻰ ﻧﺒﻀﺎﺕ ﻛﻬﺮﺑﺎﺋﻴﺔ ﺳﺮﻳﻌﺔ ﻋﺒﺮ ﺍﻟﻌﺼﺐ .ﻭﻳﺴﺠﻞ ﺍﻟﻮﻗﺖ ﺍﻟﺬﻱ ﺗﺴﺘﻐﺮﻗﻪ ﺍﻟﻌﻀﻼﺕ ﻟﻠﺘﻘﻠﺺ ﺍﺳﺘﺠﺎﺑﺔ ﻟﻠﻨﺒﻀﺎﺕ ﺍﻟﻜﻬﺮﺑﺎﺋﻴﺔ ﻣﻦ ﺧﻼﻝ ﻗﺮﺹ ﻣﻌﺪﻧﻲ ﻳﻮﺿﻊ ﻋﻠﻰ ﺍﳉﻠﺪ .
• ﻏﺎﻟﺒﺎ ﻣﺎﻳﺴﺘﻌﻤﻞ ﺗﺨﻄﻴﻂ ﺍﻟﻌﺼﺐ ﻣﻊ ﺩﺭﺍﺳﺔ ﺗﺨﻄﻴﻂ ﻛﻬﺮﺑﻴﺔ ﺍﻟﻌﻀﻼﺕ ﺍﻟﺬﻱ ﻳﺘﻢ ﻋﻦ ﻃﺮﻳﻖ ﺇﺩﺧﺎﻝ ﺇﺑﺮﺓ ﺧﺎﺻﺔ ﻓﻲ ﺍﻟﻌﻀﻠﺔ ﺍﳌﺮﺍﺩ ﺩﺭﺍﺳﺘﻬﺎ ﻟﻘﻴﺎﺱ ﻛﻬﺮﺑﺎﺋﻴﺔ ﺍﻟﻌﻀﻠﺔ ﻭﻓﻌﺎﻟﻴﺘﻬﺎ ،ﺣﻴﺚ ﺗﹸﺸﻌﺮ ﺍﳌﺮﻳﺾ ﺑﺎﻟﻘﻠﻴﻞ ﻣﻦ ﻋﺪﻡ ﺍﻻﺭﺗﻴﺎﺡ ﺃﺛﻨﺎﺀ ﺍﻻﺧﺘﺒﺎﺭ .ﳝﻜﻦ ﻻﺧﺘﺒﺎﺭﺍﺕ ﺩﺭﺍﺳﺎﺕ ﺍﻟﺘﻮﺻﻴﻞ ﺍﻟﻌﺼﺒﻲ /ﺩﺭﺍﺳﺔ ﺗﺨﻄﻴﻂ ﻛﻬﺮﺑﻴﺔ ﺍﻟﻌﻀﻼﺕ ﺃﻥ ﺗﺴﺘﻐﺮﻕ ﻣﻦ ٣٠ﺩﻗﻴﻘﺔ ﺇﻟﻰ ﺳﺎﻋﺔ ﺃﻭ ﺃﻛﺜﺮ .ﺗﺒﻌﺎ ﹰ ﻟﻠﺤﺎﻟﺔ ﺍﻟﺘﻲ ﻳﺠﺮﻱ ﺍﺧﺘﺒﺎﺭﻫﺎ ﻭﺍﻟﻨﺘﺎﺋﺞ ﺍﻟﺘﻲ ﺗﻮﺻﻠﺖ ﺇﻟﻴﻬﺎ ﺍﻟﺪﺭﺍﺳﺔ.
ﻣﺎ ﳝﻜﻦ ﺃﻥ ﺗﺘﻮﻗﻌﻪ ﺑﻌﺪ ﺇﺟﺮﺍﺀ ﺍﻟﻔﺤﺺ؟ •
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ﻗﺪ ﺗﺸﻌﺮ ﺑﺎﻟﻘﻠﻴﻞ ﻣﻦ ﺍﻷﻟﻢ ﺑﻌﺪ ﺍﻻﺧﺘﺒﺎﺭ ،ﻟﺬﻟﻚ ﻳﻨﺼﺢ ﺑﺘﺒﺮﻳﺪ ﺍﳌﻨﺎﻃﻖ ﺣﻴﺚ ﰎ ﺇﺩﺭﺍﺝ ﺇﺑﺮﺓ ﺍﺧﺘﺒﺎﺭ ﺗﺨﻄﻴﻂ ﺍﻟﻌﺼﺐ ﺑﺎﺳﺘﻤﺮﺍ. ﻳﻔﻀﻞ ﺷﺮﺏ ﺍﻟﻜﺜﻴﺮ ﻣﻦ ﺍﻟﺴﻮﺍﺋﻞ ،ﻭﻻ ﻣﺎﻧﻊ ﻣﻦ ﺍﺳﺘﺌﻨﺎﻑ ﺍﻷﻧﺸﻄﺔ ﺍﻟﻴﻮﻣﻴﺔ ﺑﺸﻜﻞ ﻃﺒﻴﻌﻲ. ﳝﻜﻨﻚ ﺗﻨﺎﻭﻝ ﺩﻭﺍﺀ )ﺗﻴﻠﻴﻨﻮﻝ( ﻟﺘﺨﻔﻴﻒ ﺃﻱ ﺃﻟﻢ ﻗﺪ ﺗﺸﻌﺮ ﺑﻪ. ﻳﺠﺐ ﺃﻥ ﻳﻜﻮﻥ ﻃﺒﻴﺒﻚ ﻗﺎﺩﺭﺍ ﻋﻠﻰ ﺇﻋﻄﺎﺋﻚ ﺗﻘﺮﻳﺮ ﺷﻔﻬﻲ ﻣﺒﺪﺋﻲ ﻟﻠﻨﺘﺎﺋﺞ ﺍﳋﺎﺻﺔ ﺑﻚ ،ﻭﺳﻴﺘﻢ ﺇﺭﺳﺎﻝ ﺗﻘﺮﻳﺮ ﻃﺒﻲ ﺭﺳﻤﻲ ﺇﻟﻰ ﺍﻟﻄﺒﻴﺐ. ﳝﻜﻦ ﺍﺳﺘﺌﻨﺎﻑ ﺍﻷﻧﺸﻄﺔ ﺍﻟﻴﻮﻣﻴﺔ ﻓﻮﺭﺍ ﹰ ﺑﻌﺪ ﺍﻻﺧﺘﺒﺎﺭ. ﺳﻴﺘﻢ ﺍﻻﺣﺘﻔﺎﻅ ﺑﺎﻟﺘﻘﺎﺭﻳﺮ ﺍﳋﺎﺻﺔ ﺑﺎﻻﺧﺘﺒﺎﺭﻳﻦ ﻋﻠﻰ ﻣﻠﻒ ﺍﳌﺮﻳﺾ ﻋﻠﻰ ﺍﻟﻨﻈﺎﻡ.
ﺇﺫﺍ ﻛﺎﻥ ﻟﺪﻳﻚ ﺃﻱ ﺃﺳﺌﻠﺔ ﺃﺧﺮﻯ ﺣﻮﻝ ﺇﺟﺮﺍﺀ ﻓﺤﺺ ﺍﻟﺘﺨﻄﻴﻂ ﺍﻟﻜﻬﺮﺑﺎﺋﻲ ﻟﻠﺪﻣﺎﻍ ،ﻳﺮﺟﻰ ﺍﻟﺮﺟﻮﻉ ﺇﻟﻰ ﻃﺒﻴﺒﻚ ﻟﻼﺳﺘﻔﺴﺎﺭ ﻳﺮﺟﻰ ﺍﻻﺗﺼﺎﻝ ﻋﻠﻰ ،+٠١٢ ٦٥٠٩٠٠٠ :ﲢﻮﻳﻠﺔ٤٠١٤/٤٠٠٤ . : ﻟﻠﺤﺼﻮﻝ ﻋﻠﻰ ﻣﻮﻋﺪ ﻳﺮﺟﻰ ﺍﻻﺗﺼﺎﻝ ﻋﻠﻰ ﲢﻮﻳﻠﺔ٩٠٠٧ :