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\u0627\u0644\u0623\u0642\u0646\u064a\u0629 \u0627\u0644\u0635\u0641\u0631\u0627\u0648\u064a\u0629<\/option><option value='Colon Caner' >\u0633\u0631\u0637\u0627\u0646 \u0627\u0644\u0642\u0648\u0644\u0648\u0646<\/option><option value='Endometrial Caner' >\u0633\u0631\u0637\u0627\u0646 \u0628\u0637\u0627\u0646\u0629 \u0627\u0644\u0631\u062d\u0645<\/option><option value='Esophageal Caner' >\u0633\u0631\u0637\u0627\u0646 \u0627\u0644\u0645\u0631\u064a\u0621<\/option><option value='Ewing sarcoma' >\u0633\u0627\u0631\u0643\u0648\u0645\u0627 \u0625\u064a\u0648\u064a\u0646\u063a<\/option><option value='Fibrosarcoma' >\u0627\u0644\u0633\u0627\u0631\u0643\u0648\u0645\u0629 \u0627\u0644\u0644\u064a\u0641\u064a\u0629<\/option><option value='Gallbladders Cancer' >\u0633\u0631\u0637\u0627\u0646 \u0627\u0644\u0645\u0631\u0627\u0631\u0629<\/option><option value='Gastric Cancer' >\u0633\u0631\u0637\u0627\u0646 \u0627\u0644\u0645\u0639\u062f\u0629<\/option><option value='Head &amp; Neck Cancer' >\u0633\u0631\u0637\u0627\u0646 \u0627\u0644\u0631\u0623\u0633 \u0648\u0627\u0644\u0639\u0646\u0642<\/option><option value='Karposi Sarcoma' >\u0633\u0627\u0631\u0643\u0648\u0645\u0627 \u0643\u0627\u0628\u0648\u0633\u064a<\/option><option value='Kidney Cancer' >\u0633\u0631\u0637\u0627\u0646 \u0627\u0644\u0643\u0644\u0649<\/option><option value='Leukemai' >\u0627\u0644\u0644\u0648\u0643\u064a\u0645\u064a\u0627\/ \u0633\u0631\u0637\u0627\u0646 \u0627\u0644\u062f\u0645<\/option><option value='Liver Cancer' >\u0633\u0631\u0637\u0627\u0646 \u0627\u0644\u0643\u0628\u062f<\/option><option value='Lung Cancer' >\u0633\u0631\u0637\u0627\u0646 \u0627\u0644\u0631\u0626\u0629<\/option><option value='Lymphoma Melanoma' >\u0633\u0631\u0637\u0627\u0646 \u0627\u0644\u062e\u0644\u0627\u064a\u0627 \u0627\u0644\u0635\u0628\u063a\u064a\u0629<\/option><option value='Multiple Myeloma' >\u0627\u0644\u0633\u0631\u0637\u0627\u0646 \u0627\u0644\u0646\u062e\u0627\u0639\u064a \u0627\u0644\u0645\u062a\u0639\u062f\u062f<\/option><option value='Nasopharyngeal Cancer' >\u0633\u0631\u0637\u0627\u0646 \u0627\u0644\u0628\u0644\u0639\u0648\u0645 \u0627\u0644\u0623\u0646\u0641\u064a<\/option><option value='Neuroblastoma' >\u0648\u0631\u0645 \u0627\u0644\u062e\u0644\u0627\u064a\u0627 \u0627\u0644\u0628\u062f\u0627\u0626\u064a\u0629 \u0627\u0644\u0639\u0635\u0628\u064a\u0629<\/option><option value='Neuroendocrine tumours' >\u0623\u0648\u0631\u0627\u0645 \u0627\u0644\u063a\u062f\u062f \u0627\u0644\u0639\u0635\u0628\u064a\u0629 \u0627\u0644\u0635\u0645\u0627\u0621<\/option><option value='Oral Caner' >\u0633\u0631\u0637\u0627\u0646 \u0627\u0644\u0641\u0645<\/option><option value='Osteosarcoma' >\u0627\u0644\u0633\u0627\u0631\u0643\u0648\u0645\u0627 \u0627\u0644\u0639\u0638\u0645\u064a\u0629<\/option><option value='Ovarian Cancer' >\u0633\u0631\u0637\u0627\u0646 \u0627\u0644\u0645\u0628\u064a\u0636<\/option><option value='Pancreatic Cancer' >\u0633\u0631\u0637\u0627\u0646 \u0627\u0644\u0628\u0646\u0643\u0631\u064a\u0627\u0633<\/option><option value='Prostate Cancer' >\u0633\u0631\u0637\u0627\u0646 \u0627\u0644\u0628\u0631\u0648\u0633\u062a\u0627\u062a\u0627<\/option><option value='Retinoblastoma' >\u0648\u0631\u0645 \u0627\u0644\u062c\u0630\u064a\u0639\u0627\u062a \u0627\u0644\u0634\u0628\u0643\u064a\u0629<\/option><option value='Rhabdomyosarcoma' >\u0627\u0644\u0633\u0627\u0631\u0643\u0648\u0645\u0629 \u0627\u0644\u0639\u0636\u0644\u064a\u0629 \u0627\u0644\u0645\u062e\u0637\u0637\u0629<\/option><option value='Skin Cancer' >\u0633\u0631\u0637\u0627\u0646 \u0627\u0644\u062c\u0644\u062f<\/option><option value='Soft tissue sarcoma' >\u0633\u0627\u0631\u0643\u0648\u0645\u0629 \u0627\u0644\u0623\u0646\u0633\u062c\u0629 \u0627\u0644\u0631\u062e\u0648\u0629<\/option><option value='Testicular Cancer' >\u0633\u0631\u0637\u0627\u0646 \u0627\u0644\u062e\u0635\u064a\u0629<\/option><option value='Throat Cancer' >\u0633\u0631\u0637\u0627\u0646 \u0627\u0644\u062d\u0644\u0642<\/option><option value='Thyroid Caner' >\u0633\u0631\u0637\u0627\u0646 \u0627\u0644\u063a\u062f\u0629 \u0627\u0644\u062f\u0631\u0642\u064a\u0629<\/option><\/select><\/div><\/li><li id=\"field_12_28\"  class=\"gfield field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_12_28\"><label class='gfield_label' for='input_12_28' >\u062a\u0627\u0631\u064a\u062e \u0627\u0644\u062a\u0634\u062e\u064a\u0635<\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_28' id='input_12_28' type='text' value='' class='datepicker dmy datepicker_no_icon gdatepicker-no-icon'   placeholder='dd\/mm\/yyyy' aria-describedby=\"input_12_28_date_format\" aria-invalid=\"false\" \/>\n                            <span id='input_12_28_date_format' class='screen-reader-text'>DD slash MM slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_12_28' class='gform_hidden' value='https:\/\/cancercoach.co\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/li><li id=\"field_12_12\"  class=\"gfield field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_12_12\"><label class='gfield_label' for='input_12_12' >\u0627\u0644\u0623\u0639\u0631\u0627\u0636 \u0627\u0644\u0645\u0635\u0627\u062d\u0628\u0629 \u0644\u0644\u0633\u0631\u0637\u0627\u0646<\/label><div class='ginput_container ginput_container_select'><select name='input_12' id='input_12_12' class='medium gfield_select'     aria-invalid=\"false\" ><option value='' ><\/option><option value='Cachexia' >\u0627\u0644\u0647\u0632\u0627\u0644<\/option><option value='Cerebral edema' >\u0627\u0644\u0648\u0630\u0645\u0629 \u0627\u0644\u062f\u0645\u0627\u063a\u064a\u0629<\/option><option value='Diarrheas' >\u0627\u0644\u0625\u0633\u0647\u0627\u0644<\/option><option value='Fatique' >\u0627\u0644\u0625\u0631\u0647\u0627\u0642<\/option><option value='Meteorism' >\u062a\u0637\u0628\u0644 \u0627\u0644\u0628\u0637\u0646<\/option><option value='Nausea' >\u0627\u0644\u063a\u062b\u064a\u0627\u0646<\/option><option value='Weakness' >\u0627\u0644\u0636\u0639\u0641<\/option><option value='Appetite loss' >\u0641\u0642\u062f\u0627\u0646 \u0627\u0644\u0634\u0647\u064a\u0629<\/option><option value='Muscle loss' >\u0641\u0642\u062f\u0627\u0646 \u0627\u0644\u0639\u0636\u0644\u0627\u062a<\/option><option value='Osteoporosis' >\u0645\u0631\u0636 \u0647\u0634\u0627\u0634\u0629 \u0627\u0644\u0639\u0638\u0627\u0645<\/option><option value='Pain' >\u0627\u0644\u0623\u0644\u0645<\/option><option value='Sleep Disorder' >\u0627\u0636\u0637\u0631\u0627\u0628 \u0627\u0644\u0646\u0648\u0645<\/option><\/select><\/div><\/li><li id=\"field_12_23\"  class=\"gfield field_sublabel_below field_description_below hidden_label gfield_visibility_visible\"  data-js-reload=\"field_12_23\"><label class='gfield_label' for='input_12_23' >Cancer related Symptoms<\/label><div class='ginput_container ginput_container_select'><select name='input_23' id='input_12_23' class='medium gfield_select'     aria-invalid=\"false\" ><option value='' ><\/option><option value='Cachexia' >\u0627\u0644\u0647\u0632\u0627\u0644<\/option><option value='Cerebral edema' >\u0627\u0644\u0648\u0630\u0645\u0629 \u0627\u0644\u062f\u0645\u0627\u063a\u064a\u0629<\/option><option value='Diarrheas' >\u0627\u0644\u0625\u0633\u0647\u0627\u0644<\/option><option value='Fatique' >\u0627\u0644\u0625\u0631\u0647\u0627\u0642<\/option><option value='Meteorism' >\u062a\u0637\u0628\u0644 \u0627\u0644\u0628\u0637\u0646<\/option><option value='Nausea' >\u0627\u0644\u063a\u062b\u064a\u0627\u0646<\/option><option value='Weakness' >\u0627\u0644\u0636\u0639\u0641<\/option><option value='Appetite loss' >\u0641\u0642\u062f\u0627\u0646 \u0627\u0644\u0634\u0647\u064a\u0629<\/option><option value='Muscle loss' >\u0641\u0642\u062f\u0627\u0646 \u0627\u0644\u0639\u0636\u0644\u0627\u062a<\/option><option value='Osteoporosis' >\u0645\u0631\u0636 \u0647\u0634\u0627\u0634\u0629 \u0627\u0644\u0639\u0638\u0627\u0645<\/option><option value='Pain' >\u0627\u0644\u0623\u0644\u0645<\/option><option value='Sleep Disorder' >\u0627\u0636\u0637\u0631\u0627\u0628 \u0627\u0644\u0646\u0648\u0645<\/option><\/select><\/div><\/li><li id=\"field_12_25\"  class=\"gfield field_sublabel_below field_description_below hidden_label gfield_visibility_visible\"  data-js-reload=\"field_12_25\"><label class='gfield_label' for='input_12_25' >Cancer related Symptoms<\/label><div class='ginput_container ginput_container_select'><select name='input_25' id='input_12_25' class='medium gfield_select'     aria-invalid=\"false\" ><option value='' ><\/option><option value='Cachexia' >\u0627\u0644\u0647\u0632\u0627\u0644<\/option><option value='Cerebral edema' >\u0627\u0644\u0648\u0630\u0645\u0629 \u0627\u0644\u062f\u0645\u0627\u063a\u064a\u0629<\/option><option value='Diarrheas' >\u0627\u0644\u0625\u0633\u0647\u0627\u0644<\/option><option value='Fatique' >\u0627\u0644\u0625\u0631\u0647\u0627\u0642<\/option><option value='Meteorism' >\u062a\u0637\u0628\u0644 \u0627\u0644\u0628\u0637\u0646<\/option><option value='Nausea' >\u0627\u0644\u063a\u062b\u064a\u0627\u0646<\/option><option value='Weakness' >\u0627\u0644\u0636\u0639\u0641<\/option><option value='Appetite loss' >\u0641\u0642\u062f\u0627\u0646 \u0627\u0644\u0634\u0647\u064a\u0629<\/option><option value='Muscle loss' >\u0641\u0642\u062f\u0627\u0646 \u0627\u0644\u0639\u0636\u0644\u0627\u062a<\/option><option value='Osteoporosis' >\u0645\u0631\u0636 \u0647\u0634\u0627\u0634\u0629 \u0627\u0644\u0639\u0638\u0627\u0645<\/option><option value='Pain' >\u0627\u0644\u0623\u0644\u0645<\/option><option value='Sleep Disorder' >\u0627\u0636\u0637\u0631\u0627\u0628 \u0627\u0644\u0646\u0648\u0645<\/option><\/select><\/div><\/li><li id=\"field_12_24\"  class=\"gfield gsection field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_12_24\"><h2 class=\"gsection_title\">\u0627\u0644\u0639\u0644\u0627\u062c \u0627\u0644\u0643\u064a\u0645\u064a\u0627\u0626\u064a<\/h2><\/li><li id=\"field_12_15\"  class=\"gfield gf_left_third field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_12_15\"><label class='gfield_label'  >\u0627\u0644\u0639\u0644\u0627\u062c \u0627\u0644\u0643\u064a\u0645\u064a\u0627\u0626\u064a<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_12_15'>\n\t\t\t<li class='gchoice gchoice_12_15_0'>\n\t\t\t\t<input name='input_15' type='radio' value='Yes'  id='choice_12_15_0'    \/>\n\t\t\t\t<label for='choice_12_15_0' id='label_12_15_0'>\u0646\u0639\u0645<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_12_15_1'>\n\t\t\t\t<input name='input_15' type='radio' value='No'  id='choice_12_15_1'    \/>\n\t\t\t\t<label for='choice_12_15_1' id='label_12_15_1'>\u0644\u0627<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_12_19\"  class=\"gfield gf_middle_third field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_12_19\"><label class='gfield_label' for='input_12_19' >\u062a\u0627\u0631\u064a\u062e \u0628\u062f\u0621 \u0627\u0644\u0639\u0644\u0627\u062c \u0627\u0644\u0643\u064a\u0645\u064a\u0627\u0626\u064a<\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_19' id='input_12_19' type='text' value='' class='datepicker mdy datepicker_no_icon gdatepicker-no-icon'   placeholder='mm\/dd\/yyyy' aria-describedby=\"input_12_19_date_format\" aria-invalid=\"false\" \/>\n                            <span id='input_12_19_date_format' class='screen-reader-text'>MM slash DD slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_12_19' class='gform_hidden' value='https:\/\/cancercoach.co\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/li><li id=\"field_12_20\"  class=\"gfield gf_right_third field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_12_20\"><label class='gfield_label' for='input_12_20' >\u062a\u0627\u0631\u064a\u062e \u0627\u0646\u062a\u0647\u0627\u0621 \u0627\u0644\u0639\u0644\u0627\u062c \u0627\u0644\u0643\u064a\u0645\u064a\u0627\u0626\u064a<\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_20' id='input_12_20' type='text' value='' class='datepicker mdy datepicker_no_icon gdatepicker-no-icon'   placeholder='mm\/dd\/yyyy' aria-describedby=\"input_12_20_date_format\" aria-invalid=\"false\" \/>\n                            <span id='input_12_20_date_format' class='screen-reader-text'>MM slash DD slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_12_20' class='gform_hidden' value='https:\/\/cancercoach.co\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/li><li id=\"field_12_17\"  class=\"gfield field_sublabel_below field_description_below gfield_visibility_visible\"  data-js-reload=\"field_12_17\"><label class='gfield_label' for='input_12_17' >\u0627\u0644\u0639\u0642\u0627\u0642\u064a\u0631 \u0627\u0644\u0643\u064a\u0645\u064a\u0627\u0626\u064a\u0629<\/label><div class='ginput_container ginput_container_select'><select name='input_17' id='input_12_17' class='medium gfield_select'     aria-invalid=\"false\" ><option value='' ><\/option><option value='5-Fluorouracil' >5-Fluorouracil<\/option><option value='Bleomycin' >Bleomycin<\/option><option value='Bortezomib' >Bortezomib<\/option><option value='Busulphan' >Busulphan<\/option><option value='Capecitabine' >Capecitabine<\/option><option value='Carboplatin' >Carboplatin<\/option><option value='Cisplatin' >Cisplatin<\/option><option value='Cyclophosphamide' >Cyclophosphamide<\/option><option value='Cytarabine' >Cytarabine<\/option><option value='Dacarbazine' >Dacarbazine<\/option><option value='Daunomycin' >Daunomycin<\/option><option value='Docetaxel' >Docetaxel<\/option><option value='Doxorubicin' >Doxorubicin<\/option><option value='Epiruboicin' >Epiruboicin<\/option><option value='Estramustine' >Estramustine<\/option><option value='Etoposide' >Etoposide<\/option><option value='Gemcitabine' >Gemcitabine<\/option><option value='Idarubicine' >Idarubicine<\/option><option value='Ifosfamide' >Ifosfamide<\/option><option value='Irinotecan' >Irinotecan<\/option><option value='Lenolidamide' >Lenolidamide<\/option><option value='Melphalan' >Melphalan<\/option><option value='Methotrexate' >Methotrexate<\/option><option value='Mitomycin C' >Mitomycin C<\/option><option value='Oxaliplatin' >Oxaliplatin<\/option><option value='Paciltaxel' >Paciltaxel<\/option><option value='Temozolomide' >Temozolomide<\/option><option value='Thalidomine' >Thalidomine<\/option><option value='Vinblastin' >Vinblastin<\/option><option value='Vincristine' >Vincristine<\/option><option value='Vinorelbin' >Vinorelbin<\/option><\/select><\/div><\/li><li id=\"field_12_26\"  class=\"gfield field_sublabel_below field_description_below hidden_label gfield_visibility_visible\"  data-js-reload=\"field_12_26\"><label class='gfield_label' for='input_12_26' >Chemo drugs<\/label><div class='ginput_container ginput_container_select'><select name='input_26' id='input_12_26' class='medium gfield_select'     aria-invalid=\"false\" ><option value='' ><\/option><option value='5-Fluorouracil' >5-Fluorouracil<\/option><option value='Bleomycin' >Bleomycin<\/option><option value='Bortezomib' >Bortezomib<\/option><option value='Busulphan' >Busulphan<\/option><option value='Capecitabine' >Capecitabine<\/option><option value='Carboplatin' >Carboplatin<\/option><option value='Cisplatin' >Cisplatin<\/option><option value='Cyclophosphamide' >Cyclophosphamide<\/option><option value='Cytarabine' >Cytarabine<\/option><option value='Dacarbazine' >Dacarbazine<\/option><option value='Daunomycin' >Daunomycin<\/option><option value='Docetaxel' >Docetaxel<\/option><option value='Doxorubicin' >Doxorubicin<\/option><option value='Epiruboicin' >Epiruboicin<\/option><option value='Estramustine' >Estramustine<\/option><option value='Etoposide' >Etoposide<\/option><option value='Gemcitabine' >Gemcitabine<\/option><option value='Idarubicine' >Idarubicine<\/option><option value='Ifosfamide' >Ifosfamide<\/option><option value='Irinotecan' >Irinotecan<\/option><option value='Lenolidamide' >Lenolidamide<\/option><option value='Melphalan' >Melphalan<\/option><option value='Methotrexate' >Methotrexate<\/option><option value='Mitomycin C' >Mitomycin C<\/option><option value='Oxaliplatin' >Oxaliplatin<\/option><option value='Paciltaxel' >Paciltaxel<\/option><option value='Temozolomide' >Temozolomide<\/option><option value='Thalidomine' >Thalidomine<\/option><option value='Vinblastin' >Vinblastin<\/option><option value='Vincristine' >Vincristine<\/option><option value='Vinorelbin' >Vinorelbin<\/option><\/select><\/div><\/li><li id=\"field_12_27\"  class=\"gfield field_sublabel_below field_description_below hidden_label gfield_visibility_visible\"  data-js-reload=\"field_12_27\"><label class='gfield_label' for='input_12_27' >Chemo drugs<\/label><div class='ginput_container ginput_container_select'><select name='input_27' id='input_12_27' class='medium gfield_select'     aria-invalid=\"false\" ><option value='' ><\/option><option value='5-Fluorouracil' >5-Fluorouracil<\/option><option value='Bleomycin' >Bleomycin<\/option><option value='Bortezomib' >Bortezomib<\/option><option value='Busulphan' >Busulphan<\/option><option value='Capecitabine' >Capecitabine<\/option><option value='Carboplatin' >Carboplatin<\/option><option value='Cisplatin' >Cisplatin<\/option><option value='Cyclophosphamide' >Cyclophosphamide<\/option><option value='Cytarabine' >Cytarabine<\/option><option value='Dacarbazine' >Dacarbazine<\/option><option value='Daunomycin' >Daunomycin<\/option><option value='Docetaxel' >Docetaxel<\/option><option value='Doxorubicin' >Doxorubicin<\/option><option value='Epiruboicin' >Epiruboicin<\/option><option value='Estramustine' >Estramustine<\/option><option value='Etoposide' >Etoposide<\/option><option value='Gemcitabine' >Gemcitabine<\/option><option value='Idarubicine' >Idarubicine<\/option><option value='Ifosfamide' >Ifosfamide<\/option><option value='Irinotecan' >Irinotecan<\/option><option value='Lenolidamide' >Lenolidamide<\/option><option value='Melphalan' >Melphalan<\/option><option value='Methotrexate' >Methotrexate<\/option><option value='Mitomycin C' >Mitomycin C<\/option><option value='Oxaliplatin' >Oxaliplatin<\/option><option value='Paciltaxel' 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);\n<\/script>\n<\/div><\/div>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":[],"yst_prominent_words":[282,295,296,297,298],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v14.6.1 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>\u0627\u0644\u0627\u0633\u062a\u0645\u0627\u0631\u0629 \u0627\u0644\u0637\u0628\u064a\u0629 | Cancer Coach<\/title>\n<meta name=\"robots\" content=\"index, follow\" \/>\n<meta name=\"googlebot\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<meta name=\"bingbot\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/cancercoach.co\/ar\/medical-form\/\" \/>\n<meta property=\"og:locale\" content=\"ar_AR\" \/>\n<meta property=\"og:type\" 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